13.

ALAT-ALAT KESEHATAN DAN OBAT-OBATAN

13.1. Alat-alat Kesehatan/Kedokteran

NO URAIAN SPESIFIKASI MERK SAT. HARGA

1 2 3 4 5 6
1 Alat sterilisasi Aerosept 250 F Unit 193.568.000
Almari Obat Metal Rak Ex : Lokal Uk.
2 Buah 6.463.000
Kaca Standard 5 Mm
3 Arteri Klem 14 cm Schwer Buah 37.000
4 Arteri Klem Ex : China 14 cm Buah 138.000
Uk. 18 cm (Peam
5 Arteri Klem Smic Buah 190.000
Bengkok)
Germani, Pean 13312-
6 Arteri Klem Roda Buah 325.000
14
Kocher 13322-14
7 Arteri Klem Roda Buah 390.000
Germani
Kocher Lurus, BH 614
8 Arteri Klem Aesculap Buah 1.297.000
R
Kocher Bengkok, BH
9 Arteri Klem Aesculap Buah 1.352.000
615 R
Piyama anak 6 Th,
10 Baju Pasien Anak Stel 252.000
Cotton, color
Piyama anak 9 Th,
11 Baju Pasien Anak Stel 265.000
Cotton, color
Piyama anak 12Th,
12 Baju Pasien Anak Stel 307.000
Cotton, color
13 Baju Pasien dewasa Kimono, Cotton, color Stel 371.000
Kimono & Celana.
14 Baju Pasien dewasa Stel 455.000
Cotton, color
Kimono & Celana,
15 Baju Pasien dewasa Stel 531.000
Cotton, motif
16 Bengkok 20cm SS Buah 48.000
17 Bengkok 23cm SS Buah 62.000
18 Bengkok 23 cm Lokal Buah 80.000
19 Blood Bag Double 250 cc JMS Pes 121.000
20 Blood Bag Single 250 cc JMS Pes 122.000
21 Blood Bag Double 350 cc JMS Pes 154.000
22 Blood Bag Single 350 cc JMS Pes 154.000
23 Blood Bag Single 450 cc JMS Pes 205.000
24 Blood Bag Double 450 cc JMS Pes 251.000
25 Blood Bag Quadriple 450 cc JMS Pes 251.000
26 Rapat dan sejenisnya Triple 250 cc JMS Pes 287.000
27 Blood Bag Triple 350 cc JMS Pes 287.000
28 Blood Bag Triple 450 cc JMS Pes 323.000
29 Blood Bag Quadriple 350 cc JMS Pes 357.000
30 Blood Cell Counter 8 Key Gemmy Buah 4.099.000
31 Blood Lancet Isi 100 GEA Box 51.000
32 Blood Lancet 100 pcs (26 G) One med Box 51.000
33 Blood Refrigerator BR. 320 Dometic Unit 375.206.000
34 Blood Set 50 pcs Osuka Box 46.000
35 Blood Set 50 pcs Hospitec Box 46.000
36 Blood Tranfusion Set Type Y Terumo Pes 67.000
37 Blood Warmer Am2S-5A Animec Unit 5.853.000
38 Bola Politzer German/650340 Lawton Buah 1.950.000
39 Bola Tensi Riester Riester Buah 183.000
40 Bone Curets FK 813 R Aesculap Buah 156.000
41 Bone Curets FK 813 R Aesculap Buah 1.924.000
42 Bone Files OL 403 R Aesculap Buah 3.609.000

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1 2 3 4 5 6
Resparatories
43 Boor Micromotor Italy/B680 Faro Buah 3.251.000
44 Botol suction sentral $8.013,00 Element buah 17.343.000
Paramoun
45 Boversed Table KF 282 Buah 6.229.000
t
Dr.
46 Clorethyl Spray Dos 214.000
Henning
47 Clorethyl Walter Riter Lokal Dos 148.000
48 Condon Cateter S.M.L Lokal Buah 5.000
Conford Bed Series
49 31804 (Bed Pasien VIP) MAK Unit 31.538.000
Flower
50 Delivery Bed $557,00 Celica Buah 9.777.000
box/10
51 Disposible Syringe 1 cc 1 MI One med 5.000
0
box/10
52 Disposible Syringe 1 cc 1 MI, 100 PC One med 5.000
0
100 unit 28 G; x 1/2"
53 Disposible Syringe 1 cc BP, 1 cc Insulln I(With BD Pes 13.000
Needle) 100 pcs
Disposible Syringe 10 10 cc (With Needle) Isi
54 Stera Pes 19.000
cc 100
Disposible Syringe 10
55 100 pcs Stera Box 20.000
cc
Disposible Syringe 10 box/10
56 10 MI One med 24.000
cc 0
Disposible Syringe 10 box/10
57 10 MI, 100 PC One med 33.000
cc 0
Disposible Syringe 100 Luer
58 50 Pcs (without Needle) Box 93.000
cc Fitting
Disposible Syringe 100
59 JMS JMS Pes 114.000
cc
Disposible Syringe 20
60 20 MI One med Buah 191.000
cc
Disposible Syringe 20
61 20 cc Terumo Box 191.000
cc
Disposible Syringe 20 Luer Lok Tip (With
62 BD Pes 191.000
cc Needle) 50 Pcs
Disposible Syringe 20 Luer
63 50 Pcs (Without Needle) Box 212.000
cc Fitting
21G x 1 1/2 Luer Lok
Disposible Syringe 21
64 Tip, 10 cc (With Needle) BD Pes 212.000
G, 10 cc
100 Pcs
22G x 1 1/2 Luer Lok
Disposible Syringe 22
65 Tip, (With Needle) 100 BD Pes 215.000
G, 5 cc
Pcs
23G x 1 1/4 Luer Lok
Disposible Syringe 23
66 Tip, (With Needle) 100 BD Pes 220.000
G, 3 cc
Pcs
box/10
67 Disposible Syringe 3 cc 3 MI One med 262.000
0
box/10
68 Disposible Syringe 3 cc 3 MI, 100 PC One med 262.000
0
Disposible Syringe 30 Luer Fitting Side Nozzle Luer
69 Box 344.000
cc 50 Pcs (Without Needle) Fitting
box/10
70 Disposible Syringe 5 cc 5 MI One med 344.000
0
box/10
71 Disposible Syringe 5 cc 5 MI, 100 PC One med 374.000
0
5 cc (With Needle) Isi
72 Disposible Syringe 5 cc Stera Pes 374.000
100
Disposible Syringe 50 Luer
73 50 Pcs (Without Needle) Box 441.000
cc Fitting
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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
74 Dressing Trolly $35.102,00 MAX Buah 20.615.000
Larsen &
Electro Cauter maestro
75 LTD Toubro 316.117.000
Plus
India
Electro cautery-Cut
76 Monopolar + Bipolar Cut Mode 148.869.000
Mode
100 cm, 9,6 ml (ET-
77 Extention Tube JMS Box 2.175.000
3,100 cm), 25 Pcs
100 cm, 1,1 ml (ET-
78 Extention Tube JMS Box 2.180.000
1,100 cm), 25 Pcs
100 cm, 5,0 ml (ET-
79 Extention Tube JMS Box 2.183.000
2,100 cm), 25 Pcs
100 cm, 5,0 ml (ET-
80 Extention Tube JMS Carton 43.551.000
2,100 cm), 500 Pcs
100 cm, 9,6 ml (ET-
81 Extention Tube JMS Carton 43.657.000
3,100 cm), 500 Pcs
100 cm, 1,1 ml (ET-
82 Extention Tube JMS Carton 43.659.000
1,100 cm), 500 Pcs
83 Face Mask One med Box 86.000
84 Fixomul Stretch 5m x x15 cm BSN Roll 255.000
85 Flatwall Cabinet 31821 A MAK Buah 16.314.000
86 Flatwall Cabinet 31821 B MAK Buah 16.314.000
Isi 50 s (Glucoval) /
87 Gluco Test One Med Box 86.000
Stick
25 pcs (Glucoval) /
88 Gluco Test Gluco DR Box 539.000
Stick
89 Gunting Bengkok Crown 14 cm (tj.tj) Medica Buah 29.000
90 Gunting Bengkok 14 cm (tj/tp) Tajimaco Buah 32.000
91 Gunting Bengkok 14 cm Schwert (tj.tj) Tajimaco Buah 34.000
92 Gunting Bengkok Kecil (tp/tp) Excel Buah 49.000
93 Gunting Bengkok Kecil 14 cm Pakistan Buah 53.000
94 Gunting Bengkok 18 cm (tj.tj) Smic Buah 133.000
95 Gunting Bengkok 18 cm (tj/tp) Smic Buah 133.000
96 Gunting Bengkok 14 cm (tp/tp) Smic Buah 143.000
97 Gunting Lurus 14 cm (tj/tj) Tajimaco Buah 32.000
98 Gunting Lurus 14 cm Schwert (tj/tp) Tajimaco Buah 49.000
99 Gunting Lurus 14 cm (t)/tj) Schwer Buah 50.000
100 Gunting Lurus 16 cm (tj/tj) Schwer Buah 51.000
101 Gunting Lurus 14 cm (tp/tp) Smic Buah 104.000
102 Gunting Lurus 14 cm (tj/tp) RRT Buah 114.000
103 Gunting Lurus 14 cm (tj/tj) Smic Buah 120.000
104 Gunting Lurus 14 cm (tj/tp) Smic Buah 141.000
Hallogen Examinition Everlight, Type TLA
105 Kame Buah 2.295.000
Lamp 100#
Hallogen Examinition Everlight, Type TLA
106 Dyna Buah 3.826.000
Lamp 100#
Hallogen Examinition Everlight, Type TLA
107 Dyna Buah 5.739.000
Lamp 200#
Hallogen Examinition Everlight, Type TLA
108 Kame Buah 5.739.000
Lamp 200#
109 Infus Set 50 pcs (Dewasa) Otsuka Box 18.000
Type 200 + filter
110 Infus Set JMS Box 27.000
(Dewasa)
50 pcs (Microdrip /
111 Infus Set Otsuka Box 43.000
Anak)
112 Infus Set Type 50, Y type, 25 Pcs JMS Box 51.000
113 Infus Set Widatra 56.000

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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
W/100 ml buret, 25
114 Infus Set JMS Box 181.000
Pcs
Pediatric type 200, 25
115 Infus Set JMS Box 800.000
Pcs
Pediatric type 500, 25
116 Infus Set JMS Box 1.453.000
Pcs
117 Infus Set 36101 (stand) MAK Box 3.268.000
Type 500 Pediatri
Infusion Set + Filter Y
118 Infusion Injection Site & Pcs 57.000
Bacteryal Filter
Drops/MI
Type 500 Pediatri
Infusion Set + Filter Y
119 Infusion Injection Site & Pcs 58.000
Bacteriyal Filter 60
Drops/All
120 Infusion TE 112 Terumo Pes 62.717.000
Infusion Set + Filter
121 Infusion, Slang Infus Type 200 (200 JMS Pes 25.000
Drops/All)
Pediatrik Infusion Set +
122 Infusion, Slang Infus Filter Type 20 ( 60 JMS Pes 51.000
Drops/MI)
Pediatric infusion Set -
123 Infusion, Slang Infus Filter Type 20 (60 JMS Pes 51.000
Drops/MI )
Infusion Set With All
Buket + Filter + Y
124 Infusion, Slang Infus Inject Site (Percision JMS Pcs 181.000
Solusion), Micridrip
Buket 60 Drops /MI
Infusion Set With All
Buket + Filter + Y
Inject Site (Percision
125 Infusion, Slang Infus JMS PCS 181.000
Solusion), Adm/ Set/
Micridrip Buket 60
Drops /MIAdm /Set
126 Instrument Bag Lokal (SH 510) Lokal Bueh 230.000
127 Instrument Cabinet 32901 (Lemari linen) MAK Buah 13.637.000
128 Instrument Cabinet 32902 (For Medicine) MAK Buah 13.637.000
Intermitten Scalp Vein
129 Jarum Infus + Slang Set 22G x 3/4", 100 JMS Box 2.325.000
Pcs
Intermitten Scalp Vein
130 Jarum Infus + Slang Set 24G x 3/4", 100 JMS Box 2.325.000
Pcs
Intermitten Scalp Vein
131 Jarum Infus + Slang Set 19G x 3/4", 100 JMS Box 2.326.000
Pcs
Intermitten Scalp Vein
132 Jarum Infus + Slang Set 20G x 3/4", 100 JMS Box 2.326.000
Pcs
Intermitten Scalp Vein
133 Jarum Infus + Slang Set 25G x 3/4", 100 JMS Box 2.329.000
Pcs
Intermitten Scalp Vein
134 Jarum Infus + Slang Set 23G x 3/4", 100 JMS Box 2.332.000
Pcs
Intermitten Scalp Vein
135 Jarum Infus + Slang Set 27G x 1/2", 100 JMS Box 2.332.000
Pcs
Intermitten Scalp Vein
136 Jarum Infus + Slang JMS Box 2.333.000
Set 21G x 3/4", 100

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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
Pcs

Intermitten Scalp Vein

137 Jarum Infus + Slang Set 18G x 3/4", 100 JMS Box 2.334.000
Pcs
Intermitten Scalp Vein
138 Jarum Infus + Slang Set 18G x 3/4", 2400 JMS Carton 55.823.000
Pcs
Intermitten Scalp Vein
139 Jarum Infus + Slang Set 21G x 3/4", 2400 JMS Carton 55.825.000
Pcs
Intermitten Scalp Vein
140 Jarum Infus + Slang Set 19G x 3/4", 2400 JMS Carton 55.877.000
Pcs
Intermitten Scalp Vcm
141 Jarum Infus + Slang Set 25G x 3/4", 2400 JMS Carton 55.922.000
Pcs
Intermitten Scalp Vein
142 Jarum Infus + Slang Set 24G x 3/4", 2400 JMS Carton 55.939.000
Pcs
Intermitten Scalp Vein
143 Jarum Infus + Slang Set 20G x 3/4", 2400 JMS Carton 55.957.000
Pcs
Intermitten Scalp Vein
144 Jarum Infus + Slang Set 22G x 3/4", 2400 JMS Carton 55.976.000
Pcs
Intermitten Scalp Vein
145 Jarum Infus + Slang Set 23G x 3/4", 2400 JMS Carton 55.998.000
Pcs
Intermitten Scalp Vein
146 Jarum Infus + Slang Set 27G x 1/2", 2400 JMS Carton 56.010.000
Pcs
147 Kapital Hitung Assistant Buah 2.424.000
148 Kocher T2, 14 cm, Lurus Medica Unit 33.000
149 Kocher 14 cm, bengkok Medica Unit 34.000
2 (Mosquito) 14 cm
150 Kocher Schwer Unit 36.000
bengkok
2(Mosquito)14 cm
151 Kocher Schwer Buah 38.000
Lurus
152 Kocher T2, 14 cm, Bengkok Schwer Unit 47.000
153 Kocher T2, 14 cm, Lurus Schwer Unit 47.000
154 Kocher 14 cm, Lurus Yamaco Buah 49.000
155 Kocher 14 cm, bengkok Crown Unit 52.000
156 Kocher 14 cm, Bengkok Yamaco Buah 58.000
12 1/2 cm, Lurus
157 Kocher One med Unit 67.000
(Mosquito)
158 Kocher Pakistan 14 cm One med Unit 72.000
159 Kocher RRT, 14 cm, Lurus One med Unit 72.000
160 Kocher $40.940,00 Tajimaco Buah 82.000
Type Standard 14 cm,
161 Kocher Buah 83.000
Lurus
14 cm, Lurus narrow
162 Kocher Crown Unit 89.000
blades
163 Kocher 16 cm, Lurus Tajimaco Buah 90.000
164 Kocher 16 cm Yamaco Buah 91.000
165 Kocher RRT, 16 cm, Bengkok One med Unit 95.000
166 Kocher 16 cm, Lurus Crown Unit 96.000
167 Kocher 16 cm, Bengkok Yamaco Buah 98.000
168 Kocher 16 cm, Bengkok Tajimaco Buah 98.000
169 Kocher RRT, 18 cm, Lurus One med Unit 112.000

