NOTE : HARGA PER SATUAN SUDAH HNA+ONGKIR+PPN

(BELUM DIKALI 20% TAPI YA)

DAFTAR BMHP YANG MASUK E-KATALOG TAHAP KE-1

KODE
NO NAMA ALKES DAN BMHP
1 ALK1L ALKOHOL 70%
2 ETT3_REM ENDOTRACHEAL TUBE W/CUFFED
3 ETT3.5_REM ENDOTRACHEAL TUBE W/CUFFED
4 ETT4_REM ENDOTRACHEAL TUBE W/CUFFED
5 ETT4.5_REM ENDOTRACHEAL TUBE W/CUFFED
6 ETT5_REM ENDOTRACHEAL TUBE W/CUFFED
7 ETT5.5_REM ENDOTRACHEAL TUBE W/CUFFED
8 ETT6_REM ENDOTRACHEAL TUBE W/CUFFED
9 ETT6.5_REM ENDOTRACHEAL TUBE W/CUFFED
10 ETT7_REM ENDOTRACHEAL TUBE W/CUFFED
11 ETT7.5_REM ENDOTRACHEAL TUBE W/CUFFED
12 ETT8_REM ENDOTRACHEAL TUBE W/CUFFED
13 MASOK_ANREM MASKER OKSIGEN (ELONGATED)
14 MASOK_ADSREM MASKER OKSIGEN (ELONGATED)
15 FC210_AXI FOLLEY CATHETER (2 WAYS)
16 FC212_AXI FOLLEY CATHETER (2 WAYS)
17 FC214_AXI FOLLEY CATHETER (2 WAYS)
18 FC216_AXI FOLLEY CATHETER (2 WAYS)
19 FC218_AXI FOLLEY CATHETER (2 WAYS)
20 CANOK_XS_AXI NASAL OXYGEN CANNULA
21 CANOK_S_AXI NASAL OXYGEN CANNULA
22 CANOK_M_AXI NASAL OXYGEN CANNULA
23 CANOK_L_AXI NASAL OXYGEN CANNULA
24 BEN_PREM_PA2/0 SUTURES (NON ABSORBABLE)
25 BEN_PREM_PA3/0 SUTURES (NON ABSORBABLE)
26 BEN_PREM_PA3/0 SUTURES (NON ABSORBABLE)
27 BEN_PREM_PA5/0 SUTURES (NON ABSORBABLE)
28 BEN_PREM_PA6/0 SUTURES (NON ABSORBABLE)
29 BEN_SILKAM_SILBL3/0 SUTURES (NON ABSORBABLE)
30 BEN_SILKAM_SILBL2/0 SUTURES (NON ABSORBABLE)
31 BEN_SILKAM_SILBL1 SUTURES (NON ABSORBABLE)
32 TRANSET_SGFIX TRANFUSION SET
33 NEEDLE_SPINO_27 NEEDLE (SPINAL ANESTHESIA)
34 BEN_SAFIL_PA0 SUTURES (ABSORBABLE)
35 BEN_SAFIL_PA1 SUTURES (ABSORBABLE)
36 IVCAT_VASOFIX_16 IV CATHETER W/ INJECTION PORT
37 IVCAT_VASOFIX_18 IV CATHETER W/ INJECTION PORT
38 IVCAT_VASOFIX_20 IV CATHETER W/ INJECTION PORT
39 IVCAT_VASOFIX_22 IV CATHETER W/ INJECTION PORT
40 IVCAT_VASOFIX_24 IV CATHETER W/ INJECTION PORT
41 NEEDLE_SPINO_25 NEEDLE (SPINAL ANESTHESIA)
42 NEEDLE_SPINO_26 NEEDLE (SPINAL ANESTHESIA)
43 SCALPEL_10 SCALPEL BLADES
44 SCALPEL_11 SCALPEL BLADES
45 SCALPEL_15 SCALPEL BLADES
46 SCALPEL_22 SCALPEL BLADES
47 LEUKOMED_IV FILM IV DRESSING STERILE
48 LEUKOPLAS_2.5 LEUKOPLAST HOSPITAL
49 LEUKOPLAS_7.5 LEUKOPLAST HOSPITAL
50 KAPAS_50 KAPAS ABSORBEN
51 KAPAS_100 KAPAS ABSORBEN
52 KAPAS_250 KAPAS ABSORBEN
53 KAPAS_500 KAPAS ABSORBEN
54 KAPAS_1000 KAPAS ABSORBEN
55 KAPAS_LMK_500 KAPAS BERLEMAK
56 KAPAS_LMK_1000 KAPAS BERLEMAK
57 KASA_FM_40x80 KASA HIDROFIL
58 KASA_FM_5 KASA HIDROFIL
59 KASA_FM_10 KASA HIDROFIL
60 COTBAL_REG COTTON BALLS
61 COTBAL_BABY COTTON BALLS
62 COTBUD_REG COTTON BUD
63 COTBUD_BABY COTTON BUD
64 COTROLL_DENTAL COTTON ROLL (DENTAL)
65 CATHEJELL CATHEJELL (LUBRICANT)
66 DRAINTUB DRAINAGE TUBE
67 CESPIS_35x41 ELEKTRODA (CEST PIECE)
68 CESPIS_43x51 ELEKTRODA (CEST PIECE)
69 HANSCON_6_ECARE GLOVES (STERILE)
70 HANSCON_6.5_ECARE GLOVES (STERILE)
71 HANSCON_7_ECARE GLOVES (STERILE)
72 HANSCON_7.5_ECARE GLOVES (STERILE)
73 HANSCON_8_ECARE GLOVES (STERILE)
74 SURGITAPE_0.5_ECARE SURGICAL TAPE
75 SURGITAPE_1_ECARE SURGICAL TAPE
76 SURGITAPE_2_ECARE SURGICAL TAPE
77 BEN_CATCROM_2/0_ROLL SUTURES (ABSORBABLE)
78 BEN_CATCROM_JAR2/0_DEMETEC SUTURES (ABSORBABLE)
 79 BEN_CATCROM_3/0_ROLL SUTURES (ABSORBABLE)
80 BEN_CATCROM_JAR3/0_DEMETEC SUTURES (ABSORBABLE)
81 EXTENTUB_TERUM EXTENTION TUBE
82 BEN_CATCROM_2/0_DEMETEC SUTURES (ABSORBABLE)
83 BEN_CATCROM_3/0_DEMETEC SUTURES (ABSORBABLE)
84 BEN_PLAIN_JAR3/0_DEMETEC SUTURES (ABSORBABLE)
85 BEN_PLAIN_JAR2/0_DEMETEC SUTURES (ABSORBABLE)
86 BEN_PLAIN_JAR0_DEMETEC SUTURES (ABSORBABLE)
87 TULLE_BIOPLAS TULLE
88 ALKACID ALKACIDE
89 ADHESIV_TAPE ADHESIVES TAPE (STEAM)
90 ALKAZYM ALKAZYME
91 BOWIEDIK BOWIE DICK INDICATOR
92 FLATREEL_7.5 FLAT REEL
93 FLATREEL_15 FLAT REEL
94 FLATREEL_20 FLAT REEL
95 GUSETREEL_15 GUSSETTE REEL
96 GUSETREEL_20 GUSSETTE REEL
97 GUSETREEL_25 GUSSETTE REEL
98 INDISTRIP INDICATOR STRIPS (STEAM)
99 ECODIN ECODINE
100 POVIOD_60 POVIDONE IODINE
101 ARM_OMED_S ARM SLING
102 ARM_OMED_M ARM SLING
103 ARM_OMED_L ARM SLING
104 POT_SPUTUM POT SPUTUM STERIL
105 URINBAG_OMED URINE BAG STERIL
106 STOPCOK_OMED 3 WAY STOPCOCK/IV CANULA
107 STOPCOK_OMED_EXTUB 3 WAY STOPCOCK/IV CANULA
108 ALK_SWAB ALCOHOL AC SWAB
109 ALK_SWAB ALCOHOL SWAB
110 ASEPTIC ASEPTIC GEL
111 BRAKET BRACKET ASEPTIC GEL
112 NURSE_CAP CAP (PENUTUP KEPALA)
113 SURGEON_CAP CAP (PENUTUP KEPALA)
114 COMYBAG COLOSTOMY BAG
115 SPUIT_50LT_OMED DISP. SYRINGE NON NEEDLE
116 SPUIT_50LP_STERA DISP. SYRINGE NON NEEDLE
117 HANSCON_OBGYN_OMED GLOVES (STERIL)
118 INFSET_Y_STERA INFUS SET
119 MASK_EAR_OMED MASKER (DISPOSIBLE)
120 MASK_EARJIL_OMED MASKER (DISPOSIBLE)
121 MASK_TIE_OMED MASKER (DISPOSIBLE)
122 MAS_N95 MASKER N95
123 MASNEB_MAXI_ANA MASKER NEBULIZER
124 MASNEB_MAXI_DEW MASKER NEBULIZER
125 NRM_JAYA_ANA MASKER NON REBREATHING
126 NRM_JAYA_DEW MASKER NON REBREATHING
127 MASOK_MAXI_BAY MASKER OKSIGEN
128 SAFE_BOX SAFETY BOX
129 OSCRUB_BOT SCRUB (SURGICAL)
130 OSCRUB_GAL SCRUB (SURGICAL)
131 STIKPAN STIKPAN
132 SURGOWN_OMED SURGICAL GOWN (DISPOSIBLE)
133 ULTRA_GEL_250ML ULTRASONIC GEL
134 ULTRA_GEL_5L ULTRASONIC GEL
135 CORD_KLEM UMBILICAL CORD KLEM
136 UPAD UNDERPAD
137 SPUIT_20LT_OMED DISP. SYRINGE NON NEEDLE
138 SPUIT_20LP_STERA DISP. SYRINGE NON NEEDLE
139 SHOECOV SHOE COVER
140 URINAL URINAL
141 INFSET_DEW_INFIX INFUS SET MAKRO INTRAFIX
142 INFSET_ANA_INFIX INFUS SET MIKRO INTRAFIX
143 IVCAT_14_TERUMO IV CATHETER
144 IVCAT_16_TERUMO IV CATHETER
145 IVCAT_18_TERUMO IV CATHETER
146 IVCAT_20_TERUMO IV CATHETER
147 IVCAT_24_TERUMO IV CATHETER
148 IVCAT_26_TERUMO IV CATHETER
149 MASOK_ANA MASKER OKSIGEN
150 MASOK_DEW MASKER OKSIGEN
