DAFTAR HARGA OBAT

Nama Obat Satuan HNA + PPN 10% HNA + PPN 30%

1 Acetosal 100 mg Tablet 321 417

2 Acyclovir 200 mg Tablet 450 585
3 Acyclovir 400 mg Tablet 600 780
4 Adalat Oros 30 mg Tablet 4,070
5 Alinamin F Tablet 1050 1365
6 Allupurinol 100 mg Tablet 350 455
7 Allupurinol 300 mg Tablet 700 910
8 Ambeven Tablet 1400 1820
9 Ambroxol Tablet 212 276
10 Amlodipine 10 mg Tablet 1384 1799
11 Amlodipine 5 mg Tablet 600 780
12 Amoxicillin 500 mg Tablet 350 455
13 Antalgin 500 mg Tablet 700 910
14 Antasid Tablet 120 156
15 Antimab 50 mg Tablet 375 488
16 Anvomer B6 Tablet 2640 3432
17 Aptor 100 mg Tablet 321 417
18 Arkavit Tablet 900 1170
19 Arkine 2 mg Tablet 5960 7748
20 Asam Folat 5 mg Tablet 500 650
21 Asetil sistein Tablet 447 581
22 Asam Mefanemat 500 mg Tablet 376
23 Aspilets 80 mg Tablet 530 689
24 atorvastatin 40 mg Tablet 3660 4270
24 atorvastatin 20 mg Tablet 4404 5725
25 Azithromycin500 mg Tablet 4,400
26 Beneuron Tablet
27 Benocetam 1200 mg Tablet 3520 4576
28 Benocetam 800 mg Tablet 3520 4576
29 Benovit C Tablet 1650 2145
30 Benovit M Tablet 2548 3640
31 Biosan Tablet 13200 17160
32 Bisolvon Tablet 2000 2600
33 Bisoprolol 5 mg Tablet 1,392
34 Bledstop Tablet 221
35 Bralin 500 mg Tablet 15769 20500
36 BronKis Tablet
37 Buscopan 10 mg Tablet 3269 4250
38 Cal 95 Tablet 4840 6292
39 Candesartan 16 mg Tablet 7500 9750
40 Candesartan 8 Tablet 4049 5783
41 Chloroquin Tablet
42 Captopril 12.5 mg Tablet 100 130
43 Captopril 25 mg Tablet 131 170
44 Carbamazepin Tablet 1980 2574
45 Cefadroxil 500 mg Tablet 958 1245
46 Cefixime 100 mg Tablet 2395 3114
47 Cefixime 200 mg Tablet 6,600 5768
48 Cetirizine Tablet 93
49 Chloramphenicol 250 mg Tablet 210 273
50 Ciproflxacin 500 mg Tablet 400 520
51 Citicolin 500 mg Tablet 6,600
52 Citoviplex Tablet
53 Clindamycin 150 mg Tablet 670 871
54 Clindamycin 300 mg Tablet 589 766
55 Clopidognel 75 mg Tablet 8288 10774
56 Co. Amoxiclav Tablet 5809 7552
57 Compyrantel Tablet 388 504
58 CTM Tablet 37 48
59 Curcuma Tablet 973
60 Diaform Tablet 205 267
61 Dexamethasone 0,5 mg Tablet 110 143
62 Dexanta Tablet 246 320
63 Dexketoprofen Tablet 3173 4125
64 Dextamin Tablet 1900 2470
65 Dexclosan Tablet
66 DHP Tablet 3435 4466
67 Disflatyl Tablet 555 725
68 Dopamet 250 mg Tablet 2,057 2674
69 Dulcolax 5mg Tablet 1,400
70 Enerplus Tablet 2200 2800
71 Enervon C Tablet 1016
72 Enzyplex Tablet 950 1235
73 Eperisone Tablet 1561 2029
74 Epsonal Tablet 10000 13000
75 Eritromycin 500 mg Tablet 2217 2882
76 Erphafilin Tablet 1134
77 Etabion Tablet 200 260
78 Etamox Tablet
79 Ethambutol 500 mg Tablet 450 585
80 Fargoxin Tablet 262 341
81 Farsobid (ISDN) Tablet 94 122
82 Fasidol PCT 650mg Tablet 180 234
83 Fastor Tablet 12100 15730
84 FG Troches Tablet 1000 1300
85 Flazimex Tablet 1100 1430
86 Floragyn Tablet 5357 6964
87 Flunarizin Tablet 1,512 2730
88 Fluconazol Tablet
89 Forelac Tablet
90 Folamil Genio Tablet 125,400
91 Furosemide 40 mg Tablet 200 260
92 Gabapentin 300 mg Tablet 6,050
 93 Gemfibrozil Tablet 367 477
94 Glibenclamid 5 mg Tablet 350 455
95 Glimepirid 1 mg Tablet 4686 6092
96 Glimepirid 2 mg Tablet 231 300
97 Glimepirid 4 mg Tablet
98 Glukosamin 500 mg Tablet 1950 2535
99 Gramax Tablet 28810 37453
100 Gravalin Tablet 490 637
101 Gravask 10 mg Tablet 500 650
102 Gravask 5 mg Tablet 500 650
103 Grazeo Tablet 182 237
104 Gricin 125 Tablet
105 Gricin 500 mg Tablet 267 347
106 Griseril Guayacolat Tablet 210 273
107 Gold trion Tablet
108 Grisovulvin 125 mg Tablet 330 429
109 Histigo Tablet 792 1030
110 Hystolan Tablet 5776 7509
111 Ibu Profen 200 mg Tablet 177 230
112 Ibu Profen 400 mg Tablet 350 455
113 Ikalep Tablet 4,743 6169
114 imunos Tablet
115 Inbumin Tablet 6,416
116 Infatrim Tablet 276 359
117 Inhitril Tablet 2750 3575
118 Interhistin Tablet 630 819
119 ISDN 5 mg Tablet 100 130
120 Isonazid 300 mg Tablet 700 910
121 Ketokonazol 200 mg Tablet 420 546
122 Ketoprofen 100 mg Tablet 1301 1691
123 Ketoprofen 50 mg Tablet 774
124 KSR 500 mg Tablet 1,485
125 Lexigo/betahistin Tablet
126 Kina Tablet
127 Lanzoprazole 30 mg Tablet 330
128 Leptica / pregabalin Tablet
129 Levopar Tablet
130 Levofloxacin 500 mg Tablet 1090 1471
131 Lexatras Tablet 1238 1609
132 Kalk Tablet
133 Loperamide Tablet 370 481
134 Loratadin 10 mg Tablet 340 442
135 atorvastatin 20 mg Tablet 4404 5725
136 Berry vission Tablet
137 Biovision Tablet
138 channa Tablet
139 Fluoxetin Tablet
140 Gracetam 800 Tablet
141 Grapima Tablet
142 Bic nat Tablet

