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ACE CAIRAN

Dalam dokumen PROVINSI KALIMANTAN TENGAH (Halaman 121-132)

- Mohon spesifikasi barang dicantumkan secara rinci

TAB 1.000 Low Molecule feri sucrose inj amp 100

N- ACE CAIRAN

INHALASI

BOTOL 13.550

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

Fraxiparine 0.3 ml

Dus, 5 blister @

2 pfs 0.3 ml 59.559 Nadroparin inj 9500 Axa/mL, syringe

0,4 mL

Fraxiparine 0.4 ml

Dus, 5 blister @

2 pfs 0.4 ml 73.304 Nadroparin inj 9500 Axa/mL, syringe

0,6 mL

Fraxiparine 0.6 ml

Dus, 5 blister @

2 pfs 0.6 ml 104.458

Nalokson injeksi 0,4 mg/ml Nokoba Dus, 5 Ampul @

2ml 82.395

Natamisin 50 mg/ml Fukricin tm 55.000

Natrium Bikarbonat injeksi i.v 8,4% Meylon Ampoel 25 ML 6.448

Natrium Diklofenak tablet 50 mg n/a Dus @ 5 X 10 's 162

Natrium Diklofenak tablet 25 mg n/a Dus @ 5 X 10 's 178

Natrium fusidat salep 20 mg/g Fusycom

Krim Tube 5 gr 5.060

Natrium fusidat salep 20 mg/g Fucilex

Ointment Tube 5 gr 5.060

Natrium Fosfat Lar oral Fleet

Phospo Soda BOTOL 38.500

Natrium Fosfat 133 ml Fleet enema BOTOL 44.900

Neostigmin Hameln 0,5 mg / ml Neostigmin

Hameln Inj AMPUL 9.070

Nevirapin tablet 200 mg n/a btl 60 tablet 3.080

119

Nifedipin tab 20 mg, slow release;

oros

Adalat Oros

20 mg blister 3.255

Nifedipin tab 30 mg, oros Adalat Oros

30 mg blister 3.830

Nifedipin tablet/kapsul 10 mg n/a

Dus, 10 Strip @ 10 tablet salut

selaput

123

Nilotinib kapsul 150 mg TASIGNA TABLET 211.000

Nilotinib kapsul 200 mg TASIGNA TABLET 380.875

Nimodipine tab NIMOTOP Dus @ 10 X 10 's 3.375

Nimodipine infus NIMOTOP

INFUS BOTOL 116.485

Nistatin tablet salut 500.000 IU/ g n/a Dus @ 10 X 10 's 895 Nistatin tablet vaginal 100.000 IU/ g n/a Dus @ 10 X 10 's 628

