obat yang sering dipakai di rsu
TRANSCRIPT
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
1/77
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
2/77
VI - 87
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
51. Agulan Tab Box 20 tab Tab 10.547
52. Akilen Tab 200 mg Box 30 tab@200 mg Tab 9.514
53. Akilen Tab 400 mg Box 30 tab@400 mg Tab 18.563
54. Akrinor tab Box 100 tab Tab 7.761
55. Albiotin Cap 150 mg Box 30 caps@150 mg Caps 4.510
56. Albiotin Cap 300 mg Box 30 caps@300 mg Caps 8.486
57. Albothyl Conc Botol 10 ml Btl 39.206
58. Albothyl Gel 50 gr Tube 50 gr Tube 108.495
59. Albothyl Ovula Box 6 Ovula Ovul 24.003
60. Albucetine SM 3,5 gr Tube 3,5 gr Tube 23.803
61. Albucetine TM 5 ml Botol 5 ml Btl 15.275
62. Alburras Inf Botol 100 ml Btl 1.440.203
63. Albuvit TM 15 ml Botol 15 ml Btl 27.640
64. Albuvit TM 5 ml Botol 5 ml Btl 14.802
65. Alco Oral Drop Botol 15 ml Btl 48.734
66. Aldactone Tab 100 mg Box 100 tab@100 mg Tab 4.532
67. Aldactone Tab 25 mg Box 100 tab@25 mg Tab 1.401
68. Aldazide Tab Box 100 tab Tab 1.833
69. Aldisa-SR Tab Box 50 tab Tab 4.764
70. Alegi Tab Box 100 tab Tab 1.164
71. Alernitis tab 10 mg Box 100 tab@10 mg Tab 5.310
72. Alganax Tab 0,25 mg Box 40 tab@0,25 mg Tab 1.673
73. Alganax Tab 0,5 mg Box 40 tab@0,5 mg Tab 2.546
74. Alganax Tab 1 mg Box 40 tab@1 mg Tab 4.001
75. Alinamin F Inj Box 5 amp Amp 16.364
76. Alinamin F tab Box 100 tab Tab 1.102
77. Alinamin Tab Box 100 tab Tab 505
78. Allohex Tab Box 50 tab Tab 1.455
79. Alloris syr Botol 60 ml Btl 62.627
80. Alloris Tab Box 100 tab Tab 5.433
81. Alloy Bh 396.056
82. Alludona Tab Box 100 tab Tab 800
83. Allylestrenol Tab 5 mg BRN Box 30 tab@5 mg, BRN Tab 2.182
84. Alostil Inj Box 1 Vial@500 mg/2 ml Vial 221.122
85. Alphadine Sol Galon 5000 ml Ltr 116.38086. Altofen Inj Box 5 amp@2 ml Amp 31.088
87. Alupent Tab Box 100 tab Tab 3.969
88. Alxil DS Botol 60 ml@125 mg/5ml Btl 50.916
89. Alxil Forte DS Botol 60 ml@250 mg/5ml Btl 83.648
90. Am Ultrifine 187.226
91. Amadiab Tab 1 mg Box 50 tab@1 mg Tab 2.182
92. Amadiab Tab 2 mg Box 50 tab@2 mg Tab 4.001
93. Amadiab Tab 3 mg Box 50 tab@3 mg Tab 5.383
94. Amadiab Tab 4 mg Box 50 tab@4 mg Tab 6.765
95. Amalgam sdi Ultrafine Botol 1.170.00096. Amalgam Solila 50 gr Pot 50 gr Pot 720.101
97. Amalgan Liquid Bh 240.034
98. Amalgan Powder Bh 560.079
99. Amalgan Solila 50 gr ALOY 1 OZ Bh 775.745
100. Amaryl Tab 1 mg Box 50 tab@1 mg Tab 3.154
101. Amaryl Tab 2 mg Box 50 tab@2 mg Tab 5.734
102. Amaryl Tab 3 mg Box 50 tab@3 mg Tab 7.585
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
3/77
VI - 88
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
103. Amaryl Tab 4 mg Box 50 tab@4 mg Tab 8.651
104. Ambroxol Syr Botol 60 ml Btl 4.364
105. Ambroxol Tab 30 mg Box 100 tab@30 mg Tab 150
106. Amcillin Inj 1000 mg Box 10 Vial@1000 mg Vial 11.623
107. Amcor Tab Box 30 tab Tab 6.110
108. Amdixal Tab 10 mg Box 30 tab@10 mg Tab 10.911
109. Amdixal Tab 5 mg Box 30 tab@5 mg Tab 6.110
110. Amikin Inj Box 1 Vial@500 mg Vial 285.640
111. Aminofluid Inf 1000 ml Bag 1000 ml Bag 190.175
112. Aminoleban Oral Sachet Sach 51.062
113. Aminophylline Tab 200 mg TAB 200 MG Tab 100
114. Aminoral capl Box 100 kaplet Kapl 8.001
115. Aminosteril 10% Inf Botol 500 ml, 10% Btl 138.201
116. Aminosteril 5% Inf Botol 500 ml, 5% Btl 109.106
117. Aminosteril N-Hepa 8% Inf Botol 500 ml, 8% Btl 196.391
118. Aminovel 600 Inf Botol Gelas 500 ml Btl 75.486
119. Amlupril Tab 10 mg Box 30 tab@10 mg Tab 17.108
120. Amlupril Tab 5 mg Box 30 tab@5 mg Tab 7.247
121. Amobiotic Caps 500 mg Box 100 caps@500 mg Caps 3.637
122. Amobiotic Drop Botol Gelas Btl 27.640
123. Amobiotic DS 125 mg/5 ml Botol Gelas 60 ml@125mg/5 ml
Btl 26.186
124. Amobiotic Inj 1000 mg Box 1 vial@1000 mg Vial 24.731
125. Amocomb DS Botol Gelas 60 ml Btl 62.554
126. Amocomb Inj Box 1 vial@1200 mg Vial 83.648127. Amocomb Tab 500 mg Box 30 tab@500 mg Tab 13.456
128. Amoxsan Caps 250 mg Box 100 caps@250 mg Caps 1.942
129. Amoxsan Caps 500 mg Box 100 caps@500 mg Caps 4.078
130. Amoxsan DS Botol Gelas 60 ml@125mg/5 ml
Btl 27.975
131. Amoxsan Forte DS Botol Gelas 60 ml@250mg/5 ml
Btl 39.897
132. Amoxsan Inj 1000 mg Box 10 vial@1000 mg Vial 27.973
133. Amoxsan Ped Drops Botol Gelas 15 ml Btl 27.975
134. Amoxsan Tab Dispersible 250 mg Box 100 tab@250 mg Tab 1.717
135. Ampicillin Caps 250 mg Box 100 caps@250 mg Caps 317
136. Anadex tab Box 100 tab Tab 873
137. Anadium tab Box 30 tab Tab 7.128
138. Anafranil Tab 25 mg Box 50 tab@25 mg Tab 10.352
139. Analsik Tab Box 100 tab Tab 1.360
140. Analspec Tab Box 100 tab@500 mg Tab 1.455
141. Analtram tab Box 30 tab Tab 8.729
142. Anbacim Caplet 500 mg Box 20 tab@500 mg Kapl 24.454
143. Anbacim Inj 1 gr Box 1 vial@1000 mg Vial 89.096
144. Anbiolid Tab 150 mg Box 50 tab@150 mg Tab 6.183
145. Ancefa DS 125 mg/5 ml Botol 60 ml@125 mg/5 ml Btl 50.916146. Ancefa Forte DS 250 mg/5 ml Botol 60 ml@250 mg/5 ml Btl 80.011
147. Ancefa tab 500 mg Box 30 tab@500 mg Tab 12.074
148. Andep Tab Box 30 tab Tab 3.520
149. Anemolat Tab Box 100 tab Tab 212
150. Anesfar Inj Box 5 amp Amp 18.912
151. Anexin tab Box 30 tab Tab 13.093
152. Angioten Tab 50 mg Box 30 tab@50 mg Tab 13.820
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
4/77
VI - 89
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
153. Anios DDSH Steril Sol Galon 5000 ml Btl 317.717
154. Anios DGP Galon 5000 ml Btl 2.320.326
155. Anios Spesial DJP Sol Galon Gln 2.317.417
156. Anitid Inj Box 5 amp@2 ml Amp 20.367
157. Anlos Tab Box 100 tab@10 mg Tab 3.520
158. Anore Tab Box 30 tab Tab 2.910
159. Antalgidon Inj Box 10 vial Vial 16.002
160. Antalgin Tab 500 mg Botol 1000 Tab@500 mg Tab 121
161. Antalgin/Metampiron Inj Box 30 amp@2 ml Amp 1.763
162. Antikun Inj 1 gr Box 5 amp@1000 mg Amp 20.367
163. Antikun Inj 3 gr Box 5 amp@3000 mg Amp 65.464
164. Antiprestin Caps 10 mg Box 30 caps@10 mg Caps 4.601
165. Antiprestin Caps 20 mg Box 30 caps@20 mg Caps 7.974
166. Antrain Inj Box 5 amp Amp 12.220
167. Antrain Tab Box 100 tab Tab 1.193
168. Anvomer B-6 Tab Box 60 tab Tab 2.619
169. Anxibloc Tab Box 100 tab Tab 2.328
170. Apazol tab 0,5 mg Box 100 tab@0,5 mg Tab 2.073
171. Apazol tab 1 mg Box 100 tab@0,5 mg Tab 3.273
172. APD Set Kimberly Set 240.034
173. Apialys Drops Botol 10 ml Btl 33.459
174. Apolar Cream Tube 10 gr Tube 40.733
175. Apolar-N Cream Tube 10 gr Tube 46.552
176. Apron Box 100 pcs Pcs 6.001
177. Aptor Tab Box 100 tab Tab 436
178. Aqua Pro Inj 1000 ml Labu 1000 ml Btl 13.093
179. Aqua Pro Inj 25 ml OTSU Vial 25 ml Vial 2.910
180. Aquadest Inj 50 ml BRN Vial 50 ml BERN Vial 21.821
181. Aquadest Inj 50 ml IKA Vial 50 ml IKA Btl 11.493
182. Aquadest Inj 500 ml Botol 500 ml Btl 14.548
183. Aquagel Lubricating Jelly Tube 82 gr Tube 35.641
184. Arcalion 200 Box 60 tab Tab 5.940
185. Arcamox Cap 500 mg Box 100 caps@500 mg Caps 3.200
186. Arcapec Susp Botol Btl 14.548
187. Ardium tab Box 30 tab@500 mg Tab 9.165188. Arkine Tab Box 100 tab Tab 727
189. Arome Normal/Feat Pcs 86.703
190. Artiflex 3" Rol 2,7 mX7,5 cm Rol 17.806
191. Artiflex 4" Rol 2,7 mX10 cm Rol 21.821
192. Artiflex 6" Rol 2,7 mX15 cm Rol 32.295
193. Artricom Tab 20 Tab Box 30 tab@20 mg Tab 4.364
194. Artrilox Tab 15 mg Box 20 tab@15 mg Tab 8.801
195. Artrilox Tab 7,5 mg Box 20 tab@7,5 mg Tab 5.310
196. Asabium Tab 10 mg Box 100 tab@10 mg Tab 2.037
197. Asam Traneksamat Inj 250 mg Box 10 amp@250mg, BRN Amp 7.600198. Asam Traneksamat Tab 500 mg Box 100 tab@500 mg Tab 1.382
199. Asamnex Tab 500 mg Box 30 tab@500 mg Tab 3.382
200. Ascardia Tab 160 mg Box 100 tab@160 mg Tab 1.200
201. Ascardia Tab 80 mg Box 100 tab@80 mg Tab 832
202. Aseptanios Terminal Spore Galon 5000 ml Gln 2.727.656
203. Asmacare Tab 2 mg Box 50 tab@2 mg Tab 960
204. Aspar-K Tab Box 100 tab Tab 2.859
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
5/77
VI - 90
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
205. Aspilets chewable Tab Box 100 tab@80 mg Tab 614
206. Aspirin Tab Box 144 tab@500 mg Tab 487
207. Assucryl 0 Pcs 144.995
208. Assucryl 1 Cuting HRG 40 Pcs 123.217
209. Assucryl 2/0 Monoslow Pcs 144.995
210. Assucryl 2/0 Tapper HR-27 ASSUT Pcs 105.615
211. Assucryl 3/0 HR-17 ASSUT Pcs 105.615
212. Assucryl 3/0 Monoslow Pcs 144.995
213. Assucryl 4/0 Pcs 96.014
214. Assucryl 4/0 Monoslow Pcs 144.995
215. Asthenof TM Botol 5 ml Btl 23.458
216. Asthenof TM MDS Strip 5 pcs@0,6 ml Btl 22.912
217. Asthin Force caps Box 18 caps@4 mg Caps 8.365
218. Astifen Syr Botol Btl 14.184
219. Astifen Tab Box 60 tab Tab 1.060
220. Astika tab Box 100 tab@100 mg Tab 560
221. Atarax Tab 0,5 mg Box 100 tab@0,5 mg Tab 1.891
222. Ativan Tab 0,5 mg Box 100 tab@0,5 mg Tab 1.455
223. Ativan Tab 1 mg Box 100 tab@1 mg Tab 2.592
224. Ativan Tab 2 mg Box 100 tab@2 mg Tab 6.866
225. ATP Dankos Inj Box 10 amp@2 ml Amp 49.462
226. ATP Dankos Tab Box 100 tab Tab 1.746
227. Atracurium Inj 25 mg Box 5 amp@25 mg,HAMELN
Amp 43.643
228. Atracurium Inj 50 mg Box 5 amp@50 mg,HAMELN
Amp 100.378
229. Atranac Tab 25 mg Box 50 tab@25 mg Tab 1.152
230. Atranac Tab 50 mg Box 50 tab@50 mg Tab 1.920
231. Atropine Inj Box 100 amp Amp 3.360
232. Atrovent Solution 0,025% Sol 20 ml Btl 212.975
233. ATS 50 Adh Tapes (Team) Ukuran 19X50 cm Amp 89.031
234. ATS Inj 1.500 IU Box 10 ampul Amp 145.257
235. ATS Inj 20.000 IU Box 10 ampul Amp 825.716
