*LAMPIRAN HARGA PENAWRAN RSUD OGAN ILIR AGT 2O22

HNA+ PPN HARGA JADI

NO NAMA PRODUK KEMASAN HNA DISC
11% PPN 11%
Acetylcystein 100 Mg Ml Cairan Box, 10 ampul 30% 233,100
1 300,000 333,000
Inhalasi @ 3ml
Box, 10 blister 25% 20,813
2 Allopurinol 100 Mg Tablet 25,000 27,750
@ 10 tablet
Box, 10 blister 25% 41,625
3 Allopurinol 300 Mg Tablet 50,000 55,500
@ 10 tablet
Ambroxol Hcl 15 Mg/5 Ml 45% 3,663
4 Botol 60 ml 6,000 6,660
Elixir
Ambroxol Hcl 30 Mg/5Ml
5 Botol 60 ml 9,000 9,990 45% 5,495
Elixir
Box, 10 strip @ 50% 16,650
6 Ambroxol Hcl 30 Mg Tablet 30,000 33,300
10 tablet
Amlodipine Besilate 10 Mg Box, 10 blister 80% 41,009
7 184,727 205,047
Tablet @ 10 tablet
Amlodipine Besilate 5 Mg Box, 10 blister 80% 23,249
8 104,727 116,247
Tablet @ 10 tablet
Amoxicillin Trihydrate 100 Box, 10 botol 25% 108,225
9 130,000 144,300
Mg/Ml Sirup Kering (Drops) @ 10 mL
Amoxicillin Trihydrate 125 25% 4,995
10 Botol 60 ml 6,000 6,660
Mg/5 Ml Sk
Amoxicillin Trihydrate 500 Mg Box, 10 strip @ 35% 50,505
11 70,000 77,700
Kaplet 10 kaplet
Box, 3 strip @
Atorvastatin Calcium Trihydrate 55% 104,895
12 10 kaplet salut 210,000 233,100
40 Mg Kss
selaput
Box 10 strip @
Azithromycin Dihydrate 500 Mg 55% 449,550
13 10kaplet salut 900,000 999,000
Kss
selaput
Azithromycin 200 Mg/5 Ml Box, 1 botol @ 40% 42,624
14 64,000 71,040
Syrup Kering 15 ml
Box, 10 strip @ 60% 88,800
15 Betahistine Mesilate 6 Mg 200,000 222,000
10 tablet
Betamethasone Valerate 0.1% Box, 25 tube @ 70% 124,875
16 375,000 416,250
Krim 15 G 15 gr
Betamethasone Valerate 0.1 % Box, 25 tube @ 70% 58,275
17 175,000 194,250
Krim 5 G 5 gr
Box, 3 blister
18 Bisoprolol Fumarate 5 Mg Tss @ 10 tablet 135,000 149,850 85% 22,478
salut selaput
Box, 3 blister
19 Bisoprolol Fumarate 2.5 Mg Tss @ 10 tablet 105,000 116,550 87% 15,152
salut selaput
Candesartan Cilexetil 16 Mg Box, 10 blister 85% 116,550
20 700,000 777,000
Tablet @100 @ 10 tab
 Candesartan Cilexetil 8 Mg Box, 10 blister 85% 83,250
21 500,000 555,000
Tablet @100 @ 10 tab
Cefadroxil Monohydrate 25% 7,447
22 Botol 60 ml 8,945 9,929
125Mg/5Ml Sirup Kering
Cefadroxil Monohydrate
23 Botol 60 ml 15,000 16,650 35% 10,823
250Mg/5Ml Sirup Kering
Cefadroxil Monohydrate 500 Box, 10 strip @ 35% 79,365
24 110,000 122,100
Mg Kapsul 10 kapsul
Cefixime Trihydrate 100 Mg/ 5 65% 12,821
25 Botol 30 ml 33,000 36,630
Ml Sirup Kering
Box, 3 blister @
Cefixime Trihydrate 200 Mg 52% 71,928
26 10 kaplet salut 135,000 149,850
Kss
selaput
Box, 10 blister
