SSH OBAT-OBATAN - Kumpulan data - OPEN DATA PROVINSI JAWA TENGAH

NO. INDEKS
5 . 11

JENIS / NAMA BARANG

HARGA

PENGADAAN OBAT - OBATAN

5 . 11 . 1 .
5 . 11 . 1 .
5 . 11 . 1 .

1
2
2

. 1

5 . 11 . 1 .
5 . 11 . 1 .


2
2

. 2
. 3

-

Pil KB II : Lynestrenol 0,5 mg
Pil KB III : Desogestrel 0,15 mg+Ethinylestradiol 0,03mg

5 . 11 . 1 .

2

. 4

-


Obat Suntik KB I : Medroxyprogesteron Acetat 150 mg

5 . 11 . 1 .

2

. 5

-

5 . 11 . 1 .
5 . 11 . 1 .
5 . 11 . 1 .

2
2
2

. 6
. 7

. 8

-

Obat Suntik KB II : Medroxyprogesteron Acetat 25 mg+ Estradiol
Cypionate 5 mg
Susuk KB I : Etonogestrel 68 mg
Susuk KB II : Levonogestrel 75 mg
Susuk KB III : Levonogestrel 36 mg

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

SATUAN

2
2
2
2
2
2
2
2
2
2

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

2
2
2
2
2
2
2

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.

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.
.
.

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
48
49
50
51
52
53
54
55
56

ACT (artesuate tab 50mg+amodiaquine anhydrida tab 200mg)
Alat Kontrasepsi
- Pil KB I : Ethinylestradiol 0,03mg+Levonorgestrel 0,15mg

BAHAN HABIS PAKAI
3M A3 2:250
3M Es Pe A 3,5
3M Es Pe A2
3M Es Pe A4
3m Es pe B2
3M Es Pe C3
3M Es Pe Z 250, A3
3M Es Pe Z 250, A3,5
3m Es Pe Z.250 C2
3m Es Pe Z.250 D3
3-Way Stopcock
A2 (Helio)
A3 (Helio)
A3 Tetric N Ceram
A3.5 Tetric Cream
Abbocath No. 14
Abbocath No. 16
Abbocath No. 18
Abbocath No. 20
Abbocath No. 22
Abbocath No. 24
Abbocath No. 26
Achbar
Acticulating Paper (lmbr)
Advantime 1
Advantime 3/0
Advantime 4/0
Agaat Spantula
Agaat Spatula
Ah 26 Liquid
AH 26 Powder
Alginat
Alkohol 70%
Alkohol 96 %
Alvogyl 12 gr
Amalgam (Powder Liquid)
Anesthesia Minikit
Anios special DJP
Anios Spray
Anios Spray 29
Aniosyme DD1
Arsen (btl)
Aseptanios terminal HPH
Aseptanios terminal spare
Atramat 0 atrom
Atramat 1 atrom
Atramat 2 atrom
Atramat 2/0 atrom
Atramat 3/0 atrom
Atraucan
Autoclave tp.3/4
Avolgil
Baju operasi
Bekker Glass 1 L
Betadine
Betadine Plester

2 blister

80,710

1 blister

4,810

1 blister
1 blister

7,220
8,230

1 vial @ 3 ml

13,920

1 vial @ 0,5 ml

10,380

1 set 1 implant
1 set 2 implant
1 set 6 implant

631,870
448,190
664,640

Pc
Tube
Tube
Tube
Tube
Tube
Box
Pc
Tube
Tube
pcs
Tube
Tube
Tube
Tube
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Pack
pcs
pcs
pcs
pcs
pcs
Botol
Botol
Gr
ml
ml
Botol
Botol
Unit
ml
ml
ml
ml
Botol
ml
Galon
pcs
pcs
pcs
pcs
pcs
pcs
Rol
pcs
pcs
pcs
ml
pcs

132

344,900
439,000
344,000
102,790
442,750
110,690
501,600
438,900
442,750
442,750
20,001
442,750
351,120
110,690
110,690
9,525
9,525
9,525
9,525
9,525
9,525
15,048
411,130
151,800
124,610
124,610
113,850
63,250
63,250
40,755
50,944
240
25
66
290,950
271,980
202,400
407
303
350
371
490,190
407
1,638,180
113,850
121,440
70,840
109,300
125,240
122,579
151,684
354,200
65,634
107,530
10,796
400

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

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.

57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129

JENIS / NAMA BARANG
Bisturi No. 11
Bisturi No. 15
Bisturi No. 21
Bisturi No. 22
Bisturi No. 23
Blood Lancet
Blood tranf.set type OB-1
Blue Tips
Bonding 3M
Bone Plate Mini 2,0 (Mini Implant Sel)
Bone Plate Narrow 2,0 (Basic Implant Sel)
Bone Plate Small (Small Implant Sel)
Bone Screw 2,0 (Mini Implant Sel)
Bone Screw 3,4 (Small Implant Sel)
Bone Screw 4,5 (Basic Implant Sel)
Bone Screw 4.5
Bone Wax
Botol Plastik 10 ml
Botol Plastik 100 ml
Botol Plastik 100 ml ttp hijau
Botol Plastik 200 ml
Botol Plastik 50 ml
Botol Plastik 60 ml
Botol Tetes
Bowl & Spatula
Broad Plate ACP 10 hole
Broad Plate ACP 11 hole
Broad Plate ACP 12 hole
Broad Plate ACP 13 hole
Broad Plate ACP 14 hole
Broad Plate ACP 15 hole
Broad Plate ACP 16 hole
Broad Plate ACP 17 hole
Broad Plate ACP 18 hole
Broad Plate ACP 19 hole
Broad Plate ACP 20 hole
Broad Plate ACP 5 hole
Broad Plate ACP 6 hole
Broad Plate ACP 7 hole
Broad Plate ACP 8 hole
Broad Plate ACP 9 hole
Bur Belimbing/Zekrya
Bur Belimbing/Zekrya E0151
Bur Fissur Cutting
Bur Polish Fissur
Bur Round Fissur
Bur SS White
Bur Tulang Fisure
Bur Tulang Fissur 36 023 US 563 HP
Bur Tulang Round Meissenger 1 023 US 8 HP
Bur Tulang Round
CAE Set
Calcii Carb
Cancellous Screw d 6.5 mm Thread 16 mm L 105-110mm
Cancellous Screw d 6.5 mm Thread 16 mm L 40-90 mm
Cancellous Screw d 6.5 mm Thread 16 mm L 95-100 mm
Cancellous Screw d 6.5 mm Thread 32 mm L 105-110mm
Cancellous Screw d 6.5 mm Thread 32 mm L 40-90 mm
Cancellous Screw d 6.5 mm Thread 32 mm L 95-100 mm
Cancellous Screw dia 4.0 mm Full Thread L 16-28 mm
Cancellous Screw dia 4.0 mm Full Thread L 30-40mm
Cancellous Screw Full Thread 32 d 6.5 mm
Cat Gut Chromic 0 (cm)
Cat Gut Chromic 1
Cat Gut Chromic 2
Cat Gut Chromic 2/0 100m
Cat Gut Chromic 2/0 atrom
Cat Gut Chromic 3/0
Cat Gut Chromic 3/0 atrom
Cat Gut Chromic 4/0
cat gut cromic no.2/0 B.Broun
Cat Gut Plain 0
Cat Gut Plain 1