Nama Obat Satuan Harga

HARGA
143 Mecobalamin 250 mg Tablet 660
144 Mecobalamin 500 mg Tablet 847
145 Meloxicam 15 mg Tablet 600 780
146 Meloxicam 7,5 mg Tablet 394 512
147 Mertigo SR Tablet 6,050
148 Metformin 500 mg Tablet 181
149 Metil Prednisolon 4 mg Tablet 489 636
150 Metil Prednisolon 8 mg Tablet 851
151 Micardis 40 mg Tablet 3050 3965
152 Micardis 80 mg Tablet 5409 7032
153 Moloco B 12 Tablet 3,531
154 Monuril 3 g Tablet 74153 96,399
155 Mucohexin Tablet 700 910
156 Metamizol Tablet
New Diatab Tablet 557
157 N. Acetyl Sistein Tablet 2200 2860
158 Na. Doclofenat 50 mg Tablet 130 169
159 Natrium Diclofenat 25 Tablet
160 Nephrolit Tablet 500 650
161 Neurobion Tablet 1,635
162 Natur E 100 Tablet
163 Natur E 300 Tablet
164 Nerviom 5000 Tablet
165 Nopress 20 mg Tablet
166 Neurodex Tablet 1,210
167 Neurosanbe Plus Tablet 1200 1560
168 Nifedipin 10 mg Tablet 150 195
169 Nitrokaf Retard Tablet
170 Novadex Tablet 114 148
171 Novatrin Tablet 336 437
172 Nutriflam Neo Tablet 7071 9192
173 Obital Tablet 2333 3033
174 Ofloxacim 200 mg Tablet 860 1,118
175 Ofloxacim 400 mg Tablet 1533 1,993
176 Omeprazole Tablet 500 650
177 Ondansentron 4 mg Tablet 1,767
178 Ondansentron 8 mg Tablet 2,816
179 Osteor Plus Tablet 5000 6,500
180 Orinox 120 Tablet 11,000
181 Orinox 90 mg Tablet 8,250
182 Paracetamol 500 mg Tablet 130 169
183 Paramol Tablet 150 195
184 PCT 100mg Tablet
185 Psidii Tablet
186 Phenytoin 100 mg Sodium Tablet 605 787
187 Phytomenadione Tablet 700 910
188 Pil KB Tablet 4750 6,175
189 Piracetam 1200 mg Tablet 3850 5,005
190 Piracetam 400 mg Tablet 250 325
191 Piracetam 800 mg Tablet 350 455
192 Piroxicam 20 mg Tablet 147 191
193 Prednison 5 mg Tablet 280 364
194 Primaquine Tablet
195 Primolut N Nurelut Tablet 4765 6,195
196 Promavit Tablet 2750 3,575
197 Pronalges 100 mg Tablet 4752 6,178
198 Pronalges 50 mg Tablet 2750 3,575
199 Propanolol 10 mg Tablet 104 135
200 Provula Tablet 17000 22,100
201 PTU 100 mg Tablet 453
202 Pyrazinamid 500 mg Tablet 500 650
203 Ramolit Tablet 840 1,092
204 Ranitidin 150 mg Tablet 170 221
205 Recolfor Tablet 4507 5,859
206 Retaphyl Tablet 1,178
207 Rifampisin 300 mg Tablet 786 1,022
208 Rifampisin 450 mg Tablet 912 1,186
209 Rifampisin 600 mg Tablet 1160 1,508
210 Salbutamol 2 mg Tablet 62
211 Salbutamol 4 mg Tablet 240 312
212 Salofalk 250 mg Tablet 7450 9,685
213 Tablet
214 Sanmol 500 mg Tablet 290 377
215 Selesnizol Tablet 341
216 Sesden Tablet 2540 3,302
217 Sifrol 0.75 mg Tablet 14,520
218 Sifrol 0,375 Tablet 12,796
219 Simvastatin 10 mg Tablet 360 468
220 Simvastatin 20 mg Tablet 1384
221 Sipentin Tablet 4950 6,435
222 Sopros Tablet 8,470 11,011
223 Spironolactone 100 mg Tablet 1,540
224 Spasminal Tablet
225 Spironolactone 25 mg Tablet 440
226 Sulcolon Tablet
227 Sutrimik DS Forte Tablet 1125 1,463
228 Tablet Tambah Darah Tablet 428 556
229 Tilsan 25mg Tablet 2455 3,192
230 Tofedex Tablet 5401 7,021
231 Tracetaid (Magestrol) Tablet 4513 5,867
232 Tremenza Tablet 1300 1,690
233 Trimakal Tablet 350 455
234 Trolit Tablet 10,633
235 Trombofit Tablet 8700 11,310
236 Urinter Tablet 3800 4,940
237 Ursocol Tablet 8577 11,150
238 Utrogestan 100mg Tablet 9900 12,870
239 Utrogestan 200mg Tablet 18700 24,310
240 Valsrtan 160 Tablet
241 Valsastan 80 mg Tablet 7150 9295
242 Vasperum Tablet 500 650
243 Vit B1 Tablet 35 46
244 Vit B12 Tablet 15 20
245 Vit. B. Complex Tablet 200 260
246 Vit. B6 10 mg Tablet 35 46
247 Vit. C 50 mg Tablet 30 39
Vit E Tablet 530
248 Zink Tablet 3500 4,550
249 Zistit Tablet 27008 35,110
250 Rifastar Tablet
251 Urief 4 mg Tablet
252 Unalium Tablet
253 Berry vission Tablet
254 Biovision Tablet
255 Ramipril 5 mg Tablet 634
256 Venosmil Tablet 9,900
257 orinox 60 mg Tablet 6,600
258 Aminophillin Tablet 195
259 nurelut Tablet 4,730
260 Pregabalin Tablet 6,416
261 Metocloperamide Tablet 80
262 imunos Tablet
263 Pil KB andalan FE Tablet 366
Mecola Forte Tablet 8,167
Folamil Tablet 1,650
Nomatic Tablet 7,150

