so des ember 2015

8/15/2019 So Des Ember 2015

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RUMAH SAKIT UMUM DAERAH SUBANGSTOKOPNAME

31-Dec-15

UNIT:

NO KODE NAMA SATUAN QTY1 D3845 1/3 TUBULAR 5 HOLE PCS2 D3846 1/3 TUBULAR 6 HOLE PCS3 D3848 1/3 TUBULAR 7 HOLE PCS4 D3847 1/3 TUBULAR 8 HOLE PCS5 D2001 ACCUCHECK ACTIVE PCS6 D2002 ACCUCHECK SOFTELIK PCS7 D2460 ACID PART A TEST

8 D3844 ACLIRIC SET PCS9 D3762 ADHESIV TAPES ( STERILITIP R!""10 D2282 A#NO3 #RA$11 D2472 ALBOTH%L SOL PER $L $L12 D2358 ALBU$IN 3 & 100 $L KIT13 D2473 AL#INATE PER #R #RA$14 D2646 ALKACIDE $L15 D2647 ALKA'I$E $L16 D2005 ALKOHOL 70 1 $L IKA $L17 D2004 ALKOHOL 70 1 $L ONE$ED $L18 D2007 ALKOHOL 70 100 $L IKA BOTOL BOTOL19

D2006 ALKOHOL 70 100 $L ONE$ED BOTOL BOTOL20 D2359 ALKOHOL 70 BRATACO $L21 D2360 ALKOHOL 96 BRATACO $L22 D3785 ALKOHOL CH# 0)5 S*AB PCS23 D2008 ALKOHOL PREP PAD A&I$ED PCS24 D2009 ALKOHOL S*AB SUREPLUS PCS25 D2416 A$ONIU$ OKSALAT #RA$26 D2438 A+,- S. A VIAL27 D2439 A+,- S. B VIAL28 D2440 A+,- S. D VIAL29 D2523 A UA PRO IN 20 $L IKA VIAL30 D2522 A UA PRO IN 25 $L OTSUKA A$P31 D2336 A UADEST $L32 D2436 A . , BOTOL33 D2361 A UADEST 20 LITER ERI#EN34 D2474 ARSEN 0 065 #R #RA$35 D2475 ARTIKULATIN# PAPPER PER LBR LE$BAR36 D2362 AS ASETAT #LASIAL 1 LITER BOTOL37 D2434 A A ., , #" - " BOTOL38 D2011 ASKINA #EL TUBE39 D2012 ASKINA SOFT CLEAR 9 & 15 PCS40 D2013 ASKINA SOFT CLEAR 9 & 20 PCS41 D2014 ASKINA SOFT CLEAR 9 & 25 PCS

42 D2015 ASKINA SOFT CLEAR I V PCS43 D2363 ASTO 5 $L VIAL44 D2364 AUTION STICK 100 PCS TUBE45 D2511 BARIU$ SULFAT 1 #R #RA$46 D2448 BATAN# PEN#ADUK PCS47 2340 : , ; + : + (1<10 TEST48 2341 : , ; + =- (1<10 TEST49 D3760 BEDLINER 75 & 160 C$ PCS

8/15/2019 So Des Ember 2015


51 D2365 BHC# 50 PCS BO&52 D2630 BIBA# SODIU$ BICARBONAT FRESENIUS BA#53 D2461 BICARBONAT TEST54 D2366 BILIRUBIN T/D 1 & 200 $L KIT55 D3775 BIOPLACENTON TULLE PCS56 D2653 BIOS%N 3>0 PCS57 D2016 BISTURI 11 B BRAUN PCS58 D2017 BISTURI 15 B BRAUN PCS59 D3799 BISTURI 22 PCS60 D2018 BISTURI 24 B BRAUN PCS61 D2019 BLACK SILK 2>0 A$PLOP SK 225 PCS62 D2020 BLACK SILK 3>0 A$PLOP SK 325 PCS63 D3636 BLACK SILK 4>0 PCS64 D2455 B"!! ? @-+? @" ,. PCS65 D2452 B"!! L + ., PCS66 D2629 BLOOD LINE FRESENIUS S.,67 D2284 BLOOD SET BD DOUBLE BA# PCS68 D2025 BLOOD SET TERU$O PCS69 D2459 BLOODLINE TEST70 D2021 BLUE $ONOLON 2>0 A$PLOP PCS71 D2022 BLUE $ONOLON 3>0 A$PLOP PCS72 D2023 BLUE $ONOLON 4>0 A$PLOP PCS73 D2024 BLUE $ONOLON 5>0 A$PLOP PCS74 D2338 BLUE N%LON 4>0 NB 428 PCS75 D2367 BLUE TIP 1000 PCS PCS76 D3788 BONE *A& PCS77 D2510 BOOR BATU PCS78 D2476 BOR BUNDAR TEST

79 D2477 BOR FISSUR TEST80 D2479 BOR FISSUR BUNDAR TEST81 D2478 BOR FISSUR PAN AN# TEST82 D2480 BOR TULAN# TEST83 D2273 BOTOL 100 CC PCS84 D2443 BOVINE ALBU$IN 22 VIAL85 D3744 BO*IDIEK IND SHEET PCS86 D3821 BREATIN# BA# 2 LTR LTR87 D2654 BREATIN# CIRCUIT ANEST PCS88 D3758 BREATIN# CIRCUIT PEDIATRIC ( 1 < 40 PCS89 D3856 BROAD PLATE 12 > 16 HOLE PCS90 D3853 BROAD PLATE 8 HOLE PCS91 D3854 BROAD PLATE 9 HOLE PCS92 D3789 BROUNOL $L93 D2026 BURETE 100 $L PCS94 D2400 CALIBRATOR 5 $L VIAL95 D2501 CALSIDOR 0 24 #R TEST96 D3859 CANCELLOUS SCRE* 4)0 & 14 SHORT > 4)0 & 30 SHORT PCS97 D3861 CANCELLOUS SCRE* 6)5 & 25 ( 1/2 TH > 6)5 & 85 (1/2 TH PCS98 D3860 CANCELLOUS SCRE* 6)5 & 25 (FULL > 6)5 & 85 ( FULL PCS99 D2266 CAPSUL 0 PCS

100 D2267 CAPSUL 00 PCS101 D2268 CAPSUL 1 PCS102 D2269 CAPSUL 2 PCS103 D2003 CARESENS PCS104 D3776 CAT #UT CHRO$IC 0 ROL C$105 D3777 CAT #UT CHRO$IC 1 ROL C$106 D3778 CAT #UT CHRO$IC 2 ROL C$107 D3779 CAT #UT CHRO$IC 2/0 ROL C$108 D3780 CAT #UT CHRO$IC 3/0 ROL C$109 D2027 CATHE EL 12)5 PER #RA$ TUBE

8/15/2019 So Des Ember 2015


111 D2645 CAUTER PCS112 D2481 CELLULOID STRIP STRIP113 D2482 CE$ENT LI UID 0 5 $L 0)5 $L114 D2483 CE$ENT PO*DER 0 625 #R 0)65 #RA$115 D2427 CERRA ALBA 1 K# K#116 D2498 CHK$ PER $L $L117 D2334 CHLORET%L PER $L $L118 D2368 CHOLESTEROL 3 & 100 $L KIT119 D3741 CHRO$IC 2 A$PLOP PCS120 D2028 CHRO$IC A$PLOP 0 PCS121 D2029 CHRO$IC A$PLOP 1 PCS122 D2030 CHRO$IC A$PLOP 2>0 PCS123 D2031 CHRO$IC A$PLOP 3>0 PCS124 D2032 CHRO$IC ROL 0 SUR#IROL 1 C$ C$125 D2033 CHRO$IC ROL 1 SUR#IROL 1 C$ C$126 D2034 CHRO$IC ROL 2 SUR#IROL 1 C$ C$127 D2035 CHRO$IC ROL 2>0 SUR#IROL 1 C$ C$128 D2285 CHRO$IC ROL 2 S$I 1 C$ C$129 D2036 CHRO$IC ROL 3>0 SUR#IROL 1 C$ C$130 D2466 CITRIC ACID 25 K? @. # #RA$131 D2369 CLEANER 1 LITER BOTOL132 D2274 COLAR NECK PCS133 D2037 COLOSTO$% BA# KULDESAK PCS134 D2418 CO$BO CATRID#E BO&135 D2038 CONDO$ CATHETER S)$)L) NU$BER ONE PCS136 D3842 COND%LAR 7 HOLE KANAN PCS137 D3843 COND%LAR 7 HOLE KIRI PCS138 D2039 CONNECTIN# TUBE SUCTION A&I$ED PCS

139 D2040 CONNECTOR IV CATH DISCOFI& C > 3 HI AU B BRAUN PCS140 D2041 CONNECTOR IV CATH DISCOFI& C > 3 *HITE B BRAUN PCS141 D2042 CONNECTOR IV CATH $ANIFOLD SUREPLUS PCS142 D2442 COO$B SERU$ VIAL143 D2275 CORSET PCS144 D3858 CORTICAL SCRE* 3)5 & 12 > 3)5 & 30 PCS145 D3857 CORTICAL SCRE* 4)5 & 14 > 4)5 & 44 PCS146 2430 ! . ?" (24&24 100 PCS PACK147 D2370 COVER #LASS 100 PCS BO&148 D2371 CREATININ ( 2 & 100 $L $L149 D2636 CRECENT KNIFE PCS150 D2342 CRESOPATE POT 0 15 #R TEST151 D2372 CUP SA$PEL 1000 PCS PACK152 D2286 CURASPON PER ": LE$BAR153 D2043 CUTI$ED CAVIT% 10 & 15 PCS154 D2044 CUTI$ED #EL TUBE 15 #RA$ TUBE155 D2045 CUTI$ED SILTEC 10 & 10 PCS156 D2046 CUTI$ED SORBACT 4 & 6 PCS157 D2047 CUTI$ED SORBACT 7& 9 PCS158 D2048 CUTISORB LA 10 & 10 PCS159 D2049 CUTISORB LA 10 & 20 PCS160 D2385 CUVET BS 300 1000 PCS BO&161 D2321 DACLON 2>0 PCS162 D2373 DARAH KONTROL 5 $L VIAL163 D2374 DEN#UE S,- ; I?# 50 STIK BO&164 D2375 DEN#UE S,- ; I?$ 50 STIK BO&165 D2343 DENTORIT 0 93 #R #RA$166 D2353 DEVELOPER REF 20 L A#FA TEST167 D2354 DEVELOPER REF 20 L KODAK TEST168 D2457 D# S!" ,-!+ BO&169 2458 - "- . (1<6 TEST

8/15/2019 So Des Ember 2015


171 D2376 DILUENT 10 LITER BOTOL172 2456 ?." !! : 8 (AH# BO&173 D2644 DOP $ATA PCS174 D2377 EDTA 500 #RA$ BOTOL175 D2524 EK# FUKUDA CARDISUN% C$176 D2051 ELASTO$UL HAFT 8 C$ & 4 $ PCS177 D3742 ELECTROSUR#ICAL (UN*IRED PCS178 D2429 E$BEDDIN# KASET BO&179 D2423 ENTELANT 100 $L BOTOL180 D2378 EOSIN 1 LITER BOTOL181 D2425 ETHANOL 2 5 L BOTOL182 D2052 ETT 2 RUSCH TANPA BALON PCS183 D2053 ETT 2)5 RUSCH TANPA BALON PCS184 D2055 ETT 3 RUSCH PCS185 D2054 ETT 3 RUSCH TANPA BALON PCS186 D2056 ETT 3)5 RUSCH PCS187 D2057 ETT 4 RUSCH PCS188 D2058 ETT 4)5 RUSCH PCS189 D2059 ETT 5 RUSCH PCS190 D2060 ETT 5)5 RUSCH PCS191 D2061 ETT 6 RUSCH PCS192 D2062 ETT 6)5 RUSCH PCS193 D2063 ETT 7 RUSCH PCS194 D2064 ETT 7)5 RUSCH PCS195 D2065 ETT 8 RUSCH PCS196 D3765 ETT NO 5 NON KINKIN# PCS197 D3766 ETT NO 6 NON KINKIN# PCS198 D3767 ETT NO 7 NON KINKIN# PCS

199 D2484 EU#ENOL PER 0 1 $L 0)1 $L200 D3864 E&TERNAL FI&A&I PCS201 D2066 E&TRADIN 1 $L $L202 D2453 E&TRAN N BOTOL203 D2379 E&TRAN NETRAL 2 5 LITER BOTOL204 D3835 FEEDIN# TUBE 10 DEHP PCS205 D2068 FEEDIN# TUBE 10 $S PCS206 D2067 FEEDIN# TUBE 10 TERU$O PCS207 D2069 FEEDIN# TUBE 5 TERU$O PCS208 D3834 FEEDIN# TUBE 8 DEHP PCS209 D2070 FEEDIN# TUBE 8 TERU$O PCS210 D3871 FE&IBER BAR PCS211 D2352 FIL$ #I#I/& RA% DENTAL KODAK LE$BAR212 D2506 FIRST AID PER $L $L213 D2463 FISTULA 1 > 1/4 -+ PCS214 D2462 FISTULA 1 -+ PCS215 D2631 FISTULA 16 #A F25L FRESENIUS PCS216 D2632 FISTULA 16 #A R32L FRESENIUS PCS217 D2633 FISTULA 16 #V F25L FRESENIUS PCS218 D2355 FI&ER 20 L A#FA TEST219 D2356 FI&ER 20 L KODAK TEST220 D2299 FI&O$UL 10 & 5 C$221 D2298 FI&O$UL 5 & 5 C$222 D2081 FOLE% CATHETER 10 A&I$ED PCS223 D2072 FOLE% CATHETER 10 SUREPLUS PCS224 D2082 FOLE% CATHETER 12 A&I$ED PCS225 D2073 FOLE% CATHETER 12 SUREPLUS PCS226 D2083 FOLE% CATHETER 14 A&I$ED PCS227 D2074 FOLE% CATHETER 14 SUREPLUS PCS228 D2084 FOLE% CATHETER 16 A&I$ED PCS229 D2075 FOLE% CATHETER 16 SUREPLUS PCS

8/15/2019 So Des Ember 2015


231 D2076 FOLE% CATHETER 18 SUREPLUS PCS232 D2086 FOLE% CATHETER 20 A&I$ED PCS233 D2077 FOLE% CATHETER 20 SUREPLUS PCS234 D2087 FOLE% CATHETER 22 A&I$ED PCS235 D2078 FOLE% CATHETER 22 SUREPLUS PCS236 D2088 FOLE% CATHETER 24 A&I$ED PCS237 D2079 FOLE% CATHETER 24 SUREPLUS PCS238 D2090 FOLE% CATHETER 3 *A% A&I$ED PCS239 D2089 FOLE% CATHETER 3 *A% SUREPLUS PCS240 D2080 FOLE% CATHETER 8 A&I$ED PCS241 D2071 FOLE% CATHETER 8 SUREPLUS PCS242 D2428 FOR$ALIN 1 LITER PER $L $L243 D2337 FOR$ALIN TAB TAB244 D3808 FRESH FRO'EN PLAS$A LABU245 2091 = -?."" (1<370 #RA$246 2502 = - -- (1<20 TEST247 2503 = - - (1<20 TEST248 D2414 #IE$SA 500 $L BOTOL249 D2500 #LASSIONO$OER 0 75 #R TEST250 D3761 #LICERIN BTL251 D2335 #LISERIN 1 $L $L252 D2419 #LUCOSE CATRID#E BO&253 D2380 #LUCOSE LI UID (1000 $L $L254 D2211 #RAVIT% PCS255 D3802 #%PSONA 10 R!""256 D3803 #%PSONA 15 R!""257 D2092 #%PSONA BSN 7)5 R!""258 D2265 H202 50 1 $L $L

259 D2264 H2O2 3 BRATACO 1 $L $L260 D2468 H2O2 35 $L261 D3797 HANDSCRUB $L262 D2294 HANSAPLAST PLESTER STRIP PCS263 D2521 HANSAPLAST ROL 1)25 & 1 $ R!""264 D2295 HANSAPLAST ROL 5 & 4 5$ 1 C$ C$265 D2381 HBSA# 50 PCS PCS266 D2634 HD SOLUTION PART A FRESENIUS # "!+267 D2382 HDL CHOLESTEROL D- . , 1 & 80 $L KIT268 D2469 HE$OCLEAN PER $L $L269 D2465 HE$ODIALISIS PACK / SET PCS270 D2415 HE$O#LOBIN C 500 $L KIT271 D2464 HEPARINOL 1 $L272 D2485 HERNIA $ESH PCS273 D2383 HIV RAPID TEST BO&274 D2093 H%PAPI& 10 & 5 $ BSN PER C$ C$275 D2489 H%PAPI& 15 & 5 $ BSN PER C$ C$276 D2300 H%PAPI& 5 & 5 $ BSN PER C$ C$277 D2236 I V CATHETER 14 ELCO PCS278 D2230 I V CATHETER 14 SURPLO TERU$O PCS279 D2237 I V CATHETER 16 ELCO PCS280 D2315 I V CATHETER 16 POL%*IN PCS281 D2231 I V CATHETER 16 SURPLO TERU$O PCS282 D2238 I V CATHETER 18 ELCO PCS283 D2232 I V CATHETER 18 SURPLO TERU$O PCS284 D2239 I V CATHETER 20 ELCO PCS285 D2233 I V CATHETER 20 SURPLO TERU$O PCS286 D2240 I V CATHETER 22 ELCO PCS287 D2234 I V CATHETER 22 SURPLO TERU$O PCS288 D2241 I V CATHETER 24 ELCO PCS289 D2235 I V CATHETER 24 SURPLO TERU$O PCS

8/15/2019 So Des Ember 2015


291 D2094 INFUS SET TERU$O PCS292 D2293 INFUS SET PAED PKD 2 PCS293 D2292 INFUS SET PKD 1 PCS294 D3868 INFUS SET TRO#E PCS295 D2627 INFUSION SET * / RE#ULATOR PCS296 D2096 INTRAFI& AIR PCS297 D2095 INTRAFI& SAFESET B BRAUN PCS298 D2635 IOL PCS299 2486 -!" (INTRA OCCULER LENS PCS300 D3827 IV CATH 16 TRO#E PCS301 D3747 IV CATHETER NO 26 EURO$ED PCS302 D3816 IV CATH 18 TRO#E PCS303 D3817 IV CATH 20 TRO#E PCS304 D3818 IV CATH 22 TRO#E PCS305 D3819 IV CATH 24 TRO#E PCS306 D3820 IV CATH 26 TRO#E PCS307 D2507 ARU$ E&TIRPASI PCS308 D2097 ARU$ HECTIN# $ANI PCS309 D2326 ARU$ HECTIN# NO 16 #STC PCS310 D2010 ELL% ONE $ED #RA$311 D3836 K *IRE 1 0 > 2 0 PCS312 D2384 KALIU$ / POTASSIU$ 0 3 KIT313 D2101 KAPAS 0)5 K? NASA HUSADA #RA$314 D2099 KAPAS 0)5 K? %OHANA PER #RA$ #RA$315 D2100 KAPAS 1 K? NASA HUSADA #RA$316 D2098 KAPAS 1 K? %OHANA PER #RA$ #RA$317 D3828 KASA BANDA#E L. : 318 D2111 KASA BI# #AU'E 35 & 50 PCS

319 D2112 KASA DEPER KECIL R!""320 D2103 KASA HIDROPIL BN LE$BAR321 D2102 KASA HIDROPIL CITRA #OLD LE$BAR322 D2104 KASA LIPAT SILVER LE$BAR323 D2108 KASA ROL B $ERAH PCS324 D2109 KASA ROL 10 C$ FORTUNA ROLL325 D2110 KASA ROL 10 C$ KAR%A HUSADA PCS326 D2107 KASA STERIL KAR%A HUSADA PER LBR LE$BAR327 2105 ; , @!+ : " , (BOLDUN R!""328 D2106 KASA TA$PON ROLL ROLL329 D2487 KA*AT 0 4 DENTAURU$ 1 C$ C$330 D3754 KERTAS EK# BLAS$EN C$331 D2116 KERTAS EK# FUKUDA 50 & 30 C$332 2115 ;. , .;? = ; @. - ( DENSI 30 PER C$ C$333 D2113 KERTAS EK#/ BIONET C$334 D2114 KERTAS EK#/ $ORTARA C$335 D2320 KERTAS HUNTLEI#HT/CT# C$336 D2324 KERTAS LAK$US PCS337 D2432 KERTAS SARIN# LE$BAR338 D2319 KERTAS US# C$339 D3750 KERTAS US# SON% C$340 D2433 KERTAS *HAT$AN BO&341 D2651 KIT CESAREAN PCS342 D2515 LABU DARAH A LABU343 D2516 LABU DARAH AB LABU344 D2518 LABU DARAH B LABU345 D2437 LABU DARAH ISI LABU346 D2454 LABU DARAH KOSON# LABU347 D2517 LABU DARAH O LABU348 D2118 LA$INARIA L PCS349 D2117 LA$INARIA $ PCS

8/15/2019 So Des Ember 2015


351 D2387 LA$PU $IKROSKOP PCS352 D2388 LDH 0 3 KIT353 D2119 LEUCOCREPE 10 BSN PCS354 D2120 LEUCOCREPE 15 BSN PCS355 D2121 LEUCOCREPE 7)5 BSN PCS356 D2122 LEUCODUR 10 BSN PCS357 D2123 LEUCODUR 15 BSN PCS358 D2124 LEUCODUR 7)5 BSN PCS359 D2125 LEUCOPLAST BSN 5 & 4)5 $ PER C$ C$360 D2296 LEUKO$ED 5 & 7)2 LE$BAR361 D2297 LEUKO$ED T PLUS 10 & 25 LE$BAR362 D3804 LEUKOPLAS HBN 5&4)5 C$ C$363 D3753 LEUKOPLAST 1621 R!""364 D2126 LEUKOPLAST BSN 1)25 & 4)5 $ PER C$ C$365 2488 "-"-+ (TOOTH*AKE PER LBR LE$BAR366 2127 "-+ =.+ (1 < 5 PCS367 D3829 L$A 1 PCS368 D3815 L$A 2 PCS369 D3805 L$A 3 PCS370 D3806 L$A 4 PCS371 D2129 LO$ATULE PCS372 D2281 LU#OL $L373 D2128 L%OST%P B BRAUN PCS374 D2389 L%SE 1 LITER BOTOL375 D3786 $ASKER EAR LOOP PCS376 D3872 $ASKER O2 NEONATUS NRB PCS377 D2130 $ASKER O&I#EN NEONATUS $AS PCS378 D2133 $ASKER O&I#EN NON > REBREATHIN# ADULT #ATRI& SP PCS

379 D2131 $ASKER O&I#EN NON > REBREATHIN# ADULT O#S PCS380 D2134 $ASKER O&I#EN NON > REBREATHIN# CHILDREN #ATRI& S PCS381 D2132 $ASKER O&I#EN NON > REBREATHIN# CHILDREN O#S PCS382 D2137 $ASKER O&I#EN REBREATIN# ADULT #ATRI& SP PCS383 D2135 $ASKER O&I#EN REBREATIN# ADULT O#S PCS384 D2138 $ASKER O&I#EN REBREATIN# CHILDREN #ATRI& SP PCS385 D2136 $ASKER O&I#EN REBREATIN# CHILDREN O#S PCS386 D2139 $ASKER TALI / KARET BN PCS387 D2648 $ASKER TALI HI AU PCS388 D3787 $ASKER TIE ON PCS389 D2140 $A%O HI AU HUDSON PCS390 D2147 $A%O HI AU SHINEBALL PCS391 D2141 $A%O HITA$ HUDSON PCS392 D2148 $A%O HITA$ SHINEBALL PCS393 D2142 $A%O $ERAH HUDSON PCS394 D2149 $A%O $ERAH SHINEBALL PCS395 D2143 $A%O ORAN#E HUDSON PCS396 D2150 $A%O ORAN#E SHINEBALL PCS397 D2144 $A%O PUTIH HUDSON PCS398 D2151 $A%O PUTIH SHINEBALL PCS399 2153 ! : - ( KARET PCS400 D2146 $A%O BIRU HUDSON PCS401 D2145 $A%O KUNIN# HUDSON PCS402 D2152 $A%O KUNIN# SHINEBALL PCS403 D2327 $ERCUROHRO$ 1 $L $L404 D2390 $ETHANOL 2 5 LITER BOTOL405 D2154 $ICRO DRIP TERU$O PCS406 D2325 $ICROPINE PCS407 D2155 $ICROPORE 3$ ROLL408 D2449 $IKRO PIPET 100 U PCS409 D2156 $INI SPIKE FILTER BIRU B BRAUN PCS

8/15/2019 So Des Ember 2015


411 D2157 $ONOS%N 3>0 B BRAUN PCS412 D2158 $UCUS E&TRACTOR COSA PCS413 D2159 $UCUS E&TRACTOR ONE$ED PCS414 D2640 $%OSTATE / CARBACHOLE 1 $L BOTOL415 D2471 N20 $3416 D3852 NARRO* PLATE 6 HOLE > 14 HOLE PCS417 D3771 NASAL CANULA ADULT (O&%FLO* PCS418 D2160 NASAL CANULA ADULT O#S PCS419 D2161 NASAL CANULA ADULT SUREPLUS PCS420 D3811 NASAL CANULA CHILDREN (O&%FLO** PCS421 D2162 NASAL CANULA CHILDREN O#S PCS422 D2163 NASAL CANULA CHILDREN SUREPLUS PCS423 D2164 NASAL CANULA NEONATUS O#S PCS424 D2165 NASAL CANULA NEONATUS SUREPLUS PCS425 D3772 NASAL CANULE NEONATUS (O&%FLO* PCS426 D2391 NATRIU$ / SODIU$ KIT427 D2333 NATRIU$ HIPOKLORIT 1 $L $L428 D2166 NEEDLE 23 TERU$O PCS429 D2167 NEEDLE 25 TERU$O PCS430 D2168 NEEDLE 27 TERU$O PCS431 D2656 NEODINE $L432 D2642 N%LON 10 0 PCS433 D2505 N%LON DACLON 10>0 PCS434 D2450 OB EK #LAS PCS435 D2392 OB EK #LASS 100 PCS PACK436 D2431 OB EK #LASS FROSTED PACK437 D2470 OKSI#EN $3438 D2328 OSTI$ 35 1 $L PCS

439 D2329 OSTI$ 35 2 $L PCS440 D3763 PANA SPRA% BTL441 D2420 PAPANICOLAU HARRIS 500 $L BOTOL442 2421 @ @ +- !" ! +?. (O#>6 500 $#L BOTOL443 2422 @ @ +- !" @!" ! - (EA>50 500 $L BOTOL444 D3748 PAPANICOLAU POL%CRO$IK (EA>50 1 $L $L445 2499 @ @. @!-+, 15>40 (BTL<30 TEST446 D2287 PAPERTECTH C$447 D2441 PARAFIL$ ROLL448 D2426 PARAFIN BLOK 1 K# K#449 D2332 PARAFIN CAIR 1$L $L450 D2169 PENEN# BA%I BLUE PCS451 D2170 PENEN# BA%I PINK PCS452 D2330 PEROSSAL 1&6 PCS453 D2331 PEROSSAL 2&6 PCS454 D2171 PERPUSOR 200 C$ B BRAUN PCS455 D2393 PE*ARNAAN #RA$ ( 200 $L KIT456 D2301 P#A PCS457 D3823 P =-; 5 C$458 D3809 PHAR$AFI& 10 C$ C$459 D2447 PIPET PASTEUR PCS460 D2435 P- $-; !,! PCS461 D2652 POL%SORB 1 PCS462 D3830 POL%SORB 2>0 PCS463 D3867 POL%SORB 3>0 PCS464 D2270 POT OBAT 20 CC PCS465 D2271 POT OBAT 35 CC PCS466 D2272 POT OBAT 50 #R PCS467 D3794 POUCHES FLAT C$468 D2173 POVIDONE IODINE 1 $L KIFA $L469 D3825 POVIDONE IODINE 10 30 $L BTL

8/15/2019 So Des Ember 2015


471 D2497 PPD PER TEST TEST472 D2306 PRE$ICON 1 PCS473 D2307 PRE$ICON 2 PCS474 D2175 PRE$ILENE 2>0 B>BRAUN PCS475 D2176 PRE$ILENE 3>0 B>BRAUN PCS476 D2177 PRE$ILENE 4>0 B>BRAUN PCS477 D2178 PRE$ILENE 5>0 B>BRAUN PCS478 D2179 PRE$ILENE 6>0 B>BRAUN PCS479 D2180 PRE$ILENE 7>0 B>BRAUN PCS480 D3790 PRONTOSAN 350 $L $L481 D2446 RAK TB REAKSI LB KECIL BO&482 D2278 RAN#SEL VERBAN PCS483 D2490 RANSEL COSTAE PCS484 D3840 RECONTRUCTION PLATE 5 HOLE > 8 HOLE PCS485 D2182 REDOT ADULT 3$ PCS486 D2181 REDOT ADULT CON$ED PCS487 D3824 REDOT ANAK PCS488 D2183 REDOT CHILDREN 3$ PCS489 D3831 REDOT PEDIATRIK CON$ED PCS490 D2508 RESOPAC 1 #R #RA$491 D2394 RF>TEST 5 $L VIAL492 D2395 S PARA T%PHI A>H 5 $L VIAL493 D2396 S PARA T%PHI O 5 $L VIAL494 D2397 S T%PHI H 5 $L VIAL495 D2398 S T%PHI O>H 5 $L VIAL496 D3837 S *IRE 0)8 > 1)4 PCS497 D2184 SAFIL 1 B>BRAUN PCS498 D3791 SAFIL 2>0 PCS

499 D3792 SAFIL 3>0 PCS500 D3793 SAFIL 4>0 PCS501 D2491 SALIVA E ECTOR PCS502 D2185 SAN#OFI& ES B>BRAUN PCS503 D3832 SARUN# TAN#AN NON STERIL A&I$ED PCS504 D2196 SARUN# TAN#AN NON STERIL COS$O$ED PCS PCS505 D2195 SARUN# TAN#AN NON STERIL SAFE$ED PCS PCS506 D2187 SARUN# TAN#AN PAN AN# A&I$ED / PS# PCS507 D2186 SARUN# TAN#AN PAN AN# UNITED / PS# PCS508 D2188 SARUN# TAN#AN PROFEL 8 / PS# PCS509 D2190 SARUN# TAN#AN STERIL 7 5 *IN #LOVE / PS# PCS510 D2191 SARUN# TAN#AN STERIL 8 *IN #LOVE / PS# PCS511 D2189 SARUN# TAN#AN STERIL 7 *IN #LOVE / PS# PCS512 D2192 SARUN# TAN#AN STERIL T #LOVE 7 / PS# PCS513 D2193 SARUN# TAN#AN STERIL T #LOVE 7 5 / PS# PCS514 D2194 SARUN# TAN#AN STERIL T #LOVE 8>0 PS# PCS515 D3781 SARUN# TAN#AN SUR#I #LOVE 6)5 PCS516 D3782 SARUN# TAN#AN SUR#I #LOVE 7 PCS517 D3783 SARUN# TAN#AN SUR#I #LOVE 7)5 PCS518 D3784 SARUN# TAN#AN SUR#I #LOVE 8 PCS519 D3869 SARUN# TAN#AN TRO#E 7)5 PCS520 D3870 SARUN# TAN#AN TRO#E 8 PCS521 D3838 SCHAN SCRE* 4 0 & 150 PCS522 D3839 SCHAN SCRE* 5 0 & 175 PCS523 D2399 SEDIPLAS BSE (250 PCS PACK524 D2316 SELAN# A$BU PCS525 D2317 SEPTIKA 1 $L $L526 D2318 SEPTIKA 60 $L BOTOL527 D3638 SERA# SILK 0 C$ C$528 D3639 SERA# SILK 1 C$ C$529 D3740 SERA# SILK 2 C$ C$

8/15/2019 So Des Ember 2015


531 D3637 SERA# SILK 3>0 C$ C$532 D2401 SERU$ KONTROL PCS533 D2402 S#OT (12 & 16 $L KIT534 D2403 S#PT ( 12 & 16 $L VIAL535 D2650 SHOESCOVER HI AU PCS536 D3759 SIKAT T>SCRUB PCS537 D2643 SILK 4 0 PCS538 D3795 SILK BLACK 3/0 DS 24 PCS539 D3796 SILK BLACK 3/0 HR 20 PCS540 D2197 SILK ROLL 0 RESORBA 1 C$ C$541 D2202 SILK ROLL 0 SUR#IROL 1 C$ C$542 D2198 SILK ROLL 1 RESORBA 1 C$ C$543 D2203 SILK ROLL 1 SUR#IROL 1 C$ C$544 D2199 SILK ROLL 2 RESORBA 1 C$ C$545 D2204 SILK ROLL 2 SUR#IROL 1 C$ C$546 D2200 SILK ROLL 2>0 RESORBA 1 C$ C$547 D2205 SILK ROLL 2>0 SUR#IROL 1 C$ C$548 D2201 SILK ROLL 3>0 RESORBA 1 C$ C$549 D2206 SILK ROLL 3>0 SUR#IROL 1 C$ C$550 D2637 SLITE KNIFE PCS551 D3862 S$ALL DCP 4 HOLE PCS552 D3863 S$ALL DCP 7 HOLE PCS553 D3851 S$ALL DCP 8 HOLE PCS554 D3865 S$ALL T PLAET 3 HOLE> 6 HOLE PCS555 D2519 SODALI$ 4 5 K# < 200 TEST556 D2467 SODIU$ 25 ;? @. # #RA$557 D2649 SOFT PAD 60 & 90 PCS558 D2207 SOFTA $AN 1 LITER B>BRAUN LITER

559 D3751 SOFTA$AN 500 $L $L560 D3822 SOFTASKIN $L561 D2209 SOFTBAN 10 BSN PCS562 D2210 SOFTBAN 15 BSN PCS563 D2208 SOFTBAND 7 5 BSN PCS564 D2276 SPALK E&T ATAS PCS565 D2277 SPALK E&T BA*AH PCS566 D3745 SPATULA KA%U PCS567 D2212 SPINOCAN 23 B>BRAUN PCS568 D2213 SPINOCAN 25 B>BRAUN PCS569 D3826 SPINOCAN 25 SUR#IKA PCS570 D3752 ST %OUN#>%OUN# PCS571 D3768 STERA 50 CC TIP PCS572 D3770 STERA INFUS SET DE*ASA PCS573 D3769 STERA IV CATH 26 PCS574 D2214 STERICIDE BN 1 $L $L575 D2215 STERI'I$ BN 1 $L $L576 D3798 STERO>BAC / BTL $L577 D3814 STERO>BAC / #LN $L578 D2494 STICK CAUTER PCS579 D2216 STO$ACH TUBE 12 TERU$O PCS580 D2217 STO$ACH TUBE 14 TERU$O PCS581 D2218 STO$ACH TUBE 16 TERU$O PCS582 D2219 STO$ACH TUBE 18 TERU$O PCS583 D3813 SUCTION 12 PCS584 D2224 SUCTION CATHETER 8 PASCHO PCS585 D2221 SUCTION CATHETER 12 PASHCO PCS586 D2222 SUCTION CATHETER 14 PASHCO PCS587 D2223 SUCTION CATHETER 16 PASCHO PCS588 D3773 SUCTION CATHETER 10 PCS589 D2220 SUCTION CATHETER 10 PASHCO PCS

8/15/2019 So Des Ember 2015


591 D2226 SUCTION CATHETER 12 SUREPLUS PCS592 D3774 SUCTION CATHETER 14 PCS593 D2227 SUCTION CATHETER 14 SUREPLUS PCS594 D3746 SUCTION CATHETER 16 PCS595 D2228 SUCTION CATHETER 16 SUREPLUS PCS596 D3812 SUCTION CATHETER 8 PCS597 D2229 SUCTION CATHETER 8 SUREPLUS PCS598 D2638 SUPER BLADE 15 PCS599 D2493 SUPRATULLE PCS600 D2314 SUR#ICR%L 2>0 PCS601 D2504 SUR#ICR%L 8>0 A$PLOP PCS602 D2512 SUR#ICR%L 8>0 A$PLOP 1 C$ C$603 D2242 SUR#IDE& 3>0 PCS604 D3749 SUR#IDE& 4>0 PCS605 D2243 SUR#ION 0 PCS606 D3755 SUR#ION 1 PCS607 D2244 SUR#ION 2>0 PCS608 D2245 SUR#ION 3>0 PCS609 D2246 SUR#ION 4>0 PCS610 D2247 SUR#ION 6>0 PCS611 D2308 SUR#IPRO 2>0 PCS612 D2309 SUR#IPRO 3>0 PCS613 D2310 SUR#IPRO 4>0 PCS614 D2311 SUR#IPRO 5>0 PCS615 D2312 SUR#IPRO 6>0 PCS616 D2313 SUR#IPRO 7>0 PCS617 D2322 SUR#ISORB 1 PCS618 D3756 SUR#ISORB 2>0 PCS

