PT.

MERAPI UTAMA PHARMA

DAFTAR HARGA E-KATALOG BPJS
Prinsipal : PT. Otsuka Indonesia
Berlaku : 6 Januari 2016 REGION I

HARGA
No. Kode Nama Produk No. Register Kemasan HNA HNA+PPN
REGULAR SOLUTION ( 500 CC )
1 K-N1BE KA-EN 1B Sol. DKL9118702149A2 Btl. 500 cc 8,430 /btl 9,273 /btl *
2 K-N3AE KA-EN 3A DKL9218703049A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
3 KN3BAE KA-EN 3B / KK DKL9218703149A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
4 K-MG3E KA-EN MG3 Sol. DKL9118702049A1 Btl. 500 cc 8,727 /btl 9,600 /btl *

ASAM AMINO
5 PANMSE Pan-Amin G Softbag DKL7818704649A2 Bag. 500 cc 41,773 /bag 45,950 /bag *
6 AMNF5E Aminofluid-L 500ml DKL0918707849A1 Bag 500 cc 59,082 /bag 64,990 /bag *
7 AMNF1E Aminofluid-L 1000ml DKL0918707849A1 Bag 1000 cc ### /bag 118,250 /bag *
8 AMIPSE Amiparen Inj. 500ml Softbag DKL9218703649A1 Bag 500 cc 78,432 /bag 86,275 /bag *
9 AMILSE Aminoleban Inj. 500ml Softbag DKL8718701649AI Bag 500 cc 64,636 /bag 71,100 /bag *
10 KIDMSE Kidmin 200ml Softbag DKL991870564 Bag 200 cc 44,745 /bag 49,220 /bag *

ASERING
11 ASERIE Asering DKL9918705449A1 Btl. 500 cc 8,432 /btl 9,275 /btl *

KARBOHIDRAT
12 MRT10E Martos 10 D 6015233 Btl. 500 cc 28,273 /btl 31,100 /btl *

PLASTIC AMPUL 25 CC
13 AMELAE Meylon 8,4 % DKL9218703549A1 Amp. 25 cc 5,636 /amp 6,200 /amp
14 KCLPBE Otsu KCL 7,46 DKL7818704543A1 Amp. 25 cc 2,817 /amp 3,099 /amp *
15 MG-20E Otsu - MgSO4 20 DKL0318700643A1 Amp. 25 cc 2,909 /amp 3,200 /amp *
16 MG-40E Otsu - MgSO4 40 DKL0318700643B1 Amp. 25 cc 3,318 /amp 3,650 /amp *

MEDICAL DEVICES
17 IN34ME OI-34 Micro Drip Elasty Ball KD 0902000045 Pieces 7,200 /pcs 7,920 /Pcs
18 OIYSAE Otsu Y - Set Adaptor AKD20902600071 Pieces 7,200 /pcs 7,920 /Pcs

Group : 01036 (MD OtsuCath)

19 OTC16E OtsuCath 16G x 2" AKL20902403638 Box/50pcs 7,000 /Pcs 7,700 /Pcs
20 OTC18E OtsuCath 18G x 1 1/4" AKL20902403639 Box/50pcs 7,000 /Pcs 7,700 /Pcs
21 OTC20E OtsuCath 20G x 1 1/4" AKL20902403640 Box/50pcs 7,000 /Pcs 7,700 /Pcs
22 OTC22E OtsuCath 22G x 1" AKL20902403641 Box/50pcs 7,000 /Pcs 7,700 /Pcs
23 OTC24E OtsuCath 24G x 3/4" AKL20902403642 Box/50pcs 7,000 /Pcs 7,700 /Pcs

Catatan : * Berlaku untuk Propinsi :

DKI Jakarta, Jawa Barat, Jawa Tengah, DI Yogyakarta, Jawa Timur, Bali, Lampung dan Banten

