10. Stok per tgl 12 Oktober 2023

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Stok Per Tanggal 10 Oktober 2023 PT.

KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002397 ACARBOSE 100 MG (DUS 100 TAB) DUS 100 121,875 126 126 KIMIA FARMA
2 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 7 7 KIMIA FARMA
4 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 62 100 60 222 KIMIA FARMA
5 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 285 86 371 KIMIA FARMA
8 13020930 ALBUFORCE CAP@100 DUS 100 589,000 81 81 SATYA ABADI PHARMA, PT
9 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
10 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 6 6 MOLEX AYUS, PT
11 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 727 727 MOLEX AYUS, PT
12 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 721 721 MOLEX AYUS, PT
13 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 16 16 DARYA VARIA, PT
14 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 20,000 290 290 NOVAPHARIN
16 12008443 ALPARA KPL@150 MOL DUS 150 89,642 685 685 MOLEX AYUS, PT
17 12008484 ALPHAMOL KPL@150 MOL DUS 150 43,500 197 197 MOLEX AYUS, PT
18 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 24 68 92 KIMIA FARMA
19 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 38 38 KIMIA FARMA
20 13003713 ALZIM 5MG TAB@30 (FAH) DUS 30 267,000 30 30 PRATAPA NIRMALA
21 12015574 AMAROPO ACTIVE DUS@100 KPL (PEHA) DUS 100 285,000 18 18 PHAPROS, PT
22 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
23 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 1,244 1,244 KIMIA FARMA
26 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 179 30 64 273 PHAPROS, PT
31 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 14,250 178 418 596 KIMIA FARMA
33 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
36 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT 1 #N/A 2,992 2,992 NOVAPHARIN
38 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 4 4 PHAPROS, PT
40 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 22 22 PIHAK 3
41 12005974 ANDALAN INJ ( 3 BLN ) DUS 20 165,000 92 92 PIHAK 3
42 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 240 240 PIHAK 3
43 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 65,520 65,520 PIHAK 3
44 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 136 136 PIHAK 3
45 13018446 ANDALAN PREGNA TEST BH 1 185,000 47 47 PIHAK 3
46 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
47 13003589 ANESFAR 5MG INJ AMP@5 (FAH) DUS 5 115,000 30 30 PRATAPA NIRMALA
49 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 153 53 9 215 KIMIA FARMA
50 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 423 423 PHAPROS, PT
51 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
52 12005096 ANTIMO DEWASA TAB DUS 1 309,600 173 173 PHAPROS, PT
54 11002293 ARIPIPRAZOLE 5 MG TABLET (DUS 20 TAB) DUS 20 193,000 50 50 KIMIA FARMA
55 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
59 12002374 ASAM MEFENAMAT 500MG KPL@100 (NOVA) DUS 100 26,500 874 490 197 1,561 NOVAPHARIN
60 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 138 25 163 KIMIA FARMA
61 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 206 206 KIMIA FARMA
62 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
63 13008789 ASPIL 1GR INJ VIAL@2 (FAH) DUS 2 199,000 435 435 PRATAPA NIRMALA
64 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
65 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 88 88 PRATAPA NIRMALA
66 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 58 58 PRATAPA NIRMALA
68 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 11 30 41 DARYA VARIA, PT
69 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
72 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 490 490 KIMIA FARMA
73 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,464 6,464 KIMIA FARMA
74 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
75 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 12 12 PT. LIKUID PHARMALAB INDONESIA
76 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 16 16 PT. LIKUID PHARMALAB INDONESIA
77 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 16 16 PT. LIKUID PHARMALAB INDONESIA
78 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 4 4 PT. LIKUID PHARMALAB INDONESIA
79 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 4 4 PT. LIKUID PHARMALAB INDONESIA
80 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 31 31 PT. LIKUID PHARMALAB INDONESIA
81 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
82 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
83 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
84 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 67 67 PT. LIKUID PHARMALAB INDONESIA
85 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
86 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
87 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
88 13080427 BECEFORT STRIP ISI 4@100 DUS 100 115,000 41 41 PHAPROS, PT
90 13022662 BECEFORT TAB@100 DUS 100 140,766 24 24 PHAPROS, PT
91 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 13,346 13,346 KIMIA FARMA
94 13010345 BETAFORT SUSP 60ML BT 1 21,460 22 22 PHAPROS, PT
95 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 37 0 37 KIMIA FARMA
96 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 36 36 KIMIA FARMA
97 11000384 BETASON N CREAM (DUS 24 TUB @5 G) DUS 24 356,400 56 56 KIMIA FARMA
98 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 265 265 MOLEX AYUS, PT
99 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 9 9 NUFARINDO, PT
100 13010355 BIO ATP KPL@100 DUS 100 214,180 11 11 PHAPROS, PT
101 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 402 402 BIO AXION HEALTHINDO, PT
102 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 19 19 DARYA VARIA, PT
103 13026576 BIORON TAB@100 DUS 100 101,650 37 37 PHAPROS, PT
104 12006548 BIOSAVE (BF) VL 1 954,450 5 5 BIOFARMA
105 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
107 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 20 20 OPELLA HEALTHCARE INDONESIA, PT
109 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 71,250 200 479 230 909 KIMIA FARMA
110 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
111 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
112 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRAFT DUS 1 400,000 30 30 PHAPROS, PT
113 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 43 43 SATYA ABADI PHARMA, PT
115 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 36 36 PRATAPA NIRMALA
116 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 88 88 DARYA VARIA, PT
117 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 269 269 PHAPROS, PT
118 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 29 29 PHAPROS, PT
120 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 154 154 PRATAPA NIRMALA
121 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
122 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 22 22 PRATAPA NIRMALA
123 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
124 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 380 30 410 KIMIA FARMA
125 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 181 100 3,097 3,378 PHAPROS, PT
126 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
130 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 266 286 PIHAK 3
136 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 8 8 CENDO, PT
137 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 88 88 CENDO, PT
138 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
139 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 29 29 CENDO, PT
140 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 113 113 CENDO, PT
141 12004104 CENDO CENFRESH MINIDOSE 5 X 0.6 ML STR 1 23,000 55 55 CENDO, PT
142 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
143 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
144 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 16 16 CENDO, PT
145 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 32 32 CENDO, PT
146 12004123 CENDO EYEFRESH MILD MINIDOSE 5 X 0.6 ML STR 1 30,625 15 15 CENDO, PT
147 12004125 CENDO EYEFRESH PLUS MINIDOSE 5 X 0.6 ML STR 1 34,875 115 115 CENDO, PT
149 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 27 27 CENDO, PT
151 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 8 8 CENDO, PT
152 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 18 18 CENDO, PT
153 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 164 164 CENDO, PT
155 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 42 42 CENDO, PT
156 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 159 159 CENDO, PT
157 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 23 23 CENDO, PT
159 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
160 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 183 183 CENDO, PT
164 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 25 25 CENDO, PT
165 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 44 44 CENDO, PT
166 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 136 136 CENDO, PT
167 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 93 93 CENDO, PT
168 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 293 293 CENDO, PT
169 12004153 CENDO LYTEERS MINIDOSE 5 X 0.6 ML STR 1 19,250 293 293 CENDO, PT
170 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
171 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 11 11 CENDO, PT
172 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 18 18 CENDO, PT
173 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
174 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 41,625 34 34 CENDO, PT
175 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
176 13005497 CENDO P - PRED EYE DROP 5ML BT 1 55,500 51 51 CENDO, PT
177 12004170 CENDO P - PRED MINIDOSE 5 X 0.6 ML STR 1 38,250 26 26 CENDO, PT
178 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 26 26 CENDO, PT
179 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 247 247 CENDO, PT
180 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 116 116 CENDO, PT
183 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 17 17 CENDO, PT
184 12004184 CENDO PROTAGENTA MINIDOSE 5 X 0.6 ML STR 1 35,875 15 15 CENDO, PT
185 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 66 66 CENDO, PT
187 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 51 51 CENDO, PT
188 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 81 81 CENDO, PT
189 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 20 20 CENDO, PT
190 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 82 82 CENDO, PT
191 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 86 86 CENDO, PT
192 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 38 38 CENDO, PT
193 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 29,000 138 138 CENDO, PT
194 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 23 23 CENDO, PT
195 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
196 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
199 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
200 12005164 CENDO VITAL TAB@30 DUS 30 90,000 9 9 CENDO, PT
201 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 1,365 1,365 CENDO, PT
202 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 93 93 CENDO, PT
204 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 23 23 KIMIA FARMA
206 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 100 47 147 MEGA MEDICA PHARMACEUTICALS, PT
207 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 38 38 MEGA MEDICA PHARMACEUTICALS, PT
208 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 39 39 MEGA MEDICA PHARMACEUTICALS, PT
209 12006912 CHANNA PLUS SACHET DUS 3 190,500 43 43 MEGA MEDICA PHARMACEUTICALS, PT
210 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 6 6 MEGA MEDICA PHARMACEUTICALS, PT
211 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 150 150 MEGA MEDICA PHARMACEUTICALS, PT
212 13084478 CHANNAFIT SYR 100ML BT 1 70,000 53 53 MEGA MEDICA PHARMACEUTICALS, PT
214 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 62 62 KIMIA FARMA
215 11000295 CHLORAMFENICOL 1 % S.M (DUS 24 TUB @5 G) DUS 24 4,700 46 - - - 46 KIMIA FARMA
216 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS 100 61,622 5 5 KIMIA FARMA
220 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 507 507 KIMIA FARMA
221 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 162 5 167 NOVAPHARIN
223 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 433 433 KIMIA FARMA
224 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 94 94 KIMIA FARMA
225 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 890 890 KIMIA FARMA
226 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 126 126 PHAPROS, PT
227 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC 1 4,865 6 6 PIHAK 3
228 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC 1 6,713 31 31 PIHAK 3
229 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC 1 1,745 38 38 PIHAK 3
230 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC 1 7,297 7 7 PIHAK 3
233 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 427 24 451 KIMIA FARMA
235 12012932 CLOTAIRE 90MG TAB@30 (FAH) DUS 30 300,000 70 70 PRATAPA NIRMALA
236 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 35 353 388 KIMIA FARMA
237 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 20 20 KIMIA FARMA
238 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 5 51 56 KIMIA FARMA
239 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 4 4 KIMIA FARMA
240 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
241 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
242 12004954 CONDOM SUTRA @ 3 PAC 1 5,154 2,760 2,760 PIHAK 3
243 13010466 CORSEL KPL@30 (FAH) DUS 30 180,000 50 50 PRATAPA NIRMALA
244 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
245 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
246 12012933 CYPRODIOL TAB@21 (FAH) DUS 21 130,000 43 43 PRATAPA NIRMALA
248 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,566 1,566 BHINNEKA USADA RAYA
249 13076707 D-ARTEPP TAB@9 DUS 9 72,000 44,300 44,300 BHINNEKA USADA RAYA
250 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 401 401 DARYA VARIA, PT
251 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 317 317 HARSEN LABORATORIES, PT
252 12006576 DECADRYL EXP 60 ML BT 1 15,500 240 240 HARSEN LABORATORIES, PT
253 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 39 39 DARYA VARIA, PT
254 12000772 DECOLSIN KAPSUL @ 100 (UN) DUS 100 55,650 15 15 DARYA VARIA, PT
255 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 63 63 DARYA VARIA, PT
256 12000774 DEGIROL LOZ @ 100 (UN) DUS 100 103,371 93 93 DARYA VARIA, PT
257 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,840 1,840 PIHAK 3
260 13000718 DEXTAMIN TAB@100 DUS 100 165,000 146 146 PHAPROS, PT
261 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 162 162 PHAPROS, PT
262 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
263 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
266 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 22 22 PHAPROS, PT
269 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
270 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
271 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 844 18 862 KIMIA FARMA
272 13002883 DIOS TAB@30 DUS 30 115,000 80 80 PHAPROS, PT
281 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
282 11000054 DOXEF 125 MG/ML SIRUP KERING BT 1 54,000 2 2 KIMIA FARMA
283 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 6 6 SINAR RODA UTAMA, PT
284 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 56 56 OPELLA HEALTHCARE INDONESIA, PT
285 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 19 19 OPELLA HEALTHCARE INDONESIA, PT
286 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 7 7 HARSEN LABORATORIES, PT
287 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 27 27 JANSSEN PHARMACEUTICA NV
288 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 11 11 JANSSEN PHARMACEUTICA NV
289 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 11 11 KIMIA FARMA
290 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
292 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
293 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 241 241 PRATAPA NIRMALA
294 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 34 34 DARYA VARIA, PT
295 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 17 17 DARYA VARIA, PT
296 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
297 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 6,904 6,904 KIMIA FARMA
299 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
300 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 33 33 KIMIA FARMA
303 12014388 ESTAZOR 250MG BLISTER CAP@30 (FAH) DUS 30 270,000 40 40 PRATAPA NIRMALA
305 12008506 EVA TABLET (HARSEN) DUS 21 42,545 50 50 HARSEN LABORATORIES, PT
306 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC 1 30,221 23 23 PIHAK 3
307 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 18 18 PRATAPA NIRMALA
308 13010537 FARBION TAB@100 (FAH) DUS 100 130,000 100 100 PRATAPA NIRMALA
309 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 105,000 180 180 PRATAPA NIRMALA
310 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 13 13 PRATAPA NIRMALA
312 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 119 119 PRATAPA NIRMALA
313 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 28 28 PRATAPA NIRMALA
315 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 103 25 128 PRATAPA NIRMALA
316 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 50,000 171 171 PRATAPA NIRMALA
317 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 60,000 121 121 PRATAPA NIRMALA
318 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 74 74 PRATAPA NIRMALA
319 12004318 FARMADOL INF (FAH) BT 1 70,000 298 298 PRATAPA NIRMALA
320 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 129 129 PRATAPA NIRMALA
321 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 48 21 69 PRATAPA NIRMALA
322 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
323 13026489 FARPRESIN INJ VIAL@5 (FAH) DUS 5 900,000 19 19 PRATAPA NIRMALA
324 13002672 FARSIX 40MG TAB@100 (FAH) DUS 100 120,000 47 47 PRATAPA NIRMALA
326 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
327 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
328 13019430 FEBRINEX SYR 60ML BT 1 14,414 21 21 PHAPROS, PT
329 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 10 10 PRATAPA NIRMALA
330 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 140 140 PRATAPA NIRMALA
333 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 271 271 KIMIA FARMA
334 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 195 195 KIMIA FARMA
335 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 429 429 KIMIA FARMA
336 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 137 137 PIHAK 3
337 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 187 187 PIHAK 3
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
338 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 226 226 PIHAK 3
339 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 142 142 PIHAK 3
341 11002446 FITOCARE INHALANT DECONGESTANT OIL 10ML BT 1 34,650 12 12 KIMIA FARMA
342 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 40 40 KIMIA FARMA
343 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 111 111 KIMIA FARMA
344 11001784 FITUNO IMMUNE KIDS 60ML BT 1 25,500 57 57 KIMIA FARMA
346 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,022 6,022 KIMIA FARMA
347 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 23 23 PRATAPA NIRMALA
348 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 185 185 PRATAPA NIRMALA
349 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 131 131 PRATAPA NIRMALA
350 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 171 PHAPROS, PT
351 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
352 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 104 104 DARYA VARIA, PT
353 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 868 868 MOLEX AYUS, PT
354 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 3 3 PYRIDAM, PT
355 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 5 39 44 KIMIA FARMA
356 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 262,000 272 272 PRATAPA NIRMALA
357 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 59 59 PRATAPA NIRMALA
358 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 153 153 PHAPROS, PT
359 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 11 11 PRATAPA NIRMALA
360 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,526 1,526 MOLEX AYUS, PT
361 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 2,225 2,225 MOLEX AYUS, PT
362 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 763 90 853 KIMIA FARMA
363 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 76 76 PHAPROS, PT
364 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 295 138 109 542 KIMIA FARMA
366 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 110 110 KIMIA FARMA
367 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 255 255 KIMIA FARMA
369 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 126 126 PRATAPA NIRMALA
372 12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) DUS 100 168,971 46 46 DARYA VARIA, PT
373 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 671 671 NOVAPHARIN
374 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
377 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
378 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
379 12006958 HEPAGARD DUS 0 76,230 68 68 PHAPROS, PT
383 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 5 46 51 KIMIA FARMA
384 12005248 HUSTAB 30X10S DUS 300 119,196 17 17 PHAPROS, PT
385 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJN DUS 100 16,087 915 247 1,162 KIMIA FARMA
387 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 41 9 108 158 KIMIA FARMA
388 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 210 210 PHAPROS, PT
389 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 405 405 PHAPROS, PT
390 12010611 HYTOFAR CAP@30 (FAH) DUS 30 300,000 30 30 PRATAPA NIRMALA
391 12013954 HYTOSA (SAP) BT 1 122,000 48 48 SATYA ABADI PHARMA, PT
393 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 207 62 269 NOVAPHARIN
395 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 940 42 - - 982 NOVAPHARIN
396 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
397 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 5 5 PHAPROS, PT
398 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
400 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 2 2 PHAPROS, PT
401 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 1 1 PHAPROS, PT
402 12008545 INFATRIM FORTE KPL@100 MOL DUS 100 62,000 30 30 MOLEX AYUS, PT
403 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 30 30 MOLEX AYUS, PT
404 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
405 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 525 525 PRATAPA NIRMALA
406 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 600 600 PRATAPA NIRMALA
407 12007335 INSTO REGULAR 15 ML DUS 1 16,100 4 4 COMBIPHAR, PT
408 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 990 990 PRATAPA NIRMALA
409 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 101 250 351 KIMIA FARMA
411 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 730 48 778 KIMIA FARMA
412 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 375 375 KIMIA FARMA
413 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 13 13 PRATAPA NIRMALA
414 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
415 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
418 11002016 KIFAMED EXAMINATION GLOVE POWDER FREE(M) DUS 50 65,901 98 98 KIMIA FARMA
419 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS 50 65,901 144 144 KIMIA FARMA
420 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 11 11 KIMIA FARMA
421 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 96 96 KIMIA FARMA
422 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 1 1 KIMIA FARMA
423 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM PAC 1 106,380 1 1 KIMIA FARMA
424 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
425 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
426 11002237 KIFAMED KURSI RODA RACING (KFM-R) DUS 1 927,027 24 24 KIMIA FARMA
427 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 663 663 KIMIA FARMA
428 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 233,182 4 4 KIMIA FARMA
429 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 138,182 7 7 KIMIA FARMA
430 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 3 3 KIMIA FARMA
431 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 36 36 KIMIA FARMA
432 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 19 19 KIMIA FARMA
433 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 35 35 KIMIA FARMA
434 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 61 61 KIMIA FARMA
435 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 143 143 PHAPROS, PT
436 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 273 273 PHAPROS, PT
439 12005748 KONDOM SUTRA ISI 12 X 12'S PAC 12 18,423 204 204 PIHAK 3
440 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 215 215 PRATAPA NIRMALA
441 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 830 830 PHAPROS, PT
443 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 668 668 PRATAPA NIRMALA
446 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
449 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 30 30 MOLEX AYUS, PT
450 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 709 709 MOLEX AYUS, PT
451 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
452 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 16 16 MOLEX AYUS, PT
453 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 23 23 MOLEX AYUS, PT
454 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 16 16 MOLEX AYUS, PT
457 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
458 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 397 2 399 PHAPROS, PT
459 12003048 LOPAMID TABLET @ 100 DUS 100 - 136 136 HARSEN LABORATORIES, PT
463 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 2 2 KIMIA FARMA
464 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
465 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 16 16 PRATAPA NIRMALA
466 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
467 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 56 56 MUSTIKA RATUBUANA INTERNATIONAL, PT
468 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 6 6 MUSTIKA RATUBUANA INTERNATIONAL, PT
469 13027133 M RATU M ZAITUN 175ML BH 1 25,135 200 200 MUSTIKA RATUBUANA INTERNATIONAL, PT
470 13080410 M RATU MINYAK ZAITUN 75ML BT 1 14,932 179 179 MUSTIKA RATUBUANA INTERNATIONAL, PT
471 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 831 831 KIMIA FARMA
472 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 32 32 KIMIA FARMA
473 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
474 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 139 139 KIMIA FARMA
475 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 84 84 KIMIA FARMA
476 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 78 78 KIMIA FARMA
477 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 7,012 7,012 KIMIA FARMA
478 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 527 527 KIMIA FARMA
479 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 15,000 2,517 2,517 KIMIA FARMA
480 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 157 157 KIMIA FARMA
482 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 32 32 KIMIA FARMA
483 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 27 27 KIMIA FARMA
484 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 32 32 KIMIA FARMA
485 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 146 146 KIMIA FARMA
486 11002303 MARCKS TEENS HI! DRATE SHEET MASK PC 1 11,000 96 96 KIMIA FARMA
487 11001315 MARCKS TEENS REFILL COMPACT POWDER PINK PC 12 15,500 51 51 KIMIA FARMA
488 11001314 MARCKS TEENS REFILL COMPACT POWDER WHIT PC 12 15,500 36 36 KIMIA FARMA
489 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 45 45 PHAPROS, PT
490 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 6 6 DARYA VARIA, PT
491 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 87 87 PT. LIKUID PHARMALAB INDONESIA
492 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 35 35 PT. LIKUID PHARMALAB INDONESIA
493 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 258 258 PT. LIKUID PHARMALAB INDONESIA
495 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
499 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 211 211 PT. LIKUID PHARMALAB INDONESIA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
500 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
501 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 443 443 PT. LIKUID PHARMALAB INDONESIA
503 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 20 30 50 KIMIA FARMA
504 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 52 52 PRATAPA NIRMALA
505 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,100 1,100 KIMIA FARMA
507 12007628 METANEURON TABLET DUS 300 311,454 3 3 PHAPROS, PT
509 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 27 7 34 KIMIA FARMA
511 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 1,158 1,158 MOLEX AYUS, PT
512 12012218 METHYLPREDNISOLONE 8MG KPL@100 (NOVA) DUS 100 24,415 497 497 NOVAPHARIN
514 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 400 10 95 505 KIMIA FARMA
519 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 115 250 365 NOVAPHARIN
521 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 40 - - 70 - 110 KIMIA FARMA
522 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 68 68 PRATAPA NIRMALA
523 13002997 MIOZIDINE MR 35MG TAB@30 (FAH) DUS 30 114,000 40 40 PRATAPA NIRMALA
524 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 81 81 MOLEX AYUS, PT
525 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 43 43 MOLEX AYUS, PT
526 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 125 125 MOLEX AYUS, PT
527 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 32 32 MOLEX AYUS, PT
528 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
529 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
530 12008468 MOLEXFLU KPL@150 MOL DUS 150 56,126 240 240 MOLEX AYUS, PT
531 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 34 34 PRATAPA NIRMALA
532 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
533 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 1 1 KIMIA FARMA
535 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 21 27 48 KIMIA FARMA
536 11000501 MST CONTINUS 10 MG DUS 60 852,000 10 10 MAHAKAM BETA FARMA
538 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 53 53 KIMIA FARMA
539 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 6 6 PHAPROS, PT
540 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 52 52 KIMIA FARMA
541 12005179 N ACE CAP@30 (FAH) DUS 30 84,000 244 244 PRATAPA NIRMALA
542 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
543 11002020 NACL 0.9% INFUS BT 1 7,009 9,804 9,804 KIMIA FARMA
544 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 141 141 PYRIDAM, PT
545 13083783 NATERAN 25MG TAB@30 DUS 3 1,200,000 20 20 FAHRENHEIT SYNTHON PHARMA
548 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 4 4 DARYA VARIA, PT
549 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 137 137 DARYA VARIA, PT
550 12000826 NATUR E ADVANCED 16 S DUS 16 33,547 26 26 DARYA VARIA, PT
551 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 10 10 DARYA VARIA, PT
552 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 8 8 DARYA VARIA, PT
553 12000832 NATUR E HBL 100 ML BT 1 10,424 191 191 DARYA VARIA, PT
554 12000833 NATUR E HBL 245 ML BT 1 20,913 315 315 DARYA VARIA, PT
555 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
556 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
557 12005302 NATUR-E 300 IU 32's DUS 32 56,496 26 26 DARYA VARIA, PT
558 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
559 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 646 646 MOLEX AYUS, PT
560 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 54,040 18 18 DARYA VARIA, PT
561 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 240,000 20 20 PRATAPA NIRMALA
562 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
563 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
564 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
567 12000840 NIFURAL SYR BT 1 60,300 43 43 DARYA VARIA, PT
572 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC 1 1,170 500 7,500 8,000 SINAR RODA UTAMA, PT
578 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 149 - - - 149 PHAPROS, PT
579 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 52 101 153 KIMIA FARMA
580 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS 100 246,000 412 138 550 KIMIA FARMA
581 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 405 405 PHAPROS, PT
582 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 91 91 PRATAPA NIRMALA
584 12009890 NOZA @4 TAB DUS 4 2,900 759 759 PHAPROS, PT
587 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 55 55 PRATAPA NIRMALA
590 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 307 204 15 526 PHAPROS, PT
591 12008469 OBH 60ML MOL BT 1 5,000 540 20 560 MOLEX AYUS, PT
592 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 290 290 COMBIPHAR, PT
593 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 597 597 COMBIPHAR, PT
594 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 190 190 COMBIPHAR, PT
595 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 12,500 151 151 COMBIPHAR, PT
596 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 34 34 COMBIPHAR, PT
597 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 12,300 41 41 COMBIPHAR, PT
598 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 123 123 COMBIPHAR, PT
599 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 51 51 COMBIPHAR, PT
600 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 246 246 COMBIPHAR, PT
601 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 108 108 COMBIPHAR, PT
603 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 21 21 DARYA VARIA, PT
604 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
606 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 178 178 DARYA VARIA, PT
607 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 198 290 488 PHAPROS, PT
608 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 100 100 PRATAPA NIRMALA
609 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
610 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 45 45 SATYA ABADI PHARMA, PT
611 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 11 11 PYRIDAM, PT
612 13007995 OSTEOTIN CAP@60 DUS 60 179,100 5 5 PHAPROS, PT
613 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
614 11000298 OXYTETRACYCLIN 3% SK(DUS 25 TUBE@5 GRAM) DUS 25 47,025 41 10 51 KIMIA FARMA
616 11002118 PANKREON FOR CHILDREN 5G-BJN (DUS 10 SC) DUS 10 96,000 5 5 KIMIA FARMA
617 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 145 145 PHAPROS, PT
621 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 888 888 DARYA VARIA, PT
622 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 159 159 DARYA VARIA, PT
623 12005890 PEHACAIN INJ DUS #N/A 66,791 530 530 PHAPROS, PT
624 13001135 PEHADOXIN FORTE TAB@100 DUS 100 85,000 97 97 PHAPROS, PT
625 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 200 200 PHAPROS, PT
626 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
627 13085382 PEHAVIT-D3 CAP@30 BT 30 68,000 153 153 PHAPROS, PT
628 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 142 142 PHAPROS, PT
629 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 228 228 PRATAPA NIRMALA
632 13009792 PHADILON 125MG INJ VL 1 30,000 9 9 PHAPROS, PT
633 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
634 13009794 PHAMINOV INJ@10 DUS 10 65,000 177 177 PHAPROS, PT
636 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
644 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,516 1,516 KIMIA FARMA
646 12007665 PPD 2 TU (BF) VL 1 770,000 15 15 BIOFARMA
647 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 73,000 204 204 PRATAPA NIRMALA
648 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 270,000 98 98 PRATAPA NIRMALA
649 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 237 237 PRATAPA NIRMALA
650 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
651 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
656 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 15 15 KIMIA FARMA
657 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 70 70 PRATAPA NIRMALA
658 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 100 100 PHAPROS, PT
659 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
660 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 18 18 MOLEX AYUS, PT
661 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 420 420 MOLEX AYUS, PT
662 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 390 390 MOLEX AYUS, PT
663 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 40 40 MOLEX AYUS, PT
664 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 95 95 MOLEX AYUS, PT
665 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 30 30 MOLEX AYUS, PT
666 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 30 30 MOLEX AYUS, PT
667 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
668 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 35 35 PHAPROS, PT
669 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 19 19 PHAPROS, PT
670 13001143 PRO TB2 TAB@28 DUS 28 184,450 72 72 PHAPROS, PT
671 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
672 12010403 PROFERRO TAB@30 (FAH) DUS 30 157,000 29 29 PRATAPA NIRMALA
673 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 68 68 PHAPROS, PT
674 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
676 11000293 PROTOFEN SUPP (DUS 20 SUPP) DUS 20 189,750 25 25 KIMIA FARMA
677 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
678 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
679 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 67 67 KIMIA FARMA
682 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 130 130 PHAPROS, PT
683 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 29 29 PRATAPA NIRMALA
684 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
685 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
686 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 121 121 PRATAPA NIRMALA
687 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 109 109 PRATAPA NIRMALA
688 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 29 29 PRATAPA NIRMALA
691 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 252 252 KIMIA FARMA
693 12008263 RINGER LACTATE 500 ML (SATORIA) BT 1 #N/A 3,889 3,889 SATORIA ANEKA INDUSTRI, PT
695 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 200 200 PHAPROS, PT
696 12008474 RIVANOL 100ML MOL BT 1 4,000 1,652 1,652 MOLEX AYUS, PT
697 12008475 RIVANOL 300ML MOL BT 1 9,000 306 306 MOLEX AYUS, PT
698 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC PAC 1 21,608 2 2 PIHAK 3
699 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 51 51 PRATAPA NIRMALA
703 11002254 SALICYL KF FRESH NEW FORMULA 60 GRAM BT 1 9,291 60 60 KIMIA FARMA
704 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 1,825 1,825 KIMIA FARMA
705 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
706 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 10 10 PT. LIKUID PHARMALAB INDONESIA
707 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 30 30 PT. LIKUID PHARMALAB INDONESIA
708 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
710 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 12 12 SINKONA INDONESIA LESTARI, PT
711 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 22 22 SINKONA INDONESIA LESTARI, PT
712 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 6 6 SINKONA INDONESIA LESTARI, PT
713 12010658 SEVOFLURANE INHALASI 250ML (FAH) BT 1 1,800,000 179 179 PRATAPA NIRMALA
714 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
715 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
716 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 111 111 PRATAPA NIRMALA
717 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 103 103 PRATAPA NIRMALA
718 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 53 53 PRATAPA NIRMALA
719 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
723 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 23 23 PHAPROS, PT
725 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT 1 #N/A 2,940 2,940 SATORIA ANEKA INDUSTRI, PT
726 12011578 SONIDE 0.25 INHALASI 2ML AMP@10 (FAH) DUS 10 157,000 48 48 PRATAPA NIRMALA
727 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
728 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
729 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
730 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 7 11 PHAPROS, PT
731 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 20 4 24 MEGA MEDICA PHARMACEUTICALS, PT
736 13079783 SUTRA GERIGI KONDOM @3 BH 3 172,368 28,752 28,752 PIHAK 3
737 13029419 SUTRA KONDOM@24 DUS 23 35,918 120 120 PIHAK 3
738 13083048 SUTRA LUBRICANT GEL 50ML BT 1 12,100 62 62 PIHAK 3
Stok Per Tanggal 29 September 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 223 60 283 KIMIA FARMA
2 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 88 88 KIMIA FARMA
3 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 0 KIMIA FARMA
4 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 24 17 41 KIMIA FARMA
5 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 100 266 366 KIMIA FARMA
6 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 - - 12 - - 12 KIMIA FARMA
7 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 67 67 KIMIA FARMA
8 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 19 19 KIMIA FARMA
9 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 62 62 KIMIA FARMA
10 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 38 378 416 KIMIA FARMA
11 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 20 20 KIMIA FARMA
12 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 5 51 56 KIMIA FARMA
13 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 4 4 KIMIA FARMA
14 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
15 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
16 11000054 DOXEF 125 MG/ML SIRUP KERING BT 1 54,000 2 2 KIMIA FARMA
17 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 2 2 KIMIA FARMA
18 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 70,000 45 45 KIMIA FARMA
19 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 11 11 KIMIA FARMA
20 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
21 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
22 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 122 122 KIMIA FARMA
23 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 300 538 110 948 KIMIA FARMA
24 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
25 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 23 10 584 617 KIMIA FARMA
26 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 411 411 KIMIA FARMA
27 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 167 7 174 KIMIA FARMA
28 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 2 2 KIMIA FARMA
29 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 42 42 KIMIA FARMA
30 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 35 35 KIMIA FARMA
31 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 73 73 KIMIA FARMA
32 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 50 KIMIA FARMA
33 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 87 107 194 KIMIA FARMA
34 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 21 27 48 KIMIA FARMA
35 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
36 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 52 101 153 KIMIA FARMA
37 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS 100 246,000 400 219 619 KIMIA FARMA
38 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 265 265 KIMIA FARMA
39 11000137 VERTIKAF 24 MG TABLET (DUS 100 TAB) DUS 100 650,000 3 3 KIMIA FARMA
40 11000138 VERTIKAF 8 MG TABLET (DUS 100 TAB) DUS 100 321,860 22 22 KIMIA FARMA
41 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 210 210 KIMIA FARMA
42 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 507 507 KIMIA FARMA
43 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
44 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
45 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 844 18 862 KIMIA FARMA
46 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
47 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,041 6,041 KIMIA FARMA
48 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
49 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
50 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
51 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
52 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
53 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
54 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
55 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 67 67 KIMIA FARMA
56 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
57 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
58 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
59 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
60 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 17,000 2 2 KIMIA FARMA
61 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 174 53 12 239 KIMIA FARMA
62 11000293 PROTOFEN SUPP (DUS 20 SUPP) DUS 20 189,750 25 25 KIMIA FARMA
63 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 56 39 181 276 KIMIA FARMA
64 11000298 OXYTETRACYCLIN 3% SK(DUS 25 TUBE@5 GRAM) DUS 25 47,025 50 10 60 KIMIA FARMA
65 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 102 250 352 KIMIA FARMA
66 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 730 48 778 KIMIA FARMA
67 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 375 375 KIMIA FARMA
68 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 87 9 96 KIMIA FARMA
69 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 0 1 3 KIMIA FARMA
70 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 7,200 7,200 KIMIA FARMA
71 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 97 97 KIMIA FARMA
72 11000361 VENUS COMPACT NO.1 INVISIBLE PC 1 38,300 9 9 KIMIA FARMA
73 11000363 VENUS COMPACT NO.3 IVORY PC 1 38,300 7 7 KIMIA FARMA
74 11000368 VENUS FACIAL WASH 100ml PC 1 22,091 1 1 KIMIA FARMA
75 11000369 VENUS FACIAL WASH 50ml PC 1 12,000 1 1 KIMIA FARMA
76 11000379 VENUS TWC NO.1 TRANSLUCENT PC 12 61,091 9 9 KIMIA FARMA
77 11000381 VENUS TWC NO.3 PORCELEIN PC 12 61,091 72 72 KIMIA FARMA
78 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 1 13 56 70 KIMIA FARMA
79 11000384 BETASON N CREAM (DUS 24 TUB @5 G) DUS 24 356,400 80 80 KIMIA FARMA
80 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 53 53 KIMIA FARMA
81 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 952 90 1,042 KIMIA FARMA
82 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 99 9 108 216 KIMIA FARMA
83 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS 25 #N/A 0 0 KIMIA FARMA
84 11000493 SUFENTA 0.005 MG INJEKSI (PCC) DUS #N/A #N/A 2 2 PIRAMAL CRITICAL CARE LTD
85 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 27 27 JANSSEN PHARMACEUTICA NV
86 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 21 21 JANSSEN PHARMACEUTICA NV
87 11000501 MST CONTINUS 10 MG DUS 60 852,000 10 10 MAHAKAM BETA FARMA
88 11000502 MST CONTINUS 15 MG DUS #N/A #N/A 5 5 MAHAKAM BETA FARMA
89 11000516 HUMAN ALBUMIN 20 % 50 ML BT #N/A #N/A 100 100 KIMIA FARMA
90 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 10 52 62 KIMIA FARMA
91 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
92 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 2 2 KIMIA FARMA
93 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE PC 12 47,500 81 81 KIMIA FARMA
94 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 49 49 KIMIA FARMA
95 11001144 VENUS SOFT MATTE LIPCREAM NO.2 PC 1 38,389 25 25 KIMIA FARMA
96 11001146 VENUS SOFT MATTE LIPCREAM NO.4 PC 1 38,389 58 58 KIMIA FARMA
97 11001148 VENUS SOFT MATTE LIPCREAM NO.6 PC 1 38,389 26 26 KIMIA FARMA
98 11001149 VENUS SOFT MATTE LIPCREAM NO.7 PC 1 38,389 31 31 KIMIA FARMA
99 11001151 VENUS SOFT MATTE LIPCREAM NO.9 PC 1 38,389 18 18 KIMIA FARMA
100 11001184 VENUS SOFT MATTE LIPCREAM NO.10 PC 1 38,389 30 30 KIMIA FARMA
101 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 18 18 KIMIA FARMA
102 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT 30 #N/A 135 135 KIMIA FARMA
103 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
104 11001314 MARCKS TEENS REFILL COMPACT POWDER WHIT PC 12 15,500 36 36 KIMIA FARMA
105 11001315 MARCKS TEENS REFILL COMPACT POWDER PINK PC 12 15,500 51 51 KIMIA FARMA
106 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
107 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 15 15 KIMIA FARMA
108 11001445 ALLOPURINOL 100 MG (DUS 100 TAB)-BJN DUS #N/A #N/A 400 400 KIMIA FARMA
109 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 1,594 1,594 KIMIA FARMA
110 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
111 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 916 2,209 1,500 4,625 KIMIA FARMA
112 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 14,250 1,483 824 2,307 KIMIA FARMA
113 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,112 1,112 KIMIA FARMA
114 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 784 784 KIMIA FARMA
115 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS 100 61,622 1 1 KIMIA FARMA
116 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 436 24 460 KIMIA FARMA
117 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 530 57 0 587 KIMIA FARMA
118 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 121 121 KIMIA FARMA
119 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS #N/A #N/A 20 20 KIMIA FARMA
120 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
121 11001489 EXTRALAC SYRUP (BTL 60 ML)-BJN BT 1 39,000 17 17 KIMIA FARMA
122 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJN DUS 100 16,087 1,106 147 1,253 KIMIA FARMA
123 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 400 10 300 710 KIMIA FARMA
124 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 80 80 KIMIA FARMA
125 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 200 1,000 1,200 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,584 1,584 KIMIA FARMA
127 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS #N/A #N/A 180 649 829 KIMIA FARMA
128 11001563 TABLET TAMBAH DARAH (TSG)(DUS100TAB)-BJN DUS 100 #N/A 441 441 KIMIA FARMA
129 11001571 VITAMIN B KOMPLEKS(SPLMN)(DUS100TAB)-BJN DUS 100 18,200 699 699 KIMIA FARMA
130 11001572 VITAMIN B1 100MGTAB(SUPL)(DUS100TAB)-BJN DUS 100 23,700 792 792 KIMIA FARMA
131 11001573 VITAMIN B1 50 MG (SPLMN)(DUS100TAB)-BJN DUS 100 18,343 281 281 KIMIA FARMA
132 11001574 VITAMIN B12 50 MCG (SUPL)(DUS100TAB)-BJN DUS 100 12,000 803 803 KIMIA FARMA
133 11001575 VITAMIN B6 10 MG (SPLMN)(DUS100TAB)-BJN DUS 100 12,800 523 523 KIMIA FARMA
134 11001576 VITAMIN C 100MG TAB(SUPL)(DUS100TAB)-BJN DUS 100 17,000 1 1 KIMIA FARMA
135 11001577 VITAMIN C 250 MG TAB (DUS100TAB)-BJN DUS 100 18,200 818 818 KIMIA FARMA
136 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 54 54 KIMIA FARMA
137 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 58 58 KIMIA FARMA
138 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
139 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
140 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 20 20 KIMIA FARMA
141 11001784 FITUNO IMMUNE KIDS 60ML BT 1 25,500 52 52 KIMIA FARMA
142 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 103 103 KIMIA FARMA
143 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
144 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 3 3 KIMIA FARMA
145 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 138,182 7 7 KIMIA FARMA
146 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
147 11001945 MARCKS BREATHABLE POWDER NATURAL BEIGE BOX 1 34,700 1 1 KIMIA FARMA
148 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 187 187 KIMIA FARMA
149 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 11 11 KIMIA FARMA
150 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
151 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 PC 48 90,700 2 2 KIMIA FARMA
152 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 1 1 KIMIA FARMA
153 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 201 201 KIMIA FARMA
154 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 435 435 KIMIA FARMA
155 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 4 4 KIMIA FARMA
156 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 35 35 KIMIA FARMA
157 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 668 668 KIMIA FARMA
158 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 233,182 4 4 KIMIA FARMA
159 11002016 KIFAMED EXAMINATION GLOVE POWDER FREE(M) DUS 50 65,901 98 98 KIMIA FARMA
160 11002020 NACL 0.9% INFUS BT 1 7,009 9,824 9,824 KIMIA FARMA
161 11002033 VENUS VELVET MATTE LIPSTICK NO.3 PC 1 39,900 44 44 KIMIA FARMA
162 11002036 VENUS VELVET MATTE LIPSTICK NO.6 PC 1 39,900 45 45 KIMIA FARMA
163 11002037 VENUS VELVET MATTE LIPSTICK NO.7 PC 1 39,900 39 39 KIMIA FARMA
164 11002042 VENUS VELVET MATTE LIPSTICK NO.12 PC 1 39,900 35 35 KIMIA FARMA
165 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
166 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
167 11002057 VENUS EYE & LIP MAKEUP REMOVER 100ML BT 1 36,951 47 47 KIMIA FARMA
168 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 40 40 KIMIA FARMA
169 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
170 11002118 PANKREON FOR CHILDREN 5G-BJN (DUS 10 SC) DUS 10 96,000 5 5 KIMIA FARMA
171 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,201 2,201 KIMIA FARMA
172 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 5 39 44 KIMIA FARMA
173 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 84 84 KIMIA FARMA
174 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 78 78 KIMIA FARMA
175 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
176 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 500 500 KIMIA FARMA
177 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM PAC 1 106,380 2 2 KIMIA FARMA
178 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 1 1 KIMIA FARMA
179 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
180 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,133 7,133 KIMIA FARMA
181 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 611 611 KIMIA FARMA
182 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,519 6,519 KIMIA FARMA
183 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
184 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 334 334 KIMIA FARMA
185 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
186 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 433 433 KIMIA FARMA
187 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 41 41 KIMIA FARMA
188 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 33 33 KIMIA FARMA
189 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 2 2 KIMIA FARMA
190 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 211 211 KIMIA FARMA
191 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
192 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
193 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
194 11002237 KIFAMED KURSI RODA RACING (KFM-R) DUS 1 927,027 24 24 KIMIA FARMA
195 11002239 VALTENSI 80 MG TSS (DUS 30 TAB) DUS 30 160,000 14 14 KIMIA FARMA
196 11002240 VALTENSI 160 MG TSS (DUS 30 TAB) DUS 30 290,000 26 26 KIMIA FARMA
197 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 890 890 KIMIA FARMA
198 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 1 1 KIMIA FARMA
199 11002254 SALICYL KF FRESH NEW FORMULA 60 GRAM BT 1 9,291 303 303 KIMIA FARMA
200 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 13 13 KIMIA FARMA
201 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS 100 420,000 20 20 KIMIA FARMA
202 11002298 BISOPROLOL 2.5 MG TSS (DUS 100 TAB) DUS #N/A #N/A 100 20 120 KIMIA FARMA
203 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 71,250 200 479 230 909 KIMIA FARMA
204 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 146 146 KIMIA FARMA
205 11002303 MARCKS TEENS HI! DRATE SHEET MASK PC 1 11,000 96 96 KIMIA FARMA
206 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 7,069 7,069 KIMIA FARMA
207 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 581 581 KIMIA FARMA
208 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 888 888 KIMIA FARMA
209 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 32 32 KIMIA FARMA
210 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 17 17 KIMIA FARMA
211 11002363 VIDERMA GEL 15 G (PAC 6 TUB) TUB 6 20,000 137 137 KIMIA FARMA
212 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 96 96 KIMIA FARMA
213 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS 50 65,901 144 144 KIMIA FARMA
214 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT 1 17,300 20 20 KIMIA FARMA
215 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 144 25 169 KIMIA FARMA
216 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 #N/A 190 190 KIMIA FARMA
217 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 123 123 KIMIA FARMA
218 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 390 8 398 KIMIA FARMA
219 11002397 ACARBOSE 100 MG (DUS 100 TAB) DUS 100 121,875 280 125 405 KIMIA FARMA
220 11002429 VENUS LP DYNAMIC NO.1 INVISIBLE NEW PC 1 38,625 14 14 KIMIA FARMA
221 11002431 VENUS LP DYNAMIC NO.3 IVORY NEW PC 1 38,625 19 19 KIMIA FARMA
222 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
223 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAYA
224 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
225 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
226 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 23 23 OPELLA HEALTHCARE INDONESIA, PT
227 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 60 60 OPELLA HEALTHCARE INDONESIA, PT
228 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 21 21 OPELLA HEALTHCARE INDONESIA, PT
229 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
230 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 463 463 PRUNING
231 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 16 16 DARYA VARIA, PT
232 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 19 19 DARYA VARIA, PT
233 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 122 122 DARYA VARIA, PT
234 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 46 46 DARYA VARIA, PT
235 12000772 DECOLSIN KAPSUL @ 100 (UN) DUS 100 55,650 20 20 DARYA VARIA, PT
236 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 65 65 DARYA VARIA, PT
237 12000774 DEGIROL LOZ @ 100 (UN) DUS 100 103,371 93 93 DARYA VARIA, PT
238 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 17 17 DARYA VARIA, PT
239 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
240 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 6 6 DARYA VARIA, PT
241 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 19 19 DARYA VARIA, PT
242 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 152 152 DARYA VARIA, PT
243 12000826 NATUR E ADVANCED 16 S DUS 16 33,547 34 34 DARYA VARIA, PT
244 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 16 16 DARYA VARIA, PT
245 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 11 11 DARYA VARIA, PT
246 12000832 NATUR E HBL 100 ML BT 1 10,424 206 206 DARYA VARIA, PT
247 12000833 NATUR E HBL 245 ML BT 1 20,913 335 335 DARYA VARIA, PT
248 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
249 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 54,040 18 18 DARYA VARIA, PT
250 12000840 NIFURAL SYR BT 1 60,300 45 45 DARYA VARIA, PT
251 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 21 21 DARYA VARIA, PT
252 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 2 2 DARYA VARIA, PT
254 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 58,888 248 248 DARYA VARIA, PT
255 12000888 VICEE ORANGE TAB @ 100 (UN) DUS 100 58,888 234 234 DARYA VARIA, PT
256 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 58,888 173 173 DARYA VARIA, PT
257 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,742 1,742 EMJEBE PHARMA , PT
258 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
259 12001204 CEFOTAXIME 1,0 G INJEKSI DUS #N/A #N/A 80 80 HOLI PHARMA
260 12001206 COTRIMOXAZOL SYR(HOLI) BT #N/A #N/A 200 200 HOLI PHARMA
261 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 15 19 34 HOLI PHARMA
262 12001219 PYRANTEL SIRUP 125 MG/5 ML BT #N/A #N/A 150 1,900 2,050 HOLI PHARMA
263 12001220 PYRANTEL TAB 125 MG DUS #N/A #N/A 55 103 158 HOLI PHARMA
264 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 #N/A - 131 - 131 PHAPROS, PT
265 12002137 ASAM FOLAT 1 MG TAB @ 100 (MARIN) DUS #N/A #N/A 210 950 1,160 MARIN LIZA
266 12002138 DEXAMETHASONE 0.5 MG TAB @ 100 (MARIN) DUS #N/A #N/A 2,000 2,000 MARIN LIZA
267 12002139 PHYTOMENADION 10 MG ) VIT K1 (MARIN) DUS #N/A #N/A 3 580 583 MARIN LIZA
268 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 195 195 MERSIFARMA
269 12002374 ASAM MEFENAMAT 500MG KPL@100 (NOVA) DUS 100 26,500 12 - - - 12 NOVAPHARIN
270 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 75 20 3,550 3,645 NOVAPHARIN
271 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 166 5 171 NOVAPHARIN
272 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 - - 250 30 280 NOVAPHARIN
273 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 1,002 42 650 - 1,694 NOVAPHARIN
274 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 225 62 1,500 - 1,787 NOVAPHARIN
275 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 - 438 100 - 538 NOVAPHARIN
276 12002397 PARACETAMOL 500MG TAB@100 (NOVA) DUS 100 #N/A 1,245 1,245 NOVAPHARIN
277 12003048 LOPAMID TABLET @ 100 DUS 100 - 136 136 HARSEN LABORATORIES, PT
278 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
279 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
280 12003644 NIPRO SYRINGE 20 ML LS W/O NEEDLE PC 1 #N/A 4,350 4,350 SINAR RODA UTAMA, PT
281 12003645 NIPRO SYRINGE 50 ML LS W/O NEEDLE PC 1 #N/A 10 10 SINAR RODA UTAMA, PT
282 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 478 1,200 1,678 SINAR RODA UTAMA, PT
283 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 3,000 3,055 SINAR RODA UTAMA, PT
284 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A - - 15,000 - - 15,000 SINAR RODA UTAMA, PT
285 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC 1 1,170 500 10,500 11,000 SINAR RODA UTAMA, PT
286 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC 1 #N/A 25,400 25,400 SINAR RODA UTAMA, PT
287 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2inch PC 1 #N/A 25,000 25,000 SINAR RODA UTAMA, PT
288 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,411 2,411 SINAR RODA UTAMA, PT
289 12003671 DT LABEL BLUE PMS PERMANENT 2" X 2-3/8" RLL 1 730,400 1 1 SINAR RODA UTAMA, PT
290 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
291 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
292 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
293 12003688 SCANBAND DIRECT THERMAL BLUE 7022-13-PDM PC 1 1,900 500 500 SINAR RODA UTAMA, PT
294 12003689 SCANBAND DIRECT THERMAL PINK 7022-12-PDM PC 1 1,900 500 500 SINAR RODA UTAMA, PT
295 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 364 520 884 LUCAS DJAJA
296 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 10 10 CENDO, PT
297 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
298 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
299 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 31 31 CENDO, PT
300 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 14 14 CENDO, PT
301 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 168 168 CENDO, PT
302 12004104 CENDO CENFRESH MINIDOSE 5 X 0.6 ML STR 1 23,000 139 139 CENDO, PT
303 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
304 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
305 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
306 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 73 73 CENDO, PT
307 12004123 CENDO EYEFRESH MILD MINIDOSE 5 X 0.6 ML STR 1 30,625 15 15 CENDO, PT
308 12004125 CENDO EYEFRESH PLUS MINIDOSE 5 X 0.6 ML STR 1 34,875 120 120 CENDO, PT
309 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 9 9 CENDO, PT
310 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 7 7 CENDO, PT
311 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 27 27 CENDO, PT
312 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
313 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 17 17 CENDO, PT
314 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 23 23 CENDO, PT
315 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
316 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 217 217 CENDO, PT
317 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 55 55 CENDO, PT
318 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 25 25 CENDO, PT
319 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
320 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 10 10 CENDO, PT
321 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
322 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 3 3 CENDO, PT
323 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
324 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 53 53 CENDO, PT
325 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
326 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 141 141 CENDO, PT
327 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
328 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 348 348 CENDO, PT
329 12004153 CENDO LYTEERS MINIDOSE 5 X 0.6 ML STR 1 19,250 356 356 CENDO, PT
330 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 11 11 CENDO, PT
331 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
332 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
333 12004160 CENDO MYDRIATYL 0.5% EYE DROP 5 ML BT 1 28,875 1 1 CENDO, PT
334 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 28 28 CENDO, PT
335 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
336 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 41,625 54 54 CENDO, PT
337 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 15 15 CENDO, PT
338 12004170 CENDO P - PRED MINIDOSE 5 X 0.6 ML STR 1 38,250 26 26 CENDO, PT
339 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 9 9 CENDO, PT
340 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 26 26 CENDO, PT
341 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 257 257 CENDO, PT
342 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 116 116 CENDO, PT
343 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
344 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 6 6 CENDO, PT
345 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
346 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
347 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
348 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
349 12004184 CENDO PROTAGENTA MINIDOSE 5 X 0.6 ML STR 1 35,875 20 20 CENDO, PT
350 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 86 86 CENDO, PT
351 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 3 3 CENDO, PT
352 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 72 72 CENDO, PT
353 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 115 115 CENDO, PT
354 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 20 20 CENDO, PT
355 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 82 82 CENDO, PT
356 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 98 98 CENDO, PT
357 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 29,000 139 139 CENDO, PT
358 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
359 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 2 2 CENDO, PT
360 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 23 23 CENDO, PT
361 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
362 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 4 4 CENDO, PT
363 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
364 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 1,558 1,558 CENDO, PT
365 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 210 210 CENDO, PT
366 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
367 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 299 299 COMBIPHAR, PT
368 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 603 603 COMBIPHAR, PT
369 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 253 253 COMBIPHAR, PT
370 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 12,500 221 221 COMBIPHAR, PT
371 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 75 75 COMBIPHAR, PT
372 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 12,300 75 75 COMBIPHAR, PT
373 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 128 128 COMBIPHAR, PT
374 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 54 54 COMBIPHAR, PT
375 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 256 256 COMBIPHAR, PT
376 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 149 149 COMBIPHAR, PT
377 12004318 FARMADOL INF (FAH) BT 1 70,000 300 300 PRATAPA NIRMALA
378 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 560 560 PRATAPA NIRMALA
379 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 109 109 PRATAPA NIRMALA
381 12004417 AMBROXOL SYR 15 MG/ML 60 ML (H BT #N/A #N/A 2,000 2,000 HOLI PHARMA
382 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
383 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 6 6 MOLEX AYUS, PT
384 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
385 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 11 11 PYRIDAM, PT
386 12004954 CONDOM SUTRA @ 3 PAC 1 5,154 2,856 2,856 PIHAK 3
387 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 169 169 CENDO, PT
388 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
389 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
390 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 17 17 PRATAPA NIRMALA
391 12004993 VASCON INJ AMP@5 (FAH) DUS 5 500,000 91 91 PRATAPA NIRMALA
392 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 53 21 74 PRATAPA NIRMALA
393 12005096 ANTIMO DEWASA TAB DUS 1 309,600 205 205 PHAPROS, PT
394 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 68,040 68,040 PIHAK 3
395 12005164 CENDO VITAL TAB@30 DUS 30 90,000 9 9 CENDO, PT
396 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 90 90 PRATAPA NIRMALA
397 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 59 59 PRATAPA NIRMALA
398 12005179 N ACE CAP@30 (FAH) DUS 30 84,000 200 - 200 PRATAPA NIRMALA
399 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 125 125 PRATAPA NIRMALA
400 12005181 TIARYT TAB@30 (FAH) DUS 30 135,000 6 6 PRATAPA NIRMALA
401 12005248 HUSTAB 30X10S DUS 300 119,196 17 17 PHAPROS, PT
402 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
403 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 3 3 PYRIDAM, PT
404 12005302 NATUR-E 300 IU 32's DUS 32 56,496 26 26 DARYA VARIA, PT
405 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 90 140 LUCAS DJAJA
406 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 125 125 MOLEX AYUS, PT
407 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
408 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 137 - - - 137 NOVAPHARIN
409 12005447 TETRACYCLINE HCL 500MG CAP@100 (NOVA) DUS 100 #N/A 1,229 - 1,229 NOVAPHARIN
410 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 90 90 PIHAK 3
411 12005553 CEFADROXIL 500 MG KAPS @ 100 (Mepro) KPS #N/A #N/A 20,900 20,900 MEPROFARM
412 12005563 SCOPMA 10 MG KAPL @ 100(IFARS) DUS 100 #N/A 25 25 IFARS PHARMACEUTICAL, PT
413 12005597 ALLOPURINOL 100MG TAB@100 (NOVA) DUS 100 20,000 300 300 NOVAPHARIN
414 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
415 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 201 10 211 PHAPROS, PT
416 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
417 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 141 141 PYRIDAM, PT
418 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
419 12005732 DIGOXIN 0.25 MG TAB -YARINDO DUS #N/A #N/A 10 10 YARINDO FARMATA, PT
420 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
421 12005748 KONDOM SUTRA ISI 12 X 12'S PAC 12 18,423 240 240 PIHAK 3
422 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA) DUS #N/A #N/A - 100 - 100 NOVAPHARIN
423 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 183 183 CENDO, PT
424 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 24 24 PRATAPA NIRMALA
425 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
426 12005930 TETRACYCLINE HCL 250MG BTL CAP@100 (NOVA KPL 100 43,200 300 300 NOVAPHARIN
427 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
428 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 38 38 DARYA VARIA, PT
429 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 174 174 PRATAPA NIRMALA
430 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 29 29 PRATAPA NIRMALA
431 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 #N/A 172 172 PRATAPA NIRMALA
432 12005974 ANDALAN INJ ( 3 BLN ) DUS 20 165,000 95 95 PIHAK 3
433 12005993 AMOXYCILLIN DS 125MG/5ML 60ML (NOVA) BT #N/A #N/A 8,000 8,000 NOVAPHARIN
434 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
435 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 303 303 MOLEX AYUS, PT
436 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 844 844 NOVAPHARIN
437 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
438 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 487 2 489 PHAPROS, PT
439 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
440 12006548 BIOSAVE (BF) VL 1 954,450 10 10 BIOFARMA
441 12006576 DECADRYL EXP 60 ML BT 1 15,500 246 246 HARSEN LABORATORIES, PT
442 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 1,170 1,170 MOLEX AYUS, PT
443 12006912 CHANNA PLUS SACHET DUS 3 190,500 43 43 MEGA MEDICA PHARMACEUTICALS, PT
444 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 105 95 200 IFARS PHARMACEUTICAL, PT
445 12006958 HEPAGARD DUS 0 76,230 68 68 PHAPROS, PT
446 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
447 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
448 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
449 12007335 INSTO REGULAR 15 ML DUS 1 16,100 4 4 COMBIPHAR, PT
450 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
451 12007362 TOPGRA 100 MG TABLET DUS #N/A 187,200 178 178 HARSEN LABORATORIES, PT
452 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 12,200 1 1 MARIN LIZA
