DAFTAR KEBUTUHAN OBAT POLI UMUM BALKESMAS KEMENTERIAN HUKUM DAN HAM RI

TAHUN 2021 DIREKTORAT JENDERAL ADMINISTRASI HUKUM UMUM

JUMLAH HARGA JUMLAH
NO NAMA OBAT KOMPOSISI KEMASAN
KEBUTUHAN SATUAN HARGA
1 Accu Check Safe T pro uno (lancet) Accu Check Safe T pro uno (lancet) 3 box Rp 300,000 Rp 900,000
2 Alegi Tablet Dexamethasone 0,5 mg,Deksklorfeniramin meleat 2mg 10 box Rp 150,000 Rp 1,500,000
3 Alkohol swab Sensi Alkohol swab Sensi 20 box Rp 70,000 Rp 1,400,000
4 Amadiab 4 Tablet Glimepiride 4 mg 30 box Rp 380,000 Rp 11,400,000
5 Astar - C kaplet Astaxanthin 4 mg, Vit C lipid metabolite 300 mg 20 box Rp 200,000 Rp 4,000,000
6 Atorvastatin 20 mg Atorvastatin 20 mg 40 box Rp 150,000 Rp 6,000,000
Vit B1 50mg,B2 245 mg,B6 10 mg,B12 5 mcg,C 500
7 Becom- C kaplet 10 box Rp 174,000 Rp 1,740,000
mg,Niacinamide 100 mg, Ca panthotenat 20 mg
8 Biocombin 5000 liquid injection Vit B1 100 mg, B6 200 mg,B12 5000 mg 10 box Rp 55,000 Rp 550,000
9 Biocombin FC tablet Vit B1 100 mg, B6 200 mg,B12 200 mg 10 box Rp 160,000 Rp 1,600,000
per 5 ml : Echinacea ext 250 mg,curcuminoid 2 mg, FOS
10 Biofos 120 ml 50 botol Rp 75,000 Rp 3,750,000
300 mg, taurine 100 mg, philantus niruri 25 mg
11 Bisoprolol 5 mg Bisoprolol 5 mg 10 box Rp 100,000 Rp 1,000,000
12 Blocand 8 mg Candesartan 8 mg 50 box Rp 56,000 Rp 2,800,000
13 Buscopan Plus Hiosin Butilbromide, paracetamol 4 box Rp 600,000 Rp 2,400,000
14 Clarihis tablet loratadine 10 mg 10 box Rp 190,000 Rp 1,900,000
15 Costil tablet Domperidone 10 mg 20 box Rp 126,000 Rp 2,520,000
16 Crestor 20 mg Rosuvastatin calcium 20 mg 10 box Rp 800,000 Rp 8,000,000
17 D3-5000 tablet Vitamin D3 5000 iu 50 box Rp 120,000 Rp 6,000,000
Vit B1 50 mg,B2 25,B6 10,B12 5 mcg,nicotinamide
18 Damuvit salut selaput 10 box Rp 203,500 Rp 2,035,000
100mg,Calsium pantotenate 25 ,VitC 500 mg
19 Degirol Dequalinium cloride 0,25mg 10 100's/box Rp 170,000 Rp 1,700,000
20 Elox 5 mg Mometasone furoate 0,1 % 50 tube Rp 51,000 Rp 2,550,000
21 Esola Esomeprazol 40 mg 10 Vial Rp 190,000 Rp 1,900,000
22 Ethigobal kapsul Mecobalamine 500 mcg 20 box Rp 124,000 Rp 2,480,000
23 Evotyl 100 mg Fenofibrate 100 mg 30 box Rp 152,000 Rp 4,560,000
24 Extropect tablet Ambroxol HCL 30 mg 20 box Rp 66,000 Rp 1,320,000
25 Family DR asam urat Stik asam urat 5 box Rp 300,000 Rp 1,500,000
26 Family DR kolesterol Stik kolesterol 10 box Rp 350,000 Rp 3,500,000
27 Fastor 20 Kaplet Atorvastatin 20 mg 10 box Rp 182,000 Rp 1,820,000
28 Fenolip 300 kapsul Fenofibrate 300 mg 20 box Rp 330,000 Rp 6,600,000
29 FG Troces Fg troches 10 300's/box Rp 371,250 Rp 3,712,500
30 Forelax tablet Eperisone Hidroklorida 50 mg 10 box Rp 256,000 Rp 2,560,000
