DINAS KESEHATAN KABUPATEN JAYAWIJAYA

INSTALASI FARMASI KABUPATEN

PENYESUAIAN HARGA E-CATALOUGE, HARGA KONTRAK BARU DAN SATUAN KEMASAN

OBAT, ALAT KESEHATAN HABIS PAKAI DAN REAGEN LABORATORIUM KIMA

No.

Jenis Obat

Satuan Kemasan

SISA STOCK PER 31 DESEMBER 201

Patokan
Harga (Rp) Otsus Prop
Prog.
BS / DAK
APBD P2P
4

A.

OBAT-OBATAN

Albendasole tablet 400 mg

Tablet

415

360

4,800

Alupurinol tablet

Tablet

100

400

Ambroxol sirup 15 mg / ml

3,960

1,610

Ambroxol tablet 30 mg

Tablet

150

178,000

Aminofilin injeksi 24mg/ml

Ampul

1,467

300

Aminofilin tablet 200 mg

Tablet

94

10,000

24,000

1,300

Amlodipin tablet 5 mg

Tablet

218

2,400

Amlodipin tablet 10 mg

Tablet

391

2,220

Amoksisilin kapsul 250 mg

Kapsul

243

11,000

10

Amoksisilin kaplet 500 mg

Kaplet

481

200,000

11

Amoksisilin sirup kering 125 mg / 5 ml

Botol 60 ml

2,790

720

12

Amoksisilin sirup forte 250 mg / 5 ml

Botol 60 ml

5,500

1,200

13

Ampisilin kaplet 250 mg

Tablet

200

14

Kaplet

460

181,400

Vial/Flacon

6,442

440

16

Ampisilin kaplet 500 mg

Ampisilin serbuk injeksi i.m. / i.v. 1000
mg/ml
Ampisilin sirup kering 125 mg/ml

Botol 60 ml

5,280

1,576

17

Antasida DOEN

278

200,000

18

Antasida DOEN suspensi

Botol 60 ml

6,606

1,500

19

Antifungi DOEN

Pot 30 gram

1,200

20

Supp

2,000

Tablet

622

10,400

22

Antihemoroid DOEN kombinasi

Anti malaria DOEN : Sulfadoksin +
Pyrimetamin
Antimigren

162

23

Aqua pro injeksi steril

Vial/Flacon

2,400

28,382

24

Artesunate injeksi

Vial/Flacon

26,600

25

Arthem Injeksi

Vial/Flacon

26,600

684

26

Asam asetilsalisilat tablet 100 mg (Asetosal)

Tablet

139

27

Asam asetilsalisilat tablet 500 mg (Asetosal)

Tablet

259

28

Asam askorbat (vitamin C) tablet 50 mg

Tablet

114

293,000 63,000

29

Asam mefenamat kaplet 500 mg

Kaplet

139

200

14,200

30

Asam Tranexamat Inj

Ampul

4,000

120

31

Asiklovir krim 5 %

Tube 5 gram

4,500

1,150

32

Asiklovir tablet 200 mg

280

12,000

15

21

Botol 60 ml

Tablet

Tablet

Tablet

33

Asiklovir tablet 400 mg

Tablet

400

34

Azitromisin 500 mg

Tablet

5,400

2,380

35

Bekarbon tablet

Tablet

38 208,500

36

Benzatin Benzil Penisilin 1,2 juta IU / vial

Vial/Flacon

11,760

120

37

Vial/Flacon

16,080

10

819

39

Benzatin Benzil Penisilin 2,4 juta IU / vial

Besi (II) Sulfat 200 mg + Asam Folat 0,25
mg tablet
Betametason krim 0,1 %

Tube 5 gram

1,824

5,498

3,750

40

Betahistin Masilat 6 mg tablet

Tablet

1,200

5,280

41

Bromheksin tablet 8 mg

Tablet

150

42

Chinin Antipirin injeksi

Ampul

3,651

200

43

Deksametasone injeksi i.v. 5 mg / ml

Ampul

1,897

5,300

7,200

44

Deksametasone tablet 0,5 mg

Tablet

75

200

90,000

45

DHP + Piperaquin / Darplex tablet

37,510

46

Diazepan injeksi 5 mg / ml

Ampul

900

47

Diazepam tablet 2 mg

Tablet

54

48

Diazepam tablet 5 mg

Tablet

125

49

Dietilkarbamazin Sitrat tablet 100 mg

Tablet

247

50

Difenhidramin injeksi i.m. 10 mg / ml

Ampul

1,260

5,400

51

Digoksin tablet 0,25 mg

Tablet

119

52

Doksisiklin kapsul 100 mg

Kapsul

325

21,100

24,000 17,900

53

Domperidon suspensi 5 mg / 5 ml

3,833

54

Domperidon tablet 10 mg

Tablet

190

55

Efedrin tablet 25 mg (HCl)

