REVISI TARIF OBAT & ALKES 9 JUNI 2020 Ghifar
REVISI TARIF OBAT & ALKES 9 JUNI 2020 Ghifar
REVISI TARIF OBAT & ALKES 9 JUNI 2020 Ghifar
CODE HITS
PREVIOUS
1 51010134 100 PROLIC Cap 300 mg - Clindamycin 12,873 12,873
2 51010823 100 SCOPAMIN TAB 3,371 3,371
3 51020502 1 TAPROS 1.88MG INJ 1,394,184 1,394,184
4 51020038 1 NEXIUM 40 mg inj - O 274,686 274,686
5 51020112 5 NOKOBA 0.4mg/ml inj 2ml - Naloxone 134,231 134,231
6 51020320 1 IKAPHEN INJ 141,977 141,977
7 51020482 5 TROVENSIS 4MG/2ML INJ 107,928 107,928
8 51030396 1 BAQUINOR INFUS SOFTBAG 365,717 365,717
9 51010133 100 PROLIC Cap 150 mg - Clindamycin 6,643 6,643
10 51030063 1 LEVOCIN Infus - Levofloxacin 473,214 473,214
11 51030153 1 Aminofusin Paed 250ml 162,602 162,602
12 51020093 1 PELASTIN inj 1 g - Imipenem 500 mg, 523,952 523,952
13 51030150 1 Triofusin E 1000 165,077 165,077
14 51010681 30 OSCAL 0.5MG CAP 18,475 18,475
15 51020381 5 SCOPAMIN INJ 24,897 24,897
16 51120030 1 TANTUM VERDE 63,767 63,767
17 51020252 1 Merosan 1g Inj 835,142 835,142
18 51010477 50 Forres 50mg Tab 9,292 9,292
19 51030385 1 AMINOFLUID L 500ML 210,452 210,452
20 51010179 50 CYTOTEC tab 200 mcg - Misoprostol 33,381 33,381
21 51040157 1 CEFILA DS drop 30ml 158,924 158,924
22 51020040 1 PANTOZOL 40 mg inj - 252,539 252,539
23 51020577 5 NICARDEX INJEKSI 261,800 261,800
24 51010232 30 CO-AMOXICLAV 625MG TAB 9,550 9,550
25 51010512 30 Lipantyl 200M Tab 26,923 26,923
26 51044104 1 ELKANA CL SYRUP 79,217 79,217
27 51020162 5 PROSTIGMIN 0.5mg amp 37,568 37,568
28 51040024 1 TEMPRA 160mg/ 5ml syr 60ml - Parace 59,977 59,977
29 51020165 5 RANTIN 50MG/ML INJ 34,664 34,664
30 51030108 1 AMINOFLUID 1000ml 324,302 324,302
31 51010239 100 DOXYCYCLINE 100MG TAB 861 861
32 51020507 5 FARGOXIN INJ 62,714 62,714
33 51020310 1 CRAVIT I.V 456,302 456,302
34 51020339 1 OMZ Inj 209,061 209,061
35 51010050 28 NEXIUM 20 mg Tab - Esomeprazole 25,958 25,958
36 51040049 1 RYVELL syr 60 ml - Citirizine HCl 5 97,316 97,316
37 51020610 5 SALTICIN 80 MG INJ ( 27,989 27,989
38 51010123 100 NEUROSANBE tab - vit B1 100 mg, Vi 3,267 3,267
39 51020396 10 ISORBID INJ 109,980 109,980
40 51010438 100 Buscopan Plus Tab 6,983 6,983
41 51011408 28 PRO TB4 TABLET 9,995 9,995
42 51010149 10 TROVENSIS tab 8 mg - Ondansetron 30,130 30,130
43 51020234 1 Engerix B 0.5 ml Inj 127,558 127,558
44 51100013 1 AMOXSAN FORTE SYR-am 57,778 57,778
45 51020410 1 ROBUMIN 20% 100 ML I 2,733,302 2,733,302
46 51010192 60 LACTAMAM kapl (Ekstrak biji Fenugre 5,147 5,147
47 51010574 100 RANTIN 150MG TAB 8,123 8,123
48 51010109 60 ANVOMER B6 tab - Pyrathiazine chlo 4,140 4,140
49 51040312 1 Neurotam Syr 110,061 110,061
50 51020070 10 CORTIDEX Vial - Dexamethason 12,656 12,656
51 51010653 100 EUPHYLLIN RETARD 5,764 5,764
52 51030146 1 Neurotam 12g Infus 333,481 333,481
53 51020158 5 DAMABEN INJ (methoclopramide HCl 5 18,123 18,123
54 51010061 30 VIOSTIN DS tab - Glukosamine HCl 50 9,160 9,160
55 51020092 10 OXYLA 10IU/ML INJ 18,718 18,718
56 51100027 5 STESOLID 10MG RECTAL TUBE 62,857 62,857
57 51010439 30 Cal-95 Kaplet 8,779 8,779
58 51180315 30 SPIRIVA KAPSUL BPJS 23,898 23,898
59 51010988 30 OSTE FORTE TAB 14,259 14,259
60 51100020 10 Boraginol S Suppo 21,543 21,543
61 51011275 30 CANDERIN8 MG TAB 10,556 10,556
62 51011091 30 FORTIBI CAP 6,100 6,100
63 51010412 250 THEOPHYLLIN 250g 897 897
64 51010371 100 ALLORIS tab 8,738 8,738
65 51020314 1 GARDASIL INJ 1,256,811 1,256,811
66 51020306 1 CEFTUM 1G INJ 334,113 334,113
67 51020329 5 Lantus Solostar Pen @ 5 256,748 256,748
68 51010648 30 DIVASK 10MG TAB 18,802 18,802
69 52910284 4 OCTENIC BODY WASH (B 8,008 8,008
70 51030380 1 AMINOSTERIL 6% INFANT 100ML 124,652 124,652
71 51020238 1 Flamicort 10mg/ml IAD 193,382 193,382
72 51010117 100 THERAGRAN M tab - Vit A 10.000 UI + 8,540 8,540
73 51010522 100 Medixon 8mg Tab 7,550 7,550
74 51020445 5 NEOSTIGMIN HAMELN 0.5MG INJ 26,153 26,153
75 51010379 30 IMBOOST FORCE tab 10,225 10,225
76 51020557 5 SAFOL (NUPOVEL) INJE 124,756 124,756
77 51020244 1 Havrix 720 Junior 382,311 382,311
78 51010060 30 VIOSTIN-X TAB 11,545 11,545
79 51010478 50 Frego 5mg Tab 10,696 10,696
80 51010702 100 LAMESON 8MG TAB 9,944 9,944
81 51010177 10 CODIPRONT CUM EXPECTORANT CAP 17,492 17,492
82 51010649 30 DIVASK 5MG TAB 11,408 11,408
83 51011411 30 BICROLID 500MG TABLET 33,992 33,992
84 51011276 30 CANDERIN160 MG TAB 14,681 14,681
85 51010296 20 ROCER 20MG TAB - omeprazole 20mg 20,481 20,481
86 51010360 100 BIOTHICOL 500mg cap 6,877 6,877
87 51010493 20 Imunos Tab 12,606 12,606
88 51010517 30 Lutenyl Cap 19,334 19,334
89 51010143 30 SPORETIK 100 mg Kaps - Cefiksim 31,168 31,168
90 51020174 1 VAKSIN TETANUS (TT) 123,393 123,393
91 51010145 100 TRADOSIK 50 mg Kaps - tramadol 7,692 7,692
92 51010583 1000 Theophyllin 1gram 958 958
93 51011280 30 NATTO 10 TAB 15,785 15,785
94 51070021 1 SERETIDE DISCUS 100 234,429 234,429
95 51090149 1 DECUBAL CREAM 40GR 67660 67660
96 51030426 24 INFUSAN M20 500ML 121,414 121,414
97 51020505 1 PUMPITOR INJ 225,508 225,508
98 51060046 1 POLYDEX 5ML EYE DROP 70,642 70,642
99 51020179 1 VAKSIN CAMPAK 10 DS 149,206 149,206
100 51020567 5 NICARDIPINE HCL 1MG INJEKSI 200,200 200,200
101 51011440 30 TELMISARTAN 40 MG 6,032 6,032
102 51090154 1 QV CREAM 100GR 198,219 198,219
103 51020148 1 TETAGAM P 250IU x 1ml amp 293,454 293,454
104 51020522 5 AETHOXYSKLEROL 3% 2 184,489 184,489
105 51020287 1 VERORAB INJ 272,551 272,551
106 51020573 1 TOPAZOL INJ 261,096 261,096
107 51120033 1 ALKOHOL 96% 1L ( BRATACO ) 103,202 103,202
108 51020563 1 AMIKASIN 500 INJ 212,161 212,161
109 51020392 10 RANITIDIN INJ OGB NOVELL 5,411 5,411
110 51010170 100 CEFAT Kapsul 500 mg - Cefadroxil 17,131 17,131
111 51011300 90 RENALOF CAP 16,797 16,797
112 51010406 100 NOLIPO 500mg cap 8,785 8,785
113 51020535 5 ACRAN INJEKSI 35,554 35,554
114 51120074 1 BETADINE VAGINAL DOU 83,661 83,661
115 51040359 1 CURVIT CL EMULSION 175ML SYR 76,780 76,780
116 51020099 5 SAGESTAM inj 2 ml - Gentamycin sulf 19,369 19,369
117 51020231 1 Dobutamin Giulini 1g Inj 398,717 398,717
118 51010666 30 HEPAMAX CAP 13,560 13,560
119 51010447 30 Celebrex 100mg Tab 16,399 16,399
120 51011316 30 ARTRODAR 50MG CAP 14,991 14,991
121 51010367 50 RHINOS SR CAP (Larotadine 5 mg, pse 8,300 8,300
122 51010437 30 BRAIN ACT 500MG TAB 20,847 20,847
123 51010120 18 LEVOCIN Tab 500 mg - Levofloxacin 57,113 57,113
124 51020371 2 LOVENOX 40MG INJ 253,544 253,544
125 51020509 10 MECOBALAMIN 500MG INJ 15,279 15,279
126 51020236 6 Extrace 200mg Inj 18,300 18,300
127 51020545 5 SANDOSTATIN INJ 465,644 465,644
128 51020574 1 PUMPICEL INJ 219,022 219,022
129 51020558 5 REGIVEL INEJEKSI 106,948 106,948
130 51011065 60 NEUROVIT E TAB 1,931 1,931
131 51180336 6 EPODION 2000 BPJS 101,660 101,660
132 51100026 12 Propyretic 80mg Suppo 12,342 12,342
133 51020585 10 CARBAZOCHROME 50MG/10ML INJ 18,605 18,605
134 51011432 10 SPORETIK 200 MG KAP 38,831 38,831
135 51020152 100 NEEDLE NOVOFINE 5,021 5,021
136 51020443 1 PROTAMIN INJ 201,443 201,443
137 51180201 25 FUROSEMID INJ BPJS 3,050 3,050
138 51011418 30 VELACOM PLUS 2 / 500 MG TAB 3,862 3,862
139 51010474 60 Fluimucil 200mg Kap 12,533 12,533
140 51180184 6 RECORMON 2000 INJ BPJS 207,259 207,259
141 51040152 1 IMUNOS SYR 60ML 118,569 118,569
142 51010830 60 MST CONTINUS 10MG TA 23,432 23,432
143 51011367 100 ARKINE 2MG TAB 1,362 1,362
144 51100024 12 Propyretic 160mg Suppo 12,983 12,983
145 51040141 1 DULCOLACTOL syr 96,475 96,475
146 51080020 1 VAKSIN HEPATITIS B 0.5 ML 92,780 92,780
147 51010541 100 Neurontin 300mg Tab 19,591 19,591
148 51020201 1 ACTRAPID HM 100IU/ml 457,363 457,363
149 51020483 5 TROVENSIS 2MG/2ML INJ 55,487 55,487
150 51011416 36 NEURO AID CAPSUL 32,533 32,533
151 51180235 30 AVODART TAB BPJS 10,643 10,643
152 51010224 100 CARBAMAZEPINE 200MG TAB 548 548
153 51020589 10 CHROME INJ 50 MG 30,201 30,201
154 51010520 30 Medixon 16mg Tab 11,324 11,324
155 51020183 1 SERUM ANTI TETANUS 1.500 SI vial 249,691 249,691
156 51020015 5 DOBUJECT 250mg/ 5ml 212,600 212,600
157 51020297 6 Torasic 30mg Inj 56,341 56,341
158 51010947 60 HYPERIL 5MG TAB 13,496 13,496
159 51180048 24 FUTROLIT INFUS BPJS 69,444 69,444
160 51011392 150 DEXTRAL CAPSUL 891 891
161 51011254 30 LIPANTHYL PENTA 145 TAB 33,173 33,173
162 51020002 24 AMINOPHYLLIN 24 MG INJ 10,811 10,811
163 51010411 1 CYCLO-PROGYNOVA 21 tab 203,109 203,109
164 51011415 30 INBUMIN TAB 7,733 7,733
165 51010281 120 PIROXICAM 10MG KAP 385 385
166 51020508 100 DEXAMETHASONE INJEKSI 3,345 3,345
167 51010944 30 NEULIN PS TAB 20,219 20,219
168 51011117 20 DUPHASTON TAB 29,660 29,660
169 51010572 20 Pumpitor Cap 21,728 21,728
170 51010658 50 FREGO 10MG TAB 12,426 12,426
171 51040109 1 APYALIS 100ml syr 56,442 56,442
172 51010928 100 GLUCOVANCE 500MG/5MG TAB 7,516 7,516
173 51020579 10 MILOZ 5 MG / ML INJ 29,536 29,536
174 51020599 1 ICUNES INJ 100MCG/ML 536,416 536,416
175 51020569 5 NOTRIXUM 500 MG INJ 110,735 110,735
176 51010042 100 SANPRIMA tab - Co-trimoxsazole: Tri 1,962 1,962
177 51020029 30 VITAMIN K3 10 mg/ml inj - Menadion 8,095 8,095
178 51030116 1 Cravox Inf 100ml 419,100 419,100
179 51010900 100 ASAM MEFENAMAT 500MG TAB OGB BERNOFARM 690 690
180 51020400 5 NOVOMIX 30 FLEXPEN 245,088 245,088
181 51020235 1 Engerix B 20mcg Inj 151,311 151,311
182 51100025 12 Propyretic 240mg Suppo 14,863 14,863
183 51010813 30 FORMUNO TAB 11,265 11,265
184 51011363 100 ACARBOSE 100MG TAB 2,741 2,741
185 51020160 24 CA GLUCONAS 10% inj 29,662 29,662
186 51020565 2 CEFPIROME INJ 203,179 203,179
187 51030422 1 RENOSAN INFUS 342,449 342,449
188 51020103 1 TERFACEF Vial 1 gr - seftriakson 1 333,872 333,872
189 51010119 20 LAPRAZ caps 30 mg - Lansoprazole 18,894 18,894
190 51030119 1 Hidonac 20% Inf 561,737 561,737
191 51010137 100 RIFAMTIBI caps 600 mg - rifampicin 10,012 10,012
192 51100029 6 DULCOLAX 5MG CHILD SUPPO 25,456 25,456
193 51010167 20 BAQUINOR FORTE cap - Ciprofloxacin 21,330 21,330
194 51180030 20 AZITHROMYCIN 500 TAB 6,746 6,746
195 51100019 10 Boraginol N Suppo 16,526 16,526
196 51020246 10 Herbesser 50mg Inj 369,625 369,625
197 51011356 100 CISAPRIDE 5MG TAB 1,182 1,182
198 51020357 1 PEDIACEL VAKSIN 1,050,302 1,050,302
199 51020575 1 CEFORIM INJ 434,189 434,189
200 51020132 5 EXTRACE 500mg/5ml inj - Ascorbic a 29,662 29,662
201 51011385 100 EPERISONE TAB 2,326 2,326
202 51180345 1 SALBULIN INHAELER B 47,581 47,581
203 51011164 30 LIPROQY CAP 12,128 12,128
204 51090155 1 ERYMED CREAM 20 GR 46,405 46,405
205 51030123 24 Infusan D5+ 1/2NS SP 24 22,078 22,078
206 51180288 100 MINI ASPI TAB BPJS 306 306
207 51011417 30 VELACOM PLUS 1 /250 MG TAB 2,670 2,670
208 51011360 100 RAMIPRIL 5MG TAB 988 988
209 51010286 100 PROPYLTHIOURACYL (PTU)100MG TAB 755 755
210 51010878 100 METRONIDAZOLE 500MG TAB OGB BERNOFARM 767 767
211 51011351 100 ALPRAZOLAM 0.25MG TAB 911 911
212 51180171 1 SERETIDE DISKUS 100 146,834 146,834
213 51020451 5 NEULIN 500MG INJ 105,871 105,871
214 51180046 1 TUTOFUSIN OPS ( BPJS 60,062 60,062
215 51020598 10 PLASMINEX 500MG INJ 18,104 18,104
216 51011357 100 CLOBAZAM 10MG TAB 1,565 1,565
217 51020337 10 Neurotam 1g Inj 25,648 25,648
218 51011355 100 ACARBOSE 50MG TAB 1,765 1,765
219 51010869 100 ETHAMBUTOL 500MG TAB OGB BERNOFARM 2,329 2,329
220 51011347 50 IRBESARTAN 300 TAB 5,260 5,260
221 51010282 120 PIROXICAM 20MG KAP 357 357
222 51030384 1 TRIOFUSIN 1600 INF 161,211 161,211
223 51180273 100 THYROZOL TAB BPJS 1,711 1,711
224 51020459 1 CEFEPIME 1G INJ 233,811 233,811
225 51150049 1000 KAPSUL NO 1 87 87
226 51011344 100 TRIAMCINOLONE 4MG TAB 1,196 1,196
227 51180198 10 FLUCONAZOLE CAP ( BP 26,306 26,306
228 51180198 10 FLUCONAZOLE TAB, BPJS 26,306 26,306
229 51011352 100 ALPRAZOLAM 0.5MG TAB 1,107 1,107
230 51180224 1 ACTRAPID HM 10 INJ B 202,092 202,092
231 51011358 30 GABAPENTIN 300 CAP 7,963 7,963
232 51020592 1 E SOFER INJ 208,593 208,593
233 51011361 100 SPIRONOLACTONE 100MG TAB 1,532 1,532
234 51020173 1 VAKSIN DIFTERI TETANUS (DT) 5ml via 102,323 102,323
235 51020101 10 SYNTOCINON 1 ml Amp- 22,142 22,142
236 51020205 250 ISOFLURAN 250ml 10,207 10,207
237 51011331 10 PROBIOKIDS SACHET 19,242 19,242
238 51011261 30 CIFLON TAB 11,989 11,989
239 51010237 100 DILTIAZEM 30MG TAB 552 552
240 51010875 5 DUROGESIC 12.5MG 154,856 154,856
241 51101137 6 TRICHODAZOLE PLUS VAG SUPP 20,000 20,000
242 51011365 30 CLOPIDOGREL 75MG TAB 13,903 13,903
243 51011343 100 MECOBALAMIN 500MG CAP 1,325 1,325
244 51010911 100 CEFIXIME 100MG TAB OGB BERNOFARM 6,284 6,284
245 51180071 100 TYROZOL 10MG TAB BPJ 1,647 1,647
246 51020596 20 KIFACAIN INJ 4,044 4,044
247 51180327 28 ARICEPT 10MG BPJS 16,793 16,793
248 51180266 100 ASAM FOLAT TABLET 361 361
249 51180338 24 INFUSAN RL SP 500 ML 9,726 9,726
250 51011387 30 URSODEOXYCHOLIC ACID 250 TAB 6,526 6,526
251 51180287 20 COMBIVENT UDV BPJS 8,099 8,099
252 51011353 100 ALPRAZOLAM 1MG TAB 1,615 1,615
253 51180337 24 INFUSAN RING AS SP 500 ML 11,159 11,159
254 51180319 5 FIMA HES 200 (BPJS) 117,550 117,550
255 51120091 1000 STARDINE 1 ML 336 336
256 51150051 1000 KAPSUL NO 00 107 107
257 51011386 100 REBAMIPIDE TAB 2,873 2,873
258 51010507 20 Lasgan 30mg Kaps 22,466 22,466
259 51020606 5 FURAMIN INJEKSI 13,585 13,585
260 51120098 1000 SACCARUM LACTIS ( LAKTOSUM ) 357 357
261 51011425 30 ANALTRAM TABLET ( PCT 325+TRAMADOL 37,5 ) 11,028 11,028
262 51180341 24 INFUSAN D5 1/2 NS SP 20,453 20,453
263 51180344 5 NEFROFER INJ BPJS 94,822 94,822
264 51020198 1 SERUM ANTI BISA ULAR 5ml 712,541 712,541
265 51180181 100 ERYTHROMYCIN 500 MG TAB 1,994 1,994
266 51010142 100 SANTIBI 1,631 1,631
267 51010961 100 FARSORBID 5MG TAB 523 523
268 51180340 24 INFUSAN D5 1/4 NS SP 18,311 18,311
269 51150047 1000 KAPSUL NO 3 79 79
270 51020571 10 NTG INJ 83,784 83,784
271 51020141 20 NEUROBION 5000 inj 9,782 9,782
272 51020114 10 AMOXSAN INJ-amoxicil 35,692 35,692
273 51011010 100 HALOPERIDOL 1,5 MG TAB 304 304
274 51011421 30 PROBIOSTIM KAPSUL 13,502 13,502
275 51011410 100 CHROME TABLET 3,018 3,018
276 51010234 100 DEXAMETHASON 0.5MG TAB 339 339
277 51011011 100 HALOPERIDOL 5 MG TAB 362 362
278 51010299 100 SALBUTAMOL 4MG TAB 325 325
279 51011325 50 RISPERIDON 2 MG TAB 3,402 3,402
280 51010957 100 ALLOPURINOL 100MG TAB BERNOFARM 542 542
281 51011342 30 LISINOPRIL 5MG TAB 2,474 2,474
282 51020587 20 ZYFORT INJEKSI 9,002 9,002
283 51011180 200 NEURODEX TAB 1,150 1,150
284 51020572 5 BUPIVACAIN SPINAL 5M 47,319 47,319
285 51020249 5 Ketesse Inj 79,710 79,710
286 51010502 200 Kalmethasone Tab 258 258
287 51011362 100 SPIRONOLACTONE 25MG TAB 611 611
288 51150048 1000 KAPSUL NO 2 72 72
289 51011438 90 FOSRENOL TABLET 28,704 28,704
290 51150045 10000 KERTAS PUYER BERLOGO 66 66
291 51180339 24 INFUSAN NS SP 500 ML BPJS 9,013 9,013
292 51080006 1 VAKSIN POLIO 10 DS vial 50,845 50,845
293 51011389 30 PREGABALIN 75MG TAB 9,815 9,815
294 51180148 100 ISOSORBID DINITRATE 240 240
295 51010274 100 NIFEDIPINE TAB 560 560
296 51010485 250 Glyceril Guaicolat 100mg Tab @ 1000 655 655
297 51010298 100 SALBUTAMOL 2MG TAB 360 360
298 51010620 150 ASPILET TROMBO TAB 2,128 2,128
299 51020608 10 VAKSIN BIO TD 0,5 MG 52,845 52,845
300 51180335 1 ECOSOL NACL 500ML (B 11,104 11,104
301 51180291 100 SIMARC 2MG TAB BPJS 2,500 2,500
302 51011323 100 MEXTRIL TABLET 567 567
303 51090124 1 SCABIMATE 10G CREAM 72,973 72,973
304 51180242 100 STARFOLAT 0.4MG TAB ( BPJS ) 263 263
305 51010602 100 Vitamin A 6000 SI tab 322 322
306 51010736 100 Propanolol 10mg Tab OGB Dexa @ 100 295 295
307 51010024 100 CAPTOPRIL 12,5 mg Tab 392 392
308 51010737 100 Propanolol 40mg Tab OGB Dexa @ 100 361 361
309 51011340 30 BETAHISTIN 6 MG TAB 1,407 1,407
310 51010760 100 Trihexyphenidyl 2mg Tab 241 241
311 51010025 100 CAPTOPRIL 25 mg Tab 386 386
312 51010573 100 Pyridoxine (Vit B6 ) 10mg Tab KF @ 163 163
313 51011341 30 LISINOPRIL 10MG TAB 4,101 4,101
314 51030141 1000 HYDROGEN PEROKSIDA 50% 1L 84 84
315 51010311 100 VITAMIN B COMPLEK TAB 102 102
316 51080007 1000 FORMALIN 1ML 129 129
317 51020609 5 VENODENOL INJEKSI 9,022 9,022
KENAIKAN HARGA
51010520 30 Medixon 16mg Tab 11,324 11,324
51010225 100 CEFADROXIL 500MG TAB BERNOFARM 2,281 2,281
51010231 50 CLINDAMYCIN 300MG KAP 5,081 5,081
51010845 100 LAMESON 16MG TAB 12,736 12,736
51040416 1 L-ZINC SYR 59,776 59,776
51030394 24 INFUSAN D5 500ML DP 24 41,946 41,946
51030142 24 INFUSAN RL DP 24 48,154 48,154
51030423 24 INFUMAL DP 10% 500 ML 134,291 134,291
51010665 100 HEMOBION TAB 5,829 5,829
51030041 1 MEYLON 8.4% inf 25 ml - Na Bicarbon 36,295 36,295
51030035 20 KA-EN 3B infus 500 ml- Na 50 meq + 53,086 53,086
51030413 1 GELAFUSAL INFUS 291,561 291,561
51020421 1 METHYLPREDNISOLON 125MG INJ BERNOFARM 80,787 80,787
51010485 100 Glyceril Guaicolat 100mg Tab @ 1000 703 703
51120090 1 BETADINE OBAT KUMUR 190 ML 49,781 49,781
51010735 10 Profertil Tab 25,430 25,430
51011040 30 TRUVAS 10MG TAB 23,523 23,523
51020225 1 Cepraz 1g Inj 322,520 322,520
51020195 1 CEFXON 1g inj 368,558 368,558
51020393 1 LAMESON 125MG INJ 159,322 159,322
51180256 1 ULSAFATE SYR ( SUCRALFAT ) BPJS 28,088 28,088
51010205 50 ACYCLOVIR 400MG TAB 1,304 1,304
Prepared by,
(Dwi Sari)
CURRENT
FAKTUR / BX FAKTUR SATUAN FAKTUR 4,444 30%
COST PRICE HNA HNA HNA +PPN COST TOTAL COST MARGIN
SATUAN NEW
7.332 683,500 6,835 7,519 44 7,563 9,832
1,750 178,063 1,781 1,959 44 2,003 2,604
893,025 982,328 982,328 1,080,561 4,444 1,085,005 1,410,506
164,390 164,390 164,390 180,829 4,444 185,273 240,855
85.8 407,550 81,510 89,661 889 90,550 117,715
87.45 83,078 83,078 91,386 4,444 95,830 124,579
