DAFTAR OBAT, ALKES, BHP FARMASI BPJS RS SRIWIJAYA

No Nama Obat Satuan jual Harga Jual

1 3 WAY STOPCOCK W/ TUBE BPJS PCS 4.095
2 ACARBOSE 100 MG DEXA BPJS TAB 1.927
3 ACARBOSE 50MG DEXA BPJS TAB 1.195
4 ACETYLCYSTEINE 200 MG ETERCON BPJS CAPS 1.188
5 ACYCLOVIR 400 MG KF BPJS TAB 874.000
6 ALBENDAZOLE 400MG KF BPJS TAB 536.000
7 ALKOHOL 70% 1LITER ONEMED BPJS BTL 36.300
8 ALKOHOL SWAB BPJS PCS 125.000
9 ALLOPURINOL 100 MG BERNO BPJS TAB 248.000
10 ALLOPURINOL 300 MG BERNO BPJS TAB 462.000
11 AMBROXOL 15MG/5ML SYR PROMED BPJS FLS 4.937
12 AMBROXOL 30 MG BERNO BPJS TAB 277.000
13 AMBROXOL 30MG PROMED BPJS TAB 196.000
14 AMLODIPIN 5 MG DEXA BPJS TAB 484.000
15 AMLODIPINE 10MG DEXA BPJS TAB 853.000
16 AMLODIPINE 10MG KF BPJS TAB 114.000
17 AMLODIPINE 10MG PROMED BPJS TAB 484.000
18 AMOXICILLIN 125MG/5ML SYR QUANTUM BPJS FLS 6.435
19 AMOXICILLIN 500MG BERNO BPJS TAB 739.000
20 AMOXICILLLIN 250MG/5ML SYR QUANTUM BPJS FLS 14.850
21 ANALSIK SANBE BPJS TAB 1.868
22 ANTASIDA DOEN KF SYR BPJS FLS 12.533
23 ANTASIDA DOEN PROMED BPJS TAB 196.000
24 APRON BAG ONEMED BPJS BUNGKUS 35.005
25 ARCAPEC MEPRO BPJS TAB 1.344
26 ASAM MEFENAMAT 500 MG ERITA BPJS TAB 159.000
27 ASAM MEFENAMAT 500 MG NOVELL BPJS TAB 158.000
28 ASAM MEFENAMAT 500MG PROMED BPJS TAB 508.000
29 ASAM TRANEXAMAT 500 MG BERNO BPJS TAB 1.782
30 ASERING 500 ML OTSU BPJS KOLF 11.601
31 ASTHENOF ED FLS CENDO BPJS FLS 24.394
32 ATORVASTATIN 20 MG DEXA BPJS TAB 3.881
33 ATORVASTATIN CALCIUM 10MG DEXA BPJS TAB 2.424
34 AVAMYS NASAL SPRAY BPJS BOX 123.600
35 AZITHROMYCIN 200MG/5ML SYR BRN BPJS FLS 63.360
36 AZITHROMYCIN 500MG KF BPJS TAB 2.134
37 AZOPT ED ALCON BPJS FLS 171.600
38 BETAHISTINE 6 MG NOVELL BPJS TAB 887.000
39 BISACODYL 5 MG BPJS TAB 426.000
40 BISOPROLOL 5 MG NOVELL BPJS TAB 1.393
41 BLOOD LANCET GEA BPJS PCS 594.000
42 BLOOD TRANSFUSION SET GEA BPJS PCS 6.600
43 BLOOD TRANSFUSION SET ONEMED BPJS PCS 6.534
44 BRALIFEX PLUS ED BPJS FLS 52.510
45 BROMEDCYL 8 MG BPJS TAB 131.000
46 CALCIUM LACTAT 500MG KF BPJS TAB 237.000
47 CALPOROSIS D-500 MERSI BPJS TAB 1.100
48 CANDESARTAN 8 MG BERNO BPJS TAB 5.280
49 CAPTOPRIL 12.5 MG DEXA BPJS TAB 96.000
50 CAPTOPRIL 25 MG DEXA BPJS TAB 130.000
51 CARBON GLYCERIN BPJS PCS 10.560
52 CARPINE 2% ED CENDO BPJS BTL 22.070
53 CATARLENT MD CENDO BPJS MDS 23.232
54 CATHEJELL MONTAVIT BPJS PCS 63.862
55 CEFADROXIL 125MG/5ML SYR BERNO BPJS FLS 8.265
56 CEFADROXIL 250MG/5ML SYR BERNO BPJS FLS 13.860
