obat bpjs triwulan 1

8/17/2019 Obat Bpjs Triwulan 1

1/18

No Nama Satuan Harga

1 2 3 4

1 Allopurinol 100 mg Tablet 90

2 Amitriptilin 25 mg Tablet 123

3 Amoksicilin 500 mg Tablet 279

4 Amoksicilin sirup kering 125 mg/ 5 ml otol !0 ml 25!0

5 Amoksicilin sirup kering "orte 250 mg/ 5 ml otol !0 ml 4750

! Antasi#a $%&N ' tablet kun(a) Tablet 7*

7 Antasi#a $%&N '' suspensi otol !0 ml 2300

* Anti migrain $%&N Tablet 149

9 Asam Asetilsalisilat +acetosal, 100 mg Tablet 127

10 Asam -e"enamat 500 mg Tablet 122

11 e#ak Salisil serbuk 2. $us 1350

12 etametason krim 01. Tube 155*

13 etametason Tetes -ata 1 mg/ml otol 5 ml 2510!

14 isako#il suppositoria 10 mg Supp !045

15 $eksamet)ason 05 mg Tablet !*

1! $iaepam 2 mg Tablet 4!

17 $iaepam larutan rectal 5 mg/25 ml Stesoli# 12751

1* $i"en)i#ramin in i/im 10 mg/ml +Hl, Ampul 11!0

19 $imen)i#rinat 50 mg Tablet 107

20 $inatrium etat Tetes mata 035. botol 15ml 37500

21 $omperi#on suspensi 5 mg/ 5 ml otol !0 ml 3490

22 enoterol Hr i) 100 mcg/pu6 anister 10 ml 72900

23 lusinolon asetoni# krim 0025. Tube 2700

24 entamisin salep mata 03. Tube 35 gram 27*!25 entamisin Tetes -ata otol 5 ml 3513

2! liserin larutan 5. otol 100 ml 5*!7

27 lukosa 5. larutan in"us otol 500 ml 5720

2* Hi#rokortison krim 25. Tube 5 gram 2*!*

29 Hiosin util romi# ineksi 20mg/ml Ampul 1ml 4950

30 'bupro"en sirup 100 mg/ 5 ml otol !0 ml 3*49

31 'sosorbi# $initrat sublingual 5 mg Tablet 9*

32 8aptopril 25 mg Tablet 97

33 8etokonaol krim 2. tube 10 gram 2!33

34 8o#ein 10 mg Tablet 55035 8otrimoksaol suspensi 240 mg otol !0 ml 229*

3! 8uinin 222 mg Tablet 594

37 ansopraol 30 mg 8apsul 521

3* a:a#ine &mulsi otol !0 ml 12450

39 i#okain ineksi ;.+Hl,


2/18

42 -etil pre#nisolon * mg Tablet 390

43 -etilergometrin -aleat Tablet 1!9

44 -etokloprami#e sirup 5 mg/5 ml otol !0 ml 2900

45 -ometason "uroat krim 01. Tube 10 gram 2004*

4! Nacl 09. otol 500 ml 5170

47 Natrium $iklo"enak 50mg Tablet 193

4* Ni"e#ipin 10mg Tablet 110

49 Nistatin ?aginal 100000 '@/g Tablet 52*

50 %ksitosin 'neksi '@ 10ml Ampul 1900

51 %mepraol 20mg 8apsul 221

54 arasetamol 500mg Tablet **

55 arasetamol S(rup 120mg/5ml otol !0 ml 1535

5! ermetrin 8rim 5. Tube 10 gram 11475

57 olikresulen airan otol 10ml 1*!35

5* oi#on 'o#i#a arutan 10. otol 30ml 2344

59 Bamipril 5mg Tablet !35

!0 Baniti#in 150mg Tablet 132

!1 Baniti#in 'neksi 25mg/ml Ampul 2ml 1340

!2 Binger aktaT arutan 'n"us otol 500 ml 5720

!3 Salbutamol airan 'H 01. ?ial 25ml 72!0

!4 Salbutanol 4mg +sebagai Sul"at, Tablet 91

!5 Salep 2/4 ot 30gram 2200

!! Sep)a#roksil 500mg 8apsul 529

!7 Sep)a#roksil S(rup 8ering 125mg/5ml otol !0 ml 52*!