Tablet

142

13,250

56

Epinefrin (Adrenalin) injeksi 0,1 %

Ampul

9,720

1,470

57

Eritromisin kaplet 500 mg

Tablet

1,116

58

Eritromisin sirup 200 mg / 5 ml

Botol 60 ml

8,495

800

59

Etakridin larutan 0,1 % (Rivanol)

Botol 300 ml

1,800

450

60

Famotidine tablet 40 mg

Tablet

269

61

Famotidine tablet 20 mg

Tablet

175

62

Fenitoin Natrium injeksi 50 mg / ml

Ampul

22,127

63

Fenitoin Natrium kapsul 30 mg

Kapsul

115

2,250

64

Fenitoin Natrium 100 mg kapsul

Kapsul

160

1,000

65

Fenobarbital tablet 30 mg

Tablet

114

6,300

66

Fenobarbital tablet 100 mg

Tablet

67

Fenoksimetil Penisilin tablet 500 mg

Tablet

612

68

Botol 5 ml

780

Tablet

759

70

Fenol Gliserol tetes telinga 10 %

Fitomenadion (Vit. K1) tablet salut gula 10
mg
Fitomenadion (Vit. K1) inj 10mg / ml

Ampul

4,100

1,500

71

Flukonazol tablet 150 mg

Tablet

26,400

4,500

72

Furosemid tablet 40 mg

Tablet

89

73

Gameksan lotion 1 %

Botol 30 ml

2,200

74

Garam Oralit serbuk

Sachet

346

17,900

75

Gentamisin injeksi 40 mg / ml

Ampul

4,079

60

38

69

Tablet

Kotak 9 tab

Botol 60 ml

76

Gentamisin salep kulit 0,1 %

Tube

2,300

1,200

77

Gentamisin salep mata 0,3 %

Tube

3,039

120

78

Gentian Violet larutan 1 %

Botol 10 ml

550

930

3,142

79

Glibenklamida tablet 5 mg

Tablet

70

600

2,200

80

Gliseril Guaiakolat tablet 100 mg

Tablet

240

122,000

81

Gliserin / Gliserol

Botol 100 ml

6,400

82

Glukosa larutan infus 10 % steril

Botol 500 ml

6,840

626

200

83

Glukosa larutan infus 40 % steril

Vial/Flacon

1,200

84

Glukosa larutan infus 5 % steril

Botol 500 ml

6,240

11

200

85

Griseofulvin tablet 125 mg

Tablet

263

3,400

20,000

86

Hidroklorotiazida tablet 25 mg

Tablet

90

87

Hidrokortison krim 2,5 %

Tube 5 gram

3,700

1,656

1,776

600

88

Ibuprofen tablet 200 mg

Tablet

132

6,000

34,800

89

Ibuprofen tablet 400 mg

Tablet

267

90

Ichtyol salep

9,750

216

91

Isosorbid Dinitrat tablet sublingual 5 mg

Tablet

107

200

3,000

92

Kalsium Laktat (Kalk) tablet 500 mg

Tablet

83

85,000

93

Kaptopril tablet 12,5 mg

Tablet

73

10,000

94

Kaptopril tablet 25 mg

Tablet

102

10,000

95

Ketokonazol krim 2 %

Tube 15 gr

5,500

96

Ketokonazol tablet 200 mg

Tablet

349

5,900

2,450

97

Klindamisin kapsul 300 mg

Kapsul

678

12,000 20,000

98

Kloramfenikol kapsul 250 mg

Kapsul

300

1,500

99

Kloramfenikol salep mata 1 %

Tube 5 gram

1,920

192

1,440

Botol 60 ml

5,416

101 Kloramfenikol tetes mata 0,5 %

Botol 5 ml

3,600

102 Kloramfenikol tetes telinga 3 %

Botol 5 ml

1,200

3,720

488,000

500

198 181,800

113,500

100 Kloramfenikol suspensi 125 mg / 5 mg

Pot 30 gram

103 Klorfeniramina Maleat (CTM) tablet 4 mg

Tablet

65 136,800

104 Klorokuin tablet 250 mg

Tablet

69

105 Kotrimoxazole DOEN adult

Tablet

106 Kotrimoxazole DOEN pediatrik

Tablet

50

35,800

25,800

107 Kotrimoksasole 960 mg (Pehatrim Forte)

Tablet

298

2,590

108 Kotrimoxazole suspensi

Botol 60 ml

109 Kina strep

Tablet

210

110 Kuinin (Kina) tablet 200 mg

Tablet

804

111 Kuinin Dihidroklorida injeksi 25 % - 2 ml

Ampul

1,172

112 Lidokain injeksi 2 %

Lidokain injeksi 2 % (HCl) + Epinefrin
113
1:80.000 - 2 ml
114 Loperamid tablet 2 mg