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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
Ex : China 20 cm,
170 Kocher Crown Buah 113.000
Lurus
171 Kocher 18 cm, Lurus Smic Buah 114.000
172 Kocher 20 cm, Lurus Schwer Unit 119.000
173 Kocher 18 cm, bengkok Schwer Unit 121.000
174 Kocher 16 cm, Bengkok Smic Buah 123.000
175 Kocher 14 cm, Lurus Smic Buah 154.000
176 Kocher 14 cm, Bengkok Smic Buah 164.000
177 Kogel Tang Crown 25 cm Crown Buah 95.000
178 Kogel Tang 20 cm SS Buah 130.000
179 Kogel Tang $25,00 Tjm Buah 154.000
180 Kogel Tang 20 cm Yamaco Buah 155.000
181 Kogel Tang $25,00 Yamaco Buah 155.000
182 Kogel Tang 25 Renz Yamaco Buah 155.000
183 Kogel Tang SS 25 cm Yamaco Buah 155.000
184 Kogel Tang Crown 25 cm Crown Buah 158.000
185 Kogel Tang $25,00 Renz Buah 163.000
186 Kogel Tang 25 cm SS Buah 211.000
187 Kogel Tang 25 cm Lawton Buah 212.000
188 Kogel Tang 20 cm Smic Buah 220.000
189 Kogel Tang 22 cm Smic Buah 228.000
190 Kogel Tang $25,00 RRT Buah 244.000
191 Kogel Tang $25,00 Smic Buah 244.000
192 KY. Jelly 48 Tube Box 114.000
193 Lammana Medgym Buah 122.000
Ex : Lokal GEA (isi: 100
194 Lanset Dos 53.000
buah)
Ex : Lokal (isi: 100
195 Lanset Dos 65.000
buah)
Ex : Lokal (isi: 200
196 Lanset Dos 82.000
buah)
Ex : Lokal GEA (isi: 200
197 Lanset Dos 106.000
buah)
198 Leukocrepe 3",10 x 4,5 Roll 108.000
199 Leukocrepe 3", 7 x 4,5 Roll 111.000
200 Leukocrepe 4" Roll 148.000
201 Leukocrepe 6" RoU 224.000
202 Leukoplast 1,25 cm x 1 m Roll 4.000
203 Leukoplast ( 1 m x 2.5 cm). 1/2 x 1 Roll 12.000
204 Leukoplast 1,25 cm x 4,5 m Roll 16.000
( 4,5 m x 2.5 cm ), 1/2
205 Leukoplast Roll 16.000
x 5 Lux
206 Leukoplast 2,5 cm x 1 m Roll 32.000
207 Leukoplast 2,5 m x 4,5 m Roll 36.000
( 4,5 m x 2,5 cm ), 1 x
208 Leukoplast Roll 41.000
5 Lux
209 Leukoplast 2,5 cm x 4,5 m Roll 41.000
210 Leukoplast BSN, 4.5 x 5 BSN Roll 71.000
( 4,5 m x 5 cm ), 2 x 5
211 Leukoplast RoU 76.000
Lux
212 Leukoplast 4,5 m x 7,5 m Roll 81.000
( 4,5 m x 7,5 cm ), 3 x
213 Leukoplast Roll 113.000
5 Lux
214 Leukodur 3" Roll 58.000
215 Leukodur 1" Roll 62.000

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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
216 Leukodur 4" Roll 80.000
217 Leukodur 6" Roll 224.000
218 Masker Isi 50 (Kain) Save Box 64.000
Yammamo
219 Masker O2 Box 82.000
to
220 Masker Disposible Diapro Box 104.000
221 Masker Surgical Hospilab Box 246.000
222 Mess Aesculap $42.309,00 Kiato Box 571.000
223 Mortir Stamper 8 cm RRC Buah 34.000
224 Mortir Stamper 13 cm Lokal Buah 49.000
225 Mortir Stamper 8 cm One med Buah 50.000
226 Mortir Stamper Ex : Lokal 13 cm Lokal Buah 53.000
227 Mortir Stamper 10 cm RRC Buah 53.000
228 Mortir Stamper 10 cm One med Buah 61.000
229 Mortir Stamper 13 cm RRC Buah 81.000
230 Mortir Stamper 13 cm One med Buah 83.000
231 Mortir Stamper 21 cm Lokal Buah 94.000
232 Mortir Stamper Ex : Lokal 16 cm Lokal Buah 100.000
233 Mortir Stamper Ex : Lokal 16 cm One med Buah 119.000
234 Mortir Stamper 16 cm RRC Buah 143.000
235 Mortir Stamper 21 cm One med Buah 240.000
236 Mortir Stamper Ex : Lokal 21 cm One med Buah 240.000
237 Mortir Stamper 21 cm RRC Buah 284.000
238 Mortir Stamper Ex : Lokal 21 cm Lokal Buah 292.000
239 Mortir Stamper Ex : Lokal 25 cm Lokal Buah 411.000
240 Nald Voeder Ex : RRC 14 cm Smic Buah 179.000
241 Nald Voeder BM237 Aesculape buah 1.578.000
242 Nald Voeder 12.219.000
243 Needle Holder 14 cm Yamaco Buah 50.000
244 Needle Holder 14 cm Schwer Buah 54.000
245 Needle Holder Tajimaco Buah 59.000
246 Needle Holder 16 cm Schwer Buah 65.000
247 Needle Holder 14 (Matiu) Crown Buah 73.000
248 Needle Holder 18 cm (Matiu) Crown Buah 73.000
249 Needle Holder SS, 14 cm Buah 76.000
250 Needle Holder 18 cm Yamaco Buah 81.000
251 Needle Holder 14 cm (Hegar) Crown Buah 89.000
252 Needle Holder 18 cm (Hegar) Crown Buah 89.000
253 Needle Holder Ex : Japan 18 cm Buah 95.000
254 Needle Holder 25 cm Yamaco Buah 98.000
255 Needle Holder 14 cm Smic Buah 146.000
256 Needle Holder 14 cm (Hegar) Smic Buah 179.000
257 Needle Holder 22 cm (Hegar) Smic Buah 212.000
258 Nierbekhem 23 cm SS Buah 56.000
259 Nierbekhem 21 cm SS Buah 57.000
260 Nierbekhem 20 cm SS Buah 57.000
261 Nierbekhem 20 cm (Piala Ginjal) SS Buah 57.000
262 Nierbekhem 20 cm / Bengkok SS Buah 57.000
263 Nierbekhem 23 cm (Piala Ginjal) SS Buah 61.000
264 Nierbekhem 23 cm Mecadent Buah 65.000
265 Nierbekhem 23 cm SS Buah 69.000
266 Nierbekhem 23 cm (Piala Ginjal) SS Buah 69.000
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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
267 Nierbekhem 23 cm / Bengkok SS Buah 69.000
268 Nierbekhem 25 cm SS Buah 81.000
269 Nierbekhem 25 cm (Piala Ginjal) SS Buah 81.000
270 Nierbekhem 27 cm Thailand Buah 180.000
271 Nurse Cart EL 500 P Acare Buah 39.348.000
Oksigen Cylinder
272 IM3 Lokal Set 494.000
Trolley
Oksigen Cylinder
273 Kapasitas 1 m3 T. Sena Set 2.306.000
Trolley
Oksigen Cylinder
274 1 1/2 m3 Lokal Set 494.000
Trolley .
275 Over Bed Table $583,00 Celica Buah 3.988.000
276 Over Bed Table $31.812,00 MAK Buah 6.199.000
277 Over Bed Table $73.012,00 MAK Buah 9.135.000
Paramoun
278 Over Bed Table KV3759100 282 Buah -
t
Jas Dokter Lengan
279 Pakaian Kerja Clarina Stel 32.000
pendek
280 Pakaian Kerja Plastik Apron Stel 64.000
281 Pakaian Kerja Drill Apron Stel 166.000
Lab. Jas Lengan
282 Pakaian Kerja Clarina Stel 348.000
Pendek
Lab. Jas Lengan
283 Pakaian Kerja Drill Stet 420.000
Panjang
Jas Dokter Lengan
284 Pakaian Kerja Clarina Stel 1.672.000
Panjang
285 Pinset Anatomis 14 cm Medica Buah 17.000
286 Pinset Anatomis 14 cm Pakistan Buah 25.000
287 Pinset Anatomis Crown Uk.14 cm Tjmc Buah 32.000
288 Pinset Anatomis Uk. 14 cm RRT Buah 32.000
289 Pinset Anatomis 14 cm Buah 34.000
290 Pinset Anatomis Crown 20 cm Tajimaco Buah 39.000
Ex : Pakistan Uk.14
291 Pinset Anatomis Buah 47.000
s/d 18
292 Pinset Anatomis 14 cm Buah 55.000
293 Pinset Anatomis 20 cm Tajimaco Buah 57.000
294 Pinset Anatomis Uk.14 cm Smic Buah 63.000
295 Pinset Anatomis 20 cm Crown Buah 65.000
296 Pinset Anatomis 14 cm Tajimaco Buah 89.000
297 Pinset Anatomis BD047 Aesculape buah 413.000
298 Pinset Anatomis Ex : Eropa Uk. 14 Buah 489.000
299 Pinset Anatomis Ex : Eropa Uk. 16 Buah 653.000
300 Pinset Chirurgis 14 cm Yamaco Buah 18.000
301 Pinset Chirurgis 14 cm Lokal Buah 28.000
302 Pinset chirurgis 14 cm One med Buah 34.000
303 Pinset Chirurgis 14 cm Tjm Buah 40.000
304 Pinset chirurgis 18 cm One med Buah 47.000
305 Pinset Chirurgis 20 cm Tjm Buah 56.000
306 Pinset Chirurgis 14 cm Smic Buah 64.000
307 Pinset Chirurgis 18 cm Yamaco Buah 64.000
308 Pinset Chirurgis 18 cm Lokal Buah 72.000
309 Pinset Chirurgis 20 cm Lokal Buah 80.000
310 Pinset Chirurgis 16 cm Smic Buah 86.000
311 Pinset Chirurgis 14 cm Tajimaco Buah 143.000
312 Pinset Chirurgis BD557 Aesculape buah 491.000

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1 2 3 4 5 6
313 Pispot Plastik (Urinal) SS Buah 15.000
Ex : Hijau (Sendok
314 Pispot Lokal Buah 81.000
Besar Kaleng)
315 Pispot Bahan Seng (BAB) Lokal Buah 1.131.000
316 Plaster Troley $559,00 Celica Buah 6.402.000
317 Ring Klem Tampon Tang Tajimaco Buah 324.000
318 Scalp Vein Butterlly Needle 20 G TRM Pes 28.000
319 Scalp Vein Butterlly Needle 1B G TRM Pes 29.000
320 Scalp Vein Butterlly Needle 19 G TRM Pes 29.000
321 Scalp Vein Butterlly Needle 21 G TRM Pes 29.000
322 Scalp Vein Butterlly Needle 22 G TRM Pes 29.000
323 Scalp Vein Butterlly Needle 23 G TRM Pes 29.000
324 Scralp Vein Set 18G x 3/4", 100 pcs JMS . Box 223.000
325 Scralp Vein Set 25G x 3/4", 100 pcs JMS Box 2.176.000
326 Scralp Vein Set 21G x 3/4", 100 pcs JMS Box 2.176.000
327 Scralp Vein Set 27G x 1/8", 100 pcs JMS Box 2.180.000
328 Scralp Vein Set 23G x 3/4", 100 pcs JMS Box 2.182.000
329 Scralp Vein Set 24G x 3/4", 100 pcs JMS Box 2.183.000
330 Scralp Vein Set 27G x 1/2", 100 pcs JMS Box 2.185.000
331 Scralp Vein Set 20G x 3/4", 100 pcs JMS Box 2.188.000
332 Scralp Vein Set 22G x 3/4", 100 pcs JMS Box 2.193.000
333 Scralp Vein Set 19G x 3/4", 100 pcs JMS Box 2.252.000
334 Scralp Vein Set 19G x 3/4 ", 2400 pcs JMS Carton 52.213.000
335 Scralp Vein Set 27G x 1/8", 2400 pcs JMS Carton 52.247.000
336 Scralp Vein Set 18G x 3/4", 2400 pcs JMS Carton 52.308.000
337 Scralp Vein Set 23G x 3/4", 2400 pcs JMS Carton 52.370.000
338 Scralp Vein Set 24G x 3/4", 2400 pcs JMS Carton 52.451.000
339 Scralp Vein Set 20G x 3/4", 2400 pcs JMS Carton 52.513.000
340 Scralp Vein Set 21G x 3/4", 2400 pcs JMS Carton 52.513.000
341 Scralp Vein Set 22G x 3/4", 2400 pcs JMS Carton 52.550.000
342 Scralp Vein Set 25G x 3/4", 2400 pcs JMS Carton 52.576.000
343 Scralp Vein Set 27G x 1/2", 2400 pcs JMS Carton 52.650.000
344 Screen One Fold Type 562 A Celica Buah 1.734.000
345 Screen Two Fold Type 562 B Celica Buah 2.339.000
346 SIeup Sonde 43 - 404 - 42 (Lurus) Pakistan Buah 29.000
347 SIeup Sonde 43 - 404 - 17 (Lurus) Pakistan Buah 29.000
348 SIeup Sonde 14 cm Pakistan Buah 64.000
349 Sofband 4" BSN Roll 51.000
350 Sofband 6" BSN Roll 75.000
Specialty Disposible Cateter Up Syrenge 100
351 JMS Box 103.000
Syrenge cc, 200 Pcs
Specialty Disposible Cateter Up Syrenge 100
352 JMS Box 103.000
Syrenge cc, 25 Pcs
Specialty Disposible Cellopsy
353 10 cc, 800 Pcs Box 17.515.000
Syrenge BIopsy
Specialty Disposible Cellopsy
354 10 cc, 50 Pcs Box 17.518.000
Syrenge BIopsy
One med, 1cc 40U,
355 Spuit Insulin One med Box 220.000
100U, 100pcs
356 Standard Oksigen 6 M3 Lokal Buah 1.318.000
Standard Oksigen
357 1 M3 Lokal Buah 494.000
Trolly
Standard Operating Cvd, Sharp/Sharp,
358 Yamaco Buah 40.000
Scissor 5.5", ss
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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
Standard Operating Cvd, Sharp/blunt, 5.5",
359 Yamaco Buah 40.000
Scissor ss
Ex : Lokal (2
360 Standart Infus Pcs 806.000
Gantungan + Roda)
361 Standart Infus Beroda Magnate 1.017.000
362 Steel Bunk Bed $550,00 Celica Buah 9.063.000
363 Sterilisator TMQ-300E ex : china Unit 62.694.000
364 Sterillisator 27 x 110 x 60 cm Smic Unit 1.208.000
365 Sterillisator Basah 27 cm (250 W) Smic Unit 1.208.000
366 Sterillisator Basah 27 cm (250 W) JMC Unit 1.211.000
Ex : Japan 24x30 cm
367 Sterillisator Jpn Unit 2.085.000
(Listrik)
Ex : Japan 27x30 cm
368 Sterillisator Jpn Unit 2.899.000
(Listrik)
369 Sterillisator Basah 42 cm (220 V) Smic Unit 3.386.000
370 Sterillisator 42 cm (Elektrik) Smic Unit 4.008.000
371 Sterillisator ZTP 76 A Elitech Unit 4.840.000
372 Sterillisator ZTP 80 A Elitech Unit 5.308.000
373 Sterillisator ZTP 80 A-U Elitech Unit 6.445.000
374 Sterillisator TW 7 SV Elitech Unit 7.099.000
375 Sterillisator ZTP 80 A-S Elitech Unit 8.059.000
376 Sterillisator ZTP 108 Elitech Unit 8.067.000
377 Sterillisator ZLP 68 S Elitech Unit 9.273.000
378 Sterillisator RLD 58 C Elitech Unit 9.519.000
379 Sterillisator ZTP 80 A-US Elitech Unit 9.686.000
380 Sterillisator ZTD 88 C-G Elitech Unit 12.245.000
381 Sterillisator ZTD 108 C-S Elitech Unit 12.945.000
382 Sterillisator ZLD 46 D Elitech Unit 13.644.000
383 Sterillisator Sterilisari Kering Smic Unit 13.932.000
384 Sterillisator ZLD 50 F Elitech Unit 16.147.000
385 Sterillisator ZTD 88 S Elitech Unit 16.189.000
386 Sterillisator ZLD 50 B Elitech Unit 16.729.000
387 Sterillisator ZTP 300 Elitech Unit 17.746.000
388 Sterillisator ZTP 368 A Elitech Unit 22.546.000
389 Sterillisator ZTP 368 A-S Elitech Unit 22.546.000
390 Stetoscope Dewasa/ buah Riester Unit 360.000
391 Stetoscope Anak & bayi / buah Riester Unit 370.000
392 Stetoscope Litmann Unit 2.726.000
393 Stetoscope Anak 3M Unit 3.098.000
394 Stetoscope Bayi 3M Unit 3.098.000
395 Stetoscope Dewasa 3M Unit 1.954.000
396 Stetoskop Bayi Litmann Unit 739.000
397 Stetoskop Litmann Litmann Unit 1.826.000
398 Tabung Oksigen 1 M3 Manometer Lokal Set 1.657.000
399 Tabung Oksigen 1 Set + Trolly Lokal Set 2.142.000
400 Tabung Oksigen 1 Set + Trolly One med Set 2.878.000
401 Tampon Tang 25 cm Yamaco Buah 136.000
402 Tampon Tang 25 cm Tjm Buah 156.000
403 Tampon Tang Uk. 25 cm JMC Buah 281.000
Uk. 18,5 x 9,5 cm ( Mst
404 Tensimeter One med Unit 63.000
Anak)
405 Tensimeter Spygmed Unit 375.000
406 Tensimeter ALPK-2 (Anaroid) ALPK-2 Unit 642.000

