No Nama Obat Merk Satuan H/N HET Keterangan

1 Adhesive 5cm x 5m 22.000

Wound
2 Algisite M Smith&Nephew 10 x 10 cm 110.00 115.000 𝟏𝟏𝟓.𝟎𝟎𝟎
= 1.150/1 cm
𝟏𝟎𝟎

3 Alginate Innomed 10 x 10 cm 55.000 60.000 𝟔𝟎.𝟎𝟎𝟎

= 600/ 1 cm
𝟏𝟎𝟎

4 Cohesif 4,5 cm x 5 m 22.000 27.00

Bandage
5 Cutimad BSN Medical 10 x 10 cm 55.000 60.000 𝟔𝟎.𝟎𝟎𝟎
= 600/ 1 cm
𝟏𝟎𝟎
Alginate
6 Duoderm Convatec 30 gr 100.000 105.000 𝟏𝟎𝟓.𝟎𝟎𝟎
= 3.500/1 gr
Hydroactive gel 𝟑𝟎

7 Duoderm Convatec 10 x 10 cm 35.000 40.000 𝟒𝟎.𝟎𝟎𝟎

= 400/ 1 cm
𝟏𝟎𝟎
Extratine
8 Elastic Bandage Winmer 10 cm x 10 13.000 18.000 𝟏𝟖.𝟎𝟎𝟎
= 180/1 cm
𝟏𝟎𝟎
m
9 Exel Care Pharmaplast 30 gr 95.000 100.000 𝟏𝟎𝟎.𝟎𝟎𝟎
= 3.500/ gr
𝟑𝟎

10 Foam BRAUN 10 x 10 cm 60.000 65.000 𝟔𝟓.𝟎𝟎𝟎

= 650/ 1 cm
𝟏𝟎𝟎

11 Foam Alveyn 20 x 10 cm 118.000 125.000 𝟏𝟐𝟓.𝟎𝟎

= 625/ 1 cm
𝟐𝟎𝟎

12 Foam Innomed 5 x 5 cm 32.000 37.000 𝟑𝟕.𝟎𝟎𝟎

= 1.450/1 cm
𝟐𝟓

13 Gentacimin slb Kimia Farma 5 gr 3.000 5.000 𝟓.𝟎𝟎𝟎

= 1.000/ gr
klt 𝟓

14 Hypafix 5 cm x 5 m 75.000 80.000 𝟖𝟎.𝟎𝟎𝟎

= 32/ 1 cm
𝟐.𝟓𝟎𝟎

15 Hydrocotisone PT First 5 gr 5.500 7.000 𝟕.𝟎𝟎𝟎

= 1.400/ gr
𝟓
Medikapharma
16 Hydrocoloid Innomed 10 x 10 cm 60.000 65.000 𝟔𝟓.𝟎𝟎𝟎
= 650/ 1 cm
𝟏𝟎𝟎

17 Iodosorb Smith&Nephew 3 gr 85.000 90.000 𝟗𝟎.𝟎𝟎𝟎

= 30.000/ gr
𝟑
Powder
18 Ialuset Plus IBSA 100 gr 145.000 150.000 𝟏𝟓𝟎.𝟎𝟎𝟎
= 1.500/ gr
𝟏𝟎𝟎

19 Intrasit gel Smith&Nephew 15 gr 105.000 110.000 𝟏𝟏𝟎.𝟎𝟎𝟎

= 7.500/ gr
𝟏𝟓

20 Killbac 350 ml 132.000 140.000 𝟏𝟒𝟎.𝟎𝟎𝟎

= 400/ ml
𝟑𝟓𝟎

21 Melolin Smith&Nephew 10 x 10 cm 10.000 15.000 𝟏𝟓.𝟎𝟎𝟎

= 150/ 1 cm
𝟏𝟎𝟎

22 Oxytetra Kulit Oxitetra 5 gr 3.000 5.000 𝟓.𝟎𝟎𝟎

= 1.000/ gr
𝟓

23 Opsite Flexifix Smith&Nephew 10 cm x 10 600.000 610.000 𝟔𝟏𝟎.𝟎𝟎𝟎

= 610/ 1 cm
𝟏𝟎𝟎𝟎
(Tansparan m
Film)
24 Sofban Mediban 10 cm x 2,7 17.000 22.000
m
25 Star Ag Sintesa Health 50 gr 231.000 240.000 𝟐𝟒𝟎.𝟎𝟎𝟎
𝟓𝟎
= 4.800/ gr

26 Stomahesive Convatec 56,7 gr 290.000 300.000 𝟑𝟎𝟎.𝟎𝟎𝟎

= 5.500/ gr
𝟓𝟔,𝟕
27 Pharma Pharmaplast 10 x 10 cm 36.000 40.000 𝟓.𝟎𝟎𝟎
= 1.000/1 gr
Alginate 𝟓