| O4-018 |
Devital ( Gigi ) |
Pieces |
|
0 |
375000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-017 |
Dental Needles ( Gigi ) |
Pieces |
|
0 |
30800 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-016 |
Dental Bip ( Gigi ) |
Pieces |
|
0 |
51000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-015 |
Dental Bibs ( Gigi ) |
Pieces |
|
0 |
20000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-014 |
Cresotin ( Gigi ) |
Pieces |
|
0 |
357500 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-013 |
Cotton Roll ( Gigi ) |
Pieces |
|
0 |
99000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-012 |
Caviton White (Gigi) |
Pieces |
|
0 |
70000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-011 |
Bur Holder Box ( Gigi ) |
Pieces |
|
0 |
77000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-010 |
Bur Diamond Meisinger Aa 808 014 ( Gigi ) |
Pieces |
|
0 |
36300 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-009 |
Buccal Tube Roth 0.22 ( Gigi ) |
Pieces |
|
0 |
69000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-008 |
Bridge Gigi ( Gigi ) |
Pieces |
|
0 |
285000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-007 |
Bracket Mini Roth 0.022 ( Gigi ) |
Pieces |
|
0 |
187000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-006 |
Bein Exo Luxator ( Gigi ) |
Pieces |
|
0 |
140000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-005 |
Band Ortho Size (26/29) Lr/Ll ( Gigi ) |
Pieces |
|
0 |
26000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-004 |
Autoclav Indikator Tape Roll ( Gigi ) |
Pieces |
|
0 |
42000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-003 |
Articucating Paper (Gigi ) |
Pieces |
|
0 |
101000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-002 |
Aroma Normal (Gigi ) |
Pieces |
|
0 |
110000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O4-001 |
Alginate Fast ( Gigi ) |
Pieces |
|
0 |
80000 |
|
|
|
|
|
|
|
|
|
|
1 |
gigi |
0 |
0 |
|
Aktif |
Dental |
Non Formularium RS |
Obat Bebas |
| O3-003 |
Rapid Antigen Onsite |
Pieces |
|
0 |
22500 |
|
|
|
|
|
|
|
|
|
|
300 |
Reagen Lab |
0 |
0 |
|
Aktif |
Signa Promedic Supplies |
Formularioum RS |
Jasa |
| O3-002 |
Vtm Swab |
Pieces |
|
0 |
25000 |
|
|
|
|
|
|
|
|
|
|
200 |
Reagen Lab |
0 |
0 |
|
Aktif |
Signa Promedic Supplies |
Formularioum RS |
Jasa |
| O3-001 |
Rapid Test |
Pieces |
|
0 |
60000 |
|
|
|
|
|
|
|
|
|
|
300 |
Reagen Lab |
0 |
0 |
|
Aktif |
Signa Promedic Supplies |
Formularioum RS |
Jasa |
| O2-012 |
Jasa Racik Puyer (100) |
- |
|
0 |
25000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-011 |
Jasa Racik Puyer (60) |
- |
|
0 |
25000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-010 |
Jasa Racik Puyer (50) |
- |
|
0 |
25000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-009 |
Jasa Racik Puyer (45) |
- |
|
0 |
25000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-008 |
Jasa Racik Puyer (30) |
- |
|
0 |
20000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-007 |
Jasa Racik Puyer (20) |
- |
|
0 |
20000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-006 |
Jasa Racik Puyer (15) |
- |
|
0 |
15000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-005 |
Jasa Racik Puyer (10) |
- |
|
0 |
10000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |
| O2-004 |
Jasa Racik Puyer (5) |
- |
|
0 |
8000 |
|
|
|
|
|
|
|
|
|
|
200 |
Jasa |
0 |
0 |
|
Aktif |
RS Insan Permata |
Non Formularium RS |
Jasa |