27 Cetirizine Hcl 10 Mg Tss @ 10 tablet 100,000 111,000 70% 33,300
salut selaput
Cetirizine Hydrochloride 5 Mg/5 Box 10 botol @ 70% 116,550
28 350,000 388,500
Ml Sirup 60 ml
Chloramphenicol 250 Mg Box, 10 blister 30% 46,620
29 60,000 66,600
Kapsul @ 10 kapsul
Box, 10 blister 42% 611,610
30 Cilostazol 100 Mg Tablet 950,000 1,054,500
@ 10 tablet
Box, 10 strip @ 40% 33,300
31 Cimetidine 200 Mg Tablet 50,000 55,500
10 tablet
Ciprofloxacin Hcl Monohydrate Box, 10 blister 40% 46,620
32 70,000 77,700
500 Mg Tss @ 10 tablet
Box, 3 strip @ 20% 372,960
33 Citicoline 1000 Mg Kaplet 420,000 466,200
10 tablet
Box, 3 blister @ 45% 122,100
34 Citicoline 500 Mg Tablet 200,000 222,000
10 tablet
Clindamycin Hcl 300 Mg Box,10 strip @ 40% 121,091
35 181,818 201,818
Kapsul 10 tablet
Box 10 Blister
36 Clopidogrel Bisulfate 75 Mg Tss @ 10 Tablet 1,000,000 1,110,000 85% 166,500
Salut Selaput
Cotrimoxazole 240 Mg/5 Ml 35% 4,329
37 Botol 60 ml 6,000 6,660
Suspensi
Box, 10 strip @ 35% 28,860
38 Cotrimoxazole Tablet 40,000 44,400
10 tablet
Cotrimoxazole Forte 960 Mg Box, 10 strip @ 25% 41,625
39 50,000 55,500
Kaplet 10 kaptlet
Box, 10 blister 30% 10,878
40 Dexamethasone 0.5 Mg Kaplet 14,000 15,540
@ 10 kaptlet
Box, 10 blister
41 Diclofenac Sodium 50 Mg Tse @ 10 tablet 23,747 26,359 30% 18,451
salut enterik
Domperidone Maleate 5 Mg/5 30% 10,723
42 Botol 60 ml 13,800 15,318
Ml Suspensi
Domperidone 5 Mg/Ml Drop @ Box, 10 botol 30% 233,100
43 300,000 333,000
10 @ 10 ml
 Domperidone Maleate 10 Mg Box, 10 blister 45% 26,881
44 44,031 48,874
Tss @ 10 tablet
Box, 10 strip @
Eperisone Hcl 50 Mg Tab. Sal. 65% 145,688
45 10 tablet salut 375,000 416,250
Gula
gula
Erdosteine 175 Mg/5 Ml Sirup 35% 21,645
46 Botol 60 ml 30,000 33,300
Kering
Box, 10 strip @ 30% 63,714
47 Ethambutol Hcl 500 Mg Tss 82,000 91,020
10 tablet
48 Flunarizine 10 Mg Tab Box 100 tab 318,182 353,182 20% 282,546
Box, 10 blister 25% 166,500
49 Flunarizine 5 Mg Tablet 200,000 222,000
@ 10 tablet
Box, 10 strip @ 80% 177,600
50 Gabapentin 300 Mg Kapsul 800,000 888,000
10 kapsul
Box, 25 tube @ 25% 45,788
51 Gentamicin Sulfate Krim 55,000 61,050
5 gram
Box 10 Strip @ 40% 46,620
52 Gliclazide 80 Mg Tablet 70,000 77,700
10 tab
Box, 10 blister 75% 23,046
53 Glimepiride 1 Mg Tablet @ 100 83,048 92,183
@ 10 tablet
Box, 10 blister 85% 27,473
54 Glimepiride 2 Mg Tablet @ 100 165,000 183,150
@ 10 tablet
Box, 10 blister 75% 59,158
55 Glimepiride 3 Mg Tablet @ 100 213,182 236,632
@ 10 tablet
