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Daftar Obat

untuk Perencanaan tahun 2021

Mohon Diberikan Tanda centang pada kolom KSM

NO Nama obat Satuan Sedian Usulan KSM


1 ABILIFY 10 mg Tablet
2 Acetosal (aspilet) tablet 80 mg 80 mg Tablet
3 ACTICOAT 10 X 20 cm Pcs
4 ACYCLOVIR 200 mg 200 mg Tablet
5 ACYCLOVIR 400 mg 400 mg Tablet
6 Acyclovir 5% Tube
7 ALBUMIN HUMAN 5% 50 ml Botol
8 ALBUMIN HUMAN 20% 100 ml Botol
9 ALKOHOL 70% 1000 ml Botol
10 ALKOHOL 70% 300 ml Botol
11 ALKOHOL 95 % 1 liter 1 Liter Botol
12 ALLEVYN 10 X 20 cm Pcs
13 ALLOPURINIL 100 mg 100 mg Tablet
14 ALLOPURINIL 300 mg 300 mg Tablet
15 Aloclair gel Tube
16 ALPARA TABLET Tablet
17 ALPRAZOLAM 0,5 mg 0,5 mg Tablet
18 AMBROXOL 30 mg 30 mg Tablet
19 AMIKASIN INJEKSI 500 mg Vial
20 AMINOFLUID INFUS 500 ml Infus
21 AMINOFUSIN HEPAR Botol
22 Aminofusin paed infus Infus
23 Aminophyllin 200 mg Tablet
24 AMINOPHYLLIN INJEKSI 24 mg/ml Vial
25 Amiodarone hcl (kendaron) tab Tablet
26 AMIODARONE INJEKSI 50mg/ml Ampul
27 AMITRIPHYLIN 25 MG 25 mg Tablet
28 AMLODIPINE 10 MG 10 mg Tablet
29 AMOKSISILIN + ASAM KLAVULANAT 625 mg Kaplet
30 AMOXYCILLIN 250 MG 250 mg Kapsul
31 Amoxycillin 500 mg Kaplet
32 AMOXYCILLIN SIRUP 125mg/5ml 60ml 125 mg/5ml Botol
33 AMPICILLIN INJ 250 MG 250 mg Vial
34 AMPISILIN SERBUK INJEKSI 1000 MG/VIAL Vial
35 ANTASIDA DOEN Tablet
36 ANTASIDA SUPENSI Botol
37 Antasida tablet Tablet
38 Antrain injeksi Ampul
39 AQUA PRO INJEKSI 25 ml Flacon
40 Artesunate injeksi Vial
41 ARTESUNATE INJEKSI ‫־‬ Vial
42 As. Traneksamat tab 500 mg Tablet
43 ASAM FOLAT 400 mcg Tablet
44 ASAM FOLAT 1 MG 1 mg Tablet
45 ASAM FOLAT 5 MG 5 mg Tablet
46 ASAM FUCIDAT KRIM Tube
47 ASAM MEFENAMAT 500 mg Tablet
48 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML 250 mg/5ml Ampul
49 ASAM TRANEKSAMAT INJEKSI 500 MG/ 5 ML 500 mg/5ml Ampul
50 ASAM TRANEKSAMAT TABLET 500 MG 500 mg Tablet
51 ASAM VALPROAT TABLET 250 mg Tablet
52 ATORVASTATIN CALCIUM 20 mg Tablet
53 ATRACURIUM BESILATE 10 MG/ML 10 mg/ml Ampul
54 ATRACURIUM INJEKSI 10 mg Vial
55 ATROPIN INJEKSI 0,25 mg Ampul
56 ATTAPULGIT TABLET Tablet
57 AZITROMYCINE TABLET Tablet
58 BACITRACIN SALEP Tube
59 Benoson - n cream Tube
60 BENZATIN B. PENISILIN 1,2 JUTA 1,2 Juta IU Vial
61 Benzatin b. Penisilin 2,4 juta Vial
62 BEROTEC 100 mg Botol
63 Betadine 1000 ml Botol
64 BETADINE 15 ml 15 ml Botol
65 Betahistin mesylate (HYSTIGO) Tablet
66 BETAMETASON ZALF 0,1 % Tube
67 Bioplacenton zalf 15 gram Tube
68 Bisacodyl (dulcolax) suppo anak 5 mg Suppositoria
69 Bisacodyl (dulcolax) suppositoria dewasa 10 mg Suppositoria
70 BISOCODYL (DULCOLAX) TABLET 5 mg 5 mg Tablet
71 Bisoprolol furmarate 5mg Tablet
72 BONGENER 1cc Vial
73 BONGENER 2,5 cc Vial
74 BONGROS 10 cc Botol
75 BONGROS 5 cc Botol
76 BROMHEXIN 8 mg Tablet
77 BROMHEXINE (BISOLVON INJEKSI 2 mg/ml Ampul
78 Bronchitin sirup Sirup
79 Bufacomb zalf Tube
80 BUPIVACAINE HCL HEAVY INJEKSI 5 mg/ml Ampul
81 BURNAZIN KRIM 500 g Pot
82 CAIRAN DEVELOPER Gen 0
83 CAIRAN FIXER Gen 0
84 Calcii gluconas injeksi Ampul
85 Calcium lactate tablet 500 mg Tablet
86 CANDESARTAN CILEXETIN 8 mg Tablet
87 CAPTOPRIL 12,5 MG 15,5 mg Tablet
88 Captopril 25 mg Tablet
89 CARBAMAZEPINE 200 mg Tablet
90 Caviplex tablet Tablet
91 Cefadroxil 500 mg 500 mg Tablet
92 Cefixime 100mg 100 mg Capsul
93 CEFIXIME 200 MG 200 mg Tablet
94 Cefotaxime injeksi 1 gram Vial
95 Ceftriaxone injeksi Injeksi
96 CENDOXITROL 5 ml Botol
97 CETERIZIN HCL 10 mg Tablet
98 CETRIAXONE INJEKSI 1 gram Vial
99 CHLOR ETIL SPRAY Botol
100 CHLORAMPHENICOL 1 % TETES MATA 0 Tube
101 CHLORAMPHENICOL 3 % TETES TELINGA 30 mg Botol
102 Chloramphenicol zalf mata 1% Tube
103 CHLORPENIRAMIN MALEAT (CTM) 4 mg Tablet
104 CHLORPRAMAZINE HCL 100 mg Tablet
105 CHLORPRAMAZINE INJEKSI 25 ml Ampul
106 CIPROFLOXACIN INFUS 2 mg/ml Botol
107 CIPROFLOXACIN HCL 500 mg Tablet
108 CITICOLINE(CIBREN CITICOLINE) 125 mg/ml Ampul
109 CLINDAMYCIN HCL 300 mg 300 mg Capsul
110 CLINDAMYCIN HCL 150 mg 150 mg Capsul
111 CLOBAZAM 10 mg Tablet
112 Clomiphene citrate (profertil) Tablet
113 CLONIDINE HCL (CATAPRES ) 150 MCG/ML Ampul
114 Clopidogrel 75 mg tab Tablet
115 CLOZAPINE 25 mg Tablet
116 CO- AMOXICLAV Tablet
117 CODEIN 10 MG 10 mg Tablet
118 COENZYME Q10( BLACKMORES) 75 mg Tablet
119 Combantryn syrup Syrup