619 D2289 SUR#IVIT 1>0 PCS620 D2290 SUR#IVIT 3>0 PCS621 D2291 SUR#IVIT 4>0 PCS622 D2514 S%RIN#E DISPO 50 CC TERU$O HE$ODIALISA PCS623 D2248 S%RIN#E DISPOSIBLE 1 CC NIPRO PCS624 D2303 S%RIN#E DISPOSIBLE 1 CC STERA PCS625 D2249 S%RIN#E DISPOSIBLE 1 CC TERU$O PCS626 D2251 S%RIN#E DISPOSIBLE 10 CC NIPRO PCS627 D2250 S%RIN#E DISPOSIBLE 10 CC STERA PCS628 D2302 S%RIN#E DISPOSIBLE 20 CC O$NIFI& PCS629 D3800 S%RIN#E DISPOSIBLE 20 CC STERA PCS630 D2252 S%RIN#E DISPOSIBLE 20 CC TERU$O PCS631 D2254 S%RIN#E DISPOSIBLE 3 CC NIPRO PCS632 D2253 S%RIN#E DISPOSIBLE 3 CC STERA PCS633 D3801 S%RIN#E DISPOSIBLE 3 CC TERU$O PCS634 D2256 S%RIN#E DISPOSIBLE 5 CC NIPRO PCS635 D2255 S%RIN#E DISPOSIBLE 5 CC STERA PCS636 D2257 S%RIN#E DISPOSIBLE 50 CC TERU$O PCS637 D2513 S%RIN#E DISPOSIBLE 50 CC TERU$O UNTUK CUCI SINUS PCS638 2509 , . !+! (1<80 TEST639 D3866 T PLAET 5 HOLE > 9 HOLE PCS640 D2445 TB REAKSI 12&17 BO&641 D2305 TENSOCREPE 15 PCS642 D2304 TENSOCREPE 7 5 PCS643 D2279 TES KEHA$ILAN PCS644 D2404 TES NARKOBA 5 PARA$ETER 25 PCS PCS645 D2405 THER$AL PAPER ROLL646 D3743 THORATIC CATH * TROCAL PCS647 D2323 THREE *A% STOP COCK PCS648 D2444 TI$ER PCS649 D2492 TKF CA$EK PER $L $L

8/15/2019 So Des Ember 2015


651 D2258 TOPI OPERASI BN PCS652 D2406 TOTAL PROTEIN 3 & 100 $L KIT653 D2496 T -+,. P @@. P -+, 200 C$654 D2641 TRIPAN BLUE BOTOL655 D3807 TRO$BOSIT CONCENTRATE LABU656 D2407 TR%#LISERIDA 3 & 100 $L KIT657 D2283 ULTRASONIC #ELL PER #RA$ #RA$658 D2259 U$BILICAL COSA PCS659 D2408 UREU$ UV ( 50 & 10 $L KIT660 D2409 URIC ACID 3 & 100 $L KIT661 D2260 URINE BA# COS$O$ED PCS662 D2261 URINE BA# SUREPLUS PCS663 D2410 VACUTAENER 1200 PCS PCS664 D2411 VDRL 10 $L 200 TES VIAL665 D3810 VDRL 5 $L TEST666 D2262 VIORE& 1 $L $L667 D2639 VISCO SOL HP$C 2 BOTOL668 D3833 *ASH#LOVE DOCARE PACK669 D3757 *ASH#LOVE SACHT PCS670 D2412 *HITE TIP 1000 PCS PCS671 D2288 *IN# NEEDLE 23 PCS672 D2417 &L *ASH BOTOL673 D2348 &RF 18 & 24 A#FA LE$BAR674 D2344 &RF 18 & 24 KODAK LE$BAR675 D2349 &RF 24 & 30 A#FA LE$BAR676 D2345 &RF 24 & 30 KODAK LE$BAR677 D2350 &RF 30 & 40 A#FA LE$BAR678 D2346 &RF 30 & 40 KODAK LE$BAR

679 D2351 &RF 35 & 35 A#FA LE$BAR680 D2347 &RF 35 & 35 KODAK LE$BAR681 2424 ".+. ? (2 5 L BOTOL682 D2280 &%LONOR $L683 D2263 %AL > COLON CLEANER 67 5 $L $L684 D2413 %ELLO* TIP 1000 PCS PCS685 D2451 %ELLO* TIPS PACK

8/15/2019 So Des Ember 2015



31-Dec-15

UNIT:

NO KODE NAMA SATUAN QTY1 EU3608 AAFACT 500 IU VIAL2 EU2403 ABVASK 5 $# TAB LAPI TAB3 EU3733 ACARBOSE TAB 100 $# TAB4 EU3734 ACARBOSE TAB 50 $# TAB5 EU2404 ACLA$ 500 $# TAB LAPI TAB6 EU3702 ACLA$ DR% S%R BTL

7 EU3703 ACLA$ FORTE S%R BTL8 EU2405 ACNE AID BAR PCS9 EU2406 ACRAN 150 $# TAB SANBE TAB

10 EU2407 ACRAN 300 $# TAB SANBE TAB11 . 2101 "! - 200 ? , : (# TAB12 . 2102 "! - 400 ? , : (# TAB13 . 2103 "! - (# TUBE14 EU2408 ADALAT OROS TAB BA%ER TAB15 EU2409 AKILEN 200 $# TAB KALBE TAB16 EU2410 AKILEN 400 $# TAB KALBE TAB17 EU3315 AKILEN TETES TELIN#A KALBE FLS18

EU3621 ALBAPURE 20 BTL19 EU3677 ALBAPURE 20 50 " BTL20 EU3699 ALBU$AN 20 100 $L VIAL21 EU2411 ALBU$IN INF DE&A BOTOL22 EU2412 ALCO PLUS DROP INTERBAT BOTOL23 EU2413 ALCO PLUS S%R INTERBAT BOTOL24 EU2414 ALDISA CAP SANBE TAB25 EU2415 ALE#%SAL ED FERRON FLS26 EU2416 ALERFED TAB #UARDIAN TAB27 EU2417 AL#ANA& 0 25 $# TAB #UARDIAN TAB28 EU2418 AL#ANA& 0 5 $# TAB #UARDIAN TAB29 EU2419 AL#ANA& 1 $# TAB #UARDIAN TAB30 EU2420 ALINA$IN F IN A$P31 . 2104 ""!@ -+!" 100 ? , : (# TAB32 . 2105 ""!@ -+!" 300 ? , : (# TAB33 . 2106 "@ !" 0 25 ? , : (# TAB34 . 2107 "@ !" 0 5 ? , : (# TAB35 . 2108 "@ !" 1 ? , : (# TAB36 EU2421 A$AROPO PLUS TAB PHAPROS TAB37 . 2109 : ! !" (# BOTOL38 . 2110 : ! !" , : (# TAB39 EU2372 A$IKACIN 250 $# IN (# VIAL40 EU2422 A$INEFRON TAB DE&A TAB

41 EU3401 A$INOFLUID INF BA#42 EU3402 A$INOFUSIN L 600 INF LABU43 EU3403 A$INOFUSIN PAED LABU44 EU3404 A$INOLEBAN INF BA#45 . 2111 -+!@ ""-+ -+ (# A$P46 . 2112 -+!@ ""-+ , : (# TAB47 EU2423 A$INORAL TAB SOHO ; @".,48 EU3628 A$INOSTERIL BTL

8/15/2019 So Des Ember 2015


51 . 2113 -! !+. , : (# TAB52 EU3640 A$IPAREN INF BTL53 . 2114 -, -@,-"-+ 25 ? , : (# TAB54 . 2115 "! -@-+ 10 ? , : (# TAB55 . 2116 "! -@-+ 5 ? , : (# TAB56 EU3316 A$O&AN 250 $# CAP TAB57 . 2117 ! - -""-+ 500 ? , : (# TAB58 . 2118 ! - -""-+ -+ (# VIAL59 . 2119 ! - -""-+ (# BOTOL60 EU3727 A$O&ILIN F S%R BTL61 EU2424 A$O&SAN 500 $# CAP SANBE TAB62 EU2425 A$O&SAN DROP SANBE BOTOL63 EU2426 A$O&SAN IN SANBE VIAL64 EU2427 A$PICIL KI$IA FAR$A VIAL65 . 2120 @- -""-+ 500 ? , : (# TAB66 . 2121 @- -""-+ -+ (# VIAL67 . 2122 @- -""-+ (# BOTOL68 EU2428 ANADE& S%R INTERBAT BOTOL69 EU2429 ANADE& TAB INTERBAT TAB70 EU2430 ANADIU$ TAB #UARDIAN TAB71 EU2431 ANALSIK TAB SANBE TAB72 EU2432 ANALTRA$ TAB LAPI TAB73 EU2433 ANBACI$ 500 $# TAB SANBE TAB74 EU2434 ANBACI$ IN SANBE VIAL75 EU2435 ANE$OLAT TAB PHAPROS TAB76 EU3609 ANESFAR 15 $# VIAL77 EU3368 ANESFAR IN FAHRENHEIT A$P78 EU2436 ANORE TAB KALBE TAB

79 EU2437 ANTAL#IDON IN VIAL80 . 2125 +, "?-+ , : (# TAB81 . 2124 +, - (# BOTOL82 . 2123 +, - , : (# TAB83 EU3317 ANTI BISA ULAR IN VIAL84 . 2126 +,- . ! !- @@ (# SUPP85 EU2438 ANTIKUN 1 #R IN INTERBAT A$P86 EU2439 ANTIKUN 3 #R IN INTERBAT A$P87 EU2440 ANTIKUN S%R INTERBAT BOTOL88 EU2441 ANTRAIN IN INTERBAT A$P89 EU2442 ANTRAIN TAB INTERBAT TAB90 EU2443 ANVO$ER B6 TAB DE&A TAB91 EU2444 APIAL%S DROP LAPI BOTOL92 EU2445 APIAL%S S%R LAPI BOTOL93 EU3719 APTIL10 $L BTL94 EU3737 A UA PRO IN 25 $L OTSU LABU95 EU3718 A UA *I 1000 $L BTL96 EU2446 ARTERAKINE DINKES TAB97 EU2447 ASABIU$ TAB OTTO TAB98 EU3722 ASA$ FOLAT 1 $# TAB99 . 2127 =!" , , : (# TAB

100 . 2128 .=.+ , 250 ? , : (# TAB101 . 2129 .=.+ , 500 ? , : (# TAB102 EU3739 ASA$ SALISILAT $L/#R103 . 2130 , +. , 250 ? -+ (# A$P104 . 2131 , +. , 500 ? -+ (# A$P105 . 2132 , +. , 500 ? , : (# TAB106 EU3761 ASA$ VALPROAT 250 $# / 5 $L FLS107 EU2448 ASA$NE& TAB $ETISKA TAB108 EU2449 ASCARDIA TAB PHAROS TAB109 EU3406 ASERIN# INF BTL

8/15/2019 So Des Ember 2015


112 EU3318 ASTHENOF ED BTL113 EU3319 ASTHIN BOND TAB TAB114 EU2452 ASTIN FORCE TAB SOHO TAB115 EU2453 ATIVAN TAB SUNTH% SEPURI TAB116 EU2454 ATP DANKOS IN DANKOS A$P117 EU2455 ATP DANKOS TAB DANKOS TAB118 . 2134 , !@-+ "= , -+ (# A$P119 . 2133 , !@-+ "= , , : (# TAB120 EU3320 ATS 1500 UI IN A$P121 EU3321 ATS 20 000 UI IN A$P122 EU2456 AU#ENTONIC ED CENDO BTL123 EU2457 AVO#IN TAB LAPI TAB124 . 2135 , ! - -+ 250 ? , : (# TAB125 . 2136 , ! - -+ 500 ? , : (# TAB126 . 2137 , ! - -+ (# BOTOL127 EU2458 BACTES%N 0 75 #R IN KALBE VIAL128 EU2459 BACTES%N 1 5 #R IN KALBE VIAL129 EU2460 BACTES%N 375 $# CAP KALBE TAB130 EU2461 BACTIRO$ IN SANBE VIAL131 EU2462 BACTODER$ CR IKA TUBE132 EU2463 BA UINOR 250 $# TAB SANBE TAB133 EU2464 BA UINOR 500 $# TAB SANBE TAB134 EU2465 BA UINOR ED SANBE FLS135 EU2466 BA UINOR INF SANBE BOTOL136 EU3322 BATU#IN S%R BOTOL137 EU2467 BECO$ C CAP SANBE TAB138 EU2468 BECO$ 'ET TAB SANBE TAB139 EU2469 BELLA$O& FORTE S%R SOHO BOTOL

140 EU2470 BELLA$O& S%R SOHO BOTOL141 EU2471 BEN'OIL PERO&IDE 2 5 SD$ TUBE142 EU3765 BEROTEC 0)1 SOL FLS143 EU3645 BEROTEC INH FLS144 EU2472 BERR% VISION TAB SANBE TAB145 EU2473 BETA CE TAB OTTO TAB146 . 2139 :., - ,-+ , : (# TUBE147 . 2138 :., ., !+ (# TUBE148 EU2474 BETASIN 0)1 CR OTTO TUBE149 EU2475 BETRION TAB OTTO TAB150 . 2140 :- + , , : (# TUBE151 EU2476 BIFERCE TAB SANBE TAB152 EU2477 BIFOTIK IN SANBE VIAL153 EU2478 BIO ATP TAB PHAPROS TAB154 EU3324 BIO CURKE$ TAB TAB155 EU3323 BIO CURLA$ TAB TAB156 EU2479 BIOLINCO$ 500 $# CAP OTTO TAB157 EU2480 BIOLINCO$ S%R OTTO BOTOL158 EU2481 BIOPRO$ IN OTTO BOTOL159 EU2482 BIOSANBE CAP SANBE TAB160 EU2483 BIOSTRU$ S%R LAPI BOTOL161 EU2484 BIOTHICOL 250 $# CAP SANBE TAB162 EU2485 BIOTHICOL 500 $# CAP SANBE TAB163 EU2486 BIOTHICOL S%R SANBE BOTOL164 EU2487 BIO&ON IN OTTO VIAL165 EU2488 BIO'%$ IN OTTO VIAL166 EU3385 BIPRO TAB TAB167 EU3634 BISCOR 5 TAB TAB168 EU2489 BISOLVON IN BOEHRIN#ER A$P169 EU2490 BISOLVON S%R BOEHRIN#ER BOTOL170 . 2141 :- !@ !"!" , : (# TAB

8/15/2019 So Des Ember 2015


173 EU2492 BRADIKARDIN TAB TAB174 EU2493 BRA&IDIN TAB SANBE TAB175 EU3367 BUNASCAN IN FAHRENHEIT A$P176 EU2494 BURNA'IN CR TUBE177 EU2495 CAL>95 LAPI TAB178 EU2496 CALCIDIN S%R OTTO BOTOL179 EU2497 CALCIDIN TAB OTTO TAB180 . 2142 " -- ?" ;!+ -+ (# A$P181 . 2143 " - " , ,. , : (# TAB182 EU2498 CALDECE TAB SANBE TAB183 EU2499 CALLOS TAB .G :".184 EU2500 CA$ELO& TAB DE&A TAB185 EU2501 CANDERIN 16 $# TAB DE&A TAB186 EU2502 CANDERIN 8 $# TAB DE&A TAB187 EU3614 CANDESARTAN 16 $# TAB188 EU3613 CANDESARTAN 8 $# TAB189 . 2144 @,!@ -" 12 5 ? , : (# TAB190 . 2145 @,!@ -" 25 ? , : (# TAB191 . 2146 : .@-+ , : (# TAB192 EU3448 CARBOPLATIN IN 150 $# VIAL193 EU3449 CARBOPLATIN IN 450 $# VIAL194 EU2503 CAR$ED CR 10 #R SD$ TUBE195 EU2504 CAR$ED CR 20 #R SD$ TUBE196 EU2505 CAR$ED LOTION SD$ BOTOL197 EU2506 CARPIN 2 ED CENDO TUBE198 EU2507 CATAPRES IN A$P199 EU2508 CATARLENT ED CENDO BTL200 EU2509 CEC%L NULAB TAB

201 . 2147 .= ! -" 500 ? @ (# TAB202 . 2148 .= ! -" (# BOTOL203 EU2510 CEFAT 250 $# CAP SANBE TAB204 EU2511 CEFAT 500 $# CAP SANBE TAB205 EU2512 CEFAT S%R SANBE BOTOL206 . 2149 .= !"-+. -+ (# A$P207 EU3728 CEFDRO&IL 250 S%R BTL208 . 2150 .=.=- . -+ (# VIAL209 EU2513 CEFILA 100 $# CAP LAPI TAB210 EU2514 CEFILA S%R LAPI BOTOL211 EU2515 CEFI$ IN LAPI VIAL212 . 2151 .=- ! . -+ (# VIAL213 . 2152 .=- - 100 ? @ (# TAB214 . 2153 .=- - (# BOTOL215 EU2516 CEFOBACTA$ IN SANBE VIAL216 EU2517 CEFO$A& IN SI$E& VIAL217 . 2154 .=!@. !+. ": , -+ (# VIAL218 . 2155 .=!@. !+. -+ (# VIAL219 . 2156 .=!, - 1 ? -+ (# VIAL220 EU2518 CEFRIN IN DE&A VIAL221 . 2157 .=, - - -+ (# VIAL222 . 2158 .=,- ! - -+ (# VIAL223 . 2159 .=, - !+. -+ (# VIAL224 EU2519 CELEBRE& 100 $# CAP PFI'ER TAB225 EU2520 CELEBRE& 200 $# CAP PFI'ER TAB226 EU3325 CELESTA$IN S%R 30 $L BOTOL227 EU3746 CENDO FENICOL 0)5 BTL228 EU3695 CENDO $%COS ED FLS229 EU2521 CENFRESH ED CENDO FLS230 EU3696 CENFRESH $INIDOSE STRIP231 EU3687 CEPE'ET 100 TAB

8/15/2019 So Des Ember 2015


234 EU2524 CEPTIK S%R INTERBAT BOTOL235 EU2525 CERINI TAB SANBE TAB236 EU2526 CERNEVIT IN KALBE VIAL237 EU2527 CESTER ETHICA TAB238 EU2373 CETIRI'IN DROP (# BOTOL239 . 2162 .,- - -+. @ (# TAB240 . 2163 .,- - -+. (# BOTOL241 . 2164 "! @ .+- !" 250 ? @ (# TAB242 . 2165 "! @ .+- !" ".@ , (# TUBE243 . 2166 "! @ .+- !" (# BOTOL244 . 2167 "! @ .+- !" ,.,. , (# TUBE245 . 2168 "! @ .+- !" ,.,. ,."-+? (# FLS246 . 2169 "! @ ! -+ 100 ? , : (# TAB247 . 2170 "! @ ! -+ 25 ? , : (# TAB248 . 2171 "! @ ! -+ -+ (# A$P249 EU2528 CHOLESCOR ETHICA TAB250 EU2529 CHOLVASTIN 20 $# TAB SANBE TAB251 EU2530 CIFLOS TAB #UARDIAN TAB252 EU3664 CILOSTA'OL 100 $# TAB253 . 2172 - .,- -+ , : (# TAB254 EU2531 CINA$ 1)5 #R IN SANBE VIAL255 EU2532 CINOLON CR SANBE TUBE256 EU2533 CINOLON N CR SANBE TUBE257 . 2173 -@ !="! -+ 250 ? , : (# TAB258 . 2174 -@ !="! -+ 500 ? , : (# TAB259 . 2175 -@ !="! -+ -+= (# BOTOL260 . 2176 -@ !="! -+ ,.,. , (# FLS261 EU3652 CITICOLIN 1000 TAB TAB

262 EU3651 CITICOLIN 500 TAB TAB263 . 2177 -,- !"-+ -+ (# A$P264 EU2534 CLABAT 500 $# TAB INTERBAT TAB265 EU3688 CLANEKSI FORTE DS BOTOL266 EU2535 CLANEKSI IN SANBE VIAL267 EU2536 CLANEKSI S%R SANBE BOTOL268 EU2537 CLANEKSI TAB SANBE TAB269 . 2178 "-+ - -+ 150 ? @ (# @ "270 . 2179 "-+ - -+ 300 ? @ (# TAB271 EU2538 CLIN$AS 150 $# CAP LAPI TAB272 EU2539 CLIN$AS 300 $# CAP LAPI TAB273 EU3745 CLINOLEIC 20 100 $L BTL274 EU3650 CLOBA'A$ 25 TAB275 . 2180 "!: , : (# TAB276 . 2181 "!:., !" (# TUBE277 . 2182 "!+- -+ , : (# TAB278 . 2183 "!@- !? ." , : (# TAB279 EU3604 CLOPRA$EL IN A$P280 EU2540 CLORACEF 500 $# TAB ETHICA TAB281 . 2184 "! ! -+ , : (# TAB282 EU3701 CLO'APIN 25 TAB TAB283 EU3682 CLO'ER 25 TAB TAB284 . 2185 ! ! - " 500 ? , : (# TAB285 EU3326 CODEIN 10 $# TAB TAB286 EU3327 CODEIN 20 $# TAB TAB287 EU2541 COLDI'O SOHO TAB288 EU2542 COL$E 250 $# CAP INTERBAT TAB289 EU2543 COL$E S%R INTERBAT BOTOL290 EU2544 COL$E TETES $ATA INTERBAT FLS291 EU2545 COL$E TETES TELIN#A INTERBAT FLS292 EU2546 COLSANSETINE 250 $# CAP SANBE TAB

8/15/2019 So Des Ember 2015


295 EU2549 CO$BIVENT UDV CO$BIPHAR A$P296 EU3658 CONCOR 2)5 TAB TAB297 EU2550 CONVER ED CENDO FLS298 EU3749 CORDARONE IN A$P299 EU2551 CORTIDE& IN SANBE A$P300 EU2552 CORTIDE& TAB SANBE TAB301 . 2186 !, - ! !". 480 ? , : (# TAB302 EU3672 COTRI$O&A'OLE FORTE 960 $# KAPSUL303 . 2187 !, - ! !". (# BOTOL304 EU3359 COUNTERPAIN CR 1 #R TUBE305 EU3355 COUNTERPAIN CR 15 # TUBE306 EU3356 COUNTERPAIN CR 30 # TUBE307 EU2553 CP# TAB DE&A TAB308 EU2554 CRAVIT ED FERRON FLS309 EU2555 CRAVO& 250 $# TAB LAPI TAB310 EU2556 CRAVO& 500 $# TAB LAPI TAB311 EU2557 CRAVO& INF LAPI BOTOL312 EU3710 CRIPSA TAB313 . 2188 , , : (# TAB314 EU2558 CURCU$A TAB TAB315 EU2559 C%CLON ED FLS316 EU2560 C%LAT TAB LAPI TAB317 EU2561 DANSERA TAB OTTO TAB318 EU2562 DA%>CAL SANBE TAB319 EU2563 DBUCORT INH OTSUKA BOTOL320 EU2564 DECAIN IN DE&A A$P321 EU3328 DEHAF SACH SACH322 EU2565 DEPAKEN S%R ABBOT BOTOL

323 EU3678 DEPAKOTE ER 250 TAB324 EU3662 DEPAKOTE ER 500 TAB325 EU2566 DEPAKOTE TAB ABBOT TAB326 EU2567 DER$AKEL #EL SOHO TUBE327 EU2568 DER$ANIDE CREA$ 10 # INTERBAT TUBE328 EU3308 DER$ANIDE CREA$ 10 # INTERBAT TUBE329 EU3632 DESO&I$ETASONE 0)25 CREA$ TUBE330 . 2189 . ., !+ , : (# TAB331 . 2190 . ., !+. -+ (# A$P332 EU3394 DE&ANTA S%R BOTOL333 EU3738 DE&KETOPROFEN TAB334 EU2569 DE&TAFEN TAB OTTO TAB335 . 2192 . , ! ., ! @ + (# BOTOL336 . 2191 . , ! ., ! @ + , : (# TAB337 EU2570 DE&TROSIN S%R OTTO BOTOL338 EU2571 DE&TROSIN TAB OTTO TAB339 EU2572 DHAVIT S%R #UARDIAN BOTOL340 EU2573 DIA#IT TAB INTERBAT TAB341 . 2193 - .@ 2 ? , : (# TAB342 . 2194 - .@ 5 ? , : (# TAB343 . 2195 - .@ -+ (# A$P344 EU2574 DIFLO&IN 500 $# TAB OTTO TAB345 EU2575 DIFLO&IN INF OTTO BOTOL346 EU2576 DI#ENTA CR INTERBAT TUBE347 EU2577 DI#E'%$ ETHICA TAB348 . 2197 -?! -+ , : (# TAB349 EU2578 DIL$EN 60 $# TAB SANBE TAB350 . 2196 -",- . , : (# TAB351 EU3725 DI$ENH%DRINATE 50 $# TAB352 EU3623 DIOVAN 80 TAB353 EU2579 DISOLF TAB DE&A TAB

8/15/2019 So Des Ember 2015


356 EU3707 DOBURAN IN A$P357 . 2198 !: , -+ -+ (# / - "358 EU2581 DO#$ATIL CAP SOHO TAB359 . 2199 !; - -;"-+ 100 ? @ (# TAB360 EU3357 DOLONES PEHACAIN CR 5 #R TUBE361 EU2582 DO$ S%R LAPI BOTOL362 EU2583 DO$ TAB LAPI BOTOL363 EU3649 DO$PERIDON DROP FLS364 . 2200 ! @. - !+. (# BOTOL365 . 2201 ! @. - !+. , : (# TAB366 EU3760 DONEPE'IL TAB367 EU2584 DOPAC IN KALBE A$P368 EU2585 DOPA$ET TAB TAB369 . 2202 !@ -+ -+ (# A$P370 EU3720 DOR$ICU$ IN 15 $# A$P371 EU2586 DO&ACIN 100 $# CAP OTTO TAB372 EU3438 DO&ORUBISIN IN 10 $# VIAL373 EU3439 DO&ORUBISIN IN 50 $# VIAL374 EU2587 DULCOLA& 10 $# SUPP BOEHRIN#ER SUPP375 EU2588 DULCOLA& 5 $# SUPP BOEHRIN#ER SUPP376 EU3380 DULCOLA& TAB TAB377 EU2589 DULCOLA& TAB BOEHRIN#ER TAB378 EU2590 DURO#ESIC 12 5 ANSEN PAD379 EU3330 DUVADILAN IN A$P380 EU2591 ECLID 100 $# DE&A TAB381 EU2592 ECRAN TAB382 EU3305 ECRON PHAPROS A$P383 EU2593 EFLA#EN 50 $# TAB SANBE TAB

384 EU2594 ELKANA S%R SANBE BOTOL385 EU2595 ELKRIP TAB PHAPROS TAB386 EU2596 ELO& CR 10 #R #UARDIAN TUBE387 EU2597 ELO& CR 5 #R #UARDIAN TUBE388 EU2598 ELO& LOTION #UARDIAN BOTOL389 EU2599 ELSA'%$ OTTO TAB390 EU2600 E$IBION TAB #UARDIAN TAB391 EU2601 ENCEPAN 100 $# TAB INTERBAT TAB392 EU2602 ENCEPAN 200 $# TAB INTERBAT TAB393 EU2603 ENERVON C S%R 60 $L $EDIFAR$A BOTOL394 EU2604 EN%STIN DROP KALBE BOTOL395 EU3630 EPERISONE TAB TAB396 EU2605 EPE&OL S%R OTTO BOTOL397 EU2606 EPE&OL 30 $# TAB OTTO TAB398 EU3331 EPHEDRIN IN A$P399 . 2204 .@ . -+. -+ (# A$P400 . 2203 .@ . -+. , : (# TAB401 EU2607 EPIDOSIN IN A$P402 . 2205 .@-+.@ -+. -+ (# A$P403 EU2608 EPISAN S%R SANBE BOTOL404 EU2609 EPOTRE& IN A$P405 EU2610 EPRE& IN -+?.406 EU2611 EPRINOC TAB SANBE TAB407 EU2612 ERAPHA#E 500 $# TAB #UARDIAN TAB408 . 2206 . -, ! - -+ 250 ? , : (# TAB409 . 2207 . -, ! - -+ 500 ? , : (# TAB410 . 2208 . -, ! - -+ (# BOTOL411 EU2613 ER%SANBE 200 $# CHE* TAB SANBE TAB412 EU2614 ER%SANBE 250 $# CAP SANBE TAB413 EU2615 ER%SANBE 500 $# CAP SANBE TAB414 EU2616 ER%SANBE S%R SANBE BOTOL

8/15/2019 So Des Ember 2015


417 . 2210 ., : ,!" 500 ? , : (# TAB418 EU2617 ETHI#OBAL 250 $# TAB #UARDIAN TAB419 EU2618 ETHI#OBAL 500 $# TAB #UARDIAN TAB420 EU2619 ETHI#OBAL IN #UARDIAN A$P421 EU3398 ETH%FERAN IN A$P422 EU2620 ETUROL 400 UI CAP TAB423 EU2621 EUTH%RO& TAB $ERCK TAB424 EU2622 EVOTH%L 100 $# TAB #UARDIAN TAB425 EU2623 EVOTH%L 300 $# TAB #UARDIAN TAB426 EU2624 E*O$A ETHICA TAB427 EU2625 E&AFLA$ TAB #UARDIAN TAB428 EU2626 E&ER#IN 1 $# TAB #UARDIAN TAB429 EU2627 E&ER#IN 4 5 $# TAB #UARDIAN TAB430 EU3713 E& ADE 500 $# TAB431 EU3706 E& ADE TAB 250 $# TAB432 EU2628 E&TROPECT S%R #UARDIAN BOTOL433 EU2629 E%E FRESH ED $INIDOSE CENDO FLS434 EU2630 E%EVIT TAB LAPI TAB435 EU2631 E'O& IN NULAB A$P436 EU3332 FAKTU SUPP SUPP437 EU2632 FA$OCID 20 $# TAB SANBE TAB438 . 2211 = !,- -+ 20 ? , : (# TAB439 . 2212 = !,- -+ 40 ? , : (# TAB440 EU2633 FANSIDAR TAB ROCHE TAB441 EU2634 FARBIVEN NEBU A$P442 EU2635 FAR#O&IN TAB FAHRENHEIT TAB443 EU3391 FAR$ABES TAB TAB444 EU2636 FAR$ADOL INF FAHRENHEIT BOTOL

445 EU2637 FARSI& IN FAHRENHEIT A$P446 EU2638 FARSORBID TAB 5 $# FAHRENHEIT TAB447 EU2639 FEBRO#REL TAB OTTO TAB448 . 2213 =.+!=-: , , : (# TAB449 EU2640 FENTANIL IN KI$IA FAR$A A$P450 EU2641 FERIPRO& TAB TAB451 EU2642 FERLIN DROP BOTOL452 EU2643 FEROKIDS S%R BOTOL453 EU3648 FERRIFRO& S%R BTL454 EU3353 FERRIFRO& S%R 500 PER $L $L455 EU2369 FERRO SULFAT TAB (# TAB456 EU2644 FERTIN TAB INTERBAT TAB457 EU2645 FER'OBAT IN INTERBAT VIAL458 EU2646 FETIK SUPP INTERBAT SUPP459 EU2647 FETINOR 300 $# TAB OTTO TAB460 EU2648 FLADE& INF DE&A BOTOL461 EU2649 FLADE& SUPP DE&A SUPP462 EU3754 FLA#%L SUPP 0)5 #R SUPP463 EU2650 FLA$AR #EL SANBE TUBE464 EU2651 FLA$ICORT IN DE&A A$P465 EU2652 FLI&OTIDE NEBU A$P466 EU2653 FLO&A ED CENDO BTL467 EU3668 FLUCONA'OL INF TAB468 EU2654 FLUKONA'OL 150 $# CAP KALBE @ "469 EU2655 FLU$ETHOLONE ED FLS470 EU3670 FLUNARI'IN 5 $# TAB471 EU2656 FLUTAB TAB #UARDIAN TAB472 EU2657 FOLAVIT 1000 UI TAB SANBE TAB473 EU2658 FOLAVIT 400 UI TAB SANBE TAB474 EU2659 FOOTH% OTTO TAB475 EU3723 FORANSI 10 $# TAB

8/15/2019 So Des Ember 2015


478 EU2662 FORCANO& TAB #UARDIAN TAB479 EU2663 FORELA& TAB #UARDIAN TAB480 EU2664 FOR$UNO E&TRA TAB SANBE TAB481 EU2665 FOR$%CO CR 10 #R SANBE TUBE482 EU2666 FOR$%CO CR 20 #R SANBE TUBE483 EU2667 FOR$%CO TAB SANBE TAB484 EU2668 FORU$EN ED FLS485 EU2669 FORU$EN TETES TELIN#A SANBE FLS486 EU2670 FOS$IDE& 1 #R DE&A VIAL487 EU2671 FOS$IDE& 2 #R DE&A VIAL488 EU3715 FRESAFUL 1 A$P489 EU3333 FUCOIDAN CAP TAB490 EU2672 FULADIC CR #UARDIAN TUBE491 EU2673 FUN#ARES CR 10 #R #UARDIAN TUBE492 EU2674 FUN#ARES CR 5 #R #UARDIAN TUBE493 EU2675 FUN#ASOL SHA$PO #UARDIAN BOTOL494 EU2676 FUN#ASOL TAB #UARDIAN TAB495 . 2215 = ! . - -+ (# A$P496 . 2214 = ! . - , : (# TAB497 EU2677 FUTADER$ CR INTERBAT TUBE498 EU3436 FUTROLIT INF SANBE SOFTBA#499 EU2678 FU'IDE SUSP OTTO BOTOL500 EU3638 #ABAPENTIN 300 KAPSUL501 EU3705 #ABE&AL 100 $# @ "502 EU2679 #ALEPSI CAP #UARDIAN TAB503 EU2680 #ASTRIDIN IN INTERBAT A$P504 EU2681 #ASTROFER IN DE&A VIAL505 EU2682 #ASTRUL TAB FAHRENHEIT TAB

506 EU3407 #ELAFUSAL INF PCS507 EU2683 #ELAFUSAL INF DE&A PCS508 . 2216 ?. =-: ! -" 300 ? @ (# KAPSUL509 . 2217 ?. =-: ! -" 600 ? @ (# TAB510 EU2684 #ENOCLO$ TAB LAPI TAB511 EU2685 #ENOLAN CR 10 #R #UARDIAN TUBE512 . 2218 ?.+, - -+ (# TUBE513 . 2371 ?.+, - -+ (# 1 #R TUBE514 EU2686 #ENTA$ICIN EO CENDO TUBE515 . 2219 ?.+, - -+ -+ (# A$P516 . 2220 ?.+, - -+ ".@ , (# TUBE517 . 2221 ?.+, - -+ ,.,. , (# FLS518 EU2687 #ERDILIU$ DROP OTTO BOTOL519 EU3334 #ERIAVITA CAP TAB520 EU2688 #ITAS PLUS TAB INTERBAT TAB521 EU2689 #LA$AROL 1 $# TAB #UARDIAN TAB522 EU2690 #LA$AROL 2 $# TAB #UARDIAN TAB523 EU2691 #LA$AROL 3 $# TAB #UARDIAN TAB524 EU2692 #LA$AROL 4 $# TAB #UARDIAN TAB525 EU2693 #LAUCON TAB CENDO TAB526 EU2694 #LIABETES TAB SANBE TAB527 . 2223 ?"-:.+ " - , : (# TAB528 EU2695 #LIBOTIK 250 $# IN SANBE VIAL529 EU2696 #LIBOTIK 500 $# IN SANBE VIAL530 . 2222 ?"- . -" ? - !" , , : (# TAB531 . 2224 ?"- .@- - . 1 ? , : (# TAB532 . 2225 ?"- .@- - . 2 ? , : (# TAB533 . 2226 ?"- .@- - . 3 ? , : (# TAB534 . 2227 ?"- .@- - . 4 ? , : (# TAB535 . 2228 ?"- - !+. , : (# TAB536 EU2697 #LOCID 250 $# TAB $ETISKA TAB

8/15/2019 So Des Ember 2015


539 EU2698 #LUCOBA% TAB BA%ER TAB540 EU2699 #LUKOLOS 300 $# TAB TAB541 . 3408 ?" ;! 10 !?: -+= (# BOTOL542 . 3409 ?" ;! 5 !?: -+= (# BOTOL543 EU3689 #LUKOSA$IN 500 $# TAB544 . 2229 ?" ;! -+ , : (# TAB545 EU3392 #LUKOTIKA 850 $# TAB TAB546 EU2700 #LURENOR$ TAB BOEHRIN#ER TAB547 EU2701 #LUTIVEN DE&A TAB548 EU2702 #OFLE& TAB #UARDIAN TAB549 EU3711 #OFORAN IN 1 #R VIAL550 EU2703 #OTROPIL 1200 $# CAP #UARDIAN TAB551 EU2704 #OVA'OL 150 $# CAP #UARDIAN TAB552 EU2705 #OVOTIL 2 $# TAB #UARDIAN TAB553 EU2706 #OVOTIL 5 $# TAB #UARDIAN TAB554 EU2707 #RAFOLA DHA TAB $ETISKA TAB555 . 2230 ? +- ., !+ -+ (# A$P556 EU2708 #RANON IN DE&A A$P557 EU2709 #RATI'IN 10 $# TAB SANBE TAB558 EU2710 #RATI'IN 5 $# TAB SANBE TAB559 . 2231 ? - .!= " -+ 125 ? , : (# TAB560 EU2711 #UARPOSID TAB #UARPOSIDA TAB561 . 2232 "!@. - !" 0 5 ? , : (# TAB562 . 2233 "!@. - !" 1 5 ? , : (# TAB563 . 2234 "!@. - !" 5 ? , : (# TAB564 EU2712 HALOTAN IN /$L DE&A $L565 EU2713 HARNAL TAB ASTELAS TAB566 . 2235 , , : (# TAB

