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Stok Per Tanggal 11 Januari 2022 PT.

KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 PRUNING
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 PRUNING
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 PRUNING
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 346 346 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 193 146 339 KIMIA FARMA
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 33,600 50 30 1,600 1,680 PHAPROS, PT
9 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 PRUNING
10 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 PRUNING
11 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 PRUNING
13 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 12 12 KIMIA FARMA
14 11002211 ALERGINE 5 MG/ 5 ML SIRUP BT 1 39,000 100 100 KIMIA FARMA
15 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 200 200 MOLEX AYUS, PT
16 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 141 141 MOLEX AYUS, PT
17 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 24 24 DARYA VARIA, PT
19 12008443 ALPARA KPL@150 MOL DUS 150 81,641 375 375 MOLEX AYUS, PT
20 13008405 ALPARA SYR 60ML MOL BT 1 9,546 21 21 MOLEX AYUS, PT
21 12008485 ALPHAMOL SYR 60ML MOL BT 1 7,300 300 300 MOLEX AYUS, PT
22 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS 100 35,000 170 170 KIMIA FARMA
23 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 83 83 KIMIA FARMA
24 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 12 12 PHAPROS, PT
25 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 520 44 564 KIMIA FARMA
28 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 0 20 KIMIA FARMA
30 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 5 5 PHAPROS, PT
31 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 1,390 3,429 170 4,989 KIMIA FARMA
32 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 25,000 1,000 1,000 KIMIA FARMA
33 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 538 538 PHAPROS, PT
38 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
39 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 5 PHAPROS, PT
40 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 268 268 PHAPROS, PT
41 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 553 240 793 KIMIA FARMA
44 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,344 1,344 KIMIA FARMA
45 11002117 ANTIFECT POVIDONE IODINE 15 ML BT 1 9,000 220 220 KIMIA FARMA
46 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
47 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
49 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 99 99 PHAPROS, PT
50 12005096 ANTIMO DEWASA TAB STR 720 243,648 13,680 13,680 PHAPROS, PT
51 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 20 20 PHAPROS, PT
52 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
53 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 5,553 5,553 BHINNEKA USADA RAYA
54 12010279 ARVEN CAP@30 (PYRIDAM) DUS 30 58,000 5 5 PYRIDAM, PT
56 12004756 ASEDAS SYRUP 60 ML (PYRIDAM) BT 1 43,000 27 27 PYRIDAM, PT
57 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 391 391 KIMIA FARMA
58 12000709 ASMASOLON TABLET @ 100 (UN) DUS 100 44,568 48 48 DARYA VARIA, PT
59 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 6 6 DARYA VARIA, PT
60 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 8 8 PRATAPA NIRMALA
61 11001586 ATORVASTATIN 10 MG DUS 30 35,000 441 441 KIMIA FARMA
62 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 34 34 DARYA VARIA, PT
63 11001587 ATORVASTATIN 20 MG DUS 30 52,500 131 131 KIMIA FARMA
64 11001588 ATORVASTATIN 40 MG DUS 30 70,000 81 81 KIMIA FARMA
65 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
66 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
67 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
68 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 897 897 BIO AXION HEALTHINDO, PT
69 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
70 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
71 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
72 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 932 932 BIO AXION HEALTHINDO, PT
73 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
74 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 610 610 BIO AXION HEALTHINDO, PT
75 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
76 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 133 133 BIO AXION HEALTHINDO, PT
77 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
78 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
79 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
80 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 518 518 BIO AXION HEALTHINDO, PT
81 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 428 428 BIO AXION HEALTHINDO, PT
82 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 238 238 BIO AXION HEALTHINDO, PT
83 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
84 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
85 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
86 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 29 29 BIO AXION HEALTHINDO, PT
87 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 81 127 BIO AXION HEALTHINDO, PT
88 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
89 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 584 584 BIO AXION HEALTHINDO, PT
90 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 494 - - - - 494 KIMIA FARMA
91 13022661 BECEFORT SYR 60ML BT 1 14,603 63 63 PHAPROS, PT
92 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 7,200 - 50 KIMIA FARMA
93 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 6 4 10 PHAPROS, PT
94 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 68 68 KIMIA FARMA
95 13011253 BETAMETASON CR 5GR GPH (PEHA) TUB 1 3,240 200 200 PHAPROS, PT
98 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 194 194 NUFARINDO, PT
99 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
100 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
101 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 287 287 BIO AXION HEALTHINDO, PT
102 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 15 15 DARYA VARIA, PT
104 13026576 BIORON TAB@100 DUS 100 101,650 53 53 PHAPROS, PT
105 12012264 BIOSALIVA (BIOFARMA) UNT 1 23,000 50 50 BIOFARMA
106 12006548 BIOSAVE ABU I VL 1 862,500 2 2 BIOFARMA
108 12000269 BISOLVON 8 MG TAB @ 100 TAB DUS 100 190,095 20 20 SANOFI AVENTIS
109 12000281 BISOLVON SOLUTION BT 1 77,200 21 21 SANOFI AVENTIS
111 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
112 12010616 BONEFILL ORTHO BT 1 1,350,000 9 9 PHAPROS, PT
113 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 335,000 17 17 PRATAPA NIRMALA
114 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 109 109 PRATAPA NIRMALA
115 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 2 2 DARYA VARIA, PT
116 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 25 25 SANOFI AVENTIS
117 12009839 CALCITRIOL 0,25 MCG @30 KPS (PEHA) DUS 30 67,680 17 17 PHAPROS, PT
119 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 70 70 KIMIA FARMA
121 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 29 29 PRATAPA NIRMALA
122 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 270,000 1 1 PRATAPA NIRMALA
123 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 5 5 PRATAPA NIRMALA
124 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,484 1,484 LUCAS DJAJA
125 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
127 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 42 42 KIMIA FARMA
128 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS 100 16,465 762 762 KIMIA FARMA
130 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
131 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
132 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 190 190 KIMIA FARMA
134 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 23 18 41 DARYA VARIA, PT
135 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 12 12 DARYA VARIA, PT
136 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
138 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS 10 60,000 1,374 30 1,404 PHAPROS, PT
139 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 22 22 CENDO, PT
140 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
141 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
142 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 41 41 CENDO, PT
143 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 50 50 CENDO, PT
144 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 186 186 CENDO, PT
145 12004104 CENDO CENFRESH MINIDOSE 5 X 0,6 ML STR 1 23,000 94 94 CENDO, PT
146 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
147 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 57 57 CENDO, PT
148 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 64 64 CENDO, PT
149 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 24 24 CENDO, PT
150 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 40 40 CENDO, PT
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
151 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 49 49 CENDO, PT
152 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 81 81 CENDO, PT
153 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
154 12004135 CENDO GENTA 0,3% EYE DROP 5 ML BT 1 28,375 47 47 CENDO, PT
155 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 95 95 CENDO, PT
156 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 3 3 CENDO, PT
157 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 4 4 CENDO, PT
158 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 127 127 CENDO, PT
159 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 40 40 CENDO, PT
160 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 99 99 CENDO, PT
161 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 25 25 CENDO, PT
162 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 12 12 CENDO, PT
163 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 19 19 CENDO, PT
164 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
165 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 30 30 CENDO, PT
166 12004148 CENDO LFX MINIDOSE 5 X 0,6 ML STR 1 69,000 61 61 CENDO, PT
167 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
168 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 591 591 CENDO, PT
169 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 97 97 CENDO, PT
170 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 91 91 CENDO, PT
171 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 29 29 CENDO, PT
172 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
173 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 14 14 CENDO, PT
174 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 5 5 CENDO, PT
175 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 80 80 CENDO, PT
176 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 34 34 CENDO, PT
177 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
178 13005497 CENDO P - PRED EYE DROP 5ML BT 1 55,500 49 49 CENDO, PT
179 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 5 5 CENDO, PT
180 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
181 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 10 10 CENDO, PT
182 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 97 97 CENDO, PT
183 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 54 54 CENDO, PT
184 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 8 8 CENDO, PT
185 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
186 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 89 89 CENDO, PT
187 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
188 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 27 27 CENDO, PT
189 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 25 25 CENDO, PT
190 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 1 1 CENDO, PT
191 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 57 57 CENDO, PT
192 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 22 22 CENDO, PT
193 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
194 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 45 45 CENDO, PT
195 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 25 25 CENDO, PT
196 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
197 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
198 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
199 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 42 42 CENDO, PT
200 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 24 24 CENDO, PT
201 12005164 CENDO VITAL TAB@30 DUS 30 90,000 14 14 CENDO, PT
202 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 1,961 1,961 CENDO, PT
203 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 140 140 CENDO, PT
204 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 85 85 CENDO, PT
205 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 43 43 BIOFARMA
206 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 926 50 976 KIMIA FARMA
208 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 20 20 KIMIA FARMA
209 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) TUB 1 11,500 475 20 KIMIA FARMA
213 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 493 170 663 NOVAPHARIN
214 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 2 PHAPROS, PT
216 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 259 259 KIMIA FARMA
217 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
218 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 135 135 MOLEX AYUS, PT
219 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 65 65 PHAPROS, PT
222 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 1,160 8 1,168 KIMIA FARMA
223 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 384 384 KIMIA FARMA
224 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 214 214 PHAPROS, PT
225 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 143 2 145 KIMIA FARMA
226 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 51 51 KIMIA FARMA
227 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 53 53 KIMIA FARMA
228 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
229 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 15 15 KIMIA FARMA
230 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
231 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
232 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
233 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
234 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 15 15 PHAPROS, PT
235 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
236 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 128 50 178 KIMIA FARMA
240 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 450 450 PYRIDAM, PT
243 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 24 24 DARYA VARIA, PT
244 12000772 DECOLSIN KAPSUL @ 100 (UN) DUS 100 53,000 39 39 DARYA VARIA, PT
245 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 24 24 DARYA VARIA, PT
247 13000718 DEXTAMIN TAB@100 DUS 100 140,250 18 18 PHAPROS, PT
248 13000720 DEXTAMINE 30X10'S DUS 300 413,618 105 105 PHAPROS, PT
249 13000719 DEXTAMINE SYRUP 60 ML BT 1 26,085 97 97 PHAPROS, PT
250 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 112 112 MOLEX AYUS, PT
251 11000049 DIAZEPAM 2 MG (BTL 100 TAB) BT 1 12,478 208 208 KIMIA FARMA
254 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 249 249 KIMIA FARMA
255 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,027 1,027 KIMIA FARMA
256 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 108 30 138 KIMIA FARMA
257 13002883 DIOS TAB@30 DUS 30 115,000 50 50 PHAPROS, PT
260 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
263 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 40 40 NUFARINDO, PT
264 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
265 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 58,760 84 84 KIMIA FARMA
266 12000289 DULCOLACTOL SYR 60 ML BT 1 59,010 78 78 SANOFI AVENTIS
267 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 56 56 SANOFI AVENTIS
268 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 288,518 38 38 SANOFI AVENTIS
269 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 141,398 45 45 SANOFI AVENTIS
270 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 18 18 SANOFI AVENTIS
271 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 1 1 JANSSEN PHARMACEUTICA NV
272 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 9 9 PRATAPA NIRMALA
273 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 113 113 DARYA VARIA, PT
274 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 40 40 DARYA VARIA, PT
275 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 355 355 KIMIA FARMA
276 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 14 14 KIMIA FARMA
277 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
278 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 15 15 KIMIA FARMA
279 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
280 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
281 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
282 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 34 34 KIMIA FARMA
284 12005678 EPSONAL 50MG TAB@100 (PYRIDAM) DUS 100 458,000 3 3 PYRIDAM, PT
285 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 179 5 184 KIMIA FARMA
286 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
287 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 184 184 KIMIA FARMA
288 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 1 1 KIMIA FARMA
290 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 5 5 PHAPROS, PT
291 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 133 133 KIMIA FARMA
293 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 8 8 PRATAPA NIRMALA
294 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 38 38 PRATAPA NIRMALA
295 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 140 140 PRATAPA NIRMALA
296 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 1 5 6 PRATAPA NIRMALA
297 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
298 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 15 15 PRATAPA NIRMALA
299 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
300 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 43,000 324 324 PRATAPA NIRMALA
301 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 53,000 435 435 PRATAPA NIRMALA
302 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 47 47 PRATAPA NIRMALA
303 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 142 142 PRATAPA NIRMALA
304 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 390,000 30 30 PRATAPA NIRMALA
305 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
306 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 135,000 37 37 PRATAPA NIRMALA
307 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
308 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
309 13019430 FEBRINEX SYR 60ML BT 1 12,612 25 25 PHAPROS, PT
311 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 18 18 PRATAPA NIRMALA
312 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 11 11 PRATAPA NIRMALA
313 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 56 56 PIRAMAL CRITICAL CARE LTD
314 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 597 597 KIMIA FARMA
315 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 450 450 PYRIDAM, PT
316 13004747 FEXAZOL CR 5GR MOL TUB 1 7,000 60 60 MOLEX AYUS, PT
318 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
319 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 85 85 KIMIA FARMA
320 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
321 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 515 515 KIMIA FARMA
322 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 84 84 KIMIA FARMA
323 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 325 325 KIMIA FARMA
324 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 614 614 KIMIA FARMA
325 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 226 226 KIMIA FARMA
326 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 113 113 KIMIA FARMA
327 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 488 488 KIMIA FARMA
328 11001784 FITUNO IMMUNE KIDS 60ML BOX 1 25,500 3 3 KIMIA FARMA
329 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 230 230 KIMIA FARMA
330 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 7 7 PRATAPA NIRMALA
331 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 21 21 PRATAPA NIRMALA
332 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 71 71 PRATAPA NIRMALA
333 12007662 FLUBIO VL 1 99,800 98 98 BIOFARMA
334 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 197 80 26 303 KIMIA FARMA
335 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
337 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
338 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
339 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 40 40 KIMIA FARMA
340 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 196 40 236 KIMIA FARMA
341 12004760 FUSON KRIM 5GR (PYRIDAM) TUB 1 48,000 7 7 PYRIDAM, PT
342 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 28 28 PRATAPA NIRMALA
343 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 10 KIMIA FARMA
344 12005178 GASTRUL TAB@30 (FAH) DUS 30 345,000 90 90 PRATAPA NIRMALA
345 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 98 98 PHAPROS, PT
346 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 70 70 KIMIA FARMA
347 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 100 100 PHAPROS, PT
349 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 175 175 KIMIA FARMA
350 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 539 539 KIMIA FARMA
351 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 367 367 KIMIA FARMA
352 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 742 18 760 KIMIA FARMA
353 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
354 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 889 3,037 3,926 KIMIA FARMA
355 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 243 243 PHAPROS, PT
357 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 29 29 PHAPROS, PT
358 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 29 29 PHAPROS, PT
359 12006958 HEPAGARD DUS #N/A 76,230 4 4 PHAPROS, PT
360 12005262 HEPA-Q CAP@30 (PYRIDAM) DUS 30 159,000 43 43 PYRIDAM, PT
361 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
362 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 130 205 335 KIMIA FARMA
364 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 74 74 PHAPROS, PT
365 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 71 71 PHAPROS, PT
366 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 167 167 NOVAPHARIN
367 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 100 1,983 NOVAPHARIN
368 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 775 35 810 NOVAPHARIN
369 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 3 3 NUFARINDO, PT
370 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 3 3 PHAPROS, PT
371 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 2 2 PHAPROS, PT
372 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 120 120 MOLEX AYUS, PT
373 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
374 12004320 INPEPSA SUSP 100ML (FAH) BT 1 60,000 525 525 PRATAPA NIRMALA
375 13005812 INPEPSA SUSP 200ML (FAH) BT 1 85,000 39 39 PRATAPA NIRMALA
376 12007335 INSTO REGULAR 15 ML DUS 1 16,100 297 297 COMBIPHAR, PT
377 12007334 INSTO REGULAR 7,5 ML DUS 1 10,600 669 669 COMBIPHAR, PT
378 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 1,230 540 1,770 PRATAPA NIRMALA
379 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BOX 1 48,818 31 31 KIMIA FARMA
380 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 37 2 40 KIMIA FARMA
381 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 5 5 KIMIA FARMA
382 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX 1 5,000 27 4 31 KIMIA FARMA
383 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
385 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
386 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,376 2,376 KIMIA FARMA
387 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 95 95 KIMIA FARMA
389 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
390 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 31 45 DARYA VARIA, PT
391 11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) DUS 25 4,000 12 12 KIMIA FARMA
392 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 108 108 NOVAPHARIN
393 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,376 1,376 KIMIA FARMA
394 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 259,091 3 3 KIMIA FARMA
395 11001995 KIFAMED TONGKAT KAKI EMPAT BERODA PC 1 290,909 2 2 KIMIA FARMA
396 11001994 KIFAMED TONGKAT KAKI EMPAT CABANG PC 1 95,454 2 2 KIMIA FARMA
397 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 145,455 2 2 KIMIA FARMA
398 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
399 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 1 1 KIMIA FARMA
400 11001914 KIFAMED TONGKAT KAKI SATU STANDARD PC 1 81,818 5 5 KIMIA FARMA
401 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
402 11000085 KIMOXIL 500 MG KAPLET DUS 100 268,000 30 30 KIMIA FARMA
403 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 1,323 1,323 KIMIA FARMA
404 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 18 18 KIMIA FARMA
405 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 54 54 PHAPROS, PT
406 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 94 94 PHAPROS, PT
409 13010687 LACTAFAR CAP@30 (FAH) DUS 30 120,000 6 6 PRATAPA NIRMALA
410 12006872 LANSOPRAZOLE 30MG CAP@20 NUF DUS 20 9,960 602 602 NUFARINDO, PT
411 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 423 20 443 KIMIA FARMA
413 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 58 58 MOLEX AYUS, PT
414 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
415 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 79 79 MOLEX AYUS, PT
416 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 130 2 11 4 147 PHAPROS, PT
417 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 3 2 30 35 PHAPROS, PT
418 13011163 LINCOMYCIN 500MG CAP@50 GPH (PEHA) DUS 50 88,200 5 5 PHAPROS, PT
420 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
422 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
423 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
424 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 60 60 MUSTIKA RATUBUANA INTERNATIONAL, PT
425 12013174 M RATU JAMU SELAPAN DUS DUS 1 209,875 6 6 MUSTIKA RATUBUANA INTERNATIONAL, PT
426 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
427 13027133 M RATU M ZAITUN 175ML BH 1 25,135 83 83 MUSTIKA RATUBUANA INTERNATIONAL, PT
428 13080387 M RATU MINYAK CEMCEMAN 175 ML BT 1 22,398 15 15 MUSTIKA RATUBUANA INTERNATIONAL, PT
429 13080410 M RATU MINYAK ZAITUN 75ML BT 1 14,932 80 80 MUSTIKA RATUBUANA INTERNATIONAL, PT
430 13080422 M RATU PASAK BUWONO CENG@2 KPL STR 2 5,060 40 40 MUSTIKA RATUBUANA INTERNATIONAL, PT
431 13021255 M RATU SLIMM TEA HONEY&LIME@15 BH 1 25,550 35 35 MUSTIKA RATUBUANA INTERNATIONAL, PT
432 12013149 M RATU SLIMMING TEA SIRSAK 2GR SACH@15 DUS 15 21,904 35 35 MUSTIKA RATUBUANA INTERNATIONAL, PT
433 13021257 M RATU SLIMMING TEA@15 BH 15 18,750 50 50 MUSTIKA RATUBUANA INTERNATIONAL, PT
434 13021258 M RATU SLIMMING TEA@30 BH 30 35,173 50 50 MUSTIKA RATUBUANA INTERNATIONAL, PT
435 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150ML BT 1 20,739 50 50 MUSTIKA RATUBUANA INTERNATIONAL, PT
436 11000329 MARCKS BEDAK CREME BOX 1 13,700 4 4 KIMIA FARMA
437 11000330 MARCKS BEDAK CREME 20gr BOX 1 23,700 8 8 KIMIA FARMA
438 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 9 9 KIMIA FARMA
439 11000332 MARCKS BEDAK INVISIBLE 40gr (New) BOX 1 13,700 8 8 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
441 11000336 MARCKS BEDAK PUTIH BOX 1 13,700 7 7 KIMIA FARMA
442 11000337 MARCKS BEDAK ROSE BOX 1 13,700 9 9 KIMIA FARMA
443 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
444 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
445 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
446 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
447 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 3 3 KIMIA FARMA
448 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
449 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 135 135 KIMIA FARMA
450 11001981 MARCKS' TEENS ACNE EXPERT FACE WASH BOX 1 13,200 1 1 KIMIA FARMA
451 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 212 212 KIMIA FARMA
452 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 37 37 KIMIA FARMA
453 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 53 53 KIMIA FARMA
454 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 2 2 KIMIA FARMA
455 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 12 12 KIMIA FARMA
456 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 17 17 KIMIA FARMA
457 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 12 12 KIMIA FARMA
458 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 25 25 KIMIA FARMA
459 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 23 23 KIMIA FARMA
460 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 20 20 KIMIA FARMA
461 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 413 413 PHAPROS, PT
462 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
463 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
464 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 7 7 DARYA VARIA, PT
465 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 391 391 PT. LIKUID PHARMALAB INDONESIA
466 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
467 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 142 142 PT. LIKUID PHARMALAB INDONESIA
468 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 467 467 PT. LIKUID PHARMALAB INDONESIA
469 12008458 MELOCID TAB@50 MOL DUS 50 30,000 5 5 MOLEX AYUS, PT
473 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 77 1 78 PRATAPA NIRMALA
474 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 1,580 1,580 KIMIA FARMA
475 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
477 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 102 102 PHAPROS, PT
478 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 56 56 PHAPROS, PT
479 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 9 9 PHAPROS, PT
483 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 47 65 112 KIMIA FARMA
484 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 632 50 12 694 KIMIA FARMA
485 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 107 107 PHAPROS, PT
486 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 32,813 785 785 KIMIA FARMA
490 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 PRUNING
491 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 12 108 120 KIMIA FARMA
492 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 2 2 MOLEX AYUS, PT
493 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 139 199 338 MOLEX AYUS, PT
494 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 41 41 MOLEX AYUS, PT
495 12008468 MOLEXFLU KPL@150 MOL DUS 150 47,271 90 90 MOLEX AYUS, PT
496 13002451 MONECTO 20MG TAB@30 (FAH) DUS 1 81,000 10 10 PRATAPA NIRMALA
497 11001043 MORFINA 10 MG/ML INJEKSI (IMPOR) DUS 10 309,545 140 140 KIMIA FARMA
498 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
499 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
500 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
501 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 5 2 7 PHAPROS, PT
502 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
503 12005179 N ACE CAP@30 (FAH) DUS 1 78,000 295 200 495 PRATAPA NIRMALA
507 11000108 NATRIUM DIKLOFENAK 50 MG (DUS 50 TAB) DUS 50 18,346 276 276 KIMIA FARMA
508 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 68 68 DARYA VARIA, PT
509 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 69 69 DARYA VARIA, PT
510 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 60 60 DARYA VARIA, PT
511 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 70 70 DARYA VARIA, PT
512 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 129 129 DARYA VARIA, PT
513 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 33 33 DARYA VARIA, PT
514 12000832 NATUR E HBL 100 ML BT 1 10,424 6 6 DARYA VARIA, PT
515 12000833 NATUR E HBL 245 ML BT 1 20,913 23 23 DARYA VARIA, PT
516 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 100 100 DARYA VARIA, PT
517 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 56,496 10 10 DARYA VARIA, PT
518 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 113 113 DARYA VARIA, PT
519 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 160 82 242 DARYA VARIA, PT
520 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 4 4 DARYA VARIA, PT
521 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
522 12005687 NEURAXON 5000 KPL@100 (PYRIDAM) DUS 100 282,000 24 24 PYRIDAM, PT
523 11001795 NEUROVIT- E TSG DUS 25 x 4 Tab DUS 100 286,400 56 56 KIMIA FARMA
526 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 17 17 DARYA VARIA, PT
527 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 20,016 250 250 KIMIA FARMA
528 12000840 NIFURAL SYR BT 1 60,300 51 51 DARYA VARIA, PT
529 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
530 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 798 798 SINAR RODA UTAMA, PT
531 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 2,750 2,775 SINAR RODA UTAMA, PT
532 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,342 8,342 SINAR RODA UTAMA, PT
533 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,481 4,481 SINAR RODA UTAMA, PT
535 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 4,500 - - - 4,500 SINAR RODA UTAMA, PT
536 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 1,170 100 5 105 SINAR RODA UTAMA, PT
537 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,236 6,236 SINAR RODA UTAMA, PT
539 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 518 19 10 547 PHAPROS, PT
540 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 75 184 259 KIMIA FARMA
541 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 81 60 141 KIMIA FARMA
542 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
543 12012229 NOSTROK 10MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
544 12012230 NOSTROK 15MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
547 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 8 8 NUFARINDO, PT
548 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 22 22 NUFARINDO, PT
549 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 5 5 NUFARINDO, PT
551 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 429 242 671 PHAPROS, PT
552 12008469 OBH 60ML MOL BT 1 5,000 127 127 MOLEX AYUS, PT
553 12004244 OBH COMBI BATUK BERDAHAK MENTHOL 100 ML BT 1 10,300 857 857 COMBIPHAR, PT
554 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 30 30 COMBIPHAR, PT
555 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 28 28 COMBIPHAR, PT
556 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 174 174 COMBIPHAR, PT
557 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 245 245 COMBIPHAR, PT
558 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 273 273 COMBIPHAR, PT
559 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 193 193 COMBIPHAR, PT
560 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
561 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 55 55 COMBIPHAR, PT
562 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 124 124 COMBIPHAR, PT
563 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 52,900 14 14 DARYA VARIA, PT
564 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
567 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 311 311 DARYA VARIA, PT
568 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 266 598 150 1,014 PHAPROS, PT
569 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
570 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 185 185 KIMIA FARMA
572 12005270 OSTEOR PLUS KPL@30 (PYRIDAM) DUS 30 256,000 1 1 PYRIDAM, PT
573 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
574 13005119 OSTRIOL CAP@30 (FAH) BT 1 150,000 5 5 PRATAPA NIRMALA
575 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 PRUNING
576 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 93 290 4 387 KIMIA FARMA
577 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
578 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 198 198 KIMIA FARMA
579 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 637 637 DARYA VARIA, PT
580 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 38 38 KIMIA FARMA
582 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 20 20 DARYA VARIA, PT
583 12007337 PEDITOX 1% 50 ML BT 1 7,000 969 969 COMBIPHAR, PT
584 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 237 237 PHAPROS, PT
587 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
588 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 200 200 KIMIA FARMA
589 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
590 12000315 PHARMATHON FORMULA @ 50 CAPS DUS 50 200,682 39 39 SANOFI AVENTIS
591 12000318 PHARMATON VIT KAPLET DUS 50 199,367 91 91 SANOFI AVENTIS
592 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 124 19 143 PHAPROS, PT
593 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
594 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
595 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 38 34 87 PHAPROS, PT
596 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 539 539 KIMIA FARMA
598 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS 100 15,968 635 635 KIMIA FARMA
599 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 350 350 KIMIA FARMA
600 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 49 49 PRATAPA NIRMALA
601 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 260,000 9 9 PRATAPA NIRMALA
602 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 158 158 PRATAPA NIRMALA
603 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 86 86 MOLEX AYUS, PT
604 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 80 80 MOLEX AYUS, PT
605 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 86 86 PHAPROS, PT
606 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 33 33 PHAPROS, PT
607 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 75 75 PHAPROS, PT
608 13001143 PRO TB2 TAB@28 DUS 28 184,450 45 45 PHAPROS, PT
610 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
613 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
614 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 698 50 748 KIMIA FARMA
617 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 479 479 KIMIA FARMA
618 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
619 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 754 532 635 1,921 KIMIA FARMA
620 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS 100 27,600 95 1,939 2,034 PHAPROS, PT
622 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 12 12 PRATAPA NIRMALA
623 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 150,000 60 60 PRATAPA NIRMALA
624 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 3 3 NUFARINDO, PT
625 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
626 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 18 18 PRATAPA NIRMALA
627 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 2 2 PRATAPA NIRMALA
628 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 3 3 PRATAPA NIRMALA
629 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 2 7 9 KIMIA FARMA
632 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 185 185 KIMIA FARMA
633 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 185 185 KIMIA FARMA
634 12009907 RISTONAT @4 TAB DUS 4 290,000 30 30 PHAPROS, PT
635 12008474 RIVANOL 100ML MOL BT 1 4,000 571 571 MOLEX AYUS, PT
636 12008475 RIVANOL 300ML MOL BT 1 9,000 503 503 MOLEX AYUS, PT
637 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 224 224 KIMIA FARMA
638 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 165 165 KIMIA FARMA
639 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 243 243 KIMIA FARMA
640 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 201 201 KIMIA FARMA
641 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 46 46 KIMIA FARMA
642 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 47 47 KIMIA FARMA
643 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 2,038 2,038 KIMIA FARMA
644 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1,114 915 2,029 KIMIA FARMA
646 11000923 SALICYL FRESH 60GR Kemasan baru BOX 1 12,380 11 11 KIMIA FARMA
647 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 440,000 43 43 PRATAPA NIRMALA
648 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
649 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 5 5 PRATAPA NIRMALA
651 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 71 66 137 KIMIA FARMA
652 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 51 51 PHAPROS, PT
654 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
655 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
656 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 23 23 DARYA VARIA, PT
658 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 49 49 PHAPROS, PT
659 12009811 SULFADIAZINE SILVER 35GR (DVRS) DUS 1 18,818 17 830 847 DARYA VARIA, PT
660 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
661 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 44 44 DARYA VARIA, PT
662 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 16 16 DARYA VARIA, PT
664 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 4 4 NUFARINDO, PT
665 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
666 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
667 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 47 47 PHAPROS, PT
668 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 35 35 PHAPROS, PT
669 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 3 3 PHAPROS, PT
670 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
671 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
672 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
674 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 6 6 MOLEX AYUS, PT
675 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 76 76 MOLEX AYUS, PT
676 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
677 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 10 10 KIMIA FARMA
678 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 660,000 9 9 PRATAPA NIRMALA
679 13006433 TRACETATE SUSP 200ML (FAH) BT 1 390,000 15 15 PRATAPA NIRMALA
680 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 43 43 PRATAPA NIRMALA
682 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 100 100 KIMIA FARMA
683 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
684 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 154 154 BIOFARMA
685 13026424 UMARONE INJ 2ML (FAH) VL 1 175,000 181 181 PRATAPA NIRMALA
686 12000885 URDAFALK 250 MG CAPS DUS 30 300,000 13 13 DARYA VARIA, PT
687 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 879 879 PRUNING
689 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 PRUNING
690 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,100 2,100 PRUNING
691 11000292 VAGIZOLE OVULA DUS 5 55,000 39 39 KIMIA FARMA
692 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
693 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
694 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
695 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 245 245 KIMIA FARMA
696 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 124 124 KIMIA FARMA
697 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 99 99 PRATAPA NIRMALA
698 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 107 30 137 PRATAPA NIRMALA
699 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 160 160 PRATAPA NIRMALA
700 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 33 33 PRATAPA NIRMALA
701 13010157 VENODENOL 3% INJ AMP@5 (FAH) DUS 5 750,000 47 47 PRATAPA NIRMALA
702 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
703 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 21.444 21 KIMIA FARMA
704 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 28 28 KIMIA FARMA
705 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
706 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 20 20 KIMIA FARMA
707 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
708 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 2 2 KIMIA FARMA
709 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
710 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 6 6 KIMIA FARMA
711 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
712 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
713 11000368 VENUS FACIAL WASH 100ml DUS 1 22,091 4 4 KIMIA FARMA
714 11000369 VENUS FACIAL WASH 50ml DUS 1 12,000 4 4 KIMIA FARMA
715 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
716 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
717 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 8 8 KIMIA FARMA
718 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
719 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 20 20 KIMIA FARMA
720 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 5 5 KIMIA FARMA
721 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
722 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
723 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
724 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
725 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
726 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
727 11001143 VENUS SOFT MATTE LIPCREAM NO.1 DUS 1 38,389 11 11 KIMIA FARMA
728 11001145 VENUS SOFT MATTE LIPCREAM NO.3 DUS 1 38,389 12 12 KIMIA FARMA
729 11001147 VENUS SOFT MATTE LIPCREAM NO.5 DUS 1 38,389 20 20 KIMIA FARMA
730 11001150 VENUS SOFT MATTE LIPCREAM NO.8 DUS 1 38,389 10 10 KIMIA FARMA
731 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 20 20 KIMIA FARMA
732 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 21 21 KIMIA FARMA
733 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 34 34 KIMIA FARMA
734 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 9 9 KIMIA FARMA
735 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 10 10 KIMIA FARMA
736 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
737 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
738 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 100 100 KIMIA FARMA
739 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 36 36 KIMIA FARMA
740 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 24 24 KIMIA FARMA
741 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
742 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
743 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
744 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
745 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
746 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
747 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
748 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
749 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
750 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
751 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
752 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
753 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
754 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
755 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
756 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
757 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
758 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
759 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
760 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
761 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
762 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
763 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 166 166 DARYA VARIA, PT
764 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 121 121 DARYA VARIA, PT
765 12000888 VICEE ORANGE TAB @ 100 (UN) DUS 100 57,173 123 123 DARYA VARIA, PT
766 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 18 18 PRATAPA NIRMALA
767 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 20 20 PHAPROS, PT
769 11000487 VITAMIN B KOMPLEKS(SUPLEMEN)(DUS100TAB) DUS 100 12,917 17 17 KIMIA FARMA
770 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 363 363 KIMIA FARMA
771 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 13 54 67 KIMIA FARMA
775 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 15,036 100 100 KIMIA FARMA
776 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,200 206 206 KIMIA FARMA
777 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 334 334 PHAPROS, PT
778 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 63 63 PHAPROS, PT
779 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 30 30 PRATAPA NIRMALA
780 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 4 4 NUFARINDO, PT
782 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 423 423 KIMIA FARMA

NB :
* Tahun 2022 Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 30 Desember 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 346 346 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 193 146 339 KIMIA FARMA
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS #N/A #N/A 30 1,600 1,630 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 25 105,000 2 2 PHAPROS, PT
9 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 12 20 KIMIA FARMA
10 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
11 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
12 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
13 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
14 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 12 12 KIMIA FARMA
15 11002211 ALERGINE 5 MG/ 5 ML SIRUP BT 1 39,000 100 100 KIMIA FARMA
16 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 141 141 MOLEX AYUS, PT
17 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 24 24 DARYA VARIA, PT
18 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 48 48 KIMIA FARMA
19 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
20 12008443 ALPARA KPL@150 MOL DUS 150 81,641 375 375 MOLEX AYUS, PT
21 13008405 ALPARA SYR 60ML MOL BT 1 9,546 27 27 MOLEX AYUS, PT
22 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS 100 35,000 170 170 KIMIA FARMA
23 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 95 95 KIMIA FARMA
24 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 12 12 PHAPROS, PT
25 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 44 44 KIMIA FARMA
26 12005598 AMBROXOL 30MG TAB@100 (NOVA) DUS #N/A #N/A 1,879 1,879 NOVAPHARIN
27 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
28 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 0 20 KIMIA FARMA
29 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 1 1 KIMIA FARMA
30 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 55 55 PHAPROS, PT
31 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 504 5,613 170 6,287 KIMIA FARMA
32 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 528 528 PHAPROS, PT
33 12011452 AMOXICILIN DRY SYRUP 125MG/5ML (MERSI) BT #N/A #N/A 1,000 1,000 MERSIFARMA
34 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS 100 37,809 36 36 KIMIA FARMA
35 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT #N/A #N/A 500 500 MERSIFARMA
36 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
37 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 5 PHAPROS, PT
38 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 268 268 PHAPROS, PT
39 12012158 ANTASIDA DOEN @60 ML (AFI) BT #N/A #N/A 1,000 1,000 PT AFIFARMA
40 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 674 240 914 KIMIA FARMA
41 12008528 ANTASIDA DOEN TAB MERSI DUS #N/A #N/A 250 250 MERSIFARMA
42 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
43 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
44 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 13 13 KIMIA FARMA
45 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,410 1,410 KIMIA FARMA
46 11002117 ANTIFECT POVIDONE IODINE 15 ML BT 1 9,000 220 220 KIMIA FARMA
47 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
48 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
49 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 166 90 256 KIMIA FARMA
50 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 101 101 PHAPROS, PT
51 12005096 ANTIMO DEWASA TAB STR 720 243,648 13,752 13,752 PHAPROS, PT
52 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 20 20 PHAPROS, PT
53 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
54 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 7,765 7,765 BHINNEKA USADA RAYA
55 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 150 150 NOVAPHARIN
56 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 116 116 KIMIA FARMA
57 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 6 6 DARYA VARIA, PT
58 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 8 8 PRATAPA NIRMALA
59 11001586 ATORVASTATIN 10 MG DUS 30 35,000 442 442 KIMIA FARMA
60 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 34 34 DARYA VARIA, PT
61 11001587 ATORVASTATIN 20 MG DUS 30 52,500 137 137 KIMIA FARMA
62 12009723 ATORVASTATIN 20 MG @ 100 TAB (DVRS) DUS 100 115,000 60 60 DARYA VARIA, PT
63 11001588 ATORVASTATIN 40 MG DUS 30 70,000 83 83 KIMIA FARMA
64 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
65 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
66 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
67 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 897 897 BIO AXION HEALTHINDO, PT
68 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
69 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
70 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
71 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 932 932 BIO AXION HEALTHINDO, PT
72 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
73 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 610 610 BIO AXION HEALTHINDO, PT
74 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
75 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 133 133 BIO AXION HEALTHINDO, PT
76 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
77 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
78 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
79 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 518 518 BIO AXION HEALTHINDO, PT
80 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 428 428 BIO AXION HEALTHINDO, PT
81 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 238 238 BIO AXION HEALTHINDO, PT
82 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
83 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
84 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
85 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 29 29 BIO AXION HEALTHINDO, PT
86 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 81 127 BIO AXION HEALTHINDO, PT
87 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
88 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 584 584 BIO AXION HEALTHINDO, PT
89 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 655 - - - - 655 KIMIA FARMA
90 13022661 BECEFORT SYR 60ML BT 1 14,603 63 63 PHAPROS, PT
91 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 6 4 10 PHAPROS, PT
92 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 105 120 0 225 KIMIA FARMA
93 11000385 BETASON CREAM (TUBE 5 GRAM) DUS #N/A #N/A 25 25 KIMIA FARMA
94 11000384 BETASON N CREAM (TUBE 5 GRAM) TUB 1 13,475 564 24 KIMIA FARMA
95 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 194 194 NUFARINDO, PT
96 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
97 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
98 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 295 295 BIO AXION HEALTHINDO, PT
99 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 15 15 DARYA VARIA, PT
100 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
101 13026576 BIORON TAB@100 DUS 100 101,650 53 53 PHAPROS, PT
102 12012264 BIOSALIVA (BIOFARMA) UNT 1 23,000 50 50 BIOFARMA
103 12012222 BISACODYL 5MG TAB@100 DUS #N/A #N/A 31 612 643 HARSEN LABORATORIES, PT
104 12000269 BISOLVON 8 MG TAB @ 100 TAB DUS 100 190,095 20 20 SANOFI AVENTIS
105 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 9 9 SANOFI AVENTIS
106 12000281 BISOLVON SOLUTION BT 1 77,200 21 21 SANOFI AVENTIS
107 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
108 12010616 BONEFILL ORTHO BT 1 1,350,000 10 10 PHAPROS, PT
109 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 335,000 17 17 PRATAPA NIRMALA
110 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 125 125 PRATAPA NIRMALA
111 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 2 2 DARYA VARIA, PT
112 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 27 27 SANOFI AVENTIS
113 12009839 CALCITRIOL 0,25 MCG @30 KPS (PEHA) DUS 30 67,680 18 166 184 PHAPROS, PT
114 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 119 119 PHAPROS, PT
115 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 79 79 KIMIA FARMA
116 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 29 29 MERSIFARMA
117 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 34 34 PRATAPA NIRMALA
118 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 270,000 1 1 PRATAPA NIRMALA
119 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 5 5 PRATAPA NIRMALA
120 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,484 1,484 LUCAS DJAJA
121 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
122 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 289 289 PHAPROS, PT
123 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 252 252 KIMIA FARMA
124 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS 100 16,465 829 829 KIMIA FARMA
125 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
126 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
127 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
128 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 1 1 KIMIA FARMA
129 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
130 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 23 18 41 DARYA VARIA, PT
131 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
132 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
133 13011599 CEFTRIAXONE 1GR VIAL@2 GHX DUS #N/A #N/A 3,000 3,000 PIHAK 3
134 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS 10 60,000 731 30 761 PHAPROS, PT
135 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 23 23 CENDO, PT
136 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
137 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
138 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 41 41 CENDO, PT
139 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 50 50 CENDO, PT
140 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 186 186 CENDO, PT
141 12004104 CENDO CENFRESH MINIDOSE 5 X 0,6 ML STR 1 23,000 98 98 CENDO, PT
142 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
143 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 57 57 CENDO, PT
144 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 64 64 CENDO, PT
145 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 24 24 CENDO, PT
146 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 635 635 CENDO, PT
147 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
148 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 52 52 CENDO, PT
149 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 81 81 CENDO, PT
150 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
151 12004135 CENDO GENTA 0,3% EYE DROP 5 ML BT 1 28,375 47 47 CENDO, PT
152 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 101 101 CENDO, PT
153 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 6 6 CENDO, PT
154 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 4 4 CENDO, PT
155 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 127 127 CENDO, PT
156 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
157 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 99 99 CENDO, PT
158 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 25 25 CENDO, PT
159 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
160 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 19 19 CENDO, PT
161 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
162 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 30 30 CENDO, PT
163 12004148 CENDO LFX MINIDOSE 5 X 0,6 ML STR 1 69,000 61 61 CENDO, PT
164 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
165 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 591 591 CENDO, PT
166 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 101 101 CENDO, PT
167 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
168 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 29 29 CENDO, PT
169 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
170 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 17 17 CENDO, PT
171 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 8 8 CENDO, PT
172 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 80 80 CENDO, PT
173 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
174 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
175 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
176 13005497 CENDO P - PRED EYE DROP 5ML BT 1 55,500 49 49 CENDO, PT
177 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
178 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
179 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 10 10 CENDO, PT
180 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 100 100 CENDO, PT
181 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 54 54 CENDO, PT
182 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 8 8 CENDO, PT
183 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
184 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
185 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
186 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 27 27 CENDO, PT
187 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 25 25 CENDO, PT
188 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 4 4 CENDO, PT
189 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 61 61 CENDO, PT
190 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 22 22 CENDO, PT
191 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
192 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 47 47 CENDO, PT
193 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 25 25 CENDO, PT
194 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
195 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
196 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
197 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 42 42 CENDO, PT
198 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 24 24 CENDO, PT
199 12005164 CENDO VITAL TAB@30 DUS 30 90,000 14 14 CENDO, PT
200 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 905 905 CENDO, PT
201 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 141 141 CENDO, PT
202 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 100 100 CENDO, PT
203 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 43 43 BIOFARMA
204 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 931 50 981 KIMIA FARMA
205 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
206 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 3 3 KIMIA FARMA
207 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 0 0 KIMIA FARMA
208 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 180 195 KIMIA FARMA
209 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
210 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 516 170 686 NOVAPHARIN
211 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
212 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
213 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 260 260 KIMIA FARMA
214 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
215 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 135 135 MOLEX AYUS, PT
216 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 65 65 PHAPROS, PT
217 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
218 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
219 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 194 194 KIMIA FARMA
220 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 1,163 119 1,282 KIMIA FARMA
221 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 389 389 KIMIA FARMA
222 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 145 2 147 KIMIA FARMA
223 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
224 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 53 53 KIMIA FARMA
225 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
226 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 15 15 KIMIA FARMA
227 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
228 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
229 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
230 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
231 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 15 15 PHAPROS, PT
232 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
233 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 128 50 178 KIMIA FARMA
234 12008509 COTRIMOXAZOLE SUS MERSI BT #N/A #N/A 1,000 1,000 MERSIFARMA
235 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 300 300 MERSIFARMA
236 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 0 1 LUCAS DJAJA
237 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 450 450 PYRIDAM, PT
238 12005932 D5 - MJB 500 ML BT 1 6,694 176 176 EMJEBE PHARMA , PT
239 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 101 101 DARYA VARIA, PT
240 12007305 DECATONA 30 MG KAPSUL BT #N/A #N/A 15 15 HARSEN LABORATORIES, PT
241 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 25 25 DARYA VARIA, PT
242 12000772 DECOLSIN KAPSUL @ 100 (UN) DUS 100 53,000 40 40 DARYA VARIA, PT
243 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 24 24 DARYA VARIA, PT
244 11000182 DEXAMETHASONE 0.5 MG (DUS 100 TAB) DUS 100 14,843 265 265 KIMIA FARMA
245 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 77 68 40 10 195 PHAPROS, PT
246 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
247 13000718 DEXTAMIN TAB@100 DUS 100 140,250 19 19 PHAPROS, PT
248 13000720 DEXTAMINE 30X10'S DUS 300 413,618 113 113 PHAPROS, PT
249 13000719 DEXTAMINE SYRUP 60 ML BT 1 26,085 140 140 PHAPROS, PT
250 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 124 124 MOLEX AYUS, PT
251 11000049 DIAZEPAM 2 MG (BTL 100 TAB) BT 1 12,478 211 211 KIMIA FARMA
252 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 5 5 MERSIFARMA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
253 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 22 22 MEPROFARM
254 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 249 249 KIMIA FARMA
255 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,027 1,027 KIMIA FARMA
256 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 108 30 138 KIMIA FARMA
257 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 54,000 20 20 PHAPROS, PT
258 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
259 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
260 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
261 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT #N/A #N/A 1,500 1,500 PT AFIFARMA
262 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
263 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
264 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 40 40 NUFARINDO, PT
265 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
266 12000289 DULCOLACTOL SYR 60 ML BT 1 59,010 80 80 SANOFI AVENTIS
267 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 57 57 SANOFI AVENTIS
268 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 288,518 39 39 SANOFI AVENTIS
269 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 141,398 45 45 SANOFI AVENTIS
270 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 18 18 SANOFI AVENTIS
271 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 5 5 JANSSEN PHARMACEUTICA NV
272 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 9 9 PRATAPA NIRMALA
273 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 113 113 DARYA VARIA, PT
274 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 40 40 DARYA VARIA, PT
275 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 121 121 KIMIA FARMA
276 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 14 14 KIMIA FARMA
277 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
278 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
279 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
280 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
281 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
282 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
283 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 46 46 KIMIA FARMA
284 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 12 12 PHAPROS, PT
285 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 179 5 184 KIMIA FARMA
286 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
287 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 184 184 KIMIA FARMA
288 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
289 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 4 4 KIMIA FARMA
290 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
291 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 434 434 HOLI PHARMA
292 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 5 5 PHAPROS, PT
293 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 138 138 KIMIA FARMA
294 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 8 0 9 KIMIA FARMA
295 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 8 8 PRATAPA NIRMALA
296 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 38 38 PRATAPA NIRMALA
297 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 140 140 PRATAPA NIRMALA
298 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 1 5 6 PRATAPA NIRMALA
299 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
300 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 15 15 PRATAPA NIRMALA
301 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
302 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 43,000 339 339 PRATAPA NIRMALA
303 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 53,000 436 436 PRATAPA NIRMALA
304 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 47 47 PRATAPA NIRMALA
305 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 142 142 PRATAPA NIRMALA
306 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 390,000 30 30 PRATAPA NIRMALA
307 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
308 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 135,000 37 37 PRATAPA NIRMALA
309 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
310 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
311 13019430 FEBRINEX SYR 60ML BT 1 12,612 25 25 PHAPROS, PT
312 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
313 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 22 22 PRATAPA NIRMALA
314 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 11 11 PRATAPA NIRMALA
315 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 94 62 156 PIRAMAL CRITICAL CARE LTD
316 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 170,000 56 56 MAHAKAM BETA FARMA
317 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 597 597 KIMIA FARMA
318 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 450 450 PYRIDAM, PT
319 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
320 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
321 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 85 85 KIMIA FARMA
322 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
323 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 515 515 KIMIA FARMA
324 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 79 79 KIMIA FARMA
325 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 326 326 KIMIA FARMA
326 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 614 614 KIMIA FARMA
327 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 231 231 KIMIA FARMA
328 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 113 113 KIMIA FARMA
329 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 488 488 KIMIA FARMA
330 11001784 FITUNO IMMUNE KIDS 60ML BOX 1 25,500 3 3 KIMIA FARMA
331 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 230 230 KIMIA FARMA
332 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 21 21 PRATAPA NIRMALA
333 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 71 71 PRATAPA NIRMALA
334 12007662 FLUBIO VL 1 99,800 98 98 BIOFARMA
335 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 284 1,484 26 1,794 KIMIA FARMA
336 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
337 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
338 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
339 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
340 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 40 40 KIMIA FARMA
341 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 335 40 375 KIMIA FARMA
342 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 78 78 PRATAPA NIRMALA
343 12005178 GASTRUL TAB@30 (FAH) DUS 30 345,000 100 100 PRATAPA NIRMALA
344 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 98 98 PHAPROS, PT
345 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 170 170 KIMIA FARMA
346 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 113 113 PHAPROS, PT
347 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 610 620 PHAPROS, PT
348 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 192 192 KIMIA FARMA
349 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 431 431 KIMIA FARMA
350 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 367 367 KIMIA FARMA
351 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 782 18 800 KIMIA FARMA
352 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
353 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 392 429 KIMIA FARMA
354 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 389 3,282 460 4,131 KIMIA FARMA
355 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 244 244 PHAPROS, PT
356 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,367 1,367 KIMIA FARMA
357 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A #N/A 250 250 NOVAPHARIN
358 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
359 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
360 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 29 29 PHAPROS, PT
361 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 29 29 PHAPROS, PT
362 12006958 HEPAGARD DUS #N/A 76,230 6 6 PHAPROS, PT
363 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
364 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 151 205 356 KIMIA FARMA
365 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 1 449 46 495 KIMIA FARMA
366 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 74 74 PHAPROS, PT
367 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 221 221 PHAPROS, PT
368 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 169 169 NOVAPHARIN
369 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 100 1,983 NOVAPHARIN
370 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 833 35 868 NOVAPHARIN
371 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 3 3 NUFARINDO, PT
372 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 3 3 PHAPROS, PT
373 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 2 2 PHAPROS, PT
374 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
375 12004320 INPEPSA SUSP 100ML (FAH) BT 1 60,000 597 597 PRATAPA NIRMALA
376 13005812 INPEPSA SUSP 200ML (FAH) BT 1 85,000 45 45 PRATAPA NIRMALA
377 12007335 INSTO REGULAR 15 ML DUS 1 16,100 297 297 COMBIPHAR, PT
378 12007334 INSTO REGULAR 7,5 ML DUS 1 10,600 671 671 COMBIPHAR, PT
379 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 1,230 540 1,770 PRATAPA NIRMALA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
380 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BOX 1 48,818 10 10 KIMIA FARMA
381 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 37 2 40 KIMIA FARMA
382 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 5 5 KIMIA FARMA
383 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX 1 5,000 27 4 31 KIMIA FARMA
384 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
385 12012203 ISOFLURANE INHALASI 100ML (MERSI) DUS #N/A #N/A 5 5 MERSIFARMA
386 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
387 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,376 2,376 KIMIA FARMA
388 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 189 189 KIMIA FARMA
389 12001249 IVANES 100 MG / 10 ML VL 1 - 163 163 IKAPHARMINDO
390 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
391 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 31 45 DARYA VARIA, PT
392 11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) DUS 25 4,000 13 13 KIMIA FARMA
393 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 115 115 NOVAPHARIN
394 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,402 1,402 KIMIA FARMA
395 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 259,091 3 3 KIMIA FARMA
396 11001995 KIFAMED TONGKAT KAKI EMPAT BERODA PC 1 290,909 2 2 KIMIA FARMA
397 11001994 KIFAMED TONGKAT KAKI EMPAT CABANG PC 1 95,454 2 2 KIMIA FARMA
398 11001914 KIFAMED TONGKAT KAKI SATU STANDARD PC 1 81,818 5 5 KIMIA FARMA
399 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
400 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 753 753 KIMIA FARMA
401 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 18 18 KIMIA FARMA
402 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 56 56 PHAPROS, PT
403 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 101 101 PHAPROS, PT
404 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS #N/A #N/A 267 267 KIMIA FARMA
405 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
406 13010687 LACTAFAR CAP@30 (FAH) DUS 30 120,000 11 11 PRATAPA NIRMALA
407 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 424 20 444 KIMIA FARMA
408 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 27 27 MEPROFARM
409 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 58 58 MOLEX AYUS, PT
410 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
411 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 79 79 MOLEX AYUS, PT
412 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 133 2 56 9 200 PHAPROS, PT
413 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 22 2 24 PHAPROS, PT
414 13011163 LINCOMYCIN 500MG CAP@50 GPH (PEHA) DUS 50 88,200 5 5 PHAPROS, PT
415 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 25 346 371 IFARS PHARMACEUTICAL, PT
416 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
417 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
418 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
419 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
420 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 60 60 MUSTIKA RATUBUANA INTERNATIONAL, PT
421 12013174 M RATU JAMU SELAPAN DUS DUS 1 209,875 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
422 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
423 13027133 M RATU M ZAITUN 175ML BH 1 25,135 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
424 13080387 M RATU MINYAK CEMCEMAN 175 ML BT 1 22,398 15 15 MUSTIKA RATUBUANA INTERNATIONAL, PT
425 13080410 M RATU MINYAK ZAITUN 75ML BT 1 14,932 100 100 MUSTIKA RATUBUANA INTERNATIONAL, PT
426 13080422 M RATU PASAK BUWONO CENG@2 KPL STR 2 5,060 40 40 MUSTIKA RATUBUANA INTERNATIONAL, PT
427 13021255 M RATU SLIMM TEA HONEY&LIME@15 BH 1 25,550 35 35 MUSTIKA RATUBUANA INTERNATIONAL, PT
428 12013149 M RATU SLIMMING TEA SIRSAK 2GR SACH@15 DUS 15 21,904 35 35 MUSTIKA RATUBUANA INTERNATIONAL, PT
429 13021257 M RATU SLIMMING TEA@15 BH 15 18,750 50 50 MUSTIKA RATUBUANA INTERNATIONAL, PT
430 13021258 M RATU SLIMMING TEA@30 BH 30 35,173 50 50 MUSTIKA RATUBUANA INTERNATIONAL, PT
431 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150ML BT 1 20,739 50 50 MUSTIKA RATUBUANA INTERNATIONAL, PT
432 11000329 MARCKS BEDAK CREME BOX 1 13,700 5 5 KIMIA FARMA
433 11000330 MARCKS BEDAK CREME 20gr BOX 1 23,700 8 8 KIMIA FARMA
434 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 9 9 KIMIA FARMA
435 11000332 MARCKS BEDAK INVISIBLE 40gr (New) BOX 1 13,700 8 8 KIMIA FARMA
436 11000333 MARCKS BEDAK Natural Beige 20 gr (New) BOX 1 23,700 6 6 KIMIA FARMA
437 11000334 MARCKS BEDAK Natural Beige 40gr (New) BOX 1 13,700 0 0 KIMIA FARMA
438 11000336 MARCKS BEDAK PUTIH BOX 1 13,700 8 8 KIMIA FARMA
439 11000337 MARCKS BEDAK ROSE BOX 1 13,700 10 10 KIMIA FARMA
440 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 5.583 6 KIMIA FARMA
441 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
442 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
443 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
444 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 3 3 KIMIA FARMA
445 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
446 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 135 135 KIMIA FARMA
447 11001981 MARCKS' TEENS ACNE EXPERT FACE WASH BOX 1 13,200 1 1 KIMIA FARMA
448 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
449 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 38 38 KIMIA FARMA
450 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 56 56 KIMIA FARMA
451 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 6 6 KIMIA FARMA
452 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 12 12 KIMIA FARMA
453 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 17 17 KIMIA FARMA
454 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 13 13 KIMIA FARMA
455 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 26 26 KIMIA FARMA
456 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 23 23 KIMIA FARMA
457 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 20 20 KIMIA FARMA
458 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 413 413 PHAPROS, PT
459 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
460 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
461 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 7 7 DARYA VARIA, PT
462 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 391 391 PT. LIKUID PHARMALAB INDONESIA
463 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
464 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
465 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 142 142 PT. LIKUID PHARMALAB INDONESIA
466 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 467 467 PT. LIKUID PHARMALAB INDONESIA
467 12008458 MELOCID TAB@50 MOL DUS 50 30,000 5 5 MOLEX AYUS, PT
468 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 650 650 MEPROFARM
469 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
470 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
471 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 77 1 78 PRATAPA NIRMALA
472 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 1,599 1,599 KIMIA FARMA
473 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
474 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
475 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 102 102 PHAPROS, PT
476 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 56 56 PHAPROS, PT
477 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 9 9 PHAPROS, PT
478 11000104 METHYLERGOMETRINE 0,125 MG (DUS 100 TAB) DUS #N/A #N/A 350 140 490 KIMIA FARMA
479 12009543 METHYLERGOMETRINE INJ 0,2 MG/ML (NVLL) DUS #N/A #N/A 47 47 NOVELL PHARMACEUTICAL LABORATORIES
480 12009882 METHYLPREDNISOLONE 4 MG @100 TAB (PEHA) DUS 100 48,000 1 1 PHAPROS, PT
481 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A 50 50 PHAPROS, PT
482 12013210 METHYLPREDNISOLONE SOD SUCCINATE 125MG DUS #N/A #N/A 11,729 11,729 PIHAK 3
483 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 47 65 112 KIMIA FARMA
484 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 632 50 12 694 KIMIA FARMA
485 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 108 108 PHAPROS, PT
486 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 32,813 924 924 KIMIA FARMA
487 12012242 METRONIDAZOLE 500MG 10X10 TAB (RAMA) DUS #N/A #N/A 300 300 RAMA EMERALD, PT
488 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 118 118 NOVAPHARIN
489 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 892 892 DARYA VARIA, PT
490 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT #N/A #N/A 36 36 MEPROFARM
491 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
492 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 50 208 258 KIMIA FARMA
493 13002997 MIOZIDINE MR 35MG TAB@30 (FAH) DUS 1 102,000 5 5 PRATAPA NIRMALA
494 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 2 2 MOLEX AYUS, PT
495 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 139 199 338 MOLEX AYUS, PT
496 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 41 41 MOLEX AYUS, PT
497 12008468 MOLEXFLU KPL@150 MOL DUS 150 47,271 90 90 MOLEX AYUS, PT
498 13002451 MONECTO 20MG TAB@30 (FAH) DUS 1 81,000 10 10 PRATAPA NIRMALA
499 11001043 MORFINA 10 MG/ML INJEKSI (IMPOR) DUS 10 309,545 83 83 KIMIA FARMA
500 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
501 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
502 11000501 MST CONTINUS 10 MG DUS 60 852,000 7 7 MAHAKAM BETA FARMA
503 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
504 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 5 2 7 PHAPROS, PT
505 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
506 12005179 N ACE CAP@30 (FAH) DUS 1 78,000 300 300 PRATAPA NIRMALA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
507 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
508 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 130 130 KIMIA FARMA
509 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 97 800 897 PHAPROS, PT
510 11000108 NATRIUM DIKLOFENAK 50 MG (DUS 50 TAB) DUS 50 18,346 332 332 KIMIA FARMA
511 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 27 27 PHAPROS, PT
512 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 77 77 DARYA VARIA, PT
513 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 75 75 DARYA VARIA, PT
514 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 66 66 DARYA VARIA, PT
515 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 67 67 DARYA VARIA, PT
516 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 129 129 DARYA VARIA, PT
517 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 33 33 DARYA VARIA, PT
518 12000832 NATUR E HBL 100 ML BT 1 10,424 18 18 DARYA VARIA, PT
519 12000833 NATUR E HBL 245 ML BT 1 20,913 35 35 DARYA VARIA, PT
520 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 106 106 DARYA VARIA, PT
521 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 56,496 10 10 DARYA VARIA, PT
522 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
523 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 160 100 260 DARYA VARIA, PT
524 13004776 NB TOP OINT 5GR TUB 1 15,641 720 720 PHAPROS, PT
525 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 4 4 DARYA VARIA, PT
526 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
527 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
528 12007216 NICARDIPINE HCL INJ 1 MG DUS #N/A #N/A 40 40 DARYA VARIA, PT
529 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 67 67 DARYA VARIA, PT
530 12000840 NIFURAL SYR BT 1 60,300 54 54 DARYA VARIA, PT
531 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
532 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 798 798 SINAR RODA UTAMA, PT
533 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 2,750 2,775 SINAR RODA UTAMA, PT
534 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,342 8,342 SINAR RODA UTAMA, PT
535 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,481 4,481 SINAR RODA UTAMA, PT
536 12003653 NIPRO SAFELET CATH IV PU 24GX3/4" PC #N/A #N/A 57 57 SINAR RODA UTAMA, PT
537 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 4,500 - - - 4,500 SINAR RODA UTAMA, PT
538 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 1,170 100 5 105 SINAR RODA UTAMA, PT
539 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,236 6,236 SINAR RODA UTAMA, PT
540 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
541 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 518 19 20 557 PHAPROS, PT
542 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 75 184 259 KIMIA FARMA
543 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 88 70 158 KIMIA FARMA
544 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
545 12012229 NOSTROK 10MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
546 12012230 NOSTROK 15MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
547 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
548 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT #N/A #N/A 1,000 1,000 NOVAPHARIN
549 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 8 8 NUFARINDO, PT
550 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 22 22 NUFARINDO, PT
551 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 5 5 NUFARINDO, PT
552 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 400 1,000 1,400 IFARS PHARMACEUTICAL, PT
553 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 431 252 683 PHAPROS, PT
554 12008469 OBH 60ML MOL BT 1 5,000 7 - 7 MOLEX AYUS, PT
555 12004244 OBH COMBI BATUK BERDAHAK MENTHOL 100 ML BT 1 10,300 907 907 COMBIPHAR, PT
556 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 30 30 COMBIPHAR, PT
557 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 34 34 COMBIPHAR, PT
558 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 180 180 COMBIPHAR, PT
559 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 260 260 COMBIPHAR, PT
560 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 273 273 COMBIPHAR, PT
561 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 193 193 COMBIPHAR, PT
562 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
563 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 55 55 COMBIPHAR, PT
564 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 124 124 COMBIPHAR, PT
565 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 52,900 14 14 DARYA VARIA, PT
566 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
567 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 301 2,200 2,501 KIMIA FARMA
568 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 11 11 PIHAK 3
569 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 300 300 DARYA VARIA, PT
570 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 249 998 220 1,467 PHAPROS, PT
571 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
572 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 196 196 KIMIA FARMA
573 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
574 13005119 OSTRIOL CAP@30 (FAH) BT 1 150,000 10 10 PRATAPA NIRMALA
575 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
576 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 103 291 4 398 KIMIA FARMA
577 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
578 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 1,340 1,340 KIMIA FARMA
579 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11,475 - 11,475 DARYA VARIA, PT
580 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 39 39 KIMIA FARMA
581 12008523 PARASETAMOL INFUS BT #N/A #N/A 2,050 2,050 MERSIFARMA
582 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
583 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 115 115 DARYA VARIA, PT
584 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 79 79 DARYA VARIA, PT
585 12007337 PEDITOX 1% 50 ML BT 1 7,000 981 981 COMBIPHAR, PT
586 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 20 20 PHAPROS, PT
587 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 237 237 PHAPROS, PT
588 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - - 1,474 1,474 PHAPROS, PT
589 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
590 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
591 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 860 860 KIMIA FARMA
592 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
593 12000315 PHARMATHON FORMULA @ 50 CAPS DUS 50 200,682 39 39 SANOFI AVENTIS
594 12000318 PHARMATON VIT KAPLET DUS 50 199,367 91 91 SANOFI AVENTIS
595 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 124 19 143 PHAPROS, PT
596 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
597 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
598 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 58 34 107 PHAPROS, PT
599 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 540 540 KIMIA FARMA
600 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
601 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS 100 15,968 140 140 KIMIA FARMA
602 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 49 49 PRATAPA NIRMALA
603 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 260,000 16 16 PRATAPA NIRMALA
604 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 161 161 PRATAPA NIRMALA
605 12001215 PREDNISON 5 MG TAB (HOLI) DUS #N/A #N/A - - - 200 - 200 HOLI PHARMA
606 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 86 86 MOLEX AYUS, PT
607 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 86 86 PHAPROS, PT
608 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 39 39 PHAPROS, PT
609 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 75 75 PHAPROS, PT
610 13001143 PRO TB2 TAB@28 DUS 28 184,450 45 45 PHAPROS, PT
611 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 11 22 PHAPROS, PT
612 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
613 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
614 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
615 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
616 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
617 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
618 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 699 50 749 KIMIA FARMA
619 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 600 2,350 HOLI PHARMA
620 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 346 74 420 HOLI PHARMA
621 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 480 480 KIMIA FARMA
622 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
623 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 813 532 635 1,980 KIMIA FARMA
624 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS 100 27,600 100 1,939 2,039 PHAPROS, PT
625 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
626 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS #N/A #N/A 600 600 PHAPROS, PT
627 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 15 15 PRATAPA NIRMALA
628 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 150,000 69 69 PRATAPA NIRMALA
629 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 3 3 NUFARINDO, PT
630 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
631 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 21 21 PRATAPA NIRMALA
632 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 4 4 PRATAPA NIRMALA
633 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 3 3 PRATAPA NIRMALA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
634 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 2 7 9 KIMIA FARMA
635 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 232 232 LUCAS DJAJA
636 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 4 4 LUCAS DJAJA
637 12009907 RISTONAT @4 TAB DUS 4 290,000 30 30 PHAPROS, PT
638 12008474 RIVANOL 100ML MOL BT 1 4,000 589 589 MOLEX AYUS, PT
639 12008475 RIVANOL 300ML MOL BT 1 9,000 521 521 MOLEX AYUS, PT
640 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 224 224 KIMIA FARMA
641 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 167 167 KIMIA FARMA
642 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 243 243 KIMIA FARMA
643 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 202 202 KIMIA FARMA
644 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 47 47 KIMIA FARMA
645 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 48 48 KIMIA FARMA
646 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 1,674 1,674 KIMIA FARMA
647 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1,164 915 2,079 KIMIA FARMA
648 12010405 SALBUTAMOL SULFATE INHALASI BT@10 (FAH) DUS #N/A #N/A 67 67 PRATAPA NIRMALA
649 11000923 SALICYL FRESH 60GR Kemasan baru BOX 1 12,380 7 7 KIMIA FARMA
650 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - - 900 900 PIHAK 3
651 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 440,000 50 50 PRATAPA NIRMALA
652 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
653 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 13 13 PRATAPA NIRMALA
654 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
655 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 85 1,066 1,151 KIMIA FARMA
656 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 51 51 PHAPROS, PT
657 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
658 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
659 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
660 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 23 23 DARYA VARIA, PT
661 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
662 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 49 49 PHAPROS, PT
663 12009811 SULFADIAZINE SILVER 35GR (DVRS) DUS 1 18,818 17 600 617 DARYA VARIA, PT
664 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
665 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 44 44 DARYA VARIA, PT
666 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 16 16 DARYA VARIA, PT
667 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 900 900 KASA HUSADA WIRA JATIM, PT
668 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 4 4 NUFARINDO, PT
669 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
670 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
671 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 47 47 PHAPROS, PT
672 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 35 35 PHAPROS, PT
673 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 3 3 PHAPROS, PT
674 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
675 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
676 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
677 12005930 TETRACYCLINE HCL 250MG BTL CAP@100 (NOVA KPL #N/A #N/A 3,000 3,000 NOVAPHARIN
678 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 6 6 MOLEX AYUS, PT
679 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
680 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
681 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 10 10 KIMIA FARMA
682 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 660,000 14 14 PRATAPA NIRMALA
683 13006433 TRACETATE SUSP 200ML (FAH) BT 1 390,000 16 16 PRATAPA NIRMALA
684 13076813 TRAMPARA TAB@30 DUS 30 145,000 32 32 PHAPROS, PT
685 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 53 53 PRATAPA NIRMALA
686 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
687 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 101 101 KIMIA FARMA
688 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
689 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 154 154 BIOFARMA
690 13026424 UMARONE INJ 2ML (FAH) VL 1 175,000 184 184 PRATAPA NIRMALA
691 12000885 URDAFALK 250 MG CAPS DUS 30 300,000 16 16 DARYA VARIA, PT
692 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 914 914 BUSANA UTAMA, PT
693 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
694 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
695 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,100 2,100 BUSANA UTAMA, PT
696 11000292 VAGIZOLE OVULA DUS 5 55,000 39 39 KIMIA FARMA
697 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
698 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
699 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
700 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 245 245 KIMIA FARMA
701 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 124 124 KIMIA FARMA
702 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 99 99 PRATAPA NIRMALA
703 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 107.000 30 137 PRATAPA NIRMALA
704 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 160 160 PRATAPA NIRMALA
705 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 33 33 PRATAPA NIRMALA
706 13010157 VENODENOL 3% INJ AMP@5 (FAH) DUS 5 750,000 49 49 PRATAPA NIRMALA
707 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
708 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 21 21 KIMIA FARMA
709 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 28 28 KIMIA FARMA
710 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
711 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 20 20 KIMIA FARMA
712 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
713 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 2 2 KIMIA FARMA
714 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
715 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
716 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
717 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
718 11000368 VENUS FACIAL WASH 100ml DUS 1 22,091 4 4 KIMIA FARMA
719 11000369 VENUS FACIAL WASH 50ml DUS 1 12,000 4 4 KIMIA FARMA
720 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
721 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
722 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 8 8 KIMIA FARMA
723 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
724 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 30 30 KIMIA FARMA
725 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 5 5 KIMIA FARMA
726 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
727 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
728 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
729 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
730 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
731 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
732 11001143 VENUS SOFT MATTE LIPCREAM NO.1 DUS 1 38,389 11 11 KIMIA FARMA
733 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
734 11001145 VENUS SOFT MATTE LIPCREAM NO.3 DUS 1 38,389 12 12 KIMIA FARMA
735 11001147 VENUS SOFT MATTE LIPCREAM NO.5 DUS 1 38,389 21 21 KIMIA FARMA
736 11001150 VENUS SOFT MATTE LIPCREAM NO.8 DUS 1 38,389 10 10 KIMIA FARMA
737 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 20 20 KIMIA FARMA
738 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 21 21 KIMIA FARMA
739 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
740 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
741 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 11 11 KIMIA FARMA
742 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
743 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
744 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 100 100 KIMIA FARMA
745 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 36 36 KIMIA FARMA
746 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 24 24 KIMIA FARMA
747 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
748 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
749 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
750 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
751 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
752 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
753 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
754 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
755 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
756 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
757 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
758 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
759 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
760 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg BPJS E Cat
No Material Description UoM Rutin (99) E Cat Rutin Qty Nama Principle
Number Uom (HNA) (02) Reg (00)
(20) (98)
761 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
762 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
763 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
764 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
765 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
766 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
767 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
768 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
769 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 179 179 DARYA VARIA, PT
770 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 135 135 DARYA VARIA, PT
771 12000888 VICEE ORANGE TAB @ 100 (UN) DUS 100 57,173 135 135 DARYA VARIA, PT
772 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 21 21 PRATAPA NIRMALA
773 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
774 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
775 11000487 VITAMIN B KOMPLEKS(SUPLEMEN)(DUS100TAB) DUS 100 12,917 17 17 KIMIA FARMA
776 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 366 366 KIMIA FARMA
777 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 13 54 67 KIMIA FARMA
778 11000485 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TAB) DUS #N/A #N/A 870 200 1,070 KIMIA FARMA
779 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 26 26 MARIN LIZA
780 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 878 50 928 KIMIA FARMA
781 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,200 221 221 KIMIA FARMA
782 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 334 334 PHAPROS, PT
783 11000288 VITAMIN C 50 MG TAB (SUPL)(DUS 100 TAB) DUS #N/A #N/A 2,407 2,407 KIMIA FARMA
784 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 100 #N/A 599 599 MARIN LIZA
785 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 64 64 PHAPROS, PT
786 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
787 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 30 30 PRATAPA NIRMALA
788 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 4 4 NUFARINDO, PT
789 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 47 350 1,600 1,997 PHAPROS, PT
790 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 423 423 KIMIA FARMA

NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 22 Desember 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 351 351 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 193 146 339 KIMIA FARMA
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS #N/A #N/A 30 1,600 1,630 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 25 105,000 6 6 PHAPROS, PT
9 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 12 20 KIMIA FARMA
10 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
11 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
12 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
13 12007580 AGANI NEEDLE 26GX13MM DUS 100 30,000 21 21 TERUMO, PT
14 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
15 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 12 12 KIMIA FARMA
16 11002211 ALERGINE 5 MG/ 5 ML SIRUP BT 1 39,000 100 100 KIMIA FARMA
17 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 141 141 MOLEX AYUS, PT
18 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 48 48 KIMIA FARMA
19 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
20 12008443 ALPARA KPL@150 MOL DUS 150 81,641 388 388 MOLEX AYUS, PT
21 13008405 ALPARA SYR 60ML MOL BT 1 9,546 27 27 MOLEX AYUS, PT
22 12008483 ALPHAMOL DROP 15ML MOL BT 1 13,000 182 182 MOLEX AYUS, PT
23 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS 100 35,000 174 174 KIMIA FARMA
24 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 97 97 KIMIA FARMA
25 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 12 12 PHAPROS, PT
26 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 44 44 KIMIA FARMA
27 12005598 AMBROXOL 30MG TAB@100 (NOVA) DUS #N/A #N/A 1,879 1,879 NOVAPHARIN
28 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
29 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 18 18 PHAPROS, PT
30 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 0 20 KIMIA FARMA
31 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 1 1 KIMIA FARMA
32 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 55 55 PHAPROS, PT
33 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 620 5,613 170 6,403 KIMIA FARMA
34 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 531 531 PHAPROS, PT
35 12011452 AMOXICILIN DRY SYRUP 125MG/5ML (MERSI) BT #N/A #N/A 1,000 1,000 MERSIFARMA
36 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS 100 37,809 36 36 KIMIA FARMA
37 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT #N/A #N/A 500 500 MERSIFARMA
38 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
39 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 5 PHAPROS, PT
40 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 270 270 PHAPROS, PT
41 12012158 ANTASIDA DOEN @60 ML (AFI) BT #N/A #N/A 1,000 1,000 PT AFIFARMA
42 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 919 240 1,159 KIMIA FARMA
43 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
44 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
45 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 13 13 KIMIA FARMA
46 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,410 1,410 KIMIA FARMA
47 11002117 ANTIFECT POVIDONE IODINE 15 ML BT 1 9,000 220 220 KIMIA FARMA
48 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
49 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
50 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 1 1 KIMIA FARMA
51 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 136 136 PHAPROS, PT
52 12005096 ANTIMO DEWASA TAB STR 720 243,648 14,256 14,256 PHAPROS, PT
53 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 20 20 PHAPROS, PT
54 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
55 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 150 150 NOVAPHARIN
56 12002374 ASAM MEFENAMAT 500MG KPL@100 (NOVA) DUS 100 26,500 474 474 NOVAPHARIN
57 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 126 126 KIMIA FARMA
58 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 6 6 DARYA VARIA, PT
59 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 8 8 PRATAPA NIRMALA
60 11001586 ATORVASTATIN 10 MG DUS 30 35,000 449 449 KIMIA FARMA
61 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 36 36 DARYA VARIA, PT
62 11001587 ATORVASTATIN 20 MG DUS 30 52,500 146 146 KIMIA FARMA
63 11001588 ATORVASTATIN 40 MG DUS 30 70,000 83 83 KIMIA FARMA
64 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
65 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
66 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
67 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 897 897 BIO AXION HEALTHINDO, PT
68 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
69 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
70 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
71 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 932 932 BIO AXION HEALTHINDO, PT
72 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
73 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 610 610 BIO AXION HEALTHINDO, PT
74 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
75 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 133 133 BIO AXION HEALTHINDO, PT
76 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
77 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
78 12000185 AXIMED FEMALE CATHETER NO. 10 PC 1 - 1,000 1,000 BIO AXION HEALTHINDO, PT
79 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
80 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 518 518 BIO AXION HEALTHINDO, PT
81 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 428 428 BIO AXION HEALTHINDO, PT
82 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 238 238 BIO AXION HEALTHINDO, PT
83 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
84 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
85 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
86 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 29 29 BIO AXION HEALTHINDO, PT
87 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 81 127 BIO AXION HEALTHINDO, PT
88 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
89 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 584 584 BIO AXION HEALTHINDO, PT
90 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 704 - - - - 704 KIMIA FARMA
91 13022661 BECEFORT SYR 60ML BT 1 14,603 63 63 PHAPROS, PT
92 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 6 4 10 PHAPROS, PT
93 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 116 120 0 236 KIMIA FARMA
94 11000385 BETASON CREAM (TUBE 5 GRAM) DUS #N/A #N/A 25 25 KIMIA FARMA
95 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
96 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
97 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 295 295 BIO AXION HEALTHINDO, PT
98 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 2 2 DARYA VARIA, PT
99 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
100 13026576 BIORON TAB@100 DUS 100 101,650 53 53 PHAPROS, PT
101 12012264 BIOSALIVA (BIOFARMA) UNT 1 23,000 50 50 BIOFARMA
102 12012222 BISACODYL 5MG TAB@100 DUS #N/A #N/A 31 612 643 HARSEN LABORATORIES, PT
103 12000269 BISOLVON 8 MG TAB @ 100 TAB DUS 100 190,095 20 20 SANOFI AVENTIS
104 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 46 46 SANOFI AVENTIS
105 12000281 BISOLVON SOLUTION BT 1 77,200 21 21 SANOFI AVENTIS
106 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
107 12010616 BONEFILL ORTHO BT 1 1,350,000 10 10 PHAPROS, PT
108 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 335,000 17 17 PRATAPA NIRMALA
109 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 245 245 PRATAPA NIRMALA
110 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 27 27 DARYA VARIA, PT
111 12000282 BUSCOPAN 10 MG DRAG DUS 100 312,329 49 49 SANOFI AVENTIS
112 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 31 31 SANOFI AVENTIS
113 12009839 CALCITRIOL 0,25 MCG @30 KPS (PEHA) DUS 30 67,680 18 166 184 PHAPROS, PT
114 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 119 119 PHAPROS, PT
115 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 129 129 KIMIA FARMA
116 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 29 29 MERSIFARMA
117 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 44 44 PRATAPA NIRMALA
118 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 270,000 4 4 PRATAPA NIRMALA
119 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 8 8 PRATAPA NIRMALA
120 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,487 1,487 LUCAS DJAJA
121 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
122 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 289 289 PHAPROS, PT
123 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 252 252 KIMIA FARMA
124 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS 100 16,465 829 829 KIMIA FARMA
125 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
126 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
127 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
128 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 1 1 KIMIA FARMA
129 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
130 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 23 18 41 DARYA VARIA, PT
131 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
132 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
133 13011599 CEFTRIAXONE 1GR VIAL@2 GHX DUS #N/A #N/A 3,000 3,000 PIHAK 3
134 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS 10 60,000 790 30 820 PHAPROS, PT
135 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 24 24 CENDO, PT
136 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
137 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
138 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 44 44 CENDO, PT
139 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 50 50 CENDO, PT
140 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 199 199 CENDO, PT
141 12004104 CENDO CENFRESH MINIDOSE 5 X 0,6 ML STR 1 23,000 98 98 CENDO, PT
142 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
143 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 60 60 CENDO, PT
144 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 66 66 CENDO, PT
145 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 24 24 CENDO, PT
146 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 635 635 CENDO, PT
147 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
148 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 57 57 CENDO, PT
149 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 86 86 CENDO, PT
150 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
151 12004135 CENDO GENTA 0,3% EYE DROP 5 ML BT 1 28,375 50 50 CENDO, PT
152 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 101 101 CENDO, PT
153 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 232 232 CENDO, PT
154 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 4 4 CENDO, PT
155 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 127 127 CENDO, PT
156 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
157 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 100 100 CENDO, PT
158 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 25 25 CENDO, PT
159 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
160 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 20 20 CENDO, PT
161 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
162 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 30 30 CENDO, PT
163 12004148 CENDO LFX MINIDOSE 5 X 0,6 ML STR 1 69,000 63 63 CENDO, PT
164 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
165 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 628 628 CENDO, PT
166 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 150 150 CENDO, PT
167 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
168 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 29 29 CENDO, PT
169 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
170 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 21 21 CENDO, PT
171 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 18 18 CENDO, PT
172 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 86 86 CENDO, PT
173 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
174 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
175 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
176 13005497 CENDO P - PRED EYE DROP 5ML BT 1 55,500 49 49 CENDO, PT
177 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
178 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
179 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 10 10 CENDO, PT
180 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 100 100 CENDO, PT
181 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 54 54 CENDO, PT
182 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 8 8 CENDO, PT
183 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
184 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
185 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
186 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 27 27 CENDO, PT
187 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 25 25 CENDO, PT
188 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 44 44 CENDO, PT
189 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 72 72 CENDO, PT
190 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 62 62 CENDO, PT
191 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
192 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 47 47 CENDO, PT
193 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 45 45 CENDO, PT
194 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
195 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
196 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
197 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 42 42 CENDO, PT
198 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 24 24 CENDO, PT
199 12005164 CENDO VITAL TAB@30 DUS 30 90,000 14 14 CENDO, PT
200 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 30 30 CENDO, PT
201 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 3,273 3,273 CENDO, PT
202 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 150 150 CENDO, PT
203 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 109 109 CENDO, PT
204 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 43 43 BIOFARMA
205 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 998 50 1,048 KIMIA FARMA
206 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
207 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 3 3 KIMIA FARMA
208 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 0 0 KIMIA FARMA
209 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 180 195 KIMIA FARMA
210 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
211 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 594 176 770 NOVAPHARIN
212 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
213 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
214 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 261 261 KIMIA FARMA
215 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
216 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 135 135 MOLEX AYUS, PT
217 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 65 65 PHAPROS, PT
218 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
219 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
220 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 204 35 239 KIMIA FARMA
221 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 1,166 119 1,285 KIMIA FARMA
222 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 390 390 KIMIA FARMA
223 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 67 67 PHAPROS, PT
224 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 157 2 159 KIMIA FARMA
225 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
226 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 3 3 KIMIA FARMA
227 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
228 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 20 20 KIMIA FARMA
229 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
230 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
231 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
232 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
233 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 18 18 PHAPROS, PT
234 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
235 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 128 50 178 KIMIA FARMA
236 12008509 COTRIMOXAZOLE SUS MERSI BT #N/A #N/A 1,000 1,000 MERSIFARMA
237 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 300 300 MERSIFARMA
238 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 0 1 LUCAS DJAJA
239 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 452 452 PYRIDAM, PT
240 12005932 D5 - MJB 500 ML BT 1 6,694 196 196 EMJEBE PHARMA , PT
241 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 135 135 DARYA VARIA, PT
242 12007305 DECATONA 30 MG KAPSUL BT #N/A #N/A 15 15 HARSEN LABORATORIES, PT
243 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 7 7 DARYA VARIA, PT
244 11000182 DEXAMETHASONE 0.5 MG (DUS 100 TAB) DUS 100 14,843 265 265 KIMIA FARMA
245 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 77 68 40 10 195 PHAPROS, PT
246 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
247 13000718 DEXTAMIN TAB@100 DUS 100 140,250 206 206 PHAPROS, PT
248 13000720 DEXTAMINE 30X10'S DUS 300 413,618 132 132 PHAPROS, PT
249 13000719 DEXTAMINE SYRUP 60 ML BT 1 26,085 147 147 PHAPROS, PT
250 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 148 148 MOLEX AYUS, PT
251 11000049 DIAZEPAM 2 MG (BTL 100 TAB) BT 1 12,478 215 215 KIMIA FARMA
252 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 5 5 MERSIFARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
253 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 22 22 MEPROFARM
254 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 249 249 KIMIA FARMA
255 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,029 1,029 KIMIA FARMA
256 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 118 30 148 KIMIA FARMA
257 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 54,000 20 20 PHAPROS, PT
258 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
259 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
260 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
261 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT #N/A #N/A 1,500 1,500 PT AFIFARMA
262 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
263 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
264 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 42 42 NUFARINDO, PT
265 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
266 12000289 DULCOLACTOL SYR 60 ML BT 1 59,010 82 82 SANOFI AVENTIS
267 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 57 57 SANOFI AVENTIS
268 12000291 DULCOLAX 10 MG SUPP ADULT DUS 5 113,465 5 5 SANOFI AVENTIS
269 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 288,518 40 40 SANOFI AVENTIS
270 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 141,398 46 46 SANOFI AVENTIS
271 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 24 24 SANOFI AVENTIS
272 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 5 5 JANSSEN PHARMACEUTICA NV
273 11000057 DUVADILAN INJEKSI DUS 6 179,000 17 17 KIMIA FARMA
274 11000058 DUVADILAN TABLET DUS 50 250,000 15 15 KIMIA FARMA
275 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 11 11 PRATAPA NIRMALA
276 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 115 115 DARYA VARIA, PT
277 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 40 40 DARYA VARIA, PT
278 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 121 121 KIMIA FARMA
279 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 14 14 KIMIA FARMA
280 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
281 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
282 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
283 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
284 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
285 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
286 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 46 46 KIMIA FARMA
287 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 12 12 PHAPROS, PT
288 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 109 5 114 KIMIA FARMA
289 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
290 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 184 184 KIMIA FARMA
291 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
292 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 6 6 KIMIA FARMA
293 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
294 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 434 434 HOLI PHARMA
295 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 5 5 PHAPROS, PT
296 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 148 148 KIMIA FARMA
297 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 8 0 9 KIMIA FARMA
298 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 8 8 PRATAPA NIRMALA
299 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 51 51 PRATAPA NIRMALA
300 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 140 140 PRATAPA NIRMALA
301 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 110,000 2 2 PRATAPA NIRMALA
302 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 5 5 10 PRATAPA NIRMALA
303 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
304 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 15 15 PRATAPA NIRMALA
305 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
306 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 43,000 357 357 PRATAPA NIRMALA
307 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 53,000 440 440 PRATAPA NIRMALA
308 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 47 47 PRATAPA NIRMALA
309 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 142 142 PRATAPA NIRMALA
310 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 390,000 30 30 PRATAPA NIRMALA
311 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
312 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 135,000 37 37 PRATAPA NIRMALA
313 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
314 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
315 13019430 FEBRINEX SYR 60ML BT 1 12,612 30 30 PHAPROS, PT
316 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
317 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 24 24 PRATAPA NIRMALA
318 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 22 22 PRATAPA NIRMALA
319 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 98 102 200 PIRAMAL CRITICAL CARE LTD
320 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 170,000 60 60 MAHAKAM BETA FARMA
321 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 597 597 KIMIA FARMA
322 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 450 450 PYRIDAM, PT
323 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
324 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
325 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 85 85 KIMIA FARMA
326 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
327 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 515 515 KIMIA FARMA
328 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 79 79 KIMIA FARMA
329 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 328 328 KIMIA FARMA
330 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 614 614 KIMIA FARMA
331 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 231 231 KIMIA FARMA
332 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 113 113 KIMIA FARMA
333 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 500 500 KIMIA FARMA
334 11001784 FITUNO IMMUNE KIDS 60ML BOX 1 25,500 3 3 KIMIA FARMA
335 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 230 230 KIMIA FARMA
336 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 23 23 PRATAPA NIRMALA
337 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 74 74 PRATAPA NIRMALA
338 12007662 FLUBIO VL 1 99,800 98 98 BIOFARMA
339 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 291 1,484 26 1,801 KIMIA FARMA
340 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
341 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
342 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
343 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
344 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 40 40 KIMIA FARMA
345 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 370 40 410 KIMIA FARMA
346 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 78 78 PRATAPA NIRMALA
347 12005178 GASTRUL TAB@30 (FAH) DUS 30 345,000 100 100 PRATAPA NIRMALA
348 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 101 101 PHAPROS, PT
349 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 335 335 KIMIA FARMA
350 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 123 123 PHAPROS, PT
351 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 610 620 PHAPROS, PT
352 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 205 205 KIMIA FARMA
353 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 451 451 KIMIA FARMA
354 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 370 370 KIMIA FARMA
355 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 791 18 809 KIMIA FARMA
356 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
357 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 3 40 KIMIA FARMA
358 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 396 3,282 460 4,138 KIMIA FARMA
359 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 255 255 PHAPROS, PT
360 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,367 1,367 KIMIA FARMA
361 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A #N/A 250 250 NOVAPHARIN
362 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
363 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
364 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 29 29 PHAPROS, PT
365 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 29 29 PHAPROS, PT
366 12006958 HEPAGARD DUS #N/A 76,230 6 6 PHAPROS, PT
367 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
368 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 1,525,000 10 10 KIMIA FARMA
369 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 161 205 366 KIMIA FARMA
370 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 1 449 46 495 KIMIA FARMA
371 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 128 128 PHAPROS, PT
372 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 360 360 PHAPROS, PT
373 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 2,031 2,031 NOVAPHARIN
374 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 100 1,983 NOVAPHARIN
375 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 1,304 35 1,339 NOVAPHARIN
376 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 5 5 NUFARINDO, PT
377 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 4 4 PHAPROS, PT
378 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 4 4 PHAPROS, PT
379 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
380 12004320 INPEPSA SUSP 100ML (FAH) BT 1 60,000 910 910 PRATAPA NIRMALA
381 13005812 INPEPSA SUSP 200ML (FAH) BT 1 85,000 87 87 PRATAPA NIRMALA
382 12007335 INSTO REGULAR 15 ML DUS 1 16,100 339 339 COMBIPHAR, PT
383 12007334 INSTO REGULAR 7,5 ML DUS 1 10,600 698 698 COMBIPHAR, PT
384 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 1,230 540 1,770 PRATAPA NIRMALA
385 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BOX 1 48,818 11 11 KIMIA FARMA
386 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 37 2 40 KIMIA FARMA
387 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 6 6 KIMIA FARMA
388 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX 1 5,000 27 4 31 KIMIA FARMA
389 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
390 12012203 ISOFLURANE INHALASI 100ML (MERSI) DUS #N/A #N/A 5 5 MERSIFARMA
391 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
392 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,376 2,376 KIMIA FARMA
393 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 192 192 KIMIA FARMA
394 12001249 IVANES 100 MG / 10 ML VL 1 - 163 163 IKAPHARMINDO
395 12001992 KASA PEMB HYDR 4Yd X 5CM @5 ROLL (KHWJ) PAC 5 14,300 10 10 KASA HUSADA WIRA JATIM, PT
396 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
397 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 34 48 DARYA VARIA, PT
398 11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) DUS 25 4,000 36 36 KIMIA FARMA
399 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 190 190 NOVAPHARIN
400 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,552 1,552 KIMIA FARMA
401 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 259,091 3 3 KIMIA FARMA
402 11001995 KIFAMED TONGKAT KAKI EMPAT BERODA PC 1 290,909 2 2 KIMIA FARMA
403 11001994 KIFAMED TONGKAT KAKI EMPAT CABANG PC 1 95,454 2 2 KIMIA FARMA
404 11001914 KIFAMED TONGKAT KAKI SATU STANDARD PC 1 81,818 5 5 KIMIA FARMA
405 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
406 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 25 25 KIMIA FARMA
407 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 21 21 KIMIA FARMA
408 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 106 106 PHAPROS, PT
409 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 157 157 PHAPROS, PT
410 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS #N/A #N/A 267 267 KIMIA FARMA
411 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
412 13010687 LACTAFAR CAP@30 (FAH) DUS 30 120,000 22 22 PRATAPA NIRMALA
413 12005388 LANDO 300MG CAP@50 (PYRIDAM) DUS 50 399,000 3 3 PYRIDAM, PT
414 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 476 20 496 KIMIA FARMA
415 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 27 27 MEPROFARM
416 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 58 58 MOLEX AYUS, PT
417 13005836 LEXACROL CHEW TAB@150 MOL DUS 150 71,300 15 15 MOLEX AYUS, PT
418 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
419 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 79 79 MOLEX AYUS, PT
420 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 140 2 56 9 207 PHAPROS, PT
421 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 21 2 23 PHAPROS, PT
422 13011163 LINCOMYCIN 500MG CAP@50 GPH (PEHA) DUS 50 88,200 5 5 PHAPROS, PT
423 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 25 346 371 IFARS PHARMACEUTICAL, PT
424 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
425 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
426 11000329 MARCKS BEDAK CREME BOX 1 13,700 6 6 KIMIA FARMA
427 11000330 MARCKS BEDAK CREME 20gr BOX 1 23,700 8 8 KIMIA FARMA
428 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 9 9 KIMIA FARMA
429 11000332 MARCKS BEDAK INVISIBLE 40gr (New) BOX 1 13,700 9 9 KIMIA FARMA
430 11000333 MARCKS BEDAK Natural Beige 20 gr (New) BOX 1 23,700 7 7 KIMIA FARMA
431 11000334 MARCKS BEDAK Natural Beige 40gr (New) BOX 1 13,700 0 0 KIMIA FARMA
432 11000336 MARCKS BEDAK PUTIH BOX 1 13,700 8 8 KIMIA FARMA
433 11000337 MARCKS BEDAK ROSE BOX 1 13,700 10 10 KIMIA FARMA
434 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
435 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
436 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
437 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
438 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 4 4 KIMIA FARMA
439 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
440 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 136.167 136 KIMIA FARMA
441 11001981 MARCKS' TEENS ACNE EXPERT FACE WASH BOX 1 13,200 2 2 KIMIA FARMA
442 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
443 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 39 39 KIMIA FARMA
444 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 56 56 KIMIA FARMA
445 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 7 7 KIMIA FARMA
446 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 13 13 KIMIA FARMA
447 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 18 18 KIMIA FARMA
448 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 13 13 KIMIA FARMA
449 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 27 27 KIMIA FARMA
450 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 24 24 KIMIA FARMA
451 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 20 20 KIMIA FARMA
452 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 413 413 PHAPROS, PT
453 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
454 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
455 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 7 7 DARYA VARIA, PT
456 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 391 391 PT. LIKUID PHARMALAB INDONESIA
457 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
458 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
459 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 142 142 PT. LIKUID PHARMALAB INDONESIA
460 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 467 467 PT. LIKUID PHARMALAB INDONESIA
461 12008458 MELOCID TAB@50 MOL DUS 50 30,000 5 5 MOLEX AYUS, PT
462 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 650 650 MEPROFARM
463 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
464 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
465 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 77 1 78 PRATAPA NIRMALA
466 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 1,654 1,654 KIMIA FARMA
467 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
468 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
469 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 102 102 PHAPROS, PT
470 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 56 56 PHAPROS, PT
471 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 9 9 PHAPROS, PT
472 11000104 METHYLERGOMETRINE 0,125 MG (DUS 100 TAB) DUS #N/A #N/A 350 140 490 KIMIA FARMA
473 12009543 METHYLERGOMETRINE INJ 0,2 MG/ML (NVLL) DUS #N/A #N/A 47 47 NOVELL PHARMACEUTICAL LABORATORIES
474 12009882 METHYLPREDNISOLONE 4 MG @100 TAB (PEHA) DUS 100 48,000 25 25 PHAPROS, PT
475 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 1 30,000 256 256 MOLEX AYUS, PT
476 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A 50 50 PHAPROS, PT
477 12013210 METHYLPREDNISOLONE SOD SUCCINATE 125MG DUS #N/A #N/A 11,729 11,729 PIHAK 3
478 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 47 65 112 KIMIA FARMA
479 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 663 50 12 725 KIMIA FARMA
480 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 108 108 PHAPROS, PT
481 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 32,813 966 966 KIMIA FARMA
482 12012242 METRONIDAZOLE 500MG 10X10 TAB (RAMA) DUS #N/A #N/A 300 300 RAMA EMERALD, PT
483 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 120 120 NOVAPHARIN
484 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 892 892 DARYA VARIA, PT
485 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT #N/A #N/A 36 36 MEPROFARM
486 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
487 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 69 208 277 KIMIA FARMA
488 13002997 MIOZIDINE MR 35MG TAB@30 (FAH) DUS 1 102,000 10 10 PRATAPA NIRMALA
489 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 2 2 MOLEX AYUS, PT
490 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 139 199 338 MOLEX AYUS, PT
491 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 53 53 MOLEX AYUS, PT
492 12008468 MOLEXFLU KPL@150 MOL DUS 150 47,271 120 120 MOLEX AYUS, PT
493 13002451 MONECTO 20MG TAB@30 (FAH) DUS 1 81,000 10 10 PRATAPA NIRMALA
494 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
495 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
496 11000501 MST CONTINUS 10 MG DUS 60 852,000 7 7 MAHAKAM BETA FARMA
497 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
498 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 5 2 7 PHAPROS, PT
499 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
500 12005179 N ACE CAP@30 (FAH) DUS 1 78,000 300 300 PRATAPA NIRMALA
501 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
502 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 130 130 KIMIA FARMA
503 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 97 800 897 PHAPROS, PT
504 11000108 NATRIUM DIKLOFENAK 50 MG (DUS 50 TAB) DUS 50 18,346 3 3 KIMIA FARMA
505 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 27 27 PHAPROS, PT
506 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 42 42 DARYA VARIA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
507 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 45 45 DARYA VARIA, PT
508 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 13 13 DARYA VARIA, PT
509 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 51 51 DARYA VARIA, PT
510 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 129 129 DARYA VARIA, PT
511 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 9 9 DARYA VARIA, PT
512 12000832 NATUR E HBL 100 ML BT 1 10,424 42 42 DARYA VARIA, PT
513 12000833 NATUR E HBL 245 ML BT 1 20,913 83 83 DARYA VARIA, PT
514 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 106 106 DARYA VARIA, PT
515 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 56,496 17 17 DARYA VARIA, PT
516 12007345 NATUR E NOURISHING-REVITAL LOTION 100 ML BT 1 12,220 5 5 DARYA VARIA, PT
517 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
518 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 164 122 286 DARYA VARIA, PT
519 13004776 NB TOP OINT 5GR TUB 1 15,641 720 720 PHAPROS, PT
520 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 10 10 MOLEX AYUS, PT
521 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 7 7 DARYA VARIA, PT
522 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
523 11001795 NEUROVIT- E TSG DUS 25 x 4 Tab DUS 100 286,400 7 7 KIMIA FARMA
524 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
525 12007216 NICARDIPINE HCL INJ 1 MG DUS #N/A #N/A 40 40 DARYA VARIA, PT
526 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 50 - 50 DARYA VARIA, PT
527 12000840 NIFURAL SYR BT 1 60,300 54 54 DARYA VARIA, PT
528 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
529 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 798 798 SINAR RODA UTAMA, PT
530 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 2,750 2,775 SINAR RODA UTAMA, PT
531 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,342 8,342 SINAR RODA UTAMA, PT
532 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,481 4,481 SINAR RODA UTAMA, PT
533 12003653 NIPRO SAFELET CATH IV PU 24GX3/4" PC #N/A #N/A 57 57 SINAR RODA UTAMA, PT
534 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 4,500 - - - 4,500 SINAR RODA UTAMA, PT
535 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 1,170 100 5 105 SINAR RODA UTAMA, PT
536 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,236 6,236 SINAR RODA UTAMA, PT
537 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
538 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 520 19 20 559 PHAPROS, PT
539 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 75 184 259 KIMIA FARMA
540 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 109 70 179 KIMIA FARMA
541 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
542 12012229 NOSTROK 10MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
543 12012230 NOSTROK 15MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
544 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
545 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT #N/A #N/A 1,000 1,000 NOVAPHARIN
546 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 8 8 NUFARINDO, PT
547 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 22 22 NUFARINDO, PT
548 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 10 10 NUFARINDO, PT
549 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 400 1,000 1,400 IFARS PHARMACEUTICAL, PT
550 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 431 252 683 PHAPROS, PT
551 12008469 OBH 60ML MOL BT 1 5,000 7 - 7 MOLEX AYUS, PT
552 12004244 OBH COMBI BATUK BERDAHAK MENTHOL 100 ML BT 1 10,300 1,000 1,000 COMBIPHAR, PT
553 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 30 30 COMBIPHAR, PT
554 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 97 97 COMBIPHAR, PT
555 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 96 96 COMBIPHAR, PT
556 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 137 137 COMBIPHAR, PT
557 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 13,781 19 19 COMBIPHAR, PT
558 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 321 321 COMBIPHAR, PT
559 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 215 215 COMBIPHAR, PT
560 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
561 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 89 89 COMBIPHAR, PT
562 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 152 152 COMBIPHAR, PT
563 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 52,900 14 14 DARYA VARIA, PT
564 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
565 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 301 2,200 2,501 KIMIA FARMA
566 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 11 11 PIHAK 3
567 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 272 998 220 1,490 PHAPROS, PT
568 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
569 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 252 252 KIMIA FARMA
570 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
571 13005119 OSTRIOL CAP@30 (FAH) BT 1 150,000 10 10 PRATAPA NIRMALA
572 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
573 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 105 291 4 400 KIMIA FARMA
574 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
575 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 1,550 1,550 KIMIA FARMA
576 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11,548 - 11,548 DARYA VARIA, PT
577 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 40 40 KIMIA FARMA
578 12008523 PARASETAMOL INFUS BT #N/A #N/A 27 27 MERSIFARMA
579 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
580 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 157 157 DARYA VARIA, PT
581 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 109 109 DARYA VARIA, PT
582 12007337 PEDITOX 1% 50 ML BT 1 7,000 1,000 1,000 COMBIPHAR, PT
583 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 20 20 PHAPROS, PT
584 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 1 1 PHAPROS, PT
585 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 237 237 PHAPROS, PT
586 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - - 1,474 1,474 PHAPROS, PT
587 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 275,000 2 2 PRATAPA NIRMALA
588 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
589 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
590 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 860 860 KIMIA FARMA
591 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
592 12000315 PHARMATHON FORMULA @ 50 CAPS DUS 50 200,682 40 40 SANOFI AVENTIS
593 12000318 PHARMATON VIT KAPLET DUS 50 199,367 91 91 SANOFI AVENTIS
594 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 17,000 37 37 KIMIA FARMA
595 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 124 19 143 PHAPROS, PT
596 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
597 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
598 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 58 34 107 PHAPROS, PT
599 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 544 544 KIMIA FARMA
600 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
601 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS 100 15,968 164 164 KIMIA FARMA
602 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 49 49 PRATAPA NIRMALA
603 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 260,000 23 23 PRATAPA NIRMALA
604 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 161 161 PRATAPA NIRMALA
605 12009903 PREDNISON 5 MG @100 TAB (PEHA) DUS 100 16,800 11 11 PHAPROS, PT
606 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 86 86 MOLEX AYUS, PT
607 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 86 86 PHAPROS, PT
608 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 59 59 PHAPROS, PT
609 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 75 75 PHAPROS, PT
610 13001143 PRO TB2 TAB@28 DUS 28 184,450 55 55 PHAPROS, PT
611 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 11 22 PHAPROS, PT
612 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
613 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
614 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
615 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
616 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
617 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
618 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 713 713 KIMIA FARMA
619 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 600 2,350 HOLI PHARMA
620 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 346 74 420 HOLI PHARMA
621 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 520 520 KIMIA FARMA
622 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
623 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 823 532 635 1,990 KIMIA FARMA
624 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS 100 27,600 150 1,939 2,089 PHAPROS, PT
625 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
626 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS #N/A #N/A 600 600 PHAPROS, PT
627 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 15 15 PRATAPA NIRMALA
628 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 150,000 83 83 PRATAPA NIRMALA
629 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 3 3 NUFARINDO, PT
630 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
631 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 25 25 PRATAPA NIRMALA
632 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 4 4 PRATAPA NIRMALA
633 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 4 4 PRATAPA NIRMALA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
634 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 31 31 PRATAPA NIRMALA
635 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 2 7 9 KIMIA FARMA
636 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 244 244 LUCAS DJAJA
637 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 4 4 LUCAS DJAJA
638 12009907 RISTONAT @4 TAB DUS 4 290,000 30 30 PHAPROS, PT
639 12008474 RIVANOL 100ML MOL BT 1 4,000 676 676 MOLEX AYUS, PT
640 12008475 RIVANOL 300ML MOL BT 1 9,000 547 547 MOLEX AYUS, PT
641 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 224 224 KIMIA FARMA
642 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 167 167 KIMIA FARMA
643 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 243 243 KIMIA FARMA
644 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 202 202 KIMIA FARMA
645 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 48 48 KIMIA FARMA
646 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 49 49 KIMIA FARMA
647 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 1,700 1,700 KIMIA FARMA
648 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1,232 915 2,147 KIMIA FARMA
649 12010405 SALBUTAMOL SULFATE INHALASI BT@10 (FAH) DUS #N/A #N/A 67 67 PRATAPA NIRMALA
650 11000923 SALICYL FRESH 60GR Kemasan baru BOX 1 12,380 7 7 KIMIA FARMA
651 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - - 900 900 PIHAK 3
652 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
653 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 3 3 PRATAPA NIRMALA
654 12009809 SILEX SYRUP 100 ML (DVRS) BT 1 55,650 5 5 DARYA VARIA, PT
655 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
656 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 85 1,066 1,151 KIMIA FARMA
657 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 51 51 PHAPROS, PT
658 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
659 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
660 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
661 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 25 25 DARYA VARIA, PT
662 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
663 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 49 49 PHAPROS, PT
664 12009811 SULFADIAZINE SILVER 35GR (DVRS) DUS 1 18,818 17 - 17 DARYA VARIA, PT
665 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
666 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 56 56 DARYA VARIA, PT
667 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 16 16 DARYA VARIA, PT
668 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 900 900 KASA HUSADA WIRA JATIM, PT
669 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 4 4 NUFARINDO, PT
670 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
671 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
672 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 47 47 PHAPROS, PT
673 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 38 38 PHAPROS, PT
674 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 7 7 PHAPROS, PT
675 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
676 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
677 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
678 12005930 TETRACYCLINE HCL 250MG BTL CAP@100 (NOVA KPL #N/A #N/A 3,000 3,000 NOVAPHARIN
679 12009937 THERASORB C 10CM X 10CM (DVRS) DUS 10 700,000 4 4 DARYA VARIA, PT
680 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 7 7 MOLEX AYUS, PT
681 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
682 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
683 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 10 10 KIMIA FARMA
684 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 660,000 17 17 PRATAPA NIRMALA
685 13006433 TRACETATE SUSP 200ML (FAH) BT 1 390,000 17 17 PRATAPA NIRMALA
686 13076813 TRAMPARA TAB@30 DUS 30 145,000 45 45 PHAPROS, PT
687 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 53 53 PRATAPA NIRMALA
688 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
689 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 102 102 KIMIA FARMA
690 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
691 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 154 154 BIOFARMA
692 13026424 UMARONE INJ 2ML (FAH) VL 1 175,000 199 199 PRATAPA NIRMALA
693 12000885 URDAFALK 250 MG CAPS DUS 30 300,000 15 15 DARYA VARIA, PT
694 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 914 914 BUSANA UTAMA, PT
695 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
696 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
697 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,200 2,200 BUSANA UTAMA, PT
698 11000292 VAGIZOLE OVULA DUS 5 55,000 39 39 KIMIA FARMA
699 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
700 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
701 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
702 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 248 248 KIMIA FARMA
703 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 ### 124 KIMIA FARMA
704 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 99 99 PRATAPA NIRMALA
705 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 120 30 150 PRATAPA NIRMALA
706 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 160 160 PRATAPA NIRMALA
707 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 35 35 PRATAPA NIRMALA
708 13010157 VENODENOL 3% INJ AMP@5 (FAH) DUS 5 750,000 49 49 PRATAPA NIRMALA
709 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
710 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 21 21 KIMIA FARMA
711 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 28 28 KIMIA FARMA
712 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
713 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 20 20 KIMIA FARMA
714 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
715 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 2 2 KIMIA FARMA
716 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
717 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
718 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
719 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
720 11000368 VENUS FACIAL WASH 100ml DUS 1 22,091 6 6 KIMIA FARMA
721 11000369 VENUS FACIAL WASH 50ml DUS 1 12,000 6 6 KIMIA FARMA
722 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
723 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
724 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 9 9 KIMIA FARMA
725 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
726 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 30 30 KIMIA FARMA
727 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 5 5 KIMIA FARMA
728 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
729 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
730 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
731 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
732 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
733 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
734 11001143 VENUS SOFT MATTE LIPCREAM NO.1 DUS 1 38,389 11 11 KIMIA FARMA
735 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
736 11001145 VENUS SOFT MATTE LIPCREAM NO.3 DUS 1 38,389 12 12 KIMIA FARMA
737 11001147 VENUS SOFT MATTE LIPCREAM NO.5 DUS 1 38,389 21 21 KIMIA FARMA
738 11001150 VENUS SOFT MATTE LIPCREAM NO.8 DUS 1 38,389 11 11 KIMIA FARMA
739 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 21 21 KIMIA FARMA
740 11001432 VENUS SOFTMATTE LIPCREAM 13 DUS 1 38,389 0 0 KIMIA FARMA
741 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 22 22 KIMIA FARMA
742 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
743 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
744 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 11 11 KIMIA FARMA
745 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
746 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
747 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 101 101 KIMIA FARMA
748 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 37 37 KIMIA FARMA
749 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 25 25 KIMIA FARMA
750 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
751 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
752 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
753 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
754 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
755 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
756 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
757 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
758 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
759 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
760 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
761 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
762 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
763 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
764 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
765 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
766 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
767 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
768 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
769 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
770 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
771 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
772 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 199 199 DARYA VARIA, PT
773 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 137 137 DARYA VARIA, PT
774 12000888 VICEE ORANGE TAB @ 100 (UN) DUS 100 57,173 147 147 DARYA VARIA, PT
775 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 57,173 15 15 DARYA VARIA, PT
776 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 23 23 PRATAPA NIRMALA
777 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
778 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
779 11000487 VITAMIN B KOMPLEKS(SUPLEMEN)(DUS100TAB) DUS 100 12,917 400 400 KIMIA FARMA
780 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 366 366 KIMIA FARMA
781 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 112 54 166 KIMIA FARMA
782 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 26 26 MARIN LIZA
783 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 1,475 50 1,525 KIMIA FARMA
784 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,200 288 288 KIMIA FARMA
785 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 134 134 PHAPROS, PT
786 11000288 VITAMIN C 50 MG TAB (SUPL)(DUS 100 TAB) DUS #N/A #N/A 2,407 2,407 KIMIA FARMA
787 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 100 #N/A 599 599 MARIN LIZA
788 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 67 67 PHAPROS, PT
789 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
790 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 30 30 PRATAPA NIRMALA
791 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 6 6 NUFARINDO, PT
792 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 49 350 1,600 1,999 PHAPROS, PT
793 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 436 436 KIMIA FARMA

NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 16 Desember 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 352 352 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 193 146 339 KIMIA FARMA
7 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 25 105,000 8 8 PHAPROS, PT
8 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 12 20 KIMIA FARMA
9 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
10 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
11 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
12 12007580 AGANI NEEDLE 26GX13MM DUS 100 30,000 21 21 TERUMO, PT
13 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
14 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 13 13 KIMIA FARMA
15 11002211 ALERGINE 5 MG/ 5 ML SIRUP BT 1 39,000 100 100 KIMIA FARMA
16 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 752 752 MOLEX AYUS, PT
17 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 141 141 MOLEX AYUS, PT
18 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 53 53 KIMIA FARMA
19 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
20 12008443 ALPARA KPL@150 MOL DUS 150 81,641 400 400 MOLEX AYUS, PT
21 13008405 ALPARA SYR 60ML MOL BT 1 9,546 27 27 MOLEX AYUS, PT
22 12008483 ALPHAMOL DROP 15ML MOL BT 1 13,000 199 199 MOLEX AYUS, PT
23 12008485 ALPHAMOL SYR 60ML MOL BT 1 7,300 3 3 MOLEX AYUS, PT
24 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS 100 35,000 177 177 KIMIA FARMA
25 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 97 97 KIMIA FARMA
26 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 12 12 PHAPROS, PT
27 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 328 44 372 KIMIA FARMA
28 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
29 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 69 69 PHAPROS, PT
30 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 1 21 KIMIA FARMA
31 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 0 0 KIMIA FARMA
32 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 58 58 PHAPROS, PT
33 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 645 5,613 170 6,428 KIMIA FARMA
34 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 431 431 PHAPROS, PT
35 12011452 AMOXICILIN DRY SYRUP 125MG/5ML (MERSI) BT #N/A #N/A 1,000 1,000 MERSIFARMA
36 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS 100 37,809 424 424 KIMIA FARMA
37 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT #N/A #N/A 500 500 MERSIFARMA
38 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
39 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 5 PHAPROS, PT
40 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 270 270 PHAPROS, PT
41 13003589 ANESFAR 5MG INJ AMP@5 (FAH) DUS 5 100,000 300 300 PRATAPA NIRMALA
42 12012158 ANTASIDA DOEN @60 ML (AFI) BT #N/A #N/A 1,000 1,000 PT AFIFARMA
43 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 1,273 240 1,513 KIMIA FARMA
44 12008528 ANTASIDA DOEN TAB MERSI DUS #N/A #N/A 500 - 500 MERSIFARMA
45 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
46 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
47 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 13 13 KIMIA FARMA
48 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,410 1,410 KIMIA FARMA
49 11002117 ANTIFECT POVIDONE IODINE 15 ML BT 1 9,000 220 220 KIMIA FARMA
50 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
51 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
52 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 1 1 KIMIA FARMA
53 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 171 171 PHAPROS, PT
54 12005096 ANTIMO DEWASA TAB STR 720 243,648 16,920 16,920 PHAPROS, PT
55 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 20 20 PHAPROS, PT
56 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
57 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 150 150 NOVAPHARIN
58 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 222 222 KIMIA FARMA
59 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 6 6 DARYA VARIA, PT
60 12000711 ASPILETS THROMBO TABLET @ 150( DUS 150 123,400 2 2 DARYA VARIA, PT
61 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 123,400 3 3 DARYA VARIA, PT
62 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 8 8 PRATAPA NIRMALA
63 11001586 ATORVASTATIN 10 MG DUS 30 35,000 459 459 KIMIA FARMA
64 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 36 36 DARYA VARIA, PT
65 11001587 ATORVASTATIN 20 MG DUS 30 52,500 163 163 KIMIA FARMA
66 11001588 ATORVASTATIN 40 MG DUS 30 70,000 84 84 KIMIA FARMA
67 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
68 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
69 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
70 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 897 897 BIO AXION HEALTHINDO, PT
71 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
72 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
73 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
74 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 932 932 BIO AXION HEALTHINDO, PT
75 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
76 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 610 610 BIO AXION HEALTHINDO, PT
77 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
78 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 133 133 BIO AXION HEALTHINDO, PT
79 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
80 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
81 12000185 AXIMED FEMALE CATHETER NO. 10 PC 1 - 1,000 1,000 BIO AXION HEALTHINDO, PT
82 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
83 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 518 518 BIO AXION HEALTHINDO, PT
84 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 428 428 BIO AXION HEALTHINDO, PT
85 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 238 238 BIO AXION HEALTHINDO, PT
86 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
87 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
88 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
89 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 29 29 BIO AXION HEALTHINDO, PT
90 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 81 127 BIO AXION HEALTHINDO, PT
91 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
92 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 584 584 BIO AXION HEALTHINDO, PT
93 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 729 - - - - 729 KIMIA FARMA
94 13022661 BECEFORT SYR 60ML BT 1 14,603 69 69 PHAPROS, PT
95 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 6 4 10 PHAPROS, PT
96 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 247 120 0 367 KIMIA FARMA
97 11000385 BETASON CREAM (TUBE 5 GRAM) DUS #N/A #N/A 25 25 KIMIA FARMA
98 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
99 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
100 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 295 295 BIO AXION HEALTHINDO, PT
101 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 7 7 DARYA VARIA, PT
102 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
103 13026576 BIORON TAB@100 DUS 100 101,650 53 53 PHAPROS, PT
104 12012264 BIOSALIVA (BIOFARMA) UNT 1 23,000 50 50 BIOFARMA
105 12012222 BISACODYL 5MG TAB@100 DUS #N/A #N/A 31 612 643 HARSEN LABORATORIES, PT
106 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 72 72 SANOFI AVENTIS
107 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
108 12010616 BONEFILL ORTHO BT 1 1,350,000 5 5 PHAPROS, PT
109 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 335,000 20 20 PRATAPA NIRMALA
110 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 297 297 PRATAPA NIRMALA
111 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 42 42 DARYA VARIA, PT
112 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 5 5 SANOFI AVENTIS
113 12009839 CALCITRIOL 0,25 MCG @30 KPS (PEHA) DUS 30 67,680 18 166 184 PHAPROS, PT
114 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 119 119 PHAPROS, PT
115 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 203 203 KIMIA FARMA
116 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 29 29 MERSIFARMA
117 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 66 66 PRATAPA NIRMALA
118 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 270,000 10 10 PRATAPA NIRMALA
119 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 14 14 PRATAPA NIRMALA
120 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,487 1,487 LUCAS DJAJA
121 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
122 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 296 296 PHAPROS, PT
123 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 252 252 KIMIA FARMA
124 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS 100 16,465 916 916 KIMIA FARMA
125 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
126 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
127 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
128 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 101 101 KIMIA FARMA
129 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
130 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 23 18 41 DARYA VARIA, PT
131 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
132 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
133 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS 10 60,000 797 797 PHAPROS, PT
134 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 26 26 CENDO, PT
135 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
136 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
137 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 1 1 CENDO, PT
138 12004104 CENDO CENFRESH MINIDOSE 5 X 0,6 ML STR 1 23,000 3 3 CENDO, PT
139 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
140 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 62 62 CENDO, PT
141 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 70 70 CENDO, PT
142 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 24 24 CENDO, PT
143 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 635 635 CENDO, PT
144 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
145 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 24 24 CENDO, PT
146 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 46 46 CENDO, PT
147 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
148 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 1 1 CENDO, PT
149 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 14 14 CENDO, PT
150 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 9 9 CENDO, PT
151 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 127 127 CENDO, PT
152 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
153 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 25 25 CENDO, PT
154 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
155 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 17 17 CENDO, PT
156 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
157 12004148 CENDO LFX MINIDOSE 5 X 0,6 ML STR 1 69,000 3 3 CENDO, PT
158 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
159 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 165 165 CENDO, PT
160 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 199 199 CENDO, PT
161 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
162 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 29 29 CENDO, PT
163 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
164 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 1 1 CENDO, PT
165 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 18 18 CENDO, PT
166 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 86 86 CENDO, PT
167 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
168 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
169 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
170 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
171 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
172 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 10 10 CENDO, PT
173 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 4 4 CENDO, PT
174 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 8 8 CENDO, PT
175 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
176 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
177 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
178 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 27 27 CENDO, PT
179 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 25 25 CENDO, PT
180 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 46 46 CENDO, PT
181 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 38 38 CENDO, PT
182 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 34 34 CENDO, PT
183 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
184 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 47 47 CENDO, PT
185 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 7 7 CENDO, PT
186 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
187 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
188 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
189 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 47 47 CENDO, PT
190 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 24 24 CENDO, PT
191 12005164 CENDO VITAL TAB@30 DUS 30 90,000 4 4 CENDO, PT
192 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 153 153 CENDO, PT
193 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 118 118 CENDO, PT
194 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 43 43 BIOFARMA
195 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 1,041 50 1,091 KIMIA FARMA
196 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
197 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 3 3 KIMIA FARMA
198 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) DUS 1 11,500 1 1 KIMIA FARMA
199 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 2 0 2 KIMIA FARMA
200 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 180 195 KIMIA FARMA
201 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
202 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 200 176 376 NOVAPHARIN
203 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
204 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
205 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 262 262 KIMIA FARMA
206 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
207 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 150 150 MOLEX AYUS, PT
208 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 67 67 PHAPROS, PT
209 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
210 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
211 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 204 35 239 KIMIA FARMA
212 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 1,221 119 1,340 KIMIA FARMA
213 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 390 390 KIMIA FARMA
214 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 67 67 PHAPROS, PT
215 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 167 27 194 KIMIA FARMA
216 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
217 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 13 13 KIMIA FARMA
218 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
219 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 20 20 KIMIA FARMA
220 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
221 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
222 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
223 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
224 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 18 18 PHAPROS, PT
225 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
226 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 203 50 253 KIMIA FARMA
227 12008509 COTRIMOXAZOLE SUS MERSI BT #N/A #N/A 1,000 1,000 MERSIFARMA
228 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 300 300 MERSIFARMA
229 13010481 CURMUNOS SYR 60ML (FAH) BT 1 80,000 50 50 PRATAPA NIRMALA
230 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 0 1 LUCAS DJAJA
231 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 454 454 PYRIDAM, PT
232 12005932 D5 - MJB 500 ML BT 1 6,694 196 196 EMJEBE PHARMA , PT
233 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 49 49 DARYA VARIA, PT
234 12007305 DECATONA 30 MG KAPSUL BT #N/A #N/A 15 15 HARSEN LABORATORIES, PT
235 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 7 7 DARYA VARIA, PT
236 11000182 DEXAMETHASONE 0.5 MG (DUS 100 TAB) DUS 100 14,843 265 265 KIMIA FARMA
237 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 77 68 40 10 195 PHAPROS, PT
238 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
239 13000718 DEXTAMIN TAB@100 DUS 100 140,250 211 211 PHAPROS, PT
240 13000720 DEXTAMINE 30X10'S DUS 300 413,618 140 140 PHAPROS, PT
241 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 148 148 MOLEX AYUS, PT
242 11000049 DIAZEPAM 2 MG (BTL 100 TAB) BT 1 12,478 240 240 KIMIA FARMA
243 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 5 5 MERSIFARMA
244 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 232 232 MEPROFARM
245 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 251 251 KIMIA FARMA
246 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,029 1,029 KIMIA FARMA
247 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 118 30 148 KIMIA FARMA
248 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 54,000 30 30 PHAPROS, PT
249 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
250 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
251 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
252 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT #N/A #N/A 1,500 1,500 PT AFIFARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
253 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
254 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
255 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 42 42 NUFARINDO, PT
256 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
257 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 58,760 5 5 KIMIA FARMA
258 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 58 58 SANOFI AVENTIS
259 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 141,398 28 28 SANOFI AVENTIS
260 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 3 3 SANOFI AVENTIS
261 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 5 5 JANSSEN PHARMACEUTICA NV
262 11000057 DUVADILAN INJEKSI DUS 6 179,000 17 17 KIMIA FARMA
263 11000058 DUVADILAN TABLET DUS 50 250,000 15 15 KIMIA FARMA
264 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 12 12 PRATAPA NIRMALA
265 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 132 132 DARYA VARIA, PT
266 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 41 41 DARYA VARIA, PT
267 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 123 123 KIMIA FARMA
268 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
269 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
270 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
271 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
272 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 16 16 KIMIA FARMA
273 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
274 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
275 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 48 48 KIMIA FARMA
276 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 17 12 29 PHAPROS, PT
277 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 139 5 144 KIMIA FARMA
278 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
279 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 184 184 KIMIA FARMA
280 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
281 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 7 7 KIMIA FARMA
282 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
283 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 434 434 HOLI PHARMA
284 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 5 5 PHAPROS, PT
285 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 166 166 KIMIA FARMA
286 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 8 0 9 KIMIA FARMA
287 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 8 8 PRATAPA NIRMALA
288 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 51 51 PRATAPA NIRMALA
289 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 143 143 PRATAPA NIRMALA
290 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 110,000 56 56 PRATAPA NIRMALA
291 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 5 5 10 PRATAPA NIRMALA
292 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
293 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 15 15 PRATAPA NIRMALA
294 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
295 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 43,000 374 374 PRATAPA NIRMALA
296 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 53,000 440 440 PRATAPA NIRMALA
297 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 47 47 PRATAPA NIRMALA
298 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 142 142 PRATAPA NIRMALA
299 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 390,000 50 50 PRATAPA NIRMALA
300 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
301 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 135,000 50 50 PRATAPA NIRMALA
302 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
303 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
304 13019430 FEBRINEX SYR 60ML BT 1 12,612 30 30 PHAPROS, PT
305 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
306 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 27 27 PRATAPA NIRMALA
307 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 31 31 PRATAPA NIRMALA
308 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 98 102 200 PIRAMAL CRITICAL CARE LTD
309 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 170,000 60 60 MAHAKAM BETA FARMA
310 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 597 597 KIMIA FARMA
311 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 550 550 PYRIDAM, PT
312 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
313 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
314 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 86 86 KIMIA FARMA
315 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
316 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 515 515 KIMIA FARMA
317 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 131 131 KIMIA FARMA
318 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 328 328 KIMIA FARMA
319 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 614 614 KIMIA FARMA
320 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 252 252 KIMIA FARMA
321 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 120 120 KIMIA FARMA
322 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 511 511 KIMIA FARMA
323 11001784 FITUNO IMMUNE KIDS 60ML BT 1 25,500 144 3 KIMIA FARMA
324 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 234 234 KIMIA FARMA
325 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 2 2 PRATAPA NIRMALA
326 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 23 23 PRATAPA NIRMALA
327 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 76 76 PRATAPA NIRMALA
328 12007662 FLUBIO VL 1 99,800 98 98 BIOFARMA
329 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 56 1,484 26 1,566 KIMIA FARMA
330 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
331 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
332 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
333 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
334 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 41 41 KIMIA FARMA
335 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 509 50 559 KIMIA FARMA
336 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 78 78 PRATAPA NIRMALA
337 12005178 GASTRUL TAB@30 (FAH) DUS 30 345,000 100 100 PRATAPA NIRMALA
338 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 101 101 PHAPROS, PT
339 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 481 481 KIMIA FARMA
340 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 123 123 PHAPROS, PT
341 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 710 720 PHAPROS, PT
342 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 211 211 KIMIA FARMA
343 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 459 459 KIMIA FARMA
344 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 373 373 KIMIA FARMA
345 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 795 18 813 KIMIA FARMA
346 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
347 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 3 40 KIMIA FARMA
348 12010432 GOLDTRION KPL@30 (FAH) DUS 30 255,000 20 20 PRATAPA NIRMALA
349 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 398 3,282 1,560 5,240 KIMIA FARMA
350 12000801 GRISEOFULVIN 500 MG TABL @ 100 DUS 100 168,971 1 1 DARYA VARIA, PT
351 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 270 270 PHAPROS, PT
352 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,388 1,388 KIMIA FARMA
353 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A #N/A 250 250 NOVAPHARIN
354 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
355 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
356 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 29 29 PHAPROS, PT
357 12006958 HEPAGARD DUS #N/A 76,230 11 11 PHAPROS, PT
358 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
359 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 1,525,000 17 17 KIMIA FARMA
360 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 220 205 425 KIMIA FARMA
361 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 13 591 46 650 KIMIA FARMA
362 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA) DUS #N/A #N/A 50 50 RAMA EMERALD, PT
363 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 128 128 PHAPROS, PT
364 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 439 1 440 PHAPROS, PT
365 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 2 2 NOVAPHARIN
366 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 100 1,983 NOVAPHARIN
367 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 #N/A 35 35 NOVAPHARIN
368 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 6 6 NUFARINDO, PT
369 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 4 4 PHAPROS, PT
370 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 4 4 PHAPROS, PT
371 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
372 12004320 INPEPSA SUSP 100ML (FAH) BT 1 60,000 998 998 PRATAPA NIRMALA
373 13005812 INPEPSA SUSP 200ML (FAH) BT 1 85,000 111 111 PRATAPA NIRMALA
374 12007335 INSTO REGULAR 15 ML DUS 1 16,100 69 69 COMBIPHAR, PT
375 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 1,230 540 1,770 PRATAPA NIRMALA
376 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BOX 1 48,818 13 13 KIMIA FARMA
377 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 37 2 40 KIMIA FARMA
378 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 6 6 KIMIA FARMA
379 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 5,000 2,656 384 32 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
380 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
381 12012203 ISOFLURANE INHALASI 100ML (MERSI) DUS #N/A #N/A 5 5 MERSIFARMA
382 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
383 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,376 2,376 KIMIA FARMA
384 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 192 192 KIMIA FARMA
385 12001249 IVANES 100 MG / 10 ML VL 1 - 163 163 IKAPHARMINDO
386 12001992 KASA PEMB HYDR 4Yd X 5CM @5 ROLL (KHWJ) PAC 5 14,300 10 10 KASA HUSADA WIRA JATIM, PT
387 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
388 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 34 48 DARYA VARIA, PT
389 11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) DUS 25 4,000 40 40 KIMIA FARMA
390 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,652 1,652 KIMIA FARMA
391 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 259,091 4 4 KIMIA FARMA
392 11001995 KIFAMED TONGKAT KAKI EMPAT BERODA PC 1 290,909 2 2 KIMIA FARMA
393 11001994 KIFAMED TONGKAT KAKI EMPAT CABANG PC 1 95,454 3 3 KIMIA FARMA
394 11001914 KIFAMED TONGKAT KAKI SATU STANDARD PC 1 81,818 5 5 KIMIA FARMA
395 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
396 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 35 35 KIMIA FARMA
397 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 21 21 KIMIA FARMA
398 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 108 108 PHAPROS, PT
399 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 171 171 PHAPROS, PT
400 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS #N/A #N/A 267 267 KIMIA FARMA
401 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
402 13010687 LACTAFAR CAP@30 (FAH) DUS 30 120,000 24 24 PRATAPA NIRMALA
403 12005388 LANDO 300MG CAP@50 (PYRIDAM) DUS 50 399,000 3 3 PYRIDAM, PT
404 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 476 20 496 KIMIA FARMA
405 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 27 27 MEPROFARM
406 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 58 58 MOLEX AYUS, PT
407 13005836 LEXACROL CHEW TAB@150 MOL DUS 150 71,300 15 15 MOLEX AYUS, PT
408 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
409 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 79 79 MOLEX AYUS, PT
410 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 140 2 56 9 207 PHAPROS, PT
411 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 23 2 25 PHAPROS, PT
412 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 22,950 20 20 PHAPROS, PT
413 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 25 346 371 IFARS PHARMACEUTICAL, PT
414 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
415 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
416 11000329 MARCKS BEDAK CREME BOX 1 13,700 6 6 KIMIA FARMA
417 11000330 MARCKS BEDAK CREME 20gr BOX 1 23,700 9 9 KIMIA FARMA
418 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 9 9 KIMIA FARMA
419 11000332 MARCKS BEDAK INVISIBLE 40gr (New) BOX 1 13,700 9 9 KIMIA FARMA
420 11000333 MARCKS BEDAK Natural Beige 20 gr (New) BOX 1 23,700 7 7 KIMIA FARMA
421 11000334 MARCKS BEDAK Natural Beige 40gr (New) BOX 1 13,700 0 0 KIMIA FARMA
422 11000336 MARCKS BEDAK PUTIH BOX 1 13,700 8 8 KIMIA FARMA
423 11000337 MARCKS BEDAK ROSE BOX 1 13,700 10 10 KIMIA FARMA
424 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
425 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
426 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
427 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
428 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 4 4 KIMIA FARMA
429 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
430 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 136 136 KIMIA FARMA
431 11001981 MARCKS' TEENS ACNE EXPERT FACE WASH BOX 1 13,200 2 2 KIMIA FARMA
432 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
433 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 39 39 KIMIA FARMA
434 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 57 57 KIMIA FARMA
435 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 8 8 KIMIA FARMA
436 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 13 13 KIMIA FARMA
437 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 18 18 KIMIA FARMA
438 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 14 14 KIMIA FARMA
439 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 28 28 KIMIA FARMA
440 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 23.583 24 KIMIA FARMA
441 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 20 20 KIMIA FARMA
442 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 413 413 PHAPROS, PT
443 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
444 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
445 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 8 8 DARYA VARIA, PT
446 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 391 391 PT. LIKUID PHARMALAB INDONESIA
447 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
448 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
449 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 142 142 PT. LIKUID PHARMALAB INDONESIA
450 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 467 467 PT. LIKUID PHARMALAB INDONESIA
451 12008458 MELOCID TAB@50 MOL DUS 50 30,000 5 5 MOLEX AYUS, PT
452 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 650 650 MEPROFARM
453 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
454 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
455 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 77 1 78 PRATAPA NIRMALA
456 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 1,796 1,796 KIMIA FARMA
457 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS 100 296,800 3 3 MEPROFARM
458 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
459 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
460 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 102 102 PHAPROS, PT
461 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 56 56 PHAPROS, PT
462 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 24 24 PHAPROS, PT
463 11000104 METHYLERGOMETRINE 0,125 MG (DUS 100 TAB) DUS #N/A #N/A 350 150 500 KIMIA FARMA
464 12009543 METHYLERGOMETRINE INJ 0,2 MG/ML (NVLL) DUS #N/A #N/A 47 47 NOVELL PHARMACEUTICAL LABORATORIES
465 12009882 METHYLPREDNISOLONE 4 MG @100 TAB (PEHA) DUS 100 48,000 27 27 PHAPROS, PT
466 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 1 30,000 259 259 MOLEX AYUS, PT
467 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A 50 50 PHAPROS, PT
468 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 47 65 112 KIMIA FARMA
469 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 665 50 12 727 KIMIA FARMA
470 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 110 110 PHAPROS, PT
471 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 32,813 1,011 1,011 KIMIA FARMA
472 12012242 METRONIDAZOLE 500MG 10X10 TAB (RAMA) DUS #N/A #N/A 300 300 RAMA EMERALD, PT
473 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 120 120 NOVAPHARIN
474 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 892 892 DARYA VARIA, PT
475 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT #N/A #N/A 36 36 MEPROFARM
476 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
477 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 124 208 332 KIMIA FARMA
478 13002997 MIOZIDINE MR 35MG TAB@30 (FAH) DUS 1 102,000 10 10 PRATAPA NIRMALA
479 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 2 2 MOLEX AYUS, PT
480 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 139 199 338 MOLEX AYUS, PT
481 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 53 53 MOLEX AYUS, PT
482 12008468 MOLEXFLU KPL@150 MOL DUS 150 47,271 120 120 MOLEX AYUS, PT
483 13002451 MONECTO 20MG TAB@30 (FAH) DUS 1 81,000 10 10 PRATAPA NIRMALA
484 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
485 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
486 11000501 MST CONTINUS 10 MG DUS 60 852,000 7 7 MAHAKAM BETA FARMA
487 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
488 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 2 10 PHAPROS, PT
489 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
490 12005179 N ACE CAP@30 (FAH) DUS 1 78,000 315 315 PRATAPA NIRMALA
491 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
492 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 130 130 KIMIA FARMA
493 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 99 800 899 PHAPROS, PT
494 11000108 NATRIUM DIKLOFENAK 50 MG (DUS 50 TAB) DUS 50 18,346 1,168 1,168 KIMIA FARMA
495 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 27 27 PHAPROS, PT
496 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 53 53 DARYA VARIA, PT
497 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 45 45 DARYA VARIA, PT
498 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 20 20 DARYA VARIA, PT
499 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 54 54 DARYA VARIA, PT
500 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 129 129 DARYA VARIA, PT
501 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 9 9 DARYA VARIA, PT
502 12000832 NATUR E HBL 100 ML BT 1 10,424 45 45 DARYA VARIA, PT
503 12000833 NATUR E HBL 245 ML BT 1 20,913 92 92 DARYA VARIA, PT
504 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 120 120 DARYA VARIA, PT
505 12007345 NATUR E NOURISHING-REVITAL LOTION 100 ML BT 1 12,220 8 8 DARYA VARIA, PT
506 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
507 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 170 143 313 DARYA VARIA, PT
508 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 70 70 MOLEX AYUS, PT
509 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 7 7 DARYA VARIA, PT
510 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
511 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
512 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 50 - 50 DARYA VARIA, PT
513 12000840 NIFURAL SYR BT 1 60,300 54 54 DARYA VARIA, PT
514 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
515 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 798 798 SINAR RODA UTAMA, PT
516 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 2,750 2,775 SINAR RODA UTAMA, PT
517 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,342 8,342 SINAR RODA UTAMA, PT
518 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,481 4,481 SINAR RODA UTAMA, PT
519 12003653 NIPRO SAFELET CATH IV PU 24GX3/4" PC #N/A #N/A 57 57 SINAR RODA UTAMA, PT
520 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 4,800 - - - 4,800 SINAR RODA UTAMA, PT
521 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 1,170 100 5 105 SINAR RODA UTAMA, PT
522 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,276 6,276 SINAR RODA UTAMA, PT
523 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
524 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 520 19 20 559 PHAPROS, PT
525 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 75 184 259 KIMIA FARMA
526 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 11 70 81 KIMIA FARMA
527 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
528 12012229 NOSTROK 10MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
529 12012230 NOSTROK 15MG TAB@30 (FAH) DUS 30 630,000 20 20 PRATAPA NIRMALA
530 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
531 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 8 8 NUFARINDO, PT
532 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 22 22 NUFARINDO, PT
533 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 10 10 NUFARINDO, PT
534 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 400 1,000 1,400 IFARS PHARMACEUTICAL, PT
535 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 432 252 684 PHAPROS, PT
536 12008469 OBH 60ML MOL BT 1 5,000 7 7 MOLEX AYUS, PT
537 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 30 30 COMBIPHAR, PT
538 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 97 97 COMBIPHAR, PT
539 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 96 96 COMBIPHAR, PT
540 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 143 143 COMBIPHAR, PT
541 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 13,781 24 24 COMBIPHAR, PT
542 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 321 321 COMBIPHAR, PT
543 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 220 220 COMBIPHAR, PT
544 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
545 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 100 100 COMBIPHAR, PT
546 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 157 157 COMBIPHAR, PT
547 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 52,900 30 30 DARYA VARIA, PT
548 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
549 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 319 2,200 2,519 KIMIA FARMA
550 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 11 11 PIHAK 3
551 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 1 400 - - 401 PHAPROS, PT
552 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
553 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 268 268 KIMIA FARMA
554 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
555 13005119 OSTRIOL CAP@30 (FAH) BT 1 150,000 10 10 PRATAPA NIRMALA
556 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
557 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 110 295 4 409 KIMIA FARMA
558 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
559 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 1,615 1,615 KIMIA FARMA
560 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 12,626 12,626 DARYA VARIA, PT
561 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 45 45 KIMIA FARMA
562 12008523 PARASETAMOL INFUS BT #N/A #N/A 27 27 MERSIFARMA
563 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
564 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 172 172 DARYA VARIA, PT
565 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 112 112 DARYA VARIA, PT
566 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 20 20 PHAPROS, PT
567 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 1 1 PHAPROS, PT
568 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 237 237 PHAPROS, PT
569 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - - 1,475 1,475 PHAPROS, PT
570 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 275,000 2 2 PRATAPA NIRMALA
571 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
572 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
573 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 980 980 KIMIA FARMA
574 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
575 12000318 PHARMATON VIT KAPLET DUS 50 199,367 71 71 SANOFI AVENTIS
576 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 17,000 2 37 39 KIMIA FARMA
577 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 126 19 145 PHAPROS, PT
578 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
579 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
580 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 58 34 107 PHAPROS, PT
581 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 600 600 KIMIA FARMA
582 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
583 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS 100 15,968 28 28 KIMIA FARMA
584 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 118 118 KIMIA FARMA
585 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 49 49 PRATAPA NIRMALA
586 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 260,000 25 25 PRATAPA NIRMALA
587 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 217 217 PRATAPA NIRMALA
588 12009903 PREDNISON 5 MG @100 TAB (PEHA) DUS 100 16,800 86 86 PHAPROS, PT
589 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 87 87 MOLEX AYUS, PT
590 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 40 40 MOLEX AYUS, PT
591 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 86 86 PHAPROS, PT
592 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 62 62 PHAPROS, PT
593 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 75 75 PHAPROS, PT
594 13001143 PRO TB2 TAB@28 DUS 28 184,450 55 55 PHAPROS, PT
595 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 11 22 PHAPROS, PT
596 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
597 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
598 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
599 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
600 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
601 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
602 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 715 715 KIMIA FARMA
603 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 600 2,350 HOLI PHARMA
604 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 - 520 74 - 594 HOLI PHARMA
605 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 554 554 KIMIA FARMA
606 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
607 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 833 532 635 2,000 KIMIA FARMA
608 12011858 RAMVIT C 500 @100 KPL (RAMA) DUS #N/A #N/A 320 320 RAMA EMERALD, PT
609 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS 100 27,600 361 2,045 2,406 PHAPROS, PT
610 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
611 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 18 18 PRATAPA NIRMALA
612 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 150,000 100 100 PRATAPA NIRMALA
613 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 3 3 NUFARINDO, PT
614 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
615 13010956 RENAPAR TAB@100 (FAH) DUS 100 230,000 10 10 PRATAPA NIRMALA
616 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 25 25 PRATAPA NIRMALA
617 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 6 6 PRATAPA NIRMALA
618 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 4 4 PRATAPA NIRMALA
619 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 31 31 PRATAPA NIRMALA
620 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 2 7 9 KIMIA FARMA
621 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 324 324 LUCAS DJAJA
622 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 120 120 LUCAS DJAJA
623 12008474 RIVANOL 100ML MOL BT 1 4,000 711 711 MOLEX AYUS, PT
624 12008475 RIVANOL 300ML MOL BT 1 9,000 568 568 MOLEX AYUS, PT
625 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 224 224 KIMIA FARMA
626 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 168 168 KIMIA FARMA
627 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 243 243 KIMIA FARMA
628 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 202 202 KIMIA FARMA
629 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 48 48 KIMIA FARMA
630 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 49 49 KIMIA FARMA
631 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 2,055 2,055 KIMIA FARMA
632 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1,658 915 2,573 KIMIA FARMA
633 12010405 SALBUTAMOL SULFATE INHALASI BT@10 (FAH) DUS #N/A #N/A 67 67 PRATAPA NIRMALA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
634 12012302 SALEP WHITFIELD`S 30 GR (AFI) POT #N/A #N/A 300 300 PT AFIFARMA
635 11000923 SALICYL FRESH 60GR Kemasan baru BOX 1 12,380 9 9 KIMIA FARMA
636 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - - 900 900 PIHAK 3
637 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
638 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 3 3 PRATAPA NIRMALA
639 12009809 SILEX SYRUP 100 ML (DVRS) BT 1 55,650 5 5 DARYA VARIA, PT
640 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
641 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 900 1,066 1,966 KIMIA FARMA
642 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 51 51 PHAPROS, PT
643 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
644 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
645 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
646 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 25 25 DARYA VARIA, PT
647 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
648 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 49 49 PHAPROS, PT
649 12009811 SULFADIAZINE SILVER 35GR (DVRS) DUS 1 18,818 20 - 20 DARYA VARIA, PT
650 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
651 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 56 56 DARYA VARIA, PT
652 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 16 16 DARYA VARIA, PT
653 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 900 900 KASA HUSADA WIRA JATIM, PT
654 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 4 4 NUFARINDO, PT
655 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
656 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
657 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 47 47 PHAPROS, PT
658 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 38 38 PHAPROS, PT
659 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 7 7 PHAPROS, PT
660 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
661 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
662 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
663 12005930 TETRACYCLINE HCL 250MG BTL CAP@100 (NOVA KPL #N/A #N/A 3,000 3,000 NOVAPHARIN
664 12009937 THERASORB C 10CM X 10CM (DVRS) DUS 10 700,000 4 4 DARYA VARIA, PT
665 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 7 7 MOLEX AYUS, PT
666 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
667 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
668 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 10 10 KIMIA FARMA
669 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 660,000 20 20 PRATAPA NIRMALA
670 13006433 TRACETATE SUSP 200ML (FAH) BT 1 390,000 20 20 PRATAPA NIRMALA
671 13076813 TRAMPARA TAB@30 DUS 30 145,000 57 57 PHAPROS, PT
672 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 61 61 PRATAPA NIRMALA
673 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
674 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 107 107 KIMIA FARMA
675 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
676 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 154 154 BIOFARMA
677 13026424 UMARONE INJ 2ML (FAH) VL 1 175,000 199 199 PRATAPA NIRMALA
678 12000885 URDAFALK 250 MG CAPS DUS 30 300,000 15 15 DARYA VARIA, PT
679 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 939 939 BUSANA UTAMA, PT
680 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
681 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
682 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,200 2,200 BUSANA UTAMA, PT
683 11000292 VAGIZOLE OVULA DUS 5 55,000 39 39 KIMIA FARMA
684 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
685 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
686 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
687 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 251 251 KIMIA FARMA
688 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 127 127 KIMIA FARMA
689 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 102 102 PRATAPA NIRMALA
690 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 120 30 150 PRATAPA NIRMALA
691 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 160 160 PRATAPA NIRMALA
692 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 35 35 PRATAPA NIRMALA
693 13010157 VENODENOL 3% INJ AMP@5 (FAH) DUS 5 750,000 49 49 PRATAPA NIRMALA
694 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
695 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 21 21 KIMIA FARMA
696 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 30 30 KIMIA FARMA
697 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
698 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 20 20 KIMIA FARMA
699 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
700 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 2 2 KIMIA FARMA
701 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
702 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
703 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6.000 6 KIMIA FARMA
704 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
705 11000368 VENUS FACIAL WASH 100ml DUS 1 22,091 9 9 KIMIA FARMA
706 11000369 VENUS FACIAL WASH 50ml PC 1 12,000 36 6 KIMIA FARMA
707 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
708 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
709 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 9 9 KIMIA FARMA
710 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
711 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 30 30 KIMIA FARMA
712 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 5 5 KIMIA FARMA
713 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
714 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
715 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
716 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
717 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
718 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
719 11001143 VENUS SOFT MATTE LIPCREAM NO.1 DUS 1 38,389 11 11 KIMIA FARMA
720 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
721 11001145 VENUS SOFT MATTE LIPCREAM NO.3 DUS 1 38,389 12 12 KIMIA FARMA
722 11001147 VENUS SOFT MATTE LIPCREAM NO.5 DUS 1 38,389 21 21 KIMIA FARMA
723 11001150 VENUS SOFT MATTE LIPCREAM NO.8 DUS 1 38,389 12 12 KIMIA FARMA
724 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 21 21 KIMIA FARMA
725 11001432 VENUS SOFTMATTE LIPCREAM 13 DUS 1 38,389 0 0 KIMIA FARMA
726 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 22 22 KIMIA FARMA
727 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
728 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
729 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 11 11 KIMIA FARMA
730 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
731 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
732 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 101 101 KIMIA FARMA
733 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 37 37 KIMIA FARMA
734 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 25 25 KIMIA FARMA
735 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
736 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
737 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
738 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
739 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
740 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
741 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
742 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
743 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
744 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
745 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
746 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
747 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
748 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
749 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
750 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
751 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
752 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
753 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
754 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
755 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
756 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
757 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 225 225 DARYA VARIA, PT
758 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 167 167 DARYA VARIA, PT
759 12000888 VICEE ORANGE TAB @ 100 (UN) DUS 100 57,173 167 167 DARYA VARIA, PT
760 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 57,173 32 32 DARYA VARIA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
761 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 32 32 PRATAPA NIRMALA
762 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
763 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
764 11000487 VITAMIN B KOMPLEKS(SUPLEMEN)(DUS100TAB) DUS 100 12,917 900 900 KIMIA FARMA
765 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 379 379 KIMIA FARMA
766 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 128 54 182 KIMIA FARMA
767 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 44 44 MARIN LIZA
768 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 1,628 50 1,678 KIMIA FARMA
769 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 15,036 79 79 KIMIA FARMA
770 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,200 806 806 KIMIA FARMA
771 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 134 134 PHAPROS, PT
772 11000288 VITAMIN C 50 MG TAB (SUPL)(DUS 100 TAB) DUS #N/A #N/A 2,407 2,407 KIMIA FARMA
773 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 100 #N/A 599 599 MARIN LIZA
774 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 67 67 PHAPROS, PT
775 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
776 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 30 30 PRATAPA NIRMALA
777 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 6 6 NUFARINDO, PT
778 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 49 100 700 - 849 PHAPROS, PT
779 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 470 470 KIMIA FARMA
780 #N/A #N/A
781 #N/A #N/A
782 #N/A #N/A
783 #N/A #N/A
784 #N/A #N/A
785 #N/A #N/A
786 #N/A #N/A
787 #N/A #N/A
788 #N/A #N/A
789 #N/A #N/A
790 #N/A #N/A
791 #N/A #N/A
792 #N/A #N/A
793 #N/A #N/A
794 #N/A #N/A
795 #N/A #N/A
796 #N/A #N/A
797 #N/A #N/A
798 #N/A #N/A
799 #N/A #N/A
800 #N/A #N/A
801 #N/A #N/A
802 #N/A #N/A
803 #N/A #N/A
804 #N/A #N/A
805 #N/A #N/A
806 #N/A #N/A
807 #N/A #N/A
808 #N/A #N/A
809 #N/A #N/A
810 #N/A #N/A
811 #N/A #N/A
812 #N/A #N/A
813 #N/A #N/A
814 #N/A #N/A
815 #N/A #N/A

NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 11 Desember 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 355 355 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 193 146 339 KIMIA FARMA
7 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 25 105,000 15 15 PHAPROS, PT
8 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 12 20 KIMIA FARMA
9 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
10 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
11 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
12 12007580 AGANI NEEDLE 26GX13MM DUS 100 30,000 21 21 TERUMO, PT
13 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
14 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 14 14 KIMIA FARMA
15 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 764 764 MOLEX AYUS, PT
16 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 141 141 MOLEX AYUS, PT
17 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 53 53 KIMIA FARMA
18 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
19 13008405 ALPARA SYR 60ML MOL BT 1 9,546 27 27 MOLEX AYUS, PT
20 12008485 ALPHAMOL SYR 60ML MOL BT 1 7,300 8 8 MOLEX AYUS, PT
21 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS 100 35,000 75 75 KIMIA FARMA
22 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 108 108 KIMIA FARMA
23 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 12 12 PHAPROS, PT
24 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 52 44 96 KIMIA FARMA
25 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
26 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 99 99 PHAPROS, PT
27 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 1 21 KIMIA FARMA
28 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 13 13 KIMIA FARMA
29 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 58 58 PHAPROS, PT
30 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 145 5,613 170 5,928 KIMIA FARMA
31 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 436 436 PHAPROS, PT
32 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS 100 37,809 36 36 KIMIA FARMA
33 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT #N/A #N/A 500 500 MERSIFARMA
34 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
35 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 5 PHAPROS, PT
36 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 270 270 PHAPROS, PT
37 11000152 ANTASIDA DOEN (DUS 100 TAB) DUS 100 34,239 2 2 KIMIA FARMA
38 12012158 ANTASIDA DOEN @60 ML (AFI) BT #N/A #N/A 1,000 1,000 PT AFIFARMA
39 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 864 864 KIMIA FARMA
40 12008528 ANTASIDA DOEN TAB MERSI DUS #N/A #N/A 500 - 500 MERSIFARMA
41 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
42 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
43 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 14 14 KIMIA FARMA
44 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,470 1,470 KIMIA FARMA
45 11002117 ANTIFECT POVIDONE IODINE 15 ML BT 1 9,000 220 220 KIMIA FARMA
46 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
47 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
48 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 1 1 KIMIA FARMA
49 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 62 62 PHAPROS, PT
50 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 180 180 PHAPROS, PT
51 12005096 ANTIMO DEWASA TAB DUS 720 243,648 298 21,456 PHAPROS, PT
52 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 22 22 PHAPROS, PT
53 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
54 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 150 150 NOVAPHARIN
55 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 253 253 KIMIA FARMA
56 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 6 6 DARYA VARIA, PT
57 12000711 ASPILETS THROMBO TABLET @ 150( DUS 150 123,400 11 11 DARYA VARIA, PT
58 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 123,400 3 3 DARYA VARIA, PT
59 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 8 8 PRATAPA NIRMALA
60 11001586 ATORVASTATIN 10 MG DUS 30 35,000 462 462 KIMIA FARMA
61 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 36 36 DARYA VARIA, PT
62 11001587 ATORVASTATIN 20 MG DUS 30 52,500 170 170 KIMIA FARMA
63 11001588 ATORVASTATIN 40 MG DUS 30 70,000 85 85 KIMIA FARMA
64 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
65 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
66 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
67 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 897 897 BIO AXION HEALTHINDO, PT
68 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
69 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
70 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
71 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 932 932 BIO AXION HEALTHINDO, PT
72 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
73 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 610 610 BIO AXION HEALTHINDO, PT
74 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
75 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 133 133 BIO AXION HEALTHINDO, PT
76 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
77 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
78 12000185 AXIMED FEMALE CATHETER NO. 10 PC 1 - 1,000 1,000 BIO AXION HEALTHINDO, PT
79 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
80 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 518 518 BIO AXION HEALTHINDO, PT
81 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 528 528 BIO AXION HEALTHINDO, PT
82 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 338 338 BIO AXION HEALTHINDO, PT
83 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
84 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
85 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
86 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 29 29 BIO AXION HEALTHINDO, PT
87 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 81 127 BIO AXION HEALTHINDO, PT
88 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
89 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 584 584 BIO AXION HEALTHINDO, PT
90 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 734 - - - - 734 KIMIA FARMA
91 13022661 BECEFORT SYR 60ML BT 1 14,603 73 73 PHAPROS, PT
92 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 6 4 10 PHAPROS, PT
93 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 37 120 0 157 KIMIA FARMA
94 11000385 BETASON CREAM (TUBE 5 GRAM) DUS #N/A #N/A 25 25 KIMIA FARMA
95 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
96 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
97 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 295 295 BIO AXION HEALTHINDO, PT
98 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 7 7 DARYA VARIA, PT
99 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
100 13026576 BIORON TAB@100 DUS 100 101,650 54 54 PHAPROS, PT
101 12012222 BISACODYL 5MG TAB@100 DUS #N/A #N/A 31 612 643 HARSEN LABORATORIES, PT
102 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 81 81 SANOFI AVENTIS
103 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
104 12010616 BONEFILL ORTHO BT 1 1,350,000 5 5 PHAPROS, PT
105 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 379 379 PRATAPA NIRMALA
106 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 50 50 DARYA VARIA, PT
107 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 4 4 SANOFI AVENTIS
108 12009839 CALCITRIOL 0,25 MCG @30 KPS (PEHA) DUS 30 67,680 20 166 186 PHAPROS, PT
109 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 119 119 PHAPROS, PT
110 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 115 115 KIMIA FARMA
111 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 29 29 MERSIFARMA
112 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 66 66 PRATAPA NIRMALA
113 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 270,000 10 10 PRATAPA NIRMALA
114 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 14 14 PRATAPA NIRMALA
115 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,487 1,487 LUCAS DJAJA
116 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
117 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 296 296 PHAPROS, PT
118 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 252 252 KIMIA FARMA
119 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS 100 16,465 792 792 KIMIA FARMA
120 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
121 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
122 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
123 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 1 1 KIMIA FARMA
124 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
125 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 43 18 61 DARYA VARIA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
126 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
127 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
128 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS 10 60,000 800 800 PHAPROS, PT
129 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 26 26 CENDO, PT
130 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
131 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
132 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 1 1 CENDO, PT
133 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
134 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 62 62 CENDO, PT
135 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 82 82 CENDO, PT
136 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 26 26 CENDO, PT
137 12004128 CENDO FENICOL 0,25% MINIDOSE 5 X 0,6 ML STR 1 16,375 20 20 CENDO, PT
138 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 670 670 CENDO, PT
139 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
140 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 26 26 CENDO, PT
141 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 46 46 CENDO, PT
142 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
143 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 24 24 CENDO, PT
144 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 9 9 CENDO, PT
145 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 127 127 CENDO, PT
146 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
147 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 24 24 CENDO, PT
148 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
149 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 17 17 CENDO, PT
150 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
151 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
152 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 9 9 CENDO, PT
153 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 203 203 CENDO, PT
154 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
155 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 29 29 CENDO, PT
156 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
157 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 18 18 CENDO, PT
158 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 86 86 CENDO, PT
159 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
160 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
161 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
162 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
163 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
164 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 12 12 CENDO, PT
165 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 4 4 CENDO, PT
166 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 8 8 CENDO, PT
167 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
168 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
169 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
170 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 22 22 CENDO, PT
171 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 20 20 CENDO, PT
172 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 46 46 CENDO, PT
173 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 47 47 CENDO, PT
174 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 34 34 CENDO, PT
175 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
176 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 47 47 CENDO, PT
177 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 9 9 CENDO, PT
178 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
179 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
180 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
181 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 47 47 CENDO, PT
182 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 23 23 CENDO, PT
183 12005164 CENDO VITAL TAB@30 DUS 30 90,000 4 4 CENDO, PT
184 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 132 132 CENDO, PT
185 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 144 144 CENDO, PT
186 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 43 43 BIOFARMA
187 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 1,145 50 1,195 KIMIA FARMA
188 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
189 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 3 3 KIMIA FARMA
190 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) DUS 1 11,500 1 1 KIMIA FARMA
191 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 16 0 16 KIMIA FARMA
192 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 15 KIMIA FARMA
193 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
194 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 200 176 376 NOVAPHARIN
195 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
196 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
197 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 262 262 KIMIA FARMA
198 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
199 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 150 150 MOLEX AYUS, PT
200 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 68 68 PHAPROS, PT
201 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
202 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
203 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 204 35 239 KIMIA FARMA
204 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 119 119 KIMIA FARMA
205 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 392 392 KIMIA FARMA
206 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 70 70 PHAPROS, PT
207 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 102 27 129 KIMIA FARMA
208 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
209 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 13 13 KIMIA FARMA
210 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
211 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 20 20 KIMIA FARMA
212 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
213 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
214 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
215 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
216 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 18 18 PHAPROS, PT
217 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
218 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 216 50 266 KIMIA FARMA
219 12008509 COTRIMOXAZOLE SUS MERSI BT #N/A #N/A 1,000 1,000 MERSIFARMA
220 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 300 300 MERSIFARMA
221 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 0 1 LUCAS DJAJA
222 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 459 459 PYRIDAM, PT
223 12005932 D5 - MJB 500 ML BT 1 6,694 216 216 EMJEBE PHARMA , PT
224 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 49 49 DARYA VARIA, PT
225 12005676 DATAN FORTE KPL@100 (PYRIDAM) DUS 100 162,000 13 13 PYRIDAM, PT
226 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 7 7 DARYA VARIA, PT
227 11000182 DEXAMETHASONE 0.5 MG (DUS 100 TAB) DUS 100 14,843 274 274 KIMIA FARMA
228 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 78 68 40 10 196 PHAPROS, PT
229 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
230 13000718 DEXTAMIN TAB@100 DUS 100 140,250 215 215 PHAPROS, PT
231 13000720 DEXTAMINE 30X10'S DUS 300 413,618 148 148 PHAPROS, PT
232 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 148 148 MOLEX AYUS, PT
233 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 5 5 MERSIFARMA
234 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 237 237 MEPROFARM
235 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 251 251 KIMIA FARMA
236 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,029 1,029 KIMIA FARMA
237 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 118 30 148 KIMIA FARMA
238 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 54,000 38 38 PHAPROS, PT
239 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
240 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
241 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
242 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT #N/A #N/A 1,500 1,500 PT AFIFARMA
243 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
244 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
245 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 42 42 NUFARINDO, PT
246 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
247 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 58,760 109 109 KIMIA FARMA
248 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 58 58 SANOFI AVENTIS
249 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 141,398 29 29 SANOFI AVENTIS
250 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 3 3 SANOFI AVENTIS
251 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 6 6 JANSSEN PHARMACEUTICA NV
252 11000057 DUVADILAN INJEKSI DUS 6 179,000 17 17 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
253 11000058 DUVADILAN TABLET DUS 50 250,000 15 15 KIMIA FARMA
254 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 14 14 PRATAPA NIRMALA
255 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 147 147 DARYA VARIA, PT
256 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 44 44 DARYA VARIA, PT
257 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 147 147 KIMIA FARMA
258 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
259 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
260 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
261 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
262 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 16 16 KIMIA FARMA
263 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
264 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
265 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 48 48 KIMIA FARMA
266 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 17 12 29 PHAPROS, PT
267 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 144 5 149 KIMIA FARMA
268 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
269 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 184 184 KIMIA FARMA
270 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
271 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 7 7 KIMIA FARMA
272 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
273 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 434 434 HOLI PHARMA
274 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 5 5 PHAPROS, PT
275 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 167 167 KIMIA FARMA
276 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 8 0 9 KIMIA FARMA
277 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 8 8 PRATAPA NIRMALA
278 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 1 1 PRATAPA NIRMALA
279 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 144 144 PRATAPA NIRMALA
280 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 110,000 79 79 PRATAPA NIRMALA
281 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 5 5 10 PRATAPA NIRMALA
282 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
283 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 65 65 PRATAPA NIRMALA
284 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
285 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 43,000 375 375 PRATAPA NIRMALA
286 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 53,000 441 441 PRATAPA NIRMALA
287 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 47 47 PRATAPA NIRMALA
288 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 142 142 PRATAPA NIRMALA
289 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
290 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
291 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
292 13019430 FEBRINEX SYR 60ML BT 1 12,612 30 30 PHAPROS, PT
293 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
294 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 29 29 PRATAPA NIRMALA
295 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 41 41 PRATAPA NIRMALA
296 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 18 62 80 PIRAMAL CRITICAL CARE LTD
297 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 597 597 KIMIA FARMA
298 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 550 550 PYRIDAM, PT
299 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
300 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
301 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 86 86 KIMIA FARMA
302 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
303 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 515 515 KIMIA FARMA
304 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 174 174 KIMIA FARMA
305 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 328 328 KIMIA FARMA
306 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 614 614 KIMIA FARMA
307 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 252 252 KIMIA FARMA
308 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 120 120 KIMIA FARMA
309 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 521 521 KIMIA FARMA
310 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 234 234 KIMIA FARMA
311 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 6 6 PRATAPA NIRMALA
312 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 33 33 PRATAPA NIRMALA
313 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 76 76 PRATAPA NIRMALA
314 12007662 FLUBIO VL 1 99,800 98 98 BIOFARMA
315 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 501 1,484 26 2,011 KIMIA FARMA
316 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
317 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
318 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
319 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
320 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 41 41 KIMIA FARMA
321 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 - 50 50 KIMIA FARMA
322 12004760 FUSON KRIM 5GR (PYRIDAM) TUB 1 48,000 2 2 PYRIDAM, PT
323 12005261 GABASANT 300MG CAP@30 (PYRIDAM) DUS 30 331,000 1 1 PYRIDAM, PT
324 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 28 28 PRATAPA NIRMALA
325 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 128 128 PHAPROS, PT
326 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 284 284 KIMIA FARMA
327 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 123 123 PHAPROS, PT
328 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 710 720 PHAPROS, PT
329 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 211 211 KIMIA FARMA
330 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 460 460 KIMIA FARMA
331 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 373 373 KIMIA FARMA
332 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 795 18 813 KIMIA FARMA
333 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
334 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 3 40 KIMIA FARMA
335 12010432 GOLDTRION KPL@30 (FAH) DUS 30 255,000 22 22 PRATAPA NIRMALA
336 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 404 97 501 KIMIA FARMA
337 12000801 GRISEOFULVIN 500 MG TABL @ 100 DUS 100 168,971 9 9 DARYA VARIA, PT
338 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 274 274 PHAPROS, PT
339 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,388 1,388 KIMIA FARMA
340 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A #N/A 250 250 NOVAPHARIN
341 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
342 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
343 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 29 29 PHAPROS, PT
344 12006958 HEPAGARD DUS #N/A 76,230 11 11 PHAPROS, PT
345 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
346 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 1,525,000 18 18 KIMIA FARMA
347 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 220 205 425 KIMIA FARMA
348 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 18 58 76 KIMIA FARMA
349 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 178 178 PHAPROS, PT
350 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 448 - 448 PHAPROS, PT
351 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 2 2 NOVAPHARIN
352 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 100 1,983 NOVAPHARIN
353 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 #N/A 35 35 NOVAPHARIN
354 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 6 6 NUFARINDO, PT
355 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 4 4 PHAPROS, PT
356 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 4 4 PHAPROS, PT
357 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
358 13005812 INPEPSA SUSP 200ML (FAH) BT 1 85,000 129 129 PRATAPA NIRMALA
359 12007335 INSTO REGULAR 15 ML DUS 1 16,100 75 75 COMBIPHAR, PT
360 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 770 540 1,310 PRATAPA NIRMALA
361 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BOX 1 48,818 16 16 KIMIA FARMA
362 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 37 2 40 KIMIA FARMA
363 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 7 7 KIMIA FARMA
364 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX #N/A - 23 4 27 KIMIA FARMA
365 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
366 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
367 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,376 2,376 KIMIA FARMA
368 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 192 192 KIMIA FARMA
369 12001249 IVANES 100 MG / 10 ML VL 1 - 163 163 IKAPHARMINDO
370 12001992 KASA PEMB HYDR 4Yd X 5CM @5 ROLL (KHWJ) PAC 5 14,300 10 10 KASA HUSADA WIRA JATIM, PT
371 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
372 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 34 48 DARYA VARIA, PT
373 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,678 1,678 KIMIA FARMA
374 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 145,455 1 1 KIMIA FARMA
375 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 1 1 KIMIA FARMA
376 11001914 KIFAMED TONGKAT KAKI SATU STANDARD PC 1 81,818 5 5 KIMIA FARMA
377 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
378 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 64 64 KIMIA FARMA
379 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 21 21 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
380 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 116 116 PHAPROS, PT
381 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 183 183 PHAPROS, PT
382 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS #N/A #N/A 267 267 KIMIA FARMA
383 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
384 13010687 LACTAFAR CAP@30 (FAH) DUS 30 120,000 29 29 PRATAPA NIRMALA
385 12005388 LANDO 300MG CAP@50 (PYRIDAM) DUS 50 399,000 3 3 PYRIDAM, PT
386 12005264 LDLOX CAP@30 (PYRIDAM) KPS 30 8,613 30 30 PYRIDAM, PT
387 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 476 20 496 KIMIA FARMA
388 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 37 37 MEPROFARM
389 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 58 58 MOLEX AYUS, PT
390 13005836 LEXACROL CHEW TAB@150 MOL DUS 150 71,300 15 15 MOLEX AYUS, PT
391 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 23,000 28 28 MOLEX AYUS, PT
392 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
393 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 79 79 MOLEX AYUS, PT
394 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 145 2 56 9 212 PHAPROS, PT
395 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 23 2 25 PHAPROS, PT
396 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 22,950 63 63 PHAPROS, PT
397 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 25 146 - 171 IFARS PHARMACEUTICAL, PT
398 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
399 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
400 11000329 MARCKS BEDAK CREME BOX 1 13,700 7 7 KIMIA FARMA
401 11000330 MARCKS BEDAK CREME 20gr BOX 1 23,700 9 9 KIMIA FARMA
402 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 10 10 KIMIA FARMA
403 11000332 MARCKS BEDAK INVISIBLE 40gr (New) BOX 1 13,700 9 9 KIMIA FARMA
404 11000333 MARCKS BEDAK Natural Beige 20 gr (New) BOX 1 23,700 7 7 KIMIA FARMA
405 11000334 MARCKS BEDAK Natural Beige 40gr (New) BOX 1 13,700 0 0 KIMIA FARMA
406 11000336 MARCKS BEDAK PUTIH BOX 1 13,700 10 10 KIMIA FARMA
407 11000337 MARCKS BEDAK ROSE BOX 1 13,700 11 11 KIMIA FARMA
408 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
409 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
410 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
411 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
412 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 4 4 KIMIA FARMA
413 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
414 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 136 136 KIMIA FARMA
415 11001981 MARCKS' TEENS ACNE EXPERT FACE WASH PC 1 13,200 39 2 KIMIA FARMA
416 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
417 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 40 40 KIMIA FARMA
418 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 58 58 KIMIA FARMA
419 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 9 9 KIMIA FARMA
420 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 13 13 KIMIA FARMA
421 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 19 19 KIMIA FARMA
422 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 14 14 KIMIA FARMA
423 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 29 29 KIMIA FARMA
424 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 25 25 KIMIA FARMA
425 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 21 21 KIMIA FARMA
426 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 413 413 PHAPROS, PT
427 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
428 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
429 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 8 8 DARYA VARIA, PT
430 13077585 MEDIKA ALKOHOL 70% @ 1 L BT #N/A #N/A 117 117 PT. LIKUID PHARMALAB INDONESIA
431 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 391 391 PT. LIKUID PHARMALAB INDONESIA
432 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
433 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
434 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 142 142 PT. LIKUID PHARMALAB INDONESIA
435 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 467 467 PT. LIKUID PHARMALAB INDONESIA
436 12008458 MELOCID TAB@50 MOL DUS 50 30,000 5 5 MOLEX AYUS, PT
437 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 650 650 MEPROFARM
438 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
439 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
440 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 77 1 78 PRATAPA NIRMALA
441 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 1,834 1,834 KIMIA FARMA
442 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS 100 296,800 3 3 MEPROFARM
443 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
444 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
445 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 104 104 PHAPROS, PT
446 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 56 56 PHAPROS, PT
447 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 24 24 PHAPROS, PT
448 11000104 METHYLERGOMETRINE 0,125 MG (DUS 100 TAB) DUS #N/A #N/A 20 20 KIMIA FARMA
449 12009543 METHYLERGOMETRINE INJ 0,2 MG/ML (NVLL) DUS #N/A #N/A 47 47 NOVELL PHARMACEUTICAL LABORATORIES
450 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 1 30,000 345 345 MOLEX AYUS, PT
451 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A 50 50 PHAPROS, PT
452 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 47 65 112 KIMIA FARMA
453 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 665 50 12 727 KIMIA FARMA
454 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 110 110 PHAPROS, PT
455 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 32,813 951 951 KIMIA FARMA
456 12012242 METRONIDAZOLE 500MG 10X10 TAB (RAMA) DUS #N/A #N/A 300 300 RAMA EMERALD, PT
457 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 120 120 NOVAPHARIN
458 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 1,092 1,092 DARYA VARIA, PT
459 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT #N/A #N/A 36 36 MEPROFARM
460 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
461 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 32 208 240 KIMIA FARMA
462 13002997 MIOZIDINE MR 35MG TAB@30 (FAH) DUS 1 102,000 10 10 PRATAPA NIRMALA
463 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 2 2 MOLEX AYUS, PT
464 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 141 199 340 MOLEX AYUS, PT
465 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 53 53 MOLEX AYUS, PT
466 13002451 MONECTO 20MG TAB@30 (FAH) DUS 1 81,000 10 10 PRATAPA NIRMALA
467 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
468 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
469 11000501 MST CONTINUS 10 MG DUS 60 852,000 7 7 MAHAKAM BETA FARMA
470 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
471 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 2 10 PHAPROS, PT
472 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
473 12005179 N ACE CAP@30 (FAH) DUS 1 78,000 316 316 PRATAPA NIRMALA
474 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
475 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 130 130 KIMIA FARMA
476 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 7 99 800 906 PHAPROS, PT
477 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 27 27 PHAPROS, PT
478 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 67 67 DARYA VARIA, PT
479 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 66 66 DARYA VARIA, PT
480 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 32 32 DARYA VARIA, PT
481 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 54 54 DARYA VARIA, PT
482 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 132 132 DARYA VARIA, PT
483 12007253 NATUR E DAILY NOURISHING ENERGIZING 245 BT 1 24,517 22 22 DARYA VARIA, PT
484 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 9 9 DARYA VARIA, PT
485 12000832 NATUR E HBL 100 ML BT 1 10,424 67 67 DARYA VARIA, PT
486 12000833 NATUR E HBL 245 ML BT 1 20,913 121 121 DARYA VARIA, PT
487 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 120 120 DARYA VARIA, PT
488 12007345 NATUR E NOURISHING-REVITAL LOTION 100 ML BT 1 12,220 40 40 DARYA VARIA, PT
489 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
490 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 173 143 316 DARYA VARIA, PT
491 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 70 70 MOLEX AYUS, PT
492 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 7 7 DARYA VARIA, PT
493 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
494 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
495 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 50 - 50 DARYA VARIA, PT
496 12000840 NIFURAL SYR BT 1 60,300 57 57 DARYA VARIA, PT
497 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
498 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 798 798 SINAR RODA UTAMA, PT
499 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 2,750 2,775 SINAR RODA UTAMA, PT
500 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,342 8,342 SINAR RODA UTAMA, PT
501 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,481 4,481 SINAR RODA UTAMA, PT
502 12003653 NIPRO SAFELET CATH IV PU 24GX3/4" PC #N/A #N/A 57 57 SINAR RODA UTAMA, PT
503 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 4,900 - - - 4,900 SINAR RODA UTAMA, PT
504 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 1,170 100 5 105 SINAR RODA UTAMA, PT
505 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC 1 800 100 100 SINAR RODA UTAMA, PT
506 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,276 6,276 SINAR RODA UTAMA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
507 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
508 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 520 19 20 559 PHAPROS, PT
509 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 77 184 261 KIMIA FARMA
510 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 15 70 85 KIMIA FARMA
511 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
512 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
513 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 8 8 NUFARINDO, PT
514 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 22 22 NUFARINDO, PT
515 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 10 10 NUFARINDO, PT
516 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 432 252 684 PHAPROS, PT
517 12008469 OBH 60ML MOL BT 1 5,000 7 7 MOLEX AYUS, PT
518 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 42 42 COMBIPHAR, PT
519 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 109 109 COMBIPHAR, PT
520 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 108 108 COMBIPHAR, PT
521 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 155 155 COMBIPHAR, PT
522 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 13,781 44 44 COMBIPHAR, PT
523 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 321 321 COMBIPHAR, PT
524 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 220 220 COMBIPHAR, PT
525 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
526 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 115 115 COMBIPHAR, PT
527 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 157 157 COMBIPHAR, PT
528 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 52,900 30 30 DARYA VARIA, PT
529 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
530 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 370 2,200 2,570 KIMIA FARMA
531 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 11 11 PIHAK 3
532 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 1 400 401 PHAPROS, PT
533 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
534 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 275 275 KIMIA FARMA
535 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 149,000 3 3 PYRIDAM, PT
536 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
537 13005119 OSTRIOL CAP@30 (FAH) BT 1 150,000 10 10 PRATAPA NIRMALA
538 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
539 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 113 295 4 412 KIMIA FARMA
540 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
541 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 8,110 8,110 KIMIA FARMA
542 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 730 - 730 DARYA VARIA, PT
543 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 46 46 KIMIA FARMA
544 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
545 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 187 187 DARYA VARIA, PT
546 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 114 114 DARYA VARIA, PT
547 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 20 20 PHAPROS, PT
548 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 1 1 PHAPROS, PT
549 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 237 237 PHAPROS, PT
550 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - - 1,475 1,475 PHAPROS, PT
551 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 275,000 4 4 PRATAPA NIRMALA
552 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
553 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
554 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 500 500 KIMIA FARMA
555 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
556 12000318 PHARMATON VIT KAPLET DUS 50 199,367 71 71 SANOFI AVENTIS
557 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 17,000 2 47 49 KIMIA FARMA
558 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 126 19 145 PHAPROS, PT
559 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
560 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
561 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 58 34 107 PHAPROS, PT
562 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 507 507 KIMIA FARMA
563 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
564 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS 100 15,968 1,132 1,132 KIMIA FARMA
565 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 126 126 KIMIA FARMA
566 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 7 - 7 PRATAPA NIRMALA
567 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 225 225 PRATAPA NIRMALA
568 12009903 PREDNISON 5 MG @100 TAB (PEHA) DUS 100 16,800 116 116 PHAPROS, PT
569 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 88 88 MOLEX AYUS, PT
570 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 86 86 PHAPROS, PT
571 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 62 62 PHAPROS, PT
572 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 85 85 PHAPROS, PT
573 13001143 PRO TB2 TAB@28 DUS 28 184,450 55 55 PHAPROS, PT
574 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 11 22 PHAPROS, PT
575 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
576 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
577 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
578 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
579 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
580 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
581 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 719 719 KIMIA FARMA
582 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 600 2,350 HOLI PHARMA
583 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 - - 74 - 74 HOLI PHARMA
584 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 554 554 KIMIA FARMA
585 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
586 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 843 532 635 2,010 KIMIA FARMA
587 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS 100 27,600 397 2,045 2,442 PHAPROS, PT
588 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
589 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 9 9 PRATAPA NIRMALA
590 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 5 5 NUFARINDO, PT
591 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
592 13010956 RENAPAR TAB@100 (FAH) DUS 100 230,000 10 10 PRATAPA NIRMALA
593 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 15 15 PRATAPA NIRMALA
594 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 6 6 PRATAPA NIRMALA
595 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 4 4 PRATAPA NIRMALA
596 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 31 31 PRATAPA NIRMALA
597 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 2 7 9 KIMIA FARMA
598 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 230 230 LUCAS DJAJA
599 12008474 RIVANOL 100ML MOL BT 1 4,000 757 757 MOLEX AYUS, PT
600 12008475 RIVANOL 300ML MOL BT 1 9,000 582 582 MOLEX AYUS, PT
601 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 231 231 KIMIA FARMA
602 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 169 169 KIMIA FARMA
603 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 243 243 KIMIA FARMA
604 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 203 203 KIMIA FARMA
605 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 50 50 KIMIA FARMA
606 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 50 50 KIMIA FARMA
607 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 1,714 1,714 KIMIA FARMA
608 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1,072 915 1,987 KIMIA FARMA
609 12010405 SALBUTAMOL SULFATE INHALASI BT@10 (FAH) DUS #N/A #N/A 67 67 PRATAPA NIRMALA
610 11000923 SALICYL FRESH 60GR Kemasan baru BOX 1 12,380 9 9 KIMIA FARMA
611 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - - 900 900 PIHAK 3
612 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
613 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 3 3 PRATAPA NIRMALA
614 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 210,000 12 12 PRATAPA NIRMALA
615 12009809 SILEX SYRUP 100 ML (DVRS) BT 1 55,650 5 5 DARYA VARIA, PT
616 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
617 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 1,066 1,066 KIMIA FARMA
618 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 51 51 PHAPROS, PT
619 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
620 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
621 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
622 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 25 25 DARYA VARIA, PT
623 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
624 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 49 49 PHAPROS, PT
625 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
626 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 58 58 DARYA VARIA, PT
627 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 16 16 DARYA VARIA, PT
628 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 900 900 KASA HUSADA WIRA JATIM, PT
629 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 4 4 NUFARINDO, PT
630 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
631 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
632 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 48 48 PHAPROS, PT
633 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 40 40 PHAPROS, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
634 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 7 7 PHAPROS, PT
635 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
636 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
637 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
638 11000130 TETRACYCLINE 500 MG (DUS 100 KAPS) DUS 100 95,000 8 8 KIMIA FARMA
639 12009916 TETRACYCLINE 500 MG @100 KPS (PEHA) DUS 100 69,600 1 1 PHAPROS, PT
640 12005930 TETRACYCLINE HCL 250MG BTL CAP@100 (NOVA KPL #N/A #N/A 3,000 3,000 NOVAPHARIN
641 12009937 THERASORB C 10CM X 10CM (DVRS) DUS 10 700,000 4 4 DARYA VARIA, PT
642 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
643 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
644 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 20 20 KIMIA FARMA
645 13076813 TRAMPARA TAB@30 DUS 30 145,000 70 70 PHAPROS, PT
646 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 61 61 PRATAPA NIRMALA
647 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
648 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 127 127 KIMIA FARMA
649 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
650 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 139 139 BIOFARMA
651 13026424 UMARONE INJ 2ML (FAH) VL 1 175,000 200 200 PRATAPA NIRMALA
652 12000885 URDAFALK 250 MG CAPS DUS 30 300,000 15 15 DARYA VARIA, PT
653 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 943 943 BUSANA UTAMA, PT
654 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
655 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
656 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,200 2,200 BUSANA UTAMA, PT
657 11000292 VAGIZOLE OVULA DUS 5 55,000 39 39 KIMIA FARMA
658 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
659 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
660 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
661 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 251 251 KIMIA FARMA
662 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 127 127 KIMIA FARMA
663 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 105 105 PRATAPA NIRMALA
664 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 120 30 150 PRATAPA NIRMALA
665 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 160 160 PRATAPA NIRMALA
666 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 45 45 PRATAPA NIRMALA
667 13010157 VENODENOL 3% INJ AMP@5 (FAH) DUS 5 750,000 50 50 PRATAPA NIRMALA
668 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
669 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 21 21 KIMIA FARMA
670 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 30 30 KIMIA FARMA
671 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
672 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 21 21 KIMIA FARMA
673 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
674 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 3 3 KIMIA FARMA
675 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
676 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
677 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
678 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
679 11000368 VENUS FACIAL WASH 100ml DUS 1 22,091 12 12 KIMIA FARMA
680 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
681 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
682 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 8 8 KIMIA FARMA
683 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
684 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 30 30 KIMIA FARMA
685 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 5 5 KIMIA FARMA
686 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
687 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
688 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
689 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
690 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
691 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
692 11001143 VENUS SOFT MATTE LIPCREAM NO.1 DUS 1 38,389 12 12 KIMIA FARMA
693 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
694 11001145 VENUS SOFT MATTE LIPCREAM NO.3 DUS 1 38,389 12 12 KIMIA FARMA
695 11001147 VENUS SOFT MATTE LIPCREAM NO.5 DUS 1 38,389 21 21 KIMIA FARMA
696 11001150 VENUS SOFT MATTE LIPCREAM NO.8 DUS 1 38,389 12 12 KIMIA FARMA
697 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 21 21 KIMIA FARMA
698 11001432 VENUS SOFTMATTE LIPCREAM 13 DUS 1 38,389 0 0 KIMIA FARMA
699 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 22 22 KIMIA FARMA
700 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
701 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
702 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 11 11 KIMIA FARMA
703 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 6.583 7 KIMIA FARMA
704 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
705 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 101 101 KIMIA FARMA
706 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 37 37 KIMIA FARMA
707 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 25 25 KIMIA FARMA
708 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
709 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
710 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
711 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
712 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
713 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
714 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
715 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
716 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
717 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
718 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
719 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
720 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
721 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
722 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
723 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
724 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
725 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
726 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
727 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
728 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
729 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
730 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 232 232 DARYA VARIA, PT
731 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 174 174 DARYA VARIA, PT
732 12000888 VICEE ORANGE TAB @ 100 (UN) DUS 100 57,173 179 179 DARYA VARIA, PT
733 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 57,173 41 41 DARYA VARIA, PT
734 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 32 32 PRATAPA NIRMALA
735 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
736 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
737 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 396 396 KIMIA FARMA
738 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 142 54 196 KIMIA FARMA
739 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 44 44 MARIN LIZA
740 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 2,104 50 2,154 KIMIA FARMA
741 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,200 686 686 KIMIA FARMA
742 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 134 134 PHAPROS, PT
743 11000288 VITAMIN C 50 MG TAB (SUPL)(DUS 100 TAB) DUS #N/A #N/A 2,407 2,407 KIMIA FARMA
744 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 100 #N/A 599 599 MARIN LIZA
745 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 67 67 PHAPROS, PT
746 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
747 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 30 30 PRATAPA NIRMALA
748 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 6 6 NUFARINDO, PT
749 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 49 100 700 849 PHAPROS, PT
750 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 472 472 KIMIA FARMA

NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 02 Desember 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 362 362 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 193 146 339 KIMIA FARMA
7 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 25 105,000 19 19 PHAPROS, PT
8 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 12 20 KIMIA FARMA
9 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
10 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
11 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
12 12007580 AGANI NEEDLE 26GX13MM DUS 100 30,000 21 21 TERUMO, PT
13 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
14 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 15 15 KIMIA FARMA
15 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 788 788 MOLEX AYUS, PT
16 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 157 157 MOLEX AYUS, PT
17 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 10 10 DARYA VARIA, PT
18 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 61 61 KIMIA FARMA
19 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
20 13008405 ALPARA SYR 60ML MOL BT 1 9,546 29 29 MOLEX AYUS, PT
21 12008483 ALPHAMOL DROP 15ML MOL BT 1 13,000 100 1,000 1,100 MOLEX AYUS, PT
22 12008485 ALPHAMOL SYR 60ML MOL BT 1 7,300 68 68 MOLEX AYUS, PT
23 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS 100 35,000 81 81 KIMIA FARMA
24 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 108 108 KIMIA FARMA
25 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 12 12 PHAPROS, PT
26 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 219 44 263 KIMIA FARMA
27 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
28 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 99 99 PHAPROS, PT
29 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 1 21 KIMIA FARMA
30 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 15 15 KIMIA FARMA
31 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 83 83 PHAPROS, PT
32 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 145 5,613 170 5,928 KIMIA FARMA
33 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 456 456 PHAPROS, PT
34 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS 100 37,809 232 232 KIMIA FARMA
35 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT #N/A #N/A 1,500 1,500 MERSIFARMA
36 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
37 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 5 PHAPROS, PT
38 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 273 273 PHAPROS, PT
39 11000152 ANTASIDA DOEN (DUS 100 TAB) DUS 100 34,239 109 109 KIMIA FARMA
40 12012158 ANTASIDA DOEN @60 ML (AFI) BT #N/A #N/A 600 1,000 1,600 PT AFIFARMA
41 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 1,143 1,143 KIMIA FARMA
42 12008528 ANTASIDA DOEN TAB MERSI DUS #N/A #N/A 2,600 2,600 MERSIFARMA
43 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
44 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
45 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 14 14 KIMIA FARMA
46 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,519 1,519 KIMIA FARMA
47 11002117 ANTIFECT POVIDONE IODINE 15 ML BT 1 9,000 240 240 KIMIA FARMA
48 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
49 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
50 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 1 1 KIMIA FARMA
51 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 69 69 PHAPROS, PT
52 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 191 191 PHAPROS, PT
53 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 26 26 PHAPROS, PT
54 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
55 12012214 ASAM FOLAT 1MG TAB@100 (NOVA) DUS #N/A #N/A 95 200 295 NOVAPHARIN
56 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 150 150 NOVAPHARIN
57 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 398 398 KIMIA FARMA
58 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 7 7 DARYA VARIA, PT
59 12000711 ASPILETS THROMBO TABLET @ 150( DUS 150 123,400 18 18 DARYA VARIA, PT
60 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 123,400 3 3 DARYA VARIA, PT
61 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 10 10 PRATAPA NIRMALA
62 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 345,000 7 7 PRATAPA NIRMALA
63 11001586 ATORVASTATIN 10 MG DUS 30 35,000 470 470 KIMIA FARMA
64 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 38 38 DARYA VARIA, PT
65 11001587 ATORVASTATIN 20 MG DUS 30 52,500 200 200 KIMIA FARMA
66 11001588 ATORVASTATIN 40 MG DUS 30 70,000 96 96 KIMIA FARMA
67 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
68 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
69 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
70 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 907 907 BIO AXION HEALTHINDO, PT
71 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
72 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 919 919 BIO AXION HEALTHINDO, PT
73 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
74 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 942 942 BIO AXION HEALTHINDO, PT
75 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
76 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 620 620 BIO AXION HEALTHINDO, PT
77 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
78 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 143 143 BIO AXION HEALTHINDO, PT
79 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
80 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
81 12000185 AXIMED FEMALE CATHETER NO. 10 PC 1 - 1,000 1,000 BIO AXION HEALTHINDO, PT
82 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
83 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 998 998 BIO AXION HEALTHINDO, PT
84 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 528 528 BIO AXION HEALTHINDO, PT
85 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 358 358 BIO AXION HEALTHINDO, PT
86 12000209 AXIMED FOLEYCATH 2-WAY NO.14 PC 1 17,000 78 78 BIO AXION HEALTHINDO, PT
87 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
88 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
89 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
90 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 49 49 BIO AXION HEALTHINDO, PT
91 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 81 127 BIO AXION HEALTHINDO, PT
92 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
93 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 604 604 BIO AXION HEALTHINDO, PT
94 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 860 - - - - 860 KIMIA FARMA
95 13022661 BECEFORT SYR 60ML BT 1 14,603 87 87 PHAPROS, PT
96 11000323 BEDAK SALICYL 2% 60 gr BOX 144 5,842 2 2 KIMIA FARMA
97 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 6 4 10 PHAPROS, PT
98 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 80 120 0 200 KIMIA FARMA
99 11000385 BETASON CREAM (TUBE 5 GRAM) DUS #N/A #N/A 25 25 KIMIA FARMA
100 13010355 BIO ATP KPL@100 DUS 100 214,180 1 1 PHAPROS, PT
101 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
102 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
103 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 313 313 BIO AXION HEALTHINDO, PT
104 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 4 4 DARYA VARIA, PT
105 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
106 13026576 BIORON TAB@100 DUS 100 101,650 56 56 PHAPROS, PT
107 12006548 BIOSAVE ABU I VL 1 862,500 1 1 BIOFARMA
108 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 2 2 PRATAPA NIRMALA
109 12012222 BISACODYL 5MG TAB@100 DUS #N/A #N/A 31 662 693 HARSEN LABORATORIES, PT
110 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 123 123 SANOFI AVENTIS
111 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
112 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 423 423 PRATAPA NIRMALA
113 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 4 4 SANOFI AVENTIS
114 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 120 120 PHAPROS, PT
115 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 136 136 KIMIA FARMA
116 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 204 204 MERSIFARMA
117 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 66 66 PRATAPA NIRMALA
118 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 270,000 10 10 PRATAPA NIRMALA
119 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 15 15 PRATAPA NIRMALA
120 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,500 1,500 LUCAS DJAJA
121 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
122 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 296 296 PHAPROS, PT
123 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 303 303 KIMIA FARMA
124 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS 100 16,465 895 895 KIMIA FARMA
125 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
126 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
127 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
128 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 1 1 KIMIA FARMA
129 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
130 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 53 18 71 DARYA VARIA, PT
131 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
132 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
133 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 35 35 CENDO, PT
134 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
135 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
136 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 6 6 CENDO, PT
137 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 2 2 CENDO, PT
138 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
139 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
140 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 66 66 CENDO, PT
141 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 90 90 CENDO, PT
142 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 29 29 CENDO, PT
143 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 635 635 CENDO, PT
144 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
145 12004130 CENDO FENICOL EYE OINTMENT 3,5 GRAM TUB 1 21,875 3 3 CENDO, PT
146 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 29 29 CENDO, PT
147 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 46 46 CENDO, PT
148 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
149 12004135 CENDO GENTA 0,3% EYE DROP 5 ML BT 1 28,375 17 17 CENDO, PT
150 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 26 26 CENDO, PT
151 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 29 29 CENDO, PT
152 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 9 9 CENDO, PT
153 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 128 128 CENDO, PT
154 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
155 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 24 24 CENDO, PT
156 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
157 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 21 21 CENDO, PT
158 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
159 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
160 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 40 40 CENDO, PT
161 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 212 212 CENDO, PT
162 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
163 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 29 29 CENDO, PT
164 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
165 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 2 2 CENDO, PT
166 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 18 18 CENDO, PT
167 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 86 86 CENDO, PT
168 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
169 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
170 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
171 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
172 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
173 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 13 13 CENDO, PT
174 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 36 36 CENDO, PT
175 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 9 9 CENDO, PT
176 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 8 8 CENDO, PT
177 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
178 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
179 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
180 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 26 26 CENDO, PT
181 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 20 20 CENDO, PT
182 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 35 35 CENDO, PT
183 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 46 46 CENDO, PT
184 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 70 70 CENDO, PT
185 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 34 34 CENDO, PT
186 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
187 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 59 59 CENDO, PT
188 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 10 10 CENDO, PT
189 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
190 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
191 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
192 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 49 49 CENDO, PT
193 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 23 23 CENDO, PT
194 12005164 CENDO VITAL TAB@30 DUS 30 90,000 5 5 CENDO, PT
195 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 141 141 CENDO, PT
196 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 165 165 CENDO, PT
197 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 43 43 BIOFARMA
198 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 1,232 1,050 2,282 KIMIA FARMA
199 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
200 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 3 3 KIMIA FARMA
201 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) DUS 1 11,500 6 6 KIMIA FARMA
202 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 69 0 69 KIMIA FARMA
203 12002375 CHLORAMPHENICOL 125MG/5ML 60ML (NOVA) BT #N/A #N/A 500 500 NOVAPHARIN
204 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 15 KIMIA FARMA
205 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
206 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 200 176 376 NOVAPHARIN
207 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
208 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
209 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 270 270 KIMIA FARMA
210 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
211 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 150 150 MOLEX AYUS, PT
212 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 69 69 PHAPROS, PT
213 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
214 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
215 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 204 35 239 KIMIA FARMA
216 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 119 119 KIMIA FARMA
217 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 398 398 KIMIA FARMA
218 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 87 87 PHAPROS, PT
219 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 124 37 161 KIMIA FARMA
220 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
221 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 55 55 KIMIA FARMA
222 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
223 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 20 20 KIMIA FARMA
224 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
225 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
226 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
227 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
228 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 18 18 PHAPROS, PT
229 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
230 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 282 50 332 KIMIA FARMA
231 12008509 COTRIMOXAZOLE SUS MERSI BT #N/A #N/A 5,600 5,600 MERSIFARMA
232 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 1,000 1,000 MERSIFARMA
233 13010481 CURMUNOS SYR 60ML (FAH) BT 1 80,000 7 7 PRATAPA NIRMALA
234 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 - 0 1 LUCAS DJAJA
235 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 459 459 PYRIDAM, PT
236 12005932 D5 - MJB 500 ML BT 1 6,694 216 216 EMJEBE PHARMA , PT
237 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 65 65 DARYA VARIA, PT
238 12005676 DATAN FORTE KPL@100 (PYRIDAM) DUS 100 162,000 13 13 PYRIDAM, PT
239 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 14 14 DARYA VARIA, PT
240 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 6 6 DARYA VARIA, PT
241 11000182 DEXAMETHASONE 0.5 MG (DUS 100 TAB) DUS 100 14,843 445 445 KIMIA FARMA
242 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 92 68 40 10 210 PHAPROS, PT
243 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
244 13000718 DEXTAMIN TAB@100 DUS 100 140,250 226 226 PHAPROS, PT
245 13000720 DEXTAMINE 30X10'S DUS 300 413,618 136 136 PHAPROS, PT
246 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 168 168 MOLEX AYUS, PT
247 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 30 30 MERSIFARMA
248 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 425 425 MEPROFARM
249 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 254 254 KIMIA FARMA
250 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,031 1,031 KIMIA FARMA
251 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 120 30 150 KIMIA FARMA
252 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
253 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
254 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
255 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT #N/A #N/A 100 1,500 1,600 PT AFIFARMA
256 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
257 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
258 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 43 43 NUFARINDO, PT
259 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
260 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 58,760 202 202 KIMIA FARMA
261 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 58 58 SANOFI AVENTIS
262 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 141,398 31 31 SANOFI AVENTIS
263 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 4 4 SANOFI AVENTIS
264 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 4 4 JANSSEN PHARMACEUTICA NV
265 11000057 DUVADILAN INJEKSI DUS 6 179,000 17 17 KIMIA FARMA
266 11000058 DUVADILAN TABLET DUS 50 250,000 15 15 KIMIA FARMA
267 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 15 15 PRATAPA NIRMALA
268 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 10 25,792 9 9 DARYA VARIA, PT
269 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 53 53 DARYA VARIA, PT
270 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 207 207 KIMIA FARMA
271 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
272 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
273 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
274 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
275 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 16 16 KIMIA FARMA
276 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
277 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
278 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 48 48 KIMIA FARMA
279 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 30 12 42 PHAPROS, PT
280 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 5 5 KIMIA FARMA
281 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
282 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 186 186 KIMIA FARMA
283 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
284 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 9 9 KIMIA FARMA
285 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
286 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 1,250 1,250 HOLI PHARMA
287 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 15 15 PHAPROS, PT
288 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 197 197 KIMIA FARMA
289 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 24 0 24 KIMIA FARMA
290 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 10 10 PRATAPA NIRMALA
291 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 1 1 PRATAPA NIRMALA
292 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 146 146 PRATAPA NIRMALA
293 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 110,000 79 79 PRATAPA NIRMALA
294 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 5 5 10 PRATAPA NIRMALA
295 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
296 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 65 65 PRATAPA NIRMALA
297 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
298 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 43,000 476 476 PRATAPA NIRMALA
299 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 53,000 500 500 PRATAPA NIRMALA
300 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 49 49 PRATAPA NIRMALA
301 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 147 147 PRATAPA NIRMALA
302 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
303 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
304 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
305 13019430 FEBRINEX SYR 60ML BT 1 12,612 33 33 PHAPROS, PT
306 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
307 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 46 46 PRATAPA NIRMALA
308 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 47 47 PRATAPA NIRMALA
309 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 18 122 140 PIRAMAL CRITICAL CARE LTD
310 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 600 600 KIMIA FARMA
311 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 880 880 PYRIDAM, PT
312 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
313 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
314 11001591 FITOCARE M KAYU PUTIH PLUS LAVENDER 50ML BT 1 17,600 5 5 KIMIA FARMA
315 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 86 86 KIMIA FARMA
316 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
317 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 575 575 KIMIA FARMA
318 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 120 120 KIMIA FARMA
319 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 328 328 KIMIA FARMA
320 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 618 618 KIMIA FARMA
321 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 252 252 KIMIA FARMA
322 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 124 124 KIMIA FARMA
323 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 540 540 KIMIA FARMA
324 11001784 FITUNO IMMUNE KIDS 60ML BOX 1 25,500 0 0 KIMIA FARMA
325 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 237 237 KIMIA FARMA
326 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 12 12 PRATAPA NIRMALA
327 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 33 33 PRATAPA NIRMALA
328 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 78 78 PRATAPA NIRMALA
329 12007662 FLUBIO VL 1 99,800 102 102 BIOFARMA
330 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 523 1,484 26 2,033 KIMIA FARMA
331 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
332 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
333 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
334 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 110 110 MOLEX AYUS, PT
335 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
336 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 42 42 KIMIA FARMA
337 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 - 50 50 KIMIA FARMA
338 12004760 FUSON KRIM 5GR (PYRIDAM) TUB 1 48,000 2 2 PYRIDAM, PT
339 12005261 GABASANT 300MG CAP@30 (PYRIDAM) DUS 30 331,000 1 1 PYRIDAM, PT
340 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 28 28 PRATAPA NIRMALA
341 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 79 133 20 232 PHAPROS, PT
342 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 525 525 KIMIA FARMA
343 12001733 GENTIAN VIOLET 1%(ONEMED) BT #N/A #N/A 200 200 PRUNING
344 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 137 137 PHAPROS, PT
345 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 210 220 PHAPROS, PT
346 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 213 213 KIMIA FARMA
347 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 476 476 KIMIA FARMA
348 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 373 373 KIMIA FARMA
349 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 805 18 823 KIMIA FARMA
350 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
351 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 3 40 KIMIA FARMA
352 12010432 GOLDTRION KPL@30 (FAH) DUS 30 255,000 28 28 PRATAPA NIRMALA
353 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 422 97 519 KIMIA FARMA
354 12000801 GRISEOFULVIN 500 MG TABL @ 100 DUS 100 168,971 21 21 DARYA VARIA, PT
355 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 134 134 PHAPROS, PT
356 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,388 1,388 KIMIA FARMA
357 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A #N/A 250 250 NOVAPHARIN
358 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
359 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
360 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 30 30 PHAPROS, PT
361 12006958 HEPAGARD DUS #N/A 76,230 18 18 PHAPROS, PT
362 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
363 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 1,525,000 18 18 KIMIA FARMA
364 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 233 205 438 KIMIA FARMA
365 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 31 126 157 KIMIA FARMA
366 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 233 233 PHAPROS, PT
367 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 469 469 PHAPROS, PT
368 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT #N/A #N/A 150 150 PT AFIFARMA
369 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 2 2 NOVAPHARIN
370 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 1,500 3,383 NOVAPHARIN
371 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 #N/A 35 35 NOVAPHARIN
372 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 9 9 NUFARINDO, PT
373 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 4 4 PHAPROS, PT
374 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 4 4 PHAPROS, PT
375 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
376 13005812 INPEPSA SUSP 200ML (FAH) BT 1 85,000 197 197 PRATAPA NIRMALA
377 12007335 INSTO REGULAR 15 ML DUS 1 16,100 134 134 COMBIPHAR, PT
378 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 800 540 1,340 PRATAPA NIRMALA
379 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BOX 1 48,818 26 26 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
380 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 38 2 40 KIMIA FARMA
381 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 8 8 KIMIA FARMA
382 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX #N/A - 23 4 27 KIMIA FARMA
383 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
384 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
385 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,378 2,378 KIMIA FARMA
386 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 199 199 KIMIA FARMA
387 12001249 IVANES 100 MG / 10 ML VL 1 - 183 183 IKAPHARMINDO
388 12001992 KASA PEMB HYDR 4Yd X 5CM @5 ROLL (KHWJ) PAC 5 14,300 30 30 KASA HUSADA WIRA JATIM, PT
389 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
390 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 34 48 DARYA VARIA, PT
391 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,695 1,695 KIMIA FARMA
392 11001995 KIFAMED TONGKAT KAKI EMPAT BERODA PC 1 290,909 2 2 KIMIA FARMA
393 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 145,455 3 3 KIMIA FARMA
394 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
395 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 2 2 KIMIA FARMA
396 11001914 KIFAMED TONGKAT KAKI SATU STANDARD PC 1 81,818 6 6 KIMIA FARMA
397 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
398 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 153 153 KIMIA FARMA
399 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 21 21 KIMIA FARMA
400 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 199 199 PHAPROS, PT
401 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS #N/A #N/A 267 267 KIMIA FARMA
402 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
403 13010687 LACTAFAR CAP@30 (FAH) DUS 30 120,000 50 50 PRATAPA NIRMALA
404 12005388 LANDO 300MG CAP@50 (PYRIDAM) DUS 50 399,000 3 3 PYRIDAM, PT
405 12005264 LDLOX CAP@30 (PYRIDAM) KPS 30 8,613 30 30 PYRIDAM, PT
406 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 479 20 499 KIMIA FARMA
407 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 42 42 MEPROFARM
408 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 60 60 MOLEX AYUS, PT
409 13005836 LEXACROL CHEW TAB@150 MOL DUS 150 71,300 17 17 MOLEX AYUS, PT
410 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 23,000 29 29 MOLEX AYUS, PT
411 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
412 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 119 119 MOLEX AYUS, PT
413 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 148 2 56 9 215 PHAPROS, PT
414 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 23 2 25 PHAPROS, PT
415 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 22,950 67 67 PHAPROS, PT
416 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 25 146 - 171 IFARS PHARMACEUTICAL, PT
417 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
418 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
419 11000329 MARCKS BEDAK CREME BOX 1 13,700 5 5 KIMIA FARMA
420 11000330 MARCKS BEDAK CREME 20gr BOX 1 23,700 3 3 KIMIA FARMA
421 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 1 1 KIMIA FARMA
422 11000332 MARCKS BEDAK INVISIBLE 40gr (New) BOX 1 13,700 9 9 KIMIA FARMA
423 11000333 MARCKS BEDAK Natural Beige 20 gr (New) BOX 1 23,700 5 5 KIMIA FARMA
424 11000334 MARCKS BEDAK Natural Beige 40gr (New) BOX 1 13,700 4 4 KIMIA FARMA
425 11000336 MARCKS BEDAK PUTIH BOX 1 13,700 6 6 KIMIA FARMA
426 11000337 MARCKS BEDAK ROSE BOX 1 13,700 3 3 KIMIA FARMA
427 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
428 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
429 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
430 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
431 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 4 4 KIMIA FARMA
432 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
433 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 137 137 KIMIA FARMA
434 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
435 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 40 40 KIMIA FARMA
436 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 58 58 KIMIA FARMA
437 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 10 10 KIMIA FARMA
438 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 13 13 KIMIA FARMA
439 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 19 19 KIMIA FARMA
440 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 13.75 14 KIMIA FARMA
441 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 30 30 KIMIA FARMA
442 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 25 25 KIMIA FARMA
443 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 21 21 KIMIA FARMA
444 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 220 220 PHAPROS, PT
445 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
446 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
447 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 11 11 DARYA VARIA, PT
448 13077585 MEDIKA ALKOHOL 70% @ 1 L BT #N/A #N/A 129 129 PT. LIKUID PHARMALAB INDONESIA
449 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 391 391 PT. LIKUID PHARMALAB INDONESIA
450 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
451 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
452 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 142 142 PT. LIKUID PHARMALAB INDONESIA
453 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 495 495 PT. LIKUID PHARMALAB INDONESIA
454 12008458 MELOCID TAB@50 MOL DUS 50 30,000 10 10 MOLEX AYUS, PT
455 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 650 650 MEPROFARM
456 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
457 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
458 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 79 1 80 PRATAPA NIRMALA
459 12009834 METAMIZOLE SODIUM 500 MG @ 100 TAB(PEHA) DUS 100 30,500 86 86 PHAPROS, PT
460 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 1,943 1,943 KIMIA FARMA
461 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS 100 296,800 5 5 MEPROFARM
462 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
463 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
464 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 104 104 PHAPROS, PT
465 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 57 57 PHAPROS, PT
466 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 24 24 PHAPROS, PT
467 11000104 METHYLERGOMETRINE 0,125 MG (DUS 100 TAB) DUS #N/A #N/A 40 40 KIMIA FARMA
468 12009543 METHYLERGOMETRINE INJ 0,2 MG/ML (NVLL) DUS #N/A #N/A 47 47 NOVELL PHARMACEUTICAL LABORATORIES
469 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 1 30,000 400 400 MOLEX AYUS, PT
470 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A - 50 - 50 PHAPROS, PT
471 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 51 355 50 456 KIMIA FARMA
472 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 667 50 12 729 KIMIA FARMA
473 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 113 113 PHAPROS, PT
474 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 32,813 996 996 KIMIA FARMA
475 12012242 METRONIDAZOLE 500MG 10X10 TAB (RAMA) DUS #N/A #N/A 300 300 RAMA EMERALD, PT
476 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 120 120 NOVAPHARIN
477 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 1,217 1,217 DARYA VARIA, PT
478 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT #N/A #N/A 1,000 1,000 MEPROFARM
479 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
480 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 81 208 289 KIMIA FARMA
481 13002997 MIOZIDINE MR 35MG TAB@30 (FAH) DUS 1 102,000 10 10 PRATAPA NIRMALA
482 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 7 7 MOLEX AYUS, PT
483 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 171 199 370 MOLEX AYUS, PT
484 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 53 53 MOLEX AYUS, PT
485 13002451 MONECTO 20MG TAB@30 (FAH) DUS 1 81,000 10 10 PRATAPA NIRMALA
486 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
487 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
488 11000501 MST CONTINUS 10 MG DUS 60 852,000 8 8 MAHAKAM BETA FARMA
489 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
490 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 2 10 PHAPROS, PT
491 12007759 MYCOZOL KRIM 10GR (PYRIDAM) DUS 1 13,000 44 44 PYRIDAM, PT
492 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
493 12005179 N ACE CAP@30 (FAH) DUS 1 78,000 342 342 PRATAPA NIRMALA
494 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
495 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 130 130 KIMIA FARMA
496 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 480 99 800 1,379 PHAPROS, PT
497 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 30 30 PHAPROS, PT
498 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 59 59 DARYA VARIA, PT
499 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 12 12 DARYA VARIA, PT
500 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 58 58 DARYA VARIA, PT
501 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 64 64 DARYA VARIA, PT
502 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 132 132 DARYA VARIA, PT
503 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 13 13 DARYA VARIA, PT
504 12000832 NATUR E HBL 100 ML BT 1 10,424 123 123 DARYA VARIA, PT
505 12000833 NATUR E HBL 245 ML BT 1 20,913 85 85 DARYA VARIA, PT
506 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 152 152 DARYA VARIA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
507 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
508 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 189 146 335 DARYA VARIA, PT
509 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 90 90 MOLEX AYUS, PT
510 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 10 10 DARYA VARIA, PT
511 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
512 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
513 12000840 NIFURAL SYR BT 1 60,300 59 59 DARYA VARIA, PT
514 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
515 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 1,048 1,048 SINAR RODA UTAMA, PT
516 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 3,000 3,025 SINAR RODA UTAMA, PT
517 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,642 8,642 SINAR RODA UTAMA, PT
518 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,531 4,531 SINAR RODA UTAMA, PT
519 12003653 NIPRO SAFELET CATH IV PU 24GX3/4" PC #N/A #N/A 157 157 SINAR RODA UTAMA, PT
520 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 5,100 - - - 5,100 SINAR RODA UTAMA, PT
521 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 1,170 200 5 205 SINAR RODA UTAMA, PT
522 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC 1 800 400 400 SINAR RODA UTAMA, PT
523 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2" PC 1 880 500 500 SINAR RODA UTAMA, PT
524 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,276 6,276 SINAR RODA UTAMA, PT
525 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
526 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 522 19 20 561 PHAPROS, PT
527 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 77 184 261 KIMIA FARMA
528 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 17 25 42 KIMIA FARMA
529 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
530 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
531 13005884 NUFAPRAZOL CAP@20 (NUF) DUS 20 51,000 16 16 NUFARINDO, PT
532 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 9 9 NUFARINDO, PT
533 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 23 23 NUFARINDO, PT
534 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 11 11 NUFARINDO, PT
535 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 434 252 686 PHAPROS, PT
536 12008469 OBH 60ML MOL BT 1 5,000 7 7 MOLEX AYUS, PT
537 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 48 48 COMBIPHAR, PT
538 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 132 132 COMBIPHAR, PT
539 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 126 126 COMBIPHAR, PT
540 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 173 173 COMBIPHAR, PT
541 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 13,781 57 57 COMBIPHAR, PT
542 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 321 321 COMBIPHAR, PT
543 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 220 220 COMBIPHAR, PT
544 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
545 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 127 127 COMBIPHAR, PT
546 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 181 181 COMBIPHAR, PT
547 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
548 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 483 2,200 2,683 KIMIA FARMA
549 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 11 11 PIHAK 3
550 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 1 1 PHAPROS, PT
551 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
552 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 361 361 KIMIA FARMA
553 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 149,000 3 3 PYRIDAM, PT
554 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
555 13005119 OSTRIOL CAP@30 (FAH) BT 1 150,000 10 10 PRATAPA NIRMALA
556 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
557 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 117 305 4 426 KIMIA FARMA
558 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
559 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 8,520 8,520 KIMIA FARMA
560 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT #N/A #N/A 150 150 PT AFIFARMA
561 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 51 51 KIMIA FARMA
562 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
563 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 203 203 DARYA VARIA, PT
564 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 200 200 DARYA VARIA, PT
565 12005890 PEHACAIN INJ DUS 20 56,601 18 18 PHAPROS, PT
566 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 24 24 PHAPROS, PT
567 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 1 1 PHAPROS, PT
568 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 237 237 PHAPROS, PT
569 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - - 1,475 1,475 PHAPROS, PT
570 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 275,000 4 4 PRATAPA NIRMALA
571 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
572 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
573 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 720 720 KIMIA FARMA
574 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
575 13002150 PHAPROXIN 500MG TAB@50 DUS 50 40,000 36 36 PHAPROS, PT
576 12000315 PHARMATHON FORMULA @ 50 CAPS DUS 50 200,682 4 4 SANOFI AVENTIS
577 12000318 PHARMATON VIT KAPLET DUS 50 199,367 71 71 SANOFI AVENTIS
578 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 17,000 17 67 84 KIMIA FARMA
579 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 126 19 145 PHAPROS, PT
580 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
581 13009797 PHINEV INJ. DUS 10 94,900 29 29 PHAPROS, PT
582 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
583 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 36 51 PHAPROS, PT
584 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 515 515 KIMIA FARMA
585 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
586 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS 100 15,968 1,200 1,200 KIMIA FARMA
587 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 204 204 KIMIA FARMA
588 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 7 - 7 PRATAPA NIRMALA
589 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 226 226 PRATAPA NIRMALA
590 12009903 PREDNISON 5 MG @100 TAB (PEHA) DUS 100 16,800 200 200 PHAPROS, PT
591 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 88 88 MOLEX AYUS, PT
592 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 35 35 MOLEX AYUS, PT
593 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 106 106 PHAPROS, PT
594 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 68 68 PHAPROS, PT
595 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 99 99 PHAPROS, PT
596 13001143 PRO TB2 TAB@28 DUS 28 184,450 59 59 PHAPROS, PT
597 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 11 22 PHAPROS, PT
598 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
599 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
600 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
601 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
602 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
603 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
604 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 738 738 KIMIA FARMA
605 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 600 2,350 HOLI PHARMA
606 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 - 650 374 - 1,024 HOLI PHARMA
607 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 575 575 KIMIA FARMA
608 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
609 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 859 532 635 2,026 KIMIA FARMA
610 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS #N/A #N/A 45 45 PHAPROS, PT
611 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
612 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 9 9 PRATAPA NIRMALA
613 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 150,000 34 - 34 PRATAPA NIRMALA
614 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 5 5 NUFARINDO, PT
615 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
616 13010956 RENAPAR TAB@100 (FAH) DUS 100 230,000 10 10 PRATAPA NIRMALA
617 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 16 16 PRATAPA NIRMALA
618 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 8 8 PRATAPA NIRMALA
619 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 4 4 PRATAPA NIRMALA
620 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 35 35 PRATAPA NIRMALA
621 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 3 7 10 KIMIA FARMA
622 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 230 230 LUCAS DJAJA
623 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 86 10 96 KIMIA FARMA
624 11002018 RINGER LAKTAT INFUS BT 1 7,003 1,754 1,754 KIMIA FARMA
625 12008474 RIVANOL 100ML MOL BT 1 4,000 973 973 MOLEX AYUS, PT
626 12008475 RIVANOL 300ML MOL BT 1 9,000 604 604 MOLEX AYUS, PT
627 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 232 232 KIMIA FARMA
628 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 172 172 KIMIA FARMA
629 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 249 249 KIMIA FARMA
630 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 206 206 KIMIA FARMA
631 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 53 53 KIMIA FARMA
632 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 53 53 KIMIA FARMA
633 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 1,802 1,802 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
634 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1,221 915 2,136 KIMIA FARMA
635 12010405 SALBUTAMOL SULFATE INHALASI BT@10 (FAH) DUS #N/A #N/A 67 67 PRATAPA NIRMALA
636 12012307 SALEP 2-4 15 GR (AFI) POT #N/A #N/A 40 40 PT AFIFARMA
637 11000923 SALICYL FRESH 60GR Kemasan baru BOX 1 12,380 10 10 KIMIA FARMA
638 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - - 900 900 PIHAK 3
639 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
640 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 3 3 PRATAPA NIRMALA
641 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 210,000 26 26 PRATAPA NIRMALA
642 12009809 SILEX SYRUP 100 ML (DVRS) BT 1 55,650 5 5 DARYA VARIA, PT
643 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
644 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 1,066 1,066 KIMIA FARMA
645 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 55 55 PHAPROS, PT
646 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
647 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
648 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
649 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 33 33 DARYA VARIA, PT
650 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
651 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 49 49 PHAPROS, PT
652 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
653 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 60 60 DARYA VARIA, PT
654 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 18 18 DARYA VARIA, PT
655 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 1,050 1,050 KASA HUSADA WIRA JATIM, PT
656 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 6 6 NUFARINDO, PT
657 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
658 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
659 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 48 48 PHAPROS, PT
660 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 41 41 PHAPROS, PT
661 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 15 15 PHAPROS, PT
662 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
663 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
664 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
665 11000130 TETRACYCLINE 500 MG (DUS 100 KAPS) DUS 100 95,000 12 12 KIMIA FARMA
666 12009916 TETRACYCLINE 500 MG @100 KPS (PEHA) DUS 100 69,600 1 1 PHAPROS, PT
667 12005930 TETRACYCLINE HCL 250MG BTL CAP@100 (NOVA KPL #N/A #N/A 3,000 3,000 NOVAPHARIN
668 12009937 THERASORB C 10CM X 10CM (DVRS) DUS 10 700,000 4 4 DARYA VARIA, PT
669 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
670 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
671 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 22 22 KIMIA FARMA
672 13076813 TRAMPARA TAB@30 DUS 30 145,000 91 91 PHAPROS, PT
673 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 61 61 PRATAPA NIRMALA
674 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
675 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 127 127 KIMIA FARMA
676 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
677 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 144 144 BIOFARMA
678 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 943 943 BUSANA UTAMA, PT
679 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
680 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
681 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,200 2,200 BUSANA UTAMA, PT
682 11000292 VAGIZOLE OVULA DUS 5 55,000 39 39 KIMIA FARMA
683 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
684 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
685 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
686 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 251 251 KIMIA FARMA
687 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 127 127 KIMIA FARMA
688 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 105 105 PRATAPA NIRMALA
689 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 120 30 150 PRATAPA NIRMALA
690 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 160 160 PRATAPA NIRMALA
691 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 45 45 PRATAPA NIRMALA
692 13010157 VENODENOL 3% INJ AMP@5 (FAH) DUS 5 750,000 50 50 PRATAPA NIRMALA
693 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
694 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 21 21 KIMIA FARMA
695 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 31 31 KIMIA FARMA
696 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
697 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 15 15 KIMIA FARMA
698 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
699 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 3 3 KIMIA FARMA
700 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
701 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
702 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
703 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6.000 6 KIMIA FARMA
704 11000368 VENUS FACIAL WASH 100ml DUS 1 22,091 12 12 KIMIA FARMA
705 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
706 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
707 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 9 9 KIMIA FARMA
708 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
709 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 31 31 KIMIA FARMA
710 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 6 6 KIMIA FARMA
711 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
712 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
713 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
714 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
715 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
716 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
717 11001143 VENUS SOFT MATTE LIPCREAM NO.1 DUS 1 38,389 12 12 KIMIA FARMA
718 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
719 11001145 VENUS SOFT MATTE LIPCREAM NO.3 DUS 1 38,389 12 12 KIMIA FARMA
720 11001147 VENUS SOFT MATTE LIPCREAM NO.5 DUS 1 38,389 21 21 KIMIA FARMA
721 11001150 VENUS SOFT MATTE LIPCREAM NO.8 DUS 1 38,389 12 12 KIMIA FARMA
722 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 21 21 KIMIA FARMA
723 11001432 VENUS SOFTMATTE LIPCREAM 13 DUS 1 38,389 0 0 KIMIA FARMA
724 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 22 22 KIMIA FARMA
725 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
726 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
727 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 11 11 KIMIA FARMA
728 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
729 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
730 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 101 101 KIMIA FARMA
731 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 37 37 KIMIA FARMA
732 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 25 25 KIMIA FARMA
733 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
734 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
735 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
736 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
737 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
738 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
739 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
740 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
741 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
742 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
743 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
744 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
745 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
746 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
747 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
748 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
749 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
750 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
751 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
752 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
753 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
754 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
755 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 181 181 DARYA VARIA, PT
756 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 31 31 DARYA VARIA, PT
757 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 57,173 72 72 DARYA VARIA, PT
758 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 103 103 PRATAPA NIRMALA
759 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
760 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
761 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 407 407 KIMIA FARMA
762 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 172 124 296 KIMIA FARMA
763 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 44 44 MARIN LIZA
764 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 2,238 50 2,288 KIMIA FARMA
765 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 15,036 73 73 KIMIA FARMA
766 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,200 736 736 KIMIA FARMA
767 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 144 144 PHAPROS, PT
768 12011955 VITAMIN C 50 MG (MARIN) DUS 100 - 2,500 4,499 6,999 MARIN LIZA
769 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 67 67 PHAPROS, PT
770 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
771 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 50 50 PRATAPA NIRMALA
772 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 7 7 NUFARINDO, PT
773 12012309 ZINC SULFATE 20MG/5ML SYR 60ML (AFI) BT #N/A #N/A 250 250 PT AFIFARMA
774 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 49 49 PHAPROS, PT
775 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 580 580 KIMIA FARMA

NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 30 November 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 420 420 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 193 146 339 KIMIA FARMA
7 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 25 105,000 28 28 PHAPROS, PT
8 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 12 20 KIMIA FARMA
9 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
10 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
11 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
12 12007580 AGANI NEEDLE 26GX13MM DUS 100 30,000 21 21 TERUMO, PT
13 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
14 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 5 5 KIMIA FARMA
15 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 800 800 MOLEX AYUS, PT
16 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 157 157 MOLEX AYUS, PT
17 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 10 10 DARYA VARIA, PT
18 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 62 62 KIMIA FARMA
19 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
20 13008405 ALPARA SYR 60ML MOL BT 1 9,546 35 35 MOLEX AYUS, PT
21 12008485 ALPHAMOL SYR 60ML MOL BT 1 7,300 68 10,000 10,068 MOLEX AYUS, PT
22 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS 100 35,000 186 186 KIMIA FARMA
23 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 108 108 KIMIA FARMA
24 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 12 12 PHAPROS, PT
25 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 44 44 KIMIA FARMA
26 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
27 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 99 99 PHAPROS, PT
28 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 1 21 KIMIA FARMA
29 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 16 16 KIMIA FARMA
30 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 103 103 PHAPROS, PT
31 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 145 3,099 170 3,414 KIMIA FARMA
32 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 481 481 PHAPROS, PT
33 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS 100 37,809 305 305 KIMIA FARMA
34 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
35 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 52 52 PHAPROS, PT
36 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 273 273 PHAPROS, PT
37 11000152 ANTASIDA DOEN (DUS 100 TAB) DUS 100 34,239 142 142 KIMIA FARMA
38 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 481 481 KIMIA FARMA
39 12008528 ANTASIDA DOEN TAB MERSI DUS #N/A #N/A 2,600 2,600 MERSIFARMA
40 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
41 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
42 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 15 15 KIMIA FARMA
43 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,519 1,519 KIMIA FARMA
44 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
45 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
46 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 1 1 KIMIA FARMA
47 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 74 74 PHAPROS, PT
48 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 201 201 PHAPROS, PT
49 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 26 26 PHAPROS, PT
50 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
51 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 150 150 NOVAPHARIN
52 12004756 ASEDAS SYRUP 60 ML (PYRIDAM) BT 1 43,000 48 48 PYRIDAM, PT
53 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 144 144 KIMIA FARMA
54 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 7 7 DARYA VARIA, PT
55 12000711 ASPILETS THROMBO TABLET @ 150( DUS 150 123,400 18 18 DARYA VARIA, PT
56 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 10 10 PRATAPA NIRMALA
57 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 345,000 7 7 PRATAPA NIRMALA
58 11001586 ATORVASTATIN 10 MG DUS 30 35,000 473 473 KIMIA FARMA
59 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 38 38 DARYA VARIA, PT
60 11001588 ATORVASTATIN 40 MG DUS 30 70,000 96 96 KIMIA FARMA
61 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
62 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
63 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
64 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 907 907 BIO AXION HEALTHINDO, PT
65 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
66 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 919 919 BIO AXION HEALTHINDO, PT
67 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
68 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 942 942 BIO AXION HEALTHINDO, PT
69 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
70 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 620 620 BIO AXION HEALTHINDO, PT
71 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
72 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 143 143 BIO AXION HEALTHINDO, PT
73 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
74 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
75 12000185 AXIMED FEMALE CATHETER NO. 10 PC 1 - 1,000 1,000 BIO AXION HEALTHINDO, PT
76 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
77 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 998 998 BIO AXION HEALTHINDO, PT
78 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 528 528 BIO AXION HEALTHINDO, PT
79 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 358 358 BIO AXION HEALTHINDO, PT
80 12000209 AXIMED FOLEYCATH 2-WAY NO.14 PC 1 17,000 78 78 BIO AXION HEALTHINDO, PT
81 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
82 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
83 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
84 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 199 199 BIO AXION HEALTHINDO, PT
85 12000202 AXIMED SUCTION CATHETER NO.12 PC #N/A #N/A 150 150 BIO AXION HEALTHINDO, PT
86 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 81 127 BIO AXION HEALTHINDO, PT
87 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
88 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 804 804 BIO AXION HEALTHINDO, PT
89 12000206 AXIMED SUCTION CATHETER NO.8 PC #N/A #N/A 200 200 BIO AXION HEALTHINDO, PT
90 12000228 AXIMED SWAB, 2-PLY DUS #N/A #N/A 5 5 BIO AXION HEALTHINDO, PT
91 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 916 - - - - 916 KIMIA FARMA
92 13022661 BECEFORT SYR 60ML BT 1 14,603 89 89 PHAPROS, PT
93 11000323 BEDAK SALICYL 2% 60 gr BOX 144 5,842 0 0 KIMIA FARMA
94 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 6 17 23 PHAPROS, PT
95 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 86 0 0 86 KIMIA FARMA
96 11000385 BETASON CREAM (TUBE 5 GRAM) DUS #N/A #N/A 25 25 KIMIA FARMA
97 13010355 BIO ATP KPL@100 DUS 100 214,180 1 1 PHAPROS, PT
98 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
99 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
100 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 328 328 BIO AXION HEALTHINDO, PT
101 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 4 4 DARYA VARIA, PT
102 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
103 13026576 BIORON TAB@100 DUS 100 101,650 56 56 PHAPROS, PT
104 12006548 BIOSAVE ABU I VL 1 862,500 1 1 BIOFARMA
105 12012222 BISACODYL 5MG TAB@100 DUS #N/A #N/A 26 208 234 HARSEN LABORATORIES, PT
106 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 123 123 SANOFI AVENTIS
107 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
108 12010616 BONEFILL ORTHO BT 5 1,350,000 10 10 PHAPROS, PT
109 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 473 473 PRATAPA NIRMALA
110 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 2 2 DARYA VARIA, PT
111 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 4 4 SANOFI AVENTIS
112 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 120 299 419 PHAPROS, PT
113 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 36 36 KIMIA FARMA
114 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 204 204 MERSIFARMA
115 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 66 66 PRATAPA NIRMALA
116 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 15 15 PRATAPA NIRMALA
117 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,500 1,500 LUCAS DJAJA
118 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
119 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 476 476 PHAPROS, PT
120 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 313 313 KIMIA FARMA
121 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS 100 16,465 642 642 KIMIA FARMA
122 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
123 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
124 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
125 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 1 1 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
126 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
127 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 53 18 71 DARYA VARIA, PT
128 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
129 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
130 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 41 41 CENDO, PT
131 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
132 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
133 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 11 11 CENDO, PT
134 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 9 9 CENDO, PT
135 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 2 2 CENDO, PT
136 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
137 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
138 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 77 77 CENDO, PT
139 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 115 115 CENDO, PT
140 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 29 29 CENDO, PT
141 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 635 635 CENDO, PT
142 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
143 12004130 CENDO FENICOL EYE OINTMENT 3,5 GRAM TUB 1 21,875 3 3 CENDO, PT
144 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 32 32 CENDO, PT
145 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 46 46 CENDO, PT
146 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
147 12004135 CENDO GENTA 0,3% EYE DROP 5 ML BT 1 28,375 67 67 CENDO, PT
148 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 26 26 CENDO, PT
149 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 34 34 CENDO, PT
150 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 9 9 CENDO, PT
151 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 128 128 CENDO, PT
152 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
153 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 24 24 CENDO, PT
154 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
155 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 21 21 CENDO, PT
156 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
157 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
158 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 45 45 CENDO, PT
159 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 218 218 CENDO, PT
160 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
161 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 29 29 CENDO, PT
162 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
163 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 15 15 CENDO, PT
164 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 18 18 CENDO, PT
165 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 86 86 CENDO, PT
166 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
167 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
168 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
169 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
170 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
171 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 13 13 CENDO, PT
172 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 36 36 CENDO, PT
173 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 9 9 CENDO, PT
174 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 8 8 CENDO, PT
175 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
176 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
177 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
178 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 26 26 CENDO, PT
179 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 20 20 CENDO, PT
180 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 35 35 CENDO, PT
181 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 46 46 CENDO, PT
182 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 70 70 CENDO, PT
183 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 34 34 CENDO, PT
184 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
185 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 89 89 CENDO, PT
186 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 10 10 CENDO, PT
187 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
188 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
189 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
190 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 49 49 CENDO, PT
191 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 23 23 CENDO, PT
192 12005164 CENDO VITAL TAB@30 DUS 30 90,000 5 5 CENDO, PT
193 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 146 146 CENDO, PT
194 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 182 182 CENDO, PT
195 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 43 43 BIOFARMA
196 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 1,238 1,050 2,288 KIMIA FARMA
197 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
198 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 10 10 KIMIA FARMA
199 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) DUS 1 11,500 3 3 KIMIA FARMA
200 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 0 0 KIMIA FARMA
201 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 15 KIMIA FARMA
202 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
203 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 200 176 376 NOVAPHARIN
204 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
205 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
206 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 32 32 KIMIA FARMA
207 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
208 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 150 150 MOLEX AYUS, PT
209 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 76 76 PHAPROS, PT
210 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
211 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
212 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 204 35 239 KIMIA FARMA
213 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 119 119 KIMIA FARMA
214 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 480 480 KIMIA FARMA
215 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 90 90 PHAPROS, PT
216 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 124 37 161 KIMIA FARMA
217 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
218 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 55 55 KIMIA FARMA
219 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
220 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 20 20 KIMIA FARMA
221 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
222 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
223 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
224 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
225 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 18 18 PHAPROS, PT
226 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
227 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 92 50 142 KIMIA FARMA
228 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 100 - 100 MERSIFARMA
229 13010481 CURMUNOS SYR 60ML (FAH) BT 1 80,000 7 7 PRATAPA NIRMALA
230 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 - 0 1 LUCAS DJAJA
231 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 464 464 PYRIDAM, PT
232 12005932 D5 - MJB 500 ML BT 1 6,694 366 366 EMJEBE PHARMA , PT
233 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 66 66 DARYA VARIA, PT
234 12005676 DATAN FORTE KPL@100 (PYRIDAM) DUS 100 162,000 13 13 PYRIDAM, PT
235 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 14 14 DARYA VARIA, PT
236 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 12 12 DARYA VARIA, PT
237 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 93 68 40 10 211 PHAPROS, PT
238 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
239 13000718 DEXTAMIN TAB@100 DUS 100 140,250 229 229 PHAPROS, PT
240 13000720 DEXTAMINE 30X10'S DUS 300 413,618 137 137 PHAPROS, PT
241 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 168 168 MOLEX AYUS, PT
242 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 30 30 MERSIFARMA
243 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 425 425 MEPROFARM
244 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 254 254 KIMIA FARMA
245 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,036 1,036 KIMIA FARMA
246 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 20 30 50 KIMIA FARMA
247 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
248 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
249 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
250 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT #N/A #N/A 100 1,500 1,600 PT AFIFARMA
251 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
252 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
253 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 43 43 NUFARINDO, PT
254 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
255 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 58,760 126 126 KIMIA FARMA
256 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 58 58 SANOFI AVENTIS
257 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 141,398 37 37 SANOFI AVENTIS
258 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 4 4 SANOFI AVENTIS
259 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 4 4 JANSSEN PHARMACEUTICA NV
260 11000057 DUVADILAN INJEKSI DUS 6 179,000 17 17 KIMIA FARMA
261 11000058 DUVADILAN TABLET DUS 50 250,000 15 15 KIMIA FARMA
262 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 16 16 PRATAPA NIRMALA
263 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 10 25,792 9 9 DARYA VARIA, PT
264 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 53 53 DARYA VARIA, PT
265 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 69 69 KIMIA FARMA
266 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
267 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
268 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
269 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
270 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 16 16 KIMIA FARMA
271 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
272 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
273 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 48 48 KIMIA FARMA
274 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 55 12 67 PHAPROS, PT
275 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 5 5 KIMIA FARMA
276 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
277 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 186 186 KIMIA FARMA
278 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
279 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 11 11 KIMIA FARMA
280 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
281 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 50 - 50 HOLI PHARMA
282 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 15 15 PHAPROS, PT
283 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 200 200 KIMIA FARMA
284 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 24 0 24 KIMIA FARMA
285 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 10 10 PRATAPA NIRMALA
286 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 1 1 PRATAPA NIRMALA
287 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 146 146 PRATAPA NIRMALA
288 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 110,000 80 80 PRATAPA NIRMALA
289 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 380,000 40 40 PRATAPA NIRMALA
290 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 5 5 10 PRATAPA NIRMALA
291 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
292 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 65 65 PRATAPA NIRMALA
293 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
294 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 43,000 200 200 PRATAPA NIRMALA
295 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 53,000 200 200 PRATAPA NIRMALA
296 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 49 49 PRATAPA NIRMALA
297 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 147 147 PRATAPA NIRMALA
298 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
299 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
300 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
301 13019430 FEBRINEX SYR 60ML BT 1 12,612 36 36 PHAPROS, PT
302 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
303 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 49 49 PRATAPA NIRMALA
304 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 47 47 PRATAPA NIRMALA
305 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 18 122 140 PIRAMAL CRITICAL CARE LTD
306 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 930 930 PYRIDAM, PT
307 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
308 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
309 11001591 FITOCARE M KAYU PUTIH PLUS LAVENDER 50ML BT 1 17,600 5 5 KIMIA FARMA
310 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 86 86 KIMIA FARMA
311 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
312 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 581 581 KIMIA FARMA
313 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 328 328 KIMIA FARMA
314 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 636 636 KIMIA FARMA
315 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 12 12 KIMIA FARMA
316 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 124 124 KIMIA FARMA
317 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 540 540 KIMIA FARMA
318 11001784 FITUNO IMMUNE KIDS 60ML BOX 1 25,500 0 0 KIMIA FARMA
319 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 237 237 KIMIA FARMA
320 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 12 12 PRATAPA NIRMALA
321 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 33 33 PRATAPA NIRMALA
322 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 78 78 PRATAPA NIRMALA
323 12007662 FLUBIO VL 1 99,800 102 102 BIOFARMA
324 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 578 140 26 744 KIMIA FARMA
325 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
326 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
327 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
328 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 146 146 MOLEX AYUS, PT
329 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
330 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 72 72 KIMIA FARMA
331 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 - 50 50 KIMIA FARMA
332 12004760 FUSON KRIM 5GR (PYRIDAM) TUB 1 48,000 2 2 PYRIDAM, PT
333 12005261 GABASANT 300MG CAP@30 (PYRIDAM) DUS 30 331,000 1 1 PYRIDAM, PT
334 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 28 28 PRATAPA NIRMALA
335 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 99 133 20 252 PHAPROS, PT
336 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 1,375 1,375 KIMIA FARMA
337 12001733 GENTIAN VIOLET 1%(ONEMED) BT #N/A #N/A 200 200 PRUNING
338 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 137 137 PHAPROS, PT
339 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 210 220 PHAPROS, PT
340 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 213 213 KIMIA FARMA
341 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 480 480 KIMIA FARMA
342 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 373 373 KIMIA FARMA
343 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 807 18 825 KIMIA FARMA
344 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
345 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 3 40 KIMIA FARMA
346 12010432 GOLDTRION KPL@30 (FAH) DUS 30 255,000 29 29 PRATAPA NIRMALA
347 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 422 97 519 KIMIA FARMA
348 12000801 GRISEOFULVIN 500 MG TABL @ 100 DUS 100 168,971 21 21 DARYA VARIA, PT
349 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 135 135 PHAPROS, PT
350 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,388 1,388 KIMIA FARMA
351 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A #N/A 250 250 NOVAPHARIN
352 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
353 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
354 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 30 30 PHAPROS, PT
355 12006958 HEPAGARD DUS #N/A 76,230 18 18 PHAPROS, PT
356 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
357 11000516 HUMAN ALBUMIN 20 % 50 ML BT #N/A #N/A 12 12 KIMIA FARMA
358 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 1,525,000 18 18 KIMIA FARMA
359 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 241 205 446 KIMIA FARMA
360 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 37 1 38 KIMIA FARMA
361 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 233 233 PHAPROS, PT
362 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 469 469 PHAPROS, PT
363 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT #N/A #N/A 150 150 PT AFIFARMA
364 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 2 2 NOVAPHARIN
365 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 - 1,883 NOVAPHARIN
366 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 #N/A 35 35 NOVAPHARIN
367 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 11 11 NUFARINDO, PT
368 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 4 4 PHAPROS, PT
369 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 4 4 PHAPROS, PT
370 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
371 12007335 INSTO REGULAR 15 ML DUS 1 16,100 134 134 COMBIPHAR, PT
372 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 800 540 1,340 PRATAPA NIRMALA
373 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 1 2 3 KIMIA FARMA
374 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 5 5 KIMIA FARMA
375 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX #N/A - 4 4 KIMIA FARMA
376 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
377 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
378 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,378 2,378 KIMIA FARMA
379 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 199 199 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
380 12001249 IVANES 100 MG / 10 ML VL 1 - 183 183 IKAPHARMINDO
381 12001992 KASA PEMB HYDR 4Yd X 5CM @5 ROLL (KHWJ) PAC 5 14,300 30 30 KASA HUSADA WIRA JATIM, PT
382 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
383 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 34 48 DARYA VARIA, PT
384 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,705 1,705 KIMIA FARMA
385 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 145,455 1 1 KIMIA FARMA
386 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
387 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 1 1 KIMIA FARMA
388 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
389 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 1 1 KIMIA FARMA
390 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 21 21 KIMIA FARMA
391 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 203 203 PHAPROS, PT
392 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
393 12005388 LANDO 300MG CAP@50 (PYRIDAM) DUS 50 399,000 3 3 PYRIDAM, PT
394 12005264 LDLOX CAP@30 (PYRIDAM) KPS 30 8,613 30 30 PYRIDAM, PT
395 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 526 20 546 KIMIA FARMA
396 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 42 42 MEPROFARM
397 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 60 60 MOLEX AYUS, PT
398 13005836 LEXACROL CHEW TAB@150 MOL DUS 150 71,300 17 17 MOLEX AYUS, PT
399 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 23,000 29 29 MOLEX AYUS, PT
400 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
401 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 119 119 MOLEX AYUS, PT
402 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 153 102 56 9 320 PHAPROS, PT
403 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 23 2 25 PHAPROS, PT
404 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 22,950 67 67 PHAPROS, PT
405 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 25 146 - 171 IFARS PHARMACEUTICAL, PT
406 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
407 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
408 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 0 0 KIMIA FARMA
409 11000337 MARCKS BEDAK ROSE BOX 1 13,700 1 1 KIMIA FARMA
410 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
411 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
412 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
413 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
414 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 4 4 KIMIA FARMA
415 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
416 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 137 137 KIMIA FARMA
417 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
418 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 40 40 KIMIA FARMA
419 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 58 58 KIMIA FARMA
420 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 10 10 KIMIA FARMA
421 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 13 13 KIMIA FARMA
422 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 19 19 KIMIA FARMA
423 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 14 14 KIMIA FARMA
424 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 30 30 KIMIA FARMA
425 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 25 25 KIMIA FARMA
426 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 21 21 KIMIA FARMA
427 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 220 220 PHAPROS, PT
428 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
429 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
430 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 11 11 DARYA VARIA, PT
431 13077585 MEDIKA ALKOHOL 70% @ 1 L BT #N/A #N/A 1,008 1,008 PT. LIKUID PHARMALAB INDONESIA
432 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 400 400 PT. LIKUID PHARMALAB INDONESIA
433 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
434 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
435 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 143 143 PT. LIKUID PHARMALAB INDONESIA
436 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 495 495 PT. LIKUID PHARMALAB INDONESIA
437 12008458 MELOCID TAB@50 MOL DUS 50 30,000 10 10 MOLEX AYUS, PT
438 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 650 650 MEPROFARM
439 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
440 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
441 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 79 1 80 PRATAPA NIRMALA
442 12009834 METAMIZOLE SODIUM 500 MG @ 100 TAB(PEHA) DUS 100 30,500 86 86 PHAPROS, PT
443 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 2,007 2,007 KIMIA FARMA
444 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A 100 5 105 MEPROFARM
445 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
446 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
447 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 104 104 PHAPROS, PT
448 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 57 57 PHAPROS, PT
449 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 24 24 PHAPROS, PT
450 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A - 50 - 50 PHAPROS, PT
451 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 51 51 KIMIA FARMA
452 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 667 50 12 729 KIMIA FARMA
453 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 113 113 PHAPROS, PT
454 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 32,813 240 240 KIMIA FARMA
455 12012242 METRONIDAZOLE 500MG 10X10 TAB (RAMA) DUS #N/A #N/A 300 300 RAMA EMERALD, PT
456 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 120 120 NOVAPHARIN
457 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 8,076 8,076 DARYA VARIA, PT
458 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
459 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 108 108 KIMIA FARMA
460 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 7 7 MOLEX AYUS, PT
461 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 171 199 370 MOLEX AYUS, PT
462 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 53 53 MOLEX AYUS, PT
463 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
464 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
465 11000501 MST CONTINUS 10 MG DUS 60 852,000 8 8 MAHAKAM BETA FARMA
466 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
467 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 2 10 PHAPROS, PT
468 12007759 MYCOZOL KRIM 10GR (PYRIDAM) DUS 1 13,000 44 44 PYRIDAM, PT
469 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
470 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
471 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 107 130 237 KIMIA FARMA
472 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 480 699 800 1,979 PHAPROS, PT
473 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 80 80 PHAPROS, PT
474 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 61 61 DARYA VARIA, PT
475 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 15 15 DARYA VARIA, PT
476 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 58 58 DARYA VARIA, PT
477 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 67 67 DARYA VARIA, PT
478 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 134 134 DARYA VARIA, PT
479 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 13 13 DARYA VARIA, PT
480 12000832 NATUR E HBL 100 ML BT 1 10,424 126 126 DARYA VARIA, PT
481 12000833 NATUR E HBL 245 ML BT 1 20,913 88 88 DARYA VARIA, PT
482 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 154 154 DARYA VARIA, PT
483 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
484 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 192 146 338 DARYA VARIA, PT
485 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 90 90 MOLEX AYUS, PT
486 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 10 10 DARYA VARIA, PT
487 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
488 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
489 12000840 NIFURAL SYR BT 1 60,300 59 59 DARYA VARIA, PT
490 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
491 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 1,048 1,048 SINAR RODA UTAMA, PT
492 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 3,000 3,025 SINAR RODA UTAMA, PT
493 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,642 8,642 SINAR RODA UTAMA, PT
494 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,531 4,531 SINAR RODA UTAMA, PT
495 12003653 NIPRO SAFELET CATH IV PU 24GX3/4" PC #N/A #N/A 1,100 1,100 SINAR RODA UTAMA, PT
496 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 5,100 - - - 5,100 SINAR RODA UTAMA, PT
497 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 #N/A - 5 - - - 5 SINAR RODA UTAMA, PT
498 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,276 6,276 SINAR RODA UTAMA, PT
499 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
500 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 522 20 20 562 PHAPROS, PT
501 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 77 184 261 KIMIA FARMA
502 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 55 55 KIMIA FARMA
503 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
504 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
505 13005884 NUFAPRAZOL CAP@20 (NUF) DUS 20 51,000 16 16 NUFARINDO, PT
506 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 9 9 NUFARINDO, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
507 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 23 23 NUFARINDO, PT
508 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 11 11 NUFARINDO, PT
509 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 434 252 686 PHAPROS, PT
510 12008469 OBH 60ML MOL BT 1 5,000 7 7 MOLEX AYUS, PT
511 12004243 OBH COMBI BATUK BERDAHAK JAHE 100 ML BT 1 10,300 41 41 COMBIPHAR, PT
512 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 48 48 COMBIPHAR, PT
513 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 132 132 COMBIPHAR, PT
514 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 126 126 COMBIPHAR, PT
515 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 203 203 COMBIPHAR, PT
516 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 13,781 87 87 COMBIPHAR, PT
517 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 321 321 COMBIPHAR, PT
518 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 220 220 COMBIPHAR, PT
519 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
520 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 157 157 COMBIPHAR, PT
521 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 211 211 COMBIPHAR, PT
522 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
523 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 494 2,000 2,494 KIMIA FARMA
524 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 11 11 PIHAK 3
525 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 271 250 25 546 PHAPROS, PT
526 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
527 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 375 375 KIMIA FARMA
528 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 149,000 3 3 PYRIDAM, PT
529 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
530 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
531 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 120 305 4 429 KIMIA FARMA
532 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
533 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 216 216 KIMIA FARMA
534 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT #N/A #N/A 150 1,200 1,350 PT AFIFARMA
535 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 42 42 KIMIA FARMA
536 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
537 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 209 209 DARYA VARIA, PT
538 12005890 PEHACAIN INJ DUS 20 56,601 18 18 PHAPROS, PT
539 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 24 24 PHAPROS, PT
540 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 1 1 PHAPROS, PT
541 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 507 507 PHAPROS, PT
542 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - - 1,475 1,475 PHAPROS, PT
543 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 275,000 4 4 PRATAPA NIRMALA
544 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
545 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
546 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 720 720 KIMIA FARMA
547 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
548 13002150 PHAPROXIN 500MG TAB@50 DUS 50 40,000 36 36 PHAPROS, PT
549 12000315 PHARMATHON FORMULA @ 50 CAPS DUS 50 200,682 6 6 SANOFI AVENTIS
550 12000318 PHARMATON VIT KAPLET DUS 50 199,367 71 71 SANOFI AVENTIS
551 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 17,000 17 67 84 KIMIA FARMA
552 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 126 19 145 PHAPROS, PT
553 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
554 13011168 PHENOXYMETHYL PENICILIN 250GPH (PEHA) DUS #N/A #N/A 10 10 PHAPROS, PT
555 13009797 PHINEV INJ. DUS 10 94,900 29 29 PHAPROS, PT
556 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
557 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 20 36 56 PHAPROS, PT
558 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 519 519 KIMIA FARMA
559 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
560 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS 100 15,968 520 520 KIMIA FARMA
561 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 360 360 KIMIA FARMA
562 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 7 - 7 PRATAPA NIRMALA
563 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 226 226 PRATAPA NIRMALA
564 12009903 PREDNISON 5 MG @100 TAB (PEHA) DUS 100 16,800 200 200 PHAPROS, PT
565 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 88 88 MOLEX AYUS, PT
566 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 35 35 MOLEX AYUS, PT
567 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 900 900 MOLEX AYUS, PT
568 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 106 106 PHAPROS, PT
569 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 68 68 PHAPROS, PT
570 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 99 99 PHAPROS, PT
571 13001143 PRO TB2 TAB@28 DUS 28 184,450 59 59 PHAPROS, PT
572 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 11 22 PHAPROS, PT
573 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
574 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
575 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
576 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
577 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
578 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
579 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 589 589 KIMIA FARMA
580 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 1,750 HOLI PHARMA
581 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 - 650 374 - 1,024 HOLI PHARMA
582 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 595 595 KIMIA FARMA
583 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
584 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 859 532 635 2,026 KIMIA FARMA
585 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS #N/A #N/A 45 45 PHAPROS, PT
586 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
587 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 9 9 PRATAPA NIRMALA
588 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 5 5 NUFARINDO, PT
589 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
590 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 16 16 PRATAPA NIRMALA
591 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 11 11 PRATAPA NIRMALA
592 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 4 4 PRATAPA NIRMALA
593 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 35 35 PRATAPA NIRMALA
594 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 3 7 10 KIMIA FARMA
595 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 230 230 LUCAS DJAJA
596 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 88 88 KIMIA FARMA
597 11002018 RINGER LAKTAT INFUS BT 1 7,003 1,794 1,794 KIMIA FARMA
598 12009907 RISTONAT @4 TAB DUS 4 290,000 33 33 PHAPROS, PT
599 12008474 RIVANOL 100ML MOL BT 1 4,000 1,000 1,000 MOLEX AYUS, PT
600 12008475 RIVANOL 300ML MOL BT 1 9,000 640 640 MOLEX AYUS, PT
601 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 232 232 KIMIA FARMA
602 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 172 172 KIMIA FARMA
603 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 249 249 KIMIA FARMA
604 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 206 206 KIMIA FARMA
605 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 53 53 KIMIA FARMA
606 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 53 53 KIMIA FARMA
607 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 610 610 KIMIA FARMA
608 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1,600 915 2,515 KIMIA FARMA
609 12012307 SALEP 2-4 15 GR (AFI) POT #N/A #N/A 40 40 PT AFIFARMA
610 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - - 900 900 PIHAK 3
611 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
612 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 3 3 PRATAPA NIRMALA
613 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 210,000 26 26 PRATAPA NIRMALA
614 12009809 SILEX SYRUP 100 ML (DVRS) BT 1 55,650 5 5 DARYA VARIA, PT
615 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
616 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 1,066 1,066 KIMIA FARMA
617 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 55 55 PHAPROS, PT
618 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
619 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
620 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
621 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 33 33 DARYA VARIA, PT
622 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
623 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 49 49 PHAPROS, PT
624 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
625 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 60 60 DARYA VARIA, PT
626 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 18 18 DARYA VARIA, PT
627 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 1,150 1,150 KASA HUSADA WIRA JATIM, PT
628 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 6 6 NUFARINDO, PT
629 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
630 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
631 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 48 48 PHAPROS, PT
632 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 41 41 PHAPROS, PT
633 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 15 15 PHAPROS, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
634 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
635 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
636 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
637 11000130 TETRACYCLINE 500 MG (DUS 100 KAPS) DUS 100 95,000 12 12 KIMIA FARMA
638 12009916 TETRACYCLINE 500 MG @100 KPS (PEHA) DUS 100 69,600 1 1 PHAPROS, PT
639 12005930 TETRACYCLINE HCL 250MG BTL CAP@100 (NOVA KPL #N/A #N/A 3,000 3,000 NOVAPHARIN
640 12009937 THERASORB C 10CM X 10CM (DVRS) DUS 10 700,000 4 4 DARYA VARIA, PT
641 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
642 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
643 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 22 22 KIMIA FARMA
644 13076813 TRAMPARA TAB@30 DUS 30 145,000 91 91 PHAPROS, PT
645 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 61 61 PRATAPA NIRMALA
646 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
647 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 127 127 KIMIA FARMA
648 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
649 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 154 154 BIOFARMA
650 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 943 943 BUSANA UTAMA, PT
651 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
652 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
653 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,200 2,200 BUSANA UTAMA, PT
654 11000292 VAGIZOLE OVULA DUS 5 55,000 39 39 KIMIA FARMA
655 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
656 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
657 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
658 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 41 41 KIMIA FARMA
659 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 127 127 KIMIA FARMA
660 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 105 105 PRATAPA NIRMALA
661 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 120 30 150 PRATAPA NIRMALA
662 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 160 160 PRATAPA NIRMALA
663 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 45 45 PRATAPA NIRMALA
664 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
665 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 21 21 KIMIA FARMA
666 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 31 31 KIMIA FARMA
667 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
668 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 15 15 KIMIA FARMA
669 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
670 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 3 3 KIMIA FARMA
671 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
672 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
673 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
674 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
675 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
676 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
677 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 9 9 KIMIA FARMA
678 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
679 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 31 31 KIMIA FARMA
680 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 6 6 KIMIA FARMA
681 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
682 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
683 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
684 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
685 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
686 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
687 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
688 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 21 21 KIMIA FARMA
689 11001432 VENUS SOFTMATTE LIPCREAM 13 DUS 1 38,389 0 0 KIMIA FARMA
690 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 22 22 KIMIA FARMA
691 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
692 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
693 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 11 11 KIMIA FARMA
694 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
695 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
696 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 101 101 KIMIA FARMA
697 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 37 37 KIMIA FARMA
698 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 25 25 KIMIA FARMA
699 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
700 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
701 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
702 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
703 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 2.722 3 KIMIA FARMA
704 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
705 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
706 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
707 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
708 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
709 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
710 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
711 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
712 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
713 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
714 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
715 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
716 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
717 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
718 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
719 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
720 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
721 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 185 185 DARYA VARIA, PT
722 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 35 35 DARYA VARIA, PT
723 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 57,173 77 77 DARYA VARIA, PT
724 12005698 VINERTON CAP@100 (PYRIDAM) DUS 100 182,000 47 47 PYRIDAM, PT
725 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 53 53 PRATAPA NIRMALA
726 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
727 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
728 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 409 409 KIMIA FARMA
729 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 172 124 296 KIMIA FARMA
730 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 44 44 MARIN LIZA
731 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 880 50 930 KIMIA FARMA
732 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,200 800 800 KIMIA FARMA
733 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 144 144 PHAPROS, PT
734 12011955 VITAMIN C 50 MG (MARIN) DUS 100 - - 99 99 MARIN LIZA
735 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 67 67 PHAPROS, PT
736 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
737 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 50 50 PRATAPA NIRMALA
738 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 8 8 NUFARINDO, PT
739 12012309 ZINC SULFATE 20MG/5ML SYR 60ML (AFI) BT #N/A #N/A 250 150 400 PT AFIFARMA
740 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 49 49 PHAPROS, PT
741 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 400 400 KIMIA FARMA
742 #N/A #N/A
743 #N/A #N/A
744 #N/A #N/A
745 #N/A #N/A
746 #N/A #N/A
747 #N/A #N/A
748 #N/A #N/A
749 #N/A #N/A
750 #N/A #N/A
751 #N/A #N/A
752 #N/A #N/A
753 #N/A #N/A
754 #N/A #N/A
755 #N/A #N/A
756 #N/A #N/A
757 #N/A #N/A
758 #N/A #N/A
759 #N/A #N/A
760 #N/A #N/A
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
761 #N/A #N/A
762 #N/A #N/A
763 #N/A #N/A
764 #N/A #N/A
765 #N/A #N/A
766 #N/A #N/A
767 #N/A #N/A
768 #N/A #N/A
769 #N/A #N/A
770 #N/A #N/A
771 #N/A #N/A
772 #N/A #N/A
773 #N/A #N/A
774 #N/A #N/A
775 #N/A #N/A
776 #N/A #N/A
777 #N/A #N/A
778 #N/A #N/A
779 #N/A #N/A
780 #N/A #N/A
781 #N/A #N/A
782 #N/A #N/A
783 #N/A #N/A
784 #N/A #N/A
785 #N/A #N/A
786 #N/A #N/A
787 #N/A #N/A
788 #N/A #N/A
789 #N/A #N/A
790 #N/A #N/A
791 #N/A #N/A
792 #N/A #N/A
793 #N/A #N/A
794 #N/A #N/A
795 #N/A #N/A
796 #N/A #N/A
797 #N/A #N/A
798 #N/A #N/A
799 #N/A #N/A
800 #N/A #N/A
801 #N/A #N/A
802 #N/A #N/A
803 #N/A #N/A
804 #N/A #N/A
805 #N/A #N/A
806 #N/A #N/A
807 #N/A #N/A
808 #N/A #N/A
809 #N/A #N/A
810 #N/A #N/A
811 #N/A #N/A
812 #N/A #N/A
813 #N/A #N/A
814 #N/A #N/A
815 #N/A #N/A
816 #N/A #N/A
817 #N/A #N/A
818 #N/A #N/A
819 #N/A #N/A
820 #N/A #N/A
821 #N/A #N/A
822 #N/A #N/A
823 #N/A #N/A

NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 25 November 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 95 95 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 206 146 352 KIMIA FARMA
7 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 25 105,000 30 30 PHAPROS, PT
8 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 103 111 KIMIA FARMA
9 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
10 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
11 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
12 12007580 AGANI NEEDLE 26GX13MM DUS 100 30,000 21 21 TERUMO, PT
13 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
14 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 5 5 KIMIA FARMA
15 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 157 157 MOLEX AYUS, PT
16 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 10 10 DARYA VARIA, PT
17 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 67 67 KIMIA FARMA
18 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
19 13008405 ALPARA SYR 60ML MOL BT 1 9,546 119 119 MOLEX AYUS, PT
20 12008485 ALPHAMOL SYR 60ML MOL BT 1 7,300 68 - 68 MOLEX AYUS, PT
21 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 114 114 KIMIA FARMA
22 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 72 72 PHAPROS, PT
23 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 194 194 KIMIA FARMA
24 12005598 AMBROXOL 30MG TAB@100 (NOVA) DUS #N/A #N/A 450 450 NOVAPHARIN
25 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
26 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 136 136 PHAPROS, PT
27 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 1 21 KIMIA FARMA
28 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 12 12 KIMIA FARMA
29 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 138 138 PHAPROS, PT
30 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 145 3,099 170 3,414 KIMIA FARMA
31 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 25,000 9 9 KIMIA FARMA
32 12002997 AMLODIPINE 5 MG TABLET DUS #N/A #N/A 0 0 PROMED
33 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 501 501 PHAPROS, PT
34 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
35 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 - - 23 28 PHAPROS, PT
36 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 274 274 PHAPROS, PT
37 11000152 ANTASIDA DOEN (DUS 100 TAB) DUS 100 34,239 148 148 KIMIA FARMA
38 12003808 ANTASIDA DOEN SUSP 60ML (NOVA) BT #N/A #N/A 250 250 NOVAPHARIN
39 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 1 1 KIMIA FARMA
40 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
41 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
42 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 15 15 KIMIA FARMA
43 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,519 1,519 KIMIA FARMA
44 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
45 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
46 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 1 1 KIMIA FARMA
47 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 74 74 PHAPROS, PT
48 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 206 206 PHAPROS, PT
49 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 82,800 104 104 PHAPROS, PT
50 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
51 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 50 150 200 NOVAPHARIN
52 13070421 ASAM TRANEKSAMAT 250MG INJ GNV (NVLL) DUS #N/A #N/A 47 47 NOVELL PHARMACEUTICAL LABORATORIES
53 12004756 ASEDAS SYRUP 60 ML (PYRIDAM) BT 1 43,000 48 48 PYRIDAM, PT
54 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 10 10 DARYA VARIA, PT
55 12000711 ASPILETS THROMBO TABLET @ 150( DUS 150 123,400 21 21 DARYA VARIA, PT
56 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 10 10 PRATAPA NIRMALA
57 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 345,000 19 19 PRATAPA NIRMALA
58 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 345,000 1 1 PRATAPA NIRMALA
59 11001586 ATORVASTATIN 10 MG DUS 30 35,000 231 231 KIMIA FARMA
60 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 38 38 DARYA VARIA, PT
61 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
62 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
63 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
64 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 907 907 BIO AXION HEALTHINDO, PT
65 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
66 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 919 919 BIO AXION HEALTHINDO, PT
67 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
68 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 942 942 BIO AXION HEALTHINDO, PT
69 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
70 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 620 620 BIO AXION HEALTHINDO, PT
71 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 570 570 BIO AXION HEALTHINDO, PT
72 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 143 143 BIO AXION HEALTHINDO, PT
73 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
74 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
75 12000185 AXIMED FEMALE CATHETER NO. 10 PC 1 - 1,000 1,000 BIO AXION HEALTHINDO, PT
76 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
77 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 998 998 BIO AXION HEALTHINDO, PT
78 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 528 528 BIO AXION HEALTHINDO, PT
79 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 358 358 BIO AXION HEALTHINDO, PT
80 12000209 AXIMED FOLEYCATH 2-WAY NO.14 PC 1 17,000 78 78 BIO AXION HEALTHINDO, PT
81 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
82 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
83 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
84 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 199 199 BIO AXION HEALTHINDO, PT
85 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 46 BIO AXION HEALTHINDO, PT
86 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
87 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 804 804 BIO AXION HEALTHINDO, PT
88 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 959 - - - - 959 KIMIA FARMA
89 13022661 BECEFORT SYR 60ML BT 1 14,603 100 100 PHAPROS, PT
90 11000323 BEDAK SALICYL 2% 60 gr BOX 144 5,842 1 1 KIMIA FARMA
91 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 18 17 35 PHAPROS, PT
92 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 104 0 0 104 KIMIA FARMA
93 13010355 BIO ATP KPL@100 DUS 100 214,180 1 1 PHAPROS, PT
94 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
95 12007631 BIO TT AMP 1 33,000 40 40 BIOFARMA
96 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 338 338 BIO AXION HEALTHINDO, PT
97 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 4 4 DARYA VARIA, PT
98 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
99 13026576 BIORON TAB@100 DUS 100 101,650 56 56 PHAPROS, PT
100 12006548 BIOSAVE ABU I VL 1 862,500 35 35 BIOFARMA
101 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 129 129 SANOFI AVENTIS
102 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 50 50 BIOFARMA
103 12010616 BONEFILL ORTHO BT 5 1,350,000 10 10 PHAPROS, PT
104 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 173 173 PRATAPA NIRMALA
105 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 30 30 DARYA VARIA, PT
106 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 4 4 SANOFI AVENTIS
107 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 120 299 419 PHAPROS, PT
108 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 36 36 KIMIA FARMA
109 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 154 - 154 MERSIFARMA
110 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 66 66 PRATAPA NIRMALA
111 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 15 15 PRATAPA NIRMALA
112 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,500 1,500 LUCAS DJAJA
113 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
114 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 476 476 PHAPROS, PT
115 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 316 316 KIMIA FARMA
116 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
117 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
118 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
119 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 1 1 KIMIA FARMA
120 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
121 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 53 18 71 DARYA VARIA, PT
122 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
123 13035262 CEFIXIME 100MG CAP@30 INAF DUS #N/A #N/A 232 232 INDOFARMA
124 12002760 CEFIXIME SK 100MG/5ML 30ML BT #N/A #N/A 1 1 PHARMA LABORATORIES, PT
125 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
126 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 45 45 CENDO, PT
127 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
128 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
129 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 24 24 CENDO, PT
130 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 13 13 CENDO, PT
131 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 5 5 CENDO, PT
132 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
133 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
134 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 85 85 CENDO, PT
135 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 121 121 CENDO, PT
136 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 46 46 CENDO, PT
137 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 635 635 CENDO, PT
138 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
139 12004130 CENDO FENICOL EYE OINTMENT 3,5 GRAM TUB 1 21,875 3 3 CENDO, PT
140 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 37 37 CENDO, PT
141 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 50 50 CENDO, PT
142 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
143 12004135 CENDO GENTA 0,3% EYE DROP 5 ML BT 1 28,375 74 74 CENDO, PT
144 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 34 34 CENDO, PT
145 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 34 34 CENDO, PT
146 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 9 9 CENDO, PT
147 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 128 128 CENDO, PT
148 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
149 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 24 24 CENDO, PT
150 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
151 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 25 25 CENDO, PT
152 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
153 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 18 18 CENDO, PT
154 12004148 CENDO LFX MINIDOSE 5 X 0,6 ML STR 2 69,000 30 30 CENDO, PT
155 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
156 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 57 57 CENDO, PT
157 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 231 231 CENDO, PT
158 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
159 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 30 30 CENDO, PT
160 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
161 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 19 19 CENDO, PT
162 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 18 18 CENDO, PT
163 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 86 86 CENDO, PT
164 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
165 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
166 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
167 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
168 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 41 41 CENDO, PT
169 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 13 13 CENDO, PT
170 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 42 42 CENDO, PT
171 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 9 9 CENDO, PT
172 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 10 10 CENDO, PT
173 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
174 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
175 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
176 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 26 26 CENDO, PT
177 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 20 20 CENDO, PT
178 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 35 35 CENDO, PT
179 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 47 47 CENDO, PT
180 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 95 95 CENDO, PT
181 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 34 34 CENDO, PT
182 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
183 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 95 95 CENDO, PT
184 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 12 12 CENDO, PT
185 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
186 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
187 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
188 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 53 53 CENDO, PT
189 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 10 10 CENDO, PT
190 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 23 23 CENDO, PT
191 12005164 CENDO VITAL TAB@30 DUS 30 90,000 5 5 CENDO, PT
192 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 197 197 CENDO, PT
193 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 146 146 CENDO, PT
194 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 225 225 CENDO, PT
195 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 53 53 BIOFARMA
196 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
197 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 18 18 KIMIA FARMA
198 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) DUS 1 11,500 5 5 KIMIA FARMA
199 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 21 0 21 KIMIA FARMA
200 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 15 KIMIA FARMA
201 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
202 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 200 76 276 NOVAPHARIN
203 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
204 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
205 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 46 46 KIMIA FARMA
206 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
207 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 150 150 MOLEX AYUS, PT
208 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 76 76 PHAPROS, PT
209 12001335 CLINDAMYCIN 150MG CAP@50 INAF DUS 50 31,920 55 55 INDOFARMA
210 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
211 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
212 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 204 35 239 KIMIA FARMA
213 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 119 119 KIMIA FARMA
214 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 158 158 PHAPROS, PT
215 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 124 37 161 KIMIA FARMA
216 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
217 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 55 55 KIMIA FARMA
218 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
219 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 20 20 KIMIA FARMA
220 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
221 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
222 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
223 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
224 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 18 18 PHAPROS, PT
225 13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) DUS 100 31,200 100 100 PHAPROS, PT
226 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 92 50 142 KIMIA FARMA
227 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 100 - 100 MERSIFARMA
228 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 0 1 LUCAS DJAJA
229 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 464 464 PYRIDAM, PT
230 12005932 D5 - MJB 500 ML BT 1 6,694 516 516 EMJEBE PHARMA , PT
231 12009514 DANCOW 1+ MADU ADV EXCNUTR 1000GR BOX 12 101,973 1 1 NESTLE INDONESIA, PT
232 12009449 DANCOW COKLAT FORTIGRO SICH 16 39GR BOX 160 2,609 0 0 NESTLE INDONESIA, PT
233 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 66 66 DARYA VARIA, PT
234 12005676 DATAN FORTE KPL@100 (PYRIDAM) DUS 100 162,000 13 13 PYRIDAM, PT
235 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 14 14 DARYA VARIA, PT
236 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 12 12 DARYA VARIA, PT
237 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 108 105 80 10 303 PHAPROS, PT
238 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
239 13000718 DEXTAMIN TAB@100 DUS 100 140,250 229 229 PHAPROS, PT
240 13000720 DEXTAMINE 30X10'S DUS 300 413,618 140 140 PHAPROS, PT
241 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 180 180 MOLEX AYUS, PT
242 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 30 30 MERSIFARMA
243 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 425 425 MEPROFARM
244 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 274 274 KIMIA FARMA
245 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,036 1,036 KIMIA FARMA
246 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 20 30 50 KIMIA FARMA
247 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
248 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
249 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
250 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
251 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
252 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 43 43 NUFARINDO, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
253 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
254 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 59 59 SANOFI AVENTIS
255 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 9 9 SANOFI AVENTIS
256 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 4 4 JANSSEN PHARMACEUTICA NV
257 11000058 DUVADILAN TABLET DUS 50 250,000 15 15 KIMIA FARMA
258 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 16 16 PRATAPA NIRMALA
259 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 10 25,792 11 11 DARYA VARIA, PT
260 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 54 54 DARYA VARIA, PT
261 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 69 69 KIMIA FARMA
262 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
263 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
264 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
265 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
266 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 16 16 KIMIA FARMA
267 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
268 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
269 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 48 48 KIMIA FARMA
270 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 31 12 43 PHAPROS, PT
271 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 5 5 KIMIA FARMA
272 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
273 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 186 186 KIMIA FARMA
274 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
275 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 1 1 KIMIA FARMA
276 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
277 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 15 15 PHAPROS, PT
278 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 210 210 KIMIA FARMA
279 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 1 0 1 KIMIA FARMA
280 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 10 10 PRATAPA NIRMALA
281 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 1 1 PRATAPA NIRMALA
282 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 146 146 PRATAPA NIRMALA
283 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 110,000 92 92 PRATAPA NIRMALA
284 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 10 5 15 PRATAPA NIRMALA
285 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
286 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 65 65 PRATAPA NIRMALA
287 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
288 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 47 47 PRATAPA NIRMALA
289 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 51 51 PRATAPA NIRMALA
290 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 147 147 PRATAPA NIRMALA
291 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
292 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
293 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
294 13019430 FEBRINEX SYR 60ML BT 1 12,612 48 48 PHAPROS, PT
295 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
296 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 52 52 PRATAPA NIRMALA
297 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 48 48 PRATAPA NIRMALA
298 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 18 122 140 PIRAMAL CRITICAL CARE LTD
299 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 930 930 PYRIDAM, PT
300 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
301 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
302 11001591 FITOCARE M KAYU PUTIH PLUS LAVENDER 50ML BT 1 17,600 5 5 KIMIA FARMA
303 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 86 86 KIMIA FARMA
304 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
305 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 629 629 KIMIA FARMA
306 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 19 19 KIMIA FARMA
307 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 368 368 KIMIA FARMA
308 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 638 638 KIMIA FARMA
309 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 12 12 KIMIA FARMA
310 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 124 124 KIMIA FARMA
311 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 550 550 KIMIA FARMA
312 11001784 FITUNO IMMUNE KIDS 60ML BOX 1 25,500 0 0 KIMIA FARMA
313 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 238 238 KIMIA FARMA
314 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 16 16 PRATAPA NIRMALA
315 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 33 33 PRATAPA NIRMALA
316 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 78 78 PRATAPA NIRMALA
317 12007662 FLUBIO VL 1 99,800 102 102 BIOFARMA
318 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 596 140 26 762 KIMIA FARMA
319 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
320 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
321 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
322 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 146 146 MOLEX AYUS, PT
323 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
324 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 72 72 KIMIA FARMA
325 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 - 50 50 KIMIA FARMA
326 12004760 FUSON KRIM 5GR (PYRIDAM) TUB 1 48,000 14 14 PYRIDAM, PT
327 12005261 GABASANT 300MG CAP@30 (PYRIDAM) DUS 30 331,000 1 1 PYRIDAM, PT
328 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 28 28 PRATAPA NIRMALA
329 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 100 133 20 253 PHAPROS, PT
330 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 147 147 PHAPROS, PT
331 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 210 220 PHAPROS, PT
332 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 213 213 KIMIA FARMA
333 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 480 480 KIMIA FARMA
334 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 373 373 KIMIA FARMA
335 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 808 18 826 KIMIA FARMA
336 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
337 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 392 429 KIMIA FARMA
338 12010432 GOLDTRION KPL@30 (FAH) DUS 30 255,000 31 31 PRATAPA NIRMALA
339 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 429 97 526 KIMIA FARMA
340 12000801 GRISEOFULVIN 500 MG TABL @ 100 DUS 100 168,971 29 29 DARYA VARIA, PT
341 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 142 142 PHAPROS, PT
342 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,388 1,388 KIMIA FARMA
343 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
344 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
345 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 30 30 PHAPROS, PT
346 12006958 HEPAGARD DUS #N/A 76,230 18 18 PHAPROS, PT
347 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
348 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 1,525,000 18 4 22 KIMIA FARMA
349 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 390 205 595 KIMIA FARMA
350 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 56 1 57 KIMIA FARMA
351 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 37 37 PHAPROS, PT
352 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 476 476 PHAPROS, PT
353 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 177 177 NOVAPHARIN
354 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 - 1,883 NOVAPHARIN
355 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 #N/A 486 486 NOVAPHARIN
356 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 12 12 NUFARINDO, PT
357 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 4 4 PHAPROS, PT
358 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 5 5 PHAPROS, PT
359 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
360 12007335 INSTO REGULAR 15 ML DUS 1 16,100 146 146 COMBIPHAR, PT
361 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 1 2 3 KIMIA FARMA
362 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 5 5 KIMIA FARMA
363 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX #N/A - 4 4 KIMIA FARMA
364 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
365 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
366 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,378 2,378 KIMIA FARMA
367 12001211 ISONIAZID 100 MG TABLET DUS 100 #N/A 30 455 10 495 PIHAK 3
368 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 200 200 KIMIA FARMA
369 12001249 IVANES 100 MG / 10 ML VL 1 - 183 183 IKAPHARMINDO
370 12001992 KASA PEMB HYDR 4Yd X 5CM @5 ROLL (KHWJ) PAC 5 14,300 30 30 KASA HUSADA WIRA JATIM, PT
371 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
372 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 34 48 DARYA VARIA, PT
373 11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) DUS 1 4,000 19 19 KIMIA FARMA
374 12009872 KETOCONAZOLE 2 % KRIM @15 G (PEHA) DUS 1 7,200 30 30 PHAPROS, PT
375 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,705 1,705 KIMIA FARMA
376 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 145,455 1 1 KIMIA FARMA
377 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
378 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 1 1 KIMIA FARMA
379 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
380 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 1 1 KIMIA FARMA
381 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 23 23 KIMIA FARMA
382 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 205 205 PHAPROS, PT
383 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
384 12009525 LACTOGEN 1 HAPPYNUTRI 750GR BOX 12 96,281 1 1 NESTLE INDONESIA, PT
385 12009536 LACTOGROW 3 HAPPYNUTRI HONEY 750GR BOX 12 89,587 1 1 NESTLE INDONESIA, PT
386 12009521 LACTOGROW 3 HAPPYNUTRI VANILA 750GR BOX 12 89,587 1 1 NESTLE INDONESIA, PT
387 12005388 LANDO 300MG CAP@50 (PYRIDAM) DUS 50 399,000 3 3 PYRIDAM, PT
388 12005264 LDLOX CAP@30 (PYRIDAM) KPS 30 8,613 30 30 PYRIDAM, PT
389 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 528 20 548 KIMIA FARMA
390 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 42 42 MEPROFARM
391 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 60 60 MOLEX AYUS, PT
392 13005836 LEXACROL CHEW TAB@150 MOL DUS 150 71,300 17 17 MOLEX AYUS, PT
393 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 23,000 29 29 MOLEX AYUS, PT
394 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
395 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 119 119 MOLEX AYUS, PT
396 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 154 102 56 9 321 PHAPROS, PT
397 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 23 2 25 PHAPROS, PT
398 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 22,950 79 79 PHAPROS, PT
399 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 - 146 - 146 IFARS PHARMACEUTICAL, PT
400 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
401 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
402 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 0 0 KIMIA FARMA
403 11000333 MARCKS BEDAK Natural Beige 20 gr (New) BOX 36 23,700 0 0 KIMIA FARMA
404 11000335 MARCKS BEDAK PINK 20gr BOX 36 23,700 7 7 KIMIA FARMA
405 11000337 MARCKS BEDAK ROSE BOX 1 13,700 2 2 KIMIA FARMA
406 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
407 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
408 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
409 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
410 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 4 4 KIMIA FARMA
411 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
412 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 137 137 KIMIA FARMA
413 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
414 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 41 41 KIMIA FARMA
415 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 58 58 KIMIA FARMA
416 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 11 11 KIMIA FARMA
417 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 14 14 KIMIA FARMA
418 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 20 20 KIMIA FARMA
419 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 14 14 KIMIA FARMA
420 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 30 30 KIMIA FARMA
421 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 25 25 KIMIA FARMA
422 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 21 21 KIMIA FARMA
423 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 225 225 PHAPROS, PT
424 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
425 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
426 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 11 11 DARYA VARIA, PT
427 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 20 20 PT. LIKUID PHARMALAB INDONESIA
428 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 400 400 PT. LIKUID PHARMALAB INDONESIA
429 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
430 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
431 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 143 143 PT. LIKUID PHARMALAB INDONESIA
432 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 501 501 PT. LIKUID PHARMALAB INDONESIA
433 12008458 MELOCID TAB@50 MOL DUS 50 30,000 10 10 MOLEX AYUS, PT
434 11000220 MELOXICAM 15 MG (DUS 20 TAB) DUS 20 14,500 1,997 1,997 KIMIA FARMA
435 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 350 - 350 MEPROFARM
436 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
437 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
438 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 79 1 80 PRATAPA NIRMALA
439 12009834 METAMIZOLE SODIUM 500 MG @ 100 TAB(PEHA) DUS 100 30,500 86 86 PHAPROS, PT
440 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 2058 2,058 KIMIA FARMA
441 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A - - 5 5 MEPROFARM
442 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
443 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
444 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 104 104 PHAPROS, PT
445 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 57 57 PHAPROS, PT
446 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 34 34 PHAPROS, PT
447 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A - 50 - 50 PHAPROS, PT
448 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 51 51 KIMIA FARMA
449 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 667 50 12 729 KIMIA FARMA
450 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 114 114 PHAPROS, PT
451 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 120 120 NOVAPHARIN
452 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 - - 76 76 DARYA VARIA, PT
453 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
454 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 108 108 KIMIA FARMA
455 12009493 MILO 3IN1 ACTIV-GO POUCH 1KG BOX 12 81,482 2 2 NESTLE INDONESIA, PT
456 12009494 MILO 3IN1 ACTIV-GO SICH 12 35GR BOX 120 2,778 2 2 NESTLE INDONESIA, PT
457 12009492 MILO ACTIV-GO POUCH 1KG BOX 12 75,926 2 2 NESTLE INDONESIA, PT
458 12008463 MOLAGIT TAB@150 MOL DUS 150 65,600 900 900 KEBUTUHAN RAJAWALI
459 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 7 7 MOLEX AYUS, PT
460 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 171 199 370 MOLEX AYUS, PT
461 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 53 53 MOLEX AYUS, PT
462 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
463 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
464 11000501 MST CONTINUS 10 MG DUS 60 852,000 8 8 MAHAKAM BETA FARMA
465 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
466 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 2 10 PHAPROS, PT
467 12007759 MYCOZOL KRIM 10GR (PYRIDAM) DUS 1 13,000 44 44 PYRIDAM, PT
468 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
469 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
470 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 223 130 353 KIMIA FARMA
471 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 500 699 800 1,999 PHAPROS, PT
472 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 178 178 PHAPROS, PT
473 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 63 63 DARYA VARIA, PT
474 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 27 27 DARYA VARIA, PT
475 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 70 70 DARYA VARIA, PT
476 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 67 67 DARYA VARIA, PT
477 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 134 134 DARYA VARIA, PT
478 12007256 NATUR E DAILY NOURISHING RELAXING 100 M BT 1 12,220 2 2 DARYA VARIA, PT
479 12007257 NATUR E DAILY NOURISHING RELAXING 245 M BT 1 24,517 23 23 DARYA VARIA, PT
480 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 14 14 DARYA VARIA, PT
481 12000832 NATUR E HBL 100 ML BT 1 10,424 170 170 DARYA VARIA, PT
482 12000833 NATUR E HBL 245 ML BT 1 20,913 118 118 DARYA VARIA, PT
483 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 156 156 DARYA VARIA, PT
484 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
485 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 192 155 347 DARYA VARIA, PT
486 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 90 90 MOLEX AYUS, PT
487 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 10 10 DARYA VARIA, PT
488 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
489 12008170 NEUROBION 5000 INJ 20'S DA DUS #N/A #N/A 9 9 PROCTER & GAMBLE HOME PRODUCTS IND,
490 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
491 12000840 NIFURAL SYR BT 1 60,300 59 59 DARYA VARIA, PT
492 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
493 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 1,048 1,048 SINAR RODA UTAMA, PT
494 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 3,000 3,025 SINAR RODA UTAMA, PT
495 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,642 8,642 SINAR RODA UTAMA, PT
496 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,531 4,531 SINAR RODA UTAMA, PT
497 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 5,200 - - - 5,200 SINAR RODA UTAMA, PT
498 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 #N/A - 5 - - - 5 SINAR RODA UTAMA, PT
499 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,276 6,276 SINAR RODA UTAMA, PT
500 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
501 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 522 20 20 562 PHAPROS, PT
502 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 77 184 261 KIMIA FARMA
503 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 22 55 77 KIMIA FARMA
504 12004990 NOKOBA INJ AMP@5 (FAH) DUS 5 500,000 5 5 PRATAPA NIRMALA
505 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
506 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
507 13005884 NUFAPRAZOL CAP@20 (NUF) DUS 20 51,000 16 16 NUFARINDO, PT
508 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 9 9 NUFARINDO, PT
509 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 23 23 NUFARINDO, PT
510 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 11 11 NUFARINDO, PT
511 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 434 252 686 PHAPROS, PT
512 12008469 OBH 60ML MOL BT 1 5,000 7 7 MOLEX AYUS, PT
513 12004243 OBH COMBI BATUK BERDAHAK JAHE 100 ML BT 1 10,300 101 101 COMBIPHAR, PT
514 12004244 OBH COMBI BATUK BERDAHAK MENTHOL 100 ML BT 1 10,300 26 26 COMBIPHAR, PT
515 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 48 48 COMBIPHAR, PT
516 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 132 132 COMBIPHAR, PT
517 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 150 150 COMBIPHAR, PT
518 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 231 231 COMBIPHAR, PT
519 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 13,781 104 104 COMBIPHAR, PT
520 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 321 321 COMBIPHAR, PT
521 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 228 228 COMBIPHAR, PT
522 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
523 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 165 165 COMBIPHAR, PT
524 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 211 211 COMBIPHAR, PT
525 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
526 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 137 137 KIMIA FARMA
527 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 11 11 PIHAK 3
528 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 301 250 25 576 PHAPROS, PT
529 12001418 ONDANSETRON 4MG/2 ML INJ@5 AMP INAF DUS #N/A #N/A 10 10 INDOFARMA
530 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
531 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 375 375 KIMIA FARMA
532 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 149,000 3 3 PYRIDAM, PT
533 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
534 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
535 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 122 305 4 431 KIMIA FARMA
536 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
537 12006367 PAPAVERIN HCL 40MG TAB@100 (NOVA) DUS #N/A #N/A 54 54 NOVAPHARIN
538 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 216 216 KIMIA FARMA
539 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 13 13 KIMIA FARMA
540 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
541 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 209 209 DARYA VARIA, PT
542 12007337 PEDITOX 1% 50 ML BT 1 7,000 35 35 COMBIPHAR, PT
543 12005890 PEHACAIN INJ DUS 20 56,601 45 45 PHAPROS, PT
544 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 24 24 PHAPROS, PT
545 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 1 1 PHAPROS, PT
546 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 507 507 PHAPROS, PT
547 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - - 1,475 1,475 PHAPROS, PT
548 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 275,000 4 4 PRATAPA NIRMALA
549 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
550 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
551 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 720 720 KIMIA FARMA
552 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
553 13002150 PHAPROXIN 500MG TAB@50 DUS 50 40,000 36 36 PHAPROS, PT
554 12000315 PHARMATHON FORMULA @ 50 CAPS DUS 50 200,682 7 7 SANOFI AVENTIS
555 12000318 PHARMATON VIT KAPLET DUS 50 199,367 71 71 SANOFI AVENTIS
556 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 17,000 77 67 144 KIMIA FARMA
557 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 126 19 145 PHAPROS, PT
558 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
559 13011168 PHENOXYMETHYL PENICILIN 250GPH (PEHA) DUS #N/A #N/A 10 10 PHAPROS, PT
560 13009797 PHINEV INJ. DUS 10 94,900 29 29 PHAPROS, PT
561 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 3 228 30 261 PHAPROS, PT
562 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 36 51 PHAPROS, PT
563 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 523 523 KIMIA FARMA
564 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
565 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 382 382 KIMIA FARMA
566 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 7 7 PRATAPA NIRMALA
567 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 260,000 1 1 PRATAPA NIRMALA
568 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 226 226 PRATAPA NIRMALA
569 12009903 PREDNISON 5 MG @100 TAB (PEHA) DUS 100 16,800 200 200 PHAPROS, PT
570 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 88 88 MOLEX AYUS, PT
571 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 35 35 MOLEX AYUS, PT
572 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 900 900 MOLEX AYUS, PT
573 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 106 106 PHAPROS, PT
574 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 68 68 PHAPROS, PT
575 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 99 99 PHAPROS, PT
576 13001143 PRO TB2 TAB@28 DUS 28 184,450 69 69 PHAPROS, PT
577 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 12 23 PHAPROS, PT
578 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
579 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
580 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
581 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
582 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
583 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
584 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 589 589 KIMIA FARMA
585 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 485 2,235 HOLI PHARMA
586 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 298 - 74 - 372 HOLI PHARMA
587 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 605 605 KIMIA FARMA
588 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
589 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 882 532 635 2,049 KIMIA FARMA
590 12009905 RANITIDIN 150 MG @100 TAB (PEHA) DUS #N/A #N/A 400 400 PHAPROS, PT
591 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
592 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 9 9 PRATAPA NIRMALA
593 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 5 5 NUFARINDO, PT
594 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
595 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 16 16 PRATAPA NIRMALA
596 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 11 11 PRATAPA NIRMALA
597 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 4 4 PRATAPA NIRMALA
598 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 35 35 PRATAPA NIRMALA
599 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 3 7 10 KIMIA FARMA
600 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 230 230 LUCAS DJAJA
601 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 105 105 KIMIA FARMA
602 11002018 RINGER LAKTAT INFUS BT 1 7,003 1,794 1,794 KIMIA FARMA
603 12009907 RISTONAT @4 TAB DUS 4 290,000 33 33 PHAPROS, PT
604 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 234 234 KIMIA FARMA
605 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 172 172 KIMIA FARMA
606 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 249 249 KIMIA FARMA
607 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 206 206 KIMIA FARMA
608 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 53 53 KIMIA FARMA
609 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 54 54 KIMIA FARMA
610 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 50 50 KIMIA FARMA
611 12012307 SALEP 2-4 15 GR (AFI) POT #N/A #N/A 40 40 PT AFIFARMA
612 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - 800 900 1,700 PIHAK 3
613 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
614 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 3 3 PRATAPA NIRMALA
615 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 210,000 27 27 PRATAPA NIRMALA
616 12009809 SILEX SYRUP 100 ML (DVRS) BT 1 55,650 5 5 DARYA VARIA, PT
617 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
618 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 66 66 KIMIA FARMA
619 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 55 55 PHAPROS, PT
620 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
621 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
622 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
623 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 33 33 DARYA VARIA, PT
624 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
625 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 50 50 PHAPROS, PT
626 12006932 SUKRALFAT SUSP 500 MG/5 ML, 100 ML BT 1 8,525 2 2 MEPROFARM
627 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
628 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 60 60 DARYA VARIA, PT
629 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 18 18 DARYA VARIA, PT
630 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 1,150 1,150 KASA HUSADA WIRA JATIM, PT
631 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 6 6 NUFARINDO, PT
632 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
633 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
634 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 51 51 PHAPROS, PT
635 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 41 41 PHAPROS, PT
636 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 15 15 PHAPROS, PT
637 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
638 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
639 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
640 12009915 TETRACYCLINE 250 MG @100 KPS (PEHA) DUS 100 43,200 30 30 PHAPROS, PT
641 11000130 TETRACYCLINE 500 MG (DUS 100 KAPS) DUS 100 95,000 29 29 KIMIA FARMA
642 12009916 TETRACYCLINE 500 MG @100 KPS (PEHA) DUS 100 69,600 1 1 PHAPROS, PT
643 12009937 THERASORB C 10CM X 10CM (DVRS) DUS 10 700,000 4 4 DARYA VARIA, PT
644 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 6 6 MOLEX AYUS, PT
645 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
646 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
647 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 22 22 KIMIA FARMA
648 13076813 TRAMPARA TAB@30 DUS 30 145,000 91 91 PHAPROS, PT
649 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 61 61 PRATAPA NIRMALA
650 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
651 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 128 128 KIMIA FARMA
652 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
653 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 169 169 BIOFARMA
654 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 943 943 BUSANA UTAMA, PT
655 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
656 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
657 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,300 2,300 BUSANA UTAMA, PT
658 11000292 VAGIZOLE OVULA DUS 5 55,000 42 42 KIMIA FARMA
659 12007629 VAKSIN BCG KERING AMP 1 235,000 8 8 BIOFARMA
660 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
661 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
662 12008932 VAKSIN POLIOMYELITIS INAKTIF ( IPV ) DUS 10 3,000,000 3 3 BIOFARMA
663 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 41 41 KIMIA FARMA
664 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 133 133 KIMIA FARMA
665 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 340 5 345 PRATAPA NIRMALA
666 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 120 30 150 PRATAPA NIRMALA
667 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 190 190 PRATAPA NIRMALA
668 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 45 45 PRATAPA NIRMALA
669 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
670 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 22 22 KIMIA FARMA
671 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 32 32 KIMIA FARMA
672 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
673 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 15 15 KIMIA FARMA
674 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
675 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 3 3 KIMIA FARMA
676 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
677 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
678 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
679 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
680 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 7 7 KIMIA FARMA
681 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
682 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 9 9 KIMIA FARMA
683 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
684 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 31 31 KIMIA FARMA
685 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 6 6 KIMIA FARMA
686 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
687 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
688 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
689 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 55 55 KIMIA FARMA
690 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
691 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
692 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
693 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 21 21 KIMIA FARMA
694 11001432 VENUS SOFTMATTE LIPCREAM 13 DUS 1 38,389 0 0 KIMIA FARMA
695 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 22 22 KIMIA FARMA
696 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
697 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
698 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 11 11 KIMIA FARMA
699 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
700 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
701 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 101 101 KIMIA FARMA
702 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 37 37 KIMIA FARMA
703 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 25.083 25 KIMIA FARMA
704 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
705 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
706 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
707 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
708 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
709 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
710 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
711 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
712 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
713 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
714 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
715 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
716 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
717 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
718 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
719 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
720 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
721 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
722 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
723 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
724 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
725 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
726 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 203 203 DARYA VARIA, PT
727 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 56 56 DARYA VARIA, PT
728 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 57,173 94 94 DARYA VARIA, PT
729 12005698 VINERTON CAP@100 (PYRIDAM) DUS 100 182,000 47 47 PYRIDAM, PT
730 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 53 53 PRATAPA NIRMALA
731 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
732 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
733 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 410 410 KIMIA FARMA
734 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 200 124 324 KIMIA FARMA
735 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 44 44 MARIN LIZA
736 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 912 50 962 KIMIA FARMA
737 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 570 570 PHAPROS, PT
738 12011955 VITAMIN C 50 MG (MARIN) DUS 100 - - 99 99 MARIN LIZA
739 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 67 67 PHAPROS, PT
740 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
741 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 50 50 PRATAPA NIRMALA
742 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 8 8 NUFARINDO, PT
743 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 49 49 PHAPROS, PT
744 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 134 134 KIMIA FARMA
745 #N/A #N/A
746 #N/A #N/A
747 #N/A #N/A
748 #N/A #N/A
749 #N/A #N/A
750 #N/A #N/A
751 #N/A #N/A
752 #N/A #N/A
753 #N/A #N/A
754 #N/A #N/A
755 #N/A #N/A
756 #N/A #N/A
757 #N/A #N/A
758 #N/A #N/A
759 #N/A #N/A
760 #N/A #N/A
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
761 #N/A #N/A
762 #N/A #N/A
763 #N/A #N/A
764 #N/A #N/A
765 #N/A #N/A
766 #N/A #N/A
767 #N/A #N/A
768 #N/A #N/A
769 #N/A #N/A
770 #N/A #N/A
771 #N/A #N/A
772 #N/A #N/A
773 #N/A #N/A
774 #N/A #N/A
775 #N/A #N/A
776 #N/A #N/A
777 #N/A #N/A
778 #N/A #N/A
779 #N/A #N/A
780 #N/A #N/A
781 #N/A #N/A
782 #N/A #N/A
783 #N/A #N/A
784 #N/A #N/A
785 #N/A #N/A
786 #N/A #N/A
787 #N/A #N/A
788 #N/A #N/A
789 #N/A #N/A
790 #N/A #N/A
791 #N/A #N/A
792 #N/A #N/A
793 #N/A #N/A
794 #N/A #N/A
795 #N/A #N/A
796 #N/A #N/A
797 #N/A #N/A
798 #N/A #N/A
799 #N/A #N/A
800 #N/A #N/A
801 #N/A #N/A
802 #N/A #N/A
803 #N/A #N/A
804 #N/A #N/A
805 #N/A #N/A
806 #N/A #N/A
807 #N/A #N/A
808 #N/A #N/A
809 #N/A #N/A
810 #N/A #N/A
811 #N/A #N/A
812 #N/A #N/A
813 #N/A #N/A
814 #N/A #N/A
815 #N/A #N/A
816 #N/A #N/A
817 #N/A #N/A
818 #N/A #N/A
819 #N/A #N/A
820 #N/A #N/A
821 #N/A #N/A
822 #N/A #N/A
823 #N/A #N/A

NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Stok Per Tanggal 20 November 2021 PT.KFTD Jayapura

Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
1 12008577 1527-0 TRANSPORE DUS 24 300,000 3 3 3M, PT
2 12008574 1533-0 MICROPORE SKIN TONE DUS 24 200,000 2 2 3M, PT
3 12008576 1533-2 MICROPORE SKIN TONE DUS 6 200,000 2 2 3M, PT
4 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 95 95 KIMIA FARMA
5 12009700 ACYCLOVIR 200MG @50 TAB (PEHA) DUS 50 29,100 50 50 PHAPROS, PT
6 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 206 146 352 KIMIA FARMA
7 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,162 8 103 111 KIMIA FARMA
8 12007573 AGANI NEEDLE 20GX38MM DUS 100 1,500 14 14 TERUMO, PT
9 12007574 AGANI NEEDLE 21GX38MM DUS 100 28,300 16 16 TERUMO, PT
10 12007578 AGANI NEEDLE 25GX16MM DUS 100 28,300 1 1 TERUMO, PT
11 12007580 AGANI NEEDLE 26GX13MM DUS 100 30,000 21 21 TERUMO, PT
12 11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) DUS 100 51,164 816 816 KIMIA FARMA
13 11000006 ALERGINE 10 MG TABLET SALUT SELAPUT DUS 50 187,000 6 6 KIMIA FARMA
14 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 157 157 MOLEX AYUS, PT
15 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 10 10 DARYA VARIA, PT
16 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS 100 22,683 67 67 KIMIA FARMA
17 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 #N/A 5 5 NOVAPHARIN
18 13008405 ALPARA SYR 60ML MOL BT 1 9,546 119 119 MOLEX AYUS, PT
19 12008485 ALPHAMOL SYR 60ML MOL BT 1 7,300 78 - 78 MOLEX AYUS, PT
20 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 114 114 KIMIA FARMA
21 11000147 AMBROXOL 30 MG (DUS 100 TAB) DUS 100 21,528 194 194 KIMIA FARMA
22 12005598 AMBROXOL 30MG TAB@100 (NOVA) DUS #N/A #N/A 500 500 NOVAPHARIN
23 12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA) DUS 1 5,000 5 5 PHAPROS, PT
24 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 99 99 PHAPROS, PT
25 11000149 AMBROXOL SIRUP (BTL 60 ML) BOX 48 4,509 20 1 21 KIMIA FARMA
26 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BOX 1 4,509 14 14 KIMIA FARMA
27 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 15,240 168 168 PHAPROS, PT
28 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS 50 15,000 145 3,099 170 3,414 KIMIA FARMA
29 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 25,000 19 19 KIMIA FARMA
30 12002997 AMLODIPINE 5 MG TABLET DUS #N/A #N/A 0 0 PROMED
31 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 4,320 261 261 PHAPROS, PT
32 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 114,000 3 3 PHAPROS, PT
33 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS 10 101,123 5 - - - 5 PHAPROS, PT
34 12005640 ANEMOLAT TAB @ 100 DUS 100 20,000 286 286 PHAPROS, PT
35 11000152 ANTASIDA DOEN (DUS 100 TAB) DUS 100 34,239 189 189 KIMIA FARMA
36 12003808 ANTASIDA DOEN SUSP 60ML (NOVA) BT #N/A #N/A 250 250 NOVAPHARIN
37 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN DUS 1 8,913 1 1 KIMIA FARMA
38 12002027 ANTASIDA SUSP 60 ML (LUCAS) BT 1 #N/A 12 12 LUCAS DJAJA
39 11001991 ANTIFECT HAND SANITIZER LIQUID 100 ML BOX 1 18,500 0 0 KIMIA FARMA
40 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L BOX 4 367,500 21 21 KIMIA FARMA
41 11001948 ANTIFECT HAND SANITIZER SPRAY 60ML BT 1 12,000 1,519 1,519 KIMIA FARMA
42 11001598 ANTIFECT POVIDONE IODINE 30 ML BOX 1 12,076 1 1 KIMIA FARMA
43 11001599 ANTIFECT POVIDONE IODINE 60 ML BOX 54 23,001 4 4 KIMIA FARMA
44 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 1 1 KIMIA FARMA
45 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 74 74 PHAPROS, PT
46 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 209 209 PHAPROS, PT
47 12005673 ARKINE 2MG KPL@100 (PYRIDAM) DUS 100 75,000 30 30 PYRIDAM, PT
48 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS 100 8,545 50 150 200 NOVAPHARIN
49 13070421 ASAM TRANEKSAMAT 250MG INJ GNV (NVLL) DUS #N/A #N/A 47 47 NOVELL PHARMACEUTICAL LABORATORIES
50 12004756 ASEDAS SYRUP 60 ML (PYRIDAM) BT 1 43,000 48 48 PYRIDAM, PT
51 12000710 ASPILET CHEWABLE @ 100 TAB DUS 100 55,500 42 42 DARYA VARIA, PT
52 12000711 ASPILETS THROMBO TABLET @ 150( DUS 150 123,400 27 27 DARYA VARIA, PT
53 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 345,000 10 10 PRATAPA NIRMALA
54 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 345,000 21 21 PRATAPA NIRMALA
55 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 345,000 2 2 PRATAPA NIRMALA
56 11001586 ATORVASTATIN 10 MG DUS 30 35,000 231 231 KIMIA FARMA
57 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 38 38 DARYA VARIA, PT
58 11002183 AVICOV 200 MG TSS DUS 100 1,600,000 70 70 KIMIA FARMA
59 12000143 AXIMED AIRFLOW TUB, ETT 3.0 PC 1 31,050 909 909 BIO AXION HEALTHINDO, PT
60 12000144 AXIMED AIRFLOW TUB, ETT 3.5 PC 1 31,050 374 374 BIO AXION HEALTHINDO, PT
61 12000145 AXIMED AIRFLOW TUB, ETT 4.0 PC 1 31,050 907 907 BIO AXION HEALTHINDO, PT
62 12000146 AXIMED AIRFLOW TUB, ETT 4.5 PC 1 31,050 965 965 BIO AXION HEALTHINDO, PT
63 12000147 AXIMED AIRFLOW TUB, ETT 5.0 PC 1 31,050 919 919 BIO AXION HEALTHINDO, PT
64 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 31,050 740 740 BIO AXION HEALTHINDO, PT
65 12000149 AXIMED AIRFLOW TUB, ETT 6.0 PC 1 31,050 942 942 BIO AXION HEALTHINDO, PT
66 12000150 AXIMED AIRFLOW TUB, ETT 6.5 PC 1 31,050 830 830 BIO AXION HEALTHINDO, PT
67 12000151 AXIMED AIRFLOW TUB, ETT 7.0 PC 1 31,050 620 620 BIO AXION HEALTHINDO, PT
68 12000152 AXIMED AIRFLOW TUB, ETT 7.5 PC 1 31,050 580 580 BIO AXION HEALTHINDO, PT
69 12000153 AXIMED AIRFLOW TUB, ETT 8.0 PC 1 60,000 143 143 BIO AXION HEALTHINDO, PT
70 12000117 AXIMED CHIRURGIC GLOVES, 6.0 PAC 1 - 739 739 BIO AXION HEALTHINDO, PT
71 12000183 AXIMED FEEDING TUB 40CM NO.6 PC 1 - 497 497 BIO AXION HEALTHINDO, PT
72 12000185 AXIMED FEMALE CATHETER NO. 10 PC 1 - 1,000 1,000 BIO AXION HEALTHINDO, PT
73 12000188 AXIMED FEMALE CATHETER NO. 16 PC 1 - 478 478 BIO AXION HEALTHINDO, PT
74 12000189 AXIMED FEMALE CATHETER NO. 18 PC 1 - 998 998 BIO AXION HEALTHINDO, PT
75 12000207 AXIMED FOLEYCATH 2-WAY NO.10 PC 1 17,000 530 530 BIO AXION HEALTHINDO, PT
76 12000208 AXIMED FOLEYCATH 2-WAY NO.12 PC 1 17,000 358 358 BIO AXION HEALTHINDO, PT
77 12000209 AXIMED FOLEYCATH 2-WAY NO.14 PC 1 17,000 78 78 BIO AXION HEALTHINDO, PT
78 12000167 AXIMED PEDIATRIC SET PC 1 10,000 449 449 BIO AXION HEALTHINDO, PT
79 12000196 AXIMED STOMACH TUB NO.14 PC 1 - 60 60 BIO AXION HEALTHINDO, PT
80 12000199 AXIMED STOMACH TUB NO.20 PC 1 - 26 26 BIO AXION HEALTHINDO, PT
81 12000201 AXIMED SUCTION CATHETER NO.10 PC 1 2,309 199 199 BIO AXION HEALTHINDO, PT
82 12000203 AXIMED SUCTION CATHETER NO.14 PC 1 2,309 46 46 BIO AXION HEALTHINDO, PT
83 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 2,309 156 156 BIO AXION HEALTHINDO, PT
84 12000205 AXIMED SUCTION CATHETER NO.6 PC 1 10,000 804 804 BIO AXION HEALTHINDO, PT
85 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 26,880 988 - - - - 988 KIMIA FARMA
86 11000323 BEDAK SALICYL 2% 60 gr BOX 144 5,842 6 6 KIMIA FARMA
87 13001870 BENZATIN BENZIL PENICILLIN 2,4 DUS 10 204,000 20 17 37 PHAPROS, PT
88 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) DUS 25 2,217 157 0 0 157 KIMIA FARMA
89 13010355 BIO ATP KPL@100 DUS 100 214,180 1 1 PHAPROS, PT
90 12007630 BIO TD AMP 1 63,000 20 20 BIOFARMA
91 12007631 BIO TT AMP 1 33,000 60 60 BIOFARMA
92 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 40,909 360 360 BIO AXION HEALTHINDO, PT
93 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 4 4 DARYA VARIA, PT
94 12004482 BIOPLACENTON JELLY TUB 1 #N/A 200 200 PIHAK 3
95 12006548 BIOSAVE ABU I VL 1 862,500 105 105 BIOFARMA
96 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 2 2 PRATAPA NIRMALA
97 12000276 BISOLVON EXTRA SYR 60 ML BT 1 37,118 129 129 SANOFI AVENTIS
98 12007658 BIVALENT ORAL POLIOMYELITIS VACCINE VL 1 72,000 60 60 BIOFARMA
99 12010616 BONEFILL ORTHO BT 5 1,350,000 10 10 PHAPROS, PT
100 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 335,000 5 5 PRATAPA NIRMALA
101 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 330,000 200 200 PRATAPA NIRMALA
102 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 30 30 DARYA VARIA, PT
103 12000283 BUSCOPAN 20 MG / ML INJ DUS 10 342,773 4 4 SANOFI AVENTIS
104 12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) DUS 30 120,600 120 33 153 PHAPROS, PT
105 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS 100 18,876 36 36 KIMIA FARMA
106 12007796 CALCIUM LACTATE 500 MG TABLET DUS #N/A #N/A 170 - 170 MERSIFARMA
107 13073591 CALGAE KPL@30 (FAH) DUS 30 150,000 66 66 PRATAPA NIRMALA
108 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 159,000 15 15 PRATAPA NIRMALA
109 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,500 1,500 LUCAS DJAJA
110 13081426 CANDEFAR 16MG TAB@30 (FAH) DUS 30 270,000 6 6 PRATAPA NIRMALA
111 12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) DUS #N/A #N/A 476 476 PHAPROS, PT
112 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS 100 15,926 319 319 KIMIA FARMA
113 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS #N/A #N/A 15 229 244 PHAPROS, PT
114 13002406 CARDISMO TAB@100 DUS 100 246,675 25 25 PHAPROS, PT
115 11000163 CARTYLO 80 MG-STRIP 10X10 TABLET DUS 100 56,000 5 5 KIMIA FARMA
116 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS 50 65,905 1 1 KIMIA FARMA
117 12005551 CEFADROXIL 500 MG @ 100 KAPS DUS 100 #N/A 100 100 PIHAK 3
118 12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) DUS 10 115,000 53 18 71 DARYA VARIA, PT
119 12009736 CEFEPIME INJ 1 GR (DVRS) DUS 10 145,300 22 22 DARYA VARIA, PT
120 13035262 CEFIXIME 100MG CAP@30 INAF DUS #N/A #N/A 232 232 INDOFARMA
121 12002760 CEFIXIME SK 100MG/5ML 30ML BT #N/A #N/A 1 1 PHARMA LABORATORIES, PT
122 12001205 CEFOTAXIME SI 500 MG @ 2 VIAL DUS 2 - 50 50 PIHAK 3
123 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 47 47 CENDO, PT
124 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 29 29 CENDO, PT
125 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 48 48 CENDO, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
126 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 35 35 CENDO, PT
127 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 20 20 CENDO, PT
128 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 81 81 CENDO, PT
129 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
130 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 95 38 133 CENDO, PT
131 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 101 101 CENDO, PT
132 12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML STR 2 23,125 126 126 CENDO, PT
133 12004126 CENDO FENICOL 0,25% EYE DROP 5 ML BT 1 21,875 35 35 CENDO, PT
134 12004127 CENDO FENICOL 0,5% EYE DROP 5 ML BT 1 30,625 635 635 CENDO, PT
135 12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML STR 1 17,500 70 70 CENDO, PT
136 12004130 CENDO FENICOL EYE OINTMENT 3,5 GRAM TUB 1 21,875 33 33 CENDO, PT
137 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 87 87 CENDO, PT
138 12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML STR 1 26,750 110 110 CENDO, PT
139 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
140 12004135 CENDO GENTA 0,3% EYE DROP 5 ML BT 1 28,375 77 77 CENDO, PT
141 12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM TUB 1 36,375 151 151 CENDO, PT
142 12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML STR 1 15,875 37 37 CENDO, PT
143 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 9 9 CENDO, PT
144 12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML STR 1 16,625 128 128 CENDO, PT
145 12004139 CENDO GLAOPEN MINIDOSE 5 X 0,6 ML STR 1 90,250 31 31 CENDO, PT
146 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML STR 1 95,875 53 53 CENDO, PT
147 12004141 CENDO HERVIS EYE OINT 3,5 GRAM TUB 1 36,750 30 30 CENDO, PT
148 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
149 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 30 30 CENDO, PT
150 12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML STR 1 33,250 164 164 CENDO, PT
151 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 18 18 CENDO, PT
152 12004148 CENDO LFX MINIDOSE 5 X 0,6 ML STR 2 69,000 30 30 CENDO, PT
153 12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML STR 1 40,500 353 353 CENDO, PT
154 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 147 147 CENDO, PT
155 12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML STR 2 19,250 237 237 CENDO, PT
156 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 90 90 CENDO, PT
157 12004157 CENDO MYCOS EYE OINT 3,5 GRAM TUB 1 26,250 30 30 CENDO, PT
158 12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML STR 1 16,625 61 61 CENDO, PT
159 12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML BT 1 28,875 25 25 CENDO, PT
160 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 34 34 CENDO, PT
161 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML STR 1 29,375 92 92 CENDO, PT
162 12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML STR 1 41,625 37 37 CENDO, PT
163 12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML STR 1 42,250 102 102 CENDO, PT
164 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 63,875 46 46 CENDO, PT
165 12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML STR 1 38,250 98 98 CENDO, PT
166 12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML BT 1 12,125 42 42 CENDO, PT
167 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 23 23 CENDO, PT
168 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 202 202 CENDO, PT
169 12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML STR 1 26,500 9 9 CENDO, PT
170 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 10 10 CENDO, PT
171 12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML STR 1 17,500 3 3 CENDO, PT
172 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,825 182 182 CENDO, PT
173 12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML STR 1 17,875 4 4 CENDO, PT
174 12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML STR 1 17,375 26 26 CENDO, PT
175 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 20 20 CENDO, PT
176 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 35 35 CENDO, PT
177 12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML STR 2 17,625 50 50 CENDO, PT
178 12004194 CENDO TIMOL 0,5% EYE DROP 5 ML BT 1 47,750 105 105 CENDO, PT
179 12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML STR 2 25,750 74 74 CENDO, PT
180 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 3 3 CENDO, PT
181 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 46,250 95 95 CENDO, PT
182 12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML STR 2 29,000 15 15 CENDO, PT
183 12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML STR 1 38,100 38 38 CENDO, PT
184 12004209 CENDO TROPINE 0,5% EYE DROP 5 ML BT 1 11,250 24 24 CENDO, PT
185 12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML STR 1 15,375 38 38 CENDO, PT
186 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 54 54 CENDO, PT
187 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 10 10 CENDO, PT
188 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 23 23 CENDO, PT
189 12005164 CENDO VITAL TAB@30 DUS 30 90,000 5 5 CENDO, PT
190 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 310 310 CENDO, PT
191 12004224 CENDO XITROL EYE OINT 3,5 G TUB 1 35,875 253 253 CENDO, PT
192 12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML STR 1 24,375 230 230 CENDO, PT
193 12011966 CERVARIX (BIOFARMA) DUS 1 607,760 53 53 BIOFARMA
194 12010342 CETIRIZINE 10MG @100 TAB DUS 100 #N/A 350 350 PIHAK 3
195 12008244 CETIRIZINE HCL TAB 10MG (RAMA) DUS 100 42,000 - - - 7 7 PIHAK 3
196 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) DUS 24 13,400 18 18 KIMIA FARMA
197 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) DUS 1 11,500 5 5 KIMIA FARMA
198 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) DUS 24 4,700 21 0 21 KIMIA FARMA
199 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS 100 61,622 15 15 KIMIA FARMA
200 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BOX 48 8,044 1 1 KIMIA FARMA
201 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 200 76 276 NOVAPHARIN
202 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 63,000 1 1 PHAPROS, PT
203 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 - 1 63 64 PHAPROS, PT
204 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 48 48 KIMIA FARMA
205 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 448 448 NOVAPHARIN
206 12002248 CITICOLINE 250 MG/2ML INJEKSI DUS #N/A #N/A 10 10 MERSIFARMA
207 13000698 CLATATIN 10MG TAB@30 MOL DUS 30 17,500 150 150 MOLEX AYUS, PT
208 12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) DUS 50 36,000 82 82 PHAPROS, PT
209 12001335 CLINDAMYCIN 150MG CAP@50 INAF DUS 50 31,920 55 55 INDOFARMA
210 13026471 CLINDAMYCIN 150MG TAB I GDX DUS 100 - 20 20 PIHAK 3
211 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 #N/A 100 100 MERSIFARMA
212 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 16,422 204 35 239 KIMIA FARMA
213 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS 30 50,000 119 119 KIMIA FARMA
214 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 18,000 158 158 PHAPROS, PT
215 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 62,270 129 57 186 KIMIA FARMA
216 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS 100 112,180 57 57 KIMIA FARMA
217 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS 100 147,600 55 55 KIMIA FARMA
218 11000040 CODIKAF 20 MG TABLET DUS 100 156,000 3 3 KIMIA FARMA
219 11000041 CODIPRONT CUM EXPECT. KAPSUL DUS 10 95,480 20 20 KIMIA FARMA
220 11000042 CODIPRONT CUM EXPECTORANT SIROP BOX 50 55,550 0 0 KIMIA FARMA
221 11000044 CODIPRONT KAPSUL (100) BT 100 721,600 5 5 KIMIA FARMA
222 11000045 CODIPRONT SIROP BT 1 51,150 5 5 KIMIA FARMA
223 13010466 CORSEL KPL@30 (FAH) DUS 30 168,000 13 13 PRATAPA NIRMALA
224 12012247 CORSONA 4MG @30 TAB (PEHA) DUS 30 55,000 18 18 PHAPROS, PT
225 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS 100 33,341 92 50 142 KIMIA FARMA
226 12008438 COTRIMOXAZOLE TAB MERSI DUS #N/A #N/A 100 - 100 MERSIFARMA
227 12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) DUS 100 - 1 0 1 LUCAS DJAJA
228 12000113 D - ARTEPP TAB@9 (BUR) DUS 9 72,000 20 20 BHINNEKA USADA RAYA
229 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 70,000 472 472 PYRIDAM, PT
230 12005932 D5 - MJB 500 ML BT 1 6,694 516 516 EMJEBE PHARMA , PT
231 12009514 DANCOW 1+ MADU ADV EXCNUTR 1000GR BOX 12 101,973 1 1 NESTLE INDONESIA, PT
232 12009449 DANCOW COKLAT FORTIGRO SICH 16 39GR BOX 160 2,609 0 0 NESTLE INDONESIA, PT
233 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 196,560 76 76 DARYA VARIA, PT
234 12005676 DATAN FORTE KPL@100 (PYRIDAM) DUS 100 162,000 13 13 PYRIDAM, PT
235 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 14 14 DARYA VARIA, PT
236 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 12 12 DARYA VARIA, PT
237 11000182 DEXAMETHASONE 0.5 MG (DUS 100 TAB) DUS 100 14,843 50 50 KIMIA FARMA
238 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 238,800 8 8 PHAPROS, PT
239 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS 10 23,962 400 400 MEPROFARM
240 13000718 DEXTAMIN TAB@100 DUS 100 140,250 230 230 PHAPROS, PT
241 13000720 DEXTAMINE 30X10'S DUS 300 413,618 140 140 PHAPROS, PT
242 12006396 DEXTRAL SYRUP 60ML MOL BT 1 7,409 180 180 MOLEX AYUS, PT
243 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS #N/A #N/A 30 30 MERSIFARMA
244 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 10 - 446 446 MEPROFARM
245 12001347 DIGOXIN 0,25 MG TAB @ 100 (GIF DUS #N/A #N/A 5 5 INDOFARMA
246 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 281 281 KIMIA FARMA
247 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 1,036 1,036 KIMIA FARMA
248 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS 100 14,239 20 30 50 KIMIA FARMA
249 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 TERUMO, PT
250 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 1,100 25 25 TERUMO, PT
251 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 78 78 PIHAK 3
252 12004402 DOMPERIDON SYRUP 60 ML (HEXPHA BT 1 - 400 400 PIHAK 3
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
253 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS #N/A #N/A 600 600 NOVAPHARIN
254 13003181 DORBIGOT TAB@100 NUF DUS 100 220,000 43 43 NUFARINDO, PT
255 11000055 DOXEF 500 MG KAPSUL DUS 60 495,521 2 2 KIMIA FARMA
256 12000290 DULCOLAX 10 MG SUPP @ 50 DUS 50 841,830 59 59 SANOFI AVENTIS
257 12000294 DULCOLAX 5 MG SUPP. INF 6'S DUS 6 97,598 9 9 SANOFI AVENTIS
258 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 5 1,077,500 7 7 JANSSEN PHARMACEUTICA NV
259 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 400,000 21 21 PRATAPA NIRMALA
260 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 10 25,792 11 11 DARYA VARIA, PT
261 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 55 55 DARYA VARIA, PT
262 11002046 ENKASARI HERBAL (BTL@120 ML) BT 1 17,049 81 81 KIMIA FARMA
263 11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML BOX 24 8,600 15 15 KIMIA FARMA
264 11001582 ENKASARI MOUTHWASH CITRUSMINT 250 ML BOX 12 16,100 2 2 KIMIA FARMA
265 11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML BOX 24 8,600 8 8 KIMIA FARMA
266 11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML BOX 12 16,100 16 16 KIMIA FARMA
267 11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML BOX 24 8,600 16 16 KIMIA FARMA
268 11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML BOX 12 16,100 18 18 KIMIA FARMA
269 11001955 ENKASARI MOUTHWASH SIWAK 100 ML BOX 24 8,600 5 5 KIMIA FARMA
270 11001956 ENKASARI MOUTHWASH SIWAK 250 ML BT 1 16,100 49 49 KIMIA FARMA
271 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 86,400 37 20 57 PHAPROS, PT
272 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 21,363 5 5 KIMIA FARMA
273 11001739 ERSYLAN EXPECTORANT 60ML - BJN BT 1 24,000 215 215 KIMIA FARMA
274 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 186 186 KIMIA FARMA
275 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS 100 81,076 3 3 KIMIA FARMA
276 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BOX 1 12,223 4 4 KIMIA FARMA
277 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 100 78,364 496 496 RAMA EMERALD, PT
278 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS 1 9,500 50 50 PHAPROS, PT
279 13006241 ESTAZOR 250MG CAP@30 (FAH) DUS 30 270,000 18 18 PRATAPA NIRMALA
280 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS 100 75,230 220 220 KIMIA FARMA
281 11000310 EUGENOL (BTL 10 ML) DUS 12 22,800 1 0 1 KIMIA FARMA
282 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 10 10 PRATAPA NIRMALA
283 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 33,000 1 1 PRATAPA NIRMALA
284 13010537 FARBION TAB@100 (FAH) DUS 100 120,000 146 146 PRATAPA NIRMALA
285 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 110,000 92 92 PRATAPA NIRMALA
286 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 250,000 10 5 15 PRATAPA NIRMALA
287 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 290,000 9 9 PRATAPA NIRMALA
288 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 310,000 65 65 PRATAPA NIRMALA
289 13002091 FARLEV 750MG TAB@10 (FAH) DUS 10 390,000 58 58 PRATAPA NIRMALA
290 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 51,450 70 70 PRATAPA NIRMALA
291 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 47 47 PRATAPA NIRMALA
292 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 31,500 51 51 PRATAPA NIRMALA
293 13009198 FARMADOL INF 50ML (FAH) VL 1 35,000 147 147 PRATAPA NIRMALA
294 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 170,000 10 10 PRATAPA NIRMALA
295 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 190,000 24 24 PRATAPA NIRMALA
296 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 275 275 KIMIA FARMA
297 13019430 FEBRINEX SYR 60ML BT 1 12,612 48 48 PHAPROS, PT
298 12012640 FEMMY D3 1000 IU @10 TAB DUS 10 #N/A 1,068 1,068 PIHAK 3
299 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 180,000 56 56 PRATAPA NIRMALA
300 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 215,000 48 48 PRATAPA NIRMALA
301 11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) DUS 5 220,000 33 122 155 PIRAMAL CRITICAL CARE LTD
302 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) TAB 10 72,000 990 990 PYRIDAM, PT
303 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 144,545 314 314 SURYA SUKSES PERKASA, PT
304 11001592 FITOCARE M KAYU PUTIH PLUS LAVENDER 30ML BT 1 11,000 145 145 KIMIA FARMA
305 11001591 FITOCARE M KAYU PUTIH PLUS LAVENDER 50ML BT 1 17,600 5 5 KIMIA FARMA
306 11000327 FITOCARE M.TELON BAYI 30 ML DUS 20 8,600 86 86 KIMIA FARMA
307 11000328 FITOCARE M.TELON BAYI 50 ML DUS 20 13,500 75 75 KIMIA FARMA
308 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 629 629 KIMIA FARMA
309 11002051 FITOCARE MINYAK KAYU PUTIH 30 ML (NEW) BT 1 12,081 19 19 KIMIA FARMA
310 11002052 FITOCARE MINYAK KAYU PUTIH 50 ML (NEW) BT 1 17,181 368 368 KIMIA FARMA
311 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 642 642 KIMIA FARMA
312 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 12 12 KIMIA FARMA
313 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 124 124 KIMIA FARMA
314 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 550 550 KIMIA FARMA
315 11001784 FITUNO IMMUNE KIDS 60ML BOX 1 25,500 0 0 KIMIA FARMA
316 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 238 238 KIMIA FARMA
317 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 16 16 PRATAPA NIRMALA
318 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 65,000 33 33 PRATAPA NIRMALA
319 13001322 FIXACEP SYR 30ML (FAH) BT 1 75,000 78 78 PRATAPA NIRMALA
320 12007662 FLUBIO VL 1 99,800 112 112 BIOFARMA
321 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 616 140 26 782 KIMIA FARMA
322 13026699 FLUOMIZIN VAG TAB@6 NUF DUS 6 183,750 30 30 NUFARINDO, PT
323 12005661 FOLIC ACID 1 MG TAB @ 100 TAB 1 - 5,000 5,000 PIHAK 3
324 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 241,000 8 8 PYRIDAM, PT
325 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 156 156 MOLEX AYUS, PT
326 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 292,000 3 3 PYRIDAM, PT
327 11000214 FUNGORAL 200 MG-STRIP 5X10 TABLET DUS 50 175,000 72 72 KIMIA FARMA
328 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 28,519 - 50 50 KIMIA FARMA
329 12004760 FUSON KRIM 5GR (PYRIDAM) TUB 1 48,000 14 14 PYRIDAM, PT
330 12005261 GABASANT 300MG CAP@30 (PYRIDAM) DUS 30 331,000 1 1 PYRIDAM, PT
331 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 250,000 28 28 PRATAPA NIRMALA
332 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS #N/A #N/A 133 133 PHAPROS, PT
333 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 71 71 PHAPROS, PT
334 12009866 GLIBENCLAMIDE 5 MG @100 TAB (PEHA) DUS #N/A #N/A 10 110 120 PHAPROS, PT
335 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 18,000 233 233 KIMIA FARMA
336 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 30,000 496 496 KIMIA FARMA
337 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 387 387 KIMIA FARMA
338 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 809 18 827 KIMIA FARMA
339 12010657 GLUTAFIT CAP@100 (FAH) DUS 100 800,000 8 8 PRATAPA NIRMALA
340 12005790 GLYCERIL GUAIACOLAT 100 MG (NO TAB #N/A #N/A 389 389 PIHAK 3
341 11000392 GLYCERIL GUAIACOLAT100 MG TAB(DUS100TAB) DUS 100 20,000 17 20 392 429 KIMIA FARMA
342 12010432 GOLDTRION KPL@30 (FAH) DUS 30 255,000 31 31 PRATAPA NIRMALA
343 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 429 97 526 KIMIA FARMA
344 12000801 GRISEOFULVIN 500 MG TABL @ 100 DUS 100 168,971 42 42 DARYA VARIA, PT
345 13001047 GRIVIN 500MG TAB@100 DUS 100 459,756 144 144 PHAPROS, PT
346 11001612 GUAIFENESIN 100 MG TAB (GLY. GUAIACOLAT) DUS 100 20,000 1,418 1,418 KIMIA FARMA
347 12001226 HALOPERIDOL 0,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
348 12001227 HALOPERIDOL 1,5 MG TABLET DUS #N/A #N/A 50 50 HOLI PHARMA
349 12006353 HEMAFORT TAB @ 100 DUS 100 77,700 30 30 PHAPROS, PT
350 12006958 HEPAGARD DUS #N/A 76,230 18 18 PHAPROS, PT
351 11000077 HEPLAV TABLET BT 30 145,000 2 2 KIMIA FARMA
352 11000516 HUMAN ALBUMIN 20 % 50 ML BT #N/A #N/A 18 18 KIMIA FARMA
353 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 1,525,000 18 4 22 KIMIA FARMA
354 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 394 205 599 KIMIA FARMA
355 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 61 1 62 KIMIA FARMA
356 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 41 41 PHAPROS, PT
357 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 476 476 PHAPROS, PT
358 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 182 182 NOVAPHARIN
359 12011772 IBUPROFEN 200MG/5ML SUSP (NOVA) BT 1 18,182 1,883 - 1,883 NOVAPHARIN
360 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 #N/A 500 500 NOVAPHARIN
361 13010615 IDESAR PLUS CAP@30 NUF BT 30 202,500 14 14 NUFARINDO, PT
362 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 5 5 PHAPROS, PT
363 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 198,000 4 4 PRATAPA NIRMALA
364 12007336 INSTO DRY EYES 7,5 ML DUS 1 10,850 14 14 COMBIPHAR, PT
365 12007335 INSTO REGULAR 15 ML DUS 1 16,100 146 146 COMBIPHAR, PT
366 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BOX 15 48,818 0 1 1 KIMIA FARMA
367 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BOX 30 15,636 1 2 3 KIMIA FARMA
368 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BOX 48 5,711 5 5 KIMIA FARMA
369 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BOX #N/A - 4 4 KIMIA FARMA
370 12011461 ISIVAS TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
371 11000206 ISONAT 5 MG-STRIP 5X10 TABLET DUS 50 44,000 19 19 KIMIA FARMA
372 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 16,340 2,378 2,378 KIMIA FARMA
373 12001211 ISONIAZID 100 MG TABLET DUS 100 #N/A 30 455 10 495 PIHAK 3
374 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS 100 23,846 201 201 KIMIA FARMA
375 12001379 ISOSORBID DINITRAT 5MG TAB@100 INAF DUS #N/A #N/A 5 5 INDOFARMA
376 12001249 IVANES 100 MG / 10 ML VL 1 - 190 190 IKAPHARMINDO
377 12006490 KALIUM PERMANGANAT 5 GR PC 1 - 2 2 PIHAK 3
378 12001992 KASA PEMB HYDR 4Yd X 5CM @5 ROLL (KHWJ) PAC 5 14,300 30 30 KASA HUSADA WIRA JATIM, PT
379 13005101 KENACORT 4MG TAB@100 DUS 100 450,000 11 11 TAISHO PHARMACEUTICAL INDONESIA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
380 12009772 KENDARON 200 MG @ 30 TAB (G) (DVRS) DUS 30 28,009 14 34 48 DARYA VARIA, PT
381 11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) DUS 1 4,000 19 19 KIMIA FARMA
382 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 1,723 1,723 KIMIA FARMA
383 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 145,455 1 1 KIMIA FARMA
384 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
385 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 1 1 KIMIA FARMA
386 11001938 KIFOVIR 300 MG TABLET BT 30 350,000 9 9 KIMIA FARMA
387 11000216 KINA (DUS 24 STRIP) DUS 288 355,200 1 1 KIMIA FARMA
388 11000086 KLOTAREN 25 MG TABLET SALUT ENTERIC DUS 50 47,300 23 23 KIMIA FARMA
389 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 30 300,000 230 230 PHAPROS, PT
390 12008223 KOMPOLAX (IFARS) BT #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
391 12009525 LACTOGEN 1 HAPPYNUTRI 750GR BOX 12 96,281 1 1 NESTLE INDONESIA, PT
392 12009536 LACTOGROW 3 HAPPYNUTRI HONEY 750GR BOX 12 89,587 1 1 NESTLE INDONESIA, PT
393 12009521 LACTOGROW 3 HAPPYNUTRI VANILA 750GR BOX 12 89,587 1 1 NESTLE INDONESIA, PT
394 12005388 LANDO 300MG CAP@50 (PYRIDAM) DUS 50 399,000 3 3 PYRIDAM, PT
395 12005264 LDLOX CAP@30 (PYRIDAM) KPS 30 8,613 30 30 PYRIDAM, PT
396 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 35,000 528 20 548 KIMIA FARMA
397 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 42 42 MEPROFARM
398 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 60 60 MOLEX AYUS, PT
399 13005836 LEXACROL CHEW TAB@150 MOL DUS 150 71,300 17 17 MOLEX AYUS, PT
400 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 23,000 29 29 MOLEX AYUS, PT
401 12008453 LEXAVON SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
402 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 119 119 MOLEX AYUS, PT
403 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS 100 144,618 155 102 60 317 PHAPROS, PT
404 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 30 60,000 23 2 25 PHAPROS, PT
405 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 22,950 109 109 PHAPROS, PT
406 12006925 LOPERAMID HCL 2 MG TABLET DUS 100 17,636 - 146 - 146 IFARS PHARMACEUTICAL, PT
407 11000095 LOPREZOL 30 MG KAPSUL DUS 30 347,091 3 3 KIMIA FARMA
408 12003001 LORATADIN TAB 10 MG DUS #N/A #N/A - 100 100 PROMED
409 11000331 MARCKS BEDAK INVISIBLE 20gr (New) BOX 36 23,700 0 0 KIMIA FARMA
410 11000333 MARCKS BEDAK Natural Beige 20 gr (New) BOX 36 23,700 0 0 KIMIA FARMA
411 11000335 MARCKS BEDAK PINK 20gr BOX 36 23,700 7 7 KIMIA FARMA
412 11000337 MARCKS BEDAK ROSE BOX 1 13,700 2 2 KIMIA FARMA
413 11001944 MARCKS' BREATHABLE POWDER IVORY BOX 36 34,700 6 6 KIMIA FARMA
414 11001945 MARCKS' BREATHABLE POWDER NATURAL BEIGE BOX 36 34,700 9 9 KIMIA FARMA
415 11001947 MARCKS' BREATHABLE POWDER ROSE PINK BOX 36 34,700 9 9 KIMIA FARMA
416 11001946 MARCKS' BREATHABLE POWDER WARM BEIGE BOX 36 34,700 7 7 KIMIA FARMA
417 11001933 MARCKS' CC CAKE POWDER IVORY BOX 48 34,700 4 4 KIMIA FARMA
418 11001934 MARCKS' CC CAKE POWDER NATURAL BEIGE BOX 48 34,700 0 0 KIMIA FARMA
419 11001935 MARCKS' CC CAKE POWDER WARM BEIGE BOX 48 34,700 7 7 KIMIA FARMA
420 11000993 MARCKS' MOISTURIZER 30gr DUS 12 17,000 139 139 KIMIA FARMA
421 11001982 MARCKS' TEENS ACNE EXPERT SPOT GEL PC 1 14,700 219 219 KIMIA FARMA
422 11000977 MARCKS' TEENS CP CREME DUS 12 20,000 43 43 KIMIA FARMA
423 11000980 MARCKS' TEENS CP INVISIBLE DUS 12 20,000 59 59 KIMIA FARMA
424 11000981 MARCKS' TEENS CP NATURAL BEIGE DUS 12 20,000 13 13 KIMIA FARMA
425 11000978 MARCKS' TEENS CP PUTIH DUS 12 20,000 14 14 KIMIA FARMA
426 11001313 MARCKS TEENS REFILL COMPACT POWDER CREME DUS 12 15,500 20 20 KIMIA FARMA
427 11001316 MARCKS' TEENS REFILL COMPACT POWDER INVI DUS 12 15,500 14 14 KIMIA FARMA
428 11001317 MARCKS' TEENS REFILL COMPACT POWDER NATU DUS 12 15,500 31 31 KIMIA FARMA
429 11001315 MARCKS' TEENS REFILL COMPACT POWDER PINK DUS 12 15,500 25 25 KIMIA FARMA
430 11001314 MARCKS' TEENS REFILL COMPACT POWDER WHIT DUS 12 15,500 21 21 KIMIA FARMA
431 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 227 227 PHAPROS, PT
432 12009877 MARIMER/DS @5 ML DUS 1 80,000 28 28 PHAPROS, PT
433 12012642 MAX-D 1000 @100 TAB DUS #N/A #N/A 5 5 PIHAK 3
434 12007741 MEASLES AND RUBELLA VACCINE 5 ML VL 1 440,000 20 20 BIOFARMA
435 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 13 13 DARYA VARIA, PT
436 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 44 44 PT. LIKUID PHARMALAB INDONESIA
437 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 400 400 PT. LIKUID PHARMALAB INDONESIA
438 12009553 MEDIKA POVIDINE 10% 1 L DUS 24 - 5 5 PT. LIKUID PHARMALAB INDONESIA
439 13077587 MEDIKA RIVANOL 300 ML BT 1 5,535 2 2 PT. LIKUID PHARMALAB INDONESIA
440 12009177 MEDIKACARE 0,5% TPC ANTISEPTIC @ 1 L BT 1 78,729 143 143 PT. LIKUID PHARMALAB INDONESIA
441 12009180 MEDIKACARE 0,5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 501 501 PT. LIKUID PHARMALAB INDONESIA
442 12008458 MELOCID TAB@50 MOL DUS 50 30,000 10 10 MOLEX AYUS, PT
443 11000220 MELOXICAM 15 MG (DUS 20 TAB) DUS 20 14,500 1,997 1,997 KIMIA FARMA
444 12008229 MEROPENEM 1 GR INJ (MEPRO) DUS #N/A #N/A 10 10 MEPROFARM
445 12004264 MEROPENEM INJ. 0,5 GR 1 VIAL VL 1 #N/A 1,000 - - 1,000 MEPROFARM
446 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 800,000 184 1 185 PRATAPA NIRMALA
447 12009834 METAMIZOLE SODIUM 500 MG @ 100 TAB(PEHA) DUS 100 30,500 86 86 PHAPROS, PT
448 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS 100 26,500 2,172 2,172 KIMIA FARMA
449 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A - - 5 5 MEPROFARM
450 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
451 12005555 METFORMIN 500 MG TAB @200 ( HEXA ) DUS 200 #N/A 500 500 PIHAK 3
452 12009880 METHISOPRINOL 250 MG/5ML SYR@60 ML(PEHA) DUS 1 60,000 104 104 PHAPROS, PT
453 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 57 57 PHAPROS, PT
454 13011655 METHYL PREDNISOLON 500MG VIAL (PEHA) VL 1 66,000 34 34 PHAPROS, PT
455 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A 50 50 PHAPROS, PT
456 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS 100 13,000 51 51 KIMIA FARMA
457 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 667 50 12 729 KIMIA FARMA
458 12009884 METOCLOPRAMIDE HCL 10 MG @100 TAB (PEHA) DUS 100 16,200 64 64 PHAPROS, PT
459 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS #N/A #N/A 120 120 NOVAPHARIN
460 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 5,350 - - 76 76 DARYA VARIA, PT
461 12000303 MICARDIS PLUS 80 MG TAB @ 20 DUS 20 446,076 8 8 BOEHRINGER INGELHEIM
462 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 108 108 KIMIA FARMA
463 12009493 MILO 3IN1 ACTIV-GO POUCH 1KG BOX 12 81,482 2 2 NESTLE INDONESIA, PT
464 12009494 MILO 3IN1 ACTIV-GO SICH 12 35GR BOX 120 2,778 2 2 NESTLE INDONESIA, PT
465 12009492 MILO ACTIV-GO POUCH 1KG BOX 12 75,926 2 2 NESTLE INDONESIA, PT
466 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 17 17 MOLEX AYUS, PT
467 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 171 199 370 MOLEX AYUS, PT
468 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 53 53 MOLEX AYUS, PT
469 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 30 39,709 13 13 KIMIA FARMA
470 13077770 MOXIFLOXACIN HVL INF 250ML (FAH) BT 1 200,000 20 20 PRATAPA NIRMALA
471 11000501 MST CONTINUS 10 MG DUS 60 852,000 8 8 MAHAKAM BETA FARMA
472 11000566 My Dacla 60 MG (Daclastavir) BT 28 1,730,000 1 1 KIMIA FARMA
473 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 2 10 PHAPROS, PT
474 12007759 MYCOZOL KRIM 10GR (PYRIDAM) DUS 1 13,000 44 44 PYRIDAM, PT
475 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 1 1 KIMIA FARMA
476 12007595 NANOPASS NEEDLE PEN 32.5GX8 MM DUS 100 3,300 1 1 TERUMO, PT
477 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 14,854 264 160 424 KIMIA FARMA
478 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 99 800 899 PHAPROS, PT
479 11000108 NATRIUM DIKLOFENAK 50 MG (DUS 50 TAB) DUS 50 18,346 3 3 KIMIA FARMA
480 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 7,200 352 352 PHAPROS, PT
481 12000823 NATUR E 100 IU SOFT CAP @ 32 DUS 32 26,569 65 65 DARYA VARIA, PT
482 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 44 44 DARYA VARIA, PT
483 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 94 94 DARYA VARIA, PT
484 12000826 NATUR E ADVANCED 16 S DUS 16 32,729 74 74 DARYA VARIA, PT
485 12000827 NATUR E ADVANCED 32 S DUS 32 62,185 139 139 DARYA VARIA, PT
486 12007256 NATUR E DAILY NOURISHING RELAXING 100 M BT 1 12,220 4 4 DARYA VARIA, PT
487 12007257 NATUR E DAILY NOURISHING RELAXING 245 M BT 1 24,517 50 50 DARYA VARIA, PT
488 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 19 19 DARYA VARIA, PT
489 12000832 NATUR E HBL 100 ML BT 1 10,424 214 214 DARYA VARIA, PT
490 12000833 NATUR E HBL 245 ML BT 1 20,913 154 154 DARYA VARIA, PT
491 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 29,430 176 176 DARYA VARIA, PT
492 12007345 NATUR E NOURISHING-REVITAL LOTION 100 ML BT 1 12,220 19 19 DARYA VARIA, PT
493 12007346 NATUR E NOURISHING-REVITAL LOTION 245 ML BT 1 24,517 2 2 DARYA VARIA, PT
494 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,134 204 160 364 DARYA VARIA, PT
495 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 90 90 MOLEX AYUS, PT
496 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 48,100 10 10 DARYA VARIA, PT
497 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 225,000 4 4 PRATAPA NIRMALA
498 12008170 NEUROBION 5000 INJ 20'S DA DUS #N/A #N/A 29 29 PROCTER & GAMBLE HOME PRODUCTS IND,
499 12011718 NEW DIATABS ATTAPULGITE 4x25 TAB DUS 100 50,650 6 6 DARYA VARIA, PT
500 12009195 NICARDIPINE HCL 10MG (NVLL) DUS #N/A #N/A 9 9 NOVELL PHARMACEUTICAL LABORATORIES
501 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 20,016 13 13 KIMIA FARMA
502 12000840 NIFURAL SYR BT 1 60,300 59 59 DARYA VARIA, PT
503 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 #N/A 300 300 SINAR RODA UTAMA, PT
504 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 #N/A 1,048 1,048 SINAR RODA UTAMA, PT
505 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 25 3,000 3,025 SINAR RODA UTAMA, PT
506 12003650 NIPRO SAFELET CATH IV PU 20GX1-1/4" PC 1 #N/A 8,642 8,642 SINAR RODA UTAMA, PT
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
507 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC 1 #N/A 4,581 4,581 SINAR RODA UTAMA, PT
508 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A 5,200 - - - 5,200 SINAR RODA UTAMA, PT
509 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" PC 1 #N/A - 5 - - - 5 SINAR RODA UTAMA, PT
510 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 #N/A 6,300 6,300 SINAR RODA UTAMA, PT
511 12003662 NIPRO WING-CATH ETFE 22G X 1" PC 1 #N/A 50 50 SINAR RODA UTAMA, PT
512 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 522 20 20 562 PHAPROS, PT
513 11000112 NITROKAF RETARD F. KAPS.(100) DUS 100 358,000 77 184 261 KIMIA FARMA
514 11000113 NITROKAF RETARD KAPSUL (100) DUS 100 246,000 24 55 79 KIMIA FARMA
515 12004990 NOKOBA INJ AMP@5 (FAH) DUS 5 500,000 5 5 PRATAPA NIRMALA
516 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 69 69 PHAPROS, PT
517 12006362 NOVA B COMPLEX TAB @ 100 DUS 100 - 939 939 PIHAK 3
518 13005884 NUFAPRAZOL CAP@20 (NUF) DUS 20 51,000 16 16 NUFARINDO, PT
519 13003553 NUFAPREG 25MG TAB@100 NUF DUS 100 388,800 9 9 NUFARINDO, PT
520 12010934 NUZARTAN 40MG (NUF) DUS 28 107,950 23 23 NUFARINDO, PT
521 12010935 NUZARTAN 80MG (NUF) DUS 28 196,000 11 11 NUFARINDO, PT
522 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 414 253 667 PHAPROS, PT
523 12008469 OBH 60ML MOL BT 1 5,000 7 7 MOLEX AYUS, PT
524 12004243 OBH COMBI BATUK BERDAHAK JAHE 100 ML BT 1 10,300 103 103 COMBIPHAR, PT
525 12004244 OBH COMBI BATUK BERDAHAK MENTHOL 100 ML BT 1 10,300 26 26 COMBIPHAR, PT
526 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 11,275 48 48 COMBIPHAR, PT
527 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 11,275 132 132 COMBIPHAR, PT
528 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 11,275 150 3,144 3,294 COMBIPHAR, PT
529 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 11,275 231 150 381 COMBIPHAR, PT
530 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 13,781 104 104 COMBIPHAR, PT
531 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 9,950 321 321 COMBIPHAR, PT
532 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 13,781 228 228 COMBIPHAR, PT
533 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 9,950 586 586 COMBIPHAR, PT
534 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 13,781 165 165 COMBIPHAR, PT
535 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 9,950 211 211 COMBIPHAR, PT
536 12007269 OCTANATE 500 IU DUS 1 1,843,000 8 8 SATYA ABADI PHARMA, PT
537 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS 30 17,996 153 153 KIMIA FARMA
538 12011852 OMEPRAZOLE 20MG @200 KPS (HEXA) DUS 200 #N/A 15 15 PIHAK 3
539 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 1 297 298 PHAPROS, PT
540 12001418 ONDANSETRON 4MG/2 ML INJ@5 AMP INAF DUS #N/A #N/A 410 410 INDOFARMA
541 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 132,000 120 120 PRATAPA NIRMALA
542 11000229 ORALIT (DUS 100 SASE) DUS 100 83,187 825 825 KIMIA FARMA
543 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 149,000 3 3 PYRIDAM, PT
544 13007995 OSTEOTIN CAP@60 DUS 60 179,100 22 22 PHAPROS, PT
545 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 40 40 PRATAPA NIRMALA
546 12002665 OTSU - D5 / RUBB BT 1 14,943 6,832 6,832 OTSUKA, PT
547 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) DUS 25 3,629 130 305 4 439 KIMIA FARMA
548 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 274 274 PHAPROS, PT
549 12006367 PAPAVERIN HCL 40MG TAB@100 (NOVA) DUS #N/A #N/A 104 104 NOVAPHARIN
550 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS 100 24,953 26 316 342 KIMIA FARMA
551 11000232 PARACETAMOL SIRUP (BTL 60 ML) BOX 48 5,500 15 6 21 KIMIA FARMA
552 12008524 PARASETAMOL SYRUP BT #N/A #N/A 500 500 MERSIFARMA
553 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 227 227 DARYA VARIA, PT
554 12007337 PEDITOX 1% 50 ML BT 1 7,000 47 47 COMBIPHAR, PT
555 12005890 PEHACAIN INJ DUS 20 56,601 46 46 PHAPROS, PT
556 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 24 24 PHAPROS, PT
557 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 1 1 PHAPROS, PT
558 13085382 PEHAVIT-D3 CAP@30 BT 1 68,000 507 507 PHAPROS, PT
559 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 - 1,475 1,475 PHAPROS, PT
560 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 275,000 7 7 PRATAPA NIRMALA
561 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 35 35 PIHAK 3
562 13070816 PERIO KIN GEL 30ML NUF TUB 1 96,000 2 2 PIHAK 3
563 11001044 PETHIDINA 50 MG/ML INJ (IMPORT) AMP 10 177,100 720 720 KIMIA FARMA
564 13009793 PHADILON 500MG INJ VL 1 120,000 526 526 PHAPROS, PT
565 13002150 PHAPROXIN 500MG TAB@50 DUS 50 40,000 36 36 PHAPROS, PT
566 12000315 PHARMATHON FORMULA @ 50 CAPS DUS 50 200,682 8 8 SANOFI AVENTIS
567 12000318 PHARMATON VIT KAPLET DUS 50 199,367 71 71 SANOFI AVENTIS
568 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 17,000 82 67 149 KIMIA FARMA
569 12005249 PHENOBARBITAL 50 MG INJ (PEHA) DUS 30 97,200 126 20 146 PHAPROS, PT
570 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 96,000 10 10 PHAPROS, PT
571 13011168 PHENOXYMETHYL PENICILIN 250GPH (PEHA) DUS #N/A #N/A 10 10 PHAPROS, PT
572 13009797 PHINEV INJ. DUS 10 94,900 29 29 PHAPROS, PT
573 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 120,000 8 228 30 266 PHAPROS, PT
574 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 156,600 15 36 51 PHAPROS, PT
575 11000236 PIL KB MIKRODIOL 30 LIMAS-BLISS 28 TAB DUS 20 6,500 523 523 KIMIA FARMA
576 12001214 PIRAZINAMID TAB 500 MG DUS 100 #N/A 39 39 HOLI PHARMA
577 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 389 389 KIMIA FARMA
578 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 70,000 7 7 PRATAPA NIRMALA
579 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 260,000 1 1 PRATAPA NIRMALA
580 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 120,000 226 226 PRATAPA NIRMALA
581 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 98 98 MOLEX AYUS, PT
582 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 37 37 MOLEX AYUS, PT
583 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 900 900 MOLEX AYUS, PT
584 13001141 PRO TB 3 KID 75MG@28 DUS 28 119,000 106 106 PHAPROS, PT
585 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 68 68 PHAPROS, PT
586 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 99 99 PHAPROS, PT
587 13001143 PRO TB2 TAB@28 DUS 28 184,450 72 72 PHAPROS, PT
588 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS #N/A #N/A 11 9 20 PHAPROS, PT
589 12010403 PROFERRO TAB@30 (FAH) DUS 30 150,000 17 17 PRATAPA NIRMALA
590 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 1 1 PHAPROS, PT
591 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 10 49 59 HOLI PHARMA
592 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 7 - 56 HOLI PHARMA
593 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS 100 26,904 439 439 KIMIA FARMA
594 11000247 PROTOFEN 100 MG-STRIP 5X10 TAB DUS 50 93,400 7 7 KIMIA FARMA
595 11000293 PROTOFEN SUPP DUS 20 189,750 1 1 KIMIA FARMA
596 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 589 589 KIMIA FARMA
597 12001219 PYRANTEL SIRUP 125 MG/5 ML BT 1 11,544 1,750 485 2,235 HOLI PHARMA
598 12001220 PYRANTEL TAB 125 MG DUS 100 36,810 298 - 74 - 372 HOLI PHARMA
599 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 37,625 615 615 KIMIA FARMA
600 12005395 PYTRAMIC 500MG KPL@50 (PYRIDAM) DUS 50 174,000 18 18 PYRIDAM, PT
601 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS 60 40,200 882 532 635 2,049 KIMIA FARMA
602 12000949 RANITIDIN 150 MG TAB DUS 100 - 45 45 ERELA, PT
603 12002393 RANITIDIN 150 MG TABLET DUS #N/A #N/A 77 77 NOVAPHARIN
604 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 210,000 9 9 PRATAPA NIRMALA
605 12005934 RECO TETES MATA 10 ML BT #N/A #N/A 500 500 PIHAK 3
606 12011961 REGENESIS MAX @30 KPS DUS 30 125,000 5 5 NUFARINDO, PT
607 11002220 REMDESIVIR (REMCOR) 100 MG / 20 ML IV @1 VL 1 290,000 1 1 PIHAK 3
608 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 270,000 16 16 PRATAPA NIRMALA
609 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 330,000 12 12 PRATAPA NIRMALA
610 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 252,000 4 4 PRATAPA NIRMALA
611 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 135 135 PRATAPA NIRMALA
612 11000257 RETAPHYL SR-STRIP 10X10 TABLET DUS 100 194,800 3 7 10 KIMIA FARMA
613 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS 50 - 230 230 LUCAS DJAJA
614 13003127 RHODIUM TAB@30 (FAH) DUS 30 195,000 3 3 PRATAPA NIRMALA
615 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 112 112 KIMIA FARMA
616 11002018 RINGER LAKTAT INFUS BT 1 7,003 1,794 1,794 KIMIA FARMA
617 12009907 RISTONAT @4 TAB DUS 4 290,000 33 33 PHAPROS, PT
618 11002084 ROSUVASTATIN CALCIUM 10 MG (DUS 30 TAB) DUS 30 90,000 234 234 KIMIA FARMA
619 11001419 SACHET MARCKS' CRÈME 20GR DUS 24 7,700 172 172 KIMIA FARMA
620 11001603 SACHET MARCKS' INVISIBLE 20GR DUS 24 7,700 249 249 KIMIA FARMA
621 11001422 SACHET MARCKS' NATURAL BEIGE 20GR DUS 24 7,700 206 206 KIMIA FARMA
622 11001420 SACHET MARCKS' PUTIH 20GR DUS 24 7,700 53 53 KIMIA FARMA
623 11001421 SACHET MARCKS' ROSE 20GR DUS 24 7,700 55 55 KIMIA FARMA
624 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS 100 10,298 60 60 KIMIA FARMA
625 12012307 SALEP 2-4 15 GR (AFI) POT #N/A #N/A 40 40 PT AFIFARMA
626 11000923 SALICYL FRESH 60GR Kemasan baru BOX 1 12,380 0 0 KIMIA FARMA
627 12001221 SEFOPERAZON INJ 1 GRAM DUS 2 - 800 900 1,700 PIHAK 3
628 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 136,000 17 17 PRATAPA NIRMALA
629 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 3 3 PRATAPA NIRMALA
630 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 210,000 28 28 PRATAPA NIRMALA
631 12009809 SILEX SYRUP 100 ML (DVRS) BT 1 55,650 5 5 DARYA VARIA, PT
632 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 156 156 KIMIA FARMA
633 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 66 66 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
634 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 55 55 PHAPROS, PT
635 13002563 SPIROLACTON 25MG TAB@100 DUS 100 #N/A 15 15 PHAPROS, PT
636 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 2 2 KIMIA FARMA
637 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 2 2 KIMIA FARMA
638 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 36,037 33 33 DARYA VARIA, PT
639 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 #N/A 0 0 KIMIA FARMA
640 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 50 50 PHAPROS, PT
641 12006932 SUKRALFAT SUSP 500 MG/5 ML, 100 ML BT 1 8,525 2 2 MEPROFARM
642 11000268 SULFADOXINE PYRIMETHAMINE (DUS 100 TAB) DUS 100 97,147 0 0 KIMIA FARMA
643 12009812 SUMAGESIC 600 MG TAB @ 100 (UN (DVRS) DUS 100 49,600 60 60 DARYA VARIA, PT
644 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 18 18 DARYA VARIA, PT
645 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,036 1,250 1,250 KASA HUSADA WIRA JATIM, PT
646 13026495 SYNFONIA 24 TAB NUF STR 1 156,000 6 6 NUFARINDO, PT
647 12009914 TABLET TAMBAH DARAH (PEHA) DUS 30 9,540 48 48 PHAPROS, PT
648 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 14 14 KIMIA FARMA
649 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 51 51 PHAPROS, PT
650 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 41 41 PHAPROS, PT
651 13003109 TEBOKAN SPECIAL CAP@30 DUS 30 335,475 15 15 PHAPROS, PT
652 11001243 TENOFOVIR DISOPROXIL FUMARATE TSS BT 30 61,091 10 10 KIMIA FARMA
653 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 320,000 20 20 PRATAPA NIRMALA
654 12010407 TERRELL INHALER 250ML (FAH) BT 1 1,530,000 45 45 PRATAPA NIRMALA
655 11000130 TETRACYCLINE 500 MG (DUS 100 KAPS) DUS 100 95,000 36 36 KIMIA FARMA
656 12009916 TETRACYCLINE 500 MG @100 KPS (PEHA) DUS 100 69,600 1 1 PHAPROS, PT
657 12009937 THERASORB C 10CM X 10CM (DVRS) DUS 10 700,000 4 4 DARYA VARIA, PT
658 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 6 6 MOLEX AYUS, PT
659 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 16 16 MOLEX AYUS, PT
660 13010061 TIARYT INJ AMP@5 (FAH) DUS 5 130,000 49 49 PRATAPA NIRMALA
661 11000132 TOPGESIC 500 MG TABLET SALUT SELAPUT DUS 100 180,000 22 22 KIMIA FARMA
662 13076813 TRAMPARA TAB@30 DUS 30 145,000 91 91 PHAPROS, PT
663 13008015 TRAMSET KPL@30 (FAH) DUS 30 210,000 64 64 PRATAPA NIRMALA
664 12008526 TRIHEXYPHENIDYL 2 MERSI DUS #N/A #N/A 50 50 MERSIFARMA
665 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 65,000 128 128 KIMIA FARMA
666 13010118 TRIXON INJ 1GR VL 1 55,000 272 272 PHAPROS, PT
667 12007665 TUBERCULIN PPD RT 23 SSI VL 1 702,250 15 15 BIOFARMA
668 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 943 943 BUSANA UTAMA, PT
669 12000346 UTAMA KAPAS PEMBALUT 50 GR PAC 1 3,850 1 1 BUSANA UTAMA, PT
670 12000355 UTAMA KASA HYDROPHILE 4 X 7 CM RLL 1 2,070 300 300 BUSANA UTAMA, PT
671 12000356 UTAMA KASA HYDROPHILE 4 X 8 CM RLL 1 2,350 2,300 2,300 BUSANA UTAMA, PT
672 11000292 VAGIZOLE OVULA DUS 5 55,000 42 42 KIMIA FARMA
673 12007629 VAKSIN BCG KERING AMP 1 235,000 10 10 BIOFARMA
674 12007659 VAKSIN CAMPAK KERING VL 1 140,000 11 11 BIOFARMA
675 12007660 VAKSIN HEPATITIS B REKOMBINAN 1 ML POU 1 35,560 30 30 BIOFARMA
676 12008932 VAKSIN POLIOMYELITIS INAKTIF ( IPV ) DUS 10 3,000,000 3 3 BIOFARMA
677 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 90,000 41 41 KIMIA FARMA
678 11002134 VALSARTAN 80 MG DUS 30 TAB - BJN DUS 30 60,000 133 133 KIMIA FARMA
679 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 400,000 340 5 345 PRATAPA NIRMALA
680 12004993 VASCON INJ AMP@5 (FAH) DUS 5 475,000 120 30 150 PRATAPA NIRMALA
681 12011812 VASOLA 0,5 ML @5 VL (FAH) DUS 5 1,250,000 358 358 PRATAPA NIRMALA
682 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 50 50 PRATAPA NIRMALA
683 11000355 VENUS BODY MILK 100 ml EKST. BENGKOANG BOX 1 13,090 6 6 KIMIA FARMA
684 11000356 VENUS BODY MILK 100 ml EKST.GREEN TEA BOX 36 13,090 22 22 KIMIA FARMA
685 11001093 VENUS BODY SERUM ANTIAGING DUS 1 17,000 34 34 KIMIA FARMA
686 11000357 VENUS CLEANS GEL OILY SKIN 100 DUS 1 28,100 8 8 KIMIA FARMA
687 11000358 VENUS CLEANS GEL OILY SKIN 50 DUS 6 16,200 15 15 KIMIA FARMA
688 11000359 VENUS CLEANS MILK NORMAL 100 DUS 6 25,100 42 42 KIMIA FARMA
689 11000360 VENUS CLEANS MILK NORMAL 50 DUS 6 14,100 3 3 KIMIA FARMA
690 11000361 VENUS COMPACT NO.1 INVISIBLE BOX 72 38,300 1 1 KIMIA FARMA
691 11000363 VENUS COMPACT NO.3 IVORY BOX 72 38,300 7 7 KIMIA FARMA
692 11001214 VENUS COOL GEL BANDEED TONER BOX 1 28,100 6 6 KIMIA FARMA
693 11001213 VENUS COOL MILK BANDEED TONER BOX 1 25,100 6 6 KIMIA FARMA
694 11001961 VENUS FLAWLESS MATTE CUSHION NO. 1 BOX 48 90,700 8 8 KIMIA FARMA
695 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 BOX 48 90,700 3 3 KIMIA FARMA
696 11001963 VENUS FLAWLESS MATTE CUSHION NO. 3 BOX 48 90,700 9 9 KIMIA FARMA
697 11001964 VENUS FLAWLESS MATTE CUSHION NO. 4 BOX 48 90,700 6 6 KIMIA FARMA
698 11000370 VENUS LP DYNAMIC NO.1 INVISIBLE DUS 12 38,625 31 31 KIMIA FARMA
699 11000371 VENUS LP DYNAMIC NO.2 NAT.BEIGE DUS 12 38,625 6 6 KIMIA FARMA
700 11000372 VENUS LP DYNAMIC NO.3 IVORY DUS 12 38,625 3 3 KIMIA FARMA
701 11000373 VENUS REFILL COMPACT NO. 01 INVISIBLE DUS 12 27,200 6 6 KIMIA FARMA
702 11000375 VENUS REFILL COMPACT NO. 03 IVORY DUS 12 27,200 43 43 KIMIA FARMA
703 11000376 VENUS REFILL TWC NO.1 TRANSLUCENT DUS 12 47,500 54.833 55 KIMIA FARMA
704 11000377 VENUS REFILL TWC NO.2 NATURAL DUS 12 47,500 58 58 KIMIA FARMA
705 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE DUS 12 47,500 3 3 KIMIA FARMA
706 11001144 VENUS SOFT MATTE LIPCREAM NO.2 DUS 12 38,389 0 0 KIMIA FARMA
707 11001431 VENUS SOFTMATTE LIPCREAM 12 DUS 1 38,389 21 21 KIMIA FARMA
708 11001432 VENUS SOFTMATTE LIPCREAM 13 DUS 1 38,389 0 0 KIMIA FARMA
709 11001653 VENUS SOFTMATTE LIPCREAM 14 DUS 12 38,389 22 22 KIMIA FARMA
710 11001654 VENUS SOFTMATTE LIPCREAM 15 DUS 1 38,389 35 35 KIMIA FARMA
711 11001655 VENUS SOFTMATTE LIPCREAM 16 DUS 12 38,389 10 10 KIMIA FARMA
712 11001656 VENUS SOFTMATTE LIPCREAM 17 DUS 12 38,389 12 12 KIMIA FARMA
713 11001657 VENUS SOFTMATTE LIPCREAM 18 DUS 12 38,389 7 7 KIMIA FARMA
714 11000776 VENUS TWC NO.02 BANDEED REFILL DUS 12 61,091 66 66 KIMIA FARMA
715 11000379 VENUS TWC NO.1 TRANSLUCENT DUS 12 61,091 102 102 KIMIA FARMA
716 11000380 VENUS TWC NO.2 NATURAL DUS 12 61,091 38 38 KIMIA FARMA
717 11000381 VENUS TWC NO.3 PORCELEIN DUS 12 61,091 26 26 KIMIA FARMA
718 11001941 VENUS VELVET MATTE LIPSTICK NO.1 BOX 1 39,900 2 2 KIMIA FARMA
719 11002040 VENUS VELVET MATTE LIPSTICK NO.10 BOX 1 39,900 2 2 KIMIA FARMA
720 11002041 VENUS VELVET MATTE LIPSTICK NO.11 BOX 72 39,900 3 3 KIMIA FARMA
721 11002042 VENUS VELVET MATTE LIPSTICK NO.12 BOX 72 39,900 2 2 KIMIA FARMA
722 11002043 VENUS VELVET MATTE LIPSTICK NO.13 BOX 72 39,900 3 3 KIMIA FARMA
723 11002044 VENUS VELVET MATTE LIPSTICK NO.14 BOX 72 39,900 1 1 KIMIA FARMA
724 11001942 VENUS VELVET MATTE LIPSTICK NO.2 BOX 1 39,900 2 2 KIMIA FARMA
725 11002033 VENUS VELVET MATTE LIPSTICK NO.3 BOX 1 39,900 2 2 KIMIA FARMA
726 11002034 VENUS VELVET MATTE LIPSTICK NO.4 BOX 1 39,900 3 3 KIMIA FARMA
727 11002035 VENUS VELVET MATTE LIPSTICK NO.5 BOX 1 39,900 2 2 KIMIA FARMA
728 11002036 VENUS VELVET MATTE LIPSTICK NO.6 BOX 1 39,900 3 3 KIMIA FARMA
729 11002037 VENUS VELVET MATTE LIPSTICK NO.7 BOX 1 39,900 3 3 KIMIA FARMA
730 11002038 VENUS VELVET MATTE LIPSTICK NO.8 BOX 1 39,900 3 3 KIMIA FARMA
731 11002039 VENUS VELVET MATTE LIPSTICK NO.9 BOX 72 39,900 3 3 KIMIA FARMA
732 11001394 VENUS WATERSHINE LIPSTICK NO.2 DUS 12 28,633 1 1 KIMIA FARMA
733 11001395 VENUS WATERSHINE LIPSTICK NO.3 DUS 12 28,633 1 1 KIMIA FARMA
734 11001396 VENUS WATERSHINE LIPSTICK NO.4 DUS 12 28,633 11 11 KIMIA FARMA
735 11001397 VENUS WATERSHINE LIPSTICK NO.5 DUS 12 28,633 11 11 KIMIA FARMA
736 11001398 VENUS WATERSHINE LIPSTICK NO.6 DUS 12 28,633 12 12 KIMIA FARMA
737 11001400 VENUS WATERSHINE LIPSTICK NO.8 DUS 12 28,633 1 1 KIMIA FARMA
738 11001402 VENUS WATERSHINE LIPSTICK NO10 DUS 12 28,633 1 1 KIMIA FARMA
739 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS 100 43,550 5 5 KIMIA FARMA
740 12000886 VICEE GRAPE TAB @ 100 (UN) DUS 100 57,173 210 210 DARYA VARIA, PT
741 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 57,173 61 61 DARYA VARIA, PT
742 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 57,173 101 101 DARYA VARIA, PT
743 12005698 VINERTON CAP@100 (PYRIDAM) DUS 100 182,000 47 47 PYRIDAM, PT
744 13011058 VIOXY FM TAB@30 (FAH) DUS 30 135,000 53 53 PRATAPA NIRMALA
745 12009965 VIT.B1 100 MG/ML INJ @30 AMP (PEHA) DUS 30 45,360 22 22 PHAPROS, PT
746 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 5,050 300 - 5,350 PIHAK 3
747 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS 100 23,700 426 426 KIMIA FARMA
748 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS 100 18,343 200 124 324 KIMIA FARMA
749 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 5,182 44 44 MARIN LIZA
750 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS 100 12,800 940 50 990 KIMIA FARMA
751 12010152 VITAMIN C 250 MG @ 100 TAB (PEHA) DUS 100 33,600 64 64 PHAPROS, PT
752 12011955 VITAMIN C 50 MG (MARIN) DUS 100 - - 99 99 MARIN LIZA
753 12009918 VITKA INFANT 2 MG/ML INJ 10 AMP (PEHA) DUS 10 63,500 67 67 PHAPROS, PT
754 12003776 WIDA KN - 2 500 ML BT 1 15,015 1,772 1,772 WIDATRA BHAKTI, PT
755 12010412 XOLMETRAS 350MG INF 50ML (FAH) VL 1 275,000 50 50 PRATAPA NIRMALA
756 13002873 YOSENOB 300MG TAB@50 NUF DUS 50 375,000 10 10 NUFARINDO, PT
757 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 48,000 49 49 PHAPROS, PT
758 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS 100 43,180 134 134 KIMIA FARMA
Kontrak Tender
Material Isi Harga Reg Rutin BPJS E Cat
No Material Description UoM E Cat Rutin Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00)
(20) (98)
NB :
* Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
12008577 1527-0 TRANSPORE 99 202206AO99 6/1/2022 9/10/2018 0006 72
12008574 1533-0 MICROPORE SKIN TONE 99 202302AK99 3/1/2023 1/23/2019 0006 48
12008576 1533-2 MICROPORE SKIN TONE 99 202301AB99 2/1/2023 1/23/2019 0006 12
11000000 ACYCLOVIR 200 MG (DUS 100 TAB) 99 H12512J99 8/31/2023 11/11/2021 0005 2,100
11000000 ACYCLOVIR 200 MG (DUS 100 TAB) 99 H12513J99 8/31/2023 11/29/2021 0005 32,500
12009700 ACYCLOVIR 200MG @50 TAB (PEHA) 99 4630300499 8/28/2023 11/11/2021 0005 2,500
11000002 ACYCLOVIR 400 MG (DUS 100 TAB) 20 IE2035J20 4/30/2022 6/7/2017 0005 14,600
11000002 ACYCLOVIR 400 MG (DUS 100 TAB) 99 J73100J99 10/23/2022 1/24/2019 0005 19,300
13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) 20 4630402920 11/1/2023 12/20/2021 0005 50,000
13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) 00 4630403200 11/1/2023 12/20/2021 0005 1,500
13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) 20 4630403220 11/1/2024 12/20/2021 0005 2,500
13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) 20 4630403320 11/1/2023 12/20/2021 0005 12,500
13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) 99 4630404399 11/13/2023 12/31/2021 0005 2,500
13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) 20 4630404920 11/17/2023 12/31/2021 0005 5,000
13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) 20 4630405020 11/18/2023 12/31/2021 0005 10,000
11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM98 181215098 12/30/2022 12/23/2020 0005 300
12007573 AGANI NEEDLE 20GX38MM 02 18041502 3/31/2023 12/27/2018 0006 1,394
12007574 AGANI NEEDLE 21GX38MM 99 18061599 5/31/2023 12/17/2019 0006 1,594
12007578 AGANI NEEDLE 25GX16MM 02 18041502 3/31/2023 12/27/2018 0006 100
11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) 99 G90163BI99 7/11/2022 3/30/2021 0005 10,000
11000145 ALBENDAZOL 400 MG (DUS 100 TAB KUNYAH) 99 K90280BI99 11/7/2022 3/30/2021 0005 71,600
11000006 ALERGINE 10 MG TABLET SALUT SELAPUT 99 I13238J99 9/13/2024 11/30/2021 0005 600
11002211 ALERGINE 5 MG/ 5 ML SIRUP 99 K11619BJ99 10/31/2026 12/15/2021 0005 100
12004560 ALKOHOL 70% 100ML MOL 99 A04DN00799 11/30/2026 1/10/2022 0005 200
13029465 ALKOHOL 70% 300ML MOL 99 A05CD06799 12/30/2025 9/9/2021 0005 141
12000705 ALLERIN EXPECTORANT 60 ML (UN) 99 1A11885V99 9/30/2023 12/23/2021 0003 20
12000705 ALLERIN EXPECTORANT 60 ML (UN) 99 1AH1628V99 8/31/2026 12/23/2021 0003 4
12005597 ALLOPURINOL 100MG TAB@100 (NOVA) 98 2009061098 9/30/2022 11/24/2020 0005 500
12008443 ALPARA KPL@150 MOL 99 A06DO19399 10/30/2024 12/15/2021 0003 56,250
13008405 ALPARA SYR 60ML MOL 99 A08DL01499 7/30/2023 9/14/2021 0005 21
12008485 ALPHAMOL SYR 60ML MOL 99 A11DN01499 11/30/2025 1/10/2022 0005 300
11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) 99 I13214J99 9/14/2025 11/29/2021 0002 4,600
11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) 99 J13588J99 10/25/2025 12/14/2021 0002 12,400
11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) 99 I13083J99 9/8/2025 11/16/2021 0002 8,300
13010280 AMAROPO PLUS KPL@100 99 4609500499 2/18/2024 11/24/2021 0005 1,200
11000147 AMBROXOL 30 MG (DUS 100 TAB) 98 G11103BJ98 6/24/2023 9/7/2021 0005 4,400
11000147 AMBROXOL 30 MG (DUS 100 TAB) 99 G11136BJ99 7/30/2023 1/10/2022 0005 52,000
12005598 AMBROXOL 30MG TAB@100 (NOVA) 98 2111021498 11/30/2023 12/17/2021 0005 60,000
12009822 AMBROXOL HCL 15 MG/5 ML SYR @60 ML(PEHA)99 3681002399 8/31/2022 8/24/2021 0005 5
11000149 AMBROXOL SIRUP (BTL 60 ML) 99 B00058BJ99 1/14/2023 12/23/2020 0005 440
11000149 AMBROXOL SIRUP (BTL 60 ML) 98 I90085BJ98 8/31/2022 9/14/2020 0005 4
11000149 AMBROXOL SIRUP (BTL 60 ML) 99 I90085BJ99 8/31/2022 6/30/2021 0005 526
11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN 99 G10080N99 6/22/2024 11/29/2021 0005 24
12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) 99 4680800899 6/21/2024 8/24/2021 0005 5
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 99 B10129BJ99 1/17/2025 12/15/2021 0005 12,250
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 00 D10469BJ00 3/8/2025 6/29/2021 0005 16,500
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 99 D10471BJ99 3/12/2025 7/8/2021 0005 7,250
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 00 F10756BJ00 5/10/2025 8/14/2021 0005 28,000
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 00 F10760BJ00 5/12/2025 8/14/2021 0005 126,950
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 98 G10916BJ98 6/9/2025 10/13/2021 0005 8,500
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 99 I11400BJ99 8/17/2025 1/10/2022 0005 50,000
11000151 AMLODIPINE 10 MG (DUS 50 TAB) 99 I11265BJ99 8/2/2025 1/10/2022 0005 50,000
12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) 99 4646500599 7/7/2023 9/2/2021 0005 450
12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) 99 4646500899 9/23/2023 11/24/2021 0005 12,150
12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) 99 4646501299 10/14/2023 11/11/2021 0005 540
12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) 99 4646501499 11/1/2023 12/20/2021 0005 3,000
12011452 AMOXICILIN DRY SYRUP 125MG/5ML (MERSI) 00 B1017200 10/14/2024 12/15/2021 0005 887
12011452 AMOXICILIN DRY SYRUP 125MG/5ML (MERSI) 00 B1017300 10/14/2024 12/15/2021 0005 113
11000011 AMOXICILLIN 500 MG (DUS 100 TAB) 99 K13935J99 11/3/2023 12/15/2021 0005 1,200
11000011 AMOXICILLIN 500 MG (DUS 100 TAB) 99 K13936J99 11/3/2023 12/15/2021 0005 2,400
12002758 AMOXICILLIN 500 MG KAPLET 98 TAMXE12798 10/31/2023 12/31/2021 0005 1,800
12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) 00 B1015900 10/30/2024 11/30/2021 0005 500
13008755 AMOXYCILLIN 1GR INJ GPH 99 3643500299 7/9/2025 10/28/2020 0005 30
13011167 AMPICILLIN 1GR INJ GPH (PEHA) 99 4643603399 3/18/2025 7/9/2021 0005 50
12005640 ANEMOLAT TAB @ 100 99 4613700699 6/22/2023 8/24/2021 0005 26,800
11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN 98 F10066N98 6/30/2023 12/15/2021 0005 240
11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN 99 F10066N99 6/30/2023 12/15/2021 0005 553
12008528 ANTASIDA DOEN TAB MERSI 00 A1205500 11/30/2024 12/29/2021 0005 25,000
12002027 ANTASIDA SUSP 60 ML (LUCAS) 20 20SJ02820 9/30/2022 3/29/2021 0005 1,193
12002027 ANTASIDA SUSP 60 ML (LUCAS) 20 20SJ03720 9/30/2022 3/29/2021 0005 138
11001948 ANTIFECT HAND SANITIZER SPRAY 60ML 99 H12465W99 8/31/2023 9/27/2021 0006 1,344
11002117 ANTIFECT POVIDONE IODINE 15 ML 99 F11665W99 5/12/2026 11/30/2021 0005 220
11001598 ANTIFECT POVIDONE IODINE 30 ML 99 E01653W99 5/12/2023 9/27/2021 0005 67
11001599 ANTIFECT POVIDONE IODINE 60 ML 99 D00509W99 4/7/2023 11/18/2020 0005 210
11000291 ANTIHEMOROID (DUS 10 SUPP) 00 E11482W00 5/27/2023 7/8/2021 0005 50
11000291 ANTIHEMOROID (DUS 10 SUPP) 00 F11629W00 6/17/2023 8/24/2021 0005 10
11000291 ANTIHEMOROID (DUS 10 SUPP) 00 K13389W00 11/16/2023 12/29/2021 0005 1,550
13019850 ANTIMO ANAK STRAWBERRY@10 99 4614101799 5/28/2023 9/2/2021 0005 990
12005096 ANTIMO DEWASA TAB 99 4600214399 10/22/2026 12/10/2021 0005 99,360
12005096 ANTIMO DEWASA TAB 99 4600214699 10/23/2026 12/10/2021 0005 37,440
12009835 AQUA PRO INJ @10 VL (PEHA) 99 4631600499 8/27/2026 11/24/2021 0005 200
12005673 ARKINE 2MG KPL@100 (PYRIDAM) 99 BK03599 2/28/2022 4/19/2020 0005 3,000
12000114 ARTESUNATE INJEKSI 60 MG/ML 99 LA21104899 9/15/2024 12/29/2021 0005 5,553
12010279 ARVEN CAP@30 (PYRIDAM) 99 JP22999 11/30/2023 1/10/2022 0005 150
13070421 ASAM TRANEKSAMAT 250MG INJ GNV (NVLL) 98 ITACA10098 2/28/2023 12/31/2021 0005 250
12004756 ASEDAS SYRUP 60 ML (PYRIDAM) 99 HP06799 8/30/2023 1/10/2022 0005 27
11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL 99 G10974BJ99 8/2/2023 11/30/2021 0005 2,730
11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL 99 I11464BJ99 8/21/2023 1/10/2022 0005 9,000
12000709 ASMASOLON TABLET @ 100 (UN) 99 2119330199 9/7/2024 12/30/2021 0003 4,800
12000710 ASPILET CHEWABLE @ 100 TAB 99 1523290199 5/26/2018 9/30/2016 0005 0
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
12000710 ASPILET CHEWABLE @ 100 TAB 99 1619150199 5/3/2019 5/3/2017 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1619890199 5/3/2019 5/13/2017 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1706710199 9/27/2019 12/13/2017 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1715470199 1/20/2020 2/2/2018 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1720277299 3/4/2020 4/28/2018 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1721820199 4/10/2020 4/23/2018 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1802010199 7/23/2020 7/23/2018 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1807130199 10/5/2020 9/14/2018 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1808140199 10/21/2020 2/6/2019 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1810970199 12/6/2020 12/17/2018 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1815650199 2/28/2023 2/7/2019 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1820530299 5/6/2021 4/11/2019 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 1911780199 12/14/2021 11/14/2019 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 2000940199 7/10/2022 10/21/2020 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 2011820199 11/30/2022 10/28/2020 0005 0
12000710 ASPILET CHEWABLE @ 100 TAB 99 2103500199 8/16/2023 8/10/2021 0005 500
12000710 ASPILET CHEWABLE @ 100 TAB 99 2116550199 2/1/2024 11/4/2021 0005 100
12000710 ASPILET CHEWABLE @ 100 TAB 99 2116560199 2/2/2024 10/9/2021 0005 0
12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) 99 2103500199 8/16/2023 10/11/2021 0005 0
13002690 ATOFAR 10MG TAB@30 (FAH) 99 FET0831299 5/30/2023 9/27/2021 0005 240
11001586 ATORVASTATIN 10 MG 99 E11500J99 5/22/2023 11/29/2021 0005 13,230
12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) 99 UX0A12699 7/31/2022 11/24/2020 0005 3,400
11001587 ATORVASTATIN 20 MG 99 I13255J99 9/18/2023 11/30/2021 0005 3,930
11001588 ATORVASTATIN 40 MG 99 K03566J99 11/19/2022 11/29/2021 0005 2,430
11002183 AVICOV 200 MG TSS 99 H10160N99 8/9/2022 8/25/2021 0005 7,000
12000143 AXIMED AIRFLOW TUB, ETT 3.0 02 2018071102 7/10/2023 7/12/2019 0006 618
12000143 AXIMED AIRFLOW TUB, ETT 3.0 02 2019050402 5/30/2024 7/29/2020 0006 291
12000144 AXIMED AIRFLOW TUB, ETT 3.5 02 2018060502 6/4/2023 3/12/2020 0006 374
12000145 AXIMED AIRFLOW TUB, ETT 4.0 02 2019011302 1/12/2024 7/12/2019 0006 287
12000145 AXIMED AIRFLOW TUB, ETT 4.0 02 2019050402 5/3/2024 12/16/2021 0006 610
12000146 AXIMED AIRFLOW TUB, ETT 4.5 02 2019050402 5/30/2024 7/12/2019 0006 965
12000147 AXIMED AIRFLOW TUB, ETT 5.0 02 2019050402 5/30/2024 7/12/2019 0006 909
12000148 AXIMED AIRFLOW TUB, ETT 5.5 02 2018071102 7/10/2023 7/12/2019 0006 740
12000149 AXIMED AIRFLOW TUB, ETT 6.0 02 2018060502 6/30/2023 9/3/2021 0006 932
12000150 AXIMED AIRFLOW TUB, ETT 6.5 02 2019050402 5/30/2024 3/19/2020 0006 830
12000151 AXIMED AIRFLOW TUB, ETT 7.0 02 2018060502 6/4/2023 1/13/2020 0006 610
12000152 AXIMED AIRFLOW TUB, ETT 7.5 02 2018071102 7/10/2023 5/20/2021 0006 570
12000153 AXIMED AIRFLOW TUB, ETT 8.0 02 2018050102 5/9/2023 7/12/2019 0006 133
12000117 AXIMED CHIRURGIC GLOVES, 6.0 02 345576002 3/1/2024 6/25/2021 0005 739
12000183 AXIMED FEEDING TUB 40CM NO.6 02 2018062002 6/30/2023 1/13/2021 0006 497
12000188 AXIMED FEMALE CATHETER NO. 16 02 2018052002 5/31/2023 11/9/2021 0006 478
12000189 AXIMED FEMALE CATHETER NO. 18 02 2018052002 5/31/2023 12/10/2021 0006 518
12000207 AXIMED FOLEYCATH 2-WAY NO.10 99 2018060599 6/4/2023 11/16/2020 0006 55
12000207 AXIMED FOLEYCATH 2-WAY NO.10 99 2018103099 10/29/2023 3/17/2020 0006 373
12000208 AXIMED FOLEYCATH 2-WAY NO.12 99 2016062899 6/27/2024 3/17/2020 0006 238
12000167 AXIMED PEDIATRIC SET 99 2019072699 6/1/2024 1/25/2021 0006 449
12000196 AXIMED STOMACH TUB NO.14 02 2018071102 7/31/2023 1/15/2020 0006 60
12000199 AXIMED STOMACH TUB NO.20 02 2017082002 8/31/2022 7/12/2019 0006 26
12000201 AXIMED SUCTION CATHETER NO.10 02 2018062002 6/30/2023 10/7/2019 0006 29
12000203 AXIMED SUCTION CATHETER NO.14 02 2018062002 6/30/2023 12/27/2019 0006 46
12000203 AXIMED SUCTION CATHETER NO.14 20 2021041520 4/1/2026 11/29/2021 0005 81
12000204 AXIMED SUCTION CATHETER NO.16 02 2018122002 12/1/2023 1/31/2020 0006 156
12000205 AXIMED SUCTION CATHETER NO.6 02 2018052002 5/31/2023 2/25/2020 0006 584
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 A10117J99 1/26/2026 3/17/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 A10118J99 1/26/2026 3/17/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 A70011J 1/4/2022 12/8/2017 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 A70013J 1/4/2022 1/8/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 A70013J 1/4/2022 1/8/2018 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 20 A70013J20 1/31/2022 12/22/2017 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 A70019J 1/9/2022 12/18/2017 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 B80312J00 2/18/2023 6/16/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 B80312J99 2/18/2023 10/9/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C10845J99 3/18/2026 4/26/2021 0005 40
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C10861J99 3/21/2026 5/25/2021 0005 40
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C70534J 3/16/2022 8/8/2017 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C70534J 3/16/2022 8/8/2017 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 20 C70535J20 2/28/2022 6/12/2017 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C70543J 3/20/2022 1/6/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C70543J 3/20/2022 1/6/2018 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C70547J 3/22/2022 1/6/2018 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 C70548J 3/22/2022 1/24/2019 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 D11224J99 4/25/2026 6/22/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 D70987J 4/21/2022 1/8/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 D70987J 4/21/2022 1/8/2018 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 D70988J 4/21/2022 1/8/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 E11594J99 5/23/2026 7/8/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 E11596J99 5/23/2026 7/24/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 E71189J 5/19/2022 1/8/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 20 E71190J20 4/30/2022 9/27/2017 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 F01455J00 6/17/2025 10/21/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 F01456J00 6/17/2025 10/21/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 F01718J99 6/21/2025 11/24/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 20 F01757J20 6/24/2025 12/7/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 98 F01757J98 6/24/2025 12/7/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 20 F01758J20 6/24/2025 12/7/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 F01758J99 6/24/2025 3/30/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 F01762J99 6/24/2025 12/24/2020 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 F11979J99 6/27/2026 7/19/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 F71367J 6/5/2022 2/6/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 G12216J99 7/21/2026 8/4/2021 0005 0
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 G12217J99 7/21/2026 8/4/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 G12220J99 7/21/2026 8/9/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 G12223J99 7/22/2026 8/10/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 G12310J99 7/30/2026 8/13/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 G71982J 7/26/2022 4/30/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 GE1530J 6/1/2020 6/29/2017 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 GE1530J 6/1/2020 6/29/2017 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 GE1532J 6/1/2020 11/9/2016 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 GE1532J 6/1/2020 11/9/2016 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H12324J99 8/1/2026 8/25/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H12329J99 8/2/2026 9/3/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H12473J99 8/7/2026 9/3/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H12478J99 8/8/2026 9/14/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H12490J99 8/13/2026 9/20/2021 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H12647J99 8/18/2026 9/25/2021 0005 9,800
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H72220J 8/23/2022 1/8/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H72220J99 8/23/2022 1/26/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H72221J 8/23/2022 1/9/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H72221J99 8/23/2022 1/31/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H72228J 8/25/2022 1/8/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 H72228J99 8/25/2022 1/31/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 I72366J 9/4/2022 2/23/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 I72366J00 9/4/2022 4/20/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 02 I72366J02 9/4/2022 10/15/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 I72366J99 9/4/2022 10/15/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 I72368J00 9/5/2022 5/23/2018 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 I72377J00 9/7/2022 2/2/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 J72949J99 10/10/2022 3/30/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 J72963J99 10/15/2022 5/28/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 K73300J00 11/12/2022 7/16/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 K73300J99 11/12/2022 6/13/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 K73301J99 11/12/2022 7/25/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 KE2690J 9/1/2020 2/13/2017 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 KE2690J 9/1/2020 2/13/2017 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 20 KG2193J20 8/31/2021 12/21/2016 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 L73874J00 12/3/2022 7/25/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 02 L73874J02 12/3/2022 7/25/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 00 L73875J00 12/3/2022 7/16/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 02 L73875J02 12/3/2022 11/28/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 20 L73875J20 12/3/2022 8/20/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 L73875J99 12/3/2022 7/25/2019 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 LG2286J 10/18/2021 4/22/2017 0005 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 LG2286J 10/18/2021 4/22/2017 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 LG2289J 10/24/2021 5/5/2017 DL01 0
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 99 LG2506J 10/25/2021 5/10/2017 DL01 0
11000157 BATUGIN ELIXIR -BT 120 ML 99 H11269BJ99 8/30/2024 11/29/2021 0005 0
13022661 BECEFORT SYR 60ML 99 4600400299 9/30/2023 11/24/2021 0005 63
11000323 BEDAK SALICYL 2% 60 gr 99 A00342S99 1/25/2025 3/4/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 A10100S99 1/27/2026 3/17/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 A10101S99 1/27/2026 3/17/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 A10102S99 1/28/2026 3/17/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 A70069S 1/19/2022 10/20/2017 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 A70069S 1/19/2022 10/20/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 A70070S 1/19/2022 8/31/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 A70070S 1/19/2022 8/31/2017 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 A80366S99 1/18/2023 9/24/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 A80367S99 1/18/2023 9/15/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 B00754S99 2/26/2025 6/26/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 B00755S99 2/26/2025 6/26/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 B10103S99 2/1/2026 3/17/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 B70195S 2/6/2022 1/6/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 B70195S 2/6/2022 1/6/2018 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 B90511S99 2/20/2024 4/10/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 B90512599 1/31/2024 9/19/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 B90512S99 2/20/2024 4/10/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 C00776S99 3/4/2025 6/26/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 C00777S99 3/4/2025 6/26/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 C00881S99 3/17/2025 6/26/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 C00882S99 3/18/2025 6/26/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 C70359S 3/2/2022 10/21/2017 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 C70359S 3/2/2022 10/21/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 C70360S 3/2/2022 1/6/2018 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 C70360S 3/2/2022 1/6/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 C91032S99 3/4/2024 5/28/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 CF0169S 3/1/2021 2/11/2017 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 CF0169S 3/1/2021 2/11/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 CF0170S 3/1/2021 2/24/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 D70707S 4/17/2022 1/6/2018 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 D70708S 4/17/2022 1/8/2018 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 D70708S 4/17/2022 1/8/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 D70708S99 4/17/2022 1/24/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 D70709S 4/17/2022 1/8/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 D70709S 4/17/2022 1/8/2018 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 F71008S 6/14/2022 1/8/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 F71009S 6/14/2022 1/8/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G10774S99 7/6/2026 8/24/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G10775S99 7/6/2026 8/24/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G10801S99 7/18/2026 8/14/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G10802S99 7/20/2026 8/14/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G10837S99 7/27/2026 9/7/2021 0005 0
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
11000323 BEDAK SALICYL 2% 60 gr 99 G71076S 7/13/2022 1/8/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G71155S 7/24/2022 1/8/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G71156S 7/25/2022 1/8/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 G92468S99 7/22/2024 9/24/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 H10875S99 8/4/2026 9/9/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 H81406S99 8/14/2023 9/29/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 H81407S99 8/15/2023 9/29/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 H81408S99 8/15/2023 10/15/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I11014S99 8/31/2026 11/30/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I11015S99 9/1/2026 11/30/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I11022S99 9/2/2026 11/30/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I11023S99 9/2/2026 11/30/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I11053S99 9/12/2026 11/30/2021 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I11126S99 9/19/2026 1/10/2022 0005 6,912
11000323 BEDAK SALICYL 2% 60 gr 99 I11127S99 9/19/2026 1/10/2022 0005 288
11000323 BEDAK SALICYL 2% 60 gr 99 I71550S99 9/27/2022 10/26/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I71553S 9/28/2022 1/20/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I81529S99 9/2/2023 10/29/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I81549S99 9/9/2023 11/13/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I81550S99 9/9/2023 11/13/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 I81551S99 9/9/2023 11/13/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 J01775S99 10/14/2025 11/24/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 J71618S 10/10/2022 2/13/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 J71619S 10/10/2022 2/13/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 J71620S 10/10/2022 2/13/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 K02007S99 11/26/2025 12/23/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 K02008S99 11/26/2025 12/23/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 K02009S99 11/26/2025 12/24/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 K02010S99 11/29/2025 12/24/2020 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 K60153S 11/7/2021 5/12/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 K60153S 11/7/2021 5/12/2017 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 K60166S 11/8/2021 7/11/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 20 K60166S20 4/30/2022 6/7/2017 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 K60253S 11/27/2021 8/12/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 20 K60253S20 4/30/2022 6/7/2017 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 L712039S99 11/30/2022 8/28/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 L72150S99 12/21/2022 9/29/2018 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 L82588S99 12/19/2023 3/15/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 L82589S99 12/20/2023 3/15/2019 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 LE0924S 12/1/2020 12/6/2016 0005 0
11000323 BEDAK SALICYL 2% 60 gr 99 LE0924S 12/1/2020 12/6/2016 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 LE0925S 12/1/2020 3/31/2017 DL01 0
11000323 BEDAK SALICYL 2% 60 gr 99 LE0926S 12/1/2020 11/9/2016 DL01 0
13001870 BENZATIN BENZIL PENICILLIN 2,4 00 4631902000 8/10/2023 10/11/2021 0005 40
13001870 BENZATIN BENZIL PENICILLIN 2,4 99 4631902099 8/10/2023 10/21/2021 0005 60
11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM99 K13246W99 11/10/2023 12/15/2021 0005 1,700
13011253 BETAMETASON CR 5GR GPH (PEHA) 99 4645503899 11/6/2025 12/30/2021 0005 200
11000385 BETASON CREAM (TUBE 5 GRAM) 98 J12920W98 10/6/2023 11/29/2021 0005 600
11000384 BETASON N CREAM (TUBE 5 GRAM) 99 L13630W99 12/1/2024 12/28/2021 0005 302
13010351 BEXICOM Z TAB@100 NUF 99 100306399 5/31/2024 12/23/2021 0005 2,000
13010351 BEXICOM Z TAB@100 NUF 99 100306499 5/31/2024 12/23/2021 0005 17,400
12007630 BIO TD 99 043062099 9/30/2023 6/30/2021 0013 20
12007631 BIO TT 99 028082199 3/30/2024 11/18/2021 0013 40
12011446 BIOAXI FACE MASK EAR LOOP @50 PCS 99 1001071199 7/1/2026 8/24/2021 0006 14,350
12000713 BIOGESIC BLISTER 100 S (UN) 99 2117910199 8/1/2026 12/22/2021 0005 1,500
12004482 BIOPLACENTON JELLY 98 F2000498 6/30/2023 9/8/2021 0005 200
13026576 BIORON TAB@100 99 4617700399 7/27/2025 11/24/2021 0005 5,300
12012264 BIOSALIVA (BIOFARMA) 99 681062199 6/30/2023 12/13/2021 0013 50
12006548 BIOSAVE ABU I 99 470022199 8/30/2023 11/24/2021 0013 2
12012222 BISACODYL 5MG TAB@100 00 1208002V00 9/16/2023 11/29/2021 0005 2,600
12012222 BISACODYL 5MG TAB@100 20 120800520 10/1/2023 11/29/2021 0005 5,000
12012222 BISACODYL 5MG TAB@100 00 120800600 10/3/2023 11/30/2021 0005 500
12012222 BISACODYL 5MG TAB@100 20 120800620 10/3/2023 11/30/2021 0005 45,400
12000269 BISOLVON 8 MG TAB @ 100 TAB 99 2107040599 7/31/2024 12/21/2021 0005 2,000
12000281 BISOLVON SOLUTION 99 2110052899 9/30/2024 12/21/2021 0005 21
13002936 BISOPROLOL FUMARAT 5MG @50 GHX 98 52C416398 2/28/2023 7/27/2021 0005 1,400
12007658 BIVALENT ORAL POLIOMYELITIS VACCINE 99 205392199 4/30/2023 11/18/2021 0013 50
12010616 BONEFILL ORTHO 99 4655103099 7/25/2023 12/20/2021 0005 45
12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) 99 FF060399 6/30/2023 12/15/2021 0005 85
13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) 99 FJ104399 10/31/2023 11/27/2021 0013 545
12000729 BURNAZIN CREAM 35 GR 99 1AJ219699 10/31/2024 12/10/2021 0005 2
12000283 BUSCOPAN 20 MG / ML INJ 99 C3785799 7/31/2025 12/21/2021 0005 250
12009839 CALCITRIOL 0,25 MCG @30 KPS (PEHA) 99 4682900199 10/31/2023 12/10/2021 0005 510
12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) 00 4683000600 9/30/2023 11/24/2021 0005 2,820
12009840 CALCITRIOL 0,5 MCG @30 KPS (PEHA) 00 4683001200 10/31/2023 12/10/2021 0005 1,650
11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) 99 G10006BM99 7/11/2026 10/13/2021 0005 3,600
11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) 99 I10070BM99 9/7/2023 12/15/2021 0005 3,400
12007796 CALCIUM LACTATE 500 MG TABLET 00 A1156200 9/30/2024 11/29/2021 0005 2,900
13073591 CALGAE KPL@30 (FAH) 99 FF053199 6/30/2023 9/27/2021 0005 870
13002401 CALSIVAS 10MG TAB@30 (FAH) 99 FIT226199 9/30/2024 11/30/2021 0005 30
13002400 CALSIVAS 5MG TAB@30 (FAH) 99 FGT0071199 7/30/2023 9/27/2021 0005 150
12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) 99 21KH00499 8/31/2023 9/9/2021 0005 30,000
12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) 99 21KH01399 8/30/2023 9/14/2021 0005 14,520
13081426 CANDEFAR 16MG TAB@30 (FAH) 99 LC117199 3/31/2022 9/30/2020 0005 180
12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) 20 4632302820 7/17/2023 11/5/2021 0005 19,900
11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) 99 D10546BJ99 3/22/2026 11/11/2021 0005 4,200
11000424 CAPTOPRIL 25 MG (DUS 100 TAB) 99 C10118BJ99 9/28/2025 11/29/2021 0005 43,000
11000424 CAPTOPRIL 25 MG (DUS 100 TAB) 99 C10119BJ99 2/28/2026 12/15/2021 0005 23,200
11000424 CAPTOPRIL 25 MG (DUS 100 TAB) 99 F00532B99 5/24/2025 2/19/2021 0005 10,000
12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) 20 4632406620 7/26/2023 9/21/2021 0005 15,000
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) 20 4632406920 7/26/2023 10/9/2021 0005 5,900
12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) 00 4632409500 8/21/2023 10/28/2021 0005 1,500
13002406 CARDISMO TAB@100 99 2609600199 2/20/2023 8/14/2020 0005 2,500
11000163 CARTYLO 80 MG-STRIP 10X10 TABLET 99 F10877BJ99 6/27/2024 8/14/2021 0005 500
11000022 CEFADROXIL 500 MG (DUS 50 KAPS) 99 J13736J99 10/29/2023 1/10/2022 0005 9,500
12005551 CEFADROXIL 500 MG @ 100 KAPS 98 KCFDC11498 5/31/2023 7/31/2021 0005 10,000
12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) 99 EX1M00599 6/30/2023 7/24/2021 0005 190
12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) 99 EX1M00699 6/30/2023 8/10/2021 0005 40
12009735 CEFAZOLIN SODIUM 1 G INJEKSI VL (DVRS) 00 XX0M01200 10/31/2022 3/29/2021 0005 180
12009736 CEFEPIME INJ 1 GR (DVRS) 99 DX1M00399 4/30/2023 6/19/2021 0005 120
12001205 CEFOTAXIME SI 500 MG @ 2 VIAL 02 100503502 5/31/2023 7/9/2020 0005 100
13011599 CEFTRIAXONE 1GR VIAL@2 GHX 98 PSL6535098 10/30/2023 12/16/2021 0005 3,500
12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) 99 4644305799 10/16/2023 12/10/2021 0005 7,740
12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) 98 4644305998 10/27/2023 12/18/2021 0005 300
12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) 99 4644306599 11/6/2023 12/31/2021 0005 3,000
12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) 99 4644307699 11/20/2023 12/30/2021 0005 3,000
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03004BK00 3/1/2022 4/2/2020 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03005BK00 3/1/2022 4/2/2020 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03007AJ00 3/1/2021 5/10/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I03007AJ20 3/1/2021 6/13/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I03008AJ20 3/1/2021 5/18/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03009AJ00 3/31/2021 5/10/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03020AJ00 3/1/2021 5/14/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03021AJ00 3/1/2021 5/10/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03022AJ00 3/1/2021 5/10/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03023AJ00 3/1/2021 6/13/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03024AJ00 3/1/2021 6/13/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03028AJ00 3/30/2021 5/20/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I03029AJ00 3/30/2021 5/20/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05004AH20 5/1/2020 6/2/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05010AH20 5/1/2020 7/16/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I05013AJ00 5/31/2021 7/15/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05014AJ20 5/31/2021 5/27/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I05017AJ00 5/31/2021 6/17/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05025AH20 5/1/2020 6/7/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05029AH20 5/30/2020 6/30/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05030AH20 5/30/2020 6/30/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05031AJ20 5/1/2021 8/14/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I05032AJ20 5/1/2021 7/24/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I06026AJ00 6/1/2021 7/29/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I07002AJ00 7/1/2021 8/13/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I07002AJ20 7/1/2021 8/13/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I07003AJ00 7/1/2021 8/30/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I07003AJ20 7/1/2021 8/13/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I07006AJ00 7/1/2021 8/21/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I07026AJ00 7/1/2021 8/16/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I08025AH00 8/30/2020 1/17/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I08028AH00 8/30/2020 10/16/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I08029AH00 8/30/2020 12/15/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I08035AH00 8/30/2020 9/17/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I09001BK00 9/1/2022 10/21/2020 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I09001BK20 9/1/2022 10/21/2020 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I09002AH20 9/30/2020 11/29/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I09013AH00 9/30/2020 11/29/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I09018AH00 9/30/2020 10/30/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I09018AH20 9/30/2020 11/17/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I11005AH20 11/30/2020 11/19/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 00 I11008AH00 11/30/2020 12/29/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 20 I11009AH20 11/30/2020 12/28/2018 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 98 ICFRA80598 12/31/2020 1/19/2019 0005 0
12008242 CEFTRIAXONE SODIUM SERBUK INJ 1G (RAMA) 98 P8H4804798 7/6/2020 1/19/2019 0005 0
12004089 CENDO ASTHENOF ED 5ML 99 1AS040699 4/30/2024 6/23/2021 0005 22
12004093 CENDO CARPINE 1% EYE DROP 5 ML 99 9C1082299 8/30/2022 1/31/2020 0005 29
12004095 CENDO CARPINE 2% EYE DROP 5 ML 99 9C2062699 6/6/2022 9/16/2019 0005 48
12004098 CENDO CATARLENT EYE DROP 15 ML 99 1CN090199 9/30/2023 12/20/2021 0005 41
12004099 CENDO CATARLENT EYE DROP 5 ML 99 1CA052099 5/30/2023 11/19/2021 0005 1
12004099 CENDO CATARLENT EYE DROP 5 ML 99 1CA081299 8/31/2023 12/20/2021 0005 49
12004103 CENDO CENFRESH EYE DROP 5 ML 99 1C072199 7/30/2024 12/20/2021 0005 186
12004104 CENDO CENFRESH MINIDOSE 5 X 0,6 ML 99 1C6112399 11/30/2024 12/20/2021 0005 94
12004120 CENDO EFRISEL 10% EYE DROP 5 ML 98 1E1020198 2/28/2023 6/23/2021 0005 38
12004120 CENDO EFRISEL 10% EYE DROP 5 ML 99 1E1020199 2/28/2023 6/23/2021 0005 95
12004122 CENDO EYEFRESH EYE DROP 5 ML 99 1EH030399 3/30/2024 11/10/2021 0005 17
12004122 CENDO EYEFRESH EYE DROP 5 ML 99 1EH031899 3/30/2024 11/19/2021 0005 40
12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML 99 1EH6081099 8/30/2024 11/10/2021 0005 4
12004124 CENDO EYEFRESH MINIDOSE 5 X 0,6 ML 99 1EH6090199 9/30/2024 11/19/2021 0005 60
12004126 CENDO FENICOL 0,25% EYE DROP 5 ML 99 1F2041999 4/30/2023 11/10/2021 0005 24
12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML 99 0F56091099 9/30/2022 2/3/2021 0005 19
12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML 99 0F56122299 12/30/2022 6/23/2021 0005 20
12004129 CENDO FENICOL 0,5% MINIDOSE 5 X 0,6 ML 99 9F56101199 10/30/2021 2/10/2020 0005 1
12004131 CENDO FLOXA EYE DROP 5 ML 99 1F3071599 1/31/2024 12/20/2021 0005 49
12004977 CENDO FLOXA MINIDOSE 5 X 0,6 ML 99 1F36111099 5/31/2024 12/20/2021 0005 81
12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML 99 0FL120299 12/30/2023 9/24/2021 0005 1
12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML 99 9FL013199 1/30/2021 9/27/2019 0005 96
12004135 CENDO GENTA 0,3% EYE DROP 5 ML 99 1G5081099 8/30/2024 12/20/2021 0005 47
12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM 99 12071699 7/31/2024 12/20/2021 0005 94
12004134 CENDO GENTA 0,3% EYE OINT 3,5 GRAM 99 92070299 7/30/2022 9/17/2019 0005 1
12004136 CENDO GENTA 0,3% MINIDOSE 5 X 0,6 ML 99 0G56042199 4/30/2023 10/17/2020 0005 3
12004137 CENDO GENTA 1% EYE DROP 5 ML 99 9G1052899 5/30/2021 9/26/2019 0005 4
12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML 99 0G16062999 6/30/2022 2/3/2021 0005 47
12004138 CENDO GENTA 1% MINIDOSE 5 X 0,6 ML 99 9G16051899 5/31/2021 10/29/2019 0005 80
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
12004140 CENDO GLAOPLUS MINIDOSE 5 X 0,6 ML 99 1GP6042199 4/30/2023 6/23/2021 0005 40
12005845 CENDO GLAUCON TAB@20 99 1GL2090799 9/30/2026 12/20/2021 0005 1,980
12004141 CENDO HERVIS EYE OINT 3,5 GRAM 99 03041499 4/30/2023 10/17/2020 0005 24
12004141 CENDO HERVIS EYE OINT 3,5 GRAM 99 93062799 5/5/2022 9/24/2019 0005 1
12004143 CENDO HOMATRO 2% EYE DROP 5 ML 99 0H11039999 11/30/2023 0005 7
12004143 CENDO HOMATRO 2% EYE DROP 5 ML 99 1H012899 1/30/2024 8/10/2021 0005 5
12004144 CENDO HYALUB EYE DROP 5 ML 99 1HA060299 6/30/2024 12/20/2021 0005 19
12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML 99 0LE6031999 3/30/2022 9/28/2020 0005 39
12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML 99 0LE6041599 4/30/2022 10/17/2020 0005 98
12004146 CENDO LENTIKULER MINIDOSE 5 X 0,6 ML 99 9LE6092599 9/30/2022 12/26/2019 0005 27
12004147 CENDO LFX EYE DROP 5 ML 99 1LF061899 12/30/2023 12/20/2021 0005 30
12004148 CENDO LFX MINIDOSE 5 X 0,6 ML 99 1LF6101599 4/30/2024 12/20/2021 0005 58
12004148 CENDO LFX MINIDOSE 5 X 0,6 ML 99 9LF6102199 4/30/2022 12/30/2019 0005 3
12004150 CENDO LUBRICEN MINIDOSE 5 X 0,6 ML 99 9LU6052299 5/30/2022 5/18/2020 0005 353
12004152 CENDO LYTEERS EYE DROP 15 ML 99 1L031599 3/30/2024 6/23/2021 0005 82
12004152 CENDO LYTEERS EYE DROP 15 ML 99 1L071499 7/30/2024 11/19/2021 0005 9
12004152 CENDO LYTEERS EYE DROP 15 ML 99 1L080999 8/30/2024 12/20/2021 0005 500
12004153 CENDO LYTEERS MINIDOSE 5 X 0,6 ML 99 1L6060299 6/30/2024 11/19/2021 0005 97
12004158 CENDO MYCOS EYE DROP 5 ML 99 1MY0219999 8/30/2022 0005 91
12004157 CENDO MYCOS EYE OINT 3,5 GRAM 99 15030399 3/30/2024 11/10/2021 0005 29
12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML 99 0MY6080499 2/28/2022 6/23/2021 0005 38
12004159 CENDO MYCOS MINIDOSE 5 X 0,6 ML 99 9MY6070699 1/31/2021 12/19/2019 0005 23
12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML 99 1M5060899 6/30/2024 12/20/2021 0005 13
12004160 CENDO MYDRIATYL 0,5% EYE DROP 5 ML 99 9M5052099 5/5/2022 8/16/2019 0005 1
12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML 99 1M022399 2/28/2024 8/19/2021 0005 5
12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0,6 ML 99 0M6090999 9/30/2023 6/23/2021 0005 80
12004165 CENDO NATACEN MINIDOSE 5 X 0,6 ML 99 0NA6120399 12/30/2022 8/9/2021 0005 34
12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML 99 1N6011599 1/30/2024 6/9/2021 0005 2
12004980 CENDO NONCORT MINIDOSE 5 x 0,6 ML 99 1N6012799 1/30/2024 6/23/2021 0005 100
13005497 CENDO P - PRED EYE DROP 5ML 99 1PP061199 6/30/2023 12/20/2021 0005 49
12004170 CENDO P - PRED MINIDOSE 5 X 0,6 ML 99 9PP6101699 10/30/2021 1/31/2020 0005 5
12004171 CENDO PANTOCAIN 0,5% EYE DROP 5 ML 99 9P1121399 12/30/2022 3/19/2020 0005 41
12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML 99 9P3120499 12/30/2022 3/30/2020 0005 10
12004174 CENDO POLYDEX EYE DROP 5 ML 99 1PX030999 9/30/2023 12/20/2021 0005 97
12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML 99 0PX6110499 5/30/2023 2/3/2021 0005 4
12004175 CENDO POLYDEX MINIDOSE 5 X 0,6 ML 99 1PX6061099 11/30/2023 12/20/2021 0005 50
12004176 CENDO POLYGRAN EYE DROP 5 ML 99 0PG0708999 1/30/2023 0005 3
12004176 CENDO POLYGRAN EYE DROP 5 ML 99 9PG120799 6/30/2022 6/16/2020 0005 5
12004178 CENDO POLYGRAN MINIDOSE 5 X 0,6 ML 99 0PG6070899 1/30/2023 5/19/2021 0005 3
12004179 CENDO POLYNEL EYE DROP 5 ML 99 9PL070899 1/30/2022 9/17/2019 0005 89
12004180 CENDO POLYNEL MINIDOSE 5 X 0,6 ML 99 0PL6112499 5/30/2023 6/23/2021 0005 4
12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML 99 0PD6111399 5/31/2023 6/23/2021 0005 6
12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML 99 0PD6111799 5/30/2023 11/10/2021 0005 14
12004181 CENDO POLYPRED MINIDOSE 5 X 0,6 ML 99 9PD6062099 12/30/2021 9/24/2019 0005 7
12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML 99 0PO6102399 4/30/2023 6/23/2021 0005 20
12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML 99 9PO6100299 4/30/2022 12/19/2019 0005 5
12004193 CENDO TIMOL 0,25% MINIDOSE 5 X 0,6 ML 99 0TI6081899 8/30/2023 11/19/2021 0005 1
12004194 CENDO TIMOL 0,5% EYE DROP 5 ML 99 1TM071599 7/30/2024 11/10/2021 0005 7
12004194 CENDO TIMOL 0,5% EYE DROP 5 ML 99 1TM092099 9/30/2024 12/20/2021 0005 50
12004195 CENDO TIMOL 0,5% MINIDOSE 5 X 0,6 ML 99 1TM6060399 6/30/2024 12/20/2021 0005 22
12004197 CENDO TOBRO EYE DROP 5 ML 99 0TO031199 3/30/2023 2/24/2021 0005 3
12004200 CENDO TOBROSON EYE DROP 5 ML 99 0TS071099 1/30/2023 6/23/2021 0005 45
12004201 CENDO TOBROSON MINIDOSE 5 X 0,6 ML 99 1TS6090699 3/30/2024 12/20/2021 0005 25
12006043 CENDO TONOR 0,5% MINIDOSE 5 X 0,6 ML 99 9TR6122799 12/30/2022 4/9/2020 0005 38
12004209 CENDO TROPINE 0,5% EYE DROP 5 ML 99 0T5022299 2/28/2023 10/17/2020 0005 24
12004210 CENDO TROPINE 0,5% MINIDOSE 5 X 0,6 ML 99 0T56090799 9/30/2023 6/23/2021 0005 38
12004207 CENDO VASACON EYE DROP 15 ML 99 0VN072799 7/30/2023 10/17/2020 0005 42
12004213 CENDO VERNACEL EYE DROP 5 ML 99 9VE042699 4/30/2022 12/19/2019 0005 1
12004213 CENDO VERNACEL EYE DROP 5 ML 99 9VE082799 8/31/2022 2/3/2021 0005 23
12005164 CENDO VITAL TAB@30 99 1VT2091599 9/30/2024 12/20/2021 0005 300
12005164 CENDO VITAL TAB@30 99 20VT022099 2/28/2023 7/24/2020 0005 120
12004222 CENDO XITROL EYE DROP 5 ML 99 1X05069999 11/30/2023 0005 1,068
12004222 CENDO XITROL EYE DROP 5 ML 99 1X082799 2/28/2024 12/20/2021 0005 893
12004224 CENDO XITROL EYE OINT 3,5 G 99 99071399 7/30/2022 7/17/2020 0005 140
12004223 CENDO XITROL MINIDOSE 5 X 0,6 ML 99 1X6021599 8/30/2023 6/9/2021 0005 85
12011966 CERVARIX (BIOFARMA) 99 AHPVA40899 1/1/2025 9/9/2021 0013 43
11000025 CETIRIZINE 10 MG (DUS 30 TAB) 98 F11687J98 6/9/2024 11/29/2021 0005 1,500
11000025 CETIRIZINE 10 MG (DUS 30 TAB) 99 F11687J99 6/9/2024 11/29/2021 0005 27,780
12010342 CETIRIZINE 10MG @100 TAB 98 EED12298 4/30/2023 7/30/2021 0005 5,000
12010342 CETIRIZINE 10MG @100 TAB 98 HTCTRC1298 4/30/2023 7/31/2021 0005 30,000
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T01126AH20 2/28/2020 7/27/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T02012AJ20 2/1/2021 6/17/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T02013AJ20 2/28/2021 5/8/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T02098BK00 2/1/2022 4/12/2020 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T03019AH00 3/1/2020 5/22/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T03024AJ00 4/1/2021 5/20/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T03119AH00 3/31/2020 6/27/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T04018BK20 4/1/2022 6/29/2020 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T04022AH00 4/30/2020 11/3/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T04069BK20 4/1/2022 8/4/2020 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T05018AH00 5/30/2020 7/23/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T05021AH20 5/1/2020 9/25/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T05035AJ00 5/30/2021 5/30/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T05038AJ20 5/31/2021 6/29/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T05110AJ20 5/31/2021 7/25/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T05111AJ20 5/31/2021 7/15/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T05112AJ20 5/31/2021 7/29/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T05113AJ20 5/31/2021 9/25/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T06075AJ20 6/1/2021 9/25/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T06076AJ20 6/1/2021 7/15/2019 0005 0
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T06092AJ20 6/30/2021 7/24/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T06094AJ20 6/30/2021 9/25/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T07113BK00 7/1/2022 10/21/2020 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T07113BK20 7/1/2022 10/21/2020 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T07116AH00 7/30/2020 9/10/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T07116AH20 7/30/2020 10/8/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T07117AH00 8/30/2020 9/28/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T07117AH20 8/30/2020 10/11/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T07118AJ20 7/1/2021 9/26/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 02 T07119AJ02 7/1/2021 8/13/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T07119AJ20 7/1/2021 9/26/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T07174AJ00 8/1/2021 8/21/2019 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T08029AH00 8/31/2020 11/26/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T08048AH20 8/30/2020 10/17/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T08055AH00 8/30/2020 12/5/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 99 T08055AH99 8/30/2020 9/25/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T08056AH20 8/30/2020 10/31/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T08064BK20 8/1/2022 10/21/2020 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T09065AH00 9/30/2020 11/26/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T09065AH20 9/30/2020 11/9/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 00 T10028AH00 10/30/2020 12/14/2018 0005 0
12008244 CETIRIZINE HCL TAB 10MG (RAMA) 20 T10037AH20 10/31/2020 1/17/2019 0005 0
11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) 99 K03628J99 11/26/2022 1/10/2022 0005 480
11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) 99 J13409J99 10/22/2023 1/10/2022 0005 475
11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM)98 K91971W98 11/3/2022 9/28/2020 0005 8
11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) 98 G10017BM98 7/16/2023 12/15/2021 0005 18,000
11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) 98 A80100B98 1/1/2022 12/19/2018 0005 34
12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) 98 2107011598 7/31/2023 7/31/2021 0005 7,000
12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) 99 2107091599 7/31/2023 9/14/2021 0005 20,000
12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) 98 2110031598 10/31/2023 11/26/2021 0005 10,000
12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) 99 2111021599 11/30/2023 12/17/2021 0005 29,300
12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA)98 3632900298 9/30/2022 8/13/2021 0005 30
12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA)99 4632900199 6/16/2023 12/31/2021 0005 30
12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) 00 4632800200 7/6/2024 8/7/2021 0005 100
12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) 98 4632800298 6/7/2024 9/25/2021 0005 6,300
11000169 CIMETIDINE 200 MG (DUS 100 TAB) 99 C10175BJ99 2/27/2025 11/30/2021 0005 22,700
11000169 CIMETIDINE 200 MG (DUS 100 TAB) 99 D10452BJ99 3/21/2025 11/11/2021 0005 3,200
12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) 99 2001151099 1/31/2022 3/4/2020 0005 16,500
12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) 99 2009031099 9/30/2022 11/18/2020 0005 11,900
12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) 99 2009061099 9/30/2022 11/18/2020 0005 16,400
13000698 CLATATIN 10MG TAB@30 MOL 99 C02DA00199 4/30/2023 8/24/2021 0005 4,050
12009858 CLINDAMYCIN 150 MG @50 KPS (PEHA) 99 4643700599 9/2/2025 11/11/2021 0005 3,250
13026471 CLINDAMYCIN 150MG TAB I GDX 98 51G041098 12/30/2023 5/25/2021 0005 2,000
12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( 00 A1124800 7/30/2024 9/9/2021 0005 5,000
11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) 00 G10998BJ00 6/17/2023 9/27/2021 0005 240
11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) 99 K11629BJ99 10/8/2023 12/15/2021 0005 34,800
11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN 99 I10199N99 9/30/2022 11/29/2021 0005 11,520
12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH99 4680903199 11/9/2024 12/31/2021 0005 6,420
11000033 CODEINE 10 MG (DUS 100 TAB) 00 D00610J00 4/23/2024 10/27/2020 0001 200
11000033 CODEINE 10 MG (DUS 100 TAB) 99 G12170J99 7/20/2025 11/1/2021 0001 7,600
11000033 CODEINE 10 MG (DUS 100 TAB) 99 J13575J99 10/6/2025 12/14/2021 0001 6,700
11000035 CODEINE 15 MG TAB (DUS 100 TAB) 99 A90081J99 1/30/2023 9/23/2020 0001 100
11000035 CODEINE 15 MG TAB (DUS 100 TAB) 99 B10284J99 2/7/2025 7/27/2021 0001 2,000
11000035 CODEINE 15 MG TAB (DUS 100 TAB) 99 B10521J99 2/25/2025 8/12/2021 0001 3,000
11000037 CODEINE 20 MG TAB (DUS 100 TAB) 99 G12175J99 7/20/2025 9/25/2021 0001 300
11000037 CODEINE 20 MG TAB (DUS 100 TAB) 99 J13582J99 10/8/2025 12/23/2021 0001 5,000
11000040 CODIKAF 20 MG TABLET 99 D00611J99 4/21/2024 11/14/2020 0001 300
11000041 CODIPRONT CUM EXPECT. KAPSUL 99 L03740J99 12/3/2024 9/25/2021 0001 150
11000042 CODIPRONT CUM EXPECTORANT SIROP 99 H92763J99 8/17/2023 9/25/2021 0001 20
11000044 CODIPRONT KAPSUL (100) 99 H13018J99 8/27/2026 11/1/2021 0001 500
11000045 CODIPRONT SIROP 99 I92953J99 9/8/2024 7/27/2021 0001 5
13010466 CORSEL KPL@30 (FAH) 99 FB188199 2/28/2023 7/24/2021 0005 390
12012247 CORSONA 4MG @30 TAB (PEHA) 99 4619400199 4/22/2023 8/7/2021 0005 450
13069238 COTRIMOXAZOLE 480MG TAB GPH (PEHA) 99 3633500299 1/31/2024 11/24/2021 0005 10,000
11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) 98 H10782BJ98 7/12/2026 9/27/2021 0005 5,000
11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) 99 H10782BJ99 8/11/2026 11/30/2021 0005 12,800
12008509 COTRIMOXAZOLE SUS MERSI 00 A1178100 9/30/2024 11/30/2021 0005 1,000
12008438 COTRIMOXAZOLE TAB MERSI 00 A1133300 8/30/2024 10/13/2021 0005 10,000
12008438 COTRIMOXAZOLE TAB MERSI 00 A1153600 9/30/2024 11/30/2021 0005 20,000
12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) 20 18IJ00320 9/30/2022 2/4/2019 0005 10
12002030 CYANOCOBALAMIN (VITB12) INJ500 (LUCAS) 02 19IK012A02 10/31/2023 4/1/2020 0005 100
12011731 D3-1000 TAB@30 (PYRIDAM) 99 GP15299 7/30/2023 8/18/2021 0005 13,500
12005932 D5 - MJB 500 ML 02 D202K1102 11/6/2023 12/19/2020 0005 16
12005932 D5 - MJB 500 ML 02 H212I1602 9/8/2023 10/11/2021 0005 160
12007305 DECATONA 30 MG KAPSUL 20 106402520 11/17/2024 12/15/2021 0005 1,500
12000771 DECOLGEN TAB @ 100 (UN) 99 2017290399 7/31/2022 10/28/2020 0003 700
12000771 DECOLGEN TAB @ 100 (UN) 99 2120960199 9/1/2024 12/23/2021 0003 1,700
12000772 DECOLSIN KAPSUL @ 100 (UN) 99 2122660299 10/15/2024 12/23/2021 0003 3,900
12000773 DECOLSIN SIRUP 60 ML (UN) 99 1AI198199 9/30/2023 12/23/2021 0003 24
12005496 DEXAMETHASONE INJ. 5 MG/ML 00 F0H66600 8/30/2022 9/30/2020 0005 4,000
13000718 DEXTAMIN TAB@100 99 4601402399 9/22/2024 11/11/2021 0005 1,800
13000720 DEXTAMINE 30X10'S 99 4601402099 9/6/2024 10/28/2021 0005 14,100
13000720 DEXTAMINE 30X10'S 99 4601402599 1/10/2024 12/10/2021 0005 17,400
13000719 DEXTAMINE SYRUP 60 ML 99 4601302199 11/10/2025 12/20/2021 0005 97
12006396 DEXTRAL SYRUP 60ML MOL 99 D05DG03099 8/30/2023 9/14/2021 0005 112
11000049 DIAZEPAM 2 MG (BTL 100 TAB) 99 J13574J99 10/11/2024 12/14/2021 0002 20,800
12006487 DIAZEPAM 5MG TAB@100 (MERSI) 00 A1162000 9/30/2025 10/16/2021 0002 500
12006487 DIAZEPAM 5MG TAB@100 (MERSI) 99 A1162199 9/30/2025 12/31/2021 0002 700
12008228 DIAZEPAM INJ 5MG/ML (MEPRO) 00 F1F21300 6/30/2023 7/31/2021 0002 220
11000187 DILTIAZEM 30 MG (DUS 100 TAB) 99 D10304BJ99 4/22/2026 7/24/2021 0005 22,900
Material Number Material Description Var.Cod. Batch SAP SLED/BBD Last Goods Receipt Storag Stock
e Unrestricte
Locati d
on
11000187 DILTIAZEM 30 MG (DUS 100 TAB) 99 D10305BJ99 4/23/2026 11/11/2021 0005 2,000
11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) 99 B90180B99 1/8/2024 3/30/2021 0005 2,500
11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) 99 E91162B99 4/19/2024 3/25/2021 0005 24,900
11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) 99 G91863B99 6/23/2024 3/31/2021 0005 300
11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) 99 G91864B99 6/23/2024 6/30/2021 0005 5,000
11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) 99 H92219B199 7/29/2024 5/8/2021 0005 70,000
11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN 00 B10009N00 2/16/2023 7/7/2021 0005 3,000
11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN 99 E10052N99 5/3/2023 11/11/2021 0005 800
11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN 99 E10053N99 5/4/2023 11/30/2021 0005 10,000
13002883 DIOS TAB@30 99 4615800199 4/10/2023 12/31/2021 0005 1,500
12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN00 190602D00 5/31/2024 11/4/2019 0006 700
12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC 00 190219R00 1/31/2024 7/19/2019 0006 2,500
12011117 DISPOSABLE MASK KN95 POUCH@5 PC 99 1010102199 4/30/2024 6/23/2020 0006 750
12004402 DOMPERIDON SYRUP 60 ML (HEXPHA 98 KLDPDA0298 4/30/2022 12/30/2020 0005 400
12002383 DOMPERIDONE 10MG TAB@100 (NOVA) 98 2106021498 6/30/2024 9/14/2021 0005 2,000
12002383 DOMPERIDONE 10MG TAB@100 (NOVA) 98 2107011498 7/31/2024 9/14/2021 0005 58,000
13003181 DORBIGOT TAB@100 NUF 99 111000399 9/30/2023 9/30/2021 0005 4,000
11000055 DOXEF 500 MG KAPSUL 99 K94172J99 11/3/2022 4/26/2021 0005 120
11000056 DOXYCYCLINE (DUS 100 KAPS) 99 I13164J99 9/8/2026 11/30/2021 0005 8,400
12000289 DULCOLACTOL SYR 60 ML 99 2105027499 6/30/2024 12/21/2021 0005 8
12000289 DULCOLACTOL SYR 60 ML 99 2107041999 7/31/2024 12/21/2021 0005 70
12000290 DULCOLAX 10 MG SUPP @ 50 99 2005048599 5/31/2024 7/26/2021 0005 2,800
12000292 DULCOLAX 5 MG ECT @200 TAB 99 2104021799 4/30/2024 12/21/2021 0005 1,200
12000292 DULCOLAX 5 MG ECT @200 TAB 99 2105025599 4/30/2024 12/21/2021 0005 5,000
12000292 DULCOLAX 5 MG ECT @200 TAB 99 2105029599 5/31/2024 12/21/2021 0005 1,400
12000293 DULCOLAX 5 MG ECT 80 TAB 99 2105029499 6/30/2024 11/18/2021 0005 2,000
12000293 DULCOLAX 5 MG ECT 80 TAB 99 2106035599 6/30/2024 12/21/2021 0005 1,600
12000294 DULCOLAX 5 MG SUPP. INF 6'S 99 2105026099 5/31/2025 12/21/2021 0005 48
12000294 DULCOLAX 5 MG SUPP. INF 6'S 99 2107043199 7/31/2025 12/21/2021 0005 60
11000497 DUROGESIC 25 MU MATRIX (YS) 99 LDB3G0099 3/1/2023 12/14/2021 0001 5
13009127 ELPICEF 1GR INJ VIAL@2 (FAH) 99 FE005799 5/30/2023 7/31/2021 0005 18
12005966 ENERVON - C TAB @ 30 (UN) 99 2120750499 9/18/2023 12/9/2021 0005 3,390
12000789 ENERVON C FC TAB @ 100 (UN) 99 2107520399 3/27/2023 9/2/2021 0005 1,000
12000789 ENERVON C FC TAB @ 100 (UN) 99 2116110399 7/19/2023 9/27/2021 0005 3,000
11002046 ENKASARI HERBAL (BTL@120 ML) 99 H11235BJ99 8/26/2025 1/10/2022 0005 240
11002046 ENKASARI HERBAL (BTL@120 ML) 99 I11502BJ99 9/19/2024 11/30/2021 0005 115
11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML 99 B10003S99 2/16/2023 9/7/2021 0005 171
11001595 ENKASARI MOUTHWASH CITRUSMINT 100 ML 99 B10008S99 2/16/2023 9/27/2021 0005 168
11001597 ENKASARI MOUTHWASH FRESHMINT 100 ML 99 C10002S99 3/18/2023 9/7/2021 0005 190
11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML 99 E10214S99 5/4/2023 9/7/2021 0005 92
11001594 ENKASARI MOUTHWASH FRESHMINT 250 ML 99 E10215S99 5/4/2023 9/27/2021 0005 84
11001596 ENKASARI MOUTHWASH PEPERMINT 100 ML 99 C10006S99 3/19/2023 9/27/2021 0005 352
11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML 99 E10211S99 5/3/2023 9/7/2021 0005 108
11001593 ENKASARI MOUTHWASH PEPERMINT 250 ML 99 E10212S99 5/3/2023 9/27/2021 0005 84
11001955 ENKASARI MOUTHWASH SIWAK 100 ML 99 K01883S99 11/12/2022 9/7/2021 0005 123
11001956 ENKASARI MOUTHWASH SIWAK 250 ML 99 K01884S99 11/13/2022 9/7/2021 0005 34
12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) 98 4634400798 9/16/2023 11/6/2021 0005 360
12005678 EPSONAL 50MG TAB@100 (PYRIDAM) 99 FP11499 6/30/2023 1/10/2022 0005 300
11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) 02 C90451B02 2/6/2022 12/4/2019 0003 500
11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) 99 J00586B99 10/5/2023 12/23/2021 0003 17,900
11001739 ERSYLAN EXPECTORANT 60ML - BJN 99 I00026N99 9/16/2022 7/27/2021 0003 215
11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN 99 F00023N99 6/29/2022 7/31/2021 0005 184
11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) 99 D11002J99 4/6/2026 11/29/2021 0005 22
12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) 00 710800500 9/30/2024 11/30/2021 0005 384
12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) 99 4682401199 7/9/2023 8/7/2021 0005 5
11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) 99 E10180BJ99 4/5/2026 8/14/2021 0005 13,300
11000310 EUGENOL (BTL 10 ML) 00 G82069WR00 9/26/2025 11/29/2021 0005 96
11000310 EUGENOL (BTL 10 ML) 20 H02799W20 8/2/2024 10/21/2020 0005 1
11000310 EUGENOL (BTL 10 ML) 00 I82687WR00 3/18/2025 10/13/2021 0005 5
13000734 FALERGI 10MG TAB@60 (FAH) 99 FG100199 7/30/2023 9/27/2021 0005 480
13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) 99 FD097399 4/30/2024 7/31/2021 0005 5
13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) 99 FJ083399 10/31/2023 12/15/2021 0005 185
13010537 FARBION TAB@100 (FAH) 99 FG177199 1/30/2025 9/14/2021 0005 9,000
13010537 FARBION TAB@100 (FAH) 99 FH117199 2/28/2025 9/27/2021 0005 5,000
12005971 FARGOXIN INJ AMP@5 (FAH) 98 FE051398 5/31/2024 9/9/2021 0005 25
12005971 FARGOXIN INJ AMP@5 (FAH) 99 LC101399 3/30/2023 6/22/2021 0005 5
13002090 FARLEV 500MG TAB@10 (FAH) 99 FC001199 3/30/2023 8/24/2021 0005 90
13009195 FARLEV 750MG INF 150ML (FAH) 99 LH0253199 8/30/2022 10/21/2020 0005 15
13002626 FARMABES 30MG TAB@100 (FAH) 99 MG210199 7/31/2022 1/29/2020 0005 7,000
13019746 FARMACROL FORTE SUSP 100ML (FAH) 99 FC112199 3/30/2023 6/22/2021 0005 0
13019746 FARMACROL FORTE SUSP 100ML (FAH) 99 FI106199 9/30/2023 11/29/2021 0005 24
13019746 FARMACROL FORTE SUSP 100ML (FAH) 99 FI107199 9/30/2023 11/30/2021 0005 300
13019747 FARMACROL FORTE SUSP 200ML (FAH) 99 FI108199 9/30/2023 11/29/2021 0005 135
13019747 FARMACROL FORTE SUSP 200ML (FAH) 99 FI109199 9/30/2023 11/30/2021 0005 300
13003188 FARMADOL 500MG TAB@100 (FAH) 99 FH072199 8/30/2023 9/27/2021 0005 4,700
13009198 FARMADOL INF 50ML (FAH) 99 FG088399 7/30/2023 9/27/2021 0005 142
12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) 99 FJ006399 10/31/2023 12/15/2021 0005 300
13009203 FARPAIN 30MG INJ AMP@5 (FAH) 99 FC050399 3/30/2023 6/22/2021 0005 50
12005973 FARSORBID INJ VIAL@2 (FAH) 99 FJ027399 10/30/2023 12/15/2021 0005 74
13070828 FARTISON INJ VIAL@2 (FAH) 99 FA004399 1/30/2023 6/22/2021 0005 48
11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) 99 H10132N99 8/2/2022 8/9/2021 0005 5,000
11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) 99 H10156N99 8/7/2022 8/19/2021 0005 1,500
11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) 99 H10158N99 8/8/2022 8/19/2021 0005 21,000
13019430 FEBRINEX SYR 60ML 99 4602000499 5/19/2024 7/9/2021 0005 25
12012640 FEMMY D3 1000 IU @10 TAB 98 G0651498 7/31/2023 9/8/2021 0005 3,760
UoM

