RENCANA PENGADAAN RSUD KAB.

BUTON TENGAH E-CATALOG & NON E-CATALOG TAHUN ANGGARAN 2019

RENCANA
NO NAMA OBAT KEMASAN Harga LKPP Total Harga KODE PRODUK PENYEDIA DISTRIBUTOR
Jumlah Satuan
OBAT-OBATAN
1 BETAHISTINE 24MG Dus, 1 blister @ 20 tablet Rp 7,050 100 TABLET Rp 705,000 51000000-OBC-000464269 PT. ABBOTT INDONESIA PT. MERAPI UTAMA

2 Chloramphenicol 500 mg Dus, 10 strip @ 10 kapsul Rp 1,396 500 KAPSUL Rp 698,000 51000000-OBC-000463931 PT. ACTAVIS PT. ANUGERAH ARGON MEDIKA

3 Diazepam rektal Dus, 5 alubag @ 1 tube @ 2.5 ml Rp 15,088 30 TUBE Rp 452,640 51000000-OBC-000463676 PT. ACTAVIS PT. ANUGERAH ARGON MEDIKA

4 Metil dopa 250mg Dus, 10 strip @ 10 tablet salut selaput Rp 1,135 500 TABLET Rp 567,500 51000000-OBC-000464016 PT. ACTAVIS PT. ANUGERAH ARGON MEDIKA
5 Terbutalin cairan 2,5 mg Dus, 2 pouch @ 5 respules @ 2 ml Dus Rp 7,602 50 RESPULES Rp 380,100 51000000-OBC-000464439 PT. ASTRAZANECA PT. ANUGERAH PHARMINDO LESTARI
6 nifedipine tab 20MG Dus, 3 blister @ 10 tablet pelepasan lambat Rp 3,575 200 TABLET Rp 715,000 51000000-OBC-000463996 PT. BAYER PT. TEMPO

7 Asam Traneksamat tab 500mg Dus, 10 blister @ 10 tablet salut selaput Rp 1,800 300 TABLET Rp 540,000 51000000-OBC-000540187 PT. BERNOFARM PT. TRI SAPTA JAYA
8 cefixime 200mg Dus, 3 blister @ 10 kaptab salut selaput Rp 2,460 360 KAPTAB Rp 885,600 51000000-OBC-000540191 PT. BERNOFARM PT. TRI SAPTA JAYA

9 Novorapid Analog Insulin Dus, 5 cartridge @3ml in prefilled pen (Flexpen) Rp 87,000 20 Flexpen Rp 1,740,000 51000000-OBC-000463740 PT. BETA PHARMACON
10 Vaksin BCG Dus, 50 Vial @ 20 dosis + pelarut Rp 66,154 5 VIAL Rp 330,770 51000000-OBC-004742564 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
11 Vaksin hepatitis recombinan Dus, 100 sachet @ 1 prefilled syringe (uniject) @ 0,5 ml Rp 25,597 50 VIAL Rp 1,279,850 51000000-OBC-000463956 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

12 Vaksin jerat difteri, Tetanus, DT Dus, 10 vial @ 5 ml (10 dosis) Rp 19,195 10 VIAL Rp 191,950 51000000-OBC-000464071 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
13 Vaksin kombinasi DPT, HB,HIB Dus, 10 vial @ 2,5 ml (5 dosis) Rp 84,282 10 VIAL Rp 842,820 51000000-OBC-000463913 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

14 Vaksin Measles rubela (MR) Dus, 50 vial @ 5 dosis + Dus, 50 ampul pelarut @ 2,5 mL Rp 166,265 5 VIAL Rp 831,325 51000000-OBC-000464387 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
15 Vaksin polio Dus, 10 vial @ 1 mL (10 dosis) + Dus, 10 penetes Rp 21,285 10 VIAL Rp 212,850 51000000-OBC-000464164 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
16 VAKSIN RABIES Dus, 1 vial + 1 syringe @ 0,5 ml NaCI 0,4% Rp 165,000 2 BOX Rp 330,000 51000000-OBC-000464402 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

17 Anti tetanus 1.500 IU Dus, 10 Ampul @ 1 ml Rp 130,999 10 VIAL Rp 1,309,990 51000000-OBC-000464348 PT. BIO FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
18 Berotec inhaler Dus, Canister @200 Dosis Rp 83,190 10 CANISTER Rp 831,900 51000000-OBC-000463637 PT. BOEHRINGER PT. TEMPO
19 COMBIVENT Dus, 20 Vial @ 2,5 mL Rp 4,550 40 VIAL Rp 182,000 51000000-OBC-000463796 PT. BOEHRINGER PT. TEMPO

