no. indeks jenis / nama barang satuan harga …. obat obatan (5 .11).pdf · no. indeks jenis / nama...

32
5 . 11 5 . 11 . 1 . 1 2 blister 80,710 5 . 11 . 1 . 2 Alat Kontrasepsi 5 . 11 . 1 . 2 . 1 - Pil KB I : Ethinylestradiol 0,03mg+Levonorgestrel 0,15mg 1 blister 4,810 5 . 11 . 1 . 2 . 2 - Pil KB II : Lynestrenol 0,5 mg 1 blister 7,220 5 . 11 . 1 . 2 . 3 - Pil KB III : Desogestrel 0,15 mg+Ethinylestradiol 0,03mg 1 blister 8,230 5 . 11 . 1 . 2 . 4 - Obat Suntik KB I : Medroxyprogesteron Acetat 150 mg 1 vial @ 3 ml 13,920 5 . 11 . 1 . 2 . 5 - Obat Suntik KB II : Medroxyprogesteron Acetat 25 mg+ Estradiol Cypionate 5 mg 1 vial @ 0,5 ml 10,380 5 . 11 . 1 . 2 . 6 - Susuk KB I : Etonogestrel 68 mg 1 set 1 implant 631,870 5 . 11 . 1 . 2 . 7 - Susuk KB II : Levonogestrel 75 mg 1 set 2 implant 448,190 5 . 11 . 1 . 2 . 8 - Susuk KB III : Levonogestrel 36 mg 1 set 6 implant 664,640 5 . 11 . 2 BAHAN HABIS PAKAI 5 . 11 . 2 . 1 3M A3 2:250 Pc 344,900 5 . 11 . 2 . 2 3M Es Pe A 3,5 Tube 439,000 5 . 11 . 2 . 3 3M Es Pe A2 Tube 344,000 5 . 11 . 2 . 4 3M Es Pe A4 Tube 102,790 5 . 11 . 2 . 5 3m Es pe B2 Tube 442,750 5 . 11 . 2 . 6 3M Es Pe C3 Tube 110,690 5 . 11 . 2 . 7 3M Es Pe Z 250, A3 Box 501,600 5 . 11 . 2 . 8 3M Es Pe Z 250, A3,5 Pc 438,900 5 . 11 . 2 . 9 3m Es Pe Z.250 C2 Tube 442,750 5 . 11 . 2 . 10 3m Es Pe Z.250 D3 Tube 442,750 5 . 11 . 2 . 11 3-Way Stopcock pcs 20,001 5 . 11 . 2 . 12 A2 (Helio) Tube 442,750 5 . 11 . 2 . 13 A3 (Helio) Tube 351,120 5 . 11 . 2 . 14 A3 Tetric N Ceram Tube 110,690 5 . 11 . 2 . 15 A3.5 Tetric Cream Tube 110,690 5 . 11 . 2 . 16 Abbocath No. 14 pcs 9,525 5 . 11 . 2 . 17 Abbocath No. 16 pcs 9,525 5 . 11 . 2 . 18 Abbocath No. 18 pcs 9,525 5 . 11 . 2 . 19 Abbocath No. 20 pcs 9,525 5 . 11 . 2 . 20 Abbocath No. 22 pcs 9,525 5 . 11 . 2 . 21 Abbocath No. 24 pcs 9,525 5 . 11 . 2 . 22 Abbocath No. 26 pcs 15,048 5 . 11 . 2 . 23 Achbar pcs 411,130 5 . 11 . 2 . 24 Acticulating Paper (lmbr) Pack 151,800 5 . 11 . 2 . 25 Advantime 1 pcs 124,610 5 . 11 . 2 . 26 Advantime 3/0 pcs 124,610 5 . 11 . 2 . 27 Advantime 4/0 pcs 113,850 5 . 11 . 2 . 28 Agaat Spantula pcs 63,250 5 . 11 . 2 . 29 Agaat Spatula pcs 63,250 5 . 11 . 2 . 30 Ah 26 Liquid Botol 40,755 5 . 11 . 2 . 31 AH 26 Powder Botol 50,944 5 . 11 . 2 . 32 Alginat Gr 240 5 . 11 . 2 . 33 Alkohol 70% ml 25 5 . 11 . 2 . 34 Alkohol 96 % ml 66 5 . 11 . 2 . 35 Alvogyl 12 gr Botol 290,950 5 . 11 . 2 . 36 Amalgam (Powder Liquid) Botol 271,980 5 . 11 . 2 . 37 Anesthesia Minikit Unit 202,400 5 . 11 . 2 . 38 Anios special DJP ml 407 5 . 11 . 2 . 39 Anios Spray ml 303 5 . 11 . 2 . 40 Anios Spray 29 ml 350 5 . 11 . 2 . 41 Aniosyme DD1 ml 371 5 . 11 . 2 . 42 Arsen (btl) Botol 490,190 5 . 11 . 2 . 43 Aseptanios terminal HPH ml 407 5 . 11 . 2 . 44 Aseptanios terminal spare Galon 1,638,180 5 . 11 . 2 . 45 Atramat 0 atrom pcs 113,850 5 . 11 . 2 . 46 Atramat 1 atrom pcs 121,440 5 . 11 . 2 . 47 Atramat 2 atrom pcs 70,840 5 . 11 . 2 . 48 Atramat 2/0 atrom pcs 109,300 5 . 11 . 2 . 49 Atramat 3/0 atrom pcs 125,240 5 . 11 . 2 . 50 Atraucan pcs 122,579 5 . 11 . 2 . 51 Autoclave tp.3/4 Rol 151,684 5 . 11 . 2 . 52 Avolgil pcs 354,200 5 . 11 . 2 . 53 Baju operasi pcs 65,634 5 . 11 . 2 . 54 Bekker Glass 1 L pcs 107,530 5 . 11 . 2 . 55 Betadine ml 10,796 5 . 11 . 2 . 56 Betadine Plester pcs 400 HARGA PENGADAAN OBAT - OBATAN ACT (artesuate tab 50mg+amodiaquine anhydrida tab 200mg) NO. INDEKS JENIS / NAMA BARANG SATUAN 132

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Page 1: NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA …. obat obatan (5 .11).pdf · NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA 5 . 11 . 2 . 130 Cat Gut Plain 2 meter 27,830 5 . 11 . 2

5 . 11

5 . 11 . 1 . 1 2 blister 80,710

5 . 11 . 1 . 2 Alat Kontrasepsi

5 . 11 . 1 . 2 . 1 - Pil KB I : Ethinylestradiol 0,03mg+Levonorgestrel 0,15mg 1 blister 4,810

5 . 11 . 1 . 2 . 2 - Pil KB II : Lynestrenol 0,5 mg 1 blister 7,220

5 . 11 . 1 . 2 . 3 - Pil KB III : Desogestrel 0,15 mg+Ethinylestradiol 0,03mg 1 blister 8,230

5 . 11 . 1 . 2 . 4 - Obat Suntik KB I : Medroxyprogesteron Acetat 150 mg 1 vial @ 3 ml 13,920

5 . 11 . 1 . 2 . 5 - Obat Suntik KB II : Medroxyprogesteron Acetat 25 mg+ Estradiol

Cypionate 5 mg

1 vial @ 0,5 ml 10,380

5 . 11 . 1 . 2 . 6 - Susuk KB I : Etonogestrel 68 mg 1 set 1 implant 631,870

5 . 11 . 1 . 2 . 7 - Susuk KB II : Levonogestrel 75 mg 1 set 2 implant 448,190

5 . 11 . 1 . 2 . 8 - Susuk KB III : Levonogestrel 36 mg 1 set 6 implant 664,640

5 . 11 . 2 BAHAN HABIS PAKAI

5 . 11 . 2 . 1 3M A3 2:250 Pc 344,900

5 . 11 . 2 . 2 3M Es Pe A 3,5 Tube 439,000

5 . 11 . 2 . 3 3M Es Pe A2 Tube 344,000

5 . 11 . 2 . 4 3M Es Pe A4 Tube 102,790

5 . 11 . 2 . 5 3m Es pe B2 Tube 442,750

5 . 11 . 2 . 6 3M Es Pe C3 Tube 110,690

5 . 11 . 2 . 7 3M Es Pe Z 250, A3 Box 501,600

5 . 11 . 2 . 8 3M Es Pe Z 250, A3,5 Pc 438,900

5 . 11 . 2 . 9 3m Es Pe Z.250 C2 Tube 442,750

5 . 11 . 2 . 10 3m Es Pe Z.250 D3 Tube 442,750

5 . 11 . 2 . 11 3-Way Stopcock pcs 20,001

5 . 11 . 2 . 12 A2 (Helio) Tube 442,750

5 . 11 . 2 . 13 A3 (Helio) Tube 351,120

5 . 11 . 2 . 14 A3 Tetric N Ceram Tube 110,690

5 . 11 . 2 . 15 A3.5 Tetric Cream Tube 110,690

5 . 11 . 2 . 16 Abbocath No. 14 pcs 9,525

5 . 11 . 2 . 17 Abbocath No. 16 pcs 9,525

5 . 11 . 2 . 18 Abbocath No. 18 pcs 9,525

5 . 11 . 2 . 19 Abbocath No. 20 pcs 9,525

5 . 11 . 2 . 20 Abbocath No. 22 pcs 9,525

5 . 11 . 2 . 21 Abbocath No. 24 pcs 9,525

5 . 11 . 2 . 22 Abbocath No. 26 pcs 15,048

5 . 11 . 2 . 23 Achbar pcs 411,130

5 . 11 . 2 . 24 Acticulating Paper (lmbr) Pack 151,800

5 . 11 . 2 . 25 Advantime 1 pcs 124,610

5 . 11 . 2 . 26 Advantime 3/0 pcs 124,610

5 . 11 . 2 . 27 Advantime 4/0 pcs 113,850

5 . 11 . 2 . 28 Agaat Spantula pcs 63,250

5 . 11 . 2 . 29 Agaat Spatula pcs 63,250

5 . 11 . 2 . 30 Ah 26 Liquid Botol 40,755

5 . 11 . 2 . 31 AH 26 Powder Botol 50,944

5 . 11 . 2 . 32 Alginat Gr 240

5 . 11 . 2 . 33 Alkohol 70% ml 25

5 . 11 . 2 . 34 Alkohol 96 % ml 66

5 . 11 . 2 . 35 Alvogyl 12 gr Botol 290,950

5 . 11 . 2 . 36 Amalgam (Powder Liquid) Botol 271,980

5 . 11 . 2 . 37 Anesthesia Minikit Unit 202,400

5 . 11 . 2 . 38 Anios special DJP ml 407

5 . 11 . 2 . 39 Anios Spray ml 303

5 . 11 . 2 . 40 Anios Spray 29 ml 350

5 . 11 . 2 . 41 Aniosyme DD1 ml 371

5 . 11 . 2 . 42 Arsen (btl) Botol 490,190

5 . 11 . 2 . 43 Aseptanios terminal HPH ml 407

5 . 11 . 2 . 44 Aseptanios terminal spare Galon 1,638,180

5 . 11 . 2 . 45 Atramat 0 atrom pcs 113,850

5 . 11 . 2 . 46 Atramat 1 atrom pcs 121,440

5 . 11 . 2 . 47 Atramat 2 atrom pcs 70,840

5 . 11 . 2 . 48 Atramat 2/0 atrom pcs 109,300

5 . 11 . 2 . 49 Atramat 3/0 atrom pcs 125,240

5 . 11 . 2 . 50 Atraucan pcs 122,579

5 . 11 . 2 . 51 Autoclave tp.3/4 Rol 151,684

5 . 11 . 2 . 52 Avolgil pcs 354,200

5 . 11 . 2 . 53 Baju operasi pcs 65,634

5 . 11 . 2 . 54 Bekker Glass 1 L pcs 107,530

5 . 11 . 2 . 55 Betadine ml 10,796

5 . 11 . 2 . 56 Betadine Plester pcs 400

HARGA

PENGADAAN OBAT - OBATAN

ACT (artesuate tab 50mg+amodiaquine anhydrida tab 200mg)

NO. INDEKS JENIS / NAMA BARANG SATUAN

132

Page 2: NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA …. obat obatan (5 .11).pdf · NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA 5 . 11 . 2 . 130 Cat Gut Plain 2 meter 27,830 5 . 11 . 2

HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 57 Bisturi No. 11 pcs 3,420

5 . 11 . 2 . 58 Bisturi No. 15 pcs 3,420

5 . 11 . 2 . 59 Bisturi No. 21 pcs 3,420

5 . 11 . 2 . 60 Bisturi No. 22 pcs 3,420

5 . 11 . 2 . 61 Bisturi No. 23 pcs 3,420

5 . 11 . 2 . 62 Blood Lancet pcs 724

5 . 11 . 2 . 63 Blood tranf.set type OB-1 pcs 26,730

5 . 11 . 2 . 64 Blue Tips pcs 269

5 . 11 . 2 . 65 Bonding 3M pcs 1,059,440

5 . 11 . 2 . 66 Bone Plate Mini 2,0 (Mini Implant Sel) pcs 656,220

5 . 11 . 2 . 67 Bone Plate Narrow 2,0 (Basic Implant Sel) pcs 1,565,440

5 . 11 . 2 . 68 Bone Plate Small (Small Implant Sel) pcs 656,160

5 . 11 . 2 . 69 Bone Screw 2,0 (Mini Implant Sel) pcs 111,580

5 . 11 . 2 . 70 Bone Screw 3,4 (Small Implant Sel) pcs 155,250

5 . 11 . 2 . 71 Bone Screw 4,5 (Basic Implant Sel) pcs 258,890

5 . 11 . 2 . 72 Bone Screw 4.5 pcs 256,340

5 . 11 . 2 . 73 Bone Wax pcs 65,208

5 . 11 . 2 . 74 Botol Plastik 10 ml pcs 285

5 . 11 . 2 . 75 Botol Plastik 100 ml pcs 912

5 . 11 . 2 . 76 Botol Plastik 100 ml ttp hijau pcs 2,030

5 . 11 . 2 . 77 Botol Plastik 200 ml pcs 1,311

5 . 11 . 2 . 78 Botol Plastik 50 ml pcs 713

5 . 11 . 2 . 79 Botol Plastik 60 ml pcs 513

5 . 11 . 2 . 80 Botol Tetes pcs 1,140

5 . 11 . 2 . 81 Bowl & Spatula pcs 2,070,000

5 . 11 . 2 . 82 Broad Plate ACP 10 hole pcs 2,070,000

5 . 11 . 2 . 83 Broad Plate ACP 11 hole pcs 2,070,000

5 . 11 . 2 . 84 Broad Plate ACP 12 hole pcs 2,070,000

5 . 11 . 2 . 85 Broad Plate ACP 13 hole pcs 2,070,000

5 . 11 . 2 . 86 Broad Plate ACP 14 hole pcs 2,070,000

5 . 11 . 2 . 87 Broad Plate ACP 15 hole pcs 2,070,000

5 . 11 . 2 . 88 Broad Plate ACP 16 hole pcs 2,070,000

5 . 11 . 2 . 89 Broad Plate ACP 17 hole pcs 2,070,000

5 . 11 . 2 . 90 Broad Plate ACP 18 hole pcs 2,070,000

5 . 11 . 2 . 91 Broad Plate ACP 19 hole pcs 2,070,000

5 . 11 . 2 . 92 Broad Plate ACP 20 hole pcs 2,070,000

5 . 11 . 2 . 93 Broad Plate ACP 5 hole pcs 2,070,000

5 . 11 . 2 . 94 Broad Plate ACP 6 hole pcs 2,070,000

5 . 11 . 2 . 95 Broad Plate ACP 7 hole pcs 2,070,000

5 . 11 . 2 . 96 Broad Plate ACP 8 hole pcs 2,070,000

5 . 11 . 2 . 97 Broad Plate ACP 9 hole pcs 189,750

5 . 11 . 2 . 98 Bur Belimbing/Zekrya pcs 189,750

5 . 11 . 2 . 99 Bur Belimbing/Zekrya E0151 pcs 31,630

5 . 11 . 2 . 100 Bur Fissur Cutting pcs 31,350

5 . 11 . 2 . 101 Bur Polish Fissur pcs 26,220

5 . 11 . 2 . 102 Bur Round Fissur pcs 142,500

5 . 11 . 2 . 103 Bur SS White pcs 25,300

5 . 11 . 2 . 104 Bur Tulang Fisure pcs 50,160

5 . 11 . 2 . 105 Bur Tulang Fissur 36 023 US 563 HP pcs 57,684

5 . 11 . 2 . 106 Bur Tulang Round Meissenger 1 023 US 8 HP 57,684

5 . 11 . 2 . 107 Bur Tulang Round pcs 15,820

5 . 11 . 2 . 108 CAE Set pcs 50

5 . 11 . 2 . 109 Calcii Carb Gr 39,900

5 . 11 . 2 . 110 Cancellous Screw d 6.5 mm Thread 16 mm L 105-110mm pcs 388,130

5 . 11 . 2 . 111 Cancellous Screw d 6.5 mm Thread 16 mm L 40-90 mm pcs 388,130

5 . 11 . 2 . 112 Cancellous Screw d 6.5 mm Thread 16 mm L 95-100 mm pcs 388,130

5 . 11 . 2 . 113 Cancellous Screw d 6.5 mm Thread 32 mm L 105-110mm pcs 388,130

5 . 11 . 2 . 114 Cancellous Screw d 6.5 mm Thread 32 mm L 40-90 mm pcs 388,130

5 . 11 . 2 . 115 Cancellous Screw d 6.5 mm Thread 32 mm L 95-100 mm pcs 388,130

5 . 11 . 2 . 116 Cancellous Screw dia 4.0 mm Full Thread L 16-28 mm pcs 388,130

5 . 11 . 2 . 117 Cancellous Screw dia 4.0 mm Full Thread L 30-40mm pcs 388,130

5 . 11 . 2 . 118 Cancellous Screw Full Thread 32 d 6.5 mm pcs 388,130

5 . 11 . 2 . 119 Cat Gut Chromic 0 (cm) Meter 17,473

5 . 11 . 2 . 120 Cat Gut Chromic 1 Meter 18,560

5 . 11 . 2 . 121 Cat Gut Chromic 2 Meter 27,830

5 . 11 . 2 . 122 Cat Gut Chromic 2/0 100m pcs 13,920

5 . 11 . 2 . 123 Cat Gut Chromic 2/0 atrom pcs 65,150

5 . 11 . 2 . 124 Cat Gut Chromic 3/0 meter 13,920

5 . 11 . 2 . 125 Cat Gut Chromic 3/0 atrom pcs 67,680

5 . 11 . 2 . 126 Cat Gut Chromic 4/0 meter 11,140

5 . 11 . 2 . 127 cat gut cromic no.2/0 B.Broun meter 71,227

5 . 11 . 2 . 128 Cat Gut Plain 0 meter 18,560

5 . 11 . 2 . 129 Cat Gut Plain 1 meter 18,560

133

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 130 Cat Gut Plain 2 meter 27,830

5 . 11 . 2 . 131 Cat Gut Plain 2/0 meter 13,920

5 . 11 . 2 . 132 Cat Gut Plain 3/0 meter 13,920

5 . 11 . 2 . 133 Cat Gut Plain 4/0 meter 13,920

5 . 11 . 2 . 134 Cat Gut Plain 4/0 atrom meter 63,250

5 . 11 . 2 . 135 Cement Liquid 60 cc Botol 213,180

5 . 11 . 2 . 136 Cement Powder (gr) Botol 215,050

5 . 11 . 2 . 137 Cement Powder 125gr Botol 213,180

5 . 11 . 2 . 138 Chemflex Liquid (cc) Botol 430,100

5 . 11 . 2 . 139 Chemflex Liquid 6 cc Botol 347,880

5 . 11 . 2 . 140 Chemflex Powder (gr) Botol 430,100

5 . 11 . 2 . 141 Chemflex Powder 15gr (+Liquid) Botol 50,600

5 . 11 . 2 . 142 Chlor Ethyl (ml) Botol 966

5 . 11 . 2 . 143 Chlorophenol Kamfer Menthol (ChKM) Botol 189,750

5 . 11 . 2 . 144 Chromic Petergut 2-0 pcs 75,900

5 . 11 . 2 . 145 Chromic Petergut 3-0 pcs 85,390

5 . 11 . 2 . 146 Chromic petergut 4-0 pcs 83,490

5 . 11 . 2 . 147 Citoject pcs 1,430

5 . 11 . 2 . 148 City Coil Multiple pcs 194,810

5 . 11 . 2 . 149 Clurofenol k.menthol(chkm) Botol 208,730

5 . 11 . 2 . 150 COE Pak Botol 40,480

5 . 11 . 2 . 151 Colostomy SS pcs 6,330

5 . 11 . 2 . 152 Corolene 2/0 atrom pcs 94,880

5 . 11 . 2 . 153 Corticoal Bone Screw dia 3.5 mm pcs 109,300

5 . 11 . 2 . 154 Corticoal Bone Screw dia 4.5 mm pcs 103,450

5 . 11 . 2 . 155 Coutter mata pcs 177,630

5 . 11 . 2 . 156 Cresopat/putrex pcs 54,820

5 . 11 . 2 . 157 Cresophene 672,040

5 . 11 . 2 . 158 Crisophen pcs 727,380

5 . 11 . 2 . 159 Cromic no.0 Atromatic pcs 65,780

5 . 11 . 2 . 160 Cromic no.3/0 atromatic pcs 67,680

5 . 11 . 2 . 161 Cup sample 1,5 Pack 544

5 . 11 . 2 . 162 Curaspon pcs 51,750

5 . 11 . 2 . 163 Curaspon gigi pcs 13,920

5 . 11 . 2 . 164 Cuticell Classic 10 cm x 10 cm Sachet 9,520

5 . 11 . 2 . 165 Cutimed Gel 25 gr Tube 51,974

5 . 11 . 2 . 166 Cuvette Segment Rack P400 pcs 410,685

5 . 11 . 2 . 167 Darmkass Buah 13,590

5 . 11 . 2 . 168 Dermanios (5 L) Scrub Chlorhexidine/Hibiscrub ml 234

5 . 11 . 2 . 169 Dermanios (500 ml) Scrub Chlorhexidine/Hibiscrub ml 237

5 . 11 . 2 . 170 dycal liquid Botol 18,030

5 . 11 . 2 . 171 dycal powder Tube 4,347

5 . 11 . 2 . 172 Easy Post Drill No. 1 pcs 273,810

5 . 11 . 2 . 173 Easy Post Drill No. 2 pcs 273,810

5 . 11 . 2 . 174 ECG pepper 50m x 30mm Rol 20,520

5 . 11 . 2 . 175 ECG pepper 63 m x 30 mm Rol 58,938

5 . 11 . 2 . 176 Endo Tracheal no 3 pcs 76,540

5 . 11 . 2 . 177 Endo Tracheal no 3,5 (Smith) pcs 74,435

5 . 11 . 2 . 178 Endo Tracheal no 4 (Rush) pcs 66,462

5 . 11 . 2 . 179 Endo Tracheal no 4,5 pcs 66,462

5 . 11 . 2 . 180 Endo Tracheal no 5 pcs 66,462

5 . 11 . 2 . 181 Endo Tracheal no 5,5 pcs 66,462

5 . 11 . 2 . 182 Endo Tracheal no 6 pcs 66,462

5 . 11 . 2 . 183 Endo Tracheal no 6,5 pcs 319,770

5 . 11 . 2 . 184 Endo Tracheal no 7 pcs 29,310

5 . 11 . 2 . 185 Endo Tracheal no 7,5 pcs 27,330

5 . 11 . 2 . 186 ET. Non king2 no.4 pcs 546,635

5 . 11 . 2 . 187 ET. Non king2 no.4,5 pcs 546,635

5 . 11 . 2 . 188 ET. Non king2 no.5 pcs 546,635

5 . 11 . 2 . 189 ET. Non king2 no.5,5 pcs 546,635

5 . 11 . 2 . 190 ET. Non king2 no.6 pcs 546,635

5 . 11 . 2 . 191 ET. Non king2 no.6,5 pcs 546,635

5 . 11 . 2 . 192 ET. Non king2 no.7 pcs 546,635

5 . 11 . 2 . 193 ET. Non king2 no.7,5 pcs 520,467

5 . 11 . 2 . 194 ET.ams no.6 pcs 62,700

5 . 11 . 2 . 195 ET.ams no.6,5 pcs 49,157

5 . 11 . 2 . 196 ET.ams no.7,5 pcs 46,987

5 . 11 . 2 . 197 ET.ams.no.7 pcs 66,462

5 . 11 . 2 . 198 Et.no.2,5 Rusc Tanpa Balon pcs 65,208

5 . 11 . 2 . 199 ET.no.2,5 rusch pcs 117,876

5 . 11 . 2 . 200 Et.No.3 Ruch Tanpa Balon pcs 65,208

5 . 11 . 2 . 201 ET.no.3 rusch pcs 62,700

5 . 11 . 2 . 202 ET.no.3,5 rusch pcs 66,462

134

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 203 Et.no.3,5 Rusch Tanpa Balon 65,208

