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DAFTAR HARGA B BRAUN HOSPITAL CARE

Berlaku per : 01 Januari 2019

HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
B. BRAUN SPECIAL SYRINGE
AKL 20902600242 4617207 Omnifix 20 ml, Luer Lock, Centric Cone 100 pcs/box 13,000 1,300,000
AKL 20902600242 4616200 Omnifix 20 ml, Luer Slip, Eccentric Cone 100 pcs/box 13,000 1,300,000
AKL 20902600242 4617304 Omnifix 30 ml, Luer Lock, Centric Cone 100 pcs/box 13,000 1,300,000
AKL 20902600243 4617509 Omnifix 50 ml, Luer Lock, Centric Cone 100 pcs/box 25,000 2,500,000
AKL 20902600243 4616502 Omnifix 50 ml, Luer Slip, Eccentric Cone 100 pcs/box 25,000 2,500,000
AKL 20902600243 4613503 Omnifix 50/60 ml Irrigation Syringe w/ Cath. Fitting 100 pcs/box 27,500 2,750,000
AKL 20902600243 4613554 Omnifix 50/60 ml Irrigation Syringe with Catheter
Fitting and Additional Luer Adaptor 100 pcs/box 32,500 3,250,000
AKL 20902600244 4614003 Omnifix 100 ml Irrigation Syringe with Catheter
Fitting and Additional Luer Adaptor 100 pcs/box 40,000 4,000,000
B. BRAUN I.V. CANNULA
AKL 20902011183 4252500 Introcan Safety G24 x 3/4" 50 pcs/box 35,000 1,750,000
AKL 20902011183 4252519 Introcan Safety G22 x 1" 50 pcs/box 35,000 1,750,000
AKL 20902011183 4252535 Introcan Safety G20 x 1 1/4" 50 pcs/box 35,000 1,750,000
AKL 20902011183 4252560 Introcan Safety G18 x 1 1/4" 50 pcs/box 35,000 1,750,000
AKL 20902011183 4252551 Introcan Safety G18 x 1 3/4" 50 pcs/box 35,000 1,750,000
AKL 20902011183 4252578 Introcan Safety G16 x 2" 50 pcs/box 35,000 1,750,000
AKL 20902011183 4251717 Introcan Safety G14 50 pcs/box 35,000 1,750,000
B. BRAUN I.V. CANNULA
AKL 20902011184 4268210S Vasofix Safety G14 x 2" 50 pcs/box 45,000 2,250,000
AKL 20902011184 4268172S Vasofix Safety G16 x 2" 50 pcs/box 45,000 2,250,000
AKL 20902011184 4268130S Vasofix Safety G18 x 1¾" 50 pcs/box 45,000 2,250,000
AKL 20902011184 4268334S Vasofix Safety G18 x 1¼" 50 pcs/box 45,000 2,250,000
AKL 20902011184 4268113S Vasofix Safety G20 x 1¼" 50 pcs/box 45,000 2,250,000
AKL 20902011184 4268091S Vasofix Safety G22 x 1'' 50 pcs/box 45,000 2,250,000
AKL 20902011184 4269071S Vasofix Safety G24 x ¾'' 50 pcs/box 45,000 2,250,000
B. BRAUN I.V. CANNULA
AKL 20902413069 4056502-01 Venofix Safety G25 30Cm 50 pcs/box 20,000 1,000,000
AKL 20902413069 4056503-01 Venofix Safety G23 30Cm 50 pcs/box 20,000 1,000,000
AKL 20902413069 4056504-01 Venofix Safety G21 30Cm 50 pcs/box 20,000 1,000,000
AKL 20902413069 4056506-01 Venofix Safety G21 18Cm 50 pcs/box 20,000 1,000,000
AKL 20902413069 4056501-01 Venofix Safety G27 30Cm 50 pcs/box 20,000 1,000,000
AKL 20902413069 4056505-01 Venofix Safety G19 30Cm 50 pcs/box 20,000 1,000,000
B. BRAUN INFUSION SET
AKL 20902700099 4099842N INTRAPUR INLINE 20 pcs/box 140,000 2,800,000
PVC Free, DEHP Free, 0.2 µm aerosol retentive air filter
for Paclitaxel Drugs

