SATUAN

NO MERK KOMPOSISI VOLUME

UKURAN

Acarbose tablet
Albendazole tbl 400 mg (Glaxo) tablet
Allopurinol 100mg tab
Allopurinol tbl 100 mg (Mersi) tablet
Ambroxol 30mg tab tab
Amikasin Sulfat Injeksi Vial
Aminofilin inj 24mg/ml (Lucas) ampul
Aminofilin tbl 200 mg (Marin) tablet
Amitriptilin tbl 25 mg (INF) tablet
Amlodipin 10mg tab
Amlodipin tbl 10 mg(Tempo) tablet
Amoksisilin syr 125mg/5ml (Mersi) btl
Amoksisilin tablet 500 mg (Mersi) tablet
Amoxicillin 250mg/5ml (Novapharin) btl 60 ml
Amoxillin tab 500mg tab
Ampicilin inj vial
Ampicillin inj 100 mg(Phapros) vial
Ampicillin inj 1000 mg(Bernofarm) vial
Anagen Multivitamin Syrup botol
Analtram Tramadol37,5 mg ; tablet 120
Antasida doen II susp.(Lucas) Paracetamol 325 mg btl 60 ml
Antasida DOEN tbl(Mersi) tablet
Antihemoroid(KF) supp
Apialys drop Multivitamin plus Lisin HCl 250 botol 40
Apialys Syr ml
Multivitamin plus Lisin HCl 250 botol 60
Aqua PI ml botol
Aqua pro inj(Otsuka) ampul 25ml
As. Traneksamat inj 500mg ampul
Asam asetil salisilat tbl 80 mg (Miniaspi) tablet
Asam Mefenamat 500mg tab
Asam mefenamat tbl 500 mg (Mersi) tablet
Asam tranexamat tbl 500 mg (Bernofarm) tablet
Asam urodeoksikolat kap 250 kapsul
Asering(otsuka) softbag
Asiklovir krim 5%(INF) 500ml
tube
Atapulgit tab 600 mg tablet
(Atorvastatin
New Antides10) mg tablet
Atracurium Besylate injeksi ampul
Atropin sulfat injeksi(Ethica) ampul
Azythromocin 500 mg tab
Bactesyn Injeksi 0,75 mg vial
Bedak salisil serbuk 2% (Ikapharmindo) ktk
Betablok 100 mg tablet
Betahistin tbl 6 mg(Dexa) tablet
Betametason cr 0,1%(KF) tube
Bevalex cr tube
Bio ATP Tab
Bioron Injeksi ampul
Bisacodil tab 5 mg (Novel) tab
Bisoprolol tab 5 mg (Novel) tablet
Brainact injeksi Citicolin 500 mg/4 ml inj ampul 20
Brochifar plus tablet tablet
Bufacetin Kloramfenikol SK 2% (Bufa tube 15 gr
Aneka)
Bunascan 0,5 % epidural Bupivicain 0,05% ampul 20
Bundavin Multivitamin Mineral tab
Cal-95 Multivitamin mengandung tablet 300
Camvit E Coral Calsium 500 mg
Candesartan 8mg (Dexa) tablet
Cefadroxil 500 tab
Cefadroxil syr kering 125mg/5ml (HOLI) btl 60 ml
Cefila 100 Cefiksim 100 mg tablet 120
Cefilia tab 100mg tab
Cefixime 400mg+Azitromicin 100 paket
Cefixime tab tab
Cefixime tab 200 mg (Bernofarm) tab
Cefoperazone Inj ampul
Cefotaxime inj vial
Ceftriaxone 1 g inj vial
Cepraz injeksi Cefoperazone 1 g vial 10
Cesfan syr Cefixim syrup botol 30
Cetadop Inj. 200mg ampul
Cetrizine Tab Tab
CHKM CHKM pcs 60
Ciflon Diosmin 450 mg, Hesperidin tablet 120
Ciprofloxacin 500 Berno 50 mg tab
Ciprofloxacine infus. 2mg/ml (Dexa M) botol
Clatax injeksi Cefotaxim inj vial 10
Clobazam tab 100 mg tablet
Clopidogrel tab
Clozapine tbl 25 mg (Dexa M) tablet
CTM 4 mg (Novapharin) tablet
CTM PIM tab
CTM Strip tab
Curmunos syrup Multivitamin Syrup botol 40
Deksametason inj. 5mg/ml (Mepro) (Echinaceae, Curcumin) ampul
Deksametason tbl 0.5 mg (Novapharin) tablet
D-hidro Artemisin+Piperaquin tablet
Diazepam injeksi 5mg (Stesolid inj) ampul
Diazepam Rectal 5mg/5ml tube
Diazepam tbl 2 mg(Yarindo) tablet
Diazepam tbl 5 mg (Mersi) tablet
Diethyl carbamazine tbl 100 mg (Eisai) tablet
Diethyl carbamazine tbl 100 mg (KF) tablet
Difenhidramin injeksi 10 mg/ml (Phapros) ampul
Digoxin tablet Digoxin tablet tablet 4,000
Dimenhidrinat tablet 50 mg (KF) tablet
Dobutamin HCl injeksi 250mg/5ml (Dexa) ampul
Domperidon 10mg tab
Domperidon syrup Domperidon suspensi Botol 60ml 500
Domperidon tbl 10 mg (Novapharin) tablet
Domperidone drop 5mg/ml (Bernofarm) botol
Dulcolax Anak Bisakodil suppo anak 5mg suppo 120
Dulcolax Dewasa Bisakodil suppo dewasa 10mg suppo 120
Dumin Rectal 125 mg Paracetamol Rectal 125mg suppo
