tahun 2017 · jenis barang merk/model/ukuran satuan harga ... 138 kertas mesin kira hvs 5,8 gulung...

348
KEPUTUSAN GUBERNUR ACEH N O M O R : 028 / 781 / 2016 TANGGAL : 1 NOVEMBER 2016 M 1 SAFAR 1438 H TENTANG PENETAPAN STANDAR SATUAN HARGA BARANG/JASA PEMERINTAH ACEH TAHUN 2017 DINAS PENDAPATAN DAN KEKAYAAN ACEH

Upload: donguyet

Post on 16-Mar-2019

555 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

KEPUTUSAN GUBERNUR ACEH

N O M O R : 028 / 781 / 2016 TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

TENTANG

PENETAPAN STANDAR SATUAN HARGA BARANG/JASA PEMERINTAH ACEH

TAHUN 2017

DINAS PENDAPATAN DAN KEKAYAAN ACEH

Page 2: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500
Page 3: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500
Page 4: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500
Page 5: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

DAFTAR ISI

STANDAR SATUAN HARGA BARANG / JASA

TAHUN ANGGARAN 2017

I. BIDANG PERINDUSTRIAN DAN PERDAGANGAN

1. KELOMPOK BARANG ALAT TULIS KANTOR....................... ......1 - 12 2. KELOMPOK BARANG CETAKAN........................................ .....13 -18 3. KELOMPOK BARANG ALAT RUMAH TANGGA ....................... 19 - 38 4. KELOMPOK BARANG SERAGAM DINAS.................................39 - 40 5. KELOMPOK BARANG PERLENGKAPAN OLAH RAGA ...............41 - 45 6. KELOMPOK BARANG ALAT LISTRIK......................................46 - 52 7. KELOMPOK BARANG PEMADAM ..........................................53 - 59 8. KELOMPOK PEMELIHARAAN KANTOR ................................60 - 61 9. KELOMPOK BARANG ELEKTRONIK.......................................62 - 85 10.KELOMPOK BARANG COMPUTER ................................... ....86 - 96 II. BIDANG PERTANIAN, PERKEBUNAN, KEHUTANAN,

PETERNAKAN,PERIKANAN

1. KELOMPOK BARANG PERTANIAN.......................................97– 104 2. KELOMPOK BARANG PERKEBUNAN...................................105 –116 3. KELOMPOK BARANG KEHUTANAN.....................................117 -122 4. KELOMPOK BARANG PERIKANAN......................................123 -134 5. KELOMPOK BARANG PETERNAKAN.....................................135-144

III. BIDANG OBAT OBATAN, BAHAN MEDIS HABIS PAKAI, ALAT KESEHATAN 1. KELOMPOK BARANG OBAT- OBATAN (E – CATALOG).......145-163 2. KELOMPOK BARANG BMHP (E – CATALOG )....................164-236 3. KELOMPOK BARANG ALKES............................................237-248 4. KELOMPOK BARANG OBAT- OBATAN..............................249-320

Page 6: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

ALAT TULIS KANTOR

Page 7: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

I. ALAT TULIS KANTOR

1 2 3 4 5

A. KEBUTUHAN KANTOR

1 Alat Nomorator Nomor 31 Buah 118,054

2 Alat Nomorator Nomor 45 Buah 174,621

3 Alat Nomorator Nomor 51 Buah 188,148

4 Amplop Cassing Folio(F4) Viva Pack 61,486

5 Amplop Cassing Kwarto(A4) Viva Pack 51,648

6 Amplop Cassing Kecil Viva Dinas/Kabinet Pack 25,824

7 Amplop Cassing Besar Viva Pack 60,257

Besar Viva Map /AA Pack 73,784

8 Amplop Coklat Airmail bertali Folio/ 310 Lembar 4,919

9 Amplop Coklat Airmail bertali Map/312 Lembar 8,608

10 Amplop Coklat Airmail bertali Kwarto/309 Lembar 6,149

11 Amplop Coklat Airmail bertali B-4/311 Lembar 7,378

12 Amplop Coklat Airmail bertali Super Kabinet 307 Lembar 4,919

13 Amplop Linen Putih Besar V i v a No 90 Kotak 39,351

14 Amplop Linen Putih Kecil V i v a kwarto no.0 Kotak 51,648

15 Amplop Linen Putih Sedang V i v a 1105 Kotak 27,054

16 Anak Penjilid No. 1210 Kotak 25,824

No. 1210 kanggoro Kotak 23,365

17 Anak Penjilid No. 1213 Kotak 33,203

No. 1213 kanngoro Kotak 27,054

18 Anak Penjilid No. 1215 Kotak 45,500

No. 1215 kanggoro Kotak 39,351

19 Anak Penjilid No. 1217 Kotak 57,797

No. 1217 kanggoro Kotak 51,648

20 Anak penjilid sedang MAX No. 3 Kotak 188,148

21 Anak penjilid kecil MAX No. 10 Kotak 100,838

22 Bak Surat Kawat - Buah 100,838

23 Bak Surat Plastik Deluxe paper tray Buah 119,283

24 Bak Surat Steel 2 susun Venica paper tray Buah 119,283

Venica paper tray v-tec Buah 231,188

25 Bak Surat Steel 3 susun Venica paper tray Buah 498,039

Venica paper tray v -tec Buah 434,093

26 Bak Surat Steel Engkel Venica Buah 223,810

27 Ballpoint B i c / kenko- K I Buah 11,068

kenko- K I Buah 9,838

Bic Cristal Buah 9,838

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

KEPUTUSAN GUBERNUR ACEH NOMOR : 028 / 781 / 2016TANGGAL : 1 NOPEMBER 2016 M 1 SAFAR 1438 H

SSHB ATK 1

Page 8: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Pilot BPT.P Buah 4,919

Pentel (M) Buah 99,608

TOP B-3000 Buah 9,838

TOP 4 warna Reddot 3B Buah 9,838

4 warna reddot 3B kenko Buah 13,527

5 warna reddot 310 c Buah 10,453

Mitsubishi Boxi Uniball Buah 17,216

Jupiter Gel Joyko Buah 9,838

Pilot BPRK Buah 22,135

Pilot G-1 0,7 Buah 22,135

Pilot G-2 0,7 Buah 33,203

Pentel Japan MG 8 Buah 59,027 Drawing Pen 01,02,03

SnowmanBuah 33,203

Stabilo Galaxy/Sparkle Buah 11,068

Stabilo Point 88 Buah 13,527

Stabilo BOSS Buah 10,453

Pronto Liner 90 Buah 12,912

Pronto Rolla 06 Buah 12,912

Snowman VI-V2 Batang 4,919

Parker STD R-B Batang 134,040

Parker STD F-B Batang 134,040

Parker Besi R-B Batang 372,607

Parker Besi F-B Batang 223,810

Parker Besi B-B Batang 268,080

28 BallPoint Transparan Ohp 4 btg/Set Faber Castle Set 56,567

6 btg/Set Faber Castle Set 77,473

4 btg/Set Snowman Set 51,648

6 btg/Set Snowman Set 76,243

8 btg/Set Snowman Set 94,689

29 Bantal Stempel Besar Bertinta Artline / Hero Buah 15,986

Hero 1460 Buah 14,757

30 Bantal Stempel Besar Biasa Artline / Joyko Buah 14,757

Artline / Joyko/kenko Buah 14,757

joyco no.2 Buah 14,757

31 Bantal Stempel Kecil Bertinta Hero Buah 9,838

Hero 2460 Buah 11,068

32 Bantal Stempel Kecil Biasa Hero Buah 8,608

Hero 1460 Buah 14,757

33 Batang Rapido No. 0,1 Staedtler Batang 237,337

34 Batang Rapido No. 0,2 Staedtler Batang 200,445

35 Batang Rapido No. 0,3 Staedtler Batang 164,783

36 Batang Rapido No. 0,4 Staedtler Batang 141,418

37 Batang Rapido No. 0,5 s.d 1,2 Staedtler Batang 141,418

38 Binder Clips No. 107 Kotak 7,378

SSHB ATK 2

Page 9: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

No. 111 Kotak 9,838

No. 155 Kotak 11,682

No. 200 Kotak 19,676

No. 260 Kotak 33,203

39 Block Note Isi 25 lembar Buah 4,919

40 Block Note PPL A5 6,149

41 Block Note Isi 50 lembar Paperline A5 Buah 12,297

42 Bor kertas Drill Unsh CD.30 Buah 657,903

Drill Unsh CD.30 C2 H Buah 903,848

43 Box Arsip L=18,P=38,T27cm(bhn karton) Buah 33,203

44 Box File Plastik Lucky No. 902 Buah 28,284

45 Brief Ordener Karton 401/402/403 G & R / PAKAR Buah 19,676

46 Brief Ordener Plastik Combo Buah 39,351

Bantex No. 403 Buah 39,351

Bantex No. 8522 Buah 51,648

Bantex No. 8562-07 Buah 76,243

No. 4011 Buah 39,351

No. 4033 Buah 39,351

47 Buku Agenda Folio Isi 200 Lembar Buah 41,811

Folio, Isi 100 lembar (90 Lbr) Buah 24,595

Folio, Isi 500 lembar Buah 174,621

48 Buku Ekspedisi bercetak 10 x 31 cm, isi 50 lbr Buah 9,838

10 x 31cm,isi 100 lbr (90 Lmbr) Buah 15,986

49 Buku Folio bergarisKombinasi (Pirimetamin 25 mg +

Sulfadoksin 500 mg) Buah 33,203

Isi 500 lembar Buah 213,972

50 Buku Folio Klaper AA Isi 200 Lembar Buah 41,811

AA Isi 100 lembar Buah 20,905

51 Buku Kas Kwarto, Isi 100 lbr Buah 11,068

52 Buku Kas Standar Kwarto, Isi 100 lbr Buah 11,068

53 Buku Kas Kwarto, Isi 200 lbr Buah 20,905

54 Buku Kas Folio, Isi 100 lembar Buah 15,986

55 Buku Kas Standar Folio, Isi 100 lembar Buah 20,905

56 Buku Kas Folio, Isi 200 lembar Buah 28,284

57 Buku Klaper kecil Isi 50 lembar Buah 12,297

58 Buku Kwarto bergaris Isi 100 lembar Buah 9,838

Isi 100 lembar AA Buah 13,527

Isi 200 lembar Buah 20,905

Isi 200 lembar AA Buah 24,595

97 Buku Kwitansi Ukr. 9,5 x 24,5 cm (AA) Buah 8,608

98 Buku Kwitansi Dinas Ukr. ½ Folio Blok 12,297

99 Buku Milimeter Block Note D/F Isi 25 lembar Buah 15,986

Isi 50 lembar Buah 23,365

100 Buku Milimeter Block Note Folio Isi 25 lembar Buah 15,986

Isi 50 lembar Buah 12,297

SSHB ATK 3

Page 10: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

101 Buku Tulis Isi 40 Lembar AA Buah 4,304

Isi 50 Lembar DoDo Buah 6,149

Isi 60 Lembar AA Buah 8,608

Isi 18 lembar Buah 3,074

Isi 32 lembar Buah 3,689

Isi 32 Lembar (dodo) Buah 4,919

Isi 100 lembar Buah 9,838

Isi 100 Lembar (AA) Buah 11,068

Isi 200 lembar Buah 18,446

102 Buku Tulis Big Boss Isi 42 Lembar Buah 11,068

103 Buku Tulis Big siswa Isi 42 Lembar Buah 7,378

104 Busur Kayu Buah 12,297

105 Correction Tipp - Ex 20 ml Set 11,068

Tipp - Ex 30 ml Set 12,297

Re - Type Set 13,527

Pelikan Set 31,973

106 Correction Pen Pentel Buah 31,973

107 Jangka Kayu Buah 13,527

108 Jepitan Brief Ordener - Pasang 56,567

109 Karbon Ukuran F4 (Folio) kotak/100 lbr 76,243

Ukuran F4 (Folio) kanggoro kotak/100 lbr 51,648

Ukuiran A3 (Double folio) kotak/100 lbr 63,946

110 Karton Alas Meja Ukr. 50 x 65 cm Lembar 39,351

111 Kertas bergaris Ukr. Double Folio Rim/Paks 33,203

Ukr. Double Folio biasa Rim 82,392

Ukr. Double Folio biasa paks 36,892

112 Kertas Buffalo Ukr. Plano Lembar 8,608

124 Kertas Calkuer Canson, ukr 60/65 gr 1x10m R o l 126,662

Canson, ukr 70/75 gr 1x10m R o l 137,729

Canson, ukr 80/85 gr 1x10m R o l 151,256

Canson, ukr 90/95 gr 1x10m R o l 193,067

Canson, ukr 100/105 gr 1x10m R o l 119,283

125 Kertas Carpartur Folio Rim 76,243

126 Kertas Cassing Ukr. Plano Lembar 6,149

127 Kertas Computer (HVS) 147/8 x 11 1 Ply Kotak 274,229

147/8 x 11 2 Ply Kotak 470,985

147/8 x 11 3 Ply Kotak 841,132

147/8 x 11 4 Ply Kotak 621,012

147/8 x 11 5 Ply Kotak 499,269

91/2 x 11 1 Ply Kotak 140,189

91/2 x 11 2 Ply Kotak 200,445

91/2 x 11 3 Ply Kotak 317,269

91/2 x 11 4 Ply Kotak 225,040

91/2 x 11 5 Ply Kotak 403,350

SSHB ATK 4

Page 11: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

128 Kertas Computer (NCR) 147/8 x 11 2 Ply Kotak 504,188

147/8 x 11 3 Ply Kotak 827,605

147/8 x 11 4 Ply Kotak 558,295

147/8 x 11 5 Ply Kotak 489,431

91/2 x 11 2 Ply Kotak 335,715

91/2 x 11 3 Ply Kotak 530,012

91/2 x 11 4 Ply Kotak 200,445

91/2 x 11 5 Ply Kotak 440,242

129 Kertas Dorslag Folio, 28 gram Rim 52,878

Duoble Folio, 28 gram Rim 27,054

130 Kertas Dorslag berwarna Folio, 28 gram Rim 50,419

Duoble Folio, 28 gram Rim 49,189

131 Kertas Duplikator Folio Rim 66,405

Double Folio Rim 39,351

132 Kertas Faximile 210 mm x 3 m Gulung 33,203

133 Kertas Faximile kecil Gulung 23,365

134 Kertas HVS F4 (Folio), 60 gram Rim 45,500

F4 (Folio), 60 gram mirage Rim 45,500

A4 (kwarto), 60 gram Rim 39,351

A3 (double folio), 60 gram Rim 76,243

F4 (Folio), 70 gram Rim 52,878

F4 (Folio), 70 gram BD Rim 52,878

A4 (kwarto), 70 gram Rim 46,730

A4 (kwarto), 70 gram BD Rim 45,500

A3 (double folio), 70 gram Rim 82,392

A3 (double folio), 70 gram BD Rim 82,392

F4 (Folio), 80 gram Rim 66,405

A4 (kwarto), 80 gram Rim 57,797

A3 (double folio), 80 gram Rim 100,838

135 Kertas HVS berwarna F4, 60 gram Rim 57,797

A3, 60 gram Rim 82,392

136 Kertas Map Binder Loose Leaf 50 Lbr Blok 6,149

Loose Leaf 50 Lbr A5 Blok 7,378

137 Kertas Memo Tempel Pronto,Mark & Note 20x50 mm pad 20,905

Pronto, Stdr Yellow, 40x50 mm pad 8,608

Pronto, Stdr Yellow, 50x75 mm pad 9,838

Pronto, Stdr Yellow, 75x75 mm pad 11,068

Yellow, 76x76 mm hopax 15,986

Pronto, Stdr Yellow, 75x125 mm pad 20,905

Pronto, Stdr Yellow, 150 x 101 mm hopax 33,203

Pronto, Flourescent, 40x50 mm pad 8,608

Flourescent, 75 x 100 mm eagle 17,216

Pronto, Flourescent, 50x75 mm pad 8,608

Pronto,Flourescent,75x125 mm pad 14,757

SSHB ATK 5

Page 12: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Pronto,Flourescent,75x125 mm eagle 19,676

138 Kertas Mesin Kira HVS 5,8 Gulung 13,527

HVS 6,8 Gulung 17,216

139 Kertas Milimeter Paper S t a r / Drupa R o l 70,094

140 Kertas Milimeter Qalkuer S t a r R o l 119,283

141 Kertas Ozalit Porcelin 1 m / Regma Gulung 110,675

142 Kertas Sampul Licin Ukr. Plano Lembar 3,074

143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

Double Folio Rim 31,973

144 Kertas Stensil Koran berwarna Folio Rim 39,351

Double Folio Rim 70,094

145 Kertas Teleks (HVS) 1 Ply Gulung 54,108

2 Ply Gulung 95,919

3 Ply Gulung 100,838

146 Lotto Map Walet Folio Buah 81,162

147 Map Binder Campus Loose Leaf Buah 25,824

148 Map Folder Folio Buah 28,284

Folio 40 l Buah 39,351

149 Map Gantung Folio Buah 8,608

Folio miero Buah 8,608

150 Map Kantong (Pocket) Garda Buah 24,595

151 Map Lucky Folio Buah 20,905

152 Map Lucky lobang Folio Buah 20,905

153 Map Mica Folio Buah 9,838

154 Map Mica lobang Folio Buah 9,838

155 Map Odner berlabel Karton Asahi Buah 6,149

156 Map Pakai Tali Pronto, Folio Buah 7,378

157 Map Plastik pakai kancing Folio Buah 7,378

158 Map Plastik Pidato Pronto, Folio Buah 7,378

159 Map Report File Pronto, Folio Buah 11,068

160 Map Swingrip File Pronto, Folio Buah 9,838

161 Mata Pinsil Mecanic 0,3 s/d1,0 Staedtler/Faber Castel Kotak 63,946

162 Mata Pisau Cutter Kenko L-500 Kotak 9,838

163 Mata Rapidograph No. 0,1 Steadler Buah 199,216

164 Mata Rapidograph No. 0,2 Steadler Buah 162,324

165 Mata Rapidograph No. 0,3 Steadler Buah 134,040

166 Paku Tekan/Payung Square Kotak 10,453

shilin Kotak 11,068

167 Paper Clips Atom 303 Kotak 27,054

168 Parker Roller - Batang 22,135

169 Pelobang Kertas Kenko No. 40 Buah 36,892

Kenko No. 85 Buah 68,865

General 220 / kangan Buah 105,756

Pronto Mini 2 Hole Punch Buah 24,595

SSHB ATK 6

Page 13: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

170 Pelubang KertasPronto 4 Hole Punch Adjustable

PunchBuah 94,689

171 Pemotong Isolasi

DR-50 Buah 39,351

kenjoy Buah 23,365

172 Pena Sheet Katsumi Batang 15,986

173 Pencabut Anak Klip Buah 9,838

SR 45T Buah 12,297

kanggoro Buah 13,527

174 Penggantung T QT-04 Buah 60,257

175 Penghapus Papan Tulis Buah 6,149

Kenjoy Kel Buah 7,993

177 Penghapus White Board Buah 8,608

Kenjor bsr Buah 9,838

178 Penjilid Besar/Staples MAX HD 12 L / 17 Buah 1,869,183

MAX HD 12 N / 24 Buah 1,617,089

MAX HD 12N / 17 MAX Buah 1,457,225

MAX HD 3D Buah 590,268

Guntecker MAX TG-A Buah 593,958

179 Penjilid Besar Novus HD 12 L Buah 1,321,955

180 Penjilid Kecil Kenko No. 3 Buah 49,189

181 Penjilid sedang/Staples Kangaro HD 23 S 20 FL Buah 559,525

Kangaro HD 23 S 24FL 597,647

182 Penjilid Sedang MAX Nomor 10 Buah 22,135

Pronto, Nomor 10 Buah 15,986

183 Pensil biasa Great Wall Batang 4,919

184 Pensil Copy Ribbon Batang 15,986

185 Pensil Gambar Steadlear 2 B Batang 7,993

186 Pensil Graphite Stabilo Opera 2B Batang 12,912

Stabilo Trio Pencil, HB,2B,4B Batang 9,223

187 Pensil Isi UlangStabilo, Leads 2B (isi 12 pcs 0,5

mm)Tube 11,068

188 Pensil Isi Ulang kenko Leads 2B (isi 12 pcs 0,5 mm) 11,068

189 Pensil Merah Biru Vivester Batang 6,149

Ribbon Batang 10,453

190 Pinsil Mecanic 0,3 s.d 1,0 Staedtler Batang 39,351

191 Pinsil Mecanic 0,3 s.d 1,0 Rotring/Faber Castel Batang 39,351

192 Pisau Cutter Plastik L-500 Buah 24,595

Kenko L-500 Buah 24,595

193 Pita Komputer Epson 7754 Original Buah 39,351

Epson 8750 Buah 82,392

Epson 8750 Original Buah 143,878

194 Pita Printer (Cartridge) Original LQ-2170, 2180, 2070, 2080, Buah 225,040

195 Pita Letter D y m o Gulung 33,203

196 Pita Mesin Tulis Swallow Gulung 39,351

Royal SE 1005-1042 Buah 68,865

SSHB ATK 7

Page 14: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Royal TA 8808 Buah 65,175

Canon AP 01 Buah 60,257

Brother 17020 Buah 97,148

197 Pita Mesin Tulis Elektrik IBM Model 129905 Buah 188,148

IBM Model 129950 Buah 93,459

198 Pita penghapus Mesin Tulis Elektrik Canon/Royal/Brother Buah 89,155

199 Refill Pita Computer Full Mark 7754 Buah 15,986

Epson 7754 Buah 15,986

200 Refill/Tinta Suntik Dataprint Black Kotak 43,040

Dataprint Colour Kotak 43,040

e print Black Botol 71,324

e print Color Botol 71,324

201 Rol Besi Bona 30 cm Batang 7,378

30 cm Batang 6,763

Bona 50 cm Batang 16,601

50 cm Batang 11,068

Bona 100 cm Batang 25,824

100 cm Batang 27,054

202 Rol Kayu Anchor 30 cm Buah 45,500

Anchor 50 cm Buah 97,148

203 Rol Kayu Biasa 100 cm Batang 9,838

204 Rol Plastik Tebal Butterfly 30 cm Buah 6,149

Butterfly 60 cm Buah 20,905

205 Rol Segitiga Kayu Set 12,297

No 10 Set 20,905

206 Skat/Pembatas Arsip Karton Asahi Buah 9,838

207 Snelchecter Map Folio Buah 6,149

Folio asahi Buah 6,149

208 Spidol 12 warna Melody Kotak 20,905

Melody kenko Kotak 23,365

v gen Kotak 7,378

209 Spidol 8 warna Pentouch set 39,351

210 Spidol Emas/Perak F Pilot/Snowman Batang 27,054

Snowman Batang 13,527

211 Spidol Emas/Perak M Pilot/Snowman Batang 25,824

Snowman Batang 12,912

212 Spidol Super Colour Market Batang 11,068

213 Spidol White Board Snowman Batang 12,297

214 Stabillo Boss Highlighters Pen, Pronto Life Buah 11,068

Highlighters Boss Super Plus 70 Buah 15,986 Highlighters Swing Cool 275, set

4Buah 49,189

215 Stif Kombinasi Pelikan Buah 6,149

216 Stif Penghapus Stabilo Buah 5,534

Staedtler B-40 Buah 5,534

SSHB ATK 8

Page 15: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Staedtler B-20 Buah 9,838

217 Stop Map Folio Batik Buah 6,149

218 Stop Map Folio Tebal Asahi/Garda Buah 6,149

219 Stopmap Licin Folio Buah 3,074

220 T o n e r Gestetner 2130 S e t 156,175

Ricoh S e t 83,621

221 Tempat Ballpoint Meja Stationery Buah 33,203

Stationery 8312 Buah 51,648

Stationery desk organizer 1015 Buah 43,040

222 Tinta Ball point Parker Batang 30,128

Sheafer Batang 42,426

Pentel Batang 24,595

Unipen Batang 12,297

Pilot G1 & G2 Batang 15,986

Uniball Roller Batang 15,986

223 Tinta cair Canon 24 Black Botol 243,486

Canon 24 Color Botol 328,337

Canon PG 40 Botol 354,161

Canon CL 41 Botol 454,999

Canon 830 (black) Botol 306,202

Canon 831 (color) Botol 394,742 Canon BCI 6 Black Yellow Magenta

CyanBotol 191,837

Canon 810xl Botol 319,729

Canon 811 Botol 400,891

Hp60 Black Botol 286,526

HP 60 Color Botol 335,715

HP 21 Botol 430,404

HP 22 Botol 496,809

HP 27A Botol 287,756

HP 28A Botol 348,012

Epson T0493 Botol 258,242

Epson T0494 Botol 258,242

Epson T038 Botol 209,053

Epson T039 Botol 270,540

Indian / Buaya Botol 43,040

Buaya besar 6,763

224 Tinta Rafido Steadler Botol 57,797

225 Tinta Stempel Tellen Botol 11,068

226 Tinta Stensil Gestetner Tube 57,797

G l o b e Tube 63,946

Standard Tube 82,392

227 Tinta Tulis Parker Botol 31,973

Hero Botol 11,068

228 Tissue Gulung Nice 2 Ply Gulung 7,378

SSHB ATK 9

Page 16: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

229 Tissue Kotak 60 x 2 Ply Kotak 39,351

120 x 2 Ply Kotak 12,297

230 Toner/Cartridge Cartridge HP 12A Buah 1,438,779

Cartridge HP 35A Buah 1,254,320

Cartridge HP Q6000A Buah 1,465,833

Cartridge HP Q6003A Buah 1,604,792

Cartridge HP Q6001 Buah 1,604,792

Cartridge HP Q6002 Buah 1,604,792

231 Writing Pad bergaris Isi 50 lembar Paperline A4 Buah 11,068

Isi 50 lembar writing pad Buah 7,378

B. ALAT-ALAT KEBUTUHAN LAINNYA

1 Batteray Wireless Panasonic Buah 12,353

2 Batu Bateray Besar Alkaline A Buah 16,059

ABC A Buah 11,118

3 Batu Bateray Kecil Alkaline AAA Buah 14,824

ABC AAA Buah 7,412

4 Batu Bateray sedang Alkalin AA Buah 14,824

ABC AA Buah 8,647

5 Benang pengikat Cap Jangkar Ramie Gulung 12,297

6 Cleaning Kit (Pembersih) Botol 67,635

Biosol 11,068

7 D e v e l o p e r Gestetner 2130 Botol 682,498

Ricoh Botol 623,471

8 Driehock Butterfly No. 10 R u l e Set 23,365

Butterfly No. 10 R u l e segitiga Set 19,676

9 Driehock Butterfly No. 8 R u l e Set 15,986

Butterfly No. 8 Rule Segitiga Set 14,757

10 Driehock Butterfly No. 9 R u l e Set 15,986

Butterfly No. 12 Rule Segitiga Set 24,595

11 Eksternal hardisk 320 GB Buah 703,593

500 GB Buah 936,883

250 GB Buah 518,698

1 TB Buah 1,489,086

12 Flashdisk 4 GB HP Buah 104,527

8 GB Buah 116,824

8 GB HP Buah 166,013

16 GB Buah 166,013

16 GB HP Buah 301,283

32 GB Buah 313,580

64 GB Buah 485,742

128 GB Buah 761,200

13 Gunting Joyco Kecil Buah 9,223

SSHB ATK 10

Page 17: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Gonindo DSS Buah 7,993

Kecil KA 818 Buah 7,993

Joyco Sedang Buah 11,068

OMM Buah 8,608

sedang KA 838 Buah 9,838

Joyco Besar Buah 15,986

OLL Buah 9,838

besar kc 888 Buah 14,757

14 Isolasi Bening 1/2 x 72 Gulung 6,149

1/2x72 tebal Gulung 4,919

1/2 x 72 ashton Gulung 4,919

15 Isolasi Bening 1 x 72 Gulung 7,993

1x72 tebal Gulung 7,993

1 x 72 ashton Gulung 7,993

2 x 72 Gulung 13,527

2x72 orange Gp Gulung 24,595

2 x 72 90 y ashton Gulung 14,757

16 Isolasi Lakban 2 x 70 Gulung 15,986

2x 70 HJ GP Gulung 12,912

2 x 70 90 y ashton Gulung 14,757

17 Isolasi Linen Tape 1 x 70 Gulung 9,223

1 x 70 GP Gulung 9,223

1 x 70 tbl sks Gulung 11,068

1 1/2 x 70 Gulung 14,757

1 1/2 x 70 Gulung 14,757

1 1/2 x 70 tbl sks Gulung 14,757

2 x 70 Gulung 19,676

2 x 70 Gulung 18,446

2 x 70 tbl sks Gulung 19,676

18 Kapur Tulis Cap Camel Kotak 7,378

19 Kapur Tulis Berwarna Cap Camel Kotak 13,527

20 Karbol Wangi Botol Botol 23,365

21 Karton Bufallo Folio Lembar 6,149

22 Karton Duplex Folio Lembar 6,149

23 Karton Linen Folio Lembar 2,459

24 Karton Manila (BC) Plano Lembar 4,304

25 Koreksi Ink A S I A Botol 39,351

26 L e m Pronto, Gluestick 9 gr Buah 11,068

Gluestick 8 gr kenko Buah 6,149

27 L e m Pronto, Gluestick 15 gr Buah 19,676

Gluestick 15 gr kenko Buah 9,838

28 L e m Acme Ukr. Besar Botol 6,149

29 L e m Acme Ukr. Kecil Botol 3,074

30 Mouse Hp Buah 39,351

SSHB ATK 11

Page 18: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Acer Buah 51,648

Eyota Buah 33,203

41 Plastik Sampul Nanya 35 Y Gulung 89,770

Nanya 35 Y AB Gulung 354,161

42 Plastik Transparan 0.8 Kotak 36,892

43 Plastik Transparan 1.2 Kotak 52,878

44 Prestige Roller T o p Batang 14,757

45 Rautan Pinsil Meja Kenko/Angel-5 Buah 116,824

46 Sheet Fotocopy 3-4 Master, FolioKotak/100

lbr 1,545,765

47 Sheet Stensil Clover, Folio Kotak/48 lbr 153,716

Gestetner, Folio Kotak/50 lbr 221,351

Gestetner, Double FolioKotak/100

lbr 442,701

SSHB ATK 12

Page 19: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

CETAKAN

Page 20: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

II. KELOMPOK BARANG CETAKAN

1 2 3 4 5 6 7

A. CETAKAN BLANKO/FORMULIR

1 Bahan HVS 60 gram ¼ Folio 379 316 442 442

½ Folio 379 316 568 442

Folio 316 303 632 442

Double Folio 1,074 366 1,895 1,516

2 Bahan HVS 70 gram ¼ Folio 379 202 3,411 505

½ Folio 379 202 568 505

Folio 379 240 568 505

Double Folio 910 354 2,148 1,642

3 Bahan HVS 80 gram ¼ Folio 442 354 884 632

½ Folio 316 265 505 442

Folio 316 278 568 442

Double Folio 1,832 392 2,274 2,274

4 Bahan Kertas Dorslag ¼ Folio 379 126 379 253

½ Folio 379 202 568 442

Folio 379 215 568 505

Double Folio 568 265 1,200 1,011

5 Bahan NCR 2 ply (Top + Bottom) ¼ Folio 568 215 884 442

½ Folio 379 215 505 379

Folio 568 240 884 695

Double Folio 1,769 455 2,400 2,274

6 Bahan NCR 3 ply ( Top + 1 ¼ Folio 568 328 2,906 1,642

Middle +1 Bottom ) ½ Folio 568 328 2,906 1,642

Kombinasi Pirimetamin 25 mg

+ Sulfadoksin 500 mg) 884 455 2,463 2,148

Double Folio 2,653 493 1,895 3,032

7 Bahan NCR 4 ply ( Top + 2 ¼ Folio 1,200 771 2,463 2,148

Middle + 1 Bottom ) ½ Folio 720 1,011 884 884

Folio 1,074 1,516 884 884

Double Folio 2,653 2,148 3,663 3,032

8 Bahan NCR 5 ply ( Top + 3 ¼ Folio 947 821 1,895 2,021

Middle + 1 Bottom ) ½ Folio 947 821 1,895 1,263

Folio 1,200 947 2,021 1,453

NO JENIS BARANG MERK / UKURAN / MODEL

HARGA SATUAN

CETAK TIMBAL

BALIK

s/d 1000

lembar

1001 lbr

ke atas

CEATAK SEBELAH

s/d 1000

lembar

1001 lbr

ke atas

SSHB CETAKAN 13

Page 21: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5 6 7

NO JENIS BARANG MERK / UKURAN / MODEL

CETAK TIMBAL

BALIK

s/d 1000

lembar

1001 lbr

ke atas

CEATAK SEBELAH

s/d 1000

lembar

1001 lbr

ke atas

Double Folio 3,411 2,906 4,800 4,169

9 Bahan NCR 6 ply ( Top + 4 ¼ Folio 1,516 1,200 2,463 2,274

Middle + 1 Bottom ) ½ Folio 1,516 1,200

Folio 2,021 1,642 3,663 2,906

Double Folio 3,411 2,779 6,948 5,685

10 Bahan Kertas Koran H I ¼ Folio 379 379 884 632

½ Folio 379 379 379 632

Folio 379 316 379 316

Double Folio 884 947 3,032 1,642

11 Bahan Art Paper 150 gram ¼ Folio 1,200 1,263 2,400 2,274

½ Folio 1,832 1,895 3,537 3,790

Folio 3,411 3,663 5,306 5,685

B. CETAKAN BLANKO/KARTU

1 Bahan Karton Manila atau ¼ Folio 1,895 1,642 3,537 3,600

sejenis ½ Folio 1,895 1,705 4,169 3,727

Folio 2,653 2,211 6,948 4,169

Double Folio 3,663 2,906 10,106 6,948

2 Bahan Linen/Glory Post atau ¼ Folio 3,158 2,148 6,822 5,685

sejenis ½ Folio 3,600 2,274 6,822 5,685

Folio 3,916 2,906 7,580 6,695

Double Folio 2,653 2,274 9,853 6,695

C. CETAK KOP SURAT/AMPLOP

1 Bahan HVS 60 gram Berwarna Folio 632 568 379 442

Folio 1,263 733 379 442

2 Bahan HVS 70 gram Berwarna Folio 1,642 783 442 442

Folio 1,769 1,200 442 442

3 Amplop Berwarna 10 x 23 cm 1,832 1,642 1,642 1,895

10 x 23 cm 2,527 2,274 2,400 2,527

4 Amplop Cassing Berwarna 26 x 40 cm 3,032 2,274 1,516 1,642

26 x 40 cm 3,032 2,653 2,274 2,527

D. CETAK UNDANGAN/AMPLOP

1 Undangan Resmi biasa Folio 3,537 2,337 4,169 3,537

SSHB CETAKAN 14

Page 22: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5 6 7

NO JENIS BARANG MERK / UKURAN / MODEL

CETAK TIMBAL

BALIK

s/d 1000

lembar

1001 lbr

ke atas

CEATAK SEBELAH

s/d 1000

lembar

1001 lbr

ke atas

2 Undangan Resmi Standard ½ Folio 3,663 1,642 6,190 3,537

3 Kertas Wangi + HVS 60/Dorslag Folio 4,169 2,274 4,927 4,169

4 Amplop Linen/Kulit Jeruk/Buffalo 17 x 23 cm 1,263 947 947 1,263

5 Amplop Linen wangi 17 x 23 cm 1,263 1,200 1,516 1,642

6 Amplop Gaji Cassing ½ Folio 1,011 821 821 758

E. CETAK

SERTIFIKAT/LEAFLET/BROSUR

1 Kertas Linen 26 x 36 cm 9,095 8,590 2,274 2,400

2 Kertas Linen berlatar belakang semu 26 x 36 cm 10,738 12,885 3,790 4,169

3 Kertas Linen cetak Timbul 26 x 36 cm 10,485 12,759 3,916 5,685

4 Pamflet berwarna 80 gram Folio 4,421 4,421 3,032 3,537

5 Pamflet berwarna 80 gram Double Folio 8,211 9,095 6,885 9,474

6 Pamflet berwarna 80 gram Luks Folio 3,537 4,042 3,790 5,685

7 Pamflet berwarna 80 gram Luks Double Folio 8,085 9,095 4,548 5,685

8 Leaflet/brosur berwarna Folio 8,843 10,611 9,538 11,369

9 Leaflet/brosur berwarnaEpinefrina HCL/ Bitartrat

(epinefrina /Adrenalin) Inj. 0,1 15,538 17,938 11,496 13,896

10 Leaflet/brosur berwarna Luks Folio 10,485 12,633 4,674 5,685

11 Leaflet/brosur berwarna Luks Double Folio 18,065 19,328 5,306 6,064

12 Majalah Dinding (berwarna) 4 Folio/1/2 Plano 45,477 48,004 36,635 39,161

13 Majalah (berwarna) plano 6,822 7,832 3,790 3,790

14 Harian Suara Aceh (berwarna) - 6,822 7,832 3,790 8,211

F. CETAK MAP

1 Stopmap biasa

- Bahan kertas Linen Buah 2,148 2,274 5,685 8,211

- Bahan kertas Manila Buah 6,695 5,306 4,169 5,685

2 Stopmap Cetak

- Bahan kertas Linen Buah 4,169 3,727 9,538 12,001

- Bahan kertas Manila Buah 2,148 2,274 7,453 10,738

G. CETAK COVER/KULIT BUKU

1 Bahan Karton Manila Folio 9,222 10,359 17,054 18,317

Double Folio 18,823 20,844 24,634 29,055

SSHB CETAKAN 15

Page 23: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5 6 7

NO JENIS BARANG MERK / UKURAN / MODEL

CETAK TIMBAL

BALIK

s/d 1000

lembar

1001 lbr

ke atas

CEATAK SEBELAH

s/d 1000

lembar

1001 lbr

ke atas

Cetak Timbul Folio 10,359 12,001 18,317 20,844

Double Folio 18,191 20,844 31,582 34,740

2 Bahan Karton Manila berwarna Folio 6,569 7,832 12,001 13,264

Double Folio 8,211 10,485 15,791 20,844

Cetak Timbul Folio 13,517 14,528 13,896 13,264

Double Folio 23,623 26,908 24,634 26,529

3 Bahan Linen/Glory Post/Buffalo Folio 14,528 15,791 14,528 15,791

Double Folio 24,634 26,908 24,002 26,529

Cetak Timbul Folio 17,307 19,581 17,686 18,949

Double Folio 27,792 30,318 27,792 29,687

4Bahan Linen/Glory Post/Buffalo

berwarnaFolio 17,054 19,581 17,686 32,845

Double Folio 23,623 26,529 24,634 27,792

Cetak Timbul Folio 17,938 19,581 18,317 20,212

Double Folio 27,792 30,318 28,423 30,318

5 Bahan Luks, sampul plastik Folio 17,938 19,581 18,317 20,212

Double Folio 25,771 30,318 26,529 29,055

6 Ivory Doff 260 Gram/full colour folio 33,476 34,740

Double folio 71,627 75,164

H. CETAK BLANKO KHUSUS

1 Daftar Penguji SPMU (Bend XI) HVS 60, 3 x Folio 1,769 2,969 3,158 3,158

2 Daftar Penguji SPMU (Bend XII) HVS 60, Fol 8 Lbr/Set 4,169 4,421 4,674 4,295

3 Model Bend 1 s/d 5 HVS 60, Ukr. Folio 392 568 568 442

4 Model Bend 10 NCR, Folio 1 Set 6 Lbr 6,569 6,822 7,453 6,695

5 Model Bend 24 HVS 60, Ukr. Folio 404 505 632 632

6 Model Bend 24 NCR, Folio 1 Set 6 Lbr 7,201 7,327 7,706 8,211

7 Model Bend 24 HVS 60, Double Folio 1,326 1,390 1,516 1,895

8 Model Bend 24 NCR, D/F 6 Lbr/Set 9,727 10,359 10,485 10,738

9 Kwitansi SPPDHVS 60, ½ Folio 100 Lbr /

Blok28,044 28,171 30,950 29,687

SSHB CETAKAN 16

Page 24: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5 6 7

NO JENIS BARANG MERK / UKURAN / MODEL

CETAK TIMBAL

BALIK

s/d 1000

lembar

1001 lbr

ke atas

CEATAK SEBELAH

s/d 1000

lembar

1001 lbr

ke atas

10 Kwitansi SPPD NCR, ½ Fol / 1 Set 6 Lbr 6,822 7,327 7,201 6,948

11 Perincian SPPD HVS 60, Fol / 100 Lbr / Blok 65,058 65,437 67,711 64,426

12Daftar Pengeluaran yang tidak

memperoleh Tanda Bukti

HVS 60, Ukr. ½ Folio 100

Lbr/Blok33,161 33,476 34,740 32,845

13Daftar Pengeluaran yang tidak

memperoleh Tanda BuktiNCR, ½ Fol / 1 Set 6 Lbr 6,822 7,453 8,211 7,580

14 Kartu Penjaga Kredit Karton BC D/F 4,112 4,421 4,674 4,169

15 Daftar Keluarga Form DK HVS 60, Ukr. Folio 316 442 632 442

16 Kartu Gaji Pegawai (Timbal balik) Karton BC D/F 6,569 6,822 7,327 6,443

17 Kartu Pensiunan Otonom Karton BC D/F 3,790 4,042 3,916 3,790

18 Kartu Register Gaji HVS 60, D/F 947 1,011 1,390 1,263

19 Kartu Realisasi HVS 60/Folio 404 442 758 632

20 Surat Kelahiran A-3 HVS 60/Folio 404 442 758 632

21 Laporan Bulanan Desa HVS 60/Folio 404 442 758 632

22 Laporan Bulanan Kecamatan

- Untuk WNRI HVS 60/Folio 404 442 758 632

- Untuk WNRI + Orang Aceh HVS 60/Folio 404 442 758 632

- Untuk Orang Asing HVS 60/Folio 404 442 758 632

23 Buku Model Bend B-XIII Dorslag/Fol 1 set 8 lbr 3,158 3,284 3,663 3,284

24 Buku Model Bend B-XVI HVS 60, Double Folio 3,247 3,284 4,421 4,421

25 Daftar Penguji HVS 60, Double Folio 1,895 1,074 1,137 1,137

26 Daftar Himpunan HVS 60, Double Folio 1,895 1,137 1,137 1,137

27Berita Acara Pengambilan Sumpah

PNSHVS 60, Double Folio 1,895 1,137 1,137 1,137

28 Blanko SPPD HVS 60, Fol / 100 Lbr/Blok 55,716 50,531 55,078 53,057

29 Lembar Disposisi dengan Logo DaerahHVS 60, Ukr. 2/3 Folio/100

lbr/Blok47,625 42,951 47,372 45,477

30 Lembar Disposisi dengan Logo Daerah NCR, 2/3 Fol / 2x50 lb/Blok 85,428 78,322 85,270 80,849

31 Kartu Kendali Kearsipan HVS 60, Fol/100 Lbr/Blok 54,788 49,899 55,584 53,057

32 Kartu Kendali Kearsipan NCR, Folio /3x50 Lbr/Blok 153,145 140,854 152,855 142,749

33Memo dengan Lambang Garuda/

Daerah

HVS 60, Ukr. ½ Folio 100

Lbr/Blok37,077 32,213 34,740 32,845

SSHB CETAKAN 17

Page 25: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5 6 7

NO JENIS BARANG MERK / UKURAN / MODEL

CETAK TIMBAL

BALIK

s/d 1000

lembar

1001 lbr

ke atas

CEATAK SEBELAH

s/d 1000

lembar

1001 lbr

ke atas

34Memo dengan Lambang Garuda/

DaerahNCR, ½ Fol /2x50 Lbr / Blok 79,744 71,248 75,796 72,006

35Memo dengan Lambang Garuda/

DaerahNCR, Folio /2x50 Lbr/Blok 15,443 140,854 151,592 142,749

36 Daftar Laporan Pendidikan untuk SD HVS 60, Fol 12 Lbr/Buku 15,664 13,643 14,528 13,896

37 Kwitansi Dinas/Tanda Terima NCR, ½ Fol /6x25 Lb/Blok 40,860 46,741 42,951 42,951

38 Cover States Asahi D/F 18,317 23,370 17,686 18,949

39 Cover States BC Biasa D/F 4,421 4,674 4,421 4,421

40 Amplop Rontgen Cassing 36 x 41 cm 3,158 3,158 3,158 4,421

41 Blanko Cuti Dokter isi 2001/Blok ½ Folio 15,664 15,791

42Blanko Tanda Pembayaran Lab.Isi 100

L1/6 F 10,611 9,474

43 Buku Cuti Tahunan HVS isi 300 L Folio 171,172 210,965

44 Buku Nama Obat Lux isi 500 L A3 468,039 497,726

45Buku Dokter Kamar Bedah isi 500 L

LuxD/F 480,672 511,622

46 Etiket Obat HVS 1/10 F 63 114

SSHB CETAKAN 18

Page 26: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

ALAT RUMAH TANGGA

Page 27: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

III. KELOMPOK ALAT KANTOR/RUMAH TANGGA, PAKAIAN DAN OLAH RAGA

1 2 3 4 5

I. ALAT KANTOR/RUMAH TANGGA

A. LEMARI

1 Lemari ArsipIndachi, Bahan besi pintu kaca

sliding type EL-438Buah 3,689,177

Lemari Arsip (high Filing cabinet) Buah 2,794,831

2 Lemari Arsip Bahan Kayu 3 pt Atas dan Bawah Buah 3,130,211

Lemari Arsip (SM 53650 K 20) Buah 6,595,802

3 Lemari Arsip Gredenza CRD 2-2Uk. 120x43x83cm, Wood-wood

FrameBuah 4,136,350

4 Lemari Arsip Gredenza CRD 3-3 Buah 3,353,798

5 Lemari Arsip Topix - Cradenza CR 540 / 120 x 40

x 83 cmBuah 1,676,899

6 Lemari Arsip pintu dorongTopix - Cradenza CR 541 / 120 x 40

x 83 cmBuah 2,012,279

7 Lemari Arsip (besi pintu buka)Daiko - CD 202 Ukr.H 915 x w 915 x

D 460 mm)Buah 2,347,658

8 Lemari Arsip (besi pintu buka)Daiko - CD 302 Ukr.H 1830 x w 915

x D 460 mm)Buah 3,130,211

9 Lemari Arsip (besi pintu sliding)Daiko - CD 303, Ukr. H 1830 x w 915

x D 460 mm)Buah 4,136,350

10 Lemari Arsip (besi pintu kaca sliding) Daiko - CD 301 Buah 4,248,144

11 Lemari Arsip besi pintu bukaLion - Type L 33, Ukr. 915 x 457 x

1830Buah 3,018,418

12 Lemari Arsip besi pintu sorongLion - Type L 33AK, Ukr. 915 x 457 x

1830Buah 3,130,211

13 Lemari Arsip besi pintu sorongLion - Type L 33A, Ukr. 915 x 457 x

1830Buah 3,912,764

14 Lemari Arsip 2 Pintu Yunica Buah 2,906,625

15 Lemari Arsip 2 Pintu Unital Buah 3,130,211

16 Lemari Arsip 2 Pintu Bostinco Buah 3,353,798

17 Lemari 2 pintu Biasa Datascrip Buah 9,502,426

18 Lemari 2 pintu Biasa Dinamika Datascrip Buah 2,582,424

19 Lemari 2 pintu Kaca Datascrip Buah 5,030,696

20 Lemari Pintu Kaca Sliding Datascrip Buah 3,353,798

21 Lemari 2 Pintu Retracting Door Datascrip Buah 3,912,764

22 Lemari Kartu Kendali Unital Buah 2,012,279

23 Lemari Pustaka Palma 4,5 x 1,97 x 37 cm Buah 1,936,818

24 Lemari Pustaka Ligna 4,5 x 1,97 x 37 cm Buah 1,936,818

25 Lemari Pakaian 1 pintu Ukr. 175 x 55 x 80 cm Buah 2,012,279

26 Lemari Pakaian 2 pintu Ukr. 175 x 55 x 80 cm Buah 3,912,764

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SSHB ALAT KANTOR & RUMAH TANGGA 19

Page 28: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

27 Lemari Kayu 3 pintu, 3 tingkat Ukr. 180 x 160 x 45 cm Buah 2,794,831

28 Lemari locker 20 pintu Ukr. 346 x 50 x 192 cm Buah 7,266,561

29 Lemari Pakaian Ukiran Ukr. 175 x 55 x 80 cm Buah 2,459,452

30 Lemari Arsip 2 Pintu Biasa 100 x 40 x 240 Cat Impra Tempahan Buah 1,229,726

31 Lemari Arsip 2 Pintu Jati 100 x 40 x 240 Cat Impra Tempahan Buah 3,353,798

32 Lemari Arsip 3 Pintu Jati 150 x 40 x 240 Cat Impra Tempahan Buah 4,807,110

33 Lemari Arsip 4 Pintu Biasa 200 x 40 x 240 Cat Impra Tempahan Buah 4,471,730

34 Lemari Arsip 4 Pintu Jati 200 x 40 x 240 Cat Impra Tempahan Buah 4,751,213

35 Lemari Kartu Kendali 250 x 40 x 240 Cat Impra Tempahan Buah 9,684,090

36 Lemari Pustaka Biasa 300 x 40 x 240 Cat Impra Tempahan Buah 12,912,120

37 Lemari Buku Tinggi BC 519 (80 x 40 x203 CM) Buah 1,006,139

38 Lemari Buku 4 Rak Alto BC 60 Buah 335,380

39 Lemari Buku 8 Rak Alto BC 80 Buah 614,863

40 Lemari Buku Alto BCD 80 Buah 1,006,139

41 Lemari Pustaka Jati 300 x 40 x 240 Cat Impra Tempahan Buah 15,494,544

42 Lemari Pakaian 1 Pintu Biasa 50 x 50 x 210 Cat Impra Tempahan Buah 3,353,798

43 Lemari Pakaian 1 Pintu Jati 50 x 50 x 210 Cat Impra Tempahan Buah 1,565,106

44 Lemari Pakaian 2 Pintu Biasa 100 x 50 x 210 Cat Impra Tempahan Buah 3,130,211

45 Lemari Pakaian 2 Pintu Jati 100 x 50 x 210 Cat Impra Tempahan Buah 335,380

46 Lemari Pakaian 3 Pintu Biasa 150 x 50 x 210 Cat Impra Tempahan Buah 4,248,144

47 Lemari Pakaian 3 Pintu Jati 150 x 50 x 210 Cat Impra Tempahan Buah 3,353,798

48 Lemari Pakaian 4 Pintu Biasa 200 x 50 x 210 Cat Impra Tempahan Buah 5,142,490

49 Lemari Pakaian 4 Pintu Jati 200 x 50 x 210 Cat Impra Tempahan Buah 5,366,076

50 Lemari Pakaian 4 Pintu Tk.Jati 200 x 50 x 240 Cat Impra Tempahan Buah 16,785,756

51 Lemari Pakain 4 Pintu Ukiran 200 x 50 x 210 Cat Impra Tempahan Buah 6,484,009

52 Lemari dua pintu +cermin Thunder LP 202 Buah 894,346

53 Lemari Tiga Pintu+cermin Thunder Lp 302 Buah 1,341,519

SSHB ALAT KANTOR & RUMAH TANGGA 20

Page 29: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

54 Lemari Serba guna 4 pintu Retro LSG 4 Buah 335,380

55 Lemari Serba Guna 5 pintu Retro LSG 5 Buah 447,173

56 Lemari Penyekat Ruangan Biasa 400 x 40 x 240 Cat Impra Tempahan Buah 18,076,969

57 Lemari Penyekat Ruangan Jati 400 x 40 x 240 Cat Impra Tempahan Buah 25,178,635

58 Lemari Dapur Biasa 400 x 40 x 70 Cat Impra Tempahan Buah 9,038,484

59 Lemari Dapur Jati 400 x 40 x 70 Cat Impra Tempahan Buah 11,179,325

57 Lemari Makan Biasa 200 x 40 x 240 Cat Impra Tempahan Buah 6,148,629

58 Lemari Makan Jati 200 x 40 x 240 Cat Impra Tempahan Buah 10,620,359

59 Lemari Arsip 2 Pintu 220 x 50 x 100 Kayu Buah 2,124,072

60 Lemari Arsip 3 Pintu 220 x 50 x 150 Kayu Buah 3,018,418

61 Lemari Arsip 4 Pintu 220 x 50 x 200 Kayu Buah 4,471,730

62 Lemari Buku Tinggi (Pintu Kaca) BC 510 (80 x 40 x 203 CM) Buah 2,794,831

63Lemari Buku Tinggi (tanpa Pintu

Kaca)BC 511 (80 x 40 x 203 CM) Buah 2,179,968

64 Lemari Buku Tinggi (Pintu Panel) BC 512 (80 x 40 x 203 CM) Buah 2,571,245

65 Lemari Buku Rendah (Pintu Kaca) BC 514 (80 x40 x83 CM) Buah 1,676,899

66 Lemari Buku Rendah (Pintu Panel) BC 515 (80 x 40 x 83 CM) Buah 1,453,312

B. KURSI

1 Kursi Guru tanpa lenganRangka Kayu Seumantok, pakai

SponBuah 460,588

2 Kursi Guru pakai lenganRangka Besi, Alas/Sandaran Spon

dibalut plastikBuah 633,309

3 Kursi Kerja pakai lenganRangka Besi, Alas/Sandaran Spon

dibalut plastikBuah 1,036,323

4 Kursi Kerja tanpa lenganRangka Besi, Alas/Sandaran Spon

dibalut plastikBuah 460,588

Ergonomic, Casanova CO 206 400 Buah 531,979

Ergomatic, Casanova CO 306 400 Buah 731,472

Ergomatic, Casanova CO 316 400 Buah 797,969

Ergomatic, Casanova CO 405 400 Buah 864,466

Ergomatic, Casanova CO 705 400 Buah 930,964

5Kursi Direktur/Pimpinan pakai lengan

(Sandaran Tinggi)Hegen, Type Spingel D 414 Buah 1,209,044

Hegen, type Lubke D 403 DX Buah 7,514,208

Savello, Type Bravo HA Buah 3,989,845

Savello, Type Bravo L Buah 2,925,886

SSHB ALAT KANTOR & RUMAH TANGGA 21

Page 30: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Savello, Type Waldo HTO Buah 1,343,248

Ergomatic, Sultan SL 808 A 300 LK Buah 2,659,897

Ergomatic, Sultan SL 809 A 300 LK Buah 3,125,379

Ergomatic, Sultan SL 109 A 300

WoodBuah 3,324,871

6 Kursi Manager/Kabag Pakai LgnHegen, Type Denzco D 412

(sandaran tinggi)Buah 1,496,912

Hegen, Type Deyes D 413

(sandaran tinggi) Buah 1,496,912

Hegen, Type Vicall D 411 (sandaran

sedang)Buah 1,727,206

Chitose, Type Medix 611 Buah 3,454,411

Ergomatic, Casanova CO 207 A 300 Buah 1,928,425

Ergomatic, Casanova CO 308 A 300 Buah 1,994,923

Ergomatic, Casanova CO 206 A 300 Buah 1,795,430

7 Kursi Staff/Karyawan Pakai Lgn Hegen, Type Sento S 121 Buah 460,588

Indachi, Type D 210 Buah 633,309

Indachi, Type D 220 Buah 806,029

Chitose, Type NBK Buah 806,029

Chitose, Type ET-170 Buah 2,590,809

8 Kursi Staff/Karyawan Tanpa Lengan Hegen, Type Ceka M 300 Buah 460,588

Hegen, Type Sento S 101 L Buah 797,969

Indachi, Type D-200 Buah 605,127

Indachi, Type D-238H Buah 553,259

Chitose, Type NAN Buah 644,823

Chitose, Type NA Buah 667,853

Chitose, Type ET-171 Buah 2,187,794

9 Kursi laboratorium/gambar Hegen, Type Optina SS 101 Buah 1,263,451

10 Kursi Tunggu (Public Seating) / visitorHegen, Type Twins ST 333A (Kursi

gandeng tiga)Set 3,108,970

Hegen, Type Lista ST 322 (pakai

lengan, kaki besi)Buah 806,029

Ergomatic, Lavaro LV 531 400 (set

3)Set 1,994,923

Ergomatic, Lavaro LV 620 400 (set

2)Set 2,260,912

SSHB ALAT KANTOR & RUMAH TANGGA 22

Page 31: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Ergomatic, Lavaro LV 640 400 (set

4)Set 2,327,410

Ergomatic, Lavaro LV 665 400 Buah 2,393,907

11 Kursi Direktur/Pimpinan pakai lengan Ergonomic, Inti EPC 801 HD Buah 4,030,147

Ergonomic, Inti EPC 811 HD Buah 4,145,294

Ergonomic, Inti EPC 821 HD Buah 4,375,588

Ergonomic, Inti EPC 831 HD Buah 4,260,441

Ergonomic, Inti EPC 841 HD Buah 4,375,588

Ergonomic, Inti EPC 802 HD Buah 4,836,176

Ergonomic, Inti EPC 852 HD Buah 4,951,323

Ergonomic, Inti EPC 862 HD Buah 4,721,029

Ergonomic, Inti EPC 872 HD Buah 4,920,809

12 Kursi Manager/Kabag Pakai Lengan Ergonomic, Inti EPC 701 HD Buah 2,072,647

Ergonomic, Inti EPC 711 HD Buah 3,391,368

Ergonomic, Inti EPC 721 HD Buah 2,429,217

Ergonomic, Inti EPC 731 HD Buah 2,429,217

Ergonomic, Inti EPC 741 HD Buah 2,429,217

Ergonomic, Inti EPC 601 HD Buah 2,132,971

Ergonomic, Inti EPC 611 HD Buah 2,493,853

Ergonomic, Inti EPC 621 HD Buah 2,493,853

Ergonomic, Inti EPC 631 HD Buah 2,493,853

Ergonomic, Inti EPC 641 HD Buah 2,493,853

Ergonomic, Inti EPC 602 HD Buah 2,068,336

Ergonomic, Inti EPC 672 HD Buah 2,170,675

Ergonomic, Inti EPC 662 HD Buah 2,170,675

Ergonomic, Inti EPC 652 HD Buah 2,170,675

13 Kursi Rapat / Vistor Hegen, Type Ceka M 320 Buah 1,036,323

Ergonomic, Inti EPC 571 Buah 1,628,455

Ergonomic, Inti EPC 500 Buah 1,292,710

Ergonomic, Inti EPC 511 Buah 1,601,524

14 Kursi Bar Stool / DrawingErgonomic, Inti EPC 331 HD

FootringBuah 1,266,618

Ergonomic, Inti EPC 332 HD

FootringBuah 1,496,912

Ergonomic, Inti EPC 333 HD armrest

FootringBuah 1,576,388

15 Kursi Tunggu (Public Seating)Ergonomic, Inti EPC 502 Without

armrest Set 3,454,411

SSHB ALAT KANTOR & RUMAH TANGGA 23

Page 32: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Ergonomic, Inti EPC 515 Without

armrest Set 3,454,411

Ergonomic, Inti EPC 503 Without

armrest Set 4,030,147

16 Kursi SekretarisErgonomic, Inti EPC 101 Manual

adjustmentBuah 690,882

Ergonomic, Inti EPC 111 Manual

adjustment, armrestBuah 1,036,323

Ergonomic, Inti EPC 121 HD Buah 1,007,236

Ergonomic, Inti EPC 121F3, F5

Fancy HDBuah 1,007,236

Ergonomic, Inti EPC 121F1, F2, F4

HDBuah 1,576,388

Ergonomic, Inti EPC 131 HD Buah 1,253,210

Ergonomic, Inti EPC 132 HD Buah 1,536,888

Ergonomic, Inti EPC 102 Manual

adjustmentBuah 969,532

Ergonomic, Inti EPC 112 Manual

adjustmentBuah 1,240,642

Ergonomic, Inti EPC 122 HD Buah 1,240,642

Ergonomic, Inti EPC 222 Buah 1,834,930

17 Kursi Kerja pakai lengan Bahan kayu, Model Ligna Buah 483,618

18 Kursi Lipat Chitose, Type Yasuka SL Buah 184,235

Chitose, Type Yamato HAA Buah 360,986

Chitose, Type Cosmos 941 Buah 354,653

Futura FTR AG Buah 265,990

Futura FTR 509 Buah 345,441

Futura FTR 506 Buah 356,956

Futura FTR 501 Buah 322,412

Indachi DCL-01 Buah 403,015

Indachi DCL-02 Buah 449,073

Indachi DCL-03 Buah 437,559

Indachi DCL-04 Buah 449,073

Indachi DCL-05 Buah 437,559

Indachi DCL-06 Buah 460,588

chitose Yamato AA Buah 322,412

chitose Yamato HAA Buah 333,926

chitose Yamato HN Buah 322,412

Futura FTR 501 Buah 287,868

Futura FTR 508 Buah 276,353

SSHB ALAT KANTOR & RUMAH TANGGA 24

Page 33: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Futura FTR 506 Buah 322,412

19 Kursi Putar Uchiwa MC 78 HD Buah 403,015

20 Kursi Putar Uchiwa MC 660 HA Buah 1,093,897

21 Z i c e Ligna Lotus Set 5,984,768

22 Z i c e Ligna Yordan Set 7,314,716

23 Kursi guru pakai lenganRangka kayu, alas/sandaran Spon

dibalut plastikBuah 690,882

24 Kursi kerja tanpa lenganRangka kayu, alas/sandaran Spon

dibalut plastikBuah 460,588

25 Kursi kerja pakai lenganRangka kayu, alas/sandaran Spon

dibalut plastikBuah 633,309

26 Kursi kerja pakai lengan Bahan kayu, model Ligna Buah 863,603

27 Kursi belajar + meja Rangka kayu seumantok Buah 1,842,353

28 Kursi tamu (1 meja + 4 kursi) Bahan rotan Set 8,060,293

C. MEJA

1 Meja Arjuna Arjuna Desk A Buah 2,969,788

Arjuna Desk B Buah 2,776,106

Arjuna Triangle Buah 1,102,695

Arjuna Hanging Drawer Buah 697,255

Arjuna Mobile Drawer W/W Buah 1,533,960

Steel Keyboard Tray Buah 479,040

2 Meja Biro Uk. 180 x 90 x 75 cm, Tripleks Jati Buah 4,695,317

3 Meja Biro Uk. 150 x 80 x 75 cm, Tripleks Jati Buah 1,565,106

4 Meja Biro Bahan Kayu Uk. 180 x 90 x 75 cm, bahan Kayu Buah 5,164,848

5 Meja Biro Bahan Kayu Uk. 150 x 80 x 75 cm, bahan Kayu Buah 4,196,439

6 Meja ½ Biro Topix OD 520 Buah 894,346

Topix OD 520 (Laci) Buah 1,788,692

7 Meja 1 Biro Topix OD 560 Buah 1,173,829

Topix OD 560 (Laci) Buah 2,906,625

Meja 1 Biro Topix OD 561 Buah 1,565,106

8 Meja ½ Biro 120 x 60 x 75 cm, bahan Kayu Buah 1,341,519

9 Meja ½ Biro 120 x 60 x 75 cm, Tripleks Jati Buah 2,065,939

10 Meja Makan + 6 kursi Bahan Kayu Buah 1,788,692

11 Meja Makan + 6 kursi Jati Bahan Kayu Buah 2,794,831

12 Meja Sidang Bahan Kayu untuk 15 Peserta Set 3,353,798

13 Meja Sidang Bahan Kayu untuk 30 Peserta Set 6,707,595

SSHB ALAT KANTOR & RUMAH TANGGA 25

Page 34: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

14 Meja belajar + kursi Rangka Kayu Seumantok Set 2,065,939

15 Meja Biro Exclusive 190 x 90 x 75 Cat Impra Tempahan Buah 5,810,454

16 Meja Biro Biasa 180 x 90 x 75 Cat Impra Tempahan Buah 2,794,831

17 Meja Biro Jati 180 x 90 x 75 Cat Impra Tempahan Buah 6,707,595

18 Meja Biro Biasa 150 x 90 x 75 Cat Impra Tempahan Buah 1,676,899

19 Meja Biro Jati 150 x 90 x 75 Cat Impra Tempahan Buah 5,030,696

20 Meja Biro Bahan kayu Biasa 180 x 90 x 75 Cat Impra Tempahan Buah 2,235,865

21 Meja Biro Bahan Kayu Jati 180 x 90 x 75 Cat Impra Tempahan Buah 6,148,629

22 Meja Biro Bahan kayu Biasa 150 x 80 x 75 Cat Impra Tempahan Buah 4,248,144

23 Meja Biro Bahan Kayu Jati 150 x 80 x 75 Cat Impra Tempahan Buah 5,030,696

24 Meja 1/2 Brio Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1,676,899

25 Meja 1/2 Biro Jati 120 x 60 x 75 Cat Impra Tempahan Buah 2,459,452

26 Meja 1/2 Biro Model Ligna Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1,117,933

27 Meja 1/2 Biro Model Ligna Jati 120 x 60 x 75 Cat Impra Tempahan Buah 1,676,899

28 Meja 1/2 Biro Model Palma Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1,117,933

29 Meja 1/2 Biro Model Palma Jati 120 x 60 x 75 Cat Impra Tempahan Buah 1,565,106

30 Meja makan + 6 kursi Bahan kayu Buah 4,248,144

31 Meja Sidang + 15 Kursi Bahan kayu Cat Impra Tempahan Set 4,196,439

32 Meja Rapat Persegi p.240 cm ST 500 (240 x 120 x 75 Cm) Buah 2,152,020

33 Meja Rapat Oval p.240 cm CT 500 OV (240 x 120 x 75 cm) Buah 2,152,020

34 Meja Rapat Persegi p.180 cm CT 508 (180 x 90 x75 cm) Buah 1,709,319

35 Meja Rapat Oval p.180 cm CT 508 OV (180 x90x75 cm) Buah 1,709,319

36 Meja Rapat Bulat d.100 cm CT 505 OV (d.100 x 75 cm) Buah 1,598,643

37 Meja Rapat Bulat d.120 cm CT 505 A (d.120 x 75 cm) Buah 1,758,508

38 Meja Sidang + 30 Kursi Bahan kayu Cat Impra Tempahan Set 9,361,287

39 Meja 1/2 Biro Olympic Set 447,173

40 Meja 1/2 Biro Ramin Set 558,966

41 Meja 1/2 Biro Metro Set 1,117,933

42 Meja 1/2 Biro Ligna Set 1,453,312

SSHB ALAT KANTOR & RUMAH TANGGA 26

Page 35: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

43 Meja 1/2 Biro Tempahan Biasa Berkaki Set 1,565,106

44 Meja 1/2 Biro Tempahan Kaki Penuh Set 2,012,279

45 Meja 1/2 Biro Tempahan Yang Lux Set 2,794,831

46 Meja Biro Olympic Set 894,346

47 Meja Biro Ramin Set 1,676,899

48 Meja Biro Metro Set 1,676,899

49 Meja Biro Ligna Set 1,676,899

50 Meja Kantor 1/2 biro Activ-Galant MTO 120 Set 782,553

51 Meja Kantor 1 biro Activ-Galant MTO 161 Set 1,117,933

52 Meja Tulis 1/2 biro Activ Vino MT 120 Set 631,341

53 Meja kantor 1 biro laci panjang Galant MTO 162 Set 1,603,316

54 Meja Biro Tempahan Kaki Gantung Set 2,324,182

55 Meja Biro Tempahan Kaki Penuh Set 2,582,424

56 Meja Biro Tempahan Yang Lux Set 2,582,424

57 Meja Komputer Topix CD 550 Set 1,844,589

58 Meja Komputer (monitor bawah) Topix CD 551 Set 2,683,038

59 Meja Komputer (monitor bawah) Topix CD 555 (120 x 60x75 CM) Set 1,788,692

60 Meja Komputer new CD 552 (120 x60x75CM) Set 2,124,072

61 Meja Komputer Sucitra Set 839,288

62 Meja Ketik Tanpa Rak SD 580 (100 x 40 x 63 cm) 1,006,139

63 Meja Komputer Olympic Set 1,032,970

64 Meja Exclusive L Tempahan Set 7,101,666

65 Meja Exclusive L Merk Hom Set 7,747,272

66 Meja Tulis 1/2 Biro MT 016 Buah 958,079

67 Meja Tulis 1/2 Biro + Laci (set) MTA 114 Buah 871,568

68 Meja Tulis 1 Biro MT 017 Buah 1,132,393

69 Meja Tulis 1 Biro + 1 Laci (set) Buah 1,323,492

70 Meja Tulis 1 Biro + 2 Laci (set) MTB 114 Buah 2,266,077

71Meja Penyambung 1/4 Lingkaran

(OD 520 )JT 575 B (60 x 60 x2,5 CM) Buah 614,863

72Meja Penyambung 1/4 Lingkaran

(OD 560 )JT 574 (72 x72 x2,5 CM) Buah 894,346

73Meja Penyambung 1/4 Lingkaran

(OD 520 & OD 560)JT 574 B (60 x 72 x 2,5 CM) Buah 670,760

74Meja Penyambung (khusus OD

sebagai Meja Rapat) + TiangJT 578 (180 x 48 x75 CM) Buah 1,341,519

75 Meja Tulis olympic 1/2 Biro 040107 040107 (119 x 58.5 x 71.9) Buah 496,362

76 Meja Tulis olympic 1 Biro 040107 040107 (150 x 58.5 x 71.9) Buah 627,160

SSHB ALAT KANTOR & RUMAH TANGGA 27

Page 36: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

D. BRANKAS

1 Brankas Gallant 700 Buah 17,366,802

2 Brankas Gallant 701 Buah 18,399,772

3 Brankas Gallant 702 Buah 21,790,494

4 Brankas Yunica GS 100 Buah 6,073,861

5 Brankas Yunica YS - 46 Buah 2,517,863

6 Brankas Yunica YS - 53 Buah 2,711,545

7 Brankas Yunica YST - 46 Buah 2,453,303

8 Brankas Yunica YS - 53/2 Buah 5,423,091

9 Brankas Yunica YS - 90 Buah 4,777,485

10 Brankas Yunica 130 Buah 6,585,181

11 Brankas Cash Box 8600 Carl Dong Yang DY-101, Berat 1,8 Kg Buah 774,727

12 Brankas Dial Home Dong Yang DY-670, Berat 120 Kg Buah 6,977,710

13 Brankas Dial Home Dong Yang DY-380, Berat 10 Kg Buah 3,428,168

14 Brankas Dial Home Dong Yang DY-475, Berat 10 Kg Buah 3,514,679

15 Brankas Dial Home Dong Yang DY-770, Berat 150 Kg Buah 8,571,066

16 Brankas Eloctron Home Dong Yang DYT-670, Berat 120 Kg Buah 7,802,794

17 Brankas Electron Home Dong Yang DYT-770, Berat 150 Kg Buah 8,571,066

18 Brankas Electron Home Dong Yang DYT-380, Berat 50 Kg Buah 3,900,752

19 Brankas Electron Home Dong Yang DYT-475, Berat 50 Kg Buah 3,976,933

20 Brankas Wall Safes Dong Yang DYT-365, Berat 50 Kg Buah 4,393,995

21 Brankas Indachi-SD 05T Buah 6,326,939

22 Brankas Indachi-SD 07 Buah 13,506,078

23 Brankas Seri Colombus Buah 14,672,864

Seri Newton Buah 33,034,905

E. MESIN KETIK MANUAL

1 Mesin tik manual Royal - R 302 Unit 1,038,619

2 Mesin tik manual Royal - R 13 Dlx Unit 1,420,333

3 Mesin tik manual Royal - R 775-18 Unit 4,575,248

4 Olivetti 18 Inch Unit 4,082,812

5 Olivetti 27 Inch Unit 6,259,796

6 Olimpic 10 Inch Unit 2,448,138

7 Olimpic 13 Inch Unit 2,787,727

8 Mesin tik manual Olympia, sm-18 Unit 2,453,303

Brother MT 2000 9 Inch Unit 968,409

SSHB ALAT KANTOR & RUMAH TANGGA 28

Page 37: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

F. MESIN KETIK ELEKTRIK

1 Canon 13 Inchi Unit 4,616,083

2 Nakajima Nakajima AE-640 Unit 5,552,212

Nakajima AX-150 1,420,333

3 Mesin tik elektrik Brother GX 8250 2,453,303

Brother GX 6750 2,001,379

Olympia Carrera 2,291,901

Royal Se 700 10,491,098

Royal Se 700 Ds 11,015,653

G. FILLING KABINET

1 Filing Kabinet 4 Laci Yunica Unit 1,844,589

2 Filing Kabinet 4 Laci Mustang Unit 2,403,555

3 Filing Kabinet 4 Laci Brother Unit 1,726,996

4 Filing Kabinet 4 Laci Presiden Unit 2,324,182

5 Filing Kabinet 4 Laci Lion Type L-44E Unit 3,130,211

6 Filing Kabinet 4 Laci Standart Datascrip (Abu-abu, Cream) Unit 1,549,454

7 Filing Kabinet 4 Laci DinamikaDatascrip (Hitam,merah,cream, abu-

abu)Unit 1,549,454

8 Filing Kabinet 3 Laci Standart Datascrip (Abu-abu, Cream) Unit 1,142,723

9 Fillig Kabinet 3 Laci Lion, type L-43E Unit 2,130,500

10 Fillig Kabinet 3 Laci Brother Unit 1,460,684

11 Filing Kabinet 3 Laci Dinamika Datascrip (Abu-abu, Cream) Unit 1,158,863

12 Filing Kabinet 2 Laci Standart Datascrip (Abu-abu, Cream) Unit 871,568

13 Filing Kabinet 2 Laci Dinamika Datascrip (Abu-abu, Cream) Unit 871,568

14 Filling Kabinet 2 Laci Lion, type L-42E Unit 1,704,400

15 Filling Kabinet 2 Laci Brother Unit 1,420,333

16 Kabinet Filling 3 laci Alto Fp 3 Unit 354,776

17 Filing Kabinet 2 Laci Ace Shelf cabinet w/glas door Unit 1,329,222

18 Filing Kabinet 3 Laci Ace Shelf cabinet w/Drawer dan

cabinet doorUnit 3,911,646

19 Rak 2 Laci Alto Fp 2 Unit 124,079

20 Rak TV 14" - 21" Bom 510 Unit 397,570

21 Rak TV 14" - 21" Bom 610 Unit 497,178

22 Rak TV 14" - 21" Bom 620 Unit 513,042

23 Rak TV 14" - 21" Emporio Unit 409,253

24 Rak TV 14" - 21" Neo 100 Unit 773,252

25 Rak Tv LCD 14" - 21" Nexa 600 Unit 290,215

SSHB ALAT KANTOR & RUMAH TANGGA 29

Page 38: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

26 Rak Tv LCD 21"-32" Nexa 800 Unit 496,071

27 Rak Tv LCD 21"- 42" Nexa 1200 Unit 717,053

28 Rak TV LCD 21' - 42" Nexa 1201 Unit 575,635

H. CALCULATOR

1 Casio Model DR 8620 Buah 2,070,846

Model DM 1400 Buah 239,778

Model DM 1600 Buah 264,957

Model DC -750 Buah 573,040

Model PB - 2000C Buah 554,963

Model DN - 10 Buah 51,519

Model FX 3650 P Buah 418,353

2 Karce Model Buah 47,387

3 Citizen SDL 868 L Buah 125,506

4 Calculator Besar Casio/Citizen 12 digit Buah 180,770

5 Calculator Besar Casio/Citizen 14 digit 6 x - 14 W Buah 419,644

6 Calculator Check Besar Citizen 14 digit Buah 426,100

7 Calculator Check Besar Citizen 12 digit CT - 612 Buah 127,443

8 Calculator Check Sedang Citizen 14 digit Buah 387,364

9 Calculator Check Sedang Citizen 12 digit CT - 512 Buah 83,929

10 Calculator Kecil Casio/Citizen 12 digit Buah 48,420

11 Calculator Lengkap Casio Fx 301 Buah 238,874

12 Calculator Lengkap Casio Fx 3600 PV Buah 232,418

13 Calculator Lengkap Casio Model DR 8620 Buah 1,936,818

14 Calculator Lengkap Casio Model DM 1400 Buah 235,646

15 Calculator Lengkap Casio Model DM 1600 Buah 258,242

16 Calculator Lengkap Casio Model DC-750 Buah 516,485

17 Calculator Lengkap Casio model PB-2000C Buah 535,853

18 Calculator Lengkap Casio Model DN-10 Buah 64,561

19 Calculator Lengkap Casio Model FX 3650 P Buah 213,050

20 Calculator Lengkap Casio Fx 3800 PV Buah 236,937

21 Calculator Lengkap Casio Fx 4200 PV Buah 772,145

22 Calculator sedang Karce Buah 62,624

23 Calculator Sedang Casio/Citizen 12 digit Buah 154,300

24 Calculator Sedang Casio/Citizen 14 digit SDC - 344 Buah 161,402

SSHB ALAT KANTOR & RUMAH TANGGA 30

Page 39: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

I. LAIN-LAIN KEBUTUHAN

KANTOR/RUMAH TANGGA

1 Asbak Rokok Kaca Besar Buah 73,212

2 Asbak Rokok Kaca Kecil Buah 16,140

3 Tilam bahan Kapuk Ukr. Lajang isi 10 Kg Buah 516,485

4 Tilam bahan Kapuk Ukr. Besar Buah 839,288

5 Spring Bed Alga, Model Single Buah 4,493,418

6 Spring Bed Alga, Model Double Buah 6,326,939

7 Seprei Ukr. Lajang Lembar 200,138

8 Seprei Ukr. Besar Lembar 445,468

9 Rak Handuk Stainles Steel Buah 548,765

Rak counter 1/2 biro RC 560 (160 x30 x33CM) Buah 743,984

10 Kursi tunggu Bahan Fiber glass Buah 2,324,182

LIGNA FURNITURE

RUANG TAMU

1 Sofa Aprilia SF-029 Buah 6,714,303

2 Sofa Ivori SF-030 Buah 7,747,272

3 Sofa Natalia SF-032 Buah 5,652,216

4 Sofa Parlemo SF-617 Buah 10,329,696

5 Sofa Santiago SF-618 Buah 8,388,843

6 Sofa Victoria SF-620 Buah 7,910,120

7 Sofa Julia SF 611 Buah 13,468,245

8 Sofa Valencia SF 609 Buah 12,969,321

9 Kursi 1 Seater KT 609A Buah 2,810,517

10 Kursi 3 Seter KT 609C Buah 5,475,966

11 Meja Sudut MKT609A Buah 4,392,703

12 Meja Tengah MKT609B Buah 1,031,743

13 Sofa Kyoto (dgn meja) SFLN 04 Buah 13,023,959

14 Sofa Kyoto (tnp meja) SFLN 04 Buah 15,276,846

15 Kursi 1 Seater Kyota KTLN 04.1 Buah 2,599,423

16 Kursi 2 Seater Kyota KTLN 04.2 Buah 3,820,838

17 Kursi 3 Seater Kyota KTLN 04.3 Buah 4,878,206

18 Kursi Direktur oc S1 KD 100 Buah 1,933,332

19 Kursi Direktur oc S1 KD 101 Buah 1,848,112

20 Kursi Direktur OC S1-KD102 Buah 1,056,446

21 Kursi Hadap (2 biji) OC S1-KH 100 Buah 2,611,864

SSHB ALAT KANTOR & RUMAH TANGGA 31

Page 40: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

22 Kursi Hadap (2 biji) OC S1-KH 101 Buah 2,787,856

23 Kursi Hadap (2 biji) OC S1-KH 102 Buah 2,752,606

24 Kursi Manager OC S1-KM 100 Buah 939,063

25 Kursi Manager OC S1-KM 101 Buah 821,680

26 Kursi Manager OC S1-KM 102 Buah 939,063

27 Kursi Sekretaris (2 biji) OC S1-KS 101 Buah 1,056,446

28 Puff PF.LN 04 Buah 1,723,187

29 Meja Tengah MKT 606B Buah 1,760,744

30 Sofa Baru (dgn meja) SFLN 05 Buah 9,390,633

31 Sofa Baru (tnp meja) SFLN 05 Buah 128,321,169

32 Kursi 1 Seater KTLN 05.1 Buah 3,416,547

33 Kursi 2 Seater KTLN 05.2 Buah 5,996,582

34 Meja Tengah MKTLN 05B Buah 729,406

35 Sofa Divina (dgn meja) SFLN 06 Buah 3,521,487

36 Sofa Divina (tnp meja) SFLN 06 Buah 3,873,636

37 Kursi 1 seater KTLN 06.1 Buah 2,293,696

38 Kursi 2 seater KTLN 06.2 Buah 2,982,700

39 Kursi 3 seater KTLN 06.3 Buah 4,066,911

40 Meja Tamu Divina MKTLN06B Buah 3,756,253

41 Sofa Krakatau (tnp M. Sudut) SF 110 Buah 3,286,722

42 Sofa Krakatau (dgn M. Sudut) SF 110 Buah 3,462,796

43 Meja Sudut Krakatau MKT 110A Buah 309,116

44 Sofa Murano (tnp M. Sudut) SF 106 Buah 3,541,278

45 Sofa Murano (dgn M. Sudut) SF 106 Buah 3,843,615

46 Meja Sudut Murano MKT 106A Buah 292,847

47 Sofa Lily SF 106M Buah 3,240,703

48 Sofa Cemara SF 113 Buah 469,532

49 Sofa Tulip (2 KTA+1KTB+MKTB) SF 111 Buah 3,873,636

50 Kursi 1 Seater Tulip KT 111A Buah 1,163,253

51 Kursi 2 Seater Tulip KT 111B Buah 1,784,197

52 Meja Tengah Murano MKT 106B Buah 294,203

RUANG MAKAN

1 K. Makan Spiza KM 015 Buah 1,294,763

2 MK + 6 KM Corsica Buah 3,796,163

3 MK + 6 KM Spiza Buah 9,964,929

SSHB ALAT KANTOR & RUMAH TANGGA 32

Page 41: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

4 MK + 4 KM Corsica Buah 2,724,696

5 MK + 4 KM Spiza Buah 6,955,114

6 M.Makan Martini (persegi) MK 801 Buah 2,582,424

7 M.Makan Martini Buah 2,287,188

8 K.Makan Martini KM 802 Buah 945,516

9 MKB 001 + 4 KM Martini Buah 6,955,114

10 MK 801 + 6 KM Martini Buah 8,060,746

11 M.Makan Delluca (dgn daun) MK 809 Buah 3,169,339

12 M.Makan Delluca (tnp daun) MK 808 Buah 2,347,658

13 M.Makan Delucca MK 810 Buah 4,108,402

14 Kursi Makan Delucca KM 808 Buah 1,408,595

15 MK 808 + 6 KM Delucca Buah 8,703,518

16 MK 809 + 6 KM Delucca Buah 10,615,700

17 MK 810 + 6 KM Delucca Buah 9,760,207

18 M.Makan Corsica (4 org) MK 114A Buah 939,063

19 M.Makan Corsica (6 org) MK 114B Buah 1,173,829

20 K.Makan Loreine KM 101 Buah 586,915

21 K.Makan Baru KM 102 Buah 450,388

22 MK Corsica + 6 KM Loreine Buah 4,236,789

23 MK Corsica + 6 KM Baru Buah 4,399,482

24 MK Corsica + 4 KM Loreine Buah 2,977,277

25 MK Corsica + KM Baru Buah 2,840,344

26 Kursi Makan Activ 2 BIJI DF S2-DC 200 Buah 1,525,978

27 Kursi Makan Activ 2 Biji DF S2-DC 201 Buah 1,408,595

RUANG TIDUR

Model Torino

1 Tempat Tidur 3 Kaki 190 x 90 Buah 3,169,339

2 Tempat Tidur 4 Kaki 190 x 120 Buah 3,756,253

3 Tempat Tidur 5 Kaki 190 x 150 Buah 6,456,060

4 Tempat Tidur 6 Kaki 200 x 200 cm Buah 7,629,889

5 Tempat Tidur 3 Kaki Tingkat Tempahan Buah 5,282,231

6 Bed Single Torino BS 036 Buah 2,347,658

7 Bed Double Torino BD 036 Buah 3,521,487

8 Rak Nackast Torino RNK 036 Buah 8,290,550

9 Meja Rias Torino MR 036 Buah 2,934,573

SSHB ALAT KANTOR & RUMAH TANGGA 33

Page 42: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

10 Meja Rias +Puff Thunder MR Buah 958,983

11 Al.Pak.Inti Rak Torino (1 pnt) APA 036 Buah 2,928,469

12 Al.Pak.Tamb.Gant Torino (1 pnt) APB 036 Buah 2,379,381

13 Laci Al.Pak Torino L 036 Buah 298,270

14 Al Pak.2 pnt Torino AP.2 036 Buah 5,404,110

15 Al Pak.3 pnt Torino AP.3 )36 Buah 7,870,260

16 Set Khusus Torino SET 036 Buah 15,523,597

17 Matras Homeland Type Celine Uk.5K Buah 1,643,361

18 Matras Homeland Type Celine Uk.6K Buah 2,112,892

19 Matras Complete set Type celine Uk.5k Buah 3,169,339

20 Matras Complete set Type celine Uk.6k Buah 3,991,019

21 Matrtres Caisar Type Cleossy ukuran 120x200 Buah 26,965,672

22 Matras Caisar Wando hongdo 100x 200 Buah 1,115,138

23 Matras Caisar Wando hongdo 120x 200 Buah 1,173,829

Model Estoria

1 Bed Single Estoria BS 038 Buah 1,898,082

2 Bed Double Estoria BD 038 Buah 2,745,440

3 Rak Nackast Estoria RNK 038 Buah 2,867,459

4 Meja Rias Estoria MR 038 Buah 5,282,231

5 Al Pak.Estoria (2 pnt)+Laci APB 038 Buah 4,941,791

6 Al Pak.Estoria (3 pnt)+Laci APA 038 Buah 6,406,026

Model Romano

1 Bed Single Romano (uk. 90) BS 023 Buah 1,962,642

2 Bed Double Romano (uk. 160) BD 009 Buah 3,486,273

3 Rak Nackast Romano RNK 009 Buah 1,132,393

4 Meja Rias Romano MR 010 Buah 1,655,334

5 Al Pak. Inti Rak Romano (1 pnt) APA 007 Buah 2,440,391

6 Al Pak Tamb Gant Romano (1pnt) APB 007 Buah 2,440,391

7 Laci Al Pak. Romano L 007 Buah 348,627

8 Al. Pak 2 pnt Romano AP.2 007 Buah 4,532,154

9 Al. Pak 3 pnt Romano AP.3 007 Buah 6,275,291

10 Al. Pak 4 pnt Romano AP.4 007 Buah 7,844,113

11 Al. Pak 5 pnt Romano AP.5 007 Buah 13,073,522

12 Set Khusus Romano Set 009 Buah 13,422,149

SSHB ALAT KANTOR & RUMAH TANGGA 34

Page 43: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Model Etonia

1 Al Pak.Etonia (3 pnt) APA 034 Buah 8,018,427

2 Set Khusus Etonia Set 034 Buah 159,245,181

Model Bergamo

1 Bed Double Bergamo (uk. 160) BD 040 Buah 1,122,063

2 Rak Nackast Bergamo RNK 040 Buah 1,763,796

3 Meja Rias + Puff Bergamo MR 040 Buah 3,912,764

4 Al Pak Inti Rak Bergamo (1 pnt) APA 040 Buah 2,244,127

5 Al Pak Tamb Gant Bergamo (1pnt) APB 040 Buah 1,603,685

6 Laci Al Pak Bergamo L 040 Buah 320,221

7 Al Pak 2 pnt Bergamo AP.2 040 Buah 3,847,812

8 Al Pak 3 pnt Bergamo AP.3 040 Buah 5,371,442

9 Al Pak 4 pnt Bergamo AP.4 040 Buah 6,895,072

10 Al Pak 5 pnt Bergamo AP.5 040 Buah 8,338,647

11 Set Khusus Bergamo Set 040 Buah 12,507,971

Model Miami

1 Bed Medium Miami (uk. 120) BM 037 Buah 3,130,211

2 Bed Double Miami (uk. 160) BD 037 Buah 3,242,004

3 Meja Rias Miami (tnp puff) MR 037 Buah 3,353,798

4 Nachkast Miami NK 037 Buah 720,496

5 Puff Miami PF 037 Buah 480,331

Model Samas

1 Bed Medium Samas (uk.120) BM 039 Buah 1,932,944

2 Bed Single Samas (uk. 90) BS 039 Buah 1,442,284

3 Bed Sorong Samas BSR 14 Buah 1,042,008

4 Bed Susun Samas BSN 039 Buah 3,527,591

5 Bed Double Smas (uk. 160) BD 039 Buah 2,244,127

Model Bolero

1 Bed Double Bolero (uk. 160) BD 035 Buah 7,696,915

2 Rak Nackast Bolero RNK 035 Buah 2,725,749

3 Meja Rias + Cermin Bolero MR 035 Buah 5,030,696

SSHB ALAT KANTOR & RUMAH TANGGA 35

Page 44: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

4 Toper Meja Rias Bolero TMR 035 Buah 2,084,016

5 Meja Rias + Cermin + Toper MR 035 Set Buah 9,622,112

6 Set Model Bolero (tnp AP) Set 035 Buah 22,611,705

Model Manor

1 Bed Double Manor (uk. 160) BD 041 Buah 6,253,340

2 Rak Nackast Manor RNK 041 Buah 2,164,071

3 Tiang Kelambu Manor 847/4 Buah 1,042,008

4 Set Model Manor (Tnp. AP & MR) Set 041 Buah 11,385,908

Model Siena

1 Bed Single Siena BS 114 Buah 1,442,284

2 Bed Double Siena BD 114 Buah 2,244,127

3 Rak Nackast Siena RNK 114 Buah 560,386

4 Meja Rias Siena MR 114 Buah 961,953

5 Al Pak Siena (2 pnt) + Laci AP.2 114 Buah 3,207,371

6 Al Pak Siena (3 pnt) + Laci AP.3 114 Buah 4,009,213

7 Set Khusus Siena Set 114 Buah 8,098,482

RUANG KELUARGA

1 WU Inti Besar T.70 cm WU 601-70A Buah 961,953

2 WU Inti Tamb. Besar T.70 cm WU 601-70B Buah 881,898

3 WU Inti Tamb. Kecil T.70 cm WU 601-70C Buah 640,441

4 WU Inti Besar T.180 cm WU 601-180A Buah 1,923,906

5 WU Inti Tamb. Besar T.180 cm WU 601-180B Buah 1,522,339

6 WU Inti Tamb. Kecil T.180 cm WU 601-180C Buah 1,122,063

7 Papan Letak dalam besar PL 709/390 Buah 160,110

8 Pintu panil pendek T.36 cm PP 1 Buah 167,858

9 Pintu panil sedang T.61,8 cm PP 2 Buah 240,165

10 Pintu panil sedang T.103,4 cm PP 3 Buah 287,940

11 Laci 2 susun kecil L 2 Buah 287,940

12 Laci 3 susun besar L 3 Buah 560,386

13 Laci 4 susun besar L 4 Buah 2,012,279

14 Laci 5 susun kecil L 5 Buah 769,562

Laci Gantung Single Lock HD 501 (40 x 40x 40 cm) Buah 436,553

Laci Gantung Sentral Lock HD 502 (40 x 40 x 40 cm) Buah 608,714

Laci Sorong susun 3 MD 503 (40 x45x54 cm) Buah 977,632

15 Rangka pintu kaca PK 1 Buah 320,221

SSHB ALAT KANTOR & RUMAH TANGGA 36

Page 45: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Konfigurasi WU 601-070

1 WU 601 - 70 K2 Buah 3,599,899

2 WU 601 - 70 K3 Buah 3,447,536

3 WU 601 - 70 K4 Buah 3,335,201

4 WU 601 - 70 K5 Buah 3,767,757

5 WU 601 - 70 K6 Buah 3,207,371

6 WU 601 - 70 K7 Buah 2,244,127

7 WU 601 - 70 K8 Buah 2,405,528

8 WU 601 - 70 K9 Buah 3,457,866

9 WU 601 - 70 K10 Buah 3,713,526

Konfigurasi WU 601-180

1 WU 601 - 180 K1 Buah 7,376,694

2 WU 601 - 180 K2 Buah 6,895,072

3 WU 601 - 180 K3 Buah 6,414,741

4 WU 601 - 180 K4 Buah 7,696,915

5 WU 601 - 180 K5 Buah 6,702,682

6 WU 601 - 180 K6 Buah 6,253,340

7 WU 601 - 180 K7 Buah 5,933,119

8 WU 601 - 180 K8 Buah 7,776,970

9 WU 601 - 180 K9 Buah 7,135,238

10 WU 601 - 180 K10 Buah 7,216,584

11 WU 601 - 180 K11 Buah 6,574,852

12 WU 601 - 180 K12 Buah 7,184,304

13 Wall Unit Avalon WU 602 5,900,839

14 Kursi Goyang KG 002 2,124,072

KASUR LIGNA

Standart

1 Kasur Single FSS 001 Buah 1,525,978

2 Kasur Sorong FSS 002 Buah 2,112,892

3 Kasur Double FDS 001 Buah 2,347,658

4 Kasur Double Long Size FDLS 001 Buah 2,934,573

5 Kasur Medium FMS 001 Buah 1,760,744

6 Kasur Single Siro KBS 101 Buah 1,525,978

7 Kasur Sorong Siro KBSR 101 Buah 2,112,892

SSHB ALAT KANTOR & RUMAH TANGGA 37

Page 46: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

8 Kasur Double Siro KBD 101 Buah 939,063

9 Kasur Double Long Size Siro KBDL 101 Buah 1,878,127

10 Bantal Siro DBS 101 Buah 117,383

11 Guling Siro DGS 101 Buah 117,383

Jumbo

1 Kasur Single FSJ 001 Buah 6,221,294

2 Kasur Sorong FSJ 002 Buah 3,286,722

3 Kasur Double FDJ 001 Buah 2,347,658

4 Kasur Dauble Long Size FDLJ 001 Buah 2,934,573

Dacron

1 Bantal Ligna DBS 001 150,491

2 Guling Ligna DGS 001 252,174

SPRING BED LIGNA

Matras

1 Deluxe 180 SBD 002 Buah 3,535,855

2 Deluxe 160 SBD 001 Buah 3,114,210

3 Deluxe 120 SBM 001 Buah 2,104,159

4 Deluxe 90 SBS 001 Buah 841,935

Matras + Divan

1 Deluxe 180 6,145,717

2 Deluxe 160 5,724,072

3 Deluxe 90 3,282,326

SSHB ALAT KANTOR & RUMAH TANGGA 38

Page 47: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

SERAGAM DINAS

Page 48: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

IV. PAKAIAN DINAS DAN KELENGKAPANNYA

1 2 3 4 5

1 Pakaian Dinas Harian (PDH)

~ Bahan Tetrex 2020 Segala warna + Badge Stel 592,504

~ Bahan Varena Drill Segala warna + Badge Stel 545,104

~ Bahan Japan Drill Segala warna + Badge Stel 580,654

~ Aspira Segala warna + Badge Stel 675,455

~ Bahan Vitara Segala warna + Badge Stel 521,404

~ Bahan Semi Woll Segala warna + Badge Stel 829,506

2 Pakaian seragam HANSIP

~ Bahan Varena Drill Warna hijau muda + Badge Stel 545,104

~ Bahan Japan Drill Warna hijau muda + Badge Stel 580,654

~ Bahan Vitana Drill Warna hijau muda + Badge Stel 485,853

~ Bahan Vitara Warna hijau muda + Badge Stel 521,404

3 Baju seragam KORPRI

~ Polisma Motif Korpri Lembar 260,702

~ Terpira Motif Korpri Lembar 260,702

~ Paris Motif Korpri Lembar 260,702

~ Katun Motif Korpri Lembar 296,252

4 Celana seragam KORPRI

~ Bahan Varena USA Drill Warna biru Lembar 379,203

~ Bahan Japan Drill Warna biru Lembar 379,203

~ Bahan Vitara Warna biru Lembar 296,252

~ Bahan Semi Woll Warna biru Lembar 450,303

5 Pakaian Sipil Resmi (PSR)

~ Bellini Segala warna Stel 1,516,811

~ Bellini Accura Segala warna Stel 1,552,361

~ Friendship Segala warna Stel 1,659,012

~ Wool England No. 1 Segala warna Stel 6,079,093

~ Wool England No. 2 Segala warna Stel 5,308,838

~ Rapillo Segala warna Stel 2,844,020

6 Pakaian Safari

~ Bellini Segala warna Stel 1,422,010

~ Wool England No. 1 Segala warna Stel 4,503,032

~ Wool England No. 2 Segala warna Stel 4,147,530

~ Rapillo Segala warna Stel 1,422,010

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SSHB SERAGAM DINAS 39

Page 49: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

7 Pakaian Sipil lengkap

~ Wool England kw 1 Segala warna Stel 6,754,548

~ Wool England kw 2 Segala warna Stel 5,688,041

~ Bellini Accura Segala warna Stel 2,251,516

8 Pakaian Dinas lapangan

~ Bahan Suiting Japan T 7960Warna Khaki, Lbr 1,50 m

/Pjg 2,75 mStel 758,405

9 Kain - kain

~ Varena USA Drill segala warna Meter 71,101

~ Japan Drill segala warna Meter 59,250

~ Vitara segala warna Meter 56,880

~ Istem Tetrex segala warna Meter 50,955

10 Ikat pinggang besar (Kopel Rim)

Bahan Dyed Casting,

Kepala Kuning emas, Logo

Depdagri/ Polisi Pamong

Buah 65,175

11 Ikat pinggang kecil warna hitam

Bahan Dyed Casting,

Kepala Kuning emas, Logo

Depdagri/ Polisi Pamong

Buah 41,475

12 Badge

Lambang Depdagri, Polisi

Pamong Praja+ Lambang

KORPRI

Stel 17,775

13 Badge lambangPanca Cita, sulaman

KomputerBuah 5,925

KORPRI/Satuan Kerja,

sulaman KomputerBuah 5,925

14 Kaos Kaki TebalWarna Hitam, bahan Katun

Initial Polisi Pamong PrajaPasang 29,625

15 Sepatu Lars (Boots) / PDL bahan sintetisStandar TNI, Hitam initial

Polisi Pamong Praja, segala Pasang 237,002

16 Sepatu PDL bahan kulit Type TNI Pasang 438,453

17 Sepatu PDH sintetis Type TNI Pasang 237,002

18 Sepatu PDH kulit Type TNI Pasang 474,003

19 Topi Pamong Praja Buah 71,101

20 Topi Korpri Buah 71,101

21 Bendera Merah Putih Ukr. 80 x 120 Lembar 148,126

Ukr. 90 x 135 Lembar 94,801

Ukr. 120 x 135 Lembar 106,651

Ukr. 160 x 210 Lembar 118,501

Ukr. 180 x 270 Lembar 201,451

22 Papan Nama seragam dinas TNI/POLRI Buah 41,475

PNS Buah 41,475

SSHB SERAGAM DINAS 40

Page 50: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

PERLENGKAPAN OLAH RAGA

Page 51: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

1 Bola Badminton (Shuttle Cock) Garuda Slop/12 Bh 126,170

Garuda Export Slop/12 Bh 159,372

Nine Slop/12 Bh 119,529

2 Bola Basket Mikasa Buah 564,444

Mikasa Power Buah 909,751

Mikasa / Karet 1/2 Kulit Buah 458,196

Mikasa PBSI Buah 397,103

Spalding Kings Buah 516,632

Molten B7R Buah 503,351

Molten BG-G7 Buah 1,195,293

Molten BGE7 Buah 644,130

Spalding Buah 191,971

3 Bola Kaki Molten Napoli Buah 240,266

Adidas Lokal Buah 365,229

Adidas Soccer Tango 12 Buah 298,823

Adidas LN / Piala Dunia Buah 1,002,718

Mikasa Soccer FX5 Buah 573,741

Mikasa Type ZEA Buah 490,070

Nike soccer minor Buah 370,541

4 Bola Tennis Tens Slop/4 Bh 126,170

Dunlop isi 3 Slop/3 Bh 265,621

Dunlop isi 4 Slop/3 Bh 199,216

Nassau Slop/4 Bh 130,154

Nassau Hitam Slop/4 Bh 118,068

Wilson 95,382

5 Bola Tenis Meja Butterfly Slop/3 Bh 35,726

Paradiso Slop/6 Bh 47,679

DHS Slop/6 Bh 47,679

6 Bola Volley Mikasa Volly MVA 310 Buah 617,568

Mikasa Volly MG Super Gold Buah 487,414

Mikasa MVA 330 Buah 498,039

Mikasa Type MVA 410 (Size:5) Buah 617,568

V. PERLENGKAPAN OLAH RAGA

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SSHB PERLENGKAPAN OLAH RAGA 41

Page 52: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Molten V48SL size:4 Buah 392,986

Molten Type V5M5000 size:5 Buah 1,017,195

Molten Type V5M3500 size:5 Buah 459,391

7 Bola Futsal Nassau Buah 439,470

Molten VGI 5000 Buah 863,267

Molten Futsal PFI 750A Buah 432,829

8 Bola Takrow Rotan Buah 46,484

Sintetis Buah 111,561

9 Net Badminton DHS Set 104,787

Yonex Set 512,515

Toalson Set 378,510

RS Set 366,557

Merk Sheill/GTO Taiwan Set 338,666

Merk Sheill/GTO Taiwan (Asli) Set 383,822

10 Net Volley Molten Set 293,378

GTO Taiwan (Asli) Set 738,293

11 Net Tennis Lapangan GTO Taiwan Set 620,092

GTO Taiwan (Super) Set 1,180,551

12 Net Tennis Meja Paradiso Set 91,506

DHS Set 91,506

Butterfly Set 250,879

13 Raket Badminton Pro Kennex Buah 177,833

Pro Kennex / 601 Buah 443,454

Pro Kennex / 627 Buah 592,201

Pro Kennex / 815 Buah 1,195,161

Carbonex 8 Buah 584,233

Carbonex 9SP Buah 916,259

Carbonex 10 Buah 929,540

Forza 833,083

14 Raket Tennis Yonex MP 33 - Jepang Buah 1,162,888

Yonex MP 66 - Jepang Buah 1,487,343

Yonex MP 100 - Jepang Buah 2,656,075

Yonex TI 2 Light - Taiwan Buah 491,266

Yonex TI 6 - Jepang Buah 1,593,592

Head (Djokovic) Buah 3,142,161

SSHB PERLENGKAPAN OLAH RAGA 42

Page 53: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Head ( Titanio ) Buah 2,219,129

Head ( Interlegen) Buah 6,149,121

Pro Kennex Black Ace Buah 2,390,587

Pro Kennex Buah 2,092,428

Wilson/Cina Buah 3,124,364

Wilson K-Zero Buah 2,511,311

Wilson asli Buah 7,968,490

Wilson Buah 3,620,894

Babolat Buah 3,620,894

15 Bed Tennis Meja Merk China (Paradiso) Buah 110,233

RITC 802 Buah 110,233

RITC 837 Buah 132,678

RITC 755 Buah 106,115

DHS Buah 132,678

DHS Cloud n Fog III Buah 246,363

Friendship Buah 106,115

Yasaka Mark V Buah 381,033

Butterfly Silver Buah 398,298

Butterfly Bryce FX Buah 575,467

Butterfly Tackines chop Buah 442,657

Butterfly Bryce Speed Buah 737,762

Butterfly Tenergy 25 Buah 767,246

16 Meja Tenis Butterfly bahan partikel plus

rangka besiBuah 2,951,047

17 Pakaian Olah Raga Atlit ½ Lusin 2,803,627

1 Lusin 5,312,282

18 Pakaian Karate/Silat Set 618,232

19 Training Spack Adidas Pasang 916,259

Adidas (Lokal) Pasang 442,259

20 Sepatu Bola Adidas Lokal Pasang 413,040

Adidas Adipure III TRX FG

OriginalPasang 2,948,656

Eagle Pasang 485,953

Eagle ( Studio) Pasang 517,828

Lotto- Fuerzapurra L 300 FG

OriginalPasang 902,978

SSHB PERLENGKAPAN OLAH RAGA 43

Page 54: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Mizuno (original) Pasang 2,523,264