AKL 20902604470 4063005 INTRAFIX SAFESET IS 100 pcs/box 30,000 3,000,000


AKL 20902604470 4063004 INTRAFIX SAFESET P I S Y N.F VAL 100 pcs/box 35,000 3,500,000
AKL 20902412362 4063002 INTRAFIX SAFESET NEUTRAPUR LL 180 CM 100 pcs/box 50,000 5,000,000

B. BRAUN INFUSION SET & SCALE FOR CENTRAL VENOUS PRESSURE MEASUREMENT
AKL 20501603190 4276620 MEDIFIX LINE 90 cm with Intrafix 50 pcs/box 138,000 6,900,000

AKL 20501603190 4279913 MEDIFIX - Manometer Scale 50 pcs/box 258,000 12,900,000

B. BRAUN TRANSFUSION SET


AKL 20902603186 403 422/8 SANGOFIX ES 180 cm, G 18, needle 80 pcs/box 28,500 2,280,000

luer lock connector, filter surface area = 22 cm2

AKL 20902412363 4080187 SANGOFIX Type Air G18x1 1/2" I.S LL 180CM 100 pcs/box 20,000 2,000,000

AKL 20902412363 4050151 SANGOFIX AIR 180 CM SAFESET T-PC LL 100 pcs/box 35,000 2,800,000

B. BRAUN INFUSION ACCESSORIES


AKL 20902012317 16401 ECOFLAC MIX 250 pcs/box 7,500 1,875,000

AKL 20902600179 4097122 LS-2 CONNECTOR, Y tubing connector 25 pcs/box 13,500 337,500

AKL 20902011185 4090500 TRANSOFIX 25 pcs/box 6,900 172,500


Transfer Set for Sterile Fluid

AKL 2002011673 409100H Safeflow Valve 50 pcs/box 32,500 1,625,000

AKL 2002011662 4097148 Smallbore Y-Extension Set with two Safeflow valve and back check valve; 12cm tubing 50 pcs/box 100,000 5,000,000

AKL 20902600178 4095111 DISCOFIX 3-WAY Stopcock Blue 50 pcs/box 27,500 1,375,000

AKL 20902600178 4098102 DISCOFIX 3-WAY + 10 cm Tubing 100 pcs/box 35,000 3,500,000

AKL 20902011464 16495C DISCOFIX C 3-way Stopcock 100 pcs/box 40,000 4,000,000

AKL 20902011464 16501C DISCOFIX C 3-way Stopcock + 10cm Tubing 50 pcs/box 47,500 2,375,000

AKL 20902011464 16520C DISCOFIX C 3-way Stopcock + 25cm Tubing 50 pcs/box 52,500 2,625,000

Note : Harga tersebut diatas sewaktu-waktu dapat berubah tanpa pemberitahuan dan belum termasuk PPN 10 %. Page 1 Of 5
HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
AKL 20902011464 16600C DISCOFIX C 3-way 3gang manifold 50 pcs/box 75,000 3,750,000

AKL 20902011464 16494CFS Discofix C 3SC Blue 100 pcs/box 50,000 5,000,000

AKL 20902011464 16500CSF Discofix C 3SC Blue + Tubing 10 Cm 50 pcs/box 75,000 3,750,000

AKL 20902603731 4238010 In Stopper LL 100 pcs/box 6,000 600,000

AKL 20902011355 4495101 Combi Stopper-Red 100 pcs/box 6,000 600,000

YF.05.05.V.B.275 4086007 DISCOFIX COMBI HOLDER 25 pcs/box 750,000 18,750,000

AKL 20902510207 4550250 Sterifix Filter Straw 5 µm, 4,5 Cm 50 pcs/box 12,500 625,000

AKL 20902510207 4550200 Sterifix Filter Straw 5 µm, 10 Cm 50 pcs/box 15,000 750,000

