Prov Aceh 2017 - Barang Jasa

KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M
1 SAFAR 1438 H
TENTANG
PENETAPAN STANDAR SATUAN HARGA

BARANG/JASA PEMERINTAH ACEH
TAHUN 2017
DINAS PENDAPATAN DAN KEKAYAAN ACEH

DAFTAR ISI
STANDAR SATUAN HARGA BARANG / JASA
TAHUN ANGGARAN 2017
I. BIDANG PERINDUSTRIAN DAN PERDAGANGAN
1. KELOMPOK BARANG ALAT TULIS KANTOR....................... ......1 - 12

2. KELOMPOK BARANG CETAKAN.............................................13 -18
3. KELOMPOK BARANG ALAT RUMAH TANGGA ....................... 19 - 38
4. KELOMPOK BARANG SERAGAM DINAS.................................39 - 40
5. KELOMPOK BARANG PERLENGKAPAN OLAH RAGA ...............41 - 45
6. KELOMPOK BARANG ALAT LISTRIK......................................46 - 52
7. KELOMPOK BARANG PEMADAM ..........................................53 - 59
8. KELOMPOK PEMELIHARAAN KANTOR ................................60 - 61
9. KELOMPOK BARANG ELEKTRONIK.......................................62 - 85
10.KELOMPOK BARANG COMPUTER ................................... ....86 - 96
II. BIDANG PERTANIAN, PERKEBUNAN, KEHUTANAN,
PETERNAKAN,PERIKANAN
1. KELOMPOK BARANG PERTANIAN.......................................97– 104

2. KELOMPOK BARANG PERKEBUNAN...................................105 –116
3. KELOMPOK BARANG KEHUTANAN.....................................117 -122
4. KELOMPOK BARANG PERIKANAN......................................123 -134
5. KELOMPOK BARANG PETERNAKAN.....................................135-144
III. BIDANG OBAT OBATAN, BAHAN MEDIS HABIS PAKAI, ALAT

KESEHATAN
1. KELOMPOK BARANG OBAT- OBATAN (E – CATALOG).......145-163

2. KELOMPOK BARANG BMHP (E – CATALOG )....................164-236
3. KELOMPOK BARANG ALKES............................................237-248
4. KELOMPOK BARANG OBAT- OBATAN..............................249-320
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
ALAT TULIS KANTOR
KEPUTUSAN GUBERNUR ACEH
NOMOR : 028 / 781 / 2016
TANGGAL : 1 NOPEMBER 2016 M
1 SAFAR 1438 H
I. ALAT TULIS KANTOR
NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

1 2 3 4 5
A. KEBUTUHAN KANTOR
1 Alat Nomorator Nomor 31 Buah 118,054

4 Amplop Cassing Folio(F4) Viva Pack 61,486
5 Amplop Cassing Kwarto(A4) Viva Pack 51,648
6 Amplop Cassing Kecil Viva Dinas/Kabinet Pack 25,824
7 Amplop Cassing Besar Viva Pack 60,257
Besar Viva Map /AA Pack 73,784
8 Amplop Coklat Airmail bertali Folio/ 310 Lembar 4,919
9 Amplop Coklat Airmail bertali Map/312 Lembar 8,608
10 Amplop Coklat Airmail bertali Kwarto/309 Lembar 6,149
11 Amplop Coklat Airmail bertali B-4/311 Lembar 7,378
12 Amplop Coklat Airmail bertali Super Kabinet 307 Lembar 4,919
13 Amplop Linen Putih Besar V i v a No 90 Kotak 39,351
14 Amplop Linen Putih Kecil V i v a kwarto no.0 Kotak 51,648
15 Amplop Linen Putih Sedang V i v a 1105 Kotak 27,054
16 Anak Penjilid No. 1210 Kotak 25,824
No. 1210 kanggoro Kotak 23,365
No. 1213 kanngoro Kotak 27,054
20 Anak penjilid sedang MAX No. 3 Kotak 188,148
21 Anak penjilid kecil MAX No. 10 Kotak 100,838
22 Bak Surat Kawat - Buah 100,838
23 Bak Surat Plastik Deluxe paper tray Buah 119,283
24 Bak Surat Steel 2 susun Venica paper tray Buah 119,283
Venica paper tray v-tec Buah 231,188
25 Bak Surat Steel 3 susun Venica paper tray Buah 498,039
Venica paper tray v -tec Buah 434,093
26 Bak Surat Steel Engkel Venica Buah 223,810
27 Ballpoint B i c / kenko- K I Buah 11,068
kenko- K I Buah 9,838
Bic Cristal Buah 9,838
SSHB ATK 1
1 2 3 4 5
Pilot BPT.P Buah 4,919
Pentel (M) Buah 99,608
TOP B-3000 Buah 9,838
TOP 4 warna Reddot 3B Buah 9,838
4 warna reddot 3B kenko Buah 13,527
5 warna reddot 310 c Buah 10,453
Mitsubishi Boxi Uniball Buah 17,216
Jupiter Gel Joyko Buah 9,838
Pilot BPRK Buah 22,135
Pilot G-1 0,7 Buah 22,135
Pilot G-2 0,7 Buah 33,203
Pentel Japan MG 8 Buah 59,027
Drawing Pen 01,02,03
Buah 33,203
Snowman
Stabilo Galaxy/Sparkle Buah 11,068
Stabilo Point 88 Buah 13,527
Stabilo BOSS Buah 10,453
Pronto Liner 90 Buah 12,912
Pronto Rolla 06 Buah 12,912
Snowman VI-V2 Batang 4,919
Parker STD R-B Batang 134,040
Parker STD F-B Batang 134,040
Parker Besi R-B Batang 372,607
Parker Besi F-B Batang 223,810
Parker Besi B-B Batang 268,080
28 BallPoint Transparan Ohp 4 btg/Set Faber Castle Set 56,567
6 btg/Set Faber Castle Set 77,473
4 btg/Set Snowman Set 51,648
29 Bantal Stempel Besar Bertinta Artline / Hero Buah 15,986
Hero 1460 Buah 14,757
30 Bantal Stempel Besar Biasa Artline / Joyko Buah 14,757
Artline / Joyko/kenko Buah 14,757
joyco no.2 Buah 14,757
31 Bantal Stempel Kecil Bertinta Hero Buah 9,838
Hero 2460 Buah 11,068
32 Bantal Stempel Kecil Biasa Hero Buah 8,608
Hero 1460 Buah 14,757
33 Batang Rapido No. 0,1 Staedtler Batang 237,337
37 Batang Rapido No. 0,5 s.d 1,2 Staedtler Batang 141,418
38 Binder Clips No. 107 Kotak 7,378
SSHB ATK 2
1 2 3 4 5
No. 111 Kotak 9,838
No. 155 Kotak 11,682
No. 200 Kotak 19,676
No. 260 Kotak 33,203
39 Block Note Isi 25 lembar Buah 4,919
40 Block Note PPL A5 6,149
41 Block Note Isi 50 lembar Paperline A5 Buah 12,297
42 Bor kertas Drill Unsh CD.30 Buah 657,903
Drill Unsh CD.30 C2 H Buah 903,848
43 Box Arsip L=18,P=38,T27cm(bhn karton) Buah 33,203
44 Box File Plastik Lucky No. 902 Buah 28,284
45 Brief Ordener Karton 401/402/403 G & R / PAKAR Buah 19,676
46 Brief Ordener Plastik Combo Buah 39,351
Bantex No. 403 Buah 39,351
Bantex No. 8522 Buah 51,648
Bantex No. 8562-07 Buah 76,243
No. 4011 Buah 39,351
No. 4033 Buah 39,351
47 Buku Agenda Folio Isi 200 Lembar Buah 41,811
Folio, Isi 100 lembar (90 Lbr) Buah 24,595
Folio, Isi 500 lembar Buah 174,621
48 Buku Ekspedisi bercetak 10 x 31 cm, isi 50 lbr Buah 9,838
10 x 31cm,isi 100 lbr (90 Lmbr) Buah 15,986
Kombinasi (Pirimetamin 25 mg +
49 Buku Folio bergaris Buah 33,203
Sulfadoksin 500 mg)
Isi 500 lembar Buah 213,972
50 Buku Folio Klaper AA Isi 200 Lembar Buah 41,811
AA Isi 100 lembar Buah 20,905
51 Buku Kas Kwarto, Isi 100 lbr Buah 11,068
52 Buku Kas Standar Kwarto, Isi 100 lbr Buah 11,068
53 Buku Kas Kwarto, Isi 200 lbr Buah 20,905
54 Buku Kas Folio, Isi 100 lembar Buah 15,986
55 Buku Kas Standar Folio, Isi 100 lembar Buah 20,905
56 Buku Kas Folio, Isi 200 lembar Buah 28,284
57 Buku Klaper kecil Isi 50 lembar Buah 12,297
58 Buku Kwarto bergaris Isi 100 lembar Buah 9,838
Isi 100 lembar AA Buah 13,527
Isi 200 lembar AA Buah 24,595
97 Buku Kwitansi Ukr. 9,5 x 24,5 cm (AA) Buah 8,608
98 Buku Kwitansi Dinas Ukr. ½ Folio Blok 12,297
99 Buku Milimeter Block Note D/F Isi 25 lembar Buah 15,986
100 Buku Milimeter Block Note Folio Isi 25 lembar Buah 15,986
SSHB ATK 3
1 2 3 4 5
101 Buku Tulis Isi 40 Lembar AA Buah 4,304
Isi 50 Lembar DoDo Buah 6,149
Isi 60 Lembar AA Buah 8,608
Isi 32 Lembar (dodo) Buah 4,919
Isi 100 Lembar (AA) Buah 11,068
102 Buku Tulis Big Boss Isi 42 Lembar Buah 11,068
103 Buku Tulis Big siswa Isi 42 Lembar Buah 7,378
104 Busur Kayu Buah 12,297
105 Correction Tipp - Ex 20 ml Set 11,068
Tipp - Ex 30 ml Set 12,297
Re - Type Set 13,527
Pelikan Set 31,973
106 Correction Pen Pentel Buah 31,973
107 Jangka Kayu Buah 13,527
108 Jepitan Brief Ordener - Pasang 56,567
109 Karbon Ukuran F4 (Folio) kotak/100 lbr 76,243
Ukuran F4 (Folio) kanggoro kotak/100 lbr 51,648
Ukuiran A3 (Double folio) kotak/100 lbr 63,946
110 Karton Alas Meja Ukr. 50 x 65 cm Lembar 39,351
111 Kertas bergaris Ukr. Double Folio Rim/Paks 33,203
Ukr. Double Folio biasa Rim 82,392
Ukr. Double Folio biasa paks 36,892
112 Kertas Buffalo Ukr. Plano Lembar 8,608
124 Kertas Calkuer Canson, ukr 60/65 gr 1x10m Rol 126,662
Canson, ukr 70/75 gr 1x10m Rol 137,729
125 Kertas Carpartur Folio Rim 76,243
126 Kertas Cassing Ukr. Plano Lembar 6,149
127 Kertas Computer (HVS) 147/8 x 11 1 Ply Kotak 274,229
147/8 x 11 2 Ply Kotak 470,985
147/8 x 11 3 Ply Kotak 841,132
147/8 x 11 4 Ply Kotak 621,012
147/8 x 11 5 Ply Kotak 499,269
91/2 x 11 1 Ply Kotak 140,189
91/2 x 11 2 Ply Kotak 200,445
91/2 x 11 3 Ply Kotak 317,269
91/2 x 11 4 Ply Kotak 225,040
91/2 x 11 5 Ply Kotak 403,350
SSHB ATK 4
1 2 3 4 5
128 Kertas Computer (NCR) 147/8 x 11 2 Ply Kotak 504,188
147/8 x 11 3 Ply Kotak 827,605
147/8 x 11 4 Ply Kotak 558,295
147/8 x 11 5 Ply Kotak 489,431
91/2 x 11 2 Ply Kotak 335,715
91/2 x 11 3 Ply Kotak 530,012
91/2 x 11 4 Ply Kotak 200,445
91/2 x 11 5 Ply Kotak 440,242
129 Kertas Dorslag Folio, 28 gram Rim 52,878
Duoble Folio, 28 gram Rim 27,054
130 Kertas Dorslag berwarna Folio, 28 gram Rim 50,419
Duoble Folio, 28 gram Rim 49,189
131 Kertas Duplikator Folio Rim 66,405
Double Folio Rim 39,351
132 Kertas Faximile 210 mm x 3 m Gulung 33,203
133 Kertas Faximile kecil Gulung 23,365
134 Kertas HVS F4 (Folio), 60 gram Rim 45,500
F4 (Folio), 60 gram mirage Rim 45,500
A4 (kwarto), 60 gram Rim 39,351
A3 (double folio), 60 gram Rim 76,243
F4 (Folio), 70 gram Rim 52,878
F4 (Folio), 70 gram BD Rim 52,878
A4 (kwarto), 70 gram BD Rim 45,500
A3 (double folio), 70 gram BD Rim 82,392
F4 (Folio), 80 gram Rim 66,405
135 Kertas HVS berwarna F4, 60 gram Rim 57,797
A3, 60 gram Rim 82,392
136 Kertas Map Binder Loose Leaf 50 Lbr Blok 6,149
Loose Leaf 50 Lbr A5 Blok 7,378
137 Kertas Memo Tempel Pronto,Mark & Note 20x50 mm pad 20,905
Pronto, Stdr Yellow, 40x50 mm pad 8,608
Yellow, 76x76 mm hopax 15,986
Pronto, Stdr Yellow, 150 x 101 mm hopax 33,203
Pronto, Flourescent, 40x50 mm pad 8,608
Flourescent, 75 x 100 mm eagle 17,216
Pronto, Flourescent, 50x75 mm pad 8,608
Pronto,Flourescent,75x125 mm pad 14,757
SSHB ATK 5
1 2 3 4 5
Pronto,Flourescent,75x125 mm eagle 19,676
138 Kertas Mesin Kira HVS 5,8 Gulung 13,527
HVS 6,8 Gulung 17,216
139 Kertas Milimeter Paper S t a r / Drupa Rol 70,094
140 Kertas Milimeter Qalkuer Star Rol 119,283
141 Kertas Ozalit Porcelin 1 m / Regma Gulung 110,675
142 Kertas Sampul Licin Ukr. Plano Lembar 3,074
143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500
144 Kertas Stensil Koran berwarna Folio Rim 39,351
145 Kertas Teleks (HVS) 1 Ply Gulung 54,108
2 Ply Gulung 95,919
3 Ply Gulung 100,838
146 Lotto Map Walet Folio Buah 81,162
147 Map Binder Campus Loose Leaf Buah 25,824
148 Map Folder Folio Buah 28,284
Folio 40 l Buah 39,351
149 Map Gantung Folio Buah 8,608
Folio miero Buah 8,608
150 Map Kantong (Pocket) Garda Buah 24,595
151 Map Lucky Folio Buah 20,905
152 Map Lucky lobang Folio Buah 20,905
153 Map Mica Folio Buah 9,838
154 Map Mica lobang Folio Buah 9,838
155 Map Odner berlabel Karton Asahi Buah 6,149
156 Map Pakai Tali Pronto, Folio Buah 7,378
157 Map Plastik pakai kancing Folio Buah 7,378
158 Map Plastik Pidato Pronto, Folio Buah 7,378
159 Map Report File Pronto, Folio Buah 11,068
160 Map Swingrip File Pronto, Folio Buah 9,838
161 Mata Pinsil Mecanic 0,3 s/d1,0 Staedtler/Faber Castel Kotak 63,946
162 Mata Pisau Cutter Kenko L-500 Kotak 9,838
163 Mata Rapidograph No. 0,1 Steadler Buah 199,216
166 Paku Tekan/Payung Square Kotak 10,453
shilin Kotak 11,068
167 Paper Clips Atom 303 Kotak 27,054
168 Parker Roller - Batang 22,135
169 Pelobang Kertas Kenko No. 40 Buah 36,892
Kenko No. 85 Buah 68,865
General 220 / kangan Buah 105,756
Pronto Mini 2 Hole Punch Buah 24,595
SSHB ATK 6
1 2 3 4 5
Pronto 4 Hole Punch Adjustable
170 Pelubang Kertas Buah 94,689
Punch
171 Pemotong Isolasi
DR-50 Buah 39,351
kenjoy Buah 23,365
172 Pena Sheet Katsumi Batang 15,986
173 Pencabut Anak Klip Buah 9,838
SR 45T Buah 12,297
kanggoro Buah 13,527
174 Penggantung T QT-04 Buah 60,257
175 Penghapus Papan Tulis Buah 6,149
Kenjoy Kel Buah 7,993
177 Penghapus White Board Buah 8,608
Kenjor bsr Buah 9,838
178 Penjilid Besar/Staples MAX HD 12 L / 17 Buah 1,869,183
MAX HD 12 N / 24 Buah 1,617,089
MAX HD 12N / 17 MAX Buah 1,457,225
MAX HD 3D Buah 590,268
Guntecker MAX TG-A Buah 593,958
179 Penjilid Besar Novus HD 12 L Buah 1,321,955
180 Penjilid Kecil Kenko No. 3 Buah 49,189
181 Penjilid sedang/Staples Kangaro HD 23 S 20 FL Buah 559,525
Kangaro HD 23 S 24FL 597,647
182 Penjilid Sedang MAX Nomor 10 Buah 22,135
Pronto, Nomor 10 Buah 15,986
183 Pensil biasa Great Wall Batang 4,919
184 Pensil Copy Ribbon Batang 15,986
185 Pensil Gambar Steadlear 2 B Batang 7,993
186 Pensil Graphite Stabilo Opera 2B Batang 12,912
Stabilo Trio Pencil, HB,2B,4B Batang 9,223
Stabilo, Leads 2B (isi 12 pcs 0,5
187 Pensil Isi Ulang Tube 11,068
mm)
188 Pensil Isi Ulang kenko Leads 2B (isi 12 pcs 0,5 mm) 11,068
189 Pensil Merah Biru Vivester Batang 6,149
Ribbon Batang 10,453
190 Pinsil Mecanic 0,3 s.d 1,0 Staedtler Batang 39,351
191 Pinsil Mecanic 0,3 s.d 1,0 Rotring/Faber Castel Batang 39,351
192 Pisau Cutter Plastik L-500 Buah 24,595
Kenko L-500 Buah 24,595
193 Pita Komputer Epson 7754 Original Buah 39,351
Epson 8750 Buah 82,392
Epson 8750 Original Buah 143,878
194 Pita Printer (Cartridge) Original LQ-2170, 2180, 2070, 2080, Buah 225,040
195 Pita Letter Dymo Gulung 33,203
196 Pita Mesin Tulis Swallow Gulung 39,351
Royal SE 1005-1042 Buah 68,865
SSHB ATK 7
1 2 3 4 5
Royal TA 8808 Buah 65,175
Canon AP 01 Buah 60,257
Brother 17020 Buah 97,148
197 Pita Mesin Tulis Elektrik IBM Model 129905 Buah 188,148
IBM Model 129950 Buah 93,459
198 Pita penghapus Mesin Tulis Elektrik Canon/Royal/Brother Buah 89,155
199 Refill Pita Computer Full Mark 7754 Buah 15,986
Epson 7754 Buah 15,986
200 Refill/Tinta Suntik Dataprint Black Kotak 43,040
Dataprint Colour Kotak 43,040
e print Black Botol 71,324
e print Color Botol 71,324
201 Rol Besi Bona 30 cm Batang 7,378
30 cm Batang 6,763
Bona 50 cm Batang 16,601
50 cm Batang 11,068
Bona 100 cm Batang 25,824
100 cm Batang 27,054
202 Rol Kayu Anchor 30 cm Buah 45,500
Anchor 50 cm Buah 97,148
203 Rol Kayu Biasa 100 cm Batang 9,838
204 Rol Plastik Tebal Butterfly 30 cm Buah 6,149
Butterfly 60 cm Buah 20,905
205 Rol Segitiga Kayu Set 12,297
No 10 Set 20,905
206 Skat/Pembatas Arsip Karton Asahi Buah 9,838
207 Snelchecter Map Folio Buah 6,149
Folio asahi Buah 6,149
208 Spidol 12 warna Melody Kotak 20,905
Melody kenko Kotak 23,365
v gen Kotak 7,378
209 Spidol 8 warna Pentouch set 39,351
210 Spidol Emas/Perak F Pilot/Snowman Batang 27,054
Snowman Batang 13,527
211 Spidol Emas/Perak M Pilot/Snowman Batang 25,824
Snowman Batang 12,912
212 Spidol Super Colour Market Batang 11,068
213 Spidol White Board Snowman Batang 12,297
214 Stabillo Boss Highlighters Pen, Pronto Life Buah 11,068
Highlighters Boss Super Plus 70 Buah 15,986
Highlighters Swing Cool 275, set
Buah 49,189
4
215 Stif Kombinasi Pelikan Buah 6,149
216 Stif Penghapus Stabilo Buah 5,534
Staedtler B-40 Buah 5,534
SSHB ATK 8
1 2 3 4 5
Staedtler B-20 Buah 9,838
217 Stop Map Folio Batik Buah 6,149
218 Stop Map Folio Tebal Asahi/Garda Buah 6,149
219 Stopmap Licin Folio Buah 3,074
220 T o n e r Gestetner 2130 Set 156,175
Ricoh Set 83,621
221 Tempat Ballpoint Meja Stationery Buah 33,203
Stationery 8312 Buah 51,648
Stationery desk organizer 1015 Buah 43,040
222 Tinta Ball point Parker Batang 30,128
Sheafer Batang 42,426
Pentel Batang 24,595
Unipen Batang 12,297
Pilot G1 & G2 Batang 15,986
Uniball Roller Batang 15,986
223 Tinta cair Canon 24 Black Botol 243,486
Canon 24 Color Botol 328,337
Canon PG 40 Botol 354,161
Canon CL 41 Botol 454,999
Canon 830 (black) Botol 306,202
Canon 831 (color) Botol 394,742
Canon BCI 6 Black Yellow Magenta
Botol 191,837
Cyan
Canon 810xl Botol 319,729
Canon 811 Botol 400,891
Hp60 Black Botol 286,526
HP 60 Color Botol 335,715
HP 21 Botol 430,404
HP 22 Botol 496,809
HP 27A Botol 287,756
HP 28A Botol 348,012
Epson T0493 Botol 258,242
Indian / Buaya Botol 43,040
Buaya besar 6,763
224 Tinta Rafido Steadler Botol 57,797
225 Tinta Stempel Tellen Botol 11,068
226 Tinta Stensil Gestetner Tube 57,797
Globe Tube 63,946
Standard Tube 82,392
227 Tinta Tulis Parker Botol 31,973
Hero Botol 11,068
228 Tissue Gulung Nice 2 Ply Gulung 7,378
SSHB ATK 9
1 2 3 4 5
229 Tissue Kotak 60 x 2 Ply Kotak 39,351
120 x 2 Ply Kotak 12,297
230 Toner/Cartridge Cartridge HP 12A Buah 1,438,779

Cartridge HP 35A Buah 1,254,320
Cartridge HP Q6000A Buah 1,465,833
Cartridge HP Q6003A Buah 1,604,792
Cartridge HP Q6001 Buah 1,604,792
Cartridge HP Q6002 Buah 1,604,792
231 Writing Pad bergaris Isi 50 lembar Paperline A4 Buah 11,068
Isi 50 lembar writing pad Buah 7,378
B. ALAT-ALAT KEBUTUHAN LAINNYA

1 Batteray Wireless Panasonic Buah 12,353
2 Batu Bateray Besar Alkaline A Buah 16,059
ABC A Buah 11,118
3 Batu Bateray Kecil Alkaline AAA Buah 14,824
ABC AAA Buah 7,412
4 Batu Bateray sedang Alkalin AA Buah 14,824
ABC AA Buah 8,647
5 Benang pengikat Cap Jangkar Ramie Gulung 12,297
6 Cleaning Kit (Pembersih) Botol 67,635
Biosol 11,068
7 Developer Gestetner 2130 Botol 682,498
Ricoh Botol 623,471
8 Driehock Butterfly No. 10 Rule Set 23,365
Butterfly No. 10 R u l e segitiga Set 19,676
Butterfly No. 8 Rule Segitiga Set 14,757
Butterfly No. 12 Rule Segitiga Set 24,595
11 Eksternal hardisk 320 GB Buah 703,593
500 GB Buah 936,883
250 GB Buah 518,698
1 TB Buah 1,489,086
12 Flashdisk 4 GB HP Buah 104,527
8 GB Buah 116,824
8 GB HP Buah 166,013
16 GB Buah 166,013
16 GB HP Buah 301,283
32 GB Buah 313,580
64 GB Buah 485,742
128 GB Buah 761,200
13 Gunting Joyco Kecil Buah 9,223
SSHB ATK 10
1 2 3 4 5
Gonindo DSS Buah 7,993
Kecil KA 818 Buah 7,993
Joyco Sedang Buah 11,068
OMM Buah 8,608
sedang KA 838 Buah 9,838
Joyco Besar Buah 15,986
OLL Buah 9,838
besar kc 888 Buah 14,757
14 Isolasi Bening 1/2 x 72 Gulung 6,149
1/2x72 tebal Gulung 4,919
1/2 x 72 ashton Gulung 4,919
15 Isolasi Bening 1 x 72 Gulung 7,993
1x72 tebal Gulung 7,993
1 x 72 ashton Gulung 7,993
2 x 72 Gulung 13,527
2x72 orange Gp Gulung 24,595
2 x 72 90 y ashton Gulung 14,757
16 Isolasi Lakban 2 x 70 Gulung 15,986
2x 70 HJ GP Gulung 12,912
2 x 70 90 y ashton Gulung 14,757
17 Isolasi Linen Tape 1 x 70 Gulung 9,223
1 x 70 GP Gulung 9,223
1 x 70 tbl sks Gulung 11,068
1 1/2 x 70 Gulung 14,757
1 1/2 x 70 Gulung 14,757
1 1/2 x 70 tbl sks Gulung 14,757
2 x 70 Gulung 19,676
2 x 70 Gulung 18,446
2 x 70 tbl sks Gulung 19,676
18 Kapur Tulis Cap Camel Kotak 7,378
19 Kapur Tulis Berwarna Cap Camel Kotak 13,527
20 Karbol Wangi Botol Botol 23,365
21 Karton Bufallo Folio Lembar 6,149
22 Karton Duplex Folio Lembar 6,149
23 Karton Linen Folio Lembar 2,459
24 Karton Manila (BC) Plano Lembar 4,304
25 Koreksi Ink ASIA Botol 39,351
26 L e m Pronto, Gluestick 9 gr Buah 11,068
Gluestick 8 gr kenko Buah 6,149
27 L e m Pronto, Gluestick 15 gr Buah 19,676
Gluestick 15 gr kenko Buah 9,838
28 L e m Acme Ukr. Besar Botol 6,149
29 L e m Acme Ukr. Kecil Botol 3,074
30 Mouse Hp Buah 39,351
SSHB ATK 11
1 2 3 4 5
Acer Buah 51,648
Eyota Buah 33,203
41 Plastik Sampul Nanya 35 Y Gulung 89,770
Nanya 35 Y AB Gulung 354,161
42 Plastik Transparan 0.8 Kotak 36,892
43 Plastik Transparan 1.2 Kotak 52,878
44 Prestige Roller Top Batang 14,757
45 Rautan Pinsil Meja Kenko/Angel-5 Buah 116,824
Kotak/100
46 Sheet Fotocopy 3-4 Master, Folio 1,545,765
lbr
47 Sheet Stensil Clover, Folio Kotak/48 lbr 153,716
Gestetner, Folio Kotak/50 lbr 221,351
Kotak/100
Gestetner, Double Folio 442,701
lbr
SSHB ATK 12
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
CETAKAN
II. KELOMPOK BARANG CETAKAN
HARGA SATUAN
CETAK TIMBAL
CEATAK SEBELAH
NO JENIS BARANG MERK / UKURAN / MODEL BALIK
s/d 1000 1001 lbr s/d 1000 1001 lbr
lembar ke atas lembar ke atas
1 2 3 4 5 6 7
A. CETAKAN BLANKO/FORMULIR
1 Bahan HVS 60 gram ¼ Folio 379 316 442 442
½ Folio 379 316 568 442
Folio 316 303 632 442
Double Folio 1,074 366 1,895 1,516
2 Bahan HVS 70 gram ¼ Folio 379 202 3,411 505
½ Folio 379 202 568 505
Folio 379 240 568 505
Double Folio 910 354 2,148 1,642
3 Bahan HVS 80 gram ¼ Folio 442 354 884 632
½ Folio 316 265 505 442
Folio 316 278 568 442
Double Folio 1,832 392 2,274 2,274
4 Bahan Kertas Dorslag ¼ Folio 379 126 379 253
½ Folio 379 202 568 442
Folio 379 215 568 505
Double Folio 568 265 1,200 1,011
5 Bahan NCR 2 ply (Top + Bottom) ¼ Folio 568 215 884 442
½ Folio 379 215 505 379

Folio 568 240 884 695
Double Folio 1,769 455 2,400 2,274
6 Bahan NCR 3 ply ( Top + 1 ¼ Folio 568 328 2,906 1,642
Middle +1 Bottom ) ½ Folio 568 328 2,906 1,642

Kombinasi Pirimetamin 25 mg
884 455 2,463 2,148
+ Sulfadoksin 500 mg)
Double Folio 2,653 493 1,895 3,032
7 Bahan NCR 4 ply ( Top + 2 ¼ Folio 1,200 771 2,463 2,148
Middle + 1 Bottom ) ½ Folio 720 1,011 884 884

Folio 1,074 1,516 884 884
Double Folio 2,653 2,148 3,663 3,032
8 Bahan NCR 5 ply ( Top + 3 ¼ Folio 947 821 1,895 2,021
Middle + 1 Bottom ) ½ Folio 947 821 1,895 1,263

Folio 1,200 947 2,021 1,453
SSHB CETAKAN 13
CETAK TIMBAL
CEATAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr
1 2 3 4 5 6 7
Double Folio 3,411 2,906 4,800 4,169
9 Bahan NCR 6 ply ( Top + 4 ¼ Folio 1,516 1,200 2,463 2,274
Middle + 1 Bottom ) ½ Folio 1,516 1,200
Folio 2,021 1,642 3,663 2,906
Double Folio 3,411 2,779 6,948 5,685
10 Bahan Kertas Koran H I ¼ Folio 379 379 884 632
½ Folio 379 379 379 632
Folio 379 316 379 316
Double Folio 884 947 3,032 1,642
11 Bahan Art Paper 150 gram ¼ Folio 1,200 1,263 2,400 2,274
½ Folio 1,832 1,895 3,537 3,790
Folio 3,411 3,663 5,306 5,685
B. CETAKAN BLANKO/KARTU
1 Bahan Karton Manila atau ¼ Folio 1,895 1,642 3,537 3,600

sejenis ½ Folio 1,895 1,705 4,169 3,727
Folio 2,653 2,211 6,948 4,169
Double Folio 3,663 2,906 10,106 6,948
2 Bahan Linen/Glory Post atau ¼ Folio 3,158 2,148 6,822 5,685
sejenis ½ Folio 3,600 2,274 6,822 5,685
Folio 3,916 2,906 7,580 6,695
Double Folio 2,653 2,274 9,853 6,695
C. CETAK KOP SURAT/AMPLOP
1 Bahan HVS 60 gram Berwarna Folio 632 568 379 442

Folio 1,263 733 379 442
2 Bahan HVS 70 gram Berwarna Folio 1,642 783 442 442
Folio 1,769 1,200 442 442
3 Amplop Berwarna 10 x 23 cm 1,832 1,642 1,642 1,895
10 x 23 cm 2,527 2,274 2,400 2,527
4 Amplop Cassing Berwarna 26 x 40 cm 3,032 2,274 1,516 1,642
26 x 40 cm 3,032 2,653 2,274 2,527
D. CETAK UNDANGAN/AMPLOP
1 Undangan Resmi biasa Folio 3,537 2,337 4,169 3,537
SSHB CETAKAN 14
CETAK TIMBAL
CEATAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr
1 2 3 4 5 6 7
2 Undangan Resmi Standard ½ Folio 3,663 1,642 6,190 3,537
3 Kertas Wangi + HVS 60/Dorslag Folio 4,169 2,274 4,927 4,169
4 Amplop Linen/Kulit Jeruk/Buffalo 17 x 23 cm 1,263 947 947 1,263
5 Amplop Linen wangi 17 x 23 cm 1,263 1,200 1,516 1,642
6 Amplop Gaji Cassing ½ Folio 1,011 821 821 758
E. CETAK
SERTIFIKAT/LEAFLET/BROSUR
1 Kertas Linen 26 x 36 cm 9,095 8,590 2,274 2,400
2 Kertas Linen berlatar belakang semu 26 x 36 cm 10,738 12,885 3,790 4,169
3 Kertas Linen cetak Timbul 26 x 36 cm 10,485 12,759 3,916 5,685

4 Pamflet berwarna 80 gram Folio 4,421 4,421 3,032 3,537
5 Pamflet berwarna 80 gram Double Folio 8,211 9,095 6,885 9,474
6 Pamflet berwarna 80 gram Luks Folio 3,537 4,042 3,790 5,685
7 Pamflet berwarna 80 gram Luks Double Folio 8,085 9,095 4,548 5,685
8 Leaflet/brosur berwarna Folio 8,843 10,611 9,538 11,369
Epinefrina HCL/ Bitartrat
9 Leaflet/brosur berwarna 15,538 17,938 11,496 13,896
(epinefrina /Adrenalin) Inj. 0,1
10 Leaflet/brosur berwarna Luks Folio 10,485 12,633 4,674 5,685
11 Leaflet/brosur berwarna Luks Double Folio 18,065 19,328 5,306 6,064
12 Majalah Dinding (berwarna) 4 Folio/1/2 Plano 45,477 48,004 36,635 39,161
13 Majalah (berwarna) plano 6,822 7,832 3,790 3,790
14 Harian Suara Aceh (berwarna) - 6,822 7,832 3,790 8,211
F. CETAK MAP
1 Stopmap biasa
- Bahan kertas Linen Buah 2,148 2,274 5,685 8,211
- Bahan kertas Manila Buah 6,695 5,306 4,169 5,685
2 Stopmap Cetak
- Bahan kertas Linen Buah 4,169 3,727 9,538 12,001
- Bahan kertas Manila Buah 2,148 2,274 7,453 10,738
G. CETAK COVER/KULIT BUKU
1 Bahan Karton Manila Folio 9,222 10,359 17,054 18,317

Double Folio 18,823 20,844 24,634 29,055
SSHB CETAKAN 15
CETAK TIMBAL
CEATAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr
1 2 3 4 5 6 7
Cetak Timbul Folio 10,359 12,001 18,317 20,844
Double Folio 18,191 20,844 31,582 34,740
2 Bahan Karton Manila berwarna Folio 6,569 7,832 12,001 13,264
Double Folio 8,211 10,485 15,791 20,844
Double Folio 23,623 26,908 24,634 26,529
3 Bahan Linen/Glory Post/Buffalo Folio 14,528 15,791 14,528 15,791
Double Folio 24,634 26,908 24,002 26,529
Double Folio 27,792 30,318 27,792 29,687
Bahan Linen/Glory Post/Buffalo
4 Folio 17,054 19,581 17,686 32,845
berwarna
Double Folio 23,623 26,529 24,634 27,792
Double Folio 27,792 30,318 28,423 30,318
5 Bahan Luks, sampul plastik Folio 17,938 19,581 18,317 20,212
Double Folio 25,771 30,318 26,529 29,055
6 Ivory Doff 260 Gram/full colour folio 33,476 34,740
Double folio 71,627 75,164
H. CETAK BLANKO KHUSUS
1 Daftar Penguji SPMU (Bend XI) HVS 60, 3 x Folio 1,769 2,969 3,158 3,158
2 Daftar Penguji SPMU (Bend XII) HVS 60, Fol 8 Lbr/Set 4,169 4,421 4,674 4,295
3 Model Bend 1 s/d 5 HVS 60, Ukr. Folio 392 568 568 442
4 Model Bend 10 NCR, Folio 1 Set 6 Lbr 6,569 6,822 7,453 6,695
5 Model Bend 24 HVS 60, Ukr. Folio 404 505 632 632
6 Model Bend 24 NCR, Folio 1 Set 6 Lbr 7,201 7,327 7,706 8,211
7 Model Bend 24 HVS 60, Double Folio 1,326 1,390 1,516 1,895
8 Model Bend 24 NCR, D/F 6 Lbr/Set 9,727 10,359 10,485 10,738
HVS 60, ½ Folio 100 Lbr /

9 Kwitansi SPPD 28,044 28,171 30,950 29,687
Blok
SSHB CETAKAN 16
CETAK TIMBAL
CEATAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr
1 2 3 4 5 6 7
10 Kwitansi SPPD NCR, ½ Fol / 1 Set 6 Lbr 6,822 7,327 7,201 6,948
11 Perincian SPPD HVS 60, Fol / 100 Lbr / Blok 65,058 65,437 67,711 64,426
Daftar Pengeluaran yang tidak HVS 60, Ukr. ½ Folio 100

12 33,161 33,476 34,740 32,845
memperoleh Tanda Bukti Lbr/Blok
Daftar Pengeluaran yang tidak

13 NCR, ½ Fol / 1 Set 6 Lbr 6,822 7,453 8,211 7,580
memperoleh Tanda Bukti
14 Kartu Penjaga Kredit Karton BC D/F 4,112 4,421 4,674 4,169
15 Daftar Keluarga Form DK HVS 60, Ukr. Folio 316 442 632 442
16 Kartu Gaji Pegawai (Timbal balik) Karton BC D/F 6,569 6,822 7,327 6,443
17 Kartu Pensiunan Otonom Karton BC D/F 3,790 4,042 3,916 3,790

18 Kartu Register Gaji HVS 60, D/F 947 1,011 1,390 1,263
19 Kartu Realisasi HVS 60/Folio 404 442 758 632
20 Surat Kelahiran A-3 HVS 60/Folio 404 442 758 632
21 Laporan Bulanan Desa HVS 60/Folio 404 442 758 632
22 Laporan Bulanan Kecamatan
- Untuk WNRI HVS 60/Folio 404 442 758 632
- Untuk WNRI + Orang Aceh HVS 60/Folio 404 442 758 632
- Untuk Orang Asing HVS 60/Folio 404 442 758 632
23 Buku Model Bend B-XIII Dorslag/Fol 1 set 8 lbr 3,158 3,284 3,663 3,284
24 Buku Model Bend B-XVI HVS 60, Double Folio 3,247 3,284 4,421 4,421
25 Daftar Penguji HVS 60, Double Folio 1,895 1,074 1,137 1,137
26 Daftar Himpunan HVS 60, Double Folio 1,895 1,137 1,137 1,137
Berita Acara Pengambilan Sumpah
27 HVS 60, Double Folio 1,895 1,137 1,137 1,137
PNS
28 Blanko SPPD HVS 60, Fol / 100 Lbr/Blok 55,716 50,531 55,078 53,057
HVS 60, Ukr. 2/3 Folio/100

29 Lembar Disposisi dengan Logo Daerah 47,625 42,951 47,372 45,477
lbr/Blok
30 Lembar Disposisi dengan Logo Daerah NCR, 2/3 Fol / 2x50 lb/Blok 85,428 78,322 85,270 80,849
31 Kartu Kendali Kearsipan HVS 60, Fol/100 Lbr/Blok 54,788 49,899 55,584 53,057
32 Kartu Kendali Kearsipan NCR, Folio /3x50 Lbr/Blok 153,145 140,854 152,855 142,749
Memo dengan Lambang Garuda/ HVS 60, Ukr. ½ Folio 100

33 37,077 32,213 34,740 32,845
Daerah Lbr/Blok
SSHB CETAKAN 17
CETAK TIMBAL
CEATAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr
1 2 3 4 5 6 7
Memo dengan Lambang Garuda/
34 NCR, ½ Fol /2x50 Lbr / Blok 79,744 71,248 75,796 72,006
Daerah
Memo dengan Lambang Garuda/
35 NCR, Folio /2x50 Lbr/Blok 15,443 140,854 151,592 142,749
Daerah
36 Daftar Laporan Pendidikan untuk SD HVS 60, Fol 12 Lbr/Buku 15,664 13,643 14,528 13,896
37 Kwitansi Dinas/Tanda Terima NCR, ½ Fol /6x25 Lb/Blok 40,860 46,741 42,951 42,951
38 Cover States Asahi D/F 18,317 23,370 17,686 18,949

39 Cover States BC Biasa D/F 4,421 4,674 4,421 4,421
40 Amplop Rontgen Cassing 36 x 41 cm 3,158 3,158 3,158 4,421
41 Blanko Cuti Dokter isi 2001/Blok ½ Folio 15,664 15,791
Blanko Tanda Pembayaran Lab.Isi 100

42 1/6 F 10,611 9,474
L
43 Buku Cuti Tahunan HVS isi 300 L Folio 171,172 210,965
44 Buku Nama Obat Lux isi 500 L A3 468,039 497,726
Buku Dokter Kamar Bedah isi 500 L

45 D/F 480,672 511,622
Lux
46 Etiket Obat HVS 1/10 F 63 114
SSHB CETAKAN 18
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
ALAT RUMAH TANGGA
III. KELOMPOK ALAT KANTOR/RUMAH TANGGA, PAKAIAN DAN OLAH RAGA
NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

1 2 3 4 5
I. ALAT KANTOR/RUMAH TANGGA
A. LEMARI
Indachi, Bahan besi pintu kaca
1 Lemari Arsip Buah 3,689,177
sliding type EL-438
Lemari Arsip (high Filing cabinet) Buah 2,794,831
2 Lemari Arsip Bahan Kayu 3 pt Atas dan Bawah Buah 3,130,211
Lemari Arsip (SM 53650 K 20) Buah 6,595,802
Uk. 120x43x83cm, Wood-wood
3 Lemari Arsip Gredenza CRD 2-2 Buah 4,136,350
Frame
4 Lemari Arsip Gredenza CRD 3-3 Buah 3,353,798

Topix - Cradenza CR 540 / 120 x 40
5 Lemari Arsip Buah 1,676,899
x 83 cm
Topix - Cradenza CR 541 / 120 x 40
6 Lemari Arsip pintu dorong Buah 2,012,279
x 83 cm
Daiko - CD 202 Ukr.H 915 x w 915 x
7 Lemari Arsip (besi pintu buka) Buah 2,347,658
D 460 mm)
Daiko - CD 302 Ukr.H 1830 x w 915
8 Lemari Arsip (besi pintu buka) Buah 3,130,211
x D 460 mm)
Daiko - CD 303, Ukr. H 1830 x w 915
9 Lemari Arsip (besi pintu sliding) Buah 4,136,350
x D 460 mm)
10 Lemari Arsip (besi pintu kaca sliding) Daiko - CD 301 Buah 4,248,144
Lion - Type L 33, Ukr. 915 x 457 x
11 Lemari Arsip besi pintu buka Buah 3,018,418
1830
Lion - Type L 33AK, Ukr. 915 x 457 x
12 Lemari Arsip besi pintu sorong Buah 3,130,211
1830
Lion - Type L 33A, Ukr. 915 x 457 x
13 Lemari Arsip besi pintu sorong Buah 3,912,764
1830
14 Lemari Arsip 2 Pintu Yunica Buah 2,906,625
15 Lemari Arsip 2 Pintu Unital Buah 3,130,211
16 Lemari Arsip 2 Pintu Bostinco Buah 3,353,798
17 Lemari 2 pintu Biasa Datascrip Buah 9,502,426
18 Lemari 2 pintu Biasa Dinamika Datascrip Buah 2,582,424
19 Lemari 2 pintu Kaca Datascrip Buah 5,030,696
20 Lemari Pintu Kaca Sliding Datascrip Buah 3,353,798
21 Lemari 2 Pintu Retracting Door Datascrip Buah 3,912,764
22 Lemari Kartu Kendali Unital Buah 2,012,279
23 Lemari Pustaka Palma 4,5 x 1,97 x 37 cm Buah 1,936,818
24 Lemari Pustaka Ligna 4,5 x 1,97 x 37 cm Buah 1,936,818
25 Lemari Pakaian 1 pintu Ukr. 175 x 55 x 80 cm Buah 2,012,279
26 Lemari Pakaian 2 pintu Ukr. 175 x 55 x 80 cm Buah 3,912,764
SSHB ALAT KANTOR & RUMAH TANGGA 19

1 2 3 4 5
27 Lemari Kayu 3 pintu, 3 tingkat Ukr. 180 x 160 x 45 cm Buah 2,794,831
28 Lemari locker 20 pintu Ukr. 346 x 50 x 192 cm Buah 7,266,561
29 Lemari Pakaian Ukiran Ukr. 175 x 55 x 80 cm Buah 2,459,452
30 Lemari Arsip 2 Pintu Biasa 100 x 40 x 240 Cat Impra Tempahan Buah 1,229,726
31 Lemari Arsip 2 Pintu Jati 100 x 40 x 240 Cat Impra Tempahan Buah 3,353,798
33 Lemari Arsip 4 Pintu Biasa 200 x 40 x 240 Cat Impra Tempahan Buah 4,471,730
35 Lemari Kartu Kendali 250 x 40 x 240 Cat Impra Tempahan Buah 9,684,090
36 Lemari Pustaka Biasa 300 x 40 x 240 Cat Impra Tempahan Buah 12,912,120
37 Lemari Buku Tinggi BC 519 (80 x 40 x203 CM) Buah 1,006,139
38 Lemari Buku 4 Rak Alto BC 60 Buah 335,380
39 Lemari Buku 8 Rak Alto BC 80 Buah 614,863
40 Lemari Buku Alto BCD 80 Buah 1,006,139
41 Lemari Pustaka Jati 300 x 40 x 240 Cat Impra Tempahan Buah 15,494,544
42 Lemari Pakaian 1 Pintu Biasa 50 x 50 x 210 Cat Impra Tempahan Buah 3,353,798
43 Lemari Pakaian 1 Pintu Jati 50 x 50 x 210 Cat Impra Tempahan Buah 1,565,106
45 Lemari Pakaian 2 Pintu Jati 100 x 50 x 210 Cat Impra Tempahan Buah 335,380
50 Lemari Pakaian 4 Pintu Tk.Jati 200 x 50 x 240 Cat Impra Tempahan Buah 16,785,756
51 Lemari Pakain 4 Pintu Ukiran 200 x 50 x 210 Cat Impra Tempahan Buah 6,484,009
52 Lemari dua pintu +cermin Thunder LP 202 Buah 894,346

53 Lemari Tiga Pintu+cermin Thunder Lp 302 Buah 1,341,519

1 2 3 4 5
54 Lemari Serba guna 4 pintu Retro LSG 4 Buah 335,380
55 Lemari Serba Guna 5 pintu Retro LSG 5 Buah 447,173
56 Lemari Penyekat Ruangan Biasa 400 x 40 x 240 Cat Impra Tempahan Buah 18,076,969
57 Lemari Penyekat Ruangan Jati 400 x 40 x 240 Cat Impra Tempahan Buah 25,178,635
58 Lemari Dapur Biasa 400 x 40 x 70 Cat Impra Tempahan Buah 9,038,484
59 Lemari Dapur Jati 400 x 40 x 70 Cat Impra Tempahan Buah 11,179,325
57 Lemari Makan Biasa 200 x 40 x 240 Cat Impra Tempahan Buah 6,148,629
58 Lemari Makan Jati 200 x 40 x 240 Cat Impra Tempahan Buah 10,620,359
59 Lemari Arsip 2 Pintu 220 x 50 x 100 Kayu Buah 2,124,072

62 Lemari Buku Tinggi (Pintu Kaca) BC 510 (80 x 40 x 203 CM) Buah 2,794,831
Lemari Buku Tinggi (tanpa Pintu
63 BC 511 (80 x 40 x 203 CM) Buah 2,179,968
Kaca)
64 Lemari Buku Tinggi (Pintu Panel) BC 512 (80 x 40 x 203 CM) Buah 2,571,245
65 Lemari Buku Rendah (Pintu Kaca) BC 514 (80 x40 x83 CM) Buah 1,676,899
66 Lemari Buku Rendah (Pintu Panel) BC 515 (80 x 40 x 83 CM) Buah 1,453,312
B. KURSI
Rangka Kayu Seumantok, pakai
1 Kursi Guru tanpa lengan Buah 460,588
Spon
Rangka Besi, Alas/Sandaran Spon
2 Kursi Guru pakai lengan Buah 633,309
dibalut plastik
3 Kursi Kerja pakai lengan Buah 1,036,323
dibalut plastik
4 Kursi Kerja tanpa lengan Buah 460,588
dibalut plastik
Ergonomic, Casanova CO 206 400 Buah 531,979
Ergomatic, Casanova CO 306 400 Buah 731,472

Kursi Direktur/Pimpinan pakai lengan
5 Hegen, Type Spingel D 414 Buah 1,209,044
(Sandaran Tinggi)
Hegen, type Lubke D 403 DX Buah 7,514,208
Savello, Type Bravo HA Buah 3,989,845
Savello, Type Bravo L Buah 2,925,886

1 2 3 4 5
Savello, Type Waldo HTO Buah 1,343,248
Ergomatic, Sultan SL 808 A 300 LK Buah 2,659,897
Ergomatic, Sultan SL 809 A 300 LK Buah 3,125,379
Ergomatic, Sultan SL 109 A 300

Buah 3,324,871
Wood
Hegen, Type Denzco D 412
6 Kursi Manager/Kabag Pakai Lgn Buah 1,496,912
(sandaran tinggi)
Hegen, Type Deyes D 413
Buah 1,496,912
(sandaran tinggi)
Hegen, Type Vicall D 411 (sandaran
Buah 1,727,206
sedang)
Chitose, Type Medix 611 Buah 3,454,411
Ergomatic, Casanova CO 207 A 300 Buah 1,928,425
7 Kursi Staff/Karyawan Pakai Lgn Hegen, Type Sento S 121 Buah 460,588
Indachi, Type D 210 Buah 633,309
Indachi, Type D 220 Buah 806,029
Chitose, Type NBK Buah 806,029
Chitose, Type ET-170 Buah 2,590,809
8 Kursi Staff/Karyawan Tanpa Lengan Hegen, Type Ceka M 300 Buah 460,588
Hegen, Type Sento S 101 L Buah 797,969

Indachi, Type D-200 Buah 605,127
Indachi, Type D-238H Buah 553,259
Chitose, Type NAN Buah 644,823
Chitose, Type NA Buah 667,853
Chitose, Type ET-171 Buah 2,187,794
9 Kursi laboratorium/gambar Hegen, Type Optina SS 101 Buah 1,263,451

Hegen, Type Twins ST 333A (Kursi
10 Kursi Tunggu (Public Seating) / visitor Set 3,108,970
gandeng tiga)
Hegen, Type Lista ST 322 (pakai
Buah 806,029
lengan, kaki besi)
Ergomatic, Lavaro LV 531 400 (set
Set 1,994,923
3)
Set 2,260,912
2)

1 2 3 4 5
Set 2,327,410
4)
Ergomatic, Lavaro LV 665 400 Buah 2,393,907
11 Kursi Direktur/Pimpinan pakai lengan Ergonomic, Inti EPC 801 HD Buah 4,030,147
Ergonomic, Inti EPC 811 HD Buah 4,145,294

12 Kursi Manager/Kabag Pakai Lengan Ergonomic, Inti EPC 701 HD Buah 2,072,647

13 Kursi Rapat / Vistor Hegen, Type Ceka M 320 Buah 1,036,323
Ergonomic, Inti EPC 571 Buah 1,628,455
Ergonomic, Inti EPC 331 HD
14 Kursi Bar Stool / Drawing Buah 1,266,618
Footring
Ergonomic, Inti EPC 332 HD
Buah 1,496,912
Footring
Ergonomic, Inti EPC 333 HD armrest
Buah 1,576,388
Footring
Ergonomic, Inti EPC 502 Without
15 Kursi Tunggu (Public Seating) Set 3,454,411
armrest

1 2 3 4 5
Set 3,454,411
armrest
Set 4,030,147
armrest
Ergonomic, Inti EPC 101 Manual
16 Kursi Sekretaris Buah 690,882
adjustment
Buah 1,036,323
adjustment, armrest
Ergonomic, Inti EPC 121F3, F5
Buah 1,007,236
Fancy HD
Ergonomic, Inti EPC 121F1, F2, F4
Buah 1,576,388
HD

Buah 969,532
adjustment
Buah 1,240,642
adjustment
17 Kursi Kerja pakai lengan Bahan kayu, Model Ligna Buah 483,618
18 Kursi Lipat Chitose, Type Yasuka SL Buah 184,235
Chitose, Type Yamato HAA Buah 360,986
Chitose, Type Cosmos 941 Buah 354,653
Futura FTR AG Buah 265,990
Futura FTR 509 Buah 345,441
Indachi DCL-01 Buah 403,015
chitose Yamato AA Buah 322,412
chitose Yamato HAA Buah 333,926
chitose Yamato HN Buah 322,412

1 2 3 4 5
19 Kursi Putar Uchiwa MC 78 HD Buah 403,015
20 Kursi Putar Uchiwa MC 660 HA Buah 1,093,897
21 Z i c e Ligna Lotus Set 5,984,768
22 Z i c e Ligna Yordan Set 7,314,716
Rangka kayu, alas/sandaran Spon
23 Kursi guru pakai lengan Buah 690,882
dibalut plastik
24 Kursi kerja tanpa lengan Buah 460,588
dibalut plastik
25 Kursi kerja pakai lengan Buah 633,309
dibalut plastik
26 Kursi kerja pakai lengan Bahan kayu, model Ligna Buah 863,603
27 Kursi belajar + meja Rangka kayu seumantok Buah 1,842,353

28 Kursi tamu (1 meja + 4 kursi) Bahan rotan Set 8,060,293
C. MEJA
1 Meja Arjuna Arjuna Desk A Buah 2,969,788
Arjuna Desk B Buah 2,776,106
Arjuna Triangle Buah 1,102,695
Arjuna Hanging Drawer Buah 697,255
Arjuna Mobile Drawer W/W Buah 1,533,960
Steel Keyboard Tray Buah 479,040
2 Meja Biro Uk. 180 x 90 x 75 cm, Tripleks Jati Buah 4,695,317
3 Meja Biro Uk. 150 x 80 x 75 cm, Tripleks Jati Buah 1,565,106
4 Meja Biro Bahan Kayu Uk. 180 x 90 x 75 cm, bahan Kayu Buah 5,164,848
5 Meja Biro Bahan Kayu Uk. 150 x 80 x 75 cm, bahan Kayu Buah 4,196,439
6 Meja ½ Biro Topix OD 520 Buah 894,346
Topix OD 520 (Laci) Buah 1,788,692
7 Meja 1 Biro Topix OD 560 Buah 1,173,829
Topix OD 560 (Laci) Buah 2,906,625
Meja 1 Biro Topix OD 561 Buah 1,565,106
8 Meja ½ Biro 120 x 60 x 75 cm, bahan Kayu Buah 1,341,519
9 Meja ½ Biro 120 x 60 x 75 cm, Tripleks Jati Buah 2,065,939
10 Meja Makan + 6 kursi Bahan Kayu Buah 1,788,692
11 Meja Makan + 6 kursi Jati Bahan Kayu Buah 2,794,831
12 Meja Sidang Bahan Kayu untuk 15 Peserta Set 3,353,798
13 Meja Sidang Bahan Kayu untuk 30 Peserta Set 6,707,595

1 2 3 4 5
14 Meja belajar + kursi Rangka Kayu Seumantok Set 2,065,939
15 Meja Biro Exclusive 190 x 90 x 75 Cat Impra Tempahan Buah 5,810,454
16 Meja Biro Biasa 180 x 90 x 75 Cat Impra Tempahan Buah 2,794,831
17 Meja Biro Jati 180 x 90 x 75 Cat Impra Tempahan Buah 6,707,595
18 Meja Biro Biasa 150 x 90 x 75 Cat Impra Tempahan Buah 1,676,899
19 Meja Biro Jati 150 x 90 x 75 Cat Impra Tempahan Buah 5,030,696
20 Meja Biro Bahan kayu Biasa 180 x 90 x 75 Cat Impra Tempahan Buah 2,235,865
21 Meja Biro Bahan Kayu Jati 180 x 90 x 75 Cat Impra Tempahan Buah 6,148,629
22 Meja Biro Bahan kayu Biasa 150 x 80 x 75 Cat Impra Tempahan Buah 4,248,144
23 Meja Biro Bahan Kayu Jati 150 x 80 x 75 Cat Impra Tempahan Buah 5,030,696
24 Meja 1/2 Brio Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1,676,899
25 Meja 1/2 Biro Jati 120 x 60 x 75 Cat Impra Tempahan Buah 2,459,452
26 Meja 1/2 Biro Model Ligna Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1,117,933
27 Meja 1/2 Biro Model Ligna Jati 120 x 60 x 75 Cat Impra Tempahan Buah 1,676,899
28 Meja 1/2 Biro Model Palma Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1,117,933
29 Meja 1/2 Biro Model Palma Jati 120 x 60 x 75 Cat Impra Tempahan Buah 1,565,106
30 Meja makan + 6 kursi Bahan kayu Buah 4,248,144

31 Meja Sidang + 15 Kursi Bahan kayu Cat Impra Tempahan Set 4,196,439
32 Meja Rapat Persegi p.240 cm ST 500 (240 x 120 x 75 Cm) Buah 2,152,020
33 Meja Rapat Oval p.240 cm CT 500 OV (240 x 120 x 75 cm) Buah 2,152,020
34 Meja Rapat Persegi p.180 cm CT 508 (180 x 90 x75 cm) Buah 1,709,319
35 Meja Rapat Oval p.180 cm CT 508 OV (180 x90x75 cm) Buah 1,709,319
36 Meja Rapat Bulat d.100 cm CT 505 OV (d.100 x 75 cm) Buah 1,598,643
37 Meja Rapat Bulat d.120 cm CT 505 A (d.120 x 75 cm) Buah 1,758,508
38 Meja Sidang + 30 Kursi Bahan kayu Cat Impra Tempahan Set 9,361,287
39 Meja 1/2 Biro Olympic Set 447,173
40 Meja 1/2 Biro Ramin Set 558,966
41 Meja 1/2 Biro Metro Set 1,117,933
42 Meja 1/2 Biro Ligna Set 1,453,312

1 2 3 4 5
43 Meja 1/2 Biro Tempahan Biasa Berkaki Set 1,565,106
44 Meja 1/2 Biro Tempahan Kaki Penuh Set 2,012,279
45 Meja 1/2 Biro Tempahan Yang Lux Set 2,794,831
46 Meja Biro Olympic Set 894,346
47 Meja Biro Ramin Set 1,676,899
48 Meja Biro Metro Set 1,676,899
49 Meja Biro Ligna Set 1,676,899
50 Meja Kantor 1/2 biro Activ-Galant MTO 120 Set 782,553
51 Meja Kantor 1 biro Activ-Galant MTO 161 Set 1,117,933
52 Meja Tulis 1/2 biro Activ Vino MT 120 Set 631,341
53 Meja kantor 1 biro laci panjang Galant MTO 162 Set 1,603,316
54 Meja Biro Tempahan Kaki Gantung Set 2,324,182
55 Meja Biro Tempahan Kaki Penuh Set 2,582,424
56 Meja Biro Tempahan Yang Lux Set 2,582,424
57 Meja Komputer Topix CD 550 Set 1,844,589
58 Meja Komputer (monitor bawah) Topix CD 551 Set 2,683,038
59 Meja Komputer (monitor bawah) Topix CD 555 (120 x 60x75 CM) Set 1,788,692
60 Meja Komputer new CD 552 (120 x60x75CM) Set 2,124,072
61 Meja Komputer Sucitra Set 839,288
62 Meja Ketik Tanpa Rak SD 580 (100 x 40 x 63 cm) 1,006,139
63 Meja Komputer Olympic Set 1,032,970
64 Meja Exclusive L Tempahan Set 7,101,666
65 Meja Exclusive L Merk Hom Set 7,747,272
66 Meja Tulis 1/2 Biro MT 016 Buah 958,079
67 Meja Tulis 1/2 Biro + Laci (set) MTA 114 Buah 871,568
68 Meja Tulis 1 Biro MT 017 Buah 1,132,393
69 Meja Tulis 1 Biro + 1 Laci (set) Buah 1,323,492
70 Meja Tulis 1 Biro + 2 Laci (set) MTB 114 Buah 2,266,077
Meja Penyambung 1/4 Lingkaran
71 JT 575 B (60 x 60 x2,5 CM) Buah 614,863
(OD 520 )
72 JT 574 (72 x72 x2,5 CM) Buah 894,346
(OD 560 )
73 JT 574 B (60 x 72 x 2,5 CM) Buah 670,760
(OD 520 & OD 560)
Meja Penyambung (khusus OD
74 JT 578 (180 x 48 x75 CM) Buah 1,341,519
sebagai Meja Rapat) + Tiang
75 Meja Tulis olympic 1/2 Biro 040107 040107 (119 x 58.5 x 71.9) Buah 496,362
76 Meja Tulis olympic 1 Biro 040107 040107 (150 x 58.5 x 71.9) Buah 627,160

1 2 3 4 5
D. BRANKAS
1 Brankas Gallant 700 Buah 17,366,802
4 Brankas Yunica GS 100 Buah 6,073,861
5 Brankas Yunica YS - 46 Buah 2,517,863
7 Brankas Yunica YST - 46 Buah 2,453,303
8 Brankas Yunica YS - 53/2 Buah 5,423,091
10 Brankas Yunica 130 Buah 6,585,181
11 Brankas Cash Box 8600 Carl Dong Yang DY-101, Berat 1,8 Kg Buah 774,727
12 Brankas Dial Home Dong Yang DY-670, Berat 120 Kg Buah 6,977,710
16 Brankas Eloctron Home Dong Yang DYT-670, Berat 120 Kg Buah 7,802,794
17 Brankas Electron Home Dong Yang DYT-770, Berat 150 Kg Buah 8,571,066

20 Brankas Wall Safes Dong Yang DYT-365, Berat 50 Kg Buah 4,393,995
21 Brankas Indachi-SD 05T Buah 6,326,939
22 Brankas Indachi-SD 07 Buah 13,506,078
23 Brankas Seri Colombus Buah 14,672,864
Seri Newton Buah 33,034,905
E. MESIN KETIK MANUAL
1 Mesin tik manual Royal - R 302 Unit 1,038,619
2 Mesin tik manual Royal - R 13 Dlx Unit 1,420,333
3 Mesin tik manual Royal - R 775-18 Unit 4,575,248
4 Olivetti 18 Inch Unit 4,082,812
5 Olivetti 27 Inch Unit 6,259,796
6 Olimpic 10 Inch Unit 2,448,138
7 Olimpic 13 Inch Unit 2,787,727
8 Mesin tik manual Olympia, sm-18 Unit 2,453,303
Brother MT 2000 9 Inch Unit 968,409

1 2 3 4 5
F. MESIN KETIK ELEKTRIK
1 Canon 13 Inchi Unit 4,616,083
2 Nakajima Nakajima AE-640 Unit 5,552,212
Nakajima AX-150 1,420,333
3 Mesin tik elektrik Brother GX 8250 2,453,303
Brother GX 6750 2,001,379
Olympia Carrera 2,291,901
Royal Se 700 10,491,098
Royal Se 700 Ds 11,015,653
G. FILLING KABINET
1 Filing Kabinet 4 Laci Yunica Unit 1,844,589
2 Filing Kabinet 4 Laci Mustang Unit 2,403,555
3 Filing Kabinet 4 Laci Brother Unit 1,726,996
4 Filing Kabinet 4 Laci Presiden Unit 2,324,182
5 Filing Kabinet 4 Laci Lion Type L-44E Unit 3,130,211
6 Filing Kabinet 4 Laci Standart Datascrip (Abu-abu, Cream) Unit 1,549,454
Datascrip (Hitam,merah,cream, abu-
7 Filing Kabinet 4 Laci Dinamika Unit 1,549,454
abu)
8 Filing Kabinet 3 Laci Standart Datascrip (Abu-abu, Cream) Unit 1,142,723
9 Fillig Kabinet 3 Laci Lion, type L-43E Unit 2,130,500
10 Fillig Kabinet 3 Laci Brother Unit 1,460,684
11 Filing Kabinet 3 Laci Dinamika Datascrip (Abu-abu, Cream) Unit 1,158,863
12 Filing Kabinet 2 Laci Standart Datascrip (Abu-abu, Cream) Unit 871,568
13 Filing Kabinet 2 Laci Dinamika Datascrip (Abu-abu, Cream) Unit 871,568
14 Filling Kabinet 2 Laci Lion, type L-42E Unit 1,704,400
15 Filling Kabinet 2 Laci Brother Unit 1,420,333
16 Kabinet Filling 3 laci Alto Fp 3 Unit 354,776
17 Filing Kabinet 2 Laci Ace Shelf cabinet w/glas door Unit 1,329,222
Ace Shelf cabinet w/Drawer dan
18 Filing Kabinet 3 Laci Unit 3,911,646
cabinet door
19 Rak 2 Laci Alto Fp 2 Unit 124,079
20 Rak TV 14" - 21" Bom 510 Unit 397,570
21 Rak TV 14" - 21" Bom 610 Unit 497,178
22 Rak TV 14" - 21" Bom 620 Unit 513,042
23 Rak TV 14" - 21" Emporio Unit 409,253
24 Rak TV 14" - 21" Neo 100 Unit 773,252
25 Rak Tv LCD 14" - 21" Nexa 600 Unit 290,215

1 2 3 4 5
26 Rak Tv LCD 21"-32" Nexa 800 Unit 496,071
27 Rak Tv LCD 21"- 42" Nexa 1200 Unit 717,053
28 Rak TV LCD 21' - 42" Nexa 1201 Unit 575,635
H. CALCULATOR
1 Casio Model DR 8620 Buah 2,070,846
Model DM 1400 Buah 239,778
Model DM 1600 Buah 264,957
Model DC -750 Buah 573,040
Model PB - 2000C Buah 554,963
Model DN - 10 Buah 51,519
Model FX 3650 P Buah 418,353
2 Karce Model Buah 47,387
3 Citizen SDL 868 L Buah 125,506
4 Calculator Besar Casio/Citizen 12 digit Buah 180,770
5 Calculator Besar Casio/Citizen 14 digit 6 x - 14 W Buah 419,644
6 Calculator Check Besar Citizen 14 digit Buah 426,100
7 Calculator Check Besar Citizen 12 digit CT - 612 Buah 127,443
8 Calculator Check Sedang Citizen 14 digit Buah 387,364
9 Calculator Check Sedang Citizen 12 digit CT - 512 Buah 83,929
10 Calculator Kecil Casio/Citizen 12 digit Buah 48,420
11 Calculator Lengkap Casio Fx 301 Buah 238,874
12 Calculator Lengkap Casio Fx 3600 PV Buah 232,418
13 Calculator Lengkap Casio Model DR 8620 Buah 1,936,818
14 Calculator Lengkap Casio Model DM 1400 Buah 235,646
15 Calculator Lengkap Casio Model DM 1600 Buah 258,242
16 Calculator Lengkap Casio Model DC-750 Buah 516,485
17 Calculator Lengkap Casio model PB-2000C Buah 535,853
18 Calculator Lengkap Casio Model DN-10 Buah 64,561
19 Calculator Lengkap Casio Model FX 3650 P Buah 213,050
22 Calculator sedang Karce Buah 62,624
23 Calculator Sedang Casio/Citizen 12 digit Buah 154,300
24 Calculator Sedang Casio/Citizen 14 digit SDC - 344 Buah 161,402

1 2 3 4 5
I. LAIN-LAIN KEBUTUHAN
KANTOR/RUMAH TANGGA
1 Asbak Rokok Kaca Besar Buah 73,212
2 Asbak Rokok Kaca Kecil Buah 16,140
3 Tilam bahan Kapuk Ukr. Lajang isi 10 Kg Buah 516,485
4 Tilam bahan Kapuk Ukr. Besar Buah 839,288
5 Spring Bed Alga, Model Single Buah 4,493,418
6 Spring Bed Alga, Model Double Buah 6,326,939
7 Seprei Ukr. Lajang Lembar 200,138
8 Seprei Ukr. Besar Lembar 445,468
9 Rak Handuk Stainles Steel Buah 548,765
Rak counter 1/2 biro RC 560 (160 x30 x33CM) Buah 743,984
10 Kursi tunggu Bahan Fiber glass Buah 2,324,182
LIGNA FURNITURE
RUANG TAMU
1 Sofa Aprilia SF-029 Buah 6,714,303
2 Sofa Ivori SF-030 Buah 7,747,272
3 Sofa Natalia SF-032 Buah 5,652,216
4 Sofa Parlemo SF-617 Buah 10,329,696
5 Sofa Santiago SF-618 Buah 8,388,843
6 Sofa Victoria SF-620 Buah 7,910,120
7 Sofa Julia SF 611 Buah 13,468,245
8 Sofa Valencia SF 609 Buah 12,969,321
9 Kursi 1 Seater KT 609A Buah 2,810,517
10 Kursi 3 Seter KT 609C Buah 5,475,966
11 Meja Sudut MKT609A Buah 4,392,703
12 Meja Tengah MKT609B Buah 1,031,743
13 Sofa Kyoto (dgn meja) SFLN 04 Buah 13,023,959
14 Sofa Kyoto (tnp meja) SFLN 04 Buah 15,276,846
15 Kursi 1 Seater Kyota KTLN 04.1 Buah 2,599,423
18 Kursi Direktur oc S1 KD 100 Buah 1,933,332
19 Kursi Direktur oc S1 KD 101 Buah 1,848,112
20 Kursi Direktur OC S1-KD102 Buah 1,056,446
21 Kursi Hadap (2 biji) OC S1-KH 100 Buah 2,611,864

1 2 3 4 5
24 Kursi Manager OC S1-KM 100 Buah 939,063
27 Kursi Sekretaris (2 biji) OC S1-KS 101 Buah 1,056,446
28 Puff PF.LN 04 Buah 1,723,187
29 Meja Tengah MKT 606B Buah 1,760,744
30 Sofa Baru (dgn meja) SFLN 05 Buah 9,390,633
31 Sofa Baru (tnp meja) SFLN 05 Buah 128,321,169
32 Kursi 1 Seater KTLN 05.1 Buah 3,416,547
33 Kursi 2 Seater KTLN 05.2 Buah 5,996,582
34 Meja Tengah MKTLN 05B Buah 729,406
35 Sofa Divina (dgn meja) SFLN 06 Buah 3,521,487
36 Sofa Divina (tnp meja) SFLN 06 Buah 3,873,636
37 Kursi 1 seater KTLN 06.1 Buah 2,293,696
40 Meja Tamu Divina MKTLN06B Buah 3,756,253
41 Sofa Krakatau (tnp M. Sudut) SF 110 Buah 3,286,722
42 Sofa Krakatau (dgn M. Sudut) SF 110 Buah 3,462,796
43 Meja Sudut Krakatau MKT 110A Buah 309,116
44 Sofa Murano (tnp M. Sudut) SF 106 Buah 3,541,278
45 Sofa Murano (dgn M. Sudut) SF 106 Buah 3,843,615
46 Meja Sudut Murano MKT 106A Buah 292,847
47 Sofa Lily SF 106M Buah 3,240,703
48 Sofa Cemara SF 113 Buah 469,532
49 Sofa Tulip (2 KTA+1KTB+MKTB) SF 111 Buah 3,873,636
50 Kursi 1 Seater Tulip KT 111A Buah 1,163,253
51 Kursi 2 Seater Tulip KT 111B Buah 1,784,197
52 Meja Tengah Murano MKT 106B Buah 294,203
RUANG MAKAN
1 K. Makan Spiza KM 015 Buah 1,294,763
2 MK + 6 KM Corsica Buah 3,796,163
3 MK + 6 KM Spiza Buah 9,964,929

1 2 3 4 5
4 MK + 4 KM Corsica Buah 2,724,696
5 MK + 4 KM Spiza Buah 6,955,114
6 M.Makan Martini (persegi) MK 801 Buah 2,582,424
7 M.Makan Martini Buah 2,287,188
8 K.Makan Martini KM 802 Buah 945,516
9 MKB 001 + 4 KM Martini Buah 6,955,114
10 MK 801 + 6 KM Martini Buah 8,060,746
11 M.Makan Delluca (dgn daun) MK 809 Buah 3,169,339
12 M.Makan Delluca (tnp daun) MK 808 Buah 2,347,658
13 M.Makan Delucca MK 810 Buah 4,108,402
14 Kursi Makan Delucca KM 808 Buah 1,408,595
15 MK 808 + 6 KM Delucca Buah 8,703,518
18 M.Makan Corsica (4 org) MK 114A Buah 939,063
19 M.Makan Corsica (6 org) MK 114B Buah 1,173,829
20 K.Makan Loreine KM 101 Buah 586,915
21 K.Makan Baru KM 102 Buah 450,388
22 MK Corsica + 6 KM Loreine Buah 4,236,789
23 MK Corsica + 6 KM Baru Buah 4,399,482
24 MK Corsica + 4 KM Loreine Buah 2,977,277
25 MK Corsica + KM Baru Buah 2,840,344
26 Kursi Makan Activ 2 BIJI DF S2-DC 200 Buah 1,525,978
27 Kursi Makan Activ 2 Biji DF S2-DC 201 Buah 1,408,595
RUANG TIDUR
Model Torino
1 Tempat Tidur 3 Kaki 190 x 90 Buah 3,169,339
4 Tempat Tidur 6 Kaki 200 x 200 cm Buah 7,629,889
5 Tempat Tidur 3 Kaki Tingkat Tempahan Buah 5,282,231
6 Bed Single Torino BS 036 Buah 2,347,658
7 Bed Double Torino BD 036 Buah 3,521,487
8 Rak Nackast Torino RNK 036 Buah 8,290,550
9 Meja Rias Torino MR 036 Buah 2,934,573

1 2 3 4 5
10 Meja Rias +Puff Thunder MR Buah 958,983
11 Al.Pak.Inti Rak Torino (1 pnt) APA 036 Buah 2,928,469
12 Al.Pak.Tamb.Gant Torino (1 pnt) APB 036 Buah 2,379,381
13 Laci Al.Pak Torino L 036 Buah 298,270
14 Al Pak.2 pnt Torino AP.2 036 Buah 5,404,110
15 Al Pak.3 pnt Torino AP.3 )36 Buah 7,870,260
16 Set Khusus Torino SET 036 Buah 15,523,597
17 Matras Homeland Type Celine Uk.5K Buah 1,643,361
18 Matras Homeland Type Celine Uk.6K Buah 2,112,892
19 Matras Complete set Type celine Uk.5k Buah 3,169,339
20 Matras Complete set Type celine Uk.6k Buah 3,991,019
21 Matrtres Caisar Type Cleossy ukuran 120x200 Buah 26,965,672
22 Matras Caisar Wando hongdo 100x 200 Buah 1,115,138
23 Matras Caisar Wando hongdo 120x 200 Buah 1,173,829
Model Estoria
1 Bed Single Estoria BS 038 Buah 1,898,082
2 Bed Double Estoria BD 038 Buah 2,745,440
3 Rak Nackast Estoria RNK 038 Buah 2,867,459
4 Meja Rias Estoria MR 038 Buah 5,282,231
5 Al Pak.Estoria (2 pnt)+Laci APB 038 Buah 4,941,791
6 Al Pak.Estoria (3 pnt)+Laci APA 038 Buah 6,406,026
Model Romano
1 Bed Single Romano (uk. 90) BS 023 Buah 1,962,642
2 Bed Double Romano (uk. 160) BD 009 Buah 3,486,273
3 Rak Nackast Romano RNK 009 Buah 1,132,393
4 Meja Rias Romano MR 010 Buah 1,655,334
5 Al Pak. Inti Rak Romano (1 pnt) APA 007 Buah 2,440,391
6 Al Pak Tamb Gant Romano (1pnt) APB 007 Buah 2,440,391
7 Laci Al Pak. Romano L 007 Buah 348,627
8 Al. Pak 2 pnt Romano AP.2 007 Buah 4,532,154
12 Set Khusus Romano Set 009 Buah 13,422,149

1 2 3 4 5
Model Etonia
1 Al Pak.Etonia (3 pnt) APA 034 Buah 8,018,427
2 Set Khusus Etonia Set 034 Buah 159,245,181
Model Bergamo
1 Bed Double Bergamo (uk. 160) BD 040 Buah 1,122,063
2 Rak Nackast Bergamo RNK 040 Buah 1,763,796
3 Meja Rias + Puff Bergamo MR 040 Buah 3,912,764
4 Al Pak Inti Rak Bergamo (1 pnt) APA 040 Buah 2,244,127
5 Al Pak Tamb Gant Bergamo (1pnt) APB 040 Buah 1,603,685
6 Laci Al Pak Bergamo L 040 Buah 320,221
7 Al Pak 2 pnt Bergamo AP.2 040 Buah 3,847,812
11 Set Khusus Bergamo Set 040 Buah 12,507,971
Model Miami
1 Bed Medium Miami (uk. 120) BM 037 Buah 3,130,211
2 Bed Double Miami (uk. 160) BD 037 Buah 3,242,004
3 Meja Rias Miami (tnp puff) MR 037 Buah 3,353,798
4 Nachkast Miami NK 037 Buah 720,496
5 Puff Miami PF 037 Buah 480,331
Model Samas
1 Bed Medium Samas (uk.120) BM 039 Buah 1,932,944
2 Bed Single Samas (uk. 90) BS 039 Buah 1,442,284
3 Bed Sorong Samas BSR 14 Buah 1,042,008
4 Bed Susun Samas BSN 039 Buah 3,527,591
5 Bed Double Smas (uk. 160) BD 039 Buah 2,244,127
Model Bolero
1 Bed Double Bolero (uk. 160) BD 035 Buah 7,696,915
2 Rak Nackast Bolero RNK 035 Buah 2,725,749
3 Meja Rias + Cermin Bolero MR 035 Buah 5,030,696

1 2 3 4 5
4 Toper Meja Rias Bolero TMR 035 Buah 2,084,016
5 Meja Rias + Cermin + Toper MR 035 Set Buah 9,622,112
6 Set Model Bolero (tnp AP) Set 035 Buah 22,611,705
Model Manor
1 Bed Double Manor (uk. 160) BD 041 Buah 6,253,340
2 Rak Nackast Manor RNK 041 Buah 2,164,071
3 Tiang Kelambu Manor 847/4 Buah 1,042,008
4 Set Model Manor (Tnp. AP & MR) Set 041 Buah 11,385,908
Model Siena
1 Bed Single Siena BS 114 Buah 1,442,284
2 Bed Double Siena BD 114 Buah 2,244,127
3 Rak Nackast Siena RNK 114 Buah 560,386
4 Meja Rias Siena MR 114 Buah 961,953
5 Al Pak Siena (2 pnt) + Laci AP.2 114 Buah 3,207,371
6 Al Pak Siena (3 pnt) + Laci AP.3 114 Buah 4,009,213
7 Set Khusus Siena Set 114 Buah 8,098,482
RUANG KELUARGA
1 WU Inti Besar T.70 cm WU 601-70A Buah 961,953
2 WU Inti Tamb. Besar T.70 cm WU 601-70B Buah 881,898
3 WU Inti Tamb. Kecil T.70 cm WU 601-70C Buah 640,441
4 WU Inti Besar T.180 cm WU 601-180A Buah 1,923,906
5 WU Inti Tamb. Besar T.180 cm WU 601-180B Buah 1,522,339
6 WU Inti Tamb. Kecil T.180 cm WU 601-180C Buah 1,122,063
7 Papan Letak dalam besar PL 709/390 Buah 160,110
8 Pintu panil pendek T.36 cm PP 1 Buah 167,858
9 Pintu panil sedang T.61,8 cm PP 2 Buah 240,165
10 Pintu panil sedang T.103,4 cm PP 3 Buah 287,940
11 Laci 2 susun kecil L 2 Buah 287,940
12 Laci 3 susun besar L 3 Buah 560,386
13 Laci 4 susun besar L 4 Buah 2,012,279
14 Laci 5 susun kecil L 5 Buah 769,562
Laci Gantung Single Lock HD 501 (40 x 40x 40 cm) Buah 436,553
Laci Gantung Sentral Lock HD 502 (40 x 40 x 40 cm) Buah 608,714
Laci Sorong susun 3 MD 503 (40 x45x54 cm) Buah 977,632
15 Rangka pintu kaca PK 1 Buah 320,221

1 2 3 4 5
Konfigurasi WU 601-070
1 WU 601 - 70 K2 Buah 3,599,899
2 WU 601 - 70 K3 Buah 3,447,536
3 WU 601 - 70 K4 Buah 3,335,201
4 WU 601 - 70 K5 Buah 3,767,757
5 WU 601 - 70 K6 Buah 3,207,371
6 WU 601 - 70 K7 Buah 2,244,127
7 WU 601 - 70 K8 Buah 2,405,528
8 WU 601 - 70 K9 Buah 3,457,866
9 WU 601 - 70 K10 Buah 3,713,526
Konfigurasi WU 601-180
1 WU 601 - 180 K1 Buah 7,376,694
2 WU 601 - 180 K2 Buah 6,895,072
3 WU 601 - 180 K3 Buah 6,414,741
4 WU 601 - 180 K4 Buah 7,696,915
5 WU 601 - 180 K5 Buah 6,702,682
6 WU 601 - 180 K6 Buah 6,253,340
7 WU 601 - 180 K7 Buah 5,933,119
8 WU 601 - 180 K8 Buah 7,776,970
9 WU 601 - 180 K9 Buah 7,135,238
10 WU 601 - 180 K10 Buah 7,216,584
11 WU 601 - 180 K11 Buah 6,574,852
12 WU 601 - 180 K12 Buah 7,184,304
13 Wall Unit Avalon WU 602 5,900,839
14 Kursi Goyang KG 002 2,124,072
KASUR LIGNA
Standart
1 Kasur Single FSS 001 Buah 1,525,978
2 Kasur Sorong FSS 002 Buah 2,112,892
3 Kasur Double FDS 001 Buah 2,347,658
4 Kasur Double Long Size FDLS 001 Buah 2,934,573
5 Kasur Medium FMS 001 Buah 1,760,744
6 Kasur Single Siro KBS 101 Buah 1,525,978
7 Kasur Sorong Siro KBSR 101 Buah 2,112,892

1 2 3 4 5
8 Kasur Double Siro KBD 101 Buah 939,063
9 Kasur Double Long Size Siro KBDL 101 Buah 1,878,127
10 Bantal Siro DBS 101 Buah 117,383
11 Guling Siro DGS 101 Buah 117,383
Jumbo
1 Kasur Single FSJ 001 Buah 6,221,294
2 Kasur Sorong FSJ 002 Buah 3,286,722
3 Kasur Double FDJ 001 Buah 2,347,658
4 Kasur Dauble Long Size FDLJ 001 Buah 2,934,573
Dacron
1 Bantal Ligna DBS 001 150,491
2 Guling Ligna DGS 001 252,174
SPRING BED LIGNA
Matras
1 Deluxe 180 SBD 002 Buah 3,535,855
2 Deluxe 160 SBD 001 Buah 3,114,210
3 Deluxe 120 SBM 001 Buah 2,104,159
4 Deluxe 90 SBS 001 Buah 841,935
Matras + Divan
1 Deluxe 180 6,145,717
2 Deluxe 160 5,724,072
3 Deluxe 90 3,282,326

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
SERAGAM DINAS
IV. PAKAIAN DINAS DAN KELENGKAPANNYA
1 2 3 4 5
1 Pakaian Dinas Harian (PDH)
~ Bahan Tetrex 2020 Segala warna + Badge Stel 592,504
~ Bahan Varena Drill Segala warna + Badge Stel 545,104
~ Bahan Japan Drill Segala warna + Badge Stel 580,654
~ Aspira Segala warna + Badge Stel 675,455
~ Bahan Vitara Segala warna + Badge Stel 521,404
~ Bahan Semi Woll Segala warna + Badge Stel 829,506
2 Pakaian seragam HANSIP
~ Bahan Varena Drill Warna hijau muda + Badge Stel 545,104
~ Bahan Japan Drill Warna hijau muda + Badge Stel 580,654
~ Bahan Vitana Drill Warna hijau muda + Badge Stel 485,853
~ Bahan Vitara Warna hijau muda + Badge Stel 521,404
3 Baju seragam KORPRI
~ Polisma Motif Korpri Lembar 260,702
~ Terpira Motif Korpri Lembar 260,702
~ Paris Motif Korpri Lembar 260,702
~ Katun Motif Korpri Lembar 296,252
4 Celana seragam KORPRI
~ Bahan Varena USA Drill Warna biru Lembar 379,203
~ Bahan Japan Drill Warna biru Lembar 379,203
~ Bahan Vitara Warna biru Lembar 296,252
~ Bahan Semi Woll Warna biru Lembar 450,303
5 Pakaian Sipil Resmi (PSR)
~ Bellini Segala warna Stel 1,516,811
~ Bellini Accura Segala warna Stel 1,552,361
~ Friendship Segala warna Stel 1,659,012
~ Wool England No. 1 Segala warna Stel 6,079,093
~ Rapillo Segala warna Stel 2,844,020
6 Pakaian Safari
~ Bellini Segala warna Stel 1,422,010
~ Rapillo Segala warna Stel 1,422,010
SSHB SERAGAM DINAS 39

1 2 3 4 5
7 Pakaian Sipil lengkap
~ Wool England kw 1 Segala warna Stel 6,754,548
~ Wool England kw 2 Segala warna Stel 5,688,041
~ Bellini Accura Segala warna Stel 2,251,516
8 Pakaian Dinas lapangan
Warna Khaki, Lbr 1,50 m
~ Bahan Suiting Japan T 7960 Stel 758,405
/Pjg 2,75 m
9 Kain - kain
~ Varena USA Drill segala warna Meter 71,101
~ Japan Drill segala warna Meter 59,250
~ Vitara segala warna Meter 56,880
~ Istem Tetrex segala warna Meter 50,955
Bahan Dyed Casting,
10 Ikat pinggang besar (Kopel Rim) Kepala Kuning emas, Logo Buah 65,175
Depdagri/ Polisi Pamong
Bahan Dyed Casting,
11 Ikat pinggang kecil warna hitam Kepala Kuning emas, Logo Buah 41,475
Depdagri/ Polisi Pamong
Lambang Depdagri, Polisi
12 Badge Pamong Praja+ Lambang Stel 17,775
KORPRI
Panca Cita, sulaman
13 Badge lambang Buah 5,925
Komputer
KORPRI/Satuan Kerja,
Buah 5,925
sulaman Komputer
Warna Hitam, bahan Katun
14 Kaos Kaki Tebal Pasang 29,625
Initial Polisi Pamong Praja
Standar TNI, Hitam initial
15 Sepatu Lars (Boots) / PDL bahan sintetis Pasang 237,002
Polisi Pamong Praja, segala
16 Sepatu PDL bahan kulit Type TNI Pasang 438,453
17 Sepatu PDH sintetis Type TNI Pasang 237,002
18 Sepatu PDH kulit Type TNI Pasang 474,003
19 Topi Pamong Praja Buah 71,101
20 Topi Korpri Buah 71,101
21 Bendera Merah Putih Ukr. 80 x 120 Lembar 148,126
Ukr. 90 x 135 Lembar 94,801
Ukr. 120 x 135 Lembar 106,651
Ukr. 160 x 210 Lembar 118,501
Ukr. 180 x 270 Lembar 201,451
22 Papan Nama seragam dinas TNI/POLRI Buah 41,475
PNS Buah 41,475
SSHB SERAGAM DINAS 40

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
PERLENGKAPAN OLAH RAGA
V. PERLENGKAPAN OLAH RAGA
1 2 3 4 5
1 Bola Badminton (Shuttle Cock) Garuda Slop/12 Bh 126,170
Garuda Export Slop/12 Bh 159,372
Nine Slop/12 Bh 119,529
2 Bola Basket Mikasa Buah 564,444
Mikasa Power Buah 909,751
Mikasa / Karet 1/2 Kulit Buah 458,196
Mikasa PBSI Buah 397,103
Spalding Kings Buah 516,632
Molten B7R Buah 503,351
Molten BG-G7 Buah 1,195,293
Molten BGE7 Buah 644,130
Spalding Buah 191,971
3 Bola Kaki Molten Napoli Buah 240,266
Adidas Lokal Buah 365,229
Adidas Soccer Tango 12 Buah 298,823
Adidas LN / Piala Dunia Buah 1,002,718
Mikasa Soccer FX5 Buah 573,741
Mikasa Type ZEA Buah 490,070
Nike soccer minor Buah 370,541
4 Bola Tennis Tens Slop/4 Bh 126,170
Dunlop isi 3 Slop/3 Bh 265,621
Dunlop isi 4 Slop/3 Bh 199,216
Nassau Slop/4 Bh 130,154
Nassau Hitam Slop/4 Bh 118,068
Wilson 95,382
5 Bola Tenis Meja Butterfly Slop/3 Bh 35,726
Paradiso Slop/6 Bh 47,679
DHS Slop/6 Bh 47,679
6 Bola Volley Mikasa Volly MVA 310 Buah 617,568
Mikasa Volly MG Super Gold Buah 487,414
Mikasa MVA 330 Buah 498,039
Mikasa Type MVA 410 (Size:5) Buah 617,568
SSHB PERLENGKAPAN OLAH RAGA 41

1 2 3 4 5
Molten V48SL size:4 Buah 392,986
Molten Type V5M5000 size:5 Buah 1,017,195

Molten Type V5M3500 size:5 Buah 459,391
7 Bola Futsal Nassau Buah 439,470
Molten VGI 5000 Buah 863,267
Molten Futsal PFI 750A Buah 432,829
8 Bola Takrow Rotan Buah 46,484
Sintetis Buah 111,561
9 Net Badminton DHS Set 104,787
Yonex Set 512,515
Toalson Set 378,510
RS Set 366,557
Merk Sheill/GTO Taiwan Set 338,666
Merk Sheill/GTO Taiwan (Asli) Set 383,822
10 Net Volley Molten Set 293,378

GTO Taiwan (Asli) Set 738,293
11 Net Tennis Lapangan GTO Taiwan Set 620,092
GTO Taiwan (Super) Set 1,180,551
12 Net Tennis Meja Paradiso Set 91,506
DHS Set 91,506
Butterfly Set 250,879
13 Raket Badminton Pro Kennex Buah 177,833
Pro Kennex / 601 Buah 443,454
Pro Kennex / 627 Buah 592,201
Pro Kennex / 815 Buah 1,195,161
Carbonex 8 Buah 584,233
Carbonex 9SP Buah 916,259
Carbonex 10 Buah 929,540
Forza 833,083
14 Raket Tennis Yonex MP 33 - Jepang Buah 1,162,888
Yonex MP 66 - Jepang Buah 1,487,343
Yonex MP 100 - Jepang Buah 2,656,075
Yonex TI 2 Light - Taiwan Buah 491,266
Yonex TI 6 - Jepang Buah 1,593,592
Head (Djokovic) Buah 3,142,161

1 2 3 4 5
Head ( Titanio ) Buah 2,219,129
Head ( Interlegen) Buah 6,149,121
Pro Kennex Black Ace Buah 2,390,587
Pro Kennex Buah 2,092,428
Wilson/Cina Buah 3,124,364
Wilson K-Zero Buah 2,511,311
Wilson asli Buah 7,968,490
Wilson Buah 3,620,894
Babolat Buah 3,620,894
15 Bed Tennis Meja Merk China (Paradiso) Buah 110,233
RITC 802 Buah 110,233
RITC 837 Buah 132,678
RITC 755 Buah 106,115
DHS Buah 132,678
DHS Cloud n Fog III Buah 246,363
Friendship Buah 106,115
Yasaka Mark V Buah 381,033
Butterfly Silver Buah 398,298
Butterfly Bryce FX Buah 575,467
Butterfly Tackines chop Buah 442,657
Butterfly Bryce Speed Buah 737,762
Butterfly Tenergy 25 Buah 767,246
Butterfly bahan partikel plus
16 Meja Tenis Buah 2,951,047
rangka besi
17 Pakaian Olah Raga Atlit ½ Lusin 2,803,627
1 Lusin 5,312,282
18 Pakaian Karate/Silat Set 618,232
19 Training Spack Adidas Pasang 916,259
Adidas (Lokal) Pasang 442,259
20 Sepatu Bola Adidas Lokal Pasang 413,040
Adidas Adipure III TRX FG
Pasang 2,948,656
Original
Eagle Pasang 485,953
Eagle ( Studio) Pasang 517,828
Lotto- Fuerzapurra L 300 FG