453 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
454 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
455 12007628 METANEURON TABLET DUS 300 311,454 3 3 PHAPROS, PT
456 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS 1 258,500 1 1 BIOFARMA
457 12007630 VAKSIN BIO TD 1 DS (BF) AMP 1 69,300 100 100 BIOFARMA
458 12007631 VAKSIN BIO TT 1 DS (BF) AMP 1 36,300 170 170 BIOFARMA
459 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 59 59 MOLEX AYUS, PT
460 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS 1 152,000 2 2 BIOFARMA
461 12007658 VAKSIN POLIO / BOPV 10 DS (BF) DUS 1 75,600 1 1 BIOFARMA
462 12007659 VAKSIN CAMPAK 10 DS (BF) DUS 1 154,000 3 3 BIOFARMA
463 12007660 VAKSIN HEPATITIS-B DEWASA (BF) POU 1 79,200 80 80 BIOFARMA
464 12007661 VAKSIN HEPATITIS-B BAYI (BF) SC 1 52,470 1,000 1,000 BIOFARMA
465 12007662 VAKSIN FLUBIO (BF) VL 1 99,800 134 134 BIOFARMA
466 12007665 PPD 2 TU (BF) VL 1 770,000 15 15 BIOFARMA
467 12007741 VAKSIN MEASLES RUBELLA (MR) 10 DS (BF) VL 1 525,000 47 47 BIOFARMA
468 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
469 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT 1 #N/A 100 - 100 IFARS PHARMACEUTICAL, PT
470 12008179 GRISEOFULVIN 125MG TAB@100 (NOVA) DUS #N/A #N/A - 100 100 NOVAPHARIN
471 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
472 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - - 300 - 300 HOLI PHARMA
473 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 868 868 MOLEX AYUS, PT
474 12008218 CEFADROXIL 250 MG/5ML (IFARS) BT 1 #N/A 150 150 IFARS PHARMACEUTICAL, PT
475 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 61 - - 61 IFARS PHARMACEUTICAL, PT
476 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A - 348 36 - 384 MEPROFARM
477 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 140 140 RAMA EMERALD, PT
478 12008250 DEXTROESE 5% 500 ML (SATORIA) BT 1 #N/A 2,434 2,000 4,434 SATORIA ANEKA INDUSTRI, PT
479 12008251 DEXTROESE 10% 500 ML (SATORIA) BT 1 #N/A 2,725 1,200 3,925 SATORIA ANEKA INDUSTRI, PT
480 12008252 VITAMIN B KOMPLEKS (MARIN) DUS #N/A #N/A 50 50 MARIN LIZA
481 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 50 380 430 LUCAS DJAJA
482 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT 1 #N/A 2,950 1,500 4,450 SATORIA ANEKA INDUSTRI, PT
483 12008263 RINGER LACTATE 500 ML (SATORIA) BT 1 #N/A 889 7,000 7,889 SATORIA ANEKA INDUSTRI, PT
484 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 727 727 MOLEX AYUS, PT
485 12008443 ALPARA KPL@150 MOL DUS 150 89,642 800 1,330 2,130 MOLEX AYUS, PT
486 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 30 30 MOLEX AYUS, PT
487 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 16 16 MOLEX AYUS, PT
488 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 88 88 MOLEX AYUS, PT
489 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 16 16 MOLEX AYUS, PT
490 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 81 81 MOLEX AYUS, PT
491 12008463 MOLAGIT TAB@150 MOL DUS #N/A #N/A 100 100 MOLEX AYUS, PT
492 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 32 32 MOLEX AYUS, PT
493 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
494 12008468 MOLEXFLU KPL@150 MOL DUS 150 56,126 240 240 MOLEX AYUS, PT
495 12008469 OBH 60ML MOL BT 1 5,000 540 20 560 MOLEX AYUS, PT
496 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 42 42 MOLEX AYUS, PT
497 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 97 97 MOLEX AYUS, PT
498 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 30 30 MOLEX AYUS, PT
499 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 60 60 MOLEX AYUS, PT
500 12008474 RIVANOL 100ML MOL BT 1 4,000 1,737 1,737 MOLEX AYUS, PT
501 12008475 RIVANOL 300ML MOL BT 1 9,000 354 354 MOLEX AYUS, PT
502 12008484 ALPHAMOL KPL@150 MOL DUS 150 43,500 400 400 MOLEX AYUS, PT
503 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,529 1,529 MOLEX AYUS, PT
504 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 709 709 MOLEX AYUS, PT
505 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
506 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 114 114 MOLEX AYUS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 420 420 MOLEX AYUS, PT
508 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 390 390 MOLEX AYUS, PT
509 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 46 46 MOLEX AYUS, PT
510 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
511 12008506 EVA TABLET (HARSEN) DUS 21 42,545 50 50 HARSEN LABORATORIES, PT
512 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 7 7 HARSEN LABORATORIES, PT
513 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 4 4 MEGA MEDICA PHARMACEUTICALS, PT
514 12008515 TROVILON BT #N/A #N/A 500 500 IFARS PHARMACEUTICAL, PT
515 12008545 INFATRIM FORTE KPL@100 MOL DUS 100 62,000 40 40 MOLEX AYUS, PT
516 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 2 29 200 231 MEPROFARM
517 12008612 VAKSIN VARICELLA (BF) DUS 1 360,500 4 4 BIOFARMA
518 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
519 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
520 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
521 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
522 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 226 226 PHAPROS, PT
523 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 546 546 PHAPROS, PT
524 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 6 6 PHAPROS, PT
525 12008932 VAKSIN IPV 5 DS (BF) DUS 10 3,630,000 3 3 BIOFARMA
526 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS 5 300,000 30 30 PRATAPA NIRMALA
527 12009045 IBUPROFEN 400MG TAB @100 RAMA DUS #N/A #N/A 250 250 RAMA EMERALD, PT
528 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 734 734 PRATAPA NIRMALA
529 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
530 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 443 443 PT. LIKUID PHARMALAB INDONESIA
531 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 887 887 MAHAKAM BETA FARMA
532 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 2 MAHAKAM BETA FARMA
533 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
534 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
535 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
536 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 93 93 CENDO, PT
537 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 38 38 CENDO, PT
538 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 6 6 DARYA VARIA, PT
539 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A 377 377 DARYA VARIA, PT
540 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 11 30 41 DARYA VARIA, PT
541 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 400 400 DARYA VARIA, PT
542 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 104 104 DARYA VARIA, PT
543 12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) DUS 100 168,971 66 66 DARYA VARIA, PT
544 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 22 22 DARYA VARIA, PT
545 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 163 163 DARYA VARIA, PT
546 12009811 SULFADIAZINE SILVER 35GR (DVRS) DUS #N/A #N/A 560 560 DARYA VARIA, PT
547 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 143 143 PHAPROS, PT
548 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 179 - 107 - 286 PHAPROS, PT
549 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
550 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
551 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 289 289 PHAPROS, PT
552 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 59 59 PHAPROS, PT
553 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 606 606 PHAPROS, PT
554 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 181 100 3,599 3,880 PHAPROS, PT
555 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - - - 1 1 PHAPROS, PT
556 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 1 3 4 PHAPROS, PT
557 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 126 126 PHAPROS, PT
558 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
559 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 100 #N/A 77 111 188 PHAPROS, PT
560 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 48 48 PHAPROS, PT
561 12009879 METAMIZOLE 250 MG/ML INJ @30 AMP (PEHA) DUS 30 #N/A 499 499 PHAPROS, PT
562 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 10 10 PHAPROS, PT
563 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS #N/A #N/A 100 233 333 PHAPROS, PT
564 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 27 27 PHAPROS, PT
565 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 #N/A - - 860 860 PHAPROS, PT
566 12009890 NOZA @4 TAB DUS 4 2,900 778 778 PHAPROS, PT
567 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 307 204 15 526 PHAPROS, PT
568 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
569 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
570 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 168,000 14 14 PHAPROS, PT
571 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 102 693 795 PHAPROS, PT
572 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 - - 20 - 20 PHAPROS, PT
573 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
574 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 7 11 PHAPROS, PT
575 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC #N/A #N/A 1 1 PHAPROS, PT
576 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 1 1 PHAPROS, PT
577 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 5 5 PHAPROS, PT
578 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
579 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
580 12010151 INA-SHUNT SEMILUNAR FLUSH ADULT/LOW PC 1 2,600,000 2 2 PHAPROS, PT
581 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
582 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 178 4 182 DARYA VARIA, PT
583 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 511 2,700 3,211 DARYA VARIA, PT
584 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 24 24 PHAPROS, PT
585 12010330 VARTAN 80MG TAB@30 (PYRIDAM) DUS 30 137,000 2 2 PYRIDAM, PT
586 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 36 36 PRATAPA NIRMALA
587 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 228 228 PRATAPA NIRMALA
588 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 287 287 PRATAPA NIRMALA
589 12010403 PROFERRO TAB@30 (FAH) DUS 30 157,000 29 29 PRATAPA NIRMALA
590 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 127 127 PRATAPA NIRMALA
591 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
592 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
593 12010658 SEVOFLURANE INHALASI 250ML (FAH) BT 1 1,800,000 50 - - 50 PRATAPA NIRMALA
594 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 3 3 PHAPROS, PT
595 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
596 12011198 ACETYLSALICYLIC ACID TAB 100 MG (PEHA) DUS 100 #N/A 2 2 PHAPROS, PT
597 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 402 402 BIO AXION HEALTHINDO, PT
598 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 103 103 PRATAPA NIRMALA
599 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 65 65 PRATAPA NIRMALA
600 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 112 112 PRATAPA NIRMALA
601 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 660 80 740 SATORIA ANEKA INDUSTRI, PT
602 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
603 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 16 16 PT. LIKUID PHARMALAB INDONESIA
604 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 16 16 PT. LIKUID PHARMALAB INDONESIA
605 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
606 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 31 31 PT. LIKUID PHARMALAB INDONESIA
607 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 13 13 PRATAPA NIRMALA
608 12011578 SONIDE 0.25 INHALASI 2ML AMP@10 (FAH) DUS 10 157,000 48 48 PRATAPA NIRMALA
609 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 28 28 PRATAPA NIRMALA
610 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 30 30 PT. LIKUID PHARMALAB INDONESIA
611 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 4 4 PT. LIKUID PHARMALAB INDONESIA
612 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 415 415 PHAPROS, PT
613 12011680 LOPERAMIDE HCL 2MG TAB@100 (NOVA) DUS 100 #N/A 20 20 NOVAPHARIN
614 12011689 PREGABALIN 75MG @30 KPS (PEHA) DUS 30 #N/A 30 30 PHAPROS, PT
615 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 215 290 505 PHAPROS, PT
616 12011709 WATER FOR INJECTION 25 ML (SATORIA) AMP 1 #N/A 5,165 2,105 7,270 SATORIA ANEKA INDUSTRI, PT
617 12011710 POTASSIUM CHLORIDE 7.46% 25 ML (SATORIA) AMP 1 #N/A 20 20 SATORIA ANEKA INDUSTRI, PT
618 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS 10 #N/A 357 357 PHAPROS, PT
619 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
620 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 6 6 PHAPROS, PT
621 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
622 12011812 VASOLA 0.5 ML @5 VL (FAH) DUS 5 1,250,000 145 145 PRATAPA NIRMALA
623 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
624 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
625 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 0 65 - 230 230 MARIN LIZA
626 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 50 50 HOLI PHARMA
627 12011967 VAKSIN HAVRIX ADULT (BF) DUS 1 289,200 4 4 BIOFARMA
628 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 63 63 PHAPROS, PT
629 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A 50 50 NOVAPHARIN
630 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 43 43 SATYA ABADI PHARMA, PT
631 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 45 45 SATYA ABADI PHARMA, PT
632 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 67 67 PT. LIKUID PHARMALAB INDONESIA
633 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 409 409 MERSIFARMA
635 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 290 500 790 MEPROFARM
636 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
637 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A 1 1 MEPROFARM
638 12012214 ASAM FOLAT 1MG TAB@100 (NOVA) DUS 100 #N/A 438 438 NOVAPHARIN
639 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 12 59 26 97 NOVAPHARIN
640 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
641 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 - 80 80 HARSEN LABORATORIES, PT
642 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 51 51 PRATAPA NIRMALA
643 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 97 97 PRATAPA NIRMALA
644 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 287 287 SURYA SUKSES PERKASA, PT
645 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
646 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
647 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
648 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
649 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 68 68 PRATAPA NIRMALA
650 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 6 6 SINKONA INDONESIA LESTARI, PT
651 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 22 22 SINKONA INDONESIA LESTARI, PT
652 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 12 12 SINKONA INDONESIA LESTARI, PT
653 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
654 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
655 12012547 AMOXICILLIN TRIHYD 500MG KPL@100 (NOVA) DUS #N/A #N/A - - 2,000 2,000 NOVAPHARIN
656 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS 100 #N/A 588 97 685 NOVAPHARIN
657 12012932 CLOTAIRE 90MG TAB@30 (FAH) DUS 30 300,000 70 70 PRATAPA NIRMALA
658 12012933 CYPRODIOL TAB@21 (FAH) DUS 21 130,000 43 43 PRATAPA NIRMALA
659 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 3 3 MARIN LIZA
660 12013022 WATER FOR INJECTION AMP 25ML (MJB) DUS #N/A #N/A 0 0 EMJEBE PHARMA , PT
661 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT 1 #N/A 2,992 2,992 NOVAPHARIN
662 12013051 CETIRIZINE 10MG TAB@100 (NOVA) DUS #N/A #N/A - 150 150 NOVAPHARIN
663 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
664 12013099 POVIDONE IODINE 300ML (NOVA) BT #N/A #N/A 87 87 NOVAPHARIN
665 12013106 SIMVASTATIN 10MG TAB@100 (NOVA) DUS 100 #N/A - 140 140 NOVAPHARIN
666 12013119 TETRACYCLINE HCL 250MG CAP@100 (NOVA) DUS 100 #N/A 1,624 1,624 NOVAPHARIN
667 12013131 PYRIDOXIN HCL 10 MG (VIT B6) DUS (MARIN) DUS #N/A #N/A 1,630 1,630 MARIN LIZA
668 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
669 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
670 12013207 CENDO GLOPAC EYE DROP 5 ML BT 1 192,500 1 1 CENDO, PT
671 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 1 1 DARYA VARIA, PT
672 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
673 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 10 10 PT. LIKUID PHARMALAB INDONESIA
674 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 4 4 PT. LIKUID PHARMALAB INDONESIA
675 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
676 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
677 12013470 AMLODIPIN 5 MG DUS@100 (MARIN) DUS #N/A #N/A - 500 500 MARIN LIZA
678 12013471 AMLODIPIN 10 MG DUS @100 (MARIN) DUS #N/A #N/A - 410 410 MARIN LIZA
679 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 55 55 PRATAPA NIRMALA
680 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 12 12 PT. LIKUID PHARMALAB INDONESIA
681 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRAFT DUS 1 400,000 30 30 PHAPROS, PT
682 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 15 15 PRATAPA NIRMALA
683 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
684 12013791 VITAMIN C 250MG TAB@100 (IMFAR) DUS #N/A #N/A 2,000 2,000 IMFARMIND FARMASI INDUSTRI, PT
685 12013824 VITAMIN B6 25 MG @200 TAB (IMFAR) DUS #N/A #N/A 150 - 150 IMFARMIND FARMASI INDUSTRI, PT
686 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS #N/A #N/A - 1,350 1,350 IMFARMIND FARMASI INDUSTRI, PT
687 12013827 SALBUTAMOL 4MG TAB@100 (IMFAR) DUS #N/A #N/A 300 300 IMFARMIND FARMASI INDUSTRI, PT
688 12013829 VITAMIN B6 10MG TAB@200 (IMFAR) DUS #N/A #N/A 305 305 IMFARMIND FARMASI INDUSTRI, PT
689 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
690 12013939 VITAMIN C 250 @100 KPL DUS 100 13,964 8 8 MERSIFARMA
691 12013954 HYTOSA (SAP) BT 1 122,000 48 48 SATYA ABADI PHARMA, PT
692 12014068 CHLORPHENAMINE MALEATE 4MG @100 KPL HOLI DUS 100 #N/A 1,300 1,300 HOLI PHARMA
693 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
694 12014388 ESTAZOR 250MG BLISTER CAP@30 (FAH) DUS 30 270,000 50 50 PRATAPA NIRMALA
695 12014394 OBH JERUK NIPIS + MENTHOL @100 ML (HOLI) BT 100 #N/A 100 100 HOLI PHARMA
696 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,566 1,566 BHINNEKA USADA RAYA
697 12014622 VIKOM-Z DUS @ 100 KPL (PEHA) DUS #N/A 180,000 17 17 PHAPROS, PT
698 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 ML DUS 2 #N/A 29 29 MEPROFARM
699 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 43 43 MEGA MEDICA PHARMACEUTICALS, PT
700 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 65 65 MEGA MEDICA PHARMACEUTICALS, PT
701 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 17 17 MEGA MEDICA PHARMACEUTICALS, PT
702 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
703 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
704 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
705 12014923 CEFIXIME TRIHYDRATE 100 MG(IFARS) DUS #N/A #N/A 112 112 IFARS PHARMACEUTICAL, PT
706 12014925 CIPROFLOXACIN HCL MONOHYDRATE 500 MG(IFA DUS 100 #N/A 40 40 IFARS PHARMACEUTICAL, PT
707 12014929 METHYLPREDNISOLONE 4(IFARS) DUS #N/A #N/A 120 120 IFARS PHARMACEUTICAL, PT
708 12014931 PARACETAMOL DROPS(IFARS) DUS #N/A #N/A - 1,800 1,800 IFARS PHARMACEUTICAL, PT
709 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A 201 201 IFARS PHARMACEUTICAL, PT
710 12014936 TELMISARTAN 80 (DVRS) DUS #N/A #N/A 8 8 DARYA VARIA, PT
711 12014982 FOLIC ACID TAB 1 MG DUS #N/A #N/A 34 34 HOLI PHARMA
712 12014983 MEFENAMIC ACID KAP 500 MG DUS 100 #N/A 200 200 HOLI PHARMA
713 12014989 CHLORAMPHENICOL KAPS 250MG DUS #N/A #N/A 249 249 HOLI PHARMA
714 12014992 IBUPROFEN SUSPENSI 100MG/5ML DUS #N/A #N/A 150 150 HOLI PHARMA
715 12015020 METRONIDAZOLE 250 MG (HARSEN) DUS #N/A #N/A 139 139 HARSEN LABORATORIES, PT
716 12015022 PARACETAMOL 500 MG (HARSEN) DUS 100 #N/A 975 975 HARSEN LABORATORIES, PT
717 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 317 317 HARSEN LABORATORIES, PT
718 12015035 NYSTATIN DROP DUS 10 - 2 10 12 PIHAK 3
719 12015112 ALLOPURINOL 300 MG(IMFAR) DUS #N/A #N/A 20 20 IMFARMIND FARMASI INDUSTRI, PT
720 12015162 ALTOSID 1,3GR PAC #N/A #N/A 225 225 KEMIKA KARYA PRATAMA, PT
721 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
722 12015475 GUAIFENESIN 100 MG (HOLI) DUS #N/A #N/A 30 30 HOLI PHARMA
723 12015574 AMAROPO ACTIVE DUS@100 KPL (PEHA) DUS 100 285,000 18 18 PHAPROS, PT
724 12015836 DOHIXAT DUS #N/A #N/A 200 200 IFARS PHARMACEUTICAL, PT
725 13000718 DEXTAMIN TAB@100 DUS 100 165,000 182 182 PHAPROS, PT
726 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
727 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 165 165 PHAPROS, PT
728 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 18 18 PRATAPA NIRMALA
729 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 20 20 MOLEX AYUS, PT
730 13001135 PEHADOXIN FORTE TAB@100 DUS 100 85,000 98 98 PHAPROS, PT
731 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
732 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 56 56 PHAPROS, PT
733 13001143 PRO TB2 TAB@28 DUS 28 184,450 72 72 PHAPROS, PT
734 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 35 35 PRATAPA NIRMALA
735 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 194 194 PRATAPA NIRMALA
736 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 145 145 PRATAPA NIRMALA
737 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
738 13001870 BENZATIN BENZIL PENICILLIN 2.4 DUS #N/A #N/A 4 4 PHAPROS, PT
Stok Per Tanggal 25 September 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002397 ACARBOSE 100 MG (DUS 100 TAB) DUS 100 121,875 280 125 405 KIMIA FARMA
2 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 394 8 402 KIMIA FARMA
3 12011198 ACETYLSALICYLIC ACID TAB 100 MG (PEHA) DUS 100 #N/A 2 2 PHAPROS, PT
4 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 223 60 283 KIMIA FARMA
5 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 88 88 KIMIA FARMA
6 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 0 KIMIA FARMA
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 672 493 15 1,180 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 4 4 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 82 82 SATYA ABADI PHARMA, PT
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
11 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 6 6 MOLEX AYUS, PT
12 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 727 727 MOLEX AYUS, PT
13 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 727 727 MOLEX AYUS, PT
14 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 16 16 DARYA VARIA, PT
15 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 29 17 46 KIMIA FARMA
16 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 100 266 366 KIMIA FARMA
17 12015574 AMAROPO ACTIVE DUS@100 KPL (PEHA) DUS 100 285,000 18 18 PHAPROS, PT
18 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
19 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 100 100 KIMIA FARMA
20 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
21 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 8 8 MARIN LIZA
22 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 179 - 107 - 286 PHAPROS, PT
23 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 1 1 DARYA VARIA, PT
24 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 - 40 DARYA VARIA, PT
25 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 14,250 483 924 1,407 KIMIA FARMA
26 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 916 2,209 1,500 4,625 KIMIA FARMA
27 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
28 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 290 - 290 MEPROFARM
29 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 409 409 MERSIFARMA
30 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT 1 #N/A 2,492 2,492 NOVAPHARIN
31 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 5 5 PHAPROS, PT
32 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS #N/A #N/A 90 191 281 PHAPROS, PT
33 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 27 27 PIHAK 3
34 12005974 ANDALAN INJ ( 3 BLN ) DUS 20 165,000 96 96 PIHAK 3
35 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 240 240 PIHAK 3
36 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 68,880 68,880 PIHAK 3
37 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 138 138 PIHAK 3
38 13018446 ANDALAN PREGNA TEST BH 1 185,000 50 50 PIHAK 3
39 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
40 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
41 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 24 53 12 89 KIMIA FARMA
42 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 510 510 PHAPROS, PT
43 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
44 12005096 ANTIMO DEWASA TAB DUS 1 309,600 207 207 PHAPROS, PT
45 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
46 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
47 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAYA
48 12012214 ASAM FOLAT 1MG TAB@100 (NOVA) DUS 100 #N/A 438 438 NOVAPHARIN
49 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 147 25 172 KIMIA FARMA
50 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 223 223 KIMIA FARMA
51 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
52 13008789 ASPIL 1GR INJ VIAL@2 (FAH) DUS 2 199,000 300 300 PRATAPA NIRMALA
53 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A - 2 2 DARYA VARIA, PT
54 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
55 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 52 52 PRATAPA NIRMALA
56 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 58 58 PRATAPA NIRMALA
57 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 54 54 KIMIA FARMA
58 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 11 - 11 DARYA VARIA, PT
59 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 58 139 197 KIMIA FARMA
60 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
61 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
62 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
63 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 - - 12 - - 12 KIMIA FARMA
64 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 613 613 KIMIA FARMA
65 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,521 6,521 KIMIA FARMA
66 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
67 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 12 12 PT. LIKUID PHARMALAB INDONESIA
68 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 16 16 PT. LIKUID PHARMALAB INDONESIA
69 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 16 16 PT. LIKUID PHARMALAB INDONESIA
70 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 4 4 PT. LIKUID PHARMALAB INDONESIA
71 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 4 4 PT. LIKUID PHARMALAB INDONESIA
72 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 31 31 PT. LIKUID PHARMALAB INDONESIA
73 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
74 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
75 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
76 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 67 67 PT. LIKUID PHARMALAB INDONESIA
77 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
78 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
79 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
80 13080427 BECEFORT STRIP ISI 4@100 DUS 100 115,000 42 42 PHAPROS, PT
81 13022662 BECEFORT TAB@100 DUS 100 140,766 26 26 PHAPROS, PT
82 13001870 BENZATIN BENZIL PENICILLIN 2.4 DUS #N/A #N/A 4 4 PHAPROS, PT
83 13010345 BETAFORT SUSP 60ML BT 1 21,460 22 22 PHAPROS, PT
84 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 1 13 56 70 KIMIA FARMA
85 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 54 54 KIMIA FARMA
86 11000384 BETASON N CREAM (DUS 24 TUB @5 G) DUS 24 356,400 83 83 KIMIA FARMA
87 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 303 303 MOLEX AYUS, PT
88 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 9 9 NUFARINDO, PT
89 13010355 BIO ATP KPL@100 DUS 100 214,180 11 11 PHAPROS, PT
90 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 402 402 BIO AXION HEALTHINDO, PT
91 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 20 20 DARYA VARIA, PT
92 13026576 BIORON TAB@100 DUS 100 101,650 37 37 PHAPROS, PT
93 12006548 BIOSAVE (BF) VL 1 954,450 10 10 BIOFARMA
94 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
95 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 - 80 80 HARSEN LABORATORIES, PT
96 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 23 23 OPELLA HEALTHCARE INDONESIA, PT
97 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 71,250 200 479 230 909 KIMIA FARMA
98 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
99 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
100 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRADUS 1 400,000 30 30 PHAPROS, PT
101 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 45 45 SATYA ABADI PHARMA, PT
102 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
103 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 36 36 PRATAPA NIRMALA
104 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 125 125 DARYA VARIA, PT
105 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 289 289 PHAPROS, PT
106 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 59 59 PHAPROS, PT
107 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A 140 140 NOVAPHARIN
108 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 90 90 PRATAPA NIRMALA
109 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
110 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 22 22 PRATAPA NIRMALA
111 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
112 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 607 607 PHAPROS, PT
113 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 794 794 KIMIA FARMA
114 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 181 100 3,599 3,880 PHAPROS, PT
115 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
116 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT 1 #N/A 100 - 100 IFARS PHARMACEUTICAL, PT
117 12008218 CEFADROXIL 250 MG/5ML (IFARS) BT 1 #N/A 150 150 IFARS PHARMACEUTICAL, PT
118 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 266 286 PIHAK 3
119 12014923 CEFIXIME TRIHYDRATE 100 MG(IFARS) DUS #N/A #N/A 212 212 IFARS PHARMACEUTICAL, PT
120 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS 10 #N/A 387 387 PHAPROS, PT
121 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 10 10 CENDO, PT
122 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
123 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
124 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 31 31 CENDO, PT
125 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 16 16 CENDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 175 175 CENDO, PT
127 12004104 CENDO CENFRESH MINIDOSE 5 X 0.6 ML STR 1 23,000 139 139 CENDO, PT
128 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
129 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
130 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
131 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 88 88 CENDO, PT
132 12004123 CENDO EYEFRESH MILD MINIDOSE 5 X 0.6 ML STR 1 30,625 15 15 CENDO, PT
133 12004125 CENDO EYEFRESH PLUS MINIDOSE 5 X 0.6 ML STR 1 34,875 120 120 CENDO, PT
134 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 9 9 CENDO, PT
135 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 27 27 CENDO, PT
136 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 10 10 CENDO, PT
137 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
138 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 17 17 CENDO, PT
139 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 27 27 CENDO, PT
140 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 169 169 CENDO, PT
141 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
142 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 69 69 CENDO, PT
143 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 217 217 CENDO, PT
144 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 25 25 CENDO, PT
145 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
146 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 10 10 CENDO, PT
147 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
148 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 187 187 CENDO, PT
149 12013207 CENDO GLOPAC EYE DROP 5 ML BT 1 192,500 1 1 CENDO, PT
150 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 3 3 CENDO, PT
151 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
152 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 61 61 CENDO, PT
153 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 15 15 CENDO, PT
154 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
155 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 141 141 CENDO, PT
156 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 93 93 CENDO, PT
157 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
158 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 377 377 CENDO, PT
159 12004153 CENDO LYTEERS MINIDOSE 5 X 0.6 ML STR 1 19,250 360 360 CENDO, PT
160 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
161 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 11 11 CENDO, PT
162 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
163 12004160 CENDO MYDRIATYL 0.5% EYE DROP 5 ML BT 1 28,875 1 1 CENDO, PT
164 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 38 38 CENDO, PT
165 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
166 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 41,625 54 54 CENDO, PT
167 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
168 13005497 CENDO P - PRED EYE DROP 5ML BT 1 55,500 64 64 CENDO, PT
169 12004170 CENDO P - PRED MINIDOSE 5 X 0.6 ML STR 1 38,250 26 26 CENDO, PT
170 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 9 9 CENDO, PT
171 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 26 26 CENDO, PT
172 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 259 259 CENDO, PT
173 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 116 116 CENDO, PT
174 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
175 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 6 6 CENDO, PT
176 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
177 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
178 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
179 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
180 12004184 CENDO PROTAGENTA MINIDOSE 5 X 0.6 ML STR 1 35,875 20 20 CENDO, PT
181 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 86 86 CENDO, PT
182 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 3 3 CENDO, PT
183 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 72 72 CENDO, PT
184 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 115 115 CENDO, PT
185 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 23 23 CENDO, PT
186 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 82 82 CENDO, PT
187 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 101 101 CENDO, PT
188 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 38 38 CENDO, PT
189 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 29,000 139 139 CENDO, PT
190 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
191 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 23 23 CENDO, PT
192 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
193 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
194 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 2 2 CENDO, PT
195 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 4 4 CENDO, PT
196 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
197 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
198 12005164 CENDO VITAL TAB@30 DUS 30 90,000 9 9 CENDO, PT
199 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 1,597 1,597 CENDO, PT
200 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
201 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 213 213 CENDO, PT
202 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
203 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 117 117 KIMIA FARMA
204 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
205 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
206 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 43 43 MEGA MEDICA PHARMACEUTICALS, PT
207 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 65 65 MEGA MEDICA PHARMACEUTICALS, PT
208 12006912 CHANNA PLUS SACHET DUS 3 190,500 43 43 MEGA MEDICA PHARMACEUTICALS, PT
209 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 17 17 MEGA MEDICA PHARMACEUTICALS, PT
210 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 104 104 MEGA MEDICA PHARMACEUTICALS, PT
211 13084478 CHANNAFIT SYR 100ML BT 1 70,000 3 3 MEGA MEDICA PHARMACEUTICALS, PT
212 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 19 19 KIMIA FARMA
213 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 62 62 KIMIA FARMA
214 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJNDUS 100 61,622 2 2 KIMIA FARMA
215 12014989 CHLORAMPHENICOL KAPS 250MG DUS #N/A #N/A 249 249 HOLI PHARMA
216 12014068 CHLORPHENAMINE MALEATE 4MG @100 KPL HOLDUS 100 #N/A 1,300 1,300 HOLI PHARMA
217 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 75 20 50 - 145 NOVAPHARIN
218 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 1 PHAPROS, PT
219 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 1 3 4 PHAPROS, PT
220 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 507 507 KIMIA FARMA
221 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 170 5 175 NOVAPHARIN
222 12014925 CIPROFLOXACIN HCL MONOHYDRATE 500 MG(IFADUS 100 #N/A 40 40 IFARS PHARMACEUTICAL, PT
223 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 433 433 KIMIA FARMA
224 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 336 336 KIMIA FARMA
225 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 890 890 KIMIA FARMA
226 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 150 PHAPROS, PT
227 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC 1 4,231 3,892 3,892 PIHAK 3
228 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC 1 5,743 2,616 2,616 PIHAK 3
229 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC 200 2,499 2,568 2,568 PIHAK 3
230 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC 70 1,504 730 730 PIHAK 3
231 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC 70 6,288 438 438 PIHAK 3
232 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
233 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
234 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 436 24 460 KIMIA FARMA
235 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 530 57 0 587 KIMIA FARMA
236 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 90 90 PHAPROS, PT
237 12012932 CLOTAIRE 90MG TAB@30 (FAH) DUS 30 300,000 50 50 PRATAPA NIRMALA
238 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 44 378 422 KIMIA FARMA
239 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 20 20 KIMIA FARMA
240 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 11 51 62 KIMIA FARMA
241 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 4 4 KIMIA FARMA
242 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
243 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
244 12004954 CONDOM SUTRA @ 3 PAC 1 5,154 2,880 2,880 PIHAK 3
245 13010466 CORSEL KPL@30 (FAH) DUS 30 180,000 50 50 PRATAPA NIRMALA
246 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
247 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
248 12012933 CYPRODIOL TAB@21 (FAH) DUS 21 130,000 43 43 PRATAPA NIRMALA
249 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
250 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,586 1,586 BHINNEKA USADA RAYA
251 13076707 D-ARTEPP TAB@9 DUS 9 72,000 47,861 47,861 BHINNEKA USADA RAYA
252 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 401 401 DARYA VARIA, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 317 317 HARSEN LABORATORIES, PT
254 12006576 DECADRYL EXP 60 ML BT 1 15,500 246 246 HARSEN LABORATORIES, PT
255 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 48 48 DARYA VARIA, PT
256 12000772 DECOLSIN KAPSUL @ 100 (UN) DUS 100 55,650 20 20 DARYA VARIA, PT
257 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 65 65 DARYA VARIA, PT
258 12000774 DEGIROL LOZ @ 100 (UN) DUS 100 103,371 93 93 DARYA VARIA, PT
259 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,840 1,840 PIHAK 3
260 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 121 121 KIMIA FARMA
261 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 306 41 12 8 367 PHAPROS, PT
262 13000718 DEXTAMIN TAB@100 DUS 100 165,000 183 183 PHAPROS, PT
263 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 216 216 PHAPROS, PT
264 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
265 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
266 12008251 DEXTROESE 10% 500 ML (SATORIA) BT 1 #N/A 2,725 1,200 3,925 SATORIA ANEKA INDUSTRI, PT
267 12008250 DEXTROESE 5% 500 ML (SATORIA) BT 1 #N/A 2,434 2,000 4,434 SATORIA ANEKA INDUSTRI, PT
268 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 24 24 PHAPROS, PT
269 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
270 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
271 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 844 18 862 KIMIA FARMA
272 13002883 DIOS TAB@30 DUS 30 115,000 95 95 PHAPROS, PT
273 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 #N/A - - 11 - 11 PHAPROS, PT
274 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
275 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
276 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
277 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
278 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
279 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 - - - 30 30 NOVAPHARIN
280 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
281 11000054 DOXEF 125 MG/ML SIRUP KERING BT 1 54,000 2 2 KIMIA FARMA
282 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 2 2 KIMIA FARMA
283 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 70,000 45 45 KIMIA FARMA
284 12003671 DT LABEL BLUE PMS PERMANENT 2" X 2-3/8" RLL 1 730,400 1 1 SINAR RODA UTAMA, PT
285 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
286 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 62 62 OPELLA HEALTHCARE INDONESIA, PT
287 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 22 22 OPELLA HEALTHCARE INDONESIA, PT
288 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIES, PT
289 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 27 27 JANSSEN PHARMACEUTICA NV
290 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 22 22 JANSSEN PHARMACEUTICA NV
291 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 11 11 KIMIA FARMA
292 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
293 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
294 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
295 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 258 258 PRATAPA NIRMALA
296 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 38 38 DARYA VARIA, PT
297 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 17 17 DARYA VARIA, PT
298 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
299 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,136 7,136 KIMIA FARMA
300 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS 30 #N/A - 131 - 131 PHAPROS, PT
301 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
302 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
303 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
304 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 140 140 RAMA EMERALD, PT
305 12014388 ESTAZOR 250MG BLISTER CAP@30 (FAH) DUS 30 270,000 50 50 PRATAPA NIRMALA
306 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 0 1 3 KIMIA FARMA
307 12008506 EVA TABLET (HARSEN) DUS 21 42,545 50 50 HARSEN LABORATORIES, PT
308 11001489 EXTRALAC SYRUP (BTL 60 ML)-BJN BT 1 39,000 17 17 KIMIA FARMA
309 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC 1 25,487 4,056 4,056 PIHAK 3
310 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 18 18 PRATAPA NIRMALA
311 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 105,000 182 182 PRATAPA NIRMALA
312 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 167 167 PRATAPA NIRMALA
313 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 174 174 PRATAPA NIRMALA
314 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 119 119 PRATAPA NIRMALA
315 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 48 48 PRATAPA NIRMALA
316 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 1 PRATAPA NIRMALA
317 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 103 25 128 PRATAPA NIRMALA
318 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 77 77 PRATAPA NIRMALA
319 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 129 129 PRATAPA NIRMALA
320 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 25 21 46 PRATAPA NIRMALA
321 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
322 13026489 FARPRESIN INJ VIAL@5 (FAH) DUS 5 900,000 19 19 PRATAPA NIRMALA
323 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 #N/A 174 174 PRATAPA NIRMALA
324 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
325 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
326 13019430 FEBRINEX SYR 60ML BT 1 14,414 27 27 PHAPROS, PT
327 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 28 28 PRATAPA NIRMALA
328 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 140 140 PRATAPA NIRMALA
329 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 2 MAHAKAM BETA FARMA
330 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 120 120 MAHAKAM BETA FARMA
331 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 1 1 KIMIA FARMA
332 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 201 201 KIMIA FARMA
333 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRBT 1 30,000 435 435 KIMIA FARMA
334 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 142 142 PIHAK 3
335 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 204 204 PIHAK 3
336 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 246 246 PIHAK 3
337 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 152 152 PIHAK 3
338 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 287 287 SURYA SUKSES PERKASA, PT
339 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 40 40 KIMIA FARMA
340 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 103 103 KIMIA FARMA
341 11001784 FITUNO IMMUNE KIDS 60ML BT 1 25,500 52 52 KIMIA FARMA
342 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,041 6,041 KIMIA FARMA
343 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 45 45 PRATAPA NIRMALA
344 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 202 202 PRATAPA NIRMALA
345 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 145 145 PRATAPA NIRMALA
346 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 132 132 KIMIA FARMA
347 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 171 PHAPROS, PT
348 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
349 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 104 104 DARYA VARIA, PT
350 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 940 940 MOLEX AYUS, PT
351 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 5 5 PYRIDAM, PT
352 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 5 39 44 KIMIA FARMA
353 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 59 59 PRATAPA NIRMALA
354 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 195 195 PHAPROS, PT
355 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 15 15 PRATAPA NIRMALA
356 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,529 1,529 MOLEX AYUS, PT
357 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 5,244 5,244 MOLEX AYUS, PT
358 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 1,026 90 1,116 KIMIA FARMA
359 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 63 63 PHAPROS, PT
360 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 538 110 648 KIMIA FARMA
361 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
362 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 29 10 600 639 KIMIA FARMA
363 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 411 411 KIMIA FARMA
364 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 167 7 174 KIMIA FARMA
365 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 127 127 PRATAPA NIRMALA
366 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
367 12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) DUS 100 168,971 69 69 DARYA VARIA, PT
368 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 3 - - 3 NOVAPHARIN
369 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
370 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
371 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC 150 5,673 294 294 PIHAK 3
372 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
373 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
374 12006958 HEPAGARD DUS 0 76,230 68 68 PHAPROS, PT
375 13009342 HEPA-MERZ INJ@5 DUS 5 #N/A 50 50 PYRIDAM, PT
376 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS 5 300,000 30 30 PRATAPA NIRMALA
377 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 2 2 KIMIA FARMA
378 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 10 52 62 KIMIA FARMA
379 12005248 HUSTAB 30X10S DUS 300 119,196 17 17 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJ DUS 100 16,087 508 147 655 KIMIA FARMA
381 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
382 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM DUS 24 3,458 0 0 KIMIA FARMA
383 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 226 226 PHAPROS, PT
384 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 597 597 PHAPROS, PT
385 12013954 HYTOSA (SAP) BT 1 122,000 48 48 SATYA ABADI PHARMA, PT
386 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
387 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 235 - - - 235 NOVAPHARIN
388 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 42 800 - 844 NOVAPHARIN
389 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
390 12010151 INA-SHUNT SEMILUNAR FLUSH ADULT/LOW PC 1 2,600,000 2 2 PHAPROS, PT
391 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 5 5 PHAPROS, PT
392 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
393 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
394 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
395 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 1 1 PHAPROS, PT
396 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 30 30 MOLEX AYUS, PT
397 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
398 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 418 418 PRATAPA NIRMALA
399 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 505 505 PRATAPA NIRMALA
400 12007335 INSTO REGULAR 15 ML DUS 1 16,100 4 4 COMBIPHAR, PT
401 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 102 250 352 KIMIA FARMA
402 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 87 9 96 KIMIA FARMA
403 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 730 48 778 KIMIA FARMA
404 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 375 375 KIMIA FARMA
405 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 13 13 PRATAPA NIRMALA
406 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
407 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
408 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS 25 #N/A 0 0 KIMIA FARMA
409 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 - 438 100 - 538 NOVAPHARIN
410 11002016 KIFAMED EXAMINATION GLOVE POWDER FREE(MDUS 50 65,901 98 98 KIMIA FARMA
411 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XDUS 50 65,901 144 144 KIMIA FARMA
412 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 11 11 KIMIA FARMA
413 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 96 96 KIMIA FARMA
414 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 1 1 KIMIA FARMA
415 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM PAC 1 106,380 2 2 KIMIA FARMA
416 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
417 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
418 11002237 KIFAMED KURSI RODA RACING (KFM-R) DUS 1 927,027 24 24 KIMIA FARMA
419 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 668 668 KIMIA FARMA
420 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 233,182 4 4 KIMIA FARMA
421 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 138,182 7 7 KIMIA FARMA
422 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 3 3 KIMIA FARMA
423 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 42 42 KIMIA FARMA
424 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
425 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 35 35 KIMIA FARMA
426 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 73 73 KIMIA FARMA
427 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 160 160 PHAPROS, PT
428 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 342 342 PHAPROS, PT
429 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 50 KIMIA FARMA
430 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
431 12005748 KONDOM SUTRA ISI 12 X 12'S PAC 12 18,423 252 252 PIHAK 3
432 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 227 227 PRATAPA NIRMALA
433 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 830 830 PHAPROS, PT
434 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 734 734 PRATAPA NIRMALA
435 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
436 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
437 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
438 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
439 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 - 2 29 - 31 MEPROFARM
440 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 30 30 MOLEX AYUS, PT
441 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 709 709 MOLEX AYUS, PT
442 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
443 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 16 16 MOLEX AYUS, PT
444 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 88 88 MOLEX AYUS, PT
445 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 16 16 MOLEX AYUS, PT
446 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS #N/A #N/A 15 15 PHAPROS, PT
447 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS 100 #N/A 86 111 197 PHAPROS, PT
448 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
449 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 509 2 511 PHAPROS, PT
450 12003048 LOPAMID TABLET @ 100 DUS 100 - 136 136 HARSEN LABORATORIES, PT
451 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 105 100 205 IFARS PHARMACEUTICAL, PT
452 12011680 LOPERAMIDE HCL 2MG TAB@100 (NOVA) DUS 100 #N/A 20 20 NOVAPHARIN
453 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 12 75 26 113 NOVAPHARIN
454 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 57 57 KIMIA FARMA
455 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
456 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 16 16 PRATAPA NIRMALA
457 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
458 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
459 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 56 56 MUSTIKA RATUBUANA INTERNATIONAL, PT
460 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 6 6 MUSTIKA RATUBUANA INTERNATIONAL, PT
461 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 891 891 KIMIA FARMA
462 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 17 17 KIMIA FARMA
463 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 32 32 KIMIA FARMA
464 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 97 97 KIMIA FARMA
465 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
466 11001945 MARCKS BREATHABLE POWDER NATURAL BEIG BOX 1 34,700 1 1 KIMIA FARMA
467 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 187 187 KIMIA FARMA
468 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 84 84 KIMIA FARMA
469 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 78 78 KIMIA FARMA
470 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 7,099 7,099 KIMIA FARMA
471 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 605 605 KIMIA FARMA
472 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 211 211 KIMIA FARMA
473 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT 1 17,300 20 20 KIMIA FARMA
474 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 4 4 KIMIA FARMA
475 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 35 35 KIMIA FARMA
476 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 5 5 KIMIA FARMA
477 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 36 36 KIMIA FARMA
478 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 41 41 KIMIA FARMA
479 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 72 72 KIMIA FARMA
480 11001315 MARCKS TEENS REFILL COMPACT POWDER PINKPC 12 15,500 51 51 KIMIA FARMA
481 11001314 MARCKS TEENS REFILL COMPACT POWDER WHI PC 12 15,500 36 36 KIMIA FARMA
482 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 48 48 PHAPROS, PT
483 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 6 6 DARYA VARIA, PT
484 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 87 87 PT. LIKUID PHARMALAB INDONESIA
485 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 35 35 PT. LIKUID PHARMALAB INDONESIA
486 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 258 258 PT. LIKUID PHARMALAB INDONESIA
487 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
488 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
489 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
490 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
491 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
492 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 223 223 PT. LIKUID PHARMALAB INDONESIA
493 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
494 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 443 443 PT. LIKUID PHARMALAB INDONESIA
495 12014983 MEFENAMIC ACID KAP 500 MG DUS 100 #N/A 200 200 HOLI PHARMA
496 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 12 12 KIMIA FARMA
497 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 55 - - 55 PRATAPA NIRMALA
498 12009879 METAMIZOLE 250 MG/ML INJ @30 AMP (PEHA) DUS 30 #N/A 499 499 PHAPROS, PT
499 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,112 1,112 KIMIA FARMA
500 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A 1 1 MEPROFARM
501 12007628 METANEURON TABLET DUS 300 311,454 3 3 PHAPROS, PT
502 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 10 10 PHAPROS, PT
503 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 87 107 194 KIMIA FARMA
504 12014929 METHYLPREDNISOLONE 4(IFARS) DUS #N/A #N/A 120 120 IFARS PHARMACEUTICAL, PT
505 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 1,180 1,180 MOLEX AYUS, PT
506 12006926 METHYLPREDNISOLONE 8 MG TABLET(IFARS) DUS #N/A #N/A 80 80 IFARS PHARMACEUTICAL, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA)DUS #N/A #N/A 100 500 600 PHAPROS, PT
508 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 400 10 300 710 KIMIA FARMA
509 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 80 80 KIMIA FARMA
510 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 MLDUS 2 #N/A - 9 9 MEPROFARM
511 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
512 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 137 - - 85 222 NOVAPHARIN
513 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
514 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 59 39 181 279 KIMIA FARMA
515 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 68 68 PRATAPA NIRMALA
516 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 81 81 MOLEX AYUS, PT
517 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 114 114 MOLEX AYUS, PT
518 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 127 127 MOLEX AYUS, PT
519 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 32 32 MOLEX AYUS, PT
520 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
521 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
522 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 34 34 PRATAPA NIRMALA
523 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
524 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 1 1 KIMIA FARMA
525 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 #N/A 190 190 KIMIA FARMA
526 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 21 27 48 KIMIA FARMA
527 11000501 MST CONTINUS 10 MG DUS 60 852,000 10 10 MAHAKAM BETA FARMA
528 11000502 MST CONTINUS 15 MG DUS #N/A #N/A 5 5 MAHAKAM BETA FARMA
529 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
530 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 6 6 PHAPROS, PT
531 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 2 2 KIMIA FARMA
532 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
533 11002020 NACL 0.9% INFUS BT 1 7,009 9,864 9,864 KIMIA FARMA
534 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 141 141 PYRIDAM, PT
535 13083783 NATERAN 25MG TAB@30 DUS 3 1,200,000 3 3 FAHRENHEIT SYNTHON PHARMA
536 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
537 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 27 27 PHAPROS, PT
538 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS 50 #N/A 20 1,000 1,020 PHAPROS, PT
539 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 25 25 DARYA VARIA, PT
540 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 164 164 DARYA VARIA, PT
541 12000826 NATUR E ADVANCED 16 S DUS 16 33,547 39 39 DARYA VARIA, PT
542 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 16 16 DARYA VARIA, PT
543 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 17 17 DARYA VARIA, PT
544 12000832 NATUR E HBL 100 ML BT 1 10,424 228 228 DARYA VARIA, PT
545 12000833 NATUR E HBL 245 ML BT 1 20,913 348 348 DARYA VARIA, PT
546 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
547 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
548 12005302 NATUR-E 300 IU 32's DUS 32 56,496 26 26 DARYA VARIA, PT
549 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
550 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 711 711 MOLEX AYUS, PT
551 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 54,040 18 18 DARYA VARIA, PT
552 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 240,000 20 20 PRATAPA NIRMALA
553 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
554 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
555 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
556 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 22 22 DARYA VARIA, PT
557 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
558 12000840 NIFURAL SYR BT 1 60,300 45 45 DARYA VARIA, PT
559 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
560 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 478 1,200 1,678 SINAR RODA UTAMA, PT
561 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 3,000 3,055 SINAR RODA UTAMA, PT
562 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC 1 #N/A - - 15,000 - - 15,000 SINAR RODA UTAMA, PT
563 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC 1 1,170 500 10,500 11,000 SINAR RODA UTAMA, PT
564 12003644 NIPRO SYRINGE 20 ML LS W/O NEEDLE PC 1 #N/A 4,350 4,350 SINAR RODA UTAMA, PT
565 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC 1 #N/A 25,400 25,400 SINAR RODA UTAMA, PT
566 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2inch PC 1 #N/A 25,000 25,000 SINAR RODA UTAMA, PT
567 12003645 NIPRO SYRINGE 50 ML LS W/O NEEDLE PC 1 #N/A 10 10 SINAR RODA UTAMA, PT
568 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,411 2,411 SINAR RODA UTAMA, PT
569 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 210 10 220 PHAPROS, PT
570 11001530 NITROKAF RETARD (DUS 100 KAPS)-BJN DUS 100 2,460 6 6 KIMIA FARMA
571 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 52 101 153 KIMIA FARMA
572 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS 100 246,000 - - 235 - 235 KIMIA FARMA
573 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 415 415 PHAPROS, PT
574 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 77 77 PRATAPA NIRMALA
575 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
576 12009890 NOZA @4 TAB STR 4 2,900 19,450 19,450 PHAPROS, PT
577 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,742 1,742 EMJEBE PHARMA , PT
578 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
579 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 55 55 PRATAPA NIRMALA
580 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 141 - - 141 IFARS PHARMACEUTICAL, PT
581 12015035 NYSTATIN DROP DUS 10 - 2 10 12 PIHAK 3
582 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 307 204 15 526 PHAPROS, PT
583 12008469 OBH 60ML MOL BT 1 5,000 600 20 620 MOLEX AYUS, PT
584 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 299 299 COMBIPHAR, PT
585 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 603 603 COMBIPHAR, PT
586 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 253 253 COMBIPHAR, PT
587 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 MBT 1 12,500 221 221 COMBIPHAR, PT
588 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 75 75 COMBIPHAR, PT
589 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 12,300 75 75 COMBIPHAR, PT
590 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 128 128 COMBIPHAR, PT
591 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 54 54 COMBIPHAR, PT
592 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 256 256 COMBIPHAR, PT
593 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 149 149 COMBIPHAR, PT
594 12014394 OBH JERUK NIPIS + MENTHOL @100 ML (HOLI) BT 100 #N/A 100 100 HOLI PHARMA
595 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 21 21 DARYA VARIA, PT
596 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
597 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
598 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 178 4 182 DARYA VARIA, PT
599 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 227 290 517 PHAPROS, PT
600 12013094 ONDANSETRON 4MG TAB@100 (NOVA) DUS 100 #N/A 4 4 NOVAPHARIN
601 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
602 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
603 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 45 45 SATYA ABADI PHARMA, PT
604 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 12 12 PYRIDAM, PT
605 13007995 OSTEOTIN CAP@60 DUS 60 179,100 5 5 PHAPROS, PT
606 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
607 11000298 OXYTETRACYCLIN 3% SK(DUS 25 TUBE@5 GRAM)DUS 25 #N/A 10 10 KIMIA FARMA
608 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 90 90 PIHAK 3
609 11002118 PANKREON FOR CHILDREN 5G-BJN (DUS 10 SC) DUS 10 96,000 5 5 KIMIA FARMA
610 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 155 155 PHAPROS, PT
611 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 1,000 1,000 KIMIA FARMA
612 12015022 PARACETAMOL 500 MG (HARSEN) DUS 100 #N/A 975 975 HARSEN LABORATORIES, PT
613 12002397 PARACETAMOL 500MG TAB@100 (NOVA) DUS 100 #N/A 1,345 1,345 NOVAPHARIN
614 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
615 12014931 PARACETAMOL DROPS(IFARS) DUS #N/A #N/A 140 - 140 IFARS PHARMACEUTICAL, PT
616 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11 - 11 DARYA VARIA, PT
617 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 163 163 DARYA VARIA, PT
618 13001135 PEHADOXIN FORTE TAB@100 DUS 100 85,000 98 98 PHAPROS, PT
619 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 48 48 PHAPROS, PT
620 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 15 15 PHAPROS, PT
621 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
622 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 143 143 PHAPROS, PT
623 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 78 - 78 PRATAPA NIRMALA
624 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
625 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 123 123 KIMIA FARMA
626 13009792 PHADILON 125MG INJ VL 1 30,000 9 9 PHAPROS, PT
627 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
628 13009794 PHAMINOV INJ@10 DUS 10 65,000 179 179 PHAPROS, PT
629 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
630 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
631 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 364 520 884 LUCAS DJAJA
632 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
633 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A - 48 36 - 84 MEPROFARM
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 87 1 40 128 PHAPROS, PT
635 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 6 6 PHAPROS, PT
636 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA)DUS 30 168,000 51 51 PHAPROS, PT
637 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,597 1,597 KIMIA FARMA
638 12011710 POTASSIUM CHLORIDE 7.46% 25 ML (SATORIA) AMP 1 #N/A 20 20 SATORIA ANEKA INDUSTRI, PT
639 12007665 PPD 2 TU (BF) VL 1 770,000 20 20 BIOFARMA
640 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 73,000 4 - - 4 PRATAPA NIRMALA
641 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 287 287 PRATAPA NIRMALA
642 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
643 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
644 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A - 1 1 IFARS PHARMACEUTICAL, PT
645 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 1 1 PYRIDAM, PT
646 12011689 PREGABALIN 75MG @30 KPS (PEHA) DUS 30 #N/A 30 30 PHAPROS, PT
647 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 15 15 KIMIA FARMA
648 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 70 70 PRATAPA NIRMALA
649 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 102 910 1,012 PHAPROS, PT
650 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
651 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 20 20 MOLEX AYUS, PT
652 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 420 420 MOLEX AYUS, PT
653 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 390 390 MOLEX AYUS, PT
654 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 44 44 MOLEX AYUS, PT
655 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 97 97 MOLEX AYUS, PT
656 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 30 30 MOLEX AYUS, PT
657 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 60 60 MOLEX AYUS, PT
658 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
659 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 56 56 PHAPROS, PT
660 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 19 19 PHAPROS, PT
661 13001143 PRO TB2 TAB@28 DUS 28 184,450 72 72 PHAPROS, PT
662 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
663 12010403 PROFERRO TAB@30 (FAH) DUS 30 157,000 30 30 PRATAPA NIRMALA
664 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 68 68 PHAPROS, PT
665 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
666 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 15 19 34 HOLI PHARMA
667 11000293 PROTOFEN SUPP (DUS 20 SUPP) DUS 20 189,750 25 25 KIMIA FARMA
668 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
669 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
670 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 67 67 KIMIA FARMA
671 12001220 PYRANTEL TAB 125 MG DUS #N/A #N/A - - 103 - 103 HOLI PHARMA
672 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
673 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
674 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 - 110 40 - 150 PHAPROS, PT
675 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 29 29 PRATAPA NIRMALA
676 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
677 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
678 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 125 125 PRATAPA NIRMALA
679 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 111 111 PRATAPA NIRMALA
680 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 34 34 PRATAPA NIRMALA
681 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 46 - 46 LUCAS DJAJA
682 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 - 50 LUCAS DJAJA
683 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 265 265 KIMIA FARMA
684 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
685 12008263 RINGER LACTATE 500 ML (SATORIA) BT 1 #N/A 889 7,000 7,889 SATORIA ANEKA INDUSTRI, PT
686 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 195 195 MERSIFARMA
687 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 216 216 PHAPROS, PT
688 12008474 RIVANOL 100ML MOL BT 1 4,000 1,777 1,777 MOLEX AYUS, PT
689 12008475 RIVANOL 300ML MOL BT 1 9,000 384 384 MOLEX AYUS, PT
690 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC PAC 10 17,874 170 170 PIHAK 3
691 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 51 51 PRATAPA NIRMALA
692 11002254 SALICYL KF FRESH NEW FORMULA 60 GRAM BT 1 9,291 303 303 KIMIA FARMA
693 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,219 2,219 KIMIA FARMA
694 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
695 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 10 10 PT. LIKUID PHARMALAB INDONESIA
696 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 30 30 PT. LIKUID PHARMALAB INDONESIA
697 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
698 12003688 SCANBAND DIRECT THERMAL BLUE 7022-13-PDMPC 1 1,900 500 500 SINAR RODA UTAMA, PT
699 12003689 SCANBAND DIRECT THERMAL PINK 7022-12-PDM PC 1 1,900 500 500 SINAR RODA UTAMA, PT
700 12005563 SCOPMA 10 MG KAPL @ 100(IFARS) DUS 100 #N/A 25 25 IFARS PHARMACEUTICAL, PT
701 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 12 12 SINKONA INDONESIA LESTARI, PT
702 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 22 22 SINKONA INDONESIA LESTARI, PT
703 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 6 6 SINKONA INDONESIA LESTARI, PT
704 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
705 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
706 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 112 112 PRATAPA NIRMALA
707 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 103 103 PRATAPA NIRMALA
708 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 69 69 PRATAPA NIRMALA
709 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
710 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
711 12013106 SIMVASTATIN 10MG TAB@100 (NOVA) DUS 100 #N/A - 140 140 NOVAPHARIN
712 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
713 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS 100 #N/A 38 97 135 NOVAPHARIN