* Harga berlaku sesuai kontrak payung e-Catalog

Barang yang sudah dibeli tidak dapat dikembalikan
 PT. MERAPI UTAMA PHARMA
DAFTAR HARGA E-KATALOG BPJS
Prinsipal : PT. Otsuka Indonesia
Berlaku : 6 Januari 2016 REGION II

HARGA
No. Kode Nama Produk No. Register Kemasan HNA HNA+PPN
REGULAR SOLUTION ( 500 CC )
1 K-N1BE KA-EN 1B Sol. DKL9118702149A2 Btl. 500 cc 8,430 /btl 9,273 /btl *
2 K-N3AE KA-EN 3A DKL9218703049A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
3 KN3BAE KA-EN 3B / KK DKL9218703149A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
4 K-MG3E KA-EN MG3 Sol. DKL9118702049A1 Btl. 500 cc 8,727 /btl 9,600 /btl *

ASAM AMINO
5 PANMSE Pan-Amin G Softbag DKL7818704649A2 Bag. 500 cc 41,773 /bag 45,950 /bag *
6 AMNF5E Aminofluid-L 500ml DKL0918707849A1 Bag 500 cc 59,082 /bag 64,990 /bag *
7 AMNF1E Aminofluid-L 1000ml DKL0918707849A1 Bag 1000 cc ### /bag 118,250 /bag *
8 AMIPSE Amiparen Inj. 500ml Softbag DKL9218703649A1 Bag 500 cc 78,432 /bag 86,275 /bag *
9 AMILSE Aminoleban Inj. 500ml Softbag DKL8718701649AI Bag 500 cc 64,636 /bag 71,100 /bag *
10 KIDMSE Kidmin 200ml Softbag DKL991870564 Bag 200 cc 44,745 /bag 49,220 /bag *

ASERING
11 ASERIE Asering DKL9918705449A1 Btl. 500 cc 8,432 /btl 9,275 /btl *

KARBOHIDRAT
12 MRT10E Martos 10 D 6015233 Btl. 500 cc 28,273 /btl 31,100 /btl *

PLASTIC AMPUL 25 CC
13 AMELAE Meylon 8,4 % DKL9218703549A1 Amp. 25 cc 5,636 /amp 6,200 /amp
14 KCLPBE Otsu KCL 7,46 DKL7818704543A1 Amp. 25 cc 2,817 /amp 3,099 /amp *
15 MG-20E Otsu - MgSO4 20 DKL0318700643A1 Amp. 25 cc 2,909 /amp 3,200 /amp *
16 MG-40E Otsu - MgSO4 40 DKL0318700643B1 Amp. 25 cc 3,318 /amp 3,650 /amp *

MEDICAL DEVICES
17 IN34ME OI-34 Micro Drip Elasty Ball KD 0902000045 Pieces 7,200 /pcs 7,920 /Pcs
18 OIYSAE Otsu Y - Set Adaptor AKD20902600071 Pieces 7,200 /pcs 7,920 /Pcs

Group : 01036 (MD OtsuCath)

19 OTC16E OtsuCath 16G x 2" AKL20902403638 Box/50pcs 7,000 /Pcs 7,700 /Pcs
20 OTC18E OtsuCath 18G x 1 1/4" AKL20902403639 Box/50pcs 7,000 /Pcs 7,700 /Pcs
21 OTC20E OtsuCath 20G x 1 1/4" AKL20902403640 Box/50pcs 7,000 /Pcs 7,700 /Pcs
22 OTC22E OtsuCath 22G x 1" AKL20902403641 Box/50pcs 7,000 /Pcs 7,700 /Pcs
23 OTC24E OtsuCath 24G x 3/4" AKL20902403642 Box/50pcs 7,000 /Pcs 7,700 /Pcs

Catatan : * Berlaku untuk Propinsi :

Sumatera Utara, Sumatera Barat, Riau, Jambi, Sumatera Selatan, Bengkulu
Kepulauan Bangka & Nusa Tenggara Barat