SYRUP HARGA
1 Ambroxol Syrup Syrup 3,235
 2 Antasid Syrup Syrup
3 Apialys Drop Syrup
4 Apialys Syrup Syrup
5 Broadamox Syrup
Betadin Kumur 13,365
6 Cefadroxil Syrup Syrup
7 Cefila Drop Syrup
8 Cefila Syrup Syrup
9 Cefixim Syrup
10 Curcuma Gold 100ml Syrup
11 Curcuma Plus 200ml Syrup
12 Curcuma Plus Sharpy Syrup 12,375
13 Curcuma Support Syrup
14 Domperidone Syrup
15 Epexol Drop Syrup
16 Eritromicin Syrup Syrup 13,721
17 Farizol Syrup Syrup
18 Farsifen Syrup Syrup
19 fitacur Syrup
20 Fasidol drop Syrup
21 Ferriz Syrup
22 Gastrucid Syrup
23 Helixime Syrup (Lifixcime) Syrup
24 Hexadol Mint Syrup Syrup
25 Holimox Syrup Syrup
26 Hufafural Syrup Syrup
27 Ikalep Sodium Syrup 77,000
28 Imunos Syrup Syrup
29 Infatrim Syrup Syrup
30 Ikacetamol Syrup
31 Inpepsa Syrup
32 Lactulax Syrup Syrup 48,400
33 Lapicef Syrup
34 Lapimox Syrup
Laxadin Syrup 41,250
35 Latropil Syrup
36 Lostacef (Cefadroxil) Syrup
37 Moris Syrup
38 Metolon Syrup
39 Mirasic Syrup
40 Mucera Syrup
41 Mucogard syr Syrup
42 Novadiar Syrup Syrup
43 Novagesic Syrup Syrup
44 Yusimox Syrup
45 Novamag Syrup
46 OBH Molek Syrup 5,500
47 Omeroxol (Ambroil) Syrup
48 Pedralyte (Pinic) Syrup
49 Pimtraxcol Syrup
50 Praxion Syrup 25,300
51 Praxion Forte Syrup 29,700
52 Prointi Syrup 29,700
53 Renalite Syrup
54 Rosidon Syrup
55 Salbutamol Syrup Syrup 5,500
56 Samtacid Syrup
57 Sanadryl Dmp Syrup
58 Sanadryl Ekspetron Syrup
59 Sanmol Syrup
60 Sanmol Drop Syrup
61 Sari Kurma Syrup
62 Silex Syrup
63 Stimuno Syrup
64 Sucrafat Syrup
65 Sultimix Syrup
66 Triocid Syrup
67 Yusimox Syrup
68 Zink Syrup
69 Zinkid Syrup
70 Proris Syrup
71 Fasigo Syrup
72 Hufaxol Syrup
73 Vasperum Syrup
74 Vitacur Syrup
75 Praxion drop Syrup
76 OBH Molex Syrup
77 OBH Molex Syrup
78 Paracetamol Syrup

