DAFTAR HARGA SATUAN OBAT DAN PERBEKALAN KESEHATAN

BULAN : SEPTEMBER 2016

No. Nama Barang / Obat Satuan

1 2 3
A. OBAT ESENSIAL/GENERIK
1 Alopurinol tablet 100 mg tablet
2 Alprazolam tablet 0,25 mg tablet
3 Ambroksol sirup 15 mg/ml botol 60 ml
4 Ambroxol tablet 30 mg tablet
5 Aminofilin injeksi 24 mg/ml ampul
6 Aminofilin tablet 200 mg tablet
7 Amitriptilin tablet 25 mg tablet
8 Amlodipin tablet 10 mg tablet
9 Amlodipin tablet 5 mg tablet
10 Amoksisilin 500 mg + klavulanat 125 mg tablet tablet/kaplet
11 Amoksisilin kaplet 500 mg tablet
12 Amoksisilin kapsul 250 mg kapsul
13 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml
14 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml
15 Ampisilin serbuk injeksi I.M./I.V. 1000 mg/ml vial
16 Antalgin (Metampiron) tablet 500 mg tablet
17 Antasida DOEN I tablet kunyah kombinasi tablet
18 Antasida DOEN II Suspensi, kombinasi botol-60ml
19 Antibakteri DOEN salep komb : Basitrasin 500 IU/g + polimiksin 10.tube
20 Antifungi DOEN kombinasi : Asam Benzoat 6% + Asam Salisilat 3 %pot
21 Antihemoroid DOEN kombinasi (Generik) supp
22 Antimigrain : ergotamin tartrat 1 mg + kofein 60 mg tablet tablet
23 Aqua pro injeksi steril, bebas pirogen vial
24 Asam Asetil Salisilat tablet 100 mg (Asetosal) tablet
25 Asam asetil salisilat 80 mg tablet
26 Asam Askorbat (Vitamin C) tablet 50 mg tablet
27 Asam folat tablet 1 mg tablet
28 Asam mefenamat kaplet 500 mg tablet
29 Asam mefenamat kaplet 250 mg Tablet
30 Asam traneksamat injeksi 100 mg/ml ampul
31 Asiklovir krim 5 % tube 5 gram
32 Asiklovir tablet 200 mg tablet
33 Asiklovir tablet 400 mg tablet
34 Atapulgit tablet 600 mg tablet
35 Atropin injeksi i.m./i.v./s.c. 0,25 mg/ml ampul
36 Betahistin mesilat tablet 6 mg tablet
37 Betametason cream 0,1 % tube
38 Betametason tetes mata 1 mg/ml botol
39 Bisakodil suppositoria 5 mg (Dulcolax) supp
40 Bromheksin tablet 8 mg tablet
41 Cetirizine kapsul 10 mg kapsul
42 Cetirizine sirup 5 mg/5 ml botol 60 ml
43 Deksametason injeksi i.v. 5 mg/ml ampul
44 Deksametason tablet 0,5 mg tablet
45 Dekstrometorfan sirup 10 mg/5 ml (HBr) botol 60 ml
46 Dekstrometorfan tablet 15 mg (HBr) tablet
47 Diazepam larutan rectal 5 mg / 2,5 ml (Stesolid) rect tube
48 Diazepam larutan rectal 10 mg / 2,5 ml (Stesolid) rect tube
49 Diazepam injeksi 5 mg/ml ampul
50 Diazepam tablet 2 mg tablet
51 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ampul
52 Digoksin tablet 0,25 mg tablet
53 Diltiazem HCl Tablet 30 mg tablet
54 Dimenhidrinat tablet 50 mg tablet