120 COTRI MOKSAZOLE SYRUP Botol


121 COTRIMOKSAZOLE 480 MG 480 mg Tablet
122 COTRIMOKSAZOLE 960 MG 960 mg Tablet
123 COTRIMOKSAZOLE SYRUP 240 mg/5 ml Botol
124 CRIPSA 2,5 mg Tablet
125 Curcuma FCT Tablet
126 Curcuma syrup (procurma) Botol
127 CYGEST 200 MCG Suppo
128 Cygest 400 mg Suppo
129 CYNOCOBALAMIN (VIT B12) INJEKSI 500 mcg/ml Vial
130 CYNOCOBALAMIN (VIT B12) TABLET 50 mcg Tablet
131 DEMACOLIN TABLET Tablet
132 Dexamethasone 0,5 mg (NOVADEX) Tablet
133 Dexamethasone injeksi Injeksi
134 DEXANTA Tablet
135 DEXTROSE 10% 500 ml Botol
136 DEXTROSE 5% 500 ml Botol
137 DHIPENHYDRAMIN INJEKSI 10 mg/ml Ampul
138 DIAZEPAM 20 MG 2 mg/ml Tablet
139 DIAZEPAM INJEKSI 5 mg/ml Ampul
140 Dihydroartemisinin Piperaquine tab (DHP) 360 mg Tablet
141 DILTIAZEM 30 mg
142 DILTIAZEM HCl (HERBESSER POWDER) INJEKSI 5 50 mg Injeksi
143 DILTIAZEM HCl TABLET 30 mg Tablet
144 DIMENHYDRINATE 50 mg Tablet
145 DIPHENHYDRAMIN HCL 10 mg Ampul
146 DOBUTAMIN INJEKSI 50 mg/ml Ampul
147 DOMPERIDON TAMBET 10 mg Tablet
148 Domperidone sirup (OMEDOM) 60 ml Syrup
149 DONEPEZIL HCL 5 MG 5 mg Tablet
150 DOPAMIN GIULINI 20 mg/ml Injeksi
151 DOXYCICLINE 100 mg 100 mg Kapsul
152 DUROLANE 60 mg/3 ml SYRUP Botol
153 Dydrogesterone (duphaston) tab 10 mg Tablet
154 EFEDRIN HCL INJEKSI 50 mg Ampul
155 Epinephrin injeksi Injeksi
156 EPINEPHRIN INJEKSI 1 mg/ml Ampul
157 ERDOSTEIN Tablet
158 ETAMBUTOL 500 MG 500 mg Tablet
159 FENOTEROL HBR (BEROTEC) INHALER Botol
160 FENTANANYL INJEKSI 0,05 mg/ml Ampul
161 FERRIZ SYRUP Botol
162 Finasteride (finpro) 5 mg Tablet
163 FLUCONASOL 150 mg 150 mg Tablet
164 FLUFENAZINE 25 MG/ML 25 mg/ml Vial
165 FLUOKSETIN 10 MG 10 mg Kapsul
166 FLUOKSETIN 20 MG 20 mg Kapsul
167 FOLIC BLACKMORES Kapsul
168 Formalin cair @ 1 liter Botol
169 FRESOFOL INJEKSI Ampul 0
170 Furosemide injeksi Injeksi
171 FUROSEMIDE INJEKSI 10 mg/ml Ampul
172 FUROSEMIDE TABLET 40 mg Tablet
173 GELAFUSIN INFUS 500 ml Kolf
174 GENTAMICYN INJEKSI 40 mg/ml Injeksi
175 GENTAMYCIN ZALF KULIT 0,10 Tube
176 Gentian violet Botol
177 GLIKUIDON 30 MG 30 mg Tablet
178 Glimepirid 4 mg Tablet
179 GLIMEPIRIDE 2 mg Tablet
180 GLISERIN @ 100 ml 100 ml Botol
181 Glucosamine 500 mg Tablet
182 GRAFACHLOR 2mg Tablet

183 HALOPERIDOL 0,5 MG 0,5 mg Tablet


184 HALOPERIDOL 1,5 MG 1,5 mg Tablet
185 HALOPERIDOL 5 MG 5 mg Tablet
186 HALOPERIDOL 5 MG/ML INJEKSI 5 mg/ml Ampul
187 HARNAL Tablet
188 HEPARIN SODIUM 5000 IU/ml Ampul
189 HIDROCHLORTIAZIDE (HCT) 25 mg Tablet
190 HIDROKSIUREA MEDAC 500 mg Tablet
191 HIPOBACH 100 INJEKSI Ampul
192 HIPOBACH 200 INJEKSI Ampul
193 HMF (HUMAN MILK FORTIFIER) SACHET Sachet
194 HYOSCINE-N- BUTYLBROMIDE (BUSCOPAN) 10 mg Tablet
195 Hyoscine-N-butylbromide (BUSCOPAN) INJEKSI 20 mg/1 ml Injeksi
196 Ibuprofen 200 mg Tablet
197 IBUPROFEN 200 MG 200 mg Tablet
198 Ibuprofen 400 mg Tablet
199 IBUPROFEN SYRUP Botol
200 INPEPSA SYRUP 500mg Botol
201 INSTO TETES MATA Botol
202 INTRALIPID 20%@100 ML Botol
203 IOPAMIRO 300 50 ml Botol
204 IPRATROPIUM BROMIDAL/ SALBUTAMOL (COMBIVENT ) RESPUL Botol
205 IRBESARTAN 150 MG 150 mg Tablet
206 ISOFLURANE 250 ml 250 ml Botol
207 ISOKSUPRIN HCL (DUVADILAN ) TABLET 20 mg Tablet
208 Isoniazid 100 mg 100 mg Tablet
209 ISONIAZID 300 mg 300 mg Tablet
210 ISONIAZID TABLET 300 mg Tablet
211 ISOSORBID DINATRIUM (ISDN) 5 mg Tablet
212 KA-EN 1B 500 ml Botol
213 Ka-en 3a Infus
214 KAEN- 4A Botol
215 KA-EN MG3 500 ml Botol
216 KAEN-3B Botol
217 KAEN-4B Botol
218 Kalium diclofenac (KADITIC) 50 mg Tablet
219 KALIUM PERMANGANAT (PK) 5g Bubuk
220 KALKATRIOL FORTE
221 KCL (KALIUM CHLORIDA) 7,46 KCL 7,4 mg Ampul
222 KENACORT A 40 SUSP INJEKSI 40 mg/ ml
223 KENALOG SALF 5g Tube
224 KETAMIN INJEKSI 10 mg/ml Vial
225 KETOCONAZOL TABLET 200 mg 200 mg Tablet
226 KETOCONAZOLE CREAM 2 % Tube
227 KETOKONAZOL 200 mg Tablet
228 KETOPROFEN SUPPOSITORIA 100 mg Suppo
229 KETOROLAC 3 % 30 mg/ml Ampul
230 KOLKISIN 0'5 MG TABLET Tablet
231 KOLOID HES BM 130.000 Infus
232 LACBON TABLET 50 Juta Tablet
233 LANSOPRAZOLE 30 mg Kapsul
234 Levemir flexpen Flexpen
235 LEVOBUPIVACAIN ISOBARIK Vial
236 LEVOFLOXACIN 500 MG Kapsul
237 LEVOFLOXACIN INFUS 5.0 mg/ml 100 ml Botol
238 LIDOCAIN 2 % INJEKSI Ampul
239 Lidocain 2% comp injeksi Injeksi
240 LIDOCAIN SEMPROT 15% (HCL) Botol
241 LIDOCAINE 10 mg (XILOCAIN) 25 mg Botol
242 Lidodex injeksi ( LIDOCAIN 5 %) Ampul
243 LIKURMIN SYRUP Botol
244 LOPERAMIDE HCL 2 mg Tablet
245 LORAZEPAM 2 mg 2 mg Tablet