ZALAP Satuan HARGA

1 Acyclovir Salaf Salp
2 Benoson N Salp
3 Betametason Salp 1,339
4 Bioplasenton Salp
5 Bufacetin Salp
6 Burnazin Salp
7 Counterpain Salp 83,600
8 Gentamicin Salp 3,650
9 Haemocain salp Salp
10 Hydorcortison Salp 2,475
11 Kaltropen Salp
12 Ketanozale Salp 2,517
13 Mesagun Salp
14 Miconazole Salp
15 Nebacetin Salp
16 Octenig Gel Salp
17 Pankila Salp
18 Stop X Salp
19 Topsi Salp
20 Trombopop Salp
21 Zensoderm Cream Salp
22 carbo gliserin Salp
23 Nisagun Salp
24 Valtadex crime Salp
25 Erlanmecitery (miycetine) Salp
26 Molakrim Salp
27 Voltadex Salp

OBAT INHALER Satuan HARGA

1 Berotec Pcs
2 Conbiven Pcs
3 Flixotide Pcs
4 Seretide Pcs 116,686
5 Symbicord Pcs 215,638
6 Ventolin Inhaler Pcs 59,999
7 Ventolin Nebu Pcs 3,999
8 Spirava Pcs 498,300

TETES TELINGA Satuan HARGA

1 Carbo Glycerin Pcs
2 H2O2 Pcs 121

TETES MATA Satuan HARGA

1 Baquinor Pcs
2 Cendo Fenicol Pcs
3 Cendo Hervis Pcs
4 Cendo Lyters Pcs 4,658
5 Cendo Mydriatil 0,5 Pcs
6 Cendo Mydriatil 1 % Pcs
7 Cendo Mycetin Pcs
8 Cendo Polydex Pcs
9 Cendo Protagent Pcs
10 Cendo Pantocain 2 % Pcs
11 Cendo Tropin Pcs
12 Cendo Xitrol Pcs
13 Cenfres Pcs 5,566
14 Chlorampenicol Salaf Mata Pcs 1,881
15 Erlamycetin Pcs
16 Fukrisin 5 % Pcs
17 Eyefresh HPMC Pcs 5,596
18 Polidemisin Pcs
19 Timol 0,5 % Pcs
 20 Ulcori Pcs 4,749
21 Cendo catarlent Pcs
22 Cendo floxa Pcs 6,473
23 Cendo pantocain 0,5 Pcs
24 clorampenikol Pcs
25 Cendo sambetir Pcs
26 Cendo lyters tube Pcs
27 Cendo oculenta Pcs
28 Cendo lFX Pcs
29 Cendo tobroson Pcs
30 Cenfres 0,6 Pcs
31 Hyaloc Pcs
Navitae pcs 27,500
Blephasep pcs 22,000