Pasang 902,978
Original

1 2 3 4 5
Mizuno (original) Pasang 2,523,264
Nike - CTR 360 Libretto FG

Pasang 2,656,075
Original
Nike - CTR 360 Trequartista FG
Pasang 3,984,179
Original
Adidas Pasang 783,581
21 Sepatu Olah Raga Eagle ( All Enggland) Pasang 490,734
Eagle ( Super X) Pasang 424,993
Eagle ( Run Net) Pasang 436,946
Eagle ( Pro Mash) Pasang 490,734
Adidas (Asli Volly) Pasang 657,279
Adidas (Asli Tennis ) Pasang 978,680
Nike T3 Original Pasang 1,150,935
Puma Power Cat3 Original Pasang 1,035,788
Puma V5. 10 Original Pasang 792,745
Panther (Kodachi) Pasang 262,832
Nike Running Pasang 1,085,423
Reebok Pasang 1,085,423
22 Skipping Paradiso Set 58,304
DHS Set 87,522
ROX Set 265,488
23 Stopwatch Seiko Buah 427,649
Seiko (Digital) Buah 366,557
Seiko ( Diamond) Buah 574,405
Alba Buah 902,978
FOX (standar) Buah 252,207
FOX Buah 351,948
24 Kaos kaki tebal Fila / Adidas / Nike Pasang 147,420
Yonex Pasang 351,948
25 Piala (Trophy) Ukr. Besar 4 kaki Buah 1,049,069
Ukr. Sedang 2 kaki Buah 863,267
Ukr. Kecil (3 buah) Buah 378,510
26 Topi Olah raga Adidas (Taiwan) Buah 292,183
Lokal Buah 86,327
27 Kaca Mata Renang Speedo Set 298,823
Swim Set 119,397

1 2 3 4 5
Sea Lion Set 132,678
Durin Japan (Phonia) Set 265,488
Durin Japan (Phonia) Swan Set 298,823
Durin Japan (Phonia) Slikon Set 398,298
Lokal (Phonia) Set 132,678

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
ALAT LISTRIK
VI. KELOMPOK ALAT LISTRIK
1 2 3 4 5
A. LAMPU
1 Lampu TL Fluotone PHILIPS TLD 33/18 watt Buah 18,966
PHILIPS TLD 33/36 watt Buah 23,544
PHILIPS TL 54/20 watt Buah 46,433
PHILIPS TL 54/40 watt Buah 47,741
PHILIPS TLRS 54/40 watt Buah 71,939
2 Lampu TL Super Deluxe PHILIPS Super 80/18 watt Buah 31,392
PHILIPS Super 80/36 watt Buah 37,277
PHILIPS Deluxe 80/18 watt Buah 45,779
PHILIPS Deluxe 80/36 watt Buah 52,319
3 Lampu Hemat Energi Wide Voltage PHILIPS SL*E 11 watt Buah 85,019
PHILIPS SL*E 15 watt Buah 95,483
PHILIPS SL*E DECO 15 watt Buah 95,483
PHILIPS SL*E DECO 20 watt Buah 111,178
PHILIPS PLEU 11 watt Buah 95,483
PHILIPS PLEC 5 watt Buah 71,939
HITACHI 11 W Buah 36,623
4 Lampu Mercury 125 watt Buah 49,703
160 watt Buah 69,323
250 watt ML Buah 98,099
5 Lampu Pijar PHILIPS Clear 10 watt Buah 10,464
PHILIPS Clear 15 watt Buah 10,464
SSHB ALAT LISTRIK 46

1 2 3 4 5
PHILIPS Superlux 25 watt Buah 13,080
PHILIPS Softone 25 watt Buah 13,080
6 Lampu Taman Lengkap Buah 457,793
7 Lampu Sorot Halogen 500 watt Buah 45,779
Halogen 1000 watt Buah 58,859
Lampu sorot philip + bola philip Halogen 500 watt Buah 196,197
8 Lampu Slide 3M Buah 98,099
B. BALLAST, STARTER &

SEKERING
1 Ballast TL Sinar 20 watt Buah 45,779
Sinar 40 watt Buah 51,011
2 Starter TL Phillips Buah 10,464
Star Buah 6,540
Sinar Buah 7,848
3 Sekering biasa Buah 6,540
4 Sekering Otomatis 6 s/d 20 Amp Buah 39,239
25 s/d 30 Amp Buah 39,239
5 M C B 1 Phase Stuz 2 s/d 10 Amp Buah 52,319
Merlin Gerrit 2 - 4 Amp Buah 90,251

1 2 3 4 5
6 M C B 3 Phase Merlin Gerrit 6 - 20 Amp Buah 392,394
7 Fuse Box 1 Group Broco Buah 58,859
C. KABEL
1 Kabel NYM - O 2 x 1,5 Sqmm Meter 13,080
2 x 2,5 Sqmm Meter 15,042
2 x 4 Sqmm Meter 24,198
2 Kabel NYY - O 2 x 1,5 Sqmm Meter 11,118

1 2 3 4 5
3 Kabel NYMHY - O 2 x 0,75 Sqmm Meter 5,232
4 x 0,75 Sqmm Meter 14,388
4 x 1,5 Sqmm Meter 196,197
7 x1,5 Sqmm Meter 88,943
12 x 1,5 Sqmm Meter 141,262
Kabel NYA merek Metal (SNI-SPIN-
4 1,5 Sqmm Gulung 255,056
LMK)

1 2 3 4 5
2,5 Sqmm Gulung 412,014
4, Sqmm Gulung 745,549
6, Sqmm Gulung 915,587
10, Sqmm Meter 26,160
5 Twin Wires 10/0,14 x 2c Gepeng 90 Meter 98,099
23/0,14 x 2c bersegi 90 Meter 150,418
23/0,14 x 2c bulat 90 Meter 196,197
6 NYZ 2 x 0,75 Sqmm 90 Meter 235,437
D. LAIN - LAIN ALAT KELISTRIKAN

BROCO STANDARD
1 Fitting Plafon 210 L Buah 10,464
Gantung 216 L Buah 10,464
Kombinasi 226 Buah 10,464
Plafon Besar 1210 Buah 19,620
2 Saklar Engkel New Gee Urea 6621U Buah 19,620
Mahagony 6621U22 Buah 26,160
Brazil 6621U33 Buah 26,160
Grey 6621U44 Buah 30,738
3 Saklar Seri New Gee Urea 6622U Buah 26,160
Mahagoni 6622U22 Buah 39,239
Grey 6622U44 Buah 39,239
4 Saklar Engkel IB 6611 Buah 19,620
Radium 6611R Buah 32,700
5 Saklar Seri IB 6612 Buah 26,160
6 Saklar Triple IB 6613 Buah 32,046
7 Saklar Engkel Outbow 630 Buah 16,350
Persegi Cream 1621011 Buah 24,198

1 2 3 4 5
Persegi Mahagony 1621022 Buah 105,292
8 Saklar Seri Outbow 632 Buah 20,274
9 Stop Kontak Arde Outbow Putih 6130 Buah 19,620
Hitam 6130B Buah 16,350
10 Stop Kontak Arde IB New Gee Urea 5511U Buah 26,160
Mahagony 5511U22 Buah 31,392
Grey 5511U44 Buah 36,623
11 Stop Kontak Arde IB 6100 Buah 19,620
Tutup 6122 Buah 58,859
12 Stop Kontak Arde Putar NG Cream 515411 Buah 50,357
Mahagony 515422 Buah 45,779
Grey 515444 Buah 45,779
13 Steker Biasa 344L Buah 6,540
14 Steker Arde New Gee Cream 1331011 Buah 19,620
Baru 3300 Buah 19,620
15 Steker T Putih 810L Buah 26,160
Hitam 810LH Buah 10,464
Arde 4330 Buah 32,700
16 Kontak Steker Biasa 334N Buah 10,464
17 Over Steker Bulat 844 Buah 10,464
18 Telephone Socket New Gee Cream 517111 Buah 13,080
19 Outbow Doos AC Buah 10,464
20 Elemen Sterika Listrik Buah 19,620
21 Stecker Cabang Biasa Buah 13,080
Order Voltana Buah 13,080
22 Stabilizer Biasa stavol 500 Watt Buah 326,995
Japan Stavol 500 Watt Buah 719,390
23 Step Up Step Down 1000 Watt Buah 261,596
E. NATIONAL (LOKAL)
1 Sakelar National Buah 19,620

1 2 3 4 5
2 Stop Kontak National Buah 17,004
3 Stop Kontak Arder National Buah 50,357
4 Plat 1 Lubang National Buah 17,004
7 Plat Stop Kontak Arder National Buah 19,620
8 Sakelar Seri (impor) National Buah 98,099
9 Box National Buah 10,464
10 Box Besi National Buah 19,620
F. SERVICE
1 Instalasi Listrik - Titik 235,437
2 Service Rutin Generator - KVA 43,817

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
PEMADAM
VII. ALAT PEMADAM
1 2 3 4 5
TABUNG RACUN API (Alat Yamato Baroda YA-100 /Multi Purpose
1 Unit 15,216,912
Pemadam) Cartridge/40 Kg
Yamato Baroda YA - 50 /Multi Purpose
Unit 11,684,223
Cartridge/20 Kg
YA - 4 EL /Multi Purpose Cartridge/1,2 Kg Unit 1,211,164
YAM - 4 EL /Multi Purpose Cartridge/2 Kg Unit 1,459,354
YA - 10 ES /Multi Purpose Cartridge/3 Kg Unit 1,886,239
YA - 10 L /Multi Purpose Cartridge/3,5 Kg Unit 2,367,574
YA /Multi Purpose Cartridge/ 4,5 Kg Unit 2,825,770
YA - 20 L /Multi Purpose Cartridge/6 Kg Unit 3,283,966
YC - 5 /Carbon Dioxide/2,3 Kg Unit 4,207,765
Miyata CA - 50 W - 2 /Catrige Type Origin

Unit 8,797,360
Japan/20 Kg
Unit 19,549,688
Japan/40 Kg
Concord /Dry Chemical Powder/ 2 Kg Unit 809,479
Concord /Dry Chemical Powder/ 6 Kg Unit 1,176,036
Concord /Dry Chemical Powder/ 9 Kg Unit 1,439,499
Concord /Dry Chemical Powder/4,5 Kg Unit 1,099,670
SQUAD INDO/ABC 3 /Dry Chemical Powder/

SQUAD INDO/ABC -3 Unit 725,477
3 Kg
SQUAD INDO/ABC 9/Dry Chemical Powder/
SQUAD INDO/ABC -9 Unit 1,451,183
9 Kg
ABC SM - 2 /Dry Chemical Powder/2 Kg Unit 611,697
SSHB ALAT PEMADAM 53

1 2 3 4 5
ABC SM - 0,5 /Dry Chemical Powder/0,5 Kg Unit 458,196
ABC SM - 70 /Dry Chemical Powder/70 Kg Unit 11,531,491
ABC ST - 2 /Carbon Dioxida (CO2)/ 2 Kg Unit 1,406,280
Gunung Mas /Cartridge/ 9 Ltr Unit 482,803
Chubb EP 3/ABC Dry Chemical Powder/ 3 Kg Unit 3,205,813
Chubb EP 4,5 /ABC Dry Chemical Powder/

Unit 4,084,725
4,5 Kg
Chubb EP 6 /ABC Dry Chemical Powder/ 6
Unit 4,348,187
Kg
Unit 4,611,650
Kg
Chubb EHL 3,5 /Alotron/ 3,5 Kg Unit 23,177,988
Chubb EHL 5 /Alotron/ 5 Kg Unit 29,515,753
Chubb EF 6 /Foam AFFF 6 %/ 6 Ltr Unit 1,681,045
Minimax MEP 2 /ABC Dry Chemical Powder/

Unit 970,231
2 Kg
Unit 1,099,670
3 Kg
Minimax MEP 4,5 /ABC Dry Chemical
Unit 1,222,710
Powder/ 4,5 Kg

1 2 3 4 5
Unit 1,358,336
6 Kg
Unit 1,547,503
9 Kg
Minimax MEP 6 C /Power Cartridge/ 6 Kg Unit 2,323,405
Appron AP - 10 P /Dry Chemical Powder/ 1,0

Unit 739,223
Kg
Appron AP - 15 /Dry Chemical Powder/ 1,5
Unit 763,660
Kg
Unit 827,807
Kg
Unit 931,665
Kg
Unit 1,069,124
Kg
Appron AP - 90 P /Serbuk Kimia Kering/ 9,0
Unit 1,252,402
Kg
Appron AP - 200 S /Serbuk Kimia Kering/ 20
Unit 5,834,360
Kg
Unit 7,942,061
Kg
Unit 9,958,122
Kg
Unit 11,607,627
Kg
Unit 14,356,802
Kg
Appron AC - 5 /Carbon Dioxide (CO2)/ 2.3 Kg Unit 977,484
Appron AC - 7 /Carbon Dioxide (CO2)/ 3 Kg Unit 1,206,582
Appron AC - 10 /Carbon Dioxide (CO2)/ 4,6

Unit 1,573,139
Kg
Unit 2,023,698
Kg
Red Guard RGP 3 C /Serbuk Kimia Kering +
Unit 748,386
CO2/ 1.8 Kg
Unit 847,662
CO2/ 2,5 Kg
Unit 946,938
CO2/ 3,5 Kg
Unit 1,145,490
CO2/ 4,5 Kg
Unit 2,984,382
CO2/ 6 Kg

1 2 3 4 5
Unit 3,228,753
CO2/ 9 Kg
Krakatau Protek 5 P /Serbuk Kimia Kering +
Unit 1,307,463
N2/ 5 Lbs
Unit 6,950,525
N2/ 20 Lbs
Krakatau Protek 2 P /Carbon Dioxide (CO2)/
Unit 3,436,469
2 Kg
REFILING/Isi Ulang Tabung Yamato Baroda YA - 100 /Multi Purpose

2 Unit 7,426,071
Racun Api (Alat Pemadam) Cartridge/40 Kg
Yamato Baroda YA - 50 /Multi Purpose
Unit 5,842,722
Cartridge/20 Kg
YA - 4 EL /Multi Purpose Cartridge/1,2 Kg Unit 439,105
YAM - 4 EL /Multi Purpose Cartridge/2 Kg Unit 477,288
YA - 10 ES /Multi Purpose Cartridge/3 Kg Unit 620,474
YA - 10 L /Multi Purpose Cartridge/3,5 Kg Unit 644,338
YA /Multi Purpose Cartridge/4,5 Kg Unit 939,301
YA - 20 L /Multi Purpose Cartridge/6 Kg Unit 1,287,339
YC - 5 /Carbon Dioxide/2,3 Kg Unit 534,562

Unit 2,062,264
Japan/20 Kg
Unit 3,971,413
Japan/40 Kg
Concord /Dry Chemical Powder/2 Kg Unit 229,098
Concord /Dry Chemical Powder/4,5 Kg Unit 630,020
SQUAD INDO/ABC 3 /Dry Chemical Powder/

3 Kg

1 2 3 4 5
6 Kg
9 Kg
ABC SM - 0,5 /Dry Chemical Powder/0,5 Kg Unit 152,732
ABC ST - 2 /Carbon Dioxida (CO2)/ 2 Kg Unit 305,464
E C O /Cartridge/ 12 Kg Unit 1,481,996
E C O /Cartridge/ 50 Kg Unit 7,636,597
ABC - 15 /Cartridge/ 4,5 Kg Unit 1,099,670
ABC - 20 /Cartridge/ 6 Kg Unit 1,389,861
Gunung Mas /Cartridge/ 9 Ltr Unit 160,935

1 2 3 4 5
Chubb/ABC Dry Chemical Powder/ 68 Kg Unit 7,789,329
Chubb EP 3/ABC Dry Chemical Powder/ 3 Kg Unit 620,474
Chubb EP 4,5 /ABC Dry Chemical Powder/

Unit 939,301
4,5 Kg
Unit 1,287,339
Kg
Unit 1,489,901
Kg
Chubb EHL 3,5 /Alotron/ 3,5 Kg Unit 3,360,103
Chubb EHL 5 /Alotron/ 5 Kg Unit 4,505,592
Chubb EF 6 /Foam AFFF 6 %/ 6 Ltr Unit 901,118

Unit 427,649
2 Kg
Unit 565,108
3 Kg
Minimax MEP 4,5 /ABC Dry Chemical
Unit 584,200
Powder/ 4,5 Kg
Unit 896,766
6 Kg
Unit 1,044,916
9 Kg
Minimax MEP 6 C /Power Cartridge/ 6 Kg Unit 749,686

Unit 229,862
Kg
Unit 320,737
Kg
Unit 490,270
Kg
Unit 493,324
Kg
Unit 6,264,412
Kg
Appron AP - 90 P /Serbuk Kimia Kering/ 9,0
Unit 968,550
Kg
Unit 1,604,450
Kg
Unit 2,520,460
Kg

1 2 3 4 5
Unit 2,901,907
Kg
Unit 3,482,594
Kg
Unit 4,398,985
Kg
Appron AC - 5 /Carbon Dioxide (CO2)/ 2.3 Kg Unit 534,562
Appron AC - 7 /Carbon Dioxide (CO2)/ 3 Kg Unit 572,745

Unit 611,310
Kg
Unit 901,348
Kg
Unit 416,783
CO2/ 1.8 Kg
Unit 504,015
CO2/ 2,5 Kg
Unit 562,186
CO2/ 3,5 Kg
Unit 695,313
CO2/ 4,5 Kg
Unit 1,389,861
CO2/ 6 Kg
Unit 1,757,182
CO2/ 9 Kg
Unit 695,160
N2/ 5 Lbs
Unit 1,427,281
N2/ 20 Lbs
Krakatau Protek 2 P /Carbon Dioxide (CO2)/
Unit 320,737
2 Kg

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK
PEMELIHARAAN KANTOR
VIII. PEMELIHARAAN
1 2 3 4 5
I PEMELIHARAAN AC SENTRAL, AC SPLIT DAN AC WINDOW
1 Service AC Sentral Paket 1,328,104
2 Service AC Standing Unit 737,835
3 Service AC Split Unit 92,229
4 Service AC Split Multi Unit 92,229
5 Isi, Tambah dan Ganti Freon Freon R 22 Per Kg 116,824
6 Isi, Tambah dan Ganti Freon Freon R 134 Per Kg 307,431
6 Ganti Kompressor AC Split Panasonic 5 PK Buah 5,410,793
10 Ganti Kompressor AC Split Panasonic 1 1/2 PK Buah 1,844,589
11 Ganti Kompressor AC Split Panasonic 1 PK Buah 983,781
12 Pemasangan Baru AC pada lantai dasar Unit 153,716
13 Pemasangan Baru AC pada lantai dua Unit 215,202
14 Pemasangan Baru AC pada lantai tiga Unit 276,688
15 Pergantian Pipa AC - Meter 61,486
16 Bongkar Pasang AC - Unit 307,431
II PEMELIHARAAN MESIN TULIS

Service dan Perbaikan Mesin Ketik, tidak
1 Manual Unit 307,431
termasuk Spare Part
Service dan Perbaikan Mesin Ketik, tidak
2 Elektrik Unit 491,890
termasuk Spare Part
III PEMELIHARAAN MESIN FOTOCOPY
Service perbaikan ( 1 kali

1 Kerusakan ringan Unit 368,918
pemanggilan/service, diluar spare part)

2 Kerusakan sedang Unit 614,863

3 Kerusakan berat (over houl) Unit 1,106,753
STANDAR SATUAN HARGA BARANG/JASA PEMELIHARAAN 60

1 2 3 4 5
IV PEMELIHARAAN TELEPON, KOMPUTER, FILLING KABINET/LEMARI BESI
1 Service Telepon - Unit 33,203
2 Service Komputer, diluar Spare Part: Set 122,973
3 Service printer, diluar spare part - Set 92,229
4 Service/Perbaikan Filling 4 Laci - Unit 307,431
5 Pengecatan Filling Kabinet Cat Duco Unit 614,863
6 Service Televisi Ringan Unit 614,863
7 Service Televisi Berat Unit 983,781
VI PEMELIHARAAN MESIN ABSENSI

Servis mesin absensi 5 jari Unit 1,844,589
VI PEMELIHARAAN KEBERSIHAN
Pemeliharaan Kebersihan Gedung/ Kantor
1
(Cleaning Service)
- Membersihkan Kaca Jendela/Pintu - M2 930
- Menyapu Lantai - M2 930
- Mengepel Lantai - M2 930
- Membersihkan Ruang WC/Toilet - M2 1,062
Pemeliharaan Kebersihan Halaman
2 - M2 3,984
Keras/Aspal
3 Menyapu Halaman - M2 7,969
4 Pemeliharaan Taman - M2 7,969
5 Pemeliharaan dan Memotong Rumput - M2 7,969
STANDAR SATUAN HARGA BARANG/JASA PEMELIHARAAN 61

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
ALAT ELEKTRONIK
IX. ALAT ELEKTRONIK
1 2 3 4 5
ALAT ELEKTRONIK
1 Hifi Midi Series SHARP Unit 3,226,577
LG XB12 Unit 682,498
LG XD63 Unit 1,126,121
LG XD123 Unit 1,876,869
LG XD203 Unit 2,252,243
LG FB164 Unit 2,552,542
LG FB166 Unit 2,456,992
LG MDD64 Unit 2,102,093
LG MDD264 Unit 2,866,491
LG MDD104 Unit 2,252,243
LG MDD264-50 Unit 3,357,889
LG MDT354 Unit 3,002,990
LG MDS714 Unit 4,504,485
2 Stereo Karaoke POLYTRON Unit 3,200,915
3 VCD SAMSUNG 1 Disc Unit 1,023,747
SAMSUNG 3 Disc Unit 1,822,064
JVC 1 Disc Unit 2,565,509
JVC 3 Disc Unit 3,205,829
TOSHIBA Unit 1,501,495
4 DVD Samsing DVD-E360 471,544
Samsung DVD-E360K 479,726
Samsung DVD HDMI D530 641,886
Samsung DVD blurary (new) BD-
1,243,238
F5100
Samsung 3D DVD blurary (new) BD-
2,364,855
H6500/XD
1,621,609
F5500K
2,702,691
F7500
PANASONIC DVD-S500GA-K 599,607
PANASONIC DVD-S700GA-K 826,288
5 TV Colour SONY 14" Unit 3,071,240
SONY 21" Unit 3,958,487
SONY 29" (Flat) Unit 5,391,733
TOSHIBA 14" Unit 9,213,720
STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 62

1 2 3 4 5
TOSHIBA (BOMBA) 20" Unit 3,753,738
TOSHIBA STEREO (BOMBA) 21" Unit 4,565,910
TOSHIBA MONO (BOMBA) 21" Unit 5,442,920
Panasonic TH32CAG Unit 75,074,757
Panasonic TH-32XM5G Unit 5,474,451
Panasonic TH-32X50G Unit 6,004,479
Panasonic TH-39EM5G Unit 8,211,677
Panasonic TX -20LE1J Unit 4,626,727
Panasonic TX -26LE8J Unit 7,010,320
Panasonic TH-L19X10X Unit 5,815,379
Panasonic TH-L32A10X Unit 11,496,589
Panasonic TH-L32C10X Unit 9,603,551
Panasonic TH-L32S10X Unit 13,400,108
Panasonic TH-L37G10X Unit 21,160,936
Panasonic TH-L37V10X Unit 25,454,337
Panasonic TH-P42C10S Unit 14,901,123
Panasonic TH-P42X10S Unit 16,238,617
Panasonic TH-P42S10S Unit 20,703,923
Panasonic TH-P42G10S Unit 26,990,989
Panasonic TH-P50C10S Unit 28,223,666
Panasonic TH-P50X10S Unit 30,709,981
Panasonic TH-P50S10S Unit 32,621,886
Panasonic TH-P50V10S Unit 42,321,872
Panasonic TH-P50Z1S Unit 109,014,247
Panasonic TH-P65V10S Unit 110,607,501
Panasonic TH-50PY850H Unit 43,606,956
LG 14"FLAT (14FU7AB) Unit 1,083,533

1 2 3 4 5
LG 14"FLAT (14SR1AB) Unit 2,137,583
LG 21" 21FL1RG/RD Unit 1,597,291
LG 21" 21FL4RG/RD Unit 1,597,291
LG 21" 21FS4RG/RD Unit 1,570,018
LG21"21SL1RD Unit 1,570,018
LG21"21SL2RD Unit 1,570,018
LG21"21SL3RD Unit 1,570,018
LG21"21FS4RL Unit 1,606,873
LG21"21FU1RD Unit 1,739,550
LG21"21FU6AD Unit 1,739,550
LG21"21FU1RL Unit 1,820,631
LG21"21FU2RD Unit 1,614,244
LG 21" 21FU3RL Unit 1,909,083
LG 21" 21FU6RL Unit 1,820,631
LG 29FL1RL Unit 2,948,390
LG 29FS4RL Unit 2,948,390
LG 29FU1RL Unit 3,199,004
LG 19LH20 Unit 3,538,069
LG 22LF15 Unit 4,127,747
LG 22LH20 Unit 4,275,166
LG 26LF15 Unit 5,601,942
LG 26LH20 Unit 5,749,361
LG 32LF20 Unit 8,402,913
LG 32LH20 Unit 7,149,847
LG 32LH70 Unit 9,582,269
LG 37LH20 Unit 11,793,562
LG 42LH20 Unit 14,299,694
LG 42LH70 Unit 19,459,377
LG 47LH70 Unit 28,009,709
SHARP 14A20D/14A20D2 Unit 976,654
SHARP 14B25 Unit 954,951
SHARP 14E25/14E25MK2 Unit 923,119
SHARP 14E35MK2 Unit 1,081,084

1 2 3 4 5
SHARP 14GX20 Unit 1,142,360
SHARP 14GX200 Unit 1,194,882
SHARP 14R20D/14R20D2 Unit 1,133,606
SHARP 14S20D/14S20D2 Unit 1,046,069
SHARP 14V20D/14V20D2 Unit 1,046,069
SHARP 14X20D/14X20D2 Unit 1,116,099
SHARP 21AS353E Unit 1,579,648
SHARP 21AS353E2 Unit 1,642,226
SHARP 21AXS200 Unit 1,975,012
SHARP 21AXS212MK2 Unit 2,097,998
SHARP 21AXS250E Unit 2,127,153
SHARP 21AXS250E2 Unit 2,127,153
SHARP 21AXS888GY Unit 2,598,103
SHARP 21AXS888RD Unit 2,598,103
SHARP 21BXS288RD Unit 2,083,385
SHARP 21BXS350/MK2 Unit 2,030,862
SHARP 21BXS353 Unit 1,995,847
SHARP 21DXF252E/
Unit 1,829,527
21DXF252E2
SHARP 21DXF500MK2/
Unit 2,083,385
51DXF500
SHARP 21DXF550E2 /
Unit 1,873,295
51DXF550E
SHARP 21DXS200 Unit 2,319,735
SHARP 21DXS250E Unit 2,170,922
SHARP 21EF25 / 21EF25MK2 Unit 1,654,452
SHARP 21EF250/21EF250MK2 Unit 1,698,221
SHARP 21EF35MK2 Unit 1,636,945
SHARP 21EHF253E2 Unit 1,680,714
SHARP 21EJF250E2 Unit 1,663,206
SHARP 21EXS253E Unit 1,978,340
SHARP 21EXS350 Unit 2,013,355
SHARP 21GF352E2 Unit 1,873,295
SHARP 21GF353E Unit 1,820,773
SHARP 21GXF200/21GXF200MK2 Unit 2,109,646

1 2 3 4 5
SHARP 21GXF250E/21GXF250E2 Unit 1,890,803
SHARP 21GXF250E3 Unit 1,890,803
SHARP 21 GXF500/21GXF500MK2 Unit 2,232,198
SHARP 21PF252E/21PF252E2 Unit 1,838,281
SHARP 21PF352E2 Unit 1,873,295
SHARP 21PF353E2 Unit 1,873,295
SHARP 21PXF200/21PXF200MK2 Unit 2,109,646
SHARP 21PXF250E / 21PXF250E2 Unit 1,890,803
SHARP 21PXF500/21PXF500MK2 Unit 2,232,198
SHARP 21V20D / 21V20D2 Unit 1,510,016
SHARP 21WXF800 Unit 2,381,011
SHARP 29AXS212MK2 Unit 3,930,419
SHARP 29AXS250E/29AXS250E2 Unit 3,790,359
SHARP 29AXS888GY Unit 4,350,597
SHARP 29AXS888RD Unit 4,411,873
SHARP 29BXS288RD Unit 3,912,911
SHARP 29CF250/29CF250MK2 Unit 3,230,121
SHARP 29CF550 Unit 3,510,240
SHARP 29DXF200/29DXF200MK2 Unit 3,370,181
SHARP 29DXF250E Unit 3,317,659
SHARP 29DXF500/29DXF500MK2 Unit 3,545,255
SHARP 29GTF250 Unit 3,466,472
SHARP 29GXF200 Unit 3,597,778
SHARP 29GXF500 Unit 3,799,113
SHARP 29PTF250 Unit 3,466,472
SHARP 29PXF200 Unit 3,597,778
SHARP 29PXF500 Unit 3,799,113

1 2 3 4 5
SHARP 29QXF250E Unit 3,230,121
SHARP 29ZE200MK2 Unit 2,941,249
SHARP LC-19LE150M Unit 1,697,099
SHARP LC-24LE170I Unit 2,380,962
SHARP LC-32DX288I-BZY Unit 3,600,995
SHARP LC-32DX888I-Y Unit 3,869,899
SHARP LC-50LE460X Unit 12,406,718
SHARP LC-40LE360D2 Unit 8,209,083

1 2 3 4 5
SHARP LC-50UE1M Unit 20,536,359
SHARP LC-58UE1M Unit 36,240,496
SHARP LC-40UA330X Unit 11,360,039
SHARP LC-50UA330X Unit 18,297,356
SHARP LC-50UE630X Unit 20,737,559
Samsung WMN 1000BXXC Unit 2,497,942
Samsung UA22C4000PXXD Unit 5,023,184
Samsung UA32C5000QRXXD Unit 8,312,823
Samsung UA40C6200URXXD Unit 16,106,948
Samsung UA40C6900VRXXD Unit 21,157,432
Samsung UA46C7000WRXXD Unit 35,216,886
Samsung UA46C8000XRXXD Unit 39,175,373
Samsung UA55C7000WRXXD Unit 52,552,330
Samsung UA55C8000XRXXD Unit 57,466,314
Samsung UA55C9000SRXXD Unit 104,831,661
Samsung UA32E420 Unit 3,685,488

1 2 3 4 5
Samsung UA22ES5000 Unit 2,286,368
Samsung UA32EH4500 Unit 5,050,484
Samsung UA22H5003ARXXD Unit 2,543,849
Samsung UA32FH4003RXXD Unit 3,536,566
Samsung UA40H5003AKXXD Unit 5,956,373
Samsung UA40H5500AWXXD Unit 8,438,176
Samsung UA40H5550AKXXD Unit 8,438,205
Samsung UA48H5003AKPXD Unit 10,051,430
Samsung UA48H5500AWPXD Unit 14,270,351
Samsung UA48H5550AKPXD Unit 14,270,508
Samsung UA55HU9000WPXD Unit 61,425,049
Samsung UA65HU9000WPXD Unit 86,738,811
Samsung UA60ES6500MPXD Unit 19,234,052
Samsung UA20J4003ARXXD Unit 2,171,593
Samsung UA32J4100AKXXD Unit 4,343,173

1 2 3 4 5
Samsung UA40JU6000KXXD Unit 9,306,808
Samsung UA43J5100AKPXD Unit 6,700,900
Samsung UA48JU6000KPXD Unit 15,759,415
Samsung UA50JS7200KPXD Unit 22,336,196
Panasonic LCD TVTH-L55WT60G Unit 50,445,967
Panasonic LCD TV TH-L50DT60G Unit 23,938,818
TH-L50ET60G Unit 17,783,855
Panasonic LCD TV TH-L42ET60G Unit 12,028,063
Panasonic LCD TV TH-L50E6G Unit 14,808,703
Panasonic LCD TH-L42E6G Unit 10,115,877
Panasonic LCD TH-L39EV6G Unit 8,006,124

1 2 3 4 5
Panasonic LCD TH-L39EM6G Unit 7,370,868
Panasonic LCD TH-L32VF6G Unit 5,841,191
Panasonic LCD TH-L32XM6G Unit 4,866,818
Panasonic LCD TH-L50B6G Unit 11,831,913
Panasonic LCD THL22EM6G Unit 2,756,239
Panasonic LCD TH-L29XM6G Unit 3,305,148
PLASMA TV
Panasonic Plasma TV TH-P65VT60G Unit 57,567,437
Panasonic Plasma TV TH-P60ST60G Unit 28,169,141
Panasonic Plasma TV TH-P60S60G Unit 19,616,134

Panasonic Plasma TV TH-P50X60G Unit 10,383,071
Samsung UA32F4510/white Unit 4,999,979
Samsung UA40F5500 Unit 8,986,461
Samsung UA48H8000 Unit 24,189,141
Samsung UA55HU7200 Unit 38,918,571
Samsung UA48H4200ARPXD Unit 10,945,900
Samsung UAH5500AWXXD Unit 9,189,173
Samsung UA39FH5003RXXD Unit 6,081,055
Samsung UA32H6400WXXD Unit 8,716,178

1 2 3 4 5
Samsung UA32H4100WXXD Unit 4,189,171
6 PDP TV New "F" Samsung RT 32FAJCDP1 Unit 5,809,443
Samsung RT 32FAJCDP2 Unit 5,944,584
Samsung RT 32FAACDSA Unit 6,349,950
Samsung RT 35FAJCDP1 Unit 6,620,229
Samsung RT 35FAUCDGL Unit 7,431,041
Samsung RT 38FAADDSA Unit 6,755,380
Samsung RT 38FAADDP2 Unit 7,431,081
Samsung RT 38FAUDDGL Unit 8,562,245
Samsung RT 5962HTBSL Unit 12,160,758
7 Over Head Projector ADLER 300 + Layar GILKON 70 Unit 23,842,241
3 M + Layar Unit 19,909,826
8 Faxcimile SHARP UX-23 Unit 522,329
SHARP UX-53 Unit 1,060,592
SHARP FO-27 Unit 1,162,056
SHARP UX-73 Unit 1,162,056
SHARP UX-A760 Unit 1,557,764
SHARP UX-P710 Unit 1,295,152
SHARP NX-P160 Unit 1,162,056
SHARP FO-P600 Unit 1,162,056
SHARP FO-P610 Unit 1,162,056
SHARP FO-A660 Unit 1,444,363
9 AC Split PANASONIC CS/CU-PC5PKJ Unit 3,108,095
PANASONIC CS/CU-PC7PKJ Unit 3,258,244
PANASONIC CS/CU-PC9PKJ Unit 3,408,394
PANASONIC CS/CU-PC12PKP Unit 4,639,620
PANASONIC CS/CU-PS9NKP Unit 6,003,383

1 2 3 4 5
PANASONIC CS/CU-KC5NKJ Unit 3,884,283
PANASONIC CS/CU-C7NKP Unit 4,072,941
PANASONIC CS/CU-S10NKP Unit 5,791,327
PANASONIC CS/CU-S10PKP Unit 6,566,429
Toshiba RAS-09SK4X 1 PK RAS-10
Unit 6,752,660
UKP X2
Toshiba RAS-13SK4X 1½ PK Unit 10,945,763
Toshiba RAS-18SK4X 2 PK Unit 10,945,763
General ¾ PK Unit 10,479,863
General 1 PK Unit 11,411,663
General 1/2 PK Unit 14,950,769
General 2 PK Unit 20,843,974
Dast ¾ PK Unit 8,956,282
Dast 1 PK Unit 4,191,656
Dast 1 ½ PK Unit 1,128,578
Dast 2 PK Unit 14,251,919
SHARP AH-AP5NSY Unit 3,705,210
SHARP AH-AP5MSY Unit 3,561,967
SHARP AH-AP5MSL Unit 4,118,601

1 2 3 4 5
SHARP AH-AP5MHL Unit 4,334,816
SHARP CV-P09GRV Unit 7,758,976
SHARP CV-P09GRVB Unit 7,758,976
SHARP XP5NSY Unit 4,631,512
SHARP XP10NRY Unit 5,331,809
SHARP XP13NRY Unit 6,756,278
SHARP XP10MY Unit 5,053,282
SHARP XP13MY Unit 6,406,129
SHARP AH-A5SCY Unit 3,443,201
SHARP AH-A5SEY Unit 3,564,822
SHARP AH-AP5SSY Unit 4,036,428
SHARP AH-A5SDL Unit 4,200,501

1 2 3 4 5
SHARP AH-AP5SHL Unit 4,512,539
SHARP CV-P09GRV (PORTABLE) Unit 7,232,566
SHARP AH-X9SEY Unit 4,955,343
SHARP AH-XP6SHY Unit 544,435
SHARP AH-XP10SHY Unit 5,764,103
SHARP AH-XP13SHY Unit 6,940,320
SHARP AH-XP5NSY Unit 5,186,710
SHARP AH-XP10NRY Unit 5,361,703
SHARP AH-XP13NRY Unit 6,550,750
Panasonic AC Split Standar CS/CU-
Unit 3,679,892
KN5RKJ
Unit 3,772,247
KN7RKJ
Unit 4,038,148
KN9RKJ
Panasonic Alowa CS/CU-KC5QKJ Unit 4,108,173
Panasonic Alowa CS/CU-XC5QKJ Unit 4,347,484
Panasonic Alowa CS/CU-KN5RKJ Unit 4,205,224
Panasonic Alowa DELUXE CS/CU-
Unit 4,417,945
KN5RKJ
Unit 4,564,190
KN7RKJ
Unit 4,723,731
KN9RKJ
Panasonic Envio CS/CU-C7PKP Unit 4,905,876

1 2 3 4 5
Panasonic Envio CS/CU-N7RKP Unit 4,994,492
Panasonic Inverter CS/CU-S10PKP Unit 7,019,790
Panasonic Deluxe Inverter CS/CU-
Unit 6,286,760
S10RKP
Unit 8,362,591
S13RKP
Unit 12,523,944
S18RKP
Unit 16,632,116
S24RKP
Panasonic Basic Inverter CS/CU-
Unit 6,315,152
PS9NKP
Unit 7,152,741
PS12NKP
Unit 10,835,471
PS18NKP
Unit 13,148,811
PS24NKP
10 Pompa Air Sanyo PH 101 Unit 848,345
Sanyo PH 151 Unit 1,576,570
Sanyo PH 260 Unit 6,756,728
PANASONIC GA-129JXK-P Unit 458,480
PANASONIC GA-130JACK-P Unit 997,395
PANASONIC GA-130JAK-P Unit 675,655
PANASONIC GA-200JAK-P Unit 973,265
PANASONIC GF-205HCX Unit 2,831,315
PANASONIC GF-255HCX Unit 3,700,014
PANASONIC GN-130H-P Unit 1,375,440
PANASONIC GN-205HX-P Unit 1,721,311
PANASONIC GP-200JXK-P Unit 756,090
11 Wireless TOA Type ZW-780 Unit 16,783,713
TOA Type ZA-1025 Unit 750,748

1 2 3 4 5
TOA Type ZA-106i Unit 2,252,243
TOA Type ZA-112i Unit 2,402,392
12 Kompor Gas 2 Mata ELECTRO LUX Unit 921,372
Hitachi Unit 716,623
Rinnai Unit 649,055
13 Rice Cooker Maspion 1,8 L Unit 430,582
Maspion 2,2 L Unit 521,118
SHARP KHS-777 Unit 979,300
SHARP KS-M18L(W) Unit 398,928
SHARP KS-A18TTR/SF Unit 555,710
SHARP KS-R19ST Unit 579,516
PANASONIC SR-TEG18HLSR Unit 685,453
PANASONIC SR-TMG18LSR Unit 811,899
PANASONIC SR DE183WSR Unit 1,126,486
PANASONIC SR MG182WSR Unit 1,464,116
PANASONIC SR DF181WSR Unit 724,170
14 Rice Cooker Panasonic SR-TEG18HLSR/MBSR 870,161
Panasonic SR-DF181WSR 810,201
SHARP KS-R18MS-BR/PK Unit 353,943
SHARP KS-T18TL-GR/RD Unit 443,897
SHARP KS-T18TL-ST Unit 443,897
SHARP KS-TH18-RD Unit 1,143,320
SHARP KS-A18TTR Unit 570,295
SHARP KS-R19ST Unit 556,236
15 Blender SHARP EM-11G Unit 334,765
SHARP EM-12G Unit 421,060
SHARP EM-125L(W) Unit 428,351
SHARP EM-13 Unit 517,770
SHARP EM-110-B/G Unit 337,154
SHARP EM-TI15LP(K) Unit 518,289
SHARP EM-125L(W) Unit 410,181
SHARP SB-TI172G Unit 488,805
SHARP EJ-150LP(K) Unit 839,882
PANASONIC MX 151SG1WSR Unit 554,953
PANASONIC MX 101SG1WSR Unit 421,257

1 2 3 4 5
Panasonic MX-GX1061WSR Unit 463,599
Panasonic MX-GX1011WSR(Plastik) Unit 394,863
Panasonic MX-AC400WSR Unit 1,678,900
16 Setrika Listrik PANASONIC NI 22AWTSR Unit 372,272
PANASONIC NI 222FR D/A/G Unit 202,642
PANASONIC NI V100NPSR/NASR Unit 206,984
PANASONIC NI E200TASR/TRSR Unit 335,807
PANASONIC NI 317FR Unit 285,408
PANASONIC NI 318FR Unit 222,833
PANASONIC NI-S200T Unit 332,783
PANASONIC NI-S500T Unit 343,045
PANASONIC 22AWT Unit 287,337
PHILIP Unit 498,223
17 Lemari Es FREEZER & SHOWCASE
SHARP FR-189-BCG/BCL Unit 3,082,570
SHARP FR-K148G-CG Unit 2,806,294
SHARP FRV-127 Unit 2,848,336
SHARP FRV-200 Unit 3,722,715
SHARP FRW-201 Unit 3,767,251
SHARP SJ-M 165F-SS/SB Unit 2,056,775
SHARP SJ-M 165F-FW Unit 2,075,339
SHARP SJ-M 175F-US Unit 2,109,737
SHARP SJ-M 180F-SS Unit 2,261,661
SHARP SJ-M 180F-TB Unit 2,284,593
SHARP SJ-M 180D-FW/FP/FB Unit 2,363,490
SHARP SJ-M 190D-FW/FP/FB Unit 2,515,414
SHARP SJ-M 180D-SS/SP/SD Unit 2,489,615
SHARP SJ-M 190D-SS/SP/SD Unit 2,588,441
SHARP SJ-G180C-SS/SP/SD Unit 2,489,615
SHARP SJ-G190C-SS/SP/SD Unit 2,588,441
SCH-250PS Unit 4,671,151

1 2 3 4 5
SCH-212PB Unit 3,085,573
SCH-210PS Unit 3,722,715
SCH-170PS Unit 2,771,760
LG GN-V204RL Unit 2,910,307
LG GN-V204RL (key) Unit 2,910,307
PANASONIC NR-S16G-HT Unit 3,532,966
PANASONIC NR-S17A-B Unit 3,846,838
2 DOOR
SHARP SJ-F190G-ZS Unit 2,582,572
SHARP SJ-F190M-TS Unit 2,469,960
SHARP SJ-F200G-ZS Unit 2,867,856
SHARP SJ-F201C-HD Unit 2,995,483
SHARP SJ-F201S-RD Unit 3,070,558
SHARP SJ-F231C-HD Unit 3,265,752
SHARP SJ-F231S-RD Unit 3,325,812
SHARPSJ-F232G-ZS Unit 3,220,707
SHARP SJ232K-ZS Unit 3,243,230
LG GN-V212R Unit 3,221,390
LG GN-V212RLT Unit 3,221,390
LG GN-V212RP Unit 3,576,288
LG GN-V212SLT Unit 3,037,115
LG GN-V222RP Unit 4,101,812
LG GN-V222SLT Unit 3,282,814
LG GN-V262RLCT Unit 4,101,812
LG GN-V262RPC Unit 4,347,511
LG GN-V282RLCT Unit 4,347,511
LG GN-V282RPC Unit 5,139,208
1 DOOR
PANASONIC NR-A17AD-S Unit 2,772,758
PANASONIC NR-A17KX-H Unit 2,576,650
PANASONIC NR-A172M-A/V/G Unit 1,862,223
PANASONIC NR-A172S-H/B Unit 1,802,359
PANASONIC NR-AK17AD-H Unit 3,167,833

1 2 3 4 5
PANASONIC NR-A19AD-S Unit 3,111,801
PANASONIC NR-A191S-H Unit 2,812,399
PANASONIC NR-A192M-A/V-G Unit 2,031,281
PANASONIC NR-A192S-H/B Unit 1,971,422
PANASONIC NR-A192G-H Unit 2,031,281

PANASONIC NR-A22KN Unit 3,832,388
LG GC-051SA Unit 1,481,020
LG GN-V191SL Unit 2,088,443
LG GN-V191RL(key) Unit 2,115,743
LG GN-V231SL Unit 2,272,718
Samsung RA 19FATS1/XSE Unit 2,100,728
Samsung RA 19FCTS1/XSE Unit 2,032,478
Samsung RA 21FATS1/XSE Unit 2,441,977
Samsung RA 21FCTS1/XSE Unit 2,387,377
Samsung RA 21VCTS1/XSE Unit 2,523,877
2 DOORS
PANASONIC NR-B222M-A1/V Unit 3,296,464
PANASONIC NR-B222M-G Unit 3,439,789
PANASONIC NR-B222R-BT Unit 3,475,279
PANASONIC NR-B222R-TT Unit 3,475,279
PANASONIC NR-B222S-H Unit 3,367,634
PANASONIC NR-B243G-ST Unit 5,971,856
PANASONIC NR-B25GF-ST Unit 4,613,988
PANASONIC NR-B262M-A1/V/G Unit 3,726,438
PANASONIC NR-B262G-A/V/G Unit 3,767,388
Samsung RT 2ASDTS1/XSE Unit 3,274,624
Samsung RT 2ASDIS1/XSE Unit 3,411,124
Samsung RT 2ASATS1/XSE Unit 3,766,023
Samsung RT 2BSDTS1/XSE Unit 3,856,113
Samsung RT 2BSATS1/XSE Unit 4,197,361
Samsung RT 30SSIS1/XSE Unit 5,185,618
Samsung RT 30SCTS1/XSE Unit 4,912,619

1 2 3 4 5
Samsung RT 37SCTS1/XSE Unit 5,322,118
Samsung RT 30SSPN1/XSE Unit 5,185,618
Samsung RT 37SSPN1/XSE Unit 5,595,117
Samsung RT 30SASS1/XSE Unit 5,050,484
Samsung RT 41MAIS1/XSE Unit 6,004,616
Samsung RT 45MAIS1/XSE Unit 6,687,113
Samsung RT 54MBPN1/XSE Unit 6,960,112
Samsung RT 59MBPN1/XSE Unit 7,642,610
Samsung RT 63WBPN1/XSE Unit 10,236,102
IMPORT
PANASONIC NR-B363M-S4 Unit 10,656,890
PANASONIC NR-B403V-S4 Unit 13,807,711
PANASONIC NR-B591G-X4 Unit 13,807,711
PANASONIC NR-D512X-X4 Unit 13,807,711
PANASONIC NR-BW414VSWA Unit 13,807,711
PANASONIC NR-BW464VSWA Unit 13,807,711
BIG REF
LG GN-B352YLC Unit 5,630,607
LG GN M352YPC Unit 6,176,605
LG GN M352YVQ Unit 5,808,329
LG GN-B392YLC Unit 6,066,313
LG GN-M392YPC Unit 6,361,152
LG GN-M392YLQ Unit 6,434,862
LG GR-B492YLC Unit 6,729,701
LG GR-M492YLY Unit 7,429,944
LG GN-M492YPC Unit 7,540,509
LG GR-M652YSQ Unit 12,626,482
Panasonic NR-AK5ED-HPP Unit 1,993,328
Panasonic A172S-B/H Unit 2,000,640
PanasonicA172M-A/V/G Unit 2,069,084

1 2 3 4 5
Panasonic NR-A178F-S Unit 2,067,620
Panasonic NR-A192S-B/H Unit 2,190,613
Panasonic NR-A192M-A/V/G Unit 2,256,424
Panasonic NR-A192G-H Unit 2,256,424
Panasonic NR-A198G-A2/G1/P Unit 2,419,765
Panasonic NR-A198F-A2/G1/P Unit 2,244,139
NR-S16G-H Unit 3,938,394
NR-S17A-H Unit 4,287,922
NR-B208D-S Unit 2,885,865
NR-B222G-A1/V/G/H Unit 3,817,011
NR-B222R-BT/TT Unit 3,855,034
NR-B228F-A2/G1/P Unit 3,893,351
NR-B262G-A1/V/G/H Unit 4,175,313
NR-B262R-BT/TT Unit 4,241,123
NR-B268F-A2/G1/P Unit 4,258,819
NR-B291G-ST Unit 5,485,673
NR-B25GF-ST Unit 5,365,753
NR-B243G-ST Unit 6,619,077
NR-B53V1-X1D Unit 44,061,469
NR-BW415VN1D Unit 10,724,631
NR-BW465VN1D Unit 12,566,708
NR-BY602XSID Unit 16,120,509
NR-BS63XN1D Unit 47,139,060
NR-D513XS4 Unit 19,215,506
NR-BR344MS1D Unit 8,742,417
NR-BR304MS1D Unit 8,249,277
18 Kaki Kulkas KK-1P Unit 204,749
KK-2P Unit 307,124
19 Microwave Oven SANYO EMS-1950 Unit 3,420,406
SANYO EMS-1970 Unit 3,954,938
SANYO EME-1920 Unit 3,633,618
SANYO EME-2820 Unit 4,141,124
Samsung MW71C/XSE Unit 982,797

1 2 3 4 5
Samsung MW73C/XSE Unit 1,183,451
Samsung MW86N-S/XSE Unit 1,281,731
Samsung GW71C/XSE Unit 1,380,011
Samsung ME83M/XSE Unit 1,302,947
Samsung ME731K/XSE Unit 917,033
Samsung MS23H3125FK/SE Unit 1,425,795
Samsung MG23H3185PK/SE Unit 1,860,119
Samsung MG28H5185NK/SE Unit 2,294,437
Samsung MC32F6C6TCT/SE Unit 5,075,325
Panasonic NN -DF383BTTE Unit 4,431,242
Panasonic NN -CF770MTTE Unit 5,795,714
Panasonic NN -GD692STTE Unit 2,850,328
Panasonic NN -GF560MTTE Unit 3,163,293
Panasonic NN -GD371MTTE Unit 2,350,167
Panasonic NN -GT353MTTE Unit 2,047,439
Panasonic NN -SF559WTTE Unit 2,493,488
Panasonic NN -SM322MTTE Unit 1,409,808
Panasonic NN -ST342MTTE Unit 1,702,300
Panasonic NN -ST651MTTE Unit 2,263,882
SHARP R-222Y(S) Unit 1,195,327
SHARP R-222Y(W) Unit 1,195,327
SHARP R-230R(S) Unit 1,400,758
SHARP R-249IN(W) Unit 1,141,546
SHARP R-299IN(S) Unit 1,575,751
SHARP R-380IN(S) Unit 2,109,328
SHARP R-21A1(W)IN Unit 1,584,077
SHARP R-728(W)-IN Unit 1,488,937
SHARP R-728(S)-IN Unit 1,528,932
SHARP R-728(K)-IN Unit 1,488,937
SHARP R-730IN(ST) Unit 1,662,701
SHARP R-898M(S) Unit 4,271,071
SHARP R-899R(S)-IN Unit 4,659,822
20 Mesin Cuci PANASONIC NA-W60BB3W Unit 2,818,803
PANASONIC NA-W60FB3W Unit 2,895,950
PANASONIC NA-W60BB4H Unit 1,673,199

1 2 3 4 5
PANASONIC NA-W70BB3W Unit 3,071,837
PANASONIC NA-W70BB4A/G 1,797,873
PANASONIC NA-W80BB1W Unit 3,428,223
PANASONIC NA-W85BC2A/G/V Unit 2,254,457
PANASONIC NA-W95FC2A/G/V Unit 2,384,968
PANASONIC NA-F821HLSG Unit 5,592,533
PANASONIC NA-F1011TW Unit 6,646,596
PANASONIC NA-F701BHSG Unit 4,649,159
Panasonic NA-W60BB4A/G Unit 1,852,932
Panasonic NA-W70BB4A/G Unit 1,991,866
Panasonic NA-W75BC1A/G/D Unit 2,187,834
Panasonic NA-W76FCIA/G/D Unit 2,233,171
Panasonic NA-W86BC1A/D/G Unit 2,399,890
Panasonic NA-W96FC1A/D/G Unit 2,535,900
Washer import NA-F903BHSG Unit 4,094,878
Washer import NA-F953HLSG Unit 4,826,106
Washer import NA-F1003HHSG Unit 5,411,088
Washer import NA-F1003HHSG Unit 8,043,509
Washer import NA-107VG3WNE Unit 8,043,509
Washer import NA-148VG3WNE Unit 10,529,685
Washer import NA-140VX3WNE Unit 12,357,755
SHARP ES-Q70EY-G Unit 2,887,512
SHARP ES-G865P-G Unit 2,686,175
SHARP ES-G885S-G Unit 3,145,632
SAMSUNG SDC16709/XSE Unit 7,320,111
SAMSUNG WD0854W8Y/XSE Unit 8,685,086

1 2 3 4 5
SAMSUNG WD10J6410AW/SE Unit 14,740,773
SAMSUNG 65J3283LW/SE Unit 5,541,664
SAMSUNG 70J3283KW/SE Unit 5,895,471
21 Radio Talk MOTOROLA CP-1660VHF Unit 2,916,127
MOTOROLA CP-1300VHF Unit 2,792,036
MOTOROLA GP-3188UHF 403 Unit 3,970,896
MOTOROLA GP-388 PLUS VHF Unit 7,383,385
MOTOROLA CP-1660VHF Unit 3,102,263
MOTOROLA GP-328 PLUS VHF Unit 5,770,209
I COM IC-U80L Unit 1,985,448
I COM IC-T70A DUAL BAND Unit 3,350,444
I COM IC-V80 LITHIUM RAPID Unit 1,613,177
ALINCO DJ-196 Unit 1,737,267
ALINCO DJ-175 Unit 1,427,041
ALINCO DJ-A10 Unit 1,613,177
KENWOOD TH-255A (VHF) Unit 1,470,473
KENWOOD TH-K20A (VHF) Unit 1,861,358
22 GPS GARMIN GPS AP 62 S Unit 4,901,575
GARMIN GPS AP 62 SC Unit 5,149,756
GARMIN GPS AP 78 S Unit 4,467,258
GARMIN OREGAN 550 Unit 6,142,480
GARMIN MONTANA 650 Unit 7,445,430
23 RADIO RIG MOTOROLA GM-3688 VHF 25 W Unit 4,032,941
MOTOROLA GM-3688 VHF 45 W Unit 4,157,032

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
KOMPUTER
X. KOMPUTER
NO JENIS BARANG MERK/MODEL/UKURAN SPESIFIKASI HARGA
1 2 3 4 5
DESKTOP PC
Core i5 3.5Ghz,AMD Radeon R0 M290X, Ram 8GB,

1 APPLE Apple iMac with Retina 5K 34,333,719
HDD 1 TB DDR3L, 27 ", Mac OS X 10.10 Yosemite
Intel Core i5 2.9GHz, 8GB (2x 4GB) DDR3, 1TB HDD,

GbE NIC, WiFi, VGA NVIDIA GeForce GT 750M 1GB
Apple iMac ME087 26,319,447
GDDR5, Bluetooth, Camera, 21.5" LED Display, Mac OS
X Mavericks
iMac 21.5", 2.7GHz Quad-core Intel Core i5 (Turbo Boost

Apple iMac ME086ZA/A 3.2GHz, 4MB L3), 8GB (2x 4GB) 1600MHz DDR3, 1TB 28,006,020
(5400-rpm) HDD, Intel Iris Pro Graphics
Intel Core i7 6700T, 23,8" full HD, 16 GB DDR4 at

2 ASUS ASUS Zen AiO S Z240IC 2133MHz, 2TB SATA, NVIDIA GeForce GTX960M 2GB, 25,730,831
windows 10 Home
Intel Core i5-3350P, Nvidia Tegra 3 Quad Core, 6GB
DDR3, 1GB DDR3, 1TB HDD, 32GB eMMC, DVD RW,
ASUS EeeTop Transformer P1801-B202K 20,824,990
VGA NVIDIA GeForce GT730M 2GB, TV Tuner, Camera,
18.4" FHD, Touchscreen, Win8
Intel Core i5-3450S (3.1 Ghz,6MB), 8 GB ddr3, Tray-in

AIO ASUS (ET2411INTI-B030C) Super Multi DVD RW, 23.6” Wide, Full HD (1920x1080) 19,270,057
LED Multi Touch, Windows 7 Home Premium 64 bit
Intel Core i7-4790, 4GB, 1TB, Nvidia Geforce 820A 2GB,

3 LENOVO Lenovo B50-30-CMID 16,995,107
DVD, 23.8", Win 8.1
Intel Core i7 4700MQ, 27 " Multi Touch Screen, 8GB,

LENOVO IDEACENTRE A730 57314910 8GB DDR3 1333MHz, Nvidia GeForce GT745M 2GB, 25,720,081
1TB, 1.0 TB 5400 SATA2, windows 8
Intel Core i7-4558U, 8GB, 1TB, Nvidia GTX 850A (2GB),

Lenovo A740-7PID 28,710,928
Win 8.1, 27", WIFI, DVD
Intel Core i5 6400T 2.2GHz, 20 ", slim DVD rambo 9.5

LENOVO AIO THINKCENTRE M700Z mm, Intel HD Graphic 510, 8GB DDR4, 8GB Ram, 1 TB 16,785,467
HDD, windows 7 pro pre-install
Intel Core i5-4460T, 4GB DDR3, 1TB HDD, DVD±RW,

4 HP HP Pavilion 20-2212d Wifi, Bluetooth, VGA Integrated, NIC, 20"WXGA, Win 8.1 10,288,511
64 bit
Intel Core i7-3770S, 8GB (2x4GB) DDR3, 1TB HDD,
DVD±RW, VGA AMD Radeon HD 7650A 2GB, GbE NIC,
HP Envy 23-d245d TouchSmart 18,603,064
WiFi, TV Tuner, Camera, 23" WXGA Multitouch, Win8 64-
bit
Core i5 3470s 2.9Ghz, 4GB DDR3, 1TB, DVDRW, AMD

HP TouchSmart Envy 23-D040D Radeon HD 7650A 2GB, Card Reader, K/B + Mouse, 17,728,684
Lan, Wifi, Camera, Win 8
Core i3 3227U 1.9GHz, 4GB DDR3, 500GB, DVD, 23inch

5 ACER Acer Aspire AZ3-605 Full HD LED Touchscreen Display, AMD Radeon HD 8,601,674
8670, WiFi, Camera, Windows 8.1 Single Language
Core i3 3.10GHz, 4GB DDR3, 1TB, DVD-Writer, Active

Acer Aspire Z3-615 Matrix TFT Colour LC, WiFi, Bluetooth, Camera, Windows 9,928,413
8.1 Single Language
Core i3 1.7 GHz, 4GB DDR3L SDRAM, 1TB, 21.5 inches,

Acer Aspire Z1-623 9,509,695
DVDRW, WiFi, Bluetooth, Camera, Windows 10
Core i3 2120 3.3Ghz, Intel H61 Chipset, 2GB (1x2GB)

DDR3, 2 Slot DIMM, Intel GMA HD, 750GB, Lan
6 ASUS CM6730-ID003D 8,881,916
10/100/1000Mbps, DVDRW, Card Reader, HDMI Port,
K/B + Mouse, 300W Power Supply, LCD 18.5" LED, DOS
Intel i3 2120S 3.3Ghz, Intel H61, 4GB DDR3, Nvidia

GT610 1GB, HDD 1TB, Lan 10/100/1000Mbps, DVDRW,
ET2210INTS-B075C Card Reader, HDMI, Webcam, Hybrid TVT, USB3.0, KB + 15,971,867
Mouse Wireless, LED 21.5" Touchscreen, Win 7 Home
Premium 64 Bit
STANDAR SATUAN HARGA BARANG/JASA COMPUTER 86

NO JENIS BARANG MERK/MODEL/ UKURAN SPESIFIKASI HARGA
1 2 3 4 5
LAPTOP
Layar 14" HD (1366 x 768), Nvidia GT840M , 2GB,

1 ASUS Asus X450JN-WX022D Core i7-4710HQ 2.5-3.5GHzRam 4 GB + HDD 1 10,743,120
TBDVD-RW, dos.
Proc: Intel® Core™ i5-4210U, RAM: 4 GB DDR3,

Asus A455LD Graphic: NVIDIA® GeForce GT 820M 2 GB, Display: 8,361,210
14" WXGA, HDD: 500 GB SATA.
Intel Core i7-4710HQ (3.5Ghz 6MB), 4GB DDR3L

Asus X450JN-WX004H RAM, 1TB HDD SATA, NVidia Ge-Force GT745M 12,441,920
2GB, 14" WXGA (1366x768), Windows 8.1 SL.
Intel Core i7-4700HQ 2.4 GHz, RAM sebesar 4 GB,

Asus N550JV-CN301H grafis Nvidia GeForce GT740M, AudioWizard ASUS, 23,926,770
1 TB HDD, 15.6".
Intel Core i7 5500U-2.4Ghz Turbo 3.0Ghz, RAM

4GB, HDD 1TB, DVD/RW, VGA nVidia GT940M-
2 ACER ACER Aspire E5-473G-782R 11,483,653
2GB, Screen 14?, Windows 8.1 (FREE upgrade
Windows 10)

4GB, HDD 1TB, DVD/RW, VGA nVidia GT940M-
ACER Aspire E5-573G-74C5 11,364,019
2GB, Screen 15.6?, Windows 8.1 (FREE upgrade
Windows 10)

ACER Aspire R5-471T 4GB, HDD 256GB SSD, VGA Intel HD 520 Graphics, 15,551,204
Screen 14? FHD Touch, Windows 10
8GB, HDD 2 x 128GB SSD, VGA Intel HD Graphics
ACER Aspire R7-371T 21,532,897
5500, Screen 13.3? FHD Touch, Windows 8.1
(FREE upgrade Windows 10)
3 LENOVO LENOVO IdeaPad 500S-14-6500U 4GB, HDD 1TB, VGA nVidia GT940-2GB, Screen 13,158,527
14? FHD, Windows 10
LENOVO IdeaPad 305-15-5500U 4GB, HDD 1TB, DVD/RW, ADM RADEON R5 M330- 10,765,850
2GB, Screen 15.6?, Windows 10
LENOVO IdeaPad 310-14-6200U 12GB, HDD 1TB, DVD/RW, nVidia GT920MX-2GB, 9,569,512
Screen 14?, Windows 10
LENOVO IdeaPad 500-15 4GB, HDD 1TB, VGA AMD RADEON R5 M330-2GB 12,919,259
15.6? FHD, Windows 10
4 TOSHIBA TOSHIBA Portege Z30-5600U 8GB, HDD 256GB SSD,, VGA Intel HD 5500, Screen 20,336,558
13.3?, Windows 7 Professional
Intel Core i7 6700HQ-2.6Ghz Turbo 3.5Ghz, RAM
TOSHIBA Satellite S55T-C5325-4K 16GB, HDD 1TB, VGA nVidia GTX950-4GB, Screen 19,140,220
15.6” 4K Ultra HD, Windows 10

8GB, HDD 256GB SSD (SuperFast & AntiSchock),
TOSHIBA Satellite Radius P25W-C2300-4K 20,216,924
VGA Intel HD 520, Screen 12.5" 4K Ultra HD (3840 x
2160) Touch, Windows 10

1 2 3 4 5
MONITOR
ACER P166HQL ACER 15.6″ P166HQL LED WIDE SCREEN
1 1,023,890
G206HQL ACER 19.5″ G206HQL
1,377,162
K202HQL ACER 19.5″ K202HQL LED WIDE SCREEN
1,269,384
FT200HQL ACER 19.5″ FT200HQL LED Touchscreen
3,377,042
P206HL ACER 20″ P206HL LED WIDE SCREEN
2,035,805
V203HL ACER 20″ V203HL LED WIDE SCREEN
1,604,694
S200HL ACER 20″ S200HL LED WIDE SCREEN
1,616,669
K222HQL ACER 22″ K222HQL LED WIDE SCREEN
1,928,027
G227HQL ACER 22″ G227HQL LED WIDE SCREEN
2,227,410
S220HQL ACER 22″ S220HQL LED WIDE SCREEN
1,922,040
G237HL ACER 23″ G237HL LED WIDE SCREEN
2,802,226
GR235H ACER 23″ GR235H LED WIDE SCREEN 3D
4,161,425
V233HL ACER 23″ V233HL LED WIDE SCREEN
2,335,188
V236H ACER 23″ V236HL LED WIDE SCREEN
2,454,942
P238HL ACER 23″ P238HL LED WIDE SCREEN
2,993,831
S231HL ACER 23″ S231HL LED WIDE SCREEN
2,718,399
ACER 23″ T232HL LED WIDE SCREEN Touch
T232HL
Screen 6,586,429
GD245HQ ACER 24″ GD245HQ 3D
4,778,155
S243HL ACER 24″ S243HL
3,592,598
HR274H ACER 27″ HR274H 3D
7,125,318
ASUS MB168B Asus MB168B Portable USB Monitor – 15.6″
2 3,676,425
VG248QE Asus VG248QE – 23.6″
6,382,848
VX24AH Asus VX24AH – 23.6″ Wide Screen
5,921,798
PA249Q Asus PA249Q – 24″ LED
10,191,002
PA279Q Asus PA279Q 27″ LED
13,927,303
VS228HR Asus VS228HR – 22″
2,550,744
PA238Q Asus PA238Q – 23″ LED
5,400,872
MG279Q Asus MG279Q 27″
11,274,768
DELL P1914S DELL 19″ P1914S
3 2,778,275
E2014T DELL 20″ E2014T TOUCH SCREEN
4,417,697
P2211H DELL 21.5″ P2211H
2,514,818
S2240T DELL 21.5″ S2240T Touch Screen
5,125,439
P2314T DELL 23″ P2314T LED Touch Screen
5,496,674
P2415Q DELL 24″ P2415Q LED
7,490,566
U2711 DELL 27″ U2711
8,825,815
P2714T DELL 27″ P2714T
10,819,706
U3415W DELL 34″ U3415W LED
15,747,552
L23-6010 BenQ 23″ L23-6010 – LED TV
2,167,534
XL2411T BenQ 24″ XL2411T
4,838,031
XL2420G BenQ 24″ XL2420G
9,101,247
XL2730Z BenQ 27″ XL2730Z 10,047,298

1 2 3 4 5
PRINTER
Printer Inkjet Tinta 6 Warna dengan Tinta Abu-abu,

Kecepatan cetak standar ISO (A4): sampai dengan
1 CANON PIXMA iP8770 5,802,242
10.4ipm (warna) / 14.5ipm (mono), Kecepatan Foto
(4 x 6"): 36 detik (borderless)
Printer Wireless Office Mobile Kecepatan cetak

Standar ISO (A4) : sampai dengan 5.8 ipm (warna) /
PIXMA iP110 4,904,988
9.0 ipm (mono), Kecepatan Cetak Foto (4×6"): 53
detik (borderless)
Printer inkjet warna, Media: A3+, A3, A4 dan lebih

PIXMA PRO-1 banyak lagi, Mencetak foto borderless 4 x 6" dalam 16,120,661
waktu 2 menit 5 detik
All-In-One Printer Nirkabel yang Hemat Tinta

dengan Harga Paling Terjangkau, Print, scan, copy,
PIXMA E460 1,525,332
Kecepatan cetak standar ISO (A4): sampai dengan
8.0ipm mono / 4.0ipm warna
Foto tanpa tepi dapat dicetak hingga ukuran A4, dan

sistem tinta Hybrid milik Canon juga mahir dalam
memproduksi dokumen teks hitam yang jelas dan
PIXMA G3000 3,349,748
foto yang memukau, Kecepatan cetak Standar ISO
(A4): hingga 8.8ipm (mono) / 5.0ipm (warna),
Mencetak foto tanpa tepi 4 x 6" dalam 60 detik
Metode cetak : Inkjet, Maks.Kerta A4, Speed 15

ppm, speed color Approx 9.2/4.5 ipm, OS windows
2 EPSON Seri L310 2,165,373
XP/ 7 /8 /Vista /Mac OS X, speed print photo 27
detik (borderless)
Print, scan, copy, Maks.resolusi 5760 x 1440, speed

15 ppm, speed color Approx 9.2/4.5 ipm, speed
Seri L360 print photo 27 detik (borderless), resolusi scan 600 2,811,395
x 1200 dpi, OS windows XP/ 7 / 8 / Vista / Mac OS
X, metode cetak inkjet
Print, scan, copy, Maks.resolusi 5760 x 1440, speed

15 ppm, speed color Approx 9.2/4.5 ipm, speed
Seri L365 print photo 27 detik (borderless), resolusi scan 1200 3,469,382
x 2400 dpi, OS windows XP/ 7 / 8 / Vista / Mac OS
X, metode cetak inkjet
Print, copy, scan, fax, Kecepatan cetak hitam putih:

HP Color LaserJet Pro MFP up to 16 ppm, Kecepatan cetak warna : up to 4 ppm,
3 HP 6,389,644
M177fw (CZ165A) print telnologi : laser, resolusi HP ImageREt 2400,
processor speed 600 MHz
HP DeskJet GT5820 All-in- A4 4800 x 1200 dpi 7.5 (BW) ppm Print 4.5 (Color)
3,167,904
One Printer [M2Q28A] ppm Print 1200 dpi Scan Copy USB Wireless
A4, 600 x 2400 dpi, 17/17 (BW/Color) ppm Print,

4 BROTHER BROTHER MFC-9970CDW 13,040,090
Tray 1# 250, Print, Scan, Copy, Fax, USB, Ethernet
A4, 2400 x 600 dpi, 24 (BW) ppm Print, Tray 1#

BROTHER HL-2240D 1,638,984
250, Duplex, USB

1 2 3 4 5
Print Technology Digital Color LED, Resolusi 600 x

2400 dpi, wireless 802.11b/g/n ethernet and Hi-
BROTHER MFC-9330CDW speed USB 2.0, Approx 2 sec/page, scanner 8,494,003
compability windows/Mac OS, Printing, Scan, PC
and Fax Send / Receive, memory 192MB
A4, Print BW/Color 11/6 ppm, 1.200x 6.000 dpi,

64MB, Copy BW/Color 4.8/3 cpm, Zoom 25-400%,
Scan 1200x 2400 dpi, Scan Feature to Image,
Email, File, 1 Line LCD Display, Fax Modem
BROTHER MFC-J200 3,469,382
14.4kbps, PC-Fax (USB only), 100 sheets input
Tray, Automatic Document Feeder (ADF) 20 sheets,
WiFi, Mobile Printing iPrint & iScan, AirPrint, Google
Cloud Print.
A4, 1.200x1.200 dpi, 42ppm, PRINTING,

COPYING, SCANNING, FAXING, 1 GB, 3.7" TFT
BROTHER MFC-L5900DW Colour LCD, Wireless, Wifi Direct, Gigabit Ethernet 10,755,083
10 Base-T/100 Base-TX/1000 Base-T, USB 2.0 Hi-
Speed, USB Direct Print
DCP-1601 BROTHER Printer [DCP-1601] 1,782,544

MFC-9330CDW BROTHER Printer [MFC-9330CDW] 8,362,406
MFC-L8850CDW BROTHER Printer [MFC-L8850CDW] 14,463,732
HL-L8250CDN BROTHER HL-L8250CDN 7,285,701
HL-L8350CDW BROTHER Printer [HL-L8350CDW] 8,482,040
DCP-T300 (Merchant) BROTHER DCP-T300 (Merchant) 2,511,115
DCP-T500W BROTHER Printer [DCP-T500W] (Merchant) 3,228,918
HL-L6400DW BROTHER Printer [HL-L6400DW] 11,963,385
HL-L5100DN BROTHER Printer [HL-L5100DN] 6,089,363
DCP-L5600DN BROTHER Printer [DCP-L5600DN] 9,798,012
HL-L6200DW BROTHER Printer [HL-L6200DW] 7,285,701
MFC-L6900DW BROTHER Printer [MFC-L6900DW] 15,779,705
MFC-L5900DW BROTHER Printer [MFC-L5900DW] 10,994,351
PT-9700PC (Merchant) BROTHER PT-9700PC (Merchant) 5,969,729

1 2 3 4 5
SCANNER
CANON DR-F120 A4, Color, 600 dpI, 20 ppm, ADF, USB 6,388,448
1
A4, 2400 x 4800 dpi, 300dpi/16 sec, USB 2.0
CanoScan LiDE 120 986,979
A4, 600 x 600dpi, Black/White 25ppm Scan,
DR-C225 Color 25 ppm, Scan Automatic sheet feeding, 11,305,399
USB
A4, Colour 600 dpi, 60 ppm, ADF, Kofax
DR-M160II VRS, USB 17,227,274
A3, 600 x 600 dpi, 60 ppm, Automatic
DR-6030C Document Feeder (ADF), USB 71,720,493
2 EPSON V370 A4, 4800 x 9600 dpi, USB 2.0 2,285,007

A4, 600 x 600 dpi, Black/White 40 ppm, Color
40 ppm, One-pass duplex, Automatic
GT-S85 Document Feeder (ADF), USB 2.0 14,128,758
GT-1500 A4, 1200 x 2400 dpi, USB 2.0 5,694,571

A3, 600 x 600 dpi, 10 sec Flatbed, 40 ppm/80
DS-60000 47,363,041
ipm ADF, USB 2.0
On-Counter Presentation Omnidirectional Bar
3 DATALOGIC Magellan 1000i Code Reader 4,950,165
KG27493 Skynet LC8 Omnidirectional Laser Scanner 2,148,026
27921 Honeywell Genesis 7580g Barcode Scanner 4,437,485
Honeywell Orbit MK7120-31A38 Barcode

27935 3,771,568
Scanner
Honeywell MS7120 Orbit Omnidirectional
29649 5,880,602
Laser Scanner
Datalogic QS2500 Linear Imager Handheld
29653 2,868,222
Scanner Barcode
Scaner Flatbed. Paper/3-D objects/3-D
4 HP G3110 1,615,057
objects, 4800 x 9600 dpi, 11 sec
A4, 4800 x 9600 dpi, Scan 3-D Object &
G4050 3,708,649
Photo
5590 A4, 2400 x 2400 dpi, Scaner Flatbed 6,101,326
Scanner Automatic Feeding/ ADF. A4, 2400
6310 7,716,383
dpi, Flatbed, ADF, USB 2.0
Scanner Automatic Feeding/ ADF, A4, 2400 x

6350 11,305,399
2400 dpi, Flatbed, ADF, Ethernet, USB 2.0
Scanner Automatic Feeding/ ADF, A4, 4800 x

8270 17,227,274
4800 dpi, Flatbed, USB 2.0

1 2 3 4 5
PROJECTOR
1x USB-A for USB Display, 300
1 DELL M110 ANSI Lumens, WXGA (1280 x 10,313,395
800)
M210X DLP HDMI, 2000 ANSI Lumens 13,375,184
HDMI, 4300 ANSI Lumens, DLP
4320 21,432,524
Technology
HD Projector, 3500 ANSI
4310WX 20,465,643
Lumens
DLP 3D, 6000 ANSI Lumens,

P7215 25,600,448
XGA (1024 x 768), 6,5 Kg, HDMI
FWVGA Resolution, 100 ANSI

C120 100 Lumens, 1000 : 1 Contras Ratio, 5,023,425
USB 3.0
DLP, 1000 Lm brightness (ANSI

Lumens), WXGA (1280 x 800),
K355 MR-JG711-009 10000:1 contrast ratio, Wireless 12,083,019
connectivity, USB multimedia,
Digital connectivity HDMI
DLP, XVGA (1024x768), 2700

ANSI Lumens, 10.000:1, 2x
X1270N 5,024,622
Digital Zoom, Weight 2.2 kg,
Brightness
DLP, 3200 ANSI Lumens, WXGA

2 BENQ MW632ST 10,755,083
(1280x800),2.6Kg, HDMI
3D DLP Home Theatre Projector,

2200 ANSI Lumens, FULL HD
W1110 15,540,437
(1920X1080), 15.000:1, Wight
3.3 Kg, HDMI
DLP, 3200 ANSI Lumens, XGA

(1024X768), 2.6Kg, S-VIDEO,
MX631ST 9,569,512
HDMI, MHL, USB, SMART ECO,
FULL 3D

(1280X800), LASER DIODE
LW61ST LAMP, S-VIDEO, HDMI, LAN RJ- 14,953,035
45, 2xUSB, SMART ECO,
2x10W SPEAKER

(1024X768), 3.7KG, S-VIDEO,
SX912 HDMI, LAN RJ-45, BLU-RAY 3D 28,710,928
SUPPORTED, AMX LAN
CONTROL
DLP, 4000 ANSI Lumens, FULL

HD (1920X1080), 3.7KG, S-
MH740 19,618,755
VIDEO, HDMI, USB, SMART
ECO, FULL 3D, MY SCREEN

1 2 3 4 5

(1024X768), 2.65KG, S-VIDEO,
MX666+ HDMI, USB, MHL, LAN RJ-45, 13,995,964
SMART ECO, 2D & 3D
KEYSTONE, NFC WIRELESS

(1280X800), 1.9Kg, S-VIDEO,
MW526 8,133,905
HDMI, SMART ECO, FULL 3D,
BLU-RAY 3D SUPPORTED

(1024X768), 3.8Kg , S-VIDEO,
MX726 15,072,669
2xHDMI, MHL, USB, LAN RJ-45,
12V TRIGGER, FULL 3D
3LCD, 3000 ANSI Lumens,
EB-W04 WXGA (1280 x 800), 2.4Kg, 7,148,123
HDMI, USB, LAN
3LCD, 3600 ANSI Lumens, XGA
EB-X36 (1024x768), 2.4kg, HDMI, USB, 9,090,976
LAN, Wifi
WXGA (1280x800), 2.9kg, HDMI,
PT-LW362 17,584,980
2 VGA, USB Type A dan USB
Type B
5000 ANSI Lumens, WUXGA

(1920x1200), 5.7kg, HDMI,
RS232 Port, USB Port, Closed
VPL-CH370 31,702,970
Captioning, Wired Networking,
Geometric Correction, Crestron
RoomView

WXGA (1280x800), 2,9Kg,
PT-LW312 12,071,055
HDMI, 2 VGA, USB Type A dan
USB Type B

PT-LB300 (1024X768), 2.9Kg, HDMI, 2 8,373,173
VGA, Wired LAN Control

(1024 x768), 3.8Kg, RGB, HDMI,
VPL-EX310 10,646,216
S Video, Video, RS-232C, RJ-45,
USB

3 INFOCUS IN116X (1280X800), 2.4kg, HDMI, PC 3D 9,271,623
Ready, RS232 Port, USB Port

(1024x768), 3.2Kg, HDMI, PC 3D
IN2124a 14,594,133
Ready, RS232 Port, USB Port,
Wired Networking
DLP, 3000 ANSI Lumens, 1080p

IN118HDA 16,736,776
(1920x1080), 2,45 Kg, HDMI

1 2 3 4 5
DLP, 3200 ANSI Lumens, SVGA

IN112X 5,262,693
(800x600), 2.45 kg, HDMI

IN230 5,204,072
(800X600), 2.35Kg, HDMI
4200 ANSI Lumens, XGA

IN3134a (1024x768), 3.15Kg, HDMI, USB 19,738,389
A, LAN
IN226ST (1024 x 768), 2.4Kg, HDMI, USB, 10,287,315
Short Throw
IN3136a (1280 x 800), 3.2 Kg, HDMI, 20,695,460
USB, 3D Ready,
WXGA (1280x800), 2.9kg, HDMI,
PT-LW362 17,584,980
2 VGA, USB Type A dan USB
Type B
WXGA (1280x800), 2,9Kg,
PT-LW312 12,081,823
HDMI, 2 VGA, USB Type A dan
USB Type B

PT-LB300 (1024X768), 2.9Kg, HDMI, 2 8,373,173
VGA, Wired LAN Control

PT-VX420 16,029,740
(1024x768), HDMI, 3.3Kg

(1024 x 768), 3.9Kg, HDMI,
PT-TX402A 14,953,035
USBt, Closed Captioning, Wired
Networking

WXGA (1280x800), 3.3Kg,
PT-VW350 17,584,980
HDMI, 1.6x zoom lens, Picture in
Picture
PT-LB332 (1024 x 768), 2.8 Kg, Wireless, 8,971,342
USB, VGA, RJ45
3LCD, XGA, 5500 Lumens,
PT-VX600 24,164,841
HDMI, 10-Watt speaker, 4.8 Kg
5000 ANSI Lumens, WUXGA

(1920x1200), 5.7kg, HDMI,
RS232 Port, USB Port, Closed
4 SONY VPL-CH370 31,702,970
Captioning, Wired Networking,
Geometric Correction, Crestron
RoomView
(1024 x768), 3.8Kg, RGB, HDMI,
VPL-EX310 10,646,216
S Video, Video, RS-232C, RJ-45,
USB

1 2 3 4 5

WXGA (1280x800), 3.9Kg, RGB,
VPL-EW345 HDMI, S Video, Video, RS-232C, 19,499,121
RJ-45, USB,
Stereo mini, Mini Jack

(1024 x768), 4Kg, RGB, HDMI, S
VPL-EX345 Video, Video, RS-232C, RJ-45, 13,517,429
USB,
(1024x768), 4Kg, RGB, HDMI, S
VPL-EX315 Video, Video, RS-232C, RJ-45, 10,885,484
USB,
WXGA (1280x800), 4.1Kg, Pin
Jack, Mini DIN 4-pin, Mini D-sub
VPL-EW295 15,311,936
15-pin, D-sub 9-
pin, HDMI, Stereo mini jack, RJ-
45, USB

WXGA (1280 X 800), 2.5Kg, Pin
VPL-DW122 7,176,835
Jack, Mini D-sub 15-pin, HDMI,
Stereo mini jack
(1024 x768), 2.5Kg, Pin Jack,
VPL-DX111 5,980,496
Mini D-sub 15-pin, HDMI, Stereo
mini jack
DLP, 3000 ANSI Lumens, XGA (
1024 X 768 ), 2.5 Kg, RGB I/O,
5 VIEWSONIC PJD5353LS 9,449,878
HDMI, Rs 232, 3D Blu Ray
Ready, Audio
( 1280 X 800 ), 2.5Kg, RGB I/O,
PJD5553LWS 10,467,962
HDMI, Rs 232, 3D Blu Ray
Ready, Audio
(1024 x 768), 2.1KG, Ready, S-
PJD5253 VIDEO , COMPOSITE VIDEO , 5,836,936
Component video,Mini USBx1,
RS232,Audio

(1024 X 768), 3 kg, S-VIDEO,
PJD6383S COMPOSITE VIDEO, USB TYPE 11,066,131
B Mini, RS 232 8 PIN MINI
DIN,RGB

(1280x800), HDMI, 3.6kg, RS232
6 VIVITEK DW868 Port, USB Port, Wired 17,795,942
Networking, Full HD 3D, Crestron
RoomView

1 2 3 4 5

(800 x 600), VGA-In (x2), S-
D560ST 7,176,835
Video, Composit, 3D Ready, 2,3
Kg, Semi Short Throw

(1024x768), 2,3 KG, 3D Ready,
VGA-In (15pin D-Sub), S-Video,
D552 5,980,496
Composite Video, Audio-In (Mini-
Jack), VGA-Out (15pin D-Sub),
Audio-Out (Mini-Jack), RS-232
DLP / 3200 ANSI Lumens / XGA

D536-3D ( 1024 x 768 ) / 3000:1 9,968,227
Ship Weight 3 Kg

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
PERTANIAN
KELOMPOK PERTANIAN, PERKEBUNAN, KEHUTANAN, PETERNAKAN DAN
II.
PERIKANAN

1 2 3 4 5
I. BIDANG PERTANIAN TANAMAN PANGAN DAN HORTIKULTURA

A. BIBIT
1. Benih/Bibit/Palawija
a. Padi Hibrida Kg 94,649
b. Padi Berlabel In Hibrida Varitas Unggul Sertifikat
- Label Putih Unggul Kg 41,291
- Label Ungu Unggul Kg 33,127
- Label Biru Unggul (Ciherang/IR 64) Kg 14,789
c. Padi Gogo Kg 14,789
d. Padi Ketan Kg 28,986
e. Kedele
- Label Biru Unggul Kg 17,747
f. Jagung Komposit Unggul (Bisma, Arjuna, Hanoman) Kg 26,028
g. Jagung Hibrida Bisi 816 Kg 76,902
Bisi 16 Kg 69,804
Bisi 2 Kg 70,987
Pertiwi 3 Kg 75,719
Pioneer Kg 87,550
Supra 1 Kg 78,085
h. Kacang Tanah
- Label Biru Unggul Kg 35,138
2. Sayuran
a. Cabe Standar 10 gr/Sachet 160,903
PM 99 10 gr/Sachet 162,086
Lado 10 gr/Sachet 159,720
Tanamo 10 gr/Sachet 145,523
Serambi 10 gr/Sachet 124,227
CK 100 10 dr/Sachet 130,142
Djimat 99 F1 10 gr/Sachet 127,776
Karomah F1 10 gr/Sachet 127,776
Dharmas F1 (Sindo F1) 10 gr/Sachet 96,424
b. Tomat Hibrida
- Lentana 5 gr/Sachet 100,565
- Petoseed 5 gr/Sachet 106,480
- Fortuna 5 gr/Sachet 100,565
STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 97

1 2 3 4 5
- TM 001 5 gr/Sachet 106,480
- Supernova 5 gr/Sachet 141,974
- Sahara F1 5 gr/Sachet 80,452
- Sherly 5 gr/Sachet 85,184
- Citra Asia F1 ( Alary F1 ) 5 gr/Sachet 170,072
- Swadehi ( cita F1 ) 5 gr/Sachet 110,917
- Natama Super ( vena F1) 5 gr/Sachet 110,917
c. Kentang
- Label Putih (G1) Granola 2 Kg 65,071
- Label Ungu (G2) Granola Kg 44,958
d. Bawang Bima Brebes

- Label Ungu Kg 82,818
- Label Biru Kg 59,156
e. Bayam - Samudra 500 gr 52,057

- Samudra 50 gr 17,451
- Merah Brata 500 gr 50,874
- Merah Brata 50 gr 14,197
- Hijau Merah Jelita 500 gr 50,874
- Hijau Merah Jelita 50 gr 14,197
- Amarin 500 gr 51,761
f. Selada - Grand Rapis 15 gr 17,747
g. Kangkung Darat Unggul

-Sejati 1 Kg 31,944
- Haiyan 1 Kg 31,944
- Shanghai 1 Kg 39,930
h. Terong - Mustang/Bimbi 5 gr/Sachet 26,324

- Ungu F1 5 gr/Sachet 18,338
- Tp 601 10 gr/Sachet 29,578
- Gaston 10 gr/Sachet 59,156
- Ungu F1 Graha 5 gr/Sachet 23,662
i. Kacang Panjang - MP Super 1 Kg 94,649

- Cory 500 gr 47,325
- Kp 801 100 gr 36,677
- Sergap 500 gr 92,431
j. Timun - Roman 25 gr/sachet 47,325
- TI 101 10 gr/sachet 35,493
- Aqso F1 10 gr/sachet 23,662
- Harkulas 20 gr/sachet 56,198

1 2 3 4 5
k. Buncis - Perancis 500 gr 118,311
- Gayoes 500 gr 44,958
- Dati 500 gr 44,958
- Elastis (Selendang) 500 gr 54,719
3. a. Mangga
- Unggul/berlabel (60 - 100 cm) Batang 82,818
b. Rambutan
- Unggul/berlabel (60 - 100 cm) Batang 76,902
c. Jeruk :
- Giri Matang Batang 70,395
- Manis/ Madu Batang 53,240
- Nipis Batang 37,268
- Keprok Batang 69,212
d. Durian Lokal Varietas Unggul Batang 153,805
e. Salak Pondoh Batang 53,240
f. Pisang Barangan Bonggol Batang 5,087
Anakan Batang 8,045
g. Nenas Lokal Tunas Batang 7,335
h. Sirsak Ratu Batang 66,018
- Unggul 1 tahun, 100 cm
i. Lengkeng 1 tahun, 100 cm Batang 116,537
j. Manggis 1 tahun Batang 61,522
Di atas 1 tahun. di atas 100 cm Batang 80,807
k. Melinjo 1 tahun, 100 cm Batang 53,240
l. Jambu 1 tahun, 100 cm Batang 47,916
m. Alpukat 1 tahun, 100 cm Batang 56,316
n. Belimbing 1 tahun, 100 cm Batang 56,316
o. Semangka
- Hibrida
-Biji (Baginda) 20 gr 46,733
-Super Dragon 20 gr 46,733
- Yelllow king 20 gr 80,452
- Non Bijik Red Sweet 20 gr 127,776
- Bulus F1 20 gr 110,917
q. Duku 70 - 80 cm 42,355
100-120 cm 46,733
4. Tanaman Obat
a. Jahe / Alia Kg 41,409
c. Kunyit Kg 2,544
B. PERALATAN PERTANIAN DAN OBAT-OBATAN

1 SAPRODI :
a. Pupuk - Urea Tabur Kg 8,661

1 2 3 4 5
- NPK (16:16:16) Kg 18,926
- NPK (15:15:15) Kg 15,397
- KCL (Belavesia) Kg 15,397
- TSP (P2O5 - 46%) Kg 9,623
- Organik/Kandang/Bokasi Kg 3,529
- Kapur Kg 2,502
- EM4 Kg 25,662
- Pupuk Pelengkap Cair (PPC) Ltr 134,727
- SP - 36 kg 13,537
- ZA Kg 7,121
- Frestan Ltr 50,041
b. Pestisida
* Insektisida Samite 1 Liter 349,648
Pegasus 1 Liter 1,042,978
Sidacis 25 EC 1 Liter 146,596
Curacron 1 Liter 359,913
Polydon 25 EC 1 Liter 239,621
Ken Fas 100 EC 1 Liter 224,545
Brocis 2,5 EC 1 Liter 277,152
Buzzztar 50 EC 1 Liter 199,652
Manuver 400 SL 1 Liter 218,129
Trisula 1 Liter 230,960
Biocron 500 EC 1 Liter 256,623
Starban 585 EC 1 Liter 200,166
Dursban 1 Liter 230,960
Sidametrin 1 Liter 109,065
Sidabas 1 Liter 153,974
Sidatan 1 Liter 153,974
Debest 200/20 Ec 1 Liter 487,583
Tamabas 500 Ec 1 Liter 109,065
* Fungisida Victory 1 Kg 115,480

Cozene 70/10 WP Kg 256,623
Zifio 90 WP Kg 209,597
Remedy 80 WP Kg 135,368
Cadilac 80 WP Kg 127,670
Nefos 45 WP Kg 275,869
Dithane W1 45 1 Kg 125,745
Satgas Kg 192,467
Multifor Kg 115,480
Megazeb 80wb Kg 76,987
Sidazeb Kg 153,974
* Rodentisida Petrokum RMB Kg 53,891

Klerat Kg 60,306
Kovinplus 80 P Kg 141,142
Sidarat Kg 76,987

1 2 3 4 5
* Herbisida Sidaxone 276 SL Kg 86,610

Servaxone Kg 86,610
Laris 250 SL/ Proris Kg 50,041
Sapu Bersih Kg 75,447
Sweeper 480SL Kg 86,610
Sistemik 240 SL Kg 58,382
Rengger Kg 56,906
Serbu 16 SL Kg 49,400
Roundup Kg 83,402
Bulma Kg 153,974
Obin Kg 102,649
Lutop Kg 96,233
Tamaris 240 SL Kg 38,493
* Pestisida Hayati Pestona 500 cc 206,196
* Pestisida Nabati Trichoderma 200 gram 63,514

Beauveria Ltr 63,514
Metarhizium Ltr 63,514
c. Moloskisida Seldena 250 EC Ltr 200,037

Kresnacid 250 EC 500 ml 141,142
Kresnoid 60 WP 100 gram 57,740
Anti Keong 65 WP 100 gram 70,571
d. Atraktan Petrogenol 15 ml /Ltr 1,860,514
e. Mulsa Plastik Gayo Tani Pergulung 513,245