31 Fungares krem 5 gr Miconazole nitrate 2% 30 tube Rp 20,000 Rp 600,000
32 Genolon krem Gentamisin sulfate 0,1%,Flunisolon asetonid 0,025 % 50 tube Rp 42,000 Rp 2,100,000
33 Glamarol 2 mg Glimiperide 2 mg 20 box Rp 232,000 Rp 4,640,000
34 Gluko Dr Auto AGM 4000 Stik Gula 5 Box Rp 330,000 Rp 1,650,000
35 Glukovance 500/5 Metformin 500mg/Glibenklamide 5mg 5 box Rp 612,000 Rp 3,060,000
Kleinhovia hospita, curcuma xanthorriza, nigella
36 Heparmin 10 box Rp 220,000 Rp 2,200,000
sativa,arcangelisia flava
37 Imudator kaplet Extpolinacea 200mg,zinc picolinate 10mg 10 box Rp 243,760 Rp 2,437,600
Echinacea purpurea extract(Fresh Pressed juice) 500mg,Zn
38 Imunos Plus Kaplet Picolinate 10 mg,Selenium 15 mcg,1,6 glucan 175mg,Asam 10 box Rp 210,000 Rp 2,100,000
karborat 50mg
Enhinacea purpurea exstract(fresh pressed
39 Imunos Plus Syrup juice)500mg,1,6 glucan 125 mg(setara dengan 93,75mg 30 botol Rp 102,000 Rp 3,060,000
Wellmune WGP)Zn picolinate 5 mg,Selenium 15 mcg
40 Inoderm cream Fluocinolone acetonide 0,025 % 50 tube Rp 18,000 Rp 900,000
41 Lapiva 5/80 Amlodipin 5mg, valsartan 80 mg 10 box Rp 330,000 Rp 3,300,000
42 Lavit C 1000 injeksi ampul Asam ascorbat 1000 mg/5 ml 30 box Rp 165,000 Rp 4,950,000
43 Lavit C 1000 tablet Asam ascorbat 1000 mg 20 box Rp 205,000 Rp 4,100,000
44 Liphantyl penta 145 Fenofibrate 145 mg 5 box Rp 710,000 Rp 3,550,000
45 Lipid pro stik Lipid Pro stik 5 box Rp 880,000 Rp 4,400,000
46 Lodipas 10 Amlodipin 10 mg 10 box Rp 151,000 Rp 1,510,000
47 Lodipas 5 Amlodipin 5 mg 50 box Rp 90,000 Rp 4,500,000
48 Lusanoc tablet Ketokenazole 200 mg 5 box Rp 243,000 Rp 1,215,000
49 Meiact 200 mg Cefditron 200 mg 5 box Rp 700,000 Rp 3,500,000
Vit B1 50 mg, B2 25 mg, B6 10 mg,B12 5 mg, Vit C 500 mg,
50 Meviton FC tablet 10 box Rp 168,000 Rp 1,680,000
Nikotinamide 50 mg, Ca panthotenate 20 mg
51 Mucifat suspension per 5 ml : Sukralfate 500 mg 50 botol Rp 50,000 Rp 2,500,000
52 Mucohexin elixir Bromhexin Hcl 4mg/5 ml 50 botol Rp 19,000 Rp 950,000
53 Nebilet Nebivolol 5 mg 30 box Rp 212,000 Rp 6,360,000
54 Neurobion forte Vit B1 100mg,B6 200mg, B12 5000mcg 5 box Rp 700,000 Rp 3,500,000
Vit B1 50 mg ,B6 100 mg ,B12 100 mcg, methampiron 500
55 Neurosanbe plus 10 box Rp 125,000 Rp 1,250,000
mg
56 Norvask 5 mg Amlodipin 5 mg 10 box Rp 280,000 Rp 2,800,000
Methylsalisilate 102 mg,menthol 54,4,eugenol 13,6
57 Nostern cream 100 tube Rp 12,500 Rp 1,250,000
capsaicin 0,5 mg
58 Obeslim kapsul Orlistat 120 mg 10 box Rp 281,000 Rp 2,810,000
59 Original E kapsul Vitamin E kapsul 100 mg 20 box Rp 136,000 Rp 2,720,000
