JANUARIDAFTAR FAKTUR JANUARI 2015NONAMA REKANANNO. FAKTURTANGGAL FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN OBATKETERANGANHARGA SATUANSTATUS PEMBAYARANBLN PEMBAYARANTOTAL1PT. KIMIA FARMA00000035010/JANUARI/201525,850,000NATRIUM KLORIDALARUTAN ELEKTROLIT, NUTRISI LAIN5000 Botol@500 ml5,170BPJS25/MARET/201500000035512/JANUARI/201545,760,000RINGER LAKTATLARUTAN ELEKTROLIT, NUTRISI LAIN8000 BOTOL @500 ML5,720JAMKESDA25/MARET/201500000092921/JANUARI/20154,780,050ETHAMBUTHOL 500 MLANTIINFEKSI100 BOX@100 TAB478JAMKESDA25/MARET/201500000145231/JANUARI/201537,306,500FENTANYL INJANESTETIK1000 AMPUL37,307JAMKESDA25/MARET/201500000145331/JANUARI/201516,500,000CODEIN 10 MG TABLETPSIKOFARMAKA300 BOX@100 TAB550JAMKESDA25/MARET/201500000145531/JANUARI/2015700,920PHENOBARBITAL 30 MG TABPSIKOFARMAKA100 BTL@100 TAB70JAMKESDA25/MARET/201500000153431/JANUARI/2015470,030DIAZEPAM 2 MG TABPSIKOFARMAKA100 BTL@100 TAB47JAMKESDA25/MARET/2015131,367,5002PT. ANUGRAH ARGON68121500476930/JANUARI/20151,375,000AMINEFRON VITAMIN DAN MINERAL2 BOX@100 TAB6,875JAMKESDA25/MARET/2015MEDICA68121500471530/JANUARI/20158,500,000TETAGAMANTIINFEKSI50 BOX@1 SYRINGE170,000BPJS25/MARET/201568121500473630/JANUARI/20153,570,600MERTIGO 6 MGTABANTIMIGRAIN3 BOX@100TAB3,047JAMKESDA25/MARET/2015PSIDII KAPSULOBAT YANG MEMPENGARUHI DARAH2 BOX250 KAPS3,960PSIDII SYRUPOBAT YANG MEMPENGARUHI DARAH6 BOTOL33,000VACLO TABKARDIOVASKULER5 BOX@30 TAB13,75086121500473730/JANUARI/20154,999,825SPIRONOLACTON 100 MG TABANTIINFEKSI50 BOX@100 TAB1,000JAMKESDA25/MARET/2015TERBAYAR4,999,824SELISIH1KELUARAN SISTEM18,445,4253PT. ROYAL MEDICARFJ.0115.0038121/JANUARI/20155,445,000VIP ALBUMINVITAMIN DAN MINERAL30 BTL@30 KAPS6,050JAMKESDA25/MARET/20155,445,0004PT. ANUGRAH PHARMINDO826105140010/JANUARI/201511,000,000PARASETAMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500 BOTOL22,000JAMKESDA25/MARET/2015LESTARI826105311916/JANUAR/20153,664,001HARNAL OCASKARDIOVASKULER10 BOX@30 TAB6,800JAMKESDA25/MARET/2015HARNAL 0,2 MG TABKARDIOVASKULER10 BOX@28 TAB5800826105467223/JANUARI/20151,999,512ATRACURIUM HAMELNANESTETIK20 BOX@5 AMP19,995JAMKESDA25/MARET/2015826105523326/JANUARI/20153,169,980KETAMIN HAMELNKARDIOVASKULER50 VIAL63,400JAMKESDA25/MARET/2015826105548827/JANUARI/2015836,000DEPAKENE SYRUPANTIEPILEPSI20 BOTOL41,800JAMKESDA25/FEBRUARI/2015826105642529/JANUARI/20159,900,000PARASETAMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500 BOTOL19,800JAMKESDA15/APRIL/201530,569,4935PT. SAPTA SARI TAMA23-00127728/JANUARI/20155,621,000NUTRIFLAM TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX@60 TAB9,368JAMKESDA15/APRIL/201523-00148131/JANUARI/20152,278,100SEFADROXIL SYRUPANTIINFEKSI200 BOTOL5,286JAMKESDA15/APRIL/2015ZIRKUM KIDS SYRUPVITAMIN DAN MINERAL150 BOTOL8,14023-00151831/JANUARI/20155,480,475NUTRIFLAM TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX@60 TAB9,134JAMKESDA15/APRIL/201513,379,5756PT. MERAPI UTAMA 10-37770331/JANUARI/201512,512,500MEIACT TABANTIINFEKSI10 BOX@20 TAB19,250JAMKESDA25/FEBRUARI/2015PHARMAFOSMICIN 2 GR INJEKSIANTIINFEKSI50 VIAL173,25012,512,5007PT. PENTA VALENT0132 80 1529/JANUARI/20156,160,000PROLIVA KAPLETANALGESIK, ANTIPIRETIK, ANTIINFLA40 BOX@20 KAPLET7,700BPJS25/MARET/2015000022230132 80 15 29/JANUARI/201515,400,000SOLVINEX INJSALURAN NAFAS50 BOX@10 AMP30,800BPJS25/MARET/2015000022230132 80 1531/JANUARI/20152,477,475GOFLEX TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX@30 TAB8,258JAMKESDA25/MARET/2015000023730132 80 1531/JANUARI/20152,420,000NERVA 5000 MG KAPLETVITAMIN DAN MINERAL5 BOX@50 TAB2,420JAMKESDA15/APRIL/201500002420VIOQUIN TABLETANTIINFEKSI5 BOX@30 TAB12,10026,457,4758PT. DAYA MUDA AGUNG00024914/JANUARI/201538,721,128PANTOPRAZOLE INJSALURAN CERNA400 VIAL40,003BPJS25/MARET/2015TERBAYAR38,721,127SELISIH1KELUARAN SISTEMMELOXICAM 15 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA150 BOX@50 TAB598MELOXICAM 7,5 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA150 BOX@50 TAB380ONDANSETRON INJSALURAN CERNA300BOX@10 AMP2,400PANTOPRAZOLE TABSALURAN CERNA93 BOX@10 TAB8,80000072831/JANUARI/201524,400,200ONDANSETRON INJSALURAN CERNA100 BOX@10AMP2,400JAMKESDA25/MARET/2015PANTOPRAZOLE INJSALURAN CERNA500 VIAL44,00263,121,3289PT. MILLENIUM PHARMACON13121500212531/JANUARI/20155,761,800L-ZINC SYRUPSALURAN CERNA12 BOTOL30,800JAMKESDA25/MARET/2015INTERNATIONALL- BIOSALURAN CERNA10 BOX@10 SACHET5,500TOFEDEX TABANTIINFEKSI5 BOX@30 TAB5,720TARIFLOX 400 MGANTIINFEKSI3 BOX@30 TAB14,300LAPICEF SYRUPANTIINFEKSI6 BOTOL41,800DOM SYRUPSALURAN CERNA3 BOTOL36,300CAL-95VITAMIN DAN MINERAL5 BOX@30 TAB3,850LASAL SYRUPSALURAN NAFAS6 BOTOL22,000LASAL EXPECTORAN SYRUPSALURAN NAFAS12 BOTOL34,10013121500212431/JANUARI/201512,864,500IMUNOS KAPLETVITAMIN DAN MINERAL10 BOX@20 TAB6,050JAMKESDA25/MARET/2015IMUNOS PLUS KAPLETVITAMIN DAN MINERAL5 BOX@20 TAB8,250TOPAZOL INJANTIINFEKSI20 VIAL137,500LAPIBAL INJVITAMIN DAN MINERAL10 BOX@5AMP20,900NEUCITI 500 MG TABANTIINFEKSI10 BOX@30 TAB8,800LAPIFLOX 500 MG TABANTIINFEKSI10 BOX@30 TAB12,100EYEFIT TABOBAT MATA5BOX@30TAB4,400LAPIMOX 500 MG