PEMERINTAH KABUPATEN BUTON

DINAS KESEHATAN

PUSKESMAS LAWELE
Jalan Poros BauBau - Kamaru km.72
Email : pkmlawele@gmail.com

SALDO BARANG PERSEDIAAN OBAT APOTEK

1 JANUARI - 31 DESEMBER TAHUN 2018

Stok
No Nama Obat/Bahan Habis Pakai Satuan Penerimaan
Awal

1 Alopurinol tablet 100 mg Tablet 140 300

2 Albendazole 400 mg Tablet 0 94
3 Ambroksol Sirup 15mg/ml Botol 60ml 0 27
4 Ambroksol tablet 30mg Tablet 300 1819
5 Amlodipin 5 mg Tablet 0 390
6 Amlodipin 10 mg Tablet 0 250
7 Amoksisilin kaplet 500 mg Kaplet 0 7114
8 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 0 268
9 Antalgin/Metampiron tablet 500 mg Tablet 0 40
Asam Askorbat (Vitamin C) tablet 50 mg
10 Tablet 100 3283

11 Asam Mefenamat kaplet 500 mg Tablet 0 2183

12 Becefort Tablet Tablet 200 1066
13 Bedak Salisil serbuk 2 % Kotak 0 35

Besi (II) Sulfat 200 mg + Asam Folat 0,25 1 bungkus

14 30 300
mg tablet (tablet tambah darah kombinasi ) @ 30 tab

15 Betametason krim 0.1 % (sebagai Valerat) Tube 0 53

16 Bioron Tablet 10 150

17 Cimetidin tablet 200 mg Tablet 20 1100
18 Kaptopril Tablet 50 mg Tablet 146 1450
19 Deksametason tablet 0,5 mg Tablet 142 7400
20 Dextral Tablet 36 1550
21 Diazepam tablet 2 mg Tablet 0 35
22 Ekstraks Belladona tablet 10 mg Tablet 0 40

23 Fitomenadion (Vit.K1) tablet salut gula 10 2 0

mg Tablet
24 Furosemid tablet 40 mg Tablet 0 0
Garam Oralit I serbuk, kombinasi :
25 Sachet 76 300

26 Gentamisin salep kulit 0.1% Tube 3 15

27 Glibenklamida tablet 5 mg Tablet 30 400
28 Griseofulvin tablet 125 mg Tablet 28 150
Gliseril Guayakolat tablet 100 mg
29 Tablet 122 1800
(Guaifenesin Tablet)
30 Hemafort tablet Tablet 50 1400
31 Hidrokortison krim 2,5 % Tube 3 42
32 Hustab Tablet 80 1000
33 Ibuprofen tablet 200 mg Tablet 171 3900
34 Ibuprofen Suspensi 100 mg/5 ml Botol 56 0
35 Kalsium Laktat (kalk) Tab 500 mg Tablet 10 10
Klorfeniramina Maleat (CTM) tablet 4 mg
36 Tablet 139 2400
 Stok
No Nama Obat/Bahan Habis Pakai Satuan Penerimaan
Awal

37 Kotrimoksazol DOEN I (dewasa) Tablet 100 970

38 Kotrimoksazol Suspensi Tablet 5 60
39 ketokonazole krim 2 % Tube 0 6
40 ketokonazole 200 mg Tablet 0 60
41 Kloramfenikol salep Kulit Tube 0 6
42 Lefovloksasin 500 mg Tablet 0 0
43 Loperamid tablet 2 mg Tablet 79 200
44 Loratadin tablet 10 mg Tablet 38 250
45 Livron B Plex Tablet 65 500
46 Metoklopramide tablet 10 mg Tablet 71 700

Methilergometrin Maleat (Methilergometrin)

47 Tablet 0 150
tablet salut 0,125 mg

48 Metronidazol tablet 500 mg Tablet 104 400

49 Methilprednisolone 4 mg Tablet 0 1187
50 Metformin HCL tablet 500 mg Tablet 31 500
51 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 0 72
52 Natrium Diklofenak tablet 25 mg Tablet 655 600
53 Natrium Diklofenak tablet 50 mg Tablet 90 200
54 Noza tablet Tablet 0 1128
55 Nistatin Vagina tablet 100.000 IU/g 0 20
56 Nifedipin tablet 10 mg Tablet 0 100
57 Obat Batuk Hitam (OBH) Botol 0 13
58 Oksitetrasiklin salep kulit 3% tube 5 gram 0 42
59 Oksitetrasiklin salep Mata 1 % tube 5 gram 0 31
60 Omeprazole kapsul/kaplet 20 mg Kapsul 41 1790
61 Parasetamol sirup 120 mg / 5 ml btl 60 ml 3 333
62 Parasetamol tablet 500 mg Tablet 188 4900
Parasetamol Drops 100 mg/ml botol @15
63 Botol 4 18
ml (60mg/0,6 ml)
64 Pehavral Tablet 22 1600
65 Pirantel tablet score (base) 125 mg Tablet 16 95
Piridoksin (Vitamin B6) tablet 10 mg (HCl)
66 Tablet 118 500

67 Prednison tablet 5 mg Tablet 111 300

68 Piroksikam 10 mg Tablet 780 2600
69 Piroksikam 20 mg Tablet 60 1100
70 Procurma Plus Botol 0 4
71 Ranitidin tablet 150 mg Tablet 120 3200

72 Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 22 500

73 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 7 43

74 Sefadroksil kapsul/kaplet 500 mg Kapsul 126 900
75 Simvastatin tablet salut selaput 10 mg Tablet 15 270
76 Siprofloksasin tablet 500 mg Tablet 140 700
77 Tiamin (Vitamin B1) tablet 50 mg ) Tablet 115 1200
78 Tetraciclin 500 mg Tablet 0 100
79 Vitamin B Kompleks tablet Tablet 382 6000
80 Zinc tablet 20 mg Tablet 0 120
JUMLAH

Mengetahui :
Kepala Puskesmas
 Stok
No Nama Obat/Bahan Habis Pakai Satuan Penerimaan
Awal

Muliadin Masra, SKM

NIP. 19770424 199803 1 004
ATEN BUTON
ATAN

AWELE
maru km.72
mail.com

AN OBAT APOTEK
R TAHUN 2018

Harga/satuan Total Harga

Pemakaian Sisa Stok
(Rp) (Rp)

430 10 120.00 1,200

14 80 2,587.40 206,992
24 3 4,565.00 13,695
1959 160 193.60 30,976
390 0 93.00 -
250 0 99.00 -
6629 485 279.00 135,315
229 39 2,560.00 99,840
30 10 232.40 2,324

