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Rab Obat JKN - 2024
Rab Obat JKN - 2024
TAHUN 2024
NO NAMA OBAT SATUAN RENCANA RENCANA HARGA JUMLAH LINK REFERENSI HARGA
PENGADAAN PENGADAAN SATUAN HARGA
TOTAL TAHUN JKN TAHUN (Rp) (Rp)
2024 2024
(a) (b) (c) (d) = (b) x (c) (e)
OBAT
1 Air untuk injeksi ampul/vial/botol 10 mL - - -
2 Air untuk injeksi Botol 100 ml - - -
3 Air untuk injeksi Botol 250 ml - - -
4 Air untuk injeksi amp 20 ml ampul/vial/botol - - -
5 Air untuk injeksi amp 25 ml ampul/vial/botol 25 mL - - 2.955 - https://e-katalog.lkpp.go.id/katalog/produk/detail/49208001?lang=id&type=province&location_id=12
6 Albendazol susp 200 mg/5 ml Botol - - 5.100 - https://e-katalog.lkpp.go.id/katalog/produk/detail/48086079?lang=id&type=province&location_id=12
7 Albendazol tab 400 mg tablet/kapsul/kaplet - - -
8 Alopurinol tab 100 mg Tab - - 170 - https://e-katalog.lkpp.go.id/katalog/produk/detail/49092643?lang=id&type=province&location_id=12
9 Alopurinol tab 300 mg tablet/kapsul/kaplet - - 382 - https://e-katalog.lkpp.go.id/katalog/produk/detail/49161059?lang=id&type=province&location_id=12
10 Aminofilin inj 24 mg/ml ampul/vial 10 ml - - 12.595 - https://e-katalog.lkpp.go.id/katalog/produk/detail/55369708?lang=id&type=province&location_id=12
11 Aminofilin tab 150 mg tablet/kapsul/kaplet - - -
12 Aminofilin Tab 200 mg tablet/kapsul/kaplet - - 270 - https://e-katalog.lkpp.go.id/katalog/produk/detail/44899614?lang=id&type=province&location_id=12
13 Amitriptilin tab sal 25 mg tablet/kapsul/kaplet - - 205 - https://e-katalog.lkpp.go.id/katalog/produk/detail/48164529?lang=id&type=province&location_id=12
14 Amlodipin tab 10 mg tablet/kapsul/kaplet 3.000 3.000 132 396.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/45454173?lang=id&type=province&location_id=12
15 Amlodipin tab 5 mg tablet/kapsul/kaplet 20.000 20.000 113 2.250.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/55508638?lang=id&type=province&location_id=12
16 Amoksisilin drops 100 mg/ml Botol @10 ml - - -
17 Amoksisilin drops 100 mg/ml Botol @15 ml - - -
18 Amoksisilin drops 100 mg/ml Botol @20 ml - - -
19 Amoksisilin sir forte 250 mg/5 ml botol 60 ml - 6.069 - https://e-katalog.lkpp.go.id/katalog/produk/detail/47691102?lang=id&type=province&location_id=12
20 Amoksisilin sir kering 125 mg/5 ml Botol - - 3.480 - https://e-katalog.lkpp.go.id/katalog/produk/detail/48594935?lang=id&type=province&location_id=12
21 Amoksisilin tab 250 mg tablet/kapsul/kaplet 2.000 2.000 395 790.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/49431245?lang=id&type=province&location_id=12
22 Amoksisilin tab 500 mg tablet/kapsul/kaplet 20.000 20.000 494 9.880.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/49414753?lang=id&type=province&location_id=12
23 Ampisilin serb inj 1000 mg/vial ampul/vial - - 9.040 - https://e-katalog.lkpp.go.id/katalog/produk/detail/49587940?lang=id&type=province&location_id=12
24 Ampisilin serb inj 250 mg/vial Vial - - -
25 Anestetik lokal gigi kombinasi : lidokain hcl ampul/vial - - 1.848 - https://e-katalog.lkpp.go.id/katalog/produk/detail/47798670?lang=id&type=province&location_id=12
2% + epinefrin 1 : 80.000 inj 2 ml
26 Antasida, kombinasi : aluminium hidroksida botol 60 ml - - 2.675 - https://e-katalog.lkpp.go.id/katalog/produk/detail/48810825?lang=id&type=province&location_id=12
200 mg + magnesium hidroksida 200 mg
27 Antasida, kombinasi : aluminium hidroksida tablet/kapsul/kaplet 70.000 70.000 106 7.420.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/47585154?lang=id&type=province&location_id=12
200 mg + magnesium hidroksida 200 mg
