LAMPIRAN HARGA E-KATALOG PERIODE TAHUN 2021-2022

No Nama Produk Kemasan Isi SUMUT SATUAN

TERKECIL
HNA PPN PPN
1 ANTIHEMOROID (DUS 10 SUPP) Dus, 10 suppositoria @ 2 g 10 29,545 32,500 3,250
2 CODEINE 10 MG (DUS 100 TAB) Dus, 10 strip @ 10 tablet 100 54,545 60,000 600
3 CODEINE 15 MG TAB (DUS 100 TAB) Dus, 10 strip @ 10 tablet 100 92,273 101,500 1,015
4 CODEINE 20 MG TAB (DUS 100 TAB) Dus, 10 strip @ 10 tablet 100 123,636 136,000 1,360
5 EFAVIRENZ 600 MG (BTL 30 TAB) Botol plastik 30 tablet salut selaput 30 192,273 211,500 7,050
6 Entekavir TSS 1 mg Dus, 3 strip @ 10 tablet salut selaput 30 222,273 244,500 2,445
7 EUGENOL (BTL 10 ML) Dus, Fles @10 ml 1 18,318 20,150 20,150
8 FLUCONAZOLE 150 MG (DUS 10 KAPS) Dus, 1 Strip @ 10 kapsul 10 170,909 188,000 18,800
9 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) Dus, 10 strip @ 10 tablet 100 13,455 14,800 148
Dus, 10 Amplop @ 2 Strip
10 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) 1 29,136 32,050 1,603
(1 Strip @ 2 Kaplet Azithromycin + 1 Strip @ 2 Kapsul Cefixime)
11 LAMIVUDIN150MG+ZIDOVUDIN300MG (BTL60TAB) Dus, botol plastik @ 60 kaplet 60 219,818
241,800 4,030
12 LAMIVUDINE 100 MG TAB (BTL 30 TAB) Dus, 1 Botol Plastik @ 30 tablet 30 45,000 49,500 1,650
13 LAMIVUDINE 150 MG TAB (BTL 60 TAB) Dus, 1 botol plastik @ 60 tablet 60 90,000 99,000 1,650
14 METHADONE SIRUP (BTL 1000 ML) Botol @ 1000 ml 1 266,364 293,000 293,000
15 METOCLOPRAMID 5 MG (DUS 100 TAB) Dus, 10 blister @ 10 tablet 100 10,636 11,700 117
16 MORFINA 10 MG/ ML INJ (DUS 10 AMP) Dus, 10 ampul @ 1 ml 10 271,818 299,000 29,900
17 MORPHINE 10 MG (BTL 30 TAB) Botol Plastik @ 30 tablet 30 32,700 35,970 1,199
18 NEVIRAPINE 200 MG (BTL 60 TAB) Dus, 1 botol plastik @ 60 kaptab 60 131,727 144,900 2,415
19 PETHIDIN HCL 50 MG/ML INJ (DUS 10 AMP) Dus, 10 ampul @ 2 ml 10 120,909 133,000 13,300
20 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) Dus, 10 strip @ 10 tablet 100 16,545 18,200 182
21 QUININE 222 MG TAB (DUS 60 TAB) Dus, 10 strip @ 6 tablet salut selaput 60 34,636 38,100 635
22 ZIDOVUDIN 100 MG KAPSUL (BTL 60 KAPS) Dus, 1 botol plastik @ 60 kapsul 60 99,000 108,900 1,815
23 DIETHYLCARBAMAZINE 100 MG (DUS 100 TAB) Dus, 10 strip @10 tablet 100 15,273 16,800 168
24 Nacl 0,9% / Sodium Chloride 0,9%, 500 mL Botol Plastik 500 mL 1 6,273 6,900 6,900
25 Ringer Laktat/ Ringer Lactate, @500 mL Botol Plastik 500 mL 1 7,003 7,703 7,703
26 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) Dus, 10 strip @ 10 tablet salut gula 100 21,636 23,800 238
27 VITAMIN C 50 MG TAB (SUPL)(DUS 100 TAB) Dus, 10 strip @ 10 tablet 100 3,909 4,300 43
28 AZITHROMYCIN 500 MG (DUS 20 TAB) Dus, 2 strip @10 kaptab salut selaput 20 23,636 26,000 1,300
29 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) Dus, 25 tube @ 5 gram 1 1,382 1,520 1,520
30 CHLOROQUIN 150 MG TAB (DUS 100) Dus, 10 strip @ 10 tablet 100 25,909 28,500 285
31 CLONIDINE 0.15 MG (DUS 100 TAB) Dus, 10 strip @10 tablet 100 13,273 14,600 146
32 CLOPIDOGREL 75 MG (DUS 30 TAB) Dus, 3 strip @10 tablet salut selaput 30 15,682 17,250 575
33 DIMENHYDRINATE 50 MG (BTL 100 TAB) botol plastik @ 100 tablet 100 9,818 10,800 108
34 GRISEOFULVIN 125 MG(DUS 100 TAB) Dus, 10 strip @10 tablet 100 19,091 21,000 210
35 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) Dus, 24 tube @ 5 gram 1 2,114
2,325 2,325
36 IODINE POVIDONE LAR 10 % (BTL 60 ML) Botol, isi 60 mL 1 4,000 4,400 4,400
37 IODINE POVIDONE LAR 10% (BTL 30 ML) Botol, isi 30 mL 1 2,800 3,080 3,080
38 LEVOFLOXACIN 500 MG (DUS 50 TAB) Dus, 5 strip @10 tablet salut selaput 50 16,955 18,650 373
39 METHYLERGOMETRINE 0,125 MG (DUS 100 TAB) Dus, 10 strip @10 tablet salut selaput 100 19,455 21,400 214
40 METOCLOPRAMID 10 MG (DUS 100 TAB) Dus, 10 blister @ 10 tablet 100 6,000 6,600 66
41 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) Dus, 24 tube @ 10 gr 1 1,727 1,900 1,900
42 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) Dus, 25 Tube @ 3,5 gram 1 3,182
3,500 3,500
43 PAKET OAT ANAK - FDC (KDT) (PAKET) Kotak, 12 blister @ 28 tablet 1 235,487 259,036 259,036
44 RETINOL (VIT A 100.000 UI)(BTL 50 KAPS) Botol plastik @ 50 kapsul lunak 50 14,591 16,050 321
45 RETINOL (VIT A 200.000 UI) (BTL 50 KAPS) botol plastik @ 50 kapsul 50 26,409 29,050 581
46 RIFAMPICIN 450 MG (DUS 100 TAB) Dus, 10 strip @ 10 kaplet salut selaput 100 84,909 93,400 934
47 RIFAMPICIN 600 MG (DUS 100 TAB) Dus, 10 strip @ 10 kaplet salut selaput 100 112,091 123,300 1,233
48 SIMVASTATIN 20 MG (DUS 50 TAB) Dus, 5 strip @10 tablet 50 6,818 7,500 150
49 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TAB) Dus, 10 strip @10 tablet 100 4,000 4,400 44