349528374.xlsx/Harga 1
 55 Doksisiklin kapsul 100 mg kapsul
56 Domperidon suspensi 5 mg/5 ml botol-60ml
57 Domperidon tablet 10 mg tablet
58 Efedrin HCl tablet 25 mg tablet
59 Ekstraks beladona tablet 10 mg tablet
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl) ampul
61 Eritromisin kapsul 250 mg kapsul
62 Eritromisin kapsul 500 mg kapsul
63 Eritromisin sirup 200 mg/5 ml botol
64 Etakridin (Rivanol) larutan 0,1 % botol 300 ml
65 Etanol 70 % botol 100 ml
66 Etanol 70 % botol 1000 ml
67 Fenilbutason 200 mg tablet tablet
68 Fenitoin Natrium Kapsul 100 mg kapsul
69 Fenobarbital tablet 30 mg tablet
70 Fenobarbital injeksi ampul
71 Fenolgliserol tetes telinga 10 % botol
72 Fitomenadion (Vit. K) injeksi 10 mg/ml ampul
73 Fitomenadion (Vit. K) tablet salut gula 10 mg tablet
74 Furosemida injeksi 1.v/i.m 10 mg/ml ampul
75 Furosemida tablet 40 mg tablet
76 Gameksan lotion 1 % botol-30 ml
77 Gemfibrosil kapsul 300 mg kapsul
78 Gemfibrozil kapsul 600 mg kapsul
79 Gentamisin salep kulit 0,1% tube
80 Gentamisin salep mata 0,3 % botol
81 Gentamisin sulfat tetes mata 0,3% botol 5 ml
82 Gentian violet larutan 1 % botol
83 Glibenklamid tablet 5 mg tablet
84 Gliclazid 80 mg tablet tablet
85 Glimepirid tablet 2 mg tablet
86 Gliseril Guayakolat tablet 100 mg tablet
87 Gliserin lar 50 % botol-100 ml
88 Glukosa larutan infus 10 % botol 500 ml
89 Glukosa larutan infus 40 % ampul
90 Glukosa larutan infus 5 % botol 500 ml
91 Griseofulvin tablet 125 mg micronized tablet
92 Haloperidol injeksi 5 mg/ml ampul
93 Haloperidol injeksi 50 mg/ml ampul
94 Haloperidol tablet 1,5 mg tablet
95 Haloperidol tablet 2 mg tablet
96 Haloperidol tablet 5 mg tablet
97 Hidroklorotiazida tablet 25 mg tablet
98 Hidrokortison krim 2,5% tube
99 Hyoscine-N-Butilbromide tablet 10 mg (Spashi) tablet
100 Ibuprofen sirup 100 mg/5 ml botol
101 Ibuprofen tablet 200 mg tablet
102 Ibuprofen tablet 400 mg tablet
103 Isoniasida tablet 100 mg tablet
104 Isosorbid dinitrat tablet sublingual 5 mg tablet
105 Kalium diklofenak 50 mg tablet tablet
106 Kalsium laktat tablet 500 mg tablet
107 Kaptopril tablet 12,5 mg tablet
108 Kaptopril tablet 25 mg tablet
109 Karbamazepin tablet 200 mg tablet
110 Ketokonazol krim 2 % tube 15 gram
111 Ketokonazol tablet 200 mg tablet
112 Ketorolac injeksi 10 mg ampul 1 ml
113 Ketorolac injeksi 30 mg ampul 1 ml
114 Klindamisin kapsul 300 mg kapsul
115 Klobazam tablet 10 mg tablet
116 Klonidin tablet 0,15 mg tablet
117 Kloramfenikol injeksi 1000 mg/ml vial
118 Kloramfenikol kapsul 250 mg kapsul
119 Kloramfenikol salep mata 1 % tube 5 gram