70.191 327,100 65,420 71,962 889 72,851 94,706
236.61 220,500 220,500 242,550 4,444 246,994 321,092
3.608 336,500 3,365 3,702 44 3,746 4,870
308.275 287,300 287,300 316,030 4,444 320,474 416,616
101.2 96,140 96,140 105,754 4,444 110,198 143,257
342.1 318,800 318,800 350,680 4,444 355,124 461,661
102.85 97,708 97,708 107,479 4,444 111,923 145,500
11.256 337,700 11,257 12,382 148 12,530 16,290
15.73 72,751 14,550 16,005 889 16,894 21,962
35.31 35,310 35,310 38,841 4,444 43,285 56,271
549.56 512,100 512,100 563,310 4,444 567,754 738,080
4.84 250,000 5,000 5,500 89 5,589 7,266
121,000 126,445 126,445 139,090 4,444 143,534 186,594
22.11 1,105,500 22,110 24,321 89 24,410 31,733
85.8 83,000 83,000 91,300 4,444 95,744 124,467
152,900 168,190 168,190 168,190 4,444 172,634 224,424
187 935,000 187,000 205,700 889 206,589 268,565
5.808 174,244 5,808 6,389 148 6,537 8,498
17,467 576,400 19,213 21134.66667 148 21,283 27,668
48.51 45,300 45,300 49,830 4,444 54,274 70,556
22.594 112,970 22,594 24,853 889 25,742 33,465
35.64 33,400 33,400 36,740 4,444 41,184 53,539
23.109 91,438 18,288 20,116 889 21,005 27,307
190,000 198,550 198,550 218,405 4,444 222,849 289,704
478 43,490 435 478 44 523 680
38.5 192,500 38,500 42,350 889 43,239 56,210
270,000 282,150 282,150 310,365 4,444 314,809 409,252
130.9 119,000 119,000 130,900 4,444 135,344 175,947
16.833 485,456 17,338 19,071 159 19,230 24,999
55 50,000 50,000 55,000 4,444 59,444 77,277
72,500 73,769 14,754 16,229 889 17,118 22,253
1.128 150,500 1,505 1,656 44 1,700 2,210
72.6 689,700 68,970 75,867 444 76,311 99,205
4.233 384,800 3,848 4,233 44 4,277 5,560
5.426 151,946 5,427 5,969 159 6,128 7,966
17.589 163,900 16,390 18,029 444 18,473 24,015
61,000 67,100 67,100 73,810 4,444 78,254 101,730
29,535 32,489 32,489 35,738 4,444 40,182 52,236
1,650,000 1,724,250 1,724,250 1,896,675 4,444 1,901,119 2,471,455
3.3 168,300 2,805 3,086 74 3,160 4,107
4.73 449,350 4,494 4,943 44 4,987 6,483
2.64 134,640 2,244 2,468 74 2,542 3,305
58,000 57,420 57,420 63,162 4,444 67,606 87,888
6.369 59,350 5,935 6,529 444 6,973 9,065
284,941 2,849 3,134 44 3,179 4,132
210,000 207,900 207,900 228,690 4,444 233,134 303,074
9.361 46,805 9,361 10,297 889 11,186 14,542
5.866 170,720 5,691 6,260 148 6,408 8,330
12.65 115,000 11,500 12,650 444 13,094 17,023
39.204 196,020 39,204 43,124 889 44,013 57,217
4.84 144,000 4,800 5,280 148 5,428 7,057
13,727 453,000 15,100 16,610 148 16,758 21,786
7.925 203,940 6,798 7,478 148 7,626 9,914
11.717 117,167 11,717 12,888 444 13,333 17,333
198,000 6,600 7260 148 7,408 9,631
3.3 99,000 3,300 3,630 148 3,778 4,912
408 139,125 557 612 18 630 819
4.681 436,500 4,365 4,802 44 4,846 6,300
675,000 705,375 705,375 775,913 4,444 780,357 1,014,463
209 210,000 210,000 231,000 4,444 235,444 306,077
183.391 945,430 189,086 207,995 889 208,883 271,548
11.55 315,000 10,500 11,550 148 11,698 15,208
4,000 14,080 3,520 3,872 1,111 4,983 6,478
75.9 75,900 75,900 83,490 4,444 87,934 114,314
132 120,000 120,000 132,000 4,444 136,444 177,377
4.356 452,980 4,530 4,983 44 5,027 6,535
4,070 400,000 4,000 4,400 44 4,444 5,778
17.6 80,000 16,000 17,600 889 18,489 24,035
6.234 170,000 5,667 6,233 148 6,381 8,296
85,000 397,375 79,475 87,423 889 88,311 114,805
220,000 242,000 242,000 266,200 4,444 270,644 351,837
6.38 181,830 6,061 6,667 148 6,815 8,860
6.353 300,000 6,000 6,600 89 6,689 8,696
5.39 530,000 5,300 5,830 44 5,874 7,637
10.503 95,480 9,548 10,503 444 10,947 14,231
6.6 180,000 6,000 6,600 148 6,748 8,773
25.091 701,400 23,380 25,718 148 25,866 33,626
280,500 9,350 10285 148 10,433 13,563
13.2 244,200 12,210 13,431 222 13,653 17,749
3.63 347,000 3,470 3,817 44 3,861 5,020
7.15 140,000 7,000 7,700 222 7,922 10,299
8,900 371,531 12,384 13,623 148 13,771 17,902
20.185 564,300 18,810 20,691 148 20,839 27,091
70,840 75,976 75,976 83,574 4,444 88,018 114,423
3.977 370,500 3,705 4,076 44 4,120 5,356
680 618 618 680 4 684 890
8,250 267,300 8,910 9,801 148 9,949 12,934
148.302 148,302 148,302 163,132 4,444 167,576 217,849
39,930 39,930 43,923 4,444 48,367 62,877
84.48 1,890,000 78,750 86,625 185 86,810 112,853
153.12 142,700 142,700 156,970 4,444 161,414 209,838
43.258 36,572 36,572 40,229 4,444 44,673 58,075
87,000 93,308 93,308 102,639 4,444 107,083 139,208
143 650,000 130,000 143,000 889 143,889 187,055
100,320 3,344 3,678 148 3,827 4,974
145.475 145,475 145,475 160,023 4,444 164,467 213,806
206.8 188,000 188,000 206,800 4,444 211,244 274,617
120,000 600,000 120,000 132,000 889 132,889 172,755
158,636 174,500 174,500 191,950 4,444 196,394 255,312
151.8 147,000 147,000 161,700 4,444 166,144 215,987
71.174 63,636 63,636 70,000 4,444 74,444 96,777
145.2 145,200 145,200 159,720 4,444 164,164 229,830
31,500 3,150 3,465 444 3,909 5,082
10.615 989,500 9,895 10,885 44 10,929 14,208
10.999 989,890 10,999 12,099 49 12,148 15,792
4.851 452,000 4,520 4,972 44 5,016 6,521
21.252 99,100 19,820 21,802 889 22,691 29,498
40,500 44,550 44,550 49,005 4,444 53,449 69,484
49.5 46,500 46,500 51,150 4,444 55,594 72,272
9.922 46,300 9,260 10,186 889 11,075 14,397
258.61 258,610 258,610 284,471 4,444 288,915 375,590
8.8 264,000 8,800 9,680 148 9,828 12,777
10.68 320,395 10,680 11,748 148 11,896 15,465
9.754 292,600 9,753 10,729 148 10,877 14,140
5.225 237,500 4,750 5,225 89 5,314 6,908
13.2 360,000 12,000 13,200 148 13,348 17,353
37.675 631,800 35,100 38,610 247 38,857 50,514
165.284 330,569 165,285 181,813 2,222 184,035 239,245
8.8 80,000 8,000 8,800 444 9,244 12,018
11 60,000 10,000 11,000 741 11,741 15,263
307.12 1,535,600 307,120 337,832 889 338,721 440,337
151.03 140,800 140,800 154,880 4,444 159,324 207,121
66 350,000 70,000 77,000 889 77,889 101,255
1.167 63,650 1,061 1,167 74 1,241 1,613
462,000 77,000 84,700 741 85,441 111,073
6.875 82,500 6,875 7,563 370 7,933 10,313
13.112 119,200 11,920 13,112 444 13,556 17,623
271,700 27,170 29,887 444 30,331 39,431
2.31 273,350 2,734 3,007 44 3,051 3,967
130,000 130,000 130,000 143,000 4,444 147,444 191,677
2.058 46,773 1,871 2,058 178 2,236 2,907
53,900 1,797 1976.333333 148 2,124 2,762
5.638 338,250 5,638 6,201 74 6,275 8,158
121.433 728,597 121,433 133,576 741 134,317 174,612
63.25 66,000 66,000 72,600 4,444 77,044 100,157
14,200 937,200 15,620 17,182 74 17,256 22,433
0 64,350 644 708 44 752 978
7.334 88,000 7,333 8,067 370 8,437 10,968
61.71 60,584 60,584 66,642 4,444 71,086 92,412
64.13 58,300 58,300 64,130 4,444 68,574 89,146
11,695 1,157,826 11,578 12,736 44 12,781 16,615
319,000 350,900 350,900 385,990 4,444 390,434 507,564
34.485 160,700 32,140 35,354 889 36,243 47,116
693,000 19,250 21,175 123 21,298 27,688
7.75 211,364 7,045 7,750 148 7,898 10,268
246 22,400 224 246 44 291 378
22 200,000 20,000 22,000 444 22,444 29,178
6.234 187,500 6,250 6,875 148 7,023 9,130
165 165,000 165,000 181,500 4,444 185,944 241,727
135,000 631,125 126,225 138,848 889 139,736 181,657
33,333 198,000 33,000 36,300 741 37,041 48,153
8.25 480,000 8,000 8,800 74 8,874 11,536
40.317 992,280 41,345 45,480 185 45,665 59,364
506 75,900 506 557 30 586 762
15.079 591,500 19,717 21,688 148 21,836 28,387
135,000 5,625 6,188 185 6,373 8,284
128.205 155,129 155,129 170,642 4,444 175,086 227,612
7733 135,000 4,500 4,950 148 5,098 6,628
179 23,656 197 217 37 254 330
2.402 196,560 1,966 2,162 44 2,207 2,869
12.1 360,000 12,000 13,200 148 13,348 17,353
17.617 352,330 17,617 19,378 222 19,600 25,480
13.816 257,500 12,875 14,163 222 14,385 18,700
8.14 370,000 7,400 8,140 89 8,229 10,698
30.25 30,000 30,000 33,000 4,444 37,444 48,677
4.507 477,678 4,777 5,254 44 5,299 6,889
22 198,000 19,800 21,780 444 22,224 28,892
471.9 363,000 363,000 399,300 4,444 403,744 524,867
375,000 75,000 82,500 889 83,389 108,405
902 76,670 767 843 44 888 1,154
4.967 143,000 4,767 5,243 148 5,391 8,626
242 250,000 250,000 275,000 4,444 279,444 363,277
218 19,729 197 217 44 261 340
152,807 840,436 168,087 184,896 889 185,785 241,520
80,000 88,000 88,000 96,800 4,444 101,244 131,617
8.709 104,500 8,708 9,579 370 9,950 12,934
6.435 180,000 6,000 6,600 148 6,748 8,773
1.912 173,800 1,738 1,912 44 1,956 2,543
17.966 431,200 17,967 19,763 185 19,949 25,933
126,500 278,300 139,150 153,065 2,222 155,287 201,873
233,900 233,900 257,290 4,444 261,734 340,254
215.38 200,700 200,700 220,770 4,444 225,214 292,778
12.232 228,000 11,400 12,540 222 12,762 16,591
367.29 387,200 387,200 425,920 4,444 430,364 559,473
5.863 546,500 5,465 6,012 44 6,056 7,873
15.771 89,882 14,980 16,478 741 17,219 22,385
13.86 258,300 12,915 14,207 222 14,429 18,757
4,091 90,000 4,500 4,950 222 5,172 6,724
9.76 97,598 9,760 10,736 444 11,180 14,534
270,000 2,970,000 297,000 326,700 444 327,144 425,288
756 68,705 687 756 44 800 1,040
630,000 693,000 693,000 762,300 44,444 806,744 1,048,767
321.695 299,800 299,800 329,780 4,444 334,224 434,491
22 100,000 20,000 22,000 889 22,889 29,755
1.54 140,000 1,400 1,540 44 1,584 2,060
26,727 29,400 29,400 32,340 4,444 36,784 47,819
7.04 198,000 6,600 7,260 148 7,408 9,631
28,655 28,655 31,521 4,444 35,965 46,754
16.983 369,624 15,401 16,941 185 17,126 22,264
104 11,400 114 125 44 170 221
34,650 1,155 1270.5 148 1,419 1,844
639 57,727 577 635 44 679 883
431 43,164 432 475 44 519 675
220 28,600 286 315 44 359 467
531 53,130 531 584 44 629 818
91,666 100,883 100,883 110,971 4,444 115,415 150,040
67.1 330,000 66,000 72,600 889 73,489 95,535
35,455 39,001 39,001 42,901 4,444 47,345 61,549
12.683 110,517 11,052 12,157 444 12,601 16,382
1.045 95,000 950 1,045 44 1,089 1,416
17.6 158,400 15,840 17,424 444 17,868 23,229
1.186 107,800 1,078 1,186 44 1,230 1,599
689 67,721 677 745 44 789 1,026
3,455 185,274 3,705 4,076 89 4,165 5,414
178 23,195 193 213 37 250 325
107.474 112,200 112,200 123,420 4,444 127,864 166,223
119,500 1,195 1314.5 44 1,359 1,767
132,000 145,200 145,200 159720 4,444 164,164 213,413
41,000 41 45 4 50 64
798 72,450 725 797 44 841 1,094
17,018 187,200 18,720 20,592 444 21,036 27,347
187,200 18,720 20592 444 21,036 27,347
671 67,100 671 738 44 783 1,017
130,454 143,499 143,499 157,849 4,444 162,293 210,981
5.5 150,000 5,000 5,500 148 5,648 7,343
148.5 148,500 148,500 163,350 4,444 167,794 218,132
1.055 94,946 949 1,044 44 1,089 1,415
77,990 70,900 70,900 77,990 4,444 82,434 107,164
12,649 139,134 13,913 15,305 444 15,749 20,474
7.26 1,650,000 6,600 7,260 18 7,278 9,461
13.024 121,400 12,140 13,354 444 13,798 17,938
7.7 231,000 7,700 8,470 148 8,618 11,204
190 16,415 164 181 44 225 293
103,686 570,273 114,055 125,460 889 126,349 164,254
13.365 74,700 12,450 13,695 741 14,436 18,766
2.2 270,000 9,000 9,900 148 10,048 13,063
880 70,000 700 770 44 814 1,059
2.395 152,062 1,521 1,673 44 1,717 2,232
1,086 119,501 1,195 1,315 44 1,359 1,767
2.475 49,500 2,475 2,723 222 2,945 3,828
12.485 349,580 12,485 13,734 159 13,892 18,060
135 12,250 123 135 44 179 233
171,600 7,150 7,865 185 8,050 10,465
4.62 126,000 4,200 4,620 148 4,768 6,199
5.495 103,636 5,182 5,700 222 5,922 7,699
1.034 103,400 1,034 1,137 44 1,182 1,536
198,048 8,252 9,077 185 9,262 12,041
80,000 440,000 88,000 96,800 889 97,689 126,995
150 148,500 149 163 4 168 185
77,000 77 85 4 89 116
2.09 188,100 1,881 2,069 44 2,114 2,748
13.2 280,000 14,000 15,400 222 15,622 20,309
10.45 47,500 9,500 10,450 889 11,339 14,740
235 235,000 235 259 4 263 342
247,500 8,250 9,075 148 9,223 11,990
14,000 369,600 15,400 16,940 185 17,125 22,263
65,000 357,500 71,500 78,650 889 79,539 103,400
640.53 624,517 624,517 686,969 4,444 691,413 898,837
130,625 1,306 1436.875 44 1,481 1,926
95,000 950 1045 44 1,089 1,416
223 20,300 203 223 44 268 348
12,502 338,886 14,120 15,532 185 15,717 20,433
38,000 38 41.8 4 46 60
650,000 65,000 71,500 444 71,944 93,528
7,267 148,689 7,434 8,178 222 8,400 10,920
19,710 205,970 20,597 22,657 4,445 27,102 35,232
10,311 103 113.421 44 158 205
9.983 279,300 9,310 10,241 148 10,389 13,506
2.2 209,000 2,090 2,299 44 2,343 3,046
154 12,320 123 136 44 180 234
13,439 134 147.829 44 192 250
121 9,130 91 100 44 145 188
118,745 2,375 2,612 89 2,701 3,512
215 15,000 150 165 44 209 272
1,333 44,000 1,467 1,613 148 1,761 2,290
5,750 126,500 6,325 6,958 222 7,180 9,334
605 110,000 550 605 22 627 815
24,000 132,000 26,400 29,040 4,444 33,484 43,529
51.7 330,000 66,000 72,600 889 73,489 95,535
110 22,000 110 121 22 143 186
347 31,488 315 346 44 391 508
38,500 39 42 4 47 61
1,980,000 22,000 24200 49 24,249 31,524
0 660,000 66 73 0 73 95
6.601 162,408 6,767 7,444 185 7,629 9,918
47.3 47,300 47,300 52,030 4,444 56,474 73,416
7.15 192,500 6,417 7,058 148 7,206 9,368
80 8,800 88 97 44 141 184
193 17,590 176 193 44 238 309
94 18,250 73 80 18 98 127
76 8,403 84 92 44 137 178
1 106,313 709 780 30 809 1,052
363,000 36,300 39,930 444 40,374 52,487
6,500 6,292 6,292 6,921 4,444 11,365 14,775
1.502 136,500 1,365 1,502 44 1,546 2,010
436 44,000 440 484 44 528 687
41.25 39,600 39,600 43,560 4,444 48,004 62,405
130 11,818 118 130 44 174 227
161 12,342 123 136 44 180 234
77 7,315 73 80 44 125 162
112 10,227 102 112 44 157 204
121 11,495 115 126 44 171 222
46,200 1,540 1694 148 1,842 2,395
161 4,121 41 45 44 90 117
138 12,523 125 138 44 182 237
37 14,801 148 163 44 207 269
2,267 74,800 2,493 2,743 148 2,891 3,758
44 55,000 55 61 4 65 84
34 14,388 144 158 44 203 264
47 550,000 550 605 4 609 792
5.5 275,000 55,000 60,500 889 61,389 79,805
Approved by,
15,287 35%
3,262
5,589
14,593
67,228
46,141
52,969
157,303
6,412
39,925
58,395
346,621
88,866
773
54,759
31,686
26,864
354,772
414,381
185,933
32,409
1,549
y,
main)
52040017 KAPAS PEMBALUT HID DRC 500 GR 65.856 62.72
52040030 PEMPERS ADULT L 19.6 18.667
52040031 PEMPERS ADULT M 15.969 15.209
52040033 PEMPERS ADULT XL 19.316 18.396
52040053 SPATEL LIDAH 2.159 2.056
52040054 SPATEL OBGYN 9 4.103 3.908
52040057 THERMOMETER DIGITAL 73.5 73.5
52040070 ASEPTANIOS TERMINAL HPH 3,617,592 3,445,326
52040072 DERMANIOS SCRUB CHLORHEXIDINE 1,941,994 1,849,518
52040075 CHLORAETYL SPRAY 100ML 146.378 138.455
52040076 KARTU GOLONGAN DARAH ISI 100 17.216 17.216
52040078 THERMOVENT O2 478.281 455.506
52040079 THERMOVENT T 292.64 278.705
52040080 XYLOCAIN JELLY 10GR 92.758 88.341
52040082 ANIOSYME DDI 5 LTR 2,792,218 2,659,255
52040086 KACAMATA POSEY
52040087 ANIOS DDSH 482.462 459.488
52040088 KAPAS LIDI 867 826
52040091 PRESEPT 2.5GR "J&J 8.85 8.429
52040112 ANIOSGEL 85,500ML 290.547 276.711
52040117 STERANIOS 2% (382.034) 895.705 853.052
52040118 THERMAL PAPER FOR DINAMAP 474.774 252.166
52040121 ANIOSGEL 85, 5 LT 1,521,294 1,448,851
52040123 MAMY POKO NB28+2 (MNB30) 4.695 4.471
52040200 CUTTON BUDS FLUFFY 138 131
52040204 SANIFRESH 57.02 54.305
52040205 SOAPY CHLOROSCRUB 4 51.501 51.501
52040213 AQUAPAK 340ML 113.036 113.036
52040218 LIFREE POPOK PEREKAT L3 (ULPPB) 11.604 11.051
52040219 LIFREE POPOK PEREKAT XL2B 14.242 13.563
52040220 LIFREE POPOK PEREKAT M4 9.206 8.767
52060001 IV CATHETER 14G X2 "SURFLO" (ABBOCATH) 72.001 68.572
52060002 IV CATHETER 16G "ABBOTH" (ABBOCATH) 82.073 78.165
52060003 IV CATHETER 18G "ABBOTH" (ABBOCATH) 34.783 33.127
52060008 CONDOM CATHETER L 12.28 11.695
52060009 CONDOM CATHETER M 12.28 11.695
52060010 CONDOM CATHETER S 12.28 11.695
52060015 FEEDING TUBE 5 40 CM "TERUMO" 35.28 33.6
52060017 FEEDING TUBE 8 120 CM "TERUMO" 33.165 31.586
52060035 FOL CATH 3 WAY 24 "RUSCH" 121.925 116.119
52060036 FOL CATH SILICON 2 WAY 16 "RUSCH" 210 200
52060037 GUEDEL AIRWAIYS 0 "PORTEX" 118.203 112.574
52060038 GUEDEL AIRWAIYS 00 "PORTEX" 237.862 226.535
52060039 GUEDEL AIRWAIYS 000 "PORTEX" 250.575 238.643
52060040 GUEDEL AIRWAIYS 1 "PORTEX" 237.862 226.535
52060041 GUEDEL AIRWAIYS 2 "PORTEX" 125.743 119.755
52060042 GUEDEL AIRWAIYS 3 "PORTEX" 136.937 130.416
52060061 NASAL OXYGEN CANULA PAED "SALTER" 68.801 65.525
52060067 STOMACH TUBE 12 "TERUMO" 35.502 33.811
52060068 STOMACH TUBE 14 "TERUMO" 94.344 89.851
52060069 STOMACH TUBE 16 "TERUMO" 66.132 62.983
52060070 STOMACH TUBE 18 "TERUMO" 66.132 62.983
52060072 SUCTION CATH 6 "HOSPITEC" 36.105 34.386
52060073 SUCTION CATH 8 "REMEDI" 21.096 20.091
52060074 SUCTION CATH 10 "REMEDI" 21.096 20.091
52060081 IV CATH PORT 18 "TERUMO" (SURFLO) 54.203 51.622
52060082 IV CATH PORT 20 "TERUMO" (SURFLO) 55.898 53.236
52060083 IV CATH PORT 22 "TERUMO" (SURFLO) 56.377 53.692
52060084 IV CATH PORT 24 "TERUMO" (SURFLO) 58.185 55.414
52060085 IV CATH PORT 26 "TERUMO" (SURFLO) 80.577 76.74
52060091 THORACIC TROCAR/CANULA 20 "PORTEX" 979.477 932.835
52060092 THORACIC TROCAR/CANULA 24 "PORTEX" 936.023 891.45
52060099 FOL CATH 2 WAY 16 "RUSCH" 44.646 44.646
52060100 FEEDING TUBE 8 40CM "TERUMO" 35.499 33.809
52060107 THORACIC TROCAR/CANULA 28 "PORTEX" 570.062 542.916
52060108 CONECTOR TUBING 60" "OPTIVAN" 132.882 126.554
52060109 FEEDING TUBE 5 100CM "TERUMO" 40.546 38.615
52060110 FEEDING TUBE 8 100CM "TERUMO" 40.546 38.615
52060117 FOL CATH 2 WAY GOLD 14 "RUSCH" 38.23 38.23
52060131 TUBE CIT GH 4.5 "BD 8.874 8.451
52060136 TUBE MICRO 0.5ML "BD" 10.562 10.059
52060137 TUBE SST 3.5ML "BD" 7.069 6.732
52060138 TUBE SST 5.0ML "BD" 7.312 6.964
52060139 Y ADAPTOR TUBING DUAL CHECK 442.283 421.222
52060140 ENDOTRACHEAL KK 2 "RUSH" 143.798 143.798
52060141 ENDOTRACHEAL KK 7 "RUSH" 150.988 143.798
52060142 ENDOTRACHEAL KK 8 "RUSCH" 150.988 143.798
52060143 ENDOTRACHEAL KK 8,5 RUSH" 162.362 154.63
52060144 ENDOTRACHEAL NKK 3.5 "RUSH" 850.628 810.122
52060145 ENDOTRACHEAL NKK 4 "RUSH" 898.87 856.067
52060146 ENDOTRACHEAL NKK 4.5 "RUSH" 898.87 856.067
52060147 ENDOTRACHEAL NKK 5 "RUSH" 898.87 856.067
52060148 ENDOTRACHEAL NKK 5.5 "RUSH" 898.87 856.067
52060149 ENDOTRACHEAL NKK 6 "RUSH" 898.87 856.067