* Harga berlaku sesuai kontrak payung e-Catalog

Barang yang sudah dibeli tidak dapat dikembalikan
 PT. MERAPI UTAMA PHARMA
DAFTAR HARGA E-KATALOG BPJS
Prinsipal : PT. Otsuka Indonesia
Berlaku : 6 Januari 2016 REGION III

HARGA
No. Kode Nama Produk No. Register Kemasan HNA HNA+PPN
REGULAR SOLUTION ( 500 CC )
1 K-N1BE KA-EN 1B Sol. DKL9118702149A2 Btl. 500 cc 8,430 /btl 9,273 /btl *
2 K-N3AE KA-EN 3A DKL9218703049A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
3 KN3BAE KA-EN 3B / KK DKL9218703149A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
4 K-MG3E KA-EN MG3 Sol. DKL9118702049A1 Btl. 500 cc 8,727 /btl 9,600 /btl *

ASAM AMINO
5 PANMSE Pan-Amin G Softbag DKL7818704649A2 Bag. 500 cc 41,773 /bag 45,950 /bag *
6 AMNF5E Aminofluid-L 500ml DKL0918707849A1 Bag 500 cc 59,082 /bag 64,990 /bag *
7 AMNF1E Aminofluid-L 1000ml DKL0918707849A1 Bag 1000 cc ### /bag 118,250 /bag *
8 AMIPSE Amiparen Inj. 500ml Softbag DKL9218703649A1 Bag 500 cc 78,432 /bag 86,275 /bag *
9 AMILSE Aminoleban Inj. 500ml Softbag DKL8718701649AI Bag 500 cc 64,636 /bag 71,100 /bag *
10 KIDMSE Kidmin 200ml Softbag DKL991870564 Bag 200 cc 44,745 /bag 49,220 /bag *

ASERING
11 ASERIE Asering DKL9918705449A1 Btl. 500 cc 8,432 /btl 9,275 /btl *

KARBOHIDRAT
12 MRT10E Martos 10 D 6015233 Btl. 500 cc 28,273 /btl 31,100 /btl *

PLASTIC AMPUL 25 CC
13 AMELAE Meylon 8,4 % DKL9218703549A1 Amp. 25 cc 5,636 /amp 6,200 /amp
14 KCLPBE Otsu KCL 7,46 DKL7818704543A1 Amp. 25 cc 2,817 /amp 3,099 /amp *
15 MG-20E Otsu - MgSO4 20 DKL0318700643A1 Amp. 25 cc 2,909 /amp 3,200 /amp *
16 MG-40E Otsu - MgSO4 40 DKL0318700643B1 Amp. 25 cc 3,318 /amp 3,650 /amp *

MEDICAL DEVICES
17 IN34ME OI-34 Micro Drip Elasty Ball KD 0902000045 Pieces 7,200 /pcs 7,920 /Pcs
18 OIYSAE Otsu Y - Set Adaptor AKD20902600071 Pieces 7,200 /pcs 7,920 /Pcs

Group : 01036 (MD OtsuCath)

19 OTC16E OtsuCath 16G x 2" AKL20902403638 Box/50pcs 7,000 /Pcs 7,700 /Pcs
20 OTC18E OtsuCath 18G x 1 1/4" AKL20902403639 Box/50pcs 7,000 /Pcs 7,700 /Pcs
21 OTC20E OtsuCath 20G x 1 1/4" AKL20902403640 Box/50pcs 7,000 /Pcs 7,700 /Pcs
22 OTC22E OtsuCath 22G x 1" AKL20902403641 Box/50pcs 7,000 /Pcs 7,700 /Pcs
23 OTC24E OtsuCath 24G x 3/4" AKL20902403642 Box/50pcs 7,000 /Pcs 7,700 /Pcs

Catatan : * Berlaku untuk Propinsi :

Nangroe Aceh Darussalam, Kalimantan Barat, Kalimantan Selatan, Kalimantan Timur, Sulawesi Utara,
Sulawesi Tengah, Sulawesi Selatan dan Kepulauan Riau