ROSTIN M FARM APT

NO NAMA OBAT ISI/SEDIAAN HNA + PPN 10% HNA + PPN 30%

1 Aminophylline 24 mg/ml Ampul 6,185 8,401
2 Asam Tranexamat Ampul 12,000 15,600
ATS Ampul 165,500 215,150
3 Atropine 0,25 mg/ml Ampul 1,540 2,002
4 Benocetam 1 gr Ampul
5 Benocetam 3 gr/15ml Ampul 49,500 64,350
6 Berotex 0,1 mg Ampul 80,000 104,000
7 Bioxon 1 g Ampul 24,999 32,499
8 Bisolvon 2 mg Ampul 58,500 76,050
9 Bralin 1000 mg Ampul 90,750 117,975
10 Bralin 250 mg Ampul 40,000
11 Bralin 500 mg Ampul 14,430 18,759
12 Bucain Spinal Ampul
13 Buscopan Ampul 36,213 47077
14 Calcii Gluconas 100 mg Ampul 9,955 12,942
15 Catapres Ampul 53846 70,000
16 Cefepime 1 g Ampul 132,000 171,600
17 Cefoperazone 1 g Ampul 121,000 157,300
18 Cefotaxime 1 g Ampul 11,112 14,446
19 Ceftriaxon 1 g Ampul 11,157 14,446
20 Citicolin 125 mg Ampul 12767 16,597
21 Citicolin 500 mg Ampul 19,203 24,964
22 Dexametason Ampul 1,800 2,340
23 Decain Spinal Ampul
24 Diazepam Ampul 13,700
25 Dobutamin Hcl Ampul 50,700 65910
26 Dopamin 200 mg Ampul 68842 89,495
27 Ephedrin Ampul 100,000
28 Esome Ampul 39,375
29 Epinephrine Ampul 8,769 11,400
30 Farmavon Ampul 39,444 51,277
31 Flamicort 1m Ampul 127,000 165,100
32 Flamucil Acetyl Ampul 36750 47,775
33 Fentanyl Ampul 36,300
34 Flixotide Ampul 23,450 30,485
35 Furosemid Ampul 2,058 2,675
36 Gentamicin Ampul 3,693 4,801
37 Kanamycin Ampul 6,000 7,800
38 Ketorolac Amp 30 mg Ampul 10,500 13,650
39 Ketamin Hcl Ampul 383,000
40 Ketorolac Amp 10 mg Ampul 10,500
41 Lapixime Ampul 2590 3,367
42 Lidocain Ampul 4,392 5,710
43 Meropemem Ampul 220,000 286,000
44 Mecobalamin 500 mg Ampul 25,900
45 Methycobal Ampul 28,825 37,473
46 Metil prednisolon Ampul 12,091 15,718
47 Methyl Ergometrin Ampul 3,500 4,550
48 Neo K Ampul 10,000 13,000
49 Neurobion 5000 mg Ampul 9,000 11,700
50 Omeprazole Ampul 31,800 41,340
51 Ondancentron Ampul 6,050 7,865
52 Oxitocin Ampul 2,750 3,575
53 Ottozol Ampul 179,762 233,691
54 Pantprazol Ampul 41,800 50,780
55 Pehacain Ampul 2,723 3,540
56 Petidin Ampul 12,466
57 Pentosis Ampul 154,400 200,720
58 Pentosis vial 110,668
59 Phenytoin Ampul 25457 33,094
60 Piracetam 1 g Ampul 5,500
61 Ranitidin Ampul 2,276 2,959
62 Sedakum Ampul 22,587
63 Sibital Ampul 12,833
64 Stesolid Ampul 10,000
65 Sotatic Ampul 4,900 6,370
66 Trilac Ampul
67 Tarontal Ampul 144,375 187,688
68 Tetagam Ampul 186,000 241,800
69 Tramadol Ampul
70 Tramus Ampul
71 Tofedex Ampul 38309 49,802
72 Umaron Ampul 192,500 250,250
73 Vicilin Ampul 10,560 13,728
74 Vit B1 Ampul 6,500 8,450
75 Vit C Ampul 6,500 8,450
76 Vit. K Ampul 2,000 2,600
77 Zistic Ampul
79 Farbion 500 Ampul