133

SATUAN
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Gr
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Meter
Meter
Meter
pcs
pcs
meter
pcs
meter
meter
meter
meter

HARGA
3,420
3,420
3,420
3,420
3,420
724
26,730
269
1,059,440
656,220
1,565,440
656,160
111,580
155,250
258,890
256,340
65,208
285
912
2,030
1,311
713
513
1,140
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
2,070,000
189,750
189,750
31,630
31,350
26,220
142,500
25,300
50,160
57,684
57,684
15,820
50
39,900
388,130
388,130
388,130
388,130
388,130
388,130
388,130
388,130
388,130
17,473
18,560
27,830
13,920
65,150
13,920
67,680
11,140
71,227
18,560
18,560

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

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.

130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202

JENIS / NAMA BARANG
Cat Gut Plain 2
Cat Gut Plain 2/0
Cat Gut Plain 3/0
Cat Gut Plain 4/0
Cat Gut Plain 4/0 atrom
Cement Liquid 60 cc
Cement Powder (gr)
Cement Powder 125gr
Chemflex Liquid (cc)
Chemflex Liquid 6 cc
Chemflex Powder (gr)
Chemflex Powder 15gr (+Liquid)
Chlor Ethyl (ml)
Chlorophenol Kamfer Menthol (ChKM)
Chromic Petergut 2-0
Chromic Petergut 3-0
Chromic petergut 4-0
Citoject
City Coil Multiple
Clurofenol k.menthol(chkm)
COE Pak
Colostomy SS
Corolene 2/0 atrom
Corticoal Bone Screw dia 3.5 mm
Corticoal Bone Screw dia 4.5 mm
Coutter mata
Cresopat/putrex
Cresophene
Crisophen
Cromic no.0 Atromatic
Cromic no.3/0 atromatic
Cup sample 1,5
Curaspon
Curaspon gigi
Cuticell Classic 10 cm x 10 cm
Cutimed Gel 25 gr
Cuvette Segment Rack P400
Darmkass
Dermanios (5 L) Scrub Chlorhexidine/Hibiscrub
Dermanios (500 ml) Scrub Chlorhexidine/Hibiscrub
dycal liquid
dycal powder
Easy Post Drill No. 1
Easy Post Drill No. 2
ECG pepper 50m x 30mm
ECG pepper 63 m x 30 mm
Endo Tracheal no 3
Endo Tracheal no 3,5 (Smith)
Endo Tracheal no 4 (Rush)
Endo Tracheal no 4,5
Endo Tracheal no 5
Endo Tracheal no 5,5
Endo Tracheal no 6
Endo Tracheal no 6,5
Endo Tracheal no 7
Endo Tracheal no 7,5
ET. Non king2 no.4
ET. Non king2 no.4,5
ET. Non king2 no.5
ET. Non king2 no.5,5
ET. Non king2 no.6
ET. Non king2 no.6,5
ET. Non king2 no.7
ET. Non king2 no.7,5
ET.ams no.6
ET.ams no.6,5
ET.ams no.7,5
ET.ams.no.7
Et.no.2,5 Rusc Tanpa Balon
ET.no.2,5 rusch
Et.No.3 Ruch Tanpa Balon
ET.no.3 rusch
ET.no.3,5 rusch

134

SATUAN
meter
meter
meter
meter
meter
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Botol
pcs
pcs
pcs
pcs
pcs
Botol
Botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Pack
pcs
pcs
Sachet
Tube
pcs
Buah
ml
ml
Botol
Tube
pcs
pcs
Rol
Rol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

HARGA
27,830
13,920
13,920
13,920
63,250
213,180
215,050
213,180
430,100
347,880
430,100
50,600
966
189,750
75,900
85,390
83,490
1,430
194,810
208,730
40,480
6,330
94,880
109,300
103,450
177,630
54,820
672,040
727,380
65,780
67,680
544
51,750
13,920
9,520
51,974
410,685
13,590
234
237
18,030
4,347
273,810
273,810
20,520
58,938
76,540
74,435
66,462
66,462
66,462
66,462
66,462
319,770
29,310
27,330
546,635
546,635
546,635
546,635
546,635
546,635
546,635
520,467
62,700
49,157
46,987
66,462
65,208
117,876
65,208
62,700
66,462

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

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.
.
.
.
.
.
.
.
.
.
.
.