57 CEFADROXIL 500MG DEXA BPJS TAB 1.006
 58 CEFIXIME 100 MG NOVELL BPJS CAPS 2.299
59 CEFIXIME 100MG DEXA BPJS TAB 1.150
60 CEFIXIME 200MG DEXA BPJS TAB 3.050
61 CEFIXIME DRY SYR 100MG/5ML DEXA BPJS FLS 24.013
62 CENDRID MDS BPJS BOTOL PE 3.862
63 CENFRESH ED CENDO BPJS BTL 40.511
64 CENFRESH MD CENDO BPJS MDS 30.360
65 CETEME 4MG BPJS TAB 134.000
66 CETIRIZINE 10MG DEXA BPJS TAB 305.000
67 CETIRIZINE SYR 5MG/5ML KF BPJS BTL 12.528
68 CHLORAL HYDRATE BPJS GRAM 11.880
69 CHLORAMFENICOL 1% SALEP MATA KF BPJS TUBE 4.158
70 CHLORAMPHENICOL 250MG BPJS CAPS 603.000
71 CIPROFLOXACIN 500 MG BERNO BPJS CAPS 711.000
72 CIPROFLOXACIN 500 MG NOVELL BPJS CAPS 800.000
73 CIPROFLOXACIN INFUS NOVELL BPJS FLS 47.880
74 CIPROFLOXACIN INFUS QUANTUM BPJS FLS 46.200
75 CITICOLINE 500MG DEXA BPJS TAB 5.821
76 CLINDAMYCIN 150MG DEXA BPJS TAB 867.000
77 CLINDAMYCIN 300MG KF BPJS CAPS 1.556
78 CLOPIDOGREL 75MG DEXA BPJS TAB 3.617
79 CLOPIDOGREL 75MG PROMED BPJS TAB 3.194
80 CO-AMOXICLAV 125MG/60ML DRY SYR DEXA BPJS FLS 44.109
81 CO-AMOXICLAV 500/125MG DEXA BPJS TAB 5.267
82 COLLACURE 50X50X5 NUFARINDO BPJS PCS 371.892
83 COMBIVENT 2.5 ML UDV TEMPO BPJS VIAL 21.733
84 CONVER 2% ED CENDO BPJS FLS 15.101
85 CONVER 2% MD CENDO BPJS MDS 18.731
86 COTRIMOKSAZOLE 240MG/5ML SYR BERNO BPJS FLS 5.940
87 COTRIMOXAZOLE PROMED BPJS TAB 392.000
88 D5 1/2NS 500 ML WIDA BPJS KOLF 12.318
89 D5 1/4NS 500 ML WIDA BPJS KOLF 12.252
90 D5 100 ML OTSU BPJS KOLF 18.216
91 DAFILON 10/0 POLYAMIDE BRAUN BPJS PCS 211.680
92 DERMAFIX (S) 6 X 7 CM OM BPJS PCS 5.544
93 DERMAFIX (T) 10 X 25 CM BPJS PCS 19.086
94 DERMAFIX (T) 5 X 7 CM BPJS PCS 2.257
95 DESOXIMETHASONE 0.25 CR 15G DEXA BPJS TUBE 15.094
96 DEXAMETHASONE 0.5MG BERNO BPJS TAB 148.000
97 DEXAMETHASONE 0.5MG PROMED BPJS TAB 131.000
98 DIAZEPAM 2MG KF BPJS TAB 149.000
99 DIBLUE BPJS BOX 46.200
100 DICHOL BPJS BOX 46.200
101 DOMPERIDON 10MG DEXA BPJS TAB 458.000
102 DOMPERIDON 5MG/5ML SYR BERNO BPJS FLS 12.751
103 DOMPERIDONE DROP BERNO BPJS FLS 25.344
104 DOP MATA BPJS PCS 9.240
105 DOPAMET 250 MG ACTAVIS BPJS TAB 2.468
106 DOXYCYCLINE 100 MG YARINDO BPJS CAPS 435.000
107 DULCOLAX SUPPOSITORIA 10 MG BOEHRINGER BPJS SUPPOS 27.232
108 DUMIN REKTAL TUBE 125MG/2.5ML BPJS PCS 16.930
109 DUMIN REKTAL TUBE 250MG/4ML BPJS PCS 23.639
110 ELEKTRODE ANAK (F30SG) BPJS PCS 5.544
111 ELEKTRODE DEWASA (F3741SG) BPJS PCS 4.224
112 ERDOSTEINE 300 MG ETERCON BPJS CAPS 3.564
