DAFTAR HARGA OBAT STOK OPNAME

JUNI 2016

NO NAMA OBAT KEMASAN HARGA

SATUAN
1 2 3 4
PKD FORMULARIUM NASIONAL :
1 Acetyl Sistein 200mg kapsul 426
2 Albendazole suspensi 200mg/5ml botol 3849
3 Albendazole tablet 400mg tablet 344
4 Allopurinol tablet 100mg tablet 86
5 Allopurinol tablet 300mg tablet 200
6 Aminofilin injeksi 24mg/ml ampul 3822
7 Aminofilin tablet 200mg tablet 80
8 Amitriptilin tablet 25mg tablet 102
9 Amlodipin tablet 10mg tablet 330
10 Amlodipin tablet 5mg tablet 187
11 Amoksisilin sirup kering 125mg/5ml botol 2445
12 Amoksisilin sirup kering 250mg/5ml botol
13 Amoksisillin tablet 500mg tablet 261
14 Ampisilin serbuk injeksi 1000mg (i.v.) vial 5100
15 Antasida kombinasi suspensi botol 2160
16 Antasida kombinasi tablet kunyah tablet 72
17 Anti Fungi kombinasi salep pot 2320.31
18 Anti Hemoroid kombinasi suppositoria suppo 3045
19 Aqua Pro Injeksi vial 7425
20 Artemeter injeksi 80mg/ml ampul
21 Asam Asetilsalisilat (ASETOSAL) tablet 80mg / MINIASPI tablet 148

22 Asam Askorbat (Vitamin C) tablet 250mg tablet 159

23 Asam Askorbat (Vitamin C) tablet 50mg tablet 95
24 Asam Folat tablet 1mg tablet 48
25 Asam Mefenamat tablet 500mg tablet 112
26 Asiklovir tablet 200mg tablet 237
27 Asiklovir tablet 400mg tablet
28 Atapulgit tablet tablet
29 Atropin injeksi 0,25mg/ml (i.v./i.m./s.k.) ampul 1230
30 Atropin tablet 0,5mg tablet 74
31 Bedak Salisil Serbuk 2% kotak 1250
32 Bisakodil suppositoria 10mg / STOLAX suppo 6045
33 Bisakodil tablet salut 5mg / MELAXAN tablet
34 Deksamethasone injeksi 5mg/ml (i.v./i.m.) ampul 1580
35 Deksamethasone tablet 0,5mg tablet 62
36 Diazepam Enema 10mg/2,5ml (RECTAL) / STESOLID tube 16748

