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DAFTAR HARGA OBAT

No. Nama Obat Satuan Harga Sat (Rp) Sumber


1 Alat suntik sekali pakai with Needle 1 ml pcs 842.00 APBD'16
2 Alat suntik sekali pakai with Needle 2,5 ml pcs 882.00 APBD'16
3 Alat suntik sekali pakai with Needle 5 ml pcs 983.00 APBD'16
4 Catgut Plain 2/0 + jarum 1/2 GT 35 mm pcs 6,979.00 APBD'16
5 Cotton Aplicator Pak 100 150,000.00 APBD'15
6 Fokus Malaria Pf/Pv cassete pcs 53,840.00 APBD'16
7 Hand Brush Botol 38,486.00 APBD'15
8 Infus set Dewasa Set 4,000.00 APBD'16
9 Kapas pembalut 250 gr Roll 15,625.00 APBD'16
10 Kasa Hidrofil steril uk. 16 x 16 Doz 7,250.00 APBD'16
11 Kasa Kompres Steril 40/40 Lembar 2,000.00 APBD'16
12 Kasa Hidrofil 40 x 80 cm Roll 131,250.00 APBD'16
13 Larutan KOH Btl 100 ml 94,072.00 APBD'15
14 Larutan NaCl 0,9% Btl 100 ml 63,867.00 APBD'15
15 Larutan Giemsa Stain (Merck) btl 593,200.00 APBD'16
16 Objek glass Frosted ktk 72 25,934.75 APBD'16
17 Umbilical Cord Clamp Blue OGS pcs 1,480.50 APBD'16
18 Underpath refill Ktk 10 127,273.00 APBD'15
19 Paper Point 15-40 mm pak 114,050.00 APBD'16
20 Plastik Klip bks 4.13 APBD'16
21 Plester 5 yard x 2 inchi roll 33,009.00 APBD'16
22 Pot Sputum pot 4,773.00 APBD'15
23 Pot Sputum pot 4,830.00 APBD'16
24 Yellow Tip pcs 680.00 APBD'14
25 Reagen RPR ktk 100 1,003,805.00 APBD'16
26 Silk 3/0+jarum GT 35 mm pcs 3,819.44 APBD'16
27 Allupurinol 100 mg tab 100.00 APBD'16
28 Aminophilin inj 24 mg/ml - 10 ml amp 3,615.83 APBD'13
29 Aminophilin inj 24 mg/ml - 10 ml amp 4583 APBD'14
30 Aminophilin inj 24 mg/ml - 10 ml amp 4583 APBD'15
31 Antasida DOEN Tablet tab 78 APBD'16
32 Antasida DOEN syr syr 2308 APBD'16
33 Amlodipin tab 5 mg tab 218.00 APBD'16
34 Amoksisiklin kapsul 250 mg tab 220.00 APBD'16
35 Amoksisilin kapsul/kaplet/tablet scored 5 tab 288.00 APBD'16
36 Amoksisiklin SK btl 2,350.00 APBD'16
37 Asam Ascorbat (Vit C) tab 50 mg tab 49.00 APBD'16
38 Asam Mefenamat tab 500 mg tab 120.00 APBD'16
39 Bedak salisil serbuk 2% doz 1,450.00 APBD'16
40 Benzatin Benzil Penisilin 2,4 Jt IU vial 16,080.00 APBD'15
41 Betametason krim 0,1 % tube 1,824.00 APBD'16
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000
42 IU/g tube 2,990.00 APBD'13
43 Captopril tab 12,5 mg tab 73.00 APBD'16
44 Cefadroksil kaps 500 mg tab 587.00 APBD'16
45 Deksametason tab 0,5 mg tab 54.00 APBD'16
46 Deksametason Injeksi 5 mg/ml - 1 ml ampl 1,897.00 APBD'15
47 Diazepam inj 5 mg/ml ampl 5,016.00 APBD'16
48 Diazepam tab 2 mg tab 54.00 APBD'15
49 Difenhidramin inj 10 mg/ml (i.v/i.m) ampl 1,260.00 APBD'16
50 Doksisiklin tab 100 mg tab 325.00 APBD'15
51 Domperidon tab 10 mg tab 141.00 APBD'16
52 Domperidon sirup 5 mg/ml btl 3,390.00 APBD'16
53 Epinefrin (adrenalin) inj 1 mg/ml ampl 9,720.00 APBD'15
54 Epinefrin (adrenalin) inj 1 mg/ml ampl 9,720.00 APBD'16
55 Eritromisin kapsul 500 mg kaps 1,116.00 APBD'16
Etakridin (Rivanol) larutan 0,1 % Btl 300 ml
56 2,287.00 APBD'14
57 Etanol 70% btl 96,600.00 APBD'16
58 Etil klorida Botol 159,091.00 APBD'15
59 Fenobarbital tab tab BUFFER
60 Fican 80 wp (Bahan aktif bendiocard) Kg 1,318,182.00 APBD'15
61 Fitomenadion (Vit K1) tab salut 10 mg tab 759.00 APBD'15
62 Fitomenadion (Vit K1) tab salut 10 mg tab 759.00 APBD'16
63 Flukonazol tab/kaps 150 mg tab 22,500.00 APBD'16