Milikron 250 mtr 288,835
Milikron 250 mtr 570,953
f. Sprayer Ultra CBA Elektrik 16 Ltr 834,023
g. Embrat/Gembor Tempahan Unit 83,402
h. Pisau Okulasi Unit 51,325
i. Sekop Unit 75,062
j. Mesin Potong Rumput Tanaka Unit 4,834,128
k. Roda 3 Angkut Hasil Saprodi Viar Unit 40,572,033
l. Alat Penakar Curah Hujan OBS Unit 4,490,896

1 2 3 4 5
Tractor
a. Tractor Besar 90 HP - Agrindo TA-9004 Unit 620,060,000
Perlengkapan :
a. Rotari set
b. Disc Plow set
c. Canopi/Atap Ruang Kemudi buah
b. ISEKI 396,550,000
AT-5470FS-4WD (47,8 HP) Unit
Perlengkapan :
- Disc Plow set
- Rotary set
AT-5520FS-4WD (52,9 HP) Unit 438,265,000

Perlengkapan :
- Disc Plow set
- Rotary set
* Tractor Besar 65 HP - Agrindo TA-6504 (4WD) Unit 540,750,000

Perlengkapan :
a. Disc Plow set
b. Rotary set
* Tractor Sedang 45 HP - Agrindo TA-4504 (4WD) Unit 360,500,000

Perlengkapan :
a. Disc Plow set
b. Rotary set
c. Canopi/Atap Ruang Kemudi buah
b. Hand Tractor :
* Type Bajak Singkal 8,5 HP * Yanmar
- YST - DX Unit 33,063,000
- YST - PRO Unit 33,063,000
* Kubota
- G-1000 RD 110 DI - 2 T Unit 28,500,100
(Perlengkapan standar)
- G-3000 Zeva RD85DI-2S Unit 27,073,550
- G-1000Z+RD110DI-2T Unit 28,672,110
* Type Rotary 10,5 HP Yanmar Unit 41,612,000

Kubota/ZENA-POWER+ RD110DI-
* Type Rotary 11 HP Unit 38,975,200
2T+perlengkapan standar
c. Power Tresher Padi Lokal 12,692,690

Agrindo TP 1000-DT-800 H Unit 22,866,000
Yanmar MBI PT 3000 LJ Unit 27,297,575

1 2 3 4 5
Power Tresher Multiguna (Padi, jg ,

Agrindo TP 1000-DI-800 H Unit 25,750,000
kdl)
d. Reaper (Mesin Panen Padi) Agrindo (AR 120TN) Unit 30,900,000
e. Tugal Otomatis Unit 4,995,500
f. Atabela (Alat tanam benih langsung) Unit 52,015,000
g. Corn Sheller (Pemipil Jagung)

- Mesin Bensin Yanmar/Kobota 6,5 HP Unit 23,669,915
- Mesin Diesel Yanmar/Kubota 8,5 HP Unit 33,578,000
- Mesin Diesel Yanmar/Kubota 10,5 HP Unit 47,071,000
Agrindo Pj-700 BR-JI 800 H Unit 29,046,000
- Yanmar (Te 550 n/lengkap +

h. Cultivator (Alat pembuat Bedeng) Unit 32,193,680
Ridger ASSY
- Agrindo (KB60B2 + Ridger ) Unit 14,162,500
i. Dryer (Mesin Pengering) - Agrindo (ABD3200 + R70C) Unit 63,087,500

- Yanmar MBI BP 2400 Baja Unit 68,701,515
-Agrindo ABD 3200 MIXER

- Dryer Becf Auto MIXER Unit 200,850,000
(Tungku Sekam Pa )
- Dryer Vertikal -Agrindo VRD-60 (Kap. 6.000 Kg) Unit 566,500,000
CROWN.CCH 2000. Star (61,2
* Combine Harvester Unit 317,240,000
Hp)
* Rice Transplanter CROWN. Indojanoo Unit 83,430,000
* Power Reaper (Penanam Padi) Agrindo AR-120 TN Unit 620,060,000
Agrindo TRG-1000 Phoenix-
* Hand raktor Bajak Singkal Diamond 900 I 9 P (Perlengkapan Unit 28,325,000
Standar)
* Type Rotary ISEKI KAI 711-DI.1100 L (11 PK)I Unit 36,668,000
Mesin Pemecah Jagung ( Roda Besi - Tail Skid + Bajak ) 620,060,000
j. Mesin Pemipil Jagung CS 3000 GP Yanmar Unit 67,156,000

k. Seed Cleaner/Pembersih Gabah - Agrindo SCA2H+R70H (7 PK) Unit 22,660,000
- Agrindo SCA2H + DI800H (8 PK) Unit 26,265,000
l. Taxi Pump - Bensin - Robin/Honda 2,5 HP Unit 4,841,000

- Crown CWP-20 (2"-2") Unit 5,098,500
- Crown CWP-30 (3"-3") Unit 5,484,750
m. Pompa Air :
- 2 Inchi Niagara 8 PK (GT0-2 + D1800H) Unit 19,055,000

1 2 3 4 5
MBI-P 50 Unit 17,616,142
50 SQPB Unit 20,168,430
- 4 Inchi Niagara 8 PK (GT0-4 + D1800H) Unit 25,595,500
Diamond DI 900 H Unit 19,766,730

100 SQPB Unit 23,576,700
- 6 Inchi Niagara 11 PK (GT0-6 + DI1100H) Unit 30,657,950
MBI P 150 T (Trailer) Unit 43,414,088

GTO 6 + Diamond DI 1100 Unit 27,913,000
Niagara 27 PK (GMF8 + RA.395
- 8 Inchi Unit 58,256,800
S)
Niagara 36 PK (GMF12 + RA.495
- 12 Inchi Unit 102,871,250
S)
-Agrindo Aw60A4-A75.RPS 10A-

n. RMU (Rice Milling Unit)-1 Horse Unit 163,430,100
RA 495.S
RMU (Rice Milling Unit) -Agrindo ARM.1000+RA 395.S Unit 91,670,000
- Satake 28 PK (SB10D+R280H Unit 43,775,000

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
PERKEBUNAN
1 2 3 4 5
II. BIDANG PERKEBUNAN
A. BAHAN
I. B E N I H / KECAMBAH
1. Karet Biji 164
2 Kelapa Dalam Biji 5,161
3. Kelapa Hibrida Biji 5,630
4. Kelapa Sawit Biji 12,541
5. Pinang Biji 1,173
6 Kopi Arabica Biji 563
7 Kopi Robusta Biji 563
8 Kakao Biji 1,173
9 Kemiri Biji 821
10 Cengkeh Biji 1,642
11 Pala Biji 1,572
12 Kunyit Kg 15,248
13 Tembakau Gram 158,343
14 Tebu Stek 2,346
- Tebu Kultur Jaringan G2 Mata 1,759
- Tebu Kultur Jaringan G3 Mata 586
- Konvensional Kwintal 117,291
15 Nilam stek 1,114
16 Lada stek 3,050
17 Jambu Mete Biji 270
18 Kayu Manis (Cassiavera) Kg 157,546
19 Entres karet Meter 14,188
20 Entres Kopi Arabica Ruas 3,050
21 Entres Kopi Robusta Ruas 2,815
22 Entres Kakao Meter 4,692
23 Stum Karet/Mata Tidur Batang 12,538
24 LCC-PJ Kg 218,948
25 LCC-Cm Kg 61,343
26 LCC-CP Kg 52,547
II. BIBIT SIAP SALUR

1 Karet Berpayung Satu Batang 17,101
Berpayung Dua Batang 19,353
2 Kelapa Dalam Umur 8-12 Bln Batang 19,353
3 Kelapa Sawit Umur 7-12 Bln Batang 51,303
Umur 4-6 Bln Batang 42,178
Umur 3 Bln Batang 34,202
4 Pinang Umur 8-12 Bln Batang 7,859
5 Kopi Arabica Umur 5-6 Bln Batang 6,545
- Konvensional Umur 7-8 Bln Batang 7,859
- Somatic Embryogenesis (SE) Batang 14,075
Kopi Robusta
- Konvensional Batang 5,278
- Somatic Embryogenesis (SE) Batang 14,075
6 Kakao Umur 4-5 Bln Batang 9,031
STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 105

1 2 3 4 5
Somatic Embryogenesis Batang 17,242
7 Kakao Okulasi Batang 20,972
8 Kemiri Umur 1 tahun Batang 15,131
9 Cengkeh Siap Salur Batang 16,655
10 Pala Siap Salur Batang 16,013
11 Kapok/Randu Siap Salur Batang 3,519
12 Jambu Mete Siap Salur Batang 5,865
13 Cassiavera Kayu Manis Siap Salur Batang 5,865
14 Nilam Siap Salur Batang 4,926
15 Lada Siap Salur Batang 13,606
16 Gambir Siap Salur Batang 10,556
17 Pisang Abaca Siap Salur Batang 28,150
18 Jarak Pagar Siap Salur Batang 3,988
III. PUPUK
- Kieserit/Magnesium (Mgo) Granular Kg 5,785
- Rock Phosphat Kg 4,500
IV. BAHAN - BAHAN LAIN

1. Polibag Kg 44,997
2. Tiang Pagar Batang 17,999
3. Tiang Naungan Batang 17,999
4. Atap Naungan Helai 10,671
5. Bambu Batang 128,562
B. PERALATAN/ PERKEBUNAN
1. Parang Buah 115,706
2. Cangkul Cap Buaya Buah 179,987
3. Garpu Buah 77,137
4. Koret Buah 51,425
5. Gunting Pangkas Buah 111,849
6. Gergaji Pangkas Buah 111,849
7. Pisau Okulasi Buah 86,137
8. Gelas Ukur Buah 119,820
9. Ayakan Buah 86,137
10. Mesin Bor Unit 14,141,846
11. Mata Bor Buah 343,261
12. Mist Blower Unit 12,599,099
13. Power Sprayer TF 200 Unit 14,270,408
14. Destilator Unit 14,270,408
15. Cold Box Unit 5,013,927
16. Selang Plastik Semprot Meter 55,282
17. Hand Sprayer Buah 771,373
18. Gembor Buah 86,137
19. Dodos Buah 94,493
20. Pisau Deres Buah 51,425
21. Mangkok Latex Buah 6,042
22. Ember Lateks Buah 30,855

1 2 3 4 5
23. Timbangan Duduk Unit 2,892,650
24. Kereta Sorong Buah 535,140
25. Egrek Buah 162,631
26. Gergaji dan Gunting Pangkas SLPHT Set 462,824
Alat dan Mesin Pengolah Kopi

a. Mesin pengupas kulit buah Kap. 50 Kg/jam Unit 23,269,765
Kap. 200 Kg/jam tanpa
b. Mesin pengupas kulit buah (hand pulper) Unit 39,211,482
penggerak
Kap. 1 Ton/jam, Mesin diesel
c. Mesin pengupas kulit buah (pulper) Unit 56,567,385
china 5 HP
Kap. 200 Kg/jam, Penggerak

motor bakar honda 5,5 PK, Unit 68,137,986
Transmisi pulley, Sabuk Karet V
Kap. 50 Kg/jam, tanpa

Unit 49,367,899
penggerak
Kap. I Ton / jam mesin diesel

Unit 135,761,723
China 8 HP sabuk karet V
Panjang 600 mm, Lebar 400

d. Mesin Pulper Kopi mm, Tinggi 950 mm, Kapasitas Unit 17,188,771
100 kg/jam
Silinder Pengupas :
Panjang 275 mm, Diameter 190

mm, Bahan Pengupas Kulit Besi
Baja, Rangka Mesin Baja Profil
Kotak
Corong Pemasukan :
mm, Tinggi 190 mm
Corong Pengeluaran biji :
mm
Corong Pengeluaran biji :
Panjang 250mm, Lebar 270 mm
Mesin Penggerak :
Tipe Mesin silinder, Tunggal
OHV 25,4 tak, berpendingin
udara
Tenaga Output Maks 4.8 KW
(6.5 HP) 3600 rpm
Sistem Penyalaan : Recoil
Kapasitas Bahan Bakar : 3,6
Liter

1 2 3 4 5
Pembersih Udara : Semi Dry
Kapasitas Oli : 0.6 Liter
Dimensi (p x l x t): 313 x 386 x

335 mm
Berat Kering : 16 Kg
Kap. 1,5 Ton HS/batch, Sumber

e. Mesin Pengering (dryer) panas minyak tanah, penggerak Unit 56,567,385
mesin dieseleks china 7 PK
Kap.4 Ton HS/Batch sumber

panas teuku kayu penggerak
Unit 222,412,671
motorlistrik @1/4HP, 3
kipasaksial
Kap. 4000 Kg/Batch sumber

panas teuku kayu penggerak
Unit 222,412,671
motor diesel 7 PK eks China 8
HP transmisi pulley
Kap. 500 Kg/jam, Motor bakar

f. Mesin Pencuci kopi HS (Washer) Unit 56,567,385
honda 4 HP
Kap. 30 Kg / jam penggerak,

Unit 16,713,091
Motor bakar honda 5,5 HP
Kap. 500 Kg/jam (HS Kering),

g. Mesin pengupas kulit kopi (Huller) Unit 77,780,154
Mesin diesel china 24 PK
Kap. 200 Kg / jam (HS Kering),

Unit 74,566,098
Kap. 100 Kg / jam (HS Kering),

Unit 45,125,345
Kap. 400 Kg/jam Transmisi

h. Mesin sortasi biji kopi puller Motor listrik 1/2 PK, sabuk Unit 91,922,000
karet V
Kap. 1200 Kg/jam Transmisi

puller Motor listrik 5,5 PK, sabuk Unit 103,492,601
karet V
i. Mesin sangrai kopi (roaster) Kap 50 Kg/batch Unit 254,553,230

Kap 30 Kg/batch Unit 199,271,468
Kap 10 Kg/batch (1 batch=45
Unit 77,137,343
menit)

1 2 3 4 5
j. Mesin pencampur (blender) Kap. 30Kg/batch Unit 101,564,168
k. Mesin pembubuk kopi sangrai (grinder) - Kap. 60 Kg/jam Unit 110,563,524
- Kap. 30 Kg/jam Unit 84,851,077
- Kap. 15 Kg/jam Unit 71,994,853
Mesin Grinder Latina 207 N 12,354,831
packing size (LxWxH) 42x45x38
Packing wt 13,4
Power 250 watt 1/3 HP
Hopper Capasity 0,9 L

Grind speed 450 g/min coarse
ground Or 25 kg/hr
Burrs Diameter 90 cm
Rotation Speed 1400 rpm
Dimensi (LxWxH) 35x20x54 cm
Berat 11,7 kg
Kap. 100 Kg/jam (1 batch = 7
l. Alat uji citarasa kopi (grinder) Unit 64,281,119
menit)
Kap. 100 Kg/jam (1 batch = 7
Alat uji citarasa kopi (roaster) Unit 138,847,217
menit)
m. Sealing manual Tipe injak P=20 cm Unit 14,141,846
Band Sealer Model : Fr 900 11,313,477

Input Power : 500
Watt Speed : 0-12 meter/menit

Lebar : 6-12 mm
Suhu : 0-300º C
Berat : 30 kg
Dimensi : 85 x 42 x 36 cm
n. Kemasan alumunium (min.5.000 lbr) Max isi kemasan @ 250 g Unit 18,255,838
o Peralatan Lantai Jemur Kopi Unit 4,113,992
Alat dan Mesin Pengolahan Kakao
Kap.3 Ton/jam penggerak motor

Mesin pemecah buah kakao dan
a. listrik 3 KVA atau motor bakar Unit 133,704,727
pemisah (podbreaker)
honda 5 HP
Kap. 1 Ton/jam biji kakao basah

b. Mesin pemeras lendir kakao (depulper) penggerak motor listrik 3 KVA Unit 89,993,566
atau motor bakar Honda 5 HP

1 2 3 4 5
Kap. 1,5 ton HS/batch (1 batch

= 50 jam) bahan bakar minyak
c. Mesin pengering (dryer) Unit 100,921,356
tanah, kipas aksial 2 unit,
penggerak motor listrik @1/4 HP
Kap. 4 ton HS/batch (1 batch =

50 jam) bahan bakar minyak
Unit 222,412,671
tanah, kipas aksial 6 unit,
penggerak motor listrik @1/4 HP
Kap. 400 Kg/jam penggerak

d. Mesin sortasi biji kakao Unit 44,996,783
Motor listrik 1 HP, 1 phase
Kap. 1.200 Kg/jam penggerak
motor listrik 3 HP, 3 phase atau Unit 55,924,573
motor bakar Honda 4HP
Kap.30 Kg/batch (1 batch = 30-

45 menit) penggerak motor
e. Mesin sangrai (roaster) Unit 167,130,909
listrik 1 HP bahan bakar minyak
tanah

Unit 89,993,566
listrik 1/2 HP bahan bakar
minyak tanah.

Unit 66,852,364
listrik 1/2 HP bahan bakar
minyak tanah.
Mesin pemisah dan pemisah kulit kakao Kap. 80 Kg/jam, penggerak

f. Unit 100,278,545
kokoa(desheller) motor listrik 1 HP
Kap. 500 gr/batch (1 batch = 5

g. Pengempa lemak Unit 28,926,503
menit manual)
Hidroulik, penggerak motor

listrik 3 KVA, 3 phase, kapasitas 101,564,168
3 kg/3 menit.

1 2 3 4 5
Kap. 20 Kg/jam, penggerak

h. Pemasta kasar motor listrik 1/2 HP, pemanas Unit 44,996,783
listrik 500W
Kap. 50 Kg/jam, penggerak

motor listrik 2 HP, pemanas Unit 78,422,965
listrik 500 W
Kap. 4 Kg/batch (1 batch=20
i. Pemasta halus dan pembubuk coklat jam), Kap. 2 Kg/batch (1 Unit 149,132,196
batch=3 mn)
Kap. 8 Kg/batch (1batch=20
jam) Kap. 4 Kg/batch (1 batch=3 Unit 190,914,923
mn)
Peralatan Penjemuran Biji Kakao Pipa Besi : 01 1/2" Unit 3,085,494
Pipa Besi : 01 1/4"
Pipa Besi : 01 1/4"
Besi : L 40/40
Baut + Mor : 8 mm
Plat tapak kaki : 0.8 x 8
Plastik putih : 4 m x 5.30 m
Fermentasi Biji Kakao Ukuran Kerangka Meja 1,285,622
Kayu : 4.5 cm x 6.5 cm
Ukuran Kayu Alas/Jari
Kayu : 3 cm x 4.5 cm x 90 cm
Kotak Fermentasi Kapasitas : 40 - 50 kg 745,661
Type : Bak Kayu
Bahan Papan : Kayu
Ukuran (pxlxt) : 40x40x50 cm
Tebal Papan : 15-20 mm
Pengukuran Kadar Air Biji Kakao Display Digital LCD 4 Digit 5,656,738
Rentang Pengukuran 7% - 28%
Temperatur Operasional 0-60°

C
Humadity Operasional 5%-90%

1 2 3 4 5
Resolusi Pengukuran 0,1
Power Supply 4 x 1,5 AAA size

(UM4) Battery
Dimensi Alat 460 mm x 75 mm x

35 mm
Biji-Bijian yang dapat diukur 25

jenis biji-bijian
Input Sensitivity : User

Pengukur Suhu Unit 1,028,498
Selectable 0,1 °C
Temperatur Range : 40.0 ºC-

250 °F
Sumber Daya : Baterai LR44

(1,5)
Alat Pengolah Kelapa
Kapasitas 1.750 butir
a. Alat Pengolah Minyak Kelapa Unit 771,373,425
kelapa/hari
b. Alat Pengolah serat Sabut Kelapa Unit 334,261,818
kelapa/hari
c. Alat Pengolah Arang Tempurung Unit 92,564,811
kelapa/hari
d. Alat Pengolah Nata de Coco Unit 334,261,818
kelapa/hari
e. Alat Pengolah Batok
1. Mesin Penghancur Batok Skala besar Unit 308,549,370
2. Mesin Penepung Batok Skala besar Unit 308,549,370
3. Mesin Pembakar Batok Skala kecil Unit 38,568,671
Tungku Pyrolisis Kapasitas : 120 Kg Unit 77,690,160

Bahan Bakar : Kayu,
Tempurung
Dimensi Alat : Diameter 0,9 m
Bahan : Baja Stainless steel
Pendingin : Air
Sistem : Manual (Batch)
Penepung Arang Kapasitas : 20 kg/Jam Unit 15,427,469
Mesin : Tenaga Diesel

1 2 3 4 5
Bahan Bakar : Solar
Bahan Penopang : Besi
Pencetak Briquete Kapasitas : 1 kg/Press Unit 39,340,045
Bahan : Baja SS
sistem : Manual
Oven Briket Kapasitas : 50 kg/Jam Unit 21,934,003

Bahan : Baja SS
Bahan Bakar : Tempurung
Kelapa, Gas
Ukuran (PxLxT) : 60x120x140
mm
Alat Pengolahan Kelapa Sawit
1. Pabrik Kelapa Sawit Kapasitas Olah 3 ton TBS/Jam Unit 24,996,151,680

( 3 Ton TBS/Jam)
( 5 Ton TBS/Jam)
( 10 Ton TBS/Jam)
Alat-Alat Penyulingan
1. Alat Penyuling Pala Skala Sedang Unit 231,412,028
2. Alat Penyuling Sere Wangi Skala Sedang Unit 231,412,028
3. Alat Penyuling Daun Cengkeh Skala Sedang Unit 231,412,028
4. Alat Penyuling Nilam Skala Sedang Buah 231,412,028
Alat-Alat Pengolahan Nilam

1 Ketel Stainless Kap 30 kg Ketel Suling Unit 90,713,515
type : bejana Vertikal
Material : Stainless Steel 304
tebal : 3 mm
Diameter : 0,55 m
Tinggi Total : 1,2 m
Kapasitas Total Terpasang : 40

kg
Separator

1 2 3 4 5
type : Pemisah Minyak dan Air
Material : Stainless Steel
Tebal : 1,2 mm
Diameter : 0,25 m
Tinggi Total : 0,4 m
Volume Total : 35 liter
Kondensor
Type : Spiral Condensor
Material Pipa : Stainless Steel 1"
Tebal Pipa : 1,2 mm
Tinggi Total : 1,2 mm
Diameter Spiral : 0,55 m/bentuk

disesuaikan
Panjang total Pipa : 24 m
Boiler
Type : Bejana Horizontal, Fire

tube
Material : Mild Steel
Bahan Bakar : Kayu bakar,

Solar, Minyak tanah, Gas
Tebal : 5 mm
Diameter : 0.5 m
Tinggi total : 1 m
Volume Total :170 liter
Jenis pipa : Pipa Api WLD 1"
Mesin Cincang Nilam Type : BEJE -200 E 40,728,517
Panjang : 1100 mm
Lebar : 550 mm
Tinggi : 900 mm

1 2 3 4 5
Kapasitas : 300-500 kg/Jam

Penggerak : Motor Diesel
Yanmar 6,5 Hp
Alat Pengolahan Gambir

1. Alat Pompa Hidrolik Kapasitas 300 Kg/hari Set 111,849,147
2. Bak Pengendapan Alumunium Kapasitas 300 Kg/hari Set 127,276,615
3. Alat cetak Kapasitas 300 Kg/hari Set 15,427,469
4. Tangki Perebus dan Tungku Kapasitas 300 Kg/hari Set 3,085,494
Alat Pengolahan Tebu

1. Huler 18 PK Setara Antarlina Model Bf 8 82,279,832
Panjang cylinder 24 cm
Jumlah cylinder 28 cm
Daya 18 PK
Rpm Rulban 300
Chasis UNP 15
Panjang mesin 120 cm
Lebar Mesin 140 cm
Tinggi Mesin 90 cm
Berat Mesin + 1.100 Kg
2 Mesin Penggerak 23 PK Model ZS 1115 19,657,166
Tenaga Maksimum 25/2.200
hp/pm
Tenaga Kontinyu 21/2.200
hp/pm
Diameter x pjg langkah 115x115
ltr
Volume langkah 1.195 liter
Konsumsi bahan bakar 175
gr/hp/hr
Berat 185 kg
Jenis mesin diesel horizontal 4
langkah
Jumlah silinder 1
Sistem star tangan/engkol
Sistem pendingin
Hopper/radiator
Sistem pelumas sistem
kombinasi tekanan dan
penyebaran
Sistem pembakaran: langsung
Mesin Pakai: SNI
3. Kuali (Belanga) Diameter 100 cm Diameter Kuali: 100cm 3,085,494

Tebal plat: 5 mm
Tebal dinding: 2 mm

1 2 3 4 5
Kapasitas: 6 kaleng (120 liter)
4. Tali kipas 4 inch 237,840

5. Selang plastik Diameter 1,5 inch 2,571,245
6. Bak pendingin gula Bahan: papam ketam/sporing 1,542,747
Ukuran: 120 cmx200cm
7. Drum 514,249
8. Drum serubung 282,837

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
KEHUTANAN
1 2 3 4 5
III. BIDANG KEHUTANAN
A. Benih Tanaman Kehutanan

- Jati Sertifikat Kg 448,767
- Mahoni Sertifikat Kg 364,623
- Sengon Sertifikat Kg 2,524,314
- Gmelina Sertifikat Kg 532,911
- Jabon Sertifikat Kg 14,023,969
- Akasia Mangium Sertifikat Kg 560,959
- Eucalyptus Sertifikat Kg 5,609,588
- Suren Sertifikat Kg 2,804,794
- Pinus Merkussi Sertifikat Kg 2,916,986
B. Bibit Tanaman Kehutanan

1. MPTS
Tinggi 30-50 cm
- Duku Batang 24,682
- Rambe Batang 10,658
- Jambu Kaca Batang 35,901
- Jambu Kleng Batang 6,732
- Jambu Bol Batang 21,316
- Klayu Batang 19,073
- Mancang Batang 12,341
- Kuini Batang 11,219
- Serba Batang 8,414
- Sukun Batang 16,829
- Cempedak Batang 22,438
- Kulu Batang 14,585
- Petai Batang 11,219
- Asam Jawa Batang 6,732
- Asam Thailand Batang 20,195
- Batok Batang 20,195
- Sentul Batang 10,097
- Jengkol / Jering Batang 11,780
- Randu Batang 12,902
- Aren Batang 17,390
- Sagu Batang 28,048
- Bacang Batang 16,829
- Kluwih Batang 12,341
- Srikaya Batang 14,585
- Rotan Batang 17,951
- Jernang Batang 28,048
- Durian Batang 11,219
- Nangka Batang 13,463
- Manggis Batang 22,438
STANDAR SATUAN HARGA BARANG/JASA KEHUTANAN Hal - 117

1 2 3 4 5
- Pala Batang 15,707
- Alpukat Batang 12,902
- Sere Wangi Batang 1,010
- Suren Batang 11,219
2. Pertukangan/ Pulpl/Endemik
Tinggi 30-50 cm
- Salam Batang 10,097
- Gmelina / Jati Putih Batang 10,097
- Trembesi Batang 10,097
- Angsana / Sono Kembang Batang 15,707
- Bungur Batang 10,097
3. Kayu Bakar
Tinggi : 30-50 cm
- Lamtoro Batang 5,610
- Akasia Batang 6,732
- Gamal Batang 5,610
- Turi Batang 5,610
- Kaliandra Batang 5,610
4. Tanaman Pantai
Tinggi : 30-50 cm
- Cemara Laut Batang 7,853
- Waru Batang 11,219
- Pandan Batang 8,975
- Sawo Kecik 19,073
- Ketapang Batang 7,292
- Nyamplung Batang 6,171
- Kelapa Batang 12,902
- Rumbai Batang 20,195
- Keben Batang 5,610
5. Tanaman Komersil
Tinggi 25-40 cm
- Punak Batang 16,829
- Mahoni Batang 11,219
- Jati Kultur Jaringan Batang 14,024
- Medang Batang 23,560
- Gaharu Batang 22,438
- Meranti Batang 22,438
- Keruing Batang 21,316
- Semantok Batang 28,048

1 2 3 4 5
- Merbau Batang 28,048
- Damar Batang 17,951
- Kayu Hitam Batang 22,438
- Puno Batang 8,414
- Kayu Manis Batang 12,341
- Sono Keling Batang 11,219
- Spatodea Batang 11,219
- Seulanga Batang 17,951
- Flamboyan Batang 19,073
- Tanjung Batang 12,341
- Bayur Batang 8,975
- Jabon Batang 7,853
- Saga Batang 7,012
- Soga Batang 6,732
- Kayu Putih/Eucalyptus Batang 11,219
- Beringin Batang 14,024
- Sengon Batang 7,853
- Laban Batang 11,219
- Damar-damar Minyak Batang 22,438
- Sungkai Batang 7,853
- Dadap Batang 22,438
- Mimba Batang 7,853
- Nyatoh Batang 11,219
- Sawo Kecik Batang 22,438
- Johar Batang 7,853
- Puspa Batang 12,341
- Mindi Batang 7,853
- Rasamala Batang 16,829
- Benot Batang 8,975
- Kapur Batang 21,316
- Jati Batang 10,658
- Cendana Batang 33,658
- Pinus Tinggi 15 - 20 cm (ekor bajing) Batang 7,853
- Puno Batang 12,341

- Cenggal Batang 7,853
- Cawardi Batang 7,853
6. Tanaman Palmae
Tinggi 25-40 cm
- Palem Raja Batang 33,658
- Palem putri Batang 33,658

1 2 3 4 5
- Pinang Batang 8,975
- Cycas Batang 67,315
- Palem Merah Batang 39,267
- Sagu/Rumbia Batang 17,951
- Palem Ekor Bajing Batang 28,048
- Palem Botol Batang 50,486
- Lontar Batang 17,951
- Pinang Merah Batang 28,048
- Palem Segitiga Batang 44,877
- Palem Backtris/Phonix Batang 33,658
- Corypha Batang 67,315
- Palem Hijau/Kuning Batang 19,073
- Palem Udang Batang 19,073
- Palem Jari Batang 22,438
- Palem Kipas Batang 22,438
- Pandan Bali Batang 53,852
- Kelapa Geujah Hijau (u kee) Batang 7,853
- Kelapa Geujah Kuning Batang 7,853
- Kelapa Dalam Batang 11,219
- Kelapa Hybrida Batang 16,829
- Pandan Gunung Batang 44,877
-Rambong Merah Batang 28,048
7. Tanaman Konifer
Tinggi 25-40 cm
- Cemara Gunung Batang 16,829
- Cemara Northfolk Batang 16,829
- Cemara Udang Batang 21,316
- Cemara Kipas Batang 28,048
- Cemara Lilin Batang 39,267
- Cemara Tingkat/ Elephen Batang 39,267
8. Tanaman Khas Aceh

Tinggi : 25-40 cm
- Cokok / Karieng Batang 13,463
- Jeumpa Batang 16,829
- Seulanga Batang 16,829
- Cengklek/Keranji Batang 22,438
- Kumbang Batang 44,877
- Hagu Batang 44,877
- Batoh Batang 28,048
- Kelayuh Batang 13,463

1 2 3 4 5
9. Tanaman Bambu Tinggi : 40-60 cm

- Bambu Putong/ hias pagar Rumpun 22,438
- Bambu Kuning Rumpun 28,048
- Bambu Buluh Rumpun 33,658
- Bambu Jepang Rumpun 28,048
- Bambu Roma Rumpun 28,048
- Bambu Besar Rumpun 28,048
- Bambu Batu/Duri Rumpun 16,829
- Bambu Kultur Jaringan Rumpun 28,048
10. Tanaman Turus Jalan / Hutan

Kota
Tinggi : 75-100 cm
- Angsana Batang 21,316
- Mahoni Batang 14,585
- Asam Batang 13,463
- Trembesi Batang 12,341
- Cemara Gunung Batang 20,195
- Flamboyan Batang 28,048
- Beringin Batang 40,389
- Tanjung Batang 13,463
- Pulai Batang 20,195
- Sawo Kecik Batang 22,438
- Damar Batang 29,170
- Glodokan Tiang 28,048
11. Tanaman Mangrove

Tinggi 40-60 cm
- Bakau Batang 2,019
- Tancang Batang 1,795
- Seriop Batang 1,122
- Api-api Batang 1,683
- Nyirih Bunga Batang 2,805
- Nipah Batang 17,390
l. Tanaman Pinggir Jalan

Tinggi 75-100 cm
- Bungur Bibit 28,048
- Kupu-kupu Bibit 26,926
- Spatodea Bibit 26,926

1 2 3 4 5
- Dadap Merah Bibit 89,753
- Gelinggem Bibit 89,753
- Darsena Bibit 84,705
- Tombak Raja Bibit 39,267
- Agave Bibit 100,973

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
PERIKANAN
NO JENIS BARANG MEREK/MODEL/UKURAN SATUAN HARGA
1 2 3 4 5
IV. BIDANG KELAUTAN DAN PERIKANAN
A BUDIDAYA
a. INDUK
1 Induk ikan mas Ginogenesis (Luar Daerah) 12-18 bulan Kg 591,545
2 Induk ikan mas lokal ≥ 350 gram Kg 146,235

3 Benih calon induk ikan mas 5-8 cm Ekor 3,289
4 Benih ikan mas 2-3 cm Ekor 715
5 Benih ikan mas 3-5 cm Ekor 1,430
8 Induk ikan nila ≥250s/d300 Gram Kg 246,312
9 Benih ikan nila merah/gift 2-3 cm Ekor 715
10 Benih ikan nila merah/gift 3-5 cm Ekor 991
11 Benih ikan nila merah/gift 5-8 cm Ekor 2,146
14 Induk ikan lele dumbo ≥300 Gram Kg 246,312
15 Benih ikan lele dumbo 3-5 cm Ekor 1,430
18 Induk ikan gurami lebih dari 10 kg Ekor 282,154
19 Induk kakap merah jantan Lebih dari 6 kg Ekor 522,761
20 Induk kakap merah betina Lebih dari 8 kg Ekor 522,761
21 Induk kakap putih jantan Lebih dari 5 kg Ekor 461,096
22 Induk kakap putih betina Lebih dari 8 kg Ekor 461,096
23 Benih ikan kakap putih 2-3 inc Ekor 10,134
24 Benih ikan kakap putih 3-5 cm Ekor 11,997
25 Benih ikan kakap putih 5-8 cm Ekor 13,491
26 Induk kerapu tikus / bebek jantan 12 Kg Ekor 766,382
27 Induk kerapu tikus / bebek betina 8 Kg Ekor 766,382
28 Induk kerapu macan jantan 8 Kg Ekor 766,382
29 Induk kerapu macan betina 12 Kg Ekor 766,382
30 Benih ikan kerapu bebek 6-8 inc Ekor 19,635
31 Benih kerapu lumpur 2-3 cm Ekor 6,638
35 Benih ikan kerapu macan 2-3 cm Ekor 6,676
STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 123

1 2 3 4 5

39 Induk udang windu jantan lebih 14 cm Ekor 679,727
40 Induk udang windu betina 12-14 cm Ekor 1,254,764
41 induk Ikan Kerling Lokal 1-2 Kg Ekor 462,363
42 induk Ikan Kerling Lokal 2-3 Kg Ekor 616,906
43 benih Ikan Kerling Lokal 5-8 cm Ekor 9,970
44 benih Ikan Kerling Lokal 8-10 cm Ekor 11,143
45 Induk udang windu betina matang gonad Lebih 12 cm Ekor 2,091,458
46 Benur Udang windu PL 15 Ekor 102
49 Benih udang windu tokolan 2 bln Ekor 991
50 Nener Bandeng 1-1,5 cm Ekor 715
51 Nener Bandeng gelondongan 6-8 cm Ekor 1,995
52 Bandeng umpan 8-10 cm Ekor 3,715
53 Benih kepiting 50 s/d 100 gram Kg 104,414
54 Benih ikan Bawal air tawar 3-5 cm Ekor 2,862
57 Bibit/benih rumput laut 1000 Gram Kg 58,646
58 Gelondongan Ikan Bandeng Air Tawar 5-8 cm Ekor 3,439
59 Rumput Laut glaseria 1000 Gram Kg 35,187
60 Induk ikan nila merah/gift dari BBAT ≥200 s/d 350 Gram Kg 263,906
61 Benih calon induk ikan nila merah/gift 3-5 cm Ekor 2,862
62 Benih calon induk ikan nila JICA 3-5 cm Ekor 3,577
63 Benih calon induk ikan nila JICA 8-10 cm Ekor 14,583
64 Benih ikan nila gesit 3-5 cm Ekor 2,146
65 Benih calon induk ikan nila gesit Luar Daerah 3-5 cm Ekor 36,455
66 Benih calon induk ikan lele dumbo 3-5 cm Ekor 3,577

67 Induk ikan patin 100 Gram Kg 175,937
68 Benih calon induk ikan patin 3-5 cm Ekor 3,136
69 Benih ikan patin 3-5 cm Ekor 4,105
72 Benih ikan Grasscrap 3-5 cm Ekor 2,572
75 Benih Ikan Kerling 3-5 cm Ekor 7,000
78 Benih Ikan Gurami 1-3 cm Ekor 4,815

1 2 3 4 5

82 Benih Belut/Sidat 100 gram Kg 481,490
b. PERALATAN
1 Serok Besar Buah 121,304
2 Ember plastik kecil < 10 Liter Buah 20,635
3 Ember plastik sedang 10 s/d 15 Liter Buah 41,683
4 Ember plastik besar bertutup > 15 Liter Buah 113,632
5 Keranjang plastik benih 80 Liter Buah 127,556
6 Timba plastik kecil 5 - 10 Liter Buah 41,683
7 Timba plastik besar 10 - 30 Liter Buah 62,594
8 Hand counter Kenko Buah 125,462
9 Petridish Pyrex Buah 171,961
10 Sentrifuge listrik dgn pengatur kecepatan Biomedical/Toster 7,691,342
11 Gelas ukur Pyrex 10 cc Buah 175,676
14 Pin-set Chirurcies 673,536
15 Kertas PH Lakmus Kotak 92,997
16 Hapa pembenihan 2x4x1 m Unit 466,908
17 Hapa penampungan 2x4x1 m Unit 430,452
18 Hapa pendederan 1,5x2x1 m Unit 430,452
19 Kakaban 05x1 m² Unit 94,784
20 Baskom plastik kecil 10 Liter Buah 17,334
21 Disecting Set Gold Cross Unit 483,141
22 Corong plastik Ø 20 Buah 14,583
23 Gayung plastik 1 Liter Buah 627,313
24 Kertas saring Kotak 146,235
25 Termometer minimum 50 cc Buah 345,023
26 Termometer maksimum 300 cc Buah 15,397,910
27 Root blower 3 pas Buah 46,471,331
28 Hi blower Takatsuki Unit 15,561,223
29 Genset 2200 watt/Honda Unit 10,039,351
30 Genset 600 watt/Yamakoyo Unit 3,272,760
31 Kincir Tambak Lengkap Nanrong Set 14,074,965
32 Pompa submersibel dan dynamo 2 inc Set 33,559,626
37 Pompa Air 3/4 inc Buah 663,907

1 2 3 4 5
38 Drum (logam)/200 L Buah 948,537

39 Drum (plastik)/200 L Buah 474,200
40 Jaring Panen Bandeng Benang Samsi 50 M Set 786,893
41 Alat Panen tambak Cro Kantong 6M Unit 4,292,144
42 Jang Bambu Panen 1,5x4 M Set 2,146,072
43 Jang bambu Pintu Air 2,5x2 M Set 1,859,929
44 Pompa Centrifugal Matsuko/8 inc Buah 48,089,464
45 Sampan tanpa mesin 4 x 0,7 m/Kecil Buah 6,451,026
46 Sampan tanpa mesin 5 x 0,7 m/Besar Buah 7,623,939
c. SAPROKAN
1 Pakan Ikan Kerapu :
- Pakan ikan starter pokphan Kg 28,889
- Pakan ikan Grower pokphan Kg 20,635
- Pakan ikan finisher pokphan Kg 20,635
2 Pakan udang (intensif) starter Kg 36,318
3 Pakan udang (intensif) Grower Kg 33,705
4 Pakan udang (intensif) finisher Kg 29,990
5 Pakan Benih Udang :
- Babyplankton Kg 1,505,828
- Monodon Kg 752,776
- Flex Kg 1,129,301
- Chlorella Kg 1,129,301
6 Artemia Pounds 878,376
7 Kapur dolomit Kg 11,556
8 Brestan 60 (Bentan ) Kg 2,509,666
9 Hormon Ova prim 10 mg Ampul 701,601
10 Saponin Kg 10,556
11 Moluskisida 100 Gram Gram/saset 112,806
12 Pakan pelet pokphan Kg 17,594
13 Ikan rucah Kg 13,069
14 Galian Tanah Saluran manual M3 29,165
15 Galian Tanah Saluran ( Alat Berat) M3 23,248
16 Perataan dan memadatkan tanah pematang M3 12,931
17 Pipa Paralon Tambak Tipe AW/8 inc btg 3,004,501

21 Pakan Ikan Air Tawar
- Pakan ikan starter Proton 30 % - 30 % Provit Kg 23,000
- Pakan ikan finisher Vit 30 % - 30 % Provit Kg 17,000

1 2 3 4 5
B PENANGKAPAN
Sarana dan Peralatan
1 Mesin Kapal Motor Honda/5,5 PK Unit 4,626,206
2 Mesin Kapal Motor Honda/6,5 PK Unit 4,626,206
3 Mesin Kapal Motor Donfeng/Jiandong 12 PK Unit 7,251,891
4 Mesin Kapal Motor Donfeng/Jiandong 16 PK Unit 10,002,608
5 Mesin Kapal Motor Donfeng/ 20 PK Unit 11,878,098
6 Mesin Kapal Motor Donfeng 23 PK Unit 13,705,497
7 Mesin Kapal Motor Jiang Dong/ 24 PK Unit 11,878,098
8 Mesin Kapal Motor Yanmar/10,5 PK Unit 25,631,684
9 Mesin Kapal Motor Yanmar/23 PK Unit 33,428,042
10 Mesin Kapal Motor Yanmar/30 PK Unit 42,224,895
11 Mesin Kapal Motor Marine engine/120 PK Unit 387,061,538
12 Mesin Kapal Motor Marine engine/220 PK Unit 688,500,371
13 Mesin Tempel Yamaha / 25 PK Unit 39,058,028
14 Mesin Tempel Yamaha / 40 PK Unit 50,552,583
15 Gear Box Model 0,6 Ratio 2,5 Set 7,506,648
16 Gear Box Model 16 Ratio 1,3 Set 19,939,534
17 Gear Box 3 : 1 Marine/1500-2000 rpm Unit 41,051,981
18 Gear Box 4 : 1 Marine/1500-2000 rpm Unit 49,262,378
19 As Well/As Propeller Ø 1,25 ; 1,8 M Batang 2,932,284
20 As Well/As Propeller Ø 1,25 ; 2,2 M Batang 4,339,781
21 Sarung As Ø 1,25 ; 1,0 M Batang 1,958,766
22 Jaring PE Madang Kg 211,124
23 Jaring Marlyn Mesh : 0,1-0,5 Inch( 50 x1,5 M) Kg 211,124
24 Jaring Nilon/Karet Mesh 1", D/30 (50x500 M) Bal 17,593,706

27 Jaring Nilon Mesh 1.5", D/21 (100x400 M) Bal 14,661,422
28 Jaring Nilon Mesh 2", D/21 (100x400 M) Bal 13,840,382
32 Jaring Nilon Mesh 1.5", D/15 (100x400 M) Bal 10,790,807
36 Jaring Nylon Mesh 1", D/9 (100x400 M) Bal 7,506,648
37 Jaring Nylon Mesh 1,5", D/9 (100x400 M) Bal 6,920,191

1 2 3 4 5

42 Jaring Nylon Mesh 1,5", D/12 (100x400 M) Bal 8,210,396
46 Jaring Nilon L22, mesh 5"(P100,50MD) Bal 17,593,706
47 Jaring PA Mesh : 0,1-0,5 Inch( 50 x1,5 M) Bal 445,707
48 Jaring PA Perlon .(Ø 0,26, MS. 2") Pis 375,332

49 Jaring PA Samsi/Perlon(No. 0,35/Ms.5") Pics 445,707
Arida/United (PA Ø 0,07 mm,
50 Outer Net Pics 328,416
MS.152,4 mm).
Arida/United (PA Ø 0,035 mm,
51 Inner Net Pics 293,228
MS.50,8 mm)
52 Selvedge Madang PE Kg 222,854
53 Pelampung Y3 Cap Ayam Biji 3,284
54 Pelampung Tanda Fiber Biji 586,457
55 Pelampung Angin G6 Biji 35,187
56 Pelampung Y 8 Cap Ayam Biji 9,383
57 Pelampung Pukat G 35 Biji 41,052
58 Pelampung Apolo Cap Ayam Buah 2,932
59 Pelampung Tanda Cap Ayam Buah 35,187
60 Tali PE <5 mm Kg 76,239
61 Tali PE >5 mm Kg 70,375
62 Tali Pancing Samsi No. 100 Pak 328,416
65 Tali Branch line/prambot PA. Samsi/Perlon (No.500) Kg 469,166
66 Mata Pancing No. 14 ( 100 biji) Kotak 87,969
68 Mata Pancing N0. 4 (100 biji) Kotak 445,707
71 Padok Plastik (penggulung) Dragon/Ayam Buah 82,104
72 Padok Rotan (penggulung) Dragon/Ayam Buah 105,562
73 Timah Timah Pukat Kg 58,646
74 Timah Jala Timah Rantai Kg 105,562
75 Timah Tipis Timah Lempengan Kg 76,239
76 Jarum Coban Cap Ayam Biji 8,210
77 Jangkar 25 Kg Besi Ulir Buah 2,111,245
78 Jangkar ( 50 GT) Besi Ulir Buah 7,037,483

1 2 3 4 5
79 Jala Tebar 5 m 5m Buah 3,284,159

80 Jala Tebar 7 m 7m Buah 4,222,490
81 Benang Nylon Arida/United Kg 234,583
82 Benang Nylon L30 Pak 258,041
85 Benang PA Samsi/Perlon (No. 150) Rol 328,416
86 Lampung Angin (kapal) Ø 8 cm / Fiber Buah 175,937
87 Lampung Besar Ø 12" / Fiber Buah 410,520
88 Lampung Pukat DS 02 / Dragon/Ayam Buah 29,323
89 Pelampung Y8 / Cap Ayam Buah 2,932
90 Pelampung Tanda Ø 12" Fiber / Cap Ayam Buah 293,228
91 Pelampung Dragon/Ayam / Y-3H Buah 3,519
92 Pelampung Belimbing Gabus Buah 4,692
93 Lampung Pukat bahan PVC / G35 Buah 46,917
94 Fish Fender GPSMAP Sounder Unit 18,766,620
95 GPS Garmin Unit 11,729,138
96 Water Lamp LACUDA Unit 2,111,245
97 Line Hauler Hidroulic 200 m / min Penggerak Ac 380 V, 7, 5 Kw Unit 89,024,154
98 Life Jacket SNI Buah 410,520
99 Kili-Kili 06 Stenless Stell Kotak 64,510
100 Kili-Kili Kodok Stenless Stell Biji 29,323
101 Rumpon Laut Dalam > 600 m kedalaman laut Unit 111,426,806
102 Rumpon Laut Dangkal 300 s/d 600 m kedalaman laut Unit 87,968,531
103 Rumpon laut 0 s/d 300 m kedalaman laut Unit 82,103,963
104 Cool Box Fiber OCEAN / 100 Ltr Buah 879,685
105 Cool Box Fiber OCEAN / 200 Ltr Buah 938,331
106 Cool Box Fiber OCEAN / 220 Ltr Buah 1,055,622
107 Dawai Waja No.16 Cap Ikan Terbang Kg 328,416
108 Kili-Kili Kodok Besar Steinless Stell Biji 29,323
109 Lampu Tanda Buah 93,833
110 Keranjang rotan Ø 70 cm x T. 70 cm Bahan Rotan buah 703,748
111 Cincin Ө8" Besi Putih Bh 211,124
112 Cincin Ө2" Besi Putih Bh 70,375
113 Cincin Ө3" Besi Putih Buah 105,562
114 Surat dan dokumen kapal Grosse Akte berkas 14,074,965
115 Sea Trial Uji Layar Kali 9,383,310
116 Fishing Trial Uji Tangkap Kali 17,593,706
PEMBANGUNAN KAPAL IKAN (KAYU)

1. KASKO LAMBUNG DAN ANJUNGAN KAPAL
1 Kepala Tukang Kapal Kayu OH OH 234,583

1 2 3 4 5
2 Tukang Kapal Kayu OH OH 175,937

3 Pekerja Kapal OH OH 117,291
4 Mandor OH OH 140,750
5 Kepala Tukang Fiberglass OJ OJ 58,646
6 Tukang Fiber Glass OJ OJ 29,323
7 Pekerja Fiber Glass OJ OJ 17,594
8 Kayu Kuat I-II, Awet I-II (Khusus Kapal) Kuat I/Awet I M3 8,796,853
9 Kayu Kuat II-III, Awet II-III (Khusus Kapal) Kuat II/Awet II M3 7,623,939
10 Resin BQNT 157 yucalak Kg 93,833
11 Resin BQNT 235 yucalak Kg 87,969
12 Matt dan Roving China China Kg 52,781
13 Matt dan Roving Taiwan Taiwan Kg 46,917
14 Katalis SNI 100 cc 41,052
15 Acetone SNI 100 cc 4,105
16 Gelcoat Yucalak Kg 99,698
17 Polyurethane A+B, 40 Kg/m3 Kg 105,562
18 Pewarna yucalak Kg 211,124
19 Paku Galvanish 2"-6" inch Galvanish Kg 41,052
20 Paku Kuningan 2"-6" inch Kuningan Kg 64,510
21 Mur+Baut 12 mm Galvanish Batang 22,285
26 Baut 12 mm (STUT) Stantless Steal Batang 164,208
31 Mur+Ring 12 mm Stantless Steal Biji 19,940
Penyetelan Dudukan Mesin, , Cek
36 Instalasi Mesin induk Kapal Ikan Kelurusan Saft Propeller, Center Batang 199,395
Mesin
Penyetelan dudukan mesin,
37 Instalasi Mesin Bantu PK/KW 58,646
Center Dinamoe
38 Damar Lokal standart Kg 23,458
39 Lem epoxi resin Alvian, Fox, Dll Set 879,685
40 Tali Pakal Lambung Tali Goni, Tali Rami Kg 35,187

1 2 3 4 5
41 Paku Seng Lambung Galvanish Kg 29,323

Bungur / Meranti Merah / Merbau
42 Bantalan Poli Katrol (0,30x0,30x2)m Batang 5,278,112
(1,08)
43 Tiang penahan Katrol (0,22 x 0,20 x5)m Batang 1,993,953
(2)
44 Tiang Lampu Depan (0,20 x 0,20 x 5) m Batang 2,345,828
(1)
45 Tiang Lewang (0,22x 0,22 x 6)m Batang 5,864,569
(1)
46 Tangan Lewang Pipa Besi ϴ3" x 5mm Batang 4,105,198
47 Rantai Lewang Besi Kg 140,750
48 Pintu Kamar Nahkoda (0,80 x 0,03 x2 m) Lokal standart buah 1,876,662
49 Pintu Kamar Mesin (0,80 x 0,03 x 0,90m) Lokal standart buah 1,172,914
50 Karpet Atap Standar (Karet/Plastik) M2 187,666
51 Cat Diatas Garis Air SNI Kaleng 111,427
52 Cat Anti Foulling SNI liter 328,416
53 Penopang Lunas Besi Ulir (Kapal 20 s/d 30 GT) unit 3,284,159
54 Seacock (prok air) 1 Inch Kuningan (lokal Std) unit 527,811
55 Seacock (prok air) 2 Inch Kuningan (lokal Std) unit 996,977
56 Seacock (prok air) 3 Inch Kuningan (lokal Std) unit 1,466,142
57 Sistem Pendingin Mesin Cooler Ps.120 Set 14,074,965
58 Remote (handle) Mesin Induk Singgle Engine unit 4,105,198
59 Kabel Remote 4 meter Set 938,331
60 Kabel Remote 6 meter Set 1,407,497
61 Kabel Remote 8 meter Set 1,876,662
B. Propulsi dan sistem Kemudi
1 Propeller empat daun 32 x 34 " inch Kuningan (lokal Std) unit 10,556,224
2 Propeller empat daun 20/22 " Inch Kuningan (lokal Std) unit 3,518,741

1 2 3 4 5
10 As Propeller Jadi Standless Steal 304 Kg 2,580,410

11 Sarung As Propeller Lengkap Besi Baja Kg 938,331
12 Sarung As Propeller Lengkap Kuningan Kg 269,770
13 Kepala Babi + stentif Kuningan ship set 8,796,853
14 Pelat Daun kemudi Pelat Baja tebal 12 mm M2 2,111,245
15 Pelat Daun kemudi Pelat Baja tebal 8 mm M3 1,407,497
16 Pelat Daun kemudi Pelat Baja tebal 5 mm M4 938,331
17 Batang As Kemudi Besi Baja Batangan Kg 52,781
18 Sarung As kemudi Lengkap Pipa Baja Galvanish Kg 76,239
19 Jantra Lokal (Untuk Kapal Tradisional) unit 2,345,828
3. MESIN BANTU DAN ALAT BANTU PENANGKAPAN IKAN

1 Mesin Diesel Genset 5 Kw Rakitan Unit 17,593,706
4 Mesin Diesel Genset 20 Kw Marine Genset Unit 82,103,963
8 Sistem Pendinginn Mesin Genset Lokal standart shipset 8,796,853
9 ex Gardan Fuso Modifikasi Set 16,420,793
10 ex Gardan Ps 120 Modifikasi Set 9,383,310
11 ex Gardan L 300 Modifikasi Set 5,864,569
12 Poli katrol samping (winch) AlumInium (ϴ5") Kg 269,770
13 Sistem Penggerak Gardan Rakitan Shipset 6,451,026
14 Poli Tegak (Lengkap) Alumanium Lokal Standar Kg 211,124
15 Poli Tidur Standless Steal 304 Kg 293,228
16 Flansdesk 8 inci unit 2,932,284
17 Simpang Empat 8 inci unit 4,691,655
18 Handle Katrol Pukat 1 inci unit 996,977
19 Pompa Keong 1.5 inch Kuningan (lokal Std) unit 2,111,245
20 Pompa Keong 2 inch Kuningan (lokal Std) unit 2,814,993
21 Pompa Keong 2,5 inch Kuningan (lokal Std) unit 3,753,324
22 Clam Selang Pc 293,228
5. KELISTRIKAN KAPAL
1 Lampu Sorot Kapal Waterprof (anti Air ) / 1000 watt Set 4,574,364
2 Baterai (ACCU) / AKI SNI / 120 A Buah 2,697,702
3 Batteray Charger SNI / 220 Vt Buah 2,345,828

1 2 3 4 5
4 Trafo lilin SNI buah 52,781
6. Alat Navigasi
1 Radio VHF all band buah 15,247,879
2 Lampu Navigasi (Marine Ligth) SNI Bal 562,999
3 Sistem Monitoring Kapal Perikanan SNI Bal 35,187,413
4 Lampu Tanda kapal Ikan SNI Bal 175,937
5
7. Perlengkapan Keselamatan Bal
1 Life Boy ( FRP ) SNI buah 527,811
2 Life Raft SNI, Kapasitas 15 Orang buah 29,322,844
8. Perlengkapan Geladak
1 Meja Dapur Standar Kapal set 1,759,371
2 Kompor Gas Standar Buah 1,993,953
3 Tabung Gas LPG 12 Kg Buah 1,055,622
4 Kotak P3K lengkap obat (standard) SNI buah 410,520
5 Serok Pukat Standar buah 4,105,198
6 Bak Air Plastik / Kapasitas 200 Ltr PE unit 938,331
9. Palkah dan Tanki-Tanki

1 Tanki Bahan Bakar (500,Fiberglass) Buah 4,457,072
5 Palkah Ikan (8.0 ton, fiberglass) Buah 44,570,723
6 Palkah Ikan (6,5 ton,Fiberglass) Buah 29,322,844
7 Palkah Ikan (5,0 ton, Fiberglass) Buah 23,458,275
10. Bahan Laboratorium

1 Formalin 40% ltr 23,259
2 Malachite green kg 1,732,675
3 Copper sulphate kg 1,515,604
4 Larutan Edta kg 487,111

1 2 3 4 5
5 Larutan Na2 So4 kg 487,111

6 Rotenon kg 197,683
7 Larutan FeCl2 kg 324,311
8 Larutan Na2 Sio3 ltr 96,906
9 Vitamin B12 (cyanovit) Ampul 12,398
10 Saponin kg 12,011
11 Termometer minimum Whiz Digital Unit 408,291
12 Timbangan digital KD-810 Unit 480,648
13 Hand Refraktometer RHH-52ATC Buah 13,122,383
11. Ongkos Perakitan

Jasa Perakitan Alat Tangkap Purse Seine
1 Jasa Perakitan LS 38,000,000
diatas 30 GT
2 Jasa Pembuatan Jaring Insang Jasa Perakitan Ls 400,000
3 Jasa Pembuatan Alat Tangkap Gill Net Tukang LS 1,800,000
4 Jasa Pembuatan Tramel Net Tukang LS 3,000,000
5 Jasa Perakitan Alat Tangkap Jaring Pari Tukang LS 2,200,000
6 Ongkos Rakit Pukat Darat Tukang Ls 8,000,000
7 Ongkos rakit Jaring Rawai Hiu Tukang Ls 2,800,000
8 Jasa Perakitan Rawe Hanyut Tukang LS 1,500,000
9 Surat dan Dukumen Kapal Grosse Akte berkas 12,000,000
Nama Tim Pembahas dan Survey Dinas Kelautan dan Perikanan Aceh
1. Erwandi, S.Pi ...............................

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
PETERNAKAN
1 2 3 4 5
V. BIDANG KESEHATAN HEWAN DAN PETERNAKAN
A. Bibit
1. Sapi
Sapi Perah Bibit Jantan FH FH 18 - 24 bln Ekor 32,556,006
Sapi Perah Bibit Betina FH FH 18 - 24 bln Ekor 30,230,577
Sapi Po Jantan Bakalan 12-18 bln Ekor 18,022,075
Sapi po Betina 18 - 24 bln Ekor 16,859,360
Sapi Po Jantan Pemacak 24-36 bln Ekor 20,928,861
Sapi Hasil IB Jantan Bakalan 12-18 bln Ekor 18,603,432
Sapi Hasil IB Betina 18 - 24 bln Ekor 18,603,432
Sapi Lokal jantan Bakalan 12-18 bln Ekor 16,278,003
Sapi Lokal Betina 18 - 24 bln Ekor 12,789,860
Sapi Lokal Jantan Pemacek 24-36 bln Ekor 20,928,861
Sapi Bali Jantan Bakalan 12-18 bln Ekor 15,696,646
Sapi Bali Betina 18-24 bln Ekor 12,789,860
Sapi Bali Jantan Pemacek 24 - 36 bln Ekor 17,440,718
Sapi Aceh Jantan Bakalan 12-18 bln Ekor 14,533,931
Sapi Aceh Betina 18-24 bln Ekor 11,045,788
Sapi Aceh Jantan Pemacek 24-36 bln Ekor 16,859,360
2. Kuda
Kuda Jantan/Betina Peranakan
36-48 bln (141-150 cm) Ekor 232,542,900
Kelas A
36-48 bln (141-140 cm) Ekor 101,156,162
Kelas B
36-48 bln (126-130 cm) Ekor 75,576,443
Kelas C
Kuda Jantan /Betina KPI Kelas
36-48 bln (151-165 cm) Ekor 302,305,770
A Super
Kuda Jantan/ Betina Lokal 36-48 bln (117-125 cm) Ekor 49,996,724
Induk Kuda Pacu Jantan/Betina
Impor (Thorugbreed 36-48 bln (> 165 cm) Ekor 906,917,310
Autralia/Perancis)
Induk Kuda Jantan Pacu
36-48 bln Ekor 627,865,830
Indonesia (thorougbreed)
3. Kerbau
Kerbau Bibit Jantan 18 - 36 bln Ekor 18,603,432
Kerbau Bibit Betina 18-24 bln Ekor 15,696,646
4. Kambing
Kambing Kacang Bibit Betina 12 - 18 bln Ekor 2,092,886
Kambing Kacang Bibit Jantan 12 - 18 bln Ekor 2,906,786
Kambing PE Bibit Jantan 12-18 bln,BB 20-35 kg Ekor 4,069,501

Kambing PE Bibit Betina 12-18 bln, 15-25 Kg Ekor 3,139,329
5. Domba
Domba Bibit Jantan 12 - 18 bln, BB 10-20 Kg Ekor 2,325,429
Domba Bibit Betina 12 - 18 bln, BB 10-15 Kg Ekor 2,034,750
6. Unggas
Ayam Buras DOC (satu hari setelah penetasan) Ekor 10,046
Ayam Ras Petelur DOC (satu hari setelah penetasan) Ekor 15,069
STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 135

1 2 3 4 5
Ayam Ras Pedaging DOC (satu hari setelah penetasan) Ekor 11,929
Ayam Ras Petelur Pullet 3-4 Bulan Ekor 81,623
Ayam Ras Petelur Dewasa Dewasa Ekor 94,180
Itik Dewasa umum Ekor 97,668
Ayam Buras Dewasa Jantan umum Ekor 109,004
Ayam Buras Dewasa Betina umum Ekor 102,028
Itik Lokal DOD (satu hari setelah penetasan) Ekor 11,302
Itik Alobio DOD (satu hari setelah penetasan) Ekor 16,325
Itik Manila (Entok) Dewasa umum Ekor 188,360
Puyuh Dewasa umum Ekor 15,697
Semen Beku (Frozen Semen) Straw 31,393
B. Bahan, Peralatan dan Obat-obatan

1. Bahan
Hydrogen Peroxyde GR for
- JT Baker 2186 Botol 2,130,978
Analysis
- Tryptone Soys Broth - Oxoid, CM. 131 Botol 1,459,917
- Scharlau 02-200 Botol 1,278,333
- A. Napthol M. 6223 Botol 1,075,573
- Brilian Green Agar - Oxoid, CM. 263 Botol 4,688,189
- Scharlau 01-203 Botol 3,409,311
- SS Agar Oxoid, CM. 99 Botol 2,414,588
- Spiritus Lokal Botol 25,071
Ethanol Absolute GR for
- M. 983 Botol 800,865
Analysis ACS, ISO
Ethanol Absolute for Synthesis
- Meck Botol 812,743
ACS, ISO
- Kovac Indol Reagen M. 9293 Botol 1,147,520
Sabouraud 4% Dextrose Agar
- M. 5438 Botol 1,945,841
(SDA)
Scharlau 01-165 Botol 1,704,514
Aceton GR for Analysis ACS,
- Scharlau AC 314 Botol 1,306,856
ISO
Xylene GR for Analysis ACS,
- - M. 8681 1,102,099
ISO
- JTB. 9490 1,373,286
- Xylene BAR,ACS Reagent 9490-03 liter 1,410,808
Chloroform GR for Analysis
- M. 2445 835,204
ACS, ISO
- Brucella Rose Bengal Test Made In USA Vial 1,211,836
- Brucella Rose Bengal Test pusvetma Botol 382,333
- Serum Aglutinasi Test Balitvet Vial 210,714
DHL (Deso Xycholate Hydrogen
- M. 111435 Botol 6,771,881
Sulfide Lactose Agar
Antigen Micoplasma Galli
- Pusvetma Vial 637,222
Septicum (CRD)
- Antigen ND Pusvetma Vial 111,514
- Antigen Pullorum Pusvetma Botol 318,611
- Antigen Avian Influenza Pusvetma Vial 95,583
Antigen Complement Fixation
- Pusvetma Vial 411,515
Test (CFT) Brucella
- Serum Spesifik Avian Influenza Balitvet Vial 213,066
Serum Positif ND pusvetma Botol 63,722

1 2 3 4 5
Serum Positif Al pusvetma Botol 79,653
Serum Negatif Al pusvetma Botol 79,653
Serum Positif Pullorum pusvetma Botol 63,722
Serum Negatif Pullorum pusvetma Botol 63,722
Serum Positif Mycoplasma pusvetma Botol 63,722
Serum Negatif Mycoplasma pusvetma Botol 63,722
Serum Positif Brucella pusvetma Botol 63,722
Serum Negatif Brucella pusvetma Botol 63,722
Pelarut PBS pusvetma Botol 25,489
Kit Elisa Rabies Biorad Kit 31,861,076
Kit Elisa lBR ldexx Kit 18,224,536
Kit Elisa lBV ldexx Kit 10,159,860
Kit CATT (Surra) Balitvet Kit 3,823,329
Kit Elisa TBA ldexx Kit 31,861,076
Kit Elisa Brucella ldexx Kit 31,861,076
Kit Elisa SE ldexx Kit 31,861,076
- Aquadest Lokal Botol 33,034
- Aquadestilata 20 l jerigen 203,911
Giemsa’s Azur Eosin Methylen

- M. 9204 Botol/500 ml 1,115,138
Blue Solution for Mocroscopy
- Parafin Block 57 - 60 M. 7158 Kg 1,841,621

Formaldehyde Sol. Min 37%
- Mallincrotdth Botol 2,088,420
Free Acid
- Glycerin Mallincrotdth Botol 3,138,189
- Tawas Lokal Kg 22,346
- Methylen Ph Eur M. 5943 Botol 4,404,034
- PBS (Phosphate Buffer Saline) Oxoid, BR 14 Botol 2,042,899
- Rapid Test Avian Influenza Made In USA Kotak 10,014,455
- Desinfectan Virkons Antec. 2,5 Kg Tube 2,906,954
- Desinfectan Virkons Antec. 10 Kg Tube 9,426,523
- Eosin B. M. 115934 Botol 3,500,518
- Garam Dapur Pharma Grade Kg 184,988
Sodium Phosphate, Monobasic,
- Mallincrotdth 7892 Botol 2,272,709
H2O, MB Grade
Sodium Phosphate, Dibasic, MB
- Mallincrotdth 7817 Botol 2,245,678
Grade
- Mercury Acid Red GR Botol 7,032,350
Picric acid (Naturated Aquehos
- Scharlau AC 1768 Botol 5,540,389
Solution)
Acetic Acid (Glacial) 100% GR
- M. 63 Botol 968,544
for Analysis ACS, ISO
- Nitric Acid 10 mol / l M. 9964 Botol 914,698
Potasium Aluminium Sulfat GR
- M. 5153 Kg 1,852,456
for Analysis ACS, ISO
Benzene GR for Analysis ACS,
- M. 1783 Botol 4,451,273
ISO
- Hemotoxyline Cristal M. 115938 Botol 4,741,968
- Basic Fuchin M. 115937 Botol 1,267,068
- Acid Fuchin M. 105231 Botol 3,091,280
- Phenol Cristal Scharlau FE 452 Botol 2,414,918
- Gentian Violet M.1594525 Botol 1,119,176
- N2 Cair Liter 37,530

1 2 3 4 5
KaryoMAX®Giemsa Stain
- Invitrogen®/10092013 x 100 ml 2,166,553
Solution
- Purelink Genomic DNA Mini Kit Invitrogen®/k182001 x 50 rxn 5,734,994
- Platinum PCR Supermix Invitrogen®/1130616 x 100 rxn 6,831,015
- 100 bp DNA Ladder Invitrogen®/15628019 x 50 ug 4,798,278
- 1 kb DNA Ladder Invitrogen®/10787018 x 250 ug 7,997,130
- PNS Tablet Invitrogen®/003-002 x 100's 2,829,264
- Purelink RNA Mini Kit Invitrogen®/12183018A x 50 rxn 9,966,145
- Purelink Viral DNA/RNA Mini Kit Invitrogen®/12280050 x 50 rxn 9,125,012
- Alsever Solution Invitrogen®/HFH11 x 100 ml 3,440,996
- Ttc Solution (1%) Oxoid/SR0229K 10 x 5 ml 2,548,886
- Buffered Peptone Water Oxoid/CM0509B 500 g 892,110
- Plate Count Agar Oxoid/CM0325B 500 g 1,274,443
- Mueller Hitton Agar Oxoid/CM0337B 500 g 1,274,443
- Blank CT0998B/oxoid 5 x 50 Discs 490,661
- Kanamycin K30 CT0026B/oxoid 5 x 50 Discs 414,194
- Tetracyline Te 300 CT0054B/ 5 x 50 Discs 414,194
- Penicillin G P 10 CT0043B 5 x 50 Discs 414,194
- Plate Count Agar CM0325B 500 g 1,274,443

- Buffered Peptone Water CM1049B 500 g 1,274,443
Glicerol, Anhyrous, BAR, ACS
- 2136-03 liter 3,759,607
Reagent
Phosphate Buffered Saline
- BR0014E Tabs 892,110
Tablet
Sodium Cloride, Crystal, BAR,
- 3624-69 kg 489,386
ACC Reagent
- Formaldehyde Tes Box 2,847,106
Acetonitrille Gradien HPLC
- A0627/AP4 Botol 1,108,765
Grade
- Parafin wax, pure, granular 416770020 kg 2,740,053
- Bacillus Cereus ATCC®9541™* Remel/R4601220 5 loops 1,585,789
Bacillus Subtilis
- Remel/R4601221 5 loops 1,585,789
ATCC®6633™*
-
2. Peralatan -
- Alat cukur Electric 413731 Devasa-Spanyol Pc 2,611,926
- Alat cukur Manual 85411 Hauptner-Jerman Pc 1,905,541
Alat Pencabut Bulu Ayam
- Devasa-Spanyol Unit 20,977,303
Elsaric
- Bull Holder (4130513) Devasa-Spanyol Pc 743,255
- Bull Ring 52 mm (H05762) Hauptner-Jerman P 347,678
- Buyrometer 0-6%, 0,1 Scneider-Jerman Pc 959,294
- Calf Nipple (Nursing) 416607 Devasa-Spanyol Pc 274,013
Calf Nipple for NP Nursing
- Hauptner-Jerman Pc 59,460
Bottle
- Calf Pail Nipple 413870 Devasa-Spanyol Pc 94,146

1 2 3 4 5
Calf Rubber nipple for
- Devasa-Spanyol Pc 64,415
Galvanized Pail
Castrator (Tang untuk Kastrasi)
- Devasa-Spanyol Unit 2,948,246
35 cm
Centiuge (3670) 8 tabung,
- F. Gerber-Jerman Unit 55,061,830
Nova Safety
Claw Side Cutter 60 cm
- Devasa-Spanyol Pc 3,634,022
(413297)
- Container Type 3 XTL Taylor-Warton-USA Unit 23,536,414
- Container Type 10 XT Taylor-Warton-USA Unit 26,013,932
Copper (Pencacah rumput
- Lokal Unit 44,182,392
1000 kg/jam)
- Coustic Stick 413208 Devasa-Spanyol Pc 405,651
Cover Glass 20 x 20 mm (50
- Lokal Box 73,004
pcs/box)
Cream Separator 125L/jam
- Elecrem-Perancis Unit 52,083,854
(Elecrem-1)
- Dehorning Shars H.33350 Hauptner-Jerman Pcs 31,575,626
- Drawing Knife (4130510) Devasa-Spanyol Pcs 529,032
- Drenching Gun 10 ml (416134) Devasa-Spanyol Pc 2,937,673
- Drenching Gun 30 ml (413724) Devasa-Spanyol Pc 3,176,177

Drenching Gun 70 ml (H.
- Hauptner-Jerman Pc 3,705,540
16427)
- Drenssing Forcep s/s 14 cm Import Pcs 253,697
- Ear Tag Medium Lokal Psg 20,646
- Ear Tag Medium (impor) Allflex-New Zealand Psg 40,466
- Ear Tag Small Bulat Lokal Psg 17,343
- Electric Dehoder 12 Volt Devasa-Spanyol Unit 27,401,341
- Electric Rapide Clipper Devasa-Spanyol Unit 16,671,048
Embriotomy Wire Saw
Introducer
- Eye Hook ukuran 5 cm (44410) Hauptner-Jerman Pc 1,482,050
- Goblet Dia. 2,7 cm IMV-Prancis Pc 30,390

- Gun ET untuk Sapi / Mini Gun IMV-Prancis Pc 2,066,084
Gun IB untuk Sapi (Inseminasi
- IMV-Prancis Pc 1,073,591
Gun)
- Gun IB untuk Kambing IMV-Prancis Pc 1,238,759
- Gunting Straw 14 cm Ex. Pakistan Pc 88,365
- Heat Detector Hauptner-Jerman Unit 14,453,340
- Hoof Plier 41 cm (413298) Devasa-Spanyol Pc 2,244,465
- Inner Linier untuk Kambing JK-Denmark Pc 1,486,510
- Inner Linier untuk Sapi JK-Denmark Pc 867,131
Lactodensitometer Ex. Funke 1,820,479
Lamb for Galvanized Pail
413662
- Lamb Nipple (Nursing) 416605 Devasa-Spanyol Pc 199,027

1 2 3 4 5
Lamb Nipple for Feeder
413667
- Mastities Plat JK-Denmark Pcs 1,074,085
- Mastities Test (CMT) Kit Devasa-Spanyol Set 1,108,110

- Mastities Test (Paddle) Devasa-Spanyol Pc 397,229
Mastities Test (Reagent CMT)
- Devasa-Spanyol Botol 620,700
Liter
- Measuring Stick 150 Devasa-Spanyol Pc 619,379
- Measuring Tape (Pita Ukur) Devasa-Spanyol Pc 414,158
Medata Pregnancy Detector,
- Medata-Inggris Unit 44,472,921
Series-5
Mesin Tetas Telur Cap. 3000
- Ex. Lokal Unit 44,472,921
butir
- Milk Can 10 Liter Lokal Unit 1,461,735
Milking Machine Double (B/2
- OMC-Italy Unit 88,056,580
SL-S)
Milking Machine Double, Mini
- OMC-Italy Unit 60,038,502
(B/1)
- Mini Straw 1000 pcs/pak Minitube Pak 2,779,279
- Mixer (Alat Pengaduk) Lokal Unit 16,729,848
Nipple for NP Nursing Bottle
413352
Nipple Holder for Galvanized
Pail
Nipple Holding Set for 7 Litre
Pail
- NP Floating Nipple 413351 Devasa-Spanyol Pc 99,927
- Object Glass (72 pcs/box) Ex. RRC Box 149,105
- Outher Sheet ET Minitube Pc 744,081
- Picador Electric Shock 29 cm Devasa-Spanyol Pc 2,456,045
- Picador Electric Shock 59 cm Devasa-Spanyol Pc 2,752,852
- Pin Applicator Devasa-Spanyol Pc 141,053
- Pinset 14 cm Import Pc 74,326
- Pinset 20 cm Ex. Pakistan Pc 99,927
- Pisau Kastrasi (39100) Hauptner-Jerman Pc 826,995
- Plastik Glove 2 Jari (100/pak) Lokal Pak 148,651
- Plastik Glove 5 Jari (100/pak) Lokal Pak 331,987
Plastik Glove 5 Jari (100/pak)
- Devasa-Spanyol Pak 925,766
Europlex
- Plastik Sheet (50/pak) IMV-Prancis Pak 107,359
- Pregnancy Detector Medata-Inggris Unit 44,200,229
- Ring Bull Dia. 52 (1105762) Hauptner-Jerman Pc 222,977
- Ring Bull Dia. 55 Devasa-Spanyol Pc 371,628
- Rubber Ring (100/pak) Devasa-Spanyol Pak 297,302
- Rubber Stopper Butyrometer Gerber-Jerman Pc 75,151
Sepatu untuk Sapi, Kuda
- Ex. Hauptner Pc 1,405,082
(42743.500)

1 2 3 4 5
Sharp Eye Hook
- Devasa-Spanyol Pc 1,736,244
(44351/44352)
- Sharp Obstetric Hook (44491) Devasa-Spanyol Pc 289,044
- Sonda (413548) Devasa-Spanyol Pc 273,353

- Socorex 1 ml Swiss Unit 2,843,089
- Special Cone Devasa-Spanyol Pc 1,073,755
- Special Rubber Ring Devasa-Spanyol Pc 399,698
- Sperma Glass IMV-Prancis Pc 406,313
- Straw Cutter Devasa-Spanyol Pc 434,060
- Stretching Forcep Devasa-Spanyol Pc 591,301

- Stretching Forceps (413422) Devasa-Spanyol Pc 591,301
- Syringe Luer Lock 10 cc Devasa-Spanyol Pc 249,238
- Syringe Luer Lock 50 cc Devasa-Spanyol Pak 331,161
Syringer Neddle Luer Lock
- Pc 298,128
(12/pak)
- Tabung Sperma (C06161N) Nasco Set 983,768
- Tang Applicator Allflex-New Zealand Pc 1,983,170
- Tang Bordizzo (413374) 23 cm Devasa-Spanyol Pc 3,388,252
- Tang Bordizzo (413375) 35 cm Devasa-Spanyol Pc 3,811,578
- Tattoing Ink (Ukuran Kecil) IMV-Prancis Pc 133,124
- Thawing Electric England Pc 7,671,054
- Thermos ½ Liter Ex. England Unit 429,436
Thermos III, dengan

- Iconix-New Zealand Unit 4,129,195
Thermometer
Timbangan Sapi FX 21 Cap. 3
- Iconix-New Zealand Pc 69,370,484
Ton
- Timbangan Sapi FX Cap. 2 Ton Iconix-New Zealand Pc 52,853,702
- Tissue Forcep s/s 14 cm Import Pc 299,632
Tongkat Ukur Tinggi 216 cm

- Lokal Pc 7,306,033
ex. Lokal
- Trocar Dia. + 5 mm (413069) Devasa-Spanyol Pc 587,997
- Trocar Dia. + 5 mm (413548) Devasa-Spanyol Set 351,642
Trocar Dia. + 5 mm 4 pcs/set

- Devasa-Spanyol Set 743,585
(405443)
Trocar Gagang Metal Dia.7m/m
x 12 cm
Vagina Buatan untuk Kambing
- JK-Denmark Pc 5,282,489
(340650)

1 2 3 4 5
Vagina Buatan untuk Kambing
(43842)
- Vagina Buatan untuk Sapi JK-Denmark Unit 4,446,812
Vagina Buatan untuk Sapi
- Nasco Set 6,141,104
C06180N
Vagina F/Bull panjang +33 cm
- JK-Denmark Set 3,620,809
(340284)
Vagina Speculum Domba 16
- JK-Denmark Unit 5,230,856
cm
Vagina Speculum 25 cm
(42840)
Vagina Speculum (Kuda &
- JK-Denmark Pcs 4,294,363
Sapi) 27 cm
Vagina Speculum 16 cm
(43772)
Vagina Speculum Polansky’s 27
- JK-Denmark Unit 9,450,241
cm
Vagina Speculum Polansky’s 35
cm
Vagina Speculum untuk Sapi
27 cm
- Wire Saw 10 Meter (46140) Hauptner-Jerman Roll 655,220
- Cone Vagina Buatan Pc 664,800
- Inner Linner Vagina Buatan Pc 784,547
- Alat Deteksi Kebuntingan Pc 82,583,910
Mikropipet Single Channel Uk
- Eppendorf Unit 6,827,013
100- 1000 µl

O,5-5 ml

0,5-10 µl

10-100 µl
20-200 µl
Mikropipet Multi Channel (8)
Uk 10-100 µl
Uk 30-300 µl
Uk 10-100 µl
Uk 30-300 µl
Uk 0,5-10 µl
- Pipet Stand Eppendorf Unit 3,823,329
- Incubator Memmert/lN 55 Unit 45,879,950
- Centrifuge Hematokrit 210 Hettich Unit 23,733,125
Weather Forecast Clock +
- WFG Unit 191,166
Thermo + Hygro + Calender
Temperatur n Huminity Data
- RC4HC Unit 917,599
Longger
- Thermohygrometer HTC/CTH-680 Unit 700,944

1 2 3 4 5
- Microwave Sharp/R-230R Unit 1,744,713
- Media Storage Chamber Liebherr Unit 34,135,065
- Analitical Balances Kern/ABS 220-4 Unit 32,434,576
- Biomedical Refrigation Dometic/MP 155 SG Unit 108,890,963
- Biomedical Refrigation Dometic/MP 580 SG Unit 201,837,369
Mikrobiologikal Safety Cabinet
- Thermo Scientific/1386 Unit 193,432,035
Class ll
- Microplate Sorenson case 5,988,608
- Transport Box Dometic Unit 13,987,012
Mikroskop Binokuler Digital CX
- Olympus Unit 35,684,405
22 + Kamera
Mikroskop Trinokuler CX 31 +
- Olympus Unit 76,466,583
Kamera
Pack (1000)
- Microtips Uk 0,1-10 µl Eppendorf 1,916,355
Tips)
Pack (1000)
- Microtips Uk 2-200 µl Eppendorf 1,916,355
Tips)
Pack (1000)
- Microtips Uk 50-1000 µl Eppendorf 1,916,355
Tips)
- Mikrotube Racks Biologix Rack 242,144
- Mikrotube Racks Rack (6 Rack) 1,752,359
Pack (1000)
- 1000 µl Pipet Tips-Bulk Axigen 229,400
Tips)
- Autoclave Tomy/ES-125 Unit 79,563,276
- Elisa Reader Thermo Unit 248,516,395
- Elisa Washer Thermo Unit 194,989,787
- Fume Hood Thermo Unit 274,005,256
Acid Crrosive Chemical
- Securall/C345 Unit 69,839,479
StrorageCabinet
Flammable Chemical Storage
- Securall/A245 Unit 63,658,430
Cabinet
- Vortex Mixer Thermo Unit 7,646,658
- Stomacher InterScience Unit 124,258,197
- Sarung Tangan Sensi Gloves Kotak 63,722
- Surgical Gloves Latex Kotak 203,911
- Masker Ear Loop 3 PLY Kotak 63,722
- Masker BSA Safety Kotak 127,444
3. Obat - obatan dan Vaksin

- Hormon Penyerentak Birahi Dosis 370,264
- Anthravet (Anthrax) 125 ds/botol Dosis 1,213
- Brucivet (Brucella Str. 19) 10 ds/botol Dosis 15,608
- Kolravet (Fowl Cholera) 250 ds/botol Dosis 693
- Korivet (H. Gallinarum) 40 ds/botol Dosis 1,387
- Rabivet Supra 10 ds/botol Dosis 15,608
- Rabivet Supra (*) 1 ds/botol Dosis 26,014

- Septivet 100 ds/botol Dosis 3,468
- Telovet (ND Inaktif) 20 ds/botol Dosis 1,213
- Koksivet 100 ds/botol Dosis 668
- Hydrovet 750 ds/botol Dosis 261
- Lentovet 50 ds/botol Dosis 433
- Lentovet 100 ds/botol Dosis 706
- Orivet 100 ds/botol Dosis 2,773

1 2 3 4 5
- Gumbovet 1000 ds/botol Dosis 347
- Bursalvet 1000 ds/botol Dosis 426
- Hogsivet 20 ds/botol Dosis 4,508
- Aflufet (AI) 1000 ds/botol Dosis 433
- Rabisin 10 ds/botol Dosis 104,056
- Rabvak 10 ds/vial Dosis 27,747
- Vaksiflu 200 ds/botol Dosis 1,040
- Gallimune Flu 1000 ds/botol Dosis 1,733
Septivak 50 ds/botol Dosis 2,948
Kemavet 50 ds/botol Dosis 693
Medivak 100 ds/botol Dosis 1,213
C. Pakan Unggas
1. Ayam Petelur
- Starter Kg 9,558
- Grower Kg 9,456
- Layer Kg 9,488
2. Ayam Potong / Broiler
- Starter Kg 10,833
- Finiser Kg 10,992
D.Pakan Ternak/Bibit Rumput

1. Dedak Halus Kg 4,304
2. Jerami Kering terima ditempat Kg 738
3. Jagung Giling Kg 8,608
4. Rumput Gajah Stek 492
5. Rumput King Grass Stek 400
6. Rumput Brachiaria Humidicola Polibag 615

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
OBAT OBATAN (E-CATALOG)
III. KELOMPOK OBAT - OBATAN, BAHAN KIMIA DAN LABORATORIUM
A. OBAT - OBATAN (E-CATALOG)
NO NAMA OBAT KEMASAN HARGA
1 2 3 4
1 AAFACT 1000 UI - Faktor VIII (Konsentrat) Serb Inj 1000 IU Dus 3,708,000
2 AAFACT 500 IU - Faktor VIII (Konsentrat) Serb Inj 500 IU/Vial+Pelarut 5 ml Dus 1,905,500
3 ACTATECAN - Irinotekan - inj 20 mg/mL Dus 818,850
4 ACTILYSE - Alteplase injeksi 50 mg/vial Vial (ampul) 4,248,750
5 ACTOPLATIN - Karboplatin inj 150 mg/15 mL Dus 189,263
6 ACTOPLATIN - Karboplatin inj 450 mg/45 mL Dus 440,711
7 ACTRAPID PENFILL - Human insulin short acting inj 100 UI/ml, penfill cartridge Unit 77,250
8 ACTRAPID VIAL - Human insulin short acting inj 100 UI/ml, vial Unit 147,805
9 ADALAT OROS 20 MG - Nifedipin tab 20 mg, slow release; oros Tablet 3,353
10 ADALAT OROS 30 MG - Nifedipin tab 30 mg, oros Tablet 3,945
11 AFOLAT - Asam Folat tablet 0,4 mg Tablet 70
12 AKILEN TETES TELINGA - Ofloksasin tets telinga 3% Botol 53,148
13 ALBAPURE 20 VIAL 100 ML Albumin serum normal (human albumin) inj 20% Vial 883,740
ALBAPURE 20 VIAL 50 ML Albumin serum normal (human albumin) inj 20% vial
14 Vial 421,476
50 ml
15 ALBUMAN 100 ML - Albumin Serum Normal (Human Albumin) Inj 20% 100 ml Vial 883,740
16 ALBUMAN 50 ML - Albumin Serum Normal (Human Albumin) Inj 20% 50 ml Dus 421,476
17 ALBUMINAR 25 - Albumin serum normal (human albumin) injeksi 25%, 100 ml botol 1,545,000
18 ALKERAN - Melfalan Tablet 2 mg Tablet 12,236

19 ALPENTIN - Gabapentin kapsul 100 mg Kapsul 1,439
20 ALPRAZOLAM TABLET 0,5 MG - Alprazolam tablet/kapsul/kaplet 0,5 mg Tablet 148
21 ALPRAZOLAM TABLET 1 MG - Alprazolam tablet/kapsul/kaplet 1 mg Tablet 190
22 ALUVIA - Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg Tablet 6,798
23 AMINOFLUID - Larutan mengandung Asam Amino 1000 ml Bag 121,798
24 AMINOFLUID - Larutan mengandung Asam Amino 500 ml Bag 66,940
AMINOFUSIN HEPAR - Larutan mengandung Asam Amino (Asam Amino 5%
25 btl 91,155
dengan BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50
AMINOFUSIN L600 - Larutan mengandung Asam Amino (Kombinasi AA 50 g/L,
26 btl 57,886
Sorbitol 50 g/L, Xylitol 50 g/L, Vit C 0.4 g/L, Inositol 0.5 g/L, Niasinamida 0.06 g/L,
AMINOFUSIN PAED - Larutan mengandung Asam Amino (Kombinasi Asam
27 btl 53,560
amino 50 g/L, Vitamin dan elektrolit)
28 AMINOLEBAN - Larutan mengandung Asam Amino 500 ml Bag 73,233
AMINOSTERIL INFANT 6% - Larutan mengandung Asam Amino (Asam Amino
29 btl 44,754
6%, mengandung Taurine 0,24 gr/l, tidak mengandung Elektrolit)
AMINOSTERIL N-HEPA - Larutan mengandung Asam Amino (Asam amino 8%) :
30 btl 73,645
Asam amino spesifik untuk gangguan hati dengan konsentrasi tinggi BCAA 42%
STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 145

1 2 3 4
31 AMIPAREN - Larutan mengandung Asam Amino (aminparen injeksi) Bag 88,863
32 AMIPAREN - Larutan mengandung Asam Amino (aminparen injeksi) Bag 88,863
33 ANDRIOL TESTOCAPS - Testoteron soft capsul 40 mg Kapsul 6,386
34 ANZATAX 30MG/VIAL - Paklitaksel Inj 30mg/vial Vial 206,000
APIDRA SOLOSTAR 100IU/ML 5PENS X3ML - Analog insulin rapid actinginj 100
35 Solostar Pen 89,610
UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glulisine 100 IU/ml)
36 ARICEPT EVESS 10 MG Donepezil Tablet Effervesent 10 mg Tablet 12,860
37 ARIMIDEX 1 MG - Anastrozole 1 mg Tablet 35,947
38 ARIXTRA - Fondaparinuks inj 2,5 mg/0,5 ml vial 273,808
39 AROMASIN - Eksemestan 25mg Tablet 43,878
40 ARTEM - Artemether injeksi 80 mg/ml ampul 26,255
41 ARTESUNATE - Artesunate injeksi i.v./i.m. 60 mg/ml vial 44,187
42 ASERING - Asetat Ringer (Asering Plabot) Bag 9,553
43 ATIVAN 1 MG - Lorazepam tablet 1 mg Tablet 1,030
44 ATIVAN 2 MG - Lorazepam 2 mg Tablet 1,030
45 ATROVENT HFA - Ipratropium bromida anhidrous inhalasi 0.02 mg/dosis can 86,005
ATROVENT SOLUTION FOR INHALATION 0.025% - Ipratropium bromida cairan
46 btl 100,940
inhalasi 0,025%
47 AVAMYS - Flutikason furoat intranasal spray btl 106,090
48 AVASTIN - Bevasizumab injeksi 100mg/4ml vial 4,947,808
49 AVELOX INFUS - Moksifloksasin Infus 400mg/250ml btl 247,200
50 AVELOX TABLET - Moksifloksasin Tablet Tablet 31,415
51 AVODART - Dutasteride 0,5 mg Kapsul 7,983
52 AZITHROMYCIN 250 MG KAPLET OGB Azitromisin tablet 250 mg Kapsul 3,376
53 BANADOZ 100 - Sefpodoksim Proksetil 100 mg Tablet 4,378
54 BCG VACCINE (GS) - Vaksin BCG-GS ampul 61,749
55 BCG VACCINE (SII) - Vaksin BCG-SII ampul 61,749
56 BCG VACCINE SSI - Vaksin BCG inj i.k. 0,75 mg/mL + pelarut ampul 61,749
57 BEROTEC MDI - Fenoterol HBr aerosol 100 mcg/dosis can 82,400
58 BEROTEC SOLUTION - Fenoterol HBr solution 0,1% btl 129,523
59 BETABLOK - Atenolol 100 mg Tablet 827
60 BETAHISTINE TABLET 6MG - Betahistin tablet/kapsul/kaplet 6 mg Tablet 175
61 BETAM OPHTAL ED - Betametason tetes mata 1 mg/ml btl 25,859
62 BIOPREXUM 5 MG - Perindoprilarginin tab 5 mg Tablet 2,719
63 BIVALENT ORAL POLIOMYELITIS Vaksin Polio b-OPV 10 dosis vial 20,553
64 BLEOCIN - Bleomisin Serb Inj 15 mg/mL vial 355,350
65 BONDRONAT - Asam Ibandronat injeksi 6mg/6ml ampul 2,275,270
66 BONEFOS INFUS 60 MG / 5 ML - Dinatrium klodronat infus kons 60 mg/mL box 101,687
BONESCAN KAEF - MDP (methylene diphosphonate) 1 mg methylene
67 vial 604,095
diphosphonic acid/mL
68 BREXEL 20 MG - Dosetaksel inj 20 mg/0,5 mL vial 433,888

