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Page 1 of 16
NO DISCRIPTION BOTOL SATUAN KEMASAN HNA PPN
55 CENDO ZINC PRIMA EYE DROP 5 ML BOTOL 5 ML 11,250 12,375
56 CETAMIDE 15 % 5 ML ED ( CENDO FLES 5 ML 11,250 12,375
57 LENTIKULAR EYE DROPS (CENDO) BOTOL 5 ML 28,750 31,625
58 OPTHALGON 3 ML ED ( CENDO ) FLES 3 ML 11,000 12,100
59 POLYGRAN 5 ML ED ( CENDO ) FLES 5 ML 31,625 34,788
60 SILOXAN 3 ML ED ( CENDO ) MDS FLES 3 ML 35,625 39,188
61 VITANORM TAB @ 30 DUS 30 TAB 99,900 109,890
62 ZINC PRIMA 15 ML ED ( CENDO ) FLES 15 ML 16,125 17,738
Page 2 of 16
OTSUKA
BPJS
HNA
No Kode SAP Nama Barang UoM QTY AUN
EXCL PPN
1 KA-EN 1B Sol. Btl. 500 cc 1 8,767 9,644
2 KA-EN 3A Btl. 500 cc 1 9,724 10,696
3 KA-EN 3B / KK Btl. 500 cc 1 9,724 10,696
4 KA-EN 3 B Softbag 500ml Bag 1 9,724 10,696
5 KA-EN MG3 Sol. Btl. 500 cc 1 9,076 9,984
6 Otsu - RL / Rubb. Btl. 500 cc 1 6,500 7,150
7 Otsu - NS / Rubb. Btl. 500 cc 1 5,827 6,410
8 Otsu - D5 / Rubb. Btl. 500 cc 1 6,273 6,900
9 Otsu - D10 Btl. 500 cc 1 6,818 7,500
10 Pan-Amin G Softbag Bag. 500 cc 1 43,444 47,788
11 Aminofluid-L 500ml Bag 500 cc 1 61,445 67,590
12 Aminofluid-L 1000ml Bag 1000 cc 1 111,800 122,980
13 Amiparen Inj. 500ml Softbag Bag 500 cc 1 81,569 89,726
14 Aminoleban Inj. 500ml Softbag Bag 500 cc 1 61,445 67,590
15 Kidmin 200ml Softbag Bag 200 cc 1 46,088 50,697
16 Asering Btl. 500 cc 1 8,769 9,646
17 Asering Softbag 500ml Bag. 500cc 1 8,769 9,646
18 Martos 10 Btl. 500 cc 1 29,121 32,033
19 Otsu - Manitol 20 ® (250ml) Btl. 250 cc 1 25,705 28,275
20 Meylon 8,4 % Amp. 25 cc 1 5,862 6,448
21 Otsu KCL 7,46 Amp. 25 cc 1 2,930 3,223
22 Otsu - MgSO4 20 Amp. 25 cc 1 3,025 3,328
23 Otsu - MgSO4 40 Amp. 25 cc 1 3,451 3,796
24 Otsu Water for Injection 25 cc Amp. 25 cc 1 2,600 2,860
25 Meptin Swinghaler Unit/swinghaler 1 74,545 82,000
26 Meptin Inhalation Solution 0.3 mL Box/28 Ampul 1 5,273 5,800
27 Meptin Inhalation Solution 0.5 mL Box/28 Ampul 1 5,273 5,800
28 Obucort Swinghaler Unit/swinghaler 1 93,636 103,000
29 Abilify Discmelt 10 mg Box/10 tab 1 209,400 230,340
30 Abilify Discmelt 15 mg Box/10 tab 1 294,545 324,000
31 OI-34 Micro Drip Elasty Ball Pieces 1 7,200 7,920
32 Otsu Y - Set Adaptor Pieces 1 7,200 7,920
33 OtsuCath 16G x 2" Box/50pcs 1 7,000 7,700
34 OtsuCath 18G x 1 1/4" Box/50pcs 1 7,000 7,700
35 OtsuCath 20G x 1 1/4" Box/50pcs 1 7,000 7,700
36 OtsuCath 22G x 1" Box/50pcs 1 7,000 7,700
37 OtsuCath 24G x 3/4" Box/50pcs 1 7,000 7,700
REGULER
HNA
No Kode SAP Nama Barang UoM QTY AUN