Nike - CTR 360 Libretto FG

OriginalPasang 2,656,075

Nike - CTR 360 Trequartista FG

OriginalPasang 3,984,179

Adidas Pasang 783,581

21 Sepatu Olah Raga Eagle ( All Enggland) Pasang 490,734

Eagle ( Super X) Pasang 424,993

Eagle ( Run Net) Pasang 436,946

Eagle ( Pro Mash) Pasang 490,734

Adidas (Asli Volly) Pasang 657,279

Adidas (Asli Tennis ) Pasang 978,680

Nike T3 Original Pasang 1,150,935

Puma Power Cat3 Original Pasang 1,035,788

Puma V5. 10 Original Pasang 792,745

Panther (Kodachi) Pasang 262,832

Nike Running Pasang 1,085,423

Reebok Pasang 1,085,423

22 Skipping Paradiso Set 58,304

DHS Set 87,522

ROX Set 265,488

23 Stopwatch Seiko Buah 427,649

Seiko (Digital) Buah 366,557

Seiko ( Diamond) Buah 574,405

Alba Buah 902,978

FOX (standar) Buah 252,207

FOX Buah 351,948

24 Kaos kaki tebal Fila / Adidas / Nike Pasang 147,420

Yonex Pasang 351,948

25 Piala (Trophy) Ukr. Besar 4 kaki Buah 1,049,069

Ukr. Sedang 2 kaki Buah 863,267

Ukr. Kecil (3 buah) Buah 378,510

26 Topi Olah raga Adidas (Taiwan) Buah 292,183

Lokal Buah 86,327

27 Kaca Mata Renang Speedo Set 298,823

Swim Set 119,397

SSHB PERLENGKAPAN OLAH RAGA 44

Page 55: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Sea Lion Set 132,678

Durin Japan (Phonia) Set 265,488

Durin Japan (Phonia) Swan Set 298,823

Durin Japan (Phonia) Slikon Set 398,298

Lokal (Phonia) Set 132,678

SSHB PERLENGKAPAN OLAH RAGA 45

Page 56: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

ALAT LISTRIK

Page 57: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

VI. KELOMPOK ALAT LISTRIK

1 2 3 4 5

A. LAMPU

1 Lampu TL Fluotone PHILIPS TLD 33/18 watt Buah 18,966

PHILIPS TLD 33/36 watt Buah 23,544

PHILIPS TLD 54/10 watt Buah 15,042

PHILIPS TLD 54/15 watt Buah 16,350

PHILIPS TLD 54/18 watt Buah 17,004

PHILIPS TLD 54/36 watt Buah 20,274

PHILIPS TLD 54/58 watt Buah 30,084

PHILIPS TL 54/20 watt Buah 46,433

PHILIPS TL 54/40 watt Buah 47,741

PHILIPS TLRS 54/40 watt Buah 71,939

2 Lampu TL Super Deluxe PHILIPS Super 80/18 watt Buah 31,392

PHILIPS Super 80/36 watt Buah 37,277

PHILIPS Deluxe 80/18 watt Buah 45,779

PHILIPS Deluxe 80/36 watt Buah 52,319

3 Lampu Hemat Energi Wide Voltage PHILIPS SL*E 11 watt Buah 85,019

PHILIPS SL*E 15 watt Buah 95,483

PHILIPS SL*E DECO 15 watt Buah 95,483

PHILIPS SL*E DECO 20 watt Buah 111,178

PHILIPS PLEU 11 watt Buah 95,483

PHILIPS PLEU 15 watt Buah 103,331

PHILIPS PLEU 20 watt Buah 111,178

PHILIPS PLEC 5 watt Buah 71,939

PHILIPS PLEC 9 watt Buah 58,859

PHILIPS PLEC 15 watt Buah 222,357

HITACHI 11 W Buah 36,623

HITACHI 15 W Buah 115,756

HITACHI 20 W Buah 124,912

4 Lampu Mercury 125 watt Buah 49,703

160 watt Buah 69,323

250 watt ML Buah 98,099

5 Lampu Pijar PHILIPS Clear 10 watt Buah 10,464

PHILIPS Clear 15 watt Buah 10,464

PHILIPS Clear 25 watt Buah 9,156

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SSHB ALAT LISTRIK 46

Page 58: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

PHILIPS Clear 40 watt Buah 9,156

PHILIPS Clear 60 watt Buah 10,464

PHILIPS Clear 75 watt Buah 10,464

PHILIPS Clear 100 watt Buah 13,080

PHILIPS Clear 150 watt Buah 26,160

PHILIPS Clear 200 watt Buah 26,814

PHILIPS Superlux 25 watt Buah 13,080

PHILIPS Superlux 40 watt Buah 15,696

PHILIPS Superlux 60 watt Buah 15,696

PHILIPS Superlux 75 watt Buah 14,388

PHILIPS Superlux 100 watt Buah 15,696

PHILIPS Softone 25 watt Buah 13,080

PHILIPS Softone 40 watt Buah 19,620

PHILIPS Softone 60 watt Buah 22,236

PHILIPS Softone 75 watt Buah 19,620

PHILIPS Softone 100 watt Buah 19,620

6 Lampu Taman Lengkap Buah 457,793

7 Lampu Sorot Halogen 500 watt Buah 45,779

Halogen 1000 watt Buah 58,859

Halogen 1500 watt Buah 58,859

Lampu sorot philip + bola philip Halogen 500 watt Buah 196,197

Halogen 1000 watt Buah 523,192

8 Lampu Slide 3 M Buah 98,099

B. BALLAST, STARTER &

SEKERING

1 Ballast TL Sinar 20 watt Buah 45,779

Sinar 40 watt Buah 51,011

2 Starter TL Phillips Buah 10,464

Star Buah 6,540

Sinar Buah 7,848

3 Sekering biasa Buah 6,540

4 Sekering Otomatis 6 s/d 20 Amp Buah 39,239

25 s/d 30 Amp Buah 39,239

5 M C B 1 Phase Stuz 2 s/d 10 Amp Buah 52,319

Merlin Gerrit 2 - 4 Amp Buah 90,251

SSHB ALAT LISTRIK 47

Page 59: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

6 M C B 3 Phase Merlin Gerrit 6 - 20 Amp Buah 392,394

7 Fuse Box 1 Group Broco Buah 58,859

8 Fuse Box 2 Group Broco Buah 85,019

9 Fuse Box 3 Group Broco Buah 117,718

C. KABEL

1 Kabel NYM - O 2 x 1,5 Sqmm Meter 13,080

2 x 2,5 Sqmm Meter 15,042

2 x 4 Sqmm Meter 24,198

2 x 6 Sqmm Meter 30,738

2 x 10 Sqmm Meter 58,205

2 x 16 Sqmm Meter 85,019

3 x 1,5 Sqmm Meter 13,080

3 x 2,5 Sqmm Meter 19,620

3 x 4 Sqmm Meter 26,814

3 x 6 Sqmm Meter 41,201

3 x 10 Sqmm Meter 63,437

3 x 16 Sqmm Meter 19,620

3 x 25 Sqmm Meter 25,506

3 x 35 Sqmm Meter 36,623

4 x 1,5 Sqmm Meter 19,620

4 x 2,5 Sqmm Meter 24,198

4 x 4 Sqmm Meter 39,239

4 x 6 Sqmm Meter 52,319

4 x 10 Sqmm Meter 71,939

4 x 16 Sqmm Meter 241,976

4 x 25 Sqmm Meter 274,676

4 x 35 Sqmm Meter 379,314

4 x 50 Sqmm Meter 264,212

2 Kabel NYY - O 2 x 1,5 Sqmm Meter 11,118

2 x 2,5 Sqmm Meter 14,388

2 x 4 Sqmm Meter 22,236

2 x 6 Sqmm Meter 27,468

2 x 10 Sqmm Meter 41,855

2 x 16 Sqmm Meter 71,939

3 x 1,5 Sqmm Meter 14,388

SSHB ALAT LISTRIK 48

Page 60: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

3 x 2,5 Sqmm Meter 18,312

3 x 4 Sqmm Meter 27,468

3 x 6 Sqmm Meter 35,315

3 x 10 Sqmm Meter 52,319

3 x 16 Sqmm Meter 78,479

4 x 1,5 Sqmm Meter 15,696

4 x 2,5 Sqmm Meter 22,890

4 x 4 Sqmm Meter 32,700

4 x 6 Sqmm Meter 43,163

4 x 10 Sqmm Meter 69,323

4 x 16 Sqmm Meter 10,464

4 x 25 Sqmm Meter 176,577

4 x 35 Sqmm Meter 235,437

4 x 50 Sqmm Meter 313,915

3 Kabel NYMHY - O 2 x 0,75 Sqmm Meter 5,232

2 x 1,5 Sqmm Meter 9,810

2 x 2,5 Sqmm Meter 13,080

2 x 4 Sqmm Meter 18,312

2 x 6 Sqmm Meter 71,939

2 x 10 Sqmm Meter 117,718

3 x 0,75 Sqmm Meter 9,810

3 x 1,5 Sqmm Meter 14,388

3 x 2,5 Sqmm Meter 19,620

3 x 4 Sqmm Meter 23,544

3 x 6 Sqmm Meter 91,559

3 x 10 Sqmm Meter 163,498

3 x 16 Sqmm Meter 248,516

4 x 0,75 Sqmm Meter 14,388

4 x 1,5 Sqmm Meter 196,197

4 x 2,5 Sqmm Meter 24,852

4 x 4 Sqmm Meter 35,315

4 x 6 Sqmm Meter 128,182

7 x1,5 Sqmm Meter 88,943

12 x 1,5 Sqmm Meter 141,262

4Kabel NYA merek Metal (SNI-SPIN-

LMK)1,5 Sqmm Gulung 255,056

SSHB ALAT LISTRIK 49

Page 61: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2,5 Sqmm Gulung 412,014

4, Sqmm Gulung 745,549

6, Sqmm Gulung 915,587

10, Sqmm Meter 26,160

16, Sqmm Meter 34,008

25, Sqmm Meter 58,859

35, Sqmm Meter 71,939

50, Sqmm Meter 104,638

70, Sqmm Meter 143,878

5 Twin Wires 10/0,14 x 2c Gepeng 90 Meter 98,099

23/0,14 x 2c bersegi 90 Meter 150,418

23/0,14 x 2c bulat 90 Meter 196,197

6 N Y Z 2 x 0,75 Sqmm 90 Meter 235,437

D. LAIN - LAIN ALAT KELISTRIKAN

BROCO STANDARD

1 Fitting Plafon 210 L Buah 10,464

Gantung 216 L Buah 10,464

Kombinasi 226 Buah 10,464

Plafon Besar 1210 Buah 19,620

2 Saklar Engkel New Gee Urea 6621U Buah 19,620

Mahagony 6621U22 Buah 26,160

Brazil 6621U33 Buah 26,160

Grey 6621U44 Buah 30,738

3 Saklar Seri New Gee Urea 6622U Buah 26,160

Mahagoni 6622U22 Buah 39,239

Brazil 6622U33 Buah 6,540

Grey 6622U44 Buah 39,239

4 Saklar Engkel IB 6611 Buah 19,620

Radium 6611R Buah 32,700

5 Saklar Seri IB 6612 Buah 26,160

Radium 6612R Buah 45,779

6 Saklar Triple IB 6613 Buah 32,046

Radium 6613R Buah 58,859

7 Saklar Engkel Outbow 630 Buah 16,350

Persegi Cream 1621011 Buah 24,198

SSHB ALAT LISTRIK 50

Page 62: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Persegi Mahagony 1621022 Buah 105,292

8 Saklar Seri Outbow 632 Buah 20,274

Persegi Cream 1622011 Buah 32,700

Persegi Mahagony 1622022 Buah 39,239

9 Stop Kontak Arde Outbow Putih 6130 Buah 19,620

Hitam 6130B Buah 16,350

Persegi Cream 1541011 Buah 26,160

Persegi Mahagony 1541022 Buah 29,430

10 Stop Kontak Arde IB New Gee Urea 5511U Buah 26,160

Mahagony 5511U22 Buah 31,392

Brazil 5511U33 Buah 32,700

Grey 5511U44 Buah 36,623

11 Stop Kontak Arde IB 6100 Buah 19,620

Tutup 6122 Buah 58,859

12 Stop Kontak Arde Putar NG Cream 515411 Buah 50,357

Mahagony 515422 Buah 45,779

Grey 515444 Buah 45,779

13 Steker Biasa 344L Buah 6,540

14 Steker Arde New Gee Cream 1331011 Buah 19,620

Baru 3300 Buah 19,620

15 Steker T Putih 810L Buah 26,160

Hitam 810LH Buah 10,464

Arde 4330 Buah 32,700

16 Kontak Steker Biasa 334N Buah 10,464

17 Over Steker Bulat 844 Buah 10,464

18 Telephone Socket New Gee Cream 517111 Buah 13,080

19 Outbow Doos AC Buah 10,464

20 Elemen Sterika Listrik Buah 19,620

21 Stecker Cabang Biasa Buah 13,080

Order Voltana Buah 13,080

22 Stabilizer Biasa stavol 500 Watt Buah 326,995

Japan Stavol 500 Watt Buah 719,390

23 Step Up Step Down 1000 Watt Buah 261,596

E. NATIONAL (LOKAL)

1 Sakelar National Buah 19,620

SSHB ALAT LISTRIK 51

Page 63: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2 Stop Kontak National Buah 17,004

3 Stop Kontak Arder National Buah 50,357

4 Plat 1 Lubang National Buah 17,004

5 Plat 2 Lubang National Buah 15,696

6 Plat 3 Lubang National Buah 16,350

7 Plat Stop Kontak Arder National Buah 19,620

8 Sakelar Seri (impor) National Buah 98,099

9 Box National Buah 10,464

10 Box Besi National Buah 19,620

F. SERVICE

1 Instalasi Listrik - Titik 235,437

2 Service Rutin Generator - KVA 43,817

SSHB ALAT LISTRIK 52

Page 64: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

PEMADAM

Page 65: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

VII. ALAT PEMADAM

1 2 3 4 5

1TABUNG RACUN API (Alat

Pemadam)

Yamato Baroda YA-100 /Multi Purpose

Cartridge/40 KgUnit 15,216,912

Yamato Baroda YA - 50 /Multi Purpose

Cartridge/20 KgUnit 11,684,223

YA - 4 EL /Multi Purpose Cartridge/1,2 Kg Unit 1,211,164

YAM - 4 EL /Multi Purpose Cartridge/2 Kg Unit 1,459,354

YA - 10 ES /Multi Purpose Cartridge/3 Kg Unit 1,886,239

YA - 10 L /Multi Purpose Cartridge/3,5 Kg Unit 2,367,574

YA /Multi Purpose Cartridge/ 4,5 Kg Unit 2,825,770

YA - 20 L /Multi Purpose Cartridge/6 Kg Unit 3,283,966

YC - 5 /Carbon Dioxide/2,3 Kg Unit 4,207,765

YC - 7 /Carbon Dioxide/3,2 Kg Unit 4,841,602

YC - 10 /Carbon Dioxide/4,6 Kg Unit 5,471,622

YC - 15 /Carbon Dioxide/6,8 Kg Unit 6,101,641

Miyata CA - 50 W - 2 /Catrige Type Origin

Japan/20 KgUnit 8,797,360

Miyata CA - 100 W - 2 /Catrige Type Origin

Japan/40 KgUnit 19,549,688

Concord /Dry Chemical Powder/ 2 Kg Unit 809,479

Concord /Dry Chemical Powder/ 6 Kg Unit 1,176,036

Concord /Dry Chemical Powder/ 9 Kg Unit 1,439,499

Concord /Dry Chemical Powder/4,5 Kg Unit 1,099,670

SQUAD INDO/ABC -3SQUAD INDO/ABC 3 /Dry Chemical Powder/

3 KgUnit 725,477

SQUAD INDO/ABC -9SQUAD INDO/ABC 9/Dry Chemical Powder/

9 KgUnit 1,451,183

ABC SM - 2 /Dry Chemical Powder/2 Kg Unit 611,697

ABC SM - 3 /Dry Chemical Powder/3 Kg Unit 725,477

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SSHB ALAT PEMADAM 53

Page 66: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

ABC SM - 0,5 /Dry Chemical Powder/0,5 Kg Unit 458,196

ABC SM - 5 /Dry Chemical Powder/5 Kg Unit 878,209

ABC SM - 6 /Dry Chemical Powder/6 Kg Unit 992,758

ABC SM - 70 /Dry Chemical Powder/70 Kg Unit 11,531,491

ABC SM - 9 /Dry Chemical Powder/9 Kg Unit 1,451,183

ABC SM - 35 /Dry Chemical Powder/35 Kg Unit 6,567,473

ABC SM - 50 /Dry Chemical Powder/50 Kg Unit 8,659,901

ABC ST - 2 /Carbon Dioxida (CO2)/ 2 Kg Unit 1,406,280

ABC ST - 3 /Carbon Dioxida (CO2)/ 3 Kg Unit 1,666,688

ABC ST - 5 /Carbon Dioxida (CO2)/ 5 Kg Unit 2,321,525

ABC ST - 7 /Carbon Dioxida (CO2)/ 7 Kg Unit 2,719,622

ABC ST - 25 /Carbon Dioxida (CO2)/ 25 Kg Unit 7,865,695

Gunung Mas /Cartridge/ 9 Ltr Unit 482,803

Chubb EP 3/ABC Dry Chemical Powder/ 3 Kg Unit 3,205,813

Chubb EP 4,5 /ABC Dry Chemical Powder/

4,5 KgUnit 4,084,725

Chubb EP 6 /ABC Dry Chemical Powder/ 6

KgUnit 4,348,187

Chubb EP 9 /ABC Dry Chemical Powder/ 9

KgUnit 4,611,650

Chubb EHL 3,5 /Alotron/ 3,5 Kg Unit 23,177,988

Chubb EHL 5 /Alotron/ 5 Kg Unit 29,515,753

Chubb EF 6 /Foam AFFF 6 %/ 6 Ltr Unit 1,681,045

Chubb EF 9 /Foam AFFF 6 %/ 9 Ltr Unit 1,985,771

Minimax MEP 2 /ABC Dry Chemical Powder/

2 KgUnit 970,231

Minimax MEP 3 /ABC Dry Chemical Powder/

3 KgUnit 1,099,670

Minimax MEP 4,5 /ABC Dry Chemical

Powder/ 4,5 KgUnit 1,222,710

SSHB ALAT PEMADAM 54

Page 67: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Minimax MEP 6 /ABC Dry Chemical Powder/

6 KgUnit 1,358,336

Minimax MEP 9 /ABC Dry Chemical Powder/

9 KgUnit 1,547,503

Minimax MEP 6 C /Power Cartridge/ 6 Kg Unit 2,323,405

Minimax MEP 9 C /Power Cartridge/ 9 Kg Unit 2,672,809

Appron AP - 10 P /Dry Chemical Powder/ 1,0

KgUnit 739,223

Appron AP - 15 /Dry Chemical Powder/ 1,5

KgUnit 763,660

Appron AP - 25 /Dry Chemical Powder/ 2,5

KgUnit 827,807

Appron AP - 35 /Dry Chemical Powder/ 3,5

KgUnit 931,665

Appron AP - 60 P /Dry Chemical Powder/ 6,0

KgUnit 1,069,124

Appron AP - 90 P /Serbuk Kimia Kering/ 9,0

KgUnit 1,252,402

Appron AP - 200 S /Serbuk Kimia Kering/ 20

KgUnit 5,834,360

Appron AP - 250 S /Serbuk Kimia Kering/ 25

KgUnit 7,942,061

Appron AP - 400 S /Serbuk Kimia Kering/ 40

KgUnit 9,958,122

Appron AP - 500 S /Serbuk Kimia Kering/ 50

KgUnit 11,607,627

Appron AP - 700 S /Serbuk Kimia Kering/ 70

KgUnit 14,356,802

Appron AC - 5 /Carbon Dioxide (CO2)/ 2.3 Kg Unit 977,484

Appron AC - 7 /Carbon Dioxide (CO2)/ 3 Kg Unit 1,206,582

Appron AC - 10 /Carbon Dioxide (CO2)/ 4,6

KgUnit 1,573,139

Appron AC - 15 /Carbon Dioxide (CO2)/ 6,8

KgUnit 2,023,698

Red Guard RGP 3 C /Serbuk Kimia Kering +

CO2/ 1.8 KgUnit 748,386

Red Guard RGP 5 C /Serbuk Kimia Kering +

CO2/ 2,5 KgUnit 847,662

Red Guard RGP 10 C /Serbuk Kimia Kering +

CO2/ 3,5 KgUnit 946,938

Red Guard RGP 15 C /Serbuk Kimia Kering +

CO2/ 4,5 KgUnit 1,145,490

Red Guard RGP 20 C /Serbuk Kimia Kering +

CO2/ 6 KgUnit 2,984,382

SSHB ALAT PEMADAM 55

Page 68: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Red Guard RGP 30 C /Serbuk Kimia Kering +

CO2/ 9 KgUnit 3,228,753

Krakatau Protek 5 P /Serbuk Kimia Kering +

N2/ 5 LbsUnit 1,307,463

Krakatau Protek 20 P /Serbuk Kimia Kering +

N2/ 20 LbsUnit 6,950,525

Krakatau Protek 2 P /Carbon Dioxide (CO2)/

2 KgUnit 3,436,469

2REFILING/Isi Ulang Tabung

Racun Api (Alat Pemadam)

Yamato Baroda YA - 100 /Multi Purpose

Cartridge/40 KgUnit 7,426,071

Yamato Baroda YA - 50 /Multi Purpose

Cartridge/20 KgUnit 5,842,722

YA - 4 EL /Multi Purpose Cartridge/1,2 Kg Unit 439,105

YAM - 4 EL /Multi Purpose Cartridge/2 Kg Unit 477,288

YA - 10 ES /Multi Purpose Cartridge/3 Kg Unit 620,474

YA - 10 L /Multi Purpose Cartridge/3,5 Kg Unit 644,338

YA /Multi Purpose Cartridge/4,5 Kg Unit 939,301

YA - 20 L /Multi Purpose Cartridge/6 Kg Unit 1,287,339

YC - 5 /Carbon Dioxide/2,3 Kg Unit 534,562

YC - 7 /Carbon Dioxide/3,2 Kg Unit 756,023

YC - 10 /Carbon Dioxide/4,6 Kg Unit 908,755

YC - 15 /Carbon Dioxide/6,8 Kg Unit 1,214,219

Miyata CA - 50 W - 2 /Catrige Type Origin

Japan/20 KgUnit 2,062,264

Miyata CA - 100 W - 2 /Catrige Type Origin

Japan/40 KgUnit 3,971,413

Concord /Dry Chemical Powder/2 Kg Unit 229,098

Concord /Dry Chemical Powder/6 Kg Unit 698,214

Concord /Dry Chemical Powder/9 Kg Unit 851,977

Concord /Dry Chemical Powder/4,5 Kg Unit 630,020

SQUAD INDO/ABC -3SQUAD INDO/ABC 3 /Dry Chemical Powder/

3 KgUnit 427,649

SSHB ALAT PEMADAM 56

Page 69: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SQUAD INDO/ABC -6SQUAD INDO/ABC 6/Dry Chemical Powder/

6 KgUnit 687,294

SQUAD INDO/ABC -9SQUAD INDO/ABC 9/Dry Chemical Powder/

9 KgUnit 852,018

ABC SM - 2 /Dry Chemical Powder/2 Kg Unit 241,401

ABC SM - 3 /Dry Chemical Powder/3 Kg Unit 427,649

ABC SM - 0,5 /Dry Chemical Powder/0,5 Kg Unit 152,732

ABC SM - 5 /Dry Chemical Powder/5 Kg Unit 572,745

ABC SM - 6 /Dry Chemical Powder/6 Kg Unit 687,294

ABC SM - 70 /Dry Chemical Powder/70 Kg Unit 4,880,550

ABC SM - 9 /Dry Chemical Powder/9 Kg Unit 852,018

ABC SM - 35 /Dry Chemical Powder/35 Kg Unit 2,597,207

ABC SM - 50 /Dry Chemical Powder/50 Kg Unit 3,486,565

ABC ST - 2 /Carbon Dioxida (CO2)/ 2 Kg Unit 305,464

ABC ST - 3 /Carbon Dioxida (CO2)/ 3 Kg Unit 580,381

ABC ST - 5 /Carbon Dioxida (CO2)/ 5 Kg Unit 916,392

ABC ST - 7 /Carbon Dioxida (CO2)/ 7 Kg Unit 1,146,750

ABC ST - 25 /Carbon Dioxida (CO2)/ 25 Kg Unit 1,580,776

E C O /Cartridge/ 12 Kg Unit 1,481,996

E C O /Cartridge/ 50 Kg Unit 7,636,597

ABC - 15 /Cartridge/ 4,5 Kg Unit 1,099,670

ABC - 20 /Cartridge/ 6 Kg Unit 1,389,861

ABC - 50 /Cartridge/ 20 Kg Unit 2,668,991

ABC - 100 /Cartridge/ 40 Kg Unit 3,741,932

ABC - 150 /Cartridge/ 60 Kg Unit 5,238,705

Gunung Mas /Cartridge/ 9 Ltr Unit 160,935

SSHB ALAT PEMADAM 57

Page 70: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Chubb/ABC Dry Chemical Powder/ 68 Kg Unit 7,789,329

Chubb EP 3/ABC Dry Chemical Powder/ 3 Kg Unit 620,474

Chubb EP 4,5 /ABC Dry Chemical Powder/

4,5 KgUnit 939,301

Chubb EP 6 /ABC Dry Chemical Powder/ 6

KgUnit 1,287,339

Chubb EP 9 /ABC Dry Chemical Powder/ 9

KgUnit 1,489,901

Chubb EHL 3,5 /Alotron/ 3,5 Kg Unit 3,360,103

Chubb EHL 5 /Alotron/ 5 Kg Unit 4,505,592

Chubb EF 6 /Foam AFFF 6 %/ 6 Ltr Unit 901,118

Chubb EF 9 /Foam AFFF 6 %/ 9 Ltr Unit 1,375,352

Minimax MEP 2 /ABC Dry Chemical Powder/

2 KgUnit 427,649

Minimax MEP 3 /ABC Dry Chemical Powder/

3 KgUnit 565,108

Minimax MEP 4,5 /ABC Dry Chemical

Powder/ 4,5 KgUnit 584,200

Minimax MEP 6 /ABC Dry Chemical Powder/

6 KgUnit 896,766

Minimax MEP 9 /ABC Dry Chemical Powder/

9 KgUnit 1,044,916

Minimax MEP 6 C /Power Cartridge/ 6 Kg Unit 749,686

Minimax MEP 9 C /Power Cartridge/ 9 Kg Unit 1,145,490

Appron AP - 10 P /Dry Chemical Powder/ 1,0

KgUnit 229,862

Appron AP - 15 /Dry Chemical Powder/ 1,5

KgUnit 320,737

Appron AP - 25 /Dry Chemical Powder/ 2,5

KgUnit 490,270

Appron AP - 35 /Dry Chemical Powder/ 3,5

KgUnit 493,324

Appron AP - 60 P /Dry Chemical Powder/ 6,0

KgUnit 6,264,412

Appron AP - 90 P /Serbuk Kimia Kering/ 9,0

KgUnit 968,550

Appron AP - 200 S /Serbuk Kimia Kering/ 20

KgUnit 1,604,450

Appron AP - 250 S /Serbuk Kimia Kering/ 25

KgUnit 2,520,460

SSHB ALAT PEMADAM 58

Page 71: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Appron AP - 400 S /Serbuk Kimia Kering/ 40

KgUnit 2,901,907

Appron AP - 500 S /Serbuk Kimia Kering/ 50

KgUnit 3,482,594

Appron AP - 700 S /Serbuk Kimia Kering/ 70

KgUnit 4,398,985

Appron AC - 5 /Carbon Dioxide (CO2)/ 2.3 Kg Unit 534,562

Appron AC - 7 /Carbon Dioxide (CO2)/ 3 Kg Unit 572,745

Appron AC - 10 /Carbon Dioxide (CO2)/ 4,6

KgUnit 611,310

Appron AC - 15 /Carbon Dioxide (CO2)/ 6,8

KgUnit 901,348

Red Guard RGP 3 C /Serbuk Kimia Kering +

CO2/ 1.8 KgUnit 416,783

Red Guard RGP 5 C /Serbuk Kimia Kering +

CO2/ 2,5 KgUnit 504,015

Red Guard RGP 10 C /Serbuk Kimia Kering +

CO2/ 3,5 KgUnit 562,186

Red Guard RGP 15 C /Serbuk Kimia Kering +

CO2/ 4,5 KgUnit 695,313

Red Guard RGP 20 C /Serbuk Kimia Kering +

CO2/ 6 KgUnit 1,389,861

Red Guard RGP 30 C /Serbuk Kimia Kering +

CO2/ 9 KgUnit 1,757,182

Krakatau Protek 5 P /Serbuk Kimia Kering +

N2/ 5 LbsUnit 695,160

Krakatau Protek 20 P /Serbuk Kimia Kering +

N2/ 20 LbsUnit 1,427,281

Krakatau Protek 2 P /Carbon Dioxide (CO2)/

2 KgUnit 320,737

SSHB ALAT PEMADAM 59

Page 72: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK

PEMELIHARAAN KANTOR

Page 73: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

VIII. PEMELIHARAAN

1 2 3 4 5

I PEMELIHARAAN AC SENTRAL, AC SPLIT DAN AC WINDOW

1 S e r v i c e AC Sentral Paket 1,328,104

2 S e r v i c e AC Standing Unit 737,835

3 S e r v i c e AC Split Unit 92,229

4 S e r v i c e AC Split Multi Unit 92,229

5 Isi, Tambah dan Ganti Freon Freon R 22 Per Kg 116,824

6 Isi, Tambah dan Ganti Freon Freon R 134 Per Kg 307,431

6 Ganti Kompressor AC Split Panasonic 5 PK Buah 5,410,793

7 Ganti Kompressor AC Split Panasonic 4 PK Buah 4,328,635

8 Ganti Kompressor AC Split Panasonic 3 PK Buah 4,734,444

9 Ganti Kompressor AC Split Panasonic 2 PK Buah 3,443,232

10 Ganti Kompressor AC Split Panasonic 1 1/2 PK Buah 1,844,589

11 Ganti Kompressor AC Split Panasonic 1 PK Buah 983,781

12 Pemasangan Baru AC pada lantai dasar Unit 153,716

13 Pemasangan Baru AC pada lantai dua Unit 215,202

14 Pemasangan Baru AC pada lantai tiga Unit 276,688

15 Pergantian Pipa AC - Meter 61,486

16 Bongkar Pasang AC - Unit 307,431

II PEMELIHARAAN MESIN TULIS

1Service dan Perbaikan Mesin Ketik, tidak

termasuk Spare PartManual Unit 307,431

2Service dan Perbaikan Mesin Ketik, tidak

termasuk Spare PartElektrik Unit 491,890

III PEMELIHARAAN MESIN FOTOCOPY

1Service perbaikan ( 1 kali

pemanggilan/service, diluar spare part)Kerusakan ringan Unit 368,918

2Service perbaikan ( 1 kali

pemanggilan/service, diluar spare part)Kerusakan sedang Unit 614,863

3Service perbaikan ( 1 kali

pemanggilan/service, diluar spare part)Kerusakan berat (over houl) Unit 1,106,753

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

STANDAR SATUAN HARGA BARANG/JASA PEMELIHARAAN 60

Page 74: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

IV PEMELIHARAAN TELEPON, KOMPUTER, FILLING KABINET/LEMARI BESI

1 Service Telepon - Unit 33,203

2 Service Komputer, diluar Spare Part: Set 122,973

3 Service printer, diluar spare part - Set 92,229

4 Service/Perbaikan Filling 4 Laci - Unit 307,431

5 Pengecatan Filling Kabinet Cat Duco Unit 614,863

6 Service Televisi Ringan Unit 614,863

7 Service Televisi Berat Unit 983,781

VI PEMELIHARAAN MESIN ABSENSI

Servis mesin absensi 5 jari Unit 1,844,589

VI PEMELIHARAAN KEBERSIHAN

1Pemeliharaan Kebersihan Gedung/ Kantor

(Cleaning Service)

- Membersihkan Kaca Jendela/Pintu - M2 930

- Menyapu Lantai - M2 930

- Mengepel Lantai - M2 930

- Membersihkan Ruang WC/Toilet - M2 1,062

2Pemeliharaan Kebersihan Halaman

Keras/Aspal- M2 3,984

3 Menyapu Halaman - M2 7,969

4 Pemeliharaan Taman - M2 7,969

5 Pemeliharaan dan Memotong Rumput - M2 7,969

STANDAR SATUAN HARGA BARANG/JASA PEMELIHARAAN 61

Page 75: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

ALAT ELEKTRONIK

Page 76: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

IX. ALAT ELEKTRONIK

1 2 3 4 5

ALAT ELEKTRONIK

1 Hifi Midi Series SHARP Unit 3,226,577

LG XB12 Unit 682,498

LG XD63 Unit 1,126,121

LG XD123 Unit 1,876,869

LG XD203 Unit 2,252,243

LG FB164 Unit 2,552,542

LG FB166 Unit 2,456,992

LG MDD64 Unit 2,102,093

LG MDD264 Unit 2,866,491

LG MDD104 Unit 2,252,243

LG MDD264-50 Unit 3,357,889

LG MDT354 Unit 3,002,990

LG MDS714 Unit 4,504,485

2 Stereo Karaoke POLYTRON Unit 3,200,915

3 VCD SAMSUNG 1 Disc Unit 1,023,747

SAMSUNG 3 Disc Unit 1,822,064

JVC 1 Disc Unit 2,565,509

JVC 3 Disc Unit 3,205,829

TOSHIBA Unit 1,501,495

4 DVD Samsing DVD-E360 471,544

Samsung DVD-E360K 479,726

Samsung DVD HDMI D530 641,886

Samsung DVD blurary (new) BD-

F5100 1,243,238

Samsung 3D DVD blurary (new) BD-

H6500/XD 2,364,855

Samsung 3D DVD blurary (new) BD-

F5500K 1,621,609

Samsung 3D DVD blurary (new) BD-

F7500 2,702,691

PANASONIC DVD-S500GA-K 599,607

PANASONIC DVD-S700GA-K 826,288

5 TV Colour SONY 14" Unit 3,071,240

SONY 21" Unit 3,958,487

SONY 29" (Flat) Unit 5,391,733

TOSHIBA 14" Unit 9,213,720

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 62

Page 77: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

TOSHIBA (BOMBA) 20" Unit 3,753,738

TOSHIBA STEREO (BOMBA) 21" Unit 4,565,910

TOSHIBA MONO (BOMBA) 21" Unit 5,442,920

TOSHIBA STEREO (BOMBA) 29" Unit 4,777,485

TOSHIBA STEREO (BOMBA) 50" Unit 8,804,222

Panasonic TH32CAG Unit 75,074,757

Panasonic TH-32XM5G Unit 5,474,451

Panasonic TH-32X50G Unit 6,004,479

Panasonic TH-39EM5G Unit 8,211,677

Panasonic TX -20LE1J Unit 4,626,727

Panasonic TX -26LE8J Unit 7,010,320

Panasonic TH-L19X10X Unit 5,815,379

Panasonic TH-L26X10X Unit 8,796,442

Panasonic TH-L32A10X Unit 11,496,589

Panasonic TH-L32C10X Unit 9,603,551

Panasonic TH-L32X10X Unit 9,775,456

Panasonic TH-L32X15X Unit 12,509,144

Panasonic TH-L32S10X Unit 13,400,108

Panasonic TH-L37X10X Unit 14,446,206

Panasonic TH-L37S10X Unit 15,999,629

Panasonic TH-L37G10X Unit 21,160,936

Panasonic TH-L37V10X Unit 25,454,337

Panasonic TH-L42S10X Unit 19,917,777

Panasonic TH-P42C10S Unit 14,901,123

Panasonic TH-P42X10S Unit 16,238,617

Panasonic TH-P42S10S Unit 20,703,923

Panasonic TH-P42G10S Unit 26,990,989

Panasonic TH-P50C10S Unit 28,223,666

Panasonic TH-P50X10S Unit 30,709,981

Panasonic TH-P50S10S Unit 32,621,886

Panasonic TH-P50V10S Unit 42,321,872

Panasonic TH-P50Z1S Unit 109,014,247

Panasonic TH-P65V10S Unit 110,607,501

Panasonic TH-50PY850H Unit 43,606,956

LG 14"FLAT (14FU7AB) Unit 1,083,533

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 63

Page 78: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

LG 14"FLAT (14SR1AB) Unit 2,137,583

LG 21" 21FL1RG/RD Unit 1,597,291

LG 21" 21FL4RG/RD Unit 1,597,291

LG 21" 21FS4RG/RD Unit 1,570,018

LG21"21SL1RD Unit 1,570,018

LG21"21SL2RD Unit 1,570,018

LG21"21SL3RD Unit 1,570,018

LG21"21FS4RL Unit 1,606,873

LG21"21FU1RD Unit 1,739,550

LG21"21FU6AD Unit 1,739,550

LG21"21FU1RL Unit 1,820,631

LG21"21FU2RD Unit 1,614,244

LG 21" 21FU3RL Unit 1,909,083

LG 21" 21FU6RL Unit 1,820,631

LG 29FL1RL Unit 2,948,390

LG 29FS4RL Unit 2,948,390

LG 29FU1RL Unit 3,199,004

LG 29FU3RL Unit 3,493,843

LG 29FU6RL Unit 3,346,423

LG 19LH20 Unit 3,538,069

LG 22LF15 Unit 4,127,747

LG 22LH20 Unit 4,275,166

LG 26LF15 Unit 5,601,942

LG 26LH20 Unit 5,749,361

LG 32LF20 Unit 8,402,913

LG 32LH20 Unit 7,149,847

LG 32LH70 Unit 9,582,269

LG 37LH20 Unit 11,793,562

LG 42LH20 Unit 14,299,694

LG 42LH70 Unit 19,459,377

LG 47LH70 Unit 28,009,709

SHARP 14A20D/14A20D2 Unit 976,654

SHARP 14B25 Unit 954,951

SHARP 14E25/14E25MK2 Unit 923,119

SHARP 14E35MK2 Unit 1,081,084

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 64

Page 79: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SHARP 14GX20 Unit 1,142,360

SHARP 14GX200 Unit 1,194,882

SHARP 14R20D/14R20D2 Unit 1,133,606

SHARP 14S20D/14S20D2 Unit 1,046,069

SHARP 14V20D/14V20D2 Unit 1,046,069

SHARP 14X20D/14X20D2 Unit 1,116,099

SHARP 21AS353E Unit 1,579,648

SHARP 21AS353E2 Unit 1,642,226

SHARP 21AXS200 Unit 1,975,012

SHARP 21AXS212MK2 Unit 2,097,998

SHARP 21AXS250E Unit 2,127,153

SHARP 21AXS250E2 Unit 2,127,153

SHARP 21AXS500 Unit 1,963,509

SHARP 21AXS888GY Unit 2,598,103

SHARP 21AXS888RD Unit 2,598,103

SHARP 21BXS288RD Unit 2,083,385

SHARP 21BXS350/MK2 Unit 2,030,862

SHARP 21BXS353 Unit 1,995,847

SHARP 21DXF252E/

21DXF252E2 Unit 1,829,527

SHARP 21DXF500MK2/

51DXF500 Unit 2,083,385

SHARP 21DXF550E2 /

51DXF550E Unit 1,873,295

SHARP 21DXS200 Unit 2,319,735

SHARP 21DXS250E Unit 2,170,922

SHARP 21DXS500 Unit 2,451,041

SHARP 21EF25 / 21EF25MK2 Unit 1,654,452

SHARP 21EF250/21EF250MK2 Unit 1,698,221

SHARP 21EF35MK2 Unit 1,636,945

SHARP 21EHF253E2 Unit 1,680,714

SHARP 21EJF250E2 Unit 1,663,206

SHARP 21EXS253E Unit 1,978,340

SHARP 21EXS350 Unit 2,013,355

SHARP 21GF352E2 Unit 1,873,295

SHARP 21GF353E Unit 1,820,773

SHARP 21GXF200/21GXF200MK2 Unit 2,109,646

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 65

Page 80: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SHARP 21GXF250E/21GXF250E2 Unit 1,890,803

SHARP 21GXF250E3 Unit 1,890,803

SHARP 21 GXF500/21GXF500MK2 Unit 2,232,198

SHARP 21PF252E/21PF252E2 Unit 1,838,281

SHARP 21PF352E2 Unit 1,873,295

SHARP 21PF353E2 Unit 1,873,295

SHARP 21PXF200/21PXF200MK2 Unit 2,109,646

SHARP 21PXF250E / 21PXF250E2 Unit 1,890,803

SHARP 21PXF500/21PXF500MK2 Unit 2,232,198

SHARP 21V20D / 21V20D2 Unit 1,510,016

SHARP 21WXF800 Unit 2,381,011

SHARP 29AXS200 Unit 3,947,926

SHARP 29AXS212MK2 Unit 3,930,419

SHARP 29AXS250E/29AXS250E2 Unit 3,790,359

SHARP 29AXS500 Unit 4,087,986

SHARP 29AXS888GY Unit 4,350,597

SHARP 29AXS888RD Unit 4,411,873

SHARP 29BXS288RD Unit 3,912,911

SHARP 29BXS350 Unit 3,834,128

SHARP 29BXS353 Unit 3,764,098

SHARP 29CF250/29CF250MK2 Unit 3,230,121

SHARP 29CF550 Unit 3,510,240

SHARP 29DXF200/29DXF200MK2 Unit 3,370,181

SHARP 29DXF250E Unit 3,317,659

SHARP 29DXF500/29DXF500MK2 Unit 3,545,255

SHARP 29DXS200 Unit 3,947,926

SHARP 29DXS250E Unit 3,851,635

SHARP 29DXS253E Unit 3,807,867

SHARP 29DXS500 Unit 4,140,508

SHARP 29GTF250 Unit 3,466,472

SHARP 29GXF200 Unit 3,597,778

SHARP 29GXF500 Unit 3,799,113

SHARP 29PTF250 Unit 3,466,472

SHARP 29PXF200 Unit 3,597,778

SHARP 29PXF500 Unit 3,799,113

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 66

Page 81: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SHARP 29QXF250E Unit 3,230,121

SHARP 29ZE200MK2 Unit 2,941,249

SHARP LC-19LE150M Unit 1,697,099

SHARP LC-24LE170I Unit 2,380,962

SHARP LC-24LE175I Unit 2,496,713

SHARP LC-24LE157I Unit 2,555,954

SHARP LC-24LE155M Unit 2,481,562

SHARP LC-29LE507I Unit 3,153,003

SHARP LC-32DX288I-BZY Unit 3,600,995

SHARP LC-32DX888I-Y Unit 3,869,899

SHARP LC-32LE260I Unit 3,402,524

SHARP LC-32LE265I Unit 3,508,721

SHARP LC-32LE260M Unit 3,382,732

SHARP LC-32LE265M Unit 3,540,799

SHARP LC-32LE107I Unit 3,252,238

SHARP LC-32LE347I Unit 3,551,036

SHARP LC-32LE348I Unit 3,525,238

SHARP LC-39LE155M Unit 5,146,443

SHARP LC-40LE265M Unit 5,805,463

SHARP LC-50LE460X Unit 12,406,718

SHARP LC-55LE460X Unit 16,911,886

SHARP LC-40LE360X Unit 9,340,392

SHARP LC-40LE360D2 Unit 8,209,083

SHARP LC-60LE360X Unit 24,814,528

SHARP LC-70LE360X Unit 47,374,083

SHARP LC-40LE275X Unit 7,382,306

SHARP LC-50LE275X Unit 10,437,712

SHARP LC-58LE275X Unit 19,517,526

SHARP LC-65LE275X Unit 36,596,214

SHARP LC-40LE660X Unit 8,729,556

SHARP LC-60LE660X Unit 28,056,802

SHARP LC-70LE660X Unit 48,795,726

SHARP LC-60LE650M Unit 22,991,030

SHARP LC-70LE650M Unit 42,862,226

SHARP LC-60LE640X Unit 27,572,911

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 67

Page 82: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SHARP LC-60LE950X Unit 56,052,998

SHARP LC-70LE950X Unit 89,919,357

SHARP LC-90LE740X Unit 206,796,831

SHARP LC-90LE760X Unit 223,650,841

SHARP LC-60LE960X Unit 47,575,693

SHARP LC-70LE960X Unit 89,052,175

SHARP LC-80LE960X Unit 104,370,429

SHARP LC-60LE940X Unit 41,359,366

SHARP LC-80LE940X Unit 96,505,188

SHARP LC-70LE360X Unit 47,374,083

SHARP LC-42LE860M Unit 11,958,317

SHARP LC-50LE860M Unit 14,955,847

SHARP LC-55LE860M Unit 18,407,375

SHARP LC-50UE1M Unit 20,536,359

SHARP LC-58UE1M Unit 36,240,496

SHARP LC-40UA330X Unit 11,360,039

SHARP LC-50UA330X Unit 18,297,356

SHARP LC-50UE630X Unit 20,737,559

SHARP LC-58UE630X Unit 34,156,011

SHARP LC-65UE630X Unit 43,926,489

Samsung WMN 1000BXXC Unit 2,497,942

Samsung UA22C4000PXXD Unit 5,023,184

Samsung UA26C4000PXXD Unit 6,483,729

Samsung UA32C4000PXXD Unit 7,097,977

Samsung UA32C5000QRXXD Unit 8,312,823

Samsung UA37C5000QRXXD Unit 11,302,163

Samsung UA40C5000QRXXD Unit 12,762,709

Samsung UA40C6200URXXD Unit 16,106,948

Samsung UA40C6900VRXXD Unit 21,157,432

Samsung UA46C7000WRXXD Unit 35,216,886

Samsung UA46C8000XRXXD Unit 39,175,373

Samsung UA55C7000WRXXD Unit 52,552,330

Samsung UA55C8000XRXXD Unit 57,466,314

Samsung UA55C9000SRXXD Unit 104,831,661

Samsung UA32E420 Unit 3,685,488

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 68

Page 83: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Samsung UA22ES5000 Unit 2,286,368

Samsung UA32EH4500 Unit 5,050,484

Samsung UA40EH5000 Unit 7,507,476

Samsung UA40ES6220 Unit 15,560,950

Samsung UA46ES7100 Unit 26,753,913

Samsung UA55ES8000 Unit 53,917,326

Samsung UA60ES6500 Unit 41,891,714

Samsung UA22H5003ARXXD Unit 2,543,849

Samsung UA24H4053ARXXD Unit 2,543,878

Samsung UA24H4150ARXXD Unit 2,605,887

Samsung UA32FH4003RXXD Unit 3,536,566

Samsung UA32H4000ARXXD Unit 3,660,685

Samsung UA40H5003AKXXD Unit 5,956,373

Samsung UA40H5500AWXXD Unit 8,438,176

Samsung UA40H5550AKXXD Unit 8,438,205

Samsung UA48H5003AKPXD Unit 10,051,430

Samsung UA48H5500AWPXD Unit 14,270,351

Samsung UA48H5550AKPXD Unit 14,270,508

Samsung UA48H6800AWPXD Unit 18,489,395

Samsung UA48H8000AWPXD Unit 22,212,381

Samsung UA55H6800AWPXD Unit 23,453,000

Samsung UA55HU9000WPXD Unit 61,425,049

Samsung UA58H5200AWPXD Unit 17,372,630

Samsung UA65HU9000WPXD Unit 86,738,811

Samsung UA60ES6500MPXD Unit 19,234,052

Samsung UA20J4003ARXXD Unit 2,171,593

Samsung UA28J4000ARXXD Unit 3,288,406

Samsung UA32J4003ARXXD Unit 3,846,817

Samsung UA32J4100AKXXD Unit 4,343,173

Samsung UA32J5100AKXXD Unit 4,963,640

Samsung UA32J5500AKXXD Unit 5,708,176

Samsung UA32J6300AKXXD Unit 6,949,060

Samsung UA40J5100AKXXD Unit 6,204,548

Samsung UA40J5500AKXXD Unit 8,562,266

Samsung UA40J6300AKXXD Unit 9,058,596

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 69

Page 84: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Samsung UA40JU6000KXXD Unit 9,306,808

Samsung UA40JU6400KXXD Unit 11,168,173

Samsung UA40JU6600KXXD Unit 12,409,002

Samsung UA43J5100AKPXD Unit 6,700,900

Samsung UA43J5500AKPXD Unit 8,562,266

Samsung UA48J5100AKPXD Unit 10,795,911

Samsung UA48J5500AKPXD Unit 13,401,788

Samsung UA48J6300AKPXD Unit 15,759,415

Samsung UA48JU6000KPXD Unit 15,759,415

Samsung UA48JU6600KPXD Unit 17,993,194

Samsung UA48JU7500KPXD Unit 22,336,196

Samsung UA50JS7200KPXD Unit 22,336,196

Samsung UA55J5500AKPXD Unit 19,234,025

Samsung UA55J6300AKPXD Unit 21,095,435

Samsung UA55JS7200KPXD Unit 31,022,574

Samsung UA55JS9000KPXD Unit 49,635,976

Samsung UA55JU6000KPXD Unit 22,336,388

Samsung UA55JU6400KPXD Unit 23,577,314

Samsung UA55JU6600KPXD Unit 27,299,946

Samsung UA55JU7500KPXD Unit 34,745,141

Samsung UA60J6200AKPXD Unit 22,336,388

Samsung UA60JU6400KPXD Unit 29,782,052

Samsung UA60JS7200KPXD Unit 35,986,143

Samsung UA65JS9000KPXD Unit 80,658,393

Samsung UA65JU6000KPXD Unit 39,709,103

Samsung UA65JU6600KPXD Unit 44,672,579

Samsung UA65JU7500KPXD Unit 55,841,052

Samsung UA75JU6400KPXD Unit 80,659,270

Panasonic LCD TVTH-L55WT60G Unit 50,445,967

Panasonic LCD TV TH-L50DT60G Unit 23,938,818

TH-L50ET60G Unit 17,783,855

Panasonic LCD TV TH-L42ET60G Unit 12,028,063

Panasonic LCD TV TH-L50E6G Unit 14,808,703

Panasonic LCD TH-L42E6G Unit 10,115,877

Panasonic LCD TH-L39EV6G Unit 8,006,124

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 70

Page 85: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Panasonic LCD TH-L39EM6G Unit 7,370,868

Panasonic LCD TH-L32VF6G Unit 5,841,191

Panasonic LCD TH-L32XM6G Unit 4,866,818

Panasonic LCD TH-L50B6G Unit 11,831,913

Panasonic LCD TH-L39B6G Unit 7,032,946

Panasonic LCD TH-L36B6G Unit 4,201,384

Panasonic LCD TH-L32B68G Unit 4,193,761

Panasonic LCD THL22EM6G Unit 2,756,239

Panasonic LCD TH-L29XM6G Unit 3,305,148

PLASMA TV

Panasonic Plasma TV TH-P65VT60G Unit 57,567,437

Panasonic Plasma TV TH-P60ST60G Unit 28,169,141

Panasonic Plasma TV TH-P60S60G Unit 19,616,134

Panasonic Plasma TV TH-P50X60G Unit 10,383,071

Samsung UA40EH5000 Unit 7,026,997

Samsung UA32F4510/white Unit 4,999,979

Samsung UA40F5500 Unit 8,986,461

Samsung UA48H8000 Unit 24,189,141

Samsung UA55H8000 Unit 53,918,912

Samsung UA65H8000 Unit 78,242,770

Samsung UA55HU7200 Unit 38,918,571

Samsung UA55HU7200 Unit 60,810,687

Samsung UA55F9000 Unit 66,891,879

Samsung UA65F9000 Unit 94,458,565

Samsung UA50HU7000 Unit 25,540,363

Samsung UA55HU7000 Unit 33,648,746

Samsung UA55F9000 Unit 80,405,065

Samsung UA48H5100AWPXD Unit 12,162,074

Samsung UA48H4200ARPXD Unit 10,945,900

Samsung UAH5500AWXXD Unit 9,189,173

Samsung UA40H5100AWXXD Unit 7,162,132

Samsung UA40H4200AWXXD Unit 6,216,190

Samsung UA39FH5003RXXD Unit 6,081,055

Samsung UA32H6400WXXD Unit 8,716,178

Samsung UA32H4303AWXXD Unit 4,898,628

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 71

Page 86: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Samsung UA32H4100WXXD Unit 4,189,171

Samsung UA32H4000ARXXD Unit 3,986,470

6 PDP TV New "F" Samsung RT 32FAJCDP1 Unit 5,809,443

Samsung RT 32FAJCDP2 Unit 5,944,584

Samsung RT 32FAACDSA Unit 6,349,950

Samsung RT 35FAJCDP1 Unit 6,620,229

Samsung RT 35FAUCDGL Unit 7,431,041

Samsung RT 38FAADDSA Unit 6,755,380

Samsung RT 38FAADDP2 Unit 7,431,081

Samsung RT 38FAUDDGL Unit 8,562,245

Samsung RT 5962HTBSL Unit 12,160,758

7 Over Head Projector ADLER 300 + Layar GILKON 70 Unit 23,842,241

3 M + Layar Unit 19,909,826

8 Faxcimile SHARP UX-23 Unit 522,329

SHARP UX-53 Unit 1,060,592

SHARP FO-27 Unit 1,162,056

SHARP FO-57 Unit 1,060,592

SHARP UX-73 Unit 1,162,056

SHARP FO-77 Unit 1,162,056

SHARP UX-A760 Unit 1,557,764

SHARP UX-P710 Unit 1,295,152

SHARP NX-P160 Unit 1,162,056

SHARP FO-P600 Unit 1,162,056

SHARP FO-P610 Unit 1,162,056

SHARP FO-A660 Unit 1,444,363

9 AC Split PANASONIC CS/CU-PC5PKJ Unit 3,108,095

PANASONIC CS/CU-PC7PKJ Unit 3,258,244

PANASONIC CS/CU-PC9PKJ Unit 3,408,394

PANASONIC CS/CU-PC12PKP Unit 4,639,620

PANASONIC CS/CU-PC18PKP Unit 6,711,683

PANASONIC CS/CU-PC24PKP Unit 10,090,047

PANASONIC CS/CU-PS9NKP Unit 6,003,383

PANASONIC CS/CU-PS12NKP Unit 7,246,471

PANASONIC CS/CU-PS18NKP Unit 10,785,615

PANASONIC CS/CU-PS24NKP Unit 13,856,773

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 72

Page 87: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

PANASONIC CS/CU-KC5NKJ Unit 3,884,283

PANASONIC CS/CU-KC7NKJ Unit 4,031,992

PANASONIC CS/CU-KC9NKJ Unit 4,179,700

PANASONIC CS/CU-C7NKP Unit 4,072,941

PANASONIC CS/CU-C9NKP Unit 4,365,432

PANASONIC CS/CU-C12NKP Unit 6,551,804

PANASONIC CS/CU-C18NKP Unit 9,915,453

PANASONIC CS/CU-C24NKP Unit 12,986,612

PANASONIC CS/CU-S10NKP Unit 5,791,327

PANASONIC CS/CU-S10PKP Unit 6,566,429

PANASONIC CS/CU-S13PKP Unit 8,006,948

PANASONIC CS/CU-S18PKP Unit 11,970,205

PANASONIC CS/CU-S24PKP Unit 17,147,300

Toshiba RAS-09SK4X 1 PK RAS-10

UKP X2 Unit 6,752,660

Toshiba RAS-13SK4X 1½ PK Unit 10,945,763

Toshiba RAS-18SK4X 2 PK Unit 10,945,763

General ¾ PK Unit 10,479,863

General 1 PK Unit 11,411,663

General 1/2 PK Unit 14,950,769

General 2 PK Unit 20,843,974

Dast ¾ PK Unit 8,956,282

Dast 1 PK Unit 4,191,656

Dast 1 ½ PK Unit 1,128,578

Dast 2 PK Unit 14,251,919

SHARP AH-AP5NSY Unit 3,705,210

SHARP AH-AP7NSY Unit 3,865,960

SHARP AH-AP9NSY Unit 4,074,457

SHARP AH-AP5MSY Unit 3,561,967

SHARP AH-AP7MSY Unit 3,722,717

SHARP AH-AP9MSY Unit 3,923,257

SHARP AH-AP12MSY Unit 5,276,104

SHARP AH-AP18MSY Unit 8,806,239

SHARP AH-AP24MSY Unit 11,340,042

SHARP AH-AP5MSL Unit 4,118,601

SHARP AH-AP7MSL Unit 4,295,688

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 73

Page 88: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SHARP AH-AP9MSL Unit 4,497,819

SHARP AH-AP5MHL Unit 4,334,816

SHARP AH-AP7MHL Unit 4,513,494

SHARP AH-AP9MHL Unit 4,717,457

SHARP AH-AP12MHL Unit 6,073,488

SHARP AH-AP18MHL Unit 9,326,687

SHARP CV-P09GRV Unit 7,758,976

SHARP CV-P09GRVB Unit 7,758,976

SHARP XP5NSY Unit 4,631,512

SHARP XP9NSY Unit 4,910,039

SHARP XP10NRY Unit 5,331,809

SHARP XP12NSY Unit 6,199,223

SHARP XP13NRY Unit 6,756,278

SHARP XP10MY Unit 5,053,282

SHARP XP13MY Unit 6,406,129

SHARP AH-A5SCY Unit 3,443,201

SHARP AH-A7SCY Unit 3,654,776

SHARP AH-A9SCY Unit 3,763,429

SHARP AH-A12SCY Unit 5,077,647

SHARP AH-A18SCY Unit 6,943,323

SHARP AH-A24SCY Unit 9,729,416

SHARP AH-A5SEY Unit 3,564,822

SHARP AH-A7SEY Unit 3,783,358

SHARP AH-A9SEY Unit 3,889,964

SHARP AH-A12SEY Unit 5,238,853

SHARP AH-A18SEY Unit 6,977,175

SHARP AH-A24SEY Unit 9,771,048

SHARP AH-AP5SSY Unit 4,036,428

SHARP AH-AP7SSY Unit 4,220,157

SHARP AH-AP9SSY Unit 4,404,158

SHARP AH-AP12SSY Unit 5,727,385

SHARP AH-AP18MHL Unit 9,037,363

SHARP AH-A5SDL Unit 4,200,501

SHARP AH-A7SDL Unit 4,419,173

SHARP AH-A9SDL Unit 4,562,498

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 74

Page 89: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SHARP AH-AP5SHL Unit 4,512,539

SHARP AH-AP7SHL Unit 4,683,300

SHARP AH-AP9SHL Unit 4,845,188

SHARP AH-AP12SHL Unit 6,168,415

SHARP CV-P09GRV (PORTABLE) Unit 7,232,566

SHARP AH-X9SEY Unit 4,955,343

SHARP AH-X12SEY Unit 5,849,689

SHARP AH-X18SEY Unit 9,513,746

SHARP AH-XP6SHY Unit 544,435

SHARP AH-XP10SHY Unit 5,764,103

SHARP AH-XP13SHY Unit 6,940,320

SHARP AH-XP5NSY Unit 5,186,710

SHARP AH-XP10NRY Unit 5,361,703

SHARP AH-XP13NRY Unit 6,550,750

Panasonic AC Split Standar CS/CU-

KN5RKJ Unit 3,679,892

Panasonic AC Split Standar CS/CU-

KN7RKJ Unit 3,772,247

Panasonic AC Split Standar CS/CU-

KN9RKJ Unit 4,038,148

Panasonic Alowa CS/CU-KC5QKJ Unit 4,108,173

Panasonic Alowa CS/CU-KC7QKJ Unit 4,267,713

Panasonic Alowa CS/CU-KC9QKJ Unit 4,427,254

Panasonic Alowa CS/CU-XC5QKJ Unit 4,347,484

Panasonic Alowa CS/CU-XC7QKJ Unit 4,493,729

Panasonic Alowa CS/CU-XC9QKJ Unit 4,653,270

Panasonic Alowa CS/CU-KN5RKJ Unit 4,205,224

Panasonic Alowa CS/CU-KN7RKJ Unit 4,364,764

Panasonic Alowa CS/CU-KN9RKJ Unit 4,550,895

Panasonic Alowa DELUXE CS/CU-

KN5RKJ Unit 4,417,945

Panasonic Alowa DELUXE CS/CU-

KN7RKJ Unit 4,564,190

Panasonic Alowa DELUXE CS/CU-

KN9RKJ Unit 4,723,731

Panasonic Envio CS/CU-C7PKP Unit 4,905,876

Panasonic Envio CS/CU-C9PKP Unit 5,251,548

Panasonic Envio CS/CU-C12PKP Unit 7,139,446

Panasonic Envio CS/CU-C18PKP Unit 10,835,471

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 75

Page 90: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Panasonic Envio CS/CU-C24PKP Unit 13,148,811

Panasonic Envio CS/CU-N7RKP Unit 4,994,492

Panasonic Envio CS/CU-N9RKP Unit 5,325,093

Panasonic Envio CS/CU-N12RKP Unit 7,285,691

Panasonic Envio CS/CU-N18RKP Unit 11,061,487

Panasonic Envio CS/CU-N24RKP Unit 13,148,811

Panasonic Inverter CS/CU-S10PKP Unit 7,019,790

Panasonic Inverter CS/CU-S13PKP Unit 8,189,755

Panasonic Inverter CS/CU-S18PKP Unit 12,271,338

Panasonic Inverter CS/CU-S24PKP Unit 16,751,772

Panasonic Deluxe Inverter CS/CU-

S10RKP Unit 6,286,760

Panasonic Deluxe Inverter CS/CU-

S13RKP Unit 8,362,591

Panasonic Deluxe Inverter CS/CU-

S18RKP Unit 12,523,944

Panasonic Deluxe Inverter CS/CU-

S24RKP Unit 16,632,116

Panasonic Basic Inverter CS/CU-

PS9NKP Unit 6,315,152

Panasonic Basic Inverter CS/CU-

PS12NKP Unit 7,152,741

Panasonic Basic Inverter CS/CU-

PS18NKP Unit 10,835,471

Panasonic Basic Inverter CS/CU-

PS24NKP Unit 13,148,811

10 Pompa Air Sanyo PH 101 Unit 848,345

Sanyo PH 151 Unit 1,576,570

Sanyo PH 260 Unit 6,756,728

PANASONIC GA-129JXK-P Unit 458,480

PANASONIC GA-130JACK-P Unit 997,395

PANASONIC GA-130JAK-P Unit 675,655

PANASONIC GA-200JAK-P Unit 973,265

PANASONIC GF-205HCX Unit 2,831,315

PANASONIC GF-255HCX Unit 3,700,014

PANASONIC GN-130H-P Unit 1,375,440

PANASONIC GN-205HX-P Unit 1,721,311

PANASONIC GP-200JXK-P Unit 756,090

11 Wireless TOA Type ZW-780 Unit 16,783,713

TOA Type ZA-1025 Unit 750,748

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 76

Page 91: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

TOA Type ZA-106i Unit 2,252,243

TOA Type ZA-112i Unit 2,402,392

12 Kompor Gas 2 Mata ELECTRO LUX Unit 921,372

Hitachi Unit 716,623

Rinnai Unit 649,055

13 Rice Cooker Maspion 1,8 L Unit 430,582

Maspion 2,2 L Unit 521,118

SHARP KHS-777 Unit 979,300

SHARP KS-M18L(W) Unit 398,928

SHARP KS-A18TTR/SF Unit 555,710

SHARP KS-R19ST Unit 579,516

PANASONIC SR-TEG18HLSR Unit 685,453

PANASONIC SR-TMG18LSR Unit 811,899

PANASONIC SR DE183WSR Unit 1,126,486

PANASONIC SR MG182WSR Unit 1,464,116

PANASONIC SR DF181WSR Unit 724,170

14 Rice Cooker Panasonic SR-TEG18HLSR/MBSR 870,161

Panasonic SR-DF181WSR 810,201

SHARP KS-R18MS-BR/PK Unit 353,943

SHARP KS-T18TL-GR/RD Unit 443,897

SHARP KS-T18TL-ST Unit 443,897

SHARP KS-TH18-RD Unit 1,143,320

SHARP KS-A18TTR Unit 570,295

SHARP KS-R19ST Unit 556,236

15 Blender SHARP EM-11G Unit 334,765

SHARP EM-12G Unit 421,060

SHARP EM-125L(W) Unit 428,351

SHARP EM-13 Unit 517,770

SHARP EM-110-B/G Unit 337,154

SHARP EM-TI15LP(K) Unit 518,289

SHARP EM-125L(W) Unit 410,181

SHARP SB-TI172G Unit 488,805

SHARP EJ-150LP(K) Unit 839,882

PANASONIC MX 151SG1WSR Unit 554,953

PANASONIC MX 101SG1WSR Unit 421,257

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 77

Page 92: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Panasonic MX-GX1061WSR Unit 463,599

Panasonic MX-GX1011WSR(Plastik) Unit 394,863

Panasonic MX-GX1561WSR Unit 614,232

Panasonic MX-GX1511WSR Unit 514,785

Panasonic MX-AC400WSR Unit 1,678,900

16 Setrika Listrik PANASONIC NI 22AWTSR Unit 372,272

PANASONIC NI 222FR D/A/G Unit 202,642

PANASONIC NI V100NPSR/NASR Unit 206,984

PANASONIC NI E200TASR/TRSR Unit 335,807

PANASONIC NI 317FR Unit 285,408

PANASONIC NI 318FR Unit 222,833

PANASONIC NI-S200T Unit 332,783

PANASONIC NI-S500T Unit 343,045

PANASONIC 22AWT Unit 287,337

PHILIP Unit 498,223

17 Lemari Es FREEZER & SHOWCASE

SHARP FR-189-BCG/BCL Unit 3,082,570

SHARP FR-K148G-CG Unit 2,806,294

SHARP FR-K189G-CG Unit 3,254,491

SHARP FR-K195G-CG Unit 3,548,989

SHARP FRV-127 Unit 2,848,336

SHARP FRV-200 Unit 3,722,715

SHARP FRW-201 Unit 3,767,251

SHARP SJ-M 165F-SS/SB Unit 2,056,775

SHARP SJ-M 165F-FW Unit 2,075,339

SHARP SJ-M 175F-US Unit 2,109,737

SHARP SJ-M 180F-SS Unit 2,261,661

SHARP SJ-M 180F-TB Unit 2,284,593

SHARP SJ-M 180D-FW/FP/FB Unit 2,363,490

SHARP SJ-M 190D-FW/FP/FB Unit 2,515,414

SHARP SJ-M 180D-SS/SP/SD Unit 2,489,615

SHARP SJ-M 190D-SS/SP/SD Unit 2,588,441

SHARP SJ-G180C-SS/SP/SD Unit 2,489,615

SHARP SJ-G190C-SS/SP/SD Unit 2,588,441

SCH-250PS Unit 4,671,151

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 78

Page 93: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SCH-212PB Unit 3,085,573

SCH-210PS Unit 3,722,715

SCH-170PS Unit 2,771,760

LG GN-V204RL Unit 2,910,307

LG GN-V204RL (key) Unit 2,910,307

PANASONIC NR-S16G-HT Unit 3,532,966

PANASONIC NR-S17A-B Unit 3,846,838

2 DOOR

SHARP SJ-F190G-ZS Unit 2,582,572

SHARP SJ-F190M-TS Unit 2,469,960

SHARP SJ-F200G-ZS Unit 2,867,856

SHARP SJ-F201C-HD Unit 2,995,483

SHARP SJ-F201S-RD Unit 3,070,558

SHARP SJ-F231C-HD Unit 3,265,752

SHARP SJ-F231S-RD Unit 3,325,812

SHARPSJ-F232G-ZS Unit 3,220,707

SHARP SJ232K-ZS Unit 3,243,230

LG GN-V212R Unit 3,221,390

LG GN-V212RLT Unit 3,221,390

LG GN-V212RP Unit 3,576,288

LG GN-V212RLT Unit 3,221,390

LG GN-V212SLT Unit 3,037,115

LG GN-V222RLT Unit 3,576,288

LG GN-V222RP Unit 4,101,812

LG GN-V222SLT Unit 3,282,814

LG GN-V262RLCT Unit 4,101,812

LG GN-V262RPC Unit 4,347,511

LG GN-V282RLCT Unit 4,347,511

LG GN-V282RPC Unit 5,139,208

1 DOOR

PANASONIC NR-A17AD-S Unit 2,772,758

PANASONIC NR-A17KX-H Unit 2,576,650

PANASONIC NR-A172M-A/V/G Unit 1,862,223

PANASONIC NR-A172S-H/B Unit 1,802,359

PANASONIC NR-AK17AD-H Unit 3,167,833

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 79

Page 94: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

PANASONIC NR-A19AD-S Unit 3,111,801

PANASONIC NR-A191S-H Unit 2,812,399

PANASONIC NR-A192M-A/V-G Unit 2,031,281

PANASONIC NR-A192S-H/B Unit 1,971,422

PANASONIC NR-A192G-H Unit 2,031,281

PANASONIC NR-A22KN Unit 3,832,388

LG GC-051SA Unit 1,481,020

LG GN-V191SL Unit 2,088,443

LG GN-V191RL Unit 2,115,743

LG GN-V191RL(key) Unit 2,115,743

LG GN-V231SL Unit 2,272,718

LG GN-V231RL Unit 2,300,018

Samsung RA 19FATS1/XSE Unit 2,100,728

Samsung RA 19FCTS1/XSE Unit 2,032,478

Samsung RA 21FATS1/XSE Unit 2,441,977

Samsung RA 21FCTS1/XSE Unit 2,387,377

Samsung RA 21VCTS1/XSE Unit 2,523,877

2 DOORS

PANASONIC NR-B222M-A1/V Unit 3,296,464

PANASONIC NR-B222M-G Unit 3,439,789

PANASONIC NR-B222R-BT Unit 3,475,279

PANASONIC NR-B222R-TT Unit 3,475,279

PANASONIC NR-B222S-H Unit 3,367,634

PANASONIC NR-B243G-ST Unit 5,971,856

PANASONIC NR-B25GF-ST Unit 4,613,988

PANASONIC NR-B262M-A1/V/G Unit 3,726,438

PANASONIC NR-B262G-A/V/G Unit 3,767,388

Samsung RT 2ASDTS1/XSE Unit 3,274,624

Samsung RT 2ASDIS1/XSE Unit 3,411,124

Samsung RT 2ASATS1/XSE Unit 3,766,023

Samsung RT 2BSDTS1/XSE Unit 3,856,113

Samsung RT 2BSATS1/XSE Unit 4,197,361

Samsung RT 30SSIS1/XSE Unit 5,185,618

Samsung RT 30SCTS1/XSE Unit 4,912,619

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 80

Page 95: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Samsung RT 37SCTS1/XSE Unit 5,322,118

Samsung RT 30SSPN1/XSE Unit 5,185,618

Samsung RT 37SSPN1/XSE Unit 5,595,117

Samsung RT 30SASS1/XSE Unit 5,050,484

Samsung RT 41MAIS1/XSE Unit 6,004,616

Samsung RT 45MAIS1/XSE Unit 6,687,113

Samsung RT 54MBPN1/XSE Unit 6,960,112

Samsung RT 59MBPN1/XSE Unit 7,642,610

Samsung RT 63WBPN1/XSE Unit 10,236,102

IMPORT

PANASONIC NR-B363M-S4 Unit 10,656,890

PANASONIC NR-B403V-S4 Unit 13,807,711

PANASONIC NR-B591G-X4 Unit 13,807,711

PANASONIC NR-D512X-X4 Unit 13,807,711

PANASONIC NR-BW414VSWA Unit 13,807,711

PANASONIC NR-BW464VSWA Unit 13,807,711

BIG REF

LG GN-B352YLC Unit 5,630,607

LG GN M352YPC Unit 6,176,605

LG GN M352YVQ Unit 5,808,329

LG GN-B392YLC Unit 6,066,313

LG GN-M392YPC Unit 6,361,152

LG GN-M392YLQ Unit 6,434,862

LG GR-B492YLC Unit 6,729,701

LG GR-M492YLY Unit 7,429,944

LG GN-M492YPC Unit 7,540,509

LG GR-B562YLC Unit 7,302,726

LG GR-B602YLC Unit 8,277,606

LG GR-M602YLY Unit 9,604,382

LG GR-M562YLY Unit 8,646,155

LG GR-M652YSQ Unit 12,626,482

Panasonic NR-AK5ED-HPP Unit 1,993,328

Panasonic A172S-B/H Unit 2,000,640

PanasonicA172M-A/V/G Unit 2,069,084

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 81

Page 96: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Panasonic NR-A178F-S Unit 2,067,620

Panasonic NR-A192S-B/H Unit 2,190,613

Panasonic NR-A192M-A/V/G Unit 2,256,424

Panasonic NR-A192G-H Unit 2,256,424

Panasonic NR-A198G-A2/G1/P Unit 2,419,765

Panasonic NR-A198F-A2/G1/P Unit 2,244,139

NR-S16G-H Unit 3,938,394

NR-S17A-H Unit 4,287,922

NR-B208D-S Unit 2,885,865

NR-B222G-A1/V/G/H Unit 3,817,011

NR-B222R-BT/TT Unit 3,855,034

NR-B228F-A2/G1/P Unit 3,893,351

NR-B262G-A1/V/G/H Unit 4,175,313

NR-B262R-BT/TT Unit 4,241,123

NR-B268F-A2/G1/P Unit 4,258,819

NR-B291G-ST Unit 5,485,673

NR-B25GF-ST Unit 5,365,753

NR-B243G-ST Unit 6,619,077

NR-B53V1-X1D Unit 44,061,469

NR-BW415VN1D Unit 10,724,631

NR-BW465VN1D Unit 12,566,708

NR-BY602XSID Unit 16,120,509

NR-BS63XN1D Unit 47,139,060

NR-D513XS4 Unit 19,215,506

NR-BR344MS1D Unit 8,742,417

NR-BR304MS1D Unit 8,249,277

18 Kaki Kulkas KK-1P Unit 204,749

KK-2P Unit 307,124

19 Microwave Oven SANYO EMS-1950 Unit 3,420,406

SANYO EMS-1970 Unit 3,954,938

SANYO EMS-1885 Unit 4,942,922

SANYO EMS-2475 Unit 6,145,620

SANYO EME-1920 Unit 3,633,618

SANYO EME-2820 Unit 4,141,124

Samsung MW71C/XSE Unit 982,797

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 82

Page 97: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Samsung MW73C/XSE Unit 1,183,451

Samsung MW86N-S/XSE Unit 1,281,731

Samsung GW71C/XSE Unit 1,380,011

Samsung ME83M/XSE Unit 1,302,947

Samsung ME731K/XSE Unit 917,033

Samsung MS23H3125FK/SE Unit 1,425,795

Samsung MG23H3185PK/SE Unit 1,860,119

Samsung MG28H5185NK/SE Unit 2,294,437

Samsung MC32F6C6TCT/SE Unit 5,075,325

Panasonic NN -DF383BTTE Unit 4,431,242

Panasonic NN -CF770MTTE Unit 5,795,714

Panasonic NN -GD692STTE Unit 2,850,328

Panasonic NN -GF560MTTE Unit 3,163,293

Panasonic NN -GD371MTTE Unit 2,350,167

Panasonic NN -GT353MTTE Unit 2,047,439

Panasonic NN -SF559WTTE Unit 2,493,488

Panasonic NN -SM322MTTE Unit 1,409,808

Panasonic NN -ST342MTTE Unit 1,702,300

Panasonic NN -ST651MTTE Unit 2,263,882

SHARP R-222Y(S) Unit 1,195,327

SHARP R-222Y(W) Unit 1,195,327

SHARP R-230R(S) Unit 1,400,758

SHARP R-249IN(W) Unit 1,141,546

SHARP R-299IN(S) Unit 1,575,751

SHARP R-380IN(S) Unit 2,109,328

SHARP R-21A1(W)IN Unit 1,584,077

SHARP R-728(W)-IN Unit 1,488,937

SHARP R-728(S)-IN Unit 1,528,932

SHARP R-728(K)-IN Unit 1,488,937

SHARP R-730IN(ST) Unit 1,662,701

SHARP R-898M(S) Unit 4,271,071

SHARP R-899R(S)-IN Unit 4,659,822

20 Mesin Cuci PANASONIC NA-W60BB3W Unit 2,818,803

PANASONIC NA-W60FB3W Unit 2,895,950

PANASONIC NA-W60BB4H Unit 1,673,199

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 83

Page 98: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

PANASONIC NA-W70BB3W Unit 3,071,837

PANASONIC NA-W70FB3W Unit 3,143,323

PANASONIC NA-W70BB4A/G 1,797,873

PANASONIC NA-W80BB1W Unit 3,428,223

PANASONIC NA-W80FB1W Unit 3,484,406

PANASONIC NA-W85BC2A/G/V Unit 2,254,457

PANASONIC NA-W90FB1W Unit 3,636,395

PANASONIC NA-W95FC2A/G/V Unit 2,384,968

PANASONIC NA-F821HLSG Unit 5,592,533

PANASONIC NA-F1011TW Unit 6,646,596

PANASONIC NA-F701BHSG Unit 4,649,159

PANASONIC NA-F801BHSG Unit 4,889,404

PANASONIC NA-F852BHSG Unit 3,407,619

Panasonic NA-W60BB4A/G Unit 1,852,932

Panasonic NA-W70BB4A/G Unit 1,991,866

Panasonic NA-W75BC1A/G/D Unit 2,187,834

Panasonic NA-W76FCIA/G/D Unit 2,233,171

Panasonic NA-W86BC1A/D/G Unit 2,399,890

Panasonic NA-W96FC1A/D/G Unit 2,535,900

Washer import NA-F903BHSG Unit 4,094,878

Washer import NA-F953BHSG Unit 4,314,246

Washer import NA-F953HLSG Unit 4,826,106

Washer import NA-F1003BHSG Unit 5,118,597

Washer import NA-F1003HHSG Unit 5,411,088

Washer import NA-F1003HHSG Unit 8,043,509

Washer import NA-107VG3WNE Unit 8,043,509

Washer import NA-148VG3WNE Unit 10,529,685

Washer import NA-140VX3WNE Unit 12,357,755

SHARP ES-Q70EY-G Unit 2,887,512

SHARP ES-G865P-G Unit 2,686,175

SHARP ES-G875P-G Unit 2,877,547

SHARP ES-G885P-G Unit 3,069,056

SHARP ES-G885S-G Unit 3,145,632

SAMSUNG SDC16709/XSE Unit 7,320,111

SAMSUNG WD0854W8Y/XSE Unit 8,685,086

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 84

Page 99: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SAMSUNG WD10J6410AW/SE Unit 14,740,773

SAMSUNG 65J3283LW/SE Unit 5,541,664

SAMSUNG 70J3283KW/SE Unit 5,895,471

21 Radio Talk MOTOROLA CP-1660VHF Unit 2,916,127

MOTOROLA CP-1300VHF Unit 2,792,036

MOTOROLA GP-3188UHF 403 Unit 3,970,896

MOTOROLA GP-388 PLUS VHF Unit 7,383,385

MOTOROLA CP-1660VHF Unit 3,102,263

MOTOROLA GP-328 PLUS VHF Unit 5,770,209

I COM IC-U80L Unit 1,985,448

I COM IC-T70A DUAL BAND Unit 3,350,444

I COM IC-V80 LITHIUM RAPID Unit 1,613,177

ALINCO DJ-196 Unit 1,737,267

ALINCO DJ-175 Unit 1,427,041

ALINCO DJ-A10 Unit 1,613,177

KENWOOD TH-255A (VHF) Unit 1,470,473

KENWOOD TH-K20A (VHF) Unit 1,861,358

22 GPS GARMIN GPS AP 62 S Unit 4,901,575

GARMIN GPS AP 62 SC Unit 5,149,756

GARMIN GPS AP 78 S Unit 4,467,258

GARMIN OREGAN 550 Unit 6,142,480

GARMIN MONTANA 650 Unit 7,445,430

23 RADIO RIG MOTOROLA GM-3688 VHF 25 W Unit 4,032,941

MOTOROLA GM-3688 VHF 45 W Unit 4,157,032

MOTOROLA GM-338 VHF 45 W Unit 5,087,711

MOTOROLA GM-338 VHF 25 W Unit 5,211,801

STANDAR SATUAN HARGA BARANG/JASA ALAT ELEKTRONIK 85

Page 100: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

KOMPUTER

Page 101: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

X. KOMPUTER

1 2 3 4 5

DESKTOP PC

1 APPLE Apple iMac with Retina 5KCore i5 3.5Ghz,AMD Radeon R0 M290X, Ram 8GB,

HDD 1 TB DDR3L, 27 ", Mac OS X 10.10 Yosemite34,333,719

Apple iMac ME087

Intel Core i5 2.9GHz, 8GB (2x 4GB) DDR3, 1TB HDD,

GbE NIC, WiFi, VGA NVIDIA GeForce GT 750M 1GB

GDDR5, Bluetooth, Camera, 21.5" LED Display, Mac OS

X Mavericks

26,319,447

Apple iMac ME086ZA/A

iMac 21.5", 2.7GHz Quad-core Intel Core i5 (Turbo Boost

3.2GHz, 4MB L3), 8GB (2x 4GB) 1600MHz DDR3, 1TB

(5400-rpm) HDD, Intel Iris Pro Graphics

28,006,020

2 ASUS ASUS Zen AiO S Z240IC

Intel Core i7 6700T, 23,8" full HD, 16 GB DDR4 at

2133MHz, 2TB SATA, NVIDIA GeForce GTX960M 2GB,

windows 10 Home

25,730,831

ASUS EeeTop Transformer P1801-B202K

Intel Core i5-3350P, Nvidia Tegra 3 Quad Core, 6GB

DDR3, 1GB DDR3, 1TB HDD, 32GB eMMC, DVD RW,

VGA NVIDIA GeForce GT730M 2GB, TV Tuner, Camera,

18.4" FHD, Touchscreen, Win8

20,824,990

AIO ASUS (ET2411INTI-B030C)

Intel Core i5-3450S (3.1 Ghz,6MB), 8 GB ddr3, Tray-in

Super Multi DVD RW, 23.6” Wide, Full HD (1920x1080)

LED Multi Touch, Windows 7 Home Premium 64 bit

19,270,057

3 LENOVO Lenovo B50-30-CMIDIntel Core i7-4790, 4GB, 1TB, Nvidia Geforce 820A 2GB,

DVD, 23.8", Win 8.1 16,995,107

LENOVO IDEACENTRE A730 57314910

Intel Core i7 4700MQ, 27 " Multi Touch Screen, 8GB,

8GB DDR3 1333MHz, Nvidia GeForce GT745M 2GB,

1TB, 1.0 TB 5400 SATA2, windows 8

25,720,081

Lenovo A740-7PIDIntel Core i7-4558U, 8GB, 1TB, Nvidia GTX 850A (2GB),

Win 8.1, 27", WIFI, DVD 28,710,928

LENOVO AIO THINKCENTRE M700Z

Intel Core i5 6400T 2.2GHz, 20 ", slim DVD rambo 9.5

mm, Intel HD Graphic 510, 8GB DDR4, 8GB Ram, 1 TB

HDD, windows 7 pro pre-install

16,785,467

4 HP HP Pavilion 20-2212d

Intel Core i5-4460T, 4GB DDR3, 1TB HDD, DVD±RW,

Wifi, Bluetooth, VGA Integrated, NIC, 20"WXGA, Win 8.1

64 bit

10,288,511

HP Envy 23-d245d TouchSmart

Intel Core i7-3770S, 8GB (2x4GB) DDR3, 1TB HDD,

DVD±RW, VGA AMD Radeon HD 7650A 2GB, GbE NIC,

WiFi, TV Tuner, Camera, 23" WXGA Multitouch, Win8 64-

bit

18,603,064

HP TouchSmart Envy 23-D040D

Core i5 3470s 2.9Ghz, 4GB DDR3, 1TB, DVDRW, AMD

Radeon HD 7650A 2GB, Card Reader, K/B + Mouse,

Lan, Wifi, Camera, Win 8

17,728,684

5 ACER Acer Aspire AZ3-605

Core i3 3227U 1.9GHz, 4GB DDR3, 500GB, DVD, 23inch

Full HD LED Touchscreen Display, AMD Radeon HD

8670, WiFi, Camera, Windows 8.1 Single Language

8,601,674

Acer Aspire Z3-615

Core i3 3.10GHz, 4GB DDR3, 1TB, DVD-Writer, Active

Matrix TFT Colour LC, WiFi, Bluetooth, Camera, Windows

8.1 Single Language

9,928,413

Acer Aspire Z1-623Core i3 1.7 GHz, 4GB DDR3L SDRAM, 1TB, 21.5 inches,

DVDRW, WiFi, Bluetooth, Camera, Windows 10 9,509,695

6 ASUS CM6730-ID003D

Core i3 2120 3.3Ghz, Intel H61 Chipset, 2GB (1x2GB)

DDR3, 2 Slot DIMM, Intel GMA HD, 750GB, Lan

10/100/1000Mbps, DVDRW, Card Reader, HDMI Port,

K/B + Mouse, 300W Power Supply, LCD 18.5" LED, DOS

8,881,916

ET2210INTS-B075C

Intel i3 2120S 3.3Ghz, Intel H61, 4GB DDR3, Nvidia

GT610 1GB, HDD 1TB, Lan 10/100/1000Mbps, DVDRW,

Card Reader, HDMI, Webcam, Hybrid TVT, USB3.0, KB +

Mouse Wireless, LED 21.5" Touchscreen, Win 7 Home

Premium 64 Bit

15,971,867

HARGANO JENIS BARANG MERK/MODEL/UKURAN SPESIFIKASI

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 86

Page 102: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

LAPTOP

1 ASUS Asus X450JN-WX022D

Layar 14" HD (1366 x 768), Nvidia GT840M , 2GB,

Core i7-4710HQ 2.5-3.5GHzRam 4 GB + HDD 1

TBDVD-RW, dos.

10,743,120

Asus A455LD

Proc: Intel® Core™ i5-4210U, RAM: 4 GB DDR3,

Graphic: NVIDIA® GeForce GT 820M 2 GB, Display:

14" WXGA, HDD: 500 GB SATA.

8,361,210

Asus X450JN-WX004H

Intel Core i7-4710HQ (3.5Ghz 6MB), 4GB DDR3L

RAM, 1TB HDD SATA, NVidia Ge-Force GT745M

2GB, 14" WXGA (1366x768), Windows 8.1 SL.

12,441,920

Asus N550JV-CN301H

Intel Core i7-4700HQ 2.4 GHz, RAM sebesar 4 GB,

grafis Nvidia GeForce GT740M, AudioWizard ASUS,

1 TB HDD, 15.6".

23,926,770

2 ACER ACER Aspire E5-473G-782R

Intel Core i7 5500U-2.4Ghz Turbo 3.0Ghz, RAM

4GB, HDD 1TB, DVD/RW, VGA nVidia GT940M-

2GB, Screen 14?, Windows 8.1 (FREE upgrade

Windows 10)

11,483,653

ACER Aspire E5-573G-74C5

Intel Core i7 5500U-2.4Ghz Turbo 3.0Ghz, RAM

4GB, HDD 1TB, DVD/RW, VGA nVidia GT940M-

2GB, Screen 15.6?, Windows 8.1 (FREE upgrade

Windows 10)

11,364,019

ACER Aspire R5-471T

Intel Core i7 6500U-2.5Ghz Turbo 3.1Ghz, RAM

4GB, HDD 256GB SSD, VGA Intel HD 520 Graphics,

Screen 14? FHD Touch, Windows 10

15,551,204

ACER Aspire R7-371T

Intel Core i7 5500U-2.4Ghz Turbo 3.3Ghz, RAM

8GB, HDD 2 x 128GB SSD, VGA Intel HD Graphics

5500, Screen 13.3? FHD Touch, Windows 8.1

(FREE upgrade Windows 10)

21,532,897

3 LENOVO LENOVO IdeaPad 500S-14-6500U

Intel Core i7 6500U-2.5Ghz Turbo 2.1Ghz, RAM

4GB, HDD 1TB, VGA nVidia GT940-2GB, Screen

14? FHD, Windows 10

13,158,527

LENOVO IdeaPad 305-15-5500U

Intel Core i7 5500U-2.4Ghz Turbo 3.3Ghz, RAM

4GB, HDD 1TB, DVD/RW, ADM RADEON R5 M330-

2GB, Screen 15.6?, Windows 10

10,765,850

LENOVO IdeaPad 310-14-6200U

Intel Core i5 6200U-2.3Ghz Turbo 2.8Ghz, RAM

12GB, HDD 1TB, DVD/RW, nVidia GT920MX-2GB,

Screen 14?, Windows 10

9,569,512

LENOVO IdeaPad 500-15

Intel Core i5 6200U-2.3Ghz Turbo 2.8Ghz, RAM

4GB, HDD 1TB, VGA AMD RADEON R5 M330-2GB

15.6? FHD, Windows 10

12,919,259

4 TOSHIBA TOSHIBA Portege Z30-5600U

Intel Core i7 5600U-2.6Ghz Turbo 3.1Ghz, RAM

8GB, HDD 256GB SSD,, VGA Intel HD 5500, Screen

13.3?, Windows 7 Professional

20,336,558

TOSHIBA Satellite S55T-C5325-4K

Intel Core i7 6700HQ-2.6Ghz Turbo 3.5Ghz, RAM

16GB, HDD 1TB, VGA nVidia GTX950-4GB, Screen

15.6” 4K Ultra HD, Windows 10

19,140,220

TOSHIBA Satellite Radius P25W-C2300-4K

Intel Core i7 6500U-2.4Ghz Turbo 3.0Ghz, RAM

8GB, HDD 256GB SSD (SuperFast & AntiSchock),

VGA Intel HD 520, Screen 12.5" 4K Ultra HD (3840 x

2160) Touch, Windows 10

20,216,924

NO JENIS BARANG MERK/MODEL/ UKURAN SPESIFIKASI HARGA

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 87

Page 103: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

MONITOR

1 ACER P166HQL ACER 15.6″ P166HQL LED WIDE SCREEN1,023,890

G206HQL ACER 19.5″ G206HQL1,377,162

K202HQL ACER 19.5″ K202HQL LED WIDE SCREEN1,269,384

FT200HQL ACER 19.5″ FT200HQL LED Touchscreen3,377,042

P206HL ACER 20″ P206HL LED WIDE SCREEN2,035,805

V203HL ACER 20″ V203HL LED WIDE SCREEN1,604,694

S200HL ACER 20″ S200HL LED WIDE SCREEN1,616,669

K222HQL ACER 22″ K222HQL LED WIDE SCREEN1,928,027

G227HQL ACER 22″ G227HQL LED WIDE SCREEN2,227,410

S220HQL ACER 22″ S220HQL LED WIDE SCREEN1,922,040

G237HL ACER 23″ G237HL LED WIDE SCREEN2,802,226

GR235H ACER 23″ GR235H LED WIDE SCREEN 3D4,161,425

V233HL ACER 23″ V233HL LED WIDE SCREEN2,335,188

V236H ACER 23″ V236HL LED WIDE SCREEN2,454,942

P238HL ACER 23″ P238HL LED WIDE SCREEN2,993,831

S231HL ACER 23″ S231HL LED WIDE SCREEN2,718,399

T232HLACER 23″ T232HL LED WIDE SCREEN Touch

Screen 6,586,429

GD245HQ ACER 24″ GD245HQ 3D4,778,155

S243HL ACER 24″ S243HL3,592,598

HR274H ACER 27″ HR274H 3D7,125,318

2 ASUS MB168B Asus MB168B Portable USB Monitor – 15.6″3,676,425

VG248QE Asus VG248QE – 23.6″6,382,848

VX24AH Asus VX24AH – 23.6″ Wide Screen5,921,798

PA249Q Asus PA249Q – 24″ LED10,191,002

PA279Q Asus PA279Q 27″ LED13,927,303

VS228HR Asus VS228HR – 22″2,550,744

PA238Q Asus PA238Q – 23″ LED5,400,872

MG279Q Asus MG279Q 27″11,274,768

3 DELL P1914S DELL 19″ P1914S2,778,275

E2014T DELL 20″ E2014T TOUCH SCREEN4,417,697

P2211H DELL 21.5″ P2211H2,514,818

S2240T DELL 21.5″ S2240T Touch Screen5,125,439

P2314T DELL 23″ P2314T LED Touch Screen5,496,674

P2415Q DELL 24″ P2415Q LED7,490,566

U2711 DELL 27″ U27118,825,815

P2714T DELL 27″ P2714T10,819,706

U3415W DELL 34″ U3415W LED15,747,552

L23-6010 BenQ 23″ L23-6010 – LED TV2,167,534

XL2411T BenQ 24″ XL2411T4,838,031

XL2420G BenQ 24″ XL2420G9,101,247

XL2730Z BenQ 27″ XL2730Z10,047,298

NO JENIS BARANG MERK/MODEL/ UKURAN SPESIFIKASI HARGA

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 88

Page 104: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

PRINTER

1 CANON PIXMA iP8770

Printer Inkjet Tinta 6 Warna dengan Tinta Abu-abu,

Kecepatan cetak standar ISO (A4): sampai dengan

10.4ipm (warna) / 14.5ipm (mono), Kecepatan Foto

(4 x 6"): 36 detik (borderless)

5,802,242

PIXMA iP110

Printer Wireless Office Mobile Kecepatan cetak

Standar ISO (A4) : sampai dengan 5.8 ipm (warna) /

9.0 ipm (mono), Kecepatan Cetak Foto (4×6"): 53

detik (borderless)

4,904,988

PIXMA PRO-1

Printer inkjet warna, Media: A3+, A3, A4 dan lebih

banyak lagi, Mencetak foto borderless 4 x 6" dalam

waktu 2 menit 5 detik

16,120,661

PIXMA E460

All-In-One Printer Nirkabel yang Hemat Tinta

dengan Harga Paling Terjangkau, Print, scan, copy,

Kecepatan cetak standar ISO (A4): sampai dengan

8.0ipm mono / 4.0ipm warna

1,525,332

PIXMA G3000

Foto tanpa tepi dapat dicetak hingga ukuran A4, dan

sistem tinta Hybrid milik Canon juga mahir dalam

memproduksi dokumen teks hitam yang jelas dan

foto yang memukau, Kecepatan cetak Standar ISO

(A4): hingga 8.8ipm (mono) / 5.0ipm (warna),

Mencetak foto tanpa tepi 4 x 6" dalam 60 detik

3,349,748

2 EPSON Seri L310

Metode cetak : Inkjet, Maks.Kerta A4, Speed 15

ppm, speed color Approx 9.2/4.5 ipm, OS windows

XP/ 7 /8 /Vista /Mac OS X, speed print photo 27

detik (borderless)

2,165,373

Seri L360

Print, scan, copy, Maks.resolusi 5760 x 1440, speed

15 ppm, speed color Approx 9.2/4.5 ipm, speed

print photo 27 detik (borderless), resolusi scan 600

x 1200 dpi, OS windows XP/ 7 / 8 / Vista / Mac OS

X, metode cetak inkjet

2,811,395

Seri L365

Print, scan, copy, Maks.resolusi 5760 x 1440, speed

15 ppm, speed color Approx 9.2/4.5 ipm, speed

print photo 27 detik (borderless), resolusi scan 1200

x 2400 dpi, OS windows XP/ 7 / 8 / Vista / Mac OS

X, metode cetak inkjet

3,469,382

3 HPHP Color LaserJet Pro MFP

M177fw (CZ165A)

Print, copy, scan, fax, Kecepatan cetak hitam putih:

up to 16 ppm, Kecepatan cetak warna : up to 4 ppm,

print telnologi : laser, resolusi HP ImageREt 2400,

processor speed 600 MHz

6,389,644

HP DeskJet GT5820 All-in-

One Printer [M2Q28A]

A4 4800 x 1200 dpi 7.5 (BW) ppm Print 4.5 (Color)

ppm Print 1200 dpi Scan Copy USB Wireless 3,167,904

4 BROTHER BROTHER MFC-9970CDWA4, 600 x 2400 dpi, 17/17 (BW/Color) ppm Print,

Tray 1# 250, Print, Scan, Copy, Fax, USB, Ethernet 13,040,090

BROTHER HL-2240DA4, 2400 x 600 dpi, 24 (BW) ppm Print, Tray 1#

250, Duplex, USB 1,638,984

NO JENIS BARANG MERK/MODEL/ UKURAN SPESIFIKASI HARGA

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 89

Page 105: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/ UKURAN SPESIFIKASI HARGA

BROTHER MFC-9330CDW

Print Technology Digital Color LED, Resolusi 600 x

2400 dpi, wireless 802.11b/g/n ethernet and Hi-

speed USB 2.0, Approx 2 sec/page, scanner

compability windows/Mac OS, Printing, Scan, PC

and Fax Send / Receive, memory 192MB

8,494,003

BROTHER MFC-J200

A4, Print BW/Color 11/6 ppm, 1.200x 6.000 dpi,

64MB, Copy BW/Color 4.8/3 cpm, Zoom 25-400%,

Scan 1200x 2400 dpi, Scan Feature to Image,

Email, File, 1 Line LCD Display, Fax Modem

14.4kbps, PC-Fax (USB only), 100 sheets input

Tray, Automatic Document Feeder (ADF) 20 sheets,

WiFi, Mobile Printing iPrint & iScan, AirPrint, Google

Cloud Print.