5 . 11 . 2 . 204 ET.no.4 rusch pcs 66,462

5 . 11 . 2 . 205 Et.no.4 Rusch tanpa balon 66,462

5 . 11 . 2 . 206 ET.no.4,5 rusch pcs 319,770

5 . 11 . 2 . 207 Et.no.4,5 Rusch tanpa balon 62,700

5 . 11 . 2 . 208 ET.no.5 rusch pcs 66,462

5 . 11 . 2 . 209 ET.no.5 Rush pcs 319,770

5 . 11 . 2 . 210 ET.no.5,5 Rush pcs 66,462

5 . 11 . 2 . 211 ET.no.6,5 rusch pcs 62,700

5 . 11 . 2 . 212 ET.no.7 rusch pcs 316,008

5 . 11 . 2 . 213 ET.no.7,5 rusch pcs 319,770

5 . 11 . 2 . 214 Etching Botol 158,130

5 . 11 . 2 . 215 ETT AGT 3,5mm pcs 41,750

5 . 11 . 2 . 216 Eugenol Botol 8,722

5 . 11 . 2 . 217 Eugenol (cc) Botol 7,120

5 . 11 . 2 . 218 Extension Tube no 2,5 pcs 13,540

5 . 11 . 2 . 219 Extension Tube no 2,5 B. Braun pcs 39,900

5 . 11 . 2 . 220 Exterpasi Botol 132,830

5 . 11 . 2 . 221 Farmocresol Botol 102,790

5 . 11 . 2 . 222 File Protaper no.21 Box 869,690

5 . 11 . 2 . 223 Filtex Z 250 A2 pcs 442,750

5 . 11 . 2 . 224 Filtex Z 250 A3,5 pcs 442,750

5 . 11 . 2 . 225 Fissur Bur endo acces pcs 51,870

5 . 11 . 2 . 226 Fissur Scanalat (Helioseal ) pcs 197,660

5 . 11 . 2 . 227 Fletcher Powder - Liquid (gr) Botol 63,250

5 . 11 . 2 . 228 Folley Cath (2 Way) 10 pcs 40,273

5 . 11 . 2 . 229 Folley Cath (2 Way) 14 pcs 14,923

5 . 11 . 2 . 230 Folley Cath (2-Way) 12 pcs 14,923

5 . 11 . 2 . 231 Folley Cath (2-Way) 16 pcs 14,923

5 . 11 . 2 . 232 Folley Cath (2-Way) 18 pcs 14,923

5 . 11 . 2 . 233 Folley Cath (2-Way) 20 pcs 40,273

5 . 11 . 2 . 234 Folley Cath (2-Way) 8 pcs 52,166

5 . 11 . 2 . 235 Folley Cath (3-Way) 18 pcs 14,923

5 . 11 . 2 . 236 Folley Cath (3-Way) 20 pcs 14,923

5 . 11 . 2 . 237 Folley Cath (3-Way) 22 pcs 77,999

5 . 11 . 2 . 238 Folley Cath (3-Way) 24 pcs 62,700

5 . 11 . 2 . 239 Formalin 37% ml 132

5 . 11 . 2 . 240 Formalin tab 88,920

5 . 11 . 2 . 241 Fregnol Pc 476,520

5 . 11 . 2 . 242 Fuji I Botol 895,620

5 . 11 . 2 . 243 Fuji I Liquid + Powder Botol 570,000

5 . 11 . 2 . 244 Fuji II (Liquid + Powder) Botol 484,500

5 . 11 . 2 . 245 Fuji II lc liquid Botol 35,530

5 . 11 . 2 . 246 Fuji II lc Powder Botol 22,600

5 . 11 . 2 . 247 Fuji IX Liquid Botol 23,200

5 . 11 . 2 . 248 Fuji IX Powder Botol 433,200

5 . 11 . 2 . 249 Fuji V11( Powder + Liquid ) Botol 917,130

5 . 11 . 2 . 250 Gas Cartride Pack M 348 Unit 11,504,680

5 . 11 . 2 . 251 Gate Gliden Drill 1-6 pcs 341,550

5 . 11 . 2 . 252 Gelang Bayi pcs 764

5 . 11 . 2 . 253 Gelang Bayi + Dewasa pcs 72,450

5 . 11 . 2 . 254 Gelang Dewasa pcs 764

5 . 11 . 2 . 255 Gigasept AF Botol 783

5 . 11 . 2 . 256 Gingimaster Botol 111,160

5 . 11 . 2 . 257 Gliserin Botol 57,000

5 . 11 . 2 . 258 gluco strip Box 9,370

5 . 11 . 2 . 259 gluco strip ss Box 8,350

5 . 11 . 2 . 260 Gp Protaper F 5 pcs 8,360

5 . 11 . 2 . 261 gp protaper F4 pcs 8,360

5 . 11 . 2 . 262 Guedel Clear Rusch No 0 pcs 80,160

5 . 11 . 2 . 263 Guedel Clear Rusch No 00 pcs 80,160

5 . 11 . 2 . 264 Guedel Clear Rusch No 000 pcs 80,160

5 . 11 . 2 . 265 Guedel Clear Rusch No 1 pcs 92,000

5 . 11 . 2 . 266 Guedel Clear Rusch No 10 pcs 88,550

5 . 11 . 2 . 267 Guedel Clear Rusch No 12 pcs 94,310

5 . 11 . 2 . 268 Guedel Clear Rusch No 2 pcs 92,000

5 . 11 . 2 . 269 Guedel Clear Rusch No 3 pcs 92,000

5 . 11 . 2 . 270 Guedel Clear Rusch No 4 pcs 92,000

5 . 11 . 2 . 271 Guedel Clear Rusch No 5 pcs 80,160

5 . 11 . 2 . 272 Guedel Clear Rusch No 6 pcs 74,060

5 . 11 . 2 . 273 Guedel Clear Rusch No 7 pcs 94,310

5 . 11 . 2 . 274 Guedel Clear Rusch No 9 pcs 94,310

5 . 11 . 2 . 275 Guedel No. 100 pcs 12,540

5 . 11 . 2 . 276 Guedel No. 110 pcs 13,980

135

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 277 Guedel no. 2 pcs 16,450

5 . 11 . 2 . 278 Guedel No. 40 pcs 18,695

5 . 11 . 2 . 279 Guedel No. 50 pcs 11,390

5 . 11 . 2 . 280 Guedel No. 60 pcs 18,695

5 . 11 . 2 . 281 Guedel No. 70 pcs 18,696

5 . 11 . 2 . 282 Guedel No. 80 pcs 18,696

5 . 11 . 2 . 283 Guedel No. 90 pcs 25,389

5 . 11 . 2 . 284 Gutap Protaper F4 Box 193,325

5 . 11 . 2 . 285 Gutta Percha 15-80 pcs 653

5 . 11 . 2 . 286 Gutta Percha 20 pcs 653

5 . 11 . 2 . 287 Gutta Percha 25 Box 653

5 . 11 . 2 . 288 Gutta Percha 35 pcs 653

5 . 11 . 2 . 289 Gutta percha 40 - 80 Box 653

5 . 11 . 2 . 290 Guttap perca protaper F2 Botol 8,360

5 . 11 . 2 . 291 Guttap Percha Protaper F3 Box 8,360

5 . 11 . 2 . 292 Gypsona 3 " pcs 28,567

5 . 11 . 2 . 293 Gypsona 4" pcs 39,995

5 . 11 . 2 . 294 Gypsona 6" pcs 52,447

5 . 11 . 2 . 295 H2O2 (ml) ml 50

5 . 11 . 2 . 296 H2O2 3% ml 3,600

5 . 11 . 2 . 297 H2O2 50% 800ml ml 57

5 . 11 . 2 . 298 H2O2 800 ml ml 25,300

5 . 11 . 2 . 299 Heliobond Tube 347,880

5 . 11 . 2 . 300 Heliomolar Tube 436,430

5 . 11 . 2 . 301 Hemolok Feracrylum 1% 100 ml Botol 62,620

5 . 11 . 2 . 302 Hypafix 10 cm x 5 m meter 37,620

5 . 11 . 2 . 303 Hypavix 10 cm X 10 M meter 103,118

5 . 11 . 2 . 304 Imersion oil 100 ml Botol 558,657

5 . 11 . 2 . 305 Implant Wire Buah 473,419

5 . 11 . 2 . 306 incheque bowie dick test pa Box 75,900

5 . 11 . 2 . 307 Infus Set pcs 7,336

5 . 11 . 2 . 308 Infus Set Ped pcs 11,863

5 . 11 . 2 . 309 Infus Set Pum Terumo pcs 24,829

5 . 11 . 2 . 310 infus set pum terumo micro pcs 97,790

5 . 11 . 2 . 311 infus set tipe Y pcs 15,180

5 . 11 . 2 . 312 Intrafix (Infus Set B-Braun) pcs 8,897

5 . 11 . 2 . 313 Intrafix Air pediatric pcs 20,880

5 . 11 . 2 . 314 Iodin Povidon 1 li ml 47

5 . 11 . 2 . 315 Iol Arterior Diopsi 20 pcs 468,050

5 . 11 . 2 . 316 Iol arterior diopsi 21 pcs 470,000

5 . 11 . 2 . 317 IV catheter 24 terumo pcs 16,804

5 . 11 . 2 . 318 jarum pcs 8,550

5 . 11 . 2 . 319 Jarum Insulin 30 pcs 1,710

5 . 11 . 2 . 320 Jarum Insulin 31 pcs 2,410

5 . 11 . 2 . 321 Jarum Irigasi pcs 25,080

5 . 11 . 2 . 322 Jarum Mani SE ME 1/2 C No. 21 pcs 8,550

5 . 11 . 2 . 323 Jarum Mani SE ME 1/2 C No. 24 pcs 8,550

5 . 11 . 2 . 324 Jarum Mani SE ME 3/8 C No. 24 pcs 8,550

5 . 11 . 2 . 325 Jarum Mani SE ME 3/8 C No. 32 pcs 8,550

5 . 11 . 2 . 326 Jarum Mani SE ME 3/8 C No. 36 pcs 8,550

5 . 11 . 2 . 327 Jarum Mani SE ME 3/8 C No. 40 pcs 8,550

5 . 11 . 2 . 328 Jarum Mani SE ME 3/8 C No. 45 pcs 8,550

5 . 11 . 2 . 329 Jarum Mani SE ME No. 18 pcs 8,550

5 . 11 . 2 . 330 Jarum Mani SE ME No. 21 pcs 8,550

5 . 11 . 2 . 331 Jarum Mani SE ME No. 24 pcs 8,550

5 . 11 . 2 . 332 Jarum Mani SE ME No. 28 pcs 8,550

5 . 11 . 2 . 333 Jarum Mani SE ME No. 32 pcs 8,550

5 . 11 . 2 . 334 Jarum Mani SE ME No. 36 pcs 8,550

5 . 11 . 2 . 335 Jarum Mani SE ME No. 40 pcs 8,550

5 . 11 . 2 . 336 Jarum Mani SE ME No. 45 pcs 8,550

5 . 11 . 2 . 337 Jarum Mani SE ME No. 50 pcs 8,550

5 . 11 . 2 . 338 Jarum Mani SE ME No. 55 pcs 8,550

5 . 11 . 2 . 339 Jarum Mani SE MH 1/2 C No. 18 pcs 8,550

5 . 11 . 2 . 340 Jarum Mani SE MH 1/2 C No. 21 pcs 8,550

5 . 11 . 2 . 341 Jarum Mani SE MH 1/2 C No. 24 pcs 8,550

5 . 11 . 2 . 342 Jarum Mani SE MH 1/2 C No. 28 pcs 8,550

5 . 11 . 2 . 343 Jarum Mani SE MH 1/2 C No. 32 pcs 8,550

5 . 11 . 2 . 344 Jarum Mani SE MH 1/2 C No. 36 pcs 8,550

5 . 11 . 2 . 345 Jarum Mani SE MH 1/2 C No. 40 pcs 8,550

5 . 11 . 2 . 346 Jarum Mani SE MH 1/2 C No. 45 pcs 8,550

5 . 11 . 2 . 347 Jarum Mani SE MH 1/2 C No. 50 pcs 8,550

5 . 11 . 2 . 348 Jarum Mani SE MH 1/2 C No. 55 pcs 8,550

5 . 11 . 2 . 349 Jarum Mani SE MH 1/2 C No. 65 pcs 8,550

5 . 11 . 2 . 350 Jarum Mani SE MH 1/2C No. 60 pcs 8,550

136

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 351 Jarum Mani SE MH No. 18 pcs 8,550

5 . 11 . 2 . 352 Jarum Mani SE MH No. 21 pcs 8,550

5 . 11 . 2 . 353 Jarum Mani SE MH No. 24 pcs 8,550

5 . 11 . 2 . 354 Jarum Mani SE MH No. 28 pcs 8,550

5 . 11 . 2 . 355 Jarum Mani SE MH No. 36 pcs 8,550

5 . 11 . 2 . 356 Jarum Mani SE MH No. 40 pcs 8,550

5 . 11 . 2 . 357 Jarum Mani SE MH No. 55 pcs 8,550

5 . 11 . 2 . 358 Jarum Mani SE TE 3/8 C No. 24 pcs 8,550

5 . 11 . 2 . 359 Jarum Mani SE TE 3/8 C No. 32 pcs 8,550

5 . 11 . 2 . 360 Jarum Mani SE TE 3/8 C No. 40 pcs 8,550

5 . 11 . 2 . 361 Jarum Mani SE TE 3/8 C No. 55 pcs 8,550

5 . 11 . 2 . 362 Jarum Mani SE TE 3/8 C No. 60 pcs 8,550

5 . 11 . 2 . 363 Jarum Mani SE TE No. 21 pcs 8,550

5 . 11 . 2 . 364 Jarum Mani SE TE No. 24 pcs 8,550

5 . 11 . 2 . 365 Jarum Mani SE TE No. 28 pcs 8,550

5 . 11 . 2 . 366 Jarum Mani SE TE No. 32 pcs 8,550

5 . 11 . 2 . 367 Jarum Mani SE TE No. 36 pcs 8,550

5 . 11 . 2 . 368 Jarum Mani SE TE No. 40 pcs 8,550

5 . 11 . 2 . 369 Jarum Mani SE TE No. 45 pcs 8,550

5 . 11 . 2 . 370 Jarum Mani SE TE No. 50 pcs 8,550

5 . 11 . 2 . 371 Jarum Mani SE TE No. 55 pcs 8,550

5 . 11 . 2 . 372 Jarum Mani SE TE No. 60 pcs 8,550

5 . 11 . 2 . 373 Jarum mani SE TH 1/2 C 18 pcs 8,550

5 . 11 . 2 . 374 Jarum Mani SE TH 1/2 C No. 21 pcs 8,550

5 . 11 . 2 . 375 Jarum Mani SE TH 1/2 C No. 24 pcs 8,550

5 . 11 . 2 . 376 Jarum Mani SE TH 1/2 C No. 28 pcs 8,550

5 . 11 . 2 . 377 Jarum Mani SE TH 1/2 C No. 32 pcs 8,550

5 . 11 . 2 . 378 Jarum Mani SE TH 1/2 C No. 36 pcs 8,550

5 . 11 . 2 . 379 Jarum Mani SE TH 1/2 C No. 45 pcs 8,550

5 . 11 . 2 . 380 Jarum Mani SE TH 1/2 C No. 50 pcs 8,550

5 . 11 . 2 . 381 Jarum Mani SE TH 1/2 C No. 55 pcs 8,550

5 . 11 . 2 . 382 Jarum Mani SE TH 1/2 C No. 65 pcs 8,550

5 . 11 . 2 . 383 Jarum Mani SE TH 1/2 C No.40 pcs 8,550

5 . 11 . 2 . 384 Jarum Mani SE TH 1/2 No. 40 8,550

5 . 11 . 2 . 385 Jarum Mani SE TH No. 21 pcs 8,550

5 . 11 . 2 . 386 Jarum Mani SE TH No. 24 pcs 8,550

5 . 11 . 2 . 387 Jarum Mani SE TH No. 28 pcs 8,550

5 . 11 . 2 . 388 Jarum Mani SE TH No. 36 pcs 8,550

5 . 11 . 2 . 389 Jarum Mani SE TH No. 40 pcs 8,550

5 . 11 . 2 . 390 Jarum Mani SE TH No. 50 pcs 8,550

5 . 11 . 2 . 391 Jarum Mani SE TH No. 55 pcs 8,550

5 . 11 . 2 . 392 Jarum Mani TH 60 pcs 8,550

5 . 11 . 2 . 393 Jegul Dolbun B Pc 7,386

5 . 11 . 2 . 394 Jelly eco (ml) ml 50

5 . 11 . 2 . 395 Kapas (gram) Gr 128

5 . 11 . 2 . 396 Kapas berlemak Rol 56,360

5 . 11 . 2 . 397 Kapas Potong Uk.3 Cm X 3 Cm Pack 75,900

5 . 11 . 2 . 398 Kapas Potong Uk.10 Cm X 5 Cm Box 14,296

5 . 11 . 2 . 399 Kapsul Kosong 00 Pcs 80

5 . 11 . 2 . 400 Kassa 1,5x3 Pcs 8,300

5 . 11 . 2 . 401 Kassa 10 x 5 Pcs 530

5 . 11 . 2 . 402 Kassa 16x45 Pcs 8,860

5 . 11 . 2 . 403 Kassa 1x3 Pcs 6,330

5 . 11 . 2 . 404 Kassa 3x3 Pcs 5,060

5 . 11 . 2 . 405 Kassa 5x5 Pcs 5,650

5 . 11 . 2 . 406 Kassa Depper Pcs 1,140

5 . 11 . 2 . 407 Kassa Gigi 4 x 4 cm Pcs 470

5 . 11 . 2 . 408 Kassa HID 80x40 Rol 210,045

5 . 11 . 2 . 409 Kassa Hydrofil 16 X16 Box 6,612

5 . 11 . 2 . 410 kassa Rol/potong Pack 231,990

5 . 11 . 2 . 411 Kassa steril 16x16 HAI Pcs 6,612

5 . 11 . 2 . 412 Kassa Tali Pusat Bayi Pack 238,200

5 . 11 . 2 . 413 Kassa tampon 1 cm Pcs 6,960

5 . 11 . 2 . 414 Kassa Tampon 1,5x3 Pcs 9,054

5 . 11 . 2 . 415 Kassa tampon 2 cm Pcs 6,960

5 . 11 . 2 . 416 Kassa tampon 3 cm Pcs 14,296

5 . 11 . 2 . 417 Kassa Tampon 4 Cm Pcs 12,740

5 . 11 . 2 . 418 Kassa Tampon Gigi Pcs 1,140

5 . 11 . 2 . 419 Kertas Lakmus Merah Pcs 1,129

5 . 11 . 2 . 420 K-File 10 21 mm Pcs 103,626

5 . 11 . 2 . 421 K-File 15 pk.25 Pcs 176,700

5 . 11 . 2 . 422 K-File 45-80 25mm Pcs 112,860

5 . 11 . 2 . 423 Kirschner Wires Pcs 138,000

5 . 11 . 2 . 424 Kondom Cathether L Pcs 5,756

137

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 425 Kondom Cathether M Pcs 5,756

5 . 11 . 2 . 426 Kuas Pcs 114,000

5 . 11 . 2 . 427 Kuvet Respon Box 1,214,400

5 . 11 . 2 . 428 Label Semicoated uk.45 mm x 30 mm Pcs 60

5 . 11 . 2 . 429 Lancet (cc) Pcs 570

5 . 11 . 2 . 430 Lancet V Medick Pcs 830

5 . 11 . 2 . 431 Leukofix 2121 (0,5 x 5,5) Pcs 40,506

5 . 11 . 2 . 432 Leukomed 72380-00 7,2 cm x 5 cm Pcs 5,237

5 . 11 . 2 . 433 LMA Fastrach ETT (SU) 6,5 mm Pcs 43,810

5 . 11 . 2 . 434 LMA Fastrach ETT (SU) 7,0 mm Pcs 965,580

5 . 11 . 2 . 435 LMA Fastrach ETT (SU) 7,5 mm Pcs 43,810

5 . 11 . 2 . 436 LMA Fastrach ETT SU 8,0 mm Pcs 43,810

5 . 11 . 2 . 437 LMA Fastrach SU Size 3 (Supreme) Pcs 234,840

5 . 11 . 2 . 438 LMA Fastrach SU Size 4 (Supreme) Pcs 526,680

5 . 11 . 2 . 439 LMA Fastrach SU Size 5,5 (Supreme) Pcs 304,095

5 . 11 . 2 . 440 LMA Flexyble SU size 3 Pcs 888,830

5 . 11 . 2 . 441 LMA Flexyble SU Size 4 Pcs 888,830

5 . 11 . 2 . 442 LMA Flexyble SU size 5 Pcs 888,830

5 . 11 . 2 . 443 LMA ProSeal Size 4 Pcs 4,151,550

5 . 11 . 2 . 444 LMA ProSeal Size 5 Pcs 4,151,550

5 . 11 . 2 . 445 Mask Earloop (Karet) Pcs 451

5 . 11 . 2 . 446 Mask Tie (Tali) Pcs 477

5 . 11 . 2 . 447 Masker Cungkup dws Pcs 27,930

5 . 11 . 2 . 448 Masker Khusus Pcs 3,010

5 . 11 . 2 . 449 Masque Facial Flex "Adult" Pcs 113,430

5 . 11 . 2 . 450 Medifix Line Pcs 101,200

5 . 11 . 2 . 451 Microdrip E.E Pcs 20,240

5 . 11 . 2 . 452 Microten 60 (Adesive Cream For EMG PE EEG) Pcs 1,980

5 . 11 . 2 . 453 Mikrozid Liquid Galon 1,171,374

5 . 11 . 2 . 454 Miracle Mix Botol 1,580,150

5 . 11 . 2 . 455 Monocyn 1 HR 48 Pcs 151,820

5 . 11 . 2 . 456 Monocyn no 1 Pcs 142,204

5 . 11 . 2 . 457 Monocyn no.4/0 Pcs 112,860

5 . 11 . 2 . 458 Mucus Extractor Pcs 15,180

5 . 11 . 2 . 459 MY Jelly (gr) Gr 26,106

5 . 11 . 2 . 460 NaOCL (cc) ml 63

5 . 11 . 2 . 461 Narrow Plate ACP 10 holes Pcs 1,282,500

5 . 11 . 2 . 462 Narrow Plate ACP 11 holes Pcs 1,293,750

5 . 11 . 2 . 463 Narrow Plate ACP 12 holes Pcs 1,293,750

5 . 11 . 2 . 464 Narrow Plate ACP 13 holes Pcs 1,293,750

5 . 11 . 2 . 465 Narrow Plate ACP 14 holes Pcs 1,293,750

5 . 11 . 2 . 466 Narrow Plate ACP 15 holes Pcs 1,293,750

5 . 11 . 2 . 467 Narrow Plate ACP 16 holes Pcs 1,293,750

5 . 11 . 2 . 468 Narrow Plate ACP 3 holes Pcs 1,293,750

5 . 11 . 2 . 469 Narrow Plate ACP 4 holes Pcs 1,293,750

5 . 11 . 2 . 470 Narrow Plate ACP 5 holes Pcs 1,293,750

5 . 11 . 2 . 471 Narrow Plate ACP 6 holes Pcs 1,293,750

5 . 11 . 2 . 472 Narrow Plate ACP 7 holes Pcs 1,293,750

5 . 11 . 2 . 473 Narrow Plate ACP 8 holes Pcs 1,293,750

5 . 11 . 2 . 474 Narrow Plate ACP 9 holes Pcs 1,293,750

5 . 11 . 2 . 475 Narrow Plate Round 10 holes Pcs 2,052,000

5 . 11 . 2 . 476 Narrow Plate Round 11 holes Pcs 1,293,750

5 . 11 . 2 . 477 Narrow Plate Round 12 holes Pcs 1,293,750

5 . 11 . 2 . 478 Narrow Plate Round 13 holes Pcs 1,293,750

5 . 11 . 2 . 479 Narrow Plate Round 14 holes Pcs 1,293,750

5 . 11 . 2 . 480 Narrow Plate Round 15 holes Pcs 1,293,750

5 . 11 . 2 . 481 Narrow Plate Round 16 holes Pcs 1,293,750

5 . 11 . 2 . 482 Narrow Plate Round 20 holes Pcs 1,293,750

5 . 11 . 2 . 483 Narrow Plate Round 4 holes Pcs 1,293,750

5 . 11 . 2 . 484 Narrow Plate Round 5 holes Pcs 1,293,750

5 . 11 . 2 . 485 Narrow Plate Round 6 holes Pcs 1,293,750

5 . 11 . 2 . 486 Narrow Plate Round 7 holes Pcs 1,293,750

5 . 11 . 2 . 487 Narrow Plate Round 8 holes Pcs 1,293,750

5 . 11 . 2 . 488 Narrow Plate Round 9 holes Pcs 1,293,750

5 . 11 . 2 . 489 Nasal Oksigen (O2) Anak Pcs 9,029

5 . 11 . 2 . 490 Nasal Oksigen (O2) Dewasa Pcs 9,029

5 . 11 . 2 . 491 Nedle no.23 Pcs 747

5 . 11 . 2 . 492 Needle no 18 Pcs 747

5 . 11 . 2 . 493 Needle no 19.5 Pcs 510

5 . 11 . 2 . 494 Needle no 23 Pcs 747

5 . 11 . 2 . 495 Needle no 26 Pcs 747

5 . 11 . 2 . 496 Needle/Neolus 18 g Pcs 523

5 . 11 . 2 . 497 Needle/Neolus 23 g Pcs 483

138

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 498 Needle/Neolus 26 g Pcs 1,270