52060150 ENDOTRACHEAL NKK 6.5 "RUSH" 898.871 856.067
52060151 ENDOTRACHEAL NKK 8.5 "RUSH" 898.87 856.067
52060152 EPIDURAL MINIPACK 16G "PORTEX" 489.087 465.797
52060153 EPIDURAL MINIPACK 18G "PORTEX" 489.087 465.797
52060154 FOL CATH 2 WAY GOLD 8 "RUSCH" 42.356 42.356
52060155 FOL CATH 2 WAY GOLD 22 "RUSCH" 38.201 36.382
52060156 GUEDEL AIRWAIYS 4 "PORTEX" 136.937 130.416
52060157 THORACIC CATH 16 "PORTEX" 596.405 596.405
52060158 THORACIC CATH 20 "PORTEX" 596.405 568.005
52060159 THORACIC CATH 24 "PORTEX" 625.828 596.027
52060160 THORACIC CATH 28 "PORTEX" 625.828 596.027
52060162 ENDOTRACHEAL NKK 7 "RUSH" 817.877 778.93
52060163 ENDOTRACHEAL NKK 7.5 "RUSH" 817.877 778.93
52060164 FEEDING TUBE 12 40.546 38.615
52060167 FEEDING TUBE 18 40.546 38.615
52060168 FEEDING TUBE 3.5 100CM "TERUMO " 40.546 38.615
52060170 FOL CATH 2 WAY GOLD 20 "RUSCH" 37.007 35.245
52060171 FOL CATH 2 WAY GOLD 22 "RUSCH" 52.266 52.266
52060173 GUEDEL AIRWAIYS 8 "RUSCH" 120.726 120.726
52060174 GUEDEL AIRWAIYS 9 "RUSCH" 120.726 120.726
52060176 RECTAL TUBE 28 FG "TROGE" 27.773 26.45
52060180 THORACIC TROCAR/CANULA 32 "PORTEX" 1,025,740 976.895
52060181 VENOCATH 12 110.821 105.544
52060185 Syringe Multipak Optistar 530.224 504.975
52060192 GAUZE PAD NON XRAY 10 X10 CM"HOSPILAB" 4.948 4.712
52060208 ENDOTRACHEAL NKK 8 "RUSCH" 720.789 686.466
52060213 FEMALE CATHETER 14G 37.974 36.166
52060214 Syringe w/handifill 200 Ml single 437.553 416.717
52060219 FOL CATH 2 WAY GOLD NO 10 "RUSCH" 121.109 115.342
52060221 LEFT HEART VENT CATHETER 1,407,628 1,340,598
52060222 NELATHON CATHETER 10 "RUSCH" 43.508 41.436
52060225 SUCTION CATH 16 "REMEDI" 24.11 22.962
52060226 FOL CATH 3 WAY 22 "RUSCH" 173.587 165.315
52060228 SUCTION CATH 12 "REMEDI" 24.11 22.962
52060229 SUCTION CATH 14 "REMEDI" 24.11 22.962
52060232 ENDOTRACHEAL NKK 7 "PORTEX" 983.296 936.472
52060235 ENDOTRACHEAL NKK 7,5 "PORTEX" 960.23 914.505
52060237 OXYGEN TUBING " SALTER" 28.834 27.461
52060238 FOL CATH 3 WAY GOLD 24 "RUSH" 145.847 138.902
52060239 IV CATHETER 18G X2" "SURFLO" (ABBOCATH) 43.748 41.665
52060244 FOL CATH 3 WAY GOLD 16 "RUSH" 145.847 138.902
52060246 STOMATH TUBE NO. 16 "SILICON" 425.17 404.924
52060247 KERT T. TUBE NO 4 "RUSCH" 356.62 339.638
52060250 NELATON CATETER NO. 16 "RUSH" 29.531 28.125
52060251 NELATON CATETHER NO. 18 "RUSCH" 29.531 28.125
52060252 FOL CATH 2 WAY 12 RUSCH "GOLD" 43.472 43.472
52060254 ENDOTRACHEAL NKK NO. 6.5 PORTEX (100-110-065) 916.562 872.916
52060255 ENDOTRACHEAL NKK NO 6 PORTEX (100-110-060) 916.562 872.916
52060259 FEEDING TUBE NO 3 JMS 45.745 43.567
52060260 CYSTOFIX CH 10 12CM BBRAUN 802.134 763.937
52060261 CASE DUAL PACK W/ CHECK VALVES (844023) 1,098,339 1,046,038
52060262 TRACHEOSTOMY MASKER HUDSON 1075 49.97 47.59
52070081 POT URINE STERIL 7.571 7.21
52070083 FAECES CONTAENER 30ML 21.627 20.597
52070090 NEEDLE FLASHBACK 22X1 5.097 4.854
52070091 MEDISAFE FINE TOUCH 4.642 4.421
52070092 MEDISAFE TEST SRIP 16.627 15.835
52070120 CELLCLEAN 2,032,559 1,935,770
52070121 E CHECK 4,460,831 4,248,410
52070135 HELICOTEC UT PLUS (IR-160C) 209.061 209.061
52070150 SYRINGE ASTRUP 3 ML (402324 QUICK ABG) 44.007 41.911
52070160 OPTIUM XCEED KETONES II 10 COUNTS (99113) 68.625 65.357
52070178 CARDIACT PROBNP 3,340,598 3,340,598
52070215 ACCU CHECK SAFE T- PRO UNO 2.339 2.228
52070317 RAPID TES 190 190
52100001 INTRODUCER SHEATH 6F RADIAL "CORDIS" 167.382 167.382
52100003 THREE WAY ROTATING 98.334 93.651
52100004 NICHIBAND 141.458 134.722
52100005 GUIDE WIRE FLOPPY GW "ABBOTH" 2,301,558 2,301,558
52100006 GUIDE WIRE INTERMEDIATE GW "ABBOTH" 2,111,478 2,111,478
52100007 GUIDE WIRE STANDARD GW "ABBOTH" 2,271,303 2,162,886
52100008 GUIDE WIRE CROSS IT "ABBOTH" 2,111,478 2,111,478
52100009 GUIDE WIRE EXTRA SPORT GW "ABBOTH" 2,301,558 2,301,558
52100010 GUIDE WIRE BALANCE MIDDLEWEIGH "ABBOTH" 2,870,330 2,870,330
52100011 GUIDE WIRE WHISPER "ABBOTH" 2,765,908 2,634,198
52100012 GUIDE WIRE PILOT "ABBOTH" (ALL SZ) 2,634,198 2,634,198
52100013 DOC EXTENSION WIRE "ABBOTH" 2,217,052 2,111,478
52100014 GUIDING CATHETER "ABBOTH" (ALL TYPE & SI 2,732,222 2,602,116
52100015 INDEFLATOR 20/30 "ABBOTH" 2,664,268 2,537,398
52100016 GUIDE WIRE ACCESSORIES KIT "ABBOTH" 833.718 833.718
52100017 COPILOT BLEEDBACK CONTROL VALVE "ABBOTH" 761.676 725.406
52100018 DES XIENCE V "ABBOTH" (ALL SIZE) 37,752,099 35,954,380
52100019 DES XIENCE PRIME LL "ABBOTH" (ALL SIZE) 37,752,099 35,954,380
52100020 CS MULTILINK ULTRA "ABBOTH" (ALL SIZE) 20,160,306 19,200,291
52100021 CS MULTILINK MINI VISION "ABBOTH" (ALL S 22,399,562 21,332,916
52100022 CS MULTILINK VISION "ABBOTH" (ALL SIZE) 23,079,058 21,980,055
52100023 BALLON VOYAGER "ABBOTH" (ALL SIZE) 8,732,598 8,732,598
52100024 OTW VOYAGER "ABBOTH" (ALL SIZE) 9,440,462 8,990,916
52100025 BALLON POWERSAIL "ABBOTH" (ALL SIZE) 9,169,228 8,732,598
52100026 BALLON VOYAGER NC "ABBOTH" (ALL SIZE) 8,732,598 8,732,598
52100027 INTRODUCER SHEATH "TERUMO" (ALL SIZE) 520.938 520.938
52100028 GUIDE WIRE "TERUMO" (ALL SIZE) 816.268 777.398
52100029 YASHIRO CATHETER "TERUMO" 916.579 916.579
52100030 TORANOMON CATHETER "TERUMO" 711.208 711.208
52100031 SIROLIMUS ELUTING CORONARY STENT 30,325,749 28,881,666
52100032 GUIDING CATHETER HEARTRAIL II 3,551,694 3,382,566
52100033 RUNTHROUGH NS FLOPPY "TERUMO" 3,542,233 3,373,555
52100034 PROGREAT MICRO CATH. 2.7 "TERUMO" 11,460,598 11,460,598
52100035 RYUJIN OXYGENATOR SYSYTEM "TERUMO" 13,220,598 13,220,598
52100036 TSUNAMI STENT "TERUMO" 23,334,313 22,223,155
52100037 DES NOBORI STENT "TERUMO" 32,762,499 31,202,380
52100038 GAZELLE STENT "BIOSENSORS" (ALL SIZE) 15,729,628 14,980,598
52100039 DES BIOMATRIX A9 "BIOSENSORS" (ALL SIZE) 38,999,499 37,142,380
52100040 POWER LINE BALLON "BIOSENSORS" (ALL SIZE 9,261,628 8,820,598
52100041 MASLA JUST BALLON "ASAHI" (ALL SIZE) 8,582,874 8,174,166
52100042 OTTIMMO BALLON "KANEKA" (ALL SIZE) 11,109,628 10,580,598
52100043 FORTIS HIGH PRESSURE BALLON "KANEKA" (AL 10,401,999 9,906,666
52100044 MANIFOLD 3GMF "BIOSENSORS" 252.628 240.598
52100045 MEDEX INFLATION DEVICE "BIOSENSORS" 2,793,628 2,660,598
52100046 NEO ASAHI WIRE ROUTE/ RINATO "ASAHI INTEC" 2,660,598 2,660,598
52100047 FIELDER/FIELDER FC "ASAHI INTEC" 3,717,628 3,540,598
52100048 FIELDER XT "ASAHI INTEC" 3,532,828 3,364,598
52100049 CTO WIRE MIRACLE & CONQUEST SERIES 4,771,374 4,544,166
52100050 TORNUS CATHETER "ASAHI INTEC" 9,261,628 8,820,598
52100051 MICROCATHETER - STRIDE "ASAHI INTEC" 7,861,933 7,487,555
52100052 GUIDING CATHETER - G STAGE "ASAHI INTEC" 2,608,828 2,484,598
52100053 MICROGUIDE - STREAMING "ASAHI INTEC" 3,437,349 3,273,666
52100054 THROMBUSTER "KANEKA" 16,697,683 15,902,555
52100055 OPTITORQUE "TERUMO" (ALL SIZE) 1,191,182 1,134,459
52100057 GUIDE WIRE 0.038" 150CM "MERIT" 350.598 350.598
52100058 TRANDUCER HAEMODINAMIK (DOME 1/5) 258.99 258.99
52100059 NEEDLE ONE WALL 18G "MERIT" 184.272 175.497
52100060 INTRODUCER SHEATH 11CM (ALL FRAME) MM 66.786 66.786
52100062 INTRODUCER SHEATH 11CM FEMORAL (ALL FRAME) MERIT 406.673 387.308
52100063 INTRODUCER SHEATH RADIAL "UMBRA" (MM) 616.92 587.543
52100064 MANIFOLD "MERIT" MM 201.917 192.302
52100065 MONITORING LINE 12INCH "MERIT" MM 106.108 101.055
52100066 MONITORING LINE 60INCH "MERIT" MM 106.108 101.055
52100067 INDEFLATOR "MEDISENSE" MM 2,239,228 2,132,598
52100068 ELECT CORONARY BALLON CATH "BIOTRONIK" 7,413,628 7,060,598
52100069 HIGH PRESSURE FLEX TUBING 200 "MERIT" 450.93 429.457
52100070 HIGH PRESSURE FLEX TUBING 480 "MERIT" 382.485 364.272
52100071 ANGIOPLASTY PACK (Y CONNECTOR) "MERIT" 695.158 662.055
52100072 BASIC INDEFLATOR IN 4330 "MERIT" (REKA) 2,829,247 2,694,521
52100073 BRIO BALLON PEGASSO CATHETER 6,936,300 6,606,000
52100074 JIVE "MICROPORT" (REGULER) 7,280,598 7,280,598
52100075 MUSTANG "MICROPORT" (REGULER) 14,436,028 13,748,598
52100076 TANGO "MICROPORT" (REGULER) 22,470,373 21,400,355
52100077 FIRE BIRD 2 STENT "MICROPORT" (REGULER) 31,396,596 29,901,520
52100078 GUIDE WIRE 0.035" 150CM REKA 350.598 350.598
52100079 DES JANUS OPTIMA "SORIN" 36,981,628 35,220,598
52100080 PERFORMA CATH. "MERIT" (ALL TYPE & SIZE) 960.032 914.316
52100086 NEEDLE ONE WALL (REKA) 93.695 89.233
52100088 BASIC INDEFLATOR IN 4130 "MERIT" MM 2,734,100 2,603,905
52100089 BASIC INDEFLATOR IN 4530 "MERIT" 2,516,428 2,396,598
52100092 CHRONO COBALT CROME CARBOSTENT "SORIN" 18,501,628 17,620,598
52100093 PRO HP BALLON "SORIN" 8,337,628 7,940,598
52100094 BIPOLAR TEMPORARY LEAD 5&6F 4,239,393 4,037,518
52100095 ANGIOSEAL 8F "ST JUDE" 6,644,493 6,328,088
52100097 ACCESS GUIDING CATH. (ALL SIZE) "IHT" 2,798,923 2,665,641
52100099 HUNTER HYDROPHILIC EXTRACTION CATH "IHT" 9,261,628 8,820,598
52100100 INTRODUCER SHEATH L11CM "MEDTRONIC" (ALL 391.228 372.598
52100101 INTRODUCER SHEATH L23CM "MEDTRONIC" (ALL 788.357 750.816
52100102 DIAGNOSTIC CATHETER "MEDTRONIC" (ALL SZ 400.633 381.555
52100103 GUIDE WIRE "MEDTRONIC" (ALL SZ) 280.348 266.998
52100104 LAUNCHER GUIDING CATH. "MEDTRONIC" 2,793,628 2,660,598
52100105 INDEFLATOR EVEREST "MEDTRONIC" 2,793,628 2,660,598
52100106 COUGAR PTCA WIRE 0.014" "MEDTRONIC" 2,953,183 2,812,555
52100107 BALLON NC SPRINTER "MEDTRONIC" 10,401,999 9,906,666
52100108 MICRO/DRIVER STENT "MEDTRONIC" 19,827,266 18,883,110
52100109 MULLINS TRANSEPTAL ADULT 8F "MEDTRONIC" 7,413,628 7,060,598
52100110 DES ENDEAVOR RESOLUTE "MEDTRONIC" 40,558,749 38,627,380
52100111 EXPORT ASPIRATION CATHETER "MEDTRONIC" 12,033,628 11,460,598
52100112 AGGRASTAT TIROFIBAN "MEDTRONIC" 9,825,433 9,357,555
52100113 BROCKENBROUGH CURVED NEEDLE "MEDTRONIC" 8,820,598 8,820,598
52100116 CRUISER GUIDE WIRE PTCA "BIOTRONIK" (ALL 2,364,133 2,251,555
52100117 CONCIERGE GUIDING CATH. (ALL) "MERIT" 2,424,028 2,308,598
52100118 SENSIA SSI "MEDTRONIC" 30,308,424 28,865,166
52100119 SENSIA SR (SESR01) "MEDTRONIC" 39,854,499 37,956,666
52100121 FINALE COMPRESSION REGULAR "MERIT" 426.857 406.531
52100122 INTRODUCER SHEATH FEMORAL "MERIT" (MM) 455.618 433.922
52100123 INTRODUCER SHEATH 5F TRANSRADIAL 797.498 759.522
52100124 INTRODUCER SHEATH 6F TRANSRADIAL 788.548 750.998
52100125 INTRODUCER SHEATH 8F TRANSRADIAL 797.886 759.891
52100126 DES GENOUS BIO ENGINEERED 34,321,749 32,687,380
52100127 BMS BLAZER "ORBUSNEICH" 14,100,598 14,100,598
52100128 BALLON SAPPHIRE "ORBUSNEICH" 8,669,499 8,256,666
52100129 BALLON SAPPHIRE NC "ORBUSNEICH" 12,033,628 11,460,598
52100130 BARE METAL CORONARY STENT "H-STENT" 14,100,598 14,100,598
52100132 BALLON DILATION CATHETER "HOPER" 6,180,598 6,180,598
52100133 CATHETER PIG 4F (538450S) "CORDIS" 751.588 715.798
52100134 CATHETER MPA 2 5F (534-542T) "CORDIS" 751.588 715.798
52100135 CRANIAL PERFORATOR 9/12 MM HUDSON SHANK (GB302R 5,826,196 5,548,758
52100136 HI LINE XS CRANIOTOME CUTTER II (GE520R) 2,481,078 2,481,078
52100137 HI LINE XS DIAMOND BURR II D4.0MM (GE517R) 1,623,078 1,623,078
52100138 CONCIERGE GUIDING CATH. (ALL) REKA 2,516,428 2,396,598
52100139 BIOMIME DES- COBALT CR (STENT) 35,219,130 35,219,130
52100141 NEXGAN BMW -COBALT CR (BALLON) 14,099,130 14,099,130
52100146 AMAZONIA CROCO STENT BMS 11,809,790 11,809,790
52100147 YANGTZE U BALLON 8,322,999 7,926,666
52100148 AMAZONIA PAX STENT DES 25,180,290 25,180,290
52100149 INDEFLATOR KIT (MINVASYS) 2,371,790 2,371,790
52100150 GUIDE WIRE 0,035 150CM TERUMO (GA35153M) 665.349 633.666
52100151 GUIDE WIRE 0,035 180CM TERUMO (GA35183M) 699.999 666.666
52100152 ASAP 100 (REKA) 11,027,029 11,027,029
52100153 DANUBIO MINFASIF 15,406,914 14,673,251
52100154 AMAZONIA SIR 27,043,539 25,755,751
52100156 SYRINGE ILLUMENA W/ HAND-FIL 150ML (900103) 384.717 366.397
52100157 ANGIOLATE DES "IVASCULAR" 20,276,589 19,311,037
52100158 MERIT GUIDING CATH 5F (ALL TYPE) "MERIT" 2,403,668 2,289,207
52100159 FIELDER XT A "ASAHI INTEC" 4,055,318 3,862,207
52100160 STENT DES "BIOFREEDOM" 20,276,589 19,311,037
52100161 COMBO PLUS (DUAL THERAPY STENT) "ORI 22,221,714 21,163,537
52100162 BALLON SAPPHIRE II "ORBUSNEICH" 5,323,014 5,069,537
52100163 BALLON SCOREFLEX "ORBUSNEICH" 6,217,089 5,921,037
52100164 STENT XIENCE PRO A 14,338,839 13,656,037
52100165 ANGIOSEAL ALL SIZE "TERUMO" 4,135,464 3,938,537
52100166 GUIDE WIRE 0.035, 150CM "MERIT" TWD 315.632 300.602
52100167 GUIDE WIRE 0.038, 150CM "MERIT" TWD 315.632 300.602
52100168 PAKET PCI COROFLEX DES (UMUM) 17,751,066 16,905,777
52100169 APD 1 (CATHLAB) 992.638 992.638
52100170 APD 2 (CATHLAB) 444.665 444.665
52110062 PLATES COMPR, BROAD 183MM 11 H 2,639,984 2,514,270
52110063 PLATES COMPR, BROAD 199 MM 12 2,788,823 2,656,022
52110064 MONO PLATE 140 4,252,058 4,049,579
52110066 HOLE STRAIGHT PLATE 10 "OSTEOMED" (218-0038 GT) 2,156,068 2,053,398
52110067 HOLE STRAIGHT PLATE 24MM 4 "OSTEOMED" (210-0030 GT 3,200,237 3,047,845
52110068 AUTO DRIVE SCREW 1.6X6MM "OSTEOMED" (211-1606 GT 704.649 671.094
52110069 SCREW 2.0X10MM "OSTEOMED" (202-2010 GT) 668.035 636.224
52120003 GYPSONA 3 INC (3.5mx7.5cm) 58.497 55.711
52120004 GYPSONA 4 INC (3.5mx10cm) 71.336 67.939
52120005 GYPSONA 6 INC (3.5mx15cm) 92.465 88.062
52120008 CUTICEL CLASSIC 10CM X 10CM 29.007 27.626
52120010 HANSAPLAST JUMBO 3.735 3.557
52120011 LAKMUS RED PAPER 2.5 2.381
52120015 LAPARATOMY SPONGES 35 X 35 CM 1 1
52120025 MICROPORE TAPE 1 INC "3M" (15351) 46.762 44.535
52120026 MICROPORE TAPE 1/2 INC "3M" (15352) 23.009 21.913
52120028 OPSITE POST OP 25 X 10 75.406 71.815
52120029 SOFFBAND 3 INC 51.45 49
52120030 SOFFBAND 4 INC 56.784 54.08
52120031 SOFFBAND 6 INC 69.456 66.149
52120040 TEGADERM GEN IV 6X7CM (1623W) 15.75 15
52120041 TEGADERM 10X25CM (1627W) 79.8 76
52120047 VELBAND 3" (7.5CM) 46.274 44.07
52120048 VELBAND 4" (10CM) 56.166 53.491
52120051 MICROPORE TAPE 2 INC "3M" (15352) 93.522 89.069
52120052 TEGADERM PLUS 7X8.5CM (1633W) 20.038 19.084
52120053 IOBAN 6650 518.146 493.472
52120054 TEGADERM PAED (1610W) 33.459 31.866
52120055 TEGADERM PAED 3591 102.419 97.542
52120056 TEGADERM PAED 3590 66.122 66.122
52120058 CUTIMED SORBACT DRESSING PAD 10X10CM 162.374 154.642
52120059 CUTISORB STERILE 10X10CM (9762) 28.748 28.748
52120060 DURAPREP SURGICAL 26ML "3M" (8630A) 176.108 167.722
52120061 GAUZE PAD XRAY 10X10CM "HOSPILAB" 5.232 4.983
52120062 GAUZE PAD NON XRAY 6X6CM "HOSPILAB" 3.065 2.919
52120065 IOBAN ANTIMICROBIAL 60X85CM "3M" 794.614 756.775
52120066 LAPARATOMY SPONGES XRAY 35X35CM 30.118 30.118
52120067 STERI DRAPE ARTHRO 225X304CM "3M" 1,044,661 994.915
52120068 STERI DRAPE ISOLATION 50X25CM "3M" 828.676 789.215
52120069 STERI DRAPE ORTHO "3M" (9012L) 1,773,504 1,689,049
52120070 STERI DRAPE U 120X130CM "3M" 598.843 570.327
52120071 STOCKINET 2"X25YDS '3M" 852.238 811.655
52120072 STOCKINET 3"X25YDS '3M" 1,136,945 1,082,805
52120073 STOCKINET 4"X25YDS '3M" 1,696,543 1,615,755
52120074 STOCKINET 5"X25YDS '3M" 1,912,749 1,821,666
52120075 TEGADERM 10X12CM (1626W) 35.7 34
52120076 TEGADERM GEN IV 8.5X10.5CM (1635W) 44.436 42.35
52120077 TENSOCREPE 3" (7.5CMX4.55M) 118.968 113.303
52120078 TENSOCREPE 4" (10CMX4.55M) 140.317 133.635
52120079 TENSOCREPE 6" (15CMX4.55M) 178.482 169.983
52120080 VELBAND 6" (15CM) 70.669 67.304
52120081 CURASPON STANDARD 114.719 109.256
52120083 CELL PACK 2,424,241 2,308,801
52120084 MICROPORE 2" (SUDAH ADA) 73.102 73.102
52120085 STROMATOLYSER 4DL 4,967,734 4,731,175
52120086 STROMATOLYSER 4DS 4,575,034 4,357,175
52120087 SULFOLYSER 1,221,376 1,163,215
52120088 TEGADERM PAD 3586 49.813 47.441
52120089 DELTA DRY 3" (7,5CMX 2,4M) 245.306 233.625
52120091 TENSOPLAST STK CHILD 2" 142.324 135.547
52120092 CAST PADDING SYNTHETIC 3"X4 "3M" 47.481 47.481
52120093 CAST PADDING SYNTHETIC 4"X4 "3M" 63.211 63.211
52120094 CAST PADDING SYNTHETIC 6"X4 "3M" 78.226 78.226
52120095 DEPPER BALL SMALL 1.996 1.901
52120098 DELTA LITE 4" 351.825 335.071
52120100 CUTIMED SORBAC CURTISORB SWAB 7X9 CM 98.7 94
52120104 CARDIOVASCULAR SET "HOGY" (LCS02) 1,444,520 1,302,658
52120105 DELTA LITE CONFORMABLE 3" (7.5CMX3.6M) 331.8 316
52120108 INTRASITE GEL 15G/1X10 167.539 159.561
52120111 DURAPORE 1 INC "3M" 83.129 79.17
52120112 GURITA BIDADARI 52.486 52.486
52120113 IOBAN "3M" (TM 6657) 382.391 364.182
52120116 REM POLYHESIVE II 219.241 208.801
52120118 TRYPAN BLUE 1% 1ML 115.925 110.405
52120119 CARBACHOL 1% 1ML 108.409 103.247
52120121 CERATOME 2,8 ML "JM-JE-2" 206.428 196.598
52120122 LANCE TIP STRAIGHT 15' "JM-JC2-15" 206.428 196.598
52120123 OPTEM "ARRON/ BOUVIE" 483.628 460.598
52120124 MQA TANGKAI " EYE SPOENGES" 160.228 152.598
52120125 HPMC 2ML 194.465 185.205
52120126 HEALON GV 0.85 ML 945.628 900.598
52120127 SURVISC (SODIUM HYALURONATE 1 ML) 622.228 592.598
52120128 CRESCENT JE-2 204.283 194.555
52120129 OPTIMA 553 (PMMA) ALL SIZE 206.428 196.598
52120130 OPTIMA FOLD "ASPHERIC" (ALL SIZE) 1,222,828 1,164,598
52120131 OCUSOL 500 ML (BSS) 371.18 353.505
52120132 DEPPER BALL MEDIUM "SURGILAB" 5.143 4.898
52120135 SURGICAL GOWN UK L "HOGY" 169.399 169.399
52120136 SURGICAL GOWN UK M "HOGY" 192.054 182.908
52120137 ELEKTROSURGICAL PENCIL 'VALLYLAB" (E2516 171.87 163.686
52120138 INFANT REM POLYHESIVE (E 7510-25) 382.539 364.323
52120139 ANGIO DRAPE (AG-0103B) 331.321 315.544
52120140 SLIT ANGLED 2,75MM KNIFE "MANI" 314.729 299.742
52120141 STRAIGHT 15 KNIFE "MANI" 314.729 299.742
52120144 BONGROS- HA 3,540,598 3,540,598
52120145 ADULT POLYHESIVE II-W/CABLE (E7509) 133.886 127.511
52120146 DELTA LITE 5" 425.959 405.676
52120147 ELASTOMUL HAFT 10X4M "BSN" 82.95 79
52120149 SURGICAL GOWN XL 173.331 165.077
52120150 ANGIO DRAPE (AG-0202B) 648.819 617.923
52120152 CUTISORB SORBACT RIBON 5X200CM 253.406 253.406