714 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 23 23 PHAPROS, PT
715 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 660 80 740 SATORIA ANEKA INDUSTRI, PT
716 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT 1 #N/A 2,950 1,500 4,450 SATORIA ANEKA INDUSTRI, PT
717 12011578 SONIDE 0.25 INHALASI 2ML AMP@10 (FAH) DUS 10 157,000 48 48 PRATAPA NIRMALA
718 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
719 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
720 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
721 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 7 11 PHAPROS, PT
722 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 11 11 MEGA MEDICA PHARMACEUTICALS, PT
723 11000493 SUFENTA 0.005 MG INJEKSI (PCC) DUS #N/A #N/A 2 2 PIRAMAL CRITICAL CARE LTD
724 12008222 SULFADIAZINE 500 MG (IFARS) DUS #N/A #N/A 3 3 IFARS PHARMACEUTICAL, PT
725 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 2 2 DARYA VARIA, PT
726 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
727 13079783 SUTRA GERIGI KONDOM@ 3 BH 3 172,368 28,752 28,752 PIHAK 3
728 13029419 SUTRA KONDOM@24 DUS 23 35,918 126 126 PIHAK 3
729 13083048 SUTRA LUBRICANT GEL 50ML BT 1 12,100 62 62 PIHAK 3
730 13016440 SUTRA OK KONDOM@ 3 DUS 3 7,182 336 24 360 PIHAK 3
731 13085413 SUTRA TISU PLUS SACH@3 PAC 3 5,000 225 225 PIHAK 3
732 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS 30 135,000 62 62 PRATAPA NIRMALA
733 11001563 TABLET TAMBAH DARAH (TSG)(DUS100TAB)-BJNDUS 100 #N/A 441 441 KIMIA FARMA
734 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB)DUS 100 45,000 49 49 KIMIA FARMA
735 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 36 36 PHAPROS, PT
736 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 37 37 PHAPROS, PT
737 13003109 TEBOKAN SPECIAL CAP@30 DUS #N/A 335,475 13 13 PHAPROS, PT
738 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 13 13 KIMIA FARMA
Stok Per Tanggal 19 September 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002397 ACARBOSE 100 MG (DUS 100 TAB) DUS 100 121,875 280 125 405 KIMIA FARMA
2 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 399 8 407 KIMIA FARMA
3 12011198 ACETYLSALICYLIC ACID TAB 100 MG (PEHA) DUS #N/A #N/A 2 2 PHAPROS, PT
4 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 225 60 285 KIMIA FARMA
5 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 88 88 KIMIA FARMA
6 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 0 KIMIA FARMA
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 678 493 15 1,186 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 5 5 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 82 82 SATYA ABADI PHARMA, PT
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
11 11000006 ALERGINE 10 MG TSS (DUS 50 TAB) DUS 50 140,250 15 15 KIMIA FARMA
12 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 6 6 MOLEX AYUS, PT
13 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 727 727 MOLEX AYUS, PT
14 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 727 727 MOLEX AYUS, PT
15 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 16 16 DARYA VARIA, PT
16 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 29 17 46 KIMIA FARMA
17 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 100 266 366 KIMIA FARMA
18 12015574 AMAROPO ACTIVE DUS@100 KPL (PEHA) DUS 100 285,000 18 18 PHAPROS, PT
19 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
20 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 135 135 KIMIA FARMA
21 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
22 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 8 8 MARIN LIZA
23 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 179 2 125 - 306 PHAPROS, PT
24 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 1 1 DARYA VARIA, PT
25 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 - 40 DARYA VARIA, PT
26 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 14,250 484 924 1,408 KIMIA FARMA
27 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 919 2,209 1,500 4,628 KIMIA FARMA
28 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
29 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 290 - 290 MEPROFARM
30 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 409 409 MERSIFARMA
31 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT #N/A #N/A 2,492 2,492 NOVAPHARIN
32 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 5 5 PHAPROS, PT
33 13011167 AMPICILLIN 1GR INJ GPH (PEHA) DUS #N/A #N/A 282 282 PHAPROS, PT
34 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 27 27 PIHAK 3
35 12005974 ANDALAN INJ ( 3 BLN ) DUS 20 165,000 97 97 PIHAK 3
36 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 270 270 PIHAK 3
37 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 68,880 68,880 PIHAK 3
38 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 138 138 PIHAK 3
39 13018446 ANDALAN PREGNA TEST BH 1 185,000 50 50 PIHAK 3
40 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
41 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
42 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 24 53 12 89 KIMIA FARMA
43 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 537 537 PHAPROS, PT
44 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
45 12005096 ANTIMO DEWASA TAB DUS 1 309,600 210 210 PHAPROS, PT
46 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
47 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
48 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAYA
49 12012214 ASAM FOLAT 1MG TAB@100 (NOVA) DUS #N/A #N/A 438 438 NOVAPHARIN
50 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 151 25 176 KIMIA FARMA
51 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 233 233 KIMIA FARMA
52 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
53 13008789 ASPIL 1GR INJ VIAL@2 (FAH) DUS 2 199,000 300 300 PRATAPA NIRMALA
54 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A - 2 2 DARYA VARIA, PT
55 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
56 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 52 52 PRATAPA NIRMALA
57 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 58 58 PRATAPA NIRMALA
58 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 54 54 KIMIA FARMA
59 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 11 - 11 DARYA VARIA, PT
60 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 93 139 232 KIMIA FARMA
61 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
62 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
63 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
64 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 - - 12 - - 12 KIMIA FARMA
65 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 616 616 KIMIA FARMA
66 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,536 6,536 KIMIA FARMA
67 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
68 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 12 12 PT. LIKUID PHARMALAB INDONESIA
69 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 16 16 PT. LIKUID PHARMALAB INDONESIA
70 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 16 16 PT. LIKUID PHARMALAB INDONESIA
71 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 4 4 PT. LIKUID PHARMALAB INDONESIA
72 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 4 4 PT. LIKUID PHARMALAB INDONESIA
73 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 36 36 PT. LIKUID PHARMALAB INDONESIA
74 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
75 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
76 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
77 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 69 69 PT. LIKUID PHARMALAB INDONESIA
78 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
79 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
80 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
81 13080427 BECEFORT STRIP ISI 4@100 DUS 100 115,000 42 42 PHAPROS, PT
82 13022661 BECEFORT SYR 60ML BT 1 14,998 15 15 PHAPROS, PT
83 13022662 BECEFORT TAB@100 DUS 100 140,766 27 27 PHAPROS, PT
84 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 49 49 KIMIA FARMA
85 13001870 BENZATIN BENZIL PENICILLIN 2.4 DUS #N/A #N/A 5 5 PHAPROS, PT
86 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 24 PHAPROS, PT
87 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 1 13 56 70 KIMIA FARMA
88 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 54 54 KIMIA FARMA
89 11000384 BETASON N CREAM (DUS 24 TUB @5 G) DUS 24 356,400 96 96 KIMIA FARMA
90 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 539 539 MOLEX AYUS, PT
91 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 9 9 NUFARINDO, PT
92 13010355 BIO ATP KPL@100 DUS 100 214,180 61 61 PHAPROS, PT
93 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 410 410 BIO AXION HEALTHINDO, PT
94 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 20 20 DARYA VARIA, PT
95 13026576 BIORON TAB@100 DUS 100 101,650 37 37 PHAPROS, PT
96 12006548 BIOSAVE (BF) VL 1 954,450 10 10 BIOFARMA
97 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
98 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 - 6 6 HARSEN LABORATORIES, PT
99 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 23 23 OPELLA HEALTHCARE INDONESIA, PT
100 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 71,250 200 479 230 909 KIMIA FARMA
101 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
102 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
103 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRADUS 1 400,000 30 30 PHAPROS, PT
104 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 47 47 SATYA ABADI PHARMA, PT
105 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
106 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 36 36 PRATAPA NIRMALA
107 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 127 127 DARYA VARIA, PT
108 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 289 289 PHAPROS, PT
109 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 59 59 PHAPROS, PT
110 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A 140 140 NOVAPHARIN
111 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 90 90 PRATAPA NIRMALA
112 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
113 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 22 22 PRATAPA NIRMALA
114 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
115 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 607 607 PHAPROS, PT
116 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 804 804 KIMIA FARMA
117 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 181 100 3,599 3,880 PHAPROS, PT
118 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
119 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT #N/A #N/A 100 100 IFARS PHARMACEUTICAL, PT
120 12008218 CEFADROXIL 250 MG/5ML (IFARS) BT #N/A #N/A 150 150 IFARS PHARMACEUTICAL, PT
121 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 266 286 PIHAK 3
122 12014923 CEFIXIME TRIHYDRATE 100 MG(IFARS) DUS #N/A #N/A 212 212 IFARS PHARMACEUTICAL, PT
123 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS #N/A #N/A 487 487 PHAPROS, PT
124 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 10 10 CENDO, PT
125 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
127 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 31 31 CENDO, PT
128 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 116 116 CENDO, PT
129 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 183 183 CENDO, PT
130 12004104 CENDO CENFRESH MINIDOSE 5 X 0.6 ML STR 1 23,000 248 248 CENDO, PT
131 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
132 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
133 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
134 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 100 100 CENDO, PT
135 12004123 CENDO EYEFRESH MILD MINIDOSE 5 X 0.6 ML STR 1 30,625 15 15 CENDO, PT
136 12004124 CENDO EYEFRESH MINIDOSE 5 X 0.6 ML STR 1 23,125 143 143 CENDO, PT
137 12004125 CENDO EYEFRESH PLUS MINIDOSE 5 X 0.6 ML STR 1 34,875 120 120 CENDO, PT
138 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 9 9 CENDO, PT
139 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 27 27 CENDO, PT
140 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 62 62 CENDO, PT
141 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
142 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 32 32 CENDO, PT
143 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 179 179 CENDO, PT
144 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 171 171 CENDO, PT
145 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 97 97 CENDO, PT
146 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 74 74 CENDO, PT
147 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 223 223 CENDO, PT
148 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 27 27 CENDO, PT
149 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
150 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 10 10 CENDO, PT
151 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
152 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 198 198 CENDO, PT
153 12013207 CENDO GLOPAC EYE DROP 5 ML BT 1 192,500 1 1 CENDO, PT
154 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 3 3 CENDO, PT
155 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
156 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 64 64 CENDO, PT
157 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 55 55 CENDO, PT
158 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
159 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 39 39 CENDO, PT
160 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 141 141 CENDO, PT
161 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 93 93 CENDO, PT
162 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
163 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 395 395 CENDO, PT
164 12004153 CENDO LYTEERS MINIDOSE 5 X 0.6 ML STR 1 19,250 360 360 CENDO, PT
165 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
166 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 11 11 CENDO, PT
167 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
168 12004160 CENDO MYDRIATYL 0.5% EYE DROP 5 ML BT 1 28,875 1 1 CENDO, PT
169 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 41 41 CENDO, PT
170 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
171 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 41,625 54 54 CENDO, PT
172 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
173 13005497 CENDO P - PRED EYE DROP 5ML BT 1 55,500 66 66 CENDO, PT
174 12004170 CENDO P - PRED MINIDOSE 5 X 0.6 ML STR 1 38,250 27 27 CENDO, PT
175 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 9 9 CENDO, PT
176 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 26 26 CENDO, PT
177 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 259 259 CENDO, PT
178 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 116 116 CENDO, PT
179 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
180 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 6 6 CENDO, PT
181 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
182 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
183 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
184 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
185 12004184 CENDO PROTAGENTA MINIDOSE 5 X 0.6 ML STR 1 35,875 20 20 CENDO, PT
186 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 86 86 CENDO, PT
187 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 43 43 CENDO, PT
188 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 183 183 CENDO, PT
189 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 157 157 CENDO, PT
190 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 24 24 CENDO, PT
191 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 82 82 CENDO, PT
192 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 101 101 CENDO, PT
193 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 38 38 CENDO, PT
194 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 29,000 179 179 CENDO, PT
195 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
196 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 25 CENDO, PT
197 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
198 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
199 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 2 2 CENDO, PT
200 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 9 9 CENDO, PT
201 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
202 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
203 12005164 CENDO VITAL TAB@30 DUS 30 90,000 9 9 CENDO, PT
204 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 30 30 CENDO, PT
205 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 1,631 1,631 CENDO, PT
206 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
207 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 313 313 CENDO, PT
208 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
209 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 131 131 KIMIA FARMA
210 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
211 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
212 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 53 53 MEGA MEDICA PHARMACEUTICALS, PT
213 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 65 65 MEGA MEDICA PHARMACEUTICALS, PT
214 12006912 CHANNA PLUS SACHET DUS 3 190,500 43 43 MEGA MEDICA PHARMACEUTICALS, PT
215 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 27 27 MEGA MEDICA PHARMACEUTICALS, PT
216 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 116 8 124 MEGA MEDICA PHARMACEUTICALS, PT
217 13084478 CHANNAFIT SYR 100ML BT 1 70,000 3 3 MEGA MEDICA PHARMACEUTICALS, PT
218 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 19 19 KIMIA FARMA
219 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 62 62 KIMIA FARMA
220 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJNDUS 100 61,622 2 2 KIMIA FARMA
221 12014989 CHLORAMPHENICOL KAPS 250MG DUS #N/A #N/A 249 249 HOLI PHARMA
222 12014068 CHLORPHENAMINE MALEATE 4MG @100 KPL HOLDUS #N/A #N/A 150 1,300 1,450 HOLI PHARMA
223 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 105 20 50 - 175 NOVAPHARIN
224 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 1 PHAPROS, PT
225 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 1 3 4 PHAPROS, PT
226 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 507 507 KIMIA FARMA
227 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 170 5 175 NOVAPHARIN
228 12014925 CIPROFLOXACIN HCL MONOHYDRATE 500 MG(IFADUS #N/A #N/A 40 40 IFARS PHARMACEUTICAL, PT
229 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 433 433 KIMIA FARMA
230 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 336 336 KIMIA FARMA
231 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 890 890 KIMIA FARMA
232 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 150 PHAPROS, PT
233 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC 1 4,231 3,937 3,937 PIHAK 3
234 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC 1 5,743 2,725 2,725 PIHAK 3
235 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC 200 2,499 2,760 2,760 PIHAK 3
236 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC 70 1,504 749 749 PIHAK 3
237 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC 70 6,288 460 460 PIHAK 3
238 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
239 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
240 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 437 80 517 KIMIA FARMA
241 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 540 57 0 597 KIMIA FARMA
242 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 90 90 PHAPROS, PT
243 12012932 CLOTAIRE 90MG TAB@30 (FAH) DUS 30 300,000 50 50 PRATAPA NIRMALA
244 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 51 43 94 KIMIA FARMA
245 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 30 30 KIMIA FARMA
246 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 11 51 62 KIMIA FARMA
247 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 4 4 KIMIA FARMA
248 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
249 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
250 12004954 CONDOM SUTRA @ 3 PAC 1 5,154 2,880 2,880 PIHAK 3
251 13010466 CORSEL KPL@30 (FAH) DUS 30 180,000 50 50 PRATAPA NIRMALA
252 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
254 12012933 CYPRODIOL TAB@21 (FAH) DUS 21 130,000 43 43 PRATAPA NIRMALA
255 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
256 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,591 1,591 BHINNEKA USADA RAYA
257 13076707 D-ARTEPP TAB@9 DUS 9 72,000 51,476 51,476 BHINNEKA USADA RAYA
258 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 401 401 DARYA VARIA, PT
259 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 341 341 HARSEN LABORATORIES, PT
260 12006576 DECADRYL EXP 60 ML BT 1 15,500 246 246 HARSEN LABORATORIES, PT
261 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 48 48 DARYA VARIA, PT
262 12000772 DECOLSIN KAPSUL @ 100 (UN) DUS 100 55,650 20 20 DARYA VARIA, PT
263 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 65 65 DARYA VARIA, PT
264 12000774 DEGIROL LOZ @ 100 (UN) DUS 100 103,371 94 94 DARYA VARIA, PT
265 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 1,900 PIHAK 3
266 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 121 121 KIMIA FARMA
267 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 313 41 12 8 374 PHAPROS, PT
268 11000048 DEXOCORT 0.25%/10GR KRIM (DUS 25 TUB) TUB 1 38,400 146 146 KIMIA FARMA
269 13000718 DEXTAMIN TAB@100 DUS 100 165,000 183 183 PHAPROS, PT
270 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 224 224 PHAPROS, PT
271 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
272 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
273 12008251 DEXTROESE 10% 500 ML (SATORIA) BT #N/A #N/A 2,725 1,200 3,925 SATORIA ANEKA INDUSTRI, PT
274 12008250 DEXTROESE 5% 500 ML (SATORIA) BT #N/A #N/A 2,434 2,000 4,434 SATORIA ANEKA INDUSTRI, PT
275 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 24 24 PHAPROS, PT
276 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
277 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
278 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 846 18 864 KIMIA FARMA
279 13002883 DIOS TAB@30 DUS 30 115,000 95 95 PHAPROS, PT
280 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 #N/A 11 11 PHAPROS, PT
281 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
282 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
283 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
284 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
285 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
286 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 - - - 30 30 NOVAPHARIN
287 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
288 11000054 DOXEF 125 MG/ML SIRUP KERING BT 1 54,000 2 2 KIMIA FARMA
289 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 2 2 KIMIA FARMA
290 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 70,000 62 62 KIMIA FARMA
291 12003671 DT LABEL BLUE PMS PERMANENT 2" X 2-3/8" RLL 1 730,400 1 1 SINAR RODA UTAMA, PT
292 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
293 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 65 65 OPELLA HEALTHCARE INDONESIA, PT
294 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 22 22 OPELLA HEALTHCARE INDONESIA, PT
295 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIES, PT
296 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 27 27 JANSSEN PHARMACEUTICA NV
297 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 23 23 JANSSEN PHARMACEUTICA NV
298 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 11 11 KIMIA FARMA
299 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
300 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
301 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
302 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 258 258 PRATAPA NIRMALA
303 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 38 38 DARYA VARIA, PT
304 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 17 17 DARYA VARIA, PT
305 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
306 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,196 7,196 KIMIA FARMA
307 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS #N/A #N/A - 30 - 30 PHAPROS, PT
308 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
309 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
310 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
311 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 140 140 RAMA EMERALD, PT
312 12014388 ESTAZOR 250MG BLISTER CAP@30 (FAH) DUS 30 270,000 50 50 PRATAPA NIRMALA
313 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 0 1 3 KIMIA FARMA
314 12008506 EVA TABLET (HARSEN) DUS 21 42,545 50 50 HARSEN LABORATORIES, PT
315 11001489 EXTRALAC SYRUP (BTL 60 ML)-BJN BT 1 39,000 17 17 KIMIA FARMA
316 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC 1 25,487 4,095 4,095 PIHAK 3
317 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 18 18 PRATAPA NIRMALA
318 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 105,000 182 182 PRATAPA NIRMALA
319 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 167 167 PRATAPA NIRMALA
320 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 174 174 PRATAPA NIRMALA
321 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 119 119 PRATAPA NIRMALA
322 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 58 58 PRATAPA NIRMALA
323 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 1 PRATAPA NIRMALA
324 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 103 50 153 PRATAPA NIRMALA
325 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 77 77 PRATAPA NIRMALA
326 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 129 129 PRATAPA NIRMALA
327 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 25 21 46 PRATAPA NIRMALA
328 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
329 13026489 FARPRESIN INJ VIAL@5 (FAH) DUS 5 900,000 19 19 PRATAPA NIRMALA
330 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 #N/A 178 178 PRATAPA NIRMALA
331 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
332 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
333 13019430 FEBRINEX SYR 60ML BT 1 14,414 27 27 PHAPROS, PT
334 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 28 28 PRATAPA NIRMALA
335 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 140 140 PRATAPA NIRMALA
336 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 2 MAHAKAM BETA FARMA
337 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 144 144 MAHAKAM BETA FARMA
338 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 147 147 KIMIA FARMA
339 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 471 471 KIMIA FARMA
340 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRBT 1 30,000 705 705 KIMIA FARMA
341 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 142 142 PIHAK 3
342 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 204 204 PIHAK 3
343 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 246 246 PIHAK 3
344 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 152 152 PIHAK 3
345 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 287 287 SURYA SUKSES PERKASA, PT
346 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 40 40 KIMIA FARMA
347 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 103 103 KIMIA FARMA
348 11001784 FITUNO IMMUNE KIDS 60ML BT 1 25,500 52 52 KIMIA FARMA
349 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,041 6,041 KIMIA FARMA
350 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 47 47 PRATAPA NIRMALA
351 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 202 202 PRATAPA NIRMALA
352 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 151 151 PRATAPA NIRMALA
353 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 132 132 KIMIA FARMA
354 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 171 PHAPROS, PT
355 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
356 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 104 104 DARYA VARIA, PT
357 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 940 940 MOLEX AYUS, PT
358 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 5 5 PYRIDAM, PT
359 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 5 39 44 KIMIA FARMA
360 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 59 59 PRATAPA NIRMALA
361 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 200 200 PHAPROS, PT
362 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 15 15 PRATAPA NIRMALA
363 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,529 1,529 MOLEX AYUS, PT
364 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 5,244 5,244 MOLEX AYUS, PT
365 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 1,234 90 1,324 KIMIA FARMA
366 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 63 63 PHAPROS, PT
367 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 538 110 648 KIMIA FARMA
368 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
369 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 38 10 600 648 KIMIA FARMA
370 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 418 418 KIMIA FARMA
371 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 172 7 179 KIMIA FARMA
372 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 127 127 PRATAPA NIRMALA
373 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
374 12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) DUS 100 168,971 73 73 DARYA VARIA, PT
375 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 4 - - 4 NOVAPHARIN
376 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
377 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
378 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC 150 5,673 294 294 PIHAK 3
379 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
381 12006958 HEPAGARD DUS 0 76,230 68 68 PHAPROS, PT
382 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS 5 300,000 30 30 PRATAPA NIRMALA
383 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 2 2 KIMIA FARMA
384 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 10 52 62 KIMIA FARMA
385 12005248 HUSTAB 30X10S DUS 300 119,196 17 17 PHAPROS, PT
386 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJ DUS 100 16,087 514 147 661 KIMIA FARMA
387 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
388 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM DUS 24 3,458 0 0 KIMIA FARMA
389 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 226 226 PHAPROS, PT
390 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 601 601 PHAPROS, PT
391 12013954 HYTOSA (SAP) BT 1 122,000 48 48 SATYA ABADI PHARMA, PT
392 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
393 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 245 - - - 245 NOVAPHARIN
394 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 42 800 - 844 NOVAPHARIN
395 13086349 IMATERO 400 MG@10 DUS #N/A #N/A 45 45 PIHAK 3
396 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
397 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 6 6 PHAPROS, PT
398 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
399 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
400 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
401 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 1 1 PHAPROS, PT
402 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 30 30 MOLEX AYUS, PT
403 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
404 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 441 441 PRATAPA NIRMALA
405 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 507 507 PRATAPA NIRMALA
406 12007335 INSTO REGULAR 15 ML DUS 1 16,100 4 4 COMBIPHAR, PT
407 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 103 250 353 KIMIA FARMA
408 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 89 9 98 KIMIA FARMA
409 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 730 48 778 KIMIA FARMA
410 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 381 381 KIMIA FARMA
411 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 13 13 PRATAPA NIRMALA
412 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
413 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
414 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 147 147 KIMIA FARMA
415 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS 25 #N/A 0 0 KIMIA FARMA
416 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 438 100 538 NOVAPHARIN
417 11002016 KIFAMED EXAMINATION GLOVE POWDER FREE(MDUS 50 65,901 98 98 KIMIA FARMA
418 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XDUS 50 65,901 146 146 KIMIA FARMA
419 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 17 17 KIMIA FARMA
420 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 98 98 KIMIA FARMA
421 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 2 2 KIMIA FARMA
422 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM PAC 1 106,380 2 2 KIMIA FARMA
423 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
424 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
425 11002237 KIFAMED KURSI RODA RACING (KFM-R) DUS 1 927,027 24 24 KIMIA FARMA
426 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 692 692 KIMIA FARMA
427 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 233,182 4 4 KIMIA FARMA
428 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 138,182 7 7 KIMIA FARMA
429 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 3 3 KIMIA FARMA
430 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 42 42 KIMIA FARMA
431 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 21 21 KIMIA FARMA
432 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
433 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 36 36 KIMIA FARMA
434 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 73 73 KIMIA FARMA
435 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 167 167 PHAPROS, PT
436 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 370 370 PHAPROS, PT
437 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 50 KIMIA FARMA
438 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
439 12005748 KONDOM SUTRA ISI 12 X 12'S PAC 12 18,423 252 252 PIHAK 3
440 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 279 279 PRATAPA NIRMALA
441 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 1,030 1,030 PHAPROS, PT
442 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 734 734 PRATAPA NIRMALA
443 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
444 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
445 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
446 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
447 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 - 2 29 - 31 MEPROFARM
448 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 30 30 MOLEX AYUS, PT
449 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 709 709 MOLEX AYUS, PT
450 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
451 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 16 16 MOLEX AYUS, PT
452 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 88 88 MOLEX AYUS, PT
453 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 16 16 MOLEX AYUS, PT
454 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS #N/A #N/A - 3 111 - 114 PHAPROS, PT
455 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
456 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 509 2 511 PHAPROS, PT
457 12003048 LOPAMID TABLET @ 100 DUS 100 - 136 136 HARSEN LABORATORIES, PT
458 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 105 100 205 IFARS PHARMACEUTICAL, PT
459 12011680 LOPERAMIDE HCL 2MG TAB@100 (NOVA) DUS #N/A #N/A 20 20 NOVAPHARIN
460 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 76 76 KIMIA FARMA
461 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 12 75 26 113 NOVAPHARIN
462 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 57 57 KIMIA FARMA
463 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
464 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 16 16 PRATAPA NIRMALA
465 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
466 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
467 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 57 MUSTIKA RATUBUANA INTERNATIONAL, PT
468 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 6 6 MUSTIKA RATUBUANA INTERNATIONAL, PT
469 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 1,254 1,254 KIMIA FARMA
470 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 17 17 KIMIA FARMA
471 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 32 32 KIMIA FARMA
472 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 97 97 KIMIA FARMA
473 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
474 11001945 MARCKS BREATHABLE POWDER NATURAL BEIG BOX 1 34,700 1 1 KIMIA FARMA
475 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 187 187 KIMIA FARMA
476 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 84 84 KIMIA FARMA
477 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 78 78 KIMIA FARMA
478 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 7,603 7,603 KIMIA FARMA
479 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 1,109 1,109 KIMIA FARMA
480 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 451 451 KIMIA FARMA
481 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT 1 17,300 20 20 KIMIA FARMA
482 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 4 4 KIMIA FARMA
483 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 35 35 KIMIA FARMA
484 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 200 200 KIMIA FARMA
485 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 183 183 KIMIA FARMA
486 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 233 233 KIMIA FARMA
487 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 72 72 KIMIA FARMA
488 11001315 MARCKS TEENS REFILL COMPACT POWDER PINKPC 12 15,500 51 51 KIMIA FARMA
489 11001314 MARCKS TEENS REFILL COMPACT POWDER WHI PC 12 15,500 36 36 KIMIA FARMA
490 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 48 48 PHAPROS, PT
491 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 6 6 DARYA VARIA, PT
492 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 87 87 PT. LIKUID PHARMALAB INDONESIA
493 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 35 35 PT. LIKUID PHARMALAB INDONESIA
494 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 258 258 PT. LIKUID PHARMALAB INDONESIA
495 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
496 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
497 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
498 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
499 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
500 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 223 223 PT. LIKUID PHARMALAB INDONESIA
501 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
502 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 443 443 PT. LIKUID PHARMALAB INDONESIA
503 12014983 MEFENAMIC ACID KAP 500 MG DUS #N/A #N/A 750 750 HOLI PHARMA
504 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 14 14 KIMIA FARMA
505 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 55 - - 55 PRATAPA NIRMALA
506 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,122 1,122 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A 1 1 MEPROFARM
508 12007628 METANEURON TABLET DUS 300 311,454 3 3 PHAPROS, PT
509 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 10 10 PHAPROS, PT
510 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 88 107 195 KIMIA FARMA
511 12014929 METHYLPREDNISOLONE 4(IFARS) DUS #N/A #N/A 120 120 IFARS PHARMACEUTICAL, PT
512 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 1,183 1,183 MOLEX AYUS, PT
513 12006926 METHYLPREDNISOLONE 8 MG TABLET(IFARS) DUS #N/A #N/A 80 80 IFARS PHARMACEUTICAL, PT
514 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA)DUS #N/A #N/A 150 500 650 PHAPROS, PT
515 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 400 10 300 710 KIMIA FARMA
516 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 80 80 KIMIA FARMA
517 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 MLDUS #N/A #N/A - 9 9 MEPROFARM
518 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
519 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 151 85 236 NOVAPHARIN
520 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
521 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 84 39 181 304 KIMIA FARMA
522 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 70 70 PRATAPA NIRMALA
523 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 81 81 MOLEX AYUS, PT
524 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 114 114 MOLEX AYUS, PT
525 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 127 127 MOLEX AYUS, PT
526 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 32 32 MOLEX AYUS, PT
527 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
528 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 60 60 MOLEX AYUS, PT
529 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 34 34 PRATAPA NIRMALA
530 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
531 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 1 1 KIMIA FARMA
532 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS #N/A #N/A 10 10 KIMIA FARMA
533 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 21 27 48 KIMIA FARMA
534 11000501 MST CONTINUS 10 MG DUS 60 852,000 10 10 MAHAKAM BETA FARMA
535 11000502 MST CONTINUS 15 MG DUS #N/A #N/A 5 5 MAHAKAM BETA FARMA
536 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
537 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 6 6 PHAPROS, PT
538 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 2 2 KIMIA FARMA
539 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
540 11002020 NACL 0.9% INFUS BT 1 7,009 9,864 9,864 KIMIA FARMA
541 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 141 141 PYRIDAM, PT
542 13083783 NATERAN 25MG TAB@30 DUS 3 1,200,000 3 3 FAHRENHEIT SYNTHON PHARMA
543 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
544 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 27 27 PHAPROS, PT
545 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS #N/A #N/A 100 1,000 1,100 PHAPROS, PT
546 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 34 34 DARYA VARIA, PT
547 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 164 164 DARYA VARIA, PT
548 12000826 NATUR E ADVANCED 16 S DUS 16 33,547 47 47 DARYA VARIA, PT
549 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 25 25 DARYA VARIA, PT
550 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 17 17 DARYA VARIA, PT
551 12000832 NATUR E HBL 100 ML BT 1 10,424 251 251 DARYA VARIA, PT
552 12000833 NATUR E HBL 245 ML BT 1 20,913 380 380 DARYA VARIA, PT
553 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
554 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
555 12005302 NATUR-E 300 IU 32's DUS 32 56,496 26 26 DARYA VARIA, PT
556 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
557 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 711 711 MOLEX AYUS, PT
558 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 54,040 18 18 DARYA VARIA, PT
559 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 240,000 20 20 PRATAPA NIRMALA
560 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
561 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
562 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
563 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 22 22 DARYA VARIA, PT
564 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
565 12000840 NIFURAL SYR BT 1 60,300 50 50 DARYA VARIA, PT
566 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
567 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 478 1,200 1,678 SINAR RODA UTAMA, PT
568 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 3,000 3,055 SINAR RODA UTAMA, PT
569 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC #N/A #N/A - - 15,000 - - 15,000 SINAR RODA UTAMA, PT
570 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC 1 1,170 500 10,500 11,000 SINAR RODA UTAMA, PT
571 12003644 NIPRO SYRINGE 20 ML LS W/O NEEDLE PC #N/A #N/A 5,000 5,000 SINAR RODA UTAMA, PT
572 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC #N/A #N/A 25,400 25,400 SINAR RODA UTAMA, PT
573 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2inch PC #N/A #N/A 25,000 25,000 SINAR RODA UTAMA, PT
574 12003645 NIPRO SYRINGE 50 ML LS W/O NEEDLE PC #N/A #N/A 10 10 SINAR RODA UTAMA, PT
575 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,411 2,411 SINAR RODA UTAMA, PT
576 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 210 10 220 PHAPROS, PT
577 11001530 NITROKAF RETARD (DUS 100 KAPS)-BJN DUS 100 2,460 9 9 KIMIA FARMA
578 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 57 102 159 KIMIA FARMA
579 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS 100 246,000 3 - 87 - 90 KIMIA FARMA
580 12004990 NOKOBA INJ AMP@5 (FAH) DUS 5 525,000 7 7 PRATAPA NIRMALA
581 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 415 415 PHAPROS, PT
582 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 79 79 PRATAPA NIRMALA
583 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
584 12009890 NOZA @4 TAB STR 4 2,900 19,700 19,700 PHAPROS, PT
585 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,742 1,742 EMJEBE PHARMA , PT
586 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
587 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 55 55 PRATAPA NIRMALA
588 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 141 141 IFARS PHARMACEUTICAL, PT
589 12015035 NYSTATIN DROP DUS 10 - 2 10 12 PIHAK 3
590 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 308 204 15 527 PHAPROS, PT
591 12008469 OBH 60ML MOL BT 1 5,000 600 20 620 MOLEX AYUS, PT
592 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 299 299 COMBIPHAR, PT
593 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 603 603 COMBIPHAR, PT
594 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 253 253 COMBIPHAR, PT
595 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 MBT 1 12,500 221 221 COMBIPHAR, PT
596 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 75 75 COMBIPHAR, PT
597 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 12,300 75 75 COMBIPHAR, PT
598 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 128 128 COMBIPHAR, PT
599 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 54 54 COMBIPHAR, PT
600 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 256 256 COMBIPHAR, PT
601 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 149 149 COMBIPHAR, PT
602 12014394 OBH JERUK NIPIS + MENTHOL @100 ML (HOLI) BT #N/A #N/A 100 100 HOLI PHARMA
603 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 21 21 DARYA VARIA, PT
604 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
605 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
606 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 178 4 182 DARYA VARIA, PT
607 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 133 290 - - 423 PHAPROS, PT
608 12013094 ONDANSETRON 4MG TAB@100 (NOVA) DUS #N/A #N/A 4 4 NOVAPHARIN
609 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
610 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
611 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 45 45 SATYA ABADI PHARMA, PT
612 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 12 12 PYRIDAM, PT
613 13007995 OSTEOTIN CAP@60 DUS 60 179,100 5 5 PHAPROS, PT
614 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
615 11000298 OXYTETRACYCLIN 3% SK(DUS 25 TUBE@5 GRAM)DUS #N/A #N/A 10 10 KIMIA FARMA
616 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 90 90 PIHAK 3
617 11002118 PANKREON FOR CHILDREN 5G-BJN (DUS 10 SC) DUS 10 96,000 5 5 KIMIA FARMA
618 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 155 155 PHAPROS, PT
619 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 11 1,000 1,011 KIMIA FARMA
620 12015022 PARACETAMOL 500 MG (HARSEN) DUS #N/A #N/A 975 975 HARSEN LABORATORIES, PT
621 12002397 PARACETAMOL 500MG TAB@100 (NOVA) DUS #N/A #N/A 1,345 1,345 NOVAPHARIN
622 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
623 12014931 PARACETAMOL DROPS(IFARS) DUS #N/A #N/A 140 - 140 IFARS PHARMACEUTICAL, PT
624 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11 815 826 DARYA VARIA, PT
625 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 163 163 DARYA VARIA, PT
626 13001135 PEHADOXIN FORTE TAB@100 DUS 100 85,000 98 98 PHAPROS, PT
627 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 48 48 PHAPROS, PT
628 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 15 15 PHAPROS, PT
629 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
630 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 143 143 PHAPROS, PT
631 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 178 - 178 PRATAPA NIRMALA
632 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
633 11002221 PERMETHRIN KRIM 5% (DUS 25 TUB @10 G) DUS #N/A #N/A 1 1 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 126 126 KIMIA FARMA
635 13009792 PHADILON 125MG INJ VL 1 30,000 9 9 PHAPROS, PT
636 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
637 13009794 PHAMINOV INJ@10 DUS 10 65,000 180 180 PHAPROS, PT
638 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
639 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
640 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 364 520 884 LUCAS DJAJA
641 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
642 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A - 48 36 - 84 MEPROFARM
643 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 89 1 40 130 PHAPROS, PT
644 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 6 6 PHAPROS, PT
645 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA)DUS 30 168,000 56 56 PHAPROS, PT
646 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,600 1,600 KIMIA FARMA
647 12011710 POTASSIUM CHLORIDE 7.46% 25 ML (SATORIA) AMP #N/A #N/A 20 20 SATORIA ANEKA INDUSTRI, PT
648 12007665 PPD 2 TU (BF) VL 1 770,000 30 30 BIOFARMA
649 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 73,000 4 - - 4 PRATAPA NIRMALA
650 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 287 287 PRATAPA NIRMALA
651 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
652 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
653 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A - 1 1 IFARS PHARMACEUTICAL, PT
654 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 1 1 PYRIDAM, PT
655 12011689 PREGABALIN 75MG @30 KPS (PEHA) DUS #N/A #N/A 30 30 PHAPROS, PT
656 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 16 16 KIMIA FARMA
657 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 70 70 PRATAPA NIRMALA
658 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 102 992 1,094 PHAPROS, PT
659 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
660 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 20 20 MOLEX AYUS, PT
661 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 420 420 MOLEX AYUS, PT
662 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 390 390 MOLEX AYUS, PT
663 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 44 44 MOLEX AYUS, PT
664 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 97 97 MOLEX AYUS, PT
665 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 30 30 MOLEX AYUS, PT
666 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 60 60 MOLEX AYUS, PT
667 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
668 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 63 63 PHAPROS, PT
669 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 19 19 PHAPROS, PT
670 13001143 PRO TB2 TAB@28 DUS 28 184,450 75 75 PHAPROS, PT
671 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
672 12010403 PROFERRO TAB@30 (FAH) DUS 30 157,000 33 33 PRATAPA NIRMALA
673 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 98 98 PHAPROS, PT
674 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
675 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 15 19 34 HOLI PHARMA
676 12001218 PROPANOLOL TAB 40 MG DUS #N/A #N/A 10 - - 10 HOLI PHARMA
677 11000293 PROTOFEN SUPP (DUS 20 SUPP) DUS 20 189,750 25 25 KIMIA FARMA
678 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
679 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
680 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 67 67 KIMIA FARMA
681 12001220 PYRANTEL TAB 125 MG DUS #N/A #N/A - - 133 - 133 HOLI PHARMA
682 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
683 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
684 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 110 40 150 PHAPROS, PT
685 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 29 29 PRATAPA NIRMALA
686 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
687 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
688 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 125 125 PRATAPA NIRMALA
689 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 111 111 PRATAPA NIRMALA
690 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 34 34 PRATAPA NIRMALA
691 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 46 - 46 LUCAS DJAJA
692 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 - 50 LUCAS DJAJA
693 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 265 265 KIMIA FARMA
694 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
695 12008263 RINGER LACTATE 500 ML (SATORIA) BT #N/A #N/A 1,500 7,000 8,500 SATORIA ANEKA INDUSTRI, PT
696 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 195 195 MERSIFARMA
697 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 217 217 PHAPROS, PT
698 12008474 RIVANOL 100ML MOL BT 1 4,000 1,789 1,789 MOLEX AYUS, PT
699 12008475 RIVANOL 300ML MOL BT 1 9,000 384 384 MOLEX AYUS, PT
700 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC PAC 10 17,874 171 171 PIHAK 3
701 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 14 14 KIMIA FARMA
702 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 53 53 PRATAPA NIRMALA
703 11002254 SALICYL KF FRESH NEW FORMULA 60 GRAM BT 1 9,291 303 303 KIMIA FARMA
704 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,222 2,222 KIMIA FARMA
705 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
706 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 10 10 PT. LIKUID PHARMALAB INDONESIA
707 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 30 30 PT. LIKUID PHARMALAB INDONESIA
708 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
709 12003688 SCANBAND DIRECT THERMAL BLUE 7022-13-PDMPC 1 1,900 500 500 SINAR RODA UTAMA, PT
710 12003689 SCANBAND DIRECT THERMAL PINK 7022-12-PDM PC 1 1,900 500 500 SINAR RODA UTAMA, PT
711 12005563 SCOPMA 10 MG KAPL @ 100(IFARS) DUS #N/A #N/A 25 25 IFARS PHARMACEUTICAL, PT
712 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 12 12 SINKONA INDONESIA LESTARI, PT
713 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 22 22 SINKONA INDONESIA LESTARI, PT
714 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 6 6 SINKONA INDONESIA LESTARI, PT
715 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
716 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
717 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 112 112 PRATAPA NIRMALA
718 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 103 103 PRATAPA NIRMALA
719 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 69 69 PRATAPA NIRMALA
720 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
721 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
722 12013106 SIMVASTATIN 10MG TAB@100 (NOVA) DUS #N/A #N/A 140 140 NOVAPHARIN
723 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
724 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS 100 #N/A 38 97 135 NOVAPHARIN
725 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 23 23 PHAPROS, PT
726 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 1,900 80 1,980 SATORIA ANEKA INDUSTRI, PT
727 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT #N/A #N/A 3,840 5,000 8,840 SATORIA ANEKA INDUSTRI, PT
728 12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) BT #N/A 26,400 117 117 PHAPROS, PT
729 12011578 SONIDE 0.25 INHALASI 2ML AMP@10 (FAH) DUS 10 157,000 48 48 PRATAPA NIRMALA
730 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
731 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
732 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
733 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 7 11 PHAPROS, PT
734 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 18 18 MEGA MEDICA PHARMACEUTICALS, PT
735 11000493 SUFENTA 0.005 MG INJEKSI (PCC) DUS #N/A #N/A 2 2 PIRAMAL CRITICAL CARE LTD
736 12008222 SULFADIAZINE 500 MG (IFARS) DUS #N/A #N/A 3 3 IFARS PHARMACEUTICAL, PT
737 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 3 3 DARYA VARIA, PT
738 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
Stok Per Tanggal 06 September 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002397 ACARBOSE 100 MG (DUS 100 TAB) DUS 100 121,875 280 125 405 KIMIA FARMA
2 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 410 8 418 KIMIA FARMA
3 12011198 ACETYLSALICYLIC ACID TAB 100 MG (PEHA) DUS #N/A #N/A 2 2 PHAPROS, PT
4 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 225 60 285 KIMIA FARMA
5 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 113 115 228 KIMIA FARMA
6 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 0 KIMIA FARMA
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 681 493 15 1,189 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 11 11 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 82 82 SATYA ABADI PHARMA,
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA,
11 11000006 ALERGINE 10 MG TSS (DUS 50 TAB) DUS 50 140,250 16 16 KIMIA FARMA
12 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 6 500 506 MOLEX AYUS, PT
13 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 731 731 MOLEX AYUS, PT
14 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 733 733 MOLEX AYUS, PT
15 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 16 16 DARYA VARIA, PT
16 11001445 ALLOPURINOL 100 MG (DUS 100 TAB)-BJN DUS 100 22,116 12 12 KIMIA FARMA
17 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 35 27 62 KIMIA FARMA
18 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 100 266 366 KIMIA FARMA
19 12015574 AMAROPO ACTIVE DUS@100 KPL (PEHA) DUS 100 285,000 18 18 PHAPROS, PT
20 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
21 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 172 172 KIMIA FARMA
22 12012248 AMBROXOL HCI 30MG @100 TAB (HOLI) DUS #N/A #N/A 230 230 PIHAK 3
23 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
24 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 15 15 MARIN LIZA
25 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 179 2 11 - 192 PHAPROS, PT
26 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 1 1 DARYA VARIA, PT
27 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 - 40 DARYA VARIA, PT
28 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 14,250 499 200 2,124 2,823 KIMIA FARMA
29 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 954 2,409 2,700 6,063 KIMIA FARMA
30 12014919 AMLODIPINE BESILATE 5 MG(IFARS) DUS #N/A #N/A 500 500 IFARS PHARMACEUTICA
31 12009826 AMLODIPINE BESYLATE 10MG @30 TAB (PEHA) DUS #N/A #N/A 166 166 PHAPROS, PT
32 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
33 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 290 - 290 MEPROFARM
34 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 409 409 MERSIFARMA
35 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT #N/A #N/A 2,492 2,492 NOVAPHARIN
36 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 7 7 PHAPROS, PT
37 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 27 27 PIHAK 3
38 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 270 270 PIHAK 3
39 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 73,920 73,920 PIHAK 3
40 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 148 148 PIHAK 3
41 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
42 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
43 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 28 153 12 193 KIMIA FARMA
44 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 639 639 PHAPROS, PT
45 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
46 12005096 ANTIMO DEWASA TAB DUS 1 309,600 382 382 PHAPROS, PT
47 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
48 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
49 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAY
50 12012214 ASAM FOLAT 1MG TAB@100 (NOVA) DUS #N/A #N/A 623 623 NOVAPHARIN
51 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 155 84 239 KIMIA FARMA
52 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 266 266 KIMIA FARMA
53 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
54 13008789 ASPIL 1GR INJ VIAL@2 (FAH) DUS 2 199,000 300 300 PRATAPA NIRMALA
55 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A - 3 3 DARYA VARIA, PT
56 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
57 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 52 52 PRATAPA NIRMALA
58 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 60 60 PRATAPA NIRMALA
59 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 54 54 KIMIA FARMA
60 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 11 - 11 DARYA VARIA, PT
61 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 119 300 419 KIMIA FARMA
62 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
63 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHIND
64 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHIND
65 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 5 - 12 200 - 217 KIMIA FARMA
66 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 675 675 KIMIA FARMA
67 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,600 6,600 KIMIA FARMA
68 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALA
69 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 12 12 PT. LIKUID PHARMALA
70 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 32 600 632 PT. LIKUID PHARMALA
71 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 16 16 PT. LIKUID PHARMALA
72 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 4 4 PT. LIKUID PHARMALA
73 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 4 4 PT. LIKUID PHARMALA
74 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 36 36 PT. LIKUID PHARMALA
75 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALA
76 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALA
77 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALA
78 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 69 69 PT. LIKUID PHARMALA
79 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALA
80 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALA
81 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALA
82 13080427 BECEFORT STRIP ISI 4@100 DUS 100 115,000 49 49 PHAPROS, PT
83 13022661 BECEFORT SYR 60ML BT 1 14,998 17 - - 17 PHAPROS, PT
84 13022662 BECEFORT TAB@100 DUS 100 140,766 27 27 PHAPROS, PT
85 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 672 672 KIMIA FARMA
86 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 24 PHAPROS, PT
87 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 8 13 256 277 KIMIA FARMA
88 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 60 60 KIMIA FARMA
89 11000384 BETASON N CREAM (DUS 24 TUB @5 G) DUS 24 356,400 100 100 KIMIA FARMA
90 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 721 721 MOLEX AYUS, PT
91 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 9 9 NUFARINDO, PT
92 13010355 BIO ATP KPL@100 DUS 100 214,180 11 11 PHAPROS, PT
93 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 410 410 BIO AXION HEALTHIND
94 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 20 20 DARYA VARIA, PT
95 13026576 BIORON TAB@100 DUS 100 101,650 38 38 PHAPROS, PT
96 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
97 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 - 105 105 HARSEN LABORATORIE
98 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 25 25 OPELLA HEALTHCARE
99 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 71,250 200 579 230 1,009 KIMIA FARMA
100 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
101 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
102 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRADUS 1 400,000 30 30 PHAPROS, PT
103 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 48 48 SATYA ABADI PHARMA,
104 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
105 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 40 40 PRATAPA NIRMALA
106 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 350,000 140 140 PRATAPA NIRMALA
107 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 159 159 DARYA VARIA, PT
108 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 289 289 PHAPROS, PT
109 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 89 89 PHAPROS, PT
110 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A 140 140 NOVAPHARIN
111 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 146 146 PRATAPA NIRMALA
112 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
113 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 22 22 PRATAPA NIRMALA
114 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
115 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 607 607 PHAPROS, PT
116 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 812 812 KIMIA FARMA
117 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 181 100 4,199 4,480 PHAPROS, PT
118 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
119 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT #N/A #N/A 100 2,000 2,100 IFARS PHARMACEUTICA
120 12008218 CEFADROXIL 250 MG/5ML (IFARS) BT #N/A #N/A 150 150 IFARS PHARMACEUTICA
121 12008219 CEFIXIME 100 MG/5 ML (IFARS) BT #N/A #N/A 61 189 250 IFARS PHARMACEUTICA
122 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 20 PIHAK 3
123 12014923 CEFIXIME TRIHYDRATE 100 MG(IFARS) DUS #N/A #N/A 212 212 IFARS PHARMACEUTICA
124 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHA) DUS #N/A #N/A 487 487 PHAPROS, PT
125 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 9 9 CENDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
127 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
128 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 35 35 CENDO, PT
129 12004099 CENDO CATARLENT EYE DROP 5 ML BT 1 22,625 200 200 CENDO, PT
130 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 242 242 CENDO, PT
131 12004104 CENDO CENFRESH MINIDOSE 5 X 0.6 ML STR 1 23,000 300 300 CENDO, PT
132 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
133 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
134 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
135 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 35 35 CENDO, PT
136 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 118 118 CENDO, PT
137 12004123 CENDO EYEFRESH MILD MINIDOSE 5 X 0.6 ML STR 1 30,625 15 15 CENDO, PT
138 12004124 CENDO EYEFRESH MINIDOSE 5 X 0.6 ML STR 1 23,125 150 150 CENDO, PT
139 12004125 CENDO EYEFRESH PLUS MINIDOSE 5 X 0.6 ML STR 1 34,875 120 120 CENDO, PT
140 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 15 15 CENDO, PT
141 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 29 29 CENDO, PT
142 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 64 64 CENDO, PT
143 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
144 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 48 48 CENDO, PT
145 12004131 CENDO FLOXA EYE DROP 5 ML BT 1 30,525 189 189 CENDO, PT
146 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 204 204 CENDO, PT
147 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 96 96 CENDO, PT
148 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 133 133 CENDO, PT
149 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 337 337 CENDO, PT
150 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 27 27 CENDO, PT
151 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
152 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 9 9 CENDO, PT
153 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
154 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 252 252 CENDO, PT
155 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 2 2 CENDO, PT
156 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
157 12004144 CENDO HYALUB EYE DROP 5 ML BT 1 53,250 97 97 CENDO, PT
158 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 57,000 100 100 CENDO, PT
159 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
160 12004147 CENDO LFX EYE DROP 5 ML BT 1 69,250 98 98 CENDO, PT
161 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 154 154 CENDO, PT
162 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 93 93 CENDO, PT
163 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
164 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 1,048 1,048 CENDO, PT
165 12004153 CENDO LYTEERS MINIDOSE 5 X 0.6 ML STR 1 19,250 488 488 CENDO, PT
166 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
167 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 11 11 CENDO, PT
168 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
169 12004160 CENDO MYDRIATYL 0.5% EYE DROP 5 ML BT 1 28,875 36 36 CENDO, PT
170 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 51 51 CENDO, PT
171 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
172 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
173 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 - 3 3 CENDO, PT
174 13005497 CENDO P - PRED EYE DROP 5ML BT 1 55,500 96 96 CENDO, PT
175 12004170 CENDO P - PRED MINIDOSE 5 X 0.6 ML STR 1 38,250 60 60 CENDO, PT
176 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 9 9 CENDO, PT
177 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 28 28 CENDO, PT
178 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 314 314 CENDO, PT
179 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 136 136 CENDO, PT
180 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
181 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 8 8 CENDO, PT
182 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
183 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
184 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
185 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
186 12004184 CENDO PROTAGENTA MINIDOSE 5 X 0.6 ML STR 1 35,875 20 20 CENDO, PT
187 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 50 50 CENDO, PT
188 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 63 63 CENDO, PT
189 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 190 190 CENDO, PT
190 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 200 200 CENDO, PT
191 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 24 24 CENDO, PT
192 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 87 87 CENDO, PT
193 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 110 110 CENDO, PT
194 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 40 40 CENDO, PT
195 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 29,000 200 200 CENDO, PT
196 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
197 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 25 CENDO, PT
198 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
199 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
200 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 7 7 CENDO, PT
201 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
202 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
203 12005164 CENDO VITAL TAB@30 DUS 30 90,000 11 11 CENDO, PT
204 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 55 55 CENDO, PT
205 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 1,882 1,882 CENDO, PT
206 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
207 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 355 355 CENDO, PT
208 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
209 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 139 139 KIMIA FARMA
210 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
211 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMA
212 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 54 54 MEGA MEDICA PHARMA
213 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 68 68 MEGA MEDICA PHARMA
214 12006912 CHANNA PLUS SACHET DUS 3 190,500 43 43 MEGA MEDICA PHARMA
215 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 30 30 MEGA MEDICA PHARMA
216 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 117 8 125 MEGA MEDICA PHARMA
217 13084478 CHANNAFIT SYR 100ML BT 1 70,000 14 14 MEGA MEDICA PHARMA
218 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 19 19 KIMIA FARMA
219 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 62 62 KIMIA FARMA
220 11000295 CHLORAMFENICOL 1 % S.M (DUS 24 TUB @5 G) DUS #N/A #N/A 180 180 KIMIA FARMA
221 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJNDUS 100 61,622 7 7 KIMIA FARMA
222 12014989 CHLORAMPHENICOL KAPS 250MG DUS #N/A #N/A 249 249 HOLI PHARMA
223 12014068 CHLORPHENAMINE MALEATE 4MG @100 KPL HOLDUS #N/A #N/A 170 1,300 1,470 HOLI PHARMA
224 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 320 120 50 - 490 NOVAPHARIN
225 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 1 PHAPROS, PT
226 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 45 1 3 49 PHAPROS, PT
227 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 507 507 KIMIA FARMA
228 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 175 5 180 NOVAPHARIN
229 12014925 CIPROFLOXACIN HCL MONOHYDRATE 500 MG(IFADUS #N/A #N/A 760 760 IFARS PHARMACEUTICA
230 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 451 451 KIMIA FARMA
231 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 346 346 KIMIA FARMA
232 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 893 893 KIMIA FARMA
233 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 150 PHAPROS, PT
234 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC 1 4,231 4,527 4,527 PIHAK 3
235 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC 1 5,743 4,380 4,380 PIHAK 3
236 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC 200 2,499 3,073 3,073 PIHAK 3
237 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC 70 1,504 1,246 1,246 PIHAK 3
238 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC 70 6,288 661 661 PIHAK 3
239 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
240 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
241 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 441 100 541 KIMIA FARMA
242 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 567 720 0 1,287 KIMIA FARMA
243 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 140 140 PHAPROS, PT
244 12012932 CLOTAIRE 90MG TAB@30 (FAH) DUS 30 300,000 50 50 PRATAPA NIRMALA
245 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 64 89 153 KIMIA FARMA
