DAFTAR PENGAJUAN PENGADAAN INJEKSI DAN ALKES UNIT FARMASI

BULAN JANUARI TAHUN 2023

No Nama Obat Satuan Pengajuan Harga Per pcs Harga Total

  ALKES        
1 Infus Set Makro pcs 135 Rp 21.818 Rp 2.945.430
2 Spuit 50 cc (B Braun) pcs 30 Rp 13.636 Rp 404.989
3 Spuit 10 cc pcs 1300 Rp 1.600 Rp 2.080.000
4 Spuit 5 cc pcs 200 Rp 1.201 Rp 240.200
5 Spuit 3 cc pcs 2600 Rp 900 Rp 2.340.000
6 Spuit 1 cc pcs 300 Rp 1.215 Rp 364.500
7 Softban 6 inch pcs 24 Rp 50.000 Rp 1.200.000
8 Softban 4 inch pcs 24 Rp 26.000 Rp 624.000
9 Gypsona 4 inch pcs 24 Rp 53.000 Rp 1.272.000
10 Gypsona 3 inch pcs 24 Rp 50.250 Rp 1.206.000
11 Underpad pcs 50 Rp 8.000 Rp 400.000
12 Tensocrepe 6 inch pcs 24 Rp 114.500 Rp 2.748.000
13 Tensocrepe 4 inch pcs 12 Rp 89.500 Rp 1.087.425
14 Tensocrepe 3 inch pcs 12 Rp 80.000 Rp 972.000
15 patch Elektroda Child pak 1 Rp 169.500 Rp 169.500
16 Nassal Canul Dewasa pcs 30 Rp 41.000 Rp 1.230.000
17 Litung Perfuser Line pcs 41 Rp 33.636 Rp 1.362.258
18 NGT no. 5 pcs 12 Rp 45.000 Rp 540.000
19 NGT no. 8 pcs 12 Rp 45.000 Rp 540.000
20 NGT no. 12 pcs 6 Rp 45.000 Rp 270.000
21 Arm Sling L pcs 6 Rp 80.000 Rp 480.000
22 ETT no. 2,0 PCS 6 Rp 159.900 Rp 959.400
23 ETT no. 3,5 pcs 6 Rp 159.900 Rp 959.400
24 ETT no. 7,0 pcs 6 Rp 159.900 Rp 959.400
25 ETT no. 7,5 pcs 6 Rp 159.900 Rp 959.400
26 Folley Catheter 2way no. 16 pcs 27 Rp 15.000 Rp 405.000
27 Folley Catheter 3way no. 22 pcs 10 Rp 58.000 Rp 580.000
28 Benang Chromic 1 Round pcs 32 Rp 75.000 Rp 2.430.000
29 Benang Chromic 20 Round pcs 32 Rp 66.000 Rp 2.138.400
30 Benang Chromic 30 Round pcs 48 Rp 60.500 Rp 2.904.000
31 Benang Tvio 20 Cuting pcs 48 Rp 82.000 Rp 3.936.000
32 Benang Tvio 20 Round pcs 24 Rp 82.000 Rp 1.968.000
33 Benang Tvio 30 Round pcs 48 Rp 80.000 Rp 3.840.000
34 Benang Tsilk 1 Round pcs 24 Rp 57.500 Rp 1.380.000
35 Benang Tsilk 0 Round pcs 24 Rp 50.000 Rp 1.200.000
36 Benang Tsilk 0 Cuting pcs 12 Rp 65.000 Rp 780.000
37 Benang Tsilk 30 Cuting pcs 60 Rp 47.000 Rp 2.820.000
38 Benag Tsilk 40 Round pcs 12 Rp 47.800 Rp 573.600
39 Benang Tsilk 40 Cuting pcs 24 Rp 47.000 Rp 1.128.000
40 Abbocath no. 26 pcs 50 Rp 19.700 Rp 985.000
41 Abbocath no. 24 pcs 250 Rp 19.700 Rp 4.925.000
 42 Abbocath no. 22 pcs 100 Rp 7.000 Rp 700.000
43 Abbocath no. 20 pcs 300 Rp 18.700 Rp 5.610.000
44 Stik Glucosa box 30 Rp 110.000 Rp 3.300.000
45 Stik Kolesterol box 10 Rp 185.000 Rp 1.850.000
46 Bisturi no. 10 Box 1 Rp 220.000 Rp 297.000
47 Bisturi no. 22 Box 1 Rp 220.000 Rp 220.000
48 Kasa Roll Roll 20 Rp 341.000 Rp 6.820.000
49 Kapas 500 Gram Pcs 10 Rp 30.000 Rp 300.000
50 Kertas Puyer Mesin Pack 3 Rp 266.400 Rp 799.200
51 Spinocain no. 27 pcs 75 Rp 64.740 Rp 4.855.500
52 Transfusi Set pcs 50 Rp 37.500 Rp 1.875.000
53 Leukoplast pcs 50 Rp 51.200 Rp 2.560.000
54 Urin Bag pcs 40 Rp 9.000 Rp 360.000
55 Aseptic Gel gen 2 Rp 499.500 Rp 999.000
40 Masker Medis Box 40 Rp 175.000 Rp 7.000.000
56 Jarum Insulin NovoTwist box 1 Rp 465.000 Rp 465.000
57 Gelang Pasien Dewasa Ungu box 1 Rp 150.000 Rp 150.000
58 Gelang Pasien Dewasa Merah box 2 Rp 150.000 Rp 300.000
59 Gelang Pasien Dewasa Kuning box 1 Rp 150.000 Rp 150.000
60 Yellow Tip Pack 1 Rp 300.000 Rp 300.000
61 Pot Urine Pack 1 Rp 150.000 Rp 150.000
        TOTAL Rp 97.367.602

