Harga Otc Rs - Karang Tengah Medika: No Kode Nama Obat Isi Sat KMS N

RS Karang Tengah Medika
Yadika Healthcare Group
HARGA OTC RS.KARANG TEN
KMS
NO KODE NAMA OBAT ISI SAT
N
1 OTC 001 APIALYS DROP BTL 1 BTL
2 OTC 002 APIALYS / 100 ML / SYRUP BTL 1 BTL
3 OTC 003 BECOM C TAB BOX 100 TAB
4 OTC 004 BECOM ZET TAB BOX 100 TAB
5 OTC 005 BETADINE GARGLE/175 ML BTL 1 BTL
6 OTC 006 BETADINE GARGLE/190 ML BTL 1 BTL
7 OTC 007 BETADINE OINT /5 G TUBE 1 TUBE
8 OTC 008 BETADINE OINT /10 G TUBE 1 TUBE
9 OTC 009 BIOCURLIV TAB BOX 30 TAB
10 OTC 010 BIOPLACENTON JELLY TUBE 1 TUBE
11 OTC 011 BISOLVON ELIXIR 60 ML BTL 1 BTL
12 OTC 012 BISOLVON SOLUTION /50 ML BTL 1 TAB
13 OTC 013 BISOLVON TAB BOX 100 TAB
14 OTC 014 BREATHY NASAL DROPS / 30 ML BTL 1 BTL
15 OTC 015 CAL 95 TAB BOX 30 TAB
16 OTC 016 CALADIN /60 ML/LOTION BTL 1 BTL
17 OTC 017 CALADIN / 95 ML / LOTION BTL 1 BTL

18 OTC 018 CDR SWEET EFF 10 TUBE 1 TUBE
19 OTC 019 CHARM NIGHT WING P.S 42 CM @ 8 PACK 1 PACK
20 OTC 020 COMBANTRIN 250 MG BOX 50 TAB
COMBANTRIN ORANGE/ 10 ML/

21 OTC 021 BTL 1 BTL
SYRUP
CURCUMA PLUS DHA SHARPY / 60 ML
SYRUP
23 OTC 023 CURCUMA TABLET BOX 100 TAB
24 OTC 024 DEHIDRALYTE 200 ML / SOL BTL 1 BTL
25 OTC 025 DEHAF BOX 6 SACT
26 OTC 026 DULCOLAX 5 MG TAB BOX 80 TAB
27 OTC 027 ENZYPLEX TAB BOX 100 TAB
28 OTC 028 FERLIN DROPS / 30 ML BTL 1 BTL
29 OTC 029 FERLIN SYR / 100 ML BTL 1 BTL
30 OTC 030 FORNEURO TAB BOX 30 TAB
31 OTC 031 GLISODIN CAPS BOX 30 TAB
32 OTC 032 GLUCOSAMINE 250 MG TAB BOX 60 TAB
33 OTC 033 IMUNOS TAB BOX 20 CAPS
34 OTC 034 IMUNOS SYRUP BTL 1 BTL
35 OTC 035 IMUNOS PLUS TAB BOX 20 CAPS
36 OTC 036 IMUNOS SYRUP PLUS BTL 1 BTL
37 OTC 037 KONDOM SUTRA BOX 24 PCS
38 OTC 038 LACTAMAM TAB BOX 60 TAB
39 OTC 039 LACTAMOR BOX 60 TAB
40 OTC 040 L-CORE SACT BOX 5 SACT
LIFEFREE POPOK DEWASA PEREKAT

41 OTC 041 PACK 1 PACK
L8
LIFEFREE POPOK DEWASA PEREKAT
42 OTC 042 PACK 1 PACK
M9
43 OTC 043 L-ZINC SYR BTL 1 BTL
44 OTC 044 MAMY POKO PANTS TANDAR M ISI 4 PACK 1 PACK
45 OTC 045 MAMY POKO NEW BORN ISI 14 PACK 1 PACK
46 OTC 046 MICROLAX NEW PACK / 5 ML TUBE 1 TUBE
47 OTC 047 MEVITON TAB BOX 100 TAB
48 OTC 048 NALGESTAN TAB BOX 100 TAB
49 OTC 049 NATTO-10 CAPS BOX 30 CAPS
50 OTC 050 NEO DIAFORM TAB BOX 1000 TAB
51 OTC 051 NEO KAOLANA SYRUP BTL 1 BTL
52 OTC 052 NEPHROLITH CAPS BOX 100 CAPS
53 OTC 053 NEURALGIN RX TAB BOX 100 TAB
54 OTC 054 NEUROBION TAB BOX 250 TAB
55 OTC 055 NEUROBION 5000 TAB BOX 250 TAB
56 OTC 056 NEUROSANBE PLUS TAB BOX 100 TAB
57 OTC 057 NEW DIATAB BOX 100 TAB
58 OTC 058 OMEGA 3 LUXURY BTL 100 CAPS
59 OTC 059 MAGTRAL 120 ML / SYRUP BTL 1 BTL
60 OTC 060 OBH NELCO 100 ML / SYR BTL 1 BTL
61 OTC 061 OSFIT DHA BOX 30 CAPS
62 OTC 062 POLYSILANE SUSP 100 ML BTL 1 BTL
63 OTC 063 POSTOVIT BOX 50 CAPS
64 OTC 064 PROLACTA DHA FOR BABY BOX 50 CAPS
65 OTC 065 PROLACTA FOR MOTHER TAB BOX 60 CAPS

66 OTC 066 PROMAVIT CAPS BOX 60 CAPS
67 OTC 067 PRORIS FORTE SYR / 50 ML BTL 1 BTL
68 OTC 068 PRORIS SYR / 60 ML BTL 1 BTL
69 OTC 069 PRORIS TAB BOX 50 TAB
SALYCIL TALK / 60 GR / POWDER

(GEN)
71 OTC 071 SANMOL 500 MG TAB BOX 100 TAB
72 OTC 072 SANMOL DROP BTL 1 BTL
73 OTC 073 SANMOL SYR BTL 1 BTL
74 OTC 074 SUSU PEPTI JUNIOR 400 GR PCS 1 PCS
75 OTC 075 SUSU DIANERAL 180 GR / COKLAT KTK 1 KTK
76 OTC 076 SUSU DIANERAL 180 GR / VANILA KTK 1 KTK
77 OTC 077 SUSU ENTRAMIX / COKL / VAN PCS 1 PCS
78 OTC 078 SUSU HEPATOSOL PCS 1 PCS
79 OTC 079 SUSU HEPATOSOL LOLA PCS 1 PCS
80 OTC 080 SUSU NEPHRISOL 185 GR KTK 1 KTK
81 OTC 081 SUSU PEPTISOL PCS 1 PCS
82 OTC 082 THROMBOBHOP GEL TUBE 1 TUBE
83 OTC 083 TROMBUFIT BOX 6 SACH
84 OTC 084 VIT A 20.000 10 DRACE 100 TAB BTL 100 TAB
85 OTC 085 VIT A 6000 IU (GEN ) TAB BTL 100 TAB
86 OTC 086 VIT K (GEN) TAB BTL 500 TAB
87 OTC 087 ZAMEL 10 ML / DROPS BTL 1 BTL
88 OTC 088 ZAMEL 60 ML / SYRUP BTL 1 BTL
89 OTC 089 ZINC TAB BOX 100 TAB

RANG TENGAH MEDIKA
HARGA
HARGA HARGA
SATUAN
PERKEM PPN SETELA RAWAT JALAN
SETELAH
ASAN H PPN
PPN
44,000 4,400 48,400 48,400 65,340
36,300 3,630 39,930 39,930 53,906
120,000 12,000 132,000 1,320 1,782
160,000 16,000 176,000 1,760 2,376
16,000 1,600 17,600 17,600 23,760
16,100 1,610 17,710 17,710 23,909
8,250 825 9,075 9,075 12,251
12,150 1,215 13,365 13,365 18,043
195,000 19,500 214,500 7,150 9,653
13,500 1,350 14,850 14,850 20,048
21,890 2,189 24,079 24,079 32,507
77,200 7,720 84,920 84,920 114,642
150,200 15,020 165,220 1,652 2,230
37,500 3,750 41,250 41,250 55,688
171,600 17,160 188,760 6,292 8,494
10,300 1,030 11,330 11,330 15,296
15,350 1,535 16,885 16,885 22,795

30,935 3,094 34,029 34,029 45,938
16,031 1,603 17,634 17,634 23,806
229,250 22,925 252,175 5,044 6,809
12,460 1,246 13,706 13,706 18,503
10,500 1,050 11,550 11,550 15,593
80,000 8,000 88,000 880 1,188
14,000 1,400 15,400 15,400 20,790
50,000 5,000 55,000 9,167 12,375
137,280 13,728 151,008 1,888 2,548
86,243 8,624 94,867 949 1,281
30,100 3,010 33,110 33,110 44,699
30,500 3,050 33,550 33,550 45,293
145,000 14,500 159,500 5,317 7,178
165,000 16,500 181,500 6,050 8,168
48,000 4,800 52,800 880 1,188
161,700 16,170 177,870 8,894 12,006
69,300 6,930 76,230 76,230 102,911
209,000 20,900 229,900 11,495 15,518
101,200 10,120 111,320 111,320 150,282
12,960 1,296 14,256 594 802
105,000 10,500 115,500 1,925 2,599
116,000 11,600 127,600 2,127 2,871
101,750 10,175 111,925 22,385 30,220
56,290 5,629 61,919 61,919 83,591

56,290 5,629 61,919 61,919 83,591
36,300 3,630 39,930 39,930 53,906
8,698 870 9,568 9,568 12,917
29,961 2,996 32,957 32,957 44,492
17,500 1,750 19,250 19,250 25,988
150,000 15,000 165,000 1,650 2,228
100,980 10,098 111,078 1,111 1,500
240,000 24,000 264,000 8,800 11,880
50,000 5,000 55,000 55 74
12,700 1,270 13,970 13,970 18,860
58,500 5,850 64,350 644 869
60,000 6,000 66,000 660 891
330,400 33,040 363,440 1,454 1,963
658,035 65,804 723,839 2,895 3,909
102,500 10,250 112,750 1,128 1,522
50,650 5,065 55,715 557 752
244,545 24,455 269,000 2,690 3,632
35,000 3,500 38,500 38,500 51,975
24,265 2,427 26,692 26,692 36,034
115,000 11,500 126,500 4,217 5,693
20,000 2,000 22,000 22,000 29,700
135,000 13,500 148,500 2,970 4,010
240,000 24,000 264,000 5,280 7,128
195,000 19,500 214,500 3,575 4,826

217,800 21,780 239,580 3,993 5,391
24,800 2,480 27,280 27,280 36,828
23,000 2,300 25,300 25,300 34,155
44,000 4,400 48,400 968 1,307
5,460 546 6,006 6,006 8,108
29,000 2,900 31,900 319 431
15,700 1,570 17,270 17,270 23,315
11,700 1,170 12,870 12,870 17,375
250,372 25,037 275,409 275,409 371,802
35,000 3,500 38,500 38,500 51,975
35,000 3,500 38,500 38,500 51,975
50,455 5,045 55,500 55,500 74,925
96,000 9,600 105,600 105,600 142,560
117,000 11,700 128,700 128,700 173,745
46,500 4,650 51,150 51,150 69,053
31,000 3,100 34,100 34,100 46,035
65,902 6,590 72,492 72,492 97,864
30,000 3,000 33,000 5,500 7,425
28,000 2,800 30,800 308 416
32,364 3,236 35,600 356 481
29,700 2,970 32,670 65 88
30,000 3,000 33,000 33,000 44,550
30,000 3,000 33,000 33,000 44,550
43,182 4,318 47,500 475 641

ROXY
DAFTAR OBAT RS.KARANG TENGAH MEDIKA
HARGA
HARGA HARGA
KMS SATUAN
NO KODE NAMA OBAT ISI SAT PERKEMAS SETELAH
N SETELAH
AN PPN
PPN
1 OBT 001 ACETHYLSISTEIN 200MG BOX 100 TAB 125,000 137,500 1,375
2 OBT 002 ACYCLOVIR 200 MG (GEN) TAB BOX 100 TAB 59,500 65,450 655
3 OBT 003 ACYCLOVIR 400 MG (GEN) TAB BOX 50 TAB 40,500 44,550 891
4 OBT 004 ACYCLOVIR 5 % / 5 G / CREAM (GEN) BOX 25 TUBE 71,600 78,760 3,150
5 OBT 005 ACARBOSE 50MG BOX 100 TAB 107,800 118,580 1,186
6 OBT 006 AERRANE 250 ML (ISOFLURANCE) BTL 1 BTL 1,650,000 1,815,000 ###
7 OBT 007 ALDACTONE 100 MG TAB BOX 100 TAB 496,125 545,738 5,457
8 OBT 008 ALDACTONE 25 MG TAB BOX 100 TAB 158,760 174,636 1,746
9 OBT 009 ALLOPURINOL 100 MG (GEN) TAB BOX 100 TAB 25,000 27,500 275
10 OBT 010 ALLOPURINOL 300 MG (GEN) TAB BOX 100 TAB 26,727 29,400 294
11 OBT 011 ALBUMIN 20% 100ML BTL 1 BTL 1,614,545 1,776,000 ###
12 OBT 012 AMADIAB 1 MG CAPS BOX 50 CAPS 112,500 123,750 2,475
16 OBT 016 AMBROXOL 30 MG TAB BOX 100 TAB 30,000 33,000 330
17 OBT 017 AMBROXOL 15 MG /60 ML / SYRUP BTL 1 BTL 6,000 6,600 6,600
18 OBT 018 AMBROXOL 30 MG /60 ML / SYRUP BTL 1 BTL 9,000 9,900 9,900
19 OBT 019 AMIKACIN 5000 MG/2 ML INJ BOX 1 VIAL 132,000 145,200 145,200
20 OBT 020 AMINOPHYLIN 200 MG TAB ( GEN ) BTL 100 TAB 10,290 11,319 113
21 OBT 021 AMINOPHYLINUM 2.4%/ 10 ML INJ ( GEN ) BOX 24 AMP 141,750 155,925 6,497
22 OBT 022 AMINORAL TAB BOX 100 TAB 600,000 660,000 6,600
23 OBT 023 AMITRIPTYLINE 25 MG BOX 100 TAB 15,585 17,144 171
24 OBT 024 AMLODIPINE 10MG TAB BOX 100 TAB 184,727 203,200 2,032
25 OBT 025 AMLODIPINE 5 MG (GEN) TAB BOX 100 TAB 104,727 115,200 1,152
26 OBT 026 AMOXSAN 500 MG TAB BOX 100 TAB 320,000 352,000 3,520
27 OBT 027 AMOXSAN DROPS BTL 1 BTL 21,153 23,268 23,268
28 OBT 028 AMOXSAN DRY SYR 60 ML BTL 1 BTL 20,710 22,781 22,781
29 OBT 029 AMOXSAN FORTE DRY SYR BTL 1 BTL 29,535 32,489 32,489
30 OBT 030 AMOXYCILLIN 500 MG (GEN) BOX 100 KPL 45,000 49,500 495
31 OBT 031 AMOXYCILLIN 500 MG (GEN) SYR BTL 1 BTL 6,727 7,400 7,400
32 OBT 032 AMPICILLIN 1 GR INJ BOX 10 AMP 120,000 132,000 13,200
33 OBT 033 ANALTRAM TAB BOX 30 TAB 270,000 297,000 9,900

34 OBT 034 ANTALGIN TAB BOX 100 TAB 13,532 14,885 149
ANTASIDA DOEN / 60 ML / SUSPENSI

35 OBT 035 BTL 1 BTL 3,780 4,158 4,158
( GEN )
36 OBT 036 ANTASIDA TAB BOX 100 TAB 15,905 17,496 175
37 OBT 037 APOLAR 10 GR CR BOX 1 TUBE 31,500 34,650 34,650
38 OBT 038 APOLAR N CR BOX 1 TUBE 35,700 39,270 39,270
39 OBT 039 ASPILET TAB BOX 100 TAB 55,500 61,050 611
40 OBT 040 ARDIUM TAB BOX 36 TAB 253,260 278,586 7,739
41 OBT 041 ASAM MEFENAMAT 500 MG TAB BOX 100 TAB 44,000 48,400 484
42 OBT 042 ASAM TRANEKSAMAT 250 MG/ML INJ BOX 10 VIAL 63,000 69,300 6,930
43 OBT 043 ASAM TRANEKSAMAT 500 MG / INJ BOX 10 VIAL 100,000 110,000 11,000
44 OBT 044 ASAM TRANEKSAMAT 500 MG TAB BOX 100 TAB 140,000 154,000 1,540
45 OBT 045 ATAROC 60 ML SYRUP BTL 1 BTL 45,000 49,500 49,500
46 OBT 046 ATAROC 25 MG BOX 100 TAB 200,000 220,000 2,200
47 OBT 047 ATORVASTATIN 10 MG TAB BOX 30 TAB 80,000 88,000 2,933
48 OBT 048 ATORVASTATIN 20 MG TAB BOX 30 TAB 120,000 132,000 4,400
49 OBT 049 ATROPIN 0,25 MG /ML / INJ (GEN) BOX 100 AMP 200,000 220,000 2,200
50 OBT 050 AZITROMYCIN 500 MG TAB TAB 20 TAB 270,000 297,000 14,850
51 OBT 051 AZITHROMYCIN 500 MG / SERBUK INFUS BOX 1 VIAL 115,000 126,500 126,500
52 OBT 052 AZITHROMYCIN 200 MG / 5 ML / SYRUP BOX 1 BTL 64,000 70,400 70,400
53 OBT 053 ASTRIA 4 MG TAB BOX 12 TAB 90,000 99,000 8,250
54 OBT 054 ACRAN 150 MG BOX 30 TAB 144,000 158,400 5,280
55 OBT 055 ALLORIS TAB BOX 100 TAB 447,500 492,250 4,923
56 OBT 056 BACTESYN INJ 0,75 GR BOX 1 AMP 80,000 88,000 88,000
57 OBT 057 BACTESYN INJ 1,5 GR BOX 1 AMP 171,500 188,650 188,650
58 OBT 058 BACTROBAN OINT 5 GR BOX 1 TUBE 35,000 38,500 38,500
59 OBT 059 BENOSON CREAM 15 GR BOX 1 TUBE 20,000 22,000 22,000
60 OBT 060 BENOSON CREAM 5 GR BOX 1 TUBE 9,000 9,900 9,900
61 OBT 061 BENOSON ( N ) 5 GR / CREAM TUBE 1 TUBE 18,500 20,350 20,350
62 OBT 062 BENOSON N CR 5 GR BOX 1 TUBE 14,546 16,001 16,001
63 OBT 063 BEPANTHEN OINT 20 GR TUBE 1 TUBE 49,562 54,518 54,518
64 OBT 064 BETAHISTIN 6 MG TAB BOX 30 TAB 27,720 30,492 1,016
65 OBT 065 BETASERC 24 MG TAB BOX 20 TAB 193,000 212,300 10,615
66 OBT 066 BETASERC 8 MG TAB BOX 100 TAB 385,400 423,940 4,239
67 OBT 067 BETASON 5 G / CREAM TUBE 1 TUBE 8,745 9,620 9,620
68 OBT 068 BETASON N 5 G / CREAM TUBE 1 TUBE 13,475 14,823 14,823
69 OBT 069 BERIPLAST P COMBISET / 1 ML BOX 1 SET 2,950,000 3,245,000 ###
70 OBT 070 BIC NAT TAB BOX 1 TAB 850 935 935
71 OBT 071 BISOVELL TAB BOX 30 TAB 150,000 165,000 5,500
72 OBT 072 BISOPROLOL 5 MG TAB BOX 30 TAB 63,318 69,650 2,322

73 OBT 073 BRICASMA INJ AMP 5 AMP 95,133 104,646 20,929
74 OBT 074 BUNASCAN INJ BOX 5 AMP 330,000 363,000 72,600
75 OBT 075 BUPIVACAIN INJ BOX 10 AMP 320,000 352,000 35,200
76 OBT 076 BURNAZIN CREAM TUBE 1 TUBE 47,615 52,377 52,377
77 OBT 077 BUSCOPAN / 20 MG / 1ML INJ BOX 10 AMP 326,450 359,095 35,910
78 OBT 078 BUSCOPAN TAB BOX 100 TAB 294,650 324,115 3,241
79 OBT 079 BISOLVON 2 MG / ML / INJ AMP 10 AMP 529,400 582,340 58,234
80 OBT 080 BUFECT SUSPENSI BTL 1 BTL 14,600 16,060 16,060
81 OBT 081 BAQUINOR FORTE CAPS BOX 20 TAB 264,800 291,280 14,564
82 OBT 082 BAQUINOR INFUS AMP 1 AMP 226,100 248,710 248,710
83 OBT 083 CALSIUM LACTAT TAB BTL ### TAB 35,755 39,331 39
CALSIUM GLUCONAS 10 % / 10 ML / INJ