!* Setriin 10mg 8apsul 190

!9 Setriin S(rup 5mg/5ml otol !0 ml *79970 Sianokobalamin 'neksi 500mcg Ampul 1ml 1110

71 Si"roCoksacin 500mg Tablet 2!5

72 Simastatin 20mg Tablet 4*0

73 Simastatin Score#n 10mg Tablet 177

74 Spironolakton 25mg Tablet 350

75 Sukral"at suspensi 500 mg/5 ml otol 100 ml 14450

7! Tetracain Hl tetes mata 05. otol 5 ml 11500

77 Timolol Tetes -ata 05. otol 5ml 102*!

7* Ambro:ol sirup otol !0 ml 3!27

79 Anti Hemaroi# $%&N supp 8otak 10 Suppo 22000*0 liseril uaiakolat 100 mg otol 1000 Tabl 30!90

*1 T)iamin Hl 50 mg Tablet *3

*2 Seteriin 10 mg Tablet 190

*3 T%TA


3/18

erencanaan 3 bulan Harga 3 bulan abrik

5 ! 7

300 27000 T ertiDi Agung

100 12300 T 'n#o"arma

5200 1450*00T -ersi"arma Tirmacu -ercusana

100 25!000 T Noap)arin

200 950000 T Holi )arma

5000 390000 T &rela

150 345000 T ucas $aa

500 74500 T 8imia arma

100 12700 T )apros Tbk

5000 !10000 T erno"arm

50 !7500 T Bama &meral# -ulti Sukses


5 125530 T Sanbe arma

20 120900 T Sanbe arma

7000 47!000T rome#ra)ar#o armasi 'n#ustri


5 !3755 T Actais 'n#onesia

30 34*00 T ucas $aa


10 375000 T en#o 'n#ustri armasi

50 174500 T Noap)arin

0 0 T oe)ringer 'ngel)eim

50 135000T '"ars )armaceutical aboratories

*0 222**0 T &rela70 245910 T 'n#o"arma

10 5*!70 T ucas $aa

40 22**00 T Ei#arta )akti

72 20!49! T 8imia arma

5 24750 T %tto )armaceuticals

200 7!9*00 T 'n#o"arma

200 19!00 T 8imia arma

*00 77!00 T )apros Tbk

50 131!50 T 8imia arma

500 275000 T 8imia arma100 229*00 T Hol( )arma


12!0 !5!4!0 T 'n#o"arma

3 37350 T alinium )armasia aboratories

200 299*00 T 'n#o"arma

500 *5000 T rome#ra)ar#o armasi 'n#ustri

500 59000 T erno"arm


4/18

1700 !!3000 T $e:a -e#ica

500 *4500 T 8imia arma

50 145000 T -ole: A(us

10 2004*0 T uar#ian )armatama

20 103400 T Ei#arta )akti

3500 !75500 T )apros Tbk

500 55000 T $e:a -e#ica

100 52*00 T )apros Tbk

90 171000 T Tunggal '#aman Ab#i

17!0 3**9!0 T Noap)arin

5200 457!00T rome#ra)ar#o armasi 'n#ustri

200 307000 T Noap)arin

* 91*00 T alinium )armasia aboratories

5 93175 T ratapa Nirmala

17 39*4* T Ai arma

350 222250 T $e:a -e#ica

1700 224400 T $e:a -e#ica

50 !7000 T Natura aboratoria rima

40 22**00 T Ei#arta )akti

17 123420 T lakso Eelcome 'n#onesia


100 220000 T -arin ia armasi

1700 *99300 T erno )arma

150 792900 T Hol( )arma

1700 323000 T ertiDi Agung

50 439950 T 'n#o"arma200 222000 T erno )arma

1700 450500 T erno )arma

1700 *1!000 T Natura aboratoria rima

1700 300900 T Natura aboratoria rima

200 70000 T $e:a -e#ica

50 722500 T ombip)ar

10 115000 T en#o 'n#ustri armasi

10 102*!0 T ratapa Nirmala

100 3!2700

