DAFTAR HARGA PRODUK INFUSAN BASIC SOLUTION SANBE DOUBLE PORT

HARGA (Rp) HARGA (RP)

NO NAMA PRODUK KEMASAN
HNA HNA+PPN
1 INFUSAN RL Softbag 500 cc 17,800 19,580
2 INFUSAN D5 Softbag 500 cc 18,150 19,965
3 INFUSAN NS Softbag 500 cc 17,350 19,085
4 INFUSAN D5+1/2NS Softbag 500 cc 18,550 20,405
5 INFUSAN D5+1/4NS Softbag 500 cc 18,350 20,185
6 INFUSAN R+D Softbag 500 cc 18,650 20,515
7 INFUMAL 10% Softbag 500 cc 84,400 92,840
8 INFUSAN RING AS Softbag 500 cc 20,000 22,000
9 TRIDEX 27A Softbag 500 cc 19,500 21,450
10 TRIDEX 27B Softbag 500 cc 19,500 21,450
11 TRIDEX 100 Softbag 500 cc 21,250 23,375
12 HYDROMAL Softbag 500 cc 66,000 72,600
13 TRIDEX PLAIN Softbag 500 cc 18,100 19,910
14 INFUSAN NS 100ML Softbag 100 cc 15,450 16,995
15 INFUSAN NS 250ML Softbag 250 cc 15,300 16,830
16 INFUSAN D5 100ML Softbag 100 cc 16,200 17,820
17 INFUSAN D5 250ML Softbag 250 cc 16,100 17,710
18 FUTROLIT INFUS Softbag 500 cc 52,950 58,245
19 INFUSAN D10 Softbag 500 cc 18,100 19,910
20 INFUSAN D5+NS Softbag 500 cc 16,850 18,535
21 INFUSAN D2,5+1/2NS Softbag 500 cc 16,250 17,875
22 SANBE WATER FOR IRRIGATION Softbag 1000 cc 16,650 18,315
23 SANBE WATER FOR IRRIGATION Softbag 2000 cc 25,950 28,545

DAFTAR HARGA PRODUK INFUS BASIC SOLUTION SANBE SINGLE PORT

HARGA (Rp) HARGA (RP)
NO NAMA PRODUK KEMASAN
HNA HNA+PPN
1 INFUSAN RL Softbag 500 cc 16,300 17,930
2 INFUSAN D5 Softbag 500 cc 16,750 18,425
3 INFUSAN NS Softbag 500 cc 15,850 17,435
4 INFUSAN D5+1/2NS Softbag 500 cc 16,950 18,645
5 INFUSAN D5+1/4NS Softbag 500 cc 16,850 18,535
6 INFUSAN R+D Softbag 500 cc 17,100 18,810
7 INFUMAL 10% Softbag 500 cc 82,900 91,190
8 INFUSAN RING AS Softbag 500 cc 18,550 20,405
9 INFUSAN M20 Softbag 500 cc 76,800 84,480
10 INFUCAP RL Softbag 500 cc 16,300 17,930
11 INFUCAP NS Softbag 500 cc 15,850 17,435
12 INFUCAP RING AS Softbag 500 cc 18,550 20,405
13 INFUCAP D5 Softbag 500 cc 16,750 18,425
14 INFUCAP D5+1/4 NS Softbag 500 cc 16,850 18,535
15 INFUCAP D5+1/2 NS Softbag 500 cc 16,950 18,645
16 INFUCAP R+D Softbag 500 cc 17,100 18,810
17 CAPTOSA 10% Softbag 500 cc 82,900 91,190

DAFTAR HARGA PRODUK INFUS ASAM AMINO DAN NUTRISI

HARGA (Rp) HARGA (RP)
NO NAMA PRODUK KEMASAN
HNA HNA+PPN
1 AMITEN Botol Gelas 200 ml 88,300 97,130
2 RENOSAN Botol Gelas 500 ml 228,200 251,020
3 LIVAMIN Botol Gelas 500 ml 192,350 211,585
4 PRECOPAR Botol Gelas 500 ml 193,850 213,235
5 BENUTRION VE Botol Gelas 250 ml 100,700 110,770
6 VALAMIN INFUS Botol Gelas 500 ml 65,350 71,885
 DAFTAR HARGA PRODUK (OTHERS)
HARGA (Rp) HARGA (RP)
NO NAMA PRODUK KEMASAN
HNA HNA+PPN
1 INFUSAN NS IRIGASI Softbag 1000 ml 23,250 25,575
2 PROANES 1% (MCT/LCT) Box 5 Ampul @20ml 365,500 402,050
3 SANBE HEST 130 Softbag 500 ml 190,050 209,055
4 SANBE HEST 200 Softbag 500 ml 178,250 196,075
5 ENERTON 500 Softbag 500 ml 71,300 78,430
6 ASENTAT Jerigen 5 L 74,000 81,400
7 BICARLIS Jerigen 5 L 57,400 63,140
8 Lipomed 20% (MCT/LCT) Botol Gelas 100 ml 115,600 127,160
9 Lipomed 20% (MCT/LCT) Botol Gelas 250 ml 210,150 231,165
10 Lipomed 20% (MCT/LCT) Botol Gelas 500 ml 287,000 315,700
* proanes 1 ampul : 73.100
SANBE DOUBLE PORT
ITEM YANG HARGA
DISKON
MASUK BPJS +PPN
- 10% 17,622
- 10% 17,969
- 10% 17,177
- 10% 18,365
- 10% 18,167
- 10% 18,464
- 10% 83,556
- 10% 19,800
- 10% 19,305
- 10% 19,305
- 10% 21,038
I DO 31.82% 49,499
- 10% 17,919
- 10% 15,296
- 10% 15,147
I DO 35.75% 11,449
I DO 35.63% 11,400
- 10% 52,421
- 10% 17,919
- 10% 16,682
- 10% 16,088
- 10% 16,484
- 10% 25,691