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NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
407 Tensimeter Yamamoto (ALPK 2) Yamamoto Unit 642.000
408 Tensimeter Uk. 18,5 x 9,5 cm ABN Unit 1.292.000
Uk. 18,5 x 9,5 cm (
409 Tensimeter Meiden Unit 1.292.000
Mset Anak)
MX3 (Digital Pakai
410 Tensimeter Omron Unit 1.443.000
Batteray)
MY3 (Digital Pakai
411 Tensimeter Omron Unit 1.452.000
Batteray)
412 Tensimeter AND 767 (Digital) AND 767 Unit 2.903.000
UA-787 (Digital Pakai
413 Tensimeter One med Unit 2.903.000
Batteray)
414 Tensimeter beroda Riester Unit 4.117.000
415 Tensimeter Beroda Berdiri Riester Unit 4.117.000
416 Tensimeter Dewasa Duduk Riester Unit 1.482.000
417 Tensimeter Dewasa Duduk Riester Unit 2.651.000
418 Tensimeter duduk Riester Unit 1.482.000
Full Rotary DR Type,
419 Threespay Stop Cock JMS Box 1.450.000
25 pcs
With 10 Cc Tube, 25
420 Threespay Stop Cock JMS Box 1.827.000
pcs
Full Rotary DR Type,
421 Threespay Stop Cock JMS Carton 29.146.000
500 pcs
With 10 Cc Tube, 500
422 Threespay Stop Cock JMS Carton 36.572.000
pcs
423 Timbangan Badan Campry Unit 155.000
Ex : Tanita Kapasitas Yamato
424 Timbangan Badan Unit 338.000
120 kg Giken
425 Timbangan Badan Aremed Unit 571.000
426 Timbangan Badan RRC Smic Unit 1.749.000
Ex : Lokal (Plus
427 Timbangan Badan Yamato Unit 2.306.000
Uk.Tinggi)
Ex : China (ukuran Yamato
428 Timbangan Badan Unit 2.422.000
tinggi) Giken
Ex : China (ukuran Yamato
429 Timbangan Badan Unit 2.426.000
bulat) Giken
430 Timbangan Badan Untuk Orang Dewasa Yamamoto 3.663.000
Yamato Giken Type YB
431 Timbangan Bayi Fujikid Unit 804.000
77 20 kg
Digital Type YB 88 /
432 Timbangan Bayi Yamasaki Unit 1.802.000
RGZ 20 kg
Digital Type YB 88 / 20
433 Timbangan Bayi Yamasaki Unit 1.802.000
kg
434 Transfer Blood Bag 150 cc JMS Pes 107.000
435 Transfer Blood Bag 200 cc JMS Pes 114.000
436 Transfer Blood Bag 300 cc JMS Pes 126.000
437 Transfer Blood Bag 500 cc JMS Pes 143.000
438 Transfer Blood Bag 600 cc JMS Pes 162.000
439 Transfer Blood Bag 1000 cc JMS Pes 251.000
440 Transfer Blood Bag 2000 cc JMS Pes 360.000
441 Tromol Lokal buah 364.000
442 Tromol ( steril ) Sugico, Uk 21 cm Sugico Buah 215.000
443 Tromol ( steril ) Uk. 21 cm T.Sena Buah 277.000
444 Tromol ( steril ) Uk. 33 cm T.Sena Buah 348.000
445 Tromol ( steril ) Uk. 18 cm T.Sena Buah 412.000
446 Tromol ( steril ) Stainles 18 cm (Kassa) SS Buah 556.000
447 Tromol ( steril ) Uk. 18 cm SS Buah 556.000

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 NO URAIAN SPESIFIKASI MERK SAT. HARGA
1 2 3 4 5 6
448 Tromol ( steril ) Uk. 24 cm T.Sena Buah 581.000
449 Tromol ( steril ) Uk. 27 cm T.Sena Buah 696.000
450 Tromol ( steril ) Uk. 30 cm T.Sena Buah 1.294.000
451 Tromol ( steril ) Uk. 27 cm T. Plata Buah 1.488.000
452 Tromol ( steril ) Uk. 36 cm T.Sena Buah 1.573.000
453 Tromol ( steril ) Uk. 39 cm T.Sena Buah 1.816.000
454 Tromol ( steril ) Sugico, Uk 27 cm Sugico Buah 3.202.000
455 Tromol ( steril ) Uk. 30 cm T. Lokal Buah 3.263.000
456 Tromol ( steril ) Uk. 33 cm T. Plata Buah 4.121.000
457 Tromol ( steril ) Q 33 M (Gass) Sugico Buah 8.144.000
Port &
Vasolix Braunule Cath
458 20 G Closing Pes 58.000
+ Inject
Cove
Vasolix Braunule Cath Port &
459 15 G Pes 58.000
+ Inject Closing
Vasolix Braunule Cath Port &
460 Port & Closmg 16 G Pes 58.000
+ Inject Closing
Vasolix Braunule Cath Port &
461 18 G Pes 58.000
+ Inject Closing
Vasolix Braunule Cath Port &
462 18 G Pes 58.000
+ Inject Closing
Port &
Vasolix Braunule Cath
463 22 G Closing Pes 58.000
+ Inject
Cove
Port &
Vasolix Braunule Cath
464 20 G Closing Pes 58.000
+ Inject
Cove
Port &
Vasolix Braunule Cath
465 22 G Closing Pes 58.000
+ Inject
Cove
Yamato
466 Waskom Ex : Lokal 40 cm Unit 274.000
Giken
Ex: Lokal 30cm pakai Yamato
467 Waskom Unit 445.000
roda T.80cm Giken

13.2. Bahan Pakai Habis / BHP

NO URAIAN SATUAN HARGA

1 2 3 4
1 3 Way stopcock Hospitech Pcs 12.000
2 3 Way stopcook with tubing Hospitech Pcs 30.000
3 Accucek Aktif + Test Strip Set 1.335.000
4 Acucek Aktif Test Strip @50 Box 394.000
5 Acucek Performa Test Strip @50 Box 492.000
6 Alkohol 70 % 1 lt One Med Pcs 39.000
7 Alkohol 70% 1 lt Brataco Pcs 41.000
8 Alkohol 95% 1 lt Onemed Pcs 66.000
9 Alkohol 96% 1 lt Brataco Pcs 91.000
10 Appavisc (HPMC 2ml) Pcs 107.000
11 Aquacel Silver 10x10 Pcs 230.000
12 Aquadest 1 Liter Btl 461.000
13 Barium Sulfat 50 g Pcs 48.000
14 BD Neoflon 24 GA Pcs 37.000
15 BD Neoflon 26 GA Pcs 46.000
16 Bedak Salicyl Cap Gajah Pcs 6.000
17 Bedak Salicyl KF Pcs 5.000
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NO URAIAN SATUAN HARGA
1 2 3 4
18 Benang Focus Nylon Black 10-0 Pcs 112.000
19 Benang US IOL 10.0 Pcs 112.000
20 Benang US IOL 8.0 Pcs 169.000
21 Benang UV Suture 10-0 Pcs 72.000
22 Benang UV Suture 5-0 Pcs 169.000
23 Bio-Blue (Trypan Blue) Vial 60.000
24 Biosepton 1 ltr Coronet Btl 106.000
25 Blood Lancet, Homecare Box 50.000
26 Blood Transfusion Set GEA Medical Pcs 11.000
27 Blood Transfusion Set Hospitech Pcs 23.000
28 Blood Transfusion Set Nipro Pcs 23.000
29 Blood Transfusion Set Onemed Pcs 7.000
30 Blood Transfusion Set Otsuka Pcs 12.000
31 Blood Transfusion Set Remedi Pcs 11.000
32 Blood Transfusion Set Terumo Pcs 23.000
33 Blood Transfusion Set Win Pcs 11.000
34 Cangkang Capsul "0" Pax 76.000
35 Cangkang Capsul "1" Pax 59.000
36 Carbachol Inj Vial 106.000
37 Cat Gut Chromic 2/0 BD Pcs 36.000
38 Cat Gut Chromic 3/0 Rhomed Pcs 8.000
39 Cat Gut Chromic 3/0 Sella Pcs 36.000
40 Cat Gut Chromic 3/0 Wellco Pcs 18.000
41 Cat Gut Chromic No.0 Biodinamik Roll 1.437.000
42 Cat Gut Chromic No.1 Biodinamik Roll 1.535.000
43 Cat Gut Chromic No.1 Surgiroll Roll 2.030.000
44 Cat Gut Chromic No.2 Biodinamik Roll 1.326.000
45 Cat Gut Chromic No.2 Surgiroll Roll 2.030.000
46 Cat Gut Chromic No.2-0 Surgiroll Roll 1.736.000
47 Cat Gut Chromic No.3-0 Bbraun Roll 1.699.000
48 Cat Gut Chromic No.3-0 Biodinamik Roll 1.493.000
49 Cat Gut Chromic No.3-0 Surgiroll Roll 1.736.000
50 Cat Gut Silk 3/0 Onemed Pcs 18.000
51 Cat Gut Silk 3/0 Rhomed Pcs 10.000
52 Catachol Inj Vial 50.000
53 Catachol Inj Vial 60.000
54 Catagel (HPMC 2ml) Pcs 107.000
55 Catgut Chomic 3/0 Onemed Pcs 8.000
56 Catgut Plain 2-0 Surgirol Roll 2.030.000
57 Catgut Plain 3/0 Onemed Pcs 8.000
58 Catgut Plain 3/0 Rhomed Pcs 8.000
59 Catgut Plain 3-0 Biodinamik Roll 1.493.000
60 Catgut Plain 3-0 Surgirol Roll 2.030.000
61 Catgut Silk 2-0 Biodinamik Roll 708.000
62 Catgut Silk 3-0 Biodinamik Roll 652.000
63 Catgut Silk Black 0 Biodinamik Roll 858.000
64 Catgut Silk Black 0 SMI Roll 845.000
65 Catgut Silk Black 0 Surgirol Roll 699.000
66 Catgut Silk Black 1 Surgirol Roll 512.000
67 Catgut Silk Black 2-0 Surgirol Roll 1.225.000
68 Catgut Silk Black 3-0 Surgirol Roll 1.069.000
69 Ceratome Knife JE-1 JM (Slit Knife) Pcs 180.000

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NO URAIAN SATUAN HARGA
1 2 3 4
70 Certofix Duo V720 Pcs 772.000
71 Cervical Collar (L) Pcs 161.000
72 Cervical Collar (M) Pcs 161.000
73 CHKM (Paramonoclorofenol) Vial 35.000
74 Crescent Knife JE-2 JM (Crescent Knife) Pcs 180.000
75 Curapor Trans 10x25cm Pcs 36.000
76 Demegut Chromic 3/0 70C 19m C Box 643.000
77 Demegut Chromic 4/0 75C 17m R Box 643.000
78 Demelene 3/0 Demetech 45C 24m C Box 1.420.000
79 Demelene 4/0 Demetech 75C 16m C Box 422.000
80 Demesilk 3/0 Demetech 75C 17m R Box 355.000
81 Demesilk 4/0 Demetech 75C 17m R Box 355.000
82 Demesorb 0 Demetech 75C 48m R Box 966.000
83 Demesorb 2/0 Demetech 75C 40m R Box 966.000
84 Demesorb 3/0 Demetech 75C 22m R Box 915.000
85 Demesorb 4/0 Demetech 75C 22m R Box 915.000
86 Duoderm Extra Thin Pcs 52.000
87 Ear syringe 30 ml Pcs 18.000
88 Elastis Bandage "3" Roll 24.000
89 Elastis Bandage "6" Roll 39.000
90 Elektrode EKG Endo Pak 78.000
91 Elektrode For Defibrillator Adult Pcs 1.335.000
92 Elektrode Monitor Kendal Pcs 3.000
93 Ethyl Chlorid spray Btl 113.000
94 ETT No.2,5 Rusch Pcs 69.000
95 ETT Cuffed No.3 Rusch Pcs 86.000
96 ETT Cuffed No.4 Rusch Pcs 86.000
97 ETT No 6,5 Euromedical Pcs 60.000
98 ETT No 7 Euromedical Pcs 60.000
99 ETT No. 3,5 Euromedical Pcs 60.000
100 ETT No. 4,5 Euromedical Pcs 60.000
101 ETT No. 5 Euromedical Pcs 60.000
102 ETT No. 5,5 Euromedical Pcs 60.000
103 ETT No. 7.5 Euromedical Pcs 60.000
104 ETT No.2,5 Euromedical Pcs 60.000
105 ETT No.3 Euromedical Pcs 60.000
106 ETT No.3 Rusch Pcs 69.000
107 ETT No.3,5 Rusch Pcs 69.000
108 ETT No.4 Rusch Pcs 69.000
109 ETT No.4 Euromedical Pcs 60.000
110 ETT No.4,5 Rusch Pcs 69.000
111 ETT No.5 Rusch Pcs 69.000
112 ETT No.5,5 Rusch Pcs 69.000
113 ETT No.6 Euromedical Pcs 60.000
114 ETT No.6 Rusch Pcs 69.000
115 ETT No.6,5 Rusch Pcs 69.000
116 ETT No.7 Rusch Pcs 69.000
117 ETT No.7,5 Rusch Pcs 69.000
118 Eugenol 20G Biodinamica Vial 83.000
119 Excell-tulle Pcs 20.000
120 Extension Set 150cm Pcs 12.000
121 Folley Catheter 10 2way Bardia Pcs 13.000

