HARGA OBAT PATEN HARGA OBAT GENERIK

TABLET

NO NAMA BARANG / OBAT Rj RN NO

1 ADONA AC - 17 TABLET 2,800 2,750 1

2 ALDISA SR TABLET 5,350 5,300 2
3 ALINAMIN FORTE TABLET 1,150 1,150 3
4 ALLORIS TABLET 5,700 5,650 4
5 ALZIM TABLET 21,150 20,800 5
6 AMINORAL TABLET 8,250 8,100 6
7 AMOXSAN 500 MG TABLET 4,150 4,100 7
8 ANVOMER B6 TABLET 3,050 3,000 8
9 ASPAR K TABLET 2,800 2,800 9
10 ASPILETS CHEWABLE TABLET 200 200 10
11 ATOVAR 20 MG TABET 13,050 12,850 11
12 ATOVAR 40 MG TABET 13,050 12,850 12
13 BAQUINOR FORTE TABLET 16,650 16,400 13
14 BARTOLIUM 5 MG TABLET 4,050 4,000 14
15 BECEFORT TABLET 1,600 1,600 15
16 BESTALIN TABLET 4,250 4,200 16
17 BIO ATP TABLET 2,950 2,900 17
18 BIO CURLIV TABLET 8,950 8,800 18
19 BIOSANBE TABLET 1,250 1,250 19
20 BIOTHICOL 500 MG TABLET 4,550 4,500 20
21 BIPRO TABLET 4,800 4,750 21
22 BRAINACT O-DIS TABLET 15,200 14,950 22
23 BRAINACT ORAL 500 MG TABLET 14,700 14,500 23
24 CALOS CHEWABEL TAB 1,100 1,100 24
25 CAL - 95 TABLET 4,800 4,750 25
26 CARDISAN 10 MG TABLET 12,750 12,600 26
27 CARDISAN 5 MG TABLET 7,200 7,100 27
28 CARPIATON 100 MG TABLET 4,400 4,350 28
29 CARPIATON 25 MG TABLET 1,600 1,600 29
30 CATARO EFFERVESCENT TABLET 3,800 3,750 30
31 CEDOCARD 5 MG TABLET 1,450 1,400 31
32 CEFABIOTIK 500 MG TABLET 9,600 9,450 32
33 CEFAT FORTE TABLET 13,250 13,050 33
34 CEFSPAN 100 MG TABLET 25,900 25,500 34
35 CHOLVASTIN TABLET 12,900 12,700 35
36 CINULA TABLET 6,850 6,750 36
37 CLANKESI 500 MG TABLET 14,400 14,200 37
38 CLIMADAN 150 MG TABLET 5,500 5,400 38
39 COBAZYM 1000 TABLET 3,100 3,050 39
40 COLISTINE 1,5 JUTA IU TABLET 7,700 7,600 40
41 COLSANCETINE 250 MG KAPS 750 750 41
42 CPG 75 MG TABLET 17,600 17,350 42
43 CRAVIT 500 MG TABLET 46,200 45,500 43
44 CRAVOX 500 MG TABLET 39,600 39,000 44
45 DAMABEN TABLET 550 550 45
46 DEXANTA TABLET 300 250 46
47 DEXTAMIN TABLET 2,300 2,250 47
48 DIALAC SACHET 6,600 6,500 48
49 DIGOXIN 0,25 MG TABLET 1,300 1,250 49
50 DILMEN 60 MG TABLET 1,350 1,300 50
51 DRAMAMINE TABLET 1,650 1,650 51
52 DULKOLAX 5 MG TABLET 1,300 1,300 52
53 EFLAGEN 50 MG TABLET 2,650 2,600 53
54 ELKANA TABLET 1,000 950 54
55 ENZYPLEX TABLET 1,050 1,050 55
56 EPEXOL 30 MG TABLET 1,050 1,050 56
57 EQUAL TABLET 300 300 57
58 ERYSANBE 200 CHEWABLE TABLET 2,000 2,000 58
59 ERYSANBE 500 MG TABLET 3,300 3,250 59
60 FARGOXIN 0,25 MG TABLET 350 350 60
61 FARSORBID 5 MG TABLET 300 300 61
62 FARLEV 750 MG TABLET 46,200 45,500 62
63 FARMASAL 100 MG TABLET 900 900 63
64 FARPAIN 10 MG TABLET 6,850 6,750 64
65 FENDEX 25mg TAB 6,850 6,750 65
66 FEROFORT FC KAPLET 2,300 2,250 66
67 FEROSPAT EFFERVESCENT TABLET 6,850 6,750 67
68 FLORAGYN TAB 12,350 12,150 68
69 FOLAVIT 400 MCG TABLET 1,050 1,050 69
70 FORBETES 850 MG TABLET 1,350 1,300 70
71 FUCOIDAN 100 MG TABLET 13,900 13,650 71
72 GASTRUL 200 UG TABLET 13,700 13,500 72
73 GITAS PLUS TABLET 2,600 2,550 73
74 GLISODIN TABLET 7,550 7,450 74
75 GLUKOLOS TABLET 2,850 2,800 75
76 GRAFOLA DHA TAB 5,500 5,400 76
77 GRATIZIN 10 MG TAB 6,750 6,650 77
78 GRATIZIN 5 MG TAB 5,650 5,550 78
79 HARNAL D 0,2 MG TAB 15,400 15,150 79
80 HEPATIN TAB 5,800 5,700 80
81 HIBONE TABLET 3,850 3,800 81
82 IKHAPEN 100 MG TABLET 1,650 1,650 82
83 IMULAN TABLET 1,550 1,500 83
84 IMUNOS TABLET 7,550 7,450 84
85 INGATOL KAPS 6,800 6,700 85
86 INSAAR 50 MG TABLET 13,350 13,150 86
87 INTERHISTINE TABLET 800 800 87
88 INVOMIT 4 MG TABLET 18,800 18,550 88
89 IRETENSA 150 MG TABLET 11,000 10,800 89
90 IRTAN 150 MG TABLET 2,500 2,500 90
91 KALNEX 500 MG KAPS 3,850 3,800 91
92 KALTROFEN EC 100 MG TABLET 6,200 6,100 92
93 KALTROFEN EC 50 MG TABLET 3,450 3,400 93
94 KALXETIN 10 MG KAPS 4,550 4,500 94
95 KOLKATRIOL 0,25 MCG KAPS 8,200 8,100 95
96 LACOLDIN TABLET 1,400 1,350 96
97 LACTAFAR TABLET 5,250 5,150 97
98 LAMESON 4 MG KAPS 3,800 3,750 98
99 LANVELL 30 MG TABLET 850 800 99
100 LAPIBAL 250 MCG BLISTER 1,650 1,650 100
101 LAPIBAL 500 MCG BLISTER 2,550 2,500 101
102 LAPIBION KAPS 1,800 1,800 102
103 LASAL 2 KAPS 1,350 1,300 103
104 LESIPAR 300 MG TAB 4,150 4,050 104
105 LODIA TABLET 1,250 1,250 105
106 LUPRED 5mg Tab 2,750 2,700 106
107 MECOLA TABLET 4,550 4,500 107
108 MEFINAL 500 MG KAPS 1,650 1,650
109 MERTIGO TABLET 3,800 3,750
110 METHERGIN TABLET 4,200 4,150
NO
111 METHIOSON TABLET 1,400 1,350
112 METHOTREXATE 2,5 MG TAB 2,900 2,850 1
113 METRIX 1 MG TABLET 3,200 3,150 2
114 METRIX 2 MG TABLET 5,500 5,400 3
115 MONECTO 20 TABLET 3,600 3,550 4
116 MUCOHEXIN 8 MG TABLET 650 650 5
117 MYONEP TABLET 4,700 4,600 6
118 NACOFLAR 50 MG TABLET 2,600 2,550 7
119 NATTO - 10 TABLET 10,300 10,150 8
120 N ACE KAP 2,750 2,700 9
121 NEURODEX TABLET 550 550 10
122 NEUROSANBE 5000 TAB 2,950 2,950 11
123 NEUROTAM 400 MG TABLET 2,700 2,650 12
124 NON FLAMIN KAPS 5,350 5,250 13
125 NOOTRITIS TABLET 4,200 4,150 14
126 NUFAPREG 25 MG TAB 4,100 4,050 15
127 OSTELOX 7,5 MG TAB 7,000 6,900 16
128 OSTEOCOM TAB 8,250 8,100 17
129 PARATUSIN TABLET 950 950 18
130 PATRAL TAB 9,350 9,200 19
131 PEHACHLOR 4 MG TAB 150 150 20
132 PEHADOXIN FORTE TABLET ( isi 350) 1,200 1,150 21
133 PEHADOXIN FORTE TABLET (isi 100) 850 850 22
134 PEPZOL 20 MG TABLET 15,350 15,100 23
135 PEPZOL 40 MG TABLET 20,600 20,300 24
136 PHAROLITH SACHET TABLET 1,200 1,200 25
137 PLETAAL 50 MG TABLET 10,050 9,900 26
138 POSPARGIN 0,125 MG TAB 750 750 27
139 PRAZOTEC 20 MG KAPS 14,550 14,300 28
140 PREMASTON 5 MG TAB 5,050 4,950 29
141 PRIMOLUT N TAB 5,850 5,800 30
142 PROFILAS 1 MG TABLET 4,350 4,300 31
143 PROFUNGAL TAB 5,600 5,500 32
144 PUMPITOR KAPS 16,200 15,950 33
145 PURICEMIA FORTE TAB 3,500 3,450 34
146 Q TEN COM TAB 11,000 10,800 35
147 RANTIN 150 MG TAB 5,800 5,700 36
148 REBAL PLUS TAB 2,500 2,450
149 RENADINAC 50 MG TAB 800 750
150 RENABETIC TAB 250 250
151 RENAPAR KAPS 2,900 2,850
152 RENAX TABLET 6,200 6,100
153 REOTAL 400 MG SR TABLET 10,250 10,100
154 RISTONAT TABLET 95,700 94,250
NO
155 RIF CAPLET 600mg 6,850 6,750
156 SANAZET TAB 1,600 1,600 1
157 SANFULIQ CAP 6,050 5,950 2
158 SANMOL 500 MG KAPS 350 350 3
159 SANPRIMA FORTE TAB 2,500 2,450 4
160 SANTA E 100 MG TAB 1,100 1,100 5
161 SANTIBI PLUS TABLET 850 850 6
162 SANSULIN PEN 294,350 289,600 7
163 SHAROX 500 MG TAB 27,750 27,300 8
164 SOHOBION TAB 350 350 9
165 SPIRASIN 500 MG TAB 7,400 7,300 10
166 SPIROLA 100 MG TAB 6,000 5,900 11
167 SPIROLA 25 MG TAB 2,100 2,050 12
168 SUPRA LIVRON TAB 500 500 13
169 TABAS TAB 1,950 1,900
170 THEOBRON TAB 1,550 1,550
171 TICURING 250 MG KAPS 10,300 10,150
NO
172 TINEURON KAPS 11,000 10,800
173 TOFEDEX TAB 7,150 7,050 1
174 TREMENZA TABLET 1,450 1,450 2
175 TRIBESTAN 650 MG TAB 16,500 16,250 3
176 TRICODAZOL 500 MG TABLET 2,100 2,050 4
177 TRIKLORIK 90% TAB / KAPORIT 11,250 11,050 5
178 TROVENSIS 4 MG TABLET 14,600 14,400 6
179 TRUVAS 20 MG TAB 16,100 15,850 7
180 TUZALOS KAPLET 900 900 8
181 TYARIT TABLET 5,400 5,350 9
182 UPLORES TAB 6,600 6,500 10
183 URDAHEX 250 MG TAB 11,200 11,050 11
184 URESIX TAB 1,100 1,100 12
185 UROTRACTIN CAPSULE 4,050 4,000 13
186 UTROGESTAN 200 MG TABLET 19,150 18,850 14
187 VELCOX 7,5 MG TAB 550 550 15
188 VOMITAS 10 MG TAB 4,600 4,500
189 YOSENOB 300 MG TAB 9,200 9,100
190 ZEGAVIT KAPS 3,200 3,150
NO

