ISI 2016

FORNAS SATUA
NO NAMA BARANG KEMA
1 N HARGA E
SAN
KATALOG
1 Alopurinol Tablet 100 mg FORNAS 100 Tablet 90.00
2 Aminofilin Inj 24 mg/ml-10 ml FORNAS 30 Ampul 3,345.00
3 Aminofilin Tablet 200 mg FORNAS 100 Tablet
4 Amlodipin Tablet 5 mg FORNAS 30 Tablet 105.00
5 Amoksisilin Kaplet 500 mg FORNAS 100 Kaplet 232.00
6 Amoksisilin Sirup Kering 125 mg/5 ml FORNAS Botol 2,090.00
7 Antalgin (Metampiron) Tablet 500 mg - Tablet
8 Antasida DOEN I Tablet Kunyah FORNAS 100 Tablet 62.00
9 Antasida II Suspensi 60 ml FORNAS 50 Botol 2,025.00
10 Anti Hemmoroid DOEN FORNAS 10 Supp 3,045.00
11 Antibakteri DOEN 25 Tube
12 Antifungi DOEN kombinasi FORNAS 24 Pot 4,158.00
13 Antimigren DOEN FORNAS 100 Tablet
14 Aqua Pro Inj steril bebas pirogen- 20 ml FORNAS 10 Vial 2,000.00
15 Asam Asetilsalisilat Tablet 80 mg (Aseto FORNAS 100 Tablet 114.00
16 Asam Askorbat (VIT C) Tablet 50 mg FORNAS 100 Tablet 104.00
17 Asam Mefenamat kaplet 500 mg FORNAS 100 Tablet 106.00
18 Asiklovir Krim 5%/5g 25 Tube
19 Asiklovir Tablet 400 mg FORNAS 100 Tablet 349.00
20 Atapulgit Tablet 600 mg FORNAS 50 Tablet 145.00
21 Atropin Sulfat Inj 0,25 mg/ml FORNAS 100 Ampul 1,672.00
22 Benzatin Benzil Penisilin Inj 2,4 juta IU/FORNAS 10 Vial 14,500.00
23 Betametason Krim 0.1 % FORNAS 25 Tube 1,380.00
24 Bromheksin Tablet 8 mg 100 Tablet
25 Deksametason Inj 5 mg/ml-1 ml FORNAS 100 Ampul 1,500.00
26 Deksametason Tablet 0,5 mg FORNAS 100 Tablet 44.00
27 Dekstrometorfan Tablet kombinasi (Alpara) 150 Tablet
28 Dektrometorfan Sirup kombinasi (Alpara) 60 Botol
29 Dextrose Inj 40% FORNAS 5 Vial
30 Difenhidramin Inj 10 mg/ml FORNAS 30 Ampul 1,176.00
31 Digoksin Tablet 0,25 mg FORNAS 100 Tablet 105.00
32 Dimenhidrinat Tablet 50 mg FORNAS 100 Tablet
33 Domperidon Suspensi 5mg/5ml FORNAS 50 Botol 3,000.00
34 Domperidon Tablet 10 mg FORNAS 100 Tablet 118.00
35 Epinefrina HCl/Bitartrat (Adrenalin) Inj FORNAS 30 Ampul 2,204.00
36 Eritromisin Kapsul 250 mg FORNAS 100 Kapsul 566.00
37 Etakridin Larutan 0,1 % 1 Botol 2,550.00
38 Etanol 70 %- 100 ml FORNAS 1 Botol
39 Etanol 70 %- 1000 ml FORNAS 1 Botol 21,500.00
40 Etil Klorida Spray FORNAS - Botol
41 Fenoksimetil Penisilin Tablet 500 mg FORNAS 100 Tablet 605.00
42 Fitomenadion (Vit K1) Tablet Salut Gul FORNAS 100 Tablet 695.00
43 Furosemid Tablet 40 mg FORNAS 100 Tablet 78.00
44 Gentamisin Inj 40 mg/ml (Sulfat) 5 Vial 3,083.00
45 Gentamisin Salep Kulit 0,1% 25 Tube
46 Gentian Violet Larutan 1 %-10 ml 24 Botol