EXC PPN
1 KA-EN MG3 Sol. Btl. 500 cc 1 24,200 26,620
2 KA-EN 1B Sol. Btl. 500 cc 1 22,000 24,200
3 KA-EN 3A Btl. 500 cc 1 22,000 24,200
4 KA-EN 3B / KK Btl. 500 cc 1 22,000 24,200
5 KA-EN 3 B Softbag 500ml Bag 1 24,000 26,400
6 KA-EN 4A Btl. 500 cc 1 22,000 24,200
7 KA-EN 4B Btl. 500 cc 1 22,000 24,200
8 Asering Btl. 500 cc 1 22,600 24,860
9 Asering - 5 Btl. 500 cc 1 24,200 26,620
10 Asering Softbag 500ml Bag. 500cc 1 24,700 27,170
11 Otsu - RD5® /Rubb. Btl. 500 cc 1 16,100 17,710
12 Otsu - RL D5® Btl. 500 cc 1 16,100 17,710
13 Otsu - Salin 3 Btl. 500 cc 1 25,300 27,830
14 Otsu - RL / Rubb. Btl. 500 cc 1 13,900 15,290
15 Otsu - NS / Rubb. Btl. 500 cc 1 13,900 15,290
16 Otsu - D5 / Rubb. Btl. 500 cc 1 13,900 15,290
17 Otsu - D5, NS ® Btl. 500 cc 1 16,100 17,710
18 Otsu - D2.5, 1/2 NS Rubb. Btl. 500 cc 1 16,100 17,710
19 5 % Dex + 0,45 % NS / WRC Btl. 500 cc 1 16,100 17,710
20 Otsu - D5, 1/2 NS Rubb. Btl. 500 cc 1 16,100 17,710
21 Otsu - D5, 1/4 NS Rubb. Btl. 500 cc 1 16,100 17,710
22 10 % Dext. / WRC Btl. 500 cc 1 16,100 17,710
23 Otsu - D10 Btl. 500 cc 1 16,100 17,710
24 10% Dex.+ 0,18% Sod.Chlor./WRC Btl. 500 cc 1 16,100 17,710
25 Otsu - D10, 1/5 NS® Btl. 500 cc 1 16,100 17,710
26 Otsu - RS® Btl. 500 cc 1 16,100 17,710
27 Sterile Water 1000cc/Rubb. Btl. 1000 cc 1 24,800 27,280
28 Otsu NS 1 L Btl. 1000 cc 1 21,600 23,760
29 Otsu NS 1 L/Rubb. Btl. 1000 cc 1 24,800 27,280
30 Otsu D5, Piggyback Btl. 100 cc 1 13,800 15,180
31 Otsu NS, Piggyback Btl. 100 cc 1 13,800 15,180
32 Meylon 8,4 % Amp. 25 cc 1 13,800 15,180
33 Otsu - D40® Amp. 25 cc 1 9,100 10,010
34 Otsu KCL 7,46 Amp. 25 cc 1 8,300 9,130
35 Otsu - MgSO4 20 Amp. 25 cc 1 9,100 10,010
36 Otsu - MgSO4 40 Amp. 25 cc 1 9,100 10,010
37 Otsu - NS 25ml Amp. 25 cc 1 5,800 6,380
38 Otsu Water for Injection 25 cc Amp. 25 cc 1 5,800 6,380
39 Otsutrans - 70® /Rubb. Btl. 500 cc 1 85,050 93,555
40 Otsu Tran 40 Btl. 500 cc 1 93,450 102,795
41 Potacol Btl. 500 cc 1 84,000 92,400
42 Martos 10 Btl. 500 cc 1 88,200 97,020
43 Otsu - Manitol 20 ® Btl. 500 cc 1 88,200 97,020
44 Otsu - Manitol 20 ® (250ml) Btl. 250 cc 1 55,100 60,610
45 Aminovel 600 Softbag Bag 500 cc 1 93,500 102,850
46 Amiparen Btl. 500 cc 1 96,466 106,113
47 Amiparen Inj. 500ml Softbag Bag 500 cc 1 133,100 146,410
48 Amiparen Paed 250 ml Btl. 250 cc 1 61,505 67,656
49 Pan-Amin G Btl. 500 cc 1 38,096 41,906
50 Pan-Amin G 1000 Btl. 500 cc 1 20,900 22,990
51 Plasamin Btl. 500 cc 1 12,500 13,750
52 Pan-Amin G Softbag Bag. 500 cc 1 77,000 84,700