84 OBT 084 BTL 24 BTL 392,000 431,200 17,967
(GEN)
85 OBT 085 CANDESARTAN TAB 16 MG BOX 100 TAB 700,000 770,000 7,700
86 OBT 086 CANDESARTAN TAB 8 MG BOX 100 TAB 500,000 550,000 5,500
87 OBT 087 CAPTOPRIL 12,5 MG (GEN) TAB BOX 100 TAB 8,182 9,000 90
88 OBT 088 CAPTOPRIL 25MG TAB BOX 100 TAB 14,000 15,400 154
89 OBT 089 CAPTOPRIL 50 MG (GEN) TAB BOX 100 TAB 20,398 22,438 224
90 OBT 090 CAR Q TAB BOX 30 TAB 285,000 313,500 10,450
91 OBT 091 CARBAMAZEPINE 200 MG TAB BOX 100 TAB 22,382 24,620 246
92 OBT 092 CARBAZOCHROME INJ BOX 10 AMP 119,200 131,120 13,112
93 OBT 093 CATAFLAM 25 MG TAB BOX 50 TAB 118,763 130,639 2,613
94 OBT 094 CATAFLAM 50 MG TAB BOX 50 TAB 275,504 303,054 6,061
95 OBT 095 CATANAC 50 MG BOX 30 TAB 65,000 71,500 2,383
96 OBT 096 CATAPRES 150 MCG/ML/INJ BOX 10 VIAL 582,566 640,823 64,082
97 OBT 097 CATAPRES 150 MG TAB BOX 100 TAB 577,368 635,105 6,351
98 OBT 098 CEBACTAM 1 GR INJ BOX 1 AMP 150,000 165,000 165,000
99 OBT 099 CEDANTRON 8 MG KAPLET BOX 10 TAB 220,000 242,000 24,200
100 OBT 100 CEFADROXIL 500 MG TAB BOX 100 CAPS 110,000 121,000 1,210
101 OBT 101 CEFADROXIL SYR (GEN) BTL 1 BTL 8,945 9,840 9,840
102 OBT 102 CEFILA 100 MG TAB BOX 30 CAPS 643,500 707,850 23,595
103 OBT 103 CEFILA 200 MG TAB BOX 10 CAPS 330,000 363,000 36,300
104 OBT 104 CEFILA SYR / 30 ML BTL 1 BTL 91,300 100,430 100,430
105 OBT 105 CEFIXIME 100 MG (GEN) TAB BOX 50 CAPS 119,729 131,702 2,634
106 OBT 106 CEFIXIME 200 MG (GEN) TAB BOX 50 CAPS 183,338 201,672 4,033
107 OBT 107 CEFIXIME SYRUP (GEN) BTL 1 BTL 27,500 30,250 30,250
108 OBT 108 CEFOTAXIM 1 GR / INJ (GEN) BTL 10 VIAL 504,000 554,400 55,440
109 OBT 109 CEFTAZIDIME 1 GR INJ VIAL 1 VIAL 60,000 66,000 66,000
110 OBT 110 CEFTIZOXIME INJ 1 GR BOX 2 TAB 200,000 220,000 110,000
111 OBT 111 CEFTRIAXONE 1 GR INJ BOX 100 VIAL 3,500,000 3,850,000 38,500
112 OBT 112 CEFORIM INJ AMP 1 AMP 315,000 346,500 346,500
113 OBT 113 CEFXON 1 GR / INJ VIAL 1 VIAL 231,000 254,100 254,100
114 OBT 114 CELESTAMIN TABLET BOX 150 TAB 444,552 489,007 3,260
115 OBT 115 CELESTAMIN SYR / 60 ML BTL 1 BTL 57,305 63,036 63,036
116 OBT 116 CEPHALEXIN 500 MG TAB BOX 50 TAB 54,491 59,940 1,199
117 OBT 117 CERNEVIT INJ BOX 10 VIAL 1,630,000 1,793,000 179,300
118 OBT 118 CENTABIO PCS 1 PCS 20,500 22,550 22,550
119 OBT 119 CETIRIZINE 60 ML / SYRUP BTL 1 BTL 9,491 10,440 10,440
120 OBT 120 CETIRIZINE 12 ML / DROPS BTL 1 BTL 25,000 27,500 27,500
121 OBT 121 CETIRIZINE TAB BOX 50 TAB 18,250 20,075 402
122 OBT 122 CHLORAMFECORT / 10 G / CREAM TUBE 1 TUBE 12,210 13,431 13,431
123 OBT 123 CHLORAMFECORT H/ 10 G / CREAM TUBE 1 TUBE 9,085 9,994 9,994
CHLORAMPHENICOL / 60 ML / SYRUP
124 OBT 124 BTL 1 BTL 4,725 5,198 5,198
(GEN)
CHLORAMPHENICOL 1 % / 3,5 GR / EYE
125 OBT 125 TUBE 1 TUBE 4,725 5,198 5,198
OINT
126 OBT 126 CHLORAMPHENICOL 250 MG (GEN) TAB BOX 120 CAPS 26,818 29,500 246
CHLORPHENIRAMINE MALEAT 4 MG (GEN)

127 OBT 127 BTL 100 TAB 14,000 15,400 154
TAB (CTM)
128 OBT 128 CHLORPROMAZINE TAB BOX 1000 TAB 130,580 143,638 144
129 OBT 129 CHOLESTAT 10 MG TAB BOX 30 TAB 120,000 132,000 4,400
130 OBT 130 CHOLESTAT 20 MG TAB BOX 30 TAB 210,000 231,000 7,700
131 OBT 131 CIMETIDINE 200 MG (GEN) TAB BOX 100 TAB 11,281 12,409 124
132 OBT 132 CINAM INJ AMP 1 AMP 142,800 157,080 157,080
133 OBT 133 CIPROFLOXACIN 500 MG TAB ( GEN) BOX 100 TAB 70,000 77,000 770
134 OBT 134 CIPROFLOXACIN INF / 100 ML GEN BTL 1 BTL 62,182 68,400 68,400
135 OBT 135 CITICOLINE 125 MG/ML INJ BOX 10 AMP 150,000 165,000 16,500
136 OBT 136 CITICOLINE 250 MG/2 ML INJ BOX 10 AMP 150,000 165,000 16,500
137 OBT 137 CITICOLINE 500 MG TAB BOX 30 TAB 200,000 220,000 7,333
138 OBT 138 CITICOLINE 500 MG/2 ML INJ BOX 5 VIAL 140,000 154,000 30,800
139 OBT 139 CIVELL 200 MG / 100 ML / INJ BOX 1 VIAL 190,000 209,000 209,000
140 OBT 140 CLAVAMOX DS 60 ML / SYR BTL 1 BTL 55,000 60,500 60,500
141 OBT 141 CLANEKSI 125 MG / 60 ML / SYRUP BTL 1 BTL 53,000 58,300 58,300
142 OBT 142 CLANEXI FORTE DRY SYR BTL 1 BTL 70,400 77,440 77,440
143 OBT 143 CLAVAMOX INJ BOX 1 VIAL 82,500 90,750 90,750
144 OBT 144 CLINDAMICYN 150 MG (GEN) TAB BOX 50 CAPS 63,250 69,575 1,392
145 OBT 145 CLINDAMICYN 300 MG (GEN) TAB BOX 100 CAPS 181,818 200,000 2,000
146 OBT 146 CLONIDIN 0.15 MG TAB BOX 100 TAB 18,636 20,500 205
147 OBT 147 CLOPIDOGREL 75 MG TAB (GEN SOHO) BOX 30 CAPS 270,000 297,000 9,900
148 OBT 148 CO AMOXICLAV 625 MG TAB BOX 30 TAB 158,404 174,244 5,808
149 OBT 149 COLSANCETINE INJ BOX 10 VIAL 134,090 147,499 14,750
150 OBT 150 COMBIVENT UDV BOX 20 AMP 362,220 398,442 19,922
151 OBT 151 CONCOR 2.5 MG TABLET ( BISOPROLOL ) BOX 100 TAB 567,105 623,816 6,238
152 OBT 152 CONSTANTIA DROP BTL 1 BTL 25,001 27,501 27,501
153 OBT 153 CORDARONE INJ BOX 6 AMP 198,272 218,099 36,350
154 OBT 154 CORDARONE TAB BOX 30 TAB 175,240 192,764 6,425
155 OBT 155 CORTIDEX TAB BOX 100 TAB 28,000 30,800 308
156 OBT 156 CORTIDEX INJ BOX 10 AMP 62,450 68,695 6,870
157 OBT 157 CORTISON INJ VIAL 10 VIAL 127,000 139,700 13,970
158 OBT 158 COTRIMOXAZOLE 480 MG TAB GEN BOX 100 TAB 31,590 34,749 347
159 OBT 159 COTRIMOXAZOLE SYR BOX 1 BOX 3,600 3,960 3,960
160 OBT 160 CPG 75 MG TAB BOX 30 TAB 428,000 470,800 15,693
161 OBT 161 CRAVIT INFUS 500 MG / 100 ML BOX 1 VIAL 270,000 297,000 297,000
162 OBT 162 CRAVOX 500 MG TAB BOX 10 TAB 412,500 453,750 45,375
163 OBT 163 CRAVOX 500 MG / 100 ML / INFUS BOX 1 VIAL 290,000 319,000 319,000
164 OBT 164 CYCLOFEM INJ BOX 20 VIAL 163,800 180,180 9,009
165 OBT 165 CYGEST 200 MG BOX 15 SUPP 181,500 199,650 13,310
166 OBT 166 CYGEST 400 MG BOX 15 SUPP 330,000 363,000 24,200
167 OBT 167 CARDISAN 5 MG BOX 50 TAB 283,000 311,300 6,226
168 OBT 168 CARDISAN 10 MG TAB BOX 50 TAB 501,500 551,650 11,033
169 OBT 169 CERINI TAB BOX 20 TAB 66,900 73,590 3,680
170 OBT 170 CERINI SYRUP BTL 1 BTL 38,800 42,680 42,680
171 OBT 171 DECAMIDON INJ VIAL 25 VIAL 154,000 169,400 6,776
172 OBT 172 DEPO PROGESTIN INJ BOX 20 AMP 160,000 176,000 8,800
173 OBT 173 DESTAVELL BOX 30 TAB 198,000 217,800 7,260
174 OBT 174 DEXAMETASON 0,5 MG / INJ BOX 100 AMP 218,400 240,240 2,402
175 OBT 175 DEXAMETHASON 0,5 MG (GEN) TAB BOX 100 TAB 14,000 15,400 154
176 OBT 176 DEXKETOPROFEN INJ BOX 5 AMP 115,000 126,500 25,300
177 OBT 177 DIAMICRON 60 MG TAB BOX 30 TAB 170,100 187,110 6,237
178 OBT 178 DICYNON INJ BOX 6 AMP 240,625 264,688 44,115
179 OBT 179 DIGOXIN 0,25 MG TAB BOX 100 TAB 88,690 97,559 976
180 OBT 180 DIGOXIN 0,25 MG TAB GEN BOX 100 TAB 13,000 14,300 143
181 OBT 181 DILTIAZEM 30 MG TAB BOX 100 TAB 16,525 18,178 182
182 OBT 182 DIMENHYDRINATE 50 MG TAB BOX 100 TAB 12,980 14,278 143
183 OBT 183 CANDOTENS 8 MG TAB BOX 10 TAB 46,000 50,600 5,060
184 OBT 184 CANDOTENS 16 MG TAB BOX 10 TAB 75,000 82,500 8,250
185 OBT 185 CELEBREX 100 MG BOX 30 TAB 300,005 330,006 11,000
186 OBT 186 CELEBREX 200 MG BOX 30 TAB 390,118 429,130 14,304
187 OBT 187 CANDEFAR 8 MG TAB BOX 30 TAB 210,000 231,000 7,700
188 OBT 188 CANDEFAR 16 MG TAB BOX 30 TAB 270,000 297,000 9,900
189 OBT 189 DIKLOVIT TAB BOX 100 TAB 260,000 286,000 2,860
190 OBT 190 DESDIN 60 ML / SYRUP BTL 1 BTL 65,000 71,500 71,500
DOBUTAMIN 250 MG / 50 ML / INJ

191 OBT 191 BOX 1 AMP 51,975 57,173 57,173
(SOLVAY)
192 OBT 192 DOBUTEL 5 ML / INJ BOX 1 VIAL 143,750 158,125 158,125
193 OBT 193 DOMPERIDONE 10 MG (GEN) TAB BOX 100 TAB 40,362 44,398 444
194 OBT 194 DOMPERIDONE SYRUP ( GEN ) BTL 1 BTL 18,962 20,858 20,858
195 OBT 195 DOPAMET TAB BOX 100 TAB 187,000 205,700 2,057
196 OBT 196 DOPAMINE 200 MG/ 5ML INJ (GEN) BOX 5 AMP 355,000 390,500 78,100
197 OBT 197 DOXYCYCLINE 100 MG (GEN) TAB BOX 100 CAPS 26,424 29,066 291
198 OBT 198 DULCOLAX / 10 MG SUPP @ 5 BOX 5 SUPP 87,400 96,140 19,228
199 OBT 199 DULCOLAX 5 MG SUPP BOX 6 SUPP 88,725 97,598 16,266
200 OBT 200 DUMIN 125 MG / 2,5 ML RECTAL BOX 5 TUBE 64,130 70,543 14,109
201 OBT 201 DUMIN 250 MG / 4 ML RECTAL BOX 5 TUBE 89,540 98,494 19,699
202 OBT 202 DUPHASTON TAB BOX 20 TAB 329,909 362,900 18,145
203 OBT 203 DUVADILAN INJ BOX 6 AMP 155,000 170,500 28,417
204 OBT 204 DUVADILAN TAB BOX 50 TAB 250,000 275,000 5,500
205 OBT 205 ELKANA TAB BOX 20 TAB 19,004 20,904 1,045
206 OBT 206 ENDROLIN 3,75 MG BOX 1 VIAL 980,000 1,078,000 ###
207 OBT 207 ERPHAFILIN (AMINOPHYLIN) BTL 100 TAB 14,550 16,005 160
ERDOSTEIN 175 MG / 5ML 60 ML / DRY

208 OBT 208 BTL 1 BTL 28,000 30,800 30,800
SYRUP
209 OBT 209 ERDOSTEIN 300 MG BOX 20 TAB 54,000 59,400 2,970
210 OBT 210 EPERISONE HCL 50 MG BOX 100 TAB 70,000 77,000 770
211 OBT 211 EPHEDRINE HCL / 1 ML / INJ (GEN) BOX 10 AMP 500,000 550,000 55,000
212 OBT 212 EPIDOSIN / INJ BOX 10 AMP 181,500 199,650 19,965
213 OBT 213 EPINEPHRINE 0.1% / INJ (GEN) BOX 100 AMP 863,636 950,000 9,500
214 OBT 214 ERITHROMICYN 250 MG TAB (GEN) BOX 100 TAB 37,909 41,700 417
215 OBT 215 ERITHROMICYN 500 MG TAB(GEN) BOX 100 TAB 84,461 92,907 929
216 OBT 216 ESTAZOR CAPS BOX 30 CAPS 270,000 297,000 9,900
217 OBT 217 ERITHROMICYN SYRUP (GEN) BTL 1 BTL 8,910 9,801 9,801
FLAS FLAS
218 OBT 218 ERLAMICETIN / EAR DROP 1 2,640 2,904 2,904
H H
FLAS FLAS
219 OBT 219 ERLAMICETIN / EYE DROPS 1 4,455 4,901 4,901
H H
220 OBT 220 ETHAMBUTOL 500 MG (GEN) TAB BOX 100 TAB 72,675 79,943 799
221 OBT 221 ESOLA AMP BOX 1 VIAL 165,000 181,500 181,500
222 OBT 222 EPRINOC TAB BOX 100 TAB 334,500 367,950 3,680
223 OBT 223 EPEXOL 30 MG TAB BOX 100 TAB 81,000 89,100 891
224 OBT 224 EPEXOL FORTE SYR BTL 1 BTL 37,600 41,360 41,360
225 OBT 225 FAKTU OINT 20 GR TUBE 1 TUBE 98,400 108,240 108,240
226 OBT 226 FAKTU SUPP BOX 10 TUBE 85,000 93,500 9,350
227 OBT 227 FAMOTIDINE TABLET BOX 1 TAB 161 177 177
228 OBT 228 FARGOXIN 0,25 MG TAB BOX 100 TAB 29,000 31,900 319
229 OBT 229 FARGOXIN 2 ML / INJ BOX 1 AMP 55,275 60,803 60,803
230 OBT 230 FASORBID 10 MG TAB BOX 10 TAB 3,000 3,300 330
231 OBT 231 FASORBID 5 MG TAB BOX 10 TAB 3,000 3,300 330
232 OBT 232 FASTOR 10 MG BOX 30 TAB 360,000 396,000 13,200
233 OBT 233 FASTOR 20 MG BOX 30 TAB 420,000 462,000 15,400
234 OBT 234 FARTOLIN INHALASI PCS 10 PCS 85,000 93,500 9,350
235 OBT 235 FARTOLIN EXP / 100 ML / SYRUP BTL 1 BTL 40,000 44,000 44,000
236 OBT 236 FARSIX INJ BOX 5 AMP 35,000 38,500 7,700
237 OBT 237 FELDENE GEL 15 GR BOX 1 TUBE 64,326 70,759 70,759
238 OBT 238 FEROFORT TAB BOX 100 TAB 165,000 181,500 1,815
FERROS SULFAS TAB (OBAT TAMBAH

239 OBT 239 BOX 100 TAB 36,364 40,000 400
DARAH)
240 OBT 240 FEXOFED TAB BOX 30 TAB 117,000 128,700 4,290
241 OBT 241 FG TROCHES TAB BOX 300 TAB 285,000 313,500 1,045
242 OBT 242 FLAGYL / 1 G / SUPP BOX 10 SUPP 224,336 246,770 24,677
243 OBT 243 FLAGYL INFUS BOX 1 AMP 67,363 74,099 74,099
244 OBT 244 FLAGYL 60 ML / SYRUP BTL 1 BTL 46,836 51,520 51,520
245 OBT 245 FLAGYSTATIN OVULLA BOX 10 SUPP 160,156 176,172 17,617
246 OBT 246 FLAMICORT 10 MG INJ BOX 1 VIAL 88,000 96,800 96,800
247 OBT 247 FLAMICORT 40 MG INJ BOX 1 VIAL 95,000 104,500 104,500
248 OBT 248 FLUCONAZOLE 150 MG CAPS BOX 10 CAPS 200,003 220,003 22,000
249 OBT 249 FLUCONAZOLE INFUS / 100 ML BTL 1 BTL 105,000 115,500 115,500
250 OBT 250 FLUNARIZINE 5 MG BOX 100 TAB 200,000 220,000 2,200
251 OBT 251 FLUIMUCIL 200 MG GRANULE TAB BOX 60 SCHT 307,500 338,250 5,638
252 OBT 252 FOLAVIT 400 MG TAB BOX 100 TAB 89,500 98,450 985
253 OBT 253 FORUMEN EAR DROPS BTL 1 BTL 25,587 28,146 28,146
254 OBT 254 FORMALIN TABLET BTL 100 TAB 70,909 78,000 780
255 OBT 255 FOSMICIN 1 GR INJ VIAL 1 VIAL 89,000 97,900 97,900
256 OBT 256 FOSMICIN 2 GR INJ VIAL 1 VIAL 136,900 150,590 150,590
257 OBT 257 FREGO 10 MG TAB BOX 50 TAB 350,000 385,000 7,700
258 OBT 258 FREGO 5 MG TAB BOX 50 TAB 288,750 317,625 6,353
259 OBT 259 FURAMIN / INJ BOX 5 AMP 47,500 52,250 10,450
260 OBT 260 FUNTAS CREAM PCS 1 PCS 42,900 47,190 47,190
261 OBT 261 FUROSEMIDE 40 MG (GEN) TAB BOX 100 TAB 20,000 22,000 220
262 OBT 262 FUROSEMIDE 40 MG INJ BOX 25 AMP 77,500 85,250 3,410
263 OBT 263 FLAMAR 25 MG TAB BOX 100 TAB 83,000 91,300 913
264 OBT 264 FORMYCO 200 MG BOX 50 TAB 248,500 273,350 5,467
265 OBT 265 FARELAX AMP BOX 5 AMP 370,000 407,000 81,400
266 OBT 266 GABAPENTIN 300 MG BOX 30 TAB 150,000 165,000 5,500
267 OBT 267 GARAM INGGRIS 1 KG GR 1 GR 20,455 22,501 22,501

268 OBT 268 GARAMYCIN 15 G CREAM TUBE 1 TUBE 46,780 51,458 51,458
269 OBT 269 GARAMYCIN 5 G CREAM TUBE 1 TUBE 31,982 35,180 35,180
270 OBT 270 GARAMYCIN 5 GR OINT TUBE 1 TUBE 31,982 35,180 35,180
271 OBT 271 GASTRUL 200 MCG TAB BOX 30 TAB 313,500 344,850 11,495
272 OBT 272 GAVISTAL INJ BOX 5 AMP 35,000 38,500 7,700
273 OBT 273 GEMFIBROZIL 300 MG TAB BOX 120 TAB 44,160 48,576 405
274 OBT 274 GENTAMICIN 40 MG/ ML INJ ( GEN) BOX 5 AMP 16,783 18,461 3,692
275 OBT 275 GENTAMICIN E.D / 5 ML BTL 10 BTL 39,930 43,923 4,392
276 OBT 276 GENTAMICIN SK 01 % / 5 GR ( GEN) BOX 25 TUBE 48,325 53,158 2,126
277 OBT 277 GENOCLOM TAB BOX 20 TAB 308,000 338,800 16,940
278 OBT 278 GLAUCON 250 MG TAB TAB 1 TAB 5,790 6,369 6,369
279 OBT 279 GLIBENCLAMIDE 5 MG ( GEN) BOX 100 TAB 28,500 31,350 314
280 OBT 280 GLIMEPIRIDE 1 MG TAB BOX 50 TAB 34,549 38,004 760
281 OBT 281 GLIMEPIRIDE 2 MG TAB BOX 100 TAB 130,298 143,328 1,433
284 OBT 284 GLIQUIDONE 30 MG TAB BOX 100 TAB 120,445 132,490 1,325
285 OBT 285 GLUCOPHAGE 500 MG TAB BOX 100 TAB 97,000 106,700 1,067
286 OBT 286 GLYSERIL GUAIACOLAT 100 MG (GEN) TAB BTL 1000 TAB 585,020 643,522 644
287 OBT 287 GRAFAZOL 500 MG (GEN) TAB BOX 100 TAB 29,700 32,670 327
288 OBT 288 GRANISETRON 3 MG / INJ BOX 5 AMP 250,000 275,000 55,000
289 OBT 289 GRANOVELL 1 MG / INJ BOX 5 AMP 210,000 231,000 46,200
290 OBT 290 GRANOVELL 3 MG / INJ BOX 5 AMP 500,000 550,000 110,000
291 OBT 291 GRISEOFULVIN 125 MG (GEN) TAB BOX 100 TAB 105,000 115,500 1,155
292 OBT 292 GLYBOTIX INJ BOX 4 AMP 682,700 750,970 187,743
293 OBT 293 GRATIZIN TAB BOX 100 TAB 442,000 486,200 4,862
294 OBT 294 HALOPERIDOL 1,5 MG BOX 100 TAB 9,374 10,311 103
295 OBT 295 HALOPERIDOL 5 MG BOX 100 TAB 12,217 13,439 134
296 OBT 296 HEPARMIN CAPS BTL 30 CAPS 200,000 220,000 7,333
297 OBT 297 HEMOBION CAPSUL BOX 100 TAB 184,747 203,222 2,032
298 OBT 298 HERBESSER CD 200 BOX 30 TAB 339,300 373,230 12,441
299 OBT 299 HERBESSER INJ 50 ML BOX 10 AMP 2,700,000 2,970,000 297,000
300 OBT 300 HEXYMER 2 MG TAB BTL 250 TAB 80,000 88,000 352
301 OBT 301 HYDROCHLORTIAZIDE ( HCT ) 25 MG BOX 100 TAB 11,636 12,800 128
HYDROCORTISON 2,5 % / 2 G / CREAM