3,469,382

BROTHER MFC-L5900DW

A4, 1.200x1.200 dpi, 42ppm, PRINTING,

COPYING, SCANNING, FAXING, 1 GB, 3.7" TFT

Colour LCD, Wireless, Wifi Direct, Gigabit Ethernet

10 Base-T/100 Base-TX/1000 Base-T, USB 2.0 Hi-

Speed, USB Direct Print

10,755,083

DCP-1601 BROTHER Printer [DCP-1601] 1,782,544

MFC-9330CDW BROTHER Printer [MFC-9330CDW] 8,362,406

MFC-L8850CDW BROTHER Printer [MFC-L8850CDW] 14,463,732

HL-L8250CDN BROTHER HL-L8250CDN 7,285,701

HL-L8350CDW BROTHER Printer [HL-L8350CDW] 8,482,040

DCP-T300 (Merchant) BROTHER DCP-T300 (Merchant) 2,511,115

DCP-T500W BROTHER Printer [DCP-T500W] (Merchant) 3,228,918

HL-L6400DW BROTHER Printer [HL-L6400DW] 11,963,385

HL-L5100DN BROTHER Printer [HL-L5100DN] 6,089,363

DCP-L5600DN BROTHER Printer [DCP-L5600DN] 9,798,012

HL-L6200DW BROTHER Printer [HL-L6200DW] 7,285,701

MFC-L6900DW BROTHER Printer [MFC-L6900DW] 15,779,705

MFC-L5900DW BROTHER Printer [MFC-L5900DW] 10,994,351

PT-9700PC (Merchant) BROTHER PT-9700PC (Merchant) 5,969,729

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 90

Page 106: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

SCANNER

1 CANON DR-F120 A4, Color, 600 dpI, 20 ppm, ADF, USB 6,388,448

CanoScan LiDE 120A4, 2400 x 4800 dpi, 300dpi/16 sec, USB 2.0

986,979

DR-C225

A4, 600 x 600dpi, Black/White 25ppm Scan,

Color 25 ppm, Scan Automatic sheet feeding,

USB11,305,399

DR-M160IIA4, Colour 600 dpi, 60 ppm, ADF, Kofax

VRS, USB17,227,274

DR-6030CA3, 600 x 600 dpi, 60 ppm, Automatic

Document Feeder (ADF), USB 71,720,493

2 EPSON V370 A4, 4800 x 9600 dpi, USB 2.0 2,285,007

GT-S85

A4, 600 x 600 dpi, Black/White 40 ppm, Color

40 ppm, One-pass duplex, Automatic

Document Feeder (ADF), USB 2.0 14,128,758

GT-1500 A4, 1200 x 2400 dpi, USB 2.0 5,694,571

DS-60000A3, 600 x 600 dpi, 10 sec Flatbed, 40 ppm/80

ipm ADF, USB 2.047,363,041

3 DATALOGIC Magellan 1000iOn-Counter Presentation Omnidirectional Bar

Code Reader 4,950,165

KG27493 Skynet LC8 Omnidirectional Laser Scanner 2,148,026

27921 Honeywell Genesis 7580g Barcode Scanner 4,437,485

27935Honeywell Orbit MK7120-31A38 Barcode

Scanner3,771,568

29649Honeywell MS7120 Orbit Omnidirectional

Laser Scanner5,880,602

29653Datalogic QS2500 Linear Imager Handheld

Scanner Barcode2,868,222

4 HP G3110Scaner Flatbed. Paper/3-D objects/3-D

objects, 4800 x 9600 dpi, 11 sec1,615,057

G4050A4, 4800 x 9600 dpi, Scan 3-D Object &

Photo3,708,649

5590 A4, 2400 x 2400 dpi, Scaner Flatbed 6,101,326

6310Scanner Automatic Feeding/ ADF. A4, 2400

dpi, Flatbed, ADF, USB 2.07,716,383

6350Scanner Automatic Feeding/ ADF, A4, 2400 x

2400 dpi, Flatbed, ADF, Ethernet, USB 2.011,305,399

8270Scanner Automatic Feeding/ ADF, A4, 4800 x

4800 dpi, Flatbed, USB 2.017,227,274

NO MERK/MODEL/ UKURANJENIS BARANG SPESIFIKASI HARGA

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 91

Page 107: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

PROJECTOR

1 DELL M110

1x USB-A for USB Display, 300

ANSI Lumens, WXGA (1280 x

800)

10,313,395

M210X DLP HDMI, 2000 ANSI Lumens 13,375,184

4320HDMI, 4300 ANSI Lumens, DLP

Technology 21,432,524

4310WXHD Projector, 3500 ANSI

Lumens 20,465,643

P7215DLP 3D, 6000 ANSI Lumens,

XGA (1024 x 768), 6,5 Kg, HDMI 25,600,448

C120 100

FWVGA Resolution, 100 ANSI

Lumens, 1000 : 1 Contras Ratio,

USB 3.0

5,023,425

K355 MR-JG711-009

DLP, 1000 Lm brightness (ANSI

Lumens), WXGA (1280 x 800),

10000:1 contrast ratio, Wireless

connectivity, USB multimedia,

Digital connectivity HDMI

12,083,019

X1270N

DLP, XVGA (1024x768), 2700

ANSI Lumens, 10.000:1, 2x

Digital Zoom, Weight 2.2 kg,

Brightness

5,024,622

2 BENQ MW632STDLP, 3200 ANSI Lumens, WXGA

(1280x800),2.6Kg, HDMI 10,755,083

W1110

3D DLP Home Theatre Projector,

2200 ANSI Lumens, FULL HD

(1920X1080), 15.000:1, Wight

3.3 Kg, HDMI

15,540,437

MX631ST

DLP, 3200 ANSI Lumens, XGA

(1024X768), 2.6Kg, S-VIDEO,

HDMI, MHL, USB, SMART ECO,

FULL 3D

9,569,512

LW61ST

DLP, 2000 ANSI Lumens, WXGA

(1280X800), LASER DIODE

LAMP, S-VIDEO, HDMI, LAN RJ-

45, 2xUSB, SMART ECO,

2x10W SPEAKER

14,953,035

SX912

DLP, 5000 ANSI Lumens, XGA

(1024X768), 3.7KG, S-VIDEO,

HDMI, LAN RJ-45, BLU-RAY 3D

SUPPORTED, AMX LAN

CONTROL

28,710,928

MH740

DLP, 4000 ANSI Lumens, FULL

HD (1920X1080), 3.7KG, S-

VIDEO, HDMI, USB, SMART

ECO, FULL 3D, MY SCREEN

19,618,755

NO JENIS BARANG MERK/MODEL/UKURAN SPESIFIKASI HARGA

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 92

Page 108: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SPESIFIKASI HARGA

MX666+

DLP, 3500 ANSI Lumens, XGA

(1024X768), 2.65KG, S-VIDEO,

HDMI, USB, MHL, LAN RJ-45,

SMART ECO, 2D & 3D

KEYSTONE, NFC WIRELESS

13,995,964

MW526

DLP, 3200 ANSI Lumens, WXGA

(1280X800), 1.9Kg, S-VIDEO,

HDMI, SMART ECO, FULL 3D,

BLU-RAY 3D SUPPORTED

8,133,905

MX726

DLP, 4000 ANSI Lumens, XGA

(1024X768), 3.8Kg , S-VIDEO,

2xHDMI, MHL, USB, LAN RJ-45,

12V TRIGGER, FULL 3D

15,072,669

EB-W04

3LCD, 3000 ANSI Lumens,

WXGA (1280 x 800), 2.4Kg,

HDMI, USB, LAN

7,148,123

EB-X36

3LCD, 3600 ANSI Lumens, XGA

(1024x768), 2.4kg, HDMI, USB,

LAN, Wifi

9,090,976

PT-LW362

3LCD, 3600 ANSI Lumens,

WXGA (1280x800), 2.9kg, HDMI,

2 VGA, USB Type A dan USB

Type B

17,584,980

VPL-CH370

5000 ANSI Lumens, WUXGA

(1920x1200), 5.7kg, HDMI,

RS232 Port, USB Port, Closed

Captioning, Wired Networking,

Geometric Correction, Crestron

RoomView

31,702,970

PT-LW312

3LCD, 3100 ANSI Lumens,

WXGA (1280x800), 2,9Kg,

HDMI, 2 VGA, USB Type A dan

USB Type B

12,071,055

PT-LB300

3LCD, 3100 ANSI Lumens, XGA

(1024X768), 2.9Kg, HDMI, 2

VGA, Wired LAN Control

8,373,173

VPL-EX310

3LCD, 3800 ANSI Lumens, XGA

(1024 x768), 3.8Kg, RGB, HDMI,

S Video, Video, RS-232C, RJ-45,

USB

10,646,216

3 INFOCUS IN116X

DLP, 3200 ANSI Lumens, WXGA

(1280X800), 2.4kg, HDMI, PC 3D

Ready, RS232 Port, USB Port

9,271,623

IN2124a

DLP, 3200 ANSI Lumens, XGA

(1024x768), 3.2Kg, HDMI, PC 3D

Ready, RS232 Port, USB Port,

Wired Networking

14,594,133

IN118HDADLP, 3000 ANSI Lumens, 1080p

(1920x1080), 2,45 Kg, HDMI 16,736,776

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 93

Page 109: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SPESIFIKASI HARGA

IN112XDLP, 3200 ANSI Lumens, SVGA

(800x600), 2.45 kg, HDMI 5,262,693

IN230DLP, 3500 ANSI Lumens, SVGA

(800X600), 2.35Kg, HDMI 5,204,072

IN3134a

4200 ANSI Lumens, XGA

(1024x768), 3.15Kg, HDMI, USB

A, LAN

19,738,389

IN226ST

DLP, 3200 ANSI Lumens, XGA

(1024 x 768), 2.4Kg, HDMI, USB,

Short Throw

10,287,315

IN3136a

DLP, 4500 ANSI Lumens, WXGA

(1280 x 800), 3.2 Kg, HDMI,

USB, 3D Ready,

20,695,460

PT-LW362

3LCD, 3600 ANSI Lumens,

WXGA (1280x800), 2.9kg, HDMI,

2 VGA, USB Type A dan USB

Type B

17,584,980

PT-LW312

3LCD, 3100 ANSI Lumens,

WXGA (1280x800), 2,9Kg,

HDMI, 2 VGA, USB Type A dan

USB Type B

12,081,823

PT-LB300

3LCD, 3100 ANSI Lumens, XGA

(1024X768), 2.9Kg, HDMI, 2

VGA, Wired LAN Control

8,373,173

PT-VX4203LCD, 4500 ANSI Lumens, XGA

(1024x768), HDMI, 3.3Kg 16,029,740

PT-TX402A

3LCD, 3800 ANSI Lumens, XGA

(1024 x 768), 3.9Kg, HDMI,

USBt, Closed Captioning, Wired

Networking

14,953,035

PT-VW350

3LCD, 4000 ANSI Lumens,

WXGA (1280x800), 3.3Kg,

HDMI, 1.6x zoom lens, Picture in

Picture

17,584,980

PT-LB332

3LCD, 3300 ANSI Lumens, XGA

(1024 x 768), 2.8 Kg, Wireless,

USB, VGA, RJ45

8,971,342

PT-VX6003LCD, XGA, 5500 Lumens,

HDMI, 10-Watt speaker, 4.8 Kg 24,164,841

4 SONY VPL-CH370

5000 ANSI Lumens, WUXGA

(1920x1200), 5.7kg, HDMI,

RS232 Port, USB Port, Closed

Captioning, Wired Networking,

Geometric Correction, Crestron

RoomView

31,702,970

VPL-EX310

3LCD, 3800 ANSI Lumens, XGA

(1024 x768), 3.8Kg, RGB, HDMI,

S Video, Video, RS-232C, RJ-45,

USB

10,646,216

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 94

Page 110: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SPESIFIKASI HARGA

VPL-EW345

3LCD, 4200 ANSI Lumens,

WXGA (1280x800), 3.9Kg, RGB,

HDMI, S Video, Video, RS-232C,

RJ-45, USB,

Stereo mini, Mini Jack

19,499,121

VPL-EX345

3LCD, 4200 ANSI Lumens, XGA

(1024 x768), 4Kg, RGB, HDMI, S

Video, Video, RS-232C, RJ-45,

USB,

Stereo mini, Mini Jack

13,517,429

VPL-EX315

3LCD, 3800 ANSI Lumens, XGA

(1024x768), 4Kg, RGB, HDMI, S

Video, Video, RS-232C, RJ-45,

USB,

Stereo mini, Mini Jack

10,885,484

VPL-EW295

3LCD, 3800 ANSI Lumens,

WXGA (1280x800), 4.1Kg, Pin

Jack, Mini DIN 4-pin, Mini D-sub

15-pin, D-sub 9-

pin, HDMI, Stereo mini jack, RJ-

45, USB

15,311,936

VPL-DW122

3LCD, 2600 ANSI Lumens,

WXGA (1280 X 800), 2.5Kg, Pin

Jack, Mini D-sub 15-pin, HDMI,

Stereo mini jack

7,176,835

VPL-DX111

3LCD, 2300 ANSI Lumens, XGA

(1024 x768), 2.5Kg, Pin Jack,

Mini D-sub 15-pin, HDMI, Stereo

mini jack

5,980,496

5 VIEWSONIC PJD5353LS

DLP, 3000 ANSI Lumens, XGA (

1024 X 768 ), 2.5 Kg, RGB I/O,

HDMI, Rs 232, 3D Blu Ray

Ready, Audio

9,449,878

PJD5553LWS

DLP, 3000 ANSI Lumens, WXGA

( 1280 X 800 ), 2.5Kg, RGB I/O,

HDMI, Rs 232, 3D Blu Ray

Ready, Audio

10,467,962

PJD5253

DLP, 3300 ANSI Lumens, XGA

(1024 x 768), 2.1KG, Ready, S-

VIDEO , COMPOSITE VIDEO ,

Component video,Mini USBx1,

RS232,Audio

5,836,936

PJD6383S

DLP, 3000 ANSI Lumens, XGA

(1024 X 768), 3 kg, S-VIDEO,

COMPOSITE VIDEO, USB TYPE

B Mini, RS 232 8 PIN MINI

DIN,RGB

11,066,131

6 VIVITEK DW868

DLP, 4500 ANSI Lumens, WXGA

(1280x800), HDMI, 3.6kg, RS232

Port, USB Port, Wired

Networking, Full HD 3D, Crestron

RoomView

17,795,942

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 95

Page 111: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SPESIFIKASI HARGA

D560ST

DLP, 2700 ANSI Lumens, SVGA

(800 x 600), VGA-In (x2), S-

Video, Composit, 3D Ready, 2,3

Kg, Semi Short Throw

7,176,835

D552

DLP, 3000 ANSI Lumens, SVGA

(1024x768), 2,3 KG, 3D Ready,

VGA-In (15pin D-Sub), S-Video,

Composite Video, Audio-In (Mini-

Jack), VGA-Out (15pin D-Sub),

Audio-Out (Mini-Jack), RS-232

5,980,496

D536-3D

DLP / 3200 ANSI Lumens / XGA

( 1024 x 768 ) / 3000:1

Ship Weight 3 Kg

9,968,227

STANDAR SATUAN HARGA BARANG/JASA COMPUTER 96

Page 112: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

PERTANIAN

Page 113: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

I. BIDANG PERTANIAN TANAMAN PANGAN DAN HORTIKULTURA

A. BIBIT

1. Benih/Bibit/Palawija

a. Padi Hibrida Kg 94,649

b. Padi Berlabel In Hibrida Varitas Unggul Sertifikat

- Label Putih Unggul Kg 41,291

- Label Ungu Unggul Kg 33,127

- Label Biru Unggul (Ciherang/IR 64) Kg 14,789

c. Padi Gogo Kg 14,789

d. Padi Ketan Kg 28,986

e. Kedele

- Label Putih Unggul Kg 45,550

- Label Ungu Unggul Kg 33,127

- Label Biru Unggul Kg 17,747

f. Jagung Komposit Unggul (Bisma, Arjuna, Hanoman) Kg 26,028

g. Jagung Hibrida Bisi 816 Kg 76,902

Bisi 16 Kg 69,804

Bisi 2 Kg 70,987

Pertiwi 3 Kg 75,719

Pioneer Kg 87,550

Supra 1 Kg 78,085

h. Kacang Tanah

- Label Putih Unggul Kg 50,874

- Label Ungu Unggul Kg 43,775

- Label Biru Unggul Kg 35,138

2. Sayuran

a. Cabe Standar 10 gr/Sachet 160,903

PM 99 10 gr/Sachet 162,086

Lado 10 gr/Sachet 159,720

Tanamo 10 gr/Sachet 145,523

Serambi 10 gr/Sachet 124,227

CK 100 10 dr/Sachet 130,142

Djimat 99 F1 10 gr/Sachet 127,776

Karomah F1 10 gr/Sachet 127,776

Dharmas F1 (Sindo F1) 10 gr/Sachet 96,424

b. Tomat Hibrida

- Lentana 5 gr/Sachet 100,565

- Petoseed 5 gr/Sachet 106,480

- Fortuna 5 gr/Sachet 100,565

HARGA

II.KELOMPOK PERTANIAN, PERKEBUNAN, KEHUTANAN, PETERNAKAN DAN

PERIKANAN

NO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 97

Page 114: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

HARGANO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

- TM 001 5 gr/Sachet 106,480

- Supernova 5 gr/Sachet 141,974

- Sahara F1 5 gr/Sachet 80,452

- Sherly 5 gr/Sachet 85,184

- Citra Asia F1 ( Alary F1 ) 5 gr/Sachet 170,072

- Swadehi ( cita F1 ) 5 gr/Sachet 110,917

- Natama Super ( vena F1) 5 gr/Sachet 110,917

c. Kentang

- Label Putih (G1) Granola 2 Kg 65,071

- Label Ungu (G2) Granola Kg 44,958

d. Bawang Bima Brebes

- Label Ungu Kg 82,818

- Label Biru Kg 59,156

e. Bayam - Samudra 500 gr 52,057

- Samudra 50 gr 17,451

- Merah Brata 500 gr 50,874

- Merah Brata 50 gr 14,197

- Hijau Merah Jelita 500 gr 50,874

- Hijau Merah Jelita 50 gr 14,197

- Amarin 500 gr 51,761

f. Selada - Grand Rapis 15 gr 17,747

g. Kangkung Darat Unggul

-Sejati 1 Kg 31,944

- Haiyan 1 Kg 31,944

- Shanghai 1 Kg 39,930

h. Terong - Mustang/Bimbi 5 gr/Sachet 26,324

- Ungu F1 5 gr/Sachet 18,338

- Tp 601 10 gr/Sachet 29,578

- Gaston 10 gr/Sachet 59,156

- Ungu F1 Graha 5 gr/Sachet 23,662

i. Kacang Panjang - MP Super 1 Kg 94,649

- Cory 500 gr 47,325

- Kp 801 100 gr 36,677

- Sergap 500 gr 92,431

j. Timun - Roman 25 gr/sachet 47,325

- TI 101 10 gr/sachet 35,493

- Aqso F1 10 gr/sachet 23,662

- Harkulas 20 gr/sachet 56,198

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 98

Page 115: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

HARGANO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

k. Buncis - Perancis 500 gr 118,311

- Gayoes 500 gr 44,958

- Dati 500 gr 44,958

- Elastis (Selendang) 500 gr 54,719

3. a. Mangga

- Unggul/berlabel (60 - 100 cm) Batang 82,818

b. Rambutan

- Unggul/berlabel (60 - 100 cm) Batang 76,902

c. Jeruk :

- Giri Matang Batang 70,395

- Manis/ Madu Batang 53,240

- Nipis Batang 37,268

- Keprok Batang 69,212

d. Durian Lokal Varietas Unggul Batang 153,805

e. Salak Pondoh Batang 53,240

f. Pisang Barangan Bonggol Batang 5,087

Anakan Batang 8,045

g. Nenas Lokal Tunas Batang 7,335

h. Sirsak Ratu Batang 66,018

- Unggul 1 tahun, 100 cm

i. Lengkeng 1 tahun, 100 cm Batang 116,537

j. Manggis 1 tahun Batang 61,522

Di atas 1 tahun. di atas 100 cm Batang 80,807

k. Melinjo 1 tahun, 100 cm Batang 53,240

l. Jambu 1 tahun, 100 cm Batang 47,916

m. Alpukat 1 tahun, 100 cm Batang 56,316

n. Belimbing 1 tahun, 100 cm Batang 56,316

o. Semangka

- Hibrida

-Biji (Baginda) 20 gr 46,733

-Super Dragon 20 gr 46,733

- Yelllow king 20 gr 80,452

- Non Bijik Red Sweet 20 gr 127,776

- Bulus F1 20 gr 110,917

q. Duku 70 - 80 cm 42,355

100-120 cm 46,733

4. Tanaman Obat

a. Jahe / Alia Kg 41,409

c. Kunyit Kg 2,544

B. PERALATAN PERTANIAN DAN OBAT-OBATAN

1 SAPRODI :

a. Pupuk - Urea Tabur Kg 8,661

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 99

Page 116: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

HARGANO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

- NPK (16:16:16) Kg 18,926

- NPK (15:15:15) Kg 15,397

- KCL (Belavesia) Kg 15,397

- TSP (P2O5 - 46%) Kg 9,623

- Organik/Kandang/Bokasi Kg 3,529

- Kapur Kg 2,502

- EM4 Kg 25,662

- Pupuk Pelengkap Cair (PPC) Ltr 134,727

- SP - 36 kg 13,537

- ZA Kg 7,121

- Frestan Ltr 50,041

b. Pestisida

* Insektisida Samite 1 Liter 349,648

Pegasus 1 Liter 1,042,978

Sidacis 25 EC 1 Liter 146,596

Curacron 1 Liter 359,913

Polydon 25 EC 1 Liter 239,621

Ken Fas 100 EC 1 Liter 224,545

Brocis 2,5 EC 1 Liter 277,152

Buzzztar 50 EC 1 Liter 199,652

Manuver 400 SL 1 Liter 218,129

Trisula 1 Liter 230,960

Biocron 500 EC 1 Liter 256,623

Starban 585 EC 1 Liter 200,166

Dursban 1 Liter 230,960

Sidametrin 1 Liter 109,065

Sidabas 1 Liter 153,974

Sidatan 1 Liter 153,974

Debest 200/20 Ec 1 Liter 487,583

Tamabas 500 Ec 1 Liter 109,065

* Fungisida Victory 1 Kg 115,480

Cozene 70/10 WP Kg 256,623

Zifio 90 WP Kg 209,597

Remedy 80 WP Kg 135,368

Cadilac 80 WP Kg 127,670

Nefos 45 WP Kg 275,869

Dithane W1 45 1 Kg 125,745

Satgas Kg 192,467

Multifor Kg 115,480

Megazeb 80wb Kg 76,987

Sidazeb Kg 153,974

* Rodentisida Petrokum RMB Kg 53,891

Klerat Kg 60,306

Kovinplus 80 P Kg 141,142

Sidarat Kg 76,987

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 100

Page 117: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

HARGANO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

* Herbisida Sidaxone 276 SL Kg 86,610

Servaxone Kg 86,610

Laris 250 SL/ Proris Kg 50,041

Sapu Bersih Kg 75,447

Sweeper 480SL Kg 86,610

Sistemik 240 SL Kg 58,382

Rengger Kg 56,906

Serbu 16 SL Kg 49,400

Roundup Kg 83,402

Bulma Kg 153,974

Obin Kg 102,649

Lutop Kg 96,233

Tamaris 240 SL Kg 38,493

* Pestisida Hayati Pestona 500 cc 206,196

* Pestisida Nabati Trichoderma 200 gram 63,514

Beauveria Ltr 63,514

Metarhizium Ltr 63,514

c. Moloskisida Seldena 250 EC Ltr 200,037

Kresnacid 250 EC 500 ml 141,142

Kresnoid 60 WP 100 gram 57,740

Anti Keong 65 WP 100 gram 70,571

d. Atraktan Petrogenol 15 ml /Ltr 1,860,514

e. Mulsa Plastik Gayo Tani Pergulung 513,245

Milikron 250 mtr 288,835

Milikron 250 mtr 570,953

f. Sprayer Ultra CBA Elektrik 16 Ltr 834,023

g. Embrat/Gembor Tempahan Unit 83,402

h. Pisau Okulasi Unit 51,325

i. Sekop Unit 75,062

j. Mesin Potong Rumput Tanaka Unit 4,834,128

k. Roda 3 Angkut Hasil Saprodi Viar Unit 40,572,033

l. Alat Penakar Curah Hujan OBS Unit 4,490,896

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 101

Page 118: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

HARGANO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

Tractor

a. Tractor Besar 90 HP - Agrindo TA-9004 Unit 620,060,000

Perlengkapan :

a. Rotari set

b. Disc Plow set

c. Canopi/Atap Ruang Kemudi buah

b. ISEKI 396,550,000

AT-5470FS-4WD (47,8 HP) Unit

Perlengkapan :

- Disc Plow set

- Rotary set

AT-5520FS-4WD (52,9 HP) Unit 438,265,000

Perlengkapan :

- Disc Plow set

- Rotary set

* Tractor Besar 65 HP - Agrindo TA-6504 (4WD) Unit 540,750,000

Perlengkapan :

a. Disc Plow set

b. Rotary set

* Tractor Sedang 45 HP - Agrindo TA-4504 (4WD) Unit 360,500,000

Perlengkapan :

a. Disc Plow set

b. Rotary set

c. Canopi/Atap Ruang Kemudi buah

b. Hand Tractor :

* Type Bajak Singkal 8,5 HP * Yanmar

- YST - DX Unit 33,063,000

- YST - PRO Unit 33,063,000

* Kubota

- G-1000 RD 110 DI - 2 T Unit 28,500,100

(Perlengkapan standar)

- G-3000 Zeva RD85DI-2S Unit 27,073,550

(Perlengkapan standar)

- G-1000Z+RD110DI-2T Unit 28,672,110

(Perlengkapan standar)

* Type Rotary 10,5 HP Yanmar Unit 41,612,000

* Type Rotary 11 HPKubota/ZENA-POWER+ RD110DI-

2T+perlengkapan standarUnit 38,975,200

c. Power Tresher Padi Lokal 12,692,690

Agrindo TP 1000-DT-800 H Unit 22,866,000

Yanmar MBI PT 3000 LJ Unit 27,297,575

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 102

Page 119: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

HARGANO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

Power Tresher Multiguna (Padi, jg ,

kdl)Agrindo TP 1000-DI-800 H Unit 25,750,000

d. Reaper (Mesin Panen Padi) Agrindo (AR 120TN) Unit 30,900,000

e. Tugal Otomatis Unit 4,995,500

f. Atabela (Alat tanam benih langsung) Unit 52,015,000

g. Corn Sheller (Pemipil Jagung)

- Mesin Bensin Yanmar/Kobota 6,5 HP Unit 23,669,915

- Mesin Diesel Yanmar/Kubota 8,5 HP Unit 33,578,000

- Mesin Diesel Yanmar/Kubota 10,5 HP Unit 47,071,000

Agrindo Pj-700 BR-JI 800 H Unit 29,046,000

h. Cultivator (Alat pembuat Bedeng)- Yanmar (Te 550 n/lengkap +

Ridger ASSYUnit 32,193,680

- Agrindo (KB60B2 + Ridger ) Unit 14,162,500

i. Dryer (Mesin Pengering) - Agrindo (ABD3200 + R70C) Unit 63,087,500

- Yanmar MBI BP 2400 Baja Unit 68,701,515

- Dryer Becf Auto MIXER-Agrindo ABD 3200 MIXER

(Tungku Sekam Pa )Unit 200,850,000

- Dryer Vertikal -Agrindo VRD-60 (Kap. 6.000 Kg) Unit 566,500,000

* Combine HarvesterCROWN.CCH 2000. Star (61,2

Hp)Unit 317,240,000

* Rice Transplanter CROWN. Indojanoo Unit 83,430,000

* Power Reaper (Penanam Padi) Agrindo AR-120 TN Unit 620,060,000

* Hand raktor Bajak Singkal

Agrindo TRG-1000 Phoenix-

Diamond 900 I 9 P (Perlengkapan

Standar)

Unit 28,325,000

* Type Rotary ISEKI KAI 711-DI.1100 L (11 PK)I Unit 36,668,000

Mesin Pemecah Jagung ( Roda Besi - Tail Skid + Bajak ) 620,060,000

j. Mesin Pemipil Jagung CS 3000 GP Yanmar Unit 67,156,000

k. Seed Cleaner/Pembersih Gabah - Agrindo SCA2H+R70H (7 PK) Unit 22,660,000

- Agrindo SCA2H + DI800H (8 PK) Unit 26,265,000

l. Taxi Pump - Bensin - Robin/Honda 2,5 HP Unit 4,841,000

- Crown CWP-20 (2"-2") Unit 5,098,500

- Crown CWP-30 (3"-3") Unit 5,484,750

m. Pompa Air :

- 2 Inchi Niagara 8 PK (GT0-2 + D1800H) Unit 19,055,000

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 103

Page 120: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

HARGANO

2

JENIS BARANG MERK/MODEL/UKURAN SATUAN

MBI-P 50 Unit 17,616,142

50 SQPB Unit 20,168,430

- 4 Inchi Niagara 8 PK (GT0-4 + D1800H) Unit 25,595,500

Diamond DI 900 H Unit 19,766,730

100 SQPB Unit 23,576,700

- 6 Inchi Niagara 11 PK (GT0-6 + DI1100H) Unit 30,657,950

MBI P 150 T (Trailer) Unit 43,414,088

GTO 6 + Diamond DI 1100 Unit 27,913,000

- 8 InchiNiagara 27 PK (GMF8 + RA.395

S)Unit 58,256,800

- 12 InchiNiagara 36 PK (GMF12 + RA.495

S)Unit 102,871,250

n. RMU (Rice Milling Unit)-1 Horse-Agrindo Aw60A4-A75.RPS 10A-

RA 495.SUnit 163,430,100

RMU (Rice Milling Unit) -Agrindo ARM.1000+RA 395.S Unit 91,670,000

- Satake 28 PK (SB10D+R280H Unit 43,775,000

STANDAR SATUAN HARGA BARANG/JASA PERTANIAN 104

Page 121: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

PERKEBUNAN

Page 122: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

II. BIDANG PERKEBUNAN

A. BAHAN

I. B E N I H / KECAMBAH

1. Karet Biji 164

2 Kelapa Dalam Biji 5,161

3. Kelapa Hibrida Biji 5,630

4. Kelapa Sawit Biji 12,541

5. Pinang Biji 1,173

6 Kopi Arabica Biji 563

7 Kopi Robusta Biji 563

8 Kakao Biji 1,173

9 Kemiri Biji 821

10 Cengkeh Biji 1,642

11 Pala Biji 1,572

12 Kunyit Kg 15,248

13 Tembakau Gram 158,343

14 Tebu Stek 2,346

- Tebu Kultur Jaringan G2 Mata 1,759

- Tebu Kultur Jaringan G3 Mata 586

- Konvensional Kwintal 117,291

15 Nilam stek 1,114

16 Lada stek 3,050

17 Jambu Mete Biji 270

18 Kayu Manis (Cassiavera) Kg 157,546

19 Entres karet Meter 14,188

20 Entres Kopi Arabica Ruas 3,050

21 Entres Kopi Robusta Ruas 2,815

22 Entres Kakao Meter 4,692

23 Stum Karet/Mata Tidur Batang 12,538

24 LCC-PJ Kg 218,948

25 LCC-Cm Kg 61,343

26 LCC-CP Kg 52,547

II. BIBIT SIAP SALUR

1 Karet Berpayung Satu Batang 17,101

Berpayung Dua Batang 19,353

2 Kelapa Dalam Umur 8-12 Bln Batang 19,353

3 Kelapa Sawit Umur 7-12 Bln Batang 51,303

Umur 4-6 Bln Batang 42,178

Umur 3 Bln Batang 34,202

4 Pinang Umur 8-12 Bln Batang 7,859

5 Kopi Arabica Umur 5-6 Bln Batang 6,545

- Konvensional Umur 7-8 Bln Batang 7,859

- Somatic Embryogenesis (SE) Batang 14,075

Kopi Robusta

- Konvensional Batang 5,278

- Somatic Embryogenesis (SE) Batang 14,075

6 Kakao Umur 4-5 Bln Batang 9,031

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 105

Page 123: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

Somatic Embryogenesis Batang 17,242

7 Kakao Okulasi Batang 20,972

8 Kemiri Umur 1 tahun Batang 15,131

9 Cengkeh Siap Salur Batang 16,655

10 Pala Siap Salur Batang 16,013

11 Kapok/Randu Siap Salur Batang 3,519

12 Jambu Mete Siap Salur Batang 5,865

13 Cassiavera Kayu Manis Siap Salur Batang 5,865

14 Nilam Siap Salur Batang 4,926

15 Lada Siap Salur Batang 13,606

16 Gambir Siap Salur Batang 10,556

17 Pisang Abaca Siap Salur Batang 28,150

18 Jarak Pagar Siap Salur Batang 3,988

III. PUPUK

- Kieserit/Magnesium (Mgo) Granular Kg 5,785

- Rock Phosphat Kg 4,500

IV. BAHAN - BAHAN LAIN

1. Polibag Kg 44,997

2. Tiang Pagar Batang 17,999

3. Tiang Naungan Batang 17,999

4. Atap Naungan Helai 10,671

5. Bambu Batang 128,562

B. PERALATAN/ PERKEBUNAN

1. Parang Buah 115,706

2. Cangkul Cap Buaya Buah 179,987

3. Garpu Buah 77,137

4. Koret Buah 51,425

5. Gunting Pangkas Buah 111,849

6. Gergaji Pangkas Buah 111,849

7. Pisau Okulasi Buah 86,137

8. Gelas Ukur Buah 119,820

9. Ayakan Buah 86,137

10. Mesin Bor Unit 14,141,846

11. Mata Bor Buah 343,261

12. Mist Blower Unit 12,599,099

13. Power Sprayer TF 200 Unit 14,270,408

14. Destilator Unit 14,270,408

15. Cold Box Unit 5,013,927

16. Selang Plastik Semprot Meter 55,282

17. Hand Sprayer Buah 771,373

18. Gembor Buah 86,137

19. Dodos Buah 94,493

20. Pisau Deres Buah 51,425

21. Mangkok Latex Buah 6,042

22. Ember Lateks Buah 30,855

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 106

Page 124: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

23. Timbangan Duduk Unit 2,892,650

24. Kereta Sorong Buah 535,140

25. Egrek Buah 162,631

26. Gergaji dan Gunting Pangkas SLPHT Set 462,824

a. Mesin pengupas kulit buah Kap. 50 Kg/jam Unit 23,269,765

b. Mesin pengupas kulit buah (hand pulper)Kap. 200 Kg/jam tanpa

penggerakUnit 39,211,482

c. Mesin pengupas kulit buah (pulper)Kap. 1 Ton/jam, Mesin diesel

china 5 HPUnit 56,567,385

Kap. 200 Kg/jam, Penggerak

motor bakar honda 5,5 PK,

Transmisi pulley, Sabuk Karet V

Unit 68,137,986

Kap. 50 Kg/jam, tanpa

penggerakUnit 49,367,899

Kap. I Ton / jam mesin diesel

China 8 HP sabuk karet VUnit 135,761,723

d. Mesin Pulper Kopi

Panjang 600 mm, Lebar 400

mm, Tinggi 950 mm, Kapasitas

100 kg/jam

Unit 17,188,771

Silinder Pengupas :

Panjang 275 mm, Diameter 190

mm, Bahan Pengupas Kulit Besi

Baja, Rangka Mesin Baja Profil

Kotak

Corong Pemasukan :

Panjang 400 mm, Lebar 300

mm, Tinggi 190 mm

Corong Pengeluaran biji :

Panjang 250 mm, Lebar 141

mmCorong Pengeluaran biji :

Panjang 250mm, Lebar 270 mm

Mesin Penggerak :

Tipe Mesin silinder, Tunggal

OHV 25,4 tak, berpendingin

udara

Tenaga Output Maks 4.8 KW

(6.5 HP) 3600 rpm

Sistem Penyalaan : Recoil

Kapasitas Bahan Bakar : 3,6

Liter

Alat dan Mesin Pengolah Kopi

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 107

Page 125: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

Pembersih Udara : Semi Dry

Kapasitas Oli : 0.6 Liter

Dimensi (p x l x t): 313 x 386 x

335 mm

Berat Kering : 16 Kg

e. Mesin Pengering (dryer)

Kap. 1,5 Ton HS/batch, Sumber

panas minyak tanah, penggerak

mesin dieseleks china 7 PK

Unit 56,567,385

Kap.4 Ton HS/Batch sumber

panas teuku kayu penggerak

motorlistrik @1/4HP, 3

kipasaksial

Unit 222,412,671

Kap. 4000 Kg/Batch sumber

panas teuku kayu penggerak

motor diesel 7 PK eks China 8

HP transmisi pulley

Unit 222,412,671

f. Mesin Pencuci kopi HS (Washer)Kap. 500 Kg/jam, Motor bakar

honda 4 HPUnit 56,567,385

Kap. 30 Kg / jam penggerak,

Motor bakar honda 5,5 HPUnit 16,713,091

g. Mesin pengupas kulit kopi (Huller)Kap. 500 Kg/jam (HS Kering),

Mesin diesel china 24 PKUnit 77,780,154

Kap. 200 Kg / jam (HS Kering),

Mesin diesel china 20 PKUnit 74,566,098

Kap. 100 Kg / jam (HS Kering),

Mesin diesel china 16 PKUnit 45,125,345

h. Mesin sortasi biji kopi

Kap. 400 Kg/jam Transmisi

puller Motor listrik 1/2 PK, sabuk

karet V

Unit 91,922,000

Kap. 1200 Kg/jam Transmisi

puller Motor listrik 5,5 PK, sabuk

karet V

Unit 103,492,601

i. Mesin sangrai kopi (roaster) Kap 50 Kg/batch Unit 254,553,230

Kap 30 Kg/batch Unit 199,271,468

Kap 10 Kg/batch (1 batch=45

menit)Unit 77,137,343

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 108

Page 126: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

j. Mesin pencampur (blender) Kap. 30Kg/batch Unit 101,564,168

k. Mesin pembubuk kopi sangrai (grinder) - Kap. 60 Kg/jam Unit 110,563,524

- Kap. 30 Kg/jam Unit 84,851,077

- Kap. 15 Kg/jam Unit 71,994,853

Mesin Grinder Latina 207 N 12,354,831

packing size (LxWxH) 42x45x38

Packing wt 13,4

Power 250 watt 1/3 HP

Hopper Capasity 0,9 L

Grind speed 450 g/min coarse

ground Or 25 kg/hr

Burrs Diameter 90 cm

Rotation Speed 1400 rpm

Dimensi (LxWxH) 35x20x54 cm

Berat 11,7 kg

l. Alat uji citarasa kopi (grinder)Kap. 100 Kg/jam (1 batch = 7

menit)Unit 64,281,119

Alat uji citarasa kopi (roaster)Kap. 100 Kg/jam (1 batch = 7

menit)Unit 138,847,217

m. Sealing manual Tipe injak P=20 cm Unit 14,141,846

Band Sealer Model : Fr 900 11,313,477

Input Power : 500

Watt Speed : 0-12 meter/menit

Lebar : 6-12 mm

Suhu : 0-300º C

Berat : 30 kg

Dimensi : 85 x 42 x 36 cm

n. Kemasan alumunium (min.5.000 lbr) Max isi kemasan @ 250 g Unit 18,255,838

o Peralatan Lantai Jemur Kopi Unit 4,113,992

a.Mesin pemecah buah kakao dan

pemisah (podbreaker)

Kap.3 Ton/jam penggerak motor

listrik 3 KVA atau motor bakar

honda 5 HP

Unit 133,704,727

b. Mesin pemeras lendir kakao (depulper)

Kap. 1 Ton/jam biji kakao basah

penggerak motor listrik 3 KVA

atau motor bakar Honda 5 HP

Unit 89,993,566

Alat dan Mesin Pengolahan Kakao

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 109

Page 127: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

c. Mesin pengering (dryer)

Kap. 1,5 ton HS/batch (1 batch

= 50 jam) bahan bakar minyak

tanah, kipas aksial 2 unit,

penggerak motor listrik @1/4 HP

Unit 100,921,356

Kap. 4 ton HS/batch (1 batch =

50 jam) bahan bakar minyak

tanah, kipas aksial 6 unit,

penggerak motor listrik @1/4 HP

Unit 222,412,671

d. Mesin sortasi biji kakaoKap. 400 Kg/jam penggerak

Motor listrik 1 HP, 1 phaseUnit 44,996,783

Kap. 1.200 Kg/jam penggerak

motor listrik 3 HP, 3 phase atau

motor bakar Honda 4HP

Unit 55,924,573

e. Mesin sangrai (roaster)

Kap.30 Kg/batch (1 batch = 30-

45 menit) penggerak motor

listrik 1 HP bahan bakar minyak

tanah

Unit 167,130,909

Kap.20 Kg/batch (1 batch = 30-

45 menit) penggerak motor

listrik 1/2 HP bahan bakar

minyak tanah.

Unit 89,993,566

Kap.10 Kg/batch (1 batch = 30-

45 menit) penggerak motor

listrik 1/2 HP bahan bakar

minyak tanah.

Unit 66,852,364

f.Mesin pemisah dan pemisah kulit kakao

kokoa(desheller)

Kap. 80 Kg/jam, penggerak

motor listrik 1 HPUnit 100,278,545

g. Pengempa lemakKap. 500 gr/batch (1 batch = 5

menit manual) Unit 28,926,503

Hidroulik, penggerak motor

listrik 3 KVA, 3 phase, kapasitas

3 kg/3 menit.

101,564,168

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 110

Page 128: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

h. Pemasta kasar

Kap. 20 Kg/jam, penggerak

motor listrik 1/2 HP, pemanas

listrik 500W

Unit 44,996,783

Kap. 50 Kg/jam, penggerak

motor listrik 2 HP, pemanas

listrik 500 W

Unit 78,422,965

i. Pemasta halus dan pembubuk coklat

Kap. 4 Kg/batch (1 batch=20

jam), Kap. 2 Kg/batch (1

batch=3 mn)

Unit 149,132,196

Kap. 8 Kg/batch (1batch=20

jam) Kap. 4 Kg/batch (1 batch=3

mn)

Unit 190,914,923

Peralatan Penjemuran Biji Kakao Pipa Besi : 01 1/2" Unit 3,085,494

Pipa Besi : 01 1/4"

Pipa Besi : 01 1/4"

Besi : L 40/40

Baut + Mor : 8 mm

Plat tapak kaki : 0.8 x 8

Plastik putih : 4 m x 5.30 m

Fermentasi Biji Kakao Ukuran Kerangka Meja 1,285,622

Kayu : 4.5 cm x 6.5 cm

Ukuran Kayu Alas/Jari

Kayu : 3 cm x 4.5 cm x 90 cm

Kotak Fermentasi Kapasitas : 40 - 50 kg 745,661

Type : Bak Kayu

Bahan Papan : Kayu

Ukuran (pxlxt) : 40x40x50 cm

Tebal Papan : 15-20 mm

Pengukuran Kadar Air Biji Kakao Display Digital LCD 4 Digit 5,656,738

Rentang Pengukuran 7% - 28%

Temperatur Operasional 0-60°

C

Humadity Operasional 5%-90%

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 111

Page 129: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

Resolusi Pengukuran 0,1

Power Supply 4 x 1,5 AAA size

(UM4) Battery

Dimensi Alat 460 mm x 75 mm x

35 mm

Biji-Bijian yang dapat diukur 25

jenis biji-bijian

Pengukur SuhuInput Sensitivity : User

Selectable 0,1 °CUnit 1,028,498

Temperatur Range : 40.0 ºC-

250 °F

Sumber Daya : Baterai LR44

(1,5)

a. Alat Pengolah Minyak KelapaKapasitas 1.750 butir

kelapa/hariUnit 771,373,425

b. Alat Pengolah serat Sabut KelapaKapasitas 1.750 butir

kelapa/hariUnit 334,261,818

c. Alat Pengolah Arang TempurungKapasitas 1.750 butir

kelapa/hariUnit 92,564,811

d. Alat Pengolah Nata de CocoKapasitas 1.750 butir

kelapa/hariUnit 334,261,818

e. Alat Pengolah Batok

1. Mesin Penghancur Batok Skala besar Unit 308,549,370

2. Mesin Penepung Batok Skala besar Unit 308,549,370

3. Mesin Pembakar Batok Skala kecil Unit 38,568,671

Tungku Pyrolisis Kapasitas : 120 Kg Unit 77,690,160

Bahan Bakar : Kayu,

Tempurung

Dimensi Alat : Diameter 0,9 m

Bahan : Baja Stainless steel

Pendingin : Air

Sistem : Manual (Batch)

Penepung Arang Kapasitas : 20 kg/Jam Unit 15,427,469

Mesin : Tenaga Diesel

Alat Pengolah Kelapa

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 112

Page 130: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

Bahan Bakar : Solar

Bahan Penopang : Besi

Pencetak Briquete Kapasitas : 1 kg/Press Unit 39,340,045

Bahan : Baja SS

sistem : Manual

Oven Briket Kapasitas : 50 kg/Jam Unit 21,934,003

Bahan : Baja SS

Bahan Bakar : Tempurung

Kelapa, Gas

Ukuran (PxLxT) : 60x120x140

mm

1. Pabrik Kelapa Sawit Kapasitas Olah 3 ton TBS/Jam Unit 24,996,151,680

( 3 Ton TBS/Jam)

2. Pabrik Kelapa Sawit Kapasitas Olah 5 ton TBS/Jam Unit 46,864,431,176

( 5 Ton TBS/Jam)

3. Pabrik Kelapa Sawit Kapasitas Olah 10 ton TBS/Jam Unit 71,856,750,802

( 10 Ton TBS/Jam)

1. Alat Penyuling Pala Skala Sedang Unit 231,412,028

2. Alat Penyuling Sere Wangi Skala Sedang Unit 231,412,028

3. Alat Penyuling Daun Cengkeh Skala Sedang Unit 231,412,028

4. Alat Penyuling Nilam Skala Sedang Buah 231,412,028

1 Ketel Stainless Kap 30 kg Ketel Suling Unit 90,713,515

type : bejana Vertikal

Material : Stainless Steel 304

tebal : 3 mm

Diameter : 0,55 m

Tinggi Total : 1,2 m

Kapasitas Total Terpasang : 40

kg

Separator

Alat Pengolahan Kelapa Sawit

Alat-Alat Penyulingan

Alat-Alat Pengolahan Nilam

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 113

Page 131: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

type : Pemisah Minyak dan Air

Material : Stainless Steel

Tebal : 1,2 mm

Diameter : 0,25 m

Tinggi Total : 0,4 m

Volume Total : 35 liter

Kondensor

Type : Spiral Condensor

Material Pipa : Stainless Steel 1"

Tebal Pipa : 1,2 mm

Tinggi Total : 1,2 mm

Diameter Spiral : 0,55 m/bentuk

disesuaikan

Panjang total Pipa : 24 m

Boiler

Type : Bejana Horizontal, Fire

tube

Material : Mild Steel

Bahan Bakar : Kayu bakar,

Solar, Minyak tanah, Gas

Tebal : 5 mm

Diameter : 0.5 m

Tinggi total : 1 m

Volume Total :170 liter

Jenis pipa : Pipa Api WLD 1"

Mesin Cincang Nilam Type : BEJE -200 E 40,728,517

Panjang : 1100 mm

Lebar : 550 mm

Tinggi : 900 mm

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 114

Page 132: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

Kapasitas : 300-500 kg/Jam

Penggerak : Motor Diesel

Yanmar 6,5 Hp

1. Alat Pompa Hidrolik Kapasitas 300 Kg/hari Set 111,849,147

2. Bak Pengendapan Alumunium Kapasitas 300 Kg/hari Set 127,276,615

3. Alat cetak Kapasitas 300 Kg/hari Set 15,427,469

4. Tangki Perebus dan Tungku Kapasitas 300 Kg/hari Set 3,085,494

1. Huler 18 PK Setara Antarlina Model Bf 8 82,279,832

Panjang cylinder 24 cm

Jumlah cylinder 28 cm

Daya 18 PK

Rpm Rulban 300

Chasis UNP 15

Panjang mesin 120 cm

Lebar Mesin 140 cm

Tinggi Mesin 90 cm

Berat Mesin + 1.100 Kg

2 Mesin Penggerak 23 PK Model ZS 1115 19,657,166

Tenaga Maksimum 25/2.200

hp/pm

Tenaga Kontinyu 21/2.200

hp/pm

Diameter x pjg langkah 115x115

ltr

Volume langkah 1.195 liter

Konsumsi bahan bakar 175

gr/hp/hr

Berat 185 kg

Jenis mesin diesel horizontal 4

langkah

Jumlah silinder 1

Sistem star tangan/engkol

Sistem pendingin

Hopper/radiator

Sistem pelumas sistem

kombinasi tekanan dan

penyebaran

Sistem pembakaran: langsung

Mesin Pakai: SNI

3. Kuali (Belanga) Diameter 100 cm Diameter Kuali: 100cm 3,085,494

Tebal plat: 5 mm

Tebal dinding: 2 mm

Alat Pengolahan Gambir

Alat Pengolahan Tebu

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 115

Page 133: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN

2

HARGA

Kapasitas: 6 kaleng (120 liter)

4. Tali kipas 4 inch 237,840

5. Selang plastik Diameter 1,5 inch 2,571,245

6. Bak pendingin gula Bahan: papam ketam/sporing 1,542,747

Ukuran: 120 cmx200cm

7. Drum 514,249

8. Drum serubung 282,837

STANDAR SATUAN HARGA BARANG/JASA PERKEBUNAN Hal - 116

Page 134: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

KEHUTANAN

Page 135: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

III. BIDANG KEHUTANAN

A. Benih Tanaman Kehutanan

- Jati Sertifikat Kg 448,767

- Mahoni Sertifikat Kg 364,623

- Sengon Sertifikat Kg 2,524,314

- Gmelina Sertifikat Kg 532,911

- Jabon Sertifikat Kg 14,023,969

- Akasia Mangium Sertifikat Kg 560,959

- Eucalyptus Sertifikat Kg 5,609,588

- Suren Sertifikat Kg 2,804,794

- Pinus Merkussi Sertifikat Kg 2,916,986

B. Bibit Tanaman Kehutanan

1. MPTS

Tinggi 30-50 cm

- Duku Batang 24,682

- Rambe Batang 10,658

- Jambu Kaca Batang 35,901

- Jambu Kleng Batang 6,732

- Jambu Bol Batang 21,316

- Klayu Batang 19,073

- Mancang Batang 12,341

- Kuini Batang 11,219

- Serba Batang 8,414

- Sukun Batang 16,829

- Cempedak Batang 22,438

- Kulu Batang 14,585

- Petai Batang 11,219

- Asam Jawa Batang 6,732

- Asam Thailand Batang 20,195

- Batok Batang 20,195

- Sentul Batang 10,097

- Jengkol / Jering Batang 11,780

- Randu Batang 12,902

- Aren Batang 17,390

- Sagu Batang 28,048

- Bacang Batang 16,829

- Kluwih Batang 12,341

- Srikaya Batang 14,585

- Rotan Batang 17,951

- Jernang Batang 28,048

- Durian Batang 11,219

- Nangka Batang 13,463

- Manggis Batang 22,438

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2

STANDAR SATUAN HARGA BARANG/JASA KEHUTANAN Hal - 117

Page 136: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2

- Pala Batang 15,707

- Alpukat Batang 12,902

- Sere Wangi Batang 1,010

- Suren Batang 11,219

2. Pertukangan/ Pulpl/Endemik

Tinggi 30-50 cm

- Salam Batang 10,097

- Gmelina / Jati Putih Batang 10,097

- Trembesi Batang 10,097

- Angsana / Sono Kembang Batang 15,707

- Bungur Batang 10,097

3. Kayu Bakar

Tinggi : 30-50 cm

- Lamtoro Batang 5,610

- Akasia Batang 6,732

- Gamal Batang 5,610

- Turi Batang 5,610

- Kaliandra Batang 5,610

4. Tanaman Pantai

Tinggi : 30-50 cm

- Cemara Laut Batang 7,853

- Waru Batang 11,219

- Pandan Batang 8,975

- Sawo Kecik 19,073

- Ketapang Batang 7,292

- Nyamplung Batang 6,171

- Kelapa Batang 12,902

- Rumbai Batang 20,195

- Keben Batang 5,610

5. Tanaman Komersil

Tinggi 25-40 cm

- Punak Batang 16,829

- Mahoni Batang 11,219

- Jati Kultur Jaringan Batang 14,024

- Medang Batang 23,560

- Gaharu Batang 22,438

- Meranti Batang 22,438

- Keruing Batang 21,316

- Semantok Batang 28,048

STANDAR SATUAN HARGA BARANG/JASA KEHUTANAN Hal - 118

Page 137: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2

- Merbau Batang 28,048

- Damar Batang 17,951

- Kayu Hitam Batang 22,438

- Puno Batang 8,414

- Kayu Manis Batang 12,341

- Sono Keling Batang 11,219

- Spatodea Batang 11,219

- Seulanga Batang 17,951

- Flamboyan Batang 19,073

- Tanjung Batang 12,341

- Bayur Batang 8,975

- Jabon Batang 7,853

- Saga Batang 7,012

- Soga Batang 6,732

- Kayu Putih/Eucalyptus Batang 11,219

- Beringin Batang 14,024

- Sengon Batang 7,853

- Laban Batang 11,219

- Ketapang Batang 7,853

- Damar-damar Minyak Batang 22,438

- Sungkai Batang 7,853

- Dadap Batang 22,438

- Mimba Batang 7,853

- Nyatoh Batang 11,219

- Sawo Kecik Batang 22,438

- Johar Batang 7,853

- Puspa Batang 12,341

- Mindi Batang 7,853

- Rasamala Batang 16,829

- Benot Batang 8,975

- Kapur Batang 21,316

- Jati Batang 10,658

- Cendana Batang 33,658

- Pinus Tinggi 15 - 20 cm (ekor bajing) Batang 7,853

- Puno Batang 12,341

- Cenggal Batang 7,853

- Cawardi Batang 7,853

6. Tanaman Palmae

Tinggi 25-40 cm

- Palem Raja Batang 33,658

- Palem putri Batang 33,658

STANDAR SATUAN HARGA BARANG/JASA KEHUTANAN Hal - 119

Page 138: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2

- Pinang Batang 8,975

- Cycas Batang 67,315

- Palem Merah Batang 39,267

- Sagu/Rumbia Batang 17,951

- Palem Ekor Bajing Batang 28,048

- Palem Botol Batang 50,486

- Lontar Batang 17,951

- Pinang Merah Batang 28,048

- Palem Segitiga Batang 44,877

- Palem Backtris/Phonix Batang 33,658

- Corypha Batang 67,315

- Palem Hijau/Kuning Batang 19,073

- Palem Udang Batang 19,073

- Palem Jari Batang 22,438

- Palem Kipas Batang 22,438

- Pandan Bali Batang 53,852

- Kelapa Geujah Hijau (u kee) Batang 7,853

- Kelapa Geujah Kuning Batang 7,853

- Kelapa Dalam Batang 11,219

- Kelapa Hybrida Batang 16,829

- Pandan Gunung Batang 44,877

-Rambong Merah Batang 28,048

7. Tanaman Konifer

Tinggi 25-40 cm

- Cemara Laut Batang 11,219

- Cemara Gunung Batang 16,829

- Cemara Northfolk Batang 16,829

- Cemara Udang Batang 21,316

- Cemara Kipas Batang 28,048

- Cemara Lilin Batang 39,267

- Cemara Tingkat/ Elephen Batang 39,267

8. Tanaman Khas Aceh

Tinggi : 25-40 cm

- Cokok / Karieng Batang 13,463

- Jeumpa Batang 16,829

- Seulanga Batang 16,829

- Cengklek/Keranji Batang 22,438

- Kumbang Batang 44,877

- Hagu Batang 44,877

- Batoh Batang 28,048

- Kelayuh Batang 13,463

STANDAR SATUAN HARGA BARANG/JASA KEHUTANAN Hal - 120

Page 139: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2

9. Tanaman Bambu Tinggi : 40-60 cm

- Bambu Putong/ hias pagar Rumpun 22,438

- Bambu Kuning Rumpun 28,048

- Bambu Buluh Rumpun 33,658

- Bambu Jepang Rumpun 28,048

- Bambu Roma Rumpun 28,048

- Bambu Besar Rumpun 28,048

- Bambu Batu/Duri Rumpun 16,829

- Bambu Kultur Jaringan Rumpun 28,048

10. Tanaman Turus Jalan / Hutan

Kota

Tinggi : 75-100 cm

- Angsana Batang 21,316

- Mahoni Batang 14,585

- Asam Batang 13,463

- Trembesi Batang 12,341

- Ketapang Batang 11,219

- Cemara Gunung Batang 20,195

- Cemara Laut Batang 11,219

- Flamboyan Batang 28,048

- Beringin Batang 40,389

- Tanjung Batang 13,463

- Pulai Batang 20,195

- Sawo Kecik Batang 22,438

- Damar Batang 29,170

- Glodokan Tiang 28,048

11. Tanaman Mangrove

Tinggi 40-60 cm

- Bakau Batang 2,019

- Tancang Batang 1,795

- Seriop Batang 1,122

- Api-api Batang 1,683

- Nyirih Bunga Batang 2,805

- Nipah Batang 17,390

l. Tanaman Pinggir Jalan

Tinggi 75-100 cm

- Bungur Bibit 28,048

- Kupu-kupu Bibit 26,926

- Spatodea Bibit 26,926

STANDAR SATUAN HARGA BARANG/JASA KEHUTANAN Hal - 121

Page 140: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

2

- Dadap Merah Bibit 89,753

- Gelinggem Bibit 89,753

- Darsena Bibit 84,705

- Tombak Raja Bibit 39,267

- Agave Bibit 100,973

STANDAR SATUAN HARGA BARANG/JASA KEHUTANAN Hal - 122

Page 141: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

PERIKANAN

Page 142: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 5

IV. BIDANG KELAUTAN DAN PERIKANAN

A BUDIDAYA

a. INDUK

1 Induk ikan mas Ginogenesis (Luar Daerah) 12-18 bulan Kg 591,545

2 Induk ikan mas lokal ≥ 350 gram Kg 146,235

3 Benih calon induk ikan mas 5-8 cm Ekor 3,289

4 Benih ikan mas 2-3 cm Ekor 715

5 Benih ikan mas 3-5 cm Ekor 1,430

6 Benih ikan mas 5-8 cm Ekor 3,165

7 Benih ikan mas 8-12 cm Ekor 4,402

8 Induk ikan nila ≥250s/d300 Gram Kg 246,312

9 Benih ikan nila merah/gift 2-3 cm Ekor 715

10 Benih ikan nila merah/gift 3-5 cm Ekor 991

11 Benih ikan nila merah/gift 5-8 cm Ekor 2,146

12 Benih ikan nila merah/gift 8-10 cm Ekor 3,096

13 Benih ikan nila merah/gift 10-12 cm Ekor 4,127

14 Induk ikan lele dumbo ≥300 Gram Kg 246,312

15 Benih ikan lele dumbo 3-5 cm Ekor 1,430

16 Benih ikan lele dumbo 5-8 cm Ekor 2,146

17 Benih ikan lele dumbo 8-10 cm Ekor 2,862

18 Induk ikan gurami Ekor 282,154

19 Induk kakap merah jantan Ekor 522,761

20 Induk kakap merah betina Ekor 522,761

21 Induk kakap putih jantan Ekor 461,096

22 Induk kakap putih betina Ekor 461,096

23 Benih ikan kakap putih 2-3 inc Ekor 10,134

24 Benih ikan kakap putih 3-5 cm Ekor 11,997

25 Benih ikan kakap putih 5-8 cm Ekor 13,491

26 Induk kerapu tikus / bebek jantan 12 Kg Ekor 766,382

27 Induk kerapu tikus / bebek betina 8 Kg Ekor 766,382

28 Induk kerapu macan jantan 8 Kg Ekor 766,382

29 Induk kerapu macan betina 12 Kg Ekor 766,382

30 Benih ikan kerapu bebek 6-8 inc Ekor 19,635

31 Benih kerapu lumpur 2-3 cm Ekor 6,638

32 Benih kerapu lumpur 3-5 cm Ekor 10,831

33 Benih kerapu lumpur 6-8 cm Ekor 12,275

34 Benih kerapu lumpur 8-10 cm Ekor 14,694

35 Benih ikan kerapu macan 2-3 cm Ekor 6,676

36 Benih ikan kerapu macan 3-5 cm Ekor 10,108

37 Benih ikan kerapu macan 6-8 cm Ekor 11,844

3

lebih dari 10 kg

Lebih dari 6 kg

Lebih dari 8 kg

Lebih dari 5 kg

Lebih dari 8 kg

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 123

Page 143: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

38 Benih ikan kerapu macan 8-10 cm Ekor 14,732

39 Induk udang windu jantan lebih 14 cm Ekor 679,727

40 Induk udang windu betina 12-14 cm Ekor 1,254,764

41 induk Ikan Kerling Lokal 1-2 Kg Ekor 462,363

42 induk Ikan Kerling Lokal 2-3 Kg Ekor 616,906

43 benih Ikan Kerling Lokal 5-8 cm Ekor 9,970

44 benih Ikan Kerling Lokal 8-10 cm Ekor 11,143

45 Induk udang windu betina matang gonad Lebih 12 cm Ekor 2,091,458

46 Benur Udang windu PL 15 Ekor 102

47 Benur Udang windu PL 20 Ekor 138

48 Benur Udang windu PL 30 Ekor 206

49 Benih udang windu tokolan 2 bln Ekor 991

50 Nener Bandeng 1-1,5 cm Ekor 715

51 Nener Bandeng gelondongan 6-8 cm Ekor 1,995

52 Bandeng umpan 8-10 cm Ekor 3,715

53 Benih kepiting 50 s/d 100 gram Kg 104,414

54 Benih ikan Bawal air tawar 3-5 cm Ekor 2,862

55 Benih ikan Bawal air tawar 5-8 cm Ekor 5,778

56 Benih ikan Bawal air tawar 8-10 cm Ekor 8,392

57 Bibit/benih rumput laut 1000 Gram Kg 58,646

58 Gelondongan Ikan Bandeng Air Tawar 5-8 cm Ekor 3,439

59 Rumput Laut glaseria 1000 Gram Kg 35,187

60 Induk ikan nila merah/gift dari BBAT ≥200 s/d 350 Gram Kg 263,906

61 Benih calon induk ikan nila merah/gift 3-5 cm Ekor 2,862

62 Benih calon induk ikan nila JICA 3-5 cm Ekor 3,577

63 Benih calon induk ikan nila JICA 8-10 cm Ekor 14,583

64 Benih ikan nila gesit 3-5 cm Ekor 2,146

65 Benih calon induk ikan nila gesit Luar Daerah 3-5 cm Ekor 36,455

66 Benih calon induk ikan lele dumbo 3-5 cm Ekor 3,577

67 Induk ikan patin 100 Gram Kg 175,937

68 Benih calon induk ikan patin 3-5 cm Ekor 3,136

69 Benih ikan patin 3-5 cm Ekor 4,105

70 Benih ikan patin 5-8 cm Ekor 6,451

71 Benih ikan patin 8-10 cm Ekor 7,624

72 Benih ikan Grasscrap 3-5 cm Ekor 2,572

73 Benih ikan Grasscrap 5-8 cm Ekor 5,778

74 Benih ikan Grasscrap 8-10 cm Ekor 7,331

75 Benih Ikan Kerling 3-5 cm Ekor 7,000

76 Benih Ikan Kerling 5-8 cm Ekor 10,000

77 Benih Ikan Kerling 8-10 cm Ekor 13,000

78 Benih Ikan Gurami 1-3 cm Ekor 4,815

79 Benih Ikan Gurami 3-5 cm Ekor 8,254

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 124

Page 144: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

80 Benih Ikan Gurami 5-8 cm Ekor 11,280

81 Benih Ikan Gurami 8-10 cm Ekor 12,381

82 Benih Belut/Sidat 100 gram Kg 481,490

b. PERALATAN

1 Serok Besar Buah 121,304

2 Ember plastik kecil < 10 Liter Buah 20,635

3 Ember plastik sedang 10 s/d 15 Liter Buah 41,683

4 Ember plastik besar bertutup > 15 Liter Buah 113,632

5 Keranjang plastik benih Buah 127,556

6 Timba plastik kecil Buah 41,683

7 Timba plastik besar Buah 62,594

8 Hand counter Buah 125,462

9 Petridish Buah 171,961

10 Sentrifuge listrik dgn pengatur kecepatan 7,691,342

11 Gelas ukur Pyrex 10 cc Buah 175,676

12 Gelas ukur Pyrex 25 cc Buah 250,925

13 Gelas ukur Pyrex 100 cc Buah 439,119

14 Pin-set 673,536

15 Kertas PH Lakmus Kotak 92,997

16 Hapa pembenihan 2x4x1 m Unit 466,908

17 Hapa penampungan 2x4x1 m Unit 430,452

18 Hapa pendederan 1,5x2x1 m Unit 430,452

19 Kakaban 05x1 m² Unit 94,784

20 Baskom plastik kecil Buah 17,334

21 Disecting Set Unit 483,141

22 Corong plastik Buah 14,583

23 Gayung plastik Buah 627,313

24 Kertas saring Kotak 146,235

25 Termometer minimum 50 cc Buah 345,023

26 Termometer maksimum 300 cc Buah 15,397,910

27 Root blower 3 pas Buah 46,471,331

28 Hi blower Unit 15,561,223

29 Genset Unit 10,039,351

30 Genset Unit 3,272,760

31 Kincir Tambak Lengkap Set 14,074,965

32 Pompa submersibel dan dynamo 2 inc Set 33,559,626

33 Pompa submersibel dan dynamo 4 inc Set 39,481,960

34 Pompa submersibel dan dynamo 6 inc Set 45,404,163

35 Pompa submersibel dan dynamo 8 inc Set 53,300,607

36 Pompa submersibel dan dynamo 10 inc Set 61,782,942

37 Pompa Air 3/4 inc Buah 663,907

5 - 10 Liter

10 - 30 Liter

Kenko

Pyrex

Biomedical/Toster

Chirurcies

80 Liter

2200 watt/Honda

600 watt/Yamakoyo

Nanrong

10 Liter

Gold Cross

Ø 20

1 Liter

Takatsuki

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 125

Page 145: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

38 Drum (logam)/200 L Buah 948,537

39 Drum (plastik)/200 L Buah 474,200

40 Jaring Panen Bandeng Benang Samsi 50 M Set 786,893

41 Alat Panen tambak Cro Kantong 6 M Unit 4,292,144

42 Jang Bambu Panen 1,5x4 M Set 2,146,072

43 Jang bambu Pintu Air 2,5x2 M Set 1,859,929

44 Pompa Centrifugal Buah 48,089,464

45 Sampan tanpa mesin Buah 6,451,026

46 Sampan tanpa mesin Buah 7,623,939

c. SAPROKAN

1 Pakan Ikan Kerapu :

- Pakan ikan starter pokphan Kg 28,889

- Pakan ikan Grower pokphan Kg 20,635

- Pakan ikan finisher pokphan Kg 20,635

2 Pakan udang (intensif) starter Kg 36,318

3 Pakan udang (intensif) Grower Kg 33,705

4 Pakan udang (intensif) finisher Kg 29,990

5 Pakan Benih Udang :

- Babyplankton Kg 1,505,828

- Monodon Kg 752,776

- Flex Kg 1,129,301

- Chlorella Kg 1,129,301

6 Artemia Pounds 878,376

7 Kapur dolomit Kg 11,556

8 Brestan 60 (Bentan ) Kg 2,509,666

9 Hormon Ova prim 10 mg Ampul 701,601

10 Saponin Kg 10,556

11 Moluskisida 100 Gram Gram/saset 112,806

12 Pakan pelet pokphan Kg 17,594

13 Ikan rucah Kg 13,069

14 Galian Tanah Saluran manual M3 29,165

15 Galian Tanah Saluran ( Alat Berat) M3 23,248

16 Perataan dan memadatkan tanah pematang M3 12,931

17 Pipa Paralon Tambak Tipe AW/8 inc btg 3,004,501

18 Pipa Paralon Tambak Tipe AW/10 inc btg 3,873,205

19 Pipa Paralon Tambak Tipe AW/12 inc btg 4,979,835

20 Pipa Paralon Tambak Tipe AW/14 inc btg 5,985,379

21 Pakan Ikan Air Tawar

- Pakan ikan starter Proton 30 % - 30 % Provit Kg 23,000

- Pakan ikan finisher Vit 30 % - 30 % Provit Kg 17,000

Matsuko/8 inc

4 x 0,7 m/Kecil

5 x 0,7 m/Besar

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 126

Page 146: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

B PENANGKAPAN

Sarana dan Peralatan

1 Mesin Kapal Motor Unit 4,626,206

2 Mesin Kapal Motor Unit 4,626,206

3 Mesin Kapal Motor Unit 7,251,891

4 Mesin Kapal Motor Unit 10,002,608

5 Mesin Kapal Motor Unit 11,878,098

6 Mesin Kapal Motor Unit 13,705,497

7 Mesin Kapal Motor Unit 11,878,098

8 Mesin Kapal Motor Unit 25,631,684

9 Mesin Kapal Motor Unit 33,428,042

10 Mesin Kapal Motor Unit 42,224,895

11 Mesin Kapal Motor Unit 387,061,538

12 Mesin Kapal Motor Unit 688,500,371

13 Mesin Tempel Unit 39,058,028

14 Mesin Tempel Unit 50,552,583

15 Gear Box Set 7,506,648

16 Gear Box Set 19,939,534

17 Gear Box 3 : 1 Unit 41,051,981

18 Gear Box 4 : 1 Unit 49,262,378

19 As Well/As Propeller Batang 2,932,284

20 As Well/As Propeller Batang 4,339,781

21 Sarung As Batang 1,958,766

22 Jaring PE Kg 211,124

23 Jaring Marlyn Kg 211,124

24 Jaring Nilon/Karet Bal 17,593,706

25 Jaring Nilon/Karet Bal 19,939,534

26 Jaring Nilon/Karet Bal 21,816,196

27 Jaring Nilon Bal 14,661,422

28 Jaring Nilon Bal 13,840,382

29 Jaring Nilon Bal 13,488,508

30 Jaring Nilon Bal 13,136,634

31 Jaring Nilon Bal 11,142,681

32 Jaring Nilon Bal 10,790,807

33 Jaring Nilon Bal 10,087,058

34 Jaring Nilon Bal 9,617,893

35 Jaring Nilon Bal 8,796,853

36 Jaring Nylon Bal 7,506,648

37 Jaring Nylon Bal 6,920,191

38 Jaring Nylon Bal 6,216,443

Jiang Dong/ 24 PK

Yanmar/10,5 PK

Yanmar/23 PK

Yanmar/30 PK

Marine engine/120 PK

Marine engine/220 PK

Honda/5,5 PK

Honda/6,5 PK

Donfeng/Jiandong 12 PK

Donfeng/Jiandong 16 PK

Donfeng/ 20 PK

Donfeng 23 PK

Ø 1,25 ; 1,8 M

Ø 1,25 ; 2,2 M

Ø 1,25 ; 1,0 M

Madang

Mesh : 0,1-0,5 Inch( 50 x1,5 M)

Mesh 1", D/30 (50x500 M)

Yamaha / 25 PK

Yamaha / 40 PK

Model 0,6 Ratio 2,5

Model 16 Ratio 1,3

Marine/1500-2000 rpm

Marine/1500-2000 rpm

Mesh 1", D/15 (100x400 M)

Mesh 1.5", D/15 (100x400 M)

Mesh 2", D/15 (100x400 M)

Mesh 3", D/15 (100x400 M)

Mesh 4", D/15 (100x400 M)

Mesh 1", D/9 (100x400 M)

Mesh 1", D/34 (50x500 M)

Mesh 1", D/36 (50x500 M)

Mesh 1.5", D/21 (100x400 M)

Mesh 2", D/21 (100x400 M)

Mesh 3", D/21 (100x400 M)

Mesh 4", D/21 (100x400 M)

Mesh 1,5", D/9 (100x400 M)

Mesh 2", D/9 (100x400 M)

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 127

Page 147: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

39 Jaring Nylon Bal 5,864,569

40 Jaring Nylon Bal 5,629,986

41 Jaring Nylon Bal 8,444,979

42 Jaring Nylon Bal 8,210,396

43 Jaring Nylon Bal 8,093,105

44 Jaring Nylon Bal 7,623,939

45 Jaring Nylon Bal 7,389,357

46 Jaring Nilon Bal 17,593,706

47 Jaring PA Bal 445,707

48 Jaring PA Pis 375,332

49 Jaring PA Pics 445,707

50 Outer Net Pics 328,416

51 Inner Net Pics 293,228

52 Selvedge Kg 222,854

53 Pelampung Y3 Biji 3,284

54 Pelampung Tanda Biji 586,457

55 Pelampung Angin Biji 35,187

56 Pelampung Y 8 Biji 9,383

57 Pelampung Pukat Biji 41,052

58 Pelampung Apolo Buah 2,932

59 Pelampung Tanda Buah 35,187

60 Tali PE Kg 76,239

61 Tali PE Kg 70,375

62 Tali Pancing Samsi Pak 328,416

63 Tali Pancing Samsi Pak 222,854

64 Tali Pancing Samsi Pak 187,666

65 Tali Branch line/prambot Kg 469,166

66 Mata Pancing Kotak 87,969

67 Mata Pancing Kotak 105,562

68 Mata Pancing Kotak 445,707

69 Mata Pancing Kotak 457,436

70 Mata Pancing Kotak 668,561

71 Padok Plastik (penggulung) Buah 82,104

72 Padok Rotan (penggulung) Buah 105,562

73 Timah Kg 58,646

74 Timah Jala Kg 105,562

75 Timah Tipis Kg 76,239

76 Jarum Coban Biji 8,210

77 Jangkar 25 Kg Buah 2,111,245

78 Jangkar ( 50 GT) Buah 7,037,483

Mesh 2", D/12 (100x400 M)

Mesh 3", D/12 (100x400 M)

Mesh 4", D/12 (100x400 M)

L22, mesh 5"(P100,50MD)

Mesh : 0,1-0,5 Inch( 50 x1,5 M)

Perlon .(Ø 0,26, MS. 2")

Mesh 3", D/9 (100x400 M)

Mesh 4", D/9 (100x400 M)

Mesh 1", D/12 (100x400 M)

Mesh 1,5", D/12 (100x400 M)

G6

Cap Ayam

G 35

Cap Ayam

Cap Ayam

<5 mm

Samsi/Perlon(No. 0,35/Ms.5")

Arida/United (PA Ø 0,07 mm,

MS.152,4 mm).

Arida/United (PA Ø 0,035 mm,

MS.50,8 mm)

Madang PE

Cap Ayam

Fiber

No. 9 ( 100 biji)

N0. 4 (100 biji)

No. 6 ( 100 biji)

No. 1 ( 100 biji)

Dragon/Ayam

Dragon/Ayam

>5 mm

No. 100

No. 80

No. 60

PA. Samsi/Perlon (No.500)

No. 14 ( 100 biji)

Timah Pukat

Timah Rantai

Timah Lempengan

Cap Ayam

Besi Ulir

Besi Ulir

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 128

Page 148: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

79 Jala Tebar 5 m Buah 3,284,159

80 Jala Tebar 7 m Buah 4,222,490

81 Benang Nylon Kg 234,583

82 Benang Nylon Pak 258,041

83 Benang Nylon Pak 258,041

84 Benang Nylon Pak 234,583

85 Benang PA Rol 328,416

86 Lampung Angin (kapal) Buah 175,937

87 Lampung Besar Buah 410,520

88 Lampung Pukat Buah 29,323

89 Pelampung Buah 2,932

90 Pelampung Tanda Buah 293,228

91 Pelampung Buah 3,519

92 Pelampung Belimbing Gabus Buah 4,692

93 Lampung Pukat Buah 46,917

94 Fish Fender Unit 18,766,620

95 GPS Unit 11,729,138

96 Water Lamp Unit 2,111,245

97 Line Hauler Hidroulic 200 m / min Unit 89,024,154

98 Life Jacket Buah 410,520

99 Kili-Kili 06 Kotak 64,510

100 Kili-Kili Kodok Biji 29,323

101 Rumpon Laut Dalam Unit 111,426,806

102 Rumpon Laut Dangkal Unit 87,968,531

103 Rumpon laut Unit 82,103,963

104 Cool Box Fiber Buah 879,685

105 Cool Box Fiber Buah 938,331

106 Cool Box Fiber Buah 1,055,622

107 Dawai Waja No.16 Kg 328,416

108 Kili-Kili Kodok Besar Biji 29,323

109 Lampu Tanda Buah 93,833

110 Keranjang rotan Ø 70 cm x T. 70 cm buah 703,748

111 Cincin Ө8" Bh 211,124

112 Cincin Ө2" Bh 70,375

113 Cincin Ө3" Buah 105,562

114 Surat dan dokumen kapal berkas 14,074,965

115 Sea Trial Kali 9,383,310

116 Fishing Trial Kali 17,593,706

PEMBANGUNAN KAPAL IKAN (KAYU)

1. KASKO LAMBUNG DAN ANJUNGAN KAPAL

1 Kepala Tukang Kapal Kayu OH 234,583

5 m

7 m

Arida/United

L30

L21

L12

Dragon/Ayam / Y-3H

bahan PVC / G35

GPSMAP Sounder

Garmin

LACUDA

Penggerak Ac 380 V, 7, 5 Kw

Samsi/Perlon (No. 150)

Ø 8 cm / Fiber

Ø 12" / Fiber

DS 02 / Dragon/Ayam

Y8 / Cap Ayam

Ø 12" Fiber / Cap Ayam

OCEAN / 100 Ltr

OCEAN / 200 Ltr

OCEAN / 220 Ltr

Cap Ikan Terbang

Steinless Stell

SNI

Stenless Stell

Stenless Stell

> 600 m kedalaman laut

300 s/d 600 m kedalaman laut

0 s/d 300 m kedalaman laut

Uji Tangkap

OH

Bahan Rotan

Besi Putih

Besi Putih

Besi Putih

Grosse Akte

Uji Layar

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 129

Page 149: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

2 Tukang Kapal Kayu OH 175,937

3 Pekerja Kapal OH 117,291

4 Mandor OH 140,750

5 Kepala Tukang Fiberglass OJ 58,646

6 Tukang Fiber Glass OJ 29,323

7 Pekerja Fiber Glass OJ 17,594

8 Kayu Kuat I-II, Awet I-II (Khusus Kapal) M3 8,796,853

9 Kayu Kuat II-III, Awet II-III (Khusus Kapal) M3 7,623,939

10 Resin BQNT 157 Kg 93,833

11 Resin BQNT 235 Kg 87,969

12 Matt dan Roving China Kg 52,781

13 Matt dan Roving Taiwan Kg 46,917

14 Katalis 100 cc 41,052

15 Acetone 100 cc 4,105

16 Gelcoat Kg 99,698

17 Polyurethane A+B, Kg 105,562

18 Pewarna Kg 211,124

19 Paku Galvanish 2"-6" inch Kg 41,052

20 Paku Kuningan 2"-6" inch Kg 64,510

21 Mur+Baut 12 mm Batang 22,285

22 Mur+Baut 16 mm Batang 23,458

23 Mur+Baut 18 mm Batang 24,631

24 Mur+Baut 26 mm Batang 25,804

25 Mur+Baut 28 mm Batang 29,323

26 Baut 12 mm (STUT) Batang 164,208

27 Baut 16 mm (STUT) Batang 187,666

28 Baut 18 mm (STUT) Batang 234,583

29 Baut 26 mm (STUT) Batang 272,116

30 Baut 28 mm (STUT) Batang 287,364

31 Mur+Ring 12 mm Biji 19,940

32 Mur+Ring 16 mm Biji 19,940

33 Mur+Ring 18 mm Biji 19,940

34 Mur+Ring 26 mm Biji 19,940

35 Mur+Ring 28 mm Biji 19,940

36 Instalasi Mesin induk Kapal Ikan Batang 199,395

37 Instalasi Mesin Bantu PK/KW 58,646

38 Damar Kg 23,458

39 Lem epoxi resin Set 879,685

40 Tali Pakal Lambung Kg 35,187

OH

OH

OH

yucalak

China

Taiwan

SNI

SNI

Yucalak

OJ

OJ

OJ

Kuat I/Awet I

Kuat II/Awet II

yucalak

Galvanish

Galvanish

Galvanish

Stantless Steal

Stantless Steal

Stantless Steal

40 Kg/m3

yucalak

Galvanish

Kuningan

Galvanish

Galvanish

Stantless Steal

Penyetelan Dudukan Mesin, , Cek

Kelurusan Saft Propeller, Center

Mesin

Penyetelan dudukan mesin,

Center Dinamoe

Lokal standart

Alvian, Fox, Dll

Tali Goni, Tali Rami

Stantless Steal

Stantless Steal

Stantless Steal

Stantless Steal

Stantless Steal

Stantless Steal

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 130

Page 150: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

41 Paku Seng Lambung Kg 29,323

42 Bantalan Poli Katrol (0,30x0,30x2)m Batang 5,278,112

43 Tiang penahan Katrol (0,22 x 0,20 x5)m Batang 1,993,953

44 Tiang Lampu Depan (0,20 x 0,20 x 5) m Batang 2,345,828

45 Tiang Lewang (0,22x 0,22 x 6)m Batang 5,864,569

46 Tangan Lewang Pipa Besi ϴ3" x 5mm Batang 4,105,198

47 Rantai Lewang Besi Kg 140,750

48 Pintu Kamar Nahkoda (0,80 x 0,03 x2 m) buah 1,876,662

49 Pintu Kamar Mesin (0,80 x 0,03 x 0,90m) buah 1,172,914

50 Karpet Atap Standar (Karet/Plastik) M2 187,666

51 Cat Diatas Garis Air SNI Kaleng 111,427

52 Cat Anti Foulling SNI liter 328,416

53 Penopang Lunas unit 3,284,159

54 Seacock (prok air) unit 527,811

55 Seacock (prok air) unit 996,977

56 Seacock (prok air) unit 1,466,142

57 Sistem Pendingin Mesin Set 14,074,965

58 Remote (handle) Mesin Induk unit 4,105,198

59 Kabel Remote Set 938,331

60 Kabel Remote Set 1,407,497

61 Kabel Remote Set 1,876,662

B. Propulsi dan sistem Kemudi

1 Propeller empat daun unit 10,556,224

2 Propeller empat daun unit 3,518,741

3 Propeller empat daun unit 4,457,072

4 Propeller empat daun unit 5,864,569

5 Propeller empat daun unit 7,623,939

6 Propeller empat daun unit 12,902,051

7 Propeller empat daun unit 18,766,620

8 Propeller empat daun unit 29,322,844

9 Propeller empat daun unit 32,841,585

Lokal standart

Besi Ulir (Kapal 20 s/d 30 GT)

1 Inch Kuningan (lokal Std)

2 Inch Kuningan (lokal Std)

3 Inch Kuningan (lokal Std)

Cooler Ps.120

Galvanish

Bungur / Meranti Merah / Merbau

(1,08)

Bungur / Meranti Merah / Merbau

(2)

Bungur / Meranti Merah / Merbau

(1)

Bungur / Meranti Merah / Merbau

(1)

Lokal standart

20/22 " Inch Kuningan (lokal Std)

20/22 " Inch Kuningan (lokal Std)

20/22 " Inch Kuningan (lokal Std)

20/22 " Inch Kuningan (lokal Std)

20/22 " Inch Kuningan (lokal Std)

20/22 " Inch Kuningan (lokal Std)

Singgle Engine

4 meter

6 meter

8 meter

32 x 34 " inch Kuningan (lokal Std)

20/22 " Inch Kuningan (lokal Std)

20/22 " Inch Kuningan (lokal Std)

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 131

Page 151: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

10 As Propeller Jadi Kg 2,580,410

11 Sarung As Propeller Lengkap Kg 938,331

12 Sarung As Propeller Lengkap Kg 269,770

13 Kepala Babi + stentif ship set 8,796,853

14 Pelat Daun kemudi Pelat Baja tebal 12 mm M2 2,111,245

15 Pelat Daun kemudi Pelat Baja tebal 8 mm M3 1,407,497

16 Pelat Daun kemudi Pelat Baja tebal 5 mm M4 938,331

17 Batang As Kemudi Kg 52,781

18 Sarung As kemudi Lengkap Kg 76,239

19 Jantra unit 2,345,828

3. MESIN BANTU DAN ALAT BANTU PENANGKAPAN IKAN

1 Mesin Diesel Genset 5 Kw Unit 17,593,706

2 Mesin Diesel Genset 10 Kw Unit 37,533,240

3 Mesin Diesel Genset 15 Kw Unit 78,585,221

4 Mesin Diesel Genset 20 Kw Unit 82,103,963

5 Mesin Diesel Genset 30 Kw Unit 100,870,583

6 Mesin Diesel Genset 40 Kw Unit 104,389,324

7 Mesin Diesel Genset 60 Kw Unit 129,020,513

8 Sistem Pendinginn Mesin Genset shipset 8,796,853

9 ex Gardan Fuso Set 16,420,793

10 ex Gardan Ps 120 Set 9,383,310

11 ex Gardan L 300 Set 5,864,569

12 Poli katrol samping (winch) Kg 269,770

13 Sistem Penggerak Gardan Shipset 6,451,026

14 Poli Tegak (Lengkap) Alumanium Lokal Standar Kg 211,124

15 Poli Tidur Kg 293,228

16 Flansdesk 8 inci unit 2,932,284

17 Simpang Empat 8 inci unit 4,691,655

18 Handle Katrol Pukat 1 inci unit 996,977

19 Pompa Keong unit 2,111,245

20 Pompa Keong unit 2,814,993

21 Pompa Keong unit 3,753,324

22 Clam Selang Pc 293,228

5. KELISTRIKAN KAPAL

1 Lampu Sorot Kapal Set 4,574,364

2 Baterai (ACCU) / AKI Buah 2,697,702

3 Batteray Charger Buah 2,345,828

Pipa Baja Galvanish

Lokal (Untuk Kapal Tradisional)

Rakitan

Rakitan

Rakitan

Marine Genset

Standless Steal 304

Besi Baja

Kuningan

Kuningan

Besi Baja Batangan

Modifikasi

AlumInium (ϴ5")

Rakitan

Standless Steal 304

1.5 inch Kuningan (lokal Std)

2 inch Kuningan (lokal Std)

Marine Genset

Marine Genset

Marine Genset

Lokal standart

Modifikasi

Modifikasi

2,5 inch Kuningan (lokal Std)

Waterprof (anti Air ) / 1000 watt

SNI / 120 A

SNI / 220 Vt

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 132

Page 152: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

4 Trafo lilin buah 52,781

6. Alat Navigasi

1 Radio VHF buah 15,247,879

2 Lampu Navigasi (Marine Ligth) Bal 562,999

3 Sistem Monitoring Kapal Perikanan Bal 35,187,413

4 Lampu Tanda kapal Ikan Bal 175,937

5

7. Perlengkapan Keselamatan Bal

1 Life Boy ( FRP ) buah 527,811

2 Life Raft buah 29,322,844

8. Perlengkapan Geladak

1 Meja Dapur set 1,759,371

2 Kompor Gas Buah 1,993,953

3 Tabung Gas Buah 1,055,622

4 Kotak P3K lengkap obat (standard) buah 410,520

5 Serok Pukat buah 4,105,198

6 Bak Air unit 938,331

9. Palkah dan Tanki-Tanki

1 Tanki Bahan Bakar Buah 4,457,072

2 Tanki Bahan Bakar Buah 5,278,112

3 Tanki Bahan Bakar Buah 9,148,727

4 Tanki Bahan Bakar Buah 9,969,767

5 Palkah Ikan Buah 44,570,723

6 Palkah Ikan Buah 29,322,844

7 Palkah Ikan Buah 23,458,275

8 Palkah Ikan Buah 22,285,361

9 Palkah Ikan Buah 18,766,620

10 Palkah Ikan Buah 14,074,965

11 Palkah Ikan Buah 11,142,681

12 Palkah Ikan Buah 8,796,853

10. Bahan Laboratorium

1 Formalin 40% ltr 23,259

2 Malachite green kg 1,732,675

3 Copper sulphate kg 1,515,604

4 Larutan Edta kg 487,111

(500,Fiberglass)

(1000,Fiberglass)

(1500,Fiberglass)

SNI, Kapasitas 15 Orang

Standar Kapal

Standar

LPG 12 Kg

SNI

SNI

SNI

SNI

(3,5 ton, Fiberglass)

(2,0 ton, Fiberglass)

(1,5 ton, Fiberglass)

(2000,Fiberglass)

(8.0 ton, fiberglass)

(6,5 ton,Fiberglass)

(5,0 ton, Fiberglass)

(4,5 ton, Fiberglass)

(4,0 ton, Fiberglass)

Standar

Plastik / Kapasitas 200 Ltr PE

SNI

SNI

all band

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 133

Page 153: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 4 53

NO JENIS BARANG SATUAN HARGAMEREK/MODEL/UKURAN

5 Larutan Na2 So4 kg 487,111

6 Rotenon kg 197,683

7 Larutan FeCl2 kg 324,311

8 Larutan Na2 Sio3 ltr 96,906

9 Vitamin B12 (cyanovit) Ampul 12,398

10 Saponin kg 12,011

11 Termometer minimum Unit 408,291

12 Timbangan digital Unit 480,648

13 Hand Refraktometer Buah 13,122,383

11. Ongkos Perakitan

1Jasa Perakitan Alat Tangkap Purse Seine

diatas 30 GTLS 38,000,000

2 Jasa Pembuatan Jaring Insang Ls 400,000

3 Jasa Pembuatan Alat Tangkap Gill Net LS 1,800,000

4 Jasa Pembuatan Tramel Net LS 3,000,000

5 Jasa Perakitan Alat Tangkap Jaring Pari LS 2,200,000

6 Ongkos Rakit Pukat Darat Ls 8,000,000

7 Ongkos rakit Jaring Rawai Hiu Ls 2,800,000

8 Jasa Perakitan Rawe Hanyut LS 1,500,000

9 Surat dan Dukumen Kapal berkas 12,000,000

1. Erwandi, S.Pi

Jasa Perakitan

Jasa Perakitan

Tukang

Tukang

Tukang

Tukang

Tukang

Tukang

Grosse Akte

Nama Tim Pembahas dan Survey Dinas Kelautan dan Perikanan Aceh

...............................

Whiz Digital

KD-810

RHH-52ATC

STANDAR SATUAN HARGA BARANG/JASA KELAUTAN PERIKANAN 134

Page 154: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

PETERNAKAN

Page 155: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 5

V. BIDANG KESEHATAN HEWAN DAN PETERNAKAN

A. Bibit

1. Sapi

Sapi Perah Bibit Jantan FH FH 18 - 24 bln Ekor 32,556,006

Sapi Perah Bibit Betina FH FH 18 - 24 bln Ekor 30,230,577

Sapi Po Jantan Bakalan 12-18 bln Ekor 18,022,075

Sapi po Betina 18 - 24 bln Ekor 16,859,360

Sapi Po Jantan Pemacak 24-36 bln Ekor 20,928,861

Sapi Hasil IB Jantan Bakalan 12-18 bln Ekor 18,603,432

Sapi Hasil IB Betina 18 - 24 bln Ekor 18,603,432

Sapi Lokal jantan Bakalan 12-18 bln Ekor 16,278,003

Sapi Lokal Betina 18 - 24 bln Ekor 12,789,860

Sapi Lokal Jantan Pemacek 24-36 bln Ekor 20,928,861

Sapi Bali Jantan Bakalan 12-18 bln Ekor 15,696,646

Sapi Bali Betina 18-24 bln Ekor 12,789,860

Sapi Bali Jantan Pemacek 24 - 36 bln Ekor 17,440,718

Sapi Aceh Jantan Bakalan 12-18 bln Ekor 14,533,931

Sapi Aceh Betina 18-24 bln Ekor 11,045,788

Sapi Aceh Jantan Pemacek 24-36 bln Ekor 16,859,360

2.

Kuda Jantan/Betina Peranakan

Kelas A36-48 bln (141-150 cm) Ekor 232,542,900

Kuda Jantan/Betina Peranakan

Kelas B36-48 bln (141-140 cm) Ekor 101,156,162

Kuda Jantan/Betina Peranakan

Kelas C36-48 bln (126-130 cm) Ekor 75,576,443

Kuda Jantan /Betina KPI Kelas

A Super36-48 bln (151-165 cm) Ekor 302,305,770

Kuda Jantan/ Betina Lokal 36-48 bln (117-125 cm) Ekor 49,996,724

Induk Kuda Pacu Jantan/Betina

Impor (Thorugbreed

Autralia/Perancis)

36-48 bln (> 165 cm) Ekor 906,917,310

Induk Kuda Jantan Pacu

Indonesia (thorougbreed)36-48 bln Ekor 627,865,830

3. Kerbau

Kerbau Bibit Jantan 18 - 36 bln Ekor 18,603,432

Kerbau Bibit Betina 18-24 bln Ekor 15,696,646

4. Kambing

Kambing Kacang Bibit Betina 12 - 18 bln Ekor 2,092,886

Kambing Kacang Bibit Jantan 12 - 18 bln Ekor 2,906,786

Kambing PE Bibit Jantan 12-18 bln,BB 20-35 kg Ekor 4,069,501

Kambing PE Bibit Betina 12-18 bln, 15-25 Kg Ekor 3,139,329

5.

Domba Bibit Jantan 12 - 18 bln, BB 10-20 Kg Ekor 2,325,429

Domba Bibit Betina 12 - 18 bln, BB 10-15 Kg Ekor 2,034,750

6.

Ayam Buras DOC (satu hari setelah penetasan) Ekor 10,046

Ayam Ras Petelur DOC (satu hari setelah penetasan) Ekor 15,069

2

Kuda

Domba

Unggas

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 135

Page 156: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Ayam Ras Pedaging DOC (satu hari setelah penetasan) Ekor 11,929

Ayam Ras Petelur Pullet 3-4 Bulan Ekor 81,623

Ayam Ras Petelur Dewasa Dewasa Ekor 94,180

Itik Dewasa umum Ekor 97,668

Ayam Buras Dewasa Jantan umum Ekor 109,004

Ayam Buras Dewasa Betina umum Ekor 102,028

Itik Lokal DOD (satu hari setelah penetasan) Ekor 11,302

Itik Alobio DOD (satu hari setelah penetasan) Ekor 16,325

Itik Manila (Entok) Dewasa umum Ekor 188,360

Puyuh Dewasa umum Ekor 15,697

Semen Beku (Frozen Semen) Straw 31,393

B. Bahan, Peralatan dan Obat-obatan

1.

-Hydrogen Peroxyde GR for

AnalysisJT Baker 2186 Botol 2,130,978

- Tryptone Soys Broth - Oxoid, CM. 131 Botol 1,459,917

- Scharlau 02-200 Botol 1,278,333

- A. Napthol M. 6223 Botol 1,075,573

- Brilian Green Agar - Oxoid, CM. 263 Botol 4,688,189

- Scharlau 01-203 Botol 3,409,311

- SS Agar Oxoid, CM. 99 Botol 2,414,588

- Spiritus Lokal Botol 25,071

-Ethanol Absolute GR for

Analysis ACS, ISOM. 983 Botol 800,865

-Ethanol Absolute for Synthesis

ACS, ISOMeck Botol 812,743

- Kovac Indol Reagen M. 9293 Botol 1,147,520

-Sabouraud 4% Dextrose Agar

(SDA)M. 5438 Botol 1,945,841

Scharlau 01-165 Botol 1,704,514

-Aceton GR for Analysis ACS,

ISOScharlau AC 314 Botol 1,306,856

-Xylene GR for Analysis ACS,

ISO- M. 8681 1,102,099

- JTB. 9490 1,373,286

- Xylene BAR,ACS Reagent 9490-03 liter 1,410,808

-Chloroform GR for Analysis

ACS, ISOM. 2445 835,204

- Brucella Rose Bengal Test Made In USA Vial 1,211,836

- Brucella Rose Bengal Test pusvetma Botol 382,333

- Serum Aglutinasi Test Balitvet Vial 210,714

-DHL (Deso Xycholate Hydrogen

Sulfide Lactose AgarM. 111435 Botol 6,771,881

-Antigen Micoplasma Galli

Septicum (CRD)Pusvetma Vial 637,222

- Antigen ND Pusvetma Vial 111,514

- Antigen Pullorum Pusvetma Botol 318,611

- Antigen Avian Influenza Pusvetma Vial 95,583

-Antigen Complement Fixation

Test (CFT) BrucellaPusvetma Vial 411,515

- Serum Spesifik Avian Influenza Balitvet Vial 213,066

Serum Positif ND pusvetma Botol 63,722

Bahan

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 136

Page 157: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

Serum Positif Al pusvetma Botol 79,653

Serum Negatif Al pusvetma Botol 79,653

Serum Positif Pullorum pusvetma Botol 63,722

Serum Negatif Pullorum pusvetma Botol 63,722

Serum Positif Mycoplasma pusvetma Botol 63,722

Serum Negatif Mycoplasma pusvetma Botol 63,722

Serum Positif Brucella pusvetma Botol 63,722

Serum Negatif Brucella pusvetma Botol 63,722

Pelarut PBS pusvetma Botol 25,489

Kit Elisa Rabies Biorad Kit 31,861,076

Kit Elisa lBR ldexx Kit 18,224,536

Kit Elisa lBV ldexx Kit 10,159,860

Kit CATT (Surra) Balitvet Kit 3,823,329

Kit Elisa TBA ldexx Kit 31,861,076

Kit Elisa Brucella ldexx Kit 31,861,076

Kit Elisa SE ldexx Kit 31,861,076

- Aquadest Lokal Botol 33,034

- Aquadestilata 20 l jerigen 203,911

-Giemsa’s Azur Eosin Methylen

Blue Solution for MocroscopyM. 9204 Botol/500 ml 1,115,138

- Parafin Block 57 - 60 M. 7158 Kg 1,841,621

-Formaldehyde Sol. Min 37%

Free AcidMallincrotdth Botol 2,088,420

- Glycerin Mallincrotdth Botol 3,138,189

- Tawas Lokal Kg 22,346

- Methylen Ph Eur M. 5943 Botol 4,404,034

- PBS (Phosphate Buffer Saline) Oxoid, BR 14 Botol 2,042,899

- Rapid Test Avian Influenza Made In USA Kotak 10,014,455

- Desinfectan Virkons Antec. 2,5 Kg Tube 2,906,954

- Desinfectan Virkons Antec. 10 Kg Tube 9,426,523

- Eosin B. M. 115934 Botol 3,500,518

- Garam Dapur Pharma Grade Kg 184,988

-Sodium Phosphate, Monobasic,

H2O, MB GradeMallincrotdth 7892 Botol 2,272,709

-Sodium Phosphate, Dibasic, MB

GradeMallincrotdth 7817 Botol 2,245,678

- Mercury Acid Red GR Botol 7,032,350

-Picric acid (Naturated Aquehos

Solution)Scharlau AC 1768 Botol 5,540,389

-Acetic Acid (Glacial) 100% GR

for Analysis ACS, ISOM. 63 Botol 968,544

- Nitric Acid 10 mol / l M. 9964 Botol 914,698

-Potasium Aluminium Sulfat GR

for Analysis ACS, ISOM. 5153 Kg 1,852,456

-Benzene GR for Analysis ACS,

ISOM. 1783 Botol 4,451,273

- Hemotoxyline Cristal M. 115938 Botol 4,741,968

- Basic Fuchin M. 115937 Botol 1,267,068

- Acid Fuchin M. 105231 Botol 3,091,280

- Phenol Cristal Scharlau FE 452 Botol 2,414,918

- Gentian Violet M.1594525 Botol 1,119,176

- N2 Cair Liter 37,530

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 137

Page 158: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

-KaryoMAX®Giemsa Stain

SolutionInvitrogen®/10092013 x 100 ml 2,166,553

- Purelink Genomic DNA Mini Kit Invitrogen®/k182001 x 50 rxn 5,734,994

- Platinum PCR Supermix Invitrogen®/1130616 x 100 rxn 6,831,015

- 100 bp DNA Ladder Invitrogen®/15628019 x 50 ug 4,798,278

- 1 kb DNA Ladder Invitrogen®/10787018 x 250 ug 7,997,130

- PNS Tablet Invitrogen®/003-002 x 100's 2,829,264

- Purelink RNA Mini Kit Invitrogen®/12183018A x 50 rxn 9,966,145

- Purelink Viral DNA/RNA Mini Kit Invitrogen®/12280050 x 50 rxn 9,125,012

- Alsever Solution Invitrogen®/HFH11 x 100 ml 3,440,996

- Ttc Solution (1%) Oxoid/SR0229K 10 x 5 ml 2,548,886

- Buffered Peptone Water Oxoid/CM0509B 500 g 892,110

- Plate Count Agar Oxoid/CM0325B 500 g 1,274,443

- Mueller Hitton Agar Oxoid/CM0337B 500 g 1,274,443

- Blank CT0998B/oxoid 5 x 50 Discs 490,661

- Kanamycin K30 CT0026B/oxoid 5 x 50 Discs 414,194

- Tetracyline Te 300 CT0054B/ 5 x 50 Discs 414,194

- Penicillin G P 10 CT0043B 5 x 50 Discs 414,194

- Plate Count Agar CM0325B 500 g 1,274,443

- Buffered Peptone Water CM1049B 500 g 1,274,443

-Glicerol, Anhyrous, BAR, ACS

Reagent2136-03 liter 3,759,607

-Phosphate Buffered Saline

TabletBR0014E Tabs 892,110

-Sodium Cloride, Crystal, BAR,

ACC Reagent3624-69 kg 489,386

- Formaldehyde Tes Box 2,847,106

-Acetonitrille Gradien HPLC

GradeA0627/AP4 Botol 1,108,765

- Parafin wax, pure, granular 416770020 kg 2,740,053

- Bacillus Cereus ATCC®9541™* Remel/R4601220 5 loops 1,585,789

-Bacillus Subtilis

ATCC®6633™*Remel/R4601221 5 loops 1,585,789

-

2. -

- Alat cukur Electric 413731 Devasa-Spanyol Pc 2,611,926

- Alat cukur Manual 85411 Hauptner-Jerman Pc 1,905,541

-Alat Pencabut Bulu Ayam

ElsaricDevasa-Spanyol Unit 20,977,303

- Bull Holder (4130513) Devasa-Spanyol Pc 743,255

- Bull Ring 52 mm (H05762) Hauptner-Jerman P 347,678

- Buyrometer 0-6%, 0,1 Scneider-Jerman Pc 959,294

- Calf Nipple (Nursing) 416607 Devasa-Spanyol Pc 274,013

-Calf Nipple for NP Nursing

BottleHauptner-Jerman Pc 59,460

- Calf Pail Nipple 413870 Devasa-Spanyol Pc 94,146

Peralatan

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 138

Page 159: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

-Calf Rubber nipple for

Galvanized PailDevasa-Spanyol Pc 64,415

-Castrator (Tang untuk Kastrasi)

35 cmDevasa-Spanyol Unit 2,948,246

-Centiuge (3670) 8 tabung,

Nova SafetyF. Gerber-Jerman Unit 55,061,830

-Claw Side Cutter 60 cm

(413297)Devasa-Spanyol Pc 3,634,022

- Container Type 3 XTL Taylor-Warton-USA Unit 23,536,414

- Container Type 10 XT Taylor-Warton-USA Unit 26,013,932

- Container Type 20 XT Taylor-Warton-USA Unit 26,013,932

- Container Type 34 XT Taylor-Warton-USA Unit 37,162,759

-Copper (Pencacah rumput

1000 kg/jam)Lokal Unit 44,182,392

- Coustic Stick 413208 Devasa-Spanyol Pc 405,651

-Cover Glass 20 x 20 mm (50

pcs/box)Lokal Box 73,004

-Cream Separator 125L/jam

(Elecrem-1)Elecrem-Perancis Unit 52,083,854

- Dehorning Shars H.33350 Hauptner-Jerman Pcs 31,575,626

- Drawing Knife (4130510) Devasa-Spanyol Pcs 529,032

- Drenching Gun 10 ml (416134) Devasa-Spanyol Pc 2,937,673

- Drenching Gun 30 ml (413724) Devasa-Spanyol Pc 3,176,177

-Drenching Gun 70 ml (H.

16427)Hauptner-Jerman Pc 3,705,540

- Drenssing Forcep s/s 14 cm Import Pcs 253,697

- Ear Tag Medium Lokal Psg 20,646

- Ear Tag Medium (impor) Allflex-New Zealand Psg 40,466

- Ear Tag Small Bulat Lokal Psg 17,343

- Electric Dehoder 12 Volt Devasa-Spanyol Unit 27,401,341

- Electric Rapide Clipper Devasa-Spanyol Unit 16,671,048

-Embriotomy Wire Saw

IntroducerHauptner-Jerman Pc 1,058,560

- Eye Hook ukuran 5 cm (44410) Hauptner-Jerman Pc 1,482,050

- Goblet Dia. 2,7 cm IMV-Prancis Pc 30,390

- Gun ET untuk Sapi / Mini Gun IMV-Prancis Pc 2,066,084

-Gun IB untuk Sapi (Inseminasi

Gun)IMV-Prancis Pc 1,073,591

- Gun IB untuk Kambing IMV-Prancis Pc 1,238,759

- Gunting Straw 14 cm Ex. Pakistan Pc 88,365

- Heat Detector Hauptner-Jerman Unit 14,453,340

- Hoof Plier 41 cm (413298) Devasa-Spanyol Pc 2,244,465

- Inner Linier untuk Kambing JK-Denmark Pc 1,486,510

- Inner Linier untuk Sapi JK-Denmark Pc 867,131

Lactodensitometer Ex. Funke 1,820,479

-Lamb for Galvanized Pail

413662Devasa-Spanyol Pc 68,132

- Lamb Nipple (Nursing) 416605 Devasa-Spanyol Pc 199,027

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 139

Page 160: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

-Lamb Nipple for Feeder

413667Devasa-Spanyol Pc 52,854

- Mastities Plat JK-Denmark Pcs 1,074,085

- Mastities Test (CMT) Kit Devasa-Spanyol Set 1,108,110

- Mastities Test (Paddle) Devasa-Spanyol Pc 397,229

-Mastities Test (Reagent CMT)

LiterDevasa-Spanyol Botol 620,700

- Measuring Stick 150 Devasa-Spanyol Pc 619,379

- Measuring Tape (Pita Ukur) Devasa-Spanyol Pc 414,158

-Medata Pregnancy Detector,

Series-5Medata-Inggris Unit 44,472,921

-Mesin Tetas Telur Cap. 3000

butirEx. Lokal Unit 44,472,921

- Milk Can 10 Liter Lokal Unit 1,461,735

- Milk Can 20 Liter Lokal Unit 1,915,947

- Milk Can 40 Liter Lokal Unit 2,477,517

-Milking Machine Double (B/2

SL-S)OMC-Italy Unit 88,056,580

-Milking Machine Double, Mini

(B/1)OMC-Italy Unit 60,038,502

- Mini Straw 1000 pcs/pak Minitube Pak 2,779,279

- Mixer (Alat Pengaduk) Lokal Unit 16,729,848

-Nipple for NP Nursing Bottle

413352Devasa-Spanyol Pc 54,835

-Nipple Holder for Galvanized

PailDevasa-Spanyol Pc 143,365

-Nipple Holding Set for 7 Litre

PailDevasa-Spanyol Pc 68,875

- NP Floating Nipple 413351 Devasa-Spanyol Pc 99,927

- Object Glass (72 pcs/box) Ex. RRC Box 149,105

- Outher Sheet ET Minitube Pc 744,081

- Picador Electric Shock 29 cm Devasa-Spanyol Pc 2,456,045

- Picador Electric Shock 59 cm Devasa-Spanyol Pc 2,752,852

- Pin Applicator Devasa-Spanyol Pc 141,053

- Pinset 14 cm Import Pc 74,326

- Pinset 20 cm Ex. Pakistan Pc 99,927

- Pisau Kastrasi (39100) Hauptner-Jerman Pc 826,995

- Plastik Glove 2 Jari (100/pak) Lokal Pak 148,651

- Plastik Glove 5 Jari (100/pak) Lokal Pak 331,987

-Plastik Glove 5 Jari (100/pak)

EuroplexDevasa-Spanyol Pak 925,766

- Plastik Sheet (50/pak) IMV-Prancis Pak 107,359

- Pregnancy Detector Medata-Inggris Unit 44,200,229

- Ring Bull Dia. 52 (1105762) Hauptner-Jerman Pc 222,977

- Ring Bull Dia. 55 Devasa-Spanyol Pc 371,628

- Rubber Ring (100/pak) Devasa-Spanyol Pak 297,302

- Rubber Stopper Butyrometer Gerber-Jerman Pc 75,151

-Sepatu untuk Sapi, Kuda

(42743.500)Ex. Hauptner Pc 1,405,082

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 140

Page 161: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

-Sharp Eye Hook

(44351/44352)Devasa-Spanyol Pc 1,736,244

- Sharp Obstetric Hook (44491) Devasa-Spanyol Pc 289,044

- Sonda (413548) Devasa-Spanyol Pc 273,353

- Socorex 1 ml Swiss Unit 2,843,089

- Special Cone Devasa-Spanyol Pc 1,073,755

- Special Rubber Ring Devasa-Spanyol Pc 399,698

- Sperma Glass IMV-Prancis Pc 406,313

- Straw Cutter Devasa-Spanyol Pc 434,060

- Stretching Forcep Devasa-Spanyol Pc 591,301

- Stretching Forceps (413422) Devasa-Spanyol Pc 591,301

- Syringe Luer Lock 10 cc Devasa-Spanyol Pc 249,238

- Syringe Luer Lock 20 cc Devasa-Spanyol Pc 255,184

- Syringe Luer Lock 30 cc Devasa-Spanyol Pc 297,302

- Syringe Luer Lock 50 cc Devasa-Spanyol Pak 331,161

-Syringer Neddle Luer Lock

(12/pak)Pc 298,128

- Tabung Sperma (C06161N) Nasco Set 983,768

- Tang Applicator Allflex-New Zealand Pc 1,983,170

- Tang Bordizzo (413374) 23 cm Devasa-Spanyol Pc 3,388,252

- Tang Bordizzo (413375) 35 cm Devasa-Spanyol Pc 3,811,578

- Tattoing Ink (Ukuran Kecil) IMV-Prancis Pc 133,124

- Thawing Electric England Pc 7,671,054

- Thermos ½ Liter Ex. England Unit 429,436

-Thermos III, dengan

ThermometerIconix-New Zealand Unit 4,129,195

-Timbangan Sapi FX 21 Cap. 3

TonIconix-New Zealand Pc 69,370,484

- Timbangan Sapi FX Cap. 2 Ton Iconix-New Zealand Pc 52,853,702

- Tissue Forcep s/s 14 cm Import Pc 299,632

-Tongkat Ukur Tinggi 216 cm

ex. LokalLokal Pc 7,306,033

- Trocar Dia. + 5 mm (413069) Devasa-Spanyol Pc 587,997

- Trocar Dia. + 5 mm (413548) Devasa-Spanyol Set 351,642

-Trocar Dia. + 5 mm 4 pcs/set

(405443)Devasa-Spanyol Set 743,585

-Trocar Gagang Metal Dia.7m/m

x 12 cmDevasa-Spanyol Pc 658,492

-Vagina Buatan untuk Kambing

(340650)JK-Denmark Pc 5,282,489

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 141

Page 162: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

-Vagina Buatan untuk Kambing

(43842)Hauptner-Jerman Pc 6,776,504

- Vagina Buatan untuk Sapi JK-Denmark Unit 4,446,812

-Vagina Buatan untuk Sapi

C06180NNasco Set 6,141,104

-Vagina F/Bull panjang +33 cm

(340284)JK-Denmark Set 3,620,809

-Vagina Speculum Domba 16

cmJK-Denmark Unit 5,230,856

-Vagina Speculum 25 cm

(42840)Hauptner-Jerman Pc 21,601,142

-Vagina Speculum (Kuda &

Sapi) 27 cmJK-Denmark Pcs 4,294,363

-Vagina Speculum 16 cm

(43772)Hauptner-Jerman Pc 9,105,866

-Vagina Speculum Polansky’s 27

cmJK-Denmark Unit 9,450,241

-Vagina Speculum Polansky’s 35

cmJK-Denmark Pc 11,066,244

-Vagina Speculum untuk Sapi

27 cmJK-Denmark Pc 10,735,908

- Wire Saw 10 Meter (46140) Hauptner-Jerman Roll 655,220

- Cone Vagina Buatan Pc 664,800

- Inner Linner Vagina Buatan Pc 784,547

- Alat Deteksi Kebuntingan Pc 82,583,910

-Mikropipet Single Channel Uk

100- 1000 µlEppendorf Unit 6,827,013

-Mikropipet Single Channel Uk

O,5-5 mlEppendorf Unit 6,856,070

-Mikropipet Single Channel Uk

0,5-10 µlEppendorf Unit 6,856,070

-Mikropipet Single Channel Uk

10-100 µlEppendorf Unit 6,827,013

-Mikropipet Single Channel Uk

20-200 µlEppendorf Unit 6,827,013

-Mikropipet Multi Channel (8)

Uk 10-100 µlEppendorf Unit 21,918,305

-Mikropipet Multi Channel (8)

Uk 30-300 µlEppendorf Unit 21,918,305

-Mikropipet Multi Channel (12)

Uk 10-100 µlEppendorf Unit 23,714,887

-Mikropipet Multi Channel (12)

Uk 30-300 µlEppendorf Unit 23,714,887

-Mikropipet Multi Channel (12)

Uk 0,5-10 µlEppendorf Unit 23,714,887

- Pipet Stand Eppendorf Unit 3,823,329

- Incubator Memmert/lN 55 Unit 45,879,950

- Centrifuge Hematokrit 210 Hettich Unit 23,733,125

-Weather Forecast Clock +

Thermo + Hygro + CalenderWFG Unit 191,166

-Temperatur n Huminity Data

LonggerRC4HC Unit 917,599

- Thermohygrometer HTC/CTH-680 Unit 700,944

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 142

Page 163: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

- Microwave Sharp/R-230R Unit 1,744,713

- Media Storage Chamber Liebherr Unit 34,135,065

- Analitical Balances Kern/ABS 220-4 Unit 32,434,576

- Biomedical Refrigation Dometic/MP 155 SG Unit 108,890,963

- Biomedical Refrigation Dometic/MP 580 SG Unit 201,837,369

-Mikrobiologikal Safety Cabinet

Class ll Thermo Scientific/1386 Unit 193,432,035

- Microplate Sorenson case 5,988,608

- Transport Box Dometic Unit 13,987,012

-Mikroskop Binokuler Digital CX

22 + KameraOlympus Unit 35,684,405

-Mikroskop Trinokuler CX 31 +

KameraOlympus Unit 76,466,583

- Microtips Uk 0,1-10 µl EppendorfPack (1000)

Tips) 1,916,355

- Microtips Uk 2-200 µl EppendorfPack (1000)

Tips) 1,916,355

- Microtips Uk 50-1000 µl EppendorfPack (1000)

Tips) 1,916,355

- Mikrotube Racks Biologix Rack 242,144

- Mikrotube Racks Rack (6 Rack) 1,752,359

- 1000 µl Pipet Tips-Bulk AxigenPack (1000)

Tips) 229,400

- Autoclave Tomy/ES-125 Unit 79,563,276

- Elisa Reader Thermo Unit 248,516,395

- Elisa Washer Thermo Unit 194,989,787

- Fume Hood Thermo Unit 274,005,256

-Acid Crrosive Chemical

StrorageCabinetSecurall/C345 Unit 69,839,479

-Flammable Chemical Storage

CabinetSecurall/A245 Unit 63,658,430

- Vortex Mixer Thermo Unit 7,646,658

- Stomacher InterScience Unit 124,258,197

- Sarung Tangan Sensi Gloves Kotak 63,722

- Surgical Gloves Latex Kotak 203,911

- Masker Ear Loop 3 PLY Kotak 63,722

- Masker BSA Safety Kotak 127,444

3.