53 Kidmin 200ml Softbag Bag 200 cc 1 104,500 114,950
54 Aminoleban Inj. 500ml Softbag Bag 500 cc 1 205,700 226,270
55 Aminofluid-L 500ml Bag 500 cc 1 165,000 181,500
56 Aminofluid-L 1000ml Bag 1000 cc 1 247,500 272,250
57 Otsulip 20%, 250 ml Bag 250 cc 1 225,000 247,500
58 Bfluid 500 ml Bag 500 cc 1 187,500 206,250
59 Bfluid 1000 ml Bag 1000 cc 1 281,250 309,375
WIDATARA
BPJS/ECATALOG
Harga
No Kode SAP Nama Barang Order Unit QTY AUN
EXCL PPN
1 5% Glucose Unicap/ OGB WB BT 1 6,273 6,900
2 10% Glucose Unicap/OGB WB BT 1 6,818 7,500
3 0,9% Sodium Chloride Pipih Unicap/OGB BT 1 5,827 6,410
4 Ringers Lactate Pipih Unicap/OGB WB BT 1 6,500 7,150
5 Wida D5 - 1/2 NS /TM BT 1 8,887 9,776
6 Wida D5 - 1/4 NS / TM BT 1 8,840 9,724
7 Wida 2A BT 1 7,658 8,424
8 Wida D5 - NS / TM BT 1 7,587 8,346
9 Wida RD / TM BT 1 8,084 8,892
10 Wida HSD /TM BT 1 9,724 10,696
11 Wida BES BT 1 8,769 9,646
12 Wida RL 1000 ml BT 1 11,970 13,167
13 Wida WI Unicap 1000 ml BT 1 9,545 10,500
14 Wida KN-1 BT 1 10,010 11,011
15 Wida KN-2 BT 1 10,010 11,011
16 Wida KDN-1 BT 1 10,395 11,435
17 Wida KDN-2 BT 1 10,395 11,435
REGULER
No Kode SAP Nama Barang Order Unit QTY AUN Harga Excl HNA PPN
1 5% Glucose Unicap/ OGB WB BT 1 6,273 6,900
2 10% Glucose Unicap/OGB WB BT 1 6,818 7,500
3 0,9% Sodium Chloride Pipih Unicap/OGB BT 1 5,827 6,410
4 Ringers Lactate Pipih Unicap/OGB WB BT 1 6,500 7,150
5 Wida D10 / TM BT 1 15,208 16,729
6 Wida D5 / TM BT 1 12,698 13,968
7 Wida D5 - NS / TM BT 1 13,734 15,107
8 Wida D5 - 1/2 NS /TM BT 1 14,820 16,302
9 Wida D5 - 1/4 NS / TM BT 1 14,820 16,302
10 Wida 2A BT 1 13,172 14,489
11 Wida NS / TM BT 1 12,698 13,968
12 Wida RL / TM BT 1 13,947 15,342
13 Wida RS / TM BT 1 14,371 15,808
14 Wida RD / TM BT 1 14,505 15,956
15 Wida HSD /TM BT 1 17,932 19,725
16 Wida BES BT 1 20,625 22,688
17 Natrium Klorida 0,9% 1000 ml / OGB BT 1 18,900 20,790
18 Ringer Laktat 1000 ml BT 1 10,023 11,025
19 Wida RL 1000 ml BT 1 18,900 20,790
20 Wida WI Twist Off 1000 ML BT 1 18,900 20,790
21 Wida NSI Twist Off 1000 ML BT 1 18,900 20,790
SANOVI AVENTIS
No. Nama Barang SAP Order Unit QTY AUN HNA Excl PPN HNA Incl PPN
1 BISOLVON 8 MG TAB @ 100 TAB DUS 100 165,300 181,830
2 BISOLVON 8 MG TAB @ 40 TAB DUS 40 72,300 79,530
3 BISOLVON BATUK & FLU 60 ML BT 1 32,691 35,960
4 BISOLVON ELIXIR 125 ML BT 1 53,600 58,960
5 BISOLVON ELIXIR 60 ML BT 1 30,300 33,330
6 BISOLVON EXTRA SYR 125ML BT 1 58,300 64,130
7 BISOLVON EXTRA SYR 60 ML BT 1 34,000 37,400