113 ERYSANBE DRY SYR SANBE BPJS FLS 24.948
114 ERYTHROMYCIN 250MG KF BPJS CAPS 972.000
115 ERYTHROMYCIN 500MG YARINDO BPJS CAPS 1.650
116 ETHAMBUTOL 500MG KF BPJS TAB 826.000
117 EXCEL TULLE ALEXA BPJS PCS 13.662
118 EXTENTION TUBE 100CM ONEMED BPJS PCS 8.435
119 EYE PROTECTOR BAYI ONEMED BPJS PCS 53.666
120 FEEDING TUBE 5FR 40CM BPJS PCS 10.612
121 FEEDING TUBE 8FR 100CM BPJS PCS 10.611
122 FEEDING TUBE 8FR 40CM BPJS PCS 10.612
123 FENICOL ZALF CENDO BPJS TUBE 25.410
124 FLAMAR EYE DROP BPJS FLS 35.442
125 FLOXA MD CENDO BPJS MDS 31.073
126 FLUID GAS EXC TUBING SET W/FIL BPJS PCS 580.800
127 FLUNARIZIN 2HCL 5 MG BERNO BPJS TABLET 2.376
128 FOLAVIT 400MCG SANBE BPJS TAB 937.000
129 FOLEY CATH 2W PEAD UC 10 BPJS PCS 37.800
130 FOLEY CATH 2W PEAD UC 6 BPJS PCS 45.990
131 FOLEY CATH 2W UC NO. 24 BPJS PCS 10.080
132 FOLEY CATH 2W UC NO.12 BPJS PCS 10.080
133 FOLEY CATH 2W UC NO.14 BPJS PCS 10.080
134 FOLEY CATH 2W UC NO.16 BPJS PCS 10.080
135 FOLEY CATH 2W UC NO.16 GEA BPJS PCS 10.560
136 FOLEY CATH 2W UC NO.18 GEA BPJS PCS 10.560
137 FOLEY CATH 2W UC NO.18 ONEMED BPJS PCS 11.088
138 FOLEY CATH 2W UC NO.20 BPJS PCS 10.080
139 FUROSEMIDE 40MG KF BPJS TAB 92.000
140 GABAPENTIN 300 MG DEXA BPJS TAB 4.851
141 GABAPENTIN 300 MG NOVELL BPJS CAPS 5.239
142 GASTRUL FAHRENHEIT BPJS TAB 13.728
143 GELAS UKUR 100ML BOMEX BPJS BH 118.800
144 GELOFUSINE 500ML BRAUN BPJS KOLF 105.960
145 GLAOPEN MD CENDO BPJS MDS 104.834
146 GLAOPLUS MD CENDO BPJS MDS 111.368
147 GLAUSETA TAB SANBE BPJS TAB 4.551
148 GLIMEPIRIDE 1MG KF BPJS TAB 209.000
149 GLIMEPIRIDE 2MG KF BPJS TAB 248.000
150 GLIMEPIRIDE 3MG KF BPJS TAB 293.000
151 GLIMEPIRIDE 4MG KF BPJS TAB 327.000
152 GLUKOSA 10% 500ML BRAUN BPJS KOLF 9.900
153 GLUKOSA 5% 500ML BRAUN BPJS KOLF 9.240
154 GLUKOSA 5% 500ML WIDA BPJS KOLF 8.280
155 HCG STRIP ANSWER BPJS STRIP 2.508
156 HEMOBION MERCK BPJS TAB 2.106
157 HERVIS ZALF CENDO BPJS TUBE 42.689
158 HI OXY MASK ANAK BPJS PCS 34.151
159 HICAL CHEWTAB MEPRO BPJS TAB 333.000
160 HYALUB MD CENDO BPJS BOTOL PE 13.242
161 HYDROCLOROTIAZID 25MG KF BPJS TAB 195.000
162 HYDROCORTISONE 2.5% CR KF BPJS TUBE 2.970
163 IBUPROFEN 200MG YARINDO BPJS TAB 161.000
164 IBUPROFEN 400MG PROMED BPJS TAB 523.000
165 IBUPROFEN 400MG YARINDO BPJS TAB 284.000
166 INFUSION SET ANAK ONEMED BPJS PCS 5.663
167 INFUSION SET DEWASA ONEMED BPJS PCS 3.648
168 INFUSION SET DEWASA WIN BPJS PCS 5.834