Ampul

1,241

Ampul

1,635

4,110

5,310

Tablet

107

8,500

115 Loratadin tablet 10 mg

Tablet

185

6,000

116 Magnesium Sulfat inj (IV) 20 % - 25 ml

Vial/Flacon

3,500

117 Magnesium Sulfat inj (IV) 40 % - 25 ml

Vial/Flacon

5,500

Bungkus

1,200

118 Magenesium Sulfat serbuk 30 gram

119 Mebendazol sirup 100 mg / 5 ml

Botol 30 ml

2,035

120 Mebendazol tablet 100 mg

Tablet

56

121 Metampiron (Antalgin) injeksi 250 mg

Ampul

1,650

3,000

4,500

122 Metampiron (Antalgin) tablet 500 mg

Tablet

179 423,800

60,000

123 Metampiron (Antalgin) tablet 500 mg

Tablet

179

124 Metilergometrin Maleat (Metilergometrin)

Metilergometrin Maleat injeksi 0,200 mg - 1
125
ml (Myomergin)
126 Metilprednisolon tablet 4 mg

Tablet

185

Ampul

3,630

130

Tablet

589

3,000

127 Metoklopramide injeksi 5 mg / ml

Ampul

1,250

128 Metoklopramide sirup 5 mg / ml

Botol 60 ml

3,300

129 Metokloperamide tablet 10 mg

Tablet

109

130 Metrinidazole tablet 250 mg

Tablet

122

65,600

51,800

131 Metrinidazole tablet 500 mg

Tablet

176

50,900

132 Mikonazol krim / salep 2 % (Nitrat)

Tube 10 gr

3,600

849

133 Natrium bicarbonat 500 mg tablet

Tablet

97

134 Natrium Diklofenak tablet 50 mg

Tablet

211

12,000

135 Natrium Diklofenak tablet 25 mg

Tablet

136 Natrium Klorida larutan infus 0,9 %

Botol 500 ml

160

26,050

6,000

360

0 14,500

137 Nifedipine tablet 10 mg

Tablet

140

138 Nistatin tablet salut 500.000 IU / gram

Tablet

768

3,300

139 Nistatin vaginal tablet 100.000 IU / gram

Tablet

576

9,700

3,419

5,865

140 Obat Batuk Hitam (O.B.H.) cairan

Botol 100 ml

141 Ofloxacin tablet 200 mg

Tablet

480

142 Ofloxacin tablet 400 mg

Tablet

800

Tube 5 gram

1,600

2,475

143 Oksitetrasiklin HCl salep mata 1 %

Oksitetrasiklin HCl injeksi i.m. 50 mg / ml 144
10 ml
145 Oksitetrasiklin salep kulit 3 %
Oksitosin injeksi 10 IU / ml - 1 ml (Pitogin
146
inj )
147 Omeprazole kapsul 20 mg