8 BISOLVON FLU SYRUP 60 ML BT 1 34,000 37,400
9 BISOLVON INJ 2 MG/ML @10 AMP DUS 10 529,400 582,340
10 BISOLVON KIDS 4MG/5ML SYR 60 ML BT 1 30,600 33,660
11 BISOLVON KIDS 4MG/5ML SYR 125 ML BT 1 53,900 59,290
12 BISOLVON SOLUTION BT 1 70,894 77,983
13 BUSCOPAN 10 MG DRAG DUS 100 281,000 309,100
14 BUSCOPAN 20 MG / ML INJ DUS 10 311,300 342,430
15 DULCOLACTOL SYR 60 ML BT 1 56,200 61,820
16 DULCOLAX 10 MG SUPP @ 50 DUS 50 728,800 801,680
17 DULCOLAX 10 MG SUPP ADULT DUS 5 98,238 108,062
18 DULCOLAX 5 MG ECT @200 TAB DUS 200 230,132 253,145
19 DULCOLAX 5 MG ECT 80 TAB DUS 80 113,700 125,070
20 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 84,500 92,950
21 LAXOBERON 7.5 MG/ML DROP 10 ML BT 1 80,200 88,220
22 PHARMATHON FORMULA @ 50 CAPS DUS 50 191,126 210,239
23 PHARMATON VIT KAPLET DUS 50 189,873 208,860
24 BUSCOPAN PLUS FCT DUS 100 384,800 423,280
25 PHARMATON FORMULA RAMADHAN DUS 10 28,689 31,558
BOEHRINGER REGULER
No. Nama Barang SAP Order Unit QTY AUN HNA Ecl PPN HNA +PPN
1 ATROVENT 20 MCG MDI 10ML BT 1 175,203 192,723
2 ATROVENT SOLUTION 20 ML BT 1 223,503 245,853
3 BERODUAL HFA BT 1 197,087 216,796
4 BEROTEC 0.1 % SOLUTION BT 1 268,178 294,996
5 BEROTEC 0.1 MG MDI 10 ML BT 1 160,441 176,485
6 CATAPRES 150 MCG INJEKSI DUS 10 529,605 582,565
7 CATAPRES 150 MCG TAB DUS 100 477,164 524,880
8 CATAPRES 75 MCG TAB DUS 100 362,032 398,235
9 COMBIVENT 2.5 ML UDV 20S DUS 20 272,141 299,355
10 GLURENORM 30 MG TAB DUS 100 341,416 375,558
11 MICARDIS 40 MG TAB @ 20 DUS 20 278,409 306,250
12 MICARDIS 80 MG TAB @ 20 DUS 20 360,947 397,042
13 MICARDIS PLUS 40 MG TAB @ 20 DUS 20 278,409 306,250
14 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 360,947 397,042
15 MOVICOX 10 MG/ML INJ @ 5 AMP DUS 5 228,773 251,650
16 MOVICOX 15 MG TAB DUS 30 449,930 494,923
17 MOVICOX 7,5 MG TAB DUS 30 276,507 304,158
18 MUCOPECT 15 MG/5 ML SYRUP BT 1 44,629 49,092
19 MUCOPECT 30 MG TAB @ 100 (BOEH DUS 100 324,500 356,950
20 MUCOPECT 30 MG/5 ML SYRUP BT 1 53,146 58,461
21 MUCOPECT 7,5 MG/ML DROPS BT 20ML 1 58,600 64,460
22 MUCOPECT 75 MG RETARD @ 50 DUS 50 467,700 514,470
HARGA UNILAB/DARYA VARIA
Page 7 of 16
42 NATUR-E BODY LOTION LOTI 70 ml 12,500 13,750
41 NATUR-E DAILY NOURISHING FACE MIST 25,518 28,070
43 NEOZEP FORTE TAB'S 100's 45,842 50,426
44 NEW DIATABS TAB'S 100's 50,650 55,715
51 OBIMIN AF BLISTER TAB'S 30's 43,523 47,875
61 PARACETAMOL INFUSION 20,000 22,000
62 PARACETAMOL INFUSION "E" 10,900 11,990
58 PARATUSIN SYRUP 60 ml 21,400 23,540