567 EU3388 HE$AFORT TAB TAB568 EU2714 HE$APO IN A$P569 EU2715 HEPABALANCE TAB ESCOLAB TAB570 EU3335 HEPA$A& TAB TAB571 EU3336 HEPASIL CAP TAB572 EU2716 HEPATIN TAB LAPI TAB573 EU2717 HEPTASAN TAB SANBE TAB574 EU2718 HERBESER IN TANABE A$P575 EU2719 HERCLOV 250 $# TAB SANBE TAB576 EU2720 HERCLOV 500 $# TAB SANBE TAB577 EU2721 HE&ADOL #AR#LE 120 $L OTTO BOTOL578 EU2722 HE&ADOL #AR#LE 60 $L OTTO BOTOL579 EU2723 HE&ADOL NON ALKOHOL #AR#LE OTTO BOTOL580 EU2724 HE&ADOL SACHET OTTO BOTOL581 EU3661 HE&%$ER 2 TAB TAB582 EU2725 HIALID ED FERRON FLS583 EU3337 HI>BONE TAB TAB584 . 2237 - ! ! ,- !+. 1 (# TUBE585 . 2236 - ! ! ,- !+. 2 5 (# TUBE586 EU2726 HISTAPAN TAB SANBE TAB587 EU2727 HU$ALO# $I& IN ELI LIL% VIAL588 EU2728 HU$ALO# R IN ELI LIL% VIAL589 EU3693 H + A": -+ 20 100 " BTL590 EU3605 HU$ULIN R 100IU/$L)VIAL 10 $L VIAL591 EU2729 HUPOTIL 300 $# TAB SANBE TAB592 EU2730 HUSTADIN S%R #UARDIAN BOTOL593 EU2731 HUSTADIN TAB #UARDIAN TAB594 EU2732 H%ALUB ED CENDO FLS595 . 2238 ! -+. : ,-" : ! - . -+ (# A$P596 . 2239 ! -+. : ,-" : ! - . , : (# TAB597 EU2733 H%POBAC 100 $# IN PHAPROS VIAL

8/15/2019 So Des Ember 2015


600 EU2735 H%STOLAN TAB TAB601 EU2736 IBUPEN SUPP KALBE SUPP602 EU3708 IBUPROFEN 200 $# S%R BTL603 . 2242 -: @ !=.+ 200 ? (# BOTOL604 . 2240 -: @ !=.+ 200 ? , : (# TAB605 . 2241 -: @ !=.+ 400 ? , : (# TAB606 . 2243 -: @ !=.+ (# BOTOL607 EU2737 I>FLEK TAB PHAPROS TAB608 EU2738 IKADR%L IN VIAL609 EU3435 IKADR%L IN PER $L $L610 EU2739 IKALEP CAP IKAPHAR$INDO TAB611 EU2740 IKALEP S%R IKAPHAR$INDO BOTOL612 EU2741 IKAPHEN CAP IKAPHAR$INDO TAB613 EU2742 IKAPHEN IN IKAPHAR$INDO A$P614 EU2743 I$BOOST EFF SOHO BOTOL615 EU2744 I$BOOST FORCE TAB SOHO TAB616 EU2745 I$BOOST FORCE S%R SOHO BOTOL617 EU2746 I$UNOS S%R LAPI BOTOL618 EU2747 I$UNOS TAB LAPI TAB619 EU2748 INDE&ON IN INTERBAT A$P620 EU2749 INDE&ON TAB INTERBAT TAB621 EU2750 INDU&IN IN KALBE A$P622 EU2751 INERSON CR INTERBAT TUBE623 EU3410 INFU$AL INF LABU624 EU2754 INKURIN TAB INTERBAT TAB625 EU3399 INODE& IN A$P626 EU3620 INODE& IN A$P627 EU2755 INPEPSA S%R FAHRENHEIT BOTOL

628 EU2756 INSAAR INTERBAT TAB629 EU2757 INSULIN $I&TAR IN NOVONORDISK VIAL630 EU2758 INSULIN RAPID IN NOVONORDISK VIAL631 EU2759 INTERCON CR 10 #R INTERBAT TUBE632 EU2760 INTERDO&IN 100 $# CAP INTERDO&IN TAB633 EU3619 INTERHISTIN TAB TAB634 EU2761 INTERLAC DROP INTERBAT BOTOL635 EU2762 INTER$IC IN INTERBAT VIAL636 EU2763 INTERNOLOL 50 $# TAB INTERBAT TAB637 EU2764 INTERPRIL 10 $# TAB INTERBAT TAB638 EU2765 INTERPRIL 5 $# TAB INTERBAT TAB639 EU2752 INTERVASK 10 $# TAB INTERBAT TAB640 EU2753 INTERVASK 5 $# TAB INTERBAT TAB641 EU2766 INTER'OL 1 SHA$PO INTERBAT BOTOL642 EU2767 INTER'OL 2 SHA$PO INTERBAT BOTOL643 EU2768 INTER'OL CR 5 #R INTERBAT TUBE644 EU2769 INTIFEN TAB INTERBAT TAB645 EU3743 INTRALIPID 20 100 $L BTL646 EU3690 INVICLOT / 1 $L $L647 EU2770 INVICLOT IN :! /1648 EU2771 INVITE& TAB KALBE TAB649 EU2772 INVO$IT 4 $# IN INTERBAT A$P650 EU2773 INVO$IT 4 $# TAB INTERBAT TAB651 EU2774 INVO$IT 8 $# IN INTERBAT A$P652 EU3615 IRBESARTAN 150 $# KAPTAB653 EU3659 IRBESARTAN 300 $# TAB654 EU2775 IRE$A& TAB #UARDIAN TAB655 EU2776 IRONIL TAB #UARDIAN TAB656 EU3393 IRTAN 150 $# TAB657 EU2777 IS$O TAB BOEHRIN#ER TAB658 EU2780 ISOFLURANE IN /$L DE&A $L

8/15/2019 So Des Ember 2015


661 EU2778 ISOPTIN IN ABBOT A$P662 EU2779 ISORIC 100 $# TAB INTERBAT TAB663 . 2246 - ! ! :- -+-, , , : (# TAB664 EU3680 ISOTIC ADRETOR 0)5 . BTL665 EU2781 IT'OL TAB LAPI TAB666 EU3744 KABIVEN PERIPHERAL 1440 $L INF BTL667 EU3411 KAEN 1B INF BTL668 EU3412 KAEN 3A INF LABU669 EU3413 KAEN 3B INF BTL670 EU3742 KALBA$IN 500 $L BTL671 EU3714 KALIPAR TAB TAB672 EU2782 KALITAKE SACH SACH673 . 2247 ; "- -;"!=.+ 25 ? , : (# TAB674 . 2248 ; "- -;"!=.+ 50 ? , : (# TAB675 EU2783 KALOBA TAB PHAPROS TAB676 EU2784 KALTHROCIN 500 $# TAB KALBE TAB677 EU2785 KALTHROCIN S%R KALBE BOTOL678 EU3397 KALTROFEN IN A$P679 EU2786 KAL&ETIN 10 $# CAP KALBE TAB680 EU2787 KAL&ETIN 20 $# CAP KALBE TAB681 EU2788 KANA$ICIN $EI I VIAL682 EU2789 KAR%UNI ED FERRON FLS683 EU3415 KCL IN A$P684 EU3360 KE$ICETINE SALEP 1 # TUBE685 EU3304 KE$ICETINE SALEP 15 # TUBE686 EU3338 KENALO# IN ORABASE TUBE687 EU3736 KENDARON TAB688 EU2790 KEREN IN NULAB A$P

689 EU2791 KEREN TAB NULAB TAB690 EU3314 KETESSE IN A$P691 EU3313 KETESSE TAB TAB692 EU3633 KETO # ; @".,693 . 2249 ;.,!;!+ !". (# TUBE694 . 2250 ;.,!;!+ !". , : (# TAB695 EU2792 KETOPAIN IN SOHO A$P696 . 2251 ;.,!@ !=.+ 100 ? , : (# TAB697 . 2252 ;.,!@ !=.+ -+ (# A$P698 . 2253 ;.,! !" 10 ? -+ (# A$P699 . 2254 ;.,! !" 30 ? -+ (# A$P700 . 2255 ;.,! !" , : (# TAB701 EU2793 KETROBAT 10 $# IN INTERBAT A$P702 EU2794 KETROBAT 30 $# IN INTERBAT A$P703 EU3414 KID$IN INF BA#704 EU2795 KINA 222 TAB KI$IA FAR$A TAB705 EU2796 KLODER$A CR SD$ TUBE706 EU2797 KOATE IN VIAL707 EU3692 KOATE IN 550 IU VIAL708 EU2798 KOLKATRIOL FORTE TAB PHAPROS TAB709 EU2799 KSR TAB TAB710 EU2800 KT$ IN #UARDIAN PER $L $L711 EU2801 LACEDI$E IN LAPI VIAL712 EU2802 LACOLDIN S%R LAPI BOTOL713 EU2803 LACOLDIN TAB LAPI TAB714 EU2804 LACOPHEN 250 $# CAP LAPI TAB715 EU2805 LACOPHEN 500 $# CAP LAPI TAB716 EU2806 LACOPHEN S%R LAPI BOTOL717 EU2807 LACTRIN LAPI TAB718 EU2808 LACTULA& S%R 60 $L IKAPHAR$INDO BOTOL719 EU2809 LAFLANAC TAB LAPI TAB

8/15/2019 So Des Ember 2015


722 EU2811 LA$ESON 8 $# TAB LAPI TAB723 EU2812 LA$ESON IN VIAL724 EU2813 LA$ODE& CR #UARDIAN TUBE725 EU2814 LANO&IN IN #LA&O VIAL726 . 2257 " + !@ !". @ (# TAB727 EU3663 LANTUS PEN PCS728 EU2815 LAP ICEF 250 $# TAB LAPI TAB729 EU2816 LAP ICEF 500 $# TAB LAPI TAB730 EU2817 LAP ICEF 250 $# S%R LAPI BOTOL731 EU2818 LAPIBAL 250 $# CAP LAPI TAB732 EU2819 LAPIBAL 500 $# CAP LAPI TAB733 EU2820 LAPIBAL IN LAPI A$P734 EU2821 LAPIBION LAPI TAB735 EU2822 LAPIBRO' 600 $# TAB 3300 TAB736 EU3339 LAPIFED S%R BOTOL737 EU3712 LAPIFED TAB TAB738 EU2823 LAPIFLO& 250 $# TAB LAPI TAB739 EU2824 LAPIFLO& 500 $# TAB LAPI TAB740 EU2825 LAPIKOT FORTE TAB LAPI TAB741 EU2826 LAPI$O& 500 $# TAB LAPI TAB742 EU2827 LAPI$UC TAB LAPI TAB743 EU2828 LAPISIV S%R 60 $L LAPI BOTOL744 EU2829 LAPISIV %R 100 $L LAPI BOTOL745 EU2830 LAPISTAN 500 $# TAB LAPI TAB746 EU2831 LAPI&I$E IN LAPI VIAL747 EU2832 LAPRA' CAP SANBE TAB748 . 3416 " , + 2 !?: -+= (# BTL749 EU2833 LASAL 2 $# TAB LAPI TAB

750 EU2834 LASAL 4 $# TAB LAPI TAB751 EU2835 LASAL E&PECT S%R BOTOL752 EU2836 LASAL S%R LAPI BOTOL753 EU2837 LAS#AN CAP LAPI TAB754 EU2838 LAS$ALIN S%R LAPI BOTOL755 EU2839 LAS$ALIN TAB LAPI TAB756 EU2840 LATROPIL 400 $# CAP LAPI TAB757 EU2841 LATROPIL 800 $# CAP LAPI TAB758 EU2842 LATROPIL S%R LAPI BOTOL759 EU2843 LA&ADIN S%R #ALENIU$ BOTOL760 EU2844 L>BIO SACH LAPI SACH761 EU2845 LEO$O&%L 125 $# S%R LAPI BOTOL762 EU2846 LEO$O&%L 250 $# S%R LAPI BOTOL763 EU3724 LEPTICA 75 $# TAB764 EU2847 LEPTISOL TAB $ETISKA TAB765 EU2848 LESIPAR TAB LAPI TAB766 EU2849 LETONAL 100 $# TAB OTTO TAB767 EU2850 LETONAL 25 $# TAB OTTO TAB768 EU2851 LEVA'IDE TAB P%RIDA$ TAB769 EU2852 LEVOCIN 250 $# TAB SANBE TAB770 EU2853 LEVOCIN 500 $# TAB SANBE TAB771 EU2854 LEVOCIN INF SANBE BOTOL772 . 2258 ". !="! -+ 500 ? , : (# TAB773 . 2259 ". !="! -+ -+= (# BOTOL774 EU2855 LEVOS 500 $# TAB #UARDIAN TAB775 EU2856 LEVOS INF #UARDIAN BOTOL776 EU2857 LF& ED CENDO FLS777 . 2260 "- ! -+ -+ (# A$P778 EU2858 LIDODE& IN BERNO A$P779 EU3307 LIDONESE CREA$ TUBE780 EU3361 LIDONESE CREA$ 1 #R TUBE

8/15/2019 So Des Ember 2015


783 EU3763 LIPO$ED 20 PCS784 EU3656 LISINOPRIL 10 $# TAB785 EU3655 LISINOPRIL 5 $# TAB786 EU3387 LODE$ TAB TAB787 EU2860 LODIA 2 $# TAB SANBE TAB788 EU3752 LODO$ER 2 $# TAB789 EU2861 LODOPIN 25 $# TAB KALBE TAB790 EU2862 LODOPIN 50 $# TAB KALBE TAB791 EU2863 LORAN TAB #UARDIAN TAB792 . 2262 "! , -+ , : (# TAB793 EU3681 LOSARTAN 50 $# TAB TAB794 EU2864 LOTASBAT CR INTERBAT TUBE795 EU3740 LOVENO& 60 $# IN -+?.796 EU2865 LUTEN%L TAB $ERCK TAB797 EU2866 LUTEVIT TAB OTTO TAB798 EU2867 L%COTEN TAB OTTO TAB799 EU2868 L%NORAL TAB OR#ANON TAB800 EU2869 L%RICA 75 $# TAB PFI'ER TAB801 EU2870 L%TEERS ED CENDO BTL802 EU2871 L>'INK S%R BOTOL803 EU2872 L>'INK TAB LAPI TAB804 EU3646 $ADOPAR TAB805 EU2873 $A#TRAL F TAB OTTO TAB806 EU2874 $A#TRAL FORTE S%R OTTO BOTOL807 EU2875 $A#TRAL S%R OTTO BOTOL808 EU2876 $AINTATE TAB TANABE TAB809 EU2877 $AN#IFER ETHICA TAB810 EU3417 $ANITOL 20 INF BTL

811 EU3418 $ARTOS INF BOTOL812 EU2878 $ATOFLA$ TAB SOHO TAB813 EU2879 $ATOVIT A& TAB SOHO TAB814 EU2880 $EBO 20 #R CR TUBE815 . 2263 . !: " -+ 250 ? @ (# TAB816 . 2264 . !: " -+ 500 ? @ (# TAB817 . 2265 . !: " -+ -+ (# A$P818 EU2881 $ECOLA TAB LAPI TAB819 EU2882 $EFINAL 250 $# TAB SANBE TAB820 EU2883 $EFINAL 500 $# TAB SANBE TAB821 EU2884 $E#ABAL 250 $# TAB SANBE TAB822 EU2885 $E#ABAL 500 $# CAP SANBE TAB823 EU2886 $E#A'IN# TAB LAPI TAB824 . 2266 ."! - 15 ? , : (# TAB825 . 2267 ."! - 7 5 ? , : (# TAB826 . 2268 ."! - @@ (# SUPP827 EU2887 $ELO&IN 15 $# TAB INTERBAT TAB828 EU3340 $EPTIN $INI TAB TAB829 EU2888 $EPTIN NEBU OTSUKA A$P830 EU2889 $ERE$ IN #UARDIAN VIAL831 EU3751 $ERLOPA$ 2 $# TAB832 . 2269 . !@.+. -+ (# VIAL833 EU2890 $EROSAN IN SANBE VIAL834 EU2891 $EROTIK IN LAPI VIAL835 EU2892 $ERTI#O TAB DE&A TAB836 EU3642 $ESTINON TAB TAB837 . 2270 .,=! -+ , : (# TAB838 EU3390 $ETHERINAL TAB TAB839 EU3660 $ETH%LER#O$ETRIN IN A$P840 . 2271 ., "@ . +- !"!+ 125 ? -+ (# BO&841 . 2272 ., "@ . +- !"!+. 16 ? , : (# TAB

8/15/2019 So Des Ember 2015


844 EU2893 $ETILAT TAB $ETISKA TAB845 . 2275 .,-". ?! ., -+ -+ (# A$P846 . 2276 .,-". ?! ., -+ , : (# TAB847 . 2277 .,! "!@ - . -+ (# TAB848 . 2278 .,! "!@ - . (# BOTOL849 . 2279 .,! "!@ - . , : (# TAB850 EU2894 $ETONATE CR OTTO TUBE851 EU2895 $ETRI& 1 $# TAB KALBE TAB852 EU2896 $ETRI& 2 $# TAB KALBE TAB853 EU2897 $ETRI& 3 $# TAB KALBE TAB854 EU2898 $ETRI& 4 $# TAB KALBE TAB855 EU3756 $ETRONIDA'OLE 250 $# TAB856 . 2280 ., !+- !". 500 ? , : (# TAB857 . 2281 ., !+- !". -+= (# BOTOL858 EU3419 $E%LON IN A$P859 EU2899 $E'ATRIN 250 $# CAP SANBE TAB860 EU2900 $E'ATRIN 500 $# CAP SANBE TAB861 EU3420 $#SO4 20 IN LABU862 EU3421 $#SO4 40 IN LABU863 EU3766 $ICARDIS 40 $# TAB864 EU3647 $ICARDIS TAB TAB865 . 2282 - !+ !". (# TUBE866 EU3341 $ICROLA& ENE$A TUBE867 EU2901 $ICTONOR$ PHAPROS TAB868 EU2902 $IDRIATIL 1 ED FLS869 EU2903 $IKASIN 250 $# IN KALBE VIAL870 EU3358 $ILO' 5 $# IN NOVEL A$P871 EU3729 $INIASPI 80 $# TAB

872 EU2904 $OBIFLE& TAB SOHO TAB873 EU2905 $OISDER$ 10 CR INTERBAT TUBE874 EU2906 $OISDER$ 20 CR INTERBAT TUBE875 EU3730 $OLAS$A 2)5 $# TAB876 . 2284 ! ., !+. (# TUBE877 EU2907 $ONECTO TAB FAHRENHEIT TAB878 . 2283 ! =-+ -+ (# A$P879 EU2908 $ORFIN IN KI$IA FAR$A A$P880 EU2909 $OSARDAL INF SOHO BOTOL881 EU2910 $OVI& 15 $# TAB LAPI TAB882 EU2911 $OVI& 7 5 $# TAB LAPI TAB883 EU2912 $O&IC 15 $# TAB OTTO TAB884 EU2913 $O&IC 7 5 $# TAB OTTO TAB885 EU2914 $ST TAB KI$IA FAR$A TAB886 EU2915 $UCERA 15 $# S%R OTTO BOTOL887 EU2916 $UCERA 30 $# S%R OTTO BOTOL888 EU2917 $UCERA DROP OTTO BOTOL889 EU3309 $UCERA FORTE S%R OTTO BOTOL890 EU2918 $UCOHE&IN S%R SANBE BOTOL891 EU2919 $UCOHE&IN TAB SANBE TAB892 EU2920 $USIN S%R OTTO BOTOL893 EU2921 $USIN TAB OTTO TAB894 EU2922 $%CETIN ED CENDO FLS895 EU3363 $%CETIN EO 1 #R TUBE896 EU2923 $%CETIN EO 3)5 #R TUBE897 EU2924 $%CODER$ CR 5 #R OTTO TUBE898 EU2925 $%CODER$ TAB OTTO TAB899 EU2926 $%CORAL TAB KALBE TAB900 EU3362 $%COS EO CENDO 1 #R TUBE901 EU2927 $%COS EO CENDO 3)5 #R TUBE902 EU2928 $%ONEP TAB LAPI TAB

8/15/2019 So Des Ember 2015


905 . 3422 + " !?: -+= (# BOTOL906 . 3434 + " !?: -+= (# 1 $L DALA$ TINDAKAN LABU907 . 2370 + " ?.+, - -+ -+ (# PER $L $L908 EU2929 NAIRET IN OTTO A$P909 EU2930 NAIRET S%R OTTO BOTOL910 EU2931 NAIRET TAB OTTO TAB911 EU2932 NALETAL TAB #UARDIAN TAB912 EU2933 NATO 10 TAB LAPI TAB913 . 2285 + , - -;"!=.+ 25 ? , : (# TAB914 . 2286 + , - -;"!=.+ 50 ? , : (# TAB915 EU2934 NEFROFER IN A$P916 EU2935 NEO #%NO&A SUPP SUPP917 EU2936 NEO K IN CO$BIPHAR A$P918 EU2937 NEO KAOLANA SUSP SANBE BOTOL919 EU3755 NEO $ERCA'OLE TAB920 EU2938 NEOSINOL CR INTERBAT TUBE921 EU3741 NEOSTI#$INE IN A$P922 EU2939 NEPATIC 300 $# TAB KALBE TAB923 EU3423 NEPROSTERIL INF LABU924 EU2940 NERILON CR INTERBAT TUBE925 EU2941 NESERITIN IN A$P926 EU2942 NEUCITI 250 $# IN LAPI A$P927 EU2943 NEUCITI 500 $# IN LAPI A$P928 EU2944 NEUCITI TAB LAPI TAB929 EU2945 NEULIN IN FERRON A$P930 EU2946 NEULIN TAB FERRON TAB931 EU2947 NEUROBAT FORTE IN INTERBAT A$P932 EU2948 NEUROBAT TAB INTERBAT TAB

933 EU3618 NEURODE& FC TAB934 EU2949 NEUROHA& TAB #UARDIAN TAB935 EU2950 NEUROSANBE 5000 TAB SANBE TAB936 EU2951 NEUROSANBE IN SANBE A$P937 EU2952 NEUROSANBE PLUS TAB SANBE TAB938 EU2953 NEUROSANBE TAB SANBE TAB939 EU2954 NEVIR' TAB #UARDIAN TAB940 EU2955 NEVOC 250 $# TAB KALBE TAB941 EU2956 NEVOC &R 500 $# TAB KALBE TAB942 EU2957 NE* DIATAB TAB $EDIFAR$A TAB943 EU2958 NIFEDIN TAB SANBE TAB944 . 2287 +-=. -@-+ , : (# TAB945 EU2959 NITRADISC PAD946 EU3758 NITROKAF RETARD ; @".,947 EU3757 NITROKAF RETARD FORTE KAPSUL948 EU2960 NOLIPO 500 $# CAP SANBE TAB949 EU2961 NOLIPO S%R SANBE BOTOL950 EU2962 NONAFACT IN VIAL951 EU2963 NONE$I TAB LAPI TAB952 EU3624 NOPERTEN 5 TAB953 EU3644 NOPRES TAB954 EU2965 NORELUT TAB DE&A TAB955 EU2966 NOR$AVIT TAB CENDO TAB956 EU3343 NOROID CR TUBE957 EU2967 NORSEC CAP #UARDIAN TAB958 EU2968 NORTIFEN TAB OTTO TAB959 EU3686 NOVO$I&>30 FLE& PEN @.+960 EU3601 NOVORAPID IN VIAL961 EU2964 NOVORAPID PEN @.+962 EU2969 NUCEF 100 $# CAP #UARDIAN TAB963 EU2970 NUCEF S%R #UARDIAN BOTOL

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


1027 EU3014 OSTARIN 200 $# S%R OTTO BOTOL1028 EU3015 OSTARIN 200 $# TAB OTTO TAB1029 EU3016 OSTARIN 400 $# TAB OTTO TAB1030 EU3017 OSTEOFLA$ TAB SOHO TAB1031 EU3018 OSTEOKO$ TAB LAPI TAB1032 EU3019 OSTRID 200 $# TAB OTTO TAB1033 EU3020 OSTRID 400 $# TAB OTTO TAB1034 EU3347 OTILON TETES TELIN#A SANBE FLS1035 EU3021 OTOLIN TETES TELIN#A KALBE FAR$A FLS1036 EU3022 OTOPAIN TETES TELIN#A INTERBAT FLS1037 EU3426 OTSU D 40 INF A$P1038 EU3424 OTSU D5 100 $L INF LABU1039 EU3425 OTSU NS 100 $L INF LABU1040 EU3617 OTSU SALIN 3 BTL1041 EU3023 OTTO#ENTA CR OTTO TUBE1042 EU3024 OTTO#ENTA IN OTTO A$P1043 EU3025 OTTOPAN DROP OTTO BOTOL1044 EU3026 OTTOPAN S%R BOTOL1045 EU3027 OTTO'OL IN OTTO VIAL1046 EU3028 O&AN TAB TAB1047 EU3029 O&OFERIN LOT FLS1048 EU3030 O&TERCID IN INTERBAT VIAL1049 . 2302 ! ,., - "-+. (# TUBE1050 . 2303 ! ,., - "-+. ".@ , (# TUBE1051 EU3637 PAINKILA CR TUBE1052 EU3031 PA$OL 125 $# SUPP INTERBAT SUPP1053 EU3032 PA$OL 250 $# SUPP INTERBAT SUPP1054 EU3033 PA$OL S%R INTERBAT BOTOL

1055 EU3034 PA$OL TAB INTERBAT TAB1056 EU3427 PAN A$IN # INF LABU1057 EU3035 PANSO IN SOHO VIAL1058 EU3704 PANTERA IN VIAL1059 EU3348 PANTOCAIN 0 5 ED FLS1060 EU3303 PANTOCAIN ED 2 5 $L CENDO BTL1061 EU3365 PANTOCAIN ED 2 CENDO 1 TETES BTL1062 . 2304 @ +,!@ !". -+ (# BO&/1VIAL1063 EU3036 PANTOPU$P IN INTERBAT VIAL1064 . 2307 @ @ . -+ -+ (# A$P1065 . 2306 @ @ . -+ , : (# TAB1066 . 2308 @ ., !" !@ (# BOTOL1067 . 2309 @ ., !" -+= (# BOTOL1068 . 2310 @ ., !" (# BOTOL1069 . 2311 @ ., !" , : (# TAB1070 EU3037 PAS UA$ CR SANBE TUBE1071 EU3451 PA&US IN 100 $# VIAL1072 EU3450 PA&US T$ IN 30 $# VIAL1073 EU3038 PECTOIL ETHICA 01074 EU3349 PEDIALITE BOTOL1075 EU3039 PEHACAIN IN PHAPROS A$P1076 EU3040 PEHADO&IN FORTE TAB PHAPROS TAB1077 EU3396 PEHA$O&IL IN VIAL1078 EU3041 PEP'OL TAB $AHAKA$ TAB1079 . 2312 @. =.+ -+. 4 ? , : (# TAB1080 EU3042 PERIFAS TAB OTTO TAB1081 EU3043 PERVITA TAB SANBE TAB1082 . 2313 @.,- -+ -+ (# A$P1083 EU3044 PETIDIN IN KI$IA FAR$A A$P1084 EU3747 P#B TAB 75 $# TAB1085 EU3600 PHA$INOR IN A$P

8/15/2019 So Des Ember 2015


1088 . 2314 @ .+-,!-+ -+ (# A$P1089 . 2316 @ .+!: :-, " 100 ? , : (# TAB1090 . 2317 @ .+!: :-, " 30 ? , : (# TAB1091 . 2318 @ .+!: :-, " -+ (# TAB1092 EU3046 PHENTAL IN A$P1093 EU3616 PHINEV IN A$P1094 . 2320 @ ,! .+ -!+ -+ (# A$P1095 . 2319 @ ,! .+ -!+ , : (# TAB1096 EU3047 PIBAKSIN CR SANBE TUBE1097 EU3048 PICULA ETHICA TAB1098 EU3049 PIDOVI& TAB LAPI TAB1099 EU3050 PILOPIL TAB #UARDIAN TAB1100 EU3051 PIONI& KALBE TAB1101 . 2324 @- ., 1 ? -+ (# A$P1102 . 2323 @- ., 1200 ? @ (# TAB1103 . 2325 @- ., 3 ? -+ (# A$P1104 . 2321 @- ., 400 ? @ (# TAB1105 . 2322 @- ., 800 ? @ (# TAB1106 EU3052 PIRALEN IN OTTO A$P1107 EU3053 PIRALEN S%R OTTO BOTOL1108 EU3054 PIRALEN TAB OTTO TAB1109 EU3055 PIROFEL #EL SANBE TUBE1110 . 2326 @- !; -; 10 ? @ (# TAB1111 . 2327 @- !; -; 20 ? @ (# TAB1112 EU3056 PIROTOP CR SD$ TUBE1113 EU3700 PITO#IN IN A$P1114 EU3057 PLANTACID S%R KALBE BOTOL1115 EU3611 PLASBU$IN 20 100 $L INF BTL

1116 EU3671 PLASBU$IN 20 50 $L BOTOL1117 EU3058 PLAS$INE& 500 $# TAB SANBE TAB1118 EU3059 PLAS$INE& IN SANBE A$P1119 EU3060 PLAVOS TAB SOHO TAB1120 EU3061 POL%DE& ED CENDO FLS1121 EU3062 POL%#RAN ED CENDO FLS1122 EU3063 POL%PRED ED CENDO FLS1123 EU3064 POS OP ED CENDO FLS1124 EU3065 POSPAR#IN IN KALBE A$P1125 EU3066 POSPAR#IN TAB KALBE TAB1126 . 2329 @! - !+. -! -+. 10 30 " (# BOTOL1127 . 2328 @! - !+. -! -+. 10 60 " (# BOTOL1128 EU3067 POVIRAL TAB KALBE TAB1129 EU3068 PREDNICORT 4 $# TAB OTTO TAB1130 EU3069 PREDNICORT 8 $# TAB OTTO TAB1131 . 2330 @ . +- !+. , : (# TAB1132 EU3750 PRE#ABALIN 75 $# TAB1133 EU3070 PRE$ASTON TAB KALBE TAB1134 EU3071 PRENA$IA TAB SANBE TAB1135 EU3072 PRESTRENOL TAB INTERBAT TAB1136 EU3073 PRI$A UIN TAB PI$ TAB1137 EU3753 PRI$OLUT N TAB1138 EU3607 PRO INFARK IN EKSI A$P1139 EU3074 PROCUR PLUS TAB #UARDIAN TAB1140 EU3075 PROFERTIL TAB KALBE TAB1141 EU3076 PROFUN#AL CR 20 #R KALBE TUBE1142 EU3077 PROFUN#AL CR 5 #R KALBE TUBE1143 EU3078 PRO#ESIC S%R $ETISKA BOTOL1144 EU3079 PROHE$ IN FAHRENHEIT A$P1145 EU3080 PROLIC 150 $# CAP SANBE TAB1146 EU3081 PROLIC 300 $# CAP SANBE TAB

8/15/2019 So Des Ember 2015


1149 EU3083 PRONAL#ES SUPP DE&A SUPP1150 . 2331 @ !@ +!"!" , : (# TAB1151 . 2332 @ !@-",-! -" (PTU TAB1152 EU3697 PROSTER TAB1153 EU3084 PROSTI#$IN IN ROCHE A$P1154 EU3085 PSIDII CAP DE&A TAB1155 EU3622 PUL$ICORT VIAL1156 EU3726 PUL$ICORT TURB BO&1157 EU3379 PU$PICEL VIAL SANBE VIAL1158 EU3086 PU$PITOR CAP SANBE TAB1159 EU3087 PU$PITOR IN SANBE VIAL1160 EU3654 PURALE& TAB TAB1161 EU3088 PURICE$IA TAB SANBE TAB1162 EU3089 P%O#ENTA IN A$P1163 . 2333 @ -+ - . 500 ? , : (# TAB1164 EU3090 >CEF S%R #UARDIAN BOTOL1165 EU3091 IDRO& FORTE S%R #UARDIAN BOTOL1166 EU3092 IDRO& S%R #UARDIAN BOTOL1167 . 2334 -+- -+ , : (# TAB1168 EU3093 RAIVAS IN DE&A A$P1169 EU3698 RA$IPRIL 5 $# TAB1170 . 2335 +-,- -+ -+ (# A$P1171 . 2336 +-,- -+ , : (# TAB1172 EU3094 RANTIN 150 $# TAB KALBE TAB1173 EU3095 RANTIN 300 $# TAB KALBE TAB1174 EU3096 RANTIN IN KALBE A$P1175 EU3097 RATIVOL IN SANBE A$P1176 EU3364 RECOFOL IN DE&A 1 $L $L

1177 EU3098 RECOFOL IN /10 $L DE&A 10 $L1178 EU3099 RECOLFAR 0 5 $# TAB FAHRENHEIT TAB1179 EU3100 RE$OPAIN IN DE&A A$P1180 EU3603 RENADINAC TAB 50 $# TAB1181 EU3101 RENVOL 25 $# TAB OTTO TAB1182 EU3102 RENVOL 50 $# TAB OTTO TAB1183 EU3103 RENVOL #EL OTTO TUBE1184 EU3104 REUCID 100 $# TAB OTTO TAB1185 EU3105 REUCID 300 $# TAB OTTO TAB1186 EU3106 REVOLAN 400 $# CAP SANBE TAB1187 EU3107 REVOLAN 800 $# CAP SANBE TAB1188 EU3108 REVOLAN IN SANBE A$P1189 EU3109 RE&ICA$ 10 $# TAB OTTO TAB1190 EU3110 RE&ICA$ 20 $# TAB OTTO TAB1191 EU3111 RHELAFEN 100 $# S%R LAPI BOTOL1192 EU3112 RHELAFEN 200 $# S%R LAPI BOTOL1193 EU3310 RHELAFEN FORTE S%R LAPI BOTOL1194 EU3113 RHETOFLA$ 50 $# TAB SANBE TAB1195 EU3311 RHETOFRA$ #EL SANBE TUBE1196 EU3114 RHINOS CAP DE&A TAB1197 EU3115 RHINOS UNIOR S%R DE&A BOTOL1198 EU3116 RHINOS NEO DROP DE&A BOTOL1199 EU3117 RIBO UIN DE&A TAB1200 . 2337 -= @- -+ 300 ? @ (# TAB1201 . 2338 -= @- -+ 450 ? , : (# TAB1202 . 2339 -= @- -+ 600 ? (# TAB1203 EU3118 RIFA$TIBI 450 $# TAB SANBE TAB1204 EU3119 RIFA$TIBI 600 $# TAB SANBE TAB1205 EU3120 RIHEST S%R OTTO BOTOL1206 EU3121 RIHEST TAB OTTO TAB1207 EU3673 RI$ACTA'ID PAED TAB TAB

8/15/2019 So Des Ember 2015


1210 . 2341 - @. - !+ 2 ? , : (# TAB1211 EU2342 RISPERIDON 3 $# TAB TAB1212 EU3122 RI'ODAL 1 $# TAB #UARDIAN TAB1213 EU3123 RI'ODAL 2 $# TAB #UARDIAN TAB1214 EU3124 RI'ODAL 3 $# TAB #UARDIAN TAB1215 . 3428 " !?: -+= (# BOTOL1216 EU3125 ROCER 20 $# CAP OTTO TAB1217 EU3126 ROCER IN OTTO VIAL1218 EU3354 ROCULA& IN $L1219 EU3127 ROFIDEN IN OTTO A$P1220 EU3128 ROFIDEN TAB OTTO TAB1221 EU3129 ROVADIN 500 $# TAB OTTO TAB1222 EU3130 ROVADIN S%R OTTO BOTOL1223 EU3131 SA#ESTA$ CR SANBE TUBE1224 . 2343 ": , !" 2 ? , : (# TAB1225 . 2344 ": , !" 4 ? , : (# TAB1226 EU3636 SALBUTA$OL S%R BTL1227 . 2345 "- -" , "; (# BOTOL1228 EU3132 SALTICIN IN INTERBAT VIAL1229 EU3133 SANADR%L S%R 120 $L SANBE BOTOL1230 EU3134 SANADR%L S%R 60 $L SANBE BOTOL1231 EU3135 SANA'ET 500 $# TAB SANBE TAB1232 EU3136 SANCORT$%SIN CR SANBE TUBE1233 EU3137 SANE&ON 4 $# TAB SANBE TAB1234 EU3138 SANE&ON IN VIAL1235 EU3139 SANFURO SANBE TUBE1236 EU3140 SANLIN 250 $# CAP SANBE TAB1237 EU3141 SANLIN 500 $# CAP SANBE TAB

1238 EU3142 SAN$ETIDIN TAB SANBE TAB1239 EU3143 SAN$OL DROP SANBE BOTOL1240 EU3144 SAN$OL INF BOTOL1241 EU3145 SAN$OL S%R BOTOL1242 EU3146 SAN$OL S%R SANBE BOTOL1243 EU3147 SAN$OL TAB SANBE TAB1244 EU3148 SANPICILLIN 125 $# S%R SANBE BOTOL1245 EU3149 SANPICILLIN 250 $# CAP SANBE TAB1246 EU3150 SANPICILLIN 250 $# S%R SANBE BOTOL1247 EU3151 SANPICILLIN 500 $# CAP SANBE TAB1248 EU3152 SANPICILLIN IN SANBE VIAL1249 EU3153 SANPRI$A FORTE TAB SANBE TAB1250 EU3154 SANPRI$A S%R SANBE BOTOL1251 EU3155 SANTA E 100 UI CAP SANBE TAB1252 EU3156 SANTA E 200 UI CAP SANBE TAB1253 EU3157 SANTA E 400 UI CAP SANBE TAB1254 EU3158 SANTIBI 500 $# TAB SANBE TAB1255 EU3159 SANTIBI PLUS TAB SANBE TAB1256 EU3160 SCABI$ITE CR TUBE1257 EU3161 SCOPA$IN IN OTTO A$P1258 EU3162 SCOPA$IN PLUS TAB OTTO TAB1259 EU3163 SCOPA$IN TAB OTTO TAB1260 EU3164 SEDACU$ 5 $# IN DE&A A$P1261 EU3165 SERFAC 1000 $# IN OTTO A$P1262 EU3166 SERFAC 250 $# IN OTTO A$P1263 EU3167 SERFAC 500 $# IN OTTO A$P1264 EU3168 SERLOF TAB KALBE TAB1265 EU3169 SEROLIN 10 $# TAB KALBE TAB1266 EU3170 SEROLIN 30 $# TAB KALBE FAR$A TAB1267 EU3732 SERO UEL &R 200 TAB1268 EU3731 SERO UEL &R 300 TAB