E tablet
Efavirenz tbl 600 mg tablet
Elpicef injeksi Ceftriaxon injeksi vial 10
Endrolin Injeksi 3,75 mg ampul
Epinefrin (Adrenalin) inj 1 mg/ml(Ethica) ampul
Ergotamin caffein tbl(KF) tablet
Eritromisin kpl 500 mg (Rama E) kaplet
eritromisin tab 250 mg tab
Erytromycin Erytromycin 250mg kapsul 3,000
Etaflusin sirup btl
Ethyl Chloride Spray botol kaca fls
Etil Klorida spray kaleng Etil Klorida Kaleng 80
Eugenol btl 10 ml
Ezelin Insulin Vial
Farbivent inhalasi Salbutamol 2,5 ampul 200
Farhes 130 mg;Ipratropium
HES 130 500 mcg botol 30
Farmacrol syrup Antasida + Simeticon syrup botol 20
Farmacrol tablet Antasida + Simeticon tablet botol 1,000
Farmadol infus Parasetamol infus botol 20
Farmasal tablet Asetosal 100 mg tablet 800
Farmavon injeksi Bromhexin 4 mg/2 ml ampul 40
Farnat Infus Metronoidazole infus 500 botol 20
Farneltik mg/ml tab
Farsix tablet Furosemide 40 mg tablet 400
Farsorbid injeksi ISDN injeksi ampul 10
Fartolin inhalasi Salbutamol 5 mg/5 ml ampul 100
Fartolin inhalasi Salbutamol Inhalasi 5 mg/ml ampul 100
FDC Anak paket
FDC I paket
FDC II paket
Fendex injeksi Dexketoprofen 50 mg/2 ml ampul 40
Fendex tablet injeksi
Dexktoprofen 25 mg tablet tablet 300
Fenitoin kps 100 mg (Ikapharmindo) tablet
Fenobarbital inj 50mg/ml (Phapros) ampul
Fenobarbital tbl 30 mg(Kimia F) tablet
Fitomenadion (Vit.K1) inj 2mg/ml (Phapros) ampul
Fitomenadion (Vit.K1) tbl 10 mg (Phapros) tablet
Floragyn Lactobacillus rh GR1 2,5 M sachet 120
Furosemide injeksi (Dexa) kombinasi ampul
Furosemide tablet 40 mg (Sampharindo) tablet
Garam Oralit(Kimia F) sase
Gastrul Misoprostol 200 mcg tablet 120
Gemfibrozil 300 mg tab
Gemfibrozil kapsul 300 mg (Phapros) kapsul
Genoclom Klomifen sitrat 50 mg tablet 200
Gentamisin SM 0.3% (Erella) tube
Gentamisin TM 0.3%(Erela) btl 5 ml
Gentian Violet Larutan 1 % (Betafarma) btl
Glibenklamid 5 mg(FM) tablet
Glimepiride bl 2 mg(Dexa) tablet
Glimepiride tab 2mg tab
Glukonas kalsikus inj 10% (Ethica) vial
Glukosa 10% botol
Glukosa 5% botol
Glutavit kapsul
Goldtrion kapsul
Halodol injeksi 50mg/ml ampul
Haloperidol 5 mg (Mersi) tablet
Haloperidol inj. 50mg/ml (Haldol ampul
Decanoas)
Hepagard kapsul
Hidroklorotiazid tbl 25 mg(KF) tablet
Hidrokortison cr 2,5%(KF) tube
Hidrokortison injeksi Hidrokortison injeksi ampul 20
Histigo tab
Induksin Injeksi Oksitosin 10 IU ampul 100
Insulin Lantus pcs
Intunal Forte tablet
Isoniazid tbl 100 mg tablet
Isosorbidinitrat inj. 1 mg/ml amp
Isosorbidinitrat tbl 5 mg (Yarindo) tablet
KA-EN 3A Infus btl
KA-EN 3B Infus btl
KA-EN IB Infus btl
Kalnex injeksi Asam Traneksamat injeksi ampul 100
Kalnex tablet Asam Traneksamat 500 mg tablet 400
Kalsium laktat tbl 500 mg (Mersi) tablet tablet
Kaltrofen Ketoprofen 100 mg tablet 420
Kaptopril tbl 12.5 mg(KF) tablet
Karbamazepine tbl 200 mg (Mersi) tablet
KCl injeksi 7.46% 25ml(Otsu) ampul
KDN-I(Widatra) btl 500 ml
Ketokonazole cr 2%(KF) tube 10 gr
Ketoprofen inj ampul
Ketoprofen supp 100mg (Suprafenid) supp
(Meprof)
Ketoprofen tab tab
Ketorolac inj ampul
Ketorolac inj. 30mg/ml(Ethica) amp
Ketorolac tab tab
Klindamisin kps 150 mg (Novell) kapsul
Klonidin tbl 0.15 mg(KF) tablet
Kloramfenikol TM botol
Kloramfenikol TT botol
Kloramfenikol TT 2%(Reco) btl
Klorokuin tbl 150 mg(INF) tablet
Kloroquin Tablet tablet
Kodein 10mg tab
Kotrimoksazol suspensi(Mersi) btl 60 ml
Kotrimoksazol tbl 480 mg (Mersi) tablet
L Acys Asetil Sisteine 200 mg tablet 300
Lactamor Suplemen Pelancar ASI tablet 600
Lameson injeksi (Metilprednisolon
mengandung ekstrak biji
inj 125 ampul 10
Fenugreek)
mg/ml
Lameson tablet Metil Prednisolon 8 mg tablet 200
Lamivudine tbl 150 mg tablet