151 CANOK_BAY SELANG OKSIGEN (OXYFLOW)
152 CANOK_ANA SELANG OKSIGEN (OXYFLOW)
153 CANOK_DEW SELANG OKSIGEN (OXYFLOW)
154 TRANSET_SGFIX TRANSFUSION SET
155 URINBAG_GEA URINE BAG
156 MASOK_AN_GEA MASKER OKSIGEN
157 MASOK_DEW_GEA MASKER OKSIGEN
158 FEEDTUB_5_MAS FEEDING TUBE
159 FEEDTUB_6_MAS FEEDING TUBE
160 FEEDTUB_8_MAS FEEDING TUBE
161 HANSCON_6.5_MEDIC GLOVES (STERILE)
162 HANSCON_7_MEDIC GLOVES (STERILE)
163 HANSCON_7.5_MEDIC GLOVES (STERILE)
164 HANSCON_8_MEDIC GLOVES (STERILE)
165 STOMATUB_10_MAS STOMACH TUBE
166 STOMATUB_12_MAS STOMACH TUBE
167 STOMATUB_14_MAS STOMACH TUBE
168 STOMATUB_16_MAS STOMACH TUBE
169 STOMATUB_18_MAS STOMACH TUBE
170 SUCAT_6_MAS SUCTION CATHETER
171 SUCAT_8_MAS SUCTION CATHETER
172 SUCAT_10_MAS SUCTION CATHETER
173 SUCAT_12_MAS SUCTION CATHETER
174 SUCAT_14_MAS SUCTION CATHETER
175 SUCAT_16_MAS SUCTION CATHETER
176 TRANSET_Y_MAS TRANFUSION SET
177 TUBE_BD_PLN4 TUBE PLN PLH
178 TUBE_BD_EDTA3 TUBE EDTA PLH
179 TUBE_BD_MICRO TUBE MICRO W/MICROGARD PLN RD
180 TUBE_BD_PLN6 TUBE PLN PLH
181 NEEDLE_CNV_BD22 NEEDLE CNV
182 NEEDLE_CNV_BD21 NEEDLE CNV
183 NEEDLE_PEN_BD FINE PEN NEEDLE
184 FMCREPE_7.5 PEMBALUT ELASTIS (CREPE)
185 FMCREPE_10 PEMBALUT ELASTIS (CREPE)
186 FMCREPE_15 PEMBALUT ELASTIS (CREPE)
187 YELLOTIP YELLOW TIPS
188 BLUETIP BLUE TIPS
189 FC2_8_IDEAL FOLLEY CATHETER 2 WAY
190 FC2_6_IDEAL FOLLEY CATHETER 2 WAY
191 FC2_26_IDEAL FOLLEY CATHETER 2 WAY
192 FC2_24_IDEAL FOLLEY CATHETER 2 WAY
193 FC2_22_IDEAL FOLLEY CATHETER 2 WAY
194 FC2_20_IDEAL FOLLEY CATHETER 2 WAY
195 UNIVKIT KIT UNIVERSAL
196 GUDEL_000 GUEDEL AIRWAY
197 GUDEL_00 GUEDEL AIRWAY
198 GUDEL_0 GUEDEL AIRWAY
199 GUDEL_1 GUEDEL AIRWAY
200 GUDEL_2 GUEDEL AIRWAY
201 GUDEL_3 GUEDEL AIRWAY
202 GUDEL_4 GUEDEL AIRWAY
203 GUDEL_5 GUEDEL AIRWAY
204 SCRUB SCRUB BRUSH
205 MESHHERN T-HERNIA MESH
206 SPUIT_1_TER DISPOSIBLE SYRINGE W/NEEDLE
207 SPUIT_3_TER DISPOSIBLE SYRINGE W/NEEDLE
208 SPUIT_10_TER DISPOSIBLE SYRINGE W/NEEDLE
209 SPUIT_5_TER DISPOSIBLE SYRINGE W/NEEDLE
210 NEEDLE_18_TER NEEDLE (AGANI)
211 NEEDLE_22_TER NEEDLE (AGANI)
212 NEEDLE_20_TER NEEDLE (AGANI)
213 NEEDLE_24_TER NEEDLE (AGANI)
214 NEEDLE_26_TER NEEDLE (AGANI)
215 NEEDLE_25_TER NEEDLE (AGANI)
216 NEEDLE_27_TER NEEDLE (AGANI)
217 NEEDLE_PEN_TER NEEDLE (FOR PEN)
218 NEEDLE_WING_19_TER NEEDLE (SURFLO WING)
219 NEEDLE_WING_21_TER NEEDLE (SURFLO WING)
220 NEEDLE_WING_23_TER NEEDLE (SURFLO WING)
221 NEEDLE_WING_25_TER NEEDLE (SURFLO WING)
222 HANSCON_L_ASAP GLOVES (LITE NITRILE)
223 HANSCON_L_ASAP GLOVES (LITE NITRILE)
224 HANSCON_L_ASAP GLOVES (LITE NITRILE)
225 HANSCON_L_ASAP GLOVES (NON STERIL)
226 HANSCON_L_ASAP GLOVES (NON STERIL)
227 HANSCON_L_ASAP GLOVES (NON STERIL)
228 HANSCON_L_ASAP GLOVES (NON STERIL)
229 HANSCON_XS_POWD_ASAP GLOVES (NON STERIL)
230 HANSCON_S_POWD_ASAP GLOVES (NON STERIL)
231 HANSCON_M_POWD_ASAP GLOVES (NON STERIL)
232 HANSCON_L_POWD_ASAP GLOVES (NON STERIL)
233 KASTER_16_DRC KASA STERIL
234 IVCAT_24_OTSU IV CATHETER
235 ECG_PAPER ECG PAPER
236 FC3_24_WRP FOLLEY CATHETER 3 WAY
237 ASEPTIC ASEPTIC GEL
238 ETT_3_IDEAL ENDOTRACHEAL TUBE W/CUFFED
239 ETT_3.5_IDEAL ENDOTRACHEAL TUBE W/CUFFED
240 ETT_4_IDEAL ENDOTRACHEAL TUBE W/CUFFED
241 ETT_5_IDEAL ENDOTRACHEAL TUBE W/CUFFED
242 FC3_22_CHROM FOLLEY CATHETER (3 WAYS)
243 FC3_24_CHROM FOLLEY CATHETER (3 WAYS)
244 FC2_10_IDEAL FOLLEY CATHETER (2 WAYS)
245 FC2_14_IDEAL FOLLEY CATHETER (2 WAYS)
246 FC2_12_IDEAL FOLLEY CATHETER (2 WAYS)
247 FC2_16_IDEAL FOLLEY CATHETER (2 WAYS)
248 FC2_22_IDEAL FOLLEY CATHETER (2 WAYS)
249 FC2_24_IDEAL FOLLEY CATHETER (2 WAYS)
250 FC2_18_IDEAL FOLLEY CATHETER (2 WAYS)
251 BEN_SILK_BL1ROLL SUTURES (NON ABSORBABLE)
252 BEN_SILK_BL4/0ROLL SUTURES (NON ABSORBABLE)
253 BEN_SILK_BL3/0ROLL SUTURES (NON ABSORBABLE)
254 BEN_SAFIL_PA_ROLL SUTURES (NON ABSORBABLE)
255 BEN_SAFIL_PA2 SUTURES (ABSORBABLE)
256 BEN_SAFIL_PA2/0 SUTURES (ABSORBABLE)
257 BEN_SAFIL_PA3/0 SUTURES (ABSORBABLE)
258 BEN_SAFIL_OPHTAL_8/0 SUTURES (ABSORBABLE)
259 KASA_10_FM KASA HIDROFIL
260 KASA_KOMP_DRC KASA KOMPRES
261 HANSCON_S_AXI SARUNG TANGAN NON STERIL
262 HANSCON_M_AXI SARUNG TANGAN NON STERIL
263 HANSCON_L_AXI SARUNG TANGAN NON STERIL
264 HANSCON_S_MAS SARUNG TANGAN NON STERIL
265 HANSCON_M_AXI SARUNG TANGAN NON STERIL
266 HANSCON_L_AXI SARUNG TANGAN NON STERIL
267 BEN_CROM_ROLL SUTURES (ABSORBABLE)
268 BEN_CROM_3/0_BRAUN SUTURES (ABSORBABLE)
269 BEN_CROM_2_BRAUN SUTURES (ABSORBABLE)
270 BEN_CROM_2/0_BRAUN SUTURES (ABSORBABLE)
271 BEN_PLAIN_2/0_BRAUN SUTURES (ABSORBABLE)
272 BEN_PLAIN_3/0_BRAUN SUTURES (ABSORBABLE)
273 STOPCOK_AXI 3 WAY STOPCOCK/IV CANULA
274 STOPCOK_ET_AXI 3 WAY STOPCOCK/IV CANULA
275 MASK_EAR_AXI MASKER EARLOOP
276 MASK_TIE_AXI MASKER TIE ON
277 MASK_EAR_MAS MASKER EARLOOP
278 MASK_TIE_MAS MASKER TIE ON
279 INFSET_POLY INFUS SET POLYMED
280 IVCAT_22TERUMO IV CATHETER
281 IVCAT_18_CATHY IV CATHETER
282 IVCAT_20_CATHY IV CATHETER
283 IVCAT_22_CATHY IV CATHETER
284 IVCAT_24_CATHY IV CATHETER
285 FEEDTUB_8_TERUM FEEDING TUBE
286 FEEDTUB_5_TERUM FEEDING TUBE
287 FEEDTUB_3.5_TERUM FEEDING TUBE
288 STOMATUB_16_AXI STOMACH TUBE
289 SUCAT_8_IDEAL SUCTION CATHETER
290 SUCAT_12_IDEAL SUCTION CATHETER
291 SUCAT_14_IDEAL SUCTION CATHETER
292 SUCAT_16_IDEAL SUCTION CATHETER
293 SUCAT_10_IDEAL SUCTION CATHETER
294 POUCHES MPACK POUCHES FLAT
295 LIFOSCRUB_500 LIFO SCRUB
296 LIFOSCRUB_1000 LIFO SCRUB
297 PERIFIX PERIFIX
298 SPINOCAN_20 SPINOCAN
299 SPINOCAN_23 SPINOCAN
300 VACUTAINER TUBE PLNPLH
301 VACUTAINER TUBE EDTA
302 VACUTAINER TUBE PLNPLH