AKL 20902412368 4090550 Ecoflac Connect 25 pcs/box 20,000 500,000

PROTECTIVE ADMIXTURE TOOLS

AKL 20902011348 4550587 Chemo Mini-Spike V 100 pcs/box 32,500 3,250,000

AKL 20902311988 A2902N Cyto-Set Mix 20 pcs/box 90,000 1,800,000

AKL 20902311985 A1686 Cyto-Set Infusion with 3 safsite 20 pcs/box 160,000 3,200,000

AKL 20902311987 A1672S0 Cyto-Set Pump Adapt with 4 Safesite 20 pcs/box 110,000 2,200,000

AKL 20902011349 4550579 Mini Spike Filter V 50 pcs/box 17,500 875,000

AKL 20902011348 4550536 MINI SPIKE CHEMO MICRO TIP 50 pcs/box 32,500 1,625,000

AKL 20902011350 4550242 Mini-Spike Plus 50 pcs/box 15,000 750,000

B. BRAUN SPINAL ANAESTHESIA


AKL 20403111742 4505905-10 SPINOCAN NEW HUB 25G X 31/2' 25 pcs/box 40,000 1,000,000

AKL 20403111742 4502906-10 SPINOCAN NEW HUB 26G X 31/2' 25 pcs/box 40,000 1,000,000

AKL 20403111742 4503902-10 SPINOCAN NEW HUB 27G X 31/2' 25 pcs/box 47,000 1,175,000

AKL 20403111742 4509900-10 SPINOCAN NEW HUB 20G X 3 1/2" 25 pcs/box 40,000 1,000,000

AKL 20403600183 4501900 SPINOCAN G29 x 3 1/2" Clear Hub + 25 pcs/box 70,000 1,750,000
Introducer, 20G x 1 1/4"
AKL 20403111742 4501900-13 SPINOCAN 29GX3 1/2"(88MM)W.INT.-EU/AP/SA 25 pcs/box 70,000 1,750,000

AKL 20403600183 4503902 SPINOCAN G27 x 3 1/2" Clear Hub 25 pcs/box 47,000 1,175,000

AKL 20403600183 4506014 SPINOCAN G23 x 3 1/2" Clear Hub 25 pcs/box 40,000 1,000,000

AKL 20403600183 4507908 SPINOCAN G22 X 3 1/2" Clear Hub 25 pcs/box 40,000 1,000,000

AKL 20403600183 4509900 SPINOCAN G20 X 3 1/2" Clear Hub 25 pcs/box 40,000 1,000,000

AKL 20403600183 4502140 SPINOCAN 27GX4 3/4" (0.42X120MM) 25 pcs/box 95,000 2,375,000

AKL 20403600183 4505913 SPINOCAN 25GX4 3/4" (0.53X120MM) 25 pcs/box 70,000 1,750,000

AKL 20403010710 4504739 ATRAUCAN G26 x 3 1/2" 25 pcs/box 129,000 3,225,000


Atraumatic Spinal Needle + Introducer

AKL 20403906902 4504763 ATRAUCAN PAED G26 x 2" 25 pcs/box 134,000 3,350,000

AKL 20403600182 4502019 PENCAN, Pencil Point G25 x 3 1/2" 25 pcs/box 73,000 1,825,000

AKL 20403906901 4502175 PENCAN PAED G27 x 2" 25 pcs/box 121,000 3,025,000

AKL 20403600182 4502027 PENCAN, Pencil Point G27 x 3 1/2" 25 pcs/box 77,000 1,925,000

AKL 20403600182 4502051 PENCAN, Pencil Point G27 x 3 1/2" + introducer 25 pcs/box 98,000 2,450,000

AKL 20403111741 4502051-13 PENCAN NEW HUB 27GX 3 3/4 25 pcs/box 98,000 2,450,000

B. BRAUN EPIDURAL ANESTHESIA CATHETER + NEEDLE SET


AKL 20403010526 4510216 PERIFIX 700, Soft Tip Cath. 20 pcs/box 385,000 7,700,000

AKL 20403010526 4637100 PERIFIX LOR SYRINGE, Luer Slip 25 pcs/box 25,000 625,000

AKL 20403802287 4512014C PERIFIX ONE PAED, Epidural Set 20G 10 pcs/box 395,000 3,950,000

AKL 20403010526 451 400/9 PERIFIX 400, G18 x 3 1/4" with filter 10 set/box 360,000 3,600,000