TABLET-INJEKSI NARKOTIKA 1
2
NO NAMA BARANG / OBAT Rj RN
3
1 CODEIN 10 MG TAB 650 650 4
2 FENTANYL 2 ML INJ 51,300 50,550 4
3 MORPHIN HCL 10 MG/ML INJ 13,100 12,900 4
4 PETHIDINA HCL 50 MG INJ 15,850 15,600 5
5 MST CONTINUS 10 MG TAB 18,750 18,500 6
7
8
9
10
TABLET - PSIKOTROPIKA 11
12
NO NAMA BARANG / OBAT Rj RN
13
1 ALPRAZOLAM 0,5 MG TAB 850 850 14
2 AMITRIPHYLLIN TAB 150 150 15
3 ANALSIK KAPL 1,550 1,500 16
4 ARKINE TAB 850 850 17
5 BELLAPEN TAB 18
6 BRAXIDIN TAB 1,100 1,100 19
7 CARBAMAZEPINE 200 MG TAB 350 350 20
8 CHLORPROMAZINE 100 MG TAB 200 200 21
9 CLOBAZAM 10 MG TAB 1,200 1,200 22
10 HALOPERIDOL 1,5 MG TAB 150 150 23
11 PHENOBARBITAL 30 MG TAB 150 150 24
12 RENAQUIL 1 MG TAB 3,450 3,400 25
13 SANMAG TAB 1,000 950 26
14 TRIHEXYPHENIDIL 2 MG TAB 27
15 VALISANBE 2 MG TAB 250 250 28
16 VALISANBE 5 MG TAB 350 350 29
17 ZYPRAZ 0,5 MG TAB 3,200 3,150 30
31
INJEKSI 32
NO NAMA BARANG / OBAT Rj RN

1 40% MAGNESIUM SULFATE OTSU 7,550 7,450

NO
2 ABU / BIO SAVE INJ 535,350 526,750
3 Actrapid HM 100IU /ML x 10ml 397,200 390,800 1
4 ACRAN INJ 24,900 24,550 2
5 ADONA 5 CC 19,250 18,950 3
6 ALINAMIN FORTE 18,000 17,700
7 AMOXSAN 1 GR 27,350 26,950
8 ANTALGIDON 10 ML 19,250 18,950
9 AQUABIDEST 50 ML 15,850 15,600
10 ATP DANKOS INJ 46,200 45,500
11 ATS / BIO SAT 1,5 IV INJ 143,200 140,900
12 BACTESYN 0,75 GR 113,550 111,800
13 BIFOTIK 197,750 194,550
14 BISOLVON 57,750 56,900
15 BRAINACT 250 MG 54,150 53,300
16 BRAINACT 500 MG 83,700 82,450
17 BRICASMA 22,550 22,250
18 BROADCED 224,100 220,500
19 BUCAIN SPINAL 72,600 71,500
20 CEFAZOL 1 GR 112,200 110,500
21 CEFIZOX 1 GR INJ 255,250 251,150
22 CEFXON 217,900 214,400
23 CERNEVIT INJEKSI 179,300 176,400
24 CIFLON KAP 7,900 7,800
25 CLANEKSI 114,600 112,850
26 COLCANCENTINE INJEKSI 12,350 12,150
27 COMPOUND 347 ENFLURE 250 ML 1,120,500 1,102,500
28 CORTIDEX 5 ML 7,750 7,650
29 CROME 5 MG/ML 24,450 24,050
30 CYCLOFEM 0,5 ML 11,250 11,100
31 DEXTROSE 40 % 25 ML OTSU 8,250 8,100
32 DOBUTEL 50 MG/ML 39,550 38,950
33 DOPAC 40 MG/ML 55,450 54,600
34 ENGERIX B 20 MCG / 1 ML 105,600 104,000
35 EPIDOSIN INJ 24,000 23,600
36 ETHIGENT 80 MG/2 ML 4,000 3,950
37 FARMABES 136,950 134,750
38 FARSIX INJ 8,950 8,800
39 FARSORBID 1 MG/ML 79,200 78,000
40 FLAMICORT 10 MG/ML IA/ID 128,050 126,100
41 FLAMICORT 40 MG/ML 112,200 110,500
42 FLUXUM 4250 IU 149,400 147,000
43 FORHEPA 500 MG/ML 106,950 105,300
44 GITAS 16,500 16,250
45 GLOMETHYL INJ 9,350 9,250
46 HEMAPO 3000 IU/ML 285,150 280,550
47 HEXILON 125 MG 105,600 104,000
48 HYPHOBAC 100 163,200 160,550
49 HYPERHEP Inj 1,434,000 1,410,000
50 IKADRYL 10 ML INJ 10,100 9,950
51 IKHAPEN INJ 104,950 103,350
52 INDOP 200 (40 MG/ML) 41,200 40,600
53 INDUXIN 10 IU / ML 11,000 10,800
54 INOTROP 130,700 128,700
55 INVICLOT 5000 IU/ML 79,200 78,000
56 IOPAMIRO 300 - 30 ML 218,450 214,950
57 IOPAMIRO 300 - 50 ML 338,650 333,200
58 KALNEX 250 MG 12,350 12,150
59 KALTROFEN 2 ML 33,000 32,500
60 KANAMYCIN 1 GR 12,950 12,800
61 KETALAR 385,850 379,650
62 KETOROLAC 1% INJ 9,350 9,250
63 LACEDIM INJ. 224,100 220,500
64 LAPIBAL INJ 25,100 24,700
65 LAPIXIME 149,400 147,000
66 METVELL 0,2 MG INJ 10,300 10,150
67 MEROFEN 1 GR 547,800 539,000
68 MEYLON 25 ML OTSU 14,550 14,300
69 MIKASIN 500 MG 205,450 202,150
70 MYOMERGIN 200 MG/ML 4,600 4,550
71 NEO K INJ 2 ML 16,300 16,050
72 NEUROSANBE 6,350 6,250
73 NEUROTAM 1 GR 21,150 20,800
74 NEFROFER 5ml Inj 129,500 127,400
75 NOTRIXUM 2,5 ML INJ 24,000 23,650
76 NOVALGIN 500 MG 10,950 10,800
77 NOVORAPID FLEX PEN INJ 102,450 100,900
78 OCTIDE 0,1 MG/ML 186,750 183,750
79 PEHACAIN 20X2 ML 3,900 3,850
80 PEHAMOXIL 1000 MG 10,550 10,400
81 PLASMINEX INJ 14,850 14,650
82 POSPARGIN 0,2 MG/ML INJ 7,550 7,450
83 POTASIUM CLORIDE 25 ML OTSU 3,850 3,800
84 PROANES INJ 1% MCT/LCT 94,150 92,700
85 PROSTIGMIN 19,100 18,800
86 PUMPITOR INJ 164,950 162,300
87 RANTIN 25,100 24,700
88 RAPIME Inj 1gr 311,250 306,250
89 RECOFOL N 10 MG / ML 112,200 110,500
90 RENADINAC 75 INJEKSI 26,150 25,750
91 RINDOPUMP INJ 118,800 117,000
92 RONEM INJ 1 gr 498,000 490,000
93 SAGESTAM 12,100 11,900
94 SANSULIN R 140,600 138,350
95 SHAROX 750 MG 85,800 84,500
96 SODIUM CHLORIDE 25 ML OTSU 5,250 5,150
97 SOHOBION 5000 INJ 4,400 4,300
98 SOJOURN 250 ML 3,107,000 3,055,000
99 SOTATIC 30 MG 5,850 5,750
100 STABACTAM INJEKSI 211,650 208,250
101 STREPTASE INJ 4,541,000 4,465,000
102 STREPTOMYCIN 1 GR 6,350 6,250
103 SULBACEF 500 MG INJ 217,900 214,400
104 SYNTOCINON INJEKSI 16,700 16,450
105 TENSILO INJEKSI 199,200 196,000
106 TETAGAM P PRAFILLED SYRINGE 1 ML 25 224,100 220,500
107 TIARYT INJEKSI 33,000 32,500
108 TOFEDEX INJ 51,500 50,700
109 TOPAZOL INJEKSI 40 MG 155,650 153,150
110 TORASIC 30 44,000 43,350
111 TRAMUS 2,5 ML 62,050 61,100
112 TROVENSIS INJ 4 mg/2ml 40,350 39,750
113 TRICLOFEM INJEKSI 11,200 11,050
114 URESIX 10,350 10,200
115 UROGRAFIN 76% 79,200 78,000
116 VASCON 112,200 110,500
117 VEBAC INJEKSI 261,450 257,250
118 VENODENOL 3% injeksi 59,400 58,500
119 VITAMIN C/EXTRACE 200 13,200 13,000
120 VOMCERAN 38,300 37,700
121 WATER FOR INJEKSI 25 ML OTSU 5,250 5,150
122 XYLOMIDON INJ 5,850 5,750
123 XOLMETRAS 50 Inj 342,400 336,900
124 ZYFORT INJ 4,400 4,300
INJEKSI-PSIKOTROPIKA