DAFTAR BMHP YANG NON E-KATALOG TAHAP KE-1

NO NAMA BMHP
1 ASEPTIC GEL
2 BENANG PAKET
3 BENANG PAKET
4 BENANG PAKET
5 BENANG PAKET
6 BOTOL PLASTIK KOSONG
7 BUR
8 BUR
9 BUR
10 BUR
11 BUR
12 CANGKANG KAPSUL
13 CANGKANG KAPSUL
14 CANGKANG KAPSUL
15 CANGKANG KAPSUL
16 CHLORETHYL
17 CHLORHEXIDINE
18 CIDEZYME SOLUTION
19 CLEANSING ENEMA SET
20 CONDOM CATHETER
21 CONDOM CATHETER
22 CONDOM CATHETER
23 CONNECTION SET
24 COVERPLAST TRANSPORAN
25 FORMALIN
26 FORMALIN
27 GEL KHUSUS EKG
28 GELANG PASIEN
29 GELANG PASIEN
30 GELANG BAYI
31 GELAS UKUR
32 GERIGEN KOSONG
33 GIGAZYME
34 HIDROGEN PEROKSIDA
35 HYPAFIX
36 JARUM MANI
37 KACA MATA PELINDUNG
38 KAIN KATUN/BLACU
39 KARET PENTIL
40 KERTAS CTG
41 KERTAS EKG
42 KERTAS GIPS
43 KERTAS GIPS
44 KERTAS GIPS
45 KERTAS LAKMUS MERAH
46 KERTAS PUYER
47 KASSA BUNTUT
48 KASSA BUNTUT
49 KASSA ROL TAMPON
50 KASSA ROL TAMPON
51 KASSA ROL TAMPON
52 KLORIN
53 KORSET
54 KORSET
55 KORSET
56 KORSET
57 KORSET
58 KRUK ALUMUNIUM
59 LAMINARIA
60 LAMINARIA
61 LAMINARIA
62 PESSARIUM
63 PESSARIUM
64 PESSARIUM
65 POT KOSONG
66 POT KOSONG
67 POT KOSONG
68 SAVROL
69 SENDOK OBAT PLASTIK
70 SONDE
71 SPALEK KAKI
72 SPALEK KAKI
73 SPALEK KAKI
74 SPALEK TANGAN
75 TISU HANDUK
76 STERILE WATER
77 WALKER
 HARGA
UKURAN/JENIS MEREK SATUAN
PER SATUAN
1000 ML AFIFARMA BOTOL 22,075.00
NO 3 REMEDI PIECE 11,628.00
NO 3.5 REMEDI PIECE 11,628.00
NO 4 REMEDI PIECE 11,628.00
NO 4.5 REMEDI PIECE 11,628.00
NO 5 REMEDI PIECE 11,628.00
NO 5.5 REMEDI PIECE 11,628.00
NO 6 REMEDI PIECE 11,628.00
NO 6.5 REMEDI PIECE 11,628.00
NO 7 REMEDI PIECE 11,628.00
NO 7.5 REMEDI PIECE 11,628.00
NO 8 REMEDI PIECE 11,628.00
ANAK REMEDI PIECE 11,730.00
DEWASA REMEDI PIECE 11,730.00
10 FR AXIMED PIECE 11,000.00
12 FR AXIMED PIECE 11,000.00
14 FR AXIMED PIECE 11,000.00
16 FR AXIMED PIECE 11,000.00
18 FR AXIMED PIECE 11,000.00
XS AXIMED PIECE 6,600.00
S AXIMED PIECE 6,600.00
M AXIMED PIECE 6,600.00
L AXIMED PIECE 6,600.00
POLYPROPYLENE (BLUE) 2/0 (3) 75CM DS24 PREMILENE PIECE 51,988.73
POLYPROPYLENE (BLUE) 3/0 (2) 75CM DS19 PREMILENE PIECE 51,988.73
POLYPROPYLENE (BLUE) 3/0 (2) 75CM DS24 PREMILENE PIECE 51,988.73
POLYPROPYLENE (BLUE) 5/0 (1) 75CM 2XHR13 PREMILENE PIECE 70,027.00
POLYPROPYLENE (BLUE) 6/0 45CM DS12 PREMILENE PIECE 57,185.66
SILK BLACK 3/0 (2) 75CM DS24 SILKAM BLACK PIECE 25,566.96
SILK BLACK 2/0 (3) 13X60CM SILKAM BLACK PIECE 29,345.66
SILK BLACK 1 (4) 75CM HR37S SILKAM BLACK PIECE 33,406.06
SANGOFIX PIECE 20,328.00
G27 X 3.5'' SPINOCAN PIECE 38,000.00
POLYGLYCOLIC ACID 0 90CM HS40S SAFIL VIOLET PIECE 93,975.00
POLYGLYCOLIC ACID 1 (4) 90CM HR40S SAFIL VIOLET PIECE 87,750.00
16G, 50MM, GREY VASOFIX PIECE 8,750.00
18G, 45MM, GREEN VASOFIX PIECE 8,750.00
20G, 33MM, PINK VASOFIX PIECE 8,750.00
22G, 25MM, BLUE VASOFIX PIECE 8,750.00
24G, 19MM,YELLOW VASOFIX PIECE 8,750.00
G25 X 3.5'' SPINOCAN PIECE 32,000.00
G26 X 3.5'' SPINOCAN PIECE 32,000.00
NO 10 BBRAUN BOX 100'S 300,000.00
NO 11 BBRAUN BOX 100'S 300,000.00
NO 15 BBRAUN BOX 100'S 300,000.00
NO 22 BBRAUN BOX 100'S 300,000.00
6 CM X 8 CM LEUKOMED PIECE 1,230.56
2,5 CM X 4,5 M LEUKOPLAST ROLL 12,076.00
7,5 CM X 4,5 M LEUKOPLAST ROLL 35,532.00
50 GR UTAMA PACK 3,575.00
100 GR UTAMA PACK 6,875.00
250 GR UTAMA PACK 12,250.00
500 GR UTAMA PACK 26,400.00
1000 GR UTAMA PACK 52,000.00
500 GR UTAMA PACK 16,200.00
1000 GR UTAMA PACK 32,400.00
40 YARD X 80 CM FIRSTMED PCS
4 YARD X 5 CM FIRSTMED PCS
5 YARD X 10 CM FIRSTMED PCS
REGULAR 100 GR WELLNESS PIECE 15,300.00
BABY 100'S WELLNESS PIECE 6,350.00
REGULAR REFILL 100'S WELLNESS PIECE 3,600.00
BABY REFILL 100'S WELLNESS PIECE 4,650.00
12X50 ISI 600'S WELLNESS PIECE 34,900.00
LIDOCAIN 2% & CHG 0.05% CATHEJELL TUBE 42,016.00
PJG 300CM, WARNA HIJAU E-CARE PACK 21,210.00
35 X 41 MM SKINTACT PIECE 2,174.43
43 X 51 MM SKINTACT PIECE 2,929.00
POWDER FREE, SIZE 6 E-CARE PASANG 5,999.40
POWDER FREE, SIZE 6.5 E-CARE PASANG 5,999.40
POWDER FREE, SIZE 7 E-CARE PASANG 5,999.40
POWDER FREE, SIZE 7.5 E-CARE PASANG 5,999.40
POWDER FREE, SIZE 8 E-CARE PASANG 5,999.40
0.5" WITH DISPENSER E-CARE PIECE 4,923.75
1" WITH DISPENSER E-CARE PIECE 8,248.34
2" WITH DISPENSER E-CARE PIECE 15,486.67
CHROMCAT 2/0 100M ROLL 1,370,000.00
CHROMCAT 2/0 75C + JARUM 1/2 30M DEMETECH PIECE 22,725.00
CHROMACAT 3/0 100M ROLL 1,325,000.00
CHROMCAT 3/0 75C + JARUM 1/2 22M DEMETECH PIECE 22,725.00
PCS 18,480.00
CHROMCAT 2/0 150 CM TANPA JARUM DEMETECH PIECE 25,250.00
CHROMCAT 3/0 150 CM TANPA JARUM DEMETECH PIECE 23,566.67
PLAINCAT 3/0 70c + JARUM 1/2 25M DEMETECH PIECE 24,829.17
PLAINCAT 2/0 70c + JARUM 1/2 25M DEMETECH PIECE 26,933.34
PLAINCAT 0 70c + JARUM 1/2 40M DEMETECH PIECE 28,616.67
BA : CALCIUM ALGINATE BIOPLACENTON PIECE 10,504.00
1L ALKAPHARM BOTOL 2,702,700.00
EXTERNAL INDICATOR 19MM X 50M STERICLIN ROLL 64,648.00
25 GR PER SACHET ALKAZYME SACHET 32,040.00
MENGUJI KINERJA POMPA VAKUM STERICLIN PIECE 21,979.61
7,5 CM X 200 M STERICLIN ROLL 705,000.00
15 CM X 200 M STERICLIN ROLL 1,266,000.00
20 CM X 200 M STERICLIN ROLL 1,538,000.00
(15X5 CM) PJG 100 M STERICLIN ROLL 1,056,000.00
(20X5 CM) PJG 100 M STERICLIN ROLL 1,271,000.00
(25X6.5 CM) PJG 100 M STERICLIN ROLL 1,542,000.00
INTERNAL INDICATOR 150X30 MM STERICLIN PIECE 2,077.91
1L ONEMED BOTOL 79,640.00
60 ML ONEMED BOTOL 3,696.00
S ONEMED BUAH 15,840.00
M ONEMED BUAH 15,840.00
L ONEMED BUAH 15,840.00
ONEMED BUAH 2,728.00
ONEMED PIECE 2,992.00
TANPA EXT. TUBE ONEMED PIECE 1,949.86
DENGAN EXT. TUBE ONEMED PIECE 3,249.84
ETHYL ALCOHOL 70%+CHG 2% ONEMED PIECE 157.30
ETHYL ALCOHOL 70% ONEMED PIECE 99.99
ETHYL ALCOHOL 70% 500 ML+DISPENSER ONEMED BOTOL 22,000.00
WALL STAND PLASTIC ONEMED PIECE 17,600.00
NURSE CAP ONEMED PIECE 333.85
SURGEON CAP ONEMED PIECE 1,408.00
ONEMED PACK 24,200.00
50 CC LUBANG TENGAH (CATHETER TIP) ONEMED PIECE 7,788.00
50 CC LUBANG PINGGIR EC STERA PIECE 3,399.00
KHUSUS KEBIDANAN ONEMED PASANG 19,360.00
TYPE-Y STERA PIECE 6,281.00