3337 46 125.00
5,750
1972 211 127.00 26,797
1161 105 1,618.72 169,966
34 1 1,080.00 1,080

330 0 430.00
-

21 32 1,444.00
46,208
120 40 893.35 35,734
880 240 179.00 42,960
1487 109 147.00 16,023
6058 1,484 46.00 68,264
1386 200 851.00 170,200
35 0 47.00 -
40 0 106.20 -

2 0
698.00 -
0 0 194.00 -

205 171 317.00

54,207
15 3 2,178.00 6,534
350 80 143.00 11,440
148 30 266.00 7,980

1721 201 162.00

32,562
525 925 759.00 702,075
26 19 2,848.00 54,112
940 140 312.00 43,680
3811 260 139.00 36,140
33 23 2,620.00 60,260
0 20 64.00 1,280

2392 147 46.00

6,762
 Harga/satuan Total Harga
Pemakaian Sisa Stok
(Rp) (Rp)

973 97 135.00 13,095

39 26 2,462.00 64,012
6 0 2,694.00 -
10 50 308.00 15,400
6 0 3,382.00 -
0 0 702.00 -
125 154 91.00 14,014
164 124 139.00 17,236
565 0 220.00 -
284 487 93.00 45,291

100 50 230.00
11,500
302 202 117.00 23,634
1137 50 170.00 8,500
21 510 113.00 57,630
14 58 3,250.00 188,500
1255 0 178.00 -
290 0 146.00 -
904 224 725.00 162,400
20 0 528.00 -
100 0 129.00 -
13 0 3,250.00 -
14 28 1,827.00 51,156
17 14 2,520.00 35,280
1256 575 143.00 82,225
215 121 1,190.00 143,990
4697 391 52.00 20,332

22 0 6,240.00
-
1407 215 740.00 159,100
16 95 305.00 28,975

469 149 142.00

21,158
411 0 74.00 -
3020 360 120.00 43,200
760 400 142.00 56,800
4 0 12,369.00 -
3050 270 119.00 32,130

342 180 69.00

12,420
20 30 4,200.00 126,000
825 201 455.00 91,455
95 190 110.00 20,900
530 310 264.00 81,840
836 479 92.00 44,068
100 0 341.00 -
6061 321 141.00 45,261
30 90 618.00 55,620
-

Lawele, 31 Desember 2018

Pembuat Daftar
Petugas Pengelola Obat,
 Harga/satuan Total Harga
Pemakaian Sisa Stok
(Rp) (Rp)

Nurul Samlan Tahe, A.Md.Keb

NRBD. 74011 54011 7004
 Stok
No Nama Obat/Bahan Habis Pakai Satuan PENERIMAAN
Awal
Jan Feb
1 Alopurinol tablet 100 mg Tablet 10 100 100
1 Alphamol Tablet 0
2 Albendazole 400 mg Tablet 80
3 Ambroksol Sirup 15mg/ml Botol 60ml 3 50
4 Ambroksol tablet 30mg Tablet 160
5 Amlodipin 5 mg Tablet 0
6 Amlodipin 10 mg Tablet 0
7 Amoksisilin kaplet 500 mg Kaplet 485 1000 500
8 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 39 50
9 Antalgin/Metampiron tablet 500 mg Tablet 10
Antasida tab kunyah kombinasi
9 Alumunium Hidroksida 200 mg + Tablet 0
magnesium Hidroksida 200 mg
Antasida Suspensi kombinasi aluminium
9 Hidroksida 200 mg + Magnesium Botol 0
Hidroksida 200 mg
Asam Askorbat (Vitamin C) tablet 50 mg
10 Tablet 46 500 500

11 Asam Mefenamat kaplet 500 mg Tablet 211 500 500

11 Asetosal Tablet 0
12 Becefort Tablet Tablet 105 500
13 Bedak Salisil serbuk 2 % Kotak 1 15 5

Besi (II) Sulfat 200 mg + Asam Folat 0,25 1 bungkus

14 0 180
mg tablet (tablet tambah darah kombinasi ) @ 30 tab

15 Betametason krim 0.1 % (sebagai Valerat) Tube 32 10

16 Bioron Tablet 40 100 300

17 Cimetidin tablet 200 mg Tablet 240 100
17 Cetrizine Hydroksida (HCL) 10 mg Tablet 0
17 Cetrizine sirup 5 mg/5 ml Botol 0
18 Kaptopril Tablet 50 mg Tablet 109
18 Kaptopril Tablet 12,5 mg Tablet 0
19 Deksametason tablet 0,5 mg Tablet 1,484 1000 500
20 Dextral Tablet 200 450 300
21 Diazepam tablet 2 mg Tablet 0
21 Domperidin sirup 5 mg / 5 ml Botol 0
21 Domperidon tablet 10 mg Tablet 0
21 Doxicicilin Tablet 0
22 Ekstraks Belladona tablet 10 mg Tablet 0 300
22 Eritromicin kaplet 500 mg Tablet 0

23 Fitomenadion (Vit.K1) tablet salut gula 10 0

mg Tablet
24 Furosemid tablet 40 mg Tablet 0
 Stok
No Nama Obat/Bahan Habis Pakai Satuan PENERIMAAN
Awal
Jan Feb
Garam Oralit I serbuk, kombinasi :
25 Sachet 171

26 Gentamisin salep kulit 0.1% Tube 3 10

27 Gentamisin Tetes mata Tube 0 14 1
28 Glibenklamida tablet 5 mg Tablet 80 100 100
29 Griseofulvin tablet 125 mg Tablet 30 500
Gliseril Guayakolat tablet 100 mg
30 Tablet 201 500 100
(Guaifenesin Tablet)
31 Hemafort tablet Tablet 925
32 Hidrokortison krim 2,5 % Tube 19 24
33 Hustab Tablet 140 300 300
34 Ibuprofen tablet 200 mg Tablet 260 500 500
35 Ibuprofen Suspensi 100 mg/5 ml Botol 23
36 Kalsium Laktat (kalk) Tab 500 mg Tablet 20
Klorfeniramina Maleat (CTM) tablet 4 mg
37 Tablet 147 1000

38 Kotrimoksazol DOEN I (dewasa) Tablet 97 500

39 Kotrimoksazol Suspensi Tablet 26
40 ketokonazole krim 2 % Tube 0
41 ketokonazole 200 mg Tablet 50
42 Kloramfenikol salep Kulit Tube 0 10
42 Kloramfenikol Tablet Tube 0
43 Lefovloksasin 500 mg Tablet 0
44 Loperamid tablet 2 mg Tablet 154 1000
45 Loratadin tablet 10 mg Tablet 124 500
45 Levopar Tablet 0
45 Levxavit Tablet 0
46 Livron B Plex Tablet 0
47 Metoklopramide tablet 10 mg Tablet 487