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NO URAIAN SATUAN HARGA
1 2 3 4
122 Folley Catheter 10 2way GEA Royal Pcs 13.000
123 Folley Catheter 12 2way Rusch Pcs 23.000
124 Folley Catheter 14 2way Rusch Pcs 23.000
125 Folley Catheter 16 2way Bardia Pcs 18.000
126 Folley Catheter 16 2way GEA Royal Pcs 13.000
127 Folley Catheter 16 2way Euromedical Pcs 18.000
128 Folley Catheter 16 2way Onemed Pcs 13.000
129 Folley Catheter 16 2way Well Lead Pcs 13.000
130 Folley Catheter 18 2way Bardia Pcs 18.000
131 Folley Catheter 18 2way Euromedical Pcs 18.000
132 Folley Catheter 18 2way GEA Royal Pcs 13.000
133 Folley Catheter 18 2way Onemed Pcs 13.000
134 Folley Catheter 18 2way Well Lead Pcs 13.000
135 Folley Catheter 24 2way Rusch Pcs 27.000
136 Folley Catheter 8 2way GEA Royal Pcs 13.000
137 Formalin 20 Liter Drigen 902.000
138 Formalin Brataco (@100 tab) Kaleng 165.000
139 Fuji IX GP 1-1 Mini pack Vial 704.000
140 Gelang Bayi Blue 100'S (ID Brand) Pcs 2.000
141 Gelang Bayi Blue 100'S (ID Brand) Pcs 2.000
142 Gelang Bayi Blue 100'S (ID Brand) Cosmomed Pcs 1.000
143 Gelang Bayi Pink 100'S (ID Brand) Pcs 2.000
144 Gelang Bayi Pink 100'S (ID Brand) Pcs 2.000
145 Gelang Bayi Pink 100'S (ID Brand) Cosmomed Pcs 1.000
146 Gipsona 3" BSN Roll 38.000
147 Gipsona 4" BSN Roll 55.000
148 Gliserin 1 ltr Btl 66.000
149 H2O2 3% Onemed Btl 40.000
150 H2O2 3% Brataco Btl 54.000
151 Heact Nald GT 12 Pcs 33.000
152 Heact Nald GT 13 Pcs 33.000
153 Hipafix 10cmx5m Roll 158.000
154 Hipafix 15cmx5m Roll 201.000
155 Hipafix 5cmx5m Roll 86.000
156 Hydrex 5 ltr Drigen 1.836.000
157 I-Col 2-0 RB-SFN 2043 F Box 2.140.000
158 I-Col 2-0 RB-SFN 2381 A Box 1.353.000
159 I-Col 2-0 RB-SFN 2381 B Box 2.706.000
160 I-Col 3-0 SFN 2016 A Box 1.076.000
161 I-Col 3-0 SFN 2328 A (Cutting) Box 1.143.000
162 I-Col 4-0 19mm Cuting SFN 2022 D Box 1.063.000
163 I-Col 4-0 RB-SFN 2065 A Box 1.193.000
164 ID Bracelet Write On Adult-Blue Pcs 1.000
165 ID Bracelet Write On Adult-Pink Pcs 1.000
166 ID Bracelet Write On Adult-Red Pcs 1.000
167 ID Bracelet Write On Adult-Yellow Pcs 1.000
168 ID Bracelet Write On Child-Red Pcs 1.000
169 ID Bracelet Write On Infant-Pink Pcs 1.000
170 ID Bracelet Write On Infant-Yellow Pcs 1.000
171 Infuset Anak Hospitech Pcs 8.000
172 Infuset Anak PKD 2 - Otsuka Pcs 13.000
173 Infuset Anak Remedi Pcs 12.000

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NO URAIAN SATUAN HARGA
1 2 3 4
174 Infuset Anak Win Pcs 14.000
175 Infuset Dewasa GEA Medical Pcs 8.000
176 Infuset Dewasa Grafuset-OGS Pcs 9.000
177 Infuset Dewasa Otsuka Pcs 18.000
178 Infuset Dewasa Remedi Pcs 10.000
179 Infuset Dewasa Wellco Pcs 9.000
180 Infuset Dewasa Win Pcs 5.000
181 IV Catheter 18 Diaflon Pcs 6.000
182 IV Catheter 18 Euromed Pcs 24.000
183 IV Catheter 18 Otsucath Pcs 35.000
184 IV Catheter 18 Terumo Pcs 40.000
185 IV Catheter 18 Winflon Pcs 6.000
186 IV Catheter 20 Euromed Pcs 24.000
187 IV Catheter 20 Gea Pcs 6.000
188 IV Catheter 20 Otsucath Pcs 35.000
189 IV Catheter 20 Winflon Pcs 6.000
190 IV Catheter 22 Diaflon Pcs 8.000
191 IV Catheter 22 Inflo Onemed Pcs 20.000
192 IV Catheter 22 Otsucath Pcs 35.000
193 IV Catheter 22 Terumo Pcs 40.000
194 IV Catheter 22 Winflon Pcs 6.000
195 IV Catheter 24 Diaflon Pcs 8.000
196 IV Catheter 24 Euromed Pcs 24.000
197 IV Catheter 24 Inflo Onemed Pcs 20.000
198 IV Catheter 24 Otsucath Pcs 35.000
199 IV Catheter 24 Terumo Pcs 34.000
200 IV Catheter 24 Winflon Pcs 8.000
201 IV. Catheter 18 Gea Pcs 6.000
202 IV. Catheter 22 Gea Pcs 6.000
203 IV. Catheter 24 Gea Pcs 6.000
204 IV.Catheter 18 Vasflow Pcs 11.000
205 IV.Catheter 20 Diaflon Pcs 8.000
206 IV.Catheter 20 Terumo Pcs 40.000
207 IV.Catheter 20 Vasflow Pcs 11.000
208 IV.Catheter 22 Vasflow Pcs 11.000
209 IV.Catheter 24 Vasflow Pcs 11.000
210 Kapas 250 gr Nasaco Roll 36.000
211 Kapas 250 gr PF Roll 30.000
212 Kapas 250 gr Promedik Roll 30.000
213 Kapas 250 gr Saribunga Roll 28.000
214 kapas 250 gr Onemed Roll 20.000
215 Kapas 500 gr Nasaco Roll 70.000
216 Kapsul Kosong 0 Pak 37.000
217 Kapsul Kosong 00 Pak 76.000
218 Kasa Hydrofil 40X80 Nasaco Roll 212.000
219 Kasa (Verban) 10 cm Dwipa Roll 6.000
220 Kasa (Verban) 15 cm Nasaco Roll 3.000
221 Kasa (Verban) 15 cm Onemed Roll 3.000
222 Kasa Hydrofil 40X80 Bunga Biru Roll 173.000
223 Kasa Hydrofil 40X80 Husada Biru Roll 212.000
224 Kasa Hydrofil 40X80 Onemed Roll 233.000
225 Kasa Hydrofil 40x80 Remedi Roll 224.000

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NO URAIAN SATUAN HARGA
1 2 3 4
226 Kasa steril (16x16) Nasaco Pak 6.000
227 Kasa Streril (16x16) Hexa Husada Pak 2.000
228 Kasa Streril (16x16) Onemed Pak 9.000
229 Kertas ECG 80x25 Pcs 120.000
230 Kertas EKG 63x30 Fukuda Roll 115.000
231 Kertas EKG Futuremed Pcs 531.000
232 Kertas EKG Wellalyn Pcs 584.000
233 Kertas K3600 Camina Pcs 318.000
234 Kertas Lakmus Biru Pcs 88.000
235 Kertas P 80 SIX Esaote Pcs 722.000
236 Kertas Perkamen (Puyer) Pcs 19.000
237 Kertas thermal printer Pcs 30.000
238 Kertas USG Pcs 30.000
239 Kertas USG UPP-11OHG Tipe V-Sony Pcs 327.000
240 Lancet Tip JC2-15 JM (Stab Knife) Pcs 180.000
241 Leukomed T Plus Pcs 41.000
242 Leukoplast 5 cm x 4,5cm BSN Roll 44.000
243 Leukoplast 7,5cmx45m BSN Roll 67.000
244 Lomatuell H Pcs 185.000
245 Masker 02 non Rebreating Anak Hospitech Pcs 53.000
246 Masker 02 non Rebreating Anak Remedi Pcs 46.000
247 Masker 02 non Rebreating Dewasa Hospitech Pcs 53.000
248 Masker 02 non Rebreating Dewasa Remedi Pcs 46.000
249 Masker 02 With Tubing Anak Pcs 42.000
250 Masker 02 With Tubing Dewasa Pcs 42.000
251 Masker 02 With Tubing Dewasa Cosmomed Pcs 22.000
252 Masker Earloop Evo Pcs 1.000
253 Masker Earloop Onemed Pcs 1.000
254 Masker Earloop Remedi Pcs 1.000
255 Masker Earloop ''Safe Mask'' Pcs 1.000
256 Masker Earloop Win Pcs 1.000
257 Masker TieOn Evo Pcs 1.000
258 Masker TieOn Onemed Pcs 1.000
259 Masker TieOn Remedi Pcs 1.000
260 Masker TieOn ''Safe Mask'' Pcs 1.000
261 Masker TieOn Win Pcs 1.000
262 Mayo No 4 Romsons Pcs 20.000
263 Mayo No 5 Romsons Pcs 20.000
264 Mayo No 8 Rusch Pcs 112.000
265 Mayo No. 10 Rusch Pcs 114.000
266 Mede-Blue (Trypan Blue) Pcs 60.000
267 Medical Ultrasound Gel Endo Btl 33.000
268 Medicrape 3" Onemed Roll 29.000
269 Medicrape 4" Onemed Roll 32.000
270 Medicrape 6" Onemed Roll 43.000
271 Mersilk 10-0 Nylon Pcs 115.000
272 Mess No.10 Aesculap Bbraun Pcs 4.000
273 Mess No.10 Aesculap Onemed Pcs 900
274 Mess No.11 Aesculap Bbraun Pcs 3.000
275 Mess No.11 Aesculap Onemed Pcs 900
276 Mess No.15 Aesculap Bbraun Pcs 3.000
277 Mess No.20 Aesculap Bbraun Pcs 3.000

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NO URAIAN SATUAN HARGA
1 2 3 4
278 Mess No.20 Aesculap Onemed Pcs 900
279 Mess-GS 23 (Surgimes) Pcs 568.000
280 MQA Inami Pcs 37.000
281 Mucos Extactor Hospitech Pcs 20.000
282 Mucos Extactor JMS Pcs 40.000
283 Mucos Extractor Europlast Pcs 9.000
284 Mucos Extractor Remedi Pcs 24.000
285 Needle 23 Terumo Pcs 800
286 Needle Epidural Pcs 21.000
287 NGT Feding Tube No 3,5 terumo Pcs 25.000
288 NGT Feding Tube No 5 terumo Pcs 25.000
289 NGT Feding Tube No 8 terumo Pcs 25.000
290 NGT Feeding Tube No. 12 terumo Pcs 25.000
291 NGT Stomach No. 14 Terumo Pcs 25.000
292 NGT Stomach Tube No 18 terumo Pcs 25.000
293 NGT Stomach Tube No. 16 terumo Pcs 25.000
294 One Srub 500 ml Btl 104.000
295 Optima 553 P18,5 Pcs 133.000
296 Optima 553 P19 Pcs 166.000
297 Optima 553 P19,5 Pcs 166.000
298 Optima 553 P20 Pcs 166.000
299 Optima 553 P20,5 Pcs 166.000
300 Optima 553 P21 Pcs 166.000
301 Optima 553 P21,5 Pcs 166.000
302 Optima 553 P22 Pcs 166.000
303 Optima 553 P22,5 Pcs 166.000
304 Optima 553 P23 Pcs 166.000
305 Parafin cair 1 lt Brataco Btl 138.000
306 Perifix 400 (G18x31/4) Bbraun Pcs 367.000
307 Plester Hansaplast Roll 93.000
308 Pot Urine 50cc Buah 2.000
309 Povidone Iodium 1lt Brataco Btl 103.000
310 Povidone Iodium 1lt Kimia Farma Btl 50.000
311 Povidone Iodium 1lt Onemed Btl 100.000
312 Rivanol 300 ml 0,1% Btl 10.000
313 Rohto Intra Ocular 19 Pcs 290.000
314 Rohto Intra Ocular 22 Pcs 290.000
315 Rohto Intra Ocular 23 Pcs 290.000
316 Sarung Tangan Non Steril L win glove Pcs 800
317 Sarung Tangan Non Steril S Win Glove Pcs 800
318 Sarung Tangan Non steril L Maxter Pcs 800
319 Sarung Tangan Non steril L Remedi Pcs 900
320 Sarung Tangan Non steril L Sensiglove Pcs 800
321 Sarung Tangan non steril L Suntouch Pcs 800
322 Sarung Tangan Non steril M Maxter Pcs 800
323 Sarung Tangan Non steril M Remedi Pcs 900
324 Sarung Tangan Non steril M Sensiglove Pcs 800
325 Sarung Tangan Non Steril M Suntouch Pcs 800
326 Sarung Tangan Non Steril M Win Glove Pcs 800
327 Sarung Tangan Non steril S Maxter Pcs 800
328 Sarung Tangan Non steril S Remedi Pcs 900
329 Sarung Tangan Non steril S Sensiglove Pcs 800