236. Augentonic TM 15 ml Botol 15 ml Btl 38.551
237. Augentonic TM 5 ml Botol 5 ml Btl 28.004
238. Augentonic TM Mds 0,3 ml Strip 5 pcs@0,3 ml Strip 14.184
239. Augentonic TM Mds 0,6 ml Strip 5 pcs@0,6 ml Strip 24.185
240. Auto drive screw 211-1604 6mmX4mm Pcs 415.700
241. Auto drive screw 211-1605 6mmX5mm Pcs 415.700
242. Aviter Box 21 sachet Sach 17.457
243. Azovir Cream Tube 5 gr Tube 10.183
244. Aztrin Caps 250 mg Box 6 caps@250 mg Caps 19.163
245. Bacbutinh Forte Tab Box 100 tab Tab 2.691
246. Bacbutinh Tab Box 100 tab Tab 946
247. Bacterial Viral HME's Filter WithLLP
Pcs 50.916
248. Bactesyn Inj 1,5 gr Box 1 vial@1,5 gr Vial 189.118
249. Bactesyn Tab 375 mg Box 30 tab@375 mg Tab 20.851
250. Bactigras Box 50 pcs, Ukuran 10X10cm
Pcs 14.664
251. Bactirom Inj Box 1 vial Vial 345.270
252. Bactricid Forte Tab Box 100 tab Tab 809
253. Bactricid Susp Botol 60 ml Btl 12.220
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
6/77
VI - 91
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
254. Bactricid Tab 480 mg Box 100 tab@480 mg Tab 487
255. Bamgetol Tab 200 mg Box 100 tab@200 mg Tab 2.328
256. Baquinor Forte Tab Box 20 tab@500 mg Tab 16.642
257. Baquinor Infus Botol gelas 100 ml Btl 269.783
258. Baquinor Tab 250 mg Box 20 tab@250 mg Tab 7.419
259. Baquinor TM 0.3% Botol 5 ml Btl 39.169
260. Barium Sulfat Extra Pure For X-ray DAB Kg 855.000
261. Barzepin tab 300 mg Box 30 tab@300 mg Tab 8.729
262. Barzepin tab 600 mg Box 30 tab@600 mg Tab 14.548
263. Baylin sol Botol 1000 ml Btl 16.002
264. Beclov Inj Box 5 amp Amp 40.711
265. Becombion Drops Botol 15 ml Btl 28.232
266. Becombion Forte Tab Box 100 tab Tab 839
267. Becombion Inj Box 6 amp Amp 5.358
268. Becombion Lysine syr Botol 100 ml Btl 30.820
269. Becombion Plus syr Botol 100 ml Btl 30.820
270. Becombion Syr 110 ml Botol 110 ml Btl 28.232
271. Becombion Syr 60 ml Botol 60 ml Btl 8.947
272. Becom-C Capl Box 100 tab Kapl 1.527
273. Becom-Zet Capl Box 100 tab Kapl 2.044
274. Bellaphen Tab Fls 500 tab Tab 1.891
275. Benacol Dtm Syr Botol gelas 60 ml Btl 14.548
276. Benacol Exp Syr Botol gelas 60 ml Btl 11.638
277. Benocetam Caps 400 mg Box 100 tab@400 mg Caps 2.182
278. Benocetam Inf Botol 60 ml@1200 mg Btl 189.118
279. Benocetam Inj 3 gr Box 4 amp@3000 mg Amp 50.916
280. Benocetam Tab 1200 mg Box 100 tab@1200 mg Tab 4.946
281. Benocetam Tab 800 mg Box 100 tab@800 mg Tab 3.637
282. Benoson Cream Tube 5 gr Tube 8.365
283. Benoson Tab Box 100 tab Tab 1.527
284. Benoson-G Cream Tube 10 gr Tube 53.826
285. Benovit C tab Box 100 tab Tab 1.600
286. Benozym Tab Box 100 tab Tab 1.455
287. Benutrion Ve Infus Botol 250 ml Btl 126.323
288. Benzolac CL Tube 10 gr Tube 29.095289. Beriplast P Combiset 0,5 ml Box 3 vial@0,5 ml Vial 1.600.225
290. Beriplast P Combiset 1 ml Box 1 vial@1 ml Vial 3.280.461
291. Beriplast P Combiset 3 ml Box 1 vial@3 ml Vial 6.182.688
292. Bernoflox Tab 500 mg Box 20 tab@500 mg Tab 13.820
293. Berotec 200 mcg MDI 200 MCG DI 10 ml Can 187.808
294. Berryplast P Combiset 1 ml Box 1 vial Vial 3.280.461
295. Berthyco caps 500 mcg Box 100 caps@500 mcg Caps 2.240
296. Berthyco Inj Box 10 amp@500 mcg Amp 19.203
297. Bestalin Tab Box 100 tab Tab 3.055
298. Beta One Tab 2,5 mg Box 50 tab@2,5 mg Tab 2.328299. Beta One Tab 5 mg Box 50 tab@5 mg Tab 2.793
300. Betablok Tab 100 mg Box 30 tab@100 mg Tab 2.982
301. Betablok Tab 50 mg Box 30 tab@50 mg Tab 1.840
302. Betadine Skin Cleanser Galon 5000 ml GLN 996.504
303. Betadine Solution 1000 ml Galon 1000 ml Ltr 247.308
304. Betadine Solution 30 ml Botol 30 ml Btl 15.275
305. Betadine Solution 4550 ml Galon 4550 ml GLN 916.493
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
7/77
VI - 92
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
306. Betadine Solution 60 ml Botol 60 ml Btl 27.204
307. Betahistine Tab 6 mg Box 30 tab@6 mg Novell Tab 1.222
308. Betascrub Galon 5000 ml Btl 1.032.873
309. Betaserc Tab 8 mg Box 100 tab@8 mg Tab 5.001
310. Betasin Cream Tube 10 gr Tube 33.459
311. Bevizil Tab Box 100 tab Tab 1.731
312. Bicrolid tab 250 mg Box 30 tab@250 mg Tab 11.238
313. Bicrolid tab 500 mg Box 30 tab@500 mg Tab 28.564
314. Bidicef Caps 500 mg Box 60 caps@500 mg Caps 5.092
315. Bidicef Syr Botol 60 ml Btl 38.405
316. Bifotik Inj 1 gr Box 1 vial Vial 204.138
317. BI Incubator 1 Set Set 25.047.000
318. Bio ATP Tab Box 100 tab Tab 3.116
319. Biocef Inj 1 gr Box 1 vial+ 1amp aqua PI Vial 167.296
320. Biocream Tube 20 gr Tube 23.858
321. Biocrepe 4" Ukuran 10 cmX4,57 m Rol 54.553
322. Biocrepe 6" Ukuran 15 cmX4,57 m Rol 72.738
323. Biocurliv kapl Box 30 Kaplet Kapl 5.334
324. Biodasin Caps 300 mg Box 50 caps@300 mg Caps 8.001
325. Biodiar Tab Box 50 tab Tab 1.498
326. Biolincom Caps 500 mg Box 100 caps@500 mg Caps 5.455
327. Biolincom Syr Botol 60 ml Btl 61.100
328. Biological Indicator (30EA/Box) Box 10.853.700
329. Bion 3 Caps Box 30 caps Caps 3.491
330. Bionemi Tab Box 50 tab Tab 1.237
331. Bioneuron Drage Box 100 tab Tab 1.091
332. Bioplacenton gel Tube 15 gr Tube 15.857
333. Bioplacenton Tulle Box 10 pcs Pcs 20.621
334. Bioprom Inj Box 1 vial + 1 aqua pi Box 312.771
335. Biorazon Inj Box 1 vial + 1 aqua pi Box 167.296
336. Biosanbe Caps Box 100 caps Caps 1.084
337. Biosolvon Inj Box 10 amp Amp 47.399
338. Biosorb 8/0 C-3 (ALCON) Pcs 202.781
339. Biothicol Caps 250 mg Box 100 caps@250 mg Caps 2.044
340. Biothicol Caps 500 mg Box 100 caps@500 mg Caps 4.313341. Biothicol Dry Syrup Botol Gelas 60 ml Btl 24.309
342. Bioxon Inj 1 gr Box 1 vial + 1 aqua pi Vial 232.760
343. Biozim Inj Box 1 vial Vial 232.760
344. Bisolvon Drop Botol 50 ml Btl 71.137
345. Bisolvon Elixir Botol 60 ml@4 mg/5 ml Btl 28.950
346. Bisolvon Inj Box 10 amp@4 mg/2 ml Amp 49.011
347. Bisolvon Tab 8 mg Box 100 tab@8 mg Tab 1.581
348. Bistury Aesculap/Mes (Pisau) Box [email protected];11;12;15;20;23;24
Pcs 2.962
349. Blecidex TM Botol 5 ml Btl 47.570
350. Blecidex TT Botol 5 ml Btl 47.570
351. Blesifen Tab Box 20 tab Tab 14.598
352. Blood Set Combo Pack No.18 PRODEVICE Pcs 38.696
353. Blood Set Double Bag Otsu DOUBLE BAG OTS Pcs 34.187
354. Blood Set Sangofix B-BRAUN SANGOFIX Pcs 26.913
355. Blood Set Type-Y JMS TIPE-Y JMS Pcs 29.604
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
8/77
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
9/77
VI - 94
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
mg/5 ml
407. Bufect Susp Botol Plastik 60 ml@100mg/5 ml
Btl 16.817
408. Bufect tab Box 100 tab Tab 727
409. Bur Diamond Set 6 Fg Edente Bh 174.265410. Bur Shofv Pisu^E Bh 52.807
411. Bur Shofv Ramd Bh 47.527
412. Buscopan Inj Box 10 amp@20 mg/ml Amp 26.840
413. Buscopan Plus Tab Box 100 tab Tab 3.618
414. Buscopan Tab Box 100 tab@10 mg Tab 2.617
415. Buvanest Spinal Inj 0,5% Box 5 amp@4 ml Amp 78.557
416. Cal 95 Box 30 tab Tab 3.637
417. Calcidin Syr 60 ml Botol 60 ml Btl 21.821
418. Calcidin Tab Box 100 tab Tab 800
419. Calcit Tab 0,25 mcg Botol 30 soft caps Caps 7.274420. Calcium Lactat Botol 1000 Tab@500 mg Tab 68
421. Calmlet Tab 0,25 mg Box 100 tab@0,25 mg Tab 1.188
422. Calmlet Tab 0,5 mg Box 100 tab@0,5 mg Tab 1.782
423. Calmlet Tab 1 mg Box 100 tab@1 mg Tab 2.772
424. Calmlet Tab 2 mg Box 100 tab@2 mg Tab 3.697
425. Calos Chewwable tab Botol 60 tab chewable Tab 1.164
426. Cannofix-Pu Pcs 5.819
427. Caprol Inj Box 1 vial Amp 152.749
428. Captensin Tab 12,5 mg Box 50 tab@12,5 mg Tab 495
429. Captensin Tab 25 mg Box 50 tab@25 mg Tab 829430. Capzacin Cream Tube 15 gr Tube 50.916
431. Carbachol TM 1,5%, Botol 5 ml Btl 14.729
432. Carbloxal tab 25 mg Box 30 tab@25 mg Tab 8.074
433. Carbloxal tab 6,25 mg Box 30 tab@6,25 mg Tab 3.128
434. Cardiject Inj 250 mg Box 1 vial, 10 ml@25mg/ml
Amp 94.559
435. Cardiover Tab Box 100 tab Tab 524
436. Cardisan Tab 10 mg Box 50 tab@10 mg Tab 12.227
437. Cardisan Tab 5 mg Box 50 tab@5mg Tab 6.881
438. Cardivask Tab 10 mg Box 30 tab@10 mg Tab 11.396
439. Cardivask Tab 5 mg Box 30 tab@5 mg Tab 6.546
440. Carpiaton Tab 100 mg Box 100 tab@100 mg Tab 4.655
441. Carpiaton Tab 25 mg Box 100 tab@25 mg Tab 1.673
442. Carpine TM 1% Botol 5 ml Btl 22.549
443. Carpine TM 2% Botol 5 ml Btl 27.640
444. Carpine TM 4% Botol 5 ml Btl 31.745
445. Carpine TM MDS 2% Strip Strip 17.093
446. Carsive Inj 10mg/10 ml Box 10 Ampul @ 10 ml Amp 215.050
447. Cartrilet Tab Box 30 tab Tab 9.456
448. Cataflam Dispersible Tab 50 mg Box 50 tab@50 mg Tab 5.554
449. Cataflam Drops 15 ml Botol 15 ml Btl 38.981
450. Cataflam Fast Sach Box 3 sachet Sach 8.001
451. Cataflam Tab 25 mg Box 50 tab@25 mg Tab 2.985
452. Cataflam Tab 50 mg Box 50 tab@50 mg Tab 5.697
453. Catalin TM Botol 15 ml Tab 68.824
454. Catapres Tab 150 mcg Box 100 tab@150 mcg Tab 4.556
455. Catapres Tab 75 mcg Box 100 tab@75 mcg Tab 3.455
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
10/77
VI - 95
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
456. Catarlent TM 15 ml Botol 15 ml Btl 37.605
457. Catarlent TM 5 ml Botol 5 ml Btl 25.276
458. Catarlent TM MDS 0,6 ml Strip 5 pcs@0,6 ml Strip 22.367
459. Catgut Chromic No. 2/0 Triton Box 12 pcs, TRITON Taper Pcs 74.920
460. Catgut Chromic No.1 Assut HRG 36, HRG 38 ASSUT TAPPER
Pcs 77.451
461. Catgut Chromic No.1 Atramat No.1 TAPPER ATRAMAT Pcs 80.011
462. Catgut Chromic No.1 CG-905Syneture
No.1 GS-25 (CG-905) TAPER
Pcs 87.285