! 132000 T 8imia arma2 !13*0

5000 415000 T Noap)arin

1700 323000

20!7*274


5/18

No Nama Satuan Harga

1 2 3 4

1 AFua#est otol 1 ltr 15730

2 a(clin otol 1 ltr 27500

3 enang plan 3/0 pcs 9075

4 atgut c)romic 3/0 bo: 24 pcs 217*00

5 &til klori#a semprot botol 137500

! 8asa )i#ro=l 4:15 cm bo: 50 roll 151250

7 8asa steril 1!/1! o: 10 pcs 7*!5

* Beagen golongan #ara) A ?ial *4700

9 reagen golongan #ara) ?ial *4700

10 Stik Asam @rat bo: 110000

11 Stik gula #ara) bo: 110000

12 Stik kolesterol bo: 192500

13 Tes 8e)amilan bo: 50 **000

14 @ pa# !0:90 steril D/SA pak isi 10 !!550

15 @rinbag pcs 4901

1! '? at)eter No 20 bo: isi 24 3*9375

17 '? at)eter No 22 bo: isi 24 3*9375

1* '? at)eter No 24 bo: isi 24 3*9375

19 Alat suntik 1 ml bo: 109250

20 Alat suntik 25 ml bo: 103*00

21 Alat suntik 5 ml bo: 103*00

22 Sarung Tangan No 7 bo: isi 50 212500

23 Sarung Tangan No 75 bo: isi 50 212500

24 Sarung Tangan No * bo: isi 50 21250025 Alog(l 10 gr botol 5*3000

2! Arsen !5 gr pot 390000

27 lass 'onomer sement +ui 'G, set 395000

2* 8alsium Hi#roksi#a pasta set 242000

29 omposite A2 3* gr tube 550000

30 omposite A3 3* gr tube 550000

31 on#ing Single on# botol 1100000

32 &tc)ing botol 330000

33 8uas on#ing bo: 170500

34 ?itrebon#/ base bon#ing ktk/btl 35200035 ait +tumpa)an sementara, 30 gr pot 1!!9*0

3! resop)ate botol *3!000

37 resop)ene botol 902000

3* 'o#o"orm pasta botol 297000

39 Spongostan bo:/50 steril 525000

40 Iinc p)osp)at semen set 17!000

T%TA


6/18

erencanaan 3 bulan Harga 3 bulan -erk

7

0 an )emistr

0

0 %-/&A/Seremit(

0 %-/&A/Seremit(

0 Eater Bitc)er

0 %-

0 %-

0 %neme#

0 %neme#

9 990000 &as( touc)/Nessco



0 %-

0 %-

0 @rocare

0 0 %-/Sterra

0 0 %-/Sterra

0 %-/Sterra

0 %-/Sterra

0 0 %-/Sterra

0 %-/Sterra

0 Serenit(/--

0 Serenit(/--

0 Serenit(/--1 5*3000 Septo#ont rance

0 0 Septo#ont rance

0 0 Japan

0 0 $ori#ent Austria

1 550000 Toku(ama Jepang

0 0 Toku(ama Jepang

0 0 $- erman(

1 330000 -eta 8orea

0 0 -icrorus)

1 352000 -aster on# io#inamika1 1!!9*0 $ori#ent Austria

1 *3!000 Septo#ont rance

0 0 Septo#ont rance

1 297000 )imas 'tal(

1 525000 uraspon Net#erlan#

1 17!000 $ori#ent Austria

752*4*0


7/18

No Nama Satuan Harga a) ermint Jumla) Harga abrik

1 2 3 4 5 ! 7

1 Asikloir s Tube 24750 100 2475000 T Sanbe

2 Allopurino Tablet 90 1400 12!000 T ertiDi

3 Ambro:ol otol !0 m 3!27 700 253*900 T 8imia

4 Aminop)ili Tablet *! 500 43000 T &rela

5 Amitriptili Tablet 123 100 12300 T 'n#o"ar

! Amoksicili Tablet 279 24000 !!9!000 T -ersi"a

7 Amoksicili otol !0 m 25!0 500 12*0000 T Noap

* Amoksicili otol !0 m 4750 700 3325000 T Holi )