5 . 11 . 2 . 499 NGT 10 Pcs 18,058

5 . 11 . 2 . 500 NGT 12 Pcs 14,923

5 . 11 . 2 . 501 NGT 14 Pcs 14,923

5 . 11 . 2 . 502 NGT 16 Pcs 9,525

5 . 11 . 2 . 503 NGT 18 Pcs 10,080

5 . 11 . 2 . 504 NGT 3.5 Pcs 10,080

5 . 11 . 2 . 505 NGT 5 100 cm Pcs 10,080

5 . 11 . 2 . 506 NGT 5 40 cm Pcs 10,080

5 . 11 . 2 . 507 NGT 8 100 cm Pcs 10,080

5 . 11 . 2 . 508 normal saline Botol 13,990

5 . 11 . 2 . 509 Nrc Botol 403,220

5 . 11 . 2 . 510 Nuprep ECG & EEG Paste Pcs 2,890

5 . 11 . 2 . 511 Optime 0 Pcs 113,850

5 . 11 . 2 . 512 Optime 1 atromatik Pcs 121,440

5 . 11 . 2 . 513 Optime 2-0 Pcs 109,430

5 . 11 . 2 . 514 Optime 3-0 Pcs 93,610

5 . 11 . 2 . 515 Optime 4-0 atromatik Pcs 113,850

5 . 11 . 2 . 516 Panaspray ml 564,300

5 . 11 . 2 . 517 Paper Point Pcs 93,940

5 . 11 . 2 . 518 Paper Point 35 Pcs 101,200

5 . 11 . 2 . 519 Paper Point 50 Pcs 560

5 . 11 . 2 . 520 Paper Point 55 Pcs 37,950

5 . 11 . 2 . 521 Peel Neutralizer Ref. 1L Botol 877,980

5 . 11 . 2 . 522 Pen Needle 30 GA Pcs 2,493

5 . 11 . 2 . 523 Pen Needle 31 x 5 Pcs 2,493

5 . 11 . 2 . 524 Peper pet Pcs 62,700

5 . 11 . 2 . 525 Peper Point 15-80 Pcs 941

5 . 11 . 2 . 526 Peper Point 40 - 80 Pcs 941

5 . 11 . 2 . 527 Pepper 60 mm Pcs 50,160

5 . 11 . 2 . 528 Pepper Elektroda Pcs 156,180

5 . 11 . 2 . 529 Pepper thermal 5,7 Pcs 137,381

5 . 11 . 2 . 530 Perican dws Pcs 118,980

5 . 11 . 2 . 531 Perican Paed 22G Pcs 108,820

5 . 11 . 2 . 532 Perifix 400 Pcs 321,651

5 . 11 . 2 . 533 Pharmafix 10 x 5 m Pcs 11,698

5 . 11 . 2 . 534 Pinset Anatomis Pcs 25,050

5 . 11 . 2 . 535 Pipet Pendek Pcs 1,210

5 . 11 . 2 . 536 Plester/leucoplast 7,5 cm x 4,5 m Pcs 43,016

5 . 11 . 2 . 537 Plesterin Pcs 213

5 . 11 . 2 . 538 Plugger A 280 s Set 449,080

5 . 11 . 2 . 539 PolishingBan Unit 34,790

5 . 11 . 2 . 540 Polymed Polywin IV Cath. 26 Pcs 8,350

5 . 11 . 2 . 541 Polymed Yankaur Suction Pcs 55,660

5 . 11 . 2 . 542 Polysorb 2-0 Pcs 91,080

5 . 11 . 2 . 543 Postofix ( Plester Anti Air ) Lembar 12,020

5 . 11 . 2 . 544 Pot 15 Gr Pcs 456

5 . 11 . 2 . 545 Pot 25 Gr Pcs 1,020

5 . 11 . 2 . 546 Pot 40 Gr Pcs 1,020

5 . 11 . 2 . 547 Pot 5 Gr Pcs 350

5 . 11 . 2 . 548 Pot 50 Gr Pcs 1,020

5 . 11 . 2 . 549 Pot H 90 gr Pcs 1,260

5 . 11 . 2 . 550 Pot P 30 Gr Pcs 700

5 . 11 . 2 . 551 Pot T3 10 Gr Pcs 798

5 . 11 . 2 . 552 Pot T6 20 Gr Pcs 510

5 . 11 . 2 . 553 Pot Urin Pcs 1,129

5 . 11 . 2 . 554 Pot Y 65 Gr Pcs 1,254

5 . 11 . 2 . 555 Premilene 2/0 HR 26 Pcs 95,179

5 . 11 . 2 . 556 Presarium ring no.8 rusc Pcs 76,540

5 . 11 . 2 . 557 Presarium ring no.9 rusc Pcs 406,070

5 . 11 . 2 . 558 Primasept Med 1 L ml 230

5 . 11 . 2 . 559 Primasept Med 5 L ml 998,811

5 . 11 . 2 . 560 Pump Tube Kit M 348 Unit 7,948,000

5 . 11 . 2 . 561 Ralyx ARC Pcs 746,350

5 . 11 . 2 . 562 Reamer Svenska 45-80 Pcs 98,670

5 . 11 . 2 . 563 Reamers 15-80 Pack 102,790

5 . 11 . 2 . 564 Reamers Svenska 15-80 Pack 98,670

5 . 11 . 2 . 565 Rectal Tube No. 14 Pcs 11,140

5 . 11 . 2 . 566 Rectal Tube No. 16 Pcs 11,140

5 . 11 . 2 . 567 Rectal Tube No. 20 Pcs 12,540

5 . 11 . 2 . 568 Rectal Tube No. 28 Pcs 12,540

5 . 11 . 2 . 569 Rectal Tube No. 8 Pcs 11,140

5 . 11 . 2 . 570 Renalin ml 426

139

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 571 Safil 0 hr 40s Pcs 113,362

5 . 11 . 2 . 572 Safil 1 hr 48 Pcs 113,487

5 . 11 . 2 . 573 Safil 2/0 Pcs 100,822

5 . 11 . 2 . 574 Safil 3/0 Pcs 101,797

5 . 11 . 2 . 575 Safil 4/0 HR 17 Pcs 89,430

5 . 11 . 2 . 576 Safil no.1 Pcs 111,857

5 . 11 . 2 . 577 Safil no.3/0 DS 24 Pcs 84,860

5 . 11 . 2 . 578 SAfil no.3/0 HR 26 Pcs 104,160

5 . 11 . 2 . 579 Safil no.3/0 HR. Pcs 94,690

5 . 11 . 2 . 580 Safil no.4/0 Pcs 91,142

5 . 11 . 2 . 581 Safil no.8/0 Pcs 231,880

5 . 11 . 2 . 582 Sarung Tangan (Glove) 6,5 Pasang 5,700

5 . 11 . 2 . 583 Sarung Tangan (Glove) 7 Pasang 5,700

5 . 11 . 2 . 584 Sarung Tangan (Glove) 7,5 Pasang 5,700

5 . 11 . 2 . 585 Sarung Tangan (Glove) 8 Pasang 5,700

5 . 11 . 2 . 586 Sarung Tangan (Glove) Non Steril Pcs 527

5 . 11 . 2 . 587 Sarung Tangan (Glove) Non Steril Ansel L Pcs 433

5 . 11 . 2 . 588 Sarung Tangan (Glove) Non Steril Ansel M Pcs 527

5 . 11 . 2 . 589 Sarung Tangan Gizi Pcs 190

5 . 11 . 2 . 590 Sarung Tangan Gyn 6 Pasang 11,590

5 . 11 . 2 . 591 Sarung Tangan Gyn 6,5 Pasang 5,700

5 . 11 . 2 . 592 Sarung Tangan Gyn 7 Pasang 18,810

5 . 11 . 2 . 593 Sarung Tangan Gyn 7,5 Pasang 18,810

5 . 11 . 2 . 594 Savlon (Fasl 5lt-Lemon) ml 195

5 . 11 . 2 . 595 Scandonest (ampul) Amp 9,793

5 . 11 . 2 . 596 Selang Yanker Pcs 63,250

5 . 11 . 2 . 597 Sikat Tangan Pcs 1,270

5 . 11 . 2 . 598 Silicone Double Lumen 11.5Fx20 Pcs 1,333

5 . 11 . 2 . 599 Silk 0 Meter 11,913

5 . 11 . 2 . 600 Silk 1 Meter 18,810

5 . 11 . 2 . 601 Silk 2 Meter 15,989

5 . 11 . 2 . 602 Silk 2-0 Meter 18,810

5 . 11 . 2 . 603 Silk 3-0 Meter 19,186

5 . 11 . 2 . 604 Silk atromatik 2-0 Pcs 45,866

5 . 11 . 2 . 605 Silk atromatik 3-0 Pcs 45,269

5 . 11 . 2 . 606 Single Use Loading GIA 80-4,8 Pcs 562,020

5 . 11 . 2 . 607 Single Use Reloadable GIA 80-4,8 Pcs 3,680,000

5 . 11 . 2 . 608 Sinusorb pga no.8/0 Pcs 153,490

5 . 11 . 2 . 609 Skin Tag Anak Pcs 7,410

5 . 11 . 2 . 610 Skin Tag Dewasa Pcs 27,862

5 . 11 . 2 . 611 Skintraksi dws Pcs 110,408

5 . 11 . 2 . 612 Small Narrow Plate 4 holes Pcs 1,035,000

5 . 11 . 2 . 613 Small Narrow Plate 5 holes Pcs 1,035,000

5 . 11 . 2 . 614 Small Narrow Plate 6 holes Pcs 1,035,000

5 . 11 . 2 . 615 Small Narrow Plate 7 holes Pcs 1,035,000

5 . 11 . 2 . 616 Small Narrow Plate 8 holes Pcs 1,035,000

5 . 11 . 2 . 617 Smartcem2 Tranlucent Pcs 1,913,320

5 . 11 . 2 . 618 Snare Wire 0.4 mm Pcs 463,680

5 . 11 . 2 . 619 Snare Wire 0.6 mm Pcs 463,680

5 . 11 . 2 . 620 Snare Wire 0.8 mm Pcs 540,520

5 . 11 . 2 . 621 Snare Wire 1.0 mm Pcs 540,520

5 . 11 . 2 . 622 Snare Wire 1.2 mm Pcs 596,160

5 . 11 . 2 . 623 Snare Wire 1.5 mm Pcs 596,160

5 . 11 . 2 . 624 Sofscale Dentsply Pcs 177,100

5 . 11 . 2 . 625 Soft band 3" Pcs 17,154

5 . 11 . 2 . 626 Soft band 4" Pcs 21,641

5 . 11 . 2 . 627 Soft band 6" Pcs 31,109

5 . 11 . 2 . 628 Soft Silk 2/0 Pcs 77,520

5 . 11 . 2 . 629 Soft Silk 3/0 Pcs 77,520

5 . 11 . 2 . 630 Softa-man SB 1 L Liter 151,800

5 . 11 . 2 . 631 Spalk 20 cm x 125 cm Pcs 107,844

5 . 11 . 2 . 632 Spalk 5 cm x 10 cm Pcs 8,778

5 . 11 . 2 . 633 Spalk 5 cm x 15 cm Pcs 9,405

5 . 11 . 2 . 634 Spalk 5 cm x 40 cm Pcs 25,080

5 . 11 . 2 . 635 Spalk 5 cm x 60 cm Pcs 30,780

5 . 11 . 2 . 636 Spalk 5 cm x 80 cm Pcs 26,220

5 . 11 . 2 . 637 spalk 6 cm x 100 cm Pcs 4,332

5 . 11 . 2 . 638 Spinocan 25 Pcs 32,830

5 . 11 . 2 . 639 Spinocan 29 Pcs 58,190

5 . 11 . 2 . 640 Spreader 30 Pcs 347,880

5 . 11 . 2 . 641 Spuit 10cc Pcs 2,039

5 . 11 . 2 . 642 Spuit 1cc Pcs 1,756

5 . 11 . 2 . 643 Spuit 1cc(Insulin) Pcs 2,442

140

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 644 Spuit 20cc Pcs 3,510

5 . 11 . 2 . 645 Spuit 3cc Pcs 1,091

5 . 11 . 2 . 646 Spuit 50cc blg pinggir Pcs 15,951

5 . 11 . 2 . 647 Spuit 5cc Pcs 1,537

5 . 11 . 2 . 648 Spuit 60 cc blg tengah Pcs 30,096

5 . 11 . 2 . 649 Steranios 2% ml 119

5 . 11 . 2 . 650 Stimuflex A 100 Pcs 215,050

5 . 11 . 2 . 651 Stimuflex A 50 Pcs 223,839

5 . 11 . 2 . 652 Stimuplex G22 Pcs 215,050

5 . 11 . 2 . 653 Stockinette 2 inchi Pcs 164

5 . 11 . 2 . 654 Suction Pcs 560

5 . 11 . 2 . 655 Suction Cath. No. 10 Pcs 8,402

5 . 11 . 2 . 656 Suction Cath. No. 12 Pcs 8,402

5 . 11 . 2 . 657 Suction Cath. No. 14 Pcs 8,402

5 . 11 . 2 . 658 Suction Cath. No. 16 Pcs 36,530

5 . 11 . 2 . 659 Suction Cath. No. 6 Pcs 8,402

5 . 11 . 2 . 660 Suction Cath. No. 8 Pcs 8,402

5 . 11 . 2 . 661 Suction Connect (selang) Pcs 8,402

5 . 11 . 2 . 662 Surflo No. 18 Pcs 31,350

5 . 11 . 2 . 663 Surflo No. 24 Pcs 8,050

5 . 11 . 2 . 664 Surgical Nedle 1/2 cycle 18 ml Pcs 12,650

5 . 11 . 2 . 665 Surgicryl 2/0 Pcs 80,020

5 . 11 . 2 . 666 Surgipen 2,35 mm Pcs 1,410,750

5 . 11 . 2 . 667 Suture Needle 1/2 Circle (18 mm) (pc) Pcs 12,650

5 . 11 . 2 . 668 Suture Needle 3/8 Circle (24 mm) (pc) Pcs 12,650

5 . 11 . 2 . 669 T.Vio no.o Pcs 76,422

5 . 11 . 2 . 670 Tabung koagulasi Pcs 3,170

5 . 11 . 2 . 671 Tangkai Kuas Pcs 63,250

5 . 11 . 2 . 672 T-Chromic 3-0 Pcs 64,780

5 . 11 . 2 . 673 Tegaderm 5 cm x 7 cm Pcs 11,020

5 . 11 . 2 . 674 Tegaderm 9 cm x 10 cm Pcs 25,596

5 . 11 . 2 . 675 Tegaderm 9 cm x 20 cm Pcs 43,230

5 . 11 . 2 . 676 Tegaderm 9 cm x 25 cm Pcs 45,743

5 . 11 . 2 . 677 Tempat Boor Pcs 101,200

5 . 11 . 2 . 678 Ten 20 Conductive EEG Pcs 2,051

5 . 11 . 2 . 679 Tensocrep 3" Pcs 60,655

5 . 11 . 2 . 680 Tensocrep 4" Pcs 73,012

5 . 11 . 2 . 681 Tensocrep 6" Pcs 95,892

5 . 11 . 2 . 682 Termometer Pcs 15,675

5 . 11 . 2 . 683 Timer Pcs 50,100

5 . 11 . 2 . 684 T-Lene 3-0 Pcs 81,605

5 . 11 . 2 . 685 T-Lene 3-0 jarum segitiga Pcs 90,450

5 . 11 . 2 . 686 T-Lene 4-0 Pcs 69,359

5 . 11 . 2 . 687 T-Lene 4-0 jarum segitiga Pcs 109,300

5 . 11 . 2 . 688 T-Lene 5-0 Pcs 75,052

5 . 11 . 2 . 689 T-Lene 6-0 Pcs 69,140

5 . 11 . 2 . 690 T-Mono 1 Pcs 123,538

5 . 11 . 2 . 691 T-Mono 3-0 Pcs 105,013

5 . 11 . 2 . 692 T-Mono 4-0 Pcs 94,820

5 . 11 . 2 . 693 T-Mono 5-0 Pcs 83,240

5 . 11 . 2 . 694 tongkat crutch GEA Pasang 280,440

5 . 11 . 2 . 695 Topi Operasi One Use Pcs 513

5 . 11 . 2 . 696 Torniquet / Stiweng Pcs 18,559

5 . 11 . 2 . 697 TPH Spectrum Dentsply Pcs 79,070

5 . 11 . 2 . 698 Tracheostomy No. 7 Pcs 313,500

5 . 11 . 2 . 699 Tranfusi Set Pcs 17,606

5 . 11 . 2 . 700 Tranfusi Set Type Y Pcs 42,134

5 . 11 . 2 . 701 Tricofix Pcs 63,800

5 . 11 . 2 . 702 Trikresol Formaline (TKF) Botol 158,130

5 . 11 . 2 . 703 T-Vio 0 Pcs 76,422

5 . 11 . 2 . 704 T-Vio 1 Pcs 85,179

5 . 11 . 2 . 705 T-Vio 2-0 Pcs 73,867

5 . 11 . 2 . 706 T-Vio 3-0 Pcs 696,920

5 . 11 . 2 . 707 T-Vio 4-0 Pcs 66,118

5 . 11 . 2 . 708 Ultracal Pcs 191,520

5 . 11 . 2 . 709 Umbilical Cathether No. 5 Pcs 40,379

5 . 11 . 2 . 710 Umbilical Clamp Pcs 1,140

5 . 11 . 2 . 711 Urine Bag Pcs 5,267

5 . 11 . 2 . 712 Venocat No. 16 Pcs 113,850

5 . 11 . 2 . 713 Venocat No. 18 Pcs 113,850

5 . 11 . 2 . 714 Verban 10 cm Pcs 1,003

5 . 11 . 2 . 715 Vicryl 5/0 Pcs 2,610,923

5 . 11 . 2 . 716 Vicryl 6/0 Pcs 752,400

141

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 2 . 717 Vitapex Botol 679,940

5 . 11 . 2 . 718 Vitre Bond Liquid Botol 83,600

5 . 11 . 2 . 719 Vitre Bond Powder Botol 48,767

5 . 11 . 2 . 720 Wing Infus 21G Pcs 747

5 . 11 . 2 . 721 Wing Infus 23G Pcs 747

5 . 11 . 2 . 722 Wundres N 10 X 20 Pcs 112,860

5 . 11 . 2 . 723 Xylocaine Spray ml 3,238

5 . 11 . 3 Bahan Baku

5 . 11 . 3 . 1 Acetosal serbuk Gr 20

5 . 11 . 3 . 2 Asam Salysilat Botol 158,130

5 . 11 . 3 . 3 Barium Gr 238

5 . 11 . 3 . 4 CaCo3 Gr 80

5 . 11 . 3 . 5 Caviton pink Gr 245,111

5 . 11 . 3 . 6 Caviton putih Gr 6,840

5 . 11 . 3 . 7 Cement (Liquid + Powder) Unit 963,300

5 . 11 . 3 . 8 Color Plast Gr 130

5 . 11 . 3 . 9 Filtek A3 Bungkus 411,130

5 . 11 . 3 . 10 Filtek7250 A2 Pc 442,750

5 . 11 . 3 . 11 Formalin tab Tab 380

5 . 11 . 3 . 12 Fuji Camp Botol 70

5 . 11 . 3 . 13 Fuji IX (Liquid + Powder) Pc 570,000

5 . 11 . 3 . 14 G.bond Box 1,167,360

5 . 11 . 3 . 15 Gip kuning Gr 70

5 . 11 . 3 . 16 gp protaper ass Box 183,430

5 . 11 . 3 . 17 Gp Protaper F 5 Box 193,325

5 . 11 . 3 . 18 gp protaper F4 Box 193,325

5 . 11 . 3 . 19 Kalii chloride serbuk Gr 80

5 . 11 . 3 . 20 Kcl serbuk Gr 80

5 . 11 . 3 . 21 lanaspray Buah 257,430

5 . 11 . 3 . 22 Levertran oil Fls (Fls) 3,480

5 . 11 . 3 . 23 martis instrument Buah 69,580

5 . 11 . 3 . 24 Moldano biru Gr 57

5 . 11 . 3 . 25 Moldano kuning Gr 70

5 . 11 . 3 . 26 Rivanol serbuk Gr 2,790

5 . 11 . 3 . 27 Saliva Pcs 63,250

5 . 11 . 3 . 28 Talk Gr 4,600

5 . 11 . 3 . 29 Tetric A2 Pcs 121,760

5 . 11 . 3 . 30 Trichloracetic Acid Flash 4,460

5 . 11 . 4 Consumable Inti

5 . 11 . 4 . 1 AV. Fistulla 15 G x 1 Gambro Pc 13,290

5 . 11 . 4 . 2 AV. Fistulla 15 G x 1 RTU Pc 13,220

5 . 11 . 4 . 3 AV. Fistulla 16 G x 1 Gambro Pc 12,540

5 . 11 . 4 . 4 AV. Fistulla 16 G x 1 RTU Pc 15,236

5 . 11 . 4 . 5 AV. Fistulla 16 GA x 1,25 Gambro Pc 12,540

5 . 11 . 4 . 6 AV. Fistulla 16 GA x 1,25 RTU Pc 15,236

5 . 11 . 4 . 7 Bloodline Gambro Pc 94,050

5 . 11 . 4 . 8 Bloodline RTU Pc 114,553

5 . 11 . 4 . 9 Dialyzer Gambro Pc 247,038

5 . 11 . 4 . 10 Dialyzer RTU Pc 247,790

5 . 11 . 4 . 11 Micropore (Mikropore) 1" Pc 27,200

5 . 11 . 4 . 12 Mikropore 1" Pc 29,920

5 . 11 . 4 . 13 Part A Gambro Pc 94,050

5 . 11 . 4 . 14 Part A RTU Pc 116,152

5 . 11 . 4 . 15 Part B Gambro Pc 65,835

5 . 11 . 4 . 16 Part B RTU Pc 99,474

5 . 11 . 5 Gas Medis

5 . 11 . 5 . 1 Gas Co2 Botol 258,324

5 . 11 . 5 . 2 Gas N2O (ml) Liter 3,762,000

5 . 11 . 5 . 3 Gas Oksigen Liquid Liter 7,863

5 . 11 . 5 . 4 Gas Oxygen (O2) 1,5 M3 Liter 70

5 . 11 . 5 . 5 Gas Oxygen (O2) 6 M3 Liter 70

5 11 6 Infus

5 . 11 . 6 . 1 1/2 2A Flab 8,208

5 . 11 . 6 . 2 2 A Flab 10,990

5 . 11 . 6 . 3 Albapure 20% 50 ml Flab 424,764

5 . 11 . 6 . 4 Albumin 25% 100 ml Flab 855,029

5 . 11 . 6 . 5 Aminofluid 1000 Flab 182,420

5 . 11 . 6 . 6 Aminofluid 500 ml Flab 74,089

5 . 11 . 6 . 7 Aminofusin Hepar Flab 100,890

5 . 11 . 6 . 8 Aminofusin Ped Flab 88,550

142

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 6 . 9 Aminoleban Flab 81,054