463. Catgut Chromic No.1 CG-925Syneture
No.1 CG-925 TAPER Pcs 83.648
464. Catgut Chromic No.1 Demetech No.1 TAPPER Demetech Pcs 73.174
465. Catgut Chromic No.1 Hr-36 Assut No.1 TAPPER ASSUT Pcs 77.451
466. Catgut Chromic No.1 Hr-48 TapSMI
No.1 HR-48 SMI TAPER Pcs 58.190
467. Catgut Chromic No.1 Kolsut Box 12 pcs Tapper Pcs 87.285
468. Catgut Chromic No.1 Rol No.1 (75 M) BIODINAMYCS Rol 1.674.126
469. Catgut Chromic No.1 Rol B-Braun No.1 (75 M) BRAUN Rol 2.057.526
470. Catgut Chromic No.1 RolPolysuture
No.1 (75 M) POLYSUTURE Rol 1.778.432
471. Catgut Chromic No.1 RolPolysuture
No.1 (50 M) POLYSUTURE Rol 1.418.381
472. Catgut Chromic No.1 Surgirol No.1 (75 M) SURGIROL Rol 1.418.381
473. Catgut Chromic No.2 Assut HRG 50 TAPPER Assut Pcs 77.451
474. Catgut Chromic No.2 Atramat No.2 TAPPER ATRAMAT Pcs 80.011
475. Catgut Chromic No.2 Demetech No.2 TAPPER Demetech Pcs 81.902
476. Catgut Chromic No.2 DG No.2 TAPPER DG Pcs 81.975
477. Catgut Chromic No.2 Hrg-50 Assut Pcs 77.451
478. Catgut Chromic No.2 Kollsut No.2 TAPPER Kollsut Pcs 87.285
479. Catgut Chromic No.2 Rol B-Braun No.2 B-Braun Rol 1.200.169
480. Catgut Chromic No.2 RolBiodynamics
No.2 Biodynamics 50m Rol 1.445.440
481. Catgut Chromic No.2 Rol SurgirolSMI
Rol 100m SURGIROL Rol 1.702.058
482. Catgut Chromic No.2 SMI HR-50 TAPER SMI Pcs 64.009
483. Catgut Chromic No.2 Syneture No.2 GS-25 CD-866 Tapper Pcs 80.011
484. Catgut Chromic No.2/0 Assut TAPPER ASSUT Pcs 70.410485. Catgut Chromic No.2/0 Atramat TAPPER ATRAMAT Pcs 80.011
486. Catgut Chromic No.2/0 B-Braun No.2/0 PRECUT Pcs 29.095
487. Catgut Chromic No.2/0 Demetech No.2/0 TAPER demetech Pcs 65.464
488. Catgut Chromic No.2/0 Rol B-Braun
Rol No.2/0 B-Braun Rol 1.183.585
489. Catgut Chromic No.2/0 RolBiodynamics
No.2/0 Biodynamics 100m Rol 1.674.126
490. Catgut Chromic No.2/0 RolPolysuture
ROL 50m POLYSUTURE Rol 1.236.538
491. Catgut Chromic No.2/0 RolResorba-Surgica
ROL 50m ResorbaSURGICA
Rol 1.832.985
492. Catgut Chromic No.2/0 RolSurgirol
Rol 100 m Surgirol Rol 1.418.381
493. Catgut Chromic No.2/0 Sella No.2/0 SELLA Pcs 75.647
494. Catgut Chromic No.2/0 Sharpoint TAPER Sharpoint Pcs 87.285
495. Catgut Chromic No.2/0 SMI TAPPER HR-37 SMI Pcs 58.190
496. Catgut Chromic No.2/0 Synature Pcs 84.376
497. Catgut Chromic No.2/0 Triton TAPPER C26-Triton Pcs 80.011
498. Catgut Chromic No.2/0 Vigilenz No.2/0 Vigilenz Pcs 29.095
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
11/77
VI - 96
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
499. Catgut Chromic No.2/0 Vigirol No.2/0 Vigirol rol.100m Rol 1.482.390
500. Catgut Chromic No.3 B-Braun No.3 B-BRAUN rol.50 m Rol 2.057.453
501. Catgut Chromic No.3 Biodinamics No.3 Biodinamics 40m Pcs 1.529.233
502. Catgut Chromic No.3 RolPolysuture
ROL 50m POLYSUTURE Rol 1.185.621
503. Catgut Chromic No.3/0 Assut No.3/0 TAPPER ASSUT Pcs 61.609
504. Catgut Chromic No.3/0 B-Braun No.3/0 B-BRAUN Rol 1.377.721
505. Catgut Chromic No.3/0Biodinamics
No.3/0 Biodinamics 100m Rol 1.626.992
506. Catgut Chromic No.3/0 Demetech No.3/0 TAPPER Demetech Pcs 65.464
507. Catgut Chromic No.3/0 DG 122 Pcs 74.192
508. Catgut Chromic No.3/0 Rh-22Vigilenz
No.3/0 RH-22 TAPPERVigilenz
Pcs 66.191
509. Catgut Chromic No.3/0 Rh-26Vigilenz
No.3/0 RH-26 TAPPERVigilenz
Pcs 64.009
510. Catgut Chromic No.3/0 RolResorba
ROL 50m ResorbaSURGICA
Rol 1.832.985
511. Catgut Chromic No.3/0 RolSurgirol SMI
Rol 100 m Surgirol Rol 2.007.555
512. Catgut Chromic No.3/0 Sharpoint No.3/0 HR-26 TAPPERSharpoint
Pcs 87.285
513. Catgut Chromic No.3/0 SMI No.3/0 HR-26 TAPPER SMI Pcs 60.008
514. Catgut Chromic No.3/0 Syneture No.3/0 TAPPER SYNATURE Pcs 74.192
515. Catgut Chromic No.3/0 Vigirol No.3/0 Vigirol 100m Pcs 1.382.013
516. Catgut Chromic No.4/0 Assut Tapper Assut Pcs 61.609
517. Catgut Chromic No.4/0 Demetech No.4/0 TAPPER Demetech Pcs 48.007
518. Catgut Chromic No.4/0 Plain Assut No.4/0 PLAIN ASSUT Pcs 61.609
519. Catgut Chromic No.4/0 Plain SMI No.4/0 PLAIN SMI Pcs 61.609
520. Catgut Chromic No.4/0 Rol Listron No.4/0 LISTRON Rol 472.794
521. Catgut Chromic No.4/0 RolPolysuture
ROL 50m POLYSUTURE Rol 1.560.219
522. Catgut Chromic No.4/0 RolResorba Surgica
ROL 50m ResorbaSURGICA
Rol 1.832.985
523. Catgut Chromic No.4/0 RolSurgirol SMI
Rol 100m SURGIROL Rol 2.327.600
524. Catgut Chromic No.4/0 Sharpoint No.4/0 Sharpoint Pcs 72.738
525. Catgut Chromic No.4/0 SMI Tapper SMI Pcs 56.008
526. Catgut Chromic No.4/0 Syneture Pcs 94.559
527. Cathejel 12,5 mg Tube 68.373
528. Catheter Mount 22 MMF END Pcs 43.643
529. Caustiner Rapide Bh 491.109
530. Cauter (Poli Mata) Pcs 270.250
531. Cavafix-B Braun Pcs 238.050
532. Cavit D3 Tab Box 100 tab Tab 1.464
533. Cealb Inj 20%, 100 ml Botol 100 ml Btl 1.818.438
534. Cealb Inj 20%, 50 ml Botol 50 ml Btl 1.018.325
535. Cebesco Inj 125 mg Box 5 Amp@125mg, amp
2ml
Amp 32.005
536. Cedantron Inj 4 mg Box 5 amp@4 mg/2 ml Amp 30.550
537. Cedantron Inj 8 mg Box 5 amp@8 mg/4 ml Amp 50.916
538. Cedantron Tab 8 mg Box 10 tab@8 mg Tab 24.003
539. Cedocard Inj Box 10 amp Amp 94.268
540. Cedocard Retard Tab Box 60 tab@20 mg Tab 3.213
541. Cedocard Tab 10 mg Box 60 tab@10 mg Tab 1.935
542. Cedocard Tab 5 mg Box 60 tab@5 mg Tab 1.297
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
12/77
VI - 97
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
543. Cefarin Inj Box 1 vial@1000 mg Vial 145.475
544. Cefarox Caps 100 mg Box 20 caps@100 mg Caps 20.367
545. Cefarox DS Botol 30 ml@100 mg/5 ml Btl 87.285
546. Cefat Caps 250 mg Box 100 caps@250 mg Caps 6.263
547. Cefat Caps 500 mg Box 100 caps@500 mg Caps 12.693
548. Cefat DS Botol 60 ml@125 mg/5 ml Btl 52.342
549. Cefat Forte DS Botol 60 ml@250 mg/5 ml Btl 89.954
550. Cefaxon Inj 1000 mg Box 1 vial@1000 mg Vial 273.493
551. Cefazol HP Inj Box 1 vial@1000 mgHospital Pack
Vial 94.559
552. Cefazol Inj Box 1 vial@1000 mg Vial 119.290
553. Cefazolin Inj Box 1 vial@1000 mg Vial 54.619
554. Cefir Inj Box 1 vial Vial 312.771
555. Cefixime Caps 200 mg Box 30 caplet@200 mg Kapl 5.334
556. Cefixime Caps 50 mg Box 30 caps@50 mg, KF Caps 1.323557. Cefizox HP Inj Box 1 vial@1000 mg
Hospital PackVial 285.131
558. Cefoject Inj 1 gr Box 1 vial@1000 mg Vial 218.213
559. Cefoperazon + Sulbactam Inj 1 gr Box 1 vial@1000 mg, BRN Vial 145.475
560. Ceforim Inj 1 Gr Box 1 vial@1000 mg Vial 375.987
561. Cefpirom Inj 1 gr, 1's Box 1 vial@1000 mg, HEXP Vial 167.296
562. Cefpirom Inj 1 gr, 2's Box 1 vial@1000 mg, DEXA Vial 167.296
563. Cefradol Inj 1 gr Box 1 vial@1000 mg Vial 130.928
564. Cefspan 100 mg Box 30 caps@100 mg Caps 24.731
565. Cefspan 200 mg Box 10 tab@200 mg Tab 38.405566. Cefspan 50 mg Box 30 caps@50 mg Caps 11.880
567. Cefspan DS Botol 30 ml@100 mg/5 ml Btl 116.380
568. Ceftiz Inj Box 2 vial@1000 mg Vial 192.500
569. Ceftum Inj 1000 mg Box 1 vial@1000 mg Vial 258.946
570. Ceftum Inj 500 mg Box 1 vial@500 mg Vial 116.380
571. Cefurox Inj 1 gr Box 1 vial@1000 mg Vial 72.738
572. Cefuroxim Inj Box 1 vial@750 mg Vial 21.891
573. Cefxon Inj 1 gr Box 1 vial@1000 mg Vial 232.760
574. Cendo Berry tab Box 30 tab Tab 4.582
575. Cendo Hyalub MDS 0,6 Ml Strip @5 MDS Strip 69.100
576. Cendo Vital tab Box 30 tab Tab 4.364
577. Cendrid TM Botol 5 ml Btl 22.003
578. Cenfresh TM 0,3 ml MDS Strip 5 pcs@0,3 ml Strip 15.275
579. Cenfresh TM 0,6 ml MDS Strip 5 pcs@0,6 ml Strip 25.640
580. Cepezet Inj 25 mg Box 10 amp@50 mg/2 ml Amp 3.096
581. Cephaflox Inj 1000 mg Box 1 vial@1000 mg+AquaPI
Vial 240.034
582. Cepraz Inj 1000 mg Box 1 vial@1000 mg Vial 160.023
583. Ceptik Cap 100 mg Box 30 caps@100 mg Caps 22.607
584. Ceptik DS Botol 30 ml@100 mg/5 ml Btl 96.741
585. Ceradolan Inj Box 10 vial@1000 mg Amp 284.144586. Ceradolan Tab 200 mg Box 20 tab@200 mg Tab 20.638
587. Ceremax inf 2 BTL+1 Tubing Btl 605.176
588. Cerini Caplet Box 20 tab Tab 3.979
589. Cernevit Inj Box 10 vial Vial 155.658
590. Ceropid Inj Box 2 vial Vial 176.025
591. Cerplast Aerofilm 45X150 mm Ukuran 45X150 mm Pcs 116.380
592. Cerplast Aerofilm 45X200 mm Ukuran 45X200 mm Pcs 123.654
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
13/77
VI - 98
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
593. Cerplast Aerofilm 50 mm Ukuran 50 mm Pcs 69.101
594. Cerplast Aerofilm 50X100 mm Ukuran 50x100 mm Pcs 83.648
595. Cerplast Aerofilm 50X100 mm Ukuran 50x100 mm Pcs 83.648
596. Cerplast Aerofilm 50X50 mm Ukuran 50x50 mm Pcs 69.101
597. Cerplast Basic 100X150 mm Ukuran100x150 mm Pcs 94.559
598. Cerplast Basic 45X150 mm Ukuran 45x150 mm Pcs 87.285
599. Cerplast Cavity 100X100 mm Ukuran 100x100 mm Pcs 101.833
600. Cerplast Cavity 100X150 mm Ukuran 100x150 mm Pcs 116.380
601. Cerplast Digitip 55X80 mm Ukuran 55x80 mm Pcs 72.738
602. Cerplast Type Digitip Pcs 72.738
603. Cervical Collar Neck All Size Pcs 87.285
604. Cester kapl Box 30 kapl Kapl 2.910
605. Cetadop Inj 10 mg Box 5 amp 5 ml@10 mg/ml Amp 25.967
606. Cetadop Inj 40 mg Box 5 amp 5 ml@40 mg/ml Amp 53.244
607. Cetamide TM 15 ml Botol 15 ml Btl 19.403
608. Cetamide TM 5 ml Botol 5 ml Btl 16.366
609. Cetapred TM 5 ml Botol 5 ml Btl 20.730
610. Cetapred TM MDS 0,6 ml Strip 5 pcs@0,6 ml Strip 22.549
611. Cetazum Inj + Aqua PI Box 1 vial@1000 mg Vial 261.855
612. Cetinal Tab 10 mg Box 30 tab@10 mg Tab 5.674
613. Chemical Indicator Strip(250EA/Pack)
Pack 5.287.700
614. Chemical Indicator Tape(5Roll/Box)