Methilergometrin Maleat (Methilergometrin)

48 Tablet 50 300
tablet salut 0,125 mg

49 Metronidazol tablet 500 mg Tablet 202 500

50 Methilprednisolone 4 mg Tablet 50 500
51 Metformin HCL tablet 500 mg Tablet 510
52 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 58 24
53 Natrium Diklofenak tablet 25 mg Tablet 0
54 Natrium Diklofenak tablet 50 mg Tablet 0
55 Noza tablet Tablet 224 500
56 Nistatin Vagina tablet 100.000 IU/g 0 5
57 Nifedipin tablet 10 mg Tablet 0 100
58 Obat Batuk Hitam (OBH) Botol 0
59 Oksitetrasiklin salep kulit 3% tube 5 gram 28 10 21
60 Oksitetrasiklin salep Mata 1 % tube 5 gram 14 24
61 Omeprazole kapsul/kaplet 20 mg Kapsul 575 150 400
62 Parasetamol sirup 120 mg / 5 ml btl 60 ml 121 100
63 Parasetamol tablet 500 mg Tablet 391 1000 500
Parasetamol Drops 100 mg/ml botol @15
64 Botol 0
ml (60mg/0,6 ml)
65 Pehavral Tablet 215 500
66 Pirantel tablet score (base) 125 mg Tablet 95
Piridoksin (Vitamin B6) tablet 10 mg (HCl)
67 Tablet 149 500

68 Prednison tablet 5 mg Tablet 0

69 Piroksikam 10 mg Tablet 360 500 500
70 Piroksikam 20 mg Tablet 400 500
 Stok
No Nama Obat/Bahan Habis Pakai Satuan PENERIMAAN
Awal
Jan Feb
71 Procurma Plus Botol 0
71 Phenol gliserol tetes telinga 10 % Botol 0
71 Primaquin Tablet 0
72 Ranitidin tablet 150 mg Tablet 270 400

73 Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 180 200

73 Salbutamol sirup 2 mg/5 ml Tablet 0

74 Salep 2-4 Kombinasi pot 0
74 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 30
75 Sefadroksil kapsul/kaplet 500 mg Kapsul 201 200
76 Simvastatin tablet salut selaput 10 mg Tablet 190 150
77 Siprofloksasin tablet 500 mg Tablet 310
77 Sianokobalamin (Vit.B12) Tablet 0
78 Tiamin (Vitamin B1) tablet 50 mg ) Tablet 479 500
79 Tetraciclin 500 mg Tablet 0
80 Vitamin B Kompleks tablet Tablet 321 500 1000
81 Zinc tablet 20 mg Tablet 90 100
JUMLAH

Mengetahui :
Kepala Puskesmas

Muliadin Masra, SKM

NIP. 19770424 199803 1 004
 PEMERINTAH KABUPA
DINAS KESEH

PUSKESMAS LA
Jalan Poros BauBau - Kam
Email : pkmlawele@gm

SALDO BARANG PERSEDIAA

1 JANUARI - 31 DESEMBE

ENERIMAAN Penerimaan
Mar Apr Jan Feb Mar
300 500 50 20 20
300 300
0
50 7 24
500 500 53 40 170
300 300 120 90
300 300 69 60 100
400 500 2400 503 538 702
50 25 12
0

500 500 10

50 50

500 1500 310 226 364

500 1500 240 170 260

100 100
200 700 91 130 110
5 25 7 3 3

180 30

10

400 10 30
300 400 70 160 350
100 100
5 5 1
200 200 31 40 10
200 200 10
1000 2500 584 633 527
300 1050 160 230 215
0
6 6 1
200 200 1
200 200
300 10 10
200 200

0
ENERIMAAN Penerimaan
Mar Apr Jan Feb Mar
0 6 5 20

10 20 1
2 17 1
200 30 30
500 50 30 35

500 500 1600 137 242 245

0 30 75 20
24 3 4 2
600 90 10 100
500 1500 130 420 580
0 1
0

500 1500 258 330 304

500 46 91 82
0 2 2 5
5 5 1
0 10
10
200 200
0
1000 8 20
500 60 63 30
100 100
200 200
500 500 1000 220
0 90 43 25

300

500 30 30 20
500 90 160
0
24 48 2 4 8
0
0
500 80 120 64
5
100 10 20
0
31 3 2 3
24 1
300 150 1000 120 160 240
100 24 24 18
500 1000 3000 550 370 550

500 1000 72 120 150

0

500 20 29

100 100 10 10
500 1500 450 480 310
500 1000 20 50 120
ENERIMAAN Penerimaan
Mar Apr Jan Feb Mar
0
24 24
100 100
200 200 800 345 70 55

200 30 30 82

5 5
5
0 1
500 700 50 70
150 300 40 50 50
0 50 80 40
500 500 10
500 70 100
0
500 2000 577 590
100 10 10
EMERINTAH KABUPATEN BUTON
DINAS KESEHATAN

PUSKESMAS LAWELE
Jalan Poros BauBau - Kamaru km.72
Email : pkmlawele@gmail.com

BARANG PERSEDIAAN OBAT APOTEK

NUARI - 31 DESEMBER TAHUN 2018

PEMAKAIAN
Apr Mei Jun Jul Agust Sep
40

4
240
30
40
412
18

140

442

235

40
1

30
30

20

406
280
 PEMAKAIAN
Apr Mei Jun Jul Agust Sep
5

20

427

10

130
500

302

55
5

5
10

380
77

41

80

170
38
748

80
2

58

130
120
 PEMAKAIAN
Apr Mei Jun Jul Agust Sep

150

98

5
100
20
30
10
50

527
 Harga/satuan
Pemakaian Sisa Stok
(Rp)
Okt Nop Des
130 380 120.00
0 300 120.00
0 80 2,587.40
35 18 4,565.00
503 157 193.60
240 60 93.00
269 31 99.00
2155 730 279.00
55 34 2,560.00
0 10 232.40

150 350 57.00

0 50 2,146.00

1342 204 125.00

905 806 127.00

0 100 102.00
371 434 1,618.72
14 12 1,080.00

30 150 430.00

0 42 1,444.00

40 400 893.35
610 30 179.00
30 70 98.00
1 4 3,035.00
101 208 147.00
10 190 68.00
2150 1,834 46.00
885 365 851.00
0 0 47.00
1 5 2,970.00
1 199 90.00
0 200 312.00
20 280 106.20
0 200 781.00