1 2 3 4
69 BREXEL 80 MG - Dosetaksel inj 80 mg/2 mL vial 1,364,750
70 BRICASMA RESPULES - Terbutaline sulphate 2.5 mg/ml nebule 7,056
71 BRICASMA TURBUHALER 0,5 MG - Terbutalin sulfat 0.5 mg - 100 Dosis can 57,692
72 BRILINTA 90 MG - Ticagrelor 90 mg Tablet 7,725
73 BRONSOLVAN - Teofilin Tab 150 mg Tablet 319
74 BUFACETIN - Kloramfenikol salep kulit 2% tube 3,511
75 CA GLUCONAS 10 Kalsium Glukonat Injeksi i.v 10% (100mg/ml) ampul 10,254
76 CAMPTO - Irinotekan Inj 20mg/ml vial 435,854
77 CARDIOSCAN KAEF - MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial vial 1,390,500
78 CARDURA 1MG - Doksazosin mesilat 1mg Tablet 3,584
79 CARDURA 2MG - Doksazosin mesilat 2mg Tablet 5,644
80 CASODEX 150 MG - Bicalutamide 150 mg Tablet 81,370
81 CASODEX 50 MG - Bicalutamide 50 mg Tablet 50,470
82 CATAPRES INJEKSI - Klonidin HCl injeksi 150 mcg/mL ampul 33,578
83 CELLCEPT - Mikofenolat Mofetil 500mg Tablet 18,283
84 CENDO LYTEERS - CENDO LYTEERS 15ML btl 19,699
85 CENDO MYDRIATIL 1% - Cendo Mydriatil 1% btl 37,842
86 CERAZETTE - Desogestrel tablet 75 mcg Tablet 77,250
87 CERTICAN 0,25 MG TAB - Everolimus tab 0,25mg Tablet 12,167
88 CERTICAN 0,5 MG TAB - Everolimus tab 0,5mg Tablet 23,948
89 CETADOP 200 MG Dopamin Inj 40mg/ml ( Cetadop) Tablet 7,704
90 CHLORAMEX - Kloramfenikol kapsul 500 mg Tablet 1,190
91 CHLORPROMAZINE 100MG - Klorpromazin tablet salut 100 mg (HCl) Tablet 184
92 CISPLATIN - Cisplatin serb inj 10 mg vial 26,008
93 CISPLATIN - Cisplatin serb inj 50 mg vial 113,300
CLINIMIX N9G15E - Larutan mengandung Asam Amino (Kombinasi Glukosa 75 gr
94 btl 231,750
dan elektrolit + Asam Amino 28 gr )
CLINIMIX N9G20E - Larutan mengandung Asam Amino (Kombinasi Glukosa 100

95 btl 236,900
gr dan elektrolit + Asam Amino 28 gr )
CLINOLEIC 20% - Larutan mengandung Lipid (Infus Emulsi Lipid LCT (Omega 9,
96 btl 174,199
Omega 6), MCT - 20% 250 ml)
97 CLONAZEPAM 2MG - Klonazepam 2mg Tablet 4,893

98 CLOZAPINE 100 - Klozapin 100 mg Tablet 5,150
99 CLOZAPINE 25 - Klozapin 25 mg Tablet 1,597
COFACT 250 IU - Faktor Koagulasi II (14-35 IU/ml), Faktor Koagulasi VII (7-20
100 dus 2,245,606
IU/ml), Faktor Koagulasi IX (25 IU/ml), Faktor Koagulasi X (14-35 IU/ml)
COFACT 500 IU/20 ML - Faktor Koagulasi II (14-35 IU/ml), Faktor Koagulasi VII (7-
101 dus 4,645,300
20 IU/ml), Faktor Koagulasi IX (25 IU/ml), Faktor Koagulasi X (14-35 IU/ml)

1 2 3 4
COMAFUSIN HEPAR - Larutan mengandung Asam Amino (Asam Amino 5%
102 dengan BCAA 50%, L-Ornithine L Aspartate 10 gr/L, Sorbito 50 gr/L, Xylitol 50 btl 84,203
gr/L)
COMBIFLEX PERI (480 KCAL) - Larutan mengandung asam amino (kombinasi
103 btl 231,750
glukosa & elektrolit 80 gram + asam amino 40 gr)
COMBIVENT UDV - Kombinasi : Ipratropium bromida 0,5 mg Salbutamol 2,5 mg

104 vial 5,145
cairan inhalasi
105 CONCOR 2.5 - Bisoprolol tablet 2,5 mg Tablet 670
106 CURACIL - Fluorourasil inj 500 mg/ 5 mL vial 37,132
107 CYCLOVID 1000 MG - Siklofosfamid serbuk injeksi i.v. 1000 mg vial 234,531
110 CYMEVENE - Gansiklovir serbuk injeksi 500mg (50mg/ml) vial 458,350
111 CYTODROX - Hidroksi Urea kapsul 500 mg Kapsul 5,438
112 D5 + ½ NS SP Larutan karbohidrat +elektrolit (Glukosa 55 gram, Nacl 4,5 gram) Bag 9,682
D5 + ¼ NS SP - Larutan Karbohidrat + elektrolit (Glukosa 55 gram, Nacl 2,25
113 Bag 9,631
gram)9350
114 DACARBAZINE MEDAC 200 MG - Dakarbazin serb inj 200 mg/vial vial 283,250
115 DAUNOCIN - Daunorubisin serbuk injeksi 20 mg/vial vial 271,920
116 DBL CARBOPLATIN 150 MG - Karboplatin 150 mg / 15 ml vial 189,211
117 DBL CARBOPLATIN 450 MG - Karboplatin 450 mg / 45mL vial 440,711
118 DBL CYTARABINE INJECTION - Cytarabine 100mg/mL vial 602,550
119 DBL DACARBAZINE - Dacarbazine 200 mg/vial vial 283,250
120 DBL GEMCITABINE 1G - Gemcitabine HCI - Gemcitabine 1G/vial vial 824,000
121 DBL GEMCITABINE 200MG - Gemcitabine HCI - Gemcitabine 200mg vial 180,250
122 DBL GLICERYL TRINITRATE 50 MG/10 ML INJ. - Glyceryl Trinitrate 5mg/mL ampul 133,900
123 DBL OXALIPLATIN 100MG - Oxaliplatin 100mg vial 824,000
124 DBL OXALIPLATIN 50MG - Oxaliplatin 50mg vial 412,000
125 DENOMIX CREAM - Desoksimetason 0,25% tube 8,347
126 DEPAKENE - Valproat sirup 250 mg/5 ml btl 43,054
127 DEPAKOTE ER 250 MG - Valproat tab SR 250 mg btl 3,080
128 DEPAKOTE ER 500 MG - Valproat tab SR 500 mg btl 6,180
129 DEPAKOTE TAB 250 MG - Valproat tablet salut 250 mg Tablet 1,803
130 DEPONEO - Medroksiprogesteron asetat Injeksi Depo 150 mg/ml vial 7,256
131 DERMASOLON - Flucinolone Asetonide Salep 0.025 % tube 5,665
132 DESFERAL - Deferoksamin Mesilat Serbuk Injeksi 500mg vial 121,025
133 DIAMICRON MR 60 - Gliklazid tab MR 60mg Tablet 5,835
134 DIPEPTIVEN - Larutan mengandung Asam Amino (Glutamine 20gr) btl 236,797
135 DOCETAXEL - Dosetaksel inj 20 mg/0,5 mL dus 433,888
136 DOCETAXEL - Dosetaksel inj 80 mg/2 mL dus 1,364,750

1 2 3 4
137 DOPAMET - Metildopa tablet salut 250 mg Tablet 1,031
138 DORNER - Beraprost Na Tablet 4,532
139 DULCOLAX SUPP ADULT 10MG Bisakodil suppositoria 10mg each 5,974
140 DULCOLAX SUPP INFANT - Bisakodil suppositoria 5 mg each 5,840
141 DUROGESIC 12,5 MU MATRIX - Fentanil patch 12,5 mcg/jam each 100,657
142 DUROGESIC 25 MU MATRIX - Fentanil patch 25 mcg/jam each 193,640
143 DUROGESIC 50 MU MATRIX - Fentanil patch 50 mcg/jam each 360,500
144 E-SOME - Esomeprazole inj 40mg vial 44,842
EAS PFRIMER - Larutan mengandung Asam Amino (Asam Amino Esensial
145 btl 54,590
7%+Xylitol 10 g/L+ Histidine)
146 ELOXATIN - Oksaliplatin serbuk injeksi 100 mg / vial vial 824,000
147 ELOXATIN - Oksaliplatin serbuk injeksi 50 mg / vial vial 412,000
148 EPEEDO Epirubisin - serb inj 50 mg/25mL vial 489,250
149 EPISINDAN - Epirubisin serb inj 10 mg/5 mL vial 107,094
150 EPISINDAN - Epirubisin serb inj 50 mg/25mL vial 489,250
151 EPOTREX 2000 IU - EPOTREX 2000 IU - Eritropoetin-alfa inj 2000 vial 113,300
152 EPREX 2000 - Eritropoetin-alfa inj 2000 Ul/ml vial 113,300
153 ERBITUX - Setuksimab infus 5 mg/ml vial 3,759,500
154 ESTHERO 0,625 MG Estrogen Konjugasi 0.625 mg blister 108,150
155 ETOPUL - Etoposid injeksi 20 mg/ml ampul 117,420
156 EUTHYROX 100 - Levotiroksin tablet/kapsul/kapsul 100 mcg Tablet 972
157 EUTHYROX 50 - Levotiroksin tablet/kaplet/kapsul 50 mcg Tablet 741
158 EXJADE 250 MG TAB - Deferasiroks tablet disp/eff 250mg Tablet 82,400
159 EXJADE 500 MG TAB - Deferasiroks tablet disp/eff 500mg Tablet 159,650
160 FARGOXIN INJ - Digoksin injeksi 0,25 mg/ml Tablet 28,546
161 FARMABES INJEKSI 25 MG - Diltiazem Injeksi 25 mg/5mL vial 56,650
162 FARNORMIN - Atenolol 50 mg Tablet 340
163 FARPRESIN - Vasopresin injeksi i.m/s.k 20 UI/ml vial 79,310
164 FARSORBID 10 MG - Issosorbid Dinitrat 10 mg Tablet 204
165 FARSORBID INJ - Isosorbid Dinitrat injeksi i.v 10 mg/10 ml vial 32,285
166 FEMAPLEX - Letrozol tablet 2,5 mg Tablet 9,270
167 FEMARA - Letrozol tablet/kaplet/kapsul 2,5 mg Tablet 9,270
168 FENITOIN INJEKSI 50 MG/ML - Fenitoin injeksi 50 mg/ml vial 21,483
169 FENOCIN - Fenoksimetil penisilin (penisilin V) tab 125 mg Tablet 305
170 FERRIPROX ORAL SOLUTION - Deperipron 250 ml btl 1,730,400
171 FERRIPROX ORAL SOLUTION - Deperipron 500 mL btl 3,450,500
172 FERRIPROX TABLET - Deperipron Tablet 33,990
173 FINPRO TABLET Finasterid 5 mg Tablet 2,153
174 FLAMICORT - Triamsinolon inj 10 mg/mL vial 84,666

1 2 3 4
175 FLEET ENEMA - NATRIUM FOSFAT 133 ml btl 44,342
176 FLEET PHOSPHOSODA - Natrium Fosfat lar oral btl 39,655
177 FLIXOTIDE NBULES - Flutikason Propionat nebules 0,5 mg nebule 14,935
178 FLUDARA IV LYO - Fludarabin inj 50 mg vial 1,545,000
179 FLUDARA ORAL - Fludarabin tab 10 mg Tablet 339,900
180 FONKOGEM - Gemsitabine inj 1000mg/vial vial 824,000
181 FONKOGEM - Gemsitabine inj 200mg/vial vial 180,250
182 FONKOPAC - Paklitaksel inj 100mg/vial vial 515,000
183 FONKOPAC - Paklitaksel inj 300mg/vial vial 1,545,000
184 FONKOPAC - Paklitaksel inj 30mg/vial vial 206,000
185 FORANE 250 ML - Isofluran inhalasi botol 250 ml btl 693,040
186 FORTANEST Midazolam injeksi i.v. 1 mg/ml vial 5,824
187 FRESOFOL 1% MCT/LCT - Propofol injeksi i.v., bolus 1% vial 11,999
188 FRIDEP 50 MG - Sertralin tablet/kapsul/kaplet 50 mg Tablet 2,554
189 FUCILEX OINTMENT - Natrium fusidat salep 20 mg/g tube 6,693
190 FUKRICIN TM - natamisin 50 mg/ml btl 56,650
191 FUSYCOM CREAM - NATRIUM FUSIDAT 20 mg/g tube 6,466
FUTROLIT - Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi
192 kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Bag 40,505
Asetat 38mEQ, Sorbitol 50g)
193 GADOVIST 5 MG - Gadobutrol macrocyclic 5 mg dus 300,760
194 GADOVIST 7,5 MG - Gadobutrol macrocyclic 7,5 mg dus 453,200
195 GAMARAAS - IMUNOGLOBULIN INTRAVENA INJ 250mg/50ml vial 2,344,177
196 GAVISTAL DROPS - Metoklopramid drop botol 10 mL btl 5,356
197 GELOFUSINE 4% - Modified fluid gelatine BM 30000 lar inf 4% btl 70,679
198 GEMCIKAL - Gemsitabin inj 1000 mg/vial vial 824,000
199 GEMCIKAL - Gemsitabin inj 200 mg/vial vial 180,250
200 GEMEDAC 1000 MG - Gemsitabin inj 1000 mg/vial vial 824,000
201 GEMEDAC 200 MG - Gemsitabin inj 200 mg/vial vial 180,250
202 GEMTAVIS - Gemsitabin inj 1000 mg/vial vial 824,000
203 GEMTAVIS - Gemsitabin inj 200 mg/vial vial 180,250
204 GENERIK INN - Air Untuk Injeksi (Aqua pro Injeks) 20 ml vial 2,379
205 GENERIK INN - Akarbose tablet/kaplet 100 mg Tablet 935
206 GENERIK INN - Akarbose tablet/kaplet 50 mg Tablet 677
207 GENERIK INN - Albendazol sup 200mg/5 ml (G) btl 4,559
208 GENERIK INN - Albendazol Tablet 400 Mg Tablet 333
209 GENERIK INN - Alopurinol tablet 100 mg Tablet 98
210 GENERIK INN - Alopurinol tablet 300 mg Tablet 251
211 GENERIK INN - Alprazolam tablet/kapsul/kaplet 0,25 mg Tablet 448

1 2 3 4
212 GENERIK INN - Amikasin injeksi 250 mg/ml vial 30,591
213 GENERIK INN - Aminofilin inj 24 mg/ml vial 3,450
214 GENERIK INN - Amitriptiline tablet 25 mg Tablet 170
215 GENERIK INN - Amlodipin tablet 10 mg Tablet 168
216 GENERIK INN - Amlodipin tablet/kapsul/kaplet 5 mg Tablet 108
217 GENERIK INN - Amoksisilin kapsul/kaplet 250 mg Tablet 213
218 GENERIK INN - Amoksisilin kapsul/kaplet/tablet scored 500 mg Tablet 240
219 GENERIK INN - Amoksisilin sirup kering 125 mg/5 ml btl 2,266
220 GENERIK INN - Amoksisilin sirup kering forte 250 mg/5 ml btl 4,271
221 GENERIK INN - Antasida DOEN I tablet kunyah Tablet 66
GENERIK INN - Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida
222 btl 2,169
200 mg/5 ml, Magnesium Hidroksida 200 mg/ 5 ml.
GENERIK INN - Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam
223 unit 4,925
Salisilat 3% (Whitfield)
GENERIK INN - Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen
224 Tablet 3,607
2,5 mg lidokain 10 mg seng oksida 120 mg
225 GENERIK INN - Asam asetilsalisilat (asetosal) Tablet 158
226 GENERIK INN - Asam Askorbat (Vitamin C) tablet 50 mg Tablet 124
227 GENERIK INN - Asam Askorbat (Vitamin C) tablet 50 mg Tablet 46
228 GENERIK INN - Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg Tablet 143
229 GENERIK INN - Asam Mefenamat kaplet 500 mg Tablet 116
230 GENERIK INN - Asam traneksamat injeksi 100 mg/ml vial 2,873
231 GENERIK INN - Asam traneksamat injeksi 50 mg/ml vial 2,612
232 GENERIK INN - Asiklovir 200 mg Tablet 280
233 GENERIK INN - Asiklovir tablet/kapsul/kaplet 400 mg Tablet 379
234 GENERIK INN - Atropin inj 0,25 mg / ml vial 1,722
235 GENERIK INN - Azitromisin tablet 500 mg Tablet 1,957
236 GENERIK INN - Bedak Salisil serbuk 2% box 1,098
237 GENERIK INN - BENZATIN PENISILIN 1,2 UI/ml vial 12,674
238 GENERIK INN - BENZATIN PENISILIN 2,4 UI/ml vial 17,175
239 GENERIK INN - Betametason krim0,1% (Sebagai Valerat) tube 1,478
240 GENERIK INN - Bisoprolol tablet 5 mg Tablet 411
241 GENERIK INN - Captopril 25mg Tablet 74
242 GENERIK INN - CARBOPLATIN 150 mg/15 mL Tablet 189,211
243 GENERIK INN - Carboplatin Inj 450 mg/45 mL vial 440,711
244 GENERIK INN - Deksametason injeksi i.v./i.m. 5 mg/ml vial 1,782
245 GENERIK INN - Deksametason tablet 0,5 mg Tablet 49
246 GENERIK INN - Desoksimetason krim 0,25% tube 11,845
247 GENERIK INN - Diazepam tablet/kapsul/kaplet 5 mg Tablet 138
248 GENERIK INN - Dietilkarbamazin tablet scored 100 mg Tablet 126

1 2 3 4
249 GENERIK INN - Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) vial 1,396
250 GENERIK INN - Digoksin 0,25 mg Tablet 111
251 GENERIK INN - Diltiazem HCl tablet 30 mg Tablet 132
252 GENERIK INN - Doksisiklin tablet/kapsul/kaplet 100 mg Tablet 318
253 GENERIK INN - Domperidon suspensi/sirup 5 mg/5 ml btl 3,275
254 GENERIK INN - Domperidon tablet/kapsul/kaplet 10 mg Tablet 132
255 GENERIK INN - Domperidon tetes 5 mg/mL btl 18,477
256 GENERIK INN - Donepezil tablet 5 mg Tablet 2,574
257 GENERIK INN - Doxorubicin HCl 10 mg/vial vial 50,985
258 GENERIK INN - Doxorubicin HCl 50 mg/vial vial 260,590
259 GENERIK INN - Efavirens tablet salut 600 mg Tablet 7,551
260 GENERIK INN - Efedrin Inj 50mg/ml vial 11,319
261 GENERIK INN - Epinefrin (Adrenalin) inj i.v/s.k./i.m 1mg/ml (0,1%) vial 2,425
262 GENERIK INN - Epirubicin HCL 50 mg/25 mL vial 489,250
263 GENERIK INN - Epirubicin HCL 10 mg/5 mL vial 107,094
264 GENERIK INN - Eritromisin tablet/kapsul/kaplet 250 mg Tablet 671
265 GENERIK INN - Eritromisin kaplet 500mg kaplet 789
266 GENERIK INN - Eritromisin sirup kering 200 mg/ 5 ml btl 7,250
267 GENERIK INN - Etambutol tablet 250 mg (HCl) Tablet 408
268 GENERIK INN - Eugenol cairan btl 21,439
269 GENERIK INN - Fenitoin injeksi 50 mg/ml (100 mg/2 ml) vial 8,683
270 GENERIK INN - Fenitoin Kapsul/Kaplet 100 mg Tablet 159
271 GENERIK INN - Fenobarbital injeksi i.m./i.v. 50 mg/ml vial 2,333
272 GENERIK INN - Fenofibrat kaps 100 mg kapsul 1,105
273 GENERIK INN - Fenofibrat kaps 300 mg kapsul 1,342
274 GENERIK INN - Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml vial 155,530
275 GENERIK INN - Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml vial 412,000
276 GENERIK INN - Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg Tablet 824
277 GENERIK INN - Flukonazol injeksi 2 mg/ml vial 37,475
278 GENERIK INN - Flukonazol tablet/kapsul 150 mg Tablet 21,321
279 GENERIK INN - FLUOROURACIL INJ 50 MG/ML vial 24,926
280 GENERIK INN - Gabapentin 300 mg Tablet 1,688
GENERIK INN - Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida
281 sachet 282
0,30 g + trinatrium sitrat 0,58 g + glukosa anhidrat 2,7 g
282 GENERIK INN - Gemfibrozil tablet/kapsul/kaplet 300 mg Tablet 449
283 GENERIK INN - Gemfibrozil tablet/kapsul/kaplet 600 mg Tablet 879
284 GENERIK INN - Gentamisin injeksi 40 mg/ ml vial 3,651
285 GENERIK INN - Gentamisin tetes mata 0,3% btl 4,738
286 GENERIK INN - Glikuidon tab 30 mg Tablet 1,133

1 2 3 4
287 GENERIK INN - Glimepiride 1 mg Tablet 227
290 GENERIK INN - Glimepiride tablet 2 mg Tablet 305
291 GENERIK INN - Glukosa larutan infus 10% btl 7,725
292 GENERIK INN - Glukosa larutan infus 5 % steril btl 7,107
293 GENERIK INN - Glukosa larutan infus 5 % steril btl 7,107
294 GENERIK INN - Haloperidol Tablet 0,5 mg Tablet 66
295 GENERIK INN - Haloperidol Tablet 1,5 mg Tablet 76
296 GENERIK INN - hidroklorotiazid tab 25 mg Tablet 176
297 GENERIK INN - Hidrokortison krim 1% tube 3,619
298 GENERIK INN - Hidrokortison krim 2,5 % tube 2,793
299 GENERIK INN - Ibuprofen 400 mg Tablet Tablet 137
300 GENERIK INN - Ibuprofen Suspensi 100 mg/5 ml btl 2,637
301 GENERIK INN - Ibuprofen tablet/kapsul/kaplet 200 mg Tablet 114
302 GENERIK INN - Irbesartan tablet 150 mg Tablet 729
303 GENERIK INN - Irbesartan tablet 300 mg Tablet 1,187
304 GENERIK INN - Isoniazid tablet/kapsul/kaplet 300 mg Tablet 182
305 GENERIK INN - Isoniazid tablet 100 mg Tablet 84
306 GENERIK INN - Issosorbid Dinitrat 5 mg Tablet 96
307 GENERIK INN - Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet 71
308 GENERIK INN - Kandesartan tab 16 mg Tablet 6,309
309 GENERIK INN - Kandesartan tab 8 mg Tablet 3,960
310 GENERIK INN - Kaptopril tablet/kaplet scored 12,5 mg Tablet 71
311 GENERIK INN - Kaptopril tablet/kapsul/kaplet 50 mg Tablet 147
312 GENERIK INN - Ketokonazol krim 2% tube 2,684
313 GENERIK INN - Ketorolak inj 30 mg/ml vial 1,425
314 GENERIK INN - Klindamisin tablet/kapsul/kaplet 150 mg Tablet 543
315 GENERIK INN - Klobazam tab 10 mg Tablet 1,154
316 GENERIK INN - Klomifen sitrat tablet 50 mg Tablet 1,269
317 GENERIK INN - Klonidin tablet 0,15 mg Tablet 143
318 GENERIK INN - Klopidogrel tablet 75 mg Tablet 2,163
319 GENERIK INN - Kloramfenikol salep mata 1 % tube 1,906
320 GENERIK INN - Kloramfenikol suspensi 125 mg/ 5 ml btl 4,120
321 GENERIK INN - Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet 46
322 GENERIK INN - Klorpromazin injeksi i.m. 25 mg/ml (HCl) vial 1,468
323 GENERIK INN - Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) vial 1,673
324 GENERIK INN - KLORPROMAZIN TAB SALUT 25 mg Tablet 175
325 GENERIK INN - Kodein tablet 10 mg Tablet 649

1 2 3 4
326 GENERIK INN - Kodein tablet 15 mg Tablet 1,106
327 GENERIK INN - Kodein tablet 20 mg Tablet 1,432
GENERIK INN - Kombinasi Injeksi Depot (G) : Medroksi progesteron asetat 25 mg
328 vial 6,532
Estradiol sipionat 5 mg
GENERIK INN - Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg
329 Tablet 1,644
Etinilestradiol 30 mcg
GENERIK INN - Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi
330 btl 2,292
:Sulfametoksazol 200 mg + Trimetoprim 40 mg
GENERIK INN - Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol
331 Tablet 163
400 mg Trimetoprim 80 mg
GENERIK INN - Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg
332 Tablet 354
trimetoprim 160 mg
333 GENERIK INN - Kuinin tablet/kapsul/kaplet 200 mg (222 mg sebagai garam) (G) Tablet 759
334 GENERIK INN - Laktulosa sir 3,335 g/5 mL btl 14,935

335 GENERIK INN - Lamivudine tablet 150 mg Tablet 1,777
336 GENERIK INN - Levofloksasin inf 5 mg/mL btl 31,825
337 GENERIK INN - Levofloksasin tablet/kapsul/kaplet 500 mg Tablet 541
338 GENERIK INN - Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL ampul 2,186
339 GENERIK INN - Lidokain injeksi 2% (HCL) ampul 901
340 GENERIK INN - Lisinopril tablet/kapsul/kaplet 10 mg Tablet 500
341 GENERIK INN - Lisinopril tablet/kapsul/kaplet 5 mg Tablet 422
342 GENERIK INN - Loperamid tablet 2 mg Tablet 93
343 GENERIK INN - Loratadin tablet/kapsul/kaplet 10 mg Tablet 154
344 GENERIK INN - Manitol lar infus 20% btl 45,320
345 GENERIK INN - Meropenem serb inj 1000 mg vial 46,349
346 GENERIK INN - Meropenem serb inj 500 mg vial 36,462
347 GENERIK INN - Metadon sir 50mg/5ml btl 325,738
348 GENERIK INN - Metformin HCl tablet 850 mg Tablet 211
349 GENERIK INN - Metformin HCl tablet/kapsul/kaplet 500 mg Tablet 123
350 GENERIK INN - Methotrexate 50 mg Tablet 39,655
351 GENERIK INN - Metilergometrin inj 0,2 mg/ml Vial 2,765
352 GENERIK INN - Metilprednisolon inj 125 mg/mL Ampul 15,193
353 GENERIK INN - Metilprednisolon inj 500 mg/vial (G) Vial (Ampul) 76,931
354 GENERIK INN - Metilprednisolon Kaplet 16 mg Vial (Ampul) 694
355 GENERIK INN - Metilprednisolon Kaplet 8 mg Kaplet 337
356 GENERIK INN - Metilprednisolon tablet 4 mg Kaplet 215
357 GENERIK INN - Metoklopramid 10 mg Tablet 103
358 GENERIK INN - Metoklopramide tablet 5 mg Tablet 136
359 GENERIK INN - Metronidazol tablet 250 mg Tablet 101
360 GENERIK INN - Metronidazole sirup 125mg/ 5ml Tablet 3,914

1 2 3 4
361 GENERIK INN - Metronidazole Tablet 500 mg Bottle 144
362 GENERIK INN - Mikonazol krim/salep 2 % (Nitrat) Tablet 3,849
363 GENERIK INN - Mometasone Furoate 0,1% Krim Tube 18,128
364 GENERIK INN - Morfin tablet 10 mg Tube 1,658
365 GENERIK INN - N-asetil sistein kapsul 200 mg Tablet 488
366 GENERIK INN - Nacl 0,9% Tablet 6,602
367 GENERIK INN - Natrium diklofenak tablet/kapsul/kaplet 25 mg Bottle 172
368 GENERIK INN - Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet 172
369 GENERIK INN - Nifedipin tablet 10 mg Tablet 127
370 GENERIK INN - Nikardipin inj 10 mg Tablet 45,902
371 GENERIK INN - Nistatin tablet/kaplet salut 500.000 IU/ g Ampul 883
372 GENERIK INN - Nistatin vaginal tablet 100.000 IU/ g Tablet 620
373 GENERIK INN - Obat Anti Tuberculosis FDC Kategori Anak Tablet 254,651
374 GENERIK INN - Obat Anti Tuberculosis FDC Kategori I Pack 426,404
375 GENERIK INN - Obat Anti Tuberculosis FDC Kategori II Pack 1,421,384
376 GENERIK INN - Obat Anti Tuberculosis FDC Kategori Sisipan Pack 189,504
377 GENERIK INN - Ofloksasin tablet/kapsul/kaplet 200 mg Pack 412
378 GENERIK INN - Ofloksasin tablet/kapsul/kaplet 400 mg Tablet 655
379 GENERIK INN - Omeprazol kapsul 20 mg Tablet 169
380 GENERIK INN - Omeprazole Injeksi 40mg / 10ml Capsule 19,093
381 GENERIK INN - Ondansetron tablet/kapsul/kaplet 4 mg Vial (Ampul) 558
382 GENERIK INN - Paclitaxel 100 mg/ vial Tablet 515,000
383 GENERIK INN - Paclitaxel 30 mg/ vial Vial (Ampul) 206,000
384 GENERIK INN - Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Vial (Ampul) 6,159
385 GENERIK INN - Parasetamol sirup 120 mg/ 5ml Bottle 1,153
386 GENERIK INN - Phenoksimetyl Penisilin tab 250 mg Bottle 415
387 GENERIK INN - Phenoksimetyl Penisilin TAB 500 mg Tablet 717
388 GENERIK INN - Phtomenadion (VIT K) inj i.m. 2 mg/ml Tablet 4,206
389 GENERIK INN - Pirantel tablet score (base) 125 mg Ampul 328
390 GENERIK INN - Pirazinamid tablet 500 mg Tablet 255
391 GENERIK INN - Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 54
392 GENERIK INN - Piridoksin (Vitamin B6) tablet 25 mg (HCl) Tablet 62
393 GENERIK INN - Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) Tablet 140
394 GENERIK INN - Povidon Iodida larutan 10% 60 ml Tablet 6,901
395 GENERIK INN - Pravastatin tablet 20 mg Bottle 2,663
396 GENERIK INN - PRIMAKUIN TABLET 15 mg Tablet 266
397 GENERIK INN - Prokain Benzilpenisilin serbuk injeksi 3 juta IU Tablet 10,205
398 GENERIK INN - Propanolol tablet 10 mg ( HCl ) Vial (Ampul) 71
399 GENERIK INN - Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet 330

1 2 3 4
400 GENERIK INN - Ramipril tablet 2,5 mg Tablet 335
401 GENERIK INN - Ramipril tablet 5 mg Tablet 721
402 GENERIK INN - Ranitidin injeksi 25 mg/ml Tablet 1,648
403 GENERIK INN - Ranitidin tablet 150 mg Ampul 123
404 GENERIK INN - Retinol (Vitamin A) 100.000 IU Tablet 337
405 GENERIK INN - Rifampisin tablet/kapsul/kaplet 300 mg Capsule 809
406 GENERIK INN - Rifampisin tablet/kapsul/kaplet 450 mg Capsule 1,062
407 GENERIK INN - Rifampisin tablet/kapsul/kaplet 600 mg Kaplet 1,463
408 GENERIK INN - Ringer Laktat Kaplet 7,365
409 GENERIK INN - Risperidon 2 mg Bottle 510
410 GENERIK INN - Risperidon 3 mg Tablet 816
411 GENERIK INN - Risperidon tablet 1 mg Tablet 452
412 GENERIK INN - Salbutamol 2 mg (sebagai Sulfat Tablet 70
413 GENERIK INN - Salbutamol sirup Tablet 5,627
414 GENERIK INN - Salbutamol tablet 4 mg (sebagai Sulfat) Bottle 87
415 GENERIK INN - Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% Tablet 2,881
416 GENERIK INN - Sefadroksil Sirup Kering 125 mg/5ml Unit 4,888
417 GENERIK INN - Sefadroksil kapsul/kaplet 500 mg Bottle 574
418 GENERIK INN - Sefadroksil Sirup Kering 250 mg/5 ml Capsule 6,087
419 GENERIK INN - Sefaleksin kapsul 500 mg Bottle 739
420 GENERIK INN - Sefazolin serbuk injeksi 1 g/vial Kapsul 18,643
421 GENERIK INN - Sefepim serb inj 1000 mg Vial (Ampul) 39,435
422 GENERIK INN - Sefiksim kapsul/kaplet 100 mg Vial (Ampul) 669
423 GENERIK INN - Sefiksim sirup kering 100 mg/5 ml Capsule 7,921
424 GENERIK INN - Sefoperazon inj 1 g Bottle 26,059
425 GENERIK INN - Sefotaksim serb inj 1.000 mg Vial (Ampul) 5,045
426 GENERIK INN - Sefotaksim Serbuk Injeksi 500 mg Vial (Ampul) 6,680
427 GENERIK INN - Seftazidim serb inj 1.000 mg Vial (Ampul) 16,377
428 GENERIK INN - Setirizin kapsul 10 mg Vial (Ampul) 159
429 GENERIK INN - Setirizin sirup 5 mg/5 ml Capsule 3,039
430 GENERIK INN - Sianokobalamin (vitamin B12) injeksi 500 mcg Bottle 1,263
431 GENERIK INN - Simvastatin scored tablet 10 mg Ampul 139
432 GENERIK INN - Simvastatin tablet/kaplet/salut 20 mg Tablet 260
433 GENERIK INN - Siprofloksasin infus 2% Tablet 13,894
434 GENERIK INN - Siprofloksasin tab scored 500 mg Bottle 307
435 NGENERIK INN - spironolactone 25 mg Tablet 323
436 GENERIK INN - Spironolakton tablet 100 mg Tablet 904
437 GENERIK INN - STREPTOMISIN SERBUK INJ IV 1000 mg/ml Tablet 5,923

1 2 3 4
438 GENERIK INN - Sukralfat susp 500 mg / 5 ml, 100 ml Vial (Ampul) 10,403
439 GENERIK INN - Tenofovir tab 300 mg Bottle 9,594
440 GENERIK INN - Tetrasiklin kapsul/kaplet 250 mg Tablet 179
441 GENERIK INN - Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet 339
442 GENERIK INN - Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) Capsule 94
443 GENERIK INN - Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet 100
444 GENERIK INN - URSODEOXYCHOLIC ACID 250 MG Tablet 4,038
445 GENERIK INN - Vaksin BCG Kering (BF) Capsule 61,749
446 GENERIK INN - Vaksin Campak inj s.k + pelarut Dose (dosis) 29,050
447 GENERIK INN - Vaksin Jerap Difteri Tetanus (DT) cairan inj i.m 40/15 lf per mL Dose (dosis) 18,332
448 GENERIK INN - Vaksin Jerap difteri tetanus (Td) cairan inj i.m 4/15 if per mL Dose (dosis) 16,995
449 GENERIK INN - Vaksin jerap tetanus (tetanus adsorbed toxoid / TT) inj (i.m.) Dose (dosis) 14,933
GENERIK INN - Vaksin Meningitis Meningococcal polysacharide Group
450 Dose (dosis) 220,935
A.C.Y.W135 Menivax ACYW - (untuk Kebutuhan Haji dan Umroh))
451 GENERIK INN - Vaksin polio t-OPV drops 10 dosis Vial (Ampul) 20,553
452 GENERIK INN - Vaksin polio t-OPV drops 20 dosis Dose (dosis) 35,859
453 GENERIK INN - Valsartan tab 160 mg Vial (Ampul) 2,781
454 GENERIK INN - Valsartan tab 80 mg Kaplet 1,854
455 GENERIK INN - Verapamil tablet 80 mg (HCl) Tablet 305
456 GENERIK INN - Vitamin B Kompleks tablet Tablet 51
457 GENERIK INN - Vitamin B Kompleks tablet Tablet 136
458 GENERIK INN - Warfarin Tablet 1 mg Tablet 1,008
459 GENERIK INN - Zidofudin 100 mg Tablet 2,014
460 GENERIK INN - Zidovudin 300 mg + Lamivudine 150 mg Tablet 4,383
461 GENERIK INN - Zinc Sir 10 mg/mL btl 16,972
462 GENERIK INN - Zinc tablet dispersible20 mg Tablet 610
463 GENOINT SALEP MATA - Gentamisin salep mata 0,3% tube 3,039
464 GLISERIN LAR 50% - Gliserin lar 50% btl 6,798
GLIVEC - Imatinib Mesilat tab 100mg (Risk Sharing Berdasarkan SK Menkes
465 Tablet 217,330
2015)
466 GLUCODEX - Gliklazid tab 80 mg Tablet 242
467 GRANOCYTE 34 1VL HSA FREE - Lenograstim inj 263 mcg/mL Vial (Ampul) 782,800
468 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 1000 UI Vial (Ampul) 3,708,000
469 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 230 -340 UI Vial (Ampul) 952,750
470 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 mL Vial (Ampul) 952,750
471 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 480 - 600 IU Vial (Ampul) 1,905,500
472 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 mL Vial (Ampul) 1,905,500
473 HALDOL DECANOAS - Haloperidol inj 50 mg/ml Vial (Ampul) 100,425
474 HALOPERIDOL TABLET 5 MG - Haloperidol tablet/kapsul/kaplet 5 mg Tablet 101

1 2 3 4
475 HALOTHANE - Halotan Inhalasi btl 813,700
476 HARNAL D - TAMSULOSIN HCI 0,2 mg Tablet 7,313
477 HARNAL OCAS - TAMSULOSIN HCI 0,4 mg Tablet 7,004
478 HEMAPO 10.000 IU - Eritropoetin-alfa inj 10000 UI/mL Vial (Ampul) 334,750
479 HEMAPO 3000 - Eritropoetin-alfa inj 3000 UI/mL Vial (Ampul) 144,149
480 HEPSERA - Adefovir Dipivoksil tablet/kaplet 10 mg Tablet 30,694
481 HERBESSER CD 100 - Diltiazem Kapsul SR 100mg -100 Kapsul 4,419
482 HERBESSER CD 200 - Diltiazem Kapsul SR 200mg -100 Kapsul 4,790
483 HERBESSER POWDER INJECTION 50MG - Diltiazem infus injeksi 50 mg Vial (Ampul) 152,955
484 HERCEPTIN - Trastuzumab serbuk injeksi 440 mg/vial injeksi 20,196,275
485 HOLOXAN INJEKSI 1000 - Ifosfamid serbuk injeksi 1000 mg/vial dos 1,455,905
HUMALOG - Analog insulin rapid actinginj 100 UI/ml, vial/cartridge
486 dus 89,610
disposible/penfill cartridge (Insulin lispro (rDNA origin))
487 HUMALOG KWIKPEN - Analog Insulin Rapid Acting Inj 100 UI/ml dus 89,610
HUMALOG MIX 25 - Analog insulin mix insulininj 100 UI/ml, vial/cartridge
488 disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro protamine dus 108,150
suspension, (rDNA))
489 HUMALOG MIX 25 KWIKPEN - Analog Insulin Mix Insulin Inj 100 UI/ml dus 113,300
HUMAN ALBUMIN 20% BIOTEST Albumin serum normal (human albumin) inj
490 btl 421,476
20% @50 ml
HUMAN ALBUMIN 20% BIOTEST Albumin serum normal (human albumin) inj
491 btl 883,740
20%
492 HUMULIN 30/70 KWIKPEN - Human Insulin Mix Insulin Inj 100 UI/ml dus 82,194
493 HUMULIN N KWIKPEN - Human Insulin Intermediate Acting Inj 100 UI/ml dus 82,194
494 HUMULIN R KWIKPEN - Human Insulin Short Acting Inj 100 UI/ml dus 82,194
HUMULIN R VIAL - Human insulin short acting inj 100 UI/ml, vial (Insulin human
495 dus 147,805
Rapd)
496 HYDROMAL - Larutan mengandung Karbohidrat + Elektrolit bag 50,985
497 HYPERHEP B - Hepatitis B imunoglobulin (human) dus 1,339,000
498 HYTRIN 1 MG - Terazosin HCl tablet 1 mg Tablet 1,004
499 HYTRIN 2 MG - Terazosin HCl tablet 2 mg Tablet 1,468
500 ILIADIN DROPS - Oksimetazolin Tetes Hidung 0.025% btl 35,535
501 ILIADIN SPRAY - Oksimetazolin Tetes Hidung 0.050% btl 37,595
502 INFUSAN D5 (100 ML) - Larutan mengandung karbohidrat (Glukosa 5g/100 ml) bag 11,794
503 INFUSAN D5 (250 ML) Larutan mengandung Karbohidrat (Glukosa 12,5 g/250 ml) bag 11,742
504 INSULATARD PENFILL - Human insulin N acting inj 100 UI/ml,penfill cartridge unit 77,250
505 INSULATARD VIAL - Human insulin N acting inj 100 UI/ml, vial unit 147,805
506 INTERDOXIN 50 MG Doksisiklin 50 mg Tablet 1,586
507 INTRALIPID - Larutan mengandung Lipid (Infus Emulsi Lipid 20%) btl 74,155
508 INTRATECT Imunoglobulin intravena inj 250mg/50ml Vial (Ampul) 2,344,177
509 INVICLOT - Heparin injeksi i.v./s.k. 5000 UI/ml Vial (Ampul) 44,182

1 2 3 4
510 IRESSA 250 MG - Gefitinib 250 mg Tablet 303,850
511 ISOPTIN 240 MG - Verapamil tab 240 mg Tablet 6,880
512 ISOTIC ADRETOR 0,25% - Timolol tetes mata 0,25% btl 10,985
513 ISOTIC ADRETOR 0,5% - Timolol tetes mata 0,5% btl 12,798
514 IVANES - Ketamin injeksi i.v. 100 mg/ml Vial (Ampul) 82,730
515 JURNISTA Hidromorfon HCL tablet oros 16 mg Tablet 51,500
516 JURNISTA Hidromorfon HCL tablet oros 8 mg Tablet 38,625
517 KA EN 1B - Larutan mengandung Elektrolit bag 9,551
KA EN 3A - Larutan Karbohidrat+elektrolit(NaCl 2,34 Na Laktat 2,24, KCL 0,76,

518 bag 10,352
Deskstrosa 27 gram)
519 KA ENMG 3 - Larutan mengandung Karbohidrat+Elektrolit bag 9,888

KABIVEN 1920 ML - Larutan mengandung Asam Amino (Kombinasi Asam Amino:
520 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses bag 317,240
peripheral))
KABIVEN 1920 ML - Larutan mengandung Asam Amino (Kombinasi Asam Amino:
521 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses bag 369,358
peripheral))
522 KALIPAR - Kalium aspartat tab 300 mg Tablet 711
523 KALITAKE - Kalsium Polistirena Sulfonat ktg 5 g Tablet 6,337
524 KARBAMAZEPIN KAPLET 200 MG - Karbamazepin tablet/kapsul/kaplet 200 mg Tablet 315
525 KARBOGLISERIN TETES TELINGA 10% - Karbogliserin tetes telinga 10% btl 2,575
526 KETAMIN HAMELN - Ketamin injeksi i.v. 50 mg/ml Vial (Ampul) 73,748
527 KIDMIN - Larutan mengandung Asam Amino 200 ml bag 50,697
528 KLINDAMISIN KAPSUL 300 MG - Klindamisin tablet/kapsul/kaplet 300 mg Tablet 680
529 KOATE 250 UI - Faktor VIII (konsentrat) serb inj 250 IU/vial + pelarut 5 ml Vial (Ampul) 952,750
530 KOATE DVI 1000 IU - Faktor VIII (konsentrat) serb inj 1000 IU + Pelarut 10 ml Vial (Ampul) 3,708,000
KOATE DVI 230 - 340 IU - Faktor VIII (konsentrat) serb inj 230-340 IU + Pelarut 5
531 Vial (Ampul) 952,750
ml
KOATE DVI 480 - 600 IU - Faktor VIII (konsentrat) serb inj 480 - 600 IU+ Pelarut 5
532 Vial (Ampul) 1,905,500
ml
535 KSR - Kalium Klorida tablet SR 600 mg Tablet 1,751
536 LANSOPRAZOLE 30 MG OGB Lansoprazole 30 mg Tablet 351
LANTUS SOLOSTAR 100IU/ML 5PENS X3ML - Analog insulin long acting inj 100
537 Solostar pen 87,550
UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glargine 100 IU/ml)
538 LETRAZ - Letrozol tablet 2.5 mg Tablet 9,270

539 LEUCOGEN - Filgastrim Inj. 300 mg Vial (Ampul) 334,745
540 LEUNASE - Asparaginase serbuk injeksi 10.000 UI/vial Vial (Ampul) 1,210,250
541 LEVEMIR FLEXPEN - Analog insulin long acting inj 100 UI/ml, (flexpen @ 3ml) unit 87,550

1 2 3 4
LEVOPAR TABLET - Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg
542 Tablet 1,391
Levodopa 100 mg
543 LEXAPRAM SIRUP - Metoklopramide sirup 5 mg/ 5 ml btl 2,833
544 LEZRA - Letrozole 2,5 mg Tablet 9,270
LIPOFUNDIN MCT/LCT 1% 100 - Larutan mengandung lipid (infus lipid emulsi
545 btl 73,645
MCT/LCT 20% 100 ml)
546 LIPOMED 250 ML Larutan mengandung lipid btl 174,199
547 LODOMER 2 - Haloperidol tablet 2 mg Tablet 118
548 LODOMER DROPS - Haloperidol tts 2 mg/mL btl 19,054
549 LODOMER INJEKSI - Haloperidol injeksi i.m 5 mg/ml Vial (Ampul) 5,498
Syringe
550 LOVENOX 2000 ANTI-XA - Enoksaparin sodium inj 20 mg/0,2 mL 49,440
(Suntikan)
Syringe
(Suntikan)
Syringe
(Suntikan)
553 MABTHERA 100MG/10ML - Rituksimab injeksi 100mg/10ml Vial (Ampul) 3,259,749
554 MABTHERA 500MG/50ML - Rituksimab injeksi 500mg/50ml Vial (Ampul) 16,298,747
555 MARTOS - Larutan mengandung Karbohidrat bag 32,033
556 MELAVITA Asam retinoat krim 0,1% tube 10,043
557 MEPTIN INHALATION SOLUTION 0.3 ML - Prokaterol cairan ih 30 mcg ampul 6,386
558 MEPTIN INHALATION SOLUTION 0.5 ML - Prokaterol cairan ih 50 mcg ampul 6,386
559 MEPTIN SWINGHALER - Prokaterol serbuk inhaler 10 mcg can 88,838
560 MESTINON - Piridostigmin Tablet 7,670
561 METHOTREXATE EBEWE - Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg Vial (Ampul) 23,929
562 MEYLON - Natrium Bikarbonat Injeksi i.v 8,4% Vial (Ampul) 6,386
563 MICARDIS 40MG - Telmisartan tab 40mg Tablet 4,017
564 MICARDIS 80MG - Telmisartan tab 80 mg Tablet 6,695
MICROBAR FOR ENEMA - Barium Sulfat serb 92 g/100 g (Disposable Plastic Bag
565 dus 317,446
@ 400g)
566 MICROBAR POWDER - Barium Sulfat serb 92 g/100 gr (botol plastik @ 3.500 g) btl 728,468
567 MIDAZOLAM HAMELN - MIDAZOLAM INJEKSI i.v 5 mg/ml Vial (Ampul) 10,061
568 MINIASPI 80 - Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Tablet 127
MIXTARD PENFILL - Human insulin mix insulin inj 100 UI/ml, penfill cartridge
569 unit 77,250
(Premix: 30% Soluble + 70 % NPH Insulin)
MIXTARD VIAL - Human insulin mix insulin inj 100 UI/ml, vial (Premix: 30%
570 unit 147,805
Soluble + 70 % NPH Insulin)
571 MOLASMA TABLET - Terbutalin tablet 2,5 mg Tablet 91
572 MST CONTINUS 10 MG - Morfin HCL tablet SR 10 mg Tablet 16,089
575 MYCAMINE - micafungin Vial (Ampul) 329,600
576 MYCORINE POWDER - Mikonazole serbuk 2% btl 30,529

1 2 3 4
577 N-ACE CAIRAN INHALASI - N-asetil sistein inj. nebules 100 mg ampul 13,617
578 NAPRODOX Doksorubisin - serb inj 10 mg/vial (i.v.) Vial (Ampul) 50,985
579 NAPRODOX INJ. 50 MG - Doksorubisin serbuk injeksi i.v. 50 mg/vial Vial (Ampul) 260,590
580 NAPROTAX Paklitaksel - inj 30 mg/vial Vial (Ampul) 206,000
581 NASACORT AQ - Triamsinolon asetonid nasal spray 55 mcg/puff btl 109,953
582 NAVELBINE INJEKSI 10 - Vinorelbin inj. 10 mg/ml Vial (Ampul) 1,266,898
583 NEFROFER - Low molecule feri sucrose inj amp 100 mg/5 mL Vial (Ampul) 45,320
584 NEOSTIGMIN HAMELN INJ - Neostigmine-hameln 0,5 mg/ml Vial (Ampul) 9,342
NEPHROSTERIL - Larutan mengandung Asam Amino (Asam Amino 7%,
585 btl 52,504
Komposisi: Asam Amino esensial: Asam Amino non esensial = 60 : 40)
586 NERILON KRIM Diflukortolon Valerat Salep Berlemak 0,1% tube 12,618
587 NEW ANTIDES - Attapulgite 600 mg tablet Tablet 178
588 NIFLEC polietilen glikol sachet 126,896
589 NIMOTOP INFUS - Nimodipine Infus btl 119,980
590 NIMOTOP TABLET - Nimodipine Tablet Tablet 3,476
591 NITRAL - Gliseril trinitrat tab sublingual 0,5 mg Tablet 1,700
592 NITROKAF FORTE - Gliseril trinitrat kaps SR 5 mg Kapsul 2,737
593 NITROKAF RETARD - Gliseril trinitrat kaps SR 2,5 mg Kapsul 1,777
594 NOKOBA - Naloksone injeksi 0,4 mg/ml Vial (Ampul) 81,370
595 NONAFACT 1000 IU - Faktor IX Kompleks Serb Inj 1000 IU/Vial+Pelarut 10 ml dus 9,154,640
596 NONAFACT 500 IU - Faktor IX Kompleks Serb Inj 500 IU/Vial+Pelarut 5 ml dus 4,758,600
597 NORESTIL NORESTIL Tablet 2,039
598 NOTRIXUM INJ 2,5 ML - Atrakurium injeksi 25 mg/2,5 ml Vial (Ampul) 13,792
NOVOMIX FLEXPEN - Analog insulin mix acting inj 100 UI/ml (Premix 30% Insulin
599 unit 113,300
Aspart + 70% Protaminated Insulin Aspart)
NOVORAPID FLEXPEN - Analog insulin rapid acting inj 100 UI/ml, vial/cartridge
600 unit 89,610
disposible/penfill cartridge (Insulin Aspart)
601 NOVORAPID VIAL - Analog insulin rapid acting inj 10ml, vial (Insulin Aspart) unit 221,445
602 NOVOSEVEN - Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi dosis 10,042,493
51000000-OBT-000060176
603 NUTRIFLEX LIPID PERI 1250 - Larutan mengandung asam amino (kombinasi btl 484,100
glukosa & elektrolit 80 gram + asam amino 40 gr + lipid MCT/LCT 50 gr )
NUTRIFLEX LIPID SPECIAL 1250 - Larutan mengandung asam amino (kombinasi

604 glukosa & elektrolit 180 gram + asam amino 71.8 gr + lipid 50 gr dgn akses btl 576,800
sentral)
NUTRIFLEX LIPID SPECIAL 625 - Larutan mengandung asam amino (kombinasi

605 glukosa & elektrolit 90 gram + asam amino 35.9 gr dan Lipid 25 gr dgn akses btl 350,200
sentral)
OBAT ANTI MALARIA DIHYDROARTEMISININ 40MG PIPERAQUINE
606 Tablet 3,603
PHOSPATE 320MG - Obat Anti Malaria

1 2 3 4
607 OBUCORT SWINGHALER - Budesonid inhaler 200 mcg/puff, 200 dosis can 109,180
608 OCTALBIN 25% - Albumin serum normal (human albumin) inj 25% 100 ml btl 1,545,000
609 OCTALBIN 25% - Albumin serum normal (human albumin)inj 25% 50 ml btl 772,500
610 OCTALBIN 5 % - Albumin serum Normal (human albumin) 5%, 250 mL btl 927,000
611 OCTIDE - Octreotide 0.1 mg/m ampul 61,800
612 OCUFLAM ED - Fluorometolon tetes mata 0,1 % btl 31,408
613 OMNISCAN - Gadodiamid Inj 287mg/ml Vial (Ampul) 298,700
614 ONBREZ BREEZHALER 150MCG Indacaterol Serb ih 150mcg Kapsul 12,103
615 ONBREZ BREEZHALER 300MCG Indakaterol serbuk ih 300mcg Kapsul 12,103
616 ONDANSETRON 4 MG INJ 2 ML Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) ampul 1,700
617 ONDANSETRON TAB OGB Ondansetron 8 mg Tablet Tablet 340
618 ONZAPIN - Olanzapin tablet salut 10 mg Tablet 7,206
619 ONZAPIN - Olanzapin tablet salut 5 mg Tablet 4,634
620 OPTIFLOX - Levofloksasin tts mata 0,5% btl 17,505
621 ORIXAL - Klaritromisin Kaplet 500 mg Kaplet 3,241
622 OTSU - KCL 7,46% - Klarium Clorida7,46% 25 ml ampul 3,192
623 OTSU SWI 25 ML - Air untuk Injeksi 25 ml ampul 2,833
624 OTSU-MGSO4 20 - Magnesium sulfat injeksi 20% ampul 3,296
627 OXALIPLATIN MEDAC 100 MG - Oksaliplatin serb inj 100 mg/vial Vial (Ampul) 824,000
628 OXALIPLATIN MEDAC 50 MG - Oksaliplatin serb inj 50 mg/vial Vial (Ampul) 412,000
629 OXTERCID 750 INJ Sefuroksim Serbuk Injeksi 750 mg Vial (Ampul) 42,827
630 OXYTOCIN INJLQ 10 IU Oksitosin inj 10 UI/ml Vial (Ampul) 1,957
631 PACLIMEDAC 100 MG - Paklitaksel inj 100 mg/vial Vial (Ampul) 515,000
632 PACLIMEDAC 30 MG - Paklitaksel inj 30 mg/vial Vial (Ampul) 206,000
633 PACLIMEDAC 300 MG - Paklitaksel inj 300 mg/vial Vial (Ampul) 1,545,000
634 PAN-AMIN G - Larutan mengandung Asam Amino (pan amin-g) bag 47,329
635 PAN-AMIN G - Larutan mengandung Asam Amino (pan amin-g) bag 47,329
636 PANTOCAIN 0.5% - PANTOCAIN 0.5% btl 11,845
637 PARASETAMOL KAPLET 500 MG - Parasetamol tablet/kapsul/kaplet 500 mg Tablet 60
638 PATANOL - Olopatadin tts mata 0,1% btl 74,675

Prefilled
639 PEGASYS - Pegylated interferon alfa-2a injeksi 135mcg/0,5ml 1,110,149
Syringe/PFS
Prefilled
640 PEGASYS - Pegylated interferon alfa-2a injeksi 180mcg/0,5ml 1,285,440
Syringe/PFS
641 PEGINTRON - Pegylated Interferon alfa-2b serb inj 50 mcg unit 1,060,900
642 PEGINTRON PEN 120 MCG - Pegylated Interferon alfa-2b serb inj 120 mcg unit 1,442,000
643 PEGINTRON VIAL 100 MCG - Pegylated Interferon alfa-2b serb inj 100 mcg unit 1,236,000
644 PEGINTRON VIAL 80 MCG - Pegylated Interferon alfa-2b serb inj 80 mcg unit 1,184,500

1 2 3 4
645 PENTABIO - Vaksin DTP-HB-Hib dosis 78,574
PLASBUMIN 25% 100 ML - Albumin serum normal (human albumin) injeksi 25%,
646 btl 1,545,000
100 ml
647 btl 384,190
20 ml
648 btl 772,500
50 ml
PLASBUMIN 5% 250 ML - Albumin serum normal (human albumin) injeksi 5% 250
649 btl 927,000
ml
650 btl 291,490
ml
651 btl 291,490
ml
652 PLASMANATE - Fraksi protein plasma lar inf 5% dus 947,600
653 PLAXAT - Oksaliplatin serb inj 100 mg/vial dus 824,000
654 PLAXAT - Oksaliplatin serb inj 50 mg/vial dus 412,000
655 PRADAXA - Dabigatran eteksilat kapsul 110 mg Kapsul 14,678
656 PRADAXA - Dabigatran eteksilat kapsul 75 mg Kapsul 14,678
657 PRESTIN - Fluoksetin kapsul 20 mg Kapsul 263
658 PRIMOVIST - Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL dus 2,801,600
659 PROBENID - Probenesid tablet/kapsul/kaplet 500 mg Tablet 2,106
660 PROGRAF - TACROLIMUS 0,5 MG Kapsul 13,236
661 PROGRAF - TACROLIMUS 1 MG Kapsul 26,574
662 PROHIPER 10 MG - Metilfenidat tablet 10 mg Tablet 1,710
663 PROSOGAN INJ. - Lansoprazol Inj 30 mg/ml Vial (Ampul) 91,155
664 PROVERA 100MG - Medroksi Progesteron Asetat 100 mg Tablet 6,309
665 PROVERA 10MG Medroksi Progesteron Asetat 10 mg Tablet 2,598
666 PULMICORT RESPULES - Budesonide 0.25 mg/ml can 10,017
667 PULMICORT TURBUHALER - Budesonide Turbuhaler 200 mcg 100 Dosis can 104,030
668 RABIPUR - Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster Vial (Ampul) 80,855
669 RECANSA 10 Rosuvastatin Calcium ~ Rosuvastatin 10 mg Tablet 1,854
670 RECOLFAR - Kolkisin tablet 500 mcg Tablet 4,187
671 RECORMON - Eritropoetin-beta injeksi 2000 UI/0,3ml Vial (Ampul) 132,355
RENALSCAN KAEF - DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg
672 Vial (Ampul) 587,100
pentetate calcium trisodium/mL
673 REQUIP PD 24 HOUR 2 MG - Ropinirol Tablet lepas lambat 2 mg Tablet 5,923
676 REXTA - Oksaliplatin serb inj 50 mg/vial Vial (Ampul) 412,000
RINGERFUNDIN 500 ML - Larutan mengandung Elektrolit (Tiap 1L mengandung :
677 NaCl 145 mmol/l, KCl 4.0 mmol/l, Ca 2.5 mmol/l, Mg 1.0 mmol/l, Cl 118 mmol/l, btl 11,330
Acetate 24 mmol/l, Malate 5.0 mmol/l)
678 RITALIN LA - Metilfenidat kapsul LA 20 mg Kapsul 7,674
679 SALBRON - Salbutamol sirup 2mg/5ml btl 11,840

1 2 3 4
680 SANDEPRIL 50 - Maprotilin HCl tab 50 mg Tablet 2,653
681 SANDIMMUN NEORAL 100MG KAP - Siklosporin kaps 100 mg Kapsul 43,775
682 SANDIMMUN NEORAL 25MG KAP - Siklosporin kapsul lunak 25 mg Kapsul 12,154
683 SANDOSTATIN LAR - Oktreotid 10 mg Prefilled Syringe/PFS 3,064,250
SANSULIN N - Human insulin intermediate acting inj 100 UI/ml,penfill cartridge
684 dus 77,250
(Insulin human Basal)
SANSULIN R - Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin
685 dus 77,250
human Rapd)
686 SCABIMITE CREAM 10 - Permetrin krim 5% tube 12,520
687 SEBIVO 600 MG TAB - Telbivudin tab 600 mg Tablet 29,149

SERETIDE DISKUS 100 MCG - Kombinasi: Salmeterol 50 mcg; Flutikason
688 Diskus 114,245
propionat 100 mcg
SERETIDE DISKUS 250 MCG - Kombinasi: Salmeterol 50 mcg; Flutikason
689 Diskus 128,407
propionat 250 mcg
SERETIDE DISKUS 500 MCG Salmeterol 50 mcg + Flutikason Propionate 500
690 Diskus 127,666
mcg
SERETIDE INHALER 50 MCG - Kombinasi: Salmeterol 25 mcg; Flutikason
691 can 59,740
propionat 50 mcg
692 SEROQUEL XR 200 MG - Quetiapine 200 mg Tablet 19,570
695 SEVORANE 250 ML - Sevorane btl 1,237,885
696 SIFROL ER 0,375MG - Pramipeksol tab ER 0,375 mg Tablet 8,240
697 SIFROL ER 0,750MG - Pramipeksol tab ER 0,750 mg Tablet 13,081
698 SIKZONOATE INJEKSI - Flufenazin injeksi i.m. 25 mg/ml Vial (Ampul) 59,225
699 SIMARC 2 - Warfarin tablet 2 mg Tablet 979
700 SINDAXEL 100 MG/16,67 ML - Paklitaksel inj 100 mg/vial dus 515,000
701 SINDAXEL 30 MG/5 ML - Paklitaksel injeksi 30 mg/vial Vial (Ampul) 206,000
702 SINDROXOCIN - Doksorubisin serbuk injeksi i.v. 10 mg/vial Vial (Ampul) 50,985
703 SINDROXOCIN - Doksorubisin serbuk injeksi i.v. 50 mg/vial Vial (Ampul) 260,590
SMOFLIPID 20% Larutan mengandung Lipid ( Kombinasi seimbang dari 4 jenis

704 btl 73,645
lipid : Fish Oil 15%, Soy bean oil 30%, MCT/LCT 30%, Olive Oil 25% )
705 SOFT U DERM - Urea Cream 10% tube 7,092
SOLUVIT N Larutan mengandung Lipid ( Vitamin larut air : B komplek dan Vitamin
706 Vial (Ampul) 63,335
C ) kombinasi dengan vitamin larut lemak untuk bayi, anak dan dewasa
707 SPICA SPINAL 0.5% HEAVY - Bupivakain inj 0,50% (P.V) ampul 14,451
708 SPIRIVA 10S + HANDIHALER - Tiotropium serbuk inhalasi 18 mcg + handihaller dus 166,860
SPIRIVA POWDER FOR INHALATION 18MCG 30S - Tiotropium 18 mcg serbuk
709 Kapsul 15,193
inhalasi refill
710 STALEVO - Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg Tablet 9,064
711 STESOLID - Diazepam larutan rektal 10 mg/2,5 mL tube 19,012

1 2 3 4
712 STESOLID - Diazepam larutan rektal 5 mg/2,5 mL tube 13,132
713 STOLAX SUPP - Bisakodil suppositoria 10 mg box 6,226
SUFENTANYL INJEKSI IV.EPIDURAL 5 MCG / ML - Sufentanil injeksi iv, epidural

714 ampul 164,800
5 mcg/ml
715 SUPRAFENID Ketoprofen supositoria 100 mg Suppositoria 2,873

716 SURVANTA - Beractant injeksi / suspensi 25 mg/mL Vial (Ampul) 3,553,500
717 SYMBICORT 80/4.5 MCG - Budesonide Formoterol 80/4.5 mcg 60 Dosis can 124,630
SYMBICORT TURBUHALER 160/4.5 MCG - Budesonide - Formoterol 160/4.5

718 can 138,535
mcg 120 dosis
SYMBICORT TURBUHALER 160/4.5 MCG - Budesonide - Formoterol 160/4.5

719 can 124,630
mcg 60 Dosis
720 SYNARCUS - Flusinolon asetonid krim 0,025% tube 2,587

721 TABAS SIRUP - Terbutaline sulfat 1,5 mg/5ml btl 8,395
722 TACEEDO Dosetaksel - inj 20 mg/0,5 mL Vial (Ampul) 433,888
723 TACEEDO Dosetaksel - inj 80 mg/2 mL Vial (Ampul) 1,364,750
724 TANAPRESS 10MG - Imidapril tab 10mg -100 Tablet 4,691
725 TANAPRESS 5MG - Imidapril tab 5mg -100 Tablet 2,515
726 TAPROS 1.88MG - Leuprorelin Asetat 1.88 mg Vial (Ampul) 772,500
727 TAPROS 3.75 MG - Tapros 3,75 mg Vial (Ampul) 643,750
728 TAPROS 3M - Leuprorelin Asetat 11.25 mg Vial (Ampul) 3,003,480
729 TARCEVA 100 MG - Erlotinib 100mg Tablet 607,700
730 TARCEVA 150 MG - Erlotinib 150mg Tablet 607,700
731 TARIVID OTIC SOLUTION - Ofloksasin tets telinga 3% btl 46,442
732 TASIGNA - Nilotinib kapsul 150mg (Risk Sharing berdasrkan SK Menkes 2015) Kapsul 217,330
733 TASIGNA - Nilotinib kapsul 200mg (Risk Sharing Berdasarkan SK Menkes 2015) Kapsul 392,301
734 TEMIRAL EYE OINT - Asiklovir salep mata 3% tube 25,493

735 TEMODAL - Temozolamid kaps 100 mg Kapsul 1,184,500
736 TEMODAL - Temozolamid kaps 20 mg Kapsul 231,750
737 TERRELL - Isofluran inhalasi botol 100 ml btl 350,092
738 TETAGAM - Human tetanus imunoglobulinn injeksi i.m. 250 UI Vial (Ampul) 175,100
739 THYROZOL 10 - Tiamazol tab 10 mg Tablet 1,231
740 THYROZOL 5 - Tiamazol tab 5 mg Tablet 628
741 TIARYT INJEKSI - Amidarone Injeksi 150mg/3 mL Vial (Ampul) 13,596
742 TIARYT TAB - Amiadarone Tablet 200 mg Tablet 1,337
743 TOPAMAX Topiramat tablet 100 mg Tablet 9,759
TOTILAC - Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L,
746 btl 92,700
Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)

1 2 3 4
747 TRAMADOL INJEKSI 50 MG/ML - Tramadol injeksi 50 mg/ml ampul 2,044
748 TRAVATAN - Travoprost tetes mata 0,004% btl 82,400

TRIOFUSIN 1600 - Larutan mengandung Karbohidrat 40% (Fructose 200 g,
749 btl 98,108
Glucose 110 g, Xylitol 100 g/ L)
TRIOFUSIN 500 - Larutan mengandung Karbohidrat 12% (Fructose 60 g, Glucose
750 btl 48,410
33 g, Xylitol 30 g/ L)
TRIOFUSIN E1000 - Larutan mengandung Karbohidrat 24% (Fructose 120 g,
751 btl 59,483
Glucose 66 g, Xylitol 60 g/ L + elektrolit)
TUTOFUSIN OPS - Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K,
752 btl 40,505
Cl, Ca, Mg, Sorbitol 50 gr/L)
753 TYKERB - Lapatinib tab 250 mg Tablet 74,778
754 ULSIDEX - Sukralfat tab 500 mg Tablet 379
755 ULTRAVIST 300/100 MG - Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml) dus 288,400
759 URINTER Asam Pipemidat 400 mg Kapsul 1,530

760 UROMITEXAN INJEKSI. - Mesna inj 100 mg/mL ampul 82,856
761 UROTRACTIN 400 MG - Asam pipemidat kapsul 400 mg Kapsul 1,869
762 VAGIZOL - Metronidazol ovula 500 mg each 4,856
763 VALCYTE - Valgansiklovir tablet 450mg Tablet 175,100
764 VANCEP - Vankomisin serbuk injeksi 500 mg Vial (Ampul) 125,655
765 VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebule 4,120
766 VENTOLIN ROTACAPS - Salbutamol serb inh 200 mcg/kaps Kapsul 464
767 VENTOLIN ROTAHALER - Ventolin Rotahaler dus 6,747
768 VERMOX 500 - Mebendazole Tablet 500 mg Tablet 9,064
769 VIGAMOX - Moksifloksasin tetes mata 0,5% botol 83,430
770 VINCRISTINE KALBE - Vinkristin ser inj 1 mg (iv)) vial/ampul 49,955
771 VINCRISTINE KALBE - Vinkristin serb inj 2 mg (iv) vial/ampul 86,778
772 VINORELSIN - Vinorelbin inj. 10 mg/ml, vial Dus 706,323
VITALIPID N-ADULT Larutan mengandung Lipid ( Vitamin larut lemak : A, D, E, K
773 Ampul 30,874
) untuk dewasa
VITALIPID N-INFANT Larutan mengandung Lipid ( Vitamin larut lemak : A, D, E, K
774 Ampul 24,462
) untuk bayi & anak
775 VOLUVEN - Koloid HES BM 130.000 lar inf 6% Btl 25,425
776 WIDA 2A - Larutan mengandung Karbohidrat + Elektrolit (2A) Btl 8,343
777 WIDA D5-1/2NS - Larutan Mengandung Karbohidrat+Elektrolit (D5-1/2NS) Btl 9,682
778 WIDA D5-1/4NS - Larutan Mengandung Karbohidrat+Elektrolit (D5-1/4NS) Btl 9,631
779 WIDA D5-NS - Larutan Mengandung Karbohidrat+Elektrolit (D5NS) Btl 8,266
780 WIDA HSD - Larutan Mengandung Karbohidrat+Elektrolit (HSD) Btl 11,150
781 WIDA RD - Larutan Mengandung Karbohidrat+Elektrolit (RD) Btl 8,807

1 2 3 4
782 WIDA RL - Ringer Laktat 1000 ml Btl 11,356
783 WIDA WI UNICAP - Air untuk irigasi 1000 ml Btl 11,021
784 XALATAN 0,005% - Latanoprost 0,005% Btl 125,145
785 XARELTO 10 MG - Rivaroksaban tab 10 mg Tablet 24,205
788 XELODA - Kapesitabin tablet 500mg Tablet 31,930
789 XYLOCAINE JELLY 2% - Lidocaine HCL 20 mg/ g Syringe 41,200
790 ZINCPRO DROPS - zinc elemental 10 mg / ml Botol 12,051
791 ZINNAT 250 MG - Sefuroksim tablet 250 mg Tablet 5,384
792 ZINNAT 500 - Sefuroksim tablet 500 mg Tablet 7,107
793 ZIRCUM KID SIRUP - Zinc sir 20 mg/5 Ml Botol 6,695
794 ZOLADEX 10,8 MG - Goserelin acetate 10.8 mg Syringe 2,541,010
795 ZOLADEX 3,6 MG - Goserelin Asetate inj 3.6 mg Syringe 908,460
796 ZOLORAL SS - Ketokonazol scalp sol 2% Botol 26,481
797 ZOMETA - Asam zoledronat 4mg/100ml Botol 1,545,000
798 ZYPREXA IM - Olanzapin inj 10 mg/vial Dus 133,900

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
BMHP (E - CATALOG)
B. BMHP (E-CATALOG)
NO NAMA ALAT KESEHATAN KEMASAN HARGA
1 2 3 4
1 ABN ABN Digital Thermometer unit 47,817
ALLIED HEALTHCARE CHEMETRON Vacutron Suction Regulator
2 set 9,956,664
Continuous Set-Disposable
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter 15 LPM Brass Set-
3 set 3,340,852
Autoclavable
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter 15 LPM Brass Set-
4 set 1,532,291
Disposable
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow
5 set 8,267,173
1000CC Set-Autoclavable
6 set 6,458,612
1000CC Set-Disposable
7 set 12,668,243
200CC Set-Autoclavable
8 set 10,859,682
200CC Set-Disposable
9 set 6,297,236
3LPM Set-Autoclavable
10 set 4,488,675
3LPM Set-Disposable
ARDO - SWITZERLAND Infant Incubator with Air, Servo, Humidity Control
11 unit 441,790,690
and Oxygen Servo Control
12 ARDO - SWITZERLAND Infant Warmer with Servo Control unit 343,144,500
BERLINGER CO. AG SWITZERLAND Freeze Tag - Freeze Indicator
13 unit 90,870,309
Monitor - Indikator Pembekuan Rantai Dingin
DEKONINGH Vascuminator/ DEKONINGH Medical Product -
14 unit 158,125,736
Vasculuminator
15 DELTATRAK, INC Thermotrace - Waterproof Infrared Thermometer unit 6,180,000
16 ELITECH - INDONESIA ELITECH Baby Scale/Baby One unit 12,236,400
17 LOGTAG Temperature Recorder / Pemantau Suhu - HAXO-8 unit 1,736,992
18 LOGTAG Temperature Recorder / Pemantau Suhu - SRIC-4 unit 608,524
19 LOGTAG Temperature Recorder / Pemantau Suhu - TIC-20 unit 608,524
20 LOGTAG Temperature Recorder / Pemantau Suhu - TICT / ISO TAG unit 507,172
21 LOGTAG Temperature Recorder / Pemantau Suhu - TRED 30-7 F unit 1,673,647
22 LOGTAG Temperature Recorder / Pemantau Suhu - TRED 30-7 R unit 1,698,985
23 LOGTAG Temperature Recorder / Pemantau Suhu - TREL-8 unit 1,584,861
24 LOGTAG Temperature Recorder / Pemantau Suhu - TREX-8 unit 1,584,862
25 LOGTAG Temperature Recorder / Pemantau Suhu - TRID 30-7 F unit 1,420,061
26 LOGTAG Temperature Recorder / Pemantau Suhu - TRID 30-7 R unit 1,445,399
27 LOGTAG Temperature Recorder / Pemantau Suhu - TRIL-8 unit 1,977,909
28 LOGTAG Temperature Recorder / Pemantau Suhu - TRIX-16 unit 887,551
29 LOGTAG Temperature Recorder / Pemantau Suhu - TRIX-8 unit 862,110
30 LOGTAG Temperature Recorder / Pemantau Suhu - USRIC-4 unit 659,303
STANDAR SATUAN HARGA BARANG BMHP 164

1 2 3 4
31 LOGTAG Temperature Recorder / Pemantau Suhu - USRIC-8 unit 709,979
32 LOGTAG Temperature Recorder / Pemantau Suhu - UTRIX-16 unit 760,758
LOGTAG Temperature Recorder / Pemantau Suhu - VAXTAG (TRID 30-7
33 unit 1,407,392
FW)
34 LOGTAG Temperature Recorder Interface / Interface Cradle - USB/LTI unit 938,227
35 MAK CHILDREN BED 33605 B unit 7,443,810
36 MAK CHILDREN BED 33606 B unit 9,849,890
37 MDF INSTRUMEN USA, INC Desk Mercury Sphygmomanometer unit 877,715
38 MDF INSTRUMEN USA, INC Mobile Aneroid Sphygmomanometer unit 2,351,336
39 MDF INSTRUMEN USA, INC Professional Aneroid Sphygmomanometer unit 676,144
40 MICROLIFE Digital Ear Thermometer FR1DL1 unit 442,488

41 MPM ERKA Stethoscope Cardiology unit 1,648,000
42 MPM ERKA Stethoscope Double Membran unit 1,030,000
43 MPM ERKA Stethoscope Erkaphon Adult unit 334,750
44 MPM ERKA Stethoscope Erkaphon Child unit 314,150
45 MPM ERKA Stethoscope Finesse Adult unit 818,850
46 MPM ERKA Stethoscope Finesse Child unit 818,850
47 MPM ERKA Stethoscope Finesse Duo Adult & Child unit 964,080
48 MPM ERKA Stethoscope Finesse Duo Child & Infant unit 1,751,000
49 RGB- SPAIN Patient Monitor - Omicrom Vision unit 88,110,735
50 SANI-INDONESIA Baby Weighing Scale unit 1,415,478
51 SANI-INDONESIA Timbangan Dewasa BR3010 unit 244,599
SARANDI KARYA NUGRAHA SKNMEDICAL ICU/ICCU Bed Electric SKN
52 unit 33,990,000
01-14CE
SECA Baby Scale Digital Measuring Rod + Adaptor - Seca 334 & Seca
53 unit 10,935,739
232
54 SECA Baby Scale Mechanical – SECA 725 unit 3,989,126
SECA COLUMN SCALE DIGITAL & MEASURING ROD– SECA 703 &
55 unit 16,714,366
SECA 220
SECA COLUMN SCALE DIGITAL & MEASURING ROD– SECA 769 &
56 unit 14,460,388
SECA 220
57 SECA FLAT SCALE DIGITAL + Adaptor – SECA 869 unit 9,606,545
58 SECA FLAT SCALE MECHANIC – SECA 762 unit 1,906,856
SECA HEAD CIRCUMFERENCE MEASURING TAPE FOR BABIES -
59 unit 795,160
SECA 212
60 SECA INFANTOMETER- SECA 416 unit 4,841,000
61 SECA MECHANICAL COLUMN SCALE - SECA 755 & 224 unit 7,519,000
62 SECA MEDICAL BODY COMPOSION ANALYZER unit 200,850,000
63 SECA SECA Baby Scale Digital 727 unit 23,693,406

1 2 3 4
64 SECA STADIOMETER – SECA 213 unit 1,611,771
65 SERENITY Serenity Body Fat / Hydration Monitor Scale unit 1,162,281
66 SIBELMED Audiometer 400 AOM unit 76,397,160
67 SIBELMED Audiometer 400 AOM+ unit 84,162,330
68 SIBELMED Spirometry Diagnostic T unit 62,544,690
69 STERINTECH Bowie Dick Helix Test unit 1,313,662
70 STERINTECH Bowie Dick Test Pack unit 69,113
71 STERINTECH Steam Emulator unit 770,028
72 STERINTECH Steam Indicator Class 4 unit 677,740
73 STERINTECH Steam Integrator Class 5 unit 608,236
74 TANITA Digital Baby Scale - BD 815 unit 12,746,250
75 TANITA Digital Weighing Scale with BMI Function - WB 380 unit 9,780,056
Peralatan RSU & P Terapetik
76 3D Semillas Infusion Set - Eco pcs 4,736
77 3D Semillas Infusion Set - SL pcs 7,750
78 3D Semillas Infusion Set - Y pcs 6,243
79 3D Semillas Infusion Set - YL pcs 6,458
80 3D Semillas Infusion Set pcs 5,166
81 3M 1535-0 MICROPORE 1/2 INCH ( 24/BX ) box 270,760
82 3M 1535-1 MICROPORE 1 INCH ( 12/BX ) box 223,539
83 3M 1535-2 MICROPORE 2 INCH ( 6/BX ) box 203,534
84 3M 2762 Soft ClothOnLiner 5CM X 10M box 65,883
85 3M 2764 SOFT CLOTH ON 10CM X 10M box 119,410
86 3M 2766 SOFT CLOTH 15CM X 10M box 159,853
3M 3344 CAVILON NO STING BARRIER FILM 1ML WIPE 25EA/BX
87 box 165,315
4BX/CS
3M 3345 CAVILON NO STING BARRIER FILM 3ML WAND 25EA/BX
88 box 463,720
4BX/CS
89 3M 3522A SC I.V. 6X8CM 50PC/BXDRESSING W/PAD box 128,235
90 ABADINUSA ABADINUSA Blood Transfusion Set pcs 10,403
91 ABADINUSA ABADINUSA Infusion Set 20 drops pcs 5,459
92 ABADINUSA ABADINUSA Infusion Set Burette pcs 22,145
93 ABADINUSA ABADINUSA IV CATHETER PEN TYPE size 18G pcs 7,519
97 ABADINUSA ABADINUSA IV CATHETER WING size 18G pcs 9,229

1 2 3 4
101 AHMADARIS Kapas Berlemak DRC 500gr roll 35,020
102 AHMADARIS Kapas Pembalut Hidrofil DRC 250gr roll 24,720
103 AITECS Syring Pump type 2016 unit 1,504
104 AITECS Syringe Pump Type SEP-10S Plus unit 22,825,830
105 AMPALL Infusion Pump unit 18,077,844
106 AMPALL Syringe Pump unit 18,146,581
107 ARGUS INFUSION PUMP 707V unit 1,367
108 ARGUS SYRINGE PUMP 606S unit 1,970
109 ATOM Infant Warmer Sunflower unit 117,775,783
110 AXIMED 3-WAY pcs 9,970
111 AXIMED 3-WAY WITH EXTENTION pcs 10,764
112 AXIMED INFUSET pcs 4,944
113 AXIMED Infusiont Set Y-Type pcs 7,818
114 AXIMED IV-CATH NP, pen type, no. 18 pcs 6,180
119 AXIMED IV-CATH WP, with wings & port, no. 18 pcs 7,210
124 AXIMED PEDIATRIC SET pcs 5,253
125 AXIMED Syringe 1 cc dus 85,490
131 AXION - RUSIA Infant Warmer with Phototherapy - UON-03F unit 9,068
BAIN MEDICAL DORA Disposable AV Fistula Needle Set For
132 dus 226,600
Hemodialysis Consumable
133 BARTEC UTAMA MANDIRI 1 Crank Manual Hospital Bed unit 9,888,000

1 2 3 4
135 BARTEC UTAMA MANDIRI 3 Crank Electric Hospital Bed unit 45,762,900
137 BARTEC UTAMA MANDIRI Blue Light Photo Therapy unit 11,865,600
138 BARTEC UTAMA MANDIRI Examination Table unit 4,120,000
139 BARTEC UTAMA MANDIRI ICU / ICCU Bed unit 56,080,410
140 BARTEC UTAMA MANDIRI Simple Bed All Steel unit 8,652,000
141 BBRAUN VASOFIX Safety IV G18x33MM GREEN pcs 22,660
142 BBRAUN BBRAUN Askina Soft Clear IV pcs 10,815
143 BBRAUN BBRAUN Chemo Mini Spike Micro tip pcs 28,325
144 BBRAUN BBRAUN Chemo Mini Spike V pcs 28,325
145 BBRAUN BBRAUN Askina Soft Clear IV pcs 10,815
146 BBRAUN BBRAUN Chemo Mini Spike Micro tip pcs 28,325
147 BBRAUN BBRAUN Chemo Mini Spike V pcs 28,325
148 BBRAUN BBRAUN Combistopper Red pcs 4,120
149 BBRAUN BBRAUN Cytoset Infusion 3 Safeset pcs 113,300
150 BBRAUN BBRAUN Cytoset Mix pcs 58,195
151 BBRAUN Bbraun Discofix 3 Way + 10 Tubing pcs 33,125
152 BBRAUN BBRAUN Discofix 3 Way Stopcock pcs 19,828
153 BBRAUN BBRAUN Ecoflac Mix pcs 5,665
154 BBRAUN BBRAUN Intrafix Air FF 180 cm 60 Drp pcs 18,200
155 BBRAUN BBRAUN Intrafix Primeline I.S. TYP Basic pcs 14,831
156 BBRAUN BBRAUN Intrafix Safeset pcs 21,810
157 BBRAUN BBRAUN Intrapur Inline pcs 92,700
158 BBRAUN BBRAUN MELISEPTOL RAPID btl 163,770
159 BBRAUN BBRAUN Mini Spike Plus pcs 12,875
160 BBRAUN BBRAUN Mini Spike V Filter pcs 14,935
161 BBRAUN BBRAUN Omnifix 20 mL LL pcs 8,755
162 BBRAUN BBRAUN Omnifix 20 mL LS pcs 8,755
165 BBRAUN BBRAUN Omnifix 50 mL LS pcs 15,450
166 BBRAUN BBRAUN Perfusor Syringe 20 ml With Needle pcs 9,785
167 BBRAUN BBRAUN Perfusor Syringe 50 mL Black pcs 56,650

1 2 3 4
168 BBRAUN BBRAUN Perfusor Syringe 50 ml White pcs 20,600
169 BBRAUN BBRAUN Perfusor Tubing PE Black pcs 48,410
170 BBRAUN BBRAUN Perfusor Tubing, White, 150 cm pcs 36,050
171 BBRAUN BBRAUN Perfusor Tubing, White, 200 cm pcs 37,080
172 BBRAUN Bbraun Sangofix pcs 20,938
173 BBRAUN BBRAUN Transofix pcs 3,502
174 BBRAUN CERTOFIX TRIO V720 pcs 669,500
175 BBRAUN Infusomat P/ Infusion Pump BBraun unit 21,810,250
176 BBRAUN Infusomat Space / Advance Infusion Pump BBraun unit 35,020,000
177 BBRAUN Infusomat Space P / Advance Infusion Pump BBraun unit 35,020,000
178 BBRAUN INTROCAN G16X2" 1,7 X 50 MM pcs 9,013
179 BBRAUN INTROCAN G18X1.25" 1,3 X 32 MM pcs 9,013
180 BBRAUN INTROCAN G18X1.75" 1,3 X 45 MM pcs 9,013
181 BBRAUN INTROCAN G20X1.25" pcs 9,013
182 BBRAUN INTROCAN G22X1" pcs 9,013
183 BBRAUN INTROCAN G24 0,75" pcs 9,013
184 BBRAUN INTROCAN Safety G16X2" 1,7x50MM pcs 22,660
185 BBRAUN INTROCAN Safety G18x1.25" 1,3x32MM pcs 22,660
186 BBRAUN INTROCAN Safety G18X1.75" 1,3x45MM pcs 22,660
187 BBRAUN INTROCAN Safety G20X1.25" pcs 22,660
188 BBRAUN INTROCAN Safety G22X1" pcs 22,660
189 BBRAUN INTROCAN Safety G24XO,75" pcs 22,660
190 BBRAUN Paket 4 Pump Integrated Basic Station / Advance pump set 173,575,600
191 BBRAUN Paket 4 Pump Integrated for MRI ( 3x1 ) set 474,830,000
192 BBRAUN Paket Space Glucose Control Management Pump set 246,705,600
193 BBRAUN Perfusor Compact S/Syringe Pump BBraun unit 16,359,233
194 BBRAUN Perfusor Space / Advance Syringe Pump unit 35,020,000

BBRAUN Surecan Winged Needle for Implantable Accessories Ports 20G
195 dus 1,316,340
x 20MM
BBRAUN Surecan WInged Needle for Implantable Accessories Ports 22G
196 dus 1,316,340
x 20 MM
197 BBRAUN VASOFIX IV G16 X 50 MM GREY pcs 9,013
198 BBRAUN VASOFIX IV G18 X 33 MM GREEN pcs 9,013

1 2 3 4
199 BBRAUN VASOFIX IV G18 X 45 MM GREEN pcs 9,013
200 BBRAUN VASOFIX IV G20 X 33 MM PINK pcs 9,013
201 BBRAUN VASOFIX IV G22 X 25 MM BLUE pcs 9,013
202 BBRAUN VASOFIX IV G24 X 0,75" pcs 9,013
203 BBRAUN VASOFIX Safety IV G16x50MM GREY pcs 22,660
204 BBRAUN VASOFIX Safety IV G18x45MM GREEN pcs 22,660
205 BBRAUN VASOFIX Safety IV G20x33MM PINK pcs 22,660
206 BBRAUN VASOFIX Safety IV G22x25MM BLUE pcs 22,660
207 BBRAUN VASOFIX Safety IV G24 x 0,75" pcs 22,660

BECTON DICKINSON (BD) BD Venflon Pro IV canula 18 ga
208 box 886,742
0.9mmx25mm
BECTON DICKINSON (BD) BD Venflon pro IV canula 20 ga
209 box 886,742
1.1mmx32mm
BECTON DICKINSON (BD) BD Venflon pro IV canula 22 ga
210 box 886,742
0.9mmx25mm
211 BECTON DICKINSON (BD) BD Venflon pro safety 18 ga 1.3mmx32mm box 1,189,650
212 BECTON DICKINSON (BD) BD Venflon pro safety 22 ga 0.9mmx25mm box 1,189,650
213 BECTON DICKINSON (BD) BD Venflon pro Ssafety 20 ga 1.1mmx25mm box 1,189,650
214 BECTON DICKINSON (BD) Fine Pen Needle 31 X 5 Asia box 197,085
215 BECTON DICKINSON (BD) Insyte autoguard bl 22ga X 1.0in box 1,189,650
216 BECTON DICKINSON (BD) Insyte autoguard gn 18ga X 1.16in box 1,189,650
217 BECTON DICKINSON (BD) Insyte autoguard pnk 20ga X 1.16in box 1,189,650
218 BECTON DICKINSON (BD) Insyte Autoguard yel 24ga X .75in box 1,189,650
219 BECTON DICKINSON (BD) Insyte bl 22ga X 1.0in box 679,800
220 BECTON DICKINSON (BD) Insyte gn 18ga X 1.16in box 679,800
221 BECTON DICKINSON (BD) Insyte pnk 20ga X 1.16in box 679,800
222 BECTON DICKINSON (BD) Insyte yel 24ga X .75in box 679,800
223 BECTON DICKINSON (BD) Needle cnv 21X1.5 mltsmp ce box 126,443
224 BECTON DICKINSON (BD) Needle cnv 22X1.5 mltsmp ce box 126,443
225 BECTON DICKINSON (BD) Syringe 10ml ll 21g 1-1/2in tw id box 172,010
226 ECTON DICKINSON (BD) Syringe 1ml ls 27g 1/2in id box 174,482
229 BECTON DICKINSON (BD) Syringe Soloshot Mini 0.05ml 27Gx3/8 in box 170,517

1 2 3 4
230 BECTON DICKINSON (BD) Syringe Soloshot Mini 0.5ml 23gx1in box 170,517
231 BEIERSDORF INDONESIA Fixomull Stretch 10 cm x 5 m roll 73,030
232 BEIERSDORF INDONESIA Fixomull Stretch 15 cm x 5 m roll 115,450
233 Beiersdorf Indonesia Fixomull Stretch 5 cm x 5 m roll 38,563
234 Beiersdorf Indonesia Leukoplast Hospital 2.50 cm x 4.5 m roll 12,438
235 BEIERSDORF INDONESIA Leukoplast Hospital 7.50 cm x 4.5 m roll 36,598
BSN MEDICAL GMBH, GERMANY Leukomed IV Film 6 cm x 8 cm
236 box 126,748
(sterile)
237 CADD SMITHS MEDICAL cassette 50 ml unit 202,317
238 CADD SMITHS MEDICAL Extension Set 60 Inch/1.7 ml unit 64,581

239 CADD SMITHS MEDICAL Legacy PCA Ambulatory Infusion Pump unit 2,163
240 CADD SMITHS MEDICAL Reservoir Cassette 100 ml unit 202,317
241 CHANG GUNG ICU Electric Bed unit 5,374
242 CHANG GUNG Manual Bed 3 Crank TUCK-AWAY unit 1,670
243 CHANG GUNG Manual Hospital Bed 3 Crank COLLAPSIBLE unit 1,440
244 COBAMS Infant Warmer Mod. LERI C88 unit 173,797,015
245 COBAMS Infant Warmer Mod. LR 90 unit 125,194,014
246 COBAMS Neonatal Incubator Mod. Cristina 003A SCH unit 213,701,266
247 COBAMS Neonatal Incubator Mod. Cristina Manual unit 110,394,738
248 COBAMS Neonatal Incubator Mod. Cristina Self Control unit 8,499
249 COBAMS Phototherapy Apparatus unit 45,021,533
250 COBAMS Transport Incubator Mod. STM Baby Cristina-002 unit 12,978
251 COSMOMED 3-Way Stopcock pcs 2,987
252 COSMOMED Blood Transfusion Set pcs 6,901
253 COSMOMED Infusion Set (Anak) pcs 4,532
254 COSMOMED Infusion Set (Dewasa) pcs 4,223
255 COSMOMED IV Cannula PEN Type pcs 4,841
256 COSMOMED IV Cannula with Safety Wings pcs 4,841
257 COSMOMED Surgical Connection Tube with Yankauer pcs 30,591
258 COSMOMED Syringe, 1 ml box 78,486
261 CS BEYOND - RRC Infusion Pump - BYS 820 unit 578
262 CS BEYOND - RRC Syringe Pump - BYZ 810 unit 630
263 DAIKEN SYIRINGE PUMP / CSP-100CO unit 16,480,000
264 DIXION Syringe Pump Instilar 1418 unit 34,814,000

1 2 3 4
265 DRAEGERWERK AG & CO. KGAA Neonatal Incubator Caleo unit 233,810,000
266 DRAEGERWERK AG & CO. KGAA Neonatal Incubator Isolette 8000 unit 202,910,000
267 DRAEGERWERK AG & CO. KGAA Neonatal Incubator Isolette C2000 unit 128,750,000
DRAEGERWERK AG & CO. KGAA Neonatal Resuscitator Resuscitaire
268 unit 188,902,000
(Standard)
269 DRAEGERWERK AG & CO. KGAA Phototherapy PT 4000 unit 49,440,000
270 DRAEGERWERK AG & CO. KGAA Transport Incubator TI 500 unit 214,240,000
271 ERSA PHOTOTHERAPY UNIT 53200 BL unit 11,706,980
272 ERTUNC OZCAN Infant Incubator Hi-Low Servo Control unit 286,671,248
273 ERTUNC OZCAN LED Phototherapy unit 74,127,073
274 ESKAMED Blood Transfusion Set pcs 13,390
275 ESKAMED Extension Line with 3 Way Stop Cock pcs 12,875
276 ESKAMED Infusion Set with Needle pcs 8,446
ESKAMED IV Cannula with Injection Port, Snap Fit Cap & Suturable
277 pcs 12,440
Wings (18)
278 pcs 12,440
Wings (20)
279 pcs 12,440
Wings (22)
280 pcs 12,440
Wings (24)
281 pcs 13,862
Wings (26)
282 ESKAMED IV Cannula without Injection Port & Wings (18) pcs 10,300
287 ESKAMED Micro Drip Infusion Set pcs 9,476
288 ESKAMED Three Way Stopcock pcs 14,217
289 EUROMED Euromed 3 Way Stopcock pcs 5,223
290 EUROMED Euromed Foley Catheter No. 10 pcs 14,967
299 EUROMED Euromed IV Catheter 1 Way No. 18 pcs 6,050

