PEMERINTAH KABUPATEN PASER 1

DINAS KESEHATAN 0
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN 29-Jan-20
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285 1 Page
GFK-F-INHOUSE-17

PENERIMAAN BARANG PROGRAM 2022

Jan-22
HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR
1 Albendazole 400 mg ALBENDAZOL 400 MG TABLET J00553BJ Sep-22 Rp 366.50 APBN 2
2 Albendazole 400 mg ALBENDAZOL 400 MG TABLET 1107060 Jul-23 Rp 366.50 APBN 2
3 Albendazole 400 mg ALBENDAZOL 400 MG TABLET 1107061 Jul-23 Rp 366.50 APBN 2
4 Albendazole 400 mg ALBENDAZOL 400 MG TABLET 1107062 Jul-23 Rp 366.50 APBN 2
5 Albendazole syr 200mg / 5mL ALBENDAZOL 200 MG / 5 ML BOTOL 2104011 Apr-23 Rp 4,300.00 APBN

6 Vit A 100.000 IU (Prog. Prov) VITAMIN A KAPSUL 100.000 IU KAPSUL H12347W Aug-24 Rp 305.00 APBN

Feb-22
1 Albendazole 400 mg ALBENDAZOL 400 MG TABLET E10682BJ Apr-23 Rp 366.50 APBN 2
2 APD Penyemprotan DBD APD PENYEMPROTAN PAKET Rp 835,500.00 APBN
3 BTI Larvasida DBD BTI LARVASIDA TABLET MT21080204 Aug-23 Rp 646.91 APBN
4 Giemsa GIEMSA MALARIA BOTOL 990621-GM Aug-23 Rp 358,500.00 APBN
5 Immersion Oil IMMERSION OLI MALARIA BOTOL 740621-IM Aug-23 Rp 203,500.00 APBN

6 RDT DBD NS 1 (Prog. Provinsi) RDT DBD COMBO 1 TEST F21005 Jun-23 Rp 49,204.90 APBN

7 RDT Malaria RDT COMBO MALARIA TEST MR20D63 Sep-22 Rp 4,830.00 GF

Mar-22
1 Artesunate inj ARTESUNATE INJ AMPUL LA211048 Sep-24 Rp 81,541.00 APBN
Azithromycin + Cefixime CEFIXIME 400 MG +
2 AMPLOP J13659J Sep-24 Rp 31,231.00 APBN
Kombipak AZITHROMICIN
BENZATINE PENISILIN 2.4 JUTA
3 Benzatin Penisilin 2.4 Juta IU VIAL 36319014 Sep-22 Rp 14,500.00 APBN
IU

4 Cotrimoxazole 800 mg COTRIMOXAZOLE 800 MG TAB KAPLET A11027 Jun-24 Rp 325.00 APBN

5 Efavirenz 600 mg EFAVIRENZ 600 MG TABLET J03079J Oct-22 Rp 6,630.00 APBN

6 Fluconazole 150 mg FLUCONAZOLE 480 MG KAPSUL H92590J Aug-23 Rp 18,720.00 APBN

7 INH 300 mg ISONIAZID (INH) TABLET 300 MG TABLET G00552B Jun-22 Rp 150.00 APBN

8 Lamivudine 150 mg LAMIVUDINE 150 MG TABLET G02028J Jul-23 Rp 1,794.00 APBN

9 Mineral Mix MINERAL MIX SACHET 2108022 Aug-23 Rp 2,981.00 APBN
10 Mineral Mix MINERAL MIX SACHET 2110066 Oct-23 Rp 2,981.00 APBN

11 TDF 300 mg + 3TC 300 mg + EFV TDF(300)+3TC(300)+EFV(600) TABLET E210449C Feb-24 Rp 6,935.00 APBN
600 mg TRIPLE FDC
12 Tenofovir 300 mg TENOFOVIR TABLET K03385J Jan-23 Rp 10,125.00 APBN
13 Vit B6 25 mg VIT B6 25 MG TABLET TABLET 23701006 Jun-22 Rp 222.00 APBN

Apr-22
1 DHP / Obat Anti Malaria DHP TABLET TABLET 210502 May-23 Rp 1,900.00 APBN
2 DHP / Obat Anti Malaria DHP TABLET TABLET 210906 Sep-23 Rp 1,900.00 APBN
3 Immersion Oil IMMERSION OLI MALARIA BOTOL 740621-IM Aug-23 Rp 203,500.00 APBN
INSEKTISIDA CARBAMAT/FICAM
4 Insektisida (Ficam 80 WP) SACHET PT00001257 Sep-22 Rp 90,476.19 GF
II
5 MDT MB Dewasa MB DEWASA BLISTER B.KU2978 Feb-24 Rp 40,128.00 APBN 5
6 MDT PB Dewasa PB DEWASA BLISTER B.KE6422 Jul-23 Rp 15,014.00 APBN
7

Jun-22
1 Alat Suntik 5 ml ADS 5 Ml PCS 21501 Apr-26 Rp 1,460 APBN
2 Artesunate inj ARTESUNATE INJ BOX LA211048 Sep-24 Rp 81,541 APBN
3 DHP / Obat Anti Malaria DHP TABLET BOX 210906 Sep-23 Rp 17,100 APBN
4 Efavirenz 600 mg EFAVIRENZ 600 MG BOTOL H12961J Aug-23 Rp 198,900 APBN
5 Lamivudine 150 mg LAMIVUDINE 150 MG BOTOL G02029J Jul-23 Rp 107,640 APBN
6 MDT MB Dewasa MB DEWASA BLISTER B.KS5462 Mar-24 Rp 40,526 APBN
7 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 21CJ001 Sep-23 Rp 255 APBN
8 TDF 300 mg + 3TC 300 mg + EFVTDF(300)+3TC(300)+EFV(600) TRIP BOTOL E211092 Apr-24 Rp 204,000 APBN
9 Tenofovir 300 mg TENOFOVIR BOTOL J13539J Oct-24 Rp 67,200 APBN

Jul-22
1 Alat Suntik 0,5 ml ADS 0,5 Ml PCS C22DCL005 Mar-27 Rp 1,190 APBN
2 Etambutol 100 mg Ethambutol 100 mg BOX NEF2101G Jan-25 Rp 67,000 APBN
3 INH (H) 300mg / Rifepentin (P) 3 Rifapentin 300 mg/ INH 300 mg BOX NIE2120A Jul-23 Rp 235,656 APBN
4 Isoniazid 100 mg Isoniazid (INH) tablet 100 mg BOX A905560 Oct-22 Rp 23,100 APBN
5 Levofloksasin 100 mg Levofloxacin 100 mg Tablet LFAH011 Feb-24 Rp 1,952 APBN
6 Portable SPO2 PORTABEL SP02 (MAXN1) UNIT Rp 17,000,000 APBN
7 RDT HBsAg (Virocheck) HBSAG (2021)I TEST H21072 Aug-23 Rp 7,765 APBN
8 RDT HIV (Diagnostar HIV 1/2) RAPID DIAGNOSTIC TEST TEST 2109170 Sep-23 Rp 11,500 APBN
9 RDT HIV (Standard Q HIV 1/2 Ab) STANDAR Q HIV 1/2 AB 3 LINE TEST 5352AF1AC Oct-23 Rp 12,500 APBN
10 RDT HIV (Virocheck HIV 1/2) Prog.RAPID TEST HIV 1 (VIROCHECK) TEST J21067 Sep-23 Rp 7,879 APBN
11 RDT Syphilis (Trepocheck) RAPID TEST SHIPILIS (TREPOCHECK TEST C21006 Mar-23 Rp 8,870 APBN
12 Reagen Ziehl Neelsen REAGEN ZN TB PAKET 017/2021 Feb-23 Rp 195,860 APBN
13 Respiratory Rate Timer ARI SOUND TIMER PCS Rp 275,333 APBN
14 Rifepentine 150 mg Rifapentin 300 mg/ 150mg Lepasa BOX 1J2931 Feb-24 Rp 131,880 APBN
15 Tuberkulin Tuberculin PPD RT 23 SSI Vial 6500121 Jan-27 Rp 625,800 APBN
16 Vit A 100.000 IU (Prog. Prov) VITAMIN A KAPSUL 100.000 IU BOTOL C20592W Mar-25 Rp 15,250 PROGRAM
17 Vit A 200.000 IU (Prog. Prov) VITAMIN A KAPSUL 200.000 IU BOTOL J12996W Oct-24 Rp 31,850 APBN

Aug-22
1 Albendazole 400 mg ALBENDAZOLE 400 MG TABLET 1107060 Jul-23 Rp 367 APBN 2
2 Albendazole 400 mg ALBENDAZOLE 400 MG TABLET 1107061 Jul-23 Rp 367 APBN 2
3 Artesunate inj ARTESUNATE INJ VIAL LA220631 May-25 Rp 69,898 APBN
4 DHP / Obat Anti Malaria DHP TABLET TABLET 210906 Sep-23 Rp 1,900 APBN
5 DHP / Obat Anti Malaria DHP TABLET TABLET 220513 May-24 Rp 1,900 APBN
6 Efavirenz 600 mg EFAVIRENZ 600 MG TABLET H12959J Aug-23 Rp 7,100 APBN
7 Lamivudine 150 mg LAMIVUDINE 150 MG TABLET G02027J Jul-23 Rp 1,794 APBN
8 MDT PB Dewasa PB DEWASA BLISTER B.LH2420 May-24 Rp 15,304 APBN
9 Mineral Mix MINERAL MIX TABLET 2108022 Aug-23 Rp 2,981 APBN 11
10 Primaquine 15 mg PRIMAKUIN TABLET 15 MG TABLET 56386003 Mar-24 Rp 242 APBN
11 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET FFG.0401 Jun-23 Rp 255 APBN 8
12 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET G10048BB Jul-23 Rp 255 APBN 12
13 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET H11083BJ Jul-23 Rp 255 APBN 12
14 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET 21CJ001 Sep-23 Rp 255 APBN 11
15 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET 21TD1110 Oct-23 Rp 255 APBN 13
16 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET 21TD1111 Oct-23 Rp 255 APBN 13
17 TDF 300 mg + 3TC 300 mg + EFVTDF(300)+3TC(300)+EFV(600) TRIP TABLET E211874 Jul-24 Rp 6,800 APBN
18 Tenofovir 300 mg TENOFOVIR TABLET J13538J Oct-24 Rp 2,240 APBN
 Sep-22
1 Masker Kain Merah Putih MASKER KAIN MERAH PUTIH PCS Rp 5,500 KEMENKES RI
2 RDT Malaria RDT COMBO MALARIA (FIRST REP PCS 75H1421S Jul-23 Rp 14,960 APBN
3 RDT DBD NS 1 RDT DBD COMBO II TEST G21009 Jul-23 Rp 50,600 APBN
4 BTI Larvasida DBD BTI LARVASIDA TABLET MI21080204 Aug-23 Rp 647 APBN
5 APD Penyemprotan DBD APD PENYEMPROTAN PAKET Rp 835,500 APBN
6 Tas Kit Jumantik JUMANTIK KIT I PAKET Rp 424,300 APBN
7 Kader Kit Malaria KADER KIT MALARIA PAKET Rp 761,841 GF
8 Catridge Xpert TB CATRIDGE XPERT MTB/RIF TEST 1000257558 Apr-23 Rp 252,400 APBN
9 Masker N95 Dreamcan MASKER N95 DREAMCAN PCS ME01L-K202012058 Jan-23 Rp 19,000 APBN
10 Masker Medis (Karet) MASKER SURGICAL (SUPERCARE) PCS 14200601 Jun-25 Rp 706 APBN
11 Masker N95 Aero Pro MASKER N95 AERO PRO PCS Rp 20,000 APBN
12 Lamivudine 150 mg LAMIVUDINE 150 MG BOTOL G02026J-27J-28J-29J-30J Jul-23 Rp 1,794 APBN
13 Efavirenz 600 mg EFAVIRENZ 600 MG BOTOL H129XXJ Aug-23 Rp 3,550 APBN
14 Tenofovir 300 mg TENOFOVIR BOTOL J135-38J,39J,40J Oct-24 Rp 2,240 APBN
15 TDF 300 mg + 3TC 300 mg + EFVTDF(300)+3TC(300)+EFV(600) TRIP BOTOL E211874 Jul-24 Rp 6,800 APBN
16 Mineral Mix MINERAL MIX SACHET 2110066 Oct-23 Rp 2,981 APBN
17 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 22CB058 Feb-25 Rp 255 APBN
18 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 22CC002 Mar-25 Rp 255 APBN
19 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 22CC003 Mar-25 Rp 255 APBN
20 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 22CC004 Mar-25 Rp 255 APBN
21 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 22CC006 Mar-25 Rp 255 APBN

Oct-22
1 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet H20490BJ Aug-25 Rp 257 APBN
2 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet H20491BJ Aug-25 Rp 257 APBN
3 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet H20492BJ Aug-25 Rp 257 APBN
4 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet H20493BJ Aug-25 Rp 257 APBN
5 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 56818514 Aug-25 Rp 257 APBN
6 Vit A 100.000 IU (Prog. Prov) VITAMIN A KAPSUL 100.000 IU KAPSUL G21724W Jul-25 Rp 352 PROGRAM
7 Vit A 200.000 IU (Prog. Prov) VITAMIN A KAPSUL 200.000 IU KAPSUL G22079W Jul-25 Rp 637 PROGRAM
8 Vit A 200.000 IU (Prog. Prov) VITAMIN A KAPSUL 200.000 IU KAPSUL G22098W Jul-25 Rp 637 PROGRAM
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 PEMERINTAH KABUPATEN PASER 1

DINAS KESEHATAN 0
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN 29-Jan-20
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285 1 Page
GFK-F-INHOUSE-17

PENERIMAAN VAKSIN 2022

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR

Jan-22
1 Vaksin Rabies RABIVAX-S VAKSIN (RABIES) VIAL 1480M075 Oct-23 Rp 153,000.00 APBN
2 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds VIAL 0371G052 May-23 Rp 97,780.10 APBN
3 Vaksin MR 10 ds + Pelarut VAKSIN MR 10 DS VIAL 0120W134 Sep-23 Rp 167,860.00 APBN
4 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO BOPV DOSIS 10 VIAL 2052121 Mar-23 Rp 23,643.00 APBN
5 Vaksin DTP HB HIB VAKSIN DPT-HB-HIB 5 DS VIAL 5041321 Jul-23 Rp 85,103.00 APBN
6 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3653721 Jul-24 Rp 25,839.00 APBN
7 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3653821 Jul-24 Rp 25,839.00 APBN
8 Vaksin Jerap Td (Tetanus-Difteri T VAKSIN TD 10 DS VIAL 0412520 Jul-23 Rp 16,995.00 APBN