246 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 30 30 KIMIA FARMA
247 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 17 51 68 KIMIA FARMA
248 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 5 5 KIMIA FARMA
249 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
250 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
251 13010466 CORSEL KPL@30 (FAH) DUS 30 180,000 50 50 PRATAPA NIRMALA
252 12001206 COTRIMOXAZOL SYR(HOLI) BT #N/A #N/A 300 300 HOLI PHARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 12011769 COTRIMOXAZOLE SYR GIFAR 60ML BT #N/A #N/A - 1,400 1,400 IFARS PHARMACEUTICA
254 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
255 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
256 12012933 CYPRODIOL TAB@21 (FAH) DUS 21 130,000 50 50 PRATAPA NIRMALA
257 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
258 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,631 1,631 BHINNEKA USADA RAY
259 13076707 D-ARTEPP TAB@9 DUS 9 72,000 55,580 55,580 BHINNEKA USADA RAY
260 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 404 404 DARYA VARIA, PT
261 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 341 341 HARSEN LABORATORIE
262 12006576 DECADRYL EXP 60 ML BT 1 15,500 246 246 HARSEN LABORATORIE
263 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 49 49 DARYA VARIA, PT
264 12000772 DECOLSIN KAPSUL @ 100 (UN) DUS 100 55,650 22 22 DARYA VARIA, PT
265 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 65 65 DARYA VARIA, PT
266 12000774 DEGIROL LOZ @ 100 (UN) DUS 100 103,371 100 100 DARYA VARIA, PT
267 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 1,900 PIHAK 3
268 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 121 121 KIMIA FARMA
269 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 369 41 152 8 570 PHAPROS, PT
270 11000048 DEXOCORT 0.25%/10GR KRIM (DUS 25 TUB) TUB 1 38,400 148 148 KIMIA FARMA
271 13000718 DEXTAMIN TAB@100 DUS 100 165,000 212 212 PHAPROS, PT
272 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 229 229 PHAPROS, PT
273 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
274 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
275 12008251 DEXTROESE 10% 500 ML (SATORIA) BT #N/A #N/A 3,725 200 3,925 SATORIA ANEKA INDUS
276 12008250 DEXTROESE 5% 500 ML (SATORIA) BT #N/A #N/A 2,660 2,660 SATORIA ANEKA INDUS
277 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 26 26 PHAPROS, PT
278 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
279 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
280 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 846 18 864 KIMIA FARMA
281 13002883 DIOS TAB@30 DUS 30 115,000 95 95 PHAPROS, PT
282 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 #N/A 23 23 PHAPROS, PT
283 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
284 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
285 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
286 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
287 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
288 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 - - - 30 30 NOVAPHARIN
289 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
290 11000054 DOXEF 125 MG/ML SIRUP KERING BT 1 54,000 2 2 KIMIA FARMA
291 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 2 2 KIMIA FARMA
292 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 70,000 82 82 KIMIA FARMA
293 12003671 DT LABEL BLUE PMS PERMANENT 2" X 2-3/8" RLL 1 730,400 1 1 SINAR RODA UTAMA, P
294 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, P
295 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 69 69 OPELLA HEALTHCARE
296 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 25 25 OPELLA HEALTHCARE
297 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIE
298 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 27 27 JANSSEN PHARMACEU
299 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 34 34 JANSSEN PHARMACEU
300 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 11 11 KIMIA FARMA
301 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
302 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
303 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
304 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 258 258 PRATAPA NIRMALA
305 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 38 38 DARYA VARIA, PT
306 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 18 18 DARYA VARIA, PT
307 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
308 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,212 7,212 KIMIA FARMA
309 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS #N/A #N/A - 30 - 30 PHAPROS, PT
310 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
311 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
312 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
313 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 140 140 RAMA EMERALD, PT
314 12014388 ESTAZOR 250MG BLISTER CAP@30 (FAH) DUS 30 270,000 50 50 PRATAPA NIRMALA
315 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 0 1 3 KIMIA FARMA
316 12008506 EVA TABLET (HARSEN) DUS 21 42,545 50 50 HARSEN LABORATORIE
317 11001489 EXTRALAC SYRUP (BTL 60 ML)-BJN BT 1 39,000 17 17 KIMIA FARMA
318 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC 1 25,487 232 232 PIHAK 3
319 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 18 18 PRATAPA NIRMALA
320 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 105,000 438 438 PRATAPA NIRMALA
321 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 187 187 PRATAPA NIRMALA
322 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 174 174 PRATAPA NIRMALA
323 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 119 119 PRATAPA NIRMALA
324 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 58 58 PRATAPA NIRMALA
325 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 1 PRATAPA NIRMALA
326 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 103 50 153 PRATAPA NIRMALA
327 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 81 81 PRATAPA NIRMALA
328 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 129 129 PRATAPA NIRMALA
329 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 25 21 46 PRATAPA NIRMALA
330 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
331 13026489 FARPRESIN INJ VIAL@5 (FAH) DUS 5 900,000 19 19 PRATAPA NIRMALA
332 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 #N/A 188 188 PRATAPA NIRMALA
333 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
334 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
335 13019430 FEBRINEX SYR 60ML BT 1 14,414 34 34 PHAPROS, PT
336 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 33 33 PRATAPA NIRMALA
337 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 140 140 PRATAPA NIRMALA
338 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 2 MAHAKAM BETA FARM
339 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 102 102 MAHAKAM BETA FARM
340 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 156 156 KIMIA FARMA
341 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 511 511 KIMIA FARMA
342 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRBT 1 30,000 751 751 KIMIA FARMA
343 13004747 FEXAZOL CR 5GR MOL TUB 1 7,000 120 120 MOLEX AYUS, PT
344 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 147 147 PIHAK 3
345 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 225 225 PIHAK 3
346 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 17 - 17 PIHAK 3
347 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 155 155 PIHAK 3
348 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 288 288 SURYA SUKSES PERKA
349 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 40 40 KIMIA FARMA
350 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 103 103 KIMIA FARMA
351 11001784 FITUNO IMMUNE KIDS 60ML BT 1 25,500 52 52 KIMIA FARMA
352 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 594 594 KIMIA FARMA
353 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,056 6,056 KIMIA FARMA
354 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 47 47 PRATAPA NIRMALA
355 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 202 202 PRATAPA NIRMALA
356 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 151 151 PRATAPA NIRMALA
357 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 132 132 KIMIA FARMA
358 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 171 PHAPROS, PT
359 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 275,000 1 1 PYRIDAM, PT
360 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
361 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 150 150 DARYA VARIA, PT
362 12008215 FUCILEX CR 5GR MOL TUB 1 10,000 1,200 1,200 MOLEX AYUS, PT
363 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 5 5 PYRIDAM, PT
364 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 5 59 64 KIMIA FARMA
365 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 10 KIMIA FARMA
366 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 70 70 PRATAPA NIRMALA
367 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 200 200 PHAPROS, PT
368 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 31 31 PRATAPA NIRMALA
369 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,695 1,695 MOLEX AYUS, PT
370 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 5,271 5,271 MOLEX AYUS, PT
371 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 1,363 90 1,453 KIMIA FARMA
372 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 103 103 PHAPROS, PT
373 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 738 110 848 KIMIA FARMA
374 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
375 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 41 10 600 651 KIMIA FARMA
376 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 468 468 KIMIA FARMA
377 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 179 7 186 KIMIA FARMA
378 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 178 178 PRATAPA NIRMALA
379 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) DUS 100 168,971 98 98 DARYA VARIA, PT
381 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 102 - - 102 NOVAPHARIN
382 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
383 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
384 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC 150 5,673 309 309 PIHAK 3
385 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
386 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
387 12006958 HEPAGARD DUS 0 76,230 74 74 PHAPROS, PT
388 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS 5 300,000 30 30 PRATAPA NIRMALA
389 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 2 2 KIMIA FARMA
390 11000516 HUMAN ALBUMIN 20 % 50 ML BT 1 400,901 1 1 KIMIA FARMA
391 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 20 552 572 KIMIA FARMA
392 12005248 HUSTAB 30X10S DUS 300 119,196 18 18 PHAPROS, PT
393 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJ DUS 100 16,087 517 147 664 KIMIA FARMA
394 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
395 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM DUS 24 3,458 0 43 44 KIMIA FARMA
396 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 130 130 PHAPROS, PT
397 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 558 558 PHAPROS, PT
398 12013954 HYTOSA (SAP) BT 1 122,000 48 48 SATYA ABADI PHARMA,
399 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
400 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 272 - - - 272 NOVAPHARIN
401 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 42 900 - 944 NOVAPHARIN
402 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
403 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 7 7 PHAPROS, PT
404 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
405 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC 1 2,600,000 2 2 PHAPROS, PT
406 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
407 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
408 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 1 1 PHAPROS, PT
409 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 30 30 MOLEX AYUS, PT
410 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
411 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 505 505 PRATAPA NIRMALA
412 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 511 511 PRATAPA NIRMALA
413 12007335 INSTO REGULAR 15 ML DUS 1 16,100 7 7 COMBIPHAR, PT
414 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 103 250 353 KIMIA FARMA
415 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 89 9 98 KIMIA FARMA
416 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 732 48 780 KIMIA FARMA
417 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 407 407 KIMIA FARMA
418 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 13 13 PRATAPA NIRMALA
419 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
420 12014943 ISONIAZID TABLET 300 MG DUS #N/A #N/A 20 20 HOLI PHARMA
421 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
422 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 147 147 KIMIA FARMA
423 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS 25 #N/A 0 0 KIMIA FARMA
424 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 438 100 538 NOVAPHARIN
425 12014957 KETOCONAZOLE SCALP SOL 20MG DUS #N/A #N/A 100 100 MEPROFARM
426 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS 12 30,600 181 181 PHAPROS, PT
427 11002016 KIFAMED EXAMINATION GLOVE POWDER FREE(MDUS 50 65,901 100 100 KIMIA FARMA
428 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XDUS 50 65,901 148 148 KIMIA FARMA
429 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 21 21 KIMIA FARMA
430 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 100 100 KIMIA FARMA
431 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 10 10 KIMIA FARMA
432 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC 50 143,190 3 3 KIMIA FARMA
433 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM PAC 1 106,380 2 2 KIMIA FARMA
434 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
435 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
436 11002237 KIFAMED KURSI RODA RACING (KFM-R) DUS 1 927,027 24 24 KIMIA FARMA
437 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 696 696 KIMIA FARMA
438 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC 1 233,182 4 4 KIMIA FARMA
439 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET 1 138,182 10 10 KIMIA FARMA
440 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
441 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 3 3 KIMIA FARMA
442 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 42 42 KIMIA FARMA
443 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 21 21 KIMIA FARMA
444 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
445 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 36 36 KIMIA FARMA
446 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 73 73 KIMIA FARMA
447 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 179 179 PHAPROS, PT
448 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 409 409 PHAPROS, PT
449 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 50 KIMIA FARMA
450 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICA
451 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 295 295 PRATAPA NIRMALA
452 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 1,030 1,030 PHAPROS, PT
453 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 734 734 PRATAPA NIRMALA
454 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
455 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, P
456 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
457 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
458 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 - 2 29 - 31 MEPROFARM
459 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 18 18 MOLEX AYUS, PT
460 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 90 90 MOLEX AYUS, PT
461 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 709 709 MOLEX AYUS, PT
462 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
463 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 40,000 16 16 MOLEX AYUS, PT
464 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 17 17 MOLEX AYUS, PT
465 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 88 88 MOLEX AYUS, PT
466 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 56 56 MOLEX AYUS, PT
467 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS #N/A #N/A 3 111 114 PHAPROS, PT
468 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
469 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS 30 315,000 41 41 KIMIA FARMA
470 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS 30 350,000 30 30 KIMIA FARMA
471 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 643 2 645 PHAPROS, PT
472 12003048 LOPAMID TABLET @ 100 DUS 100 - 136 136 HARSEN LABORATORIE
473 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 105 400 505 IFARS PHARMACEUTICA
474 12011680 LOPERAMIDE HCL 2MG TAB@100 (NOVA) DUS #N/A #N/A 20 20 NOVAPHARIN
475 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 78 78 KIMIA FARMA
476 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 26 75 26 127 NOVAPHARIN
477 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 60 60 KIMIA FARMA
478 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
479 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 16 16 PRATAPA NIRMALA
480 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA
481 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 7 7 MUSTIKA RATUBUANA
482 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 57 MUSTIKA RATUBUANA
483 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 6 6 MUSTIKA RATUBUANA
484 13027133 M RATU M ZAITUN 175ML BH 1 25,135 21 21 MUSTIKA RATUBUANA
485 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150M BT 1 20,739 5 5 MUSTIKA RATUBUANA
486 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 1,254 1,254 KIMIA FARMA
487 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 17 17 KIMIA FARMA
488 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 34 34 KIMIA FARMA
489 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 97 97 KIMIA FARMA
490 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
491 11001945 MARCKS BREATHABLE POWDER NATURAL BEIG BOX 1 34,700 1 1 KIMIA FARMA
492 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 187 187 KIMIA FARMA
493 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 92 92 KIMIA FARMA
494 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 82 82 KIMIA FARMA
495 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 7,620 7,620 KIMIA FARMA
496 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC 1 13,700 37 37 KIMIA FARMA
497 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 1,153 1,153 KIMIA FARMA
498 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 13,700 58 58 KIMIA FARMA
499 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC 1 13,700 24 24 KIMIA FARMA
500 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 451 451 KIMIA FARMA
501 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT 1 17,300 28 28 KIMIA FARMA
502 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 4 4 KIMIA FARMA
503 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 35 35 KIMIA FARMA
504 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 21 21 KIMIA FARMA
505 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 7 7 KIMIA FARMA
506 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 10 10 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 73 73 KIMIA FARMA
508 11001315 MARCKS TEENS REFILL COMPACT POWDER PINKPC 12 15,500 57 57 KIMIA FARMA
509 11001314 MARCKS TEENS REFILL COMPACT POWDER WHI PC 12 15,500 42 42 KIMIA FARMA
510 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 48 48 PHAPROS, PT
511 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 6 6 DARYA VARIA, PT
512 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 93 93 PT. LIKUID PHARMALA
513 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 45 45 PT. LIKUID PHARMALA
514 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT 1 11,825 154 2,136 2,290 PT. LIKUID PHARMALA
515 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 263 263 PT. LIKUID PHARMALA
516 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALA
517 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALA
518 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALA
519 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALA
520 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALA
521 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 234 234 PT. LIKUID PHARMALA
522 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALA
523 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 445 445 PT. LIKUID PHARMALA
524 12014983 MEFENAMIC ACID KAP 500 MG DUS #N/A #N/A 950 950 HOLI PHARMA
525 13083465 MEPROVENT INH AMP@10 DUS 10 #N/A 200 200 MEPROFARM
526 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 16 16 KIMIA FARMA
527 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 55 - - 55 PRATAPA NIRMALA
528 12009879 METAMIZOLE 250 MG/ML INJ @30 AMP (PEHA) DUS 30 84,000 444 444 PHAPROS, PT
529 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,156 1,156 KIMIA FARMA
530 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A 1 1 MEPROFARM
531 12007628 METANEURON TABLET DUS 300 311,454 3 3 PHAPROS, PT
532 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 13 13 PHAPROS, PT
533 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 851 3 854 KIMIA FARMA
534 12014929 METHYLPREDNISOLONE 4(IFARS) DUS #N/A #N/A 120 120 IFARS PHARMACEUTICA
535 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 2,000 2,000 MOLEX AYUS, PT
536 12006926 METHYLPREDNISOLONE 8 MG TABLET(IFARS) DUS #N/A #N/A 80 80 IFARS PHARMACEUTICA
537 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA)DUS #N/A #N/A 180 500 680 PHAPROS, PT
538 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 400 30 300 730 KIMIA FARMA
539 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 80 80 KIMIA FARMA
540 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 MLDUS #N/A #N/A - 9 9 MEPROFARM
541 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
542 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 181 85 266 NOVAPHARIN
543 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
544 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 95 44 581 720 KIMIA FARMA
545 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 70 70 PRATAPA NIRMALA
546 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 81 81 MOLEX AYUS, PT
547 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 128 128 MOLEX AYUS, PT
548 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 167 167 MOLEX AYUS, PT
549 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 32 32 MOLEX AYUS, PT
550 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
551 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 120 120 MOLEX AYUS, PT
552 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 34 34 PRATAPA NIRMALA
553 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
554 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 26 26 KIMIA FARMA
555 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 21 30 51 KIMIA FARMA
556 11000501 MST CONTINUS 10 MG DUS 60 852,000 10 10 MAHAKAM BETA FARM
557 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
558 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 8 PHAPROS, PT
559 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 2 2 KIMIA FARMA
560 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
561 11002020 NACL 0.9% INFUS BT 1 7,009 9,884 9,884 KIMIA FARMA
562 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 143 143 PYRIDAM, PT
563 13083783 NATERAN 25MG TAB@30 DUS 3 1,200,000 3 3 FAHRENHEIT SYNTHO
564 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
565 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 27 27 PHAPROS, PT
566 12009889 NATRIUM DIKLOFENAK 50 MG @50 TAB (PEHA) DUS #N/A #N/A 250 2,840 3,090 PHAPROS, PT
567 12000824 NATUR E ADVANCE HBL 100 ML BT 1 14,832 43 43 DARYA VARIA, PT
568 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 182 182 DARYA VARIA, PT
569 12000826 NATUR E ADVANCED 16 S DUS 16 33,547 50 50 DARYA VARIA, PT
570 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 25 25 DARYA VARIA, PT
571 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 17 17 DARYA VARIA, PT
572 12000832 NATUR E HBL 100 ML BT 1 10,424 299 299 DARYA VARIA, PT
573 12000833 NATUR E HBL 245 ML BT 1 20,913 496 496 DARYA VARIA, PT
574 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
575 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
576 12005302 NATUR-E 300 IU 32's DUS 32 56,496 28 28 DARYA VARIA, PT
577 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
578 12013182 NELANDOZ 2MG TAB@28 (FAH) DUS 28 410,000 11 11 PRATAPA NIRMALA
579 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 711 711 MOLEX AYUS, PT
580 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 54,040 20 20 DARYA VARIA, PT
581 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 240,000 20 20 PRATAPA NIRMALA
582 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIE
583 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
584 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS 30 250,000 98 98 KIMIA FARMA
585 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIE
586 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 23 23 DARYA VARIA, PT
587 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
588 12000840 NIFURAL SYR BT 1 60,300 50 50 DARYA VARIA, PT
589 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, P
590 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 478 1,200 1,678 SINAR RODA UTAMA, P
591 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 3,500 3,555 SINAR RODA UTAMA, P
592 12003651 NIPRO SAFELET CATH IV PU 22GX1" PC #N/A #N/A 2,500 2,500 SINAR RODA UTAMA, P
593 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC #N/A #N/A - - 15,000 - - 15,000 SINAR RODA UTAMA, P
594 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC 1 1,170 500 15,500 16,000 SINAR RODA UTAMA, P
595 12003644 NIPRO SYRINGE 20 ML LS W/O NEEDLE PC #N/A #N/A 9,000 9,000 SINAR RODA UTAMA, P
596 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC #N/A #N/A 25,400 25,400 SINAR RODA UTAMA, P
597 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2inch PC #N/A #N/A 25,000 25,000 SINAR RODA UTAMA, P
598 12003645 NIPRO SYRINGE 50 ML LS W/O NEEDLE PC #N/A #N/A 10 10 SINAR RODA UTAMA, P
599 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,411 2,411 SINAR RODA UTAMA, P
600 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 216 10 226 PHAPROS, PT
601 11001530 NITROKAF RETARD (DUS 100 KAPS)-BJN DUS 100 2,460 10 10 KIMIA FARMA
602 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 57 102 159 KIMIA FARMA
603 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS 100 246,000 14 - 179 - 193 KIMIA FARMA
604 12004990 NOKOBA INJ AMP@5 (FAH) DUS 5 525,000 12 12 PRATAPA NIRMALA
605 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 415 415 PHAPROS, PT
606 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 80 80 PRATAPA NIRMALA
607 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
608 12009890 NOZA @4 TAB STR 4 2,900 28,750 28,750 PHAPROS, PT
609 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,762 1,762 EMJEBE PHARMA , PT
610 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
611 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 55 55 PRATAPA NIRMALA
612 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 160 - - 160 IFARS PHARMACEUTICA
613 12015035 NYSTATIN DROP DUS 10 - 2 2 PIHAK 3
614 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 308 204 15 527 PHAPROS, PT
615 12008469 OBH 60ML MOL BT 1 5,000 600 20 620 MOLEX AYUS, PT
616 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 299 299 COMBIPHAR, PT
617 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 609 609 COMBIPHAR, PT
618 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 497 497 COMBIPHAR, PT
619 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 MBT 1 12,500 236 236 COMBIPHAR, PT
620 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 377 377 COMBIPHAR, PT
621 12004250 OBH COMBI BATUK FLU JAHE 60 ML BT 1 12,300 96 96 COMBIPHAR, PT
622 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 128 128 COMBIPHAR, PT
623 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 66 66 COMBIPHAR, PT
624 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 256 256 COMBIPHAR, PT
625 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 155 155 COMBIPHAR, PT
626 12014394 OBH JERUK NIPIS + MENTHOL @100 ML (HOLI) BT #N/A #N/A 100 100 HOLI PHARMA
627 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 21 21 DARYA VARIA, PT
628 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA,
629 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA,
630 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 220 4 224 DARYA VARIA, PT
631 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 247 300 - - 547 PHAPROS, PT
632 12013094 ONDANSETRON 4MG TAB@100 (NOVA) DUS #N/A #N/A 4 4 NOVAPHARIN
633 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
635 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 45 45 SATYA ABADI PHARMA,
636 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 12 12 PYRIDAM, PT
637 13007995 OSTEOTIN CAP@60 DUS 60 179,100 5 5 PHAPROS, PT
638 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
639 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3.5GRAMDUS #N/A #N/A 61 61 KIMIA FARMA
640 11000298 OXYTETRACYCLIN 3% SK(DUS 25 TUBE@5 GRAM)DUS #N/A #N/A 10 10 KIMIA FARMA
641 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 100 100 PIHAK 3
642 11002118 PANKREON FOR CHILDREN 5G-BJN (DUS 10 SC) DUS 10 96,000 5 5 KIMIA FARMA
643 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 155 155 PHAPROS, PT
644 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 53 175 1,800 2,028 KIMIA FARMA
645 12015022 PARACETAMOL 500 MG (HARSEN) DUS #N/A #N/A 1,000 1,000 HARSEN LABORATORIE
646 12002397 PARACETAMOL 500MG TAB@100 (NOVA) DUS #N/A #N/A 1,345 1,345 NOVAPHARIN
647 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
648 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11 865 876 DARYA VARIA, PT
649 12014994 PARACETAMOL SYR 120MG/5ML DUS #N/A #N/A 8,400 8,400 HOLI PHARMA
650 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 175 175 DARYA VARIA, PT
651 13001135 PEHADOXIN FORTE TAB@100 DUS 100 85,000 98 98 PHAPROS, PT
652 13001992 PEHAMOXIL 500MG KPL@50 DUS 50 37,950 48 48 PHAPROS, PT
653 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 15 15 PHAPROS, PT
654 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
655 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 144 50 194 PHAPROS, PT
656 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 303 - 303 PRATAPA NIRMALA
657 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
658 11002221 PERMETHRIN KRIM 5% (DUS 25 TUB @10 G) DUS #N/A #N/A 1 1 KIMIA FARMA
659 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 139 139 KIMIA FARMA
660 13009792 PHADILON 125MG INJ VL 1 30,000 9 9 PHAPROS, PT
661 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
662 13009794 PHAMINOV INJ@10 DUS 10 65,000 181 181 PHAPROS, PT
663 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE
664 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
665 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 364 520 884 LUCAS DJAJA
666 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
667 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A - 48 36 - 84 MEPROFARM
668 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 92 1 40 133 PHAPROS, PT
669 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 156 156 PHAPROS, PT
670 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA)DUS 30 168,000 87 87 PHAPROS, PT
671 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,638 1,638 KIMIA FARMA
672 12011710 POTASSIUM CHLORIDE 7.46% 25 ML (SATORIA) AMP #N/A #N/A 20 20 SATORIA ANEKA INDUS
673 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 73,000 5 - - 5 PRATAPA NIRMALA
674 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 270,000 27 27 PRATAPA NIRMALA
675 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 287 287 PRATAPA NIRMALA
676 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, P
677 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, P
678 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS 100 - 10 - 10 IMFARMIND FARMASI I
679 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A - 1 1 IFARS PHARMACEUTICA
680 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 1 1 PYRIDAM, PT
681 12011689 PREGABALIN 75MG @30 KPS (PEHA) DUS #N/A #N/A 30 30 PHAPROS, PT
682 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 16 16 KIMIA FARMA
683 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 70 70 PRATAPA NIRMALA
684 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 43 177 2,308 2,528 PHAPROS, PT
685 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
686 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 80 80 MOLEX AYUS, PT
687 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 430 430 MOLEX AYUS, PT
688 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 450 450 MOLEX AYUS, PT
689 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 44 44 MOLEX AYUS, PT
690 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 97 97 MOLEX AYUS, PT
691 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 40 40 MOLEX AYUS, PT
692 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 80 80 MOLEX AYUS, PT
693 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
694 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 71 71 PHAPROS, PT
695 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 19 19 PHAPROS, PT
696 13001143 PRO TB2 TAB@28 DUS 28 184,450 75 75 PHAPROS, PT
697 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
698 12010403 PROFERRO TAB@30 (FAH) DUS 30 157,000 37 37 PRATAPA NIRMALA
699 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 98 98 PHAPROS, PT
700 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIE
701 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 23 19 42 HOLI PHARMA
702 12001218 PROPANOLOL TAB 40 MG DUS #N/A #N/A 10 - - 10 HOLI PHARMA
703 11000293 PROTOFEN SUPP (DUS 20 SUPP) DUS 20 189,750 25 25 KIMIA FARMA
704 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIE
705 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
706 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 67 67 KIMIA FARMA
707 12001220 PYRANTEL TAB 125 MG DUS #N/A #N/A - - 203 - 203 HOLI PHARMA
708 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
709 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
710 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 400 190 590 PHAPROS, PT
711 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 29 29 PRATAPA NIRMALA
712 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 180,000 2 2 PRATAPA NIRMALA
713 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
714 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
715 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 127 127 PRATAPA NIRMALA
716 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 111 111 PRATAPA NIRMALA
717 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 47 47 PRATAPA NIRMALA
718 11000304 RETINOL (VIT A 200.000 UI) (BTL 50 KAPS) BT #N/A #N/A 4 4 KIMIA FARMA
719 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 46 - 46 LUCAS DJAJA
720 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 - 50 LUCAS DJAJA
721 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 271 271 KIMIA FARMA
722 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 1 1 KIMIA FARMA
723 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUS
724 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 195 195 MERSIFARMA
725 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 222 222 PHAPROS, PT
726 12008474 RIVANOL 100ML MOL BT 1 4,000 2,000 2,000 MOLEX AYUS, PT
727 12008475 RIVANOL 300ML MOL BT 1 9,000 410 410 MOLEX AYUS, PT
728 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC PAC 10 17,874 201 201 PIHAK 3
729 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS 30 210,000 17 17 KIMIA FARMA
730 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 23 23 KIMIA FARMA
731 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 54 54 PRATAPA NIRMALA
732 12008225 SALBUTAMOL 2MG TAB@100 (GRAF) DUS #N/A #N/A 400 400 GRAHA FARMA, PT
733 12013826 SALBUTAMOL 2MG TAB@100 (IMFAR) DUS #N/A #N/A 20 20 IMFARMIND FARMASI I
734 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1 1 KIMIA FARMA
735 11000353 SALICYL BEDAK 2 % (I) 50 gr NEW (DUS) DUS #N/A #N/A 100 100 KIMIA FARMA
736 11002254 SALICYL KF FRESH NEW FORMULA 60 GRAM BT 1 9,291 425 425 KIMIA FARMA
737 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,312 2,312 KIMIA FARMA
738 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
Stok Per Tanggal 30 Agustus 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002397 ACARBOSE 100 MG (DUS 100 TAB) DUS #N/A #N/A 300 95 395 KIMIA FARMA
2 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS DUS 75,000 426 426 KIMIA FARMA
3 12011198 ACETYLSALICYLIC ACID TAB 100 MG (PEHA) DUS #N/A #N/A 2 2 PHAPROS, PT
4 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS DUS 55,567 225 60 285 KIMIA FARMA
5 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS DUS 93,593 123 115 238 KIMIA FARMA
6 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRADUS DUS 3,764 0 0 KIMIA FARMA
7 13068943 ACYCLOVIR 200MG TAB GYA TAB TAB #N/A 2,000 2,000 YARINDO FARMATA, PT
8 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS DUS 37,150 881 30 373 15 1,299 PHAPROS, PT
9 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS DUS 4,000 12 12 PHAPROS, PT
10 13020930 ALBUFORCE CAP@100 DUS DUS 589,000 83 83 SATYA ABADI PHARMA, PT
11 12007260 ALBUNORM 25% 100 ML BT BT 1,573,500 3 3 SATYA ABADI PHARMA, PT
12 11000006 ALERGINE 10 MG TSS (DUS 50 TAB) DUS #N/A #N/A 32 32 KIMIA FARMA
13 12004560 ALKOHOL 70% 100ML MOL BT BT 6,600 6 6 MOLEX AYUS, PT
14 12008442 ALKOHOL 70% 1L MOL BT BT 50,000 731 731 MOLEX AYUS, PT
15 13029465 ALKOHOL 70% 300ML MOL BT BT 17,000 739 739 MOLEX AYUS, PT
16 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT BT 10,238 16 16 DARYA VARIA, PT
17 11001445 ALLOPURINOL 100 MG (DUS 100 TAB)-BJN DUS #N/A #N/A 232 232 KIMIA FARMA
18 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS DUS 35,000 35 27 62 KIMIA FARMA
19 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS DUS 55,000 140 266 406 KIMIA FARMA
20 12015574 AMAROPO ACTIVE DUS@100 KPL (PEHA) DUS #N/A #N/A 18 18 PHAPROS, PT
21 13010280 AMAROPO PLUS KPL@100 DUS DUS 207,900 71 71 PHAPROS, PT
22 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS DUS 21,528 177 177 KIMIA FARMA
23 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT BT 5,500 8 8 KIMIA FARMA
24 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARINDUS DUS 9,729 15 15 MARIN LIZA
25 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS DUS 83,784 185 2 15 202 PHAPROS, PT
26 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS DUS #N/A 1 1 DARYA VARIA, PT
27 12009708 AMIODARONE IV (G) (DVRS) DUS DUS 47,455 40 40 DARYA VARIA, PT
28 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS #N/A #N/A 500 200 2,471 3,171 KIMIA FARMA
29 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS DUS 13,500 1,334 2,409 2,800 6,543 KIMIA FARMA
30 12014877 AMLODIPINE 5 MG @ 100 TAB DUS #N/A #N/A 200 200 NOVAPHARIN
31 12013031 AMLODIPINE BESILATE 10MG TAB@30 (NOVA)DUS #N/A #N/A 1,333 1,333 NOVAPHARIN
32 12014919 AMLODIPINE BESILATE 5 MG(IFARS) DUS #N/A #N/A 500 500 IFARS PHARMACEUTICAL, PT
33 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHADUS DUS 6,000 119 119 PHAPROS, PT
34 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT BT #N/A 290 290 MEPROFARM
35 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT BT - 409 409 MERSIFARMA
36 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVABT #N/A #N/A 2,492 2,492 NOVAPHARIN
37 13008755 AMOXYCILLIN 1GR INJ GPH DUS DUS 144,000 8 8 PHAPROS, PT
38 13081141 ANDALAN FEMININE FRESH 60ML BT BT 13,000 27 27 PIHAK 3
39 13004170 ANDALAN LAKTASI TAB@28 STR STR 10,262 270 270 PIHAK 3
40 12005148 ANDALAN PIL KB @ 30 TABLET TAB TAB 228 75,600 75,600 PIHAK 3
41 13004173 ANDALAN POSTPIL TAB@2 DUS DUS 21,300 148 148 PIHAK 3
42 12005640 ANEMOLAT TAB @ 100 DUS DUS 25,000 37 37 PHAPROS, PT
43 12012158 ANTASIDA DOEN @60 ML (AFI) BT BT - 18,000 18,000 PT AFIFARMA
44 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS DUS 33,000 38 153 62 253 KIMIA FARMA
45 13019849 ANTIMO ANAK JERUK SACH @10 DUS DUS 9,870 702 702 PHAPROS, PT
46 13019850 ANTIMO ANAK STRAWBERRY@10 DUS DUS 9,870 97 97 PHAPROS, PT
47 12005096 ANTIMO DEWASA TAB DUS DUS 309,600 390 390 PHAPROS, PT
48 12009835 AQUA PRO INJ @10 VL (PEHA) DUS DUS 102,000 8 8 PHAPROS, PT
49 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS DUS 236,000 5 5 PYRIDAM, PT
50 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS DUS 97,000 22 22 BHINNEKA USADA RAYA
51 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS DUS 180,000 234 234 KIMIA FARMA
52 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS DUS 58,704 272 272 KIMIA FARMA
53 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS DUS - 1,677 1,677 KIMIA FARMA
54 13008789 ASPIL 1GR INJ VIAL@2 (FAH) DUS #N/A #N/A 300 300 PRATAPA NIRMALA
55 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS DUS #N/A 3 3 DARYA VARIA, PT
56 12008865 A-STARK GEL 100ML (PYRIDAM) TUB TUB 236,000 5 5 PYRIDAM, PT
57 12005177 ATOFAR 20 TAB@30 (FAH) DUS DUS 390,000 53 53 PRATAPA NIRMALA
58 13002692 ATOFAR 40MG TAB@30 (FAH) DUS DUS 390,000 62 62 PRATAPA NIRMALA
59 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS DUS 30,000 54 54 KIMIA FARMA
60 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS DUS 104,545 11 11 DARYA VARIA, PT
61 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS DUS 41,250 676 676 KIMIA FARMA
62 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS DUS 1,600,000 70 70 KIMIA FARMA
63 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC PAC 11,364 81 81 BIO AXION HEALTHINDO, PT
64 12000204 AXIMED SUCTION CATHETER NO.16 PC PC 6,600 16 16 BIO AXION HEALTHINDO, PT
65 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS DUS 46,000 45 - 12 - - 57 KIMIA FARMA
66 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT BT 26,050 685 685 KIMIA FARMA
67 11002197 BATUGIN SIRUP BT 300 ML - BJN BT BT 44,900 6,621 6,621 KIMIA FARMA
68 12013463 BAYGEL 5 LITER JRG JRG 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
69 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT BT 50,000 12 12 PT. LIKUID PHARMALAB INDONESIA
70 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS DUS 12,273 32 600 632 PT. LIKUID PHARMALAB INDONESIA
71 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT BT 77,273 16 16 PT. LIKUID PHARMALAB INDONESIA
72 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA PAA 150,000 4 4 PT. LIKUID PHARMALAB INDONESIA
73 12013414 BAYMED HANDRUB 500 ML BT BT 28,363 4 4 PT. LIKUID PHARMALAB INDONESIA
74 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS DUS 25,000 36 36 PT. LIKUID PHARMALAB INDONESIA
75 12011920 BAYMED PLUS 750ML BT BT 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
76 12011515 BAYMED SAFETY BOX @5L DUS DUS 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
77 12011805 BAYMED STIKPAN PC PC 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
78 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS DUS 25,000 69 69 PT. LIKUID PHARMALAB INDONESIA
79 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC PC 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
80 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC PC 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
81 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT BT 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
82 13080427 BECEFORT STRIP ISI 4@100 DUS #N/A #N/A 49 49 PHAPROS, PT
83 13022661 BECEFORT SYR 60ML BT BT 14,998 25 - - 25 PHAPROS, PT
84 13022662 BECEFORT TAB@100 DUS #N/A #N/A 27 27 PHAPROS, PT
85 11000323 BEDAK SALICYL 2% 60 gr PC PC 5,842 1,510 1,510 KIMIA FARMA
86 13010345 BETAFORT SUSP 60ML BT BT 21,460 24 24 PHAPROS, PT
87 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRADUS DUS 2,217 310 13 336 659 KIMIA FARMA
88 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS DUS 7,950 84 84 KIMIA FARMA
89 11000384 BETASON N CREAM (DUS 24 TUB @5 G) DUS DUS 356,400 125 125 KIMIA FARMA
90 12006329 BEVALEX CR 5GR MOL TUB TUB 15,000 740 740 MOLEX AYUS, PT
91 13010351 BEXICOM Z TAB@100 NUF DUS DUS 137,000 9 9 NUFARINDO, PT
92 13010355 BIO ATP KPL@100 DUS DUS 214,180 11 11 PHAPROS, PT
93 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS DUS 16,216 410 410 BIO AXION HEALTHINDO, PT
94 12013616 BIORON FORTE TSG.7 CC X 4S DUS DUS 60,800 13 13 PHAPROS, PT
95 13026576 BIORON TAB@100 DUS DUS 101,650 38 38 PHAPROS, PT
96 13002567 BIPRO 5MG TAB@30 (FAH) DUS DUS 159,000 112 112 PRATAPA NIRMALA
97 12012222 BISACODYL 5MG TAB@100 DUS DUS 23,783 - 5 5 HARSEN LABORATORIES, PT
98 12000276 BISOLVON EXTRA SYR 60 ML BT BT 42,145 41 41 OPELLA HEALTHCARE INDONESIA, PT
99 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS DUS #N/A 200 629 250 1,079 KIMIA FARMA
100 12010616 BONEFILL ORTHO BT BT 1,350,000 7 7 PHAPROS, PT
101 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT BT 2,300,000 1 1 PHAPROS, PT
102 12013514 BONEFILL POWDER HYDROXYAPATITE BONEDUS DUS 400,000 30 30 PHAPROS, PT
103 12012143 BONFORCE SACH@15 (SAP) DUS DUS 410,000 39 39 SATYA ABADI PHARMA, PT
104 12008187 BUFACETINE 2% SALEP 15 GR DUS DUS - 20 20 BUFA ANEKA, PT
105 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH)DUS DUS 350,000 40 40 PRATAPA NIRMALA
106 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FADUS DUS 350,000 26 26 PRATAPA NIRMALA
107 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS DUS 69,000 289 8 297 PHAPROS, PT
108 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS DUS - 139 139 PHAPROS, PT
109 12011946 CALCIUM LACTATE 500MG DUS@100 (MARIN) DUS DUS #N/A 5 5 MARIN LIZA
110 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS DUS #N/A 140 140 NOVAPHARIN
111 13073591 CALGAE KPL@30 (FAH) DUS DUS 165,000 147 147 PRATAPA NIRMALA
112 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB TUB 268,000 3 3 PYRIDAM, PT
113 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS DUS 282,000 22 22 PRATAPA NIRMALA
114 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS DUS 165,000 12 12 PRATAPA NIRMALA
115 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT BT 29,715 1,401 1,401 LUCAS DJAJA
116 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS DUS 9,500 607 607 PHAPROS, PT
117 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS DUS 22,000 317 317 KIMIA FARMA
118 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS DUS 13,423 181 100 3,099 3,380 PHAPROS, PT
119 13002406 CARDISMO TAB@100 DUS DUS 246,675 1 1 PHAPROS, PT
120 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT BT #N/A 100 3,200 3,300 IFARS PHARMACEUTICAL, PT
121 12008218 CEFADROXIL 250 MG/5ML (IFARS) BT BT #N/A 150 150 IFARS PHARMACEUTICAL, PT
122 12005553 CEFADROXIL 500 MG KAPS @ 100 (Mepro) KPS KPS #N/A 41,900 41,900 MEPROFARM
123 13072425 CEFIXIME 200MG CAP@30 GBN DUS DUS - 20 20 PIHAK 3
124 12014923 CEFIXIME TRIHYDRATE 100 MG(IFARS) DUS #N/A #N/A 212 212 IFARS PHARMACEUTICAL, PT
125 12014711 CEFOTAXIME SODIUM 1G (MEPRO) DUS DUS #N/A 10 10 PIHAK 3
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 12014802 CEFTRIAXONE SODIUM 1G (MEPRO) DUS #N/A #N/A 10 10 PIHAK 3
127 12011724 CEFTRIAXONE SODIUM 1GR INJ @10 VL (PEHADUS #N/A #N/A 317 317 PHAPROS, PT
128 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT BT 15,500 9 9 CENDO, PT
129 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT BT 19,000 136 136 CENDO, PT
130 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS DUS 17,625 4 4 CENDO, PT
131 12004098 CENDO CATARLENT EYE DROP 15 ML BT BT 30,625 38 38 CENDO, PT
132 12004112 CENDO CONVER 2% EYE DROP 15 ML BT BT 13,000 12 12 CENDO, PT
133 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR STR 16,125 40 40 CENDO, PT
134 12004116 CENDO CYCLON EYE DROP 5 ML BT BT 17,750 18 18 CENDO, PT
135 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT BT 15,250 35 35 CENDO, PT
136 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT BT 21,875 17 17 CENDO, PT
137 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR STR - 14 14 CENDO, PT
138 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT BT - 66 66 CENDO, PT
139 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR STR 17,500 16 16 CENDO, PT
140 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB TUB 21,875 84 84 CENDO, PT
141 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR STR - 216 216 CENDO, PT
142 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT BT 13,000 96 96 CENDO, PT
143 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB TUB 36,375 44 44 CENDO, PT
144 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR STR 15,875 27 27 CENDO, PT
145 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR STR 16,625 120 120 CENDO, PT
146 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR STR 90,250 17 17 CENDO, PT
147 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR STR 95,875 42 42 CENDO, PT
148 12005845 CENDO GLAUCON TAB@20 DUS DUS 76,000 2 2 CENDO, PT
149 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB TUB 36,750 2 2 CENDO, PT
150 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT BT 35,500 5 5 CENDO, PT
151 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR STR 33,250 164 164 CENDO, PT
152 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR STR - 14 14 CENDO, PT
153 12009574 CENDO LUBRICEN EYE DROP 15 ML BT BT 42,250 93 93 CENDO, PT
154 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR STR 40,500 353 353 CENDO, PT
155 12004158 CENDO MYCOS EYE DROP 5 ML BT BT 19,875 10 10 CENDO, PT
156 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB TUB 26,250 11 11 CENDO, PT
157 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR STR 16,625 61 61 CENDO, PT
158 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT BT 38,250 1 1 CENDO, PT
159 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR STR 29,375 59 59 CENDO, PT
160 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR STR 42,250 86 86 CENDO, PT
161 12004168 CENDO OCULENTA VED 5 GRAM TUB TUB - 3 3 CENDO, PT
162 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT BT 12,125 9 9 CENDO, PT
163 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT BT 13,250 28 28 CENDO, PT
164 12004174 CENDO POLYDEX EYE DROP 5 ML BT BT 35,750 122 122 CENDO, PT
165 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR STR 26,500 136 136 CENDO, PT
166 12004176 CENDO POLYGRAN EYE DROP 5 ML BT BT 31,625 5 5 CENDO, PT
167 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR STR 17,500 8 8 CENDO, PT
168 12004179 CENDO POLYNEL EYE DROP 5 ML BT BT 26,875 82 82 CENDO, PT
169 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR STR - 13 13 CENDO, PT
170 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR STR 17,375 24 24 CENDO, PT
171 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR STR 52,500 5 5 CENDO, PT
172 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR STR - 18 18 CENDO, PT
173 12004197 CENDO TOBRO EYE DROP 5 ML BT BT 20,750 26 26 CENDO, PT
174 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR STR 19,125 87 87 CENDO, PT
175 12004200 CENDO TOBROSON EYE DROP 5 ML BT BT - 10 10 CENDO, PT
176 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT BT 43,250 40 40 CENDO, PT
177 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR STR 38,100 38 38 CENDO, PT
178 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT BT 11,250 25 25 CENDO, PT
179 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR STR 15,375 18 18 CENDO, PT
180 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT BT 12,500 24 24 CENDO, PT
181 12004207 CENDO VASACON EYE DROP 15 ML BT BT 16,250 11 11 CENDO, PT
182 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR STR 14,750 71 71 CENDO, PT
183 12004213 CENDO VERNACEL EYE DROP 5 ML BT BT 18,500 1 1 CENDO, PT
184 12005164 CENDO VITAL TAB@30 DUS DUS 90,000 11 11 CENDO, PT
185 12004218 CENDO VITROLENTA EYE DROP 5 ML BT BT 32,750 61 61 CENDO, PT
186 12004224 CENDO XITROL EYE OINT 3.5 G TUB TUB 35,875 121 121 CENDO, PT
187 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR STR 24,375 364 364 CENDO, PT
188 11001365 CERASPON DUS DUS 240,000 1 1 2 KIMIA FARMA
189 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS DUS 11,000 139 139 KIMIA FARMA
190 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT BT 2,178 994 994 PT AFIFARMA
191 12013050 CETIRIZINE 5MG/5ML SYR 60ML (NOVA) BT #N/A #N/A 254 254 NOVAPHARIN
192 12014924 CETIRIZINE HCL 5MG/5ML(IFARS) DUS #N/A #N/A - 1,000 1,000 IFARS PHARMACEUTICAL, PT
193 12013772 CHANNA BOOST 30 KPS /500 MG DUS DUS 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
194 12014733 CHANNA FOLA (MMP) DUS DUS 165,000 54 54 MEGA MEDICA PHARMACEUTICALS, PT
195 12014734 CHANNA LAKTA (MMP) DUS DUS 165,000 68 68 MEGA MEDICA PHARMACEUTICALS, PT
196 12006912 CHANNA PLUS SACHET DUS DUS 190,500 45 45 MEGA MEDICA PHARMACEUTICALS, PT
197 12014735 CHANNA SIRUP (MMP) BT BT 70,000 50 50 MEGA MEDICA PHARMACEUTICALS, PT
198 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS DUS 181,500 117 8 125 MEGA MEDICA PHARMACEUTICALS, PT
199 13084478 CHANNAFIT SYR 100ML BT BT 70,000 34 34 MEGA MEDICA PHARMACEUTICALS, PT
200 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G DUS DUS 13,400 19 19 KIMIA FARMA
201 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10DUS DUS 13,225 62 62 KIMIA FARMA
202 11000295 CHLORAMFENICOL 1 % S.M (DUS 24 TUB @5 GDUS DUS #N/A 200 200 KIMIA FARMA
203 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)- DUS DUS 61,622 7 7 KIMIA FARMA
204 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA)DUS DUS #N/A 50 50 NOVAPHARIN
205 12014989 CHLORAMPHENICOL KAPS 250MG DUS #N/A #N/A 249 249 HOLI PHARMA
206 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS DUS 10,000 462 - 50 - 512 NOVAPHARIN
207 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHDUS DUS - 1 1 PHAPROS, PT
208 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS DUS 50,000 45 1 3 49 PHAPROS, PT
209 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS DUS 33,407 512 512 KIMIA FARMA
210 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS DUS 40,700 178 5 183 NOVAPHARIN
211 12014925 CIPROFLOXACIN HCL MONOHYDRATE 500 MG( DUS #N/A #N/A 1,000 1,000 IFARS PHARMACEUTICAL, PT
212 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS DUS 27,500 451 451 KIMIA FARMA
213 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS)BT BT 49,500 348 348 KIMIA FARMA
214 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS DUS 49,500 893 893 KIMIA FARMA
215 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS DUS 37,500 150 150 PHAPROS, PT
216 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 PAC #N/A #N/A 4,843 4,843 PIHAK 3
217 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64PAC PAC 2,998 3,109 3,109 PIHAK 3
218 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC PAC 1,745 34 34 PIHAK 3
219 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC PAC 7,297 21 21 PIHAK 3
220 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS DUS - 50 50 MERSIFARMA
221 12015014 CLINDAMYCIN HCL 300 MG (HARSEN) DUS DUS #N/A 8 8 HARSEN LABORATORIES, PT
222 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS DUS 20,000 4 4 KIMIA FARMA
223 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS DUS 20,000 466 76 542 KIMIA FARMA
224 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS DUS 50,000 607 720 1,327 KIMIA FARMA
225 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PDUS DUS 37,500 140 140 PHAPROS, PT
226 12012932 CLOTAIRE 90MG TAB@30 (FAH) DUS DUS 300,000 50 50 PRATAPA NIRMALA
227 11000033 CODEINE 10 MG (DUS 100 TAB) DUS DUS 54,685 65 89 154 KIMIA FARMA
228 11000037 CODEINE 20 MG (DUS 100 TAB) DUS DUS 147,600 17 51 68 KIMIA FARMA
229 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS DUS 156,000 5 5 KIMIA FARMA
230 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT BT 55,550 10 10 KIMIA FARMA
231 11000046 CODITAM TABLET (DUS 100 TAB) DUS DUS 410,000 35 35 KIMIA FARMA
232 13010466 CORSEL KPL@30 (FAH) DUS #N/A #N/A 50 50 PRATAPA NIRMALA
233 12011769 COTRIMOXAZOLE SYR GIFAR 60ML BT BT #N/A - 800 800 IFARS PHARMACEUTICAL, PT
234 12013402 CURLYSINE RASA JERUK @60 ML BT BT 16,000 6 6 PHAPROS, PT
235 13010481 CURMUNOS SYR 60ML (FAH) BT BT 90,000 200 200 PRATAPA NIRMALA
236 12012933 CYPRODIOL TAB@21 (FAH) DUS DUS 130,000 50 50 PRATAPA NIRMALA
237 12005932 D5 - MJB 500 ML BT BT 6,924 16 16 EMJEBE PHARMA , PT
238 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS DUS 87,023 1,651 1,651 BHINNEKA USADA RAYA
239 13076707 D-ARTEPP TAB@9 DUS DUS 72,000 850 850 BHINNEKA USADA RAYA
240 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS DUS 206,388 434 434 DARYA VARIA, PT
241 12015023 DECADRYL 120 (HARSEN) DUS DUS 20,000 341 341 HARSEN LABORATORIES, PT
242 12006576 DECADRYL EXP 60 ML BT BT 15,500 246 246 HARSEN LABORATORIES, PT
243 12000771 DECOLGEN TAB @ 100 (UN) DUS DUS 39,573 4 4 DARYA VARIA, PT
244 13009034 DEPO PROGESTIN INJ 3ML@20 VL VL 6,916 1,900 1,900 PIHAK 3
245 12014945 DEVALPROEX ER 250 (IKA) BT BT #N/A 24 24 IKAPHARMINDO
246 12014946 DEVALPROEX ER 500 (IKA) BT BT #N/A 24 24 IKAPHARMINDO
247 12006873 DEXAMETHASONE 0,5MG TAB@100 (NOVA) DUS DUS #N/A 290 1,500 1,790 NOVAPHARIN
248 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS DUS 8,000 116 116 KIMIA FARMA
249 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHADUS DUS 237,509 400 1 12 8 421 PHAPROS, PT
250 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS DUS #N/A 300 300 MEPROFARM
251 11000048 DEXOCORT 0.25%/10GR KRIM (DUS 25 TUB) TUB TUB 38,400 148 148 KIMIA FARMA
252 13000718 DEXTAMIN TAB@100 DUS DUS 165,000 258 258 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 13000720 DEXTAMINE 30X10pcs DUS DUS 486,610 232 232 PHAPROS, PT
254 13000719 DEXTAMINE SYRUP 60 ML BT BT 27,458 116 116 PHAPROS, PT
255 12006396 DEXTRAL SYRUP 60ML MOL BT BT 8,700 217 217 MOLEX AYUS, PT
256 12008251 DEXTROESE 10% 500 ML (SATORIA) BT #N/A #N/A 3,725 200 3,925 SATORIA ANEKA INDUSTRI, PT
257 12008250 DEXTROESE 5% 500 ML (SATORIA) BT #N/A #N/A 2,660 2,660 SATORIA ANEKA INDUSTRI, PT
258 12010329 DIAFAC XR (PEHA) DUS DUS 51,000 26 26 PHAPROS, PT
259 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB TUB 236,000 3 3 PYRIDAM, PT
260 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS DUS 19,328 3 3 KIMIA FARMA
261 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT BT 14,755 848 20 868 KIMIA FARMA
262 13002883 DIOS TAB@30 DUS DUS 115,000 95 95 PHAPROS, PT
263 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS DUS #N/A 33 33 PHAPROS, PT
264 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULDUS DUS - 7 7 PRUNING
265 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS DUS - 25 25 PRUNING
266 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU POU - 150 150 PIHAK 3
267 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS DUS 140,000 1 1 KIMIA FARMA
268 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT BT - 2,000 2,000 PT AFIFARMA
269 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS DUS 15,038 - - - 180 180 NOVAPHARIN
270 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS DUS 400,000 11 11 KIMIA FARMA
271 11000054 DOXEF 125 MG/ML SIRUP KERING BT #N/A #N/A 2 2 KIMIA FARMA
272 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS DUS 495,521 2 2 KIMIA FARMA
273 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS DUS 70,000 193 193 KIMIA FARMA
274 12003671 DT LABEL BLUE PMS PERMANENT 2" X 2-3/8" RLL RLL 730,400 1 1 SINAR RODA UTAMA, PT
275 12003670 DT LABEL WHITE PERMANENT 2" X 1-1/4" RLL #N/A #N/A 50 50 SINAR RODA UTAMA, PT
276 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL RLL 730,400 5 5 SINAR RODA UTAMA, PT
277 12000289 DULCOLACTOL SYR 60 ML BT BT 62,602 72 72 OPELLA HEALTHCARE INDONESIA, PT
278 12000292 DULCOLAX 5 MG ECT @200 TAB DUS DUS 313,734 26 26 OPELLA HEALTHCARE INDONESIA, PT
279 12008507 DUPLANT 75 MG (HARSEN) DUS DUS 291,909 10 10 HARSEN LABORATORIES, PT
280 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS DUS 598,500 27 27 JANSSEN PHARMACEUTICA NV
281 11000497 DUROGESIC 25 MU MATRIX (YS) DUS DUS 1,109,825 34 34 JANSSEN PHARMACEUTICA NV
282 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS DUS 179,000 11 11 KIMIA FARMA
283 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS DUS 250,000 16 16 KIMIA FARMA
284 11000059 DUVIRAL TAB (BTL 60 TAB) BT BT 300,000 1 1 KIMIA FARMA
285 13077781 E - SOME 40MG INJ VL VL 36,145 442 442 PHAPROS, PT
286 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS DUS 420,000 258 258 PRATAPA NIRMALA
287 12005966 ENERVON - C TAB @ 30 (UN) BT BT 29,410 38 38 DARYA VARIA, PT
288 12000787 ENERVON C EFFERVESCENT 10 TAB TUB TUB 25,792 18 18 DARYA VARIA, PT
289 12000789 ENERVON C FC TAB @ 100 (UN) DUS DUS 99,850 11 11 DARYA VARIA, PT
290 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT BT 17,049 7,214 7,214 KIMIA FARMA
291 12002032 EPINEPHRINE 0.1% INJ @ 30 AMP (PEHA) DUS #N/A #N/A - 37 - 37 PHAPROS, PT
292 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS DUS 165,000 9 9 PYRIDAM, PT
293 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT BT 22,000 5 5 KIMIA FARMA
294 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT BT 20,000 34 34 KIMIA FARMA
295 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS DUS 137,747 140 140 RAMA EMERALD, PT
296 12014388 ESTAZOR 250MG BLISTER CAP@30 (FAH) DUS #N/A #N/A 50 50 PRATAPA NIRMALA
297 11000310 EUGENOL (BTL 10 ML) DUS DUS 24,000 2 0 1 3 KIMIA FARMA
298 12008506 EVA TABLET (HARSEN) DUS DUS 42,545 50 50 HARSEN LABORATORIES, PT
299 11001489 EXTRALAC SYRUP (BTL 60 ML)-BJN BT BT 39,000 17 17 KIMIA FARMA
300 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC PAC 30,221 130 130 PIHAK 3
301 13000734 FALERGI 10MG TAB@60 (FAH) DUS DUS 210,000 18 18 PRATAPA NIRMALA
302 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS DUS 35,000 60 60 PRATAPA NIRMALA
303 13010537 FARBION TAB@100 (FAH) DUS DUS 130,000 363 363 PRATAPA NIRMALA
304 13009192 FARBIVENT NEBULES@10 (FAH) DUS DUS 105,000 438 438 PRATAPA NIRMALA
305 12004989 FARELAX INJ AMP@5 (FAH) DUS DUS 400,000 141 141 PRATAPA NIRMALA
306 12005971 FARGOXIN INJ AMP@5 (FAH) DUS DUS 300,000 179 179 PRATAPA NIRMALA
307 13002090 FARLEV 500MG TAB@10 (FAH) DUS DUS 300,000 119 119 PRATAPA NIRMALA
308 13009195 FARLEV 750MG INF 150ML (FAH) VL VL 325,000 58 58 PRATAPA NIRMALA
309 13002626 FARMABES 30MG TAB@100 (FAH) DUS DUS 53,000 1 1 PRATAPA NIRMALA
310 13009197 FARMABES INJ VIAL@2 (FAH) DUS DUS 220,000 103 50 153 PRATAPA NIRMALA
311 13003188 FARMADOL 500MG TAB@100 (FAH) DUS DUS 40,000 84 84 PRATAPA NIRMALA
312 12004318 FARMADOL INF (FAH) BT BT 70,000 84 84 PRATAPA NIRMALA
313 13009198 FARMADOL INF 50ML (FAH) VL VL 40,000 129 129 PRATAPA NIRMALA
314 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS DUS 420,000 125 21 146 PRATAPA NIRMALA
315 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS DUS 178,000 2 2 PRATAPA NIRMALA
316 13026489 FARPRESIN INJ VIAL@5 (FAH) DUS DUS 900,000 20 20 PRATAPA NIRMALA
317 13070828 FARTISON INJ VIAL@2 (FAH) DUS DUS 199,000 20 20 PRATAPA NIRMALA
318 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS DUS 1,500,000 253 253 KIMIA FARMA
319 13019430 FEBRINEX SYR 60ML BT BT 14,414 34 34 PHAPROS, PT
320 12005859 FENDEX 25MG TAB@30 (FAH) DUS DUS 189,000 35 35 PRATAPA NIRMALA
321 13009207 FENDEX INJ AMP@5 (FAH) DUS DUS 225,000 140 140 PRATAPA NIRMALA
322 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS DUS 135,000 2 2 MAHAKAM BETA FARMA
323 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS DUS 34,000 318 318 MAHAKAM BETA FARMA
324 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT BT 30,000 162 162 KIMIA FARMA
325 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT BT 30,000 522 522 KIMIA FARMA
326 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWB BT BT 30,000 757 757 KIMIA FARMA
327 13004747 FEXAZOL CR 5GR MOL TUB TUB 7,000 120 120 MOLEX AYUS, PT
328 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC PAC 9,818 147 147 PIHAK 3
329 13016405 FIESTA DOTTED KONDOM@ 3 BH BH 10,364 225 225 PIHAK 3
330 13077914 FIESTA GRAPE KONDOM@3 DUS DUS 10,091 17 17 PIHAK 3
331 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC PAC 9,818 155 155 PIHAK 3
332 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT UNT 153,636 288 288 SURYA SUKSES PERKASA, PT
333 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW)BT BT 32,056 249 249 KIMIA FARMA
334 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT BT 29,472 189 189 KIMIA FARMA
335 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT BT 11,366 99 99 KIMIA FARMA
336 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT BT 14,780 166 166 KIMIA FARMA
337 11001823 FITUNO IMMUNE KIDS 100 ML BT BT 33,000 72 72 KIMIA FARMA
338 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS DUS 41,845 594 594 KIMIA FARMA
339 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS DUS 119,216 6,056 6,056 KIMIA FARMA
340 13001320 FIXACEP 200MG TAB@10 (FAH) DUS DUS 250,000 47 47 PRATAPA NIRMALA
341 13001321 FIXACEP ORAL DROP 15ML (FAH) BT BT 68,000 211 211 PRATAPA NIRMALA
342 13001322 FIXACEP SYR 30ML (FAH) BT BT 80,000 157 157 PRATAPA NIRMALA
343 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS DUS 170,182 160 632 792 KIMIA FARMA
344 13011731 FOLIC ACID 1MG GPH DUS DUS 17,400 171 171 PHAPROS, PT
345 12005681 FORMOM KPL@100 (PYRIDAM) DUS DUS 275,000 2 2 PYRIDAM, PT
346 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 mDUS DUS 1,900,000 10 10 KIMIA FARMA
347 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS DUS 97,100 150 150 DARYA VARIA, PT
348 12011679 FRESMED DESINFECTAN SPRAY @250 ML BT BT 27,273 20 20 PT. LIKUID PHARMALAB INDONESIA
349 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS DUS 328,000 5 5 PYRIDAM, PT
350 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS DUS 150,000 66 66 KIMIA FARMA
351 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL VL 262,000 10 10 PRATAPA NIRMALA
352 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS DUS 500,000 10 10 KIMIA FARMA
353 12005178 GASTRUL TAB@30 (FAH) DUS DUS 375,000 89 89 PRATAPA NIRMALA
354 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS DUS 48,000 228 228 PHAPROS, PT
355 12013557 GENALSIK 40MG TAB@30 (FAH) DUS DUS 120,000 31 31 PRATAPA NIRMALA
356 12008487 GENTALEX CR 5GR MOL TUB TUB 5,000 1,695 1,695 MOLEX AYUS, PT
357 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB TUB 4,000 5,271 5,271 MOLEX AYUS, PT
358 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM)DUS DUS 2,670 1,675 90 1,765 KIMIA FARMA
359 12011968 GERIAVITA KPL@100 (PEHA) DUS DUS 247,500 109 109 PHAPROS, PT
360 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS DUS 20,255 540 110 650 KIMIA FARMA
361 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS DUS 20,000 597 597 KIMIA FARMA
362 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS DUS 35,000 83 10 600 693 KIMIA FARMA
363 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS DUS 35,000 468 468 KIMIA FARMA
364 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS DUS 40,000 179 7 186 KIMIA FARMA
365 12010432 GOLDTRION KPL@30 (FAH) DUS DUS 270,000 178 178 PRATAPA NIRMALA
366 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS DUS 30,590 2,406 2,406 KIMIA FARMA
367 12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) DUS DUS 168,971 101 101 DARYA VARIA, PT
368 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS DUS 20,000 154 400 554 NOVAPHARIN
369 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS DUS 280,000 1 1 NUFARINDO, PT
370 12005737 HALOPERIDOL 5 MG DUS DUS - 50 50 MERSIFARMA
371 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X PAC PAC 7,652 209 209 PIHAK 3
372 13001573 HECOBAC 500MG TAB@30 NUF BT BT 675,000 1 1 NUFARINDO, PT
373 12006354 HEMOROGARD KAPS @30 DUS DUS 39,163 91 91 PHAPROS, PT
374 12006958 HEPAGARD DUS DUS 76,230 74 74 PHAPROS, PT
375 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS DUS 300,000 30 30 PRATAPA NIRMALA
376 11000077 HEPLAV TABLET (BTL 30 TAB) BT BT 145,000 3 3 KIMIA FARMA
377 11000516 HUMAN ALBUMIN 20 % 50 ML BT BT 400,901 11 11 KIMIA FARMA
378 11000517 HUMAN ALBUMIN 20% 100 ML BT BT 815,315 474 474 KIMIA FARMA
379 12005248 HUSTAB 30X10S DUS DUS 119,196 18 18 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-DUS #N/A #N/A 520 147 667 KIMIA FARMA
381 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS DUS 16,500 1 1 KIMIA FARMA
382 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GDUS DUS 3,458 0 151 152 KIMIA FARMA
383 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA DUS DUS #N/A 30 30 RAMA EMERALD, PT
384 12008902 HYPOBHAC 100 MG/ML DUS DUS 131,098 30 - 30 PHAPROS, PT
385 12008903 HYPOBHAC 200 MG/ML DUS DUS 233,633 98 - 98 PHAPROS, PT
386 12013954 HYTOSA (SAP) BT BT 122,000 48 48 SATYA ABADI PHARMA, PT
387 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT BT - 900 900 PT AFIFARMA
388 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS DUS 22,950 295 295 NOVAPHARIN
389 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS DUS 31,500 2 730 900 - 1,632 NOVAPHARIN
390 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT BT 65,000 19 19 PYRIDAM, PT
391 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC PC 2,600,000 7 7 PHAPROS, PT
392 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC PC 2,600,000 8 8 PHAPROS, PT
393 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC PC 2,600,000 2 2 PHAPROS, PT
394 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC PC - 2 2 PHAPROS, PT
395 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC PC 2,600,000 3 3 PHAPROS, PT
396 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC PC 2,600,000 1 1 PHAPROS, PT
397 13002217 INFATRIM SYR 50ML MOL BT BT 6,500 30 30 MOLEX AYUS, PT
398 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS DUS 208,000 31 31 PRATAPA NIRMALA
399 12004320 INPEPSA SUSP 100ML (FAH) BT BT 70,000 525 525 PRATAPA NIRMALA
400 13005812 INPEPSA SUSP 200ML (FAH) BT BT 100,000 515 515 PRATAPA NIRMALA
401 12007335 INSTO REGULAR 15 ML DUS DUS 16,100 7 7 COMBIPHAR, PT
402 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL VL 330,000 200 200 PRATAPA NIRMALA
403 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT BT 100,000 103 250 353 KIMIA FARMA
404 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT BT 32,500 89 9 98 KIMIA FARMA
405 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT BT 11,000 732 48 780 KIMIA FARMA
406 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT BT 7,500 407 407 KIMIA FARMA
407 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS DUS 1,039,000 29 29 PRATAPA NIRMALA
408 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS DUS 24,000 2 2 KIMIA FARMA
409 12009870 KALOBA FCT @21 TAB DUS DUS 145,040 6 6 PHAPROS, PT
410 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS DUS 290,000 147 147 KIMIA FARMA
411 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS DUS #N/A 1 1 KIMIA FARMA
412 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS DUS 24,000 443 100 543 NOVAPHARIN
413 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS DUS 30,600 182 182 PHAPROS, PT
414 11002016 KIFAMED EXAMINATION GLOVE POWDER FREDUS #N/A #N/A 100 100 KIMIA FARMA
415 11002378 KIFAMED EXAMINATION GLOVE POWDER FREDUS DUS 65,901 148 148 KIMIA FARMA
416 11001950 KIFAMED EXAMINATION GLOVE POWDERED (LDUS DUS 65,901 21 21 KIMIA FARMA
417 11002377 KIFAMED EXAMINATION GLOVE POWDERED (X DUS DUS 59,054 100 100 KIMIA FARMA
418 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC PAC 102,285 10 10 KIMIA FARMA
419 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC PAC 143,190 4 4 KIMIA FARMA
420 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM PAC PAC 106,380 2 2 KIMIA FARMA
421 11002235 KIFAMED KURSI RODA (KFM-01) DUS DUS - 7 7 KIMIA FARMA
422 11002236 KIFAMED KURSI RODA (KFM-02) DUS DUS 1,545,455 3 3 KIMIA FARMA
423 11002237 KIFAMED KURSI RODA RACING (KFM-R) DUS #N/A #N/A 24 24 KIMIA FARMA
424 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS DUS 40,909 700 700 KIMIA FARMA
425 11001996 KIFAMED TONGKAT KAKI EMPAT (WALKER) PC #N/A #N/A 4 4 KIMIA FARMA
426 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC PC 77,273 1 1 KIMIA FARMA
427 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC PC 170,455 3 3 KIMIA FARMA
428 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS DUS 390,000 42 42 KIMIA FARMA
429 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT BT 350,000 21 21 KIMIA FARMA
430 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT BT 26,000 25 25 KIMIA FARMA
431 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS DUS 47,300 41 41 KIMIA FARMA
432 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS DUS 108,680 80 80 KIMIA FARMA
433 13005102 KOLKATRIOL 0.25MCG CAP@30 BT BT 179,463 36 - 36 PHAPROS, PT
434 13005103 KOLKATRIOL 0.5MCG CAP@30 BT BT 300,000 115 115 PHAPROS, PT
435 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET)DUS DUS - 25 25 KIMIA FARMA
436 12007914 KOMPOLAX SUSP 60ML (IFARS) BT BT 5,427 150 150 IFARS PHARMACEUTICAL, PT
437 13010687 LACTAFAR CAP@30 (FAH) DUS DUS 129,000 300 300 PRATAPA NIRMALA
438 13009512 LACTOR 30MG INJ@6 DUS DUS 16,500 1,230 1,230 PHAPROS, PT
439 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL VL 95,000 834 834 PRATAPA NIRMALA
440 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS DUS 468,000 16 16 PYRIDAM, PT
441 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS DUS #N/A 40 40 YARINDO FARMATA, PT
442 12014948 LEVOFLOKSASIN INFUS (IKA) DUS DUS #N/A 381 381 IKAPHARMINDO
443 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS DUS - 15 15 PIHAK 3
444 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS DUS 40,000 22 18 40 KIMIA FARMA
445 12008552 LEVOPAR @100 TAB(MEPRO) DUS DUS 109,091 2 29 31 MEPROFARM
446 12008447 LEXACORT TAB@100 MOL DUS DUS 19,600 18 18 MOLEX AYUS, PT
447 12008448 LEXACORTON CR 5GR MOL TUB TUB 5,500 90 90 MOLEX AYUS, PT
448 12008489 LEXADON SUSP 60ML MOL BT BT 16,000 709 709 MOLEX AYUS, PT
449 12008490 LEXADON TAB@50 MOL DUS DUS 15,000 80 80 MOLEX AYUS, PT
450 12008491 LEXAGIN 500MG KPL@100 MOL DUS DUS 40,000 16 16 MOLEX AYUS, PT
451 12008452 LEXATRANS 500MG KPL@50 MOL DUS DUS 100,000 7 - 7 MOLEX AYUS, PT
452 12008453 LEXAVON SYR 60ML MOL BT BT 12,500 88 88 MOLEX AYUS, PT
453 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS DUS #N/A 7 7 PHAPROS, PT
454 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS DUS #N/A 8 111 119 PHAPROS, PT
455 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS DUS 200,000 1 1 KIMIA FARMA
