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Draft SSH BMHP Puskesmas 2020 1
Draft SSH BMHP Puskesmas 2020 1
SATUAN
No. NAMA BMHP MERK SPESIFIKASI KEMASAN SATUAN
(+PPN)
1 SARUNG TANGAN STERIL UK 7 MEDICDENT POWDER FREPASANG
SAFEGLOVES POWDER FREPASANG 4,180.00
AMBUMAX POWDER FREPASANG 4,488.00
COSMOMED POWDEF FREPASANG 4,600.00
STARDEC POWDEF FREPASANG 4,723.00
2 SARUNG TANGAN OBGYN GAMEX POWDER FREPASANG 30,000.00
ONEMED POWDER FREPASANG 19,360.00
3 SARUNG TANGAN NON STERIL SIZE S, M, L, XL MAS POWDERED BOX
SAFEGLOVES POWDERED BOX 35,620.00
COSMOMED POWDERED BOX 55,100.00
3 SARUNG TANGAN ANTI ALERGI BOX
ALAT SUNTIK SEKALI PAKAI 1 ML TERUMO SET 1,430.00
4 ALAT SUNTIK SEKALI PAKAI 3 ML NIPRO set 792.00
4 ALAT SUNTIK SEKALI PAKAI 3 ML TERUMO set 1,138.00
4 ALAT SUNTIK SEKALI PAKAI 3 ML STERA set 650.00
ALAT SUNTIK SEKALI PAKAI 5 ML TERUMO SET 1,600.00
ALAT SUNTIK SEKALI PAKAI 5 ML STERA SET 750.00
ALAT SUNTIK SEKALI PAKAI 5 ML NIPRO SET 979.00
5 ALAT SUNTIK SEKALI PAKAI 10 ML TERUMO set 1,870.00
5 ALAT SUNTIK SEKALI PAKAI 10 ML STERA set 1,067.00
5 ALAT SUNTIK SEKALI PAKAI 20 ML STERA set 10,000.00
6 INFUSET DEWASA NIPRO set
6 INFUSET DEWASA STERA set 3,200.00
6 INFUSET DEWASA COSMOMED set
6 INFUSET DEWASA GEA set 2,600.00
6 INFUSET DEWASA OTSUKA set 8,400.00
6 INFUSET DEWASA HD set 3,854.00
6 INFUSET ANAK HD set 3,854.00
6 INFUSET ANAK OTSUKA set 8,400.00
6 INFUSET ANAK STERA set 3,500.00
6 INFUSET ANAK COSMOMED set
6 TRANFUSI SET COSMOMED set
6 TRANFUSI SET STERA set 3,600.00
6 TRANFUSI SET STARDEC set 5,891.00
6 TRANFUSI SET TERUMO set 13,976.00
8 MASKER NEBULIZER BAYI/ANAK/DEWASA BESMED set
9 MASKER HIJAB ONEMED BOX 22,000.00
9 MASKER TALI ONEMED BOX 16,500.00
9 MASKER TALI COSMOMED BOX
9 MASKER HIJAB COSMOMED BOX
9 MASKER HIJAB STARDEC BOX 24,754.00
9 MASKER OKSIGEN DEWASA BESMED SET 14,520.00
9 MASKER N95 ONEMED BOX 130,240.00
10 IV CATETER NO 16 STERA set 5,000.00
10 IV CATETER NO 16 SURFLO set 6,270.00
10 IV CATETER NO 18 SURFLO set 6,270.00
10 IV CATETER NO 18 STERA set 3,800.00
10 IV CATETER NO 18 NIPRO set 5,500.00
10 IV CATETER NO 18 COSMOMED set
10 IV CATETER NO 20 COSMOMED set
10 IV CATETER NO 20 NIPRO set 5,500.00
10 IV CATETER NO 20 SURFLO set 6,270.00
10 IV CATETER NO 20 STERACATH set 3,800.00
10 IV CATETER NO 22 COSMOMED set
10 IV CATETER NO 22 SURFLO set 6,270.00
10 IV CATETER NO 22 STERACATH set 3,800.00
10 IV CATETER NO 22 SURFLO WING WING set 15,179.00
10 IV CATETER NO 24 SURFLO WING WING set 15,179.00
10 IV CATETER NO 24 SURFLO set 6,270.00
10 IV CATETER NO 24 COSMOMED set
10 IV CATETER NO 24 STERACATH set 3,800.00
12 KAPAS PEMBALUT ONEMED ROLL
13 KASA VERBAN ONEMED ROLL
14 SILK DENGAN JARUM ONEMED BOX
15 CATGUT CHROMIC DENGAN JARUM 3-0 ONEMED BOX