47 Glibenklamid Tablet 5 mg FORNAS 100 Tablet
48 Gliseril Guaiakolat Tablet 100 mg 1,000 Tablet
49 Glukosa Larutan Infus 5% steril FORNAS 20 Fls 6,900.00
50 Griseofulvin Tablet 125 mg Micronized FORNAS 100 Tablet
51 Hidrokortison Krim 2,5 % FORNAS 24 Tube 2,650.00
52 Ibuprofen Tablet 400 mg FORNAS 100 Tablet 127.00
53 Isosorbid Dinitrat Tablet Sublingual 5 FORNAS 100 Tablet 88.00
54 Kalsium Laktat (Kalk) Tablet 500 mg FORNAS 100 Tablet 63.00
55 Kaptropil Tablet 25 mg FORNAS 100 Tablet 68.00
56 Karbogliserin Tetes Telinga 10 % FORNAS 24 Botol 2,500.00
57 Karbon Aktif Tablet 250 mg 750 Tablet
58 Ketokonazol Tablet 200 mg FORNAS 50 Tablet
59 Kloramfenikol Kapsul 250 mg FORNAS 120 Kapsul
60 Kloramfenikol Salep Mata 1 % FORNAS 24 Tube 1,798.00
61 Kloramfenikol Sirup 125 mg/5 ml FORNAS 1 Botol 3,955.00
62 Kloramfenikol Tetes Mata 0.5% FORNAS 25 Botol
63 Kloramfenikol Tetes telinga 3 % FORNAS 24 Tube
64 Klorfenarimin Maleat (CTM) Tablet 4 FORNAS 100 Tablet 42.00
65 Kotrimoksazol Susp:Sulf 200+Trim 40 FORNAS 50 Botol 2,140.00
66 Kotrimoksazol Tab Dws:Sulf 400+Trim FORNAS 100 Tablet 151.00
67 Lidokain Inj 2% FORNAS - Ampul
Lidokain Inj Komp : Lidokain %+
68 Epinefrin 1 : 80000-2 ml FORNAS 30 Ampul 1,845.00
69 Lisol 1 Botol 41,000.00
70 Loratadin Tablet 10 mg FORNAS 100 Tablet 134.00
71 Metformin HCl Tablet 500 mg FORNAS 100 Tablet 100.00
72 Metilprednisolon Tablet 4 mg FORNAS 100 Tablet 194.00
73 Metronidazol Tablet 500 mg FORNAS 100 Tablet 133.00
74 Mikonazol Krim/Salep 2% FORNAS 24 Tube 3,250.00
75 Multivitamin + DHA + Lysin (Truvit) 60 Botol
76 Multivitamin + Mineral (Selviplex) 100 Kaplet
77 Natrium Bikarbonat Tablet 500 mg FORNAS 1,000 Tablet
78 Natrium Diklofenak Tablet 50 mg FORNAS 50 Tablet 159.00
79 Natrium Klorida Larutan Infus 0,9% FORNAS 20 Fls 6,410.00
80 Nistatin Tablet Salut Gula 500.000 IU/g FORNAS 100 Tablet 745.00
81 Nistatin Tablet Vaginal 100.000 IU/g FORNAS 100 Tablet 523.00
82 Obat Batuk Hitam (OBH) Cairan 120 Botol
83 Oksitetrasiklin HCl 1 % Salep Mata 25 Tube
 84 Oksitetrasiklin HCl Salep Kulit 3 % 24 Tube
85 Omeprazol Kapsul 20 mg FORNAS 30 Kapsul 160.00
86 Ondansetron Inj 4 mg/2 ml 5 Ampul 1,650.00
87 Parasetamol Sirup 120 mg / 5ml FORNAS Botol 1,074.00
88 Parasetamol Tablet 500 mg FORNAS 100 Tablet 56.00
89 Permetrin 5% Krim (Scabimite) FORNAS 60 Tube 12,155.00
90 Piracetam Tablet 1200 mg 30 Tablet
91 Piridoksin HCl (Vit B6) Tablet 10 mg FORNAS 100 Tablet 118.00