Nikardipin inj 10 mg n/a AMPUL 44.565

Noretisteron tablet 5 mg NOSTHYRA blister 2.040

Obat Antituberkulosis FDC Kategori 1 n/a Paket 467.215

Obat Antituberkulosis FDC Kategori 2 n/a Paket 1.439.983

Obat Antituberkulosis FDC Kategori

Anak n/a Paket 247.238

Obat Antituberkulosis FDC Kategori

sisipan n/a Paket 191.983

Obat Anti Malaria

OBAT ANTI MALARIA DIHYDROARTE

MISININ 40 MG PIPERAQUINE PHOSPAT 320

MG

TABLET 3.498

Ofloxacin tablet 200 mg n/a Box ,5 Strip @

10 tablet 417

Ofloxacin tablet 400 mg n/a Box ,5 Strip @

10 tablet 663

Ofloksasin Tetes telinga 3%

Tarivid Otic Solution

botol 46.959

Ofloksasin Tetes telinga 3% AKILEN TTS

TELINGA BOTOL 51.600

Oksaliplatin serbuk injeksi 10 mg/vial

Oksaliplati n Medac 100

mg

VIAL 800.000

Oksaliplatin serbuk injeksi 50

mg/vial ELOXATIN VIAL 400.000

Oksaliplatin serbuk injeksi 50

mg/vial PLAXAT VIAL 400.000

Oksaliplatin serbuk injeksi 50 mg

DBL OXALIPLATIN

50 MG

VIAL 400.000

Oksaliplatin serbuk injeksi 50 mg/vial

OXALIPLATIN

MEDAC 50 MG VIAL 400.000

Oksaliplatin serbuk injeksi 100 mg/vial

DBL OXALIPLATIN

100 MG

VIAL 800.000

Oksaliplatin serbuk injeksi 100

mg/vial PLAXAT VIAL 800.000

Oksaliplatin serbuk injeksi 100

mg/vial ELOXATIN VIAL 800.000

Oksaliplatin serbuk injeksi 50

mg/vial REXTA VIAL 400.000

Oksimetazolin tetes hidung 0,025% Ilaidin

Drops botol @ 10 ml 36.000

Oksimetazolin tetes hidung 0,050% Ilaidin

spray botol @ 10 ml 37.000

Oksitosin inj 10 ui/ml OXYTOCIN

INJLQ 10 UI DUS, 10 AMPUL 1.900

Oktreotid 10 mg Sandostatin

LAR

Dus, vial @ 355m + 1 prefilled syringe pelarut

@ 2,5 ml + 2 jarum suntik

2.975.000

Oktreotid ASETAT 0,05-6 MG/ML Sandostatin ampul 63.000

Olanzapin kapl salut 5 mg Olandoz 5 3 X 10 fcc 4.499

Olanzapin tab 10 mg Onzapin TABLET 6.996

Olanzapin tab 10 mg Olandoz 10 3 X 10 fcc 12.320

Olanzapin Inj 10 mg/ml Zyprexa IM AMPUL 130.000

Olopatadine tts mata 0,1% Patanol botol 72.500

Omeprazol injeksi 40 mg/ 10 ml n/a Dus, 1 Vial @ 40

mg 20.737

Omeprazol kapsul/kaplet 20 mg n/a strip 176

ondansetron inj 4 mg/ 2 mL n/a Dus, 5 Ampul @

2ml 1.650

Ondansetron tab 4 mg n/a Box 3 X 10 Tab 566

Ondansetron tablet 8 mg Ondansetron Box 3 X 10 Tab 330

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

n/a

Transfer Set:

Set; Ultaclam:

Kantong Plastik;

Tenckoff Catheter: Box;

Titanium Adaptor: Kantong

Plastik

1.902.240

Paket CAPD Pergantian Transfer Set

per 6 bulan n/a Set 219.540

121

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %, Larutan Dialisa 4.25

%, Minicap)

Larutan Dialisa 1.5%:

Dianeal Low Calcium with 1,5%

Dextrose;

Larutan Dialisa 2.5%:

Dianeal Low Calcium with 2,5%

Dextrose;

Larutan Dialisa 4.25%:

Dianeal Low Calcium with 4.25%

Dextrose

Larutan Dialisa 1.5 %: 2.000 ml;

Larutan Dialisa 2.5 %: 2.000 ml;

Larutan Dialisa 4.25 %: 2.000

ml; Minicap:

Kantong Plastik

5.522.580

Paklitaksel injeksi 30 mg/vial SINDAXEL 30

MG/5 ML VIAL 200.000

Paklitaksel injeksi 30 mg/vial ANZATAX 30

MG/VIAL VIAL 200.000

Paklitaksel injeksi 30 mg/vial PACLIMEDAC VIAL 200.000

Paklitaksel injeksi 30 mg/vial NAPROTAX VIAL 200.000

Paklitaksel injeksi 30 mg/vial FONKOPAC VIAL 200.000

Paklitaksel injeksi 100 mg/vial n/a VIAL 500.000

Paklitaksel injeksi 100 mg/vial PACLIMEDAC VIAL 500.000

Paklitaksel injeksi 100 mg/vial FONKOPAC VIAL 500.000

Paklitaksel injeksi 100 mg/vial

Sindaksel 100 mg/16,67 ml

VIAL 500.000

Paklitaksel injeksi 300 mg/vial PACLIMEDAC

300 MG VIAL 1.500.000

Paklitaksel injeksi 300 mg/vial FANKOPAC

300 MG VIAL 1.500.000

Pantocain 0,5 % PANTOCAIN

0,5% BOTOL 11.500

Parasetamol sirup 120 mg / 5 ml n/a btl @ 60 ml 1.338

Parasetamol Drops 100 mg/ml n/a botol 15 ml 6.240

Parasetamol tablet 500 mg Parasetamol

kaplet STRIP 60

Pegylated interferon alfa-2b Serbuk Inj 80 mcg

Pegintron

Vial Boks, 1 pfs 1.150.000

Pegylated interferon alfa-2b Serbuk Inj 100 mcg

Pegintron Vial 100

mcg

Boks, 1 pfs 1.200.000

Pegylated interferon alfa-2b Serbuk Inj 120 mcg

Pegintron

PEN 120 mcg Boks, 1 pfs 1.400.000 Pegylated interferon alfa-2b Serbuk

Inj 50 mcg Pegintron Boks, 1 pfs 1.030.000

Pegylated interferon alfa-2a inj 135

mcg/0,5 ml Pegasys Boks, 1 pfs 1.077.815

Pegylated interferon alfa-2a inj 180

mcg/0,5 ml Pegasys Boks, 1 pfs 1.248.000

Perindoprilarginin tab 5 mg Bioprexum 5

mg Box 3 X 10 Tab 2.640

Permetrin krim 5% Scabimite

Cream 10 Tube @ 10 g 12.155 Petidin injeksi i.m/s.k/i.v lambat 50

mg/ml (HCl) n/a Ktk 10 ampx2ml 15,950.00

Pioglitazon tab 15 mg Actos dus 2 blister@ 7

Tablet 4.000

Pioglitazon tab 30 mg Gliabetes

30 mg Strip 5.225

Pirantel suspensi 125 mg/5 ml n/a Botol 60 ml 9.100

Pirantel tablet score (base) 125 mg n/a Dus, 25 Blister

@ 4 tablet 333

Pirazinamid tablet 500 mg n/a Dus 10 strip @

10 tablet 252

Piridoksin (Vitamin B6) 10 mg a/n Dus 10 strip @

10 tablet 142

Piridoksin (Vitamin B6) 25 mg a/n Dus 10 strip @

10 tablet 67 Piridoksin (Vitamin B6) inj 100 mg/ml a/n Dus, 30 ampul 1.215

Piridostigmin Mestinon BOTOL 7.447

Polikresulen cairan Aptil Dus, Botol @

10ml 18.635

Polietilen glikol Niflec BOTOL 123.200

Povidon Iodida larutan 10% 60 ml n/a Botol 60 ml 6.700

Povidon Iodida larutan 10% 1000 ml n/a botol @ 1000 ml 40.202

Povidon Iodida larutan 10% 30 ml n/a botol @ 30 ml 2.344

Povidon Iodida larutan 10% 300 ml n/a botol @ 300 ml 15.386

Pramipeksol tab ER 0,375 mg Sifrol ER

0,375mg

Dus, 3 alu blister @ 10

tablet

8.000

Pramipeksol tab ER 0,750 mg Sifrol ER

0,750mg

Dus, 3 alu blister @ 10

tablet

12.700

Pravastatin tablet 20 mg n/a Box ,5 Strip @

10 tablet 2.695

Primaquin tablet 15 mg n/a Dus, 10 Strip @

10 tablet 269