-393-
NO URAIAN SATUAN HARGA
1 2 3 4
330 Sarung Tangan Non Steril S Suntouch Pcs 800
331 Sarung tangan steril 6 Gamex Pcs 18.000
332 Sarung Tangan Steril 6.5 Gamex Pcs 18.000
333 Sarung Tangan Steril 6.5 maxter Pcs 8.000
334 Sarung Tangan Steril 7 Dispoglove OGS Pcs 12.000
335 Sarung Tangan Steril 7 Gamex Pcs 18.000
336 Sarung Tangan Steril 7 maxter Pcs 8.000
337 Sarung tangan steril 7 medigrip plus Pcs 22.000
338 Sarung Tangan Steril 7 MPM Pcs 8.000
339 Sarung Tangan Steril 7.5 Dispoglove OGS Pcs 10.000
340 Sarung Tangan Steril 7.5 Gamex Pcs 18.000
341 Sarung tangan steril 7.5 medigrip plus Pcs 22.000
342 Sarung Tangan Steril 7.5 Remedi Pcs 8.000
343 Sarung Tangan Steril 8 Gamex Pcs 18.000
344 Sarung Tangan Steril 8 Maxter Pcs 8.000
345 Sarung Tangan Steril 8 Medigrip plus Pcs 22.000
346 Sarung Tangan Steril Abumax 6,5 Pcs 8.000
347 Sarung Tangan Steril Abumax 7 Pcs 8.000
348 Sarung Tangan Steril Abumax 7,5 Pcs 8.000
349 Sarung Tangan Steril Gynacological Surgicare Pcs 21.000
350 Sarung Tangan Steril Obgyn Stermite Pcs 24.000
351 Selang O2 Anak (Nasal Canul) Pcs 18.000
352 Selang O2 Bayi (Nasal Canul) Pcs 18.000
353 Selang O2 Dewasa (Nasal canul) Pcs 18.000
354 Selang O2 Paediatric (Nasal Canul) Pcs 22.000
355 Softa Man Hand Scrub 500ml Btl 176.000
356 Spinocan 25G BBround Pcs 45.000
357 Spinocan 26G BBround Pcs 38.000
358 Spinocan 27G BBround Pcs 36.000
359 Spuit 1 cc OGS Pcs 2.000
360 Spuit 1 cc One Med Pcs 2.000
361 Spuit 1 cc win Pcs 2.000
362 Spuit 10 cc OGS Pcs 4.000
363 Spuit 10 cc One Med Pcs 2.000
364 Spuit 10 cc Terumo Pcs 6.000
365 Spuit 10 cc win Pcs 1.000
366 Spuit 20 cc One Med Pcs 4.000
367 Spuit 20 cc win Pcs 7.000
368 Spuit 3 cc Nipro Pcs 1.000
369 Spuit 3 cc OGS Pcs 2.000
370 Spuit 3 cc One Med Pcs 600
371 Spuit 3 cc Terumo Pcs 3.000
372 Spuit 3 cc win Pcs 800
373 Spuit 5 cc OGS Pcs 2.000
374 Spuit 5 cc One Med Pcs 800
375 Spuit 5 cc Terumo Pcs 4.000
376 Spuit 5 cc win Pcs 1.000
377 Spuit 50 cc One Med Pcs 19.000
378 Spuit 50 cc Win Pcs 6.000
379 Stae Refill (sbs.0110) / Bonding Vial 240.000
380 Sterisil 4-0 RB-SFS 5086 Box 633.000
381 Suction catheter 10 Hospitech Pcs 7.000

-394-
NO URAIAN SATUAN HARGA
1 2 3 4
382 Suction catheter 10 PAHSCO Pcs 13.000
383 Suction catheter 12 Hospitech Pcs 10.000
384 Suction catheter 14 Hospitech Pcs 10.000
385 Suction Catheter 16 Hospitech Pcs 10.000
386 Suction catheter 6 Hospitech Pcs 7.000
387 Suction catheter 6 PAHSCO Pcs 13.000
388 Suction catheter 8 Hospitech Pcs 7.000
389 Surgical Needles SE-ME 18 Pcs 13.000
390 Surgical Needles SE-ME 32 Pcs 13.000
391 Surgical Needles SE-ME 36 Pcs 13.000
392 Surgical Needles SE-MH 18 Pcs 13.000
393 Surgical Needles SE-MH 21 Pcs 13.000
394 Surgical Needles SE-MH 28 Pcs 13.000
395 Surgical Needles SE-MH 32 Pcs 13.000
396 Surgical Needles SE-MH 36 Pcs 13.000
397 Surgical Needles SE-MH 70 Pcs 13.000
398 Surgical Needles SE-TE 18 Pcs 13.000
399 Surgical Needles SE-TH 18 otot Pcs 13.000
400 Surgical Needles SE-TH 21 otot Pcs 13.000
401 Surgical Needles SE-TH 24 otot Pcs 13.000
402 Surgical Needles SE-TH 28 otot Pcs 13.000
403 Surgical Needles SE-TH 32 otot Pcs 13.000
404 Surgical Needles SE-TH 36 otot Pcs 13.000
405 Surgical Needles SE-TH 45 otot Pcs 13.000
406 Surgical Needles SE-TH 55 otot Pcs 13.000
407 Surgical Needles SE-TH 70 otot Pcs 13.000
408 Surgicryl 910 No.0 HR 40mm Pcs 988.000
409 Surgicryl 910 No.1 HR 40mm Pcs 988.000
410 T Chromic 4-0 C56 Box 849.000
411 Tensocrepe "3" (7,5cmx4,5m) Btl 73.000
412 Tensocrepe "4" (10cmx4,5m) Btl 85.000
413 Tensocrepe "6" (15cmx4,5m) Btl 119.000
414 Teqel Foldable sq Edge P.19,5 Pcs 667.000
415 Teqel Foldable sq Edge P.20,5 Pcs 667.000
416 Teqel Foldable sq Edge P.21 Pcs 667.000
417 Teqel Foldable sq Edge P.23 Pcs 667.000
418 Teqel Foldable sq Edge P.23,5 Pcs 667.000
419 Terufusion Blood Administration Set Terumo Pcs 26.000
420 Thermometer Digital Flexibel (Nesco) Buah 54.000
421 Thermometer Kulkas Buah 51.000
422 Thermometer Manual TUV Buah 21.000
423 TKF (Tricresolformalina) Vial 35.000
424 T-Silk 3-0 S61 Box 859.000
425 T-Silk 4-0 S78 Box 801.000
426 T-VIO 0 V12 Box 1.618.000
427 T-VIO 1 V13 Box 1.783.000
428 T-VIO 1 V15 Box 1.624.000
429 T-VIO 2-0 V10 Box 1.618.000
430 T-VIO 2-0 V9 Box 1.618.000
431 T-VIO 3-0 V4 Box 1.456.000
432 T-VIO 4-0 V2 Box 1.486.000
433 T-VIO 4-0 V3 Box 1.274.000

-395-
 NO URAIAN SATUAN HARGA
1 2 3 4
434 Ul-Trans Gel 250 ml Coronet Btl 26.000
435 Ultrasonic Gel Btl 45.000
436 Ultrasound Gel Cosmomed Btl 20.000
437 Ultrasound Tranmission Gel Btl 44.000
438 Under Pad 60x90 (Sensi Pads) Pak 28.000
439 Under Pad Healer Pak 51.000
440 Urin Bag GEA Pcs 7.000
441 Urin Bag GEA Pcs 10.000
442 Urin Bag Uroplast Pcs 6.000
443 Urinal Laki-Laki + Tutup Buah 25.000
444 Urinal Plastik Laki-Laki Buah 6.000
445 Urinal Plastik Perempuan Buah 6.000
446 Urinal Wanita Buah 25.000
447 Urine Bag Onemed Pcs 10.000
448 Viscoelastic solution Pcs 126.000
449 Wingneedle 21 G (Scalvien Prodevice) Pcs 15.000
450 Wingneedle 23 G (Scalvien Terumo) Pcs 15.000
451 Wingneedle 25 G (Scalvien Terumo) Pcs 12.000
452 Wingneedle 27 G (Scalvien JMS) Pcs 18.000
453 Wingneedle 27 G (Scalvien Skifa) Pcs 2.000
454 Wingneedle 27 G (Scalvien Terumo) Pcs 17.000
455 Winset 22 G Pcs 15.000
456 X-tragene 2 500ml Btl 89.000
457 Xylocain pump spray 10% Btl 291.000
458 Yellow Tip Pak 281.000

13.3. Bahan Medis

13.3.1. Peralatan Laboratorium

NO URAIAN SPESIFIKASI SATUAN HARGA

1 2 3 4 5
1 Ketelitian 0,01 gr ( Kap 400 gr) buah 18.310.000
2 Ketelitian 0,0001 gr ( Kap 200 gr) buah 53.622.000
3 Lab blender,transparant front door buah 66.270.000
4 Disecting set buah 751.000
5 Micro pipet kap 1-10 ml buah 10.429.000
6 Laminar flow cabinet horizontal buah 99.397.000
7 Micro centrifuge (50 ml) buah 49.192.000
8 Autoclave 12 lt buah 25.583.000
9 Circulation waterbath buah 119.311.000
10 pH meter portable digital buah 1.485.000
11 Stirrer magnetic plate buah 24.891.000
12 Colony counter digital buah 30.882.000
13 Vortex mixer buah 13.839.000
14 Salinometer buah 1.603.000
15 Kertas lakmus buah 173.000
16 Seicchi disk buah 276.000
17 Termometer buah 111.000
18 Timbangn duduk buah 649.000
19 Blender stainless steel buah 1.009.000
20 Blender biasa buah 709.000
21 Refrigerator buah 7.965.000
22 Talenan buah 69.000

-396-
NO URAIAN SPESIFIKASI SATUAN HARGA
1 2 3 4 5
23 Pisau stainless steel buah 84.000
24 Oven (draying oven) 40 c to 200 c buah 109.860.000
25 Cawan porselen pengabuan buah 36.000
26 Tongs (penjepit) for crucible buah 312.000
27 Desicator Cabinet buah 9.028.000
28 Spatulla buah 55.000
29 Neraca analitik buah 59.655.000
30 Tungku pengabuan buah 24.892.000
31 Kertas saring aschless buah 278.000
32 Hot plate buah 8.523.000
33 Alat pemusing/sentrifuge 50 ml buah 75.940.000
34 Tabung centrifuge 50 ml buah 105.000
35 Lemari asam anti zat kimia buah 30.123.000
Botol timbangan with stopper cap 15
36 buah 210.000
ml
Botol timbangan with stopper cap 45
37 buah 234.000
ml
38 Labu takar ukuran 25 ml buah 136.000
ukuran 50 ml buah 185.000
ukuran 100 ml buah 185.000
ukuran 250 ml buah 220.000
ukuran 500 ml buah 304.000
ukuran 1000 ml buah 464.000
39 Labu erlenmeyer 125 ml buah 152.000
250 ml buah 37.000
500 ml buah 55.000
1000 ml buah 92.000
40 Gelas ukur 25 ml buah 33.000
50 ml buah 37.000
100 ml buah 46.000
250 ml buah 92.000
41 Corong saring 100 ml buah 79.000
42 Corong pisah 60 ml buah 666.000
140 ml buah 898.000
450 ml buah 1.367.000
750 ml buah 2.211.000
43 Pipet (glass) skala 1 ml buah 55.000
10 ml buah 178.000
15 ml buah 211.000
25 ml buah 218.000
50 ml buah 232.000
44 pipet volumetrik 5 ml buah 181.000
10 ml buah 215.000
25 ml buah 342.000
50 ml buah 519.000
45 Beker glass 100 ml buah 38.000
250 ml buah 46.000
500 ml buah 92.000
1000 ml buah 167.000
46 Tabung reaksi pyrex 25 ml buah 18.000
30 ml buah 19.000
kapasitas 24
47 Rak tabung reaksi tabung stainless
buah 250.000

-397-
 NO URAIAN SPESIFIKASI SATUAN HARGA
1 2 3 4 5
48 Labu alas bulat 100 ml buah 90.000
200 ml buah 122.000
49 Botol reagen 125 ml buah 44.000
200 ml buah 53.000
500 ml buah 72.000
1000 ml buah 174.000
50 Mikroburet 5 ml buah 5.442.000
10 ml buah 5.955.000
51 Minyak immerson 100 ml botol 529.000
diameter 3
52 Innoculating loop ml,stainles steel
buah 342.000
diameter 5
ml,stainles steel
buah 409.000
tahan di
53 Kantong plastik autoclave pak 5.397.000
(15x25 cm

13.3.2. Bahan Laboratorium

NO URAIAN KEMASAN MERK SATUAN HARGA

1 2 3 4 5 6
1 Serty Fy Level 1 5ml Stanbio Vial 467.000
R1:1x30ml R2 :
2 HDL Direct ERBA Kit 4.807.000
1x10ml
3 Triglycerides 4x30ml Stanbio Kit 5.876.000
4 XL Wash 4x100ml ERBA Kit 6.677.000
5 HBsAg 50 Test MONO Box 534.000
6 Lyse Emerald 960ml Abbott Botol 7.211.000
7 ERBA Norm 5ml ERBA Vial 801.000
8 Glucose R1:1x44ml ERBA Kit 600.000
9 Slides 72's Sail Brand Box 40.000
10 AutoClick 1's Lokal Buah 66.000
11 Diluent Emerald 10liter Abbott Galon 7.345.000
12 Tabung EDTA 100's Lokal Box 333.000
13 Golda Anti-O/Rhesus 10ml Tulip Vial 333.000
14 CS-Anti Bacterial Phospor 500ml Dirui Botol 3.004.000
15 Stik Urine Insight Expert 10P 100's Acon Tube 600.000
16 Creatinine 2x250ml Stanbio Kit 6.009.000
17 Cleaner Emerald 960ml Abbott Botol 5.876.000
18 PPT/HCG 50's OneMed Box 133.000
R1:2x44ml
19 Bilirubin Direct ERBA Kit 1.802.000
R2:1x22ml
R1:2x44ml
20 Bilirubin Total ERBA Kit 1.869.000
R2:1x22ml
21 Total Protein R1: 1x44ml ERBA Kit 600.000
22 Cholesterol R1: 1x44ml ERBA Kit 1.001.000
23 Triglycerides R1: 1x44ml ERBA Kit 2.003.000
24 Uric Acid R1: 1x44ml ERBA Kit 1.268.000
R1: 1x44ml
25 Creatinine ERBA Kit 734.000
R2:1x11ml
26 Albumin R1 : 1x44ml ERBA Kit 600.000
27 Yellow Tipe 1000's Segitiga Bungkus 333.000
R1:1x30ml R2 :
28 Rapat dan sejenisnya ERBA Kit
1x10ml 10.417.000
R1:2x44ml
29 SGOT ERBA Kit 1.869.000
R2:1x22ml

-398-
NO URAIAN KEMASAN MERK SATUAN HARGA
1 2 3 4 5 6
R1:2x44ml
30 SGPT ERBA Kit 1.869.000
R2:1x22ml
R1: 1x44ml
31 Urea ERBA Kit 1.469.000
R2:1x11ml
32 HDL Direct 1x40ml Stanbio Kit 4.006.000
R1:1x30 ml
33 LDL Direct ERBA Kit 3.906.000
R2 : 1x10 ml
34 Glucose Liq 1x250ml Stanbio Kit 53.000
35 Tourniquet 1's Lokal Buah 1.068.000
36 Bilirubin T/D 2x100ml Human Kit 200.000
37 Golda Anti-A 10ml Tulip Vial 200.000
38 Golda Anti-B 10ml Tulip Vial 200.000
39 Golda Anti-AB 10ml Tulip Vial 106.000
40 Kartu Golda 4 Lubang 200's Lokal Set 2.000
41 Pot Urine 1's Lokal Pcs 1.335.000
42 Glucose 4x100ml Human Kit 3.004.000
43 CS-Alkaline Detergent 2 Liter Dirui Botol 1.469.000
44 Stik Malaria 50's NTB Box 400.000
45 Ziehl Neelson 6x100ml Lokal Set 333.000
46 Tabung Bayi 0,5ml 100's Lokal Box 60.000
47 Blood lancet 100's Lokal Box 56.000
48 Reaction Well 1's Dirui Pcs 333.000
49 Tabung Plain 100's Lokal Box 667.000
50 Widal (O,H,AH,BH) 4x5ml Tulip Set 6.009.000
51 Cholesterol 2x250ml Stanbio Kit 8.614.000
52 Urea 4x125ml Stanbio Kit 1.201.000
53 Device Malaria 25's Abon Box 3.873.000
54 Albumin 2x250ml Stanbio Kit 1.335.000
55 Device Malaria 40's V-Care Box 267.000
56 Methanol 1 Liter Lokal Botol 6.984.000
57 Bilirubin Direct 450ml Stanbio Kit 6.984.000
58 Bilirubin Total 450ml Stanbio Kit 7.195.000
59 SGOT IFCC 4x125ml Stanbio Kit 7.195.000
60 SGPT IFCC 4x125ml Stanbio Kit 3.939.000
61 Total Protein 2x250ml Stanbio Kit 8.864.000
62 Uric Acid 2x250ml Stanbio Kit 5.342.000
63 HDL-LDL Calibrator 2x1ml ERBA Kit 4.807.000
64 XL Multical 4x3ml ERBA Kit 364.000
65 Blue Tipe 1000's Segitiga Bungkus 281.000
66 Choloform Liter 1.125.000
67 SodiumHidroksida kg 4.414.000
68 Kaliumsulfat kg 482.000
69 Oksigen Tabung 1.062.000
70 Hormonovaprim botol 482.000
71 Hidrogenperoksida liter 2.343.000
72 Natriumthiosulfat kg 3.125.000
73 Boricacid kg 554.000
74 Methanol Liter 1.992.000
75 Sodiumsulfatanydh kg 273.000
76 Petroleumbenzena liter 4.187.000
77 Potasiumdicromat kg 2.062.000
78 Asamnitrat liter 1.031.000