169 INJ ADONA 10ML TANABE BPJS amp 27.456
170 INJ AMINOPHYLIN 24MG/ML PHAPROS BPJS amp 4.536
171 INJ AMPICILLIN 1 G BERNO BPJS VIAL 11.880
172 INJ ASAM TRANEXAMAT 100MG/ML NOVELL BPJS amp 9.147
173 INJ ASAM TRANEXAMAT 250MG/5ML BERNO BPJS amp 5.636
174 INJ ASAM TRANEXAMAT 50MG/ML DEXA BPJS amp 5.544
175 INJ ASAM TRANEXAMAT 50MG/ML NOVELL BPJS amp 4.251
176 INJ ATRACURIUM BESYLATE HCL 10MG/ML 5ML NOVELL BPJS amp 35.284
177 INJ BUPIVACAINE HCL HEAVY NOVELL BPJS amp 27.918
178 INJ CALCII GLUCONAS ETHICA BPJS amp 12.421
179 INJ CEFOTAXIME 1G DEXA BPJS VIAL 7.859
180 INJ CEFTAZIDIME 1G DEXA BPJS VIAL 21.331
181 INJ CEFTIZOXIME 1 GRAM NOVELL BPJS VIAL 118.800
182 INJ CEFTRIAXONE 1 GR BERNO BPJS VIAL 23.100
183 INJ CEFTRIAXONE 1 GRAM DEXA BPJS VIAL 9.746
184 INJ CEFTRIAXONE 1 GRAM QUANTUM BPJS VIAL 19.483
185 INJ CITICOLIN 250MG/2ML BERNO BPJS amp 20.790
186 INJ DEXAMETHASONE 5MG BERNO BPJS amp 2.307
187 INJ DEXKETOPROFEN TROMETAMOL NOVELL BPJS amp 27.624
188 INJ DIPHENHYDRAMINE BPJS amp 2.136
189 INJ DORMICUM 5MG/5ML ROCHE BPJS amp 31.660
190 INJ EPHEDRINE HCL BPJS amp 31.350
191 INJ EPINEPHRIN 0.1% PHAPROS BPJS amp 7.665
192 INJ ESOMEPRAZOL BPJS VIAL 63.360
193 INJ FENTANYL 0.05MG/ML JANSSEN BPJS amp 58.080
194 INJ FUROSEMIDE 10MG/ML INDOFARMA BPJS amp 2.470
195 INJ GENTAMICIN 40MG KF BPJS amp 4.431
196 INJ KETOROLAC 30MG NOVELL BPJS amp 12.349
197 INJ LIDOCAIN 2% BERNO BPJS amp 1.584
198 INJ MECOBALAMINE 500 NOVELL BPJS amp 9.504
199 INJ MEROPENEM 0.5G DEXA BPJS VIAL 166.320
200 INJ MEROPENEM 0.5G MEPRO BPJS VIAL 42.292
201 INJ MEROPENEM 1G DEXA BPJS VIAL 72.072
202 INJ MEROPENEM 1G MEPRO BPJS VIAL 103.910
203 INJ METHYLPREDNISOLON 125 MG QUANTUM BPJS VIAL 22.955
204 INJ METHYLPREDNISOLON 500 MG BERNO BPJS VIAL 120.120
205 INJ METHYLPREDNISOLONE 125 MG BERNO BPJS BOX 25.364
206 INJ NEUROSANBE SANBE BPJS amp 5.602
207 INJ NICARDIPINE HCL NOVEL BPJS amp 73.920
208 INJ OMEPRAZOLE 40MG DEXA BPJS VIAL 23.562
209 INJ ONDANSETRON 4MG/2ML BERNO BPJS amp 4.290
210 INJ ONDANSETRON 4MG/2ML QUANTUM BPJS amp 3.630
211 INJ ONDANSETRON 8MG/4ML BERNO BPJS amp 6.240
212 INJ ONDANSETRON 8MG/4ML DEXA BPJS amp 7.207
213 INJ OXYTOCIN ETHICA BPJS amp 1.439
214 INJ OXYTOCIN HCL NOVELL BPJS amp 3.267
215 INJ PEHACAIN PHAPROS BPJS amp 3.736
216 INJ PHENYTOIN MEPRO BPJS amp 16.378
217 INJ PHYDION 2MG/ML BPJS amp 13.068
218 INJ PICYN 750 MG BPJS VIAL 59.400
219 INJ POSPARGIN 2MG/ML KALBE BPJS amp 7.260