59 PARATUSIN TAB'S 200's 201,206 221,327
45 STOP COLD DRAGEE TAB'S 60's 36,037 39,641
69 SUPER TETRA SOFT CAPS 120's 109,050 119,955
46 SUPERTIN CAPS 30'S 32,000 35,200
47 VICEE GRAPE TAB 100's 57,173 62,890
48 VICEE LEMON TAB 100's 57,173 62,890
49 VICEE ORANGE TAB 100'S 57,173 62,890
50 VICEE STRAWBERY TAB'S 100's 57,173 62,890
Page 8 of 16
PT. OT FARMA
Page 9 of 16
53 PASTA GIGI FORM AKSI PROTEKSI TUB 1 3,977 4,375
54 PASTA GIGI FORM AKSI PROTEKSI TUB 1 2,727 3,000
55 PASTA GIGI FORM AKSI PROTEKSI TUB 1 5,636 6,200
56 PASTA GIGI FORM AKSI PUTIH 120 TUB 1 3,977 4,375
57 PASTA GIGI FORM AKSI PUTIH 190 TUB 1 7,025 7,728
58 PASTA GIGI FORM AKSI PUTIH 200 TUB 1 5,636 6,200
59 PASTA GIGI FORM AKSI PUTIH 75 TUB 1 1,665 1,832
60 PASTA GIGI FORM DORAEMON S TUB 1 5,909 6,500
61 PASTA GIGI FORM GEL ORANGE ( O TUB 1 2,818 3,100
62 PASTA GIGI FORM GEL STRAWBERRY TUB 1 2,818 3,100
63 PASTA GIGI FORM JUNIOR SP ORAN TUB 1 6,091 6,700
64 PASTA GIGI FORM JUNIOR SP STRA TUB 1 6,091 6,700
65 PASTA GIGI FORM JUNIOR SPECIAL TUB 1 6,091 6,700
66 PASTA GIGI FORM XP 100 GR APPL TUB 1 4,977 5,475
67 PASTA GIGI FORM XP 40 GR APPLE TUB 1 2,341 2,575
68 PASTA GIGI FORMULA JUNIOR DORA PC 1 3,100 3,410
69 PASTA GIGI FORMULA JUNIOR ORG TUB 1 3,436 3,780
70 PASTA GIGI FORMULA JUNIOR SBW TUB 1 3,636 4,000
71 PG FOR ACTION PROTECTOR 120GR TUB 1 4,545 5,000
72 PG FOR ACTION PROTECTOR 190GR TUB 1 7,636 8,400
73 PG FOR ACTION PROTECTOR 75GR TUB 1 2,955 3,251
74 PG FOR SPARKLING WHITE 120GR TUB 1 5,273 5,800
75 PG FOR SPARKLING WHITE 190GR TUB 1 9,318 10,250
76 PG FOR SPARKLING WHITE 75GR TUB 1 3,318 3,650
77 PG FOR STRONG PROTECTOR 160GR TUB 1 7,636 8,400
78 PG FOR STRONG PROTECTOR 65GR PC 1 3,091 3,400
79 PG.FORM.AKSI PUTIH 190 GR + SG DUS 12 7,000 7,700
80 PGF JR KEROPPI STB SP 75 GR TUB 1 6,090 6,699
81 PGF SENSITIVE 25 GRAM TUB 1 4,091 4,500
82 PGF SPARKLING WHITE 190GR+SG PAC 1 8,636 9,500
Page 10 of 16
PT ASPP
No. Kode SAP Nama Barang SAP Order Unit Harga exl PPN Harga inc PPn
PT COMBI (INSTO)
No Kode SAP Nama Barang SAP Order Unit Harga Excl PPN HNA+PPN
1 12007334 INSTO REGULAR 7,5 ML BT 10,600 11,660
2 12007335 INSTO REGULAR 15 ML BT 16,100 17,710
3 12007336 INSTO DRY EYES 7,5 ML BT 10,850 11,935
4 12007337 PEDITOX 1% 50 ML BT 6,000 6,600
5 12007338 OBH COMBI BATUK DAHAK SC MENTHOL 7,5 SC 530 583
6 12004243 OBH COMBI BATUK BERDAHAK JAHE BT 8,750 9,625
7 12004244 OBH COMBI BATUK BERDAHAK MENTHOL BT 9,200 10,120
8 12004245 OBH COMBI BATUK FLU ANAK APEL BT 10,450 11,495