NO NAMA BARANG / OBAT Rj RN

1 EPHEDRIN HCL INJ 52,800 52,000

2 MILOZ INJ
3 PHENOBARBITAL INJ
4 SEDACUM 0,1% INJ 26,400 26,000
5 STESOLID 2 ML INJ 13,750 13,550
RECTAL TUBE-PSIKOTROPIKA

NO NAMA BARANG / OBAT Rj RN

1 STESOLID RECTAL TUBE 5 MG 28,550 28,100

SYRUP

NO NAMA BARANG / OBAT Rj RN

1 ALLERIN EXPT 120 ML 21,450 21,150

2 ALLERIN EXPT 60 ML 13,400 13,200
3 AMOXAN DRY 27,350 26,950
4 AMOXSAN DROP 27,350 26,950
5 APIALYS 33,000 32,500
6 BETADIN KUMUR/GARGEL 21,350 21,050
7 BIOTHICOL DRY 24,950 24,600
8 BIOTHICOL FORTE DRY 69,000 67,950
9 CEFILA DRY SYR 93,750 92,300
10 CERINI SYR 60ML 47,400 46,700
11 COLCANCENTIN 13,250 13,050
12 COMTUSI SYRUP 60 ML 42,850 42,200
13 CURMUNOS 60 ML 68,650 67,600
14 DEPAKENE SYRUP 250 mg/5ml 195,100 192,000
15 DEXANTA SYRUP 6,850 6,750
16 DEXTAMIN SYRUP 60 ML 36,250 35,700
17 ELKANA SUSPENSI 25,550 25,200
18 ELKANA CL EMULSI 120 ml 56,800 55,900
19 EPEXOL 20,400 20,100
20 FLAGYL 58,900 58,000
21 IMUNOS SYR 60ML 69,300 68,250
22 INPEPSA 100 ML 63,400 62,400
23 INTUNAL SYRUP 13,900 13,650
24 LAPISIV 100 ML 19,800 19,500
25 LASAL EXPT 40,950 40,300
26 LASAL SYRUP 2 mg/100ml 26,400 26,000
27 L-ZINC 100 ML SYRUP 37,000 36,400
28 NIFURAL 65,300 64,300
29 NYMIKO SUSP DROP 39,300 38,700
30 PHENOBIOTIC 125 MG/5 ML SYRUP 15,850 15,600
31 PRALAX 100 ML 59,400 58,500
32 RENASISTIN 250 MG 85,800 84,500
33 RANIVEL SYR 60ml 69,300 68,250
34 SANADRYL DMP 60 ML 12,950 12,800
35 SANADRYL EXPT 60 ML 12,100 11,900
36 SANMAG 120 ML 29,850 29,400
37 SANMOL DROP 18,650 18,350
38 SANMOL SYRUP 13,800 13,600
39 SANPRIMA 60 ML 30,400 29,900
40 TRACETATE 40mg / ml SUSP 435,750 428,750
41 TIRIZ DROPS 72,600 71,500
42 ULSICRAL SUCRALFATE SUSP 100 ML 51,500 50,700
43 VITACUR SYRUP 100 ML 33,000 32,500
44 VOMETA DROP 49,500 48,750
45 VOMETA SYR 1 MG/ML X 60 ML 49,500 48,750
SUSU

NO NAMA BARANG / OBAT Rj RN

1 BMT LAKTOFERIN 400 GR 113,800 112,100

2 BMT PLATINUM 400 GR 173,350 170,550
3 DIABETASOL 180 GR 43,400 42,750
4 DIABETASOL ZERO CALORIE SWETENER 650 650
5 ENFAMILD A+ PF 400 GR 206,900 203,600
6 ENTRAMIX 185 GR 50,300 49,550
7 HEPATOSOL VANYLA 185GR 104,950 103,350
8 L-BIO SERBUK ISI 30 6,850 6,750
9 LLM 200 GR 34,900 34,350
10 NUTRI BABY ROYAL I 400 GR 187,100 184,250
11 NUTRI BABY I 400 GR 113,150 111,450
12 NEPRISOL COKLAT 185 GR 56,800 55,900
13 PEPTISOL COKLAT 185 GR 56,800 55,900
14 SGM ANANDA I 150 GR 16,350 16,100