52120153 CUTISORB SORBACT RIBBON 2X50CM 131.676 131.676
52120155 CUTIMED CAVITY 15X2CM 108.219 108.219
52120156 CUTICELL EPIGRAFT 10X15 (72650-03) 320.003 304.765
52120157 CUTIMED SILTEC 10X10 151.218 144.017
52120158 CUTIMED GEL 15 GR 129.15 123
52120159 CUTIMED HYDRO B 10X10CM 68.141 64.896
52120160 DELTA DRY 4" (10CMX 2,4M) 174.368 166.065
52120161 CRESCENT (MANI/KAI/FOCUS) 440.124 419.166
52120162 BVI SLIT 2,75MM DB SAFETY (3085527) 317.13 302.029
52120165 VISITEC LASIK PVA SPEARS (3058055) 52.675 50.167
52120166 CONFORMING BANDAGE 2" X 4.1 SOLAMED 9.988 9.512
52120167 CONFORMING BANDAGE 4" X 4.1 SOLAMED 17.043 16.231
52120168 EYE DRAPE PLAIN (MEDEQ) 89.944 85.661
52120169 DOP MATA STERIL (MEDEQ) 31.5 30
52120170 HPMC AEROVISC (MEDEQ) 136.937 130.416
52120173 SURVISC VISCO SUPREME 1.8% 483.437 460.416
52120174 AQUACEL SILVER 10X10CM (403708) 307.469 292.828
52120175 W CARE AH B3 86.186 82.082
52120177 APPENDECTOMY DRAPE 275.419 275.419
52120178 MAYO STAND COVER FILM 97.956 97.956
52120181 LEUKOMED IV FILM 6X8CM BSN 4.198 4.198
52120186 CURAVAC M 1,447,779 1,378,837
52120187 CANISTER 600ML 636.969 606.637
52120188 FLUORESCEIN SODIUM OPHTHALMIC STRIPS 6.82 6.495
52120189 ORTHOPEDIC SET ORS 2130 1,829,160 1,742,057
52120190 LEUKOMED SORBACT 5X7,2 CM BSN 19.646 18.711
52120191 LEUKOMED SORBACT 8X10 CM BSN 32.86 31.295
52120192 CURAPORT TRANSPARANT 25X10CM 49.116 46.777
52120193 ORTHOPEDIC SET (TKR) ORS 2138 1,227,109 1,168,675
52120194 ORTHOPEDIC SET (THR) ORS 2139 1,418,400 1,350,857
52120197 JASLAB DISPOSABLE 25.108 23.912
52120198 PAKET APD 3 (HMD) 1,367,554 1,367,554
52120199 BAJU ASTRONOT COVID 19 IMPORT 896.406 853.72
52120200 GOWN WITH MASK & 2TOWEL (SURREM) LL 153.937 146.606
52120202 APD JH 21.109 20.104
52120203 BAJU ASTRONOT COVID 19 LOKAL 252.039 240.037
52200001 AUTOCLAVE TAPE 1/2 INC 184.864 176.061
52200002 AUTOCLAVE TAPE 1/4 INCH 168.94 160.895
52200003 LINA PEN SINGLE 202.167 192.54
52200004 BISTURI AESCULAP 10 6.774 6.451
52200005 BISTURI AESCULAP 11 6.404 6.099
52200006 BISTURI AESCULAP 15 6.404 6.099
52200007 BISTURI AESCULAP 20 6.404 6.099
52200008 BISTURI AESCULAP 21 4.081 3.887
52200009 SANDAL KAMAR OPERASI 29.341 27.944
52200010 SANDAL PASIEN RS.MBSD 27.633 26.317
52200012 TRACHEAOSTOMY BLUE FEN KIT 7 1,527,141 1,454,420
52200020 BOWIE DICK TEST 3,328,611 3,170,106
52200063 AUTOCLAVE TAPE 3/4 INC 264.866 252.253
52200080 CELITE ACT REAGENT TUBES 34.138 32.512
52200081 VITAL OXYGENATOR 10,218,133 9,731,555
52200084 PERCUTANEOUS INTRODUCER SHEATH "VANTEX" 1,519,828 1,447,455
52200085 CVC VANTEX TRIPLE LUMEN 1,472,308 1,402,198
52200086 HAEMOCONCENTRATOR ADULT DHF 02 (077117) 3,775,565 3,595,776
52200087 SLS CLIP SMALL 202.861 193.201
52200088 SLS CLIP MEDIUM 188.182 179.221
52200089 ANTEGRADE ANTEPLEGIA CARDIOPLEGIA 1,053,366 1,053,366
52200091 SWAN GANZ COMBO 5,724,249 5,451,666
52200092 MANOMETER LINE PT 84 125.949 119.951
52200093 Y CONNECTOR 3/8X3/8X3/8 96.29 91.705
52200094 CURVED TIP ARTERIAL CANNULA NO 24 1,501,535 1,430,034
52200095 VENOUS CANNULA 28 1,676,908 1,597,055
52200097 CHEST DRAIN PLEUR EVAC 1,651,564 1,572,918
52200099 BLOWER 2,821,846 2,687,473
52200100 TIP CLEANER 107.388 102.274
52200101 NELATHON CATHETER NO 08 "RUSH" 29.585 28.176
52200104 MONITORING KIT DOUBLE "BIOSENSOR" (BRT2-4812) 1,036,807 987.435
52200105 MONITORING KIT TRIPLE "BIOSENSOR" (BRT3-4812) 1,546,515 1,472,872
52200106 CARDIOLPLEGIA INFUSION & MONITORING SET 1,074,838 1,074,838
52200107 RETROGRADE CARDIOPLEGIA 1,808,799 1,722,666
52200108 TWO STAGE VC2 VENOUS CANNULA 34 1,775,549 1,690,999
52200109 THERMODILUTION CATH KIT 7FR, 4 LUMEN 4,595,428 4,376,598
52200110 PERCUTANEOUS INTRODUCER SHEATH "ARROW" 1,342,948 1,278,998
52200111 CVC SET 3 LUMEN 7FR-E "ARROW" (CV-15703E 1,379,908 1,314,198
52200114 MEDTRONIC OFF PUMP SYSTEM 45,282,533 45,282,533
52200115 CARDIOTOMIE RESERVOIR (REF-05263) 2,818,998 2,818,998
52200116 VENOUS CANNULA 31 1,676,908 1,597,055
52200119 VASCULAR TOURNIQUET KIT 31.036 31.036
52200120 MEDICAL TUBING 1/4 (LOT 10034416) 187.948 178.998
52200121 STRAIGHT CONNECTOR 1/4X3/8 (LOT 6020127) 81.086 81.086
52200125 CVC SET 2 LUMEN 7F "ARROW" (CV-17702E) 1,037,340 987.943
52200127 VITAL OXYGENATOR "MEDTRONIC" 14,270,589 13,591,037
52200128 AORTIC PUNCH 4.0 MM "MEDTRONIC" (CAT.AP5 1,689,153 1,608,718
52200129 AORTIC ROOT CANNULA 9FR (CAT.20012) 1,340,598 1,340,598
52200131 CARDIOPLEGIA SET ADULT LOVELL (28000-000) 2,914,535 2,775,748
52200134 SKIN STAPLER 35 STAPLER WIDE (PMW35) 492.197 468.759
52200135 SKIN STAPLER EXTRACTOR 253.37 241.305
52200137 IAB CATHETER 8FR 30CC 24,054,868 22,909,398
52200138 IAB CATHETER 8 FR, 40CC (IAB-S840C) 24,054,868 22,909,398
52200139 ARGOTRANDUCER (041584505A) 1,224,122 1,165,830
52200140 LIGASUR MAX (LS 3092) 1,193,415 1,136,586
52200142 KATUB MECHANICAL MITRAL 29MM "SORIN" 27,259,224 27,259,224
52200143 CARPENTIER EDWARD BIOPROTHESIS HEART VAL 34,540,566 32,895,777
52200144 CVC 14GA SINGLE LUMEN ARROW 7FR 525.398 525.398
52200147 Y ADAPTER -10005 (PBA) 749.308 713.627
52200148 Y ADAPTER -10003 (PBA) 926.858 882.722
52200158 IAB CATHETER 7,5 FR 40CC (IAB-06840-4) 27,033,339 25,746,037
52200159 OCTOBASE SUTURE HOLDING SET 2,709,039 2,580,037
52200160 MACRO SUCKER SUCTION TUBE 20FR (10061) 1,221,537 1,221,537
52200163 THORAMETRIC DRAIN 1 BOTOL 1100CC 907.239 864.037
52200164 BLUE RHENO/PDT 7,975,108 7,595,341
52300002 ARTERIAL FILT 125 X 2,185,468 2,081,398
52300003 TRILLIUM OXYGENATOR COMPLETE "MEDTRONIC"(PERMAT 14,560,350 13,867,000
52300004 GLO-TIP ERCP CATHETER,ULTRA TAPER TO 4FR 2,608,828 2,484,598
52300005 GLO-TIP II DOUBLE LUMEN ERCP CATH.W/RADI 2,405,548 2,290,998
52300006 HUIBREGTSE-KATON ERCP CATHETER (GT-2-T-R 1,971,433 1,877,555
52300007 SIDE ARM ADAPTER,ROTATABLE (ALL SIZE) WI 1,389,148 1,322,998
52300008 HIWIRE HYDROPHILIC WIRE GUIDE 0.025", 26 1,912,749 1,821,666
52300009 ROADRUNNER PC WIRE GUIDE 0.035", 260 CM 1,971,433 1,877,555
52300010 TMD WIRE GUIDE STRAIGHT 0.021", 480CM (M 5,839,528 5,561,455
52300011 TMD WIRE GUIDE STRAIGHT 0.025, 480 CM (M 5,741,353 5,467,955
52300012 TMD WIRE GUIDE STRAIGHT 0.035", 480 CM ( 5,741,353 5,467,955
52300013 STANDART WIRE GUIDE STRAIGHT 0.035", 480 3,169,168 3,018,255
52300014 TRI TOME PC PROTECTOR TRIPLE LUMEN SPHIN 5,909,331 5,627,934
52300015 COTTON CANNULATOME II PC PROTECTOR DOUBL 6,114,418 5,823,255
52300016 HUIBREGTSE SINGLE LUMEN NEEDLE KNIFE (HP 5,639,548 5,370,998
52300017 QUANTUM TTC BILIARY BALLON DILATOR, 6X3 7,228,828 6,884,598
52300018 QUANTUM TTC BILIARY BALLON DILATOR, 8X3 7,228,828 6,884,598
52300019 QUANTUM TTC BULIARY BALLON DILATOR, 10X3 7,228,828 6,884,598
52300020 COTTON GRADUATED DILATION CATHETER, 10 F 2,619,388 2,494,655
52300021 COTTON GRADUATED DILATION CATHETER, 8.5 2,619,388 2,494,655
52300022 GREENEN GRADUATED DILATION CATHETER (GGD 2,479,468 2,361,398
52300023 SPHERE INFLATION DEVICE (CID -20-30) 2,265,958 2,158,055
52300024 CYTOMAX II DOUBLE LUMEN BILIARY CYTOLOGY 3,403,468 3,241,398
52300026 THE WEB EXTRACTION BASKET, 2X4CM (WEB-2X 7,312,153 6,963,955
52300027 THE WEB EXTRACTION BASKET, 3X6 CM (WEB-3 7,312,153 6,963,955
52300028 THE WEB II DOUBLE LUMEN EXTRACTION BASKE 7,312,153 6,963,955
52300029 MEMORY BASKET EIGHT WIRE, 2X4CM (MB5-2X4 14,537,833 13,845,555
52300030 MEMORY BASKET EIGHT WIRE, 3X6 CM (MB5-3X 14,537,833 13,845,555
52300031 SOEHENDRA LITHOTRIPTOR HANDLE 17,090,383 16,276,555
52300032 SOEHENDRA LITHOTRIPTOR CABLE (SLC-2) 6,192,958 5,898,055
52300033 LIGUORY NASAL BILIARY DRAINAGE CAT. 7 FR 4,974,268 4,737,398
52300034 STENT INTRODUCER, 5 FR (PC-5) 1,421,653 1,353,955
52300035 COTTON LEUNG PLASTIC BILIARY STENT 7FR, 2,462,308 2,345,055
52300036 COTTON LEUNG PLASTIC BILIARY STENT 8.5 F 2,403,403 2,288,955
52300037 COTTON LEUNG PLASTIC BILIARY STENT 10 FR 2,403,403 2,288,955
52300038 GREENEN PLASTIC PANCREATIC STENT 5 FR, L 2,479,468 2,361,398
52300039 ZIMMON PANCREAATIC STENT 5 FR, LENGTH 5, 2,479,468 2,361,398
52300040 ST-20 SOEHENDRA TANNENBAUM PLASTIC BILIA 2,403,403 2,288,955
52300041 ZIMMON BILIARY STENT 10 FR, LENGTH 4,7,1 2,331,628 2,220,598
52300042 SOLUS DOUBLE PIGTAIL STENT SET 10 FR 5,976,973 5,692,355
52300043 ZILFER BILIARY SELF EXPANDING STENT 10MM 31,203,249 29,717,380
52300044 FUSION WIRE GUIDE LOCKING DEVICE (FS-WL- 557.548 530.998
52300045 FUSION WIRE GUIDE LOCKING DEVICE FOR PEN 557.548 530.998
52300046 FUSION OASIS FOR 10 FR PLASTIC BILIARY S 3,743,706 3,565,434
52300047 FUSION BILIARY DILATION CATHETER (FS-BDC 6,563,548 6,250,998
52300048 MAXUM REUSABLE GASTROSCOPE BIOSPY FORCEP 12,440,188 11,847,798
52300049 MAXUM REUSABLE COLONOSCOPE BIOPSY FORCE 12,440,188 11,847,798
52300050 MAXUM REUSABLE GRASPING FORCEPS RAT TOOT 12,440,188 11,847,798
52300051 CAPTURE DISPOSABLE HOT BIOPSY FORCEPS 2. 1,270,198 1,270,198
52300052 CAESAR GRASPING FORCEPS, 3-PRONG (CGF-1- 4,666,998 4,666,998
52300053 SONNET SHORT THROW POLYPECTOMY SNARE 2,5 1,284,208 1,223,055
52300054 GERCULES 3 STAGE WIRE GUIDED BALLON, (HB 13,801,398 13,801,398
52300055 HERCULES 3 STAGE WIRE GUIDED BALLON (HBD 14,491,468 13,801,398
52300056 HERCULES 3 STAGE WIRE GUIDED BALLON (HBD 14,491,468 13,801,398
52300057 HERCULES 3 STAGE WIRE GUIDED BALLON (HBD 14,491,468 13,801,398
52300058 HERCULES 3 STAGE WIRE GUIDED BALLON (HBD 14,491,468 13,801,398
52300059 DILATION SYRINGE 1,869,628 1,780,598
52300061 EVOLUTION CONTROLLED RELEASE ESOPHAGEAL 31,203,249 29,717,380
52300062 EVOLUTION CONTROLLED RELEASE COLONIC STE 31,203,249 29,717,380
52300063 INJECTAFLOW VARIABLE INJECTION NEEDLE AL 1,637,638 1,559,655
52300064 ECHOTIP ULTRA ENDOSCOPIC ULTRASOUND NEED 11,435,503 10,890,955
52300065 ECHOTIP ULTRA CELIAC PLEXUX NEUROLYSYS L 15,676,663 14,930,155
52300068 SSS HEMORRHOIDAL MULTI BAND LIGANTOR W/T 1,559,098 1,484,855
52300069 TRICLIP ENDOSCOPIC CLIPPING DEVICE 7 FR 2,324,863 2,214,155
52300070 QUICKSILVER BIPOLAR PROBE, 7 FR, 350CM ( 9,002,908 8,574,198
52300071 PEG 24 FR FULL TYPE (PEG-24-PULL-S) 3,866,210 3,682,105
52300072 FLOW 20 FR PULL TYPE (FLOW-20-PULL-S) 3,478,998 3,478,998
52300073 BALLON REPLACEMENT GASTROSTOMY TUBE 24 F 1,278,268 1,217,398
52300075 CAPTURA DISPOSABLE BRONCHOSCOPE BIOPSY F 29,806,480 29,806,480
52300076 BRONCHOSCOPY DISPOSABLE CYTOLOGY BRUSH ( 680.598 680.598
52300077 GENIUS TAXCOR I (DES PACLITAXEL) ALL SIZ 31,067,380 31,067,380
52300078 GENIUS MAGIC (COBALT CHROMIUM ) ALL SIZE 20,820,598 20,820,598
52300079 GENIUS MEGAFLEX (BMS) ALL SIZE "EUROCOR" 10,817,380 10,817,380
52300080 AMADEUS SUPERCROSS-RX PTCA BALLON ALL SI 9,893,991 9,422,849
52300081 DIOR (DEB- PACLITAXEL ELUTING) " ERUROCO 24,020,598 24,020,598
52300082 AQUA SEAL CHEST DRAINAGE UNIT 2,630,534 2,505,270
52300083 HPF 200E "MERIT" (MM) 317.308 302.198
52300084 HPF 480 E "MERIT" (MM) 317.308 302.198
52300085 GUIDE WIRE 0,0038 "MERIT" REKA 298.828 284.598
52300089 STENT DES COROFLEX PLEASE 3.0 X13MM 35,122,609 33,450,104
52300090 STENT DES COROFLEX PLEASE 3.5 X13MM 35,122,609 33,450,104
52300091 STENT DES COROFLEX PLEASE 2.75 X16 MM 35,122,609 33,450,104
52300092 STENT DES COROFLEX PLEASE 4.0 X 16 MM 35,122,609 33,450,104
52300093 STENT DES COROFLEX PLEASE 3.0 X19 MM 35,122,609 33,450,104
52300094 STENT DES COROFLEX 3.5 X 19MM 35,122,609 33,450,104
52300096 STENT DES COROFLEX PLEASE 4.0 X32 MM 35,122,609 33,450,104
52300097 BALLON SEQUENT PLEASE 2.0 X 15MM 6,951,628 6,620,598
52300098 BALLON SEQUENT PLEASE 2.0 X 17MM 6,321,628 6,020,598
52300099 BALLON SEQUENT PLEASE 2.75 X 26 MM 6,321,628 6,020,598
52300100 PERFORMA PIGTAIL 6 F (7509-11) 596.983 568.555
52300101 PERFORMA MPA 2-6F (7513-23) 479.173 456.355
52300102 PERFORMA MPA 1 6F (7513-13) 518.443 493.755
52300106 GUIDE WIRE M 0,035" STRAIGHT "TERUMO" (RF*GS35153 816.268 777.398
52300107 CHATETER NIH WOVEN 6F 100CM "MEDTRONIC" 2,331,628 2,220,598
52300108 CATHETER NIH WOVEN 6FR 80CM "MEDTRONIC" 2,331,628 2,220,598
52300110 AMPLATZER GUIDE WIRE 1,546,228 1,472,598
52300111 AMPLATZER SIZING BALLON (ALL SIZE) 5,103,628 4,860,598
52300112 AMPLATZER DELIVERY SYSTEM (ALL SIZE) 10,185,628 9,700,598
52300113 ASO (ALL SIZE) 42,897,624 40,854,880
52300115 AMPLATZER PDA OCCLUDER (ADO) ALL SIZE 25,431,628 24,220,598
52300116 AMPLATZER GUIDE WIRE (ADO) 1,546,228 1,472,598
52300117 AMPLATZER DELIVERY SYSTEM (ADO) ALL SIZE 10,185,628 9,700,598
52300118 STOPCOCK "MARQUIS SERIES" (M3RLC) 106.108 101.055
52300119 STENT DES COROFLEX PLEASE 3,0 X16 MM 31,994,880 31,994,880
52300120 STENT DES COROFLEX PLEASE 4,0 X19 MM 35,122,609 33,450,104
52300121 STENT DES COROFLEX PLEASE 2,5 X 25MM 35,122,609 33,450,104
52300122 STENT DES COROFLEX PLEASE 2,75 X25MM 35,122,609 33,450,104
52300123 STENT DES COROFLEX PLEASE 3,5 X25 MM 35,122,609 33,450,104
52300124 BASIX INFLATION SYRINGE (IN 4330) "MM" 2,364,133 2,251,555
52300125 PANTERA BALLON (ALL SIZE) BIOTRONIK "MM" 9,261,628 8,820,598
52300126 BALLON RX MINI TREK (ALL SIZE) "ABBOTT" (KPA) 8,582,874 8,174,166
52300127 BALLON RX TREK (ALL SIZE) "ABBOTT" (KPA) 8,582,874 8,174,166
52300128 BASIC INDEFLATOR IN 4330 "MERIT" MM 2,267,917 2,159,921
52300129 GUIDE WIRE SION BLUE "ASAHI INTECC" 2,793,628 2,660,598
52300130 PRESSURE MONITORING KIT SINGLE (B-KT-164E) 557.713 531.155
52300131 HI TORQUE PROGRESS, ALL SIZE "ABBOTT" 2,667,628 2,540,598
52300132 HI TORQUE BMW ELITE "ABBOTT" 2,516,428 2,396,598
52300133 DIDECO HAEMOCONCENTRATOR DHF06 ADULT (BISAWI) 3,196,751 3,044,525
52300134 DIDECO COMPACTFLO EVO OXYGENATOR COMPLETE (BISA 9,594,268 9,137,398
52300135 BICARBON MITRAL MECHANICAL HEART VALVE (BISAWI) 27,705,398 27,705,398
52300137 DES CRE8 "CID" 33,594,624 31,994,880
52300138 BMS AVANGARDE "CID" 18,501,628 17,620,598
52300139 PERFORMA CATHETER "MERIT" (MM) 596.983 568.555
52300159 INTRODUCER SHEATH 23 ALL FRAME (ASKES) MM 733.398 733.398
52300160 INTRODUCER SHEATH TRANSRADIAL ALL FRAME "MERIT" 996.184 948.747
52300161 GUIDE WIRE 038 260CM (ASKES) MM 574.998 574.998
52300170 GUIDING CATHETER ZENYTE ASAHI 3,181,708 3,030,198
52300176 TISSUE HEART VALVE BIOCOR BOVINE B30 (AORTIC&MITR 30,820,598 30,820,598
52300177 INFLATION DEVICE (BTS) 1,428,598 1,428,598
52300178 CLICK Y WITH EXTENTION 25CM (BTS) 474.264 451.68
52300179 GUIDEWIRE 150CM, 0.35", J TIP (BTS) 273.429 273.429
52300180 GUIDEWIRE 150CM, 0.038 , J TIP (BTS) 225.561 225.561
52300191 HIGH PRESSURE TUBING ALL SIZE (BTS) 204.283 194.555
52300192 IINTRODUCER SET 6F (BTS) 371.18 353.505
52300193 INTRODUCER NEEDLE 18G X7.0CM (BTS) 81.086 81.086
52300194 DISP TRANSDUCER SINGLE (BTS) 548.308 522.198
52300195 SLS CLIP SMALL HORISON 175.052 166.716
52300196 SLS CLIP MEDIUM HORISON 214.1 203.905
52300197 AORTIC PUNCH DP 36 "TELEFLEX" 988.598 988.598
52300198 AORTIC PUNCH DP 40 "TELEFLEX" 988.598 988.598
52300199 CHEST DRAIN A8000 "TELEFLEX" 1,319,478 1,319,478
52300200 AORTIC ROOT CANNULA 10FR 'ANDOCOR" 1,067,798 1,067,798
52300201 AORTIC ROOT CANNULA 7 FR "ANDOCOR" 1,067,798 1,067,798
52300202 THORACIC CHATETER FG 20 "WELLMED" 184.311 184.311
52300203 THORACIC CHATETER FG 24 "WELLMED" 231.564 220.537
52300204 THORACIC CHATETER FG 28 "WELLMED" 243.553 231.955
52300205 THORACIC CHATETER FG 32 "WELLMED" 243.553 231.955
52300206 TWO STAGE VENOUS CANUL NO. 34 'ANDOCOR" 1,173,398 1,173,398
52300207 TWO STAGE VENOUS CANUL NO. 36 'ANDOCOR" 1,412,758 1,412,758
52300208 PAKET APOLLO REKA (ASKES) 18,501,628 17,620,598
52300209 IMPRESS CATHETER ULTIMATE, ALL SIZE ALL TYPE (REKA) 720.172 685.878
52300210 FLUYDO BALLON (REKA) 7,060,598 7,060,598
52300211 FLUYDO BALLON (REKA) "ASKES" 6,620,598 6,620,598
52300212 SHUNT FLOW AXIUS CORONARY 1.50MM"MEDTRONIC" 2,837,038 2,701,941
52300213 SHUNT FLOW AXIUS CORONARY 1.75MM"MEDTRONIC" 2,942,038 2,801,941
52300214 SHUNT FLOW AXIUS CORONARY 2.00MM"MEDTRONIC" 2,837,038 2,701,941
52300215 3 GANG MANIFOLD RHT (BTS) 184.648 175.855
52300216 DES "PROLIMUS" 31,203,249 29,717,380
52300217 BMS "PRECISION" 12,033,628 11,460,598
52300220 PACLITAXEL DRUG ELUTING BALLON "PRIMUS" (ASKES) 27,741,628 26,420,598
52300221 BALLON TAZUNA (ASKES) 10,420,598 10,420,598
52300222 BALLON TAZUNA (REGULER) 12,020,598 12,020,598
52300223 FAST CATH LONG SHEATH 940.595 895.805
52300224 PAKET DIAGNOSTIK FEMORAL ASKES (REKA) 2,275,775 2,167,405
52300225 PAKET DIAGNOSTIK TRANSRADIAL ASKES (REKA) 2,318,692 2,208,278
52300226 ROTATING ADAPTOR 122.793 122.793
52300227 FINECROSS 1,8FR 130CM (TERUMO) 11,538,693 10,989,231
52300228 BALLON RYUJIN 1,50MM - 15MM (TERUMO) 9,119,105 8,684,862
52300229 MICRO CATHETER ALL SIZE (REKA) 8,124,930 7,738,029
52300230 PAKET TINDAKAN DIAGNOSTIK FEMORAL 2,562,437 2,440,416
52300231 PAKET TINDAKAN DIAGNOSTIK RADIAL 2,484,474 2,366,166
52300232 PAKET TINDAKAN PCI FEMORAL (DES) 35,684,021 33,984,782
52300233 PAKET TINDAKAN PCI RADIAL (DES) 34,620,870 32,972,257
52300234 PAKET TINDAKAN PCI FEMORAL (TANPA DES) 17,982,549 17,982,549
52300235 PAKET TINDAKAN PCI RADIAL (TANPA DES) 18,031,455 18,031,455
52300236 ORSIRO BIOLUTE SIROLIMUS DES (MM) 29,419,141 29,419,141
52300237 PRO KINETIC ENERGY CC STENT (MM) 15,599,499 14,856,666
52300238 CONCIERGE GUIDING CATH JETMASTER (MM) 1,946,043 1,946,043
52300239 GUIDEWIRE CONQUEST PRO 12 "ASAHI INTECC" 4,338,249 4,131,666
52300240 DLP SUCTION TUBE 20 FR (10061) PB 2,265,821 2,157,925
52300242 DLP CORONARY OSTIAL PERFUSION CANUL 12 FR 2,641,196 2,515,425
52300243 GUIDE WIRE M 0.035 260CM (RF*GA35263M) 1,315,037 1,252,416
52300250 PANTERA LUX DEB (ALL TYPE) BIOMETRIK 24,031,466 24,031,466
52300256 GUIDE WIRE SION ASAHI INTEC 2,258,589 2,151,037