8/15/2019 So Des Ember 2015


1271 EU3685 SIBITAL IN 200 $# / 2 $L A$P1272 EU3173 SICLIDON 50 $# CAP SANBE TAB1273 EU3174 SIFROL TAB BOEHRIN#ER TAB1274 EU3653 SILO&AN ED BTL1275 EU3175 SI$ARC TAB FAHRENHEIT TAB1276 EU3176 SI$VASK TAB SI$E& TAB1277 . 2346 - , ,-+ 10 ? , : (# TAB1278 . 2347 - , ,-+ 20 ? , : (# TAB1279 EU3177 SISTENOL TAB DE&A TAB1280 EU3178 SN$C IN DE&A VIAL1281 EU3312 SOCID CAPS SOHO TAB1282 EU3179 SOCID IN SOHO VIAL1283 EU3180 SOCLAF IN SOHO VIAL1284 EU3181 SODI$ IN SOHO VIAL1285 EU3635 SOHOBION TAB1286 EU3400 SOHOBION IN A$P1287 EU3182 SOLANS CAP SOHO KAPSUL1288 EU3643 SOLOSA 2 TAB TAB1289 EU3384 SOTATIC TAB TAB1290 EU3183 SOU ORN IN /$L FAHRENHEIT $L1291 EU3184 SPIRASIN 500 $# TAB SANBE TAB1292 EU3764 SPIRIVA 18 $C# BO&1293 . 2349 @- !+!" ,!+. 100 ? , : (# TAB1294 . 2348 @- !+!" ,!+. 25 ? , : (# TAB1295 EU3185 SPORETIK 100 $# CAP SANBE TAB1296 EU3186 SPORETIK 50 $# CAP SANBE TAB1297 EU3187 SPORETIK S%R SANBE BOTOL1298 EU3641 STALEVO TAB TAB

1299 EU3691 STARFOLAT TAB TAB1300 EU3188 STAR&ON IN INTERBAT VIAL1301 EU3189 STELA'IN 5 $# TAB PHAROS TAB1302 EU3191 STENIROL 4 $# TAB #UARDIAN TAB1303 EU3190 STENIROL 8 $# TAB #UARDIAN TAB1304 EU3602 STESOLID IN A$P1305 EU3667 STESOLID RECTAL TUBE1306 EU3192 STOBLED ETHICA TAB1307 EU3193 STOLA& SUPP SANBE SUPP1308 EU3194 STREPTASE IN DE&A VIAL1309 . 2350 , .@,! - -+ -+ (# VIAL1310 EU3195 SULCOLON CAP BERNO TAB1311 EU3196 SULDO& ALPHAR$A TAB1312 EU3197 TAFLO%AN ED FERRON FLS1313 EU3198 TANTU$ LO'EN#ES SOHO TAB1314 EU3199 TANTU$ VERDE ORAL RINSE #AR#LE SOHO BOTOL1315 EU3200 TARIVID ED KALBE FLS1316 EU3201 TARIVID TETES TELIN#A KALBE FLS1317 EU3202 TA&E#RA$ 0 5 $# IN SANBE VIAL1318 EU3203 TA&E#RA$ 1 #R IN SANBE VIAL1319 EU3204 TEBOKAN PHAPROS TAB1320 EU3205 TENSICAP 12 5 $# TAB SANBE TAB1321 EU3206 TENSICAP 25 $# TAB SANBE TAB1322 EU3207 TENSINOP 10 $# TAB SANBE TAB1323 EU3208 TENSINOP 5 $# TAB SANBE TAB1324 EU3351 TEOSAL TAB TAB1325 EU3209 TERANOL IN #UARDIAN A$P1326 EU3366 TERREL 100 CC FAHRENHEIT $L1327 EU3437 TERREL 1CC FAHRENHEIT $L1328 EU3210 TETA#A$ IN VIAL1329 . 2351 ,., - "-+ 250 ? @ (# TAB

8/15/2019 So Des Ember 2015


1332 EU3212 THEOBRON TAB INTERBAT TAB1333 . 2353 , - @ .+- !" 250 ? @ (# TAB1334 . 2354 , - @ .+- !" 500 ? @ (# TAB1335 EU3213 THIA$%CIN 250 $# S%R INTERBAT BOTOL1336 EU3759 THIOFENTAL SODIU$ 1 #RA$ VIAL1337 EU3214 THRO$BO ASPILET $EDIFAR$A TAB1338 EU3679 TH%A$PENIKOL S%R BTL1339 EU3215 TH%RA& TAB TAB1340 EU3665 TH%RO'OL 10 $# TAB1341 EU3666 TH%RO'OL 5 $# TAB1342 EU3386 TIBI#ON 500 $# TAB TAB1343 EU3216 TICARD 250 $# TAB SANBE TAB1344 EU3217 TICURIN# TAB LAPI TAB1345 EU3218 TILSAN TAB OTTO TAB1346 EU3219 TI$OL 0)5 ED CENDO FLS1347 EU3220 TINEURON TAB LAPI TAB1348 EU3221 TIRI' DROP LAPI BOTOL1349 EU3222 TIRI' TAB LAPI TAB1350 EU3223 TOBRO ED CENDO BTL1351 EU3224 TOBROSON ED 5 $L CENDO BTL1352 EU3225 TO$IT IN INTERBAT A$P1353 EU3226 TO$IT TAB INTERBAT TAB1354 EU3227 TOPA'OL IN LAPI VIAL1355 EU3228 TOPCORT CR SANBE TUBE1356 EU3229 TORA$IN 10 $# IN OTTO A$P1357 EU3230 TORA$IN 30 $# IN OTTO A$P1358 EU3231 TRACETIN CR OTTO TUBE1359 EU3232 TRACNE 0)05 CR INTERBAT TUBE

1360 EU3233 TRACNE 0)1 CR INTERBAT TUBE1361 EU3717 TRACRIU$ IN 2)5 $L A$P1362 EU3234 TRADOSIK TAB SANBE TAB1363 . 2355 , !" @ (# KAPSUL1364 . 2356 , !" -+ (# A$P1365 EU3235 TRA$IFEN TAB OTTO TAB1366 EU3236 TRA$US IN DE&A A$P1367 EU3237 TRANEE #RACIA A$P1368 EU3238 TRE$EN'A S%R SANBE BOTOL1369 EU3239 TRIA$CORT CR INTERBAT TUBE1370 EU3240 TRICHODA'OLE INF SANBE BOTOL1371 EU3241 TRICHODA'OLE OVULA SANBE OVULA1372 EU3242 TRICODA'OLE 500 $# TAB SANBE TAB1373 EU3243 TRIFEDRIN S%R OTTO BOTOL1374 EU3244 TRIFEDRIN TAB OTTO TAB1375 EU3735 TRIFLUOPERA'IN 5 $# TAB1376 . 2357 , - . @.+- -" 2 ? , : (# TAB1377 EU3245 TRIPAN'I$ SANBE TAB1378 EU3770 TRI&ON VIAL1379 EU3246 TRO#%L 500 $# OTTO TAB1380 EU3247 TRO#%L S%R OTTO BOTOL1381 EU3389 TROLIP CAP CAP1382 EU3248 TROLIT SACH BINTAN# TOE OE SACH1383 EU3249 TROVENSIS 8 $# TAB SANBE TAB1384 EU3250 TROVENSIS IN SANBE A$P1385 EU3429 TUTOFUSIN OPS INF BOTOL1386 EU3251 TU'ALOS TAB SANBE TAB1387 EU3252 T%ARIT TAB FAHRENHEIT TAB1388 EU3612 UDOPA IN A$P1389 EU3253 ULCERANIN 150 $# TAB OTTO TAB1390 EU3254 ULCERANIN IN OTTO A$P

8/15/2019 So Des Ember 2015


1393 EU3257 ULKON ED CENDO FLS1394 EU3694 ULSAFATE S%R BTL1395 EU3395 ULSICRAL S%R BOTOL1396 EU3382 ULSICRAL TAB TAB1397 EU3258 ULTRAVITA TAB SANBE TAB1398 EU3259 UNALIU$ 10 $# TAB #UARDIAN TAB1399 EU3260 UNALIU$ 5 $# TAB #UARDIAN TAB1400 EU3261 UNITRAC TAB KALBE TAB1401 EU3262 URESI& TAB SANBE TAB1402 EU3263 URINTER CAP INTERBAT TAB1403 EU3264 URISPAS TAB TAB1404 EU3265 UROTRACTIN SANBE TAB1405 EU3639 URSODEO&%CHOLIC 250 TAB TAB1406 EU3266 URSOLIC 250 $# #UARDIAN TAB1407 EU3769 UTRO#ESTAN 200 $# TAB1408 EU3383 VACLO TAB TAB1409 EU3675 VALAC%CLOVIR 500 $# TAB1410 EU3267 VALE$IA 10 $# TAB SANBE TAB1411 EU3268 VALE$IA 5 $# SANBE TAB1412 EU3631 VALEPTIK S%R FLS1413 EU3269 VALISANBE 2 $# TAB SANBE TAB1414 EU3270 VALISANBE 5 $# TAB SANBE TAB1415 EU3271 VALISANBE IN SANBE A$P1416 EU3381 VALSANTRAN TAB TAB1417 EU3272 VASACON A ED BTL1418 EU2401 VASCON IN FAHRENHEIT A$P1419 EU3629 VASTI#O TAB1420 EU3273 VECTRIN CAP DE&A TAB

1421 EU3274 VECTRIN S%R DE&A BOTOL1422 EU3275 VENTOLIN NEBU #LA&O A$P1423 . 2358 . @ -" , : (# TAB1424 EU3276 VERSICORE ASTELAS SACH1425 EU3657 VICCILLIN IN VIAL1426 EU3446 VINCRISTINE IN 1 $# VIAL1427 EU3447 VINCRISTINE IN 2 $# VIAL1428 EU3277 VIOPOR TAB OTTO TAB1429 EU3278 VIRINON TAB TAB1430 EU3279 VISEBAD DROP OTTO BOTOL1431 EU3280 VITACUR S%R LAPI BOTOL1432 . 2360 -, -+ : 1 50 ? , : (# TAB1433 . 2361 -, -+ : 12 , : (# TAB1434 . 2362 -, -+ : 6 (P - ! -+ , : (# TAB1435 . 2359 -, -+ : 1 100 ? , : (# TAB1436 . 2363 -, -+ : ! @".; , : (# TAB1437 . 2364 -, -+ 100 ? , : (# TAB1438 . 2365 -, -+ 50 ? , : (# TAB1439 EU3352 VITA$IN C IN KI$IA FAR$A A$P1440 . 2366 -, -+ ; , : (# TAB1441 . 2367 -, -+ ;3 -+ (# A$P1442 EU3281 VITA$ULTI TAB OTTO TAB1443 EU3282 VITANOR$ TAB CENDO TAB1444 EU3283 VITA'%$ KALBE TAB1445 EU3284 VITROLENTA ED $INIDOSE CENDO FLS1446 EU3716 VOLUVEN 8 500 $L BTL1447 EU3285 VO$I'OLE IN DE&A VIAL1448 EU3286 VO$UL TAB #UARDIAN TAB1449 EU3287 VOSEDON S%R SANBE BOTOL1450 EU3288 VOSEDON TAB SANBE TAB1451 EU3289 VOS$I'OL DE&A VIAL

8/15/2019 So Des Ember 2015


1454 EU3431 *IDAHES INF BTL1455 EU3684 &ARELTO 15 $# TAB1456 EU3683 &ARELTO 20 $# TAB1457 EU3290 &IET% TAB LAPI TAB1458 EU3291 &%TROL ED CENDO BOTOL1459 EU3669 'AC 10 $# TAB1460 EU3292 'E#REN 50 $# TAB LAPI TAB1461 EU3466 'ENALB INF BOTOL1462 EU3293 'IBRA$A& 500 TAB #UARDIAN TAB1463 EU3294 'IBRA$A& S%R #UARDIAN BOTOL1464 . 2368 -+; , : (# TAB1465 EU3721 'IRKU$ KIDS S%R BTL1466 EU3295 'OFREDAL 1 $# TAB KALBE TAB1467 EU3296 'OFREDAL 2 $# TAB KALBE TAB1468 EU3297 'OFREDAL 3 $# TAB KALBE TAB1469 EU3762 'OLORAL SS 80 $L FLS1470 EU3298 'OTER 200 $# TAB INTERBAT TAB1471 EU3299 'OTER 400 $# TAB INTERBAT TAB1472 EU2402 'OTER CR 5 #R INTERBAT TUBE1473 EU3300 '%PRA' 0)25 $# TAB KALBE TAB1474 EU3301 '%PRA' 0)5 $# TAB KALBE TAB1475 EU3302 '%PRA' 1 $# TAB KALBE TAB

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40

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RUMAH SAKIT UMUM DAERAHSTOKOPNAME

31-Dec-15

UNIT: GUDANG OBAT

NO KODE NAMA SATUAN3 EU3733 ACARBOSE TAB 100 $# TAB4 EU3734 ACARBOSE TAB 50 $# TAB11 . 2101 "! - 200 ? , : (# TAB12 . 2102 "! - 400 ? , : (# TAB14 EU2408 ADALAT OROS TAB BA%ER TAB20 EU3699 ALBU$AN 20 100 $L VIAL31 . 2104 ""!@ -+!" 100 ? , : (# TAB32 . 2105 ""!@ -+!" 300 ? , : (# TAB33 . 2106 "@ !" 0 25 ? , : (# TAB35 . 2108 "@ !" 1 ? , : (# TAB37 . 2109 : ! !" (# BOTOL41 EU3401 A$INOFLUID INF BA#44 EU3404 A$INOLEBAN INF BA#46 . 2112 -+!@ ""-+ , : (# TAB48 EU3628 A$INOSTERIL BTL49 EU3676 A$INOSTERIL INFANT BTL52 EU3640 A$IPAREN INF BTL53 . 2114 -, -@,-"-+ 25 ? , : (# TAB54 . 2115 "! -@-+ 10 ? , : (# TAB55 . 2116 "! -@-+ 5 ? , : (# TAB58 . 2118 ! - -""-+ -+ (# VIAL65 . 2120 @- -""-+ 500 ? , : (# TAB70 EU2430 ANADIU$ TAB #UARDIAN TAB71 EU2431 ANALSIK TAB SANBE TAB75 EU2435 ANE$OLAT TAB PHAPROS TAB81 EU2123 +, - TAB TAB88 EU2441 ANTRAIN IN INTERBAT A$P94 EU3737 A UA PRO IN 25 $L OTSU LABU95 EU3718 A UA *I 1000 $L BTL

101 . 2129 .=.+ , 500 ? , : (# TAB103 . 2130 , +. , 250 ? -+ (# A$P106 EU3761 ASA$ VALPROAT 250 $# / 5 $L FLS109 EU3406 ASERIN# INF BTL118

. 2134 , !@-+ "= , -+ (# A$P120 EU3320 ATS 1500 UI IN A$P

8/15/2019 So Des Ember 2015


122 EU2456 AU#ENTONIC ED CENDO BTL125 . 2136 , ! - -+ 500 ? , : (# TAB126 . 2137 , ! - -+ (# BOTOL142 EU3765 BEROTEC 0)1 SOL FLS143 EU3645 BEROTEC INH FLS147 . 2138 :., ., !+ (# TUBE170 . 2141 :- !@ !"!" , : (# TAB176 EU2494 BURNA'IN CR TUBE180 . 2142 " -- ?" ;!+ -+ (# A$P181 . 2143 " - " , ,. , : (# TAB187 EU3614 CANDESARTAN 16 $# TAB188 EU3613 CANDESARTAN 8 $# TAB189 . 2144 @,!@ -" 12 5 ? , : (# TAB190 . 2145 @,!@ -" 25 ? , : (# TAB211

EU2515 CEFI$ IN LAPI VIAL213 . 2152 .=- - 100 ? @ (# TAB214 . 2153 .=- - (# BOTOL219 . 2156 .=!, - 1 ? -+ (# VIAL221 . 2157 .=, - - -+ (# VIAL222 . 2158 .=,- ! - -+ (# VIAL223 . 2159 .=, - !+. -+ (# VIAL227 EU3746 CENDO FENICOL 0)5 BTL228 EU3695 CENDO $%COS ED FLS234 EU2524 CEPTIK S%R INTERBAT BOTOL240

. 2163 .,- - -+. (# BOTOL242 . 2165 "! @ .+- !" ".@ , (# TUBE246 . 2169 "! @ ! -+ 100 ? , : (# TAB259 . 2175 -@ !="! -+ -+= (# BOTOL261 EU3652 CITICOLIN 1000 TAB TAB263 . 2177 -,- !"-+ -+ (# A$P277 . 2182 "!+- -+ , : (# TAB282 EU3701 CLO'APIN 25 TAB TAB285 EU3326 CODEIN 10 $# TAB TAB286 EU3327 CODEIN 20 $# TAB TAB

293 EU2547 COLSANSETINE IN SANBE VIAL295 EU2549 CO$BIVENT UDV CO$BIPHAR A$P296 EU3658 CONCOR 2)5 TAB TAB298 EU3749 CORDARONE IN A$P314 EU2558 CURCU$A TAB TAB323 EU3678 DEPAKOTE ER 250 TAB324 EU3662 DEPAKOTE ER 500 TAB325 EU2566 DEPAKOTE TAB ABBOT TAB329 EU3632 DESO&I$ETASONE 0)25 CREA$ TUBE331 . 2190 . ., !+. -+ (# A$P

333 EU3738 DE&KETOPROFEN TAB348 . 2197 -?! -+ , : (# TAB

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


625 EU3399 INODE& IN A$P647 EU2770 INVICLOT IN :! /1652 EU3615 IRBESARTAN 150 $# KAPTAB653 EU3659 IRBESARTAN 300 $# TAB659 . 2244 - !+- - . 100 ? , : (# TAB660 . 2245 - !+- - . 300 ? , : (# TAB663 . 2246 - ! ! :- -+-, , , : (# TAB667 EU3411 KAEN 1B INF BTL668 EU3412 KAEN 3A INF LABU669 EU3413 KAEN 3B INF BTL682 EU2789 KAR%UNI ED FERRON FLS683 EU3415 KCL IN A$P687 EU3736 KENDARON TAB688 EU2790 KEREN IN NULAB A$P694

. 2250 ;.,!;!+ !". , : (# TAB699 . 2254 ;.,! !" 30 ? -+ (# A$P703 EU3414 KID$IN INF BA#706 EU2797 KOATE IN VIAL707 EU3692 KOATE IN 550 IU VIAL709 EU2799 KSR TAB TAB711 EU2801 LACEDI$E IN LAPI VIAL720 . 2256 " ;, "! (# BOTOL726 . 2257 " + !@ !". @ (# TAB727 EU3663 LANTUS PEN PCS746

EU2831 LAPI&I$E IN LAPI VIAL748 . 3416 " , + 2 !?: -+= (# BTL772 . 2258 ". !="! -+ 500 ? , : (# TAB773 . 2259 ". !="! -+ -+= (# BOTOL777 . 2260 "- ! -+ -+ (# A$P785 EU3655 LISINOPRIL 5 $# TAB788 EU3752 LODO$ER 2 $# TAB792 . 2262 "! , -+ , : (# TAB795 EU3740 LOVENO& 60 $# IN -+?.811 EU3418 $ARTOS INF BOTOL

815 . 2263 . !: " -+ 250 ? @ (# TAB816 . 2264 . !: " -+ 500 ? @ (# TAB824 . 2266 ."! - 15 ? , : (# TAB831 EU3751 $ERLOPA$ 2 $# TAB840 . 2271 ., "@ . +- !"!+ 125 ? -+ (# BO&841 . 2272 ., "@ . +- !"!+. 16 ? , : (# TAB842 . 2273 ., "@ . +- !"!+. 4 ? , : (# TAB849 . 2279 .,! "!@ - . , : (# TAB855 EU3756 $ETRONIDA'OLE 250 $# TAB856 . 2280 ., !+- !". 500 ? , : (# TAB

862 EU3421 $#SO4 40 IN LABU864 EU3647 $ICARDIS TAB TAB

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


1208 EU3674 RI$CURE PAED TAB TAB1209 . 2340 - @. - !+ 1 ? , : (# TAB1210 . 2341 - @. - !+ 2 ? , : (# TAB1256 EU3160 SCABI$ITE CR TUBE1260 EU3164 SEDACU$ 5 $# IN DE&A A$P1267 EU3732 SERO UEL &R 200 TAB1269 EU3171 SEVODE& IN /$L DE&A $L1273 EU3174 SIFROL TAB BOEHRIN#ER TAB1275 EU3175 SI$ARC TAB FAHRENHEIT TAB1292 EU3764 SPIRIVA 18 $C# BO&1293 . 2349 @- !+!" ,!+. 100 ? , : (# TAB1294 . 2348 @- !+!" ,!+. 25 ? , : (# TAB1298 EU3641 STALEVO TAB TAB1305 EU3667 STESOLID RECTAL TUBE1309

. 2350 , .@,! - -+ -+ (# VIAL1326 EU3366 TERREL 100 CC FAHRENHEIT $L1328 EU3210 TETA#A$ IN VIAL1336 EU3759 THIOFENTAL SODIU$ 1 #RA$ VIAL1340 EU3665 TH%RO'OL 10 $# TAB1341 EU3666 TH%RO'OL 5 $# TAB1361 EU3717 TRACRIU$ IN 2)5 $L A$P1363 . 2355 , !" @ (# KAPSUL1364 . 2356 , !" -+ (# A$P1388 EU3612 UDOPA IN A$P1404

EU3265 UROTRACTIN SANBE TAB1405 EU3639 URSODEO&%CHOLIC 250 TAB TAB1414 EU3270 VALISANBE 5 $# TAB SANBE TAB1416 EU3381 VALSANTRAN TAB TAB1422 EU3275 VENTOLIN NEBU #LA&O A$P1433 . 2361 -, -+ : 12 , : (# TAB1436 . 2363 -, -+ : ! @".; , : (# TAB1446 EU3716 VOLUVEN 8 500 $L BTL1455 EU3684 &ARELTO 15 $# TAB1456 EU3683 &ARELTO 20 $# TAB

1464 . 2368 -+; , : (# TAB

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8/15/2019 So Des Ember 2015


SUBANG

QTY HARGA JUMLAH3800 N/A N/A6900 N/A N/A2600 N/A N/A1700 N/A N/A5520 N/A N/A

6 N/A N/A6000 N/A N/A200 N/A N/A

3700 N/A N/A1000 N/A N/A150 N/A N/A

1130 N/A N/A108 N/A N/A400 N/A N/A20 N/A N/A7 N/A N/A2 N/A N/A

800 N/A N/A300 N/A N/A

7440 N/A N/A100 N/A N/A

1300 N/A N/A60 N/A N/A

800 N/A N/A4000 N/A N/A3100 76 00 235)600 00290 N/A N/A

5710 N/A N/A28 N/A N/A

2500 N/A N/A1040 N/A N/A

40 N/A N/A1700 N/A N/A

400N/A N/A

20 N/A N/A

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


20 N/A N/A1022 N/A N/A3000 N/A N/A1100 N/A N/A800 N/A N/A

2200 N/A N/A23000 N/A N/A1380 N/A N/A280 N/A N/A

2120 N/A N/A10 N/A N/A76 N/A N/A

1500 N/A N/A490 N/A N/A

200N/A N/A

8942 N/A N/A30 N/A N/A9 N/A N/A

12 N/A N/A4800 N/A N/A

10 N/A N/A40 N/A N/A

1500 N/A N/A35 N/A N/A

80N/A N/A

80 N/A N/A6100 N/A N/A840 N/A N/A

3520 N/A N/A390 N/A N/A

1700 N/A N/A6100 N/A N/A



1400 N/A N/A600 N/A N/A

1700 N/A N/A18400 N/A N/A

170 N/A N/A4200 N/A N/A

8/15/2019 So Des Ember 2015


69 N/A N/A30000 N/A N/A

300 N/A N/A207 N/A N/A160 N/A N/A

2 N/A N/A5 N/A N/A

1060 N/A N/A9650 N/A N/A1400 N/A N/A2200 N/A N/A1560 N/A N/A

41 N/A N/A185 N/A N/A

120N/A N/A

3400 N/A N/A300 N/A N/A900 N/A N/A

21780 N/A N/A192 N/A N/A

9830 N/A N/A300 N/A N/A30 N/A N/A

222 N/A N/A

1215N/A N/A

310 N/A N/A3300 N/A N/A145 N/A N/A300 N/A N/A360 N/A N/A140 N/A N/A200 N/A N/A100 N/A N/A120 N/A N/A

5800 N/A N/A2600 N/A N/A2 N/A N/A

1100 N/A N/A3500 N/A N/A

55 N/A N/A700 N/A N/A

2500 N/A N/A400 N/A N/A

1800 N/A N/A

1300 N/A N/A700 N/A N/A

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


;! .J +-,; , +?? " +!J: ;,- ;! .J + , ;! .J-,. ;.,. +? , J-+ , J! ,

8/15/2019 So Des Ember 2015


? J , ;! .J @@- J!@. ,! - J@ G : ;! .J +-,; ? J= ;, - ;!+ @@+ , +J@

8/15/2019 So Des Ember 2015


? J@ ; , J@ ;., , J;!+ . -

8/15/2019 So Des Ember 2015


RUMAH SAKIT UMUM DAERSTOKOPNAME

31-Dec-15

UNIT: DEPO IGD

NO KODE NAMA45 . 2111 -+!@ ""-+ -+ (#

109 EU3406 ASERIN# INF118 . 2134 , !@-+ "= , -+ (#331 . 2190 . ., !+. -+ (#356 EU3707 DOBURAN IN357 . 2198 !: , -+ -+ (#402 . 2205 .@-+.@ -+. -+ (#495 . 2215 = ! . - -+ (#515 . 2219 ?.+, - -+ -+ (#542 . 3409 ?" ;! 5 !?: -+= (#667 EU3411 KAEN 1B INF669 EU3413 KAEN 3B INF683 EU3415 KCL IN748 . 3416 " , + 2 !?: -+= (#777 . 2260 "- ! -+ -+ (#858 EU3419 $E%LON IN862 EU3421 $#SO4 40 IN904 EU3432 NACL 0 9 ECOSOL

1037 EU3426 OTSU D 40 INF1075 EU3039 PEHACAIN IN PHAPROS1168 EU3093 RAIVAS IN DE&A1388 EU3612 UDOPA IN

5 D2001 ACCUCHECK ACTIVE17 D2004 ALKOHOL 70 1 $L ONE$ED30 D2522 A UA PRO IN 25 $L OTSUKA57 D2016 BISTURI 11 B BRAUN58 D2017 BISTURI 15 B BRAUN68 D2025 BLOOD SET TERU$O70 D2021 BLUE $ONOLON 2>0 A$PLOP71 D2022 BLUE $ONOLON 3>0 A$PLOP72 D2023 BLUE $ONOLON 4>0 A$PLOP73 D2024 BLUE $ONOLON 5>0 A$PLOP

110 D2050 CATHETER TIP 50 CC127 D2035 CHRO$IC ROL 2>0 SUR#IROL 1 C$129 D2036 CHRO$IC ROL 3>0 SUR#IROL 1 C$132 D2274 COLAR NECK143 D2275 CORSET

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


385 D2136 $ASKER O&I#EN REBREATIN# CHILDREN O#S389 D2140 $A%O HI AU HUDSON391 D2141 $A%O HITA$ HUDSON393 D2142 $A%O $ERAH HUDSON397 D2144 $A%O PUTIH HUDSON400 D2146 $A%O BIRU HUDSON401 D2145 $A%O KUNIN# HUDSON405 D2154 $ICRO DRIP TERU$O417 D3771 NASAL CANULA ADULT (O&%FLO*420 D3811 NASAL CANULA CHILDREN (O&%FLO**423 D2164 NASAL CANULA NEONATUS O#S430 D2168 NEEDLE 27 TERU$O431 D2656 NEODINE454 D2171 PERPUSOR 200 C$ B BRAUN458 D3809 PHAR$AFI& 10 C$482 D2278 RAN#SEL VERBAN485 D2182 REDOT ADULT 3$505 D2195 SARUN# TAN#AN NON STERIL SAFE$ED PCS516 D3782 SARUN# TAN#AN SUR#I #LOVE 7539 D3796 SILK BLACK 3/0 HR 20564 D2276 SPALK E&T ATAS565 D2277 SPALK E&T BA*AH571 D3768 STERA 50 CC TIP579 D2216 STO$ACH TUBE 12 TERU$O580 D2217 STO$ACH TUBE 14 TERU$O581 D2218 STO$ACH TUBE 16 TERU$O582 D2219 STO$ACH TUBE 18 TERU$O585 D2221 SUCTION CATHETER 12 PASHCO586 D2222 SUCTION CATHETER 14 PASHCO589 D2220 SUCTION CATHETER 10 PASHCO624 D2303 S%RIN#E DISPOSIBLE 1 CC STERA627 D2250 S%RIN#E DISPOSIBLE 10 CC STERA632 D2253 S%RIN#E DISPOSIBLE 3 CC STERA635 D2255 S%RIN#E DISPOSIBLE 5 CC STERA636 D2257 S%RIN#E DISPOSIBLE 50 CC TERU$O647 D2323 THREE *A% STOP COCK661 D2260 URINE BA# COS$O$ED

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


39

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40

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41

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H SUBANG

SATUAN QTY HARGA JUMLAH A$P 7 N/A N/ABTL 81 N/A N/A

A$P 32 N/A N/A A$P 110 N/A N/A A$P 2 N/A N/A

/ - " 1 N/A N/A A$P 18 N/A N/A A$P 35 N/A N/A A$P 20 N/A N/A

BOTOL 60 N/A N/ABTL 40 N/A N/ABTL 60 N/A N/A

A$P 19 N/A N/ABTL 1 N/A N/A

A$P 562 N/A N/A

A$P 6 N/A N/ALABU 5 N/A N/ALABU 120 N/A N/A A$P 6 N/A N/A A$P 59 N/A N/A A$P 3 N/A N/A A$P 2 N/A N/A

#N/APCS 150 N/A N/A$L 17000 N/A N/A

A$P 30 N/A N/APCS 51 N/A N/APCS 2 N/A N/APCS 150 N/A N/APCS 7 N/A N/APCS 7 N/A N/APCS 7 N/A N/APCS 2 N/A N/APCS 27 N/A N/AC$ 10000 N/A N/AC$ 10000 N/A N/A

PCS 1 N/A N/APCS 4 N/A N/A

8/15/2019 So Des Ember 2015


PCS 6 N/A N/APCS 2 N/A N/APCS 2 N/A N/APCS 2 N/A N/APCS 1 N/A N/APCS 3 N/A N/APCS 2 N/A N/APCS 3 N/A N/APCS 5 N/A N/APCS 3 N/A N/APCS 3 N/A N/APCS 5 N/A N/APCS 6 N/A N/APCS 13 N/A N/APCS 11 N/A N/APCS 7 N/A N/APCS 114 N/A N/APCS 40 N/A N/APCS 3 N/A N/APCS 11 N/A N/A

#RA$ 4000 N/A N/A$L 4000 N/A N/A$L 4000 N/A N/A

PCS 14 N/A N/APCS 2 N/A N/APCS 50 N/A N/APCS 176 N/A N/APCS 79 N/A N/APCS 121 N/A N/APCS 319 N/A N/APCS 171 N/A N/APCS 54 N/A N/APCS 125 N/A N/APCS 237 N/A N/A

#RA$ 2000 N/A N/ALE$BAR 280 N/A N/A

PCS 165 N/A N/AC$ 750 N/A N/A


LE$BAR 9 N/A N/APCS 1 N/A N/APCS 1 N/A N/APCS 1750 N/A N/APCS 12 N/A N/A

PCS 22N/A N/A


8/15/2019 So Des Ember 2015


PCS 5 N/A N/APCS 12 N/A N/APCS 5 N/A N/APCS 5 N/A N/APCS 10 N/A N/APCS 5 N/A N/APCS 2 N/A N/APCS 145 N/A N/APCS 100 N/A N/APCS 6 N/A N/APCS 7 N/A N/APCS 65 N/A N/A$L 6000 N/A N/A


PCS 5 N/A N/APCS 151 N/A N/APCS 2400 N/A N/APCS 17 N/A N/APCS 6 N/A N/APCS 11 N/A N/APCS 10 N/A N/APCS 13 N/A N/APCS 28 N/A N/APCS 26 N/A N/APCS 232 N/A N/APCS 7 N/A N/APCS 15 N/A N/APCS 8 N/A N/APCS 34 N/A N/APCS 144 N/A N/APCS 500 N/A N/APCS 542 N/A N/APCS 505 N/A N/APCS 20 N/A N/APCS 5 N/A N/APCS 227 N/A N/A

#N/A

#N/A

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


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31-Dec-15

UNIT: APT.IGD

NO KODE NAMA3 EU3733 ACARBOSE TAB 100 $#4 EU3734 ACARBOSE TAB 50 $#6 EU3702 ACLA$ DR% S%R11 . 2101 "! - 200 ? , : (#12 . 2102 "! - 400 ? , : (#14 EU2408 ADALAT OROS TAB BA%ER20 EU3699 ALBU$AN 20 100 $L31 . 2104 ""!@ -+!" 100 ? , : (#32 . 2105 ""!@ -+!" 300 ? , : (#35 . 2108 "@ !" 1 ? , : (#37 . 2109 : ! !" (#38 . 2110 : ! !" , : (#41 EU3401 A$INOFLUID INF44 EU3404 A$INOLEBAN INF45 . 2111 -+!@ ""-+ -+ (#46 . 2112 -+!@ ""-+ , : (#47 EU2423 A$INORAL TAB SOHO49 EU3676 A$INOSTERIL INFANT52 EU3640 A$IPAREN INF53 . 2114 -, -@,-"-+ 25 ? , : (#54 . 2115 "! -@-+ 10 ? , : (#55 . 2116 "! -@-+ 5 ? , : (#58 . 2118 ! - -""-+ -+ (#59 . 2119 ! - -""-+ (#62 EU2425 A$O&SAN DROP SANBE65 . 2120 @- -""-+ 500 ? , : (#70 EU2430 ANADIU$ TAB #UARDIAN71 EU2431 ANALSIK TAB SANBE74 EU2434 ANBACI$ IN SANBE75 EU2435 ANE$OLAT TAB PHAPROS82 . 2123 +, - , : (#83 EU3317 ANTI BISA ULAR IN89 EU2442 ANTRAIN TAB INTERBAT

101 . 2129 .=.+ , 500 ? , : (#103 . 2130 , +. , 250 ? -+ (#109 EU3406 ASERIN# INF110 EU2450 ASPAR K TAB118 . 2134 , !@-+ "= , -+ (#

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120 EU3320 ATS 1500 UI IN122 EU2456 AU#ENTONIC ED CENDO125 . 2136 , ! - -+ 500 ? , : (#143 EU3645 BEROTEC INH147 . 2138 :., ., !+ (#170 . 2141 :- !@ !"!" , : (#174 EU2493 BRA&IDIN TAB SANBE176 EU2494 BURNA'IN CR180 . 2142 " -- ?" ;!+ -+ (#181 . 2143 " - " , ,. , : (#187 EU3614 CANDESARTAN 16 $#188 EU3613 CANDESARTAN 8 $#189 . 2144 @,!@ -" 12 5 ? , : (#190 . 2145 @,!@ -" 25 ? , : (#211 EU2515 CEFI$ IN LAPI213 . 2152 .=- - 100 ? @ (#214 . 2153 .=- - (#218 . 2155 .=!@. !+. -+ (#219 . 2156 .=!, - 1 ? -+ (#221 . 2157 .=, - - -+ (#222 . 2158 .=,- ! - -+ (#223 . 2159 .=, - !+. -+ (#240 . 2163 .,- - -+. (#242 . 2165 "! @ .+- !" ".@ , (#246 . 2169 "! @ ! -+ 100 ? , : (#259 . 2175 -@ !="! -+ -+= (#262 EU3651 CITICOLIN 500 TAB263 . 2177 -,- !"-+ -+ (#267 EU2536 CLANEKSI S%R SANBE269 . 2178 "-+ - -+ 150 ? @ (#275 . 2180 "!: , : (#277 . 2182 "!+- -+ , : (#282 EU3701 CLO'APIN 25 TAB284 . 2185 ! ! - " 500 ? , : (#285 EU3326 CODEIN 10 $# TAB286 EU3327 CODEIN 20 $# TAB293 EU2547 COLSANSETINE IN SANBE295 EU2549 CO$BIVENT UDV CO$BIPHAR296 EU3658 CONCOR 2)5 TAB298 EU3749 CORDARONE IN303 . 2187 !, - ! !". (#314 EU2558 CURCU$A TAB323 EU3678 DEPAKOTE ER 250329 EU3632 DESO&I$ETASONE 0)25 CREA$331 . 2190 . ., !+. -+ (#333