SALEP / OBAT LUAR

NO NAMA BARANG / OBAT Rj RN

1 ALBOTYL 10 ML 37,000 36,400

2 APOLAR CREAM 10 GR 39,600 39,000
3 AQUASONIC PARKER BIRU (CC) 150 150
4 BARIUM / per gr 550 550
5 BEDAK SALISIL 6,850 6,750
6 BETADIN ZALF 5 GR 9,400 9,250
7 BURNAZIN ZALP 35 GR 55,950 55,100
8 BURNAZIN ZALP 35 GR ( JKN ) 28,000 27,550
9 CATARLENT TETES MATA 5 ML 29,900 29,450
10 CENDO AUGENTONIC 15 ML 33,200 32,700
11 CENDO GLAUCON 250mg TAB 5,250 5,150
12 CENDO XITROL 5 ML 36,000 35,450
13 CENDO GENTA EYE OINTMENT 0,3 % 3,5gr 48,050 47,300
14 CENTABIO GEL 20 GR 19,000 18,700
15 CINOLON CREAM 10 GR 19,550 19,250
16 COLME TETES MATA 25,750 25,350
17 COLME TETES TELINGA 25,750 25,350
18 COUNTERPAIN 30 GR 38,950 28,350
19 DULCOLAX SUP 10 MG 21,150 20,800
20 DULCOLAX SUP 5 MG 15,750 15,500
21 DUMIN RECTAL TUBE 125MG/2,5ML 14,000 13,800
22 ETHYL CHLORIDE SPRAY 159,350 156,800
23 ERLAMUCETINE EYE OITNMENT 1% 3,5 gr 6,900 6,800
24 FAKTU SUPPOSITORIA 10,300 10,150
25 FARBIVENT2,5 ML 11,650 11,500
26 FLADISTYN OVULA 16,250 16,000
27 FLAGYL SUP 0,5 GR 13,500 13,300
28 FLAGYL SUP 1 GR 28,250 27,800
29 FORUMEN EAR DROPS 10 ML 30,450 30,000
30 FUSON CREAM 5 GR 48,850 48,100
31 GLYCERIN LTR 75,600 74,500
32 GARAM INGGRIS/ 30gr 1,000 32,500
33 HALOTHANE LIQUID 1,404,150 1,380,650
34 H2O2 / HYDROGEN PEROXIDUM 800ML 39,600 39,000
35 IKAMICETIN ZALF KULIT 7,550 7,450
36 IKAMICETIN ZALF MATA 5,100 5,000
37 KALCINOL N 5 GR 10,050 10,000
38 KALTROFEN 100 MG SUPP 15,200 14,950
39 KAPSUL KOSONG NO. O 40,800 40,200
40 KAPSUL KOSONG NO. OO 80,400 79,200
41 KAPSUL KOSONG NO. 1 43,200 42,550
42 KAPSUL KOSONG NO. 2 42,000 41,400
43 KY JELLY BRAND 100 gr 58,800 57,900
44 KY JELLY BRAND 82 GR 52,300 51,500
45 LAMODEX CREAM 39,600 39,000
46 MICONAZOLE 2 % 3,750 3,700
47 MYCORAL 12,350 12,150
48 NEBACETINE 5 GR 22,450 22,100
49 NEBACETINE POWDER 23,100 22,750
50 NUTRICASSOL CREAM 10 GR 60,100 59,150
51 OTOPRAF TETES TELINGA 37,800 37,200
52 OXOFERIN SOLUTION 30 ML 85,800 84,500
53 SIGNA GEL HIJAU 250 GR
54 SCABICID CREAM 43,600 42,900
55 SCAN ULTRASONIC GEL (CC) 200 200
56 SCAN ULTRASONIC GEL BOTOL 237 ML 92,400 91,000
57 TALK HANDSCUNE (KG) 14,950 14,750
58 TOPCORT TOPICAL CREAM 26,700 26,300
59 TROMBOPHOP GEL 62,400 61,450
60 VENTOLIN NEBULES 2,5 MG 11,750 11,600
61 XYLOCAINE 10%SPRAY10 MG/PUFF 337,700 332,300

INFUSAN

NO NAMA BARANG / OBAT Rj RN

NO NAMA BARANG / OBAT Rj RN

1 AMINOFUSIN PAED 250 ML INFUS 110,900 109,200

2 AQUABIDEST 500 ML INFUS 26,400 26,000
3 BAQUINOR INFUS I.V 500 ML 267,800 263,500
4 COMAFUSIN HEPAR 500 ML 216,650 213,150
5 CLINOLEIC 20% 100ML INFUS 219,150 215,600
6 CRAVIT I.V 100 ML / 500 MG 336,150 330,750
7 DEXTROSE 5% PIGGY BAG 12,500 12,300
8 DIAZOLE 500 MG / 100 ML INFUS 10,000 9,850
9 FIMAHES 200 FLEXY BAG 212,900 209,500
10 FUTROLIT INFUS 68,200 67,150
11 INFUMAL 10 % SP 500 ML 106,750 105,150
12 INFUSAN D5 OTSU 7,450 7,350
13 INFUSAN D5 DP 500 ML 23,400 23,050
14 INFUSAN D5 SP 500 ML 21,550 21,200
15 INFUSAN D5+1/2 NS SP 500 ML 21,800 21,450
16 INFUSAN D5+1/4 NS SP 500 ML 21,650 21,350
17 INFUSAN M20 SP 500 ML 98,900 97,400
18 INFUSAN RING AS SP 500 ML 23,850 23,500
19 INFUSAN RING AS DP 500 ML 25,750 25,350
20 INFUSAN RL DP 500 ML 22,950 22,600
21 INFUSAN RL SP 500 ML 21,000 20,700
22 IVELIP 20% 100 ML ( 23 Mei 2014 ) 173,050 170,300
23 MANITOL 20% 500 ML OTSU 105,600 104,000
24 MARTOS 10 % 500 ML OTSU 105,600 104,000
25 OCTALBIN 20 % 100 ML 1,792,500 1,762,500
26 OCTALBIN 20 % 50 ML 933,750 918,750
27 OTSU NS 100 ML PIGGY BAG 13,350 13,150
28 PRATOPIL 60 ML INFUS 186,750 183,750
29 PRECOPAR 500 ML INFUS 235,450 231,650
30 SANBE HEST 200 INFUS 211,250 207,850
31 SANMOL INFUS 72,900 71,800
32 TRICHODAZOL 500 ML 106,550 104,950
33 TRIDEX 27 A 500 ML 25,100 24,700
34 TRIDEX 27 B 500 ML 25,100 24,700
35 VALAMIN 500 ML INFUS 84,100 82,850
36 WATER FOR IRIGATION 1 LT OTSU 15,750 15,500
HARGA OBAT GENERIK DAFTAR HARGA ALKES
TABLET-KAPSUL

