REALISASI PENGADAAN OBAT DAN BMHP BERDASARKAN E - CATALOGUE

DANA DAK TAHUN 2018

HARGA
NO NAMA OBAT dan PERBEKKES SATUAN VOLUME SATUAN ONGKIR PENYEDIA DISTRIBUTOR TOTAL HARGA Keterangan
TERKECIL

PT. Phyto Kemo

4 Amoksisilin sir kering 125 mg/5 ml Botol 20,000 1,919.00
Agung Farma
KFTD Banda Aceh 38,380,000.00

PT. Pharma PT. Mensa Bina

5 Amoksisilin tab 500 mg Tab 760,000 248.00
Laboratories Sukses Cab. Medan
188,480,000.00

PT. Mersifarma PT. Merapi Utama

6 Antasida tablet Tab 240,000 56.00
Tirmaku Mercusuna Pharma - Medan
13,440,000.00

PT. Indofarma Global

7 Antasida suspensi Botol 35,000 2,098.00 PT. Lucas Djaja
Medika Cab. Aceh
73,430,000.00

Antibakteri, kombinasi : basitrasin 500 UI/g+ Polimiskin B PT. Indofarma PT. Indofarma Global
8
10.000 UI/g Tube 2,000 3,490.00
(Persero) Tbk Medika Cab. Aceh
6,980,000.00

PT. Mersifarma PT. Merapi Utama

9 Asam Mefenamat kaps 500 mg Kaps 280,000 103.00
Tirmaku Mercusuna Pharma - Medan
28,840,000.00

10 Deksametason inj 5 mg/ml (i.v./i.m.) PT. Sapta Sari Tama

Vial 1,200 1,210.00 PT. Meprofarm
Cab. Aceh
1,452,000.00

11 Deksametason tab 0,5 mg PT. Indofarma Global

Tab 400,000 34.00 PT. Novapharin Medika Cab. Aceh 13,600,000.00

12 Diazepam inj 5 mg/ml (i.v./i.m.) PT. Sapta Sari Tama

Vial 300 1,913.00 PT. Meprofarm
Cab. Aceh
573,900.00

DPH FRIMAL Kombinasi (DPH): dihidroartemisin 40 mg + PT. Mersifarma PT. Merapi Utama
14 Tab 90 2,000.00 180,000.00
Piperakuin 320 mg tab sal selaput Tirmaku Mercusuna Pharma - Medan

15 Eritromisin sir 200 mg/5 ml PT. Phyto Kemo

Botol 4,000 6,390.00
Agung Farma
PT. KFTD Banda Aceh 25,560,000.00
 HARGA
NO NAMA OBAT dan PERBEKKES SATUAN VOLUME SATUAN ONGKIR PENYEDIA DISTRIBUTOR TOTAL HARGA Keterangan
TERKECIL

16 Garam oralit PT. Kimia Farma

Sachet 20,000 263.00
(Persero) Tbk
KFTD Banda Aceh 5,260,000.00

17 Ibuprofen tab 200 mg PT. Indofarma Global

Tab 200,000 112.00 PT. Novapharin
Medika Cab. Aceh
22,400,000.00

18 Ibuprofen tab 400 mg PT. Phyto Kemo

Tab 50,000 127.00
Agung Farma
KFTD Banda Aceh 6,350,000.00

19 Kalsium laktat (kalk) tab 500 mg PT. Mersifarma PT. Merapi Utama
Tab 100,000 59.00
Tirmaku Mercusuna Pharma - Medan
5,900,000.00