37 Diazepam injeksi 5mg/ml (i.v./i.m.) ampul

38 Diazepam tablet 2mg tablet
39 Difenhidramin injeksi 10mg/ml (i.v./i.m.) ampul 1050
40 Digoksin tablet 0,25mg tablet 97
41 Diltiazem tablet 30mg tablet 134
42 Dimenhidrinat tablet 50mg tablet 104
43 Doksisiklin kapsul 100mg kapsul
44 Domperidon tablet 10mg tablet 167
45 Epinefrin (adrenalin) injeksi 0,1% (i.v./s.k./i.m.) ampul 8100
46 Ergotamin+Kafein kombinasi tablet 1mg+50mg (ANTI tablet 135
MIGRAIN)
47 Eritromisin kapsul 250mg kapsul 497
48 Eritromisin kapsul 500mg kapsul 930
49 Eritromisin sirup kering 200mg/5ml botol 7700
50 Etil Klorida spray 100ml botol
51 Fenitoin injeksi 50mg/ml ampul
52 Fenitoin kapsul 100mg kapsul 133
53 Fenobarbital 50mg/ml injeksi ampul 1800
54 Fenobarbital tablet 30mg tablet
55 Fenoksimetil Penisilin (Penisilin V) tablet 500mg tablet 510
56 Ferro Sulfat+Asam Folat kombinasi tablet salut tablet 42
200mg+0,25mg / TABLET TAMBAH DARAH
57 Fitomenadion (Vitamin K) tablet salut gula 10mg tablet 630
58 Fitomenadion injeksi 10mg/ml (i.m.) ampul
59 Fitomenadion injeksi 2mg/ml (i.m.) / INFANT ampul 8250
60 Flufenazin injeksi 25mg/ml (i.m.)/SIKZONOATE ampul 55000
61 Furosemid injeksi 10mg/ml (i.v./i.m.) ampul 1829
62 Furosemid tablet 40mg tablet 85
63 Garam Oralit kombinasi serbuk sachet 264
64 Gemfibrozil kapsul 300mg kapsul 380
65 Glibenklamid 5mg tablet 56
66 Glimepirid 1mg tablet 265
67 Glimepirid 2mg tablet 436
68 Gliseril Trinitrat tablet 0,5mg / NITRAL tablet 1500
69 Gliserin cairan obat luar 100mg/ml botol 4180
70 Griseofulvin (micronized) tablet 125mg tablet 209
71 Haloperidol injeksi 50mg/ml / HALDOL DECANOAS ampul 83333
72 Haloperidol injeksi 5mg/ml (i.m.) / LODOMER ampul
73 Haloperidol tablet 0,5mg tablet 59
74 Haloperidol tablet 1,5mg tablet 73
75 Haloperidol tablet 2mg tablet
 76 Haloperidol tablet 5mg tablet 122.1
77 Hidroklortiazid tablet 25mg ( HCT) tablet 149
78 Hidrokortison Krim 2,5% tube 2798
79 Hiosina Butilbromid tablet 10mg / SPASMECO tablet 405
80 Human Tetanus imunoglobulin injeksi 250 IU (i.m.) / vial 170000
TETAGAM
81 Ibuprofen suspensi 100mg/5ml botol 3499
82 Ibuprofen tablet 200mg tablet 110
83 Ibuprofen tablet 400mg tablet 150
84 Ipatropium bromida serbuk inhalasi 20mcg/semprot / botol 80000
ATROVENT
85 Isoniazid tablet 100mg tablet 41
86 Isosorbid DiNitrat tablet 5mg (ISDN) tablet 88
87 Kalsium Glukonat 10% injeksi ampul 7800
88 Kalsium Karbonat tablet 500mg kombinasi / tablet 405
CALPOROSIS
89 Kaolin+Pektin kombinasi tablet / MOLAGIT tablet 366.67
90 Kaptopril tablet 12,5mg tablet 62
91 Kaptopril tablet 25mg tablet 84
92 Karbamazepin tablet 200 mg tablet 245
93 Karbogliserin tetes telinga 10% / FENOL GLISEROL botol 2042