KAPLETANTIINFEKSI1 BOX@100 TAB2,420CRAVOX 500 MG TABANTIINFEKSI2 BOX@10 TAB33,000LAPIBAL 500 MCG VITAMIN DAN MINERAL5 BOX@100 TAB2,03518,626,30010PT. ENSEVAL PUTERA31500022329/JANUARI/201512,799,999HEMAPO INJEKSIPRODUK DARAH & PENGGANTI PLASMA100 SYRYNGE128,000BPJS25/MARET/2015TERBAYAR12,800,400SELISIH401KELUARAN SISTEMMEGATRADING31500023930/JANUARI/20155,355,000CLOPIDOGREL 75 MG TABKARDIOVASKULER50 BOX@30 KAPL3,570JAMKESDA25/MARET/2015TERBAYAR5,355,020SELISIH20KELUARAN SISTEM11500642730/JANUARI/20153,152,661CAPTOPRIL 25 MG TABOBAT YANG MEMPENGARUHI DARAH30 BOX@100TAB138JAMKESDA25/MARET/2015TERBAYAR3,152,660SELISIH1KELUARAN SISTEMCAPTOPRIL 50 MG TABOBAT YANG MEMPENGARUHI DARAH10 BOX@50 TAB224DOMPERIDONE SYRUP SALURAN CERNA150 BOTOL9,045METFORMIN 500 MG TABHORMON, OBAT ENDOKRIN100 BOX@100 TAB12721,307,66011PT. PARIT PADANG GLOBALM191500132815/JANUARI/20151,071,369SALBUTAMOL 2 MG TABSALURAN NAFAS150 BOX@100 TAB71BPJS25/MARET/2015M191500161817/JANUARI/201536,300,000METRONIDAZOL INFUSANTIINFEKSI3000 BOTOL12,100JAMKESDA25/MARET/2015TERBAYAR29,700,000SELISIH6,600,000SALAH HARGATGL SP 16/JANUARI/2015TGL SPK 15/JANUARI/2015M191500353929/JANUARI/201528,215,000COYARIN 625 CAPLETANTIINFEKSI500 BOTOL@15 TAB3,762JAMKESDA25/MARET/2015M191500361330/JANUARI/201515,950,000BUNASCAN SPINALANESTETIK50 BOX@5 AMP63,800JAMKESDA25/MARET/2015M191500361130/JANUARI/20156,270,000LACTAFAR TABVITAMIN DAN MINERAL50 BOX@30 TAB4,180JAMKESDA25/MARET/2015M191500361230/JANUARI/201511,880,000STOBLED CAPSULANALGESIK, ANTIPIRETIK, ANTIINFLA100 BOX@16 CAPS7,425JAMKESDA25/MARET/2015M191500399731/JANUARI/201522,481,250FARBION 5000 INJVITAMIN DAN MINERAL500 BOX@5AMP3,878JAMKESDA15/APRIL/2015 FARMAVON INJSALURAN NAFAS50 BOX@10 AMP25,575JAMKESDA15/APRIL/2015M191500399331/JANUARI/20158,791,200TERREL 250 MLANESTETIK6 BOTOL1,465,200JAMKESDA15/APRIL/2015M191500399231/JANUARI/201516,528,600RINDOBION KAPLETVITAMIN DAN MINERAL250 BOX@100TAB661JAMKESDA15/APRIL/2015M191500401431/JANUARI/20151,980,000SOTATIC INJSALURAN CEERNA150 BOX@5AMP2,640JAMKESDA15/APRIL/2015tdk ada diskon di fakturM191500404631/JANUARI/201524,200,000CEFOPERAZONE INNJANTIINFEKSI200 BOX@2VIAL60,500M191500403531/JANUARI/201511,286,000COYARIN 625 CAPLETANTIINFEKSI200 BOX@15 TAB3,762JAMKESDA15/APRIL/2015184,953,41912PT. INDOFARMA GLOBAL711NV.12.2014.1460902/JANUARI/2015842,706AMBROXOL 30 MG TABLETSALURAN NAFAS71 BOX@100 TAB119JAMKESDA28/FEBRUARI/2015TERBAYAR842,707SELISIH1KELUARAN SISTEMMEDIKA711NV.01.2015.18210/JANUARI/201531,436,488DEXAMETHASON INJANALGESIK, ANTIPIRETIK, ANTIINFLA200BOX@100 AMP1,550BPJS25/MARET/2015TERBAYAR31,436,487SELISIH1KELUARAN SISTEMTGL SP 09/JANUARI/2015PTU TABPSIKOFARMAKA15 BOTOL@100 TAB291711NV.01.2015.95120/JANUARI/201528,600,000RINGER LAKTATLARUTAN ELEKTROLIT, NUTRISI LAIN5000 BOTOL5,720JAMKESDA25/MARET/2015711NV.01.2015.95020/JANUARI/2015572,000PARASETAMOL DROPSANALGESIK, ANTIPIRETIK, ANTIINFLA100 BOTOL5,720JAMKESDA15/APRIL/2015711NV.01.2015.99930/JANUARI/20158,249,175ALBUMAN PRODUK DARAH DAN PENGGANTI PLASMA10 BOTOL@100 ML824,918JAMKESDA25/MARET/201568,857,66313PT. BINA SAN PRIMA1335709/JANUARI/201542,932,615TERACEF INJANTIINFEKSI56 VIAL204,952JAMKESDA15/APRIL/2015PELASTIN INJANTIINFEKSI36 VIAL325,589BAQUINOR FORET KAPLETANTIINFEKSI10BOX@20 TABLET13,536SPORETIK 100 MGANTIINFEKSI10 BOX@30 TABLET19,168FORMUNO KAPLETVITAMIN DAN MINERAL5 BOX@30 TABLET6,105OSTELOX 15 MG TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX@20 TABLET8,910SANEXON 4 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS5 BOX@100 TABLET2,123SANEXON 8 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS2 BOX@100 TABLET3,344SANEXON 16 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS3 BOX@30 TABLET5,379TAXEGRAM 1 GRANTIINFEKSI24 VIAL138,655ELKANA CL EMULSIVITAMIN DAN MINERAL24 BOTOL46,145BUFECT SUSPENSIANALGESIK, ANTIPIRETIK, ANTIINFLA12 FLES14,047PRENAMIA KAPSULVITAMIN DAN MINERAL10 BOX@100 TABLET1,051SANFULIQ TABLETVITAMIN DAN MINERAL5 BOX@30 TABLET4,7360461212/JANUARI/20157,379,761TRIDEX INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN720 SOFTBAG10,250JAMKESDA15/APRIL/2015TERBAYAR7,199,992SELISIH179,769HARGA TDK SESUAITGL SP 11/JANUARI/2015TGL SPK 10/JANUARI/20150665615/JANUARI/201528,049,953MEGABAL KAPASULVITAMIN DAN MINERAL200 BOX@100 TABLET715JAMKESDA15/APRIL/2015TERBAYAR28,049,952SELISIH1KELUARAN SISTEMSANMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500 BOTOL27,5000665515/JANUARI/201512,870,000BECOM-CVITAMIN DAN MINERAL100 BOX@100 TABLET1,287JAMKESDA15/APRIL/2015TERBAYAR0666115/JANUARI/201517,600,042SANTAGESIK INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA800 BOX@5 AMPUL4,400JAMKESDA15/APRIL/2015TERBAYAR17,600,041SELISIH1KELUARAN SISTEMREVISI HARGA0668315/JANUARI/20153,520,000ANBACIM INJEKSIANTIINFEKSI100 VIAL35,2000877819/JANUARI/201550,107,783INFUMAL INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN480 SOFTBAG66,057JAMKESDA15/APRIL/2015LIVAMIN 500 ML INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN120 BOTOL153,3370945720/JANUARI/20159,570,000BISANBE KAPSULVITAMIN DAN MINERAL100 