Mar-22
1 Alat Suntik 0,5 ml ADS 0,5 ML PCS 18141/2 Jul-23 Rp 1,240.00 APBN
2 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds VIAL 0371G028 Mar-23 Rp 97,780.10 APBN
3 Vaksin Haji Meningitis VAKSIN HAJI MENINGITIS M 1 DS + VIAL 20191211-2 Dec-22 Rp 135,000.00 APBN
4 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3653821 Jul-24 Rp 25,839.00 APBN
5 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO BOPV DOSIS 10 VIAL 2053421 Apr-23 Rp 23,643.00 APBN
6 Vaksin Polio IPV ds 5 VAKSIN POLIO IPV 5 DS VIAL 2102319 Nov-22 Rp 158,994.00 APBN

Apr-22
1 Vaksin DPT HB HIB VAKSIN DPT-HB-HIB 5 DS VIAL 5041721 Jul-23 Rp 85,103.00 APBN
2 Vaksin Rabies RABIVAX-S VAKSIN (RABIES) VIAL 1480M075 Oct-23 Rp 153,000.00 APBN
3 Vaksin Rabies RABIVAX-S VAKSIN (RABIES) VIAL 1480M075 Oct-23 Rp 153,000.00 APBN

May-22
1 Alat Suntik 0,05 ml ADS 0,05 ml Pcs 20002 Apr-25 Rp 1,460.00 APBN
2 Alat Suntik 0,5 ml ADS 0,5 ml Pcs 18141/2 Jul-23 Rp 1,240.00 APBN
3 Safety Box 5 L Safety Box 5 Ltr Pcs 5L std Rp 24,254.26 APBN
4 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds + Pelarut VIAL 0371G052 May-23 Rp 97,780.10 APBN
5 Vaksin MR 10 ds + Pelarut VAKSIN MR 10 ds + Pelarut VIAL 0121W132 Apr-24 Rp 167,860.00 APBN
6 Vaksin Polio IPV ds 5 VAKSIN POLIO IPV 5 ds VIAL 2102319 Nov-22 Rp 158,994.00 APBN
7 Vaksin MR 10 ds + Pelarut VAKSIN MR 10 ds + Pelarut VIAL 0121W149 Jun-24 Rp 167,860.00 APBN
8 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO BOPV DOSIS 10 VIAL 2050822 Feb-24 Rp 21,300.00 APBN
9 Vaksin DPT HB HIB VAKSIN DPT-HB-HIB 5 DS VIAL 5042021 Aug-23 Rp 84,336.00 APBN
10 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3654421 Sep-24 Rp 25,606.00 APBN
 Jun-22
1 Vaksin HbIg Hepatitis B Imune Globulin (Huma VIAL H1MAF00043 Mar-24 Rp 1,325,000 APBN

Jul-22
1 Vaksin Rabies Verorab (Rabies Vaccine) VIAL U1G161M Nov-23 Rp 153,000 APBN

Aug-22
1 Alat Suntik 0,05 ml ADS 0,05 ML PCS 20002 Apr-25 Rp 1,460.00 APBN
2 Alat Suntik 0,5 ml ADS 0,5 ML PCS C22DCL005 Mar-27 Rp 1,190.00 APBN
3 Alat Suntik 5 ml ADS 5 ML PCS S22EGC001 Apr-27 Rp 1,460.00 APBN
TETAGAM P. Prefilled Syringe
4 TETAGAM BOX P100411619 Aug-24 Rp 148,135.01 DAK
1ml
5 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds + PELARUT VIAL 0371MA042 Jan-24 Rp 97,999.70 APBN
6 Vaksin DPT HB HIB VAKSIN DPT-HB-Hib 5 ds VIAL 5041721 Jul-23 Rp 85,876.26 APBN
7 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID/UNIJECT 1 ds PCS 3654621 Sep-24 Rp 26,073.90 APBN
8 Vaksin Jerap Td (Tetanus-Difteri T VAKSIN Td 10 ds VIAL 0412820 Jul-23 Rp 16,995.00 APBN
9 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO Bopv 10 DS + DROP VIAL 2050922 Mar-24 Rp 21,689.40 APBN
10 Vaksin Polio IPV ds 5 VAKSIN POLIO IPV 5 ds VIAL 2100321 May-24 Rp 158,500.23 APBN

Sep-22
1 Vaksin PCV VAKSIN PCV (Pneumococcal Conjug VIAL GE4177 Mar-25 Rp - APBN
2 Alat Suntik 0,5 ml ADS 0,5 ml Pcs 22080302/SKIFA Feb-27 Rp 1,190.00 APBN
3 Safety Box 5 L Safety Box 5 Ltr Pcs 5L std Rp 26,747.00 APBN
4 VAKSIN COVID-19 VAKSIN COVID-19 VIAL
P0001431/PFIZER (COMIRNATY) 6 DS
Jan-23 Rp - GAVI
5 PELARUT PFIZER PELARUT PFIZER B86151A/NaCl
PCS 0,9% 10 ML (OTSUKA)
Sep-23 Rp 3,280.00 APBN
6 Alat Suntik 3 ml DISPOSIBLE SYRINGE 3 ML PCS 211338 Oct-26 Rp 569.00 APBN
7 Alat Suntik 0,3 ml ADS 0,3 ML PCS S22BBK010 Dec-26 Rp 1,255.00 APBN
8 Alkohol Swab ALKOHOL SWAP PCS GM2109154 Sep-26 Rp 79.00 APBN
9 Safety Box 5 L SAFETY BOX 5 LTR PCS S0780377 Rp 5,382.00 APBN
10 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds + PELARUT VIAL 0371MA042 Jan-24 Rp 97,999.70 APBN
11 Vaksin Rabies Verorab (Rabies Vaccine) VIAL V1A271M Feb-24 Rp 153,000.00 APBN
 PEMERINTAH KABUPATEN PASER 1

DINAS KESEHATAN 0
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN 29-Jan-20
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285 1 Page
GFK-F-INHOUSE-17

PENERIMAAN BUFFER 2022

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR

Apr-22
1 Amoxicillin Syrup 125 mg/5ml (BFAMOXICILLIN DRY SYRUP 125 BOTOL B00132 Apr-23 Rp 2,050.00 APBD
2 Amoxicillin Syrup 125 mg/5ml (BFAMOXICILLIN DRY SYRUP 125 BOTOL B00133 Apr-23 Rp 2,050.00 APBD
3 Chlorpheniramine 4 mg (BFF PROVKLORFENIRAMIN MALEAT (CTM) TABLET 2111-06-152 Nov-23 Rp 24.00 APBN
4 Epinephrine inj 0,1 % (BFF PROV) EPINEFRIN INJ 0,1% AMPUL 9621H0179A Aug-23 Rp 1,740.00 APBD
5 Simvastatin 20 mg (BFF PROV) SIMVASTATIN 20 MG TABLET J11584BJ Sep-23 Rp 150.00 APBD

Jun-22
1 Chlorpromazin 100 mg Chlorpromazin 100 mg Tablet D10451BJ Mar-23 Rp 455 BLUD
2 Halloperidol 0,5mg Halloperidol 0,5mg Tablet A1802BW Feb-24 Rp 93 BLUD
3 Halloperidol 1,5mg Halloperidol 1,5mg Tablet A1902BV Feb-23 Rp 76 BLUD

Jul-22
1 Infus Set Dewasa INFUS SET DEWASA PCS 21K01L1J Oct-26 Rp 7,193.00 BLUD
 PEMERINTAH KABUPATEN PASER
DINAS KESEHATAN
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285

GFK-F-INHOUSE-17

PENERIMAAN BARANG DAK 2022

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR

Jul-22
Asam Traneksamat inj. 250 Tranexamic Acid Injeksi 5%
1 mg/5ml 250mg/5ml BOX 4711334 Jun-24 Rp 1,837 DAK

2 Alkohol 70% 1000 ml Onemed Alkohol 70% 1 Liter Botol 03082188 Jul-25 Rp 27,846.67 DAK
3 Alkohol Swab Onemed Alkohol Swab 100S Box 01092188 Aug-24 Rp 106.56 DAK
4 Alkohol Swab Onemed Alkohol Swab 100S Box 03012288 Dec-24 Rp 106.56 DAK
5 Antihemoroid DOEN Supp. ANTIHEMOROID SUPP B20298W Feb-24 Rp 3,260.00 DAK
6 Azithromycin 500 mg AZITHROMYCIN 500 MG TABLET I12993J Sep-26 Rp 1,400.00 DAK
7 Betahistin 6 mg BETAHISTINE 6 MG TAB BOX 53C0666 Mar-24 Rp 93.00 DAK

8 Cat Gut Plain 2/0 ONEMED CATGUT PLAIN 2/0 Box 2007085 Jul-25 Rp 5,940.00 DAK
PLUS JRM 24S

9 Cat Gut Plain 2/0 ONEMED CATGUT PLAIN 2/0 Box 2111184 Oct-26 Rp 5,940.00 DAK
PLUS JRM 24S
10 Cetirizine Syr 5 mg/5 ml CETIRIZINE SYR BOTOL AD2561 Apr-24 Rp 2,235.54 DAK
11 Cetirizine Syr 5 mg/5 ml CETIRIZINE SYR BOTOL AF0821 Jun-24 Rp 2,235.54 DAK
12 Cetirizine10 mg CETIRIZINE TAB BOX AC4331 Sep-24 Rp 52.47 DAK
13 Cetirizine10 mg CETIRIZINE TAB BOX AE0431 Nov-24 Rp 52.47 DAK
14 Cetirizine10 mg CETIRIZINE TAB BOX AE0461 Nov-24 Rp 52.47 DAK
15 Cetirizine10 mg CETIRIZINE TAB BOX AE0471 Nov-24 Rp 52.47 DAK
16 Cetirizine10 mg CETIRIZINE TAB BOX AF0951 Dec-24 Rp 52.47 DAK
17 Chlorpromazine 100 mg CEPEZET 100 MG TAB BOX A11688 Sep-25 Rp 249.75 DAK
18 Chlorpromazine 100 mg CEPEZET 100 MG TAB BOX A20973 May-26 Rp 249.75 DAK
19 Clozapine 25 mg CLOZAPINE TABLET 25 MG BOX 53D0814 Mar-24 Rp 477.00 DAK
20 Domperidon 10 mg DOMPERIDONE 10 MG BOX AE2591 May-25 Rp 75.68 DAK
21 Elastis Perban 3" POLICREPE 7,5 CM X 4,55 M ROLL 2206293 Jun-27 Rp 30,360.00 DAK
22 Elastis Perban 4" POLICREPE 10 CM X 4,55 M ROLL 2207308 Jul-27 Rp 35,910.00 DAK
23 Elastis Perban 6" POLICREPE 15 CM X 4,55 M ROLL 2207324 Jul-27 Rp 45,840.00 DAK
24 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI Box 1EA03161 Mar-24 Rp 64,567.59 DAK
25 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI Box 2EA01036 Jan-25 Rp 64,567.59 DAK
26 Gentian Violet Lar 1 % GENTIAN VIOLET 10 ML BOTOL E56201 May-25 Rp 25,000.00 DAK
27 Glukosa Infus 10% GLUKOSA 10% OGB BOTOL 220503 Apr-24 Rp 7,200.00 DAK

28 Glukosa Infus 5 % DEXTROSE MONOHYDRATE 5% BOTOL 220506 Apr-24 Rp 6,627.00 DAK

ASEPTAN 500CC DISPENSER

29 Hand Rub Antiseptic 500 ml ONEMED Botol 12072188 Jun-24 Rp 38,850.00 DAK

ASEPTAN 500CC DISPENSER

30 Hand Rub Antiseptic 500 ml ONEMED Botol 05082188 Jul-24 Rp 38,850.00 DAK

ASEPTAN 500CC DISPENSER

31 Hand Rub Antiseptic 500 ml ONEMED Botol 09092188 Aug-24 Rp 38,850.00 DAK

ASEPTAN 500CC DISPENSER

32 Hand Rub Antiseptic 500 ml ONEMED Botol 01122188 Nov-24 Rp 38,850.00 DAK

ONEMED MEDI EXAM GLOVE

33 Handschoen 6,5 Steril LATEX MEDICAL EXAMINATION Box 28072188 Jun-26 Rp 1,672.99 DAK
GLOVE S
SARUNG TANGAN STERIL MEDI
34 Handschoen 7 Steril Box 25082188 Jul-26 Rp 1,672.99 DAK
EXAM UK. M
SARUNG TANGAN STERIL MEDI
35 Handschoen 7 Steril Box 27082188 Oct-26 Rp 1,672.99 DAK
EXAM UK. M
Onemed Sarung Tangan Obgyn
36 Handschoen Obgyn Psg 26112188 Oct-26 Rp 18,381.60 DAK
Steril
Onemed Sarung Tangan Obgyn
37 Handschoen Obgyn Steril Psg 29112188 Oct-26 Rp 18,381.60 DAK

38 Herbakof Syrup 100 ml HERBAKOF Syrup 100ml Botol 52K4203 Oct-23 Rp 14,402.00 DAK
39 Herbakof Syrup 100 ml HERBAKOF Syrup 100ml Botol 53C4207 Feb-24 Rp 14,402.00 DAK
ISOSORBIDE DINITRATE TAB
40 Isosorbide Dinitrate 5 mg 100S FAH BOX A02342DZ Apr-25 Rp 99.90 DAK

Onemed Kasa Hydrophil Steril Uk

41 Kasa Kompres 16 x 16 Cm Steril 16x16 16S Box 04042288 Mar-27 Rp 9,600.00 DAK

Onemed Kasa Hydrophil 40x80

42 Kasa Pemb. 40 x 80 Cm cm Rol 030188MX Rp 189,816.00 DAK

Onemed Kasa Hydrophil 40x80

43 Kasa Pemb. 40 x 80 Cm cm Rol 102588MX Rp 189,816.00 DAK

Onemed Surgical Mask Plus 3Ply

44 Masker Medis (Karet) Earloop 50 Box 07062288 May-27 Rp 412.92 DAK

45 Masker Medis (Tali) Masker Tali 50S Onemed Box MFG 02.2021 Rp 394.27 DAK
46 Masker N95 Onemed Masker N95 Box 06042288 Mar-27 Rp 8,325.00 DAK
BESMED MASKER NEBULIZER
47 Masker Nebulizer Set Anak SET ANAK Pcs 22022288 Jan-26 Rp 23,364.00 DAK