0 0
698.00
0 0 194.00
 Harga/satuan
Pemakaian Sisa Stok
(Rp)
Okt Nop Des
36 135 317.00

4 19 2,178.00
1 16 2,178.00
60 220 143.00
135 395 266.00

1051 750 162.00

135 790 759.00

9 34 2,848.00
330 410 312.00
1630 130 139.00
1 22 2,620.00
0 20 64.00

1194 453 46.00

274 323 135.00

14 12 2,462.00
1 4 2,694.00
10 40 308.00
0 10 3,382.00
0 200 3,382.00
0 0 702.00
33 1,121 91.00
163 461 139.00
0 100 1,090.00
0 200 777.26
600 400 220.00
235 252 93.00

0 350 230.00

121 581 117.00

250 300 170.00
0 510 113.00
19 87 3,250.00
0 0 178.00
0 0 146.00
344 380 725.00
0 5 528.00
30 70 129.00
0 0 3,250.00
16 43 1,827.00
1 37 2,520.00
690 885 143.00
104 117 1,190.00
2218 1,173 52.00

0 0 6,240.00

422 793 740.00

2 93 305.00

107 542 142.00

20 80 74.00
1370 490 120.00
310 1,090 142.00
 Harga/satuan
Pemakaian Sisa Stok
(Rp)
Okt Nop Des
0 0 12,369.00
0 24 2,590.00
0 100 354.00
620 450 119.00

240 140 69.00

0 5 4,446.00
0 0 3,033.00
6 24 4,200.00
220 681 455.00
160 330 110.00
200 110 264.00
20 480 50.00
220 759 92.00
0 0 341.00
1694 627 141.00
20 170 618.00

Lawele, 20 April 2019

Pembuat Daftar
Petugas Pengelola Obat,

Nurul Samlan Tahe, A.Md.Keb

NRBD. 74011 54011 7004
Total Harga
(Rp)

45,600
36,000
206,992
82,170
30,395
5,580
3,069
203,670
87,040
2,324

19,950

107,300

25,500
102,362
10,200
702,524
12,960

64,500

60,648
357,340
5,370
6,860
12,140
30,576
12,920
84,364
310,615
-
14,850
17,910
62,400
29,736
156,200

-
-
Total Harga
(Rp)

42,795

41,382
34,848
31,460
105,070

121,500
599,610
96,832
127,920
18,070
57,640
1,280

20,838
43,605
29,544
10,776
12,320
33,820
676,400
-
102,011
64,079
109,000
155,452
88,000
23,436

80,500
67,977
51,000
57,630
282,750
-
-
275,500
2,640
9,030
-
78,561
93,240
126,555
139,230
60,996

-
586,820
28,365

76,964
5,920
58,800
154,780
 Total Harga
(Rp)

-
62,160
35,400
53,550

9,660
22,230
-
100,800
309,855
36,300
29,040
24,000
69,828
-
88,407
105,060
-

pril 2019

lola Obat,

he, A.Md.Keb
54011 7004
 LAPORAN PERSEDIAAN OBAT DAN BAHAN MEDIS HABIS PAKAI
GUDANG FARMASI KABUPATEN BUTON
PER 31 Desember 2018

Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

1 Alopurinol tablet 100 mg Tablet 120.00

2 Albendazole 400 mg Tablet 258.74
3 Albendazole 400 mg Tablet 484.00
4 Alpamool Tablet 478.50
5 Ambroksol syrup 15 mg/ml Botol 60ml 4,565.00
6 Ambroksol syrup 15 mg/ml Botol 60 ml 4,680.00
7 Ambroksol tablet 30mg Tablet 193.60
8 Aminofilin injeksi 24 mg/ml Ampul 4,204.00
9 Aminofilin tablet 150 mg tablet 155.00
10 Aminofilin injeksi 24 mg/ml Ampul 2,878.00
11 Amitriptilin table salut 25 mg tablet 168.00
12 Amlodipin 5 mg Tablet 93.00
13 Amlodipin 5 mg tablet 78.00
14 Amlodipin 10 mg Tablet 110.00
15 Amlodipin 10 mg tablet 99.00
16 Amoksisilin kaplet 500 mg Kaplet 279.00
17 Amoksisilin kaplet 500 mg Kaplet 192.00
18 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 2,560.00
19 Amoksisilin sirup kering 125 mg/5 ml Botol 2,225.00
20 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 1,975.00
21 Antalgin (Metampiron)Tablet 500 mg Tablet 232.40

Antasida suspensi kombinasi. Aluminium

22 Hidroksida 200 mg + Magnesium Hidroksida Botol
200mg 2,146.00
Antasida suspensi kombinasi. Aluminium
23 Hidroksida 200 mg + Magnesium Hidroksida Botol
200mg 2,146.00
Antasida Tab kunyah, kombinasi : Alumunium
24 Hidroksida 200 mg + Magnesium Hidroksida Tablet
200 mg 57.00
Anti Bakteri salep kombinasi : Basitrasin 500
25 Tube
IU/g +Polimiksin 10.000 IU/g 3,642.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

Anti Bakteri salep kombinasi : Basitrasin 500

26 Tube 3,511.00
IU/g +Polimiksin 10.000 IU/g

Antifungi Salep, Kombinasi: Asam Benzoat 6%

27 Pot 5,188.00
+ Asam Salisilat 3%

Antifungi Salep, Kombinasi: Asam Benzoat 6%

28 Pot
+ Asam Salisilat 3%
4,990.00
Antifungi Salep, Kombinasi: Asam Benzoat 6%
29 Pot
+ Asam Salisilat 3% 5,395.00
Antihemoroid,kombinasi: bismut subgalat 150
30 mg heksaklorofen 2,5 mg lidokain 10 mg seng Supp 3,350.00
oksida 120 mg

Antihemoroid,kombinasi: bismut subgalat 150

31 mg heksaklorofen 2,5 mg lidokain 10 mg seng Supp
oksida 120 mg
3,800.00

Antihemoroid,kombinasi: bismut subgalat 150

32 mg heksaklorofen 2,5 mg lidokain 10 mg seng Supp 3,654.00
oksida 120 mg

Antimigren:
33 Tablet 185.00
Ergotamin Tartrat 1 mg + Kofein 50 mg
Antiparkinson tablet kombinasi Benserasid 25
34 Botol
mg + Levodopa 100 mg
1,090.00
35 Aqua pro Injeksi steril, bebas pirogen Vial 2,475.00
36 Aqua pro Injeksi steril, bebas pirogen Vial 2,850.00
37 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 126.00
38 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 105.00
39 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 125.00
40 Asam Mefenamat 500 mg Kaplet 127.00
41 Asam Mefenamat 500 mg Kaplet 105.00
42 Asetosal Tablet 102.00
43 Asiklofir 400 mg tablet 440.00
44 Asiklofir krim Tube 3,288.00
45 Asiklofir krim Tube 3,145.00
46 Asiklovir tablet/kapsul/kaplet 400 mg Tablet 387.00
47 Atropine inj 0,25 mg/ ml (i.m./i.v./s.k) Ampul 1,914.00
48 ABU (Anti Bisa Ular) BIOSAT Serum I inj (i. m/ i vial 479,996.00
49 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 Ampul 126,500.00
50 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 Ampul 130,999.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