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 120 Kloramfenikol salep kulit (Bufacetin) tube
121 Kloramfenikol suspensi 125 mg/5 ml botol 60 ml
122 Kloramfenikol tetes mata 0,5 % botol 5 ml
123 Kloramfenikol tetes telinga 3 % botol 5 ml
124 Klorfeniramin maleat (CTM) tablet 4 mg tablet
125 Klorpromazin tablet salut 100 mg (HCl) tablet
126 Klorpromazin tablet salut 25 mg (HCl) tablet
127 Kodein tablet 10 mg tablet
128 Kotrimoksasol DOEN I (dewasa) komb. tablet
129 Kotrimoksasol suspensi botol 60 ml
130 Lamivudin tablet 150 mg tablet
131 Lanzoprazol kapsul 30 mg kapsul
132 Larutan mengandung elektrolit : (Asering) botol 500 ml
133 Larutan mengandung elektrolit : (KAEN 3A) botol 500 ml
134 Larutan mengandung elektrolit : (KAEN 3B) botol 500 ml
135 Levotiroksin tablet 100 mg (Euthyrox) tablet
136 Lidokain HCl 20 mg/g jely (Xylocain jely) kotak/set
137 Lidokain injeksi 2 % ampul
138 Lidokain injeksi 2 % (HCl) + epinefrin 1 : 80.000-2 ml ampul
139 Lidokain semprot 10 % botol
140 Lisol, mengandung kresol tersabun 50% botol 1000 ml
141 Magnesium sulfat injeksi 20 % ampul
142 Magnesium sulfat injeksi 40 % ampul
143 Mebendazol sirup 100 mg/5 ml botol 30 ml
144 Mebendazol tablet 100 mg tablet
145 Mekobalamin tablet 500 mg tablet
146 Meloksikam 7.5 mg tablet
147 Metformin HCl tablet 500 mg tablet
148 Metil Prednisolon tablet 4 mg tablet
149 Metil Prednisolon tablet 8 mg tablet
150 Metilergometrin Maleat injeksi 0,200 mg - 1 ml ampul
151 Metilergometrin maleat tablet 0,125 mg tablet
152 Metoklopramid injeksi 5 mg/ml ampul
153 Metoklopramid sirup 5 mg/5 ml botol
154 Metoklopramid tablet 10 mg tablet
155 Metoklopramid tablet 5 mg tablet
156 Metronidasol sirup 125 mg/5 ml (Novagyl) botol 60 ml
157 Metronidasol tablet 250 mg tablet
158 Metronidasol tablet 500 mg tablet
159 Metronidazol infus 500 mg/100 ml botol-100 ml
160 Mikonazol krim 2 % tube
161 Natrium Diklofenak tablet 25 mg tablet
162 Natrium Diklofenak tablet 50 mg tablet
163 Natrium Klorida Larutan Infus 0,9% steril botol-500 ml
164 Nifedipin tablet 10 mg tablet
165 Nifedipin tablet 20 mg SR tablet
166 Nistatin vaginal tablet 100.000 IU/g tablet
167 Obat Batuk Hitam (OBH) cairan botol-100 ml
168 Oksitetrasiklin injeksi i.m. 50 mg/ml-10 ml vial
169 Oksitetrasiklin salep kulit 3% tube 5 gram
170 Oksitetrasiklin salep mata 1% tube
171 Oksitosin injeksi 10 IU/ml - 1 ml ampul
172 Omeprazol injeksi 40 mg/10 ml vial
173 Omeprazol kapsul 20 mg kapsul
174 Ondansentron injeksi 4 mg / 2 ml ampul
175 Papaverin injeksi ampul
176 Papaverin tablet 40 mg tablet
177 Parasetamol drops botol 15 ml
178 Parasetamol sirup 120 mg/5 ml botol
179 Parasetamol tablet 500 mg tablet
180 Permetrin (Scabimite) tube
181 Petidin injeksi (Narkotika) ampul
182 Piracetam 800 mg tablet tablet
183 Piracetam injeksi 1 gram/5 ml ampul
184 Pirantel tablet score 125 mg tablet