BESMED MASKER NEBULIZER

48 Masker Nebulizer Set Anak SET ANAK Pcs 10032288 Feb-26 Rp 23,364.00 DAK

BESMED MASKER NEBULIZER

49 Masker Nebulizer Set Dewasa SET DEWASA Pcs 15022288 Jan-26 Rp 23,364.00 DAK
 BESMED MASKER NEBULIZER
50 Masker Nebulizer Set Dewasa SET DEWASA Pcs 07012288 Dec-26 Rp 23,364.00 DAK

Besmed HI Oxygen Masker Anak

51 Masker Oxygen Anak (NR Mask) Pcs 20021888 Rp 27,600.00 DAK

BESMED MAXIFLOW BAYI

52 Masker Oxygen Bayi (MASKER OKSIGEN BAYI) Pcs 07102088 Rp 16,200.00 DAK

BESMED MAXIFLOW BAYI

53 Masker Oxygen Bayi (MASKER OKSIGEN BAYI) Pcs 13042088 Rp 16,200.00 DAK

Besmed HI Oxygen Masker

54 Masker Oxygen Dewasa Dewasa (NR Mask) Pcs 300821881 Jul-25 Rp 27,600.00 DAK

Besmed HI Oxygen Masker

55 Masker Oxygen Dewasa Dewasa (NR Mask) Pcs 060921881 Aug-25 Rp 27,600.00 DAK

Besmed HI Oxygen Masker

56 Masker Oxygen Dewasa Dewasa (NR Mask) Pcs 080921881 Aug-25 Rp 27,600.00 DAK

Methylergometrine maleat
57 Metilergometrina inj. 0,2 mg/ml 0,2mg/ml BOX 5011965 Sep-23 Rp 1,079.00 DAK

58 Mucus Extractor 20 ml Onemed Mucus Extractior Pcs 02062288 May-27 Rp 8,448.00 DAK
59 Mucus Extractor 20 ml Onemed Mucus Extractior Pcs 07062288 May-27 Rp 8,448.00 DAK
60 My Jelly My Jelly 82 Gram Onemed Tube 06092188 Aug-24 Rp 36,937.50 DAK
61 Natrium Klorida Infus 0,9% SODIUM CHLORIDE 0,9% OGB BOTOL 520505 Apr-26 Rp 6,900.00 DAK

62 Paracetamol drop PARACETAMOL DROPS @15 ML BOTOL F39206 Jun-25 Rp 5,204.00 DAK

63 Paracetamol drop PARACETAMOL DROPS @15 ML BOTOL F39210 Jun-25 Rp 5,204.00 DAK

64 Plester Non Woven 10 cm x 5 m Onemed Plesterin Non Woven Rol 06042288 Mar-27 Rp 49,632.00 DAK
Roll 10cm x 5 m
Onemed Plesterin Non Woven
65 Plester Non Woven 10 cm x 5 m Rol 07042288 Mar-27 Rp 49,632.00 DAK
Roll 10cm x 5 m
66 Ringer Laktat RINGER LACTATE OGB BOTOL 320412 Mar-27 Rp 7,703.00 DAK
67 Ringer Laktat RINGER LACTATE OGB BOTOL 320412 Mar-27 Rp 7,703.00 DAK
68 Rivanol Lar 0.1% Onemed Rivanol 300 cc Botol 14032288 Feb-25 Rp 6,438.67 DAK
Onemed Safety Box 5L
69 Safety Box 5 L Disposible Pcs Rp 17,400.00 DAK

Stimuno Syrup Orange Berry

70 Stimuno syrup 100 ml 100ml Botol 53A4208 Jul-23 Rp 28,374.00 DAK

Stimuno Syrup Orange Berry

71 Stimuno syrup 100 ml 100ml Botol 52K4203 Feb-24 Rp 28,374.00 DAK

Onemed Stomach Tube 12FR

72 Stomach Tube 12 FR 125 125cm Pcs 04051988 Apr-24 Rp 9,292.80 DAK

73 Ultrasonic Gell ONEMED USG GEL 250 ML Botol 2405228 Apr-24 Rp 17,325.00 DAK
74 Ultrasonic Gell ONEMED USG GEL 250 ML Botol 10062288 May-24 Rp 17,325.00 DAK
Onemed U-Pad 60cm x 90cm
75 Underpad Non Steril Pak 24032288 Feb-27 Rp 3,960.00 DAK

Onemed Urine Bag Sterile T

76 Urine Bag Steril Valve Pcs 24032288 Feb-27 Rp 5,082.00 DAK

77 Wing Needle No. 25 G Wing Needle 25 G Onemed Pcs 12012288 Dec-26 Rp 1,680.00 DAK
78 Wing Needle No. 27 G Onemed Wing Needle 27 G Pcs 10092188 Aug-26 Rp 1,680.00 DAK

Aug-22
JMI SYRINGE 10ML WITH
1 Alat suntik sekali pakai 10 ml NEEDLE (EC) PCS 07072288 Jun-27 Rp 1,452 DAK

JMI SYRINGE 10ML WITH

2 Alat suntik sekali pakai 10 ml NEEDLE (EC) PCS 11072288 Jun-27 DAK
Rp 1,452.00
JMI SYRINGE 3ML WITH NEEDLE
3 Alat suntik sekali pakai 3 ml (EC) PCS 15062288 May-27 Rp 937.20 DAK

JMI SYRINGE 3ML WITH NEEDLE

4 Alat suntik sekali pakai 3 ml (EC) PCS 08072288 Jun-27 Rp 937.20 DAK

5 Alkohol 70% 1000 ml ONEMED ALKOHOL 70% 1 LITER BOTOL 25032288 Feb-26 Rp 27,846.67 DAK
6 Alkohol 70% 1000 ml ONEMED ALKOHOL 70% 1 LITER BOTOL 29032288 Feb-26 Rp 27,846.67 DAK
7 Alkohol 70% 1000 ml ONEMED ALKOHOL 70% 1 LITER BOTOL 09062288 May-26 Rp 27,846.67 DAK
8 Amoxicillin 500 mg AMOXICILLIN 500 MG 200 KAP TABLET TAMXB23363 Jun-24 Rp 231.00 DAK
9 Antasida DOEN Syrup ANTASIDA DOEN @60 ML BOTOL F49201 Jun-25 Rp 1,756.00 DAK
10 Antasida DOEN Syrup ANTASIDA DOEN @60 ML BOTOL F49202 Jun-25 Rp 1,756.00 DAK
11 Asam Mefenamat 500 mg MEFENAMIC ACID 500 MG TABLET HTMECA23492 Jun-24 Rp 117.00 DAK
12 Asering ASERING 500 ML BOTOL A87F52A Jun-24 Rp 9,592.00 DAK
13 Asering ASERING 500 ML BOTOL A83E52A May-24 Rp 9,592.00 DAK
14 Blood Lancet ONEMED BLOOD LANCETS 21G 10 BOX 06032188 Feb-26 Rp 247.80 DAK
15 Blood Lancet ONEMED BLOOD LANCETS 21G 10 BOX 28042188 Mar-26 Rp 247.80 DAK
16 Cat Gut No 2/0 ONEMED CATGUT CHROMIC 2/0 P BOX 2201009 Feb-27 Rp 5,940.00 DAK
17 Cat Gut No 3/0 ONEMED CATGUT CHROMIC 3/0 P BOX 2201009 Feb-27 Rp 5,940.00 DAK
18 Cat Gut Plain 2/0 ONEMED CATGUT PLAIN 2/0 PLUS BOX 2111184 Oct-26 Rp 5,940.00 DAK
19 Cat Gut Plain 3/0 ONEMED CATGUT PLAIN 3/0 PLUS BOX 2201009 Feb-27 Rp 5,940.00 DAK
20 Cefotaxime 1 g CEFOTAXIME 1 GR 2 VIAL VIAL 53F0256 May-24 Rp 3,050.00 DAK
21 Ceftriaxone 1 g CEFTRIAXONE INJ 1G VIAL 53E0240 May-24 Rp 2,899.00 DAK
22 Ceftriaxone 1 g CEFTRIAXONE INJ 1G VIAL 53E0256 May-24 Rp 2,925.00 DAK
23 Citoject Syringe ONEMED CITOJECT SYRINGE 1.8 PCS 04032188 Rp 475,923.08 DAK
24 Diluent 20 L DILUENT 20 L MINDRAY 3 DIFF M GALON 2022030403 Mar-24 Rp 2,924,850.00 DAK
25 Gentian Violet Lar 1 % GENTIAN VIOLET 10 ML BOTOL F46209 Jun-25 Rp 25,000.00 DAK
26 Glimepiride 2 mg GLIMEPIRIDE 2 MG 100 TAB TABLET HTGMPK2303 May-26 Rp 123.00 DAK
27 Glimepiride 2 mg GLIMEPIRIDE 2 MG 100 TAB TABLET HTGMPK23194 May-26 Rp 123.00 DAK
28 Glucose Test Strips On Call Plus On Call Strip G3 Plus 2x25 Test A PCS 1692626 May-24 Rp 3,414.45 DAK
29 Handschoen 6,5 Steril ONEMED MEDI EXAM GLOVE LATE BOX 02122188 Nov-26 Rp 1,672.99 DAK
30 Handschoen 6,5 Steril ONEMED MEDI EXAM GLOVE LATE BOX 09122188 Nov-26 Rp 1,672.99 DAK
31 Handschoen 7 Steril ONEMED MEDI EXAM GLOVE LATE PSG 22072288 Jun-27 Rp 1,672.99 DAK
32 Handschoen Obgyn ONEMED SARUNG TANGAN OBGYN PSG 14072188 Jun-26 Rp 18,381.60 DAK
33 Handschoen Obgyn ONEMED SARUNG TANGAN OBGYN PSG 30052288 Apr-27 Rp 18,381.60 DAK
34 Handschoen Obgyn ONEMED SARUNG TANGAN OBGYN PSG 10062288 May-27 Rp 18,381.60 DAK
35 Kantong Plastik Limbah Medis KANTONG PLASTIK 80X60 KUNING PCS Rp 2,098.00 DAK
36 Kasa Pemb. 4 m x 5 Cm ONEMED KASA PEMBALUT HYDRO ROLL 26042288 Mar-27 Rp 122,760.00 DAK
37 Kasa Pemb. 40 x 80 Cm ONEMED KASA HYDROPHIL 40X80 ROLL 040488 Aug-27 Rp 189,816.00 DAK
38 Ketoconazole Tab KETOCONAZOLE 200MG/100 TAB TABLET HTKCZB21203 Feb-24 Rp 260.00 DAK
39 Ketoconazole Tab KETOCONAZOLE 200MG/100 TAB TABLET HTKCZB22221 Apr-24 Rp 260.00 DAK
40 Ketoconazole Tab KETOCONAZOLE 200MG/100 TAB TABLET HTKCZB2E228 May-24 Rp 260.00 DAK
41 Kontrol Hema 3 Diff CONTROL NORMAL HEMA MINDRA BOTOL B0822 Nov-22 Rp 1,172,160.00 DAK
42 Kontrol Kimia Normal DIACON N 1X5 ML DIALAB PCS 0812102 Jul-23 Rp 717,060.00 DAK
43 Loperamid 2 mg LOPERAMIDE HCL 2 MG TABLET 2206-04-328 Jun-24 DAK
44 Lyse 500 ml LYSE 500 ML MINDRAY 3DIFF M- BOTOL 2021121601 Dec-23 Rp 2,503,050.00 DAK
45 Lyse 500 ml LYSE 500 ML MINDRAY 3DIFF M- BOTOL 2022030501 Mar-24 Rp 2,503,050.00 DAK
46 Masker Medis (Tali) MASKER TALI 50S ONEMED BOX Aug-26 Rp 394.27 DAK
47 Masker Nebulizer Set Anak BESMED MASKER NEBULIZER SET PCS 22022288 Jan-26 Rp 23,364.00 DAK
48 Masker Nebulizer Set Anak BESMED MASKER NEBULIZER SET PCS 11032288 Feb-26 Rp 23,364.00 DAK
49 Metformin 500 mg METFORMIN HCL 200 TABLET TABLET HTMFNB23088 Jun-24 Rp 77.00 DAK
50 My Jelly MY JELLY 82 GRAM ONEMED TUBE 23062288 May-25 Rp 36,937.50 DAK
51 Plester Bulat Non Woven 24 x 24 ONEMED PLESTERIN BULAT T BOX I PCS 05072288 Jun-27 Rp 467.21 DAK
52 Plester Bulat Non Woven 24 x 24 ONEMED PLESTERIN BULAT T BOX I PCS 06072288 Jun-27 Rp 467.21 DAK
53 Plester Non Woven 10 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 13062288 May-27 Rp 49,632.00 DAK
54 Plester Non Woven 10 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 01072288 Jun-27 Rp 49,633.00 DAK
55 Plester Non Woven 5 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 23062288 May-27 Rp 28,512.00 DAK
56 Plester Non Woven 5 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 04072288 Jun-27 Rp 28,512.00 DAK
57 Probe Cleanser PROBE CLEANSER 17 ML MINDRA BOTOL 2022030901 Mar-23 Rp 266,400.00 DAK
58 RDT HIV (Virocheck HIV 1/2) Virocheck HIV 1/2 TEST 62208 Jun-24 Rp 8,573.00 DAK
59 Reagen Asam Urat URIC ACID TBHBA 5X25ML DIALAB KIT 0521G2213 May-23 Rp 1,332,000.00 DAK
60 Reagen Asam Urat URIC ACID STANDARD 1X3ML DIA PCS 0045/30520-8 Jun-23 Rp - DAK
61 Reagen Glukosa GLUCOSE GOD PAP 5X25ML DIAL KIT 0222E2206 Mar-24 Rp 732,600.00 DAK
62 Reagen Glukosa GLUCOSE GOD PAP 5X25ML DIAL KIT 0222G2201 Mar-24 Rp 732,600.00 DAK
63 Reagen Glukosa GLUCOSE STANDARD 1X3ML DIAL PCS 8468/29203 Nov-23 Rp - DAK
64 Reagen Glukosa 3 mL GLUCOSE STANDARD 1 X 3ML DIA BOTOL 8468/29203 Nov-23 Rp - DAK
65 Reagen Kolesterol CHOLESTEROL 5X25ML DIALAB KIT 0122G2203 Jan-24 Rp 1,065,600.00 DAK
66 Reagen Kolesterol CHOLESTEROL STANDARD 1X3ML PCS 9301/30150 Jun-23 Rp - DAK
67 Risperidon 2 mg RISPERIDONE 2 MG TABLET 53C0620 Apr-26 Rp 130.00 DAK
68 Risperidon 2 mg RISPERIDONE 2 MG TABLET 53F1008 May-26 Rp 130.00 DAK
69 Stik Glucose MPM AUTOCHECK GLUCOSE TEST S BOX G22049020 Feb-24 Rp 2,670.40 DAK
70 Stik Total Cholesterol MPM AUTOCHECK TOTAL CHOLEST BOX C22025031 Aug-23 Rp 15,189.60 DAK
71 Stik Total Cholesterol MPM AUTOCHECK TOTAL CHOLEST BOX C22026031 Aug-23 Rp 15,189.60 DAK
72 Stik Uric Acid MPM AUTOCHECK URIC ACID TEST BOX U22029031 Oct-23 Rp 3,901.40 DAK
73 Stomach Tube 12 FR 125 ONEMED STOMACH TUBE 12FR 1 PCS 23062288 May-27 Rp 9,292.80 DAK
74 Stomach Tube 14 FR 125 ONEMED STOMACH TUBE 14FR 1 PCS 09062288 May-27 Rp 9,292.80 DAK
75 Suture Silk No 3/0 ONEMED SILK 3/0 JRM 1/2 GT 35 SACHET 27052288 Apr-27 Rp 4,326.67 DAK
76 Tabung EDTA TABUNG VAC. K3 EDTA 3ML GLASS PCS 220512 Apr-24 Rp 999.00 DAK
77 Ultrasonic Gell ONEMED USG GEL 250 ML BOTOL 30062288 May-24 Rp 17,325.00 DAK
78 Ultrasonic Gell ONEMED USG GEL 250 ML BOTOL 04072288 Jun-24 Rp 17,325.00 DAK
79 Wing Needle No. 21 G ONEMED WING NEEDLE 21 G PCS 30071988 Jun-24 Rp 1,680.00 DAK
80 Yodium Povidon Lar 10% 30 mL ONEMED POVIDONE IODINE 30 C BOTOL 28062288 May-25 Rp 4,218.33 DAK
81 Yodium Povidon Lar 10% 300 mL ONEMED POVIDONE IODINE 300 BOTOL 29062288 May-25 Rp 25,863.33 DAK