111 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) tablet salut gula/kaplet - - -
salut gula
112 Flufenazin Dekanoat inj 25 mg/ml (i.m) Vial - - -
113 Fluoksetin kaps 10 mg tablet/kapsul/kaplet - - -
114 Fluoksetin kaps 20 mg tablet/kapsul/kaplet - - -
115 Fluor kapl 1 mg Kaplet - - -
116 Fluor sediaan topikal Tube - - -
117 Flutikason propionat cairan ih 0,5 mg/dosis Botol - - -
413 Valproat tab sal enterik 250 mg tablet salut enterik/ kaplet - - -
salut enterik
414 Vitamin B kompleks tablet - - 121 - https://e-katalog.lkpp.go.id/katalog/produk/detail/45970577?lang=id&type=province&location_id=12
415 Zinc drops 10 mg/ml Botol - - -
416 Zinc sir 20 mg/5 ml botol - - 4.350 - https://e-katalog.lkpp.go.id/katalog/produk/detail/47926754?lang=id&type=province&location_id=12
417 Zinc tab disp 20 mg tablet dispersible - - 175 - https://e-katalog.lkpp.go.id/katalog/produk/detail/48031785?lang=id&type=province&location_id=12
OBAT TAMBAHAN - - -
1 Acyclovir Cream tube 100 100 5.883 588.300 https://e-katalog.lkpp.go.id/katalog/produk/detail/71883506?lang=id&type=general
2 Ambroxol Tablet 30 mg tablet 30.000 30.000 142 4.260.000
3 Ambroxol Syrup botol - - 5.495 - https://e-katalog.lkpp.go.id/katalog/produk/detail/52482590?lang=id&type=province&location_id=12
4 Antitusif Syrup boto; - - 11.665 - https://e-katalog.lkpp.go.id/katalog/produk/detail/72885978?lang=id&type=province&location_id=12
5 Bromhexin Hcl tablet 3.000 3.000 500 1.500.000
6 Clozapine 25 mg tablet - - 470 -
7 Clozapine100 mg tablet - - 1.006 -
8 Obat Batuk Herbal botol 300 300 16.563 4.968.899
9 Obat Batuk Hitam botol 400 400 7.300 2.920.000
10 Multivitamin Syrup botol 600 600 12.254 7.352.402
11 Multivitamin Tablet dan Mineral (PEHAVRAL) tablet 15.000 15.000 994 14.910.000
NO NAMA OBAT SATUAN RENCANA RENCANA HARGA JUMLAH LINK REFERENSI HARGA
PENGADAAN PENGADAAN SATUAN HARGA
TOTAL TAHUN JKN TAHUN (Rp) (Rp)
2024 2024
(a) (b) (c) (d) = (b) x (c) (e)
12 Vitamin Neurotropik tablet 10.000 10.000 504 5.040.000
13 Guafenesin Tablet tablet - - 94 -
14 Metamizole Tablet 500 mg tablet 7.000 7.000 271 1.897.000
15 Salbutamol 4 mg tablet - - 160 -
16 Methylprednisolone 4 mg tablet 2.000 2.000 185 370.000
17 Pehacain Injeksi vial 60 60 3.707 222.420
18 Meloxicam 7,5 mg tablet - 298 -
19 Meloxicam 15 mg tablet 1.000 1.000 466 465.534
20 Piroxicam 20 mg tablet - 167 -
21 Neo Diaform tablet 2.000 2.000 230 460.000
22 Kalium Diklofenak tablet 5.000 5.000 298 1.490.000
23 Novagrip Tablet tablet 10.000 10.000 261 2.610.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/48147155?type=province&location_id=12
24 Lansoprazole kapsul - 595 -
25 Klorampenikol Salep kulit tube 150 150 7.872 1.180.859
26 Gentamisin salep Kulit tube 200 200 3.330 666.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/52604814?type=province&location_id=0
27 Asam Askorbat 500 mg tablet - 489 -
BMHP - -
1 Alat Suntik Sekali Pakai/Auto Disable Syringe Pcs - - 1.899,54 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1259663?lang=id&type=general
0,05 ml
2 Alat Suntik Sekali Pakai/Auto Disable Syringe Pcs - - 1.332 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1256315?lang=id&type=general
0,5 ml
3 Alat Suntik Sekali Pakai/Auto Disable Syringe Pcs - - 1.750 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1259994?lang=id&type=general
5 ml
4 Alkohol 70% Botol 1 L 30 30 26.418 792.540 https://e-katalog.lkpp.go.id/katalog/produk/detail/1932857?lang=id&type=general
5 Benang Chromic Catgut Pcs, No. 2/0 - - 67.932 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1374247?lang=id&type=general