203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276

JENIS / NAMA BARANG
Et.no.3,5 Rusch Tanpa Balon
ET.no.4 rusch
Et.no.4 Rusch tanpa balon
ET.no.4,5 rusch
Et.no.4,5 Rusch tanpa balon
ET.no.5 rusch
ET.no.5 Rush
ET.no.5,5 Rush
ET.no.6,5 rusch
ET.no.7 rusch
ET.no.7,5 rusch
Etching
ETT AGT 3,5mm
Eugenol
Eugenol (cc)
Extension Tube no 2,5
Extension Tube no 2,5 B. Braun
Exterpasi
Farmocresol
File Protaper no.21
Filtex Z 250 A2
Filtex Z 250 A3,5
Fissur Bur endo acces
Fissur Scanalat (Helioseal )
Fletcher Powder - Liquid (gr)
Folley Cath (2 Way) 10
Folley Cath (2 Way) 14
Folley Cath (2-Way) 12
Folley Cath (2-Way) 16
Folley Cath (2-Way) 18
Folley Cath (2-Way) 20
Folley Cath (2-Way) 8
Folley Cath (3-Way) 18
Folley Cath (3-Way) 20
Folley Cath (3-Way) 22
Folley Cath (3-Way) 24
Formalin 37%
Formalin tab
Fregnol
Fuji I
Fuji I Liquid + Powder
Fuji II (Liquid + Powder)
Fuji II lc liquid
Fuji II lc Powder
Fuji IX Liquid
Fuji IX Powder
Fuji V11( Powder + Liquid )
Gas Cartride Pack M 348
Gate Gliden Drill 1-6
Gelang Bayi
Gelang Bayi + Dewasa
Gelang Dewasa
Gigasept AF
Gingimaster
Gliserin
gluco strip
gluco strip ss
Gp Protaper F 5
gp protaper F4
Guedel Clear Rusch No 0
Guedel Clear Rusch No 00
Guedel Clear Rusch No 000
Guedel Clear Rusch No 1
Guedel Clear Rusch No 10
Guedel Clear Rusch No 12
Guedel Clear Rusch No 2
Guedel Clear Rusch No 3
Guedel Clear Rusch No 4
Guedel Clear Rusch No 5
Guedel Clear Rusch No 6
Guedel Clear Rusch No 7
Guedel Clear Rusch No 9
Guedel No. 100
Guedel No. 110

SATUAN

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Botol
pcs
Botol
Botol
pcs
pcs
Botol
Botol
Box
pcs
pcs
pcs
pcs
Botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ml
Pc
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Unit
pcs
pcs
pcs
pcs
Botol
Botol
Botol
Box
Box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

135

HARGA
65,208
66,462
66,462
319,770
62,700
66,462
319,770
66,462
62,700
316,008
319,770
158,130
41,750
8,722
7,120
13,540
39,900
132,830
102,790
869,690
442,750
442,750
51,870
197,660
63,250
40,273
14,923
14,923
14,923
14,923
40,273
52,166
14,923
14,923
77,999
62,700
132
88,920
476,520
895,620
570,000
484,500
35,530
22,600
23,200
433,200
917,130
11,504,680
341,550
764
72,450
764
783
111,160
57,000
9,370
8,350
8,360
8,360
80,160
80,160
80,160
92,000
88,550
94,310
92,000
92,000
92,000
80,160
74,060
94,310
94,310
12,540
13,980

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350

JENIS / NAMA BARANG
Guedel no. 2
Guedel No. 40
Guedel No. 50
Guedel No. 60
Guedel No. 70
Guedel No. 80
Guedel No. 90
Gutap Protaper F4
Gutta Percha 15-80
Gutta Percha 20
Gutta Percha 25
Gutta Percha 35
Gutta percha 40 - 80
Guttap perca protaper F2
Guttap Percha Protaper F3
Gypsona 3 "
Gypsona 4"
Gypsona 6"
H2O2 (ml)
H2O2 3%
H2O2 50% 800ml
H2O2 800 ml
Heliobond
Heliomolar
Hemolok Feracrylum 1% 100 ml
Hypafix 10 cm x 5 m
Hypavix 10 cm X 10 M
Imersion oil 100 ml
Implant Wire
incheque bowie dick test pa
Infus Set
Infus Set Ped
Infus Set Pum Terumo
infus set pum terumo micro
infus set tipe Y
Intrafix (Infus Set B-Braun)
Intrafix Air pediatric
Iodin Povidon 1 li
Iol Arterior Diopsi 20
Iol arterior diopsi 21
IV catheter 24 terumo
jarum
Jarum Insulin 30
Jarum Insulin 31
Jarum Irigasi
Jarum Mani SE ME 1/2 C No. 21
Jarum Mani SE ME 1/2 C No. 24
Jarum Mani SE ME 3/8 C No. 24
Jarum Mani SE ME 3/8 C No. 32
Jarum Mani SE ME 3/8 C No. 36
Jarum Mani SE ME 3/8 C No. 40
Jarum Mani SE ME 3/8 C No. 45
Jarum Mani SE ME No. 18
Jarum Mani SE ME No. 21
Jarum Mani SE ME No. 24
Jarum Mani SE ME No. 28
Jarum Mani SE ME No. 32
Jarum Mani SE ME No. 36
Jarum Mani SE ME No. 40
Jarum Mani SE ME No. 45
Jarum Mani SE ME No. 50
Jarum Mani SE ME No. 55
Jarum Mani SE MH 1/2 C No. 18
Jarum Mani SE MH 1/2 C No. 21
Jarum Mani SE MH 1/2 C No. 24
Jarum Mani SE MH 1/2 C No. 28
Jarum Mani SE MH 1/2 C No. 32
Jarum Mani SE MH 1/2 C No. 36
Jarum Mani SE MH 1/2 C No. 40
Jarum Mani SE MH 1/2 C No. 45
Jarum Mani SE MH 1/2 C No. 50
Jarum Mani SE MH 1/2 C No. 55
Jarum Mani SE MH 1/2 C No. 65
Jarum Mani SE MH 1/2C No. 60

SATUAN
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Box
pcs
pcs
Box
pcs
Box
Botol
Box
pcs
pcs
pcs
ml
ml
ml
ml
Tube
Tube
Botol
meter
meter
Botol
Buah
Box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ml
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