Sep-22
1 Allupurinol 100 mg ALLUPURINOL 100 MG KAPLET 22467 Apr-24 Rp 232.08 DAK
2 Allupurinol 300 mg ALLUPURINOL 300 MG TABLET 22625 Jun-25 Rp 699.84 DAK
3 Ambroxol Syrup AMBROXOL SYRUP BOTOL 2207-16-184 Jul-24 Rp 4,177.54 DAK
4 Ambroxol Syrup AMBROXOL SYRUP BOTOL 2207-17-184 Jul-24 Rp 4,177.54 DAK
5 Ambroxol Syrup AMBROXOL SYRUP BOTOL 2207-18-184 Jul-24 Rp 4,177.54 DAK
6 Amlodipin 5 mg AMLODIPIN 5 MG TABLET D20177BJ Apr-27 Rp 55.00 DAK
7 Amlodipin 5 mg AMLODIPIN 5 MG TABLET F20312BJ Jun-27 Rp 55.00 DAK
8 Amlodipin 5 mg AMLODIPIN 5 MG TABLET F20315BJ Jun-27 Rp 55.00 DAK
9 Amlodipine 10 mg AMLODIPINE 10 MG TABLET 211731 Feb-25 Rp 226 DAK
METAMIZOLE SODIUM
10 Antalgin Inj 500 mg/mL AMPUL F2F088 Jun-26 Rp 3,045.00 DAK
500MG/ML INJ
11 Betametason Salep BETAMETASON 0,1% CR TUBE F21333W Jun-24 Rp 1,520.00 DAK
12 Carbamazepine 200 mg BAMGETOL 200 MG TABLET A20393 Mar-25 Rp 2,549.35 DAK
13 Cefadroksil 500mg CEFADROKSIL 500MG KAPSUL 2207-12-57 Jul-24 Rp 975.75 DAK
14 Cefadroxil 250 syrup CEFADROXIL 250 SYRUP BOTOL 2207-01-189 Jul-26 Rp 11,088.06 DAK
15 CTM 4 mg TRIFACHLOR TABLET 2207096 Jul-24 Rp 98.99 DAK
16 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI AMPUL 2EA01036 Jan-25 Rp 64,597.57 DAK
17 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI AMPUL 2EA01036 Jan-25 Rp 64,567.50 DAK
LEVOFLOXACIN HEMIHYDRATE
18 Levofloksasin 500 mg 500 MG TSS TABLET L11769BJ Dec-25 Rp 373.00 DAK

19 Loratadin 10 mg LORATADIN 10 MG TABLET 2207-02-331 Jul-24 Rp 192.49 DAK

20 Meloxicam 15 mg MELOXICAM 15 MG TABLET 2207-04-175 Jul-24 Rp 315.91 DAK
21 Meloxicam 7,5 mg MELOXICAM 7,5 MG TABLET 2207-03-174 Jul-24 Rp 176.30 DAK
METHYLERGOMETRINE 0,125
22 Metilergometrina 0,125 mg MG TABLET D20792J Apr-27 Rp 214.00 DAK

23 Metilprednisolon 4mg METILPREDNISOLON 4MG TABLET 2207-02-171 Jul-24 Rp 257.75 DAK

24 Metoklorpramide 5 mg Tab METOCLORPRAMIDE 5 MG TABLET C20071BJ Mar-27 Rp 117.00 DAK
25 Mikonazol Salep MICONAZOL 2% CR TUBE F21419W Jun-25 Rp 1,900.00 DAK
26 Omeprazole 20 mg REDUSEC CAPS KAPSUL KEY26 Mar-25 Rp 1,099.56 DAK
27 Ondansentron 4 mg ONDANSENTRON 4 MG TABLET 2207-02-346 Jul-24 Rp 641.90 DAK
28 Piroxicam 20 mg PIROXICAM 20 MG TABLET 2112067 Dec-24 Rp 199.50 DAK
29 Ranitidin 150 mg RANITIDIN 150 MG TABLET 22603 Jun-24 Rp 293.06 DAK
30 Solvita D 1000 SOLVITA D 1000 TABLET TNX11 Sep-23 Rp 1,230.25 DAK
31 Solvita Plus Syrup SOLVITA PLUS SYR BOTOL LUX3 Dec-24 Rp 10,966.80 DAK
32 Solvita Z Kapsul SOLVITA Z KAPSUL 100S TABLET KFY1 Apr-24 Rp 927.96 DAK
33 Solvitral Kapsul SOLVITRAL CAPS KAPSUL TBY4 Feb-25 Rp 672.83 DAK
34 Solvitron Kapsul SOLVITRON CAPS KAPSUL KFY8 Apr-25 Rp 695.97 DAK
35 Solvitron Syrup SOLVITRON SYR BOTOL LAY34 Jan-25 Rp 10,167.60 DAK
36 Vical D Syrup VICAL D SYR BOTOL SIX7 Jun-24 Rp 17,196.90 DAK
37 Metoklorpramide 5 mg Tab METOCLORPRAMIDE 5 MG TABLET C20071BJ Mar-27 Rp 117.00 DAK
38 Amlodipin 5 mg AMLODIPIN 5 MG TABLET D20177BJ Apr-27 Rp 55.00 DAK
39 Amlodipin 5 mg AMLODIPIN 5 MG TABLET F20312BJ Jun-27 Rp 55.00 DAK
40 Amlodipin 5 mg AMLODIPIN 5 MG TABLET F20315BJ Jun-27 Rp 55.00 DAK
41 Mikonazol Salep MICONAZOL 2% CR TUBE F21419W Jun-25 Rp 1,900.00 DAK
42 Betametason Salep BETAMETASON 0,1% CR TUBE F21333W Jun-24 Rp 1,520.00 DAK
METHYLERGOMETRINE 0,125
43 Metilergometrina 0,125 mg MG TABLET D20792J Apr-27 Rp 214.00 DAK

LEVOFLOXACIN HEMIHYDRATE
44 Levofloksasin 500 mg 500 MG TSS TABLET L11769BJ Dec-25 Rp 373.00 DAK

METAMIZOLE SODIUM
45 Antalgin Inj 500 mg/mL 500MG/ML INJ AMPUL F2F088 Jun-26 Rp 3,045.00 DAK

46 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI AMPUL 2EA01036 Jan-25 Rp 64,597.57 DAK
47 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI AMPUL 2EA01036 Jan-25 Rp 64,567.50 DAK

48 Amoxicillin 500 mg AMOXICILLIN 500 MG 200 KAP TABLET TAMXB23391 Jul-24 Rp 208.11 DAK

49 Amoxicillin 500 mg AMOXICILLIN 500 MG 200 KAP TABLET TTAMXB24100 Jul-24 Rp 208.11 DAK

50 Glimepiride 2 mg GLIMEPIRIDE 2 MG 100 TAB TABLET HTGMPK23214 Jun-26 Rp 110.81 DAK

51 Ketokonazole Tab KETOCONAZOLE 200 mg TABLET HTKCZB23241 Jun-26 Rp 234.23 DAK
52 Asam Mefenamat 500 mg MEFENAMIC ACID 500 MG TABLET HTMECA23492 Jun-24 Rp 105.41 DAK
53 Asam Mefenamat 500 mg MEFENAMIC ACID 500 MG TABLET HTMECA23507 Jun-24 Rp 105.41 DAK
54 Simvastatin 10 mg SIMVASTATIN TAB 10 MG TABLET HTSVND23601 Jun-24 Rp 65.77 DAK
55 Simvastatin 10 mg SIMVASTATIN TAB 10 MG TABLET HTMFND23585 Jun-24 Rp 65.77 DAK
56 Metformin 500 mg METFORMIN HCL 200 TABLET TABLET HTMFNB23998 Jun-24 Rp 69.37 DAK
AMOXICILLIN DRY SYRUP 125
57 Amoxicilin Syrup Kering 125 mg/5MG/5 ML BTL B20060 Mar-25 Rp 2,600.00 DAK

PARASETAMOL SYRUP 120 MG/5

58 Parasetamol Syrup ML BTL A20774 Apr-25 Rp 1,160.00 DAK

59 Ibuprofen 400mg IBUPROFEN 400mg TABLET TABLET 2207-57-134 Jul-26 Rp 215.00 DAK
AMOXICILLIn DRY SYRUP 250
60 Amoxicilin Syrup Kering 250 mg/5MG/5ML BTL B20042 Mar-25 Rp 3,510.00 DAK

AMOXICILLIn DRY SYRUP 250

61 Amoxicilin Syrup Kering 250 mg/5MG/5ML BTL B20051 Mar-25 Rp 3,510.00 DAK

62 Kalsium Laktat 500 mg CALCIUM LACTATE 500 MG TABLET A21099 Jun-25 Rp 60.00 DAK
63 Kotrimoksazol Suspensi COTRIMOXAZOLE SUSPENSI BTL A12625 Dec-24 Rp 2,100.00 DAK
64 Kotrimoksazol Suspensi COTRIMOXAZOLE SUSPENSI BTL A20002 Jan-25 Rp 2,100.00 DAK
65 Asetilsistein 200 Mg Asetilsistein 200 Mg Kaps TABLET N2202059 Mar-24 Rp 1,221.00 DAK
66 Asetilsistein 200 Mg Asetilsistein 200 Mg Kaps TABLET N2203009 Mar-24 Rp 1,221.00 DAK
67 Asetilsistein 200 Mg Asetilsistein 200 Mg Kaps TABLET N2203067 Mar-24 Rp 1,221.00 DAK
68 Asetilsistein 200 Mg Asetilsistein 200 Mg Kaps TABLET N2203067 Mar-24 Rp 1,221.00 DAK
69 Asetilsistein 200 Mg Asetilsistein 200 Mg Kaps TABLET 2207096 Mar-24 Rp 1,221.00 DAK
70 Aminofilina Tab Aminofilina Tab TABLET 22FA012 Jun-25 Rp 420.00 DAK
71 Clindamycin 300 mg Clindamycin 300 mg Tab KAPSUL EFF054 Jun-24 Rp 1,887.00 DAK
72 Clindamycin 300 mg Clindamycin 300 mg Tab KAPSUL EFG157 Jul-24 Rp 1,887.00 DAK
73 Natrium Diklofenak 50 mg Natrium Diklofenak 50 mg TABLET 56365014 Mar-24 Rp 170.00 DAK
74 Natrium Diklofenak 50 mg Natrium Diklofenak 50 mg TABLET 56365016 Jun-24 Rp 170.00 DAK
75 Nifedipine 10 mg Nifedipine 10 mg TABLET D10376BJ Mar-25 Rp 320.00 DAK
Nistatin 100.000 IU/g Tab Nistatin 100.000 IU/g Tab
76 Vaginal Vaginal TABLET 56372006 May-25 Rp 970.99 DAK

77 Pirantel Pamoat Tab 125 mg Pirantel Pamoat Tab 125 mg Tab TABLET E10338BJ Apr-26 Rp 917.00 DAK

78 Vit A 100.000 IU Tab Vit A 100.000 IU Tab KAPSUL 20KJ010 Sep-23 Rp 426.99 DAK
79 Becefort Tablet Becefort Tablet TABLET 46003113 Sep-25 Rp 1,665.00 DAK
80 Becefort Syrup Becefort Syrup BOTOL 56004011 Jun-25 Rp 21,423.00 DAK
81 Deksametason Inj Deksametason Inj AMPUL PID25651 Mar-24 Rp 2,109.00 DAK
82 Difenhidramin Inj Difenhidramin Inj AMPUL 56342017-1 Jul-25 Rp 2,109.00 DAK
83 Ranitidin Inj Ranitidin Inj AMPUL PIH83851 Jul-25 Rp 2,220.00 DAK
84 Ranitidin Inj Ranitidin Inj AMPUL PIH83951 Jul-25 Rp 2,220.00 DAK
85 Ranitidin Inj Ranitidin Inj AMPUL PIH84351 Jul-25 Rp 2,220.00 DAK
86 Asiklovir Krim 5% Asiklovir Krim 5% TUBE 1428 Jul-25 Rp 5,439.00 DAK
87 Asiklovir Krim 5% Asiklovir Krim 5% TUBE 1628 Jul-25 Rp 5,439.00 DAK
88 Asiklovir Krim 5% Asiklovir Krim 5% TUBE 1728 Jul-25 Rp 5,439.00 DAK
89 Neomycin Sulfate Gel 15 gr Neocenta Krim TUBE 20427 Jul-25 Rp 15,540.00 DAK
90 Aquadest Steril Aquadest Steril 20 ml BOTOL 211121 Nov-26 Rp 6,882.00 DAK
91 Aquadest Steril Aquadest Steril 20 ml BOTOL 220107 Jan-27 Rp 6,882.00 DAK
92 Aquadest Steril Aquadest Steril 20 ml BOTOL 220207 Feb-27 Rp 6,882.00 DAK
Pyrantel Pamoate 250 mg Tab
93 Pyrantel Pamoate 250 mg (Wormetrin) TABLET T.4357006 Jun-24 Rp 1,776.00 DAK