6 Benang Silk Pcs, No. 3/0 120 120 45.510 5.461.200 https://e-katalog.lkpp.go.id/katalog/produk/detail/1376612?lang=id&type=general
7 Bisturi No. 10 Pcs 100 100 850 85.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/77265012?lang=id&type=general
8 Bisturi No. 11 Pcs 100 100 850 85.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/76205726?lang=id&type=general
9 Cairan Antiseptik/Antimikroba Klorheksidin Botol 500 ml - - 65.934 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1255217?lang=id&type=general
Glukonat 2-4%
10 Cairan Desinfektan Ruangan Galon 5 L - - 759.240 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1267116?lang=id&type=general
11 Cairan Desinfektan Tangan/Handrubs Botol 500 ml - - 55.500 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1255670?lang=id&type=general
12 Disposable Syringe 1 ml Pcs 500 500 1.322 660.800 https://e-katalog.lkpp.go.id/katalog/produk/detail/1514370?lang=id&type=general
13 Disposable Syringe 2,5 ml Pcs - - 1.221 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1514375?lang=id&type=general
14 Disposable Syringe 5 ml Pcs - - 1.365 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1514376?lang=id&type=general
15 Disposable Syringe 10 ml Pcs 600 600 1.788 1.072.680 https://e-katalog.lkpp.go.id/katalog/produk/detail/1514391?lang=id&type=general
16 Disposable Syringe 20 ml Pcs - - -
17 Disposable Syringe 50 ml Pcs - - -
18 Endotracheal Tube (ETT) Tanpa Cuff 2,5 Pcs - - -
19 Endotracheal Tube (ETT) Tanpa Cuff 3 Pcs - - -
20 Endotracheal Tube (ETT) Tanpa Cuff 3,5 Pcs - - -
21 Endotracheal Tube (ETT) Tanpa Cuff 4 Pcs - - -
22 Endotracheal Tube (ETT) Tanpa Cuff 6 Pcs - - -
23 Endotracheal Tube (ETT) Tanpa Cuff 7 Pcs - - -
24 Endotracheal Tube (ETT) Tanpa Cuff 8 Pcs - - -
25 Extension Tube Pcs - - -
26 Feeding Tube/Orogastric Tube Pcs - - -
27 Folley Catheter Pcs , No. 14 - - 9.990 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1253343?lang=id&type=general
28 Goggle Pcs - - 50.000 - https://e-katalog.lkpp.go.id/katalog/produk/detail/40067966?lang=id&type=general
29 Infus Set Anak Pcs - - 9.663 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1245036?lang=id&type=general
30 Infus Set Dewasa Pcs 100 100 9.324 932.400 https://e-katalog.lkpp.go.id/katalog/produk/detail/1245269?lang=id&type=general
31 Jarum Jahit Pcs - - -
32 Jarum Jahit Untuk Operasi Mata, 1/2 Pcs - - -
Lingkaran
NO NAMA OBAT SATUAN RENCANA RENCANA HARGA JUMLAH LINK REFERENSI HARGA
PENGADAAN PENGADAAN SATUAN HARGA
TOTAL TAHUN JKN TAHUN (Rp) (Rp)
2024 2024
(a) (b) (c) (d) = (b) x (c) (e)
33 Jarum Jahit, Lengkung, 1/2 Lingkaran, Pcs - - -
Penampang Bulat
34 Jarum Jahit, Lengkung, 1/2 Lingkaran, Pcs - - -
Penampang Segitiga
35 Jarum Jahit, Lengkung, 3/8 Lingkaran Pcs - - -
Penampang Bulat
36 Jarum Jahit, Lengkung, 3/8 Lingkaran Pcs - - -
Penampang Segitiga
37 Jarum Lancet Box isi 100 - - 18.900 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1248798?lang=id&type=general
38 Jarum Suntik Intra Ligamen Pcs - - -
39 Kaca Penutup (Dek Glass) Pcs - - -
40 Kaca Sediaan Frosted End untuk Box isi 72 - - 16.500 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1377805?lang=id&type=general
Pemeriksaan Tb
41 Kain Balut Segitiga Pcs - - -
42 Kain Steril Pcs - - -
43 Kantong Urin Pcs - - 7.100 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1248692?lang=id&type=general
44 Kassa Hidrofil Steril Uk 16 cmx16 cm Box 600 600 7.114 4.268.400 https://e-katalog.lkpp.go.id/katalog/produk/detail/1260942?lang=id&type=general
45 Kassa Non Steril Pak isi 50, ''4 m x 15 cm - - 141.900 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1245546?lang=id&type=general