No Nama Obat Satuan Pengajuan Harga Per pcs Harga Total

  INJEKSI        
1 Aquadest Fls 480 Rp 17.500 Rp 8.400.000
2 Ampicillin inj Vial 100 Rp 15.400 Rp 1.540.000
3 Asam Tranexamat 500 mg Ampul 250 Rp 8.800 Rp 2.200.000
4 Benzatin Benzil Penisilin Inj Vial 6 Rp 230.000 Rp 1.380.000
5 Bunascan Inj. Ampul 100 Rp 90.150 Rp 9.015.000
6 Calcium Gluconate Ampul 12 Rp 28.571 Rp 342.852
7 Cefotaxime Vial 100 Rp 44.500 Rp 4.450.000
8 Ceftriaxone Inj vial 500 Rp 35.000 Rp 17.500.000
9 Combivent UDV Ampul 50 Rp 65.000 Rp 3.250.000
10 Dexamthasone Ampul 200 Rp 2.185 Rp 437.000
11 Ephedrine Inj. Ampul 50 Rp 64.590 Rp 3.229.500
12 Gentamicin Ampul 100 Rp 7.600 Rp 760.000
13 Halotane Vial 1 Rp 1.820.500 Rp 1.820.500
14 Ketorolac 3% ampul 500 Rp 5.150 Rp 2.575.000
15 Ranitidin inj ampul 700 Rp 7.150 Rp 5.005.000
16 Isofluren Botol 2 Rp 1.920.000 Rp 3.840.000
17 Metronidazole Botol 50 Rp 56.500 Rp 2.825.000
18 Methyl Prednisolone Inj 125 mg Vial 50 Rp 49.950 Rp 2.497.500
19 Neostigmin Injeksi ampul 60 Rp 25.190 Rp 1.511.400
20 Neurobion inj Ampul 60 Rp 25.900 Rp 1.554.000
21 Omeprazole Vial 30 Rp 125.400 Rp 3.762.000
22 Ondancentron Ampul 100 Rp 35.000 Rp 3.500.000
23 Oxytocin Ampul 200 Rp 5.639 Rp 1.127.800
24 Paracetamol botol 50 Rp 60.000 Rp 3.000.000
25 Pehacain Inj Ampul 100 Rp 16.650 Rp 1.665.000
26 Piracetam 3 gram Ampul 50 Rp 85.000 Rp 4.250.000
27 Ventolin Nebu Ampul 250 Rp 14.500 Rp 3.625.000
28 Vit. K Ampul 200 Rp 6.500 Rp 1.300.000
29 Tetagam Inj vial 6 Rp 382.417 Rp 2.294.502
30 RL Kolf 800 Rp 18.350 Rp 14.680.000
31 KA EN 1B Kolf 100 Rp 27.100 Rp 2.710.000
32 KA EN 3B Kolf 100 Rp 28.200 Rp 2.820.000
33 KCl Botol 12 Rp 18.760 Rp 225.120
34 NaCl Kolf 1000 Rp 16.700 Rp 16.700.000
35 NaCl 3% Kolf 40 Rp 45.200 Rp 1.808.000
36 D5 1/2 NS Kolf 40 Rp 33.745 Rp 1.349.800
37 MgSo4 40% Botol 12 Rp 17.760 Rp 213.120
38 Ryzodeg Insulin Pen Pcs 120 Rp 118.019 Rp 14.162.280
39 Recofol Ampul 40 Rp 135.600 Rp 5.424.000
        TOTAL Rp 150.349.374