94 Ketokonazole Krim 2% tube
95 Ketokonazole tablet 200mg tablet 300
96 Kloramfenikol kapsul 250mg kapsul 249
97 Kloramfenikol salep mata 1% tube 1600
98 Kloramfenikol tetes mata 1% / RECO botol 5500
99 Kloramfenikol tetes telinga 3% botol 2145
100 Klorfeniramin Maleat tablet 4mg (CTM) tablet 51
101 Klorpromazin injeksi 25mg/ml (i.m.) ampul 1100
102 Klorpromazin tablet salut 25mg tablet 68
103 Klorpromazin tablet salut selaput 100mg tablet 144
104 Kodein tablet 10mg tablet 500
105 Kotrimoksazol kombinasi suspensi 240mg botol 5115
106 Kotrimoksazol kombinasi tablet 480mg (dewasa) tablet 138
107 Kuinin tablet 200mg tablet
108 Lidokain injeksi 2% ampul 839
109 Loratadin tablet 10mg tablet 154
110 Magnesium Sulfat 20% injeksi (i.v.) flacon 2078.45
111 Magnesium Sulfat 40% injeksi (i.v.) untuk flacon 2629
Eklampsia/PreEklampsia
112 Magnesium Sulfat serbuk sachet 1027
113 Mebendazole tablet 500mg / VERMOX tablet 7140
114 Metformin 500mg tablet 112.5
115 Metil Ergometrin injeksi 0,2mg/ml / MYOMERGIN ampul 4950
116 Metil Ergometrin tablet salut selaput 0,125mg tablet 154
117 Metil Prednisolon tablet 4mg tablet 194
118 Metoklopramid tablet 10mg tablet
119 Metoklopramid tablet 5mg tablet 108
120 Metronidazole infus 5mg/ml botol 9950
121 Metronidazole tablet 250mg tablet 110
122 Metronidazole tablet 500mg tablet 160
123 Mikonazole Krim 2% tube 3000
124 Natrium Diklofenak tablet 25mg tablet 133
125 Natrium Diklofenak tablet 50mg tablet 176
126 Nifedipin tablet 10mg tablet 110
127 Nistatin tablet salut gula 500.000 IU tablet 640
128 Nistatin tablet vaginal 100.000 IU tablet 480
129 Oksigen inhalasi, gas dalam tabung m3
130 Oksimetazolin tetes hidung 0,025% / ILLIADIN botol 27550
131 Oksitosin injeksi 10 IU/ml / OXYTOSIN 'S ampul 2200
132 Omeprazole kapsul 20mg kapsul 211
133 Omeprazole serbuk injeksi 40mg vial 36000
134 Paraformaldehyde tablet 1 gram tablet 60
135 Parasetamol drop 100mg/ml botol
136 Parasetamol sirup 120mg/5ml botol 1438
137 Parasetamol tablet 500mg tablet 79
138 Perak Sulfadiazin Krim 1% / BURNAZINE tube 23000
139 Permetrin Krim 5% / SCABIMITE tube 11475
140 Pirantel Pamoat 125mg tablet 298
141 Pirantel Pamoat suspensi 125mg/5ml botol 8360
142 Pirazinamid tablet 500mg (untuk MDR) tablet 208
143 Piridoksin tablet 10mg (Vitamin B6) tablet 110
144 Prednison tablet 5 mg tablet 84.38
145 PropilTioUrasil tablet 100 mg (PTU) tablet 319
146 Propranolol tablet 10mg tablet 65
147 Ranitidin tablet 150mg tablet 105
148 Retinol kapsul lunak 100.000 IU (Vitamin A Biru) kapsul 260
149 Retinol kapsul lunak 200.000 IU (Vitamin A Merah) kapsul 459
150 Risperidon tablet 2mg tablet
151 Salbutamol cairan inhalasi 1mg/ml 0,1% / NEBULES flacon 6600

