DAFTAR HARGA B BRAUN HOSPITAL CARE

( B P J S)
Berlaku per : 01 Januari 2016

NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN

B. BRAUN SPECIAL SYRINGE

AKL 20902600190 4617207 Omnifix 20 ml, Luer Lock, Centric Cone 100 pcs/box
AKL 20902600190 4616200 Omnifix 20 ml, Luer Slip, Eccentric Cone 100 pcs/box
AKL 20902600242 4617304 Omnifix 30 ml, Luer Lock, Centric Cone 100 pcs/box
AKL 20902600243 4617509 Omnifix 50 ml, Luer Lock, Centric Cone 100 pcs/box
AKL 20902600243 4616502 Omnifix 50 ml, Luer Slip, Eccentric Cone 100 pcs/box
B. BRAUN I.V. CANNULA
AKL 20902011183 4252500 Introcan Safety G24 x 3/4" 50 pcs/box
AKL 20902011183 4252519 Introcan Safety G22 x 1" 50 pcs/box
AKL 20902011183 4252535 Introcan Safety G20 x 1 1/4" 50 pcs/box
AKL 20902011183 4252560 Introcan Safety G18 x 1 1/4" 50 pcs/box
AKL 20902011183 4252551 Introcan Safety G18 x 1 3/4" 50 pcs/box
AKL 20902011183 4252578 Introcan Safety G16 x 2" 50 pcs/box
B. BRAUN I.V. CANNULA
AKL 20902011184 4268210S-03 Vasofix Safety G 14 50 pcs/box
AKL 20902011184 4268172S Vasofix Safety G16 x 2" 50 pcs/box
AKL 20902011184 4268130S Vasofix Safety G18 x 1¾" 50 pcs/box
AKL 20902011184 4268334S Vasofix Safety G18 x 1¼" 50 pcs/box
AKL 20902011184 4268113S Vasofix Safety G20 x 1¼" 50 pcs/box
AKL 20902011184 4268091S Vasofix Safety G22 x 1'' 50 pcs/box
AKL 20902011184 4269071S Vasofix Safety G24 x ¾'' 50 pcs/box
B. BRAUN INFUSION SET
AKL 20902700099 4099842N INTRAPUR INLINE 20 pcs/box
PVC Free, DEHP Free, 0.2 µm aerosol retentive air filter
for Paclitaxel Drugs
AKL 20902604470 4063005 INTRAFIX SAFESET IS 100 pcs/box
B. BRAUN TRANSFUSION SET
AKL 20902113650 403 422/8 SANGOFIX ES 180 cm, G 18, needle 80 pcs/box
luer lock connector, filter surface
area = 22 cm2

B. BRAUN INFUSION ACCESSORIES

AKL 20902504415 4090500 TRANSOFIX 25 pcs/box
Transfer Set for Sterile Fluid
AKL 20902012317 16401 ECOFLAC MIX 250 pcs/box

AKL 20902600178 409 511/1 DISCOFIX 3-WAY Stopcock Blue 50 pcs/box

AKL 20902600178 409 810/2 DISCOFIX 3-WAY + 10 cm Tubing 100 pcs/box
AKL 20902011355 4495101 Combi Stopper-Red 100 pcs/box
PROTECTIVE ADMIXTURE TOOLS

AKL 20902011348 4550587 Chemo Mini-Spike V 100 pcs/box

AKL 20902011354 A2902N Cyto-Set Mix 20 pcs/box

AKL 20902011351 A1686 Cyto-Set Infusion with 3 safsite 20 pcs/box

AKL 20902011349 4550579 Mini Spike Filter V 50 pcs/box

AKL 20902011348 4550536 MINI SPIKE CHEMO MICRO TIP 20 pcs/box

AKL 20902011350 4550242 Mini Spike Plus 100 pcs/box

B. BRAUN SPINAL ANAESTHESIA

AKL 20403111742 4503902-10 SPINOCAN NEW HUB 27G X 31/2' 25 pcs/box

AKL 20403600183 4501900 SPINOCAN G29 x 3 1/2" Clear Hub + 25 pcs/box

Introducer, 20G x 1 1/4"
AKL 20403600183 4503902 SPINOCAN G27 x 3 1/2" Clear Hub 25 pcs/box

AKL 20403600183 4506014 SPINOCAN G23 x 3 1/2" Clear Hub 25 pcs/box

AKL 20403600183 4509900 SPINOCAN G20 X 3 1/2" Clear Hub 25 pcs/box

 B. BRAUN EPIDURAL ANESTHESIA CATHETER + NEEDLE SET

AKL 20403010526 451 400/9 PERIFIX 400, G18 x 3 1/4" with filter 10 set/box

B. BRAUN PLEXUS ANAESTHESIA

AKL 20403600189 4894502 STIMUPLEX A300 22GX2", 0.70X50MM 25 pcs/box

AKL 20403600189 4894260 STIMUPLEX A300 21GX4", 0.80X100MM 25 pcs/box

B. BRAUN CENTRAL VENOUS CATHETERS, SELDINGER METHODE

AKL 20501604038 4160320 CERTOFIX MONO V420 10 pc
Single lumen cath. G14, 20 cm, jugularis/subclavia
AKL 20501604037 4161211 CERTOFIX DUO V720 10 pc
Double lumen cath. F7, 20 cm, jugularis
AKL 20902600181 4163214 CERTOFIX TRIO V720 10 pc
Triple Lumen cath. Fr.7x20 cm, subclavia
AKL 20501604039 4167775 CERTOFIX QUATTRO V820 10 pc
Four lumen cath. F8, 20 cm
AKL 20501604037 4167538 CERTOFIX DUO V1215 HF (High Flow) 10 pc
Double Lumen catch. F12, 15 cm, Jugular for HD
AKL 20501604037 4167546 CERTOFIX DUO V1220 HF (High Flow) 10 pc
Double Lumen catch. F12, 20 cm, Subclavia for HD
B. BRAUN UROLOGY PRODUCT
AKL 20805600180 4442059 CYSTOFIX F10, 8 cm Bottom Outlet 25 /box
AKL 20805600180 4442121 CYSTOFIX F10, 12 cm Bottom Outlet 25 /box
AKL 20895801260 4417930 UREOFIX 500, urine measurement system, with 10 /box
urine bag 1.5 l with anti-reflux valve and bottom outlet
B. BRAUN PUMPS ACCESSORIES