Lansoprazole injeksi Lansoprazole injeksi G ampul 20
Lapibal Injeksi Mecobalamin 500 mcg injeksi ampul 40
Lapibal tab Mecobalamin 500 mcg tablet 400
Lapicef 500 Cefadroxil 500 mg tablet 200
Lapicef syr Cefadroxil 125 mg/ml botol 20
Lapixime injeksi Cefixime injeksi ampul 10
Larsi kapsul
Lasal Exp Salbutamol Syrup 2 mg, GG 75 botol 40
Lasal Syrup mg
Salbutamol Syrup botol 40
Lasgan Lansoprazol tablet tablet 120
Lavit C 1000 mg Vitamin C 1.000 mg tablet tablet 300
Lavit injeksi Vitamin C 1000 ampul 80
Laxana tablet Bisakodil 5mg tablet tablet 4,000
L-bio L-Bio kapsul kapsul 100
Levofloxacin 500 mg kapsul
Levofloxacin infus 5 mg/ml btl
Levotiroksin tbl 100 mg (Euthyrox)(Merc) tablet
Lidocaine 2% injeksi (Phapros) ampul
Lidokain 2%+epinefrin inj. (Phapros) ampul
Liprolac Suplemen anti diare sachet 300
Lisinopril 10mg mengandung S.thermopillus tablet
10 mg
Lopinavir 200 mg, Ritonavir 50 mg tablet
L-Zinc Sirup ZincSulfat Monohidrat 10 mg botol 40
Magnesium sulfat inj 40% (Otsuka) ampul
Masneuro tab
MB Anak blister
MB Anak blister
MB Dewasa blister
Meptin inhalation 0.3ml botol
Meropenem Injeksi Vial
Metamizol Inj. 1000mg/2ml ampul
Metformin 500 mg tab
Metformin HCl tablet 500 mg (Hexpharm) tablet
Metil Prednisolon 4mg tab
Metil Prednisolon Inj vial
Metilergometrin inj 0,2mg/ml (Ethica) ampul
Metilergometrin tbl 0,125mg (Lucas) tablet
Metoklopramide inj 5 mg/ml (Bernofarm) ampul
Metoklopramide tbl 10 mg(Graha F) tablet
Metronidazol
Meylon 84 ampul
MgSo4 20% ampul
MgSo4 40% ampul
Microgest 100 mg Progesterone 100 mg Kapsul 10
Microgest 200 mg Progesterone 200 mg kapsul 10
Mikonazole cr 2%(KF) tube
Minosep gargle 0.1% 150ml Klorheksidin glukonat 0,1 % Botol 150ml 100
Minosep gargle 0.1% 60ml Klorheksidin glukonat 0,1 % Botol 60ml 100
Minosep gargle 0.2% 150ml Klorheksidin glukonat 0,2% Botol 150ml 100
Minosep gargle 0.2% 60ml , Klorheksidin glukonat 0,2% Botol 60ml 100
Molakrim tube 30 gr
Movix Meloxicam 15 mg tablet 100
Moxifloxacin infus Moxifloxacin infus botol / vial 10
Moxifloxacin tablet Moxifloxacin tablet tablet 100
Multivitamin / Horvita Tab
N-Acetysistein tab tab
Nacl 0,9% botol
NaCl 0,9% 500 ml (Otsuka) botol
NaCl 0,9%(Widatra) botol
N-asetil sistein kapsul 200 mg (Etercon F) kapsul
Natrium Diklofenak 50mg tab
Neo Gynoxa ovula Metronodazol 500 +Nistatin ovula 100
Neocenta Gel 100.000 SI tube
Nevirapine tbl 200 mg tablet
Nifedipine tbl 10 mg(Dexa M) tablet
Nistatin Tablet 500.000 IU/g (Phapros) tablet
Nistatin Vaginal tbl 100.000IU/g(Phapros) tablet
Nonemi Anti Anemia (minimal tablet 600
Notisil tab 2 mg mengandung Fe Fumarate 90 tablet
mg, Copper Sulfate 0,3 mg,
Novahexin tablet Bromhexin
Asam Folat 8mg
1 mg)tablet tablet 6,000
OAT Kombipak I paket
Obat Flu Batuk/ Intunal Tab
OBH surya fls
OBH syr (Ikapharmindo) btl
Octalbin 25% 100 ml Botol 100 ml
Octalbin 25% 50 ml Botol 50 ml
Oksitetrasiklin SM 1%(KF) tube
Oksitosin inj 10IU/ml(Ethica) ampul
Omecdiar suspensi btl
Omeprazole 20 mg kapsul
Omeprazole inj amp
Ondansentron 4mg/2ml injeksi vial
Onetic 4 Injeksi Ondansentron 4 mg/2 ml ampul 40
Onetic 8 Injeksi Ondansentron 8 mg/2 ml ampul 40
Orabloc Articain 4% + Epinefrin carpule carpule 200
Oseltamivir cap 75 mg tab
Osfit DHA Plus Suplemen Kehamilan kapsul 600
oxyvit (mengandung DHA Plus)
Pacdin vitcur btl
Panvit C tablet tablet
Paracetamol Infus vial
Parasetamol 500 mg(Mersi) tablet
Parasetamol syr 120mg/5ml (Mersi) botol
PB Dewasa blister
Pehacain Injeksi Lidokain 20 mg + Adrenalin ampul 1,000
Phytomenadione / Vit K1 10mg (Phapros) injeksi tablet
Picyn inj. 750 mg ampul
Piracetam inj 5mg/ml (Bernofarm) ampul
Pirazinamid tbl 500 mg (Dexa M) tablet