- Hormon Penyerentak Birahi Dosis 370,264

- Anthravet (Anthrax) 125 ds/botol Dosis 1,213

- Brucivet (Brucella Str. 19) 10 ds/botol Dosis 15,608

- Kolravet (Fowl Cholera) 250 ds/botol Dosis 693

- Korivet (H. Gallinarum) 40 ds/botol Dosis 1,387

- Rabivet Supra 10 ds/botol Dosis 15,608

- Rabivet Supra (*) 1 ds/botol Dosis 26,014

- Septivet 100 ds/botol Dosis 3,468

- Telovet (ND Inaktif) 20 ds/botol Dosis 1,213

- Koksivet 100 ds/botol Dosis 668

- Hydrovet 750 ds/botol Dosis 261

- Lentovet 50 ds/botol Dosis 433

- Lentovet 100 ds/botol Dosis 706

- Orivet 100 ds/botol Dosis 2,773

Obat - obatan dan Vaksin

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 143

Page 164: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 3 4 52

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

- Gumbovet 1000 ds/botol Dosis 347

- Bursalvet 1000 ds/botol Dosis 426

- Hogsivet 20 ds/botol Dosis 4,508

- Aflufet (AI) 1000 ds/botol Dosis 433

- Rabisin 10 ds/botol Dosis 104,056

- Rabvak 10 ds/vial Dosis 27,747

- Vaksiflu 200 ds/botol Dosis 1,040

- Gallimune Flu 1000 ds/botol Dosis 1,733

Septivak 50 ds/botol Dosis 2,948

Kemavet 50 ds/botol Dosis 693

Medivak 100 ds/botol Dosis 1,213

C. Pakan Unggas

1.

- Starter Kg 9,558

- Grower Kg 9,456

- Layer Kg 9,488

2. Ayam Potong / Broiler

- Starter Kg 10,833

- Finiser Kg 10,992

1. Dedak Halus Kg 4,304

2. Jerami Kering terima ditempat Kg 738

3. Jagung Giling Kg 8,608

4. Rumput Gajah Stek 492

5. Rumput King Grass Stek 400

6. Rumput Brachiaria Humidicola Polibag 615

Ayam Petelur

D.Pakan Ternak/Bibit Rumput

STANDAR SATUAN HARGA BARANG/JASA KESEHATAN HEWAN PETERNAKAN Hal - 144

Page 165: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

OBAT OBATAN (E-CATALOG)

Page 166: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

III. KELOMPOK OBAT - OBATAN, BAHAN KIMIA DAN LABORATORIUM

A. OBAT - OBATAN (E-CATALOG)

1 2 3 4

1 AAFACT 1000 UI - Faktor VIII (Konsentrat) Serb Inj 1000 IU Dus 3,708,000

2 AAFACT 500 IU - Faktor VIII (Konsentrat) Serb Inj 500 IU/Vial+Pelarut 5 ml Dus 1,905,500

3 ACTATECAN - Irinotekan - inj 20 mg/mL Dus 818,850

4 ACTILYSE - Alteplase injeksi 50 mg/vial Vial (ampul) 4,248,750

5 ACTOPLATIN - Karboplatin inj 150 mg/15 mL Dus 189,263

6 ACTOPLATIN - Karboplatin inj 450 mg/45 mL Dus 440,711

7 ACTRAPID PENFILL - Human insulin short acting inj 100 UI/ml, penfill cartridge Unit 77,250

8 ACTRAPID VIAL - Human insulin short acting inj 100 UI/ml, vial Unit 147,805

9 ADALAT OROS 20 MG - Nifedipin tab 20 mg, slow release; oros Tablet 3,353

10 ADALAT OROS 30 MG - Nifedipin tab 30 mg, oros Tablet 3,945

11 AFOLAT - Asam Folat tablet 0,4 mg Tablet 70

12 AKILEN TETES TELINGA - Ofloksasin tets telinga 3% Botol 53,148

13 ALBAPURE 20 VIAL 100 ML Albumin serum normal (human albumin) inj 20% Vial 883,740

14ALBAPURE 20 VIAL 50 ML Albumin serum normal (human albumin) inj 20% vial

50 mlVial 421,476

15 ALBUMAN 100 ML - Albumin Serum Normal (Human Albumin) Inj 20% 100 ml Vial 883,740

16 ALBUMAN 50 ML - Albumin Serum Normal (Human Albumin) Inj 20% 50 ml Dus 421,476

17 ALBUMINAR 25 - Albumin serum normal (human albumin) injeksi 25%, 100 ml botol 1,545,000

18 ALKERAN - Melfalan Tablet 2 mg Tablet 12,236

19 ALPENTIN - Gabapentin kapsul 100 mg Kapsul 1,439

20 ALPRAZOLAM TABLET 0,5 MG - Alprazolam tablet/kapsul/kaplet 0,5 mg Tablet 148

21 ALPRAZOLAM TABLET 1 MG - Alprazolam tablet/kapsul/kaplet 1 mg Tablet 190

22 ALUVIA - Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg Tablet 6,798

23 AMINOFLUID - Larutan mengandung Asam Amino 1000 ml Bag 121,798

24 AMINOFLUID - Larutan mengandung Asam Amino 500 ml Bag 66,940

25AMINOFUSIN HEPAR - Larutan mengandung Asam Amino (Asam Amino 5%

dengan BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 btl 91,155

26AMINOFUSIN L600 - Larutan mengandung Asam Amino (Kombinasi AA 50 g/L,

Sorbitol 50 g/L, Xylitol 50 g/L, Vit C 0.4 g/L, Inositol 0.5 g/L, Niasinamida 0.06 g/L, btl 57,886

27AMINOFUSIN PAED - Larutan mengandung Asam Amino (Kombinasi Asam

amino 50 g/L, Vitamin dan elektrolit)btl 53,560

28 AMINOLEBAN - Larutan mengandung Asam Amino 500 ml Bag 73,233

29AMINOSTERIL INFANT 6% - Larutan mengandung Asam Amino (Asam Amino

6%, mengandung Taurine 0,24 gr/l, tidak mengandung Elektrolit)btl 44,754

30AMINOSTERIL N-HEPA - Larutan mengandung Asam Amino (Asam amino 8%) :

Asam amino spesifik untuk gangguan hati dengan konsentrasi tinggi BCAA 42%btl 73,645

NO KEMASAN HARGANAMA OBAT

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 145

Page 167: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

31 AMIPAREN - Larutan mengandung Asam Amino (aminparen injeksi) Bag 88,863

32 AMIPAREN - Larutan mengandung Asam Amino (aminparen injeksi) Bag 88,863

33 ANDRIOL TESTOCAPS - Testoteron soft capsul 40 mg Kapsul 6,386

34 ANZATAX 30MG/VIAL - Paklitaksel Inj 30mg/vial Vial 206,000

35APIDRA SOLOSTAR 100IU/ML 5PENS X3ML - Analog insulin rapid actinginj 100

UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glulisine 100 IU/ml)Solostar Pen 89,610

36 ARICEPT EVESS 10 MG Donepezil Tablet Effervesent 10 mg Tablet 12,860

37 ARIMIDEX 1 MG - Anastrozole 1 mg Tablet 35,947

38 ARIXTRA - Fondaparinuks inj 2,5 mg/0,5 ml vial 273,808

39 AROMASIN - Eksemestan 25mg Tablet 43,878

40 ARTEM - Artemether injeksi 80 mg/ml ampul 26,255

41 ARTESUNATE - Artesunate injeksi i.v./i.m. 60 mg/ml vial 44,187

42 ASERING - Asetat Ringer (Asering Plabot) Bag 9,553

43 ATIVAN 1 MG - Lorazepam tablet 1 mg Tablet 1,030

44 ATIVAN 2 MG - Lorazepam 2 mg Tablet 1,030

45 ATROVENT HFA - Ipratropium bromida anhidrous inhalasi 0.02 mg/dosis can 86,005

46ATROVENT SOLUTION FOR INHALATION 0.025% - Ipratropium bromida cairan

inhalasi 0,025%btl 100,940

47 AVAMYS - Flutikason furoat intranasal spray btl 106,090

48 AVASTIN - Bevasizumab injeksi 100mg/4ml vial 4,947,808

49 AVELOX INFUS - Moksifloksasin Infus 400mg/250ml btl 247,200

50 AVELOX TABLET - Moksifloksasin Tablet Tablet 31,415

51 AVODART - Dutasteride 0,5 mg Kapsul 7,983

52 AZITHROMYCIN 250 MG KAPLET OGB Azitromisin tablet 250 mg Kapsul 3,376

53 BANADOZ 100 - Sefpodoksim Proksetil 100 mg Tablet 4,378

54 BCG VACCINE (GS) - Vaksin BCG-GS ampul 61,749

55 BCG VACCINE (SII) - Vaksin BCG-SII ampul 61,749

56 BCG VACCINE SSI - Vaksin BCG inj i.k. 0,75 mg/mL + pelarut ampul 61,749

57 BEROTEC MDI - Fenoterol HBr aerosol 100 mcg/dosis can 82,400

58 BEROTEC SOLUTION - Fenoterol HBr solution 0,1% btl 129,523

59 BETABLOK - Atenolol 100 mg Tablet 827

60 BETAHISTINE TABLET 6MG - Betahistin tablet/kapsul/kaplet 6 mg Tablet 175

61 BETAM OPHTAL ED - Betametason tetes mata 1 mg/ml btl 25,859

62 BIOPREXUM 5 MG - Perindoprilarginin tab 5 mg Tablet 2,719

63 BIVALENT ORAL POLIOMYELITIS Vaksin Polio b-OPV 10 dosis vial 20,553

64 BLEOCIN - Bleomisin Serb Inj 15 mg/mL vial 355,350

65 BONDRONAT - Asam Ibandronat injeksi 6mg/6ml ampul 2,275,270

66 BONEFOS INFUS 60 MG / 5 ML - Dinatrium klodronat infus kons 60 mg/mL box 101,687

67BONESCAN KAEF - MDP (methylene diphosphonate) 1 mg methylene

diphosphonic acid/mLvial 604,095

68 BREXEL 20 MG - Dosetaksel inj 20 mg/0,5 mL vial 433,888

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 146

Page 168: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

69 BREXEL 80 MG - Dosetaksel inj 80 mg/2 mL vial 1,364,750

70 BRICASMA RESPULES - Terbutaline sulphate 2.5 mg/ml nebule 7,056

71 BRICASMA TURBUHALER 0,5 MG - Terbutalin sulfat 0.5 mg - 100 Dosis can 57,692

72 BRILINTA 90 MG - Ticagrelor 90 mg Tablet 7,725

73 BRONSOLVAN - Teofilin Tab 150 mg Tablet 319

74 BUFACETIN - Kloramfenikol salep kulit 2% tube 3,511

75 CA GLUCONAS 10 Kalsium Glukonat Injeksi i.v 10% (100mg/ml) ampul 10,254

76 CAMPTO - Irinotekan Inj 20mg/ml vial 435,854

77 CARDIOSCAN KAEF - MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial vial 1,390,500

78 CARDURA 1MG - Doksazosin mesilat 1mg Tablet 3,584

79 CARDURA 2MG - Doksazosin mesilat 2mg Tablet 5,644

80 CASODEX 150 MG - Bicalutamide 150 mg Tablet 81,370

81 CASODEX 50 MG - Bicalutamide 50 mg Tablet 50,470

82 CATAPRES INJEKSI - Klonidin HCl injeksi 150 mcg/mL ampul 33,578

83 CELLCEPT - Mikofenolat Mofetil 500mg Tablet 18,283

84 CENDO LYTEERS - CENDO LYTEERS 15ML btl 19,699

85 CENDO MYDRIATIL 1% - Cendo Mydriatil 1% btl 37,842

86 CERAZETTE - Desogestrel tablet 75 mcg Tablet 77,250

87 CERTICAN 0,25 MG TAB - Everolimus tab 0,25mg Tablet 12,167

88 CERTICAN 0,5 MG TAB - Everolimus tab 0,5mg Tablet 23,948

89 CETADOP 200 MG Dopamin Inj 40mg/ml ( Cetadop) Tablet 7,704

90 CHLORAMEX - Kloramfenikol kapsul 500 mg Tablet 1,190

91 CHLORPROMAZINE 100MG - Klorpromazin tablet salut 100 mg (HCl) Tablet 184

92 CISPLATIN - Cisplatin serb inj 10 mg vial 26,008

93 CISPLATIN - Cisplatin serb inj 50 mg vial 113,300

94CLINIMIX N9G15E - Larutan mengandung Asam Amino (Kombinasi Glukosa 75 gr

dan elektrolit + Asam Amino 28 gr )btl 231,750

95CLINIMIX N9G20E - Larutan mengandung Asam Amino (Kombinasi Glukosa 100

gr dan elektrolit + Asam Amino 28 gr )btl 236,900

96CLINOLEIC 20% - Larutan mengandung Lipid (Infus Emulsi Lipid LCT (Omega 9,

Omega 6), MCT - 20% 250 ml)btl 174,199

97 CLONAZEPAM 2MG - Klonazepam 2mg Tablet 4,893

98 CLOZAPINE 100 - Klozapin 100 mg Tablet 5,150

99 CLOZAPINE 25 - Klozapin 25 mg Tablet 1,597

100COFACT 250 IU - Faktor Koagulasi II (14-35 IU/ml), Faktor Koagulasi VII (7-20

IU/ml), Faktor Koagulasi IX (25 IU/ml), Faktor Koagulasi X (14-35 IU/ml)dus 2,245,606

101COFACT 500 IU/20 ML - Faktor Koagulasi II (14-35 IU/ml), Faktor Koagulasi VII (7-

20 IU/ml), Faktor Koagulasi IX (25 IU/ml), Faktor Koagulasi X (14-35 IU/ml)dus 4,645,300

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 147

Page 169: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

102

COMAFUSIN HEPAR - Larutan mengandung Asam Amino (Asam Amino 5%

dengan BCAA 50%, L-Ornithine L Aspartate 10 gr/L, Sorbito 50 gr/L, Xylitol 50

gr/L)

btl 84,203

103COMBIFLEX PERI (480 KCAL) - Larutan mengandung asam amino (kombinasi

glukosa & elektrolit 80 gram + asam amino 40 gr)btl 231,750

104COMBIVENT UDV - Kombinasi : Ipratropium bromida 0,5 mg Salbutamol 2,5 mg

cairan inhalasivial 5,145

105 CONCOR 2.5 - Bisoprolol tablet 2,5 mg Tablet 670

106 CURACIL - Fluorourasil inj 500 mg/ 5 mL vial 37,132

107 CYCLOVID 1000 MG - Siklofosfamid serbuk injeksi i.v. 1000 mg vial 234,531

108 CYCLOVID 200 MG - Siklofosfamid serbuk injeksi i.v. 200 mg vial 81,576

109 CYCLOVID 500 MG - Siklofosfamid serbuk injeksi i.v. 500 mg vial 127,463

110 CYMEVENE - Gansiklovir serbuk injeksi 500mg (50mg/ml) vial 458,350

111 CYTODROX - Hidroksi Urea kapsul 500 mg Kapsul 5,438

112 D5 + ½ NS SP Larutan karbohidrat +elektrolit (Glukosa 55 gram, Nacl 4,5 gram) Bag 9,682

113D5 + ¼ NS SP - Larutan Karbohidrat + elektrolit (Glukosa 55 gram, Nacl 2,25

gram)9350Bag 9,631

114 DACARBAZINE MEDAC 200 MG - Dakarbazin serb inj 200 mg/vial vial 283,250

115 DAUNOCIN - Daunorubisin serbuk injeksi 20 mg/vial vial 271,920

116 DBL CARBOPLATIN 150 MG - Karboplatin 150 mg / 15 ml vial 189,211

117 DBL CARBOPLATIN 450 MG - Karboplatin 450 mg / 45mL vial 440,711

118 DBL CYTARABINE INJECTION - Cytarabine 100mg/mL vial 602,550

119 DBL DACARBAZINE - Dacarbazine 200 mg/vial vial 283,250

120 DBL GEMCITABINE 1G - Gemcitabine HCI - Gemcitabine 1G/vial vial 824,000

121 DBL GEMCITABINE 200MG - Gemcitabine HCI - Gemcitabine 200mg vial 180,250

122 DBL GLICERYL TRINITRATE 50 MG/10 ML INJ. - Glyceryl Trinitrate 5mg/mL ampul 133,900

123 DBL OXALIPLATIN 100MG - Oxaliplatin 100mg vial 824,000

124 DBL OXALIPLATIN 50MG - Oxaliplatin 50mg vial 412,000

125 DENOMIX CREAM - Desoksimetason 0,25% tube 8,347

126 DEPAKENE - Valproat sirup 250 mg/5 ml btl 43,054

127 DEPAKOTE ER 250 MG - Valproat tab SR 250 mg btl 3,080

128 DEPAKOTE ER 500 MG - Valproat tab SR 500 mg btl 6,180

129 DEPAKOTE TAB 250 MG - Valproat tablet salut 250 mg Tablet 1,803

130 DEPONEO - Medroksiprogesteron asetat Injeksi Depo 150 mg/ml vial 7,256

131 DERMASOLON - Flucinolone Asetonide Salep 0.025 % tube 5,665

132 DESFERAL - Deferoksamin Mesilat Serbuk Injeksi 500mg vial 121,025

133 DIAMICRON MR 60 - Gliklazid tab MR 60mg Tablet 5,835

134 DIPEPTIVEN - Larutan mengandung Asam Amino (Glutamine 20gr) btl 236,797

135 DOCETAXEL - Dosetaksel inj 20 mg/0,5 mL dus 433,888

136 DOCETAXEL - Dosetaksel inj 80 mg/2 mL dus 1,364,750

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 148

Page 170: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

137 DOPAMET - Metildopa tablet salut 250 mg Tablet 1,031

138 DORNER - Beraprost Na Tablet 4,532

139 DULCOLAX SUPP ADULT 10MG Bisakodil suppositoria 10mg each 5,974

140 DULCOLAX SUPP INFANT - Bisakodil suppositoria 5 mg each 5,840

141 DUROGESIC 12,5 MU MATRIX - Fentanil patch 12,5 mcg/jam each 100,657

142 DUROGESIC 25 MU MATRIX - Fentanil patch 25 mcg/jam each 193,640

143 DUROGESIC 50 MU MATRIX - Fentanil patch 50 mcg/jam each 360,500

144 E-SOME - Esomeprazole inj 40mg vial 44,842

145EAS PFRIMER - Larutan mengandung Asam Amino (Asam Amino Esensial

7%+Xylitol 10 g/L+ Histidine)btl 54,590

146 ELOXATIN - Oksaliplatin serbuk injeksi 100 mg / vial vial 824,000

147 ELOXATIN - Oksaliplatin serbuk injeksi 50 mg / vial vial 412,000

148 EPEEDO Epirubisin - serb inj 50 mg/25mL vial 489,250

149 EPISINDAN - Epirubisin serb inj 10 mg/5 mL vial 107,094

150 EPISINDAN - Epirubisin serb inj 50 mg/25mL vial 489,250

151 EPOTREX 2000 IU - EPOTREX 2000 IU - Eritropoetin-alfa inj 2000 vial 113,300

152 EPREX 2000 - Eritropoetin-alfa inj 2000 Ul/ml vial 113,300

153 ERBITUX - Setuksimab infus 5 mg/ml vial 3,759,500

154 ESTHERO 0,625 MG Estrogen Konjugasi 0.625 mg blister 108,150

155 ETOPUL - Etoposid injeksi 20 mg/ml ampul 117,420

156 EUTHYROX 100 - Levotiroksin tablet/kapsul/kapsul 100 mcg Tablet 972

157 EUTHYROX 50 - Levotiroksin tablet/kaplet/kapsul 50 mcg Tablet 741

158 EXJADE 250 MG TAB - Deferasiroks tablet disp/eff 250mg Tablet 82,400

159 EXJADE 500 MG TAB - Deferasiroks tablet disp/eff 500mg Tablet 159,650

160 FARGOXIN INJ - Digoksin injeksi 0,25 mg/ml Tablet 28,546

161 FARMABES INJEKSI 25 MG - Diltiazem Injeksi 25 mg/5mL vial 56,650

162 FARNORMIN - Atenolol 50 mg Tablet 340

163 FARPRESIN - Vasopresin injeksi i.m/s.k 20 UI/ml vial 79,310

164 FARSORBID 10 MG - Issosorbid Dinitrat 10 mg Tablet 204

165 FARSORBID INJ - Isosorbid Dinitrat injeksi i.v 10 mg/10 ml vial 32,285

166 FEMAPLEX - Letrozol tablet 2,5 mg Tablet 9,270

167 FEMARA - Letrozol tablet/kaplet/kapsul 2,5 mg Tablet 9,270

168 FENITOIN INJEKSI 50 MG/ML - Fenitoin injeksi 50 mg/ml vial 21,483

169 FENOCIN - Fenoksimetil penisilin (penisilin V) tab 125 mg Tablet 305

170 FERRIPROX ORAL SOLUTION - Deperipron 250 ml btl 1,730,400

171 FERRIPROX ORAL SOLUTION - Deperipron 500 mL btl 3,450,500

172 FERRIPROX TABLET - Deperipron Tablet 33,990

173 FINPRO TABLET Finasterid 5 mg Tablet 2,153

174 FLAMICORT - Triamsinolon inj 10 mg/mL vial 84,666

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 149

Page 171: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

175 FLEET ENEMA - NATRIUM FOSFAT 133 ml btl 44,342

176 FLEET PHOSPHOSODA - Natrium Fosfat lar oral btl 39,655

177 FLIXOTIDE NBULES - Flutikason Propionat nebules 0,5 mg nebule 14,935

178 FLUDARA IV LYO - Fludarabin inj 50 mg vial 1,545,000

179 FLUDARA ORAL - Fludarabin tab 10 mg Tablet 339,900

180 FONKOGEM - Gemsitabine inj 1000mg/vial vial 824,000

181 FONKOGEM - Gemsitabine inj 200mg/vial vial 180,250

182 FONKOPAC - Paklitaksel inj 100mg/vial vial 515,000

183 FONKOPAC - Paklitaksel inj 300mg/vial vial 1,545,000

184 FONKOPAC - Paklitaksel inj 30mg/vial vial 206,000

185 FORANE 250 ML - Isofluran inhalasi botol 250 ml btl 693,040

186 FORTANEST Midazolam injeksi i.v. 1 mg/ml vial 5,824

187 FRESOFOL 1% MCT/LCT - Propofol injeksi i.v., bolus 1% vial 11,999

188 FRIDEP 50 MG - Sertralin tablet/kapsul/kaplet 50 mg Tablet 2,554

189 FUCILEX OINTMENT - Natrium fusidat salep 20 mg/g tube 6,693

190 FUKRICIN TM - natamisin 50 mg/ml btl 56,650

191 FUSYCOM CREAM - NATRIUM FUSIDAT 20 mg/g tube 6,466

192

FUTROLIT - Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi

kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ,

Asetat 38mEQ, Sorbitol 50g)

Bag 40,505

193 GADOVIST 5 MG - Gadobutrol macrocyclic 5 mg dus 300,760

194 GADOVIST 7,5 MG - Gadobutrol macrocyclic 7,5 mg dus 453,200

195 GAMARAAS - IMUNOGLOBULIN INTRAVENA INJ 250mg/50ml vial 2,344,177

196 GAVISTAL DROPS - Metoklopramid drop botol 10 mL btl 5,356

197 GELOFUSINE 4% - Modified fluid gelatine BM 30000 lar inf 4% btl 70,679

198 GEMCIKAL - Gemsitabin inj 1000 mg/vial vial 824,000

199 GEMCIKAL - Gemsitabin inj 200 mg/vial vial 180,250

200 GEMEDAC 1000 MG - Gemsitabin inj 1000 mg/vial vial 824,000

201 GEMEDAC 200 MG - Gemsitabin inj 200 mg/vial vial 180,250

202 GEMTAVIS - Gemsitabin inj 1000 mg/vial vial 824,000

203 GEMTAVIS - Gemsitabin inj 200 mg/vial vial 180,250

204 GENERIK INN - Air Untuk Injeksi (Aqua pro Injeks) 20 ml vial 2,379

205 GENERIK INN - Akarbose tablet/kaplet 100 mg Tablet 935

206 GENERIK INN - Akarbose tablet/kaplet 50 mg Tablet 677

207 GENERIK INN - Albendazol sup 200mg/5 ml (G) btl 4,559

208 GENERIK INN - Albendazol Tablet 400 Mg Tablet 333

209 GENERIK INN - Alopurinol tablet 100 mg Tablet 98

210 GENERIK INN - Alopurinol tablet 300 mg Tablet 251

211 GENERIK INN - Alprazolam tablet/kapsul/kaplet 0,25 mg Tablet 448

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 150

Page 172: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

212 GENERIK INN - Amikasin injeksi 250 mg/ml vial 30,591

213 GENERIK INN - Aminofilin inj 24 mg/ml vial 3,450

214 GENERIK INN - Amitriptiline tablet 25 mg Tablet 170

215 GENERIK INN - Amlodipin tablet 10 mg Tablet 168

216 GENERIK INN - Amlodipin tablet/kapsul/kaplet 5 mg Tablet 108

217 GENERIK INN - Amoksisilin kapsul/kaplet 250 mg Tablet 213

218 GENERIK INN - Amoksisilin kapsul/kaplet/tablet scored 500 mg Tablet 240

219 GENERIK INN - Amoksisilin sirup kering 125 mg/5 ml btl 2,266

220 GENERIK INN - Amoksisilin sirup kering forte 250 mg/5 ml btl 4,271

221 GENERIK INN - Antasida DOEN I tablet kunyah Tablet 66

222GENERIK INN - Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida

200 mg/5 ml, Magnesium Hidroksida 200 mg/ 5 ml.btl 2,169

223GENERIK INN - Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam

Salisilat 3% (Whitfield)unit 4,925

224GENERIK INN - Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen

2,5 mg lidokain 10 mg seng oksida 120 mgTablet 3,607

225 GENERIK INN - Asam asetilsalisilat (asetosal) Tablet 158

226 GENERIK INN - Asam Askorbat (Vitamin C) tablet 50 mg Tablet 124

227 GENERIK INN - Asam Askorbat (Vitamin C) tablet 50 mg Tablet 46

228 GENERIK INN - Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg Tablet 143

229 GENERIK INN - Asam Mefenamat kaplet 500 mg Tablet 116

230 GENERIK INN - Asam traneksamat injeksi 100 mg/ml vial 2,873

231 GENERIK INN - Asam traneksamat injeksi 50 mg/ml vial 2,612

232 GENERIK INN - Asiklovir 200 mg Tablet 280

233 GENERIK INN - Asiklovir tablet/kapsul/kaplet 400 mg Tablet 379

234 GENERIK INN - Atropin inj 0,25 mg / ml vial 1,722

235 GENERIK INN - Azitromisin tablet 500 mg Tablet 1,957

236 GENERIK INN - Bedak Salisil serbuk 2% box 1,098

237 GENERIK INN - BENZATIN PENISILIN 1,2 UI/ml vial 12,674

238 GENERIK INN - BENZATIN PENISILIN 2,4 UI/ml vial 17,175

239 GENERIK INN - Betametason krim0,1% (Sebagai Valerat) tube 1,478

240 GENERIK INN - Bisoprolol tablet 5 mg Tablet 411

241 GENERIK INN - Captopril 25mg Tablet 74

242 GENERIK INN - CARBOPLATIN 150 mg/15 mL Tablet 189,211

243 GENERIK INN - Carboplatin Inj 450 mg/45 mL vial 440,711

244 GENERIK INN - Deksametason injeksi i.v./i.m. 5 mg/ml vial 1,782

245 GENERIK INN - Deksametason tablet 0,5 mg Tablet 49

246 GENERIK INN - Desoksimetason krim 0,25% tube 11,845

247 GENERIK INN - Diazepam tablet/kapsul/kaplet 5 mg Tablet 138

248 GENERIK INN - Dietilkarbamazin tablet scored 100 mg Tablet 126

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 151

Page 173: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

249 GENERIK INN - Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) vial 1,396

250 GENERIK INN - Digoksin 0,25 mg Tablet 111

251 GENERIK INN - Diltiazem HCl tablet 30 mg Tablet 132

252 GENERIK INN - Doksisiklin tablet/kapsul/kaplet 100 mg Tablet 318

253 GENERIK INN - Domperidon suspensi/sirup 5 mg/5 ml btl 3,275

254 GENERIK INN - Domperidon tablet/kapsul/kaplet 10 mg Tablet 132

255 GENERIK INN - Domperidon tetes 5 mg/mL btl 18,477

256 GENERIK INN - Donepezil tablet 5 mg Tablet 2,574

257 GENERIK INN - Doxorubicin HCl 10 mg/vial vial 50,985

258 GENERIK INN - Doxorubicin HCl 50 mg/vial vial 260,590

259 GENERIK INN - Efavirens tablet salut 600 mg Tablet 7,551

260 GENERIK INN - Efedrin Inj 50mg/ml vial 11,319

261 GENERIK INN - Epinefrin (Adrenalin) inj i.v/s.k./i.m 1mg/ml (0,1%) vial 2,425

262 GENERIK INN - Epirubicin HCL 50 mg/25 mL vial 489,250

263 GENERIK INN - Epirubicin HCL 10 mg/5 mL vial 107,094

264 GENERIK INN - Eritromisin tablet/kapsul/kaplet 250 mg Tablet 671

265 GENERIK INN - Eritromisin kaplet 500mg kaplet 789

266 GENERIK INN - Eritromisin sirup kering 200 mg/ 5 ml btl 7,250

267 GENERIK INN - Etambutol tablet 250 mg (HCl) Tablet 408

268 GENERIK INN - Eugenol cairan btl 21,439

269 GENERIK INN - Fenitoin injeksi 50 mg/ml (100 mg/2 ml) vial 8,683

270 GENERIK INN - Fenitoin Kapsul/Kaplet 100 mg Tablet 159

271 GENERIK INN - Fenobarbital injeksi i.m./i.v. 50 mg/ml vial 2,333

272 GENERIK INN - Fenofibrat kaps 100 mg kapsul 1,105

273 GENERIK INN - Fenofibrat kaps 300 mg kapsul 1,342

274 GENERIK INN - Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml vial 155,530

275 GENERIK INN - Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml vial 412,000

276 GENERIK INN - Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg Tablet 824

277 GENERIK INN - Flukonazol injeksi 2 mg/ml vial 37,475

278 GENERIK INN - Flukonazol tablet/kapsul 150 mg Tablet 21,321

279 GENERIK INN - FLUOROURACIL INJ 50 MG/ML vial 24,926

280 GENERIK INN - Gabapentin 300 mg Tablet 1,688

281GENERIK INN - Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida

0,30 g + trinatrium sitrat 0,58 g + glukosa anhidrat 2,7 gsachet 282

282 GENERIK INN - Gemfibrozil tablet/kapsul/kaplet 300 mg Tablet 449

283 GENERIK INN - Gemfibrozil tablet/kapsul/kaplet 600 mg Tablet 879

284 GENERIK INN - Gentamisin injeksi 40 mg/ ml vial 3,651

285 GENERIK INN - Gentamisin tetes mata 0,3% btl 4,738

286 GENERIK INN - Glikuidon tab 30 mg Tablet 1,133

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 152

Page 174: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

287 GENERIK INN - Glimepiride 1 mg Tablet 227

288 GENERIK INN - Glimepiride 3 mg Tablet 329

289 GENERIK INN - Glimepiride 4 mg Tablet 340

290 GENERIK INN - Glimepiride tablet 2 mg Tablet 305

291 GENERIK INN - Glukosa larutan infus 10% btl 7,725

292 GENERIK INN - Glukosa larutan infus 5 % steril btl 7,107

293 GENERIK INN - Glukosa larutan infus 5 % steril btl 7,107

294 GENERIK INN - Haloperidol Tablet 0,5 mg Tablet 66

295 GENERIK INN - Haloperidol Tablet 1,5 mg Tablet 76

296 GENERIK INN - hidroklorotiazid tab 25 mg Tablet 176

297 GENERIK INN - Hidrokortison krim 1% tube 3,619

298 GENERIK INN - Hidrokortison krim 2,5 % tube 2,793

299 GENERIK INN - Ibuprofen 400 mg Tablet Tablet 137

300 GENERIK INN - Ibuprofen Suspensi 100 mg/5 ml btl 2,637

301 GENERIK INN - Ibuprofen tablet/kapsul/kaplet 200 mg Tablet 114

302 GENERIK INN - Irbesartan tablet 150 mg Tablet 729

303 GENERIK INN - Irbesartan tablet 300 mg Tablet 1,187

304 GENERIK INN - Isoniazid tablet/kapsul/kaplet 300 mg Tablet 182

305 GENERIK INN - Isoniazid tablet 100 mg Tablet 84

306 GENERIK INN - Issosorbid Dinitrat 5 mg Tablet 96

307 GENERIK INN - Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet 71

308 GENERIK INN - Kandesartan tab 16 mg Tablet 6,309

309 GENERIK INN - Kandesartan tab 8 mg Tablet 3,960

310 GENERIK INN - Kaptopril tablet/kaplet scored 12,5 mg Tablet 71

311 GENERIK INN - Kaptopril tablet/kapsul/kaplet 50 mg Tablet 147

312 GENERIK INN - Ketokonazol krim 2% tube 2,684

313 GENERIK INN - Ketorolak inj 30 mg/ml vial 1,425

314 GENERIK INN - Klindamisin tablet/kapsul/kaplet 150 mg Tablet 543

315 GENERIK INN - Klobazam tab 10 mg Tablet 1,154

316 GENERIK INN - Klomifen sitrat tablet 50 mg Tablet 1,269

317 GENERIK INN - Klonidin tablet 0,15 mg Tablet 143

318 GENERIK INN - Klopidogrel tablet 75 mg Tablet 2,163

319 GENERIK INN - Kloramfenikol salep mata 1 % tube 1,906

320 GENERIK INN - Kloramfenikol suspensi 125 mg/ 5 ml btl 4,120

321 GENERIK INN - Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet 46

322 GENERIK INN - Klorpromazin injeksi i.m. 25 mg/ml (HCl) vial 1,468

323 GENERIK INN - Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) vial 1,673

324 GENERIK INN - KLORPROMAZIN TAB SALUT 25 mg Tablet 175

325 GENERIK INN - Kodein tablet 10 mg Tablet 649

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 153

Page 175: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

326 GENERIK INN - Kodein tablet 15 mg Tablet 1,106

327 GENERIK INN - Kodein tablet 20 mg Tablet 1,432

328GENERIK INN - Kombinasi Injeksi Depot (G) : Medroksi progesteron asetat 25 mg

Estradiol sipionat 5 mgvial 6,532

329GENERIK INN - Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg

Etinilestradiol 30 mcgTablet 1,644

330GENERIK INN - Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi

:Sulfametoksazol 200 mg + Trimetoprim 40 mgbtl 2,292

331GENERIK INN - Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol

400 mg Trimetoprim 80 mgTablet 163

332GENERIK INN - Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg

trimetoprim 160 mgTablet 354

333 GENERIK INN - Kuinin tablet/kapsul/kaplet 200 mg (222 mg sebagai garam) (G) Tablet 759

334 GENERIK INN - Laktulosa sir 3,335 g/5 mL btl 14,935

335 GENERIK INN - Lamivudine tablet 150 mg Tablet 1,777

336 GENERIK INN - Levofloksasin inf 5 mg/mL btl 31,825

337 GENERIK INN - Levofloksasin tablet/kapsul/kaplet 500 mg Tablet 541

338 GENERIK INN - Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL ampul 2,186

339 GENERIK INN - Lidokain injeksi 2% (HCL) ampul 901

340 GENERIK INN - Lisinopril tablet/kapsul/kaplet 10 mg Tablet 500

341 GENERIK INN - Lisinopril tablet/kapsul/kaplet 5 mg Tablet 422

342 GENERIK INN - Loperamid tablet 2 mg Tablet 93

343 GENERIK INN - Loratadin tablet/kapsul/kaplet 10 mg Tablet 154

344 GENERIK INN - Manitol lar infus 20% btl 45,320

345 GENERIK INN - Meropenem serb inj 1000 mg vial 46,349

346 GENERIK INN - Meropenem serb inj 500 mg vial 36,462

347 GENERIK INN - Metadon sir 50mg/5ml btl 325,738

348 GENERIK INN - Metformin HCl tablet 850 mg Tablet 211

349 GENERIK INN - Metformin HCl tablet/kapsul/kaplet 500 mg Tablet 123

350 GENERIK INN - Methotrexate 50 mg Tablet 39,655

351 GENERIK INN - Metilergometrin inj 0,2 mg/ml Vial 2,765

352 GENERIK INN - Metilprednisolon inj 125 mg/mL Ampul 15,193

353 GENERIK INN - Metilprednisolon inj 500 mg/vial (G) Vial (Ampul) 76,931

354 GENERIK INN - Metilprednisolon Kaplet 16 mg Vial (Ampul) 694

355 GENERIK INN - Metilprednisolon Kaplet 8 mg Kaplet 337

356 GENERIK INN - Metilprednisolon tablet 4 mg Kaplet 215

357 GENERIK INN - Metoklopramid 10 mg Tablet 103

358 GENERIK INN - Metoklopramide tablet 5 mg Tablet 136

359 GENERIK INN - Metronidazol tablet 250 mg Tablet 101

360 GENERIK INN - Metronidazole sirup 125mg/ 5ml Tablet 3,914

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 154

Page 176: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

361 GENERIK INN - Metronidazole Tablet 500 mg Bottle 144

362 GENERIK INN - Mikonazol krim/salep 2 % (Nitrat) Tablet 3,849

363 GENERIK INN - Mometasone Furoate 0,1% Krim Tube 18,128

364 GENERIK INN - Morfin tablet 10 mg Tube 1,658

365 GENERIK INN - N-asetil sistein kapsul 200 mg Tablet 488

366 GENERIK INN - Nacl 0,9% Tablet 6,602

367 GENERIK INN - Natrium diklofenak tablet/kapsul/kaplet 25 mg Bottle 172

368 GENERIK INN - Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet 172

369 GENERIK INN - Nifedipin tablet 10 mg Tablet 127

370 GENERIK INN - Nikardipin inj 10 mg Tablet 45,902

371 GENERIK INN - Nistatin tablet/kaplet salut 500.000 IU/ g Ampul 883

372 GENERIK INN - Nistatin vaginal tablet 100.000 IU/ g Tablet 620

373 GENERIK INN - Obat Anti Tuberculosis FDC Kategori Anak Tablet 254,651

374 GENERIK INN - Obat Anti Tuberculosis FDC Kategori I Pack 426,404

375 GENERIK INN - Obat Anti Tuberculosis FDC Kategori II Pack 1,421,384

376 GENERIK INN - Obat Anti Tuberculosis FDC Kategori Sisipan Pack 189,504

377 GENERIK INN - Ofloksasin tablet/kapsul/kaplet 200 mg Pack 412

378 GENERIK INN - Ofloksasin tablet/kapsul/kaplet 400 mg Tablet 655

379 GENERIK INN - Omeprazol kapsul 20 mg Tablet 169

380 GENERIK INN - Omeprazole Injeksi 40mg / 10ml Capsule 19,093

381 GENERIK INN - Ondansetron tablet/kapsul/kaplet 4 mg Vial (Ampul) 558

382 GENERIK INN - Paclitaxel 100 mg/ vial Tablet 515,000

383 GENERIK INN - Paclitaxel 30 mg/ vial Vial (Ampul) 206,000

384 GENERIK INN - Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Vial (Ampul) 6,159

385 GENERIK INN - Parasetamol sirup 120 mg/ 5ml Bottle 1,153

386 GENERIK INN - Phenoksimetyl Penisilin tab 250 mg Bottle 415

387 GENERIK INN - Phenoksimetyl Penisilin TAB 500 mg Tablet 717

388 GENERIK INN - Phtomenadion (VIT K) inj i.m. 2 mg/ml Tablet 4,206

389 GENERIK INN - Pirantel tablet score (base) 125 mg Ampul 328

390 GENERIK INN - Pirazinamid tablet 500 mg Tablet 255

391 GENERIK INN - Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 54

392 GENERIK INN - Piridoksin (Vitamin B6) tablet 25 mg (HCl) Tablet 62

393 GENERIK INN - Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) Tablet 140

394 GENERIK INN - Povidon Iodida larutan 10% 60 ml Tablet 6,901

395 GENERIK INN - Pravastatin tablet 20 mg Bottle 2,663

396 GENERIK INN - PRIMAKUIN TABLET 15 mg Tablet 266

397 GENERIK INN - Prokain Benzilpenisilin serbuk injeksi 3 juta IU Tablet 10,205

398 GENERIK INN - Propanolol tablet 10 mg ( HCl ) Vial (Ampul) 71

399 GENERIK INN - Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet 330

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 155

Page 177: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

400 GENERIK INN - Ramipril tablet 2,5 mg Tablet 335

401 GENERIK INN - Ramipril tablet 5 mg Tablet 721

402 GENERIK INN - Ranitidin injeksi 25 mg/ml Tablet 1,648

403 GENERIK INN - Ranitidin tablet 150 mg Ampul 123

404 GENERIK INN - Retinol (Vitamin A) 100.000 IU Tablet 337

405 GENERIK INN - Rifampisin tablet/kapsul/kaplet 300 mg Capsule 809

406 GENERIK INN - Rifampisin tablet/kapsul/kaplet 450 mg Capsule 1,062

407 GENERIK INN - Rifampisin tablet/kapsul/kaplet 600 mg Kaplet 1,463

408 GENERIK INN - Ringer Laktat Kaplet 7,365

409 GENERIK INN - Risperidon 2 mg Bottle 510

410 GENERIK INN - Risperidon 3 mg Tablet 816

411 GENERIK INN - Risperidon tablet 1 mg Tablet 452

412 GENERIK INN - Salbutamol 2 mg (sebagai Sulfat Tablet 70

413 GENERIK INN - Salbutamol sirup Tablet 5,627

414 GENERIK INN - Salbutamol tablet 4 mg (sebagai Sulfat) Bottle 87

415 GENERIK INN - Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% Tablet 2,881

416 GENERIK INN - Sefadroksil Sirup Kering 125 mg/5ml Unit 4,888

417 GENERIK INN - Sefadroksil kapsul/kaplet 500 mg Bottle 574

418 GENERIK INN - Sefadroksil Sirup Kering 250 mg/5 ml Capsule 6,087

419 GENERIK INN - Sefaleksin kapsul 500 mg Bottle 739

420 GENERIK INN - Sefazolin serbuk injeksi 1 g/vial Kapsul 18,643

421 GENERIK INN - Sefepim serb inj 1000 mg Vial (Ampul) 39,435

422 GENERIK INN - Sefiksim kapsul/kaplet 100 mg Vial (Ampul) 669

423 GENERIK INN - Sefiksim sirup kering 100 mg/5 ml Capsule 7,921

424 GENERIK INN - Sefoperazon inj 1 g Bottle 26,059

425 GENERIK INN - Sefotaksim serb inj 1.000 mg Vial (Ampul) 5,045

426 GENERIK INN - Sefotaksim Serbuk Injeksi 500 mg Vial (Ampul) 6,680

427 GENERIK INN - Seftazidim serb inj 1.000 mg Vial (Ampul) 16,377

428 GENERIK INN - Setirizin kapsul 10 mg Vial (Ampul) 159

429 GENERIK INN - Setirizin sirup 5 mg/5 ml Capsule 3,039

430 GENERIK INN - Sianokobalamin (vitamin B12) injeksi 500 mcg Bottle 1,263

431 GENERIK INN - Simvastatin scored tablet 10 mg Ampul 139

432 GENERIK INN - Simvastatin tablet/kaplet/salut 20 mg Tablet 260

433 GENERIK INN - Siprofloksasin infus 2% Tablet 13,894

434 GENERIK INN - Siprofloksasin tab scored 500 mg Bottle 307

435 NGENERIK INN - spironolactone 25 mg Tablet 323

436 GENERIK INN - Spironolakton tablet 100 mg Tablet 904

437 GENERIK INN - STREPTOMISIN SERBUK INJ IV 1000 mg/ml Tablet 5,923

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 156

Page 178: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

438 GENERIK INN - Sukralfat susp 500 mg / 5 ml, 100 ml Vial (Ampul) 10,403

439 GENERIK INN - Tenofovir tab 300 mg Bottle 9,594

440 GENERIK INN - Tetrasiklin kapsul/kaplet 250 mg Tablet 179

441 GENERIK INN - Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet 339

442 GENERIK INN - Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) Capsule 94

443 GENERIK INN - Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet 100

444 GENERIK INN - URSODEOXYCHOLIC ACID 250 MG Tablet 4,038

445 GENERIK INN - Vaksin BCG Kering (BF) Capsule 61,749

446 GENERIK INN - Vaksin Campak inj s.k + pelarut Dose (dosis) 29,050

447 GENERIK INN - Vaksin Jerap Difteri Tetanus (DT) cairan inj i.m 40/15 lf per mL Dose (dosis) 18,332

448 GENERIK INN - Vaksin Jerap difteri tetanus (Td) cairan inj i.m 4/15 if per mL Dose (dosis) 16,995

449 GENERIK INN - Vaksin jerap tetanus (tetanus adsorbed toxoid / TT) inj (i.m.) Dose (dosis) 14,933

450GENERIK INN - Vaksin Meningitis Meningococcal polysacharide Group

A.C.Y.W135 Menivax ACYW - (untuk Kebutuhan Haji dan Umroh))Dose (dosis) 220,935

451 GENERIK INN - Vaksin polio t-OPV drops 10 dosis Vial (Ampul) 20,553

452 GENERIK INN - Vaksin polio t-OPV drops 20 dosis Dose (dosis) 35,859

453 GENERIK INN - Valsartan tab 160 mg Vial (Ampul) 2,781

454 GENERIK INN - Valsartan tab 80 mg Kaplet 1,854

455 GENERIK INN - Verapamil tablet 80 mg (HCl) Tablet 305

456 GENERIK INN - Vitamin B Kompleks tablet Tablet 51

457 GENERIK INN - Vitamin B Kompleks tablet Tablet 136

458 GENERIK INN - Warfarin Tablet 1 mg Tablet 1,008

459 GENERIK INN - Zidofudin 100 mg Tablet 2,014

460 GENERIK INN - Zidovudin 300 mg + Lamivudine 150 mg Tablet 4,383

461 GENERIK INN - Zinc Sir 10 mg/mL btl 16,972

462 GENERIK INN - Zinc tablet dispersible20 mg Tablet 610

463 GENOINT SALEP MATA - Gentamisin salep mata 0,3% tube 3,039

464 GLISERIN LAR 50% - Gliserin lar 50% btl 6,798

465GLIVEC - Imatinib Mesilat tab 100mg (Risk Sharing Berdasarkan SK Menkes

2015)Tablet 217,330

466 GLUCODEX - Gliklazid tab 80 mg Tablet 242

467 GRANOCYTE 34 1VL HSA FREE - Lenograstim inj 263 mcg/mL Vial (Ampul) 782,800

468 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 1000 UI Vial (Ampul) 3,708,000

469 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 230 -340 UI Vial (Ampul) 952,750

470 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 mL Vial (Ampul) 952,750

471 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 480 - 600 IU Vial (Ampul) 1,905,500

472 HAEMOCTIN - Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 mL Vial (Ampul) 1,905,500

473 HALDOL DECANOAS - Haloperidol inj 50 mg/ml Vial (Ampul) 100,425

474 HALOPERIDOL TABLET 5 MG - Haloperidol tablet/kapsul/kaplet 5 mg Tablet 101

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 157

Page 179: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

475 HALOTHANE - Halotan Inhalasi btl 813,700

476 HARNAL D - TAMSULOSIN HCI 0,2 mg Tablet 7,313

477 HARNAL OCAS - TAMSULOSIN HCI 0,4 mg Tablet 7,004

478 HEMAPO 10.000 IU - Eritropoetin-alfa inj 10000 UI/mL Vial (Ampul) 334,750

479 HEMAPO 3000 - Eritropoetin-alfa inj 3000 UI/mL Vial (Ampul) 144,149

480 HEPSERA - Adefovir Dipivoksil tablet/kaplet 10 mg Tablet 30,694

481 HERBESSER CD 100 - Diltiazem Kapsul SR 100mg -100 Kapsul 4,419

482 HERBESSER CD 200 - Diltiazem Kapsul SR 200mg -100 Kapsul 4,790

483 HERBESSER POWDER INJECTION 50MG - Diltiazem infus injeksi 50 mg Vial (Ampul) 152,955

484 HERCEPTIN - Trastuzumab serbuk injeksi 440 mg/vial injeksi 20,196,275

485 HOLOXAN INJEKSI 1000 - Ifosfamid serbuk injeksi 1000 mg/vial dos 1,455,905

486HUMALOG - Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin lispro (rDNA origin))dus 89,610

487 HUMALOG KWIKPEN - Analog Insulin Rapid Acting Inj 100 UI/ml dus 89,610

488

HUMALOG MIX 25 - Analog insulin mix insulininj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro protamine

suspension, (rDNA))

dus 108,150

489 HUMALOG MIX 25 KWIKPEN - Analog Insulin Mix Insulin Inj 100 UI/ml dus 113,300

490HUMAN ALBUMIN 20% BIOTEST Albumin serum normal (human albumin) inj

20% @50 mlbtl 421,476

491HUMAN ALBUMIN 20% BIOTEST Albumin serum normal (human albumin) inj

20%btl 883,740

492 HUMULIN 30/70 KWIKPEN - Human Insulin Mix Insulin Inj 100 UI/ml dus 82,194

493 HUMULIN N KWIKPEN - Human Insulin Intermediate Acting Inj 100 UI/ml dus 82,194

494 HUMULIN R KWIKPEN - Human Insulin Short Acting Inj 100 UI/ml dus 82,194

495HUMULIN R VIAL - Human insulin short acting inj 100 UI/ml, vial (Insulin human

Rapd)dus 147,805

496 HYDROMAL - Larutan mengandung Karbohidrat + Elektrolit bag 50,985

497 HYPERHEP B - Hepatitis B imunoglobulin (human) dus 1,339,000

498 HYTRIN 1 MG - Terazosin HCl tablet 1 mg Tablet 1,004

499 HYTRIN 2 MG - Terazosin HCl tablet 2 mg Tablet 1,468

500 ILIADIN DROPS - Oksimetazolin Tetes Hidung 0.025% btl 35,535

501 ILIADIN SPRAY - Oksimetazolin Tetes Hidung 0.050% btl 37,595

502 INFUSAN D5 (100 ML) - Larutan mengandung karbohidrat (Glukosa 5g/100 ml) bag 11,794

503 INFUSAN D5 (250 ML) Larutan mengandung Karbohidrat (Glukosa 12,5 g/250 ml) bag 11,742

504 INSULATARD PENFILL - Human insulin N acting inj 100 UI/ml,penfill cartridge unit 77,250

505 INSULATARD VIAL - Human insulin N acting inj 100 UI/ml, vial unit 147,805

506 INTERDOXIN 50 MG Doksisiklin 50 mg Tablet 1,586

507 INTRALIPID - Larutan mengandung Lipid (Infus Emulsi Lipid 20%) btl 74,155

508 INTRATECT Imunoglobulin intravena inj 250mg/50ml Vial (Ampul) 2,344,177

509 INVICLOT - Heparin injeksi i.v./s.k. 5000 UI/ml Vial (Ampul) 44,182

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 158

Page 180: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

510 IRESSA 250 MG - Gefitinib 250 mg Tablet 303,850

511 ISOPTIN 240 MG - Verapamil tab 240 mg Tablet 6,880

512 ISOTIC ADRETOR 0,25% - Timolol tetes mata 0,25% btl 10,985

513 ISOTIC ADRETOR 0,5% - Timolol tetes mata 0,5% btl 12,798

514 IVANES - Ketamin injeksi i.v. 100 mg/ml Vial (Ampul) 82,730

515 JURNISTA Hidromorfon HCL tablet oros 16 mg Tablet 51,500

516 JURNISTA Hidromorfon HCL tablet oros 8 mg Tablet 38,625

517 KA EN 1B - Larutan mengandung Elektrolit bag 9,551

518KA EN 3A - Larutan Karbohidrat+elektrolit(NaCl 2,34 Na Laktat 2,24, KCL 0,76,

Deskstrosa 27 gram)bag 10,352

519 KA ENMG 3 - Larutan mengandung Karbohidrat+Elektrolit bag 9,888

520

KABIVEN 1920 ML - Larutan mengandung Asam Amino (Kombinasi Asam Amino:

45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses

peripheral))

bag 317,240

521

KABIVEN 1920 ML - Larutan mengandung Asam Amino (Kombinasi Asam Amino:

45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses

peripheral))

bag 369,358

522 KALIPAR - Kalium aspartat tab 300 mg Tablet 711

523 KALITAKE - Kalsium Polistirena Sulfonat ktg 5 g Tablet 6,337

524 KARBAMAZEPIN KAPLET 200 MG - Karbamazepin tablet/kapsul/kaplet 200 mg Tablet 315

525 KARBOGLISERIN TETES TELINGA 10% - Karbogliserin tetes telinga 10% btl 2,575

526 KETAMIN HAMELN - Ketamin injeksi i.v. 50 mg/ml Vial (Ampul) 73,748

527 KIDMIN - Larutan mengandung Asam Amino 200 ml bag 50,697

528 KLINDAMISIN KAPSUL 300 MG - Klindamisin tablet/kapsul/kaplet 300 mg Tablet 680

529 KOATE 250 UI - Faktor VIII (konsentrat) serb inj 250 IU/vial + pelarut 5 ml Vial (Ampul) 952,750

530 KOATE DVI 1000 IU - Faktor VIII (konsentrat) serb inj 1000 IU + Pelarut 10 ml Vial (Ampul) 3,708,000

531KOATE DVI 230 - 340 IU - Faktor VIII (konsentrat) serb inj 230-340 IU + Pelarut 5

mlVial (Ampul) 952,750

532KOATE DVI 480 - 600 IU - Faktor VIII (konsentrat) serb inj 480 - 600 IU+ Pelarut 5

mlVial (Ampul) 1,905,500

533 KOATE DVI 500 IU - Faktor VIII (konsentrat) serb inj 500 IU + Pelarut 5 ml Vial (Ampul) 1,905,500

534 KOATE DVI 500 IU - Faktor VIII (konsentrat) serb inj 500 IU + Pelarut 5 ml Vial (Ampul) 1,905,500

535 KSR - Kalium Klorida tablet SR 600 mg Tablet 1,751

536 LANSOPRAZOLE 30 MG OGB Lansoprazole 30 mg Tablet 351

537LANTUS SOLOSTAR 100IU/ML 5PENS X3ML - Analog insulin long acting inj 100

UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glargine 100 IU/ml)Solostar pen 87,550

538 LETRAZ - Letrozol tablet 2.5 mg Tablet 9,270

539 LEUCOGEN - Filgastrim Inj. 300 mg Vial (Ampul) 334,745

540 LEUNASE - Asparaginase serbuk injeksi 10.000 UI/vial Vial (Ampul) 1,210,250

541 LEVEMIR FLEXPEN - Analog insulin long acting inj 100 UI/ml, (flexpen @ 3ml) unit 87,550

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 159

Page 181: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

542LEVOPAR TABLET - Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg

Levodopa 100 mgTablet 1,391

543 LEXAPRAM SIRUP - Metoklopramide sirup 5 mg/ 5 ml btl 2,833

544 LEZRA - Letrozole 2,5 mg Tablet 9,270

545LIPOFUNDIN MCT/LCT 1% 100 - Larutan mengandung lipid (infus lipid emulsi

MCT/LCT 20% 100 ml)btl 73,645

546 LIPOMED 250 ML Larutan mengandung lipid btl 174,199

547 LODOMER 2 - Haloperidol tablet 2 mg Tablet 118

548 LODOMER DROPS - Haloperidol tts 2 mg/mL btl 19,054

549 LODOMER INJEKSI - Haloperidol injeksi i.m 5 mg/ml Vial (Ampul) 5,498

550 LOVENOX 2000 ANTI-XA - Enoksaparin sodium inj 20 mg/0,2 mLSyringe

(Suntikan) 49,440

551 LOVENOX 4000 ANTI-XA - Enoksaparin sodium inj 40 mg/0,4 mLSyringe

(Suntikan) 87,550

552 LOVENOX 6000 ANTI-XA - Enoksaparin sodium inj 60 mg/0,6 mLSyringe

(Suntikan) 121,025

553 MABTHERA 100MG/10ML - Rituksimab injeksi 100mg/10ml Vial (Ampul) 3,259,749

554 MABTHERA 500MG/50ML - Rituksimab injeksi 500mg/50ml Vial (Ampul) 16,298,747

555 MARTOS - Larutan mengandung Karbohidrat bag 32,033

556 MELAVITA Asam retinoat krim 0,1% tube 10,043

557 MEPTIN INHALATION SOLUTION 0.3 ML - Prokaterol cairan ih 30 mcg ampul 6,386

558 MEPTIN INHALATION SOLUTION 0.5 ML - Prokaterol cairan ih 50 mcg ampul 6,386

559 MEPTIN SWINGHALER - Prokaterol serbuk inhaler 10 mcg can 88,838

560 MESTINON - Piridostigmin Tablet 7,670

561 METHOTREXATE EBEWE - Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg Vial (Ampul) 23,929

562 MEYLON - Natrium Bikarbonat Injeksi i.v 8,4% Vial (Ampul) 6,386

563 MICARDIS 40MG - Telmisartan tab 40mg Tablet 4,017

564 MICARDIS 80MG - Telmisartan tab 80 mg Tablet 6,695

565MICROBAR FOR ENEMA - Barium Sulfat serb 92 g/100 g (Disposable Plastic Bag

@ 400g)dus 317,446

566 MICROBAR POWDER - Barium Sulfat serb 92 g/100 gr (botol plastik @ 3.500 g) btl 728,468

567 MIDAZOLAM HAMELN - MIDAZOLAM INJEKSI i.v 5 mg/ml Vial (Ampul) 10,061

568 MINIASPI 80 - Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Tablet 127

569MIXTARD PENFILL - Human insulin mix insulin inj 100 UI/ml, penfill cartridge

(Premix: 30% Soluble + 70 % NPH Insulin)unit 77,250

570MIXTARD VIAL - Human insulin mix insulin inj 100 UI/ml, vial (Premix: 30%

Soluble + 70 % NPH Insulin)unit 147,805

571 MOLASMA TABLET - Terbutalin tablet 2,5 mg Tablet 91

572 MST CONTINUS 10 MG - Morfin HCL tablet SR 10 mg Tablet 16,089

573 MST CONTINUS 15 MG - Morfin HCL tablet SR 15 mg Tablet 23,680

574 MST CONTINUS 30 MG - Morfin HCL tablet SR 30 mg Tablet 42,714

575 MYCAMINE - micafungin Vial (Ampul) 329,600

576 MYCORINE POWDER - Mikonazole serbuk 2% btl 30,529

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 160

Page 182: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

577 N-ACE CAIRAN INHALASI - N-asetil sistein inj. nebules 100 mg ampul 13,617

578 NAPRODOX Doksorubisin - serb inj 10 mg/vial (i.v.) Vial (Ampul) 50,985

579 NAPRODOX INJ. 50 MG - Doksorubisin serbuk injeksi i.v. 50 mg/vial Vial (Ampul) 260,590

580 NAPROTAX Paklitaksel - inj 30 mg/vial Vial (Ampul) 206,000

581 NASACORT AQ - Triamsinolon asetonid nasal spray 55 mcg/puff btl 109,953

582 NAVELBINE INJEKSI 10 - Vinorelbin inj. 10 mg/ml Vial (Ampul) 1,266,898

583 NEFROFER - Low molecule feri sucrose inj amp 100 mg/5 mL Vial (Ampul) 45,320

584 NEOSTIGMIN HAMELN INJ - Neostigmine-hameln 0,5 mg/ml Vial (Ampul) 9,342

585NEPHROSTERIL - Larutan mengandung Asam Amino (Asam Amino 7%,

Komposisi: Asam Amino esensial: Asam Amino non esensial = 60 : 40)btl 52,504

586 NERILON KRIM Diflukortolon Valerat Salep Berlemak 0,1% tube 12,618

587 NEW ANTIDES - Attapulgite 600 mg tablet Tablet 178

588 NIFLEC polietilen glikol sachet 126,896

589 NIMOTOP INFUS - Nimodipine Infus btl 119,980

590 NIMOTOP TABLET - Nimodipine Tablet Tablet 3,476

591 NITRAL - Gliseril trinitrat tab sublingual 0,5 mg Tablet 1,700

592 NITROKAF FORTE - Gliseril trinitrat kaps SR 5 mg Kapsul 2,737

593 NITROKAF RETARD - Gliseril trinitrat kaps SR 2,5 mg Kapsul 1,777

594 NOKOBA - Naloksone injeksi 0,4 mg/ml Vial (Ampul) 81,370

595 NONAFACT 1000 IU - Faktor IX Kompleks Serb Inj 1000 IU/Vial+Pelarut 10 ml dus 9,154,640

596 NONAFACT 500 IU - Faktor IX Kompleks Serb Inj 500 IU/Vial+Pelarut 5 ml dus 4,758,600

597 NORESTIL NORESTIL Tablet 2,039

598 NOTRIXUM INJ 2,5 ML - Atrakurium injeksi 25 mg/2,5 ml Vial (Ampul) 13,792

599NOVOMIX FLEXPEN - Analog insulin mix acting inj 100 UI/ml (Premix 30% Insulin

Aspart + 70% Protaminated Insulin Aspart)unit 113,300

600NOVORAPID FLEXPEN - Analog insulin rapid acting inj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin Aspart)unit 89,610

601 NOVORAPID VIAL - Analog insulin rapid acting inj 10ml, vial (Insulin Aspart) unit 221,445

602 NOVOSEVEN - Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi dosis 10,042,493

603

51000000-OBT-000060176

NUTRIFLEX LIPID PERI 1250 - Larutan mengandung asam amino (kombinasi

glukosa & elektrolit 80 gram + asam amino 40 gr + lipid MCT/LCT 50 gr )

btl 484,100

604

NUTRIFLEX LIPID SPECIAL 1250 - Larutan mengandung asam amino (kombinasi

glukosa & elektrolit 180 gram + asam amino 71.8 gr + lipid 50 gr dgn akses

sentral)

btl 576,800

605

NUTRIFLEX LIPID SPECIAL 625 - Larutan mengandung asam amino (kombinasi

glukosa & elektrolit 90 gram + asam amino 35.9 gr dan Lipid 25 gr dgn akses

sentral)

btl 350,200

606OBAT ANTI MALARIA DIHYDROARTEMISININ 40MG PIPERAQUINE

PHOSPATE 320MG - Obat Anti MalariaTablet 3,603

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 161

Page 183: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

607 OBUCORT SWINGHALER - Budesonid inhaler 200 mcg/puff, 200 dosis can 109,180

608 OCTALBIN 25% - Albumin serum normal (human albumin) inj 25% 100 ml btl 1,545,000

609 OCTALBIN 25% - Albumin serum normal (human albumin)inj 25% 50 ml btl 772,500

610 OCTALBIN 5 % - Albumin serum Normal (human albumin) 5%, 250 mL btl 927,000

611 OCTIDE - Octreotide 0.1 mg/m ampul 61,800

612 OCUFLAM ED - Fluorometolon tetes mata 0,1 % btl 31,408

613 OMNISCAN - Gadodiamid Inj 287mg/ml Vial (Ampul) 298,700

614 ONBREZ BREEZHALER 150MCG Indacaterol Serb ih 150mcg Kapsul 12,103

615 ONBREZ BREEZHALER 300MCG Indakaterol serbuk ih 300mcg Kapsul 12,103

616 ONDANSETRON 4 MG INJ 2 ML Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) ampul 1,700

617 ONDANSETRON TAB OGB Ondansetron 8 mg Tablet Tablet 340

618 ONZAPIN - Olanzapin tablet salut 10 mg Tablet 7,206

619 ONZAPIN - Olanzapin tablet salut 5 mg Tablet 4,634

620 OPTIFLOX - Levofloksasin tts mata 0,5% btl 17,505

621 ORIXAL - Klaritromisin Kaplet 500 mg Kaplet 3,241

622 OTSU - KCL 7,46% - Klarium Clorida7,46% 25 ml ampul 3,192

623 OTSU SWI 25 ML - Air untuk Injeksi 25 ml ampul 2,833

624 OTSU-MGSO4 20 - Magnesium sulfat injeksi 20% ampul 3,296

625 OTSU-MGSO4 20 - Magnesium sulfat injeksi 20% ampul 3,296

626 OTSU-MGSO4 40 - Magnesium sulfat injeksi 40% ampul 3,760

627 OXALIPLATIN MEDAC 100 MG - Oksaliplatin serb inj 100 mg/vial Vial (Ampul) 824,000

628 OXALIPLATIN MEDAC 50 MG - Oksaliplatin serb inj 50 mg/vial Vial (Ampul) 412,000

629 OXTERCID 750 INJ Sefuroksim Serbuk Injeksi 750 mg Vial (Ampul) 42,827

630 OXYTOCIN INJLQ 10 IU Oksitosin inj 10 UI/ml Vial (Ampul) 1,957

631 PACLIMEDAC 100 MG - Paklitaksel inj 100 mg/vial Vial (Ampul) 515,000

632 PACLIMEDAC 30 MG - Paklitaksel inj 30 mg/vial Vial (Ampul) 206,000

633 PACLIMEDAC 300 MG - Paklitaksel inj 300 mg/vial Vial (Ampul) 1,545,000

634 PAN-AMIN G - Larutan mengandung Asam Amino (pan amin-g) bag 47,329

635 PAN-AMIN G - Larutan mengandung Asam Amino (pan amin-g) bag 47,329

636 PANTOCAIN 0.5% - PANTOCAIN 0.5% btl 11,845

637 PARASETAMOL KAPLET 500 MG - Parasetamol tablet/kapsul/kaplet 500 mg Tablet 60

638 PATANOL - Olopatadin tts mata 0,1% btl 74,675

639 PEGASYS - Pegylated interferon alfa-2a injeksi 135mcg/0,5mlPrefilled

Syringe/PFS 1,110,149

640 PEGASYS - Pegylated interferon alfa-2a injeksi 180mcg/0,5mlPrefilled

Syringe/PFS 1,285,440

641 PEGINTRON - Pegylated Interferon alfa-2b serb inj 50 mcg unit 1,060,900

642 PEGINTRON PEN 120 MCG - Pegylated Interferon alfa-2b serb inj 120 mcg unit 1,442,000

643 PEGINTRON VIAL 100 MCG - Pegylated Interferon alfa-2b serb inj 100 mcg unit 1,236,000

644 PEGINTRON VIAL 80 MCG - Pegylated Interferon alfa-2b serb inj 80 mcg unit 1,184,500

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 162

Page 184: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

645 PENTABIO - Vaksin DTP-HB-Hib dosis 78,574

646PLASBUMIN 25% 100 ML - Albumin serum normal (human albumin) injeksi 25%,

100 mlbtl 1,545,000

647PLASBUMIN 25% 20 ML - Albumin serum normal (human albumin) injeksi 25%,

20 mlbtl 384,190

648PLASBUMIN 25% 50 ML - Albumin serum normal (human albumin) injeksi 25%,

50 mlbtl 772,500

649PLASBUMIN 5% 250 ML - Albumin serum normal (human albumin) injeksi 5% 250

mlbtl 927,000

650PLASBUMIN 5% 50 ML - Albumin serum normal (human albumin) injeksi 5% 50

mlbtl 291,490

651PLASBUMIN 5% 50 ML - Albumin serum normal (human albumin) injeksi 5% 50

mlbtl 291,490

652 PLASMANATE - Fraksi protein plasma lar inf 5% dus 947,600

653 PLAXAT - Oksaliplatin serb inj 100 mg/vial dus 824,000

654 PLAXAT - Oksaliplatin serb inj 50 mg/vial dus 412,000

655 PRADAXA - Dabigatran eteksilat kapsul 110 mg Kapsul 14,678

656 PRADAXA - Dabigatran eteksilat kapsul 75 mg Kapsul 14,678

657 PRESTIN - Fluoksetin kapsul 20 mg Kapsul 263

658 PRIMOVIST - Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL dus 2,801,600

659 PROBENID - Probenesid tablet/kapsul/kaplet 500 mg Tablet 2,106

660 PROGRAF - TACROLIMUS 0,5 MG Kapsul 13,236

661 PROGRAF - TACROLIMUS 1 MG Kapsul 26,574

662 PROHIPER 10 MG - Metilfenidat tablet 10 mg Tablet 1,710

663 PROSOGAN INJ. - Lansoprazol Inj 30 mg/ml Vial (Ampul) 91,155

664 PROVERA 100MG - Medroksi Progesteron Asetat 100 mg Tablet 6,309

665 PROVERA 10MG Medroksi Progesteron Asetat 10 mg Tablet 2,598

666 PULMICORT RESPULES - Budesonide 0.25 mg/ml can 10,017

667 PULMICORT TURBUHALER - Budesonide Turbuhaler 200 mcg 100 Dosis can 104,030

668 RABIPUR - Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster Vial (Ampul) 80,855

669 RECANSA 10 Rosuvastatin Calcium ~ Rosuvastatin 10 mg Tablet 1,854

670 RECOLFAR - Kolkisin tablet 500 mcg Tablet 4,187

671 RECORMON - Eritropoetin-beta injeksi 2000 UI/0,3ml Vial (Ampul) 132,355

672RENALSCAN KAEF - DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg

pentetate calcium trisodium/mLVial (Ampul) 587,100

673 REQUIP PD 24 HOUR 2 MG - Ropinirol Tablet lepas lambat 2 mg Tablet 5,923

674 REQUIP PD 24 HOUR 4 MG - Ropinirol Tablet lepas lambat 4 mg Tablet 7,056

675 REQUIP PD 24 HOUR 8 MG - Ropinirol Tablet lepas lambat 8 mg Tablet 8,240

676 REXTA - Oksaliplatin serb inj 50 mg/vial Vial (Ampul) 412,000

677

RINGERFUNDIN 500 ML - Larutan mengandung Elektrolit (Tiap 1L mengandung :

NaCl 145 mmol/l, KCl 4.0 mmol/l, Ca 2.5 mmol/l, Mg 1.0 mmol/l, Cl 118 mmol/l,

Acetate 24 mmol/l, Malate 5.0 mmol/l)

btl 11,330

678 RITALIN LA - Metilfenidat kapsul LA 20 mg Kapsul 7,674

679 SALBRON - Salbutamol sirup 2mg/5ml btl 11,840

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 163

Page 185: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

680 SANDEPRIL 50 - Maprotilin HCl tab 50 mg Tablet 2,653

681 SANDIMMUN NEORAL 100MG KAP - Siklosporin kaps 100 mg Kapsul 43,775

682 SANDIMMUN NEORAL 25MG KAP - Siklosporin kapsul lunak 25 mg Kapsul 12,154

683 SANDOSTATIN LAR - Oktreotid 10 mg Prefilled Syringe/PFS 3,064,250

684SANSULIN N - Human insulin intermediate acting inj 100 UI/ml,penfill cartridge

(Insulin human Basal)dus 77,250

685SANSULIN R - Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin

human Rapd)dus 77,250

686 SCABIMITE CREAM 10 - Permetrin krim 5% tube 12,520

687 SEBIVO 600 MG TAB - Telbivudin tab 600 mg Tablet 29,149

688SERETIDE DISKUS 100 MCG - Kombinasi: Salmeterol 50 mcg; Flutikason

propionat 100 mcgDiskus 114,245

689SERETIDE DISKUS 250 MCG - Kombinasi: Salmeterol 50 mcg; Flutikason

propionat 250 mcgDiskus 128,407

690SERETIDE DISKUS 500 MCG Salmeterol 50 mcg + Flutikason Propionate 500

mcgDiskus 127,666

691SERETIDE INHALER 50 MCG - Kombinasi: Salmeterol 25 mcg; Flutikason

propionat 50 mcgcan 59,740

692 SEROQUEL XR 200 MG - Quetiapine 200 mg Tablet 19,570

693 SEROQUEL XR 300 MG - Quetiapine 300 mg Tablet 21,115

694 SEROQUEL XR 400 MG - Quetiapine 400 mg Tablet 25,647

695 SEVORANE 250 ML - Sevorane btl 1,237,885

696 SIFROL ER 0,375MG - Pramipeksol tab ER 0,375 mg Tablet 8,240

697 SIFROL ER 0,750MG - Pramipeksol tab ER 0,750 mg Tablet 13,081

698 SIKZONOATE INJEKSI - Flufenazin injeksi i.m. 25 mg/ml Vial (Ampul) 59,225

699 SIMARC 2 - Warfarin tablet 2 mg Tablet 979

700 SINDAXEL 100 MG/16,67 ML - Paklitaksel inj 100 mg/vial dus 515,000

701 SINDAXEL 30 MG/5 ML - Paklitaksel injeksi 30 mg/vial Vial (Ampul) 206,000

702 SINDROXOCIN - Doksorubisin serbuk injeksi i.v. 10 mg/vial Vial (Ampul) 50,985

703 SINDROXOCIN - Doksorubisin serbuk injeksi i.v. 50 mg/vial Vial (Ampul) 260,590

704SMOFLIPID 20% Larutan mengandung Lipid ( Kombinasi seimbang dari 4 jenis

lipid : Fish Oil 15%, Soy bean oil 30%, MCT/LCT 30%, Olive Oil 25% )btl 73,645

705 SOFT U DERM - Urea Cream 10% tube 7,092

706SOLUVIT N Larutan mengandung Lipid ( Vitamin larut air : B komplek dan Vitamin

C ) kombinasi dengan vitamin larut lemak untuk bayi, anak dan dewasaVial (Ampul) 63,335

707 SPICA SPINAL 0.5% HEAVY - Bupivakain inj 0,50% (P.V) ampul 14,451

708 SPIRIVA 10S + HANDIHALER - Tiotropium serbuk inhalasi 18 mcg + handihaller dus 166,860

709SPIRIVA POWDER FOR INHALATION 18MCG 30S - Tiotropium 18 mcg serbuk

inhalasi refillKapsul 15,193

710 STALEVO - Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg Tablet 9,064

711 STESOLID - Diazepam larutan rektal 10 mg/2,5 mL tube 19,012

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 164

Page 186: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

712 STESOLID - Diazepam larutan rektal 5 mg/2,5 mL tube 13,132

713 STOLAX SUPP - Bisakodil suppositoria 10 mg box 6,226

714SUFENTANYL INJEKSI IV.EPIDURAL 5 MCG / ML - Sufentanil injeksi iv, epidural

5 mcg/mlampul 164,800

715 SUPRAFENID Ketoprofen supositoria 100 mg Suppositoria 2,873

716 SURVANTA - Beractant injeksi / suspensi 25 mg/mL Vial (Ampul) 3,553,500

717 SYMBICORT 80/4.5 MCG - Budesonide Formoterol 80/4.5 mcg 60 Dosis can 124,630

718SYMBICORT TURBUHALER 160/4.5 MCG - Budesonide - Formoterol 160/4.5

mcg 120 dosiscan 138,535

719SYMBICORT TURBUHALER 160/4.5 MCG - Budesonide - Formoterol 160/4.5

mcg 60 Dosiscan 124,630

720 SYNARCUS - Flusinolon asetonid krim 0,025% tube 2,587

721 TABAS SIRUP - Terbutaline sulfat 1,5 mg/5ml btl 8,395

722 TACEEDO Dosetaksel - inj 20 mg/0,5 mL Vial (Ampul) 433,888

723 TACEEDO Dosetaksel - inj 80 mg/2 mL Vial (Ampul) 1,364,750

724 TANAPRESS 10MG - Imidapril tab 10mg -100 Tablet 4,691

725 TANAPRESS 5MG - Imidapril tab 5mg -100 Tablet 2,515

726 TAPROS 1.88MG - Leuprorelin Asetat 1.88 mg Vial (Ampul) 772,500

727 TAPROS 3.75 MG - Tapros 3,75 mg Vial (Ampul) 643,750

728 TAPROS 3M - Leuprorelin Asetat 11.25 mg Vial (Ampul) 3,003,480

729 TARCEVA 100 MG - Erlotinib 100mg Tablet 607,700

730 TARCEVA 150 MG - Erlotinib 150mg Tablet 607,700

731 TARIVID OTIC SOLUTION - Ofloksasin tets telinga 3% btl 46,442

732 TASIGNA - Nilotinib kapsul 150mg (Risk Sharing berdasrkan SK Menkes 2015) Kapsul 217,330

733 TASIGNA - Nilotinib kapsul 200mg (Risk Sharing Berdasarkan SK Menkes 2015) Kapsul 392,301

734 TEMIRAL EYE OINT - Asiklovir salep mata 3% tube 25,493

735 TEMODAL - Temozolamid kaps 100 mg Kapsul 1,184,500

736 TEMODAL - Temozolamid kaps 20 mg Kapsul 231,750

737 TERRELL - Isofluran inhalasi botol 100 ml btl 350,092

738 TETAGAM - Human tetanus imunoglobulinn injeksi i.m. 250 UI Vial (Ampul) 175,100

739 THYROZOL 10 - Tiamazol tab 10 mg Tablet 1,231

740 THYROZOL 5 - Tiamazol tab 5 mg Tablet 628

741 TIARYT INJEKSI - Amidarone Injeksi 150mg/3 mL Vial (Ampul) 13,596

742 TIARYT TAB - Amiadarone Tablet 200 mg Tablet 1,337

743 TOPAMAX Topiramat tablet 100 mg Tablet 9,759

744 TOPAMAX Topiramat tablet 25 mg Tablet 4,069

745 TOPAMAX Topiramat tablet 50 mg Tablet 6,159

746TOTILAC - Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L,

Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)btl 92,700

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 165

Page 187: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

747 TRAMADOL INJEKSI 50 MG/ML - Tramadol injeksi 50 mg/ml ampul 2,044

748 TRAVATAN - Travoprost tetes mata 0,004% btl 82,400

749TRIOFUSIN 1600 - Larutan mengandung Karbohidrat 40% (Fructose 200 g,

Glucose 110 g, Xylitol 100 g/ L)btl 98,108

750TRIOFUSIN 500 - Larutan mengandung Karbohidrat 12% (Fructose 60 g, Glucose

33 g, Xylitol 30 g/ L)btl 48,410

751TRIOFUSIN E1000 - Larutan mengandung Karbohidrat 24% (Fructose 120 g,

Glucose 66 g, Xylitol 60 g/ L + elektrolit)btl 59,483

752TUTOFUSIN OPS - Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K,

Cl, Ca, Mg, Sorbitol 50 gr/L)btl 40,505

753 TYKERB - Lapatinib tab 250 mg Tablet 74,778

754 ULSIDEX - Sukralfat tab 500 mg Tablet 379

755 ULTRAVIST 300/100 MG - Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml) dus 288,400

756 ULTRAVIST 300/50 MG - Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml) dus 145,776

757 ULTRAVIST 370/100 MG - Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml) dus 350,200

758 ULTRAVIST 370/50 MG - Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml) dus 175,615

759 URINTER Asam Pipemidat 400 mg Kapsul 1,530

760 UROMITEXAN INJEKSI. - Mesna inj 100 mg/mL ampul 82,856

761 UROTRACTIN 400 MG - Asam pipemidat kapsul 400 mg Kapsul 1,869

762 VAGIZOL - Metronidazol ovula 500 mg each 4,856

763 VALCYTE - Valgansiklovir tablet 450mg Tablet 175,100

764 VANCEP - Vankomisin serbuk injeksi 500 mg Vial (Ampul) 125,655

765 VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebule 4,120

766 VENTOLIN ROTACAPS - Salbutamol serb inh 200 mcg/kaps Kapsul 464

767 VENTOLIN ROTAHALER - Ventolin Rotahaler dus 6,747

768 VERMOX 500 - Mebendazole Tablet 500 mg Tablet 9,064

769 VIGAMOX - Moksifloksasin tetes mata 0,5% botol 83,430

770 VINCRISTINE KALBE - Vinkristin ser inj 1 mg (iv)) vial/ampul 49,955

771 VINCRISTINE KALBE - Vinkristin serb inj 2 mg (iv) vial/ampul 86,778

772 VINORELSIN - Vinorelbin inj. 10 mg/ml, vial Dus 706,323

773VITALIPID N-ADULT Larutan mengandung Lipid ( Vitamin larut lemak : A, D, E, K

) untuk dewasaAmpul 30,874

774VITALIPID N-INFANT Larutan mengandung Lipid ( Vitamin larut lemak : A, D, E, K

) untuk bayi & anakAmpul 24,462

775 VOLUVEN - Koloid HES BM 130.000 lar inf 6% Btl 25,425

776 WIDA 2A - Larutan mengandung Karbohidrat + Elektrolit (2A) Btl 8,343

777 WIDA D5-1/2NS - Larutan Mengandung Karbohidrat+Elektrolit (D5-1/2NS) Btl 9,682

778 WIDA D5-1/4NS - Larutan Mengandung Karbohidrat+Elektrolit (D5-1/4NS) Btl 9,631

779 WIDA D5-NS - Larutan Mengandung Karbohidrat+Elektrolit (D5NS) Btl 8,266

780 WIDA HSD - Larutan Mengandung Karbohidrat+Elektrolit (HSD) Btl 11,150

781 WIDA RD - Larutan Mengandung Karbohidrat+Elektrolit (RD) Btl 8,807

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 166

Page 188: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO KEMASAN HARGANAMA OBAT

782 WIDA RL - Ringer Laktat 1000 ml Btl 11,356

783 WIDA WI UNICAP - Air untuk irigasi 1000 ml Btl 11,021

784 XALATAN 0,005% - Latanoprost 0,005% Btl 125,145

785 XARELTO 10 MG - Rivaroksaban tab 10 mg Tablet 24,205

786 XARELTO 15 MG - Rivaroksaban tab 15 mg Tablet 24,205

787 XARELTO 20 MG - Rivaroksaban tab 20 mg Tablet 24,205

788 XELODA - Kapesitabin tablet 500mg Tablet 31,930

789 XYLOCAINE JELLY 2% - Lidocaine HCL 20 mg/ g Syringe 41,200

790 ZINCPRO DROPS - zinc elemental 10 mg / ml Botol 12,051

791 ZINNAT 250 MG - Sefuroksim tablet 250 mg Tablet 5,384

792 ZINNAT 500 - Sefuroksim tablet 500 mg Tablet 7,107

793 ZIRCUM KID SIRUP - Zinc sir 20 mg/5 Ml Botol 6,695

794 ZOLADEX 10,8 MG - Goserelin acetate 10.8 mg Syringe 2,541,010

795 ZOLADEX 3,6 MG - Goserelin Asetate inj 3.6 mg Syringe 908,460

796 ZOLORAL SS - Ketokonazol scalp sol 2% Botol 26,481

797 ZOMETA - Asam zoledronat 4mg/100ml Botol 1,545,000

798 ZYPREXA IM - Olanzapin inj 10 mg/vial Dus 133,900

STANDAR SATUAN HARGA BARANG/JASA OBAT-OBATAN 167

Page 189: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

BMHP (E - CATALOG)