Vial/Flacon

2,100

1,680

Tube 5 gram

1,700

5,975

Ampul

1,900

780

Kapsul

882

16,200

148 Papaverin injeksi 40 mg / ml

Ampul

1,760

149 Papaverin tablet 40 mg

Tablet

98

150 Parasetamol drops

botol 15 ml

6,240

151 Parasetamol sirup 120 mg / 5 ml

Botol 60 ml

3,946

50

5,950

152 Parasetamol tablet 100 mg

Tablet

30

153 Parasetamol tablet 500 mg

Tablet

181

170,000

154 Pirantel sirup 125 mg / 5 ml

Botol 60 ml

10,420

1,200

155 Pirantel tablet score (Base) 125 mg

Tablet

362

68,000

156 Piridoksin (Vitamin B6) tablet 10 mg (HCl)

Tablet

20

291,000

157 Piroksikam tablet 10 mg

Tablet

98

22,000

158 Piroksikam tablet 20 mg

Tablet

127

21,900

159 Podivilin tinctur 10-25%

Botol 100 ml

387,500

2,590

1,160

17,006

110

600

160 Povidon Iodida larutan 10 %

Botol 30 ml

161 Povidon Iodida larutan 10 %

Botol 300 ml

162 Povidon Iodida larutan 10%

Botol 1000 ml

44,434

60

163 Prazikuantel 600 mg tablet

Tablet

1,600

164 Prednison tablet 5 mg

Tablet

129

56,000

165 Primakuin tablet 15 mg

Tablet

30

166 Prokain Benzil Pinisilin G. inj 3 juta IU / Vial

Vial/Flacon

9,745

2,190

167 Propanolol tablet 40 mg

Tablet

130

12,000

2,000

168 Propiltiourasil tablet 100 mg

Tablet

97

169 Ranitidin injeksi 25 mg / 2 ml

Ampul

1,680

1,280

170 Ranitidin tablet 150 mg

Tablet

140

243,500

171 Reserpin tablet 0,10 mg

Tablet

26

172 Reserpin tablet 0,25 mg

Tablet

55

173 Retinol (Vitamin A) 100.000 IU kapsul

Kapsul

312

18,000

174 Retinol (Vitamin A) 200.000 IU kapsul

Kapsul

551

175 Ringer Laktat larutan infus

Botol 500 ml

6,240

240

176 Salbutamol tablet 2 mg

Tablet

74

18,000

177 Salbutamol tablet 4 mg

Tablet

107

178 Salbutamol inhaler (Ventolin)

179 Salep 2-4
180 Salisil Bedak 2 %
181 Serum Anti Bisa Ular (ABU) 5 ml inj

Botol 200 mg/ml

76,500

240

Pot 30 gram

2,400

2,736

Dos/Kotak 50 gr

1,450

1,032

707,900

15,123

Vial/Flacon

182 Serum Anti Tetanus 1500 iu amp (ATS)

Ampul

183 Sefadroksil sirup kering 125 mg / 5 ml

Botol 60 ml

5,500

184 Sefadroksil forte sirup kering 250 mg / 5 ml

Botol 60 ml

7,157

355

185 Sefadroksil kapsul 500 mg

Kapsul

618

186 Sefiksim kapsul 100 mg

Kapsul

5,500

12,000

11,339

Paket

5,500

189 Sefotaksim injeksi 1 garm

Vial/Flacon

5,996

190 Seftriakson injeksi 1 garm

Sianokobalamin (vitamin B12) injeksi 500
191
mcg
192 Sianokobalamin (vitamin B12) tablet 50 mcg

Via/Flacon

5,688

Ampul

1,245

6,100

Tablet

69

193 Simetidin tablet 200 mg

Tablet

137

23,500

194 Simvastatin tablet 5 mg

Tablet

105

195 Simvastatin tablet 10 mg

Tablet

198

2,910

196 Siprofloksasin tablet 500 mg

Tablet

692

8,750

197 Tablet tambah darah

Sachet

819

21,900

11,500

24

187 Sefiksim sirup kering 100 mg / 5 ml

188 Sefiksim 400 mg + Azitromisin 1000 mg

198 Tetrakain HCl tetes mata 0,5 %

Botol 30 ml

Botol 5 ml

199 Tetrasiklin kapsul 250 mg

Kapsul

179

200 Tetrasiklin kapsil 250 mg

Kapsul

179 256,400

201 Tetrasiklin kapsul 500 mg

Kapsul

350

60,300

202 Tiamfenikol kapsul 500 mg

Kapsul

450

203 Tiamin (vitamin B1) injeksi 100 mg / ml

Ampul

457

204 Tiamin (vitamin B1) tablet 50 mg

Tablet

89

94,000

205 Tramadol injeksi 50 mg / ml

Ampul

3,000

206 Tramadol kapsul 50 mg

Kapsul

580

207 Vitamin B Kompleks tablet

Tablet

122 188,000

###

208 Zinc tablet 20 mg

Tablet

570

103,000

209 Zinc syrup 20 mg/ 5 ml

Botol

8,880

360

210 Zinc Drop (Daryazinc)

Botol

16,500

360

Btl/ktk

468,001

btl 100 ml

126,001

115

20,000

12

12

OBAT DAN BAHAN GIGI

211 Devitalisasi Pasta (Non Arsen)
212 Etil klorida spray
213 Eugenol cairan

ktk12btl"@10ml

214 Flour tablet 0,5 mg

btl 100

125,000

215 Glass Ionomer Cement ART

set/btl

474,000

16

ktk 2 tube

290,400

18

216 Kalsium Hidroksida pasta

217 Klorfenol kamfer Menthol (CHKM)
218 Mummifying Pasta
219 Semen Seng Fosfat serbuk&Cairan
Temporary Stopping Fletcher serbuk dan
220
cairan
221 Alerdex Tab
222 Araclof 50 mg
223 Armolev 500 mg
224 Albothyl Concentrate
225 Arcamox 500 mg
226 Armovit kapsul
227 Asmacon tablet 4 mg