136

HARGA
16,450
18,695
11,390
18,695
18,696
18,696
25,389
193,325
653
653
653
653
653
8,360
8,360
28,567
39,995
52,447
50
3,600
57
25,300
347,880
436,430
62,620
37,620
103,118
558,657
473,419
75,900
7,336
11,863
24,829
97,790
15,180
8,897
20,880
47
468,050
470,000
16,804
8,550
1,710
2,410
25,080
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424

JENIS / NAMA BARANG
Jarum Mani SE MH No. 18
Jarum Mani SE MH No. 21
Jarum Mani SE MH No. 24
Jarum Mani SE MH No. 28
Jarum Mani SE MH No. 36
Jarum Mani SE MH No. 40
Jarum Mani SE MH No. 55
Jarum Mani SE TE 3/8 C No. 24
Jarum Mani SE TE 3/8 C No. 32
Jarum Mani SE TE 3/8 C No. 40
Jarum Mani SE TE 3/8 C No. 55
Jarum Mani SE TE 3/8 C No. 60
Jarum Mani SE TE No. 21
Jarum Mani SE TE No. 24
Jarum Mani SE TE No. 28
Jarum Mani SE TE No. 32
Jarum Mani SE TE No. 36
Jarum Mani SE TE No. 40
Jarum Mani SE TE No. 45
Jarum Mani SE TE No. 50
Jarum Mani SE TE No. 55
Jarum Mani SE TE No. 60
Jarum mani SE TH 1/2 C 18
Jarum Mani SE TH 1/2 C No. 21
Jarum Mani SE TH 1/2 C No. 24
Jarum Mani SE TH 1/2 C No. 28
Jarum Mani SE TH 1/2 C No. 32
Jarum Mani SE TH 1/2 C No. 36
Jarum Mani SE TH 1/2 C No. 45
Jarum Mani SE TH 1/2 C No. 50
Jarum Mani SE TH 1/2 C No. 55
Jarum Mani SE TH 1/2 C No. 65
Jarum Mani SE TH 1/2 C No.40
Jarum Mani SE TH 1/2 No. 40
Jarum Mani SE TH No. 21
Jarum Mani SE TH No. 24
Jarum Mani SE TH No. 28
Jarum Mani SE TH No. 36
Jarum Mani SE TH No. 40
Jarum Mani SE TH No. 50
Jarum Mani SE TH No. 55
Jarum Mani TH 60
Jegul Dolbun B
Jelly eco (ml)
Kapas (gram)
Kapas berlemak
Kapas Potong Uk.3 Cm X 3 Cm
Kapas Potong Uk.10 Cm X 5 Cm
Kapsul Kosong 00
Kassa 1,5x3
Kassa 10 x 5
Kassa 16x45
Kassa 1x3
Kassa 3x3
Kassa 5x5
Kassa Depper
Kassa Gigi 4 x 4 cm
Kassa HID 80x40
Kassa Hydrofil 16 X16
kassa Rol/potong
Kassa steril 16x16 HAI
Kassa Tali Pusat Bayi
Kassa tampon 1 cm
Kassa Tampon 1,5x3
Kassa tampon 2 cm
Kassa tampon 3 cm
Kassa Tampon 4 Cm
Kassa Tampon Gigi
Kertas Lakmus Merah
K-File 10 21 mm
K-File 15 pk.25
K-File 45-80 25mm
Kirschner Wires
Kondom Cathether L

SATUAN
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Pc
ml
Gr
Rol
Pack
Box
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Rol
Box
Pack
Pcs
Pack
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

137

HARGA
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
8,550
7,386
50
128
56,360
75,900
14,296
80
8,300
530
8,860
6,330
5,060
5,650
1,140
470
210,045
6,612
231,990
6,612
238,200
6,960
9,054
6,960
14,296
12,740
1,140
1,129
103,626
176,700
112,860
138,000
5,756

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

.
.
.
.
.
.
.
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.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497

JENIS / NAMA BARANG
Kondom Cathether M
Kuas
Kuvet Respon
Label Semicoated uk.45 mm x 30 mm
Lancet (cc)
Lancet V Medick
Leukofix 2121 (0,5 x 5,5)
Leukomed 72380-00 7,2 cm x 5 cm
LMA Fastrach ETT (SU) 6,5 mm
LMA Fastrach ETT (SU) 7,0 mm
LMA Fastrach ETT (SU) 7,5 mm
LMA Fastrach ETT SU 8,0 mm
LMA Fastrach SU Size 3 (Supreme)
LMA Fastrach SU Size 4 (Supreme)
LMA Fastrach SU Size 5,5 (Supreme)
LMA Flexyble SU size 3
LMA Flexyble SU Size 4
LMA Flexyble SU size 5
LMA ProSeal Size 4
LMA ProSeal Size 5
Mask Earloop (Karet)
Mask Tie (Tali)
Masker Cungkup dws
Masker Khusus
Masque Facial Flex "Adult"
Medifix Line
Microdrip E.E
Microten 60 (Adesive Cream For EMG PE EEG)
Mikrozid Liquid
Miracle Mix
Monocyn 1 HR 48
Monocyn no 1
Monocyn no.4/0
Mucus Extractor
MY Jelly (gr)
NaOCL (cc)
Narrow Plate ACP 10 holes
Narrow Plate ACP 11 holes
Narrow Plate ACP 12 holes
Narrow Plate ACP 13 holes
Narrow Plate ACP 14 holes
Narrow Plate ACP 15 holes
Narrow Plate ACP 16 holes
Narrow Plate ACP 3 holes
Narrow Plate ACP 4 holes
Narrow Plate ACP 5 holes
Narrow Plate ACP 6 holes
Narrow Plate ACP 7 holes
Narrow Plate ACP 8 holes
Narrow Plate ACP 9 holes
Narrow Plate Round 10 holes
Narrow Plate Round 11 holes
Narrow Plate Round 12 holes
Narrow Plate Round 13 holes
Narrow Plate Round 14 holes
Narrow Plate Round 15 holes
Narrow Plate Round 16 holes
Narrow Plate Round 20 holes
Narrow Plate Round 4 holes
Narrow Plate Round 5 holes
Narrow Plate Round 6 holes
Narrow Plate Round 7 holes
Narrow Plate Round 8 holes
Narrow Plate Round 9 holes
Nasal Oksigen (O2) Anak
Nasal Oksigen (O2) Dewasa
Nedle no.23
Needle no 18
Needle no 19.5
Needle no 23
Needle no 26
Needle/Neolus 18 g
Needle/Neolus 23 g