16 CATGUT PLAIN DENGAN JARUM 3-0 ONEMED BOX
17 KANTONG URIN set
18 PLESTER BSN roll
19 KASA STERIL 16X16 BOX
20 KASA HIDROFIL ONEMED roll
21 MUCUS EXTRAKTOR biji
22 FOLLEY CATETER UROCARE biji
23 GUEDEL biji
24 SPALK set
HARGA HARGA SUMBER
SATUAN SATUAN FIX DATA
+15%
0 5,000.00
4807 5,000.00
5161.2 5,500.00
5290 5,500.00
5431.45 5,500.00
34500 35,000.00
22264 25,000.00
0 50,000.00
40963 45,000.00
63365 65,000.00
0 120,000.00
1644.5 1,700.00
910.8 1,100.00
1308.7 1,400.00
747.5 1,000.00
1840 2,000.00
862.5 1,000.00
1125.85 1,200.00
2150.5 2,200.00
1227.05 1,500.00
11500 12,000.00
0 8,800.00
3680 3,800.00
0
2990 3,000.00
9660 10,000.00
4432.1 5,000.00
4432.1 5,000.00
9660 10,000.00
4025 4,500.00
0
0
4140 4,500.00
6774.65 8,000.00
16072.4 18,000.00
0 25,000.00
25300 27,000.00
18975 20,000.00
0
0
28467.1 30,000.00
16698 18,000.00
149776 150,000.00
5750 6,000.00
7210.5 8,000.00
7210.5 8,000.00
4370 4,500.00
6325 6,500.00
0
0
6325 6,500.00
7210.5 8,000.00
4370 4,500.00
0
7210.5 8,000.00
4370 4,500.00
17455.85 18,000.00
17455.85 18,000.00
7210.5 8,000.00
0
4370 4,500.00
0 15,000.00
0 3,000.00
0 120,000.00
0 145,000.00
0 145,000.00
0 6,000.00
0 45,000.00
0 10,000.00
0 150,000.00
0 9,000.00
0 11,500.00
0 16000
0 10000
SATUAN
No. NAMA BMHP MERK SPESIFIKASI KEMASAN
1. Lidocain ampul
2. Metamizole inj ampul
3. Ranitidin inj ampul
4. Pehidrol liter
5. Jelly MY botol
2 6. Cefotaxime inj BERNOPHARM vial
7. Gentamicin inj ampul
3 8. N Asetil biji
9. Ibuprofen biji
10. Amoxicillin syr HEXPHARM botol
3 11. Antasida syr HEXPHARM botol
12. Kotrimoxazole tab biji
4 13. Kotrimoxazole syr botol
4 14. Thiampenicol tab biji
4 15. Thiampenicol syr botol
16. Ibuprofen supp biji
Dimenhidramine biji
5 Bedak salicyl biji
5 Vit K ampul
5 Metronidazole tab biji
6 Tetes mata biji
6 Tetes telinga biji
6 SABU vial
6 ATS ampul
6 KOH BOTOL
6 NACL 100ML BOTOL
6
6
6
6
6
6
6
6
8
9
9
9
9
9
9
9
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
12
13
14
15
16
17
18
19
20
21
22
23
24
HARGA HARGA HARGA SUMBER
SATUAN SATUAN SATUAN FIX DATA
(+PPN) +15%
0.00
0.00
2,000.00 2,300.00 3,000.00
4,500.00 5,175.00 5,500.00
2,000.00 2,300.00 3,000.00
45,000.00 51,750.00 55,000.00
35,000.00 40,250.00 43,000.00
6,000.00 6,900.00 7,500.00
4,000.00 4,600.00 5,500.00
500.00 575.00 700.00
250.00 287.50 400.00
6,000.00 6,900.00 7,500.00
4,500.00 5,175.00 5,500.00
300.00 345.00 450.00
4,500.00 5,175.00 5,500.00
500.00 575.00 700.00
6,000.00 6,900.00 7,500.00
10,000.00 11,500.00 12,500.00
300.00 345.00 450.00
5,500.00 6,325.00 7,500.00
10,000.00 11,500.00 12,500.00
500.00 575.00 700.00
6,000.00 6,900.00 8,000.00
4,000.00 4,600.00 6,000.00
550,000.00 632,500.00 750,000.00
150,000.00 172,500.00 225,000.00
55,000.00 63250 70,000.00
55,000.00 63250 70,000.00
No. NAMA BMHP MERK