Page 190: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

B. BMHP (E-CATALOG)

1 2 3 4

1 ABN ABN Digital Thermometer unit 47,817

2ALLIED HEALTHCARE CHEMETRON Vacutron Suction Regulator

Continuous Set-Disposable set 9,956,664

3ALLIED HEALTHCARE TIMETER Oxygen Flowmeter 15 LPM Brass Set-

Autoclavable set 3,340,852

4ALLIED HEALTHCARE TIMETER Oxygen Flowmeter 15 LPM Brass Set-

Disposable set 1,532,291

5ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow

1000CC Set-Autoclavable set 8,267,173

6ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow

1000CC Set-Disposable set 6,458,612

7ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow

200CC Set-Autoclavable set 12,668,243

8ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow

200CC Set-Disposable set 10,859,682

9ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow

3LPM Set-Autoclavable set 6,297,236

10ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow

3LPM Set-Disposable set 4,488,675

11ARDO - SWITZERLAND Infant Incubator with Air, Servo, Humidity Control

and Oxygen Servo Control unit 441,790,690

12 ARDO - SWITZERLAND Infant Warmer with Servo Control unit 343,144,500

13BERLINGER CO. AG SWITZERLAND Freeze Tag - Freeze Indicator

Monitor - Indikator Pembekuan Rantai Dingin unit 90,870,309

14DEKONINGH Vascuminator/ DEKONINGH Medical Product -

Vasculuminator unit 158,125,736

15 DELTATRAK, INC Thermotrace - Waterproof Infrared Thermometer unit 6,180,000

16 ELITECH - INDONESIA ELITECH Baby Scale/Baby One unit 12,236,400

17 LOGTAG Temperature Recorder / Pemantau Suhu - HAXO-8 unit 1,736,992

18 LOGTAG Temperature Recorder / Pemantau Suhu - SRIC-4 unit 608,524

19 LOGTAG Temperature Recorder / Pemantau Suhu - TIC-20 unit 608,524

20 LOGTAG Temperature Recorder / Pemantau Suhu - TICT / ISO TAG unit 507,172

21 LOGTAG Temperature Recorder / Pemantau Suhu - TRED 30-7 F unit 1,673,647

22 LOGTAG Temperature Recorder / Pemantau Suhu - TRED 30-7 R unit 1,698,985

23 LOGTAG Temperature Recorder / Pemantau Suhu - TREL-8 unit 1,584,861

24 LOGTAG Temperature Recorder / Pemantau Suhu - TREX-8 unit 1,584,862

25 LOGTAG Temperature Recorder / Pemantau Suhu - TRID 30-7 F unit 1,420,061

26 LOGTAG Temperature Recorder / Pemantau Suhu - TRID 30-7 R unit 1,445,399

27 LOGTAG Temperature Recorder / Pemantau Suhu - TRIL-8 unit 1,977,909

28 LOGTAG Temperature Recorder / Pemantau Suhu - TRIX-16 unit 887,551

29 LOGTAG Temperature Recorder / Pemantau Suhu - TRIX-8 unit 862,110

30 LOGTAG Temperature Recorder / Pemantau Suhu - USRIC-4 unit 659,303

NO NAMA ALAT KESEHATAN KEMASAN HARGA

STANDAR SATUAN HARGA BARANG BMHP 164

Page 191: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

31 LOGTAG Temperature Recorder / Pemantau Suhu - USRIC-8 unit 709,979

32 LOGTAG Temperature Recorder / Pemantau Suhu - UTRIX-16 unit 760,758

33LOGTAG Temperature Recorder / Pemantau Suhu - VAXTAG (TRID 30-7

FW) unit 1,407,392

34 LOGTAG Temperature Recorder Interface / Interface Cradle - USB/LTI unit 938,227

35 MAK CHILDREN BED 33605 B unit 7,443,810

36 MAK CHILDREN BED 33606 B unit 9,849,890

37 MDF INSTRUMEN USA, INC Desk Mercury Sphygmomanometer unit 877,715

38 MDF INSTRUMEN USA, INC Mobile Aneroid Sphygmomanometer unit 2,351,336

39 MDF INSTRUMEN USA, INC Professional Aneroid Sphygmomanometer unit 676,144

40 MICROLIFE Digital Ear Thermometer FR1DL1 unit 442,488

41 MPM ERKA Stethoscope Cardiology unit 1,648,000

42 MPM ERKA Stethoscope Double Membran unit 1,030,000

43 MPM ERKA Stethoscope Erkaphon Adult unit 334,750

44 MPM ERKA Stethoscope Erkaphon Child unit 314,150

45 MPM ERKA Stethoscope Finesse Adult unit 818,850

46 MPM ERKA Stethoscope Finesse Child unit 818,850

47 MPM ERKA Stethoscope Finesse Duo Adult & Child unit 964,080

48 MPM ERKA Stethoscope Finesse Duo Child & Infant unit 1,751,000

49 RGB- SPAIN Patient Monitor - Omicrom Vision unit 88,110,735

50 SANI-INDONESIA Baby Weighing Scale unit 1,415,478

51 SANI-INDONESIA Timbangan Dewasa BR3010 unit 244,599

52SARANDI KARYA NUGRAHA SKNMEDICAL ICU/ICCU Bed Electric SKN

01-14CE unit 33,990,000

53SECA Baby Scale Digital Measuring Rod + Adaptor - Seca 334 & Seca

232 unit 10,935,739

54 SECA Baby Scale Mechanical – SECA 725 unit 3,989,126

55SECA COLUMN SCALE DIGITAL & MEASURING ROD– SECA 703 &

SECA 220 unit 16,714,366

56SECA COLUMN SCALE DIGITAL & MEASURING ROD– SECA 769 &

SECA 220 unit 14,460,388

57 SECA FLAT SCALE DIGITAL + Adaptor – SECA 869 unit 9,606,545

58 SECA FLAT SCALE MECHANIC – SECA 762 unit 1,906,856

59SECA HEAD CIRCUMFERENCE MEASURING TAPE FOR BABIES -

SECA 212 unit 795,160

60 SECA INFANTOMETER- SECA 416 unit 4,841,000

61 SECA MECHANICAL COLUMN SCALE - SECA 755 & 224 unit 7,519,000

62 SECA MEDICAL BODY COMPOSION ANALYZER unit 200,850,000

63 SECA SECA Baby Scale Digital 727 unit 23,693,406

STANDAR SATUAN HARGA BARANG BMHP 165

Page 192: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

64 SECA STADIOMETER – SECA 213 unit 1,611,771

65 SERENITY Serenity Body Fat / Hydration Monitor Scale unit 1,162,281

66 SIBELMED Audiometer 400 AOM unit 76,397,160

67 SIBELMED Audiometer 400 AOM+ unit 84,162,330

68 SIBELMED Spirometry Diagnostic T unit 62,544,690

69 STERINTECH Bowie Dick Helix Test unit 1,313,662

70 STERINTECH Bowie Dick Test Pack unit 69,113

71 STERINTECH Steam Emulator unit 770,028

72 STERINTECH Steam Indicator Class 4 unit 677,740

73 STERINTECH Steam Integrator Class 5 unit 608,236

74 TANITA Digital Baby Scale - BD 815 unit 12,746,250

75 TANITA Digital Weighing Scale with BMI Function - WB 380 unit 9,780,056

Peralatan RSU & P Terapetik

76 3D Semillas Infusion Set - Eco pcs 4,736

77 3D Semillas Infusion Set - SL pcs 7,750

78 3D Semillas Infusion Set - Y pcs 6,243

79 3D Semillas Infusion Set - YL pcs 6,458

80 3D Semillas Infusion Set pcs 5,166

81 3M 1535-0 MICROPORE 1/2 INCH ( 24/BX ) box 270,760

82 3M 1535-1 MICROPORE 1 INCH ( 12/BX ) box 223,539

83 3M 1535-2 MICROPORE 2 INCH ( 6/BX ) box 203,534

84 3M 2762 Soft ClothOnLiner 5CM X 10M box 65,883

85 3M 2764 SOFT CLOTH ON 10CM X 10M box 119,410

86 3M 2766 SOFT CLOTH 15CM X 10M box 159,853

873M 3344 CAVILON NO STING BARRIER FILM 1ML WIPE 25EA/BX

4BX/CS box 165,315

883M 3345 CAVILON NO STING BARRIER FILM 3ML WAND 25EA/BX

4BX/CS box 463,720

89 3M 3522A SC I.V. 6X8CM 50PC/BXDRESSING W/PAD box 128,235

90 ABADINUSA ABADINUSA Blood Transfusion Set pcs 10,403

91 ABADINUSA ABADINUSA Infusion Set 20 drops pcs 5,459

92 ABADINUSA ABADINUSA Infusion Set Burette pcs 22,145

93 ABADINUSA ABADINUSA IV CATHETER PEN TYPE size 18G pcs 7,519

94 ABADINUSA ABADINUSA IV CATHETER PEN TYPE size 20G pcs 7,519

95 ABADINUSA ABADINUSA IV CATHETER PEN TYPE size 22G pcs 7,519

96 ABADINUSA ABADINUSA IV CATHETER PEN TYPE size 24G pcs 7,519

97 ABADINUSA ABADINUSA IV CATHETER WING size 18G pcs 9,229

98 ABADINUSA ABADINUSA IV CATHETER WING size 20G pcs 9,229

STANDAR SATUAN HARGA BARANG BMHP 166

Page 193: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

99 ABADINUSA ABADINUSA IV CATHETER WING size 22G pcs 9,229

100 ABADINUSA ABADINUSA IV CATHETER WING size 24G pcs 9,229

101 AHMADARIS Kapas Berlemak DRC 500gr roll 35,020

102 AHMADARIS Kapas Pembalut Hidrofil DRC 250gr roll 24,720

103 AITECS Syring Pump type 2016 unit 1,504

104 AITECS Syringe Pump Type SEP-10S Plus unit 22,825,830

105 AMPALL Infusion Pump unit 18,077,844

106 AMPALL Syringe Pump unit 18,146,581

107 ARGUS INFUSION PUMP 707V unit 1,367

108 ARGUS SYRINGE PUMP 606S unit 1,970

109 ATOM Infant Warmer Sunflower unit 117,775,783

110 AXIMED 3-WAY pcs 9,970

111 AXIMED 3-WAY WITH EXTENTION pcs 10,764

112 AXIMED INFUSET pcs 4,944

113 AXIMED Infusiont Set Y-Type pcs 7,818

114 AXIMED IV-CATH NP, pen type, no. 18 pcs 6,180

115 AXIMED IV-CATH NP, pen type, no. 20 pcs 6,180

116 AXIMED IV-CATH NP, pen type, no. 22 pcs 6,180

117 AXIMED IV-CATH NP, pen type, no. 24 pcs 6,180

118 AXIMED IV-CATH NP, pen type, no. 26 pcs 7,931

119 AXIMED IV-CATH WP, with wings & port, no. 18 pcs 7,210

120 AXIMED IV-CATH WP, with wings & port, no. 20 pcs 7,210

121 AXIMED IV-CATH WP, with wings & port, no. 22 pcs 7,210

122 AXIMED IV-CATH WP, with wings & port, no. 24 pcs 7,210

123 AXIMED IV-CATH WP, with wings & port, no. 26 pcs 8,446

124 AXIMED PEDIATRIC SET pcs 5,253

125 AXIMED Syringe 1 cc dus 85,490

126 AXIMED Syringe 10 cc dus 134,106

127 AXIMED Syringe 20 cc dus 100,631

128 AXIMED Syringe 3 cc dus 84,975

129 AXIMED Syringe 5 cc dus 95,584

130 AXIMED Syringe 50 cc dus 123,909

131 AXION - RUSIA Infant Warmer with Phototherapy - UON-03F unit 9,068

132BAIN MEDICAL DORA Disposable AV Fistula Needle Set For

Hemodialysis Consumable dus 226,600

133 BARTEC UTAMA MANDIRI 1 Crank Manual Hospital Bed unit 9,888,000

134 BARTEC UTAMA MANDIRI 2 Crank Manual Hospital Bed unit 12,854,400

STANDAR SATUAN HARGA BARANG BMHP 167

Page 194: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

135 BARTEC UTAMA MANDIRI 3 Crank Electric Hospital Bed unit 45,762,900

136 BARTEC UTAMA MANDIRI 3 Crank Manual Hospital Bed unit 16,105,640

137 BARTEC UTAMA MANDIRI Blue Light Photo Therapy unit 11,865,600

138 BARTEC UTAMA MANDIRI Examination Table unit 4,120,000

139 BARTEC UTAMA MANDIRI ICU / ICCU Bed unit 56,080,410

140 BARTEC UTAMA MANDIRI Simple Bed All Steel unit 8,652,000

141 BBRAUN VASOFIX Safety IV G18x33MM GREEN pcs 22,660

142 BBRAUN BBRAUN Askina Soft Clear IV pcs 10,815

143 BBRAUN BBRAUN Chemo Mini Spike Micro tip pcs 28,325

144 BBRAUN BBRAUN Chemo Mini Spike V pcs 28,325

145 BBRAUN BBRAUN Askina Soft Clear IV pcs 10,815

146 BBRAUN BBRAUN Chemo Mini Spike Micro tip pcs 28,325

147 BBRAUN BBRAUN Chemo Mini Spike V pcs 28,325

148 BBRAUN BBRAUN Combistopper Red pcs 4,120

149 BBRAUN BBRAUN Cytoset Infusion 3 Safeset pcs 113,300

150 BBRAUN BBRAUN Cytoset Mix pcs 58,195

151 BBRAUN Bbraun Discofix 3 Way + 10 Tubing pcs 33,125

152 BBRAUN BBRAUN Discofix 3 Way Stopcock pcs 19,828

153 BBRAUN BBRAUN Ecoflac Mix pcs 5,665

154 BBRAUN BBRAUN Intrafix Air FF 180 cm 60 Drp pcs 18,200

155 BBRAUN BBRAUN Intrafix Primeline I.S. TYP Basic pcs 14,831

156 BBRAUN BBRAUN Intrafix Safeset pcs 21,810

157 BBRAUN BBRAUN Intrapur Inline pcs 92,700

158 BBRAUN BBRAUN MELISEPTOL RAPID btl 163,770

159 BBRAUN BBRAUN Mini Spike Plus pcs 12,875

160 BBRAUN BBRAUN Mini Spike V Filter pcs 14,935

161 BBRAUN BBRAUN Omnifix 20 mL LL pcs 8,755

162 BBRAUN BBRAUN Omnifix 20 mL LS pcs 8,755

163 BBRAUN BBRAUN Omnifix 30 mL LL pcs 9,270

164 BBRAUN BBRAUN Omnifix 50 mL LL pcs 15,450

165 BBRAUN BBRAUN Omnifix 50 mL LS pcs 15,450

166 BBRAUN BBRAUN Perfusor Syringe 20 ml With Needle pcs 9,785

167 BBRAUN BBRAUN Perfusor Syringe 50 mL Black pcs 56,650

STANDAR SATUAN HARGA BARANG BMHP 168

Page 195: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

168 BBRAUN BBRAUN Perfusor Syringe 50 ml White pcs 20,600

169 BBRAUN BBRAUN Perfusor Tubing PE Black pcs 48,410

170 BBRAUN BBRAUN Perfusor Tubing, White, 150 cm pcs 36,050

171 BBRAUN BBRAUN Perfusor Tubing, White, 200 cm pcs 37,080

172 BBRAUN Bbraun Sangofix pcs 20,938

173 BBRAUN BBRAUN Transofix pcs 3,502

174 BBRAUN CERTOFIX TRIO V720 pcs 669,500

175 BBRAUN Infusomat P/ Infusion Pump BBraun unit 21,810,250

176 BBRAUN Infusomat Space / Advance Infusion Pump BBraun unit 35,020,000

177 BBRAUN Infusomat Space P / Advance Infusion Pump BBraun unit 35,020,000

178 BBRAUN INTROCAN G16X2" 1,7 X 50 MM pcs 9,013

179 BBRAUN INTROCAN G18X1.25" 1,3 X 32 MM pcs 9,013

180 BBRAUN INTROCAN G18X1.75" 1,3 X 45 MM pcs 9,013

181 BBRAUN INTROCAN G20X1.25" pcs 9,013

182 BBRAUN INTROCAN G22X1" pcs 9,013

183 BBRAUN INTROCAN G24 0,75" pcs 9,013

184 BBRAUN INTROCAN Safety G16X2" 1,7x50MM pcs 22,660

185 BBRAUN INTROCAN Safety G18x1.25" 1,3x32MM pcs 22,660

186 BBRAUN INTROCAN Safety G18X1.75" 1,3x45MM pcs 22,660

187 BBRAUN INTROCAN Safety G20X1.25" pcs 22,660

188 BBRAUN INTROCAN Safety G22X1" pcs 22,660

189 BBRAUN INTROCAN Safety G24XO,75" pcs 22,660

190 BBRAUN Paket 4 Pump Integrated Basic Station / Advance pump set 173,575,600

191 BBRAUN Paket 4 Pump Integrated for MRI ( 3x1 ) set 474,830,000

192 BBRAUN Paket Space Glucose Control Management Pump set 246,705,600

193 BBRAUN Perfusor Compact S/Syringe Pump BBraun unit 16,359,233

194 BBRAUN Perfusor Space / Advance Syringe Pump unit 35,020,000

195BBRAUN Surecan Winged Needle for Implantable Accessories Ports 20G

x 20MM dus 1,316,340

196BBRAUN Surecan WInged Needle for Implantable Accessories Ports 22G

x 20 MM dus 1,316,340

197 BBRAUN VASOFIX IV G16 X 50 MM GREY pcs 9,013

198 BBRAUN VASOFIX IV G18 X 33 MM GREEN pcs 9,013

STANDAR SATUAN HARGA BARANG BMHP 169

Page 196: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

199 BBRAUN VASOFIX IV G18 X 45 MM GREEN pcs 9,013

200 BBRAUN VASOFIX IV G20 X 33 MM PINK pcs 9,013

201 BBRAUN VASOFIX IV G22 X 25 MM BLUE pcs 9,013

202 BBRAUN VASOFIX IV G24 X 0,75" pcs 9,013

203 BBRAUN VASOFIX Safety IV G16x50MM GREY pcs 22,660

204 BBRAUN VASOFIX Safety IV G18x45MM GREEN pcs 22,660

205 BBRAUN VASOFIX Safety IV G20x33MM PINK pcs 22,660

206 BBRAUN VASOFIX Safety IV G22x25MM BLUE pcs 22,660

207 BBRAUN VASOFIX Safety IV G24 x 0,75" pcs 22,660

208BECTON DICKINSON (BD) BD Venflon Pro IV canula 18 ga

0.9mmx25mm box 886,742

209BECTON DICKINSON (BD) BD Venflon pro IV canula 20 ga

1.1mmx32mm box 886,742

210BECTON DICKINSON (BD) BD Venflon pro IV canula 22 ga

0.9mmx25mm box 886,742

211 BECTON DICKINSON (BD) BD Venflon pro safety 18 ga 1.3mmx32mm box 1,189,650

212 BECTON DICKINSON (BD) BD Venflon pro safety 22 ga 0.9mmx25mm box 1,189,650

213 BECTON DICKINSON (BD) BD Venflon pro Ssafety 20 ga 1.1mmx25mm box 1,189,650

214 BECTON DICKINSON (BD) Fine Pen Needle 31 X 5 Asia box 197,085

215 BECTON DICKINSON (BD) Insyte autoguard bl 22ga X 1.0in box 1,189,650

216 BECTON DICKINSON (BD) Insyte autoguard gn 18ga X 1.16in box 1,189,650

217 BECTON DICKINSON (BD) Insyte autoguard pnk 20ga X 1.16in box 1,189,650

218 BECTON DICKINSON (BD) Insyte Autoguard yel 24ga X .75in box 1,189,650

219 BECTON DICKINSON (BD) Insyte bl 22ga X 1.0in box 679,800

220 BECTON DICKINSON (BD) Insyte gn 18ga X 1.16in box 679,800

221 BECTON DICKINSON (BD) Insyte pnk 20ga X 1.16in box 679,800

222 BECTON DICKINSON (BD) Insyte yel 24ga X .75in box 679,800

223 BECTON DICKINSON (BD) Needle cnv 21X1.5 mltsmp ce box 126,443

224 BECTON DICKINSON (BD) Needle cnv 22X1.5 mltsmp ce box 126,443

225 BECTON DICKINSON (BD) Syringe 10ml ll 21g 1-1/2in tw id box 172,010

226 ECTON DICKINSON (BD) Syringe 1ml ls 27g 1/2in id box 174,482

227 BECTON DICKINSON (BD) Syringe 3ml ll 23g 1-1/4in tw id box 99,704

228 BECTON DICKINSON (BD) Syringe 5ml ll 22g 1-1/2in tw id box 134,930

229 BECTON DICKINSON (BD) Syringe Soloshot Mini 0.05ml 27Gx3/8 in box 170,517

STANDAR SATUAN HARGA BARANG BMHP 170

Page 197: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

230 BECTON DICKINSON (BD) Syringe Soloshot Mini 0.5ml 23gx1in box 170,517

231 BEIERSDORF INDONESIA Fixomull Stretch 10 cm x 5 m roll 73,030

232 BEIERSDORF INDONESIA Fixomull Stretch 15 cm x 5 m roll 115,450

233 Beiersdorf Indonesia Fixomull Stretch 5 cm x 5 m roll 38,563

234 Beiersdorf Indonesia Leukoplast Hospital 2.50 cm x 4.5 m roll 12,438

235 BEIERSDORF INDONESIA Leukoplast Hospital 7.50 cm x 4.5 m roll 36,598

236BSN MEDICAL GMBH, GERMANY Leukomed IV Film 6 cm x 8 cm

(sterile) box 126,748

237 CADD SMITHS MEDICAL cassette 50 ml unit 202,317

238 CADD SMITHS MEDICAL Extension Set 60 Inch/1.7 ml unit 64,581

239 CADD SMITHS MEDICAL Legacy PCA Ambulatory Infusion Pump unit 2,163

240 CADD SMITHS MEDICAL Reservoir Cassette 100 ml unit 202,317

241 CHANG GUNG ICU Electric Bed unit 5,374

242 CHANG GUNG Manual Bed 3 Crank TUCK-AWAY unit 1,670

243 CHANG GUNG Manual Hospital Bed 3 Crank COLLAPSIBLE unit 1,440

244 COBAMS Infant Warmer Mod. LERI C88 unit 173,797,015

245 COBAMS Infant Warmer Mod. LR 90 unit 125,194,014

246 COBAMS Neonatal Incubator Mod. Cristina 003A SCH unit 213,701,266

247 COBAMS Neonatal Incubator Mod. Cristina Manual unit 110,394,738

248 COBAMS Neonatal Incubator Mod. Cristina Self Control unit 8,499

249 COBAMS Phototherapy Apparatus unit 45,021,533

250 COBAMS Transport Incubator Mod. STM Baby Cristina-002 unit 12,978

251 COSMOMED 3-Way Stopcock pcs 2,987

252 COSMOMED Blood Transfusion Set pcs 6,901

253 COSMOMED Infusion Set (Anak) pcs 4,532

254 COSMOMED Infusion Set (Dewasa) pcs 4,223

255 COSMOMED IV Cannula PEN Type pcs 4,841

256 COSMOMED IV Cannula with Safety Wings pcs 4,841

257 COSMOMED Surgical Connection Tube with Yankauer pcs 30,591

258 COSMOMED Syringe, 1 ml box 78,486

259 COSMOMED Syringe, 10 ml box 129,471

260 COSMOMED Syringe, 5 ml box 86,417

261 CS BEYOND - RRC Infusion Pump - BYS 820 unit 578

262 CS BEYOND - RRC Syringe Pump - BYZ 810 unit 630

263 DAIKEN SYIRINGE PUMP / CSP-100CO unit 16,480,000

264 DIXION Syringe Pump Instilar 1418 unit 34,814,000

STANDAR SATUAN HARGA BARANG BMHP 171

Page 198: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

265 DRAEGERWERK AG & CO. KGAA Neonatal Incubator Caleo unit 233,810,000

266 DRAEGERWERK AG & CO. KGAA Neonatal Incubator Isolette 8000 unit 202,910,000

267 DRAEGERWERK AG & CO. KGAA Neonatal Incubator Isolette C2000 unit 128,750,000

268DRAEGERWERK AG & CO. KGAA Neonatal Resuscitator Resuscitaire

(Standard)unit 188,902,000

269 DRAEGERWERK AG & CO. KGAA Phototherapy PT 4000 unit 49,440,000

270 DRAEGERWERK AG & CO. KGAA Transport Incubator TI 500 unit 214,240,000

271 ERSA PHOTOTHERAPY UNIT 53200 BL unit 11,706,980

272 ERTUNC OZCAN Infant Incubator Hi-Low Servo Control unit 286,671,248

273 ERTUNC OZCAN LED Phototherapy unit 74,127,073

274 ESKAMED Blood Transfusion Set pcs 13,390

275 ESKAMED Extension Line with 3 Way Stop Cock pcs 12,875

276 ESKAMED Infusion Set with Needle pcs 8,446

277ESKAMED IV Cannula with Injection Port, Snap Fit Cap & Suturable

Wings (18)pcs 12,440

278ESKAMED IV Cannula with Injection Port, Snap Fit Cap & Suturable

Wings (20)pcs 12,440

279ESKAMED IV Cannula with Injection Port, Snap Fit Cap & Suturable

Wings (22)pcs 12,440

280ESKAMED IV Cannula with Injection Port, Snap Fit Cap & Suturable

Wings (24) pcs 12,440

281ESKAMED IV Cannula with Injection Port, Snap Fit Cap & Suturable

Wings (26)pcs 13,862

282 ESKAMED IV Cannula without Injection Port & Wings (18) pcs 10,300

283 ESKAMED IV Cannula without Injection Port & Wings (20) pcs 10,300

284 ESKAMED IV Cannula without Injection Port & Wings (22) pcs 10,300

285 ESKAMED IV Cannula without Injection Port & Wings (24) pcs 10,300

286 ESKAMED IV Cannula without Injection Port & Wings (26) pcs 11,551

287 ESKAMED Micro Drip Infusion Set pcs 9,476

288 ESKAMED Three Way Stopcock pcs 14,217

289 EUROMED Euromed 3 Way Stopcock pcs 5,223

290 EUROMED Euromed Foley Catheter No. 10 pcs 14,967

291 EUROMED Euromed Foley Catheter No. 12 pcs 12,894

292 EUROMED Euromed Foley Catheter No. 14 pcs 12,894

293 EUROMED Euromed Foley Catheter No. 16 pcs 12,894

294 EUROMED Euromed Foley Catheter No. 18 pcs 12,894

295 EUROMED Euromed Foley Catheter No. 20 pcs 12,894

296 EUROMED Euromed Foley Catheter No. 22 pcs 12,894

297 EUROMED Euromed Foley Catheter No. 24 pcs 12,894

298 EUROMED Euromed Foley Catheter No. 8 pcs 14,967

299 EUROMED Euromed IV Catheter 1 Way No. 18 pcs 6,050

STANDAR SATUAN HARGA BARANG BMHP 172

Page 199: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

300 EUROMED Euromed IV Catheter 1 Way No. 20 pcs 6,050

301 EUROMED Euromed IV Catheter 1 Way No. 22 pcs 6,050

302 EUROMED Euromed IV Catheter 1 Way No. 24 pcs 7,308

303 EUROMED Euromed IV Catheter 1 Way No. 26 pcs 8,350

304 EUROMED Euromed IV Catheter Port No. 18 pcs 4,872

305 EUROMED Euromed IV Catheter Port No. 20 pcs 4,872

306 EUROMED Euromed IV Catheter Port No. 22 pcs 4,872

307 EUROMED Euromed IV Catheter Port No. 24 pcs 6,096

308 EUROMED Euromed IV Catheter Port No. 26 pcs 7,659

309 FANEM Ampla Neonatal Total Care with Scale unit 159,650,000

310 FANEM Ampla Neonatal Total Care without Scale unit 129,265,000

311 FANEM Babypuff Neonatal Resuscitation Device unit 19,570,000

312 FANEM Infant Incubator unit 141,625,000

313FISHER & PAYKEL HEALTHCARE - NEW ZEALAND Baby Control

CosyCot Infant Warmer Basic unit 142,140,000

314FISHER & PAYKEL HEALTHCARE - NEW ZEALAND Baby Control

CosyCot Infant Warmer for NICU unit 213,210,000

315FISHER & PAYKEL HEALTHCARE - NEW ZEALAND Baby Control

CosyCot Infant Warmer with Resuscitator unit 169,435,000

316 FRESENIUS KABI 3-Way Stopcock +10cm extension (Blue) unit 10,403

317 FRESENIUS KABI Applix Smart Feeding Pump unit 12,566,000

318 FRESENIUS KABI Applix Smart Pump Set Bag pcs 97,850

319 FRESENIUS KABI Applix Smart Pump set Varioline pcs 35,226

320 FRESENIUS KABI Injectomat Agilia Syringe Pump unit 13,075,103

321 FRESENIUS KABI Injectomat Agilia TIVA Syringe Pump unit 15,450,000

322 FRESENIUS KABI Injectomat Line PVC 200cm pcs 7,056

323 FRESENIUS KABI Optima PT Infusion Pump unit 23,110,110

324 FYROM INTERNATIONAL Incubator Transport Infinity G-1 unit 91,147,558

325 FYROM INTERNATIONAL Infant Incubator Infinity Basic unit 20,061,825

326 FYROM INTERNATIONAL Infant Incubator Infinity G-1 unit 50,823,290

327 FYROM INTERNATIONAL Infant Radiant Warmer Infinity G-1 unit 62,552,770

328 FYROM INTERNATIONAL Infant Warmer Infinity Basic unit 15,447,605

329 FYROM INTERNATIONAL Infuse Pump unit 11,368,368

330 FYROM INTERNATIONAL Phototherapy Unit Infinity Basic unit 19,660,589

331 FYROM INTERNATIONAL Syringe Pump unit 10,679,040

332 GE Giraffe Incubator unit 221,117,107

333 GE Giraffe Incubator Standard unit 347,592,040

334 GE Giraffe Omnibed unit 759,504,490

335 GE Giraffe Warmer unit 387,334,590

STANDAR SATUAN HARGA BARANG BMHP 173

Page 200: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

336 GE Lullaby warmer unit 123,845,140

337 GE Lullaby Warmer Prime unit 56,988,870

338 GEA Bistos LED Phototherapy unit 7,025,630

339 GEA GEA Air Compressing Nebulizer unit 504,700

340 GEA GEA Infant Radiant Warmer HKN9010 unit 29,664,000

341 GEA GEA Oxygen Concentrator unit 10,815,000

342 GEA GEA Ultrasonic Nebulizer unit 762,200

343 GENERAL CARE Infusion Set Adult pcs 4,120

344 GIGANTE Neonatal Incubator Type Millenium unit 169,725,460

345 GIGANTE Neonatal Infant Warmer Type Neosolution unit 239,350,268

346 GIGANTE Transport Incubator Type Evolution unit 249,430,980

347 GINEVRI ALHENA INFANT WARMER unit 300,507,135

348 GINEVRI ELIOS PHOTOTHERAPY AND HEATING LAMP unit 131,891,809

349 GINEVRI NAOS PHOTOTHERAPY LAMP unit 100,084,997

350 GINEVRI POLYTREND NEONATAL INCUBATOR unit 272,435,000

351 GRAHA TEKNO MEDIKA APF Hospital Bed 1 Crank, Kaki H unit 12,183,379

352 GRAHA TEKNO MEDIKA APF Hospital Bed 2 Crank, Kaki H unit 13,664,145

353 GRAHA TEKNO MEDIKA APF Hospital Bed 3 Crank unit 18,854,884

354 GRAHA TEKNO MEDIKA APF Infant Warmer unit 132,561,000

355 GRAHA TEKNO MEDIKA Gris Baby Box unit 4,038,911

356 GRAHA TEKNO MEDIKA Gris Children Bed unit 7,508,677

357 GRAHA TEKNO MEDIKA Gris Infant Warmer unit 105,446,250

358 GRAHA TEKNO MEDIKA Gris Phototheraphy unit 9,335,508

359 GRAHA TEKNO MEDIKA Rining Hospital Bed Electric 3 Axis unit 35,023,219

360GRAHA TEKNO MEDIKA Smar Hospital Bed 1 crank ABS, kaki H, railling

guard unit 11,672,267

361GRAHA TEKNO MEDIKA Smar Hospital Bed 2 crank ABS, kaki H, railling

guard unit 13,088,983

362 GRAHA TEKNO MEDIKA Smar Hospital Bed 3 crank ABS, railling guard unit 17,951,182

363 HANLIM Emergency Cart HL - EC0411-2 unit 33,990,000

364 HANLIM ICU Cart HL - ICU0908-1 unit 57,535,800

365 HAWKMED INFUSION PUMP /HK-100 II unit 14,420,000

366 HILL-ROM Bedside Cabinet - BC251 (With 1 door 1 drawer) unit 8,754,700

367 HILL-ROM Centuris Bed - P750 unit 59,377,949

368 HOSPIRA, INC. USA Abbocath-T 14GA W/Iso Orange pcs 16,480

369 HOSPIRA, INC. USA Abbocath-T 16GA W/Iso Grey pcs 16,480

370 HOSPIRA, INC. USA Abbocath-T 18GA W/Iso Green pcs 16,480

371 HOSPIRA, INC. USA Abbocath-T 20GA W/Iso Pink pcs 16,480

STANDAR SATUAN HARGA BARANG BMHP 174

Page 201: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

372 HOSPIRA, INC. USA Abbocath-T 22GA W/Iso Blue pcs 16,480

373 HOSPIRA, INC. USA Abbocath-T 24GA W/Iso Yellow pcs 16,480

374 HOSPIRA, INC. USA Abbocath-T 26GA W/Iso White pcs 20,085

375 HOSPITECH HOSPITECH 3-WAY STOPCOCK pcs 5,892

376HOSPITECH HOSPITECH 3-WAY STOPCOCK WITH EXTENSION

TUBING, 10 CM pcs 14,049

377 HOSPITECH HOSPITECH IN-STOPPER pcs 2,153

378 HOSPITECH HOSPITECH INFUSION SET Y-CONNECTOR pcs 5,880

379 HOSPITECH HOSPITECH SURGICAL CONNECTING TUBE, 3M pcs 22,263

380 HOSPITECH HOSPITECH UMBILICAL CORD CLAMP pcs 2,833

381 ICUMED CLAVE Konektor Ambil Darah (CLC-2000) pcs 34,840

382 ICUMED CLAVE Konektor Bayi atau Anak (CT-3305) pcs 43,621

383 ICUMED CLAVE Konektor Blood Set (C-6042) pcs 61,543

384 ICUMED CLAVE Konektor Botol Infus (CS-10) pcs 43,621

385 ICUMED CLAVE Konektor Dua Cabang (C-4203-1) pcs 48,668

386 ICUMED CLAVE Konektor Flow Controller (C-9804) pcs 73,027

387 ICUMED CLAVE Konektor Tiga Cabang (C-4348) pcs 41,921

388 ICUMED CLAVE Konektor Tunggal (C-1000) pcs 17,562

389 ICUMED CLAVE Konektor Vial (CS-50) pcs 20,961

390IDEALCARE Blood Administration Set with Airvent / Blood Giving Set,

sterile 18GX3.75 mm pcs 10,743

391IDEALCARE Intravenous Admin Set with Airvent & Y Connection with

Protective Shield, sterile 21GX3.75 mm pcs 9,342

392 JAYAMAS Alat Suntik 50 cc Catheter Tip pcs 8,030

393 JAYAMAS My Jelly 82 gram pcs 30,436

394 JAYAMAS Onemed Dermafix S IV pcs 2,114

395 JAYAMAS Onemed Dermafix T 10x12cm pcs 6,498

396 JAYAMAS Onemed Dermafix T 10x15cm pcs 8,565

397 JAYAMAS Onemed Dermafix T 10x20cm pcs 9,307

398 JAYAMAS Onemed Dermafix T 10x25cm pcs 14,183

399 JAYAMAS Onemed Dermafix T 10x8cm pcs 4,338

400 JAYAMAS Onemed Dermafix T 5x7cm pcs 1,678

401 JAYAMAS Onemed Extension Tube pcs 6,268

402 JAYAMAS Onemed Kapas 1000g roll 56,197

403 JAYAMAS Onemed kapas 500g roll 28,098

404 JAYAMAS Onemed Kapas Berlemak 500gr roll 16,995

405 JAYAMAS Onemed Kapas Pembalut 250g roll 12,875

406 JAYAMAS Onemed Kasa Hydrophil 40 x 80 cm roll 108,150

407 JAYAMAS Onemed Kasa Hydrophil Steril Uk. 16 x 16 box 8,240

STANDAR SATUAN HARGA BARANG BMHP 175

Page 202: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

408 JAYAMAS Onemed Kasa Hydrophil Steril Uk. 18 x 22 box 7,725

409 JAYAMAS Onemed Kasa Kompres Steril 40 x 40 pcs 1,648

410 JAYAMAS Onemed Kasa Pembalut 2m x 80cm roll 7,931

411 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 10cm roll 1,545

412 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 15cm roll 2,163

413 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 3cm roll 608

414 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 5cm roll 773

415 JAYAMAS Onemed My Jelly 5 gram steril box 45,331

416 JAYAMAS Onemed Safety Box dus 16,187

417 JAYAMAS Onemed Thre Way Stop Cock with Tube box 167,375

418 JAYAMAS Onemed Three Way Stop Cock box 100,425

419 JAYAMAS Onemed Umbilical Cord Klem Steril Nylon box 66,950

420 JAYAMAS Onemed Wing Needle 19G pcs 1,442

421 JAYAMAS Onemed Wing Needle 21G pcs 1,442

422 JAYAMAS Onemed Wing Needle 23 G pcs 1,442

423 JAYAMAS Onemed Wing Needle 25 G pcs 1,442

424 JAYAMAS Onemed Wing Needle 27 G pcs 1,442

425 JAYAMAS Stera Blood Transfusion Set pcs 3,708

426 JAYAMAS Stera Infusion Set Anak pcs 3,605

427 JAYAMAS Stera Infusion Set Dewasa pcs 3,296

428 JAYAMAS Stera Infusion Set Y pcs 6,476

429 JAYAMAS Stera Syringe 10cc pcs 953

430 JAYAMAS Stera Syringe 1cc pcs 670

431 JAYAMAS Stera Syringe 2,5cc pcs 670

432 JAYAMAS Stera Syringe 20cc pcs 1,545

433 JAYAMAS Stera Syringe 3cc pcs 670

434 JAYAMAS Stera Syringe 50cc pcs 3,502

435 JAYAMAS Stera Syringe 5cc pcs 773

436 JAYAMAS Steracath IV Catheter 18G x 1¼" pcs 3,914

437 JAYAMAS Steracath IV Catheter 20G x 1¼" pcs 3,914

438 JAYAMAS Steracath IV Catheter 22G x 1" pcs 3,914

439 JAYAMAS Steracath IV Catheter 24G x ¾" pcs 3,914

440 JAYAMAS Steracath IV Catheter 26G x ¾" pcs 4,223

441 JIANGSU KANGJIN WIN I.V INFUSION SET pcs 3,354

442 JIANGSU KANGJIN WIN SYRINGE 1 Cc pcs 668

443 JIANGSU KANGJIN WIN SYRINGE 2.5 Cc pcs 668

444 JIANGSU KANGJIN WIN SYRINGE 20 Cc pcs 1,552

STANDAR SATUAN HARGA BARANG BMHP 176

Page 203: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

445 JIANGSU KANGJIN WIN SYRINGE 3 Cc pcs 668

446 JIANGSU KANGJIN WIN SYRINGE 5 Cc pcs 725

447 JIANGSU KANGJIN WIN SYRINGE 50 Cc pcs 4,521

448 JIANGSU KANGJIN WIN SYRINGE WITH NEEDLE 10 Cc pcs 1,099

449 JIANGSU KANGJIN WIN TRANSFUSION SET pcs 5,801

450JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinet

SK 002 unit 2,690,875

451JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinet

SK 003 unit 2,690,875

452JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinet

SK 005 unit 2,690,875

453JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinete

SK 001 unit 2,690,875

454JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS Bedside Cabinete

SK 004 unit 2,690,875

455JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Emergency Trolley

SKR 054 - ET unit 16,480,000

456JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Manual Bed Double

Crank SK 014 unit 15,656,000

457JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Manual Bed Double

Crank SK 029 - 2 unit 24,720,000

458JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Overbed Table SKH

042 - 1 unit 5,356,000

459JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Overbed Table SKH

042 unit 5,356,000

460JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Overbed Table SKH

046 - 2 unit 5,356,000

461JIANGSU SAIKANG MEDICAL EQUIPMENT LTD Overbed Table SKH

046 unit 5,356,000

462JIANHUA JINGDI MEDICAL SUPPLIES CO., LTD. E-CARE SURGICAL

TAPE 0.5" (18350) dus 120,510

463JIANHUA JINGDI MEDICAL SUPPLIES CO., LTD. E-CARE SURGICAL

TAPE 1" (18351) dus 100,940

464JIANHUA JINGDI MEDICAL SUPPLIES CO., LTD. E-CARE SURGICAL

TAPE 2" (18352) dus 94,760

465 JMS Infusion Set Adult Type-200 pcs 7,591

466 JMS Infusion Set Pediatric Type-200 pcs 10,197

467 JMS Transfusion / Blood Set pcs 14,616

468 JW MEDICAL Infant Incubator CHS i1000 unit 107,120,000

469 JW MEDICAL Infant Incubator JW-i3000 unit 175,285,864

470 JW MEDICAL Infant Warmer CBW 1100 unit 91,670,000

471 KANMED Baby Warmer BW3 unit 44,805,000

472 KARL OTTO BRAUN KG, GERMANY Uniflex 10 CM x 4.5 M / 96 roll 22,048

473 KARL OTTO BRAUN KG, GERMANY Uniflex 15 CM x 4.5 M / 60 roll 30,065

STANDAR SATUAN HARGA BARANG BMHP 177

Page 204: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

474 KARL OTTO BRAUN KG, GERMANY Uniflex 7.5 CM x 4.5 M / 120 roll 18,040

475 KASTRON 2 Crank Manual Hospital Bed tipe K-1200S unit 14,140,870

476 KASTRON 3 Crank Manual Hospital Bed tipe K-1600A unit 19,002,470

477 KASTRON Electric Hospital Bed tipe K-1800E unit 25,373,020

478 KASTRON Full Electric Hospital Bed tipe K-2100NN unit 29,933,860

479 KIMSMED Disposable Syringe 1 cc pcs 711

480 KIMSMED Disposable Syringe 10 cc pcs 1,190

481 KIMSMED Disposable Syringe 2.5 cc pcs 690

482 KIMSMED Disposable Syringe 20 cc pcs 1,590

483 KIMSMED Disposable Syringe 3 cc pcs 690

484 KIMSMED Disposable Syringe 5 cc pcs 828

485 KIMSMED Disposable Syringe 50 cc pcs 4,017

486KIMSMED Infusion Set For Adult 20 Drops/Ml With Y Type, Airvent, Luer

Lock pcs 6,129

487 MAK BABY BASKET 33608 unit 2,932,623

488 MAK BABY BASKET 33609 unit 4,737,314

489 MAK BABY BASKET 33610 unit 6,692,396

490 MAK BABY BASKET 33611 unit 6,692,396

491 MAK CHILDREN BED 33605C unit 8,722,658

492 MAK CHILDREN BED 33606C unit 10,376,941

493 MAK ELECRTIC ICU-ICCU SOTAMAK BED 77034 unit 64,818,486

494 MAK ELECTRIC SOTAMAK BED 77021 unit 34,063,543

495 MAK ELECTRIC ICU-ICCU BED SUPRAMAK 73003WCPR unit 53,012,799

496 MAK ELECTRIC ICU-ICCU BED SUPRAMAK BED 73003CPR unit 37,522,534

497 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77031 unit 40,906,330

498 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77032 unit 43,011,803

499 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77033 unit 56,622,181

500 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77051 unit 46,846,460

501 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77052 unit 49,102,160

502 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77053 unit 63,163,720

503 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77054 unit 71,961,980

504 MAK ELECTRIC ICU-ICCU SOTAMAK BED 78001 unit 75,195,150

505 MAK ELECTRIC ICU-ICCU SUPRAMAK BED 73003 unit 35,492,257

506 MAK ELECTRIC ICU-ICCU SUPRAMAK BED 73003W unit 51,208,108

507 MAK ELECTRIC OPERATING TABLE (52501E/525A*) unit 60,532,276

508 MAK ELECTRIC SOTAMAK BED 77022 unit 36,244,211

509 MAK ELECTRIC SOTAMAK BED 77023 unit 49,779,394

510 MAK ELECTRIC SOTAMAK BED 77024 unit 51,508,889

STANDAR SATUAN HARGA BARANG BMHP 178

Page 205: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

511 MAK ELECTRIC SOTAMAK BED 77041 unit 39,703,410

512 MAK ELECTRIC SOTAMAK BED 77042 unit 41,959,110

513 MAK ELECTRIC SOTAMAK BED 77043 unit 56,171,050

514 MAK ELECTRIC SOTAMAK BED 77044 unit 57,900,420

515 MAK ELECTRIC SUPRAMAK BED 73001 unit 26,092,824

516 MAK ELECTRIC SUPRAMAK BED 73002 unit 28,724,665

517 MAK ELECTRIC SUPRAMAK BED 73002W unit 44,365,321

518 MAK HOMECARE BED 81001 unit 30,529,200

519 MAK MANUAL CLASSIC BED 33102 unit 8,421,795

520 MAK MANUAL CLASSIC BED 33103 unit 10,752,891

521 MAK MANUAL CLASSIC BED 33104 unit 7,820,328

522 MAK MANUAL CLASSIC BED 33105 unit 9,399,368

523 MAK MANUAL CLASSIC BED 33106 / 33801* unit 10,151,387

524 MAK MANUAL CLASSIC BED 33107/33802* unit 12,407,174

525 MAK MANUAL COMFORT BED 31801C unit 10,151,371

526 MAK MANUAL COMFORT BED 31801CM unit 11,429,704

527 MAK MANUAL COMFORT BED 31801S unit 8,045,845

528 MAK MANUAL COMFORT BED 31802C unit 10,903,271

529 MAK MANUAL COMFORT BED 31802CM unit 12,181,604

530 MAK MANUAL COMFORT BED 31802S unit 8,797,848

531 MAK MANUAL COMFORT BED 31803C unit 10,903,271

532 MAK MANUAL COMFORT BED 31803CM unit 12,181,604

533 MAK MANUAL COMFORT BED 31803S unit 8,797,848

534 MAK MANUAL COMFORT BED 31804C unit 11,655,274

535 MAK MANUAL COMFORT BED 31804CM unit 12,933,607

536 MAK MANUAL COMFORT BED 31804S unit 9,549,748

537 MAK MANUAL ECONOMIC BED 33001 unit 4,286,139

538 MAK MANUAL ECONOMIC BED 33002 unit 5,113,229

539 MAK MANUAL ECONOMIC BED 33003 unit 4,737,279

540 MAK MANUAL ECONOMIC BED 33004 unit 5,564,369

541 MAK MANUAL ECONOMIC BED 33005 unit 6,617,132

542 MAK MANUAL ECONOMIC BED 33006 unit 6,617,132

543 MAK MANUAL ECONOMIC BED 33007 unit 7,143,565

544 MAK MANUAL ECONOMIC BED 33008 unit 9,324,178

545 MAK MANUAL ICU-ICCU BED (31810/31820) unit 14,663,080

546 MAK MANUAL SOTAMAK BED 77001 unit 18,648,474

547 MAK MANUAL SOTAMAK BED 77002 unit 22,257,856

STANDAR SATUAN HARGA BARANG BMHP 179

Page 206: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

548 MAK MANUAL SOTAMAK BED 77011 unit 22,257,856

549 MAK MANUAL SUPRAMAK BED 73004 unit 13,234,401

550 MAK MANUAL SUPRAMAK BED 73005 unit 16,467,806

551 MAK MANUAL SUPRAMAK BED 73006 unit 9,775,410

552 MAK MANUAL SUPRAMAK BED 73007 unit 9,249,041

553 MAK MANUAL SUPRAMAK BED 73010 unit 12,031,273

554 MAK MANUAL-HYDRAULIC ICU-ICCU SUPRAMAK BED 73003MH unit 18,798,530

555 MAK MOBILE STRETCHER 31202 unit 12,106,414

556 MAK MOBILE STRETCHER 31203 unit 7,594,705

557 MAK PREMIUM COUCH CHANGING TABLE (34118) unit 16,542,830

558MEDECO (ADMD & CO) Medeco Syringe 0,05ml ADS - Auto Disable

Syringe / Auto Destruct Syringe - Alat Suntik Sekali Pakai Otomatis Rusak pcs 1,957

559MEDECO (ADMD & CO) Medeco Syringe 0,5ml ADS - Auto Disable

Syringe / Auto Destruct Syringe - Alat Suntik Sekali Pakai Otomatis Rusak pcs 1,545

560MEDECO (ADMD & CO) Medeco Syringe 2/3ml - Syringe with Needle -

Single Use pcs 718

561MEDECO (ADMD & CO) Medeco Syringe 5ml - Syringe with Needle -

Single Use pcs 763

562 MEDELA Phototherapy Bilibed unit 32,445,000

563 MEDICOR Infant Incubator Advance Babylife BLF 2001 unit 15,409

564 MEDICOR Infant Incubator Babylife BLF 2001 unit 7,926

565 MEDICOR Infant Warmer Advance BLR 2100 unit 17,595

566 MEDICOR Infant Warmer BLR 2100 unit 8,677

567 MEDIFIRST MF Cath Pro IV Catheter 18G pcs 7,931

568 MEDIFIRST MF Cath Pro IV Catheter 20G pcs 7,931

569 MEDIFIRST MF Cath Pro IV Catheter 22G pcs 7,931

570 MEDIFIRST MF Cath Pro IV Catheter 24G pcs 7,931

571 MEDIGLOBE Premium Syringe with Needle 3ml dus 41,200

572 MEDIGLOBE ABS Anesthesia Trolley B-72 unit 16,323,358

573 MEDIGLOBE ABS Medicine Delivery Trolly B-71 unit 12,226,883

574 MEDIGLOBE ABS Treatment Trolley B-83 unit 5,753,827

575 MEDIGLOBE Baby Incubator unit 12,875,000

576 MEDIGLOBE Bed Screen ML-36 unit 2,433,375

577 MEDIGLOBE Bedside Cabinet C-103 unit 1,657,352

578 MEDIGLOBE Bedside Cabinet C-86 unit 3,314,705

579 MEDIGLOBE Bedside Cabinet C-87 unit 1,500,998

580 MEDIGLOBE Bedside Cabinet C-88 unit 1,438,457

581 MEDIGLOBE Bedside Cabinet C-92 unit 1,532,269

STANDAR SATUAN HARGA BARANG BMHP 180

Page 207: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

582 MEDIGLOBE Bedside Cabinet C-95 unit 1,751,165

583 MEDIGLOBE Bedside Cabinet C-97 unit 1,938,790

584 MEDIGLOBE Electric Delivery Bed unit 199,007,371

585 MEDIGLOBE Hospital Bed 1 Crank unit 9,662,677

586 MEDIGLOBE Hospital Bed 1 Crank unit 4,346,641

587 MEDIGLOBE Hospital Bed 2 Crank unit 12,133,070

588 MEDIGLOBE Hospital Bed 2 Crank unit 5,534,932

589 MEDIGLOBE Hospital Bed 3 Crank unit 12,977,382

590 MEDIGLOBE Hospital Bed 3 Crank unit 36,772,829

591 MEDIGLOBE Infuset Pediatrik & Adult pcs 88,580

592 MEDIGLOBE Kursi Tunggu 3 seat unit 3,721,225

593 MEDIGLOBE Kursi Tunggu 3 Seat unit 4,502,995

594 MEDIGLOBE Kursi Tunggu 4 seat unit 4,002,662

595 MEDIGLOBE Overbed Table unit 1,777,368

596 MEDIGLOBE Overbed Table unit 4,065,204

597 MEDIGLOBE Pediatric / Children Bed unit 6,695,927

598 MEDIGLOBE Plastic Sprayed Treatment Trolley B-50 unit 2,595,476

599 MEDIGLOBE Premium Syringe with Needle 10ml dus 41,200

600 MEDIGLOBE Premium Syringe with Needle 1ml dus 41,200

601 MEDIGLOBE Premium Syringe with Needle 5ml dus 41,200

602 MEDIGLOBE Six Function Electric Bed unit 57,163,022

603 MEDIGLOBE Stainless Steel Morning Care Trolley B-44 unit 4,596,808

604 MEDIGLOBE Stainless Steel Treatment Trolley B-31 unit 9,099,803

605 MEDIGLOBE Stainless Steel Treatment Trolley B-32 unit 3,658,684

606 MEDIGLOBE Stainless Steel Treatment Trolley B-37 unit 3,314,705

607 MEDIGLOBE Stainless Steel Treatment Trolley B-38 unit 3,127,080

608 MEDIPREMA Infant Incubator with Integrated Electronic weighing scale unit 19,721

609 MEDIPREMA Infant Warmer unit 10,516

610 MINDRAY SK Medical BeneFusion SP5 EX Infusion Pump unit 14,214,000

611 MINDRAY SK Medical BeneFusion VP5 EX Infusion Pump unit 15,635,400

612 MINDRAY SK Medical Infusion Pump SK-600II unit 12,208,450

613 MINDRAY SK Medical Syringe Pump SK-500II unit 11,357,434

614 MINDRAY SK Syringe Pump SK-500III unit 20,443,950

615MITRA RAJAWALI BANJARAN RD Alat Suntik Sekali Pakai With Needle

1 ml pcs 785

616MITRA RAJAWALI BANJARAN RD Alat Suntik Sekali Pakai With Needle

10 ml pcs 1,136

STANDAR SATUAN HARGA BARANG BMHP 181

Page 208: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

617MITRA RAJAWALI BANJARAN RD Alat Suntik Sekali Pakai With Needle

2.5 ml pcs 826

618MITRA RAJAWALI BANJARAN RD Alat Suntik Sekali Pakai With Needle

3 ml pcs 826

619MITRA RAJAWALI BANJARAN RD Alat Suntik Sekali Pakai With Needle

5 ml pcs 930

620MITRA RAJAWALI BANJARAN SKIFA Auto Disable/Destruct Syringe 3

ml With Needle pcs 1,248

621MITRA RAJAWALI BANJARAN SKIFA Auto Disable/Destruct Syringe

With Needle 0.05 ml pcs 1,395

622MITRA RAJAWALI BANJARAN SKIFA Auto Disable/Destruct Syringe

With Needle 0.5 ml pcs 1,210

623MITRA RAJAWALI BANJARAN SKIFA Auto Disable/Destruct Syringe

With Needle 5 ml pcs 1,630

624 MMP CATHY IV. CANNULA 18G pcs 10,707

625 MMP CATHY IV. CANNULA 20G pcs 10,707

626 MMP CATHY IV. CANNULA 22G pcs 10,707

627 MMP CATHY IV. CANNULA 24G pcs 10,707

628MMP MAS DISPOSABLE BLOOD TRANFUSION SET WITH Y-

INJECTOR 20 DROPS/ml pcs 14,729

629 MMP MAS DISPOSABLE TRANSFUSION SET WITH Y-INJECTOR pcs 7,931

630 MMP POLYFLEX IV. CANNULA WITH INJECTION PORT 18G pcs 12,463

631 MMP POLYFLEX IV. CANNULA WITH INJECTION PORT 20G pcs 12,463

632 MMP POLYFLEX IV. CANNULA WITH INJECTION PORT 22G pcs 12,463

633 MMP POLYFLEX IV. CANNULA WITH INJECTION PORT 24G pcs 12,463

634 MMP POLYFLEX IV. CANNULA WITH INJECTION PORT 26G pcs 16,836

635 MMP POLYMED Polyfusion INFUSION SET 20 Drops/ml pcs 6,628

636 MMP POLYSAFETY safety IV. CANNULA 18G pcs 16,259

637 MMP POLYSAFETY safety IV. CANNULA 20G pcs 16,259

638 MMP POLYSAFETY safety IV. CANNULA 22G pcs 16,259

639 MMP POLYSAFETY safety IV. CANNULA 24G pcs 16,259

640 MMP POLYSAFETY safety IV. CANNULA 26G pcs 19,318

641 MMP POLYWIN IV. CANNULA 18G pcs 10,809

642 MMP POLYWIN IV. CANNULA 20G pcs 10,809

643 MMP POLYWIN IV. CANNULA 22G pcs 10,809

644 MMP POLYWIN IV. CANNULA 24G pcs 10,809

645 MMP POLYWIN IV. CANNULA 26G pcs 13,596

646 MMP POLYWIN IV. CANNULA16G pcs 10,809

647 MMP POLYWIN SAFETY Safety IV. CANNULA 18G pcs 15,182

648 MMP POLYWIN SAFETY Safety IV. CANNULA 20G pcs 15,182

649 MMP POLYWIN SAFETY Safety IV. CANNULA 22G pcs 15,182

STANDAR SATUAN HARGA BARANG BMHP 182

Page 209: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

650 MMP POLYWIN SAFETY Safety IV. CANNULA 24G pcs 15,182

651 MUZAMAL INDUSTRIES CIRINGE Syringe Without Needle 3 ml pcs 711

652 MUZAMAL INDUSTRIES CIRINGE Syringe Without Needle 5 ml pcs 850

653 MUZAMAL INDUSTRIES CIRINGE Syringe Without Needle 50 ml pcs 5,665

654 NAKAMURA N-IDEAL Infant Incubator H-2000 LCS-ICU unit 1,749,383

655 NAKAMURA N-IDEAL Infant Incubator H-2000 PS unit 1,612,907

656 NAKAMURA N-IDEAL Infant Warmer NIW-2000 unit 843,674

657 NIPRO Blood Transfusion Set pcs 13,823

658 NIPRO Infuse Set "Y" Type With Injection Port pcs 5,124

659 NIPRO IV Catheter 18G X 1-1/4" pcs 7,229

660 NIPRO IV Catheter 18G X 2" pcs 7,229

661 NIPRO IV Catheter 20G X 1-1/4" pcs 7,229

662 NIPRO IV Catheter 20G X 1" pcs 7,229

663 NIPRO IV Catheter 22G X 1" pcs 7,229

664 NIPRO IV Catheter 24G X 1" pcs 7,229

665 NIPRO IV Catheter 24G X 3/4" pcs 7,229

666 NIPRO Syringe 10cc Luer Lock With Needle 21GX1-1/2" pcs 1,337

667 NIPRO Syringe 1cc Tuberculin With Needle 26GX1/2" pcs 1,020

668 NIPRO Syringe 20ml Luer Slip Without Needle pcs 2,617

669 NIPRO Syringe 3cc Luer Lock With Needle 23GX1-1/4" pcs 816

670 NIPRO Syringe 3cc Luer Lock With Needle 24GX1" pcs 816

671 NIPRO Syringe 50ml Catheter Tip pcs 12,350

672 NIPRO Syringe 50ml Luer Slip Without Needle pcs 5,790

673 NIPRO Syringe 5cc Luer Lock With Needle 22GX1-1/2" pcs 1,008

674 NIPRO Wing Catheter With Injection Port 18G pcs 11,330

675 NIPRO Wing Catheter With Injection Port 20 G X 1-1/4” pcs 11,330

676 NIPRO Wing Catheter With Injection Port 22 G X 1” pcs 11,330

677 NIPRO Wing Catheter With Injection Port 24G pcs 11,330

678 NOVO NORDISK NovoTwist 32G x 5mm unit 214,549

679 NOVOS Phototherapy System BILICOT unit 87,463,171

680 NOVOS Phototherapy Unit BILISPHERE 360 unit 173,072,239

681 NURITEK Baby Basket NT 013-00A unit 2,847,017

682 NURITEK Baby Basket NT 013-00BSS unit 4,940,277

683 NURITEK Children Bed NT 014-02CC unit 7,120,197

684 NURITEK Examination Lamp NT 023-00B unit 2,632,809

685 NURITEK Hospital Bed NT 001-B Prima Manual 1 Plus unit 9,270,000

686 NURITEK Hospital Bed NT 001-C Deluxe Manual 1 Plus unit 13,935,900

STANDAR SATUAN HARGA BARANG BMHP 183

Page 210: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

687 NURITEK Hospital Bed NT 001-C Prima Manual 1 Plus unit 10,042,500

688 NURITEK Hospital Bed NT 001-D Prima Manual 1 Plus unit 15,329,490

689 NURITEK Hospital Bed NT 001-DEL Grand A1 Plus unit 34,972,141

690 NURITEK Hospital Bed NT 001-DEL Prima B1 Plus unit 26,587,084

691 NURITEK ICU Bed NT 001-TRL Special Edition unit 35,928,492

692 NURITEK Infusion Stand NT 003-00BSS unit 1,225,056

693 NURITEK Phototherapy / Blue Light NT 032-00A unit 13,888,456

694 OLIDEF- BRAZIL Baby Incubator - SCTI line 4 V1 unit 69,359,926

695 OLIDEF- BRAZIL Infant radiant warmer - Matrix sc unit 80,342,025

696ONEJECT Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis

Rusak 0.05 ml pcs 1,700

697ONEJECT Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis

Rusak 0.5 ml (Oneject II) pcs 1,277

698ONEJECT Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis

Rusak 0.5 ml pcs 1,277

699ONEJECT Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis

Rusak 1 ml pcs 1,303

700ONEJECT Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis

Rusak 3 ml pcs 1,303

701ONEJECT Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis

Rusak 5 ml pcs 1,756

702 ONIONEX BLOOD TRANSFUSION SET pcs 7,669

703 ONIONEX DISPOSABLE SYRINGE 1 CC/ML pcs 721

704 ONIONEX DISPOSABLE SYRINGE 10 CC/ML pcs 1,267

705 ONIONEX DISPOSABLE SYRINGE 2.5 CC/ML pcs 761

706 ONIONEX DISPOSABLE SYRINGE 3 CC/ML pcs 761

707 ONIONEX DISPOSABLE SYRINGE 5 CC/ML pcs 840

708 ONIONEX INFUSION SET FOR ADULT pcs 3,018

709 ONIONEX INFUSION SET FOR PEDIATRIC pcs 3,114

710 ONIONEX IV CATHETER 18G pcs 5,196

711 ONIONEX IV CATHETER 20G pcs 5,196

712 ONIONEX IV CATHETER 22G pcs 5,196

713 ONIONEX IV CATHETER 24G pcs 5,196

714 ONIONEX SCALP VEIN SET 21G pcs 953

715 ONIONEX SCALP VEIN SET 23G pcs 953

716 ONIONEX SCALP VEIN SET 25G pcs 953

717 ONIONEX SCALP VEIN SET 27G pcs 953

718 PARAMOUNT BED 1 Crank bed unit 7,931,000

719 PARAMOUNT BED 2 Crank Gatch Bed unit 9,270,000

720 PARAMOUNT BED 3 Motor Bed unit 29,861,108

STANDAR SATUAN HARGA BARANG BMHP 184

Page 211: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

721 PARAMOUNT BED 3 Motor Electric Bed unit 33,151,580

722 PARAMOUNT BED Bassinet Cart unit 5,919,915

723 PARAMOUNT BED Bedside Cabinet unit 4,017,000

724 PARAMOUNT BED Collapsible Bedside Raills unit 2,577,048

725 PARAMOUNT BED Electric Delivery Bed unit 142,078,200

726 PARAMOUNT BED Flat Bed unit 6,782,880

727 PARAMOUNT BED Gamma 4 Motor Bed unit 65,896,183

728 PARAMOUNT BED Gamma Bed Digital Scale & X-Ray Cassette unit 111,105,152

729 PARAMOUNT BED I. V Hanger Rod unit 969,521

730 PARAMOUNT BED I.V. Stand unit 2,060,000

731 PARAMOUNT BED Medical Cart unit 22,874,590

732 PARAMOUNT BED New 3 Crank Gatch Bed unit 17,049,384

733 PARAMOUNT BED New 3 Motor Electric Bed unit 33,151,580

734 PARAMOUNT BED Overbed Table unit 2,588,865

735 PARAMOUNT BED Pediactric Bed unit 15,155,008

736 PARAMOUNT BED Psychiactric Bed unit 10,134,912

737 PARAMOUNT BED Qualitas 4 Motor Electric Bed unit 51,449,530

738 PARAMOUNT BED Qualitas Alpha Plus 3 Motor Electric Bed unit 43,872,026

739 PARAMOUNT BED Reversible Pressure Reduction Mattress unit 5,284,384

740 PARAMOUNT BED Urethane Foam Mattress Width 910mm unit 1,610,220

741 PT. MEDIBEST INDONESIA Disposafe Safety Box 12,5 Liter box 33,847

742 PT. MEDIBEST INDONESIA Disposafe Safety Box 2,5 Liter box 16,756

743 REMEDI Blood Set pcs 5,047

744 REMEDI Disposible Syringe + Needle 10cc pcs 1,391

745 REMEDI Disposible Syringe + Needle 1cc TB pcs 1,030

746 REMEDI Disposible Syringe + Needle 3cc pcs 824

747 REMEDI Disposible Syringe + Needle 5cc pcs 1,082

748 REMEDI Infusion Set With Air Vent 1009 Soft Tubing pcs 3,708

749 REMEDI IV Catheter Flash Back model - 18 G pcs 4,326

750 REMEDI IV Catheter Flash Back model - 20 G pcs 4,326

751 REMEDI IV Catheter Flash Back model - 22 G pcs 4,326

752 REMEDI IV Catheter Flash Back model - 24 G pcs 4,326

753 SANI-INDONESIA Children Bed unit 10,421,823

754 SANI-INDONESIA Infant Incubator SN 100A unit 77,473,999

755 SANI-INDONESIA Infant Radiant Warmer unit 68,864,461

756SARANDI KARYA NUGRAHA ECOMED Manual Hospital Bed ECO 01-

12CP unit 7,004,000

STANDAR SATUAN HARGA BARANG BMHP 185

Page 212: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

757 SARANDI KARYA NUGRAHA KARIXA Children Bed KA 14-22BSS unit 9,991,000

758SARANDI KARYA NUGRAHA KARIXA Hospital Bed Manual KA 01-

12BSS unit 9,476,000

759SARANDI KARYA NUGRAHA KARIXA Hospital Bed Manual KA 01-

13BSS unit 12,566,000

760SARANDI KARYA NUGRAHA KARIXA Hospital Bed Psikiatry KA 01-

00PS unit 5,768,000

761 SARANDI KARYA NUGRAHA SKN Hospital Bed SKN 01-13C unit 14,162,500

762 SARANDI KARYA NUGRAHA SKN Medical Hospital Bed SKN 01-11C unit 9,424,500

763SARANDI KARYA NUGRAHA SKNMEDICAL Medical Hospital Bed SKN

01-13CE unit 25,956,000

764 SERENITY Alcohol Swab box 12,978

765 SERENITY Blood Transfusion Set pcs 5,665

766 SERENITY Infusion Set Anak pcs 3,914

767 SERENITY Infusion Set Dewasa pcs 3,708

768 SERENITY IV. Catether Fr. 18 pcs 4,738

769 SERENITY IV. Catether Fr. 20 pcs 4,738

770 SERENITY IV. Catether Fr. 22 pcs 4,738

771 SERENITY IV. Catether Fr. 24 pcs 4,738

772 SERENITY IV. Catether With Injection Port Fr. 18 pcs 6,747

773 SERENITY IV. Catether With Injection Port Fr. 20 pcs 6,747

774 SERENITY IV. Catether With Injection Port Fr. 22 pcs 6,747

775 SERENITY IV. Catether With Injection Port Fr. 24 pcs 6,747

776 SEROSEP Histopot Neutral Formalin 10% - 125 ml (108 Pcs) box 1,755,923

777 SEROSEP Histopot Neutral Formalin 10% - 180 ml (70 Pcs) box 1,564,931

778 SEROSEP Histopot Neutral Formalin 10% - 250 ml (69 Pcs) box 3,608,864

779 SEROSEP Histopot Neutral Formalin 10% - 2500 ml box 114,967

780 SEROSEP Histopot Neutral Formalin 10% - 40 ml (300 Pcs) box 1,924,452

781 SEROSEP Histopot Neutral Formalin 10% - 500 ml (24 Pcs) box 1,906,579

782 SEROSEP Histopot Neutral Formalin 10% - 5000 ml box 169,242

783 SEROSEP Histopot Neutral Formalin 10% - 60 ml (243 Pcs) box 1,728,503

784 SHVABE lntensive Care Infant Incubator/ SHVABE IDN - 02 UOMZ unit 183,237,000

785 SHVABE lntensive Care Infant Incubator/ SHVABE IDN - 03 UOMZ unit 325,274,000

786SHVABE Neonatal Phototherapy Irradiator/ SHVABE OFN - 02 UOMZ

With Pole unit 68,907,000

787SHVABE Neonatal Table with Automatic Heating Temperature Control/

SHVABE SNO UOMZ unit 135,960,000

788 SHVABE Neonatal Warmer/ SHVABE ODN - 01 UOMZ unit 63,036,000

789SHVABE Neonatal Phototherapy Irradiator/ SHVABE OFN - 02 UOMZ

Without Pole unit 54,075,000

790 SMITH AND NEPHEW MEDICAL LIMITED Melolin 10x1ocm pcs 8,611

STANDAR SATUAN HARGA BARANG BMHP 186

Page 213: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

791 SMITH AND NEPHEW MEDICAL LIMITED Melolin 5 x 5 cm pcs 2,987

792 SMITH AND NEPHEW MEDICAL LIMITED Opsite Flexifix 10 x 10 cm pcs 570,620

793 SMITH AND NEPHEW MEDICAL LIMITED Opsite Flexifix 5 x 10 cm pcs 304,880

794 SMITH AND NEPHEW MEDICAL LIMITED Opsite lV 3000 5x6cm pcs 5,438

795 SMITH AND NEPHEW MEDICAL LIMITED Opsite lV 3000 7x9cm pcs 5,892

796 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 15,5x8,5cm pcs 24,926

797 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 20x10cm pcs 29,911

798 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 25x10cm pcs 36,256

799 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 6,5x5cm pcs 9,291

800 SMITH AND NEPHEW MEDICAL LIMITED Opsite Post Op 9,5x8,5cm pcs 20,054

801 SMITHS MEDICAL Graseby unit 15,084,762

802 SMITHS MEDICAL JELCO 24G pcs 8,961

803 SMITHS MEDICAL JELCO 14G pcs 8,961

804 SMITHS MEDICAL JELCO 16G pcs 8,961

805 SMITHS MEDICAL JELCO 18G pcs 8,961

806 SMITHS MEDICAL JELCO 2 16G pcs 16,583

807 SMITHS MEDICAL JELCO 2 18G pcs 16,583

808 SMITHS MEDICAL JELCO 2 20G pcs 16,583

809 SMITHS MEDICAL JELCO 2 22G pcs 16,583

810 SMITHS MEDICAL JELCO 20G pcs 8,961

811 SMITHS MEDICAL JELCO 22G pcs 8,961

812 SMITHS MEDICAL LOGICATH 2L 7F 20 CM pcs 611,511

813 SMITHS MEDICAL LOGICATH CVC 2L 12F 20 CM pcs 702,460

814 SMITHS MEDICAL LOGICATH CVC 2L 4F 10 CM pcs 626,137

815 SMITHS MEDICAL LOGICATH CVC 2L 7F 16 CM pcs 611,511

816 SMITHS MEDICAL LOGICATH CVC 3L 12F 20 CM pcs 797,014

817 SMITHS MEDICAL LOGICATH CVC 3L 7F 16 CM pcs 626,137

818 SMITHS MEDICAL MEDFUSION unit 53,634,778

819SN MEDIKA PRO CREPE PEMBALUT ELASTIS UKURAN 10 CM X 4,55

M (terentang) roll 33,990

820SN MEDIKA PRO CREPE PEMBALUT ELASTIS UKURAN 15 CM X 4,55

M (terentang) roll 43,167

821SN MEDIKA PRO CREPE PEMBALUT ELASTIS UKURAN 7,5 CM X

4,55 M (terentang) roll 28,665

822 SNA MEDIKA FM Crepe Pembalut Elastis 10 cm x 4,55 m roll 45,307

823 SNA MEDIKA FM Crepe Pembalut Elastis 15 cm x 4,55 m roll 55,763

824 SNA MEDIKA FM Crepe Pembalut Elastis 7,5 cm x 4,55 m roll 37,092

825 SNA MEDIKA Hos-Pak Kapas Pembalut 100 gr roll 12,258

826 SNA MEDIKA Hos-Pak Kapas Pembalut 1000 gr roll 110,409

STANDAR SATUAN HARGA BARANG BMHP 187

Page 214: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

827 SNA MEDIKA Hos-Pak Kapas Pembalut 25 gr roll 4,061

828 SNA MEDIKA Hos-Pak Kapas Pembalut 250 gr roll 29,386

829 SNA MEDIKA Hos-Pak Kapas Pembalut 50 gr roll 6,810

830 SNA MEDIKA Hos-Pak Kapas Pembalut 500 gr roll 56,338

831 SNA MEDIKA Policrepe Pembalut Elastis 10 cm x 4,55 m roll 33,879

832 SNA MEDIKA Policrepe Pembalut Elastis 15 cm x 4,55 m roll 43,126

833 SNA MEDIKA Policrepe Pembalut Elastis 7,5 cm x 4,55 m roll 28,490

834 STARDEC Infusion set luer slip new(Box/50) box 241,329

835 STARDEC Infusion set new(Box/50) box 241,329

836 STARDEC Tranfusion Sets box 445,269

837 STERIS Vipro Max Low Temperature Sterilizer-STERIS unit 181,280

838 SUREPLUS SURE PLUS Syringe 1 ml Tuberculin with 27G Needle pcs 698

839 SUREPLUS SURE PLUS Syringe 10 ml with 21G Needle pcs 1,095

840 SUREPLUS SURE PLUS Syringe 3 ml with 23G Needle pcs 698

841 SUREPLUS SURE PLUS Syringe 5 ml with 22G Needle pcs 859

842 SUREPLUS SurePlus Infusion Set Adult pcs 3,444

843 SUREPLUS SurePlus Infusion Set Pediatric pcs 3,966

844 SUREPLUS SurePlus Needle Hypodermic pcs 340

845 SUREPLUS SurePlus Scalp Vein Set 23G pcs 759

846 SUREPLUS SurePlus Scalp Vein Set 25G pcs 759

847 SUREPLUS SurePlus Transfusion Set pcs 4,929

848 SURYA HUSADA Kapas Berlemak 500 gr pack 22,145

849 SURYA HUSADA Kapas Pembalut Hydrofil 250 gr pack 13,802

850 SUZRIC Anti Decubitus Alternating Air Pressure Mattress Comfort 2006 unit 3,036,440

851 SUZRIC Anti Decubitus Alternating Air Pressure Mattress Comfort 2014 unit 2,775,850

852TELEFLEX Arrow Central Venous Catheter Sets, Double Lumen tipe CS-

14402 (CVC set : 2-lumen 4 FR x 13 cm) unit 894,570

853TELEFLEX Arrow central Venous Catheter Sets, Double Lumen Tipe CS-

14502 unit 908,267

854 TELEFLEX Arrow CVC SET: 2-LUMEN 7FR x 20CM AGB unit 588,403

855 TELEFLEX Arrow CVC SET: 3-LUMEN 7FR x 20CM AGB unit 530,244

856TELEFLEX Arrow Large Bore Multi Lumen Central Venous

Catheterization Set tipe CS-12123-F (CVC Set : 3-lumen 12 FRx16 cm) unit 1,396,418

857TELEFLEX Arrow Triple Lumen Central Venous Catheter set with Blue

Flex tip ARRCWg+ard Blue unit 819,978

858 TENDE MEDICAL / INFANT INCUBATOR / TENDE Infant Care System unit 364,002,000

STANDAR SATUAN HARGA BARANG BMHP 188

Page 215: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

859TENDE MEDICAL / LED PHOTOTHERAPY / TENDE Infant Care System -

LED Infant Phototherapy Foldable unit 90,125,000

860TENDE MEDICAL / LED Phototherapy / TENDE Infant Care System -

LED Phototherapy CB unit 65,920,000

861 TERUMO Disp.Syringe with Needle 1 CC Tuberculin pcs 1,586

862 TERUMO Disp.Syringe with Needle 10 CC pcs 1,844

863 TERUMO Disp.Syringe with Needle 3 CC pcs 986

864 TERUMO Disp.Syringe with Needle 5 CC pcs 1,388

865 TERUMO Disp.Syringe without Needle 20 CC pcs 3,172

866 TERUMO Disp.Syringe without Needle 20 CC Luer Lock pcs 3,172

867 TERUMO Disp.Syringe without Needle 3 CC pcs 853

868 TERUMO Disp.Syringe without Needle 30 CC pcs 5,413

869 TERUMO Disp.Syringe without Needle 30 CC Luer Lock pcs 5,413

870 TERUMO Disp.Syringe without Needle 5 CC pcs 1,110

871 TERUMO Disposable Syringe without Needle 50 CC pcs 7,974

872 TERUMO Disposable Syringe without Needle 50 CC Luer Lock pcs 8,286

873 TERUMO INFUSION PUMP - TE-112W3 unit 19,517,058

874 TERUMO INFUSION PUMP - TE-135NW3 unit 21,860,102

875 TERUMO INFUSION PUMP - TE-172CW3 unit 25,656,332

876 TERUMO NANOPASS Needle for pen - injectors 32.5G x 4 mm unit 2,058

877 TERUMO NANOPASS Needle for pen - injectors 32.5G x 6 mm unit 2,058

878 TERUMO NANOPASS Needle for pen - injectors 32.5G x 8 mm unit 2,058

879 TERUMO PEDIATRIC SOLUTION ADMINISTRATION SET - TK*A200LK pcs 10,718

880 TERUMO SAFEED Extention Tube 75 cm (2.5 ml) pcs 8,090

881 TERUMO SAFEED Feeding Tube 3.5 (35 cm) pcs 9,106

882 TERUMO SAFEED Feeding Tube 5 fr (40 cm) pcs 9,106

883 TERUMO SAFEED Feeding Tube 8 fr (100 cm) pcs 9,106

884 TERUMO SAFEED Feeding Tube 8 fr (40 cm) pcs 9,106

885 TERUMO SAFEED Stomach Tube 12 fr (125 cm) pcs 10,310

886 TERUMO SAFEED Stomach Tube 14 fr (125 cm) pcs 10,310

887 TERUMO SAFEED Stomach Tube 16 fr (125 cm) pcs 10,310

888 TERUMO SAFEED Stomach Tube 18 fr (125 cm) pcs 10,310

889 TERUMO SURFLO IV CATH SR+OX1451C3 pcs 8,606

890 TERUMO SURFLO IV CATH SR+OX1651C3 pcs 8,606

891 TERUMO SURFLO IV CATH SR+OX1832C3 pcs 8,606

892 TERUMO SURFLO IV CATH SR+OX1851C3 pcs 8,606

STANDAR SATUAN HARGA BARANG BMHP 189

Page 216: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

893 TERUMO SURFLO IV CATH SR+OX2032C3 pcs 8,606

894 TERUMO SURFLO IV CATH SR+OX2051C3 pcs 8,606

895 TERUMO SURFLO IV CATH SR+OX2225C3 pcs 8,606

896 TERUMO SURFLO IV CATH SR+OX2419C3 pcs 8,606

897 TERUMO Surflo Winged Infusion Set - SV*19CLK pcs 5,812

898 TERUMO Surflo Winged Infusion Set - SV*21CLK pcs 5,812

899 TERUMO Surflo Winged Infusion Set - SV*23CLK pcs 5,812

900 TERUMO Surflo Winged Infusion Set - SV*25CLK pcs 5,812

901TERUMO Surflo-W IV Catheter with Wings and Injection Port - SRDM

1832pcs 15,012

902TERUMO Surflo-W IV Catheter with Wings and Injection Port - SRDM

2032pcs 15,012

903TERUMO Surflo-W IV Catheter with Wings and Injection Port - SRDM

2225pcs 15,012

904TERUMO Surflo-W IV Catheter with Wings and Injection Port - SRDM

2419pcs 15,635

905TERUMO Surflo-W IV Catheter with Wings and Injection Port - SRDM

2619pcs 21,697

906 TERUMO SURHIELD SURFLO II - SR*SFA1832 pcs 17,348

907 TERUMO SURHIELD SURFLO II - SR*SFA2032 pcs 17,348

908 TERUMO SURHIELD SURFLO II - SR*SFA2225 pcs 17,348

909 TERUMO SURHIELD SURFLO II - SR*SFA2419 pcs 17,348

910 TERUMO Surplug Needle Free Connector - SP*1S pcs 18,107

911TERUMO Surplug Needle Free Connector with Extension Tube - Surplug

2B 20cm Lockpcs 44,508

912TERUMO Surplug Needle Free Connector with Extension Tube - Surplug

3B 30cm Lockpcs 52,367

913 TERUMO TERUFUSION BLOOD ADM SET - TB*U800L pcs 14,395

914 TERUMO TERUFUSION BLOOD SET FOR PUMP - TB*PU300L pcs 43,983

915 TERUMO Terufusion Solution Administration Set - TI*U200L11 pcs 7,541

916 TERUMO Terufusion Solution Administration Set - TS*M270LA pcs 50,519

917TERUMO Terufusion Solution Administration Set for Infusion Pump -

TI*PU300Lpcs 22,433

918 TERUMO Terufusion Syringe Pump TE-SS700N03 unit 17,529,776

919 TERUMO Terumo SAFEED Feeding Tube 5 fr (100cm pcs 9,106

920 TESENA Tesena Infant Incubator TSN 910 SC-C unit 62,405,640

921 TESENA Tesena Infant Incubator TSN 910 SC-EHL unit 99,807,000

922 TESENA Tesena Infant Warmer TSN 807 IWSC unit 99,240,500

923 TESENA Tesena Phototherapy Unit TLC 1 H (4 lamp) unit 8,126,700

924 TESENA Tesena Phototherapy Unit TLC 2 H (4 lamp) unit 9,939,500

925 TESENA Tesena Phototherapy Unit TLC 2 HP unit 6,695,000

926 TESENA Tesena Phototherapy Unit TLC 2 HT unit 12,823,500

STANDAR SATUAN HARGA BARANG BMHP 190

Page 217: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

927 TESENA Tesena Transport Infant Incubator TSN 705 TRSC. unit 123,909,000

928 TESENA Tesena Transport Infant Incubator TSN 89 TR unit 62,613,700

929 TOP CORPORATION Infusion Pump unit 19,055,000

930 TOP CORPORATION Syringe Pump unit 19,055,000

931 TOSAN - IRAN Infant Incubator - 111 unit 10,221

932 TOSAN - IRAN Infant Warmer - 083 unit 12,712

933 TOSAN - IRAN Phototherapy Stand - 023 unit 813

934 TP Disposable Syringe 1 cc pcs 666

935 TP Disposable Syringe 10 cc pcs 960

936 TP Disposable Syringe 2,5 cc pcs 672

937 TP Disposable Syringe 20 cc pcs 1,548

938 TP Disposable Syringe 3 cc pcs 672

939 TP Disposable Syringe 5 cc pcs 800

940 TP Disposable Syringe 50 cc pcs 3,657

941 TP Infusion Set Adult 20 Drops/Ml With Y Type, Airvent, Luer Lock pcs 5,974

942 TSE SPOL LED Phototheraphy Lamp pcs 91,791,710

943 TSE SPOL TSE Baby Concept Intermediate Care Incubator Type SI-600 pcs 295,681,070

944 UNION Auto Disable Syringe 0.05 ML pcs 1,421

945 UNION Auto Disable Syringe 0.5 ML pcs 1,287

946 VASFLOW Vasflow IV Catheter No.18 G pcs 6,283

947 VASFLOW Vasflow IV Catheter No.20 G pcs 6,283

948 VASFLOW Vasflow IV Catheter No.22 G pcs 6,283

949 VASFLOW Vasflow IV Catheter No.24 G pcs 6,283

950 VYGON Premicath Accesories Lectro Spiral unit 46,927

951 VYGON Bionector 2 unit 20,059

952 VYGON Centracath 14 G, 30 cm unit 117,381

953 VYGON Centracath 15 G, 30 cm unit 128,154

954 VYGON Centracath 16 G, 30 cm unit 128,154

955 VYGON Centracath 17 G, 30 cm unit 117,381

956 VYGON Centracath 19 G, 30 cm unit 115,524

957 VYGON Double Lumen Octopus 10 cm unit 99,954

958 VYGON Double Lumen Umbilical Catheter 4 Fr - 40 cm unit 370,378

959 VYGON Double Lumen Umbilical Catheter 5 Fr - 40 cm unit 384,808

960 VYGON Infusion Line with Lipid Filter unit 240,334

961 VYGON Infusion Line with Lipid Filter unit 139,977

962 VYGON Leader Flex 2 Fr, 4 cm - 22G unit 512,615

963 VYGON Leader Flex 2 Fr, 6 cm - 22G unit 586,328

STANDAR SATUAN HARGA BARANG BMHP 191

Page 218: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

964 VYGON Leader Flex 2 Fr, 8 cm - 22G unit 434,607

965 VYGON Leader-Cath Arterial 3 Fr, 8cm unit 238,849

966 VYGON Polyurethane Umbilical Catheter 2.5Fr - 30 cm unit 283,052

967 VYGON Polyurethane Umbilical Catheter 3.5Fr - 40 cm unit 276,737

968 VYGON Polyurethane Umbilical Catheter 4Fr - 40 cm unit 165,300

969 VYGON Polyurtehane Umbilical Catheter 5Fr - 40 cm unit 165,300

970 VYGON Polyurtehane Umbilical Catheter 8Fr - 40 cm unit 165,300

971 VYGON Premicath 1 Fr, 20 cm with Stylet and Microflash unit 986,969

972 VYGON Premicath 1 Fr, 20 cm with Stylet and Splitting Needle unit 1,034,886

973 VYGON PVC Umbilical Catheter 3.5 Fr unit 40,860

974 VYGON PVC Umbilical Catheter 4 Fr unit 34,546

975 VYGON PVC Umbilical Catheter 5 Fr unit 35,289

976 VYGON PVC Umbilical Catheter 6.0 Fr unit 35,289

977 VYGON PVC Umbilical Catheter 7 Fr unit 34,174

978 VYGON PVC Umbilical Catheter 8 Fr unit 38,260

979 WAYSON MEDICAL SEMILLAS Non-Woven I.V. Dressing unit 1,442

980 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 10 x 100cm each 7,534

981 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 10 x 500cm roll 30,931

982 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 15 x 500cm roll 41,638

983 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 20 x 500cm roll 55,517

984 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 5 x 100cm roll 3,966

985 WAYSON MEDICAL SEMILLAS Non-Woven Medical Tape 5 x 500cm roll 22,406

986 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing (Common) pcs 2,182

987 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing (With Notch) pcs 2,379

988 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing (with Pad) pcs 3,371

989 WAYSON MEDICAL SEMILLAS Transparent I.V. dressing 10x12 pcs 9,121

990 WAYSON MEDICAL SEMILLAS Transparent I.V. Dressing 4.4x4.4 pcs 1,983

991WAYSON MEDICAL SEMILLAS WATERPROOF & TRANSPARENT

MEDICAL TAPE 10 X 500roll 148,706

992WAYSON MEDICAL SEMILLAS WATERPROOF & TRANSPARENT

MEDICAL TAPE 15 X 500roll 186,379

993WAYSON MEDICAL SEMILLAS WATERPROOF & TRANSPARENT

MEDICAL TAPE 20 X 500roll 257,758

994WAYSON MEDICAL SEMILLAS WATERPROOF & TRANSPARENT

MEDICAL TAPE 5 X 500roll 87,241

995 WELFORD MEDICAL WELCARE Airguard Safety Infusion Set pcs 16,259

996 WELFORD MEDICAL WELCARE Blood Transfusion Set pcs 9,430

STANDAR SATUAN HARGA BARANG BMHP 192

Page 219: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

997 WELFORD MEDICAL Welcare I.V. Solution Administration set (macro) box 745,345

998WELFORD MEDICAL WELCARE Innocath I.V catheter with wings and

injection port 16 Gpcs 5,691

999WELFORD MEDICAL WELCARE Innocath I.V catheter with wings and

injection port 18 Gpcs 5,691

1000WELFORD MEDICAL WELCARE Innocath I.V catheter with wings and

injection port 24 Gpcs 5,691

1001WELFORD MEDICAL WELCARE Innocath I.V. catheter with wings and

injection port 20 Gpcs 5,691

1002WELFORD MEDICAL WELCARE Innocath I.V. catheter with wings and

injection port 22 Gpcs 5,691

1003 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter NO 16 G pcs 4,207

1004WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 16 G with

Wing & Portpcs 4,558

1005 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 18 G pcs 4,207

1006WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 18 G with

Wing & Portpcs 4,558

1007 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 20 G pcs 4,207

1008WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 20 G with

Wing & Portpcs 4,558

1009 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 22 G pcs 4,207

1010WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 22 G with

Wing & Portpcs 4,558

1011 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 24 G pcs 4,207

1012 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 24 G pcs 4,207

1013WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 24 G with

Wing & Portpcs 4,558

1014 WELLMED INTERNATIONAL INDUSTRIES RD IV Catheter No 26 G pcs 4,207

1015 WEYER GERMANY Bili-Compact Neonatal Phototheraphy Device unit 84,975,000

1016 WEYER GERMANY Thermocare Vita Neonatal Incubator (Alternatif) unit 464,530,000

1017 WEYER GERMANY Thermocare Vita Neonatal Incubator unit 662,805,000

1018WEYER GERMANY Variotherm REA-KCE Infant Radiant Warmer

(Alternatif)unit 300,245,000

1019 WEYER GERMANY Variotherm REA-KCE Infant Radiant Warmer unit 407,880,000

1020YAFHO BIO-TECHNOLOGY CO., LTD. E-CARE FILM IV DRESSING 6 x

7 P (ID67P)unit 226,600

1021YAFHO BIO-TECHNOLOGY CO., LTD. E-CARE FILM IV DRESSING 6 X

7 S (ID67S)unit 226,600

1022YAFHO BIO-TECHNOLOGY CO., LTD. E-CARE FILM IV DRESSING 7 x

8 P(ID78P)unit 309,000

1023 ZULMAND Bed 1 Crank 843 ZD unit 11,391,841

STANDAR SATUAN HARGA BARANG BMHP 193

Page 220: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1024 ZULMAND Bed 2 Crank 844 ZD unit 11,648,414

1025 ZULMAND Bed 2 Crank 847 ZD unit 11,627,888

1026 ZULMAND Bed 2 Crank 854 ZD unit 11,648,414

1027 ZULMAND Bed 3 Crank 848 ZD unit 12,141,034

1028 ZULMAND Bed 3 Crank 850 ZD unit 12,161,560

1029 ZULMAND Bed Standard 840 ZD unit 3,592,022

1030 ZULMAND Children Bed unit 9,236,628

1031 ZULMAND Children Bed 1 Crank 862 ZD unit 11,173,028

1032 ZULMAND Children Bed 1 Crank, SS 860 ZD unit 10,262,920

1033 ZULMAND Children Bed, SS 861 ZD unit 10,204,828

1034 ZULMAND Electric Bed (2 Function) 823 ZD unit 33,457,119

1035 ZULMAND Electric Bed (3 Function) 824 ZD unit 33,151,580

1036 ZULMAND Electric Bed (3 Function) 828 ZD unit 35,509,703

1037 ZULMAND Electric Bed 2 Crank 821 ZD unit 33,457,119

1038 ZULMAND Electric Bed 827 ZD unit 33,457,119

1039 ZULMAND Electric ICU Bed 830 ZD unit 34,237,101

1040 ZULMAND Electric ICU Bed 834 ZD unit 34,237,101

1041 ZULMAND INFANT INCUBATOR CABINET 800A ZD unit 49,749,000

1042 ZULMAND INFANT INCUBATOR CABINET 800B ZD unit 38,110,000

1043 ZULMAND INFANT INCUBATOR PORTABLE 802 ZD unit 8,210,336

1044 ZULMAND INFANT INCUBATOR SERVO CONTROL 800 ZD unit 63,448,000

1045 ZULMAND Infant Incubator with Blue Light 800C ZD unit 70,864,000

1046 ZULMAND INFANT WARMER 807 ZD unit 100,528,000

1047 ZULMAND Manual ICU Bed 835 ZD unit 12,161,560

1048 ZULMAND Manual ICU Bed 836 ZD unit 12,161,560

1049 ZULMAND TRANSPORT INFANT INCUBATOR 801 ZD unit 63,448,000

Peralatan RSU & P Lainnya

1050 GETINGE Drying Cabinet unit 307,599,200

1051 GETINGE Flusher Disinfector (Bedpan Washer) 607 unit 277,482,000

1052 GETINGE Flusher Disinfector (Bedpan Washer) FD1600 unit 131,685,500

1053 GETINGE Steam Sterilizer 533HC-E Double Door unit 2,388,507,591

1054 GETINGE Steam Sterilizer 533HC-E Single Door unit 1,842,333,603

1055 GETINGE Steam Sterilizer HS33 100 Liter unit 898,160,000

1056 GETINGE Steam Sterilizer HS6610ER2 unit 2,460,407,108

1057 GETINGE Steam Sterilizer HS6620ER2 unit 2,918,093,000

1058 GETINGE Ultrasonic Washer 300 unit 98,262,000

STANDAR SATUAN HARGA BARANG BMHP 194

Page 221: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1059 GETINGE Ultrasonic Washer 450 unit 131,716,400

1060 GETINGE Washer Disinfector 46-4 unit 990,832,783

1061 GETINGE Washer Disinfector 46-5 unit 1,144,625,054

1062 GETINGE Washer Disinfector Claro unit 379,555,000

1063 WIPAK STERIKING Autoclave tape with indicator 19 mm x 50 m roll 77,126

1064 WIPAK STERIKING Creppe Paper 75CM X 75 CM (250 Sheets/Box) roll 5,839,111

1065 WIPAK STERIKING FLAT ROLL 5 CM/200M roll 370,800

1066 WIPAK STERIKING FLAT ROLL 10CM/200M roll 667,440

1067 WIPAK STERIKING FLAT ROLL 15CM/200M roll 994,980

1068 WIPAK STERIKING FLAT ROLL 20CM/200M roll 1,285,440

1069 WIPAK STERIKING FLAT ROLL 25CM/200M roll 1,551,180

1070 WIPAK STERIKING FLAT ROLL 30CM/200M roll 1,912,710

1071 WIPAK STERIKING FLAT ROLL 40CM/200M roll 2,811,900

1072 WIPAK STERIKING FLAT ROLL 7,5CM/200M roll 525,300

1073 WIPAK STERIKING GUSSET ROLL ( 7,5+ 2)CM/100M roll 592,044

1074 WIPAK STERIKING GUSSET ROLL (10+ 5)CM/100M roll 735,791

1075 WIPAK STERIKING GUSSET ROLL (15+ 5)CM/100M roll 884,358

1076 WIPAK STERIKING GUSSET ROLL (20+ 5,5)CM/100M roll 1,079,522

1077 WIPAK STERIKING GUSSET ROLL (25+ 6,5)CM/100M roll 1,336,734

1078 WIPAK STERIKING GUSSET ROLL (30+ 8)CM/100M roll 1,532,640

1079 WIPAK STERIKING TYVEK ROLL 7,5CM/100M roll 1,217,460

1080 WIPAK STERIKING TYVEK ROLL 10CM/100M roll 1,517,190

1081 WIPAK STERIKING TYVEK ROLL 15CM/100M roll 1,949,790

1082 WIPAK STERIKING TYVEK ROLL 25CM/100M roll 3,225,342

1083 WIPAK STERIKING TYVEK ROLL 50CM/100M roll 6,379,614

1084 3A HEALTH CARE 3A Suction Unit Maxiaspeed 9 unit 21,115,000

1085 3D SEMILLAS Latex Matras 200 x 90 x 10 cm unit 3,172,400

1086 3D SEMILLAS Latex Matras 200 x 90 x 12 cm unit 3,965,500

1087 3D SEMILLAS Latex Matras 200 x 90 x 12.5 cm unit 4,078,800

1088 3D SEMILLAS Latex Matras 200 x 90 x 7.5 cm unit 2,605,900

1089 3M 1860S N95 Medical Respirator box 401,700

1090 3M Surgical Mask Earloop box 30,591

1091 3M Surgical Mask Tie On box 30,900

1092 A CLASS AIR SHOWER (PASS BOX) / CLEAN ROOM unit 200,541,000

1093 A CLASS BAK PENCUCI / WASHING SINK (3 HOLE SINK) unit 27,531,900

1094 A CLASS BED SCREEN / ROOM DEVIDER STAINLESS STEEL unit 4,044,810

1095 A CLASS BEDSIDE CABINET (ABS) unit 2,605,900

STANDAR SATUAN HARGA BARANG BMHP 195

Page 222: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1096 A CLASS BEDSIDE CABINET (ALUMINIUM) unit 3,172,400

1097 A CLASS BOWL / WASKOM / BASIN SS (MEDICINE CHANGE BOWL) unit 108,150

1098 A CLASS CANS STAINLESS STEEL (Φ100*100mm) - INSTRUMENT unit 101,970

1099 A CLASS CANS STAINLESS STEEL (Φ160*154mm) – INSTRUMENT unit 220,935

1100 A CLASS CLINIC / TRAY PAN SS - INSTRUMENT unit 498,520

1101 A CLASS FOOT STEP / STEP TOOL SS+ABS unit 1,472,900

1102 A CLASS INSTRUMENT - CUVETTE STAND SS unit 266,255

1103 A CLASS INSTRUMENT / DRESSING TROLLEY WITH DRAWER unit 10,508,575

1104 A CLASS INSTRUMENT / MEDICINE CABINET (WITH DRAWER) unit 8,452,180

1105 A CLASS INSTRUMENT / MEDICINE CABINET unit 7,279,525

1106 A CLASS INSTRUMENT TRAY STAINLESS STEEL unit 183,546

1107 A CLASS INSTRUMENT TROLLEY unit 5,251,455

1108 A CLASS INSTRUMENT TROLLEY WITH DRAWER unit 6,061,550

1109 A CLASS KURSI TUNGGU / WAITING CHAIR 3 SEATER unit 7,931,000

1110 A CLASS LAUNDRY / LINEN TROLLEY SS (027) unit 9,296,265

1111 A CLASS LAUNDRY / LINEN TROLLEY SS (040-1) unit 4,854,905

1112 A CLASS LAUNDRY / LINEN TROLLEY SS (105) unit 3,721,905

1113 A CLASS LOCKER / CABINET (18 LOCK) unit 8,083,955

1114 A CLASS LOCKER / CABINET (4 LOCK) / WARDROBE 4 PERSON unit 7,279,525

1115 A CLASS LOCKER / CABINET (6 LOCK) unit 7,676,075

1116 A CLASS MAYO TROLLEY / TABLE STAINLESS STEEL unit 3,229,050

1117 A CLASS MEJA SS / WORKING TABLE SS (INSTALASI GIZI / APOTIK) unit 15,295,500

1118A CLASS NIERBAKEN / KIDNEY BOWL / DISH (DEEP 204*130mm) -

INSTRUMENTunit 97,438

1119A CLASS NIERBAKEN / KIDNEY BOWL / DISH (SHALLOW 243*125mm)

- INSTRUMENTunit 180,147

1120 A CLASS OVERBED TABLE STAINLESS STEEL unit 1,699,500

1121 A CLASS OXYGEN TROLLEY SS unit 3,625,600

1122 A CLASS PASS BOX / CLEAN ROOM unit 57,783,000

1123 A CLASS PENDANT (CEILING) SINGLE / DOUBLE ARM unit 83,615,400

1124 A CLASS SCRUB STATION / BAK PENCUCI (2 PERSON) unit 72,738,600

1125 A CLASS STAND WASKOM (BASIN) / DOUBLE BOWL SS unit 1,858,120

1126 ACCUVEIN AV400 unit 7,236

1127 ACEM Examination Lamp - Acem 1 F EVO unit 21,321,000

1128 ACEM Examination Lamp - Acem 1 R EVO unit 21,321,000

1129 AFA Table Top Steam Sterilizer, 25 Liters unit 183,340,000

1130 AGS Baby Basket (ANB0701) unit 4,013,393

STANDAR SATUAN HARGA BARANG BMHP 196

Page 223: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1131 AGS Bed Patient 1 Crank Manual (ANB0301) unit 8,778,615

1132 AGS Bed Patient 2 Crank Manual (ANB0201) unit 10,519,432

1133 AGS Bed Patient 3 Crank Manual (ANB0101) unit 13,242,049

1134 AGS Bed side Cabinet (ANC0501) unit 3,332,331

1135 AGS Dressing Trolley (ANT0301) unit 4,678,070

1136 AGS Electric Bed 3 Axis (ANB0401) unit 24,600,516

1137 AGS Electric ICU-ICCU Bed (ANB0501) unit 32,985,607

1138 AGS Emergency Mobile Stretcher (ANS0101) unit 7,193,958

1139 AGS Emergency Trolley (ANT0101) unit 6,841,459

1140 AGS Examination Table (ANB0802) unit 3,513,321

1141 AGS Food Trolley Open Frame (ANT0901) unit 6,556,228

1142 AGS Gynaecology Examination Verlos (ANG0101) unit 9,257,152

1143 AGS Gynecology Electric (ANG0105) unit 31,918,937

1144 AGS Infuse Stand 5 Legs (ANE0101) unit 1,505,860

1145 AGS Instrument Trolley 2 Racks (ANT0401) unit 3,603,478

1146 AGS Mattress Bed (ANA0701) unit 1,236,615

1147 AGS Medicine Cabinet Two Doors (ANC0101) unit 7,239,360

1148 AGS Over Bed Table (ANE0801) unit 1,966,595

1149 AGS Status Table (ANC0801) unit 5,172,006

1150 ALKAPHARM,FRANCE ALKACIDE 1L High Level Disinfectant btl 2,783,781

1151 ALKAPHARM,FRANCE Alkazyme Sachet 25 MG pack 825,030

1152 ANIOS ANIOSYME DLT PLUS 5L can 633,450

1153ANSELL Micro-Touch DermaClean Examination Powder Free Latex Size

Lbox 122,364

1154ANSELL Micro-Touch DermaClean Examination Powder Free Latex Size

Mbox 122,364

1155ANSELL Micro-Touch DermaClean Examination Powder Free Latex Size

Sbox 122,364

1156ANSELL Micro-Touch DermaClean Examination Powder Free Latex Size

XSbox 122,364

1157 ANSELL Micro-Touch Examination Nitrile Powder Free Size L box 101,970

1158 ANSELL Micro-Touch Examination Nitrile Powder Free Size M box 101,970

1159 ANSELL Micro-Touch Examination Nitrile Powder Free Size S box 101,970

1160 ANSELL Micro-Touch Examination Powdered Latex Size L box 61,182

1161 ANSELL Micro-Touch Examination Powdered Latex Size M box 61,182

1162 ANSELL Micro-Touch Examination Powdered Latex Size S box 61,182

1163 AQUASTAR DRYING SYSTEM SR 25 unit 250,645,350

1164 AQUASTAR DRYING SYSTEM SR 60 unit 521,993,843

1165 AQUASTAR IRONING SYSTEM MA 2000-33 unit 221,437,640

STANDAR SATUAN HARGA BARANG BMHP 197

Page 224: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1166 AQUASTAR WASHER EXTRACTOR LA 18 MP unit 307,146,507

1167 AQUASTAR WASHER EXTRACTOR LA 25 MP unit 421,118,590

1168 AQUASTAR WASHER EXTRACTOR LA 60 MP unit 993,343,132

1169 ARDO ARDO Twincare Matress unit 34,247,500

1170 ASAP ( Gloves) Sarung Tangan Latex POWDER FREE size XS isi 100 box 55,105

1171 ASAP (Gloves) Sarung Tangan Latex POWDER FREE size M isi 100 box 55,105

1172 ASAP (Gloves) Sarung Tangan Latex POWDER FREE size S isi 100 box 55,105

1173 ASAP (Gloves) Sarung Tangan Latex POWDERED isi 100 size S box 44,805

1174 ASAP (Gloves) Sarung Tangan Latex POWDERED size L isi 100 box 44,805

1175 ASAP (Gloves) Sarung Tangan Latex POWDERED size M isi 100 box 44,805

1176 ASAP (Gloves) Sarung Tangan Latex POWDERED size XS isi 100 box 44,805

1177 ASAP (Gloves) Sarung Tangan Powder Free NITRILE size L isi 300 box 150,895

1178 ASAP (Gloves) Sarung Tangan Powder Free NITRILE size M isi 300 box 150,895

1179 ASAP (Gloves) Sarung Tangan Powder Free NITRILE size S isi 300 box 150,895

1180 ASAP (Gloves)Sarung Tangan Latex POWDER FREE size L isi 100 box 55,105

1181 ASETRONIC ASELIGHT 70 LED EXAMINATION LIGHT unit 91,392,827

1182 AXIMED CONNECTING TUBE pcs 20,394

1183 AXIMED CONNECTING TUBE WITH YANKEUR HANDLE, 2 funnel pcs 28,325

1184 AXIMED EXAMINATION GLOVES, size L box 47,586

1185 AXIMED EXAMINATION GLOVES, size M box 47,586

1186 AXIMED EXAMINATION GLOVES, size S box 47,586

1187 AXIMED EXAMINATION GLOVES, size XS box 47,586

1188 AXIMED SUCTION CATHETER, no. 10 pcs 7,591

1189 AXIMED SUCTION CATHETER, no. 12 pcs 7,591

1190 AXIMED SUCTION CATHETER, no. 14 pcs 7,591

1191 AXIMED SUCTION CATHETER, no. 16 pcs 7,591

1192 AXIMED SUCTION CATHETER, no. 6 pcs 7,591

1193 AXIMED SUCTION CATHETER, no. 8 pcs 7,591

1194 AXIMED SWAB, 2-ply dus 11,330

1195 AXIMED SWAB, 4-ply dus 20,600

1196 AXIMED WOUND DRAIN, 200ml, no. 10 pcs 122,364

1197 AXIMED WOUND DRAIN, 200ml, no. 12 pcs 122,364

1198 AXIMED WOUND DRAIN, 200ml, no. 14 pcs 122,364

1199 AXIMED WOUND DRAIN, 200ml, no. 16 pcs 122,364

1200 AXIMED WOUND DRAIN, 400ml, no. 10 pcs 135,960

1201 AXIMED WOUND DRAIN, 400ml, no. 12 pcs 135,960

1202 AXIMED WOUND DRAIN, 400ml, no. 14 pcs 135,960

STANDAR SATUAN HARGA BARANG BMHP 198

Page 225: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1203 AXIMED WOUND DRAIN, 400ml, no.16 pcs 135,960

1204 BARTEC UTAMA MANDIRI Baby Basket unit 4,014,528

1205 BARTEC UTAMA MANDIRI Bedside Cabinet Full ABS unit 4,284,800

1206 BARTEC UTAMA MANDIRI Bedside Cabinet Half ABS unit 4,614,400

1207 BARTEC UTAMA MANDIRI Bedside Cabinet Luxurious unit 5,269,645

1208 BARTEC UTAMA MANDIRI Bedside Cabinet Top Table ABS unit 4,367,200

1209 BARTEC UTAMA MANDIRI Bedside Cabinet Top Table Plywood unit 4,152,960

1210 BARTEC UTAMA MANDIRI Bowl Stand Double unit 2,307,200

1211 BARTEC UTAMA MANDIRI Bowl Stand Single unit 1,615,040

1212 BARTEC UTAMA MANDIRI Dressing Trolley unit 5,009,920

1213 BARTEC UTAMA MANDIRI Emergency Trolley Luxurious Complete SS unit 20,764,800

1214 BARTEC UTAMA MANDIRI Emergency Trolley Luxurious MS unit 14,996,800

1215 BARTEC UTAMA MANDIRI Emergency Trolley Standart MS unit 8,882,720

1216 BARTEC UTAMA MANDIRI Examination Stool Standart (PU) unit 1,730,400

1217 BARTEC UTAMA MANDIRI Folding Stretcher unit 24,225,600

1218 BARTEC UTAMA MANDIRI Food Carriage Standart unit 13,925,600

1219 BARTEC UTAMA MANDIRI Food Trolley 16 Tray SS unit 11,041,600

1220 BARTEC UTAMA MANDIRI Food Trolley 20 Tray SS unit 11,783,200

1221 BARTEC UTAMA MANDIRI Food Trolley 7 Tray SS unit 7,910,400

1222 BARTEC UTAMA MANDIRI Foot Step MS unit 863,552

1223 BARTEC UTAMA MANDIRI Foot Step SS unit 1,236,000

1224 BARTEC UTAMA MANDIRI Glass Crusher unit 41,200,000

1225 BARTEC UTAMA MANDIRI Incinerator (Pembakar Sampah Medis ) 350 L unit 317,950,700

1226 BARTEC UTAMA MANDIRI Incinerator (Pembakar Sampah Medis) 100 L unit 196,730,000

1227 BARTEC UTAMA MANDIRI Infuse Stand Standart unit 527,360

1228BARTEC UTAMA MANDIRI Instalasi Pengolahan Air Limbah (IPAL) Flash

WWT Catalyst System Tipe 1 untuk Puskesmas Rawat Inapunit 418,077,000

1229BARTEC UTAMA MANDIRI Instalasi Pengolahan Air Limbah (IPAL) Flash

WWT Catalyst System Tipe 3 untuk Puskesmas Rawat Jalanunit 357,657,200

1230BARTEC UTAMA MANDIRI Instrument Cabinet Double Door

(Top&Bottom)unit 4,729,760

1231 BARTEC UTAMA MANDIRI Instrument Cabinet Double Door Swing unit 6,575,520

1232 BARTEC UTAMA MANDIRI Instrument Cabinet Single Door unit 3,172,400

1233 BARTEC UTAMA MANDIRI Instrument Trolley Material MS unit 2,653,280

1234 BARTEC UTAMA MANDIRI Instrument Trolley Material SS unit 4,120,000

1235 BARTEC UTAMA MANDIRI Laundry Trolley Standart SS unit 4,779,200

1236 BARTEC UTAMA MANDIRI Linen Hamper Carriage SS unit 9,390,304

1237 BARTEC UTAMA MANDIRI Locker 1 Door unit 2,999,360

STANDAR SATUAN HARGA BARANG BMHP 199

Page 226: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1238 BARTEC UTAMA MANDIRI Locker 12 Door unit 12,689,600

1239 BARTEC UTAMA MANDIRI Locker 3 Door unit 3,296,000

1240 BARTEC UTAMA MANDIRI Locker 6 Door unit 8,882,720

1241 BARTEC UTAMA MANDIRI Mattress For Children unit 1,903,440

1242 BARTEC UTAMA MANDIRI Mattress Standart Latex unit 4,944,000

1243 BARTEC UTAMA MANDIRI Mattress Standart Semi Latex unit 4,120,000

1244 BARTEC UTAMA MANDIRI Mattress Standart Super Foam unit 2,318,736

1245 BARTEC UTAMA MANDIRI Mayo Stand All Stainless Steel unit 7,152,320

1246BARTEC UTAMA MANDIRI Medicine Cabinet Double Door (Top &

Bottom)unit 5,421,920

1247 BARTEC UTAMA MANDIRI Medicine Cabinet Double Door Swing unit 6,583,760

1248 BARTEC UTAMA MANDIRI Medicine Cabinet Single Door unit 3,164,160

1249 BARTEC UTAMA MANDIRI Medicine Trolley 25 unit 9,393,600

1250 BARTEC UTAMA MANDIRI Medicine Trolley 50 unit 13,843,200

1251 BARTEC UTAMA MANDIRI Meja Merapikan Bayi MS unit 11,865,600

1252 BARTEC UTAMA MANDIRI Mobile Stretcher unit 11,536,000

1253 BARTEC UTAMA MANDIRI Mortuary Carriage unit 19,611,200

1254 BARTEC UTAMA MANDIRI Mortuary Freezer 2 Door unit 140,228,320

1255 BARTEC UTAMA MANDIRI Overbed Table Low Stand SS unit 2,142,400

1256 BARTEC UTAMA MANDIRI Overbed Table Standart unit 1,483,200

1257 BARTEC UTAMA MANDIRI Plastic Destroyer unit 26,368,000

1258 BARTEC UTAMA MANDIRI Room Divider 2 Leaf MS unit 1,542,528

1259 BARTEC UTAMA MANDIRI Room Divider 3 Leaf MS unit 3,804,408

1260 BARTEC UTAMA MANDIRI Room Divider 3 Leaf SS unit 4,614,400

1261 BARTEC UTAMA MANDIRI Stretcher Hi-Low & TR unit 22,841,280

1262 BARTEC UTAMA MANDIRI Transfer Stretcher Hi - Low Eco unit 22,299,500

1263 BARTEC UTAMA MANDIRI Utility Trolley unit 4,614,400

1264 BARTEC UTAMA MANDIRI Waiting Chair 3 Seat AP unit 4,268,320

1265 BARTEC UTAMA MANDIRI Waiting Chair 3 seat MS + Matras unit 6,921,600

1266 BARTEC UTAMA MANDIRI Waiting Chair 4 Seat AP unit 4,845,120

1267 BARTEC UTAMA MANDIRI Waiting Chair 4 seat MS + matras unit 7,498,400

1268 BBRAUN BBRAUN HEX-PLUS unit 360,500

1269 BBRAUN BBRAUN MELISEPTOL FOAM btl 163,255

1270 BBRAUN BBRAUN MELISEPTOL WIPES BOX btl 180,765

1271 BBRAUN BBRAUN MELISEPTOL WIPES REFILL btl 113,300

1272 BBRAUN BBRAUN STABIMED 1000 ML btl 638,600

1273 BBRAUN VASCO EXAM POWDERED SIZE L box 82,400

STANDAR SATUAN HARGA BARANG BMHP 200

Page 227: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1274 BBRAUN VASCO EXAM POWDERED SIZE M box 82,400

1275 BBRAUN VASCO EXAM POWDERED SIZE S box 82,400

1276BERCHTOLD Chromophare F300 Mobile, Examination Light LED, Mobile

55.000 Luxunit 71,070,000

1277 BRAUN - UK LED Examination Lamp - 32.0082 unit 1,020

1278 CANON Mesin Sterilisasi Hydrogen Peroxide Gas Sterilizer-ES 700 unit 155,015

1279 CAPSA SOLUTION ANASTHESIA TROLLEY - ART AN unit 58,198,358

1280 CAPSA SOLUTION EMERGENCY CART TROLLEY - ART EM unit 47,225,706

1281 CAPSA SOLUTION MEDICAL TROLLEY ISOLATION - ART ISO unit 35,864,549

1282 CAPSA SOLUTION MEDICATION CART TROLLEY - MDS unit 84,434,559

1283 CARMELTON ENTERPRISE LTD Nice Care Underpad pcs 4,759

1284 CEABIS Cold Room For Body (Deep Freezer)/ CEACA10 unit 416,429,000

1285 CEABIS Cold Room For Body (Deep Freezer)/ CEACA13 unit 392,327,000

1286 CEABIS Cold Room For Body (Deep Freezer)/ CEACA14 unit 427,141,000

1287 CEABIS Cold Room For Body (Deep Freezer)/ CEACA22 unit 549,608,000

1288 CELITRON Celitron Azteca High Tech Sterilization unit 1,019,227,836

1289 CELITRON Celitron Azteca Pre-Vacuum Steam Heated Autoclave unit 225,988,079

1290 CELITRON Celitron Azteca Prevacuum Steam Heated Autoclave unit 248,858,422

1291 CELITRON Celitron Pre and Post Vacuum Table Top Autoclave unit 83,858,193

1292 CHANG GUNG Bed Side Cabinet - ABS (EDCA) unit 207

1293 CHANG GUNG Bedside Cabinet Wooden unit 3,680,190

1294 CHANG GUNG Clinical Trolley /Clinical Cart dan Aksesoris unit 2,323

1295 CHANG GUNG Dining Table unit 603

1296 CHANG GUNG HYDRAULIC STRETCHER unit 5,083

1297 CISA PLASMA STERILIZER 4270 unit 3,026,510,800

1298 CISA STEAM STERILIZER GLOBO 4212 255Ltr unit 1,753,744,094

1299 CISA STEAM STERILIZER GLOBO 4270 and ACCESSORIS unit 1,533,074,660

1300 CISA WASHER DISINFECTOR M 104 unit 1,110,018,640

1301 COSMOMED Alcohol Swab box 33,063

1302 COSMOMED Gloves Non Sterile Exam ( Xs,S,M,L ) box 51,397

1303 COSMOMED Suction Catheter pcs 2,678

1304 COSMOMED Syringe, 3 ml box 81,267

1305 COSMOMED Underpad pcs 8,034

1306 CRISTIE CRISTIE Vein Viewer Flex unit 9,493

1307 CRISTIE Cristie VeinViewer Vision2 unit 203,048,020

1308 D&V AC - Powered Adjustable Hospital Bed - Linet Eleganza 1 unit 2,639

1309 D&V AC - Powered Adjustable Hospital Bed - Linet Eleganza 3 unit 3,847

1310 D&V AC - Powered Adjustable Hospital Bed - Linet Eleganza 3XC unit 6,588

STANDAR SATUAN HARGA BARANG BMHP 201

Page 228: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1311 D&V AC - Powered Adjustable Hospital Bed - Linet LATERA ACUTE unit 4,968

1312 D&V AC - Powered Adjustable Hospital Bed - Linet MULTICARE unit 19,730

1313 D&V AC - Powered Adjustable Hospital Bed - Platinum NG P - 1800 NG unit 34,853,828

1314 D&V AC - Powered Adjustable Hospital Bed - Platinum NG P - 2800 NG unit 47,527,947

1315 D&V AC - Powered Adjustable Hospital Bed - Platinum NG P 3800NG unit 110,760,782

1316 D&V AC Powered Adjustable Hospital Bed - 3 Motor PI-608HG unit 32,754,000

1317 D&V Accessories - Linet - Weight Scale for Bed Eleganza3XC unit 34,165,100

1318 D&V Acomed - Operating Lamp U6-2, 2 Ceiling unit 138,209,520

1319 D&V Active Decubitus Mattress - Linet Preciosso unit 2,670

1320 D&V Active Decubitus Mattress - Linet Virtuosso unit 7,948

1321 D&V Anaesthesia Trolley - CFS Omega Plus unit 2,319

1322 D&V Antidecubitus Mattress - Linet Effecta unit 402

1323 D&V Antidecubitus Mattress - Linet Ergomatt unit 1,063

1324 D&V Bedside Cabinet - Platinum Inspiration PI-1800 BC unit 2,575,000

1325 D&V Bedside Cabinet With Eating Board - Linet Eleganza Classic unit 680

1326 D&V Brithing Bed - Borcad AVE With Massage unit 29,195

1327 D&V Cherry Blossom Mattress unit 1,493,500

1328 D&V Double Bowl Scrub Station - Platinum Inspiration PI-202 SS unit 56,650,000

1329 D&V Electric Delivery Bed - Platinum Inspiration - PI-3000DB unit 105,575,000

1330 D&V Electric Delivery Bed - Platinum Inspiration - PI-4000DB unit 135,960,000

1331 D&V Electric Hospital Bed - Linet - Eleganza 2 unit 50,470,000

1332 D&V Electric Hospital Bed - Linet - Image 3 unit 73,336,000

1333 D&V Emergency Trolley - CFS Genius unit 1,925

1334 D&V Hydraulic Delivery Bed - Platinum Inspiration - PI-2000DB unit 79,567,500

1335 D&V I.V Stand Mobile - Platinum NG P - 100 IVM unit 1,609,532

1336 D&V Infinity Suction Pump Vaculine Maxi Aspirator AC, 2 x 5 Liter unit 25,750,000

1337 D&V Mango Mattress unit 1,833,400

1338 D&V Manual Adjustable Hospital Bed - 1 Cranck PI-108MS unit 9,270,000

1339 D&V Manual Adjustable Hospital Bed - 2 Crank PI-208MS unit 9,991,000

1340 D&V Manual Adjustable Hospital Bed - 3 Crank PI-308MS unit 15,192,500

1341 D&V Manual Adjustable Hospital Bed - 3 Crank PI-508MX unit 18,025,000

1342 D&V Mayo Table - CFS CFS/Serv unit 930

1343 D&V Medicine Trolley - CFS Alfa 01 unit 1,137

1344 D&V Medicine Trolley - CFS Alfa 23 unit 1,894

1345 D&V Multifunction Emergency Stretcher - Platinum Inspiration PI-1000MS unit 23,381,000

1346 D&V Multifunction Emergency Stretcher - Platinum Inspiration PI-1200MS unit 38,110,000

STANDAR SATUAN HARGA BARANG BMHP 202

Page 229: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1347 D&V Overbed Table - PLATINUM P-011 unit 1,046,814

1348 D&V Overbed Table Tiltable Eating Board - Linet Solido unit 391

1349 D&V Pediatric Bed - Linet - Eleganza Smart Junior unit 39,140,000

1350 D&V Pediatric Bed - Platinum Inspiration - PI-800PB unit 12,360,000

1351 D&V Scrub Station - Platinum Inspiration - PI-203SS unit 63,860,000

1352 D&V Suction Pump Vaculine Thoracic Drainage unit 27,604,000

1353 D&V Vaculine Mini Aspirator unit 20,085,000

1354 D&V Wheeled Stretcher - Linet Sprint (Full X-Ray) unit 9,699

1355 D&V Wheeled Stretcher - Platinum NG P - 2500 NG unit 33,407,326

1356 D&V Wheeled Stretcher - Platinum NG P - 3000 NG unit 54,760,461

1357 D&V White Elephant HS150 STEAM STERILIZER, 150 Liter unit 387,177,000

1358 D&V White Elephant HS240 Pulse Vacuum Steam Sterilizer unit 475,860,000

1359 D&V White Elephant PS60T Low Temperature Plasma H2O2 Sterilizer unit 496,975,000

1360 DENTAL X Steam Sterilizer - DX-17 N unit 2,801

1361DRAEGERWERK AG & CO. KGAA Ceiling Pendant Draeger Movita

Anesthesiaunit 412,082,400

1362DRAEGERWERK AG & CO. KGAA Ceiling Pendant Draeger Movita

Surgeryunit 396,550,000

1363 ECOLAB AQUAGEL STERILE JELY 5gr sachet 2,643

1364 ECOLAB AQUAGEL STERILE JELY 82gr sachet 43,866

1365 ELEKTROMAG HOT AIR STERILIZER type M 3025 P unit 15,352,150

1366 ELEKTROMAG HOT AIR STERILIZER type M 420 P unit 19,209,500

1367 ELEKTROMAG Hot Air Sterilizer type M 6040 P unit 21,104,700

1368 ELITE FUJI High Pressure Sterilizer / EAC 2200 unit 88,321,058

1369 ELITE FUJI High Pressure Sterilizer / EAC 2600P unit 126,690,000

1370 ELITE FUJI High Pressure Sterilizer / EAC 4000D unit 191,580,000

1371 ELITECH - INDONESIA ELITECH Sterilisator Kering/GET 338 UO unit 3,512,300

1372 EQUITRON Autoclave Front Loading Table Top Sterilizer - 7471-16 unit 3,255

1373 EQUITRON Autoclave Portable Standard Sterilizer - 7407ST unit 597

1374 EQUITRON Autoclave SLEFA Series Sterilizer - 7451SLEFA unit 6,808

1375 EQUITRON Autoclave Table Top Class B Sterilizer - 7472B unit 10,094

1376 EQUITRON Autoclave Vertical SLEDD Series Sterilizer - 7410-4072 unit 6,190

1377 EQUITRON Concentric Ring Bath - 6824DI unit 1,638

1378 ERSA BABY BASKET 51300 BB unit 2,385,282

1379 ERSA BABY BASKET ACRYLIC unit 4,638,049

1380 ERSA BED SCREEN 3 52200 BS3 unit 2,225,484

1381 ERSA BED SCREEN 52200 BS 2 unit 1,553,551

1382 ERSA BED SCREEN 52200 BS1 unit 865,249

STANDAR SATUAN HARGA BARANG BMHP 203

Page 230: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1383 ERSA BED SCREEN 52200 BS4 unit 2,973,808