456 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS DUS 315,000 41 41 KIMIA FARMA
457 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS DUS 350,000 30 30 KIMIA FARMA
458 12006359 LIVRON - B PLEX TAB @ 100 DUS DUS 29,500 647 2 649 PHAPROS, PT
459 12003048 LOPAMID TABLET @ 100 DUS DUS - 136 136 HARSEN LABORATORIES, PT
460 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS DUS 17,636 105 400 505 IFARS PHARMACEUTICAL, PT
461 12011680 LOPERAMIDE HCL 2MG TAB@100 (NOVA) DUS #N/A #N/A 10 87 97 NOVAPHARIN
462 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS DUS 347,091 79 79 KIMIA FARMA
463 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS DUS - - 26 26 NOVAPHARIN
464 11001223 LOVE TEST KEMASAN BARU DUS DUS 436,375 60 60 KIMIA FARMA
465 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS DUS 710,000 2 2 KIMIA FARMA
466 13006611 LUPRED 5MG TAB@30 (FAH) DUS DUS 99,000 16 16 PRATAPA NIRMALA
467 13064223 M RATU BERAS KENCUR 200ML BH BH 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
468 13080423 M RATU GULA ASEM 200 ML BH BH 4,600 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
469 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS DUS 90,000 57 57 MUSTIKA RATUBUANA INTERNATIONAL, PT
470 13064224 M RATU KUNIR ASEM 200ML BH BH 4,600 6 6 MUSTIKA RATUBUANA INTERNATIONAL, PT
471 13027133 M RATU M ZAITUN 175ML BH BH 25,135 39 39 MUSTIKA RATUBUANA INTERNATIONAL, PT
472 13080410 M RATU MINYAK ZAITUN 75ML BT BT 13,737 24 24 MUSTIKA RATUBUANA INTERNATIONAL, PT
473 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 15BT BT 20,739 5 5 MUSTIKA RATUBUANA INTERNATIONAL, PT
474 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC PC 23,700 1,614 1,614 KIMIA FARMA
475 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC PC 23,700 526 526 KIMIA FARMA
476 11002331 MARCKS ACTIVE NATURAL BEIGE 20GR (NEWPC PC 23,700 161 161 KIMIA FARMA
477 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC PC 23,700 286 286 KIMIA FARMA
478 11000338 MARCKS BEDAK WHITE 20gr PC PC 23,700 97 97 KIMIA FARMA
479 11001944 MARCKS BREATHABLE POWDER IVORY PC PC 34,700 19 19 KIMIA FARMA
480 11001945 MARCKS BREATHABLE POWDER NATURAL BE BOX BOX 34,700 1 1 KIMIA FARMA
481 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC PC 34,700 187 187 KIMIA FARMA
482 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC PC 22,700 92 92 KIMIA FARMA
483 11002140 MARCKS CC CAKE POWDER WARM BEIGE REF PC PC 22,700 82 82 KIMIA FARMA
484 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC PC 13,700 8,712 8,712 KIMIA FARMA
485 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC PC 13,700 265 265 KIMIA FARMA
486 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEPC PC 13,700 2,245 2,245 KIMIA FARMA
487 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC PC 13,700 790 790 KIMIA FARMA
488 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC PC 13,700 540 540 KIMIA FARMA
489 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT BT 20,000 931 931 KIMIA FARMA
490 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT BT 17,300 28 28 KIMIA FARMA
491 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC PC 13,200 4 4 KIMIA FARMA
492 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC PC 14,700 35 35 KIMIA FARMA
493 11002218 MARCKS TEENS CP CREME (NEW) PC PC 20,000 267 267 KIMIA FARMA
494 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC PC 20,000 476 476 KIMIA FARMA
495 11002215 MARCKS TEENS CP PINK (NEW) PC PC 20,000 390 390 KIMIA FARMA
496 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASKPC PC 11,000 73 73 KIMIA FARMA
497 11001315 MARCKS TEENS REFILL COMPACT POWDER PPC PC 15,500 57 57 KIMIA FARMA
498 11001314 MARCKS TEENS REFILL COMPACT POWDER W PC PC 15,500 42 42 KIMIA FARMA
499 12009876 MARIMER ISOTONIC/DS @100 ML DUS DUS 90,000 51 51 PHAPROS, PT
500 12000816 MEDIAMER B6 TABLET @ 100 DUS DUS 270,000 7 7 DARYA VARIA, PT
501 13077585 MEDIKA ALKOHOL 70% @ 1 L BT BT 34,217 93 93 PT. LIKUID PHARMALAB INDONESIA
502 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT BT 5,030 105 105 PT. LIKUID PHARMALAB INDONESIA
503 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT BT 11,825 157 2,136 2,293 PT. LIKUID PHARMALAB INDONESIA
504 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT BT 49,552 263 263 PT. LIKUID PHARMALAB INDONESIA
505 12009531 MEDIKA POVIDINE 10% 100 ML DUS DUS 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
506 12013462 MEDIKA POVIDINE 10% 15 ML BT BT 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 12012300 MEDIKA POVIDINE 10% 30 ML BT BT 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
508 12009552 MEDIKA POVIDINE 10% 300 ML DUS DUS 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
509 12009530 MEDIKA POVIDINE 10% 60 ML DUS DUS 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
510 13077587 MEDIKA RIVANOL 300 ML BT BT 9,153 234 234 PT. LIKUID PHARMALAB INDONESIA
511 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT BT 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
512 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 MBT BT 53,645 445 445 PT. LIKUID PHARMALAB INDONESIA
513 13082846 MEPROLUT 5MG TAB@30 DUS #N/A #N/A 30 30 PIHAK 3
514 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS DUS 550,000 16 16 KIMIA FARMA
515 13026668 METACOSFAR 50 INJ 50ML (FAH) VL VL 700,000 55 55 PRATAPA NIRMALA
516 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-B DUS DUS 26,500 1,161 1,161 KIMIA FARMA
517 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO)DUS DUS #N/A 1 1 2 MEPROFARM
518 12007628 METANEURON TABLET DUS DUS 311,454 3 3 PHAPROS, PT
519 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS DUS 180,000 13 13 PHAPROS, PT
520 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TADUS DUS 35,000 851 3 854 KIMIA FARMA
521 12014929 METHYLPREDNISOLONE 4(IFARS) DUS #N/A #N/A 120 120 IFARS PHARMACEUTICAL, PT
522 12012550 METHYLPREDNISOLONE 4MG TAB@100 (NOVA DUS DUS #N/A 100 100 NOVAPHARIN
523 12006926 METHYLPREDNISOLONE 8 MG TABLET(IFARS)DUS #N/A #N/A 80 80 IFARS PHARMACEUTICAL, PT
524 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEDUS #N/A #N/A 50 50 PHAPROS, PT
525 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)DUS DUS 20,000 402 10 412 KIMIA FARMA
526 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BDUS DUS 12,000 80 80 KIMIA FARMA
527 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2DUS #N/A #N/A 9 9 MEPROFARM
528 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS DUS 35,000 3 22 25 KIMIA FARMA
529 12015021 METRONIDAZOLE 500 MG (HARSEN) DUS DUS #N/A 20 20 HARSEN LABORATORIES, PT
530 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS DUS - 332 30 85 447 NOVAPHARIN
531 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT BT - 34 34 MEPROFARM
532 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAMDUS DUS 3,750 44 685 729 KIMIA FARMA
533 12012326 MIERIN 10MG TAB@30 (FAH) DUS DUS 165,000 70 70 PRATAPA NIRMALA
534 12008460 MOLACORT 0.5MG TAB@100 MOL DUS DUS 25,000 81 81 MOLEX AYUS, PT
535 12008497 MOLAKRIM 30GR MOL TUB TUB 12,700 158 158 MOLEX AYUS, PT
536 12005352 MOLANEURON TAB@50 MOL DUS DUS 30,000 87 87 MOLEX AYUS, PT
537 12008464 MOLAPECT TAB@100 MOL DUS DUS 66,600 32 32 MOLEX AYUS, PT
538 12008465 MOLEXDINE 1L MOL BT BT - 280 280 MOLEX AYUS, PT
539 13002451 MONECTO 20MG TAB@30 (FAH) DUS DUS 90,000 34 34 PRATAPA NIRMALA
540 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT BT 110,000 12 12 KIMIA FARMA
541 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS DUS 700,000 26 26 KIMIA FARMA
542 11000106 MORPHINE 10 MG (BTL 30 TAB) BT #N/A #N/A 21 30 51 KIMIA FARMA
543 11000501 MST CONTINUS 10 MG DUS #N/A #N/A 10 10 MAHAKAM BETA FARMA
544 11000566 My Dacla 60 MG (Daclastavir) BT BT 1,730,000 3 3 KIMIA FARMA
545 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS DUS 800,000 8 8 PHAPROS, PT
546 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT BT 3,200,000 2 2 KIMIA FARMA
547 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH)VL VL 260,000 50 50 PRATAPA NIRMALA
548 11002020 NACL 0.9% INFUS BT BT 7,009 9,924 9,924 KIMIA FARMA
549 12005685 NATABION CAP@100 (PYRIDAM) DUS DUS 189,000 143 143 PYRIDAM, PT
550 13083783 NATERAN 25MG TAB@30 DUS DUS 1,200,000 3 3 FAHRENHEIT SYNTHON PHARMA
551 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS DUS 30,000 1,462 1,462 KIMIA FARMA
552 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHADUS DUS 10,200 259 259 PHAPROS, PT
553 12000825 NATUR E ADVANCE HBL 245 ML BT BT 27,810 2 2 DARYA VARIA, PT
554 12000827 NATUR E ADVANCED 32 S DUS DUS 63,429 25 25 DARYA VARIA, PT
555 12000831 NATUR E FACE CREAM 50 ML TUB TUB 21,800 17 17 DARYA VARIA, PT
556 12007343 NATUR E NOURISHING 300IU 16'S DUS DUS 30,166 46 46 DARYA VARIA, PT
557 12000834 NATUR E SOFT CAPS @ 16 DUS DUS 15,891 18 18 DARYA VARIA, PT
558 12005302 NATUR-E 300 IU 32's DUS DUS 56,496 28 28 DARYA VARIA, PT
559 13004776 NB TOP OINT 5GR TUB TUB 15,641 132 132 PHAPROS, PT
560 12013182 NELANDOZ 2MG TAB@28 (FAH) DUS DUS 410,000 11 11 PRATAPA NIRMALA
561 13019813 NEO KAOMINAL SUSP 60ML MOL BT BT 7,200 711 711 MOLEX AYUS, PT
562 13082848 NEUFAR 75MG CAP@30 (FAH) DUS DUS 240,000 20 20 PRATAPA NIRMALA
563 12003049 NEUROPYRON @ 100 KAPLET DUS DUS - 100 100 HARSEN LABORATORIES, PT
564 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS DUS 360,000 16 16 KIMIA FARMA
565 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS DUS 250,000 23 23 KIMIA FARMA
566 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS DUS - 50 50 HARSEN LABORATORIES, PT
567 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS DUS 218,182 28 28 DARYA VARIA, PT
568 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS DUS 22,000 20 20 KIMIA FARMA
569 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC PC 8,200 300 300 SINAR RODA UTAMA, PT
570 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC PC 4,380 - 478 - 478 SINAR RODA UTAMA, PT
571 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC PC 4,380 - 55 - 55 SINAR RODA UTAMA, PT
572 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC PC #N/A - - 10,000 - - 10,000 SINAR RODA UTAMA, PT
573 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC PC #N/A 500 - 500 - - 1,000 SINAR RODA UTAMA, PT
574 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC PC #N/A - - 10,400 - - 10,400 SINAR RODA UTAMA, PT
575 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2inch PC PC #N/A - - 10,000 - - 10,000 SINAR RODA UTAMA, PT
576 12003645 NIPRO SYRINGE 50 ML LS W/O NEEDLE PC PC #N/A 10 10 SINAR RODA UTAMA, PT
577 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC PC 4,170 2,461 2,461 SINAR RODA UTAMA, PT
578 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS DUS 82,200 216 10 226 PHAPROS, PT
579 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS DUS 284,955 162 162 KIMIA FARMA
580 12004990 NOKOBA INJ AMP@5 (FAH) DUS DUS 525,000 12 12 PRATAPA NIRMALA
581 12011654 NOLEPTIC @30 KPS (PEHA) DUS DUS 112,000 419 419 PHAPROS, PT
582 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS DUS 450,000 80 80 PRATAPA NIRMALA
583 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT BT 5,000 988 988 NOVAPHARIN
584 12000927 NS - MJB 0.9% 500 ML BT BT 6,913 1,762 1,762 EMJEBE PHARMA , PT
585 13010821 NUFAGRABION GM KPL@100 NUF DUS DUS 190,620 1 1 NUFARINDO, PT
586 12013475 NUTRISIP CAP@30 (FAH) DUS DUS 150,000 55 55 PRATAPA NIRMALA
587 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT BT #N/A 160 - - 160 IFARS PHARMACEUTICAL, PT
588 12015035 NYSTATIN DROP DUS DUS - 2 2 PIHAK 3
589 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS DUS 117,000 308 204 15 527 PHAPROS, PT
590 12008469 OBH 60ML MOL BT BT #N/A - 20 - 20 MOLEX AYUS, PT
591 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT BT 12,500 26 26 COMBIPHAR, PT
592 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT BT 12,500 379 379 COMBIPHAR, PT
593 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 MLBT BT 12,500 219 219 COMBIPHAR, PT
594 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 6BT BT 12,500 206 206 COMBIPHAR, PT
595 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT BT 15,300 172 172 COMBIPHAR, PT
596 12004251 OBH COMBI BATUK FLU MADU 100 ML BT BT 15,300 32 32 COMBIPHAR, PT
597 12004252 OBH COMBI BATUK FLU MADU 60 ML BT BT 11,400 76 76 COMBIPHAR, PT
598 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT BT 15,300 271 271 COMBIPHAR, PT
599 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT BT 11,000 155 155 COMBIPHAR, PT
600 12014394 OBH JERUK NIPIS + MENTHOL @100 ML (HOLI)BT #N/A #N/A 100 100 HOLI PHARMA
601 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS DUS 55,525 1 1 DARYA VARIA, PT
602 12007268 OCTANATE 250 IU DUS DUS 720,000 11 11 SATYA ABADI PHARMA, PT
603 12007269 OCTANATE 500 IU DUS DUS 1,430,000 1 1 SATYA ABADI PHARMA, PT
604 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS DUS 107,890 250 4 254 DARYA VARIA, PT
605 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS DUS 115,000 514 33 - - 547 PHAPROS, PT
606 12013094 ONDANSETRON 4MG TAB@100 (NOVA) DUS #N/A #N/A 4 4 NOVAPHARIN
607 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS DUS 138,000 101 101 PRATAPA NIRMALA
608 12010612 ORABLOC INJ (PEHA) DUS DUS 810,000 5 5 PHAPROS, PT
609 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS DUS 129,000 4 4 PYRIDAM, PT
610 12012144 OSFORCE SACH@15 (SAP) DUS DUS 370,000 45 45 SATYA ABADI PHARMA, PT
611 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB TUB 166,000 12 12 PYRIDAM, PT
612 13007995 OSTEOTIN CAP@60 DUS DUS 179,100 5 5 PHAPROS, PT
613 13005119 OSTRIOL CAP@30 (FAH) BT BT 150,000 28 28 PRATAPA NIRMALA
614 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3.5G DUS #N/A #N/A 61 61 KIMIA FARMA
615 11000298 OXYTETRACYCLIN 3% SK(DUS 25 TUBE@5 GRDUS #N/A #N/A 10 10 KIMIA FARMA
616 12005536 OXYTOCIN-S 10 IU INJEKSI DUS DUS 437,500 100 100 PIHAK 3
617 11002118 PANKREON FOR CHILDREN 5G-BJN (DUS 10 SDUS #N/A #N/A 5 5 KIMIA FARMA
618 13076535 PANTOPRAZOLE 40MG INJ GPH AMP AMP 34,000 155 155 PHAPROS, PT
619 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS DUS 35,000 97 175 3,000 3,272 KIMIA FARMA
620 12015022 PARACETAMOL 500 MG (HARSEN) DUS #N/A #N/A 1,000 1,000 HARSEN LABORATORIES, PT
621 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI)BT BT 5,052 500 6,000 6,500 PT AFIFARMA
622 12014931 PARACETAMOL DROPS(IFARS) DUS DUS #N/A 240 479 719 IFARS PHARMACEUTICAL, PT
623 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS)DUS DUS 10,900 11 1,355 1,366 DARYA VARIA, PT
624 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT BT 30,200 175 175 DARYA VARIA, PT
625 12005890 PEHACAIN INJ DUS DUS 66,791 36 36 PHAPROS, PT
626 13001135 PEHADOXIN FORTE TAB@100 DUS #N/A #N/A 100 100 PHAPROS, PT
627 13003915 PEHASTAN 500MG TAB@100 DUS DUS 40,500 15 15 PHAPROS, PT
628 13003007 PEHAVASK 10MG TAB@30 DUS DUS 12,000 5 5 PHAPROS, PT
629 12009819 PEHAVRAL @100 TAB (PEHA) DUS DUS 89,500 144 144 PHAPROS, PT
630 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS DUS 320,000 443 443 PRATAPA NIRMALA
631 12004537 PENICILLIN PROCAIN CRYSTAL VL VL - 30 30 PIHAK 3
632 11002221 PERMETHRIN KRIM 5% (DUS 25 TUB @10 G) DUS #N/A #N/A 8 8 KIMIA FARMA
633 11002395 PETHIDINA HCl 50 MG/ML DUS DUS 177,100 159 159 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 13009792 PHADILON 125MG INJ VL VL 30,000 109 109 PHAPROS, PT
635 12009898 PHALSY 250 MG/5ML SYR BT BT 70,000 100 100 PHAPROS, PT
636 13009794 PHAMINOV INJ@10 DUS DUS 65,000 180 180 PHAPROS, PT
637 12000318 PHARMATON VIT KAPLET DUS DUS 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
638 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS DUS 20,000 150 1 137 288 KIMIA FARMA
639 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCABT BT - 364 520 884 LUCAS DJAJA
640 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PE DUS DUS 141,100 1 1 PHAPROS, PT
641 12014951 PHENYTOIN INJ (IKA) AMP AMP #N/A 100 100 IKAPHARMINDO
642 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS DUS #N/A 48 36 84 MEPROFARM
643 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHADUS DUS 78,738 92 1 40 133 PHAPROS, PT
644 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS DUS #N/A 156 156 PHAPROS, PT
645 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEDUS DUS 168,000 127 127 PHAPROS, PT
646 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS DUS 15,968 1,640 1,640 KIMIA FARMA
647 12011710 POTASSIUM CHLORIDE 7.46% 25 ML (SATORIAAMP #N/A #N/A 20 20 SATORIA ANEKA INDUSTRI, PT
648 12013098 POVIDONE IODINE 1L (NOVA) BT BT #N/A 150 150 NOVAPHARIN
649 12007665 PPD 2 TU (BF) VL VL 630,000 465 465 BIOFARMA
650 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT BT 73,000 5 5 PRATAPA NIRMALA
651 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS DUS 270,000 31 31 PRATAPA NIRMALA
652 12010402 PRAZOTEC INJ VIAL (FAH) VL VL 125,000 287 287 PRATAPA NIRMALA
653 12003686 PRECISION INFANT THERMAL BLUE 7701-49P PC PC 2,800 800 800 SINAR RODA UTAMA, PT
654 12003687 PRECISION INFANT THERMAL PINK 7702-49PDPC PC 2,800 800 800 SINAR RODA UTAMA, PT
655 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS DUS - 10 10 IMFARMIND FARMASI INDUSTRI, PT
656 12001215 PREDNISON 5 MG TAB (HOLI) DUS DUS #N/A - - - 125 - 125 HOLI PHARMA
657 12014933 PREDNISONE 5MG(IFARS) DUS DUS #N/A 1 1 IFARS PHARMACEUTICAL, PT
658 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS DUS 557,000 1 1 PYRIDAM, PT
659 12011689 PREGABALIN 75MG @30 KPS (PEHA) DUS #N/A #N/A 50 50 PHAPROS, PT
660 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS DUS 270,000 19 19 KIMIA FARMA
661 13006147 PREGVOMIT TAB@100 (FAH) DUS DUS 210,000 70 70 PRATAPA NIRMALA
662 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS DUS 67,000 725 112 2,308 3,145 PHAPROS, PT
663 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS DUS - 91 91 KIMIA FARMA
664 13000817 PRITACORT TAB@150 MOL DUS DUS 80,500 86 86 MOLEX AYUS, PT
665 12008501 PRITAMOX 500MG KPS@100 MOL DUS DUS 115,000 435 435 MOLEX AYUS, PT
666 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT BT 15,000 462 462 MOLEX AYUS, PT
667 12008471 PRITANOL 300MG KPL@100 MOL DUS DUS 90,000 97 97 MOLEX AYUS, PT
668 12008472 PRITASMA TAB@100 MOL DUS DUS 12,000 40 40 MOLEX AYUS, PT
669 12008473 PRITAVIT KPL@100 MOL DUS DUS 100,000 80 80 MOLEX AYUS, PT
670 13001141 PRO TB 3 KID 75MG@28 DUS DUS 119,000 39 39 PHAPROS, PT
671 13001142 PRO TB 4 165MG TAB@28 DUS DUS 138,133 73 73 PHAPROS, PT
672 13078380 PRO TB2 KID TAB@28 DUS DUS 84,000 28 28 PHAPROS, PT
673 13001143 PRO TB2 TAB@28 DUS DUS 184,450 78 78 PHAPROS, PT
674 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS DUS 496,560 10 11 21 PHAPROS, PT
675 12010403 PROFERRO TAB@30 (FAH) DUS DUS 157,000 58 58 PRATAPA NIRMALA
676 13003052 PROINFARK 20MG/10ML AMP DUS DUS 60,000 118 118 PHAPROS, PT
677 12014878 PRONAM DUS DUS - 40 40 HARSEN LABORATORIES, PT
678 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS DUS - 23 19 42 HOLI PHARMA
679 12014879 PROXONA DUS DUS - 99 99 HARSEN LABORATORIES, PT
680 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB TUB 214,000 3 3 PYRIDAM, PT
681 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS DUS 62,918 505 505 KIMIA FARMA
682 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS DUS - 5 5 KIMIA FARMA
683 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS DUS 686,000 7 7 PYRIDAM, PT
684 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHADUS DUS 63,600 40 40 PHAPROS, PT
685 12005972 REBAL PLUS CAP@100 (FAH) DUS DUS 230,000 29 29 PRATAPA NIRMALA
686 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS DUS 180,000 2 2 PRATAPA NIRMALA
687 11001304 REMIKAF 2 MG (DUS 5 VL) DUS DUS 580,000 13 13 KIMIA FARMA
688 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT BT 71,000 50 50 PRATAPA NIRMALA
689 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS DUS 283,000 128 128 PRATAPA NIRMALA
690 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT BT 58,000 138 138 PRATAPA NIRMALA
691 13002168 RENATOR 500MG TAB@30 (FAH) DUS DUS 346,000 58 58 PRATAPA NIRMALA
692 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS DUS 264,000 10 10 PRATAPA NIRMALA
693 13026650 RESFAR INJ 25ML (FAH) VL VL 199,000 55 55 PRATAPA NIRMALA
694 11000304 RETINOL (VIT A 200.000 UI) (BTL 50 KAPS) BT #N/A #N/A 4 4 KIMIA FARMA
695 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS DUS #N/A 46 46 LUCAS DJAJA
696 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT BT #N/A 50 50 LUCAS DJAJA
697 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS DUS 196,974 572 572 KIMIA FARMA
698 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS DUS 215,916 117 117 KIMIA FARMA
699 12011489 RINGER ASETAT 500 ML (SATORIA) BT BT - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
700 12002315 RISPERIDON 2 MG TAB @100 GDX DUS DUS - 195 195 MERSIFARMA
701 13005128 RISTONAT 35MG TAB@4 DUS DUS 290,000 226 226 PHAPROS, PT
702 12008475 RIVANOL 300ML MOL BT BT 9,000 415 415 MOLEX AYUS, PT
703 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC #N/A #N/A 1 1 PIHAK 3
704 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS DUS 210,000 17 17 KIMIA FARMA
705 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS DUS 280,000 23 23 KIMIA FARMA
706 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS DUS 390,000 54 54 PRATAPA NIRMALA
707 12008225 SALBUTAMOL 2MG TAB@100 (GRAF) DUS #N/A #N/A 200 200 GRAHA FARMA, PT
708 12013826 SALBUTAMOL 2MG TAB@100 (IMFAR) DUS #N/A #N/A 20 20 IMFARMIND FARMASI INDUSTRI, PT
709 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS DUS 12,953 1 1 KIMIA FARMA
710 11002254 SALICYL KF FRESH NEW FORMULA 60 GRAM BT #N/A #N/A 565 565 KIMIA FARMA
711 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT BT 9,678 2,312 2,312 KIMIA FARMA
712 12009910 SALTAM 2 MG @100 TAB DUS DUS 15,000 1 1 PHAPROS, PT
713 12013412 SASKLIN DISINFECTANT 500 ML BT BT 45,000 10 10 PT. LIKUID PHARMALAB INDONESIA
714 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT BT 7,500 34 34 PT. LIKUID PHARMALAB INDONESIA
715 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @4 BT BT 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
716 12003688 SCANBAND DIRECT THERMAL BLUE 7022-13- PC #N/A #N/A 1,000 1,000 SINAR RODA UTAMA, PT
717 12003689 SCANBAND DIRECT THERMAL PINK 7022-12-PPC #N/A #N/A 1,000 1,000 SINAR RODA UTAMA, PT
718 12005563 SCOPMA 10 MG KAPL @ 100(IFARS) DUS DUS #N/A 25 25 IFARS PHARMACEUTICAL, PT
719 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT BT 54,054 12 12 SINKONA INDONESIA LESTARI, PT
720 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT BT 109,091 22 22 SINKONA INDONESIA LESTARI, PT
721 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10MBT BT 130,909 6 6 SINKONA INDONESIA LESTARI, PT
722 12010658 SEVOFLURANE INHALASI 250ML (FAH) BT BT 1,800,000 10 10 PRATAPA NIRMALA
723 12005860 SHAROX 500MG TAB@20 (FAH) DUS DUS 460,000 4 4 PRATAPA NIRMALA
724 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS DUS 142,000 15 15 PRATAPA NIRMALA
725 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS DUS 300,000 112 112 PRATAPA NIRMALA
726 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS DUS 180,000 104 104 PRATAPA NIRMALA
727 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS DUS 225,000 79 79 PRATAPA NIRMALA
728 12000872 SILEX SYRUP 100 ML BT BT 62,900 6 6 DARYA VARIA, PT
729 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS DUS 14,000 302 302 KIMIA FARMA
730 12013106 SIMVASTATIN 10MG TAB@100 (NOVA) DUS #N/A #N/A 10 140 150 NOVAPHARIN
731 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS DUS 27,000 30 1,090 1,120 KIMIA FARMA
732 12014932 SIMVASTATIN 20 MG(IFARS) DUS #N/A #N/A 400 400 IFARS PHARMACEUTICAL, PT
733 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS DUS #N/A 38 97 135 NOVAPHARIN
734 13014389 SKINCOL HUMID GEL 30GR TUB TUB 125,000 23 23 PHAPROS, PT
735 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT BT 6,425 1,900 1,900 SATORIA ANEKA INDUSTRI, PT
736 12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) BT BT 26,400 180 180 PHAPROS, PT
737 12011578 SONIDE 0.25 INHALASI 2ML AMP@10 (FAH) DUS DUS 157,000 108 108 PRATAPA NIRMALA
738 12014880 STAR CE DUS DUS - 100 100 HARSEN LABORATORIES, PT
739 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS DUS 270,000 25 25 KIMIA FARMA
740 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VLDUS DUS 338,878 15 1 16 KIMIA FARMA
741 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS DUS 440,160 4 7 11 PHAPROS, PT
742 13083777 STRIATAMIN CAP 10 X 3 DUS DUS 110,550 18 18 MEGA MEDICA PHARMACEUTICALS, PT
743 11000493 SUFENTA 0.005 MG INJEKSI (PCC) DUS #N/A #N/A 10 2 12 PIRAMAL CRITICAL CARE LTD
744 12008222 SULFADIAZINE 500 MG (IFARS) DUS #N/A #N/A 3 3 IFARS PHARMACEUTICAL, PT
745 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS DUS 33,120 3 3 DARYA VARIA, PT
746 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL RLL 2,973 250 250 KASA HUSADA WIRA JATIM, PT
747 13079783 SUTRA GERIGI KONDOM@ 3 BH DUS 172,368 28,752 28,752 PIHAK 3
748 13016440 SUTRA OK KONDOM@ 3 DUS DUS 7,182 360 24 384 PIHAK 3
749 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS DUS 135,000 70 70 PRATAPA NIRMALA
750 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TDUS DUS 45,000 149 149 KIMIA FARMA
751 13003107 TEBOKAN FC TAB@100 DUS DUS 557,550 12 12 PHAPROS, PT
752 13003108 TEBOKAN FORTE 120MG TAB@30 DUS #N/A #N/A 40 40 PHAPROS, PT
753 13003109 TEBOKAN SPECIAL CAP@30 DUS DUS 335,475 6 6 PHAPROS, PT
754 11002049 TECAVIR 0.5 MG TSS (DUS 30 TAB) DUS DUS 600,000 5 5 KIMIA FARMA
755 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS DUS 210,000 13 13 KIMIA FARMA
756 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS DUS 420,000 20 20 KIMIA FARMA
757 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT BT #N/A 135 135 KIMIA FARMA
758 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS DUS 336,000 130 130 PRATAPA NIRMALA
759 12013119 TETRACYCLINE HCL 250MG CAP@100 (NOVA)DUS #N/A #N/A 1,624 1,624 NOVAPHARIN
760 12005447 TETRACYCLINE HCL 500MG CAP@100 (NOVA)DUS #N/A #N/A 760 - 760 NOVAPHARIN
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
761 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT BT 10,500 32 32 MOLEX AYUS, PT
762 12005181 TIARYT TAB@30 (FAH) DUS DUS 135,000 6 6 PRATAPA NIRMALA
763 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB TUB 236,000 3 3 PYRIDAM, PT
764 11000132 TOPGESIC 500 MG TSS (DUS 100 TAB) DUS DUS 162,000 50 50 KIMIA FARMA
765 12007362 TOPGRA 100 MG TABLET DUS DUS 187,200 181 181 HARSEN LABORATORIES, PT
766 13070793 TRACETATE 160MG TAB@30 (FAH) DUS DUS 690,000 14 14 PRATAPA NIRMALA
767 13006433 TRACETATE SUSP 200ML (FAH) BT BT 420,000 41 41 PRATAPA NIRMALA
768 12008343 TRAMADOL HCL 50MG CAP@50 (GRAF) DUS DUS #N/A 9 9 GRAHA FARMA, PT
769 13076813 TRAMPARA TAB@30 DUS DUS 145,000 566 566 PHAPROS, PT
770 13008015 TRAMSET KPL@30 (FAH) DUS DUS 219,000 75 75 PRATAPA NIRMALA
771 13010118 TRIXON INJ 1GR VL VL 55,000 103 103 PHAPROS, PT
772 11000172 TROMBIKAF TABLET-STRIP 3X10 TABLET DUS DUS 360,000 4 4 KIMIA FARMA
773 12012178 URSODEOXYCHOLIC ACID 250 CAP@100 (MEPDUS #N/A #N/A 38 38 MEPROFARM
774 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC PAC 7,425 463 463 PRUNING
775 11000292 VAGIZOLE OVULA (DUS 5 SUPP) DUS DUS 55,000 10 40 50 KIMIA FARMA
776 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS DUS 258,500 1 1 BIOFARMA
777 12007630 VAKSIN BIO TD 1 DS (BF) AMP AMP 69,300 100 100 BIOFARMA
778 12007631 VAKSIN BIO TT 1 DS (BF) AMP AMP 36,300 170 170 BIOFARMA
779 12007659 VAKSIN CAMPAK 10 DS (BF) DUS DUS 154,000 3 3 BIOFARMA
780 12011966 VAKSIN CERVARIX (BF) DUS DUS 607,700 14 14 BIOFARMA
781 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS DUS 152,000 2 2 BIOFARMA
782 12007662 VAKSIN FLUBIO (BF) VL VL 99,800 134 134 BIOFARMA
783 12011967 VAKSIN HAVRIX ADULT (BF) DUS DUS 289,200 4 4 BIOFARMA
784 12007661 VAKSIN HEPATITIS-B BAYI (BF) SC SC 52,470 1,000 1,000 BIOFARMA
785 12007660 VAKSIN HEPATITIS-B DEWASA (BF) POU POU 79,200 80 80 BIOFARMA
786 12008932 VAKSIN IPV 5 DS (BF) DUS DUS 3,630,000 3 3 BIOFARMA
Stok Per Tanggal 08 Agustus 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 426 426 KIMIA FARMA
2 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 230 60 290 KIMIA FARMA
3 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 11 127 138 KIMIA FARMA
4 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 0 KIMIA FARMA
5 13068943 ACYCLOVIR 200MG TAB GYA TAB 1 #N/A 2,000 2,000 YARINDO FARMATA, PT
6 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 895 373 15 1,283 PHAPROS, PT
7 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 12 12 PHAPROS, PT
8 13020930 ALBUFORCE CAP@100 DUS 100 589,000 89 89 SATYA ABADI PHARMA, PT
9 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
10 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 626 626 MOLEX AYUS, PT
11 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 738 738 MOLEX AYUS, PT
12 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 757 757 MOLEX AYUS, PT
13 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 21 21 DARYA VARIA, PT
14 12014965 ALLOPURINOL TAB 300 MG DUS #N/A #N/A 500 500 HOLI PHARMA
15 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 53 62 115 KIMIA FARMA
16 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 32 32 KIMIA FARMA
17 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
18 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 177 177 KIMIA FARMA
19 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 697 8 705 KIMIA FARMA
20 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 18 18 MARIN LIZA
21 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 200 3 15 218 PHAPROS, PT
22 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 2 2 DARYA VARIA, PT
23 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 40 DARYA VARIA, PT
24 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 15,000 112 112 KIMIA FARMA
25 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 1,160 2,209 1,500 4,869 KIMIA FARMA
26 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
27 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS #N/A #N/A 500 500 KIMIA FARMA
28 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 340 340 MEPROFARM
29 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 7,124 7,124 MERSIFARMA
30 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 8 8 PHAPROS, PT
31 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 38 38 PIHAK 3
32 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 330 330 PIHAK 3
33 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 97,440 97,440 PIHAK 3
34 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 151 151 PIHAK 3
35 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
36 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
37 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 198 43 12 253 KIMIA FARMA
38 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 751 751 PHAPROS, PT
39 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
40 12005096 ANTIMO DEWASA TAB DUS 1 309,600 161 161 PHAPROS, PT
41 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
42 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
43 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAYA
44 12011741 ASAM FOLAT 400MCG TAB@100 (NOVA) DUS #N/A #N/A 15 15 NOVAPHARIN
45 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 246 246 KIMIA FARMA
46 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 316 316 KIMIA FARMA
47 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
48 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A 8 8 DARYA VARIA, PT
49 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
50 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 390,000 1 1 PRATAPA NIRMALA
51 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 57 57 PRATAPA NIRMALA
52 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 64 64 PRATAPA NIRMALA
53 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 74 74 KIMIA FARMA
54 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 15 15 DARYA VARIA, PT
55 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 902 200 1,102 KIMIA FARMA
56 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
57 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
58 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
59 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 1,886 - 95 - - 1,981 KIMIA FARMA
60 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 356 356 KIMIA FARMA
61 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,712 6,712 KIMIA FARMA
62 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
63 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 18 18 PT. LIKUID PHARMALAB INDONESIA
64 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 41 - 41 PT. LIKUID PHARMALAB INDONESIA
65 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 17 17 PT. LIKUID PHARMALAB INDONESIA
66 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 6 6 PT. LIKUID PHARMALAB INDONESIA
67 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 11 11 PT. LIKUID PHARMALAB INDONESIA
68 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 56 56 PT. LIKUID PHARMALAB INDONESIA
69 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
70 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
71 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
72 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 70 70 PT. LIKUID PHARMALAB INDONESIA
73 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
74 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
75 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
76 13022661 BECEFORT SYR 60ML BT 1 14,998 27 - - 27 PHAPROS, PT
77 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 1,037 1,037 KIMIA FARMA
78 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 24 PHAPROS, PT
79 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 317 15 200 532 KIMIA FARMA
80 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 87 87 KIMIA FARMA
81 11000384 BETASON N CREAM (DUS 24 TUB @5 G) DUS 24 356,400 52 52 KIMIA FARMA
82 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 788 788 MOLEX AYUS, PT
83 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 16 16 NUFARINDO, PT
84 13010355 BIO ATP KPL@100 DUS 100 214,180 11 11 PHAPROS, PT
85 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 418 418 BIO AXION HEALTHINDO, PT
86 12013616 BIORON FORTE TSG.7 CC X 4S DUS 28 60,800 13 13 PHAPROS, PT
87 13026576 BIORON TAB@100 DUS 100 101,650 38 38 PHAPROS, PT
88 12006548 BIOSAVE (BF) VL #N/A #N/A 8 8 BIOFARMA
89 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
90 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 4 5 9 HARSEN LABORATORIES, PT
91 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 71 71 OPELLA HEALTHCARE INDONESIA, PT
92 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 #N/A 95 95 KIMIA FARMA
93 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
94 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
95 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRAFT DUS 1 400,000 30 30 PHAPROS, PT
96 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 39 39 SATYA ABADI PHARMA, PT
97 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
98 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 40 40 PRATAPA NIRMALA
99 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 350,000 258 258 PRATAPA NIRMALA
100 12000283 BUSCOPAN 20 MG / ML INJ DUS 100 368,480 10 10 OPELLA HEALTHCARE INDONESIA, PT
101 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 299 8 307 PHAPROS, PT
102 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 199 199 PHAPROS, PT
103 12011946 CALCIUM LACTATE 500MG DUS@100 (MARIN) DUS #N/A #N/A 5 5 MARIN LIZA
104 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A - 1,806 - 1,806 NOVAPHARIN
105 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 147 147 PRATAPA NIRMALA
106 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
107 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 25 25 PRATAPA NIRMALA
108 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
109 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,401 1,401 LUCAS DJAJA
110 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 607 607 PHAPROS, PT
111 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 368 368 KIMIA FARMA
112 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 183 100 3,099 3,382 PHAPROS, PT
113 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
114 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT #N/A #N/A 700 200 900 IFARS PHARMACEUTICAL, PT
115 12008218 CEFADROXIL 250 MG/5ML (IFARS) BT #N/A #N/A 250 250 IFARS PHARMACEUTICAL, PT
116 12005553 CEFADROXIL 500 MG KAPS @ 100 (Mepro) KPS #N/A #N/A 41,900 41,900 MEPROFARM
117 12014922 CEFADROXIL MONOHYDRATE 500MG(IFARS) DUS #N/A #N/A 75 75 IFARS PHARMACEUTICAL, PT
118 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 20 PIHAK 3
119 12014711 CEFOTAXIME SODIUM 1G (MEPRO) DUS #N/A #N/A 110 110 PIHAK 3
120 12014953 CEFTAZIDIME 1gr DUS #N/A #N/A 25 25 MEPROFARM
121 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 19 19 CENDO, PT
122 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 18 18 CENDO, PT
123 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
124 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
125 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 43 43 CENDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 12004100 CENDO CATARLENT MINIDOSE 5 X 0.6 ML STR 1 20,000 121 121 CENDO, PT
127 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
128 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
129 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
130 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 44 44 CENDO, PT
131 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 24 24 CENDO, PT
132 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 14 14 CENDO, PT
133 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 67 67 CENDO, PT
134 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
135 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 105 105 CENDO, PT
136 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 216 216 CENDO, PT
137 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 96 96 CENDO, PT
138 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 44 44 CENDO, PT
139 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 29 29 CENDO, PT
140 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 7 7 CENDO, PT
141 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
142 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 29 29 CENDO, PT
143 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
144 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 64 64 CENDO, PT
145 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 2 2 CENDO, PT
146 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
147 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 - 5 5 CENDO, PT
148 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
149 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 22 22 CENDO, PT
150 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 93 93 CENDO, PT
151 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
152 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 88 88 CENDO, PT
153 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
154 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 11 11 CENDO, PT
155 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
156 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 5 5 CENDO, PT
157 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
158 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 - 49 49 CENDO, PT
159 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
160 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 - 3 3 CENDO, PT
161 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 19 19 CENDO, PT
162 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 33 33 CENDO, PT
163 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 128 128 CENDO, PT
164 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 136 136 CENDO, PT
165 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
166 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 8 8 CENDO, PT
167 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
168 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
169 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
170 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
171 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 37 37 CENDO, PT
172 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 18 18 CENDO, PT
173 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 35 35 CENDO, PT
174 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 26 26 CENDO, PT
175 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 87 87 CENDO, PT
176 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 15 15 CENDO, PT
177 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 40 40 CENDO, PT
178 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
179 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 25 CENDO, PT
180 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
181 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
182 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 15 15 CENDO, PT
183 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 13 13 CENDO, PT
184 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
185 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
186 12005164 CENDO VITAL TAB@30 DUS 30 90,000 11 11 CENDO, PT
187 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 122 122 CENDO, PT
188 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 127 127 CENDO, PT
189 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
190 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 393 393 CENDO, PT
191 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
192 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 139 139 KIMIA FARMA
193 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
194 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
195 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 58 58 MEGA MEDICA PHARMACEUTICALS, PT
196 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 73 73 MEGA MEDICA PHARMACEUTICALS, PT
197 12006912 CHANNA PLUS SACHET DUS 3 190,500 45 45 MEGA MEDICA PHARMACEUTICALS, PT
198 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 63 63 MEGA MEDICA PHARMACEUTICALS, PT
199 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 117 58 175 MEGA MEDICA PHARMACEUTICALS, PT
200 13084478 CHANNAFIT SYR 100ML BT 1 70,000 75 75 MEGA MEDICA PHARMACEUTICALS, PT
201 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 19 19 KIMIA FARMA
202 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 62 62 KIMIA FARMA
203 11000295 CHLORAMFENICOL 1 % S.M (DUS 24 TUB @5 G) DUS #N/A #N/A 200 200 KIMIA FARMA
204 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS 100 61,622 15 15 KIMIA FARMA
205 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA) DUS 100 #N/A 50 50 NOVAPHARIN
206 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 552 50 602 NOVAPHARIN
207 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 1 PHAPROS, PT
208 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 45 1 3 49 PHAPROS, PT
209 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 515 515 KIMIA FARMA
210 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 189 25 214 NOVAPHARIN
211 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 451 451 KIMIA FARMA
212 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 358 358 KIMIA FARMA
213 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 898 898 KIMIA FARMA
214 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 150 PHAPROS, PT
215 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC 1 6,713 143 143 PIHAK 3
216 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC #N/A 2,998 3,205 3,205 PIHAK 3
217 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC #N/A 1,745 44 44 PIHAK 3
218 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC #N/A 7,297 231 231 PIHAK 3
219 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
220 12015014 CLINDAMYCIN HCL 300 MG (HARSEN) DUS #N/A #N/A 8 8 HARSEN LABORATORIES, PT
221 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
222 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 471 85 556 KIMIA FARMA
223 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 618 750 1,368 KIMIA FARMA
224 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 140 140 PHAPROS, PT
225 12012932 CLOTAIRE 90MG TAB@30 (FAH) DUS 30 300,000 50 50 PRATAPA NIRMALA
226 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 152 89 241 KIMIA FARMA
227 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 6 6 KIMIA FARMA
228 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 18 51 69 KIMIA FARMA
229 11000038 CODIKAF 10 MG TABLET (DUS 100 TAB) DUS 100 78,750 2 2 KIMIA FARMA
230 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 5 5 KIMIA FARMA
231 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
232 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
233 12011769 COTRIMOXAZOLE SYR GIFAR 60ML BT #N/A #N/A 500 - 500 IFARS PHARMACEUTICAL, PT
234 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
235 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
236 12012933 CYPRODIOL TAB@21 (FAH) DUS 21 130,000 50 50 PRATAPA NIRMALA
237 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
238 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,694 1,694 BHINNEKA USADA RAYA
239 13076707 D-ARTEPP TAB@9 DUS 9 72,000 850 850 BHINNEKA USADA RAYA
240 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 437 437 DARYA VARIA, PT
241 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 341 341 HARSEN LABORATORIES, PT
242 12006576 DECADRYL EXP 60 ML BT 1 15,500 260 260 HARSEN LABORATORIES, PT
243 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 4 4 DARYA VARIA, PT
244 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 1,900 PIHAK 3
245 12014945 DEVALPROEX ER 250 (IKA) BT #N/A #N/A 24 24 IKAPHARMINDO
246 12014946 DEVALPROEX ER 500 (IKA) BT #N/A #N/A 24 24 IKAPHARMINDO
247 12015111 DEXAHARSEN 0,75 MG KAPLET ( HARSEN ) DUS 200 41,800 28 28 HARSEN LABORATORIES, PT
248 12006873 DEXAMETHASONE 0,5MG TAB@100 (NOVA) DUS 100 #N/A - 290 - - 290 NOVAPHARIN
249 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 116 116 KIMIA FARMA
250 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 409 10 8 427 PHAPROS, PT
251 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS #N/A #N/A 300 500 800 MEPROFARM
252 11000048 DEXOCORT 0.25%/10GR KRIM (DUS 25 TUB) TUB 1 38,400 100 100 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 13000718 DEXTAMIN TAB@100 DUS 100 165,000 268 268 PHAPROS, PT
254 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 242 242 PHAPROS, PT
255 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
256 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
257 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 26 26 PHAPROS, PT
258 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS 100 - 30 30 MERSIFARMA
259 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 0 14,773 29 206 235 MEPROFARM
260 12012922 DIFFUSER SELENSIA MOTIF KAYU 400ML UNT 1 228,000 2 2 SINKONA INDONESIA LESTARI, PT
261 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
262 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
263 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 849 20 869 KIMIA FARMA
264 13002883 DIOS TAB@30 DUS 30 115,000 98 98 PHAPROS, PT
265 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 #N/A 8 8 PHAPROS, PT
266 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
267 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
268 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
269 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
270 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
271 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 - - - 180 180 NOVAPHARIN
272 12014926 DOMPERIDONE MALEATE 10 MG(IFARS) DUS #N/A #N/A - 150 150 IFARS PHARMACEUTICAL, PT
273 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
274 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 2 2 KIMIA FARMA
275 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS 100 70,000 300 300 KIMIA FARMA
276 12003671 DT LABEL BLUE PMS PERMANENT 2" X 2-3/8" RLL 1 730,400 1 1 SINAR RODA UTAMA, PT
277 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
278 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 83 83 OPELLA HEALTHCARE INDONESIA, PT
279 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 32 32 OPELLA HEALTHCARE INDONESIA, PT
280 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 167,398 2 2 OPELLA HEALTHCARE INDONESIA, PT
281 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIES, PT
282 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 17 17 JANSSEN PHARMACEUTICA NV
283 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 42 42 JANSSEN PHARMACEUTICA NV
284 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 13 13 KIMIA FARMA
285 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
286 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
287 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
288 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 258 258 PRATAPA NIRMALA
289 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 38 38 DARYA VARIA, PT
290 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 21 21 DARYA VARIA, PT
291 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
292 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,248 7,248 KIMIA FARMA
293 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
294 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
295 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
296 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 390 390 RAMA EMERALD, PT
297 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT 1 #N/A 50 50 HOLI PHARMA
298 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 0 1 3 KIMIA FARMA
299 12008506 EVA TABLET (HARSEN) DUS 21 42,545 50 50 HARSEN LABORATORIES, PT
300 11001489 EXTRALAC SYRUP (BTL 60 ML)-BJN BT 1 39,000 17 17 KIMIA FARMA
301 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC #N/A 30,221 320 320 PIHAK 3
302 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 18 18 PRATAPA NIRMALA
303 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 35,000 110 110 PRATAPA NIRMALA
304 13010537 FARBION TAB@100 (FAH) DUS 100 130,000 372 372 PRATAPA NIRMALA
305 13009192 FARBIVENT NEBULES@10 (FAH) DUS 10 105,000 300 300 PRATAPA NIRMALA
306 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 190 190 PRATAPA NIRMALA
307 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 181 181 PRATAPA NIRMALA
308 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 119 119 PRATAPA NIRMALA
309 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 58 58 PRATAPA NIRMALA
310 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 1 PRATAPA NIRMALA
311 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 107 50 157 PRATAPA NIRMALA
312 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 50,000 8 8 PRATAPA NIRMALA
313 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 100 100 PRATAPA NIRMALA
314 12004318 FARMADOL INF (FAH) BT 1 70,000 97 97 PRATAPA NIRMALA
315 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 129 129 PRATAPA NIRMALA
316 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 100 21 121 PRATAPA NIRMALA
317 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
318 13026489 FARPRESIN INJ VIAL@5 (FAH) DUS 5 900,000 20 20 PRATAPA NIRMALA
319 12005973 FARSORBID INJ VIAL@2 (FAH) DUS 2 142,000 188 188 PRATAPA NIRMALA
320 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
321 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
322 13019430 FEBRINEX SYR 60ML BT 1 14,414 52 52 PHAPROS, PT
323 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 43 43 PRATAPA NIRMALA
324 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 140 140 PRATAPA NIRMALA
325 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 5 5 MAHAKAM BETA FARMA
326 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 250 250 MAHAKAM BETA FARMA
327 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 221 221 KIMIA FARMA
328 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 554 554 KIMIA FARMA
329 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 774 774 KIMIA FARMA
330 13004747 FEXAZOL CR 5GR MOL TUB 1 7,000 120 120 MOLEX AYUS, PT
331 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 163 163 PIHAK 3
332 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 241 241 PIHAK 3
333 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 17 17 PIHAK 3
334 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 165 165 PIHAK 3
335 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 288 288 SURYA SUKSES PERKASA, PT
336 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 249 249 KIMIA FARMA
337 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 189 189 KIMIA FARMA
338 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 99 99 KIMIA FARMA
339 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 166 166 KIMIA FARMA
340 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 72 72 KIMIA FARMA
341 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 662 662 KIMIA FARMA
342 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,072 6,072 KIMIA FARMA
343 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 62 62 PRATAPA NIRMALA
344 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 245 245 PRATAPA NIRMALA
345 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 183 183 PRATAPA NIRMALA
346 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 201 162 363 KIMIA FARMA
347 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 10 181 PHAPROS, PT
348 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 275,000 4 4 PYRIDAM, PT
349 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
350 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 150 20 170 DARYA VARIA, PT
351 12011679 FRESMED DESINFECTAN SPRAY @250 ML BT 1 27,273 20 20 PT. LIKUID PHARMALAB INDONESIA
352 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 8 8 PYRIDAM, PT
353 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 89 89 KIMIA FARMA
354 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 262,000 10 10 PRATAPA NIRMALA
355 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 10 KIMIA FARMA
356 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 139 139 PRATAPA NIRMALA
357 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 232 232 PHAPROS, PT
358 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 47 47 PRATAPA NIRMALA
359 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,713 1,713 MOLEX AYUS, PT
360 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 5,278 5,278 MOLEX AYUS, PT
361 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 1,085 90 - - 1,175 KIMIA FARMA
362 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 110 110 PHAPROS, PT
363 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 110 110 KIMIA FARMA
364 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
365 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 131 10 141 KIMIA FARMA
366 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 273 273 KIMIA FARMA
367 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 188 7 195 KIMIA FARMA
368 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 83 83 PRATAPA NIRMALA
369 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
370 12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) DUS 100 168,971 177 177 DARYA VARIA, PT
371 12013611 GRISEOFULVIN 500MG @100 TAB (NOVA) DUS #N/A #N/A 20 20 NOVAPHARIN
372 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 1 - - 1 NOVAPHARIN
373 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
374 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
375 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC #N/A 7,652 221 221 PIHAK 3
376 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
377 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
378 12006958 HEPAGARD DUS 0 76,230 78 78 PHAPROS, PT
379 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS 5 300,000 30 30 PRATAPA NIRMALA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 3 3 KIMIA FARMA
381 11000516 HUMAN ALBUMIN 20 % 50 ML BT 1 400,901 11 11 KIMIA FARMA
382 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 478 478 KIMIA FARMA
383 12005248 HUSTAB 30X10S DUS 300 119,196 18 18 PHAPROS, PT
384 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
385 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 0 21 876 898 KIMIA FARMA
386 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA) DUS 100 #N/A 30 30 RAMA EMERALD, PT
387 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 23 23 PHAPROS, PT
388 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 137 137 PHAPROS, PT
389 12013954 HYTOSA (SAP) BT 1 122,000 52 52 SATYA ABADI PHARMA, PT
390 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
391 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 355 - - - 355 NOVAPHARIN
392 12014927 IBUPROFEN 400 MG(IFARS) DUS #N/A #N/A 100 100 IFARS PHARMACEUTICAL, PT
393 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 490 350 - 842 NOVAPHARIN
394 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
395 12010151 INA-SHUNT SEMILUNAR FLUSH ADULT/LOW PC 1 2,600,000 1 1 PHAPROS, PT
396 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 2 2 PHAPROS, PT
397 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
398 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC 1 2,600,000 2 2 PHAPROS, PT
399 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
400 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
401 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 3 3 PHAPROS, PT
402 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 42 42 MOLEX AYUS, PT
403 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
404 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 808 808 PRATAPA NIRMALA
405 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 580 580 PRATAPA NIRMALA
406 12007335 INSTO REGULAR 15 ML DUS 1 16,100 7 7 COMBIPHAR, PT
407 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 900 900 PRATAPA NIRMALA
408 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 153 250 403 KIMIA FARMA
409 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 90 9 99 KIMIA FARMA
410 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 746 448 1,194 KIMIA FARMA
411 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 477 477 KIMIA FARMA
412 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 36 36 PRATAPA NIRMALA
413 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
414 12001211 ISONIAZID 100 MG TABLET DUS 100 #N/A 9 9 HOLI PHARMA
415 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
416 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 160 160 KIMIA FARMA
417 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS 25 #N/A 81 81 KIMIA FARMA
418 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 - 450 - - 450 NOVAPHARIN
419 12014957 KETOCONAZOLE SCALP SOL 20MG DUS #N/A #N/A 350 350 MEPROFARM
420 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS 12 30,600 184 184 PHAPROS, PT
421 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS 50 65,901 148 148 KIMIA FARMA
422 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 21 21 KIMIA FARMA
423 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 100 100 KIMIA FARMA
424 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 13 13 KIMIA FARMA
425 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC 50 143,190 8 8 KIMIA FARMA
426 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM PAC 1 106,380 3 3 KIMIA FARMA
427 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
428 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
429 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 709 709 KIMIA FARMA
430 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
431 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 4 4 KIMIA FARMA
432 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 43 43 KIMIA FARMA
433 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 17 17 KIMIA FARMA
434 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
435 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 145 145 KIMIA FARMA
436 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 99 99 KIMIA FARMA
437 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 63 63 PHAPROS, PT
438 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 205 205 PHAPROS, PT
439 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 KIMIA FARMA
440 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
441 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 328 328 PRATAPA NIRMALA
442 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 1,100 - 1,100 PHAPROS, PT
443 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 889 889 PRATAPA NIRMALA
444 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
445 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
446 12014948 LEVOFLOKSASIN INFUS (IKA) DUS #N/A #N/A 681 681 IKAPHARMINDO
447 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
448 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
449 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 - 7 24 - 31 MEPROFARM
450 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 18 18 MOLEX AYUS, PT
451 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 90 90 MOLEX AYUS, PT
452 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 720 720 MOLEX AYUS, PT
453 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
454 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 40,000 16 16 MOLEX AYUS, PT
455 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 7 7 MOLEX AYUS, PT
456 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 148 148 MOLEX AYUS, PT
457 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS #N/A #N/A 24 120 144 PHAPROS, PT
458 12009874 LIDOCAINE COMPOSITUM INJ 2% (PEHA) DUS #N/A #N/A - - 45 - 45 PHAPROS, PT
459 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
460 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS 30 315,000 41 41 KIMIA FARMA
461 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS 30 350,000 30 30 KIMIA FARMA
462 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 347 2 - 349 PHAPROS, PT
463 12003048 LOPAMID TABLET @ 100 DUS 100 - 137 137 HARSEN LABORATORIES, PT
464 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 70 150 - 220 IFARS PHARMACEUTICAL, PT
465 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 79 79 KIMIA FARMA
466 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - - 26 26 NOVAPHARIN
467 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 67 67 KIMIA FARMA
468 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
469 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 17 17 PRATAPA NIRMALA
470 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
471 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
472 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 57 MUSTIKA RATUBUANA INTERNATIONAL, PT
473 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 8 8 MUSTIKA RATUBUANA INTERNATIONAL, PT
474 13027133 M RATU M ZAITUN 175ML BH 1 25,135 134 134 MUSTIKA RATUBUANA INTERNATIONAL, PT
475 13080410 M RATU MINYAK ZAITUN 75ML BT 1 13,737 96 96 MUSTIKA RATUBUANA INTERNATIONAL, PT
476 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150ML BT 1 20,739 10 10 MUSTIKA RATUBUANA INTERNATIONAL, PT
477 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 1,620 1,620 KIMIA FARMA
478 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 532 532 KIMIA FARMA
479 11002331 MARCKS ACTIVE NATURAL BEIGE 20GR (NEW) PC 1 23,700 180 180 KIMIA FARMA
480 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 292 292 KIMIA FARMA
481 11002329 MARCKS ACTIVE WHITE 20GR (NEW) PC 1 23,700 3 3 KIMIA FARMA
482 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 97 97 KIMIA FARMA
483 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
484 11001945 MARCKS BREATHABLE POWDER NATURAL BEIGE BOX 1 34,700 1 1 KIMIA FARMA
485 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 187 187 KIMIA FARMA
486 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 93 93 KIMIA FARMA
487 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 85 85 KIMIA FARMA
488 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 8,918 8,918 KIMIA FARMA
489 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC 1 13,700 313 313 KIMIA FARMA
490 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 2,519 2,519 KIMIA FARMA
491 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 13,700 895 895 KIMIA FARMA
492 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC 1 13,700 585 585 KIMIA FARMA
493 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 936 936 KIMIA FARMA
494 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT 1 17,300 28 28 KIMIA FARMA
495 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 4 4 KIMIA FARMA
496 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 35 35 KIMIA FARMA
497 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 530 530 KIMIA FARMA
498 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 758 758 KIMIA FARMA
499 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 405 405 KIMIA FARMA
500 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 73 73 KIMIA FARMA
501 11001315 MARCKS TEENS REFILL COMPACT POWDER PINK PC 12 15,500 57 57 KIMIA FARMA
502 11001314 MARCKS TEENS REFILL COMPACT POWDER WHIT PC 12 15,500 45 45 KIMIA FARMA
503 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 69 69 PHAPROS, PT
504 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 7 7 DARYA VARIA, PT
505 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 97 97 PT. LIKUID PHARMALAB INDONESIA
506 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 126 126 PT. LIKUID PHARMALAB INDONESIA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT 1 11,825 180 - 180 PT. LIKUID PHARMALAB INDONESIA
508 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 265 265 PT. LIKUID PHARMALAB INDONESIA
509 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
510 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
511 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
512 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
513 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
514 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 241 241 PT. LIKUID PHARMALAB INDONESIA
515 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
516 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 445 445 PT. LIKUID PHARMALAB INDONESIA
517 12008458 MELOCID TAB@50 MOL DUS 50 30,000 24 24 MOLEX AYUS, PT
518 13083465 MEPROVENT INH AMP@10 DUS 10 #N/A 680 680 MEPROFARM
519 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 16 16 KIMIA FARMA
520 13026598 METACOSFAR 100 INJ 100ML (FAH) VL 1 1,200,000 10 10 PRATAPA NIRMALA
521 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 55 - - 55 PRATAPA NIRMALA
522 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,183 1,183 KIMIA FARMA
523 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A - 1 - 1 MEPROFARM
524 12007628 METANEURON TABLET DUS 300 311,454 10 10 PHAPROS, PT
525 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 39 39 PHAPROS, PT
526 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 862 8 11 881 KIMIA FARMA
527 12012550 METHYLPREDNISOLONE 4MG TAB@100 (NOVA) DUS 100 #N/A 100 100 NOVAPHARIN
528 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 457 457 MOLEX AYUS, PT
529 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 103 10 - 113 KIMIA FARMA
530 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 94 94 KIMIA FARMA
531 12015020 METRONIDAZOLE 250 MG (HARSEN) DUS #N/A #N/A 111 111 HARSEN LABORATORIES, PT
532 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
533 12015021 METRONIDAZOLE 500 MG (HARSEN) DUS #N/A #N/A 20 20 HARSEN LABORATORIES, PT
534 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 349 50 85 484 NOVAPHARIN
535 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
536 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 0 44 192 236 KIMIA FARMA
537 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 70 70 PRATAPA NIRMALA
538 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 83 83 MOLEX AYUS, PT
539 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 177 177 MOLEX AYUS, PT
540 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 88 88 MOLEX AYUS, PT
541 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 72 72 MOLEX AYUS, PT
542 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
543 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 34 34 PRATAPA NIRMALA
544 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
545 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 1 1 KIMIA FARMA
546 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 309,545 16 28 44 KIMIA FARMA
547 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
548 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 8 PHAPROS, PT
549 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 2 2 KIMIA FARMA
550 12005179 N ACE CAP@30 (FAH) DUS 30 84,000 43 43 PRATAPA NIRMALA
551 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
552 11002020 NACL 0.9% INFUS BT 1 7,009 18,524 18,524 KIMIA FARMA
553 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 144 144 PYRIDAM, PT
554 13083783 NATERAN 25MG TAB@30 DUS 3 1,200,000 3 3 FAHRENHEIT SYNTHON PHARMA
555 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
556 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 259 259 PHAPROS, PT
557 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 24 24 DARYA VARIA, PT
558 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 36 36 DARYA VARIA, PT
559 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 23 23 DARYA VARIA, PT
560 12000832 NATUR E HBL 100 ML BT 1 10,424 42 42 DARYA VARIA, PT
561 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
562 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 57,626 2 2 DARYA VARIA, PT
563 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
564 12005302 NATUR-E 300 IU 32's DUS 32 56,496 32 32 DARYA VARIA, PT
565 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
566 12013182 NELANDOZ 2MG TAB@28 (FAH) DUS 28 410,000 11 11 PRATAPA NIRMALA
567 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 774 774 MOLEX AYUS, PT
568 13082848 NEUFAR 75MG CAP@30 (FAH) DUS 30 240,000 20 20 PRATAPA NIRMALA
569 12005687 NEURAXON 5000 KPL@100 (PYRIDAM) DUS 100 316,000 1 1 PYRIDAM, PT
570 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
571 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
572 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS 30 250,000 23 23 KIMIA FARMA
573 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
574 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 1 38 39 DARYA VARIA, PT
575 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
576 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
577 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 478 478 SINAR RODA UTAMA, PT
578 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 55 SINAR RODA UTAMA, PT
579 12003654 NIPRO SYRINGE 1 ML LS W/N 26GX1/2" PC #N/A #N/A - - 10,000 - - 10,000 SINAR RODA UTAMA, PT
580 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC #N/A #N/A 500 500 SINAR RODA UTAMA, PT
581 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC #N/A #N/A 10,400 10,400 SINAR RODA UTAMA, PT
582 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2inch PC #N/A #N/A 10,000 10,000 SINAR RODA UTAMA, PT
583 12003645 NIPRO SYRINGE 50 ML LS W/O NEEDLE PC #N/A #N/A 10 10 SINAR RODA UTAMA, PT
584 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,461 2,461 SINAR RODA UTAMA, PT
585 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 227 10 237 PHAPROS, PT
586 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 164 164 KIMIA FARMA
587 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS #N/A 246,000 - - 15 - 15 KIMIA FARMA
588 12004990 NOKOBA INJ AMP@5 (FAH) DUS 5 525,000 20 20 PRATAPA NIRMALA
589 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 419 419 PHAPROS, PT
590 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 50 50 PRATAPA NIRMALA
591 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
592 12009890 NOZA @4 TAB STR 4 72,500 125 125 PHAPROS, PT
593 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,762 1,762 EMJEBE PHARMA , PT
594 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
595 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 55 55 PRATAPA NIRMALA
596 12008221 NYSTATIN 100.000 IU/ML (IFARS) BT #N/A #N/A 110 400 - 510 IFARS PHARMACEUTICAL, PT
597 12015035 NYSTATIN DROP DUS 10 - 2 2 PIHAK 3
598 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 308 204 15 527 PHAPROS, PT
599 12008469 OBH 60ML MOL BT 1 #N/A 20 20 MOLEX AYUS, PT
600 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 35 35 COMBIPHAR, PT
601 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 399 399 COMBIPHAR, PT
602 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 258 258 COMBIPHAR, PT
603 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 12,500 256 256 COMBIPHAR, PT
604 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 180 180 COMBIPHAR, PT
605 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 35 35 COMBIPHAR, PT
606 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 91 91 COMBIPHAR, PT
607 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 278 278 COMBIPHAR, PT
608 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 190 190 COMBIPHAR, PT
609 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 1 1 DARYA VARIA, PT
610 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
611 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
612 12013632 OMEPRAZOLE 20MG @100 KPS (NOVA) DUS 100 #N/A 133 133 NOVAPHARIN
613 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 300 4 304 DARYA VARIA, PT
614 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 651 33 684 PHAPROS, PT
615 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
616 12010612 ORABLOC INJ (PEHA) DUS 50 810,000 11 11 PHAPROS, PT
617 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
618 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 45 45 SATYA ABADI PHARMA, PT
619 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 13 13 PYRIDAM, PT
620 13007995 OSTEOTIN CAP@60 DUS 60 179,100 5 5 PHAPROS, PT
621 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
622 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 100 100 PIHAK 3
623 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 158 158 PHAPROS, PT
624 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 273 2,399 2,300 4,972 KIMIA FARMA
625 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