-399-
NO URAIAN KEMASAN MERK SATUAN HARGA
1 2 3 4 5 6
79 Standarfe 500ml 1.015.000
80 Asamsitrat 500gr 1.062.000
81 Standarla 500ml 1.396.000
82 KH2PO4 100gr 3.547.000
83 KOH 500gr 1.032.000
84 Hexana liter 910.000
85 EDTA-2Na 100gr 3.365.000
86 PCA 500gr 2.913.000
87 Bactopepton 500gr 3.437.000
88 TCBS 500gr 5.673.000
89 Hectonenergicagar 500gr 4.007.000
90 XLDagar 500gr 3.751.000
91 BSA 500gr 3.359.000
92 L.EMB 500gr 2.343.000
93 TSI 500gr 4.917.000
94 LIA 500gr 2.791.000
95 Agsagar 500gr 1.929.000
96 Hydrocloricacid 2,5liter 3.641.000
97 Proteasepeptonno.3 500gr 2.812.000
98 Coagulaseplasma 500gr 3.360.000
99 SerologipolyvalenO 3ml 3.360.000
100 SerologipolyvalenH 3ml 8.254.000
101 Microbact pack 7.890.000
102 Serobacsalmonella 120tes 4.250.000
103 Reagebnbiokimia 25gr 7.646.000
104 mgcl2 5gr 7.707.000
105 kertassaring0,45mm pack 7.707.000
106 Kertassaring0,2mm pack 3.641.000
107 NutrienAgar 500gr 3.906.000
108 Antibiotikmedium5 500gr 3.672.000
109 Antibiotikmedium8 500gr 533.000
110 Paperdisk 10mm 327.000
111 Kertasph pack 2.891.000
112 kjeldahitablets(kertasPH) 250gr 363.000
113 H2SO495-97% liter 5.229.000
114 LTB 500gr 1.875.000
115 TTB 500gr 1.226.000
116 Kovacsindolereagen 100ml 1.657.000
117 Iodine 125gr 1.953.000
118 SalmonellaSingelaagar 500gr 2.265.000
119 Briliantgreenbile2%broh 500gr 3.359.000
120 Asamoksalat 500gr 953.000
121 Alphanaftol 100gr 2.304.000
122 Phenilhidrazineclorida 1lt 1.103.000
123 Safranin 125gram 2.578.000
124 Selenitcysinbroth 500gr 3.906.000
125 Potassiumcyanidabroth 500gr 3.338.000
Box (20
126 Cellpack 2.185.000
Liter)
Botol (500
127 Stromatolyser-WH 2.270.000
mL)

-400-
 NO URAIAN KEMASAN MERK SATUAN HARGA
1 2 3 4 5 6
Botol (50
128 Cellclean mL)
1.821.000

Seri (3 x
129 Eight Check (L,N,H) 1.5 mL)
60.000

130 Thermal Paper KX-21 Roll 3.004.000

Box (10 x 4
131 Thromborel S mL)
3.071.000

Box (10 x 2
132 Actin FSL mL)
2.871.000

Calcium Chloride (0.025 Box (10 x

133 3.338.000
mmol/l) 15 mL)
Box (10 x 1
134 Control Plasma N mL)
4.419.000

Pack (isi
135 Reaction Tube SU-40 1000)
948.000

Sample Cup Conical 4 ml for Pack (isi

136 53.000
CA-50 100)
137 Thermal Paper CA-50 Roll 267.000
Box (isi
138 Tabung Sitrat 100)
467.000

Box (isi
139 Combostik 10M 100)
60.000

140 Thermal Paper Combostik Roll 467.000

13.4. Obat-Obatan
13.4.1. Obat Generik

NO NAMA OBAT KEMASAN HARGA

1 2 3 4
ACT (Artesunate tablet 50 mg + Amodiaquine 2 blister @ 12 tablet /
1 44.000
anhydrida tablet 200 mg) kotak
ACT (Artesunate tablet 50 mg + Amodiaquine 3 blister @ 8 tablet /
2 44.000
anhydrida tablet 200 mg) kotak
3 Albendasol suspensi 200 mg/5 ml Ktk 10 btl @ 10 ml 6.000
4 Albendazol tablet/ tablet kunyah 400 mg ktk 5 x 6 tablet 16.000
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 16.000
6 Alopurinol tablet 300 mg ktk 10 x 10 tablet 33.000
7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet 64.000
8 Alprazolam tablet 0,5 mg ktk 10 x 10 tablet 77.000
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet 118.000
10 Ambroxol sirup 15 mg/ml btl 60 ml 5.000
11 Ambroxol sirup 30 mg ktk 10 x 10 tablet 21.000
12 Amilorida tablet 5 mg ktk 10 x 10 tablet 12.000
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml 118.000
14 Aminofilin tablet 150 botol 1000 tablet 57.000
15 Aminofilin tablet 200 botol 100 tablet 15.000
16 Amitriptilin tablet salut 25 mg (HCI) ktk 10 x 10 tablet salut 16.000
17 Amlodipin tablet 5 mg ktk 3 x 10 tablet 9.000
18 Amlodipin tablet 5 mg ktk 5 x 10 tablet 63.000
19 Amlodipin tablet 10 mg ktk 3 x 10 tablet 8.750
20 Amlodipin tablet 10 mg ktk 5 x 10 tablet 111.000
21 Amoksisilin +As.Klavulanat 625 mg tablet ktk 5 x 6 tablet 209.000
22 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul 38.000
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 52.000
-401-
NO NAMA OBAT KEMASAN HARGA
1 2 3 4
24 Amoksisilin Kaplet 500 mg ktk 10 x 10 kapsul 45.000
25 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial 99.000
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 5.000
27 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet 36.000
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 62.400
29 Ampisilin serbuk injeksi i.m/l.v 1000 mg/vial ktk 10 vial 105.600
30 Ampisilin serbuk injeksi i.m/l.v 500 mg/vial ktk 10 vial 40.000
31 Ampisilin sirup kering 125 mg/5 ml btl 60 ml 6.000
Antasida DOEN I tablet kunyah, kombinasi :
ktk 10 x 10 tablet
32 Aluminium Hidroksida 200 mg Magnesium 14.000
kunyah
Hidroksida200 mg
Antasida DOEN II suspensi,kombinasi:
33 Aluminium Hidroksida 200 mg /5 ml btl 60 ml 4.800
Magnesium Hidroksida200 mg/5 ml
Anti Bakteri DOEN salep kombinasi Basitrasin
34 ktk 25 tube @ 5 g 83.000
500 IU/g + Polimiksin 10000 IU/g
Antifungi DOEN Kombinasi Asam Benzoat 6%
35 ktk 24 pot @ 30 g 55.000
+ Asam Salisilat 3 %
Antihemoroid DOEN Kombinasi : Bismut
36 ktk 10 supp 27.000
subgalat 150 mgHeksaklorofan 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin25
37 ktk 10 x 10 tablet 64.000
mg Sulfadoksin500 mg
Antimigren : Ergotamin Tartrat 1 mg + Kofein
38 btl 1000 tablet 26.000
50 mg
Antiparkinson DOEN tablet kombinasi :
39 Karbidopa 25 mg ktk 10 x 10 tablet 167.000
Levodopa250 mg
40 Aqua pro injeksi steril, bebas pirogen ktk 10 vial @ 20 ml 73.000
41 Arthemeter Injeksi 80 mg/ml ktk 6 ampul 175.000
42 Artesunate Injeksi vial 60 gr ktk 8 vial 263.000
43 Asam Asetilsalisilat tablet 100 mg (asetosal) ktk 10 x 10 tablet 13.000
44 Asam Asetilasalisillat tablet 500 mg (asetosal) ktk 10 x 10 tablet 21.000
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet 42.000
46 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 6.500
47 Asam Askorbat (Vitamin C) tablet 100 mg btl 1000 tablet 29.000
48 Asam Folat tablet 1 mg btl 100 tablet 6.500
49 Asam Folat tablet 5 mg btl 1000 tablet 62.000
50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul 17.000
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 26.800
52 Asetazolamid tablet 250 mg btl 100 tablet 24.000
53 Asiklovir krim 5% tube 5 gram 3.500
54 Asiklovir krim 5% ktk 25 tube @ 5 gram 99.000
55 Asiklovir tablet 200 mg ktk 3 x 10 tablet 20.000
56 Asiklovir tablet 200 mg ktk 5 x 10 tablet 36.000
57 Asiklovir tablet 200 mg ktk 10 x 10 tablet 51.000
58 Asiklovir tablet 400 mg ktk 3 x 10 tablet 29.000
59 Asiklovir tablet 400 mg ktk 5 x 10 tablet 42.000
60 Asiklovir tablet 400 mg ktk 10 x 10 tablet 68.600
61 Atenolol tablet 50 mg ktk 10 x 10 tablet 36.000
62 Atenolol tablet 100 mg ktk 5 x 10 tablet 34.000

-402-
NO NAMA OBAT KEMASAN HARGA
1 2 3 4
Atropin injeksi i.m./i.v./s.k./ 0,25 mg/ml
63 ktk 30 amp @ 1 ml 50.000
(Sulfat)
64 Atropin Sulfat tablet 0,5 mg. btl 100 tablet 8.000
65 Atropin Sulfat tablet 0,5 mg. btl 500 tablet 47.000
66 Atropin Sulfat tetes mata 0,5 % ktk 24 btl @ 5 ml @ 5 ml@ 89.000
67 Atropin tetes mata 0,5 % (Sulfat) btl 5 ml 4.000
68 Azatioprin tablet 50 mg ktk 10 x 10 tablet 28.000
69 Benzatin Benzil Penisilin 1,2 Juta IU/ vial ktk 10 vial @ 20 ml 108.000
70 Benzatin Benzil Penisilin 2,4 Juta IU/ vial ktk 10 vial @ 20 ml 150.000
71 Besi (ll) Sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut 35.000
Besi II Sulfat 200 mg + asam folat 0,25 mg tablet
72 1 bungkus @ 30 tablet 3.000
(tablet tambah darah kombinasi)
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet 34.000
74 Betametason krim 0,1 % (sebagai valerat) tube 5 gram 2.400
75 Betametason krim 0,1 % (sebagai valerat) ktk 25 tube @ 5 g 62.000
76 Betametason tablet 0,5 mg ktk 10 x 10 tablet 10.000
77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet 44.000
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet 6.000
79 Cetirizine sirup 5 mg/5 ml btl 60 ml 12.600
80 Cetirizine tablet 10 mg ktk 3 x 10 tablet 12.000
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet 19.000
82 Cisapride tablet 10 mg ktk 10 x 10 tablet 178.000
83 Cisapride tablet 5 mg ktk 10 x 10 tablet 103.000
84 Clobazam tablet 10 mg ktk 10 x 10 tablet 125.000
85 Clobetasol krim 0,05 % tube 10 gram 16.000
86 Dapson tablet 100 mg btl 1000 tablet 42.000
87 Deksametason injeksi I.v.5 mg/ml ktk 100 amp @ 1 ml 263.000
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 29.000
89 Dekstran 70 - larutan infus 6 % steril btl 500 ml 47.000
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 4.000
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 15.000
92 Diazepam Injeksi 5 mg/ml ktk 30 amp @ 2 ml 94.000
93 Diazepam tablet 2 mg btl 100 tablet 5.000
94 Diazepam tablet 2 mg ktk 10 x 10 tablet 6.000
95 Diazepam tablet 5 mg btl 250 tablet 16.000
96 Diazepam tablet 5 mg btl 100 tablet 7.000
97 Diazepam tablet 5 mg ktk 10 x 10 tablet 9.000
98 Dietilkarbamezin sitrat tablet 100 mg ktk 10 x 10 tablet 13.000
99 Difenhidramin injeksi i.m 10 mg/ml/(HCI) ktk 30 amp @ 1 ml 36.000
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 19.000
101 Digoksin tablet 0,0625 mg btl 100 tablet 10.000
102 Dikloksasilin kapsul 125 mg ktk 100 kapsul 30.000
103 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul 42.000
104 Dikloksasilin kapsul 500 mg ktk 25 x 4 kapsul 56.000
105 Diltiazem HCI tablet 30 mg ktk 10 x 10 tablet 20.000
106 Dimenhidrinat tablet 50 mg btl 100 tablet 18.000
107 Disopiramid kapsul 100 mg btl 100 kapsul 31.000
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 36.000
109 Domperidon Suspensi 5 mg/5 ml btl 60 ml 15.200