1384 ERSA BED SCREEN 52200 BSS 2 unit 2,700,981

1385 ERSA BED SCREEN 52200 BSS1 unit 1,531,725

1386 ERSA BED SCREEN 52200 BSS3 unit 3,772,799

1387 ERSA BED SCREEN 52200 BSS4 unit 5,041,831

1388 ERSA BEDSIDE CABINET 50400 BC 1 unit 2,579,120

1389 ERSA BEDSIDE CABINET 50400 BC2 unit 3,044,680

1390 ERSA BEDSIDE CABINET 50400 BCS unit 3,780,594

1391 ERSA BEDSIDE CABINET 50401 BC 1 unit 2,881,047

1392 ERSA BEDSIDE CABINET 50401 BC 2 unit 3,028,373

1393 ERSA BEDSIDE CABINET 70403 BCA unit 4,069,530

1394 ERSA BOWL STAND 51701 SBRS unit 1,627,400

1395 ERSA CHILDREN BED 51401 CBL unit 5,965,760

1396 ERSA CHILDREN BED 51401 CBLS 1 unit 10,124,900

1397ERSA CHILDREN BED+CASTOR AND INFUSION STAND BACK RAISE

Lunit 6,575,116

1398ERSA CHILDREN BED+CASTOR AND INFUSION STAND BACK RAISE

Sunit 8,823,206

1399ERSA CHILDREN BED+CASTOR AND INFUSION STAND BACK RAISE

S 51401 CB 1unit 5,942,159

1400 ERSA CHILDREN BED+CASTOR AND INFUSION STAND LARGE unit 9,363,402

1401 ERSA CHILDREN BED+CASTOR AND INFUSION STAND SMALL unit 7,970,428

1402 ERSA CHILDREN BED+CASTOR INFUSION STAND SMALL 51401 CB unit 5,086,264

1403 ERSA CHILDREN BED+INFUSION STAND 51400 CBL unit 5,221,897

1404 ERSA CHILDREN BED+INFUSION STAND LARGE unit 8,283,010

1405 ERSA CHILDREN BED+INFUSION STAND SMALL unit 7,315,645

1406 ERSA CHILDREN BED+INFUSION STAND SMALL 51400 CB unit 4,240,502

1407 ERSA DOUBLE BOWL RACK TYPE unit 1,440,523

1408 ERSA DOUBLE BOWL RACK TYPE 51701 DBRS unit 2,160,786

1409 ERSA DOUBLE BOWL STAND TYPE 51700 DBS unit 1,440,523

1410 ERSA DOUBLE BOWL STAND TYPE 51700 DBSS unit 2,003,325

1411 ERSA DRESSING TROLLEY 51800 DT unit 3,195,966

1412 ERSA DRESSING TROLLEY 51800 DTD unit 4,727,692

1413 ERSA DRESSING TROLLEY 51800 DTDS unit 8,102,944

1414 ERSA DRESSING TROLLEY 51800 DTS unit 5,582,028

1415 ERSA EXAMINATION/DOCTOR STOOL unit 2,073,481

1416 ERSA FOOD TROLLEY 52100 FTS unit 6,870,100

STANDAR SATUAN HARGA BARANG BMHP 204

Page 231: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1417 ERSA FOOD TROLLEY 52101 FT unit 8,859,030

1418 ERSA FOOD TROLLEY 52101 FTA unit 9,582,090

1419 ERSA FOOD TROLLEY CABINET TYPE 8 TRAY unit 16,205,888

1420 ERSA FOOD TROLLEY TYPE 52100 FT unit 3,379,150

1421 ERSA FOOT STEP 50700 FS unit 584,628

1422 ERSA FOOT STEP 50700 FS1 unit 337,623

1423 ERSA FOOT STEP 50700 FSS unit 989,970

1424 ERSA GYNAECOLOGICAL CHAIR ELECTRIC 70803 GCE 3 unit 39,287,002

1425 ERSA INSTRUMENT CABINET 52500 IC 1 unit 4,249,780

1426 ERSA INSTRUMENT CABINET 52500 IC 2 unit 6,328,320

1427 ERSA INSTRUMENT CABINET 52501 IC 1 unit 5,242,700

1428 ERSA INSTRUMENT CABINET 52501 IC 2 unit 7,866,110

1429 ERSA INSTRUMENT TROLLEY 51600 IT unit 1,627,400

1430 ERSA INSTRUMENT TROLLEY 51600 IT1 unit 2,011,590

1431 ERSA INSTRUMENT TROLLEY 51600 ITS 1 unit 3,118,840

1432 ERSA INSTRUMENT TROLLEY 51600 ITS unit 2,395,780

1433 ERSA LAUNDRY TROLLY unit 3,273,917

1434 ERSA LINEN HAMPER CARRIEGE 52600 LH unit 6,138,594

1435 ERSA LINEN HAMPER CARRIEGE 52600 LHS unit 14,045,103

1436 ERSA MATRAS ME 10 unit 4,287,272

1437 ERSA MAYO TABLE FROM SS unit 2,338,512

1438 ERSA MAYO TABLE FULL SS unit 3,110,221

1439 ERSA MEDICATION CART 53100 MC unit 6,707,632

1440 ERSA MEDICATION CART 53100 MCS unit 12,514,937

1441 ERSA MEDICINE TROLLEY 53800 MdT unit 7,518,316

1442 ERSA MEDICINE TROLLEY 53800 MdTS unit 15,305,561

1443 ERSA MORTUARY CARRIEGE 53500 MC unit 11,614,220

1444 ERSA MORTUARY CARRIEGE 53500 MCA unit 26,064,470

1445 ERSA OVER BED 50500 OBS unit 3,106,323

1446 ERSA OVERBED TABLE 50500 OB unit 2,035,280

1447 ERSA OVERBED TABLE 70502 OT unit 2,711,990

1448 ERSA OXYGEN TROLLEY 1000L unit 1,012,868

1449 ERSA OXYGEN TROLLEY OT6 unit 1,890,687

1450 ERSA PSYCHIATRY BED 50100 PB unit 6,163,520

1451 ERSA SINGLE BOWL RACK TYPE unit 1,149,768

1452 ERSA SINGLE BOWL STAND unit 989,970

1453 ERSA SINGLE BOWL STAND 51700 SBSS unit 1,395,312

STANDAR SATUAN HARGA BARANG BMHP 205

Page 232: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1454 ERSA TROLLEY CLEANER 53400 TCS unit 8,013,301

1455 ERSA URINAL+BEDPAN CARRIAGE unit 6,957,073

1456 ERSA UV ROOM STERILIZER 53600 UV unit 14,101,730

1457 ESKAMED Suction Connecting Tube pcs 29,870

1458 ESKAMED Yankauer Tip pcs 9,785

1459 EURONDA E5 Class N Autoclavable unit 33,475,000

1460 FOKUS FOKUS CHILDREN HOSPITAL BED SK-CB unit 9,477,030

1461 FOKUS FOKUS GYNECOLOGICAL OPERATING BED SKF C unit 25,394,650

1462 FOKUS FOKUS MANUAL BED 1 CRANK SK-B1 unit 9,477,030

1463 FOKUS FOKUS MANUAL BED 2 CRANK unit 10,120,780

1464 FOKUS FOKUS MANUAL BED 3 CRANK SK-CD1 unit 12,408,410

1465 FOKUS FOKUS OPERATING TABLE SKT-A unit 130,099,300

1466 FOKUS FOKUS PATIENT TRANSPORTATION TROLLEY unit 64,500,660

1467 FYROM INTERNATIONAL Brankar unit 18,055,643

1468 FYROM INTERNATIONAL Easymove (Pemindah Pasien) unit 21,198,662

1469 FYROM INTERNATIONAL Foot Step 2 unit 1,946,700

1470 FYROM INTERNATIONAL Foot Step 3 unit 3,009,274

1471 FYROM INTERNATIONAL Hydraulic Lift Instrument Stand unit 24,074,190

1472 FYROM INTERNATIONAL Lemari Cath Lab unit 9,629,676

1473 FYROM INTERNATIONAL Lemari Instrumen unit 9,629,676

1474 FYROM INTERNATIONAL Mayo Anestesi unit 4,814,838

1475 FYROM INTERNATIONAL Mayo Bedah unit 4,814,838

1476FYROM INTERNATIONAL Modullar Pump System (Tiang (standar)

Infuse Pump/Syringe Pump)unit 20,463,062

1477 FYROM INTERNATIONAL O2 Portable unit 5,911,073

1478 FYROM INTERNATIONAL Pharmacy Trolley unit 24,074,190

1479 FYROM INTERNATIONAL Rak Instrument Steril (beroda) unit 30,427,101

1480 FYROM INTERNATIONAL Scrub Station 2 Person unit 200,618,250

1481 FYROM INTERNATIONAL Scrub Station 3 Person unit 247,429,175

1482 FYROM INTERNATIONAL Trolley Kecil Kaki 2 unit 9,832,586

1483 FYROM INTERNATIONAL Trolley Linen Bersih unit 7,757,239

1484 FYROM INTERNATIONAL Trolley Linen Kotor unit 10,432,149

1485 FYROM INTERNATIONAL Trolley Waskom 2 Lubang unit 4,212,983

1486 FYROM INTERNATIONAL Urinal Adult unit 2,068,876

1487 GANSHORN Body Plethysmography unit 843,408,290

1488 GANSHORN Ergo Spirometry unit 1,458,434,680

1489 GEA Bistos Medical Head Lamp unit 1,030,000

1490 GEA GEA Emergency Bed YQC-3M unit 27,604,000

STANDAR SATUAN HARGA BARANG BMHP 206

Page 233: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1491 GEA GEA Infant Incubator YP 970 unit 92,494,000

1492 GEA GEA Infant Incubator YP2000 unit 76,398,190

1493 GEA GEA Infant Incubator YP90A unit 35,741,000

1494 GEA GEA Infant Incubator YP910 unit 62,624,000

1495 GEA GEA Infant Incubator YP930 unit 85,799,000

1496 GEA GEA Infant Radiant Warmer HKN2001 unit 118,450,000

1497 GEA GEA Infant Radiant Warmer HKN93A unit 84,563,000

1498 GEA GEA Strecher for Ambulance YDC-3D unit 13,081,000

1499 GEA MOW Manual Resuscitator Adult unit 515,000

1500 GEA MOW Manual Resuscitator Child unit 515,000

1501 GEA MOW Manual Resuscitator Infant unit 515,000

1502 GEA Young Won Anti Decubistus Mattress System unit 2,018,800

1503 GEA Young Won Anti Decubistus Mattress System unit 5,819,500

1504 GEMMY INDUSTRIAL Automatic Autoclave Sterilizer SA-232 unit 28,322,940

1505 GEMMY INDUSTRIAL Automatic Autoclave Sterilizer SA-232X unit 45,062,500

1506 GEMMY INDUSTRIAL Hot Air Sterilizer Oven YCO-010 unit 42,890,230

1507 GEMMY INDUSTRIAL Steam Sterilizer SAP-500 unit 780,676,140

1508 GENERAL CARE Latex Examination Gloves dus 50,470

1509 GP CARE Clinical Thermometer unit 11,845

1510 GRAHA TEKNO MEDIKA Gris Bed Screen 1 Screen unit 1,357,732

1511 GRAHA TEKNO MEDIKA Gris Bed Screen 2 Screen unit 1,901,563

1512 GRAHA TEKNO MEDIKA Gris Bed Screen 3 Screen unit 2,723,255

1513 GRAHA TEKNO MEDIKA Gris Bed Screen Stainless Steel 1 Screen unit 1,389,705

1514 GRAHA TEKNO MEDIKA Gris Bed Screen Stainless Steel 2 Screen unit 2,395,703

1515 GRAHA TEKNO MEDIKA Gris Bed Screen Stainless Steel 3 Screen unit 3,522,200

1516 GRAHA TEKNO MEDIKA Gris Bedside cabinet unit 3,841,863

1517 GRAHA TEKNO MEDIKA Gris Donor table unit 6,948,496

1518 GRAHA TEKNO MEDIKA Gris Donor table stainless Steel unit 8,619,751

1519 GRAHA TEKNO MEDIKA Gris Double bowl rack type unit 1,633,320

1520 GRAHA TEKNO MEDIKA Gris Dressing Trolley unit 4,591,065

1521 GRAHA TEKNO MEDIKA Gris Dressing Trolley with 1 drawer unit 5,000,070

1522 GRAHA TEKNO MEDIKA Gris Dressing Trolley with 2 drawers unit 6,769,011

1523GRAHA TEKNO MEDIKA Gris Emergency Strecher Stainless Steel with

Back Rise unit 8,450,117

1524 GRAHA TEKNO MEDIKA Gris Emergency Strecher with Back Rise unit 6,475,057

1525 GRAHA TEKNO MEDIKA Gris Emergency trolley 2 Laci unit 6,119,793

1526 GRAHA TEKNO MEDIKA Gris Emergency trolley 3 Laci unit 6,318,984

STANDAR SATUAN HARGA BARANG BMHP 207

Page 234: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1527 GRAHA TEKNO MEDIKA Gris Emergency trolley Stainless Steel 2 Laci unit 10,245,541

1528 GRAHA TEKNO MEDIKA Gris Emergency trolley Stainless Steel 3 Laci unit 10,674,995

1529 GRAHA TEKNO MEDIKA Gris Examination Table unit 4,198,195

1530GRAHA TEKNO MEDIKA Gris Examination Table Stainless Steel with

Back Raise unit 7,608,228

1531 GRAHA TEKNO MEDIKA Gris Food trolley unit 8,141,890

1532 GRAHA TEKNO MEDIKA Gris Infusion stand (pole ss) unit 934,951

1533 GRAHA TEKNO MEDIKA Gris Infusion stand Stainless Steel unit 1,220,775

1534 GRAHA TEKNO MEDIKA Gris Instrument cabinet 1 Pintu unit 6,975,127

1535 GRAHA TEKNO MEDIKA Gris Instrument cabinet 1 Pintu Full Kaca unit 6,209,178

1536 GRAHA TEKNO MEDIKA Gris Instrument cabinet 2 Pintu unit 9,299,803

1537 GRAHA TEKNO MEDIKA Gris Instrument cabinet 2 Pintu Full Kaca unit 8,405,025

1538 GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 1 Pintu unit 12,546,186

1539GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 1 Pintu

Full Kaca unit 10,184,190

1540 GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 2 Pintu unit 18,926,643

1541GRAHA TEKNO MEDIKA Gris Instrument cabinet Stainless Steel 2 Pintu

Full Kaca unit 15,603,489

1542 GRAHA TEKNO MEDIKA Gris Instrument Table 2 Rak unit 2,815,430

1543 GRAHA TEKNO MEDIKA Gris Laundry trolley unit 4,502,693

1544 GRAHA TEKNO MEDIKA Gris Linen hamper carriage unit 6,475,581

1545 GRAHA TEKNO MEDIKA Gris Mayo Table St. Steel unit 2,873,250

1546 GRAHA TEKNO MEDIKA Gris Overbed Table unit 1,605,337

1547 GRAHA TEKNO MEDIKA Gris Single bowl rack type unit 1,403,451

1548 GRAHA TEKNO MEDIKA Gris Strecher Stainless Steel with Back Rise unit 7,452,859

1549 GRAHA TEKNO MEDIKA Gris Strecher with Back Rise unit 6,045,535

1550 GRAHA TEKNO MEDIKA Gris UV Room Sterilizer unit 11,616,726

1551 GRAHA TEKNO MEDIKA Matrass Biasa unit 1,088,224

1552 GRAHA TEKNO MEDIKA Matrass Waffle unit 1,577,136

1553 GRAHA TEKNO MEDIKA Smar Examination Table Stainless Steel unit 6,331,654

1554 GRAHA TEKNO MEDIKA Smar Examination Table with Back Raise unit 5,347,957

1555 HALONI JANE PROTOS Examination Powder Free Glove (L) box 47,586

1556 HALONI JANE PROTOS Examination Powder Free Glove (M) box 47,586

1557 HALONI JANE PROTOS Examination Powder Free Glove (S) box 47,586

1558 HALONI JANE PROTOS Examination Powder Free Glove (XS) box 47,586

1559 HALONI JANE PROTOS Examination Powder Glove (L) box 37,595

1560 HALONI JANE PROTOS Examination Powder Glove (M) box 37,595

STANDAR SATUAN HARGA BARANG BMHP 208

Page 235: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1561 HALONI JANE PROTOS Examination Powder Glove (S) box 37,595

1562 HALONI JANE PROTOS Examination Powder Glove (XS) box 37,595

1563 HEAL FORCE Infant Warmer pcs 32,788,280

1564HOSPITECH HOSPITECH ID BAND ADULT / CHILD (BLUE, PINK,

YELLOW, RED, WHITE) pcs 1,110

1565HOSPITECH HOSPITECH SUCTION CATHETER (06,08,10,12,14,16

FR/CH) pcs 3,705

1566 IDEALCARE Suction Catheter with Finger Tip Control, sterile 10 fr pcs 4,275

1567 IDEALCARE Suction Catheter with Finger Tip Control, sterile 12 fr pcs 4,275

1568 IDEALCARE Suction Catheter with Finger Tip Control, sterile 14 fr pcs 4,275

1569 IDEALCARE Suction Catheter with Finger Tip Control, sterile 16 fr pcs 4,275

1570 IDEALCARE Suction Catheter with Finger Tip Control, sterile 8 fr pcs 4,275

1571 JAYAMAS Kasa Steril 10 x 10 cm, 8 ply 1x5's pack 5,334

1572 JAYAMAS Maxter Exam Non Powder L box 60,049

1573 JAYAMAS Maxter Exam Non Powder M box 60,049

1574 JAYAMAS Maxter Exam Non Powder S box 60,049

1575 JAYAMAS Maxter Exam Non Powder XS box 60,049

1576 JAYAMAS Onemed AC Swab box 16,202

1577 JAYAMAS Onemed Alcohol Swab box 10,300

1578 JAYAMAS Onemed Kasa Steril 10 x 10 cm, 16 ply, 1x10's with x ray line pack 22,665

1579 JAYAMAS Onemed Kasa Steril 10 x 10 cm, 8 ply, 1x10's pack 9,714

1580 JAYAMAS Onemed Kasa Steril 10 x 10 cm, 8 ply, 1x10's pack 9,714

1581 JAYAMAS Onemed Kasa Steril 10 x10 cm, 16 ply, 1x10's pack 19,168

1582 JAYAMAS Onemed Kasa Steril 5 x 5 cm, 8ply 1x5's pack 2,979

1583 JAYAMAS Onemed Kasa Steril 7.5 x 7.5 cm, 8 ply, 1x10's pack 6,670

1584 JAYAMAS Onemed Kasa Steril 7.5 x 7.5 cm, 8 ply, 1x5's pack 3,238

1585 JAYAMAS Onemed Kasa Steril 7.5 x7.5 cm, 16 ply, 1x10's pack 11,656

1586 JAYAMAS Onemed Steril Pouch with Indicator (Roll) 5cm x 200m dus 179,564

1587 JAYAMAS Onemed Steril Pouch with Indicator 9 x 26 cm dus 86,979

1588 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 10 cm x 200 m dus 353,521

1589 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 15 cm x 200 m dus 505,032

1590 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 20 cm x 200 m dus 673,383

1591 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 20 cm x 200 m dus 673,383

1592 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 25 cm x 200 m dus 841,734

1593 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 30 cm x 200 m dus 1,010,078

1594 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 40 cm x 200 m dus 1,346,774

1595 JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 7,5 cm x 200 m dus 267,107

1596 JAYAMAS Onemed Sterile Pouch with Indicator 7 x 26 cm dus 68,462

STANDAR SATUAN HARGA BARANG BMHP 209

Page 236: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1597 JAYAMAS Onemed Strerile Pouch with Indicator (Roll) 35 cm x 200 m dus 1,178,425

1598 JAYAMAS Onemed Suction Catheter FR. 12 pcs 4,475

1599 JAYAMAS Onemed Suction Catheter FR. 14 pcs 4,475

1600 JAYAMAS Onemed Suction Catheter FR. 16 pcs 4,475

1601 JAYAMAS Onemed Suction Catheter FR. 18 pcs 4,475

1602 JAYAMAS Onemed Suction Catheter FR. 6 pcs 4,475

1603 JAYAMAS Onemed Suction Catheter FR. 8 pcs 4,475

1604 JAYAMAS Onemed Surgical Suction Mobile HIVO unit 8,240,000

1605 JAYAMAS Onemed U Pad Steril 60 x 90 cm blister 7,855

1606 JAYAMAS Safeglove Examination Gloves L box 36,689

1607 JAYAMAS Safeglove Examination Gloves M box 36,689

1608 JAYAMAS Safeglove Examination Gloves S box 36,689

1609 JAYAMAS Safeglove Examination Gloves XS box 36,689

1610 JAYAMAS Safeglove PF no. 6 Pasang 7,195

1611 JAYAMAS Safeglove PF no. 6,5 Pasang 7,195

1612 JAYAMAS Safeglove PF no. 7 Pasang 7,195

1613 JAYAMAS Safeglove PF no. 7,5 Pasang 7,195

1614 JAYAMAS Safeglove PF no. 8 Pasang 7,195

1615 JAYAMAS Safeglove PF no. 8,5 Pasang 7,195

1616 JAYAMAS Safeglove PP no. 6 Pasang 4,305

1617 JAYAMAS Safeglove PP No. 6,5 Pasang 4,305

1618 JAYAMAS Safeglove PP no. 7 Pasang 4,305

1619 JAYAMAS Safeglove PP No. 7,5 Pasang 4,305

1620 JAYAMAS Safeglove PP no. 8 Pasang 4,305

1621 JAYAMAS Safeglove PP no. 8,5 Pasang 4,305

1622 JAYAMAS Superlife Nitrile L box 58,916

1623 JAYAMAS Superlife Nitrile M box 58,916

1624 JAYAMAS Superlife Nitrile S box 58,916

1625 JAYAMAS Superlife Nitrile XS box 58,916

1626 JOHNSON & JOHNSON STERRAD 100 S Sterilizer, ASP unit 1,435,917,335

1627 JOHNSON & JOHNSON STERRAD 100 S Cassette, ASP pcs 5,759,783

1628 JOHNSON & JOHNSON STERRAD Cylesure Biological Indicator, ASP box 5,155,517

STANDAR SATUAN HARGA BARANG BMHP 210

Page 237: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1629 JOHNSON & JOHNSON STERRAD NX Cassettes , ASP pcs 4,453,024

1630JOHNSON & JOHNSON STERRAD Tyvek Roll With CI 100MM x 70M,

ASP box 5,520,722

1631JOHNSON & JOHNSON STERRAD Tyvek Roll with CI 150MM x 70M,

ASP box 5,608,110

1632JOHNSON & JOHNSON STERRAD Tyvek Roll with CI 250MM x 70M,

ASP box 8,416,139

1633JOHNSON & JOHNSON STERRAD Tyvek Roll with CI 350MM x 70M,

ASP box 6,984,260

1634JOHNSON & JOHNSON STERRAD Tyvek Roll with CI 5000MM x 70M,

ASP box 8,437,403

1635 KONIX ECG Gel 1000 ml btl 22,557

1636 KONIX Lubricating Gel 82 Gram btl 19,982

1637 KOVER SYNERGY UV Steril Air System Type Genius unit 75,304,330

1638 KOVER SYNERGY UV Steril Air System Type Light Energy unit 39,366,600

1639 KOVER SYNERGY UV Steril Air System Type Spectral unit 41,427,630

1640KUGEL MEDICAL GMBH & CO. KG KULKAS JENAZAH/MORGUE

REFRIGERATOR 40/0400 unit 1,753,912,026

1641 KUGEL MEDICAL GMBH & CO. KG MEJA AUTOPSI ST10/150 unit 572,332,653

1642 LAERDAL Silicone Resuscitator (Pediatric) Complete, Carton Box unit 5,713,410

1643LAERDAL Silicone Resuscitator (Preterm / Neonate) Complete, Display

Case unit 6,524,638

1644 LAERDAL Silicone Resuscitator (Dewasa) Complete, Carton Box unit 5,113,847

1645 LAERDAL Silicone Resuscitator (Dewasa) Complete, Display Case unit 6,648,135

1646 LAERDAL Silicone Resuscitator (Pediatric) Complete, Display Case unit 6,524,638

1647LAERDAL Silicone Resuscitator (Preterm / Neonate) Complete, Carton

Box unit 4,972,840

1648 LAERDAL Suction Unit unit 31,005,678

1649LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / CLAMP

BLACK unit 874,161

1650LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / CLAMP

FOR MEDICAL RAIL unit 2,564,288

1651LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / HEAVY

BASE WHITE / GREY unit 2,039,761

1652LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LAMP - DIANA1000DUAL unit 12,176,557

1653LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LAMP - DIANA650 unit 10,052,749

1654LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LAMP - DIANA650DUAL unit 10,477,469

1655LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LAMP - JULIA650 unit 15,220,619

1656LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LAMP - TINA1000 unit 7,999,701

STANDAR SATUAN HARGA BARANG BMHP 211

Page 238: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1657LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LAMP - WOOD unit 8,282,900

1658LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LAMP -JULIA1000 unit 17,415,292

1659LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / LID

LAMPS / HALOGEN EXAMINATION LSMP - DIANA1000 unit 11,539,399

1660LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP /

MAGNETIC BASE BLACK unit 1,456,987

1661LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / METAL

BASE TUBE 016 unit 524,476

1662LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / NON -

CONTACT SWITCH unit 2,331,148

1663LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP /

TELESCOPIC TROLLEY BASIS + PLASTIC BASE unit 3,438,501

1664LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP /

TELESCOPIC TROLLEY BASIS 60 - 100cm WHITE / BLACK / GREEN unit 3,555,045

1665LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP /

TELESCOPIC TROLLEY BASIS 90 - 130cm WHITE unit 4,079,573

1666LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP /

UNIVERSAL CLAMP unit 2,680,833

1667LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / WALL

MOUNTING WHITE (2 X 400 mm) unit 3,671,590

1668LID LAMPS / ACCESSORIES FOR HALOGEN EXAM LAMP / WALL

MOUNTING WHITE unit 990,757

1669LID LAMPS ACCESSORIES FOR HALOGEN EXAM LAMP / LID LAMPS

/ HALOGEN EXAMINATION LAMP - TINA650 unit 6,371,426

1670 LOWTEM Low Temperature Plasma Sterilizer - Crystal 120M unit 104,074

1671 LOWTEM Low Temperature Plasma Sterilizer - Crystal 50 unit 95,237

1672 MAK BEDSIDE CABINET 31811 unit 3,534,187

1673 MAK BEDSIDE CABINET 31814 unit 4,812,509

1674 MAK BEDSIDE CABINET 31815 unit 6,090,832

1675 MAK BEDSIDE CABINET 31816 unit 7,218,764

1676 MAK BEDSIDE CABINET 31817 unit 3,007,818

1677 MAK BEDSIDE CABINET 31824 unit 2,932,623

1678 MAK BEDSIDE CABINET 33031 unit 2,406,255

1679 MAK BEDSIDE CABINET 33032 unit 3,308,600

1680 MAK BEDSIDE CABINET 73032 unit 3,083,014

1681 MAK BLOOD DONOR CHAIR (31306) unit 7,669,380

1682 MAK BOWL STAND - DOUBLE (36302) unit 2,556,563

1683 MAK BOWL STAND - SINGLE (36301) unit 2,030,233

1684 MAK DRESSING TROLLEY 35102 unit 7,519,515

1685 MAK EMERGENCY MOBILE STRETCHER 31208 unit 11,128,841

1686 MAK EMERGENCY STRETCHER 31204/34130* unit 15,565,360

STANDAR SATUAN HARGA BARANG BMHP 212

Page 239: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1687 MAK EMERGENCY TROLLEY 36603 unit 7,218,755

1688 MAK EXAMINATION STOOL 31310 unit 2,406,183

1689 MAK EXAMINATION TABLE 34101 unit 5,714,852

1690 MAK EXAMINATION TABLE 34104E unit 7,669,895

1691 MAK EXAMINATION TABLE 34105 unit 5,714,852

1692 MAK FOLDING STRETCHER 31201 unit 7,218,755

1693 MAK FOOD TROLLEY 35201 unit 8,045,845

1694 MAK FOOD TROLLEY 35202 unit 11,279,221

1695 MAK FOOD TROLLEY 35203 unit 16,392,553

1696 MAK FOOT STEP (34152) unit 827,090

1697 MAK GYNAECOLOG EXAMINATION TABLE 34102 unit 13,986,267

1698 MAK GYNAECOLOG EXAMINATION TABLE 34103 unit 13,685,507

1699 MAK INFUSE STAND 36101 unit 1,203,040

1700 MAK INFUSE STAND 4 HOOKS 36103 unit 1,278,230

1701 MAK INFUSE STAND FOR BED (INF.B) unit 417,150

1702 MAK INSTRUMENT CABINET 32901 unit 5,338,799

1703 MAK INSTRUMENT TROLLEY 35101 unit 4,662,089

1704 MAK LAUNDRY TROLLEY 35301 unit 4,662,089

1705 MAK LINEN HAMPER CARRIAGE 35302A unit 5,865,232

1706 MAK LINEN HAMPER CARRIAGE 35302B unit 8,797,848

1707 MAK LOCKER 12 CUPBOARD 32505 unit 10,677,701

1708 MAK LOCKER 4 CUPBOARD 32503 unit 6,541,942

1709 MAK LOCKER 6 CUPBOARD 32504 unit 8,873,038

1710 MAK MATTRESS FOAM ADULT (MAT02) unit 1,462,134

1711 MAK MATTRESS FOAM BABY (MAT01) unit 501,303

1712 MAK MATTRESS FOAM CHILDREN (MAT03) unit 1,462,134

1713 MAK MATTRESS LATEX ADULT 36113 (31813*) unit 3,308,600

1714 MAK MATTRESS LATEX BABY 36111 unit 751,955

1715 MAK MATTRESS LATEX CHILDREN 36112B (3603B) unit 2,857,427

1716 MAK MAYO STAND 35103 unit 3,609,326

1717 MAK MEDICAL REPORT TROLLEY 36605 unit 7,218,755

1718 MAK MEDICINE CABINET 32902 unit 5,338,799

1719 MAK MEDICINE CABINET 32903 unit 4,210,846

1720 MAK MEDICINE TROLLEY 25 DRAWERS (36601) unit 10,677,701

1721 MAK MEDICINE TROLLEY 50 DRAWERS (36602) unit 13,384,747

1722 MAK MORTUARY CARRIAGE (31210) unit 17,745,870

1723 MAK MULTI FUNCTIONAL CHAIR (31309) unit 20,753,470

STANDAR SATUAN HARGA BARANG BMHP 213

Page 240: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1724 MAK MULTIPURPOSE STRETCHER 31206 unit 31,281,306

1725 MAK OVERBED TABLE (73012*) / 73031K unit 3,308,600

1726 MAK OVERBED TABLE 31812 unit 2,180,668

1727 MAK OVERBED TABLE 73033 unit 3,383,796

1728 MAK ROOM DEVIDER 2 FOLDS 36102/36202* unit 3,308,566

1729 MAK ROOM DEVIDER 3 FOLDS (36203) unit 4,962,540

1730 MAK ROOM DEVIDER 4 FOLDS (36107) unit 6,616,720

1731 MAK SEAT MATTRESS FOR WAITING CHAIR / SEAT (OPT.B) unit 225,570

1732 MAK SOFA BED 99002 unit 5,714,440

1733 MAK TRANSFERRING PATIENT 31209 unit 17,445,316

1734 MAK TRANSFERRING PATIENT 31209T unit 20,904,262

1735 MAK TRANSFERRING PATIENT 31209TH unit 22,483,355

1736 MAK TRANSPORTING PATIENT 31207 unit 14,211,940

1737 MAK TROLLEY CLEANER 35310 unit 7,519,515

1738 MAK TV/REFFRIGERATOR SHELVES 31823 unit 6,917,892

1739 MAK URINAL BEDPAN CARRIAGE (36303/36501*) unit 5,564,369

1740 MAK WAITING CHAIR 2 SEATS 1 TABLE (99103 T3 / 31323*) unit 3,909,880

1741 MAK WAITING CHAIR 2 SEATS 1 TABLE (99104 T3) unit 3,909,880

1742 MAK WAITING CHAIR 3 SEATS (99103 S3 / 31322*) unit 3,909,880

1743 MAK WAITING CHAIR 3 SEATS (99104 S3) unit 3,909,880

1744 MAK WAITING CHAIR 3 SEATS 1 TABLE (99103 T4 / 31321*) unit 4,962,540

1745 MAK WAITING CHAIR 3 SEATS 1 TABLE (99104 T4) unit 5,112,920

1746 MAK WAITING CHAIR 4 SEATS (99103 S4 / 31320*) unit 4,962,540

1747 MAK WAITING CHAIR 4 SEATS (99104 S4) unit 5,112,920

1748MATACHANA Autopsy Table with Lifting and Aspirarion System

MOD.015EA unit 1,337,970,000

1749 MATACHANA Hermetic Trolley For Sterile Material unit 38,110,000

1750MATACHANA Integral Solution for Infectious Waste Integral System

(IWIS) unit 5,757,700,000

1751 MATACHANA Linier Meters of Wall Working Table with Anti Splas Frame unit 19,570,000

1752MATACHANA Low Temperature Steam and Formaldehyde Sterilizer 130

LF - 145 L unit 1,941,550,000

1753 MATACHANA Mortuary Freezing Unit 2 Corpses 1 Doors unit 348,910,440

1754 MATACHANA Mortuary Freezing Unit 3 Corpses 1 Doors unit 401,196,330

1755 MATACHANA Mortuary Refigeration Unit 3 Corpses 3 Doors unit 391,319,660

1756 MATACHANA Mortuary Refigeration Unit 4 Corpses 4 Doors (2+2) unit 514,196,600

1757 MATACHANA Mortuary Refigeration Unit 6 Corpses 6 Doors (3+3) unit 610,376,970

1758 MATACHANA Steam Sterilizer S1008 - 576 L unit 2,104,290,000

STANDAR SATUAN HARGA BARANG BMHP 214

Page 241: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1759 MATACHANA Steam Sterilizer S101 - 1 Door 108 Liter unit 1,077,380,000

1760 MATACHANA Steam Sterilizer SC500 - 167 L unit 1,554,270,000

1761 MATACHANA Steam Sterilizer SC501 - 252 L unit 1,859,150,000

1762 MATACHANA Table Top Steam Sterilizer 21ED - 22 Liter (Class B) unit 192,610,000

1763 MATACHANA Ultrasonic Cleaner Sonomic Compact MC1001 - 42.5 Liter unit 539,720,000

1764MATACHANA Wall Washing Table Surgical Instrument + Cleaning Gun

air & water unit 245,140,000

1765 MATACHANA Washer Disinfector MAT LD 2314 - 210 L unit 1,470,840,000

1766 MATACHANA Washer Disinfector MAT LD 521 XLS - 335 L unit 2,248,490,000

1767 MATACHANA Wire High Shelf 4 Levels unit 38,110,000

1768 MEDELA Bird Vacuum Extractor unit 12,875,000

1769 MEDELA THOPAZ Cardiothoracic Drainage unit 75,676,160

1770 MEDICAP Oxygen Concentrator PRECISE 6000 MS unit 28,075,740

1771MEDICOPLAST INTERNATIONAL GMBH, GERMANY QUICKY

SUCTION BOTTLE 500CC FG10 pcs 151,993

1772MEDICOPLAST INTERNATIONAL GMBH, GERMANY QUICKY

SUCTION BOTTLE 500CC FG12pcs 151,993

1773MEDICOPLAST INTERNATIONAL GMBH, GERMANY QUICKY

SUCTION BOTTLE 500CC FG14pcs 151,993

1774MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON DRAIN

FG10 pcs 20,522

1775MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON DRAIN

FG14 pcs 20,522

1776MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON

SUCTION 450CC FG12 pcs 160,054

1777 MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON

SUCTION 450CC FG14 pcs 160,054

1778 MEDICOPLAST INTERNATIONAL GMBH, GERMANY REDON

SUCTION 450CC FG16pcs 160,054

1779 MEDIGLOBE ABS Treatment Trolley B-84 unit 6,003,994

1780 MEDIGLOBE Examination Bed SS KM-016 unit 2,929,063

1781 MEDIGLOBE Instument Kabinet ML-40 unit 5,137,125

1782 MEDIGLOBE Manual Emergency Stretcher B-4 unit 26,486,368

1783 MEDIGLOBE Meja Resusitasi Bayi MLB-01 unit 2,966,400

1784 MEDIGLOBE Stainless Steel Stretcher Trolley B-7 unit 8,787,095

1785 MEDIGLOBE Standard Infuse unit 705,550

1786 MEDIPLUS (INDIA) LTD WIN FLON 18 G pcs 5,031

1787 MEDIPLUS (INDIA) LTD WIN FLON 20 G pcs 5,031

1788 MEDIPLUS (INDIA) LTD WIN FLON 22 G pcs 5,031

1789 MEDIPLUS (INDIA) LTD WIN FLON 24 G pcs 5,325

STANDAR SATUAN HARGA BARANG BMHP 215

Page 242: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1790 MEDIPLUS (INDIA) LTD WIN FLON 26 G pcs 5,926

1791 MERIVAARA CORP Patient Trolley Emergo 6250 unit 82,155,287

1792 MINDRAY Anesthesia Pendant Hyport 9000 unit 19,467

1793 MINDRAY ICU Pendant Hyport 8000 unit 15,450

1794 MMP MAS EXAMINATION GLOVES L box 47,586

1795 MMP MAS EXAMINATION GLOVES M box 47,586

1796 MMP MAS EXAMINATION GLOVES S box 47,586

1797 MMP MAS LATEX EXAMINATION GLOVES LIGHTLY POWDERED L box 47,586

1798 MMP MAS LATEX EXAMINATION GLOVES LIGHTLY POWDERED M box 47,586

1799 MMP MAS LATEX EXAMINATION GLOVES LIGHTLY POWDERED S box 47,586

1800 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 6 Pasang 7,931

1801 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 6,5 Pasang 7,931

1802 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 7 Pasang 7,931

1803 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 7,5 Pasang 7,931

1804 MMP MAS LATEX EXAMINATION GLOVES NON STERILE 8 Pasang 7,931

1805 MMP MAS PRE-POWDERED LATEX EXAMINATION GLOVES L box 47,586

1806 MMP MAS PRE-POWDERED LATEX EXAMINATION GLOVES M box 47,586

1807 MMP MAS PRE-POWDERED LATEX EXAMINATION GLOVES S box 47,586

1808MMP MAS SUCTION CONNECTING TUBE WITH HEXAGON

CONNECTOR (SCT) 3 M pcs 16,995

1809 MMP MPACK HEAT SEALING REELS FLAT 100 X 200 M roll 358,311

1810 MMP MPACK HEAT SEALING REELS FLAT 150 X 200 M roll 509,284

1811 MMP MPACK HEAT SEALING REELS FLAT 200 X 200 M roll 662,805

1812 MMP POLYMED POLYVAC SET 16 FG pcs 93,416

1813 MMP POLYMED POLYVAC SET 18 FG pcs 93,416

1814 MMP POLYMED-Polyway-Pro THREE WAY STOP COCK pcs 14,446

1815MPM AT-OS Instrument Washer Disinfector AWD 655-10 Single Door /

Double Door unit 454,745,000

1816 MPM BARKEY Infusion and Blood Warmer S-LINE unit 18,540,000

1817 MPM BARKEY Thawing and Warming Devices - Plasmatherm unit 107,326,000

1818 MPM HUMANMEDITEK Low Temperature Plasma Sterilizer HMTS-80 unit 1,339,000,000

1819MPM HUMANMEDITEK Low Temperature Plasma Sterilizer HMTS-

SES/30E unit 801,340,000

1820 MPM MPM Examination Glove, size L box 41,200

1821 MPM MPM Examination Glove, size M box 41,200

1822 MPM MPM Examination Glove, size S box 41,200

1823 MPM MPM Examination Glove, size XS box 41,200

STANDAR SATUAN HARGA BARANG BMHP 216

Page 243: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1824 MPM MPM Examination Glove, size XS box 41,200

1825 MPM NATUS Pasteurmatic PM3000 unit 570,311,000

1826 MUKA Mattrass MA 202 unit 2,327,800

1827 NURITEK Automatic Scrub Station NT 111-B unit 104,436,046

1828 NURITEK Automatic Scrub Station NT 111-C unit 132,832,212

1829 NURITEK Bed Screen NT 022-2A unit 2,881,248

1830 NURITEK Bedside Cabinet NT 004-1B unit 2,463,171

1831 NURITEK Bedside Cabinet NT 004-2A unit 3,048,479

1832 NURITEK Bedside Cabinet NT 004-4A unit 3,498,138

1833 NURITEK Double Bowl Stand NT 017-2A unit 2,139,161

1834 NURITEK Dressing Trolley NT 018-02ASS unit 8,633,290

1835 NURITEK Emergency Stretcher NT 015-01BSS unit 9,413,700

1836 NURITEK Emergency Trolley NT 019-01BSS unit 15,989,463

1837 NURITEK Examination Lamp NT 023-00BSS unit 3,504,879

1838 NURITEK Examination Stool NT 029-A unit 2,469,232

1839 NURITEK Examination Table NT 007-00B unit 3,895,084

1840 NURITEK Examination Table NT 007-00DSS unit 5,759,011

1841 NURITEK Foot Step NT 007-F3 unit 1,072,810

1842 NURITEK Foot Step NT 007-F4 unit 633,772

1843 NURITEK Instrument Cabinet NT 025-1B unit 5,039,726

1844 NURITEK Instrument Cabinet NT 025-2B unit 6,826,325

1845 NURITEK Instrument Trolley NT 016-B unit 2,893,753

1846 NURITEK Instrument Trolley NT 016-J unit 2,893,753

1847 NURITEK Laundry Trolley NT 030-A unit 3,380,589

1848 NURITEK Mattress Baby Basket NT 107-A unit 488,606

1849 NURITEK Mattress Children Bed NT 108-A unit 1,285,247

1850 NURITEK Mattress Hospital Bed NT 106 unit 1,394,299

1851 NURITEK Mayo Table NT 006-B unit 3,367,135

1852 NURITEK Medication Cart / Trolley NT 031-A unit 21,236,669

1853 NURITEK Mortuary Cabinet NT 112-2J unit 167,967,250

1854 NURITEK Overbed Table NT 005-B unit 3,313,261

1855 NURITEK Overbed Table NT 005-C unit 2,163,549

1856 NURITEK Resusitasi Table NT 007-EB unit 7,187,441

1857 NURITEK Stretcher NT 015-00B unit 5,159,767

1858 NURITEK Stretcher NT 015-00BSS unit 7,314,931

1859 NURITEK UV. Room Sterilizer NT 101-00A unit 16,747,156

1860 OGSI OGS BLOOD ADM.SET pcs 8,137

STANDAR SATUAN HARGA BARANG BMHP 217

Page 244: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1861 OGSI OGS DISPLOGLOVE PLUS 7 pcs 4,249

1862 OGSI OGS DISPLOGLOVE PLUS 7.5 pcs 4,249

1863 OGSI OGS DISPOGLOVE PLUS 6.5 pcs 4,249

1864 OGSI OGS DISPOGLOVE PLUS 8 pcs 4,249

1865 OGSI OGS GRAFUSET SOL.ADM.SET pcs 5,691

1866 OGSI OGS ID Patient Adult / Dewasa Biru pcs 876

1867 OGSI OGS ID Patient Adult / Dewasa Kuning pcs 876

1868 OGSI OGS ID Patient Adult / Dewasa Merah pcs 876

1869 OGSI OGS ID Patient Adult / Dewasa Pink pcs 876

1870 OGSI OGS ID Patient Child / Anak Biru pcs 876

1871 OGSI OGS ID Patient Child / Anak Kuning pcs 876

1872 OGSI OGS ID Patient Child / Anak Merah pcs 876

1873 OGSI OGS ID Patient Child / Anak Pink pcs 876

1874 OGSI OGS INFUSION SET WITH BURETTE pcs 49,595

1875 OGSI OGS NASSAL OXYGEN CANNULA ANAK pcs 5,150

1876 OGSI OGS NASSAL OXYGEN CANNULA BAYI pcs 8,395

1877 OGSI OGS NASSAL OXYGEN CANNULA DEWASA pcs 6,335

1878 OGSI OGS SIMPLE OXYGEN MASK ANAK pcs 12,489

1879 OGSI OGS SIMPLE OXYGEN MASK BAYI pcs 12,489

1880 OGSI OGS SIMPLE OXYGEN MASK DEWASA pcs 12,489

1881OTSUKA OI-34 Infus Set, IV, Wing needle - Infusion Set Pediatric (60

drops/ml) pcs 8,158

1882OTSUKA Otsu Y Set Infus Set, IV, Wing needle - Infusion Set Dewasa (20

drops/ml) pcs 8,158

1883 OTSUKA Otsucath 16G - IV Catheter pcs 7,931

1884 OTSUKA Otsucath 18G - IV Catheter pcs 7,931

1885 OTSUKA Otsucath 20G - IV Catheter pcs 7,931

1886 OTSUKA Otsucath 22G - IV Catheter pcs 7,931

1887 OTSUKA Otsucath 24G - IV Catheter pcs 7,931

1888 PARAMOUNT BED Accesories for L'za unit 3,788,752

1889 PARAMOUNT BED Caster for L'za unit 3,125,720

1890 PARAMOUNT BED Emergency Stretcher unit 51,091,512

1891 PARAMOUNT BED Examination Table Back Raise and Hi-Lo Type unit 13,030,270

1892 PARAMOUNT BED Examination Table Back Raise Type unit 8,968,822

1893 PARAMOUNT BED Examination Table Flat Type unit 7,210,000

1894 PARAMOUNT BED Foot Control for L'za unit 7,293,348

1895 PARAMOUNT BED I.V Pole Holder For L'za unit 2,936,283

1896 PARAMOUNT BED L'Za Set unit 69,144,724

STANDAR SATUAN HARGA BARANG BMHP 218

Page 245: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1897 PARAMOUNT BED Manual Delivery Bed unit 17,092,991

1898 PARAMOUNT BED Sheet Set For L'za unit 2,841,564

1899 PARAMOUNT BED Stretcher unit 30,812,026

1900 PARAMOUNT BED Table L'Za unit 3,504,596

1901 PARAMOUNT BED Transfer Stretcher Trolley unit 47,359,400

1902 PARAMOUNT BED TV Arm Holder for L'Za unit 1,704,938

1903PETERS SURGICAL,FRANCE ACIER 5, 1/2 TC 48mm, 45cm, isi 2 -

2PTR1502E pack 297,436

1904PETERS SURGICAL,FRANCE ACIER 6, 1/2 TC 48mm, 45cm, isi 2 -

2PTR1763E pack 307,086

1905PETERS SURGICAL,FRANCE ADVANTIME 0, 1/2 taper 40mm, 90cm -

2PTRS35FE pcs 49,459

1906PETERS SURGICAL,FRANCE ADVANTIME 1, 1/2 taper 48m, 90cm -

2PTRA40EE pcs 80,943

1907PETERS SURGICAL,FRANCE ADVANTIME 1, 1/2 TP, 40mm, 90cm -

2PTRS40AE pcs 49,459

1908PETERS SURGICAL,FRANCE ADVANTIME 2/0, 3/8 XC, 24mm, 70cm

Incolore/Undyed - 2PTRD30DE pcs 39,784

1909PETERS SURGICAL,FRANCE ADVANTIME 3/0, 1/2 TP 18mm, 70cm -

2PTRA20KE pcs 92,175

1910PETERS SURGICAL,FRANCE ADVANTIME 3/0, 3/8 XC, 19mm, 70cm

Incolore/Undyed - 2PTRA20EE pcs 90,626

1911PETERS SURGICAL,FRANCE ADVANTIME 3/0, 3/8 XC, 24mm, 70cm,

Incolore/Undyed - 2PTRA20FE pcs 87,139

1912PETERS SURGICAL,FRANCE ADVANTIME 4/0, 1/2 TP 18mm, 70cm -

2PTRA15EE pcs 92,175

1913PETERS SURGICAL,FRANCE ADVANTIME 4/0, 1/2 TP 26mm, 70cm -

2PTRS15CE pcs 66,353

1914PETERS SURGICAL,FRANCE ADVANTIME 4/0, 3/8 XC, 19mm, 70cm

Incolore/Undyed - 2PTRA15HE pcs 92,175

1915PETERS SURGICAL,FRANCE ADVANTIME 4/0, 3/8 XC, 24mm, 45cm

Incolore/Undyed - 2PTRA15NE pcs 88,302

1916PETERS SURGICAL,FRANCE ADVANTIME 5/0, 3/8 XC, 13mm, 45cm

Incolore/Undyed - 2PTRA10FE pcs 113,475

1917PETERS SURGICAL,FRANCE ADVANTIME 6/0, 3/8 XC, 10mm, 45cm

Incolore/Undyed - 2PTRA07CE pcs 105,342

1918PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC 18mm, 90cm,

PLEDGET 3X5 - 2PTRP30QE pcs 1,437,609

1919PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC 18mm, 90cm,

PLEDGET 3X7 - 2PTRP30OE pcs 1,013,685

1920PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC 18mm, 90cm,

W/O PLEDGET - 2PTRP30AE pcs 1,064,651

1921PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC, 25mm, 90cm -

2PTRS30TE pcs 109,602

1922PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC, 25mm, 90cm,

W/O PLEDGET - 2PTRP30EE pcs 1,551,471

STANDAR SATUAN HARGA BARANG BMHP 219

Page 246: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1923PETERS SURGICAL,FRANCE CARDIOXYL 3/0, 1/2 TP, 25mm, 90cm -

2PTRS20AE pcs 77,070

1924PETERS SURGICAL,FRANCE COROLENE 0, 3/8 RC 26mm, 75cm

single armed - 2PTRS35AE pcs 59,428

1925PETERS SURGICAL,FRANCE COROLENE 2/0, 1/2 TP 26mm, 75cm

single armed - 2PTRC30AE pcs 92,949

1926PETERS SURGICAL,FRANCE COROLENE 2/0, 3/8 RC 26mm, 75 cm

single armed - 2PTRC30BE pcs 80,168

1927PETERS SURGICAL,FRANCE COROLENE 3/0, 1/2 TP 18mm, 75cm

double armed - 2PTRC20FE pcs 110,377

1928PETERS SURGICAL,FRANCE COROLENE 3/0, 1/2 TP 26mm, 75cm

double armed - 2PTRC20EE pcs 111,539

1929PETERS SURGICAL,FRANCE COROLENE 3/0, 1/2 TP 26mm, 90cm

double armed - 2PTRC20AE pcs 109,602

1930PETERS SURGICAL,FRANCE COROLENE 3/0, 3/8 RC 19mm, 75cm

single armed - 2PTRC20HE pcs 97,984

1931PETERS SURGICAL,FRANCE COROLENE 3/0, 3/8 TP 22mm, 75cm

double armed - 2PTRC20CE pcs 109,602

1932PETERS SURGICAL,FRANCE COROLENE 4/0, 1/2 TP 18mm, 75cm

double armed - 2PTRC15IE pcs 115,024

1933PETERS SURGICAL,FRANCE COROLENE 4/0, 1/2 TP 26mm, 75cm

double armed - 2PTRC15HE pcs 108,828

1934PETERS SURGICAL,FRANCE COROLENE 4/0, 3/8 RC 13mm, 75cm

single armed - 2PTRC15JE pcs 99,920

1935PETERS SURGICAL,FRANCE COROLENE 4/0, 3/8 RC 19mm, 75cm

single armed - 2PTRC15KE pcs 85,977

1936PETERS SURGICAL,FRANCE COROLENE 4/0, 3/8 TP 18mm, 75cm

double armed - 2PTRC15FE pcs 105,342

1937PETERS SURGICAL,FRANCE COROLENE 5/0, 1/2 TP 18mm BLACK,

90cm double armed - 2PTRN10IE pcs 168,470

1938PETERS SURGICAL,FRANCE COROLENE 5/0, 1/2 TP 18mm, 75cm

double armed - 2PTRS10HE pcs 116,268

1939PETERS SURGICAL,FRANCE COROLENE 5/0, 3/8 RC 13mm, 75cm

single armed - 2PTRC10JE pcs 93,724

1940PETERS SURGICAL,FRANCE COROLENE 5/0, 3/8 RC 16mm, 75cm

single armed - 2PTRC10KE pcs 85,977

1941PETERS SURGICAL,FRANCE COROLENE 5/0, 3/8 TP 10mm, 75cm

double armed - 2PTRC10ME pcs 172,730

1942PETERS SURGICAL,FRANCE COROLENE 5/0, 3/8 TP 13mm, 75cm

double armed - 2PTRC10EE pcs 115,412

1943PETERS SURGICAL,FRANCE COROLENE 6/0, 3/8 RC 10mm, 75 cm

single armed - 2PTRS07EE pcs 116,268

1944PETERS SURGICAL,FRANCE COROLENE 6/0, 3/8 TP 10mm, 60cm

double armed - 2PTRS07BE pcs 116,268

1945PETERS SURGICAL,FRANCE COROLENE 6/0, 3/8 TP 13mm BLACK,

75cm double armed - 2PTRN07DE pcs 173,505

1946PETERS SURGICAL,FRANCE COROLENE 6/0, 3/8 TP 13mm, 75cm

double armed - 2PTRC07DE pcs 158,013

STANDAR SATUAN HARGA BARANG BMHP 220

Page 247: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1947PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 RC 8mm, 45cm -

2PTRC05ME pcs 170,794

1948PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 TC 8mm, 60cm

double armed - 2PTRS05FE pcs 212,098

1949PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 TP 10mm BLACK,

75cm double armed - 2PTRN05BE pcs 408,588

1950PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 TP 10mm, 75cm

double armed - 2PTRC05BE pcs 155,690

1951PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 TP 8mm, 60cm

double armed - 2PTRS05GE pcs 178,278

1952PETERS SURGICAL,FRANCE COROLENE 8/0, 3/8 TP 8mm BLACK,

60cm double armed - 2PTRN04DE pcs 1,085,565

1953PETERS SURGICAL,FRANCE COROLENE 8/0, 3/8 TP, 8mm, 60cm

double armed - 2PTRS04DE pcs 241,149

1954PETERS SURGICAL,FRANCE FILAPEAU 2/0, 3/8 RC 25mm, 90cm -

2PTR7499E pcs 48,411

1955PETERS SURGICAL,FRANCE FILAPEAU 3/0, 3/8 RC 20mm, 90cm -

2PTR7300E pcs 45,313

1956PETERS SURGICAL,FRANCE FILAPEAU 3/0, 3/8 RC 25mm, 90cm -

2PTR7305E pcs 48,798

1957PETERS SURGICAL,FRANCE FILAPEAU 4/0, 3/8 RC 16mm, 90cm -

2PTR7003E pcs 43,376

1958PETERS SURGICAL,FRANCE FILAPEAU 5/0, 3/8 RC 12mm, 90cm -

2PTR7004E pcs 55,382

1959PETERS SURGICAL,FRANCE FILAPEAU 5/0, 3/8 RC 16mm, 90cm -

2PTR7001E pcs 46,087

1960PETERS SURGICAL,FRANCE FILAPEAU 6/0, 3/8 RC 12mm, 90cm -

2PTR7000E pcs 60,029

1961PETERS SURGICAL,FRANCE OPTIME 0, 1/2 RC 40mm, 90cm -

2PTRO35PE pcs 74,746

1962PETERS SURGICAL,FRANCE OPTIME 0, 1/2 TP 36mm, 75cm -

2PTRO35EE pcs 72,035

1963PETERS SURGICAL,FRANCE OPTIME 0, 1/2 TP 40mm, 90cm -

2PTRO35FE pcs 83,654

1964PETERS SURGICAL,FRANCE OPTIME 0, 1/2 TP 48mm, 90cm -

2PTRO35GE pcs 69,711

1965PETERS SURGICAL,FRANCE OPTIME 1, 1/2 RC 40mm, 90cm -

2PTRO40LE pcs 73,197

1966PETERS SURGICAL,FRANCE OPTIME 1, 1/2 RC 48mm, 90cm -

2PTRO40ME pcs 86,752

1967PETERS SURGICAL,FRANCE OPTIME 1, 1/2 TC 36mm, 90cm -

2PTRO40PE pcs 74,746

1968PETERS SURGICAL,FRANCE OPTIME 1, 1/2 TP 36mm, 75cm -

2PTRO40EE pcs 76,295

1969PETERS SURGICAL,FRANCE OPTIME 1, 1/2 TP 40mm, 90cm -

2PTRO40FE pcs 78,619

1970PETERS SURGICAL,FRANCE OPTIME 1, 1/2 TP 48mm, 90cm -

2PTRO40GE pcs 81,330

STANDAR SATUAN HARGA BARANG BMHP 221

Page 248: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1971PETERS SURGICAL,FRANCE OPTIME 2, 1/2 RC 48mm, 90cm -

2PTRO50GE pcs 95,660

1972PETERS SURGICAL,FRANCE OPTIME 2, 1/2 TP 40mm, 90cm -

2PTRO50CE pcs 88,302

1973PETERS SURGICAL,FRANCE OPTIME 2, 1/2 TP 48mm, 90cm -

2PTRO50DE pcs 91,787

1974PETERS SURGICAL,FRANCE OPTIME 2/0, 1/2 RC 36mm, 90cm -

2PTRO30PE pcs 84,815

1975PETERS SURGICAL,FRANCE OPTIME 2/0, 1/2 TP 26mm, 75cm -

2PTRO30KE pcs 68,550

1976PETERS SURGICAL,FRANCE OPTIME 2/0, 1/2 TP 36mm, 75cm -

2PTRO30GE pcs 69,711

1977PETERS SURGICAL,FRANCE OPTIME 2/0, 1/2 TP 40mm, 90cm -

2PTRG30HE pcs 71,648

1978PETERS SURGICAL,FRANCE OPTIME 2/0, 3/8 RC 24mm, 75cm -

2PTRO30JE pcs 82,879

1979PETERS SURGICAL,FRANCE OPTIME 3/0, 1/2 TP 22mm, 75cm -

2PTRO20EE pcs 75,521

1980PETERS SURGICAL,FRANCE OPTIME 3/0, 1/2 TP 26mm, 75cm -

2PTRO20FE pcs 70,486

1981PETERS SURGICAL,FRANCE OPTIME 3/0, 3/8 RC 19mm, 75cm -

2PTRO20JE pcs 76,295

1982PETERS SURGICAL,FRANCE OPTIME 3/0, 3/8 RC 24mm, 75cm -

2PTRO20KE pcs 67,388

1983PETERS SURGICAL,FRANCE OPTIME 4/0, 1/2 TP 18mm, 75cm -

2PTRO15EE pcs 68,937

1984PETERS SURGICAL,FRANCE OPTIME 4/0, 1/2 TP 22mm, 75cm -

2PTRO15FE pcs 75,133

1985PETERS SURGICAL,FRANCE OPTIME 4/0, 3/8 RC 16mm, 75cm -

2PTRO15KE pcs 71,648

1986PETERS SURGICAL,FRANCE OPTIME 4/0, 3/8 RC 19mm, 75cm -

2PTRO15LE pcs 62,740

1987PETERS SURGICAL,FRANCE OPTIME 5/0, 1/2 TP 18mm, 75cm -

2PTRO10CE pcs 73,972

1988PETERS SURGICAL,FRANCE OPTIME 5/0, 3/8 RC 13mm, 75cm -

2PTRO10DE pcs 85,203

1989PETERS SURGICAL,FRANCE OPTIME R 2/0, 1/2 TC 36mm, 90cm -

2PTR30ALE pcs 62,441

1990PETERS SURGICAL,FRANCE OPTIME R 2/0, 3/8 RC 30mm, 90cm -

2PTRR30DE pcs 79,006

1991PETERS SURGICAL,FRANCE OPTIME R 3/0, 3/8 RC 24mm, 75cm -

2PTRR20BE pcs 87,139

1992PETERS SURGICAL,FRANCE OPTIME R 4/0, 3/8 RC 16mm, 75cm -

2PTRR15EE pcs 73,584

1993PETERS SURGICAL,FRANCE PETER SILK 0, 3/8 RC 30mm, 75cm -

2PTR5436E pcs 38,325

1994PETERS SURGICAL,FRANCE PETER SILK 1, 3/8 TC 35mm, 75cm -

2PTR5509E pcs 49,186

STANDAR SATUAN HARGA BARANG BMHP 222

Page 249: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

1995PETERS SURGICAL,FRANCE PETER SILK 1, 3/8 TC 40mm, 75cm -

2PTR5510E pcs 50,347

1996PETERS SURGICAL,FRANCE PETER SILK 2/0, 1/2 TP 25mm, 75cm -

2PTR5339E pcs 40,665

1997PETERS SURGICAL,FRANCE PETER SILK 2/0, 1/2 TP 30mm, 75cm -

2PTR5340E pcs 39,891

1998PETERS SURGICAL,FRANCE PETER SILK 2/0, 3/8 RC 25mm, 75cm -

2PTR5363E pcs 40,665

1999PETERS SURGICAL,FRANCE PETER SILK 3/0, 1/2 TP 18mm, 75cm -

2PTR5261E pcs 40,665

2000PETERS SURGICAL,FRANCE PETER SILK 3/0, 1/2 TP 25mm, 75cm -

2PTR5266E pcs 42,602

2001PETERS SURGICAL,FRANCE PETER SILK 3/0, 3/8 RC 25mm, 75cm -

2PTR5290E pcs 45,313

2002PETERS SURGICAL,FRANCE PETER SILK 4/0, 1/2 TP 16mm, 75cm -

2PTR5192E pcs 44,784

2003PETERS SURGICAL,FRANCE PETER SILK 4/0, 3/8 RC 16mm, 75cm -

2PTR5215E pcs 50,735

2004PETERS SURGICAL,FRANCE PETER SILK 4/0, 3/8 RC 20mm, 75cm -

2PTR5217E pcs 46,087

2005 PHARMAPLAST S.A.E,EGYPT CANNOFIX-PU ( 6 CM X 8 CM ) pcs 7,056

2006 PHARMAPLAST S.A.E,EGYPT INCIFILM ( 28 CM X 45 CM ) pcs 111,856

2007 PHARMAPLAST S.A.E,EGYPT INCIFILM ( 45 CM X 55 CM ) pcs 177,347

2008 PHARMAPLAST S.A.E,EGYPT INCIFILM ( 56 CM X 84 CM ) pcs 282,998

2009 PHARMAPLAST S.A.E,EGYPT PHARMAFIX ( 10 CM X 500 CM ) box 52,844

2010 PHARMAPLAST S.A.E,EGYPT PHARMAFIX ( 5 CM X 500 CM ) box 27,810

2011 PHARMAPLAST S.A.E,EGYPT PHARMAFIX, (15 CM X 500 CM) box 80,500

2012 PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU (10 CM X 10 CM) pcs 14,512

2013 PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU ( 10 CM X 15 CM ) pcs 17,825

2014 PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU ( 10 CM X 25 CM ) pcs 30,261

2015 PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU ( 6 CM X 7 CM ) pcs 10,370

2016PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H CATHEJELL

LIDOCAIN 2% & CHG 0.05% (CA125) tube 42,848

2017 POLY Bed Screen Double P.C unit 2,312,350

2018 POLY Bed Screen Double S/S unit 3,289,820

2019 POLY Bed Screen Triple P.C unit 2,934,470

2020 POLY Bed Screen Triple S/S unit 3,734,780

2021 POLY Bed Side Cabinet Deluxe ABS unit 3,556,590

2022 POLY Bed Side Cabinet PC , Top Table ABS unit 3,379,430

2023 POLY Bed Side Cabinet PC unit 3,112,660

2024 POLY Bed Side Cabinet PC+ Laci Makan unit 3,556,590

2025 POLY Bed Side Cabinet PC+ Laci Makan , Top Table ABS unit 3,734,780

STANDAR SATUAN HARGA BARANG BMHP 223

Page 250: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2026 POLY Blue Light / Photo Therapy unit 3,112,660

2027 POLY Box Bayi P.C. unit 3,112,660

2028 POLY Brancar Ambulance S/S unit 13,337,470

2029 POLY Brancar Deluxe Electric unit 55,129,720

2030 POLY Brancar Hi - Low unit 8,891,990

2031 POLY Brancar Komplit S/S unit 9,780,880

2032 POLY Brancar Multi Purpose S/S unit 30,232,560

2033 POLY Brancar Sederhana P.C unit 3,734,780

2034 POLY Brancar Standart PC unit 4,356,900

2035 POLY Dental Chair PC unit 3,911,940

2036 POLY Dental Chair SS unit 5,335,400

2037 POLY Dressing Trolley S/S unit 6,224,290

2038 POLY Electric Operating Table unit 69,357,110

2039 POLY Emergency Trolley P.C unit 8,447,030

2040 POLY Emergency Trolley S/S unit 14,227,390

2041 POLY Film Dryer P.C unit 14,938,090

2042 POLY Film Dryer S/S unit 17,339,020

2043 POLY Food Trolley 3 Rak S/S ( 60 x 93 x 80 ) unit 6,579,640

2044 POLY Food Trolley S/S 14 Baki ( 2 Pintu ) + Tray Plastik + Heater unit 17,339,020

2045 POLY Food Trolley S/S 14 Baki ( 2 Pintu ) + tray plastik unit 13,515,660

2046 POLY Food Trolley S/S 20 Baki ( 2 Pintu ) + tray plastik + heater unit 23,119,380

2047 POLY Food Trolley S/S 20 Baki ( 2 Pintu ) + tray plastik unit 16,005,170

2048 POLY Gynaecolog Examination Table P.C. + Foot Step PC unit 5,157,210

2049 POLY Gynaecolog Examination Table P.C. unit 4,801,860

2050 POLY Gynaecolog Examination Table S/S + Foot Step SS unit 9,070,180

2051 POLY Gynaecolog Examination Table S/S unit 8,625,220

2052 POLY ICU Bed + Side Rail Manual unit 15,649,820

2053 POLY ICU Bed Electric + Side Rail unit 31,121,450

2054 POLY ICU Bed Electric + Side Rail Super Deluxe unit 37,492,000

2055 POLY Incubator Digital Control unit 39,140,000

2056 POLY Incubator Digital Control Standard unit 26,677,000

2057 POLY Incubator Ekonomis unit 23,072,000

2058 POLY Incubator Infant Warmer unit 40,067,000

2059 POLY Incubator Servo unit 49,852,000

2060 POLY Incubator Servo Deluxe unit 51,500,000

2061 POLY Incubator Standar unit 2,934,470

2062 POLY Incubator Thermostat unit 5,157,210

STANDAR SATUAN HARGA BARANG BMHP 224

Page 251: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2063 POLY Incubator Transport Chart unit 43,569,000

2064 POLY Instrument Trolley Kaca PC unit 1,333,850

2065 POLY Instrument Trolley Kaca SS unit 2,134,160

2066 POLY Instrument Trolley S/S + Laci unit 3,379,430

2067 POLY Instrument Trolley S/S Tanpa laci unit 2,934,470

2068 POLY Instrument Trolley S/S Tanpa laci unit 2,934,470

2069 POLY Kursi Stool unit 1,512,040

2070 POLY Lampu Tindakan Halogen unit 2,134,160

2071 POLY Laundry Trolley Bulat S/S + Linen unit 3,112,660

2072 POLY Laundry Trolley Kotak P.C unit 3,734,780

2073 POLY Lemari Instrumen 1 Pintu P.C unit 4,104,550

2074 POLY Lemari Instrumen 1 Pintu S/S unit 8,928,040

2075 POLY Lemari Instrumen 2 Pintu P.C unit 5,356,000

2076 POLY Lemari Instrumen 2 Pintu S/S unit 9,820,020

2077 POLY Lemari Obat 1 Pintu P.C unit 4,910,010

2078 POLY Lemari Obat 1 Pintu S/S unit 9,641,830

2079 POLY Lemari Obat 2 Pintu P.C unit 5,690,750

2080 POLY Lemari Obat 2 Pintu S/S (Stainless Steel) unit 10,670,800

2081 POLY Linen Trolley P.C unit 5,868,940

2082 POLY Linen Trolley S/S unit 9,780,880

2083 POLY Locker 12 Pintu 120x40x180cm unit 12,270,390

2084 POLY Locker 6 Pintu 80x40x180cm unit 9,336,950

2085 POLY Matrass Anti Decubitus unit 2,492,600

2086 POLY Matrass Busa Super 10cm + Cover Vinyl unit 1,339,000

2087 POLY Matrass Latex 10cm + Cover Spring Bed unit 3,605,000

2088 POLY Mayo Stand P.C unit 2,934,470

2089 POLY Mayo Stand S/S unit 3,201,240

2090 POLY Medical Oxygen Theraphy Complete Set ( 1m3 ) unit 2,489,510

2091 POLY Medical Oxygen Theraphy Complete Set ( 6 m3 ) unit 6,224,290

2092 POLY Medicine Trolley 26 Laci S/S (Stainless Steel) unit 12,448,580

2093 POLY Meja Periksa S/S + Foot Step P.C unit 4,979,020

2094 POLY Meja Resusitasy P.C. unit 6,224,290

2095 POLY Meja Resusitasy S/S unit 10,670,800

2096 POLY Meja Rontgent unit 16,005,170

2097 POLY Mortuary Table unit 9,247,340

2098 POLY Murtuary Carriage unit 11,559,690

2099 POLY Murtuary Refrigant / Kulkas (2 Doors) unit 151,162,800

STANDAR SATUAN HARGA BARANG BMHP 225

Page 252: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2100 POLY Murtuary Refrigant / Kulkas (4 Doors) unit 204,514,740

2101 POLY Murtuary Refrigant / Kulkas (6 Doors) unit 257,865,650

2102 POLY Murtuary Refrigant / Kulkas Mayat (1 Doors) unit 106,702,850

2103 POLY Over Bed Table unit 2,489,510

2104 POLY Over Bed Table Deluxe unit 3,112,660

2105 POLY Ranjang 1 Engkol (ABS Head & Foot Panel) + Side Rail unit 8,837,400

2106 POLY Ranjang 1 Engkol unit 6,135,710

2107 POLY Ranjang 2 Engkol ( Back Raise & Knee Raise ) unit 7,113,180

2108 POLY Ranjang 2 Engkol ( Back Raise & Hi - Lo ) unit 8,358,450

2109 POLY Ranjang 2 Engkol (ABS Head&Foot Panel) + Side Rail unit 10,712,000

2110 POLY Ranjang 2 Engkol (B/R & Hi-Lo) ABS H&F Panel Side Rail unit 10,712,000

2111 POLY Ranjang 3 Engkol unit 9,780,880

2112 POLY Ranjang 3 Engkol (ABS Head & Foot Panel) + Side Rail unit 13,390,000

2113 POLY Ranjang Anak 1 Engkol Full S/S unit 10,670,800

2114 POLY Ranjang Anak Tanpa Engkol Full S/S unit 9,780,880

2115 POLY Ranjang Electric Super Deluxe unit 35,567,960

2116 POLY Ranjang Electric Hi - Low Knee Raise & Back Raise unit 29,343,670

2117 POLY Ranjang Sederhana unit 2,845,890

2118 POLY Ranjang Tanpa Engkol unit 4,178,710

2119 POLY Scrub Station 1 Person unit 78,249,100

2120 POLY Scrub Station 2 Person unit 129,822,230

2121 POLY Side Rail (Pagar) Powder Coating unit 885,800

2122 POLY Side Rail (Pagar) Stainless Steel unit 1,339,000

2123 POLY Side Rail Deluxe Alumunium unit 2,142,400

2124 POLY Stand Holder + Grid unit 23,119,380

2125 POLY Stand Holder unit 3,112,660

2126 POLY Stand Waskom P.C. Double Ekonomi + Waskom unit 1,155,660

2127 POLY Stand Waskom P.C. Single Ekonomi + Waskom unit 800,310

2128 POLY Stand Waskom S/S Double K.4 + Waskom unit 2,934,470

2129 POLY Stand Waskom S/S Double K.5 + Waskom unit 2,134,160

2130 POLY Stand Waskom S/S Single K.4 + Waskom unit 2,489,510

2131 POLY Stand Waskom S/S Single K.5 + Waskom unit 1,600,620

2132 POLY Tiang Infus K.5 Full S/S + Pemberat unit 2,222,740

2133 POLY Tiang Infus K.5 P.C unit 622,120

2134 POLY Tiang Infus K.5 S/S unit 1,600,620

STANDAR SATUAN HARGA BARANG BMHP 226

Page 253: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2135 POLY Tiang Infus Stainless Steel unit 442,900

2136 POLY Trolley Obat 24 Laci PC unit 8,481,020

2137 POLY Trolley Obat 26 Laci S/S unit 13,390,000

2138 POLY Trolley Oksigen 1 m3 unit 355,350

2139 POLY Trolley Oksigen 6 m3 unit 1,778,810

2140 POLY TV Shelves unit 7,113,180

2141 POLY U.V. Mobile Sterilizator stainless steel unit 16,005,170

2142 POLY U.V. Mobile Sterilizator with remote control unit 17,783,980

2143 POLY Urinal Carriage SS unit 7,113,180

2144 POLY Verlos / Delivery Bed S/S + Foot Step SS unit 10,225,840

2145 POLY Verlos / Delivery Bed S/S unit 9,780,880

2146 POLY Viewer Double 800 x 450 x 80 mm unit 1,955,970

2147 POLY X - Ray Barrier / Tabir unit 14,227,390

2148 PRIZMA Ultrasonic Nebulizer Type Profisonic unit 12,735,594

2149PT. ERACITA ASTAMIDA E-CARE ALCOHOL SWAB CHG + 0.5%

(EMPAC) box 20,270

2150PT. STERIN LABORATORIES E-CARE ANTISEPTIC SURGICAL HAND

SCRUB 5 Lt (1750G)galon 660,024

2151PT. STERIN LABORATORIES E-CARE ANTISEPTIC SURGICAL HAND

SCRUB BTL 10 @500ML (1750B)box 762,200

2152PT. STERIN LABORATORIES E-CARE ANTISEPTIK HAND RUB 10 BTL

@ 500 ml (1650B)box 626,240

2153PT. STERIN LABORATORIES E-CARE ANTISEPTIK HAND RUB 5 Lt

(1650G)galon 597,400

2154 REMEDI Suction Catheter Sterile w/Finger Tube Control No.10 pcs 3,296

2155 REMEDI Suction Catheter Sterile w/Finger Tube Control No.12 pcs 3,296

2156 REMEDI Suction Catheter Sterile w/Finger Tube Control No.14 pcs 3,296

2157 REMEDI Suction Catheter Sterile w/Finger Tube Control No.16 pcs 3,296

2158 REMEDI Alcohol Swab box 12,669

2159 REMEDI Suction Catheter Sterile w/Finger Tube Control No.6 pcs 3,296

2160 REMEDI Suction Catheter Sterile w/Finger Tube Control No.8 pcs 3,296

2161 RENOSEM Low Temperatur Plasma Gas Sterilizer/ Reno-D50 unit 1,003,014,000

2162 RENOSEM Low Temperature Plasma Gas Sterilizer/ RENO-S130 unit 1,840,816,000

2163 RENOSEM Low Temperature Plasma Gas Sterilizer/ RENO-S30 unit 958,724,000

2164RIGEL MEDICAL Performance Analysers Rigel Multi-Flo 4CH Type

385A940 unit 298,082,000

2165 RIGEL MEDICAL Vital Sign Simulators Rigel Uni-Sim Type 370A930 unit 142,655,000

STANDAR SATUAN HARGA BARANG BMHP 227

Page 254: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2166 SANI-INDONESIA ABS Hospital Bed 1 Crank unit 19,379,682

2167 SANI-INDONESIA ABS Hospital Bed 2 Crank unit 22,056,678

2168 SANI-INDONESIA ABS Hospital Bed 3 Crank unit 24,727,045

2169 SANI-INDONESIA Automatic Loading Stretcher unit 32,750,668

2170 SANI-INDONESIA Baby Basket Stainlees Steel unit 11,556,373

2171 SANI-INDONESIA Bedside Cabinet unit 7,752,609

2172 SANI-INDONESIA Dry Heat Sterilizer unit 12,207,161

2173 SANI-INDONESIA Electric ICU Bed Five Function unit 62,346,158

2174 SANI-INDONESIA Electric Suction Apparatus unit 37,668,285

2175 SANI-INDONESIA Examination Table With Accessories, Steel Painted unit 9,890,524

2176 SANI-INDONESIA Gynecology Examination Table unit 11,361,214

2177 SANI-INDONESIA Halogen Examination Light / OLH61-002 unit 11,878,166

2178 SANI-INDONESIA Infusion Stand, Stainlees Steel unit 2,425,130

2179SANI-INDONESIA Instrument Cabinet, Steel Sheet Epoxy Powder

Coating unit 10,614,433

2180 SANI-INDONESIA Instrument Trolley Stainless unit 7,748,999

2181 SANI-INDONESIA Medicine Cabinet Steel Sheet Epoxy Powder Coating unit 6,343,590

2182 SANI-INDONESIA Scrub Station 2 Person unit 150,753,921

2183 SANI-INDONESIA Scrub Station 3 Person unit 185,670,671

2184 SANI-INDONESIA Shadowless Operating Lamp 700/700 unit 408,534,050

2185 SANI-INDONESIA Standard Operating Table unit 30,408,021

2186 SANI-INDONESIA Syringe & Needle Destroyer unit 39,126,996

2187 SANI-INDONESIA Transfusion Chair unit 15,450,000

2188 SANI-INDONESIA Vacuum Extractor Manual unit 11,815,388

2189 SARANDI KARYA NUGRAHA Instrument Cabinet KA 25-01A unit 4,223,000

2190 SARANDI KARYA NUGRAHA Bedside Cabinet KA 04-00BSS unit 3,811,000

2191 SARANDI KARYA NUGRAHA Bedside Cabinet SKN 04-03ABS unit 4,068,500

2192 SARANDI KARYA NUGRAHA Double Bowl Rack Type KA 17-02BSS unit 2,163,000

2193SARANDI KARYA NUGRAHA Dressing Trolley With Drawer KA 18-

02BSS unit 8,188,500

2194SARANDI KARYA NUGRAHA Food Trolley Cabinet Type 8 Tray KA 21-

01BSS unit 16,428,500

2195 SARANDI KARYA NUGRAHA Instrument Cabinet KA 25-02B unit 7,725,000

2196 SARANDI KARYA NUGRAHA Instrument Trolley KA 16-01BSS unit 3,141,500

2197SARANDI KARYA NUGRAHA KARIXA Electric Examination Table KA 07-

02E unit 25,750,000

2198SARANDI KARYA NUGRAHA KARIXA Emergency Stretcher KA 15-

11BSS unit 8,549,000

2199SARANDI KARYA NUGRAHA KARIXA Emergency Stretcher KA 15-

12BSS unit 26,780,000

STANDAR SATUAN HARGA BARANG BMHP 228

Page 255: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2200 SARANDI KARYA NUGRAHA KARIXA Emergency Trolley KA 19-01BSS unit 14,626,000

2201 SARANDI KARYA NUGRAHA KARIXA Examination Table KA 07-01BSS unit 5,459,000

2202 SARANDI KARYA NUGRAHA KARIXA Infusion Stand KA 03-01BSS unit 1,030,000

2203 SARANDI KARYA NUGRAHA Linen Hamper Carriage KA 26-00BSS unit 14,214,000

2204 SARANDI KARYA NUGRAHA Matras DH unit 1,133,000

2205 SARANDI KARYA NUGRAHA Matras KK unit 3,115,750

2206 SARANDI KARYA NUGRAHA Mayo Table (Full SS) KA 06-00BSS unit 3,141,500

2207 SARANDI KARYA NUGRAHA Overbed Table KA 05-00BSS unit 3,079,700

2208 SARANDI KARYA NUGRAHA Overbed Table SKN 05-02ABS unit 2,739,800

2209 SARANDI KARYA NUGRAHA SKN Hospital Bed Manual SKN 01-12C unit 9,579,000

2210 SERENITY Ambulance Stretcher SR-A3 unit 10,520,420

2211 SERENITY Ambulance Stretcher SR-A6 unit 16,347,130

2212 SERENITY Basket Stretcher SR-B2 unit 7,931,000

2213 SERENITY Folding Stretcher with Wheels SR-F2 unit 1,651,090

2214 SERENITY Mucus Extractor 25 ml pcs 7,107

2215 SERENITY Scoop Stretcher SR-C2 unit 2,784,090

2216 SERENITY Stretcher Trolley SR-E2 unit 6,312,870

2217 SERENITY Stretcher Trolley SR-E3 unit 14,890,710

2218SHIMA PRIMA UTAMA Advance Hospital Bed With Fowler Type SM-

9014C unit 7,313,000

2219 SHIMA PRIMA UTAMA Baby Cot With Trolley SS SM-9018 unit 2,513,200

2220 SHIMA PRIMA UTAMA Bedside Cabinet SM-9036 C unit 2,404,020

2221 SHIMA PRIMA UTAMA Bedside Cabinet Table Top ABS SM - 9036 B unit 2,445,220

2222SHIMA PRIMA UTAMA HI-LO Hospital Bed With Fowler Type ABS SM -

9012 D unit 12,045,850

2223SHIMA PRIMA UTAMA New Advance Hospital Bed With Back Raise SM -

9014 BN unit 8,559,300

2224 SHIMA PRIMA UTAMA Overbed Table SM - 9031 unit 1,486,290

2225 SHINVA Automatic Washer Disinfector 320 Liter unit 1,154,540,390

2226 SHINVA Ethylene Oxide (EO/EtO) Sterilizer 240 Liter unit 730,494,540

2227 SHINVA Plasma Sterilizer (PS-100) 135 Liter unit 1,319,475,320

2228 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 100 Liter unit 329,868,830

2229 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 135 Liter unit 357,357,470

2230 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 185 Liter unit 401,339,500

2231 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 300 Liter unit 494,802,730

2232 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 360 Liter unit 1,099,562,080

STANDAR SATUAN HARGA BARANG BMHP 229

Page 256: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2233 SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum Sterilizer) 800 Liter unit 1,297,483,790

2234 SHINVA Ultrasonic Washer 30 Liter unit 137,445,260

2235 SIBELMED Spirometry Easy T unit 49,741,790

2236 SIMEON Mobile Examination Light SIM LED 3500 Mobile unit 67,703,445

2237 SIMEX Suction Pump Portable M-20 unit 16,839,470

2238 SIMEX Suction Pump Portable M-30 unit 23,400,570

2239 SIMEX Suction Pump Portable S-20 unit 12,348,670

2240 SIMEX Suction Pump Portable S-30 unit 15,962,940

2241SMITHS MEDICAL SuctionPro 72, Dual Lumen Closed Ventilation, For

Endotracheal Tube 12F unit 247,470

2242SMITHS MEDICAL SuctionPro 72, Dual Lumen Closed Ventilation, For

Endotracheal Tube 14F unit 247,470

2243SMITHS MEDICAL SuctionPro 72, Dual Lumen Closed Ventilation, For

Tracheostomy Tube 14F unit 247,470

2244SMITHS MEDICAL SuctionPro 72, Single Lumen Closed Ventilation, for

Endotracheal Tube 10F unit 240,640

2245 STARDEC Latex exam powdered gloves-S,M,L,XS,XL(Box/100s) box 49,028

2246 STARDEC Nebulizer with Mask (Adult Standard) pcs 29,149

2247 STARDEC Nebulizer with Mask (Pediatric Standard) pcs 29,149

2248 STARDEC Nitrile examination gloves-S,M,L(Box/100) box 64,581

2249 STARDEC Oxygen Mask (Adult Standard) pcs 20,394

2250 STARDEC Oxygen Mask (Pediatric Standard) pcs 20,394

2251 STARDEC Surgical powder free glove size 6.5, 7, 7.5 pasang 7,725

2252 STARDEC Surgical powdered gloves size 6, 6.5, 7, 7.5, 8, 8.5(1Psg) pasang 4,738

2253 STEELCO Steam Sterilizer/ VS 4/2 unit 1,689,921,000

2254 STEELCO Washer Disinfector/ DS 500 CL unit 440,428,000

2255 STEELCO Washer Disinfector/ DS 610/2 unit 700,503,000

2256 STERICLIN GMBH,GERMANY ADHESIVES TAPES (STEAM) roll 66,587

2257STERICLIN GMBH,GERMANY BOWIE & DICK INDICATORTEST

SHEET box 2,263,900

2258 STERICLIN GMBH,GERMANY INDICATOR STRIPS (STEAM) box 535,060

2259 STERICLIN GMBH,GERMANY STERICLIN FLAT 15CM/200M roll 1,303,980

2260 STERICLIN GMBH,GERMANY STERICLIN FLAT 20CM/200M roll 1,584,140

2261 STERICLIN GMBH,GERMANY STERICLIN FLAT 7.5CM/200M roll 726,150

2262 STERICLIN GMBH,GERMANY STERICLIN GUSSETTE 15X5.0CM roll 1,087,680

2263 STERICLIN GMBH,GERMANY STERICLIN GUSSETTE 20X5 CM roll 1,309,130

2264 STERICLIN GMBH,GERMANY STERICLIN GUSSETTE 25X6.5 CM roll 1,588,260

2265 STERICOOL Hydrogen Peroxide Plasma Sterilizer 110AS unit 1,544,068,222

2266 STERINTECH Flat Sterilization Packaging Reels, size 100mm x 200m roll 498,520

STANDAR SATUAN HARGA BARANG BMHP 230

Page 257: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2267 STERINTECH Flat Sterilization Packaging Reels, size 150mm x 200m roll 747,780

2268 STERINTECH Flat Sterilization Packaging Reels, size 200mm x 200m roll 991,375

2269 STERINTECH Flat Sterilization Packaging Reels, size 250mm x 200m roll 1,221,374

2270 STERINTECH Flat Sterilization Packaging Reels, size 300mm x 200m roll 1,519,250

2271 STERINTECH Flat Sterilization Packaging Reels, size 350mm x 200m roll 1,953,910

2272 STERINTECH Flat Sterilization Packaging Reels, size 400mm x 200m roll 2,093,207

2273 STERINTECH Flat Sterilization Packaging Reels, size 50mm x 200m roll 317,240

2274 STERINTECH Flat Sterilization Packaging Reels, size 75mm x 200m roll 430,540

2275STERINTECH Gussette Sterilization Packaging Reels, size 100mm x

100m roll 639,671

2276STERINTECH Gussette Sterilization Packaging Reels, size 150mm x

100m roll 867,796

2277STERINTECH Gussette Sterilization Packaging Reels, size 200mm x

100m roll 1,011,996

2278STERINTECH Gussette Sterilization Packaging Reels, size 250mm x

100m roll 1,157,926

2279STERINTECH Gussette Sterilization Packaging Reels, size 300mm x

100m roll 1,349,135

2280STERINTECH Gussette Sterilization Packaging Reels, size 350mm x

100m roll 1,652,244

2281STERINTECH Gussette Sterilization Packaging Reels, size 400mm x

100m roll 1,717,628

2282 STERINTECH Gussette Sterilization Packaging Reels, size 75mm x 100m roll 582,568

2283 STERIS 5085 SRT Surgical Table-STERIS unit 86,675

2284 STERIS 5085 Surgical Table-STERIS unit 72,512

2285 STERIS Amsco Flexmatic Scrub Station-STERIS unit 13,573

2286 STERIS Century Medium Steam Sterilizer-Steris unit 111,034

2287 STERIS Warming Cabinet-STERIS unit 6,424

2288 SUCHATZKI Ultrasonic Nebulizer M800 unit 1,551

2289 SUCHATZKI Ultrasonic Nebulizer M802 Uhz unit 2,649

2290TAICANG KANGHUI TECHNOLOGY DEVELOPMENT CO.,LTD Manual

Blood Donation Chair DH-XS104 set 23,690,000

2291 TESENA Tesena Baby Bassinette TSN 007 CJSS unit 4,946,575

2292 TESENA Tesena Baby Bassinette TSN 007 CSS unit 5,471,875

2293 TESENA Tesena Baby Bassinette TSN 007 EK unit 1,946,700

2294 TESENA Tesena Baby Bassinette TSN 007 EKSS unit 3,131,200

2295 TESENA Tesena Baby Bassinette TSN 007 Z unit 4,151,880

2296 TESENA Tesena Baby Examination Table TSN 005 D unit 6,471,324

2297 TESENA Tesena Baby Examination Table TSN 005 E unit 11,701,798

2298 TESENA TESENA BED SCREEN TSN 025 BSS unit 2,575,000

2299 TESENA TESENA BED SIDE CABINET TSN 002 AQ unit 3,807,910

STANDAR SATUAN HARGA BARANG BMHP 231

Page 258: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2300 TESENA Tesena Brancard / Stretcher TSN 006 A unit 4,109,700

2301 TESENA Tesena Children / Pediatric Bed TSN 007 PMS unit 6,164,550

2302 TESENA Tesena Dressing Trolley TSN 011 ADSS unit 7,904,714

2303 TESENA Tesena Emergency Stretcher TSN 006 BSS unit 9,552,446

2304 TESENA Tesena Emergency Trolley TSN 012 B unit 9,672,707

2305 TESENA Tesena Examination Table TSN 005 B unit 3,287,760

2306 TESENA Tesena Examination Table TSN 005 BSS unit 6,037,148

2307 TESENA Tesena Folded / Hi-Lo Stretcher TSN 006 CHLSS unit 12,258,648

2308 TESENA Tesena Foot Step SS TSN 005 SBDSS unit 1,133,000

2309 TESENA Tesena Foot Step TSN 005 SBD unit 698,340

2310 TESENA Tesena General Examination Lamp TSN 015 A unit 2,637,830

2311 TESENA Tesena Halogen Examination Lamp TSN 015 FHC unit 4,790,736

2312 TESENA Tesena Hanging Baby Scale TSN 9806 HBS unit 813,700

2313 TESENA Tesena Hospital Bed 3 Crank TSN 001 KCHL unit 17,479,924

2314 TESENA Tesena Hospital Bed Electric Upgrade TSN 001 KCHLE unit 26,262,940

2315 TESENA Tesena Hospital Bed Manual 1 Crank TSN 001 A Lux unit 10,567,800

2316 TESENA Tesena Hospital Bed Manual 2 Crank TSN 001 C Lux unit 14,246,960

2317 TESENA Tesena Infant Incubator TSN 5 unit 18,025,000

2318 TESENA Tesena Infant Incubator TSN 87 unit 37,801,000

2319 TESENA Tesena Infant Incubator TSN 876 MCD Cabinet unit 35,046,780

2320 TESENA Tesena Infant Incubator TSN 910 SC Cabinet unit 48,863,200

2321 TESENA Tesena Infant Incubator TSN UI-2 unit 8,646,850

2322 TESENA Tesena Infant Warmer TSN 89 IW unit 33,021,800

2323 TESENA Tesena Infusion Stand SS TSN 017 ASS unit 1,857,583

2324 TESENA Tesena Infusion Stand TSN 017 A1 unit 928,791

2325 TESENA Tesena Instrument / Medical Cabinet TSN 032 A1 unit 5,424,804

2326 TESENA Tesena Instrument / Medical Cabinet TSN 032 A2 (120L) unit 6,983,359

2327 TESENA Tesena Instrument / Medical Cabinet TSN 032 B1 unit 4,931,640

2328 TESENA Tesena Instrument / Medical Cabinet TSN 032 B2 unit 5,916,320

2329 TESENA Tesena Instrument Table SS TSN 009 ASS unit 3,250,680

2330 TESENA Tesena Instument / Medical Cabinet TSN 032 A2 (90L) unit 5,837,335

2331 TESENA Tesena Laundry Cart TSN 026 A unit 4,032,937

2332 TESENA Tesena Linen Hamper Carriage TSN 026 C unit 5,597,019

2333 TESENA Tesena Mayo Table SS TSN 008 ASS unit 3,462,603

2334TESENA Tesena Medical Weighing Scale Height Measuring TSN 9806

WHS unit 5,304,253

2335 TESENA Tesena Mortuary TSN 029 M, 2 Bodies unit 236,900,000

2336 TESENA Tesena Needle Destroyer TSN 2410 ND unit 2,472,000

STANDAR SATUAN HARGA BARANG BMHP 232

Page 259: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2337 TESENA Tesena Overbed Table TSN 002 B2 unit 2,876,790

2338 TESENA Tesena Oxyhood / Headbox TSN 046 SOH unit 1,060,900

2339 TESENA Tesena Running Water Sterilizer Scrub Station TSN 9201 unit 81,473,000

2340 TESENA Tesena Running Water Sterilizer Scrub Station TSN 9202 unit 132,550,700

2341 TESENA Tesena UV Room Sterilizer TSN 88 UV unit 21,279,800

2342 TESENA Tesena Wash Basin Stand Double TSN 016 DSS unit 2,113,560

2343 TESENA Tesena Wheel Chair TSN 021 C unit 3,900,610

2344TG MEDICAL Examination Glove Powder, Latex, Non Sterile Uk. XS, S,

M, L box 41,355

2345 TG MEDICAL Examination Gloves Powder Free, Latex, Non Sterile box 50,985

2346TOP GLOVE SENTRA ASIA Win Glove Examination Powdered/ Ukuran

XS, S, M, L, XL box 48,719

2347TOP GLOVE WIN GLOVE NON STERILE FREE POWDER (XS, S, M, L,

XL) box 58,916

2348 TRILUX Ceiling Pendant Medidrant A123 for Anasthesia unit 17,150

2349 TRILUX Ceiling Pendant Medidrant E223 for Endoscopy and Surgery unit 18,940

2350 TROGE MEDICAL GMBH, GERMANY INFUSION SET TROSOLUSET pcs 5,608

2351TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

PLUS 18G pcs 15,064

2352TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

PLUS 20G pcs 15,064

2353TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

PLUS 22G pcs 15,064

2354TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

PLUS 24G pcs 15,064

2355TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

PLUS 26G pcs 13,880

2356TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

SINE 18G pcs 13,010

2357TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

SINE 20G pcs 13,010

2358TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

SINE 22G pcs 13,010

2359TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

SINE 24G pcs 13,010

2360TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENOCATH

SINE 26G pcs 13,967

2361TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY PLUS 18G pcs 23,793

2362TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY PLUS 20G pcs 23,793

2363TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY PLUS 22G pcs 23,793

2364TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY PLUS 24G pcs 23,793

2365TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY PLUS 26G pcs 25,408

STANDAR SATUAN HARGA BARANG BMHP 233

Page 260: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2366TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY SINE 18G pcs 22,859

2367TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY SINE 20G pcs 22,859

2368TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY SINE 22G pcs 22,859

2369TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY SINE 24G pcs 22,859

2370TROGE MEDICAL GMBH, GERMANY IV CATHETER TROVENSITE

SAFETY SINE 26G pcs 6,793

2371TROGE MEDICAL GMBH, GERMANY TRO-SENSOSURGE STERIL

GLOVE 6.0 pcs 6,793

2372TROGE MEDICAL GMBH, GERMANY TRO-SENSOSURGE STERIL

GLOVE 6.5 pcs 6,793

2373TROGE MEDICAL GMBH, GERMANY TRO-SENSOSURGE STERIL

GLOVE 7.0 pcs 6,793

2374TROGE MEDICAL GMBH, GERMANY TRO-SENSOSURGE STERIL

GLOVE 7.5 pcs 6,793

2375TROGE MEDICAL GMBH, GERMANY TRO-SENSOSURGE STERIL

GLOVE 8.0 pcs 6,793

2376TROGE MEDICAL GMBH, GERMANY TRO-SENSOSURGE STERIL

GLOVE 8.5 pcs 6,793

2377 TROGE MEDICAL GMBH, GERMANY TRO-VENOFLOW 3-WAY pcs 13,010

2378 TROGE MEDICAL GMBH, GERMANY URIN BAG TRO UROCOL PLUS pcs 8,312

2379 TUTTNAUER Large Hospital Autoclave (5596), dua pintu unit 1,133,000,000

2380 TUTTNAUER PlazMax Line Low Temperature Sterilizer (P 50) unit 1,234,970,000

2381 TUTTNAUER Table Top Autoclave (2540 MK) unit 53,560,000

2382 TUTTNAUER Table Top Autoclave 3870 M unit 136,990,000

2383 TYLONG MEDICAL Double Bridge ICU Pendant unit 232,780,000

2384 TYLONG MEDICAL Single Arm ICU Pendant unit 133,900,000

2385 TYLONG MEDICAL Single Arm Motorized Anesthesia Pendant unit 152,440,000

2386 UNOLAB SUPERCARE Nitrile Powder-Free Exam Glove L box 79,818

2387 UNOLAB SUPERCARE Nitrile Powder-Free Exam Glove M box 79,818

2388 UNOLAB SUPERCARE Nitrile Powder-Free Exam Glove S box 79,818

2389 UNOLAB SUPERCARE Nitrile Powder-Free Exam GLove XS box 79,818

2390 UZUMCU Examination Lamp / Uzumcu ML- 40L unit 14,214,000

2391 UZUMCU Mayo Table / Uzumcu - Type 40400 unit 25,235,000

2392 UZUMCU Scrub Sink / Uzumcu – TYPE 80700 unit 66,435,000

2393 VIVOLIGHT Projection Vein Finder - VIVO 300 unit 5,747

2394 VIVOLIGHT Projection Vein Finder - VIVO 500 unit 6,139

2395 WONDERMED Wound Management System - WOUNDHUB II unit 47,833

2396ZHEJIANG YUSHENG MEDICAL INSTRUMENT Skifa Infusion Set

Dewasa pcs 4,139

2397 ZULMAND Ambulance Stretcher 647 ZD unit 14,162,830

2398 ZULMAND ARI TIMER unit 159,301

STANDAR SATUAN HARGA BARANG BMHP 234

Page 261: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2399 ZULMAND Bedside Cabinet With Hanging Towel 701 ZD unit 3,766,492

2400 ZULMAND Bowl Stand Double, S 630 ZD unit 2,480,548

2401 ZULMAND Bowl Stand Double, SS 629 ZD unit 2,923,906

2402 ZULMAND Bowl Stand Single, S 628 ZD unit 1,847,326

2403 ZULMAND Bowl Stand Single, SS 627 ZD unit 2,480,548

2404 ZULMAND Developing Tank 726 ZD unit 2,309,157

2405 ZULMAND Dressing Trolley, SS 785 ZD unit 9,294,720

2406 ZULMAND Examination Stool, SS 757 ZD unit 2,353,287

2407 ZULMAND Examination Table 607 ZD unit 5,747,235

2408 ZULMAND Examination Table 608 ZD unit 5,747,235

2409 ZULMAND Examination Table, SS 609 ZD unit 7,683,635

2410 ZULMAND Extrabed for Patient, SS 820 ZD unit 5,131,460

2411 ZULMAND Filing cabinet 707 ZD unit 3,078,876

2412 ZULMAND Food Trolley 20 Tray unit 15,394,380

2413 ZULMAND Food Trolley 3 Tray, SS 766 ZD unit 7,551,960

2414 ZULMAND Foot Step, S 613 ZD unit 695,826

2415 ZULMAND Foot Step, SS 612 ZD unit 1,180,236

2416 ZULMAND Halogen Examination Lamp 740 ZD unit 2,565,730

2417 ZULMAND Incenerator 642 ZD unit 168,920,000

2418 ZULMAND Instrument Cabinet 705 ZD unit 4,113,378

2419 ZULMAND Instrument Cabinet 706 ZD unit 5,319,271

2420 ZULMAND Instrument Trolley 2 Shelves with Drawer, S 780 ZD unit 3,576,628

2421 ZULMAND Instrument Trolley 2 Shelves with Drawer, SS 779 ZD unit 7,491,932

2422 ZULMAND Instrument Trolley 2 Shelves, S 778 ZD unit 6,465,640

2423 ZULMAND Instrument Trolley 2 Shelves, SS 777 ZD unit 7,491,932

2424 ZULMAND Instrument Trolley, S 781 ZD unit 4,602,920

2425 ZULMAND Instrument Trolley, SS 782 ZD unit 5,571,120

2426 ZULMAND Laundry Kotak 639 ZD unit 4,644,997

2427 ZULMAND Linen Hamper Carage 633 ZD unit 8,765,560

2428 ZULMAND Mattress 857 A ZD unit 1,539,438

2429 ZULMAND Mattress 857 ZD unit 2,507,638

2430 ZULMAND Mayo Table, SS 892 ZD unit 3,078,876

2431 ZULMAND Mayo Table, SS 896 ZD unit 3,449,367

2432 ZULMAND Mayo Table,SS 897 ZD unit 3,449,367

2433 ZULMAND Medicine Cabinet 710 ZD unit 5,319,271

2434 ZULMAND Medicine Trolley 877 ZD unit 10,638,542

2435 ZULMAND MICROSCOPE SLIDE pack 15,394

STANDAR SATUAN HARGA BARANG BMHP 235

Page 262: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

NO NAMA ALAT KESEHATAN KEMASAN HARGA

2436 ZULMAND Mobile Stretcher, S 601 ZD unit 7,194,307

2437 ZULMAND Mobile Stretcher, S 602 ZD unit 6,542,612

2438 ZULMAND Mobile Stretcher, SS 600 ZD unit 11,089,085

2439 ZULMAND Mobile Stretcher, SS 603 ZD unit 7,568,904

2440 ZULMAND Mobile Stretcher, SS 649 ZD unit 7,194,307

2441 ZULMAND Multipurpose Stretcher 814 ZD unit 54,957,937

2442 ZULMAND Overbed Table 891 ZD unit 3,296,450

2443 ZULMAND POT SPUTUM btl 2,822

2444 ZULMAND POT URINE btl 2,401

2445 ZULMAND PSYCHIATRIC BED 840 ZD unit 8,723,482

2446 ZULMAND Room Divider 3 Panel, SS 866 ZD unit 4,792,784

2447 ZULMAND Urinal & Badpan, S 668 ZD unit 5,544,030

2448 ZULMAND Urinal & Badpan, SS 667 ZD unit 7,192,254

2449 ZULMAND UV. Sterilizer, SS 818 ZD unit 15,394,380

2450 ZULMAND UV. Water Running Sterilizer, SS 813 ZD unit 76,971,900

2451 ZULMAND Waiting Chair 605 ZD unit 5,931,968

2452 ZULMAND Work Table for Dental 673 ZD unit 10,262,920

2453 ZULMAND Work Table for Laboratorium 670 ZD unit 10,262,920

2454 ZULMAND Work Table for Medicine 881 ZD unit 10,262,920

STANDAR SATUAN HARGA BARANG BMHP 236

Page 263: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

ALAT KESEHATAN

Page 264: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

1 Abate 1 gram Box/ 50 sct 284,361

2 Accidum Lactikum Botol/1 liter 295,604

3 Accidum Nitrikum Botol/ 1 liter 89,692

4 Acsal ( Acid Salicyl ) 1000 gram 316,069

5 Adeps Lanae 1000 gram 890,601

6 Alkohol 70% @ 100 Ml Botol 10,359

7 Alkohol 70% @ 200 Ml Botol 18,949

8 Alkohol 70% @ 300 Ml Botol 27,792

9 Alkohol 96% @ 100 Ml Botol 12,633

10 Alkohol 96% @ 200 Ml Botol 20,844

11 Alkohol 96% @ 300 Ml Botol 31,708

12 Aqua DM Can/20 liter 315,816

13 Aqua DM Botol/Liter 16,422

14 Asam Sitrat 1000 gram 149,065

15 Benzyl Benjoat Botol/ 1 liter 671,425

16 Capsul Kosong 0 zak / 1000 btr 94,745

17 Capsul Kosong 00 zak / 1000 btr 207,175

18 Capsul Kosong 1 zak / 1000 btr 138,580

19 Capsul Kosong 2 zak / 1000 btr 77,059

20 Capsul Kosong 3 Zak/1000 pcs 75,796

21 Champora 1000 gram 534,361

22 Coffein 1000 gram 1,086,407

23 Formalin 37 % Liquid Botol/1 liter 107,377

24 Formalin Tablet Pot/100 tab 27,792

25 Garam Inggris 1000 gram 89,692

26 Gliserin Botol /1 liter 178,752

27 H2O2 50 % Botol/800 ml 107,377

28 Ichtiyol 1000 gram 1,811,268

29 Kertas puyer Pack/1000 lbr 48,951

30 Laktosa 1000 gram 744,062

HARGASATUANNAMA BARANG

ALAT KESEHATAN (NON E-CATALOG)