Box, 10 blister 75% 78,892
56 Glimepiride 4 Mg Tablet @ 100 284,294 315,566
@ 10 tablet
57 Hantizer 5 L Hand Rub Jerigen @ 5 L 500,000 555,000 50% 277,500
Cairan Botol @ 50% 41,625
58 Hantizer 500 Ml Hand Rub 75,000 83,250
500 ml
Box, 25 tube @ 35% 108,225
59 Hydrocortison 2,5% Cream 5 Gr 150,000 166,500
5 gr
Ibuprofen 100 Mg/5 Ml Box, 10 botol 50% 55,500
60 100,000 111,000
Suspensi @ 60 ml
Box, 3 strip @ 10% 119,880
61 Itraconazole 100 Mg Kapsul 120,000 133,200
10 kapsul
Box, 10 blister
Ketoprofen 100 Mg Tablet Sal. 40% 79,920
62 @ 10 tablet 120,000 133,200
Enterik
salut enterik
Box, 3 blister @
Ketorolac Trometamol 10 Mg 40% 45,954
63 10 tablet salut 69,000 76,590
Tss
selaput
Lansoprazole 30 Mg Kapsul Box, 10 strip @ 60% 65,454
64 147,418 163,634
Lepas Tunda 10 kapsul
Box, 10 blister
Levofloxacin Hemihydrate 500 45% 73,704
65 @ 10 tablet 120,727 134,007
Mg Tss
salut selaput
 Lisinopril Dihydrate 10 Mg Box, 10 Strip @ 35% 51,948
66 72,000 79,920
Tablet 10 Tablet
Lisinopril Dihydrate 5 Mg Box, 10 Strip @ 45% 29,915
67 49,000 54,390
Tablet 10 Tablet
Box, 10 blister 40% 24,218
68 Loratadine 10 Mg Kaplet 36,364 40,364
@ 10 kaplet
Box, 10 blister
Mefenamic Acid 500 Mg 15% 25,475
69 @ 10 kaplet 27,000 29,970
Kaplet Salut Selaput
salut selaput
Box, 10 blister 68% 46,460
70 Meloxicam 15 Mg Tablet @ 100 130,800 145,188
@ 10 tablet
Box, 10 blister 73% 22,621
71 Meloxicam 7,5 Mg Tablet 75,480 83,783
@ 10 tablet
Metamizol Sodium Box, 10 Blister 20% 17,760
72 20,000 22,200
Monohydrate 500 Mg Kaplet @ 10 Kaplet
Box, 10 blister 25% 20,813
73 Metformin Hcl 500 Mg Kaplet 25,000 27,750
@ 10 tablet
Box, 10 blister 20% 31,968
74 Metformin Hcl 850 Mg Kaplet 36,000 39,960
@ 10 tablet
Box, 3 Strip @
Methylergometrin Maleate 35% 43,290
75 10 tablet salut 60,000 66,600
0,125 Mg Tablet Salut Gula
gula
Box, 10 blister 60% 21,339
76 Methylprednisolon 4 Mg Tablet 48,060 53,347
@ 10 tablet
Box, 10 blister 50% 35,419
77 Methylprednisolon 8 Mg Tablet 63,818 70,838
@ 10 tablet
Metoclopramide Hydrochloride Box, 10 botol 30% 139,860
78 180,000 199,800
Monohydrate 2 Mg/ Ml (Drops) @ 10 ml
Box, 10 strip @ 25% 27,473
79 Metronidazole 500 Mg Tablet 33,000 36,630
10 tablet
Box, 25 tube @ 70% 83,250
80 Miconazole Nitrate Krim 2% 250,000 277,500
5 gr
Mometasone Furoate 0.1 % Box, 25 tube @ 70% 416,250
81 1,250,000 1,387,500
Krim 10 G 10 gr
Box, 2 strip @
Moxifloxacin Hydrochloride 35% 505,050
82 10 kaplet salut 700,000 777,000
400 Mg Kaplet Salut Selaput
selaput