Probenesid tablet 500 mg Probenid Dus, 10 Strip @

10 tablet 2.100 Prokain Benzilpenisilin serbuk

injeksi 3 juta iu n/a vial 10.339

123

Propanolol tablet 10 mg ( HCl ) n/a Dus, 10 Strip @

10 tablet 71

Propranolol tablet 40 mg (HCl) n/a Dus, 10 strip @

10 tablet 114

Prokaterol Cairan Inhalasi 30 mcg

Meptin Inhalation

Solution 0,3 ml

Botol 5.800

Prokaterol Cairan Inhalasi 50 mcg

Meptin Inhalation

Solution 0,5 ml

botol 5.800

Prokaterol serbuk inhaler 10 mcg Meptin

swinghaler Botol 82.000

Propiltiouracil tablet 100 mg n/a Dus, 10 strip @

10 tablet 334

Propofol injeksi i.v bolus 1% FRESOFOL 1% BOTOL 11.649

Quetiapin tab 200 mg Seroquel XR

200 mg

Dus, 1 blister @

10 tablet 19.000

Quetiapin tab 300 mg Seroquel XR

300 mg

Dus, 1 blister @

10 tablet 20.500

Quetiapin tab 400 mg Seroquel XR

400 mg

Dus, 1 blister @

10 tablet 24.900

Ramipril tablet 5 mg n/a Dus, 10 Strip @

10 kaptab 750

Ramipril tablet 2,5 mg n/a Dus, 10 Strip @

10 kaptab 340

Ranitidin injeksi 25 mg/2 ml n/a Dus, 10 Ampul @

2 ml 1.670

Ranitidin tablet 150 mg n/a Dus, 10 Strip @

10 Tablet 128

Retinol (Vitamin A) 100.000 IU n/a Botol 50 kapsul

lunak 341

Rifampicin Kaplet 300 mg n/a Dus, 10 Strip @

10 Tablet 819

Rifampicin Kaplet 450 mg n/a Dus, 10 Strip @

10 Tablet 1.076

Rifampicin Kaplet 600 mg n/a Dus, 10 Strip @

10 Tablet 1.482

Ringer Laktat larutan infus n/a botol 500 ml 7.150

Risperidon tablet 1 mg n/a Dus, 5 Blister @

10 tablet 499

Risperidon tablet 2 mg n/a KOTAK @ 5 x 10

TAB 550

Risperidon tablet 3 mg n/a Dus, 5 Blister @

10 tablet 891

Rituksimab injeksi 100 mg/10ml mabthera

100mg/10ml AMPUL 3.164.805

Rituksimab injeksi 500 mg/50ml mabthera

500mg/50ml AMPUL 3.164.805

Rivaroksaban Tablet 10 mg Xarelto 10

mg Tablet 23.500

Rivaroksaban Tablet 15 mg Xarelto 15

mg Tablet 23.500

Rivaroksaban Tablet 20 mg Xarelto 20

mg Tablet 23.500

Ropinirol Tablet Salut 2 mg

Requip PD 24 Hour 2

mg

Dus, 7 blister @ 4 Tablet lepas

Lambat

5.750

Ropinirol Tablet Salut 4 mg

Requip PD 24 Hour 4

mg

Dus, 7 blister @ 4 Tablet lepas

Lambat

6.850

Ropinirol Tablet Salut 8 mg

Requip PD 24 Hour 8

mg

Dus, 7 blister @ 4 Tablet lepas

Lambat

8.000

Rosuvastatin 10 mg Recansa 10 Dus, 10 Strip @

10 Tablet 2.200

Salbutamol Sirup n/a botol 60 ml 5.700

Salbutamol Sirup 2 mg/5 ml SALBRON botol 60 ml 11.495

Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin Inhaler

Dus, botol 200

dosis 70.125

Salbutamol serb inh 200 mcg/kaps Ventolin

Rotacaps

Dus, 10 Blister

@ 10 Kapsul 450

Salbutamol Cairan ih 0,1% Ventolin

Nebules 4.000

Salbutamol serb inh 200 mcg/kaps + rotahaler

Ventolin

Rotahaler Dus, 1 Rotahaler 6.550 Salbutamol tablet 2 mg (sebagai

Sulfat) n/a ktk 10 x 10

tablet 64 Salbutamol tablet 4 mg (sebagai

Sulfat) n/a ktk 10 x 10