INFUS HARGA
1 Aminofluid Infus
2 Asering Infus
3 Amimosteril Ampul
4 Dekstrose 10% Infus
5 Aqua Pro Injeksi 25 ml Ampul
6 Dekstrose 5% Infus
7 Aqua Pro Injeksi 500 Ml Ampul 27500
8 Fimahes Infus
9 Kaen 1B Infus
10 Kaen 3B Infus
11 Kaen MG 3 Infus
12 Levofloxin Inf Ampul
13 Metronidazol Inf Ampul
14 NaCL 0,9% 500 ML Infus
15 NaCL 3% Infus
16 Otsu Manitol Infus
17 Paracetamol Inf Infus
18 Ringer Laktat Infus 7,150
19 Triofusin 1000 Infus
20 Triofusin 500 Infus
21 Tutofusin Infus
22 wida kdn2 Infus
23 Dextrose 40% Ampul
24 KCL Ampul
25 Mg SO4 40% Ampul
26 Amino hepar Infus
27 wida KDN 1 Infus
28 Terastarch Infus 181,500
29 Plasbumin 25 % 100 Infus
30 101 ml Infus
31 NaCL 0.9% 1000 ML Infus
32 Aminofusin Paed Infus 51,621
33 Meylon Infus
34 AminoInfan Steril Infus 42,720
35 Aminofusin Hepar Infus 70,980
 ALKES BENANG Satuan HNA + PPN 10% HNA + PPN 30%
1 Atramat / Safil 2 Jr 40 alkes 97500 126,750
2 Atramat 2/0 Jr.26 alkes 98000 127,400
3 Atramat 2/0 Jr.24 alkes 98000 127,400
4 Atramat 3/0 Jr.24 alkes 98000 127,400
5 Atramat 4/0 Jr.19 alkes 98000 127,400
6 Cafgut 2 Jr.48 alkes
7 Cafgut 3/0 Jr.26 alkes
8 Cafgut Plain Nol Jr.43 alkes 135000 175,500
9 Catgut 1 Jr 43 alkes 115000 149,500
10 Catigu 12/0 Jr 26 alkes 115000 149,500
11 Chromic 2 alkes
12 chromic 2 roll alkes 1375000 1,787,500
13 chromic 2-0 roll alkes 1375000 1,787,500
14 Chromic 3-0 Jr.26 alkes 85,000 110,500
15 Cromic 1 Jr.40 alkes 85000 110,500
16 Cromic 2 alkes 85000 110,500
17 Chromic 2-0 Jr.26 alkes 85000 110,500
18 Cromic 2-0 Jr 25 alkes 85000 110,500
19 Cromic 3-0 Jr.26 mm alkes 85000 110,500
20 Cromic 4-0 Jr 19 alkes 85000 110,500
21 plain 1 roll alkes 1375000 1,787,500
22 Plain 3/0 roll alkes
23 Premilen 1 Jr 40 alkes 135000 175,500
24 Premilen 3/0 Jr.24 alkes 135000 175,500
25 Premilen 4/0 Jr.16 alkes 135000 175,500
26 Premilen 6/0 Jr 30 alkes 135000 175,500
27 Prolene 2/0 J.26 alkes 135000 175,500
28 Prolene I Jr.40 alkes
29 Promiten 3/0 Jr.24 alkes 135000 175,500
30 Safil 1 Jarum 36 alkes 97900 127,270
31 Safil 1 Jr 48 alkes 85000 110,500
32 Safil 2/0 Jr 26 alkes 97900 127,270
33 Safil 3/0 Jr 17 alkes 97900 127,270
34 Safil 3/0 Jr 22 alkes 85000 110,500
35 Safil 3/0 Jr 26 alkes 97900 127,270
36 Safil 4/0 Jr 28 alkes 97900 127,270
37 Safil 5/0 Jr 12 alkes 97900 127,270
38 silk 2-0 jr 25 alkes
39 silk 3/0 27 alkes
40 silk 8/0 alkes
41 Silk 5/0 Jr 12 alkes 85000 110,500
42 Surgical Needles alkes
43 Assucryl 1 jr 50 alkes
44 Propilen 4/0 17 alkes
45 silk 6/0 jr 15 alkes
46 T lane 6/0 alkes
47 Poli Propilen 3-0 22 alkes
48 Poli Propilen 2-0 Jr 27 alkes
49 Cat gut Cromic 1 alkes
50 T Nylon 10-0 alkes \
51 Prolent 7/0 jarum 93 alkes
52 T Lane 5/0 16 mm alkes
53 T lane 2-0 30 mm alkes
54 Nylon 3-0 jr 24 alkes
55 Nylon 4-0 Ts 1 g alkes
56 T vio 8-0 6.5 alkes
57 Cromendo Cromic G 125 alkes
58 Plane 2-0 roll alkes
59 Cromic 2 usp T 50 alkes
60 Assycryl 1 Usp 50 alkes
61 Cat Gut Cromic 2-0 Jr 40 alkes
62 Demegut (catgut cromic 2-0) alkes
63 T. Cromic 1 rol alkes
64 catgut cromic 3.0 Jr 26 alkes
65 catgut plain 3.0 Ñ alkes
66 catgut cromic 3.1 alkes
67 catgut plain 3.0 Ñ alkes
68 catgut cromic 3.2 alkes
69 catgut plain 3.0 Ñ alkes
70 catgut cromic 3.3 alkes
71 catgut plain 3.0 Ñ alkes
72 catgut cromic 3.4 alkes
73 poli propilen 4-0 jr 17 alkes
74 poli propilen 4-0 jr 19 alkes
75 poli propilen 3-0 jr 19 alkes
76 poli propilen 3-0 jr 22 alkes
77 Silk 4-0 Jr 17 alkes
78 Silk 4-0 Jr 19 alkes
79 Jarum Jahit alkes
80 Novopain alkes

Diketahui
 Rostin M Farm Apt

ALKES BMHP Satuan HNA + PPN 10% HNA + PPN 30%

1 Dermafik 10x12 alkes 7500 9,750
2 Dermafix 10x25 alkes 20950 27,235
3 EEG Paper alkes
4 Electroda alkes 57692 75,000
5 Gelang Bayi Perempuan alkes
6 Gelang Dewasa Laki-laki alkes 1600 2,080
7 Gelang Dws Perempuan alkes 1600 2,080
8 Gelang Laki-laki Bayi alkes 1600 2,080
9 Gypsona 3 alkes
10 Gypsona 4 alkes
11 Gypsona 6 alkes
12 Hypafix alkes 150000 195,000
13 Handscon 6 alkes 4000 5,200
14 Handscon 6,5 alkes 3000 3,900
15 Handscon 7 alkes 1067 1,387
16 Handscon 7,5 alkes 1067 1,387
17 Handscon 8 alkes 3100 4,030
18 Handscoon Ginekolog alkes 15000 19,500
19 Kassa IGD alkes 95000 123,500
20 Kassa OK alkes 28000 36,400
21 Kassa Panjang alkes
22 Kapas 1000 alkes
23 Leukoplast alkes 41800 54,340
24 Masker alkes
25 Mess Hernia alkes 147600 191,880
26 Mess No. 15 alkes 1760 4,680
27 Mess No.11 alkes 1760 4,680
28 Mess No.20 alkes 1760 4,680
29 Mess No.21 alkes 1760 4,680
30 Mess No.23 alkes 1760 4,680
31 Mess No.25 alkes 1760 4,680
32 Nald alkes
33 Novotis jarum alkes
34 Silet alkes
35 Sofratul alkes
36 Spinotan 25 alkes 47400 61,620
37 Spinotan 27 alkes 47400 61,620
38 Tensocrep 4 alkes
39 Tensocrep 6 alkes
40 Termometer alkes 7662 9,961
41 Tisu alkes
42 Turk alkes
43 Umbilical alkes 1419 1,845
44 Umbilical Cat 5 alkes
45 Umbilical Cat 6 alkes
46 Umbilical Cat 3,5 alkes
47 Hansdscon bersih M alkes
48 Hanschon Bersih S alkes
49 Tensocrep 3 inc alkes
50 Hanschon Bersih L alkes
51 poli kateter 16 alkes 8800 11,440
52 Poli Kateter 18 alkes 7500 9,750
53 Hansdscon bersih S alkes
54 serintex20x200 alkes
55 Serintex 10x200 alkes
56 Kasa steril alkes
57 Anderpaed alkes
58 Dermafix 5x7 alkes
59 Poli Kateter 14 alkes