1 2 3 4
304 EUROMED Euromed IV Catheter Port No. 18 pcs 4,872
309 FANEM Ampla Neonatal Total Care with Scale unit 159,650,000
310 FANEM Ampla Neonatal Total Care without Scale unit 129,265,000
311 FANEM Babypuff Neonatal Resuscitation Device unit 19,570,000
312 FANEM Infant Incubator unit 141,625,000
FISHER & PAYKEL HEALTHCARE - NEW ZEALAND Baby Control
313 unit 142,140,000
CosyCot Infant Warmer Basic
314 unit 213,210,000
CosyCot Infant Warmer for NICU
315 unit 169,435,000
CosyCot Infant Warmer with Resuscitator
316 FRESENIUS KABI 3-Way Stopcock +10cm extension (Blue) unit 10,403
317 FRESENIUS KABI Applix Smart Feeding Pump unit 12,566,000
318 FRESENIUS KABI Applix Smart Pump Set Bag pcs 97,850
319 FRESENIUS KABI Applix Smart Pump set Varioline pcs 35,226
320 FRESENIUS KABI Injectomat Agilia Syringe Pump unit 13,075,103
321 FRESENIUS KABI Injectomat Agilia TIVA Syringe Pump unit 15,450,000
322 FRESENIUS KABI Injectomat Line PVC 200cm pcs 7,056
323 FRESENIUS KABI Optima PT Infusion Pump unit 23,110,110
324 FYROM INTERNATIONAL Incubator Transport Infinity G-1 unit 91,147,558
325 FYROM INTERNATIONAL Infant Incubator Infinity Basic unit 20,061,825
326 FYROM INTERNATIONAL Infant Incubator Infinity G-1 unit 50,823,290
327 FYROM INTERNATIONAL Infant Radiant Warmer Infinity G-1 unit 62,552,770
328 FYROM INTERNATIONAL Infant Warmer Infinity Basic unit 15,447,605
329 FYROM INTERNATIONAL Infuse Pump unit 11,368,368
330 FYROM INTERNATIONAL Phototherapy Unit Infinity Basic unit 19,660,589
331 FYROM INTERNATIONAL Syringe Pump unit 10,679,040
332 GE Giraffe Incubator unit 221,117,107
333 GE Giraffe Incubator Standard unit 347,592,040
334 GE Giraffe Omnibed unit 759,504,490
335 GE Giraffe Warmer unit 387,334,590

1 2 3 4
336 GE Lullaby warmer unit 123,845,140
337 GE Lullaby Warmer Prime unit 56,988,870
338 GEA Bistos LED Phototherapy unit 7,025,630
339 GEA GEA Air Compressing Nebulizer unit 504,700
340 GEA GEA Infant Radiant Warmer HKN9010 unit 29,664,000
341 GEA GEA Oxygen Concentrator unit 10,815,000
342 GEA GEA Ultrasonic Nebulizer unit 762,200
343 GENERAL CARE Infusion Set Adult pcs 4,120
344 GIGANTE Neonatal Incubator Type Millenium unit 169,725,460
345 GIGANTE Neonatal Infant Warmer Type Neosolution unit 239,350,268
346 GIGANTE Transport Incubator Type Evolution unit 249,430,980
347 GINEVRI ALHENA INFANT WARMER unit 300,507,135
348 GINEVRI ELIOS PHOTOTHERAPY AND HEATING LAMP unit 131,891,809
349 GINEVRI NAOS PHOTOTHERAPY LAMP unit 100,084,997
350 GINEVRI POLYTREND NEONATAL INCUBATOR unit 272,435,000
351 GRAHA TEKNO MEDIKA APF Hospital Bed 1 Crank, Kaki H unit 12,183,379
352 GRAHA TEKNO MEDIKA APF Hospital Bed 2 Crank, Kaki H unit 13,664,145
353 GRAHA TEKNO MEDIKA APF Hospital Bed 3 Crank unit 18,854,884
354 GRAHA TEKNO MEDIKA APF Infant Warmer unit 132,561,000
355 GRAHA TEKNO MEDIKA Gris Baby Box unit 4,038,911
356 GRAHA TEKNO MEDIKA Gris Children Bed unit 7,508,677
357 GRAHA TEKNO MEDIKA Gris Infant Warmer unit 105,446,250
358 GRAHA TEKNO MEDIKA Gris Phototheraphy unit 9,335,508
359 GRAHA TEKNO MEDIKA Rining Hospital Bed Electric 3 Axis unit 35,023,219
GRAHA TEKNO MEDIKA Smar Hospital Bed 1 crank ABS, kaki H, railling
360 unit 11,672,267
guard
GRAHA TEKNO MEDIKA Smar Hospital Bed 2 crank ABS, kaki H, railling
361 unit 13,088,983
guard
362 GRAHA TEKNO MEDIKA Smar Hospital Bed 3 crank ABS, railling guard unit 17,951,182
363 HANLIM Emergency Cart HL - EC0411-2 unit 33,990,000

364 HANLIM ICU Cart HL - ICU0908-1 unit 57,535,800
365 HAWKMED INFUSION PUMP /HK-100 II unit 14,420,000
366 HILL-ROM Bedside Cabinet - BC251 (With 1 door 1 drawer) unit 8,754,700
367 HILL-ROM Centuris Bed - P750 unit 59,377,949
368 HOSPIRA, INC. USA Abbocath-T 14GA W/Iso Orange pcs 16,480
369 HOSPIRA, INC. USA Abbocath-T 16GA W/Iso Grey pcs 16,480
370 HOSPIRA, INC. USA Abbocath-T 18GA W/Iso Green pcs 16,480
371 HOSPIRA, INC. USA Abbocath-T 20GA W/Iso Pink pcs 16,480

1 2 3 4
372 HOSPIRA, INC. USA Abbocath-T 22GA W/Iso Blue pcs 16,480
373 HOSPIRA, INC. USA Abbocath-T 24GA W/Iso Yellow pcs 16,480
374 HOSPIRA, INC. USA Abbocath-T 26GA W/Iso White pcs 20,085
375 HOSPITECH HOSPITECH 3-WAY STOPCOCK pcs 5,892
HOSPITECH HOSPITECH 3-WAY STOPCOCK WITH EXTENSION
376 pcs 14,049
TUBING, 10 CM
377 HOSPITECH HOSPITECH IN-STOPPER pcs 2,153
378 HOSPITECH HOSPITECH INFUSION SET Y-CONNECTOR pcs 5,880
379 HOSPITECH HOSPITECH SURGICAL CONNECTING TUBE, 3M pcs 22,263
380 HOSPITECH HOSPITECH UMBILICAL CORD CLAMP pcs 2,833
381 ICUMED CLAVE Konektor Ambil Darah (CLC-2000) pcs 34,840
382 ICUMED CLAVE Konektor Bayi atau Anak (CT-3305) pcs 43,621
383 ICUMED CLAVE Konektor Blood Set (C-6042) pcs 61,543
384 ICUMED CLAVE Konektor Botol Infus (CS-10) pcs 43,621
385 ICUMED CLAVE Konektor Dua Cabang (C-4203-1) pcs 48,668
386 ICUMED CLAVE Konektor Flow Controller (C-9804) pcs 73,027
387 ICUMED CLAVE Konektor Tiga Cabang (C-4348) pcs 41,921
388 ICUMED CLAVE Konektor Tunggal (C-1000) pcs 17,562
389 ICUMED CLAVE Konektor Vial (CS-50) pcs 20,961
IDEALCARE Blood Administration Set with Airvent / Blood Giving Set,
390 pcs 10,743
sterile 18GX3.75 mm
IDEALCARE Intravenous Admin Set with Airvent & Y Connection with
391 pcs 9,342
Protective Shield, sterile 21GX3.75 mm
392 JAYAMAS Alat Suntik 50 cc Catheter Tip pcs 8,030
393 JAYAMAS My Jelly 82 gram pcs 30,436
394 JAYAMAS Onemed Dermafix S IV pcs 2,114
395 JAYAMAS Onemed Dermafix T 10x12cm pcs 6,498
401 JAYAMAS Onemed Extension Tube pcs 6,268
402 JAYAMAS Onemed Kapas 1000g roll 56,197
403 JAYAMAS Onemed kapas 500g roll 28,098
404 JAYAMAS Onemed Kapas Berlemak 500gr roll 16,995
405 JAYAMAS Onemed Kapas Pembalut 250g roll 12,875
406 JAYAMAS Onemed Kasa Hydrophil 40 x 80 cm roll 108,150
407 JAYAMAS Onemed Kasa Hydrophil Steril Uk. 16 x 16 box 8,240

1 2 3 4
408 JAYAMAS Onemed Kasa Hydrophil Steril Uk. 18 x 22 box 7,725
409 JAYAMAS Onemed Kasa Kompres Steril 40 x 40 pcs 1,648
410 JAYAMAS Onemed Kasa Pembalut 2m x 80cm roll 7,931
411 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 10cm roll 1,545
412 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 15cm roll 2,163
413 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 3cm roll 608
414 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 5cm roll 773
415 JAYAMAS Onemed My Jelly 5 gram steril box 45,331
416 JAYAMAS Onemed Safety Box dus 16,187
417 JAYAMAS Onemed Thre Way Stop Cock with Tube box 167,375
418 JAYAMAS Onemed Three Way Stop Cock box 100,425
419 JAYAMAS Onemed Umbilical Cord Klem Steril Nylon box 66,950
420 JAYAMAS Onemed Wing Needle 19G pcs 1,442
421 JAYAMAS Onemed Wing Needle 21G pcs 1,442
422 JAYAMAS Onemed Wing Needle 23 G pcs 1,442
425 JAYAMAS Stera Blood Transfusion Set pcs 3,708
426 JAYAMAS Stera Infusion Set Anak pcs 3,605
427 JAYAMAS Stera Infusion Set Dewasa pcs 3,296
428 JAYAMAS Stera Infusion Set Y pcs 6,476
429 JAYAMAS Stera Syringe 10cc pcs 953
431 JAYAMAS Stera Syringe 2,5cc pcs 670
432 JAYAMAS Stera Syringe 20cc pcs 1,545
434 JAYAMAS Stera Syringe 50cc pcs 3,502
436 JAYAMAS Steracath IV Catheter 18G x 1¼" pcs 3,914
437 JAYAMAS Steracath IV Catheter 20G x 1¼" pcs 3,914
438 JAYAMAS Steracath IV Catheter 22G x 1" pcs 3,914
439 JAYAMAS Steracath IV Catheter 24G x ¾" pcs 3,914
440 JAYAMAS Steracath IV Catheter 26G x ¾" pcs 4,223
441 JIANGSU KANGJIN WIN I.V INFUSION SET pcs 3,354
442 JIANGSU KANGJIN WIN SYRINGE 1 Cc pcs 668
443 JIANGSU KANGJIN WIN SYRINGE 2.5 Cc pcs 668
444 JIANGSU KANGJIN WIN SYRINGE 20 Cc pcs 1,552

1 2 3 4
447 JIANGSU KANGJIN WIN SYRINGE 50 Cc pcs 4,521
448 JIANGSU KANGJIN WIN SYRINGE WITH NEEDLE 10 Cc pcs 1,099
449 JIANGSU KANGJIN WIN TRANSFUSION SET pcs 5,801
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinet
450 unit 2,690,875
SK 002
451 unit 2,690,875
SK 003
452 unit 2,690,875
SK 005
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinete
453 unit 2,690,875
SK 001
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinete
454 unit 2,690,875
SK 004
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Emergency Trolley
455 unit 16,480,000
SKR 054 - ET
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Manual Bed Double
456 unit 15,656,000
Crank SK 014
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Manual Bed Double
457 unit 24,720,000
Crank SK 029 - 2
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Overbed Table SKH
458 unit 5,356,000
042 - 1
459 unit 5,356,000
042
460 unit 5,356,000
046 - 2
461 unit 5,356,000
046
JIANHUA JINGDI MEDICAL SUPPLIES CO., LTD. E-CARE SURGICAL
462 dus 120,510
TAPE 0.5" (18350)
463 dus 100,940
TAPE 1" (18351)
464 dus 94,760
TAPE 2" (18352)
465 JMS Infusion Set Adult Type-200 pcs 7,591
466 JMS Infusion Set Pediatric Type-200 pcs 10,197
467 JMS Transfusion / Blood Set pcs 14,616
468 JW MEDICAL Infant Incubator CHS i1000 unit 107,120,000
469 JW MEDICAL Infant Incubator JW-i3000 unit 175,285,864
470 JW MEDICAL Infant Warmer CBW 1100 unit 91,670,000
471 KANMED Baby Warmer BW3 unit 44,805,000
472 KARL OTTO BRAUN KG, GERMANY Uniflex 10 CM x 4.5 M / 96 roll 22,048
473 KARL OTTO BRAUN KG, GERMANY Uniflex 15 CM x 4.5 M / 60 roll 30,065

1 2 3 4
474 KARL OTTO BRAUN KG, GERMANY Uniflex 7.5 CM x 4.5 M / 120 roll 18,040
475 KASTRON 2 Crank Manual Hospital Bed tipe K-1200S unit 14,140,870
476 KASTRON 3 Crank Manual Hospital Bed tipe K-1600A unit 19,002,470
477 KASTRON Electric Hospital Bed tipe K-1800E unit 25,373,020
478 KASTRON Full Electric Hospital Bed tipe K-2100NN unit 29,933,860
479 KIMSMED Disposable Syringe 1 cc pcs 711
480 KIMSMED Disposable Syringe 10 cc pcs 1,190
481 KIMSMED Disposable Syringe 2.5 cc pcs 690
KIMSMED Infusion Set For Adult 20 Drops/Ml With Y Type, Airvent, Luer
486 pcs 6,129
Lock
487 MAK BABY BASKET 33608 unit 2,932,623
491 MAK CHILDREN BED 33605C unit 8,722,658
492 MAK CHILDREN BED 33606C unit 10,376,941
493 MAK ELECRTIC ICU-ICCU SOTAMAK BED 77034 unit 64,818,486
494 MAK ELECTRIC SOTAMAK BED 77021 unit 34,063,543
495 MAK ELECTRIC ICU-ICCU BED SUPRAMAK 73003WCPR unit 53,012,799
496 MAK ELECTRIC ICU-ICCU BED SUPRAMAK BED 73003CPR unit 37,522,534
497 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77031 unit 40,906,330
505 MAK ELECTRIC ICU-ICCU SUPRAMAK BED 73003 unit 35,492,257
506 MAK ELECTRIC ICU-ICCU SUPRAMAK BED 73003W unit 51,208,108
507 MAK ELECTRIC OPERATING TABLE (52501E/525A*) unit 60,532,276

1 2 3 4
515 MAK ELECTRIC SUPRAMAK BED 73001 unit 26,092,824
516 MAK ELECTRIC SUPRAMAK BED 73002 unit 28,724,665
517 MAK ELECTRIC SUPRAMAK BED 73002W unit 44,365,321
518 MAK HOMECARE BED 81001 unit 30,529,200
519 MAK MANUAL CLASSIC BED 33102 unit 8,421,795
523 MAK MANUAL CLASSIC BED 33106 / 33801* unit 10,151,387
524 MAK MANUAL CLASSIC BED 33107/33802* unit 12,407,174
525 MAK MANUAL COMFORT BED 31801C unit 10,151,371
526 MAK MANUAL COMFORT BED 31801CM unit 11,429,704
527 MAK MANUAL COMFORT BED 31801S unit 8,045,845
537 MAK MANUAL ECONOMIC BED 33001 unit 4,286,139
545 MAK MANUAL ICU-ICCU BED (31810/31820) unit 14,663,080
546 MAK MANUAL SOTAMAK BED 77001 unit 18,648,474

1 2 3 4
549 MAK MANUAL SUPRAMAK BED 73004 unit 13,234,401
554 MAK MANUAL-HYDRAULIC ICU-ICCU SUPRAMAK BED 73003MH unit 18,798,530
555 MAK MOBILE STRETCHER 31202 unit 12,106,414
556 MAK MOBILE STRETCHER 31203 unit 7,594,705
557 MAK PREMIUM COUCH CHANGING TABLE (34118) unit 16,542,830
MEDECO (ADMD & CO) Medeco Syringe 0,05ml ADS - Auto Disable
558 pcs 1,957
Syringe / Auto Destruct Syringe - Alat Suntik Sekali Pakai Otomatis Rusak
MEDECO (ADMD & CO) Medeco Syringe 0,5ml ADS - Auto Disable
559 pcs 1,545
Syringe / Auto Destruct Syringe - Alat Suntik Sekali Pakai Otomatis Rusak
MEDECO (ADMD & CO) Medeco Syringe 2/3ml - Syringe with Needle -
560 pcs 718
Single Use
MEDECO (ADMD & CO) Medeco Syringe 5ml - Syringe with Needle -
561 pcs 763
Single Use
562 MEDELA Phototherapy Bilibed unit 32,445,000
563 MEDICOR Infant Incubator Advance Babylife BLF 2001 unit 15,409
564 MEDICOR Infant Incubator Babylife BLF 2001 unit 7,926
565 MEDICOR Infant Warmer Advance BLR 2100 unit 17,595
566 MEDICOR Infant Warmer BLR 2100 unit 8,677
567 MEDIFIRST MF Cath Pro IV Catheter 18G pcs 7,931
571 MEDIGLOBE Premium Syringe with Needle 3ml dus 41,200
572 MEDIGLOBE ABS Anesthesia Trolley B-72 unit 16,323,358
573 MEDIGLOBE ABS Medicine Delivery Trolly B-71 unit 12,226,883
574 MEDIGLOBE ABS Treatment Trolley B-83 unit 5,753,827
575 MEDIGLOBE Baby Incubator unit 12,875,000
576 MEDIGLOBE Bed Screen ML-36 unit 2,433,375
577 MEDIGLOBE Bedside Cabinet C-103 unit 1,657,352

1 2 3 4
584 MEDIGLOBE Electric Delivery Bed unit 199,007,371
585 MEDIGLOBE Hospital Bed 1 Crank unit 9,662,677
591 MEDIGLOBE Infuset Pediatrik & Adult pcs 88,580
592 MEDIGLOBE Kursi Tunggu 3 seat unit 3,721,225
593 MEDIGLOBE Kursi Tunggu 3 Seat unit 4,502,995
594 MEDIGLOBE Kursi Tunggu 4 seat unit 4,002,662
595 MEDIGLOBE Overbed Table unit 1,777,368
596 MEDIGLOBE Overbed Table unit 4,065,204
597 MEDIGLOBE Pediatric / Children Bed unit 6,695,927
598 MEDIGLOBE Plastic Sprayed Treatment Trolley B-50 unit 2,595,476
602 MEDIGLOBE Six Function Electric Bed unit 57,163,022
603 MEDIGLOBE Stainless Steel Morning Care Trolley B-44 unit 4,596,808
604 MEDIGLOBE Stainless Steel Treatment Trolley B-31 unit 9,099,803
608 MEDIPREMA Infant Incubator with Integrated Electronic weighing scale unit 19,721
609 MEDIPREMA Infant Warmer unit 10,516
610 MINDRAY SK Medical BeneFusion SP5 EX Infusion Pump unit 14,214,000
611 MINDRAY SK Medical BeneFusion VP5 EX Infusion Pump unit 15,635,400
612 MINDRAY SK Medical Infusion Pump SK-600II unit 12,208,450
613 MINDRAY SK Medical Syringe Pump SK-500II unit 11,357,434
614 MINDRAY SK Syringe Pump SK-500III unit 20,443,950
MITRA RAJAWALI BANJARAN RD Alat Suntik Sekali Pakai With Needle
615 pcs 785
1 ml
616 pcs 1,136
10 ml

1 2 3 4
617 pcs 826
2.5 ml
618 pcs 826
3 ml
619 pcs 930
5 ml
MITRA RAJAWALI BANJARAN SKIFA Auto Disable/Destruct Syringe 3
620 pcs 1,248
ml With Needle
MITRA RAJAWALI BANJARAN SKIFA Auto Disable/Destruct Syringe
621 pcs 1,395
With Needle 0.05 ml
622 pcs 1,210
With Needle 0.5 ml
623 pcs 1,630
With Needle 5 ml
624 MMP CATHY IV. CANNULA 18G pcs 10,707
MMP MAS DISPOSABLE BLOOD TRANFUSION SET WITH Y-
628 pcs 14,729
INJECTOR 20 DROPS/ml
629 MMP MAS DISPOSABLE TRANSFUSION SET WITH Y-INJECTOR pcs 7,931
630 MMP POLYFLEX IV. CANNULA WITH INJECTION PORT 18G pcs 12,463
635 MMP POLYMED Polyfusion INFUSION SET 20 Drops/ml pcs 6,628
636 MMP POLYSAFETY safety IV. CANNULA 18G pcs 16,259
641 MMP POLYWIN IV. CANNULA 18G pcs 10,809
646 MMP POLYWIN IV. CANNULA16G pcs 10,809
647 MMP POLYWIN SAFETY Safety IV. CANNULA 18G pcs 15,182

1 2 3 4
651 MUZAMAL INDUSTRIES CIRINGE Syringe Without Needle 3 ml pcs 711
652 MUZAMAL INDUSTRIES CIRINGE Syringe Without Needle 5 ml pcs 850
653 MUZAMAL INDUSTRIES CIRINGE Syringe Without Needle 50 ml pcs 5,665
654 NAKAMURA N-IDEAL Infant Incubator H-2000 LCS-ICU unit 1,749,383
655 NAKAMURA N-IDEAL Infant Incubator H-2000 PS unit 1,612,907
656 NAKAMURA N-IDEAL Infant Warmer NIW-2000 unit 843,674
657 NIPRO Blood Transfusion Set pcs 13,823
658 NIPRO Infuse Set "Y" Type With Injection Port pcs 5,124
659 NIPRO IV Catheter 18G X 1-1/4" pcs 7,229
660 NIPRO IV Catheter 18G X 2" pcs 7,229
661 NIPRO IV Catheter 20G X 1-1/4" pcs 7,229
665 NIPRO IV Catheter 24G X 3/4" pcs 7,229
666 NIPRO Syringe 10cc Luer Lock With Needle 21GX1-1/2" pcs 1,337
667 NIPRO Syringe 1cc Tuberculin With Needle 26GX1/2" pcs 1,020
668 NIPRO Syringe 20ml Luer Slip Without Needle pcs 2,617
669 NIPRO Syringe 3cc Luer Lock With Needle 23GX1-1/4" pcs 816
670 NIPRO Syringe 3cc Luer Lock With Needle 24GX1" pcs 816
671 NIPRO Syringe 50ml Catheter Tip pcs 12,350
672 NIPRO Syringe 50ml Luer Slip Without Needle pcs 5,790
673 NIPRO Syringe 5cc Luer Lock With Needle 22GX1-1/2" pcs 1,008
674 NIPRO Wing Catheter With Injection Port 18G pcs 11,330
675 NIPRO Wing Catheter With Injection Port 20 G X 1-1/4” pcs 11,330
676 NIPRO Wing Catheter With Injection Port 22 G X 1” pcs 11,330
677 NIPRO Wing Catheter With Injection Port 24G pcs 11,330
678 NOVO NORDISK NovoTwist 32G x 5mm unit 214,549
679 NOVOS Phototherapy System BILICOT unit 87,463,171
680 NOVOS Phototherapy Unit BILISPHERE 360 unit 173,072,239
681 NURITEK Baby Basket NT 013-00A unit 2,847,017
682 NURITEK Baby Basket NT 013-00BSS unit 4,940,277
683 NURITEK Children Bed NT 014-02CC unit 7,120,197
684 NURITEK Examination Lamp NT 023-00B unit 2,632,809
685 NURITEK Hospital Bed NT 001-B Prima Manual 1 Plus unit 9,270,000
686 NURITEK Hospital Bed NT 001-C Deluxe Manual 1 Plus unit 13,935,900

1 2 3 4
687 NURITEK Hospital Bed NT 001-C Prima Manual 1 Plus unit 10,042,500
688 NURITEK Hospital Bed NT 001-D Prima Manual 1 Plus unit 15,329,490
689 NURITEK Hospital Bed NT 001-DEL Grand A1 Plus unit 34,972,141
690 NURITEK Hospital Bed NT 001-DEL Prima B1 Plus unit 26,587,084
691 NURITEK ICU Bed NT 001-TRL Special Edition unit 35,928,492
692 NURITEK Infusion Stand NT 003-00BSS unit 1,225,056
693 NURITEK Phototherapy / Blue Light NT 032-00A unit 13,888,456
694 OLIDEF- BRAZIL Baby Incubator - SCTI line 4 V1 unit 69,359,926
695 OLIDEF- BRAZIL Infant radiant warmer - Matrix sc unit 80,342,025
ONEJECT Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis
696 pcs 1,700
Rusak 0.05 ml
697 pcs 1,277
Rusak 0.5 ml (Oneject II)
698 pcs 1,277
Rusak 0.5 ml
699 pcs 1,303
Rusak 1 ml
700 pcs 1,303
Rusak 3 ml
701 pcs 1,756
Rusak 5 ml
702 ONIONEX BLOOD TRANSFUSION SET pcs 7,669
703 ONIONEX DISPOSABLE SYRINGE 1 CC/ML pcs 721
704 ONIONEX DISPOSABLE SYRINGE 10 CC/ML pcs 1,267
705 ONIONEX DISPOSABLE SYRINGE 2.5 CC/ML pcs 761
708 ONIONEX INFUSION SET FOR ADULT pcs 3,018
709 ONIONEX INFUSION SET FOR PEDIATRIC pcs 3,114
710 ONIONEX IV CATHETER 18G pcs 5,196
714 ONIONEX SCALP VEIN SET 21G pcs 953
718 PARAMOUNT BED 1 Crank bed unit 7,931,000
719 PARAMOUNT BED 2 Crank Gatch Bed unit 9,270,000
720 PARAMOUNT BED 3 Motor Bed unit 29,861,108

1 2 3 4
721 PARAMOUNT BED 3 Motor Electric Bed unit 33,151,580
722 PARAMOUNT BED Bassinet Cart unit 5,919,915
723 PARAMOUNT BED Bedside Cabinet unit 4,017,000
724 PARAMOUNT BED Collapsible Bedside Raills unit 2,577,048
725 PARAMOUNT BED Electric Delivery Bed unit 142,078,200
726 PARAMOUNT BED Flat Bed unit 6,782,880
727 PARAMOUNT BED Gamma 4 Motor Bed unit 65,896,183
728 PARAMOUNT BED Gamma Bed Digital Scale & X-Ray Cassette unit 111,105,152
729 PARAMOUNT BED I. V Hanger Rod unit 969,521
730 PARAMOUNT BED I.V. Stand unit 2,060,000
731 PARAMOUNT BED Medical Cart unit 22,874,590
732 PARAMOUNT BED New 3 Crank Gatch Bed unit 17,049,384
733 PARAMOUNT BED New 3 Motor Electric Bed unit 33,151,580
734 PARAMOUNT BED Overbed Table unit 2,588,865
735 PARAMOUNT BED Pediactric Bed unit 15,155,008
736 PARAMOUNT BED Psychiactric Bed unit 10,134,912
737 PARAMOUNT BED Qualitas 4 Motor Electric Bed unit 51,449,530
738 PARAMOUNT BED Qualitas Alpha Plus 3 Motor Electric Bed unit 43,872,026
739 PARAMOUNT BED Reversible Pressure Reduction Mattress unit 5,284,384
740 PARAMOUNT BED Urethane Foam Mattress Width 910mm unit 1,610,220
741 PT. MEDIBEST INDONESIA Disposafe Safety Box 12,5 Liter box 33,847
742 PT. MEDIBEST INDONESIA Disposafe Safety Box 2,5 Liter box 16,756
743 REMEDI Blood Set pcs 5,047
744 REMEDI Disposible Syringe + Needle 10cc pcs 1,391
745 REMEDI Disposible Syringe + Needle 1cc TB pcs 1,030
746 REMEDI Disposible Syringe + Needle 3cc pcs 824
747 REMEDI Disposible Syringe + Needle 5cc pcs 1,082
748 REMEDI Infusion Set With Air Vent 1009 Soft Tubing pcs 3,708
749 REMEDI IV Catheter Flash Back model - 18 G pcs 4,326
753 SANI-INDONESIA Children Bed unit 10,421,823
754 SANI-INDONESIA Infant Incubator SN 100A unit 77,473,999
755 SANI-INDONESIA Infant Radiant Warmer unit 68,864,461
SARANDI KARYA NUGRAHA ECOMED Manual Hospital Bed ECO 01-
756 unit 7,004,000
12CP

1 2 3 4
757 SARANDI KARYA NUGRAHA KARIXA Children Bed KA 14-22BSS unit 9,991,000
SARANDI KARYA NUGRAHA KARIXA Hospital Bed Manual KA 01-
758 unit 9,476,000
12BSS
SARANDI KARYA NUGRAHA KARIXA Hospital Bed Manual KA 01-
759 unit 12,566,000
13BSS
SARANDI KARYA NUGRAHA KARIXA Hospital Bed Psikiatry KA 01-
760 unit 5,768,000
00PS
761 SARANDI KARYA NUGRAHA SKN Hospital Bed SKN 01-13C unit 14,162,500
762 SARANDI KARYA NUGRAHA SKN Medical Hospital Bed SKN 01-11C unit 9,424,500
SARANDI KARYA NUGRAHA SKNMEDICAL Medical Hospital Bed SKN
763 unit 25,956,000
01-13CE
764 SERENITY Alcohol Swab box 12,978
765 SERENITY Blood Transfusion Set pcs 5,665
766 SERENITY Infusion Set Anak pcs 3,914
767 SERENITY Infusion Set Dewasa pcs 3,708
768 SERENITY IV. Catether Fr. 18 pcs 4,738
772 SERENITY IV. Catether With Injection Port Fr. 18 pcs 6,747
776 SEROSEP Histopot Neutral Formalin 10% - 125 ml (108 Pcs) box 1,755,923
779 SEROSEP Histopot Neutral Formalin 10% - 2500 ml box 114,967
782 SEROSEP Histopot Neutral Formalin 10% - 5000 ml box 169,242
784 SHVABE lntensive Care Infant Incubator/ SHVABE IDN - 02 UOMZ unit 183,237,000
785 SHVABE lntensive Care Infant Incubator/ SHVABE IDN - 03 UOMZ unit 325,274,000
SHVABE Neonatal Phototherapy Irradiator/ SHVABE OFN - 02 UOMZ
786 unit 68,907,000
With Pole
SHVABE Neonatal Table with Automatic Heating Temperature Control/
787 unit 135,960,000
SHVABE SNO UOMZ
788 SHVABE Neonatal Warmer/ SHVABE ODN - 01 UOMZ unit 63,036,000
SHVABE Neonatal Phototherapy Irradiator/ SHVABE OFN - 02 UOMZ
789 unit 54,075,000
Without Pole
790 SMITH AND NEPHEW MEDICAL LIMITED Melolin 10x1ocm pcs 8,611

1 2 3 4
791 SMITH AND NEPHEW MEDICAL LIMITED Melolin 5 x 5 cm pcs 2,987
792 SMITH AND NEPHEW MEDICAL LIMITED Opsite Flexifix 10 x 10 cm pcs 570,620
793 SMITH AND NEPHEW MEDICAL LIMITED Opsite Flexifix 5 x 10 cm pcs 304,880
794 SMITH AND NEPHEW MEDICAL LIMITED Opsite lV 3000 5x6cm pcs 5,438
795 SMITH AND NEPHEW MEDICAL LIMITED Opsite lV 3000 7x9cm pcs 5,892
796 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 15,5x8,5cm pcs 24,926
797 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 20x10cm pcs 29,911
798 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 25x10cm pcs 36,256
799 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 6,5x5cm pcs 9,291
800 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 9,5x8,5cm pcs 20,054
801 SMITHS MEDICAL Graseby unit 15,084,762
802 SMITHS MEDICAL JELCO 24G pcs 8,961
806 SMITHS MEDICAL JELCO 2 16G pcs 16,583
812 SMITHS MEDICAL LOGICATH 2L 7F 20 CM pcs 611,511
813 SMITHS MEDICAL LOGICATH CVC 2L 12F 20 CM pcs 702,460
818 SMITHS MEDICAL MEDFUSION unit 53,634,778
SN MEDIKA PRO CREPE PEMBALUT ELASTIS UKURAN 10 CM X 4,55
819 roll 33,990
M (terentang)
SN MEDIKA PRO CREPE PEMBALUT ELASTIS UKURAN 15 CM X 4,55
820 roll 43,167
M (terentang)
SN MEDIKA PRO CREPE PEMBALUT ELASTIS UKURAN 7,5 CM X
821 roll 28,665
4,55 M (terentang)
822 SNA MEDIKA FM Crepe Pembalut Elastis 10 cm x 4,55 m roll 45,307
823 SNA MEDIKA FM Crepe Pembalut Elastis 15 cm x 4,55 m roll 55,763
824 SNA MEDIKA FM Crepe Pembalut Elastis 7,5 cm x 4,55 m roll 37,092
825 SNA MEDIKA Hos-Pak Kapas Pembalut 100 gr roll 12,258

1 2 3 4
831 SNA MEDIKA Policrepe Pembalut Elastis 10 cm x 4,55 m roll 33,879
832 SNA MEDIKA Policrepe Pembalut Elastis 15 cm x 4,55 m roll 43,126
833 SNA MEDIKA Policrepe Pembalut Elastis 7,5 cm x 4,55 m roll 28,490
834 STARDEC Infusion set luer slip new(Box/50) box 241,329
835 STARDEC Infusion set new(Box/50) box 241,329
836 STARDEC Tranfusion Sets box 445,269
837 STERIS Vipro Max Low Temperature Sterilizer-STERIS unit 181,280
838 SUREPLUS SURE PLUS Syringe 1 ml Tuberculin with 27G Needle pcs 698
839 SUREPLUS SURE PLUS Syringe 10 ml with 21G Needle pcs 1,095
840 SUREPLUS SURE PLUS Syringe 3 ml with 23G Needle pcs 698
841 SUREPLUS SURE PLUS Syringe 5 ml with 22G Needle pcs 859
842 SUREPLUS SurePlus Infusion Set Adult pcs 3,444
843 SUREPLUS SurePlus Infusion Set Pediatric pcs 3,966
844 SUREPLUS SurePlus Needle Hypodermic pcs 340
845 SUREPLUS SurePlus Scalp Vein Set 23G pcs 759
846 SUREPLUS SurePlus Scalp Vein Set 25G pcs 759
847 SUREPLUS SurePlus Transfusion Set pcs 4,929
848 SURYA HUSADA Kapas Berlemak 500 gr pack 22,145
849 SURYA HUSADA Kapas Pembalut Hydrofil 250 gr pack 13,802
850 SUZRIC Anti Decubitus Alternating Air Pressure Mattress Comfort 2006 unit 3,036,440
851 SUZRIC Anti Decubitus Alternating Air Pressure Mattress Comfort 2014 unit 2,775,850
TELEFLEX Arrow Central Venous Catheter Sets, Double Lumen tipe CS-
852 unit 894,570
14402 (CVC set : 2-lumen 4 FR x 13 cm)
TELEFLEX Arrow central Venous Catheter Sets, Double Lumen Tipe CS-
853 unit 908,267
14502
854 TELEFLEX Arrow CVC SET: 2-LUMEN 7FR x 20CM AGB unit 588,403
855 TELEFLEX Arrow CVC SET: 3-LUMEN 7FR x 20CM AGB unit 530,244
TELEFLEX Arrow Large Bore Multi Lumen Central Venous

856 unit 1,396,418
Catheterization Set tipe CS-12123-F (CVC Set : 3-lumen 12 FRx16 cm)
TELEFLEX Arrow Triple Lumen Central Venous Catheter set with Blue
857 unit 819,978
Flex tip ARRCWg+ard Blue
858 TENDE MEDICAL / INFANT INCUBATOR / TENDE Infant Care System unit 364,002,000

1 2 3 4
TENDE MEDICAL / LED PHOTOTHERAPY / TENDE Infant Care System -
859 unit 90,125,000
LED Infant Phototherapy Foldable
TENDE MEDICAL / LED Phototherapy / TENDE Infant Care System -
860 unit 65,920,000
LED Phototherapy CB
861 TERUMO Disp.Syringe with Needle 1 CC Tuberculin pcs 1,586
862 TERUMO Disp.Syringe with Needle 10 CC pcs 1,844
863 TERUMO Disp.Syringe with Needle 3 CC pcs 986
864 TERUMO Disp.Syringe with Needle 5 CC pcs 1,388
865 TERUMO Disp.Syringe without Needle 20 CC pcs 3,172
866 TERUMO Disp.Syringe without Needle 20 CC Luer Lock pcs 3,172
867 TERUMO Disp.Syringe without Needle 3 CC pcs 853
869 TERUMO Disp.Syringe without Needle 30 CC Luer Lock pcs 5,413
871 TERUMO Disposable Syringe without Needle 50 CC pcs 7,974
872 TERUMO Disposable Syringe without Needle 50 CC Luer Lock pcs 8,286
873 TERUMO INFUSION PUMP - TE-112W3 unit 19,517,058
874 TERUMO INFUSION PUMP - TE-135NW3 unit 21,860,102
875 TERUMO INFUSION PUMP - TE-172CW3 unit 25,656,332
876 TERUMO NANOPASS Needle for pen - injectors 32.5G x 4 mm unit 2,058
879 TERUMO PEDIATRIC SOLUTION ADMINISTRATION SET - TK*A200LK pcs 10,718
880 TERUMO SAFEED Extention Tube 75 cm (2.5 ml) pcs 8,090

881 TERUMO SAFEED Feeding Tube 3.5 (35 cm) pcs 9,106
882 TERUMO SAFEED Feeding Tube 5 fr (40 cm) pcs 9,106
885 TERUMO SAFEED Stomach Tube 12 fr (125 cm) pcs 10,310
889 TERUMO SURFLO IV CATH SR+OX1451C3 pcs 8,606

1 2 3 4
897 TERUMO Surflo Winged Infusion Set - SV*19CLK pcs 5,812
TERUMO Surflo-W IV Catheter with Wings and Injection Port - SRDM
901 pcs 15,012
1832
902 pcs 15,012
2032
903 pcs 15,012
2225
904 pcs 15,635
2419
905 pcs 21,697
2619
906 TERUMO SURHIELD SURFLO II - SR*SFA1832 pcs 17,348
910 TERUMO Surplug Needle Free Connector - SP*1S pcs 18,107
TERUMO Surplug Needle Free Connector with Extension Tube - Surplug
911 pcs 44,508
2B 20cm Lock
TERUMO Surplug Needle Free Connector with Extension Tube - Surplug
912 pcs 52,367
3B 30cm Lock
913 TERUMO TERUFUSION BLOOD ADM SET - TB*U800L pcs 14,395
914 TERUMO TERUFUSION BLOOD SET FOR PUMP - TB*PU300L pcs 43,983
915 TERUMO Terufusion Solution Administration Set - TI*U200L11 pcs 7,541
916 TERUMO Terufusion Solution Administration Set - TS*M270LA pcs 50,519
TERUMO Terufusion Solution Administration Set for Infusion Pump -
917 pcs 22,433
TI*PU300L
918 TERUMO Terufusion Syringe Pump TE-SS700N03 unit 17,529,776
919 TERUMO Terumo SAFEED Feeding Tube 5 fr (100cm pcs 9,106
920 TESENA Tesena Infant Incubator TSN 910 SC-C unit 62,405,640
921 TESENA Tesena Infant Incubator TSN 910 SC-EHL unit 99,807,000
922 TESENA Tesena Infant Warmer TSN 807 IWSC unit 99,240,500
923 TESENA Tesena Phototherapy Unit TLC 1 H (4 lamp) unit 8,126,700
924 TESENA Tesena Phototherapy Unit TLC 2 H (4 lamp) unit 9,939,500
925 TESENA Tesena Phototherapy Unit TLC 2 HP unit 6,695,000
926 TESENA Tesena Phototherapy Unit TLC 2 HT unit 12,823,500

1 2 3 4
927 TESENA Tesena Transport Infant Incubator TSN 705 TRSC. unit 123,909,000
928 TESENA Tesena Transport Infant Incubator TSN 89 TR unit 62,613,700
929 TOP CORPORATION Infusion Pump unit 19,055,000
930 TOP CORPORATION Syringe Pump unit 19,055,000
931 TOSAN - IRAN Infant Incubator - 111 unit 10,221
932 TOSAN - IRAN Infant Warmer - 083 unit 12,712
933 TOSAN - IRAN Phototherapy Stand - 023 unit 813
934 TP Disposable Syringe 1 cc pcs 666
936 TP Disposable Syringe 2,5 cc pcs 672
937 TP Disposable Syringe 20 cc pcs 1,548
940 TP Disposable Syringe 50 cc pcs 3,657
941 TP Infusion Set Adult 20 Drops/Ml With Y Type, Airvent, Luer Lock pcs 5,974
942 TSE SPOL LED Phototheraphy Lamp pcs 91,791,710
943 TSE SPOL TSE Baby Concept Intermediate Care Incubator Type SI-600 pcs 295,681,070
944 UNION Auto Disable Syringe 0.05 ML pcs 1,421

945 UNION Auto Disable Syringe 0.5 ML pcs 1,287
946 VASFLOW Vasflow IV Catheter No.18 G pcs 6,283
950 VYGON Premicath Accesories Lectro Spiral unit 46,927
951 VYGON Bionector 2 unit 20,059
952 VYGON Centracath 14 G, 30 cm unit 117,381
957 VYGON Double Lumen Octopus 10 cm unit 99,954
958 VYGON Double Lumen Umbilical Catheter 4 Fr - 40 cm unit 370,378
959 VYGON Double Lumen Umbilical Catheter 5 Fr - 40 cm unit 384,808
960 VYGON Infusion Line with Lipid Filter unit 240,334
961 VYGON Infusion Line with Lipid Filter unit 139,977
962 VYGON Leader Flex 2 Fr, 4 cm - 22G unit 512,615

1 2 3 4
965 VYGON Leader-Cath Arterial 3 Fr, 8cm unit 238,849
966 VYGON Polyurethane Umbilical Catheter 2.5Fr - 30 cm unit 283,052
967 VYGON Polyurethane Umbilical Catheter 3.5Fr - 40 cm unit 276,737
968 VYGON Polyurethane Umbilical Catheter 4Fr - 40 cm unit 165,300
969 VYGON Polyurtehane Umbilical Catheter 5Fr - 40 cm unit 165,300
970 VYGON Polyurtehane Umbilical Catheter 8Fr - 40 cm unit 165,300
971 VYGON Premicath 1 Fr, 20 cm with Stylet and Microflash unit 986,969
972 VYGON Premicath 1 Fr, 20 cm with Stylet and Splitting Needle unit 1,034,886
973 VYGON PVC Umbilical Catheter 3.5 Fr unit 40,860
974 VYGON PVC Umbilical Catheter 4 Fr unit 34,546
976 VYGON PVC Umbilical Catheter 6.0 Fr unit 35,289
979 WAYSON MEDICAL SEMILLAS Non-Woven I.V. Dressing unit 1,442
980 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 10 x 100cm each 7,534
981 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 10 x 500cm roll 30,931
986 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing (Common) pcs 2,182
987 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing (With Notch) pcs 2,379
988 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing (with Pad) pcs 3,371
989 WAYSON MEDICAL SEMILLAS Transparent I.V. dressing 10x12 pcs 9,121
990 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing 4.4x4.4 pcs 1,983
WAYSON MEDICAL SEMILLAS WATERPROOF & TRANSPARENT
991 roll 148,706
MEDICAL TAPE 10 X 500
992 roll 186,379
993 roll 257,758
994 roll 87,241
995 WELFORD MEDICAL WELCARE Airguard Safety Infusion Set pcs 16,259
996 WELFORD MEDICAL WELCARE Blood Transfusion Set pcs 9,430

1 2 3 4
997 WELFORD MEDICAL Welcare I.V. Solution Administration set (macro) box 745,345
WELFORD MEDICAL WELCARE Innocath I.V catheter with wings and
998 pcs 5,691
injection port 16 G
999 pcs 5,691
injection port 18 G
1000 pcs 5,691
injection port 24 G
WELFORD MEDICAL WELCARE Innocath I.V. catheter with wings and
1001 pcs 5,691
injection port 20 G
WELFORD MEDICAL WELCARE Innocath I.V. catheter with wings and
1002 pcs 5,691
injection port 22 G
1003 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter NO 16 G pcs 4,207
WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 16 G with

1004 pcs 4,558
Wing & Port
1005 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 18 G pcs 4,207

1006 pcs 4,558
Wing & Port

1008 pcs 4,558
Wing & Port

1010 pcs 4,558
Wing & Port

1013 pcs 4,558
Wing & Port
1015 WEYER GERMANY Bili-Compact Neonatal Phototheraphy Device unit 84,975,000
1016 WEYER GERMANY Thermocare Vita Neonatal Incubator (Alternatif) unit 464,530,000
1017 WEYER GERMANY Thermocare Vita Neonatal Incubator unit 662,805,000
WEYER GERMANY Variotherm REA-KCE Infant Radiant Warmer
1018 unit 300,245,000
(Alternatif)
1019 WEYER GERMANY Variotherm REA-KCE Infant Radiant Warmer unit 407,880,000
YAFHO BIO-TECHNOLOGY CO., LTD. E-CARE FILM IV DRESSING 6 x
1020 unit 226,600
7 P (ID67P)
YAFHO BIO-TECHNOLOGY CO., LTD. E-CARE FILM IV DRESSING 6 X
1021 unit 226,600
7 S (ID67S)
YAFHO BIO-TECHNOLOGY CO., LTD. E-CARE FILM IV DRESSING 7 x
1022 unit 309,000
8 P(ID78P)
1023 ZULMAND Bed 1 Crank 843 ZD unit 11,391,841

1 2 3 4
1029 ZULMAND Bed Standard 840 ZD unit 3,592,022
1030 ZULMAND Children Bed unit 9,236,628
1031 ZULMAND Children Bed 1 Crank 862 ZD unit 11,173,028
1032 ZULMAND Children Bed 1 Crank, SS 860 ZD unit 10,262,920
1033 ZULMAND Children Bed, SS 861 ZD unit 10,204,828
1034 ZULMAND Electric Bed (2 Function) 823 ZD unit 33,457,119
1037 ZULMAND Electric Bed 2 Crank 821 ZD unit 33,457,119
1038 ZULMAND Electric Bed 827 ZD unit 33,457,119
1039 ZULMAND Electric ICU Bed 830 ZD unit 34,237,101
1040 ZULMAND Electric ICU Bed 834 ZD unit 34,237,101
1041 ZULMAND INFANT INCUBATOR CABINET 800A ZD unit 49,749,000
1042 ZULMAND INFANT INCUBATOR CABINET 800B ZD unit 38,110,000
1043 ZULMAND INFANT INCUBATOR PORTABLE 802 ZD unit 8,210,336
1044 ZULMAND INFANT INCUBATOR SERVO CONTROL 800 ZD unit 63,448,000
1045 ZULMAND Infant Incubator with Blue Light 800C ZD unit 70,864,000
1046 ZULMAND INFANT WARMER 807 ZD unit 100,528,000
1047 ZULMAND Manual ICU Bed 835 ZD unit 12,161,560
1048 ZULMAND Manual ICU Bed 836 ZD unit 12,161,560
1049 ZULMAND TRANSPORT INFANT INCUBATOR 801 ZD unit 63,448,000
Peralatan RSU & P Lainnya
1050 GETINGE Drying Cabinet unit 307,599,200
1051 GETINGE Flusher Disinfector (Bedpan Washer) 607 unit 277,482,000
1052 GETINGE Flusher Disinfector (Bedpan Washer) FD1600 unit 131,685,500
1053 GETINGE Steam Sterilizer 533HC-E Double Door unit 2,388,507,591
1054 GETINGE Steam Sterilizer 533HC-E Single Door unit 1,842,333,603
1055 GETINGE Steam Sterilizer HS33 100 Liter unit 898,160,000
1056 GETINGE Steam Sterilizer HS6610ER2 unit 2,460,407,108
1057 GETINGE Steam Sterilizer HS6620ER2 unit 2,918,093,000
1058 GETINGE Ultrasonic Washer 300 unit 98,262,000

1 2 3 4
1059 GETINGE Ultrasonic Washer 450 unit 131,716,400
1060 GETINGE Washer Disinfector 46-4 unit 990,832,783
1061 GETINGE Washer Disinfector 46-5 unit 1,144,625,054
1062 GETINGE Washer Disinfector Claro unit 379,555,000
1063 WIPAK STERIKING Autoclave tape with indicator 19 mm x 50 m roll 77,126
1064 WIPAK STERIKING Creppe Paper 75CM X 75 CM (250 Sheets/Box) roll 5,839,111
1065 WIPAK STERIKING FLAT ROLL 5 CM/200M roll 370,800
1066 WIPAK STERIKING FLAT ROLL 10CM/200M roll 667,440
1067 WIPAK STERIKING FLAT ROLL 15CM/200M roll 994,980
1068 WIPAK STERIKING FLAT ROLL 20CM/200M roll 1,285,440
1072 WIPAK STERIKING FLAT ROLL 7,5CM/200M roll 525,300
1073 WIPAK STERIKING GUSSET ROLL ( 7,5+ 2)CM/100M roll 592,044
1074 WIPAK STERIKING GUSSET ROLL (10+ 5)CM/100M roll 735,791
1075 WIPAK STERIKING GUSSET ROLL (15+ 5)CM/100M roll 884,358
1076 WIPAK STERIKING GUSSET ROLL (20+ 5,5)CM/100M roll 1,079,522
1077 WIPAK STERIKING GUSSET ROLL (25+ 6,5)CM/100M roll 1,336,734
1078 WIPAK STERIKING GUSSET ROLL (30+ 8)CM/100M roll 1,532,640
1079 WIPAK STERIKING TYVEK ROLL 7,5CM/100M roll 1,217,460
1080 WIPAK STERIKING TYVEK ROLL 10CM/100M roll 1,517,190
1084 3A HEALTH CARE 3A Suction Unit Maxiaspeed 9 unit 21,115,000
1085 3D SEMILLAS Latex Matras 200 x 90 x 10 cm unit 3,172,400
1086 3D SEMILLAS Latex Matras 200 x 90 x 12 cm unit 3,965,500
1087 3D SEMILLAS Latex Matras 200 x 90 x 12.5 cm unit 4,078,800
1088 3D SEMILLAS Latex Matras 200 x 90 x 7.5 cm unit 2,605,900
1089 3M 1860S N95 Medical Respirator box 401,700
1090 3M Surgical Mask Earloop box 30,591
1091 3M Surgical Mask Tie On box 30,900
1092 A CLASS AIR SHOWER (PASS BOX) / CLEAN ROOM unit 200,541,000
1093 A CLASS BAK PENCUCI / WASHING SINK (3 HOLE SINK) unit 27,531,900
1094 A CLASS BED SCREEN / ROOM DEVIDER STAINLESS STEEL unit 4,044,810
1095 A CLASS BEDSIDE CABINET (ABS) unit 2,605,900

1 2 3 4
1096 A CLASS BEDSIDE CABINET (ALUMINIUM) unit 3,172,400
1097 A CLASS BOWL / WASKOM / BASIN SS (MEDICINE CHANGE BOWL) unit 108,150
1098 A CLASS CANS STAINLESS STEEL (Φ100*100mm) - INSTRUMENT unit 101,970
1099 A CLASS CANS STAINLESS STEEL (Φ160*154mm) – INSTRUMENT unit 220,935
1100 A CLASS CLINIC / TRAY PAN SS - INSTRUMENT unit 498,520
1101 A CLASS FOOT STEP / STEP TOOL SS+ABS unit 1,472,900
1102 A CLASS INSTRUMENT - CUVETTE STAND SS unit 266,255
1103 A CLASS INSTRUMENT / DRESSING TROLLEY WITH DRAWER unit 10,508,575
1104 A CLASS INSTRUMENT / MEDICINE CABINET (WITH DRAWER) unit 8,452,180
1105 A CLASS INSTRUMENT / MEDICINE CABINET unit 7,279,525
1106 A CLASS INSTRUMENT TRAY STAINLESS STEEL unit 183,546
1107 A CLASS INSTRUMENT TROLLEY unit 5,251,455
1108 A CLASS INSTRUMENT TROLLEY WITH DRAWER unit 6,061,550
1109 A CLASS KURSI TUNGGU / WAITING CHAIR 3 SEATER unit 7,931,000
1110 A CLASS LAUNDRY / LINEN TROLLEY SS (027) unit 9,296,265
1111 A CLASS LAUNDRY / LINEN TROLLEY SS (040-1) unit 4,854,905
1112 A CLASS LAUNDRY / LINEN TROLLEY SS (105) unit 3,721,905
1113 A CLASS LOCKER / CABINET (18 LOCK) unit 8,083,955
1114 A CLASS LOCKER / CABINET (4 LOCK) / WARDROBE 4 PERSON unit 7,279,525
1115 A CLASS LOCKER / CABINET (6 LOCK) unit 7,676,075
1116 A CLASS MAYO TROLLEY / TABLE STAINLESS STEEL unit 3,229,050
1117 A CLASS MEJA SS / WORKING TABLE SS (INSTALASI GIZI / APOTIK) unit 15,295,500
A CLASS NIERBAKEN / KIDNEY BOWL / DISH (DEEP 204*130mm) -

1118 unit 97,438
INSTRUMENT
A CLASS NIERBAKEN / KIDNEY BOWL / DISH (SHALLOW 243*125mm)
1119 unit 180,147
- INSTRUMENT
1120 A CLASS OVERBED TABLE STAINLESS STEEL unit 1,699,500
1121 A CLASS OXYGEN TROLLEY SS unit 3,625,600
1122 A CLASS PASS BOX / CLEAN ROOM unit 57,783,000
1123 A CLASS PENDANT (CEILING) SINGLE / DOUBLE ARM unit 83,615,400
1124 A CLASS SCRUB STATION / BAK PENCUCI (2 PERSON) unit 72,738,600
1125 A CLASS STAND WASKOM (BASIN) / DOUBLE BOWL SS unit 1,858,120
1126 ACCUVEIN AV400 unit 7,236
1127 ACEM Examination Lamp - Acem 1 F EVO unit 21,321,000
1128 ACEM Examination Lamp - Acem 1 R EVO unit 21,321,000
1129 AFA Table Top Steam Sterilizer, 25 Liters unit 183,340,000
1130 AGS Baby Basket (ANB0701) unit 4,013,393

1 2 3 4
1131 AGS Bed Patient 1 Crank Manual (ANB0301) unit 8,778,615
1134 AGS Bed side Cabinet (ANC0501) unit 3,332,331
1135 AGS Dressing Trolley (ANT0301) unit 4,678,070
1136 AGS Electric Bed 3 Axis (ANB0401) unit 24,600,516
1137 AGS Electric ICU-ICCU Bed (ANB0501) unit 32,985,607
1138 AGS Emergency Mobile Stretcher (ANS0101) unit 7,193,958
1139 AGS Emergency Trolley (ANT0101) unit 6,841,459
1140 AGS Examination Table (ANB0802) unit 3,513,321
1141 AGS Food Trolley Open Frame (ANT0901) unit 6,556,228
1142 AGS Gynaecology Examination Verlos (ANG0101) unit 9,257,152
1143 AGS Gynecology Electric (ANG0105) unit 31,918,937
1144 AGS Infuse Stand 5 Legs (ANE0101) unit 1,505,860
1145 AGS Instrument Trolley 2 Racks (ANT0401) unit 3,603,478
1146 AGS Mattress Bed (ANA0701) unit 1,236,615
1147 AGS Medicine Cabinet Two Doors (ANC0101) unit 7,239,360
1148 AGS Over Bed Table (ANE0801) unit 1,966,595
1149 AGS Status Table (ANC0801) unit 5,172,006
1150 ALKAPHARM,FRANCE ALKACIDE 1L High Level Disinfectant btl 2,783,781
1151 ALKAPHARM,FRANCE Alkazyme Sachet 25 MG pack 825,030
1152 ANIOS ANIOSYME DLT PLUS 5L can 633,450
ANSELL Micro-Touch DermaClean Examination Powder Free Latex Size
1153 box 122,364
L
1154 box 122,364
M
1155 box 122,364
S
1156 box 122,364
XS
1157 ANSELL Micro-Touch Examination Nitrile Powder Free Size L box 101,970
1158 ANSELL Micro-Touch Examination Nitrile Powder Free Size M box 101,970
1159 ANSELL Micro-Touch Examination Nitrile Powder Free Size S box 101,970
1160 ANSELL Micro-Touch Examination Powdered Latex Size L box 61,182
1161 ANSELL Micro-Touch Examination Powdered Latex Size M box 61,182
1162 ANSELL Micro-Touch Examination Powdered Latex Size S box 61,182
1163 AQUASTAR DRYING SYSTEM SR 25 unit 250,645,350
1164 AQUASTAR DRYING SYSTEM SR 60 unit 521,993,843
1165 AQUASTAR IRONING SYSTEM MA 2000-33 unit 221,437,640

1 2 3 4
1166 AQUASTAR WASHER EXTRACTOR LA 18 MP unit 307,146,507
1169 ARDO ARDO Twincare Matress unit 34,247,500
1170 ASAP ( Gloves) Sarung Tangan Latex POWDER FREE size XS isi 100 box 55,105
1171 ASAP (Gloves) Sarung Tangan Latex POWDER FREE size M isi 100 box 55,105
1172 ASAP (Gloves) Sarung Tangan Latex POWDER FREE size S isi 100 box 55,105
1173 ASAP (Gloves) Sarung Tangan Latex POWDERED isi 100 size S box 44,805
1174 ASAP (Gloves) Sarung Tangan Latex POWDERED size L isi 100 box 44,805
1175 ASAP (Gloves) Sarung Tangan Latex POWDERED size M isi 100 box 44,805
1176 ASAP (Gloves) Sarung Tangan Latex POWDERED size XS isi 100 box 44,805
1177 ASAP (Gloves) Sarung Tangan Powder Free NITRILE size L isi 300 box 150,895
1178 ASAP (Gloves) Sarung Tangan Powder Free NITRILE size M isi 300 box 150,895
1179 ASAP (Gloves) Sarung Tangan Powder Free NITRILE size S isi 300 box 150,895
1180 ASAP (Gloves)Sarung Tangan Latex POWDER FREE size L isi 100 box 55,105
1181 ASETRONIC ASELIGHT 70 LED EXAMINATION LIGHT unit 91,392,827
1182 AXIMED CONNECTING TUBE pcs 20,394
1183 AXIMED CONNECTING TUBE WITH YANKEUR HANDLE, 2 funnel pcs 28,325
1184 AXIMED EXAMINATION GLOVES, size L box 47,586
1185 AXIMED EXAMINATION GLOVES, size M box 47,586
1186 AXIMED EXAMINATION GLOVES, size S box 47,586
1187 AXIMED EXAMINATION GLOVES, size XS box 47,586
1188 AXIMED SUCTION CATHETER, no. 10 pcs 7,591
1194 AXIMED SWAB, 2-ply dus 11,330
1195 AXIMED SWAB, 4-ply dus 20,600
1196 AXIMED WOUND DRAIN, 200ml, no. 10 pcs 122,364

1 2 3 4
1203 AXIMED WOUND DRAIN, 400ml, no.16 pcs 135,960
1204 BARTEC UTAMA MANDIRI Baby Basket unit 4,014,528
1205 BARTEC UTAMA MANDIRI Bedside Cabinet Full ABS unit 4,284,800
1206 BARTEC UTAMA MANDIRI Bedside Cabinet Half ABS unit 4,614,400
1207 BARTEC UTAMA MANDIRI Bedside Cabinet Luxurious unit 5,269,645
1208 BARTEC UTAMA MANDIRI Bedside Cabinet Top Table ABS unit 4,367,200
1209 BARTEC UTAMA MANDIRI Bedside Cabinet Top Table Plywood unit 4,152,960
1210 BARTEC UTAMA MANDIRI Bowl Stand Double unit 2,307,200
1211 BARTEC UTAMA MANDIRI Bowl Stand Single unit 1,615,040
1212 BARTEC UTAMA MANDIRI Dressing Trolley unit 5,009,920
1213 BARTEC UTAMA MANDIRI Emergency Trolley Luxurious Complete SS unit 20,764,800
1214 BARTEC UTAMA MANDIRI Emergency Trolley Luxurious MS unit 14,996,800

1215 BARTEC UTAMA MANDIRI Emergency Trolley Standart MS unit 8,882,720
1216 BARTEC UTAMA MANDIRI Examination Stool Standart (PU) unit 1,730,400
1217 BARTEC UTAMA MANDIRI Folding Stretcher unit 24,225,600
1218 BARTEC UTAMA MANDIRI Food Carriage Standart unit 13,925,600
1219 BARTEC UTAMA MANDIRI Food Trolley 16 Tray SS unit 11,041,600
1222 BARTEC UTAMA MANDIRI Foot Step MS unit 863,552
1223 BARTEC UTAMA MANDIRI Foot Step SS unit 1,236,000
1224 BARTEC UTAMA MANDIRI Glass Crusher unit 41,200,000
1225 BARTEC UTAMA MANDIRI Incinerator (Pembakar Sampah Medis ) 350 L unit 317,950,700
1226 BARTEC UTAMA MANDIRI Incinerator (Pembakar Sampah Medis) 100 L unit 196,730,000
1227 BARTEC UTAMA MANDIRI Infuse Stand Standart unit 527,360

BARTEC UTAMA MANDIRI Instalasi Pengolahan Air Limbah (IPAL) Flash
1228 unit 418,077,000
WWT Catalyst System Tipe 1 untuk Puskesmas Rawat Inap
BARTEC UTAMA MANDIRI Instalasi Pengolahan Air Limbah (IPAL) Flash
1229 unit 357,657,200
WWT Catalyst System Tipe 3 untuk Puskesmas Rawat Jalan
BARTEC UTAMA MANDIRI Instrument Cabinet Double Door
1230 unit 4,729,760
(Top&Bottom)
1231 BARTEC UTAMA MANDIRI Instrument Cabinet Double Door Swing unit 6,575,520
1232 BARTEC UTAMA MANDIRI Instrument Cabinet Single Door unit 3,172,400
1233 BARTEC UTAMA MANDIRI Instrument Trolley Material MS unit 2,653,280
1234 BARTEC UTAMA MANDIRI Instrument Trolley Material SS unit 4,120,000
1235 BARTEC UTAMA MANDIRI Laundry Trolley Standart SS unit 4,779,200
1236 BARTEC UTAMA MANDIRI Linen Hamper Carriage SS unit 9,390,304
1237 BARTEC UTAMA MANDIRI Locker 1 Door unit 2,999,360

1 2 3 4
1241 BARTEC UTAMA MANDIRI Mattress For Children unit 1,903,440
1242 BARTEC UTAMA MANDIRI Mattress Standart Latex unit 4,944,000
1243 BARTEC UTAMA MANDIRI Mattress Standart Semi Latex unit 4,120,000
1244 BARTEC UTAMA MANDIRI Mattress Standart Super Foam unit 2,318,736
1245 BARTEC UTAMA MANDIRI Mayo Stand All Stainless Steel unit 7,152,320
BARTEC UTAMA MANDIRI Medicine Cabinet Double Door (Top &
1246 unit 5,421,920
Bottom)
1247 BARTEC UTAMA MANDIRI Medicine Cabinet Double Door Swing unit 6,583,760
1248 BARTEC UTAMA MANDIRI Medicine Cabinet Single Door unit 3,164,160
1249 BARTEC UTAMA MANDIRI Medicine Trolley 25 unit 9,393,600
1250 BARTEC UTAMA MANDIRI Medicine Trolley 50 unit 13,843,200
1251 BARTEC UTAMA MANDIRI Meja Merapikan Bayi MS unit 11,865,600
1252 BARTEC UTAMA MANDIRI Mobile Stretcher unit 11,536,000
1253 BARTEC UTAMA MANDIRI Mortuary Carriage unit 19,611,200
1254 BARTEC UTAMA MANDIRI Mortuary Freezer 2 Door unit 140,228,320
1255 BARTEC UTAMA MANDIRI Overbed Table Low Stand SS unit 2,142,400
1256 BARTEC UTAMA MANDIRI Overbed Table Standart unit 1,483,200
1257 BARTEC UTAMA MANDIRI Plastic Destroyer unit 26,368,000
1258 BARTEC UTAMA MANDIRI Room Divider 2 Leaf MS unit 1,542,528
1259 BARTEC UTAMA MANDIRI Room Divider 3 Leaf MS unit 3,804,408
1260 BARTEC UTAMA MANDIRI Room Divider 3 Leaf SS unit 4,614,400
1261 BARTEC UTAMA MANDIRI Stretcher Hi-Low & TR unit 22,841,280
1262 BARTEC UTAMA MANDIRI Transfer Stretcher Hi - Low Eco unit 22,299,500
1263 BARTEC UTAMA MANDIRI Utility Trolley unit 4,614,400
1264 BARTEC UTAMA MANDIRI Waiting Chair 3 Seat AP unit 4,268,320
1265 BARTEC UTAMA MANDIRI Waiting Chair 3 seat MS + Matras unit 6,921,600
1266 BARTEC UTAMA MANDIRI Waiting Chair 4 Seat AP unit 4,845,120
1267 BARTEC UTAMA MANDIRI Waiting Chair 4 seat MS + matras unit 7,498,400
1268 BBRAUN BBRAUN HEX-PLUS unit 360,500
1269 BBRAUN BBRAUN MELISEPTOL FOAM btl 163,255
1270 BBRAUN BBRAUN MELISEPTOL WIPES BOX btl 180,765
1271 BBRAUN BBRAUN MELISEPTOL WIPES REFILL btl 113,300
1272 BBRAUN BBRAUN STABIMED 1000 ML btl 638,600
1273 BBRAUN VASCO EXAM POWDERED SIZE L box 82,400

1 2 3 4
1274 BBRAUN VASCO EXAM POWDERED SIZE M box 82,400
1275 BBRAUN VASCO EXAM POWDERED SIZE S box 82,400
BERCHTOLD Chromophare F300 Mobile, Examination Light LED, Mobile
1276 unit 71,070,000
55.000 Lux
1277 BRAUN - UK LED Examination Lamp - 32.0082 unit 1,020
1278 CANON Mesin Sterilisasi Hydrogen Peroxide Gas Sterilizer-ES 700 unit 155,015
1279 CAPSA SOLUTION ANASTHESIA TROLLEY - ART AN unit 58,198,358
1280 CAPSA SOLUTION EMERGENCY CART TROLLEY - ART EM unit 47,225,706
1281 CAPSA SOLUTION MEDICAL TROLLEY ISOLATION - ART ISO unit 35,864,549
1282 CAPSA SOLUTION MEDICATION CART TROLLEY - MDS unit 84,434,559
1283 CARMELTON ENTERPRISE LTD Nice Care Underpad pcs 4,759
1284 CEABIS Cold Room For Body (Deep Freezer)/ CEACA10 unit 416,429,000
1288 CELITRON Celitron Azteca High Tech Sterilization unit 1,019,227,836
1289 CELITRON Celitron Azteca Pre-Vacuum Steam Heated Autoclave unit 225,988,079
1290 CELITRON Celitron Azteca Prevacuum Steam Heated Autoclave unit 248,858,422
1291 CELITRON Celitron Pre and Post Vacuum Table Top Autoclave unit 83,858,193
1292 CHANG GUNG Bed Side Cabinet - ABS (EDCA) unit 207
1293 CHANG GUNG Bedside Cabinet Wooden unit 3,680,190
1294 CHANG GUNG Clinical Trolley /Clinical Cart dan Aksesoris unit 2,323
1295 CHANG GUNG Dining Table unit 603
1296 CHANG GUNG HYDRAULIC STRETCHER unit 5,083
1297 CISA PLASMA STERILIZER 4270 unit 3,026,510,800
1298 CISA STEAM STERILIZER GLOBO 4212 255Ltr unit 1,753,744,094
1299 CISA STEAM STERILIZER GLOBO 4270 and ACCESSORIS unit 1,533,074,660
1300 CISA WASHER DISINFECTOR M 104 unit 1,110,018,640
1301 COSMOMED Alcohol Swab box 33,063
1302 COSMOMED Gloves Non Sterile Exam ( Xs,S,M,L ) box 51,397
1303 COSMOMED Suction Catheter pcs 2,678
1305 COSMOMED Underpad pcs 8,034
1306 CRISTIE CRISTIE Vein Viewer Flex unit 9,493
1307 CRISTIE Cristie VeinViewer Vision2 unit 203,048,020
1308 D&V AC - Powered Adjustable Hospital Bed - Linet Eleganza 1 unit 2,639
1309 D&V AC - Powered Adjustable Hospital Bed - Linet Eleganza 3 unit 3,847
1310 D&V AC - Powered Adjustable Hospital Bed - Linet Eleganza 3XC unit 6,588

1 2 3 4
1311 D&V AC - Powered Adjustable Hospital Bed - Linet LATERA ACUTE unit 4,968
1312 D&V AC - Powered Adjustable Hospital Bed - Linet MULTICARE unit 19,730
1313 D&V AC - Powered Adjustable Hospital Bed - Platinum NG P - 1800 NG unit 34,853,828
1314 D&V AC - Powered Adjustable Hospital Bed - Platinum NG P - 2800 NG unit 47,527,947
1315 D&V AC - Powered Adjustable Hospital Bed - Platinum NG P 3800NG unit 110,760,782
1316 D&V AC Powered Adjustable Hospital Bed - 3 Motor PI-608HG unit 32,754,000
1317 D&V Accessories - Linet - Weight Scale for Bed Eleganza3XC unit 34,165,100
1318 D&V Acomed - Operating Lamp U6-2, 2 Ceiling unit 138,209,520
1319 D&V Active Decubitus Mattress - Linet Preciosso unit 2,670
1320 D&V Active Decubitus Mattress - Linet Virtuosso unit 7,948
1321 D&V Anaesthesia Trolley - CFS Omega Plus unit 2,319
1322 D&V Antidecubitus Mattress - Linet Effecta unit 402
1323 D&V Antidecubitus Mattress - Linet Ergomatt unit 1,063
1324 D&V Bedside Cabinet - Platinum Inspiration PI-1800 BC unit 2,575,000
1325 D&V Bedside Cabinet With Eating Board - Linet Eleganza Classic unit 680
1326 D&V Brithing Bed - Borcad AVE With Massage unit 29,195
1327 D&V Cherry Blossom Mattress unit 1,493,500
1328 D&V Double Bowl Scrub Station - Platinum Inspiration PI-202 SS unit 56,650,000
1329 D&V Electric Delivery Bed - Platinum Inspiration - PI-3000DB unit 105,575,000
1330 D&V Electric Delivery Bed - Platinum Inspiration - PI-4000DB unit 135,960,000
1331 D&V Electric Hospital Bed - Linet - Eleganza 2 unit 50,470,000
1332 D&V Electric Hospital Bed - Linet - Image 3 unit 73,336,000
1333 D&V Emergency Trolley - CFS Genius unit 1,925
1334 D&V Hydraulic Delivery Bed - Platinum Inspiration - PI-2000DB unit 79,567,500
1335 D&V I.V Stand Mobile - Platinum NG P - 100 IVM unit 1,609,532
1336 D&V Infinity Suction Pump Vaculine Maxi Aspirator AC, 2 x 5 Liter unit 25,750,000
1337 D&V Mango Mattress unit 1,833,400
1338 D&V Manual Adjustable Hospital Bed - 1 Cranck PI-108MS unit 9,270,000
1339 D&V Manual Adjustable Hospital Bed - 2 Crank PI-208MS unit 9,991,000
1340 D&V Manual Adjustable Hospital Bed - 3 Crank PI-308MS unit 15,192,500
1341 D&V Manual Adjustable Hospital Bed - 3 Crank PI-508MX unit 18,025,000
1342 D&V Mayo Table - CFS CFS/Serv unit 930
1343 D&V Medicine Trolley - CFS Alfa 01 unit 1,137
1344 D&V Medicine Trolley - CFS Alfa 23 unit 1,894
1345 D&V Multifunction Emergency Stretcher - Platinum Inspiration PI-1000MS unit 23,381,000
1346 D&V Multifunction Emergency Stretcher - Platinum Inspiration PI-1200MS unit 38,110,000

1 2 3 4
1347 D&V Overbed Table - PLATINUM P-011 unit 1,046,814
1348 D&V Overbed Table Tiltable Eating Board - Linet Solido unit 391
1349 D&V Pediatric Bed - Linet - Eleganza Smart Junior unit 39,140,000
1350 D&V Pediatric Bed - Platinum Inspiration - PI-800PB unit 12,360,000
1351 D&V Scrub Station - Platinum Inspiration - PI-203SS unit 63,860,000
1352 D&V Suction Pump Vaculine Thoracic Drainage unit 27,604,000
1353 D&V Vaculine Mini Aspirator unit 20,085,000
1354 D&V Wheeled Stretcher - Linet Sprint (Full X-Ray) unit 9,699
1355 D&V Wheeled Stretcher - Platinum NG P - 2500 NG unit 33,407,326
1356 D&V Wheeled Stretcher - Platinum NG P - 3000 NG unit 54,760,461
1357 D&V White Elephant HS150 STEAM STERILIZER, 150 Liter unit 387,177,000
1358 D&V White Elephant HS240 Pulse Vacuum Steam Sterilizer unit 475,860,000
1359 D&V White Elephant PS60T Low Temperature Plasma H2O2 Sterilizer unit 496,975,000
1360 DENTAL X Steam Sterilizer - DX-17 N unit 2,801
DRAEGERWERK AG & CO. KGAA Ceiling Pendant Draeger Movita
1361 unit 412,082,400
Anesthesia
DRAEGERWERK AG & CO. KGAA Ceiling Pendant Draeger Movita
1362 unit 396,550,000
Surgery
1363 ECOLAB AQUAGEL STERILE JELY 5gr sachet 2,643
1364 ECOLAB AQUAGEL STERILE JELY 82gr sachet 43,866
1365 ELEKTROMAG HOT AIR STERILIZER type M 3025 P unit 15,352,150
1366 ELEKTROMAG HOT AIR STERILIZER type M 420 P unit 19,209,500
1367 ELEKTROMAG Hot Air Sterilizer type M 6040 P unit 21,104,700
1368 ELITE FUJI High Pressure Sterilizer / EAC 2200 unit 88,321,058
1369 ELITE FUJI High Pressure Sterilizer / EAC 2600P unit 126,690,000
1370 ELITE FUJI High Pressure Sterilizer / EAC 4000D unit 191,580,000
1371 ELITECH - INDONESIA ELITECH Sterilisator Kering/GET 338 UO unit 3,512,300
1372 EQUITRON Autoclave Front Loading Table Top Sterilizer - 7471-16 unit 3,255
1373 EQUITRON Autoclave Portable Standard Sterilizer - 7407ST unit 597
1374 EQUITRON Autoclave SLEFA Series Sterilizer - 7451SLEFA unit 6,808
1375 EQUITRON Autoclave Table Top Class B Sterilizer - 7472B unit 10,094
1376 EQUITRON Autoclave Vertical SLEDD Series Sterilizer - 7410-4072 unit 6,190
1377 EQUITRON Concentric Ring Bath - 6824DI unit 1,638
1378 ERSA BABY BASKET 51300 BB unit 2,385,282
1379 ERSA BABY BASKET ACRYLIC unit 4,638,049
1380 ERSA BED SCREEN 3 52200 BS3 unit 2,225,484
1381 ERSA BED SCREEN 52200 BS 2 unit 1,553,551
1382 ERSA BED SCREEN 52200 BS1 unit 865,249

1 2 3 4
1383 ERSA BED SCREEN 52200 BS4 unit 2,973,808
1384 ERSA BED SCREEN 52200 BSS 2 unit 2,700,981
1385 ERSA BED SCREEN 52200 BSS1 unit 1,531,725
1388 ERSA BEDSIDE CABINET 50400 BC 1 unit 2,579,120
1389 ERSA BEDSIDE CABINET 50400 BC2 unit 3,044,680
1390 ERSA BEDSIDE CABINET 50400 BCS unit 3,780,594
1393 ERSA BEDSIDE CABINET 70403 BCA unit 4,069,530
1394 ERSA BOWL STAND 51701 SBRS unit 1,627,400
1395 ERSA CHILDREN BED 51401 CBL unit 5,965,760
1396 ERSA CHILDREN BED 51401 CBLS 1 unit 10,124,900
ERSA CHILDREN BED+CASTOR AND INFUSION STAND BACK RAISE
1397 unit 6,575,116
L
1398 unit 8,823,206
S
1399 unit 5,942,159
S 51401 CB 1
1400 ERSA CHILDREN BED+CASTOR AND INFUSION STAND LARGE unit 9,363,402
1401 ERSA CHILDREN BED+CASTOR AND INFUSION STAND SMALL unit 7,970,428
1402 ERSA CHILDREN BED+CASTOR INFUSION STAND SMALL 51401 CB unit 5,086,264
1403 ERSA CHILDREN BED+INFUSION STAND 51400 CBL unit 5,221,897

1404 ERSA CHILDREN BED+INFUSION STAND LARGE unit 8,283,010
1405 ERSA CHILDREN BED+INFUSION STAND SMALL unit 7,315,645
1406 ERSA CHILDREN BED+INFUSION STAND SMALL 51400 CB unit 4,240,502
1407 ERSA DOUBLE BOWL RACK TYPE unit 1,440,523
1408 ERSA DOUBLE BOWL RACK TYPE 51701 DBRS unit 2,160,786
1409 ERSA DOUBLE BOWL STAND TYPE 51700 DBS unit 1,440,523
1410 ERSA DOUBLE BOWL STAND TYPE 51700 DBSS unit 2,003,325
1411 ERSA DRESSING TROLLEY 51800 DT unit 3,195,966
1412 ERSA DRESSING TROLLEY 51800 DTD unit 4,727,692
1413 ERSA DRESSING TROLLEY 51800 DTDS unit 8,102,944
1414 ERSA DRESSING TROLLEY 51800 DTS unit 5,582,028
1415 ERSA EXAMINATION/DOCTOR STOOL unit 2,073,481
1416 ERSA FOOD TROLLEY 52100 FTS unit 6,870,100

1 2 3 4
1417 ERSA FOOD TROLLEY 52101 FT unit 8,859,030
1418 ERSA FOOD TROLLEY 52101 FTA unit 9,582,090
1419 ERSA FOOD TROLLEY CABINET TYPE 8 TRAY unit 16,205,888
1420 ERSA FOOD TROLLEY TYPE 52100 FT unit 3,379,150
1421 ERSA FOOT STEP 50700 FS unit 584,628
1422 ERSA FOOT STEP 50700 FS1 unit 337,623
1423 ERSA FOOT STEP 50700 FSS unit 989,970
1424 ERSA GYNAECOLOGICAL CHAIR ELECTRIC 70803 GCE 3 unit 39,287,002
1425 ERSA INSTRUMENT CABINET 52500 IC 1 unit 4,249,780
1429 ERSA INSTRUMENT TROLLEY 51600 IT unit 1,627,400
1430 ERSA INSTRUMENT TROLLEY 51600 IT1 unit 2,011,590
1431 ERSA INSTRUMENT TROLLEY 51600 ITS 1 unit 3,118,840
1432 ERSA INSTRUMENT TROLLEY 51600 ITS unit 2,395,780
1433 ERSA LAUNDRY TROLLY unit 3,273,917
1434 ERSA LINEN HAMPER CARRIEGE 52600 LH unit 6,138,594
1435 ERSA LINEN HAMPER CARRIEGE 52600 LHS unit 14,045,103
1436 ERSA MATRAS ME 10 unit 4,287,272
1437 ERSA MAYO TABLE FROM SS unit 2,338,512
1438 ERSA MAYO TABLE FULL SS unit 3,110,221
1439 ERSA MEDICATION CART 53100 MC unit 6,707,632
1440 ERSA MEDICATION CART 53100 MCS unit 12,514,937
1441 ERSA MEDICINE TROLLEY 53800 MdT unit 7,518,316
1442 ERSA MEDICINE TROLLEY 53800 MdTS unit 15,305,561
1443 ERSA MORTUARY CARRIEGE 53500 MC unit 11,614,220
1444 ERSA MORTUARY CARRIEGE 53500 MCA unit 26,064,470
1445 ERSA OVER BED 50500 OBS unit 3,106,323
1446 ERSA OVERBED TABLE 50500 OB unit 2,035,280
1447 ERSA OVERBED TABLE 70502 OT unit 2,711,990
1448 ERSA OXYGEN TROLLEY 1000L unit 1,012,868
1449 ERSA OXYGEN TROLLEY OT6 unit 1,890,687
1450 ERSA PSYCHIATRY BED 50100 PB unit 6,163,520
1451 ERSA SINGLE BOWL RACK TYPE unit 1,149,768
1452 ERSA SINGLE BOWL STAND unit 989,970
1453 ERSA SINGLE BOWL STAND 51700 SBSS unit 1,395,312

1 2 3 4
1454 ERSA TROLLEY CLEANER 53400 TCS unit 8,013,301
1455 ERSA URINAL+BEDPAN CARRIAGE unit 6,957,073
1456 ERSA UV ROOM STERILIZER 53600 UV unit 14,101,730
1457 ESKAMED Suction Connecting Tube pcs 29,870
1458 ESKAMED Yankauer Tip pcs 9,785
1459 EURONDA E5 Class N Autoclavable unit 33,475,000
1460 FOKUS FOKUS CHILDREN HOSPITAL BED SK-CB unit 9,477,030
1461 FOKUS FOKUS GYNECOLOGICAL OPERATING BED SKF C unit 25,394,650
1462 FOKUS FOKUS MANUAL BED 1 CRANK SK-B1 unit 9,477,030
1463 FOKUS FOKUS MANUAL BED 2 CRANK unit 10,120,780
1464 FOKUS FOKUS MANUAL BED 3 CRANK SK-CD1 unit 12,408,410
1465 FOKUS FOKUS OPERATING TABLE SKT-A unit 130,099,300
1466 FOKUS FOKUS PATIENT TRANSPORTATION TROLLEY unit 64,500,660
1467 FYROM INTERNATIONAL Brankar unit 18,055,643
1468 FYROM INTERNATIONAL Easymove (Pemindah Pasien) unit 21,198,662
1469 FYROM INTERNATIONAL Foot Step 2 unit 1,946,700
1470 FYROM INTERNATIONAL Foot Step 3 unit 3,009,274
1471 FYROM INTERNATIONAL Hydraulic Lift Instrument Stand unit 24,074,190
1472 FYROM INTERNATIONAL Lemari Cath Lab unit 9,629,676
1473 FYROM INTERNATIONAL Lemari Instrumen unit 9,629,676
1474 FYROM INTERNATIONAL Mayo Anestesi unit 4,814,838
1475 FYROM INTERNATIONAL Mayo Bedah unit 4,814,838
FYROM INTERNATIONAL Modullar Pump System (Tiang (standar)
1476 unit 20,463,062
Infuse Pump/Syringe Pump)
1477 FYROM INTERNATIONAL O2 Portable unit 5,911,073
1478 FYROM INTERNATIONAL Pharmacy Trolley unit 24,074,190
1479 FYROM INTERNATIONAL Rak Instrument Steril (beroda) unit 30,427,101
1480 FYROM INTERNATIONAL Scrub Station 2 Person unit 200,618,250
1481 FYROM INTERNATIONAL Scrub Station 3 Person unit 247,429,175
1482 FYROM INTERNATIONAL Trolley Kecil Kaki 2 unit 9,832,586
1483 FYROM INTERNATIONAL Trolley Linen Bersih unit 7,757,239
1484 FYROM INTERNATIONAL Trolley Linen Kotor unit 10,432,149
1485 FYROM INTERNATIONAL Trolley Waskom 2 Lubang unit 4,212,983
1486 FYROM INTERNATIONAL Urinal Adult unit 2,068,876
1487 GANSHORN Body Plethysmography unit 843,408,290
1488 GANSHORN Ergo Spirometry unit 1,458,434,680
1489 GEA Bistos Medical Head Lamp unit 1,030,000
1490 GEA GEA Emergency Bed YQC-3M unit 27,604,000

1 2 3 4
1491 GEA GEA Infant Incubator YP 970 unit 92,494,000
1492 GEA GEA Infant Incubator YP2000 unit 76,398,190
1493 GEA GEA Infant Incubator YP90A unit 35,741,000
1496 GEA GEA Infant Radiant Warmer HKN2001 unit 118,450,000
1497 GEA GEA Infant Radiant Warmer HKN93A unit 84,563,000
1498 GEA GEA Strecher for Ambulance YDC-3D unit 13,081,000
1499 GEA MOW Manual Resuscitator Adult unit 515,000
1500 GEA MOW Manual Resuscitator Child unit 515,000
1501 GEA MOW Manual Resuscitator Infant unit 515,000
1502 GEA Young Won Anti Decubistus Mattress System unit 2,018,800
1503 GEA Young Won Anti Decubistus Mattress System unit 5,819,500
1504 GEMMY INDUSTRIAL Automatic Autoclave Sterilizer SA-232 unit 28,322,940
1505 GEMMY INDUSTRIAL Automatic Autoclave Sterilizer SA-232X unit 45,062,500
1506 GEMMY INDUSTRIAL Hot Air Sterilizer Oven YCO-010 unit 42,890,230
1507 GEMMY INDUSTRIAL Steam Sterilizer SAP-500 unit 780,676,140
1508 GENERAL CARE Latex Examination Gloves dus 50,470
1509 GP CARE Clinical Thermometer unit 11,845
1510 GRAHA TEKNO MEDIKA Gris Bed Screen 1 Screen unit 1,357,732
1513 GRAHA TEKNO MEDIKA Gris Bed Screen Stainless Steel 1 Screen unit 1,389,705
1516 GRAHA TEKNO MEDIKA Gris Bedside cabinet unit 3,841,863
1517 GRAHA TEKNO MEDIKA Gris Donor table unit 6,948,496
1518 GRAHA TEKNO MEDIKA Gris Donor table stainless Steel unit 8,619,751
1519 GRAHA TEKNO MEDIKA Gris Double bowl rack type unit 1,633,320
1520 GRAHA TEKNO MEDIKA Gris Dressing Trolley unit 4,591,065
1521 GRAHA TEKNO MEDIKA Gris Dressing Trolley with 1 drawer unit 5,000,070
1522 GRAHA TEKNO MEDIKA Gris Dressing Trolley with 2 drawers unit 6,769,011
GRAHA TEKNO MEDIKA Gris Emergency Strecher Stainless Steel with
1523 unit 8,450,117
Back Rise
1524 GRAHA TEKNO MEDIKA Gris Emergency Strecher with Back Rise unit 6,475,057
1525 GRAHA TEKNO MEDIKA Gris Emergency trolley 2 Laci unit 6,119,793
1526 GRAHA TEKNO MEDIKA Gris Emergency trolley 3 Laci unit 6,318,984

1 2 3 4
1527 GRAHA TEKNO MEDIKA Gris Emergency trolley Stainless Steel 2 Laci unit 10,245,541
1528 GRAHA TEKNO MEDIKA Gris Emergency trolley Stainless Steel 3 Laci unit 10,674,995
1529 GRAHA TEKNO MEDIKA Gris Examination Table unit 4,198,195

GRAHA TEKNO MEDIKA Gris Examination Table Stainless Steel with
1530 unit 7,608,228
Back Raise
1531 GRAHA TEKNO MEDIKA Gris Food trolley unit 8,141,890
1532 GRAHA TEKNO MEDIKA Gris Infusion stand (pole ss) unit 934,951
1533 GRAHA TEKNO MEDIKA Gris Infusion stand Stainless Steel unit 1,220,775
1534 GRAHA TEKNO MEDIKA Gris Instrument cabinet 1 Pintu unit 6,975,127
1535 GRAHA TEKNO MEDIKA Gris Instrument cabinet 1 Pintu Full Kaca unit 6,209,178
1536 GRAHA TEKNO MEDIKA Gris Instrument cabinet 2 Pintu unit 9,299,803
1537 GRAHA TEKNO MEDIKA Gris Instrument cabinet 2 Pintu Full Kaca unit 8,405,025
1538 GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 1 Pintu unit 12,546,186
GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 1 Pintu
1539 unit 10,184,190
Full Kaca
1540 GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 2 Pintu unit 18,926,643
GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 2 Pintu
1541 unit 15,603,489
Full Kaca
1542 GRAHA TEKNO MEDIKA Gris Instrument Table 2 Rak unit 2,815,430
1543 GRAHA TEKNO MEDIKA Gris Laundry trolley unit 4,502,693
1544 GRAHA TEKNO MEDIKA Gris Linen hamper carriage unit 6,475,581
1545 GRAHA TEKNO MEDIKA Gris Mayo Table St. Steel unit 2,873,250
1546 GRAHA TEKNO MEDIKA Gris Overbed Table unit 1,605,337
1547 GRAHA TEKNO MEDIKA Gris Single bowl rack type unit 1,403,451
1548 GRAHA TEKNO MEDIKA Gris Strecher Stainless Steel with Back Rise unit 7,452,859
1549 GRAHA TEKNO MEDIKA Gris Strecher with Back Rise unit 6,045,535
1550 GRAHA TEKNO MEDIKA Gris UV Room Sterilizer unit 11,616,726
1551 GRAHA TEKNO MEDIKA Matrass Biasa unit 1,088,224
1552 GRAHA TEKNO MEDIKA Matrass Waffle unit 1,577,136
1553 GRAHA TEKNO MEDIKA Smar Examination Table Stainless Steel unit 6,331,654
1554 GRAHA TEKNO MEDIKA Smar Examination Table with Back Raise unit 5,347,957
1555 HALONI JANE PROTOS Examination Powder Free Glove (L) box 47,586
1556 HALONI JANE PROTOS Examination Powder Free Glove (M) box 47,586
1557 HALONI JANE PROTOS Examination Powder Free Glove (S) box 47,586
1558 HALONI JANE PROTOS Examination Powder Free Glove (XS) box 47,586
1559 HALONI JANE PROTOS Examination Powder Glove (L) box 37,595
1560 HALONI JANE PROTOS Examination Powder Glove (M) box 37,595

1 2 3 4
1561 HALONI JANE PROTOS Examination Powder Glove (S) box 37,595
1562 HALONI JANE PROTOS Examination Powder Glove (XS) box 37,595
1563 HEAL FORCE Infant Warmer pcs 32,788,280
HOSPITECH HOSPITECH ID BAND ADULT / CHILD (BLUE, PINK,
1564 pcs 1,110
YELLOW, RED, WHITE)
HOSPITECH HOSPITECH SUCTION CATHETER (06,08,10,12,14,16
1565 pcs 3,705
FR/CH)
1566 IDEALCARE Suction Catheter with Finger Tip Control, sterile 10 fr pcs 4,275
1571 JAYAMAS Kasa Steril 10 x 10 cm, 8 ply 1x5's pack 5,334
1572 JAYAMAS Maxter Exam Non Powder L box 60,049
1573 JAYAMAS Maxter Exam Non Powder M box 60,049
1574 JAYAMAS Maxter Exam Non Powder S box 60,049
1575 JAYAMAS Maxter Exam Non Powder XS box 60,049
1576 JAYAMAS Onemed AC Swab box 16,202
1577 JAYAMAS Onemed Alcohol Swab box 10,300
1578 JAYAMAS Onemed Kasa Steril 10 x 10 cm, 16 ply, 1x10's with x ray line pack 22,665
1579 JAYAMAS Onemed Kasa Steril 10 x 10 cm, 8 ply, 1x10's pack 9,714
1580 JAYAMAS Onemed Kasa Steril 10 x 10 cm, 8 ply, 1x10's pack 9,714
1581 JAYAMAS Onemed Kasa Steril 10 x10 cm, 16 ply, 1x10's pack 19,168
1582 JAYAMAS Onemed Kasa Steril 5 x 5 cm, 8ply 1x5's pack 2,979
1583 JAYAMAS Onemed Kasa Steril 7.5 x 7.5 cm, 8 ply, 1x10's pack 6,670
1584 JAYAMAS Onemed Kasa Steril 7.5 x 7.5 cm, 8 ply, 1x5's pack 3,238
1585 JAYAMAS Onemed Kasa Steril 7.5 x7.5 cm, 16 ply, 1x10's pack 11,656
1586 JAYAMAS Onemed Steril Pouch with Indicator (Roll) 5cm x 200m dus 179,564
1587 JAYAMAS Onemed Steril Pouch with Indicator 9 x 26 cm dus 86,979
1588 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 10 cm x 200 m dus 353,521
1593 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 30 cm x 200 m dus 1,010,078
1594 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 40 cm x 200 m dus 1,346,774
1595 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 7,5 cm x 200 m dus 267,107
1596 JAYAMAS Onemed Sterile Pouch with Indicator 7 x 26 cm dus 68,462