tablet 79 Salep 2-4, Kombinasi: Asam salisilat

2% + belerang endap 4% n/a tube 2.917

Sefadroksil sirup kering 125 mg/5ml n/a Dus, Botol 60 ml 5.286

Sefadroksil kapsul/kaplet 250 mg n/a Dus, 5 strip @

10 kapsul 564

Sefadroksil kapsul/kaplet 500 mg n/a Dus, 10 strip @

10 kapsul 557 Sefadroksil sir kering 250 mg/5 mL n/a Dus, Botol 60 ml 6.125

Sefaleksin kapsul/kaplet 500 mg n/a Dus, 5 Strip @

10 Kapsul 771

Sefazolin serbuk injeksi 1 gr/vial n/a 19.700

Sefepim inj 1 g n/a Box 2 Vial @

1000mg 39.989

Sefiksim kapsul/kaplet 100 mg n/a Dus, 10 blister

@ 10 kapsul 700

Sefiksim sirup kering 100 mg/ 5 ml n/a Dus, Botol 30 ml 6.681

Sefotaksim injeksi 0,5 g n/a Dus, 2 vial @

500 mg 6.785

Sefotaksim injeksi 1 g n/a Dus, 10 Vial @ 1

g 3.500

125

Sefoperazone injeksi 1 gram n/a VIAL 27.200 Sefpodoksim proksetil tab 100 mg Banadoz 100 Dus, 3 blister @

10 tablet 4.250

Seftazidim injeksi 1 g n/a Dus, 2 vial @ 1

g 16.900

Sevorane Sevorane

250 ml BOTOL 1.201.830

Seftriakson serbuk injeksi 1 g/vial n/a Dus, 10 Vial @ 1

g 3.900

Sertralin tablet 50 mg Fridep 50

mg

Box, 10 strips @

10 capsules 2.554

Sefuroksim Tablet 500 mg Zinnat Tablet 7.200

Sefuroksim Tablet 250 mg Zinnat Tablet 5.227

Sefuroksim serbuk injeksi 750 mg OXTERCID

750 INJ Tablet 41.580

Setirizin tablet 10 mg n/a Box, 10 strips @

10 capsules 156

Setirizin Sirup 5 mg/ 5 ml n/a Botol 8.094

Setuksimab infus 5 mg/ml ERBITUX botol 3.650.000

Sianokobalamin (vitamin b12) inj 500

mcg n/a ampul 1.283

Siklofosfamid serbuk injeksi i.v.

1000 mg

Cyclovid

1000 mg vial 248.380

Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid

200 mg vial 83.600

Siklofosfamid serbuk injeksi i.v. 500 mg

Cyclovid

500 mg vial 129.500

Siklosporin kaps 100 mg

Sandimmun Neoral 100mg Kap

Dus, 10 blister

@ 5 kapsul lunak 42.500

Siklosporin kapsul lunak 25 mg

Sandimmun Neoral 25mg

Kap

Dus, 10 blister

@ 5 kapsul lunak 11.800

Simvastatin scored tablet 10 mg n/a

Dus, 3 Strip @ 10 Kaplet salut

selaput

136

Simvastatin tablet 20 mg n/a

Dus, 3 Strip @ 10 Kaplet salut

selaput

252

Siprofloksasin infus 2% n/a Vial 200 ml 14.795

Siprofloksasin tablet 500 mg (sebagai

HCl) n/a Dus, 10 blister

@ 10 tab ss 309

Spiramisin tablet 500 mg n/a Dus, 5 strip @

10 tablet 1.649

Spironolakton tablet 100 mg n/a Dus, 10 Strip @

10 tablet 878

Spironolakton tablet 25 mg n/a Dus, 10 Strip @

10 tablet 328

Sucralfat tab 500 mg Ulsafate Dus, 10 Strip @

10 tablet 470

Sucralfat Susp 500 mg/5 ml, 100 ml n/a botol 60 ml 7.789

Sufentanil injeksi iv, epidural 5 mcg/ml

Sufentanyl Injeksi iv.Epidural

5 mcg / ml

vial 166.400

Streptomisin Serbuk Injeksi IV 1000

mg/ml n/a Vial 6.000

Takrolimus kaps 0.5 mg Prograf capsul 12.850

Takrolimus kaps 1 mg Prograf capsul 25.800

Tamsulosin tab 0,2 mg

Harnal ® D 0.2 mg

Disp.