52300257 GUIDE WIRE GAIA 3ND "ASAHI INTECC" 4,060,389 3,867,037
52300258 GUIDE WIRE GAIA 2ND "ASAHI INTECC" 4,060,389 3,867,037
52300259 HEETY INTRODUCER SHEATH 6F (ALL SIZE) 676.943 644.707
52300260 EXPERIENCE BALLON "IVASCULAR" UMUM 6,012,339 5,726,037
52370003 SOFT SEAL LARYNGEAL MASK 3 421.38 401.314
52370004 SOFT SEAL LARYNGEAL MASK 4 421.38 401.314
52370008 AMBICOR PEMB. TALI PUSAT 5.242 4.993
52370009 BABY HALER 353.788 336.941
52370010 BLOOD ADM TRANSFUSION SET "TERUMO" 55.902 53.24
52370025 CERVICAL COLLAR L 464.858 442.722
52370026 CERVICAL COLLAR SUPPORT M 464.858 442.722
52370027 CERVICAL COLLAR S 358.662 341.583
52370028 COLOSTOMY BAG F1 113.548 108.141
52370029 CTG PAPER (FETAL MONITORING RECORDING PAPER) M10 284.968 271.398
52370039 CYTOBRUSH 6.917 6.588
52370041 DISPOSIBLE SUCTION BAG GREEN 124.297 118.378
52370042 DISPOSIBLE SUCTION BAG WHITE 131.806 125.53
52370047 ELEKTRODA BLUE SENSOR 11.206 10.672
52370049 ENDOTRACHEAL NKK 20 "RUSCH" 568.243 541.184
52370050 ENDOTRACHEAL NKK 22 "RUSCH" 529.515 504.3
52370051 ENDOTRACHEAL NKK 24 "RUSCH" 445.621 445.621
52370052 ENDOTRACHEAL NKK 26 "RUSCH" 529.515 504.3
52370053 ENDOTRACHEAL NKK 28 "RUSCH" 604.871 576.068
52370054 ENDOTRACHEAL NKK 30 "RUSCH" 604.871 576.068
52370055 ENDOTRACHEAL NKK 20 "RUSCH" 529.515 504.3
52370056 ENDOTRACHEAL KK 2,5 "RUSCH" 123.538 123.538
52370057 ENDOTRACHEAL KK 3 "RUSCH" 123.538 123.538
52370058 ENDOTRACHEAL KK 3,5 "RUSCH" 121.166 121.166
52370059 ENDOTRACHEAL KK 4 "RUSCH" 121.166 121.166
52370060 ENDOTRACHEAL KK 4,5 "RUSCH" 121.166 121.166
52370061 ENDOTRACHEAL KK 5 "RUSCH" 134.637 128.266
52370062 ENDOTRACHEAL KK 5,5 "RUSCH" 127.224 121.166
52370063 ENDOTRACHEAL KK 6 "RUSCH" 127.224 121.166
52370064 ENDOTRACHEAL KK 6,5 "RUSCH" 127.224 121.166
52370065 ENDOTRACHEAL KK 7,5 "RUSCH" 127.224 121.166
52370066 ENDOTRACHEAL 2 "PORTEX" 104.35 99.381
52370067 ENDOTRACHEAL 2,5 "PORTEX" 114.598 109.141
52370068 ENDOTRACHEAL 3 "PORTEX" 114.179 108.742
52370069 ENDOTRACHEAL 3,5 "PORTEX" 136.937 130.416
52370070 ENDOTRACHEAL 4 "PORTEX" 148.352 141.288
52370071 ENDOTRACHEAL 4.5 "PORTEX" 133.551 127.191
52370072 ENDOTRACHEAL 5 "PORTEX" 172.059 163.865
52370073 ENDOTRACHEAL 5,5 "PORTEX" 172.059 163.865
52370074 ENDOTRACHEAL 6 "PORTEX" 182.684 173.985
52370075 ENDOTRACHEAL 6,5 "PORTEX" 171.587 163.416
52370076 ENDOTRACHEAL 7 "PORTEX" 171.587 163.416
52370077 ENDOTRACHEAL 7,5 "PORTEX" 171.587 163.416
52370078 ENDOTRACHEAL 8 "PORTEX" 154.626 146.916
52370079 ENDOTRACHEAL 8,5 "PORTEX" 164.894 157.042
52370091 ID BRACELETT INFANT BLUE 3.694 3.518
52370092 ID BRACELETT INFANT PINK 5.447 5.187
52370093 ID BRACELETT ADULT BLUE 3.813 3.631
52370094 ID BRACELETT ADULT PINK 5.447 5.187
52370095 ID BRACELETT RED 3.694 3.518
52370096 HAND SCOON STERIL 6 "GAMEX" 29.87 28.448
52370097 HAND SCOON STERIL 6,5 "GAMEX" 32.743 31.184
52370098 HAND SCOON STERIL 7 "GAMEX" 24.485 23.319
52370100 HAND SCOON STERIL 8 "GAMEX" 40.674 38.737
52370119 INFUSION SET MICRODRIP BURET 137.534 130.985
52370122 INFUSION SOL. ADM SET. PED. 31.666 31.666
52370127 KASA GULUNG 4Y X 10 CM DRC 6.511 6.511
52370128 KASA GULUNG 4Y X 5 CM DRC 5.326 5.072
52370129 KASA GULUNG 4Y X 7,5 CM DRC 9.921 9.449
52370138 MASKER AEROSOL ADULT 51.307 48.864
52370139 MASKER AEROSOL PEDIATRK 60.723 57.831
52370141 MASKER HIJAU TIE ON "HOSPILAB" 4.422 4.211
52370146 MASKER NEBULIZER ADULT 68.608 65.341
52370147 MASKER NEBULIZER PEDIATRK 82.546 78.615
52370150 MASKER REBREATHING ADULT "SALTER" 55.149 52.523
52370151 MASKER REBREATHING PEDIATRIK "SALTER" 246.084 234.366
52370153 NASAL OXYGEN CANULA ADULT "SALTER" 31.837 30.321
52370159 EEG PAPER 5,203,798 5,203,798
52370161 TREADMIL PAPER 997.372 949.878
52370188 NURSE CAP WOMAN "HOSPILAB" 2.874 2.737
52370194 URINE COLECTOR PED 100 ML "JMS" 83.86 79.867
52370197 WASHLAP PUTIH LOGO RS. BSD 21.026 20.025
52370199 N/A - HYPAFIX 5 X 5 M PER CM 16.736 16.736
52370215 BABY WIPES "PIGEON" 20,5 16.736 16.736
52370216 THICK WIPES CUSSONS BABY 55 16.736 16.736
52370225 EL-MED INFUS SPALK SIZE 4 X 12 CM 24.536 24.536
52370237 ANIOZYNE 16.173 16.173
52372011 ELEKTRODA 16.736 16.736
52372029 HAND SCOON STERIL 8 "BBRAUN" 16.811 16.811
52372033 INFUSION SET "BBRAUN" (INTRAFIX) 58.985 56.176
52372034 MEDIFIX LINE 90CM WITH INTRAFIX 214.744 204.518
52372035 MEDIFIX MANOMETER SCALER 367.204 349.718
52372037 APRON FILM WHITE "HOSPILAB " ISI 100 7.641 7.277
52372038 CLIP CARTRIDGE "MASLECH" M 750.242 714.516
52372040 ESPOCAN "BBRAUN" 891.508 849.055
52372041 HYPAFIX 5 X 5 M "BSN" 123.9 118
52372042 HYPAFIX 10 X 5 M "BSN" 300.3 286
52372043 HYPAFIX 15 X 5 M "BSN" 499.8 476
52372049 STERISTRIP ISI 50 "3M" (R1541) 11.406 10.683
52372050 TONGUE SPATULA ISI 100 18.137 17.273
52372053 UROGARD PLUS 168.184 160.175
52372054 ARM SLING L 56.611 53.916
52372055 ARM SLING M 56.611 53.916
52372056 INTUBATION STYLET NO. 4 249.122 249.122
52372057 MITELA 52.486 52.486
52372059 OXYGEN MASK 0 873.318 873.318
52372060 OXYGEN MASK 1 873.318 873.318
52372061 OXYGEN MASK 2 943.542 943.542
52372062 OXYGEN MASK 3 943.542 943.542
52372063 OXYGEN MASK 4 943.542 943.542
52372064 OXYGEN MASK 5 943.542 943.542
52372067 NASAL OXYGEN CANULA NEONATE "SALTER" 113.52 108.114
52372068 PISAU CUKUR "GILLETE" 18.261 17.391
52372069 SARUNG TANGAN PANJANG STERIL 39.759 39.759
52372071 STERISTRIP ISI 50 "3M" (R1547) 22.707 21.626
52372073 SUCTION PRO DUEL LUMEN 14Fr "PORTEX" 455.037 455.037
52372077 TRANSOFIX "BBRAUN" 13.707 13.054
52372081 HANDSCHOON WRP STERIL 7.5 46.296 44.091
52372084 BAROVAC PS 400ML M 1,011,760 963.581
52372092 OPSITE POST OP 6,5X5CM/1 31.747 30.235
52372093 OPSITE POST OP 9,5X8,5CM/1 40.276 38.358
52372094 MATHERNITY NAPKINS 6.639 6.323
52372104 SOFT SEAL LARYNGEAL MASK 2,5 414.377 394.645
52373000 WASHLAP POLOS 19.596 19.596
52373008 ANAESTHESI MASK SIZE 1 (1121) 265.142 252.516
52373009 ANAESTHESI MASK SIZE 2 (1122) 265.142 252.516
52373010 ANAESTHESI SIZE 3 (1123) 249.549 237.666
52373011 ANAESTHESI MASK SIZE 4 (1124) 249.549 237.666
52373012 ANAESTHESI MASK SIZE 5 (1125) 249.549 237.666
52373014 T SCRUB BRUSH 35.845 34.139
52373015 HAND SCOON SIZE M RUBBERCARE 3.443 3.279
52373018 HAND SCOON NON STERIL UKURAN M 2.292 2.183
52373019 HAND SCOON NON STERIL UKURAN S 2.521 2.401
52373020 CANULA FOR VACUM CURETTE FG 7 156.86 156.86
52373026 NASOPHARYNGEAL AIRWAY 6 "PORTEX" 314.53 299.552
52373027 NASOPHARYNGEAL AIRWAY 7 "PORTEX" 314.53 299.552
52373028 NASOPHARYNGEAL AIRWAY 8 "PORTEX" 309.332 294.602
52373031 OBJECT GLASS 361 361
52373039 INTRODUCER SHEATH FEMORAL ALL SIZE (REKA) 433.922 433.922
52373040 MANIFOLD "MERIT" 298.348 284.141
52373042 MOUTHPIECES 15.75 15.75
52373044 SUCTION CONECTING TUBE 3.0M 165.9 158
52373049 SIMPLE MASK ADULT "SALTER" 44.726 42.596
52373053 TOURNIQUET 45.114 42.966
52373058 SPALEK TANGAN KECIL 6 X 30CM 31.335 29.843
52373061 MASKER NON REBREATHING ADULT "SALTER" 68.016 64.777
52373062 MASKER NON REBREATHING PEDIATRIK " SALTER" 124.116 118.206
52373063 BREATHING SYSTEM "INTER" (2025) 708.482 708.482
52373067 CLIP POUCH 45.73 43.552
52373070 MUCUS EXTRACTOR "SAFETY" 40.095 38.186
52373071 SURGEON CAP "HOSPILAB" 3.351 3.191
52373072 PRISMAFLEX M60 PRE SET (106696) 11,264,678 10,728,265
52373073 HEMOSOL BO (109124) 1,014,004 965.718
52373075 BIOPSY FORCEPS, OVAL SHAPE WITH NEEDLE FOR COLOSC 1,098,088 1,045,798
52373076 CODMAN SURGICAL MARKER (431030) 106.108 101.055
52373087 SPALK ANAK UK 15 X5 "AS" 24.398 23.236
52373089 HEMODIALYSIS CATH SET 2 LUMEN 20CM "KFLOW" KIMAL 2,079,798 2,079,798
52373094 NEBULIZER KIT W/TEE & MOUTHPIECE 61.757 58.816
52373096 DISPOSABLE MANUAL RESUSITATOR ADULT (KM-806A) 606.966 578.063
52373097 FACE MASK NON INVASIVE UK L 1,211,766 1,211,766
52373100 URINAL PLASTIK 33.339 31.751
52373101 TRACHEOSTOMY FILTER WITH OXYGEN TUBING 80.631 76.791
52373103 CLOSED SUCTION NO 14FR ALTECH 639.882 609.411
52373104 CLOSED SUCTION NO 12 FR ALTECH 725.199 690.666
52373106 SPALK TANGAN DEWASA 7X 50CM 35.318 33.636
52373107 SPALK KAKI 65X10CM 40.344 38.423
52373108 SPALK KAKI 90X10CM 41.846 39.853
52373110 MASKER N95 3M 179.234 170.699
52373111 ALERT SNAPS RED (ALLERGY) "DOCARE" 3.72 3.542
52373112 ALERT SNAPS YELLOW (ALL RISK) "DOCARE" 3.903 3.717
52373113 ALERT SNAPS PURPLE (DNR) "DOCARE" 3.72 3.542
52373114 ALERT SNAPS GREEN (NO LATEX) "DOCARE" 3.72 3.542
52373116 DOUBEL J 4,5 SURGIMEDIK (OPEN) 501.411 477.534
52373117 DISP SPO2 SENSO MEDKE 279.083 265.793
52373119 SKIN TRACTION ADULT BSN ADHESIVE 195.842 186.516
52373120 SKIN TRACTION ADULT BSN NON ADHESIVE 195.253 185.955
52373122 VISION URETER CATH 5FR CLOSE TIP 290.818 290.818
52373123 VISION URETER CATH 5FR OPEN TIP 290.818 290.818
52373124 PNCL LUNDERQUEST GW 866.393 866.393
52373125 AMPLATZ SHEAT ALL SIZE 866.393 866.393
52373126 PUNCTURE NEEDLE 866.393 866.393
52373127 DILATORS DOR DRAINAGE CATH TIP 866.393 866.393
52373128 CERTOFIX TRIO V122O BBRAUN (CDL) 1,593,114 1,517,251
52373129 STENT BIORESORBABLE VASCULAR SCAFFOLD 42,915,751 42,915,751
52373132 GIGLI WIRE SAW OLIVERONA 40CM 491.624 468.213
52373134 INTUBATION STYLET (550 0002 1) 5.0-8.0 MM 119.471 119.471
52373138 OCTENIC HAIR WASH 39.858 37.96
52373139 BREATING ALTERA 1121 270.336 270.336
52373142 ARM SLING S 39.391 39.391
52373150 KASA STERIL 16X16 CM ONEMED 1.7 1.619
52373154 UNIVERSAL DRAPE TITAN 1,117,165 1,063,967
52373155 STERIL GENERAL HD SET 44.1 42
52373156 TRIPLE DISPOSABLE PRESSURE TRANDUCER 1,379,606 1,313,910
52373157 TRIPLE DISPOSABLE PRESSURE TRANDUCER 1,379,606 1,313,910
52373159 SINGLE HEATED WIRE CIRCUIT ADULT AMPM 571.053 543.86
52373160 HAND SCOON STERIL 7.5 "GAMEX" 18.145 17.281
52373161 URINAL PLASTIK PLUS TUTUP 45.679 43.504
52373162 LMA SUPREME SU SIZE 3 "TELEFLEX" 794.627 756.787
52373163 LMA SUPREME SU SIZE 4 "TELEFLEX" 794.627 756.787
52373164 LMA SUPREME SU SIZE 5 "TELEFLEX" 794.627 756.787
52373165 UNIVERSAL DRAPE SOLIDA 835.437 835.437
52373166 BREATHING CIRCUIT BUBBLE CPAP 2,258,589 2,151,037
52373167 TALI PENGIKAT PASIEN (RESTRAIN) 41.584 39.604
52373169 LMA SUPREME SU SIZE 2 "TELEFLEX' 794.627 756.787
52373170 HD CATHETER KIT 2L 12FR 16CM (BAIHE) 952.284 906.937
52373171 BREATHING CIRCUIT INTELIFLOW "FLEXICARE" 276.609 263.437
52373172 BAKTERIAL FILTER FLEXICARE (03841360) 63.997 90.949
52373173 HD CATHETER 2L 12FR 15CM (SHUNMEI) 948.189 903.038
52373174 SURGICAL HAT 1.965 1.871
52373175 MASKER KN 95 44.31 42.2
52373176 SET C SECTION WITH 3 SURGICAL GOWNS 1,180,262 1,124,059
52373177 APD ODP 10.006 10.006
52373178 APD PDP 425 425
52420001 DISP NEEDLE 18 G "TERUMO" 5.739 5.466
52420002 DISP NEEDLE 20 G "TERUMO" 3.776 3.596
52420003 DISP NEEDLE 21 G "TERUMO" 3.614 3.442
52420004 DISP NEEDLE 22 G "TERUMO" 3.614 3.442
52420005 DISP NEEDLE 23 G "TERUMO" 4.2 4
52420006 DISP NEEDLE 24 G "TERUMO" 3.614 3.442
52420007 DISP NEEDLE 25 G "TERUMO" 5.913 5.631
52420008 DISP NEEDLE 26 G "TERUMO" 5.295 5.043
52420020 SYRINGE 1 CC INSULIN 80 IU 10.486 9.987
52420021 SYRINGE 1 CC TUBERCULIN "TERUMO" 14.583 13.889
52420024 SYRINGE 10 CC "TERUMO" 14.413 13.727
52420030 SYRINGE 20 CC "TERUMO" 23.711 22.582
52420032 SYRINGE 3 CC "TERUMO" 9.112 8.678
52420036 SYRINGE 5 CC "TERUMO" 12.377 11.788
52420038 SYRINGE 50 CC "TERUMO" 42.023 40.022
52420039 SYRINGE 50 CC CAT. TIP "TERUMO" 78.937 75.178
52420041 WING NEEDLE 21 22.15 21.095
52420042 WING NEEDLE 23 22.15 21.095
52420043 WING NEEDLE 25 22.15 21.095
52420044 WING NEEDLE 27 36.483 34.746
52420049 SPINAL NEEDLE 25G "BBRAUN" (SPINOCAN) 78.857 75.102
52420050 SPINAL NEEDLE 26G "BBRAUN" (SPINOCAN) 78.857 75.102
52420051 SPINAL NEEDLE 27G "BBRAUN" (SPINOCAN) 87.34 83.181
52420052 SPINAL NEEDLE 29G "BBRAUN" (SPINOCAN) 87.34 83.181
52420053 IV CATHETER 18G "BBRAUN" (VASOFIX) 61.08 58.171
52420054 IV CATHETER 20G "BBRAUN" (VASOFIX) 61.08 58.171
52420055 IV CATHETER 22G "BBRAUN" (VASOFIX) 61.08 58.171
52420056 IV CATHETER 24G "BBRAUN" (VASOFIX) 61.08 58.171
52420057 VENOCATH 16 240.887 229.416
52420058 VENOCATH 18 240.887 229.416
52420059 VENTILATOR ADAPTOR 523.034 498.128
52420063 INTROCAN SAFETY 23G "BBRAUN" 48.491 48.491
52420065 DISP NEEDLE 27 G "TERUMO" 3.614 3.442
52420066 SPINAL NEEDLE 23 "TERUMO" 59.219 59.219
52420068 SPINAL NEEDLE 23G "BBRAUN" (SPINOCAN) 53.274 53.274
52420069 SPINAL NEEDLE 27 "BD" 70.702 70.702
52420071 WING NEEDLE 19 19.597 18.664
52420076 SURFLO FLASH IV CAT. 20G X 2 "TERUMO" 42.859 42.859
52420079 SPINAL NEEDLE WHITACRE 27GA 104.662 99.678
52420080 SPINAL NEEDLE WHITACRE 25GA "BD" 91.114 86.775
52420081 SPINAL PAJUNK 27GX31/2 (121151-27A) 163.049 155.285
52420083 SPINAL PAJUNK 25GX 31/2 (90MM) 154.262 146.916
52420085 SPINAL NEEDLE 22G "BBRAUN" (SPINOCAN) 82.836 78.891
52500006 BLOOD LINE ARTERIAL & VENOUS FOR DIALOG BLOOD LINE 231.642 220.611
52500007 DIACAN ARTERIAL G16 30MM 32.438 30.893
52500008 DIACAP LOPS 15; PS-DIALYSATOR, GAMMA 488.99 465.705
52500011 AV FISTULA 1 1/4 21.589 20.561
52500014 SOL CART B (494/496) 239.626 228.215
52500015 ELISIO (720354101D) 265.33 265.33
52500016 ALKALINE HD 5% 10L 184.783 184.783
52500017 HD CONC ACIDIC HDM 303 10000ML 27 27
52500021 STERIL ATANDART HD SET 42.075 40.071
52500022 DIALYSER F-7 281.114 267.727
52500024 BI BAG 5008 120.003 114.288
52500025 BLOODLINE TUBBING SYSTEM 143.726 136.882
52500026 HD SOLUTION 136.219 129.732
52500027 FISTULA NEEDLE 22.255 21.195
52500028 SAS-MA 300 ACID CONCENTRATE 123.297 123.297
52570002 KNEE SUPORT 1022 XL 460.598 460.598
52570003 KRUK KETIAK "POLICARE" 316.92 301.829
52570004 STOCKING UK S "SIGVARIS" (222AG-S) 510.422 486.116
52570005 STOCKING UK M "SIGVARIS" (222AG-M) 1,089,812 1,037,916
52570006 STOCKING UK L "SIGVARIS" (222AG-L) 224.255 213.576
52570010 LUMBAL CORSET 2060 520.298 495.522
52570011 LUMBAL CORSET 2064 16.736 16.736
52570012 LUMBAL CORSET 2164 936.098 891.522
52570013 LUMBAL CORSET OPPO 17.573 16.736
52570016 CANADIAN KRUCK "POLICARE" 632.102 602.002
52570017 CORRUGATED TUBE "BMED" 41.596 39.616
52570020 KRUCK"POLICARE" 849.341 808.896
52570023 TLSO 1,087,858 1,036,055
52570024 QUADRIPOD 494.038 494.038
52570025 WALKER "POLICARE' 1,489,590 1,418,657
52570030 ADJUSTABLE ANKLE SUPPORT 768 (ALL SIZE) 182.684 173.985
52570038 COMPRESSION STOCKING 520.406 495.625
52570039 SPIRO BALL 498.808 475.055
52570040 SIGVARIS STOCKING CO2AG-M 1,180,828 1,124,598
52570045 TENNIS ELBOW BRACE 1,133,124 1,079,166
52570046 LUMBAL CORSET (OXY SUPPORT) ALL SIZE 613.374 584.166
52570047 HOT/COLD PACK (OXY MEDICA) 51.501 51.501
52570048 AIR STIRR UP ANKLE 2,154,361 2,154,361
52570049 STOCKING VENOSAN UK XL 802.134 763.937
52570050 CERVICAL COLLAR FOAM UK M 163.997 156.187
52570052 LUMBAL CORSET GLOBAL LITE 3,227,057 3,073,387
52572243 TLSO BRACE XL 2,657,934 2,657,934
52620073 N/A - SURGIPRO 7-0 111.35 106.048
52620086 N/A - VICRYL 5/0 9105 111.51 111.51
52620101 BIOSYN 3/0 "USSDG" (SM693) 216.878 206.55
52620106 CHROMIC GUT 0 "ETHICON" (G128T) 97.908 93.246
52620107 CHROMIC GUT 0 "USSDG" (594-61) 102.205 97.339
52620108 CHROMIC GUT 1 "USSDG" (594-71) 102.467 97.588
52620109 CHROMIC GUT 1 "ETHICON" (G129T) 142.359 135.58
52620110 CHROMIC GUT 2/0 "ETHICON" (G127T) 97.908 93.246
52620111 CHROMIC GUT 2/0 "SYNETURE" (594-51) 112.977 107.598
52620112 CHROMIC GUT 3/0 "USSDG" (583-41) 92.896 88.473
52620113 MERSILK BLACK 2/0 "ETHICON" (W2512) 100.359 95.58
52620114 MERSILK BLACK 3/0 "ETHICON" (W2511) 92.225 87.833
52620115 MONOCRYL 3.0 "ETHICON" PS-1 (Y936H) 183.12 174.4
52620124 POLYSORB 1 "USSDG" (CL-925) 186.753 177.86
52620125 POLYSORB 2/0 "USSDG" (GL-123) 179.078 170.55
52620126 POLYSORB 2/0 "USSDG" (SL-586) 155.698 148.284
52620127 POLYSORB 3/0 "USSDG" (GL122) 176.936 168.51
52620128 POLYSORB 3/0 "USSDG" (SL-693) 169.979 161.885
52620129 POLYSORB 4/0 "USSDG" (UL-203) 215.024 204.785
52620130 PROLENE 1 "ETHICON" (W742) 188.56 179.581
52620131 PROLENE 2/0 "ETHICON" (8685H) 196.047 186.711
52620132 PROLENE 3/0 "ETHICON" (W8684) 226.236 215.463
52620133 PROLENE 4/0 "ETHICON" (W8683) 196.619 187.256
52620134 PROLENE 5/0 "ETHICON" (W8890) 162.918 155.16
52620144 SURGIPRO 1 "USSDG" (CP-535) 192.502 183.335
52620145 SURGIPRO 2/0 "USSDG" (SP-685) 171.712 163.535
52620146 SURGIPRO 3/0 "USSDG" (SP-684) 184.763 175.965
52620147 SURGIPRO 4/0 "USSDG" (SP-683) 194.607 185.34
52620148 SURGIPRO 5/0 "USSDG" (SP-661) 186.779 177.885
52620149 SURGIPRO MESH 15x15cm (SPM-66W) 355.538 355.538
52620150 VICRYL 0 "ETHICON" (W9141) 149.298 142.189
52620151 VICRYL 1 "ETHICON" (J347H) 217.973 207.593
52620152 VICRYL 2/0 "ETHICON" (W9121) 195.048 185.76
52620153 VICRYL 2/0 "ETHICON" (W9522T) 145.409 138.485
52620154 VICRYL 3/0 "ETHICON" (W9120) 195.048 185.76
52620155 VICRYL 3/0 "ETHICON" (W9890) 122.265 116.443
52620156 VICRYL 4/0 "ETHICON" (W9113) 123.938 118.036
52620157 BLACK SILK 3/0 "BBRAUN" 105.034 105.034
52620158 BLACK SILK 4/0 "BBRAUN" 74.651 74.651
52620160 DAFILON BLUE 4/0 "BBRAUN" 123.116 117.253
52620164 PREMILENE BLUE 6/0 "BBRAUN" 238.225 226.881
52620166 SILK 3/0 75CM "VIGILENZ" (S37CD240) 78.416 74.682
52620167 SILK 3/0 75CM "VIGILENZ" (S37RH220) 98.934 94.233
52620168 SILK 2/0 75CM "VIGILENZ" (S27CD240) 71.937 68.511
52620171 SURGICEL ABSORBABLE 5X7CM "ETHICON" (W1913T) 207.284 197.413
52620172 BONEWAX 2.5GR "ETHICON" (W810) 144.758 137.864
52620173 SOFSILK 3-0 GS 832 97.214 92.585
52620174 SOFSILK 2-0 GS-833 104.144 99.185
52620175 SAFIL 1 HR 40s "BBRAUN" (C1048557) 160.791 160.791
52620176 ETHILON 10/0 "ETHICON" (U7003) 339.288 323.131
52620177 SILK BLACK (SILKAM) 4/0 DS 19 "BBRAUN" 78.941 78.941
52620178 SOFSILK 3/0 "SYNETURE" (SS-684) 131.775 125.5