302 OBT 302 BOX 24 TUBE 107,144 117,858 4,911
(GEN)
303 OBT 303 IBUPROFEN 200 MG (GEN) TAB BOX 100 TAB 16,000 17,600 176
304 OBT 304 IBUPROFEN 400 MG (GEN) TAB BOX 100 TAB 35,000 38,500 385
305 OBT 305 IKADRYL INJ BOX 30 AMP 220,500 242,550 8,085
306 OBT 306 ICUNES 2 ML / INJ BOX 1 VIAL 425,000 467,500 467,500
307 OBT 307 IMODIUM TAB BOX 100 TAB 663,242 729,566 7,296
308 OBT 308 INH 100 MG TAB (GEN) BOX 100 TAB 4,320 4,752 48
309 OBT 309 INH 300 MG (GEN) TAB BTL 1000 TAB 158,000 173,800 174
310 OBT 310 INH 300 MG CIBA TAB BOX 100 TAB 54,000 59,400 594
311 OBT 311 INVICLOT INJ BOX 1 AMP 68,182 75,000 75,000
312 OBT 312 IPROX SYR BTL 1 BTL 45,000 49,500 49,500
313 OBT 313 ITRACONAZOLE 100 MG BOX 30 TAB 120,000 132,000 4,400
314 OBT 314 IRBESARTAN 150 MG BOX 50 TAB 89,250 98,175 1,964
315 OBT 315 IRBESARTAN 300 MG BOX 50 TAB 172,750 190,025 3,801
ISOSORBID DINITRAT 5 MG (GEN) TAB

316 OBT 316 BOX 100 TAB 15,000 16,500 165
(ISDN)
317 OBT 317 ISPRINOL SYRUP BTL 1 BTL 75,000 82,500 82,500
318 OBT 318 ISPRINOL TAB BOX 8 TAB 75,000 82,500 10,313
319 OBT 319 INOTROP INJ AMP 1 AMP 198,000 217,800 217,800
320 OBT 320 KALITAKE BOX 20 SACH 315,000 346,500 17,325
321 OBT 321 KALIUM DIKLOFENAK 25 MG TAB BOX 50 TAB 17,765 19,542 391
322 OBT 322 KALIUM DIKLOFENAK 50 MG TAB BOX 50 TAB 32,183 35,401 708
323 OBT 323 KALMECO 500 INJ BOX 5 AMP 96,000 105,600 21,120
324 OBT 324 KALMECO 500 MG TAB BOX 100 TAB 200,000 220,000 2,200
325 OBT 325 KALXETIN 10 MG BOX 30 TAB 110,000 121,000 4,033
326 OBT 326 KALMETHASON 5 MG / ML / INJ BOX 5 AMP 32,500 35,750 7,150
327 OBT 327 KALTROFEN 50 MG TAB BOX 30 TAB 75,000 82,500 2,750
328 OBT 328 KALTROFEN EC 100 MG TAB BOX 100 TAB 135,000 148,500 1,485
329 OBT 329 KALTROFEN SUPP BOX 10 TUBE 150,000 165,000 16,500
330 OBT 330 KANAMYCIN 1 GR INJ BOX 10 VIAL 94,500 103,950 10,395
331 OBT 331 KANDISTATIN SYRUP BTL 1 BTL 30,000 33,000 33,000
332 OBT 332 KENALOG IN ORABASE CREAM TUBE 1 TUBE 57,750 63,525 63,525
333 OBT 333 KETALAR 100 MG / 10 ML / INJ BOX 1 VIAL 348,190 383,009 383,009
334 OBT 334 KETAMIN-HAMELN 50 MG/ML INJ VIAL 1 VIAL 160,000 176,000 176,000
335 OBT 335 KETOCONAZOLE 200 MG (GEN) TAB BOX 50 TAB 18,636 20,500 410
336 OBT 336 KETOKONAZOLE 2 % / CREAM (GEN) BOX 12 TUBE 50,904 55,994 4,666
337 OBT 337 KETOPAIN 30 MG INJ BOX 5 AMP 175,000 192,500 38,500
338 OBT 338 KETOPROFEN 50 INJ BOX 5 AMP 25,682 28,250 5,650
339 OBT 339 KETOPROFEN 100 MG TAB BOX 50 TAB 122,727 135,000 2,700
340 OBT 340 KETOPROFEN 50 MG TAB BOX 50 TAB 61,364 67,500 1,350
341 OBT 341 KETOROLAC INJ 30 MG BOX 10 AMP 145,800 160,380 16,038
342 OBT 342 KSR 600 MG TAB BOX 100 TAB 287,642 316,406 3,164
343 OBT 343 LACONS SYR 60 ML BTL 1 BTL 45,000 49,500 49,500
344 OBT 344 LACTOPAIN INJ BOX 5 AMP 220,000 242,000 48,400
345 OBT 345 LACTRIN 300 MG BOX 20 CAPS 85,000 93,500 4,675
346 OBT 346 LAMESON 16 MG TAB BOX 100 TAB 750,000 825,000 8,250
349 OBT 349 LAMESON 125 MG / INJ BOX 1 VIAL 92,000 101,200 101,200
350 OBT 350 LANSOPRAZOLE CAPS BOX 20 TAB 27,027 29,730 1,486
351 OBT 351 LAPIXIME 1 GR / INJ VIAL 1 VIAL 143,000 157,300 157,300
352 OBT 352 LAPIBROZ CAPS BOX 30 TAB 118,800 130,680 4,356
353 OBT 353 LAPICEF 500 MG KAPS BOX 100 TAB 1,050,000 1,155,000 11,550
354 OBT 354 LAPIFED TAB BOX 100 TAB 230,000 253,000 2,530
355 OBT 355 LAPIFED SYR BTL 1 BTL 22,000 24,200 24,200
356 OBT 356 LAPIFED EXP SYR BTL 1 BTL 23,000 25,300 25,300
357 OBT 357 LAPIFED DM SYR BTL 1 BTL 27,500 30,250 30,250
358 OBT 358 LAPROSIN SYRUP BTL 1 BTL 77,000 78,850 78,850
359 OBT 359 LAPROSIN TAB BOX 8 TAB 72,000 79,200 9,900
360 OBT 360 LASAL NEBU BOX 20 VIAL 160,000 176,000 8,800
361 OBT 361 LASAL 2 MG TAB BOX 100 TAB 125,000 137,500 1,375
362 OBT 362 LASAL 4 MG TAB BOX 100 TAB 160,000 176,000 1,760
363 OBT 363 LASAL EXP SYR BTL 1 BTL 37,500 41,250 41,250
364 OBT 364 LASAL SYRUP BTL 1 BTL 28,600 31,460 31,460
365 OBT 365 LASAL NEBU BOX 20 VIAL 160,000 176,000 8,800
366 OBT 366 LASGAN 30 MG CAPS BOX 20 CAPS 280,000 308,000 15,400
367 OBT 367 LODIA 2 MG BOX 100 TAB 55,500 61,050 611
368 OBT 368 LAXADINE / 60 ML / SYRUP BTL 1 BTL 37,500 41,250 41,250
369 OBT 369 L-BIO SACHET BOX 30 SCHT 231,000 254,100 8,470
370 OBT 370 L-BIO KAPSUL BOX 15 CAPS 231,000 254,100 16,940
371 OBT 371 LERZIN SYR BTL 1 BTL 3,450 3,795 3,795
372 OBT 372 LEVEMIR FLEXPEN / INJ BOX 5 VIAL 859,528 945,481 189,096
373 OBT 373 LEVOFLOXACIN DRIP 500 / 100 ML BTL 1 BTL 88,000 96,800 96,800
374 OBT 374 LEVOFLOXACIN TAB BOX 50 TAB 189,652 208,617 4,172
375 OBT 375 LIDOCAINE HCL 2% / INJ BOX 100 AMP 150,000 165,000 1,650
376 OBT 376 LIDOCAINE HCL 5% / INJ BOX 10 AMP 200,000 220,000 22,000
377 OBT 377 LIGNOVELL 20 MG / ML / INJ BOX 5 AMP 60,000 66,000 13,200
378 OBT 378 LINCOMYCIN 500 MG (GEN) TAB BOX 60 TAB 39,001 42,901 715
379 OBT 379 LODOMER 5 MG / ML / INJ BOX 5 AMP 81,400 89,540 17,908
380 OBT 380 LORATADINE TAB BOX 50 TAB 25,250 27,775 556
381 OBT 381 LOSARTAN 50 MG TAB BOX 30 TAB 138,600 152,460 5,082
382 OBT 382 LOVENOX 60 MG/0,6 ML INJ BOX 2 VIAL 429,898 472,888 236,444
383 OBT 383 LOXIME 15 MG TAB BOX 20 TAB 140,000 154,000 7,700
384 OBT 384 LOXIME 7,5 MG TAB BOX 20 TAB 90,000 99,000 4,950
385 OBT 385 LUTENYL TAB BOX 30 TAB 293,700 323,070 10,769
386 OBT 386 MECONEURO 500 MG TAB BOX 100 TAB 200,000 220,000 2,200
387 OBT 387 MECONEURO 500 MCG / INJ BOX 10 AMP 200,000 220,000 22,000
388 OBT 388 MECOBALAMIN 250 MG TAB BOX 100 TAB 52,500 57,750 578
389 OBT 389 MECOBALAMIN 500 MG TAB BOX 100 TAB 80,000 88,000 880
390 OBT 390 MECOBALAMIN INJ BOX 10 AMP 80,000 88,000 8,800
391 OBT 391 MEDIAMER B6 TAB BOX 100 TAB 257,175 282,893 2,829
392 OBT 392 MEDIXON 125 MG INJ BOX 1 VIAL 93,500 102,850 102,850
393 OBT 393 MEFINAL 500 MG TAB BOX 100 KAPL 133,500 146,850 1,469
394 OBT 394 MEIACT 200 MG TAB BOX 20 TAB 350,000 385,000 19,250
395 OBT 395 MELOXICAM 15 MG (GEN) TAB BOX 50 TAB 65,400 71,940 1,439
396 OBT 396 MELOXICAM 7.5 MG (GEN) TAB BOX 50 TAB 36,897 40,587 812
397 OBT 397 MERISLON TAB BOX 100 TAB 286,632 315,295 3,153
398 OBT 398 MEROPENEM 0,5 GR INJ VIAL 1 VIAL 123,000 135,300 135,300
399 OBT 399 MEROPENEM 1 GR INJ VIAL 1 VIAL 200,000 220,000 220,000
400 OBT 400 MEROTIK 0,5 GR INJ BOX 1 AMP 240,625 264,688 264,688
401 OBT 401 MEROTIK 1 GR INJ BOX 1 AMP 522,500 574,750 574,750
402 OBT 402 MERSITROPIL INJ ( 3 ml ) BOX 4 VIAL 126,000 138,600 34,650
403 OBT 403 MERTIGO TAB BOX 100 TAB 240,000 264,000 2,640
404 OBT 404 MEZATRIN CAPS BOX 30 CAPS 434,400 477,840 15,928
405 OBT 405 METAMIZOLE AMP BOX 100 AMP 454,545 500,000 5,000
406 OBT 406 METFORMIN 500 MG TAB BOX 100 TAB 16,500 18,150 182
407 OBT 407 METFORMIN 850 MG TAB BOX 100 TAB 39,000 42,900 429
408 OBT 408 METHERGIN 0,25 MG/INJ ( GEN) BOX 10 VIAL 77,455 85,201 8,520
409 OBT 409 METHERGIN 0,25 MG/tab( GEN) BOX 100 TAB 565,200 621,720 6,217
410 OBT 410 METHYL ERGOMETRINE MAL INJ BOX 100 VIAL 318,182 350,000 3,500
411 OBT 411 METHYL ERGOMETRINE TABLET BOX 100 TAB 24,600 27,060 271
METHYLPREDNISOLONE 16 MG TAB
412 OBT 412 BOX 100 TAB 94,091 103,500 1,035
(GEN)
413 OBT 413 METHYLPREDNISOLONE 8 MG TAB BOX 100 63,818 70,200 702
414 OBT 414 METHYLPREDNISOLONE 4 MG TAB BOX 100 TAB 48,060 52,866 529
415 OBT 415 METHYLPREDNISOLONE INJ 125 MG (GEN) VIAL 1 VIAL 45,000 49,500 49,500
416 OBT 416 METRONIDAZOLE 250 MG (GEN) TAB BOX 100 TAB 20,000 22,000 220
METRONIDAZOLE 500 MG (GEN) INF / 100