EU3738 DE&KETOPROFEN339 EU2572 DHAVIT S%R #UARDIAN348 . 2197 -?! -+ , : (#

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350 . 2196 -",- . , : (#352 EU3623 DIOVAN 80356 EU3707 DOBURAN IN359 . 2199 !; - -;"-+ 100 ? @ (#364 . 2200 ! @. - !+. (#365 . 2201 ! @. - !+. , : (#368 EU2585 DOPA$ET TAB402 . 2205 .@-+.@ -+. -+ (#405 EU2610 EPRE& IN408 . 2206 . -, ! - -+ 250 ? , : (#409 . 2207 . -, ! - -+ 500 ? , : (#415 EU3768 ESOFERR 40 $# IN417 . 2210 ., : ,!" 500 ? , : (#423 EU2621 EUTH%RO& TAB $ERCK448 . 2213 =.+!=-: , , : (#450 EU2641 FERIPRO& TAB457 EU2645 FER'OBAT IN INTERBAT462 EU3754 FLA#%L SUPP 0)5 #R465 EU2652 FLI&OTIDE NEBU466 EU2653 FLO&A ED CENDO468 EU2654 FLUKONA'OL 150 $# CAP KALBE470 EU3670 FLUNARI'IN 5 $#486 EU2670 FOS$IDE& 1 #R DE&A495 . 2215 = ! . - -+ (#496 . 2214 = ! . - , : (#498 EU3436 FUTROLIT INF SANBE500 EU3638 #ABAPENTIN 300508 . 2216 ?. =-: ! -" 300 ? @ (#512 . 2218 ?.+, - -+ (#515 . 2219 ?.+, - -+ -+ (#517 . 2221 ?.+, - -+ ,.,. , (#527 . 2223 ?"-:.+ " - , : (#529 EU2696 #LIBOTIK 500 $# IN SANBE531 . 2224 ?"- .@- - . 1 ? , : (#532 . 2225 ?"- .@- - . 2 ? , : (#535 . 2228 ?"- - !+. , : (#537 EU3626 #LUCOBA% 100538 EU3625 #LUCOBA% 50541 . 3408 ?" ;! 10 !?: -+= (#542 . 3409 ?" ;! 5 !?: -+= (#543 EU3689 #LUKOSA$IN 500 $#549 EU3711 #OFORAN IN 1 #R562 . 2233 "!@. - !" 1 5 ? , : (#563 . 2234 "!@. - !" 5 ? , : (#565 EU2713 HARNAL TAB ASTELAS581

EU3661 HE&%$ER 2 TAB600 EU2735 H%STOLAN TAB604 . 2240 -: @ !=.+ 200 ? , : (#

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606 . 2243 -: @ !=.+ (#611 EU2740 IKALEP S%R IKAPHAR$INDO647 EU2770 INVICLOT IN652 EU3615 IRBESARTAN 150 $#659 . 2244 - !+- - . 100 ? , : (#660 . 2245 - !+- - . 300 ? , : (#663 . 2246 - ! ! :- -+-, , , : (#664 EU3680 ISOTIC ADRETOR 0)5 .666 EU3744 KABIVEN PERIPHERAL 1440 $L INF667 EU3411 KAEN 1B INF669 EU3413 KAEN 3B INF671 EU3714 KALIPAR TAB683 EU3415 KCL IN687 EU3736 KENDARON688 EU2790 KEREN IN NULAB689 EU2791 KEREN TAB NULAB692 EU3633 KETO #693 . 2249 ;.,!;!+ !". (#694 . 2250 ;.,!;!+ !". , : (#699 . 2254 ;.,! !" 30 ? -+ (#703 EU3414 KID$IN INF706 EU2797 KOATE IN709 EU2799 KSR TAB711 EU2801 LACEDI$E IN LAPI712 EU2802 LACOLDIN S%R LAPI716 EU2806 LACOPHEN S%R LAPI720 . 2256 " ;, "! (#726 . 2257 " + !@ !". @ (#737 EU3712 LAPIFED TAB746 EU2831 LAPI&I$E IN LAPI748 . 3416 " , + 2 !?: -+= (#751 EU2835 LASAL E&PECT S%R763 EU3724 LEPTICA 75 $#772 . 2258 ". !="! -+ 500 ? , : (#773 . 2259 ". !="! -+ -+= (#777 . 2260 "- ! -+ -+ (#783 EU3763 LIPO$ED 20784 EU3656 LISINOPRIL 10 $#785 EU3655 LISINOPRIL 5 $#792 . 2262 "! , -+ , : (#793 EU3681 LOSARTAN 50 $# TAB811 EU3418 $ARTOS INF815 . 2263 . !: " -+ 250 ? @ (#816 . 2264 . !: " -+ 500 ? @ (#817 . 2265 . !: " -+ -+ (#824

. 2266 ."! - 15 ? , : (#825 . 2267 ."! - 7 5 ? , : (#830 EU2889 $ERE$ IN #UARDIAN

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832 . 2269 . !@.+. -+ (#879 EU2908 $ORFIN IN KI$IA FAR$A885 EU2914 $ST TAB KI$IA FAR$A900 EU3362 $%COS EO CENDO 1 #R905 . 3422 + " !?: -+= (#914 . 2286 + , - -;"!=.+ 50 ? , : (#919 EU3755 NEO $ERCA'OLE944 . 2287 +-=. -@-+ , : (#946 EU3758 NITROKAF RETARD953 EU3644 NOPRES961 EU2964 NOVORAPID PEN964 EU2971 NUCRAL S%R #UARDIAN978 EU3627 N%NDIA SUSP979 . 2288 + , ,-+ ?-+ " @@ (#981 EU3345 OBH S%R989 . 2294 !; -,! -+ -+ (#990 EU3748 OLANDO' 10 $#992 . 2295 ! .@ !". @ (#993 . 2296 ! .@ !". -+ (#996 . 2297 !+ + ., !+ 4 ? -+ (#

1037 EU3426 OTSU D 40 INF1039 EU3425 OTSU NS 100 $L INF1040 EU3617 OTSU SALIN 31058 EU3704 PANTERA IN1062 . 2304 @ +,!@ !". -+ (#1066 . 2308 @ ., !" !@ (#1068 . 2310 @ ., !" (#1076 EU3040 PEHADO&IN FORTE TAB PHAPROS1082 . 2313 @.,- -+ -+ (#1087 . 2315 @ .+-,!-+ @ (#1088 . 2314 @ .+-,!-+ -+ (#1094 . 2320 @ ,! .+ -!+ -+ (#1101 . 2324 @- ., 1 ? -+ (#1102 . 2323 @- ., 1200 ? @ (#1103 . 2325 @- ., 3 ? -+ (#1104 . 2321 @- ., 400 ? @ (#1105 . 2322 @- ., 800 ? @ (#1121 EU3062 POL%#RAN ED CENDO1131 . 2330 @ . +- !+. , : (#1137 EU3753 PRI$OLUT N1150 . 2331 @ !@ +!"!" , : (#1152 EU3697 PROSTER1159 EU3087 PU$PITOR IN SANBE1160 EU3654 PURALE& TAB1163 . 2333 @ -+ - . 500 ? , : (#1169

EU3698 RA$IPRIL 5 $#1171 . 2336 +-,- -+ , : (#1200 . 2337 -= @- -+ 300 ? @ (#

8/15/2019 So Des Ember 2015


1201 . 2338 -= @- -+ 450 ? , : (#1202 . 2339 -= @- -+ 600 ? (#1207 EU3673 RI$ACTA'ID PAED TAB1208 EU3674 RI$CURE PAED TAB1210 . 2341 - @. - !+ 2 ? , : (#1224 . 2343 ": , !" 2 ? , : (#1225 . 2344 ": , !" 4 ? , : (#1256 EU3160 SCABI$ITE CR1267 EU3732 SERO UEL &R 2001268 EU3731 SERO UEL &R 3001271 EU3685 SIBITAL IN 200 $# / 2 $L1273 EU3174 SIFROL TAB BOEHRIN#ER1274 EU3653 SILO&AN ED1275 EU3175 SI$ARC TAB FAHRENHEIT1277 . 2346 - , ,-+ 10 ? , : (#1278 . 2347 - , ,-+ 20 ? , : (#1286 EU3400 SOHOBION IN1293 . 2349 @- !+!" ,!+. 100 ? , : (#1294 . 2348 @- !+!" ,!+. 25 ? , : (#1298 EU3641 STALEVO TAB1304 EU3602 STESOLID IN1305 EU3667 STESOLID RECTAL1307 EU3193 STOLA& SUPP SANBE1309 . 2350 , .@,! - -+ -+ (#1328 EU3210 TETA#A$ IN1334 . 2354 , - @ .+- !" 500 ? @ (#1341 EU3666 TH%RO'OL 5 $#1363 . 2355 , !" @ (#1364 . 2356 , !" -+ (#1378 EU3770 TRI&ON1388 EU3612 UDOPA IN1394 EU3694 ULSAFATE S%R1404 EU3265 UROTRACTIN SANBE1405 EU3639 URSODEO&%CHOLIC 250 TAB1413 EU3269 VALISANBE 2 $# TAB SANBE1414 EU3270 VALISANBE 5 $# TAB SANBE1417 EU3272 VASACON A ED1420 EU3273 VECTRIN CAP DE&A1422 EU3275 VENTOLIN NEBU #LA&O1433 . 2361 -, -+ : 12 , : (#1436 . 2363 -, -+ : ! @".; , : (#1438 . 2365 -, -+ 50 ? , : (#1441 . 2367 -, -+ ;3 -+ (#1454 EU3431 *IDAHES INF1455 EU3684 &ARELTO 15 $#1456

EU3683 &ARELTO 20 $#1464 . 2368 -+; , : (#

8/15/2019 So Des Ember 2015


19 D2006 ALKOHOL 70 100 $L ONE$ED BOTOL30 D2522 A UA PRO IN 25 $L OTSUKA55 D3775 BIOPLACENTON TULLE57 D2016 BISTURI 11 B BRAUN68 D2025 BLOOD SET TERU$O70 D2021 BLUE $ONOLON 2>0 A$PLOP93 D2026 BURETE 100 $L

101 D2268 CAPSUL 1110 D2050 CATHETER TIP 50 CC122 D2030 CHRO$IC A$PLOP 2>0156 D2046 CUTI$ED SORBACT 4 & 6183 D2053 ETT 2)5 RUSCH TANPA BALON184 D2055 ETT 3 RUSCH186 D2056 ETT 3)5 RUSCH189 D2059 ETT 5 RUSCH193 D2063 ETT 7 RUSCH194 D2064 ETT 7)5 RUSCH205 D2068 FEEDIN# TUBE 10 $S207 D2069 FEEDIN# TUBE 5 TERU$O209 D2070 FEEDIN# TUBE 8 TERU$O228 D2084 FOLE% CATHETER 16 A&I$ED229 D2075 FOLE% CATHETER 16 SUREPLUS230 D2085 FOLE% CATHETER 18 A&I$ED255 D3802 #%PSONA 10256 D3803 #%PSONA 15263 D2521 HANSAPLAST ROL 1)25 & 1 $277 D2236 I V CATHETER 14 ELCO280 D2315 I V CATHETER 16 POL%*IN281 D2231 I V CATHETER 16 SURPLO TERU$O285 D2233 I V CATHETER 20 SURPLO TERU$O291 D2094 INFUS SET TERU$O294 D3868 INFUS SET TRO#E295 D2627 INFUSION SET * / RE#ULATOR300 D3827 IV CATH 16 TRO#E302 D3816 IV CATH 18 TRO#E303 D3817 IV CATH 20 TRO#E304 D3818 IV CATH 22 TRO#E305 D3819 IV CATH 24 TRO#E306 D3820 IV CATH 26 TRO#E324 D2109 KASA ROL 10 C$ FORTUNA353 D2119 LEUCOCREPE 10 BSN354 D2120 LEUCOCREPE 15 BSN355 D2121 LEUCOCREPE 7)5 BSN358 D2124 LEUCODUR 7)5 BSN381 D2132 $ASKER O&I#EN NON > REBREATHIN# CHILDREN O#S383

D2135 $ASKER O&I#EN REBREATIN# ADULT O#S385 D2136 $ASKER O&I#EN REBREATIN# CHILDREN O#S386 D2139 $ASKER TALI / KARET BN

8/15/2019 So Des Ember 2015


389 D2140 $A%O HI AU HUDSON391 D2141 $A%O HITA$ HUDSON395 D2143 $A%O ORAN#E HUDSON398 D2151 $A%O PUTIH SHINEBALL406 D2325 $ICROPINE412 D2158 $UCUS E&TRACTOR COSA417 D3771 NASAL CANULA ADULT (O&%FLO*420 D3811 NASAL CANULA CHILDREN (O&%FLO**425 D3772 NASAL CANULE NEONATUS (O&%FLO*454 D2171 PERPUSOR 200 C$ B BRAUN462 D3830 POL%SORB 2>0469 D3825 POVIDONE IODINE 10 30 $L497 D2184 SAFIL 1 B>BRAUN507 D2186 SARUN# TAN#AN PAN AN# UNITED / PS#515 D3781 SARUN# TAN#AN SUR#I #LOVE 6)5517 D3783 SARUN# TAN#AN SUR#I #LOVE 7)5562 D2210 SOFTBAN 15 BSN563 D2208 SOFTBAND 7 5 BSN579 D2216 STO$ACH TUBE 12 TERU$O580 D2217 STO$ACH TUBE 14 TERU$O581 D2218 STO$ACH TUBE 16 TERU$O582 D2219 STO$ACH TUBE 18 TERU$O586 D2222 SUCTION CATHETER 14 PASHCO606 D3755 SUR#ION 1617 D2322 SUR#ISORB 1624 D2303 S%RIN#E DISPOSIBLE 1 CC STERA627 D2250 S%RIN#E DISPOSIBLE 10 CC STERA630 D2252 S%RIN#E DISPOSIBLE 20 CC TERU$O632 D2253 S%RIN#E DISPOSIBLE 3 CC STERA635 D2255 S%RIN#E DISPOSIBLE 5 CC STERA636 D2257 S%RIN#E DISPOSIBLE 50 CC TERU$O658 D2259 U$BILICAL COSA661 D2260 URINE BA# COS$O$ED

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8/15/2019 So Des Ember 2015


39

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40

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41

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42

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43

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44

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45

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46

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47

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48

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49

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50

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SATUAN QTY HARGA JUMLAHTAB 10 N/A N/ATAB 170 N/A N/ABTL 4 N/A N/ATAB 250 N/A N/ATAB 400 N/A N/A

TAB 177 N/A N/AVIAL 3 N/A N/ATAB 6 N/A N/ATAB 56 N/A N/ATAB 93 N/A N/A

BOTOL 194 N/A N/ATAB 150 N/A N/ABA# 16 N/A N/ABA# 19 N/A N/A

A$P 2 N/A N/A

TAB 100 N/A N/A; @"., 126 N/A N/ABTL 5 N/A N/ABTL 10 N/A N/ATAB 148 N/A N/ATAB 486 N/A N/ATAB 877 N/A N/AVIAL 190 N/A N/A

BOTOL 10 N/A N/ABOTOL 9 N/A N/A

TAB 178 N/A N/ATAB 60 N/A N/ATAB 198 N/A N/AVIAL 2 N/A N/ATAB 1368 N/A N/ATAB 152 N/A N/AVIAL 12 N/A N/ATAB 37 N/A N/ATAB 816 N/A N/A

A$P 392 N/A N/ABTL 120 N/A N/ATAB 179 N/A N/A

A$P 28 N/A N/A

8/15/2019 So Des Ember 2015


A$P 57 N/A N/ABTL 2 N/A N/ATAB 80 N/A N/AFLS 5 N/A N/A

TUBE 17 N/A N/ATAB 519 N/A N/ATAB 112 N/A N/A

TUBE 5 N/A N/A A$P 35 N/A N/ATAB 213 N/A N/ATAB 5 N/A N/ATAB 100 N/A N/ATAB 1428 N/A N/ATAB 1013 N/A N/AVIAL 6 N/A N/ATAB 373 N/A N/A

BOTOL 38 N/A N/AVIAL 10 N/A N/AVIAL 1301 N/A N/AVIAL 15 N/A N/AVIAL 25 N/A N/AVIAL 758 N/A N/A

BOTOL 48 N/A N/ATUBE 4 N/A N/ATAB 1 N/A N/A

BOTOL 67 N/A N/ATAB 24 N/A N/A

A$P 510 N/A N/ABOTOL 1 N/A N/A

@ " 16 N/A N/ATAB 114 N/A N/ATAB 704 N/A N/ATAB 172 N/A N/ATAB 32 N/A N/ATAB 44 N/A N/ATAB 30 N/A N/AVIAL 10 N/A N/A

A$P 210 N/A N/ATAB 304 N/A N/A


TAB 976 N/A N/ATAB 75 N/A N/A

TUBE 6 N/A N/A A$P 211 N/A N/A

TAB 353N/A N/A


8/15/2019 So Des Ember 2015




BOTOL 8 N/A N/ATAB 760 N/A N/ATAB 316 N/A N/A

A$P 45 N/A N/A-+?. 36 N/A N/A

TAB 197 N/A N/ATAB 84 N/A N/AVIAL 5 N/A N/ATAB 95 N/A N/ATAB 100 N/A N/ATAB 80 N/A N/ATAB 100 N/A N/AVIAL 24 N/A N/A

SUPP 10 N/A N/A A$P 62 N/A N/ABTL 1 N/A N/A

@ " 9 N/A N/ATAB 100 N/A N/AVIAL 1 N/A N/A


SOFTBA# 35 N/A N/AKAPSUL 92 N/A N/AKAPSUL 230 N/A N/A

TUBE 1 N/A N/A A$P 35 N/A N/AFLS 8 N/A N/ATAB 111 N/A N/AVIAL 8 N/A N/ATAB 67 N/A N/ATAB 38 N/A N/ATAB 66 N/A N/ATAB 13 N/A N/ATAB 43 N/A N/A


TAB 167 N/A N/AVIAL 6 N/A N/ATAB 39 N/A N/ATAB 38 N/A N/ATAB 36 N/A N/A

TAB 55N/A N/A


8/15/2019 So Des Ember 2015


BOTOL 14 N/A N/ABOTOL 14 N/A N/A:! /1 76 N/A N/A

KAPTAB 122 N/A N/ATAB 74 N/A N/ATAB 35 N/A N/ATAB 1105 N/A N/ABTL 2 N/A N/ABTL 1 N/A N/ABTL 185 N/A N/ABTL 53 N/A N/ATAB 9 N/A N/A



; @"., 8 N/A N/ATUBE 8 N/A N/ATAB 350 N/A N/A

A$P 336 N/A N/ABA# 10 N/A N/AVIAL 8 N/A N/ATAB 452 N/A N/AVIAL 4 N/A N/A

BOTOL 2 N/A N/ABOTOL 3 N/A N/ABOTOL 29 N/A N/A

TAB 224 N/A N/ATAB 10 N/A N/AVIAL 40 N/A N/ABTL 59 N/A N/A


BOTOL 155 N/A N/A A$P 223 N/A N/APCS 3 N/A N/ATAB 30 N/A N/ATAB 30 N/A N/ATAB 487 N/A N/ATAB 56 N/A N/A


A$P 102 N/A N/A

TAB 76N/A N/A

TAB 175 N/A N/AVIAL 10 N/A N/A

8/15/2019 So Des Ember 2015


VIAL 25 N/A N/A A$P 4 N/A N/ATAB 9 N/A N/A

TUBE 2 N/A N/ABOTOL 96 N/A N/A

TAB 1235 N/A N/ATAB 100 N/A N/ATAB 48 N/A N/A

; @"., 100 N/A N/ATAB 108 N/A N/A@.+ 31 N/A N/A

BOTOL 23 N/A N/ABTL 10 N/A N/A

SUPP 91 N/A N/ABOTOL 7 N/A N/A A$P 813 N/A N/ATAB 27 N/A N/A

@ " 287 N/A N/ABO& 129 N/A N/A

A$P 62 N/A N/A A$P 65 N/A N/ALABU 16 N/A N/ABTL 5 N/A N/AVIAL 6 N/A N/A

BO&/1VIAL 58 N/A N/ABOTOL 44 N/A N/ABOTOL 142 N/A N/A

TAB 176 N/A N/A A$P 13 N/A N/A

@ " 161 N/A N/A A$P 215 N/A N/A A$P 125 N/A N/A A$P 93 N/A N/ATAB 80 N/A N/A

A$P 41 N/A N/ATAB 60 N/A N/ATAB 134 N/A N/AFLS 2 N/A N/ATAB 17 N/A N/ATAB 30 N/A N/ATAB 827 N/A N/ATAB 164 N/A N/AVIAL 10 N/A N/ATAB 1211 N/A N/ATAB 44 N/A N/A

TAB 38N/A N/A


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TAB 107 N/A N/ATAB 79 N/A N/ATAB 150 N/A N/ATAB 73 N/A N/ATAB 256 N/A N/ATAB 140 N/A N/ATAB 84 N/A N/A


A$P 5 N/A N/ATAB 34 N/A N/ABTL 2 N/A N/ATAB 60 N/A N/ATAB 528 N/A N/ATAB 349 N/A N/A

A$P 84 N/A N/ATAB 211 N/A N/ATAB 382 N/A N/ATAB 27 N/A N/A

A$P 17 N/A N/ATUBE 11 N/A N/ASUPP 15 N/A N/AVIAL 35 N/A N/AVIAL 7 N/A N/ATAB 206 N/A N/ATAB 130 N/A N/A

KAPSUL 196 N/A N/A A$P 42 N/A N/AVIAL 30 N/A N/A

A$P 119 N/A N/ABTL 246 N/A N/ATAB 185 N/A N/ATAB 121 N/A N/ATAB 56 N/A N/ATAB 163 N/A N/ABTL 2 N/A N/ATAB 10 N/A N/A

A$P 182 N/A N/ATAB 365 N/A N/ATAB 213 N/A N/ATAB 573 N/A N/A

A$P 2 N/A N/ABTL 14 N/A N/ATAB 28 N/A N/A

TAB 14N/A N/A

TAB 324 N/A N/A#N/A

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BOTOL 65 N/A N/A A$P 527 N/A N/APCS 28 N/A N/APCS 82 N/A N/APCS 612 N/A N/APCS 1 N/A N/APCS 19 N/A N/APCS 395 N/A N/APCS 53 N/A N/APCS 6 N/A N/APCS 8 N/A N/APCS 2 N/A N/APCS 2 N/A N/APCS 3 N/A N/APCS 1 N/A N/APCS 4 N/A N/APCS 5 N/A N/APCS 1 N/A N/APCS 46 N/A N/APCS 6 N/A N/APCS 66 N/A N/APCS 1 N/A N/APCS 44 N/A N/AR!"" 5 N/A N/AR!"" 8 N/A N/AR!"" 37 N/A N/APCS 29 N/A N/APCS 3 N/A N/APCS 6 N/A N/APCS 82 N/A N/APCS 55 N/A N/APCS 208 N/A N/APCS 27 N/A N/APCS 37 N/A N/APCS 258 N/A N/APCS 207 N/A N/APCS 242 N/A N/APCS 48 N/A N/APCS 61 N/A N/A

ROLL 19 N/A N/APCS 6 N/A N/APCS 4 N/A N/APCS 1 N/A N/APCS 7 N/A N/APCS 3 N/A N/A

PCS 20N/A N/A


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PCS 4 N/A N/APCS 5 N/A N/APCS 5 N/A N/APCS 3 N/A N/APCS 75 N/A N/APCS 23 N/A N/APCS 36 N/A N/APCS 36 N/A N/APCS 9 N/A N/APCS 3 N/A N/APCS 1 N/A N/ABTL 51 N/A N/APCS 1 N/A N/APCS 100 N/A N/APCS 2 N/A N/APCS 465 N/A N/APCS 5 N/A N/APCS 4 N/A N/APCS 6 N/A N/APCS 7 N/A N/APCS 19 N/A N/APCS 21 N/A N/APCS 1 N/A N/APCS 1 N/A N/APCS 1 N/A N/APCS 2340 N/A N/APCS 920 N/A N/APCS 47 N/A N/APCS 3095 N/A N/APCS 1839 N/A N/APCS 11 N/A N/APCS 99 N/A N/APCS 37 N/A N/A

#N/A

#N/A

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


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RUMAH SAKIT UMUM DAERAH SUBASTOKOPNAME

31-Dec-15

UNIT: GUDANG ALKES

NO KODE NAMA SATUAN QTY5 D2001 ACCUCHECK ACTIVE PCS 17006 D2002 ACCUCHECK SOFTELIK PCS 25

10 D2282 A#NO3 #RA$ 10D2472 ALBOTH%L SOL PER $L BTL 2

14 D2646 ALKACIDE $L 300015 D2647 ALKA'I$E $L 7500017 D2004 ALKOHOL 70 1 $L ONE$ED $L 34200018 D2007 ALKOHOL 70 100 $L IKA BOTOL BOTOL 110020 D2359 ALKOHOL 70 BRATACO $L 1000021 D2360 ALKOHOL 96 BRATACO $L 1000026 D2438 A+,- S. A VIAL 1327 D2439 A+,- S. B VIAL 1328 D2440 A+,- S. D VIAL 2341 D2014 ASKINA SOFT CLEAR 9 & 25 PCS 15044 D2364 AUTION STICK 100 PCS TUBE 30049 D3760 BEDLINER 75 & 160 C$ PCS 41051 D2365 BHC# 50 PCS BO& 10054 D2366 BILIRUBIN T/D 1 & 200 $L KIT 255 D3775 BIOPLACENTON TULLE PCS 64056 D2653 BIOS%N 3>0 PCS 3657 D2016 BISTURI 11 B BRAUN PCS 56858 D2017 BISTURI 15 B BRAUN PCS 35060 D2018 BISTURI 24 B BRAUN PCS 39761 D2019 BLACK SILK 2>0 A$PLOP SK 225 PCS 36062 D2020 BLACK SILK 3>0 A$PLOP SK 325 PCS 40865 D2452 B"!! L + ., PCS 120068 D2025 BLOOD SET TERU$O PCS 1920070 D2021 BLUE $ONOLON 2>0 A$PLOP PCS 10471 D2022 BLUE $ONOLON 3>0 A$PLOP PCS 2972 D2023 BLUE $ONOLON 4>0 A$PLOP PCS 5373 D2024 BLUE $ONOLON 5>0 A$PLOP PCS 375 D2367 BLUE TIP 1000 PCS PCS 100076 D3788 BONE *A& PCS 1085 D3744 BO*IDIEK IND SHEET PCS 20087 D2654 BREATIN# CIRCUIT ANEST PCS 792 D3789 BROUNOL $L 5500093 D2026 BURETE 100 $L PCS 10099 D2266 CAPSUL 0 PCS 2000

100 D2267 CAPSUL 00 PCS 6000

8/15/2019 So Des Ember 2015


101 D2268 CAPSUL 1 PCS 2000102 D2269 CAPSUL 2 PCS 4000104 D3776 CAT #UT CHRO$IC 0 ROL C$ 22500105 D3777 CAT #UT CHRO$IC 1 ROL C$ 7500107 D3779 CAT #UT CHRO$IC 2/0 ROL C$ 20000108 D3780 CAT #UT CHRO$IC 3/0 ROL C$ 10000109 D2027 CATHE EL 12)5 PER #RA$ TUBE 40110 D2050 CATHETER TIP 50 CC PCS 49117 D2334 CHLORET%L PER $L $L 1300118 D2368 CHOLESTEROL 3 & 100 $L $L 300119 D3741 CHRO$IC 2 A$PLOP PCS 39121 D2029 CHRO$IC A$PLOP 1 PCS 53122 D2030 CHRO$IC A$PLOP 2>0 PCS 66123 D2031 CHRO$IC A$PLOP 3>0 PCS 34129 D2036 CHRO$IC ROL 3>0 SUR#IROL 1 C$ C$ 10000131 D2369 CLEANER 1 LITER BOTOL 6133 D2037 COLOSTO$% BA# KULDESAK PCS 500135 D2038 CONDO$ CATHETER S)$)L) NU$BER ONE PCS 5138 D2039 CONNECTIN# TUBE SUCTION A&I$ED PCS 59143 D2275 CORSET PCS 10148 D2371 CREATININ ( 2 & 100 $L $L 600156 D2046 CUTI$ED SORBACT 4 & 6 PCS 63157 D2047 CUTI$ED SORBACT 7& 9 PCS 42162 D2373 DARAH KONTROL 5 $L VIAL 2171 D2376 DILUENT 10 LITER BOTOL 7175 D2524 EK# FUKUDA CARDISUN% C$ 192000176 D2051 ELASTO$UL HAFT 8 C$ & 4 $ PCS 20177 D3742 ELECTROSUR#ICAL (UN*IRED PCS 50183 D2053 ETT 2)5 RUSCH TANPA BALON PCS 37184 D2055 ETT 3 RUSCH PCS 7185 D2054 ETT 3 RUSCH TANPA BALON PCS 20186 D2056 ETT 3)5 RUSCH PCS 27187 D2057 ETT 4 RUSCH PCS 9188 D2058 ETT 4)5 RUSCH PCS 33190 D2060 ETT 5)5 RUSCH PCS 30191 D2061 ETT 6 RUSCH PCS 3192 D2062 ETT 6)5 RUSCH PCS 38193 D2063 ETT 7 RUSCH PCS 104194 D2064 ETT 7)5 RUSCH PCS 77195 D2065 ETT 8 RUSCH PCS 10203 D2379 E&TRAN NETRAL 2 5 LITER BOTOL 2204 D3835 FEEDIN# TUBE 10 DEHP PCS 5205 D2068 FEEDIN# TUBE 10 $S PCS 10207 D2069 FEEDIN# TUBE 5 TERU$O PCS 335208 D3834 FEEDIN# TUBE 8 DEHP PCS 5209

D2070 FEEDIN# TUBE 8 TERU$O PCS 77223 D2072 FOLE% CATHETER 10 SUREPLUS PCS 10225 D2073 FOLE% CATHETER 12 SUREPLUS PCS 15

8/15/2019 So Des Ember 2015


229 D2075 FOLE% CATHETER 16 SUREPLUS PCS 2860231 D2076 FOLE% CATHETER 18 SUREPLUS PCS 225233 D2077 FOLE% CATHETER 20 SUREPLUS PCS 53235 D2078 FOLE% CATHETER 22 SUREPLUS PCS 25239 D2089 FOLE% CATHETER 3 *A% SUREPLUS PCS 54241 D2071 FOLE% CATHETER 8 SUREPLUS PCS 15242 D2428 FOR$ALIN 1 LITER PER $L $L 19000243 D2337 FOR$ALIN TAB TAB 300245 2091 = -?."" (1<370 #RA$ 1250248 D2414 #IE$SA 500 $L $L 500250 D3761 #LICERIN BTL 2253 D2380 #LUCOSE LI UID (1000 $L $L 1000255 D3802 #%PSONA 10 R!"" 10256 D3803 #%PSONA 15 R!"" 14257 D2092 #%PSONA BSN 7)5 R!"" 38258 D2265 H202 50 1 $L $L 7000259 D2264 H2O2 3 BRATACO 1 $L $L 9000261 D3797 HANDSCRUB $L 34000262 D2294 HANSAPLAST PLESTER STRIP PCS 2900265 D2381 HBSA# 50 PCS PCS 100267 D2382 HDL CHOLESTEROL D- . , 1 & 80 $L $L 80268 D2469 HE$OCLEAN PER $L $L 5000277 D2236 I V CATHETER 14 ELCO PCS 100281 D2231 I V CATHETER 16 SURPLO TERU$O PCS 50285 D2233 I V CATHETER 20 SURPLO TERU$O PCS 50288 D2241 I V CATHETER 24 ELCO PCS 10291 D2094 INFUS SET TERU$O PCS 97294 D3868 INFUS SET TRO#E PCS 19295 D2627 INFUSION SET * / RE#ULATOR PCS 25300 D3827 IV CATH 16 TRO#E PCS 18302 D3816 IV CATH 18 TRO#E PCS 380303 D3817 IV CATH 20 TRO#E PCS 1550304 D3818 IV CATH 22 TRO#E PCS 150306 D3820 IV CATH 26 TRO#E PCS 300308 D2097 ARU$ HECTIN# $ANI PCS 684309 D2326 ARU$ HECTIN# NO 16 #STC PCS 24316 D2098 KAPAS 1 K? %OHANA PER #RA$ #RA$ 100000319 D2112 KASA DEPER KECIL R!"" 50320 D2103 KASA HIDROPIL BN LE$BAR 1600321 D2102 KASA HIDROPIL CITRA #OLD LE$BAR 8200322 D2104 KASA LIPAT SILVER LE$BAR 14650323 D2108 KASA ROL B $ERAH PCS 3324 D2109 KASA ROL 10 C$ FORTUNA ROLL 170327 2105 ; , @!+ : " , (BOLDUN R!"" 100331 D2116 KERTAS EK# FUKUDA 50 & 30 C$ 144000332

2115 ;. , .;? = ; @. - ( DENSI 30 PER C C$ 183000334 D2114 KERTAS EK#/ $ORTARA L$BR 250335 D2320 KERTAS HUNTLEI#HT/CT# L$BR 500

8/15/2019 So Des Ember 2015


338 D2319 KERTAS US# C$ 7200339 D3750 KERTAS US# SON% C$ 3600341 D2651 KIT CESAREAN PCS 7353 D2119 LEUCOCREPE 10 BSN PCS 6354 D2120 LEUCOCREPE 15 BSN PCS 4355 D2121 LEUCOCREPE 7)5 BSN PCS 28358 D2124 LEUCODUR 7)5 BSN PCS 2359 D2125 LEUCOPLAST BSN 5 & 4)5 $ PER C$ C$ 87750361 D2297 LEUKO$ED T PLUS 10 & 25 LE$BAR 1366 2127 "-+ =.+ (1 < 5 PCS 50367 D3829 L$A 1 PCS 4368 D3815 L$A 2 PCS 4369 D3805 L$A 3 PCS 3370 D3806 L$A 4 PCS 6372 D2281 LU#OL $L 1000374 D2389 L%SE 1 LITER $L 2000375 D3786 $ASKER EAR LOOP PCS 10000376 D3872 $ASKER O2 NEONATUS NRB PCS 14377 D2130 $ASKER O&I#EN NEONATUS $AS PCS 60379 D2131 $ASKER O&I#EN NON > REBREATHIN# ADU PCS 71381 D2132 $ASKER O&I#EN NON > REBREATHIN# CHI PCS 20383 D2135 $ASKER O&I#EN REBREATIN# ADULT O#S PCS 27385 D2136 $ASKER O&I#EN REBREATIN# CHILDREN PCS 32387 D2648 $ASKER TALI HI AU PCS 35388 D3787 $ASKER TIE ON PCS 87300390 D2147 $A%O HI AU SHINEBALL PCS 5392 D2148 $A%O HITA$ SHINEBALL PCS 5394 D2149 $A%O $ERAH SHINEBALL PCS 16398 D2151 $A%O PUTIH SHINEBALL PCS 26399 2153 ! : - ( KARET PCS 2400 D2146 $A%O BIRU HUDSON PCS 18402 D2152 $A%O KUNIN# SHINEBALL PCS 65403 D2327 $ERCUROHRO$ 1 $L $L 2000405 D2154 $ICRO DRIP TERU$O PCS 300406 D2325 $ICROPINE PCS 400407 D2155 $ICROPORE 3$ ROLL 153408 D2449 $IKRO PIPET 100 U PCS 1412 D2158 $UCUS E&TRACTOR COSA PCS 60417 D3771 NASAL CANULA ADULT (O&%FLO* PCS 1048420 D3811 NASAL CANULA CHILDREN (O&%FLO** PCS 133423 D2164 NASAL CANULA NEONATUS O#S PCS 6427 D2333 NATRIU$ HIPOKLORIT 1 $L $L 17000428 D2166 NEEDLE 23 TERU$O PCS 400429 D2167 NEEDLE 25 TERU$O PCS 400431 D2656 NEODINE $L 110000434

D2450 OB EK #LAS PCS 4032447 D2441 PARAFIL$ ROLL 1448 D2426 PARAFIN BLOK 1 K# $L 5000

8/15/2019 So Des Ember 2015


450 D2169 PENEN# BA%I BLUE PCS 200451 D2170 PENEN# BA%I PINK PCS 200454 D2171 PERPUSOR 200 C$ B BRAUN PCS 55455 D2393 PE*ARNAAN #RA$ ( 200 $L $L 200457 D3823 P =-; 5 C$ 13000458 D3809 PHAR$AFI& 10 C$ C$ 3000459 D2447 PIPET PASTEUR PCS 20461 D2652 POL%SORB 1 PCS 168462 D3830 POL%SORB 2>0 PCS 184464 D2270 POT OBAT 20 CC PCS 50465 D2271 POT OBAT 20 CC PCS 100468 D2173 POVIDONE IODINE 1 $L KIFA $L 114000469 D3825 POVIDONE IODINE 10 30 $L BTL 1065470 D2174 POVIDONE IODINE 60 $L KIFA BOTOL 870472 D2306 PRE$ICON 1 PCS 26480 D3790 PRONTOSAN 350 $L $L 1050481 D2446 RAK TB REAKSI LB KECIL BO& 2482 D2278 RAN#SEL VERBAN PCS 7485 D2182 REDOT ADULT 3$ PCS 185492 D2395 S PARA T%PHI A>H 5 $L VIAL 6493 D2396 S PARA T%PHI O 5 $L VIAL 6494 D2397 S T%PHI H 5 $L VIAL 6495 D2398 S T%PHI O>H 5 $L VIAL 6499 D3792 SAFIL 3>0 PCS 189500 D3793 SAFIL 4>0 PCS 72502 D2185 SAN#OFI& ES B>BRAUN PCS 120504 D2196 SARUN# TAN#AN NON STERIL COS$O$ED PCS 3900515 D3781 SARUN# TAN#AN SUR#I #LOVE 6)5 PCS 100516 D3782 SARUN# TAN#AN SUR#I #LOVE 7 PCS 56175517 D3783 SARUN# TAN#AN SUR#I #LOVE 7)5 PCS 5327518 D3784 SARUN# TAN#AN SUR#I #LOVE 8 PCS 50520 D3870 SARUN# TAN#AN TRO#E 8 PCS 350524 D2316 SELAN# A$BU PCS 5528 D3639 SERA# SILK 1 C$ C$ 10000532 D2401 SERU$ KONTROL PCS 2533 D2402 S#OT (12 & 16 $L $L 192534 D2403 S#PT ( 12 & 16 $L $L 192535 D2650 SHOESCOVER HI AU PCS 70536 D3759 SIKAT T>SCRUB PCS 100541 D2202 SILK ROLL 0 SUR#IROL 1 C$ C$ 22500545 D2204 SILK ROLL 2 SUR#IROL 1 C$ C$ 5000549 D2206 SILK ROLL 3>0 SUR#IROL 1 C$ C$ 10000556 D2467 SODIU$ 25 ;? @. # #RA$ 10000559 D3751 SOFTA$AN 500 $L $L 1500560 D3822 SOFTASKIN $L 19000561