-403-
NO NAMA OBAT KEMASAN HARGA
1 2 3 4
110 Domperidon tablet 10 mg ktk 10 x 10 tablet 34.200
111 Efedrin tablet 25 mg (HCI) botol 250 tablet 17.000
112 Ekstraks Belladona tablet 10 mg botol 1000 tablet 78.000
113 Epinefrin (adrenalin) injeksi 0,1 % (sebagai HCL) ktk 30 amp @ 1 ml 49.000
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul 67.000
115 Entromisin kapsul 250 mg ktk 12 x 10 kapsul 72.000
116 Entromisin kaplet 500 mg ktk 10 x 10 kaplet 111.500
117 Entromisin sirup 200 mg/5 mg btl 60 ml 11.000
118 Etakridin larutan 0,1 % btl 300 ml 3.000
119 Etambutol tablet 250 mg (HCI) ktk 10 x 10 tablet 53.000
120 Etambutol tablet 250 mg (HCI) ktk 20 x 10 tablet 92.000
121 Etambutol tablet salut 500 mg (HCI) ktk 10 x 10 tablet salut 76.000
122 Etoposid kapsul 100 mg btl 10 kapsul 92.000
123 Famotidine tabet 40 mg ktk 5 x 10 tablet 12.000
124 Famotidine tabet 20 mg ktk 5 x 10 tablet 8.000
125 Fenilbutason tablet 200 mg btl 1000 tablet 107.000
126 Fenitoin kapsul 100 mg btl 250 kapsul 27.000
127 Fenitoin Natrium Injeksi Injeksi 50 mg/ml ampul @ 2 ml 64.000
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul 24.000
129 Fenobarbital injeksi i.m/i.v 50 mg/ml ktk 30 amp @ 1 ml 62.000
130 Fenobarbital tablet 30 mg btl 100 tablet 30.300
131 Fenobarbital tabet 30 mg btl 250 tablet 19.000
132 Fenobarbital tablet 100 mg btl 250 tablet 48.000
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet 35.000
134 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet 61.000
135 Fenol Gliserol tetes telinga 10 % ktk 24 btl @ 5 ml 124.900
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 90.000
137 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet 43.000
138 Menadion (Vit K3) injeksi 10 mg/ml ktk 100 ampul @ 1 ml 190.000
139 Fitomenadion (Vit K) injeksi 10 mg/ml ktk 30 amp @ 1 ml 66.000
140 Flukonazol tablet 150 mg ktk 10 tablet 289.000
141 Fluoride tablet 0,5 mg btl 100 tablet 5.000
142 Fluoride tablet 1 mg btl 100 tablet 6.000
143 Furosemid injeksi l.v /l.m 10 mg/ml ktk 25 amp @ 2 ml 68.000
144 Furosemid tablet 40 mg ktk 20 x 10 tablet 27.000
145 Furosemid tablet 40 mg ktk 10 x 10 tablet 23.000
146 Furosemid tablet 40 mg btl 250 tablet 24.000
147 Gameksan lotion 1 % btl 30 ml 3.000
Garam oralit I serbuk, kombinasi :
Natrium 0,52 g
148 Kalium klorda 0, 30 g ktk 25 bungkus 14.000
Trinatrium sitrat dihidrat 0,58 g
Glukosa Anhidrat 2,7 g
Garam oralit I serbuk, kombinasi :
Natrium 0,52 g
149 Kalium klorda 0, 30 g ktk 100 bungkus 50.000
Trinatrium sitrat dihidrat 0,58 g
Glukosa Anhidrat 2,7 g
150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul 53.000
151 Gemfibrozil kapsul 300 mg ktk 10 x 10 kapsul 39.000

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NO NAMA OBAT KEMASAN HARGA
1 2 3 4
152 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet 69.000
153 Gentamisin injeksi 80 mg/ml (sebagai sulfat) ktk 1 vial @ 2 ml 5.000
154 Gentamisin injeksi 40 mg/ml ktk 5 amp 25.000
155 Gentamisin salep kulit 0,1 % ktk 10 tube 5 gram 25.000
156 Gentamisin salep kulit 0,1 % ktk 25 tube 5 gram 61.000
157 Gentamisin salep kulit 0,1 % tube 5 gram 3.000
158 Gentamisin sulfat tetes mata 0,3 % btl 5 ml 5.000
159 Gentamisin sulfat tetes mata 0.3 % ktk 10 btl@ 5 ml 50.000
160 Gentian violet larutan 1 % btl 10 ml 1.000
161 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 11.800
162 Glimepride tablet 1 mg ktk 5 x 10 tablet 29.500
163 Glimepride tablet 1 mg ktk 3 x 10 tablet 30.000
164 Glimepride tablet 2 mg ktk 5 x 10 tablet 52.800
165 Glimepride tablet 2 mg ktk 3 x 10 tablet 57.000
166 Glimepiride tablet 3 mg ktk 5 x 10 tablet 79.200
167 Glimepiride tablet 3 mg ktk 3 x 10 tablet 77.000
168 Glimepiride tablet 4 mg ktk 5 x 10 tablet 106.000
169 Glimepiride tablet 4 mg ktk 3 x 10 tablet 103.000
170 Glipizid tablet 5 mg ktk 30 tablet 12.000
171 Gliquidon tablet 30 mg ktk 10 x 10 tablet 85.000
172 Gliseril guaiakolat tablet 100 mg btl 100 tablet 13.500
173 Gliserin btl 100 ml 7.000
174 Glukosa larutan infus 10 % steril btl 500 % 8.000
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml 20.000
176 Glukosa larutan infus 5 % steril btl 500 ml 7.000
177 Griseofulvin tablet 250 mg kotak 10 x 10 tablet 59.000
178 Griseofulvin tablet 125 mg kotak 10 x 10 tablet 39.600
179 Haloperidol tablet 0,5 mg kotak 10 x 10 tablet 8.000
180 Haloperidol tablet 5 mg kotak 10 x 10 tablet 17.000
181 Haloperidol tablet 1, 5 mg kotak 10 x 10 tablet 11.000
182 Haloperidol tablet 2 mg kotak 10 x 10 tablet 13.000
183 Hidroklorotiazida tablet 25 mg botol 1000 tablet 48.000
184 Hidrokortison krim 1 % tube 5 gram 4.000
185 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 94.000
186 Hidrokortison krim 2,5 % tube 5 gram 4.000
187 Hioscine N Butilbromide tablet 10 mg kotak 10 x 10 tablet 231.000
188 Ibuprofen suspensi 100 mg/5 ml btl 60 ml 5.000
189 Ibuprofen suspensi 200 mg/5 ml btl 60 ml 7.600
190 Ibuprofen tablet 200 mg btl 100 tablet 25.200
191 Ibuprofen tablet 400 mg kotak 10 x 10 tablet 28.000
192 Indometasin kapsul 25 mg kotak 10 x 10 kapsul 6.000
193 Lodiol kapsul lunak btl 100 kapsul 122.000
194 Isoniazid tablet 100 mg botol 1000 tablet 54.000
195 Isoniazid tablet 300 mg botol 1000 tablet 116.500
196 Isosorbit dinirat tablet sublingual 5 mg kotak 10 x 10 tablet 13.000
197 Itrakonazol kapsu 100 mg ktk 10 x 10 kapsul 528.000
198 Kalium Dikufenak tablet 25 mg ktk 5 x 10 tablet 26.000
199 Kalium Dikufenak tablet 50 mg ktk 5 x 10 tablet 42.500
200 kalium klorida tablet 300 mg tube 10 tablet 4.000

-405-
NO NAMA OBAT KEMASAN HARGA
1 2 3 4
201 kalsium folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet 6.000
202 Kalsium karbonat tablet 500 mg btl 100 tablet 6.000
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 69.000
204 Kaptopril tablet 12,5 mg kotak 10 x 10 tablet 11.000
205 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet 8.000
206 Kaptopril tablet 25 mg kotak 6 x 10 tablet 12.000
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 16.500
208 Kaptopril tablet 50 mg ktk 10 x 10 tablet 13.600
209 Karbamazepin tabet 200 mg ktk 10 x 10 tablet 33.000
210 Ketokonazol krim 2% tube 20 gram 4.500
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet 29.000
212 Ketoprofen 1njeksi 100 ml ktk 6 amp @ 1 ml 45.000
213 Ketoprofen tablet 100 mg kotak 50 tablet 81.000
214 Ketorolac Injeksi 10 mg ktk 6 amp @ 1 ml 59.000
215 Ketorolac Injeksi 10 mg ktk 5 amp @ 1 ml 50.000
216 Ketorolac Injeksi 10 mg ktk 12 amp @ 1 ml 37.200
217 Ketorolac Injeksi 30 mg ktk 6 amp @ 1 ml 36.000
218 Ketorolac Injeksi 30 mg ktk 12 amp @ 1 ml 210.000
219 Klindamisin kapsul 150 mg ktk 5 x 10 kapsul 30.200
220 Klindamisin kapsul 150 mg ktk 10 x 10 kapsul 67.000
221 Klindamisin kapsul 300 mg ktk 5 x 10 kapsul 84.000
222 Klindamisin kapsul 300 mg ktk 10 x 10 kapsul 99.000
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul 273.000
224 Klomifen tablet 50 mg btl 10 tablet 22.000
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet 27.000
226 Kloramfenikol kapsul 250 mg ktk 10 x 10 kapsul 35.000
227 Kloramfenikol kapsul 250 mg ktk 12 x 10 kapsul 42.000
228 Kloramfenikol kapsul 250 mg btl 250 kapsul 177.900
229 Kloramfenikol salep mata 1% tube 3.5 g 7.300
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml 10.200
231 Kloramfenikol tetes mata 0,5% btl 5 ml 12.200
232 Kloramfenikol tetes telinga 3% btl 5 ml 7.000
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 100 tablet 6.000
234 Klorokuin tablet 150 mg btl 100 tablet 21.500
235 Klorokuin tablet 250 mg btl 1000 tablet 138.000
236 Klorpromazin injeksi i.m 25 mg/ml (HCL) ktk 30 amp @ 2 ml 33.000
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ktk 30 ampul 29.000
238 Klorpromazin tablet salut 100 mg (HCL) btl 250 tablet salut 40.000
239 Klorpromazin tablet salut 25 mg (HCL) btl 1000 tablet salut 50.000
240 Kodein tablet 10 mg btl 250 tablet 140.000
241 Kodein tablet 15 mg btl 250 tablet 239.000
242 Kodein tablet 20 mg btl 250 tablet 312.000
243 Kodein tablet 30 mg btl 20 tablet 9.000
244 Kolkisin tablet 500 mcg ktk 10 x 10 tablet 36.000
Kotrimoksazol DOEN I (dewasa) kombinasi :
245 sulfametoksazol 400 mg ktk 10 x 10 tablet 31.200
Trimetoprim80 mg

246 Trimetoprim20 mg 10.000

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NO NAMA OBAT KEMASAN HARGA
1 2 3 4

247

248 Kuinidin tablet 100 mg btl 1000 tablet 0

249 Kuinidin tablet 200 mg ktk 10 x 10 tablet 6.000
250 Kuinin (Kina) tablet 200 mg ktk 60 tablet 0
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul 206.000
252 Kuinin injeksi i.v.25% sebagai 2 HCL) ktk 100 amp @ 2 ml 55.000
253 Kuinin tablet 222 mg (H2SO4.7H20) btl 1000 tablet 46.000
254 Lamivudine tablet 150 mg btl 60 tablet 166.000
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul 24.000
256 Levamisol tablet 50 mg btl 25 tablet 524.000
257 Levamisol tablet 50 mg ktk 4 x 9 tablet 100.000
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet 36.000
259 Levofloksasin tablet 500 mg ktk 3 x 10 tablet 39.700
260 Lidokain injeksi 2% ktk 1000 amp @ 2 ml 4.000
Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000
261 ktk 30 amp @ 2 ml 76.000
- 2ml
262 Linkomisin kapsul 250 mg ktk 5 x 12 kapsul 44.000
263 Linkomisin kapsul 250 mg ktk 10 x 10 tablet 133.000
264 Linkomisin kapsul 500 mg ktk 5 x 10 kapsul 45.000
265 Linkomisin kapsul 500 mg ktk 5 x 12 kapsul 22.000
266 Lisinopril tablet 10 mg ktk 3 x 10 tablet 37.000
267 Lisinopril tablet 20 mg ktk 3 x 10 tablet 43.000
268 Lisinopril tablet 5 mg ktk 3 x 10 tablet 52.000
269 Loperamid tablet 2 mg ktk 10 x 10 tablet 11.000
270 Loratadin tablet 10 mg ktk 5 x 10 tablet 17.900
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial 14.000
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial 13.000
273 Magnesium Sulfat serbuk 30 gram ktk 10 bks @ 30 gram 22.000
274 Mebendazol sirup 100 mg/5 ml btl 30 ml 21.000
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet 26.000
276 Mebendazol tablet 500 mg ktk 10 x 10 tablet 14.000
277 Meloksikam suppositoria ktk 10 supp 5.000
278 Meloksikam tablet 15 mg ktk 5 x 10 tablet 71.800
279 Meloksikam tablet 15 mg ktk 2 x 10 tablet 31.000
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet 41.800
281 Meloksikam tablet 7,5 mg ktk 2 x 10 tablet 79.000
282 Merkaptopurin tablet 50 mg btl 25 tablet 32.000
283 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml 46.000
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 25.600
285 Metformin HCL tablet 500 mg ktk 10 x 10 tablet 8.000
286 Metformin HCL tablet 850 mg ktk 10 x 10 tablet 48.000
287 Metildopa tablet 250 mg btl 100 tablet 20.000
Metilergometrin Maleat (Metilergometrin) tablet
288 ktk 10 x 10 tablet 24.000
salut 0,125 mg
289 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul 44.000
290 Metilprednisolon injeksi 500 mg ktk 10 vial 44.200
291 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet 16.000

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NO NAMA OBAT KEMASAN HARGA
1 2 3 4
292 Metilprednisolon tablet 16 mg ktk 10 x 10 tablet 127.900
293 Metilprednisolon tablet 4 mg ktk 10 x 10 tablet 52.800
294 Metilprednisolon tablet 8 mg ktk 10 x 10 tablet 85.000
295 Metoklopiramide injeksi 5 mg/ml ktk 10 amp @ 2 ml 52.800
296 Metoklopiramide sirup 5 mg/ml btl 60 ml 3.900
297 Metokloperamide tablet 10 mg ktk 10 x 10 tablet 14.000
298 Metokloperamide tablet 5 mg ktk 10 x 10 tablet 14.000
299 Metronidazol infus 500 mg/100 ml btl 100 ml 3.000
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet 15.000
301 Metronidazol tablet 500 mg ktk 10 x 10 tablet 26.400
302 Mikonazol krim/salep 2% (Nitrat) tube 10 gram 39.000
Mineral mix kombinasi :
kalium klorida 1792 mg
Trikalium Sitrat (1H2O) 648 mg
303 ktk 40 bungkus 19.000
Magnesium Klorida (6H2O)608 mg
Seng Asetat (2H2O)66 mg
Tembaga Sulfat (5H2O) 11 mg
304 Momethason krim 0,1% tube 10 gram 29.000
305 Momethason krim 0,1% tube 5 gram 4.000
306 Morfin injeksi 10 mg/ml ktk 10 ampul @ 1 ml 130.000
307 Morfin tablet 10 mg btl 30 tablet 30.000
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 19.000
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet 32.000
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet 48.000
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml 19.000
312 Natrium Klorida larutan infus 0,9% btl 500 ml 15.000
313 Natrium Thiosulfat injeksi i.v.25% ktk 10 amp @ 10 ml 11.000
314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul 124.000
315 Nevirapin tablet 200 mg btl 60 tablet 7.000
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet 19.500
317 Nistatin tablet salut 500.000 IU/g ktk 10 x 10 tablet salut 42.000
ktk 10 x 10 tablet
318 Nistatin vaginal tablet 100.000 IU/g 206.000
vaginal
319 Nitrofurantoin tablet 100 mg btl 100 tablet 17.000
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos 79.000
321 Obat Antituberkulosis Kategori anak Paket / dos 49.000
322 Obat Batuk Hitam (O.B.H) cairan btl 100 ml 4.600
323 Obat Batuk Hitam (O.B.H) cairan btl 200 ml 378.000
324 Obat Antituberkulosis FDC kategori Anak Paket / dos 270.900
325 Obat Antituberkulosis FDC kategori I Paket / dos 454.000
326 Obat Antituberkulosis FDC kategori 2 Paket / dos 1.512.000
327 Obat Antituberkulosis FDC Sisipan Paket / dos 201.600
328 Ofloxacin tablet 200 mg ktk 5 x 10 tablet 472.000
329 Ofloxacin tablet 400 mg ktk 5 x 10 tablet 1.571.000
330 Oksitetrasiklin HCl salep mata 1% ktk 25 tube @ 3,5 g 87.000
331 Oksitetrasiklin HCI salep mata 1 % tube 3,5 gram 34.800
332 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10ml ktk 10 vial 132.000
333 Oksitetrasiklin salep kulit 3% tube 5 gram 2.200
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 gram 3.000
335 Oksitosin injeksi 10 IU/ml - 1 ml ktk 30 ampul 41.000