Pospargin Injeksi Metil ergometrin injeksi 0,2 ampul 200
Povidone Iodida 10% 300ml (Onemed) mg btl
Povidone Iodida 10% 30ml (Onemed)
Pralac syrup Laktulosa 3,35 g / 5 mL botol 20
Prazotec injeksi Lansoprazole injeksi ampul 20
Prazotec tablet Lansoprazole tablet tablet 80
Premastone Allystrenol 5 mg tablet 300
Promavit Suplemen Kehamilan kapsul 600
Propanolol tbl 40 mg (Holi F) ( mengandung Tuna Oil 179 tablet
mcg, Omega 3 64,5 mg)
Ranitidin inj. 25mg/ml (SOHO) amp
Ranitidine tbl 150 mg(Mersi) tablet
Rantin Injeksi Ranitidin injeksi ampul 100
Renator tab Ciprofloxacin 500 mg tablet 240
Ringer Laktat botol
Ringer Laktat(Widatra) botol
Risperidone tbl 2 mg (Dexa M) tablet
Salbutamol tbl 2 mg(KF) tablet
Salbutamol tbl 4 mg(KF) tablet
Scabimite cr 10 gr (Galenium) tube
Scopma tab
Sefadroxil syr 125mg/5ml btl 60 ml
Sefotaxime inj. 1000mg (Rama) vial
Serum ABU I/Biosave(Biofarma) vial
Serum ATS 1500 IU/Biosat(Biofarma) Amp 1 ml
Setirizine kps 10 mg (Futamed) kapsul
Simvastatin 10mg (Mersi) tablet
Spirolacton 100mg tab
Staforin Cefadroksil 250 mg/ 5 ml DS botol 20
Stesolid rectal 5mg/2.5ml tube
Stimuno sirup
Sucralfat Suspensi fls
Sukralfat suspensi (Meprof) btl
Tablet tambah darah(Ferro sulfat tablet
200mg+as
Tensigard folat0,4mg)(KF) kapsul
Tetrasiklin kaps 500 mg(Novapharin) kapsul
Thrombopop Gel tube
Thyrozol tbl 5 mg tablet
Tiamfenikol kapsul 500 mg(Novapharin) kapsul
Torasik Injeksi Ketorolac 30 mg inj ampul 40
Torasik tab Ketorolac 10 mg tab tablet 180
Trifluoperazine tbl 5 mg (Mersi) tablet
Triheksifenidil tbl 2 mg(Mersi) tablet
Trilac Inj. 10 mg/ml ampul
Trolit Suplemen Elektrolit sachet 120
Vaksin antirabies(Verorab) mengandung M. Purpureus vial
Vbloc 6,25 mg Tablet
Vesteine kapsul Erdostein 300 mg kapsul kapsul 200
Vesteine syr Erdostein syrup botol 40
Vitadion Injeksi Vitamin K2 injeksi 1 ml ampul 100
Vitamin A 100.000 IU(Lucas) kapsul
Vitamin A 200.000 IU(Lucas) kapsul
Vitamin B complek tablet(DEF) tablet
Vitamin B1 tablet 50 mg (Novapharin) tablet
Vitamin B6 tablet 10 mg (KF) tablet
Vitamin C 250 mg (Kuning) tab
Vitamin C 500mg tablet
Vitamin C tablet 50 mg(KF) tablet
Vitamin C tbl 250 mg (KF) tablet
Vitamin E 200 IU tab
Vomceran Syrup Ondansentron 40 mg/5 ml botol 20
Zegavit tablet syrup
Multivitamin mengandung tablet 1,200
Zidovudine 300 mg + Lamivudine 150 mg (Vitamin C 750 mg,Zink 20 tablet
mg)
Zinc syr 20mg/5ml(Tempo Scan) btl 60 ml
Zinc tbl 20 mg(KF) tablet
HARGA
SATUAN HARGA JUAL HARGA JUAL
(Rp)

831 1,080 1,081.00

283 367 368.00
190 247 247.00
105 137 137.00
173 225 225.00
30,740 39,962 39,962.00
2,976 3,869 3,869.00
95 124 124.00
167 217 218.00
200 260 260.00
99 129 129.00
6,400 8,320 8,320.00
253 329 329.00
3628 4,716 4,717.00
462 601 601.00
9,900 12,870 12,870.00
8,237 10,708 10,709.00
8237 10,708 10,709.00
12,658 15,190 15,190.00
9,900 11,880.00 11,880.00
2,129 2,768 2,768.00
58 75 76.00
3,167 4,117 4,118.00
44,000 52,800.00 52,800.00
36,300 43,560.00 43,560.00
6,000 7,800 7,800.00
2,860 3,718 3,718.00
4,400 5,720 5,720.00
105 137 137.00
263 342 343.00
341 443 444.00
1,584 2,059 2,060.00
2,268 2,948 2,949.00
9,646 11,575 11,576.00
3,000 3,900 3,900.00
142 185 185.00
1,100 1,430 1,430.00
11495 14,944 14,944.00
1,639 2,131 2,131.00
3,200 4,160 4,160.00
44,959 58,447 58,447.00
4,011 5,214 5,214.00
752 902 903.00
110 143 143.00
 1,340 1,742 1,742.00
11,330 13,596 13,596.00
2,142 2,570 2,571.00
4,934 5,920 5,921.00
319 415 415.00
252 328 328.00
77,000 92,400.00 92,400.00
721 865 865.00
3,242 4,215 4,215.00
73,700 88,440.00 88,440.00
488 586 586.00
5,720 6,864.00 6,864.00
- -
545 709 709.00
726 944 944.00
3922 5,099 5,099.00