btl 10 ml

66,000

15

35

btl/ktk

211,200

10

set '@30 g/btl

112,200

16

40,800

12

Dos 100 tab

137,060

Kotak 100 tab

122,370

47

Dos 10

224,910

6,500

392,700

45,220

147,070

set '@ 100 g/btl

Botol 10 ml
Kotak 100
Kotak 30 kapsul
Kotak 100

228 Betopic cream

Tube

32,340

336

229 Bioplacenton cream

Tube

16,186

84

Botol 5 ml

34,890

99

Btl 10 Ml

14,014

50

105,490

230 Cendo xytrol tetes mata

231 Combantrin sirup Orange
232 Conranin tab

Dos 30 tab

233 Conucol sirup

Btl 60 ml

30,000

Dos 100 tab

375,000

235 Conmycin 500 mg

Dos 100 kaps

139,000

127

236 Contram kapsul

Kotak 20 kaps

70,070

115,500

7,800

76,000

6,075

225

26,180

520

234 Conucol tab 500 mg / Nufatiam

237 Cystelis tab

238 Cyano B complex inj
239 Dasabion tablet
240 Deladril inj / Duradryl inj

Dos 100 tab

Vial
Kotak 100
Vial

241 Diasec tab

Dos 10 tab

242 Adidryl inj

Vial

4,480

Tablet

6,667

Dos 50 tab

92,368

Dos 100 tab

37,400

243 Echinox kaplet / Imboost tablet

244 Elitris 50 mg tab
245 Fevrin tab

246 Fevrin drops

botol 15 ml

25,000

247 Fludane Plus tab

Dos 100 tab

125,500

248 Funggatin Drops

Btl

15,000

249 Garapon cream

Tube

21,554

250 Hyscopan tab

Dos 100 tab

184,800

50

251 Irgapan tab 200 mg

Dos 100 tab

11,520

231,000

252 Kanamicin inj 1 gr

253 Kanarco inj

Vial
Dos 10 vial

254 Kloramixin D eye drops

Btl 10 ml

36,190

255 Lysmin sirup

Btl 60 ml

25,410

256 Metolon inj.

Dos 5 amp

37,370

7,722

Dos 100 tab

139,000

259 Nonflamin kapsul

Kotak 60 kapsul

276,509

260 Nulcefam tablet 20 mg

Kotak 30 tablet

257 Neurobion 5000 inj / Neurosanbe inj

258 Neuropanstop tablet

261 Opram sirup

262 Opram tab
263 Poncodryl sirup

Ampul

105,000

Btl 60 ml

16,220

Dos 100 tab

83,818

Btl 60 ml

16,940

264 Poncofen tab 500 mg

Dos 100 tab

153,230

265 Poncolin syrup

Botol 60 ml

14,500

72

266 Ponconeuron tab

Dos 100 tab

140,140

267 Poncosolvan sirup

Btl 60 ml

13,200

Dos 100 tab

54,450

Dos 30 tab

277,200

90

Kotak 100 kaplet

109,000

271 Protamox kaplet

Dos15 kapl

219,781

272 Poncoflox 500 mg

Dos 20 tab

249,480

115

273 Ponuric 100 mg tablet

Dos 60 tab

71,360

268 Poncosolvan tab

269 Poncoquin 200 mg tab
270 Ponflu kaplet

274 Spectrem tab

Dos 100 tab

121,659

15

275 Vikanatal Plus

Dos 100

157,080

276 Xylomidon inj / Etamidon inj

Vial

5,618

500

277 Zevibex caplet

Dos 100 tab

287,980

278 Vitalex caplet

Dos 100 tab

163,200

OBAT DAN BAHAN TB

279 F D C ( Kategori I & III )

Paket

432,000

280 F D C ( Kategori II )

Paket

1,440,000

281 F D C Kategori anak)

Paket

258,000

282 F D C ( Kategori Sisipan )

Paket

192,000

283 O A T COMBIPAK KAT. I

Paket

236,000

3,300

20,000

65,000

60

284 Pot Sputum

285 Spertus

Pcs
Btl 500 ml

286 Kartu TB 01

Lembar

5,949

500

287 Kartu TB 02

Lembar

3,500

500

288 Buku TB 03 UPK

Lembar

50,000

289 Buku TB 04

Buku

59,511

30

290 Kartu TB 05

Lembar

2,302

5,000

291 Buku TB 06

Buku

49,500

30

292 Bunsen

Pcs

45,000

119

ALAT KESEHATAN / BAHAN HABIS PAKAI

(BHP)
293 Abocath No. 18

Pcs

39,200

150

294 Abocath No. 20

Pcs

39,200

240

295 Abocath No. 22

Pcs

39,200

150

296 Abocath No. 24

Pcs

39,200

100

297 Abocath no. 26

Pcs

27,000

Dos 100 lbr

B.