BOX@100 TABLET957JAMKESDA15/APRIL/20150936620/JANUARI/201510,449,164EPISAN SUSPENSISALURAN CERNA500 BOTOL20,898JAMKESDA15/APRIL/20151042822/JANUARI/20153,814,800STOLAX SUPPOSITORIASALURAN CERNA100 BOX@6 SUPPO6,358JAMKESDA25/MARET/20151119123/JANUARI/20155,500,605VALISANBE INJPSIKOFARMAKA100 BOX@10 AMPUL5,501JAMKESDA15/APRIL/20151292626/JANUARI/201517,599,897ANBACIM INJEKSIANTIINFEKSI500 VIAL35,200JAMKESDA15/APRIL/20151547730/JANUARI/201516,718,662EPISAN SUSPENSISALURAN CERNA800 BOTOL20,898JAMKESDA15/APRIL/20151547830/JANUARI/201520,239,881ANBACIM INJEKSIANTIINFEKSI575 VIAL35,200JAMKESDA15/APRIL/20151635631/JANUARI/20152,887,489INTRICEF INJEKSIANTIINFEKSI6 VIAL165,842JAMKESDA15/APRIL/2015NOTRITIS KAPLETANALGESIK, ANTIPIRETIK, ANTIINFLA5 BOX@50 KAPLET3,256CEFACEF KAPSULANTIINFEKSI2 BOX@30 KAPSUL17,9741570531/JANUARI/201518,658,750PROANEST INJANESTETIK50 BOX@5 AMPUL74,635JAMKESDA15/APRIL/20151570631/JANUARI/201539,882,276LIVAMIN 500 ML INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN60 BOTOL153,337JAMKESDA15/APRIL/2015TERBAYAR39,762,430SELISIH119,846HARGA TDK SESUAITGL SP 30/JANUARI/2015TGL SPK 29/JANUARI/2015INFUMAL INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN390 SOFTBAG66,057TRIDEX INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN480 SOFTBAG10,250307,781,67814PT. ANTARMITRA SEMBADAQ1QZ88905/JANUARI/20151,386,000BETAHISTIN TABLETANTIMIGRAIN100 BOX@30 TAB462JAMKESDA25/MARET/2015Q1RC15015/JANUARI/20157,982,700PANTOPRAZOLE INJSALURAN CERNA200 VIAL39,914JAMKESDA25/MARET/2015Q1RC24115/JANUARI/20156,875,012MELOXICAM 15 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA200 BOX@50 TAB600BPJS25/MARET/2015NATRIUM DIKLOFENAK ANALGESIK, ANTIPIRETIK, ANTIINFLA100 BOX@50 TAB176Q1RF80630/JANUARI/201512,972,960LANSOPRAZOLE 30 MG TABSALURAN CERNA1000 BOX@20 TAB649JAMKESDA25/MARET/2015Q1RF80930/JANUARI/201533,440,000MECOBALAMIN INJVITAMIN DAN MINERAL300 BOX@10 AMP7,480JAMKESDA25/MARET/2015CEFTIZOXIME INJEKSIANTIINFEKSI50 BOX@2VIAL110,00062,656,67215PT. MENSA BINA SUKSESCD18789178120/JANUARI/20156,600,000DIFLOXINANTIINFEKSI20 BOX@10 TAB27,500JAMKESDA25/MARET/2015TERBAYAR2,750,000SELISIH3,850,000ROCER TABSALURAN CERNA5 BOX@20 TAB11,000CD18788975228/JANUARI/201514,190,000CARSIVE INJOBAT YANG MEMPENGARUHI DARAH10 BOX@10 AMP130,900JAMKESDA25/MARET/2015LANAKELOID CREAMOBAT KULIT TOPIKAL20 TUBE55,000CD18788975428/JANUARI/20155,280,000LESICHOL SOFT KAPSULVITAMIN DAN MINERAL10 BOX@60 KAPSUL8,800JAMKESDA25/MARET/2015CD18789821230/JANUARI/20152,917,843PTU 100 MG TABLETHORMON,ENDOKRIN,100 BOTOL@100 TAB292JAMKESDA25/MARET/2015CD18791155931/JANUARI/20153,565,782STESOLID RECTAL 5 MGPSIKOFARMAKA50 BOX@ 5 ALUBAG14,263JAMKESDA25/MARET/2015CD18791344231/JANUARI/20153,927,000CARSIVE INJOBAT YANG MEMPENGARUHI DARAH3 BOX@10 AMP130,900JAMKESDA25/MARET/2015CD18791098831/JANUARI/201520,119,770ALPRAZOLAM 1 MG TABPSIKOFARMAKA100 BOX@100 TAB875JAMKESDA25/MARET/2015ALPRAZOLAM 0,5 MG TABPSIKOFARMAKA200 BOX@100 TAB56956,600,395TOTAL BELANJA131,367,50018,445,4255,445,00030,569,49313,379,57512,512,50026,457,47563,121,32818,626,30021,307,660184,953,41968,857,663311,698,76862,656,67256,600,395521,400,896342,556,419162,041,8581,025,999,173mailto:300BOX@10%20AMPmailto:5BOX@30TABmailto:200BOX@100%20AMPmailto:10BOX@20%20TABLET

FEBRUARIDAFTAR FAKTUR FEBRUARI 2015NONAMA REKANANNO. FAKTURTANGGAL FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN OBATKETERANGANHARGA SATUANSTATUS PEMBAYARANBLN PEMBAYARANTOTAL1PT. MERAPI UTAMA10-38054428/FEBRUARI/20159,949,500WIDA KDNLARUTAN ELEKTROLIT, NUTRISI LAIN1000 BOTOL9,95010-38047228/FEBRUARI/201522,720,500HEXYMER 2 MG TABPSIKOFARMAKA43 BOTOL @ 1000 TAB297WIDA KDNLARUTAN ELEKTROLIT, NUTRISI LAIN1000 BOTOL9,95032,670,0002PT. PARAZELSUS403755995713/FEBRUARI/201538,940,000METRONIDAZOL INFANTIINFEKSI3000 BOTOL12,980JAMKESDA15/APRIL/2015403758056628/FEBRUARI/2015610,005ASAM MEFENAMAT 500 MGANALGESIK, ANTIPIRETIK, ANTIINFLA50 BOX @ 100 TAB122JAMKESDA15/APRIL/2015403758056728/FEBRUARI/201527,222,800ASAM TRANEXAMAT INJ 250 MGOBAT YANG MEMPENGARUHI DARAH500 BOX @ 100 TAB3,575MEROPENEM 1 GR INJEKSIANTIINFEKSI100 VIAL93,500403758242328/FEBRUARI/201510,890,000PARASETAMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500 BOTOL21,780403758243128/FEBRUARI/20153,660,030ASAM MEFENAMAT 500 MGANALGESIK, ANTIPIRETIK, ANTIINFLA300 BOX @ 100 TAB122JAMKESDA15/APRIL/2015403758243228/FEBRUARI/2015610,005ASAM MEFENAMAT 500 MGANALGESIK, ANTIPIRETIK, ANTIINFLA50 BOX @ 100 TAB122JAMKESDA15/APRIL/201581,932,8403PT. RAJAWALI NUSINDOFKT500120125/FEBRUARI/201564,412,504RANITIDIN INJSALURAN CERNA400 BOX @ 100 TAB1091.12PREDNISON TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA146 BOX @ 100 TAB124.89NA DIKLOFENAK 50 MGANALGESIK, ANTIPIRETIK, ANTIINFLA100 BOX @ 50 TAB193.02PANTOPRAZOLE INJSALURAN CERNA1000 VIAL43983.5IBUPROFEN 200 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 100 TAB121IBUPROFEN 400 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 100 TAB157CALSIUM LAKTAT TABLETVITAMIN DAN MINERAL413 BOX @ 100 TAB156.264,412,5044PT. ROYAL