AKL 20902603191 8255504 Perfusor Tubing White 150 cm 100 pcs/box

AKL 20902603191 8745919 Perfusor Tubing, White, 200 cm 25 pcs/box

AKL 20902603733 8728828 Perfusor Syringe 50 ml / Black 50 pcs/box

AKL 20902603733 8728844 Perfusor Syringe 50 ml / White 50 pcs/box

AKL 20902603724 8728623 Perfusor Syringe 20 ml With Needle 400 pcs/box

AKL 20902701055 8723010 Perfusor Tubing PE / Black 100 pcs/box

Catatan:
Harga tersebut diatas sewaktu-waktu dapat berubah dan belum termasuk PPN 10 %.
*) per Juli 2015
DUO
CARE

HARGA
RP./ PC RP./ BOX

7,727 772,727
7,727 772,727
8,182 818,182
13,636 1,363,636
13,636 1,363,636

20,000 1,000,000
20,000 1,000,000
20,000 1,000,000
20,000 1,000,000
20,000 1,000,000
20,000 1,000,000

20,000 1,000,000
20,000 1,000,000
20,000 1,000,000
20,000 1,000,000
20,000 1,000,000
20,000 1,000,000
20,000 1,000,000

81,818 1,636,364

19,250 1,925,000

18,480 1,478,400

3,091 77,273

5,000 1,250,000

17,500 875,000 *
29,227 2,922,700
3,636 363,636

25,000 2,500,000

51,364 1,027,273

100,000 2,000,000

13,182 659,091

25,000 500,000

11,364 1,136,364

34,545 863,636

50,000 1,250,000

29,091 727,273

29,091 727,273

29,091 727,273
 281,818 2,818,182

163,636 4,090,909

163,636 4,090,909

295,455 2,954,545

500,000 5,000,000

590,909 5,909,091

681,818 6,818,182

636,364 6,363,636

863,636 8,636,364

409,091 10,227,273
432,727 10,818,182
240,000 2,400,000
et

31,818 3,181,818

32,727 818,182

50,000 2,500,000

18,182 909,091

8,636 3,454,545

42,727 4,272,727
 DAFTAR HARGA B BRAUN HOSPITAL CARE
( B P J S)
Berlaku per : 01 Januari 2016

HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
B. BRAUN PLASMA VOLUME REPLACEMENT (PVR)

DKI1386701549A1 3532984 Ringerfundin 500 ml 10 botol/box 10,000 100,000

B. BRAUN PARENTERAL NUTRITION (PN)

DKI1296900949A1 FA 79499 Combiflex Peri, 1000 ml 5 bag / box 204,545 1,022,725

DKI1186701249A1 3655744/3533042 Lipofundin MCT/LCT 20% 100 ml 10 btl / box 65,000 650,000

DKI1186701249A1 3655745/3533050 Lipofundin MCT/LCT 20% 250 ml 10 btl / box 153,750 1,537,500

DKI1086701549A1 3533140 Nutriflex Lipid Peri N3C 1250 ML 5 bag / box 427,273 2,136,365

DKI1086701649A1 3533166 Nutriflex Lpd Spcial N3C625ML ID5 bag / box 295,455 1,477,275

DKI1086701649A1 3533115 5 bag / box 509,091

Nutriflex Lipid Special N3C 1250 ML 2,545,455

B. BRAUN BASIC SOLUTION

DKI 0477201049A1 3610587 ECOSOL Glucose 5%, 500 ml 10 botol/box 6,000 60,000
DKI 0477201049A2 3610587 ECOSOL Glucose 5%, 100 ml 50 botol/box 5,700 285,000
DKI 0477201049B1 3610588 ECOSOL Glucose 10%, 500 ml 10 botol/box 6,500 325,000
DKI 0377200949A1 3610590 ECOSOL Ringer Lactate, 500 ml 10 botol/box 6,300 63,000
DKI 0477201149A1 3610592 ECOSOL NaCl 0.9% 500 ml 10 botol/box 5,750 57,500
DKI 0477201149A2 3610592 ECOSOL NaCl 0.9% 100 ml 50 botol/box 5,800 290,000
DKI 0477201149A1 3610668 ECOSOL NaCl 0.9% 1000 ml 20 botol/box 10,500 210,000
B. BRAUN ANTI FUNGALS
DKI 0477201249A1 3610597 3610597-DIAZOLE 50 botol/box 7,000 350,000

B. BRAUN PLASMA VOLUME REPLACEMENT (PVR)

DKI 0477201349A13610089/3610631 Gelofusine Ecoflac 500 ml 10 botol/box 80,273 802,730
DKI 1096900849A1 FE79353 Tetraspan 6% 500 ml 10 botol/box 88,636 886,360
DKI 1086701549A1 3532984 Ringerfundin 500 ml 10 botol/box 13,225 132,250

Catatan:
Harga tersebut diatas sewaktu-waktu dapat berubah dan belum termasuk PPN 10 %.
*) per Juli 2015
DUO