NAMA BARANG / OBAT Rj RN NO

Acyclovir 200 mg tablet 500 500 1

Acyclovir 400 mg tablet 800 800 2
Acetylcysteine kaps 1,400 1,350 3
Allopurinol 100 mg tablet 200 200 4
Ambroxol 30 mg tablet 200 200 5
Aminophyllin 200 mg tablet 150 150 6
Amlodipin 5 mg tablet 1,200 1,200 7
Amoxycillin 500 mg tablet 500 500 8
Ampicillin 500 mg tablet 500 500 9
Antalgin 500 mg tablet 200 200 10
Antasida Doen 500 mg tablet 250 200 11
Asam Mefenamat 500 mg tablet 300 300 12
Atorvastatin Calcium 20mg tab 5,500 5,400 13
Betahistin Maleate 6 mg tablet 1,200 1,150 14
Bisoprolol 5 mg tablet 2,900 2,850 15
Calcium Lactate 500 mg tablet 250 250 16
Candesartan Cilexetil 8 mg tablet 6,200 6,100 17
Captopril 12,5 mg tablet 150 150 18
Captopril 25 mg tablet 200 200 19
Cefadroxile 500 mg tablet 1,050 1,050 20
Cefixime 100 mg tablet 3,000 2,950 21
Cetirizine 10 mg tablet 400 400 22
Citicoline 500 mg Tab 8,250 8,100 23
Ciprofloxacin 500 mg tablet 700 700 24
Clindamycin 300 mg tablet 950 950 25
Chlorpheniramin 4mg tablet 200 200 26
Clopidogrel 75 mg tablet 9,550 9,450 27
Cotrimoxazole 480 mg tablet 250 250 28
Curcuma 200 mg tablet 10 x 10 blister 900 900 29
Curcuma 200 mg tablet 500 tab (klg) 550 550 30
Dexamethason 0,5 mg tablet 150 150 31
Dextromethorphan 15 mg tablet 450 450 32
Digoxin 0,25 mg tablet 200 200 33
Diltiazem 30 mg tablet 200 200 34
Domperidone 10 mg tablet 550 500 35
Doxycycline 100 mg kapsul 350 350 36
Epherisone HCL 50mg Tab 1,950 1,900 37
Ethambutol 500 mg tablet 750 750 38
Flunarizine 5 mg tablet 2,750 2,700 39
Furosemide 40 mg tablet 200 150 40
Gabapentin 300mg kap 6,050 6,000 41
Gliceril Gualcola tablet 100mg ( isi 100) 150 150 42
Griseofuivin 125 mg Tab 300 300 43
Glibenclamide 5 mg tablet 150 150 44
Glimepiride 2 mg tablet 1,800 1,800 45
Glukosamin 250mg tab 1,100 1,100 46
Hydrochlorotiazide 25 mg tablet 150 150 47
Ibuprofen 200 mg tablet 150 150 48
Ibuprofen 400 mg tablet 300 300 49
Inamid tab 350 350 50
Isosorbid Dinitrate 5 mg tablet 150 150 51
Isoniazide 300MG tablet 150 150 52
Irbesartan 300mg Tab 6,400 6,300 53
Kalium Diklofenak 50 mg tablet 900 900 54
Ketoconazole 200 mg tablet 550 550 55
Ketoprofen 50 mg tablet 900 900 56
Ketoprofen 100 mg tablet 1,700 1,700 57
Ketorolac tab 10mg 3,950 3,900 58
Lansoprazole 30 mg tablet 1,700 1,700 59
Levofloxacin 500 mg tablet 1,450 1,450 60
Lisinopril 5 mg tablet 550 550 61
Lisinopril 10 mg tablet 950 950 62
Loratadine 10 mg tablet 450 450 63
Losartan K 50mg tab 5,800 5,700 64
Mecobalamin 25 uq tablet 750 750 65
Mecobalamin 50mg tablet 1,000 950 66
Meloxicam 7,5 mg tablet 900 850 67
Metformin 500mg tablet 250 250 68
Methylergometrine 0.125 mg tablet 200 200 69
Methylprednisolone 4 mg tablet 550 550 70
Metoclopramide 10 mg tablet 150 150 71
Metronidazole 250 mg tablet 200 200 72
Metronidazole 500 mg tablet 300 300 73
Natrium Diklofenac 50 mg tablet 350 350 74
Nifedipin 10 mg tablet 200 200 75
Ofloxacin 200 mg tablet 850 800 76
Ofloxacin 400 mg tablet 1,350 1,300 77
Omeprazole 20 mg tablet 550 550 78
Ondansetron 4 mg tablet 1,950 1,900 79
Ondansetron 8 mg tablet 3,200 3,150 80
Paracetamol 500 mg tablet 200 200 81
Phenytoin 100 mg kapsul 400 350 82
Piracetam 400 mg tablet 600 600 83
Piroxicam 10 mg tablet 150 150 84
Prednisone 5 mg tablet 150 150 85
Propanolol 10 mg tablet 150 150 86
Propilthiourasil 100 mg tablet 400 400 87
Pyrantel 125 mg tablet 400 400 88
Pyrazinamide 500mg tablet 300 300 89
Ranitidin 150 mg tablet 300 300 90
Rifampicin 300 mg kapsul 1,050 1,000 91
Rifampicin 450 mg kapsul 1,450 1,450 92
Salbutamol 2 mg tablet 150 150 93
Simvastatin 10 mg tablet 650 650 94
Spiramycin 500 mg tablet 1,000 950 95
Spironolactone 25 mg tablet 450 450 96
Spironolactone 100 mg tablet 1,350 1,300 97
Sulfas Ferrous 200 mg tablet 150 150 98
Thiamphenicol 500 mg tablet 950 950 99
Tramadol HCL 50 mg tablet 450 400 100
Ursodeoxycholic Acid 250mg kaps 5,800 5,700 101
Vitamin B Complek tablet 150 150 102
Vitamin B1 100 mg tablet 150 150 103
Vitamin B12 50 mg tablet 150 150 104
Vitamin B6 10 mg tablet 150 150 105
Vitamin K10 mg tablet 150 150 106
Zinc 20 mg tablet 600 600 107
108
INJEKSI 109
110
NAMA BARANG / OBAT Rj RN
111
Ampicillin 1 gr 9,650 9,500 112
Aminophylline 24 mg/ml 5,650 5,550 113
Antalgidon Inj 10ML 18,150 17,900 114
Asam Tranexamat 50 mg/ml 6,350 6,250 115
ATS 1500 IU 143,200 140,900 116
ATS 20000 IU 706,700 695,350 117
Atropine Sulfas 0,25 mg/ml 2,500 2,500 118
Bupivacain Spinal 20 mg/ml 31,700 31,200 119
Carbazochrome sodium sulfonate inj 15,750 15,500 120
Calcii Glukonas 100 mg/ml 18,000 17,750 121
Cefotaxime 1 gr ( berno) 19,800 19,500 122
Cefotaxime 1 gr (hexparm) 9,600 9,450 123
Ceftazidime 1 gr 40,650 40,050 124
Ceftriaxone 1 gr 8,950 8,800 125
Citicoline 125 mg (250 mg) 14,400 14,200 126
Citicoline 125 mg (500 mg) 28,800 28,400 127
Curcuma tab 1,100 1,100 128
Dexamethason 5 mg/ml 2,000 2,000 129
Ephineprine 1 mg/ml 11,850 11,700 130
Ephedrin HCL inj 66,000 65,000 131
Furosemide 10 mg/ml 2,600 2,550 132
Gentamicin 40/ml 4,600 4,550 133
Ketoprofen 50 mg/ml 7,050 6,950 134
Ketorolac 3% 30 mg/ml 6,250 6,150 135
Lidocain HCL inj 2 ml 1,400 1,350 136
Mecobalamin 500 ug 11,000 10,800 137
Methyl Prednisolone 125 mg 42,600 41,950 138
Natrium Phenytoin 50 mg/ml 28,800 28,400 139
Omeprazole 40 mg 105,600 104,000 140
Ondansetron 4 mg/2 ml 6,850 6,750 141
Pantoprazole Sodium 40mg Inj 77,900 76,700 142
Piracetam 200 mg/ml 8,250 8,100 143
Procain HCL 6,200 6,100 144
Procain Kafein 6,350 6,250 145
Ranitidin 3,250 3,200 146
Tramadol 50 mg/ml 8,000 7,850 147
148
149
150
151
152
SYRUP 153
154
NAMA BARANG / OBAT Rj RN
155
Ambroxol 30 mg/5 ml 60 ml 12,350 12,150 156
Ambroxol 15 mg/5 ml 60 ml 8,250 8,100 157
Amoxycillin dry 125 mg/ml 60 ml 4,650 4,550 158
Antasida Doen 60 ml 5,050 5,000 159
Cefadroxile 125 mg/5 ml 60 ml 10,250 10,100 160
Cefixime dry 100 mg/5 ml 30 ml 36,300 35,750 161
Chloramphenicol 125 mg/5 ml 60 ml 6,500 6,400 162
Cotrimoxazole 240 mh/5 ml 60 ml 8,250 8,100 163
Domperidon 5 mg/5 ml 60 ml 15,200 14,950 164
OBH TDR 100 ml 5,500 5,400 165
Ibuprofen susp 100mg /5ml 4,400 4,300 166
Paracetamol 60 ml 5,350 5,300 167
Sucralfate 500mg/ 5ml 200ml susp 72,600 71,500 168
169
INFUSAN 170
171
NAMA BARANG / OBAT Rj RN
172
Ciprofloxacin 100 ml 68,400 67,400 173
Dextrose 10% OGB Widatra 500 ml 7,100 7,000 174
Dextrose 5% OGB Widatra 500 ml 6,500 6,400 175
Dextrose 5% OTSU 500 ml 7,450 7,350 176
Levofloxacin 100 ml 105,600 104,000 177
Manitol 20% 500 ml Finu 46,850 46,100 178
Manitol 20% 500 ml OTSU 86,750 85,450 179
Manitol 20% 250 ml OTSU 43,500 42,850 180
Metronidazole 100 ml 35,400 34,900 181
NaCl OGB Widatra 1.000 ml 14,250 14,000 182
NaCl OGB Widatra 500 ml 5,900 5,800 183
Paracetamol 1 gr/100 ml 59,400 58,500 184
Piracetam Infus 200 ml 92,400 91,000 185
RL OGB Widatra 500 ml 6,500 6,400 186
Water for Irigation OGB Wida 1 lt 9,350 9,250 187
188
CAIRAN & B3 189
190
NAMA BARANG / OBAT Rj RN
191
Alkohol 70% 100 cc One Med 5,250 5,150 192
Acid Citrit @ 1 kg 78,000 76,850 193
Alkohol 70% ( cc ) 50 50 194
Alkohol SWAB ONE MED 200 200 195
Alkohol SWABS 2 PLY 300 300 196
Alkohol 96 % ( 1 liter-an ) 60,050 59,100 197
Aniosym DDI ( 1 liter-an ) 460,350 452,950 198
Aseptik Gel ( 500 ml + botol ) 33,000 32,500 199
Aseptik Gel ( cc ) 50 50 200
Betadin ( cc ) 12/ 03/2014 200 200 201
Campora spritus ( 100 ml ) 2,750 2,700 202
Caporit ( 1 kg-an ) 54,000 53,200 203
Cidex OPA Solution ( 1 liter-an ) 150,650 148,250 204
Creolin ( 1 liter-an ) 23,100 22,750 205
Dermanios Scrub Chlorhexidine( cc ) 400 350 206
Developer Liquid Agfa Green 730,600 718,850 207
Fixer Liquid Agfa Green 593,900 584,350 208
Fist Aid Lemon ( cc ) 250 250 209
Formalin / Paraformaldehida tablet 550 550 210
Formalin 37 % ( cc ) 50 50 211
Hydrogen Peroxidum/H2O2 (800 ml) 48,000 47,300 212
Lugol ( 1 liter-an ) 90,000 88,650 213
Lysol ( liter-an ) 34,350 33,800 214
NaOH ( 1 kg-an ) 18,000 17,750 215
Parafin Liquid ( 1 liter-an ) 108,000 106,400 216
Povidon Iodine 10% 30 ml 217
Rivanol (100 cc ) BRATACO 4,250 4,200 218
Rivanol 100 cc One Med 2,500 2,500 219
Sabun cuci tangan BRATACO ( 1 liter-an ) 12,500 12,300 220
Septadin ( 100 cc ) 15,850 15,600 221
Septadin ( 1liter + botol ) 124,500 122,500 222
Sofnolime 223
Spritus ( cc ) 150 150 224
Standar Aseptik Gel 225
226
SALEP & OBAT LUAR 227
228
NAMA BARANG / OBAT Rj RN
229
Acyclovir zalp 5% 5 gr 3,750 3,700 230
Gentamicyn zalp 0,1 mg 5 gr 2,300 2,300 231
Hydrocortisone 2,5% 5 gr zalp 11,000 10,800 232
233
234
235
236
237
Mengetahui, 238
239
240
241
Sr. Bernada ADM 242
Ka Bag Adm Keu & Umum 243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
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397