298 Alkohol Swab BD

299 Bisturi / Pisau Bedah semua ukuran
300 Blood Lancet
301 Box Slide

64,600

1,178

Kotak 100

103,500

290

Dos 200 buah

109,000

278

112

Box

250,000

199

302 Catgut ( Cromic) No. 2/0 + Jarum

Kotak 24

1,751,200

70

303 Catgut ( Cromic) No. 3/0 + Jarum

Kotak 24

1,788,000

61

304 Catgut (Plain) No. 2/0 + Jarum

Kotak 24

401,453

24

305 Catgut (Plain) No. 3/0 + jarum

Kotak 24

401,453

Box

600,000

60

307 Silk Benang Bedah + Jarum No. 2/0

Dos 24X70 cm

727,500

56

308 Silk Benang Bedah + Jarum No. 3/0

Dos 24X70 cm

891,000

60

309 Disposible 1 ml

Dos 100 pcs

135,800

70

310 Disposiblel 10 ml

Dos 100 pcs

519,700

50

311 Disposiblel 2,5 ml

Dos 100 pcs

125,000

370

312 Disposiblel 3 ml

Dos 100 pcs

125,000

390

313 Disposiblel 5 ml

Dos 100 pcs

109,000

300

306 Cold Box Vacsine

314 Elastis Verban 10 cm

Roll

78,000

81

315 Folley Catetheter

Buah

316 Gypsona pembalut

Rool

10,500

36

Btl 1000 ml

63,400

94

318 Infusion set anak

Pcs

21,000

185

218

319 Infusion set dewasa

Pcs

317 H 2 O 2

15,000

468

320 Kapas Absorban 100 gr

Rool 100 grm

7,750

1,185

321 Kapas Absorban 250 gr

Rool 250 grm

14,750

533

322 Kapas berlemak 500 gr

Rool 500 grm

13,800

Dos

8,900

1,252

Bungkus

2,000

1,500

3,391

Rool

1,500

4,680

10,750

2,349

4,800

3,144

323 Kasa steril 16X16 cm

324 Kasa Kompres 40 /40 steril
325 Kasa pembalut hidrofil 4mX3 cm elastic
326 Kasa Pembalut Hydrofil 2 m X 80 cm

Bungkus

327 Kasa Pembalut Hydrofil 4 m X 15 cm

Rool

328 Kertas Puyer 1 m X 1 m

329 Masker
330 Masker N 95

Lembar

1,800

280

2,000

Pcs

6,800

5,000

Kotak 20 Psg

350,000

59

331 Plastik Klip obat 7 x 10 cm

Bks 100 lbr

3,750

486

3,000

332 Plastik obat 8 x 5

Bks 100 lbr

20,520

1,170

333 Plastik obat 10 x 15

Bks 100 lbr

20,520

1,132

334 Plastik obat 12 x 8

Bks 100 lbr

20,520

1,197

335 Plester 5 yard X 2 inchi

Rool

8,800

1,380

336 Plester 1,25 x 4,5 inch

Rool

5,300

347

337 Plester 7,5 x 4,5 inch

Rool

48,500

120

338 Pot Steril

Pot

6,500

1,200

339 Sarung tangan no 7 steril

Pcs

20,000

50

6,000

340 Sarung tangan no 7,5 steril

Pcs

20,000

6,000

341 Sarung tangan no 8 steril

Pcs

20,000

290

3,000

342 Sarung tangan Panjang no 7,5 steril

Pcs

21,960

600

343 Sarung tangan non steril S

Kotak / 100

96,500

455

344 Sarung tangan non steril M

Kotak /100

96,500

403

345 Sarung tangan non steril L

Kotak / 100

96,500

408

Pasang

120,000

120

Sak/500 pcs

250,000

93

Botol

391,000

Box 72 Lbr

224,500

400

350 Stetoscope

Set

539,000

26

351 Tensi Meter Manual / Air Raksa