MEDICA016/BFT/11/201525/FEBRUARI/20155,445,000VIP ALBUMINVITAMIN DAN MINERAL30 BOTOL @ 30 KAPS6,0505,445,0005PT. MENSA BINA SUKSESCD18793428705/FEBRUARI/201511,880,000COPIDREL 75 MG TABLETKARDIOVASKULER100 BOX @ 30 TAB3,960JAMKESDA15/APRIL/2015TERBAYAR10,710,000SELSIH1,170,000HRSNYA HARGA E-CATALOGTGL SP 04/FEBRUARI/2015TGL SPK 03/FEBRUARI/2015CD18798589117/FEBRUARI/20156,061,000LESICHOL 300 MGVITAMIN DAN MINERAL10 BOX @ 60 SOFTKAPS8,360JAMKESDA15/APRIL/2015LANACELOID CREAMOBAT KULIT TOPIKAL20 TUBE52,250CD18803336027/FEBRUARI/20156,545,000CARSIVE INJKARDIOVASKULER5 B0X @ 10 AMP130,90024,486,0006PT. PENTA VALENT0132-SO-15-0000439028/FEBRUARI/20156,479,550NORAGES INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA300 BOX @ 5 AMP4,3200132-SO-15-0000439528/FEBRUARI/20153,266,917UNALIUM 5 MG TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA30 BOX @ 40 TAB4,934JAMKESDA15/APRIL/2015LEFOS 500 MG TABLETANTIINFEKSI5 BOX @ 10 TAB33,248ANADIUM KAPLETSALURAN CERNA2 BOX @ 30 TAB7,079SIZORIL 25 MG TABLETPSIKOFARMAKA3 BOX @ 50 TAB3,9190132-SO-15-0000439628/FEBRUARI/201512,735,937CENDO XITROL MINIDOSEOBAT MATA500 STRIP @ 5 FLESS25,4720132-SO-15-0000440728/FEBRUARI/201518,865,000SOLVINEX INJEKSISALURAN NAFAS70 BOX @ 10 AMP26,9500132-SO-15-0000444828/FEBRUARI/20152,307,360PROPEPSA SUSPENSISALURAN NAFAS12 BOTOL48,593VIOQUIN TABLETANTIINFEKSI5 BOX @ 30 TAB11,4950132-SO-15-0000439128/FEBRUARI/201515,118,950NORAGES INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA700 BOX @ 5 AMP4,3200132-SO-15-0000440828/FEBRUARI/20158,085,000SOLVINEX INJEKSISALURAN NAFAS30 BOX @ 10 AMP26,95066,858,7147PT. KIMIA FARMAINV-26.15.00000164707/FEBRUARI/20153,120,040CHLORPROMAZIN TABLETPSIKOFARMAKA200 BOX @ 100 TAB156INV-26.15.00000246921/FEBRUARI/201517,160,000GLUCOSA 5 % INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN3000 BOTOL5,720INV-26.15.00000276327/FEBRUARI/201557,200,000RINGER LAKTAT INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN10000 BOTOL5,72077,480,0408PT. BINA SAN PRIMAFKMS/201502/0164604/FEBRUARI/20158,764,748ANBACIM INJEKSIANTIINFEKSI249 VIAL35,200FKMKS/201502/0168204/FEBRUARI/201513,617,131AMOXAN 500 MG TABANTIINFEKSI5 BOX @ 100 TAB3,240BAQUINOR FORTEANTIINFEKSI10 BOX @ 20 TAB13,536MEFINAL 500 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA3 BOX@100 TAB1,287PUMPITOR INJEKSISALURAN CERNA56 VIAL145,706NEUROSANBE TABLETVITAMIN DAN MINERAL3 BOX @ 100 TAB1,062SANFULIQ TABLETVITAMIN DAN MINERAL3 BOX @ 30 TAB4,736FKMKS/201502/0168304/FEBRUARI/201527,878,686VOSEDON SUSPENSISALURAN CERNA24 BOTOL28,199CEFORIN INJEKSIANTIINFEKSI20 VIAL306,174EPEXOL SYRUPSALURAN NAFAS5 BOTOL16,588PUMPITOR INJEKSISALURAN CERNA41 VIAL145,706TAXEGRAM 1 GR INJANTIINFEKSI12 VIAL13,655TRICHODAZOLINFANTIINFEKSI24 SOFTBAG86,625TERFACEF INJANTIINFEKSI48 VIAL204,952FORMUNO KAPLETVITAMIN DAN MINERAL5 BOX @ 30 TAB6,105PRENAMIA KAPSULVITAMIN DAN MINERAL5 BOX @ 100 TAB1,051FKMKS/201502/1290906/FEBRUARI/20155,894,119PUMPISEL INJEKSISALURAN CERNA41 VIAL143,759FKMKS/201502/0413309/FEBRUARI/20157,039,959ANBACIM INJEKSIANTIINFEKSI200 VIAL35,200FKMKS/201502/0556911/FEBRUARI/201521,119,877ANBACIM INJEKSIANTIINFEKSI600 VIAL35,200FKMKS/201502/0557011/FEBRUARI/20157,039,959ANBACIM INJEKSIANTIINFEKSI200 VIAL35,200FKMKS/201502/0560011/FEBRUARI/201514,783,913ANBACIM INJEKSIANTIINFEKSI420 VIAL35,200FKMKS/201502/0560111/FEBRUARI/201514,783,913ANBACIM INJEKSIANTIINFEKSI420 VIAL35,200FKMKS/201502/0560211/FEBRUARI/201521,119,877ANBACIM INJEKSIANTIINFEKSI600 VIAL35,200FKMKS/201502/0621612/FEBRUARI/201519,610,250BECOM-CVITAMIN DAN MINERAL100 BOX @ 100 TAB1,287HISTAPAN 50 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS100 BOX @ 100 TAB622PRENAMIA KAPSULVITAMIN DAN MINERAL5 BOX @ 100 TAB1,051FKMKS/201502/0621912/FEBRUARI/201537,169,176PUMPITOR KAPSULSALURAN CERNA5 BOX @ 20 TAB13,156SANEXON 16 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS3 BOX @ 30 TAB5,379SANEXON 8 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS2 BOX @ 100 TAB3,344BAQUINOR FORTEANTIINFEKSI10 BOX @ 20 TAB13,536SANFULIQ TABLETVITAMIN DAN MINERAL5 BOX @ 30 TAB4,736SPORETIK 100 MG TABANTIINFEKSI10 BOX @ 100 TAB19,168NEUROSANBE PLUS TABLETVITAMIN DAN MINERAL2 BOX @ 100 TAB1,001NEUROSANBE TABLETVITAMIN DAN MINERAL2 BOX @ 100 TAB1,062FORMYCO 200 MG TABLETANTIINFEKSI2 BOX @ 50 TAB4,906OSTELOX 15 MG TABLETANTIINFEKSI10 BOX @ 20 TAB8,910OSTELOX 7, 5 MG TABLETANTIINFEKSI10 BOX @ 20 TAB5,484LEVOCIN 500 MG TABLETANTIINFEKSI5 BOX @ 18 TAB36,724EPEXOL DROPSSALURAN NAFAS24 BOTOL36,465ELKANA CL SUSPVITAMIN DAN MINERAL96 BOTOL46,145PELASTIN INJEKSIANTIINFEKSI24 VIAL325,589TAXEGRAM 1 GR INJANTIINFEKSI12 VIAL138,655FORMUNO KAPLETVITAMIN DAN MINERAL20 BOX @ 20 TAB6,105FKMKS/201502/0730714/FEBRUARI/20152,480,500FLOXACAP INFUSANTIINFEKSI10 SOFTBAG248,050FKMKS/201502/1253924/FEBRUARI/201520,898,328EPISAN SUSPENSISALURAN CERNA1000 BOTOL20,898FKMKS/201502/1330325/FEBRUARI/201512,742,325ANBACIM INJEKSIANTIINFEKSI362 VIAL35,200FKMKS/201502/1448827/FEBRUARI/201526,458,608LEVOCIN 500 MG TABLETANTIINFEKSI10 BOX @ 18 TAB36,724LEVOCIN INFUSANTIINFEKSI20 