Box @ 5 Roll Box 8.766.450
615. Chirocain Inj Amp 137.474616. CHKM Bh 108.015
617. CHKM Camex Bh 72.874
618. Chloramex Caps 500 mg Box 100 caps@500 mg Caps 1.600
619. Chloramex Inj Box 10 vial@1000 mg Vial 13.093
620. Chloramphenicol Susp 60 ml Botol 60 ml Btl 4.894
621. Chloramphenicol TT 3% Botol 5 ml Btl 1.322
622. Chlorbiotic Inj 1 gr Box 1 vial@1000 mg Vial 11.638
623. Chlorpromazine Inj Amp 730
624. Chlorpromazine Tab 100 mg Botol 1000 tab@100 mg Tab 550
625. Chlorpromazine Tab 25 mg Botol 1000 tab@25 mg Tab 45
626. Cholestat Tab 10 mg Box 30 tab@10 mg Tab 4.122
627. Cholestat Tab 20 mg Box 30 tab@20 mg Tab 7.322
628. Cholesvit caps Box 30 caps Caps 11.493
629. Cholvastin Tab Box 30 tab Tab 12.082
630. Chrome Inj Box 10 amp@50 mg/10 ml Amp 21.676
631. Chrome Tab Box 100 tab@10 mg Tab 2.029
632. Cibren Inj 125 mg Box 1 vial@125 mg Vial 191.300
633. Ciflos Tab 500 mg Box 20 tab@500 mg Tab 15.566
634. Cilostazol Tab 10 mg BRN Box 100 tab@10 mg, BRN Tab 4.364
635. Cimetidin Tab 200 mg Box 100 tab Tab 152
636. Cinam Inj Box 1 vial Vial 166.111
637. Cindala Caps 150 mg Box 100 caps@150 mg Caps 1.964
638. Cindala Caps 300 mg Box 60 caps@300 mg Caps 2.509
639. Cindala Gel Tube 10 gr Tube 26.884
640. Cinolon Cream Tube 10 gr Tube 19.028
641. Cinolon-N Cream Tube 10 gr Tube 20.788
642. Cip Stone 1 Kg Bh 35.909
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
14/77
VI - 99
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
643. Cirrus Caps Box 56 caps Caps 6.079
644. Citaz Tab 100 mg Box 50 tab@100 mg Tab 15.129
645. Citaz Tab 50 mg Box 50 tab@50 mg Tab 8.641
646. Citicholin Inj 250 mg, 10's Box 10 amp@250 mg/2ml,BRN
Amp 27.830
647. Citicholin Inj 250 mg, 5's Box 5 amp@250 mg/2ml,HEXP
Amp 21.821
648. Citicholin Inj 500 mg, 5's Box 5 amp@500 mg/4ml,HEXP
Amp 40.733
649. Citicholin tab 1000 mg Box 50 tab@1000 mg BRN Tab 17.457
650. Citicholin tab 500 mg Box 50 tab@500 mg BRN Tab 9.699
651. Civell Infus Botol 100 ml@200 mg/100ml
Btl 192.500
652. Clabat DS Botol 60 ml@125 mg/5 ml Btl 70.410
653. Clabat Forte DS Botol 60 ml@250 mg/5 ml Btl 105.469
654. Clabat Tab 500 mg Box 20 tab@500 mg Tab 14.548
655. Clacef Inj 1000 mg Box 1 vial@1000 mg Vial 152.749
656. Claneksi DS Botol 60 ml@125 mg/5 ml Btl 61.601
657. Claneksi Forte DS Botol 60 ml@250 mg/5 ml Btl 81.924
658. Claneksi Inj 1 gr Box 6 vial@1000 mg Vial 111.608
659. Claneksi Tab 500 mg Box 30 tab@500 mg Tab 14.373
660. Clarihis Tab Box 30 tab Tab 4.655
661. Claritin Tab Box 100 tab Tab 8.134
662. Clast Tab Box 100 tab Tab 2.648
663. Clatax Inj Box 2 vial Vial 145.475
664. Clavamox DS 125 mg/5 ml Botol 60 ml@125 mg/5 ml Btl 72.738665. Clavamox Inj 1 gr Box 10 vial@1000 mg Vial 115.653
666. Clavamox Inj 500 mg Box 10 vial@500 mg Vial 113.471
667. Clavamox Tab 250 mg Box 30 tab@250 mg Tab 8.389
668. Clavamox Tab 500 mg Box 30 tab@500 mg Tab 14.402
669. Cleniderm Tube 10 gr Tube 41.824
670. Cliad Tab Box 50 tab Tab 1.404
671. Climadan 150 mg Box 100 caps@150 mg Caps 5.543
672. Climadan 300 mg Box 50 caps@300 mg Caps 8.990
673. Climadan Acne Gel Tube 15 gr Tube 90.195
674. Clinidac Caps 150 mg Box 30 caps@150 mg Caps 4.655675. Clinidac Caps 300 mg Box 30 caps@300 mg Caps 6.546
676. Clinium Caps 150 mg Box 100 caps@150 mg Caps 5.383
677. Clinium Caps 300 mg Box 100 caps@300 mg Caps 8.947
678. Clinium Gel Tube 15 gr Tube 29.822
679. Clinjos Caps 150 mg Box 30 caps@150 mg Caps 3.928
680. Clinjos Caps 300 mg Box 30 caps@300 mg Caps 8.147
681. Clinmas Caps 150 mg Box 30 caps@150 mg Caps 4.001
682. Clinmas Caps 300 mg Box 30 caps@300 mg Caps 6.983
683. Clinoleic Inf 20%, 100 ml Botol 100 ml Btl 232.760
684. Clinoleic Inf 20%, 250 ml Botol 250 ml Btl 407.330685. Clinoleic Inf 20%, 500 ml Botol 500 ml Btl 545.531
686. Clobium Tab 10 mg Box 50 tab@10 mg Tab 2.764
687. Clogin tab 75 mg Box 28 tab@75 mg Tab 14.548
688. Clomifene 50 mg Tablet 50 mg Tab 3.379
689. Clopedin Inj 50mg/ml Box 10amp@50mg/ml Amp 27.773
690. Clopine tab 100 mg Box 50 tab@100 mg Tab 27.640
691. Clopine tab 25 mg Box 50 tab@25 mg Tab 7.274
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
15/77
VI - 100
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
692. Clorine 1 Liter Botol 1000 ml Btl 14.548
693. Close Suction No.12 No.12 VITALTEC Pcs 320.045
694. Close Suction No.14 No.14 VITALTEC Pcs 320.045
695. Clozaril Tab 100 mg Box 50 tab@100 mg Tab 34.877
696. Clozaril Tab 25 mg Box 50 tab@25 mg Tab 9.459
697. CMC TM Botol 5 ml Btl 22.003
698. Co-Amoxiclave Tab 625 mg Tablet salut 625 mg Tab 8.449
699. Cobazim Caps 1000 mg Box 100 caps@1000 mg Caps 3.208
700. Cobazim Caps 3000 mg Box 100 caps@3000 mg Caps 5.964
701. Co-Diovan Tab 80 mg/12,5 mg Box 28 tab@80 mg/12,5 mg Tab 15.202
702. Codipront Caps Botol 100 caps Caps 9.175
703. Codipront Cum Exp Caps Box 10 caps Caps 12.060
704. Codipront Cum Exp Syr Botol 60 ml Btl 70.555
705. Codipront Syr 60 ml Botol 60 ml Btl 64.736
706. Coditam Tab Box 100 tab Tab 4.073
707. Cohistan Tab Box 100 tab Tab 655
708. Colergis Syr 60 ml Botol 60 ml Btl 50.916
709. Colergis Tab Box 100 tab Tab 2.691
710. Colistine Tab 1,5 Jt IU Botol 50 tab Tab 7.419
711. Collacure 50x50 mm Box 5 pcs@50X50 mm Pcs 353.504
712. Colme caps Box 100 caps@250 mg Caps 691
713. Colme susp Botol 60 ml@125 mg/5 ml Btl 14.548
714. Colme Syr Botol 60 ml Btl 17.893
715. Colme TM Botol 8 ml Btl 25.094
716. Colme TT Botol 8 ml Btl 27.640
717. Colon In Foop Set Set 1.155.072
718. Colon In Loop Set+Barium Set 323.682
719. Colostomi Bag Box 100 pcs Pcs 3.637
720. Colsancetine Caps 250 mg Box 100 caps@250 mg Caps 669
721. Colsancetine Inj 1 gr Box 10 vial@1000 mg+AquaPI
Vial 12.147
722. Colsancetine Syrup Botol 60 ml Btl 12.678
723. Comafusin Hepar Botol 500 ml Btl 229.851
724. Combionta Capl Box 100 kaplet Kapl 873
725. Combivent 2,5 ml UDV Box 10 amp@2,5 ml Amp 28.804726. Combivent Inj Box 10 vial Vial 11.231
727. Combivent MDI Botol 10 ml Btl 153.302
728. Combo Pack AMS 18 Pcs 25.458
729. Combo Pack AMS 20 Pcs 25.458
730. Compound Inj Botol 250 ml Btl 1.309.275
731. Comsikla Capl 500 mg Box 30 tab Tab 13.020
732. Comsikla DS Botol 60 ml Btl 66.919
733. Comthycol Caps 500 mg Box 60 caps@500 mg Caps 3.491
734. Comthycol DS Botol 60 ml Btl 21.821
735. Comthycol Forte DS Botol 60 ml Btl 50.916736. Conal TM 5 ml Botol 5 ml Btl 29.459
737. Concor Tab 2,5 mg Box 100 tab@2,5 mg Tab 6.477
738. Concor Tab 5 mg Box 100 tab@5 mg Tab 9.398
739. Condom Cateter All Size Pcs 5.092
740. Conjucto TM Botol 5 ml Btl 15.093
741. Conver TM 15 ml Botol 15 ml Btl 18.912
742. Conver TM MDS Strip 5 pcs@0,6 ml Strip 23.458
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
16/77
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
17/77
VI - 102
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
793. Cystofix Pcs 610.995
794. Daclon 2/0 Ds-24 CUTTING DS-24 Pcs 64.300
795. Daclon 2/0 Ds-40 CUTTING DS-40 Pcs 64.300
796. Daclon 3/0 Ds-19 CUTTING DS-19 Pcs 64.300
797. Daclon 3/0 Ds-24 CUTTING DS-24 Pcs 64.300
798. Daclon 4/0 Ds-19 CUTTING DS-19 Pcs 64.300
799. Daclon 5/0 Ds-16 CUTTING DS-16 Pcs 64.300
800. Dafilon 2/0 Ds-24 DS 24 CUTTING Pcs 84.521
801. Dafilon 3/0 Ds-24 DS 24 CUTTING Pcs 83.648
802. Dafilon 4/0 Ds-16 DS 16 CUTTING Pcs 71.719
803. Dafilon 4/0 Ds-19 DS 19 CUTTING Pcs 83.648
804. Dafilon 5/0 Pcs 83.648
805. Dafilon 6/0 DS 12 CUTTING Pcs 89.467
806. Dalacin C Caps Box 30 caps@150 mg Caps 8.792
807. Dalfarol Caps Box 100 caps@400 mg Caps 5.048
808. Danalgin Tab Box 100 tab Tab 1.245
809. Danoflox Tab 200 mg Box 30 tab@200 mg Tab 13.093
810. Danoflox Tab 400 mg Box 30 tab@400 mg Tab 21.094
811. Danovir Cream 10 gr Tube 10 gr Tube 60.372
812. Danovir Cream 5 gr Tube 5 gr Tube 40.733
813. Danovir Tab 200 mg Box 30 tab@200 mg Tab 3.249
814. Danovir Tab 400 mg Box 30 tab@400 mg Tab 5.528
815. Danoxilin Inj Box 10 vial@1000 mg Vial 17.457
816. Dansera Tab Box 100 tab Tab 3.491
817. Dapson Tab Botol 1000 tab Tab 48
818. Daryantulle Box 10 pcs Pcs 18.184
819. Day Cal Tab Box 16 tab Tab 1.789
820. Decain Spinal Inj 0,5 % Box 5 amp@5 mg/ml Amp 77.102
821. Decamox Tab 500 mg Tablet 500 mg Tab 704
822. Decatrim Tab 480 mg Tablet 480 mg Tab 160
823. Decatrocin Syr Botol 60 ml@200 mg/5ml Btl 10.561
824. Decoderm Cream Tube 10 gr Tube 34.478
825. Decoderm-3 Cream Tube 5 gr Tube 36.514
826. Decubal Cream Tube 20 gr Tube 23.276
827. Deflamat Caps CR-100 Box 20 caps@CR-100 Caps 9.092828. Deflamat Caps CR-75 Box 20 caps@CR-75 Caps 7.637
829. Degrium Tab 5 mg Box 50 tab@5 mg Tab 5.092
830. Delivery System Cat. BC 161 Pcs 1.600.225
831. Delta Express lower leg Pcs 294.239
832. Delta Express wrist Pcs 156.860
833. Demesorb 2/0 90C 37M C Pcs 85.103
834. Dental X-Ray Bh 7.182
835. Depakene Syr 250 mg Botol 250 ml Btl 187.881
836. Depakote Tab 250 mg Botol 100 tab@250 mg Tab 10.880
837. Deptral Tab Box 30 tab Tab 13.093838. Derma Film Ukuran 6,5x5 cm Pcs 28.804
839. Derma Film Ukuran 15,5x8,5 cm Pcs 28.804
840. Derma Film Ukuran 23,5x7,5 cm Pcs 96.014
841. Dermafix-T Ukuran 10x25 cm Pcs 19.639
842. Dermafix-T Ukuran 10x15 cm Pcs 21.821
843. Dermalon 2/0 C-17 CUTTING 1727-51 Pcs 80.011
844. Dermalon 3/0 C-13 CUTTING 1756-41 Pcs 66.191
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
18/77
VI - 103
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
845. Dermalon 4/0 TAPPER Pcs 65.464