Set

1,177,400

24

102,901

333

214

6,000

346 Sarung tangan Nitril

347 Sendok Obat
348 Serum Golongan Darah ABO
349 Slide /Obyek Glass

352 Termometer Rectal

353 Bluetip

Buah
Pak/500

354 Cover Glass 20x20

Kotak

150,000

355 Cyrotube

Pak/50

750,000

280

356 Centrifuge listrik 6-8 hole

Unit

3,600,000

10

357 Centrifuge Hematrocite

Unit

###

11

358 HB sahli

Unit

750,000

21

359 Hecting set

Set

550,000

29

360 Kamar hitung

Unit

750,000

22

361 KOH 10%

Botol 100 ml

60,200

48

362 Lampu spritus

Unit

85,000

19

363 Lens paper

Pak

200,000

21

364 Minor set

Set

1,500,000

30

365 Microscope Binocular

Set

###

366 Micropipet 5 - 50 ul (Socorex)

Set

4,500,000

10

Pak/100

300,000

23

368 Rak Tabung Stainles 24 Lubang

Unit

310,000

17

369 Rak Pewarnaan

Unit

300,000

20

370 Sikat tabung

Unit

30,000

22

367 PH Paper

371 Tabung reaksi 7,5 x 10

Kotak/10

400,000

16

372 Tabung centrifuge tidak berskala

Kotak/10

150,000

17

373 Tornoquet

Unit

125,000

17

374 Vacutainer

Box/100

140,000

226

282

4,214

Btl 100 ml

24,500

Btl 1000 ml

34,375

172

Btl 20 ml

505,000

146

379 Larutan Anisol

Btl 100 ml

255,626

29

380 Larutan Asam Klorida 0,1 N

Btl 100 ml

50,000

18

381 Larutan Asam Sufosalisilat 20%

Btl 100 ml

50,000

382 Larutan Benedict

Btl 100 ml

60,000

28

383 Larutan Eosin 2 %

Btl 100 ml

123,000

156

384 Larutan Etanol Asam

Btl 100 ml

52,000

15

385 Larutan Gimsa Stain

Btl 100 ml

466,800

19

386 Larutan Karbol Fuchsion

Btl 100 ml

48,000

15

Botol/ml

76,500

37

388 Larutan Metanol

Btl 100 ml

50,000

389 Larutan Metilen Blue

Btl 100 ml

35,000

34

390 Larutan Turk

Btl 100 ml

38,550

23

Btl 1000 ml

49,500

120

375 Yellow tip

C.

REAGEN LABORATORIUM KIMIA

376 Alkohol 100 cc

377 Alkohol 1000 cc 70 %
378 Imersi Oil

387

Pcs

Larutan Lugoal

391 Lisol mengndung Kresol tersabun

392 Tes HIV SD

Kotak/100 test

4,180,000

393 Tes HIV Triline

Kotak/100 test

3,850,000

Kotak/50 test

2,640,000

Box 25 Test

1,062,000

57

Kotak/100 test

2,350,000

Botol/100 ml

79,500

39

Paket

394 Tes HIV Oncoprobe

395 Tes Malaria / RDT Malaria
396 Tes Shyphilis SD/Intec (TPHA)
397

Xylol

398 Reagen Ziehl Nelsen

25,500

399 Catrige CD4

Test

300,000

400 Tes HIV Vikia

Kotak

975,000

401 RPR Shypilis

Kotak

Mengetahui
Kepala Dinas Kesehatan Kab. Jayawijaya

Wamena, 31 Desem
Kepala Seksi Kefarm

AGUSTINUS ARONGGEAR

HAYKE CH. TOAR

NIP. 19580809 197811 1 001

NIP. 19751119 1999

YA

AN KEMASAN TERKECIL
ORIUM KIMA
DESEMBER 2014

Jml 5 s/d 10

Prog.
Gizi

IF Prop

10

Obat

(Rp)