Chlorpromazin INJ 25 mg/mL

94 Chlorpromazin INJ 25 mg/mL (Cepezet) AMPUL D10242 Apr-24 Rp 10,400.00 DAK

95 Diazepam 2 mg Diazepam 2 mg Tab TABLET A3125D Apr-25 Rp 258.00 DAK

96 Vit B Comp Tab VITAMIN B KOMPLEK 100's TABLET 2207-46-379 Jul-24 Rp 60.00 DAK
97 Vit B Comp Tab VITAMIN B KOMPLEK 100's TABLET 2207-47-379 Jul-24 Rp 60.00 DAK
98 Ibuprofen syr 200mg/5ml IBUPROFEN 200 MG BOTOL 2207-12-194 Jun-25 Rp 3,392.00 DAK
99 Ibuprofen 400 mg IBUPROFEN 400 MG TABLET 2207-30-134 Jul-26 Rp 215.00 DAK
100 Ibuprofen 400 mg IBUPROFEN 400 MG TABLET 2207-31-134 Jul-26 Rp 215.00 DAK
101 Ibuprofen syr 100mg/5ml IBUPROFEN 60 ML BOTOL H29223 Aug-24 Rp 2,339.00 DAK
ONEMED MEDI EXAM GLOVE
102 Handscoun 7,5 Steril LATEX MEDICAL EXAMINATION Pasang 12082288 Jul-27 Rp 1,672.99 DAK
GLOVE L

ONEMED MEDI EXAM GLOVE

103 Handscoun 7,5 Steril LATEX MEDICAL EXAMINATION Pasang 15082288 Jul-27 Rp 1,672.99 DAK
GLOVE L
 Kantong Plastik Limbah Medis KANTONG PLASTIK 80X60
104 80x60 KUNING 50S BIOHAZARD PCS Rp 2,098.00 DAK

Kantong Plastik Limbah Medis KANTONG PLASTIK 100X80

105 100x80 KUNING 50S BIOHAZARD PCS Rp 29,970.00 DAK

TABUNG VAC. K3 EDTA 3ML

106 Tabung EDTA GLASS 100S PCS 220512 Apr-24 Rp 999.00 DAK

Oct-22
1 Attapulgite 600 mg New Antides TABLET OG0671 Jun-25 Rp 608.66 DAK
2 Klorampenicol Suspensi Chloramphenicol Syr BOTOL 2208-01-82 Aug-24 Rp 11,723.32 DAK
3 Klorampenicol Suspensi Chloramphenicol Syr BOTOL 2208-02-82 Aug-24 Rp 11,723.32 DAK
4 Guaifenesin 100 mg Guafenesin Tab TABLET 2205054 May-25 Rp 154.33 DAK
5 Gigadryl Syrup Gigadryl Syr BOTOL LEY 35 May-25 Rp 12,173.15 DAK
6 Fortusin Syrup Fortusin Syr BOTOL LHY 2 May-25 Rp 14,133.46 DAK
7 Solafuz Syrup Solafuz Syr BOTOL LEY 31 Mar-26 Rp 16,825.57 DAK
8 Zinc Zinc Sulfate TABLET 2208-05-350 Aug-24 Rp 353.41 DAK
9 Zinc Zinc Sulfate TABLET 2208-08-350 Aug-24 Rp 353 DAK
10 Ambroxol Tab Ambroxol Tab TABLET 2208-01-146 Aug-24 Rp 156.14 DAK
11 Piracetam 400 mg Piracetam 400 mg TABLET KPL94750 Oct-23 Rp 365.96 DAK
12 Piracetam 400 mg Piracetam 400 mg TABLET KPE 17251 Apr-24 Rp 365.96 DAK
13 Piracetam 800 mg Piracetam 800 mg TABLET TS656981 Jun-24 Rp 696.12 DAK
14 Parasetamol 500 mg Trifamol TABLET 2111069 Feb-26 Rp 318.65 DAK
15 Parasetamol 500 mg Trifamol TABLET 2202110 Feb-26 Rp 318.65 DAK
16 Parasetamol 500 mg Trifamol TABLET 2202112 Feb-26 Rp 318.65 DAK
17 Parasetamol 500 mg Trifamol TABLET 2206050 Jun-26 Rp 318.65 DAK
18 Parasetamol 500 mg Trifamol TABLET 2206052 Jun-26 Rp 318.65 DAK
19 Parasetamol 500 mg Trifamol TABLET 2206053 Jun-26 Rp 318.65 DAK
20 Parasetamol 500 mg Trifamol TABLET 2206054 Jun-26 Rp 318.65 DAK
21 Parasetamol 500 mg Trifamol TABLET 2206079 Jun-26 Rp 318.65 DAK
22 Parasetamol 500 mg Trifamol TABLET 2206080 Jun-26 Rp 318.65 DAK
23 Parasetamol 500 mg Trifamol TABLET 2206081 Jun-26 Rp 318.65 DAK
24 Parasetamol 500 mg Trifamol TABLET 2206083 Jun-26 Rp 318.65 DAK
25 Deksametason 0,5 mg Trifason 0,5 mg TABLET 2207126 Jul-26 Rp 138.44 DAK
26 OBH Syrup OBH SYR BOTOL 208179 Aug-26 Rp 10,436.13 DAK
27 Vit B1 50 mg Vitamin B1 50 mg TABLET 2203032 Jun-24 Rp 186.57 DAK
28 Vit B1 50 mg Vitamin B1 50 mg TABLET 2208001 Aug-25 Rp 186.57 DAK
29 Simvastatin 20 mg SIMVASTATIN 20 MG TABLET F20397BJ Jun-27 Rp 150.00 DAK
ZINC SULFATE/SYR 60 ML 36'S
30 Zinc Sirup 20 mg/5ml PET BTL BOTOL 070682 Jun-24 Rp 2,489.00 DAK

ZINC SULFATE/SYR 60 ML 36'S

31 Zinc Sirup 20 mg/5ml PET BTL BOTOL 081622 Jul-24 Rp 2,489.00 DAK

ZINC SULFATE/SYR 60 ML 36'S

32 Zinc Sirup 20 mg/5ml PET BTL BOTOL 082692 Aug-24 Rp 2,489.00 DAK

ZINC SULFATE/SYR 60 ML 36'S

33 Zinc Sirup 20 mg/5ml PET BTL BOTOL 082702 Aug-24 Rp 2,489.00 DAK

ZINC SULFATE/SYR 60 ML 36'S

34 Zinc Sirup 20 mg/5ml PET BTL BOTOL 082712 Aug-24 Rp 2,489.00 DAK

ZINC SULFATE/SYR 60 ML 36'S

35 Zinc Sirup 20 mg/5ml PET BTL BOTOL 082722 Aug-24 Rp 2,489.00 DAK

ZINC SULFATE/SYR 60 ML 36'S

36 Zinc Sirup 20 mg/5ml PET BTL BOTOL 111101 Oct-24 Rp 2,489.00 DAK

37 DAK
38 DAK
39 DAK
40 DAK
41 DAK
42 DAK
43 DAK
44 DAK
45 DAK
46 DAK
47 DAK
48 DAK
49 DAK
50 DAK
51 DAK
52 DAK
53 DAK
54 DAK
55 DAK
56 DAK
57 DAK
58 DAK
59 DAK
60 DAK
61 DAK
62 DAK
63 DAK
64 DAK
65 DAK
66 DAK
67 DAK
68 DAK
69 DAK
70 DAK
71 DAK
 72 DAK
73 DAK
74 DAK
75 DAK
76 DAK
77 DAK
78 DAK
79 DAK
80 DAK
81 DAK
82 DAK
83 DAK
84 DAK
85 DAK
86 DAK
87 DAK
88 DAK
89 DAK
90 DAK
91 DAK
92 DAK
93 DAK
94 DAK
95 DAK
96 DAK
97 DAK
98 DAK
99 DAK
100 DAK
101 DAK
102 DAK
103 DAK
104 DAK
105 DAK
106 DAK
 PEMERINTAH KABUPATEN PASER
DINAS KESEHATAN
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285

GFK-F-INHOUSE-17

PENERIMAAN BARANG ALKES DAK 2022

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA BARANG NAMA BARANG (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR
Jan-22
1
 PEMERINTAH KABUPATEN PASER
DINAS KESEHATAN
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285

GFK-F-INHOUSE-17

PENERIMAAN BARANG APBD 2021

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR

Sep-22
1 Amlodipin 5 mg AMLODIPIN 5 MG TABLET F20312BJ Jun-27 Rp 55.00 APBD
2 Amlodipin 5 mg AMLODIPIN 5 MG TABLET F20315BJ Jun-27 Rp 55.00 APBD
3 Meloxicam 15 mg MELOXICAM 15 MG TABLET 2207-04-175 Jul-24 Rp 315.91 APBD
4 Parasetamol 500 mg TRIFAMOL KAPS TABLET 2202112 Feb-26 Rp 287.07 APBD
5 Parasetamol 500 mg TRIFAMOL KAPS TABLET 2206050 Jun-26 Rp 287.07 APBD
6 Parasetamol 500 mg TRIFAMOL KAPS TABLET 2206053 Jun-26 Rp 287.07 APBD
7 Parasetamol 500 mg TRIFAMOL KAPS TABLET 2206054 Jun-26 Rp 287.07 APBD
8 Parasetamol 500 mg TRIFAMOL KAPS TABLET 2206081 Jun-26 Rp 287.07 APBD
9 Parasetamol 500 mg TRIFAMOL KAPS TABLET 2206083 Jun-26 Rp 287.07 APBD
10 Piroxicam 10 mg PIROXICAM 10 MG TABLET 2112064 Dec-23 Rp 139.33 APBD
11 Piroxicam 10 mg PIROXICAM 10 MG TABLET 2206039 Jun-24 Rp 139.33 APBD
12 Piroxicam 20 mg PIROXICAM 20 MG TABLET 2112067 Dec-24 Rp 199.50 APBD
13 Piroxicam 20 mg PIROXICAM 20 MG TABLET 2203046 Mar-25 Rp 199.50 APBD
14 Asam Traneksamat Asam Traneksamat Tab TABLET 064224 Jun-25 Rp 1,887.00 APBD
15 Bioplacenton Salep 15 gr Bioplacenton Salep Tube KCBPCA23212 Jun-24 Rp 28,305.00 APBD
16 Clindamycin 150 mg Clindamycin 150 mg Tab Kapsul EFF300 Jun-24 Rp 1,110.00 APBD
17 Clozapine 100 mg Clorilex 100 mg Tab TABLET A00098 Jan-24 Rp 21,090.00 APBD
18 Clozapine 100 mg Clorilex 100 mg Tab TABLET A00681 Mar-24 Rp 21,090.00 APBD
19 Clozapine 100 mg Clorilex 100 mg Tab TABLET A01177 Jun-24 Rp 21,090.00 APBD
20 Clozapine 25 mg Clorilex 25 mg Tab TABLET D10242 Apr-24 Rp 6,105.00 APBD
21 Furosemide 40 mg Furosemide 40 mg Tab TABLET C20092BJ Mar-26 Rp 222.00 APBD

22 Glukosa Infus 40 % Glucose Infuse 40% (OTSU Colf B84B52A Feb-24 Rp 12,432.00 APBD
D40%)
23 Metoclorpramide Inj. Metoclorpramide Injeksi Ampul PIN27650 Dec-25 Rp 7,326.00 APBD
Noscapine 50 mg (Longatine
24 Noscapine 50 mg Kapsul A20571006 Dec-26 Rp 968.00 APBD
50mg)

25 Noscapine 50 mg Noscapine 50 mg (Longatine Kapsul B20571002 Jul-27 Rp 968.00 APBD

50mg)
26 Oksitetrasiklina Salep 3% Oksitetrasiklina Salep 3% Tube 22SH003 Aug-25 Rp 2,664.00 APBD
27 Natrium Fenitoin kap 100 mg Phenytoin Na Tab Kapsul 320506 May-24 Rp 710.40 APBD
28 Salbutamol 4 mg tab Salbutamol 4 mg tab TABLET A08323GZ Jun-26 Rp 151.00 APBD
29 Salbutamol 4 mg tab Salbutamol 4 mg tab TABLET A08324GZ Jul-26 Rp 151.00 APBD
30 Salisil Bedak 2% Salisil Bedak 2% Pcs 20112 Jan-25 Rp 2,664.00 APBD
31 Ventolin Nebules Inj. Ventolin Nebules Inj. Ampul XW0996 Dec-24 Rp 760.35 APBD

32 Vit B12 Inj 0,5 mg/ml Vitamin B12 Inj 0,5 mg/ml Ampul 820752 Aug-24 Rp 1,523.00 APBD
(cyanocobalamin)
33 Haloperidol 0,5 mg Haloperidol 0,5 mg Tab TABLET A01801FZ Jun-24 Rp 135.00 APBD
34 Haloperidol 1,5 mg Haloperidol 1,5 mg Tab TABLET A01901CZ Mar-24 Rp 170.00 APBD
35 Haloperidol 1,5 mg Haloperidol 1,5 mg Tab TABLET A01903FZ Jun-24 Rp 170.00 APBD
36 Haloperidol 1,5 mg Haloperidol 1,5 mg Tab TABLET A01904FZ Jun-24 Rp 170.00 APBD
37 Stesolid Rectal 5 mg/2,5 ml Stesolid Rectal 5 mg TUBE B2669103 Apr-25 Rp 40,515.00 APBD
38 Stesolid Rectal 10 mg/2,5 ml Stesolid Rectal 10 mg TUBE B2670102 Mar-25 Rp 60,828.00 APBD
39 Stesolid Rectal 10 mg/2,5 ml Stesolid Rectal 10 mg TUBE B2670103 Apr-25 Rp 60,828.00 APBD