21,450 25,740.00 25,740.00
21450 25,740 25,740.00
30,030 39,039 39,039.00
3,218 4,183 4,183.00
2370 3,081 3,081.00
19954 25,940 25,941.00
15,400 20,020 20,020.00
5,500 7,150 7,150.00
165,000 198,000.00 198,000.00
110,000 132,000.00 132,000.00
6160 7,392 7,392.00
195 254 254.00
83,000 99,600.00 99,600.00
9,350 11,220.00 11,220.00
455 592 592.00
10184 13,239 13,240.00
143,000 171,600.00 171,600.00
776 1,009 1,009.00
1,700 2,210 2,210.00
1,121 1,457 1,458.00
69 90 91.00
45 59 59.00
76 99 100.00
71,500 85,800.00 85,800.00
1,097 1,426 1,427.00
127 164 165.00
2,000 2,600 2,600.00
3,000 3,900 3,900.00
26,136 33,977 33,977.00
86 112 112.00
114 148 149.00
216 281 281.00
 166 216 216.00
1,095 1,424 1,424.00
169 202.80 203.00
112 146 146.00
11843 15,396 15,396.00
143 186 187.00
5,000 6,000.00 6,000.00
91 118 119.00
23760 30,888 30,888.00
22,000 26,400.00 26,400.00
23,000 27,600.00 27,600.00
85,305 110,897 110,897.00
943 1,226 1,226.00
6,630 7,956 7,956.00
209,000 250,800.00 250,800.00
534,800 641,760 641,760.00
1,408 1,830 1,831.00
185 241 241.00
730 949 949.00
1100 1,430 1,430.00
1,100 1,320.00 1,320.00
6,700 8,040 8,040.00
159,100 206,830 206,830.00
126,000 151,200.00 151,200.00
45,831 59,580 59,581.00
83,950 100,740 100,740.00
11,000 13,200.00 13,200.00
187,000 224,400.00 224,400.00
55,000 66,000.00 66,000.00
935 1,122.00 1,122.00
66,000 79,200.00 79,200.00
880 1,056.00 1,056.00
42,900 51,480.00 51,480.00
77,000 92,400.00 92,400.00
15,000 18,000 18,000.00
1,100 1,320.00 1,320.00
74,250 89,100.00 89,100.00
18,700 22,440.00 22,440.00
18,700 22,440.00 22,440.00
248,120 322,556 322,556.00
415,467 540,107 540,108.00
1,384,983 1,800,478 1,800,478.00
47,300 56,760.00 56,760.00
6,600 7,920.00 7,920.00
158 205 206.00
1,857 2,414 2,415.00
171 222 223.00
3,682 4,787 4,787.00
 758 985 986.00
13,200 15,840.00 15,840.00
1333 1,733 1,733.00
80 104 104.00
257 334 335.00
12,100 14,520.00 14,520.00
497 645 646.00
380 494 494.00
15,400 18,480.00 18,480.00
2675 3,478 3,478.00
4,232 5,502 5,502.00
3,000 3,900 3,900.00
100 130 130.00
207 269 270.00
207 269 270.00
10,351 13,456 13,457.00
7,275 9,458 9,458.00
6,694 8,702 8,703.00
8,000 9,600 9,600.00
8,000 9,600 9,600.00
101300 121,560 121,560.00
60 78 78.00
101,300 131,690 131,690.00
2,790 3,348 3,348.00
149 194 194.00
2,475 3,218 3,218.00
104,500 125,400.00 125,400.00
689 827 827.00
9,900 11,880.00 11,880.00
207,998 249,598 249,598.00
- -
145 189 189.00
22297 28,986 28,987.00
89 116 116.00
10696 12,835 12,836.00
10696 12,835 12,836.00
9644 11,573 11,573.00
16,500 19,800.00 19,800.00
3685 4,422.00 4,422.00
63 82 82.00
4,950 5,940.00 5,940.00
66 86 86.00
245 319 319.00
3223 4,190 4,190.00
11,435 13,722 13,722.00
2,518 3,273 3,274.00
4,407 5,729 5,730.00
2,380 3,094 3,094.00
 920 1,197 1,197.00
5,613 7,297 7,298.00
1,089 1,416 1,416.00
1,771 2,302 2,303.00
715 930 930.00
139 181 181.00
10,500 13,650 13,650.00
10,500 13,650 13,650.00
9,800 12,740 12,740.00
850 1,105 1,105.00
1,506 1,958 1,958.00
689 896 897.00
2,190 2,847 2,847.00
133 173 173.00
3,300 3,960.00 3,960.00
2,475 2,970.00 2,970.00
104,500 125,400.00 125,400.00
9,240 11,088.00 11,088.00
1,560 2,028 2,028.00
99,000 118,800.00 118,800.00
27,500 33,000.00 33,000.00
2,475 2,970.00 2,970.00
11,550 13,860.00 13,860.00
50,600 60,720.00 60,720.00
165,000 198,000.00 198,000.00
1,000 1,200 1,200.00
41,250 49,500.00 49,500.00
28,600 34,320.00 34,320.00
15,400 18,480.00 18,480.00
3,410 4,092.00 4,092.00
33,000 39,600.00 39,600.00
360 432.00 432.00
7,700 9,240.00 9,240.00
397 516 517.00
19206 24,968 24,968.00
1,072 1,394 1,394.00
1221 1,587 1,588.00
1,229 1,598 1,598.00