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 185 Piridoksin (Vit. B6) tablet 10 mg tablet
186 Piroksikam kapsul 20 mg tablet
187 Piroksikam tablet 10 mg tablet
188 Polikresolsulfonat cairan 50 mg/ml (Aptil) botol 10 ml
189 Povidon iodida larutan 10 % 30 ml botol 30 ml
190 Povidon iodida larutan 10 % 60 ml botol 60 ml
191 Povidon iodida larutan 10 % 300 ml botol 300 ml
192 Prednison tablet 5 mg tablet
193 Propanolol tablet 10 mg tablet
194 Propiltiourasil tablet 100 mg tablet
195 Ranitidin injeksi 25 mg/2 ml ampul
196 Ranitidin tablet 150 mg tablet
197 Rifampisin kaplet salut 450 mg kaplet
198 Rifampisin kapsul 300 mg kapsul
199 Ringer laktat larutan infus botol 500 ml
200 Risperidon tablet tablet
201 Salbutamol cairan inhales 0,1 % botol 2,5 ml
202 Salbutamol tablet 2 mg tablet
203 Salbutamol tablet 4 mg tablet
204 Salep 2-4, Kombinasi Asam Salisilat 2% + Belerang endap 4% pot
205 Salisil bedak 2% kotak-50 gram
206 Sefadroksil 500 mg kapsul kapsul
207 Sefadroksil kapsul 250 mg kaplet
208 Sefadroksil kapsul 500 mg kaplet
209 Sefadroksil sirup kering 125 mg/5 ml botol
210 Sefadroksil sirup kering 250 mg/5 ml botol
211 Sefotaksim serbuk injeksi 1000 mg/vial vial
212 Sefotaksim serbuk injeksi 500 mg/vial vial
213 Seftriakson serbuk injeksi 1 gr/vial vial
214 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) vial 5 ml
215 Serum Anti Tetanus Injeksi 1500 IU/Ampul (ATS) vial 1.500
216 Sianokobalamin (Vitamin B12) injeksi 500 mcg/ml ampul
217 Simetidin tablet 200 mg tablet
218 Simvastatin tablet 10 mg tablet
219 Simvastatin tablet 30 mg tablet
220 Siprofloksasin tablet 250 mg tablet
221 Siprofloksasin tablet 500 mg tablet
222 Siprofloksasin tablet 500 mg tablet
223 Spironolakton tablet 25 mg tablet
224 Sukralfat tablet 500 mg (Ulsidex) tablet
225 Sukralfat suspensi (Ulsafate) botol
226 Sulfasetamid Na tetes mata 15 % botol
227 Tetrasiklin kapsul 250 mg kapsul
228 Tetrasiklin kapsul 500 mg kapsul
229 Tiamfenikol kapsul 500 mg kapsul
230 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul
231 Tiamin (Vitamin B1) tablet 50 mg tablet
232 Tramadol kapsul 50 mg tablet
233 Trifluoperazin 5 mg tablet tablet
234 Triheksifenidil tablet 2 mg tablet
235 Vaksin rabies untuk manusia set
236 Vitamin B Kompleks tablet tablet

B OBAT DAN BAHAN KEDOKTERAN GIGI

1 Air raksa dental use botol
2 Alvogyl paste dus
3 Amalgam Perak (Silver Alloy) botol
4 Articulating papper kotak
5 Bahan pensteril gigi : Trikresol formalin botol
6 Bahan tambalan sementara gigi siap pakai (Cavit) botol 28 gram
7 Dentin conditioner botol
8 Devitalisasi pasta (Non Arsen) botol/kotak
9 Etil klorida spray vial/100 ml
10 Eugenol cairan botol@10 ml
11 Fuji VII dus