OBAT LABOR Satuan S.Awal Masuk

1 Blood Cholesterol Pcs 1
2 Blood Glucose Pcs 5
3 Blood Lancet Pcs 23
4 Blood Urine Pcs
5 Cybow Pcs
6 Facula Glass Pcs
7 Gelli Pcs
8 Gluko DR Pcs
9 HCL 0,1 N Pcs 2
10 Na. Citrat Pcs
11 Objec Glass Pcs
12 Plester Bulat Pcs
13 Stik Asam Urat Pcs
14 Test Pack Pcs 6
15 Serum Anti A Pcs
16 Serum Anti B Pcs
17 Serum Anti D Pcs 4
18 Salmonela Type H Pcs
19 Salmonella Type O Pcs
20 Heematocrip heparin Pcs
21 M-53 Diluent 20 L Pcs 1
22 M-53 Cleanser Pcs
23 Urea UV 6x25mL Pcs
24 HDL Cholesterol 2x10 Pcs
25 Cover glass Pcs 6
26 tydal antigen H Pcs
27 tydal antigen O Pcs
28 Natrium Hypocloride btl
29 Nesco lancet
30 Tabung Eta Pcs
31 Giemsa botol 2
32 Pewarna MDT btl 2
33 M 53 LH LYSE btl 2
34 M 53 LEO [I] LYSE btl
35 M 53 LEO [II] LYSE btl 1
36 Vacum Tube [4ml] Pcs
37 Vacum Tube [0,5ml] Pcs 400
38 Test Tube Pcs 300
39 Vacum tube 2 ml Pcs 100
40 Triglicerida Pcs
41 Creatinin Pcs
42 Sc 51 floatmove Pcs 3
43 SC 502 Slove Pcs
44 Vacum 3 ml Pcs 200
45 Meditest btl

Alat Bahan B 3 Satuan S.Awal Masuk

1 Alkohol 70% Pcs 53
2 Alcohol Pads Pcs 36
3 S.O.S Handsoap Pcs 1
4 Aseptik Gel Pcs
5 Iodin Povidion 1 L Pcs 10
6 Lysol Pcs
7 Meditol Pcs
8 MgSo4 Pcs
9 Rivanol 100 ml Pcs 4
10 Rivanol 200 ml Pcs 3
11 Rivanol 300 ml Pcs
12 Savlon Pcs 3
13 Antiseptic Gel 20 L galon
14 Formalin 20 L galon
15 Iodin Povidon 30 ml Pcs 210
16 Bratamed hand antiseptik galon 1
17 Ultra sound Gel galon 1
18 Alkohol Swab Pcs
19 antiseptic H 2O2 3 % Pcs 8
20 Ultrasoun gel 260 btl 20

ALKES 2 Satuan HNA + PPN 10% HNA + PPN 30%

1 Blood Set alkes 3700 4,810
2 Extention Tube 150cm alkes 41000 53,300
3 Feeding Tube 3,5 (35cm) alkes 42500 55,250
4 Feeding Tube 5 (100cm) alkes 42500 55,250
5 Feeding Tube 5 (40cm) alkes 42500 55,250
6 Feeding Tube 8 (100cm) alkes 42500 55,250
7 Folley Cat 18 alkes 8800 11,440
8 Folley Cat 10 alkes
9 Folley Catteter 16 alkes 7500 9,750
10 Infuset Makro alkes 2880 3,744
11 Infuset Mikro alkes 2880 3,744
12 IV Cath No. 16 alkes 4070 5,291
13 IV Cath No. 18 alkes 4070 5,291
14 IV Cath No. 20 alkes 4070 5,291
15 IV Cath No. 22 alkes 4070 5,291
16 IV Cath No. 24 alkes 4070 5,291
17 Slang Nebu Anak alkes 27225 35,393
18 Slang Nebu Dewasa alkes 28500 37,050
19 Slang O2 Bayi alkes 12000 15,600
20 Slang O2 Dewasa alkes 5000 6,500
21 Slang O2 NRM Dewasa alkes
22 Slang O2 Mask Dewasa alkes
23 Spuit 10cc alkes 2156 2,803
24 Spuit 1cc alkes 600 780
25 Spuit 20cc alkes 1008 1,310
26 Spuit 3cc alkes 500 650
27 Spuit 50cc Lubang Tengah Besar alkes 28,600 37,180
28 Spuit 50cc Lubang Tengah Kecil alkes 14496 18,845
29 Spuit 50cc Lubang Tepi alkes 14496 18,845
30 Spuit 5cc alkes 600 780
31 Stomach Tube 14 alkes 41812 54,356
32 Inj. Pump alkes
33 Stomach Tube 18 alkes 25000 32,500
34 IUD Novate alkes
35 Stomach Tube No 16 alkes 25000 32,500
36 Urin Bag alkes 4070 5,291
37 Tri way alkes