417 OBT 417 BTL 1 AMP 50,000 55,000 55,000
ML
418 OBT 418 METRONIDAZOLE 500 MG (GEN) TAB BOX 100 TAB 44,000 48,400 484
419 OBT 419 MICONAZOLE SK / 10 GR / CREAM (GEN) TUBE 1 TUBE 3,250 3,575 3,575
420 OBT 420 MICROGYNON LIBI @28 TAB BOX 25 STRP 242,000 266,200 10,648
421 OBT 421 MIKASIN 500 MG INJ BOX 1 VIAL 165,000 181,500 181,500
422 OBT 422 MIKAJECT 250 MG/ 2 ML BOX 1 VIAL 82,500 90,750 90,750
423 OBT 423 MIKAJECT 500 MG/ 2 ML BOX 1 VIAL 140,000 154,000 154,000
424 OBT 424 MOLOCO B12 TAB BOX 60 TAB 182,900 201,190 3,353
425 OBT 425 MONELL DROPS BTL 1 BTL 42,500 46,750 46,750
426 OBT 426 MONELL SYR 60 ML BTL 1 BTL 42,500 46,750 46,750
427 OBT 427 MUCOPECT 15 MG / 60 ML / SYR PAED BTL 1 BTL 61,550 67,705 67,705
428 OBT 428 MUCOPECT 30 MG / 60 ML / SYR DWS BTL 1 BTL 49,300 54,230 54,230
429 OBT 429 EPEXOL DROP BTL 1 BTL 37,600 41,360 41,360
430 OBT 430 MUCOPECT TAB BOX 100 TAB 220,500 242,550 2,426
431 OBT 431 MUCOS DROP BTL 1 BTL 40,500 44,550 44,550
432 OBT 432 MUCOSTA TAB TAB 100 TAB 449,800 494,780 4,948
433 OBT 433 MYCO - Z / 10 GR / OINT TUBE 1 TUBE 71,000 78,100 78,100
434 OBT 434 MYCOSTATIN OS 12 ML BTL 1 BTL 50,591 55,650 55,650
435 OBT 435 MYOMERGIN 200 MCG/ ML INJ BOX 10 VIAL 45,000 49,500 4,950
436 OBT 436 MYONAL TAB BOX 100 TAB 714,236 785,660 7,857
437 OBT 437 NACL CAPS CAPS 1 CAPS 1,000 1,100 1,100
438 OBT 438 NATRIUM DIKLOFENAK 25 MG (GEN) TAB BOX 50 TAB 9,146 10,061 201
439 OBT 439 NATRIUM DIKLOFENAK 50 MG (GEN) TAB BOX 50 TAB 20,835 22,919 458
440 OBT 440 NEBIDO / INJ AMP 1 AMP 2,559,815 2,815,797 ###
441 OBT 441 NEBACETIN POWDER BTL 1 BTL 18,500 20,350 20,350
442 OBT 442 NEO GYNOXA BOX 10 SUPP 138,000 151,800 15,180
443 OBT 443 NEO K INJ BOX 5 AMP 50,000 55,000 11,000
444 OBT 444 NEPATIC TAB BOX 50 TAB 490,000 539,000 10,780
445 OBT 445 N-EPI INJ BOX 5 AMP 450,000 495,000 99,000
446 OBT 446 NEUCITI 500 MG / INJ BOX 5 AMP 315,000 346,500 69,300
447 OBT 447 NEUCITI 500 MG TAB BOX 30 TAB 255,000 280,500 9,350
448 OBT 448 NICARDIPINE HCL 10MG INJ BOX 5 AMP 800,000 880,000 176,000
449 OBT 449 NOSPIRINAL BOX 50 TAB 30,000 33,000 660
450 OBT 450 NOSFOCIN 120 ML / SYRUP BTL 1 BTL 52,000 57,200 57,200
451 OBT 451 NOVEPIDE BOX 30 TAB 106,000 116,600 3,887
452 OBT 452 REBAMIPIDE 100MG TAB BOX 100 TAB 190,000 209,000 2,090
453 OBT 453 NOVERON 50 MG / INJ BOX 12 AMP 1,200,000 1,320,000 110,000
454 OBT 454 NOVERTY TABLET BOX 30 TAB 75,000 82,500 2,750
455 OBT 455 NUPOVELL / INJ BOX 5 VIAL 425,000 467,500 93,500
456 OBT 456 NEUROBION 5000 INJ DUAL AMP BOX 20 AMP 163,400 179,740 8,987
457 OBT 457 NEUROTAM 1200 MG TAB BOX 50 TAB 265,000 291,500 5,830
458 OBT 458 NEUROTAM 3 GR / 15 ML / INJ BOX 4 AMP 220,000 242,000 60,500
459 OBT 459 NEUROTAM 800 MG TAB BOX 50 TAB 190,000 209,000 4,180
460 OBT 460 NIFEDIPIN 10 MG (GEN) TAB BOX 100 TAB 35,181 38,699 387
461 OBT 461 NIMOTOP 30 MG TAB BOX 50 TAB 344,540 378,994 7,580
462 OBT 462 NIPE DROPS BTL 1 BTL 54,300 59,730 59,730
463 OBT 463 NIPE SYRUP BTL 1 BTL 63,100 69,410 69,410
464 OBT 464 NONFLAMIN TAB BOX 60 TAB 212,063 233,269 3,888
465 OBT 465 NOTRIXUM 10 MG/ML/ INJ BOX 5 AMP 375,000 412,500 82,500
466 OBT 466 NYMIKO SUSPENSI DROP BTL 1 BTL 32,900 36,190 36,190
467 OBT 467 ATRACURIUM HAMELN 10 MG / INJ BOX 5 AMP 379,500 417,450 83,490
468 OBT 468 NOVALGIN 2 ML / INJ BOX 5 AMP 54,769 60,246 12,049
469 OBT 469 NOVALGIN 500 MG BOX 50 TAB 43,108 47,419 948
470 OBT 470 NOVALGIN SYR BTL 1 BTL 37,072 40,779 40,779
471 OBT 471 NOVOMIX 30 FLEXPEN BOX 5 PEN 764,033 840,436 168,087
472 OBT 472 NOVORAPID FLEXPEN INSULIN BOX 5 PEN 802,235 882,459 176,492
473 OBT 473 NUTRIFLAM CAPS BOX 60 CAPS 511,000 562,100 9,368
474 OBT 474 NEUROSANBE INJ BOX 10 AMP 54,700 60,170 6,017
475 OBT 475 NEUROSANBE TAB BOX 100 TAB 119,500 131,450 1,315
476 OBT 476 OBIMIN AF TAB BOX 1 TAB 25,000 27,500 27,500
477 OBT 477 OCTIDE INJ BOX 5 AMP 750,000 825,000 165,000
478 OBT 478 ODR 4 MG INJ BOX 5 AMP 176,000 193,600 38,720
479 OBT 479 ODR 60 ML / SYRUP BTL 1 BTL 101,200 111,320 111,320
480 OBT 480 ODR 8 MG INJ BOX 5 AMP 250,000 275,000 55,000
481 OBT 481 OFLOXACIN 200 MG (GEN) TAB BOX 50 TAB 26,823 29,505 590
482 OBT 482 OFLOXACIN 400 MG (GEN) TAB BOX 50 TAB 39,682 43,650 873
483 OBT 483 OMEPRAZOLE 20 MG (GEN) TAB BOX 30 CAPS 14,400 15,840 528
484 OBT 484 OMEPRAZOLE 40 MG INJ VIAL 1 VIAL 68,000 74,800 74,800
485 OBT 485 OMEVELL CAPS BOX 30 CAPS 350,000 385,000 12,833
486 OBT 486 OMEVELL 40 MG / 10 ML / INJ BOX 1 VIAL 125,000 137,500 137,500
487 OBT 487 ONDANSENTRON 4 MG INJ BOX 5 AMP 35,000 38,500 7,700
488 OBT 488 ONDANSENTRON 4 MG TAB BOX 12 TAB 18,480 20,328 1,694
489 OBT 489 ONDANSENTRON 8 MG INJ BOX 5 AMP 92,400 101,640 20,328
490 OBT 490 ONDANSENTRON 8 MG TAB BOX 30 TAB 150,000 165,000 5,500
491 OBT 491 ONDAVELL 8 MG TAB BOX 12 TAB 252,000 277,200 23,100
492 OBT 492 ONDAVELL 8 MG ODT TAB BOX 10 TAB 225,000 247,500 24,750
493 OBT 493 OMNIPAQUE 300 MG / 20 ML BOX 6 VIAL 885,000 973,500 162,250
494 OBT 494 ORALIT (GEN) TAB KTK 100 SCHT 55,273 60,800 608
495 OBT 495 OSTEOFLAM TAB BOX 60 TAB 300,000 330,000 5,500
496 OBT 496 OSKOM TAB BOX 30 TAB 195,000 214,500 7,150
497 OBT 497 OTOPAIN EAR DROP BTL 1 BTL 30,750 33,825 33,825
498 OBT 498 OXYTETRACYCLIN 3% SALEP KULIT/5 GRM TUBE 1 TUBE 2,520 2,772 2,772
499 OBT 499 OXYTOCIN 10 IU / INJ BOX 100 AMP 259,091 285,000 2,850
500 OBT 500 OXYCAN GREEN 5 L BTL 1 BTL 34,032 37,435 37,435
501 OBT 501 OZEN / 60 ML / SYRUP BTL 1 BTL 45,000 49,500 49,500
502 OBT 502 OZEN DROP BTL 1 BTL 60,000 66,000 66,000
503 OBT 503 OZEN TAB BOX 30 TAB 117,000 128,700 4,290
504 OBT 504 PANTOPRAZOLE 40 MG INJ BOX 1 VIAL 80,000 88,000 88,000
505 OBT 505 PANTOPRAZOLE 40 MG TAB BOX 10 TAB 165,000 181,500 18,150
506 OBT 506 PAPAVERIN 40 MG (GEN) TAB BTL 1000 TAB 57,273 63,000 63
507 OBT 507 PAPAVERINE HCL 4 % / 1 ML / INJ (GEN) BOX 30 AMP 77,319 85,051 2,835
508 OBT 508 PARASETAMOL 500 MG 100 (GEN ) TAB BOX 100 TAB 26,805 29,486 295
509 OBT 509 PARASETAMOL 500 ML / INFUS (GEN) BTL 1 BTL 60,000 66,000 66,000
510 OBT 510 PARASETAMOL/60 ML/SYRUP BTL 1 BTL 5,000 5,500 5,500
511 OBT 511 PARATUSIN TAB BOX 200 TAB 121,000 133,100 666
512 OBT 512 PEHACAIN INJ BOX 20 AMP 56,601 62,261 3,113
513 OBT 513 PELASTIN INJEKSI VIAL 1 VIAL 335,000 368,500 368,500
514 OBT 514 PEPTIFAT 200 ML / SYRUP BTL 1 BTL 72,000 79,200 79,200
515 OBT 515 PEPZOL 20 MG TAB BOX 10 TAB 130,000 143,000 14,300
516 OBT 516 PEPZOL 40 MG TAB BOX 10 TAB 170,000 187,000 18,700
517 OBT 517 PERDIPINE INJ 10 MG BOX 10 VIAL 2,460,964 2,707,060 270,706
518 OBT 518 PHENYTOIN 100 MG CAPSUL BOX 100 CAPS 55,000 60,500 605
519 OBT 519 PHENYTOIN 100 MG INJ BOX 1 AMP 50,914 56,005 56,005
520 OBT 520 PHYTOMENADION / INJ BOX 30 AMP 130,000 143,000 4,767
521 OBT 521 PHYTOMENADION 10MG TAB (VIT K ) BOX 100 TAB 90,955 100,051 1,001
522 OBT 522 PICYN 1500 MG INJ VIAL 1 VIAL 105,000 115,500 115,500
523 OBT 523 PIDOVIX 75 MG ( CLOPIDOGREL ) BOX 30 TAB 390,000 429,000 14,300
524 OBT 524 PIRACETAM 3 G / 15 ML / INJ BOX 10 AMP 186,600 205,260 20,526
525 OBT 525 PIRALEN 5 MG / ML / INJ BOX 5 AMP 30,000 33,000 6,600
526 OBT 526 PIROCAM 20 MG TAB BOX 50 TAB 11,600 12,760 255
527 OBT 527 PIROXICAM 10 MG (GEN) TAB BOX 120 TAB 18,700 20,570 171
528 OBT 528 PIROXICAM 20 MG (GEN) TAB BOX 100 TAB 11,855 13,041 130
529 OBT 529 PLASBUMIN 25 % / 100 ML BTL 1 BTL 2,098,000 2,307,800 ###
530 OBT 530 PLETAAL 50 MG BOX 100 TAB 808,200 889,020 8,890
531 OBT 531 POSPARGIN 0,125 MG TAB BOX 100 TAB 50,000 55,000 550
532 OBT 532 POSPARGIN I2 MG/ML INJ BOX 10 AMP 55,000 60,500 6,050
533 OBT 533 PREGABALIN MG TAB BOX 30 TAB - -
534 OBT 534 PROFILAS SYRUP BTL 1 BTL 70,000 77,000 77,000
535 OBT 535 PREDNISON 5 MG TAB BTL 1000 TAB 79,000 86,900 87
536 OBT 536 PREMASTON 5 MG TAB BOX 30 TAB 110,000 121,000 4,033
537 OBT 537 PREMASTON 5 MG TAB BOX 30 TAB 110,000 121,000 4,033
538 OBT 538 PRENAMIA KAPS BOX 100 KAPS 108,500 119,350 1,194
539 OBT 539 PRENATIN DF TAB BOX 60 TAB 165,000 181,500 3,025
540 OBT 540 PRIMOLUT N TAB BOX 30 TAB 138,180 151,998 5,067
541 OBT 541 PRIMPERAN 2 ML / INJ BOX 6 AMP 64,091 70,500 11,750
542 OBT 542 PRIMPERAN SYRUP BTL 1 BTL 19,250 21,175 21,175
543 OBT 543 PRIMPERAN TABLET BOX 100 TAB 125,000 137,500 1,375
544 OBT 544 PIROFEL GEL TUBE 1 TUBE 17,700 19,470 19,470
545 OBT 545 PROFENID 100 MG / SUPP BOX 10 SUPP 107,166 117,883 11,788
546 OBT 546 PROINFARK INJ BOX 1 AMP 18,480 20,328 20,328
547 OBT 547 PROFERTIL 50 MG TAB BOX 10 TAB 140,000 154,000 15,400
548 OBT 548 PROHEM 1 ML INJ BOX 5 INJ 50,000 55,000 11,000
549 OBT 549 PROANES 1% AMP AMP 5 AMP 404,250 444,675 88,935
550 OBT 550 PRONALGES / 100 MG / SUPP BOX 10 SUPP 119,000 130,900 13,090
551 OBT 551 PROPANOLOL 10 MG (GEN) TAB BOX 100 TAB 13,365 14,702 147
552 OBT 552 PROPANOLOL 40 MG (GEN) TAB BOX 100 TAB 11,000 12,100 121
553 OBT 553 PROPOFOL LIPURO 1% INJ BOX 5 AMP 460,000 506,000 101,200
554 OBT 554 PROPYLTHIOURACYL 100 MG TAB(PTU) BOX 100 TAB 32,700 35,970 360
555 OBT 555 PRORENAL TAB BOX 100 TAB 600,000 660,000 6,600
556 OBT 556 PRORIS / SUPP BOX 10 SUPP 82,670 90,937 9,094
557 OBT 557 PROSTIGMIN 0.5 MG/ML / INJ PCS 5 VIAL 102,700 112,970 22,594
558 OBT 558 PROTERIN INJEKSI BOX 5 AMP 95,000 104,500 20,900
559 OBT 559 PROVELYN 150 MG BOX 14 TAB 182,000 200,200 14,300
560 OBT 560 PYREXIN SUPP BOX 10 SUPP 88,000 96,800 9,680
561 OBT 561 PROVELYN 75 MG BOX 14 TAB 133,000 146,300 10,450
562 OBT 562 PULMICORT RESPULES 0,25 MG / 2 ML INJ BOX 20 AMP 361,465 397,612 19,881
563 OBT 563 PULMICORT RESPULES 0,5 MG / 2 ML INJ BOX 20 AMP 332,200 365,420 18,271
564 OBT 564 PIRAZINAMIDE 500 MG (GEN) TAB BOX 100 TAB 45,000 49,500 495
565 OBT 565 PROZA KAPLET BOX 30 TAB 300,000 330,000 11,000
566 OBT 566 PUMPITOR KAPSUL BOX 20 TAB 264,000 290,400 14,520
567 OBT 567 PUMPITOR AMP AMP 1 AMP 146,300 160,930 160,930
568 OBT 568 PURICEMIA TAB BOX 100 TAB 275,000 302,500 3,025
569 OBT 569 Q-TEN CAPS BOX 30 CAPS 157,500 173,250 5,775
570 OBT 570 RAMIPRIL 10 MG TAB BOX 30 TAB 30,510 33,561 1,119
571 OBT 571 RAMIPRIL 2.5 MG TAB BOX 100 TAB 29,091 32,000 320
572 OBT 572 RAMIPRIL 5 MG TAB BOX 100 TAB 57,727 63,500 635
573 OBT 573 RANITIDINE 150 MG TAB BOX 100 TAB 102,500 112,750 1,128
574 OBT 574 RANITIDINE 25 MG/INJ BOX 10 AMP 34,650 38,115 3,812
575 OBT 575 REGIVELL 4 ML / INJ BOX 5 AMP 300,000 330,000 66,000
576 OBT 576 RESPIRA BOX 10 TAB 300,000 330,000 33,000
577 OBT 577 RHINOFED / 60 ML / SYRUP BOX 1 BTL 21,500 23,650 23,650
578 OBT 578 RHINOFED TABLET BOX 50 TAB 77,000 84,700 1,694
579 OBT 579 RHINOS SR CAPS BOX 50 CAPS 315,500 347,050 6,941
580 OBT 580 RHODIUM TAB BOX 30 TAB 148,500 163,350 5,445
581 OBT 581 RIFAMPICIN 300 MG (GEN) TAB BOX 100 CAPS 80,400 88,440 884
582 OBT 582 RIFAMPICIN 450 MG (GEN) TAB BOX 100 TAB 170,000 187,000 1,870
583 OBT 583 RIFAMPICIN 600 MG (GEN) TAB BOX 100 TAB 270,000 297,000 2,970
584 OBT 584 RIMSTAR 4-FDC TAB BOX 30 TAB 168,525 185,378 6,179
585 OBT 585 ROBUMIN INJ 20 % / 100 ML VIAL 1 VIAL 1,650,000 1,815,000 ###
586 OBT 586 ROCULAX INJ 5ML@10AMP BOX 10 AMP 1,025,000 1,127,500 112,750
587 OBT 587 ROXEMID INJ BOX 5 AMP 45,000 49,500 9,900
588 OBT 588 RYVELL DROPS / 10 ML BTL 1 BTL 50,000 55,000 55,000
589 OBT 589 RYVELL PLUS TAB BOX 30 TAB 105,000 115,500 3,850
590 OBT 590 RYVELL SYRUP / 60 ML BTL 1 BTL 50,000 55,000 55,000
591 OBT 591 RIFAMTIBI 600 MG TAB BOX 100 TAB 560,500 616,550 6,166
592 OBT 592 SANSULIN LOG-G DIS PCS 1 PCS 900,000 990,000 990,000
593 OBT 593 SOLVINEX AMP BOX 10 AMP 440,000 484,000 48,400
594 OBT 594 SAMPICILLIN INJ BOX 10 VIAL 160,250 176,275 17,628
595 OBT 595 SALBUTAMOL 2 MG SYR BTL 1 BTL 5,400 5,940 5,940
596 OBT 596 SALBUTAMOL 2 MG (GEN) TAB BOX 100 TAB 7,639 8,403 84
597 OBT 597 SALBUTAMOL 4 MG (GEN) TAB BOX 100 TAB 18,863 20,749 207
598 OBT 598 SANMOL INFUS VIAL 1 VIAL 59,600 65,560 65,560
599 OBT 599 SANPRIMA FORTE TAB BOX 100 TAB 184,500 202,950 2,030
600 OBT 600 SANPRIMA SYRUP BTL 1 BTL 20,330 22,363 22,363
601 OBT 601 SANPRIMA TAB BOX 100 TAB 82,000 90,200 902
602 OBT 602 SELOXY TAB BOX 30 TAB 112,500 123,750 4,125
603 OBT 603 SEQUEST SACHET BOX 20 SACH 375,000 412,500 20,625
604 OBT 604 SEVOFLURANE BAXTER BTL 1 BTL 2,300,000 2,530,000 ###
605 OBT 605 SIBITAL INJ BOX 5 AMP 90,000 99,000 19,800
606 OBT 606 MEBO / 20 GR / OINT TUBE 1 TUBE 77,000 84,700 84,700
607 OBT 607 SIBRO / 20 GR / OINT TUBE 1 TUBE 77,000 84,700 84,700
608 OBT 608 SIDIADRYL 15 ML / INJ VIAL 1 VIAL 13,778 15,156 15,156
609 OBT 609 SIMVASTATIN 10 MG (GEN) TAB BOX 30 TAB 16,789 18,468 616
610 OBT 610 SIMVASTATIN 20 MG (GEN) TAB BOX 30 TAB 111,928 123,121 4,104
611 OBT 611 SIRDALUD TAB BOX 100 TAB 762,713 838,984 8,390
612 OBT 612 SISTENOL CAPS BOX 60 CAPS 84,000 92,400 1,540
613 OBT 613 SNMC INJ VIAL 1 VIAL 95,000 104,500 104,500
614 OBT 614 SOCEF INJ BOX 1 VIAL 175,000 192,500 192,500
615 OBT 615 SOCID TAB BOX 12 TAB 130,000 143,000 11,917
616 OBT 616 SOLVENIX INJ BOX 10 AMP 440,000 484,000 48,400
617 OBT 617 SPASMOLIT TAB BOX 100 TAB 247,500 272,250 2,723
618 OBT 618 SOHOBION 5000 MG / INJ AMP 10 AMP 50,000 55,000 5,500
619 OBT 619 SOJOURN 250 ML BTL 1 BTL 2,600,000 2,860,000 ###
620 OBT 620 SOMEROL 4 MG TAB BOX 50 TAB 130,000 143,000 2,860
621 OBT 621 SOMEROL INJ BOX 1 AMP 78,000 85,800 85,800
622 OBT 622 SPASMINAL TAB BOX 100 TAB 54,000 59,400 594
623 OBT 623 SPIRONOLACTONE 100 MG TAB BOX 100 TAB 95,905 105,496 1,055
624 OBT 624 SPIRONOLACTONE 25 MG TAB BOX 100 TAB 31,488 34,637 346
625 OBT 625 STREPTOMYCIN 1 GR INJ AMP 1 AMP 7,000 7,700 7,700
626 OBT 626 STROCAIN P TAB BOX 100 TAB 166,711 183,382 1,834
627 OBT 627 SUKRALFAT / 100 ML / SYRUP BTL 1 BTL 39,000 42,900 42,900
628 OBT 628 SYNTOCINON 10 IU / INJ BOX 10 AMP 109,510 120,461 12,046
629 OBT 629 SAGESTAM INJ BOX 5 AMP 47,500 52,250 10,450
630 OBT 630 SAGESTAM OINT TUBE 1 SALP 19,300 21,230 21,230
631 OBT 631 SANTAGESIK INJ 2ML BOX 5 AMP 45,400 49,940 9,988
632 OBT 632 SANAZET TAB BOX 100 TAB 124,000 136,400 1,364
633 OBT 633 SYSMUCOTA TAB BOX 30 TAB 129,000 141,900 4,730
634 OBT 634 SUPRAFENID / SUPP BOX 10 SUPP 120,000 132,000 13,200
635 OBT 635 TARIVID OTIC BTL 1 BTL 77,000 84,700 84,700
636 OBT 636 TEGRETOL 200 MG TAB BOX 50 TAB 174,500 191,950 3,839
637 OBT 637 TEGRETOL CR 200 MG TAB BOX 50 TAB 202,500 222,750 4,455
638 OBT 638 TENSILO 1 MG / ML / INJ BOX 1 VIAL 176,000 193,600 193,600
639 OBT 639 THEOPHYLIN TAB BOX 1000 TAB 800,000 880,000 880
640 OBT 640 THIAMPENICOL 500 MG (GEN) TAB BOX 100 TAB 67,200 73,920 739
641 OBT 641 THROMBO ASPILET TAB BOX 150 TAB 112,000 123,200 821
642 OBT 642 TOFEDEX INJ BOX 5 AMP 247,500 272,250 54,450
643 OBT 643 TOFEDEX TAB BOX 30 TAB 217,800 239,580 7,986
644 OBT 644 TOPAZOL INJ BOX 1 AMP 147,000 161,700 161,700
645 OBT 645 TONOTAN TAB BOX 50 TAB 175,000 192,500 3,850
646 OBT 646 TRAMADOL 100 MG /ML / INJ (GEN) BOX 5 AMP 50,000 55,000 11,000
647 OBT 647 TRAMADOL 50 MG TAB BOX 50 CAPS 15,000 16,500 330
648 OBT 648 TRAMAL / 100 MG / 2ML INJ BOX 1 AMP 29,150 32,065 32,065
649 OBT 649 TRAMAL / 50 MG / 2ML INJ BOX 5 AMP 29,100 32,010 6,402
650 OBT 650 TRAMAL / SUPP BOX 10 SUPP 150,000 165,000 16,500
651 OBT 651 TREMENZA TAB BOX 100 TAB 145,500 160,050 1,601
652 OBT 652 TREMENZA SYR BTL 1 BTL 20,500 22,550 22,550
653 OBT 653 TRIAMCINOLONE TAB BOX 100 TAB 79,695 87,665 877
654 OBT 654 TRIHEXYPHENIDRYL 2 MG TAB BOX 100 TAB 8,746 9,621 96
655 OBT 655 TRILAC INJ BOX 1 VIAL 100,000 110,000 110,000
656 OBT 656 TRILAC TABLET BOX 30 TAB 90,000 99,000 3,300
657 OBT 657 TRUVAS 10 MG BOX 30 TAB 346,500 381,150 12,705