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NO NAMA OBAT KEMASAN HARGA
1 2 3 4
336 Omeprazol kapsul 20 mg btl 7 kapsul 3.000
337 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul 16.200
338 Oseltamivir 75 mg ktk 10 kapsul 71.000
339 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml 237.600
340 Papaverin tablet 40 mg/ml btl 1000 tablet 25.000
341 Parasetamol drops btl 15 ml 171.000
342 Parasetamol sirup 120 mg/5 ml btl 60 ml 4.000
343 Parasetamol tablet 100 mg btl 100 tablet 131.000
344 Parasetamol tablet 500 mg ktk 10 x 10 tablet 20.000
345 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial 4.000
346 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet 6.000
347 Perfenazin tablet 4 mg (HCl) btl 100 tablet 14.000
348 Perfenazin tablet 2 mg (HCI) ktk 15 x 10 tablet 218.000
349 Perfenazin tablet 8 mg (HCI ) ktk 15 x 10 tablet 178.000
350 Petidin injeksi 50 mg/ml ktk 10 ampul 8.000
351 Pilokarpin tetes mata 2% (HCl/Nitrat) btl 5 ml 9.000
352 Piracetam injeksi 1 g/5 ml ktk 10 amp 79.000
353 Piracetam injeksi 3 g/15 ml ktk 4 amp 86.000
354 Piracetam tablet 1200 mg ktk 5 x 10 tablet 7.000
355 Piracetam tablet 1200 mg ktk 10 x 10 tablet 191.500
356 Piracetam tablet 400 mg ktk 10 x 10 tablet 65.000
357 Piracetam tablet 800 mg ktk 10 x 10 tablet 96.500
358 Pirantel sirup 125 mg/5 ml btl 60 ml 170.000
359 Pirantel tab. Score (base) 125 mg ktk 25 x 4 tablet score 60.000
360 Pirantel tab. Score (base) 125 mg ktk 30 x 2 tablet score 106.000
361 Pirazinamid tablet 500 mg ktk 10 x 10 tablet 5.000
362 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet 42.000
363 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet 25.000
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet 15.500
365 Piroksikam kapsul 10 mg ktk 12 x 10 kapsul 23.000
366 Piroksikam tablet 20 mg ktk 12 x 10 kaplet 40.000
367 Piroksikam tablet 20 mg ktk 10 x 10 tablet 18.000
368 Povidon lodida larutan 10% btl 1000 ml 14.000
369 Povidon lodida larutan 10% btl 300 ml 17.000
370 Povidon lodida larutan 10% btl 60 ml 14.000
371 Povidon lodida larutan 10% btl 30 ml 56.000
372 Pravastatin tablet 10 mg ktk 3 x 10 tablet 20.000
373 Pravastatin tablet 20 mg ktk 3 x 10 tablet 5.000
374 Pravastatin tablet 20 mg ktk 5 x 10 tablet 4.000
375 Prazikuantel tablet 300 mg btl 1000 tablet 58.000
376 Prazikuantel tablet 600 mg btl 100 tablet 97.000
377 Prednison tablet 5 mg btl 1000 tablet 150.000
378 Primakuin tablet 15 mg btl 1000 tablet 1.066.000
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial 223.000
380 Prometazin tablet 25 mg ktk 100 tablet 82.000
381 Propanolol tablet 40 mg (HCl) btl 100 tablet (dexa) 15.000
ktk 10 x 10 tablet
382 Propanolol tablet 10 mg (HCl) 10.000
(dexa)
383 Propilitiourasil tablet 100 mg btl 100 tablet 7.000

-409-
NO NAMA OBAT KEMASAN HARGA
1 2 3 4
384 Propilitiourasil tablet 50 mg btl 1000 tablet 16.000
385 Ramipril tablet 2,5 mg ktk 10 x 10 tablet 11.000
386 Ramipril tablet 5 mg ktk 10 x 10 tablet 40.000
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp 33.000
388 Ranitidin tablet 150 mg ktk 3 x 10 tablet 39.000
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet 26.000
390 Reserpin tablet 0,10 mg btl 250 tablet 85.000
391 Reserpin tablet 0,25 mg btl 1000 tablet 9.000
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 29.000
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 25.000
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet 116.000
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet 359.000
396 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul 31.000
397 Rifampisin kapsul 300 mg ktk 12 x 10 kapsul 210.000
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut 236.500
399 Ringer Laktat larutan infus btl 500 ml 63.000
400 Risperidon tablet 1 mg ktk 2 x 10 tablet 73.000
401 Risperidon tablet 1 mg ktk 5 x 10 tablet 87.000
402 Risperidon tablet 2 mg ktk 5 x 10 tablet 7.000
403 Risperidon tablet 3 mg ktk 2 x 10 tablet 50.000
404 Risperidon tablet 3 mg ktk 5 x 10 tablet 124.000
405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet 13.500
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet 75.000
Salep 2-4, Kombinasi : Asam Salisilat 2% +
407 ktk 24 pot @ 30 g 187.000
Belerang endap 4%
408 Salisil Bedak 2% ktk 50 gram 12.000
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 13.000
410 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul 39.000
411 Sefadroksil kapsul 250 mg ktk 10 x 10 kapsul 2.000
412 Sefadroksil kapsul 500 mg ktk 5 x 10 kapsul 11.000
413 Sefadroksil kapsul 500 mg ktk 10 x 10 kapsul 100.800
414 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul 59.000
415 Sefaklor kapsul 500 mg ktk 3 x 10 kapsul 56.000
416 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul 111.000
417 Sefaleksin kapsul 500 mg ktk 5 x 10 kapsul 47.000
418 Sefazolin injeksi 1 g ktk 2 vial 86.000
419 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul 86.000
420 Sefiksim kapsul 100 mg ktk 3 x 10 kapsul 79.000
421 Sefiksim kapsul 50 mg ktk 3 x 10 kapsul 55.000
422 Sefiksim sirup kering 100 mg/5 ml btl 30 ml 157.000
423 Sefiksim 400 mg +Azitromisin 1000 mg Paket 95.000
424 Sefotaksim injeksi 0,5 g ktk 2 vial 40.000
425 Sefotaksim injeksi 1 g ktk 2 vial 40.000
426 Sefotaksim injeksi 1 g Ktk 10 vial (berno) 528.000
427 Sefotaksim serbuk injeksi 1 g/vial ktk 1 vial 12.000
428 Seftazidim injeksi 1 g ktk 2 vial 19.000
429 Seftriakson injeksi 1 g ktk 2 vial (hexparm) 26.500
430 Seftriakson serbuk injeksi 1 g/vial ktk 1 vial 10.000
431 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml 89.000

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NO NAMA OBAT KEMASAN HARGA
1 2 3 4
432 Sianokobalamin (Vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 23.000
433 Sianokobalamin (Vitamin B12) tablet 50 mcg btl 1000 tablet 12.000
434 Siklofosfamid tablet 50 mg btl 50 tablet 28.000
435 Siklosporin kapsul lunak 25 mg btl 50 kapsul lunak 136.000
436 Simetidin tablet 200 mg ktk 10 x 10 tablet 18.000
437 Simvastatin tablet 5 mg ktk 3 x 10 tablet 111.000
438 Simvastatin tablet 10 mg ktk 3 x 10 tablet 10.600
439 Simvastatin tablet 10 mg ktk 5 x 10 tablet 18.000
440 Simvastatin tablet 20 mg ktk 3 x 10 tablet 37.000
441 Simvastatin tablet 20 mg ktk 5 x 10 tablet 21.000
442 Siproflaksasin tetes mata 0,3% btl 10 ml 34.000
443 Siproflaksasin infus 2% btl 100 ml 41.000
444 Siproflaksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet 68.000
445 Siproflaksasin tablet 250 mg (sebagai HCl) ktk 5 x 10 tablet 6.000
446 Siproflaksasin tablet 250 mg (sebagai HCl) ktk 10 x 10 tablet 75.000
447 Siproflaksasin tablet 500 mg (sebagai HCl) ktk 5 x 10 tablet 10.000
448 Siproflaksasin tablet 500 mg (sebagai HCl) ktk 10 x 10 tablet 17.000
449 Spiramisin tablet 250 mg ktk 5 x 10 tablet 33.000
450 Spiramisin tablet 500 mg ktk 5 x 10 tablet 18.000
451 Spironolakton tablet 100 mg ktk 10 x 10 tablet 38.000
452 Spironolakton tablet 25 mg ktk 10 x 10 tablet 52.000
453 Stavudin tablet 30 mg btl 60 tablet 101.000
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml 139.000
455 Sulfadiazin tablet 500 mg btl 100 tablet 46.000
456 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet 67.000
457 Sulfasazalin tablet 500 mg btl 500 tablet 75.000
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml 16.000
459 Temoksifen tablet 20 mg btl 30 tablet 11.000
460 Teofilin tablet 150 mg ktk 10 x 10 tablet 249.000
461 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet 109.000
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml 52.000
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul 8.000
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 66.000
465 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul 107.000
466 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul 158.500
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 44.000
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/Nitrat) btl 1000 tablet 140.000
469 Tiamin (Vitamin B1) tablet 100 mg btl 1000 tablet 81.000
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml 31.000
471 Tramadol injeksi 50 mg/ml ktk 5 ampul 50.000
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul 99.000
473 Tramadol tablet 50 mg ktk 5 x 10 tablet 80.000
474 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet 42.000
475 Trifluoperazin tablet 5 mg ktk 10 x 10 tablet 22.000
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 22.000
477 Trimetoprim tablet scored 200 mg btl 100 tablet scored 31.000
478 Valproat tablet 150 mg btl 50 tablet 50.000
479 Valproat tablet 250 mg btl 50 tablet 6.000
480 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet 13.000

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 NO NAMA OBAT KEMASAN HARGA
1 2 3 4
481 Vitamin B kompleks tablet btl 1000 tablet 36.000
482 Zidovudin 300 mg + Lamivudin 150 mg btl 60 tablet 23.000
483 Zidovudin tablet 100 mg btl 60 tablet 47.000
484 Zink tablet 20 mg ktk 10 x 10 tablet 30.000

13.4.2. Obat Non e-catalog

N0 NAMA OBAT KEMASAN HARGA
1 2 3 4
1 Efedin tablet 25 mg (HCI) btl 250 tablet 17.000
2 Hidroklortiazida tablet 25 mg btl 1000 tablet 48.000
3 Hyosine N butilbromide tablet 10 mg ktk 10 x 10 tablet 231.000
4 Metil ergometrin maleat (metilergometrin) tablet ktk 10 x 10 tablet salut
16.000
salut 0,125 mg
5 Metoklopramide injeksi 5 mg/ml ktk 10 ampul @ 2 ml 52.800
6 Metoklopramide sirup 5 mg/5ml btl 60 ml 4.000
7 Oksitosin injeksi 10 IU/ml 1 ml ktk 30 ampul 71.000
8 Antihemoroid DOEN kombinasi: Bismut ktk 10 supp
27.000
subgalat 150 mg-Heksaklorofen 2,5 mg
9 Tiamin (vitamin B1) tablet 50 mg (HCl/Nitrat) btl 1000 tablet 50.000
10 Vitamin B kompleks tablet btl 1000 tablet 30.000
PERBEKALAN KESEHATAN :
11 Alat suntik sekali pakai 1 ml (stera) 100 set/kotak 71.500
12 Alat suntik sekali pakai 2,5 ml (Stera) 100 set/kotak 71.500
13 Alat suntik sekali pakai 5 ml (onemed) 100 set/kotak 82.500
14 Catgut / benang bedah No. 3/0 dengan jarum 24 x 75 cm/kotak
147.400
bedah (onemed)
15 Infusion set dewasa (onemed) set / kantong 3.500
16 IV catheter No. 20 G (inflo) 50 buah / kotak 209.000
17 Kasa hidrofil steril uk.18 x 22 cm (isi 12 lembar) kotak
8.250
(onemed)
18 Silk (benang bedah sutera) No. 3/0 dengan 12 x 3 x 75 cm / kotak
121.000
jarum bedah (onemed)
19 Catgut / benang bedah No. 2/0 dengan jarum 24 x 75 cm/kotak
147.500
bedah
20 Kasa hidrofil uk 36 m x 80 cm (onemed) rol 183.300
OBAT GIGI :
21 Glass Inomer Cement ART set / botol 500.000
22 Etil Klorida spray vial/can/100 ml 132.000
23 Kalsium Hidroksida Pasta 2 tube / kotak 300.000
24 Semen Seng Fosfat serbuk dan cairan set @ 30 gram / botol 400.000
25 Devitalisasi Pasta (non arsen) btl / ktk 600.000
26 ATS 1.500 amp 1 ml 115.000
27 ATS 20.000 vial 4 ml 756.000
28 ABU I vial 5 ml 17.000

13.4.3. Obat Lainnya

NO NAMA OBAT MERK SATUAN HARGA
1 2 3 4 5
1 Anti Hemoroid Supp Supp 3.100
2 Bravoderm Oint 5 gr Tube 13.300
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NO NAMA OBAT MERK SATUAN HARGA
1 2 3 4 5
3 Borraginol N Takeda Tube 42.500
4 Borraginol S 15 gr Takeda Tube 65.800
5 Becombion Sirup 110 ml Merck Botol 30.300
6 Betadin 60 ml Mahakam Botol 30.100
7 Betadin SOL 30 ml Mahakam Botol 16.800
8 Betadin 15 ml Mahakam Botol 9.800
9 Cefadroxil 500 mg Pharmalab Caps 1.300
10 Cefixim Pharmalab Tab 3.300
11 Chlorampecort H 10 gram KF Tube 16.400
12 Cholestat 10 mg Dexa Tab 1.400
13 Clindamicyn Caps Indofarma Caps 8.200
14 Caviplex Erela Tab 50.600
15 Demacolin Tab Coronet Tab 400
16 Demacolin Sirup Coronet Botol 9.300
17 Dulcolac Tab Boeh. Ingelheim Tab 1.500
18 Ergotamin Kafein Tab 26.000
19 Enervon-C Tab 1.300
20 Gentamycin SK 5 gram Indofarma Tube 3.100
21 Griseofulvin 125 mg Nova Tab 500
22 Hydrocortison SK 1% 5 gram Kalbe Tube 5.100
23 Inerson SK Tube 37.700
24 Kaflam 50 mg Kalbe Tab 30 132.000
25 Minyak Kayu Putih Spray Cap Gading Botol 18.100
26 Minyak Telon Spray 60 ml Cap Gading Botol 18.100
27 Neurosanbe 5000 Sanbe Tab 2.900
28 Pharmaton Formula Boeh. Ingelheim Tab 4.000
29 Povidon Iodin 10% 1 Liter OneMed Botol 66.200
30 Ranitidin 150 mg Hexpharm Tab 400
31 Siberid Pyridam Tab 9.400
32 Triomin-E Tab 2.900
33 Voltaren 1% 20 Gram Tube 60.000
34 Voltadex 50 mg Dexa Tab 800
35 Zegase Kalbe Tab 2.900
36 Zenirex sirup 60 ml Zenit Botol 5.800

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