Tablet

Box/ 2 blister @

14 tablet 5.800

Tamsulosin tab 0,2 mg Harnal D Box @ 2 blister

@ 14 tablet 7.100

Tamsulosin tab SR 0,4 mg

Harnal ® OCAS 0.4 mg

Tablet

Box/ 3 blister @

10 Tablet 6.800

Tapros 3,75 mg Tapros 3,75

mg Tablet 655.000

Tenovovir Tablet 300 mg n/a Tablet 10.109

Telbivudin tab 600 mg Sebivo 600

mg Tab

Dus, 2 blister @

14 tablet 28.300

Telmisartan tab 80 mg MiCARDIS 80

MG Tablet 6.500

Telmisartan tab 40 mg MICARDIS 40

MG Tablet 3.900

Temozolamide kaps 100 mg TEMODAL kapsul 1.150.000

Temozolamide kaps 20 mg TEMODAL kapsul 225.000

Teofilin tab 150 mg Bronsolvan Dus, 10 Strip @

10 tablet 320

Terazosin HCL 1 mg HYTRIN 1 MG Dus, 10 Strip @

10 tablet 975

Terazosin HCL 2 mg HYTRIN 2 MG Dus, 10 Strip @

10 tablet 1.425

Terbutalin cairan ih 2,5 mg/mL Bricasma

Respules

Dus, 2 pak @ 5

respules 6.850

Terbutalin tablet 2,5 mg Molasma

Tablet Box 50's 96

Terbutalin Sulfat 1,5 mg/ 5 ml Tabas Sirup BOTOL 8.750

Terbutalin turbu (serbuk ih) 0,50 mg

Bricasma Turbuhaler

0,5 mg

Dus, 1 Turbuhaler @ 200

dosis

56.012

Testosteron Soft Kapsul 40 mg Andriol

Testoskap Tablet 6.200

Tetrakain HCl tetes mata 0,5% Pantocain

0.5% botol 5 ml 11.500

Tetrasiklin kapsul/kaplet 250 mg n/a Dus, 10 strip @

10 kapsul 174

Tetrasiklin kapsul/kaplet 500 mg n/a Dus, 10 strip @

10 kapsul 310

Tiamazol tab 10 mg Thyrozol 10 Dus, 10 blister

@ 10 tablet 1.195

127

Tiamazol tab 5 mg Thyrozol 5 Dus, 10 blister

@ 10 tablet 610

Tiamin ( Vitamin B1) tablet 50 mg n/a Dus, 10 blister

@ 10 tablet 88

Timolol tetes mata 0,25%

Isotic Adretor

0,25%

Dus, Botol

Plastik @ 5ml 10.775

Timolol tetes mata 0,5%

Isotic Adretor

0,5%

Dus, Botol

Plastik @ 5ml 12.975

Ticagreior 90 mg Brilinta 90

mg Tablet 7.500

Topiramat Tablet 50 mg Topamax Blister 5.980

Topiramat Tablet 25 mg Topamax Blister 3.950

Topiramat Tablet 100 mg Topamax Blister 9.475

Tiotropium kaps 18 mcg + handihaller

Spiriva 10s + Handihaler

Dus, 1 blister

@10 kapsul + handihaler

162.000

Tiotropium 18 mcg serbuk inhalasi refill

Spiriva powder for inhalation 18 mcg 30s

BOTOL 14.750

Tramadol injeksi 50 mg/ml n/a Dus, 10 Ampul @

2 ml 2.070 Trastuzumab serbuk injeksi 440

mg/vial HERCEPTIN vial 19.608.034

Travoprost tetes mata 0,004% Travatan botol, tetes

mata 2,5 ml 80.000 Triamsinolon asetonid nasal spray 55

mcg/puff Nasacort AQ

Dus, botol plastik 120

dosis

106.750

Triamsinolone inj 10 mg/ml Flamicort vial 85.900

Trifluoperazin tablet 5 mg n/a strip 445

Triheksifenidil tablet 2 mg n/a Dus, 10 blister

@ 10 tablet 106

Ursodeoxycholic Acid 250 mg n/a Tablet 4.110

Urea krim 10% Soft U Derm tube 6.885

Vaksin DPT-HB-HiB Pentabio vial 76.285

Vaksin Rabies, untuk manusia serb inj

sk/ik+ booster RABIPUR VIAL 78.500

Vaksin polio inj (Vaksin

Poliomyelitis yang diinaktifkan)