* Harga berlaku sesuai kontrak payung e-Catalog

Barang yang sudah dibeli tidak dapat dikembalikan
 PT. MERAPI UTAMA PHARMA
DAFTAR HARGA E-KATALOG BPJS
Prinsipal : PT. Otsuka Indonesia
Berlaku : 6 Januari 2016 REGION IV

HARGA
No. Kode Nama Produk No. Register Kemasan HNA HNA+PPN
REGULAR SOLUTION ( 500 CC )
1 K-N1BE KA-EN 1B Sol. DKL9118702149A2 Btl. 500 cc 8,430 /btl 9,273 /btl *
2 K-N3AE KA-EN 3A DKL9218703049A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
3 KN3BAE KA-EN 3B / KK DKL9218703149A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
4 K-MG3E KA-EN MG3 Sol. DKL9118702049A1 Btl. 500 cc 9,091 /btl 10,000 /btl *

ASAM AMINO
5 PANMSE Pan-Amin G Softbag DKL7818704649A2 Bag. 500 cc 41,773 /bag 45,950 /bag *
6 AMNF5E Aminofluid-L 500ml DKL0918707849A1 Bag 500 cc 59,082 /bag 64,990 /bag *
7 AMNF1E Aminofluid-L 1000ml DKL0918707849A1 Bag 1000 cc ### /bag 118,250 /bag *
8 AMIPSE Amiparen Inj. 500ml Softbag DKL9218703649A1 Bag 500 cc 78,432 /bag 86,275 /bag *
9 AMILSE Aminoleban Inj. 500ml Softbag DKL8718701649AI Bag 500 cc 64,636 /bag 71,100 /bag *
10 KIDMSE Kidmin 200ml Softbag DKL991870564 Bag 200 cc 44,745 /bag 49,220 /bag *

ASERING
11 ASERIE Asering DKL9918705449A1 Btl. 500 cc 8,432 /btl 9,275 /btl *

KARBOHIDRAT
12 MRT10E Martos 10 D 6015233 Btl. 500 cc 29,091 /btl 32,000 /btl *

PLASTIC AMPUL 25 CC
13 AMELAE Meylon 8,4 % DKL9218703549A1 Amp. 25 cc 5,636 /amp 6,200 /amp
14 KCLPBE Otsu KCL 7,46 DKL7818704543A1 Amp. 25 cc 2,817 /amp 3,099 /amp *
15 MG-20E Otsu - MgSO4 20 DKL0318700643A1 Amp. 25 cc 2,909 /amp 3,200 /amp *
16 MG-40E Otsu - MgSO4 40 DKL0318700643B1 Amp. 25 cc 3,318 /amp 3,650 /amp *

MEDICAL DEVICES
17 IN34ME OI-34 Micro Drip Elasty Ball KD 0902000045 Pieces 7,200 /pcs 7,920 /Pcs
18 OIYSAE Otsu Y - Set Adaptor AKD20902600071 Pieces 7,200 /pcs 7,920 /Pcs

Group : 01036 (MD OtsuCath)

19 OTC16E OtsuCath 16G x 2" AKL20902403638 Box/50pcs 7,000 /Pcs 7,700 /Pcs
20 OTC18E OtsuCath 18G x 1 1/4" AKL20902403639 Box/50pcs 7,000 /Pcs 7,700 /Pcs
21 OTC20E OtsuCath 20G x 1 1/4" AKL20902403640 Box/50pcs 7,000 /Pcs 7,700 /Pcs
22 OTC22E OtsuCath 22G x 1" AKL20902403641 Box/50pcs 7,000 /Pcs 7,700 /Pcs
23 OTC24E OtsuCath 24G x 3/4" AKL20902403642 Box/50pcs 7,000 /Pcs 7,700 /Pcs

Catatan : * Berlaku untuk Propinsi :

Kalimantan Utara, Kalimantan Tengah, Sulawesi Tenggara, Gorontalo & Sulawesi Barat