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

NO

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
DAFTAR HARGA ALKES

NAMA BARANG / OBAT Rj RN

Autoclave 2 cm "1322" 156,900 154,350

Actimove Cervical Collar L 122,000 120,150
Bak Instrumen Stainles besar 560,250 551,250
Ballon Laryngoscope 435,750 428,750
Bantal Angin 42,250 41,600
Ballon Tensimeter 280,150 275,650
Baterai Thermometer Kulkas 6,850 6,750
Biosyn No. 2/0 SM-823 186,750 183,750
Biosyn No. 3/0 SM-693 155,650 153,150
Biosyn No. 4/0 SM-691 120,800 118,950
Biosyn No. 5/0 SM-5687 138,850 136,600
Bisturi no 11 - 15 - 22 2,750 2,700
Botol plastik 100 cc 1,000 1,000
Botol Susu Pigeon 30,400 29,900
Cat Gut Chromic No. 0 75 M 1,445,950 1,421,750
Cat Gut Chromic No. 1 75 M 1,547,550 1,521,650
Cat Gut Chromic No. 2 50 M 1,237,050 1,217,200
Cat Gut Chromic No. 2/0 100 M 1,859,450 1,828,300
Cat Gut Chromic No. 3 40 M 771,900 759,500
Cat Gut Chromic No. 3/0 100 M 1,336,500 1,314,150
Cat Gut Chromic No. 4
Cat Gut Chromic No. 4/0 100 M 1,690,850 1,662,550
Cat Gut Plain No. 0 75 M 1,376,650 1,353,600
Cat Gut Plain No. 1 75 M 1,058,250 1,041,250
Cat Gut Plain No. 2/0 100 M 1,766,250 1,736,650
Cat Gut Plain No. 3/0 100 M 1,336,500 1,314,150
Celana Hernia
Cervical Collar Support "L" 199,200 196,000
Cervical Collar Support "M" 199,200 196,000
Chromic Demegut C 0 75 C 37 MR 64,600 63,600
Chromic Demegut C 1 75 C 37 MR
Chromic Demegut C 2 90 C 37 MR 105,600 104,000
Chromic Demegut C 2/0 90 C 37 MR 87,450 86,150
Chromic Demegut C 3/0 75 C 22 MR 61,200 60,250
Colostomy Bag No.1 Phoenix 7,000 6,850
Colostomy Bag No.2 Phoenix 4,750 4,700
Colostomy Bag No.3 Phoenix 12,850 12,700
Comply Seri Gage 3 M 2,800 2,750
Condom Catheter Ukuran L 4,400 4,300
Condom Catheter Ukuran M 6,850 6,750
Connector ECG
Cotton Bud 6,200 6,100
Cusson Baby Tissu Basah 30'S 11,550 11,350
Cutisorb Sorbact Swab 7 x 9 59,600 58,700
Cup Oksigen dewasa ref 8110 39,600 39,000
Cup Oksigen Anak ref 1122 72,600 71,500
Cristal Airway Mask km 877 no 1.0 273,300 268,900
Cristal Airway Mask km 857 no 2.0 273,300 268,900
Cristal Airway Mask km 837 no 3.0 273,300 268,900
Cristal Airway Mask km 827 no 4 273,300 268,900
Daryantulle 12,250 12,050
Deltalite 3'' 180,800 177,900
Deltalite 4'' 203,400 200,150
Deltalite 5'' 233,500 229,750
Dermafix-t 10 x 25 cm 17,650 17,400
Doppler Hi Be be 0470 1,613,250 1,586,250
Dresing jar 100 x 75 mm 194,550 191,450
ECG Kenz 108 + Keyboard
ECG Paper Bioset 3500 178,050 175,200
ECG Paper Fukuda Denshi OP-11 TE(63mmx30mm) 79,200 78,000
ECG Paper Kenz R 30x50 mm RG 103 130,750 128,650
Elastomul Haft 8 cm x 4 m 43,300 42,650
Electrode ECG 3,050 3,000
ET Bening 2,5 72,600 71,500
ET Bening 2,5 + cuff rush 140,100 137,850
ET Bening 3,0 72,600 71,500
ET Bening 3,0 + cuff rush 75,900 74,750
ET Bening 3,5 72,600 71,500
ET Bening 3,5 + cuff rush 75,900 74,750
ET Bening 4 + cuff rush 75,900 74,750
ET Bening 4,0 72,600 71,500
ET Bening 4,5 72,600 71,500
ET Bening 4,5 + cuff rush 75,900 74,750
ET Bening 5 + cuff rush 75,900 74,750
ET Bening 5,0 72,600 71,500
ET Bening 5,5 92,400 91,000
ET Bening 6,0 72,600 71,500
ET Bening 6,5 92,400 91,000
ET Bening 7,0 92,400 91,000
ET Bening 7,5 92,400 91,000
ET Bening 8,0 72,600 71,500
ET Bening 8,5 72,600 71,500
ET Karet 2,5 244,050 240,100
ET Katet 3 244,050 240,100
ET Katet 3,5 244,050 240,100
ET Katet 4 nasal 244,050 240,100
ET Katet 4,5 nasal 244,050 240,100
ET Katet 4,5 oral 244,050 240,100
ET Katet 5 244,050 240,100
ET Katet 5,5 244,050 240,100
ET Katet 6 244,050 240,100
ET Katet 6,5 244,050 240,100
ET Katet 7 244,050 240,100
ET Katet 7,5 244,050 240,100
Examination Lamp EL-102 Trident 5,377,500 5,287,500
extention 150 cm / 1,5 ml 49,250 48,500
Face Mask Resusitator Adult 529,150 520,650
Face Mask Resusitator child 529,150 520,650
Feeding tube no. 3,5 35 cm 24,950 24,600
Feeding tube no. 5 100 cm 24,950 24,600
Feeding tube no. 8 40 cm 20,200 19,900
Feeding tube no. 8 100 cm 20,200 19,900
Film Agfa Codonics 35 x 43 7,124,600 7,005,350
Film Fuji 18 x 24 959,300 943,900
Film Fuji 24 x 30 1,488,400 1,463,500
Film Fuji 30 x 40 2,366,700 2,327,100
Film Fuji 35 x 35 2,569,850 2,526,850
Film Agfa Green 18 x 24 796,700 783,900
Film Agfa Green 24 x 30 1,234,350 1,213,700
Film Agfa Green 30 x 40 1,966,150 1,933,250
Film Agfa Green 35 x 35 2,136,100 2,100,350
Flash Light Earpick 11,850 11,700
Folley catheter No.10 2 way 66,000 65,000
Folley catheter No.12 2 way 23,100 22,750
Folley catheter No.14 2 way 23,100 22,750
Folley catheter No.16 2 way 23,100 22,750
Folley catheter No.18 2 way 23,100 22,750
Folley catheter No.20 2 way 23,100 22,750
Folley catheter No.20 3 way 92,400 91,000
Folley catheter No.22 2 way 23,100 22,750
Folley catheter No.22 3 way 92,400 91,000
Folley catheter No.24 2 way 23,100 22,750
Folley catheter No.24 3 way 92,400 91,000
Folley catheter No.8 2 way 66,000 65,000
Gelang Bayi Biru OM w/card 2,100 2,050
Gelang Bayi Pink OM w/card 2,100 2,050
Gelang Dewasa Biru OM w/card 2,350 2,300
Gelang Dewasa Kuning Fuji w/card 2,100 2,050
Gelang Dewasa Merah Fuji w/card 2,100 2,050
Gelang Dewasa Pink OM w/card 2,350 2,300
Gelas O2
Gunting Bengkok TA - TA 14 cm 92,400 91,000
Gunting Bengkok TU - TU 14 cm 92,400 91,000
Hanger Film 18 x 24
Hanger Film 24 x 30
Hansaplast strip 350 350
Heparin Cap 9,200 9,050
Hypavix 10 cm x 5 m 126,350 124,300
Hypavix 15 cm x 5 m 174,600 171,800
Hypavix 5 cm x 5 m 70,300 69,250
Ice Cap 17,200 16,900
Infrared Ear Thermometer 466,900 459,400
Insyte No. 18 BD 30,400 29,900
Insyte No. 20 BD 30,400 29,900
Insyte No. 22 BD 30,400 29,900
Insyte No. 24 BD 31,700 31,200
Ishihara's Test (Buta Warna) 124,500 122,500
IV Catheter No. 16 Terumo 32,350 31,850
IV Catheter No. 20 31,700 31,200
IV Catheter No. 22 31,700 31,200
Jar Forcep SH 531 233,450 229,700
Jam Digital Meja 79,200 78,000
Jarum no. 23 BD 1,650 1,650
Jarum no. 26 Terumo 550 550
Kabel ECG Ref G 3101 S MEDKE
Kalender Kehamilan
Kaos kaki untuk mayat 10,650 10,500
Kapas Lemak 1 kg-an 112,200 110,500
Kapas Putih gulung 1/2 kg-an 56,100 55,250
Kapas Putih gulung 1/4 kg-an 28,400 27,950
Karet ECG 96,000 94,550
Karet pompa susu
Kassa 7,8cmX2,5cm 4 lipat 10,650 10,450
Kassa New DRC 20 cm x 40 yd 57,750 56,900
Kassa New DRC 80 cm x 40 yd 224,100 220,500
Kassa steril ( Jamkesmas ) 4,400 4,300
Kassa steril dwipa 16 x 16 14,550 14,300
Kertas puyer potong 50 50
Kertas USG SONY 249,000 245,000
Kit A1 Operasi steril 99,350 97,850
Klep karet ECG 62,700 61,750
Kruk Anak 85,800 84,500
Kruk Dewasa 99,000 97,500
Laminaria M 106,000 104,400
Lampu OK 24 volt 25 watt 389,100 382,850
Laringoskop Lengkap Dewasa Riester 3,405,750 3,348,750
Leukodur 10 x 2,7 ( 4" ) 47,850 47,100
Leukodur 15 x 2,7 ( 6" ) 35,200 34,650
Leukodur 7,5 x 2,7 ( 3" ) 26,200 25,800
Leukoplast B kode 1625-04 H 49,250 48,500
Leukoplast K kode 1562-04 H 6,250 6,150
Leukoplast S kode 1621-02 H 9,000 8,850
Manset tensi anak 354,850 349,150
Manset tensi dewasa 622,500 612,500
Manual Resusitator Blue Cross 1,297,800 1,276,050
Manual Resusitator Gale Med Anak 2,270,500 2,232,500
Manual Resusitator Gale Med Bayi 2,031,500 1,997,500
Manual Resusitator Gale Med Dewasa 2,569,250 2,526,250
Masker 3 M 8247
MASKER 3MN 95 26,400 26,000
Masker Alpha Protect BL 5001 Tali 5,100 5,000
Masker Alpha Protect BL 5005 5,100 5,000