846. Dermalon 4/0 C-13 CUTTING Pcs 81.466
847. Dermalon 5/0 C-13 CUTTING 1756-21 Pcs 84.376
848. Dermalon 6/0 CUTTING Pcs 96.014
849. Dermanide Cream/Oint Tube 10 gr Tube 26.840
850. Dermanios Scrub Galon 5000 ml GLN 1.243.811
851. Dermanios Scrub Galon 1000 ml Ltr 1.492.574
852. Dermazine Cream Tube 25 gr Tube 42.915
853. Dermofic Cream Tube 45.702
854. Desferal Inj 500 mg Box 10 vial@500 mg Vial 144.144
855. Desmanol 1 Liter Botol 1000 ml Ltr 290.892
856. Desmanol 5 Liter Botol 5000 ml Ltr 292.550
857. Desolex cream/oint Tube 10 gr@0,05% Tube 22.549
858. Desolex lot 10 ml Botol 10 ml@0,05% Btl 25.458
859. Desolex lot 30 ml Botol 30 ml@0,05% Btl 50.189
860. Develover Automatic Agfa Gln 2.185.035
861. Develover Automatic Fuji Gln 1.130.341
862. Develover Manual Cair Kodak Btl 1.003.778
863. Develover Replenisher 20 ltr Galon 20000 ml Gln 1.130.341
864. Develover Serbuk Fuji Gln 806.513
865. Dexacap Tab 12,5 mg Box 60 tab@12,5 mg Tab 335
866. Dexacap Tab 25 mg Box 60 tab@25 mg Tab 524
867. Dexacap Tab 50 mg Box 60 tab@50 mg Tab 895
868. Dexanta Susp 100 ml Botol 100 ml Btl 13.384
869. Dexanta Tab Box 100 tab Tab 173
870. Dexaton TM Botol 5 ml Btl 26.404
871. Dexaton TM MDS Strip 5 pcs@0,6 ml Strip 23.458
872. Dexdiar Tab Box 100 tab Tab 509
873. Dexocort Cream 0,25 %, 10 gr Box 1 tube@10 gr Tube 30.986
874. Dexocort Cream 0,25 %, 5 gr Box 1 tube@5 gr Tube 17.602
875. Dexon II 0 Cutting GS-11 CUTTING 9864-61 Pcs 119.290
876. Dexon II 0 Tapper GS-21 TAPPER 9828-61 Pcs 119.290
877. Dexon II 1 Cutting 9864-71 GS-11 CUTTING 9864-71 Pcs 100.378
878. Dexon II 1 Cutting 9865-71 GS-12 CUTTING 9865-71 Pcs 109.106
879. Dexon II 1 Cutting 9866-71 GS-12 CUTTING 9866-71 Pcs 101.105880. Dexon II 1 Tapper 9828-71 GS-21 TAPPER 9828-71 Pcs 105.469
881. Dexon II 2-0 Cuting C-14 BOX 36 PCS 9618-51 Pcs 109.106
882. Dexon II 2-0 Tapper V-20 TAPPER Pcs 96.014
883. Dexon II 3/0 Cutting BOX 36 PCS, C-12 Pcs 90.195
884. Dexon II 3-0 Cuting C-13 BOX 36 PCS 9612-41 Pcs 103.724
885. Dexon II 3-0 Cutting 9618-41 C-14 CUTTING 9618-41 Pcs 103.724
886. Dexon II 3-0 Cutting 9619-41 C-14 CUTTING 9619-41 Pcs 103.724
887. Dexon II 3-0 Tapper V-20 TAPPER Pcs 94.559
888. Dexon II 3-0 Tapper 9232-41 V-20 TAPER 9232-41 Pcs 100.378
889. Dexon II 4-0 Cutting C-13 CUTTING 9612-31 Pcs 95.286890. Dexon II 4-0 Tapper 9813-31 CV-24 TAPPER 9813-31 Pcs 103.724
891. Dexon II 4-0 Tapper 9819-31 V-20 TAPPER 9819-31 Pcs 103.724
892. Dexon II 5-0 CUTING Pcs 103.287
893. Dexon II 5-0 Tapper 7216-21 CV-24 TAPPER 7216-21 Pcs 100.378
894. Dexon II 5-0 Tapper 9106-21 TAPPER 9106-21 Pcs 98.923
895. Dexon II 6-0 Cutting C-1 CUTTING 9538-11 Pcs 121.472
896. Dexon II 6-0 Tapper TAPPER Pcs 148.302
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
19/77
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
20/77
VI - 105
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
946. Disp Syringe 50 ml Terumo CATHETER TIP Pcs 30.550
947. Disp Syringe 50 ml Terumo Lubang Tengah Pcs 30.550
948. Disp Syringe 50 ml Win Lubang Tengah Pcs 13.093
949. Disp Syringe 60 ml BD BD Pcs 33.641
950. Disp Syringe Insulin 1 ml BD Box 100 pcs@1 ml InsulinI40 U BD
Pcs 4.415
951. Disp Syringe Insulin 1 ml One Med INSULIN 40 U ONE MED Pcs 1.310
952. Disp Syringe Insulin 1 ml Stera INSULIN STERA Pcs 1.018
953. Disp Syringe Insulin 1 ml Terumo INSULIN 100 UI TERUMO Pcs 5.819
954. Disp Syringe Insulin 100 IU BD INSULIN 100 UI BD Pcs 3.637
955. Disp Syringe Insulin 100 IU JMS INSULIN 100 UI JMS Pcs 5.528
956. Ditalin Tab Box 60 tab Tab 2.182
957. Ditranex Inj Box 10 amp@250 mg/ml Amp 8.147
958. Diuvar Inj Box 5 amp Amp 11.638
959. Divask Tab 10 mg Box 30 tab@10 mg Tab 14.063960. Divask Tab 5 mg Box 30 tab@5 mg Tab 7.759
961. Divoltar Tab 25 mg Box 50 tab@25 mg Tab 873
962. Divoltar Tab 50 mg Box 50 tab@50 mg Tab 538
963. Dobuject Inj 250 mg/5 ml Box 5 amp@5 ml Amp 183.066
964. Dobutamin GIUL inj Box 1 vial@250 mg/vial Vial 279.312
965. Dobutamin Hameln Inj Box 5 vial@12,5 mg/ml Vial 173.464
966. Dobutel Inj Box 1 vial 5 ml@50 mg/ml Vial 160.023
967. Dogmatil Caps Box 100 caps Caps 4.364
968. Dogmatil Forte Tab Box 20 tab Tab 10.111
969. Dolac Inj 30 mg Box 6 amp@30 mg Amp 33.944970. Dolana Caps 50 mg Box 30 caps@50 mg Caps 3.734
971. Dolana Inj 100 mg Box 5 amp@100 mg Amp 25.284
972. Dolana Inj 50 mg Box 5 amp@50 mg Amp 18.330
973. Dolana Supp 100 mg Box 5 supp@100 mg Supp 15.842
974. Dolo Neurobion Tab Box 100 tab Tab 1.572
975. Dolo Scanneuron Tab Box 100 tab Tab 1.146
976. Dolofenac Tab Box 100 tab Tab 4.292
977. Dolos Tab Box 100 tab Tab 1.040
978. Dom Suspensi Botol 60 ml Btl 32.732
979. Dom Tab Box 30 tab Tab 2.546980. Dometic Syr Botol 60 ml Btl 34.914
981. Dometic Tab 10 mg Box 50 tab@10 mg Tab 3.346
982. Dominic Inj Box 5 amp@250 mg/5 ml Amp 141.402
983. Dopac Inj Box 5 amp@200 mg/5 ml Amp 53.826
984. Dopamet Tab 250 mg Box 100 tab@250 mg Tab 2.328
985. Dopamin GIULL Inj Box 5 amp Amp 81.030
986. Dopamin HCl Inj INJEKSI 5ml Vial 69.508
987. Dopine Inj INJEKSI 200 MG/5ml Amp 18.838
988. Dores Tab 1,5 mg Box 100 tab@1,5 mg Tab 1.746
989. Dores Tab 5 mg Box 50 tab@5 mg Tab 2.910990. Dosing Pump Pcs 131.873
991. Doxef caps 500 mg Box 60 caps@500 mg Caps 10.644
992. Doxef DS Botol 60 ml@125 mg/5ml Btl 70.555
993. Doxycycline Caps 100 mg Box 100 caps@100 mg Caps 335
994. Dozil tab 5 mg Box 30 tab@5 mg Tab 21.821
995. Dramamine Tab Box 100 tab Tab 1.056
996. Dulcolactol Syr Botol 60 ml Btl 55.426
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
21/77
VI - 106
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
997. Dulcolax Supp 10 mg Box 5 supp@10 mg, Adult Supp 19.523
998. Dulcolax Supp 5 mg Box 6 supp@5 mg, Infant Supp 14.548
999. Dulcolax Tab 5 mg Box 200 tab@5 mg Tab 1.176
1000. Dumin Rectal Tube 125 mg/2,5 ml Box 5 tube@125 mg/2,5 ml Tube 13.966
1001. Dumin Rectal Tube 250 mg/2,5 ml Box 5 tube@250 mg/2,5 ml Tube 19.785
1002. Dumin Tab Box 100 tab Tab 403
1003. Dumotrim Forte Tab Box 100 tab@960 mg Tab 2.662
1004. Dumozol Infus Botol 100 ml@5 mg/ml Btl 87.285
1005. Dumozol Tab 500 mg Box 100 tab@500 mg Tab 3.317
1006. Duphalac Syr Botol 120 ml Btl 59.659
1007. Durogesic 25 ccg Patch Patch 192.027
1008. Durogesic 50 Box @ 5 Patch Patch 412.464
1009. Duvadilan Tab Box 50 tab Tab 6.110
1010. Eas Pfrimmer Inf Botol 500 ml Btl 75.647
1011. ECG Elektrode Pcs 4.364
1012. ECG Elektrode Pcs 3.637
1013. ECG Elektrode Neonate Ambu BlueSensor
Pcs 33.459
1014. ECG Elektrode Silvertrace Pcs 8.729
1015. ECG Paper 30X50 Rol 46.552
1016. Ecolene 3/0 Pcs 126.738
1017. Ecolene 3/0 Pcs 137.299
1018. Ecosorb 1 TAPPER Pcs 137.299
1019. Ecosorb 2/0 TAPPER 9106-21 Pcs 147.861
1020. Ecosorb 3/0 CUTTING Pcs 98.9231021. Ecosorb 3/0 TAPPER Pcs 98.923
1022. Ecosorb 4/0 Pcs 98.923
1023. Ecotrixon Inj 1000 mg Box 1 vial@1000 mg Vial 218.213
1024. Ecron Inj 4 mg Box 10 amp@4 mg Amp 90.485
1025. Edemin Inj Box 5 amp@10mgx2ml Amp 6.401
1026. Edotin caps Box 20 caps@300 mg Caps 5.310
1027. EDTA TM Botol 15 ml Btl 21.094
1028. EEG Surface Electrode Pcs 781.550
1029. Eflagen Tab 25 mg Box 50 tab@25 mg Tab 1.484
1030. Eflagen Tab 50 mg Box 50 tab@50 mg Tab 2.4441031. Eflin Syr Botol 60 ml Btl 19.540
1032. Eflin Tab Tab 1.478
1033. Efotax Inj Box 1 vial@1000 mg Vial 160.023
1034. Elastomul 10 cm x 4 m Pcs 49.534
1035. Electroda ECG ROL Rol 10.183
1036. Elite Cement Mini Pack 1-1 Bh 228.032
1037. Elite Cement P/L Bh 414.458
1038. Elkana Syr Botol 60 ml Btl 24.905
1039. Elkana CL Syr Botol 100 ml Btl 51.514
1040. Elkana Tab Box 100 tab Tab 8511041. Elkrip Tab TABLET Tab 9.155
1042. Elox Cream 10 gr Tube 10 gr Tube 80.011
1043. Elox Cream 5 gr Tube 5 gr Tube 47.279
1044. Elpicef Inj Box 2 vial@1000 mg Vial 225.486
1045. Elsazym Anak Box 10 sachet@5 gr granule Sach 10.183
1046. Elsazym Capl Box 100 tab Tab 2.182
1047. Em Power Bh 1.200.169
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
22/77
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
23/77
VI - 108
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
Integra Anak
1099. Essential Integra Child Pcs 5.819.000
1100. Estazor Caps Box 30 caps Caps 8.729
1101. Etadryl Inj Vial Vial 1.660
1102. Etaphyllin Inj Box 6 amp@500 mg/5ml Amp 20.609
1103. Etaphyllin Tab 250 mg Box 20 tab Tab 2.800
1104. Etason Inj Box 5 amp Amp 7.274
1105. Ethibon Exel 1 W 969 Pcs 128.018
1106. Ethigent Inj Box 5 amp@2 ml Amp 13.340
1107. Ethilon 3/0 W 1621 Pcs 76.677
1108. Ethilon 4/0 W 319 Pcs 72.874
1109. Ethopil Caps 400 mg Box 100 caps@400 mg Caps 2.182
1110. Ethopil Caps 800 mg Box 60 caps@800 mg Tab 3.928
1111. Ethopil Inj 1 Gr Box 10 amp@1000 mg Amp 18.243
1112. Ethopil Inj 3 Gr Box 4 amp@3000 mg Amp 54.990
1113. Ethrane Inj Botol gelas 250 ml Btl 1.464.206
1114. Ethylchloride/Chloretyl spray Botol 100 ml Btl 133.837
1115. Etroxa Tab 1.760
1116. ETT Clear Prof Soft Seal All Size Pcs 121.105
1117. ETT Non King2 No.5; 6,5 Pcs 404.857
1118. ETT Redrubber No.6,5 Pcs 330.228
1119. ETT Rusch No.5:5,5:6;6,5;7;7,5 Pcs 57.608
1120. ETT Uncuff No.2 s.d 7 Pcs 30.724
1121. ETT With Cuff No. 2,5 s.d 9 Pcs 57.608
1122. Eucarbon Tab BOX 24x6 TAB Tab 538
1123. Euphillin Retard Tab 250 mg Box 100 tab@250 mg Tab 3.855
1124. Euphyllin Retard Mite Tab 125 mg Box 100 tab@125 mg Tab 2.400
1125. Euthyrox Tab 100 mcg Box 100 tab Tab 2.034