152 Salbutamol tablet 2mg tablet 59

153 Salbutamol tablet 4mg tablet 89
154 Salep 2 - 4 Kombinasi pot 2000
155 Serum Anti Bisa Ular injeksi (A.B.U.) (i.m./i.v.) vial 473000
156 Serum Anti Difteri injeksi 20.000 IU/ml (A.D.S.) (i.m.) vial

157 Serum Anti Tetanus injeksi 1.500 IU (A.T.S.) ampul

158 Setirizin sirup 5mg/5ml botol 7999
159 Sianokobalamin (Vitamin B12) tablet 50mcg tablet 17.6
160 Sianokobalamin injeksi 500mcg/ml ampul 1078
161 Simvastatin tablet salut selaput 10mg tablet 169
162 Simvastatin tablet salut selaput 20mg tablet 391
163 Siprofloksasin tablet salut selaput 500mg tablet 225
164 Spironolakton tablet 25mg tablet 315
165 Sukralfat tablet 500mg tablet
166 Terbutalin injeksi 0,5mg/ml (s.k./i.v.) ampul
167 Tetrakain tetes mata 0,5% / CENDO PANTOCAIN botol 11500
168 Tetrasiklin kapsul 250mg kapsul 149
169 Tetrasiklin kapsul 500mg kapsul
170 Thiamin tablet 50mg (Vitamin B1) tablet 50.93
171 Triheksifenidil tablet 2mg / HEXIMER tablet 352
172 Valproat tablet salut enterik 250mg / DEPAKOTE tablet 1680
173 Vitamin B Kompleks tablet tablet 107
174 Zinc tablet dispersible 20mg tablet 474
175 Asam Askorbat (Vitamin C) tablet 50mg tablet 104
176 Digoksin tablet 0,25mg tablet 105
177 Ibuprofen tablet 200mg tablet 105
178 Kaptopril tablet 25mg tablet 68
179 Kotrimoksazol kombinasi suspensi 240mg botol 2140
180 Lidokain injeksi 2% ampul 860
181 Metoklopramid tablet 5mg tablet 115
182 Mikonazole Krim 2% tube 3250
183 Natrium Diklofenak tablet 25mg tablet 145
184 Natrium Diklofenak tablet 50mg tablet 159
185 Retinol kapsul lunak 100.000 IU (Vitamin A Biru) kapsul 284
186 Simvastatin tablet salut selaput 10mg tablet 131
187 Simvastatin tablet salut selaput 20mg tablet 252

OBAT GIGI
188 Aqua Dest cairan 500ml botol
189 Eugenol cairan kotak 16667
190 Formocresol cairan (pengganti TKF) kotak 76499.5
191 Glass Ionomer ART (Atraumatic Restorative Treatment) kotak

192 Guttae Percha 45-80mm pack

193 Kalsium Hidroksida bubuk Pasta set 242000
194 Klorfenol Kamfer Mentol (CHKM) cairan kotak 55000
195 Lidokain 2%+Epinefrin 1:80.000 injeksi 2ml (COMP.) ampul 1295

196 Paper Points 45-80mm pack 28600

197 Pasta Devitalisasi (non Arsen) kotak
198 Eugenol cairan kotak 18100

NON FORMULARIUM NASIONAL :