5 . 11 . 6 . 10 Aminovel 600 Flab 78,920

5 . 11 . 6 . 11 Amiparen Flab 55,090

5 . 11 . 6 . 12 Aqua P.I 1 Lt Flab 19,186

5 . 11 . 6 . 13 Aqua P.I 25 ml Flab 3,135

5 . 11 . 6 . 14 Asering (RA) Flab 10,574

5 . 11 . 6 . 15 Ciprofloxacin Inf IV Flab 11,976

5 . 11 . 6 . 16 Civell infus Flab 5,586

5 . 11 . 6 . 17 Eas Pfrimmer Flab 60,420

5 . 11 . 6 . 18 Farmadol infus Flab 67,591

5 . 11 . 6 . 19 Fimahes Flab 135,432

5 . 11 . 6 . 20 Fluconazol infus Flab 53,686

5 . 11 . 6 . 21 Gelofusine 500 cc Flab 100,662

5 . 11 . 6 . 22 Glucosa 10% (D10%) Flab 8,550

5 . 11 . 6 . 23 Glucosa 10% 500 ml OGB Flab 8,550

5 . 11 . 6 . 24 Glucosa 40 % (D40%) Flab 3,648

5 . 11 . 6 . 25 Glucosa 5% + NaCl 0,225 (4 : 1) Flab 8,778

5 . 11 . 6 . 26 Glucosa 5% 100 ml Flab 13,794

5 . 11 . 6 . 27 Glucosa 5% 500 ml (D5%) Flab 6,057

5 . 11 . 6 . 28 Glucosa 5% 500 ml OGB Flab 7,866

5 . 11 . 6 . 29 Haes Steril 6% Flab 58,311

5 . 11 . 6 . 30 Hemo Haes 6% Flab 59,280

5 . 11 . 6 . 31 Ivelip 20% 100 ml Flab 174,306

5 . 11 . 6 . 32 Ka-en 1B 500 ml Flab 10,260

5 . 11 . 6 . 33 Ka-en 3B 500 ml Flab 11,400

5 . 11 . 6 . 34 Ka-en Mg3 1000 ml Flab 19,040

5 . 11 . 6 . 35 Ka-en Mg3 500 ml Flab 19,476

5 . 11 . 6 . 36 Ka-en Mg3 500 ml 19,650

5 . 11 . 6 . 37 Kalbamin 500 ml Flab 65,550

5 . 11 . 6 . 38 Kidmin Flab 52,440

5 . 11 . 6 . 39 KN-3B SOL/KK Flab 17,160

5 . 11 . 6 . 40 Levofloxacin infus Flab 45,600

5 . 11 . 6 . 41 Manitol Flab 70,680

5 . 11 . 6 . 42 Martos 500 ml Flab 44,745

5 . 11 . 6 . 43 Martos jumbo Flab 45,710

5 . 11 . 6 . 44 Mersitropil 12 gr ( infus ) Flab 158,004

5 . 11 . 6 . 45 Mersitropril inf Flab 159,390

5 . 11 . 6 . 46 Metronidasol inf Flab 11,346

5 . 11 . 6 . 47 Meylon 8,4% Flab 7,068

5 . 11 . 6 . 48 MgSo4 20 % Flab 3,192

5 . 11 . 6 . 49 MgSo4 40% Flab 4,218

5 . 11 . 6 . 50 Nacl 0,9% 500 ml OGB Flab 7,307

5 . 11 . 6 . 51 Nacl 0.9% 1000 ml Flab 14,364

5 . 11 . 6 . 52 Nacl 0.9% 1000 ml OGB Flab 14,364

5 . 11 . 6 . 53 Nacl 0.9% 500 ml OGB Flab 7,307

Nacl 0.3% 500 ml Flab 23,199

5 . 11 . 6 . 54 NaCl 3% Flab 23,199

5 . 11 . 6 . 55 Neprosteril infus Flab 88,550

5 . 11 . 6 . 56 Novamet inf 100 ml Flab 18,090

5 . 11 . 6 . 57 Otsu KCl 7,46 % Flab 3,533

5 . 11 . 6 . 58 Pan-amin G 500 ml Flab 33,600

5 . 11 . 6 . 59 Plasbumin 20% 100 ml Flab 1,738,929

5 . 11 . 6 . 60 Plasbumin 20% 50 ml Flab 471,960

5 . 11 . 6 . 61 Ring As.infus Flab 14,713

5 . 11 . 6 . 62 Ringer Asetate Flab 19,230

5 . 11 . 6 . 63 Ringer Fundin Flab 12,540

5 . 11 . 6 . 64 Ringer Lactat 1000 ml Flab 7,080

5 . 11 . 6 . 65 Ringer Lactat 500 ml Flab 9,706

5 . 11 . 6 . 66 Ringer Lactat 500 ml OGB Flab 8,151

5 . 11 . 6 . 67 Starquin 100 ml Flab 30,723

5 . 11 . 6 . 68 Tetraspan infus Flab 235,877

5 . 11 . 6 . 69 Triofusin 500 ml Flab 48,279

5 . 11 . 6 . 70 Tutofusin Ops Flab 44,831

5 . 11 . 6 . 71 Voluven 500 ml Flab 37,620

5 . 11 . 6 . 72 Voluven Askes 500 ml Flab 63,954

5 . 11 . 6 . 73 Zenalb 20% 100 ml Flab 974,700

5 . 11 . 6 . 74 Zenalb 20% 50 ml Flab 471,960

5 . 11 . 7 . Injeksi

5 . 11 . 7 . 1 ABU Vial 525,740

5 . 11 . 7 . 2 Acran inj Ampul 21,865

5 . 11 . 7 . 3 Actrapid Novolet Ampul 47,463

5 . 11 . 7 . 4 Adona inj 10 ml Ampul 250,800

5 . 11 . 7 . 5 Aerrane 250 ml/Isoflurane ml 7,090

143

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 7 . 6 Aethoxyschlerol inj Ampul 67,520

5 . 11 . 7 . 7 Agrippal Ampul 153,070

5 . 11 . 7 . 8 Alinamin F inj Ampul 15,305

5 . 11 . 7 . 9 Amikasin inj 500 mg Ampul 132,422

5 . 11 . 7 . 10 Aminophillin Inj 2,4 % Ampul 6,701

5 . 11 . 7 . 11 Amobiotic Vial 22,140

5 . 11 . 7 . 12 Amoxan 1 gr inj Vial 24,022

5 . 11 . 7 . 13 Amoxicillin inj Vial 9,234

5 . 11 . 7 . 14 Ampicillin 1 gr Inj Vial 7,336

5 . 11 . 7 . 15 Anesject 100 mg/ml 10 ml Vial 165,870

5 . 11 . 7 . 16 Antalgin inj Vial 650

5 . 11 . 7 . 17 Asam Traneksamat Inj 250 mg Ampul 3,923

5 . 11 . 7 . 18 Asam Traneksamat Inj 500 mg Ampul 4,899

5 . 11 . 7 . 19 ATS 1500 IU Ampul 140,605

5 . 11 . 7 . 20 Benzatin Penisillin 2,4 Vial 13,406

5 . 11 . 7 . 21 Biocef Vial 123,290

5 . 11 . 7 . 22 Bisolvon inj Ampul 23,707

5 . 11 . 7 . 23 Bledstop inj Ampul 7,440

5 . 11 . 7 . 24 Brainact inj Ampul 40,990

5 . 11 . 7 . 25 Bucain Spinal Ampul 313,500

5 . 11 . 7 . 26 Buscopan 20 mg Inj Ampul 26,534

5 . 11 . 7 . 27 Buvanest Ampul 69,580

5 . 11 . 7 . 28 Ca Gluconas Ampul 8,892

5 . 11 . 7 . 29 Catapres inj Ampul 34,884

5 . 11 . 7 . 30 Cealb 100cc fls 1,003,338

5 . 11 . 7 . 31 Cealb 50cc fls 471,905

5 . 11 . 7 . 32 Cedantron 4 mg inj Ampul 128,379

5 . 11 . 7 . 33 Cedatop inj 200 mg Ampul 17,400

5 . 11 . 7 . 34 Cedocard inj Ampul 46,170

5 . 11 . 7 . 35 Cefazol 1 g inj Ampul 27,530

5 . 11 . 7 . 36 Cefazolin inj Ampul 26,150

5 . 11 . 7 . 37 Cefoperazone inj 1 gr Ampul 42,761

5 . 11 . 7 . 38 Cefoperazone Sulbactam Ampul 75,240

5 . 11 . 7 . 39 Cefotaxime Inj 1gr Vial 19,437

5 . 11 . 7 . 40 Cefpirome inj 1 gr Vial 92,799

5 . 11 . 7 . 41 Ceftazidim inj Vial 19,448

5 . 11 . 7 . 42 Ceftriaxon 1000 Mg Vial 10,581

5 . 11 . 7 . 43 Chlorbiotic inj 1 gr Vial 10,260

5 . 11 . 7 . 44 Citicolin 250 inj Ampul 6,584

5 . 11 . 7 . 45 Clanexy Inj Ampul 98,225

5 . 11 . 7 . 46 Colsancetin inj Vial 10,433

5 . 11 . 7 . 47 Cordaron inj Ampul 14,227

5 . 11 . 7 . 48 Corsona inj Ampul 2,510

5 . 11 . 7 . 49 CPZ inj Ampul 320

5 . 11 . 7 . 50 Decain inj Ampul 61,822

5 . 11 . 7 . 51 Dexa M Inj 4 mg Ampul 1,670

5 . 11 . 7 . 52 Dexametason inj Ampul 1,801

5 . 11 . 7 . 53 Diazepam inj Ampul 2,730

5 . 11 . 7 . 54 Dicynone 250 mg inj Ampul 219,450

5 . 11 . 7 . 55 Difenhydramin inj Ampul 1,197

5 . 11 . 7 . 56 Diflucan inj Ampul 163,820

5 . 11 . 7 . 57 Diprivan inj Ampul 646,877

5 . 11 . 7 . 58 Dobuject Ampul 159,190

5 . 11 . 7 . 59 Dofacef Inj Ampul 57,475

5 . 11 . 7 . 60 Dolgesik inj Ampul 3,340

5 . 11 . 7 . 61 Dolsic Inj 50 mg Ampul 18,410

5 . 11 . 7 . 62 Dopamin Ampul 413,005

5 . 11 . 7 . 63 Dormicum inj 5 mg Ampul 6,976

5 . 11 . 7 . 64 Duvadilan Inj Ampul 32,395

5 . 11 . 7 . 65 Ecron Inj Ampul 71,949

5 . 11 . 7 . 66 Elpicef Ampul 221,206

5 . 11 . 7 . 67 Ephedrin inj Ampul 59,565

5 . 11 . 7 . 68 Epineprin inj Ampul 9,234

5 . 11 . 7 . 69 Ethigen inj Ampul 14,817

5 . 11 . 7 . 70 Extrace inj Ampul 43,890

5 . 11 . 7 . 71 Farbion inj Ampul 29,361

5 . 11 . 7 . 72 Farelax inj Ampul 399,399

5 . 11 . 7 . 73 Farsix inj Ampul 6,330

5 . 11 . 7 . 74 Fentanyl 0,05mg Ampul 38,662

5 . 11 . 7 . 75 Flamicort inj 40 mg Vial 97,310

5 . 11 . 7 . 76 Fortanest inj Ampul 6,384

5 . 11 . 7 . 77 Fortanest inj 15 ml Ampul 6,384

5 . 11 . 7 . 78 Fosmicin 1 gr Ampul 104,110

144

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 7 . 79 Fosmicin 2 gr Ampul 173,180

5 . 11 . 7 . 80 Fresopol 1% inj Ampul 18,509

5 . 11 . 7 . 81 Furosemide inj Ampul 2,085

5 . 11 . 7 . 82 Gastrofer inj Ampul 117,300

5 . 11 . 7 . 83 Gentamicin 40 mg inj Ampul 3,876

5 . 11 . 7 . 84 Gentamicin 80 mg inj Ampul 3,876

5 . 11 . 7 . 85 Granon inj Ampul 60,090

5 . 11 . 7 . 86 Hemapo inj 3000 Ampul 145,920

5 . 11 . 7 . 87 Heparin Ampul 45,540

5 . 11 . 7 . 88 Herbesser inj Ampul 145,540

5 . 11 . 7 . 89 Hestar Inj 6% Ampul 137,990

5 . 11 . 7 . 90 Hipnoz 5 Mg/5 ml Ampul 88,470

5 . 11 . 7 . 91 Hipnoz inj 15 ml Ampul 198,634

5 . 11 . 7 . 92 Humalog Mix Cart 100 Ampul 117,409

5 . 11 . 7 . 93 Humulin 30/70 cat 100 IU Ampul 507,300

5 . 11 . 7 . 94 Humulin N Ampul 151,960

5 . 11 . 7 . 95 Humulin N Catric Ampul 151,960

5 . 11 . 7 . 96 Humulin R Catric Ampul 507,300

5 . 11 . 7 . 97 Hyoscine inj Ampul 10,032

5 . 11 . 7 . 98 Hypobac inj 100 Ampul 156,177

5 . 11 . 7 . 99 Imfugan inj Ampul 10,250

5 . 11 . 7 . 100 Impugan inj Ampul 9,370

5 . 11 . 7 . 101 Incetron Ampul 20,240

5 . 11 . 7 . 102 Induxin 1 ml Ampul 25,080

5 . 11 . 7 . 103 Inodex Inj 5% 5 ml Ampul 188,100

5 . 11 . 7 . 104 Insetron inj Ampul 13,920

5 . 11 . 7 . 105 Insulatard Novolet inj Ampul 104,370

5 . 11 . 7 . 106 Inthesa Inj Ampul 8,860

5 . 11 . 7 . 107 Inviclot inj Vial 75,240

5 . 11 . 7 . 108 Iopamiro 300 mg Vial 226,860

5 . 11 . 7 . 109 Isoflurane inj ml 12,580

5 . 11 . 7 . 110 Isoket inj Ampul 752,400

5 . 11 . 7 . 111 Isorbide inj Ampul 601,920

5 . 11 . 7 . 112 Kalmethasone 4 mg Ampul 2,530

5 . 11 . 7 . 113 Kalmethasone inj Ampul 3,170

5 . 11 . 7 . 114 Kalmoxillin Ampul 19,610

5 . 11 . 7 . 115 Kalnex 250 mg inj Ampul 14,296

5 . 11 . 7 . 116 Kalnex 500 mg inj Ampul 13,290

5 . 11 . 7 . 117 Kaltrofen inj Ampul 25,240

5 . 11 . 7 . 118 Kedacillin Ampul 34,780

5 . 11 . 7 . 119 Kenacort A 40 ml Vial 106,260

5 . 11 . 7 . 120 Kenacort A inj 50 ml Vial 143,680

5 . 11 . 7 . 121 Ketalar inj ml 330,160

5 . 11 . 7 . 122 Ketopain 30 mg inj Ampul 213,964

5 . 11 . 7 . 123 Ketoprofen Ampul 8,860

5 . 11 . 7 . 124 Ketorolac inj 30 mg Ampul 2,622

5 . 11 . 7 . 125 Kliran inj 4 mg Ampul 142,956

5 . 11 . 7 . 126 Kliran inj 8 mg Ampul 34,790

5 . 11 . 7 . 127 Kutoin inj Ampul 937,365

5 . 11 . 7 . 128 Lactor 30 Mg Inj Ampul 182,318

5 . 11 . 7 . 129 Lancef inj Ampul 13,030

5 . 11 . 7 . 130 Lancolin 250 mg Inj Ampul 34,160

5 . 11 . 7 . 131 Lancolin 500 mg Inj Ampul 67,050

5 . 11 . 7 . 132 Lantus Solostar Ampul 96,900

5 . 11 . 7 . 133 Lasix inj Ampul 67,490

5 . 11 . 7 . 134 Latrol inj 30 mg Ampul 45,600

5 . 11 . 7 . 135 Levemir Flex Pen Ampul 96,900

5 . 11 . 7 . 136 Lidocain 2 % Ampul 956

5 . 11 . 7 . 137 Lidodex Inj Ampul 65,522

5 . 11 . 7 . 138 Lovenox 40 mg Inj Ampul 96,900

5 . 11 . 7 . 139 Lovenox 60 mg Inj Ampul 133,950

5 . 11 . 7 . 140 Marcain 0,5% Hvy Ampul 84,150

5 . 11 . 7 . 141 Marcain 0,5% PDF 20 ml Ampul 78,090

5 . 11 . 7 . 142 Mecobalamin inj 500 mg Ampul 9,029

5 . 11 . 7 . 143 Meropenem Inj Vial 61,571

5 . 11 . 7 . 144 Meropex inj Vial 458,651

5 . 11 . 7 . 145 Mersibion INJ 5000 Ampul 5,570

5 . 11 . 7 . 146 Mersitropril 3 gr Inj Ampul 158,004

5 . 11 . 7 . 147 Methergin inj Ampul 3,990

5 . 11 . 7 . 148 Methycobal inj 500 Ampul 33,645

5 . 11 . 7 . 149 Methyl Prednisolon inj Vial 19,124

5 . 11 . 7 . 150 Meticobal Ampul 33,645

5 . 11 . 7 . 151 Metolon inj Ampul 3,800

145

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 7 . 152 MILOZ 5 Ampul 6,976

5 . 11 . 7 . 153 Mixtard 30 Novelet/novomix -30 Ampul 125,400

5 . 11 . 7 . 154 Morfin Ampul 11,912

5 . 11 . 7 . 155 Myomergin Ampul 50,787

5 . 11 . 7 . 156 Narfoz Inj 4 mg Ampul 27,830

5 . 11 . 7 . 157 Narfoz Inj 8 mg Ampul 50,600

5 . 11 . 7 . 158 Naropin 7.5 mg inj Ampul 122,552

5 . 11 . 7 . 159 Nefrofer 5 ml Inj Ampul 456,000

5 . 11 . 7 . 160 Neostigmine Inj Ampul 10,830

5 . 11 . 7 . 161 Neurosanbe Inj Ampul 2,425

5 . 11 . 7 . 162 Neurotam 3 gr Ampul 55,030

5 . 11 . 7 . 163 Nevrovel inj Ampul 109,930

5 . 11 . 7 . 164 Nexium Ampul 205,907

5 . 11 . 7 . 165 Nicolin 100 mg Ampul 23,410

5 . 11 . 7 . 166 Nicolin 250 mg Ampul 41,530

5 . 11 . 7 . 167 Nislev inj Ampul 230,230

5 . 11 . 7 . 168 Nitrocine Ampul 82,230

5 . 11 . 7 . 169 Nokoba Inj Ampul 70,219

5 . 11 . 7 . 170 Notrixum Inj 2,5 Ampul 245,784

5 . 11 . 7 . 171 Notrixum Inj 5 Ampul 399,399

5 . 11 . 7 . 172 Noveron inj Vial 1,324,224

5 . 11 . 7 . 173 Novorapid Ampul 99,180

5 . 11 . 7 . 174 Omeprazol inj Vial 41,040

5 . 11 . 7 . 175 Omnipaque 300 mg Vial 2,884,200

5 . 11 . 7 . 176 OMZ inj Vial 416,955

5 . 11 . 7 . 177 Ondansetron 4 mg Inj Ampul 2,736

5 . 11 . 7 . 178 Ondavel inj Ampul 135,181

5 . 11 . 7 . 179 Otsu Water Inj 25 ml Ampul 3,135

5 . 11 . 7 . 180 Ozid inj Vial 39,809

5 . 11 . 7 . 181 Pantoprazole Inj Vial 57,180

5 . 11 . 7 . 182 Pantozole inj Ampul 162,977

5 . 11 . 7 . 183 Papaverin inj Ampul 65,333

5 . 11 . 7 . 184 Pehacain Ampul 3,371

5 . 11 . 7 . 185 Pentothal 0,5 gr Ampul 85,840

5 . 11 . 7 . 186 Pentoxifillin inj Ampul 20,130

5 . 11 . 7 . 187 Perdipine Inj 10 ml Ampul 153,900

5 . 11 . 7 . 188 Perdipine Inj 2 ml Ampul 153,900

5 . 11 . 7 . 189 Pethidin Ampul 16,530

5 . 11 . 7 . 190 Phadilon Inj 500 mg Ampul 48,840

5 . 11 . 7 . 191 Phaminov Inj Ampul 5,190

5 . 11 . 7 . 192 Phytomenadion inj Ampul 3,895

5 . 11 . 7 . 193 Picyn inj 1.5 gr Vial 79,973

5 . 11 . 7 . 194 Piracetam 1 gr Ampul 2,964

5 . 11 . 7 . 195 Piracetam 3 gr Ampul 6,910

5 . 11 . 7 . 196 Piralen inj Ampul 7,148

5 . 11 . 7 . 197 Pitogen Ampul 60,317

5 . 11 . 7 . 198 Pospargin inj Ampul 17,100

5 . 11 . 7 . 199 PPD2 inj Vial 78,054

5 . 11 . 7 . 200 Primperan inj Vial 67,716

5 . 11 . 7 . 201 Procain Penicillin Vial 19,061

5 . 11 . 7 . 202 Proinfark inj Ampul 170,744

5 . 11 . 7 . 203 Propofol Lipuro 1% Ampul 71,894

5 . 11 . 7 . 204 Prostigmin inj Ampul 20,708

5 . 11 . 7 . 205 Quelicin Chloride Ampul 150,224

5 . 11 . 7 . 206 Ranitidin inj Ampul 1,321

5 . 11 . 7 . 207 Rantin Ampul 15,190

5 . 11 . 7 . 208 Recodryl inj Vial 5,060

5 . 11 . 7 . 209 Recormon PFS 2000 IU Inj Ampul 159,030

5 . 11 . 7 . 210 Renatac inj Ampul 22,121

5 . 11 . 7 . 211 Reotal inj Ampul 37,770

5 . 11 . 7 . 212 Ronex inj 250 Ampul 8,860

5 . 11 . 7 . 213 Santocyn inj Vial 109,064

5 . 11 . 7 . 214 Scandonest Ampul 9,793

5 . 11 . 7 . 215 Scopamin inj Ampul 7,590

5 . 11 . 7 . 216 Sevoflurane 250 ml( Baxter ) Kalbe ml 11,640

5 . 11 . 7 . 217 Sharox inj 750 mg Ampul 73,359

5 . 11 . 7 . 218 Sibital inj Ampul 11,286

5 . 11 . 7 . 219 Socef 1 gr Ampul 201,738

5 . 11 . 7 . 220 Sodime 1 gr inj Ampul 213,964

5 . 11 . 7 . 221 Sohobion Inj Ampul 6,270

5 . 11 . 7 . 222 Sojourn inj ml 6,019

5 . 11 . 7 . 223 Somerol inj Vial 85,586

5 . 11 . 7 . 224 Sotatic Inj Ampul 3,190

146

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 7 . 225 Stesolid 2 ml inj Ampul 13,042