ANBE SINGLE PORT

ITEM YANG HARGA
DISKON
MASUK BPJS +PPN
- 10% 16,137
- 10% 16,583
- 10% 15,692
- 10% 16,781
- 10% 16,682
- 10% 16,929
- 10% 82,071
- 10% 18,365
- 10% 76,032
- 10% 16,137
- 10% 15,692
- 10% 18,365
- 10% 16,583
- 10% 16,682
- 10% 16,781
- 10% 16,929
- 10% 82,071

DAN NUTRISI
ITEM YANG HARGA
DISKON
MASUK BPJS +PPN
- 10% 87,417
- 10% 225,918
- 10% 190,427
- 10% 191,912
- 10% 99,693
- 10% 64,697
S)
ITEM YANG HARGA
DISKON
MASUK BPJS +PPN
- 10% 23,018
- 10% 361,845
- 10% 188,150
- 10% 176,468
- 10% 70,587
- 10% 73,260
- 10% 56,826
- 10% 114,444
I DO 26.84% 169,120
- 10% 284,130
 DAFTAR HNA & HET PRODUK ONKOLOGI
BRANDED
NO NAMA PRODUK KEMASAN HNA HNA+PPN
Box 1 vial @ o,5 ml + 1
1 Doxetasan Injeksi 20 mg 1,854,450 2,039,895
vial solvent @ 1,5 ml
Box 1 vial @ o,5 ml + 1
2 Doxetasan Injeksi 80 mg 5,408,700 5,949,570
vial solvent @ 1,5 ml
3 Gentanosan 200 Injeksi Box 1 vial @ 200mg 695,450 764,995
4 Romisan 40 mg Injeksi Box 1 vial @ 2 ml 927,250 1,019,975
5 Romisan 100 mg Injeksi Box 1 vial @ 5 ml 1,912,350 2,103,585
6 Rubisandin 10 mg Injeksi Box 1 vial @ 5 ml 255,000 280,500
7 Sandobicin 10 mg Injeksi Box 1 vial @ 5 ml 169,300 186,230
8 Sandobicin 50 mg Injeksi Box 1 vial @ 25 ml 695,550 765,105
9 Santotaxel 30 mg Injeksi Box 1 vial @ 5 ml 999,100 1,099,010
10 Santotaxel 100 mg Injeksi Box 1 vial @ 16,7 ml 2,595,050 2,854,555
11 Sanroxa 50 mg Injeksi Box 1 vial @ 10 ml 1,970,400 2,167,440
12 Sanotrexat 50 mg Injeksi Box 1 vial @ 2ml 66,300 72,930

GENERIK
NO NAMA PRODUK KEMASAN HNA HNA+PPN
1 Docetaxel 20 mg Injeksi Box 1 vial @ o,5 ml 1,390,850 1,529,935
2 Docetaxel 80 mg Injeksi Box 1 vial @ o,5 ml 3,466,550 3,813,205
3 Doxorubicin Hcl 10 mg Injeksi Box 1 vial @ 5 ml 73,050 80,355
4 Doxorubicin Hcl 50 mg Injeksi Box 1 vial @ 25 ml 278,450 306,295
5 Epirubicin HCl 10 mg Injeksi Box 1 vial @ 5 ml 173,900 191,290
6 Gemcitabine 200 Injeksi Box 1 vial @ 200 mg 478,150 525,965
7 Gemcitabine 1000 Injeksi Box 1 vial @ 1000 mg 1,694,350 1,863,785
8 Irinotecan HCl 40 mg Injeksi Box 1 vial @ 2 ml 732,350 805,585
9 Irinotecan HCl 100 mg Injeksi Box 1 vial @ 5 ml 1,778,500 1,956,350
10 Oxaliplatin 50 mg Injeksi Box 1 vial @ 10 ml 1,501,500 1,651,650
11 Paclitaxel 30 mg Injeksi Box 1 vial @ 5 ml 522,750 575,025
12 Paclitaxel 100 mg Injeksi Box 1 vial @ 16,7 ml 1,313,300 1,444,630
13 Methotrexate 50 mg Injeksi Box 1 vial @ 2 ml 44,200 48,620
Nama Generik
Docetaxel

Docetaxel
-
Gemcitabine
Irrinotecan
Irrinotecan
Epirubicin Hcl
Doxorubicin Hc
Doxorubicin Hc
Paclitaxel
Paclitaxel
Oxaliplatin
Methotrexate