Garam Oralit kombinasi : natrium klorida


0,52 g + kalium klorida 0,30 g + trinatrium tab 346.00 APBD'16
sitrat 0,58 g + glukosa anhidrat 2,7 g
64
65 Glibenklamid tab 5 mg tab 70.00 APBD'15
66 Glukosa larutan infus 5% btl 6,900.00 APBD'16
67 Glukosa larutan infus 10% btl 7,500.00 APBD'16
68 Glukosa larutan infus 40% ampl 1,584.00 APBD'14
69 Griseofulvin tab 125 mg tab 263.00 APBD'16
70 Hidroklortiazid tab 25 mg tab 186.00 APBD'16
71 Hidrokortison cream 2,5% tube 3,358.00 APBD'16
72 Ibuprofen tab 200 mg tab 132.00 APBD'16
73 Ichtiol salep pot 11,915.00 APBD'16
74 Isosorbid Dinitrat tab sublingual 5 mg tab 107.00 APBD'16
75 Kalsium Laktat (Kalk) tab 500 mg tab 73.00 APBD'16
76 Ketokonazol cream 2% tube 3,083.00 APBD'16
77 Kloramfenikol kaps 250 mg tab 300.00 APBD'14
78 Kloramfenikol SM 1% tube 1,920.00 APBD'16
Klorfeniramin Maleat (CTM) tab 4 mg
79 (PIM) tab 2.18 APBD'16
80 Kuinin tab 200 mg tab 838.00 APBD'16
81 Kotrimoksazol tab 480 mg tab 167.00 APBD'16
82 Lidokain inj 2% ampl 1,026.00 APBD'16
83 Metformin tab 500 mg tab 120.00 APBD'16
84 Methylergometrin injeksi ampl 2,440.00 APBD'16
85 Methylergometrin tab salut 0.125 mg tab 185.00 APBD'15
86 Metoklorpropamid tab 10 mg tab 109.00 APBD'15
87 Metronidazol tab 250 mg tab 122.00 APBD'16
88 Metronidazol tab 500 mg tab 176.00 APBD'16
89 NaCl 0,9% btl 6,410.00 APBD'16
90 Nistatin tab vaginal 100.000 UI tab 576.00 APBD'15
91 Nistatin tab vaginal 100.000 UI tab 576.00 APBD'16
92 Nistatin tab salut 500.000 UI tab 768.00 APBD'16
93 Obat Batuk Hitam (OBH) btl 10,454.55 APBD'16
94 Oksitosin injeksi ampl 1,727.27 APBD'16
95 Parasetamol tab 100 mg tab 37.00 APBD'15
96 Parasetamol tab 500 mg tab 62.00 APBD'16
97 Parasetamol sirup btl 1,432.00 APBD'16
98 Piridoksin (Vit B6) tab 10 mg (HCl) tab 56.00 APBD'16
99 Polikresulen (Albotyl) btl 23,717.00 APBD'16
100 Povidon Iodida 300 ml Btl 300 ml 23,400.00 APBD'16
101 Primakuin tab 15 mg tab 280.00 APBD'16
102 Ranitidin tab 150 mg tab 128.00 APBD'16
103 Ringer Laktat btl 7,150.00 APBD'16
Salep 2-4, Kombinasi : Asam Salisilat 2%
pot 3,040.00 APBD'16
104 + Belerang Endap
105 Salbutamol tab 2 mg tab 71.00 APBD'16
106 Sefiksim kapsul 100 mg tab 783.00 APBD'16
107 Sianokobalamin (Vit B12) inj 500 mcg ampl 1,283.00 APBD'16
108 Simvastatin tab 10 mg tab 252.00 APBD'16
109 Tetrasiklin kaps/kapl 250 mg kaps 193.00 APBD'16