220 INJ PROTERINE 10MG/2ML NOVELL BPJS amp 24.578
221 INJ RANITIDIN 50MG/2ML DEXA BPJS amp 3.238
222 INJ RANITIDIN 50MG/2ML NOVELL BPJS amp 3.356
223 INJ RECOFOL N BPJS amp 100.320
224 INJ TRAMADOL 100MG/2ML QUANTUM BPJS amp 4.609
225 INJ VASODRIN PHAPROS BPJS amp 29.040
226 INJ VITAMIN K1 2MG/ML BERNO BPJS amp 9.504
227 ISONIAZID 300MG KF BPJS TAB 228.000
228 ISOSORBIDE DINITRATE 5MG YARINDO BPJS TAB 145.000
229 IV CATH INFLO NO. 14 BPJS PCS 4.138
230 IV CATH INFLO NO. 16 BPJS PCS 3.812
231 IV CATH INFLO NO. 18 BPJS PCS 5.082
232 IV CATH INFLO NO. 20 BPJS PCS 3.812
233 IV CATH INFLO NO. 22 BPJS PCS 5.082
234 IV CATH INFLO NO. 24 BPJS PCS 5.280
235 IV CATH NO 22 ONEMED BPJS PCS 5.280
236 IV CATH NO. 20 GEA BPJS PCS 7.920
237 IV CATH NO. 24 GEA BPJS PCS 5.280
238 IV CATH NO. 26 GEA BPJS PCS 10.560
239 KA-EN 1B 500 ML OTSU BPJS KOLF 12.151
240 KA-EN 3A 500 ML OTSU BPJS KOLF 13.477
241 KA-EN 3B 500 ML OTSU BPJS KOLF 13.477
242 KA-EN 4A 500 ML OTSU BPJS KOLF 29.040
243 KA-EN MG3 500 ML OTSU BPJS KOLF 12.579
244 KAMAFLAM 50MG KF BPJS TAB 481.000
245 KAPAS PEMBALUT 500GR ONEMED BPJS GRAM 372.000
246 KAPAS PEMBALUT 500GR ONEMED BPJS roll 39.610
247 KASSA PEMBALUT 4MX10 ROL ONEMED BPJS roll 2.079
248 KASSA PEMBALUT 4MX15 ROL ONEMED BPJS roll 2.910
249 KASSA PEMBALUT 4MX5 BPJS PCS 1.306
250 KASSA STERIL ONEMED BPJS BOX 11.088
251 KCL 7.46 25 ML OTSU BPJS KOLF 3.868
252 KETOCONAZOLE 2% CR KF BPJS TUBE 5.610
253 KETOKONAZOLE 200MG DEXA BPJS TAB 408.000
254 KSR 600MG BPJS TAB 2.105
255 LACTAS CALCICUS 500 MG TRIFA BPJS TAB 118.000
256 LANSOPRAZOLE 30 MG NOVELL BPJS TAB 1.457
257 LEVOFLOXACIN 500 MG NOVELL BPJS TAB 1.246
258 LEVOFLOXACIN 500MG BERNO BPJS TAB 1.036
259 LEVOFLOXACIN 500MG KF BPJS TAB 900.000
260 LFX MD CENDO BPJS MDS 80.150
261 LORATADINE 10MG PROMED BPJS TAB 131.000
262 LOREMID 2 MG MEPRO BPJS TAB 871.000
263 LYTEERS ED CENDO BPJS FLS 26.136
264 LYTEERS MD CENDO BPJS MDS 25.995
265 MANITOL 20 500 ML OTSU BPJS KOLF 47.400
266 MASKER KARET ONEMED BPJS PCS 457.000
267 MASKER N95 BPJS PCS 9.025
268 MASKER NEBULIZER ANAK BPJS PCS 27.720
269 MASKER NEBULIZER DEWASA BPJS PCS 27.720
270 MASKER TALI ONEMED BPJS PCS 22.080
271 MASKER TALI STARDEC BPJS PCS 1.020
272 MAXIFLOW ANAK BPJS PCS 17.076
273 MAXIFLOW BAYI BPJS PCS 18.295
274 MAXIFLOW DEWASA ONEMED BPJS PCS 18.784
275 MECOBALAMIN 500 MG NOVELL BPJS CAPS 950.000
276 MELOXICAM 15MG DEXA BPJS TAB 605.000