138

SATUAN
Pcs
Pcs
Box
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Galon
Botol
Pcs
Pcs
Pcs
Pcs
Gr
ml
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

HARGA
5,756
114,000
1,214,400
60
570
830
40,506
5,237
43,810
965,580
43,810
43,810
234,840
526,680
304,095
888,830
888,830
888,830
4,151,550
4,151,550
451
477
27,930
3,010
113,430
101,200
20,240
1,980
1,171,374
1,580,150
151,820
142,204
112,860
15,180
26,106
63
1,282,500
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
2,052,000
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
1,293,750
9,029
9,029
747
747
510
747
747
523
483

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570

JENIS / NAMA BARANG
Needle/Neolus 26 g
NGT 10
NGT 12
NGT 14
NGT 16
NGT 18
NGT 3.5
NGT 5 100 cm
NGT 5 40 cm
NGT 8 100 cm
normal saline
Nrc
Nuprep ECG & EEG Paste
Optime 0
Optime 1 atromatik
Optime 2-0
Optime 3-0
Optime 4-0 atromatik
Panaspray
Paper Point
Paper Point 35
Paper Point 50
Paper Point 55
Peel Neutralizer Ref. 1L
Pen Needle 30 GA
Pen Needle 31 x 5
Peper pet
Peper Point 15-80
Peper Point 40 - 80
Pepper 60 mm
Pepper Elektroda
Pepper thermal 5,7
Perican dws
Perican Paed 22G
Perifix 400
Pharmafix 10 x 5 m
Pinset Anatomis
Pipet Pendek
Plester/leucoplast 7,5 cm x 4,5 m
Plesterin
Plugger A 280 s
PolishingBan
Polymed Polywin IV Cath. 26
Polymed Yankaur Suction
Polysorb 2-0
Postofix ( Plester Anti Air )
Pot 15 Gr
Pot 25 Gr
Pot 40 Gr
Pot 5 Gr
Pot 50 Gr
Pot H 90 gr
Pot P 30 Gr
Pot T3 10 Gr
Pot T6 20 Gr
Pot Urin
Pot Y 65 Gr
Premilene 2/0 HR 26
Presarium ring no.8 rusc
Presarium ring no.9 rusc
Primasept Med 1 L
Primasept Med 5 L
Pump Tube Kit M 348
Ralyx ARC
Reamer Svenska 45-80
Reamers 15-80
Reamers Svenska 15-80
Rectal Tube No. 14
Rectal Tube No. 16
Rectal Tube No. 20
Rectal Tube No. 28
Rectal Tube No. 8
Renalin

139

SATUAN

HARGA

Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Botol
Botol
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
ml
Pcs
Pcs
Pcs
Pcs
Botol
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Set
Unit
Pcs
Pcs
Pcs
Lembar
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
ml
ml
Unit
Pcs
Pcs
Pack
Pack
Pcs
Pcs
Pcs
Pcs
Pcs
ml

1,270
18,058
14,923
14,923
9,525
10,080
10,080
10,080
10,080
10,080
13,990
403,220
2,890
113,850
121,440
109,430
93,610
113,850
564,300
93,940
101,200
560
37,950
877,980
2,493
2,493
62,700
941
941
50,160
156,180
137,381
118,980
108,820
321,651
11,698
25,050
1,210
43,016
213
449,080
34,790
8,350
55,660
91,080
12,020
456
1,020
1,020
350
1,020
1,260
700
798
510
1,129
1,254
95,179
76,540
406,070
230
998,811
7,948,000
746,350
98,670
102,790
98,670
11,140
11,140
12,540
12,540
11,140
426

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643

JENIS / NAMA BARANG
Safil 0 hr 40s
Safil 1 hr 48
Safil 2/0
Safil 3/0
Safil 4/0 HR 17
Safil no.1
Safil no.3/0 DS 24
SAfil no.3/0 HR 26
Safil no.3/0 HR.
Safil no.4/0
Safil no.8/0
Sarung Tangan (Glove) 6,5
Sarung Tangan (Glove) 7
Sarung Tangan (Glove) 7,5
Sarung Tangan (Glove) 8
Sarung Tangan (Glove) Non Steril
Sarung Tangan (Glove) Non Steril Ansel L
Sarung Tangan (Glove) Non Steril Ansel M
Sarung Tangan Gizi
Sarung Tangan Gyn 6
Sarung Tangan Gyn 6,5
Sarung Tangan Gyn 7
Sarung Tangan Gyn 7,5
Savlon (Fasl 5lt-Lemon)
Scandonest (ampul)
Selang Yanker
Sikat Tangan
Silicone Double Lumen 11.5Fx20
Silk 0
Silk 1
Silk 2
Silk 2-0
Silk 3-0
Silk atromatik 2-0
Silk atromatik 3-0
Single Use Loading GIA 80-4,8
Single Use Reloadable GIA 80-4,8
Sinusorb pga no.8/0
Skin Tag Anak
Skin Tag Dewasa
Skintraksi dws
Small Narrow Plate 4 holes
Small Narrow Plate 5 holes
Small Narrow Plate 6 holes
Small Narrow Plate 7 holes
Small Narrow Plate 8 holes
Smartcem2 Tranlucent
Snare Wire 0.4 mm
Snare Wire 0.6 mm
Snare Wire 0.8 mm
Snare Wire 1.0 mm
Snare Wire 1.2 mm
Snare Wire 1.5 mm
Sofscale Dentsply
Soft band 3"
Soft band 4"
Soft band 6"
Soft Silk 2/0
Soft Silk 3/0
Softa-man SB 1 L
Spalk 20 cm x 125 cm
Spalk 5 cm x 10 cm
Spalk 5 cm x 15 cm
Spalk 5 cm x 40 cm
Spalk 5 cm x 60 cm
Spalk 5 cm x 80 cm
spalk 6 cm x 100 cm
Spinocan 25
Spinocan 29
Spreader 30
Spuit 10cc
Spuit 1cc
Spuit 1cc(Insulin)