D2209 SOFTBAN 10 BSN PCS 8562 D2210 SOFTBAN 15 BSN PCS 6563 D2208 SOFTBAND 7 5 BSN PCS 18

8/15/2019 So Des Ember 2015


564 D2276 SPALK E&T ATAS PCS 25565 D2277 SPALK E&T BA*AH PCS 12576 D3798 STERO>BAC / BTL $L 1200577 D3814 STERO>BAC / #LN $L 90000579 D2216 STO$ACH TUBE 12 TERU$O PCS 55580 D2217 STO$ACH TUBE 14 TERU$O PCS 74581 D2218 STO$ACH TUBE 16 TERU$O PCS 1990582 D2219 STO$ACH TUBE 18 TERU$O PCS 160584 D2224 SUCTION CATHETER 8 PASCHO PCS 134585 D2221 SUCTION CATHETER 12 PASHCO PCS 9586 D2222 SUCTION CATHETER 14 PASHCO PCS 13587 D2223 SUCTION CATHETER 16 PASCHO PCS 56589 D2220 SUCTION CATHETER 10 PASHCO PCS 10605 D2243 SUR#ION 0 PCS 24606 D3755 SUR#ION 1 PCS 36607 D2244 SUR#ION 2>0 PCS 60611 D2308 SUR#IPRO 2>0 PCS 7612 D2309 SUR#IPRO 3>0 PCS 12613 D2310 SUR#IPRO 4>0 PCS 7624 D2303 S%RIN#E DISPOSIBLE 1 CC STERA PCS 9600625 D2249 S%RIN#E DISPOSIBLE 1 CC TERU$O PCS 100629 D3800 S%RIN#E DISPOSIBLE 20 CC STERA PCS 40630 D2252 S%RIN#E DISPOSIBLE 20 CC TERU$O PCS 100632 D2253 S%RIN#E DISPOSIBLE 3 CC STERA PCS 115950635 D2255 S%RIN#E DISPOSIBLE 5 CC STERA PCS 93740636 D2257 S%RIN#E DISPOSIBLE 50 CC TERU$O PCS 8640 D2445 TB REAKSI 12&17 PCS 300644 D2404 TES NARKOBA 5 PARA$ETER 25 PCS PCS 25645 D2405 THER$AL PAPER ROLL 53646 D3743 THORATIC CATH * TROCAL PCS 25647 D2323 THREE *A% STOP COCK PCS 70648 D2444 TI$ER PCS 1651 D2258 TOPI OPERASI BN PCS 1200652 D2406 TOTAL PROTEIN 3 & 100 $L $L 300656 D2407 TR%#LISERIDA 3 & 100 $L $L 300657 D2283 ULTRASONIC #ELL PER #RA$ #RA$ 35000659 D2408 UREU$ UV ( 50 & 10 $L $L 500660 D2409 URIC ACID 3 & 100 $L $L 300662 D2261 URINE BA# SUREPLUS PCS 4624663 D2410 VACUTAENER 1200 PCS PCS 7200666 D2262 VIORE& 1 $L $L 5000667 D2639 VISCO SOL HP$C 2 BOTOL 292668 D3833 *ASH#LOVE DOCARE PACK 296672 D2417 &L *ASH BOTOL 3682 D2280 &%LONOR $L 36000

D2263 %AL > COLON CLEANER 67 5 $L $L 5000

8/15/2019 So Des Ember 2015


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ER$A TRUE POINT BO& 1ERBAT%TE PACK CA PAK 1

8/15/2019 So Des Ember 2015


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N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

8/15/2019 So Des Ember 2015


N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A 1 KIT 200 $LN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

8/15/2019 So Des Ember 2015


N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A 1 KIT & 80N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

16 00 2)304)000 00 15 277777778N/A N/AN/A N/AN/A N/A

8/15/2019 So Des Ember 2015


N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A 5 K#

8/15/2019 So Des Ember 2015


N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

8/15/2019 So Des Ember 2015


N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A 1 #LN 5000N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

77 00 385)000 00 77

#N/A

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015



31-Dec-15

DOUBLE KODE ITE$ < . 2653 > +? , PCS +? , + " ?- BOTOL

UNIT: APT. R JALAN

NO KODE NAMA3 EU3733 ACARBOSE TAB 100 $#4 EU3734 ACARBOSE TAB 50 $#5 EU2404 ACLA$ 500 $# TAB LAPI6 EU3702 ACLA$ DR% S%R7 EU3703 ACLA$ FORTE S%R11 . 2101 "! - 200 ? , : (#12 . 2102 "! - 400 ? , : (#14 EU2408 ADALAT OROS TAB BA%ER31 . 2104 ""!@ -+!" 100 ? , : (#32 . 2105 ""!@ -+!" 300 ? , : (#33 . 2106 "@ !" 0 25 ? , : (#35 . 2108 "@ !" 1 ? , : (#37 . 2109 : ! !" (#46 . 2112 -+!@ ""-+ , : (#47 EU2423 A$INORAL TAB SOHO53 . 2114 -, -@,-"-+ 25 ? , : (#54 . 2115 "! -@-+ 10 ? , : (#55 . 2116 "! -@-+ 5 ? , : (#59 . 2119 ! - -""-+ (#62 EU2425 A$O&SAN DROP SANBE65 . 2120 @- -""-+ 500 ? , : (#70 EU2430 ANADIU$ TAB #UARDIAN71 EU2431 ANALSIK TAB SANBE75 EU2435 ANE$OLAT TAB PHAPROS82 . 2123 +, - , : (#

101 . 2129 .=.+ , 500 ? , : (#103 . 2130 , +. , 250 ? -+ (#110 EU2450 ASPAR K TAB112 EU3318 ASTHENOF ED122 EU2456 AU#ENTONIC ED CENDO125 . 2136 , ! - -+ 500 ? , : (#126 . 2137 , ! - -+ (#143 EU3645 BEROTEC INH147 . 2138 :., ., !+ (#170 . 2141 :- !@ !"!" , : (#174 EU2493 BRA&IDIN TAB SANBE176 EU2494 BURNA'IN CR180 . 2142 " -- ?" ;!+ -+ (#

8/15/2019 So Des Ember 2015


181 . 2143 " - " , ,. , : (#187 EU3614 CANDESARTAN 16 $#188 EU3613 CANDESARTAN 8 $#189 . 2144 @,!@ -" 12 5 ? , : (#190 . 2145 @,!@ -" 25 ? , : (#199 EU2508 CATARLENT ED CENDO201 . 2147 .= ! -" 500 ? @ (#213 . 2152 .=- - 100 ? @ (#214 . 2153 .=- - (#227 EU3746 CENDO FENICOL 0)5228 EU3695 CENDO $%COS ED233 EU2523 CEPTIK 100 $# CAP INTERBAT238 EU2373 CETIRI'IN DROP (#240 . 2163 .,- - -+. (#242 . 2165 "! @ .+- !" ".@ , (#246 . 2169 "! @ ! -+ 100 ? , : (#261 EU3652 CITICOLIN 1000 TAB262 EU3651 CITICOLIN 500 TAB269 . 2178 "-+ - -+ 150 ? @ (#275 . 2180 "!: , : (#277 . 2182 "!+- -+ , : (#282 EU3701 CLO'APIN 25 TAB284 . 2185 ! ! - " 500 ? , : (#285 EU3326 CODEIN 10 $# TAB286 EU3327 CODEIN 20 $# TAB295 EU2549 CO$BIVENT UDV CO$BIPHAR296 EU3658 CONCOR 2)5 TAB312 EU3710 CRIPSA314 EU2558 CURCU$A TAB323 EU3678 DEPAKOTE ER 250324 EU3662 DEPAKOTE ER 500325 EU2566 DEPAKOTE TAB ABBOT329 EU3632 DESO&I$ETASONE 0)25 CREA$331 . 2190 . ., !+. -+ (#333 EU3738 DE&KETOPROFEN339 EU2572 DHAVIT S%R #UARDIAN348 . 2197 -?! -+ , : (#350 . 2196 -",- . , : (#352 EU3623 DIOVAN 80359 . 2199 !; - -;"-+ 100 ? @ (#364 . 2200 ! @. - !+. (#365 . 2201 ! @. - !+. , : (#368 EU2585 DOPA$ET TAB405 EU2610 EPRE& IN409 . 2207 . -, ! - -+ 500 ? , : (#410

. 2208 . -, ! - -+ (#423 EU2621 EUTH%RO& TAB $ERCK433 EU2629 E%E FRESH ED $INIDOSE CENDO

8/15/2019 So Des Ember 2015


448 . 2213 =.+!=-: , , : (#462 EU3754 FLA#%L SUPP 0)5 #R465 EU2652 FLI&OTIDE NEBU466 EU2653 FLO&A ED CENDO468 EU2654 FLUKONA'OL 150 $# CAP KALBE470 EU3670 FLUNARI'IN 5 $#495 . 2215 = ! . - -+ (#496 . 2214 = ! . - , : (#500 EU3638 #ABAPENTIN 300501 EU3705 #ABE&AL 100 $#508 . 2216 ?. =-: ! -" 300 ? @ (#512 . 2218 ?.+, - -+ (#515 . 2219 ?.+, - -+ -+ (#517 . 2221 ?.+, - -+ ,.,. , (#527 . 2223 ?"-:.+ " - , : (#532 . 2225 ?"- .@- - . 2 ? , : (#535 . 2228 ?"- - !+. , : (#537 EU3626 #LUCOBA% 100538 EU3625 #LUCOBA% 50562 . 2233 "!@. - !" 1 5 ? , : (#563 . 2234 "!@. - !" 5 ? , : (#587 EU2727 HU$ALO# $I& IN ELI LIL%600 EU2735 H%STOLAN TAB603 . 2242 -: @ !=.+ 200 ? (#604 . 2240 -: @ !=.+ 200 ? , : (#652 EU3615 IRBESARTAN 150 $#653 EU3659 IRBESARTAN 300 $#659 . 2244 - !+- - . 100 ? , : (#660 . 2245 - !+- - . 300 ? , : (#663 . 2246 - ! ! :- -+-, , , : (#682 EU2789 KAR%UNI ED FERRON687 EU3736 KENDARON689 EU2791 KEREN TAB NULAB692 EU3633 KETO #693 . 2249 ;.,!;!+ !". (#694 . 2250 ;.,!;!+ !". , : (#699 . 2254 ;.,! !" 30 ? -+ (#709 EU2799 KSR TAB720 . 2256 " ;, "! (#726 . 2257 " + !@ !". @ (#727 EU3663 LANTUS PEN737 EU3712 LAPIFED TAB751 EU2835 LASAL E&PECT S%R760 EU2844 L>BIO SACH LAPI772 . 2258 ". !="! -+ 500 ? , : (#777

. 2260 "- ! -+ -+ (#785 EU3655 LISINOPRIL 5 $#792 . 2262 "! , -+ , : (#

8/15/2019 So Des Ember 2015


793 EU3681 LOSARTAN 50 $# TAB815 . 2263 . !: " -+ 250 ? @ (#816 . 2264 . !: " -+ 500 ? @ (#817 . 2265 . !: " -+ -+ (#824 . 2266 ."! - 15 ? , : (#825 . 2267 ."! - 7 5 ? , : (#841 . 2272 ., "@ . +- !"!+. 16 ? , : (#842 . 2273 ., "@ . +- !"!+. 4 ? , : (#843 . 2274 ., "@ . +- !"!+. 8 ? , : (#849 . 2279 .,! "!@ - . , : (#856 . 2280 ., !+- !". 500 ? , : (#864 EU3647 $ICARDIS TAB865 . 2282 - !+ !". (#871 EU3729 $INIASPI 80 $#875 EU3730 $OLAS$A 2)5 $#896 EU2923 $%CETIN EO 3)5 #R901 EU2927 $%COS EO CENDO 3)5 #R905 . 3422 + " !?: -+= (#914 . 2286 + , - -;"!=.+ 50 ? , : (#919 EU3755 NEO $ERCA'OLE944 . 2287 +-=. -@-+ , : (#947 EU3757 NITROKAF RETARD FORTE953 EU3644 NOPRES959 EU3686 NOVO$I&>30 FLE& PEN961 EU2964 NOVORAPID PEN964 EU2971 NUCRAL S%R #UARDIAN976 EU2982 NUVISION TAB #UARDIAN978 EU3627 N%NDIA SUSP979 . 2288 + , ,-+ ?-+ " @@ (#982 . 2289 !: (#983 EU3709 OCUFLA$ ED990 EU3748 OLANDO' 10 $#991 EU3771 OLANDO' 5 $#992 . 2295 ! .@ !". @ (#996 . 2297 !+ + ., !+ 4 ? -+ (#997 . 2299 !+ + ., !+ 4 ? , : (#

1066 . 2308 @ ., !" !@ (#1068 . 2310 @ ., !" (#1076 EU3040 PEHADO&IN FORTE TAB PHAPROS1087 . 2315 @ .+-,!-+ @ (#1093 EU3616 PHINEV IN1102 . 2323 @- ., 1200 ? @ (#1105 . 2322 @- ., 800 ? @ (#1110 . 2326 @- !; -; 10 ? @ (#1121 EU3062 POL%#RAN ED CENDO1131

. 2330 @ . +- !+. , : (#1132 EU3750 PRE#ABALIN 75 $#1137 EU3753 PRI$OLUT N

8/15/2019 So Des Ember 2015


1149 EU3083 PRONAL#ES SUPP DE&A1150 . 2331 @ !@ +!"!" , : (#1151 . 2332 @ !@-",-! -" (PTU1152 EU3697 PROSTER1156 EU3726 PUL$ICORT TURB1160 EU3654 PURALE& TAB1163 . 2333 @ -+ - . 500 ? , : (#1169 EU3698 RA$IPRIL 5 $#1171 . 2336 +-,- -+ , : (#1200 . 2337 -= @- -+ 300 ? @ (#1201 . 2338 -= @- -+ 450 ? , : (#1202 . 2339 -= @- -+ 600 ? (#1207 EU3673 RI$ACTA'ID PAED TAB1208 EU3674 RI$CURE PAED TAB1210 . 2341 - @. - !+ 2 ? , : (#1224 . 2343 ": , !" 2 ? , : (#1225 . 2344 ": , !" 4 ? , : (#1256 EU3160 SCABI$ITE CR1267 EU3732 SERO UEL &R 2001268 EU3731 SERO UEL &R 3001273 EU3174 SIFROL TAB BOEHRIN#ER1274 EU3653 SILO&AN ED1275 EU3175 SI$ARC TAB FAHRENHEIT1277 . 2346 - , ,-+ 10 ? , : (#1292 EU3764 SPIRIVA 18 $C#1293 . 2349 @- !+!" ,!+. 100 ? , : (#1294 . 2348 @- !+!" ,!+. 25 ? , : (#1298 EU3641 STALEVO TAB1305 EU3667 STESOLID RECTAL1309 . 2350 , .@,! - -+ -+ (#1334 . 2354 , - @ .+- !" 500 ? @ (#1340 EU3665 TH%RO'OL 10 $#1351 EU3224 TOBROSON ED 5 $L CENDO1363 . 2355 , !" @ (#1375 EU3735 TRIFLUOPERA'IN 5 $#1394 EU3694 ULSAFATE S%R1404 EU3265 UROTRACTIN SANBE1405 EU3639 URSODEO&%CHOLIC 250 TAB1407 EU3769 UTRO#ESTAN 200 $#1413 EU3269 VALISANBE 2 $# TAB SANBE1414 EU3270 VALISANBE 5 $# TAB SANBE1417 EU3272 VASACON A ED1419 EU3629 VASTI#O1422 EU3275 VENTOLIN NEBU #LA&O1433 . 2361 -, -+ : 12 , : (#1436

. 2363 -, -+ : ! @".; , : (#1438 . 2365 -, -+ 50 ? , : (#1455 EU3684 &ARELTO 15 $#

8/15/2019 So Des Ember 2015


1456 EU3683 &ARELTO 20 $#1464 . 2368 -+; , : (#

EU2653 FLO&A ED CENDO

55 D3775 BIOPLACENTON TULLE57 D2016 BISTURI 11 B BRAUN61 D2019 BLACK SILK 2>0 A$PLOP SK 22568 D2025 BLOOD SET TERU$O99 D2266 CAPSUL 0

100 D2267 CAPSUL 00102 D2269 CAPSUL 2133 D2037 COLOSTO$% BA# KULDESAK156 D2046 CUTI$ED SORBACT 4 & 6157 D2047 CUTI$ED SORBACT 7& 9159 D2049 CUTISORB LA 10 & 20223 D2072 FOLE% CATHETER 10 SUREPLUS229 D2075 FOLE% CATHETER 16 SUREPLUS231 D2076 FOLE% CATHETER 18 SUREPLUS237 D2079 FOLE% CATHETER 24 SUREPLUS278 D2230 I V CATHETER 14 SURPLO TERU$O285 D2233 I V CATHETER 20 SURPLO TERU$O325 D2110 KASA ROL 10 C$ KAR%A HUSADA348 D2118 LA$INARIA L353 D2119 LEUCOCREPE 10 BSN357

D2123 LEUCODUR 15 BSN371 D2129 LO$ATULE386 D2139 $ASKER TALI / KARET BN406 D2325 $ICROPINE464 D2270 POT OBAT 20 CC465 D2271 POT OBAT 35 CC470 D2174 POVIDONE IODINE 60 $L KIFA509 D2190 SARUN# TAN#AN STERIL 7 5 *IN #LOVE / PS#561 D2209 SOFTBAN 10 BSN562 D2210 SOFTBAN 15 BSN563

D2208 SOFTBAND 7 5 BSN624 D2303 S%RIN#E DISPOSIBLE 1 CC STERA627 D2250 S%RIN#E DISPOSIBLE 10 CC STERA632 D2253 S%RIN#E DISPOSIBLE 3 CC STERA635 D2255 S%RIN#E DISPOSIBLE 5 CC STERA636 D2257 S%RIN#E DISPOSIBLE 50 CC TERU$O662 D2261 URINE BA# SUREPLUS

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


39

8/15/2019 So Des Ember 2015


40

8/15/2019 So Des Ember 2015


41

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


42

8/15/2019 So Des Ember 2015


43

8/15/2019 So Des Ember 2015


44

8/15/2019 So Des Ember 2015


45

8/15/2019 So Des Ember 2015


46

8/15/2019 So Des Ember 2015


47

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48

8/15/2019 So Des Ember 2015


49

8/15/2019 So Des Ember 2015


50

8/15/2019 So Des Ember 2015


SATUAN QTY HARGA JUMLAHTAB 2388 N/A N/ATAB 760 N/A N/ATAB 10 N/A N/ABTL 4 N/A N/ABTL 10 N/A N/A

TAB 345 N/A N/ATAB 72 N/A N/ATAB 2785 N/A N/ATAB 3066 N/A N/ATAB 398 N/A N/ATAB 336 N/A N/ATAB 177 N/A N/A


; @"., 304 N/A N/A



TAB 391 N/A N/ATAB 45 N/A N/ATAB 174 N/A N/ATAB 1516 N/A N/ATAB 15 N/A N/ATAB 823 N/A N/A

A$P 6 N/A N/ATAB 3 N/A N/ABTL 27 N/A N/ABTL 20 N/A N/ATAB 105 N/A N/A

BOTOL 5 N/A N/AFLS 17 N/A N/A


TUBE 14 N/A N/A A$P 1 N/A N/A

8/15/2019 So Des Ember 2015


TAB 773 N/A N/ATAB 720 N/A N/ATAB 48 N/A N/ATAB 1735 N/A N/ATAB 505 N/A N/ABTL 47 N/A N/ATAB 20 N/A N/ATAB 480 N/A N/A

BOTOL 121 N/A N/ABTL 4 N/A N/AFLS 8 N/A N/ATAB 30 N/A N/A

BOTOL 1 N/A N/ABOTOL 58 N/A N/ATUBE 46 N/A N/ATAB 1720 N/A N/ATAB 154 N/A N/ATAB 204 N/A N/A

@ " 722 N/A N/ATAB 4 N/A N/ATAB 948 N/A N/ATAB 700 N/A N/ATAB 4 N/A N/ATAB 252 N/A N/ATAB 237 N/A N/A

A$P 88 N/A N/ATAB 3675 N/A N/ATAB 15 N/A N/ATAB 1566 N/A N/ATAB 1643 N/A N/ATAB 3214 N/A N/ATAB 1500 N/A N/A

TUBE 87 N/A N/A A$P 131 N/A N/ATAB 650 N/A N/A

BOTOL 30 N/A N/ATAB 270 N/A N/ATAB 504 N/A N/ATAB 634 N/A N/ATAB 238 N/A N/A


-+?. 30 N/A N/ATAB 708 N/A N/A

BOTOL 14N/A N/A

TAB 830 N/A N/AFLS 25 N/A N/A

8/15/2019 So Des Ember 2015


TAB 56 N/A N/ASUPP 17 N/A N/A A$P 20 N/A N/ABTL 12 N/A N/A

@ " 80 N/A N/ATAB 145 N/A N/A


KAPSUL 730 N/A N/A@ " 86 N/A N/A

KAPSUL 1512 N/A N/ATUBE 15 N/A N/A A$P 28 N/A N/AFLS 18 N/A N/ATAB 724 N/A N/ATAB 3503 N/A N/ATAB 2200 N/A N/ATAB 785 N/A N/ATAB 129 N/A N/ATAB 985 N/A N/ATAB 167 N/A N/AVIAL 2 N/A N/ATAB 7 N/A N/A


KAPTAB 765 N/A N/ATAB 533 N/A N/ATAB 18 N/A N/ATAB 1591 N/A N/ATAB 6350 N/A N/AFLS 3 N/A N/ATAB 554 N/A N/ATAB 6 N/A N/A

; @"., 16 N/A N/ATUBE 14 N/A N/ATAB 228 N/A N/A


BOTOL 1 N/A N/ATAB 1593 N/A N/APCS 5 N/A N/ATAB 22 N/A N/A

BOTOL 8 N/A N/ASACH 45 N/A N/ATAB 818 N/A N/A

A$P 90N/A N/A


8/15/2019 So Des Ember 2015



A$P 58 N/A N/ATAB 4 N/A N/ATAB 483 N/A N/ATAB 695 N/A N/ATAB 3033 N/A N/ATAB 1859 N/A N/ATAB 818 N/A N/ATAB 1598 N/A N/ATAB 120 N/A N/A


TUBE 56 N/A N/ATUBE 16 N/A N/A

BOTOL 2 N/A N/ATAB 1389 N/A N/ATAB 300 N/A N/ATAB 3647 N/A N/A

KAPSUL 300 N/A N/ATAB 891 N/A N/A@.+ 20 N/A N/A@.+ 37 N/A N/A

BOTOL 7 N/A N/ATAB 10 N/A N/ABTL 24 N/A N/A

SUPP 34 N/A N/ABOTOL 4 N/A N/A

BTL 8 N/A N/ATAB 142 N/A N/ATAB 6 N/A N/A

@ " 2581 N/A N/A A$P 5 N/A N/ATAB 118 N/A N/A


TAB 2265 N/A N/A@ " 27 N/A N/A

A$P 4 N/A N/ATAB 70 N/A N/ATAB 300 N/A N/ATAB 10 N/A N/AFLS 24 N/A N/A

TAB 170N/A N/A


8/15/2019 So Des Ember 2015


SUPP 8 N/A N/ATAB 2975 N/A N/ATAB 2724 N/A N/ATAB 65 N/A N/ABO& 2 N/A N/ATAB 853 N/A N/ATAB 1148 N/A N/ATAB 536 N/A N/ATAB 132 N/A N/ATAB 693 N/A N/ATAB 537 N/A N/ATAB 785 N/A N/ATAB 1330 N/A N/ATAB 820 N/A N/ATAB 2029 N/A N/ATAB 579 N/A N/ATAB 275 N/A N/A

TUBE 10 N/A N/ATAB 90 N/A N/ATAB 7 N/A N/ATAB 180 N/A N/ABTL 1 N/A N/ATAB 182 N/A N/ATAB 11 N/A N/ABO& 5 N/A N/ATAB 1100 N/A N/ATAB 809 N/A N/ATAB 268 N/A N/A

TUBE 1 N/A N/AVIAL 31 N/A N/ATAB 80 N/A N/ATAB 273 N/A N/ABTL 20 N/A N/A

KAPSUL 673 N/A N/ATAB 10 N/A N/ABTL 120 N/A N/ATAB 350 N/A N/ATAB 76 N/A N/ATAB 6 N/A N/ATAB 131 N/A N/ATAB 242 N/A N/ABTL 27 N/A N/ATAB 7 N/A N/A


TAB 1120N/A N/A


8/15/2019 So Des Ember 2015


TAB 296 N/A N/ATAB 238 N/A N/APCS 31 29)426 00 912)206 00

#N/A

PCS 8 N/A N/APCS 62 N/A N/APCS 2 N/A N/APCS 5 N/A N/APCS 400 N/A N/APCS 1900 N/A N/APCS 300 N/A N/APCS 17 N/A N/APCS 3 N/A N/APCS 8 N/A N/APCS 10 N/A N/APCS 3 N/A N/APCS 6 N/A N/APCS 9 N/A N/APCS 10 N/A N/APCS 31 N/A N/APCS 9 N/A N/APCS 43 N/A N/APCS 8 N/A N/APCS 2 N/A N/A

PCS 2N/A N/A

PCS 1 N/A N/APCS 63 N/A N/APCS 8 N/A N/APCS 20 N/A N/APCS 28 N/A N/A

BOTOL 36 N/A N/APCS 43 N/A N/APCS 3 N/A N/APCS 1 N/A N/A

PCS 2N/A N/A

PCS 42 N/A N/APCS 92 N/A N/APCS 42 N/A N/APCS 69 N/A N/APCS 2 N/A N/APCS 15 N/A N/A

#N/A

#N/A

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


? J@ ; , J@ ;., , J;!+ . -

8/15/2019 So Des Ember 2015



31-Dec-15

UNIT: APT. R INAP

NO KODE NAMA3 EU3733 ACARBOSE TAB 100 $#4 EU3734 ACARBOSE TAB 50 $#5 EU2404 ACLA$ 500 $# TAB LAPI7 EU3703 ACLA$ FORTE S%R11 . 2101 "! - 200 ? , : (#12 . 2102 "! - 400 ? , : (#14 EU2408 ADALAT OROS TAB BA%ER31 . 2104 ""!@ -+!" 100 ? , : (#32 . 2105 ""!@ -+!" 300 ? , : (#33 . 2106 "@ !" 0 25 ? , : (#35 . 2108 "@ !" 1 ? , : (#37 . 2109 : ! !" (#38 . 2110 : ! !" , : (#41 EU3401 A$INOFLUID INF44 EU3404 A$INOLEBAN INF46 . 2112 -+!@ ""-+ , : (#47 EU2423 A$INORAL TAB SOHO53 . 2114 -, -@,-"-+ 25 ? , : (#54 . 2115 "! -@-+ 10 ? , : (#55 . 2116 "! -@-+ 5 ? , : (#58 . 2118 ! - -""-+ -+ (#59 . 2119 ! - -""-+ (#62 EU2425 A$O&SAN DROP SANBE65 . 2120 @- -""-+ 500 ? , : (#70 EU2430 ANADIU$ TAB #UARDIAN71 EU2431 ANALSIK TAB SANBE74 EU2434 ANBACI$ IN SANBE75 EU2435 ANE$OLAT TAB PHAPROS82 . 2123 +, - , : (#

101 . 2129 .=.+ , 500 ? , : (#103 . 2130 , +. , 250 ? -+ (#109 EU3406 ASERIN# INF118 . 2134 , !@-+ "= , -+ (#120 EU3320 ATS 1500 UI IN125 . 2136 , ! - -+ 500 ? , : (#147 . 2138 :., ., !+ (#170 . 2141 :- !@ !"!" , : (#174 EU2493 BRA&IDIN TAB SANBE

8/15/2019 So Des Ember 2015


180 . 2142 " -- ?" ;!+ -+ (#181 . 2143 " - " , ,. , : (#188 EU3613 CANDESARTAN 8 $#189 . 2144 @,!@ -" 12 5 ? , : (#190 . 2145 @,!@ -" 25 ? , : (#201 . 2147 .= ! -" 500 ? @ (#213 . 2152 .=- - 100 ? @ (#218 . 2155 .=!@. !+. -+ (#219 . 2156 .=!, - 1 ? -+ (#221 . 2157 .=, - - -+ (#222 . 2158 .=,- ! - -+ (#223 . 2159 .=, - !+. -+ (#233 EU2523 CEPTIK 100 $# CAP INTERBAT238 EU2373 CETIRI'IN DROP (#240 . 2163 .,- - -+. (#242 . 2165 "! @ .+- !" ".@ , (#246 . 2169 "! @ ! -+ 100 ? , : (#259 . 2175 -@ !="! -+ -+= (#261 EU3652 CITICOLIN 1000 TAB262 EU3651 CITICOLIN 500 TAB263 . 2177 -,- !"-+ -+ (#269 . 2178 "-+ - -+ 150 ? @ (#271 EU2538 CLIN$AS 150 $# CAP LAPI275 . 2180 "!: , : (#277 . 2182 "!+- -+ , : (#284 . 2185 ! ! - " 500 ? , : (#285 EU3326 CODEIN 10 $# TAB286 EU3327 CODEIN 20 $# TAB295 EU2549 CO$BIVENT UDV CO$BIPHAR296 EU3658 CONCOR 2)5 TAB312 EU3710 CRIPSA314 EU2558 CURCU$A TAB323 EU3678 DEPAKOTE ER 250324 EU3662 DEPAKOTE ER 500330 . 2189 . ., !+ , : (#331 . 2190 . ., !+. -+ (#333 EU3738 DE&KETOPROFEN339 EU2572 DHAVIT S%R #UARDIAN348 . 2197 -?! -+ , : (#350 . 2196 -",- . , : (#352 EU3623 DIOVAN 80356 EU3707 DOBURAN IN364 . 2200 ! @. - !+. (#365 . 2201 ! @. - !+. , : (#368 EU2585 DOPA$ET TAB402

. 2205 .@-+.@ -+. -+ (#408 . 2206 . -, ! - -+ 250 ? , : (#409 . 2207 . -, ! - -+ 500 ? , : (#

8/15/2019 So Des Ember 2015


448 . 2213 =.+!=-: , , : (#450 EU2641 FERIPRO& TAB453 EU3648 FERRIFRO& S%R468 EU2654 FLUKONA'OL 150 $# CAP KALBE470 EU3670 FLUNARI'IN 5 $#495 . 2215 = ! . - -+ (#496 . 2214 = ! . - , : (#498 EU3436 FUTROLIT INF SANBE500 EU3638 #ABAPENTIN 300501 EU3705 #ABE&AL 100 $#502 EU2679 #ALEPSI CAP #UARDIAN508 . 2216 ?. =-: ! -" 300 ? @ (#512 . 2218 ?.+, - -+ (#527 . 2223 ?"-:.+ " - , : (#531 . 2224 ?"- .@- - . 1 ? , : (#532 . 2225 ?"- .@- - . 2 ? , : (#535 . 2228 ?"- - !+. , : (#541 . 3408 ?" ;! 10 !?: -+= (#542 . 3409 ?" ;! 5 !?: -+= (#548 EU2702 #OFLE& TAB #UARDIAN549 EU3711 #OFORAN IN 1 #R561 . 2232 "!@. - !" 0 5 ? , : (#562 . 2233 "!@. - !" 1 5 ? , : (#563 . 2234 "!@. - !" 5 ? , : (#581 EU3661 HE&%$ER 2 TAB604 . 2240 -: @ !=.+ 200 ? , : (#605 . 2241 -: @ !=.+ 400 ? , : (#606 . 2243 -: @ !=.+ (#647 EU2770 INVICLOT IN659 . 2244 - !+- - . 100 ? , : (#660 . 2245 - !+- - . 300 ? , : (#663 . 2246 - ! ! :- -+-, , , : (#667 EU3411 KAEN 1B INF668 EU3412 KAEN 3A INF669 EU3413 KAEN 3B INF670 EU3742 KALBA$IN 500 $L683 EU3415 KCL IN687 EU3736 KENDARON689 EU2791 KEREN TAB NULAB692 EU3633 KETO #694 . 2250 ;.,!;!+ !". , : (#699 . 2254 ;.,! !" 30 ? -+ (#703 EU3414 KID$IN INF709 EU2799 KSR TAB712 EU2802 LACOLDIN S%R LAPI720

. 2256 " ;, "! (#726 . 2257 " + !@ !". @ (#727 EU3663 LANTUS PEN

8/15/2019 So Des Ember 2015


746 EU2831 LAPI&I$E IN LAPI748 . 3416 " , + 2 !?: -+= (#751 EU2835 LASAL E&PECT S%R760 EU2844 L>BIO SACH LAPI772 . 2258 ". !="! -+ 500 ? , : (#773 . 2259 ". !="! -+ -+= (#777 . 2260 "- ! -+ -+ (#784 EU3656 LISINOPRIL 10 $#785 EU3655 LISINOPRIL 5 $#792 . 2262 "! , -+ , : (#811 EU3418 $ARTOS INF815 . 2263 . !: " -+ 250 ? @ (#816 . 2264 . !: " -+ 500 ? @ (#817 . 2265 . !: " -+ -+ (#824 . 2266 ."! - 15 ? , : (#825 . 2267 ."! - 7 5 ? , : (#840 . 2271 ., "@ . +- !"!+ 125 ? -+ (#841 . 2272 ., "@ . +- !"!+. 16 ? , : (#842 . 2273 ., "@ . +- !"!+. 4 ? , : (#843 . 2274 ., "@ . +- !"!+. 8 ? , : (#845 . 2275 .,-". ?! ., -+ -+ (#849 . 2279 .,! "!@ - . , : (#856 . 2280 ., !+- !". 500 ? , : (#857 . 2281 ., !+- !". -+= (#858 EU3419 $E%LON IN862 EU3421 $#SO4 40 IN864 EU3647 $ICARDIS TAB865 . 2282 - !+ !". (#871 EU3729 $INIASPI 80 $#878 . 2283 ! =-+ -+ (#905 . 3422 + " !?: -+= (#914 . 2286 + , - -;"!=.+ 50 ? , : (#952 EU3624 NOPERTEN 5953 EU3644 NOPRES961 EU2964 NOVORAPID PEN978 EU3627 N%NDIA SUSP982 . 2289 !: (#989 . 2294 !; -,! -+ -+ (#992 . 2295 ! .@ !". @ (#993 . 2296 ! .@ !". -+ (#994 EU3767 O$' IN996 . 2297 !+ + ., !+ 4 ? -+ (#997 . 2299 !+ + ., !+ 4 ? , : (#

1037 EU3426 OTSU D 40 INF1066 . 2308 @ ., !" !@ (#1068

. 2310 @ ., !" (#1076 EU3040 PEHADO&IN FORTE TAB PHAPROS1082 . 2313 @.,- -+ -+ (#

8/15/2019 So Des Ember 2015


1084 EU3747 P#B TAB 75 $#1087 . 2315 @ .+-,!-+ @ (#1088 . 2314 @ .+-,!-+ -+ (#1094 . 2320 @ ,! .+ -!+ -+ (#1101 . 2324 @- ., 1 ? -+ (#1102 . 2323 @- ., 1200 ? @ (#1103 . 2325 @- ., 3 ? -+ (#1105 . 2322 @- ., 800 ? @ (#1129 EU3068 PREDNICORT 4 $# TAB OTTO1131 . 2330 @ . +- !+. , : (#1132 EU3750 PRE#ABALIN 75 $#1150 . 2331 @ !@ +!"!" , : (#1151 . 2332 @ !@-",-! -" (PTU1152 EU3697 PROSTER1160 EU3654 PURALE& TAB1163 . 2333 @ -+ - . 500 ? , : (#1168 EU3093 RAIVAS IN DE&A1169 EU3698 RA$IPRIL 5 $#1171 . 2336 +-,- -+ , : (#1200 . 2337 -= @- -+ 300 ? @ (#1201 . 2338 -= @- -+ 450 ? , : (#1202 . 2339 -= @- -+ 600 ? (#1211 EU2342 RISPERIDON 3 $# TAB1213 EU3123 RI'ODAL 2 $# TAB #UARDIAN1224 . 2343 ": , !" 2 ? , : (#1225 . 2344 ": , !" 4 ? , : (#1271 EU3685 SIBITAL IN 200 $# / 2 $L1273 EU3174 SIFROL TAB BOEHRIN#ER1275 EU3175 SI$ARC TAB FAHRENHEIT1277 . 2346 - , ,-+ 10 ? , : (#1278 . 2347 - , ,-+ 20 ? , : (#1293 . 2349 @- !+!" ,!+. 100 ? , : (#1294 . 2348 @- !+!" ,!+. 25 ? , : (#1304 EU3602 STESOLID IN1305 EU3667 STESOLID RECTAL1307 EU3193 STOLA& SUPP SANBE1310 EU3195 SULCOLON CAP BERNO1334 . 2354 , - @ .+- !" 500 ? @ (#1363 . 2355 , !" @ (#1388 EU3612 UDOPA IN1394 EU3694 ULSAFATE S%R1402 EU3263 URINTER CAP INTERBAT1403 EU3264 URISPAS TAB1405 EU3639 URSODEO&%CHOLIC 250 TAB1413 EU3269 VALISANBE 2 $# TAB SANBE1414