277 MELOXICAM 15MG KF BPJS TAB 444.000
278 MELOXICAM 7.5 MG DEXA BPJS TAB 348.000
279 MELOXICAM 7.5MG KF BPJS TAB 276.000
280 METFORMIN 500 MG DEXA BPJS TAB 217.000
281 METFORMIN 850 MG DEXA BPJS TAB 514.000
282 METHYLPREDNISOLON 4MG BERNO BPJS TAB 508.000
283 METHYLPREDNISOLON 8 MG BERNO BPJS TAB 842.000
284 METHYLPREDNISOLONE 16MG DEXA BPJS TAB 979.000
285 METHYLPREDNISOLONE 8MG PROMED BPJS TAB 719.000
286 METOCLOPRAMID 10MG KF BPJS TAB 172.000
287 METRONIDAZOLE 500 INFUS BERNO BPJS FLS 46.200
288 METRONIDAZOLE 500 MG KF BPJS TAB 343.000
289 METRONIDAZOLE 500MG BERNO BPJS TAB 222.000
290 METRONIDAZOLE 500MG/100ML INFUS QUANTUM BPJS BOX 12.144
291 METRONIDAZOLE BENZOAT MEPRO BPJS FLS 4.752
292 MEYLON 84 25 ML OTSU BPJS KOLF 7.738
293 MGSO4 20 OTSU BPJS KOLF 3.993
294 MGSO4 40 OTSU BPJS KOLF 4.555
295 MICONAZOLE 2% CR KF BPJS TUBE 4.302
296 MILMOR PHAROS BPJS TAB 2.947
297 MINOSEP GARGLE 60ML PROMED BPJS FLS 24.829
298 MISOPROSTOL FAHRENHEIT BPJS TAB 5.280
299 NACL 0,9 % 500 ML WIDA BPJS KOLF 7.692
300 NACL 0.9% 100ML BRAUN BPJS KOLF 8.580
301 NACL 0.9% 500ML BRAUN BPJS KOLF 8.580
302 NATACEN MD CENDO BPJS MDS 48.352
303 NATAVIT SOFT CAPS BPJS CAPS 3.267
304 NATRIUM DIKLOFENAK NOVELL BPJS TAB 310.000
305 NEEDLE NO 23 OM BPJS PCS 196.000
306 NEEDLE NO 25 OM BPJS PCS 726.000
307 NEEDLE NO 27 OM BPJS PCS 196.000
308 NEURODEX DEXA BPJS TAB 715.000
309 NIFEDIPIN 10MG KF BPJS TAB 227.000
310 NIFEDIPINE 10MG DEXA BPJS TAB 154.000
311 NONCORT 5 ML DWIDAYA BPJS FLS 43.560
312 NONCORT MD CENDO BPJS MDS 49.078
313 NOVOFINE 32G 4MM NOVO BPJS PCS 3.280
314 NOVORAPID FLEXPEN BPJS PCS 104.398
315 NURSE CAP BPJS PCS 462.000
316 OMEPRAZOLE 20MG YARINDO BPJS CAPS 490.000
317 ONDANSENTRON 4MG DEXA BPJS TAB 1.940
318 ONDANSENTRON 4MG KF BPJS TAB 1.848
319 ONDANSENTRON 8MG DEXA BPJS TAB 2.870
320 ONDANSENTRON 8MG KF BPJS TAB 3.036
321 ONE SCRUB 4% 500ML ONEMED BPJS BTL 90.750
322 OTILON TETES TELINGA BPJS FLS 43.481
323 OXYFLOW ANAK BPJS PCS 7.623
324 OXYFLOW ANAK TRANSPARAN BPJS PCS 6.316
325 OXYFLOW SOFT BUBBLE BAYI BESMED BPJS PCS 7.623
326 OXYFLOW SOFT BUBBLE DEWASA BESMED BPJS PCS 7.623
327 OXYFLOW TRANSPARAN DEWASA BESMED BPJS PCS 6.316
328 P-PRED MD CENDO BPJS MDS 44.431
329 PARACETAMOL 500MG ERITA BPJS TAB 110.000
330 PARACETAMOL 500MG PROMED BPJS TAB 236.000
331 PARACETAMOL INFUS 100 ML BERNO BPJS FLS 44.352
332 PARACETAMOL INFUS 100 ML KF BPJS FLS 26.400