5 . 11 . 7 . 226 Stomacer Ampul 111,320

5 . 11 . 7 . 227 Streptomicin inj Vial 7,900

5 . 11 . 7 . 228 Succinyl Siccum Vial 19,130

5 . 11 . 7 . 229 Sulfas Atropin inj Ampul 2,280

5 . 11 . 7 . 230 Syntocinon inj Ampul 15,227

5 . 11 . 7 . 231 Taxegram Vial 149,866

5 . 11 . 7 . 232 Tetagam inj Ampul 225,720

5 . 11 . 7 . 233 Timact Ampul 10,120

5 . 11 . 7 . 234 Timelon inj Vial 73,370

5 . 11 . 7 . 235 Tobryn Ampul 75,900

5 . 11 . 7 . 236 Toradol 10 mg Ampul 35,300

5 . 11 . 7 . 237 Toradol 30 mg Ampul 52,160

5 . 11 . 7 . 238 Toramin 30 mg Ampul 25,300

5 . 11 . 7 . 239 Tradosik 50 mg Vial 14,050

5 . 11 . 7 . 240 Tramadol inj Ampul 4,011

5 . 11 . 7 . 241 Tramal inj 100 mg Ampul 188,225

5 . 11 . 7 . 242 Tramal inj 50 mg Ampul 119,904

5 . 11 . 7 . 243 Transamin inj 250 Ampul 3,450

5 . 11 . 7 . 244 Transamin inj 500 Ampul 5,060

5 . 11 . 7 . 245 Trilac inj 40 mg Vial 103,229

5 . 11 . 7 . 246 Trolac inj 30 mg Ampul 148,913

5 . 11 . 7 . 247 Ulceranin Ampul 7,660

5 . 11 . 7 . 248 Ulcumet Ampul 6,960

5 . 11 . 7 . 249 Ulsikur inj Ampul 4,430

5 . 11 . 7 . 250 Vaksin HBU 0.5 ml Vial 57,560

5 . 11 . 7 . 251 Vaksin Polio Vial 35,490

5 . 11 . 7 . 252 Valium inj 10 mg Ampul 150,903

5 . 11 . 7 . 253 Vancef inj Ampul 139,069

5 . 11 . 7 . 254 Vascon inj Ampul 104,458

5 . 11 . 7 . 255 Viccilin 1 gr Vial 12,150

5 . 11 . 7 . 256 Viccilin 1,5 gr Ampul 92,545

5 . 11 . 7 . 257 Vit K inj Ampul 8,935

5 . 11 . 7 . 258 Vitamin B12 inj Ampul 590

5 . 11 . 7 . 259 Vitamin K3 inj Ampul 1,970

5 . 11 . 7 . 260 Vometron Inj 4 mg/2 mL Ampul 131,043

5 . 11 . 7 . 261 Wiacid inj Ampul 18,980

5 . 11 . 7 . 262 Xevolax Ampul 61,140

5 . 11 . 7 . 263 Xilon inj Vial 89,348

5 . 11 . 8 Kapsul

5 . 11 . 8 . 1 Alpentin 300 mg cap 5,035

5 . 11 . 8 . 2 Amoxan 500 mg cap 3,503

5 . 11 . 8 . 3 Biosanbe cap cap 1,044

5 . 11 . 8 . 4 Cefadroxil 500 mg cap 690

5 . 11 . 8 . 5 Chloramphenicol 250 mg cap 303

5 . 11 . 8 . 6 Clindamicin 300 mg cap 630

5 . 11 . 8 . 7 Codipron cap cap 10,885

5 . 11 . 8 . 8 Codipron Cum cap cap 10,885

5 . 11 . 8 . 9 Dalfarol 200 mg cap 2,780

5 . 11 . 8 . 10 Dalfarol 400 mg cap 4,190

5 . 11 . 8 . 11 Dialac Powder cap 3,812

5 . 11 . 8 . 12 Doxyciclin 100 mg cap 308

5 . 11 . 8 . 13 Eritromicin 250 mg Tab cap 390

5 . 11 . 8 . 14 Excelase-E 320 mg cap 2,400

5 . 11 . 8 . 15 Fenitoin cap cap 74

5 . 11 . 8 . 16 Fenitoin Inj cap 23,085

5 . 11 . 8 . 17 Fetinor 300 mg cap 3,177

5 . 11 . 8 . 18 Fitbon caps cap 1,630

5 . 11 . 8 . 19 Fucobac cap 9,050

5 . 11 . 8 . 20 Hepamax cap. cap 8,935

5 . 11 . 8 . 21 Hydrea Caps cap 11,000

5 . 11 . 8 . 22 Kolkatriol 0,25 mg cap 7,126

5 . 11 . 8 . 23 Kolkatriol Forte 0,5 cap 11,913

5 . 11 . 8 . 24 KSR cap cap 1,801

5 . 11 . 8 . 25 Lapibal 500 mg cap 6,949

5 . 11 . 8 . 26 Lesichol Soft Kapsul cap 16,478

5 . 11 . 8 . 27 Lincomycin 500 mg cap 37,050

5 . 11 . 8 . 28 Lonene 200 mg cap 468,050

5 . 11 . 8 . 29 Loprezol cap cap 1,040

5 . 11 . 8 . 30 Nulacta Licaps cap 4,527

5 . 11 . 8 . 31 Nutriflam 100 mg cap 15,725

5 . 11 . 8 . 32 Prolanz cap cap 1,130

5 . 11 . 8 . 33 Salbutamol 2 mg cap 96

147

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 8 . 34 Salbutamol 4 mg cap 111

5 . 11 . 8 . 35 Tetracyclin tab 500 mg cap 330

5 . 11 . 8 . 36 Thiamfenicol 500 mg cap 702

5 . 11 . 8 . 37 Tramadol 50 mg cap 339

5 . 11 . 8 . 38 Tramal 50 mg cap 5,950

5 . 11 . 8 . 39 Urinter Kapsul cap 11,569

5 . 11 . 9 Syrup

5 . 11 . 9 . 1 Afibramol syr Fls 2,950

5 . 11 . 9 . 2 Ambroxol sy Fls 3,476

5 . 11 . 9 . 3 Amoxan sy Fls 24,022

5 . 11 . 9 . 4 Amoxicillin syr Fls 4,112

5 . 11 . 9 . 5 Antasida Doen Suspensi 60ml Fls 4,389

5 . 11 . 9 . 6 Apialys drop Fls 35,739

5 . 11 . 9 . 7 Apialys syr Fls 29,783

5 . 11 . 9 . 8 Atmacid syr Fls 3,280

5 . 11 . 9 . 9 Bisolvon drop Fls 62,750

5 . 11 . 9 . 10 Bisolvon elixir syr Fls 24,603

5 . 11 . 9 . 11 Calcidin sy Fls 12,650

5 . 11 . 9 . 12 Cefadroxil 125 mg Sy Fls 8,218

5 . 11 . 9 . 13 cefat syr Fls 46,050

5 . 11 . 9 . 14 Cefixime sy Fls 24,829

5 . 11 . 9 . 15 Ceftirizin syr Fls 11,902

5 . 11 . 9 . 16 Celestamin sy 30 ml Fls 32,154

5 . 11 . 9 . 17 Celestamin sy 60 ml Fls 44,150

5 . 11 . 9 . 18 Cetirizine Syr Fls 11,000

5 . 11 . 9 . 19 Chloramphenicol sy Fls 9,119

5 . 11 . 9 . 20 Clanexy sy Fls 7,628

5 . 11 . 9 . 21 Claritin sy 30 ml Fls 37,180

5 . 11 . 9 . 22 Claritin sy 60 ml Fls 36,855

5 . 11 . 9 . 23 Colsancetin 60ml sy Fls 11,030

5 . 11 . 9 . 24 Comtusi syr 60 ml Fls 10,108

5 . 11 . 9 . 25 Cotrimoxazole syr Fls 35,237

5 . 11 . 9 . 26 Curvit Cl sy Fls 6,019

5 . 11 . 9 . 27 Curvit sy Fls 56,430

5 . 11 . 9 . 28 Depakene 250ml Syr Fls 26,898

5 . 11 . 9 . 29 Dexanta SYR Fls 145,759

5 . 11 . 9 . 30 Dexophan sy 60 ml Fls 6,270

5 . 11 . 9 . 31 Dextromethorphan 60 ml syr Fls 6,558

5 . 11 . 9 . 32 Dexyclav sy Fls 64,520

5 . 11 . 9 . 33 Elkana sy Fls 95,931

5 . 11 . 9 . 34 Enystin drop Fls 20,299

5 . 11 . 9 . 35 Epexol syr Fls 29,783

5 . 11 . 9 . 36 Eritromicin syr Fls 8,340

5 . 11 . 9 . 37 Erlamycetin syr Fls 3,063

5 . 11 . 9 . 38 Erysanbe Syr Fls 1,410

5 . 11 . 9 . 39 Ethicef forte syr Fls 1,625

5 . 11 . 9 . 40 Ethicef syr Fls 43,010

5 . 11 . 9 . 41 Farmacrol Forte Susp Fls 44,280

5 . 11 . 9 . 42 Farmacrol sy Fls 43,012

5 . 11 . 9 . 43 Ferlin drop Fls 30,974

5 . 11 . 9 . 44 Flagyl sy Fls 54,538

5 . 11 . 9 . 45 Ibuprofen susp 60 ml Fls 3,989

5 . 11 . 9 . 46 Im Boost Sy Fls 34,485

5 . 11 . 9 . 47 imunos syr Fls 65,522

5 . 11 . 9 . 48 Inpepsa sy Fls 58,988

5 . 11 . 9 . 49 Kandistatin Drops 12 ML Fls 34,799

5 . 11 . 9 . 50 Lactulax syr Fls 49,658

5 . 11 . 9 . 51 Laxadilac syr Fls 37,244

5 . 11 . 9 . 52 Laxadine Syr Fls 14,193

5 . 11 . 9 . 53 Lyteers Fls 20,175

5 . 11 . 9 . 54 Mersitropil sy Fls 52,575

5 . 11 . 9 . 55 Metolon syrup Fls

5 . 11 . 9 . 56 Metronidazol syr Fls 11,346

5 . 11 . 9 . 57 Mucogard syr Fls 27,360

5 . 11 . 9 . 58 Nifudiar Fls 41,696

5 . 11 . 9 . 59 Nifural sy Fls 58,910

5 . 11 . 9 . 60 OBH 100 ml Fls 4,690

5 . 11 . 9 . 61 OBH 200 ml Fls 3,192

5 . 11 . 9 . 62 Oralit 200 Fls 451

5 . 11 . 9 . 63 Paracetamol Syrup Fls 2,358

5 . 11 . 9 . 64 Paratusin sy Fls 20,393

5 . 11 . 9 . 65 Piralen Sy Fls 3,740

5 . 11 . 9 . 66 Pondex sy Fls 9,640

148

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 9 . 67 Primadex sy Fls 3,648

5 . 11 . 9 . 68 Promuba suspensi Fls 43,483

5 . 11 . 9 . 69 Proris sy Fls 22,635

5 . 11 . 9 . 70 Pyralen Sy Fls 2,800

5 . 11 . 9 . 71 Rhinofed syr Fls 26,570

5 . 11 . 9 . 72 San-B-Plex Drop Fls 24,265

5 . 11 . 9 . 73 Sangobion drop Fls 16,390

5 . 11 . 9 . 74 Sanmol drop Fls 16,356

5 . 11 . 9 . 75 Sanmol Sy Fls 12,122

5 . 11 . 9 . 76 Starmuno syr Fls 77,435

5 . 11 . 9 . 77 Tilidon Syr Fls 32,391

5 . 11 . 9 . 78 Tremenza syr Fls 36,680

5 . 11 . 9 . 79 Vomerin 10 ml drop Fls 42,323

5 . 11 . 9 . 80 Vometa Drop Fls 42,323

5 . 11 . 9 . 81 Vomitas sy Fls 41,758

5 . 11 . 9 . 82 Vomitrol 30 ml Sy Fls 6,207

5 . 11 . 9 . 83 Vomitrol drop Fls 18,108

5 . 11 . 9 . 84 Xanvit syr 60 ml Fls 12,227

5 . 11 . 9 . 85 Zinkid syr Fls 26,648

5 . 11 . 9 . 86 Zinkpro syr Fls 36,366

5 . 11 . 10 Tablet

5 . 11 . 10 . 1 Acarbose 100 mg Tab 1,129

5 . 11 . 10 . 2 Actapin 10 mg Tab 1,766

5 . 11 . 10 . 3 Actapin 5 Tab Tab 422

5 . 11 . 10 . 4 Acyclovir 400 mg Tab Tab 456

5 . 11 . 10 . 5 Adalat Oros 30 Mg Tab Tab 3,990

5 . 11 . 10 . 6 Adalat Oros Tab Tab 3,990

5 . 11 . 10 . 7 Adona AC Tab Tab 2,480

5 . 11 . 10 . 8 Adona Forte Tab Tab 3,420

5 . 11 . 10 . 9 ALA 600 Tab 5,800

5 . 11 . 10 . 10 Albendazole 400 Mg Tab Tab 417

5 . 11 . 10 . 11 Aldazide Tab Tab 2,010

5 . 11 . 10 . 12 Alinamin F tab Tab 15,362

5 . 11 . 10 . 13 Allopurinol 100 mg Tab Tab 98

5 . 11 . 10 . 14 Alprazolam 0,5 mg Tab Tab 244

5 . 11 . 10 . 15 Ambroxol 30 mg Tab Tab 143

5 . 11 . 10 . 16 Amdixal 10 mg tab Tab 2,052

5 . 11 . 10 . 17 Amdixal 5 Tab Tab 1,710

5 . 11 . 10 . 18 Amilorid 5 mg Tab Tab 2,070

5 . 11 . 10 . 19 Aminophillin 200 mg Tab Tab 205

5 . 11 . 10 . 20 Aminoral tab Tab 205

5 . 11 . 10 . 21 Amitriptillin tab Tab 128

5 . 11 . 10 . 22 Amlodipin 10 mg Tab 390

5 . 11 . 10 . 23 Amlodipin 5 Mg Tab Tab 547

5 . 11 . 10 . 24 Amoxicillin 500 mg tab Tab 390

5 . 11 . 10 . 25 Analsik Tab Tab 1,379

5 . 11 . 10 . 26 Anemolat tab Tab 210

5 . 11 . 10 . 27 Antalgin 500 mg Tab Tab 201

5 . 11 . 10 . 28 Antasida Doen Tab Tab 185

5 . 11 . 10 . 29 Anxibloc tab Tab 185

5 . 11 . 10 . 30 Asam mefenamat 500 mg Tab Tab 203

5 . 11 . 10 . 31 Asam Traneksamat 500 mg Tab Tab 1,580

5 . 11 . 10 . 32 Asam Tranexsamat 500 mg Tab 1,580

5 . 11 . 10 . 33 Ascardia 80 mg Tab 470

5 . 11 . 10 . 34 Asetosal 500 mg tab Tab 170

5 . 11 . 10 . 35 Aspar Tab 1,620

5 . 11 . 10 . 36 Aspar K Tab 2,470

5 . 11 . 10 . 37 Aspilet 80 mg Tab 169

5 . 11 . 10 . 38 Atmacid Tab 100

5 . 11 . 10 . 39 Atorvastatin 20 mg tab Tab 4,013

5 . 11 . 10 . 40 Aztrin 250 mg Tab 15,800

5 . 11 . 10 . 41 Baquinor Forte tab Tab 14,615

5 . 11 . 10 . 42 Becom -C Tab 1,287

5 . 11 . 10 . 43 Bellamox 500 mg Tab 10,680

5 . 11 . 10 . 44 Betahistin Tab 653

5 . 11 . 10 . 45 Betalan Kaps Tab 14,296

5 . 11 . 10 . 46 Bic Nat Tab 20

5 . 11 . 10 . 47 Binozyt tab 500 mg Tab 1,252

5 . 11 . 10 . 48 Bio ATP Tab 2,551

5 . 11 . 10 . 49 Bioneuron Tab 1,121

5 . 11 . 10 . 50 Biscor 5 Tab 1,938

5 . 11 . 10 . 51 Bisoprolol 5 mg Tab 735

5 . 11 . 10 . 52 Blesifen tab Tab 12,700

149

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 10 . 53 Braxidin Tab 870

5 . 11 . 10 . 54 Bronsolvan tab Tab 1,020

5 . 11 . 10 . 55 Buscopan 10 mg Tab Tab 2,297

5 . 11 . 10 . 56 Buscopan plus Tab Tab 3,308

5 . 11 . 10 . 57 Cal-95 Tab 3,870

5 . 11 . 10 . 58 Calcidin tab Tab 2,830

5 . 11 . 10 . 59 Calcigard Retard 20 mg Tab 1,790

5 . 11 . 10 . 60 Calcii Lactas tab Tab 80

5 . 11 . 10 . 61 Calos Tab 627

5 . 11 . 10 . 62 Capabiotic tab Tab 25,812

5 . 11 . 10 . 63 Captopril 12,5 mg Tab 71

5 . 11 . 10 . 64 Captopril 25 mg Tab 96

5 . 11 . 10 . 65 Carbamazepine Tab 279

5 . 11 . 10 . 66 Cardace Tab 2,5 mg Tab 1,653

5 . 11 . 10 . 67 Cardace Tab 5 mg Tab 2,052

5 . 11 . 10 . 68 Cardioaspirin Tab 1,440

5 . 11 . 10 . 69 Cardismo 10x10 Tab Tab 3,120

5 . 11 . 10 . 70 Carpiaton 100 mg Tab 4,050

5 . 11 . 10 . 71 Carpiaton 25 mg Tab 1,460

5 . 11 . 10 . 72 Cefixime 100 mg Tab 969

5 . 11 . 10 . 73 Cefspan Tab 22,140

5 . 11 . 10 . 74 Celestamin tab Tab 3,064

5 . 11 . 10 . 75 Cellceft 500 mg Tab 27,760

5 . 11 . 10 . 76 Cepezet 100 mg Tab 257

5 . 11 . 10 . 77 Cerini Tab 3,254

5 . 11 . 10 . 78 Chloroquine 150 mg tab Tab 80

5 . 11 . 10 . 79 Chromalux Tab 10,127

5 . 11 . 10 . 80 Cimetidine Tab 131

5 . 11 . 10 . 81 Ciprofloxacin 500 mg Tab Tab 539

5 . 11 . 10 . 82 Citicolin tab 500 mg Tab 5,016

5 . 11 . 10 . 83 Clabat 500Mg Tab Tab 12,180

5 . 11 . 10 . 84 Clanexy tab Tab 11,460

5 . 11 . 10 . 85 Clarinase Tab 3,990

5 . 11 . 10 . 86 Claritin Tab 7,011

5 . 11 . 10 . 87 Clindamicin 150 mg Tab 412

5 . 11 . 10 . 88 Clobazam Tab 1,026

5 . 11 . 10 . 89 Clonidine 0.15 mg Tab 210

5 . 11 . 10 . 90 Clopidogrel tab 75 mg Tab 3,819

5 . 11 . 10 . 91 Co amoxiclav 625 mg tab Tab 5,181

5 . 11 . 10 . 92 Codein HCL 10 mg Tab 1,254

5 . 11 . 10 . 93 Colistin 1.500 UI Tab 6,200

5 . 11 . 10 . 94 Concor 5 mg tab Tab 2,166

5 . 11 . 10 . 95 Cordaron tab Tab 6,710

5 . 11 . 10 . 96 Cotrimoxazole Tab Tab 285

5 . 11 . 10 . 97 CPG 75mg Tab 14,892

5 . 11 . 10 . 98 CTM Tab 16

5 . 11 . 10 . 99 Curcuma tab Tab 807

5 . 11 . 10 . 100 Cytotec Tab 25,205

5 . 11 . 10 . 101 Dalfarol 300 mg Tab 2,752

5 . 11 . 10 . 102 Dehaf Tab 10,280

5 . 11 . 10 . 103 Depakote ER 500 mg Tab 14,071

5 . 11 . 10 . 104 Depakote tab 250 mg Tab 3,386

5 . 11 . 10 . 105 Dexacap 12,5 mg Tab 90

5 . 11 . 10 . 106 Dexametason Tab Tab 105

5 . 11 . 10 . 107 Dextamine tab Tab 1,910

5 . 11 . 10 . 108 Dextromethorphan tab Tab 1,422

5 . 11 . 10 . 109 Dexyclav 500 mg Tab 13,390

5 . 11 . 10 . 110 Diamox Tab 1,330

5 . 11 . 10 . 111 Diaversa 1 mg Tab 553

5 . 11 . 10 . 112 Diaversa 2 mg Tab 570

5 . 11 . 10 . 113 Diazepam 2 mg Tab 130

5 . 11 . 10 . 114 Diazepam 5 mg Tab 40

5 . 11 . 10 . 115 Difloxin Tab 29,783

5 . 11 . 10 . 116 Digoxin 0.25 mg Tab 155

5 . 11 . 10 . 117 Diltiazem 30 mg Tab 169

5 . 11 . 10 . 118 Dimenhydrinate 50 mg Tab 119

5 . 11 . 10 . 119 Dometic Tab 2,910

5 . 11 . 10 . 120 Domperidon tab 10 mg Tab 276

5 . 11 . 10 . 121 Dopamet Tab 1,140

5 . 11 . 10 . 122 Dorner tab Tab 5,350

5 . 11 . 10 . 123 Doxicor 100 mg Tab 5,950

5 . 11 . 10 . 124 Doxycor 50 mg Tab 2,910

5 . 11 . 10 . 125 Dramamine Tab 1,370

150

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 10 . 126 Dulcolax tab Tab 941

5 . 11 . 10 . 127 Dupaston Tab 15,055

5 . 11 . 10 . 128 Duvadilan Tab Tab 5,820

5 . 11 . 10 . 129 Eclid 100 mg Tab 1,825

5 . 11 . 10 . 130 Eclid 50 mg Tab 1,113

5 . 11 . 10 . 131 Elkana tab Tab 710

5 . 11 . 10 . 132 Ephedrin 25 mg Tab 130

5 . 11 . 10 . 133 Ergotamin coffeine 1 mg Tab 120

5 . 11 . 10 . 134 Ergotika 1 mg Tab 2,370

5 . 11 . 10 . 135 Ericaf tab Tab 5,682

5 . 11 . 10 . 136 Eritromicin 500 mg Tab Tab 1,020

5 . 11 . 10 . 137 Erysanbe 200mg Tab 1,410

5 . 11 . 10 . 138 Estazor Tab 8,602

5 . 11 . 10 . 139 Ethambutol 500 mg Tab 514

5 . 11 . 10 . 140 Euthyrox 100 mg Tab 1,753

5 . 11 . 10 . 141 Farbion tab Tab 1,044

5 . 11 . 10 . 142 Farmabex C Tab 1,210

5 . 11 . 10 . 143 Farmacrol F tab Tab 760

5 . 11 . 10 . 144 Farmacrol tab Tab 760

5 . 11 . 10 . 145 Farmadral Tab Tab 220

5 . 11 . 10 . 146 Farmoxyl 500 mg Tab 2,458

5 . 11 . 10 . 147 Farsorbid tab 10 mg Tab 2,166

5 . 11 . 10 . 148 Farsorbid tab 5 mg Tab 250

5 . 11 . 10 . 149 Ferriprox tablet Tab 32,604

5 . 11 . 10 . 150 Ferrous Sulfat Tab 80

5 . 11 . 10 . 151 Fetavita Soft Kapsul Tab 7,590

5 . 11 . 10 . 152 Fitogen Tab 7,947

5 . 11 . 10 . 153 Flamar 50 mg Tab 1,850

5 . 11 . 10 . 154 Flunarizine 5 mg Tab 1,753

5 . 11 . 10 . 155 Folavit Tab 1,019

5 . 11 . 10 . 156 Folic Acid (asam folat) Tab 742

5 . 11 . 10 . 157 Formyco 200 mg Tab 5,120

5 . 11 . 10 . 158 Forres 50 Mg Tab 4,450

5 . 11 . 10 . 159 Frego 5 mg Tab 4,408

5 . 11 . 10 . 160 Frisium Tab 6,195

5 . 11 . 10 . 161 Fungoral tab Tab 3,070

5 . 11 . 10 . 162 Furosemid 40 mg Tab Tab 3,035

5 . 11 . 10 . 163 Gemfibrozil Tab 97

5 . 11 . 10 . 164 Ginkona tab Tab 329

5 . 11 . 10 . 165 Gitas plus Tab 4,176

5 . 11 . 10 . 166 Glaucon Tab 8,900

5 . 11 . 10 . 167 Glibenclamide 5 mg Tab Tab 4,408

5 . 11 . 10 . 168 Glidiab tab Tab 74

5 . 11 . 10 . 169 Gliformin 500 mg Tab 1,197

5 . 11 . 10 . 170 Gliformin 850 mg Tab 168

5 . 11 . 10 . 171 Glimepirid 1 mg Tab 314

5 . 11 . 10 . 172 Glimepirid 2 mg Tab 302

5 . 11 . 10 . 173 Glimepirid 3 mg Tab 497

5 . 11 . 10 . 174 Glimepirid 4 mg Tab 668

5 . 11 . 10 . 175 Gliquidone Tab 490

5 . 11 . 10 . 176 Glucobay 100 mg Tab 1,083

5 . 11 . 10 . 177 Glucobay 50 mg Tab 3,591

5 . 11 . 10 . 178 Glucodex tab Tab 2,223

5 . 11 . 10 . 179 Glucophage500 Tab 353

5 . 11 . 10 . 180 Glucosamine MPL Tab 1,216

5 . 11 . 10 . 181 Glucovance 2.5 mg Tab 1,373

5 . 11 . 10 . 182 Gludepatic Tab 3,544

5 . 11 . 10 . 183 Glurenorm Tab 143

5 . 11 . 10 . 184 Glyseril guaiacolat 100 mg Tab 56

5 . 11 . 10 . 185 Good Life Bio Cal-95 30 s Tab 4,640

5 . 11 . 10 . 186 Good life GCM,Caps. Tab 6,680

5 . 11 . 10 . 187 Good Life Non Acidic Vit. C 500 Tab 1,400

5 . 11 . 10 . 188 Good Life Vit E 400 30 s Tab 2,440

5 . 11 . 10 . 189 Grahabion tab Tab 262

5 . 11 . 10 . 190 Gravynon Tab 4,180

5 . 11 . 10 . 191 Griseofulvin 125 Mg Tab 130

5 . 11 . 10 . 192 Haloperidol 1.5 mg Tab 100

5 . 11 . 10 . 193 Haloperidol 5 mg Tab 140

5 . 11 . 10 . 194 Hemorogard Tab 1,790

5 . 11 . 10 . 195 Hepamerz tab Tab 41,750

5 . 11 . 10 . 196 Heptasan Tab 210

5 . 11 . 10 . 197 Herbesser 100 mg Tab 4,180

5 . 11 . 10 . 198 Herbesser 200 Tab 4,577

151

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 10 . 199 Hexavast 10 mg tab Tab 1,830