AKL 20403802287 4514017C PERIFIX ONE 401, Epidural Set 18G x 31/4" 20 pcs/box 230,000 4,600,000

AKL 20403802287 4514025C PERIFIX ONE 402, Epidural Set 16G x 31/4" 20 pcs/box 230,000 4,600,000

AKL 20403600175 4556666 ESPOCAN 10 set/box 550,000 5,500,000


Combined Spinal & Epidural Block

AKL 20403600175 4556763 ESPOCAN, DOCKING SYSTEM 10 set/box 600,000 6,000,000


Combined Spinal & Epidural Block with Docking System

AKL 20403906900 4512383 PERICAN, Epidural Needle G18 x 3 1/4" 25 pcs/box 140,000 3,500,000
Epidural single shot adult
AKL 20403906911 4502078 PERICAN Paed. G22 x2" 100 pcs/box 120,000 12,000,000
Epidural single shot pediatric

Note : Harga tersebut diatas sewaktu-waktu dapat berubah tanpa pemberitahuan dan belum termasuk PPN 10 %. Page 2 Of 5
HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
B. BRAUN PLEXUS ANAESTHESIA
AKL 20403111799 4894502 STIMUPLEX NEEDLE A50, G22 x 50 mm 25 pcs/box 225,000 5,625,000
AKL 20403111799 4894260 STIMUPLEX NEEDLE A 100, G22 X 100 mm 25 pcs/box 225,000 5,625,000
AKL 20403111799 4894278 STIMUPLEX NEEDLE A 150, 20G X150mm 25 pcs/box 225,000 5,625,000

AKL 20403805297 331691NC CONTIPLEX TUOHY ULTRA, 18GX2", 1.3X50MM 10pcs/box 685,000 6,850,000
AKL 20403805297 331693NC CONTIPLEX TUOHY ULTRA, 18GX4", 1.3X100MM 10pcs/box 685,000 6,850,000
AKL 20403805297 331694NC CONTIPLEX TUOHY ULTRA, 18GX6", 1.3X150MM 10pcs/box 685,000 6,850,000
AKL 20403805297 331695NC CONTIPLEX TUOHY ULTRA 18GX35MM 10pcs/box 685,000 6,850,000
AKL 20403311598 4895000 CONTIPLEX C SET, 15°, 25GX7 1/2"0,53x190 5pcs/box 500,000 2,500,000

AKL 20403111742 4898715-27 CONTIPLEX® TUOHY ULTRA 360® 18GX4´, 1.3X100MM 10pcs/box 685,000 6,850,000
AKL 20403111742 4898710-27 CONTIPLEX® TUOHY ULTRA 360® 18GX6´, 1.3X150MM 10pcs/box 685,000 6,850,000
AKL 20403111742 4898705-27 CONTIPLEX® TUOHY ULTRA 360® 18GX2´, 1.3X50MM 10pcs/box 685,000 6,850,000
AKL 20403111742 4898704-27 CONTIPLEX® TUOHY ULTRA 360® 18GX1½´, 1,3X40MM 10pcs/box 685,000 6,850,000

AKL 20403111799 4894260U STIMUPLEX ULTRA, 30°, 22GX4", 0.70X100MM 25 pcs/box 320,000 8,000,000
AKL 20403111799 4894278U STIMUPLEX ULTRA, 30°, 22GX6", 0.90X150MM 25 pcs/box 320,000 8,000,000
AKL 20403111799 4894279U STIMUPLEX ULTRA, 30°, 22GX3⅛", 0.7X80MM 25 pcs/box 320,000 8,000,000
AKL 20403111799 4894367U STIMUPLEX ULTRA 30° 22GX1 3/8" 0.70X35MM 25 pcs/box 320,000 8,000,000
AKL 20403111799 4894502U STIMUPLEX ULTRA, 30°, 22GX2", 0.70X50MM 25 pcs/box 320,000 8,000,000