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 12 Fuji IX dus
13 Glass inonomer cement ART set/botol
14 Gutta percha dan papper point : 15 - 40 kotak/pasang
15 Gutta percha dan papper point : 45 - 60 kotak/pasang
16 Kalsium hidroksida pasta kotak 2 tube
17 K-file perawatan akar gigi
- K-file No. 15 set
- K-file No. 20 set
- K-file No. 25 set
- K-file No. 30 set
18 Klorfenol Kamfer Menthol (CHKM) botol 10 ml
19 Mummifying pasta botol/kotak
20 Pasta pengisi saliran akar botol
21 Seluloid strip rol
22 Semen Seng Fosfat serbuk dan cairan set/botol
23 Spon gelatin cubicles 1x1x1 box-10 (1x1x1 cm
24 Temporary stoping fletcher serbuk+cairan botol @ 100 gram
Tooth mouse box

C OBAT TAMBAHAN / BRANDED

1 Anti asma/bronkodilator inhalasi (ventolin) vial
2 Anti asma/bronkodilator nebulizer (ventolin) vial
3 Antibiotik injeksi serbuk (seftriakson 1 g) vial
4 Antidiare sirup : Kaotin botol 60 ml
5 Antidiare sirup : Neo Kaominal botol 60 ml
6 Antidiare Tablet (Enterodin) tablet
7 Antidiare Tablet (Molagit) tablet
8 Antidiare Tablet (Omegdiar) tablet
9 Antihemoroid DOEN (Superhoid) supp
10 Antihistamin kombinasi (Pritacort) tablet
11 Antiinfeksi kulit (luka bakar) pot
12 Antiinflamasi gel (Provenid) tube 30 gr
13 Antikretinisme tablet tablet
14 Antiscabies krim (Scabicid) tube 10 gram
15 Antispasme injeksi (Spashi) vial
16 Antispasme/analgetik tablet (Scopamin Plus) tablet
17 Antispasme/analgetik tablet (SCOPMA) tablet
18 Laksantia tablet 5 mg (Dulcolax) tablet
19 Laksantia tablet 5 mg (Laxana) tablet
20 Multivitamin + mineral + biotin tablet (Caviplex) kaplet
21 Multivitamin + mineral sirup (Recovit) botol 100 ml
22 Multivitamin + mineral utk ibu hamil (Vitabion) kaplet
23 Multivitamin + minyak ikan (untuk ibu menyusui) Nulacta kapsul
24 Multivitamin geriatri (Osteos) kaplet
25 Multivitamin kaplet (Hemafort) kaplet
26 Multivitamin kaplet (Pritavit) kaplet
27 Multivitamin kaplet (VITALAMIN) kaplet
28 Multivitamin sirup (CURBION) Botol
29 Multivitamin sirup + DHA (Caviplex + DHA) botol 60 ml
30 Multivitamin sirup (ANAGENS) botol 60 ml
31 Multivitamin tabur untuk balita Saset
32 Nasal dekongestan tablet ( Alerfed) tablet
33 Neurotropik 5000 injeksi ampul
34 Neurotropik kaplet (MOLANEURON) kaplet
35 Neurotropik kaplet (Nutrifar) kaplet
36 Neurotropik kaplet (NUTRALIX)
37 Nutrisi/Vitamin injeksi (Alinamin F) ampul
38 Nutrisi/vitamin tablet (Aspar K) tablet
39 Obat antifibrinolitik kapsul (NEXITRA) kotak-50 kaplet
40 Obat Antiflu kombinasi (Tremenza) botol 60 ml
41 Obat Antiulkus peptikum tablet (Nucral) tablet
42 Obat batuk / flu sirup : Coredryl botol 100 ml
43 Obat batuk / flu sirup : Erphaflu botol 60 ml
44 Obat batuk / flu sirup : Erphakaf botol 100 ml
45 Obat batuk / flu sirup : Fortusin botol 60 ml

349528374.xlsx/Harga 5
 46 Obat batuk / flu sirup : SAMCODRYL botol 60 ml
47 Vasodilator perifer (Citicholin) ampul

D OBAT ASLI INDONESIA (OAI)