199 Air Raksa (GIGI) botol 113850
200 Akarbose 100mg tablet 908
201 Akarbose 50mg tablet 657
202 Alprazolam tablet 0,5mg tablet 214
203 Alprazolam tablet 1mg tablet 233
204 Ambroksol sirup botol 4400
205 Ambroksol tablet 30mg tablet 165
206 Amiodarone tablet 200mg / TIARYT tablet
207 Amoksisilin 1000mg injeksi vial 7396
208 Anti Anemia / LIVRON BPLEX tablet 220
209 Anti Bakteri kombinasi salep tube 2516
210 Anti Flu / DEMACOLIN tablet 450.01
211 Anti Virus tablet / KALOBA tablet
212 Asam Asetilsalisilat (ASETOSAL) tablet 100mg tablet 116
213 Asam Traneksamat injeksi 50mg/ml ampul 2950
214 Asiklovir krim tube 4252.6
215 Asiklovir salep mata 3% / TEMIRAL tube 24750
216 Betamethasone krim 0,1% tube 1520
217 Bisoprolol tablet salut selaput 5mg tablet 645
218 Cimetidin 200mg tablet 155.12
219 Domperidon drops 5mg/ml botol 15600
220 Famotidin 20mg tablet 167.95
221 Fluoksetin kapsul 10mg kapsul
222 Gentamisin injeksi 40mg/ml ampul
223 Gentamisin salep kulit 0,1% tube 2498.1
224 Gentamisin salep mata 0,3% tube
225 Gentamisin Sulfate 0,3% tetes mata botol 4000
226 Gentian Violet 1% botol 608.3
227 Gliseril Guaiyakolat tablet 100mg tablet 37.67
228 Glukose larutan infus 10% 500 ml
229 Glukose larutan infus 40% 500 ml 1958
230 Glukose larutan infus 5% 500 ml 5313
231 Infus D5+1/2 NS 500 ml
232 Infus D5+1/4 NS 500 ml
233 Infus Ringer Asetat / ASERING 500 ml
234 Kalium Diklofenak 50mg / MEZAC tablet 954.8
 235 Kalium Permanganat serbuk pot 312
236 Kalsium Laktat (KALK) tablet 70
237 Ketoprofen injeksi ampul 5632
238 Klobazam tablet 10mg tablet
239 Lidokain Comp. Injeksi / PEHACAIN ampul 3113
240 Loperamid tablet salut selaput 2mg tablet
241 Lorazepam tablet 2mg tablet
242 Metronidazole ovula 500mg tablet
243 Metronidazole suppositoria 500mg / FLAGYL suppo 3220
244 Mometasone Furoat krim 0,1% tube 17820
245 Multivitamin anak sirup / BETAFORT botol 26229.5
246 Natrium Klorida infus 0,9% (NaCl) 500 ml 4900
247 Obat Digestan Kombinasi / ENZYPLEX tablet 902
248 Oksitetrasiklin salep kulit 3% tube 2260.5
249 Ondansetron 4mg tablet 472
250 Papaverin 40mg tablet tablet 119
251 Parasetamol 650mg (forte) tablet
252 Piroksikam 20mg tablet tablet 141.76
253 Ranitidin injeksi 25mg/ml ampul 1140
254 Ringer Laktat larutan infus 500 ml 5200
255 Sefadroksil kapsul 500mg kapsul
256 Sefaleksin kapsul 500mg kapsul
257 Sefiksim sirup 100mg/5ml botol
258 Sefiksim tablet salut selaput 100mg tablet 590
259 Setirizin tablet 10mg tablet 181
260 Silver Amalgam (GIGI) botol 302500
261 Sulfacetamid Natrium Tetes Mata 15% botol 4651.08
262 Terbutalin tablet 2,5mg tablet
263 Trifluoperazine tablet salut selaput 5mg tablet 405
264 Vitamin Neurotropik / NEURODEX tablet 437.25
265 Ranitidin injeksi 25mg/ml ampul 1390
BAHAN MEDIS HABIS PAKAI / BMHP :
1 Alat Suntik Sekali pakai 1 ml pcs 1,092.50
2 Alat Suntik Sekali pakai 10 ml pcs
3 Alat Suntik Sekali pakai 20 ml pcs
4 Alat Suntik Sekali pakai 3 ml pcs 650.00