Oct-22
1 Ambroxol Syrup Ambroxol Syr BOTOL 2208-16-184 Aug-24 Rp 4,220.28 APBD
2 Ambroxol Syrup Ambroxol Syr BOTOL 2208-17-184 Aug-24 Rp 4,220.28 APBD
3 Ambroxol Syrup Ambroxol Syr BOTOL 2208-18-184 Aug-24 Rp 4,220.28 APBD
4 Attapulgite 600 mg New Antides TABLET OH0111 Aug-25 Rp 548.34 APBD
5 Guaifenesin 100 mg Guaifenesin Tab TABLET 2205054 May-25 Rp 139.03 APBD
6 Gentamicin Salep Kulit 0,1 % Gentamicin Sulfat SK TUBE 1857012 Jun-24 Rp 4,964.00 APBD
7 Kloramfenikol Tetes Telinga 3% Reco TT BOTOL 520822002 Aug-25 Rp 9,802.00 APBD

8 Ambroxol Tab Ambroxol Tab TABLET 2208-01-146 Aug-24 Rp 142.11 APBD

9 Ambroxol Tab Ambroxol Tab TABLET 2208-02-146 Aug-24 Rp 142.11 APBD
10 Parasetamol 500 mg Trifamol TABLET 2111062 Nov-25 Rp 287.07 APBD
11 Parasetamol 500 mg Trifamol TABLET 2111065 Nov-25 Rp 287.07 APBD

12 Natrium Diklofenak 25 mg NATRIUM DIKLOFENAK 25 MG TABLET D20794J Apr-27 Rp 114.00 APBD

13 Natrium Diklofenak 25 mg NATRIUM DIKLOFENAK 25 MG TABLET D20795J Apr-27 Rp 114.00 APBD

14 APBD
15 APBD
16 APBD
17 APBD
18 APBD
19 APBD
20 APBD
21 APBD
22 APBD
23 APBD
24 APBD
25 APBD
26 APBD
27 APBD
28 APBD
29 APBD
30 APBD
31 APBD
32 APBD
33 APBD
34 APBD
35 APBD
36 APBD
37 APBD
38 APBD
39 APBD
 PEMERINTAH KABUPATEN PASER 1

DINAS KESEHATAN 0
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN 29-Jan-20
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285 1 Page
GFK-F-INHOUSE-17

PENERIMAAN BARANG DAK PENUGASAN 2022

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR
1 DAK PENUGASAN
2 DAK PENUGASAN
3 DAK PENUGASAN
4 DAK PENUGASAN
5 DAK PENUGASAN
6 DAK PENUGASAN
7 DAK PENUGASAN
8 DAK PENUGASAN
9 DAK PENUGASAN
10 DAK PENUGASAN
11 DAK PENUGASAN
12 DAK PENUGASAN
13 DAK PENUGASAN
14 DAK PENUGASAN
15 DAK PENUGASAN
16 DAK PENUGASAN
 PEMERINTAH KABUPATEN PASER
DINAS KESEHATAN
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285

GFK-F-INHOUSE-17

PENERIMAAN BARANG PENGADAAN KABUPATEN 2022

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR

1 Alat suntik sekali pakai 10 ml JMI SYRINGE 10ML WITH PCS 07072288 Jun-27 Rp 1,452 DAK
NEEDLE (EC)

2 Alat suntik sekali pakai 10 ml JMI SYRINGE 10ML WITH PCS 11072288 Jun-27 DAK
NEEDLE (EC) Rp 1,452.00
3 Alat suntik sekali pakai 3 ml JMI SYRINGE 3ML WITH NEEDLE PCS 15062288 May-27 Rp 937.20 DAK
(EC)

4 Alat suntik sekali pakai 3 ml JMI SYRINGE 3ML WITH NEEDLE PCS 08072288 Jun-27 Rp 937.20 DAK
(EC)
5 Alkohol 70% 1000 ml Onemed Alkohol 70% 1 Liter Botol 03082188 Jul-25 Rp 27,846.67 DAK
6 Alkohol 70% 1000 ml ONEMED ALKOHOL 70% 1 LITER BOTOL 25032288 Feb-26 Rp 27,846.67 DAK
7 Alkohol 70% 1000 ml ONEMED ALKOHOL 70% 1 LITER BOTOL 29032288 Feb-26 Rp 27,846.67 DAK
8 Alkohol 70% 1000 ml ONEMED ALKOHOL 70% 1 LITER BOTOL 09062288 May-26 Rp 27,846.67 DAK
9 Alkohol Swab Onemed Alkohol Swab 100S Box 01092188 Aug-24 Rp 106.56 DAK
10 Alkohol Swab Onemed Alkohol Swab 100S Box 03012288 Dec-24 Rp 106.56 DAK
11 Amoxicillin 500 mg AMOXICILLIN 500 MG 200 KAP TABLET TAMXB23363 Jun-24 Rp 231.00 DAK
12 Antasida DOEN Syrup ANTASIDA DOEN @60 ML BOTOL F49201 Jun-25 Rp 1,756.00 DAK
13 Antasida DOEN Syrup ANTASIDA DOEN @60 ML BOTOL F49202 Jun-25 Rp 1,756.00 DAK
14 Antihemoroid DOEN Supp. ANTIHEMOROID SUPP B20298W Feb-24 Rp 3,260.00 DAK
15 Asam Mefenamat 500 mg MEFENAMIC ACID 500 MG TABLET HTMECA23492 Jun-24 Rp 117.00 DAK
16 Asam Traneksamat inj. 250 Tranexamic Acid Injeksi 5% BOX 4711334 Jun-24 Rp 1,837 DAK
mg/5ml 250mg/5ml
17 Asering ASERING 500 ML BOTOL A87F52A Jun-24 Rp 9,592.00 DAK
18 Asering ASERING 500 ML BOTOL A83E52A May-24 Rp 9,592.00 DAK
19 Azithromycin 500 mg AZITHROMYCIN 500 MG TABLET I12993J Sep-26 Rp 1,400.00 DAK
20 Betahistin 6 mg BETAHISTINE 6 MG TAB BOX 53C0666 Mar-24 Rp 93.00 DAK
21 Blood Lancet ONEMED BLOOD LANCETS 21G 10 BOX 06032188 Feb-26 Rp 247.80 DAK
22 Blood Lancet ONEMED BLOOD LANCETS 21G 10 BOX 28042188 Mar-26 Rp 247.80 DAK
23 Cat Gut No 2/0 ONEMED CATGUT CHROMIC 2/0 P BOX 2201009 Feb-27 Rp 5,940.00 DAK
24 Cat Gut No 3/0 ONEMED CATGUT CHROMIC 3/0 P BOX 2201009 Feb-27 Rp 5,940.00 DAK
25 Cat Gut Plain 2/0 ONEMED CATGUT PLAIN 2/0 Box 2007085 Jul-25 Rp 5,940.00 DAK
PLUS JRM 24S

26 Cat Gut Plain 2/0 ONEMED CATGUT PLAIN 2/0 Box 2111184 Oct-26 Rp 5,940.00 DAK
PLUS JRM 24S
27 Cat Gut Plain 2/0 ONEMED CATGUT PLAIN 2/0 PLUS BOX 2111184 Oct-26 Rp 5,940.00 DAK
28 Cat Gut Plain 3/0 ONEMED CATGUT PLAIN 3/0 PLUS BOX 2201009 Feb-27 Rp 5,940.00 DAK
29 Cefotaxime 1 g CEFOTAXIME 1 GR 2 VIAL VIAL 53F0256 May-24 Rp 3,050.00 DAK
30 Ceftriaxone 1 g CEFTRIAXONE INJ 1G VIAL 53E0240 May-24 Rp 2,899.00 DAK
31 Ceftriaxone 1 g CEFTRIAXONE INJ 1G VIAL 53E0256 May-24 Rp 2,925.00 DAK
32 Cetirizine Syr 5 mg/5 ml CETIRIZINE SYR BOTOL AD2561 Apr-24 Rp 2,235.54 DAK
33 Cetirizine Syr 5 mg/5 ml CETIRIZINE SYR BOTOL AF0821 Jun-24 Rp 2,235.54 DAK
34 Cetirizine10 mg CETIRIZINE TAB BOX AC4331 Sep-24 Rp 52.47 DAK
35 Cetirizine10 mg CETIRIZINE TAB BOX AE0431 Nov-24 Rp 52.47 DAK
36 Cetirizine10 mg CETIRIZINE TAB BOX AE0461 Nov-24 Rp 52.47 DAK
37 Cetirizine10 mg CETIRIZINE TAB BOX AE0471 Nov-24 Rp 52.47 DAK
38 Cetirizine10 mg CETIRIZINE TAB BOX AF0951 Dec-24 Rp 52.47 DAK
39 Chlorpromazin 100 mg Chlorpromazin 100 mg Tablet D10451BJ Mar-23 Rp 455 BLUD
40 Chlorpromazine 100 mg CEPEZET 100 MG TAB BOX A11688 Sep-25 Rp 249.75 DAK
41 Chlorpromazine 100 mg CEPEZET 100 MG TAB BOX A20973 May-26 Rp 249.75 DAK
42 Citoject Syringe ONEMED CITOJECT SYRINGE 1.8 PCS 04032188 Rp 475,923.08 DAK
43 Clozapine 25 mg CLOZAPINE TABLET 25 MG BOX 53D0814 Mar-24 Rp 477.00 DAK

44 GALON 2022030403 Mar-24 Rp 2,924,850.00

Diluent 20 L DILUENT 20 L MINDRAY 3 DIFF M DAK
45 Domperidon 10 mg DOMPERIDONE 10 MG BOX AE2591 May-25 Rp 75.68 DAK
46 Elastis Perban 3" POLICREPE 7,5 CM X 4,55 M ROLL 2206293 Jun-27 Rp 30,360.00 DAK
47 Elastis Perban 4" POLICREPE 10 CM X 4,55 M ROLL 2207308 Jul-27 Rp 35,910.00 DAK
48 Elastis Perban 6" POLICREPE 15 CM X 4,55 M ROLL 2207324 Jul-27 Rp 45,840.00 DAK
49 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI Box 1EA03161 Mar-24 Rp 64,567.59 DAK
50 Fluphenazine Inj. 25 mg/mL SIKZONOATE INJEKSI Box 2EA01036 Jan-25 Rp 64,567.59 DAK
51 Gentian Violet Lar 1 % GENTIAN VIOLET 10 ML BOTOL E56201 May-25 Rp 25,000.00 DAK
52 Gentian Violet Lar 1 % GENTIAN VIOLET 10 ML BOTOL F46209 Jun-25 Rp 25,000.00 DAK
53 Glimepiride 2 mg GLIMEPIRIDE 2 MG 100 TAB TABLET HTGMPK2303 May-26 Rp 123.00 DAK
54 Glimepiride 2 mg GLIMEPIRIDE 2 MG 100 TAB TABLET HTGMPK23194 May-26 Rp 123.00 DAK
55 Glucose Test Strips On Call Plus On Call Strip G3 Plus 2x25 Test A PCS 1692626 May-24 Rp 3,414.45 DAK
56 Glukosa Infus 10% GLUKOSA 10% OGB BOTOL 220503 Apr-24 Rp 7,200.00 DAK

57 Glukosa Infus 5 % DEXTROSE MONOHYDRATE 5% BOTOL 220506 Apr-24 Rp 6,627.00 DAK

58 Halloperidol 0,5mg Halloperidol 0,5mg Tablet A1802BW Feb-24 Rp 93 BLUD

59 Halloperidol 1,5mg Halloperidol 1,5mg Tablet A1902BV Feb-23 Rp 76 BLUD
 ASEPTAN 500CC DISPENSER
60 Hand Rub Antiseptic 500 ml Botol 12072188 Jun-24 Rp 38,850.00 DAK
ONEMED
ASEPTAN 500CC DISPENSER
61 Hand Rub Antiseptic 500 ml Botol 05082188 Jul-24 Rp 38,850.00 DAK
ONEMED
ASEPTAN 500CC DISPENSER
62 Hand Rub Antiseptic 500 ml Botol 09092188 Aug-24 Rp 38,850.00 DAK
ONEMED
ASEPTAN 500CC DISPENSER
63 Hand Rub Antiseptic 500 ml Botol 01122188 Nov-24 Rp 38,850.00 DAK
ONEMED
ONEMED MEDI EXAM GLOVE
64 Handschoen 6,5 Steril LATEX MEDICAL EXAMINATION Box 28072188 Jun-26 Rp 1,672.99 DAK
GLOVE S
65 Handschoen 6,5 Steril ONEMED MEDI EXAM GLOVE LATE BOX 02122188 Nov-26 Rp 1,672.99 DAK
66 Handschoen 6,5 Steril ONEMED MEDI EXAM GLOVE LATE BOX 09122188 Nov-26 Rp 1,672.99 DAK
67 Handschoen 7 Steril SARUNG TANGAN STERIL MEDI Box 25082188 Jul-26 Rp 1,672.99 DAK
EXAM UK. M

68 Handschoen 7 Steril SARUNG TANGAN STERIL MEDI Box 27082188 Oct-26 Rp 1,672.99 DAK
EXAM UK. M
69 Handschoen 7 Steril ONEMED MEDI EXAM GLOVE LATE PSG 22072288 Jun-27 Rp 1,672.99 DAK
70 Handschoen Obgyn Onemed Sarung Tangan Obgyn Psg 26112188 Oct-26 Rp 18,381.60 DAK
Steril

71 Handschoen Obgyn Onemed Sarung Tangan Obgyn Psg 29112188 Oct-26 Rp 18,381.60 DAK
Steril
72 Handschoen Obgyn ONEMED SARUNG TANGAN OBGYN PSG 14072188 Jun-26 Rp 18,381.60 DAK
73 Handschoen Obgyn ONEMED SARUNG TANGAN OBGYN PSG 30052288 Apr-27 Rp 18,381.60 DAK
74 Handschoen Obgyn ONEMED SARUNG TANGAN OBGYN PSG 10062288 May-27 Rp 18,381.60 DAK
75 Herbakof Syrup 100 ml HERBAKOF Syrup 100ml Botol 52K4203 Oct-23 Rp 14,402.00 DAK
76 Herbakof Syrup 100 ml HERBAKOF Syrup 100ml Botol 53C4207 Feb-24 Rp 14,402.00 DAK
77 Infus Set Dewasa INFUS SET DEWASA PCS 21K01L1J Oct-26 Rp 7,193.00 BLUD