NO

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 237

Page 265: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

31 Levertraan Botol/ 1 liter 896,917

32 Licadet ( L C D ) Botol/ 1 liter 4,297,623

33 Lysol 100 % Botol /1 liter 46,741

34 Lysol 100 % Can/20 liter 896,917

35 Lysol 50 % Botol/ 1 liter 39,793

36 Parafin Liquid Botol/ 1 Liter 271,602

37 Pipet Tetes Panjang@100's Pcs 3,158

38 Pipet Tetes Pendek@100's Pcs 1,895

39 Pot 10 ML Buah 1,895

40 Pot 100 ML Buah 4,421

41 Pot 20 ML Buah 2,274

42 Pot 40 ML Buah 2,779

43 Povidon Iodin 10 % Botol/1 liter 165,488

44 Povidon Iodin 10 % Can /20 liter 3,379,230

45 TOURNIGET Pcs 38,656

46 Vaselin Kuning Pot/ 1 kg 249,495

47 Vaselin Putih Pot/ 1 kg 249,495

48 Zink Oxy 1000 gram 304,447

49 POUCHES STERICLIN FLAT, 5CM/200M Roll 637,948

50 POUCHES STERICLIN FLAT, 7,5CM/200M Roll 953,764

51 POUCHES STERICLIN FLAT, 10CM/200M Roll 1,130,621

52 POUCHES STERICLIN FLAT, 15CM/200M Roll 1,711,722

53 POUCHES STERICLIN FLAT, 20CM/200M Roll 2,078,069

54 POUCHES STERICLIN FLAT, 25CM/200M Roll 2,596,007

55 POUCHES STERICLIN FLAT, 30CM/200M Roll 3,202,374

56 POUCHES STERICLIN FLAT, 38CM/200M Roll 3,871,903

57 POUCHES STERICLIN FLAT, 42CM/200M Roll 4,768,821

58 POUCHES STERICLIN GUSSETTE, 7.5 x 2.5 CM (100 M) Roll 1,061,142

59 POUCHES STERICLIN GUSSETTE, 10 x 5 CM (100 M) Roll 1,225,366

60 POUCHES STERICLIN GUSSETTE, 15 x 5 CM (100 M) Roll 1,427,488

61 POUCHES STERICLIN GUSSETTE, 20 x 5 CM (100 M) Roll 1,718,039

62 POUCHES STERICLIN GUSSETTE, 25 x 6.5 CM (100 M) Roll 2,084,385

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 238

Page 266: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

63 POUCHES STERICLIN GUSSETTE, 30 x 6.5 CM (100 M) Roll 2,450,732

64 POUCHES STERICLIN GUSSETTE, 38 x 8 CM (100 M) Roll 3,019,200

65 ADHESSIVE TAPES (STEAM), 1.9X50 CM Roll 151,592

66 BOWIE & DICK INDICATORTESTSHEET Box 3,436,077

67 BOWIE & DICK TEST-PACK Pack 189,490

68 INDICATOR STRIPS (STEAM), 169X20 MM Box 821,121

69 WRAP PPR SMS 100X100CM-2ASTWPS10 Box 2,431,783

70 WRAP PPR SMS 120X120CM-2ASTWPS12 Box 2,077,437

71 WRAP PPR SMS 50X50CM -2ASTWPS50 Box 1,598,029

72 WRAP PPR SMS 75X75CM -2ASTWPS75 Box 1,778,675

73 WRAPING P. AST 75X75CM-2ASTWP075 Box 1,623,294

74 WRAPING P.AST 50X50CM-2ASTWP050 Box 1,459,070

75 WRAPING P.AST100X100CM-2ASTWP010 Box 2,675,593

76 WRAPING P.AST120X120CM-2ASTWP012 Box 2,007,958

77 ALKAZYME SACHET 25 MG 2ALKZYM25 Pouche 1,086,407

78 ALKACIDE 1 L 2ALKCID10 Botol 3,695,046

79 Affinity Trillium Oxygenator Complete Set 10,737,742

80 Affinity Fusion Oxygenator Complete Set 11,369,374

81 Medtronic Minimax Oxygenator Complete Set 10,737,742

82DLP SINGLE STAGE VENOUS CANNULA WITH RIGHT

ANGLE METAL TIPBuah 1,515,916

83 DLP SINGLE STAGE VENOUS CANNULA Buah 1,894,896

84 DLP RIGHT ANGLE SINGLE STAGE VENOUS CANNULA Buah 1,515,916

85 DLP MALLEABLE SINGLE STAGE VENOUS CANNULAE Buah 1,894,896

86 LEFT HEAR VENT CATHETER ADULT Buah 1,642,243

87DLP HIGH FLOW CORONARY ARTERY OSTIAL

CANNULAEBuah 1,894,896

88 DLP PVC RCSP Cannulae With Auto-Inflate Cuff Buah 1,894,896

89 Gundry Silicone RCSP Cannulae With Manual-Inflate Cuff Buah 7,579,582

90Pericardial Sumps 15in (38.1cm), 20 Fr.1/4" (0.64mm)

ConnectorBuah 1,894,896

91 Ariss Perfusion Switches 13 in (33.0cm) Buah 2,147,548

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 239

Page 267: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

92 DLP High Flow Coronary Arterry ostial Cannula Buah 2,147,548

93 DLP ARTERIOTOMY CANNULA Buah 1,389,590

94 ARTERIAL CANNULA Buah 1,200,101

95 AORTIC PUNCH Buah 1,515,916

96 HEMOCONCENTRATOR Set 3,473,975

97 Cardioplegia Set Adult Set 2,526,527

98 Cardioplegia Set Pediatric Set 3,158,159

99 DLP EOPA ARTERIAL CANNULA Buah 6,316,319

100 Aquacel Ag 10 x 10 Pcs 257,895

101 DuoDerm Gel 30 gr Tube 132,643

102 DuoDerm Extra Thin 5 x 20 cm Pcs 86,748

103 Kaltostat 7.5 x `12 cm Pcs 133,969

104 Aquacel Dressing 10 x 10 Pcs 171,905

105 Bibag Sodium Bicarbonate 650g BAG 92,850

106 Bloodline Tubing System SET 112,178

107 HD SOLUTION PART A GALLON 106,114

108 HEMODIALYSIS PACK - F1 HDP PAK 49,330

109 Dialyser - Low Flux H F5 HPS PCS 224,229

110 Dialyser - Low Flux H F6 HPS PCS 224,229

111 Dialyser - Low Flux H F7 HPS PCS 224,229

112 Dialyser - Low Flux H F8 HPS PCS 224,229

113 Fistula Needle - 16 GA F25 SET 13,012

114 Fistula Needle - 16 GV F25 SET 13,012

115 Gutta percha point iso 25 , 30 , 35 Box 131,379

116 Gutta percha point iso 40 , 45 , 50 Box 131,379

117 Gutta percha point iso 45 , 50 , 40 Box 131,379

118 K-File 15 - 40 Box 314,553

119 K-File 45 - 80 Box 373,926

120 K-File 15 - 40 25mm Box 314,553

121 K-File 45 - 80 25mm Box 373,926

122 Gutta percha point 15 - 40 Box 131,379

123 Gutta percha point 45 - 80 Box 131,379

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 240

Page 268: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

124 Jarum eksterpasi barbed broaches Box 232,441

125 K-File 15 - 40 25mm , 45 - 80 25mm Box 688,479

126 Reamer 15 - 40 25mm , 45 - 80 25mm Box 688,479

127 Paper point 15 - 40 Box 101,061

128 Paper point 45 - 80 Box 101,061

129 Paste filler (jarum lentulo) Box 314,553

130 Medifil Box 1,283,476

131 Sempercare Edition L Box 136,432

132 Sempercare Edition M Box 136,432

133 Sempercare Edition S Box 136,432

134 Files 15-40 Box 346,008

135 Files 45-80 Box 411,319

136 K-Reamer 15-40 Box 346,008

137 K-Reamer 45-80 Box 411,319

138 Triple spray turbine with standard head Pcs 6,432,539

139 Endomethasone P/L Set 1,659,929

140 Caviton = Cimpat Buah 305,710

141 Alveogyl Buah 670,793

142 Medibond Box 1,211,470

143 Devitec free arsen Botol 870,389

144 Tempotec Botol 463,618

145 Rockles Botol 1,049,772

146 Hanshin Film Box 258,969

147 Enrich arch bar frakture banding splint Pcs 1,037,140

148 Kawat fixasi 0.03 mm Gulung 210,965

149 Kawat fixasi 0.04 mm Gulung 228,651

150 Kawat fixasi 0.05 mm Gulung 280,445

151 Bur tulang fissure / round straight HP Pcs 42,951

152 Mata bur cutter bone high speed Pcs 483,830

153 Mata bur gigi extra long Pcs 79,586

154 Mata bur high speed (round bur) Pcs 64,426

155 Mata bur high speed (fissure) Pcs 79,586

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 241

Page 269: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

156 Medifil Box 1,283,476

157 Needle 0,3 x 12 mm Box 233,704

158 Needle 0,3 x 16 mm Box 233,704

159 Polikasa 64, 42 Yard x 110 cm Roll 502,779

160 AGP 40 cm x 30 cm x 18 Ply 1's X/Ray MKG Pcs 42,698

161 Bantalan Mata Non Steril Pack 36 's 82,112

162 Benang Pengikat Kg 157,908

163 Cerry Sponges 3 cm Pack 10's 30,066

164 Combine Dressing Pad 10 cm x 10 cm 5's Pack 21,475

165 Combine Dressing Pad 10 cm x 20 cm Pack 5's 36,382

166 Hos-Pak AGP 34 cm x 15 cm x 12 Ply X/R 20's Pack 512,380

167 Hos-Pak AGP 40 cm x 35 cm x 8 ply, 10's, X-Ray Pack 326,680

168 Hos-Pak AGP 70 cm x 36 cm x 4 Ply 10's Plain Pack 141,738

169 Hos-Pak AGP 70 cm x 36 cm x 4 Ply 10's X/Ray Pack 146,791

170 Hos-Pak Darmkast 20 cm x 50 cm x 4 Ply Plain Pack 23,244

171 Hos-Pak Darmkast 35 cm x 50 cm, 6 Ply T Pcs 27,034

172 Hos-Pak Darmkast T 30 cm x 30 cm x 6 Ply Plain Pcs 15,917

173 Hos-Pak Kapas Pembalut Roll 1000gr Roll 154,118

174 Hos-Pak Kapas Pembalut Roll 100gr Roll 17,054

175 Hos-Pak Kapas Pembalut Roll 250gr Roll 41,056

176 Hos-Pak Kapas Pembalut Roll 25gr Roll 5,685

177 Hos-Pak Kapas Pembalut Roll 500gr Roll 78,954

178 Hos-Pak Kapas Pembalut Roll 50gr Roll 9,474

179 Hos-Pak Kapas Suntik 100's Pack 7,580

180 Hos-Pak Kasa SNA 16 cm x 16 cm, 16's ECO Steril Box 16,928

181 Hos-Pak Kasa SNA 4.5 cm x 3 cm x 10 Ply 100's Sterile Pack 68,974

182 Hos-Pak Kasa SNA Sterile 16 x 16 cm Pack 16's 19,707

183 Hos-Pak Laparascopy 2 cm x 20 cm x 10 Ply 100's X/Ray Pack 276,402

184 Hos-Pak Laparascopy 2 cm x 20 cm x 8 Ply 100's X/Ray Pack 267,812

185Hos-Pak Laparatomy Sponges 100 cm x 8 cm x 8 Ply 10's

PlainPack 176,352

186Hos-Pak Laparatomy Sponges 30 cm x 30 cm x 6 Ply 10's

PlainPack 115,715

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 242

Page 270: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

187 Hos-Pak Roll Tampon 1,5 m x 10 cm T Roll 4,358

188 Hos-Pak Roll Tampon 1,5 m x 20 cm T Roll 8,717

189 Hos-Pak Roll Tampon 3 m x 1,5 cm T Roll 7,959

190 Hos-Pak Roll Tampon 3 m x 4 cm T Roll 16,675

191 Hos-Pak Tampon Bedah Mulut T 10 cm x 8 cm (Gigi) 100's Pack 15,159

192 Hos-Pak Tampon Gigi T (10 x 8 cm) 100's Pack 18,949

193 Hos-Pak Tampon Hidung 1 cm x 210 cm (THT) 50's Pack 113,188

194 Hos-Pak Tampon Roll 1 cm x 100 cm (THT) 50's Pack 58,110

195 HP Vaginal Tampon PSt 5cm Pouch 6,569

196 Kasa 55 , 10 cm x 3.6 m Roll 1's 7,074

197 Kasa 55 , 6 cm x 3.6 m Roll 1's 6,064

198 Kasa 55 , 8 cm x 3.6 m Roll 1's 6,316

199 Kasa 64 , 10 cm x 3.6 m Roll 1's 9,853

200 Kasa 64 , 6 cm x 3.6 m Roll 1's 6,822

201 Kasa 64 , 8 cm x 3.6 m Roll 1's 7,832

202 Kasa Lipat 30 cm x 30 cm x 4 lipat Pack 10's 77,817

203 Kasa Lipat 360 cm x 1 cm x 4 lipat Pack 10's 59,626

204 Kasa Lipat 5 cm x 5 cm x 16 lipat Pack 100's 129,611

205 Kasa Lipat 5 cm x 5 cm x 16 lipat , X Ray Pack 100's 136,685

206 Kasa Lipat 5 cm x 5 cm x 32 lipat Pack 50's 94,997

207 Kasa Lipat 5 cm x 5 cm x 32 lipat , X Ray Pack 50's 112,430

208 Kasa Lipat 6.5 cm x 5 cm x 9 lipat, 100's, Plain Pack 199,848

209 Kasa Lipat 7 cm x 7 cm x 16 lipat Pack 100's 147,044

210 Kasa Lipat 7 cm x 7 cm x 16 lipat , X Ray Pack 100's 164,224

211 Kasa Lipat 7 cm x 7 cm x 32 lipat Pack 50's 107,125

212 Kasa Lipat 7 cm x 7 cm x 32 lipat , X Ray Pack 50's 138,201

213 Kasa Lipat 7.5 cm x 7.5 cm x 16 lipat Pack 100's 155,634

214 Kasa Lipat 7.5 cm x 7.5 cm x 16 lipat , X Ray Pack 100's 171,046

215 Kasa Lipat 7.5 cm x 7.5 cm x 32 lipat Pack 50's 115,715

216 Kasa Lipat 7.5 cm x 7.5 cm x 32 lipat , X Ray Pack 50's 145,023

217 Kasa Lipat 7.8 m x 2.5 cm x 4 lipat Pack 10's 112,430

218 Kasa New DRC 100 y x 80 cm Plain Roll 757,958

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 243

Page 271: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

219 Roll Tampon 7 m x 1.25 cm x 4 Ply 1's Plain MKG Pcs 13,643

220 Roll Tampon 7 m x 2.5 cm x 4 Ply 1's Plain MKG Pcs 15,664

221 Roll Tampon 7 m x 5 cm x 4 Ply 1's Plain MKG Pcs 24,507

222 TamponTHT 3mx3cmx1ply,10's Pack 232,441

223 TamponTHT3mx1cmx4ply,LT10's Pack 44,972

224 Tuppers 100's Pack 7,074

225 Vaginal Tampon Pack 10's 67,458

226 Vaginal Tampon, 5 cm x 3 cm, 10's Pack 115,968

227 New DRC 40 y x 20 cm Plain Roll 73,269

228 New DRC 40 y x 80 cm Dengan X/R Roll 376,453

229 New DRC 40 y x 80 cm Tanpa X/R Roll 250,126

230 New DRC 40 Yard x 40 cm Plain Roll 125,063

231 New DRC 80 y x 80 cm Plain Roll 502,779

232 New DRC 80 y x 80 cm X/Ray Roll 755,432

233 New DRC T 100 y x 80 cm Plain Roll 644,264

234 New DRC T 20 y x 80 cm Plain Roll 138,959

235 New DRC T 20 y x 80 cm X/Ray Roll 214,755

236 New DRC T 40 y x 80 cm Plain Roll 250,126

237 New DRC T 40 y x 80 cm X/Ray Roll 376,453

238 CV-402-10 Pcs 1,326,427

239 CVN-702-20Y (W/ STOPCOCK) Pcs 795,856

240 CVN-703-16 (W/ STOPCOCK) Pcs 1,061,142

241 EL3380 Pcs 1,579,080

242 PT24 Pcs 69,480

243 LMA ProSeal™ Size 1½ Pcs 6,316,319

244 LMA ProSeal™ Size 3 Pcs 6,316,319

245 LMA ProSeal™ Size 4 Pcs 6,316,319

246 LMA Unique™ Size 1 Pcs 391,612

247 LMA Unique™ Size 1½ Pcs 391,612

248 LMA Unique™ Size 2 Pcs 391,612

249 LMA Unique™ Size 2½ Pcs 391,612

250 LMA Unique™ Size 3 Pcs 391,612

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 244

Page 272: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

251 LMA Unique™ Size 4 Pcs 391,612

252 LMA Unique™ Size 5 Pcs 391,612

253 LMA Supreme™ SU Size 1 Pcs 663,213

254 LMA Supreme™ SU Size 1½ Pcs 663,213

255 LMA Supreme™ SU Size 2 Pcs 663,213

256 LMA Supreme™ SU Size 2½ Pcs 663,213

257 LMA Supreme™ SU Size 3 Pcs 663,213

258 LMA Supreme™ SU Size 4 Pcs 663,213

259 LMA Supreme™ SU Size 5 Pcs 663,213

260 CV-401-16 Pcs 631,632

261 CV-401-20 Pcs 587,418

262 CV-402-16 Pcs 1,326,427

263 CV-501-20 Pcs 568,469

264 CV-502-10 Pcs 1,326,427

265 CV-502-16 Pcs 1,326,427

266 CVN-702-16Y (W/ STOPCOCK) Pcs 1,061,142

267 CVN-703-20Y (W/ STOPCOCK) Pcs 852,703

268 CVN-804-20Y (W/ STOPCOCK-CAP) Pcs 1,307,478

269 EL1480 Pcs 1,579,080

270 EL1580 Pcs 1,579,080

271 EL1680 Pcs 1,579,080

272 PT84 (BULK PACK WITH BOX & LABEL) Pcs 69,480

273 BTR4812-3 (BULK PACK WITH BOX & LABEL) Pcs 505,305

274 BTR2-4812 (BULK PACK WITH BOX & LABEL) Pcs 1,010,611

275 BTR3-4812 (BULK PACK WITH BOX & LABEL) Pcs 1,263,264

276 BT-201 BIOTRANS II BASEPLATES Pcs 1,642,243

277 DPT-POLE MOUNT Pcs 1,642,243

278 MAC-09 (DATEX) Pcs 2,798,129

279 MAC-16 (TIC DT) Pcs 1,894,896

280 MAC-41 (VTK) Pcs 2,147,548

281 MAC-29 (TIC HP12) Pcs 1,894,896

282 MAC-51 (TIC-GE MARQUETTE TRAM) Pcs 1,894,896

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 245

Page 273: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

283 MAC-55 (NIHON KOHDEN) Pcs 2,716,017

284 MAC-66 (SIEMEN 10 PIN) Pcs 3,852,954

285 MAC-67 (SIEMEN 15 PIN) Pcs 19,833,240

286 LMA Classic Pcs 6,316,319

287 LMA ProSeal Pcs 6,316,319

288 LMA Flexible Pcs 12,948,453

289 LMA Fastrach Pcs 17,812,019

290 LMA Fastrach™ ETT (Reusable) Pcs 2,589,691

291 LMA™ Cuff Deflator Pcs 1,389,590

292 LMA Fastrach ETT (SU) Pcs 612,683

293 LMA Flexible SU Pcs 1,149,570

294 LMA Fastrach SU Pcs 1,452,753

295 Pediatric Arterial Filter (AF-02) Pcs 1,728,650

296 Neonate Oxygenator ( RX05RW) Unit 17,742,286

297 Neonate Oxygenator (RX05RE) Unit 17,742,286

298 Infant Oxygenator (RX15RE30) Unit 10,421,926

299 Infant Oxygenator (RX15RW30) Unit 10,421,926

300 Arterial Filter (AF-125X) Pcs 1,789,792

301 Adult Oxygenator (SX 18R) Unit 14,045,977

302 Pediatric Oxygenator (SX10R) Unit 14,045,977

303 Pediatric Oxygenator (RX15RE40) Unit 10,421,926

304 Pediatric Oxygenator (RX15RW40) Unit 10,421,926

305 Adult Oxygenator (RX25RE) Unit 12,464,623

306 Adult Oxygenator (RX25RW) Unit 12,464,623

307 Cuvette 1/2" X 1/2" Pcs 583,628

308 Cuvette 3/8" X 3/8" Pcs 592,092

309 Cuvette 1/4" X 1/4" Pcs 592,092

310 PTCA - BALLOON CATHETER Pcs 7,656,641

311 PCI GUIDE WIRE Pcs 2,945,931

312 GUIDING CATHETER Pcs 2,584,638

313 BARE METAL STENT (BMS) - Cobalt Chromium Pcs 10,213,487

314 DRUG ELUTING STENT Pcs 25,146,022

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 246

Page 274: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

315 Starter Pack TRI KIT Pcs 1,894,896

316 Radiofocus Introducer II M Coat for radial use A Kit Pcs 1,067,458

317 Radiofocus Optitorque Pcs 644,264

318 Radiofocus Introducer II M with Metal Needle Pcs 505,305

319 Film Ukuran 18x24cm type CP-GU 100 lbr/Box 1,692,521

320 Film Ukuran 24x30cm type CP-GU 100 lbr/Box 2,448,837

321 Film Ukuran 30x40cm type CP-GU 100 lbr/Box 4,029,432

322 Film Ukuran 35x35cm type CP-GU 100 lbr/Box 4,428,245

323 Film Ukuran 35x43cm type CP-GU 100 lbr/Box 5,036,253

324 Film Ukuran 15x30cm type CP-GU (Panoramic) 100 lbr/Box 1,996,588

325 Developer Automatic type E.O.S Dev 2x20 ltr/Box 2,223,344

326 Fixer Automatic type E.O.S Fix 2x25 ltr/Box 2,206,669

327 Film Mamoray Type HDR-C Ukuran 18x24cm 100 lbr/Box 4,828,320

328 Film Dental Dentus Type M2 Ukuran 3x4cm 150 lbr/Box 3,560,130

329 Kertas Printer Endoscopy type UPC-21L Box 3,335,016

330 Kertas Printer USG Type UPP-110 HG Roll 375,189

331 Delivery System Circuit Buah 2,202,816

332 Nasal Prong Buah 237,494

333 Nasal Tubing Buah 686,900

334 Head Gear Buah 893,759

335 Infant Bonnet 17-22 cm Buah 797,435

336 Infant Bonnet 22-25 cm Buah 797,435

337 Infant Bonnet 25-29 cm Buah 824,280

338 Infant Bonnet 29-36 cm Buah 859,019

339 Bubble CPAP Mask Size S Buah 446,880

340 Bubble CPAP Mask Size M Buah 446,880

341 Bubble CPAP Mask Size L Buah 446,880

342 Optiflow Tubing Kit Buah 3,481,871

343 Nasal cannula Optiflow Premature Buah 1,721,197

344 Nasal cannula Optiflow Neonatal Buah 1,721,197

345 Nasal cannula Optiflow Infant Buah 1,721,197

346 Nasal cannula Optiflow Pediatric Buah 1,721,197

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 247

Page 275: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGASATUANNAMA BARANGNO

347 Wigglepad Optiflow for Premature Buah 3,126,578

348 Wigglepad Optiflow for Neonatal, Infant, Pediatric Buah 2,684,435

STANDAR SATUAN HARGA BARANG ALAT KESEHATAN 248

Page 276: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

LAMPIRAN KEPUTUSAN

GUBERNUR ACEH

N O M O R : 028 / 781 / 2016

TANGGAL : 1 NOVEMBER 2016 M

1 SAFAR 1438 H

KELOMPOK BARANG

OBAT - OBATAN

Page 277: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

1 ALERFED SYRUP 60 ML BTL 59,832

2 ALERFED TABLET 5X10'S BOX 174,509

3 ALGANAX 0.25 MG TABLET 2X20'S BOX 159,551

4 ALGANAX 0.5 MG TABLET 2X20'S BOX 259,271

5 ALGANAX 1 MG TABLET 2X20'S BOX 398,878

6 ALMEN TABLET SALUT SELAPUT 3X10'S BOX 1,234,030

7 ANADIUM KAPLET SALUT SELAPUT 3X10'S BOX 538,486

8 CEPHAFLOX 1 GRAM INJEKSI BOX @ 1 VIAL BOX 463,696

9 CIFLOS 500 MG TABLET 2X10'S BOX 598,317

10 COPAL CHEST RUB 25 GR TUB 29,916

11 COPAL CHEST RUB 36 GR BTL 42,381

12 CUPANOL SYRUP 60 ML BTL 44,874

13 DHAVIT SYRUP 60 ML BTL 62,325

14 ELGRAN 1 MG TABLET 5X10'S BOX 274,229

15 ELGRAN 2 MG TABLET 5X10'S BOX 436,273

16 ELOX CREAM 10 GR TUB 162,044

17 ELOX CREAM 5 GRAM TUB 99,720

18 EMIBION KAPSUL 10X10'S BOX 299,159

19 ERAPHAGE 500 MG KAPLET 10X10'S BOX 299,159

20 ETHIGOBAL INJEKSI 6 AMP @ 1 ML BOX 290,184

21 ETHIGOBAL KAPSUL 50'S BOX 243,066

22 EVOTHYL 100 MG KAPSUL 5X6'S BOX 291,680

23 EVOTHYL 300 MG KAPSUL 5X6'S BOX 740,418

24 EXAFLAM 25 MG TABLET 5X10'S BOX 186,974

25 EXAFLAM 50 MG TABLET 5X10'S BOX 299,159

26 EXERGIN 4.5 MG TABLET 2X20'S BOX 578,374

27 EXTROPECT 30 MG TABLET 5X10'S BOX 118,417

28 EXTROPECT SYRUP 60 ML BTL 59,832

29 FLU-TAB TABLET 15X8'S BOX 194,453

30 FORASMA SYRUP 60 ML BTL 59,832

31 FORASMA TABLET 5X10'S BOX 137,114

32 FORCANOX 100 MG KAPSUL 3X6'S BOX 875,039

33 FORELAX TAB SALUT SELAPUT 5X10'S BOX 498,598

HARGA OBAT( NON E-CATALOG )

HARGAKEMASANNAMA OBATNO

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 249

Page 278: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

34 FULADIC 2 % SALEP 5 GRAM TUB 112,185

35 FULADIC CREAM 5 GRAM TUB 112,185

36 FUNGARES CREAM 10 GRAM TUB 69,804

37 FUNGARES CREAM 5 GRAM TUB 39,888

38 FUNGASOL 200 MG TABLET 5X10'S BOX 573,388

39 FUNGASOL CREAM 10 GRAM TUB 57,339

40 FUNGASOL SS 1 % 80 ML BTL 114,678

41 FUNGASOL SS 2 % 80 ML BTL 162,044

42 GALEPSI 300 MG KAPSUL 3X10'S BOX 695,544

43 GALFLUX 10 MG TABLET 2X20'S BOX 358,990

44 GENICOL 250 MG KAPSUL 100'S BOX 249,299

45 GENICOL 500 MG KAPSUL 10X10'S BOX 822,687

46 GENOLON KRIM 10 GRAM TUB 82,269

47 GETIDIN INJEKSI 5 AMP @ 2 ML BOX 236,834

48 GLAMAROL 1 MG TABLET 5X10'S BOX 261,764

49 GLAMAROL 2 MG TABLET 5X10'S BOX 498,598

50 GLAMAROL 3 MG TABLET 3X10'S BOX 396,385

51 GLAMAROL 4 MG TABLET 3X10'S BOX 448,738

52 GOCLID 250 MG TABLET 2X10'S BOX 349,019

53 GOFLEX TABLET 5X6'S BOX 635,712

54 GOFORAN INJEKSI 1 GRAM @ VIAL VIA 356,497

55 GORALGIN KAPLET 10X10'S BOX 299,159

56 GOTROPIL 1 GR INJEKSI 10 AMPUL @ 5 ML BOX 398,878

57 GOTROPIL 12 G INFUS 1 VIAL @ 60 ML BOX 473,668

58 GOTROPIL 1200 MG KAPLET 5X10'S BOX 560,923

59 GOTROPIL 3 GR INJ. @ 5 AMP (RONDO) BOX 585,853

60 GOTROPIL 800 MG KAPLET 5X10'S BOX 411,343

61 GOVAZOL 150 MG KAPSUL 3'S BOX 508,570

62 GOVAZOL INFUS 1 VIAL 2 MG/ML BOX 448,738

63 GOVOTIL 2 TABLET 2X20'S BOX 129,635

64 GOVOTIL 5 TABLET 2X20'S BOX 259,271

65 GOVOTIL INJEKSI 1 ML 6 AMPUL BOX 299,159

66 GUARPOSID 5 TABLET 5X10'S BOX 436,273

67 HUSTADIN SYRUP 60 ML BTL 41,134

68 INDANOX 150 MG KAPSUL 10X6'S BOX 553,444

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 250

Page 279: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

69 INDANOX 300 MG KAPSUL 10X6'S BOX 942,350

70 IREMAX TABLET 10X10'S BOX 224,369

71 IRONYL KAPLET SALUT SELAPUT 10X10'S BOX 523,528

72 KETO-G KAPLET 5X10'S BOX 810,222

73 KTM 100 INJEKSI 1 VIAL 10 ML BOX 453,724

74 LAMODEX CREAM 10 GRAM TUB 86,756

75 LEFOS 500 MG TABLET 10'S BOX 822,687

76 LEFOS 750MG/150 ML INFUS BTL 722,967

77 LEFOS INFUS 100 ML BOX 635,712

78 LEOMOXYL 500 MG KAPSUL 10X10'S BOX 710,502

79 LEOMOXYL DRY SYRUP 60 ML BTL 48,613

80 LEOMOXYL FORTE DRY SYRUP 60 ML BTL 69,804

81 LIPARIN LICAPS 5X12'S BOX 822,687

82 LOPITEN 10 MG TABLET 3X10'S BOX 710,502

83 LOPITEN 5 MG TABLET 3X10'S BOX 411,343

84 LORAN 10 MG KAPLET 3X10'S BOX 329,075

85 MAGANOL TABLET 10X12'S BOX 122,655

86 MEREM INJEKSI 1 GRAM 1 VIAL BOX 1,071,985

87 NALETAL 100 MG TABLET 3X10'S BOX 673,107

88 NALETAL 50 MG TABLET 3X10'S BOX 523,528

89 NEUROHAX 5000 TAB.SALUT SELAPUT 5X10'S BOX 249,299

90 NEUROHAX TABLET 10X10'S BOX 274,229

91 NEVIRZ 400 MG TABLET 3X10'S BOX 262,512

92 NOBOR TABLET 3X10'S BOX 261,764

93 NORESTIL TABLET 3X10'S BOX 299,159

94 NORSEC 20 MG KAPSUL 14'S BTL 415,332

95 NORSEC INJEKSI 1 VIAL+1 AMP PELARUT BOX 326,582

96 NUCEF KAPSUL 3X10'S BOX 1,383,609

97 NUCEF SIRUP KERING 30 ML BTL 183,235

98 NUCOLINE 1000 MG 2 AMP @ 8 ML BOX 448,738

99 NUCOLINE 250 MG INJEKSI 5 AMP @ 2 ML BOX 423,808

100 NUCOLINE 500 MG INJEKSI 5 AMP @ 4 ML BOX 747,897

101 NUCRAL 10 ML 15 SACHET BOX 205,672

102 NUCRAL SUSPENSI 100 ML BTL 118,417

103 NUCRAL SUSPENSI 200 ML BTL 180,742

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 251

Page 280: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

104 NUCRAL TABLET 6 X 10'S BOX 269,243

105 NUDEP 50 MG CAPTAB 3X10'S BOX 972,266

106 NUFACE 0.025% CREAM 10 GR TUB 64,818

107 NUFACE 0.05% CREAM 10 GRAM TUB 89,748

108 NUFIROM INJEKSI 1 VIAL @ 1 GR BOX 660,642

109 NUFIT KAPLET SALUT SELAPUT 5X4'S BOX 329,075

110 NUFIT SIRUP 60 ML BTL 139,607

111 NULACTA (UNTUK IBU) 5X12'S BOX 568,402

112 NULACTA PLUS LICAPS 5X12'S BOX 747,897

113 NULAGYL INFUS 100 ML BOX 173,263

114 NUVISION TABLET SALUT SELAPUT 3X10'S BOX 366,469

115 NUZIP 100 MG TABLET 3X10'S BOX 1,308,819

116 NUZIP 25 MG TABLET 5X10'S BOX 560,923

117 NUZYM KAPSUL 6X10'S BOX 897,476

118 NYNDIA DROPS 12 ML BTL 87,255

119 ONDANE 4 5 AMPUL @ 2 ML BOX 346,526

120 ONDANE 8 5 AMPUL @ 4 ML BOX 560,923

121 ONDANE SIRUP 60 ML BTL 199,439

122 OPOX TABLET 6X10'S BOX 179,495

123 OPUS KAPLET SALUT SELAPUT 5X10'S BOX 598,317

124 OXTIN 30 MG TABLET 5X10'S BOX 436,273

125 PILOPIL 20 MG TABLET 5X6'S BOX 246,806

126 PONSAMIC 500 MG TABLET 10X10'S BOX 311,624

127 PROCUR PLUS KAPSUL 5X10'S BOX 722,967

128 PROFEN SUSPENSI 60 ML BTL 48,613

129 PROSTER TABLET 3X10'S BOX 747,897

130 Q CEF 500 MG KAPLET 5X6'S BOX 703,023

131 Q CEF DRY SYRUP 60 ML BTL 104,706

132 REFER STRETCHMARK CARE CREAM 50 GR TUB 236,834

133 RIZODAL - 1 TABLET 1X20'S BOX 244,313

134 RIZODAL - 2 TABLET 1X20'S BOX 358,990

135 RIZODAL - 3 TABLET 1X20'S BOX 648,177

136 RYDIAN 10 MG TABLET 3 X 10'S BOX 284,201

137 SINES 10 MG TABLET 100'S BOX 249,299

138 STENIROL 16 MG TABLET 50'S BOX 797,757

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 252

Page 281: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

139 STENIROL 4 MG KAPLET 50'S BOX 349,019

140 STENIROL 8 MG TABLET 50'S BOX 523,528

141 STENIROL INJ.1 VIAL+1 AMP PELARUT 125 ML BOX 199,439

142 STROMAG TABLET 10X10'S BOX 172,016

143 TERANOL 10 MG TABLET 3X10'S BOX 373,948

144 TERANOL INJEKSI 30 MG/ML 6 AMPUL BOX 486,133

145 THECORT CREAM 5 GRAM TUB 130,882

146 TRIOCOL 0.25 SOFT CAPSULE 30'S BTL 463,696

147 TRIOCOL 0.50 SOFT CAPSULE 30'S BTL 747,897

148 UNALIUM 10 MG TABLET 40'S BOX 658,149

149 UNALIUM 5 MG TABLET 40'S BOX 488,626

150 URSOLIC 250 MG KAPSUL 3X10'S BOX 650,670

151 VOMIL B6 TABLET SALUT GULA 10X10'S BOX 548,458

152 XIDANE GEL @ 30 GRAM BOX 162,044

153 XIDANE LICAPS 3X10'S BOX 493,612

154 ZIBRAMAX 500 MG CAPTAB 6'S BOX 493,612

155 ZIBRAMAX SIRUP KERING 15 ML BTL 224,369

156 ZUDEM 10 MG TABLET 3X10'S BOX 329,075

157 ANALSPEC 250 MG KAPSUL 10X10'S BOX 130,882

158 ANALSPEC 500 MG KAPLET 10X10'S BOX 299,159

159 ASAMNEX 500 MG TABLET 3X10'S BOX 173,886

160 BALTICIN 5 GRAM TUB 22,437

161 BRENARIS 400 MG KAPSUL 10X10'S BOX 396,635

162 BRENARIS 500 MG SYRUP 100 ML BTL 96,479

163 CLOPES 200 MG TABLET 5X6'S BOX 421,565

164 CLOPES 400 MG KAPLET 5X6'S BOX 713,992

165 COUGH EN PLUS SYRUP 60 ML BTL 34,902

166 COUGH EN PLUS SYRUP 120 ML BTL 44,874

167 COUGH EN SYRUP 60 ML BTL 29,916

168 DIABION CAPSUL 10X10'S BOX 274,229

169 GESTAMAG SUSPENSI SYRUP 100 ML BTL 49,860

170 GESTAMAG SUSPENSI SYRUP 170 ML BTL 58,336

171 GESTAMAG TABLET 100'S ( TO ) BOX 52,126

172 GESTAMAG TABLET 10X10'S BOX 149,579

173 GLOMASIN 150 MG KAPSUL 30'S BOX 244,766

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 253

Page 282: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

174 GLOMASIN 300 MG KAPSUL 30'S BOX 407,944

175 GLOMESON TABLET 50'S BOX 271,985

176 GRAFOLA KAPLET 30'S BOX 299,159

177 IGLODEP 30'S BOX 642,511

178 KADIFLAM 25 MG TABLET 5X10'S BOX 136,865

179 KADIFLAM 50 MG TABLET 5X10'S BOX 373,948

180 KANDISTATIN DROP SUSPENSI 12 ML BTL 87,255

181 KOLESKOL 10 MG TABLET 3X10'S BOX 785,292

182 LENTRIN 400 MG KAPLET 10X10'S BOX 1,074,478

183 LEPSITOL 200 MG TABLET 10X10'S DUS 499,844

184 LIFIBRON 300 MG KAPSUL 10X10'S BOX 498,598

185 LIFIBRON 600 MG KAPSUL 10X10'S BOX 952,073

186 MEFLOSIN 250 MG TABLET 10X10'S BOX 1,308,819

187 MEFLOSIN 500 MG KAPLET 10X10'S STP 260,631

188 MEFLOSIN 500 MG KAPLET 5X6'S BOX 897,476

189 MEFOXA 200 MG TABLET 5X6'S BOX 673,107

190 MESTAMOX 125 MG DRY SYRUP 60 ML BTL 44,874

191 MESTAMOX 250 MG KAPSUL 10X10'S BOX 316,610

192 MESTAMOX 500 MG KAPSUL 10X10'S BOX 673,107

193 METASKIN-N 10 GR KRIM TUB 52,353

194 METASKIN-N 10 GR KRIM (KHUSUS) TUB 14,958

195 METOPRIL 12,5 MG TABLET 10X10'S BOX 416,579

196 METOPRIL 25 MG TABLET 10X10'S BOX 872,546

197 METOPRIL 50 MG TABLET 10X10'S BOX 985,864

198 MURAZID CREAM 10 GRAM TUB 49,860

199 MYOMAN 30'S BOX 190,464

200 PEDILIS SYRUP 120 ML BTL 68,557

201 PEDILIS SYRUP 60 ML BTL 49,860

202 PEDIMIN DROP 15 ML BTL 62,325

203 PENAGON 500 MG KAPLET 10X10'S BOX 299,159

204 PROGESIC 500 MG TABLET 25X4'S BOX 105,952

205 PROGESIC SYRUP 60 ML BTL 49,860

206 REXIL 10 MG KAPSUL 100'S BOX 196,323

207 REXIL 20 MG KAPSUL 10X10'S BOX 356,996

208 RILEVO KAPLET SALUT SELAPUT 2X10'S BOX 1,371,144

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 254

Page 283: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

209 SUSU MAMAVITA 200 GR BOX 65,724

210 THISLACOL 250 MG KAPSUL 10X10'S BOX 404,612

211 THISLACOL 500 MG KAPSUL 10X10'S BOX 822,687

212 TISACEF 125 MG/5 ML DRY SYRUP 60 ML BTL 99,720

213 TISACEF 250 MG/5 ML DRY SYRUP 60 ML BTL 162,044

214 TISACEF 500 MG KAPSUL 5X6'S BOX 747,897

215 TISMAFAM 20 MG TABLET 10X10'S BOX 725,211

216 TISMAFAM 40 MG TABLET 10X10'S BOX 1,130,446

217 TISMALIN 2.5 MG TABLET 10X10'S BOX 199,439

218 TISMAMISIN 250 MG KAPSUL 10X10'S BOX 476,036

219 TISMAMISIN 500 MG KAPSUL 10X10'S BOX 1,047,056

220 TISMAZOL 250 MG TABLET 10X10'S BOX 226,114

221 TISMAZOL 500 MG KAPLET 10X10'S BOX 436,273

222 TYLONIC 100 MG TABLET 10X10'S BOX 349,019

223 TYLONIC 300 MG TABLET 10X10'S BOX 747,897

224 VASOTIN 25 MG TABLET 100'S BOX 113,431

225 VASOTIN 75 MG TABLET 10X10'S BOX 309,380

226 VILAPON 10 MG TABLET 10X10'S BOX 138,361

227 VILAPON 5 MG TABLET 10X10'S BOX 109,567

228 XEPABET TABLET 100'S BOX 461,203

229 XEPABION KAPLET 10X10'S BOX 373,948

230 XEPACILLIN 125 MG DRY SYRUP 60 ML BTL 22,437

231 XEPACILLIN 250 MG DRY SYRUP 60 ML BTL 36,262

232 XEPACILLIN 250 MG KAPLET 100'S BOX 190,714

233 XEPACILLIN 500 MG KAPLET 10X10'S BOX 317,358

234 XEPADERGIN 1 MG TABLET 10X10'S BOX 416,579

235 XEPADERGIN 4.5 MG TABLET 10X10'S BOX 1,401,060

236 XEPAFEN 400 MG TABLET 10X10'S BOX 107,697

237 XEPAFEN FORTE SUSPENSI 50 ML BTL 49,860

238 XEPALAT 10 MG TABLET 10X10'S BOX 194,453

239 XEPALAT 5 MG TABLET 10X10'S BOX 95,232

240 XEPALIUM 10 MG TABLET 5X10'S BOX 747,897

241 XEPALIUM 5 MG TABLET 5X10'S BOX 560,923

242 XEPALODIN 10 MG TABLET 5X10'S BOX 475,912

243 XEPAMET 200 MG KAPLET 10X1'S BOX 317,358

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 255

Page 284: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

244 XEPAMOL DROP 15 ML BTL 49,860

245 XEPANEURON KAPLET 10X10'S BOX 243,066

246 XEPANICOL 125 MG SYRUP 60 ML BTL 29,916

247 XEPANICOL 250 MG KAPSUL 10X10'S BOX 130,383

248 XEPAPRIM 480 MG TABLET 10X10'S BOX 170,022

249 XEPAPRIM FORTE KAPLET 10X10'S BOX 373,948

250 XEPAPRIM SYRUP 60 ML BTL 52,353

251 XEPARE 2 MG TABLET 10X10'S BOX 261,764

252 XEPATHRITIS 25 MG TABLET 10X10'S BOX 172,515

253 XEPATHRITIS 50 MG TABLET 10X10'S BOX 328,825

254 XEPAVIT KAPLET 10X10'S BOX 498,598

255 XEPAZYM 170 MG KAPLET 5X10'S BOX 311,624

256 XERADIN 150 MG TABLET 5X6'S BOX 285,697

257 CAMIDEXON INJEKSI 5 MG/ML AMPUL AMP 12,692

258 CAMIDRYL 10 VIAL/10 ML BOX 200,686

259 CAMIGESIC 100 MG/2 ML 10 AMP BOX 317,290

260 CEFEMET INJEKSI 1 G @ 1 VIAL BOX 560,923

261 CEFTRIMET INJEKSI 1 G @ 1 VIAL BOX 448,738

262 CHOLIMED 250 MG/2 ML 10 AMP BOX 680,088

263 CORTISON ACETAT 10 VIAL/10 ML BOX 628,233

264 DOBUTAMIN 250 MG/10 ML 1 VIAL BOX 182,362

265 GLOCEF INJEKSI 1 GR @ 1 VIAL BOX 286,694

266 GLOMETHYL 0.2 MG/ML 10 AMP BOX 170,147

267 LUNEX 250 MG/5 ML 10 AMP BOX 180,991

268 LUNEX 500 MG/5 ML 10 AMP BOX 245,310

269 METPENEM INJEKSI 1 G @ 1 VIAL BOX 922,406

270 METXIME INJEKSI 1 G @ 1 VIAL BOX 311,624

271 PIRACETAM 1.000 MG/5 ML 10 AMP BOX 142,100

272 PIRACETAM 3000 MG /15 ML @ 5 AMPUL BOX 224,369

273 RENXON INJEKSI 1 GR @ 1 VIAL BOX 411,343

274 METILAT 0.125 MG TABLET 10X10'S BOX 548,458

275 ASTAFIT CREAM 20 GR TUB 186,974

276 BLOOD STOP 5.1 CMX5.1 CM @20 STERILE PAC DUS 4,985,979

277 KANDISTATIN DROP SUSPENSI 12 ML BTL 56,092

278 PROGRESIC SYRUP 60 ML BTL 18,810

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 256

Page 285: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

279 PURASTAT 1 ML @ 1 SYRINGE BOX 3,739,484

280 TISMAMISIN 500 MG CAPSUL CAP 7,230

281 ARTRITIN TABLET 60'S BTL 336,554

282 BIO-E 200 SOFT KAPSUL 30'S BTL 175,756

283 BIO-E 200 SOFT KAPSUL 60'S BTL 349,019

284 BIOSAN TABLET 3X6'S BOX 560,923

285 CALOSBON TABLET 30'S BTL 209,411

286 CALSICAL TABLET 30'S BTL 224,369

287 GELANT SYRUP @ 120 ML BTL 68,557

288 GINKONA TABLET 5X6'S BOX 358,990

289 IMUMAX KAPLET 30'S BTL 317,856

290 MALTRON 30'S BOX 966,600

291 MAXIVIT KAPSUL 10X10'S BOX 661,889

292 NOSIRAX CAPSUL 100'S BOX 997,196

293 NUTRICASSOL KRIM 10 GRAM TUB 113,431

294 PROBIEN CAPSUL 100'S BOX 589,252

295 SUNRECOME 500 MG / 15 SCH BOX 4,306,141

296 THYMAX SYRUP @ 120 ML BTL 74,790

297 TRIBESTAN 250 MG TABLET 50'S (KH) BTL 1,087,850

298 TRIBESTAN TABLET 5X4'S BOX 623,247

299 TRIPID KAPSUL 10X10'S BOX 872,546

300 VENARON CAPSULE 100'S BOX 589,252

301 VITA-VISION KAPSUL 30'S BTL 222,499

302 WACOPA TABLET 2 X 6'S BOX 747,897

303 XANDA DS 120 ML BTL 149,579

304 XANDA SYRUP 120 ML BTL 124,649

305 XANDA SYRUP 60 ML BTL 74,790

306 XEPAGEL CREAM 75 GR TUB 311,624

307 BENZOLAC-CL GEL 10 GRAM TUB 65,815

308 CARMED 10 % CREAM 40 GRAM TUB 65,566

309 CARMED 20 % CREAM 40 GR TUB 84,388

310 DEPIGMEN 30 ML DUS 113,805

311 DESOLEX 0.05 % LOTION 10 ML BTL 58,087

312 DESOLEX 0.05 % LOTION 30 ML BTL 114,553

313 DESOLEX CREAM 10 GRAM TUB 51,480

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 257

Page 286: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

314 DESOLEX N CREAM 10 GRAM TUB 64,444

315 DESOLEX OINTMENT 10 GRAM TUB 51,480

316 ERYMED CREAM 20 GRAM TUB 64,942

317 ERYMED GEL 15 GRAM TUB 64,942

318 ERYMED PLUS 30 ML BTL 96,603

319 ERYMED SOLUTION 30 ML BTL 64,942

320 KETOMED CREAM 15 GRAM TUB 59,333

321 KETOMED GEL 15 GRAM TUB 59,333

322 KETOMED SCALP SOLUTION 60 ML BTL 90,745

323 KLODERMA 0.05 % GEL 5 GRAM TUB 46,120

324 KLODERMA CREAM 10 GRAM TUB 68,557

325 KLODERMA CREAM 5 GRAM TUB 46,120

326 KLODERMA OINTMENT 10 GRAM TUB 68,557

327 KLODERMA OINTMENT 5 GRAM TUB 46,120

328 MEDICORT CREAM 10 GRAM TUB 125,273

329 MEDICORT CREAM 5 GRAM TUB 72,546

330 MEDI-KLIN GEL 15 GRAM TUB 51,854

331 MEDI-KLIN SOLUTION 30 ML BTL 95,980

332 MEDI-KLIN TR GEL 15 GRAM TUB 91,243

333 MEDIQUIN CREAM 15 GRAM TUB 65,815

334 MELANOX ES CREAM 15 GR DUS 135,743

335 MELANOX FORTE 4% CREAM 15 GRAM TUB 70,302

336 MOFACORT CREAM 10 GRAM TUB 150,826

337 MOFACORT CREAM 5 GRAM TUB 78,903

338 MOFACORT OINTMENT 10 GR TUB 150,826

339 NIACEF GEL 15 GRAM TUB 64,942

340 PALENOX GEL 15 GRAM TUB 122,156

341 PARASOL LOTION SPF 45 30 ML TUB 164,163

342 PIROTOP 10 GR DUS 132,066

343 PIROTOP CREAM 5 GR DUS 83,640

344 PIROTOP OINTMENT 10 GR TUB 145,341

345 REFAQUIN 15 GRAM TUB 141,851

346 REGROU 30 ML BTL 124,774

347 REGROU FORTE 5 % SOLUTION 30 ML BTL 223,995

348 REVIDERM 0.01 % CREAM 15 GRAM TUB 59,707

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 258

Page 287: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

349 REVIDERM 0.02 % CREAM 15 GRAM TUB 63,447

350 SAGALON CREAM 10 GRAM TUB 83,017

351 TEKASOL OINTMENT 10 GRAM TUB 86,382

352 TOPICARE CLEANSER SOLUTION 90 ML BTL 137,114

353 TOPICARE SOOTHING CREAM 30 GR TUB 163,291

354 TOPICARE SOOTHING CREAM 50 GR TUB 236,834

355 TOPICARE+CERAMIDE SHOOTHING CREAM 100 GR TUB 311,624

356 VITACID 0,025% CREAM 15 GRAM TUB 52,103

357 VITACID 0,05% CREAM 20 GRAM TUB 76,410

358 VITACID 0,1% CREAM 20 GR TUB 98,099

359 VITACID 0.025 % GEL 20 GRAM TUB 52,103

360 VITACID 0.05 % LOTION 50 ML BTL 105,578

361 BENZOLAC 5 5 GRAM TUB 13,711

362 ACTINOL CREAM 15 GR TUB 211,904

363 ARBY CREAM 15 MG BTP 224,369

364 GLIKODERM 20 % SOLUTION 30 ML BTL 189,467

365 GLIKODERM 35 % SOLUTION 30 ML BTL 296,666

366 GLIKODERM PEEL NEUTRALIZER @200 ML BTL 186,974

367 GLYCODERM 10 % 500 GR POT 2,056,716

368 GLYCODERM 10 % CREAM 20 GR POT 83,017

369 GLYCODERM 4 % CREAM 20 GR TUB 49,860

370 GLYCODERM 4 % CREAM 500 GR POT 1,205,236

371 GLYCODERM 4 % CREAM MOISTURIZING 500 GR POT 529,760

372 GLYCODERM 4 % MOISTURIZING 20 GR POT 27,149

373 GLYCODERM 50 % SOLUTION 30 ML BTL 438,766

374 GLYCODERM 70 % SOLUTION 30 ML BTL 623,247

375 GLYCODERM 8 % 500 GR POT 1,782,487

376 GLYCODERM 8 % CREAM 20 GR POT 70,926

377 GLYCODERM 8 % CREAM MOISTURIZING 20 GR POT 34,777

378 GLYCODERM 8 % MOISTURIZING 20 GR TUB 29,916

379 GLYCODERM 8 % MOISTURIZING CREAM 500 GR POT 623,871

380 GLYCODERM CLARIFYING FC GEL 100 ML BTL 46,494

381 GLYCODERM CLARIFYING FC GEL 1000 ML BTL 460,704

382 GLYCODERM CLARIFYING FC W/GA 2 % 100 ML BTL 90,496

383 GLYCODERM CLARIFYING FC W/GA 4 % 100 ML BTL 129,760

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 259

Page 288: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

384 GLYCODERM CLARIFYING FC W/PHA 4 % 100 ML BTL 69,430

385 GLYCODERM CLARIFYING FC W/PHA 4% 1000 ML BTL 680,088

386 GLYCODERM MILK CLEANSER 100 ML BTL 45,871

387 GLYCODERM MILK CLEANSER 1000 ML BTL 438,766

388 GLYCODERM SKIN TONER + PHA 4 % 100 ML BTL 40,760

389 GLYCODERM SKIN TONER + PHA 4 % 1000 ML BTL 393,643

390 HYALUMOIST CREAM 15 GR POT 211,904

391 PARASOL CR. WHITE SPF 33 W/GLUC.4% 20 GR TUB 129,760

392 PARASOL CREAM 20 GR (PEACOCK) TUB 84,138

393 PARASOL CREAM 500 GR POT 1,990,901

394 PARASOL CREAM SPF 33 20 GR (PEACOCK) TUB 116,173

395 PARASOL CREAM SPF 33 500 GR POT 2,805,361

396 PARASOL CREAM SPF 33 W/GLUC.NO 4 % 20 GR TUB 129,760

397 PARASOL CREAM WHITE 20 GR TUB 84,138

398 PARASOL CREAM WHITE 500 GR POT 1,990,901

399 PARASOL CREAM WHITE SPF 33 20 GR TUB 116,173

400 PARASOL CREAM WHITE SPF 33 500 GR POT 2,805,361

401 PARASOL GEL 20 GR TUB 42,256

402 PARASOL GEL 500 GR POT 981,739

403 SKIN BRIGHT-ANTI AGING GOLD SERUM 15 GR BTL 224,369

404 GLIKODERM 10 % 20 GR POT 44,874

405 PARASOL LOTION SPF - 4 120 ML BTL 62,325

406 BENZOLAC 2,5 MG 5 GR TUB 30,165

407 BENZOLAC 5 % 5 GR TUB 39,888

408 CARMED LOTION 100 ML(NEW) TUB 66,064

409 CARMED LOTION 120 ML BTL 66,064

410 CARMED LOTION 50 ML(NEW) TUB 36,148

411 MELANOX COMPLETE KIT PKT 186,974

412 MELANOX FACE UV PROTECTOR 25 GR TUB 123,403

413 MELANOX FACIAL CLEANSING GEL 125 ML BTL 91,867

414 MELANOX PREMIUM CREAM 14 G POT 248,925

415 MELANOX PREMIUM SERUM 15 ML BTL 248,925

416 MELANOX SKIN TONER 125 ML BTL 91,867

417 PABANOX CREAM 20 GR TUB 100,467

418 PABANOX LOTION SPF - 4 120 ML BTL 68,557

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 260

Page 289: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

419 PARASOL CREAM 20 GR TUB 84,138

420 PARASOL CREAM 20 GR TUB 42,381

421 PARASOL CREAM SPF - 33 20 GR TUB 116,173

422 PARASOL LOTION SPF - 15 120 ML BTL 110,564

423 PARASOL LOTION SPF - 30 120 GR TUB 174,260

424 PARASOL LOTION SPF - 30 120 ML BTL 191,711

425 PARASOL LOTION SPF 45 50 ML TUB 248,676

426 ANTHRAMED CREAM 20 GR TUB 69,180

427 MELANOX CREAM TUB 66,438

428 VITAQUIN CREAM 15 GR TUB 136,491

429 ALBUCETINE 0.6 ML @ 5'S MINIDOSE STP 34,279

430 ALBUCETINE 5 ML BTL 26,176

431 ALBUCETINE EYE OINTMENT 3,5 GR TUB 40,792

432 ALBUVIT 10 % 0.6 ML @ 5'S MINIDOSE STP 37,706

433 ALBUVIT 10% 5 ML BTL 25,366

434 ALBUVIT 100 MG/ML 15 ML BTL 47,367

435 ALONE F 0.6 ML @ 5'S MINIDOSE STP 37,849

436 ATROPINE SULFAT 0.5 % 5 ML BTL 8,782

437 AUGENTONIC 0.6 ML @ 5'S MINIDOSE STP 53,911

438 AUGENTONIC 15 ML BTL 66,064

439 AUGENTONIC 5 ML BTL 62,636

440 CARBACHOL 1.5 % 5 ML BTL 25,242

441 CARBACHOL 3 % 5 ML BTL 38,018

442 CARPINE 1 % 0.6 ML @ 5'S MINIDOSE STP 38,641

443 CARPINE 1% 15 ML BTL 47,990

444 CARPINE 2% 15 ML BTL 54,846

445 CARPINE 3 % 5 ML BTL 44,562

446 CARPINE 3% 15 ML BTL 44,874

447 CARPINE 4% 15 ML BTL 65,753

448 CARPINE 4% 5 ML BTL 53,911

449 CATARLENT 0.6 ML @ 5'S MINIDOSE STP 49,860

450 CATARLENT 15 ML BTL 76,348

451 CATARLENT 5 ML BTL 56,404

452 CENAZOLE 0.6 ML @ 5'S MINIDOSE STP 30,539

453 CENAZOLE GEL 3.5 GR TUB 45,497

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 261

Page 290: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

454 CENDO ASTHENOF 0.6 ML @ 5'S MINIDOSE STP 51,106

455 CENDO ASTHENOF 5 ML BTL 52,353

456 CENDO BERRY TABLET 3X10'S DUS 235,588

457 CENDO CARPINE 1 % 5 ML BTL 38,641

458 CENDO CARPINE 2 % 0.6 ML @ 5'S MINIDOSE STP 43,939

459 CENDO CARPINE 2% 5 ML BTL 47,367

460 CENDO CARPINE 4 % 0.6 ML @ 5'S MINIDOSE STP 50,795

461 CENDO CETAMIDE 0,6 ML @ 5'S MINIDOSE STP 36,772

462 CENDO CETAMIDE 5 ML BTL 28,046

463 CENDO CETAPRED 0.6 ML @ 5'S MINIDOSE STP 38,641

464 CENDO CETAPRED 5 ML BTL 35,525

465 CENDO EFRISEL 10 % 0.6 ML @ MINIDOSE STP 38,330

466 CENDO EFRISEL 10% 5 ML BTL 38,018

467 CENDO FENICOL 0.25 % 5 ML BTL 54,534

468 CENDO FENICOL 0.25% 0.6ML @ 5'S MINIDOSE STP 40,823

469 CENDO FENICOL 0.5 % 0.6 ML @5'S MINIDOSE STP 43,627

470 CENDO FENICOL 0.5 % 5 ML BTL 76,348

471 CENDO FENICOL 1 % 5 ML BTL 64,194

472 CENDO FENICOL 1% 0.6 ML @ 5'S MINIDOSE STP 53,288

473 CENDO FENICOL EO 3.5 GRAM TUB 54,534

474 CENDO FRADEX 5 ML BTL 38,048

475 CENDO GENTASON 0.6 ML @ 5'S MINIDOSE STP 42,069

476 CENDO GENTASON 5 ML BTL 40,199

477 CENDO GLAOPEN 0.6 ML @ 5'S MINIDOSE STP 224,992

478 CENDO HYALUB 0.6 ML @ 5'S MINIDOSE STP 142,100

479 CENDO LYTEERS 0.6 ML @ 5'S MINIDOSE STP 47,990

480 CENDO LYTEERS 15 ML BTL 56,092

481 CENDO METHASON 0.6 ML @ 5'S MINIDOSE STP 35,306

482 CENDO METHASONE 5 ML BTL 28,046

483 CENDO MYCETINE 10 MG/G EO 3.5 GRAM TUB 31,786

484 CENDO MYCOS 0.6 ML @ 5'S MINIDOSE STP 41,446

485 CENDO MYCOS 5 ML BTL 49,548

486 CENDO MYCOS E O 3.5 GRAM TUB 65,441

487 CENDO MYDRIATYL 0.5 % 5 ML BTL 71,985

488 CENDO MYDRIATYL 1 % 5 ML BTL 95,357

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 262

Page 291: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

489 CENDO STATROL 0.6 ML @ 5'S MINIDOSE STP 42,069

490 CENDO STATROL 5 ML BTL 45,497

491 CENDO STATROL EO 3.5 GRAM TUB 45,497

492 CENDO TROPIN 0.5 % 5 ML BTL 28,046

493 CENDO TROPIN 1 % 0.6 ML @ 5'S MINIDOSE STP 39,888

494 CENDO TROPIN 1 % 5 ML BTL 31,162

495 CENDO TROPIN 1% 15 ML BTL 22,437

496 CENDO TROPINE 0.5 % 0.6 ML @5'S MINIDOSE STP 38,330

497 CENDO VISION 0.6 ML @ 5'S MINIDOSE STP 33,655

498 CENDO VISION 15 ML BTL 49,548

499 CENDO VITAL TABLET 3X10'S DUS 224,369

500 CENDO XITROL 0.6 ML @ 5'S MINIDOSE STP 60,767

501 CENDO XITROL 5 ML BTL 67,934

502 CENDO XITROL E O 3.5 GRAM TUB 89,436

503 CENDRID 0.3 % 0.6 ML @ 5'S MINIDOSE STP 34,279

504 CENDRID 0.6 ML @ 5'S MINIDOSE STP 41,446

505 CENDRID 1 MG/ML 5 ML BTL 37,706

506 CENDRID 15 ML BTL 52,353

507 CENFRESH 0.6 ML @ 5'S MINIDOSE STP 57,339

508 CENFRESH 5 ML BTL 86,943

509 CETAMIDE 15 % 15 ML BTL 33,251

510 CMC 5 ML BTL 37,706

511 CONAL 0.6 ML @ 5'S MINIDOSE STP 40,199

512 CONAL 5 ML BTL 50,483

513 CONJUNCTO 0.6 ML @ 5'S MINIDOSE STP 37,706

514 CONJUNCTO 5 ML BTL 25,865

515 CONVER 2 % 0.6 ML @ 5'S MINIDOSE STP 40,199

516 CONVER 2 % 15 ML BTL 32,409

517 CONVER 4 % 0.6 ML @ 5'S MINIDOSE STP 55,469

518 CORTHON 0.6 ML @ 5'S MINIDOSE STP 39,576

519 CORTHON 5 ML BTL 56,092

520 CORTIHIST 0.6 ML 5'S MINIDOSE STP 41,446

521 CORTIHIST 5 ML BTL 25,242

522 CYCLON 1 % 0.6 ML @ 5'S MINIDOSE STP 39,576

523 CYCLON 1% 5 ML BTL 44,251

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 263

Page 292: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

524 DEXATON 0.6 ML @ 5'S MINIDOSE STP 40,199

525 DEXATON 5 ML BTL 45,248

526 D-RETH TABLET SALUT SELAPUT 18'S BOX 243,066

527 EDTA 5 MG/ML 15 ML BTL 102,524

528 EFRISEL 2.5 % 0.6 MINIDOSE 6'S STP 38,330

529 EYE LOTION 0.6 ML @ 5'S MINIDOSE STP 79,526

530 EYE LOTION 5 ML BTL 89,124

531 EYEFRESH 0.6 ML @ 5'S MINIDOSE STP 57,650

532 EYEFRESH 5 ML BTL 71,985

533 EYEFRESH MILD 0.6 ML @ 5'S MINIDOSE STP 76,348

534 EYEFRESH PLUS 0.6 ML @ 5'S MINIDOSE STP 86,943

535 FENICOL 1 % 15 ML BTL 58,959

536 FENICOL GEL 1 % 3.5 GR STP 110,033

537 FENICOL OINTMENT 5 GRAM TUB 67,934

538 FLOXA 0.6 ML @ 5'S MINIDOSE STP 66,687

539 FLOXA TETES MATA 5 ML BTL 76,099

540 FLUORESCEIN 2 % 0.6 ML @ 5'S MINIDOSE STP 42,381

541 FLUORESCEIN 2 % 5 ML BTL 32,409

542 FRADEX 0.6 ML @ 5'S MINIDOSE STP 52,976

543 FUNGICID 1 % 5 ML BTL 24,307

544 FUNGICID EYE OINTMENT 3,5 GR TUB 50,171

545 GENTA 0,3 % 5 ML BTL 70,739

546 GENTA 0.3 % 0.6 ML @ 5'S MINIDOSE STP 39,576

547 GENTA 0.3 % OINT MINIDOSE 5'S STP 106,887

548 GENTA 0.3 % OINTMENT 5 GRAM TUB 89,124

549 GENTA 1 % 5 ML BTL 57,962

550 GENTA 1% 0.6 ML @ 5'S MINIDOSE STP 41,446

551 GENTAMYCIN 0.3 % 0.6 ML @ 5'S MINIDOSE STP 39,576

552 GENTAMYCIN 0.3 % 5 ML BTL 54,223

553 GENTAMYCIN 1 % 5 ML BTL 57,962

554 GENTAMYCIN 1% 0.6 ML @ 5'S MINIDOSE STP 41,447

555 GENTAMYCIN EYE OINTMENT 3.5 GRAM TUB 60,455

556 GENTAMYCINE 0.3 % 3,5 GRAM TUB 90,682

557 GENTAMYCINE 0.3 % 3.5 GR TUB 60,455

558 GENTASON-B 0.6 ML @ 5'S MINIDOSE STP 49,548

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 264

Page 293: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

559 GIPLOX 0.6 ML 5'S MINIDOSE STP 200,062

560 GLAOPEN TETES MATA 3 ML BTL 224,992

561 GLAOPLUS O.6 ML @ 5'S MINIDOSE STP 239,015

562 GLAUCON TABLET 2X10'S BOX 189,467

563 GLAUCON 250 MG TABLET 100'S BTL 947,336

564 HERVIS E O 3.5 GRAM TUB 91,617

565 HOMATRO 2 % 0.6 ML @ 5'S MINIDOSE STP 72,920

566 HOMATRO 2 % 5 ML BTL 88,501

567 HYALUB 5 ML BTL 132,752

568 L F X 5 ML BTL 172,640

569 L F X 0.6 ML @ 5'S MINIDOSE STP 172,016

570 LENTIKULAR 0.6 ML @ 5'S MINIDOSE STP 82,892

571 LENTIKULAR ED 5 ML BTL 71,673

572 LUBRICEN VED 5 GR TUB 119,352

573 LUBRICEN 0.6 ML @ 5'S MINIDOSE STP 100,966

574 LUBRICEN 5 ML BTL 91,617

575 MYCINE EYE OINTMENT 3,5 GR TUB 14,958

576 MYCOS GEL 3.5 GR TUB 110,033

577 MYCOS OINTMENT 5 GRAM TUB 85,697

578 MYDRIATIL 0.5 % 0.6 ML @ 5'S MINIDOSE STP 65,753

579 MYDRIATIL 0.5% 0.6 ML @5'S MINIDOSE STP 65,754

580 MYDRIATIL 1 % 0.6 ML @ 5'S MINIDOSE STP 73,232

581 MYDRIATIL 1% 0.6 ML @ 5'S MINIDOSE STP 73,232

582 MYDRIATIL 1% 5 ML - ASKES BTL 83,175

583 MYDRIATYL 0,5 % 15 ML BTL 41,873

584 MYDRIATYL 1 % 15 ML BTL 59,832

585 MYTOSIN 5 ML BTL 225,304

586 NATACEN 5 ML BTL 157,682

587 NATACEN 50 MG/0.6 ML @ 5'S MINIDOSE STP 103,771

588 NATACEN GEL TUB 263,010

589 NONCORT 0.6 ML @ 5'S MINIDOSE STP 105,329

590 NONCORT 5 ML BTL 93,487

591 NORMAFIT KAPLET 18'S BOX 248,676

592 OCULENTA 0.6 ML @ 5'S MINIDOSE STP 122,780

593 OCULENTA GEL 3.5 GR TUB 110,033

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 265

Page 294: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

594 OCULENTA GEL 5 GRAM TUB 159,240

595 OPTHALGON 3 ML BTL 27,423

596 OPTHALGON 5 ML BTL 40,511

597 OPTOHIST 0.6 ML @ 5'S MINIDOSE STP 31,786

598 OPTOHIST 15 ML BTL 38,953

599 P.PRED 10 MG/0.6 ML @ 5'S MINIDOSE STP 95,357

600 P.PRED 5 ML BTL 138,361

601 PANTOCAIN 0.5 % 0.6 ML @ 5'S MINIDOSE STP 30,851

602 PANTOCAIN 0.5 % 15 ML BTL 36,148

603 PANTOCAIN 0.5 % 5 ML BTL 30,227

604 PANTOCAIN 2 % 15 ML BTL 38,641

605 PANTOCAIN 2 % 5 ML BTL 33,032

606 PANTOCAIN 2% 0.6 ML @ 5'S MINIDOSE STP 39,265

607 PENICILLIN EYE OINTMENT 3,5 GR TUB 18,074

608 PHN 0.6 ML @ 5'S MINIDOSE STP 36,772

609 PHN 5 ML BTL 38,330

610 PILOKARPIN HCL/NITRAT 2% BOTTLE 24'S BOX 277,007

611 PITHALMIC 0.6 ML 5'S MINIDOSE STP 112,808

612 PITHALMIC GEL 3.5 GR STP 129,915

613 PITHALMIC GEL 5 GRAM TUB 172,640

614 PNP 0.6 ML @ 5'S MINIDOSE STP 36,772

615 PNP 5 ML BTL 33,593

616 POLYDEX 0.6 ML @ 5'S MINIDOSE STP 66,064

617 POLYDEX 5 ML BTL 89,124

618 POLYGRAN 0.6 ML @ 5'S MINIDOSE STP 43,627

619 POLYGRAN 5 ML BTL 78,841

620 POLYGRAN E O 3.5 GRAM TUB 46,120

621 POLYNEF 0.6 ML @ 5'S MINIDOSE STP 40,511

622 POLYNEF 5 ML BTL 33,655

623 POLYNEL 0.6 ML @ 5'S MINIDOSE STP 44,562

624 POLYNEL 15 ML BTL 34,279

625 POLYNEL 5 ML BTL 66,999

626 POLYPRED 0.6 ML @5'S MINIDOSE STP 43,316

627 POLYPRED 5 ML BTL 66,874

628 POSOP 0.6 ML @ 5'S MINIDOSE STP 130,882

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 266

Page 295: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

629 POSOP 5 ML BTL 140,854

630 PROTAGENTA 0.6 ML @5'S MINIDOSE STP 89,436

631 PROTAGENTA 5 ML BTL 104,706

632 REPHITEL 0.6 ML @5'S MINIDOSE STP 91,617

633 REPHITEL 5 ML BTL 128,389

634 REPHITEL EYE OINTMENT 3,5 GRAM TUB 108,445

635 REPHITEL OINTMENT 5 GRAM TUB 125,273

636 S.B.S.S 15 ML BTL 62,325

637 SCOPOLA 5 ML BTL 41,758

638 SILOXAN 0.6 ML @ 5'S MINIDOSE STP 88,813

639 SILOXAN 3 ML BTL 79,152

640 SILOXAN 5 ML BTL 131,505

641 SOLNAZOLE 0.6 ML @ 5'S MINIDOSE STP 42,692

642 SOLUJOD 2.5 % 0.6 ML @ 5'S MINIDOSE STP 54,846

643 SULFACETAMIDE NA 15 % TM ( BOTOL) 24'S BOX 187,393

644 TETRACAIN HCL 0.5% 5 ML BTL 16,998

645 TGF KAPLET 18'S DUS 237,457

646 TIMOL 0.25 % 0.6 ML @ 5'S MINIDOSE STP 43,939

647 TIMOL 0.25 % 5 ML BTL 76,036

648 TIMOL 0.5 % 0.6 ML MINIDOSE STP 64,194

649 TIMOL 0.5 % 5 ML BTL 119,040

650 TIMOLOL MALEAT 0,5% 5 ML BTL 119,040

651 TIMOLOL MALEAT 0.25 % 5 ML BTL 76,036

652 TIMOLOL MALEAT 0.25% 0.6ML @5'S MINIDOSE STP 43,939

653 TIMOLOL MALEAT 0.5% 0.6ML @ 5'S MINIDOSE STP 64,194

654 TOBRO 0.6 ML @ 5'S MINIDOSE STP 47,678

655 TOBRO 5 ML BTL 51,730

656 TOBRO GEL TUB 102,151

657 TOBROSON 0.6 ML @ 5'S MINIDOSE STP 72,297

658 TOBROSON 5 ML BTL 115,301

659 TOBROSON GEL 3.5 GR TUB 136,085

660 TOBROSON OINT MINIDOSE 5'S STP 129,947

661 TOBROSON SALEP 3.5 GR TUB 107,822

662 TOBROSON SALEP EO 5 GRAM TUB 107,822

663 TONOR 0.25 % 0.6 ML @ 5'S MINIDOSE STP 55,469

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 267

Page 296: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

664 TONOR 0.5 % 0.6 ML @ 5'S MINIDOSE STP 60,767

665 TONOR 0.5 % 5 ML BTL 124,649

666 TRIAXITROL TETES MATA 5 ML BTL 31,162

667 TROPIN 0.5 ML @ 5'S MONODOSE STP 15,893

668 TROPIN 1 % 5 ML @ 5'S MONODOSE STP 15,894

669 TROPINE 0,5% 15 ML BTL 15,768

670 ULCORI 0.6 ML @ 5'S MINIDOSE STP 48,925

671 ULCORI TM 5 ML BTL 67,934

672 VASACON - A 15 ML BTL 55,781

673 VASACON 0.6 ML @ 5'S MINIDOSE STP 34,590

674 VASACON 15 ML BTL 40,511

675 VASACON A 0.6 ML @ 5'S MINIDOSE STP 36,772

676 VERNACEL 0.6 ML @ 5'S MINIDOSE STP 51,730

677 VERNACEL EYE DROP 5 ML BTL 46,120

678 VITANORM TABLET 3X10'S DUS 249,050

679 VITROLENTA 0.6 ML @ 5'S MINIDOSE STP 71,362

680 VITROLENTA 5 ML BTL 81,645

681 VOSAMA 0.6 ML @ 5'S MINIDOSE STP 43,939

682 XITROL OINT MINIDOSE 5'S STP 115,612

683 XITROL OINTMENT 5 GRAM TUB 87,566

684 ZINK OPTHAL 5 ML BTL 14,958

685 ZINK PRIMA 0.6 ML @ 5'S MINIDOSE STP 30,851

686 ZINK PRIMA 15 ML BTL 40,199

687 ZINK PRIMA 5 ML BTL 28,046

688 ZINK PRIMA A 15 ML BTL 40,636

689 ALKOHOL 70 % CIUBROS 100 ML BTL 10,765

690 ALKOHOL 70 % CIUBROS 300 ML BTL 28,329

691 BORAKS 10 % GLISERIN 8 ML BTL 6,629

692 CITOCETINE SUSPENSI 60 ML BTL 11,218

693 CITONEURON CAPLET 10X10'S BOX 92,920

694 CITOVIPLEX KAPLET 10X10'S BOX 57,565

695 GENTIAN VIOLET 1 % 10 ML BTL 6,629

696 O.B.P CIUBROS 100 ML BOTOL PLASTIK BTL 6,346

697 P.K CRYSTAL 5 GR POT 10,029

698 RIVANOL 1% CIUBROS 100 ML BTL 6,119

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 268

Page 297: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

699 RIVANOL 1% CIUBROS 300 ML BTL 13,598

700 OSTENIL INJ 20 MG/ 2 ML @1 SYRINGE DUS 1,246,495

701 OSTENIL PLUS INJ 40 MG/ 2 ML @1 SYRINGE DUS 4,362,732

702 POLYMEM MAX NON ADHESIVE 11CM X 11CM PAD 368,962

703 POLYMEM MAX SACRAL FILM ADHS 18.4CMX20CM PAD 625,740

704 POLYMEM NON ADHESIVE 10CM X 10CM PAD 186,974

705 POLYMEM NON ADHESIVE 17CM X 17CM PAD 371,455

706 POLYMEM SILVER NON ADHSIVE 10.8CMX10.8CM PAD 469,929

707 MELIDOX FILCO TABLET 20X10'S BOX 486,133

708 PROCLOZAM TABLET 10X10'S BOX 436,273

709 PROFLUGON TABLET 200'S BOX 186,974

710 PRONEURON CAPTAB 20X10'S BOX 498,598

711 VERIDIN FILM COATED TABLET 5X6'S DUS 411,343

712 AGREZOL 100 MG TABLET 30'S BOX 478,654

713 AGREZOL 50 MG TABLET 5X10'S BOX 722,967

714 ANBIOLID 150 MG FILCO TABLET 5X10'S BOX 573,388

715 ANCEFA 125 MG/5 ML DRY SYRUP 60 ML BTL 94,734

716 ANCEFA 250 MG/5 ML FORTE DRY SYRUP 60 ML BTL 162,044

717 ANCEFA 500 MG TABLET 100'S BOX 1,283,890

718 ANCEFA 500 MG TABLET 5X6'S BOX 673,107

719 ANCLA 250 MG/5 ML FORTE DRY SYRUP 60 ML BTL 157,058

720 ANCLA FILCO CAPLET 5X6'S BOX 822,687

721 ANDONEX CAPSULE 75'S BTL 84,138

722 ANDONEX SYRUP 100 ML BTL 44,874

723 ANDONEX SYRUP 60 ML BTL 32,409

724 ANDROLON TABLET 3X10'S DUS 486,133

725 ARCAPEC DRY SYRUP 60 ML BTL 37,395

726 ARCAPEC TABLET 10X10'S BOX 236,834

727 ARCLATE FILCO 100 MG TABLET 50'S BOX 430,041

728 ARSIGRAN 4 MG TABLET 100'S BTL 46,120

729 ARSINAL FILCO TABLET 10X10'S BOX 236,834

730 ARSIRET 40 MG TABLET 100'S BTL 112,185

731 ARSITAM 500 MG TABLET 10X10'S BOX 249,299

732 ARSITROCIN 500 MG TABLET 100'S BOX 523,528

733 BIOCOMBIN 5000 INJEKSI 10 AMPUL DUS 124,649

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 269

Page 298: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

734 BIOCOMBIN FILCO TABLET 10X10'S BOX 311,624

735 BIOFOS SUSPENSI 120 ML BTL 162,044

736 BIOFOS SUSPENSI 60 ML BTL 137,114

737 BIOTOPIX CREAM 15 GR TUB 623,247

738 BIOTOPIX EYE BAGS&DARK CIRCLES CRM@15 GR TUB 436,273

739 CALIX SUSPENSI 100 ML BTL 99,720

740 CALOSTRUM SYRUP 100 ML BTL 104,706

741 CANERGY FILM COATED TABLET 15'S BTL 243,066

742 CARDIAL 25 MG FILCO TABLET 100'S BTL 211,904

743 CARVAS 10 MG FILCO TABLET 100'S BTL 174,509

744 CELODIM INJ.1 VIAL + 1 AMP API 10 ML DUS 461,203

745 CERETON KAPSUL 5 X 6'S DUS 344,033

746 CETIVAR INJEKSI 2 ML @ 5 AMP DUS 373,948

747 CLINJOS 150 MG KAPSUL 5X6'S BOX 261,764

748 CLINJOS 300 MG CAPSULE 5X6'S BOX 467,436

749 CLOVERTIL TABLET 3X10'S DUS 860,081

750 COMBES FILCO TABLET 5X6'S DUS 224,369

751 CRIAX INJEKSI 1 GR/10 ML VIA 448,738

752 DEPTRAL KAPLET 3X10'S BOX 785,292

753 DONEXAN DX SYRUP 120 ML BTL 39,888

754 DONEXAN DX SYRUP 60 ML BTL 24,930

755 DONEXAN SYRUP 120 ML BTL 34,902

756 DONEXAN SYRUP 60 ML BTL 24,930

757 EFLIN SYRUP 60 ML BTL 37,395

758 EFLIN TABLET 10X10'S BOX 249,299

759 EFOTAX 1 GR INJEKSI 1 VIAL BOX 324,089

760 EFOTAX 500 MG INJEKSI 1 VIAL BOX 157,058

761 EXOCID INJEKSI 40 MG 1 VIAL+ 1 AMPUL DUS 324,089

762 FENOLIP 100 MG KAPSUL 3X10'S DUS 276,722

763 FENOLIP 300 MG KAPSUL 3X10'S DUS 613,275

764 FOLAPLUS KAPLET 10X10'S BOX 199,439

765 FUCOBAC 100 MG KAPSUL 5X6'S DUS 747,897

766 FUCOBAC 50 MG KAPSUL 5X6'S DUS 523,528

767 FURAMIN INJEKSI 5 AMP @10 ML DUS 118,417

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 270

Page 299: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

768 GASFAMIN FILCO 20 MG TABLET 5X6'S BOX 224,369

769 GASFAMIN FILCO 40 MG TABLET 5X6'S BOX 336,554

770 GASTRINAL SUSPENSI 120 ML BTL 54,846

771 GASTRINAL TABLET 10X10'S BOX 118,417

772 GAVISTAL INJEKSI 5 MG/2 ML @ 5 AMPUL DUS 74,790

773 GAVISTAL SYRUP 60 ML BTL 21,190

774 GAVISTAL TABLET 10X10'S BOX 93,487

775 HICAL TABLET KUNYAH 10 X 2'S BOX 59,832

776 INODERM CREAM 10 GR TUB 36,148

777 ISOFEM KAPLET SALUT SELAPUT 5X6'S BOX 209,411

778 KETOSIC INJEKSI 30 MG/ 1 ML @ 5 AMPUL DUS 311,624

779 LIPOFOOD CAPSULE 10X10'S BOX 1,121,845

780 LOGAFOX INJEKSI 1 GR/5 ML VIA 349,019

781 LOREMID 2 MG TABLET 10X10'S BOX 224,369

782 LUSANOC 200 MG TABLET 5X10'S BOX 498,598

783 LYCOQ KAPSUL 5X6'S DUS 355,251

784 MALTIRON PLUS TABLET 10X10'S BOX 299,159

785 MALTIRON SYRUP 100 ML BTL 74,790

786 MALTIRON TABLET 100'S BOX 162,044

787 MAXPRO 100 MG TABLET 3X10'S BOX 1,308,819

788 MAXPRO 100 MG/5 ML DRY SYRUP 30 ML BTL 174,509

789 MEDIOL TABLET 2X10'S DUS 406,357

790 MEFIX 250 MG CAPSULE 10X10'S BOX 124,649

791 MEFIX 500 MG TABLET 10X10'S BOX 274,229

792 MENSIPOX FILCO 500 MG TABLET 5X6'S BOX 897,476

793 MEPROBAL 250 MG KAPSUL 10X10'S BOX 274,229

794 MEPROBAL 500 MG KAPSUL 10X10'S BOX 423,808

795 MEPRON 500 MG TABLET 200'S BOX 174,509

796 MEPROPEN 250 MG KAPSUL 100'S BOX 137,114

797 MEPROPEN 500 MG CAPSULE 100'S BOX 274,229

798 MEPROSETIL FILCO 100 MG TABLET 200'S BTL 423,808

799 MEPROSETIL FILCO 25 MG TABLET 200'S BTL 199,439

800 MEPROSON TABLET 10X10'S BOX 573,388

801 MEPROTETRA 250 MG CAPSULE 100'S BOX 62,325

802 MEVACHOL 10 MG TABLET 30'S BOX 613,275

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 271

Page 300: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

803 MEVACHOL 20 MG TABLET 3X10'S BOX 1,084,450

804 MEVITON FILCO TABLET 10X10'S BOX 299,159

805 MUCOS 15 SYRUP 60 ML BTL 37,395

806 MUCOS DROP 20 ML BTL 79,776

807 MUCOS TABLET 10X10'S BOX 199,439

808 MYORES TABLET 10X10'S BOX 1,121,845

809 MYOTONIC FILCO TABLET 10X10'S BOX 660,642

810 MYOTONIC INJEKSI 10 AMPUL @ 1 ML BOX 186,974

811 NEO PROVIGOR FILCO TABLET 5X6'S DUS 344,033

812 NEORHEUMA FILCO TABLET 100'S BOX 87,255

813 NIFUDIAR SUSPENSI 60 ML BTL 87,255

814 NIKOLAM 125 MG/5ML DRY SYRUP 60 ML BTL 46,120

815 NIKOLAM 500 MG KAPSUL 10X10'S BOX 772,827

816 NORAGES DROPS 20 ML BTL 87,255

817 NORAGES INJEKSI 2 ML @ 10 AMP DUS 199,439

818 NORAGES INJEKSI 2 ML 5 AMP DUS 99,720

819 NORAGES SIROP 60 ML BTL 74,790

820 O P M 20 MG CAPSULE 5 STRIP @ 6 KAPSUL STP 164,537

821 O P M 20 MG CAPSULE 7'S BTL 117,794

822 OXORIL SIRUP 60 ML BTL 62,325

823 PHENEX SYRUP 60 ML BTL 24,930

824 PHENEX TABLET 100'S BOX 93,487

825 PROCALMA LICAPS 3X10'S DUS 261,764

826 PROCARDIO TABLET SALUT DUS 5 X 6'S CAP 52,353

827 PROCELES SYRUP 60 ML BTL 74,790

828 PROCELES TABLET 5X10'S DUS 186,974

829 PROCEPIM INJEKSI I VIAL @ 1 GR/15 ML BOX 635,712

830 PROCETAM 1200 MG TAB SALUT SELAPUT 5X6'S BOX 284,201

831 PROCETAM 3 GR INJEKSI 5 AMPUL @ 15 ML BOX 560,923

832 PROCETAM 400 MG CAPSUL 10X10'S BOX 423,808

833 PROCETAM 800 MG TABLET 5X10'S BOX 373,948

834 PROCOLIC FILCO TABLET 10X10'S BOX 461,203

835 PRODERMAL KRIM 10 GRAM TUB 87,255

836 PROGESTON TABLET 3X10'S DUS 254,285

837 PROHISTIN 10 MG TABLET 5X10'S BOX 498,598

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 272

Page 301: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

838 PROIMBUS TABLET SALUT SELAPUT 5X6'S BOX 336,554

839 PROLEVOX 250 MG FILCO TABLET 10'S BOX 261,764

840 PROLEVOX 500 MG FILCO TABLET 10'S BOX 660,642

841 PROLEVOX INFUS 100 ML DUS 448,738

842 PROMUBA 500 MG TABLET 100'S BOX 336,554

843 PROMUBA SUSPENSI 60 ML BTL 90,994

844 PROTEXINAL SYRUP 60 ML BTL 16,204

845 PROVAGIN OVULA 10'S DUS 311,624

846 PROVIGOR TABLET SALUT SELAPUT 5 X 6'S CAP 52,353

847 PROVOMER FILCO TABLET 10X10'S DUS 498,598

848 PROXIDAN LICAPS 3X10'S DUS 246,806

849 PROZEPAM INJEKSI 5 AMP @ 2 ML DUS 311,624

850 PYREXIN 160 SUPOSITORIA 10'S DUS 174,509

851 PYREXIN 80 SUPOSITORIA 10'S DUS 149,579

852 QIPRO FILCO 200 MG TABLET 3X10'S BOX 523,528

853 QIPRO FILCO 400 MG TABLET 3X10'S BOX 1,047,056

854 RELIV TABLET 5X6'S DUS 336,554

855 RETOP KAPSUL 3X10'S DUS 373,948

856 RINOCET DROPS 20 ML DUS 114,678

857 RINOCET SIROP 60 ML BTL 114,678

858 ROMICEF INJEKSI 10 ML @ 1 VIAL VIA 623,247

859 ROTAVER TABLET 10X10'S BOX 548,458

860 SEFANEM 0.5 GR 1 VIAL+1 AMP.@ 10 ML AIR DUS 523,528

861 SEFANEM 1 GR 1 VIAL + 1 AMP. @ 10 ML AIR DUS 997,196

862 SIRPLUS SERBUK ORIGINAL 20 GR BTL 74,790

863 SIRPLUS SERBUK ORIGINAL 50 GR BTL 79,776

864 SIRPLUS SERBUK RASA ANGGUR 50 GR BTL 117,171

865 SIRPLUS SERBUK RASA JERUK 50 GR BTL 117,171

866 SIRPLUS SERBUK RASA STROBERI 50 GR BTL 117,171

867 SIRPLUS SERBUK STROBERI 20 GR BTL 79,776

868 SIRPLUS SIRUP RASA ANGGUR 100 ML BTL 27,423

869 SIRPLUS SIRUP RASA COKLAT 100 ML BTL 24,930

870 SIRPLUS SIRUP RASA JERUK 100 ML BTL 27,423

871 SIRPLUS SIRUP RASA MELON 100 ML BTL 27,423

872 SIRPLUS SIRUP RASA STROBERI 100 ML BTL 27,423

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 273

Page 302: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

873 SIZORIL 100 MG TABLET 3X10'S BOX 1,121,845

874 SIZORIL 25 MG TABLET 5X10'S BOX 498,598

875 SODERMIX KRIM @ 15 GRAM TUBE DUS 174,509

876 SODERMIX KRIM 15 GRAM TUB 199,439

877 SOLVINEX 4 MG/5 ML SYRUP 100 ML BTL 35,525

878 SOLVINEX INJEKSI 10 AMP @ 2 ML DUS 872,546

879 SPASMOLIT 10 MG FILCO TABLET 10X10'S BOX 436,273

880 SUPRACHLOR 250 MG CAPSULE 100'S BOX 118,417

881 SUPRAFENID INJEKSI 5 AMP @ 2 ML DUS 218,137

882 SUPRAFENID SUPOSITORIA 100 MG 10'S DUS 249,299

883 SUPRALYSIN BABY DROPS 15 ML BTL 54,846

884 SUPRALYSIN SYRUP 100 ML BTL 54,846

885 SUPRALYSIN SYRUP 60 ML BTL 49,860

886 SUPRAMOX 100 MG/ML DROPS 20 ML BTL 48,613

887 SUPRAMOX 125 MG/5 ML DRY SYRUP 60 ML BTL 44,874

888 SUPRAMOX 250 MG CAPSULE 100'S BOX 274,455

889 SUPRAMOX 250 MG FORTE DRY SYRUP 60 ML BTL 67,311

890 SUPRAMOX 250 MG TABLET 100'S BOX 274,229

891 SUPRAMOX 500 MG TABLET 100'S BOX 249,299

892 TABAS 2.5 MG TABLET 100'S BTL 349,019

893 TB RIF 120 ML DUS 211,904

894 TB VIT 6 SIRUP 120 ML BTL 57,339

895 TB VIT 6 SYRUP 225 ML BTL 87,255

896 TB VIT 6 TABLET 10 STRIP @ 10 TABLET BOX 162,044

897 TB ZET TABLET 10X10'S BOX 299,159

898 TONOTAN TABLET 5X10'S DUS 311,624

899 TRICKER 150 MG TABLET 5X10'S BOX 560,923

900 TRICKER INJEKSI 2 ML AMP 44,874

901 TUDIAB 500 MG TABLET 10X10'S BOX 249,299

902 TUGESAL FILCO 50 MG TABLET 5X6'S BOX 224,369

903 UMKALIN FILCO TABLET 5X6'S DUS 224,369

904 UMKALIN SIRUP 60 ML DUS 74,790

905 VERTEX TABLET 10X10'S BOX 373,948

906 VOSTEON KAPLET 5X6'S BOX 280,461

907 XANTIA LICAPS 3X10'S DUS 523,528

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 274

Page 303: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

908 X-CAM TABLET 15 MG 3X10'S BOX 523,528

909 X-CAM TABLET 7.5 MG 3X10'S BOX 329,075

910 ZIBET 80 MG TABLET 100'S BOX 286,694

911 ZIRCUM KID SYRUP 60 ML BTL 59,832

912 ZOTAM INJ.1 VIAL + 1 AMP @ 5 ML AQUA PRO DUS 361,483

913 ARCLATE FILCO 50 MG TABLET 50'S BOX 186,974

914 DEOLIT 250 MG KAPSUL 3X10'S DUS 542,225

915 DOSIVEC KAPSUL 2X10'S DUS 183,235

916 PERIFLUX SUSPENSI 60 ML BTL 74,790

917 PRODEXON 0.5 MG CAPLET 10X10'S BOX 87,255

918 PROMUBA INFUS 100 ML BTL 162,044

919 PRONOVIR SIRUP 60 ML BTL 149,579

920 PRONOVIR TABLET 5X4'S DUS 299,159

921 GAVISTAL DROPS 10 ML BTL 27,423

922 INTUNAL CAPLET 25X4'S BOX 124,649

923 INTUNAL FORTE TABLET 25X4'S BOX 164,537

924 INTUNAL SYRUP 60 ML BTL 26,176

925 LEVOPAR TABLET 5X10'S BOX 498,598

926 LUSANOC CREAM 10 GR TUB 39,888

927 MEPROMAAG TABLET 10X10'S BOX 112,185

928 MEPROTRIN FORTE TABLET 10X10'S BOX 373,948

929 MEPROTRIN SUSPENSI 60 ML BTL 43,627

930 MEPROTRIN TABLET 10X10'S BOX 174,509

931 MIXARIA SERBUK 50 SCH @ 1 GR DUS 124,649

932 NOSTREN KRIM 15 GRAM TUB 27,423

933 PYREXIN 120 MG/5 ML SYRUP 60 ML BTL 24,930

934 PYREXIN 500 MG TABLET 20X10'S BOX 149,579

935 SOLVINEX 8 MG CAPLET 10X10'S BOX 99,720

936 SUPRACHLOR 125 MG/5 ML SUSPENSI 60 ML BTL 23,683

937 SUPRAMOX 500 MG KAPSUL 10X10'S BOX 523,528

938 TABAS 1,5 MG/5 ML SYRUP 100 ML BTL 54,846

939 TUDERM - N CREAM 5 GRAM TUB 27,423

940 ARSILIN 250 MG CAPSULE 100'S BOX 87,255

941 ARSITAM 250 MG TABLET 100'S BOX 93,487

942 ARSITRAN 5 MG TABLET 100'S BOX 43,627

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 275

Page 304: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

943 ESOMEPRAZOLE INJEKSI 40 MG @ 2 VIAL DUS 290,094

944 FENTICA 2 MG CAPTAB 200'S BOX 99,720

945 MAXPRO 50 MG TABLET 30'S BOX 311,624

946 MEPIROX 10 MG CAPSULE 100'S BOX 149,579

947 MEPIROX 20 MG CAPSULE 100'S BOX 249,299

948 MEPROPEN 500 MG TABLET 100'S BOX 274,229

949 MEPROSETIL FILCO 25 MG TABLET 1000'S TIN 236,834

950 MERZATUSIN TABLET BOX 10 X 10 BOX 67,991

951 PROMUBA 250 MG TABLET 100'S BOX 149,579

952 PROTEXINAL TABLET 100'S BOX 49,860

953 PROZEPAM 2 MG CAPTAB 100'S BOX 27,423

954 PROZEPAM 5 MG CAPTAB 100'S BOX 34,902

955 PYREXIN FORTE 100'S BOX 124,649

956 ACETENSA 30'S BOX 673,107

957 ADFER CAPSUL 100'S BOX 124,649

958 AGRYLIN 100'S BTL 13,711,442

959 ALZIM 30'S BOX 1,196,635

960 ANESFAR 5 ( 3 ML) BOX 436,273

961 ANESFAR INJEKSI 5 AMP BOX 186,974

962 APTIL @10ML DUS 62,325

963 APTIL 10 ML BTL 59,832

964 ARTHRODONT 80 GR TUB 112,185

965 ASPIL INJ. 2 VIAL BOX 473,668

966 ASPIL INJEKSI 1 VIAL BOX 224,369

967 ATOFAR 10 TAB. 30'S BOX 710,502

968 ATOFAR 20 TAB. 30'S BOX 710,502

969 ATOFAR 40 TAB. 30'S BOX 710,502

970 BIO-GI 3X10'S BOX 336,554

971 BIPRO TAB.30'S BOX 299,159

972 BLOREC TABLET SALUT SELAPUT 3X10'S BOX 448,738

973 BUNASCAN SPINAL 0.5 % 4 MG HEAVY BOX 722,967

974 CALGAE KAPLET SALUT SELAPUT 10X3'S BOX 336,554

975 CALLUSOL @10ML DUS 62,325

976 CALLUSOL 10 ML BTL 62,325

977 CALOS CHEWABLE TABLET 60'S BTL 119,663

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 276

Page 305: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

978 CALSIVAS 5 30'S BOX 336,554

979 CALSIVAS 10 30'S BOX 598,317

980 CAPABIOTIC TABLET 30'S BOX 972,266

981 CARPIATON 100 MG 100'S BOX 822,687

982 CARPIATON 25 MG 100'S BOX 299,159

983 CARTRILET TABLET 30'S BOX 486,133

984 CEFIR INJ. 2 VIAL BOX 1,221,565

985 CEFIR INJEKSI 1 VIAL BOX 535,993

986 CELCOX 200 30'S BOX 336,554

987 CIRLOID TABLET 1 MG 100'S BOX 386,413

988 CIRLOID TABLET 4.5 MG 30'S BOX 448,738

989 CLATAX INJEKSI (R) 2 VIAL BOX 598,317

990 CLATAX INJEKSI 1 VIAL VIA 224,369

991 CLOFEN 10X10'S DUS 32,409

992 CLOSOL CREAM 10 GR TUB 37,395

993 COMPOUND 250 ML BTL 2,492,989

994 CORSEL TABLET 30'S BOX 373,948

995 COSMOFER INJ. 5'S BOX 997,196

996 CRYPTAL INFUS 100 ML BTL 473,668

997 CRYPTAL TABLET 200 MG 4'S BOX 573,388

998 CRYPTAL TABLET 50 MG 4'S BOX 167,030

999 CURMUNOS SIRUP 60 ML BTL 129,635

1000 DACTYLEN 230 ML BTL 27,423

1001 DAXET D.S 12 SACH BOX 54,846

1002 DAXET TABLET 15'S BOX 373,948

1003 DAXET TABLET 30'S BOX 164,537

1004 DEGRANI 1 MG/ML INJ. @ 5 AMP BOX 373,948

1005 DEGRANI 3 MG/ML INJ. @ 5 AMP BOX 872,546

1006 DETROVEL 10 30'S BOX 149,579

1007 DETROVEL 5 30'S BOX 29,916

1008 DEXTRAL FORTE TABLET 100'S BOX 99,720

1009 DMENSOL @ 160 GR BOX 114,678

1010 ELPICEF 1.0 I.M VIA 112,185

1011 ELPICEF 1.0 I.V VIA 386,413

1012 ELPICEF 1.O IV 2 VIAL BOX 897,476

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 277

Page 306: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1013 ESTAZOR KAPSUL 30'S BOX 598,317

1014 EXABET TABLET 100'S BOX 47,367

1015 EXABETIN TABLET 150'S BOX 211,904

1016 FALERGI DROPS 20 ML BTL 137,114

1017 FALERGI TABLET 60'S BOX 448,738

1018 FALPRO SYRUP 120 ML BTL 249,299

1019 FAPRESOR INJ. 5 AMP BOX 872,546

1020 FARAPON TABLET 100'S BOX 112,185

1021 FARBION 5000 INJEKSI 5 AMPUL BOX 58,585

1022 FARBION TABLET 100'S BOX 261,764

1023 FARBIVENT 10 AMP BOX 211,904

1024 FARELAX INJEKSI 5 AMPUL BOX 872,546

1025 FARGOXIN INJ. 5 AMPUL BOX 436,273

1026 FARGOXIN TABLET 100'S BOX 64,818

1027 FARLEV 500 MG TABLET 10'S BOX 623,247

1028 FARLEV 750 INF. 150 ML BTL 648,177

1029 FARLEV 750 MG KAPLET 10'S BOX 872,546

1030 FARLEV INFUS 100 ML BTL 448,738

1031 FARMABES INJ. 5 ML @ 1 VIAL DUS 274,229

1032 FARMABES TABLET 100'S BOX 116,173

1033 FARMABEX - C TABLET 100'S BOX 299,159

1034 FARMABEX - C TABLET 30'S BOX 13,711

1035 FARMABEX PLUS TABLET 30'S BOX 139,607

1036 FARMACROL FORTE SUSPENSI 100 ML BTL 92,241

1037 FARMACROL FORTE SUSUPENSI 200 ML BTL 114,678

1038 FARMACROL FORTE TABLET 100'S BOX 199,439

1039 FARMADOL INFUS @ 50 ML BOX 87,255

1040 FARMADOL INFUS 100 ML BTL 142,100

1041 FARMADOL TABLET 100'S BOX 69,804

1042 FARMADRAL TABLET 100'S BOX 49,860

1043 FARMAGARD TABLET 100'S BOX 99,720

1044 FARMALAT 5 TABLET 100'S BOX 74,790

1045 FARMALAT TABLET 100'S BOX 103,210

1046 FARMASAL TABLET 100'S BOX 162,044

1047 FARMASAL TABLET 50 MG 100'S BOX 49,860

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 278

Page 307: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1048 FARMAVON 8 MG TABLET 100'S BOX 82,269

1049 FARMAVON INJEKSI 10 AMP BOX 747,897

1050 FARMAVON SYRUP 100 ML BTL 24,930

1051 FARMIN ( FAR - ALBUMIN ) 100 ML BTL 3,739,484

1052 FARMIN ( FAR - ALBUMIN ) 50 ML BTL 1,994,392

1053 FARMIN BT 100 ML BTL 3,988,783

1054 FARMIN BT 50 ML BTL 1,994,392

1055 FARMOTEN 12.5 MG TABLET 100'S BOX 199,439

1056 FARMOTEN 25 MG TABLET 100'S BOX 146,787

1057 FARMOXYL 500 MG TABLET 100'S BOX 523,528

1058 FARMOXYL DRY SYRUP 60 ML BTL 37,395

1059 FARNAT INFUS 100 ML BTL 164,537

1060 FARNORMIN TABLET 100'S BOX 224,369

1061 FARPAIN 10 MG INJEKSI 5 AMP BOX 224,369

1062 FARPAIN 30 MG INJEKSI 5 AMP BOX 373,948

1063 FARPAIN TABLET 20'S BOX 249,299

1064 FARPRESIN INJEKSI 5 VIAL@ 1 ML DUS 997,196

1065 FARSIX INJEKSI 5 AMPUL BOX 83,266

1066 FARSIX TABLET 100'S BOX 224,369

1067 FARSORBID 10 TABLET 100'S BOX 99,221

1068 FARSORBID INJ. @ 2 VIAL BOX 299,159

1069 FARSORBID TABLET 100'S BOX 64,818

1070 FARTOLIN EXPECTORANT 100 ML BTL 87,255

1071 FARTOLIN INHALASI 5 ML BTL 39,888

1072 FARTOLIN TABLET 100'S BOX 186,974

1073 FATRAL TABLET 30'S BOX 747,897

1074 FENDEX 25 MG TABLET 30'S BOX 373,948

1075 FENDEX 25 MG TABLET 30'S BOX 373,948

1076 FENDEX 50 MG INJEKSI 5 AMP BOX 436,273

1077 FENDEX INJEKSI 5 AMP BOX 436,273

1078 FIXACEP 200 TABLET 10'S BOX 573,388

1079 FIXACEP DROPS 15 ML BTL 149,579

1080 FIXACEP DS 30 ML BTL 174,509

1081 FLUXUM 3200 IU AXA 6'S BOX 1,196,635

1082 FLUXUM 4250 IU AXA @ 6'S BOX 1,794,952

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 279

Page 308: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1083 FLUXUM 6400 1U AXA BOX 2,617,639

1084 FOSEN 133 ML BTL 199,439

1085 FOSRENOL TABLET 45'S BTL 2,019,321

1086 FUNET TABLET 30'S BOX 314,117

1087 GASFLAT 100'S BOX 299,159

1088 GASTRUL TABLET 30'S BOX 747,897

1089 GATICIN 10'S BOX 498,598

1090 GLUDEPATIC 500 100'S BOX 103,210

1091 GLUTAFIT @10'S DUS 249,299

1092 ICLOFAR KAPLET 30'S BOX 897,476

1093 INDOP INJEKSI 1 VIAL BOX 77,781

1094 INOTROP INJEKSI 10 ML VIA 246,806

1095 INOVAD INJEKSI 1 VIAL BOX 548,458

1096 INPEPSA SUSPENSI 200 ML BTL 186,974

1097 INPEPSA SYRUP 100 ML BTL 119,663

1098 INTERFERON ALFANATIVE INJ 0.5 ML AMP 685,572

1099 INTHESA INJEKSI 5 AMPUL BOX 62,325

1100 INVICLOT INJEKSI 5 ML VIA 149,579

1101 IRBOSYD FILM COATED TABLET 30'S BOX 236,834

1102 IRETENSA 300 TABLET 30'S BOX 822,687

1103 IRETENSA TABLET 30'S BOX 598,317

1104 ISOTEC ADRETOR 0.50 % 5 ML BTL 62,075

1105 ISOTIC ADRETOR 0.25 % 5 ML BTL 54,596

1106 ISOTIC AZORA 5 ML BTL 36,148

1107 ISOTIC BETARACIN 5 ML BTL 99,720

1108 ISOTIC CETRIDE 10 % 5 ML BTL 19,944

1109 ISOTIC CLEARIN 5 ML BTL 21,440

1110 ISOTIC CYCLOMA 1 % 5 ML BTL 22,437

1111 ISOTIC ENPIGI 5 ML BTL 34,902

1112 ISOTIC FRIZIN 5 ML BTL 37,395

1113 ISOTIC IXODINE 5 ML BTL 36,148

1114 ISOTIC NEOLYSON 5 ML BTL 57,837

1115 ISOTIC NEPAFRIN 5 ML BTL 29,916

1116 ISOTIC RENATOR 5 ML BTL 64,818

1117 ISOTIC SALMICOL 0.5 % 5 ML BTL 24,930

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 280

Page 309: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1118 ISOTIC SALMICOL 1 % 5 ML BTL 29,916