246 LUBRICATING JELLY Tube


247 MANITOL 20% 500 ML INFUS Infus
248 Mebo cream Tube
249 Meloxicam 15 mg Tablet
250 MEROPENEM ANHYDRATE 1000 mg Vial
251 METAMIZOLE NATRIUM (ANTRAIN ) 500 mg/ml Ampul
252 METFORMIN HCL 500 mg Tablet
253 METHYL PREDNISOLONE INJEKSI 125 mg Vial
254 METHYLDOPA 250 mg ( DOPAMET) 250 mg Tablet
255 METHYLERGOMETRINE INJEKSI 1 mg Ampul
256 METHYLPREDNISOLONE TABLET 8 mg Tablet
257 METIL ERGOMETRIN 0,125 mg 0,125 mg Tablet
258 METIL ERGOMETRIN INJEKSI 0,2 mg/ml Ampul
259 METIL PREDNISOLONE 4 MG 4 mg Tablet
260 METOCLOPRAMIDE HCL 10 mg Tablet
261 Metokploramid (tomit injeksi) Injeksi
262 METOTREXATE 2,5 MG TABLET Tablet
263 METRODINAZOL INFUS 5 mg/ml Botol
264 METRODINAZOL 500 MG 500 mg Tablet
265 METRONIDAZOLE OVULA 500 MG Ovula
266 MEYLON 84-B.P 25 mg Flacon
267 MICONAZOL SALEP Tube
268 MICROLAX TUBE 5mg Tube
269 MIDAZOLAM 15 MG/3ML INJEKSI 15 mg / 3 ml Ampul
270 MISOPROSTOL (GASTRUL) 200µg 200µg Tablet
271 MORFIN INJEKSI 10 mg/ml Ampul
272 MOXIFLOXACIN 400 MG INJEKSI Botol
273 MULTIVITAPLEX Tablet
274 NALGESTAN 15 mg Tablet
275 NALOXONE HCL 0,4 MG/ML Ampul
276 NATRIUM DIKLOFENAK 50 mg 50 mg Tablet
277 NATRIUM KLORIDA 0,9 % (nacl) @ 500 ML 500 ml Botol
278 NATRIUM KLORIDA 0,9 % (nacl) PIGGY BAG 100 ML Botol
279 NEBACETIN SALEP Tube
280 NEOSTIGMINE METILSULFATE INJEKSI 0,5 mg/ml Ampul
281 NEUROBION INJEKSI Ampul
282 NICARDIPINE INJEKSI 1 MG Ampul
283 NIFEDIPIN 10 MG Tablet
284 NITROCAF RETARD 2,5 MG Kapsul
285 Norepinephrine Injeksi
286 NORETISTERON (NORELUT TABLET) 5 mg Tablet
287 NOVOMIX FLEX PEN INJEKSI Pen
288 Novorapid flexpen Flexpen
289 NUTRIMAMA 1 Tablet
290 NUTRIMAMA 2 Tablet
291 NUTRIMAMA 3 Tablet
292 Nystatin drops Botol
293 NYSTATIN SUSPENSI 100.000 IU/ML Botol
294 NYSTATIN TABLET SALUT 500.000 IU Tablet
295 NYSTATIN VAGINAL 100.000 IU Tablet
296 OAT ANAK Paket Tablet
297 OAT KATEGORI I DEWASA Paket Tablet
298 OAT KATEGORI II DEWASA Paket Tablet
299 OKSITETRASIKLIN SALEP KULIT 3% Tube
300 OKSITOSIN INJEKSI 10 IU/ml Ampul
301 OLANZAPIN 5 mg 5mg Tablet
302 OMEPRAZOLE SODIUM INJEKSI Vial
303 OMEPRAZOLE 20 mg 20 mg Kapsul
304 OMEPRAZOLE INJEKSI 40 mg/vial Ampul
305 ONDANSENRON 8 mg TABLET 8 mg Tablet
306 ONDANSENTRON HCL INJEKSI 4 mg Ampul
307 ORALIT Bungkus
308 OSCAL 0,5 MCG SOFT Kapsul

309 OSTEONATE 35 mg Tablet


310 OTSU - D5 . 1/4 NS 500 ml Botol
311 OTSU - D51 .1/2 NS 500 ml Botol
312 OTSU D-40 Flacon
313 OTSU- MANITOL 20% 500 ml Botol
314 OTSU MGSO4 40% INJEKSI 0 Flacon
315 OTSU- SALIN 3% 500 mg Botol
316 OXYCODONE HCL 5 mg 5 mg Tablet
317 OXYTETRACYCLINE 1% ZALF MATA 10 mg Tube
318 Oxytetracycline 3% zalf kulit Tube
319 OXYTOCIN INJEKSI 300 mg Ampul
320 PANTOPRAZOL 40 MG INJEKSI Ampul
321 PARACETAMOL ( PROPIRETIC 160 MG) 160 mg Suppo
322 PARACETAMOL 500 MG 500 mg Tablet
323 PARACETAMOL 650 MG TABLET 650 mg Tablet
324 PARACETAMOL DRIP/INFUS 1 gram Botol
325 PARACETAMOL DROPS (SANMOL DROPS) 15 ml Botol
326 PARACETAMOL SIRUP 120 mg/ 5 ml Botol
327 PEHACAIN INJEKSI Ampul
328 PEHACAINE 2 mg 2 ml Vial
329 PETIDIN INJEKSI 50 mg /ml Ampul
330 PHENOBARBITAL 30 mg 30 mg Tablet
331 PHENOBARBITAL INJEKSI 50 mg/ml Ampul
332 PHENYTOIN 100 mg Kapsul
333 PHENYTOIN INJEKSI 100 mg/ml Ampul
334 PHENYTOIN KAPSUL 50 mg Kapsul
335 PHYTOMENADIONE (VIT, K) 10 mg Ampul
336 PIL KONTRASEPSI DARURAT (POSTINOR) Tablet
337 PIRACETAM INJEKSI 200 mg/ml Ampul
338 PIRACETAM INJEKSI 3000 mg/ml Ampul
339 PIRIMETAMINE 25 mg
340 PLASMA EXPANDER INFUS Kolf
341 POVIDON IODINE 300 ML Botol
342 PREDNISOLON 5 mg Tablet
343 PREGNANCY & BREAST FEENG BLACKMORES Kapsul
344 Primaquine tablet Tablet
345 PRIMOLUT TABLET 5 mg Tablet
346 PROFERTIL TABLET (CLOMIFEN STRAT) 50 mg Tablet
347 PROFOPOL 1% INJEKSI 1% Injeksi
348 PRONTOSAN WOUND GEL 30 Ml Tube
349 PROPILTIOURASIL (PTU) TABLET 100 mg Tablet
350 PYRANTEL 125 mg Tablet
351 PYRATHIAZINE THEOCLATE + VIT B6 Tablet
352 PYRAZINAMIDE 500 MG Tablet
353 PYRIDOXIN 10 mg( VIT B6) 10 mg Tablet
354 QUININE (KINA) 222 mg Tablet
355 RAMIPRIL 50 MG 5 mg Tablet
356 Ranitidine injeksi Injeksi
357 RANITIDINE TABLET 150 mg Tablet
358 RECO TETES MATA Botol
359 RENAQUIT(LORAZEPAM) Tablet
360 RINGER LACTAT (RL) 500 ml Botol
361 RISPERIDONE 1 MG 1 mg Tablet
362 RISPERIDONE 2 MG 2 mg Tablet
363 RISTONAT 35 mg Tablet
364 SACHARUM LACTIS @ 1000 G Bubuk
365 SALBUTAMOL (VENTOLIN NEBULIZER ) Ampul
366 SALBUTAMOL (VENTOLIN) RESPUL Botol
367 SALBUTAMOL 4 MG TABLET 4 mg Tablet
368 SALBUTAMOL 2 mg 2 mg Tablet
369 Salep 2-4 Pot
370 SAN-B-PLEX DROPS Botol
371 SANGOBION Tablet