626 12014931 PARACETAMOL DROPS(IFARS) DUS #N/A #N/A 280 350 630 IFARS PHARMACEUTICAL, PT
627 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11 2,863 2,874 DARYA VARIA, PT
628 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 205 205 DARYA VARIA, PT
629 12005890 PEHACAIN INJ DUS #N/A 66,791 304 304 PHAPROS, PT
630 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 25 25 PHAPROS, PT
631 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
632 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 146 146 PHAPROS, PT
633 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 300 - 300 PRATAPA NIRMALA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
635 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 9 159 168 KIMIA FARMA
636 13009792 PHADILON 125MG INJ VL 1 30,000 109 109 PHAPROS, PT
637 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
638 13009794 PHAMINOV INJ@10 DUS 10 65,000 180 180 PHAPROS, PT
639 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
640 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
641 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 365 520 885 LUCAS DJAJA
642 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
643 12014951 PHENYTOIN INJ (IKA) AMP #N/A #N/A 1,100 1,100 IKAPHARMINDO
644 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A 48 255 303 MEPROFARM
645 12002139 PHYTOMENADION 10 MG ) VIT K1 (MARIN) BT #N/A #N/A 100 100 MARIN LIZA
646 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 173 3 176 PHAPROS, PT
647 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 3 218 221 PHAPROS, PT
648 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 168,000 205 205 PHAPROS, PT
649 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,793 1,793 KIMIA FARMA
650 11001543 PIROXICAM 20 MG (DUS 100 TAB)-BJN DUS 100 22,458 59 59 KIMIA FARMA
651 12013098 POVIDONE IODINE 1L (NOVA) BT 1 #N/A 150 150 NOVAPHARIN
652 12007665 PPD 2 TU (BF) VL 1 630,000 465 465 BIOFARMA
653 13006374 PRALAX SYR 3.35G/5ML 100ML (FAH) BT 1 73,000 200 200 PRATAPA NIRMALA
654 13005913 PRAZOTEC 30MG TAB@20 (FAH) DUS 20 270,000 100 100 PRATAPA NIRMALA
655 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 587 587 PRATAPA NIRMALA
656 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
657 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
658 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS 100 - 10 10 IMFARMIND FARMASI INDUSTRI, PT
659 12001215 PREDNISON 5 MG TAB (HOLI) DUS 100 #N/A - - - 597 - 597 HOLI PHARMA
660 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A - 1,453 1,453 IFARS PHARMACEUTICAL, PT
661 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 2 2 PYRIDAM, PT
662 12009932 PREGABALIN 75MG CAP@100 GDV (DVRS) DUS #N/A #N/A 3 3 DARYA VARIA, PT
663 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 19 19 KIMIA FARMA
664 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 70 70 PRATAPA NIRMALA
665 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 234 2,544 2,778 PHAPROS, PT
666 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
667 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 99 99 MOLEX AYUS, PT
668 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 475 475 MOLEX AYUS, PT
669 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 474 474 MOLEX AYUS, PT
670 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 97 97 MOLEX AYUS, PT
671 12008472 PRITASMA TAB@100 MOL DUS 100 12,000 40 40 MOLEX AYUS, PT
672 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 80 80 MOLEX AYUS, PT
673 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
674 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 86 86 PHAPROS, PT
675 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 28 28 PHAPROS, PT
676 13001143 PRO TB2 TAB@28 DUS 28 184,450 81 81 PHAPROS, PT
677 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
678 12010403 PROFERRO TAB@30 (FAH) DUS 30 157,000 100 100 PRATAPA NIRMALA
679 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 118 118 PHAPROS, PT
680 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
681 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 23 19 42 HOLI PHARMA
682 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
683 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
684 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 505 505 KIMIA FARMA
685 12001220 PYRANTEL TAB 125 MG DUS #N/A #N/A - - 400 - 400 HOLI PHARMA
686 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
687 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
688 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 14 14 PHAPROS, PT
689 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 40 40 PRATAPA NIRMALA
690 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 180,000 27 27 PRATAPA NIRMALA
691 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
692 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
693 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 128 128 PRATAPA NIRMALA
694 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 177 177 PRATAPA NIRMALA
695 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 65 65 PRATAPA NIRMALA
696 13006471 REPROSTOM 5MG TAB@30 (FAH) DUS 30 264,000 10 10 PRATAPA NIRMALA
697 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 200 - - 200 PRATAPA NIRMALA
698 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 50 50 LUCAS DJAJA
699 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 50 LUCAS DJAJA
700 13003127 RHODIUM TAB@30 (FAH) DUS 30 210,000 40 40 PRATAPA NIRMALA
701 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 590 590 KIMIA FARMA
702 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 150 150 KIMIA FARMA
703 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
704 11002018 RINGER LAKTAT INFUS BT 1 7,658 1,336 1,336 KIMIA FARMA
705 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 195 195 MERSIFARMA
706 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 78 - 78 PHAPROS, PT
707 12008474 RIVANOL 100ML MOL BT 1 4,000 632 632 MOLEX AYUS, PT
708 12008475 RIVANOL 300ML MOL BT 1 9,000 456 456 MOLEX AYUS, PT
709 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS 30 210,000 17 17 KIMIA FARMA
710 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 23 23 KIMIA FARMA
711 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 58 58 PRATAPA NIRMALA
712 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS 100 18,000 76 76 KIMIA FARMA
713 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1 1 KIMIA FARMA
714 11001556 SALBUTAMOL 4 MG (DUS 100 TAB)-BJN DUS 100 20,000 260 260 KIMIA FARMA
715 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,394 2,394 KIMIA FARMA
716 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
717 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 13 13 PT. LIKUID PHARMALAB INDONESIA
718 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 34 34 PT. LIKUID PHARMALAB INDONESIA
719 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
720 12005563 SCOPMA 10 MG KAPL @ 100(IFARS) DUS #N/A #N/A 25 25 IFARS PHARMACEUTICAL, PT
721 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 17 17 SINKONA INDONESIA LESTARI, PT
722 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 35 35 SINKONA INDONESIA LESTARI, PT
723 12012338 SELENSIA AROMATHERAPY LEMON 10ML BT 1 109,091 7 7 SINKONA INDONESIA LESTARI, PT
724 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 7 7 SINKONA INDONESIA LESTARI, PT
725 12010658 SEVOFLURANE INHALASI 250ML (FAH) BT 1 1,800,000 43 30 73 PRATAPA NIRMALA
726 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
727 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
728 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 112 112 PRATAPA NIRMALA
729 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 106 106 PRATAPA NIRMALA
730 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 83 83 PRATAPA NIRMALA
731 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
732 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
733 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
734 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS 100 #N/A 20 200 220 NOVAPHARIN
735 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 33 33 PHAPROS, PT
736 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 700 700 SATORIA ANEKA INDUSTRI, PT
737 12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) BT #N/A 26,400 184 184 PHAPROS, PT
738 12011578 SONIDE 0.25 INHALASI 2ML AMP@10 (FAH) DUS 10 157,000 131 131 PRATAPA NIRMALA
739 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
740 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 1 1 KIMIA FARMA
741 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
742 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 37,839 4 4 DARYA VARIA, PT
743 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
744 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 25 29 PHAPROS, PT
745 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 18 18 MEGA MEDICA PHARMACEUTICALS, PT
746 12006932 SUKRALFAT SUSP 500 MG/5 ML, 100 ML BT 1 #N/A 540 540 MEPROFARM
747 12009948 SULFADIAZINE SILVER 10 MG POT 500GR(DVRS POT 1 259,585 13 13 DARYA VARIA, PT
748 12009811 SULFADIAZINE SILVER 35GR (DVRS) DUS #N/A #N/A 50 50 DARYA VARIA, PT
749 12000876 SUMAGESIC 600 MG TAB @ 100 (UN DUS 100 52,080 6 6 DARYA VARIA, PT
750 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 7 7 DARYA VARIA, PT
751 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
752 13079783 SUTRA GERIGI KONDOM@ 3 DUS 3 172,368 1,198 1,198 PIHAK 3
753 13079784 SUTRA GERIGI KONDOM@12 BH 12 245,232 180 180 PIHAK 3
754 13016440 SUTRA OK KONDOM@ 3 DUS 3 7,182 384 24 408 PIHAK 3
755 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS 30 135,000 71 71 PRATAPA NIRMALA
756 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 149 149 KIMIA FARMA
757 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 43 43 PHAPROS, PT
758 13003109 TEBOKAN SPECIAL CAP@30 DUS #N/A 335,475 32 32 PHAPROS, PT
759 11002049 TECAVIR 0.5 MG TSS (DUS 30 TAB) DUS 30 600,000 5 5 KIMIA FARMA
760 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 13 13 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
761 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS 100 420,000 20 20 KIMIA FARMA
762 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT 30 #N/A 145 145 KIMIA FARMA
763 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 336,000 30 30 PRATAPA NIRMALA
764 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 32 32 MOLEX AYUS, PT
765 12005181 TIARYT TAB@30 (FAH) DUS 30 135,000 6 6 PRATAPA NIRMALA
766 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
767 11000132 TOPGESIC 500 MG TSS (DUS 100 TAB) DUS 100 162,000 25 25 KIMIA FARMA
768 12007362 TOPGRA 100 MG TABLET DUS #N/A 187,200 185 185 HARSEN LABORATORIES, PT
769 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 690,000 16 16 PRATAPA NIRMALA
770 13006433 TRACETATE SUSP 200ML (FAH) BT 1 420,000 72 72 PRATAPA NIRMALA
771 12008343 TRAMADOL HCL 50MG CAP@50 (GRAF) DUS 50 #N/A 9 9 GRAHA FARMA, PT
772 13076813 TRAMPARA TAB@30 DUS 30 145,000 386 386 PHAPROS, PT
773 13008015 TRAMSET KPL@30 (FAH) DUS 30 219,000 150 150 PRATAPA NIRMALA
774 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 78,000 3 3 KIMIA FARMA
775 13010118 TRIXON INJ 1GR VL 1 55,000 103 103 PHAPROS, PT
776 11000172 TROMBIKAF TABLET-STRIP 3X10 TABLET DUS 30 360,000 4 4 KIMIA FARMA
777 13026424 UMARONE INJ 2ML (FAH) VL 1 183,000 24 24 PRATAPA NIRMALA
778 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 463 463 PRUNING
779 11000292 VAGIZOLE OVULA (DUS 5 SUPP) DUS 5 55,000 10 40 50 KIMIA FARMA
780 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS 1 258,500 1 1 BIOFARMA
781 12007630 VAKSIN BIO TD 1 DS (BF) AMP 1 69,300 100 100 BIOFARMA
782 12007631 VAKSIN BIO TT 1 DS (BF) AMP 1 36,300 170 170 BIOFARMA
783 12007659 VAKSIN CAMPAK 10 DS (BF) DUS 1 154,000 3 3 BIOFARMA
784 12011966 VAKSIN CERVARIX (BF) DUS 1 607,700 14 14 BIOFARMA
785 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS 1 152,000 2 2 BIOFARMA
786 12007662 VAKSIN FLUBIO (BF) VL 1 99,800 136 136 BIOFARMA
Stok Per Tanggal 02 Agustus 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 426 426 KIMIA FARMA
2 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 242 60 302 KIMIA FARMA
3 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 13 127 140 KIMIA FARMA
4 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 0 KIMIA FARMA
5 11002061 ACRIPTEGA TSS (BTL30 TAB) BT 30 500,000 2 2 KIMIA FARMA
6 13068943 ACYCLOVIR 200MG TAB GYA TAB 1 #N/A 2,000 2,000 YARINDO FARMATA, PT
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 895 373 15 1,283 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 12 12 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 89 89 SATYA ABADI PHARMA, PT
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
11 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 641 641 MOLEX AYUS, PT
12 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 738 738 MOLEX AYUS, PT
13 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 757 757 MOLEX AYUS, PT
14 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 21 21 DARYA VARIA, PT
15 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 56 62 118 KIMIA FARMA
16 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 34 34 KIMIA FARMA
17 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
18 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 177 177 KIMIA FARMA
19 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 22,200 14 14 PHAPROS, PT
20 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
21 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 18 18 MARIN LIZA
22 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 205 3 15 223 PHAPROS, PT
23 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 2 2 DARYA VARIA, PT
24 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 40 DARYA VARIA, PT
25 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 15,000 112 112 KIMIA FARMA
26 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 1,173 2,209 1,500 4,882 KIMIA FARMA
27 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
28 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS #N/A #N/A 500 500 KIMIA FARMA
29 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 230 - 230 MEPROFARM
30 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 7,628 7,628 MERSIFARMA
31 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT 1 #N/A 196 196 NOVAPHARIN
32 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 8 8 PHAPROS, PT
33 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 38 38 PIHAK 3
34 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 390 390 PIHAK 3
35 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 102,480 102,480 PIHAK 3
36 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 163 163 PIHAK 3
37 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
38 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
39 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 211 45 12 268 KIMIA FARMA
40 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 751 751 PHAPROS, PT
41 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
42 12005096 ANTIMO DEWASA TAB DUS 1 309,600 161 161 PHAPROS, PT
43 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
44 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
45 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAYA
46 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 262 262 KIMIA FARMA
47 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 317 317 KIMIA FARMA
48 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
49 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A 8 8 DARYA VARIA, PT
50 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 126,500 45 45 DARYA VARIA, PT
51 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
52 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 390,000 1 1 PRATAPA NIRMALA
53 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 7 7 PRATAPA NIRMALA
54 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 14 14 PRATAPA NIRMALA
55 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 74 74 KIMIA FARMA
56 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 15 15 DARYA VARIA, PT
57 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 2 2 KIMIA FARMA
58 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
59 11002062 AVONZA TSS (BTL 30 TAB) BT 30 250,000 3 3 KIMIA FARMA
60 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
61 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
62 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 2,028 - 95 - - 2,123 KIMIA FARMA
63 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 385 385 KIMIA FARMA
64 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,741 6,741 KIMIA FARMA
65 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
66 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 20 20 PT. LIKUID PHARMALAB INDONESIA
67 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 43 - 43 PT. LIKUID PHARMALAB INDONESIA
68 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 17 17 PT. LIKUID PHARMALAB INDONESIA
69 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 6 6 PT. LIKUID PHARMALAB INDONESIA
70 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 16 16 PT. LIKUID PHARMALAB INDONESIA
71 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 56 56 PT. LIKUID PHARMALAB INDONESIA
72 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
73 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
74 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
75 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 70 70 PT. LIKUID PHARMALAB INDONESIA
76 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
77 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
78 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
79 13022661 BECEFORT SYR 60ML BT 1 14,998 80 80 PHAPROS, PT
80 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 1,489 1,489 KIMIA FARMA
81 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 24 PHAPROS, PT
82 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 338 15 0 353 KIMIA FARMA
83 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 91 91 KIMIA FARMA
84 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 815 815 MOLEX AYUS, PT
85 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 21 21 NUFARINDO, PT
86 13010355 BIO ATP KPL@100 DUS 100 214,180 11 11 PHAPROS, PT
87 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 418 418 BIO AXION HEALTHINDO, PT
88 12013616 BIORON FORTE TSG.7 CC X 4S DUS 28 60,800 13 50 63 PHAPROS, PT
89 13026576 BIORON TAB@100 DUS 100 101,650 38 38 PHAPROS, PT
90 12007664 BIOSAT 1.5 (BF) AMP 1 #N/A 60 60 BIOFARMA
91 12006548 BIOSAVE (BF) VL #N/A #N/A 8 8 BIOFARMA
92 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
93 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 4 5 9 HARSEN LABORATORIES, PT
94 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 81 81 OPELLA HEALTHCARE INDONESIA, PT
95 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 #N/A 95 95 KIMIA FARMA
96 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
97 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
98 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRAFT DUS 1 400,000 30 30 PHAPROS, PT
99 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 39 39 SATYA ABADI PHARMA, PT
100 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
101 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 15 - 15 PRATAPA NIRMALA
102 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 350,000 266 266 PRATAPA NIRMALA
103 12000283 BUSCOPAN 20 MG / ML INJ DUS 100 368,480 10 10 OPELLA HEALTHCARE INDONESIA, PT
104 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 299 8 307 PHAPROS, PT
105 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 199 199 PHAPROS, PT
106 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A - 420 - 420 NOVAPHARIN
107 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 18 18 PRATAPA NIRMALA
108 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
109 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 5 5 PRATAPA NIRMALA
110 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
111 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,401 1,401 LUCAS DJAJA
112 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 607 607 PHAPROS, PT
113 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 391 391 KIMIA FARMA
114 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 183 100 3,099 3,382 PHAPROS, PT
115 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
116 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 20 PIHAK 3
117 12014953 CEFTAZIDIME 1gr DUS #N/A #N/A 5 5 MEPROFARM
118 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 19 19 CENDO, PT
119 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 18 18 CENDO, PT
120 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
121 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
122 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 43 43 CENDO, PT
123 12004100 CENDO CATARLENT MINIDOSE 5 X 0.6 ML STR 1 20,000 121 121 CENDO, PT
124 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
125 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
127 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 44 44 CENDO, PT
128 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 24 24 CENDO, PT
129 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 14 14 CENDO, PT
130 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 72 72 CENDO, PT
131 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
132 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 110 110 CENDO, PT
133 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 216 216 CENDO, PT
134 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 96 96 CENDO, PT
135 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 15 15 CENDO, PT
136 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 44 44 CENDO, PT
137 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 29 29 CENDO, PT
138 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 7 7 CENDO, PT
139 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
140 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 29 29 CENDO, PT
141 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
142 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 64 64 CENDO, PT
143 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 2 2 CENDO, PT
144 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
145 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 - 5 5 CENDO, PT
146 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
147 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 22 22 CENDO, PT
148 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 95 95 CENDO, PT
149 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
150 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 117 117 CENDO, PT
151 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
152 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 16 16 CENDO, PT
153 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
154 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 6 6 CENDO, PT
155 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
156 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 - 49 49 CENDO, PT
157 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
158 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 - 3 3 CENDO, PT
159 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 19 19 CENDO, PT
160 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 33 33 CENDO, PT
161 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 128 128 CENDO, PT
162 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 136 136 CENDO, PT
163 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
164 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 8 8 CENDO, PT
165 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
166 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
167 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
168 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
169 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 37 37 CENDO, PT
170 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 21 21 CENDO, PT
171 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 35 35 CENDO, PT
172 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 26 26 CENDO, PT
173 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 87 87 CENDO, PT
174 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 15 15 CENDO, PT
175 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 40 40 CENDO, PT
176 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
177 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 25 CENDO, PT
178 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
179 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
180 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 15 15 CENDO, PT
181 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 13 13 CENDO, PT
182 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
183 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
184 12005164 CENDO VITAL TAB@30 DUS 30 90,000 11 11 CENDO, PT
185 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 125 125 CENDO, PT
186 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 155 155 CENDO, PT
187 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
188 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 393 393 CENDO, PT
189 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
190 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 139 139 KIMIA FARMA
191 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
192 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
193 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 58 58 MEGA MEDICA PHARMACEUTICALS, PT
194 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 73 73 MEGA MEDICA PHARMACEUTICALS, PT
195 12006912 CHANNA PLUS SACHET DUS 3 190,500 45 45 MEGA MEDICA PHARMACEUTICALS, PT
196 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 63 63 MEGA MEDICA PHARMACEUTICALS, PT
197 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 117 58 175 MEGA MEDICA PHARMACEUTICALS, PT
198 13084478 CHANNAFIT SYR 100ML BT 1 70,000 75 75 MEGA MEDICA PHARMACEUTICALS, PT
199 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 19 19 KIMIA FARMA
200 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 63 63 KIMIA FARMA
201 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS 100 61,622 15 15 KIMIA FARMA
202 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA) DUS 100 #N/A 50 50 NOVAPHARIN
203 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 582 50 632 NOVAPHARIN
204 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 1 PHAPROS, PT
205 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 45 1 3 49 PHAPROS, PT
206 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 515 515 KIMIA FARMA
207 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 204 25 229 NOVAPHARIN
208 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 451 451 KIMIA FARMA
209 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 358 358 KIMIA FARMA
210 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 898 898 KIMIA FARMA
211 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 150 PHAPROS, PT
212 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC #N/A 4,865 1 1 PIHAK 3
213 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC 1 6,713 1,080 1,080 PIHAK 3
214 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC #N/A 2,998 56 56 PIHAK 3
215 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC #N/A 1,745 696 696 PIHAK 3
216 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC #N/A 7,297 231 231 PIHAK 3
217 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
218 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
219 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 472 85 557 KIMIA FARMA
220 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 618 750 1,368 KIMIA FARMA
221 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 140 140 PHAPROS, PT
222 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 185 89 274 KIMIA FARMA
223 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 6 6 KIMIA FARMA
224 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 18 58 76 KIMIA FARMA
225 11000038 CODIKAF 10 MG TABLET (DUS 100 TAB) DUS 100 78,750 2 2 KIMIA FARMA
226 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 5 5 KIMIA FARMA
227 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
228 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
229 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
230 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
231 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
232 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,694 1,694 BHINNEKA USADA RAYA
233 13076707 D-ARTEPP TAB@9 DUS 9 72,000 850 850 BHINNEKA USADA RAYA
234 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 440 440 DARYA VARIA, PT
235 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 341 341 HARSEN LABORATORIES, PT
236 12006576 DECADRYL EXP 60 ML BT 1 15,500 290 290 HARSEN LABORATORIES, PT
237 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 4 4 DARYA VARIA, PT
238 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 1,900 PIHAK 3
239 12015111 DEXAHARSEN 0,75 MG KAPLET ( HARSEN ) DUS 200 41,800 31 31 HARSEN LABORATORIES, PT
240 12006873 DEXAMETHASONE 0,5MG TAB@100 (NOVA) DUS 100 #N/A 290 290 NOVAPHARIN
241 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 116 116 KIMIA FARMA
242 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 414 10 8 432 PHAPROS, PT
243 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS #N/A #N/A - 300 2,300 - 2,600 MEPROFARM
244 13000718 DEXTAMIN TAB@100 DUS 100 165,000 268 268 PHAPROS, PT
245 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 242 242 PHAPROS, PT
246 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
247 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
248 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 26 26 PHAPROS, PT
249 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS 100 - 30 30 MERSIFARMA
250 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 0 14,773 29 206 235 MEPROFARM
251 12012922 DIFFUSER SELENSIA MOTIF KAYU 400ML UNT 1 228,000 2 2 SINKONA INDONESIA LESTARI, PT
252 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
254 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 849 20 869 KIMIA FARMA
255 13002883 DIOS TAB@30 DUS 30 115,000 98 98 PHAPROS, PT
256 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 #N/A 8 8 PHAPROS, PT
257 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
258 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
259 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
260 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
261 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
262 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 180 180 NOVAPHARIN
263 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
264 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 2 2 KIMIA FARMA
265 12003670 DT LABEL WHITE PERMANENT 2" X 1-1/4" RLL 1 210,000 50 50 SINAR RODA UTAMA, PT
266 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
267 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 88 88 OPELLA HEALTHCARE INDONESIA, PT
268 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 32 32 OPELLA HEALTHCARE INDONESIA, PT
269 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 167,398 2 2 OPELLA HEALTHCARE INDONESIA, PT
270 12000294 DULCOLAX 5 MG SUPP. INF 6pcs DUS 6 108,716 3 3 OPELLA HEALTHCARE INDONESIA, PT
271 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIES, PT
272 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 18 18 JANSSEN PHARMACEUTICA NV
273 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 47 47 JANSSEN PHARMACEUTICA NV
274 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 13 13 KIMIA FARMA
275 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
276 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
277 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
278 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 58 58 PRATAPA NIRMALA
279 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 38 38 DARYA VARIA, PT
280 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 24 24 DARYA VARIA, PT
281 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
282 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,260 7,260 KIMIA FARMA
283 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
284 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
285 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
286 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 - - 140 - 140 RAMA EMERALD, PT
287 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT 1 #N/A 50 50 HOLI PHARMA
288 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 0 1 3 KIMIA FARMA
289 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC #N/A 30,221 422 422 PIHAK 3
290 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 18 18 PRATAPA NIRMALA
291 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 35,000 110 110 PRATAPA NIRMALA
292 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 190 190 PRATAPA NIRMALA
293 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 181 181 PRATAPA NIRMALA
294 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 19 19 PRATAPA NIRMALA
295 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 10 10 PRATAPA NIRMALA
296 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 1 PRATAPA NIRMALA
297 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 107 50 157 PRATAPA NIRMALA
298 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 50,000 8 8 PRATAPA NIRMALA
299 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 29 29 PRATAPA NIRMALA
300 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 - 21 21 PRATAPA NIRMALA
301 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
302 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
303 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
304 13019430 FEBRINEX SYR 60ML BT 1 14,414 55 55 PHAPROS, PT
305 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 2 2 PRATAPA NIRMALA
306 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 141 141 PRATAPA NIRMALA
307 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 5 5 MAHAKAM BETA FARMA
308 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 315 315 MAHAKAM BETA FARMA
309 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 264 264 KIMIA FARMA
310 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 580 580 KIMIA FARMA
311 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 796 796 KIMIA FARMA
312 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 163 163 PIHAK 3
313 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 241 241 PIHAK 3
314 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 17 17 PIHAK 3
315 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 165 165 PIHAK 3
316 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 288 288 SURYA SUKSES PERKASA, PT
317 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 249 249 KIMIA FARMA
318 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 189 189 KIMIA FARMA
319 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 99 99 KIMIA FARMA
320 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 166 166 KIMIA FARMA
321 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 72 72 KIMIA FARMA
322 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 662 662 KIMIA FARMA
323 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,072 6,072 KIMIA FARMA
324 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 12 12 PRATAPA NIRMALA
325 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 59 59 PRATAPA NIRMALA
326 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 83 83 PRATAPA NIRMALA
327 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 409 162 571 KIMIA FARMA
328 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 10 181 PHAPROS, PT
329 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 275,000 5 5 PYRIDAM, PT
330 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
331 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 150 - 150 DARYA VARIA, PT
332 12011679 FRESMED DESINFECTAN SPRAY @250 ML BT 1 27,273 20 20 PT. LIKUID PHARMALAB INDONESIA
333 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 8 8 PYRIDAM, PT
334 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 91 91 KIMIA FARMA
335 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 262,000 10 10 PRATAPA NIRMALA
336 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 10 KIMIA FARMA
337 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 39 - 39 PRATAPA NIRMALA
338 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 232 232 PHAPROS, PT
339 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 47 47 PRATAPA NIRMALA
340 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,713 1,713 MOLEX AYUS, PT
341 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 5,428 5,428 MOLEX AYUS, PT
342 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 1,225 90 1,315 KIMIA FARMA
343 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 110 110 PHAPROS, PT
344 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 110 110 KIMIA FARMA
345 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
346 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 136 10 146 KIMIA FARMA
347 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 273 273 KIMIA FARMA
348 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 188 7 195 KIMIA FARMA
349 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 84 84 PRATAPA NIRMALA
350 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
351 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 1 - - 1 NOVAPHARIN
352 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
353 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
354 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC #N/A 7,652 105 105 PIHAK 3
355 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
356 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
357 12006958 HEPAGARD DUS 0 76,230 78 78 PHAPROS, PT
358 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS 5 300,000 30 30 PRATAPA NIRMALA
359 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 3 3 KIMIA FARMA
360 11000516 HUMAN ALBUMIN 20 % 50 ML BT 1 400,901 11 11 KIMIA FARMA
361 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 478 478 KIMIA FARMA
362 12005248 HUSTAB 30X10S DUS 300 119,196 18 18 PHAPROS, PT
363 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJN DUS 100 16,500 10 10 KIMIA FARMA
364 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
365 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 0 4 1 6 KIMIA FARMA
366 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA) DUS 100 #N/A 30 30 RAMA EMERALD, PT
367 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 23 23 PHAPROS, PT
368 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 232 232 PHAPROS, PT
369 12013954 HYTOSA (SAP) BT 1 122,000 52 52 SATYA ABADI PHARMA, PT
370 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
371 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 380 380 NOVAPHARIN
372 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 490 - - 492 NOVAPHARIN
373 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
374 12010151 INA-SHUNT SEMILUNAR FLUSH ADULT/LOW PC 1 2,600,000 1 1 PHAPROS, PT
375 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 2 2 PHAPROS, PT
376 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
377 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC 1 2,600,000 2 2 PHAPROS, PT
378 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
379 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 3 3 PHAPROS, PT
381 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 42 42 MOLEX AYUS, PT
382 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
383 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 173 173 PRATAPA NIRMALA
384 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 188 188 PRATAPA NIRMALA
385 12007335 INSTO REGULAR 15 ML DUS 1 16,100 7 7 COMBIPHAR, PT
386 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 700 - - 700 PRATAPA NIRMALA
387 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 153 250 403 KIMIA FARMA
388 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 96 9 105 KIMIA FARMA
389 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 751 448 1,199 KIMIA FARMA
390 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 505 505 KIMIA FARMA
391 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 6 6 PRATAPA NIRMALA
392 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
393 12001211 ISONIAZID 100 MG TABLET DUS 100 #N/A 9 9 HOLI PHARMA
394 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
395 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 162 162 KIMIA FARMA
396 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS 25 #N/A 13 13 KIMIA FARMA
397 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 - 450 - - 450 NOVAPHARIN
398 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS 12 30,600 184 184 PHAPROS, PT
399 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS 50 65,901 148 148 KIMIA FARMA
400 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 21 21 KIMIA FARMA
401 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 100 100 KIMIA FARMA
402 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 7 7 KIMIA FARMA
403 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC 50 143,190 8 8 KIMIA FARMA
404 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
405 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
406 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 709 709 KIMIA FARMA
407 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
408 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 4 4 KIMIA FARMA
409 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 46 46 KIMIA FARMA
410 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 18 18 KIMIA FARMA
411 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
412 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 145 145 KIMIA FARMA
413 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 101 101 KIMIA FARMA
414 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 67 67 PHAPROS, PT
415 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 218 218 PHAPROS, PT
416 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 KIMIA FARMA
417 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
418 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 28 28 PRATAPA NIRMALA
419 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 1,100 1,100 PHAPROS, PT
420 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 942 942 PRATAPA NIRMALA
421 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
422 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
423 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
424 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
425 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 8 33 110 151 MEPROFARM
426 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 18 18 MOLEX AYUS, PT
427 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 90 90 MOLEX AYUS, PT
428 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 720 720 MOLEX AYUS, PT
429 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
430 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 40,000 16 16 MOLEX AYUS, PT
431 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 7 7 MOLEX AYUS, PT
432 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 148 148 MOLEX AYUS, PT
433 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS #N/A #N/A 24 120 144 PHAPROS, PT
434 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
435 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS 30 315,000 41 41 KIMIA FARMA
436 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS 30 350,000 30 30 KIMIA FARMA
437 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 347 2 349 PHAPROS, PT
438 12003048 LOPAMID TABLET @ 100 DUS 100 - 137 137 HARSEN LABORATORIES, PT
439 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 - 150 - 150 IFARS PHARMACEUTICAL, PT
440 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 77 77 KIMIA FARMA
441 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 26 26 NOVAPHARIN
442 11001732 LOVE TEST COMPACT DUS #N/A 18,191 3 3 KIMIA FARMA
443 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 67 67 KIMIA FARMA
444 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
445 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 17 17 PRATAPA NIRMALA
446 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
447 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
448 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 57 MUSTIKA RATUBUANA INTERNATIONAL, PT
449 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 8 8 MUSTIKA RATUBUANA INTERNATIONAL, PT
450 13027133 M RATU M ZAITUN 175ML BH 1 25,135 1 1 MUSTIKA RATUBUANA INTERNATIONAL, PT
451 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150ML BT 1 20,739 13 13 MUSTIKA RATUBUANA INTERNATIONAL, PT
452 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 540 540 KIMIA FARMA
453 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 532 532 KIMIA FARMA
454 11002331 MARCKS ACTIVE NATURAL BEIGE 20GR (NEW) PC 1 23,700 180 180 KIMIA FARMA
455 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 298 298 KIMIA FARMA
456 11002329 MARCKS ACTIVE WHITE 20GR (NEW) PC 1 23,700 3 3 KIMIA FARMA
457 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 97 97 KIMIA FARMA
458 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
459 11001945 MARCKS BREATHABLE POWDER NATURAL BEIGE BOX 1 34,700 1 1 KIMIA FARMA
460 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 187 187 KIMIA FARMA
461 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 93 93 KIMIA FARMA
462 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 85 85 KIMIA FARMA
463 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 3,898 3,898 KIMIA FARMA
464 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC 1 13,700 320 320 KIMIA FARMA
465 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 2,527 2,527 KIMIA FARMA
466 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 13,700 907 907 KIMIA FARMA
467 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC 1 13,700 586 586 KIMIA FARMA
468 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 941 941 KIMIA FARMA
469 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 4 4 KIMIA FARMA
470 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 35 35 KIMIA FARMA
471 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 535 535 KIMIA FARMA
472 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 770 770 KIMIA FARMA
473 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 405 405 KIMIA FARMA
474 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 73 73 KIMIA FARMA
475 11001315 MARCKS TEENS REFILL COMPACT POWDER PINK PC 12 15,500 57 57 KIMIA FARMA
476 11001314 MARCKS TEENS REFILL COMPACT POWDER WHIT PC 12 15,500 45 45 KIMIA FARMA
477 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 73 73 PHAPROS, PT
478 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 8 8 DARYA VARIA, PT
479 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 97 97 PT. LIKUID PHARMALAB INDONESIA
480 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 129 129 PT. LIKUID PHARMALAB INDONESIA
481 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT 1 11,825 190 - 190 PT. LIKUID PHARMALAB INDONESIA
482 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 267 267 PT. LIKUID PHARMALAB INDONESIA
483 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
484 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
485 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
486 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
487 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
488 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 247 247 PT. LIKUID PHARMALAB INDONESIA
489 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
490 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 445 445 PT. LIKUID PHARMALAB INDONESIA
491 12008458 MELOCID TAB@50 MOL DUS 50 30,000 24 24 MOLEX AYUS, PT
492 13083465 MEPROVENT INH AMP@10 DUS 10 #N/A 200 - - 200 MEPROFARM
493 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 16 16 KIMIA FARMA
494 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 5 - - 5 PRATAPA NIRMALA
495 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,200 1,200 KIMIA FARMA
496 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A - 1 - 1 MEPROFARM
497 12007628 METANEURON TABLET DUS 300 311,454 10 10 PHAPROS, PT
498 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 50 50 PHAPROS, PT
499 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 863 8 11 882 KIMIA FARMA
500 12012550 METHYLPREDNISOLONE 4MG TAB@100 (NOVA) DUS 100 #N/A 100 100 NOVAPHARIN
501 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 457 457 MOLEX AYUS, PT
502 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 5 10 - 15 KIMIA FARMA
503 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 94 94 KIMIA FARMA
504 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 ML DUS #N/A #N/A 1 1 MEPROFARM
505 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
506 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 389 50 85 524 NOVAPHARIN
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
508 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 2 - 23 196 - 221 KIMIA FARMA
509 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 20 20 PRATAPA NIRMALA
510 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 83 83 MOLEX AYUS, PT
511 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 177 177 MOLEX AYUS, PT
512 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 8 8 MOLEX AYUS, PT
513 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 72 72 MOLEX AYUS, PT
514 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
515 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 14 14 PRATAPA NIRMALA
516 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
517 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 1 1 KIMIA FARMA
518 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 309,545 32 28 60 KIMIA FARMA
519 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
520 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 8 PHAPROS, PT
521 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 2 2 KIMIA FARMA
522 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
523 11002020 NACL 0.9% INFUS BT 1 7,009 18,544 18,544 KIMIA FARMA
524 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 144 144 PYRIDAM, PT
525 13083783 NATERAN 25MG TAB@30 DUS 3 1,200,000 3 3 FAHRENHEIT SYNTHON PHARMA
526 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
527 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 259 259 PHAPROS, PT
528 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 27 27 DARYA VARIA, PT
529 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 40 40 DARYA VARIA, PT
530 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 23 23 DARYA VARIA, PT
531 12000832 NATUR E HBL 100 ML BT 1 10,424 42 42 DARYA VARIA, PT
532 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
533 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 57,626 2 2 DARYA VARIA, PT
534 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
535 12005302 NATUR-E 300 IU 32's DUS 32 56,496 32 32 DARYA VARIA, PT
536 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
537 12013182 NELANDOZ 2MG TAB@28 (FAH) DUS 28 410,000 11 11 PRATAPA NIRMALA
538 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 774 774 MOLEX AYUS, PT
539 12005687 NEURAXON 5000 KPL@100 (PYRIDAM) DUS 100 316,000 42 42 PYRIDAM, PT
540 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
541 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
542 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS 30 250,000 23 23 KIMIA FARMA
543 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
544 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 1 38 39 DARYA VARIA, PT
545 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
546 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
547 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 528 528 SINAR RODA UTAMA, PT
548 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 55 SINAR RODA UTAMA, PT
549 12003657 NIPRO SYRINGE 3 ML LL W/N 23GX1-1/4" PC #N/A #N/A - - 12,000 - - 12,000 SINAR RODA UTAMA, PT
550 12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2inch PC #N/A #N/A - - 8,500 - - 8,500 SINAR RODA UTAMA, PT
551 12003645 NIPRO SYRINGE 50 ML LS W/O NEEDLE PC #N/A #N/A 10 10 SINAR RODA UTAMA, PT
552 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,461 2,461 SINAR RODA UTAMA, PT
553 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 228 10 238 PHAPROS, PT
554 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 164 164 KIMIA FARMA
555 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS #N/A 246,000 - - 4 - 4 KIMIA FARMA
556 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 419 419 PHAPROS, PT
557 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
558 12009890 NOZA @4 TAB STR 4 72,500 250 250 PHAPROS, PT
559 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,762 1,762 EMJEBE PHARMA , PT
560 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
561 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 25 25 PRATAPA NIRMALA
562 12015035 NYSTATIN DROP DUS 10 - 2 2 PIHAK 3
563 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 308 204 15 527 PHAPROS, PT
564 12008469 OBH 60ML MOL BT 1 #N/A 20 20 MOLEX AYUS, PT
565 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 45 45 COMBIPHAR, PT
566 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 409 409 COMBIPHAR, PT
567 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 268 268 COMBIPHAR, PT
568 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 12,500 266 266 COMBIPHAR, PT
569 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 190 190 COMBIPHAR, PT
570 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 45 45 COMBIPHAR, PT
571 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 106 106 COMBIPHAR, PT
572 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 288 288 COMBIPHAR, PT
573 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 205 205 COMBIPHAR, PT
574 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 1 1 DARYA VARIA, PT
575 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
576 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
577 12013632 OMEPRAZOLE 20MG @100 KPS (NOVA) DUS 100 #N/A 133 133 NOVAPHARIN
578 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 300 4 304 DARYA VARIA, PT
579 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 651 53 704 PHAPROS, PT
580 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
581 12010612 ORABLOC INJ (PEHA) DUS 50 810,000 11 11 PHAPROS, PT
582 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
583 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 50 50 SATYA ABADI PHARMA, PT
584 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 13 13 PYRIDAM, PT
585 13007995 OSTEOTIN CAP@60 DUS 60 179,100 5 5 PHAPROS, PT
586 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
587 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 100 100 PIHAK 3
588 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 158 158 PHAPROS, PT
589 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 295 2,474 2,300 5,069 KIMIA FARMA
590 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
591 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11 2,863 2,874 DARYA VARIA, PT
592 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 235 235 DARYA VARIA, PT
593 12007337 PEDITOX 1% 50 ML BT 1 7,420 13 13 COMBIPHAR, PT
594 12005890 PEHACAIN INJ DUS #N/A 66,791 305 305 PHAPROS, PT
595 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 25 25 PHAPROS, PT
596 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
597 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 146 146 PHAPROS, PT
598 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 9 - 9 PRATAPA NIRMALA
599 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
600 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 9 159 168 KIMIA FARMA
601 13009792 PHADILON 125MG INJ VL 1 30,000 109 109 PHAPROS, PT
602 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
603 13009794 PHAMINOV INJ@10 DUS 10 65,000 181 181 PHAPROS, PT
604 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
605 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
606 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 365 520 885 LUCAS DJAJA
607 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
608 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A - - 300 - 300 MEPROFARM
609 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 173 3 176 PHAPROS, PT
610 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 3 218 221 PHAPROS, PT
611 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 168,000 205 205 PHAPROS, PT
612 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,798 1,798 KIMIA FARMA
613 11001543 PIROXICAM 20 MG (DUS 100 TAB)-BJN DUS 100 22,458 68 68 KIMIA FARMA
614 12013098 POVIDONE IODINE 1L (NOVA) BT 1 #N/A 150 150 NOVAPHARIN
615 12007665 PPD 2 TU (BF) VL 1 630,000 465 465 BIOFARMA
616 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 587 587 PRATAPA NIRMALA
617 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
618 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
619 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS 100 - 10 10 IMFARMIND FARMASI INDUSTRI, PT
620 12001215 PREDNISON 5 MG TAB (HOLI) DUS 100 #N/A - - - 597 - 597 HOLI PHARMA
621 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A - 3 3 IFARS PHARMACEUTICAL, PT
622 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 2 2 PYRIDAM, PT
623 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 19 19 KIMIA FARMA
624 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 20 20 PRATAPA NIRMALA
625 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 379 2,544 2,923 PHAPROS, PT
626 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
627 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 99 99 MOLEX AYUS, PT
628 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 475 475 MOLEX AYUS, PT
629 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 474 474 MOLEX AYUS, PT
630 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 97 97 MOLEX AYUS, PT
631 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 80 80 MOLEX AYUS, PT
632 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
633 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 91 91 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 33 33 PHAPROS, PT
635 13001143 PRO TB2 TAB@28 DUS 28 184,450 81 81 PHAPROS, PT
636 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
637 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 118 118 PHAPROS, PT
638 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
639 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 23 19 42 HOLI PHARMA
640 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
641 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
642 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 505 505 KIMIA FARMA
643 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
644 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
645 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 158 20 178 PHAPROS, PT
646 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 18 18 PRATAPA NIRMALA
647 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 180,000 34 34 PRATAPA NIRMALA
648 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
649 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
650 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 28 28 PRATAPA NIRMALA
651 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 77 77 PRATAPA NIRMALA
652 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 15 15 PRATAPA NIRMALA
653 13026650 RESFAR INJ 25ML (FAH) VL 1 199,000 100 - - 100 PRATAPA NIRMALA
654 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 50 50 LUCAS DJAJA
655 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 50 LUCAS DJAJA
656 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 591 591 KIMIA FARMA
657 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 151 151 KIMIA FARMA
658 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
659 11002018 RINGER LAKTAT INFUS BT 1 7,658 1,336 1,336 KIMIA FARMA
660 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 200 200 MERSIFARMA
661 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 80 80 PHAPROS, PT
662 12008474 RIVANOL 100ML MOL BT 1 4,000 680 680 MOLEX AYUS, PT
663 12008475 RIVANOL 300ML MOL BT 1 9,000 472 472 MOLEX AYUS, PT
664 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS 30 210,000 17 17 KIMIA FARMA
665 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 23 23 KIMIA FARMA
666 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 58 58 PRATAPA NIRMALA
667 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS 100 18,000 102 102 KIMIA FARMA
668 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1 1 KIMIA FARMA
669 11001556 SALBUTAMOL 4 MG (DUS 100 TAB)-BJN DUS 100 20,000 322 322 KIMIA FARMA
670 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,397 2,397 KIMIA FARMA
671 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
672 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 13 13 PT. LIKUID PHARMALAB INDONESIA
673 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 36 36 PT. LIKUID PHARMALAB INDONESIA
674 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
675 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 17 17 SINKONA INDONESIA LESTARI, PT
676 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 39 39 SINKONA INDONESIA LESTARI, PT
677 12012338 SELENSIA AROMATHERAPY LEMON 10ML BT 1 109,091 9 9 SINKONA INDONESIA LESTARI, PT
678 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 7 7 SINKONA INDONESIA LESTARI, PT
679 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
680 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
681 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 62 62 PRATAPA NIRMALA
682 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 56 56 PRATAPA NIRMALA
683 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 33 33 PRATAPA NIRMALA
684 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
685 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
686 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
687 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS 100 #N/A 20 200 220 NOVAPHARIN
688 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 33 33 PHAPROS, PT
689 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 700 700 SATORIA ANEKA INDUSTRI, PT
690 12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) BT #N/A 26,400 234 234 PHAPROS, PT
691 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
692 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 1 1 KIMIA FARMA
693 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
694 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 37,839 4 4 DARYA VARIA, PT
695 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
696 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 25 29 PHAPROS, PT
697 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 18 18 MEGA MEDICA PHARMACEUTICALS, PT
698 12006932 SUKRALFAT SUSP 500 MG/5 ML, 100 ML BT 1 #N/A - 140 - - 140 MEPROFARM
699 12009948 SULFADIAZINE SILVER 10 MG POT 500GR(DVRS POT 1 259,585 13 13 DARYA VARIA, PT
700 12000876 SUMAGESIC 600 MG TAB @ 100 (UN DUS 100 52,080 6 6 DARYA VARIA, PT
701 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 7 7 DARYA VARIA, PT
702 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
703 13079783 SUTRA GERIGI KONDOM@ 3 DUS 3 172,368 1,198 1,198 PIHAK 3
704 13079784 SUTRA GERIGI KONDOM@12 BH 12 245,232 180 180 PIHAK 3
705 13016440 SUTRA OK KONDOM@ 3 DUS 3 7,182 384 24 408 PIHAK 3
706 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS 30 135,000 21 21 PRATAPA NIRMALA
707 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 149 149 KIMIA FARMA
708 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 44 44 PHAPROS, PT
709 13003109 TEBOKAN SPECIAL CAP@30 DUS #N/A 335,475 33 33 PHAPROS, PT
710 11002049 TECAVIR 0.5 MG TSS (DUS 30 TAB) DUS 30 600,000 5 5 KIMIA FARMA
711 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 5 5 KIMIA FARMA
712 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS 100 420,000 20 20 KIMIA FARMA
713 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT 30 #N/A 145 145 KIMIA FARMA
714 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 336,000 30 30 PRATAPA NIRMALA
715 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 32 32 MOLEX AYUS, PT
716 12005181 TIARYT TAB@30 (FAH) DUS 30 135,000 6 6 PRATAPA NIRMALA
717 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
718 12007362 TOPGRA 100 MG TABLET DUS #N/A 187,200 186 186 HARSEN LABORATORIES, PT
719 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 690,000 17 17 PRATAPA NIRMALA
720 13006433 TRACETATE SUSP 200ML (FAH) BT 1 420,000 22 22 PRATAPA NIRMALA
721 12008343 TRAMADOL HCL 50MG CAP@50 (GRAF) DUS 50 #N/A 9 9 GRAHA FARMA, PT
722 13076813 TRAMPARA TAB@30 DUS 30 145,000 24 - 24 PHAPROS, PT
723 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 78,000 3 3 KIMIA FARMA
724 13010118 TRIXON INJ 1GR VL 1 55,000 103 103 PHAPROS, PT
725 11000172 TROMBIKAF TABLET-STRIP 3X10 TABLET DUS 30 360,000 4 4 KIMIA FARMA
726 13026424 UMARONE INJ 2ML (FAH) VL 1 183,000 24 24 PRATAPA NIRMALA
727 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 463 463 PRUNING
728 11000292 VAGIZOLE OVULA (DUS 5 SUPP) DUS 5 55,000 10 40 50 KIMIA FARMA
729 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS 1 258,500 1 1 BIOFARMA
730 12007630 VAKSIN BIO TD 1 DS (BF) AMP 1 69,300 100 100 BIOFARMA
731 12007631 VAKSIN BIO TT 1 DS (BF) AMP 1 36,300 170 170 BIOFARMA
732 12007659 VAKSIN CAMPAK 10 DS (BF) DUS 1 154,000 3 3 BIOFARMA
733 12011966 VAKSIN CERVARIX (BF) DUS 1 607,700 14 14 BIOFARMA
734 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS 1 152,000 2 2 BIOFARMA
735 12007662 VAKSIN FLUBIO (BF) VL 1 99,800 136 136 BIOFARMA
736 12011967 VAKSIN HAVRIX ADULT (BF) DUS 1 289,200 4 4 BIOFARMA
737 12007661 VAKSIN HEPATITIS-B BAYI (BF) SC 1 52,470 1,000 1,000 BIOFARMA
738 12007660 VAKSIN HEPATITIS-B DEWASA (BF) POU 1 79,200 80 80 BIOFARMA
739 12008932 VAKSIN IPV 5 DS (BF) DUS 10 3,630,000 3 3 BIOFARMA
740 12007741 VAKSIN MEASLES RUBELLA (MR) 10 DS (BF) VL 1 525,000 47 47 BIOFARMA
741 12007658 VAKSIN POLIO / BOPV 10 DS (BF) DUS 1 75,600 2 2 BIOFARMA
742 12008612 VAKSIN VARICELLA (BF) DUS 1 360,500 5 5 BIOFARMA
743 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 60,000 40 40 KIMIA FARMA
744 11002240 VALTENSI 160 MG TSS (DUS 30 TAB) DUS 30 290,000 11 11 KIMIA FARMA
745 11002239 VALTENSI 80 MG TSS (DUS 30 TAB) DUS 30 160,000 9 9 KIMIA FARMA
746 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 420,000 67 67 PRATAPA NIRMALA
747 12010331 VARTAN 160MG KPL@30 (PYRIDAM) DUS 30 209,000 3 3 PYRIDAM, PT
748 12010330 VARTAN 80MG TAB@30 (PYRIDAM) DUS 30 137,000 2 2 PYRIDAM, PT
749 12004993 VASCON INJ AMP@5 (FAH) DUS 5 500,000 55 - 55 PRATAPA NIRMALA
750 12011812 VASOLA 0.5 ML @5 VL (FAH) DUS 5 1,250,000 7 - 7 PRATAPA NIRMALA
751 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 38 38 PRATAPA NIRMALA
752 11000361 VENUS COMPACT NO.1 INVISIBLE PC 1 38,300 30 30 KIMIA FARMA
753 11000362 VENUS COMPACT NO.2 NAT BEIGE PC 1 38,300 16 16 KIMIA FARMA
754 11000363 VENUS COMPACT NO.3 IVORY PC 1 38,300 28 28 KIMIA FARMA
755 11002057 VENUS EYE & LIP MAKEUP REMOVER 100ML BT 1 36,951 47 47 KIMIA FARMA
756 11000368 VENUS FACIAL WASH 100ml PC 1 22,091 1 1 KIMIA FARMA
757 11000369 VENUS FACIAL WASH 50ml PC 1 12,000 1 1 KIMIA FARMA
758 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 PC 48 90,700 2 2 KIMIA FARMA
759 11002429 VENUS LP DYNAMIC NO.1 INVISIBLE NEW PC 1 38,625 24 24 KIMIA FARMA
760 11002431 VENUS LP DYNAMIC NO.3 IVORY NEW PC 1 38,625 33 33 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
761 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE PC 12 47,500 151 151 KIMIA FARMA
762 11001146 VENUS SOFT MATTE LIPCREAM NO.4 PC 1 38,389 12 12 KIMIA FARMA
763 11000379 VENUS TWC NO.1 TRANSLUCENT PC 12 61,091 9 9 KIMIA FARMA
764 11000381 VENUS TWC NO.3 PORCELEIN PC 12 61,091 72 72 KIMIA FARMA
765 11000137 VERTIKAF 24 MG TABLET (DUS 100 TAB) DUS 100 650,000 3 3 KIMIA FARMA
766 11000138 VERTIKAF 8 MG TABLET (DUS 100 TAB) DUS 100 321,860 22 22 KIMIA FARMA
767 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 58,888 38 38 DARYA VARIA, PT
768 12014622 VIKOM-Z DUS @ 100 KPL (PEHA) DUS #N/A 180,000 17 10 27 PHAPROS, PT
769 13011058 VIOXY FM TAB@30 (FAH) DUS 30 150,000 19 19 PRATAPA NIRMALA
770 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - - 300 - 300 HOLI PHARMA
771 11001571 VITAMIN B KOMPLEKS(SPLMN)(DUS100TAB)-BJN DUS 100 18,200 1,492 1,492 KIMIA FARMA
772 11001572 VITAMIN B1 100MGTAB(SUPL)(DUS100TAB)-BJN DUS 100 23,700 877 877 KIMIA FARMA
773 11001573 VITAMIN B1 50 MG (SPLMN)(DUS100TAB)-BJN DUS 100 18,343 349 349 KIMIA FARMA
774 11001574 VITAMIN B12 50 MCG (SUPL)(DUS100TAB)-BJN DUS 100 12,000 756 756 KIMIA FARMA
775 11000485 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TAB) DUS 100 12,000 336 25 361 KIMIA FARMA
776 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 12,200 1 1 MARIN LIZA
777 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 17,000 2 2 KIMIA FARMA
778 11001576 VITAMIN C 100MG TAB(SUPL)(DUS100TAB)-BJN DUS 100 17,000 1 1 KIMIA FARMA
779 12013939 VITAMIN C 250 @100 KPL DUS 100 13,964 8 8 MERSIFARMA
780 11001577 VITAMIN C 250 MG TAB (DUS100TAB)-BJN DUS 100 18,200 1,423 1,423 KIMIA FARMA
781 11001578 VITAMIN C 50 MG TAB(SUPL)(DUS100TAB)-BJN DUS 100 14,291 220 220 KIMIA FARMA
782 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 0 65 100 100 MARIN LIZA
783 13026624 VOPICAIN 0.5% 10ML VIAL@2 (FAH) DUS 2 110,000 24 24 PRATAPA NIRMALA
784 12013022 WATER FOR INJECTION AMP 25ML (MJB) DUS #N/A #N/A 0 0 EMJEBE PHARMA , PT
785 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 30,000 216 216 PHAPROS, PT
786 12012181 ZINC SULFATE DROP 10MG/ML (MEPRO) BT 1 #N/A 100 100 MEPROFARM
Stok Per Tanggal 31 Juli 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 426 426 KIMIA FARMA
2 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 242 60 302 KIMIA FARMA
3 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 15 127 142 KIMIA FARMA
4 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 0 KIMIA FARMA
5 11002061 ACRIPTEGA TSS (BTL30 TAB) BT 30 500,000 2 2 KIMIA FARMA
6 13068943 ACYCLOVIR 200MG TAB GYA TAB 1 #N/A 2,000 2,000 YARINDO FARMATA, PT
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 895 373 15 1,283 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 12 12 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 89 89 SATYA ABADI PHARMA, PT
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
11 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 641 641 MOLEX AYUS, PT
12 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 740 740 MOLEX AYUS, PT
13 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 757 757 MOLEX AYUS, PT
14 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 21 21 DARYA VARIA, PT
15 11000008 ALPRAZOLAM 0.5 MG (DUS 100 TAB) DUS 100 35,000 186 62 248 KIMIA FARMA
16 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 36 36 KIMIA FARMA
17 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
18 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 177 177 KIMIA FARMA
19 12009823 AMBROXOL HCL 30 MG @100 TAB (PEHA) DUS 100 #N/A 37 37 PHAPROS, PT
20 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
21 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 18 18 MARIN LIZA
22 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 255 2 15 - 272 PHAPROS, PT
23 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 2 2 DARYA VARIA, PT
24 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 40 DARYA VARIA, PT
25 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 15,000 112 112 KIMIA FARMA
26 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 15,000 129 129 KIMIA FARMA
27 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 1,183 2,209 1,500 4,892 KIMIA FARMA
28 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
29 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 230 - 230 MEPROFARM
30 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 7,628 7,628 MERSIFARMA
31 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT 1 #N/A 208 208 NOVAPHARIN
32 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 8 8 PHAPROS, PT
33 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 38 38 PIHAK 3
34 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 390 390 PIHAK 3
35 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 103,320 103,320 PIHAK 3
36 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 163 163 PIHAK 3
37 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 37 37 PHAPROS, PT
38 13003589 ANESFAR 5MG INJ AMP@5 (FAH) DUS 5 115,000 40 40 PRATAPA NIRMALA
39 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
40 12008528 ANTASIDA DOEN TAB MERSI DUS 100 - 49 49 MERSIFARMA
41 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L JRG 1 367,500 88 88 KIMIA FARMA
42 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 214 45 12 271 KIMIA FARMA
43 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 751 751 PHAPROS, PT
44 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
45 12005096 ANTIMO DEWASA TAB DUS 1 309,600 161 161 PHAPROS, PT
46 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
47 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
48 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAYA
49 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 262 262 KIMIA FARMA
50 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 317 317 KIMIA FARMA
51 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,677 1,677 KIMIA FARMA
52 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A 8 8 DARYA VARIA, PT
53 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 126,500 45 45 DARYA VARIA, PT
54 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
55 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 390,000 1 1 PRATAPA NIRMALA
56 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 7 7 PRATAPA NIRMALA
57 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 14 14 PRATAPA NIRMALA
58 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 74 74 KIMIA FARMA
59 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 15 15 DARYA VARIA, PT
60 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 2 2 KIMIA FARMA