EU3270 VALISANBE 5 $# TAB SANBE1415 EU3271 VALISANBE IN SANBE1416 EU3381 VALSANTRAN TAB

8/15/2019 So Des Ember 2015


1419 EU3629 VASTI#O1422 EU3275 VENTOLIN NEBU #LA&O1433 . 2361 -, -+ : 12 , : (#1436 . 2363 -, -+ : ! @".; , : (#1438 . 2365 -, -+ 50 ? , : (#1454 EU3431 *IDAHES INF1455 EU3684 &ARELTO 15 $#1456 EU3683 &ARELTO 20 $#1464 . 2368 -+; , : (#

EU2922 CENDO$%SETIN SLP $ATA

30 D2522 A UA PRO IN 25 $L OTSUKA55 D3775 BIOPLACENTON TULLE57 D2016 BISTURI 11 B BRAUN68 D2025 BLOOD SET TERU$O71 D2022 BLUE $ONOLON 3>0 A$PLOP93 D2026 BURETE 100 $L

110 D2050 CATHETER TIP 50 CC133 D2037 COLOSTO$% BA# KULDESAK135 D2038 CONDO$ CATHETER S)$)L) NU$BER ONE156 D2046 CUTI$ED SORBACT 4 & 6157 D2047 CUTI$ED SORBACT 7& 9176 D2051 ELASTO$UL HAFT 8 C$ & 4 $183 D2053 ETT 2)5 RUSCH TANPA BALON186

D2056 ETT 3)5 RUSCH194 D2064 ETT 7)5 RUSCH207 D2069 FEEDIN# TUBE 5 TERU$O209 D2070 FEEDIN# TUBE 8 TERU$O223 D2072 FOLE% CATHETER 10 SUREPLUS225 D2073 FOLE% CATHETER 12 SUREPLUS227 D2074 FOLE% CATHETER 14 SUREPLUS229 D2075 FOLE% CATHETER 16 SUREPLUS231 D2076 FOLE% CATHETER 18 SUREPLUS233 D2077 FOLE% CATHETER 20 SUREPLUS237

D2079 FOLE% CATHETER 24 SUREPLUS239 D2089 FOLE% CATHETER 3 *A% SUREPLUS241 D2071 FOLE% CATHETER 8 SUREPLUS263 D2521 HANSAPLAST ROL 1)25 & 1 $278 D2230 I V CATHETER 14 SURPLO TERU$O281 D2231 I V CATHETER 16 SURPLO TERU$O283 D2232 I V CATHETER 18 SURPLO TERU$O285 D2233 I V CATHETER 20 SURPLO TERU$O291 D2094 INFUS SET TERU$O294 D3868 INFUS SET TRO#E

295 D2627 INFUSION SET * / RE#ULATOR304 D3818 IV CATH 22 TRO#E305 D3819 IV CATH 24 TRO#E

8/15/2019 So Des Ember 2015


306 D3820 IV CATH 26 TRO#E325 D2110 KASA ROL 10 C$ KAR%A HUSADA348 D2118 LA$INARIA L355 D2121 LEUCOCREPE 7)5 BSN356 D2122 LEUCODUR 10 BSN357 D2123 LEUCODUR 15 BSN358 D2124 LEUCODUR 7)5 BSN376 D3872 $ASKER O2 NEONATUS NRB378 D2133 $ASKER O&I#EN NON > REBREATHIN# ADULT #ATRI& SP379 D2131 $ASKER O&I#EN NON > REBREATHIN# ADULT O#S383 D2135 $ASKER O&I#EN REBREATIN# ADULT O#S386 D2139 $ASKER TALI / KARET BN389 D2140 $A%O HI AU HUDSON391 D2141 $A%O HITA$ HUDSON397 D2144 $A%O PUTIH HUDSON401 D2145 $A%O KUNIN# HUDSON405 D2154 $ICRO DRIP TERU$O406 D2325 $ICROPINE412 D2158 $UCUS E&TRACTOR COSA418 D2160 NASAL CANULA ADULT O#S421 D2162 NASAL CANULA CHILDREN O#S423 D2164 NASAL CANULA NEONATUS O#S428 D2166 NEEDLE 23 TERU$O454 D2171 PERPUSOR 200 C$ B BRAUN499 D3792 SAFIL 3>0505 D2195 SARUN# TAN#AN NON STERIL SAFE$ED PCS506 D2187 SARUN# TAN#AN PAN AN# A&I$ED / PS#509 D2190 SARUN# TAN#AN STERIL 7 5 *IN #LOVE / PS#511 D2189 SARUN# TAN#AN STERIL 7 *IN #LOVE / PS#561 D2209 SOFTBAN 10 BSN563 D2208 SOFTBAND 7 5 BSN579 D2216 STO$ACH TUBE 12 TERU$O580 D2217 STO$ACH TUBE 14 TERU$O581 D2218 STO$ACH TUBE 16 TERU$O582 D2219 STO$ACH TUBE 18 TERU$O584 D2224 SUCTION CATHETER 8 PASCHO585 D2221 SUCTION CATHETER 12 PASHCO587 D2223 SUCTION CATHETER 16 PASCHO589 D2220 SUCTION CATHETER 10 PASHCO624 D2303 S%RIN#E DISPOSIBLE 1 CC STERA627 D2250 S%RIN#E DISPOSIBLE 10 CC STERA629 D3800 S%RIN#E DISPOSIBLE 20 CC STERA632 D2253 S%RIN#E DISPOSIBLE 3 CC STERA635 D2255 S%RIN#E DISPOSIBLE 5 CC STERA636 D2257 S%RIN#E DISPOSIBLE 50 CC TERU$O647

D2323 THREE *A% STOP COCK658 D2259 U$BILICAL COSA661 D2260 URINE BA# COS$O$ED

8/15/2019 So Des Ember 2015


TDK ADA DI BILLIN#HU$APENIBESARTAN 150T%RO'OL 5VALCARIC ACID

8/15/2019 So Des Ember 2015


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39

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40

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41

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42

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43

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44

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45

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46

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47

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49

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50

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SATUAN QTY HARGA JUMLAHTAB 2 N/A N/ATAB 100 N/A N/ATAB 10 N/A N/ABTL 2 N/A N/ATAB 47 N/A N/A


BOTOL 32 N/A N/ATAB 89 N/A N/ABA# 54 N/A N/ABA# 20 N/A N/A

TAB 194 N/A N/A; @"., 100 N/A N/ATAB 93 N/A N/ATAB 289 N/A N/ATAB 1980 N/A N/AVIAL 106 N/A N/A


TAB 407 N/A N/ATAB 91 N/A N/ATAB 356 N/A N/AVIAL 2 N/A N/ATAB 1939 N/A N/ATAB 464 N/A N/ATAB 2134 N/A N/A

A$P 55 N/A N/ABTL 265 N/A N/A

A$P 100 N/A N/A A$P 1 N/A N/ATAB 7 N/A N/A


8/15/2019 So Des Ember 2015


A$P 18 N/A N/ATAB 104 N/A N/ATAB 110 N/A N/ATAB 430 N/A N/ATAB 344 N/A N/ATAB 2 N/A N/ATAB 830 N/A N/AVIAL 34 N/A N/AVIAL 296 N/A N/AVIAL 28 N/A N/AVIAL 3 N/A N/AVIAL 382 N/A N/ATAB 11 N/A N/A

BOTOL 3 N/A N/ABOTOL 12 N/A N/ATUBE 6 N/A N/ATAB 230 N/A N/A


A$P 198 N/A N/A@ " 450 N/A N/A




BOTOL 17 N/A N/ATAB 700 N/A N/ATAB 68 N/A N/ATAB 9 N/A N/A



A$P 108N/A N/A


8/15/2019 So Des Ember 2015


TAB 26 N/A N/ATAB 831 N/A N/ABTL 140 N/A N/A

@ " 39 N/A N/ATAB 81 N/A N/A


SOFTBA# 104 N/A N/AKAPSUL 178 N/A N/A

@ " 224 N/A N/ATAB 24 N/A N/A

KAPSUL 507 N/A N/ATUBE 12 N/A N/ATAB 285 N/A N/ATAB 45 N/A N/ATAB 255 N/A N/ATAB 500 N/A N/A


TAB 20 N/A N/AVIAL 56 N/A N/ATAB 175 N/A N/ATAB 282 N/A N/ATAB 25 N/A N/ATAB 201 N/A N/ATAB 12 N/A N/ATAB 3 N/A N/A

BOTOL 120 N/A N/A:! /1 17 N/A N/ATAB 87 N/A N/ATAB 400 N/A N/ATAB 554 N/A N/ABTL 57 N/A N/A

LABU 20 N/A N/ABTL 118 N/A N/ABTL 1 N/A N/A

A$P 30 N/A N/ATAB 527 N/A N/ATAB 18 N/A N/A

; @"., 4 N/A N/ATAB 292 N/A N/A

A$P 576 N/A N/ABA# 8 N/A N/ATAB 30 N/A N/A

BOTOL 4 N/A N/A

BOTOL 8N/A N/A

TAB 18 N/A N/APCS 2 N/A N/A

8/15/2019 So Des Ember 2015


VIAL 20 N/A N/ABTL 32 N/A N/A

BOTOL 1 N/A N/ASACH 4 N/A N/ATAB 20 N/A N/A

BOTOL 110 N/A N/A A$P 400 N/A N/ATAB 152 N/A N/ATAB 180 N/A N/ATAB 18 N/A N/A


A$P 50 N/A N/ATAB 90 N/A N/ATAB 297 N/A N/ABO& 144 N/A N/ATAB 470 N/A N/ATAB 819 N/A N/ATAB 422 N/A N/A

A$P 42 N/A N/ATAB 202 N/A N/ATAB 964 N/A N/A

BOTOL 167 N/A N/A A$P 17 N/A N/ALABU 93 N/A N/ATAB 47 N/A N/A

TUBE 2 N/A N/ATAB 1004 N/A N/A


TAB 770 N/A N/ATAB 31 N/A N/ATAB 116 N/A N/A@.+ 28 N/A N/ABTL 17 N/A N/A

BOTOL 17 N/A N/A A$P 88 N/A N/A

@ " 575 N/A N/ABO& 50 N/A N/AVIAL 65 N/A N/A



BOTOL 76N/A N/A

TAB 810 N/A N/A A$P 5 N/A N/A

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TAB 112 N/A N/A@ " 100 N/A N/A

A$P 36 N/A N/A A$P 210 N/A N/A A$P 180 N/A N/ATAB 100 N/A N/A

A$P 32 N/A N/ATAB 100 N/A N/ATAB 2 N/A N/ATAB 29 N/A N/ATAB 7 N/A N/ATAB 716 N/A N/ATAB 36 N/A N/ATAB 27 N/A N/ATAB 659 N/A N/ATAB 119 N/A N/A

A$P 6 N/A N/ATAB 91 N/A N/ATAB 279 N/A N/ATAB 283 N/A N/ATAB 425 N/A N/ATAB 294 N/A N/ATAB 24 N/A N/ATAB 6 N/A N/ATAB 105 N/A N/ATAB 75 N/A N/A


A$P 58 N/A N/ATUBE 6 N/A N/ASUPP 6 N/A N/ATAB 2 N/A N/ATAB 533 N/A N/A

KAPSUL 348 N/A N/A A$P 25 N/A N/ABTL 12 N/A N/ATAB 1 N/A N/ATAB 38 N/A N/ATAB 105 N/A N/ATAB 312 N/A N/A

TAB 180N/A N/A


8/15/2019 So Des Ember 2015


TAB 5 N/A N/A A$P 40 N/A N/ATAB 509 N/A N/ATAB 204 N/A N/ATAB 128 N/A N/ABTL 5 N/A N/ATAB 59 N/A N/ATAB 149 N/A N/ATAB 294 N/A N/APCS 1 N/A N/A

#N/A

A$P 166 N/A N/APCS 4 N/A N/APCS 33 N/A N/APCS 52 N/A N/APCS 1 N/A N/APCS 31 N/A N/APCS 29 N/A N/APCS 34 N/A N/APCS 22 N/A N/APCS 3 N/A N/APCS 8 N/A N/APCS 2 N/A N/APCS 10 N/A N/A

PCS 2N/A N/A

PCS 1 N/A N/APCS 32 N/A N/APCS 97 N/A N/APCS 2 N/A N/APCS 25 N/A N/APCS 8 N/A N/APCS 97 N/A N/APCS 25 N/A N/APCS 3 N/A N/A

PCS 5N/A N/A

PCS 1 N/A N/APCS 2 N/A N/AR!"" 84 N/A N/APCS 28 N/A N/APCS 43 N/A N/APCS 136 N/A N/APCS 153 N/A N/APCS 50 N/A N/APCS 20 N/A N/A

PCS 23 N/A N/APCS 164 N/A N/APCS 86 N/A N/A

8/15/2019 So Des Ember 2015


PCS 16 N/A N/APCS 120 N/A N/APCS 8 N/A N/APCS 6 N/A N/APCS 5 N/A N/APCS 2 N/A N/APCS 1 N/A N/APCS 9 N/A N/APCS 24 N/A N/APCS 9 N/A N/APCS 9 N/A N/APCS 31 N/A N/APCS 8 N/A N/APCS 3 N/A N/APCS 4 N/A N/APCS 5 N/A N/APCS 104 N/A N/APCS 45 N/A N/APCS 46 N/A N/APCS 98 N/A N/APCS 20 N/A N/APCS 24 N/A N/APCS 7 N/A N/APCS 21 N/A N/APCS 1 N/A N/APCS 37 N/A N/APCS 1 N/A N/APCS 78 N/A N/APCS 4 N/A N/APCS 2 N/A N/APCS 6 N/A N/APCS 12 N/A N/APCS 16 N/A N/APCS 57 N/A N/APCS 15 N/A N/APCS 5 N/A N/APCS 6 N/A N/APCS 1 N/A N/APCS 2 N/A N/APCS 2480 N/A N/APCS 2752 N/A N/APCS 28 N/A N/APCS 1465 N/A N/APCS 1555 N/A N/APCS 33 N/A N/A

PCS 4N/A N/A


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#N/A

#N/A

394475

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8/15/2019 So Des Ember 2015


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31-Dec-15

UNIT: IBS

NO KODE NAMA SATUAN QTY45 . 2111 -+!@ ""-+ -+ (# A$P 9

103 . 2130 , +. , 250 ? -+ (# A$P 58109 EU3406 ASERIN# INF BTL 95118 . 2134 , !@-+ "= , -+ (# A$P 10175 EU3367 BUNASCAN IN FAHRENHEIT A$P 30180 . 2142 " -- ?" ;!+ -+ (# A$P 16331 . 2190 . ., !+. -+ (# A$P 145399 . 2204 .@ . -+. -+ (# A$P 27402 . 2205 .@-+.@ -+. -+ (# A$P 21449 EU2640 FENTANIL IN KI$IA FAR$A A$P 36488 EU3715 FRESAFUL 1 A$P 38495 . 2215 = ! . - -+ (# A$P 36515 . 2219 ?.+, - -+ -+ (# A$P 39542 . 3409 ?" ;! 5 !?: -+= (# BOTOL 34564 EU2712 HALOTAN IN /$L DE&A $L 500699 . 2254 ;.,! !" 30 ? -+ (# A$P 163710 EU2800 KT$ IN #UARDIAN PER $L $L 30777 . 2260 "- ! -+ -+ (# A$P 89845 . 2275 .,-". ?! ., -+ -+ (# A$P 36879 EU2908 $ORFIN IN KI$IA FAR$A A$P 4896 EU2923 $%CETIN EO 3)5 #R TUBE 6905 . 3422 + " !?: -+= (# BOTOL 47921 EU3741 NEOSTI#$INE IN A$P 44996 . 2297 !+ + ., !+ 4 ? -+ (# A$P 33

1039 EU3425 OTSU NS 100 $L INF LABU 81075 EU3039 PEHACAIN IN PHAPROS A$P 381082 . 2313 @.,- -+ -+ (# A$P 321260 EU3164 SEDACU$ 5 $# IN DE&A A$P 91290 EU3183 SOU ORN IN /$L FAHRENHEIT $L 7501326 EU3366 TERREL 100 CC FAHRENHEIT $L 10001361 EU3717 TRACRIU$ IN 2)5 $L A$P 161364 . 2356 , !" -+ (# A$P 1201446 EU3716 VOLUVEN 8 500 $L BTL 12

1 D3845 1/3 TUBULAR 5 HOLE PCS 12 D3846 1/3 TUBULAR 6 HOLE PCS 13 D3848 1/3 TUBULAR 7 HOLE PCS 14 D3847 1/3 TUBULAR 8 HOLE PCS 1

8/15/2019 So Des Ember 2015


17 D2004 ALKOHOL 70 1 $L ONE$ED $L 300039 D2012 ASKINA SOFT CLEAR 9 & 15 PCS 441 D2014 ASKINA SOFT CLEAR 9 & 25 PCS 1249 D3760 BEDLINER 75 & 160 C$ PCS 3055 D3775 BIOPLACENTON TULLE PCS 456 D2653 BIOS%N 3>0 PCS 1857 D2016 BISTURI 11 B BRAUN PCS 558 D2017 BISTURI 15 B BRAUN PCS 1060 D2018 BISTURI 24 B BRAUN PCS 7661 D2019 BLACK SILK 2>0 A$PLOP SK 225 PCS 762 D2020 BLACK SILK 3>0 A$PLOP SK 325 PCS 2768 D2025 BLOOD SET TERU$O PCS 5470 D2021 BLUE $ONOLON 2>0 A$PLOP PCS 1071 D2022 BLUE $ONOLON 3>0 A$PLOP PCS 2172 D2023 BLUE $ONOLON 4>0 A$PLOP PCS 773 D2024 BLUE $ONOLON 5>0 A$PLOP PCS 1276 D3788 BONE *A& PCS 1089 D3856 BROAD PLATE 12 > 16 HOLE PCS 190 D3853 BROAD PLATE 8 HOLE PCS 191 D3854 BROAD PLATE 9 HOLE PCS 192 D3789 BROUNOL $L 1000096 D3859 CANCELLOUS SCRE* 4)0 & 14 SHORT > 4 PCS 1697 D3861 CANCELLOUS SCRE* 6)5 & 25 ( 1/2 TH > PCS 46

104 D3776 CAT #UT CHRO$IC 0 ROL C$ 15000122 D2030 CHRO$IC A$PLOP 2>0 PCS 31123 D2031 CHRO$IC A$PLOP 3>0 PCS 9136 D3842 COND%LAR 7 HOLE KANAN PCS 1137 D3843 COND%LAR 7 HOLE KIRI PCS 1144 D3858 CORTICAL SCRE* 3)5 & 12 > 3)5 & 30 PCS 34145 D3857 CORTICAL SCRE* 4)5 & 14 > 4)5 & 44 PCS 86157 D2047 CUTI$ED SORBACT 7& 9 PCS 3184 D2055 ETT 3 RUSCH PCS 1186 D2056 ETT 3)5 RUSCH PCS 3187 D2057 ETT 4 RUSCH PCS 2188 D2058 ETT 4)5 RUSCH PCS 1189 D2059 ETT 5 RUSCH PCS 8190 D2060 ETT 5)5 RUSCH PCS 14191 D2061 ETT 6 RUSCH PCS 16192 D2062 ETT 6)5 RUSCH PCS 15193 D2063 ETT 7 RUSCH PCS 19194 D2064 ETT 7)5 RUSCH PCS 12196 D3765 ETT NO 5 NON KINKIN# PCS 2198 D3767 ETT NO 7 NON KINKIN# PCS 1207 D2069 FEEDIN# TUBE 5 TERU$O PCS 3209 D2070 FEEDIN# TUBE 8 TERU$O PCS 7227

D2074 FOLE% CATHETER 14 SUREPLUS PCS 9229 D2075 FOLE% CATHETER 16 SUREPLUS PCS 19231 D2076 FOLE% CATHETER 18 SUREPLUS PCS 11

8/15/2019 So Des Ember 2015


233 D2077 FOLE% CATHETER 20 SUREPLUS PCS 9235 D2078 FOLE% CATHETER 22 SUREPLUS PCS 5237 D2079 FOLE% CATHETER 24 SUREPLUS PCS 5239 D2089 FOLE% CATHETER 3 *A% SUREPLUS PCS 8255 D3802 #%PSONA 10 R!"" 15256 D3803 #%PSONA 15 R!"" 6285 D2233 I V CATHETER 20 SURPLO TERU$O PCS 86287 D2234 I V CATHETER 22 SURPLO TERU$O PCS 13291 D2094 INFUS SET TERU$O PCS 50302 D3816 IV CATH 18 TRO#E PCS 68304 D3818 IV CATH 22 TRO#E PCS 100308 D2097 ARU$ HECTIN# $ANI PCS 192311 D3836 K *IRE 1 0 > 2 0 PCS 17318 D2111 KASA BI# #AU'E 35 & 50 PCS 2319 D2112 KASA DEPER KECIL R!"" 33320 D2103 KASA HIDROPIL BN LE$BAR 1600321 D2102 KASA HIDROPIL CITRA #OLD LE$BAR 4920324 D2109 KASA ROL 10 C$ FORTUNA ROLL 10341 D2651 KIT CESAREAN PCS 2353 D2119 LEUCOCREPE 10 BSN PCS 3354 D2120 LEUCOCREPE 15 BSN PCS 5366 2127 "-+ =.+ (1 < 5 PCS 18368 D3815 L$A 2 PCS 4369 D3805 L$A 3 PCS 3370 D3806 L$A 4 PCS 6387 D2648 $ASKER TALI HI AU PCS 200416 D3852 NARRO* PLATE 6 HOLE > 14 HOLE PCS 7458 D3809 PHAR$AFI& 10 C$ C$ 500461 D2652 POL%SORB 1 PCS 55462 D3830 POL%SORB 2>0 PCS 66480 D3790 PRONTOSAN 350 $L $L 1050484 D3840 RECONTRUCTION PLATE 5 HOLE > 8 HOL PCS 3496 D3837 S *IRE 0)8 > 1)4 PCS 7499 D3792 SAFIL 3>0 PCS 13500 D3793 SAFIL 4>0 PCS 33504 D2196 SARUN# TAN#AN NON STERIL COS$O$ PCS 1000516 D3782 SARUN# TAN#AN SUR#I #LOVE 7 PCS 300517 D3783 SARUN# TAN#AN SUR#I #LOVE 7)5 PCS 450545 D2204 SILK ROLL 2 SUR#IROL 1 C$ C$ 5000551 D3862 S$ALL DCP 4 HOLE PCS 1

D3850 S$ALL DCP 5 HOLE PCS 1D3849 S$ALL DCP 6 HOLE PCS 1

553 D3851 S$ALL DCP 8 HOLE PCS 1554 D3865 S$ALL T PLAET 3 HOLE> 6 HOLE PCS 3561 D2209 SOFTBAN 10 BSN PCS 5562

D2210 SOFTBAN 15 BSN PCS 2563 D2208 SOFTBAND 7 5 BSN PCS 2569 D3826 SPINOCAN 25 SUR#IKA PCS 17

8/15/2019 So Des Ember 2015


572 D3770 STERA INFUS SET DE*ASA PCS 38576 D3798 STERO>BAC / BTL $L 5000582 D2219 STO$ACH TUBE 18 TERU$O PCS 8585 D2221 SUCTION CATHETER 12 PASHCO PCS 8586 D2222 SUCTION CATHETER 14 PASHCO PCS 17589 D2220 SUCTION CATHETER 10 PASHCO PCS 4609 D2246 SUR#ION 4>0 PCS 2611 D2308 SUR#IPRO 2>0 PCS 11612 D2309 SUR#IPRO 3>0 PCS 18613 D2310 SUR#IPRO 4>0 PCS 17624 D2303 S%RIN#E DISPOSIBLE 1 CC STERA PCS 27627 D2250 S%RIN#E DISPOSIBLE 10 CC STERA PCS 84632 D2253 S%RIN#E DISPOSIBLE 3 CC STERA PCS 163635 D2255 S%RIN#E DISPOSIBLE 5 CC STERA PCS 245639 D3866 T PLAET 5 HOLE > 9 HOLE PCS 6647 D2323 THREE *A% STOP COCK PCS 5651 D2258 TOPI OPERASI BN PCS 400661 D2260 URINE BA# COS$O$ED PCS 20

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HARGA JUMLAHN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A


N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

#N/AN/A N/AN/A N/AN/A N/AN/A N/A

8/15/2019 So Des Ember 2015



8/15/2019 So Des Ember 2015


N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

#N/A

#N/A

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


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RUMAH SAKIT UMUM DAERAH SUBANGSTOK OPNAME

3 -NO!EMBER-15

UNIT: ENDOS"OPY

NO KODE NAMA SATUAN QTY1 EU2134 ATROPIN SULFAS IN A$P 52 EU2205 EPINEPRIN A$P 53 EU3409 #LUKOSA O#B INF LABU 14 EU2748 INDE&ON A$P 55 EU3358 $ILO' A$P 16 EU3432 NACL 0)9 ECOSOL LABU 17 EU2313 PETIDIN A$P 28 EU3428 RL O#B LABU 19 D2025 BLOOD SET TERU$O PCS 1

10 D2233 I V CATHETER 20 SURFLO TERU$O PCS 111 D2250 S%RIN#E DISPOSIBLE 10 CC STERA PCS 212 D2252 S%RIN#E DISPOSIBLE 20 CC TERU$O PCS 213 D2253 S%RIN#E DISPOSIBLE 3CC STERA PCS 214 D2255 S%RIN#E DISPOSIBLE 5CC STERA PCS 2

TOTAL

8/15/2019 So Des Ember 2015


HARGA JUMLAH 1)265 60 6)328 00

1)240 00 6)200 005)060 00 5)060 006)991 20 34)956 00

27)500 00 27)500 004)900 00 4)900 00

13)192 00 26)384 005)200 00 5)200 00

16)335 20 16)335 207)787 20 7)787 201)232 00 2)464 005)610 40 11)220 80

919 20 1)838 401)038 40 2)076 80

R 15$%&5 .'

8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


STOK KONSTANRUANG MELATI

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAT IN A$P2 EU3419 BICNAT IN / $E%LON A$P3 EU2142 CA #LUCONAS A$P4 EU2507 CATAPRES IN A$P5 EU2190 DE&A$ETHASON IN A$P6 EU3426 DE&TROSE 40 A$P7 EU3409 DE&TROSE 5 BTL8 EU2195 DIA'EPA$ A$P9 EU2202 DOPA$IN IN VIAL

10 EU2205 EFHINEFRIN IN A$P11 EU2260 LIDOCAIN A$P12 EU3432 NACL 0)9 BTL13 EU3428 RIN#ER LAKTAT BTL

14 D2025 BLOOD SET TERU$O PCS15 D2239 ABB 20 ELCO/I V CATHETER 20 ELCO PCS16 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS

17 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS

TOTAL

STOK KONSTANRUANG "EMPAKA

NO KODE NAMA BARANG SATUAN1 EU3419 BICNAT IN / $E%LON IN A$P2 EU2142 CALCII #LUCONAS A$P3 EU2190 DE&A$ETHASON IN A$P4 EU3408 DE&TROSE 10 BTL5 EU3426 DE&TROSE 40 A$P6 EU3409 DE&TROSE 5 BTL7 EU2198 DOBUTA$IN VIAL8 EU2202 DOPA$IN IN VIAL9 EU2205 EFHINEFRIN IN A$P

10 EU3411 KAEN 1 B BTL11 EU3413 KAEN 3 B BTL12 EU3415 KCL BTL

8/15/2019 So Des Ember 2015


13 EU3432 NACL 0)9 BTL14 EU2318 PHENOBARBITAL IN A$P15 EU3428 RIN#ER LAKTAT BTL16 EU0705 SALINE 3 A$P17 EU2320 VIT K 1 A$P

18 D2026 BURRETE PCS19 D2249 DISPO 1 CC TERU$O PCS20 D2250 DISPO 10 CC STERA/S%RIN#E DISPOSIBLE PCS21 D5522 DISPO 20 CC STERA/S%RIN#E DISPOSIBLE PCS22 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS23 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS24 D2053 ETT NO 2)5 PCS25 D2055 ETT NO 3 PCS26 D2056 ETT NO 3)5 PCS27 D2325 $ICRODRIP PCS28 D2171 PERFUSOR PCS29 D2172 POL%*IN 26/I V CATHETER 26 POL%*IN PCS

TOTAL

STOK KONSTANRUANG DAHLIA

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAT PCS2 EU3419 BICNAT IN A$P3 EU2190 DE&A$ETHASON IN A$P4 EU3426 DE&TROSE 40 A$P5 EU3409 DE&TROSE 5 BTL6 EU2195 DIA'EPA$ IN VIAL

7 EU2202 DOPA$IN IN VIAL8 EU2205 EPHINEPRIN IN A$P9 EU2260 LIDOCAIN IN TAB

10 EU3432 NACL 0)9 BTL11 EU3428 RIN#ER LAKTAT BTL

12 D2230 ABB NO 14 / I V CATHETER 14 SURFLO PCS13 D2231 ABB NO 16/ I V CATHETER 16 SURFLO PCS14 D2233 ABB NO 20/ I V CATHETER 20 SURFLO PCS

15 D2234 ABB NO 22/I V CATHETER 22 SURFLO PCS16 D2235 ABB NO 24/ I V CATHETER 24 SURFLO PCS17 D2142 ABB NO 26 PCS

8/15/2019 So Des Ember 2015


18 D2017 BISTURI 15 PCS19 D2249 DISPO 1 CC TERU$O PCS20 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS21 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS

TOTAL

STOK KONSTANRUANG (LAMBOYAN

NO KODE NAMA BARANG SATUAN

1 EU2111 A$INOPHILLIN IN A$P2 EU2134 ATROPIN SULFAT IN PCS3 EU3419 BICNAT IN / $E%LON A$P4 EU0072 C%TOTEC TAB5 EU2190 DE&A$ETHASON IN A$P6 EU3426 DE&TROSE 40 A$P7 EU3409 DE&TROSE 5 BTL8 EU2195 DIA'EPA$ IN VIAL9 EU2202 DOPA$IN IN VIAL

10 EU2205 EPHINEFRIN IN A$P

11 EU2215 FUROSE$ID IN A$P12 EU3421 $#SO4 40 A$P13 EU3432 NACL 0)9 BTL14 EU2750 O&ITOCIN / INDU&IN A$P15 EU3065 POSPAR#IN A$P16 EU3428 RIN#ER LAKTAT BTL

17 D2231 ABB NO 16/ I V CATHETER 16 SURFLO PCS18 D2232 ABB 18/I V CATHETER 18 SURFLO PCS

19 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS20 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS

TOTAL

STOK KONSTANRUANG ANGGREK

NO KODE NAMA BARANG SATUAN

8/15/2019 So Des Ember 2015


1 EU2134 ATROPIN SULFAT IN PCS2 EU3419 BICNAT IN A$P3 EU2190 DE&A$ETHASON IN A$P4 EU3426 A$P5 EU3409 DE&TROSE 5 BTL6 EU2195 DIA'EPA$ IN VIAL7 EU2202 DOPA$IN IN VIAL8 EU2205 EFHINEFRIN IN A$P9 EU3407 HAE$ACELL / #ELAFUSAL BTL

10 EU3415 KCL A$P11 EU3432 NACL 0)9 BTL12 EU3425 NACL 100 CC BTL13 EU2318 PHENOBARBITAL A$P14 EU2314 PHEN%TOIN IN A$P15 EU3428 RIN#ER LAKTAT BTL

16 D2234 ABB NO 22/I V CATHETER 22 SURFLO PCS17 D2235 ABB NO 24/ I V CATHETER 24 SURFLO PCS18 D2142 ABB NO 26/ I V CATHETER 26 SURFLO PCS19 D2024 BLOOD SET PCS20 D2249 DISPO 1 CC TERU$O PCS21 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS22 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS23 D2055 ETT 3>0 PCS24 D2059 ETT 5>0 PCS25 D2132 $ASKER PEDIATRIK PCS26 D2162 NASAL CANUL ANAK PCS27 D2164 NASAL CANUL NEONATUS PCS28 D2292 INFUS SET PKD 1 PCS29 D2229 SUCTION CATH 8 PCS30 D2323 TRI *E% PCS

TOTAL

STOK KONSTANRUANG ASTER

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAT IN PCS2 EU3419 BICNAT IN A$P3 EU2190 DE&A$ETHASON IN A$P

4 EU3426 DE&TROSE 40 A$P5 EU3409 DE&TROSE 5 BTL6 EU2195 DIA'EPA$ IN VIAL

DE&TROSE 40

8/15/2019 So Des Ember 2015


7 EU2202 DOPA$IN IN VIAL8 EU2205 EFINEPHRIN IN A$P9 EU3432 NACL 0)9 BTL

10 EU3428 RIN#ER LAKTAT BTL

11 D2233 ABB NO 20 PCS12 D2234 ABB NO 22 PCS13 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS14 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS15 D2024 #IVIN# SET / BLOOD SET PCS16 D2135 $ASKER OKSI#EN PCS17 D2160 NASAL CANUL DE*ASA PCS

TOTAL

STOK KONSTANRUANG TERATAI BA)AH

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAT IN PCS

2 EU3419 BICNAT IN A$P3 EU2190 DE&A$ETHASON IN A$P4 EU3426 DE&TROSE 40 A$P5 EU3409 DE&TROSE 5 BTL6 EU2195 DIA'EPAN IN VIAL7 EU2202 DOPA$IN IN VIAL8 EU2205 EFINEPHRIN IN A$P9 EU2260 LIDOCAIN IN A$P


12 D2230 ABB NO 16 PCS13 D2233 ABB NO 20 PCS14 D2234 ABB NO 22 PCS15 D2235 ABB NO 24 PCS16 D2172 ABB NO 26 PCS17 D2024 BLOOD SET PCS18 D2162 CANUL O2 ANAK/NASAL CANULA CHILDREN PCS19 D2160 CANUL O2 DE*ASA/NASAL CANULA ADULT PCS

20 D2075 CATHETER NO 16 / FOLLE% CATH 16 PCS21 D2076 CATHETER NO 18 / FOLLE% CATH 18 PCS22 D2050 CATHETER TIP PCS

8/15/2019 So Des Ember 2015


23 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS24 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS25 D2154 INFUS SET $IKRO / $IKRO DRIP PCS26 D2145 $A%O 3 PCS27 D2217 N#T NO 16 / STO$ACH TUBE PCS28 D2219 N#T NO 18 / STO$ACH TUBE PCS29 D2135 SUN#KUO O2 / $ASKER OKSI#EN PCS30 D2260 URINE BA# PCS

TOTAL

STOK KONSTANRUANG HEMODIALISA

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAS A$P2 EU3419 BICNAT IN A$P3 EU2142 CALCII IN A$P4 EU2190 DE&A$ETHASON IN A$P5 EU2195 DIA'EPA$ IN A$P6 EU2205 EPHINEPRIN IN A$P7 EU2774 INVO$IT IN / ONDANSETRON A$P

8 EU2260 LIDOCAIN IN A$P

9 D2230 ABB NO 14 / I V CATHETER 14 SURFLO PCS10 D2233 ABB NO 20/ I V CATHETER 20 SURFLO PCS

TOTAL

STOK KONSTANRUANG TERATAI ATAS

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAS IN A$P2 EU3419 BICNAT IN A$P3 EU2190 DE&A$ETHASON INU A$P4 EU3426 DE&TROSE 40 BTL5 EU3409 DE&TROSE 5 BTL6 EU2195 DIA'EPA$ IN A$P7 EU2202 DOPA$IN IN A$P8 EU2205 EFINEPHRIN IN A$P

8/15/2019 So Des Ember 2015



11 D2249 DISPO 1 CC TERU$O PCS12 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS13 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS

TOTAL

STOK KONSTANRUANG TULIP

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAS IN A$P2 EU3419 BICNAT IN A$P3 EU2549 CO$BIVEN IN A$P4 EU2190 DE&A$ETHASON IN A$P5 EU3426 DE&TROSE 40 BTL6 EU3409 DE&TROSE 5 BTL7 EU2195 DIA'EPA$ IN A$P8 EU2202 DOPA$IN IN A$P

9 EU2205 EFINEPHRIN IN A$P10 EU3407 HAE$ACEL / #ELAFUSAL INF A$P11 EU2260 LIDOCAIN IN A$P12 EU3432 NACL 0)9 BTL13 EU3275 PENTOLIN IN A$P14 EU3428 RIN#ER LAKTAT BTL

15 D2231 ABB NO 16 / SURFLO PCS16 D2233 ABB NO 20 / SURFLO PCS

17 D2234 ABB NO 22 / SURFLO PCS18 D2235 ABB NO 24 / SURFLO PCS19 D2024 BLOOD SET PCS20 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS21 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS22 D2075 FOLLE% CATH NO 16 PCS23 D2141 $A%O ANAK PCS24 D2143 $A%O DE*ASA PCS25 D2154 $ICRO DRIF PCS26 D2219 N#T NO 18 PCS