372 SERTRALIN 50 MG 50 mg Tablet


373 SEVOFLURAN 250 ml Botol
374 SF
375 SIKZONOATE 25 mg Ampul
376 SILOSTAZOL 100 MG Tablet
377 Simvastatin 10 mg Tablet
378 SPASMINAL TABLET Tablet
379 Spironolactone 100 mg tablet Tablet
380 Spironolactone 25 mg tablet Tablet
381 STERILL WATER IRRIGATION @ 1000 ML Botol
382 STESOLID REKTAL 10 MG 10 mg Tube
383 STESOLID REKTAL 5 MG 5 mg Tube
384 SUCRALFATE(INPEPSA) SUSPENSI 500 mg/ml Botol
385 SULFADOXIN PIRIMETAMIN TABLET 525 mg Tablet
386 TABLET TAMBAH DARAH Tablet
387 Teosal tab Tablet
388 Thiampenicol 500 mg Kapsul
389 TIOPENTAL NATRIUM SERBUK INJEKSI 1 gram Ampul
390 TRAMADOL 50 MG 50 mg Kapsul
391 TRAMADOL INJEKSI Ampul
392 TRAMPARA TABLET Tablet
393 TRIHEXYPHENIDYL HCL 2 mg Tablet
394 Trombophop gel Tube
395 UMARONE INJEKSI 20 mg/ml Vial
396 UTROGESTAN Tablet
397 VAGISTIN OVULA OVULA
398 VECURONIUM Br (ECRON) 10 mg Vial 0
399 VECURONIUM BROMIDE (ECRON 10 ) INJECTION 10 mg Ampul
400 VIPALBUMIN Tablet
401 Vit B6 10mg Tablet
402 VIT A 100 000IU Tablet
403 VIT B COMPLEX Tablet
404 VITAMIN A 200.000 IU Kapsul
405 VITAMIN C 250 mg 250mg Tablet
406 VITAMIN C 50 MG 50 mg Tablet
407 VITAMIN C INJEKSI 100 mg/ml Ampul
408 WIDAHESS 6% 500 ml Botol
409 XYLOCAIN JELLY 2% 10 gram Pcs
410 ZINK 20 mg Kapsul
Daftar Obat
untuk Perencanaan tahun 2021

Mohon Diberikan Tanda CENTANG pada kolom KSM

NO Nama obat Satuan Usulan KSM


1 CURASPON 80 X 50 X 10 mm pcs
2 KERTAS FILM USG Roll
3 NEEDLE TERUMO N0. 21 G Pcs
4 NEEDLE TERUMO NO. 23 G Pcs
5 NEEDLE TERUMO NO. 25 G Pcs
6 NEEDLE TERUMO NO. 27 G Pcs
7 PROLENE MESH Pcs
8 SPUIT 1.0 CC Pcs
12 KANTONG DARAH Pcs
13 KAPAS LIDI/SWAB STERIL Dos

14 SPUIT 1 CC Pcs

15 STOPMACH TUBE NO. 14 Pcs

16 BENANG PROLENE NO. 0 8690H + JARUM SEGITIGA Pcs

17 BENANG SILK BRAIDED (MERSILK) NO.1 W338H + JARUM BULAT Pcs

18 BENANG VICRYL 2 W9246 + JARUM BULAT Pcs

19 BENANG VICRYL PLUS NO. 1 VCP486H + JARUM BULAT Pcs

20 ABBOCATH NO. 16 G Pcs


21 BENANG CATGUT CHROMIC 3,0/75 cm + JARUM SEGITIGA Pcs
22 BENANG SETA MERSILK 2.0/75 cm + JARUM SEGITIGA Pcs
23 BENANG SURGIPRO 2-0 + JARUM SEGITIGA Pcs
24 BENANG SURGIPRO 7-0 SP-1696 G + JARUM SEGITIGA Pcs
25 BENANG VICRYL 2-0/90 cm + JARUM SEGITIGA Pcs
29 CURASPON Pcs
30 ENDOTRACHEAL TUBE NO 3,0 mm Pcs
31 ENDOTRACHEAL TUBE NO 3,5 mm Pcs
32 ENDOTRACHEAL TUBE NO 4,0 mm Pcs
33 ENDOTRACHEAL TUBE NO 4,5 mm Pcs
34 ENDOTRACHEAL TUBE NO 5,0 mm Pcs
35 ENDOTRACHEAL TUBE NO 5,5 mm Pcs
36 ENDOTRACHEAL TUBE NO 6,0 mm Pcs
37 ENDOTRACHEAL TUBE NO 6,5 mm Pcs
38 ENDOTRACHEAL TUBE NO 7,0 mm Pcs
39 ENDOTRACHEAL TUBE NO 7,5 mm Pcs
40 GUEDEL ( OROPHARYNGEAL TUBE ) No. 2/70 mm Buah
41 NEEDLE TERUMO NO. 18 G Pcs
42 PERBAN ELASTIS 7,5 cm X 4,5 m (TENSOCREPE) Roll