EARLOOP ONEMED PIECE 330.00
EARLOOP JILBAB ONEMED PIECE 440.00
TIE ON ONEMED PIECE 330.00
NON WOVEN ONEMED PIECE 6,512.00
ANAK MAXIFLOW BUAH 22,000.00
DEWASA MAXIFLOW BUAH 22,000.00
ANAK JAYAMAS BUAH 24,640.00
DEWASA JAYAMAS BUAH 24,640.00
BAYI MAXIFLOW BUAH 14,520.00
PAPER, KAPASITAS 5L ONEMED DUS 15,708.00
CHG 4% 500 ML+DISPENSER ONESCRUB BOTOL 62,491.00
CHG 4% 5 L ONESCRUB GALON 419,991.00
PLASTIK BESERTA TUTUP ONEMED PIECE 35,200.00
NON WOVEN ONEMED PIECE 20,966.00
250 ML ONEMED BOTOL 12,584.00
5L ONEMED BOTOL 156,640.00
PJG 5.5CM ONEMED PIECE 649.99
NON STERIL 60 X 90 CM ONEMED PIECE 4,162.40
20 CC LUBANG TENGAH (CATHETER TIP) ONEMED PIECE 1,584.00
20 CC LUBANG PINGGIR EC STERA PIECE 1,496.00
ONEMED BOX 83,600.00
PLASTIK BESERTA TUTUP ONEMED PIECE 28,160.00
DEWASA INTRAFIX PIECE 14,449.00
ANAK INTRAFIX PIECE 17,710.00
NO 14G SURFLO PIECE 8,355.00
NO 16G SURFLO PIECE 8,355.00
NO 18G SURFLO PIECE 8,355.00
NO 20G SURFLO PIECE 8,355.00
NO 24G SURFLO PCS 8,355.00
NO 26G SURFLO PCS 8,355.00
ANAK
DEWASA
BAYI
ANAK
DEWASA
SANGOFIX
T-TYPE GEA PIECE 3,755.50
ANAK GEA PIECE 6,090.00
DEWASA GEA PIECE 6,090.00
FR5 MAS PIECE 3,564.00
FR6 MAS PIECE 3,564.00
FR8 MAS PIECE 3,564.00
POWDERED, SIZE 6.5 MEDIC DENT PASANG 5,000.00
POWDERED, SIZE 7 MEDIC DENT PASANG 5,000.00
POWDERED, SIZE 7.5 MEDIC DENT PASANG 5,000.00
POWDERED, SIZE 8 MEDIC DENT PASANG 5,000.00
FR 10 MAS PIECE 3,718.00
FR 12 MAS PIECE 3,718.00
FR 14 MAS PIECE 3,718.00
FR 16 MAS PIECE 3,718.00
FR 18 MAS PIECE 3,718.00
FR6 MAS PIECE 3,520.00
FR8 MAS PIECE 3,520.00
FR10 MAS PIECE 3,520.00
FR12 MAS PIECE 3,520.00
FR14 MAS PIECE 3,520.00
FR16 MAS PIECE 3,520.00
Y-INJECTOR MAS PIECE 7,700.00
13X75 4.0 PLBL RD BD PIECE 1,593.90
13X75 3.0 BLBLCE LAV BD PIECE 1,690.92
BD PIECE 1,711.71
13X100 6.0 PLBL RD BD PIECE 1,718.64
22X1.5 MLTSMP CE BD BOX 122,760.00
21X1.5 MLTSMP CE BD BOX 122,760.00
31X5 ASIA BD BOX 191,345.00
7.5 CM X 4.55 M FM CREPE ROLL 36,312.00
10 CM X 4.55 M FM CREPE ROLL 44,387.00
15 CM X 4.55 M FM CREPE ROLL 54,639.00
UP TO 200 MIKROLITER MICROLIT PIECE 1,762.50
UP TO 1 MILILITER MICROLIT PIECE 2,278.50
FR 8 IDEALCARE PIECE 19,455.00
FR 6 IDEALCARE PIECE 19,435.00
FR 26 IDEALCARE PIECE 18,505.00
FR 24 IDEALCARE PIECE 18,505.00
FR 22 IDEALCARE PIECE 18,516.67
FR 20 IDEALCARE PIECE 18,510.00
PAKET BAJU OPERASI MI PIECE 395,192.60
SIZE 000 STERILMEDICAL PIECE 14,200.00
SIZE 00 STERILMEDICAL PIECE 14,200.00
SIZE 0 STERILMEDICAL PIECE 14,200.00
SIZE 01 STERILMEDICAL PIECE 14,200.00
SIZE 02 STERILMEDICAL PIECE 14,200.00
SIZE 03 STERILMEDICAL PIECE 14,200.00
SIZE 04 STERILMEDICAL PIECE 14,200.00
SIZE 05 STERILMEDICAL PIECE 14,200.00
PLAIN STERILMEDICAL PIECE 8,100.00
HEAVY MESH SQUARE 6X11CM TRITON PIECE 125,149.00
1 CC (FOR TUBERCULIN) TERUMO PIECE 1,614.00
3 ML TERUMO PIECE 1,138.00
10 ML TERUMO PIECE 2,000.00
5 ML TERUMO PIECE 1,600.00
NO 18G X 38MM TERUMO PIECE 330.00
NO 22G X 38MM TERUMO PIECE 330.00
NO 20G X 38MM TERUMO PIECE 330.00
NO 24G X 25MM TERUMO PIECE 330.00
NO 26G X 13MM TERUMO PIECE 330.00
NO 25G X 25MM TERUMO PIECE 330.00
NO 27G X 13MM TERUMO PIECE 330.00
NO 32.5G X 6MM NANOPASS PIECE 1,998.00
NO 19G (KREM) TERUMO UNIT 5,643.00
NO 21G (HIJAU) TERUMO UNIT 5,643.00
NO 23G (BIRU) TERUMO UNIT 5,643.00
NO 25G (ORANYE) TERUMO UNIT 5,643.00
POWDER FREE, BLUE, SIZE S ASAP PASANG 976.68
POWDER FREE, BLUE, SIZE M ASAP PASANG 976.68
POWDER FREE, BLUE, SIZE L ASAP PASANG 976.68
POWDER FREE, SIZE XS ASAP PASANG 1,070.00
POWDER FREE, SIZE S ASAP PASANG 1,070.00
POWDER FREE, SIZE M ASAP PASANG 1,070.00
POWDER FREE, SIZE L ASAP PASANG 1,070.00
POWDERED, SIZE XS ASAP PASANG 870.00
POWDERED, SIZE S ASAP PASANG 870.00
POWDERED, SIZE M ASAP PASANG 870.00
POWDERED, SIZE L ASAP PASANG 870.00
16X16CM (16 PADS) DRC BOX 7,900.00
24G OTSUCATH PIECE 7,700.00
C-320/145F60-H05 145MM X 60M FUKUDA ME BOX 544,000.00
FR 24 WRP PIECE 48,900.00
BOTOL 22,000.00
NO 3 IDEALCARE PCS 16,139.86
NO 3,5 IDEALCARE PCS 16,139.86
NO 4 IDEALCARE PCS 16,139.86
NO 5 IDEALCARE PCS 16,139.86
22 FR CHROMA PCS 50,050.00
24 FR CHROMA PCS 50,050.00
10 FR IDEALCARE PIECE 19,379.80
14 FR IDEALCARE PIECE 18,449.99
12 FR IDEALCARE PIECE 18,449.99
16 FR IDEALCARE PIECE 18,449.99
22 FR IDEALCARE PIECE 18,449.99
24 FR IDEALCARE PIECE 18,449.99
18 FR IDEALCARE PIECE 18,449.99
SILK BLACK 1 (4) 75 M ROLL 425,000.00
SILK BLACK 4/0 100 M ROLL 340,000.00
SILKBLACK 3/0 (2) 100 M ROLL 360,000.00
SILK BLACK 0 75 M ROLL 230,000.00
POLYGLYCOLIC ACID 2 HR SAFIL VIOLET PIECE 93,979.60
POLYGLYCOLIC ACID 2/0 HR SAFIL VIOLET PIECE 99,899.80
POLYGLYCOLIC ACID 3/0 SAFIL VIOLET PIECE 80,099.80
OPHTALMIC 8/0 SAFIL PIECE 176,400.40
4 YARD X 10 CM FIRSTMED PCS
40 X 40 DRC BOX 1,980.00
SIZE S AXIMED PASANG 924.00
SIZE M AXIMED PASANG 924.00
SIZE L AXIMED PASANG 924.00
SIZE S MAS PASANG 924.00
SIZE M MAS PASANG 924.00
SIZE L MAS PASANG 924.00
CHROMCAT 0 75M ROLL 1,350,000.00
CHROMCAT 3/0 BRAUN PIECE 42,605.20
CHROMCAT 2 BRAUN PIECE 42,605.20
CHROMCAT 2/0 BRAUN PIECE 42,605.20
PLAINCAT 2/0 (3,5) 100 M ROLL 1,370,000.00
PLAINCAT 3/0 (3) 100 M ROLL 1,300,000.00
TANPA EXT. TUBE AXIMED PIECE 9,680.00
DENGAN EXT. TUBE AXIMED PIECE 10,450.00
AXIMED PCS 396.00
AXIMED PCS 480.00
MAS PCS 726.00
MAS PCS 726.00
DEWASA PCS 6,435.00
NO 22G SURFLO PCS 8,355.00
NO 18 CATHY PCS 10,395.00
NO 20 CATHY PCS 10,395.00
NO 22 CATHY PCS 10,395.00
NO 24 CATHY PCS 10,395.00
FR 8 TERUMO PCS 42,350.00
FR 5 TERUMO PCS 42,350.00
FR 3,5 TERUMO PCS 42,350.00
FR 16 AXIMED PCS 7,370.00
FR 8 IDEALCARE PIECE 4,149.99
FR 12 IDEALCARE PIECE 4,149.99
FR 14 IDEALCARE PIECE 4,149.99
FR 16 IDEALCARE PIECE 4,149.99
FR 10 IDEALCARE PIECE 4,149.99
40 X 20 CM PCS 1,254,000.00
500 ML BOTOL 89,999.80
1000 ML BOTOL 150,000.40
PCS 309,999.80
G 20 X 3 1/2 PCS 32,000.10
G 23 X 3 1/2 PCS 32,000.10
13 X 75 4.0 PLBLRD BOX 159,390.00
13 X 75 3.0 PLBLLAV BOX 169,083.40
13 X 100 6.0 PLBLRD BOX 171,864.00