140

SATUAN
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pasang
Pasang
Pasang
Pasang
Pcs
Pcs
Pcs
Pcs
Pasang
Pasang
Pasang
Pasang
ml
Amp
Pcs
Pcs
Pcs
Meter
Meter
Meter
Meter
Meter
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Liter
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

HARGA
113,362
113,487
100,822
101,797
89,430
111,857
84,860
104,160
94,690
91,142
231,880
5,700
5,700
5,700
5,700
527
433
527
190
11,590
5,700
18,810
18,810
195
9,793
63,250
1,270
1,333
11,913
18,810
15,989
18,810
19,186
45,866
45,269
562,020
3,680,000
153,490
7,410
27,862
110,408
1,035,000
1,035,000
1,035,000
1,035,000
1,035,000
1,913,320
463,680
463,680
540,520
540,520
596,160
596,160
177,100
17,154
21,641
31,109
77,520
77,520
151,800
107,844
8,778
9,405
25,080
30,780
26,220
4,332
32,830
58,190
347,880
2,039
1,756
2,442

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

.
.
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.
.
.
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.
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.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716

JENIS / NAMA BARANG
Spuit 20cc
Spuit 3cc
Spuit 50cc blg pinggir
Spuit 5cc
Spuit 60 cc blg tengah
Steranios 2%
Stimuflex A 100
Stimuflex A 50
Stimuplex G22
Stockinette 2 inchi
Suction
Suction Cath. No. 10
Suction Cath. No. 12
Suction Cath. No. 14
Suction Cath. No. 16
Suction Cath. No. 6
Suction Cath. No. 8
Suction Connect (selang)
Surflo No. 18
Surflo No. 24
Surgical Nedle 1/2 cycle 18 ml
Surgicryl 2/0
Surgipen 2,35 mm
Suture Needle 1/2 Circle (18 mm) (pc)
Suture Needle 3/8 Circle (24 mm) (pc)
T.Vio no.o
Tabung koagulasi
Tangkai Kuas
T-Chromic 3-0
Tegaderm 5 cm x 7 cm
Tegaderm 9 cm x 10 cm
Tegaderm 9 cm x 20 cm
Tegaderm 9 cm x 25 cm
Tempat Boor
Ten 20 Conductive EEG
Tensocrep 3"
Tensocrep 4"
Tensocrep 6"
Termometer
Timer
T-Lene 3-0
T-Lene 3-0 jarum segitiga
T-Lene 4-0
T-Lene 4-0 jarum segitiga
T-Lene 5-0
T-Lene 6-0
T-Mono 1
T-Mono 3-0
T-Mono 4-0
T-Mono 5-0
tongkat crutch GEA
Topi Operasi One Use
Torniquet / Stiweng
TPH Spectrum Dentsply
Tracheostomy No. 7
Tranfusi Set
Tranfusi Set Type Y
Tricofix
Trikresol Formaline (TKF)
T-Vio 0
T-Vio 1
T-Vio 2-0
T-Vio 3-0
T-Vio 4-0
Ultracal
Umbilical Cathether No. 5
Umbilical Clamp
Urine Bag
Venocat No. 16
Venocat No. 18
Verban 10 cm
Vicryl 5/0
Vicryl 6/0

141

SATUAN
Pcs
Pcs
Pcs
Pcs
Pcs
ml
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pasang
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Botol
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

HARGA
3,510
1,091
15,951
1,537
30,096
119
215,050
223,839
215,050
164
560
8,402
8,402
8,402
36,530
8,402
8,402
8,402
31,350
8,050
12,650
80,020
1,410,750
12,650
12,650
76,422
3,170
63,250
64,780
11,020
25,596
43,230
45,743
101,200
2,051
60,655
73,012
95,892
15,675
50,100
81,605
90,450
69,359
109,300
75,052
69,140
123,538
105,013
94,820
83,240
280,440
513
18,559
79,070
313,500
17,606
42,134
63,800
158,130
76,422
85,179
73,867
696,920
66,118
191,520
40,379
1,140
5,267
113,850
113,850
1,003
2,610,923
752,400

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

2
2
2
2
2
2
2

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 11
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

.
.
.
.
.
.
.

717
718
719
720
721
722
723

JENIS / NAMA BARANG
Vitapex
Vitre Bond Liquid
Vitre Bond Powder
Wing Infus 21G
Wing Infus 23G
Wundres N 10 X 20
Xylocaine Spray

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

Bahan Baku
Acetosal serbuk
Asam Salysilat
Barium
CaCo3
Caviton pink
Caviton putih
Cement (Liquid + Powder)
Color Plast
Filtek A3
Filtek7250 A2
Formalin tab
Fuji Camp
Fuji IX (Liquid + Powder)
G.bond
Gip kuning
gp protaper ass
Gp Protaper F 5
gp protaper F4
Kalii chloride serbuk
Kcl serbuk
lanaspray
Levertran oil
martis instrument
Moldano biru
Moldano kuning
Rivanol serbuk
Saliva
Talk
Tetric A2
Trichloracetic Acid

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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

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

Consumable Inti
AV. Fistulla 15 G x 1 Gambro
AV. Fistulla 15 G x 1 RTU
AV. Fistulla 16 G x 1 Gambro
AV. Fistulla 16 G x 1 RTU
AV. Fistulla 16 GA x 1,25 Gambro
AV. Fistulla 16 GA x 1,25 RTU
Bloodline Gambro
Bloodline RTU
Dialyzer Gambro
Dialyzer RTU
Micropore (Mikropore) 1"
Mikropore 1"
Part A Gambro
Part A RTU
Part B Gambro
Part B RTU

5
5
5
5
5
5

.
.
.
.
.