658 OBT 658 TRUVAZ 20 MG TAB BOX 30 TAB 365,000 401,500 13,383
659 OBT 659 TRICHODAZOL 500 MG BOX 100 TAB 162,000 178,200 1,782
660 OBT 660 TRICHODAZOL INFUS BOX 1 AMP 87,100 95,810 95,810
661 OBT 661 UMARON INJ AMP 1 AMP 175,000 192,500 192,500
662 OBT 662 URDAFALK TAB BOX 30 CAPS 271,700 298,870 9,962
663 OBT 663 URDAHEX TAB BOX 30 TAB 260,000 286,000 9,533
664 OBT 664 URISPAS TAB 200 MG BOX 30 TAB 152,500 167,750 5,592
665 OBT 665 UROTRACTIN TAB BOX 60 CAPS 154,500 169,950 2,833
666 OBT 666 UTROGESTAN 100 MG BOX 30 CAPS 396,000 435,600 14,520
667 OBT 667 UTROGESTAN 200 MG BOX 15 CAPS 363,000 399,300 26,620
668 OBT 668 VASCON INJ BOX 5 VIAL 475,000 522,500 104,500
669 OBT 669 VECTRIN SYR BTL 1 BTL 33,000 36,300 36,300
670 OBT 670 VECTRIN TAB BOX 20 CAPS 73,000 80,300 4,015
671 OBT 671 VELLEPSY 120 ML / SYRUP BTL 1 BTL 75,000 82,500 82,500
672 OBT 672 VELUTINE NEBU 2.5 MG / 4 ML / INJ BOX 10 VIAL 70,000 77,000 7,700
673 OBT 673 VENOFER INJ BOX 5 AMP 719,400 791,340 158,268
674 OBT 674 VENOSMIL TAB BOX 20 TAB 132,000 145,200 7,260
675 OBT 675 VERAPAMIL 80 MG TAB BOX 100 TAB 32,014 35,215 352
676 OBT 676 VESITAB BOX 100 TAB 250,000 275,000 2,750
677 OBT 677 VESTEIN 300 MG TAB BOX 20 TAB 80,000 88,000 4,400
678 OBT 678 VESTEIN SYR / 60 ML BTL 1 BTL 35,000 38,500 38,500
679 OBT 679 VICILLIN SULBACTAM INJ BOX 1 AMP 75,762 83,338 83,338
680 OBT 680 VIPALBUMIN KAPSUL BOX 30 TAB 180,000 198,000 6,600
681 OBT 681 VIPALBUMIN SACHET BOX 3 SACH 180,000 198,000 66,000
682 OBT 682 VIT B COMP (GEN ) TAB BTL 1000 TAB 44,400 48,840 49
683 OBT 683 VIT B1 100 MG (GEN) TAB BTL 1000 TAB 89,888 98,877 99
684 OBT 684 VIT B12 50 MG (GEN) TAB BTL 100 TAB 7,105 7,816 78
685 OBT 685 VIT B6/PYRIDOXIN/10 MG (GEN ) TAB BTL 100 TAB 19,500 21,450 215
686 OBT 686 VIT C 100 MG (GEN) TAB BTL 500 TAB 29,091 32,000 64
687 OBT 687 VIT C 100 MG / 2 ML / INJ (GEN) BOX 100 AMP 650,000 715,000 7,150
688 OBT 688 VIT C 50 MG INJ BOX 100 AMP 249,700 274,670 2,747
689 OBT 689 VIT C 50 MG TAB BTL 100 TAB 11,440 12,584 126
690 OBT 690 VIT K INJ BOX 100 AMP 259,800 285,780 2,858
691 OBT 691 VOMETA DROPS BTL 1 BTL 37,500 41,250 41,250
692 OBT 692 VOMETA FT BOX 50 TAB 180,000 198,000 3,960
693 OBT 693 VOMETA SYR BTL 1 BTL 37,000 40,700 40,700
694 OBT 694 VOMETA TAB BOX 50 TAB 175,000 192,500 3,850
695 OBT 695 VOMITAS 10 MG BOX 30 TAB 100,000 110,000 3,667
696 OBT 696 VOMITAS FDT BOX 50 TAB 175,000 192,500 3,850
697 OBT 697 VALEMIA 10 MG BOX 30 TAB 268,500 295,350 9,845
698 OBT 698 XYLOCAIN JELLY 10 GR BOX 1 TUBE 55,874 61,461 61,461
699 OBT 699 XYLOCAIN JELLY 30 GR BOX 1 TUBE 77,273 85,000 85,000
700 OBT 700 XYLOCAIN 2 % INJ BOX 1 VIAL 70,000 77,000 77,000
701 OBT 701 YAL COLON CLEANER 67.5 ML BOX 1 TUBE 70,000 77,000 77,000
702 OBT 702 ZANTADIN INJ BOX 5 AMP 95,000 104,500 20,900
703 OBT 703 ZERLIN 50 MG TAB BOX 10 TAB 168,500 185,350 18,535
704 OBT 704 ZOVIRAX 250 MG / INJ VIAL 1 VIAL 286,000 314,600 314,600
705 OBT 705 ZYFORT INJ BOX 20 AMP 115,000 126,500 6,325
706 OBT 706 VALSARTAN 80 MG BOX 30 TAB 120,000 132,000 4,400
707 OBT 707 VALSARTAN 160 MG BOX 30 TAB 195,000 214,500 7,150
708 OBT 708 VELAZOLL INF / 100 ML BTL 1 BTL 65,000 71,500 71,500
709 OBT 709 VELACOM PLUS 2 MG BOX 30 TAB 70,000 77,000 2,567
710 OBT 710 VERTIGOSAN TAB BOX 100 TAB 127,000 139,700 1,397
711 OBT 711 VOSEDON TAB BOX 100 TAB 226,500 249,150 2,492
712 OBT 712 VELLANIN 400 MG / INJ BOX 1 VIAL 525,000 577,500 577,500
HARGA OKT RS.KAR
NO KODE
1 OKT001
2 OKT002
3 OKT003
4 OKT004
5 OKT005
6 OKT006
7 OKT007
8 OKT008
9 OKT009
10 OKT010
11 OKT011
12 OKT012
13 OKT013
14 OKT014
15 OKT015
16 OKT016
17 OKT017
18 OKT018
19 OKT019
20 OKT020
21 OKT021
22 OKT022
23 OKT023
24 OKT024
25 OKT025
26 OKT026
27 OKT027
28 OKT028
29 OKT029
30 OKT030
31 OKT031
32 OKT032
33 OKT033
34 OKT034
35 OKT035
36 OKT036
HARGA OKT RS.KARANG TENG
NAMA OBAT KMSN ISI
ALPRAZOLAM 0,25 MG TAB BOX 100
ALPRAZOLAM 0,5 MG TAB BOX 100
ALPRAZOLAM 1 MG TAB BOX 100
ANESFAR 5MG INJ AMP 5
BRAXIDIN TAB BOX 100
CODEIN 10 MG TAB BTL 100
CODIPRONT CUM EXPECT SYR 60 ML BTL 1
CODIPRONT SYR 60 ML BTL 1
CODIPRONT KAPS BOX 10
CODIPRONT KAPS @ 100 BTL 100

CODIPRONT CUM EXPECT KAPS BOX 10
CLOBAZAM TAB 10 MG BOX 100
COFFEINUM @ 250 GR POT 250
DIAZEPAM BTL 100
DUROGESIC PATCH 25 MCG BOX 5
ESTALIN 1 MG BOX 30
ESTALIN 2 MG BOX 30
FENTANYL 0,05MG/2 ML INJ BOX 5
FENTANYL 0,05MG/10 ML INJ BOX 5
FORTANEST 15 MG/5 ML INJ BOX 5
FORTANEST 5 MG/5 ML INJ BOX 5
LODOMER 5 MG / INJ BOX 12
MORPHIN INJ BOX 10
MST CONTINUS 10 MG TAB BOX 60
PETHIDIN INJ BOX 10
PHENOBARBITAL 30 MG TAB BOX 100
PHENOBARBITAL / INJ AMP 1

STESOLID RT 10 MG RECTAL BOX 5
STESOLID 5 MG RECTAL BOX 5
STESOLID 2 ML / INJ BOX 5
STESOLID 2 MG TAB BOX 100
STESOLID 5 MG TAB BOX 100
VALISANBE 2MG BOX 100
VALIUM 10 MG / 2 Ml / INJ BOX 5

NG TENGAH MEDIKA
HARGA
HARGA
SATUAN
SAT PERKEMASA PPN
SETELAH
N
PPN
TAB 48,300 4,830 531
TAB 81,882 8,188 901
TAB 136,500 13,650 1,502
AMP 90,000 9,000 19,800
TAB 105,500 10,550 1,161
TAB 62,270 6,227 685
TAB 147,600 14,760 1,624
TAB 112,180 11,218 1,234
BTL 50,500 5,050 55,550
BTL 46,500 4,650 51,150
TAB 77,500 7,750 8,525
TAB 721,600 72,160 7,938

TAB 86,800 8,680 9,548
TAB 95,000 9,500 1,045
GR 127,273 12,727 560
TAB 12,355 1,236 136
PATCH 1,077,500 107,750 237,050
TAB 78,000 7,800 2,860
TAB 120,000 12,000 4,400
AMP 255,000 25,500 56,100
AMP 925,000 92,500 203,500
AMP 189,000 18,900 41,580
AMP 78,000 7,800 17,160
AMP 136,620 13,662 12,524
AMP 150,000 15,000 16,500
TAB 852,000 85,200 15,620
AMP 177,100 17,710 19,481
TAB 21,818 2,182 240
AMP 2,700 270 2,970

PCS 178,200 17,820 39,204
PCS 118,800 11,880 26,136
AMP 79,500 7,950 17,490
TAB 96,800 9,680 1,065
TAB 169,400 16,940 1,863
TAB 22,000 2,200 242
AMP 126,354 12,635 27,798

RAWAT JALAN
717
1,216
2,027
26,730
1,567
925
2,192
1,666
74,993
69,053
11,509
10,716
12,890
1,411
756
183
320,018
3,861
5,940
75,735
274,725
56,133
23,166
16,907
22,275
21,087
26,299
324
4,010
52,925
35,284
23,612
1,437
2,516
327
37,527
RS.KARANG TENGAH MEDIKA
Yadika healthecare Group
HARGA CAIRAN RS.KARANG TENGAH MEDIK
HARGA
NO KODE NAMA OBAT KMSN ISI SAT
PERKEMASAN
1 CAI001 40 % MAGNESIUM SULFAT / 25 ML AMP 1 AMP 4,291
2 CAI002 ALKOHOL 70% / 100 ML BTL 1 BTL 4,070
3 CAI003 ALKOHOL 70 %/1 LT BTL 1 BTL 48,181
4 CAI004 ALKOHOL 96% / 1LTR BTL 1 BTL 55,114
5 CAI005 ALKOHOL SWAB BOX 200 PCS 49,581
6 CAI006 AQUA BIDEST / 20 L CAN 1 ML 118,182
7 CAI007 AQUA BIDEST / 1 L BTL 1 BTL 8,206
8 CAI008 ASERING / 500 ML KOLF 1 KOLF 26,676
9 CAI009 AMINOFUSIN HEPAR 500 ML BTL 1 BTL 205,000
10 CAI010 AMINOFLUID - L 500 ML BOX 1 PCS 187,500
11 CAI011 AMINOFLUID - L 1000 ML BOX 1 PCS 247,500
12 CAI012 AMINOVEL 600/500 ML BTL 1 BTL 72,000
13 CAI013 AMINOLEBAN 500 ML BTL 1 BTL 170,000
14 CAI014 AMINOFUSIN PAED 250 ML BTL 1 BTL 92,000
15 CAI015 AMINOFUSIN L - 600 BTL 1 BTL 68,500
16 CAI016 BETADINE 1L BTL 1 BTL 175,000
17 CAI017 CLEANISEPT WIPES BTL 1 BTL 200,000
DESINFEKTAN (UNTUK CUCI

18 CAI018 BTL 1 BTL 250,000
TANGAN)
19 CAI019 DESCODERM 500 ML BTL BTL 1 BTL 105,000
20 CAI020 DESCODERM 1 L BTL 1 BTL 185,000
21 CAI021 DESCODERM 5 L BTL 1 BTL 890,000
22 CAI022 DECONTAMAN 1 L BTL 1 BTL 250,000
23 CAI023 FORMALIN 10 L DRG 10 DRG 227,272
24 CAI024 GELOFUSINE ECOFLAC / 500 ML KOLF 1 KOLF 195,500
25 CAI025 GLICERIN LOKAL / 1 LTR BTL 1 BTL 45,000
26 CAI026 H2O2 50 % 800 ML KOLF 1 BTL 38,182
27 CAI027 HYDROMAL BAG 1 BAG 72,900
28 CAI028 INFUSAN D5 / 100 ML BAG 1 KOLF 13,500
29 CAI029 INFUSAN D5 + 1/2 NS DP BAG 1 KOLF 9,401
31 CAI031 INFUSAN D5 DP BAG 10 KOLF 141,550
33 CAI033 INFUSAN NS DP / 500 ML KOLF 1 KOLF 17,550
34 CAI034 INFUSAN NS 100 ML PCS 1 PCS 12,750
35 CAI035 INFUSAN NS DP / 1000 ML BAG 1 BAG 18,737
36 CAI036 INFUSAN R+D DP BAG 10 KOLF 145,300
37 CAI037 INFUSAN RING AS SP / 500 ML KOLF 1 KOLF 9,354
38 CAI038 INFUSAN RL SP KOLF 1 KOLF 6,937
39 CAI039 FIMA HES 500 ML BOX 5 PCS 855,000
40 CAI040 FIMA NS 500 ML PCS 1 PCS 13,100

41 CAI041 FIMA RL 500 ML PCS 1 PCS 13,500
42 CAI042 FIMA D5 500 ML PCS 1 PCS 13,700
43 CAI043 FIMA RINGER ASETAT 500 ML PCS 1 PCS 17,000
44 CAI044 FUTROLIT PCS 1 PCS 36,599
45 CAI045 TRIOFUSIN E 1000 PCS 1 PCS 85,000
46 CAI046 TRIOFUSIN L 600 BTL 1 BTL 80,000
47 CAI047 INFUSAN TRIDEX 27 A DP BAG 10 KOLF 195,000
48 CAI048 INFUSAN TRIDEX 27 B DP BAG 10 KOLF 195,000
49 CAI049 KA-EN 1 - B / 500 ML KOLF 1 KOLF 18,500
50 CAI050 KA-EN 3 - A / 500 ML BOX 1 KOLF 18,500
51 CAI051 KA-EN 3 - B / 500 ML BOX 1 KOLF 9,725
52 CAI052 KA-EN 4 - A / 500 ML KOLF 1 KOLF 16,800
53 CAI053 KA-EN 4 - B / 500 ML KOLF 1 KOLF 16,800
54 CAI054 KA-EN MG - 3 SOL / 500 ML KOLF 1 KOLF 18,000
55 CAI055 KIDMIN / 200 ML BTL 1 BTL 128,273
56 CAI056 LIPOFUNDIN MCT/LCT 20% 100 ML BTL 1 BTL 175,000
57 CAI057 MANITOL/ 500 ML KOLF 1 KOLF 88,200
58 CAI058 MANITOL/ 250 ML KOLF 1 KOLF 52,500
59 CAI059 MARTOSE / 500 ML KOLF 1 KOLF 80,000
60 CAI060 MEYLON 8,4 % / 25 ML AMP 1 KOLF 12,000
61 CAI061 NUTRIFLEX LIPID PERI N3C 1250 ML BTL 1 BTL 580,000
62 CAI062 OTSU - RD 5 / 500 ML BOX 1 KOLF 9,928

63 CAI063 OTSU D 5, PIGGY BACK / 100 ML KOLF 1 KOLF 10,100
64 CAI064 OTSU D5/500 ML KOLF 1 KOLF 7,554
65 CAI065 OTSU D10 / 500 ML KOLF 1 KOLF 10,455
66 CAI066 OTSU D40 / 25 ML AMP 1 KOLF 7,900
67 CAI067 OTSU D5, 1/4 NS / 500 ML KOLF 1 KOLF 15,300
68 CAI068 OTSU D5 1 LT KOLF 1 KOLF 10,750
69 CAI069 OTSU KCL 7,46 / 25 ML AMP 1 KOLF 7,900
70 CAI070 OTSU MGSO4 40 AMP 1 KOLF 6,000
71 CAI071 OTSU MGSO4 20 AMP 1 KOLF 6,000
72 CAI072 OTSU NS / 25 ML BOX 1 KOLF 5,800
73 CAI073 OTSU NS / 100 ML BTL 1 KOLF 11,000
74 CAI074 OTSU NS 1 LT KOLF 1 KOLF 10,720
75 CAI075 OTSU RD5 / 500 ML KOLF 1 KOLF 9,928
76 CAI076 OTSU SALIN 3 / 500 ML KOLF 1 KOLF 27,577
77 CAI077 OTSU WATER INJECTION / 25 ML AMP 1 AMP 6,322
78 CAI078 OTSU WATER INJECTION / 1000 ML BTL 1 BTL 18,000
79 CAI079 PERFECTAN ENDO 5 L BTL 1 BTL 2,200,000
RINGER FUNDIN 500 ML (RINGER

80 CAI080 BTL 1 BTL 17,250
ASETAT)
81 CAI081 RENXAMIN 200 ML / INF BTL 1 BTL 96,500
82 CAI082 SANBE HEST BAG 1 BAG 209,800
83 CAI083 SEPTODERM HAUT 250 ML BTL 1 BTL 185,000
84 CAI084 SOFTAMAN / 1LT BTL 1 BTL 140,000

85 CAI085 STARDINE SOL 1 LT BTL 1 BTL 150,000
86 CAI086 SOFTASKIN 500 ML BTL 1 BTL 60,000
87 CAI087 SEPTODERM HAUT 1 LITER BTL 1 BTL 185,000
88 CAI088 TRIOFUSIN E 1000 BTL 1 BTL 93,500

NGAH MEDIKA
HARGA
SATUAN
PPN RAWAT JALAN
SETELAH
PPN
429 4,720 6,372
407 4,477 6,044
4,818 52,999 71,549
5,511 60,625 81,844
4,958 273 368
11,818 130,000 175,500
821 9,027 12,186
2,668 29,344 39,614
20,500 225,500 304,425
18,750 206,250 278,438 /BLUID
24,750 272,250 367,538
7,200 79,200 106,920
17,000 187,000 252,450
9,200 101,200 136,620
6,850 75,350 101,723
17,500 192,500 259,875
20,000 220,000 297,000
25,000 275,000 371,250

10,500 115,500 155,925
18,500 203,500 274,725
89,000 979,000 1,321,650
25,000 275,000 371,250
22,727 25,000 33,750
19,550 215,050 290,318
4,500 49,500 66,825
3,818 42,000 56,700
7,290 80,190 108,257
1,350 14,850 20,048
940 10,341 13,960
1,505 16,555 22,349
14,155 15,571 21,020
1,270 13,970 18,860
1,755 19,305 26,062
1,275 14,025 18,934
1,874 20,611 27,824
14,530 15,983 21,577
935 10,289 13,891
694 7,631 10,301
85,500 188,100 253,935
1,310 14,410 19,454

1,350 14,850 20,048
1,370 15,070 20,345
1,700 18,700 25,245
3,660 40,259 54,350
8,500 93,500 126,225
8,000 88,000 118,800
19,500 21,450 28,958
19,500 21,450 28,958
1,850 20,350 27,473
1,850 20,350 27,473
973 10,698 14,442
1,680 18,480 24,948
1,680 18,480 24,948
1,800 19,800 26,730
12,827 141,100 190,485
17,500 192,500 259,875
8,820 97,020 130,977
5,250 57,750 77,963
8,000 88,000 118,800
1,200 13,200 17,820
58,000 638,000 861,300
993 10,921 14,743

1,010 11,110 14,999
755 8,309 11,218
1,046 11,501 15,526
790 8,690 11,732
1,530 16,830 22,721
1,075 11,825 15,964
790 8,690 11,732
600 6,600 8,910
600 6,600 8,910
580 6,380 8,613
1,100 12,100 16,335
1,072 11,792 15,919
993 10,921 14,743
2,758 30,335 40,952
632 6,954 9,388 .,
1,800 19,800 26,730
### ### 3,267,000
1,725 18,975 25,616
9,650 106,150 143,303
20,980 230,780 311,553
18,500 203,500 274,725
14,000 154,000 207,900

15,000 165,000 222,750
6,000 66,000 89,100
18,500 203,500 274,725
9,350 102,850 138,848

HARGA BENANG RS.KARANG TENGAH M
1 BEN001 CROMIC GUT 0 / 838 H /70 CM BOX 36 PCS
2 BEN002 CROMIC GUT / W 11501 /150 CM BOX 12 PCS
3 BEN003 CROMIC GUT / 11601 /150 CM BOX 12 PCS
4 BEN004 CROMIC GUT 2 / 916 T /90 CM BOX 24 PCS
5 BEN005 CROMIC GUT 2 - 0/ 837 T /70 CM BOX 24 PCS
6 BEN006 CROMIC GUT 3 - 0/ 828 T /70 CM BOX 24 PCS
7 BEN007 CROMIC GUT 2 / CG - 866 /75 CM PCS 17 PCS
8 BEN008 CROMIC GUT 2 - 0 / CG - 811 /75 CM PCS 12 PCS
9 BEN009 CROMIC GUT 3 - 0 / CG - 122 /75 CM BOX 4 PCS
10 BEN010 PLAIN GUT 2 - 0 / 847 T / 70 CM BOX 24 PCS
11 BEN011 ETHIBOND 2-0 / V 7 / W6977 BOX 12 PCS
12 BEN012 PLAIN GUT 4 - 0 / 819 T / 70 CM BOX 24 PCS
13 BEN013 PLAIN GUT 4 - 0 / 207 H / 70 CM BOX 36 PCS
14 BEN014 PLAIN GUT 5 - 0 / 1915 G / 70 CM BOX 12 PCS
15 BEN015 PLAIN GUT 4-0/SG 821 BOX 1 PCS
16 BEN016 PLAIN GUT 3 - 0 / SG 822 / 75 CM BOX 12 PCS
17 BEN017 PLAIN GUT 2 - 0 / SG 323 / 75 CM BOX 12 PCS
18 BEN018 PROLENE 2/0 W8689 40 MM BOX 12 PCS
19 BEN019 PROLENE 3/0 W8684 26 MM BOX 12 PCS

20 BEN020 PROLENE 4/0 W 525 15 MM BOX 12 PCS
21 BEN021 PROLENE 5/0 W 525 15 MM BOX 12 PCS
22 BEN022 PROLENE 6/0 W 8697G 45 CM BOX 12 PCS
23 BEN023 PROLENE MESH 7.6X15 CM BOX 1 PCS
24 BEN024 SILK BLACK 1/75M ROLL 1 ROLL
25 BEN025 SILK BLACK 2-0/100M ROLL 1 ROLL
26 BEN026 SILK BLACK 3-0/100M ROLL 1 ROLL
27 BEN027 PESARIUM RING NO. 7,5 PCS 1 PCS
SILK 4/0 75 CM BLK M1.5 RB / MERSILK /

28 BEN028 PCS 1 PCS
(W549H)
29 BEN029 HEMOTESE PCS 1 PCS
30 BEN030 PAKET HERNIA BOX 1 PCS
31 BEN031 PAKET CAESAREAN SET BOX 1 PCS
32 BEN032 PAKET APPENDIC BOX 1 PCS
33 BEN033 T-CHROMIC 3-0, 150,1/2,35,RB ( C43X ) PCS 1 PSC
34 BEN034 T-CHROMIC 0, 150,1/2,35,RB ( C28X ) PCS 1 PSC
35 BEN035 T-CHROMIC 0, 90,1/2,35,RB ( C28 ) PCS 1 PSC
36 BEN036 T-CHROMIC 2-0, 90,1/2,35,RB ( C27 ) PCS 1 PSC
37 BEN037 T-CHROOMIC 3-0,76,3/8,24,RC (C67) PCS 1 OS
38 BEN038 T-LENE 1, 100, 1/2, 40, RB, ( L59 ) PCS 1 PCS
39 BEN039 T-LENE 0,100,1/2,36,TC ( L60 ) PCS 1 PCS
40 BEN040 T-LENE 6-0, 45, 3/8, 16, RC, / CUTTING ( L42 ) PCS 1 PCS
T-LENE 5-0, 45, 3/8, 16, CFL, / CUTTING