20 HARNAL 0.2MG Dus, 2 blister @ 14 tablet dispersibel Rp 7,788 140 TABLET Rp 1,090,320 51000000-OBC-000464487 PT. COMBINED PT. ANUGERAH PHARMINDO LESTARI
21 harnal 0.4MG Dus, 3 blister@10 tablet pelepasan lambat Rp 6,710 90 TABLET Rp 603,900 51000000-OBC-000464281 PT. COMBINED PT. ANUGERAH PHARMINDO LESTARI

22 Atorvastatin tab 20mg dus @ 10 srip, strip @ 10 tablet Rp 1,150 300 TABLET Rp 345,000 51000000-OBC-000469277 PT. DARYA VARIA PT.KIMIA FARMA TRADING DISTRIBUTION
23 paracetamol infus 10MG/ML botol 100 ml Rp 11,990 100 BOTOL Rp 1,199,000 51000000-OBC-000468230 PT. DARYA VARIA PT.KIMIA FARMA TRADING DISTRIBUTION
24 Klozapine tab 25 mg Dus, 5 strip @ 10 tablet Rp 1,121 300 TABLET Rp 336,300 51000000-OBC-000464480 PT. DEXA MEDICA PT. AAM MAKASSAR

25 Alprazolam tab 0.25 mg Dus, 10 strip @ 10 tablet Rp 316 200 TABLET Rp 63,200 51000000-OBC-000463978 PT. DEXA MEDIKA PT. AAM MAKASSAR
26 Ciprofloksasin Inf 2mg/ml Vial @ 100 ml Rp 13,124 20 VIAL Rp 262,480 51000000-OBC-000464462 PT. DEXA MEDIKA PT. AAM MAKASSAR
27 Dobutamin Inj 50mg/ml Dus, 5 ampul @ 5 mL Rp 14,643 20 AMPUL Rp 292,860 51000000-OBC-000464569 PT. DEXA MEDIKA PT. AAM MAKASSAR

28 Furosemid Inj 10mg/ml Dus, 25 ampul @ 2 mL Rp 1,555 300 AMPUL Rp 466,500 51000000-OBC-000464572 PT. DEXA MEDIKA PT. AAM MAKASSAR
29 Risperidone tab 1 mg Dus, 10 blister @ 10 tablet salut selaput Rp 240 300 TABLET Rp 72,000 51000000-OBC-000464605 PT. DEXA MEDIKA PT. AAM MAKASSAR

30 Spironolakton tab 25mg Dus, 10 strip @ 10 tablet Rp 226 500 TABLET Rp 113,000 51000000-OBC-000464616 PT. DEXA MEDIKA PT. AAM MAKASSAR

31 Atropin inj 0, 25 mg/ml Dus, 100 ampul @ 1 mL Rp 1,958 200 AMPUL Rp 391,600 51000000-OBC-000538799 PT. ETHICA INDUSTRI FARMASI PT. ANUGERAH PHARMINDO LESTARI

32 Calsium glukonat inj 10% Dus, 24 ampul @10 mL Rp 10,351 48 AMPUL Rp 496,848 51000000-OBC-000464414 PT. ETHICA INDUSTRI FARMASI PT. ANUGERAH PHARMINDO LESTARI
33 Dopamin Inj 40mg/ml Dus, 5 ampul @ 5 mL Rp 6,160 50 AMPUL Rp 308,000 51000000-OBC-000463972 PT. ETHICA INDUSTRI FARMASI PT. ANUGERAH PHARMINDO LESTARI

34 Ephinefrin inj 0.1 % Dus, 100 ampul @ 1 mL Rp 2,068 100 AMPUL Rp 206,800 51000000-OBC-000464284 PT. ETHICA INDUSTRI FARMASI PT. ANUGERAH PHARMINDO LESTARI
35 Norepinefrin Inj 1mg/ml Dus, 5 ampul @ 4 mL Rp 26,939 50 AMPUL Rp 1,346,950 51000000-OBC-000463784 PT. ETHICA INDUSTRI FARMASI PT. ANUGERAH PHARMINDO LESTARI