SOFTBAG300,762MEROSAN 1 GR INJEKSIANTIINFEKSI20 VIAL523,078LAPRAZ KAPSULANTIINFEKSI10 BOX @ 20 TAB11,616SANADRYL SYRUPSALURAN NAFAS20 BOTOL9,449SANMOL SYRUPANALGESIK, ANTIPIRETIK, ANTIINFLA24 BOTOL11,187SANMOL TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA5 BOX @ 100 TAB275SANMOL DROPSANALGESIK, ANTIPIRETIK, ANTIINFLA30 BOTOL15,114FKMKS/201502/1550328/FEBRUARI/20159,636,413PREABOR TABLETHORMON100 BOX @ 30 TAB3,212FKMKS/201502/1552328/FEBRUARI/201513,967,237CAPRENEM INJANTIINFEKSI6 VIAL450,137CEFACEF 100 MG KAPSULANTIINFEKSI2 BOX @ 30 TAB17,974PELASCAP INJEKSIANTIINFEKSI24 VIAL279,565FLOXACAP INFUSANTIINFEKSI6 SOFTBAG248,050INTRICEF INJEKSIANTIINFEKSI12 VIAL165,842FKMKS/201502/1528528/FEBRUARI/201515,628,272PELASTIN INJEKSIANTIINFEKSI48 VIAL325,589FKMKS/201502/1505128/FEBRUARI/201531,493,187TAXEGRAM 1 GR INJANTIINFEKSI27 VIAL138,655TERFACEF INJEKSIANTIINFEKSI84 VIAL204,952PUMPITOR INJEKSISALURAN CERNA54 VIAL145,706SANEXON INJEKSIANTIINFEKSI30 VIAL88,847FKMKS/201502/1565228/FEBRUARI/201545,566,722INFUMAL INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN360 SOFTBAG66,052LIVAMIN INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN20 BOTOL196,460FUTROLIT INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN480 SOFTBAG54,065FKMKS/201502/1565528/FEBRUARI/201533,734,147LIVAMIN INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN220 BOTOL196,460411,427,3479PT. DAYA MUDA AGUNG00140228/FEBRUARI/201525,802,150OMEPRAZOL INJEKSISALURAN CERNA500 VIAL42,004ONDANSETRON INJEKSISALURAN CERNA200 BOX @ 10 AMP2,40025,802,15010PT. ENSEVAL PUTERA31500054328/FEBRUARI/20156,426,000CLOPIDOGREL 75 MG TABKARDIOVASKULER50 BOX @ 30 TAB4,2846,426,00011PT. PARIT PADANG GLOBALM191500521910/FEBRUARI/201519,800,000METRONIDAZOL INFANTIINFEKSI2000 BOTOL9,900M191500552513/FEBRUARI/20153,456,024AMLODIPIN 5MG TABLETOBAT YANG MEMPENGARUHI DARAH400 BOX @ 30 TAB288M191500620817/FEBRUARI/20157,919,340SOJOURN INHALASIANESTESI6 BOTOL1,319,890M191500694624/FEBRUARI/20155,807,890INVICLOT INJEKSIOBAT YANG MEMPENGARUHI DARAH50 VIAL48,398NOKOBA INJEKSIKARDIOVASKULER10 BOX @ 5 AMP67,760M191500796428/FEBRUARI/201510,692,000STOBLED KAPSULVITAMIN DAN MINERAL100 BOX @ 16 KAPS6,68347,675,25412PT. ANTARMITRA SEMBADAQ1RG66403/FEBRUARI/2015171,519PARASETAMOL SYRUPANALGESIK, ANTIPIRETIK, ANTIINFLA100 BOTOL1,715Q1R122611/FEBRUARI/20156,930,000BETAHISTIN TABLETANTIMIGRAIN500 BOX @ 30 TAB462JAMKESDA15/APRIL/2015Q1R124011/FEBRUARI/201519,800,000CEFTIZOXIME INJEKSI 1 GRANTIINFEKSI100 BOX @ 2 VIAL99,000JAMKESDA15/APRIL/2015Q1R181913/FEBRUARI/201519,800,000CEFTIZOXIME INJEKSI 1 GRANTIINFEKSI100 BOX @ 2 VIAL99,000Q1R197714/FEBRUARI/20155,313,000ASAM TRANEKSAMAT INJ 250 MGOBAT YANGMEMPENGARUHI DARAH300 BOX @ 5 AMP3,542Q1RK20620/FEBRUARI/20156,930,000OMEVEL INJEKSISALURAN CERNA200 VIAL34,650Q1RM06727/FEBRUARI/201510,395,000OMEVEL INJEKSISALURAN CERNA300VIAL34,650JAMKESDA15/APRIL/2015Q1RM22728/FEBRUARI/201543,335,600CEFTIZOXIME INJEKSI 1 GRANTIINFEKSI50 BOX @ 2 VIAL99,000CARBAZOCHROM INJOBAT YANGMEMPENGARUHI DARAH300 BOX @ 5 AMP11,145112,675,11913PT. ANUGRAH ARGON MEDICA68121500686312/FEBRUARI/201517,649,991NOVOMIX FLEXPENHORMON ENDOKRIN30 BOX @ 5 PEN106,000SPIRONOLACTON 25 MG TABANTIINFEKSI50 BOX @ 100 TAB35068121500725313/FEBRUARI/20152,917,200TENSIVASK 10 MG TABOBAT YANG MEMPENGARUHI DARAH5 BOX @ 50 TAB10,450MERTIGO 6 MG TABANTIMIGREIN1 BOX @ 100 TAB3,04768121500767616/FEBRUARI/201512,750,000LEVEMIR FLEXPENHORMON ENDOKRIN30 BOX @ 5 PEN85,00068121500995928/FEBRUARI/201532,123,685MELOXICAM SUPPOSITORIAANALGESIK, ANTIPIRETIK, ANTIINFLA30 BOX @10 SUPP5,590RISPERIDON2 MG TABLETPSIKOFARMAKA500 BOX @ 50 TAB1,069PIRACETAM 400 MG TABKARDIOVASKULER100 BOX @ 100 KAPS37265,440,87613PT. MILLENIUM PHARMACON13121500219602/FEBRUARI/20157,500,072LEVOFLOXACIN 500 MGTABANTIINFEKSI200 BOX @ 50 TAB750JAMKESDA15/APRIL/2015INTERNATIONAL13121500305504/FEBRUARI/20157,797,075CEFTRIMAX INJEKSIANTIINFEKSI20 VIAL171,600JAMKESDA15/APRIL/2015MAXCEF 500 MG TABANTIINFEKSI3 BOX @ 100 TAB9,009SIMFIX 100 MG TABANTIINFEKSI3 BOX @ 30 TAB13,943SIMFIX 200 MG TABANTIINFEKSI2 BOX @ 10 TAB20,37813121500413128/FEBRUARI/20152,476,650ZOTAM INJEKSIANTIINFEKSI6 VIAL151,525ROMICEF INJEKSIANTIINFEKSI6 VIAL261,25013121500416428/FEBRUARI/2015243,100LAPIFED SYRUPSALURAN NAFAS3 BOTOL18,700LAPIFED TABLETSALURAN NAFAS1 BOX @ 100 TAB1,87013121500416528/FEBRUARI/201510,442,300IMUNOS KAPLETVITAMIN DAN MINERAL10 BOX @ 20 TAB6,0509,716,300RETURNEUCITI 500 INJEKSIKARDIOVASKULER3 BOX @ 5 AMP48,400LAPIMOX KAPLET 500 MGANTIINFEKSI1 BOX @ 100 TAB2,420LAPIXIME INJANTIINFEKSI12 VIAL132,000LASGAN KAPSULANTIINFEKSI20 BOX @ 20 TAB13,200ANALTRAM KAPLETANTIINFEKSI1 BOX @ 30 TAB6,600CEFILA DROPSANTIINFEKSI3 BOTOL78,100LAPICEF 500 MG TABANTIINFEKSI1 BOX @ 100 TAB9,68028,459,19714PT. INDOFARMA GLOBALINV.02.2015.129206/FEBRUARI/201522,851,786GENTAMICIN TMOBAT MATA189BOX @ 10BTL3,293MEDIKACARBAMAZEPIM 200 MGTABPSIKOFARMAKA430 BOX @ 100 TAB246PTUHORMON ENDOKRIN120 BOTOL @ 100 TAB291AMBROXOL SYRUPSALURAN NAFAS500 BOTOL3,049GRISEOVULVIN TABANTIINFEKSI20BOX @ 100 TAB234PARASETAMOL DROPSANALGESIK, ANTIPIRETIK, ANTIINFLA112 BOTOL5,050INV.02.2015.129306/FEBRUARI/201528,600,000RINGER LAKTATLARUTAN ELEKTROLIT, NUTRISILAIN5000 BOTOL5,720INV.02.2015.210025/FEBRUARI/201511,440,000GLUKOSA 5 %LARUTAN ELEKTROLIT, NUTRISILAIN2000 BOTOL5,720INV.02.2015.210125/FEBRUARI/201510,000,100KAEN-3BLARUTAN ELEKTROLIT, NUTRISILAIN1000 BOTOL10,000INV.02.2015.210825/FEBRUARI/201525,850,000NATRIUM KLORIDALARUTAN ELEKTROLIT, NUTRISILAIN5000 BOTOL5,170JAMKESDA15/APRIL/201598,741,8861,149,932,927