333 PARACETAMOL INFUS 100 ML NOVELL BPJS FLS 43.197
334 PARACETAMOL INFUS 100 ML QUANTUM BPJS FLS 40.260
335 PARACETAMOL SYR BRN BPJS FLS 3.960
336 PATANOL 0,1% ED ALCON BPJS FLS 95.700
337 PENCIL COUTER ALPHAMED BPJS PCS 92.400
338 PENCIL COUTER ESU BPJS PCS 46.281
339 PERIO KIN SPRAY KIN BPJS BTL 149.226
340 PHAROLIT SITRAS BPJS TAB 1.447
341 PK KRISTAL BETA BPJS BTL 13.200
342 PLESTER BPJS roll 12.540
343 POSOP MD CENDO BPJS MDS 60.984
344 POVIDONE IODINE 60ML BPJS FLS 4.884
345 PRAMIPEXOLE 0.125MG DEXA BPJS TAB 2.244
346 PRAMIPEXOLE 0.25MG DEXA BPJS TAB 3.564
347 PREABOR TAB SANBE BPJS TAB 4.217
348 PREDNISON 5 MG TAB BPJS TAB 124.000
349 PREMILENE 3/0 DS24 RP BPJS PCS 8.926
350 PROCLOZAM 10 MG MEPRO BPJS TAB 2.351
351 PRONALGES 100MG SUPPOS DEXA BPJS SUPPOS 14.249
352 PROPANOLOL 10MG DEXA BPJS TAB 175.000
353 PROPYLTHIOURACIL 100 DEXA BPJS TAB 517.000
354 PRORIS SYR 100MG/5ML PHAROS BPJS FLS 25.661
355 PROTAGENTA MD CENDO BPJS MDS 41.672
356 PYRAZINAMIDE 500MG PROMED BPJS TAB 850.000
357 RAMIPRIL 5 MG DEXA BPJS TAB 635.000
358 RANITIDINE 150MG DEXA BPJS TAB 208.000
359 REBAMIPIDE 100 MG BPJS TAB 2.006
360 RESUSITATOR ANAK ONEMED BPJS BOX 637.560
361 RIFAMPICIN 450MG BERNO BPJS TAB 1.571
362 RIFAMPICIN 450MG KF BPJS TAB 1.362
363 RIFAMPICIN 600MG KF BPJS TAB 2.495
364 RINGER LACTAT 500 ML WIDA BPJS KOLF 8.580
365 RINGER LAKTAT 500ML BRAUN BPJS KOLF 9.900
366 RINGER LAKTAT 500ML OTSU BPJS KOLF 8.580
367 RINGERFUNDIN 500ML BRAUN BPJS KOLF 13.200
368 RIVANOL 0,1% 300ML ONEMED BPJS BTL 4.356
369 SAFEGLOVE SURGICAL PP 6 BPJS PCS 5.793
370 SAFEGLOVE SURGICAL PP 6.5 BPJS PCS 5.793
371 SAFEGLOVE SURGICAL PP 7 BPJS PCS 5.148
372 SAFEGLOVE SURGICAL PP 7.5 BPJS PCS 5.793
373 SAFEGLOVE SURGICAL PP 8 BPJS PCS 5.793
374 SAFIL 8/0 PGA BRAUN BPJS PCS 211.680
375 SALBUTAMOL 2MG KF BPJS TAB 100.000
376 SANBE TEARS 8 ML BPJS FLS 20.691
377 SARUNG TANGAN OBGYN BPJS PCS 24.394
378 SENDOK SPON BPJS BH 26.400
379 SEQUEST SACHET NOVELL BPJS SACHET 24.255
380 SEVODEX 250 ML DEXA BPJS ML 10.916
381 SILKAM 1 HR 48 75CM BPJS PCS 76.692
382 SILKAM 4/0 DS 19 BLACK 45CMPC BPJS PCS 5.627
383 SILOXAN ED FLS CENDO BPJS FLS 61.274
384 SIMVASTATIN 10MG BERNO BPJS TAB 517.000
385 SIMVASTATIN 10MG PROMED BPJS TAB 319.000
386 SIRPLUS TAB BPJS TAB 222.000
387 SOJOURN FAHRENHEIT BPJS ML 10.983
388 SPALK ONEMED BPJS PCS 85.378
389 SPINAL NEEDLE 25G OM BPJS PCS 21.780
390 SPINAL NEEDLE 27 BRAUN BPJS PCS 59.400