9 Amoksilin 8apsul 220 10000 2200000 T 'n#o"ar

10 Antasi#a $Tablet 7* 21000 1!3*000 T &rela

11 Antasi#a $otol !0 m 2300 700 1!10000 T ucas $

12 Anti Hema 8otak 10 S 22000 21 4!2000 T 8imia

13 Anti migra Tablet 149 2100 312900 T 8imia

14 Asam AsetiTablet 127 300 3*100 T )apro

15 Asam askoTablet 105 24000 2520000 T 8imia "

1! Asam "olatTablet 52 !00 31200 T -arlin

17 Asam -e"eTablet 122 21000 25!2000 T erno"a

1* Asam tran Ampul 3!50 24 *7!00 t He:p)a

19 Asikloir 2 Tablet 245 1200 294000 t 8imia "a

20 Asikloir Tablet 345 !000 2070000 t 8imia "a

21 Attalpugit Tablet 220 !000 1320000 t Ienit)

22 eta)istin 2400

23 e#ak Sali $us 1350 210 2*3500 T Bama &

24 etametasTube 155* 210 3271*0 T 8imia 25 etametasotol 5 ml 2510! 21 52722! T Sanbe

2! isako#il s Supp !045 105 !34725 T Sanbe

27 $eksamet Tablet !* 4*000 32!4000 T rome#

2* $e:ameta Ampul 173* 1200 20*5!00 t 'n#o"ar

29 $iaepam Tablet 4! 700 32200 T 8imia

30 $iaepam lStesoli# 12751 12 153012 T Actais

31 $i"en)i#ra Ampul 11!0 4*0 55!*00 T ucas $

32 $igoksin 0 Tablet 103 !00 !1*00 t Karin#o

33 $imen)i#riTablet 107 700 74900 T 8imia

34 $inatrium botol 15ml 37500 35 1312500 T en#o '35 $omperi# otol !0 m 3490 100 349000 T Noap)

3! &pineprin iAmpul *910 100 *91000 t )apros

37 &ritromisi Tablet 1023 5000 5115000 t 8imia "a

3* &tanol 70 otol 1 lite 2!25 3! 94500 t Noap)

39 &ugenol caotol 1*333 1 1*333 t 8imia "a

40 enoterol anister 1 72900 14 1020!00 T oe)ri

41 itomena#iAmpul 3754 !00 2252400 t )apros


8/18

42 itomena#iTablet !9* 2400 1!75200 t -arlin i

43 lusinolon Tube 2700 210 5!7000 T '"ars )

44 urosemi# Tablet *4 1000 *4000 t samp)a

45 aram oralungkus 317 2000 !34000 t )apros

4! entamisi Tube 35 g 27*! 350 975100 T &rela

47 entamisi otol 5 ml 3513 2*0 9*3!40 T 'n#o"ar

4* liseril u otol 1000 30!90 24 73!5!0

49 liserin la otol 100 5*!7 35 205345 T ucas

50 lukosa 5 otol 500 5720 140 *00*00 T Ei#art

51 riseo"ul Tablet 224 1200 2!**00 t 8imia "a

52 Haloperi#oTablet !2 300 1*!00 t 'n#o"ar

53 Hi#rokortisTube 5 gra 2*!* 2*0 *03040 T 8imia

54 Hiosin utiAmpul 1ml 4950 35 173250 T %tto )

55 'bupro"en Tablet 121 1000 121000 t Karin#o

5! 'bupro"en Tablet 157 3000 471000 t Noap)