1
2
3
4
5

Gas
Gas
Gas
Gas
Gas
Gas

6
6
6
6
6
6
6
6
6

.
.
.
.
.
.
.
.

1
2
3
4
5
6
7
8

Infus
1/2 2A
2A
Albapure 20% 50 ml
Albumin 25% 100 ml
Aminofluid 1000
Aminofluid 500 ml
Aminofusin Hepar
Aminofusin Ped

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

SATUAN
Botol
Botol
Botol
Pcs
Pcs
Pcs
ml

Gr
Botol
Gr
Gr
Gr
Gr
Unit
Gr
Bungkus
Pc
Tab
Botol
Pc
Box
Gr
Box
Box
Box
Gr
Gr
Buah
Fls (Fls)
Buah
Gr
Gr
Gr
Pcs
Gr
Pcs
Flash

Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc
Pc

Medis
Co2
N2O (ml)
Oksigen Liquid
Oxygen (O2) 1,5 M3
Oxygen (O2) 6 M3

142

HARGA
679,940
83,600
48,767
747
747
112,860
3,238

20
158,130
238
80
245,111
6,840
963,300
130
411,130
442,750
380
70
570,000
1,167,360
70
183,430
193,325
193,325
80
80
257,430
3,480
69,580
57
70
2,790
63,250
4,600
121,760
4,460

13,290
13,220
12,540
15,236
12,540
15,236
94,050
114,553
247,038
247,790
27,200
29,920
94,050
116,152
65,835
99,474

Botol
Liter
Liter
Liter
Liter

258,324
3,762,000
7,863
70
70

Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab

8,208
10,990
424,764
855,029
182,420
74,089
100,890
88,550

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

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
48
49
50
51
52
53

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74

5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

7
7
7
7
7
7

.
.
.
.
.
.

1
2
3
4
5

JENIS / NAMA BARANG
Aminoleban
Aminovel 600
Amiparen
Aqua P.I 1 Lt
Aqua P.I 25 ml
Asering (RA)
Ciprofloxacin Inf IV
Civell infus
Eas Pfrimmer
Farmadol infus
Fimahes
Fluconazol infus
Gelofusine 500 cc
Glucosa 10% (D10% )
Glucosa 10% 500 ml OGB
Glucosa 40 % (D40% )
Glucosa 5% + NaCl 0,225 (4 : 1)
Glucosa 5% 100 ml
Glucosa 5% 500 ml (D5% )
Glucosa 5% 500 ml OGB
Haes Steril 6%
Hemo Haes 6%
Ivelip 20% 100 ml
Ka-en 1B 500 ml
Ka-en 3B 500 ml
Ka-en Mg3 1000 ml
Ka-en Mg3 500 ml
Ka-en Mg3 500 ml
Kalbamin 500 ml
Kidmin
KN-3B SOL/KK
Levofloxacin infus
Manitol
Martos 500 ml
Martos jumbo
Mersitropil 12 gr ( infus )
Mersitropril inf
Metronidasol inf
Meylon 8,4%
MgSo4 20 %
MgSo4 40%
Nacl 0,9% 500 ml OGB
Nacl 0.9% 1000 ml
Nacl 0.9% 1000 ml OGB
Nacl 0.9% 500 ml OGB
Nacl 0.3% 500 ml
NaCl 3%
Neprosteril infus
Novamet inf 100 ml
Otsu KCl 7,46 %
Pan-amin G 500 ml
Plasbumin 20% 100 ml
Plasbumin 20% 50 ml
Ring As.infus
Ringer Asetate
Ringer Fundin
Ringer Lactat 1000 ml
Ringer Lactat 500 ml
Ringer Lactat 500 ml OGB
Starquin 100 ml
Tetraspan infus
Triofusin 500 ml
Tutofusin Ops
Voluven 500 ml
Voluven Askes 500 ml
Zenalb 20% 100 ml
Zenalb 20% 50 ml

SATUAN
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab
Flab

Injeksi
ABU
Acran inj
Actrapid Novolet
Adona inj 10 ml
Aerrane 250 ml/Isoflurane

Vial
Ampul
Ampul
Ampul
ml

143

HARGA
81,054
78,920
55,090
19,186
3,135
10,574
11,976
5,586
60,420
67,591
135,432
53,686
100,662
8,550
8,550
3,648
8,778
13,794
6,057
7,866
58,311
59,280
174,306
10,260
11,400
19,040
19,476
19,650
65,550
52,440
17,160
45,600
70,680
44,745
45,710
158,004
159,390
11,346
7,068
3,192
4,218
7,307
14,364
14,364
7,307
23,199
23,199
88,550
18,090
3,533
33,600
1,738,929
471,960
14,713
19,230
12,540
7,080
9,706
8,151
30,723
235,877
48,279
44,831
37,620
63,954
974,700
471,960

525,740
21,865
47,463
250,800
7,090

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7

.
.
.
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.
.
.
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.
.
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.
.
.
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.
.
.
.
.
.
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.
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.
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.
.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

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
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78