5 . 11 . 10 . 200 Hexavast 5 mg tab Tab 980

5 . 11 . 10 . 201 Hipolip 100 mg Tab 3,840

5 . 11 . 10 . 202 Hipolip 300 mg Tab 6,900

5 . 11 . 10 . 203 Histrine Tab 4,050

5 . 11 . 10 . 204 HP Pro Tab 4,990

5 . 11 . 10 . 205 hydrea caps 500 mg Tab 8,730

5 . 11 . 10 . 206 Hydroclortiazide 25 mg Tab 170

5 . 11 . 10 . 207 Hytrin Tab 3,730

5 . 11 . 10 . 208 Hytroz 1 mg Tab 3,363

5 . 11 . 10 . 209 Ibuprofen 200 mg Tab 170

5 . 11 . 10 . 210 Ibuprofen 400 mg Tab 234

5 . 11 . 10 . 211 Im boost Tab 3,362

5 . 11 . 10 . 212 Im boost Force Tab 6,114

5 . 11 . 10 . 213 Imodium Tab 7,473

5 . 11 . 10 . 214 Imunos Tab 6,910

5 . 11 . 10 . 215 Imunvit Plus Tab 6,960

5 . 11 . 10 . 216 Inflammde 0,2 mg 15 ML Tab 251,590

5 . 11 . 10 . 217 Interhistin tab Tab 671

5 . 11 . 10 . 218 Interpril 10 Tab 4,362

5 . 11 . 10 . 219 Intervask 10 mg Tab 9,142

5 . 11 . 10 . 220 Intervask 5 Mg Tab 5,079

5 . 11 . 10 . 221 Interzol Tab 5,570

5 . 11 . 10 . 222 Intunal Tab 840

5 . 11 . 10 . 223 Intunal Forte tab Tab 840

5 . 11 . 10 . 224 Irbesartan Tab Tab 3,791

5 . 11 . 10 . 225 Irbesartan Tab 300mg Tab 2,816

5 . 11 . 10 . 226 Isoket Tab Tab 2,816

5 . 11 . 10 . 227 Isoniazide 300 mg (INH) Tab 228

5 . 11 . 10 . 228 Isosorbide Dinitrat 5 mg Tab 100

5 . 11 . 10 . 229 Ixor 150 mg Tab 2,166

5 . 11 . 10 . 230 Kalbiotic 500 mg Tab 2,790

5 . 11 . 10 . 231 Kalitake Tab 14,479

5 . 11 . 10 . 232 Kalmeco 250 mg Tab 1,190

5 . 11 . 10 . 233 Kalmeco 500 mg Tab 2,214

5 . 11 . 10 . 234 Kalnex 500 mg Tab 3,097

5 . 11 . 10 . 235 Kaltrofen 50 mg Tab 602

5 . 11 . 10 . 236 Kaltrofen OD Tab 2,979

5 . 11 . 10 . 237 Kalxetin 10 mg Tab 4,070

5 . 11 . 10 . 238 Kanamycin tab 250 mg Tab 1,610

5 . 11 . 10 . 239 Kassa tampon Silver Tab 300

5 . 11 . 10 . 240 Ketoconazole 200 mg Tab Tab 388

5 . 11 . 10 . 241 Kutoin cap Tab 1,442

5 . 11 . 10 . 242 Lacbon Tab 910

5 . 11 . 10 . 243 Lacto B Tab 5,070

5 . 11 . 10 . 244 Lameson tab Tab 3,340

5 . 11 . 10 . 245 Lanavision Tab 3,620

5 . 11 . 10 . 246 Lancolin 500 mg Tab Tab 11,620

5 . 11 . 10 . 247 Lanodil tab Tab 140

5 . 11 . 10 . 248 Lanpracide Tab Tab 12,747

5 . 11 . 10 . 249 Lansoprazole Tab 1,072

5 . 11 . 10 . 250 Lanturol 200 Tab 627

5 . 11 . 10 . 251 Lanturol 400 Tab 4,330

5 . 11 . 10 . 252 Lapistan 500mg Blist Tab 1,120

5 . 11 . 10 . 253 Lazafin tab Tab 953

5 . 11 . 10 . 254 Leparson Tab 4,810

5 . 11 . 10 . 255 Lesichol 300 mg Tab 8,126

5 . 11 . 10 . 256 Lesifit Tab 5,010

5 . 11 . 10 . 257 Levofloxacin tab Tab 1,026

5 . 11 . 10 . 258 Levothyroxine tab 100 mg Tab 1,130

5 . 11 . 10 . 259 Lizor tab Tab 26,128

5 . 11 . 10 . 260 Lodem tab Tab 1,270

5 . 11 . 10 . 261 Lonene 300 mg Tab 500,820

5 . 11 . 10 . 262 Loratadine Tab 176

5 . 11 . 10 . 263 Lutenyl Tab 11,230

5 . 11 . 10 . 264 Lynoral Tab 1,550

5 . 11 . 10 . 265 Lyrica 50 mg tab Tab 9,080

5 . 11 . 10 . 266 Lyrica 75 mg Tab 12,998

5 . 11 . 10 . 267 Maintate 5 mg tab Tab 8,400

5 . 11 . 10 . 268 Matovit Tab 11,003

5 . 11 . 10 . 269 Matovit AX Tab 8,230

5 . 11 . 10 . 270 Mediamer B6 Tab 2,795

5 . 11 . 10 . 271 Mefinal 500 mg Tab 1,287

152

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 10 . 272 Meloxicam 15 mg Tab 575

5 . 11 . 10 . 273 Meloxicam 7,5 mg Tab 367

5 . 11 . 10 . 274 Mentalium Tab 290

5 . 11 . 10 . 275 Meptin mini 0,025 mg Tab 2,083

5 . 11 . 10 . 276 Mersibion Tab 890

5 . 11 . 10 . 277 Mersibion 5000 Tab 1,870

5 . 11 . 10 . 278 Mersitropil 1200 mg Tab 4,100

5 . 11 . 10 . 279 Mersitropil 400 mg Tab 1,670

5 . 11 . 10 . 280 Mersitropil 800 mg Tab Tab 3,040

5 . 11 . 10 . 281 Mertigo tab Tab 3,126

5 . 11 . 10 . 282 Metaneuron Tab 1,302

5 . 11 . 10 . 283 Metcor 8 Tab 1,191

5 . 11 . 10 . 284 Metformin 500 mg Tab Tab 196

5 . 11 . 10 . 285 Metformin 850 mg Tab Tab 293

5 . 11 . 10 . 286 Metherinal tab Tab 380

5 . 11 . 10 . 287 Methioson Tab 1,254

5 . 11 . 10 . 288 Methotrextat 2.5 mg Tab Tab 2,633

5 . 11 . 10 . 289 Methyl Ergometrin tab Tab 176

5 . 11 . 10 . 290 Methyl prednisolon 16 mg Tab 724

5 . 11 . 10 . 291 Methyl prednisolon 4 mg Tab 276

5 . 11 . 10 . 292 Metoclopramid 10 mg tab Tab 125

5 . 11 . 10 . 293 Metronidazol 500 Mg Tab 251

5 . 11 . 10 . 294 Micardis tab 80 mg Tab 7,410

5 . 11 . 10 . 295 Miniaspi 80 mg Tab 169

5 . 11 . 10 . 296 Moloco B12 Tab 3,100

5 . 11 . 10 . 297 Monecto tab Tab 3,040

5 . 11 . 10 . 298 Movicox tab 15 mg Tab 16,050

5 . 11 . 10 . 299 Movicox tab 7,5 mg Tab 8,860

5 . 11 . 10 . 300 Moxan 7,5 Tab Tab 6,270

5 . 11 . 10 . 301 MST 10 MG Tab 17,807

5 . 11 . 10 . 302 Mucogard tab Tab 878

5 . 11 . 10 . 303 Myonal Tab 5,440

5 . 11 . 10 . 304 Myonep Tab 4,050

5 . 11 . 10 . 305 Myoviton Tab 1,860

5 . 11 . 10 . 306 Nalgestan Tab 1,059

5 . 11 . 10 . 307 Natrium Diclofenac 50 mg Tab 228

5 . 11 . 10 . 308 Naturol 400 mg Tab 3,850

5 . 11 . 10 . 309 Neo Diaform Tab 113

5 . 11 . 10 . 310 Neo mercazole tab Tab 980

5 . 11 . 10 . 311 Neofer Tab Tab 6,330

5 . 11 . 10 . 312 Neuralgin Tab 4,740

5 . 11 . 10 . 313 Neurochol Tab 4,650

5 . 11 . 10 . 314 Neurodex tab Tab 275

5 . 11 . 10 . 315 Neurontin 300 mg Tab 13,830

5 . 11 . 10 . 316 Neurosanbe Tab 1,061

5 . 11 . 10 . 317 Neurosanbe 5000 Tab 2,303

5 . 11 . 10 . 318 Neurotam 1200 mg Tab 5,060

5 . 11 . 10 . 319 New Diatab Tab 552

5 . 11 . 10 . 320 Nifedipin 10 mg Tab 132

5 . 11 . 10 . 321 Nimotop tab Tab 7,672

5 . 11 . 10 . 322 Nitrokaf 2,5 mg Tab 1,210

5 . 11 . 10 . 323 Non Flamin Tab 4,432

5 . 11 . 10 . 324 Noperten 10 mg Tab 1,039

5 . 11 . 10 . 325 Noperten 5 mg Tab 580

5 . 11 . 10 . 326 Noprostol tab Tab 9,769

5 . 11 . 10 . 327 Norelut 5 mg Tab 3,324

5 . 11 . 10 . 328 Norit tab Tab 130

5 . 11 . 10 . 329 Normofat tab Tab 371

5 . 11 . 10 . 330 Norvask 5 Mg Tab 3,070

5 . 11 . 10 . 331 Notrotam 1200 Tab 4,570

5 . 11 . 10 . 332 Novarol Tab 6,500

5 . 11 . 10 . 333 nufarol Tab 6,490

5 . 11 . 10 . 334 Nutri mama Tab 7,700

5 . 11 . 10 . 335 Nutrichol Tab 4,650

5 . 11 . 10 . 336 Odace 10 mg Tab 752

5 . 11 . 10 . 337 Ofloxacin tab 400 mg Tab 1,010

5 . 11 . 10 . 338 Omeprazole 20 Mg Tab 344

5 . 11 . 10 . 339 Ondavel tab 4 mg Tab 15,180

5 . 11 . 10 . 340 Ondavel tab 8 mg Tab 208,730

5 . 11 . 10 . 341 Opimox 500 mg Tab 1,270

5 . 11 . 10 . 342 Opinaceae caplet Tab 3,800

5 . 11 . 10 . 343 Ossopan 200 mg Tab 920

5 . 11 . 10 . 344 Ossopan 800 mg Tab 1,700

153

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 10 . 345 Oxtin Tab 2,060

5 . 11 . 10 . 346 Ozid tab Tab 12,110

5 . 11 . 10 . 347 Pantozole 20 mg Tab 17,080

5 . 11 . 10 . 348 Papaverine Hcl 40 mg Tab 147

5 . 11 . 10 . 349 Paracetamol 500 mg Tab 120

5 . 11 . 10 . 350 Paratusin tab Tab 715

5 . 11 . 10 . 351 Pehadoxin F Tab 1,000

5 . 11 . 10 . 352 Pehamoxil 125 mg Tab 1,400

5 . 11 . 10 . 353 Phadilon 4 Mg 10x10 Tabs Tab 2,550

5 . 11 . 10 . 354 Pharmaton F Tab 2,840

5 . 11 . 10 . 355 Phenilbutazon 200 mg Tab 80

5 . 11 . 10 . 356 Phenobarbital 30 mg Tab 42

5 . 11 . 10 . 357 Piracetam 1200 mg Tab 738

5 . 11 . 10 . 358 Piracetam 400 mg Tab 258

5 . 11 . 10 . 359 Pirantel pamoat Tab 340

5 . 11 . 10 . 360 Pirofel 10 mg Tab 450

5 . 11 . 10 . 361 Pirofel 20 mg Tab 1,540

5 . 11 . 10 . 362 Probenid tab Tab 1,710

5 . 11 . 10 . 363 Piroxicam 10 mg Tab 195

5 . 11 . 10 . 364 Piroxicam 20 mg Tab 120

5 . 11 . 10 . 365 Plantacid F Tab 420

5 . 11 . 10 . 366 Plavix Tab 7,410

5 . 11 . 10 . 367 Pletal Tab 166

5 . 11 . 10 . 368 Pospargin Tab 590

5 . 11 . 10 . 369 Pradaxa tab 110 mg Tab 23,410

5 . 11 . 10 . 370 pradaxa tab 75 mg Tab 21,090

5 . 11 . 10 . 371 Prazotec 30 tab Tab 12,340

5 . 11 . 10 . 372 Prednisone 5 mg Tab 130

5 . 11 . 10 . 373 Premaston Tab 4,368

5 . 11 . 10 . 374 Prenatin DF Tab 2,680

5 . 11 . 10 . 375 Prenatin plus tab Tab 700

5 . 11 . 10 . 376 Presept 2,5 gr Tab Tab 3,640

5 . 11 . 10 . 377 Primadol Tab 11,140

5 . 11 . 10 . 378 Primaqueen tab Tab 120

5 . 11 . 10 . 379 Primolut N 5 mg Tab Tab 5,240

5 . 11 . 10 . 380 Primperan tab Tab 1,270

5 . 11 . 10 . 381 Pro Mama Tab 4,790

5 . 11 . 10 . 382 Probenid tab Tab 1,710

5 . 11 . 10 . 383 Prolacta DHA Tab 3,010

5 . 11 . 10 . 384 Proliver Tab 5,570

5 . 11 . 10 . 385 Pronalges Cr-200 Supp Tab 6,960

5 . 11 . 10 . 386 Propanolol 10 mg Tab 79

5 . 11 . 10 . 387 Propanolol 40 mg Tab 131

5 . 11 . 10 . 388 Propylthiouracyl 100 mg Tab Tab 364

5 . 11 . 10 . 389 Proris tab Tab 560

5 . 11 . 10 . 390 Prosogan FD Tab 19,030

5 . 11 . 10 . 391 Prothyra 5 mg tab Tab 2,260

5 . 11 . 10 . 392 Provera 10 mg Tab 10,720

5 . 11 . 10 . 393 Proza Tab Tab 8,040

5 . 11 . 10 . 394 Pyrazinamide 500 mg Tab Tab 399

5 . 11 . 10 . 395 Pyridoxine 10mg Tab Tab 19

5 . 11 . 10 . 396 Q10 Plus Nutrindo Tab 14,940

5 . 11 . 10 . 397 Q10 Plus Nutrindo Blister Tab 15,590

5 . 11 . 10 . 398 Ranitidin 150 mg Tab 188

5 . 11 . 10 . 399 Recustein Kapsul Tab 4,514

5 . 11 . 10 . 400 Renadinac Tab 165

5 . 11 . 10 . 401 Renadinac 50 mg Tab 165

5 . 11 . 10 . 402 Renapar Tab 1,950

5 . 11 . 10 . 403 Renatac 150 mg tab Tab 4,720

5 . 11 . 10 . 404 Renator 500 mg Tab 12,289

5 . 11 . 10 . 405 Reotal 400 mg Tab 7,360

5 . 11 . 10 . 406 Rifampicin 450 mg Tab 894

5 . 11 . 10 . 407 Rifampicin 600 mg Tab 1,254

5 . 11 . 10 . 408 Sacharin Tab 25

5 . 11 . 10 . 409 Sanmol 500 mg Tab 267

5 . 11 . 10 . 410 Santibi 500 mg Tab 960

5 . 11 . 10 . 411 Scobutrin Dragee Tab 798

5 . 11 . 10 . 412 Scopamin tab Tab 1,210

5 . 11 . 10 . 413 Seloxy Tab 3,932

5 . 11 . 10 . 414 Sercol 5 mg Tab Tab 1,310

5 . 11 . 10 . 415 Sercol 8 mg Tab Tab 1,310

5 . 11 . 10 . 416 Sharox tab 500 mg Tab 24,578

5 . 11 . 10 . 417 Sifrol 0,125 mg Tab 8,208

154

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 10 . 418 Sifrol 0,375 mg Tab 18,118