43 SPINOCAN 27 G Pcs
44 SUCTION CATHETER NO. 10 Pcs

45 SUCTION CATHETER NO. 12 Pcs


46 SUCTION CATHETER NO. 16 Pcs

47 SUCTION CATHETER NO. 6 Pcs


48 SUCTION CATHETER NO. 8 Pcs

49 TES NARKOBA PCs

50 Glukosa box
51 Uric Acid box
52 Trigliserida box
53 HDL box
54 LDL box
55 Cholestrol Total box
56 Ureum box
57 Creatinin box
58 SGOT box
59 SGPT box
60 Billirubin Total box
61 Billirubin Direk box
62 Hba1C Reagen box
63 W2 box
64 MCL 1 box
65 Multical box
66 Lipid Call box
67 Hba1C Control box
68 Dilluent galon (liter)
69 Hemolyzer Lyser Botol
70 Kombur urin box
71 Sample Cup pcs
72 Alkohol swab (wippy) Pcs
73 Antiseptik tangan ( gel ) 500 ml Botol
74 Benang catgut chromic 2,0/75 cm + jarum segitiga Pcs
75 Benang catgut chromic 2,0/75 cm + jarum bulat Pcs
76 Benang catgut chromic no. 3.0/75 cm + jarum bulat Pcs
77 Benang polysorb 3-0 + jarum segitiga Pcs
78 Benang surgipro 3-0 sp-684 + jarum segitiga Pcs
79 Benang vicryl plus n0. 2 - 0 vcp 317 h jarum bulat Pcs
80 Bisturi no. 10 Pcs
81 Bisturi no. 20 Pcs
82 Bisturi no.12 Pcs
83 Bisturi no.15 Pcs
84 Bisturi no.21 Pcs
85 Bisturi no.22 Pcs
86 Bone wax ( lilin tulang ) Buah
87 Cutimed sorbact 7 x 9 cm Pcs
88 Dermafix-t (plester polyurethane water proof) 10cmx20cm Pcs
89 Disposable blood infusion set terumo Pcs
90 Endotrachael tube non king king 7.0 Pcs
91 Endotrachael tube non king king 7.5 Pcs
92 Endotracheal tube non king king 6.0 Pcs
93 Endotracheal tube non king king 6.5 Pcs
94 Endotracheal tube no 2,5 mm Pcs
95 Endotracheal tube no 3,0 mm Pcs
96 Endotracheal tube no 3,5 mm Pcs
97 Endotracheal tube no 4,0 mm Pcs
98 Endotracheal tube no 4,5 mm Pcs
99 Endotracheal tube no 5,0 mm Pcs
100 Endotracheal tube no 5,5 mm Pcs
101 Endotracheal tube no 6,0 mm Pcs
102 Endotracheal tube no 6,5 mm Pcs
103 Endotracheal tube no 7,0 mm Pcs
104 Endotracheal tube no 7,5 mm Pcs
105 Film cr - radiologi di-hl3 35 x 43 cm Box
106 Folley catheter no. 10 Pcs
107 Folley catheter no. 16 Pcs
108 Folley catheter no. 18 Pcs
109 Folley catheter no.12 Pcs
110 Folley catheter no.14 Pcs
111 Folley catheter no.24 trhee way ( rush ) Pcs
112 Guedel ( oropharyngeal tube ) no. 0/050 mm Buah
113 Guedel ( oropharyngeal tube ) no. 00/040 mm Buah
114 Guedel ( oropharyngeal tube ) no. 1/60 mm Buah
115 Guedel ( oropharyngeal tube ) no. 2/70 mm Buah
116 Guedel ( oropharyngeal tube ) no. 3/80 mm Buah
117 Guedel ( oropharyngeal tube ) no. 4/90 mm Buah
118 Guedel ( oropharyngeal tube ) no. 5/100 mm Buah
119 Guedel ( oropharyngeal tube ) no. 6/110 mm Buah
120 Handscoen on steril panjang obsgyn 60 cm Pasang
121 Hogy gns -210 3b Set
122 I.v 3 way buntut (+) Pcs
123 Kertas puyer laminating Lembar
124 Kertas puyer polos Lembar
125 Kirchner wire l 310 mm x 1,5 mm Pcs
126 Kirchner wire l 310 mm x 1,8 mm Pcs
127 Lomatuell 10 x 10 cm Pcs
128 Masker 3m Pcs
129 Masker biasa ( pengikat karet ) Pcs
130 Masker biasa ( pengikat tali ) Pcs

131 Nasal canul bayi Pcs


132 Nasal canul anak Pcs
133 Nasal canul dewasa Pcs
134 Needle terumo no. 18 g Pcs
135 Needle terumo no. 25 g Pcs
136 Non rebreating mask anak Pcs
137 Non rebreating mask dewasa Pcs
138 Pembalut gips ( leukodur ) 7,5cm x 2,7m Roll
139 Pembungkus tali pusat (ambicor) Pcs
140 Penjepit tali pusat Pcs
141 Perban elastis 15 cm x 4,5 m (tensocrepe) R0ll
142 Perban elastis 7,5 cm x 4,5 m (tensocrepe) Roll
143 Plester coklat Roll
144 Plastik obat ukuran 5x8 cm Lembar
145 Plastik obat ukuran 7x10 cm cm Lembar
146 Plastik obat ukuran 8,7 x 13 cm cm Lembar
147 Plate 3,5 mm x 5 hole (a) Pcs
148 Plate 3,5 mm x 6 hole (a) Pcs
149 Plate 3,5 mm x 6 hole (b) Pcs
150 Screw 2,5 mm x 10 mm Pcs
151 Screw 2,5 mm x 12 mm Pcs
152 Screw 2,5 mm x 16 mm Pcs
153 Screw 2,5 mm x 20 mm Pcs
154 Screw 3,5 mm x 16 mm Pcs
155 Screw 3,5 mm x 20 mm Pcs
156 Screw 4,5 mm x 44 mm Pcs
157 Selang nebulizer Pcs
158 Suction tube 3,6 m Pcs
159 Simple face mask anak Pcs
160 Simple face mask dewasa Pcs
161 Soft ban 10cm x 2,7 m Roll
162 Soft ban 15cm x 2,7 m Roll
163 Soft ban 7,5cm x 2,7 m Pcs
164 Spoit 20 cc Pcs
165 Spoit 50 cc Pcs
166 Spuit 50 cc cateter tip Pcs
167 Stomach tube no. 10 terumo Pcs
168 Stomach tube no. 12 terumo Pcs
169 Stomach tube no. 16 terumo Pcs
170 Stomach tube no. 18 terumo Pcs
171 Stomach tube no. 3,5 terumo Pcs
172 Stomach tube no. 6 terumo Pcs
173 Stomach tube no. 8 terumo Buah
174 Suction catheter no. 10 Pcs
175 Suction catheter no. 12 Pcs
176 Suction catheter no. 14 Pcs
177 Suction catheter no. 16 Pcs
178 Suction catheter no. 6 Pcs
179 Suction catheter no. 8 Pcs
180 Throcar catheter no. 24 Pcs
181 Throcar catheter no. 28 Pcs
182 Topi operasi Pcs
183 Urine bag Pcs
184 SUCTION CATHETER NO. 12 Pcs

185 BENANG CHROMIC GUT NO. 1 + JARUM SEGITIGA Pcs

186 BENANG SURGICRYL 4 - 0 HR 22 m + JARUM BULAT PCS

187 ABOCATH 16 Pcs

188 ABBOCATH NO. 18 Pcs


189 ABBOCATH NO. 20 Pcs
190 ABBOCATH NO. 22
191 ABBOCATH NO. 26
192 ABBOCATH NO. 24 PCS
193 BENANG SURGICRYL 3 - 0 HR 26 m + JARUM BULAT PCS
194 BISTURI NO. 10
195 BISTURI NO. 11 Pcs
196 BISTURI NO. 15 PCS