HARGA
UKURAN/JENIS MEREK SATUAN
PER SATUAN
5 LITER GALON
APPENDIC PACK
SC PACK
BPH/UROLOGI PACK
HERNIA PACK
KAPASITAS 100 ML BUAH
BULAT KECIL BUAH
BULAT SEDANG BUAH
DIAMENDA Buah
ENDO AKSES BUAH
TULANG RAUND+FISURE BUAH
SIZE 00 @1000 ZAK 1000'S
SIZE 0 @1000 ZAK 1000'S
SIZE 1 @1000 ZAK 1000'S
SIZE 2 @1000 ZAK 1000'S
TABUNG
ONESEPT BOTOL
LITER
 PACK
SIZE S PIECE
SIZE M PIECE
SIZE L PIECE
Pcs
19X40 PIECE
CAIR 37% @10LT BOTOL
TABLET @100 BOTOL
PRODUKSI WEAVER, 114 GR NUPREP BOTOL
PINK PIECE
BLUE PIECE
PIECE
KAPASITAS VOLUME 100 ML BUAH
CADANGAN SAFETY BOX BUAH
SACHET
1000 ML BOTOL
15CM X 5M ROLL
12 31 AITM/HECTING ZAK
BUAH
ROLL
KG
ROLL
ROLL
3" INVEST ROLL
4" INVEST ROLL
6" INVEST ROLL
PIECE
LEMBAR
6 PLAY DRC 30x15 DRC PIECE
6 PLAY DRC 40X40 DRC PIECE
DRC 1x150 DRC PIECE
DRC 0.75x150 DRC PIECE
DRC 4CM X 340CM DRC PIECE
NATRIUM HIPOKLORIT ONECLEAN BOTOL
SIZE XL PIECE
SIZE L PIECE
SIZE M PIECE
SIZE S PIECE
SIZE SS PIECE
PIECE
SIZE L PIECE
SIZE M PIECE
SIZE S PIECE
NO 6 PIECE
NO 7 PIECE
NO 8 PIECE
SIZE 10 GR BUAH
SIZE 20 GR BUAH
SIZE 30 GR BUAH
PIECE
PIECE
BUAH
SIZE 100X8 BUAH
SIZE 75X8 BUAH
SIZE 50X8 BUAH
BALUT, 20X5 BUAH
SEE-U PACK
FOR IRRIGATION, 1000ML BBRAUN/BEXTER
GEA BUAH
HARGA JUAL

26,490.00
13,953.60
13,953.60
13,953.60
13,953.60
13,953.60
13,953.60
13,953.60
13,953.60
13,953.60
13,953.60
13,953.60
14,076.00
14,076.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
7,920.00
7,920.00
7,920.00
7,920.00
62,386.48
62,386.48
62,386.48
84,032.40
68,622.79
30,680.35
35,214.79
40,087.27
24,393.60
45,600.00
112,770.00
105,300.00
 10,500.00
10,500.00
10,500.00
10,500.00
10,500.00
38,400.00
38,400.00
360,000.00
360,000.00
360,000.00
360,000.00
1,476.67
14,491.20
42,638.40
4,290.00
8,250.00
14,700.00
31,680.00
62,400.00
19,440.00
38,880.00

18,360.00
7,620.00
4,320.00
5,580.00
41,880.00
50,419.20
25,452.00
2,609.32
3,514.80
7,199.28
7,199.28
7,199.28
7,199.28
7,199.28
5,908.50
9,898.01
18,584.00
1,644,000.00
27,270.00
1,590,000.00
27,270.00
22,176.00
30,300.00
28,280.00
29,795.00
32,320.01
34,340.00
12,604.80
3,243,240.00
77,577.60
38,448.00
26,375.53
846,000.00
1,519,200.00
1,845,600.00
1,267,200.00
1,525,200.00
1,850,400.00
2,493.49
95,568.00
4,435.20
19,008.00
19,008.00
19,008.00
3,273.60
3,590.40
2,339.83
3,899.81
188.76
119.99
26,400.00
21,120.00
400.62
1,689.60
29,040.00
9,345.60
4,078.80
23,232.00
7,537.20
396.00
528.00
396.00
 7,814.40
26,400.00
26,400.00
29,568.00
29,568.00
17,424.00
18,849.60
74,989.20
503,989.20
42,240.00
25,159.20
15,100.80
187,968.00
779.99
4,994.88
1,900.80
1,795.20
100,320.00
33,792.00
17,338.80
21,252.00
10,026.00
10,026.00
10,026.00
10,026.00
10,026.00
10,026.00
0.00
0.00
0.00
0.00
0.00
0.00
4,506.60
7,308.00
7,308.00
4,276.80
4,276.80
4,276.80
6,000.00
6,000.00
6,000.00
6,000.00
 4,461.60
4,461.60
4,461.60
4,461.60
4,461.60
4,224.00
4,224.00
4,224.00
4,224.00
4,224.00
4,224.00
9,240.00
1,912.68
2,029.10
2,054.05
2,062.37
147,312.00
147,312.00
229,614.00
43,574.40
53,264.40
65,566.80
2,115.00
2,734.20
23,346.00
23,322.00
22,206.00
22,206.00
22,220.00
22,212.00
474,231.12
17,040.00
17,040.00
17,040.00
17,040.00
17,040.00
17,040.00
17,040.00
17,040.00
9,720.00
150,178.80
1,936.80
1,365.60
 2,400.00
1,920.00
396.00
396.00
396.00
396.00
396.00
396.00
396.00
2,397.60
6,771.60
6,771.60
6,771.60
6,771.60
1,172.02
1,172.02
1,172.02
1,284.00
1,284.00
1,284.00
1,284.00
1,044.00
1,044.00
1,044.00
1,044.00
9,480.00
9,240.00
652,800.00
58,680.00
26,400.00
19,367.83
19,367.83
19,367.83
19,367.83
60,060.00
60,060.00
23,255.76
22,139.99
22,139.99
22,139.99
22,139.99
22,139.99
22,139.99
 510,000.00
408,000.00
432,000.00
276,000.00
112,775.52
119,879.76
96,119.76
211,680.48