61 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
62 11002062 AVONZA TSS (BTL 30 TAB) BT 30 250,000 3 3 KIMIA FARMA
63 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 20,800 2 2 BIO AXION HEALTHINDO, PT
64 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
65 12000196 AXIMED STOMACH TUB NO.14 PC 1 6,900 60 60 BIO AXION HEALTHINDO, PT
66 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
67 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 2,034 - 95 - - 2,129 KIMIA FARMA
68 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 391 391 KIMIA FARMA
69 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,779 6,779 KIMIA FARMA
70 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
71 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 20 20 PT. LIKUID PHARMALAB INDONESIA
72 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 43 - 43 PT. LIKUID PHARMALAB INDONESIA
73 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 17 17 PT. LIKUID PHARMALAB INDONESIA
74 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 6 6 PT. LIKUID PHARMALAB INDONESIA
75 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 16 16 PT. LIKUID PHARMALAB INDONESIA
76 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 56 56 PT. LIKUID PHARMALAB INDONESIA
77 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
78 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
79 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
80 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 70 70 PT. LIKUID PHARMALAB INDONESIA
81 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
82 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
83 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
84 13022661 BECEFORT SYR 60ML BT 1 14,998 80 80 PHAPROS, PT
85 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 2,102 2,102 KIMIA FARMA
86 13001869 BENZATIN BENZIL PENICILLIN 1.2 DUS 100 - 4 4 PHAPROS, PT
87 13001870 BENZATIN BENZIL PENICILLIN 2.4 DUS 10 774,150 1 1 PHAPROS, PT
88 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 24 PHAPROS, PT
89 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 339 15 0 354 KIMIA FARMA
90 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 91 91 KIMIA FARMA
91 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 851 851 MOLEX AYUS, PT
92 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 21 21 NUFARINDO, PT
93 13010355 BIO ATP KPL@100 DUS 100 214,180 11 11 PHAPROS, PT
94 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 418 418 BIO AXION HEALTHINDO, PT
95 12013616 BIORON FORTE TSG.7 CC X 4S DUS 28 60,800 13 50 63 PHAPROS, PT
96 13026576 BIORON TAB@100 DUS 100 101,650 38 38 PHAPROS, PT
97 12007664 BIOSAT 1.5 (BF) AMP 1 #N/A 60 60 BIOFARMA
98 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
99 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 4 5 9 HARSEN LABORATORIES, PT
100 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 81 81 OPELLA HEALTHCARE INDONESIA, PT
101 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 #N/A 105 105 KIMIA FARMA
102 12010616 BONEFILL ORTHO BT 1 1,350,000 7 7 PHAPROS, PT
103 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
104 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRAFT DUS 1 400,000 30 30 PHAPROS, PT
105 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 39 39 SATYA ABADI PHARMA, PT
106 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
107 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 15 - 15 PRATAPA NIRMALA
108 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS 5 350,000 286 286 PRATAPA NIRMALA
109 12000283 BUSCOPAN 20 MG / ML INJ DUS 100 368,480 10 10 OPELLA HEALTHCARE INDONESIA, PT
110 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 299 8 307 PHAPROS, PT
111 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 199 199 PHAPROS, PT
112 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A - 420 - 420 NOVAPHARIN
113 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 19 19 PRATAPA NIRMALA
114 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
115 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 5 5 PRATAPA NIRMALA
116 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
117 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,401 1,401 LUCAS DJAJA
118 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 607 607 PHAPROS, PT
119 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 396 396 KIMIA FARMA
120 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 183 100 3,099 3,382 PHAPROS, PT
121 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
122 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 20 PIHAK 3
123 12014953 CEFTAZIDIME 1gr DUS #N/A #N/A 5 5 MEPROFARM
124 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 19 19 CENDO, PT
125 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 18 18 CENDO, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
127 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
128 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 43 43 CENDO, PT
129 12004100 CENDO CATARLENT MINIDOSE 5 X 0.6 ML STR 1 20,000 121 121 CENDO, PT
130 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
131 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
132 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
133 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 44 44 CENDO, PT
134 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 24 24 CENDO, PT
135 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 14 14 CENDO, PT
136 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 72 72 CENDO, PT
137 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
138 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 110 110 CENDO, PT
139 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 216 216 CENDO, PT
140 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 96 96 CENDO, PT
141 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 15 15 CENDO, PT
142 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 44 44 CENDO, PT
143 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 32 32 CENDO, PT
144 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 7 7 CENDO, PT
145 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
146 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 29 29 CENDO, PT
147 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
148 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 67 67 CENDO, PT
149 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 2 2 CENDO, PT
150 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
151 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 - 5 5 CENDO, PT
152 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
153 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 22 22 CENDO, PT
154 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 95 95 CENDO, PT
155 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
156 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 117 117 CENDO, PT
157 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
158 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 16 16 CENDO, PT
159 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
160 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 6 6 CENDO, PT
161 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
162 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 - 49 49 CENDO, PT
163 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 86 86 CENDO, PT
164 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 - 3 3 CENDO, PT
165 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 19 19 CENDO, PT
166 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 33 33 CENDO, PT
167 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 129 129 CENDO, PT
168 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 136 136 CENDO, PT
169 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
170 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 8 8 CENDO, PT
171 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
172 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
173 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
174 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
175 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 37 37 CENDO, PT
176 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 21 21 CENDO, PT
177 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 4 4 CENDO, PT
178 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 35 35 CENDO, PT
179 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 26 26 CENDO, PT
180 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 87 87 CENDO, PT
181 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 15 15 CENDO, PT
182 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 40 40 CENDO, PT
183 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
184 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 25 CENDO, PT
185 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
186 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
187 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 15 15 CENDO, PT
188 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 13 13 CENDO, PT
189 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
190 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
191 12005164 CENDO VITAL TAB@30 DUS 30 90,000 11 11 CENDO, PT
192 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 125 125 CENDO, PT
193 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 160 160 CENDO, PT
194 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
195 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 396 396 CENDO, PT
196 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
197 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 139 139 KIMIA FARMA
198 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
199 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
200 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 58 58 MEGA MEDICA PHARMACEUTICALS, PT
201 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 73 73 MEGA MEDICA PHARMACEUTICALS, PT
202 12006912 CHANNA PLUS SACHET DUS 3 190,500 50 50 MEGA MEDICA PHARMACEUTICALS, PT
203 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 63 63 MEGA MEDICA PHARMACEUTICALS, PT
204 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 120 58 178 MEGA MEDICA PHARMACEUTICALS, PT
205 13084478 CHANNAFIT SYR 100ML BT 1 70,000 75 75 MEGA MEDICA PHARMACEUTICALS, PT
206 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 19 19 KIMIA FARMA
207 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 63 63 KIMIA FARMA
208 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS 100 61,622 15 15 KIMIA FARMA
209 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA) DUS 100 #N/A 50 50 NOVAPHARIN
210 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 592 50 642 NOVAPHARIN
211 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 1 PHAPROS, PT
212 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 45 1 4 50 PHAPROS, PT
213 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 515 515 KIMIA FARMA
214 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 204 25 229 NOVAPHARIN
215 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 452 452 KIMIA FARMA
216 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 358 358 KIMIA FARMA
217 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 901 901 KIMIA FARMA
218 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 150 PHAPROS, PT
219 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC #N/A 4,865 1 1 PIHAK 3
220 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC #N/A 2,998 56 56 PIHAK 3
221 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC #N/A 1,745 824 824 PIHAK 3
222 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC #N/A 7,297 231 231 PIHAK 3
223 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
224 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
225 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 472 85 557 KIMIA FARMA
226 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 618 750 1,368 KIMIA FARMA
227 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 140 140 PHAPROS, PT
228 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 185 90 275 KIMIA FARMA
229 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 6 6 KIMIA FARMA
230 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 18 58 76 KIMIA FARMA
231 11000038 CODIKAF 10 MG TABLET (DUS 100 TAB) DUS 100 78,750 2 2 KIMIA FARMA
232 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 5 5 KIMIA FARMA
233 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
234 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
235 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
236 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
237 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 75,000 14 14 PYRIDAM, PT
238 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
239 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,694 1,694 BHINNEKA USADA RAYA
240 13076707 D-ARTEPP TAB@9 DUS 9 72,000 850 850 BHINNEKA USADA RAYA
241 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 445 445 DARYA VARIA, PT
242 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 341 341 HARSEN LABORATORIES, PT
243 12006576 DECADRYL EXP 60 ML BT 1 15,500 290 290 HARSEN LABORATORIES, PT
244 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 4 4 DARYA VARIA, PT
245 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 1,900 PIHAK 3
246 12015111 DEXAHARSEN 0,75 MG KAPLET ( HARSEN ) DUS 200 41,800 31 31 HARSEN LABORATORIES, PT
247 12006873 DEXAMETHASONE 0,5MG TAB@100 (NOVA) DUS 100 #N/A 300 300 NOVAPHARIN
248 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 116 116 KIMIA FARMA
249 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 455 10 11 8 484 PHAPROS, PT
250 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS #N/A #N/A - 300 2,300 - 2,600 MEPROFARM
251 13000718 DEXTAMIN TAB@100 DUS 100 165,000 268 268 PHAPROS, PT
252 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 243 243 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
254 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
255 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 26 26 PHAPROS, PT
256 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS 100 - 68 68 MERSIFARMA
257 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 0 14,773 29 230 259 MEPROFARM
258 12012922 DIFFUSER SELENSIA MOTIF KAYU 400ML UNT 1 228,000 2 2 SINKONA INDONESIA LESTARI, PT
259 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
260 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
261 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 849 20 869 KIMIA FARMA
262 13002883 DIOS TAB@30 DUS 30 115,000 100 100 PHAPROS, PT
263 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 #N/A 41 41 PHAPROS, PT
264 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
265 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
266 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
267 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
268 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
269 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 180 180 NOVAPHARIN
270 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
271 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 2 2 KIMIA FARMA
272 12003670 DT LABEL WHITE PERMANENT 2" X 1-1/4" RLL 1 210,000 50 50 SINAR RODA UTAMA, PT
273 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
274 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 88 88 OPELLA HEALTHCARE INDONESIA, PT
275 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 32 32 OPELLA HEALTHCARE INDONESIA, PT
276 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 167,398 3 3 OPELLA HEALTHCARE INDONESIA, PT
277 12000294 DULCOLAX 5 MG SUPP. INF 6pcs DUS 6 108,716 3 3 OPELLA HEALTHCARE INDONESIA, PT
278 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIES, PT
279 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 18 18 JANSSEN PHARMACEUTICA NV
280 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 48 48 JANSSEN PHARMACEUTICA NV
281 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 13 13 KIMIA FARMA
282 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
283 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
284 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 58 58 PRATAPA NIRMALA
285 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 38 38 DARYA VARIA, PT
286 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 24 24 DARYA VARIA, PT
287 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
288 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,260 7,260 KIMIA FARMA
289 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
290 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
291 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
292 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 - - 140 - 140 RAMA EMERALD, PT
293 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT 1 #N/A 50 50 HOLI PHARMA
294 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS #N/A 12,500 30 30 PHAPROS, PT
295 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 0 1 3 KIMIA FARMA
296 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC #N/A 30,221 822 822 PIHAK 3
297 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 19 19 PRATAPA NIRMALA
298 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 35,000 110 110 PRATAPA NIRMALA
299 12004989 FARELAX INJ AMP@5 (FAH) DUS 5 400,000 190 190 PRATAPA NIRMALA
300 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 181 181 PRATAPA NIRMALA
301 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 19 19 PRATAPA NIRMALA
302 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 10 10 PRATAPA NIRMALA
303 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 1 PRATAPA NIRMALA
304 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 107 50 157 PRATAPA NIRMALA
305 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 50,000 22 22 PRATAPA NIRMALA
306 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 60,000 11 11 PRATAPA NIRMALA
307 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 45 45 PRATAPA NIRMALA
308 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 29 29 PRATAPA NIRMALA
309 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 - 51 51 PRATAPA NIRMALA
310 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
311 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
312 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
313 13019430 FEBRINEX SYR 60ML BT 1 14,414 55 55 PHAPROS, PT
314 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 3 3 PRATAPA NIRMALA
315 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 141 141 PRATAPA NIRMALA
316 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 2 MAHAKAM BETA FARMA
317 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 345 345 MAHAKAM BETA FARMA
318 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 265 265 KIMIA FARMA
319 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 580 580 KIMIA FARMA
320 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 799 799 KIMIA FARMA
321 12005100 FEROSPAT EFF TAB@10 (PYRIDAM) DUS 10 #N/A 1 1 PYRIDAM, PT
322 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 163 163 PIHAK 3
323 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 241 241 PIHAK 3
324 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 17 17 PIHAK 3
325 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 165 165 PIHAK 3
326 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 288 288 SURYA SUKSES PERKASA, PT
327 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 355 355 KIMIA FARMA
328 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 189 189 KIMIA FARMA
329 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 190 190 KIMIA FARMA
330 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 166 166 KIMIA FARMA
331 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 72 72 KIMIA FARMA
332 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 662 662 KIMIA FARMA
333 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,087 6,087 KIMIA FARMA
334 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 15 15 PRATAPA NIRMALA
335 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 59 59 PRATAPA NIRMALA
336 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 83 83 PRATAPA NIRMALA
337 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 409 192 601 KIMIA FARMA
338 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 10 181 PHAPROS, PT
339 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 275,000 5 5 PYRIDAM, PT
340 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
341 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 150 - 150 DARYA VARIA, PT
342 12011679 FRESMED DESINFECTAN SPRAY @250 ML BT 1 27,273 20 20 PT. LIKUID PHARMALAB INDONESIA
343 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 8 8 PYRIDAM, PT
344 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 91 91 KIMIA FARMA
345 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 262,000 10 10 PRATAPA NIRMALA
346 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 10 KIMIA FARMA
347 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 67 2 69 PRATAPA NIRMALA
348 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 232 232 PHAPROS, PT
349 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 47 47 PRATAPA NIRMALA
350 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,713 1,713 MOLEX AYUS, PT
351 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 5,428 5,428 MOLEX AYUS, PT
352 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 1,301 90 1,391 KIMIA FARMA
353 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 110 110 PHAPROS, PT
354 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 110 110 KIMIA FARMA
355 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
356 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 136 10 146 KIMIA FARMA
357 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 273 273 KIMIA FARMA
358 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 188 7 195 KIMIA FARMA
359 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 84 84 PRATAPA NIRMALA
360 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
361 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 1 - - 1 NOVAPHARIN
362 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
363 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
364 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC #N/A 7,652 129 129 PIHAK 3
365 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
366 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 91 91 PHAPROS, PT
367 12006958 HEPAGARD DUS 0 76,230 78 78 PHAPROS, PT
368 12008943 HEPARIN SOD 5000IU/ML INJ VIAL@5 (FAH) DUS 5 300,000 30 30 PRATAPA NIRMALA
369 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 3 3 KIMIA FARMA
370 11000516 HUMAN ALBUMIN 20 % 50 ML BT 1 400,901 35 35 KIMIA FARMA
371 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 8 8 KIMIA FARMA
372 12005248 HUSTAB 30X10S DUS 300 119,196 18 18 PHAPROS, PT
373 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJN DUS 100 16,500 13 13 KIMIA FARMA
374 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
375 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 0 4 1 6 KIMIA FARMA
376 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA) DUS 100 #N/A 30 30 RAMA EMERALD, PT
377 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 218 218 PHAPROS, PT
378 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 511 511 PHAPROS, PT
379 12013954 HYTOSA (SAP) BT 1 122,000 53 53 SATYA ABADI PHARMA, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
381 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 380 380 NOVAPHARIN
382 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 490 - - 492 NOVAPHARIN
383 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
384 12010151 INA-SHUNT SEMILUNAR FLUSH ADULT/LOW PC 1 2,600,000 1 1 PHAPROS, PT
385 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 2 2 PHAPROS, PT
386 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
387 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC 1 2,600,000 2 2 PHAPROS, PT
388 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
389 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
390 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 3 3 PHAPROS, PT
391 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 42 42 MOLEX AYUS, PT
392 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
393 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 192 192 PRATAPA NIRMALA
394 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 188 188 PRATAPA NIRMALA
395 12007335 INSTO REGULAR 15 ML DUS 1 16,100 7 7 COMBIPHAR, PT
396 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 153 250 403 KIMIA FARMA
397 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 96 9 105 KIMIA FARMA
398 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 751 448 1,199 KIMIA FARMA
399 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 505 505 KIMIA FARMA
400 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 6 6 PRATAPA NIRMALA
401 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
402 12001211 ISONIAZID 100 MG TABLET DUS 100 #N/A 9 9 HOLI PHARMA
403 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
404 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 162 162 KIMIA FARMA
405 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS 25 #N/A 13 13 KIMIA FARMA
406 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 - 450 - - 450 NOVAPHARIN
407 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS 12 30,600 184 184 PHAPROS, PT
408 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS 50 65,901 148 148 KIMIA FARMA
409 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 21 21 KIMIA FARMA
410 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 100 100 KIMIA FARMA
411 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 7 7 KIMIA FARMA
412 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC 50 143,190 8 8 KIMIA FARMA
413 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
414 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
415 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 709 709 KIMIA FARMA
416 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
417 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 4 4 KIMIA FARMA
418 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 46 46 KIMIA FARMA
419 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 18 18 KIMIA FARMA
420 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
421 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 145 145 KIMIA FARMA
422 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 101 101 KIMIA FARMA
423 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 117 117 PHAPROS, PT
424 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 298 298 PHAPROS, PT
425 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 KIMIA FARMA
426 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
427 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 28 28 PRATAPA NIRMALA
428 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 1,100 1,100 PHAPROS, PT
429 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 977 977 PRATAPA NIRMALA
430 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
431 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
432 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
433 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
434 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 8 33 110 151 MEPROFARM
435 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 18 18 MOLEX AYUS, PT
436 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 90 90 MOLEX AYUS, PT
437 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 720 720 MOLEX AYUS, PT
438 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
439 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 40,000 16 16 MOLEX AYUS, PT
440 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 7 7 MOLEX AYUS, PT
441 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 148 148 MOLEX AYUS, PT
442 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS #N/A #N/A - 3 - - 3 PHAPROS, PT
443 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 1 1 KIMIA FARMA
444 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS 30 315,000 41 41 KIMIA FARMA
445 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS 30 350,000 30 30 KIMIA FARMA
446 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 347 2 349 PHAPROS, PT
447 12003048 LOPAMID TABLET @ 100 DUS 100 - 137 137 HARSEN LABORATORIES, PT
448 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 - 150 - 150 IFARS PHARMACEUTICAL, PT
449 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 77 77 KIMIA FARMA
450 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 26 26 NOVAPHARIN
451 11001732 LOVE TEST COMPACT DUS #N/A 18,191 3 3 KIMIA FARMA
452 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 67 67 KIMIA FARMA
453 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
454 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 17 17 PRATAPA NIRMALA
455 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
456 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 7 7 MUSTIKA RATUBUANA INTERNATIONAL, PT
457 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 57 MUSTIKA RATUBUANA INTERNATIONAL, PT
458 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 8 8 MUSTIKA RATUBUANA INTERNATIONAL, PT
459 13027133 M RATU M ZAITUN 175ML BH 1 25,135 1 1 MUSTIKA RATUBUANA INTERNATIONAL, PT
460 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150ML BT 1 20,739 13 13 MUSTIKA RATUBUANA INTERNATIONAL, PT
461 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 532 532 KIMIA FARMA
462 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 298 298 KIMIA FARMA
463 11002329 MARCKS ACTIVE WHITE 20GR (NEW) PC 1 23,700 3 3 KIMIA FARMA
464 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 97 97 KIMIA FARMA
465 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 19 19 KIMIA FARMA
466 11001945 MARCKS BREATHABLE POWDER NATURAL BEIGE BOX 1 34,700 1 1 KIMIA FARMA
467 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 187 187 KIMIA FARMA
468 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 93 93 KIMIA FARMA
469 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 85 85 KIMIA FARMA
470 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 3,898 3,898 KIMIA FARMA
471 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC 1 13,700 320 320 KIMIA FARMA
472 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 2,527 2,527 KIMIA FARMA
473 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 13,700 907 907 KIMIA FARMA
474 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC 1 13,700 586 586 KIMIA FARMA
475 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 941 941 KIMIA FARMA
476 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 4 4 KIMIA FARMA
477 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 35 35 KIMIA FARMA
478 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 535 535 KIMIA FARMA
479 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 770 770 KIMIA FARMA
480 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 405 405 KIMIA FARMA
481 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 73 73 KIMIA FARMA
482 11001315 MARCKS TEENS REFILL COMPACT POWDER PINK PC 12 15,500 61 61 KIMIA FARMA
483 11001314 MARCKS TEENS REFILL COMPACT POWDER WHIT PC 12 15,500 45 45 KIMIA FARMA
484 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 73 73 PHAPROS, PT
485 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 8 8 DARYA VARIA, PT
486 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 97 97 PT. LIKUID PHARMALAB INDONESIA
487 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 129 129 PT. LIKUID PHARMALAB INDONESIA
488 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT 1 11,825 190 - 190 PT. LIKUID PHARMALAB INDONESIA
489 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 267 267 PT. LIKUID PHARMALAB INDONESIA
490 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
491 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
492 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
493 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
494 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
495 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 247 247 PT. LIKUID PHARMALAB INDONESIA
496 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
497 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 445 445 PT. LIKUID PHARMALAB INDONESIA
498 12008458 MELOCID TAB@50 MOL DUS 50 30,000 24 24 MOLEX AYUS, PT
499 11000220 MELOXICAM 15 MG (DUS 20 TAB) DUS 20 14,500 336 336 KIMIA FARMA
500 13083465 MEPROVENT INH AMP@10 DUS 10 #N/A 200 - - 200 MEPROFARM
501 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 16 16 KIMIA FARMA
502 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 5 - - 5 PRATAPA NIRMALA
503 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,220 1,220 KIMIA FARMA
504 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A - 1 - 1 MEPROFARM
505 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
506 12009881 METHISOPRINOL 500 MG @50 TAB (PEHA) DUS 50 180,000 50 50 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 863 8 11 882 KIMIA FARMA
508 12014746 METHYLERGOMETRINE MALEATE INJ100 AMP@1ML DUS 100 #N/A 7 7 MEPROFARM
509 12012550 METHYLPREDNISOLONE 4MG TAB@100 (NOVA) DUS 100 #N/A 100 100 NOVAPHARIN
510 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 457 457 MOLEX AYUS, PT
511 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS 1 18,000 395 395 PHAPROS, PT
512 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 286 286 KIMIA FARMA
513 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 5 10 - 15 KIMIA FARMA
514 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 94 94 KIMIA FARMA
515 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 ML DUS #N/A #N/A 1 1 MEPROFARM
516 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
517 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 389 50 85 524 NOVAPHARIN
518 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
519 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 12 - 23 196 - 231 KIMIA FARMA
520 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 20 20 PRATAPA NIRMALA
521 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 83 83 MOLEX AYUS, PT
522 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 177 177 MOLEX AYUS, PT
523 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 8 8 MOLEX AYUS, PT
524 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 112 112 MOLEX AYUS, PT
525 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
526 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 14 14 PRATAPA NIRMALA
527 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
528 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 16 16 KIMIA FARMA
529 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 309,545 33 28 61 KIMIA FARMA
530 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 4 4 KIMIA FARMA
531 11000501 MST CONTINUS 10 MG DUS 60 852,000 1 1 MAHAKAM BETA FARMA
532 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
533 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 8 8 PHAPROS, PT
534 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 3 3 KIMIA FARMA
535 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
536 11002020 NACL 0.9% INFUS BT 1 7,009 18,944 18,944 KIMIA FARMA
537 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 144 144 PYRIDAM, PT
538 13083783 NATERAN 25MG TAB@30 DUS 3 1,200,000 3 3 FAHRENHEIT SYNTHON PHARMA
539 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
540 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 973 686 1,659 PHAPROS, PT
541 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 27 27 DARYA VARIA, PT
542 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 40 40 DARYA VARIA, PT
543 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 23 23 DARYA VARIA, PT
544 12000832 NATUR E HBL 100 ML BT 1 10,424 42 42 DARYA VARIA, PT
545 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
546 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 57,626 2 2 DARYA VARIA, PT
547 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
548 12005302 NATUR-E 300 IU 32's DUS 32 56,496 34 34 DARYA VARIA, PT
549 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
550 12013182 NELANDOZ 2MG TAB@28 (FAH) DUS 28 410,000 11 11 PRATAPA NIRMALA
551 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 774 774 MOLEX AYUS, PT
552 12005687 NEURAXON 5000 KPL@100 (PYRIDAM) DUS 100 316,000 42 42 PYRIDAM, PT
553 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
554 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
555 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS 30 250,000 23 23 KIMIA FARMA
556 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
557 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 1 38 39 DARYA VARIA, PT
558 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
559 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
560 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 528 528 SINAR RODA UTAMA, PT
561 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 55 SINAR RODA UTAMA, PT
562 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,461 2,461 SINAR RODA UTAMA, PT
563 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 228 10 238 PHAPROS, PT
564 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 164 164 KIMIA FARMA
565 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS #N/A 246,000 - - 4 - 4 KIMIA FARMA
566 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 439 439 PHAPROS, PT
567 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 3 3 PRATAPA NIRMALA
568 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
569 12009890 NOZA @4 TAB STR 4 72,500 250 250 PHAPROS, PT
570 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,762 1,762 EMJEBE PHARMA , PT
571 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
572 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 25 25 PRATAPA NIRMALA
573 12015035 NYSTATIN DROP DUS 10 - 2 2 PIHAK 3
574 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 308 204 15 527 PHAPROS, PT
575 12008469 OBH 60ML MOL BT 1 #N/A 20 20 MOLEX AYUS, PT
576 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 55 55 COMBIPHAR, PT
577 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 409 409 COMBIPHAR, PT
578 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 268 268 COMBIPHAR, PT
579 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 12,500 276 276 COMBIPHAR, PT
580 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 200 200 COMBIPHAR, PT
581 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 55 55 COMBIPHAR, PT
582 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 106 106 COMBIPHAR, PT
583 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 298 298 COMBIPHAR, PT
584 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 215 215 COMBIPHAR, PT
585 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 1 1 DARYA VARIA, PT
586 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
587 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
588 12013632 OMEPRAZOLE 20MG @100 KPS (NOVA) DUS 100 #N/A 379 379 NOVAPHARIN
589 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 500 4 504 DARYA VARIA, PT
590 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 954 53 1,007 PHAPROS, PT
591 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
592 12010612 ORABLOC INJ (PEHA) DUS 50 810,000 11 11 PHAPROS, PT
593 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
594 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 50 50 SATYA ABADI PHARMA, PT
595 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 13 13 PYRIDAM, PT
596 13007995 OSTEOTIN CAP@60 DUS 60 179,100 5 5 PHAPROS, PT
597 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
598 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 100 100 PIHAK 3
599 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 158 158 PHAPROS, PT
600 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 364 1,175 2,000 3,539 KIMIA FARMA
601 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
602 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11 3,563 3,574 DARYA VARIA, PT
603 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 240 240 DARYA VARIA, PT
604 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 4 4 DARYA VARIA, PT
605 12007337 PEDITOX 1% 50 ML BT 1 7,420 13 13 COMBIPHAR, PT
606 12005890 PEHACAIN INJ DUS #N/A 66,791 309 309 PHAPROS, PT
607 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 25 25 PHAPROS, PT
608 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
609 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 146 146 PHAPROS, PT
610 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 9 - 9 PRATAPA NIRMALA
611 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
612 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 9 159 168 KIMIA FARMA
613 13009792 PHADILON 125MG INJ VL 1 30,000 109 109 PHAPROS, PT
614 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
615 13009794 PHAMINOV INJ@10 DUS 10 65,000 181 181 PHAPROS, PT
616 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
617 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
618 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 365 520 885 LUCAS DJAJA
619 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
620 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A - - 340 - 340 MEPROFARM
621 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 243 3 246 PHAPROS, PT
622 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 3 218 221 PHAPROS, PT
623 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 168,000 205 205 PHAPROS, PT
624 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,803 1,803 KIMIA FARMA
625 11001543 PIROXICAM 20 MG (DUS 100 TAB)-BJN DUS 100 22,458 81 81 KIMIA FARMA
626 12013098 POVIDONE IODINE 1L (NOVA) BT 1 #N/A 150 150 NOVAPHARIN
627 12007665 PPD 2 TU (BF) VL 1 630,000 485 485 BIOFARMA
628 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 588 588 PRATAPA NIRMALA
629 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
630 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
631 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS 100 - 10 10 IMFARMIND FARMASI INDUSTRI, PT
632 12001215 PREDNISON 5 MG TAB (HOLI) DUS 100 #N/A - - - 597 - 597 HOLI PHARMA
633 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A - 3 3 IFARS PHARMACEUTICAL, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 2 2 PYRIDAM, PT
635 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 19 19 KIMIA FARMA
636 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 20 20 PRATAPA NIRMALA
637 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 866 2,549 3,415 PHAPROS, PT
638 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
639 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 99 99 MOLEX AYUS, PT
640 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 475 475 MOLEX AYUS, PT
641 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 474 474 MOLEX AYUS, PT
642 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 97 97 MOLEX AYUS, PT
643 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 80 80 MOLEX AYUS, PT
644 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
645 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 91 91 PHAPROS, PT
646 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 33 33 PHAPROS, PT
647 13001143 PRO TB2 TAB@28 DUS 28 184,450 81 81 PHAPROS, PT
648 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
649 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 118 118 PHAPROS, PT
650 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
651 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 23 19 42 HOLI PHARMA
652 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 - - 49 HOLI PHARMA
653 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
654 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
655 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 505 505 KIMIA FARMA
656 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
657 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
658 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 522 216 40 778 PHAPROS, PT
659 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 18 18 PRATAPA NIRMALA
660 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 180,000 34 34 PRATAPA NIRMALA
661 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
662 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
663 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 28 28 PRATAPA NIRMALA
664 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 77 77 PRATAPA NIRMALA
665 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 15 15 PRATAPA NIRMALA
666 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 50 50 LUCAS DJAJA
667 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 50 LUCAS DJAJA
668 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 591 591 KIMIA FARMA
669 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 151 151 KIMIA FARMA
670 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
671 12008263 RINGER LACTATE 500 ML (SATORIA) BT 1 7,970 3,189 2,700 5,889 SATORIA ANEKA INDUSTRI, PT
672 11002018 RINGER LAKTAT INFUS BT 1 7,658 1,336 1,336 KIMIA FARMA
673 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 200 200 MERSIFARMA
674 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 80 80 PHAPROS, PT
675 12008474 RIVANOL 100ML MOL BT 1 4,000 680 680 MOLEX AYUS, PT
676 12008475 RIVANOL 300ML MOL BT 1 9,000 472 472 MOLEX AYUS, PT
677 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS 30 210,000 17 17 KIMIA FARMA
678 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 23 23 KIMIA FARMA
679 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 58 58 PRATAPA NIRMALA
680 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS 100 18,000 108 108 KIMIA FARMA
681 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1 1 KIMIA FARMA
682 11001556 SALBUTAMOL 4 MG (DUS 100 TAB)-BJN DUS 100 20,000 325 325 KIMIA FARMA
683 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,404 2,404 KIMIA FARMA
684 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
685 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 13 13 PT. LIKUID PHARMALAB INDONESIA
686 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 36 36 PT. LIKUID PHARMALAB INDONESIA
687 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
688 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 18 18 SINKONA INDONESIA LESTARI, PT
689 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 39 39 SINKONA INDONESIA LESTARI, PT
690 12012338 SELENSIA AROMATHERAPY LEMON 10ML BT 1 109,091 9 9 SINKONA INDONESIA LESTARI, PT
691 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 8 8 SINKONA INDONESIA LESTARI, PT
692 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
693 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
694 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 62 62 PRATAPA NIRMALA
695 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 56 56 PRATAPA NIRMALA
696 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 34 34 PRATAPA NIRMALA
697 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
698 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
699 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
700 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS 100 #N/A 20 200 220 NOVAPHARIN
701 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 33 33 PHAPROS, PT
702 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 1,400 1,400 SATORIA ANEKA INDUSTRI, PT
703 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT 1 7,097 3,350 4,600 7,950 SATORIA ANEKA INDUSTRI, PT
704 12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) BT #N/A 26,400 234 234 PHAPROS, PT
705 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
706 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 1 1 KIMIA FARMA
707 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
708 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 37,839 4 4 DARYA VARIA, PT
709 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
710 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 - 8 12 PHAPROS, PT
711 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 72 26 98 MEGA MEDICA PHARMACEUTICALS, PT
712 12006932 SUKRALFAT SUSP 500 MG/5 ML, 100 ML BT 1 #N/A - 140 - - 140 MEPROFARM
713 12009948 SULFADIAZINE SILVER 10 MG POT 500GR(DVRS POT 1 259,585 13 13 DARYA VARIA, PT
714 12000876 SUMAGESIC 600 MG TAB @ 100 (UN DUS 100 52,080 6 6 DARYA VARIA, PT
715 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 7 7 DARYA VARIA, PT
716 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
717 13079783 SUTRA GERIGI KONDOM@ 3 DUS 3 172,368 1,198 1,198 PIHAK 3
718 13079784 SUTRA GERIGI KONDOM@12 BH 12 245,232 180 180 PIHAK 3
719 13016440 SUTRA OK KONDOM@ 3 DUS 3 7,182 384 24 408 PIHAK 3
720 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS 30 135,000 21 21 PRATAPA NIRMALA
721 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 149 149 KIMIA FARMA
722 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 44 44 PHAPROS, PT
723 13003109 TEBOKAN SPECIAL CAP@30 DUS #N/A 335,475 33 33 PHAPROS, PT
724 11002049 TECAVIR 0.5 MG TSS (DUS 30 TAB) DUS 30 600,000 6 6 KIMIA FARMA
725 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 5 5 KIMIA FARMA
726 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS 100 420,000 20 20 KIMIA FARMA
727 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT 30 #N/A 145 145 KIMIA FARMA
728 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 336,000 30 30 PRATAPA NIRMALA
729 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 32 32 MOLEX AYUS, PT
730 12005181 TIARYT TAB@30 (FAH) DUS 30 135,000 6 6 PRATAPA NIRMALA
731 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
732 12007362 TOPGRA 100 MG TABLET DUS #N/A 187,200 187 187 HARSEN LABORATORIES, PT
733 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 690,000 17 17 PRATAPA NIRMALA
734 13006433 TRACETATE SUSP 200ML (FAH) BT 1 420,000 22 22 PRATAPA NIRMALA
735 12008343 TRAMADOL HCL 50MG CAP@50 (GRAF) DUS 50 #N/A 10 10 GRAHA FARMA, PT
736 13076813 TRAMPARA TAB@30 DUS 30 145,000 174 174 PHAPROS, PT
737 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 78,000 3 3 KIMIA FARMA
738 13010118 TRIXON INJ 1GR VL 1 55,000 103 103 PHAPROS, PT
739 11000172 TROMBIKAF TABLET-STRIP 3X10 TABLET DUS 30 360,000 4 4 KIMIA FARMA
740 13026424 UMARONE INJ 2ML (FAH) VL 1 183,000 24 24 PRATAPA NIRMALA
741 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 463 463 PRUNING
742 11000292 VAGIZOLE OVULA (DUS 5 SUPP) DUS 5 55,000 10 40 50 KIMIA FARMA
743 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS 1 258,500 1 1 BIOFARMA
744 12007630 VAKSIN BIO TD 1 DS (BF) AMP 1 69,300 100 100 BIOFARMA
745 12007631 VAKSIN BIO TT 1 DS (BF) AMP 1 36,300 170 170 BIOFARMA
746 12007659 VAKSIN CAMPAK 10 DS (BF) DUS 1 154,000 3 3 BIOFARMA
747 12011966 VAKSIN CERVARIX (BF) DUS 1 607,700 14 14 BIOFARMA
748 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS 1 152,000 2 2 BIOFARMA
749 12007662 VAKSIN FLUBIO (BF) VL 1 99,800 136 136 BIOFARMA
750 12011967 VAKSIN HAVRIX ADULT (BF) DUS 1 289,200 4 4 BIOFARMA
751 12007661 VAKSIN HEPATITIS-B BAYI (BF) SC 1 52,470 1,000 1,000 BIOFARMA
752 12007660 VAKSIN HEPATITIS-B DEWASA (BF) POU 1 79,200 80 80 BIOFARMA
753 12008932 VAKSIN IPV 5 DS (BF) DUS 10 3,630,000 3 3 BIOFARMA
754 12007741 VAKSIN MEASLES RUBELLA (MR) 10 DS (BF) VL 1 525,000 47 47 BIOFARMA
755 12007658 VAKSIN POLIO / BOPV 10 DS (BF) DUS 1 75,600 2 2 BIOFARMA
756 12008612 VAKSIN VARICELLA (BF) DUS 1 360,500 5 5 BIOFARMA
757 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 60,000 40 40 KIMIA FARMA
758 11002134 VALSARTAN 80 MG (DUS 30 TAB)-BJN DUS 30 40,000 89 89 KIMIA FARMA
759 11002240 VALTENSI 160 MG TSS (DUS 30 TAB) DUS 30 290,000 11 11 KIMIA FARMA
760 11002239 VALTENSI 80 MG TSS (DUS 30 TAB) DUS 30 160,000 9 9 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
761 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 420,000 67 67 PRATAPA NIRMALA
762 12010331 VARTAN 160MG KPL@30 (PYRIDAM) DUS 30 209,000 3 3 PYRIDAM, PT
763 12010330 VARTAN 80MG TAB@30 (PYRIDAM) DUS 30 137,000 2 2 PYRIDAM, PT
764 12004993 VASCON INJ AMP@5 (FAH) DUS 5 500,000 55 - 55 PRATAPA NIRMALA
765 12011812 VASOLA 0.5 ML @5 VL (FAH) DUS 5 1,250,000 7 - 7 PRATAPA NIRMALA
766 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 38 38 PRATAPA NIRMALA
767 11000361 VENUS COMPACT NO.1 INVISIBLE PC 1 38,300 30 30 KIMIA FARMA
768 11000362 VENUS COMPACT NO.2 NAT BEIGE PC 1 38,300 16 16 KIMIA FARMA
769 11000363 VENUS COMPACT NO.3 IVORY PC 1 38,300 28 28 KIMIA FARMA
770 11002057 VENUS EYE & LIP MAKEUP REMOVER 100ML BT 1 36,951 47 47 KIMIA FARMA
771 11000368 VENUS FACIAL WASH 100ml PC 1 22,091 1 1 KIMIA FARMA
772 11000369 VENUS FACIAL WASH 50ml PC 1 12,000 1 1 KIMIA FARMA
773 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 PC 48 90,700 2 2 KIMIA FARMA
774 11002429 VENUS LP DYNAMIC NO.1 INVISIBLE NEW PC 1 38,625 24 24 KIMIA FARMA
775 11002431 VENUS LP DYNAMIC NO.3 IVORY NEW PC 1 38,625 33 33 KIMIA FARMA
776 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE PC 12 47,500 151 151 KIMIA FARMA
777 11001146 VENUS SOFT MATTE LIPCREAM NO.4 PC 1 38,389 12 12 KIMIA FARMA
778 11000379 VENUS TWC NO.1 TRANSLUCENT PC 12 61,091 9 9 KIMIA FARMA
779 11000381 VENUS TWC NO.3 PORCELEIN PC 12 61,091 72 72 KIMIA FARMA
780 11000137 VERTIKAF 24 MG TABLET (DUS 100 TAB) DUS 100 650,000 3 3 KIMIA FARMA
781 11000138 VERTIKAF 8 MG TABLET (DUS 100 TAB) DUS 100 321,860 22 22 KIMIA FARMA
782 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 58,888 41 41 DARYA VARIA, PT
783 12014622 VIKOM-Z DUS @ 100 KPL (PEHA) DUS #N/A 180,000 17 10 27 PHAPROS, PT
784 13011058 VIOXY FM TAB@30 (FAH) DUS 30 150,000 19 19 PRATAPA NIRMALA
785 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - - 300 - 300 HOLI PHARMA
786 11001571 VITAMIN B KOMPLEKS(SPLMN)(DUS100TAB)-BJN DUS 100 18,200 1,492 1,492 KIMIA FARMA
787 11001572 VITAMIN B1 100MGTAB(SUPL)(DUS100TAB)-BJN DUS 100 23,700 877 877 KIMIA FARMA
788 11001573 VITAMIN B1 50 MG (SPLMN)(DUS100TAB)-BJN DUS 100 18,343 359 359 KIMIA FARMA
789 11001574 VITAMIN B12 50 MCG (SUPL)(DUS100TAB)-BJN DUS 100 12,000 756 756 KIMIA FARMA
790 11000485 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TAB) DUS 100 12,000 336 25 361 KIMIA FARMA
791 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 12,200 1 1 MARIN LIZA
792 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 17,000 2 2 KIMIA FARMA
793 11001576 VITAMIN C 100MG TAB(SUPL)(DUS100TAB)-BJN DUS 100 17,000 1 1 KIMIA FARMA
794 12013939 VITAMIN C 250 @100 KPL DUS 0 13,964 8 8 MERSIFARMA
795 11001577 VITAMIN C 250 MG TAB (DUS100TAB)-BJN DUS 100 18,200 1,423 1,423 KIMIA FARMA
796 11001578 VITAMIN C 50 MG TAB(SUPL)(DUS100TAB)-BJN DUS 100 14,291 220 220 KIMIA FARMA
797 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 0 65 100 100 MARIN LIZA
798 13026624 VOPICAIN 0.5% 10ML VIAL@2 (FAH) DUS 2 110,000 24 24 PRATAPA NIRMALA
799 12013022 WATER FOR INJECTION AMP 25ML (MJB) DUS #N/A #N/A 0 0 EMJEBE PHARMA , PT
800 12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) DUS 100 30,000.00 246 246 PHAPROS, PT
801 12012181 ZINC SULFATE DROP 10MG/ML (MEPRO) BT 1 #N/A 100 100 MEPROFARM
Stok Per Tanggal 24 Juli 2023 PT.KFTD Jayapura

Kontrak
Material Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number (HNA) (99) (02) Reg (00) Rutin (98)
(20)

224 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC 4,865 1 1 PIHAK 3
225 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC 6,713 45 45 PIHAK 3
226 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC 2,998 56 56 PIHAK 3
227 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC 1,745 824 824 PIHAK 3
228 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC 7,297 231 231 PIHAK 3
304 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC 30,221 850 850 PIHAK 3
372 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC 7,652 130 130 PIHAK 3
Stok Per Tanggal 20 Juli 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 426 426 KIMIA FARMA
2 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 243 60 303 KIMIA FARMA
3 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 17 127 144 KIMIA FARMA
4 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GR DUS 25 3,764 0 0 KIMIA FARMA
5 11002061 ACRIPTEGA TSS (BTL30 TAB) BT 30 500,000 2 2 KIMIA FARMA
6 13068943 ACYCLOVIR 200MG TAB GYA TAB 1 #N/A 2,000 2,000 YARINDO FARMATA, PT
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 895 373 15 1,283 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 12 12 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 89 89 SATYA ABADI PHARMA, PT
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
11 11000006 ALERGINE 10 MG TSS (DUS 50 TAB) DUS 50 140,250 14 14 KIMIA FARMA
12 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 654 654 MOLEX AYUS, PT
13 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 743 743 MOLEX AYUS, PT
14 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 766 766 MOLEX AYUS, PT
15 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 21 21 DARYA VARIA, PT
16 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 37 37 KIMIA FARMA
17 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
18 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 177 177 KIMIA FARMA
19 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
20 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA DUS 1 16,200 1 1 PHAPROS, PT
21 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN DUS 100 9,729 18 18 MARIN LIZA
22 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 260 2 15 277 PHAPROS, PT
23 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS 100 #N/A 2 2 DARYA VARIA, PT
24 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 40 DARYA VARIA, PT
25 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 15,000 112 112 KIMIA FARMA
26 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 15,000 455 2,004 2,459 KIMIA FARMA
27 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 1,215 2,209 1,500 4,924 KIMIA FARMA
28 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA DUS 30 6,000 119 119 PHAPROS, PT
29 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 230 - 230 MEPROFARM
30 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 7,848 7,848 MERSIFARMA
31 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA BT 1 #N/A 208 208 NOVAPHARIN
32 12012547 AMOXICILLIN TRIHYD 500MG KPL@100 (NOVADUS 100 103,604 183 1,400 1,583 NOVAPHARIN
33 12014920 AMOXICILLIN TRIHYDRATE 500 MG(IFARS) DUS 100 #N/A 100 100 IFARS PHARMACEUTICAL, PT
34 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 8 8 PHAPROS, PT
35 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 38 38 PIHAK 3
36 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 390 390 PIHAK 3
37 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 105,000 105,000 PIHAK 3
38 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 165 165 PIHAK 3
39 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 42 42 PHAPROS, PT
40 13003589 ANESFAR 5MG INJ AMP@5 (FAH) DUS 5 115,000 90 90 PRATAPA NIRMALA
41 11001451 ANTASIDA DOEN (DUS 100 TAB)-BJN DUS 100 39,000 72 72 KIMIA FARMA
42 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
43 12008528 ANTASIDA DOEN TAB MERSI DUS 100 - 49 49 MERSIFARMA
44 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L JRG 1 367,500 88 88 KIMIA FARMA
45 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 224 45 12 281 KIMIA FARMA
46 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 751 751 PHAPROS, PT
47 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
48 12005096 ANTIMO DEWASA TAB DUS 1 309,600 161 161 PHAPROS, PT
49 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
50 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
51 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 22 BHINNEKA USADA RAYA
52 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB)DUS 100 180,000 264 264 KIMIA FARMA
53 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 329 329 KIMIA FARMA
54 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,687 1,687 KIMIA FARMA
55 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS 100 #N/A 10 10 DARYA VARIA, PT
56 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 126,500 46 46 DARYA VARIA, PT
57 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
58 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 390,000 1 1 PRATAPA NIRMALA
59 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 7 7 PRATAPA NIRMALA
60 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 15 15 PRATAPA NIRMALA
61 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 74 74 KIMIA FARMA
62 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 15 15 DARYA VARIA, PT
63 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 2 2 KIMIA FARMA
64 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
65 11002062 AVONZA TSS (BTL 30 TAB) BT 30 250,000 3 3 KIMIA FARMA
66 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 20,800 2 2 BIO AXION HEALTHINDO, PT
67 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
68 12000196 AXIMED STOMACH TUB NO.14 PC 1 6,900 60 60 BIO AXION HEALTHINDO, PT
69 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
70 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 2,072 - 150 400 - 2,622 KIMIA FARMA
71 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 419 419 KIMIA FARMA
72 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,796 6,796 KIMIA FARMA
73 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
74 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 20 20 PT. LIKUID PHARMALAB INDONESIA
75 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 43 43 PT. LIKUID PHARMALAB INDONESIA
76 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 17 17 PT. LIKUID PHARMALAB INDONESIA
77 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 6 6 PT. LIKUID PHARMALAB INDONESIA
78 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 18 18 PT. LIKUID PHARMALAB INDONESIA
79 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 56 56 PT. LIKUID PHARMALAB INDONESIA
80 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
81 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
82 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
83 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 71 71 PT. LIKUID PHARMALAB INDONESIA
84 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
85 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
86 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1LBT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
87 13022661 BECEFORT SYR 60ML BT 1 14,998 80 80 PHAPROS, PT
88 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 2,765 2,765 KIMIA FARMA
89 13001869 BENZATIN BENZIL PENICILLIN 1.2 DUS 100 - 6 50 56 PHAPROS, PT
90 13001870 BENZATIN BENZIL PENICILLIN 2.4 DUS 10 774,150 3 71 74 PHAPROS, PT
91 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 24 PHAPROS, PT
92 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRDUS 1 2,217 355 47 48 450 KIMIA FARMA
93 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 94 94 KIMIA FARMA
94 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 891 891 MOLEX AYUS, PT
95 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 28 28 NUFARINDO, PT
96 13010355 BIO ATP KPL@100 DUS 100 214,180 11 11 PHAPROS, PT
97 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 448 448 BIO AXION HEALTHINDO, PT
98 12013616 BIORON FORTE TSG.7 CC X 4S DUS 28 60,800 13 13 PHAPROS, PT
99 13026576 BIORON TAB@100 DUS 100 101,650 38 38 PHAPROS, PT
100 12007664 BIOSAT 1.5 (BF) AMP 1 #N/A 110 110 BIOFARMA
101 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
102 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 16 5 21 HARSEN LABORATORIES, PT
103 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 118 118 OPELLA HEALTHCARE INDONESIA, PT
104 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS 100 #N/A 355 355 KIMIA FARMA
105 12010616 BONEFILL ORTHO BT 1 1,350,000 9 9 PHAPROS, PT
106 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
107 12013514 BONEFILL POWDER HYDROXYAPATITE BON DUS 1 400,000 30 30 PHAPROS, PT
108 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 49 49 SATYA ABADI PHARMA, PT
109 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
110 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAHDUS 5 350,000 15 - 15 PRATAPA NIRMALA
111 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FADUS 5 350,000 524 524 PRATAPA NIRMALA
112 12009724 BURNAZIN CREAM 35 GR (DVRS) TUB 1 61,933 5 5 DARYA VARIA, PT
113 12000282 BUSCOPAN 10 MG DRAG DUS 100 327,945 31 31 OPELLA HEALTHCARE INDONESIA, PT
114 12000283 BUSCOPAN 20 MG / ML INJ DUS 100 368,480 10 10 OPELLA HEALTHCARE INDONESIA, PT
115 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 299 8 307 PHAPROS, PT
116 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 199 199 PHAPROS, PT
117 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS 100 #N/A - 420 - 420 NOVAPHARIN
118 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 19 19 PRATAPA NIRMALA
119 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
120 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 5 5 PRATAPA NIRMALA
121 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
122 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,401 1,401 LUCAS DJAJA
123 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 317 317 PHAPROS, PT
124 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 426 426 KIMIA FARMA
125 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 183 100 3,099 3,382 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
127 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT 1 #N/A 1,000 - 1,000 IFARS PHARMACEUTICAL, PT
128 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 20 PIHAK 3
129 12014953 CEFTAZIDIME 1gr DUS #N/A #N/A 5 5 MEPROFARM
130 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 24 24 CENDO, PT
131 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 18 18 CENDO, PT
132 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
133 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
134 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 51 51 CENDO, PT
135 12004100 CENDO CATARLENT MINIDOSE 5 X 0.6 ML STR 1 20,000 131 131 CENDO, PT
136 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
137 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
138 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
139 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 44 44 CENDO, PT
140 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 25 25 CENDO, PT
141 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 14 14 CENDO, PT
142 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 76 76 CENDO, PT
143 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
144 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 110 110 CENDO, PT
145 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 228 228 CENDO, PT
146 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 96 96 CENDO, PT
147 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 23 23 CENDO, PT
148 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 44 44 CENDO, PT
149 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 32 32 CENDO, PT
150 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 8 8 CENDO, PT
151 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
152 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 29 29 CENDO, PT
153 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
154 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 67 67 CENDO, PT
155 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 2 2 CENDO, PT
156 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
157 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 - 12 12 CENDO, PT
158 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
159 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 37 37 CENDO, PT
160 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 95 95 CENDO, PT
161 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
162 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 186 186 CENDO, PT
163 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
164 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 20 20 CENDO, PT
165 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
166 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 6 6 CENDO, PT
167 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
168 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 - 49 49 CENDO, PT
169 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 91 91 CENDO, PT
170 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 - 3 3 CENDO, PT
171 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 19 19 CENDO, PT
172 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 35 35 CENDO, PT
173 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 132 132 CENDO, PT
174 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 136 136 CENDO, PT
175 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
176 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 8 8 CENDO, PT
177 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
178 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
179 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
180 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
181 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 37 37 CENDO, PT
182 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 23 23 CENDO, PT
183 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 11 11 CENDO, PT
184 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 55 55 CENDO, PT
185 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 26 26 CENDO, PT
186 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 87 87 CENDO, PT
187 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 80 80 CENDO, PT
188 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 40 40 CENDO, PT
189 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 - 66 66 CENDO, PT
190 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
191 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 25 CENDO, PT
192 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
193 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
194 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 19 19 CENDO, PT
195 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 18 18 CENDO, PT
196 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
197 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 1 CENDO, PT
198 12005164 CENDO VITAL TAB@30 DUS 30 90,000 11 11 CENDO, PT
199 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 130 130 CENDO, PT
200 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 291 291 CENDO, PT
201 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
202 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 421 421 CENDO, PT
203 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
204 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 139 139 KIMIA FARMA
205 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
206 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 49 49 MEGA MEDICA PHARMACEUTICALS, PT
207 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 59 59 MEGA MEDICA PHARMACEUTICALS, PT
208 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 63 63 MEGA MEDICA PHARMACEUTICALS, PT
209 12006912 CHANNA PLUS SACHET DUS 3 190,500 50 50 MEGA MEDICA PHARMACEUTICALS, PT
210 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 96 96 MEGA MEDICA PHARMACEUTICALS, PT
211 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 120 63 183 MEGA MEDICA PHARMACEUTICALS, PT
212 13084478 CHANNAFIT SYR 100ML BT 1 70,000 106 106 MEGA MEDICA PHARMACEUTICALS, PT
213 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 DUS 24 13,400 20 20 KIMIA FARMA
214 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 DUS 24 13,225 65 65 KIMIA FARMA
215 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-DUS 100 61,622 17 17 KIMIA FARMA
216 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA)DUS 100 #N/A 50 50 NOVAPHARIN
217 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 707 50 757 NOVAPHARIN
218 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEDUS 30 - 1 1 PHAPROS, PT
219 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 45 1 4 50 PHAPROS, PT
220 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 519 519 KIMIA FARMA
221 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 204 25 229 NOVAPHARIN
222 12014925 CIPROFLOXACIN HCL MONOHYDRATE 500 MG DUS 100 #N/A 1,200 1,200 IFARS PHARMACEUTICAL, PT
223 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 552 552 KIMIA FARMA
224 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPSBT 30 49,500 361 361 KIMIA FARMA
225 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 901 901 KIMIA FARMA
226 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP (DUS 5 37,500 150 150 PHAPROS, PT
227 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 PAC #N/A 4,865 1 1 PIHAK 3
228 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 PAC #N/A 6,713 109 109 PIHAK 3
229 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 6PAC #N/A 2,998 220 220 PIHAK 3
230 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC #N/A 1,745 1,140 1,140 PIHAK 3
231 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC #N/A 7,297 255 255 PIHAK 3
232 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
233 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
234 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 478 115 593 KIMIA FARMA
235 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 624 63 1,000 1,687 KIMIA FARMA
236 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB ( DUS 30 37,500 140 140 PHAPROS, PT
237 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 187 90 277 KIMIA FARMA
238 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 18 18 KIMIA FARMA
239 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 18 58 76 KIMIA FARMA
240 11000038 CODIKAF 10 MG TABLET (DUS 100 TAB) DUS 100 78,750 4 4 KIMIA FARMA
241 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 5 5 KIMIA FARMA
242 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML)BT 1 55,550 10 10 KIMIA FARMA
243 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 35 35 KIMIA FARMA
244 12001206 COTRIMOXAZOL SYR(HOLI) BT 1 #N/A 5,000 5,000 HOLI PHARMA
245 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
246 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
247 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 75,000 14 14 PYRIDAM, PT
248 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
249 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,694 1,694 BHINNEKA USADA RAYA