57 'bupro"en otol !0 m 3*49 700 2!94300 T 'n#o"ar

5* 'sosorbi# Tablet 9* 700 !*!00 T 8imia

59 8aptopril Tablet !9 1000 !9000 t 'n#o"ar

!0 8aptopril Tablet 97 3500 339500 T )apro

!1 8arbama Tablet 2!9 300 *0700 t 'n#o"ar

!2 8etokona Tablet 320 !00 192000 t Noap)

!3 8etokona tube 10 gr 2!33 210 552930 T 8imia

!4 8lorampen8apsul 275 1200 330000 t )apros

!5 8lorampenTube 1!40 50 *2000 t 8imia "a

!! 8o#ein 10 Tablet 550 2100 1155000 T 8imia

!7 8otrimoksaotol !0 m 229* 350 *04300 T Hol( )!* 8otrimoksaTablet 152 !000 912000 t rome#

!9 8uinin 222 Tablet 594 300 17*200 T 8imia

70 ansopra 8apsul 521 5000 2!05000 T 'n#o"ar

71 a:a#ine &otol !0 m 12450 14 174300 T aliniu

72 i#ocain eTube 40000 50 2000000 t Astra

73 i#okain inAmpul 2ml 1499 700 1049300 T 'n#o"ar

74 lisinopril Tablet !!0 !00 39!000 t Noell

75 isinopril Tablet 3*5 !00 231000 t Noell

7! operami#Tablet 97 1000 97000 t '"ars

77 orata#in Tablet 170 2100 357000 T rome#7* -et"ormin Tablet 11* 2100 247*00 T erno"

79 -etil pre# Tablet 390 7000 2730000 T $e:a -

*0 -etilergo Tablet 1!9 2100 354900 T 8imia

*1 -etoklopr Tablet 100 1000 100000 t )apros

*2 -etoklopr otol 5*30 100 5*3000 t -empro

*3 -etoklopr otol !0 m 2900 200 5*0000 T -ole:

*4 -etroni#a Tablet 11! 1000 11!000 t p)(to


9/18

*5 -etroni#a Tablet 1!9 !000 1014000 t )(to

*! -ikonaol Tube 3075 !00 1*45000 t 8imia "a

*7 -ometaso Tube 10 gr 2004* !0 1202**0 T uar#i

** Nacl 09. otol 500 5170 140 723*00 T Ei#art

*9 Natrium $iTablet 193 14000 2702000 T )apro

90 Ni"e#ipin Tablet 110 2100 231000 T $e:a -

91 Nistatin 50Tablet 704 1000 704000 t p)apros

92 Nistatin ?aTablet 52* !00 31!*00 T )apro

93 %bat Tuberaket 395900 15 593*500 t )apros

94 %bat Tuberaket 1319990 0 t 'n#o"ar

95 %ksitosin ' Ampul 1900 350 !!5000 T Tunggal

9! %mepraol8apsul 221 7000 1547000 T Noap

97 %n#ansetr Tablet *0* 2100 1!9!*00 T Karin#o

9* %n#ansetr Ampul 2400 35 *4000 T 'n#o"ar

99 arasetam Tablet ** 21000 1*4*000 T rome#

100 arasetam otol 5720 100 572000 t 'n#o"ar

101 arasetam otol !0 m 1535 1200 1*42000 T Noap

102 ermetrin Tube 10 gr 11475 35 401!25 T aliniu

103 olikresuleotol 10ml 1*!35 3! !70*!0 T ratapa

104 oi#on io otol 300 153*! 10 153*!0 T A= ar

105 oi#on 'o otol 30ml 2344 70 1!40*0 T A= ar

10! ropanolol Tablet *0 300 24000 t )oli "ar

107 ro=lT)io Tablet 351 300 105300 t 'n#o"ar

10* (rantel Tablet 31* 0 0 t )oli "ar

109 Bamipril 5 Tablet !35 1400 **9000 T $e:a -

110 Baniti#in Tablet 132 7000 924000 T $e:a -111 Baniti#in ' Ampul 2ml 1340 210 2*1400 T Natura

112 Binger akotol 500 5720 140 *00*00 T Ei#art

113 SalbutamoTablet !5 3!00 234000 t Karin#o

114 Salbutamo?ial 25ml 72!0 70 50*200 T lakso

115 Salbutanol Tablet 91 3!00 327!00 T 8imia

11! Salep 2/4 ot 30gra 2200 3!0 792000 T -arin

117 Se"ota:im ?ial 3500 5 17500 t Natura

11* Se"tria:on ?ial 3700 5 1*500 t #e:a m

119 Sep)a#rok8apsul 529 7000 3703000 T erno

120 Sep)a#rokotol !0 m 52*! 700 3700200 T Hol( )121 Setriin 108apsul 190 7000 1330000 T ertiDi

122 Setriin S otol !0 m *799 140 1231*!0 T 'n#o"ar

123 SianokobalAmpul 1ml 1110 700 777000 T erno

124 SiproCoks Tablet 2!5 7000 1*55000 T erno

125 Simastati Tablet 4*0 7000 33!0000 T Natura

12! Simastati Tablet 177 7000 1239000 T Natura

127 Spironolak Tablet 350 700 245000 T $e:a -


10/18

12* Sukral"at otol 100 14450 210 3034500 T ombi

129 Tablet Tamungkus ;30 2400 T 8imia

130 Tetracain otol 5 ml 11500 50 575000 T en#o '

131 Tetrasiklin 8apsul 325 !00 195000 t A="arma

132 T)iamin H Tablet *3 21000 1743000 T Noap

133 Timolol Te otol 5ml 102*! 14 144004 T ratapa

134 ?itamin b Tablet 112 !000 !72000 t 8imia "a

135 inc #rop otol 141!0 50 70*000 t combip

13! Iinc sirup otol *140 !0 4**400 t mepro"a

137 Iinc 10 m Tablet 521 1200 !25200 t 'n#o"ar

1331!5110


11/18

arma

Agung

rma

a

ma Tirmacu -ercusana

arin

rma

a

aa

arma

arma

Tbk

rma

ia

rm

m

rma

rma

meral# -ulti Sukses

rmaarma

arma

ra)ar#o armasi 'n#ustri

a

rma

'n#onesia

aa

rma

'n#ustri armasiarin

rma

rin

rma

ger 'ngel)eim


12/18

a

rmaceutical aboratories

rin#o

a

aa

)akti

rma

a

arma

armaceuticals

rin

a

arma

a

Tbk

a

rin

arma

rma

arma

armaar#o

arma

a

)armasia aboratories

a

ra)ar#o armasi 'n#ustrirm

e#ica

arma

parm

(us


13/18

rma

n )armatama

)akti

Tbk

e#ica

Tbk

a

l '#aman Ab#i

arin

)arma Tama

a

ra)ar#o armasi 'n#ustri

a

arin

)armasia aboratories

Nirmala

a

a

a

a

a

e#ica

e#icaaboratoria rima

)akti

Eelcome 'n#onesia

arma

ia armasi

#ica

)arma

armaAgung

a

)arma

)arma

aboratoria rima

aboratoria rima

e#ica


14/18

)ar

rma

'n#ustri armasi

arin

Nirmala

rma

ar

rm

a


15/18

No Nama Satuan Harga a) ermint Jumla) Harga

1 2 3 4 5 !