2,376.00
1,108.80
1,108.80
1,108.80
1,108.80
1,108.80
1,108.80
1,620,000.00
51,126.24

1,644,000.00
1,560,000.00
11,616.00
12,540.00
475.20
576.00
871.20
871.20
7,722.00
10,026.00
12,474.00
12,474.00
12,474.00
12,474.00
50,820.00
50,820.00
50,820.00
8,844.00
4,979.99
4,979.99
4,979.99
4,979.99
4,979.99
1,504,800.00
107,999.76
180,000.48
371,999.76
38,400.12
38,400.12
191,268.00
202,900.08
206,236.80
KODE NAMA OBAT SATUAN
ACAR_50 ACARBOSE TAB 50 MG TABLET
ACECY_200 ACETYLCYSTEIN 200 MG KAPLET
ACY_200 ACYCLOVIR 200 MG TABLET
ACY_400 ACYCLOVIR 400 MG TABLET
ALBUM_20 ALBUMAN 20% 100 ML FLS
ALLO_100 ALLOPURINOL 100 MG TABLET
AMIK_250 AMIKASIN INJEKSI 250 MG/ML VIAL
AMINFLU_500 AMINOFLUID 500 ML BAG
AMINFLU_1000 AMINOFLUID-L 1000 ML BAG
AMINLEB_500 AMINOLEBAN INJEKSI 500 SOFTBAG BAG
AMINOFIL_INJ AMINOPHYLLINE INJEKSI AMPUL
AMIO_INJ AMIODARONE INJEKSI AMPUL
AMLO_10 AMLODIPIN 10 TABLET
AMOX_500 AMOKSISILIN KAPLET 500 MG KAPLET
ANTAL_500INJ ANTALGIN 500 MG INJEKSI AMPUL
ANTAS_TAB ANTASIDA DOEN TAB TABLET
HEMOR_SUPP ANTIHEMOROID SUPPOSITORIA EA
AQUA_500 AQUA PRO INJEKSI 500 ML FLS
AQUA_GEL AQUASONIC GEL 0,25 L BOTOL
ARIX_2.5 ARIXTRA 2,5 MG INJ AMPUL
ASTRA_250INJ ASAM TRANEKSAMAT INJEKSI 250 MG/5ML AMPUL
ASTRA_500INJ ASAM TRANEKSAMAT INJEKSI 500MG/5ML AMPUL
VALP_250SYR ASAM VALPROAT 250 MG/5 ML SYRUP BOTOL
ASER_500 ASERING 500 CC BOTOL
ACET_100 ASETOSAL (ASAM ASETIL SALISILAT) TABLET
ATROP_INJ ATROPIN SULFAT INJEKSI AMPUL
AVAMY AVAMYS NASAL SPRAY/BTL BTL
BISO_5 BISOPROLOL SALUT SELAPUT 5 MG TABLET
CAGLU_INJ CA GLUCONAT INJEKSI AMPUL
CANDE_16 CANDESARTAN 16 MG TABLET
CANDE_8 CANDESARTAN 8 MG TABLET
CAPT_12.5 CAPTOPRIL 12,5 MG TABLET
CAPT_25 CAPTOPRIL 25 MG TABLET
CEFAD_125SYR CEFADROXIL SIRUP KERING 125MG/5ML BOTOL
CEFAD_250SYR CEFADROXIL SIRUP KERING 250MG/5ML BOTOL
CEFAD_500 CEFADROXILE STR 500 MG TABLET
CEFI_100 CEFIXIME KAPSUL 100 MG KAPSUL
CEFO_INJ CEFOTAXIME INJEKSI 1 GR VIAL
CEFTA_INJ CEFTAZIDIM INJEKSI 1 GR VIAL
LYTER_15 CENDO LYTERS 15 ML BOTOL
DOPA_INJ CETADOP (DOPAMIN) INJEKSI AMPUL
CIPRO_INF CIPROFLOXACIN INF IV BOTOL
CIPRO_500TAB CIPROFLOXACIN SALUT SELAPUT 500 MG TABLET
CLOBA_10 CLOBAZAM 10 MG TABLET
CLOMIF_50 CLOMIFENE CITRATE 50 MG TABLET
CPG CLOPIDOGREL BISULFATE TABLET
CODE_10 CODEIN 10 MG TABLET
COMBI_NEB COMBIVENT NEBULES VIAL
COTRI_480 COTRIMOXAZOLE 480 MG TABLET
CTM_4 CTM (CHLORPHENIRAMINE MALEAT) 4 MG TABLET
DARYA_TUL DARYANT TULLE PCS
DEPAK_250 DEPAKOTE ER 250 MG TABLET
DEPAK_500 DEPAKOTE ER 500 MG TABLET
DEPO_NEO DEPONEO VIAL
DESO_KRIM DESOXIMETASONE 0,25 % TUBE
DILTIA_30 DILTIAZEM 30 MG TABLET
DIPHEN_INJ DIPHENHYDRAMINE HCL INJEKSI AMPUL
DOMPE_SYR DOMPERIDONE SUSPENSI 5 MG/ 5ML BOTOL
DOMPE_TAB DOMPERIDONE TAB 10 MG TABLET
DOXY_100 DOXYCYCLINE 100 MG KAPSUL
DULCO_10SUP DULCOLAX 10 MG SUPPO SUPPO
DULCO_5SUP DULCOLAX 5 MG SUPPO SUPPO
EPHED_50INJ EPHEDRIN HCL 50 MG INJEKSI AMPUL
EPHINE_INJ EPINEPHRINE 0,1% INJEKSI AMPUL
FENTA_INJ FENTANIL INJEKSI 0,005 MG/ML, AMPUL 2 ML AMPUL
FLAMI_INJ FLAMICORT-10 MG/ML IAD AMPUL
FLEE_ENEM FLEET ENEMA BOTOL
FLEE_PHOS FLEET PHOSPHOSODA BOTOL
FLIXO_NEB FLIXOTIDE NEBULES 0,5 MG AMPUL
FLUCO_150KAP FLUCONAZOLE 150 MG KAPSUL KAPSUL
FLUCO_INJ FLUCONAZOLE 2MG/ML INJEKSI BOTOL
FORAN FORANE 250 MG BOTOL
FRESOF FRESOFOL 1% AMP AMPUL
FURO_INJ FUROSEMID INJEKSI (EDEMIN) AMPUL
FURO_TAB FUROSEMIDE 40 MG TABLET
GABA_300 GABAPENTIN 300 MG TABLET
GARING GARAM INGGRIS SACHET
GARORA GARAM ORALIT SACHET
GEMFIB_300 GEMFIBROZIL 300 MG TABLET
GENOIN_SM GENOINT SM TUBE
GENTA_INJ GENTAMICIN 40 MG/ML INJ AMPUL
GENTA_TM GENTAMISIN TETES MATA 0,3 % BOTOL
GLIQUI_30 GLIKUIDON 30 MG TABLET
GLIME_2 GLIMEPIRIDE 2 MG TABLET
GLIME_4 GLIMEPIRIDE 4 MG TABLET
GLUCOD GLUCODEX TABLET
GLUCOS_10 GLUKOSA 10 % INFUS BOTOL
GLUCOS_5 GLUKOSA 5 % INFUS BOTOL
HALO_0.5 HALOPERIDOL 0,5 MG TABLET
HALO_1.5 HALOPERIDOL 1,5 MG TABLET
HALOTA HALOTAN INHALATION BOTOL
HCT_25 HYDROCHLOROTIAZID 25 MG TABLET
HIDRO_2.5 HYDROCORTISONE CR 2,5% TUBE
HYTROZ HYTROZ 2 MG TABLET
IBU_400 IBUPROFEN 400 MG TABLET
IRBE_150 IRBESARTAN 150 MG TABLET
IRBE_300 IRBESARTAN 300 MG TABLET
INH_100 ISONIAZID 100 MG TABLET
INH_300 ISONIAZID 300 MG TABLET
KAEN_1B KA-EN 1B BAG
KAEN_3A KA-EN 3A BAG
KAEN_3B KA-EN 3B BAG
FEGLIS KARBOGLISERIN TETES TELINGA 10 % (PHENOL GLISEROL) BOTOL
KCL KCL 7,46 % AMPUL
KETAMIN KETAMIN HAMELN 50MG/ML VIAL
KETO_KRIM KETOKONAZOL KRIM 2 % TUBE
KETORO_INJ KETOROLAC INJEKSI 30 MG/ML AMPUL
KIDMIN KIDMIN BOX
KLORA_SM KLORAMFENIKOL SALEP MATA 0,1% TUBE
LANSO_30 LANSOPRAZOLE 30 MG KAPSUL
LEVEMIR LEVEMIR FLEXPEN UNIT
LEVO_INF LEVOFLOXACIN INF 500 MG/100 ML INFUS BOTOL
LEVOPAR LEVOPAR TABLET TABLET
LIDO_BERNO LIDOCAIN 2% INJEKSI AMPUL
LIDO_LUCAS LIDOCAIN COMPOSITUM INJEKSI 10 % AMPUL
LISINO_10 LISINOPRIL 10 MG TABLET
LISINO_5 LISINOPRIL 5 MG TABLET
MARTOS MARTOS 10 INJECTION BOTOL
MEROPEN MEROPENEM INJEKSI 500 MG VIAL
METERGIN_INJ METILERGOMETRIN INJEKSI AMPUL
MP_16 METILPREDNISOLON 16 MG KAPLET
MP_4 METILPREDNISOLON 4 MG TABLET
MP_8 METILPREDNISOLON 8 MG KAPLET
MP_INJ METILPREDNISOLON INJEKSI 125 MG/ML VIAL
METO_INJ METOKLOPRAMIDE INJEKSI TABLET
METO_TAB METROKLOPRAMID TABLET TABLET
METRO_500TAB METRONIDAZOL 500 MG TABLET
METRO_INF METRONIDAZOL 500/100 ML INFUS BOTOL
METRO_OVUL METRONIDAZOL OVULA 500 MG EA
METRO_SYR METRONIDAZOL SYRUP 125 MG/5ML BOTOL
MEYLON MEYLON 8,4 % 25 ML AMPUL
MGSO4_20 MGSO4 20% AMPUL
MGSO4_40 MGSO4 40% AMPUL
BASO4 MICOBAR POWDER (BARIUM SULFAT SERBUK 92 G/100 G BOTOL
MICONAZ_KR MICONAZOLE CR 2% TUBE
MOMET_KR MOMETASONE 10GR TUBE
MORFIN_10TAB MORPHINE 10 MG TAB TABLET
NACL_500INF NACL 0,9% INFUS BOTOL
NADIC_25 NATRIUM DIKLOFENAK 25 MG TABLET
NADIC_50 NATRIUM DIKLOFENAK 50 MG TABLET
NEOSTIG NEOSTIGMINE HEMELN 0.5MG/ML AMPUL
NICARDI_INJ NICARDIPIN INJEKSI 10 MG AMPUL
NIFEDIP_10TAB NIFEDIPINE 10 MG (DX) TABLET
NISTA_TAB NISTATIN TABLET 500.000 IU/G TABLET
NOVO_MIX NOVOMIX FLEXPEN UNIT
NOVO_RAP NOVORAPID FLEXPEN UNIT
OBH OBH SYRUP 100 ML BOTOL
OFLO_400 OFLOXACIN 400MG SALUT SELAPUT TABLET
OMZ_20TAB OMEPRAZOLE 20 MG KAPSUL
OMZ_INJ OMEPRAZOLE SERBUK INJ AMPUL
ONDA_TAB ONDANSENTRON 4 MG TABLET
ONDA_INJ ONDANSENTRON 4 MG/ML INJEKSI AMPUL
OXY_INJ OXYTOCIN 10IU INJ AMPUL
PAPAV_INJ PAPAVERIN INJEKSI AMPUL
PCT_DROP PARACETAMOL DROPS 15 ML BOTOL
PMP_TAB PHENOKSIMETYL PENISILIN TAB 500 MG TABLET
VITK_TAB PHYTOMENADION TABLET SALUT SELAPUT TABLET
PIRAN_125 PIRANTEL 125 MG TABLET
PROPA_10 PROPRANOLOL 10 MG TAB TABLET
PZA_500 PYRAZINAMID 500 MG TABLET
RAMIP_2.5 RAMIPRIL 2,5 MG TABLET
RAMIP_5 RAMIPRIL 5 MG TABLET
RANI_150TAB RANITIDIN 150 MG TABLET
RANI_INJ RANITIDIN 50 MG/2 ML INJEKSI AMPUL
RIF_300 RIFAMPICIN 300 MG KAPSUL
RIF_450 RIFAMPICIN 450 MG KAPSUL
RL RINGER LAKTAT (RL) INFUS BOTOL
SALBU_SYR SALBUTAMOL 2MG/5ML SYRUP BOTOL
SALBU_4 SALBUTAMOL 4 MG TABLET
SALDO SALDONA INJEKSI (CARBAZOCROME) AMPUL
SCABIMIT SCABIMITE CR 10 GR (BPJS) TUBE
SIFROL SIFROL 0.375 MG TAB TABLET
SPIRI_HAND SPIRIVA 18 MCG 1 BLISTER + ALAT BOX
SPIRI_REF SPIRIVA 18 MCG KAPSUL 3 BLISTER PCS
SPIRO_100 SPIRONOLACTONE 100 MG TABLET
SPIRO_25 SPIRONOLACTONE 25 MG TABLET
STREPTO_INJ STREPTOMISIN SERBUK INJEKSI IV 1000 MG/ML VIAL
SUCRAL_SYR SUCRALFATE SUSPENSI BOTOL
SUFENTA_INJ SUFENTANIL 0.005 MG INJ AMPUL
SD_SALP SULFADIAZINE SILVER TUBE
KETOP_SUPP SUPRAFENID (KETOPROFEN) SUPOSITORIA 100 MG SUPPO
SYMBI_160/120 SYMBICORT TURB 160/120DOSES BOX
SYMBI_160/60 SYMBICORT TURB 160/60DOSES BOX
SYMBI_80/60 SYMBICORT TURB 80/60DOSES BOX
TETA TETAGAM P. PREFILLIED SYRINGE 1 ML AMPUL
ULSIDEX ULSIDEX TABLET
URSODEOX URSODIOXYCHOLIC ACID KAPSUL
VALSA_160 VALSARTAN 160 MG TAB TABLET
VALSA_80 VALSARTAN 80 MG TAB TABLET
VENTO_NEB VENTOLIN NEBULES 2,5 MG 20 AMP AMPUL
VIT_B1TAB VITAMIN B1 TABLET
VIT_BCOM VITAMIN B COMPLEX TABLET
VIT_B6 VITAMIN B6 TABLET
VIT_C50 VITAMIN C 50 MG TABLET
VOLUVEN VOLUVEN 6% 500ML BOTOL
WIDA_D51/2 WIDA D5 1/2 NS BAG
WIDA_D51/4 WIDA D5 1/4 NS BAG
ZINC_TAB ZINC TABLET DISPERSIBLE 20 MG TABLET
ZINKID_SYR ZINKID 10MG/5ML BOTOL