MARETDAFTAR FAKTUR MARET 2015NONAMA REKANANNO. FAKTURTANGGAL FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN OBATKETERANGANHARGA SATUANSTATUS PEMBAYARANBLN PEMBAYARANTOTAL1PT. SAPTA SARI TAMA23-00235205/MARET/201520,088,860KOTRIMOKSAZOL SUSPANTIINFEKSI200BOTOL2,298PYRAZINAMID 500 MG TABANTIINFEKSI500 BOX@100 TAB225CEFOPERAZONE INJANTIINFEKSI300 BOX@2 VIAL13,96523-00254311/MARET/201510,360,950NUTRIFLAM TABANALGESIK, ANTIPIRETIK, ANTIINFLA20 BOX@ 60 TAB8,63423-00357430/MARET/20151,057,100CEFADROXIL SYRUPANTIINFEKSI200 BOTOL5,28631,506,9102PT. MERAPI UTAMA10-35966719/MARET/2015396,000OTSU D 40 %LARUTAN ELEKTROLIT, NUTRISI LAIN200 FLES1,980396,0003PT. PARAZELSUS403759977019/MARET/20153,858,888PIRACETAM 3 GR INJKARDIOVASKULER47 BOX @ 4 AMP17,960403759977219/MARET/20154,351,512PIRACETAM 3 GR INJKARDIOVASKULER53 BOX @ 4 AMP17,960403759977719/MARET/201542,000,200OMEPRAZOLE INJEKSISALURAN CERNA1000 VIAL42,000403760927827/MARET/201514,300,000RIFAMPICIN 450 MG TABANTIINFEKSI100 BOX @ 100 TAB1,43064,510,6004PT. RAJAWALI NUSINDOFKT500186024/MARET/20152,884,156HYPOBAC INJEKSIANTIINFEKSI20 VIAL144,2082,884,1565PT. UNITED DICO CITAS010253804/MARET/201511,207,625MEVILOX TABLET 15 MGANTIINFEKSI5 BOX @ 30 TAB8,580NEVRADIN-EVITAMIN DAN MINERAL10 BOX @ 100 TAB2,520INHIPRAZ CAPSULANTIINFEKSI20 BOX @ 10 KAPS12,870LEVOVID 500 MG TABANTIINFEKSI15 BOX @ 10 TAB32,175010304924/MARET/20156,998,079NONFLAMIN KAPSULANALGESIK, ANTIPIRETIK, ANTIINFLA30 BOX @ 60 KAPS3,88818,205,7046PT. ROYAL MEDICA021/BFT/III/201519/MARET/20159,075,000VIP ALBUMINVITAMIN DAN MINERAL50 BOTOL @ 30 KAPS6,0509,075,0007PT. MENSA BINA SUKSESCD18804790102/MARET/20158,450,200METRONIDAZOL TABANTIINFEKSI500 BOX @100 TAB169CD18810019713/MARET/201512,065,625PULNA FORTEANTIINFEKSI65 BOX @ 100 TAB1,856CD18810941116/MARET/20155,016,000LESICHOL 300 MGVITAMIN DAN MINERAL10 BOX @ 60 SOFTKAPS8,360CD18811650917/MARET/20156,496,875PULNA FORTEANTIINFEKSI35 BOX @ 100 TAB1,856CD18816934427/MARET/20154,952,983AMLODIPIN 10 MG TABOBAT YANG MEMPENGARUHI DARAH500 BOX @ 30TAB330CD18816962927/MARET/201537,125,000PULNA FORTEANTIINFEKSI200 BOX @ 100 TAB1,856CD18818185931/MARET/20152,508,000LESICHOL 300 MGVITAMIN DAN MINERAL5 BOX @ 60 SOFTKAPS8,36076,614,6838PT. PENTA VALENT0132-SO-15-0000523611/MARET/20154,992,487GOFLEX TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA5 BOX @ 30 TAB8,258PROLIVA KAPLETVITAMIN DAN MINERAL25 BOX @20 KAPL7,5080132-SO-15-0000583218/MARET/20156,348,375SIZORIL 25 MG TABPSIKOFARMAKA10 BOX @ 50 TAB3,919PROLIVA KAPLETVITAMIN DAN MINERAL30 BOX @ 20 KAPL7,5080132-SO-15-0000592119/MARET/201526,950,000SOLVINEX INJEKSISSALURAN NAFAS100 BOX @ 10 AMP26,9500132-SO-15-00000635026/MARET/2015965,580GOFLEX TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA4 BOX @ 30 TAB8,0470132-SO-15-0000645727/MARET/20153,465,000GABAPENTIN 300 MG KAPLANTIEPILEPSI30 BOX @ 30 KAPL3,85042,721,4429PT. KIMIA FARMA1NV-26.15.00000374718/MARET/2015470,030DIAZEPAM 2 MG TABLETPSIKOFARMAKA100 BOTOL @ 100 TAB47INV-26.15.00000374818/MARET/20155,170,550BETAMETASON CREAMOBAT KULIT TOPIKAL500 TUBENEOMERCAZOL TABHORMON ENDOKRIN50 BOTOL @ 100 TABINV-26.15.00000426530/MARET/20151,543,509DOPAMIN GIULINI INJKARDIOVASKULER30 BOX @ 5 AMPINV-26.15.00000436931/MARET/2015520,025VITAMIN B KOMPLEX VITAMIN DAN MINERAL50 BOX @ 100 TAB104INV-26.15.00000437431/MARET/201538,230,500FENTANYL INJEKSIANESTETIK1000 AMPUL37306.5MORPHINE HCL INJPSIKOFARMAKA10 BOX @ 10 AMP9240INV-26.15.00000440031/MARET/20151,421,017ALPRAZOLAM 1 MG TABPSIKOFARMAKA58 BOX @ 100 TAB24547,355,63110PT. BINA SAN PRIMAFKMKS/201503/0161204/MARET/201518,353,632AMOXAN SYRUPANTIINFEKSI6 BOTOL22,226BAQUINOR FORTE ANTIINFEKSI20 BOX @ 20 TAB13,536CEFAT 500 MGANTIINFEKSI3 BOX @ 100 TAB10,340SANMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA36 BOTOL59,230SPORETIK 100 MG KAPSANTIINFEKSI10 BOX @ 30 KAPS19,168VOSEDON SUSPENSISALURAN CERNA10 BOTOL28,199BUFECT FORTE SYRUPANALGESIK, ANTIPIRETIK, ANTIINFLA6 BOTOL19,822SANFULIQ TABLETVITAMIN DAN MINERAL10 BOX @ 30 TAB4,736FKMKS/201503/0161304/MARET/201522,000,052SANTAGESIKINJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA1000 BOX @5 AMP4,400FKMKS/201503/0280006/MARET/201535,199,794ANBACIM INJEKSIANTIINFEKSI1000 VIAL35,200FKMKS/201503/0280106/MARET/201524,639,856ANBACIM INJEKSIANTIINFEKSI700 VIAL35,200FKMKS/201503/0476310/MARET/201544,192,830PUMPITOR INJEKSISALURAN CERNA60VIAL145,706SPORETIK 100 MG KAPSANTIINFEKSI20 BOX @30 TAB19,168TAXEGRAM 1 GR INJANTIINFEKSI27 VIAL138,655TRICHODAZOL 500 MG TABANTIINFEKSI2 BOX @ 100 TAB1,579AMOXAN DROPSANTIINFEKSI24 