7,334 8,800.80 8,801.00
259 337 337.00
7,120 9,256 9,256.00
36,300 43,560.00 43,560.00
3,796 4,935 4,935.00
770 924 924.00
20,554 26,720 26,721.00
28,354 36,860 36,861.00
41,784 54,319 54,320.00
5800.3 6,960 6,961.00
 23,075 29,998 29,998.00
3500 4,550 4,550.00
225 293 293.00
102 133 133.00
436 566 567.00
10,477 13,620 13,621.00
2,959 3,847 3,847.00
211 274 275.00
3,960 5,148 5,148.00
80 104 104.00
480 480.00
6448.2 7,738 7,738.00
3327.5 4,326 4,326.00
3795 4,934 4,934.00
13,200 15,840.00 15,840.00
24,200 29,040.00 29,040.00
3,250 4,225 4,225.00
49,000 58,800.00 58,800.00
32,000 38,400.00 38,400.00
60,000 72,000.00 72,000.00
35,400 42,480.00 42,480.00
13,970 16,764 16,764.00
9,680 11,616.00 11,616.00
220,000 264,000.00 264,000.00
27,500 33,000.00 33,000.00
915 1,098 1,098.00
1,100 1,430 1,430.00
6,218 8,084 8,084.00
6,840 8,892 8,892.00
6,840 8,892 8,892.00
373 485 485.00
112 145 146.00
16,500 19,800.00 19,800.00
15,500 18,600 18,600.00
2,940 3,822 3,822.00
99 129 129.00
843 1,096 1,096.00
560 728 728.00
1815 2,178.00 2,178.00
746 970 970.00
120 144.00 144.00
415,467 540,107 540,108.00
715 858 858.00
6,600 7,920 7,920.00
6,600 7,920 7,920.00
1,510,000 1,812,000 1,812,000.00
765,000 918,000 918,000.00
2,500 3,250 3,250.00
 1,199 1,559 1,559.00
9,066 10,879 10,880.00
981 1,275 1,559.00
10393 13,511 13,511.00
6,050 7,865 7,865.00
29,040 34,848.00 34,848.00
46,200 55,440.00 55,440.00
18,865 22,638.00 22,638.00
12,969 16,860 16,860.00
4,950 5,940.00 5,940.00
- 1,600.00
8,800 10,560 10,560.00
1,290 1,548 1,549.00
12,389 16,106 16,106.00
171 222 222.00
1,181 1,535 1,536.00
12,569 16,340 16,340.00
3,927 4,712.40 4,713.00
758 985 986.00
44959 53,951 53,951.00
6,600 8,580 8,580.00
234 304 305.00
6,600 7,920.00 7,920.00
- -
2900 3,770 3,770.00
77,000 92,400.00 92,400.00
132,000 158,400.00 158,400.00
14,300 17,160.00 17,160.00
4,400 5,280.00 5,280.00
3,630 4,356.00 4,356.00
76 99 99.00
1,188 1,544 1,545.00
250 325 325.00
22,000 26,400.00 26,400.00
12,100 14,520.00 14,520.00
6,936 9,017 9,018.00
7,630 9,919 9,919.00
287 373 374.00
67 87 88.00
80 104 104.00
11825 14,190 14,190.00
1,255 1,506 1,506.00
3,922 5,099 5,099.00
4,482 5,827 5,827.00
512,204 665,865 665,866.00
130,999 170,299 170,299.00
90 117 117.00
693 901 901.00
 1,782 2,317 2,317.00
82,500 99,000.00 99,000.00
12,573 15,088 15,088.00
24,800 29,760 29,760.00
18,850 22,620 22,620.00
6,789 8,826 8,826.00
50 65 65.00
2,190 2,628 2,628.00
310 403 403.00
49,500 59,400 59,400.00
661 793 794.00
900 1,170 1,170.00
44,000 52,800.00 52,800.00
5,775 6,930.00 6,930.00
287 373 374.00
91 118 119.00
37345 44,814 44,814.00
11,910 14,292.00 14,292.00
165,000 214,500 214,500.00
1,665 1,998 1,998.00
5,500 6,600.00 6,600.00
49,500 59,400.00 59,400.00
13,200 15,840.00 15,840.00
306 398 398.00
517 672 673.00
120 156 156.00
200 260 261.00
131 170 171.00
910 1,183 1,183.00
687 893 894.00
105 137 137.00
124 161 162.00
2,250 2,925 2,925.00
82,500 99,000.00 99,000.00
3,960 4,752.00 4,752.00
3,848 5,002 5,003.00
3,171 4,122 4,123.00
524 681 682.00
- -
- -
- -
NO NAMA BARANG SATUAN HARGA POKOK HARGA SATUAN
pcs 13200 15,840.00
3-way (Aximed) 3341 4,009.20
3-way with extention(Aximed) 11411 13,693.20
Airflow tube ETT size 5.0 (Aximed) 25300 30,360.00
Airflow tube ETT size 5.5 (Aximed) 25300 30,360.00
Airflow tube ETT size 6.0 (Aximed) 25300 30,360.00
Airflow tube ETT size 6.5 (Aximed) 25300 30,360.00
Airflow tube ETT size 7.0 (Aximed) 25300 30,360.00
Airflow tube ETT size 7.5 (Aximed) 25300 30,360.00
Airflow tube ETT size 8.0 (Aximed) 25300 30,360.00
Alat suntik 1 ml (Aximed) spuit 880.36 1,056.43