1119 ISOTIC TEARIN 5 ML BTL 37,146

1120 ISOTIC TEARIN 5 ML BTL 34,902

1121 ISOTIC TIMACT 0.3 % 5 ML BTL 49,860

1122 ISOTIC TOBRIZON 5 ML BTL 92,241

1123 ISOTIC TOBRYNE 5 ML BTL 64,818

1124 LACTAFAR CAPSUL 30'S BOX 284,201

1125 LAXASIUM SUSPENSI 100 ML BTL 49,860

1126 LIPAGENT TABLET 100'S BOX 299,159

1127 LOVATROL 30'S BOX 623,247

1128 LUPRED TABLET 30'S BOX 149,579

1129 METACOSFAR INJ 1 VIAL @ 100 ML DUS 1,994,392

1130 METACOSFAR INJ 1 VIAL @ 50 ML DUS 997,196

1131 MIOZIDINE TAB. 30'S BOX 224,369

1132 MONECTO 20 TABLET 100'S BOX 598,317

1133 MONECTO 20-TAB 30'S BOX 194,453

1134 MORAXINE 1.0 INJEKSI VIA 74,790

1135 MULAX 10 SACH BOX 112,185

1136 MULAX COCOPANDAN 10 SACH BOX 82,269

1137 MULAX STRAWBERRY 10 SACH BOX 82,269

1138 N-ACE 5 AMPUL BOX 436,273

1139 N-ACE KAPSUL 30'S BOX 149,579

1140 NASAFLAM 100 TAB. 30'S BOX 228,856

1141 NASAFLAM 100 TABLET 100'S BOX 722,967

1142 NASAFLAM 50 TAB. 30'S BOX 136,616

1143 NASAFLAM 50 TABLET 100'S BOX 373,948

1144 NASAFLAM INJEKSI 5 AMPUL BOX 228,358

1145 NEPHROVIT - FE 100'S BOX 299,159

1146 NEUROLIN 250 MG INJ. 5 AMPUL BOX 373,948

1147 NEUROLIN 1000 MG INJ. 2 VIAL BOX 349,019

1148 NEUROLIN 500 MG INJEKSI 5 AMPUL BOX 623,247

1149 NEUROLIN 500 MG TABLET 30'S BOX 747,897

1150 NIRMADIL TABLET 30'S BOX 299,159

1151 NITRISOL 160 GR (VANILA) BOX 109,692

1152 NOKOBA INJEKSI 5 AMPUL BOX 972,266

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 281

Page 310: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1153 OCTIDE 5 AMP BOX 1,869,742

1154 ONETIC 4 INJ. 5 AMP BOX 286,694

1155 ONETIC 4 TABLET 10'S BOX 299,159

1156 ONETIC 8 INJEKSI 5 AMP BOX 436,273

1157 ONETIC 8 TAB. 10'S BOX 324,089

1158 OSTEOFAR TABLET 30'S BOX 486,133

1159 OSTRIOL KAPSUL 30'S BOX 373,948

1160 OXAFLAM TABLET 100'S BOX 648,177

1161 POMIFAR KAPSUL 10X3'S BOX 336,554

1162 PLADOGREL 30'S BOX 897,476

1163 PRABETIC 15 MG TABLET 30'S BOX 373,948

1164 PRABETIC 30 MG TABLET 30'S BOX 523,528

1165 PRALAX SYRUP 100 ML BTL 112,185

1166 PRATOPIL INFUS 60 ML BTL 373,948

1167 PRATROPIL 800 60'S BOX 448,738

1168 PRATROPIL INJEKSI 5 AMPUL BOX 174,509

1169 PRATROPIL KAPSUL 100'S BOX 398,878

1170 PRATROPIL SUSPENSI 100 ML BTL 104,706

1171 PRAZOTEC KAPSUL 20'S BOX 548,458

1172 PREGTENOL TABLET 30'S BOX 246,806

1173 PREGVOMIT TABLET 10X10'S BOX 498,598

1174 PROHEM 5 AMP DUS 124,649

1175 RAPIME INJ.1 GR 1 VIAL VIA 498,598

1176 RAPIME INJEKSI 2 VIAL BOX 1,246,495

1177 REBAL PLUS CAPSUL 100'S BOX 448,738

1178 RECOLFAR TABLET 30'S BOX 321,596

1179 RELIDE 2 MG TABLET 3X10'S BOX 246,806

1180 RELIDE 4 MG TABLET 30'S BOX 376,691

1181 RENABETIC 100'S BOX 104,706

1182 RENABRAZIN TABLET 100'S BOX 847,616

1183 RENACARDON 10 MG 30'S BOX 261,764

1184 RENACARDON 5 MG 30'S BOX 186,974

1185 RENADINAC - 75 INJEKSI 5 AMPUL BOX 246,806

1186 RENADINAC 25 MG EC TABLET 100'S BOX 90,309

1187 RENADINAC 50 MG FC TABLET 100'S BOX 140,405

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 282

Page 311: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1188 RENAGAS TABLET 100'S BOX 211,904

1189 RENALYTE @200ML BTL 34,902

1190 RENALYTE OTC 200 ML BTL 32,409

1191 RENAMID TABLET 100'S BOX 74,790

1192 RENAMOCA CAPSUL 100'S BOX 548,458

1193 RENAMOCA DRY SYRUP 60 ML BTL 34,902

1194 RENAPAR TABLET 100'S BOX 523,528

1195 RENAPEPSA TABLET 20 MG 30'S BOX 274,229

1196 RENAQUIL TABLET 100'S BOX 623,247

1197 RENASISTIN 250 SYRUP 60 ML BTL 162,044

1198 RENASISTIN 500 MG 100'S BOX 1,869,742

1199 RENASISTIN 500 MG CAPS. 30'S BOX 635,712

1200 RENASISTIN DROPS 15 ML BTL 124,649

1201 RENATAC 150 MG 10X10'S BOX 997,196

1202 RENATAC INJEKSI 5 VIAL BOX 224,369

1203 RENATOR 250 MG 30'S BOX 264,257

1204 RENATOR 750 30'S BOX 523,528

1205 RENATOR INFUS 200 ML BTL 373,948

1206 RENATOR TABLET500 MG 30'S BOX 772,827

1207 REPROSTOM 30'S BOX 598,317

1208 RHODIUM TABLET 30'S BOX 411,343

1209 RINDOPUMP IV @ 1 VIAL BOX 224,369

1210 RONEM - 1 INJ. 2 VIAL BOX 1,994,392

1211 RONEM 0.5 GR INJ. 2 VIAL BOX 997,196

1212 RONEM VIAL 1 GR VIA 934,871

1213 SHAROX 500 TABLET 20'S BOX 1,047,056

1214 SHAROX 750 INJ.2 VIAL BOX 324,089

1215 SHAROX 750 INJECTIE VIA 137,114

1216 SIMARC - 2 100'S BOX 340,293

1217 SOJOURN 250 ML BTL 6,481,773

1218 SORJOUN 250 ML BTL 5,609,226

1219 SOTATIC INJEKSI 5 AMPUL BOX 52,851

1220 SOTATIC SYRUP 60 ML BTL 18,697

1221 SOTATIC TABLET 100'S BOX 89,498

1222 STABACTAM INJ. 2 VIAL BOX 847,616

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 283

Page 312: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1223 STABACTAM INJEKSI 1'S BOX 336,554

1224 STABIXIN INJ. 2 VIAL BOX 747,897

1225 STABIXIN INJEKSI 1 VIAL BOX 286,694

1226 STIMULIT 10 MG 50'S BOX 157,058

1227 STIMULIT 5 MG 50'S BOX 186,974

1228 SULFITIS 30'S BOX 311,125

1229 SYSMUCO TAB.30'S BOX 261,764

1230 TENSILO INJ. 1 VIAL BOX 398,878

1231 TERRELL 100 ML BTL 1,296,355

1232 TERRELL 250 ML BTL 3,689,624

1233 TEXORATE 30'S BOX 373,948

1234 TEXORATE TABLET 100'S BOX 349,019

1235 THROMBOFLASH 10 G DUS 69,804

1236 THROMBOFLUSH 20 G DUS 99,720

1237 TIARYT TABLET 30'S BOX 284,201

1238 TIMACT 80 INJEKSI 5 VIAL BOX 99,720

1239 TIOXAD 100'S BOX 1,246,495

1240 TIOXAD INJEKSI 10 AMPUL BOX 398,878

1241 TIVILAC 30'S BTL 82,269

1242 TOBRYNE INJECTIE 6 ML VIA 149,579

1243 TRACETATE SUSPENSI ORAL 200 ML BTL 872,546

1244 TRAMSET 30'S BOX 448,738

1245 TRASIK CAPSUL 50'S BOX 311,624

1246 TRASIK INJEKSI 5 AMPUL BOX 186,974

1247 TRAZEP 2 MG RECTAL 5 MG/ ML 5 TUBE BOX 224,369

1248 TRAZEP 4 MG/ML 5 TUBE BOX 403,864

1249 TYARIT INJEKSI 5 AMPUL BOX 311,624

1250 UMARONE INJEKSI 10 MG @ 1 AMP/ 2ML DUS 436,273

1251 VANCEP INJEKSI 1 VIAL BOX 448,738

1252 VANCEP INJEKSI 2 VIAL BOX 997,196

1253 VASCON INJEKSI 5 AMPUL BOX 1,059,521

1254 VEBAC INJ.1 VIAL 1 GR BOX 448,738

1255 VEBAC INJEKSI 2 VIAL BOX 1,047,056

1256 VENODENOL 3 % 5 AMP BOX 560,923

1257 VIOXY FM KAPLET 30'S BOX 276,722

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 284

Page 313: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1258 VIOXY TABLET 30'S BOX 149,579

1259 VIRAZATEC 200 75'S BTL 560,923

1260 VIRTAZ 200 TABLET 30'S BOX 151,449

1261 VITOP CAPSULE 100'S BOX 747,897

1262 VOPACAIN 0.5 %INJ 2 VIAL @10 ML DUS 249,299

1263 XOLMETRAS 50 1 VIAL @ 50 ML BOX 685,572

1264 XOLMETRAS INJEKSI 350MG L/ML @100 ML DUS 1,271,425

1265 Y - RINS/L 120 ML BTL 57,339

1266 Y LUT 10X10'S BOX 872,546

1267 Y-RINS @120ML DUS 57,339

1268 ZIBAC 1.0 VIA 349,019

1269 ZIFIN TABLET 6 CAPS BOX 149,579

1270 ZOLMIA TABLET 100'S BOX 997,196

1271 ZOLMIA TABLET 30'S BOX 336,554

1272 ASAM TRANEKSAMAT 100 MG/ ML INJ.10 AMP. BOX 157,058

1273 ASAM TRANEKSAMAT 50 MG/ML INJ. 5'S @ 5ML BOX 57,339

1274 CARBAZOCHROME INJ. 10 AMP @ 10 ML DUS 297,164

1275 CEFEPIME INJEKSI 1 G @ 1 VIAL BOX 311,624

1276 CEFOPERAZONE-SULBACTAM INJ. GR @ 1 VIAL DUS 236,834

1277 CEFPIROME INJEKSI 1 G @ 2 VIAL DUS 548,458

1278 CEFTAZIDIME 1 G SERBUK INJ. 1 VIAL @ 1 G BOX 103,459

1279 CEFTIZOXIME INJ. 2 VIAL @ 1 G (OGB) BOX 498,598

1280 CIPROFLOXACIN INFUS 2 MG/ML 100 ML BTL 129,182

1281 CITICOLINE INJ. 125 MG/ML 10 AMP @ 2 ML DUS 324,089

1282 DEXKETOPROFEN TROMETAMOL 25 MG INJ @2ML DUS 286,694

1283 DOBUTAMIN INJ.250 MG/5 ML 1 VIAL DUS 92,490

1284 FLUCONAZOLE INFUS 100 ML (BOTOL) BOX 261,764

1285 KETOPROFEN INJ.100 MG 5 AMP @ 2 ML BOX 64,025

1286 KETOROLAC TROMETHAMINE 10MG INJ 6'S/1 ML BOX 101,986

1287 KETOROLAC TROMETHAMINE 30MG INJ 6'S/1 ML BOX 181,739

1288 LEVOFLOXACIN INFUS 100 ML BTL 199,439

1289 MECOBALAMINE 0.5 MG INJ 10'S @ 1 ML(OGB) BOX 199,439

1290 MEROPENEM INJEKSI 1 G @ 10 VIAL BOX 4,985,979

1291 MEROPENEM INJEKSI 1 GR @ 1 VIAL BOX 498,598

1292 METRONIDAZOLE INFUS 100 ML BTL 90,246

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 285

Page 314: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1293 NIMODIPINE 40 MG IV INFUS BTL 436,273

1294 NOTRIXUM 2.5 ML INJEKSI 5 AMP MK BOX 177,478

1295 OMEPRAZOLE 40 MG DRY INJ.+ PELARUT BOX 124,649

1296 ONDANSETRON 4 MG INJ. 5'S @ 2 ML (OGB) BOX 87,255

1297 ONDANSETRON 8 MG INJ. 5'S @ 4 ML (OGB) BOX 209,411

1298 PANTOPRAZOLE SODIUM INJ.40 MG @ 1 VIAL DUS 147,086

1299 PARACETAMOL 1000 MG INFUS 100 ML DUS 105,952

1300 PHENYTOIN SOD.50 MG/ML INJ 10 AMP-2 ML DUS 810,222

1301 PIRACETAM 1 G/5 ML INJ.12'S @ 5 ML (OGB) BOX 179,495

1302 PIRACETAM 3 G/15 ML INJ 4'S @15 ML (OGB) BOX 186,974

1303 PIRACETAM INFUS 60 ML BTL 174,509

1304 RANITIDIN 25 MG/ML INJ. 10'S @ 2 ML(OGB) BOX 78,529

1305 TRAMADOL INJ 100 MG/2 ML 5'S @ 2 ML(GEN) BOX 72,546

1306 ZYFORT INJEKSI 3 ML @ 20 AMP DUS 286,694

1307 ADRICIN 10 MG @ 1 VIAL BOX 373,948

1308 ADRICIN 50 MG @ 1 VIAL BOX 1,495,794

1309 CYCLOVID 1000 MG DRY INJ. @ 1VIAL BOX 1,121,845

1310 CYCLOVID 200 MG DRY INJ. @ 1 VIAL BOX 299,159

1311 CYCLOVID 500 MG DRY INJ. @ 1 VIAL BOX 747,897

1312 DAUNOCIN 20 MG @ 1 VIAL BOX 1,047,056

1313 DIALIFER 5 AMP @ 5 ML BOX 1,227,797

1314 EPOTREX-NP 10.000 IU @ 1 VIAL BOX 1,994,392

1315 EPOTREX-NP 2000 IU @ 1 SYRINGE BOX 523,528

1316 EPOTREX-NP 2000 IU 1 SYRINGE SYG 585,853

1317 EPOTREX-NP 4000 IU @ 1 SYRINGE BOX 904,955

1318 EPOTREX-NP 4000 IU 1 SYRINGE SYG 1,047,056

1319 ETOPUL 20 MG/ML INJ. @ 5 AMP BOX 1,620,443

1320 FLUXAR INFUS @ 1 FLASH BOX 373,948

1321 FOPEBAC SERBUK INJEKSI 1 GR@1 VIAL BOX 373,948

1322 IMICLAST 500 MG @ 1 VIAL BOX 685,572

1323 NOVELL-LEUKOKINE VIA IMPORT @ 1 VIAL BOX 2,119,041

1324 NUTROCID @ 1 SACHET SCH 124,649

1325 ORNISPAR INJ. @ 5 AMP BOX 872,546

1326 PANVELL @ 1 VIAL BOX 311,624

1327 PANVELL 40 MG TABLET 1X10'S DUS 336,554

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 286

Page 315: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1328 REPIMIDE 100 MG TABLET SALUT 10X10'S DUS 498,598

1329 SETROVEL 5 MG/5 ML INJ. @ 10 AMP BOX 1,246,495

1330 SOMANOVELL DRY INJ. @ 1 VIAL BOX 2,094,111

1331 UNISTIN 10 MG/20 ML INJ. @ 1 VIAL BOX 149,579

1332 UNISTIN 50 MG/5 ML INJ. @ 1 VIAL BOX 623,247

1333 CARE PLUS BABY FRESH 15 ML BTL 31,661

1334 CARE PLUS BABY FRESH 50 ML BTL 64,818

1335 COOLING 5 COOL MINT 15 ML BTL 56,092

1336 EFISOL LIQUID 10 ML BTL 51,356

1337 EFISOL LOZENGES 2X10'S BOX 45,622

1338 ENATIN SOFT CAPSUL 50'S BTL 153,817

1339 ENATIN SOFT KAPSUL 2X9'S BOX 59,209

1340 KOLDEX BF SIRUP 60 ML BTL 56,092

1341 MIPI CLASSIC 100 ML BTL 72,047

1342 MIPI CLASSIC 30 ML BTL 31,661

1343 MIPI CLASSIC 60 ML BTL 52,228

1344 MIPI CLASSIC 60 ML BD ALAT KERIK BTL 45,746

1345 MIPI HOT 60 ML BTL 68,308

1346 MIPI LAVENDER 100 ML BTL 95,980

1347 MIPI LAVENDER 60 ML BTL 65,316

1348 MIPI ROLL ON AROMATH. ORANGE LEMON 10 ML BTL 36,647

1349 MIPI ROLL ON AROMATHERAPY G.TEA 10 ML BTL 36,647

1350 MIPI ROLL ON AROMATHERAPY JASMINE 10 ML BTL 36,647

1351 MIPI ROLL ON CLASSIC 10 ML BTL 34,154

1352 MIPI SACHET 5 ML 12 SCH (BOX) BOX 42,381

1353 MIPI SACHET 5 ML 5 'S (HANGER) HGR 24,431

1354 PHAROLIT 200 @ 60 SACHET BOX 149,579

1355 PHAROLIT JERUK 60 SACHET BOX 149,579

1356 ACYFOTE KAPLET 3X10'S BOX 299,159

1357 ARDIVIT PL 3X10'S BOX 131,630

1358 AZTERCON 500 MG KAP TABLET SALUT 3X10'S DUS 1,308,819

1359 CEFOVELL INJEKSI 1 VIAL BOX 344,033

1360 CLOPRAMEL INEKSI 5 AMPUL @ 2 ML BOX 94,235

1361 CLOPRAMEL TABLET 10X10'S BOX 134,621

1362 DESTAVELL 5 MG TABLET SALUT BOX 336,554

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 287

Page 316: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1363 FENAVEL INJEKSI 5 AMPUL @ 3 ML BOX 162,044

1364 FENAVEL TABLET 5X10'S BOX 149,579

1365 FOLERIN TABLET 3X10'S BOX 241,820

1366 HERAX 200 MG TABLET 3X10'S BOX 94,734

1367 HERAX 400 MG TABLET 3X10'S BOX 168,775

1368 IMUNAL PLUS KAPSUL 3X10'S BOX 411,343

1369 IMUNAL PLUS SYRUP STRAWBERRY 60 ML BTL 114,678

1370 LACTERCON 40 SACHET BOX 329,075

1371 LAZAFIN 500 MG TABLET 3X10'S BOX 411,343

1372 LIPIROL KAPSUL 10X10'S BOX 685,572

1373 LIVAPRO SS KAPSUL LUNAK 5X10'S BOX 822,687

1374 LIVAPRO SS SOFT CAPSULE 5X10'S DUS 822,687

1375 LOXIPAZ 1 MG TABLET 3X10'S BOX 112,185

1376 LOXIPAZ 2 MG TABLET 3X10'S BOX 209,411

1377 MECLOVEL SYRUP 60 ML BTL 79,776

1378 MECLOVEL TABLET 50'S BTL 180,742

1379 MINOWELL 10 SACHET BOX 448,738

1380 MONELL TABLET 5X10'S BOX 523,528

1381 MYLLACID SUSPENSI 60 ML BTL 23,683

1382 MYLLACID TABLET 10X10'S BOX 124,649

1383 NIXAVEN 100 KAPSUL 3 X 10'S DUS 1,096,915

1384 NIXAVEN 200 KAPSUL 1 X 10'S DUS 538,860

1385 NORMOTIL 2 MG TABLET 6X10'S BOX 199,439

1386 NOVEPIDE 100 MG TAB.SALUT SELAPUT 3X10'S DUS 264,257

1387 NOVESTROL 125 MG INJ.@ 1 VIAL BOX 157,058

1388 NOVESTROL 16 MG TABLET 5X10'S BOX 679,340

1389 NOVESTROL 4 MG TABLET 5X10'S BOX 324,089

1390 OMEVELL 20 MG 3X10'S BOX 872,546

1391 PEPTOVELL 200 ML DUS 179,495

1392 PRAGESOL INJEKSI 10 AMP @ 2 ML BOX 224,369

1393 PYREX 60 ML/0.6 ML DROP 15 ML BTL 57,339

1394 PYREX SYRUP 120 MG/5 ML 60 ML BTL 37,395

1395 PYREX TABLET 20X10'S BOX 226,862

1396 RANIVEL 150 MG FILCOTAB 3X10'S BOX 381,427

1397 RANIVEL 25 MG/ML INJ. 5 AMP @ 2 ML BOX 231,848

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 288

Page 317: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1398 TRILAC SALEP 5 GRAM DUS 89,748

1399 TUSSIGON 100/100 ML BTL 63,571

1400 TUSSIGON 60/60 ML BTL 48,613

1401 VELTADIM 1 GR @ 1 VIAL DUS 393,892

1402 XENOPROM 1 VIAL @ 1 GR DUS 722,967

1403 ZELAVEL 200 MG TABLET 3X10'S BOX 538,984

1404 ZELAVEL 400 MG TABLET 3X10'S BOX 1,027,610

1405 ZELAVEL INF. 1 VIAL @ 1 GR DUS 293,176

1406 ZOTIC KAPLET 3X10'S BOX 438,766

1407 NOVERTY TABLET 3X10'S BOX 65,441

1408 ALISTA TABLET 10X10'S BOX 1,495,794

1409 AMLOCOR 10 MG TABLET 3X10'S BOX 673,107

1410 AMLOCOR 5 MG TABLET 3X10'S BOX 373,948

1411 BISOVELL TABLET 3X10'S BOX 373,948

1412 CHOLINAAR 250 MG/2 ML AMP BOX 797,757

1413 CHOLINAAR 500 MG KAPSUL 3X10'S BOX 766,594

1414 CHOLINAAR 500 MG/4 ML AMP BOX 685,572

1415 ELOVESS SOFTGEL 3X10'S BOX 205,672

1416 ESTALIN 1 MG TABLET 3X10'S BOX 194,453

1417 ESTALIN 2 MG TABLET 3X10'S BOX 299,159

1418 IRVELL 150 MG TABLET 2X10'S BOX 398,878

1419 IRVELL 300 MG TABLET 2X10'S BOX 548,458

1420 LANVELL 30 MG TABLET 2X10'S BOX 573,388

1421 LEVORES 250 MG TABLET 1X10'S BOX 324,089

1422 LEVORES 500 MG TABLET 1X10'S BOX 747,897

1423 LEVORES INFUSION 100 ML/VIAL BTL 498,598

1424 MECONEURO 500 MG INJ. 10 AMP BOX 498,598

1425 MECONEURO 500 MG KAPSUL 10X10'S BOX 498,598

1426 METPHAR TABLET SALUT 10X10'S BOX 199,439

1427 NOSPIRINAL TABLET 5X10'S DUS 74,790

1428 NOVALES 10 MG TABLET 3X10'S BOX 747,897

1429 NOVALES 20 MG TABLET 3X10'S BOX 1,196,635

1430 NOVOSTA 3 X 5 PASANG TABLET BOX 598,317

1431 PRORENAL TABLET SALUT FILM 10X10'S BOX 1,495,794

1432 PROTEMUN KAPSUL 3X10'S DUS 448,738

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 289

Page 318: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1433 Q TEN 100 MG SOFTGEL KAPSUL 30'S BTL 747,897

1434 Q TEN 30 MG SOFGEL KAPSUL 30'S BTL 392,646

1435 Q TEN 60 MG SOFTGEL KAPSUL 30'S BTL 523,528

1436 Q TEN COM KAPLET 30'S BTL 598,317

1437 REMOVCHOL 20 MG TAB.SALUT SELAPUT 3X10'S DUS 822,687

1438 REMOVCHOL 40 MG TAB.SALUT SELAPUT 3X10'S DUS 822,687

1439 REXIDRON TABLET 3X10'S DUS 299,159

1440 ROXEMID INJ. 5 AMP BOX 112,185

1441 RYVEL 10 MG TABLET 30'S BOX 299,159

1442 RYVEL PLUS TABLET SR 3X10'S DUS 261,764

1443 VOSTRIN KAPSUL 2X10'S BOX 186,974

1444 ZITANID 2 MG TABLET 3X10'S BOX 411,343

1445 ZYPARON FILCOCAP 10X10'S BOX 224,369

1446 CLAXY 500 KAPLET SALUT SELAPUT 15'S BOX 361,483

1447 EAZYCAL KAPLET 5X6'S BOX 336,554

1448 LACTAMAM KAPLET 6X10'S BOX 411,343

1449 METVELL 0.125 MG TABLET 30'S BOX 185,104

1450 METVELL 0.2 MG INJ. 10 AMP @ 1 ML BOX 215,020

1451 NAZOVEL 100 MG INJEKSI 5 AMPUL BOX 226,862

1452 NAZOVEL SUPPOSITORIA 5'S BOX 185,104

1453 NAZOVEL TABLET 3X10'S BOX 317,856

1454 NOPROSTOL KAPSUL 5X10'S BOX 1,230,290

1455 NOVELL SMOOTHING CREAM 28.4 GR TUB 548,458

1456 ONDAVELL 4 MG TABLET 12'S BOX 508,570

1457 PROLACTA DHA FOR MOTHER 6X10'S BOX 673,107

1458 VENOZOL 1 GRAM INJEKSI @ 1 VIAL BOX 112,185

1459 VIPRAM 500 MG KAPLET 5X10'S BOX 373,948

1460 VITAMAM 1 KAPSUL VITAMIN 3X10'S BOX 186,974

1461 VITAMAM 2 KAP.VITAMIN + 1 KAP.FE 4X7'S BOX 186,974

1462 VITAMAM 3 KAP.VITAMIN + 1 KAP. FE 4X7'S BOX 199,439

1463 ZOMIVIT TABLET 3X10'S BOX 149,579

1464 ACETYLCYSTEINE KAPSUL 10X10'S (OGB) BOX 249,299

1465 ACYCLOVIR 200 MG TABLET 5X10'S (OGB) BOX 60,455

1466 ACYCLOVIR 400 MG TABLET 5X10'S (OGB) BOX 71,447

1467 AMBROXOL 30 MG TABLET 10X10'S (OGB) BOX 47,865

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 290

Page 319: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1468 AMLODIPINE 10 MG TABLET 3X10'S (OGB) BOX 115,131

1469 AMLODIPINE 5 MG TABLET 3X10'S (OGB) BOX 65,271

1470 ATORVASTATIN 20 MG CAL.TAB 3 X10'S (OGB) BOX 299,159

1471 ATORVASTATIN 40 MG CAL.TAB 3 X10'S (OGB) BOX 299,159

1472 AZITHROMYCIN 500 MG KAP SAL 3X10'S (OGB) DUS 673,107

1473 BETAHISTINE 6 MG TABLET 3X10'S (OGB) BOX 62,823

1474 BISACODYL 5 MG TABLET S.E 3X10'S (OGB) BOX 25,428

1475 BISOPROLOL 5 MG TABLET 10X10'S (OGB) BOX 526,173

1476 CANDESARTAN CILEXETIL 16 MG 3X10'S(OGB) DUS 486,133

1477 CANDESARTAN CILEXETIL 8 MG 3X10'S OGB DUS 336,554

1478 CEFADROXIL DS 250 MG/5 ML 60 ML (OGB) BOX 44,874

1479 CEFIXIME 200 MG KAPSUL 5X10'S (OGB) BOX 457,047

1480 CEFIXIME 100 MG KAPSUL 5X10'S (OGB) BOX 271,349

1481 CEFIXIME DRY SYRUP 30 ML (OGB) BOX 68,557

1482 CETIRIZINE 10 MG TABLET 5X10'S (OGB) BOX 35,525

1483 CIPROFLOXACIN 500 MG CAPL 10X10'S (OGB) BOX 151,137

1484 CITICOLINE 1000 MG KAPLET 3X10'S (OGB) DUS 654,410

1485 CITICOLINE 500 MG KAPLET 3X10'S (OGB) DUS 448,738

1486 CLINDAMYCIN 150 MG CAPSUL 5X10'S (OGB) BOX 90,246

1487 CLINDAMYCIN 300 MG CAPSUL 5X10'S (OGB) BOX 155,862

1488 CLOMIFENE 50 MG 3X10'S TABLET (OGB) DUS 431,910

1489 DOMPERIDONE 10 MG TABLET 5X10'S (OGB) BOX 45,737

1490 DONEPEZIL HCL 5 MG TABLET 3X10'S (OGB) DUS 448,738

1491 EPERISONE HCL 50 MG TABLET 10X10'S (OGB) DUS 349,019

1492 ERDOSTEIN DRY SYRUP 175 MG/5 ML@60ML(OGB DUS 69,804

1493 ERDOSTEIN KAPSUL 300 MG 2X10'S (OGB) DUS 134,621

1494 GABAPENTIN 300 MG KAPS. 10X10'S (OGB) BOX 1,099,408

1495 GLIMEPIRIDE 3 MG TAB 5X10'S (OGB) DUS 221,477

1496 IRBESARTAN 150 MG 2X10'S(OGB) DUS 89,000

1497 IRBESARTAN 300 MG 2X10'S(OGB) DUS 172,266

1498 KETOKONAZOLE KRIM 2 % 15 GR TUB 15,865

1499 KETOPROFEN 100 MG TABLET 10X10'S (OGB) BOX 305,958

1500 KETOPROFEN 50 MG TABLET 10X10'S (OGB) BOX 159,551

1501 KETOROLAC 10 MG TABLET 10X10'S (OGB) BOX 715,488

1502 LANSOPRAZOLE 30 MG CAP.2X10'S (OGB)-ETER BOX 61,253

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 291

Page 320: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1503 LEVOFLOXACIN 500 MG TAB 5X10'S (OGB) BOX 130,732

1504 LISINOPRIL 10 MG TABLET 3X10'S (OGB) DUS 41,134

1505 LISINOPRIL 5 MG TABLET 3X10'S (OGB) DUS 23,933

1506 LORATADINE 10 MG TAB.5X10'S(OGB)-ETERCON BOX 37,744

1507 LOSARTAN K 50 MG TABLET 3X10'S (OGB) BOX 314,117

1508 MECOBALAMINE 250 MCG CAPS 10X10'S (OGB) BOX 130,882

1509 MECOBALAMINE 500 MCG CAPS 10X10'S (OGB) BOX 174,509

1510 MELOXICAM 15 MG TAB.5X10'S (OGB)-ETERCON BOX 135,868

1511 MELOXICAM 7.5 MG TAB.5X10'S(OGB)-ETERCON BOX 78,405

1512 METHYLPREDNOSOLONE 16MG TAB 10X10'S(OGB) BOX 234,568

1513 METHYLPREDNOSOLONE 4MG TAB 10X10'S (OGB) BOX 99,844

1514 METHYLPREDNOSOLONE 8MG TAB 10X10'S (OGB) BOX 132,582

1515 MUPIROCIN SALEP OINTMENT 2% (OGB) TUB 62,325

1516 NATRIUM DICLOFENAC 50 MG TAB 5X10'S(OGB) BOX 30,836

1517 OFLOXACIN 200 MG TABLET 5X10'S (OGB) BOX 66,870

1518 OFLOXACIN 400 MG TABLET 5X10'S (OGB) BOX 98,926

1519 OMEPRAZOLE 20 MG CAPSUL 3X10'S (OGB) BOX 27,763

1520 ONDANSETRON 4 MG TABLET 2X6'S (OGB) BOX 41,882

1521 ONDANSETRON 8 MG TABLET 2X6'S (OGB) BOX 68,807

1522 PIRACETAM 1200 MG TABLET 10X10'S (OGB) BOX 293,176

1523 PIRACETAM 1200 MG TABLET 10X10'S(OGB) BOX 293,176

1524 PIRACETAM 800 MG CAPLET 10X6'S (OGB) BOX 109,193

1525 PIROXICAM 10 MG TAB.10O'S (OGB) ETERCON BOX 26,650

1526 PRAVASTATIN 20 MG TABLET 5X10'S (OGB) BOX 317,856

1527 PRAVASTATIN 20 MG TABLET 5X10'S (OGB) BOX 317,856

1528 RAMIPRIL 10 MG TABLET 3X10'S (OGB) DUS 76,061

1529 RAMIPRIL 5 MG TABLET 10X10'S (OGB) DUS 143,913

1530 REBAMIPIDE 100 MG TAB.S S 10X10'S (OGB) BOX 473,668

1531 SILDENAFIL CITR. 50 MG TAB.S S 4'S (OGB) BOX 279,215

1532 SILDENAFIL CITR.100 MG TAB.S S 4'S (OGB) BOX 436,273

1533 SIMVASTATIN 10 MG TABLET 3X10'S (OGB) BOX 34,879

1534 SPIRAMYCIN 500 MG TABLET 5X10'S (OGB) BOX 234,341

1535 SUCRALFATE 500 MG SUSPENSI @200 ML(OGB) DUS 164,537

1536 TRIAMCINOLONE 4 MG TABLET 10X10'S (OGB) BOX 180,617

1537 TRIAMCINOLONE CREAM 0.1 % 5 GR (OGB) TUB 52,946

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 292

Page 321: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1538 TRIMETAZIDIN HCL 35 MG TABLET 3X10'S (OGB) DUS 157,058

1539 URSODEOXYCHOLIC ACID 250 MG 3X10'S (OGB) DUS 314,117

1540 VALPROIC ACID SYRUP 250 MG/5ML @60ML (OGB) DUS 104,706

1541 OXYVELL KAPSUL 5X6'S BOX 336,554

1542 OXYLA INJ.10 AMP @ 1 ML BOX 286,694

1543 ATAROC 25 MG TABLET 10X10'S BOX 498,598

1544 ATAROC SYRUP 60 ML BTL 112,185

1545 BREATHY 0.9 % ND 30 ML BTL 43,627

1546 CONSTANTIA 12 ML DUS 74,792

1547 DEHIDRALYTE 200 ML BTL 37,395

1548 IPROX SUSPENSI (STRAWBERRY) FLA 112,185

1549 ISPRINOL 500 MG TABLET 2X4'S BOX 162,044

1550 ISPRINOL SYRUP 60 ML BTL 186,974

1551 LACTO-B 4X10 SACHET BOX 473,668

1552 MONELL DROP 10 ML BTL 105,952

1553 MONELL SUSPENSI 60 ML BTL 105,952

1554 NIXAVEN DS 100 MG/5 ML 30 ML DUS 186,974

1555 OREZINC SYRUP 60 ML BTL 75,318

1556 PROLACTA DHA FOR BABY 5X10'S BOX 598,317

1557 RANIVEL D.SYRUP 60 ML BTL 130,882

1558 RYVEL DROP 10 ML BTL 124,649

1559 RYVEL SYRUP 60 ML BTL 124,649

1560 SEQUEST @ 20 SCH BOX 934,871

1561 TRILAC TABLET 3X10'S BOX 261,764

1562 TROMBUFIT @ 6 SACHET BOX 74,790

1563 VAPORIN 1 BLISTER @ 10 SOFTGEL BOX 102,213

1564 VELLEPSY SYRUP 120 ML BTL 186,974

1565 VELUTINE SALBUTAMOL NEBULE SOL 2.5 MG DUS 174,509

1566 VOSTRIN DRY SYRUP 60 ML BTL 93,487

1567 ZAMEL DROP 16 ML BTL 74,790

1568 ZAMEL SYRUP 60 ML BTL 74,790

1569 CEFTIZ 1 GR @ 2 VIAL BOX 922,406

1570 CEROPID 1 GR 2 VIAL BOX 747,897

1571 CIVELL 500 MG CAPLET 30'S BOX 822,687

1572 CIVELL INFUS 200 MG/100 ML BOX 473,668

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 293

Page 322: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1573 DOBUTEL 50 MG INJ. 1 VIAL @ 5 ML BOX 358,367

1574 FOSULAR 500 MG @ 1 VIAL BOX 448,738

1575 IG VENA NIV 2.5 GR INFUS BOX 8,102,216

1576 MILOZ 15 MG @ 5 AMP BOX 560,923

1577 MILOZ 5 MG 10 AMP BOX 498,598

1578 N-EPI 4 MG INJ. 5 AMP BOX 1,121,845

1579 NOTRIXUM 25 MG 5 AMP BOX 498,598

1580 NOTRIXUM 50 MG 5 AMP BOX 860,081

1581 NOVELLMYCIN 1 GR @ 1 VIAL BOX 199,439

1582 NOVELLMYCIN 2 GR @ 1 VIAL BOX 336,554

1583 NOVERON 50 MG 12 VIAL BOX 2,632,597

1584 NUPOVEL INJEKSI 20 MG/ ML @ 5 VIAL DUS 1,059,521

1585 OMEVELL INJEKSI 40 MG @ 1 VIAL DUS 274,852

1586 ONDAVELL 4 MG/2 ML INJ. 5 AMP BOX 361,483

1587 ONDAVELL 8 MG TABLET 12'S BOX 523,528

1588 ONDAVELL 8 MG/4 ML INJ.5 AMP BOX 685,572

1589 PHANEM 1 GR @ 1 VIAL BOX 972,266

1590 POSTOVIT TABLET 5X10'S BOX 336,554

1591 PYREX INFUS 1 G 100 ML BOX 162,044

1592 REGIVELL 20 MG 5 AMP BOX 685,572

1593 ROBUMIN 20 % INFUS 20 GR/100 ML BOX 4,113,433

1594 SAFOL 1 % 200 MG 5 AMP BOX 1,059,521

1595 VELAZOL 500 MG INFUS 100 ML BOX 162,044

1596 VELCHROME INJ.25MG/5 ML 10 AMP BOX 324,089

1597 VELLIOS 20 MG 5 AMP BOX 155,812

1598 XEVOLAC 10 MG TABLET 20'S BOX 299,159

1599 XEVOLAC INJ. 30 MG 6 AMP BOX 493,612

1600 ALOVELL 10 MG TABLET 30'S BOX 684,326

1601 ALOVELL 70 MG TABLET 4'S BOX 912,434

1602 ASTATIN SOFTGEL 20'S BOX 314,117

1603 BARZEPIN 300 MG TABLET 30'S BOX 549,704

1604 BARZEPIN 600 MG TABLET 30'S BOX 1,017,140

1605 CALOMA PLUS SOFTGEL 60'S BOX 329,075

1606 CEFRIEX 1 GR @ 1 VIAL BOX 466,189

1607 EPIVEN KAPSUL 30'S BOX 665,628

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 294

Page 323: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1608 EPOCALDI SOFTGEL 30'S BOX 276,722

1609 FLEXAMINE CREAM 15 GR BOX 87,255

1610 FLEXAMINE CREAM 30 GR BOX 162,044

1611 FLUXAR 150 MG TABLET 5'S BOX 685,572

1612 FRIXITAS 0.25 MG TABLET 60'S BOX 198,193

1613 FRIXITAS 0.50 MG TABLET 60'S BOX 314,117

1614 FRIXITAS 1.00 MG TABLET 60'S BOX 493,612

1615 NOPRENIA 1 MG TABLET 30'S BOX 329,075

1616 NOPRENIA 2 MG TABLET 30'S BOX 508,570

1617 NOPRENIA 3 MG TABLET 30'S BOX 822,687

1618 NOVEXIB 200 MG KAPSUL 3X10'S BOX 598,317

1619 NOXETINE 20 MG TABLET 20'S BOX 286,694

1620 OSFLEX 25 MG 1 SYRINGE @ 2.5 ML BOX 1,071,985

1621 OSFLEX 25 MG 5 SYRINGE @ 2.5 ML BOX 5,235,278

1622 OSMETIN ZUPER 10 SCH LIQ. BOX 486,133

1623 OSTOBON 30 SCH POWDER BOX 355,251

1624 OSTOBON KAPLET SALUT SELAPUT 5X6'S DUS 355,251

1625 OSTOGARD 5X6'S SALUT SELAPUT DUS 448,738

1626 OSTOVELL SOFTGEL 30'S BOX 471,175

1627 PINFETIL 50 MG TABLET 30'S BOX 710,502

1628 PROTERINE INJ. 5 AMP @ 20 ML BOX 236,834

1629 PROTERINE TABLET 30'S BOX 336,554

1630 RIZONAX 50 MG TABLET 30'S BOX 299,159

1631 SERNADE 50 MG TABLET 30'S BOX 860,081

1632 TEOROL KAPSUL LUNAK 3X10'S BOX 134,621

1633 TRILAC IA/ID 10 MG/ML @ 1 VIAL BOX 235,588

1634 TRILAC IM 40 MG/ML @ 1 VIAL BOX 209,411

1635 VELCOX INJ.15 MG/1.5 ML 5 AMPUL BOX 342,786

1636 VELCOX ODT 15 MG TABLET 20'S BOX 443,752

1637 VELCOX ODT 7.5 MG TABLET 20'S BOX 249,299

1638 AKURAT STP 20,567

1639 OVUTEST STP 46,120

1640 SENSITIF COMPACT PAC 74,790

1641 SENSITIF STRIP STP 45,248

1642 SENSITIF UC PAC 54,846

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 295

Page 324: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1643 AB-VASK 10 - TABLET 30'S BOX 658,149

1644 AB-VASK 5 - TABLET 30'S BOX 373,948

1645 ACLAM - 500 KAPLET SALUT SELAPUT 15'S BTL 448,738

1646 ACLAM DRY SYRUP 60 ML BTL 129,635

1647 ACLAM FORTE DRY SYRUP 60 ML BTL 179,495

1648 ALEGI - KAPLET 100'S BOX 299,159

1649 AMADIAB 1 - KAPLET 50'S BOX 261,764

1650 AMADIAB 2 - KAPLET 50'S BOX 467,436

1651 AMADIAB 3 - KAPLET 50'S BOX 623,247

1652 AMADIAB 4 - KAPLET 50'S BOX 760,362

1653 ANALTRAM KAPLET SALUT SELAPUT 3X10'S DUS 523,528

1654 APIALYS - DROP 10 ML BTL 74,790

1655 APIALYS - SIRUP 100 ML BTL 62,325

1656 AVOGIN KAPLET SALUT SELAPUT 30'S BOX 186,974

1657 BESTALIN - TABLET 25 MG 100'S BOX 772,827

1658 BESTALIN - SIRUP 100 ML BTL 84,762

1659 BIOSTRUM SYRUP 100 ML BTL 99,720

1660 CAL-95-KAPLET SALUT SELAPUT 30'S BOX 299,159

1661 CEBACTAM INJEKSI 1 GRAM @ 1 VIAL DUS 411,343

1662 CEFILA 100 - KAPSUL 30'S BOX 1,234,030

1663 CEFILA 200 - KAPSUL 10'S BOX 623,247

1664 CEFILA 50 - KAPSUL 30'S BOX 617,015

1665 CEFILA DRY - SYRUP 30 ML BTL 186,974

1666 CEFIM INJEKSI VIAL @ 1 G VIA 436,273

1667 CEFXON INJEKSI VIAL @ 1 G VIA 473,668

1668 CEPRAZ INJEKSI VIAL @ 1 G DUS 324,089

1669 CIFLON KAPLET 30'S BOX 486,133

1670 CLARIHIS - KAPLET 10 MG 30'S BOX 317,856

1671 CLINMAS - KAPSUL 150 MG 30'S BOX 261,764

1672 CLINMAS - KAPSUL 300 MG 30'S BOX 471,175

1673 CRAVOX 500 - TABLET SALUT SELAPUT 10'S BOX 797,757

1674 CRAVOX 250 - TABLET SALUT SELAPUT 10'S BOX 448,738

1675 CRAVOX 500 MG/100 ML INFUS I.V BTL 548,458

1676 CRAVOX 750 MG/150 ML I.V @ 1 VIAL BOX 722,967

1677 CYLAT - KAPLET 4 MG 100'S BOX 37,395

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 296

Page 325: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1678 DESDIN SYRUP @ 60 ML DUS 162,044

1679 DIADIUM - TABLET 2 MG 100'S BOX 249,299

1680 DOM - TABLET SALUT SELAPUT 10 MG 30'S BOX 224,369

1681 DOM 5 MG SUSPENSI 60 ML BTL 87,255

1682 FLORAGYN KAPSUL 3X10'S BOX 673,107

1683 FORINFEC - GARGLE 1 % 200 ML BTL 43,627

1684 FOURCEF 1 GR INJEKSI @ 1 VIAL DUS 623,247

1685 GENOCLOM - TABLET 50 MG 20'S BOX 548,458

1686 HEPATIN - KAPLET SALUT SELAPUT 30'S BOX 314,117

1687 IMUNOS - KAPLET SALUT SELAPUT 20'S BOX 289,187

1688 IMUNOS PLUS KAPLET SALUT SELAPUT 5X4'S DUS 388,906

1689 IMUNOS PLUS SIRUP 60 ML BTL 194,453

1690 IMUNOS SYRUP 60 ML BTL 137,114

1691 ITZOL - KAPSUL 100 MG 12'S BOX 553,444

1692 LACEDIM INJEKSI VIAL @ 1 G VIA 493,612

1693 LACOLDIN - SIRUP 60 ML BTL 37,395

1694 LACOLDIN - TABLET 100'S BOX 274,229

1695 LACOPHEN - DRY SIRUP 125 MG/60 ML BTL 49,860

1696 LACOPHEN - KAPSUL 500 MG 100'S BOX 822,687

1697 LACTOPAIN IV/IM 5 AMP @ 1 ML BOX 398,878

1698 LACTRIN KAPSUL 2X10'S DUS 186,974

1699 LAFLANAC - TABLET 25 MG 100'S BOX 274,229

1700 LAGESIL - TABLET 100'S BOX 174,509

1701 LAGESIL SUSPENSI 170 ML BTL 89,748

1702 LAMESON 16 - TABLET 100'S BOX 1,745,093

1703 LAMESON 4- KAPLET 100'S BOX 735,432

1704 LAMESON 8 - KAPLET 100'S BOX 1,146,775

1705 LAMESON INJEKSI 125 MG IV/IM @ 1 VIAL BOX 209,411

1706 LAPIBAL 250 - KAPSUL 100'S BOX 299,159

1707 LAPIBAL 500 - KAPSUL 100'S BOX 461,203

1708 LAPIBAL INJEKSI 5 VIAL BOX 249,299

1709 LAPIBION -TABLET 100'S BOX 324,089

1710 LAPIBROZ 600 - KAPLET 30'S BOX 269,243

1711 LAPICEF 125 MG/5 ML SYRUP KERING 60 ML BTL 99,720

1712 LAPICEF 250 - KAPSUL 100'S BOX 897,476

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 297

Page 326: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1713 LAPICEF 250 MG/5 ML SIRUP KERING 60 ML BTL 162,044

1714 LAPICEF 500 - KAPSUL 100'S BOX 2,293,550

1715 LAPIFED - SIRUP 60 ML BTL 46,120

1716 LAPIFED - TABLET 100'S BOX 461,203

1717 LAPIFED DM - SIRUP 100 ML BTL 57,339

1718 LAPIFED EXP - SIRUP 60 ML BTL 47,367

1719 LAPIFLOX 250 -TABLET 30'S BOX 373,948

1720 LAPIFLOX 500 - KAPLET 30'S BOX 897,476

1721 LAPIKOT FORTE - KAPLET 100'S BOX 324,089

1722 LAPIMOX 125 MG/5 ML DRY SYRUP 60 ML FLS 49,860

1723 LAPIMOX 250 MG/5 ML DRY SYRUP 60 ML FLS 74,790

1724 LAPIMOX 500 - KAPLET 100'S BOX 598,317

1725 LAPIMUC - TABLET 100'S BOX 174,509

1726 LAPIROM INJEKSI 1 G @ 1 VIAL DUS 623,247

1727 LAPISIV - SIRUP 100 ML BTL 39,888

1728 LAPISIV T-TABLET 100'S BOX 199,439

1729 LAPISTAN - KAPLET 500 MG 100'S BOX 274,229

1730 LAPIXIME INJEKSI VIAL @ 1 G VIA 324,089

1731 LAPROSIN SYRUP 60 ML BTL 162,044

1732 LAPROSIN TABLET 2X4'S BOX 169,523

1733 LASAL - SIRUP 100 ML BTL 54,846

1734 LASAL 2 - KAPSUL 100'S BOX 261,764

1735 LASAL 4 - KAPSUL 100'S BOX 349,019

1736 LASAL EXP - SIRUP 100 ML BTL 82,269

1737 LASAL- INJEKSI 0.5 MG/ML 5 VIAL BOX 274,229

1738 LASGAN - KAPSUL 30 MG 20'S BOX 598,317

1739 LASMALIN - TABLET 2.5 MG/100'S BOX 249,299

1740 LASMALIN - SYRUP 1.5 MG /100 ML BTL 66,064

1741 LATROPIL - SYRUP 500 MG/5 ML 100 ML BTL 104,706

1742 LATROPIL 1200 - KAPLET 50'S BOX 523,528

1743 LATROPIL 400 - KAPSUL 100'S BOX 498,598

1744 LATROPIL 800 - KAPLET SALUT SELAPUT 60'S BOX 478,654

1745 L-BIO 30 SCH @ 1 GR BOX 411,343

1746 L-CISIN 0.5 MG TABLET 3X10'S BOX 249,299

1747 L-CORE 5 SACHET @ 8 GR DUS 230,602

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 298

Page 327: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1748 LESIPAR - 300 SOFT KAPSUL 100'S BOX 747,897

1749 L-ZINC SIRUP 100 ML DUS 69,804

1750 MECOLA FORTE - KAPLET 30'S BOX 448,738

1751 MECOLA KAPLET SALUT SELAPUT 30'S BOX 272,982

1752 MEGAZING - KAPLET SALUT SELAPUT 50'S BOX 261,764

1753 MEROTIK INJEKSI VIAL @ 0.5 G DUS 573,388

1754 MEROTIK INJEKSI VIAL @ 1 G DUS 1,047,056

1755 MOVIX 15 MG - TABLET 20'S BOX 388,906

1756 MOVIX 7.5 MG - TABLET 20'S BOX 236,834

1757 MYONEP - TABLET 50 MG /100'S BOX 997,196

1758 NATTO-10 KAPLET SALUT SELAPUT 5X6'S DUS 560,923

1759 NEUCITI - TABLET 500 MG 30'S BOX 635,712

1760 NEUCITI 250 INJEKSI 5 VIAL @ 2 ML BOX 423,808

1761 NEUCITI 500 INJEKSI 5 AMP @ 4 ML DUS 623,247

1762 NONEMI - TABLET SALUT GULA 100'S BOX 299,159

1763 NYSTIN DROP 12 ML BTL 79,776

1764 OBESLIM 120 MG 3X10'S DUS 635,712

1765 ODR 4 MG 5 AMPUL @ 2 ML BOX 311,624

1766 ODR 4 MG/5 ML SIRUP 60 ML BTL 219,383

1767 ODR 8 MG 5 AMPUL @ 4 ML BOX 498,598

1768 OESTROGEL 80 GR @ 1 TUBE DUS 685,572

1769 OPTALVIT PLUS TAB SALUT SELAPUT 3X10'S BOX 411,343

1770 OPTALVIT SYRUP @ 60 ML DUS 149,579

1771 OSTEOKOM 5X6'S SALUT SELAPUT DUS 897,476

1772 PIDOVIX - TABLET 75 MG 30'S BOX 934,871

1773 PROMAVIT - SOFT CAPSULE 30'S BOX 186,974

1774 PROMAVIT SOFT CAPSUL 6X10'S (NEW) DUS 299,159

1775 REBAMID 100 MG TABLET SALUT 3X10'S BOX 224,369

1776 RHELAFEN 100 MG SUSPENSI 60 ML BTL 41,134

1777 RHELAFEN 200 MG FORTE SUSPENSI 60 ML BTL 49,860

1778 SIMBADO 10 - KAPLET SALUT SELAPUT 30'S BOX 523,528

1779 SIMBADO 5 - KAPLET SALUT SELAPUT 30'S BOX 299,159

1780 TARIFLOX 200 - TABLET SALUT SELAPUT 30'S BOX 523,528

1781 TARIFLOX 400 - TABLET SALUT SELAPUT 30'S BOX 1,047,056

1782 TICURING 250 - TABLET SALUT SELAPUT 20'S BOX 398,878

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 299

Page 328: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1783 TINEURON KAPSUL 300 MG 3X10'S DUS 635,712

1784 TIRIZ 10 MG KAPLET SALUT SELAPUT 30'S BOX 246,806

1785 TIRIZ 10 MG ORAL DROPS 20 ML BTL 144,593

1786 TOFEDEX INJEKSI 5 AMP @ 2 ML BOX 486,133

1787 TOFEDEX TABLET 3X10'S BOX 388,906

1788 TOPAZOL IV INJ. & INFUSION 1 VL @ 40 ML BOX 344,033

1789 UTROGESTAN 100 MG KAPSUL LUNAK 2X15'S DUS 635,712

1790 UTROGESTAN 200 MG KAPSUL LUNAK 15'S DUS 598,317

1791 VITACUR - SYRUP 100 ML BTL 74,790

1792 ZEGREN 50 - TABLET 100'S BOX 249,299

1793 AMBROXOL 30 MG TABLET 100'S (GEN) BOX 35,940

1794 ARGESID 500 MG KAPLET 100'S BOX 286,694

1795 ARIMED 15 MG TABLET 20'S BOX 324,089

1796 BIODASIN 300 MG KAPSUL 50'S BOX 747,897

1797 CALVIT-D 500 MG TAB 10X10'S DUS 311,624

1798 CEFDIM 1 GR INJ. @ 1 VIAL + PELARUT AQUA BOX 411,343

1799 CHEPAMED 800 MG KAPLET 50'S BOX 311,624

1800 CHEPAMED INJ. 3 GR/15 ML 5'S BOX 498,598

1801 DOME 10 MG TABLET 30'S BOX 194,453

1802 DOME DROP 10 ML BTL 68,557

1803 DOME FT 3X10'S BOX 246,806

1804 DOME SYRUP 60 ML BTL 74,790

1805 EFOMET 500 MG TABLET 100'S BOX 249,299

1806 EZYGARD FORTE KAPLET 30'S BOX 411,343

1807 EZYGARD SYRUP BTL 132,128

1808 FENATIC 400 MG TABLET 50'S BOX 67,311

1809 FENATIC SUSPENSI 60 ML BTL 41,134

1810 FIBRAMED 300 MG KAPSUL 30'S BOX 673,107

1811 FINEVASK 10 MG TABLET 3X10'S BOX 598,317

1812 FINEVASK 5 MG TABLET 3X10'S BOX 336,554

1813 FLAMED 100 MG TABLET 30'S BOX 224,369

1814 FLAMED INJEKSI 100 MG/2 ML 5 AMPUL BOX 199,439

1815 FLOKSID 500 MG KAPLET 30'S BOX 822,687

1816 FORDIN 150 MG TABLET 30'S BOX 317,856

1817 FORDIN INJEKSI 50 MG/2 ML 5 AMPUL BOX 274,229

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 300

Page 329: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1818 FORICEF INJEKSI 1.0 GR @ 1 VIAL VIA 443,752

1819 FUCO 50 MG KAPSUL 5X6'S BOX 486,133

1820 GLUSAFE 300 MG KAPSUL 30'S BOX 324,089

1823 LAGAS 30 MG KAPSUL 20'S BOX 585,853

1824 LYNCIN 500 MG KAPSUL 50'S BOX 623,247

1825 MEDIGREL 75 MG TAB. SALUT SELAPUT 3X10'S DUS 860,081

1826 MEDISTEIN KAPSUL 300 MG BOX 186,974

1827 METHAM KAPLET 50'S BOX 311,624

1828 MEXYLIN 500 MG KAPLET 50'S BOX 292,926

1829 MEXYLIN DRY SYRUP 60 ML BTL 47,367

1830 MINOSCRUB 2 % 1 L BTL 373,948

1831 MINOSCRUB 4 % 1000 ML GAL 747,897

1832 MINOSCRUB 4 % 5000 ML GAL 3,191,027

1833 MINOSCRUB ANTISEPTIC CLEANSER @500 ML BTL 311,624

1834 MINOSEP 0.05 % SOLUTION 1000 ML GAL 249,299

1835 MINOSEP 0.05 % SOLUTION 30 ML BTL 28,669

1836 MINOSEP ANTISEPTIK 0.05% SOLUTION 1 LTR BTL 249,299

1837 MINOSEP GARGLE 0.1 % 150 ML BTL 54,846

1838 MINOSEP GARGLE 0.1 % 60 ML BTL 32,409

1839 MINOSEP GARGLE 0.2 % 150 ML BTL 74,790

1840 MINOSEP GARGLE 0.2 % 30 ML BTL 15,581

1841 MINOSEP GARGLE 0.2 % 60 ML BTL 37,395

1842 MINOSEP SOLUTION 0.05 % 10 ML BTL 14,958

1843 MINOSIL HAND RUB @ 500 ML BTL 361,483

1844 MINOSIL HANDRUB 1 L BTL 648,177

1845 MINOSIL HANDRUB 5 L BTL 2,468,060

1846 NAUSILE 5 MG/5 ML SYRUP 60 ML BTL 18,697

1847 NAUSILE 10 MG TABLET 100'S BOX 104,706

1848 NEUROMED 5000 MG TABLET 100 BOX 535,993

1849 OXFEZIN SYRUP 100 ML (APEL MINT) BTL 112,185

1849 OXFEZIN SYRUP 60 ML (APEL) BTL 68,557

1849 PARACETAMOL 500 MG TABLET 10X10'S (GEN) BOX 15,864

1849 PIROXICAM 10 MG TAB. 100'S (GEN)-PROMED BOX 23,797

1849 PRESCHOL 10 MG TABLET 30'S BOX 381,427

1849 PRESTIN 20 MG 50'S BOX 498,598

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 301

Page 330: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1857 PROCEFA INJEKSI 1.0 GR @ 1 VIAL VIA 329,075

1858 PROFAT SUSPENSI 100 ML BTL 137,114

1859 PROFIM 100 MG KAPSUL 30'S BOX 1,159,240

1860 PROFIM 100 MG/5 ML DRY SYRUP BTL 174,509

1861 PROGINA CARE 100 ML (NEW) BOX 77,283

1862 PROGINA CARE FEMININE HYGIENE 150 ML BTL 104,706

1863 PROGINA TRANSVAGINA GEL 220 ML BTL 84,762

1864 PROGYL INFUS 100 ML BOX 162,044

1865 PROHELIC KAPLET 30'S BOX 349,019

1866 PROLECIN 500 MG KAPLET 20'S BOX 1,221,565

1867 PROLECIN INFUS 100 ML @ 1 VIAL BOX 436,273

1868 PROLON 8 MG TABLET 30'S BOX 299,159

1869 PROLYSIN PLUS SIRUP JERUK 100 ML BTL 69,804

1870 PROLYSIN SIRUP JERUK 120 ML BTL 54,846

1871 PROMEZOL 20 MG KAPSUL 20'S BOX 511,063

1872 PROPECT 30 MG TABLET 100'S BOX 186,974

1873 PROPECT SYRUP 60 ML BTL 52,353

1874 PROPENEM INJ 1.0 GR SERBUK INJ.@ 1 VIAL BOX 847,616

1875 PROSONIC ULTRA SOUND GEL 220 ML BTL 62,325

1876 PROSONIC ULTRA SOUND GEL 5 LITER GAL 648,177

1877 PROSTE KAPLET 30'S BOX 216,890

1878 PROTECLINE INJEKSI 5 AMP @ 2 ML BOX 423,808

1879 PROVAMED 500 G TABLET 50'S BOX 610,782

1880 PROVAMED SYRUP 100 ML BTL 105,952

1881 PROVAMED SYRUP 60 ML BTL 93,487

1882 RIME INJ 1.0 GR @ 1 VL + AQUA PRO 10 ML BOX 560,923

1883 STATER PACK MINOSCRUB 1 LTR PKT 747,897

1884 STATER PACK MINOSCRUB 5 LTR PKT 3,240,886

1885 STATER PACK MINOSIL 1 LTR PKT 722,967

1886 STATER PACK MINOSIL 5 LTR PKT 2,742,288

1887 THRAMED 50 MG KAPSUL 50'S BOX 274,229

1888 ULTILAR 10 MG TABLET 50'S BOX 423,808

1889 VOLTEN 50 MG TABLET 50'S BOX 191,960

1890 VROXYL 500 MG KAPSUL 30'S BOX 673,107

1891 VROXYL DRY SYRUP 60 ML BTL 99,720

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 302

Page 331: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1892 VROXYL DS FORTE 60 ML BTL 137,114

1893 ZINE 10 MG TABLET SALUT SELAPUT 3X10'S BOX 299,159

1894 ZINE SIRUP 60 ML BTL 87,255

1895 ZYFLOX 200 MG TABLET 30'S BOX 373,948

1896 ZYFLOX 400 MG TABLET 30'S BOX 897,476

1897 BDM SYRUP 60 ML BTL 84,762

1898 BDM TABLET 5X10'S BOX 274,229

1899 CECYL KAPSUL 5X10'S BOX 349,019

1900 CLAROLID KAPLET SAL.SELAPUT 2X10'S BOX 1,146,775

1901 CLIXID TABLET SALUT 10X10'S BOX 199,439

1902 COXAVIT KAPLET SALUT SELAPUT 5X6'S BOX 366,469

1903 ELGRAN 1 MG TABLET 5X10'S -NULAB BOX 299,159

1904 ELGRAN 2 MG TABLET 5X10'S -NULAB BOX 486,133

1905 E-ZOX INJEKSI 1 GR @ 1 VL+ PELARUT 10 ML BOX 493,612

1906 GORON 25 MG TABLET 10X10'S BOX 411,343

1907 KEREN INJEKSI 5 AMP @ 2 ML BOX 548,458

1908 KEREN TABLET SALUT SELAPUT 5X10'S BOX 722,967

1909 MAXIFLON 40 MG KAPL.SALUT SELAPUT 2X3'S BOX 673,107

1910 NUCOXI 15 MG TABLET 3X10'S BOX 605,796

1911 NUCOXI 7.5 MG TABLET 3X10'S BOX 370,209

1912 NUPERA 1 VIAL INJ @1 GR+1 AMP PELARUT BOX 341,540

1913 NUREST KAPLET SALUT SELAPUT 5X6'S BOX 261,764

1914 NUZOLE 30 MG KAPSUL 2X10'S BOX 598,317

1915 PANTERA INJEKSI 1 VIAL @ 40 MG BOX 336,554

1916 RAFACORT 4 MG TABLET 5X10'S BOX 342,786

1917 ZEPE INJEKSI 1 GR @ 1VL + PELARUT 10 ML BOX 698,037

1918 ACETYLCYSTEINE 200MG KAP 5X10 (OGB-NULAB DUS 124,649

1919 AMLODIPINE 10 MG TAB.3X10'S (OGB)-NULAB BOX 115,131

1920 AMLODIPINE 5 MG TAB 3X10'S (OGB)-NULAB BOX 65,271

1921 AZITHROMYCIN D'DRATE 10'S (OGB)-NULAB BOX 249,299

1922 CEFIXIME 100 MG KAP.5X10'S (OGB)-NULAB BOX 271,349

1923 CEFPIROME 1 VIAL @ 1 GR (OGB)-NULAB VIA 324,089

1924 CETIRIZINE 10 MG TAB.5X10'S (OGB)-NULAB BOX 35,525

1925 DEXKETOPROFEN 25 MG 5X10'S (OGB)-NULAB BOX 373,948

1926 DEXKETOPROFEN 25 MG INJ @2ML (OGB)-NULAB BOX 299,159

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 303

Page 332: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1927 DICLOFENAK POT.25 MG 5 X10'S (OGB)-NULAB BOX 44,288

1928 DICLOFENAK POT.50 MG 5 X10'S (OGB)-NULAB BOX 80,232

1929 DOMPERIDONE 10 MG TAB. 10X0'S(OGB)-NULAB BOX 91,475

1930 DONEPEZIL TAB.SALUT 3X10'S (OGB)-NULAB BOX 448,738

1931 FLUNARIZINE 10 MG TAB.2X20'S (OGB)-NULAB BOX 199,439

1932 FLUNARIZINE 5 MG TAB. 2X20'S (OGB)-NULAB BOX 124,649

1933 GABAPENTIN 300 MG KAP.3X10'S (OGB)-NULAB BOX 373,948

1934 GLIMEPIRIDE 1 MG TAB. 5X10'S (OGB)-NULAB BOX 86,130

1935 GLIMEPIRIDE 2 MG TAB. 5X10'S (OGB)-NULAB BOX 162,416

1936 GLIMEPIRIDE 3 MG TAB. 5X10'S (OGB)-NULAB BOX 221,477

1937 GLIMEPIRIDE 4 MG TAB. 5X10'S (OGB)-NULAB BOX 295,305

1938 KETOKONAZOLE CREAM 15 GR (OGB) -NULAB TUB 15,865

1939 KETOROLAC TR.10 MG TAB.5X10'S(OGB)-NULAB BOX 311,624

1940 LANSOPRAZOLE 30 MG KAP.2X10'S(OGB)-NULAB BOX 61,253

1941 LEVOFLOXACIN TAB.SS 5X10'S (OGB)-NULAB BOX 130,732

1942 LORATADINE 10 MG TAB. 5X10'S (OGB)-NULAB BOX 37,744

1943 MELOXICAM 15 MG TAB. 5X10'S (OGB)-NULAB BOX 135,868

1944 MELOXICAM 7.5 MG TAB. 5X10'S (OGB)-NULAB BOX 78,405

1945 MEROPENEM 1 GR INJ. 1 VIAL (OGB)-NULAB VIA 498,598

1946 METHYLPREDNISOLONE 4 MG 100'S(OGB)-NULAB BOX 99,844

1947 METHYLPREDNISOLONE 8 MG 100'S(OGB)-NULAB BOX 132,582

1948 MISOPROSTOL 200 MCG TAB 3X10'S(OGB-NULAB DUS 373,948

1949 MOMETASONE FUROATE KRIM 10 GR(OGB)-NULAB TUB 50,483

1950 MOMETASONE FUROATE KRIM 5 GR (OGB)-NULAB TUB 31,973

1951 OMEPRAZOLE 20 MG KAP.3X10'S (OGB)-NULAB DUS 27,762

1952 OMEPRAZOLE SOD.40 MG INJ. (OGB)-NULAB BOX 169,523

1953 ONDANSETRON 4 MG INJ.5 AMP (OGB)-NULAB BOX 87,255

1954 ONDANSETRON 4 MG TAB.SS 10'S (OGB)-NULAB BOX 34,902

1955 ONDANSETRON 8 MG INJ. 5 AMP (OGB)-NULAB BOX 209,411

1956 ONDANSETRON 8 MG TAB.SS 30'S (OGB)-NULAB BOX 172,016

1957 PANTOPRAZOLE SODIUM 1 VIAL (OGB)-NULAB BOX 199,439

1958 PIRACETAM 1200 MG KAPL.100'S (OGB)-NULAB BOX 293,176

1959 PIRACETAM 800 MG KAPL.100'S (OGB)-NULAB BOX 181,988

1960 RISPERIDONE 1 MG TAB.5X10'S (OGB)-NULAB BOX 213,151

1961 RISPERIDONE 2 MG TAB. 5X10'S (OGB)-NULAB BOX 269,131

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 304

Page 333: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1962 RISPERIDONE 3 MG TAB 5X10'S (OGB)-NULAB BOX 322,954

1963 SERTRALINE 50 MG KAP.3X10'S (OGB)-NULAB BOX 486,133

1964 TRIAMCINOLONE 4 MG TAB.100'S (OGB)-NULAB BOX 180,617

1965 ANORAL KAPSUL 30'S BTL 260,064

1966 ANORAL-ANLIQ KAPSUL 30'S BTL 327,489

1967 KOBELLON KAPSUL 20'S BOX 317,856

1968 REMACT KAPSUL 30'S BTL 296,666

1969 SANJUKEI GINSENG FRUIT PILL DUS 1,830,081

1970 AAFACT 1.000 IU VIA 11,642,261

1971 AAFACT 1.000 IU (R) VIA 8,158,875

1972 AAFACT 500 IU VIA 5,847,195

1973 AAFACT 500 IU (INHEALTH) BOX 4,612,031

1974 AAFACT 500 IU (R) VIA 4,192,755

1975 ALBUMAN 20 % 50 ML (NR) FLS 927,392

1976 ALBUMAN 20 % 100 ML (INHEALTH) BOX 2,138,985

1977 ALBUMAN 20 % 100 ML (NR) FLS 1,944,532

1978 ALBUMAN 20 % 100 ML (R) FLS 3,983,797

1979 ALBUMAN 20 % 50 ML (INHEALTH) BOX 1,020,131

1980 ALBUMAN 20 % 50 ML (R) FLS 1,991,899

1981 CEALB 20 % 100 ML FLS 3,116,237

1982 CEALB 20 % 50 ML FLS 1,745,093

1983 COFACT 250 IU/10 ML (R) VIA 6,476,787

1984 COFACT 500 IU 20 ML (INHEALTH) BOX 13,234,969

1985 COFACT 500 IU 20 ML (NR) VIA 10,221,257

1986 COFACT 500 IU 20 ML (R) VIA 12,340,298

1987 HEPBQUIN 150 IU VIA 4,736,680

1988 HEPBQUIN 500 IU (R) VIA 9,947,028

1989 NONAFACT 500 IU 5 ML (R) VIA 10,470,556

1990 ALA 600 MG KAPLET SALUT SELAPUT 30'S BOX 448,738

1991 AMVAR 500 MG KAPLET SALUT SELAPUT 30'S BOX 411,343

1992 APECUR 100 ML BTL 71,050

1993 AR-GOUT 0,5 MG TABLET 3X10'S BOX 249,299

1994 ASTAPLUS KAPLET SALUT SELAPUT 30'S BOX 538,486

1995 ATROCOX 15 TABLET 2X10'S DUS 349,019

1996 ATROCOX 7.5 TABLET 2X10'S DUS 219,383

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 305

Page 334: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

1997 CADO TABLET EFF.10'S BOX 49,860

1998 CEFOMAX 1 G @ 1 VIAL VIA 261,764

1999 CEFTAMAX 1 G @ 1 VIAL VIA 398,878

2000 CEFTRIMAX @ 1 VIAL VIA 448,738

2001 ERDOMEX 175 MG DS @ 60 ML BOX 99,720

2002 ERDOMEX KAPSUL 2X10'S BOX 186,974

2003 FOLDA KAPLET SALUT SELAPUT 30'S BOX 299,159

2004 GL VIT C 1000 PLUS ECHINACEA TAB 10'S BOX 49,860

2005 GOOD LIFE BIOCAL-95 KAPLET SALUT 30'S BOX 299,159

2006 GOOD LIFE EYE BRIGHT KAPLET SALUT 30'S BOX 336,554

2007 GOOD LIFE FRES DIAB KAPLET SALUT 30'S BTL 361,483

2008 GOOD LIFE GCM FORTE 30 SCH BOX 972,266

2009 GOOD LIFE GCM KAPLET SALUT 30'S BOX 448,738

2010 GOOD LIFE GROW VIT KAPLET SALUT 30'S BTL 224,369

2011 GOOD LIFE N.ACIDIC VIT.C 1000 KAPL. 60'S BTL 386,413

2012 GOOD LIFE N.ACIDIC VIT.C 500 KAPLET 60'S BTL 164,537

2013 GOOD LIFE N.ACIDIC VIT.C 500 KAPLET 60'S BTL 261,764

2014 GOOD LIFE ODORLESS GARLIC SOFT CAP 100'S BTL 249,299

2015 GOOD LIFE OMEGA-3 SOFT CAPSULE 100'S BTL 448,738

2016 GOOD LIFE PROLIVER KAPLET SALUT 30'S BOX 373,948

2017 GOOD LIFE VIT E 400 SOFT CAPSULE 30'S BTL 164,537

2018 GOOD LIFE VIT E 400 SOFT CAPSULE 100'S BTL 448,738

2019 GOOD LIFE VIT E 400 SOFT CAPSULE 100'S BTL 685,572

2020 GOOD LIFE VIT.E 400 SOFT CAPSULE 30'S BTL 261,764

2021 HB-VIT KAPLET SALUT SELAPUT 30'S BOX 172,016

2022 IMUNVIT KAPLET SALUT SELAPUT 20'S BOX 261,764

2023 IMUNVIT PLUS SYRUP 60 ML DUS 162,044

2024 IMUNVITPLUS KAPLET SALUT SELAPUT 20'S BOX 324,089

2025 MAX E-400 SOFT CAPSULE 30'S BTL 299,159

2026 MAXCEF-125 MG/5 ML 60 ML BTL 93,487

2027 MAXCEF-250 MG/5 ML 60 ML BTL 162,044

2028 MAXCEF-500 MG KAPSUL 100'S BOX 2,143,971

2029 MAXPRINOL SYRUP 60 ML BTL 169,523

2030 MAXPRINOL TABLET 2X4'S BOX 174,509

2031 MAXSTAN 500 KAPLET SALUT SELAPUT 100'S BOX 249,299

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 306

Page 335: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2032 MAXTOTEN 100 MG KAP 5X6'S DUS 560,923

2033 PANTOMEX INJEKSI 40 MG @ 1 VIAL BOX 324,089

2034 REBAMAX 100 MG TABLET SALUT 3X10'S BOX 224,369

2035 REGRESSOR KAPLET SALUT SELAPUT 30'S BOX 174,509

2036 SIMCITI 500 MG KAPLET SALUT SELAPUT 30'S BOX 598,317

2037 SIMCLOVIX 75 MG TABLET SALUT 30'S BOX 860,081

2038 SIMCOBAL 500 MCG KAPSUL 100'S BOX 448,738

2039 SIMDES SIRUP @ 60 ML BTL 174,509

2040 SIM-DHA 100 ML BTL 109,692

2041 SIMDROL 125 MG SERBUK INJ. 1 VIAL BOX 186,974

2042 SIMDROL 125 MG SERBUK INJ. 1 VIAL(HK) BOX 62,325

2043 SIMDROL-4 MG TABLET 100'S BOX 598,317

2044 SIMEXIM @ 1 VIAL VIA 286,694

2045 SIMEXTAM INJEKSI 1 VIAL @ 1 GR BOX 373,948

2046 SIMFIX -200 MG KAPSUL 10'S BOX 498,598

2047 SIMFIX DRY SYRUP 30 ML BTL 174,509

2048 SIMFIX-100 MG KAPSUL 30'S BOX 1,121,845

2049 SIMFLOX-500 MG KAPLET SALUT SELAPUT 30'S BOX 688,065

2050 SIMLEV 500 MG TABLET SALUT SELAPUT 10'S BOX 623,247

2051 SIMPENEM 1 G @ 1 VIAL VIA 872,546

2052 SIMPROFEN TABLET SALUT SEL. 3X10'S BOX 373,948

2053 SIMRYL 2 MG KAPLET 50'S BOX 373,948

2054 SIMRYL 3 MG KAPLET 50'S BOX 498,598

2055 SIMTIN KAPSUL 3X10'S BOX 560,923

2056 SIMTOR ATORVASTATIN CALSIUM 10MG BOX 598,317

2057 SIMTOR ATORVASTATIN CALSIUM 20 MG BOX 635,712

2058 SIMVASK-10 TABLET 3X10'S DUS 523,528

2059 SIMVASK-5 MG TABLET 30'S BOX 299,159

2060 SIMZEN KAPLET SALUT SELAPUT 3X10'S BOX 186,974

2061 SIMZEN ORAL DROP 20 ML BTL 124,649

2062 ULCERID 20 MG TABLET 30'S BOX 249,299

2063 ULCERID 40 MG TABLET 30'S BOX 361,483

2064 VIPRO-G-TAB.EFFERVESCENT (JERUK) 10'S BOX 68,557

2065 VIPRO-G-TAB.EFFERVESCENT (ORIGINAL) 10'S BOX 68,557

2066 VIPRO-G-TAB.EFFERVESCENT (ORIGINAL) 20'S BOX 274,229

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 307

Page 336: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2067 XIETY 10 MG TABLET 100'S BOX 897,476

2068 AMICLAV FILM COATED 5X6'S DUS 747,897

2069 BEVITA SYRUP 120 ML BTL 99,720

2070 BIONEMI KAPSUL 5X10'S DUS 186,974

2071 CALNIC KAPLET 3X10'S DUS 205,672

2072 CALNIC PLUS KAPLET 3X10'S DUS 261,764

2073 CALNIC PLUS SUSPENSI 100 ML BTL 124,649

2074 CALNIC SUSPENSI 100 ML BTL 112,185

2075 CARBISOL FILCO TABLET 10X10'S DUS 810,222

2076 CEFARIN INJ. 1 GR @ 1 VIAL DUS 324,089

2077 CEFAROX DRY SYRUP 30 ML BTL 186,974

2078 CEFAROX KAPSUL 2X10'S DUS 847,616

2079 CERPLAST AEROFILM 45X150 MM @ 5 UNIT DUS 1,059,521

2080 CERPLAST AEROFILM 45X200 MM @ 5 UNIT DUS 1,153,008

2081 CERPLAST AEROFILM 50X100 MM @ 5 UNIT DUS 810,222

2082 CERPLAST AEROFILM 50X50 MM @ 5 UNIT DUS 685,572

2083 CERPLAST BASIC 100X150 MM @ 5 UNIT DUS 872,546

2084 CERPLAST BASIC 45X150 MM @ 5 UNIT DUS 810,222

2085 CERPLAST CAVITY 100X100 MM @ 5 UNIT DUS 959,801

2086 CERPLAST CAVITY 100X150 MM @ 5 UNIT DUS 1,121,845

2087 CERPLAST DIGITIP 55X80 MM @ 5 UNIT DUS 747,897

2088 CLINEX KAPSUL 3X10'S DUS 467,436

2089 CYTROPIL 1200 KAP. SALUT SELAPUT 3X10'S DUS 299,159

2090 CYTROPIL 800 KAPLET SALUT SELAPUT 3X10'S DUS 224,369

2091 CYTROPIL INJEKSI @ 1 VIAL 15 ML DUS 118,417

2092 DIUVAR INJEKSI 5 AMP @ 2 ML DUS 155,812

2093 D-VIT FT (FLASH TAB) 3X10'S DUS 186,974

2094 D-VIT SIRUP 100 ML BTL 62,325

2095 ESTIN DROP 10 ML BTL 124,649

2096 ESTIN SYRUP 60 ML BTL 124,649

2097 ESTIN TABLET SALUT SELAPUT 2X10'S DUS 174,509

2098 FELOX KAPLET SALUT SELAPUT 2X10'S DUS 747,897

2099 FLAMIC TABLET SALUT ENTERIK 5X10'S DUS 267,996

2100 FORANSI 10 KAPSUL 3X10'S DUS 246,806

2101 FORANSI 20 KAPSUL 3X10'S DUS 336,554

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 308

Page 337: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2102 FOSICOL DRY SYRUP 60 ML BTL 68,557

2103 FOSICOL FORTE DS 60 ML BTL 118,417

2104 FOSICOL KAPSUL 5X10'S DUS 411,343

2105 GASTROLAN KAPSUL 2X10'S DUS 598,317

2106 GRACEF INJ. 1 GR @ 1 VIAL + 10 ML A.P.I DUS 448,738

2107 GRACIVASK 10 TABLET 3X10'S DUS 635,712

2108 GRACIVASK 5 TABLET 3X10'S DUS 355,251

2109 GRAFED TABLET 3X10'S DUS 112,185

2110 GRAFIX KAPLET SALUT SELAPUT 5X10'S DUS 168,277

2111 GRANEM @ 1 VIAL DUS 1,071,985

2112 GRAPHALAC SYRUP 120 ML BTL 105,952

2113 GRATAMIN TABLET 5X10'S DUS 162,044

2114 GRAZOL TABLET 3X10'S DUS 267,373

2115 IMOX TABLET SALUT SELAPUT 2X10'S DUS 299,159

2116 IMUFOR KAPLET 5X10'S BOX 398,878

2117 IMUFOR PLUS SIRUP 60 ML BTL 137,114

2118 LESVATIN TABLET SALUT SELAPUT 3X10'S DUS 448,738

2119 LOTENAC TABLET 5X10'S DUS 168,277

2120 LOXIL TABLET 2X10'S DUS 219,383

2121 LYPHEN KAPSUL 5X10'S DUS 373,948

2122 MECLAM INJEKSI 5 AMP @ 2 ML DUS 105,952

2123 MECOLIN KAPSUL 5X10'S DUS 224,369

2124 MESOL 16 TABLET SALUT SELAPUT 3X10'S DUS 411,343

2125 MESOL 4 TABLET SALUT SELAPUT 3X10'S DUS 205,672

2126 MESOL 8 TABLET SALUT SELAPUT 3X10'S DUS 299,159

2127 METRONIDAZOLE SUSPENSI 125 MG/5ML @60 ML DUS 21,190

2128 MORETIC DROP 15 ML BTL 68,557

2129 NERVA 5000 KAPLET SALUT SELAPUT 5X10'S DUS 342,786

2130 NERVA PLUS KAPLET SALUT SELAPUT 5X10'S DUS 280,461

2131 NOFLAM TABLET SALUT ENTERIK 5X10'S DUS 523,528

2132 NOVAX DS 60 ML BTL 47,367

2133 NOVAX FDS 60 ML BTL 71,050

2134 NOVAX KAPLET 5X10'S DUS 342,786

2135 OSITIN KAPLET SALUT SELAPUT 5X4'S DUS 314,117

2136 OXAN KAPLET SALUT SELAPUT 2X10'S DUS 249,299

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 309

Page 338: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2137 PROLIVA KAPLET TABLET SELAPUT 5X4'S DUS 349,019

2138 PROMUXOL DROP 20 ML BTL 87,255

2139 PROMUXOL SYRUP 60 ML BTL 56,092

2140 PROMUXOL TABLET 5X10'S DUS 118,417

2141 PROPEPSA SUSPENSI 100 ML BTL 120,910

2142 PROPEPSA SUSPENSI 200 ML BTL 199,439

2143 PROSINAL SUSPENSI 60 ML BTL 49,860

2144 RATINAL INJEKSI 5 VIAL @ 2 ML DUS 249,299

2145 RATINAL TABLET SALUT SELAPUT 3X10'S DUS 314,117

2146 RONAZOL INFUS @ 1 FLACON 100 ML BOX 174,509

2147 RONAZOL SUSPENSI 60 ML BTL 93,487

2148 SPM INFUS SET TIPE C3 30 UNIT BOX 2,991,587

2149 SPM INFUS SET TIPE R3 30 UNIT BOX 2,991,587

2150 TOPRAS KAPLET 5X10'S DUS 124,649

2151 TRANEC INJEKSI 10 AMP @ 5 ML DUS 411,343

2152 TRANEC KAPLET SALUT SELAPUT 5X10'S DUS 349,019

2153 TRONADEX INJEKSI 5 AMP @ 2 ML DUS 349,019

2154 VERSYL TABLET 5X10'S DUS 249,299

2155 VIOQUIN KAPLET SALUT SELAPUT 3X10'S DUS 934,871

2156 VOCEFA DS 60 ML BTL 99,720

2157 VOCEFA FDS 60 ML BTL 164,537

2158 VOCEFA KAPSUL 3X10'S DUS 691,805

2159 VOMISTOP DROP 10 ML BTL 82,269

2160 VOMISTOP FT TABLET 3X10'S BOX 261,764

2161 VOMISTOP SUSPENSI 60 ML BTL 74,790

2162 VOXIN KAPLET SALUT SELAPUT 2X10'S DUS 1,620,443

2163 ZEMINDO SYRUP 60 ML BTL 81,022

2164 ZOLASTIN 0.5 MG TABLET 5X10'S DUS 274,229

2165 ZOLASTIN 1 MG TABLET 5X10'S DUS 436,273

2166 B'GEN CHOCO LATTE 10 SCH DUS 186,974

2167 B'GEN COFFEE LATTE 10 SCH DUS 186,974

2168 B'GEN GINGER LATTE 10 SCH DUS 186,974

2169 B'GEN GREEN TEA LATTE 10 SCH DUS 186,974

2170 B'GEN PLUS CHOCO LATTE 10 SCH DUS 211,904

2171 B'GEN PLUS COFFEE LATTE 10 SCH DUS 211,904

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 310

Page 339: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2172 B'GEN PLUS GINGER LATTE 10 SCH DUS 211,904

2173 Ceftriaxon 1 gr Serbuk Inj /2'vial box 24,387

2174 Diphenhydramine Inj /30'amp box 36,379

2175 Paracetamol Infus /flacon 100 ml BTL 31,266

2176 Pehavral /10x10's box 81,291

2177 Anemolat 1 mg /10x10's box 23,434

2178 Hemafort /10x10's box 83,375

2179 Lactor 30 mg/ml Inj /6'amp btl 41,834

2180 Methisoprinol Syr 250 mg/5 ml /btl 60 ml btl 69,480

2181 Methisoprinol Tab 500 mg /5x10's box 208,439

2182 Panto-Gas 40 mg Serbuk Inj/vial box 67,233

2183 Pantoprazol 40 mg Serbuk Inj/vial box 50,531

2184 Pehamol Infus 10 mg/ml /flacon 100 ml btl 63,668

2185 Pehamoxil Forte /5x10's box 56,089

2186 Pehastan 500 mg /10x10's box 60,261

2187 Pehavask 5 mg /3x10's box 21,789

2188 Phadilon 500 mg Serbuk Inj /vial box 240,323

2189 Phaminov 24 mg/ml Inj /5'amp @10 ml box 194,574

2190 Phaproxin 500 mg /5x10's box 93,474

2191 Taxef 1 gr Serbuk Inj /vial box 135,538

2192 Trixon 1 gr Serbuk Inj /vial box 200,035

2193 Acyclovir 5% Tube 3,974

2194 Cefixim Syr 30 ml BTL 19,107

2195 Folic Acid 1 mg Tube 16,536

2196 Albendazole 400 mg /5x6's box 20,038

2197 Ambroxol 30 mg /10x10's box 25,624

2198 Ampicillin 1 gr Serbuk Inj /10'vial box 97,549

2199 Ampicillin 500 mg /10x10's box 62,573

2200 Ampicillin SK 125 mg/5 ml /btl 60 ml btl 7,782

2201 Antalgin Inj 250 mg/ml /30'amp box 60,642

2202 Antalgin Tab 500 mg /10x10's box 30,835

2203 Betametason krim 0.1% /25'tube Box 58,931

2204 Captopril 12.5 mg /10x10's box 8,532

2205 Cefpirome 1 gr Serbuk Injeksi /vial box 72,953

2206 Chlorampenicol 250 mg /10x10's box 54,041

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 311

Page 340: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2207 Chlorpromazine 100 mg /Btl 250's box 38,530

2208 Cimetidine 200 mg /10x10's box 20,747

2209 Corsona Tab 0,5 mg /10x10's box 26,305

2210 Corsona 5 mg/ml Inj /5'amp box 18,676

2211 Cotrimoksazole Ped /10x10's box 13,423

2212 Diafac 500 mg /10x10's box 107,083

2213 Diaproz Tablet /10x10's box 59,077

2214 Diazepam 2 mg /10x10's box 14,396

2215 Droxefa 500 mg kapsul /5x10's box 105,831

2216 Extract Belladon 10 mg /10x10's box 13,423

2217 Glibenclamide 5 mg /10x10's box 12,729

2218 Griseofulvin 125 mg/100's box 30,321

2219 Hydrocortisone krim 2.5% /24 tube box 145,907

2220 Ketorolac Inj 10 mg /12'amp box 35,435

2221 Lyncomycin 500 mg /5x10's box 57,473

2222 Padonil /10x10's box 25,265

2223 Pehamoxil 125 mg SK /12 sachet x 1 gr sch 18,161

2224 Pehamoxil 1 gr Serbuk Inj /10'vial box 19,146

2225 Pehatifen Syr /btl 60 ml btl 15,159

2226 Pehatifen Tab /5x10's box 56,847

2227 Pehavask 10 mg /3x10's box 31,127

2228 Phadilon 125 mg Inj /vial box 49,803

2229 Phadilon Tablet 4 mg /10x10's box 250,222

2230 Phapin 1 gr Serbuk Inj /10'vial box 11,947

2231 Phinev Injeksi /10'amp box 126,974

2232 Phytomenadione 10 mg Inj /30'amp box 65,950

2233 Prednison 5 mg /10x10's box 19,204

2234 Saltam 2 mg /10x10's box 18,676

2235 Saltam 4 mg /10x10's box 21,789

2236 Thiamphenicol 500 mg /10x10's box 93,380

2237 Vapril 12,5 mg /10x10's box 13,696

2238 Vapril 25 mg /10x10's box 24,901

2239 Visoprin Syr 250 mg/5 ml /btl 60 ml btl 25,265

2240 Visoprin Tab 500 mg /8's box 55,584

2241 Vitamin B1 Inj /30'amp box 43,202

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 312

Page 341: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2242 DEXTAMINE Tab/Doos 10X10'S Dus 208,439

2243 DEXTAMINE Syirup/Btl 60 ml Btl 34,687

2244 DEXTROFEN Syirup/Btl/ 60 ml Btl 9,241

2245 FLUOCORT N CREAM/Tube 5 gram Tube 21,641

2246 GRIVIN FORTE Tab 10x10'S Box 580,793

2247 HUSTAB Tab 30x10'S Box 107,554

2248 HUSTAB P 8 mg Tab 30x10'S Box 63,163

2249 HUSTAB P 4 mg Syirup/Btl 60 ml Btl 9,241

2250 NB Topical Ointment/ Tube 5 mg Tube 19,531

2251 Pehadoxin Forte 10x10'S Box 75,796

2252 Pehacain Inj. 20 Amp x 2 ml Box 71,502

2253 Livron B Plex/ Box 0x10'S Box 27,792

2254 Becefort Syirup/ Btl 60 ml Btl 19,943

2255 Bioron Tab/Doos 10x10'S Dus 112,865

2256 Febrinex Syrup/ Btl 60 ml Btl 18,209

2257 Betafort Syrup/ Btl 60 ml Btl 30,123

2258 Amaropo Plus 10x10'S Box 262,633

2259 Bioron Inj 5 ml Dus 24,929

2260 Cardismo 10x10'S Dus 311,616

2261 Cercul Inj Dus 94,745

2262 Hypobhac 100 mg Inj Dus 165,611

2263 Hypobhac 200 mg Inj Dus 295,140

2264 Hypobhac 25 mg Inj Dus 66,798

2265 Kaloba Tab Dus 163,593

2266 Kaloba Syrup Btl 126,326

2267 Kolkatriol 30'S Btl 226,709

2268 Kolkatriol Forte 30'S Btl 378,979

2269 Meropros Dus 467,408

2270 Metaneuron 30 x 10'S Dus 393,449

2271 Mictonorm 15 mg Tab 4x7'S Dus 342,395

2272 Nacoflar 25 mg 5 x10'S Dus 65,354

2273 Nacoflar 50 mg 5 x10'S Dus 118,310

2274 Ocugard Dus 162,890

2275 Osteotin 10x6'S Dus 226,251

2276 Palentin 625 mg /5x6's Box 365,210

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 313

Page 342: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2277 Palentin Dry Syrup Btl 53,057

2278 Proinfark Inj 10 ml 5 Amp Dus 65,690

2279 Ristonat Dus 366,346

2280 Tebokan Forte Dus 589,944

2281 Tebokan Spesial 3x10'S Dus 402,981

2282 Tebokan Tablet 10x10'S Dus 670,793

2283 Tensigard Dus 73,269

2284 Ardios Dus 145,275

2285 Pro TB 2 Blister 233,009

2286 Pro TB 4 Blister 174,498

2287 Abilify 10 mg Box 511,849

2288 Abilify 15 mg Box 592,256

2289 Abilify 5 mg Box 268,115

2290 Abilify Discmelt 10 mg Box 511,844

2291 Abilify Dismelt 15 mg Box 592,257

2292 Amaryl 1 mg Tab Box 173,216

2293 Amaryl 2 mg Tab Box 306,978

2294 Amaryl 3 mg Tab Box 385,767

2295 Amaryl 4 mg Tab Box 263,937

2296 Amaryl M 1 mg/250 mg Box 103,869

2297 Amaryl M 2 mg/500 mg Box 184,082

2298 Anerocid Cap Box 227,387

2299 Anfix Dry Syr 30 ml Botol 84,639

2300 Anfix Kapsul Box 587,418

2301 Aqua Maris Baby Drops 15 Ml Flas 107,377

2302 Aqua Maris Daily Nasal Spray 30 Ml Flas 113,694

2303 Aqua Maris Strong Nasal spray 30 Ml Flas 126,326

2304 Astaderm Cream 15 G Tube 202,122

2305 Asthin Force 4 mg Kap Box 157,908

2306 Asthin Force 6 Mg Cap. Box 193,279

2307 Asthin Force Cream Tube 132,643

2308 Asthin Force Gel 30 Gr Tube 88,428

2309 Avil Tablet 10X10' Box 178,313

2310 Azomax Dry Syr Botol 112,430

2311 Biolastin Cream 30 Gr Tube 113,694

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 314

Page 343: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2312 Biolastin Lab 10 Gr Tube 41,688

2313 Biomoist 30 Gr Tube 84,639

2314 Bye bye fever for Adult Box 41,343

2315 Bye Bye Fever For Babies SC Box 70,806

2316 Bye Bye Fever For Children SC Box 50,404

2317 Clopin 25 mg Tab (INH) Box 80,390

2318 Clopine 100 mg ( BPJS) Box 401,948

2319 Clopine 25 (BPJS ) Box 166,521

2320 Clopin 100 mg (INH) Box 357,159

2321 Colergis Sy Botol 48,004

2322 Colergis tab Box 277,918

2323 Curcuma FCT Box 106,114

2324 Curvit CL Emulsion 175 ml Botol 56,847

2325 Curvit Syr 120 ml Botol 40,172

2326 Curvit Syr 60 ml Botol 27,792

2327 Dermatix Ultra 15 G Tube 269,133

2328 Dermatix Ultra 7 G Tube 161,479

2329 Dismeno Box 151,592

2330 Diven Plus Cap Box 250,126

2331 Edemin Inj 2 ml Box 34,740

2332 Edemin Inj Askes Box 13,781

2333 Edotin Cap Box 94,745

2334 Esperson 0.25% 1X15G Tube 136,555

2335 Esperson 0.25% 1X5G Tube 55,184

2336 Euthyrox 100 mcg Box 228,977

2337 Euthyrox 50 mcg Box 109,500

2338 Fitbon Kap Box 98,535

2339 Fitbon Plus 30 kap Box 113,694

2340 Flagyl Suppository 0.5 Gr Box 118,450

2341 Flagyl Suppository 1 Gr Box 238,008

2342 Flagyl Forte Tablets 500 Mg Box 721,336

2343 Flagyl Oral Suspension 60 Ml Botol 59,166

2344 Flagystatin Ovules Box 192,686

2345 Fluimucil Ampul 3 mg Box 272,233

2346 Fluimucil Capsule 200 Mg Box 344,871

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 315

Page 344: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2347 Fluimucil Dry Syrup 150 Ml Box 75,796

2348 Fluimucil Dry Syrup 75 Ml Botol 55,584

2349 Fluimucil Eff Tab 600 Mg Box 142,117

2350 Fluimucil Granule 200 Mg Box 184,437

2351 Fluirespira NS Box 79,586

2352 Fobet Inj Box 145,275

2353 Folamil Genio Soft Cap Box 132,643

2354 Fortibi Box 113,694

2355 Glucophage 500 mg Box 170,897

2356 Glucophage XR 500 mg Box 307,069

2357 Glucophage XR 750 mg Box 307,073

2358 Glucovance 250/1,25 mg Box 250,637

2359 Glucovance 500/2,50 mg Box 402,079

2360 Glucovance 500/5 mg Box 488,231

2361 Glumin-XR 750 Box 170,541

2362 Glyderm Cream 125 ml Box 137,811

2363 Hexbio Box 138,959

2364 Histrin Syr 60 ml Box 54,320

2365 Histrine Tab Box 160,434

2366 Ikaderm Cream 10 Gr Box 33,476

2367 Ikaderm Ointment 10 Mg Box 33,476

2368 Ikadril Dmp Syr 100 Ml Botol 22,107

2369 Ikadril Syrup 100 Ml Rasa Apel Botol 20,465

2370 Ikadril Syrup 60Ml Rasa Apel Botol 14,780

2371 Ikalep 250 mg Tab Box 163,435

2372 Ikalep Syrup 120 ml Botol 72,006

2373 Ikalep tab (BPJS) Box 85,270

2374 Ikalep Tab (INH) Box 85,270

2375 Ikamicetin Salep Klt Tube 6,948

2376 Ikamicetin Syrup Botol 10,106

2377 Ikaneuron 5000 Injeksi Box 125,063

2378 Ikaneuron 5000 Tablet Box 258,464

2379 Ikaneuron Plus Tablet Box 126,326

2380 Ikaneuron Tablet Box 101,061

2381 Imboost Force 30 Kaplet Box 208,439

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 316

Page 345: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2382 Imboost Force Syr 60 ml Botol 66,321

2383 Imforce Plus Tab Box 236,862

2384 Imforce Syrup 60 ml Botol 60,637

2385 Irtan 150 mg (A/B) Box 68,905

2386 Irtan 300 mg Askes Box 120,584

2387 Irtan Plus 300 Box 341,081

2388 Irtan Tab 150mg Box 227,387

2389 Irtan Tab 300 mg Box 341,081

2390 Ketese Tab Box 505,305

2391 Lacons Syr Botol 50,531

2392 Lactulax 60 Ml Botol 55,584

2393 Lasix Ampoule 5X2 Ml (Imported Fg) Box 86,983

2394 Lasix Tablet 10X10 Tab Box 535,528

2395 Laz 30 mg Box 318,342

2396 Meptin 0,025 Tab Box 280,824

2397 Meptin 0,05 Tab Box 478,398

2398 Meptin Inhalation Sol 0,3 ml Box 8,502

2399 Meptin Inhalation Sol 0,5 ml Box 8,502

2400 Meptin Swinghaler Box 171,503

2401 Meptin Syr 60 ml Botol 59,752

2402 Mertigo Tab 6MG Box 372,663

2403 Metifer Injeksi 2 ml Box 221,703

2404 Monuril Granule 3 Gr Box 185,700

2405 Nasacort Aq Can 254,084

2406 Natrium Klorida 0,9 % (MJB), Botol 10,336

2407 Noroid Cream 80 ml Box 113,694

2408 Noroid Lotion 200 ml Box 138,959

2409 Novalgin 5X2 Ml Box 62,898

2410 Novalgin Drops 1X10 Ml Box 48,389

2411 Novalgin Oblong 500 Mg 10X10' (Una Form) Box 115,555

2412 Novalgin Oblong 500 Mg 50X10' (Una Form) Box 464,262

2413 Novalgin Syrup 1X60 Ml Botol 49,173

2414 OBH 100 Ml TDR Botol 5,558

2415 OMZ 20 mg Cap Box 442,142

2416 Ossoral 800 Box 295,604

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 317

Page 346: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2417 Otozambon Ear Drops 8 Ml Box 56,847

2418 OTSU Water for injection 25 ml Ampul 5,811

2419 Oxopect Syr Botol 36,003

2420 Patral Tab Box 85,902

2421 Pepzol 20 mg Tab Box 146,539

2422 Pepzol 40 mg Injeksi Box 164,224

2423 Pepzol 40 mg Tab Box 197,069

2424 Phenitoin Injeksi ( A/B ) Box 27,562

2425 Phentioin Cap ( INH) Botol 32,730

2426 Phenytoin Cap (A/B) Botol 24,117

2427 Phenytoin Capsul 100 Botol 69,480

2428 Phenytoin iInjeksi (INH) Box 23,610

2429 Pinetarsol Gel Tube 106,746

2430 Pinetarsol Sol 100 ml Tube 94,745

2431 Plavix Tablet 75 mg Box 832,995

2432 Pletaal 100 mg Tab Box 463,112

2433 Pletaal 50 mg Tab Box 926,099

2434 Pletaal Powder Box 441,056

2435 Posafit Box 170,541

2436 Prenatin DF Box 208,439

2437 Probio - C Box 56,847

2438 Probio Spray Box 65,690

2439 Rhinathiol Child 100 ml Syr Botol 43,772

2440 Rhinathiol Adult 100 ml Syr Botol 49,267

2441 Rhinathiol Caplet 375 mg Box 278,550

2442 Rhinathiol Romethazine Syr Botol 45,099

2443 Rhinofed Susp 60 ml Botol 27,160

2444 Rhinofed Tab Box 97,271

2445 Rhinos Junior Syr 60 ml Botol 37,898

2446 Rhinos Neo Drop Flas 49,267

2447 Rhinos SR @50 Box 284,234

2448 Riitez FC Tab Box 151,592

2449 Ringer Laktat (MJB) Botol 11,484

2450 Ritez Syr 60 ml Botol 75,907

2451 Rosufer 20 Tab Box 416,877

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 318

Page 347: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500

1 2 3 4

HARGAKEMASANNAMA OBATNO

2452 Safe Care Minyak Angin 5 ml Flas 15,619

2453 Salicyl talk 50 Box 1,176

2454 Salonpas Cream 15 gr Tube 12,403

2455 Salonpas Cream 30 gr Tube 17,509

2456 Salonpas Cream Hot 15 gr Tube 10,705

2457 Salonpas Cream Hot 30 gr Tube 16,056

2458 Salonpas Gel 15 gr Tube 11,170

2459 Salonpas Gel 30 gr Tube 17,264

2460 Salonpas Super 100 (koyo) Box 5,864

2461 Seloxy AA Cap Box 240,020

2462 Seloxy Cap Box 170,541

2463 Sistenol Cap Box 113,694

2464 Sofradex Eye&Ear Drops 1X8 Ml (Imported F) Box 73,301

2465 Sofratulle 10X10 Cm 1 X 10(Imported Fg) Box 258,720

2466 Sohobion Tab Box 126,326

2467 Spedifen 400 Mg Box 202,943

2468 Starcef 200 mg Kap Box 347,398

2469 Starcef 100 mg Kap Box 663,213

2470 Starcef Dry Syr Botol 94,745

2471 Telfast Hd 180Mg 1X10' _ Aventis Box 97,289

2472 Telfast Od 120 Mg 10X10' Box 949,892

2473 Telfast Plus 10 X 10 Box 593,954

2474 Telfast Tab. 30 Mg Box 179,068

2475 Thrombogel Gel.. Tube 39,793

2476 Thrombophob Gel Tube 59,689

2477 Thrombophob Ointment Tube 46,425

2478 Thyrozol 10 mg Box 204,826

2479 Thyrozol 5 mg Box 131,872

2480 Tiger Balm Red Flas 21,097

2481 Tiger Balm White Flas 21,097

2482 Toplexil Syrup 120 Ml Botol 81,139

2483 Toplexil Syrup 60 Ml Botol 45,982

2484 Transamin Capsul 250 Mg Box 174,330

2485 Transamin Tablet 500 Mg Box 303,183

2486 Triatec 10 Mg Tablet 3X10' Box 569,435

STANDAR SATUAN HARGA BARANG OBAT - OBATAN 319

Page 348: TAHUN 2017 · JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA ... 138 Kertas Mesin Kira HVS 5,8 Gulung 13,527 ... 143 Kertas Stensil Koran Folio Aladin / Badah Rim 45,500