1 Asifit kapsul
2 Batugin elixir botol
3 Enkasari botol
4 Fitogen Dragge kapsul
5 Hepagard kapsul
6 Imulan kapsul kapsul
7 Imulan sirup botol 60 ml
8 Kurkumex sirup botol 60 ml
9 Kurkumex tablet kaplet
10 OB Herbal
11 Tensigard kapsul kapsul
12 Xanvit sirup

II PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml set
2 Alat suntik sekali pakai 2,5 ml (Stera) set
3 Alat suntik sekali pakai 3 ml set
4 Alat suntik sekali pakai 5 ml set
5 Alkohol swab box
6 Bbraun Intrafix with microdriper set
7 Bisturi (mata pisau) Pcs
8 Blood lancet 28 box-100
9 Blood Tranfusion set Pcs
10 Catgut / benang bedah No. 2/0 - 3/0 Kotak@24x75 cm
11 Catgut chromic 2/0 100 M kotak
12 Catgut chromic 3/0 100 M kotak
13 Catgut chromic 2/0 saset/pack
14 Catgut chromic 3/0 saset/pack
15 Catgut plain 2/0 saset/pack
16 Catgut plain 3/0 saset/pack
17 Dermafix T 10 x 15 cm rol
18 Dermafix T 5 x 7 cm rol
19 Developer untuk Film Rontgen Botol 5 ltr Repl 20
20 Desinfektan - Aseptin liquid botol-500 ml
21 Film Rontgen ukuran 24 x 30 lembar
22 Film Rontgen ukuran 30 x 40 lembar
23 Fixer untuk Film Rontgen Galon 20 liter
24 Folley catheter No. 16 Pcs
25 Folley catheter No. 18 Pcs
26 Infus set (Otsu Y) pices
27 Infus set dengan micridripper (Otsu) pices
28 Infus set anak set/kantong
29 Infus set dewasa set/kantong
30 IV catheter No. 18 G buah
31 IV catheter No. 20 G buah
32 IV catheter No. 22 G buah
33 IV catheter No. 24 G buah
34 Jarum jahit otot / kulit saset
35 Kapas pembalut/absorben 250 gram bungkus
36 Kasa 10 x 10 cm rol
37 Kasa hidrofil 80 cm x 40 yard rol
38 Kasa hidrofil steril ukuran 16 x 16 box
39 Kasa hidrofil ukuran 16 x 16 lembar
40 Kasa kompres 40/40 steril bungkus
41 Kasa pembalut hidrofil 4 m x 10 cm roll
42 Kasa pembalut hidrofil 4 m x 15 cm elastic rol
43 Kasa pembalut hidrofil 4 m x 3 cm elastic rol
44 Kertas EKG ( 50 x 30) rol
45 KY Jelly 28 gram / Aquagel jelly tube
46 Masker, Earloop pcs
47 Masker, tie on Pcs

349528374.xlsx/Harga 6
 48 Mata Bor gigi buah
- type inverted No. 010 buah
- type cylinder No. 010 buah
- type tuppered No. 010 buah
- type round No. 010 buah
49 Micropipet Socorex - Acua
- Volume 1 - 10 uL set
- Volume 10 - 100 uL set
- Volume 100 - 1000 uL set
50 Nasal oxygen canula adult sraight pieces
51 Nasal oxygen canula - child pieces
51 Penutup luka dengan antibiotika Pcs
51 Plester 2.5 cm x 4.5 m (Leucoplast) rol
51 Plester 5 yards x 2 inchi rol
51 Plester hypafix 5 cm x 5 m rol
51 Plester kain 1,25 cm x 4,5 m (Leukoplast) Rol
51 Pot sputum buah
51 Sarung tangan steril obsgyn nomor 6,5 pasang
51 Sarung tangan steril obsgyn nomor 7 pasang
51 Sarung tangan steril obsgyn nomor 7,5 pasang
51 Sarung tangan steril nomor 6,5 pasang
51 Sarung tangan steril nomor 7 pasang
51 Sarung tangan steril nomor 7,5 pasang
51 Sarung tangan steril nomor 8
51 Sarung tangan ukuran M sekali pakai Pcs
51 Sarung tangan ukuran S sekali pakai Pcs
51 Silk (benang bedah sutera no 2/0 dg jarum pack/saset
51 Silk (benang bedah sutera no 3/0 dg jarum pack/saset
51 Silk 3/0 jarum 3/8 26 M (demetech) box-12 pacs
51 Silk 2/0 jarum 3/8 30 M (demetech) box-12 pacs
51 Silk 3/0 jarum 1/2 17 M (demetech) box-12 pacs
51 Silk 2/0 jarum 1/2 30 M (demetech) box-12 pacs
51 Tabung oksigen 1 m3 + regulator set
51 Urine bag Pcs
51 Under pad buah
51 Wing needle 23 G - 25 G buah