KETERANGAN :
LABEL KUNING : BARANG BELOM DATANG
LABEL UNGU : BELOM ADA FAKTUR
HARGA +PPN HARGA JUAL (X20%) TOTAL HARGA
657.00 788.40 1,314,000.00
426.00 511.20 426,000.00
249.00 298.80 448,200.00
349.00 418.80 872,500.00
858,000.00 1,029,600.00 17,000,068.80
90.00 108.00 450,000.00
29,700.00 35,640.00 1,485,000.00
64,990.00 77,988.00 3,246,500.00
118,250.00 141,900.00 2,365,000.00
71,099.60 85,319.52 7,109,960.00
3,345.00 4,014.00 1,003,499.20
8,648.93 10,378.72 1,712,488.14
0.00
232.00 278.40 6,960,000.00
2,900.00 3,480.00 1,450,000.00
61.99 74.39 619,960.00
3,045.00 3,654.00 609,000.00
19,541.50 23,449.80 390,830.00
189,895.84 227,875.01 2,278,750.09
274,117.25 328,940.70 5,482,345.00
2,445.00 2,934.00 1,222,499.85
2,445.00 2,934.00 1,222,500.00
22,987.00 27,584.40 2,298,699.00
9,275.00 11,130.00 27,822,300.00
130.00 156.00 533,000.00
0.00
102,999.60 123,599.52 514,998.00
330.00 396.00 990,000.00
9,955.00 11,946.00 10,751,400.00
5,300.00 6,360.00 1,113,000.00
3,315.00 3,978.00 994,500.00
59.00 70.80 59,000.00
68.00 81.60 68,000.00
4,485.00 5,382.00 538,200.00
5,585.00 6,702.00 111,700.00
510.00 612.00 5,100,000.00
590.00 708.00 5,900,000.00
4,898.00 5,877.60 39,184,000.00
12,789.00 15,346.80 3,836,700.00
21,037.06 25,244.47 2,103,706.00
7,480.00 8,976.00 7,480,000.00
11,488.99 13,786.79 2,872,248.50
281.00 337.20 5,620,000.00
969.99 1,163.99 969,999.80
 1,089.00 1,306.80 65,340.00
2,000.00 2,400.00 6,000,000.00
550.00 660.00 1,100,000.00
0.00
151.00 181.20 302,000.00
42.00 50.40 126,000.00
8,990.00 10,788.00 2,697,000.00
2,990.00 3,588.00 8,970,000.00
6,000.00 7,200.00 12,000,000.00
6,100.00 7,320.00 366,000.00
10,000.00 12,000.00 500,000.00
127.00 152.40 127,000.00
1,175.97 1,411.17 35,279.20
3,000.00 3,600.00 3,000.00
118.00 141.60 354,000.00
269.00 322.80 269,000.00
5,800.00 6,960.00 580,000.00
5,670.00 6,804.00 1,360,800.00
10,989.00 13,186.80 21,978,000.00
2,204.00 2,644.80 2,644,800.00
40,000.00 48,000.00 4,000,040.00
71,449.99 85,739.99 714,499.94
39,350.00 47,220.00 787,000.00
38,500.00 46,200.00 770,000.00
14,499.78 17,399.74 289,999.60
18,000.00 21,600.00 1,800,000.00
33,000.00 39,600.00 990,000.00
672,853.50 807,424.20 6,728,535.00
11,649.00 13,978.80 1,164,900.00
4,537.50 5,445.00 1,361,250.00
78.00 93.60 780,000.00
1,639.00 1,966.80 1,639,000.00
2,000.00 2,400.00
264.00 316.80 132,000.00
380.00 456.00 380,000.00
2,829.20 3,395.04 438,526.00
3,083.00 3,699.60 493,280.00
4,000.00 4,800.00 200,000.00
1,000.00 1,200.00 3,000,000.00
289.00 346.80 144,500.00
330.00 396.00 99,000.00
235.00 282.00 705,000.00
7,500.00 9,000.00 7,500,000.00
6,900.00 8,280.00 6,900,000.00
59.00 70.80 59,000.00
 66.00 79.20 26,395.60
700,000.00 840,000.00 2,100,000.00
149.00 178.80 149,000.00
2,650.00 3,180.00 12,720.00
1,399.00 1,678.80 1,399,000.00
127.00 152.40 381,000.00
708.00 849.60 4,248,000.00
1,152.00 1,382.40 6,912,000.00
70.99 85.19 212,982.00
173.00 207.60 346,000.00
9,273.00 11,127.60 370,920.00
10,050.00 12,060.00 1,005,000.00
10,050.00 12,060.00 1,005,000.00
2,500.00 3,000.00 125,000.00
3,099.00 3,718.80 3,099,000.00
62,300.00 74,760.00 2,492,000.00
2,547.00 3,056.40 152,820.00
1,290.00 1,548.00 6,455,160.00
49,220.00 59,064.00 2,461,000.00
1,798.00 2,157.60 44,950.00
319.00 382.80 1,595,000.00
85,000.00 102,000.00 8,500,000.00
27,500.00 33,000.00 5,500,000.00
1,298.00 1,557.60 6,490,000.00
860.00 1,032.00 2,064,000.00
1,845.00 2,214.00 922,500.00
448.00 537.60 896,000.00
375.00 450.00 187,500.00
31,099.20 37,319.04 3,109,920.00
31,456.00 37,747.20 1,572,800.00
2,684.00 3,220.80 1,900.00
637.00 764.40 764,400.00
194.00 232.80 388,000.00
309.00 370.80 1,545,000.00
14,486.00 17,383.20 21,729,000.00
3,395.00 4,074.00 5,092,500.00
90.00 108.00 90,000.00
133.00 159.60 1,330,000.00
9,240.00 11,088.00 13,860,000.00
4,100.00 4,920.00 410,000.00
3,800.00 4,560.00 190,000.00
6,199.60 7,439.52 1,859,880.00
3,200.00 3,840.00 640,000.00
3,649.80 4,379.76 437,976.00
615,000.00 738,000.00 1,845,000.00
 3,250.00 3,900.00 78,000.00
17,600.00 21,120.00 880,000.00
1,400.00 1,680.00 672,003.00
6,410.00 7,692.00 19,230,000.00
145.00 174.00 145,000.00
159.00 190.80 2,671,200.00
8,800.00 10,560.00 528,000.00
40,565.00 48,678.00 12,169,500.00
104.00 124.80 312,000.00
745.00 894.00 1,490,000.00
110,000.00 132,000.00 22,000,000.00
87,000.00 104,400.00 26,100,000.00
3,872.00 4,646.40 185,856.00
553.00 663.60 553,000.00
160.00 192.00 1,920,000.00
16,997.20 20,396.64 3,399,440.00
472.00 566.40 1,416,000.00
1,650.00 1,980.00 8,250,000.00
1,900.00 2,280.00 950,000.00
1,584.00 1,900.80 158,400.00
5,200.00 6,240.00 312,000.00
605.00 726.00 302,500.00
691.00 829.20 691,000.00
291.02 349.22 29,102.00
60.01 72.01 240,020.00
236.99 284.39 236,995.00
285.00 342.00 569,999.98
610.00 732.00 3,049,999.70
105.00 126.00 420,000.24
1,390.00 1,668.00 6,950,000.00
683.00 819.60 683,000.00
897.00 1,076.40 1,794,000.00
7,150.00 8,580.00 21,450,000.00
4,750.00 5,700.00 475,000.00
83.00 99.60 249,000.00
9,900.00 11,880.00 198,000.00
12,155.00 14,586.00 2,431,000.00
8,000.00 9,600.00 2,400,000.00
162,000.00 194,400.00 1,620,000.00
14,750.00 17,700.00 3,097,500.00
876.00 1,051.20 875,996.00
294.00 352.80 1,175,988.00
5,000.00 6,000.00 280,000.00
9,578.00 11,493.60 4,789,000.00
160,000.00 192,000.00 8,000,025.00
 20,700.00 24,840.00 1,035,000.00
2,789.00 3,346.80 1,394,500.00
134,500.00 161,400.00 2,690,000.00
121,000.00 145,200.00 2,420,000.00
121,000.00 145,200.00 2,420,000.00
170,000.01 204,000.01 3,400,000.12
368.00 441.60 3,680,000.00
3,600.00 4,320.00 10,800,000.00
2,700.00 3,240.00 2,754,000.00
1,800.00 2,160.00 4,806,000.00
3,999.98 4,799.98 3,999,985.00
86.00 103.20 335,400.00
43.00 51.60 430,000.00
118.00 141.60 118,000.00
104.00 124.80 520,000.00
24,684.00 29,620.80 7,405,200.00
9,400.00 11,280.00 940,000.00
9,350.00 11,220.00 935,000.00
514.00 616.80 1,028,000.00
14,980.00 17,976.00 749,000.00
KODE NAMA BARANG JUMLAH (LIITER) HARGA +PPN HARGA JUAL
OXY OXYGEN
NITRO NITROGEN
 DAFTAR TARIF PELAYANAN KONSULTASI DAN MESO PX RANAP