92 Povidon Iodida 10 %-30 ml FORNAS 1 Botol
93 Povidon Iodida 10 %-300 ml FORNAS 1 Botol
94 Prednison Tablet 5 mg FORNAS 100 Tablet 96.00
95 Propanolol HCl Tablet 10 mg FORNAS 100 Tablet 60.00
96 Propiltiourasil Tablet 100 mg FORNAS 100 Tablet
97 Ranitidin Inj 25 mg/ml 10 Ampul 1,390.00
98 Ranitidin Tablet 150 mg FORNAS 100 Tablet 105.00
99 Ringer Laktat Larutan Infus Steril FORNAS 20 Fls 7,150.00
100 Salbutamol 2,5 mg/2,5 ml NaCl FORNAS 20 ampul 4,000.00
101 Salbutamol Tablet 4 mg FORNAS 100 Tablet 83.00
102 Salep 2-4 kombinasi : as.asal 2 % + Bel. FORNAS 24 Pot 2,429.00
103 Salisil Bedak 2 % FORNAS 100 Kotak 1,025.00
104 Sefadroksil Sirup 125 mg/5 ml 50 Botol
105 Sefadroxil Kapsul 500 mg 100 Kapsul 510.00
106 Sefotaksim Inj 1 g 10 Vial 4,000.00
107 Seftriaxon Inj 1 g 10 Vial
108 Sianokobalamin (Vit B12 ) Inj 500 mcg/ FORNAS 100 Ampul 1,098.00
109 Simvastatin Tablet 10 mg FORNAS 30 Tablet 131.00
110 Siprofloksasin (HCl) Tablet 500 mg FORNAS 100 Kaplet 281.00
111 Tetrasiklin Kapsul 500 mg FORNAS 100 Kapsul 310.00
112 Tiamfenikol Kapsul 500 mg 100 Kapsul
113 Tiamin HCL (Vit B1) Inj 100 mg/ml-1ml 30 Ampul
114 Tiamin HCL (Vit B1) Tablet 50 mg FORNAS 1,000 Tablet 86.00
115 Tramadol Inj 50 mg/ml 10 Ampul 1,800.00
116 Tramadol Kapsul 50 mg 50 Tablet
117 Vitamin B Kompleks Tablet FORNAS 100 Tablet 115.00
ALKES HABIS PAKAI -
118 Alat Suntik Sekali Pakai 1ml FORNAS 100 Set 669.50
119 Alat Suntik Sekali Pakai 2,5 ml / 3 ml FORNAS 100 Set 669.50
120 Alat Suntik Sekali Pakai 5 ml FORNAS 100 Set 772.50
121 Bisturi FORNAS - Buah
122 Blood set FORNAS 1 Buah 3,600.00
Catgut/Benang Bedah Chromic No.2/0
123 dengan jarum bedah FORNAS 24 Set 5,583.33
Catgut/Benang Bedah Chromic No.3/0
124 dengan jarum bedah FORNAS 24 Set 5,583.33
125 Folley Catheter 2 Way No.18 FORNAS 10 Buah 8,000.00
126 Infusion set anak FORNAS 50 Kantong 5,100.00
127 Infusion set dewasa FORNAS 50 Kantong 6,435.00
128 IV Catheter No.18 FORNAS 50 Set 6,000.00
129 IV Catheter No.20 FORNAS 50 Set 6,000.00
130 IV Catheter No.22 FORNAS 50 Set 6,000.00
131 IV Catheter No.24 FORNAS 50 Set 6,000.00
132 Jarum kulit FORNAS 12 Buah
133 Jarum otot FORNAS 12 Buah
134 Kapas Pembalut/absorben 250 mg FORNAS 1 Roll 12,500.00
135 Kasa Hidrofil 2x80 FORNAS 1 Roll 7,700.00
136 Kasa Hidrofil Steril 16 X 16 FORNAS 16 Lembar 362.50
137 Kasa Pembalut Hidrofil 4 X 10 cm FORNAS 1 Roll 1,500.00
138 Kasa Pembalut hidrofil 4 x 5 cm FORNAS 1 Roll 750.00