52620179 SOFSILK 4/0 "SYNETURE" (SS-683) 108.213 103.06
52620183 BONE WAX 2.5G "BBRAUN" (102975/4) 99.898 99.898
52620184 LYOSTYPT 5X8CM (106915/2) 286.165 272.538
52620185 NNS SILKAM 3/0 13X60 105.034 105.034
52620186 PREMICRON 2/0 2XHRT 26 "BBRAUN" (C0026446) 268.511 255.725
52620187 PREMICRON 3/0 2XHR 26 "BBRAUN" (C0026815) 218.403 208.003
52620188 PREMICRON 4/0 2XHRT 17 "BBRAUN" (C0026414) 172.926 172.926
52620189 PREMILENE 5/0 2XHRT 17 "BBRAUN" (C009092/5) 292.107 278.197
52620190 PREMILENE 6/0 2XDRC 12 "BBRAUN" (C009055/5) 593.265 565.015
52620191 PREMILENE 7/0 2XDRC 10 "BBRAUN" (C0090545) 364.477 364.477
52620192 PREMILENE 8/0 2XDRM V8 "BBRAUN" (G0095060) 398.998 398.998
52620193 SAFIL 2/0 HRT 37 "BBRAUN" (C1048532) 199.624 190.118
52620194 SAFIL QUICK 4/0 DS 19 'BBRAUN" (C1046420) 153.619 146.304
52620195 SILKAM 0 DS 30 "BBRAUN" (C0076248) 179.878 171.312
52620196 SILKAM 1 HR 35 "BBRAUN" (C0077044/2) 107.231 102.125
52620197 SILKAM 3/0 HR 26 "BBRAUN" (C0076041/2) 126.745 120.709
52620198 STAINLESS STEEL 3/0 HRT 26 "BBRAUN" (C00 836.046 796.234
52620199 STAINLESS STEEL 5 HRS 60 'BBRAUN" (G0617 796.148 758.236
52620200 SOFSILK 0 "SYNETURE" (CS424) 118.449 112.809
52620201 PLAIN GUT 0 "SYNETURE" (8661) 98.425 93.738
52620202 SOFSILK 2-0 "SYNETURE" (SS 685) 133.739 127.37
52620203 BIOSYN 4/0 "SYNETURE" (SM-691) 204.153 194.431
52620204 PLEDJET 3X7MM "SYNETURE" (8677-01) 527.54 502.419
52620206 SURGIPRO 7/0 "SYNETURE" (VP-713X) 332.493 316.66
52620207 TICRON 2/0 "SYNETURE" (3167-51) 224.908 214.198
52620208 SILKAM 3/0 13 X60CM "BBRAUN" (C026385) 148.141 141.086
52620211 SILKAM 1 13X60CM "BBRAUN" (C026389/2) 163.946 156.139
52620212 ETHILOOP 247.676 235.882
52620214 PROLENE 4/0 "ETHICON" (W8521) 278.987 265.702
52620215 NYLON TAPE "ETHICON" (W21301) 70.725 67.357
52620216 MERSILK 2/0 "ETHICON" (W275) 217.508 207.15
52620217 PREMICRON 2/0 6X3 "BBRAUN" (M0027786) 1,847,692 1,759,707
52620218 PREMICRON 2/0 3X3 "BBRAUN" (M0027781) 2,035,394 1,938,470
52620220 SOFSILK 1 "SYNETURE" (CS-425) 114.104 108.67
52620221 MERSILK 2/0 "ETHICON" (W213) 157.349 149.856
52620222 ETHIBON ROUND BODIED NO. 2 "ETHICON" (W4843) 383.184 363.937
52620224 JARUM OTOT "TRITON" (EN RB25) 4.751 4.525
52620226 VICRYL 1/0 "ETHICON" (VCP347H) 185.836 176.987
52620227 SAFIL 3/0 DS 24 "BBRAUN" (C1046235) 162.688 154.941
52620228 SAFIL 4/0 DS 24 "BBRAUN" (C1046234) 164.016 164.016
52620229 VICRYL RAPIDE 2/0 "ETHICON" (W9962) 147.056 140.053
52620230 VICRYL 2/0 "ETHICON" (W9452) 205.519 195.732
52620231 SURGIGUT CHROMIC 4-0 GG121 127.848 121.76
52620232 SOFSILK 0 (SS-678) 128.073 121.974
52620234 BENANG UV SUTURE 10.0 193.527 184.311
52620235 PLAIN GUT 3.0 (GG-322) "SYNETURE" 104.727 99.74
52620236 POLYSORB 5.0 (SL-5687) "SYNETURE" 186.753 177.86
52620237 CATGUT PLAIN 3.0,75 CM "HR-27" (209) 81.162 77.297
52620238 CATGUT PLAIN 2.0, 90 CM "HRG-38" (223N) 81.162 77.297
52620239 CHROMIC 2-0 (CG-811) 130.132 123.935
52620241 ASSUCRYL 1 "HRG 50" (43437H) 167.019 159.066
52620242 MERSILK 4.0 75 CM (W586) "ETHICON" 78.527 74.788
52620243 MERSILK 3.0 75CM (W570) "ETHICON" 90.983 86.65
52620244 COROLONE 4-0 CIRCLE 18MM (20S15F) 217.311 217.311
52620245 COROLONE 3-0 CIRCLE 22MM (20S15C) 207.411 207.411
52620246 COROLONE 3-0 CIRCLE 19MM (20S20H) 183.131 174.411
52620247 COROLONE 2-0 CIRCLE 26MM (20S30B) 183.131 174.411
52620248 FILAPEAU 3/0 (REF 87300) "PETERS" 106.691 101.61
52620249 FILAPEAU 4/0 (REF 87003) "PETERS" 106.691 101.61
52620250 COROLENE 6-0 3/8 TP, (20S07B) 245.501 233.811
52620251 COROLENE 7-0 3/8 TP, (20S05B) 354.267 337.398
52620252 PROLENE MESH 8X15CM (PMII) 1,007,354 959.385
52620253 PLAIN GUT 4.0 (KOREA) 63.842 60.802
52620254 PLAIN GUT 3.0 (CINA) 26.882 25.602
52620255 SURGIPRO II 5-0 (VP-556-X) 231.914 220.87
52620256 SURGIPRO VP-557X 4-0 275.111 262.01
52620257 ACIER-2 (31763) A60107 714.793 680.755
52620260 COROLENE 5/0 CS10H (A60156) 243.553 231.955
52620261 SURGIPRO 6-0 (VP-703X) 308.49 293.8
52620262 TICRON 3-0 (3256-41) 177.377 168.93
52620263 TICRON 3-0 (3167-41) 206.829 196.98
52620264 FLEXON 3-0 (2586-43) 548.598 548.598
52620265 ASSUCRYL 2/0 HRG 50 (43438) 167.019 159.066
52620266 POLYSORB 2-0 CL 923 177.762 169.297
52620267 CATGUT PLAIN 3-0 76 (PROGUT) DOLPHIN 71.076 71.076
52620268 COROLENE 6-0 3/8 TP (20S07D) 337.398 337.398
52620270 CHROMIC GUT 3/0 SG 636 "SYNETURE 108.668 103.494
52620272 CHROMIC GUT 2-0 GG130 148.03 140.981
52620273 CATGUT CHROMIC 3-0 TS 24 (ASSUT SUTURES) 79.908 76.103
52620274 VICRYL 2.0 J602H URG 213.751 203.572
52620275 SURGICAL STAINLESS STEEL 6 M654G "ETHICON" 1,997,958 1,997,958
52620276 CHROMIC 3-0 GG122 "SYNETURE" 125.392 119.421
52620277 SOFSILK 2-0 SS 679 CUTTING "SYNETURE" 136.143 129.66
52620278 PDS 6.0 (W9858T) "ETHICON" 293.874 279.88
52620279 PDS 5.0 (W9098H/Z1013H) 193.8 184.571
52620280 CHROMIC 4-0 UG203 COVIDIEN 130.521 124.306
52620281 NYLON SINUSPOINT 8500 10-0 (SP500) 320.23 304.981
52620282 SURGIPRO 6-0 VP 776X 294.719 280.685
52620283 BENANG MERSILK 2-0 W321H 84.397 84.397
52620284 COROLENE 5-0 (20S10H) 193.105 193.105
52620285 ACIER 6 (31764) 1,219,749 1,161,666
52620286 FILASILK 3.0 (SLK300882) 106.042 106.042
52620288 SURGIPRO 4.0 VP 557X TAPPER 258.09 258.09
52620289 CATGUT CHROMIC 3/0 75 (C37RH260) VIGILENZ 101.451 96.62
52620290 ECOLANE 2.0 (R20RH262) 180.685 172.081
52620292 SILK 2/0 S26-P150 PRE CUT 66.56 66.56
52620294 ECOLANE 4.0 CUTTING (R47CD190) VIGILENZ 147.457 140.435
52620295 ECOSYN 3.0 (Y37CD240) VIGILENZ 172.101 163.906
52620296 T BOND ROUND BODIED 1 75CM 112.778 112.778
52620302 CHROMIC 3/0 75CM ONEMED 7.909 7.533
52620303 POLYSORB 4/0 GL-181 153.329 146.028
52620304 PREMICRON 2/0 2XHRT17 BBRAUN 4,893,722 4,660,687
52620305 PREMILENE 7/0 2X75CM (G0095560) 1,765,496 1,681,425
52620306 BENANG FSSB PGA 8/0 (R) 450.978 429.503
52620307 SILKAM 2/0 HR 26 "BBRAUN" (C0076042/0) 97.645 92.996
52620308 SILKAM 3/0 DS 24 " BBRAUN" (C0076235/0) 90.356 86.054
52620309 PROLENE BLU 60CM 7.0 (W8702) 406.266 406.266
52620310 POLYSORB 1-0 CL 905 195.369 186.066
52620311 POLYSORB 5/0 UL 202 (TAPPER) 165.341 157.468
52720001 KODAK DVB FILM 8X10 INCH ISI 125 37.353 35.574
52720002 KODAK DVB FILM 11X14 INCH ISI 125 69.286 65.987
52720003 KODAK DVB FILM 14X17 INCH ISI 125 101.219 96.399
52720004 Kodak DVB Film 8x10 In Isi 100 37.377 35.597
52720006 Kodak DVB Film 14 x17 in isi 100 101.243 96.422
52740001 IOPAMIRO 370/30ML 403.412 384.202
52740002 IOPAMIRO 370/50ML 550.156 523.958
52740003 IOPAMIRO 370/100ML 1,136,144 1,082,042
52740004 IOMERON 400/100ML 1,036,180 986.838
52740005 Microbar Powder 80.162 80.162
52740006 OMNIPAQUE 300MGI/20ML 160.09 152.467
52740007 OMNIPAQUE 300MGI/50 ML 439.023 418.117
52740008 OMNIPAQUE 350MGI/100 ML 1,026,722 977.83
52740009 OMNISCAN 0.5MMOL/10 ML 658.613 627.25
52740010 VISIPAQUE 320MGI/50ML 826.025 786.69
52740013 IOPAMIRO 300/50ML 469.48 447.124
52740014 IOPAMIRO 300/100 ML 855.71 814.962
52740016 MULTIHANCE 10ML 621.938 592.322
52900012 ENDOTRACHEAL TUBE KK NO. 5.0 "BICAKCILLAR" 76.655 73.005
52900013 ENDOTRACHEAL TUBE KK NO. 4.5 "BICAKCILLAR" 66.786 66.786
52900017 INFUSION SET "STARDEC" 15.064 14.347
52900022 NASAL CANULE ADULT "GEA" 28.083 26.746
52900023 NASAL CANULE PEADIATRIK "GEA" 28.083 26.746
52900030 ENDOTRACHEAL TUBE KK NO. 8.0 "BICAKCILLAR" 66.786 66.786
52900031 ENDOTRACHEAL TUBE KK NO 8.5 "BICAKCILLAR" 66.786 66.786
52900033 ENDOTRACHEAL TUBE NKK NO .3.5 "BICAKCILL 372.748 354.998
52900038 ENDOTRACHEAL TUBE NKK NO.5.5 "BICAKCILLA 408.034 388.604
52900039 ENDOTRACHEAL TUBE NKK NO.6.0 "BICAKCILLA 372.748 354.998
52900054 Bisturi No 17 " Aesculap" AK 4.785 4.785
52900056 Bisturi No 19 " Aesculap" AK 4.785 4.785
52900079 STOMACH TUBE NO. 14 "BICAKCILAR" 36.567 34.826
52900080 STOMACH TUBE NO. 16 "BICAKCILAR" 36.567 34.826
52900081 STOMACH TUBE NO. 18 "BICAKCILAR" 36.567 34.826
52900097 HAND SCOON STERIL NO. 8.0 "SMART CARE" 11.629 11.629
52900565 THORACIC TROCAR 20CH "BICAKCILAR" 368.431 350.887
52900566 THORACIC TROCAR 24CH "BICAKCILAR" 368.431 350.887
52900567 THORACIC TROCAR 28CH "BICAKCILAR" 368.431 350.887
52900568 THORACIC TROCAR NO. 32 "BICAKCILAR" (18432011) 368.431 350.887
52910000 ALKOHOL SWAB REMEDI (BPJS) 1.617 1.54
52910001 BLOOD SET REMEDI (BPJS) 16.959 16.152
52910002 MASKER 3 PLY GREEN COLOR (BPJS) 5.189 4.942
52910010 SYRINGE 1CC ONEMED (BPJS) 3.198 3.046
52910011 SYRINGE 3CC ONEMED (BPJS) 2.468 2.35
52910012 SYRINGE 5CC ONEMED (BPJS) 2.917 2.778
52910013 SYRINGE 10CC ONEMED (BPJS) 4.907 4.673
52910014 URINE BAG REMEDI (BPJS) 15.371 14.639
52910020 UNDERPAD TOP (BPJS) 9.323 8.879
52910021 NACAL CANNULA NEONATES REMEDI (BPJS) 46.968 44.731
52910023 NASAL CANNULA PAEDIATRIK GEA (BPJS) 21.122 20.116
52910024 IV SET THERAPY NO. 18 POLYMED (BPJS) 40.114 38.204
52910025 IV SET THERAPY NO. 20 POLYMED (BPJS) 40.114 38.204
52910026 IV SET THERAPY NO. 22 POLYMED (BPJS) 41.669 39.685
52910027 IV SET THERAPY NO. 24 POLYMED (BPJS) 40.114 38.204
52910029 HANDSCOON STERIL NO. 6 REMEDI (BPJS) 13.067 12.445
52910030 HANDSCOON STERIL NO. 6,5 REMEDI (BPJS) 13.067 12.445
52910031 HANDSCOON STERIL 7.0 REMEDI (BPJS) 13.72 13.067
52910032 HANDSCOON STERIL NO. 7,5 REMEDI (BPJS) 15.125 14.405
52910033 HANDSCOON STERIL NO. 8.0 REMEDI (BPJS) 14.346 13.663
52910038 MASKER NEBULIZER PEADIATRIK (BPJS) 51.13 48.695
52910039 MASKER NON REBREATING ADULT (BPJS) 45.114 42.966
52910040 MASKER NON REBEATING PEADIATRIK (BPJS) 38.766 38.766
52910041 SUCTION CATHETER 8 BICAKCILAR (BPJS) 22.253 21.193
52910042 SUCTION CATHETER 10 BICAKCILAR (BPJS) 20.936 19.939
52910043 SUCTION CATHETER 12 BICAKCILAR 22.253 21.193
52910044 SUCTION CATHETER 14 BICAKCILAR (BPJS) 25.698 24.474
52910045 SUCTION CATHETER 16 BICAKCILAR (BPJS) 22.253 21.193
52910050 BREATHING CIRCUIT LIMBO 72 (BPJS) 272.592 259.611
52910051 CATHETER MOUNT ALTECH AL-17300 (BPJS) 57.873 55.117
52910052 THERMOVENT HEPA AL- 08022 (BPJS) 72.461 69.01
52910053 TRACHEOSTOMY FILTER WITH OXY TUBING AL 60.115 60.115
52910057 ENDOTRACHEAL TUBE KK NO. 6.0 BICAKCILAR (BPJS) 76.655 73.005
52910058 ENDOTRACHEAL TUBE KK NO. 6.5 BICAKCILAR (BPJS) 76.655 73.005
52910059 ENDOTRACHEAL TUBE KK NO. 7.0 BICAKCILAR (BPJS) 76.655 73.005
52910060 ENDOTRACHEAL TUBE KK NO. 7.5 BICAKCILAR (BPJS) 76.655 73.005
52910061 ENDOTRACHEAL TUBE NKK NO. 7.0 BICAKCILAR 291.476 277.596
52910062 ENDOTRACHEAL TUBE NKK NO. 7.5 BICAKCILAR (BPJS) 291.476 277.596
52910067 GUDEL AIRWAY SIZE 3 L100MM SUMI (BPJS) 58.984 56.175
52910068 GUDEL AIRWAY SIZE 4 L100MM SUMI (BPJS) 58.984 56.175
52910074 RECTAL TUBE NO. 20 BICAKCILAR (BPJS) 22.229 21.17
52910075 RECTAL TUBE NO. 22 BICAKCILAR (BPJS) 22.229 21.17
52910078 STOMACT TUBE NO. 14 BICAKCILAR (BPJS) 30.513 29.06
52910079 STOMACT TUBE NO. 16 BICAKCILAR (BPJS) 30.513 29.06
52910080 STOMACT TUBE NO. 18 BICAKCILAR (BPJS) 30.513 29.06
52910081 SYRINGE 20CC ONEMED (BPJS) 8.418 8.018
52910082 SYRINGE 50CC ONEMED (BPJS) 13.077 12.454
52910092 DISP SUCTION BAG GREEN (BPJS) 109.685 104.462
52910093 DISP SUCTION BAG WHITE (BPJS) 108.115 102.967
52910116 UMBILICAL CORD CLAMP (BPJS) 3.15 3
52910128 WOUND DRAIN 400ML M AXIMED (BPJS) 236.413 225.155
52910136 CUTICELL CLASSIC 10X10CM (BPJS) 22.622 22.622
52910147 SYRINGE 50CC WITH CATHTIP ONEMED (BPJS) 18.578 17.693
52910149 AMAZONIA CRONO STENT BMS (BPJS) 9,548,195 9,093,519
52910150 YANGTZE U BALLON (BPJS) 7,469,233 7,113,555
52910151 AMAZONIA PAX STENT DES (BPJS) 16,529,408 15,742,293
52910152 OPTIME 1 18S40G (GDM) 187.587 178.654
52910153 OPTIME 3/0 18S20K (GDM) 135.376 135.376
52910154 CHROMIC 1 C07358 (GDM) 122.318 122.318
52910155 CHROMIC 3/0 C07202 (GDM) 103.685 103.685
52910156 CHROMIC 2/0 C7250 (GDM) 137.567 137.567
52910157 OPTIME 2/0 18S30G (GDS) 144.726 137.869
52910158 OPTIME R 2/0 12S30AL (GDM) 147.531 140.506
52910159 ADVANTIME 3/0 15D20G (GDM) 184.156 184.156
52910160 SILK 2/0 S25339 (GDM) 92.868 88.446
52910161 COROLENE 4/0 20S15K (GDM) 198.582 189.126
52910162 OPTIME 0 18S35G (GDM) 161.472 153.783
52910163 CAESAREAN SET (OB-213) TRITON 240.603 240.603
52910165 FOL CATH 3 WAY 20 REMEDI (BPJS) 71.479 68.075
52910167 IV CATH PORT NO 18 POLYMED (BPJS) 20.93 19.933
52910168 IV CATH PORT NO 20 POLYMED (BPJS) 20.93 19.933
52910169 IV CATH PORT NO 22 POLIMED (BPJS) 20.93 19.933
52910170 IV CATH PORT NO 24 POLYMED (BPJS) 20.93 19.933
52910171 OMNIPAQUE 300/50ML (BPJS) 497.558 473.865
52910173 WASH GLOVE "EASY CARE" (BPJS) 12.366 11.777
52910174 GUDEL AIRWAY SIZE 2 L 90MM (BPJS) 58.984 56.175
52910175 NASAL CANUL ADULT (BPJS) 14.145 13.471
52910177 XLIMUS DES (BPJS) 26,293,080 25,041,029
52910178 THREE WAY STOP COCK POLYMED (BPJS) 28.256 26.911
52910179 THREE WAY STOP COCK TUBING POLIMED (BPJS) 28.237 26.892
52910184 MASKER NEBULIZER ADULT(BPJS) 51.13 48.695
52910186 FOL CATH 2 WAY NO. 16 CHROMA (BPJS) 25.828 24.598
52910187 IV CATH PORT NO.26 POLIMED (BPJS) 25.885 24.652
52910189 FOL CATH 2 WAY NO 14 (BPJS) 25.828 24.598
52910190 FOL CATH 2 WAY NO 18 (BPJS) 25.828 24.598
52910191 PAKET DIAGNOSTIK FEMORAL MM (BPJS) 1,667,876 1,588,453
52910192 PAKET DIAGNOSTIK RADIAL MM (BPJS) 1,667,970 1,588,543
52910193 PAKET PCI FEMORAL 1 BMS 1 BALLON MM (BPJS) 25,091,370 23,896,543
52910194 PAKET PCI RADIAL 1 BMS 1 BALLON MM (BPJS) 23,579,616 22,456,777
52910195 PAKET PCI FEMORAL 1DES 1 BALLON MM (BPJS) 33,647,171 32,044,925
52910196 PAKET PCI RADIAL 1 DES 1 BALLON (BPJS) 33,647,171 32,044,925
52910197 STOMACT TUBE NO. 16 (BPJS) 20.34 19.371
52910198 STOMACT TUBE NO. 14 (BPJS) 23.036 21.939
52910199 ELEKTROSURGICAL PENCIL EVERSHINE (BPJS) 121.816 116.015
52910200 ALPHAMED MONO GROUNDING PAD ADULT W0/ CABLE(BP 110.949 105.666
52910201 MONO GROUNDING PAD ADULT CABLE (BPJS) 249.549 237.666
52910203 SKIN MARKER FINE TIP WITH RULER (BPJS) 98.968 94.255
52910204 SUCTION CATHETER NO. 8 (BPJS) 20.936 19.939
52910205 PRO KINETIC ENERGY CC STENT (BPJS)MM 10,524,071 10,022,925
52910206 LENSA AURO FLEX SPHERIC ALL SIZE (BPJS) 613.374 584.166
52910207 PANTERA CORONARY BALLON CATH (BPJS)MM 6,151,716 5,858,777
52910208 CONCIERGE GUIDING CATH (BPJS)MM 1,739,499 1,656,666
52910209 BASIC INFLATIN SYRINGE (BPJS)MM 1,635,191 1,557,325
52910212 LENSA AUROLENS PMMA ALL SIZE (BPJS) 162.924 155.166
52910216 PARTNER SIROLIMUS STENT SYSTEM (BPJS) 13,168,925 13,168,925
52910217 HOPER PTCA BALLON (BPJS) 5,518,425 5,518,425
52910220 IOPAMIRO 370/100 (BPJS) 581.875 554.167
52910221 HAND CONTROL ELEKTRO PENCIL INTCO (BPJS) 162.924 155.166
52910222 MONOPOLAR WIRELESS PLATE ADULT INTCO (BPJS) 163.425 155.643
52910223 PAKET PCI FEMORAL TANPA WIRE MM(BPJS) 32,151,000 30,620,000
52910224 PAKET PCI RADIAL TANPA WIRE MM(BPJS) 34,610,333 32,962,222
52910225 NASAL CANUL NEONATE (BPJS) 23.402 22.288
52910226 APRON FILM (BPJS) 3.455 3.455
52910227 PAKET DIAGNOSTIK FEMORAL BPJS (REKA) 2,228,284 2,122,175
52910228 PAKET DIAGNOSTIK RADIAL BPJS (REKA) 2,735,687 2,605,416
52910229 PAKET PCI FEMORAL DES BPJS (REKA) 27,926,458 26,596,627
52910230 PAKET PCI RADIAL DES BPJS (REKA) 28,231,261 26,886,915
52910231 PAKET PCI FEMORAL BMS BPJS (REKA) 24,859,712 23,675,916
52910232 PAKET PCI RADIAL BMS BPJS (REKA) 20,823,715 20,823,715
52910233 STENT BIOMATRIX "BIOSENSOR" (BPJS) 21,034,571 20,032,925
52910235 ADMIRAL EXTREME BALLON (BPJS) 5,031,249 4,791,666
52910237 PTCA STENT BMS (BPJS) 10,401,999 9,906,666
52910238 PANTERA LEO NC (BPJS) 5,711,766 5,439,777
52910244 PAKET PCI FEMORAL BMS TANPA WIRE (BPJS) 25,994,499 24,756,666
52910245 MONOPOLAR PLATE WITH CABLE (BPJS) 156.216 148.777
52910246 XOLMETRAS 350/100 ML (BPJS) 794.595 756.757
52910249 PAKET AMAZONIA SIR+YANGTZE U (BPJS) 15,012,611 14,309,153
52910253 XOLMETROS 300/50 ML (BPJS) 414.566 394.825
52910254 PAKET DIAGNOSTIK RADIAL BISAWI (BPJS) 1,657,716 1,578,777
52910255 PAKET DIAGNOSTIK FEMORAL BISAWI (BPJS) 1,445,751 1,445,751
52910257 FOL CATH 2 WAY NO 8 CHROMA (BPJS) 68.824 65.546
52910258 ACROSS CTO 3,948,043 3,948,043
52910261 LUMBAL CORSET (OXY SPINE) BPJS 500.762 476.916
52910264 WASH GLOVE PRO PRODEVICE 9.539 9.539
52910265 BALLON MOZEC (BPJS) TAM 3,426,699 3,263,523
52910266 PAKET TINDAKAN PCI DES BIOMIME (BPJS) TAM 13,866,999 13,206,666
52910267 PAKET TINDAKAN PCI BMS NEXGEN (BPJS) TAM 10,735,648 10,735,648
52910269 ETT NO. 6.5 CANACK (BPJS) 46.08 46.08
52910274 EXTENTION TUBE 150CM (BPJS) 17.423 17.423
52910275 WOUND DRAIN 200ML NO 10 (BPJS) 187.81 178.867
52910282 PAKET PCI BMS ARCHITECT (BPJS) 10,409,361 10,409,361
52910284 OCTENIC BODY WASH (B4) 9.45 9
52910294 BALLON CATHETER EUCA VI 4,514,329 4,299,361
52910297 ENDOTRACHEAL TUBE NKK 4.0 BICAKCILAR (BPJS) 252.885 240.843
52910305 STENT BIOMATRIX ALPHA DES (BPJS) 9,015,339 8,586,037
52910308 HANDSCOON STERIL PD GLOVES NO.7 12.139 11.561
52910309 HANDSCOON STERIL PD GLOVES NO. 7.5 12.139 11.561
52910310 HANDSCOON STERIL PD GLOVES NO. 6.5 12.139 11.561
52910311 DOUBLE LUMEN POLINDROM VK 14,5X19CM 5,229,934 5,229,934
52910312 UNIVERSAL DRAPE TARAFIS (BPJS) 855.437 814.702
52910313 HD CATH CURVE SORTTERM MEDICATH KITS 1,057,389 1,007,037
52910314 DOUBLE LUMEN POLINDROM UL 14.5F X 33CM 5,490,397 5,228,950
52910315 DOUBLE LUMEN POLINDROME UK 14.5F X28CM 5,487,940 5,226,610
52910316 PENCIL CUTTER CARELUCK 81.414 77.537
52910317 PENCIL HARUM PEN (XY-P401-2) 75.392 71.802
52910318 EXPERIENCE BALLON " IVASCULAR" (BPJS) 2,258,589 2,151,037
52910319 ENVIROS DES STENT "IVASCULAR" (BPJS) 8,264,589 7,871,037
52910320 ELEKTROSURGERY PENCIL HEMIPEN 67.884 64.652
52910321 PAKET INDEFLATOR BBRAUN 1,473,714 1,403,537
52910322 PAKET CAG (DIAGNOSTIK) FEMORAL "MERIT" 1,492,824 1,421,737