BOTOL22,226CEFORIM INJEKSIANTIINFEKSI27 VIAL306,174CORTIDEX INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA5 BOX @ 10 AMP6,045LAPRAZ KAPSULANTIINFEKSI10 BOX @ 20 KAPS11,616OSTELOX TABLETANTIINFEKSI10 BOX @ 20 KAPS8,910PUMPITOR KAPSULSALURAN CERNA20 BOX @ 20 TAB13,156SANFULIQ TABLETVITAMIN DAN MINERAL10 BOX @ 30 TAB4,736FKMKS/201503/0470610/MARET/20154,501,365CAPRENEM INJANTIINFEKSI10 VIAL450,137FKMKS/201503/0670413/MARET/20154,600,816CINOLON-N CREAMOBAT KULIT TOPIKAL100 TUBE17,402EPEXOL DROPSSALURAN NAFAS24 BOTOL36,465EPEXOL SYRUPSALURAN NAFAS12 BOTOL16,588NYMICO DROPSANTIINFEKSI56 FLES31,900FKMKS/201503/0732114/MARET/20152,871,000FOLAVIT TABLETVITAMIN DAN MINERAL20 BOX @ 100 TAB770CERINI KAPLETANTIINFEKSI20 BOX @ 20 TAB3,328FKMKS/201503/0877817/MARET/20153,519,979ANBACIM INJEKSIANTIINFEKSI100 VIAL35,200FKMKS/201503/0867917/MARET/201520,898,328EPISAN SUSPSALURAN CERNA1000 BOTOL20,898FKMKS/201503/0955619/MARET/201511,246,565FLOXACAP INFUSANTIINFEKSI15 SOFTBAG248,050FLOXACAP TABLETANTIINFEKSI5 BOX @ 18 TAB33,605CAPRENEM INJANTIINFEKSI10 VIAL450,137FKMKS/201503/0986219/MARET/201517,906,900NEUROSANBE INJVITAMIN DAN MINERAL500 BOX @ 10 AMP3,581FKMKS/201503/1118223/MARET/201549,279,712ANBACIM INJEKSIANTIINFEKSI1400 VIAL35,200FKMKS/201503/1402927/MARET/201513,750,129SANMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500 BOTOL27,500FKMKS/201503/1463928/MARET/20158,579,467FUTROLIT INFLARUTAN ELEKTROLIT, NUTRISI LAIN240 SOFTBAG35,748FKMKS/201503/1464028/MARET/201539,634,175INFUMALINFUSLARUTAN ELEKTROLIT, NUTRISI LAIN600 SOFTBAG66,057FKMKS/201503/1636331/MARET/201513,456,476CAPRENEM INJANTIINFEKSI12 VIAL450,137INTRICEF INJANTIALERGI DAN OBAT ANAFILAKSIS12 VIAL165,842CEFACEF 100 MGANTIINFEKSI10 BOX @ 30 TAB17,974CAPRAZOL KAPSULANTIINFEKSI3 BOAX @ 20 KAPS11,209334,631,07611PT. TEMPO120235823227/MARET/20155,844,502BUSCOPAN INJEKSISALURAN CERNA5 Box @ 10 amp22,075BUSCOPAN 10 MG TABSALURAN CERNA1 BOX @ 100 TAB2,186BISOLVON INJEKSISALURAN NAFAS10 BOX @ 10 AMP41,630BUSCOPAN PLUS TABLETSALURAN CERNA1 BOX @ 100 TAB2,993120235822827/MARET/201559,880DULCOLAX 5 MG SUPPOSALURAN CERNA2 BOX @ 6 SUPPO4,9905,904,38212PT. DAYA MUDA AGUNG00214027/MARET/201546,302,300PANTOPRAZOL INJEKSISALURAN CERNA1000 VIAL44,002METHYLPREDNISOLON TABANTIALERGI DAN OBAT ANAFILAKSIS100 BOX @ 100 TAB23046,302,30013PT. ENSEVAL PUTERA11502025427/MARET/20152,954,714AMLODIPIN 5 MG TABOBAT YANG MEMPENGARUHI DARAH500 BOX @ 30 TAB19731500077327/MARET/20155,200,000FIMAHES FLEXY BAGLARUTAN ELEKTROLIT, NUTRISI LAIN20 BOX @ 5 FLEXY BAG5,2008,154,71414PT. PARIT PADANG GLOBALM191500976116/MARET/20151,399,200SOTATIC INJEKSISALURAN CERNA100 BOX @ 5 AMP2,798M191500976616/MARET/20151,227,600DEXKETOPROFEN INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 5 AMP24,552M191500976516/MARET/2015920,700DEXKETOPROFEN TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 30 TAB3,069M191500993717/MARET/20151,399,200SOTATIC INJEKSISALURAN CERNA100 BOX @ 5 AMP2,798M191501175631/MARET/20154,603,500DEXKETOPROFEN TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA50 BOX @ 30 TAB3,069M191501176031/MARET/2015550,000DEHAF SACHETVITAMIN DAN MINERAL10 BOX @ 6 SACHET9,167M191501175331/MARET/2015629,937SALBUTAMOL TAB 4 MG SALURAN NAFAS50 BOX @ 100 TAB97M191501202631/MARET/20153,199,680BUNASCAN EPIDURAL INJANESTESI20 BOX @ 5 AMP31,997M191501201831/MARET/20153,840,441BUNASCAN SPINAL INJANESTESI30 B0X @ 5 AMP25,60317,770,25815PT. ANTARMITRA SEMBADAQ1RO19610/MARET/2015857,593PARASETAMOL SYRUPANALGESIK, ANTIPIRETIK, ANTIINFLA500 BOTOL1,715Q1RP56216/MARET/201522,365,200MECOBALAMIN INJVITAMIN DAN MINERAL299 BOX @ 10 AMP7,480Q1RQ54620/MARET/20155,256,350PIRACETAM INJ 3 GRAMKARDIOVASKULER10 BOX @ 4 AMP16,500CEFTIZOXIME INJANTIINFEKSI20 BOX @ 2VIAL99,000CITICOLINE INJKARDIOVASKULER2 Box @ 10 amp10,725PANTOPRAZOLE INJSALURAN CERNA10 VIAL42,185Q1RS00727/MARET/201519,800,000CEFTIZOXIME INJANTIINFEKSI100 BOX @ 2 VIAL99,000Q1RS09127/MARET/20153,918,750FAKTU SUPPOSITORIASALURAN CERNA50 BOX@ 10 SUPP7,838Q1RS31928/MARET/201519,800,000CEFTIZOXIME INJANTIINFEKSI100 BOX @ 2 VIAL99,000Q1RS558830/MARET/20151,930,500CITICOLINE INJKARDIOVASKULER8 BOX @ 10 AMP10,725PHENYTOIN INJKARDIOVASKULER3 BOX @ 10 AMP23,833Q1RT01131/MARET/2015611,897MILOZ INJANESTESI10 BOX @ 10 AMP6,11974,540,29016PT. ANUGRAH ARGON MEDICA68121501176010/MARET/201516,235,000CIPROFLOXACIN INFUSANTIINFEKSI500 BOTOL15,000GLIQUIDONE TABPSIKOFARMAKA50 BOX @ 100 TAB1,045DIOVAN 80 MG TABOBAT YANGMEMPENGARUHI DARAH30 BOX @ 30 TAB3,86368121501238313/MARET/201511,627,532NEURODEX TABVITAMIN DAN MINERAL204 BOX @ 200 TAB285681215011332519/MARET/20152,093,784ASAM VALPROAT SYRUPANTIEPILEPSI50 BOTOL41,87668121501403124/MARET/20151,023,000NOVOTWIST JARUMJARUM INSULIN1 BOX @ 100 PCS2,310PSIDII SYRUPVITAMIN DAN MINERAL24 BOTOL33,00068121501487527/MARET/2015475,000CLOBAZAM 10 MG TABLETPSIKOFARMAKA5 BOX @ 100 TAB95068121501530830/MARET/20155,225,000GLIQUIDONE TABANTIEPILEPSI50 BOX @ 100 TAB1,04568121501549930/MARET/20154,867,600AMINEFRON TABANTIINFEKSI5 BOX @ 100 TAB6,875VICTRINE 300 MG TABANTIINFEKSI5 