Masker sensi mask One Med 650 650
Masker tali mika hijau 4,300 4,250
Mayo no.0 128,700 126,750
Mayo no.00 128,700 126,750
Mayo no.000 128,700 126,750
Mayo no.1 128,700 126,750
Mayo no.2 128,700 126,750
Mayo no.3 128,700 126,750
Mayo no.4 123,750 121,900
Mayo no.4 plastik kuning 54,800 54,000
Mayo no.5 123,750 121,900
Mayo no.6 128,700 126,750
Mediban 3" 12,100 11,900
Mediban 4" 16,000 15,750
Medicrepe 3" 21,600 21,300
Medicrepe 4" 26,400 26,000
Medicrepe 6" 35,400 34,900
Micropore 1 in x 10 yd kode 1535-1 30,500 30,050
Mucus Extractor JMS 40,950 40,300
Mortil
Novo Twist 32 G TIP X mm 2,900 2,850
Nebuliser Pari 2,461,700 2,420,500
Nearbag Stainles B (24 cm ) Bengkok 149,400 147,000
Nearbag Sedang (20 cm ) 99,000 97,500
Oxygen Canula Neonatus 99,000 97,500
Palu Segitiga 33,000 32,500
Pean Bengkok 14CM 125,400 123,500
Pean Lurus 14CM 130,750 128,650
Pean Mosquito Bengkok 14 Cm 118,800 117,000
Pesarium 6.0 560,250 551,250
Pesarium 6.5 560,250 551,250
Pesarium 7.0 560,250 551,250
Pesarium 7.5 560,250 551,250
Pesarium 8.0 560,250 551,250
Pimset Chirurgis 14Cm 46,200 45,500
Pispot Dewasa Stainles Bulat 435,750 428,750
Pispot Dewasa Stainles Ovale
Pispot Stainles Pipih 435,750 428,750
Plastik Kresek K 200 200
Plastik Obat 10 x 7 cm 150 150
Plastik Obat 13 x 8,7 cm 200 200
Plastik Obat 15 x 10 cm 200 200
Plastik Obat 8 x 5 cm 100 100
Plastik Obat 4 x 6 cm 50 50
Plastik Syrup B 250 250
Plastik Syrup K 200 200
Polypro Demelen 2/0 75 C 26 MC 44,000 43,350
Polysorb No. 0 CL-933 cutting 108,250 106,600
Polysorb No. 1 CL-936 cutting 130,700 128,700
Polysorb No. 2/0 CL-916 cutting 128,700 126,750
Polysorb No. 0 CL-812 Tapper 117,500 115,700
Polysorb No. 1 CL-925 Tapper 110,250 108,550
Polysorb No. 2/0 CL-811 Tapper 104,950 103,350
Polysorb No. 3/0 GL-122 Tapper 97,700 96,200
Pompa Susu MAMI 12,350 12,150
Pot salep besar ( 65 gr ) 1,750 1,700
Pot salep T2 ( 5 gr ) 500 500
Pot salep T3 ( 10 gr ) 550 550
Pot salep T4 ( 15 gr ) 600 600
Pot salep T6 ( 25 gr ) 650 650
Rectal Tube No. 30 16,500 16,250
Rectal Tube No. 32 15,850 15,600
Regulator Inova 267,700 263,400
Regulator One Med 283,000 278,450
Regulator Sharp 996,000 980,000
Resusitator dewasa ambu silikon 3,585,000 3,525,000
Sampul Endoscopy 6,850 6,750
Sampul USG 4,150 4,050
Sarung tangan Mayat 11,650 11,500
Sarung tangan Maxter no 7- 7,5 - 8 6,200 6,100
SARUNG TANGAN MAXTER EXAM NO 2,250 2,250
Sarung tangan Gamex no.6,5 11,250 11,050
Sarung tangan industri 12,500 12,300
Sarung tangan Obs Gyn 19,800 19,500
Sarung tangan OT Profeel no.7 28,400 27,950
Sarung tangan OT Profeel no.7,5 28,400 27,950
Sarung tangan OT Profeel no.8,5 28,400 27,950
Sarung tangan Profeel Lightly no.6 13,900 13,650
Sarung tangan Profeel Lightly no.7 13,900 13,650
Sarung tangan Profeel Lightly no.7,5 13,900 13,650
Sarung tangan Profeel Lightly no.8 13,900 13,650
Sarung tangan Profeel Lightly no.8,5 13,900 13,650
Scan Ultrasonic Parker Hijau 150 150
Selang O2 Dewasa 23,100 22,750
Selang O2 Anak 23,100 22,750
Selang Nebulizer Anak 79,200 78,000
Selang NRM dewasa salter ref 8130-7 72,600 71,500
Selang NRM anak salter ref 1130 99,000 97,500
Sendok sirup 250 250
Sensi Gloves uk L 1,050 1,050
Sensi Gloves uk M 1,050 1,050
Sensi Gloves uk S 1,050 1,050
Senter 1 watt + 6 LED 59,400 58,500
Setemper
Set infus anak One Med 6,850 6,750
Set infus anak otsu OI-34 26,400 26,000
Set infus anak GEA 6,500 6,400
Set infus dewasa GEA (13/02/14) 6,500 6,400
Set infus dewasa One Med 4,800 4,750
Set infus dewasa otsu OI-44 26,400 26,000
Set mini 21 /Wing Nedle No. 21 12,350 12,150
Set mini 23 /Wing Nedle No. 23 14,800 14,600
Selang Nebuliser dewasa 55,450 54,600
Selang Nebuliser anak 67,350 66,300
Silet GOAL Disposible 7,150 7,050
Skin traction dewasa 126,350 124,450
Skin traction kid/anak 66,850 65,850
Slem seccer (Mucus Extraxtor) 13,200 13,000
Sofban besar 6 " 39,200 38,600
Sofban kecil 3" 21,600 21,300
Sofban sedang 4" 27,300 26,850
Sofsilk no. 2/0 GS-833 71,300 70,200
Sofsilk no. 3/0 GS-832 66,000 65,000
Soft Pad One Med 4,950 4,900
Softek - Maternity besar 17,850 17,550
Spalek K 5,000 5,000
Spalek B 15,000 15,000
Spalek S 10,000 10,000
Spinocain No.25 B. Braun 44,900 44,200
Spinocain No.26 B. Braun 49,400 48,650
Spinocain No.27 B. Braun 44,900 44,200
Spongostan Gelita Spon Standart (Curaspon) 54,050 53,200
Spuit 1 cc "302101" BD 4,950 4,900
Spuit 1 cc Insullin 27Gx1/2 "SS*10 M 2713 5,500 5,400
Spuit Glycerin 93,750 92,300
Spuit 1 cc One Med 1,100 1,100
Spuit 10 cc One Med 1,850 1,800
Spuit 20 cc Terumo 13,300 13,100
Spuit 3 cc BD 4,000 3,900
Spuit 3 cc One Med 950 950
Spuit 5 cc One Med 1,100 1,100
Spuit 50 cc Terumo L.Pinggir 21,100 20,750
Spuit 50 cc Terumo L.Tengah 39,600 39,000
Spuit Insullin 1 cc "326702" BD 4,450 4,400
Standar infus dorong
Standar infus paten
Stetoskop Anak Riester 541,600 532,900
Stetoskop Dewasa Riester 498,000 490,000
Stetoskop Litman 1,792,500 1,762,500
Stetoskop Neonatal Riester 457,550 450,200
Stomach tube no. 12 26,550 26,150
Stomach tube no. 14 26,550 26,150
Stomach tube no. 16 29,350 28,900
Stomach tube no. 18 26,550 26,150
Sucsion Catheter No. 10 6,850 6,750
Sucsion Catheter No. 12 6,850 6,750
Sucsion Catheter No. 14 6,850 6,750
Sucsion Catheter No. 6 5,500 5,400
Sucsion Catheter No. 8 6,850 6,750
Surflo no. 18 Terumo 13,250 13,050
Surflo no. 20 Terumo 13,250 13,050
Surflo no. 22 Terumo 13,250 13,050
Surflo no. 24 Terumo 13,250 13,050
Surgipro Mesh 14x9 (35x22cm) 2,719,850 2,674,300
Surgipro No. 0 SP-690 108,250 106,600
Surgipro No. 2/0 SP-685 117,500 115,700
Surgipro No. 3/0 SP-665 127,400 125,450
Surgipro No. 4/0 SP-683 120,800 118,950
Surgipro No. 5/0 SP-661 127,400 125,450
Surgipro No. 6/0 SP-660 105,600 104,000
Surgipro No. 7/0 SP-1696 G 143,200 140,900
Syringe Pump 21,510,000 21,150,000
Tegaderm Pad 5 cm x 7 cm "3582" 13,400 13,200
Tegaderm Pad 9 cm x 10 cm "3586" 29,950 29,500
Tegaderm Pad 9 cm x 20 cm "3590" 50,600 49,800
Tegaderm Pad 9 cm x 25 cm "3591" 58,850 58,000
Tempat Oksigen
Tensimeter Dewasa Riester 1,792,500 1,762,500
Tensocrepe 10 x 4,57 (4") 83,550 82,300
Tensocrepe 15 x 4,57 (6") 109,750 108,100
Tensocrepe 7,5 x 4,57 (3") 69,400 68,350
Thermometer Lemari Es 105,600 104,000
Thermometer Safety 18,300 18,050
Thermometer digital 25,200 24,850
Thermal paper 5,00 mm x 10mm 19,800 19,500
Thracheostomy tube
Three Way Stop Clock 47,550 46,800
Three Way Stop Clock With Male Luer L 31,950 31,500
Timbangan badan
Timbangan bayi TANITA 1,493,750 1,468,750
Tissu gulung tessa TOT-04 5,900 5,850
Transfusi set One Med 6,850 6,750
Transfusi set otsu OB-1 34,350 33,800
Tripot 85,800 84,500
Ultrafix 5 cm x 5 m 21,800 21,450
Umbilical Cord Clamp 4,500 4,400
Under Pads 3 Ply
Urinal Plastik 11,000 10,800
Urine Bag One Med 5,550 5,500
Urocare No. 16 12,350 12,150
Urocare No. 18 12,350 12,150
USG Paper Mitshubishi 510,450 502,250
Venflon Pro 20 GA BD 34,200 33,650
Venflon Pro 22 GA BD 34,200 33,650
Verban gulung 10 x 3,6 cm One Med 1,800 1,750
Verban Tromol 27 cm 1,195,000 1,175,000
Walker 85,800 84,500
WWZ 85,800 84,500
Zyde No. 0 100 M 721,650 710,050
Zyde No. 1 100 M 976,100 960,400
Zyde No. 2 50 M 825,100 811,850
Zyde No. 2/0 100 M 867,800 853,850
Zyde No. 3 361,050 355,250
Zyde No. 3/0 100 M 781,000 768,450
Kertas Printer CTG Bistol FS 130-120-3 242800 238900