* Harga berlaku sesuai kontrak payung e-Catalog

Barang yang sudah dibeli tidak dapat dikembalikan
 PT. MERAPI UTAMA PHARMA
DAFTAR HARGA E-KATALOG BPJS
Prinsipal : PT. Otsuka Indonesia
Berlaku : 6 Januari 2016 REGION V

HARGA
No. Kode Nama Produk No. Register Kemasan HNA HNA+PPN
REGULAR SOLUTION ( 500 CC )
1 K-N1BE KA-EN 1B Sol. DKL9118702149A2 Btl. 500 cc 8,430 /btl 9,273 /btl *
2 K-N3AE KA-EN 3A DKL9218703049A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
3 KN3BAE KA-EN 3B / KK DKL9218703149A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
4 K-MG3E KA-EN MG3 Sol. DKL9118702049A1 Btl. 500 cc 9,182 /btl 10,100 /btl *

ASAM AMINO
5 PANMSE Pan-Amin G Softbag DKL7818704649A2 Bag. 500 cc 41,773 /bag 45,950 /bag *
6 AMNF5E Aminofluid-L 500ml DKL0918707849A1 Bag 500 cc 59,082 /bag 64,990 /bag *
7 AMNF1E Aminofluid-L 1000ml DKL0918707849A1 Bag 1000 cc ### /bag 118,250 /bag *
8 AMIPSE Amiparen Inj. 500ml Softbag DKL9218703649A1 Bag 500 cc 78,432 /bag 86,275 /bag *
9 AMILSE Aminoleban Inj. 500ml Softbag DKL8718701649AI Bag 500 cc 64,636 /bag 71,100 /bag *
10 KIDMSE Kidmin 200ml Softbag DKL991870564 Bag 200 cc 44,745 /bag 49,220 /bag *

ASERING
11 ASERIE Asering DKL9918705449A1 Btl. 500 cc 8,432 /btl 9,275 /btl *

KARBOHIDRAT
12 MRT10E Martos 10 D 6015233 Btl. 500 cc 30,000 /btl 33,000 /btl *

PLASTIC AMPUL 25 CC
13 AMELAE Meylon 8,4 % DKL9218703549A1 Amp. 25 cc 5,636 /amp 6,200 /amp
14 KCLPBE Otsu KCL 7,46 DKL7818704543A1 Amp. 25 cc 2,817 /amp 3,099 /amp *
15 MG-20E Otsu - MgSO4 20 DKL0318700643A1 Amp. 25 cc 2,909 /amp 3,200 /amp *
16 MG-40E Otsu - MgSO4 40 DKL0318700643B1 Amp. 25 cc 3,318 /amp 3,650 /amp *

MEDICAL DEVICES
17 IN34ME OI-34 Micro Drip Elasty Ball KD 0902000045 Pieces 7,200 /pcs 7,920 /Pcs
18 OIYSAE Otsu Y - Set Adaptor AKD20902600071 Pieces 7,200 /pcs 7,920 /Pcs

Group : 01036 (MD OtsuCath)

19 OTC16E OtsuCath 16G x 2" AKL20902403638 Box/50pcs 7,000 /Pcs 7,700 /Pcs
20 OTC18E OtsuCath 18G x 1 1/4" AKL20902403639 Box/50pcs 7,000 /Pcs 7,700 /Pcs
21 OTC20E OtsuCath 20G x 1 1/4" AKL20902403640 Box/50pcs 7,000 /Pcs 7,700 /Pcs
22 OTC22E OtsuCath 22G x 1" AKL20902403641 Box/50pcs 7,000 /Pcs 7,700 /Pcs
23 OTC24E OtsuCath 24G x 3/4" AKL20902403642 Box/50pcs 7,000 /Pcs 7,700 /Pcs

Catatan : * Berlaku untuk Propinsi :