391 SPIRONOLACTONE TAB 100MG DEXA BPJS TAB 1.064
392 SPIRONOLACTONE TAB 25MG DEXA BPJS TAB 376.000
393 SPUIT 10CC ONEMED BPJS PCS 1.143
394 SPUIT 1CC ONEMED BPJS PCS 762.000
395 SPUIT 20 CC ONEMED BPJS PCS 2.508
396 SPUIT 3CC ONEMED BPJS PCS 751.000
397 SPUIT 50CC CATHETER TIP OM BPJS PCS 6.751
398 SPUIT 5CC ONEMED BPJS PCS 784.000
399 STERILE LATEX SURGICAL GLOVES NO. 7.5 MPM BPJS PCS 5.280
400 STOMACH TUBE NO 16 SM BPJS PCS 19.800
401 STOMACH TUBE NO.12 BPJS PCS 10.733
402 STOMACH TUBE NO.14 BPJS PCS 10.733
403 STOMACH TUBE NO.16 BPJS PCS 10.733
404 STOMACH TUBE NO.18 BPJS PCS 10.733
405 SUCRALFATE SUSPENSI MEPRO BPJS FLS 21.978
406 SUCTION CATH 12 (STARDEC) BPJS PCS 7.920
407 SUCTION CATH+FINGER 08 (ONE MED) BPJS PCS 6.022
408 SUCTION CATH+FINGER 10 (ONE MED) BPJS PCS 6.022
409 SUCTION CATH+FINGER 10 (REMEDI) BPJS PCS 10.560
410 SUCTION CATH+FINGER 12 (ONEMED) BPJS PCS 6.022
411 SUCTION CATH+FINGER 14 (ONE MED) BPJS PCS 6.022
412 SUCTION CATH+FINGER 16 (ONE MED) BPJS PCS 6.022
413 SUCTION CATH+FINGER 18 (ONE MED) BPJS PCS 5.474
414 SUCTION CONNECTING TUBE OM BPJS PCS 10.890
415 SURGICAL GLOVES 6.5 GAMEX BPJS PCS 10.560
416 SURGICAL MASK W/ VISOR BPJS PCS 7.623
417 T-VIO EPISIOTOMY 2-0 90CM TC 1/2C 35MM BPJS PCS 77.755
418 TERRAMYCIN 1% ZALF PFIZER BPJS TUBE 15.148
419 THROMBO ASPILETS 80MG KF BPJS TAB 917.000
420 TIMOL 0.5% MD CENDO BPJS MDS 33.990
421 TOBRO MD CENDO BPJS MDS 22.215
422 TOBROSON MD CENDO BPJS MDS 33.686
423 TONOR 0.5% MD CENDO BPJS MDS 28.314
424 TOTAL PLUS PACK 27 GA BPJS PCS 7,550,400
425 TRACHEOSTOMY 7.5 FEN KIT BPJS BOX 950.400
426 TRAVATAN 1,5ML ED ALCON BPJS FLS 109.824
427 TRIAMCINOLONE 4MG GUARDIAN BPJS TAB 842.000
428 TROPIN 1% FLS CENDO BPJS FLS 14.520
429 UMBILICAL CORD KLEM BPJS PCS 2.112
430 UNDERPAD DR.J 60 X 90 BPJS PCS 3.648
431 URINE BAG GEA BPJS PCS 7.920
432 URINE BAG OM BPJS PCS 4.158
433 UTROGESTAN 200 MG BPJS SUPPOS 24.453
434 VALSARTAN 80 MG BPJS TAB 5.174
435 VASACON A MD CENDO BPJS MDS 16.484
436 VENTOLIN 2.5 MG NEBULE BPJS PCS 4.799
437 VIGAMOX ED ALCON BPJS FLS 106.920
438 VITAMIN B KOMPLEKS KF BPJS TAB 148.000
439 VITAMIN C 50MG KF BPJS TAB 132.000
440 VITOMIL AF MERSI BPJS TAB 792.000
441 VITROLENTA ED CENDO BPJS BTL 38.042
442 WATER FOR IRRIGATION 1 L WIDA BPJS KOLF 24.948
443 WATER PRO INJ 25 ML OTSU BPJS KOLF 3.432
444 WING NEEDLE NO.23 BPJS PCS 1.336
445 XITROL MD CENDO BPJS BOTOL PE 5.662
446 ZINC PHARMACORE BPJS TAB 4.839