Alat suntik 10 ml (Aximed) spuit 1382.37 1,658.84
Alat suntik 20 ml (Aximed) spuit 1954 2,344.80
Alat Suntik 3 ml (Aximed) spuit 887.78 1,065.34
Alat Suntik 3 ml (Serenity) spuit 1000.4 1,200.48
Alat suntik 5 ml (Aximed) spuit 984.22 1,181.06
Alkacid -
Alkohol 70% botol 71500 85,800.00
Alkohol Swab box 31250 37,500.00
Alkohol swab (Onemed) 100 120.00
Alkohol Swab (Serenity) 110 132.00
Alkohol Swab 2 Ply (Aximed) 116.04 139.25
APD (Gawn) pcs 241000 289,200.00
APD Cover All pcs 95000 114,000.00
APD Cover all (Microporous) pcs 175000 210,000.00
APD Coverall (Lokal) pcs 95000 114,000.00
APD Laboratory pcs 175000 210,000.00
APD Penunjang I pcs 275000 330,000.00
Apron pcs 3850 4,620.00
Aseptic gel 5L (Onemed) 600000 720,000.00
Bahan Desinfektan botol 99000 118,800.00
Baju coverall (Saha) 200000 240,000.00
Blue Tip pack 110000 132,000.00
Catgut chromic 3/0 (Sinopharm) set 8338.35 10,006.02
Catgut No. 2/0 Plain (Demetech) 30500 36,600.00
Cervical Collar (Serenity) 114000 136,800.00
Cover Shoes psg 3300 3,960.00
Face Shield 40000 48,000.00
Female catheter no 10 (Aximed) 2018 2,421.60
Female catheter no 12 (Aximed) 6017 7,220.40
Female catheter no 14 (Aximed) 6017 7,220.40
Fescoplast 2 in 20970 25,164.00
Film CR Radiologi pcs 2772000 3,326,400.00
Film CR Radiologi pcs 5148000 6,177,600.00
Folley Catheter No 10 (Aximed) 11565 13,878.00
Folley Catheter No 16 (Aximed) 11565 13,878.00
Folly Catheher pcs 22000 26,400.00
Gel EKG pcs 27500 33,000.00
Gelang Identitas Pasien Ktk 99000 118,800.00
Gloves Non Steril pcs 1100 1,320.00
Gloves Steril pcs 8250 9,900.00
Gloves Washable psg 25000 30,000.00
GlovesNon Steril box 90000 108,000.00
Google Glass (Lokal) pcs 30000 36,000.00
Handrup 5 L botol 693000 831,600.00
Handrup 500 ml botol 148500 178,200.00
Handscoon non steril L (KLEEN) 649 778.80
Handscoon Non Steril L (Maxter) 1000 1,200.00
Handscoon Non Steril M (Maxter) 1000 1,200.00
Handwash Refill botol 57200 68,640.00
Infus Anak set 8800 10,560.00
Infus Set Dewasa pcs 7150 8,580.00
IV Cannula No. 18G (Eskamed) 10000 12,000.00
IV Catheter WP No 18 (Aximed) 6748 8,097.60
IV Catheter WP No 20 (Aximed) 6748 8,097.60
IV Catheter WP No 22 (Aximed) 6685 8,022.00
IV Catheter WP No 24 (Aximed) 6685 8,022.00
IV Catheter WP No 26 (Aximed) 8659 10,390.80
IV Catheter No. 24G 6000 7,200.00
Jarum Hecting pcs 200000 240,000.00
Jas Hujan 96000 115,200.00
Kaca mata google 40000 48,000.00
Kaca Slide Frosted 21747 26,096.40
Kantong Jenazah set 275000 330,000.00
Kantong Sampah Infeksius Jumbo pcs 5500 6,600.00
Kantong Sampah Infeksius Sedang pcs 3850 4,620.00
Kantong Sampah Non Infeksius Jumbo pcs 5500 6,600.00
Kantong Sampah Non Infeksius Sedang set 3850 4,620.00
Kantung Sampah Medis 60x80 pcs 3850 4,620.00
Kantung Sampah Medis 80x100 pcs 5500 6,600.00
Kapas 250g 12499.3 14,999.16
Kasa 4X10cm (Onemed) 1500 1,800.00
Kasa Pembalut 2m X 80cm 7931 9,517.20
Kasa steril 16x16 (DRC) 7,370.00 8,844.00
Kertas EKG 60 mm lembar 33000 39,600.00
Kertas EKG 80 mm lembar 65500 78,600.00
Lancet box 31250 37,500.00
Leukoplast 7.5 cm X 4.5 m 37371 44,845.20
Lysol 1 L botol 49500 59,400.00
Masker 2M 1860 N95 200000 240,000.00
Masker Bedah pcs 4620 5,544.00
Masker Bedah (safelock) 3000 3,600.00
Masker Bedah 3 ply pcs 3600 4,320.00
Masker Bedah Sensi pcs 8000 9,600.00
Masker KN 95 pcs 38500 46,200.00
Masker KN95 50000 60,000.00
Masker KN95 (Hastuti) pcs 75000 90,000.00
Masker N95 pcs 220000 264,000.00
Masker N95 01VT pcs 99000 118,800.00
Masker Nebul Anak (ABN) set 18500 22,200.00
Masker Nebul Dewasa (ABN) set 18500 22,200.00
Mob Caps pcs 1100 1,320.00
Mucus Extractor pcs 6000 7,200.00
Nasogratic Tube NGT pcs 27500 33,000.00