197 Folley catheter no. 16 Pcs


198 HYPAVIX 10 cm X 5 m R0ll
199 KASSA ROLL 4 X 3
200 KASSA ROLL 40 Yard X 80 cm Roll
201 SPOIT 3 CC Pcs
202 KASSA ROLL 4M X 15 cm Roll
203 ABOCATH 24 Pcs
204 ABOCATH 26 Pcs
205 FOLLEY CATETER NO. 18 Pcs
206 ABBOCATH NO. 18 Pcs
207 SPOIT 5 CC Pcs
208 SPOIT 10 CC Pcs
209 HANDSCOEN STERIL NO. 6 Pcs
210 HANDSCOEN STERIL NO. 6,5 Pcs
211 HANDSCOEN STERIL NO. 7,0 Pcs
212 HANDSCOEN STERIL NO. 7,5 Pcs
213 HANDSCOEN STERIL NO. 8,0 Pcs
214 HANDSCOEN BOX UKURAN S Box
215 HANDSCOEN BOX UKURAN M Box
216 HANDSCOEN BOX UKURAN L Box
217 HANDSCOEN OBJIN Pcs
218 KASSA ROLL 40 Yard X 80 cm Roll
219 MICROSCOPE COVER GLASS @ 100 pcs Pack
220 UNDARPAD Pcs
221 HCG TES Pcs
222 INFUSET MAKRO Pcs
223 INFUSET MIKRO Pcs
224 KASSA ROLL 4 M X 15 cm Roll
225 BENANG POLYPROLENE 3-0 BULAT Pcs
226 BENANG POLYPROLENE 3-0 SEGITIGA Pcs
227 SD.HIV-1/2 3.0 MULTI Tes
228 FOKUS DIAGNOSTIK Tes
229 VIKIA HIV 1/2 Tes
230 JELLY USG 5 LITER Gen
231 MASKER N.95 Pcs
232 MASKER BIASA Pcs
233 ABBOCATH NO. 20 Pcs
234 POSPUTUM Pot
235 SPOIT 3CC Pcs
236 KACA SLIDE Pcs
237 PLASTIK OBAT 8,7 X13
238 PLASTIK OBAT 7 X 10
239 BENANG VICRYL 2 W9246 + JARUM BULAT Pcs

240 MASKER ANESTESI Set

241 BENANG PROLENE NO. 0 8690H + JARUM SEGITIGA Pcs


242 BENANG VICRYL 2 W9246 + JARUM BULAT Pcs

243 BENANG VICRYL PLUS NO. 1 VCP486H Pcs

244 BENANG CHROMIC GUT NO. 1 + JARUM BULAT Pcs

245 BENANG VICRYL PLUS 4 - 0 VCP304H + JARUM BULAT Pcs

246 BENANG CATGUT CHROMIC 3,0/75 cm + JARUM SEGITIGA Pcs


247 BENANG CATGUT CHROMIC NO. 3.0/75 cm + JARUM BULAT Pcs
248 BENANG CATGUT PLAIN 2-0 CG-843 + JARUM BULAT Pcs
249 BENANG POLYSORB 2-0 CL-916 + JARUM SEGITIGA Pcs
250 BENANG POLYSORB 3-0 + JARUM SEGITIGA Pcs
251 BENANG POLYSORB 3-0 GL-182 + JARUM BULAT Pcs
252 BENANG SURGIPRO 4-0 + JARUM SEGITIGA Pcs
253 BENANG SURGIPRO 5-0 SP-661 + JARUM SEGITIGA Pcs
254 BENANG SURGIPRO 7-0 SP-1696 G + JARUM SEGITIGA Pcs
255 BENANG VICRYL PLUS 2 JARUM BULAT Pcs
256 DISPOSABLE INFUSION SET (MIKRO) TERUMO Pcs
257 GUEDEL ( OROPHARYNGEAL TUBE ) No. 0/050 mm Buah
258 GUEDEL ( OROPHARYNGEAL TUBE ) No. 1/60 mm Buah
259 KAPAS ROLL/ KAPAS PEMBALUT 500 gram Roll
260 KERTAS EKG BISTOS 150 x 90 mm Pak

261 NEEDLE TERUMO NO. 18 G Pcs


262 TABUNG NALGENE CRYOWARE,STERIL 4,5 ml pcs

263 DIAZEPAM INJEKSI Ampul

264 FRESOFOL INJEKSI Ampul

265 LIDOCAIN INJEKSI Ampul

266 OXYTOCIN INJEKSI Ampul

267 VECURONIUM Br (ECRON) 10 mg Vial

268 BENANG CHROMIC GUT NO. 2 + JARUM SEGITIGA Pcs

269 BENANG PROLENE 6 - 0 , 8697G + JARUM SEGITIGA Pcs

270 BENANG VICRYL PLUS 4 - 0, VCP304H + JARUM BULAT Pcs

271 CAIRAN FIXER Gen

272 CAIRAN DEVELOPER Gen

273 ELECTRODE ECG Bungkus

274 FILM 24 x 30 Box

275 BLOODSET
276 INFUSET MAKRO
277 BENANG VICRYL*PLUS 1 JARUM BULAT
278 BENANG PROLEN 3-0 JARUM SEGITIGA
279 FILLIM 26 X 36
280 SOFTAMAN 500 ml
281 PLESTER HIPAFIX ROLL 5 cm X5 m Roll
282 PLESTER HIPAFIX ROLL 10 cm X5 m Roll
283 SPOIT 1 CC Pcs
284 SPOIT 3 CC Pcs
285 SPOIT 5 CC Pcs
286 SPOIT 10 CC Pcs
287 NGT 8 Pcs
288 SENSI GLOVE (HANDSCOEN BOX L) BOX
289 HANDSCOEN BOX M BOX
290 SPOIT 1 CC Pcs
291 JELLY 5 LITER GEN
292 NASAL CANUL BAYI Pcs
293 GIPS 7,5 cm X270 cm Roll
294 GIPS 10 cm X270 cm Roll
295 BENANG CHROMIC 2 BULAT Pcs
296 UNDARPAD Pcs
297 FOLLEY CATETER NO.6 Pcs
298 FOLLEY CATETER NO.20 Pcs
299 FOLLET CATETER NO. 10 Pcs
300 ASEPTIK GEL 1LITER
301 BENANG CHROMIC 2 BULAT C 99 Pcs
302 HANDNSCOEN BOX S BOX
303 MASKER KARET Pcs
304 FOLLY CATETER NO. 24 (RUSCH) Pcs
305 FOLLY CATETER NO. 20 (WELL LEAD) Pcs
306 SOFTAMAN (ANTISEPTIC) 5 lt GEN
307 THREE WAY STOP COK (NON BUNTUT) Pcs
308 OXYFLOW DEWASA (NASAL KANUL) Pcs
309 OXYFLOW ANAK (NASAL KANUL) Pcs
310 ID BAND BAYI PINK BOX
311 INFUSET MAIKRO(ANAK) Pcs
312 TENSOCREPE 15 cm X 4,5 m Roll
313 TENSOCREPE 10 cm X 4,5 m Roll
314 GYPSONA 15 cm X 3,5 m Roll
315 HANDSCRUP (SABUN CUCI TANGAN OK) Gen
316 KASSA ROLL 40 Yard X 80 cm Roll
317 MASKER BIASA KARET Pcs
318 Across Liss diluen @ 500 ml
319 across Gel Afig
320 yello tub
321 Sampel Cup
322 tabung Waki 3 ml
323 Combur urin
324 Reagen Widal tes
325 Actin FSL- Saba
326 Dade Innovin-Saba
327 Control Plasma N-Saba
328 cuvette Fl Complate -saba