41 BEN041 PCS 1 PCS
( L17 )
T-LENE 4-0, 76, 3/8, 16, CFL, / CUTTING
42 BEN042 PCS 1 PCS
( L18 )
43 BEN043 T-LENE 4-0,90,1/2,26,RBTD / TAPPER ( L69 ) PCS 1 PCS
44 BEN044 T-LENE 3-0, 76, 3/8, 24, RC, / CUTTING ( L19 ) PCS 1 PCS
45 BEN045 T-LENE 3-0,90,1/2,26,RBTDB / TAPPER ( L68 ) PCS 1 PCS
46 BEN046 T-LENE 2-0, 76, 1/2, 30, RB / TAPPER ( L36 ) PCS 1 PCS
47 BEN047 T-LENE 2-0, 76, 3/8, 30, RC / CUTTING ( L20 ) PCS 1 PCS
48 BEN048 T-MONO 4-0, 76, RC, 3/8 ( M50 ) PCS 1 PCS
49 BEN049 T-PLAIN 2-0,90,RB,1/2,37 ( P180 ) PCS 1 PCS
50 BEN050 T-PLAIN 3-0,76,RC, 3/8 ( P121 ) PCS 1 PCS
51 BEN051 T-VIO 1, 90,1/2, 48, HVRB ( V16 ) PCS 1 PCS
52 BEN052 T-VIO 2-0, 90, 1/2, 35 RB ( V9 ) PCS 1 PCS
53 BEN053 T-VIO 2-0, 90, 1/2, 25 RB ( V10 ) PCS 1 PCS
54 BEN054 T-VIO 2-0, 76, 5/8, 27, RB ( V65 ) PCS 1 PCS
55 BEN055 T-VIO 3-0,76,1/2,25.RB ( V4) PCS 1 PCS
56 BEN056 VICRYL PLUS 2-0 ( VCP602H ) BOX 36 PCS
57 BEN057 PROLENE 2-0 ( W8623 ) BOX 12 PCS
58 BEN058 T-PLAIN 3-0, 76, 3/8, 16, RC ( P121 ) PCS 1 PCS
59 BEN059 T-MONO 4-0, 76, 3/8, 19, RC ( M50 ) PCS 1 PCS
60 BEN060 T-VIO 2-0, 90, 1/2, 25, RB ( V10 ) PCS 1 PCS
61 BEN061 T-VIO 3-0,76,3/8,18.TC ( V33) PCS 1 PCS
64 BEN064 T-VIO 8-0, 35, 3/8, 16, RC ( V173 ) PCS 1 PCS
65 BEN065 TRUWAX BONEWAX 2.5 GM PCS 1 PCS

66 BEN066 T-SILK 3-0,75,1/2,25.RB ( S22 ) PCS 1 PCS
67 BEN067 T-SILK 2-0,76,1/2,25.RB ( S25 ) PCS 1 PCS
68 BEN068 T-SILK 2-0 , 76 , 3/8, 35, RC, ( S34 ) PCS 1 PCS
69 BEN069 T-SCRUB BRUSH ( TS50 ) PCS 1 PCS
70 BEN070 PRECUT SILK 0 (PS 25) PCS 1 PSC
71 BEN071 BASIC PAC T-CHROMIC BOX 1 PCS

ANG TENGAH MEDIKA
HARGA
HARGA
SATUAN
PERKEMASA PPN RAWAT JALAN
SETELAH
N
PPN
2,330,900 ### 71,222 96,150
231,500 23,150 21,221 28,648
251,300 25,130 23,036 31,098
1,504,200 ### 68,943 93,072
1,374,500 ### 62,998 85,047
1,343,500 ### 61,577 83,129
1,028,500 ### 66,550 89,843
660,000 66,000 60,500 81,675
224,400 22,440 61,710 83,309
1,442,100 ### 66,096 89,230
1,803,600 ### 165,330 223,196
1,448,400 ### 66,385 89,620
2,179,800 ### 66,605 89,917
1,335,900 ### 122,458 165,318
63,000 6,300 69,300 93,555
696,000 69,600 63,800 86,130
624,000 62,400 57,200 77,220
1,148,900 ### 105,316 142,176
907,700 90,770 83,206 112,328

828,000 82,800 75,900 102,465
1,148,900 ### 105,316 142,176
1,311,000 ### 120,175 162,236
462,900 46,290 509,190 687,407
420,000 42,000 462,000 623,700
495,000 49,500 544,500 735,075
420,000 42,000 462,000 623,700
102,432 10,243 112,675 152,111
66,033 6,603 72,637 98,060
120,000 12,000 132,000 178,200
300,000 30,000 330,000 445,500
224,290 22,429 246,719 333,071
117,000 11,700 128,700 173,745
55,000 5,500 60,500 81,675
55,000 5,500 60,500 81,675
51,500 5,150 56,650 76,478
66,000 6,600 72,600 98,010
67,000 6,700 73,700 99,495
95,850 9,585 105,435 142,337
81,000 8,100 89,100 120,285
82,500 8,250 90,750 122,513
82,500 8,250 90,750 122,513
80,000 8,000 88,000 118,800

130,000 13,000 143,000 193,050
84,000 8,400 92,400 124,740
134,000 13,400 147,400 198,990
86,000 8,600 94,600 127,710
84,135 8,414 92,549 124,940
121,500 12,150 133,650 180,428
44,700 4,470 49,170 66,380
55,000 5,500 60,500 81,675
90,000 9,000 99,000 133,650
83,000 8,300 91,300 123,255
82,000 8,200 90,200 121,770
87,000 8,700 95,700 129,195
80,000 8,000 88,000 118,800
4,282,500 ### 130,854 176,653
2,277,600 ### 208,780 281,853
55,000 5,500 60,500 81,675
95,000 9,500 104,500 141,075
78,000 7,800 85,800 115,830
75,000 7,500 82,500 111,375
82,500 8,250 90,750 122,513
108,900 10,890 119,790 161,717
112,000 11,200 123,200 166,320
48,000 4,800 52,800 71,280

49,000 4,900 53,900 72,765
48,000 4,800 52,800 71,280
53,000 5,300 58,300 78,705
12,100 1,210 13,310 17,969
15,000 1,500 16,500 22,275
75,000 7,500 82,500 111,375

[';;;;;;;
#REF! RS Karang Tengah Medika
HARGA VAKSIN RS.KARANG TENGAH ME
1 VAK001 VAKSIN TRIMOVAX BOX 1 VIAL
2 VAK002 VAKSIN TYPHIM 0.5 ML BOX 1 VIAL
3 VAK003 VAKSIN VARILRIX / INJ BOX 1 VIAL
4 VAK004 VAKSIN CERVARIX BOX 1 VIAL
VAKSIN HAVRIX 720 JUNIOR / 0,5 ML /

5 VAK005 BOX 1 VIAL
INJ.
6 VAK006 VAKSIN HYPERHEP B / 0,5 ML / INJ. BOX 1 VIAL
7 VAK007 VAKSIN ENGERIX B / 0,5 MG / INJ BOX 1 VIAL
8 VAK008 VAKSIN ENGERIX B 20 MCG / 1 ML / INJ BOX 1 VIAL
9 VAK009 VAKSIN JERAP TETANUS / 5 ML / INJ BOX 1 VIAL
10 VAK010 VAKSIN BCG BAYI / 4 ML / INJ BOX 1 AMP
11 VAK011 VAKSIN CAMPAK / 20 ML / INJ BOX 10 VIAL
12 VAK012 VAKSIN DENGUE BOX 1 VIAL
13 VAK013 VAKSIN DTP-HB 2.5 ML BOX 1 VIAL
14 VAK014 VAKSIN ANTI TETANUS (ATS) ( BIOSAT ) BOX 1 VIAL
15 VAK015 VAKSIN TETRACT HIB BOX 1 VIAL
VAKSIN TD ( TETANUS - DIFTERI ) / 5

16 VAK016 BOX 1 VIAL
ML
17 VAK017 VAKSIN FLUBIO BOX 1 VIAL
18 VAK018 VAKSIN HEXAXIM BOX 1 VIAL
19 VAK019 VAKSIN HEPBQUIN BOX 1 VIAL
VAKSIN HEPATITIS B RECOMBINANT/

0,5 ML
21 VAK021 VAKSIN INFANRIX BOX 1 VIAL
22 VAK022 VAKSIN INFANRIX HIB / INJ BOX 1 VIAL
23 VAK023 VAKSIN INFANRIX IPV HIB / INJ BOX 1 VIAL
24 VAK024 VAKSIN INFANRIX HEXA / INJ BOX 1 VIAL
25 VAK025 VAKSIN MMR II INJ BOX 1 VIAL
26 VAK026 VAKSIN MANTUK PPD TUBERCULIN BOX 1 VIAL
27 VAK027 VAKSIN PENTABIO 0.5 ML BOX 1 VIAL
VAKSIN POLIO / 50 ML / INJ + ALAT

TETES
29 VAK029 VAKSIN VARIVAX VIAL 1 VIAL
30 VAK030 VAKSIN VAXIGRIP 0,25 MG BOX 1 VIAL
31 VAK031 VAKSIN ROTARIX BOX 1 VIAL
32 VAK032 VAKSIN AVAXIM BOX 1 VIAL
33 VAK033 VAKSIN SYNFLORIX BOX 1 VIAL

ANG TENGAH MEDIKA
HARGA
HARGA
SATUAN
PERKEMASA PPN RAWAT JALAN
SETELAH
N
PPN
115,700 11,570 127,270 171,815
181,705 18,171 199,876 269,832
375,000 37,500 412,500 556,875
530,000 53,000 583,000 787,050
258,940 25,894 284,834 384,526
2,277,000 ### 2,504,700 3,381,345
61,000 6,100 67,100 90,585
80,000 8,000 88,000 118,800
70,816 7,082 77,898 105,162
137,500 13,750 151,250 204,188
666,600 66,660 73,326 98,990
99,000 9,900 108,900 147,015
95,700 9,570 105,270 142,115
150,000 15,000 165,000 222,750
168,000 16,800 184,800 249,480
70,816 7,082 77,898 105,162
99,800 9,980 109,780 148,203
767,250 76,725 843,975 1,139,366
2,613,000 ### 2,874,300 3,880,305
58,300 5,830 64,130 86,576

220,000 22,000 242,000 326,700
315,000 31,500 346,500 467,775
450,000 45,000 495,000 668,250
544,500 54,450 598,950 808,583
80,430 8,043 88,473 119,439
638,400 63,840 702,240 948,024
137,700 13,770 151,470 204,485
567,500 56,750 62,425 84,274
442,122 44,212 486,334 656,551
97,750 9,775 107,525 145,159
230,000 23,000 253,000 341,550
266,805 26,681 293,486 396,205
488,455 48,846 537,301 725,356

RS.KARANG TENGAH MEDIKA
HARGA ALKES RS.KARANG TEN
NO KODE NAMA OBAT KMSN
1 ALK 001 ARMSLING L PCS
2 ALK 002 ARMSLING M PCS
3 ALK 003 ARMSLING S PCS
4 ALK 004 BACTERIA/VIRAL HME FILTER WITH L/L PP PCS
5 ALK 005 BACTERIA/VIRAL HME FILTER MINI / PAED PCS
6 ALK 006 BAROVAC SS-100 ML BOX
9 ALK 009 BLOOD SET ELASTIS PCS
10 ALK 010 BLOOD SET / SANGOFIX BOX
11 ALK 011 BRAOVAC PS-400 ML BOX
12 ALK 012 BRAOVAC SS-100 ML BOX
BULB DRAINAGE SET CATHETER ( BAROVAC MODEL GRANAT ) /

13 ALK 013 SET
100 ML
14 ALK 014 C.V.C TRIO LUMEN SET PCS
15 ALK 015 C.V.C DUO LUMEN SET PCS
16 ALK 016 CANNOFIX BOX
17 ALK 017 CERVICAL COLLAR L PCS
18 ALK 018 CERVICAL COLLAR M PCS
19 ALK 019 CERVICAL COLLAR S PCS

20 ALK 020 CLEANEST PULSE LAVAGE SYSTEM PCS
21 ALK 021 COLOSTOMY BAG PCS
22 ALK 022 COMBO KATERISASI 14 PCS
26 ALK 026 COMBO PACK BS 24 PCS
27 ALK 027 COMBO PACK WPWW 18 PCS
30 ALK 030 CORRUGATED TUBE WITH C02 PORTED / ADULT (AL-1121) PCS
31 ALK 031 CORRUGATED TUBE WITH C02 PORTED / PAED (AL-1421) PCS
32 ALK 032 CURAFIX IV BOX
33 ALK 033 CURAPOR TRANSPARENT 13105 ( 10 X 25 ) PCS
34 ALK 034 CURAPOR TRANSPARENT 13101 ( 7 X 5 ) BOX
35 ALK 035 CRANIOFIX RAPIDFLAP SPINDOWN 16 mm ( 75-1030 ) PCS
36 ALK 036 DISPOSABLE SKIN STAPLER / PROXIMATE PLUS / PMW35 BOX
37 ALK 037 CONTOUR SHUNTING ADULT M/P PCS
38 ALK 038 DISPOSABLE SKIN STAPLER 35 W PCS
39 ALK 039 DISPOSABLE STAPLE REMOVER PCS
40 ALK 040 DISPOSIBLE SYIRINGE INSULIN /1CC BOX
41 ALK 041 DISPOSIBLE SYIRINGE TUBERCULIN /1CC BOX
42 ALK 042 DISPOSIBLE SYRINGE / 10 CC / TERUMO PCS
43 ALK 043 DISPOSIBLE SYRINGE / 3 CC / TERUMO BOX

44 ALK 044 DISPOSIBLE SYRINGE / 5 CC / TERUMO PCS
45 ALK 045 DISPOSIBLE SYRINGE / 50 CC / TERUMO (BIASA) PCS
46 ALK 046 DISPOSIBLE SYRINGE / 50 CC / TERUMO / CATH TIP PCS
47 ALK 047 DISPOSIBLE SYRINGE /20 CC / TERUMO PCS
48 ALK 048 ELEKTRODA ANAK BOX
49 ALK 049 ELEKTRODA DEWASA BOX
50 ALK 050 ENDOTRACHEAL TUBE CUFEED 3,5 PCS
51 ALK 051 ENDOTRACHEAL TUBE CUFEED 4 PCS
54 ALK 054 ENDOTRACHEAL TUBE CUFEED 6 / EDT - 9460 PCS
55 ALK 055 ENDOTRACHEAL TUBE CUFEED 6,5 / EDT - 9465 C PCS
56 ALK 056 ENDOTRACHEAL TUBE CUFEED 7 / EDT - 9470 CB PCS
57 ALK 057 ENDOTRACHEAL TUBE CUFFED 5.0 PCS
58 ALK 058 ENDOTRACHEAL TUBE CUFFED 7 PCS
59 ALK 059 ENDOTRACHEAL TUBE CUFFED 7,5 PCS
60 ALK 060 ENDOTRACHEAL TUBECUFEED 3 PCS
61 ALK 061 ETT CUFFED 2.0 PCS

72 ALK 072 ETT CUFFED 8 PCS
73 ALK 073 ETT CUFFED 8,5 PCS
74 ALK 074 ETT UNCUFFED 2 PCS
75 ALK 075 ETT UNCUFFED 3.0 PCS
76 ALK 076 EXTERNAL VENTRICULAR DRAINAGE ( EVD ) PCS
77 ALK 077 EYE PROTECTOR FOR PHOTOTERAPI / BESAR BOX
78 ALK 078 EYE PROTECTOR FOR PHOTOTERAPI (NEO PHOTOSADE)/KECIL BOX
79 ALK 079 ELASTIC BANDAGE 15 CM X 4,55 M ( 6" ) ROLL
80 ALK 080 ELASTIC BANDAGE 10 CM X 4,55 M ( 4" ) ROLL
81 ALK 081 ELASTIC BANDAGE 7,5 CM X 4,55 M ( 3" ) ROLL
82 ALK 082 FACE MASK KARET BOX
83 ALK 083 FACE MASK TALI BOX
84 ALK 084 FEEDING TUBE 10 FR X 120 CM PCS
85 ALK 085 FOLLEY CATHETER / CH - 14 PCS
86 ALK 086 FOLLEY CATHETER / CH - 22 / 3 WAY (RUSCH) PCS
87 ALK 087 FOLLEY CATHETER / CH - 24 / 3 WAY PCS
90 ALK 090 FOLLEY CATHETER 2 WAY NO.12 PCS

93 ALK 093 FOLLEY CATHETER 2 WAY NO.18 PD PCS
94 ALK 094 FOLLEY CATHETER NO.20 (RUSCH) PCS
95 ALK 095 FOLLEY CATHETER NO.22 (RUSCH) PCS
96 ALK 096 FOLLEY CHATETER / CH - 10 PCS
97 ALK 097 FOLLEY CHATETER / CH - 12 BOX
98 ALK 098 FOLLEY CHATETER / CH - 16 (RUSCH) BOX
99 ALK 099 FOLLEY CHATETER / CH - 18 BOX
100 ALK 100 FOLLEY CHATETER / CH - 24 PCS
101 ALK 101 FORMALIN 1 LITER PCS
102 ALK 102 GELANG BAYI BIRU BOX
103 ALK 103 GELANG BAYI PINK BOX
104 ALK 104 GELANG DEWASA BIRU BOX
105 ALK 105 GELANG DEWASA PINK BOX
106 ALK 106 GIGLI HANDLE FOR WIRE SAW PCS
107 ALK 107 GIGLI WIRE SAW 50 CM ( 40-0901-50 ) PCS
108 ALK 108 GLYCERIN PH @1 LITER BTL
109 ALK 109 GUDEL NO 2/80 PCS
110 ALK 110 GUDEL NO. 0/60 mm ( HITAM ) PCS
111 ALK 111 GUDEL NO. 00/50 mm PCS
112 ALK 112 GUDEL NO. 3/100 mm ( MERAH ) PCS
113 ALK 113 GUDEL NO. 4/110 mm ( ORANGE ) PCS
114 ALK 114 GUDEL NO. 5 PCS
115 ALK 115 GUDEL NO. 6/120 mm ( UNGU ) PCS

116 ALK 116 GUDEL NO.2/90 mm ( KUNING ) PCS
117 ALK 117 GYPSONA NO.3/ KECIL BOX
118 ALK 118 GYPSONA NO.4/ SEDANG BOX
119 ALK 119 GYPSONA NO.6/ BESAR BOX
120 ALK 120 HANDSCOON GYNECOLOGICAL STERIL M BOX
121 ALK 121 HANDSCOON NON SRTERIL SIZE M BOX
122 ALK 122 HANDSCOON NON STERIL SIZE XS BOX
123 ALK 123 HANDSCOON NON STERIL SIZE L BOX
124 ALK 124 HANDSCOON NON STERIL SIZE S BOX
125 ALK 125 HYDROGEN PEROXYD 50% / H2O2 BTL
126 ALK 126 HYPAFIX / 5 CM X 5 M BOX
129 ALK 129 HOGY GYNAECOLOGY SET (CAESAREAN) PACK
130 ALK 130 I U D NOVA -T PCS
131 ALK 131 INFUSION MACRO DRIP PCS
132 ALK 132 INFUSION SET MICRO DRIP BURET PCS
133 ALK 133 INFUSION SET MICRO DRIP/OI-30 (PEDIATRIC) BOX
134 ALK 134 INJECTOMAT LINE PVC 100 CM PCS
135 ALK 135 INJECTOMAT LINE PVC 150 CM PCS
136 ALK 139 IV CANULLA G 14 PCS

140 IV CANULLA G 22 PCS
142 IV CANULLA G 26 PCS
143 ALK 147 KAPAS 1 KG ROLL
144 ALK 148 KAPAS 100 GR ROLL
145 ALK 149 KAPAS 500 GR ROLL
146 ALK 150 KAPAS LIDI BOX
147 ALK 151 KASA GULUNG 40 M x 80 CM RIM
148 ALK 152 KASA GULUNG X-RAY RIM
149 ALK 153 KASA HUSADA STERIL 16 X 16 KTK
150 ALK 154 KASA PEMBALUT 4X5CM ROL
151 ALK 156 KERTAS EKG KECIL 110 MM X 30 MM ROLL
152 ALK 157 KERTAS EKG BESAR 210 MM X 30 MM ROLL
153 ALK 158 KERTAS LAKMUS MERAH BOX
154 ALK 159 KERTAS LAKMUS MERAH BOX
155 ALK 160 KIT 9003 E INTL ONLY SHUNT CONT SM ME (9003B) PCS
156 ALK 161 BURR HOLE SHUNT SET SMALL M/P PCS
157 ALK 162 KONDOM KATETER L BOX
158 ALK 163 KONDOM KATETER M BOX
159 ALK 164 KONDOM KATETER S BOX
160 ALK 165 KONDOM SUTRA DUS
161 ALK 166 LAMINARIA KTK L BOX
162 ALK 167 LAMINARIA KTK M BOX
163 ALK 168 LATEX FREE HEADSTRAP (AL-162-OG-062) PCS