1 2 3 4
1597 JAYAMAS Onemed Strerile Pouch with Indicator (Roll) 35 cm x 200 m dus 1,178,425
1598 JAYAMAS Onemed Suction Catheter FR. 12 pcs 4,475
1604 JAYAMAS Onemed Surgical Suction Mobile HIVO unit 8,240,000
1605 JAYAMAS Onemed U Pad Steril 60 x 90 cm blister 7,855
1606 JAYAMAS Safeglove Examination Gloves L box 36,689
1607 JAYAMAS Safeglove Examination Gloves M box 36,689
1608 JAYAMAS Safeglove Examination Gloves S box 36,689
1609 JAYAMAS Safeglove Examination Gloves XS box 36,689
1610 JAYAMAS Safeglove PF no. 6 Pasang 7,195
1611 JAYAMAS Safeglove PF no. 6,5 Pasang 7,195
1616 JAYAMAS Safeglove PP no. 6 Pasang 4,305
1617 JAYAMAS Safeglove PP No. 6,5 Pasang 4,305
1619 JAYAMAS Safeglove PP No. 7,5 Pasang 4,305
1621 JAYAMAS Safeglove PP no. 8,5 Pasang 4,305
1622 JAYAMAS Superlife Nitrile L box 58,916
1623 JAYAMAS Superlife Nitrile M box 58,916
1624 JAYAMAS Superlife Nitrile S box 58,916
1625 JAYAMAS Superlife Nitrile XS box 58,916

1626 JOHNSON & JOHNSON STERRAD 100 S Sterilizer, ASP unit 1,435,917,335
1627 JOHNSON & JOHNSON STERRAD 100 S Cassette, ASP pcs 5,759,783
1628 JOHNSON & JOHNSON STERRAD Cylesure Biological Indicator, ASP box 5,155,517

1 2 3 4
1629 JOHNSON & JOHNSON STERRAD NX Cassettes , ASP pcs 4,453,024
JOHNSON & JOHNSON STERRAD Tyvek Roll With CI 100MM x 70M,
1630 box 5,520,722
ASP
JOHNSON & JOHNSON STERRAD Tyvek Roll with CI 150MM x 70M,
1631 box 5,608,110
ASP
1632 box 8,416,139
ASP
1633 box 6,984,260
ASP
1634 box 8,437,403
ASP
1635 KONIX ECG Gel 1000 ml btl 22,557
1636 KONIX Lubricating Gel 82 Gram btl 19,982
1637 KOVER SYNERGY UV Steril Air System Type Genius unit 75,304,330
1638 KOVER SYNERGY UV Steril Air System Type Light Energy unit 39,366,600
1639 KOVER SYNERGY UV Steril Air System Type Spectral unit 41,427,630
KUGEL MEDICAL GMBH & CO. KG KULKAS JENAZAH/MORGUE
1640 unit 1,753,912,026
REFRIGERATOR 40/0400
1641 KUGEL MEDICAL GMBH & CO. KG MEJA AUTOPSI ST10/150 unit 572,332,653
1642 LAERDAL Silicone Resuscitator (Pediatric) Complete, Carton Box unit 5,713,410
LAERDAL Silicone Resuscitator (Preterm / Neonate) Complete, Display
1643 unit 6,524,638
Case
1644 LAERDAL Silicone Resuscitator (Dewasa) Complete, Carton Box unit 5,113,847
1645 LAERDAL Silicone Resuscitator (Dewasa) Complete, Display Case unit 6,648,135
1646 LAERDAL Silicone Resuscitator (Pediatric) Complete, Display Case unit 6,524,638
LAERDAL Silicone Resuscitator (Preterm / Neonate) Complete, Carton
1647 unit 4,972,840
Box
1648 LAERDAL Suction Unit unit 31,005,678
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / CLAMP
1649 unit 874,161
BLACK
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / CLAMP
1650 unit 2,564,288
FOR MEDICAL RAIL
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / HEAVY
1651 unit 2,039,761
BASE WHITE / GREY
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID
1652 unit 12,176,557
LAMPS / HALOGEN EXAMINATION LAMP - DIANA1000DUAL
1653 unit 10,052,749
LAMPS / HALOGEN EXAMINATION LAMP - DIANA650
1654 unit 10,477,469
LAMPS / HALOGEN EXAMINATION LAMP - DIANA650DUAL
1655 unit 15,220,619
LAMPS / HALOGEN EXAMINATION LAMP - JULIA650
1656 unit 7,999,701
LAMPS / HALOGEN EXAMINATION LAMP - TINA1000

1 2 3 4
1657 unit 8,282,900
LAMPS / HALOGEN EXAMINATION LAMP - WOOD
1658 unit 17,415,292
LAMPS / HALOGEN EXAMINATION LAMP -JULIA1000
1659 unit 11,539,399
LAMPS / HALOGEN EXAMINATION LSMP - DIANA1000
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP /
1660 unit 1,456,987
MAGNETIC BASE BLACK
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / METAL
1661 unit 524,476
BASE TUBE 016
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / NON -
1662 unit 2,331,148
CONTACT SWITCH
1663 unit 3,438,501
TELESCOPIC TROLLEY BASIS + PLASTIC BASE
1664 unit 3,555,045
TELESCOPIC TROLLEY BASIS 60 - 100cm WHITE / BLACK / GREEN
1665 unit 4,079,573
TELESCOPIC TROLLEY BASIS 90 - 130cm WHITE
1666 unit 2,680,833
UNIVERSAL CLAMP
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / WALL
1667 unit 3,671,590
MOUNTING WHITE (2 X 400 mm)
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / WALL
1668 unit 990,757
MOUNTING WHITE
LID LAMPS ACCESSORIES FOR HALOGEN EXAM LAMP / LID LAMPS
1669 unit 6,371,426
/ HALOGEN EXAMINATION LAMP - TINA650
1670 LOWTEM Low Temperature Plasma Sterilizer - Crystal 120M unit 104,074
1671 LOWTEM Low Temperature Plasma Sterilizer - Crystal 50 unit 95,237
1672 MAK BEDSIDE CABINET 31811 unit 3,534,187
1681 MAK BLOOD DONOR CHAIR (31306) unit 7,669,380
1682 MAK BOWL STAND - DOUBLE (36302) unit 2,556,563
1683 MAK BOWL STAND - SINGLE (36301) unit 2,030,233
1684 MAK DRESSING TROLLEY 35102 unit 7,519,515
1685 MAK EMERGENCY MOBILE STRETCHER 31208 unit 11,128,841
1686 MAK EMERGENCY STRETCHER 31204/34130* unit 15,565,360

1 2 3 4
1687 MAK EMERGENCY TROLLEY 36603 unit 7,218,755
1688 MAK EXAMINATION STOOL 31310 unit 2,406,183
1689 MAK EXAMINATION TABLE 34101 unit 5,714,852
1690 MAK EXAMINATION TABLE 34104E unit 7,669,895
1691 MAK EXAMINATION TABLE 34105 unit 5,714,852
1692 MAK FOLDING STRETCHER 31201 unit 7,218,755
1693 MAK FOOD TROLLEY 35201 unit 8,045,845
1696 MAK FOOT STEP (34152) unit 827,090
1697 MAK GYNAECOLOG EXAMINATION TABLE 34102 unit 13,986,267
1698 MAK GYNAECOLOG EXAMINATION TABLE 34103 unit 13,685,507
1699 MAK INFUSE STAND 36101 unit 1,203,040
1700 MAK INFUSE STAND 4 HOOKS 36103 unit 1,278,230
1701 MAK INFUSE STAND FOR BED (INF.B) unit 417,150
1702 MAK INSTRUMENT CABINET 32901 unit 5,338,799
1703 MAK INSTRUMENT TROLLEY 35101 unit 4,662,089
1704 MAK LAUNDRY TROLLEY 35301 unit 4,662,089
1705 MAK LINEN HAMPER CARRIAGE 35302A unit 5,865,232
1706 MAK LINEN HAMPER CARRIAGE 35302B unit 8,797,848
1707 MAK LOCKER 12 CUPBOARD 32505 unit 10,677,701
1710 MAK MATTRESS FOAM ADULT (MAT02) unit 1,462,134
1711 MAK MATTRESS FOAM BABY (MAT01) unit 501,303
1712 MAK MATTRESS FOAM CHILDREN (MAT03) unit 1,462,134
1713 MAK MATTRESS LATEX ADULT 36113 (31813*) unit 3,308,600
1714 MAK MATTRESS LATEX BABY 36111 unit 751,955
1715 MAK MATTRESS LATEX CHILDREN 36112B (3603B) unit 2,857,427
1716 MAK MAYO STAND 35103 unit 3,609,326
1717 MAK MEDICAL REPORT TROLLEY 36605 unit 7,218,755
1718 MAK MEDICINE CABINET 32902 unit 5,338,799
1719 MAK MEDICINE CABINET 32903 unit 4,210,846
1720 MAK MEDICINE TROLLEY 25 DRAWERS (36601) unit 10,677,701
1721 MAK MEDICINE TROLLEY 50 DRAWERS (36602) unit 13,384,747
1722 MAK MORTUARY CARRIAGE (31210) unit 17,745,870
1723 MAK MULTI FUNCTIONAL CHAIR (31309) unit 20,753,470

1 2 3 4
1724 MAK MULTIPURPOSE STRETCHER 31206 unit 31,281,306
1725 MAK OVERBED TABLE (73012*) / 73031K unit 3,308,600
1726 MAK OVERBED TABLE 31812 unit 2,180,668
1727 MAK OVERBED TABLE 73033 unit 3,383,796
1728 MAK ROOM DEVIDER 2 FOLDS 36102/36202* unit 3,308,566
1729 MAK ROOM DEVIDER 3 FOLDS (36203) unit 4,962,540
1730 MAK ROOM DEVIDER 4 FOLDS (36107) unit 6,616,720
1731 MAK SEAT MATTRESS FOR WAITING CHAIR / SEAT (OPT.B) unit 225,570
1732 MAK SOFA BED 99002 unit 5,714,440
1733 MAK TRANSFERRING PATIENT 31209 unit 17,445,316
1734 MAK TRANSFERRING PATIENT 31209T unit 20,904,262
1735 MAK TRANSFERRING PATIENT 31209TH unit 22,483,355
1736 MAK TRANSPORTING PATIENT 31207 unit 14,211,940
1737 MAK TROLLEY CLEANER 35310 unit 7,519,515
1738 MAK TV/REFFRIGERATOR SHELVES 31823 unit 6,917,892
1739 MAK URINAL BEDPAN CARRIAGE (36303/36501*) unit 5,564,369
1740 MAK WAITING CHAIR 2 SEATS 1 TABLE (99103 T3 / 31323*) unit 3,909,880
1741 MAK WAITING CHAIR 2 SEATS 1 TABLE (99104 T3) unit 3,909,880
1742 MAK WAITING CHAIR 3 SEATS (99103 S3 / 31322*) unit 3,909,880
1743 MAK WAITING CHAIR 3 SEATS (99104 S3) unit 3,909,880
1744 MAK WAITING CHAIR 3 SEATS 1 TABLE (99103 T4 / 31321*) unit 4,962,540
1745 MAK WAITING CHAIR 3 SEATS 1 TABLE (99104 T4) unit 5,112,920
1746 MAK WAITING CHAIR 4 SEATS (99103 S4 / 31320*) unit 4,962,540
1747 MAK WAITING CHAIR 4 SEATS (99104 S4) unit 5,112,920
MATACHANA Autopsy Table with Lifting and Aspirarion System
1748 unit 1,337,970,000
MOD.015EA
1749 MATACHANA Hermetic Trolley For Sterile Material unit 38,110,000
MATACHANA Integral Solution for Infectious Waste Integral System
1750 unit 5,757,700,000
(IWIS)
1751 MATACHANA Linier Meters of Wall Working Table with Anti Splas Frame unit 19,570,000
MATACHANA Low Temperature Steam and Formaldehyde Sterilizer 130
1752 unit 1,941,550,000
LF - 145 L
1753 MATACHANA Mortuary Freezing Unit 2 Corpses 1 Doors unit 348,910,440
1754 MATACHANA Mortuary Freezing Unit 3 Corpses 1 Doors unit 401,196,330
1755 MATACHANA Mortuary Refigeration Unit 3 Corpses 3 Doors unit 391,319,660
1756 MATACHANA Mortuary Refigeration Unit 4 Corpses 4 Doors (2+2) unit 514,196,600
1757 MATACHANA Mortuary Refigeration Unit 6 Corpses 6 Doors (3+3) unit 610,376,970
1758 MATACHANA Steam Sterilizer S1008 - 576 L unit 2,104,290,000

1 2 3 4
1759 MATACHANA Steam Sterilizer S101 - 1 Door 108 Liter unit 1,077,380,000
1760 MATACHANA Steam Sterilizer SC500 - 167 L unit 1,554,270,000
1761 MATACHANA Steam Sterilizer SC501 - 252 L unit 1,859,150,000
1762 MATACHANA Table Top Steam Sterilizer 21ED - 22 Liter (Class B) unit 192,610,000
1763 MATACHANA Ultrasonic Cleaner Sonomic Compact MC1001 - 42.5 Liter unit 539,720,000
MATACHANA Wall Washing Table Surgical Instrument + Cleaning Gun

1764 unit 245,140,000
air & water
1765 MATACHANA Washer Disinfector MAT LD 2314 - 210 L unit 1,470,840,000
1766 MATACHANA Washer Disinfector MAT LD 521 XLS - 335 L unit 2,248,490,000
1767 MATACHANA Wire High Shelf 4 Levels unit 38,110,000
1768 MEDELA Bird Vacuum Extractor unit 12,875,000
1769 MEDELA THOPAZ Cardiothoracic Drainage unit 75,676,160
1770 MEDICAP Oxygen Concentrator PRECISE 6000 MS unit 28,075,740
MEDICOPLAST INTERNATIONAL GMBH, GERMANY QUICKY
1771 pcs 151,993
SUCTION BOTTLE 500CC FG10
1772 pcs 151,993
1773 pcs 151,993
MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON DRAIN
1774 pcs 20,522
FG10
MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON DRAIN
1775 pcs 20,522
FG14
MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON
1776 pcs 160,054
SUCTION 450CC FG12
1777 pcs 160,054
SUCTION 450CC FG14
1778 pcs 160,054
SUCTION 450CC FG16
1779 MEDIGLOBE ABS Treatment Trolley B-84 unit 6,003,994
1780 MEDIGLOBE Examination Bed SS KM-016 unit 2,929,063
1781 MEDIGLOBE Instument Kabinet ML-40 unit 5,137,125
1782 MEDIGLOBE Manual Emergency Stretcher B-4 unit 26,486,368
1783 MEDIGLOBE Meja Resusitasi Bayi MLB-01 unit 2,966,400
1784 MEDIGLOBE Stainless Steel Stretcher Trolley B-7 unit 8,787,095
1785 MEDIGLOBE Standard Infuse unit 705,550
1786 MEDIPLUS (INDIA) LTD WIN FLON 18 G pcs 5,031

1 2 3 4
1791 MERIVAARA CORP Patient Trolley Emergo 6250 unit 82,155,287
1792 MINDRAY Anesthesia Pendant Hyport 9000 unit 19,467
1793 MINDRAY ICU Pendant Hyport 8000 unit 15,450
1794 MMP MAS EXAMINATION GLOVES L box 47,586
1795 MMP MAS EXAMINATION GLOVES M box 47,586
1796 MMP MAS EXAMINATION GLOVES S box 47,586
1797 MMP MAS LATEX EXAMINATION GLOVES LIGHTLY POWDERED L box 47,586
1798 MMP MAS LATEX EXAMINATION GLOVES LIGHTLY POWDERED M box 47,586
1799 MMP MAS LATEX EXAMINATION GLOVES LIGHTLY POWDERED S box 47,586
1800 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 6 Pasang 7,931
1801 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 6,5 Pasang 7,931
1803 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 7,5 Pasang 7,931
1805 MMP MAS PRE-POWDERED LATEX EXAMINATION GLOVES L box 47,586
1806 MMP MAS PRE-POWDERED LATEX EXAMINATION GLOVES M box 47,586
1807 MMP MAS PRE-POWDERED LATEX EXAMINATION GLOVES S box 47,586
MMP MAS SUCTION CONNECTING TUBE WITH HEXAGON
1808 pcs 16,995
CONNECTOR (SCT) 3 M
1809 MMP MPACK HEAT SEALING REELS FLAT 100 X 200 M roll 358,311
1812 MMP POLYMED POLYVAC SET 16 FG pcs 93,416
1813 MMP POLYMED POLYVAC SET 18 FG pcs 93,416
1814 MMP POLYMED-Polyway-Pro THREE WAY STOP COCK pcs 14,446
MPM AT-OS Instrument Washer Disinfector AWD 655-10 Single Door /
1815 unit 454,745,000
Double Door
1816 MPM BARKEY Infusion and Blood Warmer S-LINE unit 18,540,000
1817 MPM BARKEY Thawing and Warming Devices - Plasmatherm unit 107,326,000
1818 MPM HUMANMEDITEK Low Temperature Plasma Sterilizer HMTS-80 unit 1,339,000,000
MPM HUMANMEDITEK Low Temperature Plasma Sterilizer HMTS-

1819 unit 801,340,000
SES/30E
1820 MPM MPM Examination Glove, size L box 41,200
1821 MPM MPM Examination Glove, size M box 41,200
1822 MPM MPM Examination Glove, size S box 41,200
1823 MPM MPM Examination Glove, size XS box 41,200

1 2 3 4
1824 MPM MPM Examination Glove, size XS box 41,200
1825 MPM NATUS Pasteurmatic PM3000 unit 570,311,000
1826 MUKA Mattrass MA 202 unit 2,327,800
1827 NURITEK Automatic Scrub Station NT 111-B unit 104,436,046
1828 NURITEK Automatic Scrub Station NT 111-C unit 132,832,212
1829 NURITEK Bed Screen NT 022-2A unit 2,881,248
1830 NURITEK Bedside Cabinet NT 004-1B unit 2,463,171
1831 NURITEK Bedside Cabinet NT 004-2A unit 3,048,479
1832 NURITEK Bedside Cabinet NT 004-4A unit 3,498,138
1833 NURITEK Double Bowl Stand NT 017-2A unit 2,139,161
1834 NURITEK Dressing Trolley NT 018-02ASS unit 8,633,290
1835 NURITEK Emergency Stretcher NT 015-01BSS unit 9,413,700
1836 NURITEK Emergency Trolley NT 019-01BSS unit 15,989,463
1837 NURITEK Examination Lamp NT 023-00BSS unit 3,504,879
1838 NURITEK Examination Stool NT 029-A unit 2,469,232
1839 NURITEK Examination Table NT 007-00B unit 3,895,084
1840 NURITEK Examination Table NT 007-00DSS unit 5,759,011
1841 NURITEK Foot Step NT 007-F3 unit 1,072,810
1842 NURITEK Foot Step NT 007-F4 unit 633,772
1843 NURITEK Instrument Cabinet NT 025-1B unit 5,039,726
1844 NURITEK Instrument Cabinet NT 025-2B unit 6,826,325
1845 NURITEK Instrument Trolley NT 016-B unit 2,893,753
1846 NURITEK Instrument Trolley NT 016-J unit 2,893,753
1847 NURITEK Laundry Trolley NT 030-A unit 3,380,589
1848 NURITEK Mattress Baby Basket NT 107-A unit 488,606
1849 NURITEK Mattress Children Bed NT 108-A unit 1,285,247
1850 NURITEK Mattress Hospital Bed NT 106 unit 1,394,299
1851 NURITEK Mayo Table NT 006-B unit 3,367,135
1852 NURITEK Medication Cart / Trolley NT 031-A unit 21,236,669
1853 NURITEK Mortuary Cabinet NT 112-2J unit 167,967,250
1854 NURITEK Overbed Table NT 005-B unit 3,313,261
1855 NURITEK Overbed Table NT 005-C unit 2,163,549
1856 NURITEK Resusitasi Table NT 007-EB unit 7,187,441
1857 NURITEK Stretcher NT 015-00B unit 5,159,767
1858 NURITEK Stretcher NT 015-00BSS unit 7,314,931
1859 NURITEK UV. Room Sterilizer NT 101-00A unit 16,747,156
1860 OGSI OGS BLOOD ADM.SET pcs 8,137

1 2 3 4
1861 OGSI OGS DISPLOGLOVE PLUS 7 pcs 4,249
1862 OGSI OGS DISPLOGLOVE PLUS 7.5 pcs 4,249
1863 OGSI OGS DISPOGLOVE PLUS 6.5 pcs 4,249
1864 OGSI OGS DISPOGLOVE PLUS 8 pcs 4,249
1865 OGSI OGS GRAFUSET SOL.ADM.SET pcs 5,691
1866 OGSI OGS ID Patient Adult / Dewasa Biru pcs 876
1867 OGSI OGS ID Patient Adult / Dewasa Kuning pcs 876
1868 OGSI OGS ID Patient Adult / Dewasa Merah pcs 876
1869 OGSI OGS ID Patient Adult / Dewasa Pink pcs 876
1870 OGSI OGS ID Patient Child / Anak Biru pcs 876
1871 OGSI OGS ID Patient Child / Anak Kuning pcs 876
1872 OGSI OGS ID Patient Child / Anak Merah pcs 876
1873 OGSI OGS ID Patient Child / Anak Pink pcs 876
1874 OGSI OGS INFUSION SET WITH BURETTE pcs 49,595
1875 OGSI OGS NASSAL OXYGEN CANNULA ANAK pcs 5,150
1876 OGSI OGS NASSAL OXYGEN CANNULA BAYI pcs 8,395
1877 OGSI OGS NASSAL OXYGEN CANNULA DEWASA pcs 6,335
1878 OGSI OGS SIMPLE OXYGEN MASK ANAK pcs 12,489
1879 OGSI OGS SIMPLE OXYGEN MASK BAYI pcs 12,489
1880 OGSI OGS SIMPLE OXYGEN MASK DEWASA pcs 12,489
OTSUKA OI-34 Infus Set, IV, Wing needle - Infusion Set Pediatric (60
1881 pcs 8,158
drops/ml)
OTSUKA Otsu Y Set Infus Set, IV, Wing needle - Infusion Set Dewasa (20
1882 pcs 8,158
drops/ml)
1883 OTSUKA Otsucath 16G - IV Catheter pcs 7,931
1888 PARAMOUNT BED Accesories for L'za unit 3,788,752
1889 PARAMOUNT BED Caster for L'za unit 3,125,720
1890 PARAMOUNT BED Emergency Stretcher unit 51,091,512
1891 PARAMOUNT BED Examination Table Back Raise and Hi-Lo Type unit 13,030,270
1892 PARAMOUNT BED Examination Table Back Raise Type unit 8,968,822
1893 PARAMOUNT BED Examination Table Flat Type unit 7,210,000
1894 PARAMOUNT BED Foot Control for L'za unit 7,293,348
1895 PARAMOUNT BED I.V Pole Holder For L'za unit 2,936,283
1896 PARAMOUNT BED L'Za Set unit 69,144,724

1 2 3 4
1897 PARAMOUNT BED Manual Delivery Bed unit 17,092,991
1898 PARAMOUNT BED Sheet Set For L'za unit 2,841,564
1899 PARAMOUNT BED Stretcher unit 30,812,026
1900 PARAMOUNT BED Table L'Za unit 3,504,596
1901 PARAMOUNT BED Transfer Stretcher Trolley unit 47,359,400
1902 PARAMOUNT BED TV Arm Holder for L'Za unit 1,704,938
PETERS SURGICAL,FRANCE ACIER 5, 1/2 TC 48mm, 45cm, isi 2 -
1903 pack 297,436
2PTR1502E
PETERS SURGICAL,FRANCE ACIER 6, 1/2 TC 48mm, 45cm, isi 2 -
1904 pack 307,086
2PTR1763E
PETERS SURGICAL,FRANCE ADVANTIME 0, 1/2 taper 40mm, 90cm -
1905 pcs 49,459
2PTRS35FE
PETERS SURGICAL,FRANCE ADVANTIME 1, 1/2 taper 48m, 90cm -
1906 pcs 80,943
2PTRA40EE
PETERS SURGICAL,FRANCE ADVANTIME 1, 1/2 TP, 40mm, 90cm -
1907 pcs 49,459
2PTRS40AE
PETERS SURGICAL,FRANCE ADVANTIME 2/0, 3/8 XC, 24mm, 70cm
1908 pcs 39,784
Incolore/Undyed - 2PTRD30DE
PETERS SURGICAL,FRANCE ADVANTIME 3/0, 1/2 TP 18mm, 70cm -
1909 pcs 92,175
2PTRA20KE
1910 pcs 90,626
Incolore/Undyed - 2PTRA20EE
PETERS SURGICAL,FRANCE ADVANTIME 3/0, 3/8 XC, 24mm, 70cm,
1911 pcs 87,139
Incolore/Undyed - 2PTRA20FE
1912 pcs 92,175
2PTRA15EE
1913 pcs 66,353
2PTRS15CE
1914 pcs 92,175
Incolore/Undyed - 2PTRA15HE
1915 pcs 88,302
Incolore/Undyed - 2PTRA15NE
1916 pcs 113,475
Incolore/Undyed - 2PTRA10FE
1917 pcs 105,342
Incolore/Undyed - 2PTRA07CE
PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC 18mm, 90cm,
1918 pcs 1,437,609
PLEDGET 3X5 - 2PTRP30QE
1919 pcs 1,013,685
PLEDGET 3X7 - 2PTRP30OE
1920 pcs 1,064,651
W/O PLEDGET - 2PTRP30AE
PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC, 25mm, 90cm -
1921 pcs 109,602
2PTRS30TE
PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC, 25mm, 90cm,
1922 pcs 1,551,471
W/O PLEDGET - 2PTRP30EE

1 2 3 4
PETERS SURGICAL,FRANCE CARDIOXYL 3/0, 1/2 TP, 25mm, 90cm -
1923 pcs 77,070
2PTRS20AE
PETERS SURGICAL,FRANCE COROLENE 0, 3/8 RC 26mm, 75cm
1924 pcs 59,428
single armed - 2PTRS35AE
PETERS SURGICAL,FRANCE COROLENE 2/0, 1/2 TP 26mm, 75cm
1925 pcs 92,949
single armed - 2PTRC30AE
PETERS SURGICAL,FRANCE COROLENE 2/0, 3/8 RC 26mm, 75 cm
1926 pcs 80,168
single armed - 2PTRC30BE
1927 pcs 110,377
double armed - 2PTRC20FE
1928 pcs 111,539
double armed - 2PTRC20EE
1929 pcs 109,602
double armed - 2PTRC20AE
PETERS SURGICAL,FRANCE COROLENE 3/0, 3/8 RC 19mm, 75cm
1930 pcs 97,984
single armed - 2PTRC20HE
1931 pcs 109,602
double armed - 2PTRC20CE
1932 pcs 115,024
double armed - 2PTRC15IE
1933 pcs 108,828
double armed - 2PTRC15HE
1934 pcs 99,920
single armed - 2PTRC15JE
1935 pcs 85,977
single armed - 2PTRC15KE
1936 pcs 105,342
double armed - 2PTRC15FE
PETERS SURGICAL,FRANCE COROLENE 5/0, 1/2 TP 18mm BLACK,
1937 pcs 168,470
90cm double armed - 2PTRN10IE
1938 pcs 116,268
double armed - 2PTRS10HE
1939 pcs 93,724
single armed - 2PTRC10JE
1940 pcs 85,977
single armed - 2PTRC10KE
1941 pcs 172,730
double armed - 2PTRC10ME
1942 pcs 115,412
double armed - 2PTRC10EE
PETERS SURGICAL,FRANCE COROLENE 6/0, 3/8 RC 10mm, 75 cm
1943 pcs 116,268
single armed - 2PTRS07EE
1944 pcs 116,268
double armed - 2PTRS07BE
1945 pcs 173,505
75cm double armed - 2PTRN07DE
1946 pcs 158,013
double armed - 2PTRC07DE

1 2 3 4
PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 RC 8mm, 45cm -
1947 pcs 170,794
2PTRC05ME
PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 TC 8mm, 60cm
1948 pcs 212,098
double armed - 2PTRS05FE
1949 pcs 408,588
75cm double armed - 2PTRN05BE
1950 pcs 155,690
double armed - 2PTRC05BE
1951 pcs 178,278
double armed - 2PTRS05GE
1952 pcs 1,085,565
60cm double armed - 2PTRN04DE
PETERS SURGICAL,FRANCE COROLENE 8/0, 3/8 TP, 8mm, 60cm
1953 pcs 241,149
double armed - 2PTRS04DE
PETERS SURGICAL,FRANCE FILAPEAU 2/0, 3/8 RC 25mm, 90cm -
1954 pcs 48,411
2PTR7499E
1955 pcs 45,313
2PTR7300E
1956 pcs 48,798
2PTR7305E
1957 pcs 43,376
2PTR7003E
1958 pcs 55,382
2PTR7004E
1959 pcs 46,087
2PTR7001E
1960 pcs 60,029
2PTR7000E
PETERS SURGICAL,FRANCE OPTIME 0, 1/2 RC 40mm, 90cm -
1961 pcs 74,746
2PTRO35PE
PETERS SURGICAL,FRANCE OPTIME 0, 1/2 TP 36mm, 75cm -
1962 pcs 72,035
2PTRO35EE
1963 pcs 83,654
2PTRO35FE
1964 pcs 69,711
2PTRO35GE
1965 pcs 73,197
2PTRO40LE
1966 pcs 86,752
2PTRO40ME
PETERS SURGICAL,FRANCE OPTIME 1, 1/2 TC 36mm, 90cm -
1967 pcs 74,746
2PTRO40PE
1968 pcs 76,295
2PTRO40EE
1969 pcs 78,619
2PTRO40FE
1970 pcs 81,330
2PTRO40GE

1 2 3 4
1971 pcs 95,660
2PTRO50GE
1972 pcs 88,302
2PTRO50CE
1973 pcs 91,787
2PTRO50DE
PETERS SURGICAL,FRANCE OPTIME 2/0, 1/2 RC 36mm, 90cm -
1974 pcs 84,815
2PTRO30PE
PETERS SURGICAL,FRANCE OPTIME 2/0, 1/2 TP 26mm, 75cm -
1975 pcs 68,550
2PTRO30KE
1976 pcs 69,711
2PTRO30GE
1977 pcs 71,648
2PTRG30HE
1978 pcs 82,879
2PTRO30JE
1979 pcs 75,521
2PTRO20EE
1980 pcs 70,486
2PTRO20FE
1981 pcs 76,295
2PTRO20JE
1982 pcs 67,388
2PTRO20KE
1983 pcs 68,937
2PTRO15EE
1984 pcs 75,133
2PTRO15FE
1985 pcs 71,648
2PTRO15KE
1986 pcs 62,740
2PTRO15LE
1987 pcs 73,972
2PTRO10CE
1988 pcs 85,203
2PTRO10DE
PETERS SURGICAL,FRANCE OPTIME R 2/0, 1/2 TC 36mm, 90cm -
1989 pcs 62,441
2PTR30ALE
PETERS SURGICAL,FRANCE OPTIME R 2/0, 3/8 RC 30mm, 90cm -
1990 pcs 79,006
2PTRR30DE
1991 pcs 87,139
2PTRR20BE
1992 pcs 73,584
2PTRR15EE
PETERS SURGICAL,FRANCE PETER SILK 0, 3/8 RC 30mm, 75cm -
1993 pcs 38,325
2PTR5436E
PETERS SURGICAL,FRANCE PETER SILK 1, 3/8 TC 35mm, 75cm -
1994 pcs 49,186
2PTR5509E

1 2 3 4
PETERS SURGICAL,FRANCE PETER SILK 1, 3/8 TC 40mm, 75cm -
1995 pcs 50,347
2PTR5510E
PETERS SURGICAL,FRANCE PETER SILK 2/0, 1/2 TP 25mm, 75cm -
1996 pcs 40,665
2PTR5339E
1997 pcs 39,891
2PTR5340E
PETERS SURGICAL,FRANCE PETER SILK 2/0, 3/8 RC 25mm, 75cm -
1998 pcs 40,665
2PTR5363E
1999 pcs 40,665
2PTR5261E
2000 pcs 42,602
2PTR5266E
2001 pcs 45,313
2PTR5290E
2002 pcs 44,784
2PTR5192E
2003 pcs 50,735
2PTR5215E
2004 pcs 46,087
2PTR5217E
2005 PHARMAPLAST S.A.E,EGYPT CANNOFIX-PU ( 6 CM X 8 CM ) pcs 7,056
2006 PHARMAPLAST S.A.E,EGYPT INCIFILM ( 28 CM X 45 CM ) pcs 111,856
2009 PHARMAPLAST S.A.E,EGYPT PHARMAFIX ( 10 CM X 500 CM ) box 52,844
2010 PHARMAPLAST S.A.E,EGYPT PHARMAFIX ( 5 CM X 500 CM ) box 27,810
2011 PHARMAPLAST S.A.E,EGYPT PHARMAFIX, (15 CM X 500 CM) box 80,500
2012 PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU (10 CM X 10 CM) pcs 14,512
2013 PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU ( 10 CM X 15 CM ) pcs 17,825
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H CATHEJELL
2016 tube 42,848
LIDOCAIN 2% & CHG 0.05% (CA125)
2017 POLY Bed Screen Double P.C unit 2,312,350
2018 POLY Bed Screen Double S/S unit 3,289,820
2019 POLY Bed Screen Triple P.C unit 2,934,470
2020 POLY Bed Screen Triple S/S unit 3,734,780
2021 POLY Bed Side Cabinet Deluxe ABS unit 3,556,590
2022 POLY Bed Side Cabinet PC , Top Table ABS unit 3,379,430
2023 POLY Bed Side Cabinet PC unit 3,112,660
2024 POLY Bed Side Cabinet PC+ Laci Makan unit 3,556,590
2025 POLY Bed Side Cabinet PC+ Laci Makan , Top Table ABS unit 3,734,780

1 2 3 4
2026 POLY Blue Light / Photo Therapy unit 3,112,660
2027 POLY Box Bayi P.C. unit 3,112,660
2028 POLY Brancar Ambulance S/S unit 13,337,470
2029 POLY Brancar Deluxe Electric unit 55,129,720
2030 POLY Brancar Hi - Low unit 8,891,990
2031 POLY Brancar Komplit S/S unit 9,780,880
2032 POLY Brancar Multi Purpose S/S unit 30,232,560
2033 POLY Brancar Sederhana P.C unit 3,734,780
2034 POLY Brancar Standart PC unit 4,356,900
2035 POLY Dental Chair PC unit 3,911,940
2036 POLY Dental Chair SS unit 5,335,400
2037 POLY Dressing Trolley S/S unit 6,224,290
2038 POLY Electric Operating Table unit 69,357,110
2039 POLY Emergency Trolley P.C unit 8,447,030
2040 POLY Emergency Trolley S/S unit 14,227,390
2041 POLY Film Dryer P.C unit 14,938,090
2042 POLY Film Dryer S/S unit 17,339,020
2043 POLY Food Trolley 3 Rak S/S ( 60 x 93 x 80 ) unit 6,579,640
2044 POLY Food Trolley S/S 14 Baki ( 2 Pintu ) + Tray Plastik + Heater unit 17,339,020
2045 POLY Food Trolley S/S 14 Baki ( 2 Pintu ) + tray plastik unit 13,515,660
2046 POLY Food Trolley S/S 20 Baki ( 2 Pintu ) + tray plastik + heater unit 23,119,380
2047 POLY Food Trolley S/S 20 Baki ( 2 Pintu ) + tray plastik unit 16,005,170
2048 POLY Gynaecolog Examination Table P.C. + Foot Step PC unit 5,157,210
2049 POLY Gynaecolog Examination Table P.C. unit 4,801,860
2050 POLY Gynaecolog Examination Table S/S + Foot Step SS unit 9,070,180
2051 POLY Gynaecolog Examination Table S/S unit 8,625,220
2052 POLY ICU Bed + Side Rail Manual unit 15,649,820
2053 POLY ICU Bed Electric + Side Rail unit 31,121,450
2054 POLY ICU Bed Electric + Side Rail Super Deluxe unit 37,492,000
2055 POLY Incubator Digital Control unit 39,140,000
2056 POLY Incubator Digital Control Standard unit 26,677,000
2057 POLY Incubator Ekonomis unit 23,072,000
2058 POLY Incubator Infant Warmer unit 40,067,000
2059 POLY Incubator Servo unit 49,852,000
2060 POLY Incubator Servo Deluxe unit 51,500,000
2061 POLY Incubator Standar unit 2,934,470
2062 POLY Incubator Thermostat unit 5,157,210

1 2 3 4
2063 POLY Incubator Transport Chart unit 43,569,000
2064 POLY Instrument Trolley Kaca PC unit 1,333,850
2065 POLY Instrument Trolley Kaca SS unit 2,134,160
2066 POLY Instrument Trolley S/S + Laci unit 3,379,430
2067 POLY Instrument Trolley S/S Tanpa laci unit 2,934,470
2068 POLY Instrument Trolley S/S Tanpa laci unit 2,934,470
2069 POLY Kursi Stool unit 1,512,040
2070 POLY Lampu Tindakan Halogen unit 2,134,160
2071 POLY Laundry Trolley Bulat S/S + Linen unit 3,112,660
2072 POLY Laundry Trolley Kotak P.C unit 3,734,780
2073 POLY Lemari Instrumen 1 Pintu P.C unit 4,104,550
2074 POLY Lemari Instrumen 1 Pintu S/S unit 8,928,040
2075 POLY Lemari Instrumen 2 Pintu P.C unit 5,356,000
2076 POLY Lemari Instrumen 2 Pintu S/S unit 9,820,020
2077 POLY Lemari Obat 1 Pintu P.C unit 4,910,010
2078 POLY Lemari Obat 1 Pintu S/S unit 9,641,830
2079 POLY Lemari Obat 2 Pintu P.C unit 5,690,750
2080 POLY Lemari Obat 2 Pintu S/S (Stainless Steel) unit 10,670,800
2081 POLY Linen Trolley P.C unit 5,868,940
2082 POLY Linen Trolley S/S unit 9,780,880
2083 POLY Locker 12 Pintu 120x40x180cm unit 12,270,390
2084 POLY Locker 6 Pintu 80x40x180cm unit 9,336,950
2085 POLY Matrass Anti Decubitus unit 2,492,600
2086 POLY Matrass Busa Super 10cm + Cover Vinyl unit 1,339,000
2087 POLY Matrass Latex 10cm + Cover Spring Bed unit 3,605,000
2088 POLY Mayo Stand P.C unit 2,934,470
2089 POLY Mayo Stand S/S unit 3,201,240
2090 POLY Medical Oxygen Theraphy Complete Set ( 1m3 ) unit 2,489,510
2091 POLY Medical Oxygen Theraphy Complete Set ( 6 m3 ) unit 6,224,290
2092 POLY Medicine Trolley 26 Laci S/S (Stainless Steel) unit 12,448,580
2093 POLY Meja Periksa S/S + Foot Step P.C unit 4,979,020
2094 POLY Meja Resusitasy P.C. unit 6,224,290
2095 POLY Meja Resusitasy S/S unit 10,670,800
2096 POLY Meja Rontgent unit 16,005,170
2097 POLY Mortuary Table unit 9,247,340
2098 POLY Murtuary Carriage unit 11,559,690
2099 POLY Murtuary Refrigant / Kulkas (2 Doors) unit 151,162,800

1 2 3 4
2102 POLY Murtuary Refrigant / Kulkas Mayat (1 Doors) unit 106,702,850
2103 POLY Over Bed Table unit 2,489,510
2104 POLY Over Bed Table Deluxe unit 3,112,660
2105 POLY Ranjang 1 Engkol (ABS Head & Foot Panel) + Side Rail unit 8,837,400
2106 POLY Ranjang 1 Engkol unit 6,135,710
2107 POLY Ranjang 2 Engkol ( Back Raise & Knee Raise ) unit 7,113,180
2108 POLY Ranjang 2 Engkol ( Back Raise & Hi - Lo ) unit 8,358,450
2109 POLY Ranjang 2 Engkol (ABS Head&Foot Panel) + Side Rail unit 10,712,000
2110 POLY Ranjang 2 Engkol (B/R & Hi-Lo) ABS H&F Panel Side Rail unit 10,712,000
2111 POLY Ranjang 3 Engkol unit 9,780,880
2112 POLY Ranjang 3 Engkol (ABS Head & Foot Panel) + Side Rail unit 13,390,000
2113 POLY Ranjang Anak 1 Engkol Full S/S unit 10,670,800
2114 POLY Ranjang Anak Tanpa Engkol Full S/S unit 9,780,880
2115 POLY Ranjang Electric Super Deluxe unit 35,567,960
2116 POLY Ranjang Electric Hi - Low Knee Raise & Back Raise unit 29,343,670
2117 POLY Ranjang Sederhana unit 2,845,890
2118 POLY Ranjang Tanpa Engkol unit 4,178,710
2119 POLY Scrub Station 1 Person unit 78,249,100
2120 POLY Scrub Station 2 Person unit 129,822,230
2121 POLY Side Rail (Pagar) Powder Coating unit 885,800
2122 POLY Side Rail (Pagar) Stainless Steel unit 1,339,000
2123 POLY Side Rail Deluxe Alumunium unit 2,142,400
2124 POLY Stand Holder + Grid unit 23,119,380
2125 POLY Stand Holder unit 3,112,660
2126 POLY Stand Waskom P.C. Double Ekonomi + Waskom unit 1,155,660
2127 POLY Stand Waskom P.C. Single Ekonomi + Waskom unit 800,310
2128 POLY Stand Waskom S/S Double K.4 + Waskom unit 2,934,470
2129 POLY Stand Waskom S/S Double K.5 + Waskom unit 2,134,160
2130 POLY Stand Waskom S/S Single K.4 + Waskom unit 2,489,510
2131 POLY Stand Waskom S/S Single K.5 + Waskom unit 1,600,620
2132 POLY Tiang Infus K.5 Full S/S + Pemberat unit 2,222,740
2133 POLY Tiang Infus K.5 P.C unit 622,120
2134 POLY Tiang Infus K.5 S/S unit 1,600,620

1 2 3 4
2135 POLY Tiang Infus Stainless Steel unit 442,900
2136 POLY Trolley Obat 24 Laci PC unit 8,481,020
2137 POLY Trolley Obat 26 Laci S/S unit 13,390,000
2138 POLY Trolley Oksigen 1 m3 unit 355,350
2139 POLY Trolley Oksigen 6 m3 unit 1,778,810
2140 POLY TV Shelves unit 7,113,180
2141 POLY U.V. Mobile Sterilizator stainless steel unit 16,005,170
2142 POLY U.V. Mobile Sterilizator with remote control unit 17,783,980
2143 POLY Urinal Carriage SS unit 7,113,180
2144 POLY Verlos / Delivery Bed S/S + Foot Step SS unit 10,225,840
2145 POLY Verlos / Delivery Bed S/S unit 9,780,880
2146 POLY Viewer Double 800 x 450 x 80 mm unit 1,955,970
2147 POLY X - Ray Barrier / Tabir unit 14,227,390
2148 PRIZMA Ultrasonic Nebulizer Type Profisonic unit 12,735,594
PT. ERACITA ASTAMIDA E-CARE ALCOHOL SWAB CHG + 0.5%
2149 box 20,270
(EMPAC)
PT. STERIN LABORATORIES E-CARE ANTISEPTIC SURGICAL HAND
2150 galon 660,024
SCRUB 5 Lt (1750G)
PT. STERIN LABORATORIES E-CARE ANTISEPTIC SURGICAL HAND
2151 box 762,200
SCRUB BTL 10 @500ML (1750B)
PT. STERIN LABORATORIES E-CARE ANTISEPTIK HAND RUB 10 BTL
2152 box 626,240
@ 500 ml (1650B)
PT. STERIN LABORATORIES E-CARE ANTISEPTIK HAND RUB 5 Lt
2153 galon 597,400
(1650G)
2154 REMEDI Suction Catheter Sterile w/Finger Tube Control No.10 pcs 3,296
2158 REMEDI Alcohol Swab box 12,669
2161 RENOSEM Low Temperatur Plasma Gas Sterilizer/ Reno-D50 unit 1,003,014,000
2162 RENOSEM Low Temperature Plasma Gas Sterilizer/ RENO-S130 unit 1,840,816,000
2163 RENOSEM Low Temperature Plasma Gas Sterilizer/ RENO-S30 unit 958,724,000
RIGEL MEDICAL Performance Analysers Rigel Multi-Flo 4CH Type
2164 unit 298,082,000
385A940
2165 RIGEL MEDICAL Vital Sign Simulators Rigel Uni-Sim Type 370A930 unit 142,655,000

1 2 3 4
2166 SANI-INDONESIA ABS Hospital Bed 1 Crank unit 19,379,682
2169 SANI-INDONESIA Automatic Loading Stretcher unit 32,750,668
2170 SANI-INDONESIA Baby Basket Stainlees Steel unit 11,556,373
2171 SANI-INDONESIA Bedside Cabinet unit 7,752,609
2172 SANI-INDONESIA Dry Heat Sterilizer unit 12,207,161
2173 SANI-INDONESIA Electric ICU Bed Five Function unit 62,346,158
2174 SANI-INDONESIA Electric Suction Apparatus unit 37,668,285
2175 SANI-INDONESIA Examination Table With Accessories, Steel Painted unit 9,890,524
2176 SANI-INDONESIA Gynecology Examination Table unit 11,361,214
2177 SANI-INDONESIA Halogen Examination Light / OLH61-002 unit 11,878,166
2178 SANI-INDONESIA Infusion Stand, Stainlees Steel unit 2,425,130
SANI-INDONESIA Instrument Cabinet, Steel Sheet Epoxy Powder
2179 unit 10,614,433
Coating
2180 SANI-INDONESIA Instrument Trolley Stainless unit 7,748,999
2181 SANI-INDONESIA Medicine Cabinet Steel Sheet Epoxy Powder Coating unit 6,343,590
2182 SANI-INDONESIA Scrub Station 2 Person unit 150,753,921

2183 SANI-INDONESIA Scrub Station 3 Person unit 185,670,671
2184 SANI-INDONESIA Shadowless Operating Lamp 700/700 unit 408,534,050
2185 SANI-INDONESIA Standard Operating Table unit 30,408,021
2186 SANI-INDONESIA Syringe & Needle Destroyer unit 39,126,996
2187 SANI-INDONESIA Transfusion Chair unit 15,450,000
2188 SANI-INDONESIA Vacuum Extractor Manual unit 11,815,388
2189 SARANDI KARYA NUGRAHA Instrument Cabinet KA 25-01A unit 4,223,000
2190 SARANDI KARYA NUGRAHA Bedside Cabinet KA 04-00BSS unit 3,811,000
2191 SARANDI KARYA NUGRAHA Bedside Cabinet SKN 04-03ABS unit 4,068,500
2192 SARANDI KARYA NUGRAHA Double Bowl Rack Type KA 17-02BSS unit 2,163,000
SARANDI KARYA NUGRAHA Dressing Trolley With Drawer KA 18-
2193 unit 8,188,500
02BSS
SARANDI KARYA NUGRAHA Food Trolley Cabinet Type 8 Tray KA 21-
2194 unit 16,428,500
01BSS
2195 SARANDI KARYA NUGRAHA Instrument Cabinet KA 25-02B unit 7,725,000
2196 SARANDI KARYA NUGRAHA Instrument Trolley KA 16-01BSS unit 3,141,500

SARANDI KARYA NUGRAHA KARIXA Electric Examination Table KA 07-
2197 unit 25,750,000
02E
SARANDI KARYA NUGRAHA KARIXA Emergency Stretcher KA 15-
2198 unit 8,549,000
11BSS
SARANDI KARYA NUGRAHA KARIXA Emergency Stretcher KA 15-
2199 unit 26,780,000
12BSS

1 2 3 4
2200 SARANDI KARYA NUGRAHA KARIXA Emergency Trolley KA 19-01BSS unit 14,626,000
2201 SARANDI KARYA NUGRAHA KARIXA Examination Table KA 07-01BSS unit 5,459,000
2202 SARANDI KARYA NUGRAHA KARIXA Infusion Stand KA 03-01BSS unit 1,030,000
2203 SARANDI KARYA NUGRAHA Linen Hamper Carriage KA 26-00BSS unit 14,214,000
2204 SARANDI KARYA NUGRAHA Matras DH unit 1,133,000
2205 SARANDI KARYA NUGRAHA Matras KK unit 3,115,750
2206 SARANDI KARYA NUGRAHA Mayo Table (Full SS) KA 06-00BSS unit 3,141,500
2207 SARANDI KARYA NUGRAHA Overbed Table KA 05-00BSS unit 3,079,700
2208 SARANDI KARYA NUGRAHA Overbed Table SKN 05-02ABS unit 2,739,800
2209 SARANDI KARYA NUGRAHA SKN Hospital Bed Manual SKN 01-12C unit 9,579,000
2210 SERENITY Ambulance Stretcher SR-A3 unit 10,520,420
2211 SERENITY Ambulance Stretcher SR-A6 unit 16,347,130
2212 SERENITY Basket Stretcher SR-B2 unit 7,931,000
2213 SERENITY Folding Stretcher with Wheels SR-F2 unit 1,651,090
2214 SERENITY Mucus Extractor 25 ml pcs 7,107
2215 SERENITY Scoop Stretcher SR-C2 unit 2,784,090
2216 SERENITY Stretcher Trolley SR-E2 unit 6,312,870
2217 SERENITY Stretcher Trolley SR-E3 unit 14,890,710
SHIMA PRIMA UTAMA Advance Hospital Bed With Fowler Type SM-
2218 unit 7,313,000
9014C
2219 SHIMA PRIMA UTAMA Baby Cot With Trolley SS SM-9018 unit 2,513,200
2220 SHIMA PRIMA UTAMA Bedside Cabinet SM-9036 C unit 2,404,020
2221 SHIMA PRIMA UTAMA Bedside Cabinet Table Top ABS SM - 9036 B unit 2,445,220
SHIMA PRIMA UTAMA HI-LO Hospital Bed With Fowler Type ABS SM -
2222 unit 12,045,850
9012 D
SHIMA PRIMA UTAMA New Advance Hospital Bed With Back Raise SM -
2223 unit 8,559,300
9014 BN
2224 SHIMA PRIMA UTAMA Overbed Table SM - 9031 unit 1,486,290
2225 SHINVA Automatic Washer Disinfector 320 Liter unit 1,154,540,390
2226 SHINVA Ethylene Oxide (EO/EtO) Sterilizer 240 Liter unit 730,494,540
2227 SHINVA Plasma Sterilizer (PS-100) 135 Liter unit 1,319,475,320
2228 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 100 Liter unit 329,868,830
2232 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 360 Liter unit 1,099,562,080

1 2 3 4
2233 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 800 Liter unit 1,297,483,790
2234 SHINVA Ultrasonic Washer 30 Liter unit 137,445,260

2235 SIBELMED Spirometry Easy T unit 49,741,790
2236 SIMEON Mobile Examination Light SIM LED 3500 Mobile unit 67,703,445
2237 SIMEX Suction Pump Portable M-20 unit 16,839,470
2238 SIMEX Suction Pump Portable M-30 unit 23,400,570
2239 SIMEX Suction Pump Portable S-20 unit 12,348,670
2240 SIMEX Suction Pump Portable S-30 unit 15,962,940
SMITHS MEDICAL SuctionPro 72, Dual Lumen Closed Ventilation, For
2241 unit 247,470
Endotracheal Tube 12F
2242 unit 247,470
2243 unit 247,470
Tracheostomy Tube 14F
SMITHS MEDICAL SuctionPro 72, Single Lumen Closed Ventilation, for
2244 unit 240,640
2245 STARDEC Latex exam powdered gloves-S,M,L,XS,XL(Box/100s) box 49,028
2246 STARDEC Nebulizer with Mask (Adult Standard) pcs 29,149
2247 STARDEC Nebulizer with Mask (Pediatric Standard) pcs 29,149
2248 STARDEC Nitrile examination gloves-S,M,L(Box/100) box 64,581
2249 STARDEC Oxygen Mask (Adult Standard) pcs 20,394
2250 STARDEC Oxygen Mask (Pediatric Standard) pcs 20,394
2251 STARDEC Surgical powder free glove size 6.5, 7, 7.5 pasang 7,725
2252 STARDEC Surgical powdered gloves size 6, 6.5, 7, 7.5, 8, 8.5(1Psg) pasang 4,738
2253 STEELCO Steam Sterilizer/ VS 4/2 unit 1,689,921,000
2254 STEELCO Washer Disinfector/ DS 500 CL unit 440,428,000
2255 STEELCO Washer Disinfector/ DS 610/2 unit 700,503,000
2256 STERICLIN GMBH,GERMANY ADHESIVES TAPES (STEAM) roll 66,587
STERICLIN GMBH,GERMANY BOWIE & DICK INDICATORTEST
2257 box 2,263,900
SHEET
2258 STERICLIN GMBH,GERMANY INDICATOR STRIPS (STEAM) box 535,060
2259 STERICLIN GMBH,GERMANY STERICLIN FLAT 15CM/200M roll 1,303,980
2260 STERICLIN GMBH,GERMANY STERICLIN FLAT 20CM/200M roll 1,584,140
2261 STERICLIN GMBH,GERMANY STERICLIN FLAT 7.5CM/200M roll 726,150
2262 STERICLIN GMBH,GERMANY STERICLIN GUSSETTE 15X5.0CM roll 1,087,680
2263 STERICLIN GMBH,GERMANY STERICLIN GUSSETTE 20X5 CM roll 1,309,130
2264 STERICLIN GMBH,GERMANY STERICLIN GUSSETTE 25X6.5 CM roll 1,588,260
2265 STERICOOL Hydrogen Peroxide Plasma Sterilizer 110AS unit 1,544,068,222
2266 STERINTECH Flat Sterilization Packaging Reels, size 100mm x 200m roll 498,520

1 2 3 4
2269 STERINTECH Flat Sterilization Packaging Reels, size 250mm x 200m roll 1,221,374
STERINTECH Gussette Sterilization Packaging Reels, size 100mm x
2275 roll 639,671
100m
2276 roll 867,796
100m
2277 roll 1,011,996
100m
2278 roll 1,157,926
100m
2279 roll 1,349,135
100m
2280 roll 1,652,244
100m
2281 roll 1,717,628
100m
2282 STERINTECH Gussette Sterilization Packaging Reels, size 75mm x 100m roll 582,568
2283 STERIS 5085 SRT Surgical Table-STERIS unit 86,675

2284 STERIS 5085 Surgical Table-STERIS unit 72,512
2285 STERIS Amsco Flexmatic Scrub Station-STERIS unit 13,573
2286 STERIS Century Medium Steam Sterilizer-Steris unit 111,034
2287 STERIS Warming Cabinet-STERIS unit 6,424
2288 SUCHATZKI Ultrasonic Nebulizer M800 unit 1,551
2289 SUCHATZKI Ultrasonic Nebulizer M802 Uhz unit 2,649
TAICANG KANGHUI TECHNOLOGY DEVELOPMENT CO.,LTD Manual
2290 set 23,690,000
Blood Donation Chair DH-XS104
2291 TESENA Tesena Baby Bassinette TSN 007 CJSS unit 4,946,575
2292 TESENA Tesena Baby Bassinette TSN 007 CSS unit 5,471,875
2293 TESENA Tesena Baby Bassinette TSN 007 EK unit 1,946,700
2294 TESENA Tesena Baby Bassinette TSN 007 EKSS unit 3,131,200
2295 TESENA Tesena Baby Bassinette TSN 007 Z unit 4,151,880
2296 TESENA Tesena Baby Examination Table TSN 005 D unit 6,471,324
2297 TESENA Tesena Baby Examination Table TSN 005 E unit 11,701,798
2298 TESENA TESENA BED SCREEN TSN 025 BSS unit 2,575,000
2299 TESENA TESENA BED SIDE CABINET TSN 002 AQ unit 3,807,910

1 2 3 4
2300 TESENA Tesena Brancard / Stretcher TSN 006 A unit 4,109,700
2301 TESENA Tesena Children / Pediatric Bed TSN 007 PMS unit 6,164,550
2302 TESENA Tesena Dressing Trolley TSN 011 ADSS unit 7,904,714
2303 TESENA Tesena Emergency Stretcher TSN 006 BSS unit 9,552,446
2304 TESENA Tesena Emergency Trolley TSN 012 B unit 9,672,707
2305 TESENA Tesena Examination Table TSN 005 B unit 3,287,760
2306 TESENA Tesena Examination Table TSN 005 BSS unit 6,037,148
2307 TESENA Tesena Folded / Hi-Lo Stretcher TSN 006 CHLSS unit 12,258,648
2308 TESENA Tesena Foot Step SS TSN 005 SBDSS unit 1,133,000
2309 TESENA Tesena Foot Step TSN 005 SBD unit 698,340
2310 TESENA Tesena General Examination Lamp TSN 015 A unit 2,637,830
2311 TESENA Tesena Halogen Examination Lamp TSN 015 FHC unit 4,790,736
2312 TESENA Tesena Hanging Baby Scale TSN 9806 HBS unit 813,700
2313 TESENA Tesena Hospital Bed 3 Crank TSN 001 KCHL unit 17,479,924
2314 TESENA Tesena Hospital Bed Electric Upgrade TSN 001 KCHLE unit 26,262,940
2315 TESENA Tesena Hospital Bed Manual 1 Crank TSN 001 A Lux unit 10,567,800
2316 TESENA Tesena Hospital Bed Manual 2 Crank TSN 001 C Lux unit 14,246,960
2317 TESENA Tesena Infant Incubator TSN 5 unit 18,025,000
2318 TESENA Tesena Infant Incubator TSN 87 unit 37,801,000
2319 TESENA Tesena Infant Incubator TSN 876 MCD Cabinet unit 35,046,780
2320 TESENA Tesena Infant Incubator TSN 910 SC Cabinet unit 48,863,200
2321 TESENA Tesena Infant Incubator TSN UI-2 unit 8,646,850
2322 TESENA Tesena Infant Warmer TSN 89 IW unit 33,021,800
2323 TESENA Tesena Infusion Stand SS TSN 017 ASS unit 1,857,583
2324 TESENA Tesena Infusion Stand TSN 017 A1 unit 928,791
2325 TESENA Tesena Instrument / Medical Cabinet TSN 032 A1 unit 5,424,804
2326 TESENA Tesena Instrument / Medical Cabinet TSN 032 A2 (120L) unit 6,983,359
2327 TESENA Tesena Instrument / Medical Cabinet TSN 032 B1 unit 4,931,640
2328 TESENA Tesena Instrument / Medical Cabinet TSN 032 B2 unit 5,916,320
2329 TESENA Tesena Instrument Table SS TSN 009 ASS unit 3,250,680
2330 TESENA Tesena Instument / Medical Cabinet TSN 032 A2 (90L) unit 5,837,335
2331 TESENA Tesena Laundry Cart TSN 026 A unit 4,032,937
2332 TESENA Tesena Linen Hamper Carriage TSN 026 C unit 5,597,019
2333 TESENA Tesena Mayo Table SS TSN 008 ASS unit 3,462,603
TESENA Tesena Medical Weighing Scale Height Measuring TSN 9806
2334 unit 5,304,253
WHS
2335 TESENA Tesena Mortuary TSN 029 M, 2 Bodies unit 236,900,000
2336 TESENA Tesena Needle Destroyer TSN 2410 ND unit 2,472,000

1 2 3 4
2337 TESENA Tesena Overbed Table TSN 002 B2 unit 2,876,790
2338 TESENA Tesena Oxyhood / Headbox TSN 046 SOH unit 1,060,900
2339 TESENA Tesena Running Water Sterilizer Scrub Station TSN 9201 unit 81,473,000
2340 TESENA Tesena Running Water Sterilizer Scrub Station TSN 9202 unit 132,550,700
2341 TESENA Tesena UV Room Sterilizer TSN 88 UV unit 21,279,800
2342 TESENA Tesena Wash Basin Stand Double TSN 016 DSS unit 2,113,560
2343 TESENA Tesena Wheel Chair TSN 021 C unit 3,900,610

TG MEDICAL Examination Glove Powder, Latex, Non Sterile Uk. XS, S,
2344 box 41,355
M, L
2345 TG MEDICAL Examination Gloves Powder Free, Latex, Non Sterile box 50,985
TOP GLOVE SENTRA ASIA Win Glove Examination Powdered/ Ukuran
2346 box 48,719
XS, S, M, L, XL
TOP GLOVE WIN GLOVE NON STERILE FREE POWDER (XS, S, M, L,
2347 box 58,916
XL)
2348 TRILUX Ceiling Pendant Medidrant A123 for Anasthesia unit 17,150
2349 TRILUX Ceiling Pendant Medidrant E223 for Endoscopy and Surgery unit 18,940
2350 TROGE MEDICAL GMBH, GERMANY INFUSION SET TROSOLUSET pcs 5,608
TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH
2351 pcs 15,064
PLUS 18G
2352 pcs 15,064
PLUS 20G
2353 pcs 15,064
PLUS 22G
2354 pcs 15,064
PLUS 24G
2355 pcs 13,880
PLUS 26G
2356 pcs 13,010
SINE 18G
2357 pcs 13,010
SINE 20G
2358 pcs 13,010
SINE 22G
2359 pcs 13,010
SINE 24G
2360 pcs 13,967
SINE 26G
TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE
2361 pcs 23,793
SAFETY PLUS 18G
2362 pcs 23,793
SAFETY PLUS 20G
2363 pcs 23,793
SAFETY PLUS 22G
2364 pcs 23,793
SAFETY PLUS 24G
2365 pcs 25,408
SAFETY PLUS 26G

1 2 3 4
2366 pcs 22,859
SAFETY SINE 18G
2367 pcs 22,859
SAFETY SINE 20G
2368 pcs 22,859
SAFETY SINE 22G
2369 pcs 22,859
SAFETY SINE 24G
2370 pcs 6,793
SAFETY SINE 26G
TROGE MEDICAL GMBH, GERMANY TRO-SENSOSURGE STERIL
2371 pcs 6,793
GLOVE 6.0
2372 pcs 6,793
GLOVE 6.5
2373 pcs 6,793
GLOVE 7.0
2374 pcs 6,793
GLOVE 7.5
2375 pcs 6,793
GLOVE 8.0
2376 pcs 6,793
GLOVE 8.5
2377 TROGE MEDICAL GMBH, GERMANY TRO-VENOFLOW 3-WAY pcs 13,010
2378 TROGE MEDICAL GMBH, GERMANY URIN BAG TRO UROCOL PLUS pcs 8,312
2379 TUTTNAUER Large Hospital Autoclave (5596), dua pintu unit 1,133,000,000
2380 TUTTNAUER PlazMax Line Low Temperature Sterilizer (P 50) unit 1,234,970,000
2381 TUTTNAUER Table Top Autoclave (2540 MK) unit 53,560,000
2382 TUTTNAUER Table Top Autoclave 3870 M unit 136,990,000
2383 TYLONG MEDICAL Double Bridge ICU Pendant unit 232,780,000
2384 TYLONG MEDICAL Single Arm ICU Pendant unit 133,900,000
2385 TYLONG MEDICAL Single Arm Motorized Anesthesia Pendant unit 152,440,000
2386 UNOLAB SUPERCARE Nitrile Powder-Free Exam Glove L box 79,818
2387 UNOLAB SUPERCARE Nitrile Powder-Free Exam Glove M box 79,818
2388 UNOLAB SUPERCARE Nitrile Powder-Free Exam Glove S box 79,818
2389 UNOLAB SUPERCARE Nitrile Powder-Free Exam GLove XS box 79,818
2390 UZUMCU Examination Lamp / Uzumcu ML- 40L unit 14,214,000
2391 UZUMCU Mayo Table / Uzumcu - Type 40400 unit 25,235,000
2392 UZUMCU Scrub Sink / Uzumcu – TYPE 80700 unit 66,435,000
2393 VIVOLIGHT Projection Vein Finder - VIVO 300 unit 5,747
2394 VIVOLIGHT Projection Vein Finder - VIVO 500 unit 6,139
2395 WONDERMED Wound Management System - WOUNDHUB II unit 47,833
ZHEJIANG YUSHENG MEDICAL INSTRUMENT Skifa Infusion Set
2396 pcs 4,139
Dewasa
2397 ZULMAND Ambulance Stretcher 647 ZD unit 14,162,830
2398 ZULMAND ARI TIMER unit 159,301

1 2 3 4
2399 ZULMAND Bedside Cabinet With Hanging Towel 701 ZD unit 3,766,492
2400 ZULMAND Bowl Stand Double, S 630 ZD unit 2,480,548
2401 ZULMAND Bowl Stand Double, SS 629 ZD unit 2,923,906
2402 ZULMAND Bowl Stand Single, S 628 ZD unit 1,847,326
2403 ZULMAND Bowl Stand Single, SS 627 ZD unit 2,480,548
2404 ZULMAND Developing Tank 726 ZD unit 2,309,157
2405 ZULMAND Dressing Trolley, SS 785 ZD unit 9,294,720
2406 ZULMAND Examination Stool, SS 757 ZD unit 2,353,287
2407 ZULMAND Examination Table 607 ZD unit 5,747,235
2408 ZULMAND Examination Table 608 ZD unit 5,747,235
2409 ZULMAND Examination Table, SS 609 ZD unit 7,683,635
2410 ZULMAND Extrabed for Patient, SS 820 ZD unit 5,131,460
2411 ZULMAND Filing cabinet 707 ZD unit 3,078,876
2412 ZULMAND Food Trolley 20 Tray unit 15,394,380
2413 ZULMAND Food Trolley 3 Tray, SS 766 ZD unit 7,551,960
2414 ZULMAND Foot Step, S 613 ZD unit 695,826
2415 ZULMAND Foot Step, SS 612 ZD unit 1,180,236
2416 ZULMAND Halogen Examination Lamp 740 ZD unit 2,565,730
2417 ZULMAND Incenerator 642 ZD unit 168,920,000
2418 ZULMAND Instrument Cabinet 705 ZD unit 4,113,378
2419 ZULMAND Instrument Cabinet 706 ZD unit 5,319,271
2420 ZULMAND Instrument Trolley 2 Shelves with Drawer, S 780 ZD unit 3,576,628
2421 ZULMAND Instrument Trolley 2 Shelves with Drawer, SS 779 ZD unit 7,491,932
2422 ZULMAND Instrument Trolley 2 Shelves, S 778 ZD unit 6,465,640
2423 ZULMAND Instrument Trolley 2 Shelves, SS 777 ZD unit 7,491,932
2424 ZULMAND Instrument Trolley, S 781 ZD unit 4,602,920
2425 ZULMAND Instrument Trolley, SS 782 ZD unit 5,571,120
2426 ZULMAND Laundry Kotak 639 ZD unit 4,644,997
2427 ZULMAND Linen Hamper Carage 633 ZD unit 8,765,560
2428 ZULMAND Mattress 857 A ZD unit 1,539,438
2429 ZULMAND Mattress 857 ZD unit 2,507,638
2430 ZULMAND Mayo Table, SS 892 ZD unit 3,078,876
2431 ZULMAND Mayo Table, SS 896 ZD unit 3,449,367
2432 ZULMAND Mayo Table,SS 897 ZD unit 3,449,367
2433 ZULMAND Medicine Cabinet 710 ZD unit 5,319,271
2434 ZULMAND Medicine Trolley 877 ZD unit 10,638,542
2435 ZULMAND MICROSCOPE SLIDE pack 15,394

1 2 3 4
2436 ZULMAND Mobile Stretcher, S 601 ZD unit 7,194,307
2437 ZULMAND Mobile Stretcher, S 602 ZD unit 6,542,612
2438 ZULMAND Mobile Stretcher, SS 600 ZD unit 11,089,085
2441 ZULMAND Multipurpose Stretcher 814 ZD unit 54,957,937
2442 ZULMAND Overbed Table 891 ZD unit 3,296,450
2443 ZULMAND POT SPUTUM btl 2,822
2444 ZULMAND POT URINE btl 2,401
2445 ZULMAND PSYCHIATRIC BED 840 ZD unit 8,723,482
2446 ZULMAND Room Divider 3 Panel, SS 866 ZD unit 4,792,784
2447 ZULMAND Urinal & Badpan, S 668 ZD unit 5,544,030
2448 ZULMAND Urinal & Badpan, SS 667 ZD unit 7,192,254
2449 ZULMAND UV. Sterilizer, SS 818 ZD unit 15,394,380
2450 ZULMAND UV. Water Running Sterilizer, SS 813 ZD unit 76,971,900
2451 ZULMAND Waiting Chair 605 ZD unit 5,931,968
2452 ZULMAND Work Table for Dental 673 ZD unit 10,262,920
2453 ZULMAND Work Table for Laboratorium 670 ZD unit 10,262,920
2454 ZULMAND Work Table for Medicine 881 ZD unit 10,262,920

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
ALAT KESEHATAN
ALAT KESEHATAN (NON E-CATALOG)
NO NAMA BARANG SATUAN HARGA
1 2 3 4
1 Abate 1 gram Box/ 50 sct 284,361
2 Accidum Lactikum Botol/1 liter 295,604
3 Accidum Nitrikum Botol/ 1 liter 89,692
4 Acsal ( Acid Salicyl ) 1000 gram 316,069
5 Adeps Lanae 1000 gram 890,601
6 Alkohol 70% @ 100 Ml Botol 10,359
10 Alkohol 96% @ 200 Ml Botol 20,844
11 Alkohol 96% @ 300 Ml Botol 31,708
12 Aqua DM Can/20 liter 315,816
13 Aqua DM Botol/Liter 16,422
14 Asam Sitrat 1000 gram 149,065
15 Benzyl Benjoat Botol/ 1 liter 671,425
16 Capsul Kosong 0 zak / 1000 btr 94,745
20 Capsul Kosong 3 Zak/1000 pcs 75,796
21 Champora 1000 gram 534,361
22 Coffein 1000 gram 1,086,407
23 Formalin 37 % Liquid Botol/1 liter 107,377
24 Formalin Tablet Pot/100 tab 27,792
25 Garam Inggris 1000 gram 89,692
26 Gliserin Botol /1 liter 178,752
27 H2O2 50 % Botol/800 ml 107,377
28 Ichtiyol 1000 gram 1,811,268
29 Kertas puyer Pack/1000 lbr 48,951
30 Laktosa 1000 gram 744,062
STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 237

1 2 3 4
31 Levertraan Botol/ 1 liter 896,917
32 Licadet ( L C D ) Botol/ 1 liter 4,297,623
33 Lysol 100 % Botol /1 liter 46,741
34 Lysol 100 % Can/20 liter 896,917
35 Lysol 50 % Botol/ 1 liter 39,793
36 Parafin Liquid Botol/ 1 Liter 271,602
37 Pipet Tetes Panjang@100's Pcs 3,158
38 Pipet Tetes Pendek@100's Pcs 1,895
39 Pot 10 ML Buah 1,895
40 Pot 100 ML Buah 4,421
41 Pot 20 ML Buah 2,274
42 Pot 40 ML Buah 2,779
43 Povidon Iodin 10 % Botol/1 liter 165,488
44 Povidon Iodin 10 % Can /20 liter 3,379,230
45 TOURNIGET Pcs 38,656
46 Vaselin Kuning Pot/ 1 kg 249,495
47 Vaselin Putih Pot/ 1 kg 249,495
48 Zink Oxy 1000 gram 304,447
49 POUCHES STERICLIN FLAT, 5CM/200M Roll 637,948
50 POUCHES STERICLIN FLAT, 7,5CM/200M Roll 953,764
51 POUCHES STERICLIN FLAT, 10CM/200M Roll 1,130,621
58 POUCHES STERICLIN GUSSETTE, 7.5 x 2.5 CM (100 M) Roll 1,061,142
59 POUCHES STERICLIN GUSSETTE, 10 x 5 CM (100 M) Roll 1,225,366
62 POUCHES STERICLIN GUSSETTE, 25 x 6.5 CM (100 M) Roll 2,084,385

1 2 3 4
63 POUCHES STERICLIN GUSSETTE, 30 x 6.5 CM (100 M) Roll 2,450,732
65 ADHESSIVE TAPES (STEAM), 1.9X50 CM Roll 151,592
66 BOWIE & DICK INDICATORTESTSHEET Box 3,436,077
67 BOWIE & DICK TEST-PACK Pack 189,490
68 INDICATOR STRIPS (STEAM), 169X20 MM Box 821,121
69 WRAP PPR SMS 100X100CM-2ASTWPS10 Box 2,431,783
70 WRAP PPR SMS 120X120CM-2ASTWPS12 Box 2,077,437
71 WRAP PPR SMS 50X50CM -2ASTWPS50 Box 1,598,029
72 WRAP PPR SMS 75X75CM -2ASTWPS75 Box 1,778,675
73 WRAPING P. AST 75X75CM-2ASTWP075 Box 1,623,294
74 WRAPING P.AST 50X50CM-2ASTWP050 Box 1,459,070
75 WRAPING P.AST100X100CM-2ASTWP010 Box 2,675,593
76 WRAPING P.AST120X120CM-2ASTWP012 Box 2,007,958
77 ALKAZYME SACHET 25 MG 2ALKZYM25 Pouche 1,086,407
78 ALKACIDE 1 L 2ALKCID10 Botol 3,695,046
79 Affinity Trillium Oxygenator Complete Set 10,737,742
80 Affinity Fusion Oxygenator Complete Set 11,369,374
81 Medtronic Minimax Oxygenator Complete Set 10,737,742
DLP SINGLE STAGE VENOUS CANNULA WITH RIGHT
82 Buah 1,515,916
ANGLE METAL TIP
83 DLP SINGLE STAGE VENOUS CANNULA Buah 1,894,896
84 DLP RIGHT ANGLE SINGLE STAGE VENOUS CANNULA Buah 1,515,916
85 DLP MALLEABLE SINGLE STAGE VENOUS CANNULAE Buah 1,894,896
86 LEFT HEAR VENT CATHETER ADULT Buah 1,642,243

DLP HIGH FLOW CORONARY ARTERY OSTIAL
87 Buah 1,894,896
CANNULAE
88 DLP PVC RCSP Cannulae With Auto-Inflate Cuff Buah 1,894,896
89 Gundry Silicone RCSP Cannulae With Manual-Inflate Cuff Buah 7,579,582

Pericardial Sumps 15in (38.1cm), 20 Fr.1/4" (0.64mm)
90 Buah 1,894,896
Connector
91 Ariss Perfusion Switches 13 in (33.0cm) Buah 2,147,548

1 2 3 4
92 DLP High Flow Coronary Arterry ostial Cannula Buah 2,147,548
93 DLP ARTERIOTOMY CANNULA Buah 1,389,590
94 ARTERIAL CANNULA Buah 1,200,101
95 AORTIC PUNCH Buah 1,515,916
96 HEMOCONCENTRATOR Set 3,473,975
97 Cardioplegia Set Adult Set 2,526,527
98 Cardioplegia Set Pediatric Set 3,158,159
99 DLP EOPA ARTERIAL CANNULA Buah 6,316,319
100 Aquacel Ag 10 x 10 Pcs 257,895
101 DuoDerm Gel 30 gr Tube 132,643
102 DuoDerm Extra Thin 5 x 20 cm Pcs 86,748
103 Kaltostat 7.5 x `12 cm Pcs 133,969
104 Aquacel Dressing 10 x 10 Pcs 171,905
105 Bibag Sodium Bicarbonate 650g BAG 92,850
106 Bloodline Tubing System SET 112,178
107 HD SOLUTION PART A GALLON 106,114
108 HEMODIALYSIS PACK - F1 HDP PAK 49,330
109 Dialyser - Low Flux H F5 HPS PCS 224,229
113 Fistula Needle - 16 GA F25 SET 13,012
114 Fistula Needle - 16 GV F25 SET 13,012
115 Gutta percha point iso 25 , 30 , 35 Box 131,379
118 K-File 15 - 40 Box 314,553
119 K-File 45 - 80 Box 373,926
120 K-File 15 - 40 25mm Box 314,553
121 K-File 45 - 80 25mm Box 373,926
122 Gutta percha point 15 - 40 Box 131,379
123 Gutta percha point 45 - 80 Box 131,379

1 2 3 4
124 Jarum eksterpasi barbed broaches Box 232,441
125 K-File 15 - 40 25mm , 45 - 80 25mm Box 688,479
126 Reamer 15 - 40 25mm , 45 - 80 25mm Box 688,479
127 Paper point 15 - 40 Box 101,061
128 Paper point 45 - 80 Box 101,061
129 Paste filler (jarum lentulo) Box 314,553
130 Medifil Box 1,283,476
131 Sempercare Edition L Box 136,432
132 Sempercare Edition M Box 136,432
133 Sempercare Edition S Box 136,432
134 Files 15-40 Box 346,008
135 Files 45-80 Box 411,319
136 K-Reamer 15-40 Box 346,008
137 K-Reamer 45-80 Box 411,319
138 Triple spray turbine with standard head Pcs 6,432,539
139 Endomethasone P/L Set 1,659,929
140 Caviton = Cimpat Buah 305,710
141 Alveogyl Buah 670,793
142 Medibond Box 1,211,470
143 Devitec free arsen Botol 870,389
144 Tempotec Botol 463,618
145 Rockles Botol 1,049,772
146 Hanshin Film Box 258,969
147 Enrich arch bar frakture banding splint Pcs 1,037,140
148 Kawat fixasi 0.03 mm Gulung 210,965
151 Bur tulang fissure / round straight HP Pcs 42,951
152 Mata bur cutter bone high speed Pcs 483,830
153 Mata bur gigi extra long Pcs 79,586
154 Mata bur high speed (round bur) Pcs 64,426
155 Mata bur high speed (fissure) Pcs 79,586

1 2 3 4
156 Medifil Box 1,283,476
157 Needle 0,3 x 12 mm Box 233,704
158 Needle 0,3 x 16 mm Box 233,704
159 Polikasa 64, 42 Yard x 110 cm Roll 502,779
160 AGP 40 cm x 30 cm x 18 Ply 1's X/Ray MKG Pcs 42,698
161 Bantalan Mata Non Steril Pack 36 's 82,112
162 Benang Pengikat Kg 157,908
163 Cerry Sponges 3 cm Pack 10's 30,066
164 Combine Dressing Pad 10 cm x 10 cm 5's Pack 21,475
165 Combine Dressing Pad 10 cm x 20 cm Pack 5's 36,382
166 Hos-Pak AGP 34 cm x 15 cm x 12 Ply X/R 20's Pack 512,380
167 Hos-Pak AGP 40 cm x 35 cm x 8 ply, 10's, X-Ray Pack 326,680
168 Hos-Pak AGP 70 cm x 36 cm x 4 Ply 10's Plain Pack 141,738
169 Hos-Pak AGP 70 cm x 36 cm x 4 Ply 10's X/Ray Pack 146,791
170 Hos-Pak Darmkast 20 cm x 50 cm x 4 Ply Plain Pack 23,244
171 Hos-Pak Darmkast 35 cm x 50 cm, 6 Ply T Pcs 27,034
172 Hos-Pak Darmkast T 30 cm x 30 cm x 6 Ply Plain Pcs 15,917
173 Hos-Pak Kapas Pembalut Roll 1000gr Roll 154,118
179 Hos-Pak Kapas Suntik 100's Pack 7,580
180 Hos-Pak Kasa SNA 16 cm x 16 cm, 16's ECO Steril Box 16,928
181 Hos-Pak Kasa SNA 4.5 cm x 3 cm x 10 Ply 100's Sterile Pack 68,974
182 Hos-Pak Kasa SNA Sterile 16 x 16 cm Pack 16's 19,707
183 Hos-Pak Laparascopy 2 cm x 20 cm x 10 Ply 100's X/Ray Pack 276,402
184 Hos-Pak Laparascopy 2 cm x 20 cm x 8 Ply 100's X/Ray Pack 267,812

Hos-Pak Laparatomy Sponges 100 cm x 8 cm x 8 Ply 10's
185 Pack 176,352
Plain
Hos-Pak Laparatomy Sponges 30 cm x 30 cm x 6 Ply 10's
186 Pack 115,715
Plain

1 2 3 4
187 Hos-Pak Roll Tampon 1,5 m x 10 cm T Roll 4,358
188 Hos-Pak Roll Tampon 1,5 m x 20 cm T Roll 8,717
189 Hos-Pak Roll Tampon 3 m x 1,5 cm T Roll 7,959
190 Hos-Pak Roll Tampon 3 m x 4 cm T Roll 16,675
191 Hos-Pak Tampon Bedah Mulut T 10 cm x 8 cm (Gigi) 100's Pack 15,159
192 Hos-Pak Tampon Gigi T (10 x 8 cm) 100's Pack 18,949
193 Hos-Pak Tampon Hidung 1 cm x 210 cm (THT) 50's Pack 113,188
194 Hos-Pak Tampon Roll 1 cm x 100 cm (THT) 50's Pack 58,110
195 HP Vaginal Tampon PSt 5cm Pouch 6,569
196 Kasa 55 , 10 cm x 3.6 m Roll 1's 7,074
197 Kasa 55 , 6 cm x 3.6 m Roll 1's 6,064
198 Kasa 55 , 8 cm x 3.6 m Roll 1's 6,316
199 Kasa 64 , 10 cm x 3.6 m Roll 1's 9,853
200 Kasa 64 , 6 cm x 3.6 m Roll 1's 6,822
201 Kasa 64 , 8 cm x 3.6 m Roll 1's 7,832
202 Kasa Lipat 30 cm x 30 cm x 4 lipat Pack 10's 77,817
205 Kasa Lipat 5 cm x 5 cm x 16 lipat , X Ray Pack 100's 136,685
208 Kasa Lipat 6.5 cm x 5 cm x 9 lipat, 100's, Plain Pack 199,848
213 Kasa Lipat 7.5 cm x 7.5 cm x 16 lipat Pack 100's 155,634
214 Kasa Lipat 7.5 cm x 7.5 cm x 16 lipat , X Ray Pack 100's 171,046
215 Kasa Lipat 7.5 cm x 7.5 cm x 32 lipat Pack 50's 115,715
216 Kasa Lipat 7.5 cm x 7.5 cm x 32 lipat , X Ray Pack 50's 145,023
217 Kasa Lipat 7.8 m x 2.5 cm x 4 lipat Pack 10's 112,430
218 Kasa New DRC 100 y x 80 cm Plain Roll 757,958

1 2 3 4
219 Roll Tampon 7 m x 1.25 cm x 4 Ply 1's Plain MKG Pcs 13,643
220 Roll Tampon 7 m x 2.5 cm x 4 Ply 1's Plain MKG Pcs 15,664
221 Roll Tampon 7 m x 5 cm x 4 Ply 1's Plain MKG Pcs 24,507
222 TamponTHT 3mx3cmx1ply,10's Pack 232,441
223 TamponTHT3mx1cmx4ply,LT10's Pack 44,972
224 Tuppers 100's Pack 7,074
225 Vaginal Tampon Pack 10's 67,458
226 Vaginal Tampon, 5 cm x 3 cm, 10's Pack 115,968
227 New DRC 40 y x 20 cm Plain Roll 73,269
228 New DRC 40 y x 80 cm Dengan X/R Roll 376,453
229 New DRC 40 y x 80 cm Tanpa X/R Roll 250,126
230 New DRC 40 Yard x 40 cm Plain Roll 125,063
231 New DRC 80 y x 80 cm Plain Roll 502,779
232 New DRC 80 y x 80 cm X/Ray Roll 755,432
233 New DRC T 100 y x 80 cm Plain Roll 644,264
235 New DRC T 20 y x 80 cm X/Ray Roll 214,755
237 New DRC T 40 y x 80 cm X/Ray Roll 376,453
238 CV-402-10 Pcs 1,326,427
239 CVN-702-20Y (W/ STOPCOCK) Pcs 795,856
240 CVN-703-16 (W/ STOPCOCK) Pcs 1,061,142
241 EL3380 Pcs 1,579,080
242 PT24 Pcs 69,480
243 LMA ProSeal™ Size 1½ Pcs 6,316,319
244 LMA ProSeal™ Size 3 Pcs 6,316,319
245 LMA ProSeal™ Size 4 Pcs 6,316,319
246 LMA Unique™ Size 1 Pcs 391,612
247 LMA Unique™ Size 1½ Pcs 391,612
249 LMA Unique™ Size 2½ Pcs 391,612

1 2 3 4
253 LMA Supreme™ SU Size 1 Pcs 663,213
254 LMA Supreme™ SU Size 1½ Pcs 663,213
256 LMA Supreme™ SU Size 2½ Pcs 663,213
260 CV-401-16 Pcs 631,632
261 CV-401-20 Pcs 587,418
262 CV-402-16 Pcs 1,326,427
263 CV-501-20 Pcs 568,469
264 CV-502-10 Pcs 1,326,427
265 CV-502-16 Pcs 1,326,427
266 CVN-702-16Y (W/ STOPCOCK) Pcs 1,061,142
267 CVN-703-20Y (W/ STOPCOCK) Pcs 852,703
268 CVN-804-20Y (W/ STOPCOCK-CAP) Pcs 1,307,478
269 EL1480 Pcs 1,579,080
270 EL1580 Pcs 1,579,080
271 EL1680 Pcs 1,579,080
272 PT84 (BULK PACK WITH BOX & LABEL) Pcs 69,480
273 BTR4812-3 (BULK PACK WITH BOX & LABEL) Pcs 505,305
274 BTR2-4812 (BULK PACK WITH BOX & LABEL) Pcs 1,010,611
275 BTR3-4812 (BULK PACK WITH BOX & LABEL) Pcs 1,263,264
276 BT-201 BIOTRANS II BASEPLATES Pcs 1,642,243
277 DPT-POLE MOUNT Pcs 1,642,243
278 MAC-09 (DATEX) Pcs 2,798,129
279 MAC-16 (TIC DT) Pcs 1,894,896
280 MAC-41 (VTK) Pcs 2,147,548
281 MAC-29 (TIC HP12) Pcs 1,894,896
282 MAC-51 (TIC-GE MARQUETTE TRAM) Pcs 1,894,896

1 2 3 4
283 MAC-55 (NIHON KOHDEN) Pcs 2,716,017
284 MAC-66 (SIEMEN 10 PIN) Pcs 3,852,954
285 MAC-67 (SIEMEN 15 PIN) Pcs 19,833,240
286 LMA Classic Pcs 6,316,319
287 LMA ProSeal Pcs 6,316,319
288 LMA Flexible Pcs 12,948,453
289 LMA Fastrach Pcs 17,812,019
290 LMA Fastrach™ ETT (Reusable) Pcs 2,589,691
291 LMA™ Cuff Deflator Pcs 1,389,590
292 LMA Fastrach ETT (SU) Pcs 612,683
293 LMA Flexible SU Pcs 1,149,570
294 LMA Fastrach SU Pcs 1,452,753
295 Pediatric Arterial Filter (AF-02) Pcs 1,728,650
296 Neonate Oxygenator ( RX05RW) Unit 17,742,286
297 Neonate Oxygenator (RX05RE) Unit 17,742,286
298 Infant Oxygenator (RX15RE30) Unit 10,421,926
299 Infant Oxygenator (RX15RW30) Unit 10,421,926
300 Arterial Filter (AF-125X) Pcs 1,789,792
301 Adult Oxygenator (SX 18R) Unit 14,045,977
302 Pediatric Oxygenator (SX10R) Unit 14,045,977
303 Pediatric Oxygenator (RX15RE40) Unit 10,421,926
304 Pediatric Oxygenator (RX15RW40) Unit 10,421,926
305 Adult Oxygenator (RX25RE) Unit 12,464,623
306 Adult Oxygenator (RX25RW) Unit 12,464,623
307 Cuvette 1/2" X 1/2" Pcs 583,628
308 Cuvette 3/8" X 3/8" Pcs 592,092
309 Cuvette 1/4" X 1/4" Pcs 592,092
310 PTCA - BALLOON CATHETER Pcs 7,656,641
311 PCI GUIDE WIRE Pcs 2,945,931
312 GUIDING CATHETER Pcs 2,584,638
313 BARE METAL STENT (BMS) - Cobalt Chromium Pcs 10,213,487
314 DRUG ELUTING STENT Pcs 25,146,022

1 2 3 4
315 Starter Pack TRI KIT Pcs 1,894,896
316 Radiofocus Introducer II M Coat for radial use A Kit Pcs 1,067,458
317 Radiofocus Optitorque Pcs 644,264
318 Radiofocus Introducer II M with Metal Needle Pcs 505,305
319 Film Ukuran 18x24cm type CP-GU 100 lbr/Box 1,692,521
324 Film Ukuran 15x30cm type CP-GU (Panoramic) 100 lbr/Box 1,996,588
325 Developer Automatic type E.O.S Dev 2x20 ltr/Box 2,223,344
326 Fixer Automatic type E.O.S Fix 2x25 ltr/Box 2,206,669
327 Film Mamoray Type HDR-C Ukuran 18x24cm 100 lbr/Box 4,828,320
328 Film Dental Dentus Type M2 Ukuran 3x4cm 150 lbr/Box 3,560,130
329 Kertas Printer Endoscopy type UPC-21L Box 3,335,016
330 Kertas Printer USG Type UPP-110 HG Roll 375,189
331 Delivery System Circuit Buah 2,202,816
332 Nasal Prong Buah 237,494
333 Nasal Tubing Buah 686,900
334 Head Gear Buah 893,759
335 Infant Bonnet 17-22 cm Buah 797,435
339 Bubble CPAP Mask Size S Buah 446,880
340 Bubble CPAP Mask Size M Buah 446,880
341 Bubble CPAP Mask Size L Buah 446,880
342 Optiflow Tubing Kit Buah 3,481,871
343 Nasal cannula Optiflow Premature Buah 1,721,197
344 Nasal cannula Optiflow Neonatal Buah 1,721,197
345 Nasal cannula Optiflow Infant Buah 1,721,197
346 Nasal cannula Optiflow Pediatric Buah 1,721,197

1 2 3 4
347 Wigglepad Optiflow for Premature Buah 3,126,578
348 Wigglepad Optiflow for Neonatal, Infant, Pediatric Buah 2,684,435

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 781 / 2016

1 SAFAR 1438 H
KELOMPOK BARANG
OBAT - OBATAN
HARGA OBAT( NON E-CATALOG )
1 2 3 4
1 ALERFED SYRUP 60 ML BTL 59,832
2 ALERFED TABLET 5X10'S BOX 174,509
3 ALGANAX 0.25 MG TABLET 2X20'S BOX 159,551
4 ALGANAX 0.5 MG TABLET 2X20'S BOX 259,271
5 ALGANAX 1 MG TABLET 2X20'S BOX 398,878
6 ALMEN TABLET SALUT SELAPUT 3X10'S BOX 1,234,030
7 ANADIUM KAPLET SALUT SELAPUT 3X10'S BOX 538,486
8 CEPHAFLOX 1 GRAM INJEKSI BOX @ 1 VIAL BOX 463,696
9 CIFLOS 500 MG TABLET 2X10'S BOX 598,317
10 COPAL CHEST RUB 25 GR TUB 29,916
11 COPAL CHEST RUB 36 GR BTL 42,381
12 CUPANOL SYRUP 60 ML BTL 44,874
13 DHAVIT SYRUP 60 ML BTL 62,325
14 ELGRAN 1 MG TABLET 5X10'S BOX 274,229
15 ELGRAN 2 MG TABLET 5X10'S BOX 436,273
16 ELOX CREAM 10 GR TUB 162,044
17 ELOX CREAM 5 GRAM TUB 99,720
18 EMIBION KAPSUL 10X10'S BOX 299,159
19 ERAPHAGE 500 MG KAPLET 10X10'S BOX 299,159
20 ETHIGOBAL INJEKSI 6 AMP @ 1 ML BOX 290,184
21 ETHIGOBAL KAPSUL 50'S BOX 243,066
22 EVOTHYL 100 MG KAPSUL 5X6'S BOX 291,680
23 EVOTHYL 300 MG KAPSUL 5X6'S BOX 740,418
24 EXAFLAM 25 MG TABLET 5X10'S BOX 186,974
25 EXAFLAM 50 MG TABLET 5X10'S BOX 299,159
26 EXERGIN 4.5 MG TABLET 2X20'S BOX 578,374
27 EXTROPECT 30 MG TABLET 5X10'S BOX 118,417
28 EXTROPECT SYRUP 60 ML BTL 59,832
29 FLU-TAB TABLET 15X8'S BOX 194,453
30 FORASMA SYRUP 60 ML BTL 59,832
31 FORASMA TABLET 5X10'S BOX 137,114
32 FORCANOX 100 MG KAPSUL 3X6'S BOX 875,039
33 FORELAX TAB SALUT SELAPUT 5X10'S BOX 498,598
STANDAR SATUAN HARGA BARANG OBAT - OBATAN 249