9 12004246 OBH COMBI BATUK FLU ANAK MADU BT 10,450 11,495
10 12004247 OBH COMBI BATUK FLU ANAK ORANGE BT 10,450 11,495
11 12004248 OBH COMBI BATUK FLU ANAK STRAW BT 10,450 11,495
12 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 12,500 13,750
13 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 9,450 10,395
14 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 12,500 13,750
15 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 9,450 10,395
16 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 13,125 14,438
17 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 9,950 10,945
PT ROHTO
No Kode SAP Nama Barang SAP Order Unit Harga ExC PPN HNA PPN
1 12003918 ROHTO COOL @ 7 ML BT 13,320 14,652
2 12003921 ROHTO OBAT MATA @ 7 ML BT 9,950 10,945
INDOFARMA
No Nama Barang SAP UoM Order Unit QTY AUN Harga Exc HNA +PPN
1 ACETYLCYSTEINE 200 MG @ 60 TAB DUS 60 60,000 66,000
2 AMITRIPTYLINE 25 MG TABLET @ 1 TAB DUS 100 15,585 17,144
3 AMOXYCILLIN SYRUP 60 ML (GIF) BT BT 1 3,360 3,696
4 CAPTOPRIL 50 MG TAB @ 100 (INF TAB DUS 100 20,378 22,415
5 CARBAMAZEPINE 200 MG TABLET @ TAB DUS 100 29,097 32,007
6 CEFOTAXIME 1,0 G INJEKSI @ 10 VL DUS 2 20,150 22,165
7 CEFTRIAXONE 1,0 G INJEKSI @ 10 VL DUS 2 21,100 23,210
8 CEPHALEXIN 500 MG KAPSUL @ 50 KPS DUS 50 54,491 59,940
9 CETIRIZINE DROP 10 MG/ML (GIF) BT BT 1 25,000 27,500
10 CETIRIZINE SYR 5 MG/5 ML (GIF) BT BT 1 9,491 10,440
11 CIPROFLOXACIN INFUS 100 ML VL DUS 1 51,766 56,943
12 CITICOLINE 250 MG/2ML INJ AMP DUS 5 65,000 71,500
13 CITICOLINE 500 MG @ 30 TABLET TAB DUS 30 180,000 198,000
14 CLINDAMYCIN 150 MG KAPSUL @ 50 TAB DUS 50 31,920 35,112
15 CLINDAMYCIN 300 MG KAPSUL @ 50 TAB DUS 50 58,950 64,845
16 CO AMOXICLAV 625 MG TAB (INF) TAB DUS 30 158,404 174,244
17 CYANOCOBALAMINE 500 MCG/ML INJ AMP DUS 100 169,521 186,473
18 DEXAMETHASONE 5 MG/ML INJ 1ML AMP DUS 100 181,818 200,000
19 DIGOXIN 0,25 MG TAB @ 100 (GIF TAB DUS 100 16,883 18,571
20 DOMPERIDON TABLET @ 100 (GIF) TAB DUS 100 36,656 40,322
21 FAMOTIDIN 20 MG TAB (INF) TAB DUS 50 7,380 8,118
22 FAMOTIDIN 40 MG TAB (INF) TAB DUS 50 10,047 11,052
23 FUROSEMIDE 10 MG/ML INJEKSI @ AMP DUS 25 46,773 51,451
24 GEMFIBROZIL 300 MG KAP @ 120 KPS DUS 120 40,095 44,104
25 GENTAMICIN 0,3% TTM @ 5 ML (GI BT BT 1 37,870 41,656
26 GENTAMICIN 40 MG/ML INJEKSI AMP DUS 5 16,783 18,462
27 GLUCOSAMIN 500MG+CONDROITIN 40 TAB BT 30 79,200 87,120
28 HALOPERIDOL 0,5 MG (INF) TAB DUS 100 8,425 9,268
29 HALOPERIDOL 1,5 MG (INF) TAB DUS 100 9,374 10,312