1126. Euthyrox Tab 50 mcg Box 100 tab Tab 1.261
1127. Eviprostat Tablet Box 100 tab Tab 2.208
1128. Evothyl Caps 100 mg Box 30 caps@100 mg Caps 4.364
1129. Evothyl Caps 300 mg Box 30 caps@300 mg Caps 10.329
1130. Excelase-E Caps BOX 10x10's Caps 2.502
1131. Exergin Tab 1 mg Box 40 tab@1 mg Tab 2.182
1132. Exergin Tab 4,5 mg Box 40 tab@4,5 mg Tab 8.4381133. Expafusin Inf Botol 500 ml Btl 203.665
1134. Expator Hans Italy Bh 39.966
1135. Extension Tube Ukuran 100 cm, 0.79mlPLV
Pcs 40.733
1136. Exterpatel/Barbed Pcs 89.613
1137. Extimon Inj Box 1 vial@1000 mg Vial 288.768
1138. Extrace Inj Box 6 amp Amp 8.486
1139. Extradine Galon 5000 ml Gln 654.638
1140. Extropect Syr Botol 60 ml@15 mg/5ml Btl 26.913
1141. Extropect Tab 30 mg Box 50 tab@30 mg Tab 1.091
1142. Eye Lotion TM MDS Strip 5 pcs@0,6 ml Strip 46.407
1143. Eyefresh TM MDS Strip 5 pcs@0,6 ml Strip 25.822
1144. Eyevit Tab Botol 30 tab Tab 4.364
1145. Face Mask Medium Adult Pcs 60.729
1146. Faktu Oint 20 gr Tube 20 gr Tube 112.016
1147. Faktu Supp Box 10 supp Supp 9.965
1148. Falergi Tab Box 60 tab Tab 3.637
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
24/77
VI - 109
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1149. Famocid Tab 20 mg Box 30 tab@20 mg Tab 4.342
1150. Famocid Tab 40 mg Box 30 tab@40 mg Tab 6.575
1151. Famos Tab 20 mg Box 30 tab@20 mg Tab 1.309
1152. Famos Tab 40 mg Box 30 tab@40 mg Tab 1.891
1153. Fapresor Inj Box 5 amp@ Amp 92.575
1154. Farbion 5000 Inj Box 5 amp Amp 6.546
1155. Farelax inj 50 mg Box 5 amp 5 ml@10 mg/ml Amp 94.559
1156. Fargoxin Inj Box 5 amp Amp 43.643
1157. Fargoxin Tab Box 100 tab@0,25 mg Tab 364
1158. Farizol Syr 125 mg/5 ml Btl 6.401
1159. Farmabes Tab 30 mg Box 100 tab@30 mg Tab 655
1160. Farmabex-C Tab Box 100 tab Tab 1.600
1161. Farmacrol Forte Susp 100 ml Botol 100 ml Btl 50.916
1162. Farmacrol Forte Susp 200 ml Botol 200 ml Btl 64.009
1163. Farmacrol Forte Tab Box 100 tab Tab 873
1164. Farmadol Infus Botol 100 ml Btl 72.738
1165. Farmadol Tab Box 100 tab@500 mg Tab 378
1166. Farmadral Tab 10 mg Box 100 tab@10 mg Tab 276
1167. Farmalat Tab 10 mg Box 100 tab@10 mg Tab 582
1168. Farmasal Tab Box 100 tab@100 mg Tab 727
1169. Farmoten Tab 12,5 mg Box 100 tab@12,5 mg Tab 495
1170. Farmoten Tab 25 mg Box 100 tab@25 mg Tab 836
1171. Farnat Infus Botol 100 ml Btl 91.649
1172. Farnormin Tab 50 mg Box 100 tab@50 mg Tab 582
1173. Farsix Inj Box 5 amp Amp 9.456
1174. Farsix Tab Box 100 tab Tab 1.164
1175. Farsorbid Tab 10 mg Box 100 tab@10 mg Tab 553
1176. Farsorbid Tab 5 mg Box 100 tab@5 mg Tab 416
1177. Fartolin Exp Syr Botol 100 ml Btl 43.643
1178. Fartolin Tablet Box 100 tab Tab 873
1179. Fastro 100 caps Box 20 tab@100 mg Caps 12.802
1180. Feeding Tube Fr.10 JMS FR 10, 120cm Pcs 18.330
1181. Feeding Tube Fr.5 JMS FR 5, 40cm Pcs 18.330
1182. Feeding Tube Fr.5 MAS FR 5, 40cm Pcs 11.638
1183. Feeding Tube Fr.5 NIPRO FR 5, 40cm Pcs 17.4571184. Feeding Tube Fr.5 TERUMO FR 5, 40cm Pcs 18.243
1185. Feeding Tube Fr.6 JMS FR 6, 40cm Pcs 18.330
1186. Feeding Tube Fr.6 JMS FR.6, 80cm Pcs 23.276
1187. Feeding Tube Fr.8 JMS FR 8, 40cm Pcs 18.330
1188. Feeding Tube Fr.8 MAS FR 8, 40cm Pcs 11.638
1189. Feeding Tube Fr.8 NIPRO FR 8, 40cm Pcs 17.457
1190. Feeding Tube Fr.8 TERUMO FR 8, 40cm Pcs 18.243
1191. Feldene Flash Tab 20 mg Box 30 tab@20 mg Tab 17.863
1192. Feldene Gel 0,5 % Tube 15 gr Tube 83.292
1193. Fenicol SM 3,5 gr Tube 3,5 gr Tube 24.3671194. Fenicol TM 0,25% Botol 5 ml Btl 24.367
1195. Fenicol TM 0,5% Botol 5 ml Btl 34.187
1196. Fenicol TM 1% Botol 5 ml Btl 37.460
1197. Fenicol TM MDS 0,25% Strip 5 pcs@0,6 ml Strip 21.802
1198. Fenicol TM MDS 0,5% Strip 5 pcs@0,6 ml Strip 25.458
1199. Fenris Susp Botol 60 ml Btl 21.821
1200. Feprax Tab 0,5 mg Box 30 tab@0,5 mg Tab 2.085
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
25/77
VI - 110
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1201. Feprax Tab 1 mg Box 30 tab@1 mg Tab 3.200
1202. Fercee Cap Box 100 tab@500 mg Tab 1.200
1203. Ferofort Tab Box 100 tab Tab 2.109
1204. Ferokid Syr Botol 60 ml Btl 43.643
1205. Ferotam Inj 1 gr Box 1 vial@1000 mg Vial 264.037
1206. Ferriprox Syr Botol 500 ml Btl 3.438.499
1207. Ferriprox Tab 500 mg Botol 100 tab@500 mg Tab 37.824
1208. Ferromia Caps Caps 640
1209. Ferzobat Inj Box 1 vial@1000 mg Vial 208.029
1210. Fetik Supp 100 mg Box 10 supp@100 mg Supp 13.747
1211. Fetinor Caps 300 mg BOX 5x10's Caps 2.328
1212. Fevrin Drop Botol 12 ml Btl 25.924
1213. Filapeau 2/0 CUTING F87499 Pcs 78.557
1214. Filapeau 3/0 CUTING F87300 Pcs 78.557
1215. Filapeau 4/0 CUTING F87003 Pcs 78.557
1216. Filapeau 5/0 CUTING F87001 Pcs 87.285
1217. File Svenaka 15-40 Pcs 80.011
1218. File Svenaka 45-80 Pcs 89.613
1219. Film Gigi Bh 770.988
1220. Fimalbumin Inj 20 % Botol 50 ml Btl 654.638
1221. Fimalbumin Inj 20 % Botol 100 ml Btl 1.309.275
1222. Finger Sensor Infant Pcs 36.369
1223. Finpro Tab Box 30 tab Tab 13.093
1224. First Aid Galon 1000 ml Gln 244.398
1225. First Aid Streil Lic 5Lt Galon 5000 ml Gln 1.221.990
1226. Fitbon Botol 60 tab Tab 1.576
1227. Fixer Automatic Agfa Btl 1.757.338
1228. Fixer Automatic Fuji Btl 698.280
1229. Fixer Manual Cair (Kodax) Btl 820.479
1230. Fladex Infus Botol 100 ml Btl 96.014
1231. Fladex Supp 0,5 gr Box 10 supp@0,5 gr Supp 12.365
1232. Fladex Supp 1 gr Box 10 supp@1 gr Supp 21.821
1233. Fladex Syr Botol 60 ml Btl 19.779
1234. Fladex Tab 500 mg Box 100 tab@500 mg Tab 386
1235. Fladystin Ovula Box 10 ovula Ovul 16.0021236. Flagyl Supp 1 gr Box 10 supp@1 gr Supp 27.409
1237. Flamar Gel Tube 20 gr Tube 19.028
1238. Flamar Tab 25 mg Box 100 tab@25 mg Tab 946
1239. Flamar Tab 50 mg Box 100 tab@50 mg Tab 2.066
1240. Flamesin Tab 100 mg Box 100 tab@100 mg Tab 3.649
1241. Flameson Tab 4 mg Box 100 tab@4 mg Tab 646
1242. Flamic Tab 50 mg Box 50 tab@50 mg Tab 2.182
1243. Flamicort inj 10 mg/ml Box 1 vial@10 mg/ml Vial 128.018
1244. Flamicort inj 40 mg/ml Box 1 vial@40 mg/ml Vial 114.925
1245. Flamints Tab Box 72 tab Tab 3331246. Flasicox Tab 15 mg Box 50 tab@15 mg Tab 3.327
1247. Flatin Tab Box 50 tab@500 mg Tab 8.097
1248. Flavin tab Box 100 tab Tab 2.888
1249. Floksid Capl 500 mg Box 30 caps@500 mg Kapl 14.548
1250. Floxa TM 0,6 ml MDS Strip 5 pcs@0,6 ml Strip 29.822
1251. Floxa TM 5 ml Botol 5 ml Btl 44.406
1252. Floxifar Tab 500 mg Box 30 tab@500 mg Tab 1.232
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
26/77
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
27/77
VI - 112
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1302. Fortagyl Supp 0,5 gr Box 10 supp@0,5 gr Supp 6.021
1303. Fortanest Inj 15 mg Box 5 amp 3 ml@15 mg Amp 46.552
1304. Fortanest Inj 5 mg Box 5 amp 3 ml@5 mg Amp 21.239
1305. Forumen TT Botol 10 ml Btl 28.855
1306. Fosicol Caps 500 mg Box 50 caps@500 mg Caps 386
1307. Fosmicin Inj 1 gr Box 10 vial@1000 mg Vial 119.726
1308. Fosmicin Inj 2 gr Box 10 vial@2000 mg Vial 199.155
1309. Fosmidex inj 1000 mg Box 10 vial@1000 mg Vial 119.726
1310. Fosmidex inj 2000 mg Box 10 vial@2000 mg Vial 199.155
1311. Fosular Inj Box 1 vial Vial 225.486
1312. Fotaram Inj 1 gr Box 6 vial@1000 mg Vial 139.940
1313. Foxim Inj 1 gr Box 1 vial@1000 mg Vial 113.471
1314. Fraxiparin inj 0,4 Box 10 vial@0,4 ml Vial 122.199
1315. Fraxiparin inj 0,6 Box 10 vial@0,6 ml Vial 174.134
1316. Frego Tab 10 mg Box 50 tab@10 mg Tab 8.094
1317. Frego Tab 5 mg Box 50 tab@5 mg Tab 5.732
1318. Frisium Tab 10 mg Box 100 tab@10 mg Tab 3.970
1319. Frixitas Tab 0,25 mg Box 60 tab@0,25 mg Tab 1.237
1320. Frixitas Tab 0,5 mg Box 60 tab@0,5 mg Tab 1.818
1321. Frixitas Tab 1 mg Box 60 tab@1 mg Tab 2.910
1322. Frusid Inj INJEKSI Amp 2.080
1323. Fucidin Cream;Oint, Tube 5 gr Tube 51.847
1324. Fuji 2 Bh 1.203.078
1325. Fuji II No 22 Bh 577.536
1326. Fuji II (1-1) Besar Pcs 896.000
1327. Fuladic Cream Tube 5 gr Tube 52.371
1328. Fuladic Oint Tube 5 gr Tube 52.371
1329. Fungares Cream 10 gr Tube 10 gr Tube 29.822
1330. Fungares Cream 5 gr Tube 5 gr Tube 18.184
1331. Fungasol Cream 10 gr Tube 10 gr Tube 26.913
1332. Fungasol SS 1% Botol 80 ml Btl 50.916
1333. Fungasol SS 2% Botol 80 ml Btl 75.647
1334. Fungasol Tab Box 50 tab Tab 5.601
1335. Fungicid SM 1% Tube 3,5 gr Tube 29.277
1336. Fungicid TM 1% Botol 5 ml Btl 14.1841337. Fungistop Tab Box 100 tab Tab 7.274
1338. Fuson Oint/Cream Tube 5 gr Tube 45.097
1339. Futraful Caps Box 120 caps Caps 29.722
1340. FX 00 A3 Bh 785.565
1341. FX II Glaslonomer Bh 324.046
1342. FX Oo A 3 Set 225.850
1343. Gabbryl Syr Botol 60 ml@125 mg/5 ml Btl 65.464
1344. Gabbryl Tab 250 mg Box 30 tab@250 mg Tab 5.334
1345. Gabexal 100 mg Box 30 caps@100 mg Caps 4.510
1346. Gabexal 300 mg Box 100 caps@300 mg Caps 11.6381347. Galepsi caps 300 mg Box 30 caps@300 mg Caps 10.329
1348. Galflux Tab 10 mg Box 40 tab Tab 4.219
1349. Galvus tab 50 mg Box 28 tab@50 mg Tab 7.128
1350. Garam Oralit 200 ml SACHET Sach 601
1351. Garam Oralit 200 ml Phapros SACHET Sach 682
1352. Gas CO2 Tabung Tabung 218.213
1353. Gas Compress Air Tabung Tabung 400.056
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
28/77
VI - 113
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1354. Gas N2O Tabung 25 Kg Tabung 3.091.344
1355. Gas Oxygen Tabung Tabung 101.833
1356. Gastridin Inj Box 5 amp@2 ml Amp 23.058
1357. Gastridin Tab Box 100 tab@150 mg Tab 6.110
1358. Gastrofer inj Box 1 amp Amp 138.201