Non Woven Fixation 15cm X 10m (Aximed) 97352 116,822.40
Non Woven Fixation 20cm X 10m (Aximed) 127000 152,400.00
NPM Dewasa pcs 35200 42,240.00
NRM Anak pcs 18700 22,440.00
Oksigen Cannula pcs 5500 6,600.00
Povidone Iodine 300 ml botol 33000 39,600.00
Peralatan Pemulasaran Jenazah set 200000 240,000.00
Peti Jenazah unit 2750000 3,300,000.00
Pharmafix 10 cm x 500 cm 54383.3 65,259.96
Pharmafix 15 cm x 500 cm pcs 46999 56,398.80
Plester Coklat roll 55000 66,000.00
Plester Non Woven lembar 2750 3,300.00
Pot Dahak Steril 2117 2,540.40
Pouches Flat 7,5cm/200m pcs 830500 996,600.00
Pouches Flat 7.5 X 2.5 m 781000 937,200.00
Povidone Iodine 30 ml botol 4400 5,280.00
Safety Box pcs 33000 39,600.00
Sepatu Boot (ANDO) 330000 396,000.00
Sepatu Boot (Steffi) 125000 150,000.00
silk 3/0+jarum 1/2GT 35mm set 3,147.22 3,776.66
Alat Suntik 10 ml pcs 1870 2,244.00
Alat Suntik 3 ml pcs 1155 1,386.00
Alat Suntik 5 ml pcs 1650 1,980.00
Surgical Gloves No. 7 (Maxter) 8500 10,200.00
Surgical Gloves No. 7.5 (Maxter) 8500 10,200.00
Tabung EDTA pax 165000 198,000.00
Torniquet pcs 33000 39,600.00
UMBILICAL CORD CLAIM 2750 3,300.00
UNDERPAD 5082 6,098.40
Urine Bag pcs 4950 5,940.00
Urine Bag (Aximed) 5785 6,942.00
Yellow Tip pack 110000 132,000.00
Ziel-Nelson 233234 279,880.80
Jarum Insulin PCS 3300 3,960.00
Gudel airway no. 50 Pcs 27,500.00 33,000.00
Gudel airway no. 70 Pcs 27,500.00 33,000.00
Gudel airway no. 80 Pcs 27,500.00 33,000.00
Gudel airway no. 90 Pcs 27,500.00 33,000.00
Duk lubang 50x40 Pcs 30,000.00 36,000.00
Duk lubang 60x40 Pcs 36,000.00 43,200.00
Duk lubang 70x40 Pcs 42,000.00 50,400.00
IV Canula No.24 (Serenity) Pcs 4,000.00 4,800.00
Spalk 15 cm Pcs 18,700.00 22,440.00
Spalk 20 cm Pcs 22,000.00 26,400.00
Spalk 25 cm Pcs 27,500.00 33,000.00
Spalk 30 cm Pcs 33,000.00 39,600.00
Spalk 40 cm Pcs 38,500.00 46,200.00
Spalk 50 cm Pcs 44,000.00 52,800.00
Spalk 60 cm Pcs 55,000.00 66,000.00
Sungkup O2 bayi Pcs 38,500.00 46,200.00
Sungkup O2 anak Pcs 38,500.00 46,200.00
Sungkup O2 dewasa Pcs 38,500.00 46,200.00
Spinocan no.25 Pcs 44,000.00 52,800.00
Spinocan no.26 Pcs 44,000.00 52,800.00
Spinocan no.27 Pcs 44,000.00 52,800.00
Jelly doppler Pcs 33,000.00 39,600.00
Polysorb No.1/0 Pcs 90,000.00 108,000.00
Polysorb No.3/0 Pcs 90,000.00 108,000.00
Sofratulle (vaseline swab) Pcs 22,000.00 26,400.00
Masker Bedah (Supercare) 1,650.00 1,980.00
Masker KN95 (Kimed) 49,500.00 59,400.00
One Scrub 5 L 594,550.00 713,460.00
Tongue spatle pcs 2,500.00 3,000.00
Suction cateter No 6 pcs 3,000.00 3,600.00
Suction cateter No 8 pcs 3,000.00 3,600.00
Suction cateter No 10 pcs 3,000.00 3,600.00
Suction cateter No 14 pcs 3,000.00 3,600.00
Masker Bedah ( Supercare) 5,000.00 6,000.00
Suction cateter No 12 3,000.00 3,600.00
Suction cateter No 6 3,000.00 3,600.00
Needle no 23 pcs 500.00 600.00
NGT No 14 pcs 33,000.00 39,600.00
NGT No 16 pcs 33,000.00 39,600.00
NGT No 12 pcs 33,000.00 39,600.00
Kasa 40 yard potong 187,000.00 224,400.00
NGT No 18 pcs 33,000.00 39,600.00
Object glass ( RS) pcs 1,000.00 1,200.00
Pampers L pcs 7,000.00 8,400.00
Pampers XL pcs 9,500.00 11,400.00
Bisturi No 11 ( GEA) pcs 1,650.00 1,980.00
Alat suntik 1 ml (Gidcare) pcs 840.00 1,008.00
Dek Glass 500.00 600.00
Torniquet 35,000.00 42,000.00
Handscoon Steril No 6 psng 11,000.00 13,200.00
Transfusi set ( Axeel) pcs 27,500.00 33,000.00
ST Non Steril M pcs 1,100.00 1,320.00
ST Non Steril L pcs 1,100.00 1,320.00
Tabung Vacuntainer 1,100.00 1,320.00
ID Band 1,100.00 1,320.00
Plesterin OM 55,000.00 66,000.00
Gudel airway no 60 27,500.00 33,000.00
Gudel airway no 100 27,500.00 33,000.00
2,376.00

1,080.00