5 Alat Suntik Sekali pakai 5 ml pcs 1,012.00
6 Alkohol swabs pcs
7 Aseptan Gel + Dispenser botol 30,000.00
8 CatGut Cromic 2/0+jarum 1/2 GT pcs
9 CatGut Cromic 3/0+jarum 1/2 GT pcs
10 CatGut Plain 2/0+jarum 1/2 GT pcs
11 CatGut Plain 3/0+jarum 1/2 GT pcs
12 Etanol 70% 1000ml botol
13 Etanol 70% 100ml botol
14 Folley Catether No. 16 pcs 8,000.00
15 Folley Catether No. 18 pcs 8,000.00
16 Hand Schoen non steril pcs 325.00
17 Hand Schoen steril ukuran 7 / 7,5 pasang 6,595.00
18 Hidrogen Peroksida (H2O2) cairan 3% botol
19 I.V Catether No.18 pcs
20 I.V Catether No.20 pcs
21 I.V Catether No.22 pcs
22 I.V Catether No.24 pcs 7,700.00
23 Infusion Set Anak (PKD-2) set
24 Infusion Set Dewasa (OTSUKA) set 7,920.00
25 Jarum Suture kulit dozen (12') 14,850.00
26 Kapas Berlemak 500 gram bungkus 17,250.00
27 Kapas Pembalut 250 gram bungkus 12,500.00
28 Kasa Hidrofil 16x16cm kotak ('16) 5,800.00
29 Kasa Kompres 40x40 Steril bungkus 1,600.00
30 Kasa Pembalut 2mx80cm rol 12,100.00
31 Kasa Pembalut 40x80cm (potong) rol
32 Kasa Pembalut Hidrofil 4mx15cm rol 2,100.00
33 Kasa Pembalut Hidrofil 4mx3cm rol 590.00
34 Lisol botol 20,900.00
35 Masker Tali+Karet pcs 330.00
36 Needle 23Gx1/4 pcs
37 Onesrub Galon botol
38 Onesrub+Dispenser botol
39 Pembalut Gips rol
40 Plester 5 Yard x 2 inch rol 23,625.00
41 Plester Non Woven 10cmx5m / SEMILLAS roll 30,030.00
42 Pot Sputum pcs
43 Povidon Iodine larutan 100mg/ml kemasan 300ml botol
44 Povidon Iodine larutan 100mg/ml kemasan 30ml botol
45 Povidon Iodine larutan 100mg/ml kemasan 60ml botol
46 Rivanol (Etakridin) solutio 300ml botol
47 Silk 3/0+jarum 1/2 GT pcs
48 Slide/obyeg glass pack 44,000.00
49 Transfusi Set set 19,800.00
50 URINE Bag steril set 3,960.00
51 Plester 5 Yard x 1 inch (4,5m x 2,5cm) roll 12,076.00
52 Plester 5 Yard x 3 inch (4,5m x 7,5cm) roll 35,532.00
53 Infusion Set Dewasa (NIPRO) set 4,974.97
54 Alat Suntik Sekali pakai 3 ml (NIPRO) pcs 792.00
 55 Alat Suntik Sekali pakai 3 ml (BD) pcs 918.00
BAHAN LABORATORIUM :
1 Imertion oil botol 467,500.00
2 Reagent DENGUE pack
3 Reagent GRAM SET pack 152,460.00
4 Reagent HIV (I) - INTEC kotak (40') 1,595,000.00
5 Reagent HIV (II) - ONCOPROBE kotak (25') 1,485,000.00
6 Reagent HIV (III) - VIKIA kotak (25') 1,100,000.00
7 Reagent MALARIA pack
8 Reagent Uji Asam Urat pack 429,000.00
9 Reagent Uji Glucosa pack 429,000.00
10 Reagent Uji Kolesterol pack 429,000.00
11 Reagent Uji Kreatin pack 385,000.00
12 Reagent Uji SGOT pack 385,000.00
13 Reagent Uji SGPT pack 385,000.00
14 Reagent Uji Trigliserida pack
15 Reagent Uji UREA/BUN pack 385,000.00
16 Rees Ecker botol 50,820.00
17 Test GOLONGAN DARAH (A,B,AB) set
18 Test GULA DARAH (easytouch) pcs
19 Test HCG (Kehamilan) Kotak (100') 385,000.00
20 Test URINE 10 Parameter/CYBOW Kotak (100')
21 Test URINE 3 Parameter Kotak (100') 82,500.00
22 Test WIDAL (AO,BO,O,H) set
23 Turk botol 11,000.00
24 Ziehl Nielson set 99,000.00