51 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 Vial 115,000.00
53 Becefort sirup Capsul 15,785.00
54 Becefort sirup Botol 15,787.00
52 Becefort tablet Tablet 1,408.00
55 Becefort tablet Tablet 1,407.74
56 Becefort tablet Tablet 1,618.72
57 Bedak Salisil serbuk 2% Kotak 50 gr 1,081.00
58 Bedak Salisil serbuk 2% Kotak 50 gr 1,080.00

59 Bedak Salisil serbuk 2% Kotak 50 gr

520.00
60 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg Tablet 430.00
61 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg Tablet 64.87
62 Betametason krim 0,1% Tube 1,400.00
63 Betametason krim 0,1% Tube 1,444.00
64 Betametason krim 0,1% Tablet 1,842
65 Bioron Tablet 893.35
66 Bisakodil kaplet salut 5 mg kaplet 330.00
67 Cefotaksim serb inj 500 mg Vial 7,241.00
68 Cetrizine hydroksida (HCL) 10 mg Tablet 98.00
69 Cetrizine sirup 5 mg/5 ml Botol 3,035.00
70 Chlorpromazine inj. 5 mg/ml Ampul 1,810.00
71 Cimetidin tab 200 mg Tablet 180.62
72 Cimetidin tab 200 mg Tablet 179.00
73 Clindamicyn kapsul 300 mg Kapsul 587.00
74 Deksametason injeksi i.v./i.m. 5 mg/ml Ampul 1,738.00
75 Deksametason injeksi i.v./i.m. 5 mg/ml Ampul 1,820.00
76 Deksametason injeksi i.v./i.m. 5 mg/ml Ampul 1,885.00
77 Deksametason tablet 0,5 mg Tablet 68.00
78 Deksametason tablet 0,5 mg Tablet 46.00
79 Dekstrometorfan tablet 15 mg (HBr) Kaplet 102.00
80 Dextral Tablet 780.45
81 Dextral Tablet 851.00
82 Dextral Tablet 520.30
83 Diazepam tablet 2 mg Ampul 47.00
84 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul 1,275.00
85 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul 1,415.00
86 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul 1,316.00
87 Digoksin tablet 0,25 mg tablet 104.00
88 Domperidon sirup 5mg/5ml Botol 2,970.00
89 Domperidon tablet 10 mg Tablet 138.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

90 Domperidon tablet 10 mg Tablet 90.00

91 Dosisiklin Tablet 312.00
92 Ekstrabelladona tablet 10 mg Tablet 106.20
93 Ekstrabelladona tablet 10 mg Tablet 103.00
94 Epinephrine (Adrenalin) injeksi 0,1% (i.v/s.k./i.m Ampul 2,068.00
95 Epinephrine (Adrenalin) injeksi 0,1% (i.v/s.k./i.m Ampul 1,880.00
96 Ergotamin 1 mg + kafein 50 mg Tablet 208.00
97 Eritromisinkaplet 500mg Kaplet 781.00
98 Etanol (Alkohol 70%) Botol 25,000.00
99 Etanol (Alkohol 70%) Botol 8,000.00
100 Fenitoin inj 50 mg/ml Ampul 4,327.00
101 Fenobarbital tablet 30 mg Tablet 205.00
102 Fenobarbital tablet 30 mg Tablet 74.00
103 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 1,980.00
104 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 2,363.00
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 2,178.00
106 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 2,230.00
107 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 698.00
110 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 835.00
108 Fitomenadion (Vit.K1) inj 2 mg/ml.im Ampul 4,260.00
109 Fitomenadion (Vit.K1) inj 2 mg/ml.im Ampul 4,420.00
111 Furosemid tablet 40 mg Tablet 194.00
112 Furosemid tablet 40 mg Tablet 82.00
Garam Oralit I serbuk, kombinasi :
113 Sachet 317.00
Garam Oralit I serbuk, kombinasi :
114 Sachet 278.00
115 Gentamisin salep kulit 0.1% Tube 2,178.00
116 Gentamisin salep kulit 0,1% Tube 2,320.00
117 Gentamisin salep kulit 0.1% Tube 1,933.00
118 Gentamisin salep mata 0,3% Tube 3,000.00
119 Gentamisin salep mata 0,3% Tube 3,500.00
120 Gentamisin salep mata 0,3% Tube 3,210.00
121 Gentamisin tetes mata 0,3% Botol 4,800.00
122 Gentamisin tetes mata 0,3% Botol 5,010.00
123 Gentamisin tetes mata 0,3% Botol 5,098.00
124 Gentamisin/ Gentamycin injeksi 40 mg/ ml Ampul 4,211.00
125 Glibenklamida tablet 5 mg Tablet 143.00
126 Glibenklamida tablet 5 mg Tablet 110.83
127 Gliseril guaiakolat tablet 100 mg Tablet 43.45
128 Gliseril guaiakolat tablet 100 mg Tablet 92.00
Gliseril Guayakolat tablet 100 mg (Guaifenesin
129 Tablet 162.00
tablet)
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

130 Glukosa larutan infus 5 % steril Botol 5,720.00

131 Glukosa larutan infus 5 % steril Botol 6,900.00
132 Griseofulvin tablet 125 mg Tablet 266.00
133 Haloperidol inj 50 mg/mL Ampul 101,300.00
134 Haloperidol tablet 0,5 mg Tablet 55.00
135 Haloperidol tablet 1,5 mg Tablet 59.00
136 Haloperidol tablet 5 mg Tablet 105.00
137 Hemafort tablet Tablet 759.00
138 Hidroklorotiazida tablet 25 mg Tube 179.00
139 Hidrokortison krim 1% Tube 3,667.00
140 Hidrokortison krim 2,5 % Tube 2,848.00
141 Hidrokortison krim 2,5 % Tube 2,838.00
142 Hidrokortison krim 2,5 % Tube 2,648.00
143 Hustab Tablet 312.00
144 Hustab Tablet 283.80
145 Hustab Tablet 397.00
147 Ibuprofen Suspensi 100 mg/5 ml Botol 2,620.00
148 Ibuprofen Suspensi 100 mg/5 ml Botol 2,716.00
146 Ibuprofen tablet 200 mg Tablet 112.00
149 Ibuprofen tablet 200 mg Tablet 116.00
150 Ibuprofen tablet 400 mg Tablet 139.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