78 Isosorbide Dinitrate 5 mg ISOSORBIDE DINITRATE TAB BOX A02342DZ Apr-25 Rp 99.90 DAK
100S FAH
79 Kantong Plastik Limbah Medis KANTONG PLASTIK 80X60 KUNING PCS Rp 2,098.00 DAK
Onemed Kasa Hydrophil Steril Uk
80 Kasa Kompres 16 x 16 Cm Steril Box 04042288 Mar-27 Rp 9,600.00 DAK
16x16 16S
81 Kasa Pemb. 4 m x 5 Cm ONEMED KASA PEMBALUT HYDRO ROLL 26042288 Mar-27 Rp 122,760.00 DAK
82 Kasa Pemb. 40 x 80 Cm Onemed Kasa Hydrophil 40x80 Rol 030188MX Rp 189,816.00 DAK
cm

83 Kasa Pemb. 40 x 80 Cm Onemed Kasa Hydrophil 40x80 Rol 102588MX Rp 189,816.00 DAK
cm
84 Kasa Pemb. 40 x 80 Cm ONEMED KASA HYDROPHIL 40X80 ROLL 040488 Aug-27 Rp 189,816.00 DAK
85 Ketoconazole Tab KETOCONAZOLE 200MG/100 TAB TABLET HTKCZB21203 Feb-24 Rp 260.00 DAK
86 Ketoconazole Tab KETOCONAZOLE 200MG/100 TAB TABLET HTKCZB22221 Apr-24 Rp 260.00 DAK
87 Ketoconazole Tab KETOCONAZOLE 200MG/100 TAB TABLET HTKCZB2E228 May-24 Rp 260.00 DAK
88 Kontrol Hema 3 Diff CONTROL NORMAL HEMA MINDRA BOTOL B0822 Nov-22 Rp 1,172,160.00 DAK
89 Kontrol Kimia Normal DIACON N 1X5 ML DIALAB PCS 0812102 Jul-23 Rp 717,060.00 DAK
90 Loperamid 2 mg LOPERAMIDE HCL 2 MG TABLET 2206-04-328 Jun-24 DAK
91 Lyse 500 ml LYSE 500 ML MINDRAY 3DIFF M- BOTOL 2021121601 Dec-23 Rp 2,503,050.00 DAK
92 Lyse 500 ml LYSE 500 ML MINDRAY 3DIFF M- BOTOL 2022030501 Mar-24 Rp 2,503,050.00 DAK
93 Masker Medis (Karet) Onemed Surgical Mask Plus 3Ply Box 07062288 May-27 Rp 412.92 DAK
Earloop 50
94 Masker Medis (Tali) Masker Tali 50S Onemed Box MFG 02.2021 Rp 394.27 DAK
95 Masker Medis (Tali) MASKER TALI 50S ONEMED BOX Aug-26 Rp 394.27 DAK
96 Masker N95 Onemed Masker N95 Box 06042288 Mar-27 Rp 8,325.00 DAK

97 Masker Nebulizer Set Anak BESMED MASKER NEBULIZER Pcs 22022288 Jan-26 Rp 23,364.00 DAK
SET ANAK
BESMED MASKER NEBULIZER
98 Masker Nebulizer Set Anak Pcs 10032288 Feb-26 Rp 23,364.00 DAK
SET ANAK
99 Masker Nebulizer Set Anak BESMED MASKER NEBULIZER SET PCS 22022288 Jan-26 Rp 23,364.00 DAK
100 Masker Nebulizer Set Anak BESMED MASKER NEBULIZER SET PCS 11032288 Feb-26 Rp 23,364.00 DAK
BESMED MASKER NEBULIZER
101 Masker Nebulizer Set Dewasa Pcs 15022288 Jan-26 Rp 23,364.00 DAK
SET DEWASA
BESMED MASKER NEBULIZER
102 Masker Nebulizer Set Dewasa Pcs 07012288 Dec-26 Rp 23,364.00 DAK
SET DEWASA
Besmed HI Oxygen Masker Anak
103 Masker Oxygen Anak Pcs 20021888 Rp 27,600.00 DAK
(NR Mask)
BESMED MAXIFLOW BAYI
104 Masker Oxygen Bayi Pcs 07102088 Rp 16,200.00 DAK
(MASKER OKSIGEN BAYI)
BESMED MAXIFLOW BAYI
105 Masker Oxygen Bayi Pcs 13042088 Rp 16,200.00 DAK
(MASKER OKSIGEN BAYI)
Besmed HI Oxygen Masker
106 Masker Oxygen Dewasa Pcs 300821881 Jul-25 Rp 27,600.00 DAK
Dewasa (NR Mask)
Besmed HI Oxygen Masker
107 Masker Oxygen Dewasa Pcs 060921881 Aug-25 Rp 27,600.00 DAK
Dewasa (NR Mask)

108 Masker Oxygen Dewasa Besmed HI Oxygen Masker Pcs 080921881 Aug-25 Rp 27,600.00 DAK
Dewasa (NR Mask)
109 Metformin 500 mg METFORMIN HCL 200 TABLET TABLET HTMFNB23088 Jun-24 Rp 77.00 DAK
110 Metilergometrina inj. 0,2 mg/ml Methylergometrine maleat BOX 5011965 Sep-23 Rp 1,079.00 DAK
0,2mg/ml
111 Mucus Extractor 20 ml Onemed Mucus Extractior Pcs 02062288 May-27 Rp 8,448.00 DAK
112 Mucus Extractor 20 ml Onemed Mucus Extractior Pcs 07062288 May-27 Rp 8,448.00 DAK
113 My Jelly My Jelly 82 Gram Onemed Tube 06092188 Aug-24 Rp 36,937.50 DAK
114 My Jelly MY JELLY 82 GRAM ONEMED TUBE 23062288 May-25 Rp 36,937.50 DAK
115 Natrium Klorida Infus 0,9% SODIUM CHLORIDE 0,9% OGB BOTOL 520505 Apr-26 Rp 6,900.00 DAK
116 Paracetamol drop PARACETAMOL DROPS @15 ML BOTOL F39206 Jun-25 Rp 5,204.00 DAK

117 Paracetamol drop PARACETAMOL DROPS @15 ML BOTOL F39210 Jun-25 Rp 5,204.00 DAK

118 Plester Bulat Non Woven 24 x 24 ONEMED PLESTERIN BULAT T BOX PCS 05072288 Jun-27 Rp 467.21 DAK
119 Plester Bulat Non Woven 24 x 24 ONEMED PLESTERIN BULAT T BOX PCS 06072288 Jun-27 Rp 467.21 DAK
Onemed Plesterin Non Woven
120 Plester Non Woven 10 cm x 5 m Rol 06042288 Mar-27 Rp 49,632.00 DAK
Roll 10cm x 5 m
Onemed Plesterin Non Woven
121 Plester Non Woven 10 cm x 5 m Rol 07042288 Mar-27 Rp 49,632.00 DAK
Roll 10cm x 5 m
122 Plester Non Woven 10 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 13062288 May-27 Rp 49,632.00 DAK
123 Plester Non Woven 10 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 01072288 Jun-27 Rp 49,633.00 DAK
124 Plester Non Woven 5 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 23062288 May-27 Rp 28,512.00 DAK
125 Plester Non Woven 5 cm x 5 m ONEMED PLESTERIN NON WOVEN ROLL 04072288 Jun-27 Rp 28,512.00 DAK
126 Probe Cleanser PROBE CLEANSER 17 ML MINDRA BOTOL 2022030901 Mar-23 Rp 266,400.00 DAK
127 RDT HIV (Virocheck HIV 1/2) Virocheck HIV 1/2 TEST 62208 Jun-24 Rp 8,573.00 DAK
128 Reagen Asam Urat URIC ACID TBHBA 5X25ML DIALAB KIT 0521G2213 May-23 Rp 1,332,000.00 DAK
129 Reagen Asam Urat URIC ACID STANDARD 1X3ML DIA PCS 0045/30520-8 Jun-23 Rp - DAK
130 Reagen Glukosa GLUCOSE GOD PAP 5X25ML DIALA KIT 0222E2206 Mar-24 Rp 732,600.00 DAK
131 Reagen Glukosa GLUCOSE GOD PAP 5X25ML DIAL KIT 0222G2201 Mar-24 Rp 732,600.00 DAK
132 Reagen Glukosa GLUCOSE STANDARD 1X3ML DIAL PCS 8468/29203 Nov-23 Rp - DAK
133 Reagen Glukosa 3 mL GLUCOSE STANDARD 1 X 3ML DIA BOTOL 8468/29203 Nov-23 Rp - DAK
134 Reagen Kolesterol CHOLESTEROL 5X25ML DIALAB KIT 0122G2203 Jan-24 Rp 1,065,600.00 DAK
135 Reagen Kolesterol CHOLESTEROL STANDARD 1X3ML PCS 9301/30150 Jun-23 Rp - DAK
136 Ringer Laktat RINGER LACTATE OGB BOTOL 320412 Mar-27 Rp 7,703.00 DAK
137 Ringer Laktat RINGER LACTATE OGB BOTOL 320412 Mar-27 Rp 7,703.00 DAK
138 Risperidon 2 mg RISPERIDONE 2 MG TABLET 53C0620 Apr-26 Rp 130.00 DAK
139 Risperidon 2 mg RISPERIDONE 2 MG TABLET 53F1008 May-26 Rp 130.00 DAK
140 Rivanol Lar 0.1% Onemed Rivanol 300 cc Botol 14032288 Feb-25 Rp 6,438.67 DAK
Onemed Safety Box 5L
141 Safety Box 5 L Pcs Rp 17,400.00 DAK
Disposible
142 Stik Glucose MPM AUTOCHECK GLUCOSE TEST S BOX G22049020 Feb-24 Rp 2,670.40 DAK
143 Stik Total Cholesterol MPM AUTOCHECK TOTAL CHOLEST BOX C22025031 Aug-23 Rp 15,189.60 DAK
144 Stik Total Cholesterol MPM AUTOCHECK TOTAL CHOLEST BOX C22026031 Aug-23 Rp 15,189.60 DAK
145 Stik Uric Acid MPM AUTOCHECK URIC ACID TEST BOX U22029031 Oct-23 Rp 3,901.40 DAK
Stimuno Syrup Orange Berry
146 Stimuno syrup 100 ml Botol 53A4208 Jul-23 Rp 28,374.00 DAK
100ml

147 Stimuno syrup 100 ml Stimuno Syrup Orange Berry Botol 52K4203 Feb-24 Rp 28,374.00 DAK
100ml

148 Stomach Tube 12 FR 125 Onemed Stomach Tube 12FR Pcs 04051988 Apr-24 Rp 9,292.80 DAK
125cm

149 PCS 23062288 May-27 Rp 9,292.80

Stomach Tube 12 FR 125 ONEMED STOMACH TUBE 12FR 1 DAK
150 PCS 09062288 May-27 Rp 9,292.80
Stomach Tube 14 FR 125 ONEMED STOMACH TUBE 14FR 1 DAK
151 SACHET 27052288 Apr-27 Rp 4,326.67
Suture Silk No 3/0 ONEMED SILK 3/0 JRM 1/2 GT 3 DAK
152 PCS 220512 Apr-24 Rp 999.00
Tabung EDTA TABUNG VAC. K3 EDTA 3ML GLAS DAK
153 Ultrasonic Gell ONEMED USG GEL 250 ML Botol 2405228 Apr-24 Rp 17,325.00 DAK

154 Ultrasonic Gell ONEMED USG GEL 250 ML Botol 10062288 May-24 Rp 17,325.00 DAK

155 BOTOL 30062288 May-24 Rp 17,325.00

Ultrasonic Gell ONEMED USG GEL 250 ML DAK
156 BOTOL 04072288 Jun-24 Rp 17,325.00
Ultrasonic Gell ONEMED USG GEL 250 ML DAK
157 Underpad Onemed U-Pad 60cm x 90cm Pak 24032288 Feb-27 Rp 3,960.00 DAK
Non Steril
Onemed Urine Bag Sterile T
158 Urine Bag Steril Pcs 24032288 Feb-27 Rp 5,082.00 DAK
Valve

159 PCS 30071988 Jun-24 Rp 1,680.00

Wing Needle No. 21 G ONEMED WING NEEDLE 21 G DAK
160 Wing Needle No. 25 G Wing Needle 25 G Onemed Pcs 12012288 Dec-26 Rp 1,680.00 DAK
161 Wing Needle No. 27 G Onemed Wing Needle 27 G Pcs 10092188 Aug-26 Rp 1,680.00 DAK
162 Yodium Povidon Lar 10% 30 mL ONEMED POVIDONE IODINE 30 C BOTOL 28062288 May-25 Rp 4,218.33 DAK
163 Yodium Povidon Lar 10% 300 mL ONEMED POVIDONE IODINE 300 BOTOL 29062288 May-25 Rp 25,863.33 DAK
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
 PEMERINTAH KABUPATEN PASER
DINAS KESEHATAN
UPTD PERBEKALAN OBAT DAN ALAT KESEHATAN
JL. YOS SUDARSO SENAKEN KEC. TANAH GROGOT KAB. PASER, KODE POS : 76211 TELP : (0543) 21285