27 D2077 N#T NO 20 / FOLLE% CATH PCS

8/15/2019 So Des Ember 2015


TOTAL

STOK KONSTANRUANG MA)AR

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAS IN A$P2 EU3419 BICNAT IN A$P3 EU2190 DE&A$ETHASON IN A$P4 EU3426 DE&TROSE 40 BTL5 EU3409 DE&TROSE 5 BTL6 EU2195 DIA'EPA$ IN A$P7 EU2202 DOPA$IN IN A$P8 EU2205 EFINEPHRIN IN A$P9 EU2260 LIDOCAIN IN A$P


12 D2075 FOLLE% CATH NO 16 PCS13 D2260 URINE BA# PCS14 D2160 CANUL O2 DE*ASA/NASAL CANULA ADULT PCS15 D2143 $A%O DE*ASA PCS

16 D2217 N#T NO 16 / STO$ACH TUBE PCS17 D2233 ABB NO 20 PCS18 D2024 BLOOD SET PCS19 D2250 DISPO 10 CC PCS20 D2316 SELAN# A$BU PCS21 D2131 SI$PLE $ASK / $ASKER OKSI#EN PCS22 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS23 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS

TOTAL

STOK KONSTANRUANG INTERMEDIET

NO KODE NAMA BARANG SATUAN1 EU2111 A$INOFILIN IN A$P2 EU2549 CO$BIVEN A$P3 EU2190 DE&A$ETHASON IN A$P4 EU3408 DE&TROSE 10 BTL5 EU3409 DE&TROSE 5 BTL

8/15/2019 So Des Ember 2015


6 EU2195 DIA'EPA$ IN A$P7 EU2205 EPHINEFRIN IN A$P8 EU2314 FENITOIN IN A$P9 EU2215 FUROSE$ID A$P

10 EU3411 KAEN 1 B BTL11 EU3413 KAEN 3 B BTL12 EU2260 LIDOCAIN A$P13 EU3419 $E%LON A$P14 EU3432 NACL 0)9 BTL15 EU3426 OTSU D 40 VIAL16 EU3428 RIN#ER LAKTAT BTL17 EU2134 SULFAS ATROPIN A$P

18 D2135 $ASKER O2 DE*ASA PCS19 D2136 $ASKER O2 ANAK PCS

TOTAL

STOK KONSTANI"U

NO KODE NAMA BARANG SATUAN1 EU3416 2A BTL2 EU2111 A$INOFILLIN IN A$P3 EU2121 A$PICILLIN IN VIAL4 EU2441 ANTRAIN / $ETANI'OLE A$P5 EU2131 ASA$ TRANEKSA$AT A$P6 EU3406 ASERIN# BTL7 EU2134 ATROPIN SULFAS A$P8 EU3439 ATROVENT BTL9 EU3438 BEROTEC BTL

10 EU3419 BICNAT IN / $E%LON A$P11 EU2489 BISOLVON IN A$P12 EU2142 CA #LUCONAS A$P13 EU2507 CATAPRES A$P14 EU2156 CEFOTA&I$E IN VIAL15 EU2157 CEFTA'IDI$ VIAL16 EU2159 CEFTRIA&ON VIAL17 EU2190 DE&A$ETHASON A$P18 EU3408 DE&TROSE 10 BTL19 EU3409 DE&TROSE 5 BTL

20 EU2195 DIA'EPHA$ A$P21 EU2718 DILTIA'E$ HCL / HERBESER A$P22 EU2202 DOBUTA$IN A$P

8/15/2019 So Des Ember 2015


23 EU2204 DOPA$IN A$P24 EU2205 EFINEPRIN IN A$P25 EU2215 FUROSE$ID A$P26 EU3431 HE$ACEL / *IDAHES BTL27 EU2770 HEPARIN SODIU$ VIAL28 EU3411 KAEN 1B LABU29 EU2254 KETOROLAC A$P30 EU2549 KO$BIVEN / PARBIVEN A$P31 EU2260 LIDOCAIN A$P32 EU3417 $ANITOL 20 BTL33 EU3418 $ARTOS 10 BTL34 EU3065 $ETER#IN / POSPAR#IN A$P35 EU3358 $IDA'OLA$ / $ILO' A$P36 EU2283 $ORPIN A$P37 EU3432 NACL 0)9 BTL38 EU2414 NATRIU$ PHEN%TOIN A$P39 EU3093 NOREPHINEPHRIN / RAIVAS A$P40 EU2758 NOVORAPID / INSULIN VIAL41 EU2297 ONDANSETRON A$P42 EU3424 OTSU DE&TROSE 5 100CC BTL43 EU3425 OTSU NS 100 CC BTL44 EU3426 OTSU>D 40 A$P45 EU3415 OTSU>KCL 7)46 A$P46 EU3421 OTSU>$?SO4 40 A$P47 EU2750 O&%TOCIN / INDU&IN A$P48 EU2313 PETIDIN A$P49 EU2318 PHENOBARBITAL / SIBITAL A$P50 EU2325 PIRACETA$ A$P51 EU2335 RANITIDIN A$P52 EU3428 RIN#ER LAKTAT BTL53 EU2356 TRA$ADOL A$P54 EU2320 VIT K A$P

55 D2249 DISPO 1 CC TERU$O PCS56 D2250 DISPO 10 CC STERA/S%RIN#E DISPOSIBLE PCS57 D5522 DISPO 20 CC STERA/S%RIN#E DISPOSIBLE PCS58 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS59 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS60 D2232 I V CATH NO 18 PCS61 D2233 I V CATH NO 20 PCS62 D2234 I V CATH NO 22 PCS63 D2235 I V CATH NO 24 PCS64 D2172 I V CATH NO 26 PCS65 D2162 NASAL O2 ANAK / NASAL CANULA CHILDREN PCS

66 D2160 NASAL O2 D*S/ NASAL CANULA ADULT PCS67 D2225 SUCTION CATH NO 10 PCS68 D2227 SUCTION CATH NO 14 PCS

8/15/2019 So Des Ember 2015


69 D2229 SUCTION CATH NO 8 PCS70 D2132 SUN#KUP/ $ASKER O2 NON REBRITIN# ANAK PCS71 D2131 SUN#KUP O2 NON REBRITIN# D*S PCS72 D2136 SUN#KUP O2 REBRITIN# ANAK PCS73 D2135 SUN#KUP O2 REBRITIN# D*S PCS74 D2288 *IN# NEEDLE 23 PCS

TOTAL

STOK KONSTANRUANG PONEK

NO KODE NAMA BARANG SATUAN1 EU3409 DE&TROSE 5 BTL2 EU2195 DIA'EPA$ A$P3 EU2750 INDU&IN A$P4 EU3415 KCL A$P5 EU2260 LIDOCAIN A$P6 EU3421 $#SO4 A$P7 EU3432 NACL BTL8 EU3065 POSPAR#IN A$P9 EU3428 RIN#ER LAKTAT BTL

10 D2238 ABB 18/I V CATHETER 18 ELCO PCS11 D2025 BLOOD SET PCS12 D2249 DISPO 1 CC TERU$O PCS13 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS14 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS15 D2117 LA$INARIA PCS16 D2145 $A%O KUNIN# PCS17 D2184 SAFIL PCS

TOTAL

STOK KONSTANKEMUNING

NO KODE NAMA BARANG SATUAN1 EU2134 ATROPIN SULFAT IN PCS2 EU3419 BICNAT IN A$P3 EU2190 DE&A$ETHASON IN A$P

8/15/2019 So Des Ember 2015


4 EU3426 DE&TROSE 40 A$P5 EU3409 DE&TROSE 5 BTL6 EU2195 DIA'EPAN IN VIAL7 EU2202 DOPA$IN IN VIAL8 EU2205 EFINEPHRIN IN A$P9 EU2260 LIDOCAIN IN A$P


12 D2230 ABB NO 16 PCS13 D2233 ABB NO 20 PCS14 D2234 ABB NO 22 PCS15 D2235 ABB NO 24 PCS16 D2172 ABB NO 26 PCS17 D2024 BLOOD SET PCS18 D2162 CANUL O2 ANAK/NASAL CANULA CHILDREN PCS19 D2160 CANUL O2 DE*ASA/NASAL CANULA ADULT PCS20 D2075 CATHETER NO 16 / FOLLE% CATH 16 PCS21 D2076 CATHETER NO 18 / FOLLE% CATH 18 PCS22 D2050 CATHETER TIP PCS23 D2253 DISPO 3 CC STERA/S%RIN#E DISPOSIBLE PCS24 D2255 DISPO 5 CC STERA/S%RIN#E DISPOSIBLE PCS25 D2154 INFUS SET $IKRO / $IKRO DRIP PCS26 D2145 $A%O 3 PCS27 D2217 N#T NO 16 / STO$ACH TUBE PCS28 D2219 N#T NO 18 / STO$ACH TUBE PCS29 D2135 SUN#KUO O2 / $ASKER OKSI#EN PCS30 D2260 URINE BA# PCS

TOTAL

8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


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R &1$%*' .$

QTY HARGA JUMLAH5 2)000 00 10)000 002 5)396 67 10)793 331 10)660 00 10)660 002 2)000 00 4)000 002 2)061 60 4)123 205 5)060 00 25)300 002 2)368 80 4)737 602 42)950 40 85)900 80

2 2)417 60 4)835 201 165)000 00 165)000 002 1)010 00 2)020 005 4)900 80 24)504 001 7)838 00 7)838 005 5)200 26)000 00

R 3$5%*1&.13

1 7)788 00 7)788 001 7)788 00 7)788 00

1 7)788 00 7)788 001 7)788 00 7)788 001 17)875 00 17)875 005 919 20 4)596 005 1)038 40 5)192 001 8)495 00 8)495 001 13)100 00 13)100 001 23)100 00 23)100 001 11)858 00 11)858 001 15)840 00 15)840 00

1 8)495 00 8)495 00R 13,%* 3.

8/15/2019 So Des Ember 2015


R 5&5%'15.13

QTY HARGA JUMLAH5 2)000 00 10)000 005 6)476 00 32)380 002 2)000 00 4)000 002 2)061 60 4)123 205 5)060 00 25)300 002 2)368 80 4)737 602 42)950 40 85)900 805 2)417 60 12)088 005 996 00 4)980 005 4)900 80 24)504 005 5)200 00 26)000 00

R &3'% 13.+

10 8)496 00 84)960 0010 3)850 40 38)504 0010 11)000 00 110)000 004 23)100 00 92)400 00

10 15)840 00 158)400 0010 7)788 00 77)880 0010 17)875 00 178)750 005 1)232 00 6)160 002 24)750 00 49)500 00

10 49)500 00 495)000 005 919 20 4)596 005 1)038 40 5)192 00

R 1%3 1%3'&.

R 1%535%355.+

QTY HARGA JUMLAH3 5)592 00 16)776 002 10)142 40 20)284 805 2)000 00 10)000 005 5)727 20 28)636 005 5)060 00 25)300 00

8/15/2019 So Des Ember 2015


1 2)368 80 2)368 805 2)417 60 12)088 001 48)368 00 48)368 004 1)955 20 7)820 801 15)661 60 15)661 602 15)661 60 31)323 205 996 00 4)980 005 6)476 00 32)380 005 4)900 80 24)504 007 2)061 60 14)431 205 5)200 00 26)000 005 2)000 00 10)000 00

R 33 %,&&.'

4 27)500 00 110)000 004 30)250 40 121)001 60

R &31% 1.+

R 5+1%,&'.

QTY HARGA JUMLAH3 8)800 00 26)400 003 5)592 00 16)776 004 5)368 00 21)472 003 9)240 00 27)720 003 4)350 40 13)051 203 14)580 80 43)742 403 2)000 00 6)000 001 6)882 00 6)882 001 135)933 60 135)933 60

3 6)476 00 19)428 003 35)206 40 105)619 203 9)075 20 27)225 603 37)608 80 112)826 401 6)930 40 6)930 401 42)900 00 42)900 001 8)594 40 8)594 403 2)000 00 6)000 003 5)727 20 17)181 603 5)060 00 15)180 00

3 2)368 80 7)106 403 61)600 00 184)800 003 41)160 00 123)480 00

8/15/2019 So Des Ember 2015


3 42)950 40 128)851 2015 2)417 60 36)264 0018 1)955 20 35)193 603 163)900 00 491)700 003 62)700 00 188)100 003 15)661 60 46)984 805 13)312 00 66)560 005 10)142 40 50)712 003 996 00 2)988 003 68)868 00 206)604 003 64)110 40 192)331 203 5)500 00 16)500 003 19)500 00 58)500 003 10)208 80 30)626 405 4)900 80 24)504 003 56)005 60 168)016 803 96)800 00 290)400 003 350)900 00 1)052)700 002 5)500 00 11)000 003 8)376 80 25)130 403 8)376 80 25)130 403 2)061 60 6)184 803 1)771 20 5)313 603 3)000 00 9)000 003 8)250 40 24)751 203 11)992 00 35)976 003 670 40 2)011 203 5)478 40 16)435 203 2)560 00 7)680 003 5)200 00 15)600 003 6)402 40 19)207 203 978 40 2)935 20

R '%&+,%1' .'

20 3)300 00 66)000 0010 1)232 00 12)320 005 5)610 40 28)052 00

20 919 20 18)384 0010 1)038 40 10)384 003 7)788 00 23)364 006 7)788 00 46)728 006 7)788 00 46)728 00

10 7)788 00 77)880 0010 7)788 00 77)880 003 11)000 00 33)000 00

3 11)000 00 33)000 003 4)950 00 14)850 003 4)950 00 14)850 00

8/15/2019 So Des Ember 2015


3 4)950 00 14)850 003 49)500 00 148)500 003 49)500 00 148)500 003 27)500 00 82)500 003 27)500 00 82)500 006 8)800 00 52)800 00

R 1% 33% * .

R 5%3 &%&1 .'

QTY HARGA JUMLAH3 5)060 00 15)180 005 2)368 80 11)844 005 8)250 40 41)252 003 1)771 20 5)313 605 996 00 4)980 005 3)000 00 15)000 003 4)900 80 14)702 405 5)500 00 27)500 006 5)200 00 31)200 00

R 1++%,*&.

6 7)788 00 46)728 006 17)875 00 107)250 005 1)092 00 5)460 005 919 20 4)596 005 1)038 40 5)192 002 94)600 00 189)200 001 23)100 00 23)100 002 114)480 00 228)960 00

R +1 %'$+.

R ***%'5$.

QTY HARGA JUMLAH5 2)000 00 10)000 002 6)476 00 12)952 002 2)000 00 4)000 00

8/15/2019 So Des Ember 2015


2 2)061 60 4)123 205 5)060 00 25)300 002 2)368 80 4)737 602 42)950 40 85)900 802 2)417 60 4)835 204 1)010 00 4)040 005 4)900 80 24)504 005 5)200 00 26)000 00

R & +%3,&.$

2 7)788 00 15)576 002 7)788 00 15)576 002 7)788 00 15)576 002 7)788 00 15)576 002 7)788 00 15)576 002 17)875 00 35)750 002 11)000 00 22)000 002 11)000 00 22)000 002 8)495 00 16)990 002 8)495 00 16)990 002 33)000 00 66)000 005 919 20 4)596 005 1)038 40 5)192 002 11)858 00 23)716 001 23)100 00 23)100 002 15)840 00 31)680 002 15)840 00 31)680 002 27)500 00 55)000 002 3)850 00 7)700 00

R '' %&*'.

R +'+%+++.$

8/15/2019 So Des Ember 2015


STOK KONSTANRUANGAN31-Dec-15

URAIAN OBAT ALKESRUAN# $ELATI 317)326 40 R@ 37)407 20RUAN# CE$PAKA 549)252 80 R@ 1)151)142 40RUAN# DAHLIA 209)750 40 R@ 91)122 40RUAN# FLA$BO%AN 420)937 60 R@ 48)728 00RUAN# AN##REK 1)042)980 80 R@ 773)890 00RUAN# ASTER 182)774 40 R@ 139)444 40RUAN# TERATAI BA*AH 206)392 80 R@ 440)274 00RUAN# HE$ODIALISA 133)924 00 R@ 38)940 00RUAN# TERATAI ATAS 202)353 00 R@ 16)388 00RUAN# TULIP 385)712 00 R@ 139)703 00RUAN# $A*AR 234)014 00 R@ 1)301)342 00RUAN# INTER$EDIT / BOU#ENVILE 330)922 00 R@ 231)002 00RUAN# ICU 4)269)140 00 R@ 1)033)070 00RUAN# PONEK 166)972 00 R@ 610)486 00RUAN# KE$UNIN# 206)392 80 R@ 440)274 00

TOTAL R $%$5$%$'5. R +%',3%&13.'

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


JUMLAH R@ 354)733 60R@ 1)700)395 20R@ 300)872 80R@ 469)665 60R@ 1)816)870 80R@ 322)218 80R@ 646)666 80R@ 172)864 00R@ 218)741 00R@ 525)415 00R@ 1)535)356 00R@ 561)924 00R@ 5)302)210 00R@ 777)458 00R@ 646)666 80

R 15%35&% 5$.'

$EN#ETAHUIKA INSTALASI FAR$ASI

NUNUN# NURHA%ATI)S SI)AP,19700625 199203 2 005

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


;! .J +-,; , +?? " +!J: ;,- ;! .J + , ;! .J-,. ;.,. +? , J-+ , J! ,

8/15/2019 So Des Ember 2015


? J , ;! .J @@- J!@. ,! - J@ G : ;! .J +-,; ? J= ;, - ;!+ @@+ , +J@

8/15/2019 So Des Ember 2015


? J@ ; , J@ ;., , J;!+ . -

8/15/2019 So Des Ember 2015


STOK KONSTANPOLIKLINIK PEGA)AI

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 12 NS1090 $ASKER BN (50MS PCS 50

TOTAL

STOK KONSTANPOLIKLINIK GIGI DAN MULUT

NO KODE NAMA SATUAN QTY1 NS1129 DISPO 3 CC STERA PCS 1002 NS1137 SLIK BLACK 3>0 RESORBA 100$/C$ ROL 13 NS3100 PEHACAIN IN A$P 1204 NS3300 NACL O#B INF BTL 15 NS2005 ALKOHOL 70 1 L BTL 16 NS2079 KAPAS 1 K# #R 10007 NS1090 $ASKER BN PCS 508 NS1068 ST E&A$INATION PCS 5509 NS1068 BISTURI 15 PCS 100

10 NS1136 NEEDLE 27 # PCS 10011 NS3055 FOR$ALIN TAB TAB 412 NS1170 LEUKOPLAST 5&4)5 C$ C$ 450

TOTAL

STOK KONSTANPOLIKLINIK JANTUNG

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 12 NS2179 PAPER EK# FUKUDA ROLL 4

3 NS2059 FU I #ELL BTL 14 NS1123 KASA ROLL 10 C$ ROLL 4

TOTAL

STOK KONSTANPOLIKLINIK DALAM

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 22 NS1090 $ASKER BN PCS 50

8/15/2019 So Des Ember 2015


TOTAL

STOK KONSTANPOLIKLINIK KEBIDANAN

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 12 NS2007 ALKOHOL 96 1 L BTL 13 NS1170 LEUKOPLAST 5& 4)5 C$ C$ 18004 NS1068 ST E&A$INATION 100MS PCS 3005 NS2133 ULTRASONIC #ELL #LN 16 NS1054 OB ECK #LASS PCS 727 NS2110 POVIDON IODIN 1 L BTL 18 NS1116 KASA LIPAT PCS 409 NS3300 NACL O#B INF BTL 2

10 NS3200 #ENTA$%CIN 40 IN A$P 411 NS1129 DISPO 3 CC STERA PCS 3012 NS1090 $ASKER BN PCS 10013 NS1171 FI&O$UL 10 C$ PER C$ C$ 500

TOTAL

STOK KONSTANPOLIKLINIK BEDAH

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 12 NS2079 KAPAS 1 K# #R 10003 NS1090 $ASKER BN (50MS PCS 504 NS1068 ST E&A$INATION 100MS PCS 1005 NS1170 LEUKOPLAST 5&4)5 C$ C$ 9006 NS1116 KASA LIPAT PCS 407 NS2059 FU I #ELL BTL 18 NS1138 DISPO 10 CC STERA PCS 15

9 NS1139 FOLLE% CATH 16 PCS 410 NS1140 URINE BA# PCS 411 NS1131 DISPO 1 CC STERA PCS 1012 NS1141 DISPO 5 CC STERA PCS 1013 NS3300 NACL O#B INF BTL 114 NS2110 POVIDON IODIN 1 L/ $L $L 100015 NS1123 KASA ROLL 10 C$ ROL 416 NS1129 DISPO 3 CC STERA PCS 1017 NS1007 BISTURI 11 PCS 218 NS3201 LIDOCAIN 2 IN A$P 10

19 NS3200 #ENTA$%CIN 40 IN A$P 6

TOTAL

8/15/2019 So Des Ember 2015


STOK KONSTANPOLIKLINIK SARA(

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 12 NS2079 KAPAS 1 K# #R 10003 NS1129 DISPO 3 CC STERA PCS 1004 NS1141 DISPO 5 CC STERA PCS 1005 NS3201 LIDOCAIN 2 IN A$P 1006 NS1131 DISPO 1 CC STERA PCS 100

TOTAL

STOK KONSTANPOLIKLINIK ORTOPEDI

NO KODE NAMA SATUAN QTY1 NS1170 LEUKOPLAST 5&4)5 C$ C$ 9002 NS2110 POVIDON IODIN 1 L BTL 13 NS1090 $ASKER BN (50MS PCS 504 NS1116 KASA LIPAT PCS 605 NS1123 KASA ROLL 10 C$ ROLL 256 NS1007 BISTURI 11 PCS 10

7 NS3200 #ENTA$%CIN 40 IN A$P 108 NS1131 DISPO 1 CC STERA PCS 159 NS1129 DISPO 3 CC STERA PCS 20

10 NS2094 OBAT $ERAH BTL 111 NS1172 FI&O$UL 5 C$ PCS 112 NS1141 DISPO 5 CC STERA PCS 2013 NS3202 DE&A$ETHASON 5 $# IN VIAL 1014 NS1138 DISPO 10 CC STERA PCS 8

TOTAL

STOK KONSTANPOLIKLINIK KULIT DAN KELAMIN

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 12 NS2079 KAPAS 1 K# #R 10003 NS2100 POVIDON IODIN 1 L BTL 14 NS1068 ST E&A$INATION 100MS PCS 1005 NS1116 KASA LIPAT PCS 406 NS1090 $ASKER BN (50MS PCS 507 NS3201 LIDOCAIN 2 IN A$P 208 NS1141 DISPO 5 CC STERA PCS 10

8/15/2019 So Des Ember 2015


9 NS1143 KASA STERIL FORTUNA PCS 2410 NS1144 DISPO 1 CC TERU$O PCS 5011 NS3300 NACL O#B INF BTL 112 NS1054 OB EK #LASS PCS 10013 NS3055 FOR$ALIN TAB TAB 514 NS1129 DISPO 3 CC STERA PCS 1015 NS1142 DISPO 20 CC TERU$O PCS 216 NS1123 KASA ROLL 10 C$ ROLL 5017 NS1145 CHRO$IC 3>0 SUR#IROL PCS 1000018 NS3601 C #ENTA$%CIN S$ TUBE TUBE 1

TOTAL

STOK KONSTANPOLIKLINIK THT

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 12 NS2079 KAPAS 1 K# #R 10003 NS1090 $ASKER BN (50MS PCS 504 NS1068 ST E&A$INATION 100MS PCS 1005 NS2110 POVIDON IODIN 1 L BTL 16 NS1170 LEUKOPLAST 5& 4)5 C$ C$ 9007 NS1091 KASA STERIL KAR%A H PCS 248 NS1138 DISPO 10 CC STERA PCS 209 DU2075 &%LONOR BTL 1

10 NS1007 BISTURI 11 PCS 1011 NS1129 DISPO 3 CC STERA PCS 10012 NS1141 DISPO 5 CC STERA PCS 2013 NS1173 VICR%L 3>0 PCS 314 NS1174 BLUE $ONOLON 4>0 PCS 515 NS1175 SUR#ION 3>0 PCS 516 NS3200 #ENTA$ICIN IN A$P 517 NS1176 BLOOD SET TERU$O PCS 118 NS1177 ABB 20 SURFLO PCS 1

TOTAL

STOK KONSTANPOLIKLINIK MATA

NO KODE NAMA SATUAN QTY1 NS2005 ALKOHOL 70 1 L BTL 10002 NS2079 KAPAS 1 K# #R 20003 NS1090 $ASKER BN (50MS PCS 50

4 NS1068 ST E&A$INATION 100MS PCS 1005 NS1107 TER$AL PIPER ROLL 16 NS1116 KASA LIPAT PCS 120

8/15/2019 So Des Ember 2015


7 NS1170 LEUKOPLAST 5&4)5 C$ C$ 13508 NS2110 POVIDON IODIN 1 L BTL 19 NS3600 PANTOCAIN 2 5 $L T$ FLS FLS 2

10 NS3602 CENDO $%DRIAT%L 1 5 $L FLS FLS 311 NS3201 LIDOCAIN 2 IN A$P 10012 NS1131 DISPO 1 CC STERA PCS 10013 NS1146 ST COS$O$ED PCS 2014 NS3604 CENDO TROPIN 0)5 T$ FLS FLS 315 NS3603 CENDO SILO&AN 5 $L T$ FLS 116 NS3605 CENDO $%COS 3)5 #R S$ TUBE 117 NS3303 RL BTL 500 $L BTL 218 NS3606 CENDO CARPIN 2 5 $L FLS 1

TOTAL

STOK KONSTANPOLIKLINIK JI)A

NO KODE NAMA SATUAN QTY1 NS1129 DISPO 3 CC STERA PCS 102 NS3103 DELADR%L IN /PARADR%L A$P 53 NS2079 KAPAS 1 K# #R 10004 NS2005 ALKOHOL 70 1 L BTL 15 NS3203 EPHINEPRIN IN A$P 5

TOTAL

8/15/2019 So Des Ember 2015


HARGA JUMLAH 31)200 00 31)200 00

990 40 49)520 00

R $ %*& .

HARGA JUMLAH 919 20 91)920 00

104)500 00 104)500 003)113 60 373)632 004)900 80 4)900 80

31)200 00 31)200 0066 40 66)400 00

990 40 49)520 00489 60 269)280 00

2)530 40 253)040 00440 00 44)000 00385 60 1)542 40

46 40 20)880 00

R 1%31 %$15.&

HARGA JUMLAH 31)200 00 31)200 00

27)500 00 110)000 00

44)000 00 44)000 002)200 00 8)800 00

R 1,'% .

HARGA JUMLAH 31)200 00 62)400 00

990 40 49)520 00

8/15/2019 So Des Ember 2015


R 111%,& .

HARGA JUMLAH 31)200 00 31)200 00

66)400 00 66)400 0046 40 83)520 00

489 60 146)880 00306)340 00 306)340 00

711 00 51)192 0042)400 00 42)400 00

4)992 00 199)680 004)900 80 9)801 603)508 00 14)032 00

919 20 27)576 00990 40 99)040 00117 00 58)500 00

R 1%13+%5+1.+

HARGA JUMLAH 31)200 00 31)200 00

66 40 66)400 00990 40 49)520 00489 60 48)960 00

46 40 41)760 004)992 00 199)680 00

44)000 00 44)000 001)232 00 18)480 00

8)496 00 33)984 003)850 40 15)401 601)232 00 12)320 001)038 40 10)384 004)900 80 4)900 80

42 40 42)400 002)200 00 8)800 00

919 20 9)192 002)530 40 5)060 80

996 00 9)960 00

3)508 00 21)048 00

R +*3%'51.&

8/15/2019 So Des Ember 2015


HARGA JUMLAH 31)200 00 31)200 00

66 40 66)400 00919 20 91)920 00

1)038 40 103)840 00996 00 99)600 00

1)232 00 123)200 00

R 51+%1+ .

HARGA JUMLAH 46 40 41)760 00

42)400 00 42)400 00990 40 49)520 00

4)992 00 299)520 002)200 00 55)000 002)530 40 25)304 00

3)508 00 35)080 001)232 00 18)480 00919 20 18)384 00

330)000 00 330)000 00106 40 106 40

1)038 40 20)768 002)000 00 20)000 001)232 00 9)856 00

R ,++%1*$.'

HARGA JUMLAH 31)200 00 31)200 00

66 40 66)400 0042)400 00 42)400 00

489 60 48)960 004)992 00 199)680 00

990 40 49)520 00996 00 19)920 00

1)038 40 10)384 00

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


46 40 62)640 0042)400 00 42)400 0014)575 20 29)150 4040)150 40 120)451 20

996 00 99)600 001)232 00 123)200 004)250 40 85)008 00

13)750 40 41)251 2058)025 60 58)025 6030)000 00 30)000 00

5)200 00 10)400 0028)800 00 28)800 00

R 1%*1&%'++.' STOK KONSTANPOLIKLINIK31-Dec-15

NO URAIAN1 POLIKLINIK PE#A*AI

HARGA JUMLAH 2 POLIKLINIK #I#I DAN $ULUT 919 20 9)192 00 3 POLIKLINIK ANTUN# 5)632 00 28)160 00 4 POLIKLINIK DALA$ 66 40 66)400 00 5 POLIKLINIK KEBIDANAN 31)200 00 31)200 00 6 POLIKLINIK BEDAH 1)524 80 7)624 00 7 POLIKLINIK SARAF

8 POLIKLINIK ORTOPEDI R 1'&%5*+. 9 POLIKLINIK KULIT DAN KELA$IN10 POLIKLINIK THT11 POLIKLINIK $ATA

11%&,1%'' 12 POLIKLINIK I*A

TOTAL

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


JUMLAH R@ 80)720 00R@ 1)310)815 20R@ 194)000 00R@ 111)920 00R@ 1)136)561 60R@ 673)451 20R@ 516)160 00

R@ 966)178 40R@ 2)245)068 80R@ 2)201)522 40R@ 1)712)466 40R@ 142)576 00

R 11%&,1%'' .


NUNUN# NURHA%ATI)S SI)AP,19700625 199203 2 005

8/15/2019 So Des Ember 2015


;! .J +-,; , +?? " +!J: ;,- ;! .J + , ;! .J-,. ;.,. +? , J-+ , J! ,

8/15/2019 So Des Ember 2015


? J , ;! .J @@- J!@. ,! - J@ G : ;! .J +-,; ? J= ;, - ;!+ @@+ , +J@

8/15/2019 So Des Ember 2015


? J@ ; , J@ ;., , J;!+ . -

8/15/2019 So Des Ember 2015


STOK OPNAME

FARMASI

31-Dec-15

NO. NAMA UNIT OBAT UMUM

1 APT RAWAT INAP R@ 495)963)420 00

2 APT IGD R@ 179)506)142 40

3 DEPO IGD R@ 4)335)276 00

4 IBS R@ 17)876)421 60

5 APT RAWAT JALAN R@ 162)097)423 20

6 GUDANG OBAT R@ 1)270)109)204 00

7 GUDANG ALKES

TOTAL R &%1&,%$$*%$$*.&

STO"K OPNAMEPENUNJANG

31-Dec-15

NO URAIAN JUMLAH1 RADIOLO#I R@ 45)966)000 00

8/15/2019 So Des Ember 2015


2 BANK DARAH R@ 16)769)916 00

3 LABORATORIU$ R@ 12)184)812 80

4 PATOLO#I ANATO$I R@ 3)633)289 40

5 ENDOSCOP% R@ 158)250 40

TOTAL R *$%*1&%&+$.+


NUNUN# NURHA%ATI)S SI)A@19700625 199203 2 005

RUMAH SAKIT UMUM DAERAH SUBANGHASIL STOK OPNAME PERSEDIAAN

31-Dec-15

NO URAIAN JUMLAH

1 FAR$ASI R@ 4)200)698)395 202 PENUN AN# R@ 78)712)268 603 RUAN#AN R@ 15)352)058 40

4 POLIKLINIK R@ 11)291)440 00

TOTAL R '%3 +% 5'%1+&.&

MENGETAHUI

KA. INSTALASI FARMASI

8/15/2019 So Des Ember 2015


NUNUNG NURHAYATI,S.SI,A !1"7##625 1""2#3 2 ##5

8/15/2019 So Des Ember 2015


ALKES JUMLAH R@ 40)070)303 20 R@ 536)033)723 20

R@ 51)283)751 20 R@ 230)789)893 60

R@ 57)762)668 00 R@ 62)097)944 00R@ >

R@ 152)570)563 20 R@ 170)446)984 80

R@ 4)478)252 00 R@ 166)575)675 20

R@ 1)764)644)970 40

R &% * %$1 %5 $. R '%& %+,$%3,5.&

MENGETAHUIKA. INSTALASI FARMASI

NUNUNG NURHAYATI,S.SI,A !1"7##625 1""2#3 2 ##5

8/15/2019 So Des Ember 2015


C

8/15/2019 So Des Ember 2015


8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


? J@ ; , J@ ;., , J;!+ . -

8/15/2019 So Des Ember 2015


RUMAH SAKIT UMUM DAERAH SUBANSTOKOPNAME

31-Dec-15

UNIT: LAB

NO KODE NAMA SATUAN QTY12 D2358 ALBU$IN 3 & 100 $L $L 20020 D2359 ALKOHOL 70 BRATACO $L 100043 D2363 ASTO 5 $L $L 275 D2367 BLUE TIP 1000 PCS PCS 20094 D2400 CALIBRATOR 5 $L VIAL 1

118 D2368 CHOLESTEROL 3 & 100 $L $L 200148 D2371 CREATININ ( 2 & 100 $L $L 200151 D2372 CUP SA$PEL 1000 PCS PCS 600180 D2378 EOSIN 1 LITER $L 50203 D2379 E&TRAN NETRAL 2 5 LITER BOTOL 1248 D2414 #IE$SA 500 $L $L 200253 D2380 #LUCOSE LI UID (1000 $L $L 700265 D2381 HBSA# 50 PCS PCS 20374 D2389 L%SE 1 LITER $L 500492 D2395 S PARA T%PHI A>H 5 $L VIAL 2493 D2396 S PARA T%PHI O 5 $L VIAL 2494 D2397 S T%PHI H 5 $L VIAL 2495 D2398 S T%PHI O>H 5 $L VIAL 2523 D2399 SEDIPLAS BSE (250 PCS PCS 40532 D2401 SERU$ KONTROL VIAL 1533 D2402 S#OT (12 & 16 $L $L 192534 D2403 S#PT ( 12 & 16 $L $L 192643 D2279 TES KEHA$ILAN PCS 20644 D2404 TES NARKOBA 5 PARA$ETER 25 PCS PCS 6652 D2406 TOTAL PROTEIN 3 & 100 $L $L 100656 D2407 TR%#LISERIDA 3 & 100 $L $L 100659 D2408 UREU$ UV ( 50 & 10 $L KIT 1660 D2409 URIC ACID 3 & 100 $L $L 100663 D2410 VACUTAENER 1200 PCS PCS 700665 D3810 VDRL 5 $L $L 2670 D2412 *HITE TIP 1000 PCS PCS 400672 D2417 &L *ASH BOTOL 1685 D2451 %ELLO* TIPS PCS 200

8/15/2019 So Des Ember 2015


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N/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/AN/A N/A

275 20 55)040 00

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8/15/2019 So Des Ember 2015


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8/15/2019 So Des Ember 2015


RUMAH SAKIT UMUM DAERAH SSTOKOPNAME

31-Dec-15

UNIT: PA

NO KODE NAMA SATUAN20 D2359 ALKOHOL 70 BRATACO $L21 D2360 ALKOHOL 96 BRATACO $L

115 D2427 CERRA ALBA 1 K# K#146 2430 ! . ?" (24&24 100 PCS PACK181 D2425 ETHANOL 2 5 L BOTOL337 D2432 KERTAS SARIN# LE$BAR386 D2139 $ASKER TALI / KARET BN PCS429 D2167 NEEDLE 25 TERU$O PCS436 D2431 OB EK #LASS FROSTED PACK441 D2420 PAPANICOLAU HARRIS 500 $L BOTOL448 D2426 PARAFIN BLOK 1 K# K#459 D2447 PIPET PASTEUR PCS460 D2435 P- $-; !,! PCS468 D2173 POVIDONE IODINE 1 $L KIFA $L505 D2195 SARUN# TAN#AN NON STERIL SAFE$ED PCS PCS627 D2250 S%RIN#E DISPOSIBLE 10 CC STERA PCS681 2424 ".+. ? (2 5 L BOTOL

8/15/2019 So Des Ember 2015


UBANG

QTY HARGA JUMLAH5000 N/A N/A4000 N/A N/A


1 N/A N/A8 N/A N/A


25 81)675 00 2)041)875 00300 N/A N/A20 N/A N/A20 N/A N/A

1 N/A N/A

#N/A

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RUMAH SAKIT UMUM DAERAH SUBSTOK OPNAME

31-Dec-15

RADIOLOGIUNIT :

NO KODE NAMA SATUAN QTY1 D2006 ALKOHOL 70 100 $L ONE$ED BTL $L 10002 D2353 DEVELOPER (20L<1000 PER TES TES 20003 D2348 &RF 18 & 24 A#FA PCS 7004 D2349 &RF 24 & 30 A#FA PCS 8005 D2350 &RF 30 & 40 A#FA PCS 4006 D2351 &RF 35 & 35 A#FA PCS 300

7 D2352 FIL$ #I#I PCS 5008 D2355 FI&ER 20 LTR TES 2000

TOTAL

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NG


N/A N/AN/A N/A

#N/A

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so des ember 2015

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