151 Issosorbid Dinitrat 5 mg Tablet 96.00

152 Kalcium Glukonat Ampul 10,351.00
153 Kalsium Laktat (kalk) Tab 500 mg Tablet 76.00
154 Kalsium Laktat (kalk) Tab 500 mg Tablet 64.00
155 Kalsium Laktat (kalk) Tab 500 mg Tablet 60.00
157 Kaptopril tablet 12,5 mg Tablet 68.00
156 Kaptopril tablet 50 mg Tablet 149.00
158 Kaptopril tablet 50 mg Tablet 147.00
159 Ketokonazol krim 2% Tube 2,740.00
160 Ketokonazol krim 2% Tube 2,694.00
161 Ketokonazole 200 mg Tablet 308
162 Ketorolak inj.30 mg Tube 1,444.00
163 Kloramfenikol 500 mg Kapsul 1,308.00
164 Kloramfenikol salep kulit 2% Tube 3,460.00
165 Kloramfenikol salep kulit 2% Tube 3,382.00
166 Kloramfenikol salep mata Tube 2,013.00
167 Kloramfenikol Susp 125 mg/5 ml Botol 60 ml 8,949.00
168 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 46.00
169 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 54.00
170 Klorpromazin tab sal 25 mg Tablet 234.03
Kotrimoksazol (dewasa) kombinasi :
171 sulfametoksazol 400 mg +Trimetoprin 80 mg Tablet
(tab/kaptab 480mg) 129.00
Kotrimoksazol DOEN I (dewasa) kombinasi :
172 Tablet 135.00
Sulfametoksazol 400 mg Trimetoprim 80 mg

Kotrimoksazol DOEN I (dewasa) kombinasi :

173 Tablet 158.00
Sulfametoksazol 400 mg Trimetoprim 80 mg

175 Kotrimoksazol Suspensi komb: Tablet 2,462.00

177 Levoflokasin 500 mg Ampul 702.00
178 Lexavit Tablet Tablet 777.26
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000
179 Ampul 2,215.00
- 2 mL
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000
180 Ampul
- 2 mL 2,327.00
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000
181 Ampul
- 2 mL 1,380.00
182 Livron B Plex Tablet 220.00
183 Livron B Plex Tablet 220.00
184 Loperamid tablet 2 mg Tablet 97.00
185 Loperamid tablet 2 mg Tablet 91.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

186 Loratadin tablet 10 mg Tablet 139.00

187 Magnesium Sulfat inj (IV) 20% - 25 ml Ampul 1,693.00
188 Magnesium Sulfat inj (IV) 20% - 25 ml Ampul 3,328.00
205 Magnesium Sulfat inj (IV) 40% - 25 ml Ampul 3,786.00
189 Metformin HCl tablet 500 mg Tablet 113.00
190 Metformin HCl kaplet 850 mg Kaplet 168.00
Metilergometrin Maleat (Metilergometrin) tablet
191 Tablet 254.00
salut 0,125 mg
Metilergometrin Maleat (Metilergometrin) tablet
193 Tablet 230.00
salut 0,125 mg
Metilergometrin Maleat (Metilergometrin) tablet
196 Tablet 246.00
salut 0,125 mg
192 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 3,553.00
194 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 6,187.00
195 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 3,421.00
197 Metilprednisolon 4 mg Tablet 170.00
198 Metoklopramid 10 mg Tablet 93.00
199 Metoklopramid 10 mg Tablet 87.00
200 Metoklopramide Sirup 5 mg/ 5 ml Botol 2,870.00
201 Metokploramide injeksi (Sotatic) Ampul 5,390.00
202 Metokploramide injeksi (Sotatic) Tablet 4,840.00
203 Metronidazol tablet 500 mg Tablet 117
204 Metronodazol suspensi 125 mg Botol 3,950.00
206 Mikonazol krim/salep 2 % (Nitrat) Tube 3,250.00
207 Mikonazol krim/salep 2 % (Nitrat) Tube 3,900.00
208 Natrium Diklofenak tablet 25 mg Tablet 178.00
210 Natrium Diklofenak tablet 25 mg Tablet 154.00
209 Natrium Diklofenak tablet 50 mg Tablet 162.00
211 Natrium Diklofenak tablet 50 mg Tablet 146.00
212 Natrium Klorida larutan infus 0,9 % Botol 5,170.00
213 Natrium Klorida larutan infus 0,9 % Botol 6,410.00
214 Natrium Klorida larutan infus 0,9 % Botol 6,410.00
215 Nifedipin tablet 10 mg Tablet 129.00
216 Nistatin Suspensi 100.000 iu/ml botol 14,786.00
217 Nistatin vaginal tablet 100.000 IU/ g Tablet 528.00
218 Nistatin vaginal tablet 100.000 IU/ g Tablet 628.00
219 Nistatin kaplet 500.000 IU Tablet 950.00
220 Noza tablet paket 833.64
221 Noza tablet Tablet 725.00
222 Obat AntiTuberculosis FDC Kategori 1 Paket 467,215.00
223 Obat AntiTuberculosis FDC Kategori 1 Paket 359,990.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