5 . 11 . 10 . 419 Simarc tab Tab 764

5 . 11 . 10 . 420 Simdrol 4 mg Tab 2,784

5 . 11 . 10 . 421 Simlev tab 500 Tab 26,099

5 . 11 . 10 . 422 Simvastatin 10 mg Tab 259

5 . 11 . 10 . 423 Sirdalud Tab 8,500

5 . 11 . 10 . 424 Sirplus tab Tab 20

5 . 11 . 10 . 425 Sitro 300 mg Tab 10,346

5 . 11 . 10 . 426 Sohobion Tab Tab 1,254

5 . 11 . 10 . 427 Somerol 16 mg Tab 6,580

5 . 11 . 10 . 428 Somerol 4 mg Tab 2,530

5 . 11 . 10 . 429 Sotatic tab Tab 450

5 . 11 . 10 . 430 Spasmomen Tab 3,410

5 . 11 . 10 . 431 Spiramycin 500 mg Tab 1,960

5 . 11 . 10 . 432 Spironolactone 100 mg Tab 1,026

5 . 11 . 10 . 433 Spironolactone tab 25 mg Tab 359

5 . 11 . 10 . 434 Sulcolon Tab 5,700

5 . 11 . 10 . 435 Sulfadoxin tab Tab 470

5 . 11 . 10 . 436 Sulfitis tab Tab 2,052

5 . 11 . 10 . 437 Tarivid Tab 12,920

5 . 11 . 10 . 438 Tebokan 10x10 Tab Tab 5,850

5 . 11 . 10 . 439 Tebokan Spesial tab Tab 12,800

5 . 11 . 10 . 440 Telfast Plus Tab 4,770

5 . 11 . 10 . 441 Tenapril 2,5 Tab 1,710

5 . 11 . 10 . 442 Tenapril 5 Tab 2,166

5 . 11 . 10 . 443 Terazosine tab 1 mg Tab 4,150

5 . 11 . 10 . 444 Tetracyclin tab 500 mg Tab 319

5 . 11 . 10 . 445 Theravast 10 mg Tab 6,968

5 . 11 . 10 . 446 Theravast 5 mg Tab 4,783

5 . 11 . 10 . 447 Tiaryt Tab Tab 1,739

5 . 11 . 10 . 448 Tibitol 500 mg Tab 1,204

5 . 11 . 10 . 449 Tison 16 mg Tab 5,490

5 . 11 . 10 . 450 Tison 4 mg Tab 2,400

5 . 11 . 10 . 451 Tonar Caplet Tab 7,399

5 . 11 . 10 . 452 Tremenza tab Tab 1,040

5 . 11 . 10 . 453 Tribestan tab Tab 13,360

5 . 11 . 10 . 454 Trihexypenidil 2 mg Tab 47

5 . 11 . 10 . 455 Trizedon MR Tab 4,140

5 . 11 . 10 . 456 Trolip Tab 9,029

5 . 11 . 10 . 457 Trombo aspilet Tab 726

5 . 11 . 10 . 458 Tuseran F Tab 10,370

5 . 11 . 10 . 459 Tylonic 300 mg tab Tab 3,480

5 . 11 . 10 . 460 Ulsidex Tab 439

5 . 11 . 10 . 461 Urdafalk Tab 5,003

5 . 11 . 10 . 462 Urdahek Tab 9,450

5 . 11 . 10 . 463 Urispas 200 mg Tab Tab 4,912

5 . 11 . 10 . 464 Urogetik 100 mg Tab 3,300

5 . 11 . 10 . 465 Valansim 10 Tab 890

5 . 11 . 10 . 466 Valdimex 5 mg Tab 291

5 . 11 . 10 . 467 Valisanbe 5 mg Tab 250

5 . 11 . 10 . 468 Valsartan 80 mg Tab 6,954

5 . 11 . 10 . 469 Vascardine tab Tab 190

5 . 11 . 10 . 470 Vastigo tab Tab 399

5 . 11 . 10 . 471 Vectrin 300 mg Tab 3,220

5 . 11 . 10 . 472 Veraphamil tab Tab 450

5 . 11 . 10 . 473 Versilon 6 Tab 1,956

5 . 11 . 10 . 474 Vidastat 10 mg Tab 2,621

5 . 11 . 10 . 475 Vidastat 20 mg Tab 3,990

5 . 11 . 10 . 476 Vitamin A 6000 UI Tab 406

5 . 11 . 10 . 477 Vitamin B1 100 mg Tab 46

5 . 11 . 10 . 478 Vitamin B1 50 mg Tab 62

5 . 11 . 10 . 479 Vitamin B12 50 mg Tab Tab 65

5 . 11 . 10 . 480 Vitamin B6 10 mg Tab 32

5 . 11 . 10 . 481 Vitamin BComplek Tab 122

5 . 11 . 10 . 482 Vitamin C 50 mg Tab 108

5 . 11 . 10 . 483 Vitamin E Tab 150

5 . 11 . 10 . 484 Vitamin K Tab 80

5 . 11 . 10 . 485 Vitop Tab 3,800

5 . 11 . 10 . 486 Vomitas Tab 6,650

5 . 11 . 10 . 487 Wiacid Tab 4,503

5 . 11 . 10 . 488 Wiaflox 500 mg Tab 11,794

5 . 11 . 10 . 489 Wiamox 500 mg Tab 456

5 . 11 . 10 . 490 Xanax 0,5 mg Tab 2,750

155

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 10 . 491 Zaldiar Tab 8,995

5 . 11 . 10 . 492 Zink 20mg Tab 539

5 . 11 . 10 . 493 Zinkid Tab Tab 2,979

5 . 11 . 11 Topical/ Obat Luar

5 . 11 . 11 . 1 Acne aid bar pcs 36,366

5 . 11 . 11 . 2 Acyclovir 5% cr Tube 3,246

5 . 11 . 11 . 3 Albotyl cons Fls 28,500

5 . 11 . 11 . 4 Aloclair 8 ml Fls 76,540

5 . 11 . 11 . 5 Aloclair gargle Fls 69,580

5 . 11 . 11 . 6 Antihemoroid Supp pcs 2,820

5 . 11 . 11 . 7 Atrovent MDI Fls 126,910

5 . 11 . 11 . 8 Baquinor Ed Fls 35,790

5 . 11 . 11 . 9 Bedak salicil Fls 5,928

5 . 11 . 11 . 10 Benzolac cr CL Tube 28,591

5 . 11 . 11 . 11 Beproson cr Tube 31,630

5 . 11 . 11 . 12 Berotec 0,1 mg Fls 141,200

5 . 11 . 11 . 13 Betadine Gargle 100 ml Fls 10,796

5 . 11 . 11 . 14 Betadine Gargle 190 ml Fls 14,550

5 . 11 . 11 . 15 Betametason salp Tube 1,733

5 . 11 . 11 . 16 BGA TT fls 5,060

5 . 11 . 11 . 17 Bioplacenton jelly Tube 15,048

5 . 11 . 11 . 18 Burnazin cr Pot 26,220

5 . 11 . 11 . 19 Burnazin cream Tube 26,220

5 . 11 . 11 . 20 Caladin Lot 60 ml fls 11,675

5 . 11 . 11 . 21 Candistin drop fls 37,620

5 . 11 . 11 . 22 Carmed 10% cr Tube 28,473

5 . 11 . 11 . 23 Cendo Augentonic ed fls 26,790

5 . 11 . 11 . 24 Cendo Carpine 2 % ed fls 22,040

5 . 11 . 11 . 25 Cendo Catarlen 15 ml ed fls 35,524

5 . 11 . 11 . 26 Cendo Cendrid ed fls 21,050

5 . 11 . 11 . 27 Cendo Conver ed fls 15,080

5 . 11 . 11 . 28 Cendo Corton ed fls 24,010

5 . 11 . 11 . 29 Cendo Efrisel 10% ed fls 17,689

5 . 11 . 11 . 30 Cendo Floxa monodos fls 28,530

5 . 11 . 11 . 31 Cendo Fluorescein 5 cc ED fls 15,080

5 . 11 . 11 . 32 Cendo Gentamicin ed fls 10,114

5 . 11 . 11 . 33 Cendo Gentamicin sm Tube 42,194

5 . 11 . 11 . 34 Cendo Lyters 15 mL ed fls 26,099

5 . 11 . 11 . 35 Cendo Mycos ed fls 27,660

5 . 11 . 11 . 36 Cendo Mycos EO Tube 30,448

5 . 11 . 11 . 37 Cendo Mydriatyl 1 % ed fls 44,368

5 . 11 . 11 . 38 Cendo Optalgon ED 12,760

5 . 11 . 11 . 39 Cendo Pantocain 5 mg 2% fls 15,369

5 . 11 . 11 . 40 Cendo Phenicol 0,25% 5 ml fls 23,310

5 . 11 . 11 . 41 Cendo Phenicol 0,5 % ed fls 55,388

5 . 11 . 11 . 42 Cendo Phenicol 1% ed fls 35,840

5 . 11 . 11 . 43 Cendo Phenicol sm Tube 27,500

5 . 11 . 11 . 44 Cendo Polynel 5 ml fls 31,174

5 . 11 . 11 . 45 Cendo Statrol ed fls 25,400

5 . 11 . 11 . 46 Cendo Timol ed 0,25 % fls 66,450

5 . 11 . 11 . 47 Cendo Timol ed 0,5 % fls 55,388

5 . 11 . 11 . 48 Cendo Tropin 0,5 % ed fls 13,395

5 . 11 . 11 . 49 Cendo Tropin 1 % ed fls 14,500

5 . 11 . 11 . 50 Cendo Vision fls 23,054

5 . 11 . 11 . 51 Cendo Vitrolenta ed fls 45,580

5 . 11 . 11 . 52 Cendo Vitrolenta minidose Sachet 33,204

5 . 11 . 11 . 53 Cendo Xitrol ed fls 31,609

5 . 11 . 11 . 54 Cendo Xitrol sm Tube 41,613

5 . 11 . 11 . 55 Ceretide Inhaler fls 170,200

5 . 11 . 11 . 56 Chloramphenicol SM Tube 1,800

5 . 11 . 11 . 57 Chloramphenicol TM Tube 3,170

5 . 11 . 11 . 58 Chloramphenicol TT pcs 1,840

5 . 11 . 11 . 59 Cinolon Tube 16,080

5 . 11 . 11 . 60 Cinolon N cr Tube 15,750

5 . 11 . 11 . 61 Colme TT fls 34,790

5 . 11 . 11 . 62 Combivent 2,5 ml Neb pcs 6,829

5 . 11 . 11 . 63 Cream malam 0,025 Tube 13,800

5 . 11 . 11 . 64 Cream malam 0,05 Tube 14,720

5 . 11 . 11 . 65 Cream malam 0,1 Tube 18,400

5 . 11 . 11 . 66 Darryantull Box 10,441

5 . 11 . 11 . 67 Dermovel 5Gr Cream Tube 38,270

5 . 11 . 11 . 68 Desolex 10 gr cr Tube 24,600

5 . 11 . 11 . 69 Dezor 15 gr cream Tube 35,420

156

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 11 . 70 Diprosolic 5 gr Tube 52,250

5 . 11 . 11 . 71 Diprosone Cr 10 gr Tube 65,530

5 . 11 . 11 . 72 Dolonest cream Tube 52,488

5 . 11 . 11 . 73 Dulcolax Supp 10 mg pcs 12,370

5 . 11 . 11 . 74 Dulcolax Supp 5 mg pcs 5,689

5 . 11 . 11 . 75 Dumin Rectal Tube 12,150

5 . 11 . 11 . 76 Durogesic Matrix lb 126,603

5 . 11 . 11 . 77 Ellgy H2O 250 ml fls 88,780

5 . 11 . 11 . 78 Ellgy H2O 50 gr Tube 58,170

5 . 11 . 11 . 79 Ellgy H2O Extra Cleanser 250ml fls 88,780

5 . 11 . 11 . 80 Ellgy Plus K Factor 50 cr fls 66,800

5 . 11 . 11 . 81 Elocon Tube 54,210

5 . 11 . 11 . 82 Erlamycetin ed 10 ml fls 66,039

5 . 11 . 11 . 83 Esinol 0,025% Gel Tube 16,450

5 . 11 . 11 . 84 Estesia cr Tube 48,906

5 . 11 . 11 . 85 Evalen Gel 10Gr Tube 50,160

5 . 11 . 11 . 86 Ezera cream dewasa Tube 45,144

5 . 11 . 11 . 87 Faktu supp pcs 8,935

5 . 11 . 11 . 88 Fenicol EO 3.5 gr Tube 23,000

5 . 11 . 11 . 89 Flagyl Supp Supp 23,840

5 . 11 . 11 . 90 Flixotide Nebules pcs 14,725

5 . 11 . 11 . 91 Flumetholon ed fls 99,066

5 . 11 . 11 . 92 Formyco 10 gr Cr Tube 18,080

5 . 11 . 11 . 93 Fucidin Tube 37,380

5 . 11 . 11 . 94 Fucitalmic ed fls 88,550

5 . 11 . 11 . 95 Fuladic Cr Tube 53,609

5 . 11 . 11 . 96 Fuson cream Tube 22,271

5 . 11 . 11 . 97 Gentamicin 0,1% salep kulit Tube 2,130

5 . 11 . 11 . 98 Gentamicin 0,3% EO Tube 32,914

5 . 11 . 11 . 99 Gentamicin 0.3% OTM fls 42,194

5 . 11 . 11 . 100 glycolic acid 35% fls 1,087,840

5 . 11 . 11 . 101 glycolic acid 50% fls 23,503

5 . 11 . 11 . 102 Glycolid Acid 70% 60 ml fls 790,630

5 . 11 . 11 . 103 Glycore 10% cr Tube 27,650

5 . 11 . 11 . 104 Glycore 8% 10gr Tube 26,340

5 . 11 . 11 . 105 Hansaplast plester 264 pcs 381

5 . 11 . 11 . 106 Hydrocortison 1% Cr Tube 3,732

5 . 11 . 11 . 107 Hydrocortison 2% Cr Tube 3,190

5 . 11 . 11 . 108 Hydrocortison 2,5% Cr Tube 3,111

5 . 11 . 11 . 109 Ikaderm 10 gr cr Tube 28,500

5 . 11 . 11 . 110 Ikaderm 5 gr cr Tube 130

5 . 11 . 11 . 111 Inerson Cr Tube 28,921

5 . 11 . 11 . 112 Inflammde 0,1 mg fls 242,540

5 . 11 . 11 . 113 Inmatrol T. Mata 5 mg fls 11,430

5 . 11 . 11 . 114 Iol rohto pcs 341,550

5 . 11 . 11 . 115 Isotic Salmicol 1% fls 15,180

5 . 11 . 11 . 116 Isotic Tobrizone fls 43,650

5 . 11 . 11 . 117 Isotic Tobryn fls 32,890

5 . 11 . 11 . 118 Kaltrofen Supositoria pcs 13,701

5 . 11 . 11 . 119 Karyuni ed fls 36,690

5 . 11 . 11 . 120 Kenalog in oral base Tube 57,308

5 . 11 . 11 . 121 Ketoconazole 2% Cr 10 gr Tube 3,762

5 . 11 . 11 . 122 Ketomed cream Tube 43,363

5 . 11 . 11 . 123 Ketomed ss fls 22,572

5 . 11 . 11 . 124 Kloderma 10 gr Tube 34,485

5 . 11 . 11 . 125 Kloderma 5 mg Tube 26,087

5 . 11 . 11 . 126 Konigen 0,3% ed fls 29,783

5 . 11 . 11 . 127 Kumerveldi lotion ml 100

5 . 11 . 11 . 128 Lactacyd fls 20,170

5 . 11 . 11 . 129 Lactacyd baby fls 22,770

5 . 11 . 11 . 130 lactacyd liq feminim 60ml fls 22,140

5 . 11 . 11 . 131 Levertran salep Pot 5,380

5 . 11 . 11 . 132 Lomatuell Box 10,760

5 . 11 . 11 . 133 Lot Faberi ml 60

5 . 11 . 11 . 134 Lotriderm Tube 45,980

5 . 11 . 11 . 135 Mediquin 15 gr Tube 27,337

5 . 11 . 11 . 136 Meson 10 gr cr Tube 40,480

5 . 11 . 11 . 137 Meson 5 gr cr Tube 29,100

5 . 11 . 11 . 138 Miconazole 2% cr 10 gr Tube 3,420

5 . 11 . 11 . 139 Milk Cleanser (cc) fls 900

5 . 11 . 11 . 140 Mitomycin ED fls 92,000

5 . 11 . 11 . 141 Mometason Tube 17,080

5 . 11 . 11 . 142 Movicox supp pcs 19,630

157

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 11 . 143 Mycoderm cr Tube 13,920

5 . 11 . 11 . 144 Nerilon cr Tube 15,961

5 . 11 . 11 . 145 Obucort Swinghaler fls 120,840

5 . 11 . 11 . 146 Oculotect gel Tube 67,430

5 . 11 . 11 . 147 Otopain fls 36,335

5 . 11 . 11 . 148 Otopain Ear Drops 8ml fls 36,962

5 . 11 . 11 . 149 Otopraf Solut fls 34,071

5 . 11 . 11 . 150 Otrivin 0,5 % anak fls 51,702

5 . 11 . 11 . 151 Otrivin F5 1% dws fls 41,382

5 . 11 . 11 . 152 Parasol Cr 33 Tube 53,580

5 . 11 . 11 . 153 Parasol Lot fls 53,580

5 . 11 . 11 . 154 Penetral (Skin Rejuvination) ml 880

5 . 11 . 11 . 155 Phisohex Liq fls 18,350

5 . 11 . 11 . 156 Probio C 10 ml Botol 50,730

5 . 11 . 11 . 157 Pulmicort Resp pcs 10,146

5 . 11 . 11 . 158 Pulmicort turbo fls 230,410

5 . 11 . 11 . 159 Rivanol fls 2,514

5 . 11 . 11 . 160 Rohto visc pcs 175,560

5 . 11 . 11 . 161 Sagestam cr Tube 12,550

5 . 11 . 11 . 162 Sanmol drop Botol 16,356

5 . 11 . 11 . 163 Scabimite 10 gr Tube 13,079

5 . 11 . 11 . 164 Scabimite 40 gr Tube 14,239

5 . 11 . 11 . 165 Seretide Diskus 250 fls 129,200

5 . 11 . 11 . 166 Sofratulle 10 x 10 cm lb 14,540

5 . 11 . 11 . 167 Spiriva + Alat pcs 173,899

5 . 11 . 11 . 168 Spiriva Refill pcs 22,580

5 . 11 . 11 . 169 Sporex cream Tube 3,534

5 . 11 . 11 . 170 Stesolid Rectal 5 mg pcs 13,140

5 . 11 . 11 . 171 Tantum Verde 60 ml fls 18,371

5 . 11 . 11 . 172 Tarivid ed fls 56,493

5 . 11 . 11 . 173 Tarivid TT fls 73,861

5 . 11 . 11 . 174 Thrombophob gel Tube 56,430

5 . 11 . 11 . 175 Toner (ml) ml 160

5 . 11 . 11 . 176 Topcort Tube 19,940

5 . 11 . 11 . 177 Tramal Supp pcs 15,989

5 . 11 . 11 . 178 Triacarpin 2% 5 ml fls 23,790

5 . 11 . 11 . 179 Triatimolol 0,5 % 5 ml fls 29,480

5 . 11 . 11 . 180 Triaxitrol tetes mata 5 ml fls 13,290

5 . 11 . 11 . 181 Tupepe foot cream 40 gr Tube 183,728

5 . 11 . 11 . 182 Vagizol Ovula pcs 4,389

5 . 11 . 11 . 183 Vasacon A ed fls 25,954

5 . 11 . 11 . 184 Vasacon ed 15 ml fls 26,093

5 . 11 . 11 . 185 Ventolin Inh pcs 72,676

5 . 11 . 11 . 186 Ventolin Neb pcs 7,524

5 . 11 . 11 . 187 Vitacid 0,025% Cr 15 gr Tube 21,632

5 . 11 . 11 . 188 Vitacid 0,05 5 gr Tube 31,726

5 . 11 . 11 . 189 Vitacid 0,05% Cr 20 gr Tube 33,177

5 . 11 . 11 . 190 Vitacid 0,1% 20 gr Tube 40,755

5 . 11 . 11 . 191 Voltaren ed fls 61,333

5 . 11 . 11 . 192 Voltaren emulgel 20gr Tube 63,377

5 . 11 . 11 . 193 Voltaren Supp 50 gr pcs 8,960

5 . 11 . 11 . 194 Xylocaine 10% fls 3,238

5 . 11 . 11 . 195 Xylocaine 2% Jelly Tube 45,597

5 . 11 . 11 . 196 Zelface Krim 10 mg Tube 31,630

5 . 11 . 11 . 197 Albendazol suspensi 200 mg/5 ml BOTOL 3,811

5 . 11 . 11 . 198 Albendazol tablet 400 mg TABLET 98

5 . 11 . 11 . 199 Alopurinol tablet 100 mg TABLET 188

5 . 11 . 11 . 200 Alopurinol tablet 300 mg TABLET 314

5 . 11 . 11 . 201 Alprazolam tablet 0,5 mg TABLET 244

5 . 11 . 11 . 202 Ambroxol sirup 15 mg/ml BOTOL 3,476

5 . 11 . 11 . 203 Ambroxol sirup 15 mg/ml BOTOL 2,400

5 . 11 . 11 . 204 Ambroxol tablet 30 mg TABLET 143

5 . 11 . 11 . 205 Ambroxol tablet 30 mg TABLET 95

5 . 11 . 11 . 206 Aminofilin injeksi 24 mg/ml AMPUL 205

5 . 11 . 11 . 207 Aminofilin tablet 200 mg TABLET 429

5 . 11 . 11 . 208 Amitriptilin tablet salut 25 mg (HCl) TABLET 390

5 . 11 . 11 . 209 Amlodipin tablet 10 mg TABLET 376

5 . 11 . 11 . 210 Amlodipin tablet 5 mg TABLET 240

5 . 11 . 11 . 211 Amoksisilin + As. Klavulanat 625 mg tablet TABLET 4,550

5 . 11 . 11 . 212 Amoksisilin kapsul/kaplet 250 mg KAPSUL/ KAPLET 200

5 . 11 . 11 . 213 Amoksisilin kapsul/kaplet 250 mg KAPSUL 390

5 . 11 . 11 . 214 Amoksisilin kapsul/kaplet 500 mg KAPSUL/ KAPLET 390

5 . 11 . 11 . 215 Amoksisilin kapsul/kaplet 500 mg TABLET 240

5 . 11 . 11 . 216 Amoksisilin serbuk injeksi 1000 mg VIAL 4,112

158

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 11 . 217 Amoksisilin sirup kering 125 mg/ 5 ml BOTOL 2,787

5 . 11 . 11 . 218 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial VIAL 5,814

5 . 11 . 11 . 219 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial VIAL 4,000

5 . 11 . 11 . 220 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial VIAL 185

5 . 11 . 11 . 221 TABLET

4,400

5 . 11 . 11 . 222 BOTOL 1,866

5 . 11 . 11 . 223 TUBE 2,491

5 . 11 . 11 . 224 POT 1,904

5 . 11 . 11 . 225 TABLET 478

5 . 11 . 11 . 226 TABLET 3,762

5 . 11 . 11 . 227 Aqua pro Injeksi steril, bebas pirogen VIAL 3,762

5 . 11 . 11 . 228 Aqua pro Injeksi steril, bebas pirogen VIAL 5,000

5 . 11 . 11 . 229 Artemether injeksi 80 mg/ml AMPUL 22,167

5 . 11 . 11 . 230 Artesunate injeksi, vial 60 mg VIAL 13

5 . 11 . 11 . 231 Asam Asetilsalisilat tablet 100 mg (Asetosal) TABLET 100

5 . 11 . 11 . 232 Asam Asetilsalisilat tablet 500 mg (Asetosal) TABLET 162

5 . 11 . 11 . 233 Asam Askorbat (Vitamin C) tablet 250 mg TABLET 135

5 . 11 . 11 . 234 Asam Askorbat (Vitamin C) tablet 100 mg TABLET 51

5 . 11 . 11 . 235 Asam Folat tablet 1 mg TABLET 45

5 . 11 . 11 . 236 Asam Mefenamat kapsul/kaplet 250 mg KAPSUL 121

5 . 11 . 11 . 237 Asam Mefenamat kapsul/kaplet 500 mg KAPSUL/ KAPLET 203

5 . 11 . 11 . 238 Asam Mefenamat kapsul/kaplet 500 mg KAPSUL/ KAPLET 95

5 . 11 . 11 . 239 Asiklovir krim 5% TUBE 2,152

5 . 11 . 11 . 240 Asiklovir tablet 200 mg TABLET 226

5 . 11 . 11 . 241 Asiklovir tablet 400 mg TABLET 388

5 . 11 . 11 . 242 Asiklovir tablet 400 mg TABLET 350

5 . 11 . 11 . 243 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) AMPUL 1,368

5 . 11 . 11 . 244 Atropin Sulfat tablet 0,5 mg TABLET 116

5 . 11 . 11 . 245 Benzatin Benzil Penisilin 1,2 juta IU/ vial VIAL 8,935

5 . 11 . 11 . 246 Benzatin Benzil Penisilin 2,4 juta IU/vial VIAL 12,185

5 . 11 . 11 . 247 TABLET

653

5 . 11 . 11 . 248 Betahistin Mesilat tablet 6 mg TABLET 2,310

5 . 11 . 11 . 249 Betametason krim 0,1 % (sebagai Valerat) TUBE 683

5 . 11 . 11 . 250 Bisoprolol tablet 5 mg TABLET 9,119

5 . 11 . 11 . 251 Cetirizin sirup 5 mg/5 ml BOTOL 266

5 . 11 . 11 . 252 Cetirizine tablet 10 mg KAPSUL 1,026

5 . 11 . 11 . 253 Clobazam tablet 10 mg TABLET 1,801

5 . 11 . 11 . 254 Deksametason injeksi i.v. 5 mg/ml AMPUL 1,801

5 . 11 . 11 . 255 Deksametason injeksi i.v. 5 mg/ml AMPUL 105

5 . 11 . 11 . 256 Deksametason tablet 0,5 mg TABLET 1,422

5 . 11 . 11 . 257 Dekstrometorfan sirup 10 mg/5 ml (HBr) BOTOL 9,120

5 . 11 . 11 . 258 Dekstrometorfan tablet 15 mg (HBr) TABLET 9,120

5 . 11 . 11 . 259 Dekstrometorfan tablet 15 mg (HBr) TABLET 90

5 . 11 . 11 . 260 Diazepam injeksi 5 mg/ml AMPUL 164

5 . 11 . 11 . 261 Diazepam tablet 2 mg TABLET 35

5 . 11 . 11 . 262 Diazepam tablet 5 mg TABLET 56

5 . 11 . 11 . 263 Dietilkarbamazin Sitrat tablet 100 mg TABLET 97

5 . 11 . 11 . 264 Difenhidramin injeksi i.m. 10 mg/ml (HCl) AMPUL 1,197

5 . 11 . 11 . 265 Digoksin tablet 0,25 mg TABLET 16,867

5 . 11 . 11 . 266 Diltiazem HCl tablet 30 mg TABLET 119

5 . 11 . 11 . 267 Dimenhidrinat tablet 50 mg TABLET 308

5 . 11 . 11 . 268 Doksisiklin kapsul/kaplet 100 mg KAPSUL 10,383

5 . 11 . 11 . 269 Domperidon suspensi 5 mg/5 ml BOTOL 276

5 . 11 . 11 . 270 Domperidon tablet 10 mg TABLET 176

5 . 11 . 11 . 271 Ekstraks Belladona tablet 10 mg PAKET 38

5 . 11 . 11 . 272 AMPUL 1,500

5 . 11 . 11 . 273 Eritromisin kapsul/kaplet 250 mg KAPSUL 493

5 . 11 . 11 . 274 Eritromisin kapsul/kaplet 500 mg KAPLET 11,173

5 . 11 . 11 . 275 Eritromisin sirup 200 mg/ 5 ml BOTOL 7,220

5 . 11 . 11 . 276 Etakridin larutan 0,1% BOTOL 3,934

5 . 11 . 11 . 277 Etambutol tablet 250 mg (HCl) TABLET 305

5 . 11 . 11 . 278 Etambutol tablet salut 500 mg (HCl) TABLET 410

5 . 11 . 11 . 279 Famotidine tablet 40 mg TABLET 175

5 . 11 . 11 . 280 Famotidine tablet 20 mg TABLET 113

5 . 11 . 11 . 281 Fenilbutason tablet 200 mg TABLET 97

5 . 11 . 11 . 282 Fenitoin kapsul/kaplet 100 mg KAPSUL 121

5 . 11 . 11 . 283 Fenitoin Natrium injeksi 50 mg/ml AMPUL 690

Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl)

Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah

darah kombinasi )

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida

200 mg Magnesium Hidroksida 200 mg

Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5

ml Magnesium Hidroksida 200 mg/5 ml

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin

10.000 IU/g

Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3%

Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin

tablet 500 mg

Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg

159

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 11 . 284 Fenitoin Natrium kapsul/kaplet 30 mg KAPSUL 93