52910323 PAKET CAG (DIAGNOSTIK) RADIAL "MERIT" 1,492,824 1,421,737
52910325 BALLON "POWERLINE" (BPJS) 3,009,339 2,866,037
52910326 STENT GENOSS DES "GENOSS" 11,567,889 11,017,037
52910327 BALLON GENOSS/ GENOSS NC "GENOSS" 2,483,814 2,365,537
52910328 PAKET PCI COROFLEX DES (BPJS) 11,335,839 10,796,037
52910329 STENT COROFLEX ALL SIZE (BPJS) 9,561,339 9,106,037
52910330 BALLON SEQUENT NEO ALL SIZE (BPJS) 3,009,339 2,866,037
32.45 7/1/2018
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407 7/1/2018
1.725 7/1/2018
25.3 7/1/2018
2,632,795 7/1/2018
1,410,750 7/1/2018
77 7/1/2018
406 4/26/2017
263.501 7/1/2018
159.5 7/1/2018
54.45 7/1/2018
2,033,625 7/1/2018
75
316.25 7/1/2018
342 7/1/2018
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297 7/1/2018
1,052,700 7/1/2018
2.162 7/1/2018
55 7/1/2018
27.5 7/1/2018
27.5 4/12/2017
79.75 6/7/2018
6.953 9/16/2019
8.111 9/16/2019
5.583 1/8/2020
29.7 7/1/2018
59.994 5/4/2020
19.397 7/1/2018
6.435 7/1/2018
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18.513 7/1/2018
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66 7/1/2018
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32.12 7/1/2018
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46.365 7/1/2018
544.282 7/1/2018
357.5 7/1/2018
29.518 3/1/2014
18.513 7/1/2018
357.5 7/1/2018
70 7/1/2018
18.513 7/1/2018
16.83 7/1/2018
21.78 4/26/2017
3.113 7/1/2018
5.72 7/1/2018
2.882 7/1/2018
3.553 7/1/2018
246.4 7/1/2018
89.874 1/2/2015
52.25 7/1/2018
86.515 7/1/2018
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179.74 7/1/2018
188.727 7/1/2018
31.35 5/12/2016
22.688 7/1/2018
82.5 7/1/2018
329.677 7/1/2018
329.677 7/1/2018
346.16 7/1/2018
346.16 7/1/2018
453.75 7/1/2018
453.75 7/1/2018
18.513 7/1/2018
18.513 7/1/2018
18.513 7/1/2018
21.78 7/1/2018
33 4/26/2017
86.233 1/2/2015
86.233 1/2/2015
8.219 7/1/2018
570.2 7/1/2018
65.919 7/1/2018
292.6 7/1/2018
2.486 3/5/2019
453.2 7/1/2018
16.83 7/1/2018
240.24 9/28/2018
76.45 7/1/2018
825 7/1/2018
13.2 7/1/2018
7.15 7/1/2018
96.8 7/1/2018
7.15 7/1/2018
7.15 7/1/2018
577.5 7/1/2018
533.5 7/1/2018
8.47 7/1/2018
77 7/1/2018
24.42 7/1/2018
77 7/1/2018
404.924 2/26/2020
212.214 7/1/2018
12.1 7/1/2018
12.1 7/1/2018
21.78 4/26/2017
577.5 7/1/2018
577.5 7/1/2018
28.6 7/1/2018
583 11/13/2018
800 4/17/2020
36.608 3/30/2020
5.5 4/17/2020
3.3 7/1/2018
2.662 7/1/2018
1.796 7/1/2018
9.166 7/1/2018
1,197,900 7/1/2018
2,643,300 7/1/2018
126.5 4/26/2017
16.5 7/1/2018
38.001 7/1/2018
2,454,100 4/26/2017
1.463 7/1/2018
120 4/17/2020
104.614 1/2/2015
55 7/1/2018
77 7/1/2018
1,425,600 4/26/2017
1,319,674 1/2/2015
1,437,480 7/1/2018
1,319,674 1/2/2015
1,425,600 4/26/2017
1,782,000 4/26/2017
1,633,500 7/1/2018
1,633,500 4/26/2017
1,436,600 7/1/2018
1,730,300 7/1/2018
1,573,000 7/1/2018
508.2 4/26/2017
479.16 7/1/2018
26,620,000 7/1/2018
26,620,000 7/1/2018
12,795,750 7/1/2018
14,217,500 7/1/2018
12,925,000 7/1/2018
5,445,000 4/26/2017
5,989,500 7/1/2018
5,989,500 7/1/2018
5,457,874 1/2/2015
325.586 1/2/2015
473 7/1/2018
572.862 1/2/2015
444.505 1/2/2015
19,250,000 7/1/2018
2,250,600 7/1/2018
1,980,000 7/1/2018
7,162,874 1/2/2015
8,262,874 1/2/2015
13,068,000 7/1/2018
22,869,000 7/1/2018
9,350,000 7/1/2018
27,500,000 7/1/2018
5,500,000 7/1/2018
5,445,000 7/1/2018
6,600,000 7/1/2018
6,600,000 7/1/2018
151.25 7/1/2018
1,650,000 7/1/2018
1,650,000 4/26/2017
2,200,000 7/1/2018
2,200,000 7/1/2018
3,025,000 7/1/2018
5,500,000 7/1/2018
4,400,000 7/1/2018
1,650,000 7/1/2018
2,178,000 7/1/2018
9,350,000 7/1/2018
561 3/19/2020
181.5 4/26/2017
161.869 1/2/2015
71.5 10/30/2019
51.374 1/2/2015
297 10/30/2019
385 7/1/2018
121 7/1/2018
55 7/1/2018
55 7/1/2018
1,320,000 7/1/2018
4,400,000 7/1/2018
330 10/30/2019
209 10/30/2019
385 7/1/2018
1,485,000 7/1/2018
4,400,000 7/1/2018
4,537,500 4/26/2017
8,580,000 7/1/2018
12,584,000 7/1/2018
22,136,400 7/1/2018
181.5 4/26/2017
22,000,000 7/1/2018
440 10/30/2019
59.4 7/1/2018
1,188,000 7/1/2018
1,188,000 7/1/2018
11,000,000 7/1/2018
4,950,000 7/1/2018
2,750,000 1/11/2019
2,970,000 11/25/2019
1,772,650 7/1/2018
5,500,000 7/1/2018
220 7/1/2018
496.1 7/1/2018
220 7/1/2018
154 7/1/2018
1,650,000 7/1/2018
1,650,000 7/1/2018
1,650,000 7/1/2018
6,600,000 7/1/2018
11,797,500 7/1/2018
4,400,000 7/1/2018
31,460,000 7/1/2018
7,150,000 7/1/2018
5,500,000 7/1/2018
5,512,874 1/2/2015
1,320,000 7/1/2018
1,100,000 7/1/2018
19,239,000 7/1/2018
25,300,000 7/1/2018
297 10/30/2019
264 7/1/2018
467.5 7/1/2018
385 7/1/2018
502.15 7/1/2018
25,300,000 7/1/2018
9,900,000 4/26/2017
5,500,000 7/1/2018
6,050,000 7/1/2018
8,000,000 4/26/2017
3,862,874 1/2/2015
434.5 7/1/2018
434.5 7/1/2018
1,485,000 7/1/2018
1,550,674 1/2/2015
1,014,424 1/2/2015
1,485,000 7/1/2018
22,011,956 1/2/2015
8,811,956 1/2/2015
8,250,000 7/15/2014
5,280,000 7/1/2018
17,600,000 7/15/2014
1,650,000 7/15/2014
418 7/1/2018
440 7/1/2018
8,470,000 3/12/2015
11,275,000 7/1/2018
19,800,000 7/1/2018
277.2 8/6/2018
14,850,000 8/28/2019
1,760,000 10/30/2019
2,970,000 11/15/2019
14,850,000 1/6/2020
16,275,000 1/6/2020
3,895,000 1/6/2020
4,550,000 1/6/2020
10,500,000 1/8/2020
3,025,000 2/6/2020
231 5/20/2020
231 5/20/2020
13,000,000 3/3/2020
0 3/31/2020
0 3/31/2020
1,671,736 7/1/2018
1,766,237 7/1/2018
2,695,275 7/1/2018
1,270,500 7/1/2018
1,892,029 7/1/2018
406.56 7/1/2018
384.766 7/1/2018
28.327 7/1/2018
42.02 1/9/2020
54.086 2/13/2020
8.278 7/1/2018
584 7/1/2018
1.26 7/1/2018
0 7/2/2013
25.827 7/1/2018
12.705 7/1/2018
41.8 7/1/2018
25.599 1/9/2020
31.002 2/13/2020
44.132 1/9/2020
7.322 7/1/2018
44.468 1/17/2019
23.1 7/1/2018
26.565 4/28/2020
51.653 7/1/2018
10.89 7/1/2018
307.7 7/1/2018
18.7 7/1/2018
57.2 7/1/2018
41.326 1/2/2015
86.522 7/1/2018
22.114 1/2/2015
97.625 7/1/2018
2.706 7/1/2018
1.067 7/1/2018
577.5 4/24/2019
19.866 3/5/2019
580.8 7/1/2018
459.8 7/1/2018
1,124,922 7/1/2018
346.5 4/24/2019
473 7/1/2018
632.5 7/1/2018
946 7/1/2018
1,210,000 7/1/2018
17.325 1/17/2019
24.805 7/1/2018
63.694 1/9/2020
76.85 1/9/2020
100.874 1/9/2020
42.816 1/9/2020
60.5 7/1/2018
1,768,800 7/1/2018
56.232 1/2/2015
2,778,600 7/1/2018
2,558,600 7/1/2018
679.8 7/1/2018
25.981 7/1/2018
102.336 4/28/2020
71.843 7/1/2018
36.524 1/2/2015
48.624 1/2/2015
60.174 1/2/2015
246 7/1/2018
211.754 2/13/2020
67.564 1/9/2020
806.96 7/1/2018
181.06 1/17/2019
99 7/1/2018
46.2 7/1/2018
40.374 1/2/2015
225.5 7/1/2018
110 7/1/2018
60.5 7/1/2018
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110 7/1/2018
110 7/1/2018
187 7/1/2018
82.5 7/1/2018
104.5 7/1/2018
550 7/1/2018
330 7/1/2018
110 7/1/2018
99 7/1/2018
660 7/1/2018
203.5 7/1/2018
2.024 7/1/2018
104.28 4/13/2018
101.75 4/24/2019
77 7/1/2018
278.3 5/13/2020
181.17 7/1/2018
171.875 7/1/2018
171.875 7/1/2018
2,212,874 1/2/2015
66 7/1/2018
243.1 4/28/2020
51.944 1/9/2020
75.092 7/1/2018
359.04 7/1/2018
168.937 1/2/2015
87.784 1/2/2015
77.299 1/2/2015
227.234 7/1/2018
91.567 7/1/2018
77 1/17/2019
29.416 7/1/2018
127.373 1/9/2020
275 7/1/2018
220 7/1/2018
33 7/1/2018
5.225 7/1/2018
10.45 7/1/2018
49.5 7/1/2018
11 7/1/2018
82.5 7/1/2018
302.5 7/1/2018
224.532 7/1/2018
53.24 7/1/2018
204.82 9/12/2017
68.31 9/12/2017
3.086 1/11/2018
1,056,000 1/17/2019
462 1/17/2019
4.95 2/11/2019
1,335,400 2/7/2019
14.3 6/24/2019
23.98 6/24/2019
35.75 10/7/2019
897.82 11/12/2019
1,037,960 11/12/2019
13.75 3/19/2020
0 3/30/2020
650 3/24/2020
108.13 3/31/2020
15 3/26/2020
180 3/28/2020
90.2 7/1/2018
90.2 7/1/2018
123.916 7/1/2018
3.74 7/1/2018
3 7/1/2018
3.74 7/1/2018
3 7/1/2018
2.242 7/1/2018
9.483 7/1/2018
8.47 7/1/2018
1,322,200 5/31/2019
102.666 7/1/2018
132 7/1/2018
21.23 7/1/2018
5,720,000 7/1/2018
847 7/1/2018
863.5 7/1/2018
2,750,000 8/29/2019
146.667 4/25/2019
100.98 7/1/2018
645.48 4/26/2017
2,630,000 7/1/2018
60.5 4/24/2019
49.5 7/1/2018
836 4/24/2019
935 7/1/2018
970.2 7/1/2018
1,650,000 4/24/2019
55 7/1/2018
12.1 7/1/2018
576.4 7/1/2018
1,100,000 4/24/2019
671.774 1/2/2015
1,144,000 7/1/2018
990 4/24/2019
2,475,000 7/1/2018
715 7/1/2018
726 7/1/2018
43,126,222 7/1/2018
1,761,874 1/2/2015
935 7/1/2018
23.874 1/2/2015
99 7/1/2018
62.374 1/2/2015
748 7/1/2018
10,450,000 8/26/2019
1,078,000 5/27/2019
837.874 1/2/2015
2,200,000 4/24/2019
275 7/1/2018
137.5 7/1/2018
14,305,500 7/1/2018
14,305,500 7/1/2018
715.77 7/1/2018
753.28 7/1/2018
17,303,000 7/1/2018
25,300,000 7/1/2018
328.374 1/2/2015
544.5 7/1/2018
544.5 7/1/2018
19,800,000 4/24/2019
1,980,000 8/28/2019
935 10/16/2019
660 1/20/2020
6,600,000 3/24/2020
1,416,800 7/1/2018
9,900,000 4/24/2019
1,540,000 7/1/2018
1,144,000 7/1/2018
1,100,000 7/1/2018
814 7/1/2018
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792 7/1/2018
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319 7/1/2018
319 7/1/2018
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3,894,000 7/1/2018
7,392,000 7/1/2018
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793.874 1/2/2015
2,916,874 1/2/2015
715 7/1/2018
1,694,000 4/26/2017
8,613,000 7/1/2018
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8,613,000 7/1/2018
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1,100,000 7/1/2018
22,000,000 7/1/2018
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913 7/1/2018
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869 7/1/2018
1,298,000 7/1/2018
5,346,000 7/1/2018
2,161,500 7/1/2018
2,174,374 1/2/2015
710.575 7/1/2018
22,078,874 4/28/2015
425.374 1/2/2015
23,012,874 4/28/2015
13,012,874 1/2/2015
8,012,874 4/28/2015
4,954,950 7/1/2018
15,012,874 1/2/2015
2,025,700 12/16/2019
176 7/1/2018
176 7/1/2018
165 7/1/2018
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22,295,625 7/1/2018
22,295,625 7/1/2018
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308 7/1/2018
264 7/1/2018
286 7/1/2018
364.21 7/1/2018
1,375,000 7/1/2018
1,375,000 7/1/2018
907.5 7/1/2018
3,025,000 7/1/2018
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30,250,000 7/1/2018
15,125,000 7/1/2018
907.5 7/1/2018
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55 7/1/2018
23,662,874 4/28/2015
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308 7/1/2018
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1,485,000 7/1/2018
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5,698,000 7/1/2018
17,315,874 1/2/2015
23,650,000 7/1/2018
11,000,000 7/1/2018
330 7/1/2018
458.374 1/2/2015
726 10/30/2019
359.374 1/2/2015
1,881,000 7/1/2018
19,262,874 1/2/2015
892.874 1/2/2015
261.25 7/1/2018
198 4/27/2015
150.374 1/2/2015
110 7/1/2018
203.5 7/1/2018
62.374 1/2/2015
313.5 7/1/2018
106.7 7/1/2018
115.5 7/1/2018
617.874 1/2/2015
617.874 1/2/2015
811.8 4/26/2017
667.374 1/2/2015
667.374 1/2/2015
122.874 1/2/2015
165 4/24/2019
165 4/24/2019
165 4/24/2019
733.374 1/2/2015
882.974 1/2/2015
11,000,000 7/1/2018
415.8 7/1/2018
4,400,000 4/26/2017
4,137,874 1/2/2015
1,796,850 7/1/2018
1,796,850 7/1/2018
1,796,850 7/1/2018
99 7/1/2018
22,000,000 7/1/2018
7,150,000 7/1/2018
16,500,000 7/1/2018
6,512,874 1/2/2015
7,512,874 1/2/2015
522.5 7/1/2018
1,270,500 7/1/2018
1,367,300 7/1/2018
94.456 1/2/2015
7,321,710 7/1/2018
6,667,100 7/1/2018
5,720,000 7/1/2018
1,622,500 7/1/2018
1,573,000 7/1/2018
24,270,400 7/1/2018
24,419,450 7/1/2018
13,832,730 1/20/2015
13,870,350 1/20/2015
21,780,000 4/26/2017
9,900,000 7/1/2018
1,485,000 7/6/2015
2,750,000 7/1/2018
1,650,000 7/1/2018
1,925,000 7/1/2018
830.5 7/1/2018
14,300,000 7/1/2018
1,650,000 10/22/2018
2,970,000 1/30/2019
2,970,000 1/30/2019
495 11/23/2019
4,400,000 12/19/2019
227.7 7/1/2018
227.7 7/1/2018
1.719 7/1/2018
217.485 7/1/2018
33 4/28/2020
269.5 7/1/2018
275 7/1/2018
159.72 7/1/2018
67.65 7/1/2018
137.5 7/1/2018
1.32 7/1/2018
69.19 7/1/2018
73.37 3/5/2019
5.61 7/1/2018
356.345 7/1/2018
292.203 7/1/2018
278.513 1/2/2015
292.203 7/1/2018
379.601 7/1/2018
379.601 7/1/2018
292.203 7/1/2018
81.04 4/26/2017
81.04 4/26/2017
86.547 1/2/2015
86.547 1/2/2015
86.547 1/2/2015
81.04 7/1/2018
52.25 7/1/2018
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52.25 7/1/2018
52.25 7/1/2018
61.81 7/1/2018
68.317 7/1/2018
68.05 7/1/2018
82.5 7/1/2018
89.748 7/1/2018
64.625 7/1/2018
104.5 9/13/2018
104.5 9/12/2018
97.9 7/1/2018
104.5 7/1/2018
104.5 7/1/2018
104.5 7/1/2018
93.5 7/1/2018
100.251 7/1/2018
1.32 7/1/2018
1.1 2/13/2020
1.32 7/1/2018
1.1 2/13/2020
1.32 7/1/2018
17.6 7/1/2018
11.22 7/1/2018
11.22 7/1/2018
22 2/13/2020
95.7 8/26/2019
19.791 1/2/2015
2.42 12/12/2019
2.09 7/1/2018
6.38 7/1/2018
16.5 7/1/2018
18.92 7/1/2018
1.65 7/1/2018
36.96 4/24/2019
41.8 7/1/2018
29.04 7/1/2018
151.8 7/1/2018
12.65 7/1/2018
3,252,374 1/2/2015
440 7/1/2018
908 7/1/2018
52.8 7/1/2018
4.4 7/1/2018
12.874 1/2/2015
12.874 1/2/2015
12.874 1/2/2015
18.874 1/2/2015
12.441 1/2/2015
12.874 1/2/2015
10.507 1/2/2015
33 7/1/2018
104.5 7/1/2018
187 7/1/2018
3.421 7/1/2018
471.9 7/1/2018
495 7/1/2018
63.8 1/17/2019
121 1/17/2019
170.5 1/17/2019
5.095 7/1/2018
454 7/1/2018
81.4 7/1/2018
23.1 7/1/2018
23.1 7/1/2018
148.5 4/26/2017
40.374 1/2/2015
545.824 1/2/2015
545.824 1/2/2015
589.714 1/2/2015
589.714 1/2/2015
589.714 1/2/2015
589.714 1/2/2015
64.35 7/1/2018
7.15 7/1/2018
30.584 1/2/2015
11.924 7/1/2018
284.398 1/2/2015
7.59 7/1/2018
23.65 7/1/2018
502.838 7/1/2018
9.9 7/1/2018
19.8 7/1/2018
2.75 7/1/2018
227.7 7/1/2018
15.074 1/2/2015
163.9 7/1/2018
153.9 7/1/2018
154 7/1/2018
154 7/1/2018
154 7/1/2018
12.1 8/6/2018
1.133 7/1/2018
495 7/1/2018
935 3/31/2020
104.573 1/2/2015
192.5 7/1/2018
192.5 7/1/2018
192.5 7/1/2018
278 3/2/2018
264 4/26/2017
148.5 10/30/2019
3.85 7/1/2018
29.591 1/17/2019
25.874 1/9/2020
24.2 7/1/2018
11 7/1/2018
33.66 7/1/2018
74.36 7/1/2018
435.6 4/26/2017
21.175 7/1/2018
16.5 7/1/2018
1.067 7/1/2018
6,306,300 7/1/2018
590.7 7/1/2018
640.75 7/1/2018
55 7/1/2018
4.95 7/1/2018
1,287,000 4/26/2017
29.7 4/24/2019
440.22 7/1/2018
757.354 1/2/2015
11.22 7/1/2018
46.75 7/1/2018
401.83 7/1/2018
401.83 7/1/2018
14.3 7/1/2018
17.6 7/1/2018
18.7 7/1/2018
130 4/22/2020
2.332 7/1/2018
2.701 4/16/2020
2.332 7/1/2018
2.332 7/1/2018
362.89 7/1/2018
192.5 7/1/2018
105.271 7/1/2018
104.941 7/1/2018
211.75 8/19/2016
211.75 4/26/2017
654.5 4/26/2017
654.5 8/19/2016
654.5 4/26/2017
654.5 8/19/2016
1,155,000 7/1/2018
33,000,000 12/21/2016
355.52 12/19/2019
84.7 5/14/2018
19.36 7/1/2018
200.75 1/19/2018
23.1 4/13/2018
781 10/2/2018
0 2/8/2019
29.7 5/18/2020
1,006,500 5/2/2019
0 5/2/2019
413.71 8/27/2019
13.2 7/8/2019
33 8/23/2019
577.5 9/6/2019
577.5 9/6/2019
577.5 9/6/2019
638 10/16/2019
1,650,000 9/12/2019
30 11/11/2019
577.5 12/12/2019
693 12/3/2019
198 2/7/2020
42.24 3/19/2020
690 3/19/2020
1.346 4/21/2020
32.229 4/27/2020
863.5 5/11/2020
0 5/15/2020
0 5/15/2020
1.98 7/1/2018
1.98 7/1/2018
1.98 7/1/2018
1.98 7/1/2018
1.98 7/1/2018
1.98 7/1/2018
1.98 7/1/2018
1.98 7/1/2018
5.83 7/1/2018
7.04 7/1/2018
8.03 7/1/2018
10.12 7/1/2018
5.06 7/1/2018
6.16 7/1/2018
23.32 7/1/2018
44 7/1/2018
12.32 7/1/2018
12.32 7/1/2018
12.32 7/1/2018
20.35 7/1/2018
44 7/1/2018
44 7/1/2018
44 7/1/2018
44 7/1/2018
17.303 7/1/2018
25.96 7/1/2018
25.96 7/1/2018
35.2 7/1/2018
148.5 7/1/2018
148.5 7/1/2018
327.642 7/1/2018
30.307 1/2/2015
1.98 7/1/2018
42.299 1/2/2015
33.296 1/2/2015
44.189 1/2/2015
10.89 7/1/2018
26.787 1/2/2015
58.19 7/1/2018
50.6 7/1/2018
86.9 7/1/2018
93.5 7/1/2018
60.5 10/7/2019
134.2 7/1/2018
10.89 7/1/2018
269.5 7/1/2018
11.66 4/16/2020
129.8 7/1/2018
253 3/24/2015
141.756 2/25/2016
19 4/26/2017
26.18 12/4/2018
201.3 8/16/2019
83.27 8/16/2019
100.65 8/16/2019
95.15 8/16/2019
11.66 8/16/2019
90.2 10/21/2019
114.95 4/26/2017
159.72 7/1/2018
281.507 7/1/2018
687.5 7/1/2018
137.94 7/1/2018
302.5 7/1/2018
12.874 1/2/2015
550 7/1/2018
0 7/1/2018
369.05 7/1/2018
20.9 7/1/2018
534.82 7/1/2018
605 7/1/2018
308.774 1/2/2015
830.06 7/1/2018
97.9 7/1/2018
287.1 7/1/2018
275 7/1/2018
319 7/1/2018
715 7/1/2018
385 7/1/2018
27.5 11/18/2016
1,650,000 12/8/2017
583 9/6/2019
115.5 9/20/2019
2,359,500 1/21/2020
1,771,956 1/2/2015
71.583 3/12/2013
79.65 1/2/2015
137.5 7/1/2018
59.772 7/1/2018
62.92 7/1/2018
57.75 7/1/2018
103.675 12/30/2019
59.772 7/1/2018
64.9 7/1/2018
56.1 7/1/2018
56.1 7/1/2018
51.296 7/1/2018
102.465 7/1/2018
104.5 7/1/2018
100.1 7/1/2018
86.9 7/1/2018
99 7/1/2018
107.8 7/1/2018
136.4 7/1/2018
119.35 7/1/2018
109.706 7/1/2018
126.317 4/24/2019
109.78 7/1/2018
88.366 7/1/2018
122.1 7/1/2018
108.9 7/1/2018
99 7/1/2018
108.9 7/1/2018
93.5 7/1/2018
253.956 1/2/2015
83.27 7/1/2018
121.99 7/1/2018
108.9 7/1/2018
81.277 7/1/2018
108.9 7/1/2018
77.259 7/1/2018
78.32 7/1/2018
75.024 1/2/2015
57.424 1/2/2015
68.849 7/1/2018
68.849 7/1/2018
43.56 7/1/2018
55.055 7/1/2018
39.93 7/1/2018
115.94 7/1/2018
104.5 4/24/2019
61.6 7/1/2018
66 7/1/2018
107.194 1/2/2015
215.05 7/1/2018
60.724 1/2/2015
73.7 7/1/2018
60.5 7/1/2018
59.4 4/26/2017
206.8 11/13/2018
75.024 1/2/2015
193.875 4/24/2019
193.875 4/24/2019
115.284 1/2/2015
208.67 4/24/2019
302.907 4/24/2019
227.798 1/2/2015
249.374 1/2/2015
130.769 4/24/2019
85.58 7/1/2018
110.594 4/24/2019
59.95 7/1/2018
78.771 4/24/2019
468.246 4/24/2019
468.246 4/24/2019
63.8 7/1/2018
55 7/1/2018
74.8 7/1/2018
129.25 7/1/2018
294.8 7/1/2018
185.9 7/1/2018
121 7/1/2018
82.5 4/24/2019
89.1 4/24/2019
138.631 7/1/2018
155.925 7/1/2018
39.251 7/1/2018
121.483 7/1/2018
1,030,678 7/1/2018
936.98 7/1/2018
63.8 7/1/2018
87.78 7/1/2018
214.299 7/1/2018
2.291 7/1/2018
103.986 7/1/2018
82.014 7/1/2018
109.344 1/2/2015
82.014 7/1/2018
114.766 7/1/2018
71.5 7/1/2018
66 7/1/2018
99 7/1/2018
58.3 7/1/2018
104.5 7/1/2018
46.585 7/1/2018
46.585 7/1/2018
82.5 7/1/2018
93.17 7/1/2018
43.623 7/1/2018
50.6 7/1/2018
144.874 1/2/2015