164 ALK 169 LEUKOPLAST / 1 x 5 (1622H) BOX
167 ALK 172 LEUKOSAN STRIP 6 x 38 mm (72629-00) BOX
168 ALK 173 LEUKOSAN STRIP 3 x 75 mm (72629-01) BOX
169 ALK 174 LINA PEN, SINGLE USE 516 PCS
170 ALK 175 LOMATUEL - 23315 BOX
171 ALK 176 MONOCRYL VIO 2-0 ( Y317H ) PCS
172 ALK 177 MASKER AEROSOL PCS
173 ALK 178 MASKER NEBULAIZER/ADULT / 1172 PCS
174 ALK 179 MASKER NEBULAIZER/PEDIATRIC / 1173 PCS
175 ALK 180 MASKER REBRITING / PAEDIATRIC / 1140 PCS
176 ALK 181 MASKER REBRITING / ADULT / 8120 PCS
177 ALK 182 MASKER TALI BOX
178 ALK 183 MASKER N95 BOX
179 ALK 184 MATERNITY NAPKIN(PEMBALUT BERSALIN) BOX
180 ALK 185 MICROPORE KECIL / 1/2 INC BOX
181 ALK 186 MICROPORE SEDANG / 1 INC BOX
182 ALK 187 MICROPORE BESAR / 2 INC BOX
183 ALK 188 MICROPORE BESAR / 2 INC PCS
184 ALK 189 NASAL OKSIGEN CANNULA / 200 CM / FG 10 PAED PCS
185 ALK 191 NASAL OKSIGEN CANNULA ADULT (1169) PCS
186 ALK 192 NASAL OKSIGEN INFANT (1601) PCS
187 ALK 193 NASAL OKSIGEN NEONATE (1611) PCS

188 ALK 195 NASO GASTRIC TUBE NO 10 PCS
194 ALK 201 NASO GASTRIC TUBE No 3.5 PCS
195 ALK 202 NASO GASTRIC TUBE NO 5/100 CM PCS
196 ALK 203 NASO GASTRIC TUBE NO 5/40 CM PCS
197 ALK 204 NASO GASTRIC TUBE NO 8/100 PCS
198 ALK 205 NASO GASTRIC TUBE NO 8/40 PCS
199 ALK 206 NASOPHARYNGEAL AIRWAY PCS
200 ALK 207 NEEDLE NO 18 - G PCS
201 ALK 208 NEEDLE NO 21 - G BOX
207 ALK 214 NEONATE CANULLA SALTER L-GEA USA (1611) PCS
208 ALK 215 NOVO TWIST 32 G TIP X 5MM BOX
209 ALK 216 NOVOFINE NEEDLE BOX
210 ALK 217 NASAL MASK Size M ( 1200-05 ) PCS
211 ALK 218 NASAL MASK Size L ( 1200-06 ) PCS

212 ALK 219 BUBBLE CPAP GENERATOR ( DISPOSABLE ) ( BC01 ) PCS
213 ALK 220 MINIFLOW ( 4000 ) PCS
214 ALK 221 T-PIECE WITH PRESSURE LINE FOR MINIFLOW ( 4010 ) PCS
NEONATE SINGLE HEATED WITH CHAMBER ( DISPOSABLE )

215 ALK 222 PCS
( 5745 )
216 ALK 223 OKSIGEN NON REBRITING / PAEDIATRIC (1140) PCS
217 ALK 224 OKSIGEN NON REBRITING/ADULT (1359) PCS
218 ALK 225 ORTHOPEDIC 6.0 PCS
219 ALK 226 ORTHOPEDIC 7.0 PCS
220 ALK 227 OXYGEN MASK HIGH CONCENTRATE ADULT (8120) PCS
221 ALK 228 OXYGEN MASK HIGH CONCENTRATE PEDIATRIC (1127) PCS
222 ALK 229 PATTIE 1/2 x 1 ( 8004002 ) BOX
223 ALK 230 PDS II 2-0 / 70 CM ( W9125H ) BOX
224 ALK 231 PD CAP GREEN / TOPI OPERASI / SURGEON CAP BOX
225 ALK 232 PD NOC PEDIATRIC PCS
226 ALK 233 PEDIATRIC, MODIFIED JACKSON REEVES, FRESH GAS LINE PCS
227 ALK 234 PENROSE ALL SILICONE 8 mm PCS
228 ALK 235 PERBAND GULUNG 10 CM ROLL
229 ALK 236 PERFUSOR TUBING PE 150 CM (GANTI NYA INJECTOMAT LINE) PCS
230 ALK 237 PERIFIX EPIDURAL 400 G18X3 PCS
231 ALK 238 PHOTOSHADE SIZE 1 < 1000 gm ( EYE PROTECTOR ) PCS
232 ALK 239 PLESTER COKLAT / 1 X 5 ( 1622 ) ROLL
235 ALK 242 POLYMED 3 WAY STOP COCK PCS

236 ALK 243 PRESEPT 0,5 TAB (ANTISEPTIC) POT
237 ALK 244 PRO IV TRANSPARANT PCS
238 ALK 245 PROLENE 2-0 ( W8623 ) PCS
239 ALK 246 RING PESARIUM NO. 7.5 PCS
240 ALK 247 REDURA PATCH PCS
241 ALK 248 SELANG MASKER ANAK PCS
242 ALK 249 SELANG MASKER DEWASA PCS
243 ALK 250 SLIM SEHER MOCUS PCS
244 ALK 251 STERANIOS 2 % / 5 LTR BTL
245 ALK 252 SNAP PENANDA GELANG PASIEN ( MERAH ) BOX
246 ALK 253 SNAP PENANDA GELANG PASIEN (KUNING ) BOX
247 ALK 254 SNAP PENANDA GELANG PASIEN (UNGU ) BOX
248 ALK 255 SONOCATH HSG SET PCS
249 ALK 256 SOFBAN BESAR 6" ROLL
250 ALK 257 SOFBAN KECIL 3" ROLL
251 ALK 258 SOFBAN SEDANG 4" ROLL
252 ALK 259 SPALK UK 10 X 50 CM PCS
255 ALK 262 SPALK UK 4 X10 CM PCS

260 ALK 267 SPATEL LIDAH KAYU BOX
261 ALK 268 SPINOCAIN G - 26 PCS
262 ALK 269 SPINOCAIN G - 27 PCS
263 ALK 270 SPINOCAIN G-25 PCS
264 ALK 271 STARDINE 30 ML BTL
265 ALK 272 STARDINE 60 ML BTL
266 ALK 273 STERIL GLOVE size 6,0 BOX
268 ALK 275 STERIL GLOVE size 7 BOX
270 ALK 277 STERIL GLOVE size 8 BOX
271 ALK 278 SUCTION CATHETER NO. 06 PCS
274 ALK 281 SUCTION CATHETER NO.12 / PD PCS
275 ALK 282 SUCTION CATHETER NO.8 / PD PCS
276 ALK 283 SURGICEL FIB. HEMOSTAT (1961) ( ETHICON ) PCS
277 ALK 284 SPEDDY FLAP CRANIOPLASTY PCS
278 ALK 285 SURGICAL BLADE NO 10 (BISTURI) BOX
279 ALK 286 SURGICAL BLADE NO 11 BOX
280 ALK 287 SURGICAL BLADE NO. 15 BOX
281 ALK 288 SURGICAL BLADE NO. 22 BOX
282 ALK 289 SURGICAL BLADE NO.20 BOX
283 ALK 290 SURGICAL STAPLER 33-P (FCSSWBE33) BOX

284 ALK 291 SUTURE NEEDLE GR 10 PACK
285 ALK 292 SUTURE NEEDLE GR 11 PACK
286 ALK 293 SUTURE NEEDLE HEATING GR No 10 (OTOT) PACK
289 ALK 296 SUTURE NEEDLE HEATING GT No 10 (KULIT) PACK
290 ALK 297 SUTURE NEEDLE HEATING GT No 11 (OTOT) PACK
293 ALK 300 SUTURE NEEDLE HEATING GT No 14 PACK
301 ALK 308 SUTURE NEEDLE HEATING GT No13 (KULIT) PACK
302 ALK 309 SUTURE 10-0 NYLON 30 CM/TRAPE SPATULA 6.0 MM PCS
303 ALK 310 TEGADERM BESAR / BAND AID 10 x 25 (1627) PCS
304 ALK 311 TEGADERM KECIL / BAND AID/ 6x7 (1624 W) BOX
305 ALK 312 TENSOCREPE 10 CM X 4,55 M ( 4" ) BOX
306 ALK 313 TENSOCREPE 15 CM X 4,55 M (6") BOX
307 ALK 314 TENSOCREPE 7,5 CM X 4,55 M (3") BOX

308 ALK 315 TENSOPLAST STK ADULT BOX
309 ALK 316 TERMOMETER BOX
310 ALK 317 THREE WAY STOP BUNTUT PCS
311 ALK 318 THREE WAY STOP COCK PCS
312 ALK 319 TRACHEOSTOMY FILTER WITH HME PAPER (AL-06026) PCS
TRACHEOSTOMY FILTER WITH HME PAPER WITH O2 TUBING (AL-

313 ALK 320 PCS
08026)
314 ALK 321 TRACHEOSTOMY TUBE CUFFED 7.0 MM PCS
315 ALK 322 TRACHEOSTOMY TUBE CUFFED 6.0 MM PCS
316 ALK 323 TRACHEOSTOMY TUBE UNCUFFED + SET Size 6.0 MM ( KAN ) PCS
317 ALK 324 TRANSOFIX PCS
318 ALK 325 TITANIUM CLIPS MEDIUM LARGE (300-880-300) BOX
319 ALK 326 UMBILICAL CATHETER NO. 5 / 198-05201 PCS
320 ALK 327 UMBILICAL CORD CLAMP BOX
322 ALK 329 UNDERPADS BOX
323 ALK 331 URINE BAG PCS
324 ALK 332 USG JELLY BOX
325 ALK 333 USG JELLY AQUASONIC 5 LITER BOX
326 ALK 334 USG SONY PAPER 110 X 18 ROLL
327 ALK 335 VICRYL PLUS 2-0 ( VCP602H ) PCS
328 ALK 336 WINNER VASELIN SWAB 10X10CM BOX
329 ALK 337 WASH CARE PD ( TISSUE BASAH ) PCS
330 ALK 338 WINNER WOUND DRESSING STRIP 5CMX5M PCS
331 ALK 339 WING NEEDLE NO.18 - G PCS
332 ALK 340 WING NEEDLE NO.21 - G BOX

334 ALK 342 WING NEEDLE NO.25 - G PCS

ARANG TENGAH MEDIKA
HARGA
HARGA SATUAN
ISI SAT PPN RAWAT JALAN
PERKEMASAN SETELAH
PPN
1 PCS 75,000 7,500 82,500 111,375
1 PCS 75,000 7,500 82,500 111,375
1 PCS 75,000 7,500 82,500 111,375
1 PCS 36,500 3,650 40,150 54,203
1 PCS 45,600 4,560 50,160 67,716
1 PCS 441,600 44,160 485,760 655,776
1 PCS 1,500,000 150,000 1,650,000 2,227,500
1 PCS 457,125 45,713 502,838 678,831
5 PCS 115,500 11,550 25,410 34,304
10 PCS 285,000 28,500 31,350 42,323
1 PCS 457,125 45,713 502,838 678,831
1 PCS 441,600 44,160 485,760 655,776
1 SET 1,500,000 150,000 1,650,000 2,227,500
1 PCS 900,000 90,000 990,000 1,336,500
1 PCS 825,000 82,500 907,500 1,225,125
1 PCS 7,000 700 7,700 10,395
1 PCS 92,401 9,240 101,641 137,215
1 PCS 87,433 8,743 96,176 129,838
1 PCS 75,000 7,500 82,500 111,375

1 PCS 1,545,455 154,545 1,700,000 2,295,000
1 PCS 49,900 4,990 54,890 74,102
1 PCS 44,000 4,400 48,400 65,340
1 PCS 44,000 4,400 48,400 65,340
1 PCS 44,000 4,400 48,400 65,340
1 PCS 35,000 3,500 38,500 51,975
1 PCS 41,250 4,125 45,375 61,256
1 PCS 34,000 3,400 37,400 50,490
1 PCS 34,000 3,400 37,400 50,490
1 PCS 34,000 3,400 37,400 50,490
1 PCS 182,500 18,250 200,750 271,013
1 PCS 194,500 19,450 213,950 288,833
50 PCS 350,000 35,000 7,700 10,395
1 PCS 32,500 3,250 35,750 48,263
50 PCS 250,000 25,000 5,500 7,425
1 PCS 1,868,000 186,800 2,054,800 2,773,980
6 PCS 1,800,000 180,000 330,000 445,500
1 PCS 5,500,000 550,000 6,050,000 8,167,500
1 PCS 165,000 16,500 181,500 245,025
1 PCS 65,000 6,500 71,500 96,525
100 PCS 530,000 53,000 5,830 7,871
100 PCS 640,000 64,000 7,040 9,504
100 PCS 730,000 73,000 8,030 10,841
100 PCS 460,000 46,000 5,060 6,831

100 PCS 560,000 56,000 6,160 8,316
20 PCS 424,000 42,400 23,320 31,482
20 PCS 800,000 80,000 44,000 59,400
50 PCS 635,000 63,500 13,970 18,860
30 PCS 280,000 28,000 10,267 13,860
50 PCS 388,111 38,811 8,538 11,527
1 PCS 190,000 19,000 209,000 282,150
1 PCS 190,000 19,000 209,000 282,150
1 PCS 66,000 6,600 72,600 98,010
1 PCS 66,000 6,600 72,600 98,010
1 PCS 66,000 6,600 72,600 98,010
1 PCS 66,000 6,600 72,600 98,010
1 PCS 66,000 6,600 72,600 98,010
1 PCS 66,000 6,600 72,600 98,010
1 PCS 35,000 3,500 38,500 51,975
1 PCS 66,000 6,600 72,600 98,010
1 PCS 196,000 19,600 215,600 291,060
1 PCS 69,300 6,930 76,230 102,911
1 PCS 41,400 4,140 45,540 61,479
1 PCS 35,000 3,500 38,500 51,975
1 PCS 35,000 3,500 38,500 51,975
1 PCS 35,000 3,500 38,500 51,975
1 PCS 35,000 3,500 38,500 51,975
1 PCS 35,000 3,500 38,500 51,975

1 PCS 41,400 4,140 45,540 61,479
1 PCS 35,000 3,500 38,500 51,975
1 PCS 35,000 3,500 38,500 51,975
1 PCS 35,000 3,500 38,500 51,975
1 PCS 35,000 3,500 38,500 51,975
1 PCS 72,600 7,260 79,860 107,811
1 PCS 19,000 1,900 20,900 28,215
1 PCS 19,000 1,900 20,900 28,215
1 PCS 3,750,000 375,000 4,125,000 5,568,750
1 PCS 65,000 6,500 71,500 96,525
1 PCS 65,000 6,500 71,500 96,525 pakai

yang ini.
penggant
1 ROLL 18,961 1,896 20,857 28,157
i
tensocra
1 ROLL 12,443 1,244 13,687 18,478 pe.
1 ROLL 9,876 988 10,864 14,666
50 PCS 55,000 5,500 1,210 1,634
50 PCS 33,800 3,380 744 1,004
1 PCS 38,500 3,850 42,350 57,173
1 PCS 23,182 2,318 25,500 34,425
1 PCS 145,000 14,500 159,500 215,325
1 PCS 44,000 4,400 48,400 65,340
1 PCS 98,800 9,880 108,680 146,718
1 PCS 42,000 4,200 46,200 62,370
1 PCS 14,500 1,450 15,950 21,533
1 PCS 23,182 2,318 25,500 34,425

1 PCS 23,182 2,318 25,500 34,425
1 PCS 23,182 2,318 25,500 34,425
1 PCS 28,000 2,800 30,800 41,580
1 PCS 28,000 2,800 30,800 41,580
1 PCS 280,000 28,000 308,000 415,800
1 PCS 25,500 2,550 28,050 37,868
1 PCS 23,182 2,318 25,500 34,425
1 PCS 23,182 2,318 25,500 34,425
1 PCS 19,000 1,900 20,900 28,215
1 BTL 20,000 2,000 22,000 29,700
100 PCS 100,000 10,000 1,100 1,485
100 PCS 100,000 10,000 1,100 1,485
100 PCS 110,000 11,000 1,210 1,634
100 PCS 110,000 11,000 1,210 1,634
1 PCS 503,370 50,337 553,707 747,504
1 PCS 333,200 33,320 366,520 494,802
1 BTL 54,545 5,455 60,000 81,000
1 PCS 26,000 2,600 28,600 38,610
1 PCS 26,000 2,600 28,600 38,610
1 PCS 26,000 2,600 28,600 38,610
1 PCS 26,000 2,600 28,600 38,610
1 PCS 26,000 2,600 28,600 38,610
1 PCS 26,000 2,600 28,600 38,610
1 PCS 26,000 2,600 28,600 38,610

1 PCS 26,000 2,600 28,600 38,610
1 ROLL 25,752 2,575 28,327 38,242
1 ROLL 36,054 3,605 39,659 53,540
1 ROLL 47,278 4,728 52,006 70,208
1 PCS 40,000 4,000 44,000 59,400
100 PCS 100,000 10,000 1,100 1,485
100 PCS 100,000 10,000 1,100 1,485
100 PCS 100,000 10,000 1,100 1,485
100 PCS 100,000 10,000 1,100 1,485
1 BTL 38,182 3,818 42,000 56,700
1 ROLL 58,000 5,800 63,800 86,130
1 ROLL 155,000 15,500 170,500 230,175
1 ROLL 195,000 19,500 214,500 289,575
1 PACK 690,400 69,040 759,440 1,025,244
1 PCS 275,286 27,529 302,815 408,800
1 PCS 7,455 746 8,201 11,071
1 PCS 140,000 14,000 154,000 207,900
1 PCS 20,000 2,000 22,000 29,700
1 PCS 45,000 4,500 49,500 66,825
1 PCS 45,000 4,500 49,500 66,825
1 PCS 45,000 4,500 49,500 66,825
1 PCS 32,000 3,200 35,200 47,520
1 PCS 32,000 3,200 35,200 47,520
1 PCS 10,980 1,098 12,078 16,305

1 PCS 10,980 1,098 12,078 16,305
1 PCS 10,980 1,098 12,078 16,305
1 PCS 12,235 1,224 13,459 18,169
1 ROLL 114,000 11,400 125,400 169,290
1 ROLL 10,782 1,078 11,860 16,011
1 ROLL 22,000 2,200 24,200 32,670
100 PCS 75,000 7,500 825 1,114
1 RIM 300,000 30,000 330,000 445,500
200 RIM 285,000 28,500 1,568 2,116
1 KTK 8,800 880 9,680 13,068
10 ROL 16,250 1,625 1,788 2,413
1 ROLL 105,300 10,530 115,830 156,371
1 ROLL 94,000 9,400 103,400 139,590
50 PCS 80,000 8,000 1,760 2,376
50 PCS 80,000 8,000 1,760 2,376
1 PCS 5,371,818 537,182 5,909,000 7,977,150
1 PCS 5,000,000 500,000 5,500,000 7,425,000
1 PCS 5,000 500 5,500 7,425
1 PCS 5,000 500 5,500 7,425
1 PCS 5,000 500 5,500 7,425
24 PCS 12,960 1,296 594 802
12 PCS 100,000 10,000 9,167 12,375
12 PCS 100,000 10,000 9,167 12,375
1 PCS 85,500 8,550 94,050 126,968

1 ROLL 14,111 1,411 15,522 20,955
1 ROLL 27,089 2,709 29,798 40,227
1 ROLL 39,527 3,953 43,480 58,698
300 PCS 346,500 34,650 1,271 1,715
250 PCS 367,500 36,750 1,617 2,183
1 PCS 132,000 13,200 145,200 196,020
10 PCS 143,000 14,300 15,730 21,236
1 PCS 85,878 8,588 94,466 127,529
1 PCS 42,000 4,200 46,200 62,370
1 PCS 33,600 3,360 36,960 49,896
1 bact 43,200 4,320 47,520 64,152
1 PCS 67,600 6,760 74,360 100,386
1 PCS 27,000 2,700 29,700 40,095
50 PCS 33,800 3,380 744 1,004
20 PCS 476,652 47,665 26,216 35,391
60 PCS 1,650,000 165,000 30,250 40,838
24 PCS 211,320 21,132 9,686 13,075
12 PCS 277,200 27,720 25,410 34,304
1 PCS 46,960 4,696 51,656 69,736
1 PCS 31,000 3,100 34,100 46,035
1 PCS 6,900 690 7,590 10,247
1 PCS 6,273 627 6,900 9,315
1 PCS 58,500 5,850 64,350 86,873
1 PCS 6,273 627 6,900 9,315

1 PCS 32,000 3,200 35,200 47,520
1 PCS 20,100 2,010 22,110 29,849
1 PCS 33,600 3,360 36,960 49,896
1 PCS 33,600 3,360 36,960 49,896
1 PCS 30,240 3,024 33,264 44,906
1 PCS 30,000 3,000 33,000 44,550
1 PCS 38,500 3,850 42,350 57,173
1 PCS 34,650 3,465 38,115 51,455
1 PCS 34,650 3,465 38,115 51,455
1 PCS 38,500 3,850 42,350 57,173
1 PCS 34,650 3,465 38,115 51,455
1 PCS 64,800 6,480 71,280 96,228
100 PCS 108,000 10,800 1,188 1,604
100 PCS 100,000 10,000 1,100 1,485
100 PCS 100,000 10,000 1,100 1,485
100 PCS 100,000 10,000 1,100 1,485
100 PCS 108,000 10,800 1,188 1,604
100 PCS 225,000 22,500 2,475 3,341
100 PCS 180,000 18,000 1,980 2,673
1 PCS 63,100 6,310 69,410 93,704
100 PCS 210,000 21,000 2,310 3,119
100 PCS 248,500 24,850 2,734 3,690
1 PCS 313,500 31,350 344,850 465,548
1 PCS 313,500 31,350 344,850 465,548