1 2 3 4
34 FULADIC 2 % SALEP 5 GRAM TUB 112,185
35 FULADIC CREAM 5 GRAM TUB 112,185
36 FUNGARES CREAM 10 GRAM TUB 69,804
37 FUNGARES CREAM 5 GRAM TUB 39,888
38 FUNGASOL 200 MG TABLET 5X10'S BOX 573,388
39 FUNGASOL CREAM 10 GRAM TUB 57,339
40 FUNGASOL SS 1 % 80 ML BTL 114,678
41 FUNGASOL SS 2 % 80 ML BTL 162,044
42 GALEPSI 300 MG KAPSUL 3X10'S BOX 695,544
43 GALFLUX 10 MG TABLET 2X20'S BOX 358,990
44 GENICOL 250 MG KAPSUL 100'S BOX 249,299
45 GENICOL 500 MG KAPSUL 10X10'S BOX 822,687
46 GENOLON KRIM 10 GRAM TUB 82,269
47 GETIDIN INJEKSI 5 AMP @ 2 ML BOX 236,834
48 GLAMAROL 1 MG TABLET 5X10'S BOX 261,764
52 GOCLID 250 MG TABLET 2X10'S BOX 349,019
53 GOFLEX TABLET 5X6'S BOX 635,712
54 GOFORAN INJEKSI 1 GRAM @ VIAL VIA 356,497
55 GORALGIN KAPLET 10X10'S BOX 299,159
56 GOTROPIL 1 GR INJEKSI 10 AMPUL @ 5 ML BOX 398,878
57 GOTROPIL 12 G INFUS 1 VIAL @ 60 ML BOX 473,668
58 GOTROPIL 1200 MG KAPLET 5X10'S BOX 560,923
59 GOTROPIL 3 GR INJ. @ 5 AMP (RONDO) BOX 585,853
60 GOTROPIL 800 MG KAPLET 5X10'S BOX 411,343
61 GOVAZOL 150 MG KAPSUL 3'S BOX 508,570
62 GOVAZOL INFUS 1 VIAL 2 MG/ML BOX 448,738
63 GOVOTIL 2 TABLET 2X20'S BOX 129,635
64 GOVOTIL 5 TABLET 2X20'S BOX 259,271
65 GOVOTIL INJEKSI 1 ML 6 AMPUL BOX 299,159
66 GUARPOSID 5 TABLET 5X10'S BOX 436,273
67 HUSTADIN SYRUP 60 ML BTL 41,134
68 INDANOX 150 MG KAPSUL 10X6'S BOX 553,444

1 2 3 4
69 INDANOX 300 MG KAPSUL 10X6'S BOX 942,350
70 IREMAX TABLET 10X10'S BOX 224,369
71 IRONYL KAPLET SALUT SELAPUT 10X10'S BOX 523,528
72 KETO-G KAPLET 5X10'S BOX 810,222
73 KTM 100 INJEKSI 1 VIAL 10 ML BOX 453,724
74 LAMODEX CREAM 10 GRAM TUB 86,756
75 LEFOS 500 MG TABLET 10'S BOX 822,687
76 LEFOS 750MG/150 ML INFUS BTL 722,967
77 LEFOS INFUS 100 ML BOX 635,712
78 LEOMOXYL 500 MG KAPSUL 10X10'S BOX 710,502
79 LEOMOXYL DRY SYRUP 60 ML BTL 48,613
80 LEOMOXYL FORTE DRY SYRUP 60 ML BTL 69,804
81 LIPARIN LICAPS 5X12'S BOX 822,687
82 LOPITEN 10 MG TABLET 3X10'S BOX 710,502
83 LOPITEN 5 MG TABLET 3X10'S BOX 411,343
84 LORAN 10 MG KAPLET 3X10'S BOX 329,075
85 MAGANOL TABLET 10X12'S BOX 122,655
86 MEREM INJEKSI 1 GRAM 1 VIAL BOX 1,071,985
87 NALETAL 100 MG TABLET 3X10'S BOX 673,107
88 NALETAL 50 MG TABLET 3X10'S BOX 523,528
89 NEUROHAX 5000 TAB.SALUT SELAPUT 5X10'S BOX 249,299
90 NEUROHAX TABLET 10X10'S BOX 274,229
91 NEVIRZ 400 MG TABLET 3X10'S BOX 262,512
92 NOBOR TABLET 3X10'S BOX 261,764
93 NORESTIL TABLET 3X10'S BOX 299,159
94 NORSEC 20 MG KAPSUL 14'S BTL 415,332
95 NORSEC INJEKSI 1 VIAL+1 AMP PELARUT BOX 326,582
96 NUCEF KAPSUL 3X10'S BOX 1,383,609
97 NUCEF SIRUP KERING 30 ML BTL 183,235
98 NUCOLINE 1000 MG 2 AMP @ 8 ML BOX 448,738
99 NUCOLINE 250 MG INJEKSI 5 AMP @ 2 ML BOX 423,808
100 NUCOLINE 500 MG INJEKSI 5 AMP @ 4 ML BOX 747,897
101 NUCRAL 10 ML 15 SACHET BOX 205,672
102 NUCRAL SUSPENSI 100 ML BTL 118,417
103 NUCRAL SUSPENSI 200 ML BTL 180,742

1 2 3 4
104 NUCRAL TABLET 6 X 10'S BOX 269,243
105 NUDEP 50 MG CAPTAB 3X10'S BOX 972,266
106 NUFACE 0.025% CREAM 10 GR TUB 64,818
107 NUFACE 0.05% CREAM 10 GRAM TUB 89,748
108 NUFIROM INJEKSI 1 VIAL @ 1 GR BOX 660,642
109 NUFIT KAPLET SALUT SELAPUT 5X4'S BOX 329,075
110 NUFIT SIRUP 60 ML BTL 139,607
111 NULACTA (UNTUK IBU) 5X12'S BOX 568,402
112 NULACTA PLUS LICAPS 5X12'S BOX 747,897
113 NULAGYL INFUS 100 ML BOX 173,263
114 NUVISION TABLET SALUT SELAPUT 3X10'S BOX 366,469
115 NUZIP 100 MG TABLET 3X10'S BOX 1,308,819
116 NUZIP 25 MG TABLET 5X10'S BOX 560,923
117 NUZYM KAPSUL 6X10'S BOX 897,476
118 NYNDIA DROPS 12 ML BTL 87,255
119 ONDANE 4 5 AMPUL @ 2 ML BOX 346,526
120 ONDANE 8 5 AMPUL @ 4 ML BOX 560,923
121 ONDANE SIRUP 60 ML BTL 199,439
122 OPOX TABLET 6X10'S BOX 179,495
123 OPUS KAPLET SALUT SELAPUT 5X10'S BOX 598,317
124 OXTIN 30 MG TABLET 5X10'S BOX 436,273
125 PILOPIL 20 MG TABLET 5X6'S BOX 246,806
126 PONSAMIC 500 MG TABLET 10X10'S BOX 311,624
127 PROCUR PLUS KAPSUL 5X10'S BOX 722,967
128 PROFEN SUSPENSI 60 ML BTL 48,613
129 PROSTER TABLET 3X10'S BOX 747,897
130 Q CEF 500 MG KAPLET 5X6'S BOX 703,023
131 Q CEF DRY SYRUP 60 ML BTL 104,706
132 REFER STRETCHMARK CARE CREAM 50 GR TUB 236,834
133 RIZODAL - 1 TABLET 1X20'S BOX 244,313
136 RYDIAN 10 MG TABLET 3 X 10'S BOX 284,201
137 SINES 10 MG TABLET 100'S BOX 249,299
138 STENIROL 16 MG TABLET 50'S BOX 797,757

1 2 3 4
139 STENIROL 4 MG KAPLET 50'S BOX 349,019
140 STENIROL 8 MG TABLET 50'S BOX 523,528
141 STENIROL INJ.1 VIAL+1 AMP PELARUT 125 ML BOX 199,439
142 STROMAG TABLET 10X10'S BOX 172,016
143 TERANOL 10 MG TABLET 3X10'S BOX 373,948
144 TERANOL INJEKSI 30 MG/ML 6 AMPUL BOX 486,133
145 THECORT CREAM 5 GRAM TUB 130,882
146 TRIOCOL 0.25 SOFT CAPSULE 30'S BTL 463,696
147 TRIOCOL 0.50 SOFT CAPSULE 30'S BTL 747,897
148 UNALIUM 10 MG TABLET 40'S BOX 658,149
149 UNALIUM 5 MG TABLET 40'S BOX 488,626
150 URSOLIC 250 MG KAPSUL 3X10'S BOX 650,670
151 VOMIL B6 TABLET SALUT GULA 10X10'S BOX 548,458
152 XIDANE GEL @ 30 GRAM BOX 162,044
153 XIDANE LICAPS 3X10'S BOX 493,612
154 ZIBRAMAX 500 MG CAPTAB 6'S BOX 493,612
155 ZIBRAMAX SIRUP KERING 15 ML BTL 224,369
156 ZUDEM 10 MG TABLET 3X10'S BOX 329,075
157 ANALSPEC 250 MG KAPSUL 10X10'S BOX 130,882
158 ANALSPEC 500 MG KAPLET 10X10'S BOX 299,159
159 ASAMNEX 500 MG TABLET 3X10'S BOX 173,886
160 BALTICIN 5 GRAM TUB 22,437
161 BRENARIS 400 MG KAPSUL 10X10'S BOX 396,635
162 BRENARIS 500 MG SYRUP 100 ML BTL 96,479
163 CLOPES 200 MG TABLET 5X6'S BOX 421,565
164 CLOPES 400 MG KAPLET 5X6'S BOX 713,992
165 COUGH EN PLUS SYRUP 60 ML BTL 34,902
166 COUGH EN PLUS SYRUP 120 ML BTL 44,874
167 COUGH EN SYRUP 60 ML BTL 29,916
168 DIABION CAPSUL 10X10'S BOX 274,229
169 GESTAMAG SUSPENSI SYRUP 100 ML BTL 49,860
170 GESTAMAG SUSPENSI SYRUP 170 ML BTL 58,336
171 GESTAMAG TABLET 100'S ( TO ) BOX 52,126
172 GESTAMAG TABLET 10X10'S BOX 149,579
173 GLOMASIN 150 MG KAPSUL 30'S BOX 244,766

1 2 3 4
174 GLOMASIN 300 MG KAPSUL 30'S BOX 407,944
175 GLOMESON TABLET 50'S BOX 271,985
176 GRAFOLA KAPLET 30'S BOX 299,159
177 IGLODEP 30'S BOX 642,511
178 KADIFLAM 25 MG TABLET 5X10'S BOX 136,865
179 KADIFLAM 50 MG TABLET 5X10'S BOX 373,948
180 KANDISTATIN DROP SUSPENSI 12 ML BTL 87,255
181 KOLESKOL 10 MG TABLET 3X10'S BOX 785,292
182 LENTRIN 400 MG KAPLET 10X10'S BOX 1,074,478
183 LEPSITOL 200 MG TABLET 10X10'S DUS 499,844
184 LIFIBRON 300 MG KAPSUL 10X10'S BOX 498,598
185 LIFIBRON 600 MG KAPSUL 10X10'S BOX 952,073
186 MEFLOSIN 250 MG TABLET 10X10'S BOX 1,308,819
187 MEFLOSIN 500 MG KAPLET 10X10'S STP 260,631
188 MEFLOSIN 500 MG KAPLET 5X6'S BOX 897,476
189 MEFOXA 200 MG TABLET 5X6'S BOX 673,107
190 MESTAMOX 125 MG DRY SYRUP 60 ML BTL 44,874
191 MESTAMOX 250 MG KAPSUL 10X10'S BOX 316,610
192 MESTAMOX 500 MG KAPSUL 10X10'S BOX 673,107
193 METASKIN-N 10 GR KRIM TUB 52,353
194 METASKIN-N 10 GR KRIM (KHUSUS) TUB 14,958
195 METOPRIL 12,5 MG TABLET 10X10'S BOX 416,579
196 METOPRIL 25 MG TABLET 10X10'S BOX 872,546
197 METOPRIL 50 MG TABLET 10X10'S BOX 985,864
198 MURAZID CREAM 10 GRAM TUB 49,860
199 MYOMAN 30'S BOX 190,464
200 PEDILIS SYRUP 120 ML BTL 68,557
201 PEDILIS SYRUP 60 ML BTL 49,860
202 PEDIMIN DROP 15 ML BTL 62,325
203 PENAGON 500 MG KAPLET 10X10'S BOX 299,159
204 PROGESIC 500 MG TABLET 25X4'S BOX 105,952
205 PROGESIC SYRUP 60 ML BTL 49,860
206 REXIL 10 MG KAPSUL 100'S BOX 196,323
207 REXIL 20 MG KAPSUL 10X10'S BOX 356,996
208 RILEVO KAPLET SALUT SELAPUT 2X10'S BOX 1,371,144

1 2 3 4
209 SUSU MAMAVITA 200 GR BOX 65,724
210 THISLACOL 250 MG KAPSUL 10X10'S BOX 404,612
211 THISLACOL 500 MG KAPSUL 10X10'S BOX 822,687
212 TISACEF 125 MG/5 ML DRY SYRUP 60 ML BTL 99,720
213 TISACEF 250 MG/5 ML DRY SYRUP 60 ML BTL 162,044
214 TISACEF 500 MG KAPSUL 5X6'S BOX 747,897
215 TISMAFAM 20 MG TABLET 10X10'S BOX 725,211
216 TISMAFAM 40 MG TABLET 10X10'S BOX 1,130,446
217 TISMALIN 2.5 MG TABLET 10X10'S BOX 199,439
218 TISMAMISIN 250 MG KAPSUL 10X10'S BOX 476,036
219 TISMAMISIN 500 MG KAPSUL 10X10'S BOX 1,047,056
220 TISMAZOL 250 MG TABLET 10X10'S BOX 226,114
221 TISMAZOL 500 MG KAPLET 10X10'S BOX 436,273
222 TYLONIC 100 MG TABLET 10X10'S BOX 349,019
223 TYLONIC 300 MG TABLET 10X10'S BOX 747,897
224 VASOTIN 25 MG TABLET 100'S BOX 113,431
225 VASOTIN 75 MG TABLET 10X10'S BOX 309,380
226 VILAPON 10 MG TABLET 10X10'S BOX 138,361
227 VILAPON 5 MG TABLET 10X10'S BOX 109,567
228 XEPABET TABLET 100'S BOX 461,203
229 XEPABION KAPLET 10X10'S BOX 373,948
230 XEPACILLIN 125 MG DRY SYRUP 60 ML BTL 22,437
231 XEPACILLIN 250 MG DRY SYRUP 60 ML BTL 36,262
232 XEPACILLIN 250 MG KAPLET 100'S BOX 190,714
233 XEPACILLIN 500 MG KAPLET 10X10'S BOX 317,358
234 XEPADERGIN 1 MG TABLET 10X10'S BOX 416,579
235 XEPADERGIN 4.5 MG TABLET 10X10'S BOX 1,401,060
236 XEPAFEN 400 MG TABLET 10X10'S BOX 107,697
237 XEPAFEN FORTE SUSPENSI 50 ML BTL 49,860
238 XEPALAT 10 MG TABLET 10X10'S BOX 194,453
239 XEPALAT 5 MG TABLET 10X10'S BOX 95,232
240 XEPALIUM 10 MG TABLET 5X10'S BOX 747,897
241 XEPALIUM 5 MG TABLET 5X10'S BOX 560,923
242 XEPALODIN 10 MG TABLET 5X10'S BOX 475,912
243 XEPAMET 200 MG KAPLET 10X1'S BOX 317,358

1 2 3 4
244 XEPAMOL DROP 15 ML BTL 49,860
245 XEPANEURON KAPLET 10X10'S BOX 243,066
246 XEPANICOL 125 MG SYRUP 60 ML BTL 29,916
247 XEPANICOL 250 MG KAPSUL 10X10'S BOX 130,383
248 XEPAPRIM 480 MG TABLET 10X10'S BOX 170,022
249 XEPAPRIM FORTE KAPLET 10X10'S BOX 373,948
250 XEPAPRIM SYRUP 60 ML BTL 52,353
251 XEPARE 2 MG TABLET 10X10'S BOX 261,764
252 XEPATHRITIS 25 MG TABLET 10X10'S BOX 172,515
253 XEPATHRITIS 50 MG TABLET 10X10'S BOX 328,825
254 XEPAVIT KAPLET 10X10'S BOX 498,598
255 XEPAZYM 170 MG KAPLET 5X10'S BOX 311,624
256 XERADIN 150 MG TABLET 5X6'S BOX 285,697
257 CAMIDEXON INJEKSI 5 MG/ML AMPUL AMP 12,692
258 CAMIDRYL 10 VIAL/10 ML BOX 200,686
259 CAMIGESIC 100 MG/2 ML 10 AMP BOX 317,290
260 CEFEMET INJEKSI 1 G @ 1 VIAL BOX 560,923
261 CEFTRIMET INJEKSI 1 G @ 1 VIAL BOX 448,738
262 CHOLIMED 250 MG/2 ML 10 AMP BOX 680,088
263 CORTISON ACETAT 10 VIAL/10 ML BOX 628,233
264 DOBUTAMIN 250 MG/10 ML 1 VIAL BOX 182,362
265 GLOCEF INJEKSI 1 GR @ 1 VIAL BOX 286,694
266 GLOMETHYL 0.2 MG/ML 10 AMP BOX 170,147
267 LUNEX 250 MG/5 ML 10 AMP BOX 180,991
268 LUNEX 500 MG/5 ML 10 AMP BOX 245,310
269 METPENEM INJEKSI 1 G @ 1 VIAL BOX 922,406
270 METXIME INJEKSI 1 G @ 1 VIAL BOX 311,624
271 PIRACETAM 1.000 MG/5 ML 10 AMP BOX 142,100
272 PIRACETAM 3000 MG /15 ML @ 5 AMPUL BOX 224,369
273 RENXON INJEKSI 1 GR @ 1 VIAL BOX 411,343
274 METILAT 0.125 MG TABLET 10X10'S BOX 548,458
275 ASTAFIT CREAM 20 GR TUB 186,974
276 BLOOD STOP 5.1 CMX5.1 CM @20 STERILE PAC DUS 4,985,979
277 KANDISTATIN DROP SUSPENSI 12 ML BTL 56,092
278 PROGRESIC SYRUP 60 ML BTL 18,810

1 2 3 4
279 PURASTAT 1 ML @ 1 SYRINGE BOX 3,739,484
280 TISMAMISIN 500 MG CAPSUL CAP 7,230
281 ARTRITIN TABLET 60'S BTL 336,554
282 BIO-E 200 SOFT KAPSUL 30'S BTL 175,756
283 BIO-E 200 SOFT KAPSUL 60'S BTL 349,019
284 BIOSAN TABLET 3X6'S BOX 560,923
285 CALOSBON TABLET 30'S BTL 209,411
286 CALSICAL TABLET 30'S BTL 224,369
287 GELANT SYRUP @ 120 ML BTL 68,557
288 GINKONA TABLET 5X6'S BOX 358,990
289 IMUMAX KAPLET 30'S BTL 317,856
290 MALTRON 30'S BOX 966,600
291 MAXIVIT KAPSUL 10X10'S BOX 661,889
292 NOSIRAX CAPSUL 100'S BOX 997,196
293 NUTRICASSOL KRIM 10 GRAM TUB 113,431
294 PROBIEN CAPSUL 100'S BOX 589,252
295 SUNRECOME 500 MG / 15 SCH BOX 4,306,141
296 THYMAX SYRUP @ 120 ML BTL 74,790
297 TRIBESTAN 250 MG TABLET 50'S (KH) BTL 1,087,850
298 TRIBESTAN TABLET 5X4'S BOX 623,247
299 TRIPID KAPSUL 10X10'S BOX 872,546
300 VENARON CAPSULE 100'S BOX 589,252
301 VITA-VISION KAPSUL 30'S BTL 222,499
302 WACOPA TABLET 2 X 6'S BOX 747,897
303 XANDA DS 120 ML BTL 149,579
304 XANDA SYRUP 120 ML BTL 124,649
305 XANDA SYRUP 60 ML BTL 74,790
306 XEPAGEL CREAM 75 GR TUB 311,624
307 BENZOLAC-CL GEL 10 GRAM TUB 65,815
308 CARMED 10 % CREAM 40 GRAM TUB 65,566
309 CARMED 20 % CREAM 40 GR TUB 84,388
310 DEPIGMEN 30 ML DUS 113,805
311 DESOLEX 0.05 % LOTION 10 ML BTL 58,087
312 DESOLEX 0.05 % LOTION 30 ML BTL 114,553
313 DESOLEX CREAM 10 GRAM TUB 51,480

1 2 3 4
314 DESOLEX N CREAM 10 GRAM TUB 64,444
315 DESOLEX OINTMENT 10 GRAM TUB 51,480
316 ERYMED CREAM 20 GRAM TUB 64,942
317 ERYMED GEL 15 GRAM TUB 64,942
318 ERYMED PLUS 30 ML BTL 96,603
319 ERYMED SOLUTION 30 ML BTL 64,942
320 KETOMED CREAM 15 GRAM TUB 59,333
321 KETOMED GEL 15 GRAM TUB 59,333
322 KETOMED SCALP SOLUTION 60 ML BTL 90,745
323 KLODERMA 0.05 % GEL 5 GRAM TUB 46,120
324 KLODERMA CREAM 10 GRAM TUB 68,557
325 KLODERMA CREAM 5 GRAM TUB 46,120
326 KLODERMA OINTMENT 10 GRAM TUB 68,557
327 KLODERMA OINTMENT 5 GRAM TUB 46,120
328 MEDICORT CREAM 10 GRAM TUB 125,273
329 MEDICORT CREAM 5 GRAM TUB 72,546
330 MEDI-KLIN GEL 15 GRAM TUB 51,854
331 MEDI-KLIN SOLUTION 30 ML BTL 95,980
332 MEDI-KLIN TR GEL 15 GRAM TUB 91,243
333 MEDIQUIN CREAM 15 GRAM TUB 65,815
334 MELANOX ES CREAM 15 GR DUS 135,743
335 MELANOX FORTE 4% CREAM 15 GRAM TUB 70,302
336 MOFACORT CREAM 10 GRAM TUB 150,826
337 MOFACORT CREAM 5 GRAM TUB 78,903
338 MOFACORT OINTMENT 10 GR TUB 150,826
339 NIACEF GEL 15 GRAM TUB 64,942
340 PALENOX GEL 15 GRAM TUB 122,156
341 PARASOL LOTION SPF 45 30 ML TUB 164,163
342 PIROTOP 10 GR DUS 132,066
343 PIROTOP CREAM 5 GR DUS 83,640
344 PIROTOP OINTMENT 10 GR TUB 145,341
345 REFAQUIN 15 GRAM TUB 141,851
346 REGROU 30 ML BTL 124,774
347 REGROU FORTE 5 % SOLUTION 30 ML BTL 223,995
348 REVIDERM 0.01 % CREAM 15 GRAM TUB 59,707

1 2 3 4
349 REVIDERM 0.02 % CREAM 15 GRAM TUB 63,447
350 SAGALON CREAM 10 GRAM TUB 83,017
351 TEKASOL OINTMENT 10 GRAM TUB 86,382
352 TOPICARE CLEANSER SOLUTION 90 ML BTL 137,114
353 TOPICARE SOOTHING CREAM 30 GR TUB 163,291
354 TOPICARE SOOTHING CREAM 50 GR TUB 236,834
355 TOPICARE+CERAMIDE SHOOTHING CREAM 100 GR TUB 311,624
356 VITACID 0,025% CREAM 15 GRAM TUB 52,103
357 VITACID 0,05% CREAM 20 GRAM TUB 76,410
358 VITACID 0,1% CREAM 20 GR TUB 98,099
359 VITACID 0.025 % GEL 20 GRAM TUB 52,103
360 VITACID 0.05 % LOTION 50 ML BTL 105,578
361 BENZOLAC 5 5 GRAM TUB 13,711
362 ACTINOL CREAM 15 GR TUB 211,904
363 ARBY CREAM 15 MG BTP 224,369
364 GLIKODERM 20 % SOLUTION 30 ML BTL 189,467
365 GLIKODERM 35 % SOLUTION 30 ML BTL 296,666
366 GLIKODERM PEEL NEUTRALIZER @200 ML BTL 186,974
367 GLYCODERM 10 % 500 GR POT 2,056,716
368 GLYCODERM 10 % CREAM 20 GR POT 83,017
369 GLYCODERM 4 % CREAM 20 GR TUB 49,860
370 GLYCODERM 4 % CREAM 500 GR POT 1,205,236
371 GLYCODERM 4 % CREAM MOISTURIZING 500 GR POT 529,760
372 GLYCODERM 4 % MOISTURIZING 20 GR POT 27,149
373 GLYCODERM 50 % SOLUTION 30 ML BTL 438,766
374 GLYCODERM 70 % SOLUTION 30 ML BTL 623,247
375 GLYCODERM 8 % 500 GR POT 1,782,487
376 GLYCODERM 8 % CREAM 20 GR POT 70,926
377 GLYCODERM 8 % CREAM MOISTURIZING 20 GR POT 34,777
378 GLYCODERM 8 % MOISTURIZING 20 GR TUB 29,916
379 GLYCODERM 8 % MOISTURIZING CREAM 500 GR POT 623,871
380 GLYCODERM CLARIFYING FC GEL 100 ML BTL 46,494
381 GLYCODERM CLARIFYING FC GEL 1000 ML BTL 460,704
382 GLYCODERM CLARIFYING FC W/GA 2 % 100 ML BTL 90,496
383 GLYCODERM CLARIFYING FC W/GA 4 % 100 ML BTL 129,760

1 2 3 4
384 GLYCODERM CLARIFYING FC W/PHA 4 % 100 ML BTL 69,430
385 GLYCODERM CLARIFYING FC W/PHA 4% 1000 ML BTL 680,088
386 GLYCODERM MILK CLEANSER 100 ML BTL 45,871
387 GLYCODERM MILK CLEANSER 1000 ML BTL 438,766
388 GLYCODERM SKIN TONER + PHA 4 % 100 ML BTL 40,760
389 GLYCODERM SKIN TONER + PHA 4 % 1000 ML BTL 393,643
390 HYALUMOIST CREAM 15 GR POT 211,904
391 PARASOL CR. WHITE SPF 33 W/GLUC.4% 20 GR TUB 129,760
392 PARASOL CREAM 20 GR (PEACOCK) TUB 84,138
393 PARASOL CREAM 500 GR POT 1,990,901
394 PARASOL CREAM SPF 33 20 GR (PEACOCK) TUB 116,173
395 PARASOL CREAM SPF 33 500 GR POT 2,805,361
396 PARASOL CREAM SPF 33 W/GLUC.NO 4 % 20 GR TUB 129,760
397 PARASOL CREAM WHITE 20 GR TUB 84,138
398 PARASOL CREAM WHITE 500 GR POT 1,990,901
399 PARASOL CREAM WHITE SPF 33 20 GR TUB 116,173
400 PARASOL CREAM WHITE SPF 33 500 GR POT 2,805,361
401 PARASOL GEL 20 GR TUB 42,256
402 PARASOL GEL 500 GR POT 981,739
403 SKIN BRIGHT-ANTI AGING GOLD SERUM 15 GR BTL 224,369
404 GLIKODERM 10 % 20 GR POT 44,874
405 PARASOL LOTION SPF - 4 120 ML BTL 62,325
406 BENZOLAC 2,5 MG 5 GR TUB 30,165
407 BENZOLAC 5 % 5 GR TUB 39,888
408 CARMED LOTION 100 ML(NEW) TUB 66,064
409 CARMED LOTION 120 ML BTL 66,064
410 CARMED LOTION 50 ML(NEW) TUB 36,148
411 MELANOX COMPLETE KIT PKT 186,974
412 MELANOX FACE UV PROTECTOR 25 GR TUB 123,403
413 MELANOX FACIAL CLEANSING GEL 125 ML BTL 91,867
414 MELANOX PREMIUM CREAM 14 G POT 248,925
415 MELANOX PREMIUM SERUM 15 ML BTL 248,925
416 MELANOX SKIN TONER 125 ML BTL 91,867
417 PABANOX CREAM 20 GR TUB 100,467
418 PABANOX LOTION SPF - 4 120 ML BTL 68,557

1 2 3 4
419 PARASOL CREAM 20 GR TUB 84,138
420 PARASOL CREAM 20 GR TUB 42,381
421 PARASOL CREAM SPF - 33 20 GR TUB 116,173
423 PARASOL LOTION SPF - 30 120 GR TUB 174,260
425 PARASOL LOTION SPF 45 50 ML TUB 248,676
426 ANTHRAMED CREAM 20 GR TUB 69,180
427 MELANOX CREAM TUB 66,438
428 VITAQUIN CREAM 15 GR TUB 136,491
429 ALBUCETINE 0.6 ML @ 5'S MINIDOSE STP 34,279
430 ALBUCETINE 5 ML BTL 26,176
431 ALBUCETINE EYE OINTMENT 3,5 GR TUB 40,792
432 ALBUVIT 10 % 0.6 ML @ 5'S MINIDOSE STP 37,706
433 ALBUVIT 10% 5 ML BTL 25,366
434 ALBUVIT 100 MG/ML 15 ML BTL 47,367
435 ALONE F 0.6 ML @ 5'S MINIDOSE STP 37,849
436 ATROPINE SULFAT 0.5 % 5 ML BTL 8,782
437 AUGENTONIC 0.6 ML @ 5'S MINIDOSE STP 53,911
438 AUGENTONIC 15 ML BTL 66,064
439 AUGENTONIC 5 ML BTL 62,636
440 CARBACHOL 1.5 % 5 ML BTL 25,242
441 CARBACHOL 3 % 5 ML BTL 38,018
442 CARPINE 1 % 0.6 ML @ 5'S MINIDOSE STP 38,641
443 CARPINE 1% 15 ML BTL 47,990
444 CARPINE 2% 15 ML BTL 54,846
445 CARPINE 3 % 5 ML BTL 44,562
446 CARPINE 3% 15 ML BTL 44,874
447 CARPINE 4% 15 ML BTL 65,753
448 CARPINE 4% 5 ML BTL 53,911
449 CATARLENT 0.6 ML @ 5'S MINIDOSE STP 49,860
450 CATARLENT 15 ML BTL 76,348
451 CATARLENT 5 ML BTL 56,404
452 CENAZOLE 0.6 ML @ 5'S MINIDOSE STP 30,539
453 CENAZOLE GEL 3.5 GR TUB 45,497

1 2 3 4
454 CENDO ASTHENOF 0.6 ML @ 5'S MINIDOSE STP 51,106
455 CENDO ASTHENOF 5 ML BTL 52,353
456 CENDO BERRY TABLET 3X10'S DUS 235,588
457 CENDO CARPINE 1 % 5 ML BTL 38,641
458 CENDO CARPINE 2 % 0.6 ML @ 5'S MINIDOSE STP 43,939
459 CENDO CARPINE 2% 5 ML BTL 47,367
460 CENDO CARPINE 4 % 0.6 ML @ 5'S MINIDOSE STP 50,795
461 CENDO CETAMIDE 0,6 ML @ 5'S MINIDOSE STP 36,772
462 CENDO CETAMIDE 5 ML BTL 28,046
463 CENDO CETAPRED 0.6 ML @ 5'S MINIDOSE STP 38,641
464 CENDO CETAPRED 5 ML BTL 35,525
465 CENDO EFRISEL 10 % 0.6 ML @ MINIDOSE STP 38,330
466 CENDO EFRISEL 10% 5 ML BTL 38,018
467 CENDO FENICOL 0.25 % 5 ML BTL 54,534
468 CENDO FENICOL 0.25% 0.6ML @ 5'S MINIDOSE STP 40,823
469 CENDO FENICOL 0.5 % 0.6 ML @5'S MINIDOSE STP 43,627
470 CENDO FENICOL 0.5 % 5 ML BTL 76,348
471 CENDO FENICOL 1 % 5 ML BTL 64,194
472 CENDO FENICOL 1% 0.6 ML @ 5'S MINIDOSE STP 53,288
473 CENDO FENICOL EO 3.5 GRAM TUB 54,534
474 CENDO FRADEX 5 ML BTL 38,048
475 CENDO GENTASON 0.6 ML @ 5'S MINIDOSE STP 42,069
476 CENDO GENTASON 5 ML BTL 40,199
477 CENDO GLAOPEN 0.6 ML @ 5'S MINIDOSE STP 224,992
478 CENDO HYALUB 0.6 ML @ 5'S MINIDOSE STP 142,100
479 CENDO LYTEERS 0.6 ML @ 5'S MINIDOSE STP 47,990
480 CENDO LYTEERS 15 ML BTL 56,092
481 CENDO METHASON 0.6 ML @ 5'S MINIDOSE STP 35,306
482 CENDO METHASONE 5 ML BTL 28,046
483 CENDO MYCETINE 10 MG/G EO 3.5 GRAM TUB 31,786
484 CENDO MYCOS 0.6 ML @ 5'S MINIDOSE STP 41,446
485 CENDO MYCOS 5 ML BTL 49,548
486 CENDO MYCOS E O 3.5 GRAM TUB 65,441
487 CENDO MYDRIATYL 0.5 % 5 ML BTL 71,985
488 CENDO MYDRIATYL 1 % 5 ML BTL 95,357

1 2 3 4
489 CENDO STATROL 0.6 ML @ 5'S MINIDOSE STP 42,069
490 CENDO STATROL 5 ML BTL 45,497
491 CENDO STATROL EO 3.5 GRAM TUB 45,497
492 CENDO TROPIN 0.5 % 5 ML BTL 28,046
493 CENDO TROPIN 1 % 0.6 ML @ 5'S MINIDOSE STP 39,888
494 CENDO TROPIN 1 % 5 ML BTL 31,162
495 CENDO TROPIN 1% 15 ML BTL 22,437
496 CENDO TROPINE 0.5 % 0.6 ML @5'S MINIDOSE STP 38,330
497 CENDO VISION 0.6 ML @ 5'S MINIDOSE STP 33,655
498 CENDO VISION 15 ML BTL 49,548
499 CENDO VITAL TABLET 3X10'S DUS 224,369
500 CENDO XITROL 0.6 ML @ 5'S MINIDOSE STP 60,767
501 CENDO XITROL 5 ML BTL 67,934
502 CENDO XITROL E O 3.5 GRAM TUB 89,436
503 CENDRID 0.3 % 0.6 ML @ 5'S MINIDOSE STP 34,279
504 CENDRID 0.6 ML @ 5'S MINIDOSE STP 41,446
505 CENDRID 1 MG/ML 5 ML BTL 37,706
506 CENDRID 15 ML BTL 52,353
507 CENFRESH 0.6 ML @ 5'S MINIDOSE STP 57,339
508 CENFRESH 5 ML BTL 86,943
509 CETAMIDE 15 % 15 ML BTL 33,251
510 CMC 5 ML BTL 37,706
511 CONAL 0.6 ML @ 5'S MINIDOSE STP 40,199
512 CONAL 5 ML BTL 50,483
513 CONJUNCTO 0.6 ML @ 5'S MINIDOSE STP 37,706
514 CONJUNCTO 5 ML BTL 25,865
515 CONVER 2 % 0.6 ML @ 5'S MINIDOSE STP 40,199
516 CONVER 2 % 15 ML BTL 32,409
517 CONVER 4 % 0.6 ML @ 5'S MINIDOSE STP 55,469
518 CORTHON 0.6 ML @ 5'S MINIDOSE STP 39,576
519 CORTHON 5 ML BTL 56,092
520 CORTIHIST 0.6 ML 5'S MINIDOSE STP 41,446
521 CORTIHIST 5 ML BTL 25,242
522 CYCLON 1 % 0.6 ML @ 5'S MINIDOSE STP 39,576
523 CYCLON 1% 5 ML BTL 44,251

1 2 3 4
524 DEXATON 0.6 ML @ 5'S MINIDOSE STP 40,199
525 DEXATON 5 ML BTL 45,248
526 D-RETH TABLET SALUT SELAPUT 18'S BOX 243,066
527 EDTA 5 MG/ML 15 ML BTL 102,524
528 EFRISEL 2.5 % 0.6 MINIDOSE 6'S STP 38,330
529 EYE LOTION 0.6 ML @ 5'S MINIDOSE STP 79,526
530 EYE LOTION 5 ML BTL 89,124
531 EYEFRESH 0.6 ML @ 5'S MINIDOSE STP 57,650
532 EYEFRESH 5 ML BTL 71,985
533 EYEFRESH MILD 0.6 ML @ 5'S MINIDOSE STP 76,348
534 EYEFRESH PLUS 0.6 ML @ 5'S MINIDOSE STP 86,943
535 FENICOL 1 % 15 ML BTL 58,959
536 FENICOL GEL 1 % 3.5 GR STP 110,033
537 FENICOL OINTMENT 5 GRAM TUB 67,934
538 FLOXA 0.6 ML @ 5'S MINIDOSE STP 66,687
539 FLOXA TETES MATA 5 ML BTL 76,099
540 FLUORESCEIN 2 % 0.6 ML @ 5'S MINIDOSE STP 42,381
541 FLUORESCEIN 2 % 5 ML BTL 32,409
542 FRADEX 0.6 ML @ 5'S MINIDOSE STP 52,976
543 FUNGICID 1 % 5 ML BTL 24,307
544 FUNGICID EYE OINTMENT 3,5 GR TUB 50,171
545 GENTA 0,3 % 5 ML BTL 70,739
546 GENTA 0.3 % 0.6 ML @ 5'S MINIDOSE STP 39,576
547 GENTA 0.3 % OINT MINIDOSE 5'S STP 106,887
548 GENTA 0.3 % OINTMENT 5 GRAM TUB 89,124
549 GENTA 1 % 5 ML BTL 57,962
550 GENTA 1% 0.6 ML @ 5'S MINIDOSE STP 41,446
551 GENTAMYCIN 0.3 % 0.6 ML @ 5'S MINIDOSE STP 39,576
552 GENTAMYCIN 0.3 % 5 ML BTL 54,223
553 GENTAMYCIN 1 % 5 ML BTL 57,962
554 GENTAMYCIN 1% 0.6 ML @ 5'S MINIDOSE STP 41,447
555 GENTAMYCIN EYE OINTMENT 3.5 GRAM TUB 60,455
556 GENTAMYCINE 0.3 % 3,5 GRAM TUB 90,682
557 GENTAMYCINE 0.3 % 3.5 GR TUB 60,455
558 GENTASON-B 0.6 ML @ 5'S MINIDOSE STP 49,548

1 2 3 4
559 GIPLOX 0.6 ML 5'S MINIDOSE STP 200,062
560 GLAOPEN TETES MATA 3 ML BTL 224,992
561 GLAOPLUS O.6 ML @ 5'S MINIDOSE STP 239,015
562 GLAUCON TABLET 2X10'S BOX 189,467
563 GLAUCON 250 MG TABLET 100'S BTL 947,336
564 HERVIS E O 3.5 GRAM TUB 91,617
565 HOMATRO 2 % 0.6 ML @ 5'S MINIDOSE STP 72,920
566 HOMATRO 2 % 5 ML BTL 88,501
567 HYALUB 5 ML BTL 132,752
568 L F X 5 ML BTL 172,640
569 L F X 0.6 ML @ 5'S MINIDOSE STP 172,016
570 LENTIKULAR 0.6 ML @ 5'S MINIDOSE STP 82,892
571 LENTIKULAR ED 5 ML BTL 71,673
572 LUBRICEN VED 5 GR TUB 119,352
573 LUBRICEN 0.6 ML @ 5'S MINIDOSE STP 100,966
574 LUBRICEN 5 ML BTL 91,617
575 MYCINE EYE OINTMENT 3,5 GR TUB 14,958
576 MYCOS GEL 3.5 GR TUB 110,033
577 MYCOS OINTMENT 5 GRAM TUB 85,697
578 MYDRIATIL 0.5 % 0.6 ML @ 5'S MINIDOSE STP 65,753
579 MYDRIATIL 0.5% 0.6 ML @5'S MINIDOSE STP 65,754
580 MYDRIATIL 1 % 0.6 ML @ 5'S MINIDOSE STP 73,232
581 MYDRIATIL 1% 0.6 ML @ 5'S MINIDOSE STP 73,232
582 MYDRIATIL 1% 5 ML - ASKES BTL 83,175
583 MYDRIATYL 0,5 % 15 ML BTL 41,873
584 MYDRIATYL 1 % 15 ML BTL 59,832
585 MYTOSIN 5 ML BTL 225,304
586 NATACEN 5 ML BTL 157,682
587 NATACEN 50 MG/0.6 ML @ 5'S MINIDOSE STP 103,771
588 NATACEN GEL TUB 263,010
589 NONCORT 0.6 ML @ 5'S MINIDOSE STP 105,329
590 NONCORT 5 ML BTL 93,487
591 NORMAFIT KAPLET 18'S BOX 248,676
592 OCULENTA 0.6 ML @ 5'S MINIDOSE STP 122,780
593 OCULENTA GEL 3.5 GR TUB 110,033

1 2 3 4
594 OCULENTA GEL 5 GRAM TUB 159,240
595 OPTHALGON 3 ML BTL 27,423
596 OPTHALGON 5 ML BTL 40,511
597 OPTOHIST 0.6 ML @ 5'S MINIDOSE STP 31,786
598 OPTOHIST 15 ML BTL 38,953
599 P.PRED 10 MG/0.6 ML @ 5'S MINIDOSE STP 95,357
600 P.PRED 5 ML BTL 138,361
601 PANTOCAIN 0.5 % 0.6 ML @ 5'S MINIDOSE STP 30,851
602 PANTOCAIN 0.5 % 15 ML BTL 36,148
603 PANTOCAIN 0.5 % 5 ML BTL 30,227
604 PANTOCAIN 2 % 15 ML BTL 38,641
605 PANTOCAIN 2 % 5 ML BTL 33,032
606 PANTOCAIN 2% 0.6 ML @ 5'S MINIDOSE STP 39,265
607 PENICILLIN EYE OINTMENT 3,5 GR TUB 18,074
608 PHN 0.6 ML @ 5'S MINIDOSE STP 36,772
609 PHN 5 ML BTL 38,330
610 PILOKARPIN HCL/NITRAT 2% BOTTLE 24'S BOX 277,007
611 PITHALMIC 0.6 ML 5'S MINIDOSE STP 112,808
612 PITHALMIC GEL 3.5 GR STP 129,915
613 PITHALMIC GEL 5 GRAM TUB 172,640
614 PNP 0.6 ML @ 5'S MINIDOSE STP 36,772
615 PNP 5 ML BTL 33,593
616 POLYDEX 0.6 ML @ 5'S MINIDOSE STP 66,064
617 POLYDEX 5 ML BTL 89,124
618 POLYGRAN 0.6 ML @ 5'S MINIDOSE STP 43,627
619 POLYGRAN 5 ML BTL 78,841
620 POLYGRAN E O 3.5 GRAM TUB 46,120
621 POLYNEF 0.6 ML @ 5'S MINIDOSE STP 40,511
622 POLYNEF 5 ML BTL 33,655
623 POLYNEL 0.6 ML @ 5'S MINIDOSE STP 44,562
624 POLYNEL 15 ML BTL 34,279
625 POLYNEL 5 ML BTL 66,999
626 POLYPRED 0.6 ML @5'S MINIDOSE STP 43,316
627 POLYPRED 5 ML BTL 66,874
628 POSOP 0.6 ML @ 5'S MINIDOSE STP 130,882

1 2 3 4
629 POSOP 5 ML BTL 140,854
630 PROTAGENTA 0.6 ML @5'S MINIDOSE STP 89,436
631 PROTAGENTA 5 ML BTL 104,706
632 REPHITEL 0.6 ML @5'S MINIDOSE STP 91,617
633 REPHITEL 5 ML BTL 128,389
634 REPHITEL EYE OINTMENT 3,5 GRAM TUB 108,445
635 REPHITEL OINTMENT 5 GRAM TUB 125,273
636 S.B.S.S 15 ML BTL 62,325
637 SCOPOLA 5 ML BTL 41,758
638 SILOXAN 0.6 ML @ 5'S MINIDOSE STP 88,813
639 SILOXAN 3 ML BTL 79,152
640 SILOXAN 5 ML BTL 131,505
641 SOLNAZOLE 0.6 ML @ 5'S MINIDOSE STP 42,692
642 SOLUJOD 2.5 % 0.6 ML @ 5'S MINIDOSE STP 54,846
643 SULFACETAMIDE NA 15 % TM ( BOTOL) 24'S BOX 187,393
644 TETRACAIN HCL 0.5% 5 ML BTL 16,998
645 TGF KAPLET 18'S DUS 237,457
646 TIMOL 0.25 % 0.6 ML @ 5'S MINIDOSE STP 43,939
647 TIMOL 0.25 % 5 ML BTL 76,036
648 TIMOL 0.5 % 0.6 ML MINIDOSE STP 64,194
649 TIMOL 0.5 % 5 ML BTL 119,040
650 TIMOLOL MALEAT 0,5% 5 ML BTL 119,040
651 TIMOLOL MALEAT 0.25 % 5 ML BTL 76,036
652 TIMOLOL MALEAT 0.25% 0.6ML @5'S MINIDOSE STP 43,939
653 TIMOLOL MALEAT 0.5% 0.6ML @ 5'S MINIDOSE STP 64,194
654 TOBRO 0.6 ML @ 5'S MINIDOSE STP 47,678
655 TOBRO 5 ML BTL 51,730
656 TOBRO GEL TUB 102,151
657 TOBROSON 0.6 ML @ 5'S MINIDOSE STP 72,297
658 TOBROSON 5 ML BTL 115,301
659 TOBROSON GEL 3.5 GR TUB 136,085
660 TOBROSON OINT MINIDOSE 5'S STP 129,947
661 TOBROSON SALEP 3.5 GR TUB 107,822
662 TOBROSON SALEP EO 5 GRAM TUB 107,822
663 TONOR 0.25 % 0.6 ML @ 5'S MINIDOSE STP 55,469

1 2 3 4
664 TONOR 0.5 % 0.6 ML @ 5'S MINIDOSE STP 60,767
665 TONOR 0.5 % 5 ML BTL 124,649
666 TRIAXITROL TETES MATA 5 ML BTL 31,162
667 TROPIN 0.5 ML @ 5'S MONODOSE STP 15,893
668 TROPIN 1 % 5 ML @ 5'S MONODOSE STP 15,894
669 TROPINE 0,5% 15 ML BTL 15,768
670 ULCORI 0.6 ML @ 5'S MINIDOSE STP 48,925
671 ULCORI TM 5 ML BTL 67,934
672 VASACON - A 15 ML BTL 55,781
673 VASACON 0.6 ML @ 5'S MINIDOSE STP 34,590
674 VASACON 15 ML BTL 40,511
675 VASACON A 0.6 ML @ 5'S MINIDOSE STP 36,772
676 VERNACEL 0.6 ML @ 5'S MINIDOSE STP 51,730
677 VERNACEL EYE DROP 5 ML BTL 46,120
678 VITANORM TABLET 3X10'S DUS 249,050
679 VITROLENTA 0.6 ML @ 5'S MINIDOSE STP 71,362
680 VITROLENTA 5 ML BTL 81,645
681 VOSAMA 0.6 ML @ 5'S MINIDOSE STP 43,939
682 XITROL OINT MINIDOSE 5'S STP 115,612
683 XITROL OINTMENT 5 GRAM TUB 87,566
684 ZINK OPTHAL 5 ML BTL 14,958
685 ZINK PRIMA 0.6 ML @ 5'S MINIDOSE STP 30,851
686 ZINK PRIMA 15 ML BTL 40,199
687 ZINK PRIMA 5 ML BTL 28,046
688 ZINK PRIMA A 15 ML BTL 40,636
689 ALKOHOL 70 % CIUBROS 100 ML BTL 10,765
690 ALKOHOL 70 % CIUBROS 300 ML BTL 28,329
691 BORAKS 10 % GLISERIN 8 ML BTL 6,629
692 CITOCETINE SUSPENSI 60 ML BTL 11,218
693 CITONEURON CAPLET 10X10'S BOX 92,920
694 CITOVIPLEX KAPLET 10X10'S BOX 57,565
695 GENTIAN VIOLET 1 % 10 ML BTL 6,629
696 O.B.P CIUBROS 100 ML BOTOL PLASTIK BTL 6,346
697 P.K CRYSTAL 5 GR POT 10,029
698 RIVANOL 1% CIUBROS 100 ML BTL 6,119

1 2 3 4
699 RIVANOL 1% CIUBROS 300 ML BTL 13,598
700 OSTENIL INJ 20 MG/ 2 ML @1 SYRINGE DUS 1,246,495
701 OSTENIL PLUS INJ 40 MG/ 2 ML @1 SYRINGE DUS 4,362,732
702 POLYMEM MAX NON ADHESIVE 11CM X 11CM PAD 368,962
703 POLYMEM MAX SACRAL FILM ADHS 18.4CMX20CM PAD 625,740
704 POLYMEM NON ADHESIVE 10CM X 10CM PAD 186,974
705 POLYMEM NON ADHESIVE 17CM X 17CM PAD 371,455
706 POLYMEM SILVER NON ADHSIVE 10.8CMX10.8CM PAD 469,929
707 MELIDOX FILCO TABLET 20X10'S BOX 486,133
708 PROCLOZAM TABLET 10X10'S BOX 436,273
709 PROFLUGON TABLET 200'S BOX 186,974
710 PRONEURON CAPTAB 20X10'S BOX 498,598
711 VERIDIN FILM COATED TABLET 5X6'S DUS 411,343
712 AGREZOL 100 MG TABLET 30'S BOX 478,654
713 AGREZOL 50 MG TABLET 5X10'S BOX 722,967
714 ANBIOLID 150 MG FILCO TABLET 5X10'S BOX 573,388
715 ANCEFA 125 MG/5 ML DRY SYRUP 60 ML BTL 94,734
716 ANCEFA 250 MG/5 ML FORTE DRY SYRUP 60 ML BTL 162,044
717 ANCEFA 500 MG TABLET 100'S BOX 1,283,890
718 ANCEFA 500 MG TABLET 5X6'S BOX 673,107
719 ANCLA 250 MG/5 ML FORTE DRY SYRUP 60 ML BTL 157,058
720 ANCLA FILCO CAPLET 5X6'S BOX 822,687
721 ANDONEX CAPSULE 75'S BTL 84,138
722 ANDONEX SYRUP 100 ML BTL 44,874
723 ANDONEX SYRUP 60 ML BTL 32,409
724 ANDROLON TABLET 3X10'S DUS 486,133
725 ARCAPEC DRY SYRUP 60 ML BTL 37,395
726 ARCAPEC TABLET 10X10'S BOX 236,834
727 ARCLATE FILCO 100 MG TABLET 50'S BOX 430,041
728 ARSIGRAN 4 MG TABLET 100'S BTL 46,120
729 ARSINAL FILCO TABLET 10X10'S BOX 236,834
730 ARSIRET 40 MG TABLET 100'S BTL 112,185
731 ARSITAM 500 MG TABLET 10X10'S BOX 249,299
732 ARSITROCIN 500 MG TABLET 100'S BOX 523,528
733 BIOCOMBIN 5000 INJEKSI 10 AMPUL DUS 124,649

1 2 3 4
734 BIOCOMBIN FILCO TABLET 10X10'S BOX 311,624
735 BIOFOS SUSPENSI 120 ML BTL 162,044
736 BIOFOS SUSPENSI 60 ML BTL 137,114
737 BIOTOPIX CREAM 15 GR TUB 623,247
738 BIOTOPIX EYE BAGS&DARK CIRCLES CRM@15 GR TUB 436,273
739 CALIX SUSPENSI 100 ML BTL 99,720

740 CALOSTRUM SYRUP 100 ML BTL 104,706
741 CANERGY FILM COATED TABLET 15'S BTL 243,066
742 CARDIAL 25 MG FILCO TABLET 100'S BTL 211,904
743 CARVAS 10 MG FILCO TABLET 100'S BTL 174,509
744 CELODIM INJ.1 VIAL + 1 AMP API 10 ML DUS 461,203
745 CERETON KAPSUL 5 X 6'S DUS 344,033
746 CETIVAR INJEKSI 2 ML @ 5 AMP DUS 373,948
747 CLINJOS 150 MG KAPSUL 5X6'S BOX 261,764
748 CLINJOS 300 MG CAPSULE 5X6'S BOX 467,436
749 CLOVERTIL TABLET 3X10'S DUS 860,081
750 COMBES FILCO TABLET 5X6'S DUS 224,369
751 CRIAX INJEKSI 1 GR/10 ML VIA 448,738
752 DEPTRAL KAPLET 3X10'S BOX 785,292
753 DONEXAN DX SYRUP 120 ML BTL 39,888
754 DONEXAN DX SYRUP 60 ML BTL 24,930
755 DONEXAN SYRUP 120 ML BTL 34,902
756 DONEXAN SYRUP 60 ML BTL 24,930
757 EFLIN SYRUP 60 ML BTL 37,395
758 EFLIN TABLET 10X10'S BOX 249,299
759 EFOTAX 1 GR INJEKSI 1 VIAL BOX 324,089
760 EFOTAX 500 MG INJEKSI 1 VIAL BOX 157,058
761 EXOCID INJEKSI 40 MG 1 VIAL+ 1 AMPUL DUS 324,089
762 FENOLIP 100 MG KAPSUL 3X10'S DUS 276,722
763 FENOLIP 300 MG KAPSUL 3X10'S DUS 613,275
764 FOLAPLUS KAPLET 10X10'S BOX 199,439
765 FUCOBAC 100 MG KAPSUL 5X6'S DUS 747,897
766 FUCOBAC 50 MG KAPSUL 5X6'S DUS 523,528
767 FURAMIN INJEKSI 5 AMP @10 ML DUS 118,417

1 2 3 4
768 GASFAMIN FILCO 20 MG TABLET 5X6'S BOX 224,369
769 GASFAMIN FILCO 40 MG TABLET 5X6'S BOX 336,554
770 GASTRINAL SUSPENSI 120 ML BTL 54,846
771 GASTRINAL TABLET 10X10'S BOX 118,417
772 GAVISTAL INJEKSI 5 MG/2 ML @ 5 AMPUL DUS 74,790
773 GAVISTAL SYRUP 60 ML BTL 21,190
774 GAVISTAL TABLET 10X10'S BOX 93,487
775 HICAL TABLET KUNYAH 10 X 2'S BOX 59,832
776 INODERM CREAM 10 GR TUB 36,148
777 ISOFEM KAPLET SALUT SELAPUT 5X6'S BOX 209,411
778 KETOSIC INJEKSI 30 MG/ 1 ML @ 5 AMPUL DUS 311,624
779 LIPOFOOD CAPSULE 10X10'S BOX 1,121,845
780 LOGAFOX INJEKSI 1 GR/5 ML VIA 349,019
781 LOREMID 2 MG TABLET 10X10'S BOX 224,369
782 LUSANOC 200 MG TABLET 5X10'S BOX 498,598
783 LYCOQ KAPSUL 5X6'S DUS 355,251
784 MALTIRON PLUS TABLET 10X10'S BOX 299,159
785 MALTIRON SYRUP 100 ML BTL 74,790
786 MALTIRON TABLET 100'S BOX 162,044
787 MAXPRO 100 MG TABLET 3X10'S BOX 1,308,819
788 MAXPRO 100 MG/5 ML DRY SYRUP 30 ML BTL 174,509
789 MEDIOL TABLET 2X10'S DUS 406,357
790 MEFIX 250 MG CAPSULE 10X10'S BOX 124,649
791 MEFIX 500 MG TABLET 10X10'S BOX 274,229
792 MENSIPOX FILCO 500 MG TABLET 5X6'S BOX 897,476
793 MEPROBAL 250 MG KAPSUL 10X10'S BOX 274,229
794 MEPROBAL 500 MG KAPSUL 10X10'S BOX 423,808
795 MEPRON 500 MG TABLET 200'S BOX 174,509
796 MEPROPEN 250 MG KAPSUL 100'S BOX 137,114
797 MEPROPEN 500 MG CAPSULE 100'S BOX 274,229
798 MEPROSETIL FILCO 100 MG TABLET 200'S BTL 423,808
799 MEPROSETIL FILCO 25 MG TABLET 200'S BTL 199,439
800 MEPROSON TABLET 10X10'S BOX 573,388
801 MEPROTETRA 250 MG CAPSULE 100'S BOX 62,325
802 MEVACHOL 10 MG TABLET 30'S BOX 613,275

1 2 3 4
803 MEVACHOL 20 MG TABLET 3X10'S BOX 1,084,450
804 MEVITON FILCO TABLET 10X10'S BOX 299,159
805 MUCOS 15 SYRUP 60 ML BTL 37,395
806 MUCOS DROP 20 ML BTL 79,776
807 MUCOS TABLET 10X10'S BOX 199,439
808 MYORES TABLET 10X10'S BOX 1,121,845
809 MYOTONIC FILCO TABLET 10X10'S BOX 660,642
810 MYOTONIC INJEKSI 10 AMPUL @ 1 ML BOX 186,974
811 NEO PROVIGOR FILCO TABLET 5X6'S DUS 344,033
812 NEORHEUMA FILCO TABLET 100'S BOX 87,255
813 NIFUDIAR SUSPENSI 60 ML BTL 87,255
814 NIKOLAM 125 MG/5ML DRY SYRUP 60 ML BTL 46,120
815 NIKOLAM 500 MG KAPSUL 10X10'S BOX 772,827
816 NORAGES DROPS 20 ML BTL 87,255
817 NORAGES INJEKSI 2 ML @ 10 AMP DUS 199,439
818 NORAGES INJEKSI 2 ML 5 AMP DUS 99,720
819 NORAGES SIROP 60 ML BTL 74,790
820 O P M 20 MG CAPSULE 5 STRIP @ 6 KAPSUL STP 164,537
821 O P M 20 MG CAPSULE 7'S BTL 117,794
822 OXORIL SIRUP 60 ML BTL 62,325
823 PHENEX SYRUP 60 ML BTL 24,930
824 PHENEX TABLET 100'S BOX 93,487
825 PROCALMA LICAPS 3X10'S DUS 261,764
826 PROCARDIO TABLET SALUT DUS 5 X 6'S CAP 52,353
827 PROCELES SYRUP 60 ML BTL 74,790
828 PROCELES TABLET 5X10'S DUS 186,974
829 PROCEPIM INJEKSI I VIAL @ 1 GR/15 ML BOX 635,712
830 PROCETAM 1200 MG TAB SALUT SELAPUT 5X6'S BOX 284,201
831 PROCETAM 3 GR INJEKSI 5 AMPUL @ 15 ML BOX 560,923
832 PROCETAM 400 MG CAPSUL 10X10'S BOX 423,808
833 PROCETAM 800 MG TABLET 5X10'S BOX 373,948
834 PROCOLIC FILCO TABLET 10X10'S BOX 461,203
835 PRODERMAL KRIM 10 GRAM TUB 87,255
836 PROGESTON TABLET 3X10'S DUS 254,285
837 PROHISTIN 10 MG TABLET 5X10'S BOX 498,598

1 2 3 4
838 PROIMBUS TABLET SALUT SELAPUT 5X6'S BOX 336,554
839 PROLEVOX 250 MG FILCO TABLET 10'S BOX 261,764
840 PROLEVOX 500 MG FILCO TABLET 10'S BOX 660,642
841 PROLEVOX INFUS 100 ML DUS 448,738
842 PROMUBA 500 MG TABLET 100'S BOX 336,554
843 PROMUBA SUSPENSI 60 ML BTL 90,994
844 PROTEXINAL SYRUP 60 ML BTL 16,204
845 PROVAGIN OVULA 10'S DUS 311,624
846 PROVIGOR TABLET SALUT SELAPUT 5 X 6'S CAP 52,353
847 PROVOMER FILCO TABLET 10X10'S DUS 498,598
848 PROXIDAN LICAPS 3X10'S DUS 246,806
849 PROZEPAM INJEKSI 5 AMP @ 2 ML DUS 311,624
850 PYREXIN 160 SUPOSITORIA 10'S DUS 174,509
851 PYREXIN 80 SUPOSITORIA 10'S DUS 149,579
852 QIPRO FILCO 200 MG TABLET 3X10'S BOX 523,528
853 QIPRO FILCO 400 MG TABLET 3X10'S BOX 1,047,056
854 RELIV TABLET 5X6'S DUS 336,554
855 RETOP KAPSUL 3X10'S DUS 373,948
856 RINOCET DROPS 20 ML DUS 114,678
857 RINOCET SIROP 60 ML BTL 114,678
858 ROMICEF INJEKSI 10 ML @ 1 VIAL VIA 623,247
859 ROTAVER TABLET 10X10'S BOX 548,458
860 SEFANEM 0.5 GR 1 VIAL+1 AMP.@ 10 ML AIR DUS 523,528
861 SEFANEM 1 GR 1 VIAL + 1 AMP. @ 10 ML AIR DUS 997,196
862 SIRPLUS SERBUK ORIGINAL 20 GR BTL 74,790
863 SIRPLUS SERBUK ORIGINAL 50 GR BTL 79,776
864 SIRPLUS SERBUK RASA ANGGUR 50 GR BTL 117,171
865 SIRPLUS SERBUK RASA JERUK 50 GR BTL 117,171
866 SIRPLUS SERBUK RASA STROBERI 50 GR BTL 117,171
867 SIRPLUS SERBUK STROBERI 20 GR BTL 79,776
868 SIRPLUS SIRUP RASA ANGGUR 100 ML BTL 27,423
869 SIRPLUS SIRUP RASA COKLAT 100 ML BTL 24,930
870 SIRPLUS SIRUP RASA JERUK 100 ML BTL 27,423
871 SIRPLUS SIRUP RASA MELON 100 ML BTL 27,423
872 SIRPLUS SIRUP RASA STROBERI 100 ML BTL 27,423

1 2 3 4
873 SIZORIL 100 MG TABLET 3X10'S BOX 1,121,845
874 SIZORIL 25 MG TABLET 5X10'S BOX 498,598
875 SODERMIX KRIM @ 15 GRAM TUBE DUS 174,509
876 SODERMIX KRIM 15 GRAM TUB 199,439
877 SOLVINEX 4 MG/5 ML SYRUP 100 ML BTL 35,525
878 SOLVINEX INJEKSI 10 AMP @ 2 ML DUS 872,546
879 SPASMOLIT 10 MG FILCO TABLET 10X10'S BOX 436,273
880 SUPRACHLOR 250 MG CAPSULE 100'S BOX 118,417
881 SUPRAFENID INJEKSI 5 AMP @ 2 ML DUS 218,137
882 SUPRAFENID SUPOSITORIA 100 MG 10'S DUS 249,299
883 SUPRALYSIN BABY DROPS 15 ML BTL 54,846
884 SUPRALYSIN SYRUP 100 ML BTL 54,846
885 SUPRALYSIN SYRUP 60 ML BTL 49,860
886 SUPRAMOX 100 MG/ML DROPS 20 ML BTL 48,613
887 SUPRAMOX 125 MG/5 ML DRY SYRUP 60 ML BTL 44,874
888 SUPRAMOX 250 MG CAPSULE 100'S BOX 274,455
889 SUPRAMOX 250 MG FORTE DRY SYRUP 60 ML BTL 67,311
890 SUPRAMOX 250 MG TABLET 100'S BOX 274,229
891 SUPRAMOX 500 MG TABLET 100'S BOX 249,299
892 TABAS 2.5 MG TABLET 100'S BTL 349,019
893 TB RIF 120 ML DUS 211,904
894 TB VIT 6 SIRUP 120 ML BTL 57,339
895 TB VIT 6 SYRUP 225 ML BTL 87,255
896 TB VIT 6 TABLET 10 STRIP @ 10 TABLET BOX 162,044
897 TB ZET TABLET 10X10'S BOX 299,159
898 TONOTAN TABLET 5X10'S DUS 311,624
899 TRICKER 150 MG TABLET 5X10'S BOX 560,923
900 TRICKER INJEKSI 2 ML AMP 44,874
901 TUDIAB 500 MG TABLET 10X10'S BOX 249,299
902 TUGESAL FILCO 50 MG TABLET 5X6'S BOX 224,369
903 UMKALIN FILCO TABLET 5X6'S DUS 224,369
904 UMKALIN SIRUP 60 ML DUS 74,790
905 VERTEX TABLET 10X10'S BOX 373,948
906 VOSTEON KAPLET 5X6'S BOX 280,461
907 XANTIA LICAPS 3X10'S DUS 523,528

1 2 3 4
908 X-CAM TABLET 15 MG 3X10'S BOX 523,528
909 X-CAM TABLET 7.5 MG 3X10'S BOX 329,075
910 ZIBET 80 MG TABLET 100'S BOX 286,694
911 ZIRCUM KID SYRUP 60 ML BTL 59,832
912 ZOTAM INJ.1 VIAL + 1 AMP @ 5 ML AQUA PRO DUS 361,483
913 ARCLATE FILCO 50 MG TABLET 50'S BOX 186,974
914 DEOLIT 250 MG KAPSUL 3X10'S DUS 542,225
915 DOSIVEC KAPSUL 2X10'S DUS 183,235
916 PERIFLUX SUSPENSI 60 ML BTL 74,790
917 PRODEXON 0.5 MG CAPLET 10X10'S BOX 87,255
918 PROMUBA INFUS 100 ML BTL 162,044
919 PRONOVIR SIRUP 60 ML BTL 149,579
920 PRONOVIR TABLET 5X4'S DUS 299,159
921 GAVISTAL DROPS 10 ML BTL 27,423
922 INTUNAL CAPLET 25X4'S BOX 124,649
923 INTUNAL FORTE TABLET 25X4'S BOX 164,537
924 INTUNAL SYRUP 60 ML BTL 26,176
925 LEVOPAR TABLET 5X10'S BOX 498,598
926 LUSANOC CREAM 10 GR TUB 39,888
927 MEPROMAAG TABLET 10X10'S BOX 112,185
928 MEPROTRIN FORTE TABLET 10X10'S BOX 373,948
929 MEPROTRIN SUSPENSI 60 ML BTL 43,627
930 MEPROTRIN TABLET 10X10'S BOX 174,509
931 MIXARIA SERBUK 50 SCH @ 1 GR DUS 124,649
932 NOSTREN KRIM 15 GRAM TUB 27,423
933 PYREXIN 120 MG/5 ML SYRUP 60 ML BTL 24,930
934 PYREXIN 500 MG TABLET 20X10'S BOX 149,579
935 SOLVINEX 8 MG CAPLET 10X10'S BOX 99,720
936 SUPRACHLOR 125 MG/5 ML SUSPENSI 60 ML BTL 23,683
937 SUPRAMOX 500 MG KAPSUL 10X10'S BOX 523,528
938 TABAS 1,5 MG/5 ML SYRUP 100 ML BTL 54,846
939 TUDERM - N CREAM 5 GRAM TUB 27,423
940 ARSILIN 250 MG CAPSULE 100'S BOX 87,255
941 ARSITAM 250 MG TABLET 100'S BOX 93,487
942 ARSITRAN 5 MG TABLET 100'S BOX 43,627

1 2 3 4
943 ESOMEPRAZOLE INJEKSI 40 MG @ 2 VIAL DUS 290,094
944 FENTICA 2 MG CAPTAB 200'S BOX 99,720
945 MAXPRO 50 MG TABLET 30'S BOX 311,624
946 MEPIROX 10 MG CAPSULE 100'S BOX 149,579
947 MEPIROX 20 MG CAPSULE 100'S BOX 249,299
948 MEPROPEN 500 MG TABLET 100'S BOX 274,229
949 MEPROSETIL FILCO 25 MG TABLET 1000'S TIN 236,834
950 MERZATUSIN TABLET BOX 10 X 10 BOX 67,991
951 PROMUBA 250 MG TABLET 100'S BOX 149,579
952 PROTEXINAL TABLET 100'S BOX 49,860
953 PROZEPAM 2 MG CAPTAB 100'S BOX 27,423
954 PROZEPAM 5 MG CAPTAB 100'S BOX 34,902
955 PYREXIN FORTE 100'S BOX 124,649
956 ACETENSA 30'S BOX 673,107
957 ADFER CAPSUL 100'S BOX 124,649
958 AGRYLIN 100'S BTL 13,711,442
959 ALZIM 30'S BOX 1,196,635
960 ANESFAR 5 ( 3 ML) BOX 436,273
961 ANESFAR INJEKSI 5 AMP BOX 186,974
962 APTIL @10ML DUS 62,325
963 APTIL 10 ML BTL 59,832
964 ARTHRODONT 80 GR TUB 112,185
965 ASPIL INJ. 2 VIAL BOX 473,668
966 ASPIL INJEKSI 1 VIAL BOX 224,369
967 ATOFAR 10 TAB. 30'S BOX 710,502
968 ATOFAR 20 TAB. 30'S BOX 710,502
969 ATOFAR 40 TAB. 30'S BOX 710,502
970 BIO-GI 3X10'S BOX 336,554
971 BIPRO TAB.30'S BOX 299,159
972 BLOREC TABLET SALUT SELAPUT 3X10'S BOX 448,738
973 BUNASCAN SPINAL 0.5 % 4 MG HEAVY BOX 722,967
974 CALGAE KAPLET SALUT SELAPUT 10X3'S BOX 336,554
975 CALLUSOL @10ML DUS 62,325
976 CALLUSOL 10 ML BTL 62,325
977 CALOS CHEWABLE TABLET 60'S BTL 119,663

1 2 3 4
978 CALSIVAS 5 30'S BOX 336,554
979 CALSIVAS 10 30'S BOX 598,317
980 CAPABIOTIC TABLET 30'S BOX 972,266
981 CARPIATON 100 MG 100'S BOX 822,687
982 CARPIATON 25 MG 100'S BOX 299,159
983 CARTRILET TABLET 30'S BOX 486,133
984 CEFIR INJ. 2 VIAL BOX 1,221,565
985 CEFIR INJEKSI 1 VIAL BOX 535,993
986 CELCOX 200 30'S BOX 336,554
987 CIRLOID TABLET 1 MG 100'S BOX 386,413
988 CIRLOID TABLET 4.5 MG 30'S BOX 448,738
989 CLATAX INJEKSI (R) 2 VIAL BOX 598,317
990 CLATAX INJEKSI 1 VIAL VIA 224,369
991 CLOFEN 10X10'S DUS 32,409
992 CLOSOL CREAM 10 GR TUB 37,395
993 COMPOUND 250 ML BTL 2,492,989
994 CORSEL TABLET 30'S BOX 373,948
995 COSMOFER INJ. 5'S BOX 997,196
996 CRYPTAL INFUS 100 ML BTL 473,668
997 CRYPTAL TABLET 200 MG 4'S BOX 573,388
998 CRYPTAL TABLET 50 MG 4'S BOX 167,030
999 CURMUNOS SIRUP 60 ML BTL 129,635
1000 DACTYLEN 230 ML BTL 27,423
1001 DAXET D.S 12 SACH BOX 54,846
1002 DAXET TABLET 15'S BOX 373,948
1003 DAXET TABLET 30'S BOX 164,537
1004 DEGRANI 1 MG/ML INJ. @ 5 AMP BOX 373,948
1005 DEGRANI 3 MG/ML INJ. @ 5 AMP BOX 872,546
1006 DETROVEL 10 30'S BOX 149,579
1007 DETROVEL 5 30'S BOX 29,916
1008 DEXTRAL FORTE TABLET 100'S BOX 99,720
1009 DMENSOL @ 160 GR BOX 114,678
1010 ELPICEF 1.0 I.M VIA 112,185
1011 ELPICEF 1.0 I.V VIA 386,413
1012 ELPICEF 1.O IV 2 VIAL BOX 897,476

1 2 3 4
1013 ESTAZOR KAPSUL 30'S BOX 598,317
1014 EXABET TABLET 100'S BOX 47,367
1015 EXABETIN TABLET 150'S BOX 211,904
1016 FALERGI DROPS 20 ML BTL 137,114
1017 FALERGI TABLET 60'S BOX 448,738
1018 FALPRO SYRUP 120 ML BTL 249,299
1019 FAPRESOR INJ. 5 AMP BOX 872,546
1020 FARAPON TABLET 100'S BOX 112,185
1021 FARBION 5000 INJEKSI 5 AMPUL BOX 58,585
1022 FARBION TABLET 100'S BOX 261,764
1023 FARBIVENT 10 AMP BOX 211,904
1024 FARELAX INJEKSI 5 AMPUL BOX 872,546
1025 FARGOXIN INJ. 5 AMPUL BOX 436,273
1026 FARGOXIN TABLET 100'S BOX 64,818
1027 FARLEV 500 MG TABLET 10'S BOX 623,247
1028 FARLEV 750 INF. 150 ML BTL 648,177
1029 FARLEV 750 MG KAPLET 10'S BOX 872,546
1030 FARLEV INFUS 100 ML BTL 448,738
1031 FARMABES INJ. 5 ML @ 1 VIAL DUS 274,229
1032 FARMABES TABLET 100'S BOX 116,173
1033 FARMABEX - C TABLET 100'S BOX 299,159
1034 FARMABEX - C TABLET 30'S BOX 13,711
1035 FARMABEX PLUS TABLET 30'S BOX 139,607
1036 FARMACROL FORTE SUSPENSI 100 ML BTL 92,241
1037 FARMACROL FORTE SUSUPENSI 200 ML BTL 114,678
1038 FARMACROL FORTE TABLET 100'S BOX 199,439
1039 FARMADOL INFUS @ 50 ML BOX 87,255
1040 FARMADOL INFUS 100 ML BTL 142,100
1041 FARMADOL TABLET 100'S BOX 69,804
1042 FARMADRAL TABLET 100'S BOX 49,860
1043 FARMAGARD TABLET 100'S BOX 99,720
1044 FARMALAT 5 TABLET 100'S BOX 74,790
1045 FARMALAT TABLET 100'S BOX 103,210
1046 FARMASAL TABLET 100'S BOX 162,044
1047 FARMASAL TABLET 50 MG 100'S BOX 49,860

1 2 3 4
1048 FARMAVON 8 MG TABLET 100'S BOX 82,269
1049 FARMAVON INJEKSI 10 AMP BOX 747,897
1050 FARMAVON SYRUP 100 ML BTL 24,930
1051 FARMIN ( FAR - ALBUMIN ) 100 ML BTL 3,739,484
1052 FARMIN ( FAR - ALBUMIN ) 50 ML BTL 1,994,392
1053 FARMIN BT 100 ML BTL 3,988,783
1054 FARMIN BT 50 ML BTL 1,994,392
1055 FARMOTEN 12.5 MG TABLET 100'S BOX 199,439
1056 FARMOTEN 25 MG TABLET 100'S BOX 146,787
1057 FARMOXYL 500 MG TABLET 100'S BOX 523,528
1058 FARMOXYL DRY SYRUP 60 ML BTL 37,395
1059 FARNAT INFUS 100 ML BTL 164,537
1060 FARNORMIN TABLET 100'S BOX 224,369
1061 FARPAIN 10 MG INJEKSI 5 AMP BOX 224,369
1062 FARPAIN 30 MG INJEKSI 5 AMP BOX 373,948
1063 FARPAIN TABLET 20'S BOX 249,299
1064 FARPRESIN INJEKSI 5 VIAL@ 1 ML DUS 997,196
1065 FARSIX INJEKSI 5 AMPUL BOX 83,266
1066 FARSIX TABLET 100'S BOX 224,369
1067 FARSORBID 10 TABLET 100'S BOX 99,221
1068 FARSORBID INJ. @ 2 VIAL BOX 299,159
1069 FARSORBID TABLET 100'S BOX 64,818
1070 FARTOLIN EXPECTORANT 100 ML BTL 87,255
1071 FARTOLIN INHALASI 5 ML BTL 39,888
1072 FARTOLIN TABLET 100'S BOX 186,974
1073 FATRAL TABLET 30'S BOX 747,897
1074 FENDEX 25 MG TABLET 30'S BOX 373,948
1075 FENDEX 25 MG TABLET 30'S BOX 373,948
1076 FENDEX 50 MG INJEKSI 5 AMP BOX 436,273
1077 FENDEX INJEKSI 5 AMP BOX 436,273
1078 FIXACEP 200 TABLET 10'S BOX 573,388
1079 FIXACEP DROPS 15 ML BTL 149,579
1080 FIXACEP DS 30 ML BTL 174,509
1081 FLUXUM 3200 IU AXA 6'S BOX 1,196,635
1082 FLUXUM 4250 IU AXA @ 6'S BOX 1,794,952

1 2 3 4
1083 FLUXUM 6400 1U AXA BOX 2,617,639
1084 FOSEN 133 ML BTL 199,439
1085 FOSRENOL TABLET 45'S BTL 2,019,321
1086 FUNET TABLET 30'S BOX 314,117
1087 GASFLAT 100'S BOX 299,159
1088 GASTRUL TABLET 30'S BOX 747,897
1089 GATICIN 10'S BOX 498,598
1090 GLUDEPATIC 500 100'S BOX 103,210
1091 GLUTAFIT @10'S DUS 249,299
1092 ICLOFAR KAPLET 30'S BOX 897,476
1093 INDOP INJEKSI 1 VIAL BOX 77,781
1094 INOTROP INJEKSI 10 ML VIA 246,806
1095 INOVAD INJEKSI 1 VIAL BOX 548,458
1096 INPEPSA SUSPENSI 200 ML BTL 186,974
1097 INPEPSA SYRUP 100 ML BTL 119,663
1098 INTERFERON ALFANATIVE INJ 0.5 ML AMP 685,572
1099 INTHESA INJEKSI 5 AMPUL BOX 62,325
1100 INVICLOT INJEKSI 5 ML VIA 149,579
1101 IRBOSYD FILM COATED TABLET 30'S BOX 236,834
1102 IRETENSA 300 TABLET 30'S BOX 822,687
1103 IRETENSA TABLET 30'S BOX 598,317
1104 ISOTEC ADRETOR 0.50 % 5 ML BTL 62,075
1105 ISOTIC ADRETOR 0.25 % 5 ML BTL 54,596
1106 ISOTIC AZORA 5 ML BTL 36,148
1107 ISOTIC BETARACIN 5 ML BTL 99,720
1108 ISOTIC CETRIDE 10 % 5 ML BTL 19,944
1109 ISOTIC CLEARIN 5 ML BTL 21,440
1110 ISOTIC CYCLOMA 1 % 5 ML BTL 22,437
1111 ISOTIC ENPIGI 5 ML BTL 34,902
1112 ISOTIC FRIZIN 5 ML BTL 37,395
1113 ISOTIC IXODINE 5 ML BTL 36,148
1114 ISOTIC NEOLYSON 5 ML BTL 57,837
1115 ISOTIC NEPAFRIN 5 ML BTL 29,916
1116 ISOTIC RENATOR 5 ML BTL 64,818
1117 ISOTIC SALMICOL 0.5 % 5 ML BTL 24,930

1 2 3 4
1118 ISOTIC SALMICOL 1 % 5 ML BTL 29,916
1119 ISOTIC TEARIN 5 ML BTL 37,146
1120 ISOTIC TEARIN 5 ML BTL 34,902
1121 ISOTIC TIMACT 0.3 % 5 ML BTL 49,860
1122 ISOTIC TOBRIZON 5 ML BTL 92,241
1123 ISOTIC TOBRYNE 5 ML BTL 64,818
1124 LACTAFAR CAPSUL 30'S BOX 284,201
1125 LAXASIUM SUSPENSI 100 ML BTL 49,860
1126 LIPAGENT TABLET 100'S BOX 299,159
1127 LOVATROL 30'S BOX 623,247
1128 LUPRED TABLET 30'S BOX 149,579
1129 METACOSFAR INJ 1 VIAL @ 100 ML DUS 1,994,392
1130 METACOSFAR INJ 1 VIAL @ 50 ML DUS 997,196
1131 MIOZIDINE TAB. 30'S BOX 224,369
1132 MONECTO 20 TABLET 100'S BOX 598,317
1133 MONECTO 20-TAB 30'S BOX 194,453
1134 MORAXINE 1.0 INJEKSI VIA 74,790
1135 MULAX 10 SACH BOX 112,185
1136 MULAX COCOPANDAN 10 SACH BOX 82,269
1137 MULAX STRAWBERRY 10 SACH BOX 82,269
1138 N-ACE 5 AMPUL BOX 436,273
1139 N-ACE KAPSUL 30'S BOX 149,579
1140 NASAFLAM 100 TAB. 30'S BOX 228,856
1141 NASAFLAM 100 TABLET 100'S BOX 722,967
1142 NASAFLAM 50 TAB. 30'S BOX 136,616
1143 NASAFLAM 50 TABLET 100'S BOX 373,948
1144 NASAFLAM INJEKSI 5 AMPUL BOX 228,358
1145 NEPHROVIT - FE 100'S BOX 299,159
1146 NEUROLIN 250 MG INJ. 5 AMPUL BOX 373,948
1147 NEUROLIN 1000 MG INJ. 2 VIAL BOX 349,019
1148 NEUROLIN 500 MG INJEKSI 5 AMPUL BOX 623,247
1149 NEUROLIN 500 MG TABLET 30'S BOX 747,897
1150 NIRMADIL TABLET 30'S BOX 299,159
1151 NITRISOL 160 GR (VANILA) BOX 109,692
1152 NOKOBA INJEKSI 5 AMPUL BOX 972,266

1 2 3 4
1153 OCTIDE 5 AMP BOX 1,869,742
1154 ONETIC 4 INJ. 5 AMP BOX 286,694
1155 ONETIC 4 TABLET 10'S BOX 299,159
1156 ONETIC 8 INJEKSI 5 AMP BOX 436,273
1157 ONETIC 8 TAB. 10'S BOX 324,089
1158 OSTEOFAR TABLET 30'S BOX 486,133
1159 OSTRIOL KAPSUL 30'S BOX 373,948
1160 OXAFLAM TABLET 100'S BOX 648,177
1161 POMIFAR KAPSUL 10X3'S BOX 336,554
1162 PLADOGREL 30'S BOX 897,476
1163 PRABETIC 15 MG TABLET 30'S BOX 373,948
1164 PRABETIC 30 MG TABLET 30'S BOX 523,528
1165 PRALAX SYRUP 100 ML BTL 112,185
1166 PRATOPIL INFUS 60 ML BTL 373,948
1167 PRATROPIL 800 60'S BOX 448,738
1168 PRATROPIL INJEKSI 5 AMPUL BOX 174,509
1169 PRATROPIL KAPSUL 100'S BOX 398,878
1170 PRATROPIL SUSPENSI 100 ML BTL 104,706
1171 PRAZOTEC KAPSUL 20'S BOX 548,458
1172 PREGTENOL TABLET 30'S BOX 246,806
1173 PREGVOMIT TABLET 10X10'S BOX 498,598
1174 PROHEM 5 AMP DUS 124,649
1175 RAPIME INJ.1 GR 1 VIAL VIA 498,598
1176 RAPIME INJEKSI 2 VIAL BOX 1,246,495
1177 REBAL PLUS CAPSUL 100'S BOX 448,738
1178 RECOLFAR TABLET 30'S BOX 321,596
1179 RELIDE 2 MG TABLET 3X10'S BOX 246,806
1180 RELIDE 4 MG TABLET 30'S BOX 376,691
1181 RENABETIC 100'S BOX 104,706
1182 RENABRAZIN TABLET 100'S BOX 847,616
1183 RENACARDON 10 MG 30'S BOX 261,764
1184 RENACARDON 5 MG 30'S BOX 186,974
1185 RENADINAC - 75 INJEKSI 5 AMPUL BOX 246,806
1186 RENADINAC 25 MG EC TABLET 100'S BOX 90,309
1187 RENADINAC 50 MG FC TABLET 100'S BOX 140,405

1 2 3 4
1188 RENAGAS TABLET 100'S BOX 211,904
1189 RENALYTE @200ML BTL 34,902
1190 RENALYTE OTC 200 ML BTL 32,409
1191 RENAMID TABLET 100'S BOX 74,790
1192 RENAMOCA CAPSUL 100'S BOX 548,458
1193 RENAMOCA DRY SYRUP 60 ML BTL 34,902
1194 RENAPAR TABLET 100'S BOX 523,528
1195 RENAPEPSA TABLET 20 MG 30'S BOX 274,229
1196 RENAQUIL TABLET 100'S BOX 623,247
1197 RENASISTIN 250 SYRUP 60 ML BTL 162,044
1198 RENASISTIN 500 MG 100'S BOX 1,869,742
1199 RENASISTIN 500 MG CAPS. 30'S BOX 635,712
1200 RENASISTIN DROPS 15 ML BTL 124,649
1201 RENATAC 150 MG 10X10'S BOX 997,196
1202 RENATAC INJEKSI 5 VIAL BOX 224,369
1203 RENATOR 250 MG 30'S BOX 264,257
1204 RENATOR 750 30'S BOX 523,528
1205 RENATOR INFUS 200 ML BTL 373,948
1206 RENATOR TABLET500 MG 30'S BOX 772,827
1207 REPROSTOM 30'S BOX 598,317
1208 RHODIUM TABLET 30'S BOX 411,343
1209 RINDOPUMP IV @ 1 VIAL BOX 224,369
1210 RONEM - 1 INJ. 2 VIAL BOX 1,994,392
1211 RONEM 0.5 GR INJ. 2 VIAL BOX 997,196
1212 RONEM VIAL 1 GR VIA 934,871
1213 SHAROX 500 TABLET 20'S BOX 1,047,056
1214 SHAROX 750 INJ.2 VIAL BOX 324,089
1215 SHAROX 750 INJECTIE VIA 137,114
1216 SIMARC - 2 100'S BOX 340,293
1217 SOJOURN 250 ML BTL 6,481,773
1218 SORJOUN 250 ML BTL 5,609,226
1219 SOTATIC INJEKSI 5 AMPUL BOX 52,851
1220 SOTATIC SYRUP 60 ML BTL 18,697
1221 SOTATIC TABLET 100'S BOX 89,498
1222 STABACTAM INJ. 2 VIAL BOX 847,616

1 2 3 4
1223 STABACTAM INJEKSI 1'S BOX 336,554
1224 STABIXIN INJ. 2 VIAL BOX 747,897
1225 STABIXIN INJEKSI 1 VIAL BOX 286,694
1226 STIMULIT 10 MG 50'S BOX 157,058
1227 STIMULIT 5 MG 50'S BOX 186,974
1228 SULFITIS 30'S BOX 311,125
1229 SYSMUCO TAB.30'S BOX 261,764
1230 TENSILO INJ. 1 VIAL BOX 398,878
1231 TERRELL 100 ML BTL 1,296,355
1232 TERRELL 250 ML BTL 3,689,624
1233 TEXORATE 30'S BOX 373,948
1234 TEXORATE TABLET 100'S BOX 349,019
1235 THROMBOFLASH 10 G DUS 69,804
1236 THROMBOFLUSH 20 G DUS 99,720
1237 TIARYT TABLET 30'S BOX 284,201
1238 TIMACT 80 INJEKSI 5 VIAL BOX 99,720
1239 TIOXAD 100'S BOX 1,246,495
1240 TIOXAD INJEKSI 10 AMPUL BOX 398,878
1241 TIVILAC 30'S BTL 82,269
1242 TOBRYNE INJECTIE 6 ML VIA 149,579
1243 TRACETATE SUSPENSI ORAL 200 ML BTL 872,546
1244 TRAMSET 30'S BOX 448,738
1245 TRASIK CAPSUL 50'S BOX 311,624
1246 TRASIK INJEKSI 5 AMPUL BOX 186,974
1247 TRAZEP 2 MG RECTAL 5 MG/ ML 5 TUBE BOX 224,369
1248 TRAZEP 4 MG/ML 5 TUBE BOX 403,864
1249 TYARIT INJEKSI 5 AMPUL BOX 311,624
1250 UMARONE INJEKSI 10 MG @ 1 AMP/ 2ML DUS 436,273
1251 VANCEP INJEKSI 1 VIAL BOX 448,738
1252 VANCEP INJEKSI 2 VIAL BOX 997,196
1253 VASCON INJEKSI 5 AMPUL BOX 1,059,521
1254 VEBAC INJ.1 VIAL 1 GR BOX 448,738
1255 VEBAC INJEKSI 2 VIAL BOX 1,047,056
1256 VENODENOL 3 % 5 AMP BOX 560,923
1257 VIOXY FM KAPLET 30'S BOX 276,722

1 2 3 4
1258 VIOXY TABLET 30'S BOX 149,579
1259 VIRAZATEC 200 75'S BTL 560,923
1260 VIRTAZ 200 TABLET 30'S BOX 151,449
1261 VITOP CAPSULE 100'S BOX 747,897
1262 VOPACAIN 0.5 %INJ 2 VIAL @10 ML DUS 249,299
1263 XOLMETRAS 50 1 VIAL @ 50 ML BOX 685,572
1264 XOLMETRAS INJEKSI 350MG L/ML @100 ML DUS 1,271,425
1265 Y - RINS/L 120 ML BTL 57,339
1266 Y LUT 10X10'S BOX 872,546
1267 Y-RINS @120ML DUS 57,339
1268 ZIBAC 1.0 VIA 349,019
1269 ZIFIN TABLET 6 CAPS BOX 149,579
1270 ZOLMIA TABLET 100'S BOX 997,196
1271 ZOLMIA TABLET 30'S BOX 336,554
1272 ASAM TRANEKSAMAT 100 MG/ ML INJ.10 AMP. BOX 157,058
1273 ASAM TRANEKSAMAT 50 MG/ML INJ. 5'S @ 5ML BOX 57,339
1274 CARBAZOCHROME INJ. 10 AMP @ 10 ML DUS 297,164
1275 CEFEPIME INJEKSI 1 G @ 1 VIAL BOX 311,624
1276 CEFOPERAZONE-SULBACTAM INJ. GR @ 1 VIAL DUS 236,834
1277 CEFPIROME INJEKSI 1 G @ 2 VIAL DUS 548,458
1278 CEFTAZIDIME 1 G SERBUK INJ. 1 VIAL @ 1 G BOX 103,459
1279 CEFTIZOXIME INJ. 2 VIAL @ 1 G (OGB) BOX 498,598
1280 CIPROFLOXACIN INFUS 2 MG/ML 100 ML BTL 129,182
1281 CITICOLINE INJ. 125 MG/ML 10 AMP @ 2 ML DUS 324,089
1282 DEXKETOPROFEN TROMETAMOL 25 MG INJ @2ML DUS 286,694
1283 DOBUTAMIN INJ.250 MG/5 ML 1 VIAL DUS 92,490
1284 FLUCONAZOLE INFUS 100 ML (BOTOL) BOX 261,764
1285 KETOPROFEN INJ.100 MG 5 AMP @ 2 ML BOX 64,025
1286 KETOROLAC TROMETHAMINE 10MG INJ 6'S/1 ML BOX 101,986
1287 KETOROLAC TROMETHAMINE 30MG INJ 6'S/1 ML BOX 181,739
1288 LEVOFLOXACIN INFUS 100 ML BTL 199,439
1289 MECOBALAMINE 0.5 MG INJ 10'S @ 1 ML(OGB) BOX 199,439
1290 MEROPENEM INJEKSI 1 G @ 10 VIAL BOX 4,985,979
1291 MEROPENEM INJEKSI 1 GR @ 1 VIAL BOX 498,598
1292 METRONIDAZOLE INFUS 100 ML BTL 90,246