46 Kassa Steril Pcs, 40 cm x 40 cm 200 200 1.554 310.800 https://e-katalog.lkpp.go.id/katalog/produk/detail/1246462?lang=id&type=general
47 Kateter Intravena 16 G Pcs - - -
48 Kateter Intravena 18 G Pcs 300 200 5.900 1.180.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1246768?lang=id&type=general
49 Kateter Intravena 20 G Pcs 400 400 5.900 2.360.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1246704?lang=id&type=general
50 Kateter Intravena 23 G Pcs - - -
51 Kateter Intravena 24 G Pcs 50 50 5.900 295.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1246768?lang=id&type=general
52 Kateter Intravena 26 G Pcs 100 100 4.200 420.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1391684?lang=id&type=general
53 Kateter Karet No. 10 (Nelaton) Pcs - - -
54 Kateter Karet No. 12 (Nelaton) Pcs - - -
55 Kateter Karet No. 14 (Nelaton) Pcs - - -
56 Kateter Nasal dengan Canule Pcs 20 20 12.900 258.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1248701?lang=id&type=general
57 Kateter Penghisap Lendir Dewasa 10 Pcs - - -
58 Kateter Penghisap Lendir Dewasa 8 Pcs - - -
59 Kertas Golongan Darah Lembar, Box 100 pcs - - 60.480 - https://e-katalog.lkpp.go.id/katalog/produk/detail/53092728?lang=id&type=general
60 Kertas Lakmus Pcs - - -
61 Kertas Perkamen Pcs - - 2.442.000 - https://e-katalog.lkpp.go.id/katalog/produk/detail/50730988?type=general
62 Kertas Saring Pcs - - -
63 Laringeal Mask Airway (LMA) Pcs - - -
64 Larutan Klorin 0,5% Botol - - -
65 Larutan Povidon Iodin Botol, 30 ml 15 - 4.551 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1932742?lang=id&type=general
66 Lubricant Gel Botol - - 29.550 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1246353?lang=id&type=general
67 Masker Pcs 5.000 5.000 1.100 5.500.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1497863?lang=id&type=general
68 Micropore Surgical Tape Pcs - - 45.360 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1434309?lang=id&type=general
69 Mixing Pad Pcs - - -
70 Nasal Pronge Pcs - - -
71 Nasogastric Tube (NGT) No. 3 Pcs 1 1 13.371 13.371 https://e-katalog.lkpp.go.id/katalog.produkctr/getdetailproductcenter?id=1413969
72 Nasogastric Tube (NGT) No. 5 Pcs 1 1 13.371 13.371 https://e-katalog.lkpp.go.id/katalog.produkctr/getdetailproductcenter?id=1413969
73 Nasogastric Tube (NGT) No. 8 Pcs 1 1 13.371 13.371 https://e-katalog.lkpp.go.id/katalog.produkctr/getdetailproductcenter?id=1413970
74 Pelilit kapas/Cotton applicator Pcs - - -
75 Penghisap Karet (Aspirator) Pcs - - -
76 Pengikat/Penjepit Tali Pusat Steril 'Box isi 50 pcs 150 150 89.910 13.486.500 https://e-katalog.lkpp.go.id/katalog/produk/detail/1246201?lang=id&type=general
77 Plester Pcs (5 cm x 5 m) 30 30 47.000 1.410.000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1246559?lang=id&type=general
78 Pot Spesimen Dahak Pcs - - 2.500 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1248717?lang=id&type=general
79 Pot Spesimen Urine Pcs - - 2.230 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1248491?lang=id&type=general
80 Reagen Fluoresen Kornea Pcs - - -
81 Reagen Pemeriksaan Kimia Klinik Botol 500 ml, Lyse - - 1.332.000 - https://e-katalog.lkpp.go.id/katalog/produk/detail/71253771?lang=id&type=general
NO NAMA OBAT SATUAN RENCANA RENCANA HARGA JUMLAH LINK REFERENSI HARGA
PENGADAAN PENGADAAN SATUAN HARGA
TOTAL TAHUN JKN TAHUN (Rp) (Rp)
2024 2024
(a) (b) (c) (d) = (b) x (c) (e)
82 Reagen Ziehl Nielsen Untuk Pemeriksaan Tb Box 1 set 5 botol - - 225.000 - https://e-katalog.lkpp.go.id/katalog/produk/detail/1245559?lang=id&type=general