  TABLET        
1 Acetylsistein Kapsul 300 Rp 1.445 Rp 433.500
2 Amoxicillin 500 mg Tablet 700 Rp 785 Rp 549.500
3 Ambroxol Tablet 700 Rp 400 Rp 280.000
4 Antasida Tablet 1500 Rp 357 Rp 535.500
5 Bisoprolol 5 mg Tablet 600 Rp 5.000 Rp 3.000.000
6 Candesartan 8 mg Tablet 200 Rp 6.150 Rp 1.230.000
7 Caviplex Tablet 400 Rp 1.210 Rp 484.000
8 Ca Co3 Tablet 300 Rp 1.715 Rp 514.500
9 Cefixime 100 mg Kapsul 300 Rp 894 Rp 268.200
10 Cefixime 200 mg Kapsul 1500 Rp 4.980 Rp 7.470.000
11 Clopidogrel Tablet 200 Rp 8.460 Rp 1.692.000
12 Curcuma Tablet 600 Rp 1.640 Rp 984.000
13 Inbumin Tablet Tablet 60 Rp 7.000 Rp 420.000
14 Lansoprazole Kapsul 300 Rp 460 Rp 138.000
15 Mecobalamin Tablet 400 Rp 1.354 Rp 541.600
16 Meloxicam 7,5 mg Tablet 500 Rp 857 Rp 428.500
17 Misoprostol Tablet 60 Rp 6.730 Rp 403.800
18 Orinox Tablet 60 Rp 15.000 Rp 900.000
19 Paracetamol 500 mg Tablet 3000 Rp 399 Rp 1.197.000
20 Ramipril 2,5 mg Tablet 2500 Rp 520 Rp 1.300.000
21 Ranitidin 150 mg Tablet 2000 Rp 388 Rp 776.000
22 Simvastatin 20 Tablet 500 Rp 1.540 Rp 770.000
23 Spironoloacton Tablet 300 Rp 4.700 Rp 1.410.000
24 Tablet Tambah Darah Tablet 400 Rp 650 Rp 260.000
25 Vit B Complek Tablet 3000 Rp 260 Rp 780.000
26 Zink Tab Tablet 500 Rp 480 Rp 240.000
      TOTAL Rp 27.006.100

SEDIAAN KULIT, MATA,

       
TELINGA  
1 Burnazin Zalf Tube 5 Rp 94.885 Rp 474.425
2 Gentamicin Zalf Mata Tube 20 Rp 18.500 Rp 370.000
3 Desoximethasone Zalf Tube 15 Rp 24.364 Rp 365.460
4 Otopain Tetes Telinga Botol 6 Rp 90.000 Rp 540.000
      TOTAL Rp 1.749.885

  SUPPOSITORIA        
1 Ketoprofen Supp Supp 10 Rp 12.000 Rp 120.000
2 Propyretic (Paracetamol 80 mg) Supp 40 Rp 9.387 Rp 375.480
Propyretic (Paracetamol 160
3
mg) Supp 40 Rp 9.388 Rp 375.520
      TOTAL Rp 495.480

NARKOTIK DAN
 
PSIKOTROPIK        
1 Fentanyl Ampul 150 Rp 44.000 Rp 6.600.000
2 Diazepam 2 mg Tablet 200 Rp 167 Rp 33.400
3 Stesolid 10 mg/2 mL Inj Ampul 10 Rp 12.654 Rp 126.540
4 Morfine Inj Ampul 10 Rp 34.360 Rp 343.600
5 Stesolid 10 mg Rectal Tube Pcs 10 Rp 45.732 Rp 457.320
      TOTAL Rp 7.560.860

  RADIOLOGI        
1 Codonics Film 8x10" box 2 Rp 4.950.000 Rp 9.900.000
2 Codonics Film 14x17" box 2 Rp 8.250.000 Rp 16.500.000
      TOTAL Rp 26.400.000