139 Kassa Pembalut elastic 4 inchi FORNAS 1 Roll
140 Masker tie on FORNAS 50 Buah 330.00
141 Plester 5 yard x 2 inch FORNAS 1 Roll 35,532.00
142 Sarung Tangan Non Steril FORNAS 100 Buah 325.00
143 Sarung Tangan Steril FORNAS 1 Set 4,180.00
144 Sendok Obat FORNAS 500 Buah
Silk (Benang Bedah Sutera) No.2/0
145 Dengan Jarum Bedah FORNAS 36 Set 3,055.56
146 Urin Bag FORNAS 1 Buah 3,000.00
PROGRAM KESGA -
147 Albendazol Tablet 400 mg FORNAS 30 Tablet
148 Fitomenadion(Vit K1) Inj 2 mg/ml FORNAS 30 Ampul 3,550.00
149 Iodin test 10 Botol
150 Magnesium sulfat Inj (IV) 20 % FORNAS 5 Ampul 3,200.00
151 Magnesium sulfat Inj (IV) 40 % FORNAS 5 Ampul 3,650.00
152 Metilergomatrin
Metilergometrin Maleat
Maleat Inj 0,200 mg FORNAS 100 Ampul 2,684.00
(Metilergometrin) Tablet Salut 0,125
153 mg FORNAS 100 Tablet
154 Mineral Mix - Sachet
155 Natrium Tiroksin Tablet 100 g 100 Tablet
156 Oksitoksin inj 10 IU/ml- 1 ml FORNAS 100 Ampul 1,900.00
157 Retinol (Vit A) Kapsul 100.000 IU FORNAS 50 Kapsul 284.00
158 Retinol (VIT A) Kapsul 200.000 IU FORNAS 50 Kapsul
Tablet Tambah Darah Kombinasi : Besi
159 II Sulfat 200 mg + Asam folat 0.25 mg FORNAS 30 Tablet
PROGRAM YANKES -
160 Amitriptilina HCl Tablet salut 25 mg FORNAS 100 Tablet 143.00
161 Diazepam Inj 5 mg/ml-2 ml FORNAS 30 Ampul
162 Diazepam Rectal 10 mg/2,5 ml FORNAS 5 tube 16,742.00
163 Diazepam Rectal 5 mg/2,5 ml FORNAS 5 tube 11,517.00
164 Diazepam Tablet 2 mg FORNAS 100 Tablet
165 Fenitoin Natrium Kapsul 100 mg FORNAS 100 Kapsul 154.00
166 Fenobarbital Tablet 30 mg FORNAS 100 Tablet
167 Flufenazin Inj im 25 mg/ml (Sikzonoate)FORNAS 5 Ampul 57,500.00
168 Haloperidol 5 mg FORNAS 100 Tablet 75.00
169 Haloperidol Tablet 1,5 mg FORNAS 100 Tablet 66.00
170 Karbamazepin Tablet 200 mg FORNAS 100 Tablet 270.00
171 Klorpropmazin HCl Tablet salut 100 mgFORNAS 100 Tablet 162.00
172 Risperidon Tablet 2 mg FORNAS 50 Tablet 495.00
173 Triheksifenidil HCl Tablet 2 mg FORNAS 100 Tablet 88.00
174 Devitalisasi Pasta (Devitex) FORNAS 1 Botol
175 Endometason FORNAS 1 Botol
176 Eugenol Cairan FORNAS 1 Botol 18,100.00
177 Formokresol Cair FORNAS 1 Botol
178 Glass Ionomer Cement (Vitromolar) FORNAS 1 Botol
179 Kalsium hidroksida pasta (Urbical) FORNAS 1 Botol
180 Monoklorkamfer mentol cairan FORNAS 1 Botol
181 Natrium Hipoklorit 3% FORNAS 1 Botol
182 Semen seng fosfat serbuk cairan (Vitroc FORNAS 1 Botol
183 Temporary Restorative Material FORNAS 1 Botol
PROGRAM P2 -
184 ADS 0.05 ml FORNAS 100 Buah 1,395.00