1 Alat suntikbo: 109250 12 1311000

2 Alog(l 10 botol 5*3000 1 5*3000

3 Arsen !5 pot 390000 1 390000

4 enang pl pcs 9075 57! 5227200

5 on#ing Sibotol 1100000 1 1100000

! ait +tum pot 1!!9*0 1 1!!9*0

7 omposite tube 550000 1 550000

* omposite tube 550000 1 550000

9 resop)at botol *3!000 1 *3!000

10 resop)enbotol 902000 1 902000

11 &tc)ing botol 330000 1 330000

12 lass 'ono set 395000 1 395000

13 'o#o"orm pbotol 297000 1 297000

14 '? at)ete bo: isi 24 3*9375 3 11!*125

15 '? at)ete bo: isi 24 3*9375 3 11!*125

1! '? at)ete bo: isi 24 3*9375 1 3*9375

17 8alsium Hi set 242000 1 242000

1* 8asa steril o: 10 pcs 7*!5 9! 755040

19 8uas on#ibo: 170500 1 170500

20 Beagen gol?ial *4700 5 423500

21 reagen gol?ial *4700 5 423500

22 Sarung Tanbo: isi 50 212500 5 10!2500

23 Spongosta bo:/50 ste 525000 1 525000

24 Stik Asam bo: 110000 30 330000025 Stik gula #bo: 110000 30 3300000

2! Stik kolest bo: 192500 30 5775000

27 Tes 8e)amibo: 50 **000 5 440000

2* @ pa# !0: pak isi 10 !!550 30 199!500

29 @rinbag pcs 4901 20 9*020

30 ?itrebon#/ ktk/btl 352000 1 352000

31 Iinc p)ospset 17!000 1 17!000

32 '%A& : ; 10 tu 104000 5 520000

33 A@A$&STotol ;1 lit 17000 3 51000

34 AAT S@NTo: ;100 !5000 4* 312000035 AAT S@NTo: ;100 75000 3! 2700000

3! A?%K otol ;1 lit !40000 4 25!0000

37 ABS&N otol ;1 lit !15420 4 24!1!*0

3* AK'N otol ;1 lit 30000 ! 1*0000

39 ATH&J& tube 41!00 4 1!!400

40 &LAB& S@ pcs 4500 ! 27000

41 &LAB& S@ pcs 4500 ! 27000


16/18

42 &T' 8%B' tol ;100 150000 12 1*00000

43 %K AT pcs 15000 3! 540000

44 %K AT pcs 15000 3! 540000

45 '&-SA otol ;1 lit 255*00 4 1023200

4! ASS '%Notol ;1 lit 430000 4 1720000

47 HKA?'G Boll 44000 24 105!000

4* 'N@S&T A pcs 3500 30 105000

49 'N@S&T $ pcs 3200 75 240000

50 8AS'@- otol ;1 lit 3!0000 4 1440000

51 8AAS AS ungkus 12500 3! 450000

52 8AB% otol ;1 lit 93*00 4 375200

53 8ASA H'$B Boll 1500 100 150000

54 8ASA H'$B Boll 590 240 141!00

55 8ASA H'$B Boll 750 240 1*0000

5! 8ASA 8%- Boll 1!00 240 3*4000

57 AN&T o: 21000 4 *4000

5* AB@TAN otol ;1 lit 247500 4 990000

59 AB@TAN otol ;1 lit 22500 4 90000

!0 AB@TAN otol ;1 lit 190000 4 7!0000

!1 AB@TAN otol ;1 lit *5500 4 342000

!2 AB@TAN otol ;1 lit 35300 4 141200

!3 AB@TAN otol ;1 lit 127500 4 510000

!4 AB@TAN otol ;1 lit 19!700 2 393400

!5 AB@TAN otol ;1 lit 27000 4 10*000

!! AB@TAN otol ;1 lit 70000 4 2*0000

!7 AB@TAN otol ;1 lit 12*00 4 51200!* AB@TAN otol ;1 lit 37200 4 14**00

!9 AB@TAN otol ;1 lit 27000 4 10*000

70 K%' AT o: ;24 7*57!1 1 7*57!1

71 K%' AT o: ;24 !7*449 1 !7*449

72 KS% 1 ' otol ;1 lit 41000 4 1!4000

73 -&TAN% otol ;1 lit 54000 4 21!000

74 -&T'&N otol ;1 lit 39*00 4 159200

75 %N&-&$ Aotol ;1 lit 21500 3! 774000

7! B'?AN% 3 tol ;300 2550 24 !1200

77 I'& N&S otol ;1 lit 3*5700 4 1542*00!4749455


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