  OK        
1 K. Wire 1,2 mm Pcs 5 Rp 300.000 Rp 1.500.000

2 K. Wire 1,6 mm Pcs 10 Rp 300.000 Rp 3.000.000

3 K. Wire 1,8 mm Pcs 5 Rp 300.000 Rp 1.500.000

4 K. Wire 2,0 mm Pcs 5 Rp 300.000 Rp 1.500.000

5 1/3 Tubullar Plate 8 Hole Pcs 2 Rp 1.000.000 Rp 2.000.000

6 AO reconstruction Plate 7 Hole Pcs 2 Rp 1.200.000 Rp 2.400.000

7 AO reconstruction Plate 8 Hole Pcs 2 Rp 1.200.000 Rp 2.400.000

8 AO reconstruction Plate 9 Hole Pcs 2 Rp 1.200.000 Rp 2.400.000

9 TLC Plate 7 Hole Kanan Pcs 1 Rp 1.450.000 Rp 1.450.000

10 TLC Plate 7 Hole Kiri Pcs 1 Rp 1.450.000 Rp 1.450.000

11 Cortex Screw 3,5 mm Uk. 14 Pcs 20 Rp 125.000 Rp 2.500.000

12 Cortex Screw 3,5 mm Uk. 16 Pcs 20 Rp 125.000 Rp 2.500.000

13 Cortex Screw 3,5 mm Uk. 20 Pcs 20 Rp 125.000 Rp 2.500.000

14 Cortex Screw 3,5 mm Uk. 22 Pcs 20 Rp 125.000 Rp 2.500.000

15 Cortex Screw 4,5 mm Uk. 24 Pcs 20 Rp 150.000 Rp 3.000.000

16 Cortex Screw 4,5 mm uk. 28 Pcs 20 Rp 150.000 Rp 3.000.000

17 Cortex Screw 4,5 mm uk. 30 Pcs 20 Rp 150.000 Rp 3.000.000

18 Cortex Screw 4,5 mm uk. 32 Pcs 20 Rp 150.000 Rp 3.000.000

19 Cortex Screw 4,5 mm uk. 34 Pcs 20 Rp 150.000 Rp 3.000.000

20 Cortex Screw 4,5 mm uk. 36 Pcs 20 Rp 150.000 Rp 3.000.000

21 Cortex Screw 4,5 mm uk. 38 Pcs 20 Rp 150.000 Rp 3.000.000

22 Cortex Screw 4,5 mm uk. 40 Pcs 20 Rp 150.000 Rp 3.000.000

23 Steinmann Pin 150 Pcs 5 Rp 300.000 Rp 1.500.000

TOTAL Rp 55.100.000

  LABORATORIUM        
1 Diluent galon 1 Rp 3.000.000 Rp 3.000.000
2 Reagen HbSAg Box 2 Rp 475.000 Rp 950.000
3 Reagen Siphilis Box 1 Rp 3.000.000 Rp 3.000.000
4 Reagen Widal Box 2 Rp 1.750.000 Rp 3.500.000
5 Reagen Rinse galon 1 Rp 3.000.000 Rp 3.000.000
6 M-30P Probe Cleanser Botol 2 Rp 225.000 Rp 450.000
7 Reagen Lyse Botol 1 Rp 2.375.000 Rp 2.375.000
8 Stik Urinalysis Botol 2 Rp 500.000 Rp 1.000.000
        TOTAL Rp 16.275.000

  POLI GIGI        
1 Light Cure (LC) Pcs 1 Rp 1.400.000 Rp 1.400.000
2 Flow A3 Pcs 2 Rp 395.000 Rp 790.000
3 Spongostans Pcs 2 Rp 105.000 Rp 210.000
4 Spray Oli Handpiece Pcs 1 Rp 695.500 Rp 695.500
5 Saliva Ejector Pack 4 Rp 42.000 Rp 168.000
6 Gipstone Pack 1 Rp 100.000 Rp 100.000
7 Tambalan Sementara Pcs 2 Rp 188.000 Rp 376.000
8 Surgical Suction Pack 1 Rp 45.000 Rp 45.000
9 Brush Pcs 5 Rp 25.000 Rp 125.000
      TOTAL Rp 3.909.500
           
TOTAL ANGGARAN Rp 386.213.801