36 OXYTICIN Inj 10mg/ml Dus, 100 ampul @ 1 mL Rp 1,287 300 AMPUL Rp 386,100 51000000-OBC-000464398 PT. ETHICA INDUSTRI FARMASI PT. ANUGERAH PHARMINDO LESTARI

37 SERUM ABU Injeksi Dus, 1 Vial @ 5 ml Rp 512,204 5 VIAL Rp 2,561,020 51000000-OBC-000464335 PT. ETHICA INDUSTRI FARMASI PT. ANUGERAH PHARMINDO LESTARI
 RENCANA
NO NAMA OBAT KEMASAN Harga LKPP Total Harga KODE PRODUK PENYEDIA DISTRIBUTOR
Jumlah Satuan
38 Pirantel pamoat 250 mg Dus, 50 amplop @1 strip @2 kaptab Rp 1,281 500 KAPTAB Rp 640,500 51000000-OBC-000540212 PT. HARSEN PT.KIMIA FARMA TRADING DISTRIBUTION

39 Loratadine tab 10 mg Dus, 5 strip @ 10 tablet Rp 160 1000 TABLET Rp 160,000 51000000-OBC-000540085 PT. HEXAPHARM PT. TRI SAPTA JAYA
40 Metformin 500mg Dus, 10 strip @ 10 tablet salut selaput Rp 117 1000 TABLET Rp 117,000 51000000-OBC-000540109 PT. HEXAPHARM PT. TRI SAPTA JAYA

41 Kolkisin tab 0.5 mg Dus, 3 blister @ 10 tablet salut selaput Rp 2,759 600 TABLET Rp 1,655,400 51000000-OBC-000463762 PT. IMMORTAL PT.KIMIA FARMA TRADING DISTRIBUTION
42 Paracetamol drops 100 mg/ml Dus, botol @ 15 ml Rp 7,979 300 BOTOL Rp 2,393,700 51000000-OBC-000464027 PT. INDOFARMA GLOBAL PT. INDOFARMA GLOBAL MEDIKA
43 Glibenklamid Dus, 10 strip @ 10 tablet Rp 143 1000 TABLET Rp 143,000 51000000-OBC-000464640 PT. INDOFARMA GLOBAL PT. INDOFARMA GLOBAL MEDIKA

44 ASAM ASKORBAT (VIT. C) 50MG Dus, 10 strip @ 10 tablet Rp 126 5000 TABLET Rp 630,000 51000000-OBC-000464413 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
45 chloramfenikol SALEP mata Dus, 24 tube @ 5 gram Rp 2,148 120 TUBE Rp 257,760 51000000-OBC-000463838 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

46 Dimenhidrinat tab 50 mg botol plastik @ 100 tablet Rp 134 1000 TABLET Rp 134,000 51000000-OBC-000463926 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
47 Ergotamin-cafein tab botol plastik @ 100 tablet salut selaput Rp 222 500 TABLET Rp 111,000 51000000-OBC-000464190 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
48 Etambutol tab 250mg Dus, 20 strip @10 tablet salut selaput Rp 418 400 TABLET Rp 167,200 51000000-OBC-000463943 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

49 Fenobarbital tab 30 mg Dus, 10 strip @ 10 tablet Rp 205 300 TABLET Rp 61,500 51000000-OBC-000463966 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
50 Kodein tab 10 mg Dus, 10 strip @ 10 tablet Rp 685 1000 TABLET Rp 685,000 51000000-OBC-000463854 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

51 Kuinin tab 200 mg Dus, 10 strip @ 6 tablet salut selaput Rp 836 540 TABLET Rp 451,440 51000000-OBC-000464519 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
52 Metronidazole ovula Dus, 1 strip @ 5 ovula Rp 3,590 300 TABLET Rp 1,077,000 51000000-OBC-000464368 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
53 MICONAZOLE KRIM 2% Dus, 24 tube @ 10 gr Rp 4,097 480 TUBE Rp 1,966,560 51000000-OBC-000464254 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

54 OXYTETRASIKLIN SALEP MATA 1% Dus, 25 Tube @ 3,5 gram Rp 2,774 300 TUBE Rp 832,200 51000000-OBC-000464280 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
55 Vitamin A Botol, 50 kapsul lunak Rp 664 500 KAPSUL Rp 332,000 51000000-OBC-000464298 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION

56 Vitamin B6 Dus, 10 strip @ 10 tablet Rp 158 2000 TABLET Rp 316,000 51000000-OBC-000464518 PT. KIMIA FARMA PT.KIMIA FARMA TRADING DISTRIBUTION
57 Phenol Gliserol 10% Botol Plastik @ 5 ml Rp 2,764 50 BOTOL Rp 138,200 51000000-OBC-000464195 PT. LUCAS DJAJA
58 Bisoprolol tab 2.5mg Dus 10 Blister@10 Tablet Rp 820 500 TABLET Rp 410,000 51000000-OBC-000463938 PT. MERCK TBK PT. ANUGERAH PHARMINDO LESTARI
59 Allupurinol 100mg Dus, 10 strip @ 10 tablet Rp 108 1000 TABLET Rp 108,000 51000000-OBC-000463733 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION

60 Asam Asetilsalisilat 80mg Dus, 10 strip @ 10 tablet salut enterik Rp 108 2000 TABLET Rp 216,000 51000000-OBC-000464407 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION
61 Haloperidol tab 2 mg Dus, 10 strip @ 10 tablet salut selaput Rp 93 500 TABLET Rp 46,500 51000000-OBC-000464443 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION
62 Kalsium Laktat 500 mg Dus, 10 blister @ 10 tablet Rp 64 2000 TABLET Rp 128,000 51000000-OBC-000464322 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION
63 Alprazolam tab 1 mg Dus, 10 Strip @ 10 Tablet Rp 146 500 TABLET Rp 73,000 51000000-OBC-000463805 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION

64 Cotrimoksazole susp 240mg Botol @ 60 mL Rp 2,257 300 BTL Rp 677,100 51000000-OBC-000464200 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION

65 Cotrimoksazole tab 960mg Dus, 10 Blister @ 10 Kaptab salut selaput Rp 335 300 TABLET Rp 100,500 51000000-OBC-000464251 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION
66 Diazepam tab 5 mg Dus, 10 strip @ 10 tablet Rp 119 300 TABLET Rp 35,700 51000000-OBC-000464283 PT. MERSI PT.KIMIA FARMA TRADING DISTRIBUTION

67 Amoxicillin drops 100 mg/ml Dus, 10 Botol @ 10 ml Rp 13,500 100 BOTOL Rp 1,350,000 51000000-OBC-000540196 PT. NATURA LABORATORIA PT. TRI SAPTA JAYA
68 Domperidone drops 5 mg/ml botol @ 60 ml Rp 2,970 200 BOTOL Rp 594,000 51000000-OBC-000464291 PT. NOVAPHARIN PT.KIMIA FARMA TRADING DISTRIBUTION

69 Omeprazole Kap 20mg Dus, 3 strip @10 kapsul Rp 153 2100 KAPSUL Rp 321,300 51000000-OBC-000464380 PT. NOVAPHARIN PT.KIMIA FARMA TRADING DISTRIBUTION
70 Amoxicillin sirup kering 250 mg/5ml botol @ 60 ml Rp 3,991 300 BOTOL Rp 1,197,300 51000000-OBC-000463654 PT. NOVAPHARIN PT.KIMIA FARMA TRADING DISTRIBUTION

71 Amoxicillin tab 250 mg dus 10 strip @ 10 kapsul Rp 217 1000 TABLET Rp 217,000 51000000-OBC-000463702 PT. NOVAPHARIN PT.KIMIA FARMA TRADING DISTRIBUTION

72 Cefadroxil kapsul 250 mg dus 10 strip @ 10 kapsul Rp 760 500 TABLET Rp 380,000 51000000-OBC-000463833 PT. NOVAPHARIN PT.KIMIA FARMA TRADING DISTRIBUTION

73 klindamisin 150MG Dus, 5 Blister @ 10 Kapsul Rp 836 250 KAPSUL Rp 209,000 51000000-OBC-000464248 PT. NOVELL PT. INDOFARMA GLOBAL MEDIKA
74 ondansentron tab 4MG Dus, 2 Strip @ 6 Tablet Rp 451 600 TABLET Rp 270,600 51000000-OBC-000464647 PT. NOVELL PT. INDOFARMA GLOBAL MEDIKA

75 Cairan kaen 3A DUS, Botol Plastik, 1 botol @500ml Rp 11,314 100 BOTOL Rp 1,131,400 51000000-OBC-000464091 PT. OTSUKA PT. MERAPI UTAMA