BENANG PER METER

Cat Gut Chromic No. 0 75 M 21,300 21,000
Cat Gut Chromic No. 1 75 M 22,800 22,450
Cat Gut Chromic No. 2 50 M 26,250 25,850
Cat Gut Chromic No. 2/0 100 M 20,550 20,250
Cat Gut Chromic No. 3 40 M 20,500 20,150
Cat Gut Chromic No. 3/0 100 M 14,800 14,550
Cat Gut Chromic No. 4
Cat Gut Chromic No. 4/0 100 M 18,700 18,400
Cat Gut Plain No. 0 75 M 20,300 20,000
Cat Gut Plain No. 1 75 M 15,000 14,750
Cat Gut Plain No. 2/0 100 M 19,550 19,250
Cat Gut Plain No. 3/0 100 M 14,800 14,550
Zyde No. 0 100 M 7,950 7,850
Zyde No. 1 100 M 10,750 10,600
Zyde No. 2 50 M 17,500 17,250
Zyde No. 2/0 100 M 9,550 9,450
Zyde No. 3/0 100 M 8,600 8,500

JARUM

NAMA BARANG / OBAT Rj RN

JARUM KULIT G/T 16 13,150 12,950

JARUM KULIT SE-ME 18 13,150 12,950
JARUM KULIT SE-ME 21 13,150 12,950
JARUM KULIT SE-ME 24 13,150 12,950
JARUM KULIT SE-ME 28 13,150 12,950
JARUM KULIT SE-ME 32 13,150 12,950
JARUM KULIT SE-ME 36 13,150 12,950
JARUM KULIT SE-ME 45 13,150 12,950
JARUM KULIT SE-ME 50 13,150 12,950
JARUM KULIT SE-MH 18 13,150 12,950
JARUM KULIT SE-MH 21 13,150 12,950
JARUM KULIT SE-MH 24 13,150 12,950
JARUM KULIT SE-MH 28 13,150 12,950
JARUM KULIT SE-MH 32 13,150 12,950
JARUM KULIT SE-MH 36 13,150 12,950
JARUM KULIT SE-MH 45 13,150 12,950
JARUM KULIT SE- MH 50 13,150 12,950
JARUM KULIT VIGGO 13 13,150 12,950
JARUM OTOT G-15 13,150 12,950
JARUM OTOT SE-TE 18 F 13,150 12,950
JARUM OTOT SE-TE 21 13,150 12,950
JARUM OTOT SE-TE 21 F 13,150 12,950
JARUM OTOT SE-TE 24 13,150 12,950
JARUM OTOT SE-TE 24 F 13,150 12,950
JARUM OTOT SE-TE 28 13,150 12,950
JARUM OTOT SE-TE 32 13,150 12,950
JARUM OTOT SE-TE 36 13,150 12,950
JARUM OTOT SE-TE 40 13,150 12,950
JARUM OTOT SE-TE 45 13,150 12,950
JARUM OTOT SE-TE 50 13,150 12,950
JARUM OTOT SE-TH 18 13,150 12,950
JARUM OTOT SE-TH 21 13,150 12,950
JARUM OTOT SE-TH 21 F 13,150 12,950
JARUM OTOT SE-TH 24 13,150 12,950
JARUM OTOT SE-TH 24 F 13,150 12,950
JARUM OTOT SE-TH 28 13,150 12,950
JARUM OTOT SE-TH 28 F 13,150 12,950
JARUM OTOT SE-TH 32 13,150 12,950
JARUM OTOT SE-TH 36 13,150 12,950
JARUM OTOT SE-TH 40 13,150 12,950
JARUM OTOT SE-TH 45 13,150 12,950
JARUM OTOT SE-TH 50 13,150 12,950
JARUM OTOT SE-TH 55 13,150 12,950
JARUM OTOT SE-TH 60 13,150 12,950
JARUM OTOT SE-TH 65 13,150 12,950
JARUM OTOT SE-TH 70 13,150 12,950
JARUM OTOT VIGGO 12 13,150 12,950