Nusa Tenggara Timur, Maluku, Maluku Utara, Papua Barat

* Harga berlaku sesuai kontrak payung e-Catalog

Barang yang sudah dibeli tidak dapat dikembalikan
 PT. MERAPI UTAMA PHARMA
DAFTAR HARGA E-KATALOG BPJS
Prinsipal : PT. Otsuka Indonesia
Berlaku : 6 Januari 2016 PAPUA

HARGA
No. Kode Nama Produk No. Register Kemasan HNA HNA+PPN
REGULAR SOLUTION ( 500 CC )
1 K-N1BE KA-EN 1B Sol. DKL9118702149A2 Btl. 500 cc 8,430 /btl 9,273 /btl *
2 K-N3AE KA-EN 3A DKL9218703049A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
3 KN3BAE KA-EN 3B / KK DKL9218703149A1 Btl. 500 cc 9,136 /btl 10,050 /btl *
4 K-MG3E KA-EN MG3 Sol. DKL9118702049A1 Btl. 500 cc 9,182 /btl 10,100 /btl *

ASAM AMINO
5 PANMSE Pan-Amin G Softbag DKL7818704649A2 Bag. 500 cc 41,773 /bag 45,950 /bag *
6 AMNF5E Aminofluid-L 500ml DKL0918707849A1 Bag 500 cc 59,082 /bag 64,990 /bag *
7 AMNF1E Aminofluid-L 1000ml DKL0918707849A1 Bag 1000 cc ### /bag 118,250 /bag *
8 AMIPSE Amiparen Inj. 500ml Softbag DKL9218703649A1 Bag 500 cc 78,432 /bag 86,275 /bag *
9 AMILSE Aminoleban Inj. 500ml Softbag DKL8718701649AI Bag 500 cc 64,636 /bag 71,100 /bag *
10 KIDMSE Kidmin 200ml Softbag DKL991870564 Bag 200 cc 44,745 /bag 49,220 /bag *

ASERING
11 ASERIE Asering DKL9918705449A1 Btl. 500 cc 8,432 /btl 9,275 /btl *

KARBOHIDRAT
12 MRT10E Martos 10 D 6015233 Btl. 500 cc 30,000 /btl 33,000 /btl *

PLASTIC AMPUL 25 CC
13 AMELAE Meylon 8,4 % DKL9218703549A1 Amp. 25 cc 5,636 /amp 6,200 /amp
14 KCLPBE Otsu KCL 7,46 DKL7818704543A1 Amp. 25 cc 2,817 /amp 3,099 /amp *
15 MG-20E Otsu - MgSO4 20 DKL0318700643A1 Amp. 25 cc 2,909 /amp 3,200 /amp *
16 MG-40E Otsu - MgSO4 40 DKL0318700643B1 Amp. 25 cc 3,318 /amp 3,650 /amp *

MEDICAL DEVICES
17 IN34ME OI-34 Micro Drip Elasty Ball KD 0902000045 Pieces 7,200 /pcs 7,920 /Pcs
18 OIYSAE Otsu Y - Set Adaptor AKD20902600071 Pieces 7,200 /pcs 7,920 /Pcs

Group : 01036 (MD OtsuCath)

19 OTC16E OtsuCath 16G x 2" AKL20902403638 Box/50pcs 7,000 /Pcs 7,700 /Pcs
20 OTC18E OtsuCath 18G x 1 1/4" AKL20902403639 Box/50pcs 7,000 /Pcs 7,700 /Pcs
21 OTC20E OtsuCath 20G x 1 1/4" AKL20902403640 Box/50pcs 7,000 /Pcs 7,700 /Pcs
22 OTC22E OtsuCath 22G x 1" AKL20902403641 Box/50pcs 7,000 /Pcs 7,700 /Pcs
23 OTC24E OtsuCath 24G x 3/4" AKL20902403642 Box/50pcs 7,000 /Pcs 7,700 /Pcs

Catatan : * Berlaku untuk Propinsi :

Papua

* Harga berlaku sesuai kontrak payung e-Catalog

Barang yang sudah dibeli tidak dapat dikembalikan