11

12

5,160

2,141,400

400

40,000

1,610

6,375,600

178,000

26,700,000

300

440,100

35,300

3,318,200

2,400

523,200

2,220

868,020

11,000

2,673,000

3,500

203,500

97,883,500

720

2,008,800

1,200

6,600,000

181,400

83,444,000

440

2,834,480

1,576

8,321,280

200,000

55,600,000

1,500

9,909,000

10,400

6,468,800

28,382

68,116,800

1,000

1,000

26,600,000

684

18,194,400

356,000

40,584,000

14,400

2,001,600

120

480,000

1,150

5,175,000

3,000

15,000

4,200,000

3,500

3,500

1,400,000

2,380

12,852,000

208,500

7,923,000

120

1,411,200

60

70

1,125,600

9,248

16,868,352

5,280

6,336,000

200

730,200

12,500

23,712,500

1,500

91,700

6,877,500

1,840

1,840

69,018,400

5,400

6,804,000

63,000

20,475,000

13,250

1,881,500

30

1,500

14,580,000

800

6,796,000

450

810,000

2,250

258,750

1,000

160,000

6,300

718,200

600

2,100

8,610,000

790

5,290

139,656,000

17,900

6,193,400

60

244,740

1,200

2,760,000

120

364,680

4,072

2,239,600

2,800

196,000

122,000

29,280,000

826

5,649,840

211

1,316,640

23,400

6,154,200

4,032

14,918,400

40,800

5,385,600

216

2,106,000

3,200

342,400

85,000

7,055,000

10,000

730,000

10,000

1,020,000

8,350

2,914,150

32,000

21,696,000

1,500

450,000

1,632

3,133,440

3,720

4,464,000

624,800

40,612,000

500

34,500

295,300

58,469,400

61,600

3,080,000

0 11,200

11,200

3,337,600

420

420

492,240

9,420

15,401,700

8,500

909,500

6,000

1,110,000

7,500

12,375,000

483,800

86,600,200

130

471,900

3,000

1,767,000

117,400

14,322,800

50,900

8,958,400

849

3,056,400

12,000

2,532,000

26,050

4,168,000

160

520

3,120,000

14,500

2,030,000

3,300

2,534,400

9,700

5,587,200

5,865

20,052,435

2,475

3,960,000

1,680

3,528,000

225

6,200

10,540,000

780

1,482,000

16,200

14,288,400

6,000

23,676,000

170,000

30,770,000

1,200

12,504,000

6,900

74,900

27,113,800

291,000

5,820,000

22,000

2,156,000

21,900

2,781,300

1,937,500

1,160

3,004,400

710

12,074,260

60

2,666,040

56,000

7,224,000

2,190

21,341,550

14,000

1,820,000

1,280

2,150,400

3,800

247,300

34,622,000

1,500

19,500

6,084,000

1,500

1,500

826,500

178

418

2,608,320

18,000

1,332,000

240

18,360,000

2,736

6,566,400

1,032

1,496,400

170

170

2,570,910

355

2,540,735

200

12,200

67,100,000

160

160

880,000

20

20

113,760

6,100

7,594,500

23,500

3,219,500

2,910

576,180

8,750

6,055,000

21,900

17,936,100

24

276,000

256,400

45,895,600

60,300

21,105,000

90

90

41,130

94,000

8,366,000

651,000

79,422,000

0 20,500

123,500

70,395,000

360

3,196,800

360

5,940,000

115

14,490,115

24

480,000

23

10,902,000

18

5,227,200

50

3,300,000

10

2,112,000

16

1,795,200

12

489,600

274,120

47

5,751,390

336

10,866,240

84

1,359,624

99

3,454,110

50

700,700

750,000

127

17,653,000

225

1,366,875

520

13,613,600

20

20

300,000

50

9,240,000

1,155,000

72

1,044,000

90

24,948,000

115

28,690,200

15

1,824,885

500

2,809,000

222

222

95,904,000

5,760,000

37

37

9,546,000

960,000

708,000

711

20,711

68,346,300

10

70

4,550,000

582

1,082

6,436,818

515

1,015

3,552,500

350,000

14

44

2,618,484

250

5,250

12,085,500

37

1,831,500

120

5,400,000

70

220

8,624,000

70

310

12,152,000

40

190

7,448,000

35

135

5,292,000

1,178

76,098,800

290

30,015,000

390

42,510,000

199

49,750,000

70

122,584,000

61

109,068,000

24

9,634,872

60

36,000,000

56

40,740,000

60

53,460,000

19

89

12,086,200

50

25,985,000

371

46,375,000

390

48,750,000

24

324

35,316,000

81

6,318,000

36

378,000

94

5,959,600

403

8,463,000

468

7,020,000

1,185

9,183,750

533

7,861,750

1,252

11,142,800

4,891

9,782,000

4,680

7,020,000

2,349

25,251,750

3,144

15,091,200

2,280

4,104,000

5,000

34,000,000

59

20,650,000

3,486

13,072,500

1,170

24,008,400

1,132

23,228,640

1,197

24,562,440

1,380

12,144,000

347

1,839,100

120

5,820,000

1,200

7,800,000

6,050

121,000,000

6,000

120,000,000

3,290

65,800,000

600

13,176,000

455

43,907,500

403

38,889,500

408

39,372,000

120

14,400,000

93

23,250,000

31

431

96,759,500

26

14,014,000

24

28,257,600

258

591

60,814,491

6,000

1,284,000

1,200,000

280

210,000,000

10

36,000,000

11

137,500,000

21

15,750,000

29

15,950,000

22

16,500,000

52

3,130,400

19

1,615,000

21

4,200,000

30

45,000,000

247,500,000

10

45,000,000

23

6,900,000

17

5,270,000

20

6,000,000

22

660,000

16

6,400,000

17

2,550,000

17

2,125,000

226

31,640,000

4,214

1,188,348

172

5,912,500

146

73,730,000

29

7,413,154

18

900,000

28

1,680,000

156

19,188,000

15

780,000

23

10,736,400

15

720,000

37

2,830,500

34

1,190,000

23

886,650

120

5,940,000

11

11

42,350,000

110

110

290,400,000

57

60,534,000

11,750,000

39

3,100,500

153,000

100

100

30,000,000

11

11

10,725,000

12

12

ena, 31 Desember 2014

a Seksi Kefarmasian

KE CH. TOAR

9751119 199903 1 005