GFK-F-INHOUSE-17

PENERIMAAN BARANG HIBAH PROVINSI 2022

HARGA SATUAN
(PPN+ONGKIR)
NO NAMA OBAT (GENERIK/LPLPO) NAMA OBAT (FAKTUR/SBBK) SATUAN NO BATCH E.D SUMBER
HARGA / SAT QTY
DASAR
1 Alat Suntik 0,05 ml ADS 0,05 ML PCS 20002 Apr-25 Rp 1,460 APBN
2 Alat Suntik 0,5 ml ADS 0,5 Ml PCS C22DCL005 Mar-27 Rp 1,190 APBN
3 Alat Suntik 0,5 ml ADS 0,5 ML PCS 18141/2 Jul-23 Rp 1,240 APBN
4 Alat Suntik 0,5 ml ADS 0,5 ml Pcs 18141/2 Jul-23 Rp 1,240 APBN
5 Alat Suntik 0,5 ml ADS 0,5 ML PCS C22DCL005 Mar-27 Rp 1,190 APBN
6 Alat Suntik 5 ml ADS 5 Ml PCS 21501 Apr-26 Rp 1,460 APBN
7 Alat Suntik 5 ml ADS 5 ML PCS S22EGC001 Apr-27 Rp 1,460 APBN
8 Albendazole 400 mg ALBENDAZOL 400 MG TABLET J00553BJ Sep-22 Rp 366.50 APBN 2
9 Albendazole 400 mg ALBENDAZOL 400 MG TABLET 1107060 Jul-23 Rp 366.50 APBN 2
10 Albendazole 400 mg ALBENDAZOL 400 MG TABLET 1107061 Jul-23 Rp 366.50 APBN 2
11 Albendazole 400 mg ALBENDAZOL 400 MG TABLET 1107062 Jul-23 Rp 366.50 APBN 2
12 Albendazole 400 mg ALBENDAZOL 400 MG TABLET E10682BJ Apr-23 Rp 366.50 APBN 2
13 Albendazole 400 mg ALBENDAZOLE 400 MG TABLET 1107060 Jul-23 Rp 366.50 APBN 2
14 Albendazole 400 mg ALBENDAZOLE 400 MG TABLET 1107061 Jul-23 Rp 366.50 APBN 2
15 Albendazole syr 200mg / 5mL ALBENDAZOL 200 MG / 5 ML BOTOL 2104011 Apr-23 Rp 4,300.00 APBN
16 APD Penyemprotan DBD APD PENYEMPROTAN PAKET Rp 835,500.00 APBN
17 Artesunate inj ARTESUNATE INJ AMPUL LA211048 Sep-24 Rp 81,541.00 APBN
18 Artesunate inj ARTESUNATE INJ BOX LA211048 Sep-24 Rp 81,541 APBN
19 Artesunate inj ARTESUNATE INJ VIAL LA220631 May-25 Rp 69,898.00 APBN

20 Azithromycin + Cefixime CEFIXIME 400 MG + AMPLOP J13659J Sep-24 Rp 31,231.00 APBN

Kombipak AZITHROMICIN
21 Benzatin Penisilin 2.4 Juta IU BENZATINE PENISILIN 2.4 JUTA VIAL 36319014 Sep-22 Rp 14,500.00 APBN
IU
22 BTI Larvasida DBD BTI LARVASIDA TABLET MT21080204 Aug-23 Rp 646.91 APBN

23 Cotrimoxazole 800 mg COTRIMOXAZOLE 800 MG TAB KAPLET A11027 Jun-24 Rp 325.00 APBN

24 DHP / Obat Anti Malaria DHP TABLET TABLET 210502 May-23 Rp 1,900.00 APBN
25 DHP / Obat Anti Malaria DHP TABLET TABLET 210906 Sep-23 Rp 1,900.00 APBN
26 DHP / Obat Anti Malaria DHP TABLET BOX 210906 Sep-23 Rp 17,100 APBN
27 DHP / Obat Anti Malaria DHP TABLET TABLET 210906 Sep-23 Rp 1,900.00 APBN
28 DHP / Obat Anti Malaria DHP TABLET TABLET 220513 May-24 Rp 1,900.00 APBN
29 Efavirenz 600 mg EFAVIRENZ 600 MG TABLET J03079J Oct-22 Rp 6,630.00 APBN
30 Efavirenz 600 mg EFAVIRENZ 600 MG BOTOL H12961J Aug-23 Rp 198,900 APBN
31 Efavirenz 600 mg EFAVIRENZ 600 MG TABLET H12959J Aug-23 Rp 7,100.00 APBN
32 Etambutol 100 mg Ethambutol 100 mg BOX NEF2101G Jan-25 Rp 67,000 APBN
33 Fluconazole 150 mg FLUCONAZOLE 480 MG KAPSUL H92590J Aug-23 Rp 18,720.00 APBN
34 Giemsa GIEMSA MALARIA BOTOL 990621-GM Aug-23 Rp 358,500.00 APBN
35 Immersion Oil IMMERSION OLI MALARIA BOTOL 740621-IM Aug-23 Rp 203,500.00 APBN
36 Immersion Oil IMMERSION OLI MALARIA BOTOL 740621-IM Aug-23 Rp 203,500.00 APBN
37 INH (H) 300mg / Rifepentin (P) 3 Rifapentin 300 mg/ INH 300 mg BOX NIE2120A Jul-23 Rp 235,656 APBN

38 INH 300 mg ISONIAZID (INH) TABLET 300 MG TABLET G00552B Jun-22 Rp 150.00 APBN

39 Insektisida (Ficam 80 WP) INSEKTISIDA CARBAMAT/FICAM SACHET PT00001257 Sep-22 Rp 90,476.19 GF

II
40 Isoniazid 100 mg Isoniazid (INH) tablet 100 mg BOX A905560 Oct-22 Rp 23,100 APBN
41 Lamivudine 150 mg LAMIVUDINE 150 MG TABLET G02028J Jul-23 Rp 1,794.00 APBN
42 Lamivudine 150 mg LAMIVUDINE 150 MG BOTOL G02029J Jul-23 Rp 107,640 APBN
43 Lamivudine 150 mg LAMIVUDINE 150 MG TABLET G02027J Jul-23 Rp 1,794.00 APBN
44 Levofloksasin 100 mg Levofloxacin 100 mg Tablet LFAH011 Feb-24 Rp 1,952 APBN
45 MDT MB Dewasa MB DEWASA BLISTER B.KU2978 Feb-24 Rp 40,128.00 APBN 5
46 MDT MB Dewasa MB DEWASA BLISTER B.KS5462 Mar-24 Rp 40,526 APBN
47 MDT PB Dewasa PB DEWASA BLISTER B.KE6422 Jul-23 Rp 15,014.00 APBN
48 MDT PB Dewasa PB DEWASA BLISTER B.LH2420 May-24 Rp 15,304.00 APBN
49 Mineral Mix MINERAL MIX SACHET 2108022 Aug-23 Rp 2,981.00 APBN
50 Mineral Mix MINERAL MIX SACHET 2110066 Oct-23 Rp 2,981.00 APBN
51 Mineral Mix MINERAL MIX TABLET 2108022 Aug-23 Rp 2,981.00 APBN 11
52 Portable SPO2 PORTABEL SP02 (MAXN1) UNIT Rp 17,000,000 APBN
53 Primaquine 15 mg PRIMAKUIN TABLET 15 MG TABLET 56386003 Mar-24 Rp 242.00 APBN

54 RDT DBD NS 1 (Prog. Provinsi) RDT DBD COMBO 1 TEST F21005 Jun-23 Rp 49,204.90 APBN

55 RDT HBsAg (Virocheck) HBSAG (2021)I TEST H21072 Aug-23 Rp 7,765 APBN
56 RDT HIV (Diagnostar HIV 1/2) RAPID DIAGNOSTIC TEST TEST 2109170 Sep-23 Rp 11,500 APBN
57 RDT HIV (Standard Q HIV 1/2 Ab) STANDAR Q HIV 1/2 AB 3 LINE TEST 5352AF1AC Oct-23 Rp 12,500 APBN
58 RDT HIV (Virocheck HIV 1/2) Prog.RAPID TEST HIV 1 (VIROCHECK) TEST J21067 Sep-23 Rp 7,879 APBN
59 RDT Malaria RDT COMBO MALARIA TEST MR20D63 Sep-22 Rp 4,830.00 GF
60 RDT Syphilis (Trepocheck) RAPID TEST SHIPILIS (TREPOCHECK TEST C21006 Mar-23 Rp 8,870 APBN
61 Reagen Ziehl Neelsen REAGEN ZN TB PAKET 017/2021 Feb-23 Rp 195,860 APBN
62 Respiratory Rate Timer ARI SOUND TIMER PCS Rp 275,333 APBN
63 Rifepentine 150 mg Rifapentin 300 mg/ 150mg Lepas BOX 1J2931 Feb-24 Rp 131,880 APBN
64 Safety Box 5 L Safety Box 5 Ltr Pcs 5L std Rp 24,254 APBN
65 TABLET TAMBAH DARAH TABLET TAMBAH DARAH Tablet 21CJ001 Sep-23 Rp 255 APBN
66 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET FFG.0401 Jun-23 Rp 255.00 APBN 8
67 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET G10048BB Jul-23 Rp 255.00 APBN 12
68 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET H11083BJ Jul-23 Rp 255.00 APBN 12
69 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET 21CJ001 Sep-23 Rp 255.00 APBN 11
70 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET 21TD1110 Oct-23 Rp 255.00 APBN 13
71 Tablet Tambah Darah TABLET TAMBAH DARAH TABLET 21TD1111 Oct-23 Rp 255.00 APBN 13

72 TDF 300 mg + 3TC 300 mg + EFV TDF(300)+3TC(300)+EFV(600) TABLET E210449C Feb-24 Rp 6,935.00 APBN
600 mg TRIPLE FDC
73 TDF 300 mg + 3TC 300 mg + EFVTDF(300)+3TC(300)+EFV(600) TRI BOTOL E211092 Apr-24 Rp 204,000 APBN
74 TDF 300 mg + 3TC 300 mg + EFV TDF(300)+3TC(300)+EFV(600) TRI TABLET E211874 Jul-24 Rp 6,800.00 APBN
75 Tenofovir 300 mg TENOFOVIR TABLET K03385J Jan-23 Rp 10,125.00 APBN
76 Tenofovir 300 mg TENOFOVIR BOTOL J13539J Oct-24 Rp 67,200 APBN
77 Tenofovir 300 mg TENOFOVIR TABLET J13538J Oct-24 Rp 2,240.00 APBN
78 TETAGAM TETAGAM P. Prefilled Syringe 1ml BOX P100411619 Aug-24 Rp 148,135 DAK
79 Tuberkulin Tuberculin PPD RT 23 SSI Vial 6500121 Jan-27 Rp 625,800 APBN
80 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds VIAL 0371G052 May-23 Rp 97,780.10 APBN
81 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds VIAL 0371G028 Mar-23 Rp 97,780 APBN
82 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds + Pelarut VIAL 0371G052 May-23 Rp 97,780 APBN
83 Vaksin BCG 20 ds + Pelarut VAKSIN BCG 20 ds + PELARUT VIAL 0371MA042 Jan-24 Rp 98,000 APBN
84 Vaksin DPT HB HIB VAKSIN DPT-HB-HIB 5 DS VIAL 5041721 Jul-23 Rp 85,103 APBN
85 Vaksin DPT HB HIB VAKSIN DPT-HB-HIB 5 DS VIAL 5042021 Aug-23 Rp 84,336 APBN
86 Vaksin DPT HB HIB VAKSIN DPT-HB-Hib 5 ds VIAL 5041721 Jul-23 Rp 85,876 APBN
87 Vaksin DTP HB HIB VAKSIN DPT-HB-HIB 5 DS VIAL 5041321 Jul-23 Rp 85,103.00 APBN
88 Vaksin Haji Meningitis VAKSIN HAJI MENINGITIS M 1 DS + VIAL 20191211-2 Dec-22 Rp 135,000 APBN
89 Vaksin HbIg Hepatitis B Imune Globulin (Huma VIAL H1MAF00043 Mar-24 Rp 1,325,000 APBN
90 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3653721 Jul-24 Rp 25,839.00 APBN
91 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3653821 Jul-24 Rp 25,839 APBN
92 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3653821 Jul-24 Rp 25,839 APBN
93 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID / UNIJECT 1 DS PCS 3654421 Sep-24 Rp 25,606 APBN
94 Vaksin Hepatitis B0 / Uniject VAKSIN HB PID/UNIJECT 1 ds PCS 3654621 Sep-24 Rp 26,074 APBN
95 Vaksin Jerap Td (Tetanus-Difteri TVAKSIN TD 10 DS VIAL 0412520 Jul-23 Rp 16,995 APBN
96 Vaksin Jerap Td (Tetanus-Difteri TVAKSIN Td 10 ds VIAL 0412820 Jul-23 Rp 16,995 APBN
97 Vaksin MR 10 ds + Pelarut VAKSIN MR 10 DS VIAL 0120W134 Sep-23 Rp 167,860.00 APBN
98 Vaksin MR 10 ds + Pelarut VAKSIN MR 10 ds + Pelarut VIAL 0121W132 Apr-24 Rp 167,860 APBN
99 Vaksin MR 10 ds + Pelarut VAKSIN MR 10 ds + Pelarut VIAL 0121W149 Jun-24 Rp 167,860 APBN
100 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO BOPV DOSIS 10 VIAL 2052121 Mar-23 Rp 23,643.00 APBN
101 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO BOPV DOSIS 10 VIAL 2053421 Apr-23 Rp 23,643 APBN
102 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO BOPV DOSIS 10 VIAL 2050822 Feb-24 Rp 21,300 APBN
103 Vaksin Polio bOPV 10 ds + DroppeVAKSIN POLIO Bopv 10 DS + DROP VIAL 2050922 Mar-24 Rp 21,689.40 APBN
104 Vaksin Polio IPV ds 5 VAKSIN POLIO IPV 5 DS VIAL 2102319 Nov-22 Rp 158,994 APBN
105 Vaksin Polio IPV ds 5 VAKSIN POLIO IPV 5 ds VIAL 2102319 Nov-22 Rp 158,994 APBN
106 Vaksin Polio IPV ds 5 VAKSIN POLIO IPV 5 ds VIAL 2100321 May-24 Rp 158,500.23 APBN
107 Vaksin Rabies RABIVAX-S VAKSIN (RABIES) VIAL 1480M075 Oct-23 Rp 153,000.00 APBN
108 Vaksin Rabies RABIVAX-S VAKSIN (RABIES) VIAL 1480M075 Oct-23 Rp 153,000 APBN
109 Vaksin Rabies RABIVAX-S VAKSIN (RABIES) VIAL 1480M075 Oct-23 Rp 153,000 APBN
110 Vaksin Rabies Verorab (Rabies Vaccine) VIAL U1G161M Nov-23 Rp 153,000 APBN

111 Vit A 100.000 IU (Prog. Prov) VITAMIN A KAPSUL 100.000 IU KAPSUL H12347W Aug-24 Rp 305.00 APBN

112 Vit A 100.000 IU (Prog. Prov) VITAMIN A KAPSUL 100.000 IU BOTOL C20592W Mar-25 Rp 15,250 PROGRAM
113 Vit A 200.000 IU (Prog. Prov) VITAMIN A KAPSUL 200.000 IU BOTOL J12996W Oct-24 Rp 31,850 APBN
114 Vit B6 25 mg VIT B6 25 MG TABLET TABLET 23701006 Jun-22 Rp 222.00 APBN
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155

156

157

158

159

160

161

162

163

164

165

166

167

168

169

170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222