185 ADS 0.5 ml FORNAS 100 Buah
186 ADS 5 ml FORNAS 100 Buah
187 Azithromisin Tablet 500 mg 20 Tablet
188 Dehidroartemisin 40 mg + Piperaquin 3 FORNAS 1 Paket 3,498.00
189 Doksisilin Tablet 100 mg FORNAS 100 Tablet 269.00
190 Fluconazol Tablet 150 mg 10 Tablet 18,000.00
191 Garam Oralit I Serbuk FORNAS 100 Sachet 264.00
192 Human Tetanus Imunoglobulin Im 250UIFORNAS - Set 170,000.00
193 Isoniazid Tablet 100 mg FORNAS 100 Tablet 71.00
194 Kina Inj 26 % 2 ml FORNAS 100 Ampul
195 Kina Tablet 222 mg FORNAS 60 Tablet 603.00
196 Klindanmisin Tablet 300 mg FORNAS 50 Tablet
197 Masker N-95 FORNAS 20 Buah
198 MB Anak 1 Blister
199 MB Dewasa 1 Blister
200 OAT FDC Katagori 1 FORNAS 16 Paket 359,980.00
201 OAT FDC Katagori 2 FORNAS 4 Paket 1,199,985.00
202 OAT FDC Kategori Anak FORNAS 16 paket 214,985.00
203 OAT FDC Kategori Sisipan FORNAS 1 Paket 159,985.00
204 OAT Kombipak Kat I FORNAS - paket
205 PB Anak 1 Blister
206 PB Dewasa 1 Blister
207 Primakuin Tablet 15 mg FORNAS 100 Tablet 224.00
208 Safety box200 mg + Azitromisin 500
Sefiksime FORNAS 20 Buah
209 mg 1 Paket
210 Serum anti tetanus Inj 1500 IU/vial (ATSFORNAS 10 Ampul
211 Serum antibisa ular Polivalen Inj 5 ml FORNAS 10 Vial
212 Vaksin BCG + Pelarut FORNAS 10 Set 59,950.00
213 Vaksin Campak + Pelarut FORNAS 10 Set 28,204.00
214 Vaksin DPT-HB FORNAS 10 Vial
215 Vaksin DT FORNAS 100 Vial 17,798.00
216 Vaksin Hb-0 FORNAS 100 Set 20,900.00
217 Vaksin Meningitis FORNAS Paket
218 Vaksin Polio + Penetes FORNAS 10 Set
219 Vaksin Rabies Vero FORNAS 10 Set 78,500.00
220 Vaksin Td FORNAS 10 Vial
221 Vaksin TT FORNAS 10 Vial
222 Zinc Tablet 20 mg FORNAS 100 Tablet 514.00
REAGEN -
223 Cybow 10 Reagent Strip - Set
224 Humasens Plus - Set
225 Humasens Plus Strip Uric Acid - Kotak
226 Humasens Strip Glucose - Kotak
227 Rapid Test Biomedika HIV - Sachet
228 Rapid Test Biomeriux HIV 1 Sachet
229 Rapid Test Intec HIV 1 Sachet
230 Rapid Test Malaria - Sachet
231 Rapid Test Oncoprobe HIV 1 Sachet
232 Rapid Test SD HIV 100 Sachet
233 Rapid Test SD Syphilis - Sachet
234 Rapid Test Syphilis 1 Sachet
235 RPR Syphilis 1 Sachet
LAIN-LAIN -
236 Dekstrometorfan Tablet 15 mg 100 Tablet
237 Dektrometorfan Sirup 10 mg/5 ml 1 Botol
238 Vaksin Polio 20 dosis + Penetes
239 Vaksin Polio Inj
240 Kloramfenikol Salep Kulit 2% FORNAS Tube 3,091.00
241 hct 149.00
242 diazepam 5 mg 117.00
243 povidon 60 ml 6,550.00
244 ibuprof susp 2,475.00
245 prokain benzil 8,615.00
jumlah 184