329 control Plasma N


330 Solution Pak
331 EBG reanganModule
332 kaca slise
333 Giemsa @500 ml
334 HIV Diagnostik star
335 Rapid Sypilis Diagnostik star
336 HBSaG star Diasnostik
337 Tabung Cot Merah 3 ml
338 Tabung Ungu
339 Yello tip
340 Widal Tes
341 Glucosa
342 Uric Acit
343 Triglycerides
344 HDL
345 LDL
346 Cholesterd
347 Ureum
348 Creatininf
349 SGOT
350 SGPT
351 T-Billirubin
352 D-Billirubin
353 CRP Calibrator
354 HbA1C
355 ADA
356 ALP
357 HbA1C Control
358 HbA1C Calibrator
359 Cleanse 50 ml
360 Lyse 500 ml
361 Control Darah
362 ADA Calibrator & Contol
363 Syphilis Cassette
364 HBSaG Cassette
365 HCV anti Body cassette
366 HIV Anti body
367 EBG QC kit-1
368 EBG QC kit-2
369 EBG QC kit-3
370 Calcium Electode
371 NA+Electrode
372 K+ Electrode
373 CL-Electrode
374 BI-Level QC Kit
375 DALlY Cleaning Solution
376 Diluen @ 20 liter
377 Hematology Analyzer Lize
378 LCP Distal Femur (LCP DF) RIGHT, 5 holes (Titanium) Pcs
379 LCP Distal Femur (LCP DF) RIGHT, 7 holes (Titanium) Pcs
380 LCP Distal Femur (LCP DF) RIGHT, 9 holes (Titanium) Pcs
381 LCP Distal Femur (LCP DF) LEFT, 5 holes (Titanium) Pcs
382 LCP Distal Femur (LCP DF) LEFT, 7 holes (Titanium) Pcs
383 LCP Distal Femur (LCP DF) LEFT, 9 holes (Titanium) Pcs
384 LCP Proximal Lateral Tibia (LCP PLT) RIGHT, 7 holes (TitaniuPcs
385 LCP Proximal Lateral Tibia (LCP PLT) LEFT, 7 holes (TitaniumPcs
386 LCP Distal Medial Tibia RIGHT, 6 holes (Titanium) Pcs
387 LCP Distal Medial Tibia RIGHT, 8 holes (Titanium) Pcs
388 LCP Distal Medial Tibia LEFT, 6 holes (Titanium) Pcs
389 LCP Distal Medial Tibia LEFT, 8 holes (Titanium) Pcs
390 PHILOS, 3 holes (Titanium) Pcs
391 PHILOS, 5 holes (Titanium) Pcs
392 PHILOS, 7 holes (Titanium) Pcs
393 LCP Superior Anterior Clavicle Plate RIGHT, 7 holes (Titanium)Pcs

394 LCP Superior Anterior Clavicle Plate RIGHT, 8 holes (Titanium)Pcs


395 LCP Superior Anterior Clavicle Plate LEFT, 7holes (Titanium) Pcs
396 LCP Superior Anterior Clavicle Plate LEFT, 8 holes (Titanium) Pcs
397 VA Distal Radius Plate RIGHT STD, 5 holes (Titanium) Pcs
398 VA Distal Radius Plate RIGHT STD, 3 holes (Titanium) Pcs
399 VA Distal Radius Plate LEFT STD, 5 holes (Titanium) Pcs
400 VA Distal Radius Plate LEFT STD, 3 holes (Titanium) Pcs
401 2.4 mm Cortex Screw, 16 mm (Titanium) Pcs
402 2.4 mm Cortex Screw, 18 mm (Titanium) Pcs
403 2.4 mm Cortex Screw, 20 mm (Titanium) Pcs
404 2.4 mm Cortex Screw, 22 mm (Titanium) Pcs
405 2.4 mm VA Locking Screw, 14 mm (Titanium) Pcs
406 2.4 mm VA Locking Screw, 16 mm (Titanium) Pcs
407 2.4 mm VA Locking Screw, 18 mm (Titanium) Pcs
408 2.4 mm VA Locking Screw, 20 mm (Titanium) Pcs
409 2.4 mm VA Locking Screw, 22 mm (Titanium) Pcs
410 3.5mm Locking Screw, 12 mm (Titanium) Pcs
411 3.5mm Locking Screw, 14 mm (Titanium) Pcs
412 3.5mm Locking Screw, 16 mm (Titanium) Pcs
413 3.5mm Locking Screw, 18 mm (Titanium) Pcs
414 3.5mm Locking Screw, 20 mm (Titanium) Pcs
415 3.5mm Locking Screw, 22 mm (Titanium) Pcs
416 3.5mm Locking Screw, 24 mm (Titanium) Pcs
417 3.5mm Locking Screw, 26 mm (Titanium) Pcs
418 3.5mm Locking Screw, 28 mm (Titanium) Pcs
419 3.5mm Locking Screw, 30 mm (Titanium) Pcs
420 3.5mm Locking Screw, 32 mm (Titanium) Pcs
421 3.5mm Locking Screw, 34 mm (Titanium) Pcs
422 5.0mm Locking Screw, 26 mm (Titanium) Pcs
423 5.0mm Locking Screw, 28 mm (Titanium) Pcs
424 5.0mm Locking Screw, 30 mm (Titanium) Pcs
425 5.0mm Locking Screw, 32 mm (Titanium) Pcs
426 5.0mm Locking Screw, 34 mm (Titanium) Pcs
427 5.0mm Locking Screw, 36 mm (Titanium) Pcs
428 5.0mm Locking Screw, 38 mm (Titanium) Pcs
429 5.0mm Locking Screw, 40 mm (Titanium) Pcs
430 5.0mm Locking Screw, 44 mm (Titanium) Pcs
431 5.0mm Locking Screw, 46 mm (Titanium) Pcs
432 5.0mm Locking Screw, 48 mm (Titanium) Pcs
433 5.0mm Locking Screw, 50 mm (Titanium) Pcs
434 5.0mm Locking Screw, 55 mm (Titanium) Pcs
435 5.0mm Locking Screw, 60 mm (Titanium) Pcs
436 5.0mm Locking Screw, 65 mm (Titanium) Pcs
437 5.0mm Locking Screw, 70 mm (Titanium) Pcs
438 LCP Construction Plate 3.5, 6 holes (Titanium) Pcs
439 LCP Construction Plate 3.5, 7 holes (Titanium) Pcs
440 LCP Construction Plate 3.5, 8 holes (Titanium) Pcs
441 LCP 4.5/5.0 Narrow Plate, 6 holes (Titanium) Pcs
442 LCP 4.5/5.0 Narrow Plate, 7 holes (Titanium) Pcs
443 LCP 4.5/5.0 Narrow Plate, 8 holes (Titanium) Pcs
444 LCP 4.5/5.0 Narrow Plate, 9 holes (Titanium) Pcs
445 LCP 4.5/5.0 Narrow Plate, 10 holes (Titanium) Pcs
446 LCP 4.5/5.0 Broad Plate, 8 holes (Titanium) Pcs
447 LCP 4.5/5.0 Broad Plate, 9 holes (Titanium) Pcs
448 LCP 4.5/5.0 Broad Plate, 10 holes (Titanium) Pcs
449 LCP 4.5/5.0 Broad Plate, 11 holes (Titanium) Pcs
450 LCP 3.5 T-Plate, 7 holes (Titanium) Pcs
451 LCP 3.5 T-Plate, 8 holes (Titanium) Pcs
452 LCP 3.5 T-Plate, LEFT, 4 holes (Titanium) Pcs
453 LCP 3.5 T-Plate, RIGHT, 4 holes (Titanium) Pcs
454 LCP 3.5 Plate, 7 holes (Titanium) Pcs
455 LCP 3.5 Plate, 8 holes (Titanium) Pcs
456 LCP 3.5 Plate, 9 holes (Titanium) Pcs