5 . 11 . 11 . 285 Fenobarbital injeksi i.m./i.v. 50 mg/ml AMPUL 42

5 . 11 . 11 . 286 Fenobarbital tablet 30 mg TABLET 67

5 . 11 . 11 . 287 Fenobarbital tablet 100 mg TABLET 144

5 . 11 . 11 . 288 Fenoksimetil Penisilin tablet 250 mg TABLET 272

5 . 11 . 11 . 289 Fenoksimetil Penisilin tablet 500 mg TABLET 465

5 . 11 . 11 . 290 Fenol Gliserol tetes telinga 10% BOTOL 1,008

5 . 11 . 11 . 291 Fitomenadion (Vit.K1) tablet salut gula 10 mg TABLET 579

5 . 11 . 11 . 292 Fitomenadion (Vitamin K1) injeksi 10 mg/ml AMPUL 1,566

5 . 11 . 11 . 293 Flukonazol tablet 150 mg KAPSUL 2,322

5 . 11 . 11 . 294 Furosemid injeksi i.v./i.m. 10 mg/ml AMPUL 97

5 . 11 . 11 . 295 Furosemid tablet 40 mg TABLET 390

5 . 11 . 11 . 296 SACHET

329

5 . 11 . 11 . 297 Gemfibrozil kapsul/kaplet 300 mg KAPSUL 272

5 . 11 . 11 . 298 Gemfibrozil tablet 600 mg TABLET 3,876

5 . 11 . 11 . 299 Gentamisin injeksi 40 mg/ ml AMPUL 1,883

5 . 11 . 11 . 300 Gentamisin salep kulit 0.1% TUBE 1,469

5 . 11 . 11 . 301 Gentamisin Sulfat tetes mata 0,3 % BOTOL 2,904

5 . 11 . 11 . 302 Gentian Violet larutan 1 % BOTOL 64

5 . 11 . 11 . 303 Glibenklamida tablet 5 mg TABLET 302

5 . 11 . 11 . 304 Glimepiride tablet 1 mg TABLET 302

5 . 11 . 11 . 305 Glimepiride tablet 1 mg TABLET 280

5 . 11 . 11 . 306 Glimepiride tablet 2 mg TABLET 280

5 . 11 . 11 . 307 Glimepiride tablet 2 mg TABLET 668

5 . 11 . 11 . 308 Glimepiride tablet 3 mg TABLET 490

5 . 11 . 11 . 309 Glimepiride tablet 4 mg TABLET 1,083

5 . 11 . 11 . 310 Gliquidon tablet 30 mg TABLET 4,982

5 . 11 . 11 . 311 Gliserin BOTOL 6,498

5 . 11 . 11 . 312 Glukosa larutan infus 10 % steril BOTOL 12,540

5 . 11 . 11 . 313 Glukosa larutan infus 5 % steril BOTOL 5,313

5 . 11 . 11 . 314 Griseofulvin tablet 125 mg TABLET 228

5 . 11 . 11 . 315 Haloperidol tablet 0,5 mg TABLET 109

5 . 11 . 11 . 316 Haloperidol tablet 5 mg TABLET 79

5 . 11 . 11 . 317 Haloperidol tablet 1,5 mg TABLET 3,393

5 . 11 . 11 . 318 Hidrokortison krim 1% TUBE 3,393

5 . 11 . 11 . 319 Hidrokortison krim 2,5 % TUBE 3,989

5 . 11 . 11 . 320 Ibuprofen suspensi 100 mg/5 ml BOTOL 3,989

5 . 11 . 11 . 321 Ibuprofen suspensi 200 mg/5 ml BOTOL 4,455

5 . 11 . 11 . 322 Ibuprofen tablet 200 mg TABLET 93

5 . 11 . 11 . 323 Ibuprofen tablet 200 mg TABLET 93

5 . 11 . 11 . 324 Ibuprofen tablet 400 mg TABLET 234

5 . 11 . 11 . 325 Ibuprofen tablet 400 mg TABLET 144

5 . 11 . 11 . 326 Iodiol kapsul lunak KAPSUL 228

5 . 11 . 11 . 327 Isoniazid tablet 100 mg TABLET 100

5 . 11 . 11 . 328 Isosorbid Dinitrat tablet sublingual 5 mg TABLET 5,063

5 . 11 . 11 . 329 Itrakonazol kapsul/kaplet 100 mg KAPSUL/ KAPLET 388

5 . 11 . 11 . 330 Kalium Diklofenak tablet 50 mg TABLET 425

5 . 11 . 11 . 331 Kaptopril tablet 12,5 mg TABLET 72

5 . 11 . 11 . 332 Kaptopril tablet 25 mg TABLET 88

5 . 11 . 11 . 333 Kaptopril tablet 50 mg TABLET 134

5 . 11 . 11 . 334 Karbamazepin tablet 200 mg TABLET 243

5 . 11 . 11 . 335 Ketokonazol krim 2% TUBE 6,650

5 . 11 . 11 . 336 Ketokonazol tablet 200 mg TABLET 267

5 . 11 . 11 . 337 Ketoprofen injeksi 100 mg AMPUL 954

5 . 11 . 11 . 338 Ketoprofen tablet 100 mg TABLET 608

5 . 11 . 11 . 339 Ketorolac injeksi 10 mg AMPUL 518

5 . 11 . 11 . 340 Ketorolac injeksi 30 mg AMPUL 912

5 . 11 . 11 . 341 Klindamisin kapsul/kaplet 150 mg KAPSUL 686

5 . 11 . 11 . 342 Klindamisin kapsul/kaplet 300 mg KAPSUL 412

5 . 11 . 11 . 343 Klonidin tablet 0,15 mg TABLET 303

5 . 11 . 11 . 344 Kloramfenikol kapsul/kaplet 250 mg KAPSUL 240

5 . 11 . 11 . 345 Kloramfenikol salep mata 1 % TUBE 5,130

5 . 11 . 11 . 346 Kloramfenikol suspensi 125 mg/ 5 ml BOTOL 5,130

5 . 11 . 11 . 347 Kloramfenikol suspensi 125 mg/ 5 ml BOTOL 1,818

5 . 11 . 11 . 348 Kloramfenikol tetes telinga 3 % BOTOL 27

5 . 11 . 11 . 349 Klorfeniramina Maleat (CTM) tablet 4 mg TABLET 26

5 . 11 . 11 . 350 Klorokuin tablet 250 mg TABLET 107

5 . 11 . 11 . 351 Klorpromazin tablet salut 100 mg (HCl) TABLET 133

5 . 11 . 11 . 352 Klorpromazin injeksi i.m. 25 mg/ml (HCl) AMPUL 1,021

5 . 11 . 11 . 353 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) AMPUL 950

5 . 11 . 11 . 354 Klorpromazin tablet salut 25 mg (HCl) TABLET 487

5 . 11 . 11 . 355 Kodein tablet 10 mg TABLET 470

5 . 11 . 11 . 356 Kodein tablet 15 mg TABLET 800

5 . 11 . 11 . 357 Kodein tablet 20 mg TABLET 187

Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30

g Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,7 g

160

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 11 . 358 TABLET 140

5 . 11 . 11 . 359 TABLET 72

5 . 11 . 11 . 360 BOTOL 1,975

5 . 11 . 11 . 361 Kuinin Dihidroklorida injeksi 25% - 2 ml AMPUL 4,227

5 . 11 . 11 . 362 Lamivudine tablet 150 mg TABLET 1,072

5 . 11 . 11 . 363 Lanzoprazol kapsul/kaplet 30 mg KAPSUL 1,026

5 . 11 . 11 . 364 Levofloksasin tablet 500 mg TABLET 1,026

5 . 11 . 11 . 365 Levofloksasin tablet 500 mg TABLET 956

5 . 11 . 11 . 366 Lidokain injeksi 2% AMPUL 956

5 . 11 . 11 . 367 AMPUL 1,295

5 . 11 . 11 . 368 Linkomisin kapsul/kaplet 500 mg KAPSUL 520

5 . 11 . 11 . 369 Loperamid tablet 2 mg TABLET 90

5 . 11 . 11 . 370 Loratadin tablet 10 mg TABLET 176

5 . 11 . 11 . 371 Mebendazol sirup 100 mg / 5 ml BOTOL 3,534

5 . 11 . 11 . 372 Mebendazol tablet 100 mg TABLET 225

5 . 11 . 11 . 373 Meloksikam suppositoria SUPPOSITORIA 6,600

5 . 11 . 11 . 374 Meloksikam tablet 15 mg TABLET 575

5 . 11 . 11 . 375 Meloksikam tablet 7,5 mg TABLET 342

5 . 11 . 11 . 376 Menadion (Vitamin K3) injeksi 10 mg/ml AMPUL 1,250

5 . 11 . 11 . 377 Metampiron injeksi 250 mg AMPUL 1,200

5 . 11 . 11 . 378 Metampiron tablet 500 mg TABLET 145

5 . 11 . 11 . 379 Metformin HCl tablet 500 mg TABLET 196

5 . 11 . 11 . 380 Metformin HCl tablet 850 mg TABLET 293

5 . 11 . 11 . 381 Metilprednisolon injeksi 500 mg VIAL 18,240

5 . 11 . 11 . 382 Metilprednisolon tablet 16 mg TABLET 724

5 . 11 . 11 . 383 Metilprednisolon tablet 4 mg TABLET 276

5 . 11 . 11 . 384 Metilprednisolon tablet 8 mg TABLET 370

5 . 11 . 11 . 385 Metoklopramide tablet 10 mg TABLET 125

5 . 11 . 11 . 386 Metoklopramide tablet 5 mg TABLET 100

5 . 11 . 11 . 387 Metronidazol infus 500 mg/100 ml VIAL/ BOTOL 14,250

5 . 11 . 11 . 388 Metronidazol tablet 250 mg TABLET 123

5 . 11 . 11 . 389 Metronidazol tablet 500 mg TABLET 251

5 . 11 . 11 . 390 Mikonazol krim/salep 2 % (Nitrat) TUBE 3,000

5 . 11 . 11 . 391 SACHET 2,450

5 . 11 . 11 . 392 Morfin injeksi 10 mg/ml AMPUL 119

5 . 11 . 11 . 393 Morfin tablet 10 mg TABLET 1,206

5 . 11 . 11 . 394 Natrium Diklofenak tablet 50 mg TABLET 228

5 . 11 . 11 . 395 Natrium Diklofenak tablet 25 mg TABLET 134

5 . 11 . 11 . 396 Natrium Klorida larutan infus 0,9 % BOTOL 8,151

5 . 11 . 11 . 397 Nevirapin tablet 200 mg TABLET 2,613

5 . 11 . 11 . 398 Nifedipin tablet 10 mg TABLET 132

5 . 11 . 11 . 399 Nistatin tablet salut 500.000 IU/ g TABLET 640

5 . 11 . 11 . 400 Nistatin vaginal tablet 100.000 IU/ g TABLET 407

5 . 11 . 11 . 401 Obat Antituberkulosis FDC Kategori 1 PAKET 359,950

5 . 11 . 11 . 402 Obat Antituberkulosis FDC Kategori 2 PAKET 1,199,900

5 . 11 . 11 . 403 Obat Antituberkulosis FDC Kategori Anak PAKET 213,925

5 . 11 . 11 . 404 Obat Antituberkulosis FDC Sisipan PAKET 159,000

5 . 11 . 11 . 405 Obat Antituberkulosis Kategori 1 dewasa PAKET 288,100

5 . 11 . 11 . 406 Obat Antituberkulosis Kategori anak PAKET 171,900

5 . 11 . 11 . 407 Obat Batuk Hitam ( O.B.H. ) cairan BOTOL 4,724

5 . 11 . 11 . 408 Obat Batuk Hitam ( O.B.H. ) cairan BOTOL 3,192

5 . 11 . 11 . 409 Ofloxacin tablet 200 mg TABLET 413

5 . 11 . 11 . 410 Ofloxacin tablet 400 mg TABLET 654

5 . 11 . 11 . 411 Oksitetrasiklin HCl salep mata 1 % TUBE 1,600

5 . 11 . 11 . 412 Oksitetrasiklin salep kulit 3% TUBE 1,529

5 . 11 . 11 . 413 Omeprazol kapsul/kaplet 20 mg KAPSUL 344

5 . 11 . 11 . 414 Oseltamivir kapsul/kaplet 75 mg KAPSUL 13,000

5 . 11 . 11 . 415 Papaverin injeksi 40 mg/ml AMPUL 653

5 . 11 . 11 . 416 Papaverin tablet 40 mg TABLET 147

5 . 11 . 11 . 417 Parasetamol drops BOTOL 5,929

5 . 11 . 11 . 418 Parasetamol sirup 120 mg / 5 ml BOTOL 2,358

5 . 11 . 11 . 419 Parasetamol tablet 100 mg TABLET 32

5 . 11 . 11 . 420 Parasetamol tablet 500 mg TABLET 114

5 . 11 . 11 . 421 Parasetamol tablet 500 mg TABLET 81

5 . 11 . 11 . 422 Perfenazin tablet 4 mg (HCl) TABLET 54

5 . 11 . 11 . 423 Petidin injeksi 50 mg/ml AMPUL 16,530

5 . 11 . 11 . 424 Piracetam injeksi 1 g/5 ml AMPUL 3,135

5 . 11 . 11 . 425 Piracetam injeksi 3 g/15 ml AMPUL 7,800

5 . 11 . 11 . 426 Piracetam injeksi 3 g/15 ml AMPUL 7,800

Mineral Mix, kombinasi : Kalium klorida 1792 mg Trikalium sitrat

(1H2O) 648 mg Magnesium klorida (6H2O) 608 mg Seng asetat (2H2O)

66 mg Tembaga sulfat (5H2O) 11 mg

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml

Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,

Trimetoprim 80 mg

Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg

Trimetoprim 20 mg

Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim

40 mg / 5 ml

161

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 11 . 427 Piracetam tablet 1200 mg TABLET 738

5 . 11 . 11 . 428 Piracetam tablet 400 mg TABLET 258

5 . 11 . 11 . 429 Piracetam tablet 800 mg TABLET 458

5 . 11 . 11 . 430 Pirantel sirup 125 mg/5 ml BOTOL 8,250

5 . 11 . 11 . 431 Pirantel tablet score (base) 125 mg TABLET 340

5 . 11 . 11 . 432 Pirazinamid tablet 500 mg TABLET 241

5 . 11 . 11 . 433 Piroksikam kapsul/kaplet/tablet 10 mg KAPSUL/ KAPLET 195

5 . 11 . 11 . 434 Piroksikam kapsul/kaplet/tablet 20 mg TABLET 120

5 . 11 . 11 . 435 Povidon Iodida larutan 10% BOTOL 466

5 . 11 . 11 . 436 Povidon Iodida larutan 10% BOTOL 466

5 . 11 . 11 . 437 Povidon Iodida larutan 10% BOTOL 466

5 . 11 . 11 . 438 Povidon Iodida larutan 10% BOTOL 466

5 . 11 . 11 . 439 Prednison tablet 5 mg TABLET 713

5 . 11 . 11 . 440 Primakuin tablet 15 mg TABLET 114

5 . 11 . 11 . 441 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial VIAL 6,100

5 . 11 . 11 . 442 Propanolol tablet 40 mg (HCl) TABLET 131

5 . 11 . 11 . 443 Propanolol tablet 10 mg ( HCl ) TABLET 79

5 . 11 . 11 . 444 Propiltiourasil tablet 100 mg TABLET 364

5 . 11 . 11 . 445 Ramipril tablet 2,5 mg TABLET 300

5 . 11 . 11 . 446 Ramipril tablet 5 mg TABLET 661

5 . 11 . 11 . 447 Ranitidin injeksi 25 mg/2 ml AMPUL 1,461

5 . 11 . 11 . 448 Ranitidin tablet 150 mg TABLET 188

5 . 11 . 11 . 449 Ranitidin tablet 150 mg TABLET 188

5 . 11 . 11 . 450 Reserpin tablet 0,10 mg TABLET 81

5 . 11 . 11 . 451 Reserpin tablet 0,25 mg TABLET 103

5 . 11 . 11 . 452 Retinol (Vitamin A) 100.000 IU kapsul lunak KAPSUL LUNAK 242

5 . 11 . 11 . 453 Retinol (Vitamin A) 200.000 IU kapsul lunak KAPSUL LUNAK 432

5 . 11 . 11 . 454 Rifampisin kapsul/kaplet 300 mg KAPSUL 376

5 . 11 . 11 . 455 Rifampisin kapsul/kaplet 600 mg KAPLET 1,254

5 . 11 . 11 . 456 Rifampisin tablet salut 450 mg KAPSUL 914

5 . 11 . 11 . 457 Ringer Laktat larutan infus BOTOL 5,200

5 . 11 . 11 . 458 Risperidon tablet 2 mg TABLET 1,149

5 . 11 . 11 . 459 Salbutamol tablet 2 mg (sebagai Sulfat) TABLET 96

5 . 11 . 11 . 460 Salbutamol tablet 4 mg (sebagai Sulfat) TABLET 111

5 . 11 . 11 . 461 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% POT 1,800

5 . 11 . 11 . 462 Salisil Bedak 2 % KOTAK 5,330

5 . 11 . 11 . 463 Salisil Bedak 2 % KOTAK 5,330

5 . 11 . 11 . 464 Sefadroksil sirup kering 125 mg/5ml BOTOL 7,515

5 . 11 . 11 . 465 Sefadroksil kapsul/kaplet 250 mg KAPSUL 468

5 . 11 . 11 . 466 Sefadroksil kapsul/kaplet 500 mg KAPSUL/ KAPLET 593

5 . 11 . 11 . 467 Sefadroksil kapsul/kaplet 500 mg KAPSUL 593

5 . 11 . 11 . 468 Sefaleksin kapsul/kaplet 500 mg KAPSUL 593

5 . 11 . 11 . 469 Sefiksim 400 mg + Azitromisin 1000 mg PAKET 33,000

5 . 11 . 11 . 470 Sefiksim kapsul/kaplet 100 mg KAPSUL/ KAPLET 597

5 . 11 . 11 . 471 Sefiksim kapsul/kaplet 100 mg KAPSUL 597

5 . 11 . 11 . 472 Sefiksim sirup kering 100 mg/ 5 ml BOTOL 15,519

5 . 11 . 11 . 473 Sefotaksim injeksi 0,5 g VIAL 5,500

5 . 11 . 11 . 474 Sefotaksim injeksi 1 g VIAL 4,138

5 . 11 . 11 . 475 Seftazidim injeksi 1 g VIAL 2,091

5 . 11 . 11 . 476 Seftriakson injeksi 1 g VIAL 21,093

5 . 11 . 11 . 477 Seftriakson injeksi 1 g VIAL 21,093

5 . 11 . 11 . 478 Sianokobalamin (vitamin B12) injeksi 500 mcg AMPUL 916

5 . 11 . 11 . 479 Sianokobalamin (vitamin B12) tablet 50 mcg TABLET 21

5 . 11 . 11 . 480 Simetidin tablet 200 mg TABLET 157

5 . 11 . 11 . 481 Simvastatin tablet 10 mg TABLET 259

5 . 11 . 11 . 482 Simvastatin tablet 20 mg TABLET 497

5 . 11 . 11 . 483 Siprofloksasin infus 2% VIAL/ BOTOL 11,976

5 . 11 . 11 . 484 Siprofloksasin tablet 500 mg (sebagai HCl) TABLET 250

5 . 11 . 11 . 485 Siprofloksasin tablet 250 mg (sebagai HCl) TABLET 388

5 . 11 . 11 . 486 Spiramisin tablet 500 mg TABLET 1,386

5 . 11 . 11 . 487 Stavudin tablet 30 mg TABLET 843

5 . 11 . 11 . 488 Streptomisin serbuk injeksi i.v 1500 mg/ml VIAL 7,336

5 . 11 . 11 . 489 Sulfasalazin tablet 500 mg TABLET 415

5 . 11 . 11 . 490 Sulfasetamida Natrium tetes mata 15 % BOTOL 3,226

5 . 11 . 11 . 491 Tetrasiklin kapsul/kaplet 250 mg KAPSUL/ KAPLET 140

5 . 11 . 11 . 492 Tetrasiklin kapsul/kaplet 500 mg KAPSUL/ KAPLET 319

5 . 11 . 11 . 493 Tiamfenikol kapsul/kaplet 250 mg KAPSUL 319

5 . 11 . 11 . 494 Tiamfenikol kapsul/kaplet 500 mg KAPSUL 702

5 . 11 . 11 . 495 Tiamin (Vitamin B1) 100 mg tablet TABLET 47

5 . 11 . 11 . 496 Tiamin (Vitamin B1) injeksi 100 mg/ml AMPUL 680

5 . 11 . 11 . 497 Tiamin (Vitamin B1) injeksi 100 mg/ml AMPUL 680

5 . 11 . 11 . 498 Tramadol injeksi 50 mg/ml AMPUL 4,011

5 . 11 . 11 . 499 Tramadol kapsul/kaplet/tablet 50 mg KAPSUL 339

5 . 11 . 11 . 500 Tramadol kapsul/kaplet/tablet 50 mg KAPSUL 339

5 . 11 . 11 . 501 Triheksifenidil tablet 2 mg TABLET 47

5 . 11 . 11 . 502 Verapamil tablet 80 mg (HCl) TABLET 215

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HARGA NO. INDEKS JENIS / NAMA BARANG SATUAN

5 . 11 . 11 . 503 Zidovudin tablet 100 mg KAPSUL 949

5 . 11 . 11 . 504 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg TABLET 3,117

5 . 11 . 11 . 505 Zinc tablet 20 mg TABLET 538

5 . 11 . 12 . Radiologi

5 . 11 . 12 . 1 Developer 5 US Powder Box 1,335,259

5 . 11 . 12 . 2 Film Dry Start DT 2B Uk. 14 x 17 inchi pcs 43,953

5 . 11 . 12 . 3 Film Dry Start DT 2B Uk. 8 x 10 inchi pcs 53,295

5 . 11 . 12 . 4 Film USG upp 110 hg pcs 379,500

5 . 11 . 12 . 5 Fixer 5 US Powder pcs 991,582

5 . 11 . 12 . 6 Pepper USG sony pcs 218,880

5 . 11 . 12 . 7 Sample Cup Conical 4 ml pcs 9,022

5 . 11 . 12 . 8 X-Ray Film 18x24 pcs 62,273

5 . 11 . 12 . 9 X-Ray Film 24x30 pcs 39,986

5 . 11 . 12 . 10 X-Ray Film 30x40 pcs 1,469,430

5 . 11 . 12 . 11 X-Ray Film 35x35 pcs 85,215

5 . 11 . 12 . 12 X-Ray Film Dental pcs 9,450

5 . 11 . 13 . Lain-Lain

5 . 11 . 13 . 1 Aroma Pc 262

5 . 11 . 13 . 2 Botol reagen 20 ml Botol 798

5 . 11 . 13 . 3 Botol reagen 40 ml Botol 1,129

5 . 11 . 13 . 4 Botol reagen 60 ml Botol 713

5 . 11 . 13 . 5 Cartridge 05 10" CP Pc 37,950

5 . 11 . 13 . 6 Catridge 0,5 u 10 cp Pc 37,620

5 . 11 . 13 . 7 Catridge 0,5 u 20 cp Pc 126,500

5 . 11 . 13 . 8 Flacon Botol 294,690

5 . 11 . 13 . 9 Garam N Yodium Kg 6,270

5 . 11 . 13 . 10 Hemoclean cair Galon 380

5 . 11 . 13 . 11 Kertas (Paper) Puyer Box 56

5 . 11 . 13 . 12 L.Pop Botol 904,480

5 . 11 . 13 . 13 Medicine Packet s i-20 Box 3,009,600

5 . 11 . 13 . 14 Mortir 16 cm Pasang 62,700

5 . 11 . 13 . 15 NaOCL Pc 63

5 . 11 . 13 . 16 Nuprep Tube 326,040

5 . 11 . 13 . 17 Red Dot Elektroda Box 7,660

5 . 11 . 13 . 18 Refren Elektroda Kit 4,958,890

5 . 11 . 13 . 19 Single Blood Bag 250 ml Pc 303,600

5 . 11 . 13 . 20 Soda Lime Galon 140

5 . 11 . 13 . 21 Ten 20 (EEG Paste) Tube 359,010

5 . 11 . 13 . 22 Tube set peristaltik Kit 455,970

5 . 11 . 13 . 23 Vometa Syr Botol 41,758

5 . 11 . 13 . 24 Zekrya 23 mm Pc 88,550

5 . 11 . 13 . 25 Sanbe Hest Flab 196,264

5 . 11 . 13 . 26 Futrolit Flab 44,833

5 . 11 . 13 . 27 Nacl 0.9 100ml Flab 12,415

5 . 11 . 13 . 28 D5% OGB 100 ml Flab 13,794

5 . 11 . 13 . 29 Dexketoprofen inj ampul 23,370

5 . 11 . 13 . 30 Fozen enema botol 88,282

5 . 11 . 13 . 31 Vit. C inj ampul 6,580

5 . 11 . 13 . 32 Atracurium inj ampul 44,486

5 . 11 . 13 . 33 Oxytocin inj ampul 2,166

163