KODE URAIAN JASA SARANA JASA PELAYANAN TARIF

KLS_3 KELAS III Rp 2,000.00 Rp 4,000.00 Rp 6,000.00
KLS_2 KELAS II Rp 2,000.00 Rp 4,500.00 Rp 6,500.00
KLS_1 KELAS I Rp 2,000.00 Rp 5,000.00 Rp 7,000.00
KLS_UTM KELAS UTAMA Rp 2,000.00 Rp 5,500.00 Rp 7,500.00
KLS_VIP VIP Rp 2,000.00 Rp 6,000.00 Rp 8,000.00

BERLAKU TIAP 2 HARI SEKALI TIAP KUNJUNGAN APOTEKER /TTK

 RINCIAN PEMBAYARAN OBAT DAN BMHP RSUD PREMBUN

NAMA PASIEN CONTOH BANGSAL/ POLI : GELAP

NO. RM 100001 TANGGAL

OBAT
KODE JUMLAH NAMA OBAT JUMLAH HARGA JUAL
ACAR_50 10 ACARBOSE TAB 50 MG 10 Rp 788.40
ACY_200 10 ACYCLOVIR 200 MG 10 Rp 298.80
METRO_INF 10 METRONIDAZOL 500/100 ML INFUS 10 Rp 11,088.00

BMHP
KODE JUMLAH NAMA ALKES / BMHP JUMLAH HARGA JUAL
ALK1L 10 ALKOHOL 70% 10 Rp 26,490.00
GAS MEDIS
KODE JUMLAH NAMA GAS JUMLAH HARGA JUAL
OXY 1 OXYGEN 1 Rp -

KONSELING / VISIT KEFARMASIAN

KODE JUMLAH NAMA TARIF JUMLAH HARGA JUAL
KLS_3 1 KELAS III 1 Rp 6,000.00

JUMLAH TOTAL HARGA

PETUGAS FARMASI PASIEN

UN

/ POLI : GELAP

RUMUS SAMA DENGAN VL00KUP(KLIK KOLOM KODE;BLOK SHEET OBAT/BMHP

UTK COPI KE BAWAH DEPAN VLOOKUP DIBERI SAMA DENGAN
TOTAL HARGA AGAR HASIL KEBAWAH TIDAK NOL RUMUS = IF(KLIK KOLOM KODE;"";"";VLOOKUP
Rp 7,884.00
Rp 2,988.00 UNTUK PRINTING DIATUR 80 %, KERTAS UKURAN OFFISO DAN DIPRINT RANGKAP 3
Rp 110,880.00 1. PASIEN
2. LAPORAN FARMASI DITEMPEL BUKU
3. ARSIP

PENYIMPANAN FILE HARGA PER HARI PER NAMA PASIEN

TOTAL HARGA
Rp 264,900.00
TOTAL HARGA
Rp -

TOTAL HARGA
Rp 6,000.00

Rp 392,652.00
OK SHEET OBAT/BMHP (KODE DAN NAMA BARANG); BARIS KE ..;FALSE)

KODE;"";"";VLOOKUP .....................................))

N DIPRINT RANGKAP 3 HANYA PAGE 1 (YANG DIPRINT HANYA 1 HALAMAN KLO BISA)