60 Osteor plus kaplet Glukosamin 500mg, chondroitin 400mg,zinc 5mg,Mg 10 20 box Rp 281,000 Rp 5,620,000
61 Pantoz serbuk injeksi Pantoprazole 40 mg 10 vial Rp 176,000 Rp 1,760,000
Betamethasone 0,25mg, Dexchlorpheniramine meleate 2
62 Proceles tablet 10 box Rp 83,000 Rp 830,000
mg
63 Prodexon kaplet Dexamethasone 0,5 mg 10 box Rp 39,000 Rp 390,000
64 Pronovir syrup Methisoprinol 250 mg 30 botol Rp 77,000 Rp 2,310,000
65 Pronovir tablet Methisoprinol 500 mg 20 box Rp 176,000 Rp 3,520,000
66 Recolfar 0,5 mg Colchicine 0,5 mg 10 box Rp 80,000 Rp 800,000
67 Rinclo tablet Clopidogrel 75 mg 20 box Rp 265,000 Rp 5,300,000
68 Rinocet syrup Per 5ml :Ceterizine 2Hcl 5 mg 50 botol Rp 58,000 Rp 2,900,000
69 Sanexon 4 tablet 6 Alpha-methil prednisolon 4 mg 10 box Rp 244,000 Rp 2,440,000
70 Sanmol 120 mg syrup Paracetamol 120 mg / 5 ml 50 botol Rp 13,000 Rp 650,000
71 Sanmol tablet Paracetamol 500 mg 20 box Rp 32,000 Rp 640,000
72 Silopect sirup Ambroxol HCL 15 mg 50 botol Rp 31,900 Rp 1,595,000
per 5ml: Vit B1 1,5 mg,B2 2 mg,B6 1mg, B12 5 mcg,
73 Supralysin 100 mg syrup Nicotinamide 20 mg, D panthotenal 3mg, Vit A 5000 iu,vit 50 botol Rp 28,000 Rp 1,400,000
D 400 iu, Vit C 60 mg, Lysine Hcl 200 mg
74 Terumo 3 cc Disposible spuit 3 cc 2 box Rp 400,000 Rp 800,000
75 Terumo 5 cc Spuit 5 cc 4 box Rp 600,000 Rp 2,400,000
76 Tineuron kapsul Gabapentin 300 mg 10 box Rp 327,000 Rp 3,270,000
 JUMLAH HARGA JUMLAH
NO NAMA OBAT KOMPOSISI KEMASAN
KEBUTUHAN SATUAN HARGA
77 Tuderm N cream Betamethasone valerate 0,1%,neomycin sulfate 0,5 % 100 tube Rp 12,100 Rp 1,210,000
78 Tyran injeksi ampul Ranitidine 50 mg 10 box Rp 121,000 Rp 1,210,000
79 Tyran salut selaput Ranitidine 150 mg 15 box Rp 273,790 Rp 4,106,850
80 Vergo 24 mg Betahistine Hydrochloride 24 mg 20 box Rp 265,000 Rp 5,300,000
81 Viphachol Red yeast rice,alii sativi bulbus, zingiber officinale var 40 box Rp 138,000 Rp 5,520,000
Kurkuminoid 2mg,B-karoten 10% 4mg, vitB1 3mg,B2
82 Vitacur syrup 2mg,B6 5mg, B12 5mcg,D 100iu, Dexpanthenol 3 mg, Ca 50 botol Rp 41,000 Rp 2,050,000
pidolat 300 mg,frukto oligosakarida 300 mg
83 Wing needle 25" terumo Terumo wing 25 1 Box Rp 1,850,000 Rp 1,850,000
84 Wing needle 27" terumo Terumo wing 27 3 Box Rp 1,850,000 Rp 5,550,000
85 X-Cam 15 Meloxicam 15 mg 20 box Rp 273,000 Rp 5,460,000
86 Yarizine tablet Ceterizine Hcl 10 mg 20 box Rp 93,000 Rp 1,860,000
Vit B1 15 mg,B2 15 mg,B6 25 mg, B12 12 mcg,
87 Zeviton kaplet Nicotinamide 100 mg, Ca panthotenate 23,8 mg, Vit C 750 10 box Rp 308,000 Rp 3,080,000
mg,asam folat 0,4 mg, Vit E 30 mg, Zn 22,5 mg
SUB JUMLAH Rp 247,111,950
PPN 10% Rp 24,711,195
JUMLAH TOTAL Rp 271,823,145