Box, 10 botol 20% 195,360
83 Nystatin 100.000 Ul/Ml Drop 220,000 244,200
@ 12 ml
Ondancetron Hcl Dihydrate 4 Box, 1 botol @ 60% 26,640
84 60,000 66,600
Mg/5 Ml Sirup 60 ml
Box, 3 blister @
Ondancetron Hcl Dihydrate 8 50% 83,250
85 10 kaplet salut 150,000 166,500
Mg Kaplet Salut Selaput
selaput
 Box 10 Botol @ 25% 124,875
86 Paracetamol 100 Mg/Ml Drop 150,000 166,500
10 mL
Box, 1 botol @ 30% 3,885
87 Paracetamol 120 Mg/5 Ml Syr 5,000 5,550
60 ml
Box, 10 blister 25% 16,650
88 Paracetamol 500 Mg Kaplet 20,000 22,200
@ 10 kaplet
Box, 10 strip @
Piracetam 1200 Mg Kaplet Salut 40% 96,570
89 10 kaptlet salut 145,000 160,950
Selaput
selaput
Box, 10 blister 50% 27,306
90 Piracetam 400 Mg Kapsul 49,200 54,612
@ 10 kapsul
Box, 10 strip @
Piracetam 800 Mg Kaplet Salut 40% 58,342
91 10 kaptlet salut 87,600 97,236
Selaput
selaput
Pseudoephedrine Hcl 7,5 Mg/0,8 Box 10 botol @ 25% 291,375
92 350,000 388,500
Ml Drops 10 mL
93 Ranitidin 150 Mg Tss Box 100 tablet 60,000 66,600 60% 26,640
Box, 10 strip @ 25% 141,525
94 Rifampicin 450 Mg Kaplet 170,000 188,700
10 kaptlet
Box, 10 strip @ 35% 194,805
95 Rifampicin 600 Mg Kaplet 270,000 299,700
10 kaptlet
Box, 1 botol @ 50% 83,250
96 Risperidone 1 Mg/Ml Syrup 150,000 166,500
30 ml
Box, 10 blister
Rosuvastatin Calcium 10 Mg 40% 532,800
97 @ 10 tablet 800,000 888,000
Tablet Salut Selaput
salut selaput
Box, 10 blister
Rosuvastatin Calcium 20 Mg 40% 599,400
98 @ 10 tablet 900,000 999,000
Tablet Salut Selaput
salut selaput
Box, 10 strip @ 40% 16,650
99 Salbutamol Sulfate 2 Mg 25,000 27,750
10 tablet
Simvastatin 10 Mg Kaplet Salut Box, 10 strip @ 65% 21,742
100 55,963 62,119
Selaput 10 kaplet
Simvastatin 20 Mg Kaplet Salut Box, 10 strip @ 65% 43,484
101 111,928 124,240
Selaput 10 kaptab
Sodium Valproate 250 Mg/5 Ml Box, 1 botol @ 60% 31,080
102 70,000 77,700
Sirup 120 ml
Box, 10 strip @
103 Sulfasalazine 500 Mg Kse 10 kaplet salut 200,000 222,000 35% 144,300
enterik
Thiamphenicol 125 Mg/5 Ml 60% 8,880
104 Botol 60 ml 20,000 22,200
Syrup
Box, 10 strip @ 15% 113,220
105 Thiamphenicol 500 Mg Kapsul 120,000 133,200
10 kapsul
Box, 10 blister 0% 83,250
106 Tramadol Hcl 50 Mg Kapsul 75,000 83,250
@ 10 kapsul
 Bo, 10 blister @
107 Tranexamic Acid 500 Mg Tss 10 tablet salut 180,000 199,800 10% 179,820
selaput
Box 3 blister @
Valacyclovir 500 Mg Kaplet 25% 249,750
108 10 kaplet salut 300,000 333,000
Sal.Sel
selaput
Zinc Sulfate Monohydrate 20 60% 8,880
109 Botol @ 60 mL 20,000 22,200
Mg/5 Ml Sirup