JENIS / NAMA BARANG
Aethoxyschlerol inj
Agrippal
Alinamin F inj
Amikasin inj 500 mg
Aminophillin Inj 2,4 %
Amobiotic
Amoxan 1 gr inj
Amoxicillin inj
Ampicillin 1 gr Inj
Anesject 100 mg/ml 10 ml
Antalgin inj
Asam Traneksamat Inj 250 mg
Asam Traneksamat Inj 500 mg
ATS 1500 IU
Benzatin Penisillin 2,4
Biocef
Bisolvon inj
Bledstop inj
Brainact inj
Bucain Spinal
Buscopan 20 mg Inj
Buvanest
Ca Gluconas
Catapres inj
Cealb 100cc
Cealb 50cc
Cedantron 4 mg inj
Cedatop inj 200 mg
Cedocard inj
Cefazol 1 g inj
Cefazolin inj
Cefoperazone inj 1 gr
Cefoperazone Sulbactam
Cefotaxime Inj 1gr
Cefpirome inj 1 gr
Ceftazidim inj
Ceftriaxon 1000 Mg
Chlorbiotic inj 1 gr
Citicolin 250 inj
Clanexy Inj
Colsancetin inj
Cordaron inj
Corsona inj
CPZ inj
Decain inj
Dexa M Inj 4 mg
Dexametason inj
Diazepam inj
Dicynone 250 mg inj
Difenhydramin inj
Diflucan inj
Diprivan inj
Dobuject
Dofacef Inj
Dolgesik inj
Dolsic Inj 50 mg
Dopamin
Dormicum inj 5 mg
Duvadilan Inj
Ecron Inj
Elpicef
Ephedrin inj
Epineprin inj
Ethigen inj
Extrace inj
Farbion inj
Farelax inj
Farsix inj
Fentanyl 0,05mg
Flamicort inj 40 mg
Fortanest inj
Fortanest inj 15 ml
Fosmicin 1 gr

SATUAN
Ampul
Ampul
Ampul
Ampul
Ampul
Vial
Vial
Vial
Vial
Vial
Vial
Ampul
Ampul
Ampul
Vial
Vial
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
fls
fls
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Vial
Vial
Vial
Vial
Vial
Ampul
Ampul
Vial
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Vial
Ampul
Ampul
Ampul

144

HARGA
67,520
153,070
15,305
132,422
6,701
22,140
24,022
9,234
7,336
165,870
650
3,923
4,899
140,605
13,406
123,290
23,707
7,440
40,990
313,500
26,534
69,580
8,892
34,884
1,003,338
471,905
128,379
17,400
46,170
27,530
26,150
42,761
75,240
19,437
92,799
19,448
10,581
10,260
6,584
98,225
10,433
14,227
2,510
320
61,822
1,670
1,801
2,730
219,450
1,197
163,820
646,877
159,190
57,475
3,340
18,410
413,005
6,976
32,395
71,949
221,206
59,565
9,234
14,817
43,890
29,361
399,399
6,330
38,662
97,310
6,384
6,384
104,110

NO. INDEKS
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7

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.
.

79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151

JENIS / NAMA BARANG
Fosmicin 2 gr
Fresopol 1% inj
Furosemide inj
Gastrofer inj
Gentamicin 40 mg inj
Gentamicin 80 mg inj
Granon inj
Hemapo inj 3000
Heparin
Herbesser inj
Hestar Inj 6%
Hipnoz 5 Mg/5 ml
Hipnoz inj 15 ml
Humalog Mix Cart 100
Humulin 30/70 cat 100 IU
Humulin N
Humulin N Catric
Humulin R Catric
Hyoscine inj
Hypobac inj 100
Imfugan inj
Impugan inj
Incetron
Induxin 1 ml
Inodex Inj 5% 5 ml
Insetron inj
Insulatard Novolet inj
Inthesa Inj
Inviclot inj
Iopamiro 300 mg
Isoflurane inj
Isoket inj
Isorbide inj
Kalmethasone 4 mg
Kalmethasone inj
Kalmoxillin
Kalnex 250 mg inj
Kalnex 500 mg inj
Kaltrofen inj
Kedacillin
Kenacort A 40 ml
Kenacort A inj 50 ml
Ketalar inj
Ketopain 30 mg inj
Ketoprofen
Ketorolac inj 30 mg
Kliran inj 4 mg
Kliran inj 8 mg
Kutoin inj
Lactor 30 Mg Inj
Lancef inj
Lancolin 250 mg Inj
Lancolin 500 mg Inj
Lantus Solostar
Lasix inj
Latrol inj 30 mg
Levemir Flex Pen
Lidocain 2 %
Lidodex Inj
Lovenox 40 mg Inj
Lovenox 60 mg Inj
Marcain 0,5% Hvy
Marcain 0,5% PDF 20 ml
Mecobalamin inj 500 mg
Meropenem Inj
Meropex inj
Mersibion INJ 5000
Mersitropril 3 gr Inj
Methergin inj
Methycobal inj 500
Methyl Prednisolon inj
Meticobal
Metolon inj

SATUAN
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Vial
Vial
ml
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Vial
Vial
ml
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Vial
Vial
Ampul
Ampul
Ampul
Ampul
Vial
Ampul
Ampul

145

HARGA
173,180
18,509
2,085
117,300
3,876
3,876
60,090
145,920
45,540
145,540
137,990
88,470
198,634
117,409
507,300
151,960
151,960
507,300
10,032
156,177
10,250
9,370
20,240
25,080
188,100
13,920
104,370
8,860
75,240
226,860
12,580
752,400
601,920
2,530
3,170
19,610
14,296
13,290
25,240
34,780
106,260
143,680
330,160
213,964
8,860
2,622
142,956
34,790
937,365
182,318
13,030
34,160
67,050
96,900
67,490
45,600
96,900
956
65,522
96,900
133,950
84,150
78,090
9,029
61,571
458,651
5,570
158,004
3,990
33,645
19,124
33,645
3,800

NO. INDEKS
5 . 11 .
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5 . 11 .
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5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .
5 . 11 .

7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7

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152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224

JENIS / NAMA BARANG
MILOZ 5
Mixtard 30 Novelet/novomix -30
Morfin
Myomergin
Narfoz Inj 4 mg
Narfoz Inj 8 mg
Naropin 7.5 mg inj
Nefrofer 5 ml Inj
Neostigmine Inj
Neurosanbe Inj
Neurotam 3 gr
Nevrovel inj
Nexium
Nicolin 100 mg
Nicolin 250 mg
Nisl