PC
PC
PC
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TUB
PC
PC
PC
BTR
BTR
TAB
BT
BT
BT
BT
BT
TAB
KPL
BT
BT
TAB
TAB
TAB
KPL
BTR
BTR
TAB
BT
BT
BT
BT
BT
VL
BTR
BTR
BTR
BTR
BTR
BTR
BTR
BTR
TAB
TAB
TAB
TAB
BT
BT
TAB
TAB
TAB
BT
VL
VL
TAB
BT
BT
TAB
BT
BT
BT
BT
BT
BT
SUP
SUP
SUP
SC
TAB
TAB
VL
KPL
VL
KPS
AMP
BT
BTR
BTR
TAB
TAB
UoM

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PAC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UoM

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BT
BT
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
UoM

PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
VL
VL
TUB
TUB
TUB
TUB
TAB
TAB
AMP
AMP
PC
TAB
TUB
TAB
UNT
VL
TAB
TAB
TAB
TAB
TAB
BT
TAB
VL
UNT
AMP
AMP
TUB
AMP
KPS
KPS
KPS
TAB
TAB
TAB
KPL
TAB
TAB
KPS
KPS
TAB
TAB
BTR
TAB
TAB
TAB
TAB
UoM

TAB
TAB
TAB
BTR
KPS
KPS
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
VL
BT
BT
BT
BT
BT
BT
BT
STR
BT
BT
BT
BT
STR
STR
BT
STR
STR
STR
BT
STR
BT
BT
BT
TUB
TUB
STR
BT
STR
STR
UoM

STR
TAB
TUB
TUB
BT
BT
BT
STR
STR
STR
BT
STR
STR
STR
BT
BT
BT
STR
BT
TUB
STR
STR
BT
BT
BT
STR
STR
STR
STR
BT
STR
BT
BT
BT
STR
STR
BT
BT
STR
BT
STR
STR
STR
STR
STR
STR
STR
BT
BT
STR
BT
BT
STR
STR
BT
STR
BT
BT
BT
TAB
TAB
BT
BT
TUB
STR
PFS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UoM

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TUB
TUB
TUB
KPS
BT
TAB
TAB
TAB
TAB
AMP
AMP
TAB
TAB
BTR
BTR
TAB
TAB
TAB
TAB
KPS
KPS
KPS
BTR
BTR
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
KPS
BT
KPS
BT
KPL
TAB
TAB
BTR
BTR
BT
TAB
TAB
AMP
AMP
TAB
BT
BT
KPS
TAB
TAB
KPS
BT
AMP
TAB
TAB
TAB
BT
BT
TAB
TAB
TAB
AMP
BTR
UoM

BTR
BTR
BTR
BTR
BTR
BTR
BTR
BTR
BTR
TAB
PC
PC
PC
BT
TAB
TAB
TAB
KPS
KPS
BT
BT
SUP
TAB
TAB
TAB
TAB
TAB
SUP
SUP
PC
VL
TAB
TAB
TAB
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
AMP
TAB
BTR
BTR
BT
BT
BT
BT
VL
BTR
BT
BT
BT
TAB
AMP
AMP
TAB
TAB
AMP
AMP
TAB
VL
TAB
BT
BT
BT
BT
BT
TAB
VL
AMP
AMP
VL
VL
TAB
TAB
TAB
BT
TAB

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