AKL 20403710630 4892505-03 STIMUPLEX ULTRA 360 30° 22GX50MM-AP 25 pcs/box 225,000 5,625,000
AKL 20403710630 4892508-03 STIMUPLEX ULTRA 360 30° 22GX80MM-AP 25 pcs/box 225,000 5,625,000
AKL 20403710630 4892510-03 STIMUPLEX ULTRA 360 30° 20GX100MM-AP 25 pcs/box 225,000 5,625,000
AKL 20403710630 4892515-03 STIMUPLEX ULTRA 360 30° 20GX150MM-AP 25 pcs/box 225,000 5,625,000

B. BRAUN CENTRAL VENOUS CATHETERS, SELDINGER METHODE


AKL 20501604038 4160215 CERTOFIX MONO V220 10 pc 475,000 4,750,000
Single lumen cath. G18, 20 cm, jugularis/subclavia
AKL 20501604038 4160320 CERTOFIX MONO V420 10 pc 475,000 4,750,000
Single lumen cath. G14, 20 cm, jugularis/subclavia
AKL 20501604037 4161211 CERTOFIX DUO V720 10 pc 775,000 7,750,000
Double lumen cath. F7, 20 cm, jugularis
AKL 20902600181 4163214 CERTOFIX TRIO V720 10 pc 900,000 9,000,000
Triple Lumen cath. Fr.7x20 cm, subclavia
AKL 20501604039 4167775 CERTOFIX QUATTRO V820 10 pc 1,050,000 10,500,000
Four lumen cath. F8, 20 cm
AKL 20501604038 4160177 CERTOFIX MONO PAED + Acces. Paed. 10 pc 725,000 7,250,000
Single lumen cath. G22, 10 cm, jugularis/subclavia
AKL 20501604037 4166922 CERTOFIX DUO PAED S413 10 pc 825,000 8,250,000
Paediatric Double lumen cath. F4, 13 cm
AKL 20501604037 4167139 CERTOFIX DUO PAED S513 10 pc 825,000 8,250,000
Paediatric Double lumen cath. F5, 13 cm
AKL 20902600181 4167244 CERTOFIX TRIO PAED S513 10 pc 850,000 8,500,000
Paediatric Triple lumen cath. F7, 20 cm, jugularis
AKL 20501604037 4168528 CERTOFIX DUO S720 HF (High Flow) 10 pc 850,000 8,500,000
Double Lumen catch. F7, 20 cm, Subclavia for Pediatric HD
AKL 20501604037 4167538 CERTOFIX DUO V1215 HF (High Flow) 10 pc 1,050,000 10,500,000
Double Lumen catch. F12, 15 cm, Jugular for HD
AKL 20501604037 4167546 CERTOFIX DUO V1220 HF (High Flow) 10 pc 1,050,000 10,500,000
Double Lumen catch. F12, 20 cm, Subclavia for HD
AKL 20902600181 4160614 CERTOFIX TRIO V1215 HF (High Flow) 10 pc 1,050,000 10,500,000
Triple lumen cath. F12, 15 cm, jugularis for HD
AKL 20902600181 4160622 CERTOFIX TRIO V1220 HF (High Flow) 10 pc 1,050,000 10,500,000
Triple lumen cath. F12, 20 cm, Subclavia for HD
AKL 20902902752 4163214P CERTOFIX PROTECT TRIO V720 10 pc 1,150,000 11,500,000
Triple Lumen cath. Fr.7x20 cm, with Anti microbial, subclavia
AKL 20902902753 4161211P CERTOFIX PROTECT DUO V720 10 pc 975,000 9,750,000
Double Lumen cath. Fr.7x20 cm, with Anti microbial, subclavia

B. BRAUN JARUM LIVER BIOPSY PERKUTAN


AKL 2090260188 4801148 HEPAFIX G17, 1.4 mm, Length 90 mm 10 set/box 385,000 3,850,000

AKL 2090260188 4801121 HEPAFIX G18, 1.2 mm, Length 90 mm 10 set/box 385,000 3,850,000

B. BRAUN PUMPS ACCESSORIES


AKL 20902603733 8728828 Perfusor Syringe 50 ml / Black 50 pcs/box 72,500 3,625,000

AKL 20902603733 8728844 Perfusor Syringe 50 ml / White 50 pcs/box 25,000 1,250,000