1 2 3 4
1293 NIMODIPINE 40 MG IV INFUS BTL 436,273
1294 NOTRIXUM 2.5 ML INJEKSI 5 AMP MK BOX 177,478
1295 OMEPRAZOLE 40 MG DRY INJ.+ PELARUT BOX 124,649
1296 ONDANSETRON 4 MG INJ. 5'S @ 2 ML (OGB) BOX 87,255
1297 ONDANSETRON 8 MG INJ. 5'S @ 4 ML (OGB) BOX 209,411
1298 PANTOPRAZOLE SODIUM INJ.40 MG @ 1 VIAL DUS 147,086
1299 PARACETAMOL 1000 MG INFUS 100 ML DUS 105,952
1300 PHENYTOIN SOD.50 MG/ML INJ 10 AMP-2 ML DUS 810,222
1301 PIRACETAM 1 G/5 ML INJ.12'S @ 5 ML (OGB) BOX 179,495
1302 PIRACETAM 3 G/15 ML INJ 4'S @15 ML (OGB) BOX 186,974
1303 PIRACETAM INFUS 60 ML BTL 174,509
1304 RANITIDIN 25 MG/ML INJ. 10'S @ 2 ML(OGB) BOX 78,529
1305 TRAMADOL INJ 100 MG/2 ML 5'S @ 2 ML(GEN) BOX 72,546
1306 ZYFORT INJEKSI 3 ML @ 20 AMP DUS 286,694
1307 ADRICIN 10 MG @ 1 VIAL BOX 373,948
1308 ADRICIN 50 MG @ 1 VIAL BOX 1,495,794
1309 CYCLOVID 1000 MG DRY INJ. @ 1VIAL BOX 1,121,845
1310 CYCLOVID 200 MG DRY INJ. @ 1 VIAL BOX 299,159
1311 CYCLOVID 500 MG DRY INJ. @ 1 VIAL BOX 747,897
1312 DAUNOCIN 20 MG @ 1 VIAL BOX 1,047,056
1313 DIALIFER 5 AMP @ 5 ML BOX 1,227,797
1314 EPOTREX-NP 10.000 IU @ 1 VIAL BOX 1,994,392
1315 EPOTREX-NP 2000 IU @ 1 SYRINGE BOX 523,528
1316 EPOTREX-NP 2000 IU 1 SYRINGE SYG 585,853
1317 EPOTREX-NP 4000 IU @ 1 SYRINGE BOX 904,955
1318 EPOTREX-NP 4000 IU 1 SYRINGE SYG 1,047,056
1319 ETOPUL 20 MG/ML INJ. @ 5 AMP BOX 1,620,443
1320 FLUXAR INFUS @ 1 FLASH BOX 373,948
1321 FOPEBAC SERBUK INJEKSI 1 GR@1 VIAL BOX 373,948
1322 IMICLAST 500 MG @ 1 VIAL BOX 685,572
1323 NOVELL-LEUKOKINE VIA IMPORT @ 1 VIAL BOX 2,119,041
1324 NUTROCID @ 1 SACHET SCH 124,649
1325 ORNISPAR INJ. @ 5 AMP BOX 872,546
1326 PANVELL @ 1 VIAL BOX 311,624
1327 PANVELL 40 MG TABLET 1X10'S DUS 336,554

1 2 3 4
1328 REPIMIDE 100 MG TABLET SALUT 10X10'S DUS 498,598
1329 SETROVEL 5 MG/5 ML INJ. @ 10 AMP BOX 1,246,495
1330 SOMANOVELL DRY INJ. @ 1 VIAL BOX 2,094,111
1331 UNISTIN 10 MG/20 ML INJ. @ 1 VIAL BOX 149,579
1332 UNISTIN 50 MG/5 ML INJ. @ 1 VIAL BOX 623,247
1333 CARE PLUS BABY FRESH 15 ML BTL 31,661
1334 CARE PLUS BABY FRESH 50 ML BTL 64,818
1335 COOLING 5 COOL MINT 15 ML BTL 56,092
1336 EFISOL LIQUID 10 ML BTL 51,356
1337 EFISOL LOZENGES 2X10'S BOX 45,622
1338 ENATIN SOFT CAPSUL 50'S BTL 153,817
1339 ENATIN SOFT KAPSUL 2X9'S BOX 59,209
1340 KOLDEX BF SIRUP 60 ML BTL 56,092
1341 MIPI CLASSIC 100 ML BTL 72,047
1344 MIPI CLASSIC 60 ML BD ALAT KERIK BTL 45,746
1345 MIPI HOT 60 ML BTL 68,308
1346 MIPI LAVENDER 100 ML BTL 95,980
1347 MIPI LAVENDER 60 ML BTL 65,316
1348 MIPI ROLL ON AROMATH. ORANGE LEMON 10 ML BTL 36,647
1349 MIPI ROLL ON AROMATHERAPY G.TEA 10 ML BTL 36,647
1350 MIPI ROLL ON AROMATHERAPY JASMINE 10 ML BTL 36,647
1351 MIPI ROLL ON CLASSIC 10 ML BTL 34,154
1352 MIPI SACHET 5 ML 12 SCH (BOX) BOX 42,381
1353 MIPI SACHET 5 ML 5 'S (HANGER) HGR 24,431
1354 PHAROLIT 200 @ 60 SACHET BOX 149,579
1355 PHAROLIT JERUK 60 SACHET BOX 149,579
1356 ACYFOTE KAPLET 3X10'S BOX 299,159
1357 ARDIVIT PL 3X10'S BOX 131,630
1358 AZTERCON 500 MG KAP TABLET SALUT 3X10'S DUS 1,308,819
1359 CEFOVELL INJEKSI 1 VIAL BOX 344,033
1360 CLOPRAMEL INEKSI 5 AMPUL @ 2 ML BOX 94,235
1361 CLOPRAMEL TABLET 10X10'S BOX 134,621
1362 DESTAVELL 5 MG TABLET SALUT BOX 336,554

1 2 3 4
1363 FENAVEL INJEKSI 5 AMPUL @ 3 ML BOX 162,044
1364 FENAVEL TABLET 5X10'S BOX 149,579
1365 FOLERIN TABLET 3X10'S BOX 241,820
1366 HERAX 200 MG TABLET 3X10'S BOX 94,734
1367 HERAX 400 MG TABLET 3X10'S BOX 168,775
1368 IMUNAL PLUS KAPSUL 3X10'S BOX 411,343
1369 IMUNAL PLUS SYRUP STRAWBERRY 60 ML BTL 114,678
1370 LACTERCON 40 SACHET BOX 329,075
1371 LAZAFIN 500 MG TABLET 3X10'S BOX 411,343
1372 LIPIROL KAPSUL 10X10'S BOX 685,572
1373 LIVAPRO SS KAPSUL LUNAK 5X10'S BOX 822,687
1374 LIVAPRO SS SOFT CAPSULE 5X10'S DUS 822,687
1375 LOXIPAZ 1 MG TABLET 3X10'S BOX 112,185
1376 LOXIPAZ 2 MG TABLET 3X10'S BOX 209,411
1377 MECLOVEL SYRUP 60 ML BTL 79,776
1378 MECLOVEL TABLET 50'S BTL 180,742
1379 MINOWELL 10 SACHET BOX 448,738
1380 MONELL TABLET 5X10'S BOX 523,528
1381 MYLLACID SUSPENSI 60 ML BTL 23,683
1382 MYLLACID TABLET 10X10'S BOX 124,649
1383 NIXAVEN 100 KAPSUL 3 X 10'S DUS 1,096,915
1384 NIXAVEN 200 KAPSUL 1 X 10'S DUS 538,860
1385 NORMOTIL 2 MG TABLET 6X10'S BOX 199,439
1386 NOVEPIDE 100 MG TAB.SALUT SELAPUT 3X10'S DUS 264,257
1387 NOVESTROL 125 MG INJ.@ 1 VIAL BOX 157,058
1388 NOVESTROL 16 MG TABLET 5X10'S BOX 679,340
1389 NOVESTROL 4 MG TABLET 5X10'S BOX 324,089
1390 OMEVELL 20 MG 3X10'S BOX 872,546
1391 PEPTOVELL 200 ML DUS 179,495
1392 PRAGESOL INJEKSI 10 AMP @ 2 ML BOX 224,369
1393 PYREX 60 ML/0.6 ML DROP 15 ML BTL 57,339
1394 PYREX SYRUP 120 MG/5 ML 60 ML BTL 37,395
1395 PYREX TABLET 20X10'S BOX 226,862
1396 RANIVEL 150 MG FILCOTAB 3X10'S BOX 381,427
1397 RANIVEL 25 MG/ML INJ. 5 AMP @ 2 ML BOX 231,848

1 2 3 4
1398 TRILAC SALEP 5 GRAM DUS 89,748
1399 TUSSIGON 100/100 ML BTL 63,571
1400 TUSSIGON 60/60 ML BTL 48,613
1401 VELTADIM 1 GR @ 1 VIAL DUS 393,892
1402 XENOPROM 1 VIAL @ 1 GR DUS 722,967
1403 ZELAVEL 200 MG TABLET 3X10'S BOX 538,984
1404 ZELAVEL 400 MG TABLET 3X10'S BOX 1,027,610
1405 ZELAVEL INF. 1 VIAL @ 1 GR DUS 293,176
1406 ZOTIC KAPLET 3X10'S BOX 438,766
1407 NOVERTY TABLET 3X10'S BOX 65,441
1408 ALISTA TABLET 10X10'S BOX 1,495,794
1409 AMLOCOR 10 MG TABLET 3X10'S BOX 673,107
1410 AMLOCOR 5 MG TABLET 3X10'S BOX 373,948
1411 BISOVELL TABLET 3X10'S BOX 373,948
1412 CHOLINAAR 250 MG/2 ML AMP BOX 797,757
1413 CHOLINAAR 500 MG KAPSUL 3X10'S BOX 766,594
1414 CHOLINAAR 500 MG/4 ML AMP BOX 685,572
1415 ELOVESS SOFTGEL 3X10'S BOX 205,672
1416 ESTALIN 1 MG TABLET 3X10'S BOX 194,453
1417 ESTALIN 2 MG TABLET 3X10'S BOX 299,159
1418 IRVELL 150 MG TABLET 2X10'S BOX 398,878
1419 IRVELL 300 MG TABLET 2X10'S BOX 548,458
1420 LANVELL 30 MG TABLET 2X10'S BOX 573,388
1421 LEVORES 250 MG TABLET 1X10'S BOX 324,089
1422 LEVORES 500 MG TABLET 1X10'S BOX 747,897
1423 LEVORES INFUSION 100 ML/VIAL BTL 498,598
1424 MECONEURO 500 MG INJ. 10 AMP BOX 498,598
1425 MECONEURO 500 MG KAPSUL 10X10'S BOX 498,598
1426 METPHAR TABLET SALUT 10X10'S BOX 199,439
1427 NOSPIRINAL TABLET 5X10'S DUS 74,790
1428 NOVALES 10 MG TABLET 3X10'S BOX 747,897
1429 NOVALES 20 MG TABLET 3X10'S BOX 1,196,635
1430 NOVOSTA 3 X 5 PASANG TABLET BOX 598,317
1431 PRORENAL TABLET SALUT FILM 10X10'S BOX 1,495,794
1432 PROTEMUN KAPSUL 3X10'S DUS 448,738

1 2 3 4
1433 Q TEN 100 MG SOFTGEL KAPSUL 30'S BTL 747,897
1434 Q TEN 30 MG SOFGEL KAPSUL 30'S BTL 392,646
1435 Q TEN 60 MG SOFTGEL KAPSUL 30'S BTL 523,528
1436 Q TEN COM KAPLET 30'S BTL 598,317
1437 REMOVCHOL 20 MG TAB.SALUT SELAPUT 3X10'S DUS 822,687
1438 REMOVCHOL 40 MG TAB.SALUT SELAPUT 3X10'S DUS 822,687
1439 REXIDRON TABLET 3X10'S DUS 299,159
1440 ROXEMID INJ. 5 AMP BOX 112,185
1441 RYVEL 10 MG TABLET 30'S BOX 299,159
1442 RYVEL PLUS TABLET SR 3X10'S DUS 261,764
1443 VOSTRIN KAPSUL 2X10'S BOX 186,974
1444 ZITANID 2 MG TABLET 3X10'S BOX 411,343
1445 ZYPARON FILCOCAP 10X10'S BOX 224,369
1446 CLAXY 500 KAPLET SALUT SELAPUT 15'S BOX 361,483
1447 EAZYCAL KAPLET 5X6'S BOX 336,554
1448 LACTAMAM KAPLET 6X10'S BOX 411,343
1449 METVELL 0.125 MG TABLET 30'S BOX 185,104
1450 METVELL 0.2 MG INJ. 10 AMP @ 1 ML BOX 215,020
1451 NAZOVEL 100 MG INJEKSI 5 AMPUL BOX 226,862
1452 NAZOVEL SUPPOSITORIA 5'S BOX 185,104
1453 NAZOVEL TABLET 3X10'S BOX 317,856
1454 NOPROSTOL KAPSUL 5X10'S BOX 1,230,290
1455 NOVELL SMOOTHING CREAM 28.4 GR TUB 548,458
1456 ONDAVELL 4 MG TABLET 12'S BOX 508,570
1457 PROLACTA DHA FOR MOTHER 6X10'S BOX 673,107
1458 VENOZOL 1 GRAM INJEKSI @ 1 VIAL BOX 112,185
1459 VIPRAM 500 MG KAPLET 5X10'S BOX 373,948
1460 VITAMAM 1 KAPSUL VITAMIN 3X10'S BOX 186,974
1461 VITAMAM 2 KAP.VITAMIN + 1 KAP.FE 4X7'S BOX 186,974
1462 VITAMAM 3 KAP.VITAMIN + 1 KAP. FE 4X7'S BOX 199,439
1463 ZOMIVIT TABLET 3X10'S BOX 149,579
1464 ACETYLCYSTEINE KAPSUL 10X10'S (OGB) BOX 249,299
1465 ACYCLOVIR 200 MG TABLET 5X10'S (OGB) BOX 60,455
1466 ACYCLOVIR 400 MG TABLET 5X10'S (OGB) BOX 71,447
1467 AMBROXOL 30 MG TABLET 10X10'S (OGB) BOX 47,865

1 2 3 4
1468 AMLODIPINE 10 MG TABLET 3X10'S (OGB) BOX 115,131
1469 AMLODIPINE 5 MG TABLET 3X10'S (OGB) BOX 65,271
1470 ATORVASTATIN 20 MG CAL.TAB 3 X10'S (OGB) BOX 299,159
1471 ATORVASTATIN 40 MG CAL.TAB 3 X10'S (OGB) BOX 299,159
1472 AZITHROMYCIN 500 MG KAP SAL 3X10'S (OGB) DUS 673,107
1473 BETAHISTINE 6 MG TABLET 3X10'S (OGB) BOX 62,823
1474 BISACODYL 5 MG TABLET S.E 3X10'S (OGB) BOX 25,428
1475 BISOPROLOL 5 MG TABLET 10X10'S (OGB) BOX 526,173
1476 CANDESARTAN CILEXETIL 16 MG 3X10'S(OGB) DUS 486,133
1477 CANDESARTAN CILEXETIL 8 MG 3X10'S OGB DUS 336,554
1478 CEFADROXIL DS 250 MG/5 ML 60 ML (OGB) BOX 44,874
1479 CEFIXIME 200 MG KAPSUL 5X10'S (OGB) BOX 457,047
1480 CEFIXIME 100 MG KAPSUL 5X10'S (OGB) BOX 271,349
1481 CEFIXIME DRY SYRUP 30 ML (OGB) BOX 68,557
1482 CETIRIZINE 10 MG TABLET 5X10'S (OGB) BOX 35,525
1483 CIPROFLOXACIN 500 MG CAPL 10X10'S (OGB) BOX 151,137
1484 CITICOLINE 1000 MG KAPLET 3X10'S (OGB) DUS 654,410
1485 CITICOLINE 500 MG KAPLET 3X10'S (OGB) DUS 448,738
1486 CLINDAMYCIN 150 MG CAPSUL 5X10'S (OGB) BOX 90,246
1487 CLINDAMYCIN 300 MG CAPSUL 5X10'S (OGB) BOX 155,862
1488 CLOMIFENE 50 MG 3X10'S TABLET (OGB) DUS 431,910
1489 DOMPERIDONE 10 MG TABLET 5X10'S (OGB) BOX 45,737
1490 DONEPEZIL HCL 5 MG TABLET 3X10'S (OGB) DUS 448,738
1491 EPERISONE HCL 50 MG TABLET 10X10'S (OGB) DUS 349,019
1492 ERDOSTEIN DRY SYRUP 175 MG/5 ML@60ML(OGB DUS 69,804
1493 ERDOSTEIN KAPSUL 300 MG 2X10'S (OGB) DUS 134,621
1494 GABAPENTIN 300 MG KAPS. 10X10'S (OGB) BOX 1,099,408
1495 GLIMEPIRIDE 3 MG TAB 5X10'S (OGB) DUS 221,477
1496 IRBESARTAN 150 MG 2X10'S(OGB) DUS 89,000
1497 IRBESARTAN 300 MG 2X10'S(OGB) DUS 172,266
1498 KETOKONAZOLE KRIM 2 % 15 GR TUB 15,865
1499 KETOPROFEN 100 MG TABLET 10X10'S (OGB) BOX 305,958
1500 KETOPROFEN 50 MG TABLET 10X10'S (OGB) BOX 159,551
1501 KETOROLAC 10 MG TABLET 10X10'S (OGB) BOX 715,488
1502 LANSOPRAZOLE 30 MG CAP.2X10'S (OGB)-ETER BOX 61,253

1 2 3 4
1503 LEVOFLOXACIN 500 MG TAB 5X10'S (OGB) BOX 130,732
1504 LISINOPRIL 10 MG TABLET 3X10'S (OGB) DUS 41,134
1505 LISINOPRIL 5 MG TABLET 3X10'S (OGB) DUS 23,933
1506 LORATADINE 10 MG TAB.5X10'S(OGB)-ETERCON BOX 37,744
1507 LOSARTAN K 50 MG TABLET 3X10'S (OGB) BOX 314,117
1508 MECOBALAMINE 250 MCG CAPS 10X10'S (OGB) BOX 130,882
1509 MECOBALAMINE 500 MCG CAPS 10X10'S (OGB) BOX 174,509
1510 MELOXICAM 15 MG TAB.5X10'S (OGB)-ETERCON BOX 135,868
1511 MELOXICAM 7.5 MG TAB.5X10'S(OGB)-ETERCON BOX 78,405
1512 METHYLPREDNOSOLONE 16MG TAB 10X10'S(OGB) BOX 234,568
1513 METHYLPREDNOSOLONE 4MG TAB 10X10'S (OGB) BOX 99,844
1514 METHYLPREDNOSOLONE 8MG TAB 10X10'S (OGB) BOX 132,582
1515 MUPIROCIN SALEP OINTMENT 2% (OGB) TUB 62,325
1516 NATRIUM DICLOFENAC 50 MG TAB 5X10'S(OGB) BOX 30,836
1517 OFLOXACIN 200 MG TABLET 5X10'S (OGB) BOX 66,870
1518 OFLOXACIN 400 MG TABLET 5X10'S (OGB) BOX 98,926
1519 OMEPRAZOLE 20 MG CAPSUL 3X10'S (OGB) BOX 27,763
1520 ONDANSETRON 4 MG TABLET 2X6'S (OGB) BOX 41,882
1521 ONDANSETRON 8 MG TABLET 2X6'S (OGB) BOX 68,807
1522 PIRACETAM 1200 MG TABLET 10X10'S (OGB) BOX 293,176
1523 PIRACETAM 1200 MG TABLET 10X10'S(OGB) BOX 293,176
1524 PIRACETAM 800 MG CAPLET 10X6'S (OGB) BOX 109,193
1525 PIROXICAM 10 MG TAB.10O'S (OGB) ETERCON BOX 26,650
1526 PRAVASTATIN 20 MG TABLET 5X10'S (OGB) BOX 317,856
1527 PRAVASTATIN 20 MG TABLET 5X10'S (OGB) BOX 317,856
1528 RAMIPRIL 10 MG TABLET 3X10'S (OGB) DUS 76,061
1529 RAMIPRIL 5 MG TABLET 10X10'S (OGB) DUS 143,913
1530 REBAMIPIDE 100 MG TAB.S S 10X10'S (OGB) BOX 473,668
1531 SILDENAFIL CITR. 50 MG TAB.S S 4'S (OGB) BOX 279,215
1532 SILDENAFIL CITR.100 MG TAB.S S 4'S (OGB) BOX 436,273
1533 SIMVASTATIN 10 MG TABLET 3X10'S (OGB) BOX 34,879
1534 SPIRAMYCIN 500 MG TABLET 5X10'S (OGB) BOX 234,341
1535 SUCRALFATE 500 MG SUSPENSI @200 ML(OGB) DUS 164,537
1536 TRIAMCINOLONE 4 MG TABLET 10X10'S (OGB) BOX 180,617
1537 TRIAMCINOLONE CREAM 0.1 % 5 GR (OGB) TUB 52,946

1 2 3 4
1538 TRIMETAZIDIN HCL 35 MG TABLET 3X10'S (OGB) DUS 157,058
1539 URSODEOXYCHOLIC ACID 250 MG 3X10'S (OGB) DUS 314,117
1540 VALPROIC ACID SYRUP 250 MG/5ML @60ML (OGB) DUS 104,706
1541 OXYVELL KAPSUL 5X6'S BOX 336,554
1542 OXYLA INJ.10 AMP @ 1 ML BOX 286,694
1543 ATAROC 25 MG TABLET 10X10'S BOX 498,598
1544 ATAROC SYRUP 60 ML BTL 112,185
1545 BREATHY 0.9 % ND 30 ML BTL 43,627
1546 CONSTANTIA 12 ML DUS 74,792
1547 DEHIDRALYTE 200 ML BTL 37,395
1548 IPROX SUSPENSI (STRAWBERRY) FLA 112,185
1549 ISPRINOL 500 MG TABLET 2X4'S BOX 162,044
1550 ISPRINOL SYRUP 60 ML BTL 186,974
1551 LACTO-B 4X10 SACHET BOX 473,668
1552 MONELL DROP 10 ML BTL 105,952
1553 MONELL SUSPENSI 60 ML BTL 105,952
1554 NIXAVEN DS 100 MG/5 ML 30 ML DUS 186,974
1555 OREZINC SYRUP 60 ML BTL 75,318
1556 PROLACTA DHA FOR BABY 5X10'S BOX 598,317
1557 RANIVEL D.SYRUP 60 ML BTL 130,882
1558 RYVEL DROP 10 ML BTL 124,649
1559 RYVEL SYRUP 60 ML BTL 124,649
1560 SEQUEST @ 20 SCH BOX 934,871
1561 TRILAC TABLET 3X10'S BOX 261,764
1562 TROMBUFIT @ 6 SACHET BOX 74,790
1563 VAPORIN 1 BLISTER @ 10 SOFTGEL BOX 102,213
1564 VELLEPSY SYRUP 120 ML BTL 186,974
1565 VELUTINE SALBUTAMOL NEBULE SOL 2.5 MG DUS 174,509
1566 VOSTRIN DRY SYRUP 60 ML BTL 93,487
1567 ZAMEL DROP 16 ML BTL 74,790
1568 ZAMEL SYRUP 60 ML BTL 74,790
1569 CEFTIZ 1 GR @ 2 VIAL BOX 922,406
1570 CEROPID 1 GR 2 VIAL BOX 747,897
1571 CIVELL 500 MG CAPLET 30'S BOX 822,687
1572 CIVELL INFUS 200 MG/100 ML BOX 473,668

1 2 3 4
1573 DOBUTEL 50 MG INJ. 1 VIAL @ 5 ML BOX 358,367
1574 FOSULAR 500 MG @ 1 VIAL BOX 448,738
1575 IG VENA NIV 2.5 GR INFUS BOX 8,102,216
1576 MILOZ 15 MG @ 5 AMP BOX 560,923
1577 MILOZ 5 MG 10 AMP BOX 498,598
1578 N-EPI 4 MG INJ. 5 AMP BOX 1,121,845
1579 NOTRIXUM 25 MG 5 AMP BOX 498,598
1580 NOTRIXUM 50 MG 5 AMP BOX 860,081
1581 NOVELLMYCIN 1 GR @ 1 VIAL BOX 199,439
1582 NOVELLMYCIN 2 GR @ 1 VIAL BOX 336,554
1583 NOVERON 50 MG 12 VIAL BOX 2,632,597
1584 NUPOVEL INJEKSI 20 MG/ ML @ 5 VIAL DUS 1,059,521
1585 OMEVELL INJEKSI 40 MG @ 1 VIAL DUS 274,852
1586 ONDAVELL 4 MG/2 ML INJ. 5 AMP BOX 361,483
1587 ONDAVELL 8 MG TABLET 12'S BOX 523,528
1588 ONDAVELL 8 MG/4 ML INJ.5 AMP BOX 685,572
1589 PHANEM 1 GR @ 1 VIAL BOX 972,266
1590 POSTOVIT TABLET 5X10'S BOX 336,554
1591 PYREX INFUS 1 G 100 ML BOX 162,044
1592 REGIVELL 20 MG 5 AMP BOX 685,572
1593 ROBUMIN 20 % INFUS 20 GR/100 ML BOX 4,113,433
1594 SAFOL 1 % 200 MG 5 AMP BOX 1,059,521
1595 VELAZOL 500 MG INFUS 100 ML BOX 162,044
1596 VELCHROME INJ.25MG/5 ML 10 AMP BOX 324,089
1597 VELLIOS 20 MG 5 AMP BOX 155,812
1598 XEVOLAC 10 MG TABLET 20'S BOX 299,159
1599 XEVOLAC INJ. 30 MG 6 AMP BOX 493,612
1600 ALOVELL 10 MG TABLET 30'S BOX 684,326
1601 ALOVELL 70 MG TABLET 4'S BOX 912,434
1602 ASTATIN SOFTGEL 20'S BOX 314,117
1603 BARZEPIN 300 MG TABLET 30'S BOX 549,704
1604 BARZEPIN 600 MG TABLET 30'S BOX 1,017,140
1605 CALOMA PLUS SOFTGEL 60'S BOX 329,075
1606 CEFRIEX 1 GR @ 1 VIAL BOX 466,189
1607 EPIVEN KAPSUL 30'S BOX 665,628

1 2 3 4
1608 EPOCALDI SOFTGEL 30'S BOX 276,722
1609 FLEXAMINE CREAM 15 GR BOX 87,255
1610 FLEXAMINE CREAM 30 GR BOX 162,044
1611 FLUXAR 150 MG TABLET 5'S BOX 685,572
1612 FRIXITAS 0.25 MG TABLET 60'S BOX 198,193
1615 NOPRENIA 1 MG TABLET 30'S BOX 329,075
1618 NOVEXIB 200 MG KAPSUL 3X10'S BOX 598,317
1619 NOXETINE 20 MG TABLET 20'S BOX 286,694
1620 OSFLEX 25 MG 1 SYRINGE @ 2.5 ML BOX 1,071,985
1621 OSFLEX 25 MG 5 SYRINGE @ 2.5 ML BOX 5,235,278
1622 OSMETIN ZUPER 10 SCH LIQ. BOX 486,133
1623 OSTOBON 30 SCH POWDER BOX 355,251
1624 OSTOBON KAPLET SALUT SELAPUT 5X6'S DUS 355,251
1625 OSTOGARD 5X6'S SALUT SELAPUT DUS 448,738
1626 OSTOVELL SOFTGEL 30'S BOX 471,175
1627 PINFETIL 50 MG TABLET 30'S BOX 710,502
1628 PROTERINE INJ. 5 AMP @ 20 ML BOX 236,834
1629 PROTERINE TABLET 30'S BOX 336,554
1630 RIZONAX 50 MG TABLET 30'S BOX 299,159
1631 SERNADE 50 MG TABLET 30'S BOX 860,081
1632 TEOROL KAPSUL LUNAK 3X10'S BOX 134,621
1633 TRILAC IA/ID 10 MG/ML @ 1 VIAL BOX 235,588
1634 TRILAC IM 40 MG/ML @ 1 VIAL BOX 209,411
1635 VELCOX INJ.15 MG/1.5 ML 5 AMPUL BOX 342,786
1636 VELCOX ODT 15 MG TABLET 20'S BOX 443,752
1637 VELCOX ODT 7.5 MG TABLET 20'S BOX 249,299
1638 AKURAT STP 20,567
1639 OVUTEST STP 46,120
1640 SENSITIF COMPACT PAC 74,790
1641 SENSITIF STRIP STP 45,248
1642 SENSITIF UC PAC 54,846

1 2 3 4
1643 AB-VASK 10 - TABLET 30'S BOX 658,149
1644 AB-VASK 5 - TABLET 30'S BOX 373,948
1645 ACLAM - 500 KAPLET SALUT SELAPUT 15'S BTL 448,738
1646 ACLAM DRY SYRUP 60 ML BTL 129,635
1647 ACLAM FORTE DRY SYRUP 60 ML BTL 179,495
1648 ALEGI - KAPLET 100'S BOX 299,159
1649 AMADIAB 1 - KAPLET 50'S BOX 261,764
1653 ANALTRAM KAPLET SALUT SELAPUT 3X10'S DUS 523,528
1654 APIALYS - DROP 10 ML BTL 74,790
1655 APIALYS - SIRUP 100 ML BTL 62,325
1656 AVOGIN KAPLET SALUT SELAPUT 30'S BOX 186,974
1657 BESTALIN - TABLET 25 MG 100'S BOX 772,827
1658 BESTALIN - SIRUP 100 ML BTL 84,762
1659 BIOSTRUM SYRUP 100 ML BTL 99,720
1660 CAL-95-KAPLET SALUT SELAPUT 30'S BOX 299,159
1661 CEBACTAM INJEKSI 1 GRAM @ 1 VIAL DUS 411,343
1662 CEFILA 100 - KAPSUL 30'S BOX 1,234,030
1663 CEFILA 200 - KAPSUL 10'S BOX 623,247
1664 CEFILA 50 - KAPSUL 30'S BOX 617,015
1665 CEFILA DRY - SYRUP 30 ML BTL 186,974
1666 CEFIM INJEKSI VIAL @ 1 G VIA 436,273
1667 CEFXON INJEKSI VIAL @ 1 G VIA 473,668
1668 CEPRAZ INJEKSI VIAL @ 1 G DUS 324,089
1669 CIFLON KAPLET 30'S BOX 486,133
1670 CLARIHIS - KAPLET 10 MG 30'S BOX 317,856
1671 CLINMAS - KAPSUL 150 MG 30'S BOX 261,764
1672 CLINMAS - KAPSUL 300 MG 30'S BOX 471,175
1673 CRAVOX 500 - TABLET SALUT SELAPUT 10'S BOX 797,757
1674 CRAVOX 250 - TABLET SALUT SELAPUT 10'S BOX 448,738
1675 CRAVOX 500 MG/100 ML INFUS I.V BTL 548,458
1676 CRAVOX 750 MG/150 ML I.V @ 1 VIAL BOX 722,967
1677 CYLAT - KAPLET 4 MG 100'S BOX 37,395

1 2 3 4
1678 DESDIN SYRUP @ 60 ML DUS 162,044
1679 DIADIUM - TABLET 2 MG 100'S BOX 249,299
1680 DOM - TABLET SALUT SELAPUT 10 MG 30'S BOX 224,369
1681 DOM 5 MG SUSPENSI 60 ML BTL 87,255
1682 FLORAGYN KAPSUL 3X10'S BOX 673,107
1683 FORINFEC - GARGLE 1 % 200 ML BTL 43,627
1684 FOURCEF 1 GR INJEKSI @ 1 VIAL DUS 623,247
1685 GENOCLOM - TABLET 50 MG 20'S BOX 548,458
1686 HEPATIN - KAPLET SALUT SELAPUT 30'S BOX 314,117
1687 IMUNOS - KAPLET SALUT SELAPUT 20'S BOX 289,187
1688 IMUNOS PLUS KAPLET SALUT SELAPUT 5X4'S DUS 388,906
1689 IMUNOS PLUS SIRUP 60 ML BTL 194,453
1690 IMUNOS SYRUP 60 ML BTL 137,114
1691 ITZOL - KAPSUL 100 MG 12'S BOX 553,444
1692 LACEDIM INJEKSI VIAL @ 1 G VIA 493,612
1693 LACOLDIN - SIRUP 60 ML BTL 37,395
1694 LACOLDIN - TABLET 100'S BOX 274,229
1695 LACOPHEN - DRY SIRUP 125 MG/60 ML BTL 49,860
1696 LACOPHEN - KAPSUL 500 MG 100'S BOX 822,687
1697 LACTOPAIN IV/IM 5 AMP @ 1 ML BOX 398,878
1698 LACTRIN KAPSUL 2X10'S DUS 186,974
1699 LAFLANAC - TABLET 25 MG 100'S BOX 274,229
1700 LAGESIL - TABLET 100'S BOX 174,509
1701 LAGESIL SUSPENSI 170 ML BTL 89,748
1702 LAMESON 16 - TABLET 100'S BOX 1,745,093
1703 LAMESON 4- KAPLET 100'S BOX 735,432
1704 LAMESON 8 - KAPLET 100'S BOX 1,146,775
1705 LAMESON INJEKSI 125 MG IV/IM @ 1 VIAL BOX 209,411
1706 LAPIBAL 250 - KAPSUL 100'S BOX 299,159
1707 LAPIBAL 500 - KAPSUL 100'S BOX 461,203
1708 LAPIBAL INJEKSI 5 VIAL BOX 249,299
1709 LAPIBION -TABLET 100'S BOX 324,089
1710 LAPIBROZ 600 - KAPLET 30'S BOX 269,243
1711 LAPICEF 125 MG/5 ML SYRUP KERING 60 ML BTL 99,720
1712 LAPICEF 250 - KAPSUL 100'S BOX 897,476

1 2 3 4
1713 LAPICEF 250 MG/5 ML SIRUP KERING 60 ML BTL 162,044
1714 LAPICEF 500 - KAPSUL 100'S BOX 2,293,550
1715 LAPIFED - SIRUP 60 ML BTL 46,120
1716 LAPIFED - TABLET 100'S BOX 461,203
1717 LAPIFED DM - SIRUP 100 ML BTL 57,339
1718 LAPIFED EXP - SIRUP 60 ML BTL 47,367
1719 LAPIFLOX 250 -TABLET 30'S BOX 373,948
1720 LAPIFLOX 500 - KAPLET 30'S BOX 897,476
1721 LAPIKOT FORTE - KAPLET 100'S BOX 324,089
1722 LAPIMOX 125 MG/5 ML DRY SYRUP 60 ML FLS 49,860
1723 LAPIMOX 250 MG/5 ML DRY SYRUP 60 ML FLS 74,790
1724 LAPIMOX 500 - KAPLET 100'S BOX 598,317
1725 LAPIMUC - TABLET 100'S BOX 174,509
1726 LAPIROM INJEKSI 1 G @ 1 VIAL DUS 623,247
1727 LAPISIV - SIRUP 100 ML BTL 39,888
1728 LAPISIV T-TABLET 100'S BOX 199,439
1729 LAPISTAN - KAPLET 500 MG 100'S BOX 274,229
1730 LAPIXIME INJEKSI VIAL @ 1 G VIA 324,089
1731 LAPROSIN SYRUP 60 ML BTL 162,044
1732 LAPROSIN TABLET 2X4'S BOX 169,523
1733 LASAL - SIRUP 100 ML BTL 54,846
1734 LASAL 2 - KAPSUL 100'S BOX 261,764
1735 LASAL 4 - KAPSUL 100'S BOX 349,019
1736 LASAL EXP - SIRUP 100 ML BTL 82,269
1737 LASAL- INJEKSI 0.5 MG/ML 5 VIAL BOX 274,229
1738 LASGAN - KAPSUL 30 MG 20'S BOX 598,317
1739 LASMALIN - TABLET 2.5 MG/100'S BOX 249,299
1740 LASMALIN - SYRUP 1.5 MG /100 ML BTL 66,064
1741 LATROPIL - SYRUP 500 MG/5 ML 100 ML BTL 104,706
1742 LATROPIL 1200 - KAPLET 50'S BOX 523,528
1743 LATROPIL 400 - KAPSUL 100'S BOX 498,598
1744 LATROPIL 800 - KAPLET SALUT SELAPUT 60'S BOX 478,654
1745 L-BIO 30 SCH @ 1 GR BOX 411,343
1746 L-CISIN 0.5 MG TABLET 3X10'S BOX 249,299
1747 L-CORE 5 SACHET @ 8 GR DUS 230,602

1 2 3 4
1748 LESIPAR - 300 SOFT KAPSUL 100'S BOX 747,897
1749 L-ZINC SIRUP 100 ML DUS 69,804
1750 MECOLA FORTE - KAPLET 30'S BOX 448,738
1751 MECOLA KAPLET SALUT SELAPUT 30'S BOX 272,982
1752 MEGAZING - KAPLET SALUT SELAPUT 50'S BOX 261,764
1753 MEROTIK INJEKSI VIAL @ 0.5 G DUS 573,388
1754 MEROTIK INJEKSI VIAL @ 1 G DUS 1,047,056
1755 MOVIX 15 MG - TABLET 20'S BOX 388,906
1756 MOVIX 7.5 MG - TABLET 20'S BOX 236,834
1757 MYONEP - TABLET 50 MG /100'S BOX 997,196
1758 NATTO-10 KAPLET SALUT SELAPUT 5X6'S DUS 560,923
1759 NEUCITI - TABLET 500 MG 30'S BOX 635,712
1760 NEUCITI 250 INJEKSI 5 VIAL @ 2 ML BOX 423,808
1761 NEUCITI 500 INJEKSI 5 AMP @ 4 ML DUS 623,247
1762 NONEMI - TABLET SALUT GULA 100'S BOX 299,159
1763 NYSTIN DROP 12 ML BTL 79,776
1764 OBESLIM 120 MG 3X10'S DUS 635,712
1765 ODR 4 MG 5 AMPUL @ 2 ML BOX 311,624
1766 ODR 4 MG/5 ML SIRUP 60 ML BTL 219,383
1767 ODR 8 MG 5 AMPUL @ 4 ML BOX 498,598
1768 OESTROGEL 80 GR @ 1 TUBE DUS 685,572
1769 OPTALVIT PLUS TAB SALUT SELAPUT 3X10'S BOX 411,343
1770 OPTALVIT SYRUP @ 60 ML DUS 149,579
1771 OSTEOKOM 5X6'S SALUT SELAPUT DUS 897,476
1772 PIDOVIX - TABLET 75 MG 30'S BOX 934,871
1773 PROMAVIT - SOFT CAPSULE 30'S BOX 186,974
1774 PROMAVIT SOFT CAPSUL 6X10'S (NEW) DUS 299,159
1775 REBAMID 100 MG TABLET SALUT 3X10'S BOX 224,369
1776 RHELAFEN 100 MG SUSPENSI 60 ML BTL 41,134
1777 RHELAFEN 200 MG FORTE SUSPENSI 60 ML BTL 49,860
1778 SIMBADO 10 - KAPLET SALUT SELAPUT 30'S BOX 523,528
1779 SIMBADO 5 - KAPLET SALUT SELAPUT 30'S BOX 299,159
1780 TARIFLOX 200 - TABLET SALUT SELAPUT 30'S BOX 523,528
1781 TARIFLOX 400 - TABLET SALUT SELAPUT 30'S BOX 1,047,056
1782 TICURING 250 - TABLET SALUT SELAPUT 20'S BOX 398,878

1 2 3 4
1783 TINEURON KAPSUL 300 MG 3X10'S DUS 635,712
1784 TIRIZ 10 MG KAPLET SALUT SELAPUT 30'S BOX 246,806
1785 TIRIZ 10 MG ORAL DROPS 20 ML BTL 144,593
1786 TOFEDEX INJEKSI 5 AMP @ 2 ML BOX 486,133
1787 TOFEDEX TABLET 3X10'S BOX 388,906
1788 TOPAZOL IV INJ. & INFUSION 1 VL @ 40 ML BOX 344,033
1789 UTROGESTAN 100 MG KAPSUL LUNAK 2X15'S DUS 635,712
1790 UTROGESTAN 200 MG KAPSUL LUNAK 15'S DUS 598,317
1791 VITACUR - SYRUP 100 ML BTL 74,790
1792 ZEGREN 50 - TABLET 100'S BOX 249,299
1793 AMBROXOL 30 MG TABLET 100'S (GEN) BOX 35,940
1794 ARGESID 500 MG KAPLET 100'S BOX 286,694
1795 ARIMED 15 MG TABLET 20'S BOX 324,089
1796 BIODASIN 300 MG KAPSUL 50'S BOX 747,897
1797 CALVIT-D 500 MG TAB 10X10'S DUS 311,624
1798 CEFDIM 1 GR INJ. @ 1 VIAL + PELARUT AQUA BOX 411,343
1799 CHEPAMED 800 MG KAPLET 50'S BOX 311,624
1800 CHEPAMED INJ. 3 GR/15 ML 5'S BOX 498,598
1801 DOME 10 MG TABLET 30'S BOX 194,453
1802 DOME DROP 10 ML BTL 68,557
1803 DOME FT 3X10'S BOX 246,806
1804 DOME SYRUP 60 ML BTL 74,790
1805 EFOMET 500 MG TABLET 100'S BOX 249,299
1806 EZYGARD FORTE KAPLET 30'S BOX 411,343
1807 EZYGARD SYRUP BTL 132,128
1808 FENATIC 400 MG TABLET 50'S BOX 67,311
1809 FENATIC SUSPENSI 60 ML BTL 41,134
1810 FIBRAMED 300 MG KAPSUL 30'S BOX 673,107
1811 FINEVASK 10 MG TABLET 3X10'S BOX 598,317
1812 FINEVASK 5 MG TABLET 3X10'S BOX 336,554
1813 FLAMED 100 MG TABLET 30'S BOX 224,369
1814 FLAMED INJEKSI 100 MG/2 ML 5 AMPUL BOX 199,439
1815 FLOKSID 500 MG KAPLET 30'S BOX 822,687
1816 FORDIN 150 MG TABLET 30'S BOX 317,856
1817 FORDIN INJEKSI 50 MG/2 ML 5 AMPUL BOX 274,229

1 2 3 4
1818 FORICEF INJEKSI 1.0 GR @ 1 VIAL VIA 443,752
1819 FUCO 50 MG KAPSUL 5X6'S BOX 486,133
1820 GLUSAFE 300 MG KAPSUL 30'S BOX 324,089
1823 LAGAS 30 MG KAPSUL 20'S BOX 585,853
1824 LYNCIN 500 MG KAPSUL 50'S BOX 623,247
1825 MEDIGREL 75 MG TAB. SALUT SELAPUT 3X10'S DUS 860,081
1826 MEDISTEIN KAPSUL 300 MG BOX 186,974
1827 METHAM KAPLET 50'S BOX 311,624
1828 MEXYLIN 500 MG KAPLET 50'S BOX 292,926
1829 MEXYLIN DRY SYRUP 60 ML BTL 47,367
1830 MINOSCRUB 2 % 1 L BTL 373,948
1831 MINOSCRUB 4 % 1000 ML GAL 747,897
1832 MINOSCRUB 4 % 5000 ML GAL 3,191,027
1833 MINOSCRUB ANTISEPTIC CLEANSER @500 ML BTL 311,624
1834 MINOSEP 0.05 % SOLUTION 1000 ML GAL 249,299
1835 MINOSEP 0.05 % SOLUTION 30 ML BTL 28,669
1836 MINOSEP ANTISEPTIK 0.05% SOLUTION 1 LTR BTL 249,299
1837 MINOSEP GARGLE 0.1 % 150 ML BTL 54,846
1842 MINOSEP SOLUTION 0.05 % 10 ML BTL 14,958
1843 MINOSIL HAND RUB @ 500 ML BTL 361,483
1844 MINOSIL HANDRUB 1 L BTL 648,177
1845 MINOSIL HANDRUB 5 L BTL 2,468,060
1846 NAUSILE 5 MG/5 ML SYRUP 60 ML BTL 18,697
1847 NAUSILE 10 MG TABLET 100'S BOX 104,706
1848 NEUROMED 5000 MG TABLET 100 BOX 535,993
1849 OXFEZIN SYRUP 100 ML (APEL MINT) BTL 112,185
1849 OXFEZIN SYRUP 60 ML (APEL) BTL 68,557
1849 PARACETAMOL 500 MG TABLET 10X10'S (GEN) BOX 15,864
1849 PIROXICAM 10 MG TAB. 100'S (GEN)-PROMED BOX 23,797
1849 PRESCHOL 10 MG TABLET 30'S BOX 381,427
1849 PRESTIN 20 MG 50'S BOX 498,598

1 2 3 4
1857 PROCEFA INJEKSI 1.0 GR @ 1 VIAL VIA 329,075
1858 PROFAT SUSPENSI 100 ML BTL 137,114
1859 PROFIM 100 MG KAPSUL 30'S BOX 1,159,240
1860 PROFIM 100 MG/5 ML DRY SYRUP BTL 174,509
1861 PROGINA CARE 100 ML (NEW) BOX 77,283
1862 PROGINA CARE FEMININE HYGIENE 150 ML BTL 104,706
1863 PROGINA TRANSVAGINA GEL 220 ML BTL 84,762
1864 PROGYL INFUS 100 ML BOX 162,044
1865 PROHELIC KAPLET 30'S BOX 349,019
1866 PROLECIN 500 MG KAPLET 20'S BOX 1,221,565
1867 PROLECIN INFUS 100 ML @ 1 VIAL BOX 436,273
1868 PROLON 8 MG TABLET 30'S BOX 299,159
1869 PROLYSIN PLUS SIRUP JERUK 100 ML BTL 69,804
1870 PROLYSIN SIRUP JERUK 120 ML BTL 54,846
1871 PROMEZOL 20 MG KAPSUL 20'S BOX 511,063
1872 PROPECT 30 MG TABLET 100'S BOX 186,974
1873 PROPECT SYRUP 60 ML BTL 52,353
1874 PROPENEM INJ 1.0 GR SERBUK INJ.@ 1 VIAL BOX 847,616
1875 PROSONIC ULTRA SOUND GEL 220 ML BTL 62,325
1876 PROSONIC ULTRA SOUND GEL 5 LITER GAL 648,177
1877 PROSTE KAPLET 30'S BOX 216,890
1878 PROTECLINE INJEKSI 5 AMP @ 2 ML BOX 423,808
1879 PROVAMED 500 G TABLET 50'S BOX 610,782
1880 PROVAMED SYRUP 100 ML BTL 105,952
1881 PROVAMED SYRUP 60 ML BTL 93,487
1882 RIME INJ 1.0 GR @ 1 VL + AQUA PRO 10 ML BOX 560,923
1883 STATER PACK MINOSCRUB 1 LTR PKT 747,897
1884 STATER PACK MINOSCRUB 5 LTR PKT 3,240,886
1885 STATER PACK MINOSIL 1 LTR PKT 722,967
1886 STATER PACK MINOSIL 5 LTR PKT 2,742,288
1887 THRAMED 50 MG KAPSUL 50'S BOX 274,229
1888 ULTILAR 10 MG TABLET 50'S BOX 423,808
1889 VOLTEN 50 MG TABLET 50'S BOX 191,960
1890 VROXYL 500 MG KAPSUL 30'S BOX 673,107
1891 VROXYL DRY SYRUP 60 ML BTL 99,720

1 2 3 4
1892 VROXYL DS FORTE 60 ML BTL 137,114
1893 ZINE 10 MG TABLET SALUT SELAPUT 3X10'S BOX 299,159
1894 ZINE SIRUP 60 ML BTL 87,255
1895 ZYFLOX 200 MG TABLET 30'S BOX 373,948
1896 ZYFLOX 400 MG TABLET 30'S BOX 897,476
1897 BDM SYRUP 60 ML BTL 84,762
1898 BDM TABLET 5X10'S BOX 274,229
1899 CECYL KAPSUL 5X10'S BOX 349,019
1900 CLAROLID KAPLET SAL.SELAPUT 2X10'S BOX 1,146,775
1901 CLIXID TABLET SALUT 10X10'S BOX 199,439
1902 COXAVIT KAPLET SALUT SELAPUT 5X6'S BOX 366,469
1903 ELGRAN 1 MG TABLET 5X10'S -NULAB BOX 299,159
1904 ELGRAN 2 MG TABLET 5X10'S -NULAB BOX 486,133
1905 E-ZOX INJEKSI 1 GR @ 1 VL+ PELARUT 10 ML BOX 493,612
1906 GORON 25 MG TABLET 10X10'S BOX 411,343
1907 KEREN INJEKSI 5 AMP @ 2 ML BOX 548,458
1908 KEREN TABLET SALUT SELAPUT 5X10'S BOX 722,967
1909 MAXIFLON 40 MG KAPL.SALUT SELAPUT 2X3'S BOX 673,107
1910 NUCOXI 15 MG TABLET 3X10'S BOX 605,796
1911 NUCOXI 7.5 MG TABLET 3X10'S BOX 370,209
1912 NUPERA 1 VIAL INJ @1 GR+1 AMP PELARUT BOX 341,540
1913 NUREST KAPLET SALUT SELAPUT 5X6'S BOX 261,764
1914 NUZOLE 30 MG KAPSUL 2X10'S BOX 598,317
1915 PANTERA INJEKSI 1 VIAL @ 40 MG BOX 336,554
1916 RAFACORT 4 MG TABLET 5X10'S BOX 342,786
1917 ZEPE INJEKSI 1 GR @ 1VL + PELARUT 10 ML BOX 698,037
1918 ACETYLCYSTEINE 200MG KAP 5X10 (OGB-NULAB DUS 124,649
1919 AMLODIPINE 10 MG TAB.3X10'S (OGB)-NULAB BOX 115,131
1920 AMLODIPINE 5 MG TAB 3X10'S (OGB)-NULAB BOX 65,271
1921 AZITHROMYCIN D'DRATE 10'S (OGB)-NULAB BOX 249,299
1922 CEFIXIME 100 MG KAP.5X10'S (OGB)-NULAB BOX 271,349
1923 CEFPIROME 1 VIAL @ 1 GR (OGB)-NULAB VIA 324,089
1924 CETIRIZINE 10 MG TAB.5X10'S (OGB)-NULAB BOX 35,525
1925 DEXKETOPROFEN 25 MG 5X10'S (OGB)-NULAB BOX 373,948
1926 DEXKETOPROFEN 25 MG INJ @2ML (OGB)-NULAB BOX 299,159

1 2 3 4
1927 DICLOFENAK POT.25 MG 5 X10'S (OGB)-NULAB BOX 44,288
1928 DICLOFENAK POT.50 MG 5 X10'S (OGB)-NULAB BOX 80,232
1929 DOMPERIDONE 10 MG TAB. 10X0'S(OGB)-NULAB BOX 91,475
1930 DONEPEZIL TAB.SALUT 3X10'S (OGB)-NULAB BOX 448,738
1931 FLUNARIZINE 10 MG TAB.2X20'S (OGB)-NULAB BOX 199,439
1932 FLUNARIZINE 5 MG TAB. 2X20'S (OGB)-NULAB BOX 124,649
1933 GABAPENTIN 300 MG KAP.3X10'S (OGB)-NULAB BOX 373,948
1934 GLIMEPIRIDE 1 MG TAB. 5X10'S (OGB)-NULAB BOX 86,130
1938 KETOKONAZOLE CREAM 15 GR (OGB) -NULAB TUB 15,865
1939 KETOROLAC TR.10 MG TAB.5X10'S(OGB)-NULAB BOX 311,624
1940 LANSOPRAZOLE 30 MG KAP.2X10'S(OGB)-NULAB BOX 61,253
1941 LEVOFLOXACIN TAB.SS 5X10'S (OGB)-NULAB BOX 130,732
1942 LORATADINE 10 MG TAB. 5X10'S (OGB)-NULAB BOX 37,744
1943 MELOXICAM 15 MG TAB. 5X10'S (OGB)-NULAB BOX 135,868
1944 MELOXICAM 7.5 MG TAB. 5X10'S (OGB)-NULAB BOX 78,405
1945 MEROPENEM 1 GR INJ. 1 VIAL (OGB)-NULAB VIA 498,598
1946 METHYLPREDNISOLONE 4 MG 100'S(OGB)-NULAB BOX 99,844
1947 METHYLPREDNISOLONE 8 MG 100'S(OGB)-NULAB BOX 132,582
1948 MISOPROSTOL 200 MCG TAB 3X10'S(OGB-NULAB DUS 373,948
1949 MOMETASONE FUROATE KRIM 10 GR(OGB)-NULAB TUB 50,483
1950 MOMETASONE FUROATE KRIM 5 GR (OGB)-NULAB TUB 31,973
1951 OMEPRAZOLE 20 MG KAP.3X10'S (OGB)-NULAB DUS 27,762
1952 OMEPRAZOLE SOD.40 MG INJ. (OGB)-NULAB BOX 169,523
1953 ONDANSETRON 4 MG INJ.5 AMP (OGB)-NULAB BOX 87,255
1954 ONDANSETRON 4 MG TAB.SS 10'S (OGB)-NULAB BOX 34,902
1955 ONDANSETRON 8 MG INJ. 5 AMP (OGB)-NULAB BOX 209,411
1956 ONDANSETRON 8 MG TAB.SS 30'S (OGB)-NULAB BOX 172,016
1957 PANTOPRAZOLE SODIUM 1 VIAL (OGB)-NULAB BOX 199,439
1958 PIRACETAM 1200 MG KAPL.100'S (OGB)-NULAB BOX 293,176
1959 PIRACETAM 800 MG KAPL.100'S (OGB)-NULAB BOX 181,988
1960 RISPERIDONE 1 MG TAB.5X10'S (OGB)-NULAB BOX 213,151
1961 RISPERIDONE 2 MG TAB. 5X10'S (OGB)-NULAB BOX 269,131

1 2 3 4
1962 RISPERIDONE 3 MG TAB 5X10'S (OGB)-NULAB BOX 322,954
1963 SERTRALINE 50 MG KAP.3X10'S (OGB)-NULAB BOX 486,133
1964 TRIAMCINOLONE 4 MG TAB.100'S (OGB)-NULAB BOX 180,617
1965 ANORAL KAPSUL 30'S BTL 260,064
1966 ANORAL-ANLIQ KAPSUL 30'S BTL 327,489
1967 KOBELLON KAPSUL 20'S BOX 317,856
1968 REMACT KAPSUL 30'S BTL 296,666
1969 SANJUKEI GINSENG FRUIT PILL DUS 1,830,081
1970 AAFACT 1.000 IU VIA 11,642,261
1971 AAFACT 1.000 IU (R) VIA 8,158,875
1972 AAFACT 500 IU VIA 5,847,195
1973 AAFACT 500 IU (INHEALTH) BOX 4,612,031
1974 AAFACT 500 IU (R) VIA 4,192,755
1975 ALBUMAN 20 % 50 ML (NR) FLS 927,392
1976 ALBUMAN 20 % 100 ML (INHEALTH) BOX 2,138,985
1977 ALBUMAN 20 % 100 ML (NR) FLS 1,944,532
1978 ALBUMAN 20 % 100 ML (R) FLS 3,983,797
1979 ALBUMAN 20 % 50 ML (INHEALTH) BOX 1,020,131
1980 ALBUMAN 20 % 50 ML (R) FLS 1,991,899
1981 CEALB 20 % 100 ML FLS 3,116,237
1982 CEALB 20 % 50 ML FLS 1,745,093
1983 COFACT 250 IU/10 ML (R) VIA 6,476,787
1984 COFACT 500 IU 20 ML (INHEALTH) BOX 13,234,969
1985 COFACT 500 IU 20 ML (NR) VIA 10,221,257
1986 COFACT 500 IU 20 ML (R) VIA 12,340,298
1987 HEPBQUIN 150 IU VIA 4,736,680
1988 HEPBQUIN 500 IU (R) VIA 9,947,028
1989 NONAFACT 500 IU 5 ML (R) VIA 10,470,556
1990 ALA 600 MG KAPLET SALUT SELAPUT 30'S BOX 448,738
1991 AMVAR 500 MG KAPLET SALUT SELAPUT 30'S BOX 411,343
1992 APECUR 100 ML BTL 71,050
1993 AR-GOUT 0,5 MG TABLET 3X10'S BOX 249,299
1994 ASTAPLUS KAPLET SALUT SELAPUT 30'S BOX 538,486
1995 ATROCOX 15 TABLET 2X10'S DUS 349,019
1996 ATROCOX 7.5 TABLET 2X10'S DUS 219,383

1 2 3 4
1997 CADO TABLET EFF.10'S BOX 49,860
1998 CEFOMAX 1 G @ 1 VIAL VIA 261,764
1999 CEFTAMAX 1 G @ 1 VIAL VIA 398,878
2000 CEFTRIMAX @ 1 VIAL VIA 448,738
2001 ERDOMEX 175 MG DS @ 60 ML BOX 99,720
2002 ERDOMEX KAPSUL 2X10'S BOX 186,974
2003 FOLDA KAPLET SALUT SELAPUT 30'S BOX 299,159
2004 GL VIT C 1000 PLUS ECHINACEA TAB 10'S BOX 49,860
2005 GOOD LIFE BIOCAL-95 KAPLET SALUT 30'S BOX 299,159
2006 GOOD LIFE EYE BRIGHT KAPLET SALUT 30'S BOX 336,554
2007 GOOD LIFE FRES DIAB KAPLET SALUT 30'S BTL 361,483
2008 GOOD LIFE GCM FORTE 30 SCH BOX 972,266
2009 GOOD LIFE GCM KAPLET SALUT 30'S BOX 448,738
2010 GOOD LIFE GROW VIT KAPLET SALUT 30'S BTL 224,369
2011 GOOD LIFE N.ACIDIC VIT.C 1000 KAPL. 60'S BTL 386,413
2012 GOOD LIFE N.ACIDIC VIT.C 500 KAPLET 60'S BTL 164,537
2013 GOOD LIFE N.ACIDIC VIT.C 500 KAPLET 60'S BTL 261,764
2014 GOOD LIFE ODORLESS GARLIC SOFT CAP 100'S BTL 249,299
2015 GOOD LIFE OMEGA-3 SOFT CAPSULE 100'S BTL 448,738
2016 GOOD LIFE PROLIVER KAPLET SALUT 30'S BOX 373,948
2017 GOOD LIFE VIT E 400 SOFT CAPSULE 30'S BTL 164,537
2020 GOOD LIFE VIT.E 400 SOFT CAPSULE 30'S BTL 261,764
2021 HB-VIT KAPLET SALUT SELAPUT 30'S BOX 172,016
2022 IMUNVIT KAPLET SALUT SELAPUT 20'S BOX 261,764
2023 IMUNVIT PLUS SYRUP 60 ML DUS 162,044
2024 IMUNVITPLUS KAPLET SALUT SELAPUT 20'S BOX 324,089
2025 MAX E-400 SOFT CAPSULE 30'S BTL 299,159
2026 MAXCEF-125 MG/5 ML 60 ML BTL 93,487
2027 MAXCEF-250 MG/5 ML 60 ML BTL 162,044
2028 MAXCEF-500 MG KAPSUL 100'S BOX 2,143,971
2029 MAXPRINOL SYRUP 60 ML BTL 169,523
2030 MAXPRINOL TABLET 2X4'S BOX 174,509
2031 MAXSTAN 500 KAPLET SALUT SELAPUT 100'S BOX 249,299

1 2 3 4
2032 MAXTOTEN 100 MG KAP 5X6'S DUS 560,923
2033 PANTOMEX INJEKSI 40 MG @ 1 VIAL BOX 324,089
2034 REBAMAX 100 MG TABLET SALUT 3X10'S BOX 224,369
2035 REGRESSOR KAPLET SALUT SELAPUT 30'S BOX 174,509
2036 SIMCITI 500 MG KAPLET SALUT SELAPUT 30'S BOX 598,317
2037 SIMCLOVIX 75 MG TABLET SALUT 30'S BOX 860,081
2038 SIMCOBAL 500 MCG KAPSUL 100'S BOX 448,738
2039 SIMDES SIRUP @ 60 ML BTL 174,509
2040 SIM-DHA 100 ML BTL 109,692
2041 SIMDROL 125 MG SERBUK INJ. 1 VIAL BOX 186,974
2042 SIMDROL 125 MG SERBUK INJ. 1 VIAL(HK) BOX 62,325
2043 SIMDROL-4 MG TABLET 100'S BOX 598,317
2044 SIMEXIM @ 1 VIAL VIA 286,694
2045 SIMEXTAM INJEKSI 1 VIAL @ 1 GR BOX 373,948
2046 SIMFIX -200 MG KAPSUL 10'S BOX 498,598
2047 SIMFIX DRY SYRUP 30 ML BTL 174,509
2048 SIMFIX-100 MG KAPSUL 30'S BOX 1,121,845
2049 SIMFLOX-500 MG KAPLET SALUT SELAPUT 30'S BOX 688,065
2050 SIMLEV 500 MG TABLET SALUT SELAPUT 10'S BOX 623,247
2051 SIMPENEM 1 G @ 1 VIAL VIA 872,546
2052 SIMPROFEN TABLET SALUT SEL. 3X10'S BOX 373,948
2053 SIMRYL 2 MG KAPLET 50'S BOX 373,948
2054 SIMRYL 3 MG KAPLET 50'S BOX 498,598
2055 SIMTIN KAPSUL 3X10'S BOX 560,923
2056 SIMTOR ATORVASTATIN CALSIUM 10MG BOX 598,317
2057 SIMTOR ATORVASTATIN CALSIUM 20 MG BOX 635,712
2058 SIMVASK-10 TABLET 3X10'S DUS 523,528
2059 SIMVASK-5 MG TABLET 30'S BOX 299,159
2060 SIMZEN KAPLET SALUT SELAPUT 3X10'S BOX 186,974
2061 SIMZEN ORAL DROP 20 ML BTL 124,649
2062 ULCERID 20 MG TABLET 30'S BOX 249,299
2063 ULCERID 40 MG TABLET 30'S BOX 361,483
2064 VIPRO-G-TAB.EFFERVESCENT (JERUK) 10'S BOX 68,557
2065 VIPRO-G-TAB.EFFERVESCENT (ORIGINAL) 10'S BOX 68,557
2066 VIPRO-G-TAB.EFFERVESCENT (ORIGINAL) 20'S BOX 274,229

1 2 3 4
2067 XIETY 10 MG TABLET 100'S BOX 897,476
2068 AMICLAV FILM COATED 5X6'S DUS 747,897
2069 BEVITA SYRUP 120 ML BTL 99,720
2070 BIONEMI KAPSUL 5X10'S DUS 186,974
2071 CALNIC KAPLET 3X10'S DUS 205,672
2072 CALNIC PLUS KAPLET 3X10'S DUS 261,764
2073 CALNIC PLUS SUSPENSI 100 ML BTL 124,649
2074 CALNIC SUSPENSI 100 ML BTL 112,185
2075 CARBISOL FILCO TABLET 10X10'S DUS 810,222
2076 CEFARIN INJ. 1 GR @ 1 VIAL DUS 324,089
2077 CEFAROX DRY SYRUP 30 ML BTL 186,974
2078 CEFAROX KAPSUL 2X10'S DUS 847,616
2079 CERPLAST AEROFILM 45X150 MM @ 5 UNIT DUS 1,059,521
2080 CERPLAST AEROFILM 45X200 MM @ 5 UNIT DUS 1,153,008
2081 CERPLAST AEROFILM 50X100 MM @ 5 UNIT DUS 810,222
2082 CERPLAST AEROFILM 50X50 MM @ 5 UNIT DUS 685,572
2083 CERPLAST BASIC 100X150 MM @ 5 UNIT DUS 872,546
2084 CERPLAST BASIC 45X150 MM @ 5 UNIT DUS 810,222
2085 CERPLAST CAVITY 100X100 MM @ 5 UNIT DUS 959,801
2086 CERPLAST CAVITY 100X150 MM @ 5 UNIT DUS 1,121,845
2087 CERPLAST DIGITIP 55X80 MM @ 5 UNIT DUS 747,897
2088 CLINEX KAPSUL 3X10'S DUS 467,436
2089 CYTROPIL 1200 KAP. SALUT SELAPUT 3X10'S DUS 299,159
2090 CYTROPIL 800 KAPLET SALUT SELAPUT 3X10'S DUS 224,369
2091 CYTROPIL INJEKSI @ 1 VIAL 15 ML DUS 118,417
2092 DIUVAR INJEKSI 5 AMP @ 2 ML DUS 155,812
2093 D-VIT FT (FLASH TAB) 3X10'S DUS 186,974
2094 D-VIT SIRUP 100 ML BTL 62,325
2095 ESTIN DROP 10 ML BTL 124,649
2096 ESTIN SYRUP 60 ML BTL 124,649
2097 ESTIN TABLET SALUT SELAPUT 2X10'S DUS 174,509
2098 FELOX KAPLET SALUT SELAPUT 2X10'S DUS 747,897
2099 FLAMIC TABLET SALUT ENTERIK 5X10'S DUS 267,996
2100 FORANSI 10 KAPSUL 3X10'S DUS 246,806
2101 FORANSI 20 KAPSUL 3X10'S DUS 336,554

1 2 3 4
2102 FOSICOL DRY SYRUP 60 ML BTL 68,557
2103 FOSICOL FORTE DS 60 ML BTL 118,417
2104 FOSICOL KAPSUL 5X10'S DUS 411,343
2105 GASTROLAN KAPSUL 2X10'S DUS 598,317
2106 GRACEF INJ. 1 GR @ 1 VIAL + 10 ML A.P.I DUS 448,738
2107 GRACIVASK 10 TABLET 3X10'S DUS 635,712
2108 GRACIVASK 5 TABLET 3X10'S DUS 355,251
2109 GRAFED TABLET 3X10'S DUS 112,185
2110 GRAFIX KAPLET SALUT SELAPUT 5X10'S DUS 168,277
2111 GRANEM @ 1 VIAL DUS 1,071,985
2112 GRAPHALAC SYRUP 120 ML BTL 105,952
2113 GRATAMIN TABLET 5X10'S DUS 162,044
2114 GRAZOL TABLET 3X10'S DUS 267,373
2115 IMOX TABLET SALUT SELAPUT 2X10'S DUS 299,159
2116 IMUFOR KAPLET 5X10'S BOX 398,878
2117 IMUFOR PLUS SIRUP 60 ML BTL 137,114
2118 LESVATIN TABLET SALUT SELAPUT 3X10'S DUS 448,738
2119 LOTENAC TABLET 5X10'S DUS 168,277
2120 LOXIL TABLET 2X10'S DUS 219,383
2121 LYPHEN KAPSUL 5X10'S DUS 373,948
2122 MECLAM INJEKSI 5 AMP @ 2 ML DUS 105,952
2123 MECOLIN KAPSUL 5X10'S DUS 224,369
2124 MESOL 16 TABLET SALUT SELAPUT 3X10'S DUS 411,343
2127 METRONIDAZOLE SUSPENSI 125 MG/5ML @60 ML DUS 21,190
2128 MORETIC DROP 15 ML BTL 68,557
2129 NERVA 5000 KAPLET SALUT SELAPUT 5X10'S DUS 342,786
2130 NERVA PLUS KAPLET SALUT SELAPUT 5X10'S DUS 280,461
2131 NOFLAM TABLET SALUT ENTERIK 5X10'S DUS 523,528
2132 NOVAX DS 60 ML BTL 47,367
2133 NOVAX FDS 60 ML BTL 71,050
2134 NOVAX KAPLET 5X10'S DUS 342,786
2135 OSITIN KAPLET SALUT SELAPUT 5X4'S DUS 314,117
2136 OXAN KAPLET SALUT SELAPUT 2X10'S DUS 249,299

1 2 3 4
2137 PROLIVA KAPLET TABLET SELAPUT 5X4'S DUS 349,019
2138 PROMUXOL DROP 20 ML BTL 87,255
2139 PROMUXOL SYRUP 60 ML BTL 56,092
2140 PROMUXOL TABLET 5X10'S DUS 118,417
2141 PROPEPSA SUSPENSI 100 ML BTL 120,910
2142 PROPEPSA SUSPENSI 200 ML BTL 199,439
2143 PROSINAL SUSPENSI 60 ML BTL 49,860
2144 RATINAL INJEKSI 5 VIAL @ 2 ML DUS 249,299
2145 RATINAL TABLET SALUT SELAPUT 3X10'S DUS 314,117
2146 RONAZOL INFUS @ 1 FLACON 100 ML BOX 174,509
2147 RONAZOL SUSPENSI 60 ML BTL 93,487
2148 SPM INFUS SET TIPE C3 30 UNIT BOX 2,991,587
2149 SPM INFUS SET TIPE R3 30 UNIT BOX 2,991,587
2150 TOPRAS KAPLET 5X10'S DUS 124,649
2151 TRANEC INJEKSI 10 AMP @ 5 ML DUS 411,343
2152 TRANEC KAPLET SALUT SELAPUT 5X10'S DUS 349,019
2153 TRONADEX INJEKSI 5 AMP @ 2 ML DUS 349,019
2154 VERSYL TABLET 5X10'S DUS 249,299
2155 VIOQUIN KAPLET SALUT SELAPUT 3X10'S DUS 934,871
2156 VOCEFA DS 60 ML BTL 99,720
2157 VOCEFA FDS 60 ML BTL 164,537
2158 VOCEFA KAPSUL 3X10'S DUS 691,805
2159 VOMISTOP DROP 10 ML BTL 82,269
2160 VOMISTOP FT TABLET 3X10'S BOX 261,764
2161 VOMISTOP SUSPENSI 60 ML BTL 74,790
2162 VOXIN KAPLET SALUT SELAPUT 2X10'S DUS 1,620,443
2163 ZEMINDO SYRUP 60 ML BTL 81,022
2164 ZOLASTIN 0.5 MG TABLET 5X10'S DUS 274,229
2165 ZOLASTIN 1 MG TABLET 5X10'S DUS 436,273
2166 B'GEN CHOCO LATTE 10 SCH DUS 186,974
2167 B'GEN COFFEE LATTE 10 SCH DUS 186,974
2168 B'GEN GINGER LATTE 10 SCH DUS 186,974
2169 B'GEN GREEN TEA LATTE 10 SCH DUS 186,974
2170 B'GEN PLUS CHOCO LATTE 10 SCH DUS 211,904
2171 B'GEN PLUS COFFEE LATTE 10 SCH DUS 211,904

1 2 3 4
2172 B'GEN PLUS GINGER LATTE 10 SCH DUS 211,904
2173 Ceftriaxon 1 gr Serbuk Inj /2'vial box 24,387
2174 Diphenhydramine Inj /30'amp box 36,379
2175 Paracetamol Infus /flacon 100 ml BTL 31,266
2176 Pehavral /10x10's box 81,291
2177 Anemolat 1 mg /10x10's box 23,434
2178 Hemafort /10x10's box 83,375
2179 Lactor 30 mg/ml Inj /6'amp btl 41,834
2180 Methisoprinol Syr 250 mg/5 ml /btl 60 ml btl 69,480
2181 Methisoprinol Tab 500 mg /5x10's box 208,439
2182 Panto-Gas 40 mg Serbuk Inj/vial box 67,233
2183 Pantoprazol 40 mg Serbuk Inj/vial box 50,531
2184 Pehamol Infus 10 mg/ml /flacon 100 ml btl 63,668
2185 Pehamoxil Forte /5x10's box 56,089
2186 Pehastan 500 mg /10x10's box 60,261
2187 Pehavask 5 mg /3x10's box 21,789
2188 Phadilon 500 mg Serbuk Inj /vial box 240,323
2189 Phaminov 24 mg/ml Inj /5'amp @10 ml box 194,574
2190 Phaproxin 500 mg /5x10's box 93,474
2191 Taxef 1 gr Serbuk Inj /vial box 135,538
2192 Trixon 1 gr Serbuk Inj /vial box 200,035
2193 Acyclovir 5% Tube 3,974
2194 Cefixim Syr 30 ml BTL 19,107
2195 Folic Acid 1 mg Tube 16,536
2196 Albendazole 400 mg /5x6's box 20,038
2197 Ambroxol 30 mg /10x10's box 25,624
2198 Ampicillin 1 gr Serbuk Inj /10'vial box 97,549
2199 Ampicillin 500 mg /10x10's box 62,573
2200 Ampicillin SK 125 mg/5 ml /btl 60 ml btl 7,782
2201 Antalgin Inj 250 mg/ml /30'amp box 60,642
2202 Antalgin Tab 500 mg /10x10's box 30,835
2203 Betametason krim 0.1% /25'tube Box 58,931
2204 Captopril 12.5 mg /10x10's box 8,532
2205 Cefpirome 1 gr Serbuk Injeksi /vial box 72,953
2206 Chlorampenicol 250 mg /10x10's box 54,041

1 2 3 4
2207 Chlorpromazine 100 mg /Btl 250's box 38,530
2208 Cimetidine 200 mg /10x10's box 20,747
2209 Corsona Tab 0,5 mg /10x10's box 26,305
2210 Corsona 5 mg/ml Inj /5'amp box 18,676
2211 Cotrimoksazole Ped /10x10's box 13,423
2212 Diafac 500 mg /10x10's box 107,083
2213 Diaproz Tablet /10x10's box 59,077
2214 Diazepam 2 mg /10x10's box 14,396
2215 Droxefa 500 mg kapsul /5x10's box 105,831
2216 Extract Belladon 10 mg /10x10's box 13,423
2217 Glibenclamide 5 mg /10x10's box 12,729
2218 Griseofulvin 125 mg/100's box 30,321
2219 Hydrocortisone krim 2.5% /24 tube box 145,907
2220 Ketorolac Inj 10 mg /12'amp box 35,435
2221 Lyncomycin 500 mg /5x10's box 57,473
2222 Padonil /10x10's box 25,265
2223 Pehamoxil 125 mg SK /12 sachet x 1 gr sch 18,161
2224 Pehamoxil 1 gr Serbuk Inj /10'vial box 19,146
2225 Pehatifen Syr /btl 60 ml btl 15,159
2226 Pehatifen Tab /5x10's box 56,847
2227 Pehavask 10 mg /3x10's box 31,127
2228 Phadilon 125 mg Inj /vial box 49,803
2229 Phadilon Tablet 4 mg /10x10's box 250,222
2230 Phapin 1 gr Serbuk Inj /10'vial box 11,947
2231 Phinev Injeksi /10'amp box 126,974
2232 Phytomenadione 10 mg Inj /30'amp box 65,950
2233 Prednison 5 mg /10x10's box 19,204
2234 Saltam 2 mg /10x10's box 18,676
2235 Saltam 4 mg /10x10's box 21,789
2236 Thiamphenicol 500 mg /10x10's box 93,380
2237 Vapril 12,5 mg /10x10's box 13,696
2238 Vapril 25 mg /10x10's box 24,901
2239 Visoprin Syr 250 mg/5 ml /btl 60 ml btl 25,265
2240 Visoprin Tab 500 mg /8's box 55,584
2241 Vitamin B1 Inj /30'amp box 43,202

1 2 3 4
2242 DEXTAMINE Tab/Doos 10X10'S Dus 208,439
2243 DEXTAMINE Syirup/Btl 60 ml Btl 34,687
2244 DEXTROFEN Syirup/Btl/ 60 ml Btl 9,241
2245 FLUOCORT N CREAM/Tube 5 gram Tube 21,641
2246 GRIVIN FORTE Tab 10x10'S Box 580,793
2247 HUSTAB Tab 30x10'S Box 107,554
2248 HUSTAB P 8 mg Tab 30x10'S Box 63,163
2249 HUSTAB P 4 mg Syirup/Btl 60 ml Btl 9,241
2250 NB Topical Ointment/ Tube 5 mg Tube 19,531
2251 Pehadoxin Forte 10x10'S Box 75,796
2252 Pehacain Inj. 20 Amp x 2 ml Box 71,502
2253 Livron B Plex/ Box 0x10'S Box 27,792
2254 Becefort Syirup/ Btl 60 ml Btl 19,943
2255 Bioron Tab/Doos 10x10'S Dus 112,865
2256 Febrinex Syrup/ Btl 60 ml Btl 18,209
2257 Betafort Syrup/ Btl 60 ml Btl 30,123
2258 Amaropo Plus 10x10'S Box 262,633
2259 Bioron Inj 5 ml Dus 24,929
2260 Cardismo 10x10'S Dus 311,616
2261 Cercul Inj Dus 94,745
2262 Hypobhac 100 mg Inj Dus 165,611
2265 Kaloba Tab Dus 163,593
2266 Kaloba Syrup Btl 126,326
2267 Kolkatriol 30'S Btl 226,709
2268 Kolkatriol Forte 30'S Btl 378,979
2269 Meropros Dus 467,408
2270 Metaneuron 30 x 10'S Dus 393,449
2271 Mictonorm 15 mg Tab 4x7'S Dus 342,395
2272 Nacoflar 25 mg 5 x10'S Dus 65,354
2273 Nacoflar 50 mg 5 x10'S Dus 118,310
2274 Ocugard Dus 162,890
2275 Osteotin 10x6'S Dus 226,251
2276 Palentin 625 mg /5x6's Box 365,210

1 2 3 4
2277 Palentin Dry Syrup Btl 53,057
2278 Proinfark Inj 10 ml 5 Amp Dus 65,690
2279 Ristonat Dus 366,346
2280 Tebokan Forte Dus 589,944
2281 Tebokan Spesial 3x10'S Dus 402,981
2282 Tebokan Tablet 10x10'S Dus 670,793
2283 Tensigard Dus 73,269
2284 Ardios Dus 145,275
2285 Pro TB 2 Blister 233,009
2286 Pro TB 4 Blister 174,498
2287 Abilify 10 mg Box 511,849
2290 Abilify Discmelt 10 mg Box 511,844
2291 Abilify Dismelt 15 mg Box 592,257
2292 Amaryl 1 mg Tab Box 173,216
2296 Amaryl M 1 mg/250 mg Box 103,869
2297 Amaryl M 2 mg/500 mg Box 184,082
2298 Anerocid Cap Box 227,387
2299 Anfix Dry Syr 30 ml Botol 84,639
2300 Anfix Kapsul Box 587,418
2301 Aqua Maris Baby Drops 15 Ml Flas 107,377
2302 Aqua Maris Daily Nasal Spray 30 Ml Flas 113,694
2303 Aqua Maris Strong Nasal spray 30 Ml Flas 126,326
2304 Astaderm Cream 15 G Tube 202,122
2305 Asthin Force 4 mg Kap Box 157,908
2306 Asthin Force 6 Mg Cap. Box 193,279
2307 Asthin Force Cream Tube 132,643
2308 Asthin Force Gel 30 Gr Tube 88,428
2309 Avil Tablet 10X10' Box 178,313
2310 Azomax Dry Syr Botol 112,430
2311 Biolastin Cream 30 Gr Tube 113,694

1 2 3 4
2312 Biolastin Lab 10 Gr Tube 41,688
2313 Biomoist 30 Gr Tube 84,639
2314 Bye bye fever for Adult Box 41,343
2315 Bye Bye Fever For Babies SC Box 70,806
2316 Bye Bye Fever For Children SC Box 50,404
2317 Clopin 25 mg Tab (INH) Box 80,390
2318 Clopine 100 mg ( BPJS) Box 401,948
2319 Clopine 25 (BPJS ) Box 166,521
2320 Clopin 100 mg (INH) Box 357,159
2321 Colergis Sy Botol 48,004
2322 Colergis tab Box 277,918
2323 Curcuma FCT Box 106,114
2324 Curvit CL Emulsion 175 ml Botol 56,847
2325 Curvit Syr 120 ml Botol 40,172
2326 Curvit Syr 60 ml Botol 27,792
2327 Dermatix Ultra 15 G Tube 269,133
2328 Dermatix Ultra 7 G Tube 161,479
2329 Dismeno Box 151,592
2330 Diven Plus Cap Box 250,126
2331 Edemin Inj 2 ml Box 34,740
2332 Edemin Inj Askes Box 13,781
2333 Edotin Cap Box 94,745
2334 Esperson 0.25% 1X15G Tube 136,555
2335 Esperson 0.25% 1X5G Tube 55,184
2336 Euthyrox 100 mcg Box 228,977
2337 Euthyrox 50 mcg Box 109,500
2338 Fitbon Kap Box 98,535
2339 Fitbon Plus 30 kap Box 113,694
2340 Flagyl Suppository 0.5 Gr Box 118,450
2341 Flagyl Suppository 1 Gr Box 238,008
2342 Flagyl Forte Tablets 500 Mg Box 721,336
2343 Flagyl Oral Suspension 60 Ml Botol 59,166
2344 Flagystatin Ovules Box 192,686
2345 Fluimucil Ampul 3 mg Box 272,233
2346 Fluimucil Capsule 200 Mg Box 344,871

1 2 3 4
2347 Fluimucil Dry Syrup 150 Ml Box 75,796
2348 Fluimucil Dry Syrup 75 Ml Botol 55,584
2349 Fluimucil Eff Tab 600 Mg Box 142,117
2350 Fluimucil Granule 200 Mg Box 184,437
2351 Fluirespira NS Box 79,586
2352 Fobet Inj Box 145,275
2353 Folamil Genio Soft Cap Box 132,643
2354 Fortibi Box 113,694
2355 Glucophage 500 mg Box 170,897
2356 Glucophage XR 500 mg Box 307,069
2357 Glucophage XR 750 mg Box 307,073
2358 Glucovance 250/1,25 mg Box 250,637
2359 Glucovance 500/2,50 mg Box 402,079
2360 Glucovance 500/5 mg Box 488,231
2361 Glumin-XR 750 Box 170,541
2362 Glyderm Cream 125 ml Box 137,811
2363 Hexbio Box 138,959
2364 Histrin Syr 60 ml Box 54,320
2365 Histrine Tab Box 160,434
2366 Ikaderm Cream 10 Gr Box 33,476
2367 Ikaderm Ointment 10 Mg Box 33,476
2368 Ikadril Dmp Syr 100 Ml Botol 22,107
2369 Ikadril Syrup 100 Ml Rasa Apel Botol 20,465
2370 Ikadril Syrup 60Ml Rasa Apel Botol 14,780
2371 Ikalep 250 mg Tab Box 163,435
2372 Ikalep Syrup 120 ml Botol 72,006
2373 Ikalep tab (BPJS) Box 85,270
2374 Ikalep Tab (INH) Box 85,270
2375 Ikamicetin Salep Klt Tube 6,948
2376 Ikamicetin Syrup Botol 10,106
2377 Ikaneuron 5000 Injeksi Box 125,063
2378 Ikaneuron 5000 Tablet Box 258,464
2379 Ikaneuron Plus Tablet Box 126,326
2380 Ikaneuron Tablet Box 101,061
2381 Imboost Force 30 Kaplet Box 208,439

1 2 3 4
2382 Imboost Force Syr 60 ml Botol 66,321
2383 Imforce Plus Tab Box 236,862
2384 Imforce Syrup 60 ml Botol 60,637
2385 Irtan 150 mg (A/B) Box 68,905
2386 Irtan 300 mg Askes Box 120,584
2387 Irtan Plus 300 Box 341,081
2388 Irtan Tab 150mg Box 227,387
2389 Irtan Tab 300 mg Box 341,081
2390 Ketese Tab Box 505,305
2391 Lacons Syr Botol 50,531
2392 Lactulax 60 Ml Botol 55,584
2393 Lasix Ampoule 5X2 Ml (Imported Fg) Box 86,983
2394 Lasix Tablet 10X10 Tab Box 535,528
2395 Laz 30 mg Box 318,342
2396 Meptin 0,025 Tab Box 280,824
2397 Meptin 0,05 Tab Box 478,398
2398 Meptin Inhalation Sol 0,3 ml Box 8,502
2399 Meptin Inhalation Sol 0,5 ml Box 8,502
2400 Meptin Swinghaler Box 171,503
2401 Meptin Syr 60 ml Botol 59,752
2402 Mertigo Tab 6MG Box 372,663
2403 Metifer Injeksi 2 ml Box 221,703
2404 Monuril Granule 3 Gr Box 185,700
2405 Nasacort Aq Can 254,084
2406 Natrium Klorida 0,9 % (MJB), Botol 10,336
2407 Noroid Cream 80 ml Box 113,694
2408 Noroid Lotion 200 ml Box 138,959
2409 Novalgin 5X2 Ml Box 62,898
2410 Novalgin Drops 1X10 Ml Box 48,389
2411 Novalgin Oblong 500 Mg 10X10' (Una Form) Box 115,555
2412 Novalgin Oblong 500 Mg 50X10' (Una Form) Box 464,262
2413 Novalgin Syrup 1X60 Ml Botol 49,173
2414 OBH 100 Ml TDR Botol 5,558
2415 OMZ 20 mg Cap Box 442,142
2416 Ossoral 800 Box 295,604

1 2 3 4
2417 Otozambon Ear Drops 8 Ml Box 56,847
2418 OTSU Water for injection 25 ml Ampul 5,811
2419 Oxopect Syr Botol 36,003
2420 Patral Tab Box 85,902
2421 Pepzol 20 mg Tab Box 146,539
2422 Pepzol 40 mg Injeksi Box 164,224
2423 Pepzol 40 mg Tab Box 197,069
2424 Phenitoin Injeksi ( A/B ) Box 27,562
2425 Phentioin Cap ( INH) Botol 32,730
2426 Phenytoin Cap (A/B) Botol 24,117
2427 Phenytoin Capsul 100 Botol 69,480
2428 Phenytoin iInjeksi (INH) Box 23,610
2429 Pinetarsol Gel Tube 106,746
2430 Pinetarsol Sol 100 ml Tube 94,745
2431 Plavix Tablet 75 mg Box 832,995
2432 Pletaal 100 mg Tab Box 463,112
2433 Pletaal 50 mg Tab Box 926,099
2434 Pletaal Powder Box 441,056
2435 Posafit Box 170,541
2436 Prenatin DF Box 208,439
2437 Probio - C Box 56,847
2438 Probio Spray Box 65,690
2439 Rhinathiol Child 100 ml Syr Botol 43,772
2440 Rhinathiol Adult 100 ml Syr Botol 49,267
2441 Rhinathiol Caplet 375 mg Box 278,550
2442 Rhinathiol Romethazine Syr Botol 45,099
2443 Rhinofed Susp 60 ml Botol 27,160
2444 Rhinofed Tab Box 97,271
2445 Rhinos Junior Syr 60 ml Botol 37,898
2446 Rhinos Neo Drop Flas 49,267
2447 Rhinos SR @50 Box 284,234
2448 Riitez FC Tab Box 151,592
2449 Ringer Laktat (MJB) Botol 11,484
2450 Ritez Syr 60 ml Botol 75,907
2451 Rosufer 20 Tab Box 416,877

1 2 3 4
2452 Safe Care Minyak Angin 5 ml Flas 15,619
2453 Salicyl talk 50 Box 1,176
2454 Salonpas Cream 15 gr Tube 12,403
2455 Salonpas Cream 30 gr Tube 17,509
2456 Salonpas Cream Hot 15 gr Tube 10,705
2457 Salonpas Cream Hot 30 gr Tube 16,056
2458 Salonpas Gel 15 gr Tube 11,170
2459 Salonpas Gel 30 gr Tube 17,264
2460 Salonpas Super 100 (koyo) Box 5,864
2461 Seloxy AA Cap Box 240,020
2462 Seloxy Cap Box 170,541
2463 Sistenol Cap Box 113,694
2464 Sofradex Eye&Ear Drops 1X8 Ml (Imported F) Box 73,301
2465 Sofratulle 10X10 Cm 1 X 10(Imported Fg) Box 258,720
2466 Sohobion Tab Box 126,326
2467 Spedifen 400 Mg Box 202,943
2468 Starcef 200 mg Kap Box 347,398
2469 Starcef 100 mg Kap Box 663,213
2470 Starcef Dry Syr Botol 94,745
2471 Telfast Hd 180Mg 1X10' _ Aventis Box 97,289
2472 Telfast Od 120 Mg 10X10' Box 949,892
2473 Telfast Plus 10 X 10 Box 593,954
2474 Telfast Tab. 30 Mg Box 179,068
2475 Thrombogel Gel.. Tube 39,793
2476 Thrombophob Gel Tube 59,689
2477 Thrombophob Ointment Tube 46,425
2478 Thyrozol 10 mg Box 204,826
2479 Thyrozol 5 mg Box 131,872
2480 Tiger Balm Red Flas 21,097
2481 Tiger Balm White Flas 21,097
2482 Toplexil Syrup 120 Ml Botol 81,139
2483 Toplexil Syrup 60 Ml Botol 45,982
2484 Transamin Capsul 250 Mg Box 174,330
2485 Transamin Tablet 500 Mg Box 303,183
2486 Triatec 10 Mg Tablet 3X10' Box 569,435

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KEPUTUSAN

NOMOR : 028 / 781 / 2016

PENETAPAN STANDAR SATUAN HARGA

DINAS PENDAPATAN DAN KEKAYAAN ACEH

I. BIDANG PERINDUSTRIAN DAN PERDAGANGAN

1. KELOMPOK BARANG ALAT TULIS KANTOR....................... ......1 - 12

II. BIDANG PERTANIAN, PERKEBUNAN, KEHUTANAN,

1. KELOMPOK BARANG PERTANIAN.......................................97– 104

III. BIDANG OBAT OBATAN, BAHAN MEDIS HABIS PAKAI, ALAT

1. KELOMPOK BARANG OBAT- OBATAN (E – CATALOG).......145-163

NOMOR : 028 / 781 / 2016

I. ALAT TULIS KANTOR

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

1 Alat Nomorator Nomor 31 Buah 118,054

230 Toner/Cartridge Cartridge HP 12A Buah 1,438,779

B. ALAT-ALAT KEBUTUHAN LAINNYA

NOMOR : 028 / 781 / 2016

½ Folio 379 215 505 379

6 Bahan NCR 3 ply ( Top + 1 ¼ Folio 568 328 2,906 1,642

Middle +1 Bottom ) ½ Folio 568 328 2,906 1,642

7 Bahan NCR 4 ply ( Top + 2 ¼ Folio 1,200 771 2,463 2,148

Middle + 1 Bottom ) ½ Folio 720 1,011 884 884

8 Bahan NCR 5 ply ( Top + 3 ¼ Folio 947 821 1,895 2,021

Middle + 1 Bottom ) ½ Folio 947 821 1,895 1,263

1 Bahan Karton Manila atau ¼ Folio 1,895 1,642 3,537 3,600

C. CETAK KOP SURAT/AMPLOP

1 Bahan HVS 60 gram Berwarna Folio 632 568 379 442

1 Undangan Resmi biasa Folio 3,537 2,337 4,169 3,537

1 Kertas Linen 26 x 36 cm 9,095 8,590 2,274 2,400

2 Kertas Linen berlatar belakang semu 26 x 36 cm 10,738 12,885 3,790 4,169

3 Kertas Linen cetak Timbul 26 x 36 cm 10,485 12,759 3,916 5,685

G. CETAK COVER/KULIT BUKU

1 Bahan Karton Manila Folio 9,222 10,359 17,054 18,317

H. CETAK BLANKO KHUSUS

8 Model Bend 24 NCR, D/F 6 Lbr/Set 9,727 10,359 10,485 10,738

HVS 60, ½ Folio 100 Lbr /

Daftar Pengeluaran yang tidak HVS 60, Ukr. ½ Folio 100

Daftar Pengeluaran yang tidak

14 Kartu Penjaga Kredit Karton BC D/F 4,112 4,421 4,674 4,169

17 Kartu Pensiunan Otonom Karton BC D/F 3,790 4,042 3,916 3,790

HVS 60, Ukr. 2/3 Folio/100

Memo dengan Lambang Garuda/ HVS 60, Ukr. ½ Folio 100

38 Cover States Asahi D/F 18,317 23,370 17,686 18,949

41 Blanko Cuti Dokter isi 2001/Blok ½ Folio 15,664 15,791

Blanko Tanda Pembayaran Lab.Isi 100

43 Buku Cuti Tahunan HVS isi 300 L Folio 171,172 210,965

44 Buku Nama Obat Lux isi 500 L A3 468,039 497,726

Buku Dokter Kamar Bedah isi 500 L

46 Etiket Obat HVS 1/10 F 63 114

NOMOR : 028 / 781 / 2016

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

4 Lemari Arsip Gredenza CRD 3-3 Buah 3,353,798

SSHB ALAT KANTOR & RUMAH TANGGA 19

37 Lemari Buku Tinggi BC 519 (80 x 40 x203 CM) Buah 1,006,139

38 Lemari Buku 4 Rak Alto BC 60 Buah 335,380

39 Lemari Buku 8 Rak Alto BC 80 Buah 614,863

40 Lemari Buku Alto BCD 80 Buah 1,006,139

52 Lemari dua pintu +cermin Thunder LP 202 Buah 894,346

SSHB ALAT KANTOR & RUMAH TANGGA 20

58 Lemari Dapur Biasa 400 x 40 x 70 Cat Impra Tempahan Buah 9,038,484

59 Lemari Dapur Jati 400 x 40 x 70 Cat Impra Tempahan Buah 11,179,325

59 Lemari Arsip 2 Pintu 220 x 50 x 100 Kayu Buah 2,124,072

Ergonomic, Casanova CO 206 400 Buah 531,979

Ergomatic, Casanova CO 306 400 Buah 731,472