Imovax Polio

1 vial of 10ml

(10 d's) 285.000

Vaksin BCG -SII BCG VACCINE

(GS) VIAL 59.950

Vaksin BCG -SII BCG VACCINE

(SII) VIAL 59.950

Vaksin BCG Inj ik 0,75mg/ml +pelarut BCG VACCINE

SSI VIAL 59.950

Vaksin BCG KERING n/a VIAL 59.950

Vaksin Polio t-OPV drops 10 dosis n/a Vial 19.954

Vaksin Polio b-OPV drops 10 dosis

Bivalent Oral Poliomyelit

is

Vial 19.954

Vaksin Polio t-OPV drops 20 dosis n/a Vial 34.815

Vaksin Jerap tetanus ( tetanus

adsorbed toxoid /TT) INJ iv n/a Vial 14.498

Vaksin Jerap difteri tetanus( Td)

cairan INJ im 4/15 if per ml n/a Vial 16.500

Vaksin Jerap difteri tetanus( Td)

cairan INJ im 40/15 if per ml n/a Vial 17.798

Vaksin campak inj s.k + pelarut n/a vial 26.204

Vaksin Meningitis n/a vial 214.500

Valgansiklovir tablet 450 mg Valcyte Tablet 170.000

Valproat tab SR 250 mg Depakote ER

250 mg Tablet 2.990

Valproat tab SR 500 mg Depakote ER

500 mg Tablet 6.000

Valproat sirup 250 mg/5ml DEPAKENE Botol 41.800

Valsartan tab 80 mg n/a Dus, 2 blister @

14 tablet 1.800

Valsartan tab 160 mg n/a Dus, 2 blister @

14 tablet 2.700

Vankomicin serbuk injeksi 500 mg Vancep vial 121.995

Vasopresin injeksi im/sk 20 ui/ml Farpresin vial 77.000

Verapamil tab 240 mg Isoptin 240

mg Tablet 377

Verapamil tablet 80 mg (HCl) n/a Ktk 10X10 TAB 296

Vinblastin serbuk injeksi 10 mg Vinblastine Vial 10mg/10ml 225,000.00

Vinorelbin inj. 10 mg/ml Vial Vinorelsin vial 685.750

Vinorelbin inj. 10 mg/ml Navebine

injeksi 10

Dus, 1 vial @ 1

ml 1.229.998

Vinkristin Ser Inj 1 mg iv Vincristine

Kalbe vial 48.500

Vinkristin Ser Inj 2 mg iv Vincristine

Kalbe vial 84.250

Vitamin B Kompleks tablet n/a Dus 10 strip x

10 tab 138

Warfarin Tablet 2 mg SIMARC 2 Dus 10 strip x

10 tab 950

Warfarin Tablet 1 mg n/a Dus 10 strip x

10 tab 979 Zidovudin 300 mg + Lamivudine 150 mg n/a Botol 60 tablet 4.618

Zidovudin 100 MG n/a Botol 60 tablet 2.040

129

Zinc elemntal 10 mg/mL Zincpro Drops

Drops 10 mg/ml,

Botol @15 ml 12.100

Zinc sirup 10 mg/ml n/a boto, 60 ml 16.478

Zinc Cair 20 mg/ 5 ml Interzinc

Sir Botol 60 ml 6.600

Zinc sir 20 mg/5 Ml Zircum Kid

Sirup Dus, botol 60 ml 8.140

Zinc tablet dispersible20 mg n/a

Dus, 10 strip @ 10 tablet dispersible

618

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