AKL 20902603724 8728623 Perfusor Syringe 20 ml With Needle 400 pcs/box 12,500 5,000,000

AKL 20902701055 8723010 Perfusor Tubing PE / Black 100 pcs/box 68,000 6,800,000

AKL 20902603191 8722870 Perfusor Tubing, White, 75 cm 25 pcs/box 25,000 625,000

AKL 20902603191 8255504N Perfusor Tubing, White, 150 cm 25 pcs/box 45,000 1,125,000

AKL 20902603191 8745919 Perfusor Tubing, White, 200 cm 25 pcs/box 48,000 1,200,000

AKL 20902701055 8722960 Perfusor Tubing White 1.5 mm 100 pcs/box 38,500 3,850,000

AKL 20902600176 8700087SP Infusomat Spacelines 100 pcs/box 39,000 3,900,000

AKL 20902600176 8270066SP Infusomat Space Line, Transfusion Set 100 pcs/box 77,000 7,700,000

AKL 20902600176 8250839SP Infusomat Space line, Nutrifix 25 pcs/box 270,000 6,750,000

AKL 20902110434 8250857SP Infusomat Space Line Enteral Nutrition multiconnector 40 pcs/box 125,000 5,000,000

AKL 20902701055 8722935 Original Perfusor Line PE 150 cm 100 pcs/box 45,000 4,500,000

AKL 20902600176 8700127SP Infusomat Space Line light Protection 100 pcs/box 77,000 7,700,000

AKL 20902312020 8250812SP Cyto-Set Infusomat 5 Safsite 20 pcs/box 175,000 3,500,000

Note : Harga tersebut diatas sewaktu-waktu dapat berubah tanpa pemberitahuan dan belum termasuk PPN 10 %. Page 3 Of 5
HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
AKL 20902600176 8250437SP Infusomat Space Line Ligt Protection NeedleFree 100 pcs/box 93,500 9,350,000

AKL 20902110434 8700095SP Infusomat Space Line Sterifix 20 pcs/box 145,000 2,900,000

AKL 20902110434 8700128SP Infusomat® Space Line UV-protect 100 pcs/box 60,000 6,000,000

AKL 20902110434 8250438SP Infusomat® Space Line UV-protect with needle-free Y-Port 100 pcs/box 93,000 9,300,000

AKL 20902513809 8250920SP Cyto-Set® UV-protect with 3 needle-free valves 20 pcs/box 200,000 4,000,000

AKL 20902513809 8250820SP Cyto-Set® UV-protect with 5 needle-free valves 20 pcs/box 215,000 4,300,000

AKL 20902513892 A2906N Cyto-Set® Mix UV-protect with 1 needle-free valve 20 pcs/box 105,000 2,100,000

AKL 20902511650 8723017 Original Perfusor® Line IV-protect, 150 cm, PE Tube 100 pcs/box 60,000 6,000,000

B. BRAUN BASIC SOLUTION


DKI 0477201049A1 3610587 ECOSOL Glucose 5%, 500 ml 10 botol/box 10,000 100,000
DKI 0477201049A1 3610707 ECOSOL Glucose 5%, 100 ml 50 botol/box 8,250 412,500
DKI 0477201049B1 3610588 ECOSOL Glucose 10%, 500 ml 10 botol/box 12,000 120,000
DKI 0377200949A1 3610590 ECOSOL Ringer Lactate, 500 ml 10 botol/box 11,000 110,000
DKI 0477201149A1 3610668 ECOSOL NaCl 0.9% 1000 ml 10 botol/box 20,000 200,000
DKI 0477201149A1 3610592 ECOSOL NaCl 0.9% 500 ml 10 botol/box 10,000 100,000
DKI 0477201149A1 3610706 ECOSOL NaCl 0.9% 250 ml 30 botol/box 9,500 285,000
DKI 0477201149A1 3610704 ECOSOL NaCl 0.9% 100 ml 50 botol/box 9,500 475,000
B. BRAUN PLASMA VOLUME REPLACEMENT (PVR)

DKI 0477201349A1 3610089/3610631 Gelofusine Ecoflac, 500 ml 10 botol/box 195,500 1,955,000

