| Kode Rekening | Kelompok Barang | Uraian Barang | Spesifikasi | Satuan | Harga Satuan |
|---|---|---|---|---|---|
| Obat | Amoksisilin sir forte 250 mg/5 ml | - | Botol | 5.000 | |
| Obat | Amlodipin 5 mg | - | Tablet | 2.000 | |
| Obat | Amlodipin 10 mg | - | Tablet | 5.000 | |
| Obat | Amitriptilin tab | - | Tablet | 3.500 | |
| Obat | Aminofilin inj 24 mg/ml | - | Ampul | 3.000 | |
| Obat | Alopurinol tab 100 mg | - | Tablet | 500 | |
| Obat | Air untuk injeksi amp 25 ml | - | Botol | 3.500 | |
| Obat | Antibloat | - | Flacon | 75.000 | |
| Obat | Tetrasiklin kaps 250 mg | - | Pot | 65.000 | |
| Obat | Simvastatin tab sal 20 mg | - | Tablet | 200 | |
| Obat | Siprofloksasin Tab 500 mg | - | Tablet | 500 | |
| Obat | sikzonoat inj | - | Ampul | 80.000 | |
| Obat | Sianokobalamin inj | - | Ampul | 100 | |
| Obat | Sianokobalamin (vitamin B12) tab 50 mcg | - | Tablet | 1.500 | |
| Obat | Sefotaxsim | - | Ampul | 5.000 | |
| Obat | Serum anti bisa ular : A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.) | - | Vial | 100.000 | |
| Obat | Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 % | - | Pot | 10.000 | |
| Obat | Salbutamol tab 2 mg | - | Tablet | 100 | |
| Obat | Salbutamol cairan ih 1 mg/mL | - | Ampul | 160.000 | |
| Obat | Risperidon tab sal 2 mg | - | Tablet | 200 | |
| Obat | Ringer Laktat Larutan | - | Botol | 9.000 | |
| Obat | Ranitidin tab 150 mg | - | Tablet | 100 | |
| Obat | Propiltiourasil tab 100 mg | - | Tablet | 500 | |
| Obat | Povidon iodin lar 100 mg/ml 300 mL | - | Botol | 65.000 | |
| Obat | Povidon iodin lar 100 mg/ml 30 mL | - | Botol | 5.000 |