457 LCP 3.5 Plate, 10 holes (Titanium) Pcs


458 LCP One- Third Tubular Plate 3.5, 6 holes (Titanium) Pcs
459 LCP One- Third Tubular Plate 3.5, 7 holes (Titanium) Pcs
460 LCP One- Third Tubular Plate 3.5, 8 holes (Titanium) Pcs
461 3.5mm Cortex Screw, 14 mm Pcs
462 3.5mm Cortex Screw, 16 mm Pcs
463 3.5mm Cortex Screw, 18 mm Pcs
464 3.5mm Cortex Screw, 20 mm Pcs
465 3.5mm Cortex Screw, 26 mm Pcs
466 3.5mm Cortex Screw, 28 mm Pcs
467 3.5mm Cortex Screw, 30 mm Pcs
468 3.5mm Cortex Screw, 32 mm Pcs
469 3.5mm Cortex Screw, 34 mm Pcs
470 4.5mm Cortex Screw, 26 mm Pcs
471 4.5mm Cortex Screw, 28 mm Pcs
472 4.5mm Cortex Screw, 30 mm Pcs
473 4.5mm Cortex Screw, 32 mm Pcs
474 4.5mm Cortex Screw, 34 mm Pcs
475 4.5mm Cortex Screw, 36 mm Pcs
476 4.5mm Cortex Screw, 38 mm Pcs
477 4.5mm Cortex Screw, 40 mm Pcs
478 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 45 mm Pcs
479 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 50 mm Pcs
480 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 55 mm Pcs
481 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 60 mm Pcs
482 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 65 mm Pcs
483 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 70 mm Pcs
484 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 75 mm Pcs
485 MARTHYS CANCELLOUS SCREW Ø 6.5 (FULL THREAD), 80 mm Pcs
486 MARTHYS CANCELLOUS SCREW Ø 6.5 (HALF THREAD)., 45 mm Pcs
487 MARTHYS CANCELLOUS SCREW Ø 6.5 (HALF THREAD)., 50 mm Pcs
488 MARTHYS CANCELLOUS SCREW Ø 6.5 (HALF THREAD)., 55 mm Pcs
489 MARTHYS CANCELLOUS SCREW Ø 6.5 (HALF THREAD)., 60 mm Pcs
490 MARTHYS CANCELLOUS SCREW Ø 6.5 (HALF THREAD)., 65 mm Pcs
491 MARTHYS CANCELLOUS SCREW Ø 6.5 (HALF THREAD)., 70 mm Pcs
492 MARTHYS SCHANZ SCREW Ø3.5 , 75 mm Pcs
493 MARTHYS SCHANZ SCREW Ø3.5 , 95 mm Pcs
494 MARTHYS SCHANZ SCREW Ø3.5, 100 mm Pcs
495 MARTHYS SCHANZ SCREW Ø4.5 , 150 mm Pcs
496 MARTHYS SCHANZ SCREW Ø4.5 , 200 mm Pcs
497 MARTHYS SCHANZ SCREW Ø5.0 , 180 mm Pcs
498 MARTHYS SCHANZ SCREW Ø5.0 , 200 mm Pcs
499 SS-WIRE (KOIL-WIRE) 5 METER, 1,0mm (Marthys) Pcs
500 SS-WIRE (KOIL-WIRE) 5 METER., 1,2 mm (Marthys) Pcs
501 MARTHYS RING WASHER Pcs
502 MARTHYS STEINMANN PIN Ø 4.5, 200 mm Pcs
503 MARTHYS STEINMANN PIN Ø 4.5, 250 mm Pcs
504 MARTHYS MINI T PLATE, 6 holes Pcs
505 MARTHYS MINI T PLATE , 7 holes Pcs
506 MARTHYS MINI T PLATE , 8 holes Pcs
507 MARTHYS CORTICAL SCREW Ø 1.5 , 6 mm Pcs
508 MARTHYS CORTICAL SCREW Ø 1.5 , 8 mm Pcs
509 MARTHYS CORTICAL SCREW Ø 1.5 , 10 mm Pcs
510 MARTHYS CORTICAL SCREW Ø 1.5, 12 mm Pcs
511 MARTHYS CORTICAL SCREW Ø 2.0, 6 mm Pcs
512 MARTHYS CORTICAL SCREW Ø 2.0, 8 mm Pcs
513 MARTHYS CORTICAL SCREW Ø 2.0, 10 mm Pcs
514 MARTHYS CORTICAL SCREW Ø 2.0, 12 mm Pcs
515 MARTHYSTHROCHANTER BUTTRESS PLATE, 5 holes Pcs
516 MARTHYSTHROCHANTER BUTTRESS PLATE, 6 holes Pcs
517 MARTHYS SS - WIRE = KISCHHNER WIRE, DIA 1.0 Pcs
518 MARTHYS SS - WIRE = KISCHHNER WIRE, DIA 1.2 Pcs
519 MARTHYS SS - WIRE = KISCHHNER WIRE, DIA 1.4 Pcs

520 MARTHYS SS - WIRE = KISCHHNER WIRE, DIA 1.6 Pcs


521 MARTHYS SS - WIRE = KISCHHNER WIRE, DIA 1.8 Pcs
522 K-File Niti no. 8 panjang 25 mm Box
523 K-File Niti no. 10 panjang 25 mm Box
524 K-File Niti no. 15 panjang 25 mm Box
525 K-File Niti #15-40 panjang 21 mm Box
526 K-File Niti #15-40 panjang 25 mm Box
527 K-File Niti #90-120 panjang 25 mm Box
528 Kompomer Buah
529 Komposit 3M Espe Filtex TM Z 250 XT Box
530 Komposit 3M Espe Filtex TM Z 250 Box
531 Komposit Palfique Lx5 A2 Box
532 Komposit Palfique Lx5 A 3,5 Box
533 Komposit Palfique Lx5 A3 Box
534 Komposit palfique Lx5 syringe sistem kit Box
535 LMA 1,5 Buah
536 LMA 2 Buah
537 LMA 2,5 Buah
538 LMA 3 Buah
539 LMA 5 Buah
540 LMA 4 Buah
541 Masker biasa Pcs
542 Mikrobrush Pak
543 Micromotor Buah
544 Needle Irrigation white box
545 Needle Irrigation yellow box
546 Needle insulin pen box
547 Occo @15 ml Botol
548 Pack periodontal Buah
549 Pasak fiber post #15-40 Box
550 Paper point no. 20 Pak
551 Paper point no. 25 Pak
552 Paper point no. 30 Pak
553 Paper point no. 35 Pak
554 Proteper Buah
555 Rockle's Botol
556 Sealer berbasis CaOH2 (Kalsium Hydroksida) Botol
557 Selang connector ventilator Buah
558 Balon selang connector ventilator Buah
Usulan Alkes Baru Tahun 2021

No Nama obat Jumlah


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