224 Obat AntiTuberculosis FDC Kategori 1 Paket 396,000.00

225 Obat AntiTuberculosis FDC Kategori 2 Paket 1,557,474.00
226 Obat AntiTuberculosis FDC Kategori 2 Paket 1,320,000.00
227 Obat AntiTuberculosis FDC Kategori 2 Paket 1,439,978.00
228 Obat AntiTuberculosis FDC Kategori Anak Paket 279,028.00
229 Obat AntiTuberculosis FDC Kategori Anak Paket 214,990.00
230 Obat AntiTuberculosis FDC Kategori Anak Paket 203,259.00
231 Obat Batuk Hitam (OBH) Botol 3,250
232 Obat Batuk Hitam (OBH) Botol 5,500.00
233 Oksitetrasiklin salep kulit 3% Tube 1,827.00
234 Oksitetrasiklin salep kulit 3% Tube 2,168.00
235 Oksitetrasiklin salep mata 1 % Tube 2,520.00
236 Oksitetrasiklin salep mata 1 % Tube 2,600.00
237 Oksitosin injeksi 10 IU/ml - 1 ml Tablet 1,900.00
238 Omeprazol kapsul/kaplet 20 mg Kapsul 176.00
239 Omeprazol kapsul/kaplet 20 mg Kapsul 143.00
240 Parasetamol drops 100 mg/ ml btl @ 15 ml ( 60 Botol 6,240.00
241 Parasetamol drops 100 mg/ ml btl @ 15 ml ( 60 Botol 7,979.00
242 Parasetamol sirup 120 mg / 5 ml Botol 1,190.00
243 Parasetamol tablet 500 mg Tablet 52.00
244 Pehacain Ampul 3,113.00
245 Pehacain Ampul 2,830.00
246 Pehavral Tablet 740.00
247 Pehavral Tablet 850.00
248 Phenol Gliserol tetes telinga 10% Botol 2,590.00
249 Piracetam inj 3 gr Ampul 11,000.00
250 Piracetam tablet 800 mg Tablet 803.00
251 Pirantel pamoat susp 125 mg/ 5 ml botol 11,600.00
252 Pirantel tablet score (base) 125 mg Tablet 346.00
253 Pirantel tablet score (base) 125 mg Tablet 305.00
254 Piridoksin (Vitamin B6) Tablet 142.00
255 Piroxicam 10 mg Tablet 137.50
256 Piroxicam 10 mg Tablet 120.92
257 Piroxicam 20 mg Tablet 163.40
258 Piroxicam 20 mg Tablet 142.25
259 Polikresulen / Abotil 10 ml Botol 18,635.00
260 Polikresulen / Abotil 10 ml Botol 39,800.00
261 Povidon Iodida 10% 30 ml Botol 2,800.00
262 Povidon Iodida 10% 300 ml Botol 16,000.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

263 Prednison tablet 5 mg Tablet 97.50

264 Prednison tablet 5 mg Tablet 125.00
265 Prednison tablet 5 mg Tablet 74.00
266 Primaquin Tablet 354.20
267 Procurma plus Tablet 12,369.00
268 Propanolol Hydrochloride (HCL) tablet 10 mg Tablet 62.00
269 Propanolol Hydrochloride (HCL) tablet 40 mg Tablet 85.00
270 Propiltiourasil tab 100 mg Tablet 106.00
271 Pulmicort Turbuhaler Budesonid serbuk inhaler Can 105,040.00
272 Ranitidin Injeksi 25 mg/ ml. Ampul 1,320.00
273 Ranitidin tablet 150 mg Tablet 110.00
274 Ranitidin tablet 150 mg Tablet 215.00
275 Ranitidin tablet 150 mg Tablet 119.00
276 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul 286.00
277 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul 341.00
278 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 592.00
279 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 609.00
280 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 505.00
281 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 346.00
282 Ringer Laktat larutan infus Botol 5,720.00
283 Ringer Laktat larutan infus Botol 7,150.00
284 Salbutamol 2 mg Tablet 69.00
287 Salbutamol 2 mg Tablet 64.00
288 Salbutamol 2 mg Tablet 65.00
285 Salbutamol 4 mg Tablet 81.00
286 Salbutamol sir 2 mg/ 5ml Botol 4,446.00
Salep 2-4 , Kombinasi : Asam Salisilat 2% +
289 Pot 2,917.00
Belerang
Salep 2-4endap 4% : Asam Salisilat 2% +
, Kombinasi
290 Pot 3,033.00
Belerang endap 4%
291 Sefadroksil kapsul/kaplet 500 mg Tablet 455.00
292 Sefadroksil kapsul/kaplet 500 mg Tablet 557.00
293 Sefadroksil Sirup kering 125 mg/5 ml Botol 4,200.00
294 Sianokobalamin (Vit.B12) Tablet 50 mg Tablet 50.00
295 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1,150.00
296 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1,283.00
297 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1,187.00
298 Simvasfatin tablet salut selaput 20 mg Tablet 235.00
299 Simvastatin tablet salut selaput 10 mg Tablet 116.00
300 Simvastatin tablet salut selaput 10 mg Tablet 110.00
301 Siprofloksasin tab 500 mg Tablet 264.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

302 Siprofloksasin tab 500 mg Tablet 309.00

303 Tetrasiklin kapsul 250 mg Tablet 207.00
304 Tetrasiklin kapsul 500 mg Tablet 325.00
305 Tetrasiklin kapsul 500 mg Tablet 341.00
306 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 1,045.00
309 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 1,140.00
307 Tiamin (Vitamin B1) tablet 50 mg Tablet 92.00
308 Tiamin (Vitamin B1) tablet 50 mg Tablet 95.00
310 Triheksilfenidil tab 2 mg Tablet 106.00
311 Vaksin Rabies 0,5 ml Syringe 0,5 ml 218,750.00
312 Vaksin Rabies 0,5 ml Syringe 0,5 ml 218,000.00
313 Vitamin B Kompleks tablet Tablet 112.00
314 Vitamin B Kompleks tablet Tablet 138.00
315 Vitamin B Compleks Tablet. Tablet 141.00
316 Xylocaibn Spray oral 10% Botol 177,216.00
317 Xylocain jelly 2% lidocain jel 2% Syringe 41,600.00
318 Zinc sulfate sirup 20 mg/5ml botol 3,449.00
319 Zinc tablet dispersible 20 mg Tablet 618.00
320 Zinc tablet dispersible 20 mg Tablet 617.00
321 Zinc tablet dispersible 20 mg Tablet 631.00

*Bahan Medis Habis Pakai

322 3-WAY WITH EXETENTION set 12,540.00
323 Alat Suntik Sekali Pakai 1 ml Pcs 762.00
324 Alat Suntik Sekali Pakai 1 ml set 996.00
325 Alat Suntik Sekali Pakai 10 ml set 1,562.40
326 Alat Suntik Sekali Pakai 2,5 ml Pcs 650.00
327 Alat Suntik Sekali Pakai 2,5 ml Set 802.00
328 Alat Suntik Sekali Pakai 3 ml set 990.00
329 Alat Suntik Sekali Pakai 5 ml set 1,116.60
330 Alat Suntik Sekali Pakai 5 ml Pcs 903.00
331 Alat Suntik Sekali Pakai 50 ml set 4,812.00
332 Alkolhol Swab botol 10,000.00
333 Cat Gut 3/0 sachet 35,740.00
334 Catgut 2/0 set 23,691.00
335 Catgut, 2/0, Brown, 75. Taper 1/2. 26 mm set 44,916.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