TAMBAHAN PERBEKALAN KESEHATAN

1 Alat pengukur HB 201 + analizer unit
2 Dek glass (cover glass) box
3 Microcuvet Hb 201 buah
4 Object glass box
5 Occu check (alat pemegang lancet ROCHE) kit
6 Softclick lanciet 200 box
7 Softclick lancing device kit
8 Tabung hematokrit botol

III REAGEN
1 Aquabidest steril botol 500 ml
2 Aquabidest steril botol 1000 ml
3 Pemeriksaan kadar gula darah
Glocodoctor Box-50 test
Accutrand 25 strip
Easy Touch box/25
Nesco gluco strip box/25
Glucostar box/25
4 Reagen Pemeriksaan Asam Urat
Nesco box-25
Easy Touch box-25
UA Sure box-25
5 Reagen Pemeriksaan Kolesterol
Accutrand box/25
Easy touch cholesterol box-10
Nesco box-10

349528374.xlsx/Harga 7
 Multicare box/25
6 Hb Sahli
- Assistant set
- Superior set
7 Reagen untuk spektrofotometr
- Reagen glukosa box-4 btl
- Reagen Trigliserida box-4 btl
- Reagen asam urat box-4 btl
8 Trigliserida
- Accutrend box / 25
- Multicare box / 25
7 Larutan amonium oksalat 1 % Botol 100 ml
8 Larutan Asam asetat 6 % Botol 100 ml
9 Larutan Asam Klorida 0,1 N Botol 100 ml
10 Larutan Benedict Botol 100 ml
11 Larutan EDTA 10 % Botol 100 ml
12 Larutan Eosin Botol 100 ml
13 Larutan Giemsa Stain Botol 100 ml
14 Larutan Karbol Fuksin Botol 100 ml
15 Larutan Metanol Botol 100 ml
16 Larutan Metilen Blue Botol 100 ml
17 Larutan Natrium citrat Botol 100 ml
18 Larutan Perhidrol (H2O2) Botol 100 ml
19 Larutan Turk Botol 100 ml
20 Larutan Ziehl Neelsen set
21 Reagen pemeriksaan yodium botol
22 Reagen dan alat pengujian lab makanan 100 tes / unit
23 Rapid Diagnostic Test Malaria kit-25 tes
24 Rapid test Leptospirosis box/50 strip
25 Rapid test Chikungunya tes
26 Rapid test demam berdarah kit-25 tes
27 Rapid test demam thypoid kit-25 tes
28 Tes Kehamilan
PPTEST Box 40 tes
HCG strip (answer) strip
UltraOne tes kehamilan box 50 tes
29 Tes HBsAG S/P strip (Answer) box-40 strip
30 Tes HIV I & II Antibody Card (IR-100c) btl-25 tes
31 Urine Test 10 Parameter btl - 100 test
32 Widal Test Tg H (SS-01) Botol 5 ml
33 Widal Test Tg O (SS-90) Botol 5 ml
34 Tes Narkoba
- Metamfetamin strip
- Cocain strip
- Cannabidoid strip
- Benzodiasepin strip
- Babiturat strip
35 Reagen Mantoux ampul
36 Tes Golongan darah
- Anti A Botol 10 ml
- Anti B Botol 10 ml
- Anti AB Botol 10 ml
37 Oil emersi botol 25 ml