110 Tetrasiklin kaps 500 mg kaps 350.00 APBD'16
111 Vitamin B1 tab 50 mg tab 95.00 APBD'16
112 Yellow Tip pcs 680.00 APBD'14
113 Yellow Tip pcs 1,085.00 APBD'15
114 Zinc tab dispersible 20 mg tab 569.00 APBD'16
DAFTAR HARGA OBAT
No. Nama Obat Satuan Harga Sat (Rp) Sumber
1 Betadin(Povidon Iodida) btl 300 ml 23,400.00 A'17
2 Alkohl 70% btl 100ml 3,433.33 A'17
3 Infus Dewasa pcs 4,000.00 A'17
4 Hand skun steril 7,5 / 8 pcs 10,494.22 A'17
5 Acyclovir 200mg tab 233.96 A'17
6 Asam askorbat (Vit C) tab 130.00 A'17
Benzatin Benzil 1,2 jt vial 13,375.00 a'17
7 CTM tab 47.00 A'17
8 D5% btl 500ml 6,900.00 A'17
9 Griseufulvin 125 mg tab 239.00 A'17
10 Ibuprofen 200 mg tab 119.00 A'17
11 Primakuin tablet 280.00 A'17
12 Objek gelas /Slide ktk 72 22,005.15 A'17
13 Miconazole salep tube 4,058.33 A'17
14 NaCl btl 500ml 6,410.00 A'17
15 RL btl 500 ml 7,150.00 A'17
16 Simvastatin 10 mg tab 252.00 A'17
17 Stesolid rektal/Diazepam tube 13,904.35 A'17
18 Tes Kehamilan test 145.43 A'17
19 Vit B-Kompleks tab 144.00 A'17
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DAFTAR HARGA OBAT
No. Nama Obat Satuan Harga Sat (Rp) Sumber
1 Aseptik gel Btl 24,545 OTSUS'13
2 Etching gel Buah 318,182 OTSUS'14
3 Guttapecha No. 15-40 Box 160,000 OTSUS'14
4 Jelly Dopler botol 22,000.00 OTSUS
5 Nald citoject Ktk 100 227,273 OTSUS'14
6 OCO Botol 177,273 OTSUS'14
7 PH Paper 3.8 - 5.4 Ktk 100 lbr 200,290 OTSUS'14
8 Paper Point 15-40 mm pak 109,091 OTSUS'14
9 Fenobarbital inj i.m/i.v 50 mg/ml ampl 1,963.60 OTSUS'14
10 Kloramfenikol kaps 250 mg kaps 300 OTSUS'15
11 Methylergometrin tab salut 0.125 m tab 185 OTSUS'15
12 Masker N95 ktk 20 218,182.00 OTSUS
13 Natrium bikarbonat tab 500 mg tab 15.60 OTSUS'13
14 Nistatin tab vaginal 100.000 UI tab 523.63 OTSUS'14
15 Pirantel pamoat tab 125 mg tab 362 OTSUS'15
16 Retinol (Vit A) 100.000 IU kaps luna kaps 312 OTSUS'15
17 Diazepam 2 mg tablet 49.09 OTSUS'14
18 Spoit 2,5 cc pcs 25.4013 OTSUS'14
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24 Carbamasepin 200 mg tab 29.20 PKD'13
25 Kertas Puyer lbr 1,300.00 PKD
DAFTAR HARGA OBAT
No. Nama Obat Satuan Harga Sat (Rp) Sumber
1 Abbocat 18 pcs 22,000.00 RS. Yowari
2 Abbocat 26 pcs 45,000.00 RS. Yowari
3 CHD injeksi ampul 4,239.50 RS. Yowari
4 Kina 222 mg tab 1,489.58 RS. Yowari

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