336 Catgut, 3/0, Brown, 75. Taper 1/2. 26 mm set 44,916.00

337 Caviton Botol 30 gr 148,000.00
338 EKSAMINATION GLOVES, Size L set 554.40
339 EKSAMINATION GLOVES, Size M set 554.40
340 EKSAMINATION GLOVES, Size S set 554.40
341 Etyl Clorida Spray Btl 100 ml 124,000.00
342 Eugenol cairan botol 22,589.00
343 FACE MASK EAR LOOP set 475.20
344 FACE MASK TIECE ON set 576.00
345 Filtek Z250 Pack 491,000.00
346 Foley Catheter no.20 Tablet 8,000.00
347 FOLEYCATCH, 2 way latex foley cath,no. 12 set 13,200.00
348 FOLEYCATCH, 2 way latex foley cath,no. 14 set 13,200.00
349 FOLEYCATCH, 2 way latex foley cath,no. 16 set 13,200.00
350 FOLEYCATH, 2 way latex foley cath, no. 18 set 13,200.00
351 Glass Lonomer Cement ART Set 475,000.00
352 Hands Scoen No. 6 set 4,180.00
353 Handscoen no. 6.0 set 9,120.00
354 Hands Scoen No. 6,5 Pasang 4,500.00
355 Handscoen no. 6.5 set 9,120.00
356 Hands Scoen No. 7 Pasang 4,500.00
357 Handscoen no. 7.0 set 9,120.00
358 Hands Scoen No. 7,5 Pasang 4,500.00
359 Handscoen no. 7.5 set 9,120.00
360 Handscoen no. 8.0 set 9,120.00
361 Hansaplast Plester Roll 26,244.00
Idealcare 2 way Standar Foley Catheter
362 piece 18,450.00
Silicon Coated
363 Infus Set Anak Set 3,500.00
364 Infus Set Anak set 6,120.00
365 Infus Set Dewasa Set 3,200.00
366 Infus Set Dewasa Set 9,070.00
367 INFUS SET DEWASA set 5,760.00
368 Iodoform pasta (mumyfing pasta) Botol 285,740.00
369 Iodoform (Mummyfing Pasta) Botol 320,000.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

370 IV Catheter No. 18 G Set 7,334.00

371 IV-CATH NP, pen type, no. 18 set 7,200.00
372 IV Catheter No. 20 G Set 7,334.00
373 IV-CATH NP, pen type, no. 20 set 7,200.00
374 IV Catheter No. 22 G Set 7,787.50
375 IV Catheter No. 22 G Set 7,334.00
376 IV-CATH NP, pen type, no. 22 set 7,200.00
377 IV Catheter No. 24 G Set 7,334.00
378 IV-CATH NP, pen type, no. 24 set 7,200.00
379 IV-CATCH WP, with wings &port no. 20 Pic 8,400.00
380 IV-CATCH WP, with wings &port no. 22 pic 8,400.00
381 IV-CATH WP, with wings & port, no. 24 set 8,400.00
382 Kaca Slide Pcs 277.77
383 Kalsium Hidroksida Pasta Kotak 292,850.00
384 Kalsium Hidroksida Pasta Tube 278,300.00
385 Kapas Berlemak 500gr Roll 16,500.00
386 Kapas Berlemak 500gr Roll 34,000.00
387 Kapas Pembalut 250 gram Bungkus 12,500.00
388 Kapas Pembalut 250gr roll 24,000.00
Kotak 16
389 Kasa Hidrofil 16 X 16 5,800.00
lembar
390 Kasa Kompres Steril 40 x 40 roll 7,700.00
391 Kasa Pembalut 4cm x 15 cm Roll 3,800.00
392 Kasa Pembalut Hidrofil 2m x 80 cm Rol 7,700.00
393 Kasa Pembalut Hidrofil 2m x 80 cm Roll 9,400.00
394 Kasa Pembalut Hidrofil 4 x 10 cm Roll 2,300.00
395 Kasa Pembalut Hidrofil 4 x 10 cm Rol 1,600.00
Kotak 16
396 Kasa Steril DRC 16 X 16 7,900.00
lembar
397 Kavit G Pot 218,497.00
398 Ketak Molar Set 897,450.00
399 Klorfenol Kamfer Mentol (CHKM) Botol 83,430
400 Klorfenol Kamfer Mentol (CHKM) Botol 93,000.00
401 Leukoplas Hospital 7.50 cm x 4.5 m roll 35,532.00
402 Leukoplast Hospital 2.50 cm x 4.5 m roll 12,076.00
403 Masker Pcs 1,125.00
404 Masker Medical Respirator Pcs 19,500.00
405 Masker Surgical Earloop Pcs 330.00
406 Masker Surgical Plus 3 Ply Plus Eaerloop Pcs 440.00
 Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)

407 Masker General Respirator Pcs 21,000.00

408 Micropore 2 inch (6/BX) Pcs 33,333.33
409 Micropore 2 inch (6/BX) pcs 32,933.00
410 NASAL OXYGEN, O2 cannula, size L set 7,920.00
411 NASAL OXYGEN, O2 cannula, size M set 7,920.00
412 NASAL OXYGEN, O2 cannula, size S set 7,920.00
413 NASAL OXYGEN, O2 cannula, size XS set 7,920.00
414 Nonwoven Fixation/10 cm x 10 m roll 82,260.00
415 Nonwoven Fixation/5 cm x 10 m roll 52,620.00
416 Paper Tape/ 2.5 cm x 9.14 m set 9,780.00
417 Paper Tape/ 7.5 cm x 9.14 m set 26,220.00
418 Reagensia ZN kit 263,997.00
419 SD HIV set 22,330.00
420 Semen Seng Fosfat Serbuk dan Cairan Set 219,472.00
421 Silk 2/0 set 14,000.00
422 Silk Black 2/0 HR 30 mm sachet 21,130.00
423 Silk, 2/0, Black, 75. Taper 1/2. 26 mm set 35,000.00
424 Silk, 3/0, Black, 75. Taper 1/2. 26 mm set 35,000.00
425 SNA Medica Polcrepe 7,5cm x 4,55cm Roll 36,012.00
426 SUCTION CATHETER no. 14 set 8,844.00
427 SUCTION CATHETER no. 6 set 8,844.00
428 SUCTION CATHETER no. 8 set 8,844.00
429 SUCTION CATHETER, no. 10 set 8,844.00
430 SWAB, 4-ply set 24,000.00
431 Umbilical Cord Klem Steril Nylon Pcs 1,300.00
432 Urin Bag Set 3,000.00

433 URINE DRAINAGE BAG, T valve, with hanger set 6,600.00