30 HALOPERIDOL 5 MG (INF) TAB DUS 100 12,217 13,438
31 IBUPROFEN 200 MG TABLET @ 100 TAB BT 100 18,900 20,790
32 IBUPROFEN 400 MG TABLET @ 100 TAB DUS 100 27,932 30,725
33 IBUPROFEN SUSPENSI 100 MG/5ML BT BT 1 3,814 4,196
34 IBUPROFEN SUSPENSI 200MG/ML BT BT 1 5,722 6,294
35 IRBESARTAN 150 MG @50 TAB TAB DUS 50 89,250 98,175
36 IRBESARTAN 300 MG @50 TAB TAB DUS 50 172,750 190,025
37 ISOSORBID DINITRAT 5 MG (INF) TAB DUS 100 11,184 12,302
38 KETOROLAC 10 MG / ML INJ AMP DUS 5 34,057 37,463
39 KETOROLAC 30 MG / ML INJ AMP DUS 6 72,900 80,190
40 LANSOPRAZOLE 30 MG KAPSUL @ 20 KPS DUS 20 24,545 27,000
41 LEVOFLOXACIN INFUS 100 ML VL DUS 1 80,000 88,000
42 LINCOMYCIN 500 MG KAPSUL @ 60 KPS DUS 60 55,375 60,913
43 LORATADINE 10 MG TABLET @ 50 ( TAB DUS 50 15,125 16,637
44 METFORMIN 500 MG (IGM) TAB DUS 100 16,484 18,132
45 METHYLPREDNISOLONE 16 MG TABLE TAB DUS 30 31,877 35,065
46 OFLOXACIN 200 MG TABLET @ 50 ( TAB DUS 50 26,796 29,476
47 OFLOXACIN 400 MG TABLET @ 50 ( TAB DUS 50 39,642 43,607
48 ONDANSETRON 4 MG TABLET @ 12 TAB DUS 12 16,800 18,480
49 ONDANSETRON 4 MG/2 ML INJ @ 2 AMP DUS 5 27,500 30,250
50 ONDANSETRON 8 MG TABLET @ 12 ( TAB DUS 12 27,600 30,360
51 ONDANSETRON 8 MG/4 ML INJEKSI AMP DUS 5 40,000 44,000
52 PARACETAMOL DROP 15 ML (GIF) BT BT 1 6,234 6,857
Page 12 of 16
53 PIRACETAM 1200 MG TABLET @ 50 TAB DUS 50 58,741 64,615
54 PIRACETAM 3 GRAM/15 ML INJEKSI AMP DUS 4 62,138 68,352
55 PROPYLTHIOURACIL 100 MG TAB @ TAB BT 100 31,900 35,090
56 RANITIDINE 25 MG/ML INJ @ 25 ( AMP DUS 25 58,351 64,186
57 SALBUTAMOL 2 MG SYR 100 ML (IF BT BT 1 5,000 5,500
58 THIAMPHENICOL 500 MG CAPS (INF KPS DUS 100 89,510 98,461
59 TRAMADOL 50 MG/ML INJ (GIF) AMP DUS 5 29,071 31,978
60 TRIHEXYPHENIDYL 2 MG TABLET @ TAB DUS 100 10,500 11,550
No Nama Barang SAP Order UnitQTY AUN HNA EXC HNA PPN
1 BIOVISION KAPSUL @ 100 DUS 100 207,350 228,085
2 BIOVISION KAPSUL @ 30 DUS 30 63,050 69,355
3 BIOPROST KAPSUL @ 30 DUS 30 90,625 99,688
4 JAMSI 100 ML BT 1 80,000 88,000
5 OBH INDOPLUS 100 ML BT 1 9,750 10,725
6 NEW PROURIC KAPS @ 60 DUS 60 48,500 53,350
Page 13 of 16
HNA +PPN
Page 14 of 16
PT. MAHAKAM BETA FARMA
No Kode SAP Nama Barang SAP Order Unit QTY AUN Harga Exc PPN HNA PPN
1 12002099 BETADINE OBAT KUMUR 190 ML BT 1 16,900 18,590
BETADIN OBAT KUMUR 100 ML BT 1 10,500 11,550
2 12002100 BETADINE OINT 10 GRAM TUB 1 14,450 15,895
3 12002101 BETADINE OINT 20 GRAM TUB 1 21,250 23,375
4 12002103 BETADINE OINT 5 GRAM TUB 1 8,670 9,537