1359. Gastrolan Caps 30 mg Box 20 caps@30 mg Caps 14.548
1360. Gaticin Tab 34.565
1361. Gavox Tab Box 24 tab Tab 4.364
1362. GC Fuji II Bh 857.593
1363. Gelafusal Inf Softbag 500 ml Btl 198.375
1364. Gelang Bayi Warna Pink; Biru Pcs 2.037
1365. Gelang Dewasa Warna Pink; Biru Pcs 2.037
1366. Gelitaspon Pcs 87.285
1367. Gelofusine Ecoflac Inf Softbag 500 ml Btl 195.730
1368. Genta SM 0,3 %, 3,5 gr Tube 3,5 gr Tube 35.278
1369. Genta TM 0,3%, 5 ml Botol 5 ml Btl 31.641
1370. Gentamerck Cream Tube 5 gr Tube 16.730
1371. Gentamerck Inj Box 6 amp Amp 10.935
1372. Gentamycin Inj 80 mg/ml, amp 2ml
Box 1 vial@80 mg/ml, amp2 ml
Vial 5.002
1373. Gentamycin SK 1%, 5 gr Tube 5 gr Tube 2.447
1374. Gentamycin TM 1 % Botol 5 ml, Cendo Btl 33.823
1375. Gentason TM Botol 5 ml Btl 23.458
1376. Gentiderm Cream Tube 5 gr Tube 5.092
1377. Gentiderm Cream Tube 10 gr Tube 8.7291378. Gerdilium Drop Botol 12 ml Btl 39.278
1379. Gerdilium Susp Botol 60 ml Btl 39.278
1380. Gerdilium Tab Box 50 tab@10 mg Tab 3.928
1381. Gestamag Susp Botol 100 ml Btl 26.913
1382. Gestamag Tab Box 100 tab Tab 546
1383. GG Tab 100 mg/Gliseril Guaiacolat Botol 1000 tab@100 mg Tab 41
1384. Gigasept AF Galon 2000 ml Ltr 653.910
1385. Gigasept Instru AF Galon 2000 ml GLN 1.891.175
1386. Gigli Saw Olivecrona 40 cm Pcs 338.666
1387. Gingkona Tab Tab 2.3451388. Ginkona Tab 250 mg Box 30 tab@250 mg Tab 4.699
1389. Girabloc Tab 500 mg Box 30 tab@500 mg Tab 2.182
1390. Gitas Inj Box 5 amp@1 ml Amp 16.402
1391. Gitas Plus Capl Box 50 tab Tab 2.684
1392. Glamarol Tab 1 mg Box 50 tab@1 mg Tab 2.546
1393. Glamarol Tab 2 mg Box 50 tab@2 mg Tab 4.582
1394. Glamarol Tab 3 mg Box 50 tab@3 mg Tab 6.183
1395. Glamarol Tab 4 mg Box 50 tab@4 mg Tab 7.565
1396. Glass Ionomer serb Fuji 2 Bh 640.090
1397. Glass Ionomer sol Fuji 2 Pcs 836.4811398. Glaucon Tab Botol 100 tab Tab 2.766
1399. Gliabetes tab 15 mg Box 30 tab@30 mg Tab 10.183
1400. Gliabetes tab 30 mg Box 30 tab@30 mg Tab 10.183
1401. Glidabet Tab 80 mg Box 100 tab@80 mg Tab 1.091
1402. Glidabet tab 80 mg Box 100 tab@80 mg Tab 1.091
1403. Glidiab Tab 30 mg Box 100 tab@30 mg Tab 1.746
1404. Glimel Tab 100 mg Box 100 tab@100 mg Tab 2.968
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
29/77
VI - 114
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1405. Glisodin tab Box 30 tab@250 IU Tab 6.910
1406. Glucobay Tab 100 mg Box 50 tab@100 mg Tab 3.157
1407. Glucobay Tab 50 mg Box 50 tab@50 mg Tab 2.557
1408. Glucodex Tab Box 100 tab Tab 2.109
1409. Glucophage Tab 500 mg Box 100 tab@500 mg Tab 1.411
1410. Glucophage Tab 850 mg Box 100 tab@850 mg Tab 1.818
1411. Glucophage XR Tab 500 mg Box 100 tab@500 mg Tab 2.267
1412. Glucosamine MPL 250 mg Box 100 tab@250 mg Tab 1.164
1413. Glucosamine MPL 500 mg Box 100 tab@500 mg Tab 1.964
1414. Glucosamine Tab 250 mg Box 60 tab@250 mg, HEXP Tab 1.164
1415. Glucovance Tab 250 mg/1,25 mg Box 100 tab@250 mg/1,25mg
Tab 2.510
1416. Glucovance Tab 500 mg/2,5 mg Box 100 tab@500 mg/2,5mg
Tab 4.327
1417. Glucovance Tab 500 mg/5 mg Box 100 tab@500 mg/5 mg Tab 5.5461418. Gludepatic Tab 500 mg Box 100 tab@500 mg Tab 582
1419. Glukolos tab 80 mg Box 100 tab@80 mg Tab 2.539
1420. Glumet Caps 500 mg Box 28 caps Caps 800
1421. Glumin tab 500 mg Box 50 tab@500 mg Tab 1.244
1422. Glurenorm Tab 30 mg Box 100 tab@30 mg Tab 3.081
1423. Gluvas Tab 1 mg Box 50 tab@1 mg Tab 2.764
1424. Gluvas Tab 2 mg Box 50 tab@2 mg Tab 5.237
1425. Gluvas Tab 3 mg Box 50 tab@3 mg Tab 6.910
1426. Gluvas Tab 4 mg Box 50 tab@4 mg Tab 8.292
1427. Govazol Cap 150 mg Box 3 caps Caps 80.0111428. Govotil Inj Box 6 amp Amp 23.276
1429. Govotil Tab 2 mg Box 40 tab@2 mg Tab 1.455
1430. Govotil Tab 5 mg Box 40 tab@5 mg Tab 3.200
1431. Gown Bh 22.403
1432. Gracef Inj Box 1 vial@1000 mg Vial 232.760
1433. Gracivask tab 10 mg Box 30 tab@10 mg Tab 12.365
1434. Gracivask tab 5 mg Box 30 tab@5 mg Tab 6.546
1435. Grafed Tab Box 30 tab Tab 1.091
1436. Grafix Tab 500 mg Box 50 tab@500 mg Tab 2.546
1437. Grahabion Tab Box 100 tab Tab 772
1438. Granon Inj 1 mg Box 5 amp@1 mg Amp 69.101
1439. Granon Inj 3 mg Box 5 amp@3 mg Amp 145.475
1440. Gratheos Tab 50 mg Box 50 tab@50 mg Tab 769
1441. Gratizin tab 10 mg Box 100 tab@10 mg Tab 6.110
1442. Gratizin tab 5 mg Box 100 tab@5 mg Tab 5.092
1443. Gravynon tab Box 30 tab Tab 4.849
1444. Grazol Tab 200 mg Box 30 tab@200 mg Tab 4.728
1445. Guarposid Tab 5 mg Box 50 tab@5 mg Tab 3.855
1446. Gutta Percha Iniline 42.246
1447. Gynoxa Neo Vag Supp Box 10 ovula Supp 16.002
1448. Gypsona 3" Rol Ukuran 3,5 x 7,5 cm Rol 34.307
1449. Gypsona 4" Rol Ukuran 3,5 x 10 cm Rol 48.031
1450. Gypsona 6" Rol Ukuran 3,5 x 15 cm Rol 62.985
1451. Gypsona Splint System 3" ROL 3" ukuran 7,5 cm x 6m
Rol 1.819.558
1452. Gypsona Splint System 4" ROL 4" ukuran 10 cm x 6m
Rol 2.374.152
1453. Gypsona Splint System 5" ROL 5" ukuran 12,5 cm x 6 Rol 2.179.506
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
30/77
VI - 115
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
m
1454. H2O2 20% Botol 800 ml@konsentrasilarutan 20%
Btl 36.369
1455. H2O2 35% Botol 800 ml@konsentrasi
larutan 35%
Btl 37.824
1456. H2O2 50% Botol 800 ml@konsentrasilarutan 50%
Btl 37.824
1457. Hacip Tab 20 mg Box 30 tab@20 mg Tab 2.619
1458. Hacip Tab 40 mg Box 30 tab@40 mg Tab 3.637
1459. Haemacel Inf Botol 500 ml Btl 247.308
1460. Haemostop Inj Amp 10.844
1461. HAES-Steril 6% Botol 500 ml Btl 225.486
1462. Halcion Tab 0,25 mg Tablet 0,25 mg Tab 3.371
1463. Halothane Inj Botol 250 ml Btl 1.600.225
1464. Hand Instrument P-1 Pcs 330.446
1465. Hansaplast Strip Box 73.930
1466. Hedix tab Box 100 tab Tab 1.273
1467. Hemafort Tab Box 100 tab Tab 960
1468. Hemapo inj 10.000 IU Syringe 10.000 IU/ml Pcs 691.006
1469. Hemapo inj 10000 IU/ml Box 1 amp@10000 IU/ml Amp 640.090
1470. Hepabalance Capl Box 100 caplet Kapl 6.546
1471. Hepamax Caps Box 30 caps Caps 8.389
1472. Hepa-Merz Inj Box 5 amp 10 ml@5 gr Amp 149.781
1473. Heparin Inj 5000 IU/ml Box 1 vial@5000 IU/ml, B-Braun
Vial 69.514
1474. Hepasil Caps Box 50 caps Caps 3.7821475. Heptamyl Inj Box 6 amp@250 mg/5ml Amp 6.134
1476. Heptamyl Tab 150 mg Box 20 tab Tab 2.880
1477. Herbesser Caps SR-180 Box 30 caps Caps 16.662
1478. Herbesser Caps SR-90 Box 100 caps Caps 8.380
1479. Herbesser Inj 10 mg Box 10 amp@10 mg Amp 98.923
1480. Herbesser Tab 30 mg Box 100 tab@30 mg Tab 3.150
1481. Herbesser Tab 60 mg Box 100 tab@60 mg Tab 4.932
1482. Herclov Tab 500 mg Box 50 tab@500 mg Tab 16.853
1483. Hervis SM 3,5 gr Tube 3,5 gr Tube 53.462
1484. Hestar Inj 10% Botol 500 ml Btl 104.7421485. Hestar Inj 6% Botol 500 ml Bag 145.475
1486. Hexadol Solution 120 ml Botol 120 ml Btl 17.457
1487. Hexadol Solution 60 ml Botol 60 ml Btl 11.638
1488. Hexer Inj Box 5 amp@50 mg/2 ml Amp 15.275
1489. Hexer Tab 150 mg Box 50 tab@150 mg Tab 5.528
1490. Hexilon Inj 125 mg Box 1 vial@2 ml Vial 106.924
1491. Hexilon Tab 16 mg Box 30 tab@16 mg Tab 8.438
1492. Hexilon Tab 4 mg Box 30 tab@4 mg Tab 3.200
1493. Hexilon Tab 8 mg Box 30 tab@8 mg Tab 5.383
1494. Hexymer Tab Box 100 tab Tab 9551495. Hg Mercury Pcs 581.900
1496. Hibicet 500 ml Botol 500 ml Btl 132.382
1497. Hibicet Hospital 5 Ltr Galon 5000 ml GLN 1.196.968
1498. Hibiscrub 5 ltr Galon 5000 ml GLN 1.557.019
1499. Hibiscrub 500 ml Botol 500 ml Btl 170.206
1500. Hi-Bone Tab Botol 30 tab Tab 4.073
1501. Hidrocortisone Cream 1% Tube 5 gr Tube 2.315
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
31/77
VI - 116
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1502. Hidrocortisone Cream 2,5% Tube 5 gr, KF Tube 3.736
1503. Hirudoid Gel Tube 15 gr Tube 47.047
1504. Histapan Tab Box 100 tab Tab 735
1505. Histrine FT 10 mg Box 30 tab@10 mg Tab 7.274
1506. Histrine FT 5 mg Box 30 tab@5 mg Tab 5.334
1507. Histrine oral drop 20 ml Botol 20 ml@10 mg/ml Btl 69.537
1508. Histrine sir 60 ml Botol 60 ml@5mg/5ml Btl 55.208
1509. Hitrol Soft Caps Soft capsul Caps 8.449
1510. HME With O2 Tubing Surgika Pcs 58.190
1511. Homatro TM 2% Botol 5 ml Btl 24.367
1512. Homoclomin Tab Box 100 tab Tab 2.582
1513. Hufamoxil Tab 500 mg BOX 10x10's Tab 557
1514. Humulin-R Inj Box 1 vial Vial 328.046
1515. Humulin-R Reguler Inj Box 1 vial Vial 135.680
1516. Hydrea Caps 500 mg Botol 100 caps@500 mg Caps 1.390.756
1517. Hydrex Surgical Scrub 5 Liter Galon 5000 ml GLN 1.338.370
1518. Hydrochlortiazide Tab 25 mg Botol 1000 tab@25 mg Tab 29
1519. Hydrocortisone Cream 1 % Tube 5 gr, Kalbe Tube 4.946
1520. Hydrocortisone Cream 2.5 % Tube 5 gr, Kalbe Tube 7.274
1521. Hyoscine-N Butylbromida TabDEXA
Box 100 tab Tab 397
1522. Hypafix 3" Ukuran 5x5 m Rol 69.101
1523. Hypafix 4" Ukuran 10x5 m Rol 132.382
1524. Hypafix 6" Ukuran 15x5 m Rol 181.844
1525. Hyperil Tab 2,5 mg Box 60 tab@2,5 mg Tab 6.4251526. Hyperil Tab 5 mg Box 60 tab@5 mg Tab 10.183
1527. Hypobhac 150 mg/1,5 ml Box 1 vial@150 mg/1,5 ml Vial 173.377
1528. Hypobhac 25 mg/ml Box 1 vial@25 mg/ml Vial 76.923
1529. Hypobhac 300 mg/1,5 ml Box 1 vial@300 mg/1,5 ml Vial 308.980
1530. Hypofil Caps Box 100 caps Caps 2.539
1531. Hystolan Tab 20 mg Box 50 tab@20 mg Tab 4.946
1532. Hytrin Tab 1 mg Box 140 tab@1 mg Tab 8.827
1533. Hytrin Tab 2 mg Box 28 tab@2 mg Tab 15.794
1534. Hytroz tab 1 mg Box 100 tab@1 mg Tab 6.808
1535. Hytroz tab 2 mg Box 100 tab@2 mg Tab 12.1761536. Iberet Tab Box 100 tab Tab 3.419