KULKAS Satuan S.Awal Masuk

1 Albothyl Ovula Suppos
2 Apidra Ampul 170
3 Ats Amp Ampul 65
4 Cygest 400 mg Suppos 0
5 Dulcolac 10 mg Suppos 0
6 Dulcolac 5 mg Suppos 48
7 Dumin 125 mg Suppos 82
8 Dumin 250 mg Suppos 103
9 Fladistin ovula Suppos 170
10 Human Albumin 20% Infus 9
11 Ketalar Ampul 0
12 Lantus Ampul 110
13 L-Bio tablet 802
14 Metil Ergometrin Amp Ampul 2932
15 Oxytocin Amp Ampul 5376
16 Pronalges Sup Suppos 5356
17 Proris 125 mg Suppos 518
18 Superhoid Suppos 334
19 Trichodazol Suppos 7
20 Tetagram Imlavp Ampul 12
21 Tramus /Tractium Ampul 45
22 Umarone Inj Ampul 27
23 Levica Ampul 29
24 Bunastan Amp Suppos
25 Ketoprofen Suppos 100

NAFZA Satuan S.Awal Masuk

1 Allprazolam 1 mg Tablet 1993.5
2 Amtriptilin 25 mg Tablet 0
3 Analtram Tab Tablet
4 Aricept 10 mg Tablet 1042
5 Aricept 5 mg Tablet
6 Asabium Tablet 1680
7 Bunastan Amp Ampul 222
8 Codein 20mg Tablet 256
9 Diazepam 2 mg Tablet 4098
10 Efedrin Amp Ampul 990
11 Fentanil Amp Ampul 497
12 Halloperidol 5 mg Tablet 5898
13 Penobarbital 30mg Tablet 3455
14 Pethidin Amp Ampul 111
15 Recopol Amp Ampul 41
16 Sibital 200mg Amp Ampul 31
17 Stesolid 5 mg Suppos 0
18 Stesolid 10 mg Suppos 7
19 Topamax 100mg Tablet 991
20 Topamax 25mg Tablet
21 Topamax 50mg Tablet
22 Tramadol Amp Ampul 692
23 Tramadol Kap Tablet 12520
24 Tramset Tablet
25 Sevofluran Ampul 5
26 Stesold injeksi Ampul
27 Alprazolam 0,5 Tablet 0
28 Clobazam Tablet
29 diazepam inj ampul 176
30 Sedacum Ampul 42
31 Codein 10 mg Tablet 4597
32 THP Tablet 8441
Diketahui
Harga Umum

450
800
900

1500
500
1000
2000
500
2500
1500
500
1000
300
1000
4000
500
1500
8500
700
1000

1000
6100
6500

5000
5000
3000
4000
19000
3000

22500

4500
7000
9500
6500

500
500
2000
 2000
4000
8500
600

1000
15000

1500
2000
13000
8500
1300
300
2500

300
500

3000

1000
2500
2000
3000
2500
2000
JV0----------------------------------------------------------------
HARGA UMUM
15,000
17,000
215,000
3,500
21,000
65,000
104,000
323,000
78,000
130,000
52,000
80,000
380,000
48,000
23,000
70,000
165,000
81,000
20,000
18,000

25,000
12,000
91,000
18,000
180,000
130,500
52,000
16,000
57,000
170,000

60,000
47,000
16,000
7,000
20,000
25,000
497,900
15,000

6,000
250,000
37,000
37,000
60,000
8,500
18,000
12,500
140,000
8,500
10,000
240,000
128,000
5,000
54,000
206,000
159,000
92,000
7,000
5,000
30,500
17,500
15,000
7,000
190,000
19,500
315,000
17,000

70,000
250,000
20,000
4,000
 9,000
7,500
204,500
10,500
HARGA UMUM
HARGA UMUM
20,000
35,000
80,000
75,000
10,000
15,000
15,000
15,000

61,000

195,000
15,000
15,000
15,000
15,000
15,000

5,000

35,000
35,000

150,000

15,000
 94,000

30,000
30,000

10,000

15,000
30,000

keluar
keluar

HARGA UMUM
30,000
45,000
50,000
67,000
67,000
59,500
50,000
30,000
30,000
 23,000
23,000
27,000
27,000
27,000
27,000
27,000

25,000
25,000

5,000
2,000
18,000
3,000
59,000
59,000
52,000
5,000

15,000

365,000

10,000
33,000

keluar
keluar

Painan 27 Mai 2019

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