RBA

Actavis
Afifarma
Astra zeneca indonesia
Berno
Bioaxion
BSN
Bufa
Dexa
Enseval
Erela
Errita
Ethica
Galenium
Glaxo
Guardian
Holi
Ifars
Ikapharmindo
Impharmin
Indofarma
JMI
Karindo alkestron
KF
Lucas
Marin
Mepro
Mersi
Mitra asa pratama
Mitra bahagia citra medika
Natura
Nova
Novel
Otsuka
Pertiwi Agung
Phapros
Pharma laboratories
Phyto
Prima alkesindo
Promed
Rama
Rajawali
Roche
Sampharindo
Serenity
Soho
Tempo
Triyasa nagamas farma
Tropica
Widatra
Yarindo
 2016

Pabrik

PT Shamparindo Perdana
PT Phapros Tbk

PT Promedrahardjo Farmasi Industri

PT Pharma Laboratories
PT Mersifarma Tirmaku Mercusana

PT Erela
PT Rama Emerald Multi Sukses
PT Kimia Farma

PT Marin Liza Farmasi

PT Ikapharmindo Putramas
PT Mersifarma Tirmaku Mercusana
PT Kimia Farma
PT Mersifarma Tirmaku Mercusana

PT Indofarma
PT Tropica Mas Pharmaceuticals
PT Ethica Industri Farmasi
PT Phapros Tbk
PT Rama Emerald Multi Sukses

PT Phapros Tbk
PT Promedrahardjo Farmasi Industri

PT Lucas Djaja
PT Yarindo Farmatama

PT Novapharin
PT Dexa Medica
PT Phapros Tbk
PT Lucas Djaja
Onemed
Onemed

PT Phapros Tbk
PT Phapros Tbk
PT Sampharindo
PT Indofarma

PT Widatra Bhakti

PT Kimia Farma
PT Phyto Kemo Agung Farma
PT Yarindo Farmatama
PT Mersifarma Tirmaku Mercusana
PT Phapros Tbk
PT Lucas Djaja

PT Kimia Farma
PT Errita Pharma

PT Novapharin
PT Rama Emerald Multi Sukses
PT Novapharin

PT Lucas Djaja
Onemed
PT Bernofarm
PT Tempo Scan Pacific Tbk
PT Natura Laboratoria Prima
PT Erela
PT Kimia Farma

PT Phapros Tbk
PT Widatra Bhakti
PT Phapros Tbk
PT Phapros Tbk
PT Novapharin
PT Soho Industri Pharmasi
PT Errita Pharma
PT Mersifarma Tirmaku Mercusana
PT Galenium Pharmasia Laboratories

PT Kimia Farma

PT Ifars Pharmaceutical Laboratories

PT Holi Pharma

PT Natura Laboratoria Prima

PT Dexa Medica
PT Widatra Bhakti
Glaxo Wellcome Indonesia
PT Kimia Farma
PT Marin Liza Farmasi
PT Rama Emerald Multi Sukses

PT Dexa Medica
PT Dexa Medica

PT Lucas Djaja
PT Mersifarma Tirmaku Mercusana
PT Novapharin
PT Novapharin

PT Novapharin
PT Mersifarma Tirmaku Mercusana

PT Kimia Farma

Stera
Stera
Stera
-
Stera

Onemed

Onemed
Onemed
Aximed
MMP
Aximed
Aximed
Aximed
Aximed
-
-
Onemed
Onemed
Onemed
Onemed
Onemed

Onemed
Leukoplast
Safeglove
Safeglove
-

Onemed
Onemed

PT Phapros Tbk

PT Otsuka Indonesia
PT Otsuka Indonesia
PT Ethica Industri Farmasi

PT Ethica Industri Farmasi

PT Kimia Farma

PT Yarindo Farmatama

Actavis Indonesia
Actavis Indonesia

PT Ikapharmindo Putramas

PT Mersifarma Tirmaku Mercusana

PT Mersifarma Tirmaku Mercusana
PT Holi Pharma
PT Mersifarma Tirmaku Mercusana
PT Mersifarma Tirmaku Mercusana
PT Guardian Pharmatama
PT Mersifarma Tirmaku Mercusana

PT Kimia Farma

PT Mitra Rajawali Banjaran

PT Mersifarma Tirmaku Mercusana

PT Indofarma
PT Kimia Farma
PT Phapros Tbk
PT Dexa Medica
PT Holi Pharma

PT Mersifarma Tirmaku Mercusana

PT Kimia Farma
PT Phapros Tbk
PT Phapros Tbk
PT Indofarma

PT Phapros Tbk
PT Novartis Indonesia

PT Kimia Farma

PT Bufa Aneka
PT Kimia Farma
PT Indofarma
PT Kimia Farma
PT Rama Emerald Multi Sukses
PT Phapros Tbk