138.274 1/2/2015
99 7/1/2018
99 7/1/2018
59.4 7/1/2018
59.4 7/1/2018
143 7/1/2018
204.6 7/1/2018
559.9 7/1/2018
30.8 7/1/2018
8.8 7/1/2018
129.8 7/1/2018
154 7/1/2018
396 7/1/2018
132 7/1/2018
172.7 7/1/2018
99 7/1/2018
115.5 7/1/2018
330 4/26/2017
93.17 7/1/2018
99 7/1/2018
41.8 4/26/2017
210.874 1/2/2015
61.05 7/1/2018
93.5 7/1/2018
51.244 7/1/2018
119.625 7/1/2018
1,248,724 1/2/2015
78.1 7/1/2018
75.9 4/1/2019
164.45 7/1/2018
108.386 7/1/2018
82.5 7/1/2018
202.95 7/1/2018
187 7/1/2018
64.55 7/13/2015
138.6 8/31/2015
770 7/1/2018
80.651 12/5/2016
198 3/8/2017
73.7 7/1/2018
132 7/1/2018
50.6 12/28/2017
93.5 7/1/2018
108.9 7/1/2018
86.152 1/8/2018
5.601 11/13/2018
112.2 1/25/2019
3,580,500 4/24/2019
1,288,760 4/24/2019
330 5/24/2019
71.148 7/12/2019
66.066 7/19/2019
312.125 10/16/2019
143 11/7/2019
121 2/7/2020
22.176 7/1/2018
41.184 7/1/2018
60.192 7/1/2018
22.176 7/1/2018
60.192 7/1/2018
232.925 7/1/2018
314.6 7/1/2018
669.075 7/1/2018
603.9 7/1/2018
42.9 4/26/2017
101.2 7/1/2018
278.3 7/1/2018
574.75 7/1/2018
621.259 7/5/2019
484 7/1/2018
262.57 7/1/2018
502.15 7/1/2018
363 7/1/2018
38.5 7/1/2018
51.374 1/2/2015
7.81 7/1/2018
5.5 7/1/2018
5.5 7/1/2018
51.374 1/2/2015
51.374 1/2/2015
180.62 7/1/2018
180.62 7/1/2018
180.62 7/1/2018
2.991 1/2/2015
2.991 1/2/2015
12.65 7/1/2018
12.65 7/1/2018
12.65 7/1/2018
6.111 4/26/2017
201.96 7/1/2018
201.96 7/1/2018
201.96 7/1/2018
201.96 7/1/2018
220 4/17/2020
12.672 9/23/2019
3.601 4/16/2020
781 4/17/2020
770 7/1/2018
825 4/17/2020
1.21 4/17/2020
4.95 7/1/2018
3.245 7/1/2018
24.75 7/1/2018
7.7 7/1/2018
19.877 7/1/2018
16.625 7/1/2018
16.625 7/1/2018
19.877 7/1/2018
6.138 7/1/2018
5.5 7/1/2018
5.5 7/1/2018
5.5 7/1/2018
9.02 7/1/2018
24.2 7/1/2018
24.2 7/1/2018
35.242 1/2/2015
6.71 7/1/2018
6.05 7/1/2018
6.71 7/1/2018
6.71 7/1/2018
6.71 7/1/2018
192.5 7/1/2018
36.3 7/1/2018
40.15 7/1/2018
46.242 1/2/2015
38.5 7/1/2018
38.5 7/1/2018
38.5 7/1/2018
38.5 7/1/2018
180.62 7/1/2018
180.62 7/1/2018
28.6 7/1/2018
28.6 7/1/2018
7.7 7/1/2018
7.7 7/1/2018
12.65 7/1/2018
12.65 7/1/2018
12.65 7/1/2018
1.892 12/5/2018
4.62 7/1/2018
69.19 4/24/2019
68.2 7/1/2018
1.452 7/1/2018
132 7/1/2018
18.852 1/2/2015
10.23 7/1/2018
0 7/1/2018
4,180,000 7/1/2018
0 7/1/2018
104.72 7/1/2018
96.697 10/4/2014
87.37 10/3/2014
74.061 10/3/2014
98.262 10/3/2014
91.542 7/1/2018
82.28 7/1/2018
131.54 10/3/2014
50.82 7/1/2018
110.88 7/1/2018
90.09 7/1/2018
171.859 10/3/2014
39.6 7/1/2018
13.2 7/1/2018
13.2 7/1/2018
13.2 7/1/2018
13.2 7/1/2018
278.3 7/1/2018
5.088 7/1/2018
28.6 7/1/2018
7.48 7/1/2018
19,250,000 7/1/2018
15.73 12/9/2019
15.73 7/1/2018
24.2 7/1/2018
14.025 7/1/2018
16.346 7/1/2018
14.025 7/1/2018
14.025 7/1/2018
990 7/1/2018
990 7/1/2018
18,370,000 7/1/2018
17,270,000 7/1/2018
24,640,000 7/1/2018
24,640,000 7/1/2018
8.47 7/1/2018
8.47 7/1/2018
63.8 7/1/2018
66 7/1/2018
154 7/1/2018
55 7/1/2018
6.05 7/1/2018
7,700,000 7/1/2018
385 7/1/2018
4,180,000 7/1/2018
1,100,000 7/1/2018
1,188,000 7/1/2018
99 7/1/2018
10,129,942 11/16/2015
4,244,942 11/16/2015
369.001 7/1/2018
99 7/1/2018
77 7/1/2018
23,540,000 7/1/2018
23,540,000 7/1/2018
16.5 12/24/2018
2.658 2/10/2016
1,622,500 7/1/2018
1,732,500 7/1/2018
20,454,500 7/1/2018
20,672,300 7/1/2018
15,779,500 7/1/2018
16,018,242 2/11/2016
8,800,000 7/1/2018
3,190,000 7/1/2018
6,600,000 7/1/2018
4,180,000 7/1/2018
16,500,000 7/1/2018
110 7/1/2018
561 7/1/2018
8,800,000 7/1/2018
302.5 7/1/2018
1,210,000 7/1/2018
1,100,000 10/17/2016
45.76 10/29/2018
3,025,000 11/4/2016
313.5 7/1/2018
4.813 2/15/2017
2,500,300 7/1/2018
8,800,000 7/1/2018
8,250,990 4/26/2017
25.344 3/8/2017
13.2 3/8/2017
118.8 7/1/2018
8,000,000 5/18/2017
4.813 1/17/2019
3,300,000 7/1/2018
180.62 1/16/2019
6,600,000 10/22/2018
8.8 10/29/2018
8.8 10/29/2018
8.8 10/29/2018
4,015,825 12/14/2018
622.05 2/8/2019
770 2/1/2019
4,015,825 2/13/2019
4,015,825 2/15/2019
55 2/28/2019
55 3/15/2019
1,650,000 5/16/2019
6,050,000 5/17/2019
49.5 8/27/2019
1,075,000 8/28/2019
1,089,000 10/30/2019
1,089,000 10/30/2019
2,200,000 2/17/2020
8,470,000 2/21/2020
1,815,000 2/21/2020
8,300,000 3/3/2020
7,000,000 3/3/2020
2,200,000 3/3/2020
52910000 ALKOHOL SWAB REMEDI (BPJS) 1.617 1.54
52910001 BLOOD SET REMEDI (BPJS) 16.959 16.152
52910002 MASKER 3 PLY GREEN COLOR (BPJS) 5.189 4.942
52910010 SYRINGE 1CC ONEMED (BPJS) 3.198 3.046
52910011 SYRINGE 3CC ONEMED (BPJS) 2.468 2.35
52910012 SYRINGE 5CC ONEMED (BPJS) 2.917 2.778
52910013 SYRINGE 10CC ONEMED (BPJS) 4.907 4.673
52910014 URINE BAG REMEDI (BPJS) 15.371 14.639
52910020 UNDERPAD TOP (BPJS) 9.323 8.879
52910021 NACAL CANNULA NEONATES REMEDI (BPJS) 46.968 44.731
52910023 NASAL CANNULA PAEDIATRIK GEA (BPJS) 21.122 20.116
52910024 IV SET THERAPY NO. 18 POLYMED (BPJS) 40.114 38.204
52910025 IV SET THERAPY NO. 20 POLYMED (BPJS) 40.114 38.204
52910026 IV SET THERAPY NO. 22 POLYMED (BPJS) 41.669 39.685
52910027 IV SET THERAPY NO. 24 POLYMED (BPJS) 40.114 38.204
52910029 HANDSCOON STERIL NO. 6 REMEDI (BPJS) 13.067 12.445
52910030 HANDSCOON STERIL NO. 6,5 REMEDI (BPJS) 13.067 12.445
52910031 HANDSCOON STERIL 7.0 REMEDI (BPJS) 13.72 13.067
52910032 HANDSCOON STERIL NO. 7,5 REMEDI (BPJS) 15.125 14.405
52910033 HANDSCOON STERIL NO. 8.0 REMEDI (BPJS) 14.346 13.663
52910038 MASKER NEBULIZER PEADIATRIK (BPJS) 51.13 48.695
52910039 MASKER NON REBREATING ADULT (BPJS) 45.114 42.966
52910040 MASKER NON REBEATING PEADIATRIK (BPJS) 38.766 38.766
52910041 SUCTION CATHETER 8 BICAKCILAR (BPJS) 22.253 21.193
52910042 SUCTION CATHETER 10 BICAKCILAR (BPJS) 20.936 19.939
52910043 SUCTION CATHETER 12 BICAKCILAR 22.253 21.193
52910044 SUCTION CATHETER 14 BICAKCILAR (BPJS) 25.698 24.474
52910045 SUCTION CATHETER 16 BICAKCILAR (BPJS) 22.253 21.193
52910050 BREATHING CIRCUIT LIMBO 72 (BPJS) 272.592 259.611
52910051 CATHETER MOUNT ALTECH AL-17300 (BPJS) 57.873 55.117
52910052 THERMOVENT HEPA AL- 08022 (BPJS) 72.461 69.01
52910053 TRACHEOSTOMY FILTER WITH OXY TUBING AL 60.115 60.115
52910057 ENDOTRACHEAL TUBE KK NO. 6.0 BICAKCILAR (BPJS) 76.655 73.005
52910058 ENDOTRACHEAL TUBE KK NO. 6.5 BICAKCILAR (BPJS) 76.655 73.005
52910059 ENDOTRACHEAL TUBE KK NO. 7.0 BICAKCILAR (BPJS) 76.655 73.005
52910060 ENDOTRACHEAL TUBE KK NO. 7.5 BICAKCILAR (BPJS) 76.655 73.005
52910061 ENDOTRACHEAL TUBE NKK NO. 7.0 BICAKCILAR 291.476 277.596
52910062 ENDOTRACHEAL TUBE NKK NO. 7.5 BICAKCILAR (BPJS) 291.476 277.596
52910067 GUDEL AIRWAY SIZE 3 L100MM SUMI (BPJS) 58.984 56.175
52910068 GUDEL AIRWAY SIZE 4 L100MM SUMI (BPJS) 58.984 56.175
52910074 RECTAL TUBE NO. 20 BICAKCILAR (BPJS) 22.229 21.17
52910075 RECTAL TUBE NO. 22 BICAKCILAR (BPJS) 22.229 21.17
52910078 STOMACT TUBE NO. 14 BICAKCILAR (BPJS) 30.513 29.06
52910079 STOMACT TUBE NO. 16 BICAKCILAR (BPJS) 30.513 29.06
52910080 STOMACT TUBE NO. 18 BICAKCILAR (BPJS) 30.513 29.06
52910081 SYRINGE 20CC ONEMED (BPJS) 8.418 8.018
52910082 SYRINGE 50CC ONEMED (BPJS) 13.077 12.454
52910092 DISP SUCTION BAG GREEN (BPJS) 109.685 104.462
52910093 DISP SUCTION BAG WHITE (BPJS) 108.115 102.967
52910116 UMBILICAL CORD CLAMP (BPJS) 3.15 3
52910128 WOUND DRAIN 400ML M AXIMED (BPJS) 236.413 225.155
52910136 CUTICELL CLASSIC 10X10CM (BPJS) 22.622 22.622
52910147 SYRINGE 50CC WITH CATHTIP ONEMED (BPJS) 18.578 17.693
52910149 AMAZONIA CRONO STENT BMS (BPJS) 9,548,195 9,093,519
52910150 YANGTZE U BALLON (BPJS) 7,469,233 7,113,555
52910151 AMAZONIA PAX STENT DES (BPJS) 16,529,408 15,742,293
52910152 OPTIME 1 18S40G (GDM) 187.587 178.654
52910153 OPTIME 3/0 18S20K (GDM) 135.376 135.376
52910154 CHROMIC 1 C07358 (GDM) 122.318 122.318
52910155 CHROMIC 3/0 C07202 (GDM) 103.685 103.685
52910156 CHROMIC 2/0 C7250 (GDM) 137.567 137.567
52910157 OPTIME 2/0 18S30G (GDS) 144.726 137.869
52910158 OPTIME R 2/0 12S30AL (GDM) 147.531 140.506
52910159 ADVANTIME 3/0 15D20G (GDM) 184.156 184.156
52910160 SILK 2/0 S25339 (GDM) 92.868 88.446
52910161 COROLENE 4/0 20S15K (GDM) 198.582 189.126
52910162 OPTIME 0 18S35G (GDM) 161.472 153.783
52910163 CAESAREAN SET (OB-213) TRITON 240.603 240.603
52910165 FOL CATH 3 WAY 20 REMEDI (BPJS) 71.479 68.075
52910167 IV CATH PORT NO 18 POLYMED (BPJS) 20.93 19.933
52910168 IV CATH PORT NO 20 POLYMED (BPJS) 20.93 19.933
52910169 IV CATH PORT NO 22 POLIMED (BPJS) 20.93 19.933
52910170 IV CATH PORT NO 24 POLYMED (BPJS) 20.93 19.933
52910171 OMNIPAQUE 300/50ML (BPJS) 497.558 473.865
52910173 WASH GLOVE "EASY CARE" (BPJS) 12.366 11.777
52910174 GUDEL AIRWAY SIZE 2 L 90MM (BPJS) 58.984 56.175
52910175 NASAL CANUL ADULT (BPJS) 14.145 13.471
52910177 XLIMUS DES (BPJS) 26,293,080 25,041,029
52910178 THREE WAY STOP COCK POLYMED (BPJS) 28.256 26.911
52910179 THREE WAY STOP COCK TUBING POLIMED (BPJS) 28.237 26.892
52910184 MASKER NEBULIZER ADULT(BPJS) 51.13 48.695
52910186 FOL CATH 2 WAY NO. 16 CHROMA (BPJS) 25.828 24.598
52910187 IV CATH PORT NO.26 POLIMED (BPJS) 25.885 24.652
52910189 FOL CATH 2 WAY NO 14 (BPJS) 25.828 24.598
52910190 FOL CATH 2 WAY NO 18 (BPJS) 25.828 24.598
52910191 PAKET DIAGNOSTIK FEMORAL MM (BPJS) 1,667,876 1,588,453
52910192 PAKET DIAGNOSTIK RADIAL MM (BPJS) 1,667,970 1,588,543
52910193 PAKET PCI FEMORAL 1 BMS 1 BALLON MM (BPJS) 25,091,370 23,896,543
52910194 PAKET PCI RADIAL 1 BMS 1 BALLON MM (BPJS) 23,579,616 22,456,777
52910195 PAKET PCI FEMORAL 1DES 1 BALLON MM (BPJS) 33,647,171 32,044,925
52910196 PAKET PCI RADIAL 1 DES 1 BALLON (BPJS) 33,647,171 32,044,925
52910197 STOMACT TUBE NO. 16 (BPJS) 20.34 19.371
52910198 STOMACT TUBE NO. 14 (BPJS) 23.036 21.939
52910199 ELEKTROSURGICAL PENCIL EVERSHINE (BPJS) 121.816 116.015
52910200 ALPHAMED MONO GROUNDING PAD ADULT W0/ CABLE(BP 110.949 105.666
52910201 MONO GROUNDING PAD ADULT CABLE (BPJS) 249.549 237.666
52910203 SKIN MARKER FINE TIP WITH RULER (BPJS) 98.968 94.255
52910204 SUCTION CATHETER NO. 8 (BPJS) 20.936 19.939
52910205 PRO KINETIC ENERGY CC STENT (BPJS)MM 10,524,071 10,022,925
52910206 LENSA AURO FLEX SPHERIC ALL SIZE (BPJS) 613.374 584.166
52910207 PANTERA CORONARY BALLON CATH (BPJS)MM 6,151,716 5,858,777
52910208 CONCIERGE GUIDING CATH (BPJS)MM 1,739,499 1,656,666
52910209 BASIC INFLATIN SYRINGE (BPJS)MM 1,635,191 1,557,325
52910212 LENSA AUROLENS PMMA ALL SIZE (BPJS) 162.924 155.166
52910216 PARTNER SIROLIMUS STENT SYSTEM (BPJS) 13,168,925 13,168,925
52910217 HOPER PTCA BALLON (BPJS) 5,518,425 5,518,425
52910220 IOPAMIRO 370/100 (BPJS) 581.875 554.167
52910221 HAND CONTROL ELEKTRO PENCIL INTCO (BPJS) 162.924 155.166
52910222 MONOPOLAR WIRELESS PLATE ADULT INTCO (BPJS) 163.425 155.643
52910223 PAKET PCI FEMORAL TANPA WIRE MM(BPJS) 32,151,000 30,620,000
52910224 PAKET PCI RADIAL TANPA WIRE MM(BPJS) 34,610,333 32,962,222
52910225 NASAL CANUL NEONATE (BPJS) 23.402 22.288
52910226 APRON FILM (BPJS) 3.455 3.455
52910227 PAKET DIAGNOSTIK FEMORAL BPJS (REKA) 2,228,284 2,122,175
52910228 PAKET DIAGNOSTIK RADIAL BPJS (REKA) 2,735,687 2,605,416
52910229 PAKET PCI FEMORAL DES BPJS (REKA) 27,926,458 26,596,627
52910230 PAKET PCI RADIAL DES BPJS (REKA) 28,231,261 26,886,915
52910231 PAKET PCI FEMORAL BMS BPJS (REKA) 24,859,712 23,675,916
52910232 PAKET PCI RADIAL BMS BPJS (REKA) 20,823,715 20,823,715
52910233 STENT BIOMATRIX "BIOSENSOR" (BPJS) 21,034,571 20,032,925
52910235 ADMIRAL EXTREME BALLON (BPJS) 5,031,249 4,791,666
52910237 PTCA STENT BMS (BPJS) 10,401,999 9,906,666
52910238 PANTERA LEO NC (BPJS) 5,711,766 5,439,777
52910244 PAKET PCI FEMORAL BMS TANPA WIRE (BPJS) 25,994,499 24,756,666
52910245 MONOPOLAR PLATE WITH CABLE (BPJS) 156.216 148.777
52910246 XOLMETRAS 350/100 ML (BPJS) 794.595 756.757
52910249 PAKET AMAZONIA SIR+YANGTZE U (BPJS) 15,012,611 14,309,153
52910253 XOLMETROS 300/50 ML (BPJS) 414.566 394.825
52910254 PAKET DIAGNOSTIK RADIAL BISAWI (BPJS) 1,657,716 1,578,777
52910255 PAKET DIAGNOSTIK FEMORAL BISAWI (BPJS) 1,445,751 1,445,751
52910257 FOL CATH 2 WAY NO 8 CHROMA (BPJS) 68.824 65.546
52910258 ACROSS CTO 3,948,043 3,948,043
52910261 LUMBAL CORSET (OXY SPINE) BPJS 500.762 476.916
52910264 WASH GLOVE PRO PRODEVICE 9.539 9.539
52910265 BALLON MOZEC (BPJS) TAM 3,426,699 3,263,523
52910266 PAKET TINDAKAN PCI DES BIOMIME (BPJS) TAM 13,866,999 13,206,666
52910267 PAKET TINDAKAN PCI BMS NEXGEN (BPJS) TAM 10,735,648 10,735,648
52910269 ETT NO. 6.5 CANACK (BPJS) 46.08 46.08
52910274 EXTENTION TUBE 150CM (BPJS) 17.423 17.423
52910275 WOUND DRAIN 200ML NO 10 (BPJS) 187.81 178.867
52910282 PAKET PCI BMS ARCHITECT (BPJS) 10,409,361 10,409,361
52910284 OCTENIC BODY WASH (B4) 9.45 9
52910294 BALLON CATHETER EUCA VI 4,514,329 4,299,361
52910297 ENDOTRACHEAL TUBE NKK 4.0 BICAKCILAR (BPJS) 252.885 240.843
52910305 STENT BIOMATRIX ALPHA DES (BPJS) 9,015,339 8,586,037
52910308 HANDSCOON STERIL PD GLOVES NO.7 12.139 11.561
52910309 HANDSCOON STERIL PD GLOVES NO. 7.5 12.139 11.561
52910310 HANDSCOON STERIL PD GLOVES NO. 6.5 12.139 11.561
52910311 DOUBLE LUMEN POLINDROM VK 14,5X19CM 5,229,934 5,229,934
52910312 UNIVERSAL DRAPE TARAFIS (BPJS) 855.437 814.702
52910313 HD CATH CURVE SORTTERM MEDICATH KITS 1,057,389 1,007,037
52910314 DOUBLE LUMEN POLINDROM UL 14.5F X 33CM 5,490,397 5,228,950
52910315 DOUBLE LUMEN POLINDROME UK 14.5F X28CM 5,487,940 5,226,610
52910316 PENCIL CUTTER CARELUCK 81.414 77.537
52910317 PENCIL HARUM PEN (XY-P401-2) 75.392 71.802
52910318 EXPERIENCE BALLON " IVASCULAR" (BPJS) 2,258,589 2,151,037
52910319 ENVIROS DES STENT "IVASCULAR" (BPJS) 8,264,589 7,871,037
52910320 ELEKTROSURGERY PENCIL HEMIPEN 67.884 64.652
52910321 PAKET INDEFLATOR BBRAUN 1,473,714 1,403,537
52910322 PAKET CAG (DIAGNOSTIK) FEMORAL "MERIT" 1,492,824 1,421,737
52910323 PAKET CAG (DIAGNOSTIK) RADIAL "MERIT" 1,492,824 1,421,737
52910325 BALLON "POWERLINE" (BPJS) 3,009,339 2,866,037
52910326 STENT GENOSS DES "GENOSS" 11,567,889 11,017,037
52910327 BALLON GENOSS/ GENOSS NC "GENOSS" 2,483,814 2,365,537
52910328 PAKET PCI COROFLEX DES (BPJS) 11,335,839 10,796,037
52910329 STENT COROFLEX ALL SIZE (BPJS) 9,561,339 9,106,037
52910330 BALLON SEQUENT NEO ALL SIZE (BPJS) 3,009,339 2,866,037
220 4/17/2020
12.672 9/23/2019
3.601 4/16/2020
781 4/17/2020
770 7/1/2018
825 4/17/2020
1.21 4/17/2020
4.95 7/1/2018
3.245 7/1/2018
24.75 7/1/2018
7.7 7/1/2018
19.877 7/1/2018
16.625 7/1/2018
16.625 7/1/2018
19.877 7/1/2018
6.138 7/1/2018
5.5 7/1/2018
5.5 7/1/2018
5.5 7/1/2018
9.02 7/1/2018
24.2 7/1/2018
24.2 7/1/2018
35.242 1/2/2015
6.71 7/1/2018
6.05 7/1/2018
6.71 7/1/2018
6.71 7/1/2018
6.71 7/1/2018
192.5 7/1/2018
36.3 7/1/2018
40.15 7/1/2018
46.242 1/2/2015
38.5 7/1/2018
38.5 7/1/2018
38.5 7/1/2018
38.5 7/1/2018
180.62 7/1/2018
180.62 7/1/2018
28.6 7/1/2018
28.6 7/1/2018
7.7 7/1/2018
7.7 7/1/2018
12.65 7/1/2018
12.65 7/1/2018
12.65 7/1/2018
1.892 12/5/2018
4.62 7/1/2018
69.19 4/24/2019
68.2 7/1/2018
1.452 7/1/2018
132 7/1/2018
18.852 1/2/2015
10.23 7/1/2018
0 7/1/2018
4,180,000 7/1/2018
0 7/1/2018
104.72 7/1/2018
96.697 10/4/2014
87.37 10/3/2014
74.061 10/3/2014
98.262 10/3/2014
91.542 7/1/2018
82.28 7/1/2018
131.54 10/3/2014
50.82 7/1/2018
110.88 7/1/2018
90.09 7/1/2018
171.859 10/3/2014
39.6 7/1/2018
13.2 7/1/2018
13.2 7/1/2018
13.2 7/1/2018
13.2 7/1/2018
278.3 7/1/2018
5.088 7/1/2018
28.6 7/1/2018
7.48 7/1/2018
19,250,000 7/1/2018
15.73 12/9/2019
15.73 7/1/2018
24.2 7/1/2018
14.025 7/1/2018
16.346 7/1/2018
14.025 7/1/2018
14.025 7/1/2018
990 7/1/2018
990 7/1/2018
18,370,000 7/1/2018
17,270,000 7/1/2018
24,640,000 7/1/2018
24,640,000 7/1/2018
8.47 7/1/2018
8.47 7/1/2018
63.8 7/1/2018
66 7/1/2018
154 7/1/2018
55 7/1/2018
6.05 7/1/2018
7,700,000 7/1/2018
385 7/1/2018
4,180,000 7/1/2018
1,100,000 7/1/2018
1,188,000 7/1/2018
99 7/1/2018
10,129,942 11/16/2015
4,244,942 11/16/2015
369.001 7/1/2018
99 7/1/2018
77 7/1/2018
23,540,000 7/1/2018
23,540,000 7/1/2018
16.5 12/24/2018
2.658 2/10/2016
1,622,500 7/1/2018
1,732,500 7/1/2018
20,454,500 7/1/2018
20,672,300 7/1/2018
15,779,500 7/1/2018
16,018,242 2/11/2016
8,800,000 7/1/2018
3,190,000 7/1/2018
6,600,000 7/1/2018
4,180,000 7/1/2018
16,500,000 7/1/2018
110 7/1/2018
561 7/1/2018
8,800,000 7/1/2018
302.5 7/1/2018
1,210,000 7/1/2018
1,100,000 10/17/2016
45.76 10/29/2018
3,025,000 11/4/2016
313.5 7/1/2018
4.813 2/15/2017
2,500,300 7/1/2018
8,800,000 7/1/2018
8,250,990 4/26/2017
25.344 3/8/2017
13.2 3/8/2017
118.8 7/1/2018
8,000,000 5/18/2017
4.813 1/17/2019
3,300,000 7/1/2018
180.62 1/16/2019
6,600,000 10/22/2018
8.8 10/29/2018
8.8 10/29/2018
8.8 10/29/2018
4,015,825 12/14/2018
622.05 2/8/2019
770 2/1/2019
4,015,825 2/13/2019
4,015,825 2/15/2019
55 2/28/2019
55 3/15/2019
1,650,000 5/16/2019
6,050,000 5/17/2019
49.5 8/27/2019
1,075,000 8/28/2019
1,089,000 10/30/2019
1,089,000 10/30/2019
2,200,000 2/17/2020
8,470,000 2/21/2020
1,815,000 2/21/2020
8,300,000 3/3/2020
7,000,000 3/3/2020
2,200,000 3/3/2020
ISI/ BOX FAKTUR / BX
HNA
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
7/1/2018
7/1/2018
7/1/2018
7/1/2018
7/1/2018
1/17/2019
1/10/2020
7/1/2018
7/1/2018
4/15/2019
5/13/2019
4/26/2017
4/26/2017
4/26/2017
7/1/2018
4/26/2017
2/13/2020
7/1/2018
5/31/2019
4/26/2017
4/26/2017
4/20/2015
4/26/2017
5/13/2019
4/20/2015
7/1/2018
7/1/2018
4/15/2019
3/26/2018
3/13/2019
4/26/2017
5/31/2019
7/1/2018
1/17/2019
10/8/2019
7/1/2018
10/8/2019
6/24/2019
7/1/2018
7/1/2018
7/1/2018
7/1/2018
7/1/2018
7/1/2018
2/20/2020
1/24/2020
7/1/2018
10/8/2019
10/9/2018
7/1/2018
7/1/2018
1/24/2020
7/11/2019
8/23/2019
5/13/2019
7/1/2018
1/11/2018
8/27/2018
4/16/2020
4/15/2019
10/3/2017
4/24/2019
7/1/2018
7/1/2018
7/1/2018
2/13/2020
6/24/2019
8/16/2019
1/17/2019
7/1/2018
1/9/2020
5/29/2019
8/16/2019
10/21/2019
3/18/2020
ISI/ BOX
GROUP : 51 PHARMACY
TYPE :
GROUP : 59 HEAMODIALYSIS