IV OBAT PROGRAM MALARIA (P2M)

1 ACT (Artesunate tablet 50 mg + Amodiaquin Anhydrat tablet 200 mg) tablet
2 Arteraquin (dihydro artemisin 40 mg tablet + diperaquin posphat 320) tablet tablet
3 Artemeter injeksi 1 ml 80 mg ampul
4 Artesunat injeksi vial 60 mg kotak/set
5 Kloroquin tablet 150 mg tablet
6 Kombinasi Pirimetamin 25 mg + Sulfadoksin 500 mg tablet
7 Kuinin Dihidroklorida injeksi 25% - 2 ml ampul
8 Kuinin tablet 222 mg (H2SO4.7H2O) tablet
9 Primaquin tablet 15 mg tablet
10 Doksisiklin kapsul 100 mg tablet

349528374.xlsx/Harga 8
V OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi saset
2 Zink Dispersible 20 mg tablet

VI. OBAT PROGRAM FILARIA (KAKI GAJAH)

1 Dietil karbamasin sitrat tablet

VII OBAT PROGRAM KELAMIN /SIFILIS (P2M)

1 Benzatin Benzil Penisilin injeksi 2,4 juta IU vial

VIII OBAT PROGRAM KUSTA (P2M)

1 Prednison tablet 5 mg tablet

IX OBAT PROGRAM FLU BURUNG

1 Oseltamivir kapsul kapsul

X OBAT PROGRAM GIZI (KIA)

1 Retinol (Vitamin A) 100.000 IU kapsul lunak kapsul
2 Retinol (Vitamin A) 200.000 IU kapsul lunak kapsul
3 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg) tablet
4 Mineral Mix saset
5 Iodol kapsul kapsul

XI. OBAT PROGRAM KECACINGAN (P2M)

1 Albendazol tablet 400 mg tablet
2 Albendazol suspensi 200 mg/5 ml botol 10 ml
3 Pirantel pamoat tablet 125 mg

XII. OBAT ANTI TUBERKULOSIS

1 Obat FDC kategori 1 paket
2 Obat FDC kategori 2 paket
3 Obat FDC Sisipan paket
4 OAT Anak paket
5 OAT Kombipak 1 paket

PROGRAM P2
Zidovudin + lamivudin (300 mg/150 mg tablet
Efavirenz 600 mg tablet
Tenofovir (TDF) 300 mg tablet
Nevirapin 200 mg tablet

PROGRAM KUSTA
Obat MDT Kusta PB Dewasa blister
Obat MDT Kusta MB Anak blister
Obat MDT Kusta MB Dewasa blister

349528374.xlsx/Harga 9
N

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Satuan
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349528374.xlsx/Harga 10
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349528374.xlsx/Harga 11
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###
850.0
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349528374.xlsx/Harga 12
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315.0
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90,000.0
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349528374.xlsx/Harga 13
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###
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349528374.xlsx/Harga 14
 9,600.0
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1,933.3

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###
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###
3,850.0
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###
7,700.0
###
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###

349528374.xlsx/Harga 15
 30,800.0
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###
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###

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###
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###
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462.0
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5,500.0
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349528374.xlsx/Harga 16
 385,000.0

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19,250.0
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100,001.0
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707,900.0

1,375.0
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349528374.xlsx/Harga 17
 288.0
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97.5

1,300.0

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406.7
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359,900.0
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214,990.0
288,199.0

3,429.0
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2,800.0

9,770.0
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349528374.xlsx/Harga 18