76 Magnesium sulfat inj 20 % Dus, 120 Ampul Plastik @25ml Rp 3,328 480 AMPUL Rp 1,597,440 51000000-OBC-000464204 PT. OTSUKA PT.KIMIA FARMA TRADING DISTRIBUTION
77 Manitol 20 % Botol Plastik, 1 botol @250ml Rp 28,275 50 BOTOL Rp 1,413,750 51000000-OBC-000463994 PT. OTSUKA PT.KIMIA FARMA TRADING DISTRIBUTION
 RENCANA
NO NAMA OBAT KEMASAN Harga LKPP Total Harga KODE PRODUK PENYEDIA DISTRIBUTOR
Jumlah Satuan
78 NATRIUM BIKARBONAT Dus, 120 Ampul Plastik @25ml Rp 6,448 120 AMPUL Rp 773,760 51000000-OBC-000464194 PT. OTSUKA PT.KIMIA FARMA TRADING DISTRIBUTION

79 Digoksin inj 0.25mg/ml Dus, 5 ampul @ 2 mL Rp 31,231 100 AMPUL Rp 3,123,100 51000000-OBC-000464043 PT. PRATAPA NIRMALA PT. PARIT PADANG
80 Dobutamin Inj 25mg/ml Dus,2 vial@10 mL Rp 59,946 50 VIAL Rp 2,997,300 51000000-OBC-000540177 PT. PRATAPA NIRMALA PT. PARIT PADANG

81 Antasida sirup 200 mg/ml DUS, 50 BOTOL @ 60ML Rp 2,290 500 BOTOL Rp 1,145,000 51000000-OBC-000463655 PT. RAMA EMERALD PT.KIMIA FARMA TRADING DISTRIBUTION
82 Cetirizine sirup 5 mg/5ml Botol @ 60 ml Rp 3,104 200 BOTOL Rp 620,800 51000000-OBC-004743377 PT. RAMA EMERALD PT.KIMIA FARMA TRADING DISTRIBUTION
83 cetirizine tab Dus 10 strip @10 tablet Rp 105 1000 TABLET Rp 105,000 51000000-OBC-004743378 PT. RAMA EMERALD PT.KIMIA FARMA TRADING DISTRIBUTION

84 Levofloxacin tetes mata 0.5 % botol plastik @ 5 mL Rp 19,820 20 BOTOL Rp 396,400 51000000-OBC-000464672 PT. SANBE PT. BINA SAN PRIMA
85 Haloperidol inj 50 mg Dus, 5 ampul @ 1mL Rp 101,300 20 AMPUL Rp 2,026,000 51000000-OBC-000463785 PT. SOHO INDUSTRI PT. PARIT PADANG

86 Lansoprazole inj 30 mg box,vial Rp 92,040 50 VIAL Rp 4,602,000 51000000-OBC-000463757 PT. TAKEDA INDONESIA PT. UNITED DICO CITAS
87 Amitriptiline tab 25 mg Dus, 10 strip @ 10 tablet salut selaput Rp 168 500 TABLET Rp 84,000 51000000-OBC-000464374 PT. YARINDO PT. PARIT PADANG
88 Diazepam tab 2 mg Botol@100tablet Rp 86 500 TABLET Rp 43,000 51000000-OBC-000464411 PT. YARINDO PT. PARIT PADANG

89 Digoksin tab 0.25mg Dus, 10 blister @ 10 tablet Rp 104 500 TABLET Rp 52,000 51000000-OBC-000464424 PT. YARINDO PT. PARIT PADANG
90 Domperidone 10 mg Dus, 10 strip @ 10 tablet Rp 96 1000 TABLET Rp 96,000 51000000-OBC-000464447 PT. YARINDO PT. PARIT PADANG

91 Isosorbit Dinitrat 5mg Dus, 10 strip @ 10 tablet Rp 89 1000 TABLET Rp 89,000 51000000-OBC-000464595 PT. YARINDO PT. PARIT PADANG
92 Asam Mefenamat Dus, 10 strip @ 10 tablet Rp 106 3000 TABLET Rp 318,000 51000000-OBC-000464595 PT. MERSI PT. PARIT PADANG
92 Gliseril Guaikolat Dus, 10 strip @ 10 tablet 1000 TABLET 51000000-OBC-000464641

TOTAL Rp 60,976,583