BPJS :

1 Acyclovir 400mg tablet 336.00

2 Amoxicillin 500 mg kaplet 261.00
3 Amoxicillin dry syr 125mg botol 60ml 2,445.00
4 Artemether inj 80 mg/ml ampul 22,000.00
5 Asam askorbat 250 mg/VIT. C tablet 159.00
6 Atapulgit 600mg/PULAREX tablet 190.00
7 Cefixime 100mg/5ml syrup botol 8,800.00
8 Diazepam 2mg tablet 45.00
9 Fluphenazine Decanoate inj 25mg/SIKZONOATE ampul 55,000.00
10 Gentamicin injeksi ampul 3,399.00
11 Gentamicin Salep Mata 0,3%/GENOINT tube 2,600.00
12 Haloperidol 1,5mg tablet 69.00
13 Haloperidol 2mg/LODOMER tablet 126.00
14 Infus D5-1/2NS 500ml (glukosa55.0g : NaCl 4,5g) botol 500ml 7,700.00
15 Infus D5-1/4NS 500ml(glukosa55.0g : NaCl 2.25g) botol 500ml 7,700.00
16 Infus Glukosa 10% botol 500ml 5,700.00
17 Infus Glukosa 5% botol 500ml 5,200.00
18 Infus Natrium Klorida 0,9% (NaCl) botol 500ml 4,700.00
19 Infus Ringer Asetat/ASERING botol 500ml 9,000.00
20 Infus Ringer Laktat (RL) botol 500ml 5,200.00
21 Ketokonazol krim 2% 10gr tube 2,569.00
22 Kuinina (KINA) 200mg tablet 670.00
23 lorazepam 2mg/MERLOPAM tablet 1,341.00
24 Metronidazole ovula/VAGIZOL tablet 3,850.00
25 Paracetamol syrup 120mg/5ml botol 60ml 1,438.00
26 Risperidone 2mg tablet 1,008.00
27 Sucralfate/ULSIDEX tablet 424.00
28 Terbutalin sulfat/MOLASMA tablet 99.00
29 Tetrasiklin 500mg kapsul 300.00
BAHAN MEDIS HABIS PAKAI :
1 Alat suntik sekali pakai 10cc pcs 925.00
2 Alat suntik sekali pakai 20cc pcs 1,500.00
3 Alat suntik sekali pakai 3cc pcs 650.00
4 Alat suntik sekali pakai 5cc pcs 750.00
5 Alkohol 70% 1000ml botol 21,500.00
6 Alkohol swabs pcs 100.00
7 Catgut chromic 2/0+jarum 1/2GT pcs 5,583.33
8 Catgut chromic 3/0+jarum1/2GT pcs 5,583.33
9 Catgut plain 2/0+jarum1/2GT pcs 5,583.33
10 Catgut plain 3/0+jarum1/2GT pcs 5,583.33
11 I.V cateter 18 G pcs 3,800.00
12 I.V cateter 20 G pcs 3,800.00
13 I.V cateter 24 G pcs 3,800.00
14 Infuset anak pcs 3,500.00
15 Kapas pembalut 250 gram rol 12,500.00
16 Kasa Hidrofil 2mx80cm pcs 7,700.00
17 Kasa hidrofil 40x80cm rol 105,000.00
18 Kasa pembalut 4mx15cm pcs 2,100.00
19 Masker-3 ply earloop+ tie on pcs 330.00
20 Onescrub 500cc + dispenser botol 62,500.00
21 Povidon Iodine 300cc botol 18,000.00
22 Povidon Iodine 30cc botol 2,900.00
23 Povidon Iodine 60cc botol 3,700.00
24 Rivanol 300cc botol 2,550.00
25 Silk 3/0+jarum 1/2 GT pcs 3,055.56
26 Tranfusi set /STERA pcs 3,600.00
27 Urine Bag Standart steril 2 Liter pcs 3,000.00
ASKES
:
1 Ampisilin serbuk inj im/iv 1000mg vial 4,000.00
2 Doksisiklin kaplet 100mg kapsul 220.00

CUKAI
:
1 Amiodarone HCl / TYARIT tablet 4,180.00
2 Anti Virus / KALOBA tablet 6,757.14
3 Paracetamol Forte 650mg / TERMAGON FORTE kaplet 313.50

BANT
UAN
PROVI
NSI

P2UK :
1 KDT/FDC KATEGORI II kit 1,199,990.00
2 KDT/FDC KOMBIPAK KATEGORI I paket 288,199.00
3 KDT/FDC untuk ANAK kit 214,990.00
4 KDT/FDC untuk DEWASA (KATEGORI I) kit 359,990.00
5 SYPHILLIS 3.0 (Multi) paket 27,900.00
6 RPR TEST KIT SYPHILLIS paket 7,975.00

LAIN-LAIN :
7 FLUOXETINE 10MG/ FORANSI tablet 1,166.00
8 VITAMIN A 200.000 UI (merah) kapsul 407.00
9 MINERAL MIX tablet 2,695.00