BOX @ 20 TAB4,235SISTENOL KAPLETANTIINFEKSI1 BOX @ 60 TAB1,540MERTIGO TABANTIMIGRAIN3 BOX @ 100 TAB3,04768121501602131/MARET/20155,330,764KETOROLAC 30 MG INJANALGESIK, ANTIPIRETIK, ANTIINFLA200 BOX @ 10 AMP2,66568121501606931/MARET/20151,863,084CEFTAZIDIM INHANTIINFEKSI52BOX @ 2 VIAL17,91468121501600531/MARET/20154,224,000BUPIVACAIN SPINAL INJANESTESI30 BOX @ 5 AMP28,16052,964,76417PT. MILLENIUM PHARMACON13121500435304/MARET/20152,477,475GOFLEX TABLETANTIINFEKSI10 BOX @ 30 TAB8,258INTERNATIONAL13121500478004/MARET/20151,116,500IMUNOS KAPLETVITAMIN DAN MINERAL5 BOX @ 20 TAB6,050NEUCITI 250 MG INJKARDIOVASKULER3 BOX @ 5 AMP34,10013121500537710/MARET/20152,413,125SSIMLEV 500 MGTABANTIINFEKSI10 BOX @ 10 TAB24,13113121500507816/MAET/20154,182,750SIMFIX 100 MG TABANTIINFEKSI10 BOX @ 30 TAB13,94313121500523318/MARET/20151,127,270MEIACT 200 MGTABANTIINFEKSI1 BOX @ 20 TAB22,000FOSMICIN INJ 1 GRANTIINFEKSI2 VIAL88,110FOSMICIN 2 GR INJANTIINFEKSI2 VIAL173,250L-BIOSALURAN CERNA1 BOX @ 30 SACHET5,50013121500530819/MARET/20152,895,750TOFEDEX TABLETANTIINFEKSI5 BOX @ 30 TAB5,720IMUNOS SYRUPVITAMIN DAN MINERAL3 BOTOL57,750LAMESON TAB 4 MGANTIINFEKSI3 BOX @ 100 TAB3,025LAPISTAN500 MG TABANTIINFEKSI1 BOX @ 100 TAB990TARIFLOX 400 MG TABANTIINFEKSI2 BOX @ 30TAB14,30013121500530919/MARET/201512,112,650MEIACT 200 MGTABANTIINFEKSI9 BOX @ 20 TAB22,000FOSMICIN 1 GRANTIINFEKSI15 VIAL88,110FOSMICIN 2 GR INJANTIINFEKSI15 VIAL173,250L-BIOSALURAN CERNA12 BOX @ 30 SACHET5,500PROLIVAVITAMIN DAN MINERALBOX @ 20 TAB7,7001312500537720/MARET/20152,413,125SIMLEV 500 MG TABANTIINFEKSI10 BOX @ 10 TAB24,13113121500537820/MARET/20157,887,330FOSMICIN INJ 1 GRANTIINFEKSI3 VIAL88,110FOSMICIN 2 GR INJANTIINFEKSI33 VIAAL173,250L-BIOSALURAN CERNA7 BOX @ 30 SACHET5,500PTOLIVA TABVITAMIN DAN MINERAL5 BOX @ 20 TAB7,70013121500579727/MARET/20153,630,000IMUNOS KAPLETVITAMIN DAN MINERAL30 BOX @ 20 TAB6,05013121500586627/MARET/20156,441,435GOFLEX TABLETANTIINFEKSI26 BOX @ 30 TAB8,258131211500611531/MARET/20153,239,500LAPIBAL INJEKSIOBATYANG MEMPENGARUHI DARAH7 BOX @ 5 Amp20,900TOFEDEX TABLETANTIINFEKSI5 BOX @ 30 TAB5,720IMUNOS PLUS KAPLETVITAMIN DAN MINERAL10 BOX @ 20 TAB8,25013121500614431/MARET/20154,719,000CEFTRIMAX INJANTIINFEKSI20 VIAL171,600IMUNVIT PLUS TABLETVITAMIN DAN MINERAL10 BOX @ 20 TAB6,43513121500614531/MARET/20154,118,400CEFTRIMAX INJANTIINFEKSI24 VIAL171,60058,774,31018PT. INDOFARMA GLOBAL INV.03.2015.252404/MARET/201516,498,350ALBUMANOBAT YANGMEMPENGARUHI PLASMA20 BOTOL824,918MEDIKAINV.03.2015.282611/MARET/20154,780,304THIAMFENIKOL 500 MGANTIINFEKSI70 BOX @ 100 TAB585OTSU SALINE INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN40 BOTOL15,400INV.03.2015.340824/MARET/2015666,600OTSU ND PIGGY BAGLARUTAN ELEKTROLIT, NUTRISI LAIN60 BOTOL11,110INV.03.2015.351125/MARET/201516,459,410WIDAHES INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN300 BOTOL54,865INV.03.2015.356527/MARET/201516,498,350ALBUMANOBAT YANGMEMPENGARUHI PLASMA20 BOTOL824,918INV.03.3015.379331/MARET/20155,940,000ACETYLSISTEIN TABSALURAN NAFAS99 BOX@60 TAB1,00060,843,014953,155,234mailto:BOX@200%20TAB

APRILDAFTAR FAKTUR APRIL 2015NONAMA REKANANNO. FAKTURTANGGAL FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN OBATKETERANGANSTATUS PEMBAYARANBLN PEMBAYARANTOTAL1PT. ANUGRAH PHARMINDO LESTARI321104417201/APRIL/20153,240,006DORNER TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA30 BOX @ 30 TAB321104421802/APRIL/20152,549,788CORDARON INJKARDIOVASKULER30 BOX @ 6 AMP5,789,7942PT. ENSEVAL PUTERA11502173301/APRIL/20152,200,000FLUTIAS INHEALERSALURAN NAFAS20 BOTOL2,200,0003PT. BINA SAN PRIMAFKMKS/201504/0280607/APRIL/201519,799,067PELASTIN INJEKSIANTIINFEKSI100 VIALFKMKS/201504/0280707/APRIL/201528,159,835ANBACIM INJEKSIANTIINFEKSI800 VIALFKMKS/201504/0280807/APRIL/201528,159,835ANBACIM INJEKSIANTIINFEKSI800 VIALFKMKS/201504/0324308/APRIL/201539,417,389LEVOCIN 500 MG TABANTIINFEKSI10 BOX @ 18 TABOSTELOX 7,5 MG TABANTIINFEKSI10 BOX @ 20 TABSANEXON 4 MG TABANTIALERGI DAN OBAT ANAFILAKSIS10 BOX @ 100 TABSANEXON 16 MG TABANTIALERGI DAN OBAT ANAFILAKSIS5 BOX @ 30 TABTRICHODAZOL INFANTIINFEKSI24 SOFTBAGTERFACEF INJANTIINFEKSI84 VIALZIDIVEC INJEKSIANTIINFEKSI10 VIALCEFAT FORTE SYRUPANTIINFEKSI12BOTOLELKANA-CLVITAMIN DAN MINERAL120 BOTOLSANMOL SYRUPANALGESIK, ANTIPIRETIK, ANTIINFLA48 BOTOLFKMKS/201504/0326508/APRIL/201541,800,080SANMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA1000 BOTOLMEGABAL KAPSULVITAMIN DAN MINERAL200 BOX @ 100 TABFKMKS/201504/0326608/APRIL/201516,720,000BECOM - C TABLETVITAMIN DAN MINERAL100 BOX @ 100 TABFOLAVIT 400 MCG TABVITAMIN DAN MINERAL50 BOX @ 100 TABFKMKS/201504/0328608/APRIL/201543,999,743ANBACIM INJEKSIANTIINFEKSI1250 VIALFKMKS/201504/0328708/APRIL/201543,999,743ANBACIM INJEKSIANTIINFEKSI1250 VIALFKMKS/201504/0383109/APRIL/2015126,500VERTIGOSAN TABLETANTIINFEKSI1 BOX @ 50 TABFKMKS/201504/0384109/APRIL/201530,666,367LIVAMIN INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN200 SOFTBAGFKMKS/201504/0455610/APRIL/201520,898,328EPISAN SYRUPSALURAN CERNA1000 BOTOL313,746,887