1 PCS 517,000 51,700 568,700 767,745
1 PCS 693,000 69,300 762,300 1,029,105
1 PCS - - -
1 PCS 477,300 47,730 525,030 708,791
1 PCS 69,100 6,910 76,010 102,614
1 PCS 31,300 3,130 34,430 46,481
1 PCS 21,500 2,150 23,650 31,928
1 PCS 21,500 2,150 23,650 31,928
1 PCS 28,500 2,850 31,350 42,323
1 PCS 51,200 5,120 56,320 76,032
20 PCS 3,011,570 301,157 165,636 223,609
36 PCS 3,651,480 365,148 111,573 150,624
100 PCS 90,000 9,000 990 1,337
1 PCS 12,500 1,250 13,750 18,563
1 PCS 300,000 30,000 330,000 445,500
1 PCS 50,025 5,003 55,028 74,287
1 ROLL 7,500 750 8,250 11,138
1 PCS 45,000 4,500 49,500 66,825
1 PCS 360,000 36,000 396,000 534,600
1 PCS 65,000 6,500 71,500 96,525
1 ROLL 14,111 1,411 15,522 20,955
1 ROLL 27,089 2,709 29,798 40,227
1 ROLL 39,527 3,953 43,480 58,698
1 PCS 12,000 1,200 13,200 17,820

600 TAB 455,400 45,540 835 1,127
50 PCS 145,000 14,500 3,190 4,307
1 PCS 161,330 16,133 177,463 239,575
1 PCS 112,675 11,268 123,943 167,322
1 PCS 3,858,750 385,875 4,244,625 5,730,244
10 PCS 220,000 22,000 24,200 32,670
10 PCS 220,000 22,000 24,200 32,670
2 PCS 20,000 2,000 11,000 14,850
1 BTL 592,500 59,250 651,750 879,863
100 PCS 250,000 25,000 2,750 3,713
100 PCS 617,000 61,700 6,787 9,162
100 PCS 250,000 25,000 2,750 3,713
1 PCS 700,000 70,000 770,000 1,039,500
1 ROLL 37,900 3,790 41,690 56,282
1 ROLL 21,700 2,170 23,870 32,225
1 ROLL 27,100 2,710 29,810 40,244
1 PCS 15,000 1,500 16,500 22,275
1 PCS 22,000 2,200 24,200 32,670
1 PCS 28,000 2,800 30,800 41,580
1 PCS 5,500 550 6,050 8,168
1 PCS 6,500 650 7,150 9,653
1 PCS 5,500 550 6,050 8,168
1 PCS 6,000 600 6,600 8,910
1 PCS 11,000 1,100 12,100 16,335

50 PCS 125,000 12,500 2,750 3,713
1 PCS 40,000 4,000 44,000 59,400
1 PCS 47,000 4,700 51,700 69,795
1 PCS 40,000 4,000 44,000 59,400
1 BTL 10,000 1,000 11,000 14,850
1 BTL 17,500 1,750 19,250 25,988
50 PCS 545,000 54,500 11,990 16,187
50 PCS 345,000 34,500 7,590 10,247
50 PCS 345,000 34,500 7,590 10,247
50 PCS 345,000 34,500 7,590 10,247
50 PCS 545,000 54,500 11,990 16,187
1 PCS 6,100 610 6,710 9,059
1 PCS 12,000 1,200 13,200 17,820
1 PCS 12,000 1,200 13,200 17,820
1 PCS 12,000 1,200 13,200 17,820
1 PCS 12,000 1,200 13,200 17,820
1 PCS 550,000 55,000 605,000 816,750
1 PCS 2,500,000 250,000 2,750,000 3,712,500
100 PCS 295,000 29,500 3,245 4,381
100 PCS 360,000 36,000 3,960 5,346
100 PCS 185,000 18,500 2,035 2,747
100 PCS 203,637 20,364 2,240 3,024
100 PCS 273,000 27,300 3,003 4,054
1 PCS 3,500,000 350,000 3,850,000 5,197,500

12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
12 PCS 99,000 9,900 9,075 12,251
1 PCS 181,333 18,133 199,467 269,280
20 PCS 800,520 80,052 44,029 59,439
20 PCS 176,900 17,690 9,730 13,135
1 ROLL 63,287 6,329 69,616 93,981
1 ROLL 83,119 8,312 91,431 123,432
1 ROLL 52,575 5,258 57,833 78,074

1 PCS 89,440 8,944 98,384 132,818
12 PCS 195,000 19,500 17,875 24,131
1 PCS 11,364 1,136 12,500 16,876
1 PCS 12,549 1,255 13,804 18,635
1 PCS 36,500 3,650 40,150 54,203
1 PCS 42,500 4,250 46,750 63,113
1 PCS 215,000 21,500 236,500 319,275
1 PCS 215,000 21,500 236,500 319,275
1 PCS 605,000 60,500 665,500 898,425
1 PCS 6,900 690 7,590 10,247
20 PCS 4,185,000 418,500 230,175 310,736
1 PCS 11,000 1,100 12,100 16,335
1 PCS 4,500 450 4,950 6,683
10 PCS 71,818 7,182 7,900 10,665
1 PCS 4,770 477 5,247 7,083
10 PCS 400,000 40,000 44,000 59,400
1 PCS 700,000 70,000 770,000 1,039,500
1 ROLL 330,000 33,000 363,000 490,050
1 PCS 96,585 9,658 106,243 143,428
10 PCS 49,381 4,938 5,432 7,333
1 PCS 9,350 935 10,285 13,885
1 PCS 21,728 2,173 23,901 32,266
1 PCS 10,000 1,000 11,000 14,850
1 PCS 10,000 1,000 11,000 14,850

1 PCS 12,000 1,200 13,200 17,820
1 PCS 10,000 1,000 11,000 14,850
1 PCS 20,000 2,000 22,000 29,700

#REF! RS Karang Tengah Medika

HARGA LABORATORIUM RS.KARANG TENGAH MED
HARGA
NO KODE NAMA OBAT KMSN ISI SAT PERKEMASA
N
1 LAB 001 ACCON HCG BOX 50 PACK 160,000
2 LAB 002 A/C PERFORMA ( ACCU CEK ) BOX 100 PACK 780,000
3 LAB 003 ACCU.SAFE-T-PRO UNO 200 BOX 200 PCS 240,000
4 LAB 004 ALT-R1 BTL 1 BTL 895,600
5 LAB 005 ALT-R2 BTL 1 BTL 537,000
6 LAB 006 ANTI A / 10 ML BOX 1 PCS 147,727
7 LAB 007 ANTI AB / 10 ML BTL 1 BTL 147,727
8 LAB 008 ANTI B / 10 ML BTL 1 BTL 147,727
9 LAB 009 ANTI D (RHESUS) / 10 ML BTL 1 BTL 147,727
10 LAB 010 AQUADEST 20 L BTL 1 BTL 118,182
11 LAB 011 AST-R1 BTL 1 BTL 907,200
12 LAB 012 AST-R2 BTL 1 BTL 529,000
13 LAB 013 PLASBUMIN 20% 100 ML INFUS BTL 1 BTL 2,098,000
14 LAB 014 BLUE TIP BOX 1 PCS 150,000
15 LAB 015 BUN R1 (UREA NITROGEN) BOX 1 PCS 551,000
16 LAB 016 BUN R2 (UREA NITROGEN) BOX 1 PCS 580,000
17 LAB 017 CUP SAMPLE 1,0 ML BOX 500 PCS 431,818
18 LAB 018 CUP SAMPLE 1,5 ML BOX 500 PCS 431,818
19 LAB 019 CELLPACK (PK 30L) BTL 1 BTL 1,737,000

20 LAB 020 COMBOSTIK 10M URINE BTL 100 BTL 525,000
21 LAB 021 CONTROL E-CHECK XS (LOW, NORMAL, HIGH) BTL 1 BTL 2,184,000
22 LAB 022 CRE-R1 (CREATININ) BTL 1 BTL 2,282,000
23 LAB 023 CRE-R2 (CREATININ) BTL 1 BTL 502,800
24 LAB 024 DEMPUL HEMATOKRIT BOX 1 PCS 400,000
25 LAB 025 DBIL-R1 BUFFER (DIRECT BILIRUBIN) BTL 1 BTL 1,184,000
26 LAB 026 DBIL-R2 DIAZO REAGENT (DIECT BILIRUBIN) BTL 1 BTL 449,000
27 LAB 027 DECK GLASS BOX 100 PCS 75,000
28 LAB 028 EOSIN 100 ML BOX 1 PCS 280,000
29 LAB 029 E-CHECK XS (L, N, H) BOX 1 BTL 2,184,000
30 LAB 030 GLUKO DR BOX 50 PCS 300,000
31 LAB 031 GLUCOSE-R1 BOX 1 VIAL 1,073,000
32 LAB 032 GLUCOSE-R2 BOX 1 VIAL 498,800
33 LAB 033 GGT-R2 (GAMMA GLUTAMYL TRANSFERASE) BTL 1 BTL 779,200
34 LAB 034 GGT-R1 (GAMMA GLUTAMYL TRANSFERASE) BTL 1 BTL 454,400
35 LAB 035 HDL-R1 (HIGH DENSITY LIPOPROTEIN) BTL 1 BTL 2,276,000
36 LAB 036 HDL-R2 (HIGH DENSITY LIPOPROTEIN) BTL 1 BTL 2,276,000
37 LAB 037 HBSAG STRIP ANSWER BOX 50 PCS 431,818
38 LAB 038 K3 EDTA 0,5 ML BOX 200 PCS 754,000
39 LAB 039 K3 EDTA 3 ML BOX 200 PCS 540,000
40 LAB 040 LANSET MISAWA BOX 200 PCS 125,000
41 LAB 041 LARUTAN ASAM SULFOSALISILAT 100 ML BOX 1 PCS 485,000
42 LAB 042 LARUTAN NA CITRAT BTL 1 BTL 125,000
43 LAB 043 LARUTAN TOLUEN 2,5 L BTL 1 BTL 875,000
44 LAB 044 LARUTAN TURK 100 ML BTL 1 BTL 70,000
45 LAB 045 LUGOL 100 ML BOX 1 PCS 70,000

46 LAB 046 LDL-R1 BTL 1 BTL 3,998,000
47 LAB 047 LDL-R2 BTL 1 BTL 2,189,000
48 LAB 048 MARCOTEST-THC/MET/MDMA/MOR BOX 1 PCS 64,000
49 LAB 049 M-TROL 1 BTL 1 BTL 285,000
50 LAB 050 M-TROL 2 BTL 1 BTL 245,500
51 LAB 051 MULTICALIBATOR BTL 1 BTL 289,100
52 LAB 052 NARCOTEST PCS 1 PCS 77,000
53 LAB 053 NEEDLE FLASBACK @ 50 NO 22G BOX 50 PCS 250,000
54 LAB 054 OBJECT GLASS BOX 72 PCS 70,000
55 LAB 055 PEWARNA BTA 100 ML BOX 1 PCS 450,000
56 LAB 056 PARAFILM / ROLL BOX 1 ROLL 975,000
57 LAB 057 POT FAECES BOX 2 PCS 4,500
58 LAB 058 POT URINE 100 CC BOX 200 PCS 280,000
60 LAB 060 POT URINE 30 CC BOX 1 PCS 500
62 LAB 062 SALMONELLA TEST AMP 1 AM 818,182
63 LAB 063 SPIRITUS BTL 1 BTL 50,000
64 LAB 064 STROMATOLYSER - 4 DL BTL 1 BTL 2,728,000
65 LAB 065 STROMATOLYSER - 4 DS BTL 1 BTL 2,363,000
66 LAB 066 SULFOLYSER BTL 1 BTL 668,000
67 LAB 067 TABUNG MIKROHEKATOKRIT BOX 1 TUBE 245,000
68 LAB 068 TABUNG REAKSI PYREX BOX 1 PCS 400,000
69 LAB 069 TBIL-R2 (TOTAL BILIRUBIN) BTL 1 BTL 389,800
70 LAB 070 TBIL-R1 BUFFER (TOTAL BILIRUBIN) BTL 1 BTL 788,800
71 LAB 071 TBIL-R2 DIAZO REAGENT (TOTAL BILIRUBIN) BTL 1 BTL 389,800
72 LAB 072 TG-KL.R1 BTL 1 BTL 1,699,000
73 LAB 073 TG-KL.R2 BTL 1 BTL 599,500
74 LAB 074 TP (TOTAL PROTEIN) BTL 1 BTL 765,600
75 LAB 075 TCHO-R1 (TOTAL CHLOSTEROL) BTL 1 BTL 935,000
76 LAB 076 TCHO-R2 (TOTAL CHLOSTEROL) BTL 1 BTL 770,100
77 LAB 077 TUBE HEPARIN 13X75 4.0 PLBL GN ( 367884 ) BOX 100 PCS 259,000
78 LAB 078 TUBE PLN PLH 13X75 4.0 PLBL RD ( 367812 ) BOX 100 PCS 235,400
79 LAB 079 TUBE MICRO W/MICROGARD EDTA BOX 100 PCS 260,000
80 LAB 080 TUBE EDTA PLH 13X75 3.0 PLBL LAV ( 367856 ) BOX 100 PCS 251,000
81 LAB 081 TUBE EDTA PLH 13X75 3.0 PLBL LAV BOX 100 PCS 244,000
82 LAB 082 TUBE CITRAT GH 13X75 4.5 PLBL L/BL (369714) BOX 100 PCS 283,000
83 LAB 083 TUBEX TT TF BOX 36 PCS 3,626,000
84 LAB 084 UA-R1(URIC ACID) BTL 1 BTL 870,000
85 LAB 085 UA-R2(URIC ACID) BTL 1 BTL 904,800
86 LAB 086 URINE STIK CEMBUR 10P BTL 10 BTL 525,000
87 LAB 087 YELLOW TIP BOX 1 PCS 150,000
88 LAB 088 DENGUE ANTIGEN NS 1 ( STAR DIAGNOSTIC ) BOX 25 TEST 2,250,000
89 LAB 089 DENGUE ANTIBODY IGG/IGM ( STAR DIAGNOSTIC ) BOX 25 TEST 2,000,000
90 LAB 090 BIOLINE DENGUE NS 1 BOX 25 TEST 2,375,000
91 LAB 091 BIOLINE DENGUE IGG/IGM BOX 25 TEST 1,625,000
92 LAB 092 CONTROL PLASMA N ( CPN ) ( CA-50 ) ( 10x1ML ) BOX 10 VIAL 1,872,000
93 LAB 093 PATHROMTIN SL ( APTT ) ( CA-50 ) ( 10x5ML ) BOX 10 VIAL 2,830,000
THROMBOREL S (PT) ( CA-50 ) / DADE INNOVIN

94 LAB 094 BOX 10 VIAL 954,000
(10x4ML)
95 LAB 095 REACTION TUBE ( CA-50 ) (SU-40) BOX 1000 PCS 2,511,000
TENGAH MEDIKA
HARGA
SATUAN
PPN RAWAT JALAN
SETELAH
PPN
16,000 3,520 4,752
78,000 8,580 11,583
24,000 1,320 1,782
89,560 985,160 1,329,966
53,700 590,700 797,445
14,773 162,500 219,375
14,773 162,500 219,375
14,773 162,500 219,375
14,773 162,500 219,375
11,818 130,000 175,500
90,720 997,920 1,347,192
52,900 581,900 785,565
209,800 2,307,800 3,115,530
15,000 165,000 222,750
55,100 606,100 818,235
58,000 638,000 861,300
43,182 950 1,283
43,182 950 1,283
173,700 1,910,700 2,579,445

52,500 5,775 7,796
218,400 2,402,400 3,243,240
228,200 2,510,200 3,388,770
50,280 553,080 746,658
40,000 440,000 594,000
118,400 1,302,400 1,758,240
44,900 493,900 666,765
7,500 825 1,114
28,000 308,000 415,800
218,400 2,402,400 3,243,240
30,000 6,600 8,910
107,300 1,180,300 1,593,405
49,880 548,680 740,718
77,920 857,120 1,157,112
45,440 499,840 674,784
227,600 2,503,600 3,379,860
227,600 2,503,600 3,379,860
43,182 9,500 12,825
75,400 4,147 5,598
54,000 2,970 4,010
12,500 688 928
48,500 533,500 720,225
12,500 137,500 185,625
87,500 962,500 1,299,375
7,000 77,000 103,950
7,000 77,000 103,950

399,800 4,397,800 5,937,030
218,900 2,407,900 3,250,665
6,400 70,400 95,040
28,500 313,500 423,225
24,550 270,050 364,568
28,910 318,010 429,314
7,700 84,700 114,345
25,000 5,500 7,425
7,000 1,069 1,444
45,000 495,000 668,250
97,500 1,072,500 1,447,875
450 2,475 3,341
28,000 1,540 2,079
8,000 440 594
50 550 743
120 1,320 1,782
81,818 900,000 1,215,000
5,000 55,000 74,250
272,800 3,000,800 4,051,080
236,300 2,599,300 3,509,055
66,800 734,800 991,980
24,500 269,500 363,825
40,000 440,000 594,000
38,980 428,780 578,853
78,880 867,680 1,171,368
38,980 428,780 578,853

169,900 1,868,900 2,523,015
59,950 659,450 890,258
76,560 842,160 1,136,916
93,500 1,028,500 1,388,475
77,010 847,110 1,143,599
25,900 2,849 3,846
23,540 2,589 3,496
26,000 2,860 3,861
25,100 2,761 3,727
24,400 2,684 3,623
28,300 3,113 4,203
362,600 110,794 149,573
87,000 957,000 1,291,950
90,480 995,280 1,343,628
52,500 57,750 77,963
15,000 165,000 222,750
225,000 99,000 133,650
200,000 88,000 118,800
237,500 104,500 141,075
162,500 71,500 96,525
187,200 205,920 277,992
283,000 311,300 420,255
95,400 104,940 141,669
251,100 2,762 3,729

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RS Karang Tengah Medika

Yadika Healthcare Group

HARGA OTC RS.KARANG TEN

1 OTC 001 APIALYS DROP BTL 1 BTL

2 OTC 002 APIALYS / 100 ML / SYRUP BTL 1 BTL

3 OTC 003 BECOM C TAB BOX 100 TAB

4 OTC 004 BECOM ZET TAB BOX 100 TAB

5 OTC 005 BETADINE GARGLE/175 ML BTL 1 BTL

6 OTC 006 BETADINE GARGLE/190 ML BTL 1 BTL

7 OTC 007 BETADINE OINT /5 G TUBE 1 TUBE

8 OTC 008 BETADINE OINT /10 G TUBE 1 TUBE

9 OTC 009 BIOCURLIV TAB BOX 30 TAB

10 OTC 010 BIOPLACENTON JELLY TUBE 1 TUBE

11 OTC 011 BISOLVON ELIXIR 60 ML BTL 1 BTL

12 OTC 012 BISOLVON SOLUTION /50 ML BTL 1 TAB

13 OTC 013 BISOLVON TAB BOX 100 TAB

14 OTC 014 BREATHY NASAL DROPS / 30 ML BTL 1 BTL

15 OTC 015 CAL 95 TAB BOX 30 TAB

16 OTC 016 CALADIN /60 ML/LOTION BTL 1 BTL

17 OTC 017 CALADIN / 95 ML / LOTION BTL 1 BTL

19 OTC 019 CHARM NIGHT WING P.S 42 CM @ 8 PACK 1 PACK

20 OTC 020 COMBANTRIN 250 MG BOX 50 TAB

COMBANTRIN ORANGE/ 10 ML/

23 OTC 023 CURCUMA TABLET BOX 100 TAB

24 OTC 024 DEHIDRALYTE 200 ML / SOL BTL 1 BTL

25 OTC 025 DEHAF BOX 6 SACT

26 OTC 026 DULCOLAX 5 MG TAB BOX 80 TAB

27 OTC 027 ENZYPLEX TAB BOX 100 TAB

28 OTC 028 FERLIN DROPS / 30 ML BTL 1 BTL

29 OTC 029 FERLIN SYR / 100 ML BTL 1 BTL

30 OTC 030 FORNEURO TAB BOX 30 TAB

31 OTC 031 GLISODIN CAPS BOX 30 TAB

32 OTC 032 GLUCOSAMINE 250 MG TAB BOX 60 TAB

33 OTC 033 IMUNOS TAB BOX 20 CAPS

34 OTC 034 IMUNOS SYRUP BTL 1 BTL

35 OTC 035 IMUNOS PLUS TAB BOX 20 CAPS

36 OTC 036 IMUNOS SYRUP PLUS BTL 1 BTL

37 OTC 037 KONDOM SUTRA BOX 24 PCS

38 OTC 038 LACTAMAM TAB BOX 60 TAB

39 OTC 039 LACTAMOR BOX 60 TAB

40 OTC 040 L-CORE SACT BOX 5 SACT

LIFEFREE POPOK DEWASA PEREKAT

43 OTC 043 L-ZINC SYR BTL 1 BTL

44 OTC 044 MAMY POKO PANTS TANDAR M ISI 4 PACK 1 PACK

45 OTC 045 MAMY POKO NEW BORN ISI 14 PACK 1 PACK

46 OTC 046 MICROLAX NEW PACK / 5 ML TUBE 1 TUBE

47 OTC 047 MEVITON TAB BOX 100 TAB

48 OTC 048 NALGESTAN TAB BOX 100 TAB

49 OTC 049 NATTO-10 CAPS BOX 30 CAPS

50 OTC 050 NEO DIAFORM TAB BOX 1000 TAB

51 OTC 051 NEO KAOLANA SYRUP BTL 1 BTL

52 OTC 052 NEPHROLITH CAPS BOX 100 CAPS

53 OTC 053 NEURALGIN RX TAB BOX 100 TAB

54 OTC 054 NEUROBION TAB BOX 250 TAB

55 OTC 055 NEUROBION 5000 TAB BOX 250 TAB

56 OTC 056 NEUROSANBE PLUS TAB BOX 100 TAB

57 OTC 057 NEW DIATAB BOX 100 TAB

58 OTC 058 OMEGA 3 LUXURY BTL 100 CAPS

59 OTC 059 MAGTRAL 120 ML / SYRUP BTL 1 BTL