1537. Ibufenz Oral Susp Botol 60 ml@100 mg/5 ml Btl 18.184
1538. Ibufenz Supp 125 mg Box 10 supp@125 mg Supp 3.928
1539. Ibustrin 200 mg Tablet 200 mg Tab 10.455
1540. Ikalep tab 250 mg Botol 30 tab@250 mg Tab 5.455
1541. Ikamicetin SK Tube Tube 6.740
1542. Ikaphen caps 100 mg Box 100 caps@100 mg Caps 1.746
1543. Ikaphen inj Box 10 amp@50 mg/ml,amp 2 ml
Amp 115.653
1544. Iliadin Spray 0,05% Botol 10 ml@spray 0,05% Btl 44.806
1545. Ilusemin Tab Tab 4.537
1546. Imipenem Cilastatin Inj 1 G Vial 1 Gram Vial 264.499
1547. Imox Tab Botol 20 tab Tab 8.729
1548. Impugan Inj Box 5 amp Amp 10.765
1549. Impugan Tab Box 100 tab@40 mg Tab 2.502
1550. Imudator kapl Box 30 tab Kapl 8.001
1551. Imudator syr Botol 60 ml Btl 62.554
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
32/77
VI - 117
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1552. Imunos Syr Botol 60 ml Btl 72.738
1553. Imunos Tab Box 20 tab Tab 7.274
1554. Inamox Tab 500 mg Box 100 tab@500 mg Tab 567
1555. Inamycin Syr Botol Btl 48.007
1556. Inbion Caps Box 100 caps Caps 1.455
1557. Incelin inj 1000 mg Box 5 amp@8 ml Amp 108.452
1558. Incelin Inj 250 mg Box 5 amp@250 mg Amp 36.369
1559. Incelin inj 500 mg Box 5 amp@4 ml Amp 59.645
1560. Incelin Tab 500 mg Box 30 tab@500 mg Tab 13.238
1561. Incetax Inj INJEKSI Vial 105.615
1562. Inclarin Tab Box 50 tab Tab 6.561
1563. Inclovir tab 500 mg Box 42 tab@500 mg Tab 16.439
1564. Indanox Caps 150 mg Box 60 caps@150 mg Caps 4.801
1565. Indanox Caps 300 mg Box 60 caps@300 mg Caps 8.147
1566. Indexon Inj Box 5 amp@1 ml Amp 9.245
1567. Indexon Tab Box 100 tab Tab 374
1568. Indop Inj Box 1 vial Vial 43.643
1569. Indoran Inj INJEKSI 25 MG Vial 6.721
1570. Induxin Inj Box 10 amp@1 ml Amp 10.911
1571. Inerson Oint 15 gr Tube 15 gr Tube 37.278
1572. Infeld Caps Box 50 caps Caps 2.444
1573. Infeld Gel Tube 15 gr Tube 25.204
1574. Infelon Tab Box 50 tab Tab 8.176
1575. Inflammide MDI 100 Botol 15 ml@MDI 100 mcg Btl 193.627
1576. Inflammide MDI 200 Botol 15 ml@MDI 200 mcg Btl 278.919
1577. Infumal Infus Softbag 500 ml Softbag 101.469
1578. Infusan M 20 Softbag 500 ml Softbag 87.918
1579. Infusion Set Combo Pack 20 Combo Pack 20-Prodevice Pcs 29.022
1580. Infusion Set For Infusor TYPE-200 JMS Pcs 87.285
1581. Infusion Set Intrafix Pcs 32.005
1582. Infusion Set Intrafix Air Pcs 32.666
1583. Infusion Set Ped Type-200 JMS Pcs 15.362
1584. Infusion Set Ped With Buret JMS Pcs 94.559
1585. Infusion Set Terufusion Pump Pcs 52.371
1586. Infusion Set Type-200 Jms Pcs 14.5481587. Infusion Set Volumetric JMS Pcs 110.561
1588. Infusion Set Vs-10 INFUSION PUMPFRESENIUS
Pcs 69.828
1589. Infusion Set Vs-50 INFUSION PUMPFRESENIUS
Pcs 72.738
1590. Injectomat Line Syringe Pumps Pcs 37.824
1591. Inkaloa tab Box 30 tab@20 mg Tab 4.073
1592. Inkurin tab Box 30 tab Tab 5.455
1593. Inmatrol Tm Botol 5 ml Btl 28.469
1594. Inotrop Inj Box 1 vial Vial 144.020
1595. Inpepsa Susp 100 ml Botol 100 ml Btl 64.009
1596. Inpepsa Susp 200 ml Botol 200 ml Btl 101.833
1597. Insaar Tab Box 30 tab@50 mg Tab 14.169
1598. Insetron Inj 4 mg Box 5 amp@4 mg/2 ml Amp 23.276
1599. Insetron Inj 8 mg Box 5 amp@8 mg/4 ml Amp 33.605
1600. Insetron Tab 4 mg Box 12 tab@4 mg Tab 7.698
1601. Insetron Tab 8 mg Box 12 tab@8 mg Tab 161.303
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
33/77
VI - 118
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1602. Insulatard HM 40 IU/ml Box 1 Vial 10ml@40 IU/ml Vial 184.753
1603. Insulatard Novolet Inj Box 5 x 3ml Vial 201.628
1604. Interbi Cream Tube 5 gr Tube 31.313
1605. Interbi Tab 250 mg Box 12 caps@250 mg Tab 29.204
1606. Intercon Cream Tube 10 gr Tube 86.485
1607. Intercon Oint Tube 10 gr Tube 86.485
1608. Interdoxin Caps 100 mg Box 20 caps@100 mg Caps 8.219
1609. Interdoxin Caps 50 mg Box 20 caps@50 mg Caps 5.310
1610. Interfam Tab 20 mg Box 30 tab@20 mg Tab 4.607
1611. Interfam Tab 40 mg Box 30 tab@40 mg Tab 7.274
1612. Interflox Tab 500 mg Box 12 tab@500 mg Tab 15.660
1613. Interhistin Syr Botol 60 ml@50 mg/5 ml Btl 21.821
1614. Interhistin Tab Box 100 tab@50 mg Tab 820
1615. Interhistin Tab Box 100 tab@50 mg Tab 655
1616. Intermic Inj Box 5 amp@5 ml Amp 9.696
1617. Intermoxil Caps 500 mg Box 100 tab@500 mg Caps 3.877
1618. Intermoxil DS Botol 60 ml@125 mg/5 ml Btl 27.277
1619. Intermoxil Forte DS Botol 60 ml@250 mg/5 ml Btl 37.824
1620. Intermoxil Inj Box 10 vial@1000 mg Vial 28.804
1621. Internolol Tab 50 mg Box 30 tab@50 mg Tab 2.643
1622. Interome Inj Box 1 vial@1000 mg Vial 320.591
1623. Interpec 15 Elixir Botol 60 ml Btl 28.331
1624. Interpec Tab 30 mg Box 100 tab@30 mg Tab 1.346
1625. Interpim inj 1000 mg Box 1 vial@1000 mg Vial 351.322
1626. Interpril Tab 10 mg Box 30 tab@10 mg Tab 5.470
1627. Interpril Tab 5 mg Box 30 tab@5 mg Tab 3.513
1628. Interquin 2% Plus Tube 15 gr Tube 29.095
1629. Interquin Cream 5% Tube 15 gr Tube 22.367
1630. Intervask Tab 10 mg Box 30 tab@10 mg Tab 10.911
1631. Intervask Tab 5 mg Box 30 tab@5 mg Tab 6.401
1632. Interzinc syr Botol Btl 29.822
1633. Interzinc tab Box 20 tab@20 mg Tab 1.127
1634. Interzinc tab dispersible Box 30 tab@20 mg Tab 1.455
1635. Interzol Cream Tube 5 gr Tube 26.840
1636. Interzol SS 1% Botol 100 ml@SS 1% Btl 58.1901637. Interzol SS 2% Botol 80 ml@SS 2% Btl 74.556
1638. Interzol Tab 200 mg Box 50 tab@200 mg Tab 6.561
1639. Intidrol Tab 16 mg Box 20 tab@16 mg Tab 8.205
1640. Intidrol Tab 4 mg Box 20 tab@4 mg Tab 3.280
1641. Intrix Inj Box 1 vial@1000 mg Vial 196.391
1642. Intrizin Drops Botol 15 ml Btl 74.556
1643. Intrizin Syr Botol 60 ml Tab 67.100
1644. Intrizin Tab Box 30 tab Tab 4.582
1645. Invitec Tab Box 30 tab@200 mcg Tab 12.608
1646. Invomit Inj 4 mg Box 5 amp@4 mg/2 ml Amp 39.5691647. Invomit Inj 8 mg Box 5 amp@8 mg/4 ml Amp 80.011
1648. Invomit Tab 4 mg Box 18 tab@4 mg Tab 20.205
1649. Invomit Tab 8 mg Box 18 tab@8 mg Tab 30.711
1650. Iodoform Pasta Pcs 390.964
1651. IOL PMMA AC Pcs 253.000
1652. IOL PMMA PC Pcs 190.000
1653. Iretensa Tab 150 mg Box 30 tab@150 mg Tab 11.638
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
34/77
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
35/77
VI - 120
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1700. KAEN 4B Inf Botol 500 ml Bag 20.711
1701. Kaflam Tab 25 mg Box 30 tab@25 mg Tab 2.182
1702. Kaflam Tab 50 mg Box 30 tab@50 mg Tab 3.782
1703. Kalbamin Inf 500 ml Botol 500 ml Btl 119.290
1704. Kalcef Caps 500 mg Box 30 caps@500 mg Caps 25.216
1705. Kalcef Inj Box 1 vial@750 MG Vial 71.283
1706. Kalcinol-N Cream Tube 5 gr Tube 8.729
1707. Kalcinol-N Cream Tube 10 gr Tube 13.093
1708. Kalfixom Inj Box 1 vial@1000 mg Vial 167.296
1709. Kalfoxim HP Inj Box 1 vial@1000 mgHospital Pack
Vial 155.658
1710. Kalitake Sachet 5 gr Box 20 sachet Sach 18.835
1711. Kalium Diklofenak Tab 50 mg Box 50 tab@50 mg Tab 937
1712. Kalkurenal Drop Botol 50 ml Btl 132.019
1713. Kalmeco Caps 250 mcg Box 100 tab@250 mcg Caps 1.7171714. Kalmeco Caps 500 mcg Box 100 tab@500 mcg Caps 2.575
1715. Kalmeco Inj 500 mcg Box 5 amp@500 mcg/ml Amp 25.604
1716. Kalmethason Inj 4 mg Box 5 amp@4 mg/amp Amp 7.274
1717. Kalmethason Inj 5 mg Box 5 amp@5 mg/amp Amp 7.710
1718. Kalmethason Tab 0,5 mg Box 200 tab@0,5 mg Tab 120
1719. Kalmoxilin Capl 500 mg Box 100 capl@500 mg Kapl 2.910
1720. Kalmoxilin DS Botol 60 ml@125 mg/5 ml Btl 25.458
1721. Kalmoxilin Inj 1000 mg Box 10 vial@1000 mg Vial 33.459
1722. Kalmoxillin Forte DS Botol 60 ml@250 mg/5 ml Btl 39.278
1723. Kalnex Caps 250 mg Box 100 caps@250 mg Caps 1.9861724. Kalnex Inj 250 mg Box 10 amp@250 mg/5ml Amp 10.911
1725. Kalnex Inj 500 mg Box 10 amp@500 mg/5ml Amp 14.664
1726. Kalnex Tab 500 mg Box 100 tab@500 mg Tab 3.404
1727. Kaloba tab Box 21 tab@20 mg Tab 6.235
1728. Kaloste tab Box 30 sachet Tab 6.668
1729. Kalpicillin Inj Box 10 vial@1000 mg Vial 11.638
1730. Kalthrocin Caps 250 mg Box 100 caps@250 mg Caps 8.758
1731. Kalticol Caps 500 mg Box 50 caps@500 mg Caps 4.219
1732. Kaltrofen Gel 30 gr Tube 30 gr Tube 70.264
1733. Kaltrofen Inj 100 mg Box 5 amp@100 mg/2ml Amp 32.0051734. Kaltrofen Supp 100 mg Box 10 supp Supp 14.548
1735. Kaltrofen Tab 100 mg Box 30 tab@100 mg Tab 6.061
1736. Kaltrofen Tab 50 mg Box 30 tab@50 mg Tab 3.491
1737. Kaltrofen Tab OD 200 mg Box 30 tab@200 mg Tab 8.401
1738. Kalxetin Caps 10 mg Box 30 caps@10 mg Caps 4.679
1739. Kalxetin Caps 20 mg Box 30 caps@20 mg Caps 7.468
1740. Kamadol inj Box 6 amp Amp 14.305
1741. Kanabiotic Inj 1 gr Box 10 vial@1000 mg Vial 13.093
1742. Kanamycin Caps 250 mg Box 100 caps@250 mg Box 1.891
1743. Kanamycin Inj 1 Gr Box 10 vial@1000 mg Vial 11.8561744. Kandistatin drop syr Botol 12 ml Btl 39.278
1745. Kapas Gulung 1000 gr Rol 1000 gr Rol 87.285
1746. Kaporit Gln 582.409
1747. Kapsul Kosong No 0 Kantong isi 1000 capsul Caps 89
1748. Kapsul Kosong No 00 Kantong isi 1000 capsul Caps 124
1749. Kapsul Kosong No 1 Kantong isi 1000 capsul Caps 74
1750. Kapsul Kosong No 2 Kantong isi 1000 capsul Caps 59
-
8/19/2019 Obat YANG SERING DIPAKAI DI RSU
36/77
VI - 121
NO JENIS BARANG/JASA SPESIFIKASI SATUAN HARGA(Rp)1 2 3 4 5
1751. Kapsul Kosong No 3 Kantong isi 1000 capsul Caps 55
1752. Kassa Lebar 40 m x 80 cm BJ1 Rol 40 m x 80 cm BJ KW1 Rol 352.050
1753. Kassa Lebar 40 m x 80 cm BJ2 Rol 40 m x 80 cm BJ KW2 Rol 253.127
1754. Kassa Lebar 40 m x 80 cm S-25 Rol 40 m x 80 cm S-25 Rol 16