PT. Indofarma Global

23 Klorfeniramin (CTM) tab 4 mg Tab 700,000 24.00 PT. Novapharin 16,800,000.00
Medika Cab. Aceh

24 Klorpromazin inj 25 mg/ml (i.m.) PT. Rajawali Nusindo

Ampul 90 1,435.00 PT. Phapros Tbk
Cabang Aceh
129,150.00

PT. Mersifarma PT. Merapi Utama

25 Klorpromazin tab sal 100 mg Tab sal 2,000 170.00 Tirmaku Mercusuna Pharma - Medan 340,000.00

27 Omeprazol kaps 20 mg PT. Indofarma Global

Kaps 150,000 138.00 PT. Novapharin
Medika Cab. Aceh
20,700,000.00

28 Parasetamol sir 120 mg/5 ml PT. Sapta Sari Tama

Botol 40,000 1,160.00 PT. AFIFARMA
Cab. Aceh
46,400,000.00

29 Parasetamol tab 500 mg PT. Mersifarma PT. Merapi Utama

Tab 810,000 60.00
Tirmaku Mercusuna Pharma - Medan
48,600,000.00

32 Zinc sir 20 mg/5 ml PT. Sapta Sari Tama

Botol 2,000 3,285.00 PT. Meprofarm
Cab. Aceh
6,570,000.00

JUMLAH 570,365,050.00
 REALISASI PENGADAAN OBAT DAN BMHP BERDASARKAN E - CATALOGUE
DANA DAK TAHUN 2018

HARGA
NO NAMA OBAT dan PERBEKKES SATUAN VOLUME SATUAN PENYEDIA DISTRIBUTOR TOTAL HARGA Keterangan
TERKECIL

1 Amoksisilin sir kering 125 mg/5 ml Botol 20,000 1,919.00 PT. Phyto Kemo Agung Farma KFTD Banda Aceh 38,380,000.00

PT. Mersifarma Tirmaku PT. Merapi Utama

2 Antasida tablet Tab 240,000 56.00
Mercusuna Pharma - Medan
13,440,000.00

PT. Indofarma Global

3 Antasida suspensi Botol 35,000 2,098.00 PT. Lucas Djaja
Medika Cab. Aceh
73,430,000.00

Antibakteri, kombinasi : basitrasin 500 UI/g+ Polimiskin B PT. Indofarma Global

4
10.000 UI/g Tube 2,000 3,490.00 PT. Indofarma (Persero) Tbk
Medika Cab. Aceh
6,980,000.00

PT. Mersifarma Tirmaku PT. Merapi Utama

5 Asam Mefenamat kaps 500 mg Kaps 280,000 103.00
Mercusuna Pharma - Medan
28,840,000.00

PT. Sapta Sari Tama

6 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 1,200 1,210.00 PT. Meprofarm
Cab. Aceh
1,452,000.00

PT. Indofarma Global

7 Deksametason tab 0,5 mg Tab 400,000 34.00 PT. Novapharin Medika Cab. Aceh 13,600,000.00

PT. Sapta Sari Tama

8 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 300 1,913.00 PT. Meprofarm
Cab. Aceh
573,900.00

DPH FRIMAL Kombinasi (DPH): dihidroartemisin 40 mg + PT. Mersifarma Tirmaku PT. Merapi Utama
9
Piperakuin 320 mg tab sal selaput Tab 90 2,000.00
Mercusuna Pharma - Medan
180,000.00

10 Eritromisin sir 200 mg/5 ml Botol 4,000 6,390.00 PT. Phyto Kemo Agung Farma PT. KFTD Banda Aceh 25,560,000.00

11 Garam oralit Sachet 20,000 263.00 PT. Kimia Farma (Persero) Tbk KFTD Banda Aceh 5,260,000.00
 HARGA
NO NAMA OBAT dan PERBEKKES SATUAN VOLUME SATUAN PENYEDIA DISTRIBUTOR TOTAL HARGA Keterangan
TERKECIL

12 Ibuprofen tab 200 mg PT. Indofarma Global

Tab 200,000 112.00 PT. Novapharin
Medika Cab. Aceh
22,400,000.00

13 Ibuprofen tab 400 mg Tab 50,000 127.00 PT. Phyto Kemo Agung Farma KFTD Banda Aceh 6,350,000.00

14 Kalsium laktat (kalk) tab 500 mg PT. Mersifarma Tirmaku PT. Merapi Utama
Tab 100,000 59.00
Mercusuna Pharma - Medan
5,900,000.00

15 Klorfeniramin (CTM) tab 4 mg PT. Indofarma Global

Tab 700,000 24.00 PT. Novapharin
Medika Cab. Aceh
16,800,000.00

PT. Rajawali Nusindo

16 Klorpromazin inj 25 mg/ml (i.m.) Ampul 90 1,435.00 PT. Phapros Tbk 129,150.00
Cabang Aceh

17 Klorpromazin tab sal 100 mg PT. Mersifarma Tirmaku PT. Merapi Utama
Tab sal 2,000 170.00
Mercusuna Pharma - Medan
340,000.00

18 Omeprazol kaps 20 mg PT. Indofarma Global

Kaps 150,000 138.00 PT. Novapharin
Medika Cab. Aceh
20,700,000.00

19 Parasetamol sir 120 mg/5 ml PT. Sapta Sari Tama

Botol 40,000 1,160.00 PT. AFIFARMA
Cab. Aceh
46,400,000.00

20 Parasetamol tab 500 mg PT. Mersifarma Tirmaku PT. Merapi Utama

Tab 810,000 60.00
Mercusuna Pharma - Medan
48,600,000.00

21 Zinc sir 20 mg/5 ml PT. Sapta Sari Tama

Botol 2,000 3,285.00 PT. Meprofarm
Cab. Aceh
6,570,000.00

JUMLAH 381,885,050.00
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