DKI 1086701549A1 3532984 Ringerfundin 500 ml 10 botol/box 17,250 172,500

DKI 1096900849A1 FE79353 Tetraspan 6% 500 ml 10 botol/box 198,000 1,980,000

B. BRAUN PARENTERAL NUTRITION (PN)

DKI 9996900349A1 FA79494 Combiflex Plus, 1000 ml 5 bag / box 375,000 1,875,000

DKI 9996900449A1 FA79499 Combiflex Peri, 1000 ml 5 bag / box 315,000 1,575,000

DKI 9586700449A1 0365551/2-3533085 Aminoplasmal 5% E Glass 500 ml 10 btl / box 80,000 800,000

DKI 9586700449B1 0365553/9-3533093 Aminoplasmal 10% E Glass 500 ml 10 btl / box 110,000 1,100,000

DKI 9586700149B1 3655744/3533042 Lipofundin MCT/LCT 20% 100 ml 10 btl / box 175,000 1,750,000

DKI 9586700149B1 3655745/3533050 Lipofundin MCT/LCT 20% 250 ml 10 btl / box 290,000 2,900,000

DKI 9586700149B1 3655746/3533069 Lipofundin MCT/LCT 20% 500 ml 10 btl / box 300,000 3,000,000

DKI 1086701549A1 3533140 Nutriflex Lipid Peri 1250 ml 5 btl / box 580,000 2,900,000

DKI 1086701649A1 3533115 Nutriflex Lipid Spesial 1250 ml 5 btl / box 700,000 3,500,000

DKI 1086701649A1 3533166 Nutriflex Lipid Spesial N3C625 ml ID 5 btl / box 425,000 2,125,000

AKL 20902905766 2112145 EVA BAG NUTRIMIX 0.2 / 0 25 bag / box 90,000 2,250,000

AKL 20902905766 2112146 EVA BAG NUTRIMIX 0.5 / 0 25 bag / box 120,000 3,000,000

AKL 20902905766 2112147 EVA BAG NUTRIMIX 1.0 / 0 25 bag / box 175,000 4,375,000

B. BRAUN ANAESTHETIC DRUG

DKI 0486701143A1 3656308/3533000 Propofol Lipuro 1% 5 ampul/box 92,000 460,000

B. BRAUN ANTI BACTERIAL

DKI 0477201249A1 3610630 Diazole 50 botol/box 15,000 750,000

B. BRAUN ANTI KOAGULAN

DKI1316300243A1 4842000 VAXCEL HEP INJ. 5000IU/ML V 5ML 10 Vial / box 92,000 920,000

AKL 21603311603 4540006 EASYPUMP II LT 125-25-S 10 pcs/box 250,000 2,500,000

AKL 21603311603 4540008 EASYPUMP II LT 270-27-S 10 pcs/box 250,000 2,500,000

AKL 21603311603 4540010 EASYPUMP II LT 60-30-S 10 pcs/box 250,000 2,500,000

Note : Harga tersebut diatas sewaktu-waktu dapat berubah tanpa pemberitahuan dan belum termasuk PPN 10 %. Page 4 Of 5
HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX

AKL 21603311603 4540012 EASYPUMP II LT 120-30-S 10 pcs/box 250,000 2,500,000

AKL 21603311603 4540016 EASYPUMP II LT 100-50-S 10 pcs/box 250,000 2,500,000

AKL 21603311603 4540028 EASYPUMP II LT 400-100-S 10 pcs/box 250,000 2,500,000

AKL 21603311603 4540034 EASY PUMP II LT 300-150-S 10 pcs/box 250,000 2,500,000

AKL 21603311603 4540036 EASYPUMP II LT 100-200-S 10 pcs/box 250,000 2,500,000

AKL 20902311604 4540044 EASYPUMP II ST 50-1-S 10 pcs/box 250,000 2,500,000

AKL 20902311604 4540056 EASYPUMP II ST 100-2-S 10 pcs/box 250,000 2,500,000

Note : Harga tersebut diatas sewaktu-waktu dapat berubah tanpa pemberitahuan dan belum termasuk PPN 10 %. Page 5 Of 5

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