5 12002045 BETADINE SABUN CAIR 100 ML BT 1 26,950 29,645
6 12002046 BETADINE SABUN CAIR 60 ML BT 1 19,250 21,175
7 12002047 BETADINE SHAMPOO 100 ML BT 1 13,000 14,300
8 12002112 BETADINE SOLUTION 15 ML BT 1 9,870 10,857
9 12002113 BETADINE SOLUTION 30 ML BT 1 17,350 19,085
10 12002114 BETADINE SOLUTION 5 ML BT 1 3,480 3,828
11 12002115 BETADINE SOLUTION 60 ML BT 1 29,500 32,450
12 12002116 BETADINE SOLUTION KIDS 15 ML BT 1 4,500 4,950
13 12002117 BETADINE SOLUTION KIDS 30 ML BT 1 7,500 8,250
14 12002118 BETADINE SOLUTION KIDS 5 ML BT 1 3,000 3,300
15 12002050 BETADINE VAGINAL DOUCHE TA 100 BT 1 44,680 49,148
16 12002049 BETADINE VAGINAL DOUCHE PA 100 BT 1 51,980 57,178
BETADINE FEMININE HYGIENE 60 M BT 1 20,400 22,440
17 12005407 MST CONTINUS 15 MG DUS 60 1,254,000 1,379,400
18 12005408 MST CONTINUS 10 MG DUS 60 852,000 937,200
CHANNA
No Kode SAP Nama Barang SAP Order Unit QTY AUN Harga ExCPPN HNA PPN
1 CHANNA 500 MG @ 30 KAPSUL DUS 30 181,500 199,650
2 12005933 CHANNA PLUS 10 GRAM SK DUS 3 181,500 199,650
3 12006912 CHANNA PLUS SACHET DUS 3 181,500 199,650
DAFTAR HARGA SOHO
HNA
NO NAMA BARANG AUNT
EXCLUD INCLUDE
1 CURCUMA PLUS SYRUP 60 ML(LYSINE) 1 9,500 10,450
2 CURCUMA PLUS SYRUP 120 ML 1 14,900 16,390
3 CURCUMA PLUS IMUNS 60 ML(NEW) 1 13,100 14,410
4 CURCUMA PLUS GROW BCURRANT200-N 1 21,000 23,100
5 CURCUMA PLUS GROW STWBRY 200ML-N 1 21,000 23,100
6 CURCUMA PLUS GROW ORANGE200ML-N 1 21,000 23,100
7 CURCUMA PLUS GROW STWBRY 400ML-N 1 30,300 33,330
8 CURCUMA PLUS GROW ORANGE400ML-N 1 30,300 33,330
9 CURCUMA PLUS SHARPY ORANGE60ML-N 1 11,250 12,375
10 CURCUMA PLUS SHARPY STWBRY60ML-N 1 11,250 12,375
11 CURCUMA PLUS SHARPY BCURRAN 60-N 1 11,250 12,375
12 CURCUMA PLUS SHARPY ORANGE 120 ML-N 1 17,500 19,250
13 CURCUMA PLUS SHARPY STWBRY 120 ML-N 1 17,500 19,250
14 CURCUMA PLUS Fruit & Veggie 100 ml Strawberry 1 19,000 20,900
15 CURCUMA PLUS FRUIT&VEGIE BCRANT100 1 19,000 20,900
16 CURCUMA PLUS FRUIT&VEGIE BCURANT200 1 28,700 31,570
17 CURCUMA PLUS FRUIT&VEGIE ORANGE 100 1 19,000 20,900
18 CURCUMA PLUS FRUIT&VEGIE ORANGE 200 1 28,700 31,570
19 CP Gold Orange 100mL/Box 1sl 1 14,600 16,060
20 CP Gold Strawberry 100mL/Box 1s 1 14,600 16,060
21 IMBOST SIRUP 60ML 1 30,200 33,220
22 FITKOM TAB FRUIT VIRGIE STROWBERY 30'S 30 17,500 19,250
23 DIAPET NR 25X4 100 56,200 61,820
24 LAXING 25X4 KAPSUL BOX 100 58,400 64,240
25 IMBOOST TABLET 50'S 50 150,400 165,440
26 DIAPET 100 KAPSUL NEW 100 39,900 43,890
27 LAXING KAPSUL @ 100 100 58,400 64,240