250 13076707 D-ARTEPP TAB@9 DUS 9 72,000 900 900 BHINNEKA USADA RAYA
251 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS)DUS 10 206,388 445 445 DARYA VARIA, PT
252 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 341 341 HARSEN LABORATORIES, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 12006576 DECADRYL EXP 60 ML BT 1 15,500 293 293 HARSEN LABORATORIES, PT
254 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 4 4 DARYA VARIA, PT
255 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 1,900 PIHAK 3
256 12015111 DEXAHARSEN 0,75 MG KAPLET ( HARSEN ) DUS 200 41,800 36 36 HARSEN LABORATORIES, PT
257 12006873 DEXAMETHASONE 0,5MG TAB@100 (NOVA) DUS 100 #N/A 300 300 NOVAPHARIN
258 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJNDUS 100 8,000 116 116 KIMIA FARMA
259 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHADUS 100 237,509 465 10 162 8 645 PHAPROS, PT
260 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS #N/A #N/A - 300 2,300 - 2,600 MEPROFARM
261 13000718 DEXTAMIN TAB@100 DUS 100 165,000 370 370 PHAPROS, PT
262 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 254 254 PHAPROS, PT
263 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
264 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
265 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 28 28 PHAPROS, PT
266 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS 100 - 68 68 MERSIFARMA
267 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 0 14,773 109 230 339 MEPROFARM
268 12012922 DIFFUSER SELENSIA MOTIF KAYU 400ML UNT 1 228,000 2 2 SINKONA INDONESIA LESTARI, PT
269 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
270 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
271 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 849 20 869 KIMIA FARMA
272 13002883 DIOS TAB@30 DUS 30 115,000 100 100 PHAPROS, PT
273 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS 30 #N/A 120 120 PHAPROS, PT
274 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULDUS 100 - 7 7 PRUNING
275 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
276 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
277 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
278 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
279 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 180 180 NOVAPHARIN
280 12014748 DOPAMINE HYDROCHLORIDE INJ 10 AMP @ 5DUS 5 #N/A 50 50 MEPROFARM
281 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
282 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 4 4 KIMIA FARMA
283 12003670 DT LABEL WHITE PERMANENT 2" X 1-1/4" RLL 1 210,000 50 50 SINAR RODA UTAMA, PT
284 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
285 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 88 88 OPELLA HEALTHCARE INDONESIA, PT
286 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 32 32 OPELLA HEALTHCARE INDONESIA, PT
287 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 167,398 3 3 OPELLA HEALTHCARE INDONESIA, PT
288 12000294 DULCOLAX 5 MG SUPP. INF 6pcs DUS 6 108,716 3 3 OPELLA HEALTHCARE INDONESIA, PT
289 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIES, PT
290 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 18 18 JANSSEN PHARMACEUTICA NV
291 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 51 51 JANSSEN PHARMACEUTICA NV
292 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 13 13 KIMIA FARMA
293 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 16 KIMIA FARMA
294 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
295 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
296 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 60 60 PRATAPA NIRMALA
297 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 39 39 DARYA VARIA, PT
298 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 29 29 DARYA VARIA, PT
299 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
300 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,284 7,284 KIMIA FARMA
301 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
302 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
303 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
304 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 140 140 RAMA EMERALD, PT
305 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI BT 1 #N/A 550 650 1,200 HOLI PHARMA
306 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHADUS #N/A 12,500 30 30 PHAPROS, PT
307 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 1 1 4 KIMIA FARMA
308 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC #N/A 30,221 966 966 PIHAK 3
309 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 19 19 PRATAPA NIRMALA
310 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 35,000 220 220 PRATAPA NIRMALA
311 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 181 181 PRATAPA NIRMALA
312 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 19 19 PRATAPA NIRMALA
313 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 10 10 PRATAPA NIRMALA
314 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 1 PRATAPA NIRMALA
315 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 107 50 157 PRATAPA NIRMALA
316 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 50,000 31 31 PRATAPA NIRMALA
317 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 60,000 11 11 PRATAPA NIRMALA
318 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 49 49 PRATAPA NIRMALA
319 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 29 29 PRATAPA NIRMALA
320 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 - 57 57 PRATAPA NIRMALA
321 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
322 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 20 PRATAPA NIRMALA
323 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
324 13019430 FEBRINEX SYR 60ML BT 1 14,414 55 55 PHAPROS, PT
325 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 3 3 PRATAPA NIRMALA
326 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 142 142 PRATAPA NIRMALA
327 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 2 MAHAKAM BETA FARMA
328 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 289 289 MAHAKAM BETA FARMA
329 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGURBT 1 30,000 282 282 KIMIA FARMA
330 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 604 604 KIMIA FARMA
331 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBBT 1 30,000 822 822 KIMIA FARMA
332 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 163 163 PIHAK 3
333 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 256 256 PIHAK 3
334 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 20 20 PIHAK 3
335 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 168 168 PIHAK 3
336 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SSUNT 1 153,636 288 288 SURYA SUKSES PERKASA, PT
337 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEWBT 1 32,056 355 355 KIMIA FARMA
338 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 189 189 KIMIA FARMA
339 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 190 190 KIMIA FARMA
340 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 166 166 KIMIA FARMA
341 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 72 72 KIMIA FARMA
342 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 662 662 KIMIA FARMA
343 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,097 6,097 KIMIA FARMA
344 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 15 15 PRATAPA NIRMALA
345 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 60 60 PRATAPA NIRMALA
346 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 85 85 PRATAPA NIRMALA
347 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 459 192 651 KIMIA FARMA
348 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 10 181 PHAPROS, PT
349 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 275,000 7 7 PYRIDAM, PT
350 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 m DUS 1 1,900,000 10 10 KIMIA FARMA
351 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 150 - 150 DARYA VARIA, PT
352 12011679 FRESMED DESINFECTAN SPRAY @250 ML BT 1 27,273 20 20 PT. LIKUID PHARMALAB INDONESIA
353 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 10 10 PYRIDAM, PT
354 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 94 94 KIMIA FARMA
355 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 262,000 10 10 PRATAPA NIRMALA
356 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 10 KIMIA FARMA
357 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 67 2 69 PRATAPA NIRMALA
358 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 233 233 PHAPROS, PT
359 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 47 47 PRATAPA NIRMALA
360 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 1,799 1,799 MOLEX AYUS, PT
361 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 5,500 5,500 MOLEX AYUS, PT
362 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM)DUS 10 2,670 1,621 90 1,711 KIMIA FARMA
363 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 120 120 PHAPROS, PT
364 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 50 110 160 KIMIA FARMA
365 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
366 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 143 110 253 KIMIA FARMA
367 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 277 20 297 KIMIA FARMA
368 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 211 7 60 278 KIMIA FARMA
369 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 85 85 PRATAPA NIRMALA
370 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
371 12008179 GRISEOFULVIN 125MG TAB@100 (NOVA) DUS 100 #N/A 900 900 NOVAPHARIN
372 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 1 1 NOVAPHARIN
373 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
374 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
375 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETSPAC #N/A 7,652 166 166 PIHAK 3
376 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
377 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 92 92 PHAPROS, PT
378 12006958 HEPAGARD DUS 0 76,230 81 81 PHAPROS, PT
379 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 3 3 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 11000516 HUMAN ALBUMIN 20 % 50 ML BT 1 400,901 35 35 KIMIA FARMA
381 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 13 13 KIMIA FARMA
382 12005248 HUSTAB 30X10S DUS 300 119,196 20 20 PHAPROS, PT
383 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)DUS 100 16,500 32 40 340 412 KIMIA FARMA
384 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
385 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5 DUS 24 3,458 0 4 201 206 KIMIA FARMA
386 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMDUS 100 #N/A 30 30 RAMA EMERALD, PT
387 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 171 171 PHAPROS, PT
388 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 756 756 PHAPROS, PT
389 12013954 HYTOSA (SAP) BT 1 122,000 53 53 SATYA ABADI PHARMA, PT
390 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
391 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 431 431 NOVAPHARIN
392 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 500 - - 502 NOVAPHARIN
393 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
394 12010151 INA-SHUNT SEMILUNAR FLUSH ADULT/LOW PC 1 2,600,000 2 2 PHAPROS, PT
395 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 7 7 PHAPROS, PT
396 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
397 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC 1 2,600,000 2 2 PHAPROS, PT
398 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
399 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
400 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 5 5 PHAPROS, PT
401 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 42 42 MOLEX AYUS, PT
402 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
403 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 224 224 PRATAPA NIRMALA
404 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 188 188 PRATAPA NIRMALA
405 12007335 INSTO REGULAR 15 ML DUS 1 16,100 7 7 COMBIPHAR, PT
406 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 153 250 403 KIMIA FARMA
407 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 96 9 105 KIMIA FARMA
408 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 756 448 1,204 KIMIA FARMA
409 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 543 543 KIMIA FARMA
410 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 6 6 PRATAPA NIRMALA
411 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
412 12001211 ISONIAZID 100 MG TABLET DUS 100 #N/A 9 9 HOLI PHARMA
413 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
414 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 169 169 KIMIA FARMA
415 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G)DUS 25 #N/A 8 16 24 KIMIA FARMA
416 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 450 450 NOVAPHARIN
417 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS 12 30,600 184 184 PHAPROS, PT
418 13011641 KETOROLAC 30MG INJ AMP@12 GPH (PEHA) DUS #N/A 21,600 10 10 PHAPROS, PT
419 12014743 KETOROLAC TROMEMATOL INJ 30MG/1ML DUS #N/A #N/A 550 550 PIHAK 3
420 11002378 KIFAMED EXAMINATION GLOVE POWDER FRE DUS 50 65,901 148 148 KIMIA FARMA
421 11001950 KIFAMED EXAMINATION GLOVE POWDERED (DUS 50 65,901 26 26 KIMIA FARMA
422 11002377 KIFAMED EXAMINATION GLOVE POWDERED (DUS 50 59,054 100 100 KIMIA FARMA
423 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 11 11 KIMIA FARMA
424 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC 50 143,190 12 12 KIMIA FARMA
425 11002188 KIFAMED KASA STERIL 16CMx16CM(DUS 16 PDUS 16 10,000 183 183 KIMIA FARMA
426 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
427 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
428 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 727 727 KIMIA FARMA
429 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
430 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 4 4 KIMIA FARMA
431 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 46 46 KIMIA FARMA
432 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 22 22 KIMIA FARMA
433 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 MLBT 1 26,000 25 25 KIMIA FARMA
434 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 145 145 KIMIA FARMA
435 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 101 101 KIMIA FARMA
436 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 36 36 PHAPROS, PT
437 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 341 341 PHAPROS, PT
438 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKETDUS 100 - 25 25 KIMIA FARMA
439 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
440 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 28 28 PRATAPA NIRMALA
441 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 300 300 PHAPROS, PT
442 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 1,093 1,093 PRATAPA NIRMALA
443 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
444 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
445 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
446 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
447 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 8 33 110 151 MEPROFARM
448 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 40 40 MOLEX AYUS, PT
449 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 90 90 MOLEX AYUS, PT
450 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 720 720 MOLEX AYUS, PT
451 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 80 MOLEX AYUS, PT
452 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 40,000 16 16 MOLEX AYUS, PT
453 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 7 7 MOLEX AYUS, PT
454 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 149 149 MOLEX AYUS, PT
455 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 35 35 MOLEX AYUS, PT
456 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS #N/A #N/A 3 120 123 PHAPROS, PT
457 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 8 8 KIMIA FARMA
458 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS 30 315,000 41 41 KIMIA FARMA
459 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS 30 350,000 30 30 KIMIA FARMA
460 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 402 402 PHAPROS, PT
461 12003048 LOPAMID TABLET @ 100 DUS 100 - 138 138 HARSEN LABORATORIES, PT
462 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 - 150 - 150 IFARS PHARMACEUTICAL, PT
463 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 81 81 KIMIA FARMA
464 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 26 26 NOVAPHARIN
465 11001732 LOVE TEST COMPACT DUS #N/A 18,191 20 20 KIMIA FARMA
466 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 67 67 KIMIA FARMA
467 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
468 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 17 17 PRATAPA NIRMALA
469 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
470 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 10 10 MUSTIKA RATUBUANA INTERNATIONAL, PT
471 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 57 MUSTIKA RATUBUANA INTERNATIONAL, PT
472 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 8 8 MUSTIKA RATUBUANA INTERNATIONAL, PT
473 13027133 M RATU M ZAITUN 175ML BH 1 25,135 1 1 MUSTIKA RATUBUANA INTERNATIONAL, PT
474 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 1BT 1 20,739 16 16 MUSTIKA RATUBUANA INTERNATIONAL, PT
475 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 3 3 KIMIA FARMA
476 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 664 664 KIMIA FARMA
477 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 455 455 KIMIA FARMA
478 11002329 MARCKS ACTIVE WHITE 20GR (NEW) PC 1 23,700 111 111 KIMIA FARMA
479 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 182 182 KIMIA FARMA
480 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 45 45 KIMIA FARMA
481 11001945 MARCKS BREATHABLE POWDER NATURAL BBOX 1 34,700 1 1 KIMIA FARMA
482 11001947 MARCKS BREATHABLE POWDER ROSE PINKPC 1 34,700 188 188 KIMIA FARMA
483 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 94 94 KIMIA FARMA
484 11002140 MARCKS CC CAKE POWDER WARM BEIGE REPC 1 22,700 86 86 KIMIA FARMA
485 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 4,063 4,063 KIMIA FARMA
486 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC 1 13,700 573 573 KIMIA FARMA
487 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEPC 1 13,700 2,655 2,655 KIMIA FARMA
488 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 13,700 1,167 1,167 KIMIA FARMA
489 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC 1 13,700 686 686 KIMIA FARMA
490 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 1,112 1,112 KIMIA FARMA
491 11002384 MARCKS TEENS ACNE EXPERT FACE TONERBT 1 17,300 125 125 KIMIA FARMA
492 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 69 69 KIMIA FARMA
493 11002301 MARCKS TEENS ACNE EXPERT SHEET MASKPC 1 11,000 83 83 KIMIA FARMA
494 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 73 73 KIMIA FARMA
495 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 632 632 KIMIA FARMA
496 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 865 865 KIMIA FARMA
497 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 511 511 KIMIA FARMA
498 11002302 MARCKS TEENS HELLO BRIGHT SHEET MAS PC #N/A 11,000 109 109 KIMIA FARMA
499 11002303 MARCKS TEENS HI! DRATE SHEET MASK PC #N/A 11,000 32 32 KIMIA FARMA
500 11001315 MARCKS TEENS REFILL COMPACT POWDER PC 12 15,500 101 101 KIMIA FARMA
501 11001314 MARCKS TEENS REFILL COMPACT POWDER PC 12 15,500 71 71 KIMIA FARMA
502 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 78 78 PHAPROS, PT
503 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 8 8 DARYA VARIA, PT
504 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 97 97 PT. LIKUID PHARMALAB INDONESIA
505 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 154 154 PT. LIKUID PHARMALAB INDONESIA
506 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT 1 11,825 215 215 PT. LIKUID PHARMALAB INDONESIA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 267 267 PT. LIKUID PHARMALAB INDONESIA
508 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
509 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
510 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
511 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
512 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
513 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 251 251 PT. LIKUID PHARMALAB INDONESIA
514 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
515 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 BT 1 53,645 445 445 PT. LIKUID PHARMALAB INDONESIA
516 12008458 MELOCID TAB@50 MOL DUS 50 30,000 24 24 MOLEX AYUS, PT
517 11000220 MELOXICAM 15 MG (DUS 20 TAB) DUS 20 14,500 336 336 KIMIA FARMA
518 13083465 MEPROVENT INH AMP@10 DUS 10 #N/A 200 - - 200 MEPROFARM
519 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 16 16 KIMIA FARMA
520 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 10 - - 10 PRATAPA NIRMALA
521 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BDUS 100 26,500 1,222 1,222 KIMIA FARMA
522 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRODUS #N/A #N/A 5 1 6 MEPROFARM
523 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
524 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TADUS 100 35,000 883 8 11 902 KIMIA FARMA
525 12014746 METHYLERGOMETRINE MALEATE INJ100 AM DUS 100 #N/A 7 5 12 MEPROFARM
526 12012550 METHYLPREDNISOLONE 4MG TAB@100 (NOVDUS 100 #N/A 100 100 NOVAPHARIN
527 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOLDUS 100 30,000 492 492 MOLEX AYUS, PT
528 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEDUS 1 18,000 395 395 PHAPROS, PT
529 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 286 286 KIMIA FARMA
530 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)DUS 100 20,000 6 10 - 16 KIMIA FARMA
531 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-DUS 100 12,000 94 94 KIMIA FARMA
532 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ DUS #N/A #N/A 1 10 11 MEPROFARM
533 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
534 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 394 50 85 529 NOVAPHARIN
535 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 #N/A 7,502 7,502 DARYA VARIA, PT
536 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
537 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM DUS 24 3,750 43 - 23 196 - 262 KIMIA FARMA
538 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 20 20 PRATAPA NIRMALA
539 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 83 83 MOLEX AYUS, PT
540 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 187 187 MOLEX AYUS, PT
541 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 8 8 MOLEX AYUS, PT
542 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 1 1 MOLEX AYUS, PT
543 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 113 113 MOLEX AYUS, PT
544 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
545 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 32 32 MOLEX AYUS, PT
546 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 14 14 PRATAPA NIRMALA
547 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
548 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 16 16 KIMIA FARMA
549 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 309,545 70 48 118 KIMIA FARMA
550 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 4 30 34 KIMIA FARMA
551 11000501 MST CONTINUS 10 MG DUS 60 852,000 1 1 MAHAKAM BETA FARMA
552 11000502 MST CONTINUS 15 MG DUS 60 2,190,000 5 5 MAHAKAM BETA FARMA
553 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
554 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 48 48 PHAPROS, PT
555 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 3 3 KIMIA FARMA
556 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAHVL 1 260,000 50 50 PRATAPA NIRMALA
557 11002020 NACL 0.9% INFUS BT 1 7,009 18,944 18,944 KIMIA FARMA
558 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 144 144 PYRIDAM, PT
559 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,462 1,462 KIMIA FARMA
560 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHDUS 50 10,200 484 26 510 PHAPROS, PT
561 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 36 36 DARYA VARIA, PT
562 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 42 42 DARYA VARIA, PT
563 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 23 23 DARYA VARIA, PT
564 12000832 NATUR E HBL 100 ML BT 1 10,424 55 55 DARYA VARIA, PT
565 12000833 NATUR E HBL 245 ML BT 1 20,913 1 1 DARYA VARIA, PT
566 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
567 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 57,626 2 2 DARYA VARIA, PT
568 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
569 12005302 NATUR-E 300 IU 32's DUS 32 56,496 35 35 DARYA VARIA, PT
570 13004776 NB TOP OINT 5GR TUB 1 15,641 132 132 PHAPROS, PT
571 12013182 NELANDOZ 2MG TAB@28 (FAH) DUS 28 410,000 11 11 PRATAPA NIRMALA
572 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 786 786 MOLEX AYUS, PT
573 12005687 NEURAXON 5000 KPL@100 (PYRIDAM) DUS 100 316,000 42 42 PYRIDAM, PT
574 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
575 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
576 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS 30 250,000 23 23 KIMIA FARMA
577 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
578 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 1 40 41 DARYA VARIA, PT
579 12010392 NICARDIPINE INJ VIAL@2 (FAH) DUS 2 260,000 100 100 PRATAPA NIRMALA
580 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
581 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
582 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 528 528 SINAR RODA UTAMA, PT
583 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 55 SINAR RODA UTAMA, PT
584 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,511 2,511 SINAR RODA UTAMA, PT
585 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 219 10 229 PHAPROS, PT
586 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 14 184 198 KIMIA FARMA
587 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS #N/A 246,000 - - 53 80 133 KIMIA FARMA
588 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 459 459 PHAPROS, PT
589 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 23 23 PRATAPA NIRMALA
590 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
591 12009890 NOZA @4 TAB STR 4 72,500 250 250 PHAPROS, PT
592 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,762 700 2,462 EMJEBE PHARMA , PT
593 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
594 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 25 25 PRATAPA NIRMALA
595 12015035 NYSTATIN DROP DUS 10 - 2 2 PIHAK 3
596 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 308 205 15 528 PHAPROS, PT
597 12008469 OBH 60ML MOL BT 1 #N/A 20 20 MOLEX AYUS, PT
598 12004243 OBH COMBI BATUK BERDAHAK JAHE 100 MLBT 1 11,500 1 1 COMBIPHAR, PT
599 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 55 55 COMBIPHAR, PT
600 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 409 409 COMBIPHAR, PT
601 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 MBT 1 12,500 274 274 COMBIPHAR, PT
602 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 6BT 1 12,500 276 276 COMBIPHAR, PT
603 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 200 200 COMBIPHAR, PT
604 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 55 55 COMBIPHAR, PT
605 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 106 106 COMBIPHAR, PT
606 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 298 298 COMBIPHAR, PT
607 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 221 221 COMBIPHAR, PT
608 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 1 1 DARYA VARIA, PT
609 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
610 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
611 12013632 OMEPRAZOLE 20MG @100 KPS (NOVA) DUS 100 #N/A 389 389 NOVAPHARIN
612 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 500 4 504 DARYA VARIA, PT
613 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 354 53 407 PHAPROS, PT
614 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
615 12010612 ORABLOC INJ (PEHA) DUS 50 810,000 11 11 PHAPROS, PT
616 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
617 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 50 50 SATYA ABADI PHARMA, PT
618 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 13 13 PYRIDAM, PT
619 13007995 OSTEOTIN CAP@60 DUS 60 179,100 6 6 PHAPROS, PT
620 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
621 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 100 100 PIHAK 3
622 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 158 158 PHAPROS, PT
623 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 2,008 2,000 4,008 KIMIA FARMA
624 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI)BT 1 5,052 500 6,000 6,500 PT AFIFARMA
625 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS)DUS 1 10,900 11 563 574 DARYA VARIA, PT
626 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 250 250 DARYA VARIA, PT
627 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 9 9 DARYA VARIA, PT
628 12007337 PEDITOX 1% 50 ML BT 1 7,420 39 39 COMBIPHAR, PT
629 12005890 PEHACAIN INJ DUS #N/A 66,791 314 15 329 PHAPROS, PT
630 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 25 25 PHAPROS, PT
631 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
632 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 149 149 PHAPROS, PT
633 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 9 - 9 PRATAPA NIRMALA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
635 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 9 214 223 KIMIA FARMA
636 13009792 PHADILON 125MG INJ VL 1 30,000 109 109 PHAPROS, PT
637 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
638 13009794 PHAMINOV INJ@10 DUS 10 65,000 193 193 PHAPROS, PT
639 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
640 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
641 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCABT 1 - 365 520 885 LUCAS DJAJA
642 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEDUS 100 141,100 1 1 PHAPROS, PT
643 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A - - 380 - 380 MEPROFARM
644 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA DUS 100 78,738 248 1 249 PHAPROS, PT
645 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 3 138 141 PHAPROS, PT
646 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(P DUS 30 168,000 205 205 PHAPROS, PT
647 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,843 1,843 KIMIA FARMA
648 11001543 PIROXICAM 20 MG (DUS 100 TAB)-BJN DUS 100 22,458 169 169 KIMIA FARMA
649 12013098 POVIDONE IODINE 1L (NOVA) BT 1 #N/A 150 150 NOVAPHARIN
650 12007665 PPD 2 TU (BF) VL 1 630,000 485 485 BIOFARMA
651 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 691 691 PRATAPA NIRMALA
652 12003686 PRECISION INFANT THERMAL BLUE 7701-49PPC 1 2,800 800 800 SINAR RODA UTAMA, PT
653 12003687 PRECISION INFANT THERMAL PINK 7702-49P PC 1 2,800 800 800 SINAR RODA UTAMA, PT
654 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS 100 - 10 10 IMFARMIND FARMASI INDUSTRI, PT
655 12001215 PREDNISON 5 MG TAB (HOLI) DUS 100 #N/A - - - 1,107 - 1,107 HOLI PHARMA
656 12014933 PREDNISONE 5MG(IFARS) DUS 100 #N/A - 703 703 IFARS PHARMACEUTICAL, PT
657 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 2 2 PYRIDAM, PT
658 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 20 20 KIMIA FARMA
659 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 20 20 PRATAPA NIRMALA
660 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 1,304 6 2,565 3,875 PHAPROS, PT
661 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
662 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 105 105 MOLEX AYUS, PT
663 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 475 475 MOLEX AYUS, PT
664 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 474 474 MOLEX AYUS, PT
665 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 40 40 MOLEX AYUS, PT
666 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 99 99 MOLEX AYUS, PT
667 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 80 80 MOLEX AYUS, PT
668 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
669 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 93 93 PHAPROS, PT
670 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 38 38 PHAPROS, PT
671 13001143 PRO TB2 TAB@28 DUS 28 184,450 84 84 PHAPROS, PT
672 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
673 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 118 118 PHAPROS, PT
674 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
675 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 23 19 42 HOLI PHARMA
676 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 - - 49 HOLI PHARMA
677 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
678 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM)TUB 1 214,000 3 3 PYRIDAM, PT
679 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 505 505 KIMIA FARMA
680 12001220 PYRANTEL TAB 125 MG DUS 100 - - - 264 - 264 HOLI PHARMA
681 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
682 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
683 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHADUS 25 63,600 1,061 20 1,081 PHAPROS, PT
684 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 18 18 PRATAPA NIRMALA
685 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 180,000 39 39 PRATAPA NIRMALA
686 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
687 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
688 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 29 29 PRATAPA NIRMALA
689 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 79 79 PRATAPA NIRMALA
690 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 16 16 PRATAPA NIRMALA
691 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 50 50 LUCAS DJAJA
692 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 50 LUCAS DJAJA
693 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 591 591 KIMIA FARMA
694 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 167 167 KIMIA FARMA
695 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
696 12008263 RINGER LACTATE 500 ML (SATORIA) BT 1 7,970 3,189 3,200 6,389 SATORIA ANEKA INDUSTRI, PT
697 11002018 RINGER LAKTAT INFUS BT 1 7,658 1,336 1,336 KIMIA FARMA
698 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 200 200 MERSIFARMA
699 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 91 91 PHAPROS, PT
700 12008474 RIVANOL 100ML MOL BT 1 4,000 707 707 MOLEX AYUS, PT
701 12008475 RIVANOL 300ML MOL BT 1 9,000 487 487 MOLEX AYUS, PT
702 12000928 RL - MJB 500 ML BT 1 #N/A 1,100 1,100 EMJEBE PHARMA , PT
703 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC 10 21,608 33 33 PIHAK 3
704 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS 30 210,000 17 17 KIMIA FARMA
705 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 23 23 KIMIA FARMA
706 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 58 58 PRATAPA NIRMALA
707 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS 100 18,000 178 178 KIMIA FARMA
708 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1 1 KIMIA FARMA
709 11001556 SALBUTAMOL 4 MG (DUS 100 TAB)-BJN DUS 100 20,000 432 432 KIMIA FARMA
710 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,489 2,489 KIMIA FARMA
711 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
712 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 13 13 PT. LIKUID PHARMALAB INDONESIA
713 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 36 36 PT. LIKUID PHARMALAB INDONESIA
714 12011511 SASKLIN HAND SANITIZER GEL @500 ML BT 1 48,000 1 1 PT. LIKUID PHARMALAB INDONESIA
715 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @4BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
716 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 18 18 SINKONA INDONESIA LESTARI, PT
717 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 39 39 SINKONA INDONESIA LESTARI, PT
718 12012338 SELENSIA AROMATHERAPY LEMON 10ML BT 1 109,091 9 9 SINKONA INDONESIA LESTARI, PT
719 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10 BT 1 130,909 8 8 SINKONA INDONESIA LESTARI, PT
720 12010658 SEVOFLURANE INHALASI 250ML (FAH) BT 1 1,800,000 5 5 - 10 PRATAPA NIRMALA
721 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 4 PRATAPA NIRMALA
722 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
723 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 62 62 PRATAPA NIRMALA
724 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 56 56 PRATAPA NIRMALA
725 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 34 34 PRATAPA NIRMALA
726 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
727 12005695 SILOPECT 30MG TAB@100 (PYRIDAM) DUS 100 128,000 1 1 PYRIDAM, PT
728 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
729 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
730 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS 100 #N/A 20 400 420 NOVAPHARIN
731 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 33 33 PHAPROS, PT
732 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 1,400 1,400 SATORIA ANEKA INDUSTRI, PT
733 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT 1 7,097 3,370 5,000 8,370 SATORIA ANEKA INDUSTRI, PT
734 12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) BT #N/A 26,400 290 290 PHAPROS, PT
735 12006476 SOTATIC INJ AMP@5 (FAH) DUS 5 33,000 40 40 PRATAPA NIRMALA
736 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
737 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 1 1 KIMIA FARMA
738 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
739 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 37,839 4 4 DARYA VARIA, PT
740 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VDUS 56 338,878 15 1 16 KIMIA FARMA
741 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 8 12 PHAPROS, PT
742 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 82 26 108 MEGA MEDICA PHARMACEUTICALS, PT
743 12006932 SUKRALFAT SUSP 500 MG/5 ML, 100 ML BT 1 #N/A - 140 - - 140 MEPROFARM
744 12009948 SULFADIAZINE SILVER 10 MG POT 500GR(DV POT 1 259,585 12 12 DARYA VARIA, PT
745 12000876 SUMAGESIC 600 MG TAB @ 100 (UN DUS 100 52,080 6 6 DARYA VARIA, PT
746 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 7 7 DARYA VARIA, PT
747 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
748 13079783 SUTRA GERIGI KONDOM@ 3 DUS 3 172,368 1,198 1,198 PIHAK 3
749 13079784 SUTRA GERIGI KONDOM@12 BH 12 245,232 180 180 PIHAK 3
750 13029419 SUTRA KONDOM@24 DUS 24 30,818 12 12 PIHAK 3
751 13016440 SUTRA OK KONDOM@ 3 DUS 3 7,182 480 24 504 PIHAK 3
752 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS 30 135,000 45 45 PRATAPA NIRMALA
753 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100 DUS 100 45,000 149 149 KIMIA FARMA
754 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 48 48 PHAPROS, PT
755 13003109 TEBOKAN SPECIAL CAP@30 DUS #N/A 335,475 36 36 PHAPROS, PT
756 11002049 TECAVIR 0.5 MG TSS (DUS 30 TAB) DUS 30 600,000 6 6 KIMIA FARMA
757 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 13 13 KIMIA FARMA
758 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS 100 420,000 28 28 KIMIA FARMA
759 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT 30 #N/A 145 145 KIMIA FARMA
760 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 336,000 30 30 PRATAPA NIRMALA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
761 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 32 32 MOLEX AYUS, PT
762 12005181 TIARYT TAB@30 (FAH) DUS 30 135,000 6 6 PRATAPA NIRMALA
763 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
764 12007362 TOPGRA 100 MG TABLET DUS #N/A 187,200 194 194 HARSEN LABORATORIES, PT
765 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 690,000 17 17 PRATAPA NIRMALA
766 13006433 TRACETATE SUSP 200ML (FAH) BT 1 420,000 22 22 PRATAPA NIRMALA
767 12008343 TRAMADOL HCL 50MG CAP@50 (GRAF) DUS 50 #N/A 10 10 GRAHA FARMA, PT
768 13008015 TRAMSET KPL@30 (FAH) DUS 30 219,000 8 8 PRATAPA NIRMALA
769 12008526 TRIHEXYPHENIDYL 2 MERSI DUS 0 - 25 25 MERSIFARMA
770 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 78,000 3 3 KIMIA FARMA
771 13010118 TRIXON INJ 1GR VL 1 55,000 103 103 PHAPROS, PT
772 11000172 TROMBIKAF TABLET-STRIP 3X10 TABLET DUS 30 360,000 4 4 KIMIA FARMA
773 13026424 UMARONE INJ 2ML (FAH) VL 1 183,000 67 67 PRATAPA NIRMALA
774 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 463 463 PRUNING
775 11000292 VAGIZOLE OVULA (DUS 5 SUPP) DUS 5 55,000 10 40 50 KIMIA FARMA
776 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS 1 258,500 1 1 BIOFARMA
777 12007630 VAKSIN BIO TD 1 DS (BF) AMP 1 69,300 100 100 BIOFARMA
778 12007631 VAKSIN BIO TT 1 DS (BF) AMP 1 36,300 170 170 BIOFARMA
779 12007659 VAKSIN CAMPAK 10 DS (BF) DUS 1 154,000 3 3 BIOFARMA
780 12011966 VAKSIN CERVARIX (BF) DUS 1 607,700 14 14 BIOFARMA
781 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS 1 152,000 2 2 BIOFARMA
782 12007662 VAKSIN FLUBIO (BF) VL 1 99,800 138 138 BIOFARMA
783 12011967 VAKSIN HAVRIX ADULT (BF) DUS 1 289,200 4 4 BIOFARMA
784 12007661 VAKSIN HEPATITIS-B BAYI (BF) SC 1 52,470 1,000 1,000 BIOFARMA
785 12007660 VAKSIN HEPATITIS-B DEWASA (BF) POU 1 79,200 80 80 BIOFARMA
786 12008932 VAKSIN IPV 5 DS (BF) DUS 10 3,630,000 3 3 BIOFARMA
787 12007741 VAKSIN MEASLES RUBELLA (MR) 10 DS (BF) VL 1 525,000 47 47 BIOFARMA
788 12007658 VAKSIN POLIO / BOPV 10 DS (BF) DUS 1 75,600 2 2 BIOFARMA
789 12008612 VAKSIN VARICELLA (BF) DUS 1 360,500 5 5 BIOFARMA
790 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 60,000 40 40 KIMIA FARMA
791 11002134 VALSARTAN 80 MG (DUS 30 TAB)-BJN DUS 30 40,000 89 89 KIMIA FARMA
792 11002240 VALTENSI 160 MG TSS (DUS 30 TAB) DUS 30 290,000 11 11 KIMIA FARMA
793 11002239 VALTENSI 80 MG TSS (DUS 30 TAB) DUS 30 160,000 16 16 KIMIA FARMA
794 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 420,000 80 80 PRATAPA NIRMALA
795 12010331 VARTAN 160MG KPL@30 (PYRIDAM) DUS 30 209,000 3 3 PYRIDAM, PT
796 12010330 VARTAN 80MG TAB@30 (PYRIDAM) DUS 30 137,000 2 2 PYRIDAM, PT
797 12004993 VASCON INJ AMP@5 (FAH) DUS 5 500,000 55 - 55 PRATAPA NIRMALA
798 12011812 VASOLA 0.5 ML @5 VL (FAH) DUS 5 1,250,000 7 - 7 PRATAPA NIRMALA
799 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 38 38 PRATAPA NIRMALA
800 11000361 VENUS COMPACT NO.1 INVISIBLE PC 1 38,300 135 135 KIMIA FARMA
801 11000362 VENUS COMPACT NO.2 NAT BEIGE PC 1 38,300 124 124 KIMIA FARMA
802 11000363 VENUS COMPACT NO.3 IVORY PC 1 38,300 135 135 KIMIA FARMA
803 11002057 VENUS EYE & LIP MAKEUP REMOVER 100ML BT 1 36,951 140 140 KIMIA FARMA
804 11000368 VENUS FACIAL WASH 100ml PC 1 22,091 1 1 KIMIA FARMA
805 11000369 VENUS FACIAL WASH 50ml PC 1 12,000 1 1 KIMIA FARMA
806 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 PC 48 90,700 59 59 KIMIA FARMA
807 11002429 VENUS LP DYNAMIC NO.1 INVISIBLE NEW PC 1 38,625 122 122 KIMIA FARMA
808 11002430 VENUS LP DYNAMIC NO.2 NAT.BEIGE NEW PC 1 38,625 112 112 KIMIA FARMA
809 11002431 VENUS LP DYNAMIC NO.3 IVORY NEW PC 1 38,625 126 126 KIMIA FARMA
810 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE PC 12 47,500 190 190 KIMIA FARMA
811 11001184 VENUS SOFT MATTE LIPCREAM NO.10 PC 1 38,389 96 96 KIMIA FARMA
812 11001144 VENUS SOFT MATTE LIPCREAM NO.2 PC 1 38,389 96 96 KIMIA FARMA
813 11001146 VENUS SOFT MATTE LIPCREAM NO.4 PC 1 38,389 96 96 KIMIA FARMA
814 11001148 VENUS SOFT MATTE LIPCREAM NO.6 PC 1 38,389 96 96 KIMIA FARMA
815 11001149 VENUS SOFT MATTE LIPCREAM NO.7 PC 1 38,389 96 96 KIMIA FARMA
816 11001151 VENUS SOFT MATTE LIPCREAM NO.9 PC 1 38,389 96 96 KIMIA FARMA
817 11000379 VENUS TWC NO.1 TRANSLUCENT PC 12 61,091 9 9 KIMIA FARMA
818 11000381 VENUS TWC NO.3 PORCELEIN PC 12 61,091 72 72 KIMIA FARMA
819 11000137 VERTIKAF 24 MG TABLET (DUS 100 TAB) DUS 100 650,000 11 11 KIMIA FARMA
820 11000138 VERTIKAF 8 MG TABLET (DUS 100 TAB) DUS 100 321,860 30 30 KIMIA FARMA
821 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 58,888 47 47 DARYA VARIA, PT
822 11002363 VIDERMA GEL 15 G (PAC 6 TUB) TUB 6 20,000 22 22 KIMIA FARMA
823 12014622 VIKOM-Z DUS @ 100 KPL (PEHA) DUS #N/A 180,000 17 17 PHAPROS, PT
824 13011058 VIOXY FM TAB@30 (FAH) DUS 30 150,000 19 19 PRATAPA NIRMALA
825 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - - 300 - 300 HOLI PHARMA
826 11001571 VITAMIN B KOMPLEKS(SPLMN)(DUS100TAB)-DUS 100 18,200 1,512 1,512 KIMIA FARMA
827 11001572 VITAMIN B1 100MGTAB(SUPL)(DUS100TAB)-BDUS 100 23,700 884 884 KIMIA FARMA
828 11001573 VITAMIN B1 50 MG (SPLMN)(DUS100TAB)-BJNDUS 100 18,343 377 377 KIMIA FARMA
829 11001574 VITAMIN B12 50 MCG (SUPL)(DUS100TAB)-BJ DUS 100 12,000 756 756 KIMIA FARMA
830 11000485 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TADUS 100 12,000 447 25 472 KIMIA FARMA
831 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 12,200 1 1 MARIN LIZA
832 12013832 VITAMIN B6 HCL DUS@200 TAB (PEHA) DUS 200 60,000 58 1 59 PHAPROS, PT
833 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 17,000 2 2 KIMIA FARMA
834 11001576 VITAMIN C 100MG TAB(SUPL)(DUS100TAB)-B DUS 100 17,000 1 1 KIMIA FARMA
835 12013939 VITAMIN C 250 @100 KPL DUS 0 13,964 8 8 MERSIFARMA
836 11001577 VITAMIN C 250 MG TAB (DUS100TAB)-BJN DUS 100 18,200 1,457 1,457 KIMIA FARMA
837 11001578 VITAMIN C 50 MG TAB(SUPL)(DUS100TAB)-BJDUS 100 14,291 618 3,393 4,011 KIMIA FARMA
838 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 0 65 100 100 MARIN LIZA
839 13026624 VOPICAIN 0.5% 10ML VIAL@2 (FAH) DUS 2 110,000 24 24 PRATAPA NIRMALA
840 12013022 WATER FOR INJECTION AMP 25ML (MJB) DUS #N/A #N/A 197 197 EMJEBE PHARMA , PT
841 12012181 ZINC SULFATE DROP 10MG/ML (MEPRO) BT 1 #N/A 100 100 MEPROFARM
842 12014963 ZINC SULFATE MONOHYDRATE SYRUP 60ML BT 1 #N/A - 1,000 1,000 MEPROFARM
Stok Per Tanggal 12 Juli 2023 PT.KFTD Jayapura

Material Isi Harga Reg


No Material Description UoM Qty Nama Principle
Number Uom (HNA)
1 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 426 KIMIA FARMA
2 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 305 KIMIA FARMA
3 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 186 KIMIA FARMA
4 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 14 KIMIA FARMA
5 11002061 ACRIPTEGA TSS (BTL30 TAB) BT 30 500,000 2 KIMIA FARMA
6 13068943 ACYCLOVIR 200MG TAB GYA TAB 1 #N/A 2,000 YARINDO FARMATA, PT
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 1,283 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 12 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 89 SATYA ABADI PHARMA, PT
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 SATYA ABADI PHARMA, PT
11 11000006 ALERGINE 10 MG TSS (DUS 50 TAB) DUS 50 140,250 20 KIMIA FARMA
12 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 710 MOLEX AYUS, PT
13 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 743 MOLEX AYUS, PT
14 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 798 MOLEX AYUS, PT
15 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 21 DARYA VARIA, PT
16 12008443 ALPARA KPL@150 MOL DUS 150 115,000 386 MOLEX AYUS, PT
17 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 39 KIMIA FARMA
18 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 PHAPROS, PT
19 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 177 KIMIA FARMA
20 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 KIMIA FARMA
21 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 16,200 1 PHAPROS, PT
22 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 38 MARIN LIZA
23 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 277 PHAPROS, PT
24 12013370 AMIODARONE 200MG TAB@100 (DVRS) DUS #N/A #N/A 2 DARYA VARIA, PT
25 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 DARYA VARIA, PT
26 12013471 AMLODIPIN 10 MG DUS @100 (MARIN) DUS 100 #N/A 400 MARIN LIZA
27 12013470 AMLODIPIN 5 MG DUS@100 (MARIN) DUS 100 #N/A 300 MARIN LIZA
28 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 15,000 112 KIMIA FARMA
29 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 15,000 2,459 KIMIA FARMA
30 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 4,937 KIMIA FARMA
31 12014877 AMLODIPINE 5 MG @ 100 TAB DUS #N/A #N/A 460 NOVAPHARIN
32 12013031 AMLODIPINE BESILATE 10MG TAB@30 (NOVA) DUS #N/A #N/A 1,346 NOVAPHARIN
33 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 PHAPROS, PT
34 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 2,250 MEPROFARM
35 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 7,848 MERSIFARMA
36 12013043 AMOXICILLIN DS 250MG/5ML SYR 60ML (NOVA) BT #N/A #N/A 208 NOVAPHARIN
37 12012547 AMOXICILLIN TRIHYD 500MG KPL@100 (NOVA) DUS 100 103,604 2,180 NOVAPHARIN
38 12014920 AMOXICILLIN TRIHYDRATE 500 MG(IFARS) DUS #N/A #N/A 100 IFARS PHARMACEUTICAL, P
39 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 8 PHAPROS, PT
40 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 38 PIHAK 3
41 12005974 ANDALAN INJ ( 3 BLN ) DUS 20 165,000 1 PIHAK 3
42 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 390 PIHAK 3
43 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 106,680 PIHAK 3
44 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 168 PIHAK 3
45 13018446 ANDALAN PREGNA TEST BH 50 185,000 7 PIHAK 3
46 12005640 ANEMOLAT TAB @ 100 DUS 100 25,000 42 PHAPROS, PT
47 13003589 ANESFAR 5MG INJ AMP@5 (FAH) DUS 5 115,000 160 PRATAPA NIRMALA
48 11001451 ANTASIDA DOEN (DUS 100 TAB)-BJN DUS 100 39,000 97 KIMIA FARMA
49 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 PT AFIFARMA
50 12008528 ANTASIDA DOEN TAB MERSI DUS 100 - 49 MERSIFARMA
51 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L JRG 1 367,500 88 KIMIA FARMA
52 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 351 KIMIA FARMA
53 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 751 PHAPROS, PT
54 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 PHAPROS, PT
55 12005096 ANTIMO DEWASA TAB DUS 1 309,600 161 PHAPROS, PT
56 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 PHAPROS, PT
57 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 PYRIDAM, PT
58 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 22 BHINNEKA USADA RAYA
59 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 264 KIMIA FARMA
60 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 332 KIMIA FARMA
61 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,687 KIMIA FARMA
62 12009710 ASPILET CHEWABLE @ 100 TAB (DVRS) DUS #N/A #N/A 10 DARYA VARIA, PT
63 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 126,500 49 DARYA VARIA, PT
64 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 PYRIDAM, PT
65 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 390,000 1 PRATAPA NIRMALA
66 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 13 PRATAPA NIRMALA
67 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 15 PRATAPA NIRMALA
68 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 74 KIMIA FARMA
69 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 15 DARYA VARIA, PT
70 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 300 KIMIA FARMA
71 11001588 ATORVASTATIN 40 MG (DUS 30 TAB) DUS 30 70,000 3 KIMIA FARMA
72 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 KIMIA FARMA
73 11002062 AVONZA TSS (BTL 30 TAB) BT 30 250,000 3 KIMIA FARMA
74 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 20,800 2 BIO AXION HEALTHINDO, PT
75 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 BIO AXION HEALTHINDO, PT
76 12000196 AXIMED STOMACH TUB NO.14 PC 1 6,900 60 BIO AXION HEALTHINDO, PT
77 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 BIO AXION HEALTHINDO, PT
78 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 2,625 KIMIA FARMA
79 11002196 BATUGIN ELIXIR BT 120 ML - BJN BT 1 26,050 465 KIMIA FARMA
80 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,816 KIMIA FARMA
81 12013463 BAYGEL 5 LITER JRG 1 205,455 2 PT. LIKUID PHARMALAB IND
82 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 20 PT. LIKUID PHARMALAB IND
83 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 65 PT. LIKUID PHARMALAB IND
84 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 17 PT. LIKUID PHARMALAB IND
85 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 7 PT. LIKUID PHARMALAB IND
86 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 18 PT. LIKUID PHARMALAB IND
87 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 57 PT. LIKUID PHARMALAB IND
88 12011920 BAYMED PLUS 750ML BT 1 181,044 12 PT. LIKUID PHARMALAB IND
89 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 PT. LIKUID PHARMALAB IND
90 12011805 BAYMED STIKPAN PC 1 22,000 11 PT. LIKUID PHARMALAB IND
91 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 72 PT. LIKUID PHARMALAB IND
92 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 PT. LIKUID PHARMALAB IND
93 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 PT. LIKUID PHARMALAB IND
94 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 PT. LIKUID PHARMALAB IND
95 13022661 BECEFORT SYR 60ML BT 1 14,998 80 PHAPROS, PT
96 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 3,022 KIMIA FARMA
97 13001869 BENZATIN BENZIL PENICILLIN 1.2 DUS 100 - 56 PHAPROS, PT
98 13001870 BENZATIN BENZIL PENICILLIN 2.4 DUS 10 774,150 74 PHAPROS, PT
99 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 PHAPROS, PT
100 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 492 KIMIA FARMA
101 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 101 KIMIA FARMA
102 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 928 MOLEX AYUS, PT
103 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 28 NUFARINDO, PT
104 13010355 BIO ATP KPL@100 DUS 100 214,180 12 PHAPROS, PT
105 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 453 BIO AXION HEALTHINDO, PT
106 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 2 DARYA VARIA, PT
107 12013616 BIORON FORTE TSG.7 CC X 4S DUS 28 60,800 13 PHAPROS, PT
108 13026576 BIORON TAB@100 DUS 100 101,650 38 PHAPROS, PT
109 12007664 BIOSAT 1.5 (BF) AMP #N/A #N/A 130 BIOFARMA
110 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 PRATAPA NIRMALA
111 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 21 HARSEN LABORATORIES, PT
112 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 151 OPELLA HEALTHCARE INDON
113 11002299 BISOPROLOL 5 MG TSS (DUS 100 TAB) DUS #N/A #N/A 360 KIMIA FARMA
114 12010616 BONEFILL ORTHO BT 1 1,350,000 9 PHAPROS, PT
115 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 PHAPROS, PT
116 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRAFT DUS 1 400,000 30 PHAPROS, PT
117 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 49 SATYA ABADI PHARMA, PT
118 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 BUFA ANEKA, PT
119 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 15 PRATAPA NIRMALA
120 12009724 BURNAZIN CREAM 35 GR (DVRS) TUB 1 61,933 10 DARYA VARIA, PT
121 12000282 BUSCOPAN 10 MG DRAG DUS 100 327,945 36 OPELLA HEALTHCARE INDON
122 12000283 BUSCOPAN 20 MG / ML INJ DUS 100 368,480 10 OPELLA HEALTHCARE INDON
123 12009839 CALCITRIOL 0.25 MCG @30 KPS (PEHA) DUS 30 69,000 299 PHAPROS, PT
124 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 199 PHAPROS, PT
125 12011971 CALCIUM LACTATE 500MG TAB@100 (NOVA) DUS #N/A #N/A 420 NOVAPHARIN
Material Isi Harga Reg
No Material Description UoM Qty Nama Principle
Number Uom (HNA)
126 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 19 PRATAPA NIRMALA
127 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 PYRIDAM, PT
128 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 282,000 5 PRATAPA NIRMALA
129 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 PRATAPA NIRMALA
130 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,401 LUCAS DJAJA
131 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 317 PHAPROS, PT
132 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 437 KIMIA FARMA
133 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 3,382 PHAPROS, PT
134 12011857 CAPTOPRIL 25MG @100 TAB (RAMA) DUS #N/A #N/A 300 RAMA EMERALD, PT
135 13002406 CARDISMO TAB@100 DUS 100 246,675 1 PHAPROS, PT
136 12007945 CEFADROXIL 125 MG SK 60 ML (IFARS) BT #N/A #N/A 1,000 IFARS PHARMACEUTICAL, P
137 12004399 CEFADROXIL 125MG/5ML SYR (Mepro) BT #N/A #N/A 3,000 MEPROFARM
138 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 PIHAK 3
139 12014953 CEFTAZIDIME 1gr DUS #N/A #N/A 5 MEPROFARM
140 12014802 CEFTRIAXONE SODIUM 1G (MEPRO) DUS #N/A #N/A 40 PIHAK 3
141 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 24 CENDO, PT
142 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 18 CENDO, PT
143 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 CENDO, PT
144 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 CENDO, PT
145 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 61 CENDO, PT
146 12004100 CENDO CATARLENT MINIDOSE 5 X 0.6 ML STR 1 20,000 131 CENDO, PT
147 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 CENDO, PT
148 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 CENDO, PT
149 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 CENDO, PT
150 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 44 CENDO, PT
151 12004125 CENDO EYEFRESH PLUS MINIDOSE 5 X 0.6 ML STR 1 34,875 39 CENDO, PT
152 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 33 CENDO, PT
153 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 14 CENDO, PT
154 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 76 CENDO, PT
155 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 CENDO, PT
156 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 110 CENDO, PT
157 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 228 CENDO, PT
158 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 96 CENDO, PT
159 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 38 CENDO, PT
160 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 44 CENDO, PT
161 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 32 CENDO, PT
162 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 8 CENDO, PT
163 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 CENDO, PT
164 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 29 CENDO, PT
165 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 CENDO, PT
166 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 67 CENDO, PT
167 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 2 CENDO, PT
168 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 CENDO, PT
169 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 - 12 CENDO, PT
170 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 CENDO, PT
171 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 40 CENDO, PT
172 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 95 CENDO, PT
173 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 CENDO, PT
174 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 206 CENDO, PT
175 12004153 CENDO LYTEERS MINIDOSE 5 X 0.6 ML STR 1 19,250 21 CENDO, PT
176 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 CENDO, PT
177 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 20 CENDO, PT
178 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 CENDO, PT
179 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 13 CENDO, PT
180 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 CENDO, PT
181 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 - 49 CENDO, PT
182 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 91 CENDO, PT
183 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 - 3 CENDO, PT
184 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 19 CENDO, PT
185 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 35 CENDO, PT
186 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 132 CENDO, PT
187 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 136 CENDO, PT
188 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 CENDO, PT
189 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 8 CENDO, PT
190 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 CENDO, PT
191 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 CENDO, PT
192 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 CENDO, PT
193 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 CENDO, PT
194 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 37 CENDO, PT
195 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 23 CENDO, PT
196 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 13 CENDO, PT
197 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 55 CENDO, PT
198 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 26 CENDO, PT
199 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 87 CENDO, PT
200 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 85 CENDO, PT
201 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 40 CENDO, PT
202 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 - 69 CENDO, PT
203 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 CENDO, PT
204 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 CENDO, PT
205 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 CENDO, PT
206 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 CENDO, PT
207 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 19 CENDO, PT
208 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 21 CENDO, PT
209 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 CENDO, PT
210 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 1 CENDO, PT
211 12005164 CENDO VITAL TAB@30 DUS 30 90,000 11 CENDO, PT
212 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 130 CENDO, PT
213 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 386 CENDO, PT
214 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 CENDO, PT
215 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 431 CENDO, PT
216 11001365 CERASPON DUS 1 240,000 2 KIMIA FARMA
217 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 139 KIMIA FARMA
218 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 PT AFIFARMA
219 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 51 MEGA MEDICA PHARMACEUTI
220 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 59 MEGA MEDICA PHARMACEUTI
221 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 64 MEGA MEDICA PHARMACEUTI
222 12006912 CHANNA PLUS SACHET DUS 3 190,500 50 MEGA MEDICA PHARMACEUTI
223 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 98 MEGA MEDICA PHARMACEUTI
224 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 133 MEGA MEDICA PHARMACEUTI
225 13084478 CHANNAFIT SYR 100ML BT 1 70,000 111 MEGA MEDICA PHARMACEUTI
226 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 20 KIMIA FARMA
227 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 66 KIMIA FARMA
228 11000295 CHLORAMFENICOL 1 % S.M (DUS 24 TUB @5 G) DUS #N/A #N/A 40 KIMIA FARMA
229 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS 100 61,622 18 KIMIA FARMA
230 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA) DUS #N/A #N/A 50 NOVAPHARIN
231 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 773 NOVAPHARIN
232 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 PHAPROS, PT
233 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 55 PHAPROS, PT
234 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 519 KIMIA FARMA
235 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 239 NOVAPHARIN
236 12014925 CIPROFLOXACIN HCL MONOHYDRATE 500 MG(IFA DUS #N/A #N/A 1,200 IFARS PHARMACEUTICAL, P
237 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 552 KIMIA FARMA
238 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 362 KIMIA FARMA
239 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 901 KIMIA FARMA
240 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 PHAPROS, PT
241 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC #N/A 4,865 1 PIHAK 3
242 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC #N/A 6,713 321 PIHAK 3
243 12014741 CLEAN PLUS POP UP TISSUE 200 SHEETS x 64 PAC #N/A 2,998 232 PIHAK 3
244 12014873 CLEAN PLUS TRAVEL PACK 70's x 128 Pack PAC #N/A 1,745 1,280 PIHAK 3
245 12014874 CLEAN PLUS TRAVEL PACK 70's x 4 x 32 Pac PAC #N/A 7,297 320 PIHAK 3
246 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 MERSIFARMA
247 12014758 CLINDAMYCIN HYDROCHLORIDE 300MG (MEPRO) DUS #N/A #N/A 300 PIHAK 3
248 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 KIMIA FARMA
249 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 594 KIMIA FARMA
250 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 1,889 KIMIA FARMA
251 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 140 PHAPROS, PT
252 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 284 KIMIA FARMA
Material Isi Harga Reg
No Material Description UoM Qty Nama Principle
Number Uom (HNA)
253 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 18 KIMIA FARMA
254 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 78 KIMIA FARMA
255 11000038 CODIKAF 10 MG TABLET (DUS 100 TAB) DUS 100 78,750 4 KIMIA FARMA
256 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 5 KIMIA FARMA
257 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 KIMIA FARMA
258 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 15 KIMIA FARMA
259 12001206 COTRIMOXAZOL SYR(HOLI) BT #N/A #N/A 5,000 HOLI PHARMA
260 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 PHAPROS, PT
261 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 PRATAPA NIRMALA
262 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 75,000 14 PYRIDAM, PT
263 12005932 D5 - MJB 500 ML BT 1 6,924 16 EMJEBE PHARMA , PT
264 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,694 BHINNEKA USADA RAYA
265 13076707 D-ARTEPP TAB@9 DUS 9 72,000 3,694 BHINNEKA USADA RAYA
266 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 447 DARYA VARIA, PT
267 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 347 HARSEN LABORATORIES, PT
268 12006576 DECADRYL EXP 60 ML BT 1 15,500 296 HARSEN LABORATORIES, PT
269 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 4 DARYA VARIA, PT
270 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 14 DARYA VARIA, PT
271 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 PIHAK 3
272 12015111 DEXAHARSEN 0,75 MG KAPLET ( HARSEN ) DUS 200 41,800 49 HARSEN LABORATORIES, PT
273 12006873 DEXAMETHASONE 0,5MG TAB@100 (NOVA) DUS #N/A #N/A 350 NOVAPHARIN
274 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 116 KIMIA FARMA
275 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 645 PHAPROS, PT
276 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS #N/A #N/A 3,500 MEPROFARM
277 13000718 DEXTAMIN TAB@100 DUS 100 165,000 379 PHAPROS, PT
278 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 258 PHAPROS, PT
279 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 PHAPROS, PT
280 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 MOLEX AYUS, PT
281 12010329 DIAFAC XR (PEHA) DUS #N/A 51,000 30 PHAPROS, PT
282 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS 100 - 68 MERSIFARMA
283 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 0 14,773 469 MEPROFARM
284 12012922 DIFFUSER SELENSIA MOTIF KAYU 400ML UNT 1 228,000 2 SINKONA INDONESIA LESTAR
285 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 PYRIDAM, PT
286 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 KIMIA FARMA
287 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 869 KIMIA FARMA
288 13002883 DIOS TAB@30 DUS 30 115,000 100 PHAPROS, PT
289 13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) DUS #N/A #N/A 120 PHAPROS, PT
290 12014756 DIPHENHYDRAMINE HYDROCHLORIDE 10MG/ML (M DUS #N/A #N/A 5 MEPROFARM
291 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 PRUNING
292 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 PRUNING
293 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 PIHAK 3
294 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 KIMIA FARMA
295 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 PT AFIFARMA
296 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 180 NOVAPHARIN
297 12014748 DOPAMINE HYDROCHLORIDE INJ 10 AMP @ 5 ML DUS #N/A #N/A 50 MEPROFARM
298 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 KIMIA FARMA
299 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 4 KIMIA FARMA
300 12003670 DT LABEL WHITE PERMANENT 2" X 1-1/4" RLL 1 210,000 50 SINAR RODA UTAMA, PT
301 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 SINAR RODA UTAMA, PT
302 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 94 OPELLA HEALTHCARE INDON
303 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 35 OPELLA HEALTHCARE INDON
304 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 167,398 8 OPELLA HEALTHCARE INDON
305 12000294 DULCOLAX 5 MG SUPP. INF 6pcs DUS 6 108,716 9 OPELLA HEALTHCARE INDON
306 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 HARSEN LABORATORIES, PT
307 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 20 JANSSEN PHARMACEUTICA
308 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 55 JANSSEN PHARMACEUTICA
309 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 13 KIMIA FARMA
310 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 16 KIMIA FARMA
311 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 KIMIA FARMA
312 13077781 E - SOME 40MG INJ VL 1 36,145 442 PHAPROS, PT
313 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 60 PRATAPA NIRMALA
314 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 39 DARYA VARIA, PT
315 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 29 DARYA VARIA, PT
316 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 DARYA VARIA, PT
317 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,309 KIMIA FARMA
318 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 PYRIDAM, PT
319 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 KIMIA FARMA
320 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 KIMIA FARMA
321 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 140 RAMA EMERALD, PT
322 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 1,200 HOLI PHARMA
323 12009865 ESOMEPRAZOLE SOD.40 MG SERB INJ (PEHA) DUS #N/A 12,500 30 PHAPROS, PT
324 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 4 KIMIA FARMA
325 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC #N/A 30,221 1,003 PIHAK 3
326 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 19 PRATAPA NIRMALA
327 13009191 FARBION 5000 INJ 3ML AMP@5 (FAH) DUS 5 35,000 320 PRATAPA NIRMALA
328 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 181 PRATAPA NIRMALA
329 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 19 PRATAPA NIRMALA
330 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 10 PRATAPA NIRMALA
331 13002626 FARMABES 30MG TAB@100 (FAH) DUS 100 53,000 1 PRATAPA NIRMALA
332 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 157 PRATAPA NIRMALA
333 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 50,000 31 PRATAPA NIRMALA
334 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 60,000 21 PRATAPA NIRMALA
335 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 54 PRATAPA NIRMALA
336 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 29 PRATAPA NIRMALA
337 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 115 PRATAPA NIRMALA
338 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 PRATAPA NIRMALA
339 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 199,000 20 PRATAPA NIRMALA
340 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 KIMIA FARMA
341 13019430 FEBRINEX SYR 60ML BT 1 14,414 55 PHAPROS, PT
342 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 4 PRATAPA NIRMALA
343 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 142 PRATAPA NIRMALA
344 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 MAHAKAM BETA FARMA
345 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 175 MAHAKAM BETA FARMA
346 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 287 KIMIA FARMA
347 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 624 KIMIA FARMA
348 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 850 KIMIA FARMA
349 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 163 PIHAK 3
350 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 271 PIHAK 3
351 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 20 PIHAK 3
352 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 168 PIHAK 3
353 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 288 SURYA SUKSES PERKASA, P
354 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 355 KIMIA FARMA
355 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 189 KIMIA FARMA
356 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 190 KIMIA FARMA
357 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 166 KIMIA FARMA
358 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 72 KIMIA FARMA
359 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 662 KIMIA FARMA
360 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,098 KIMIA FARMA
361 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 17 PRATAPA NIRMALA
362 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 66 PRATAPA NIRMALA
363 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 89 PRATAPA NIRMALA
364 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 909 KIMIA FARMA
365 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 181 PHAPROS, PT
366 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 275,000 7 PYRIDAM, PT
367 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 KIMIA FARMA
368 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 150 DARYA VARIA, PT
369 12011679 FRESMED DESINFECTAN SPRAY @250 ML BT 1 27,273 20 PT. LIKUID PHARMALAB IND
370 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 10 PYRIDAM, PT
371 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 114 KIMIA FARMA
372 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 262,000 33 PRATAPA NIRMALA
373 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 KIMIA FARMA
374 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 69 PRATAPA NIRMALA
375 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 235 PHAPROS, PT
376 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 47 PRATAPA NIRMALA
377 12008487 GENTALEX CR 5GR MOL TUB 1 5,000 2,400 MOLEX AYUS, PT
378 13085282 GENTAMICIN SULFATE KRIM 5GR MOL TUB 1 4,000 7,000 MOLEX AYUS, PT
379 11000391 GENTAMYCIN 0.1 % (DUS 10 TUBE @ 5 GRAM) DUS 10 2,670 2,018 KIMIA FARMA
Material Isi Harga Reg
No Material Description UoM Qty Nama Principle
Number Uom (HNA)
380 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 120 PHAPROS, PT
381 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 670 KIMIA FARMA
382 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 KIMIA FARMA
383 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 259 KIMIA FARMA
384 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 300 KIMIA FARMA
385 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 278 KIMIA FARMA
386 12010432 GOLDTRION KPL@30 (FAH) DUS 30 270,000 94 PRATAPA NIRMALA
387 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 KIMIA FARMA
388 12008179 GRISEOFULVIN 125MG TAB@100 (NOVA) DUS #N/A #N/A 900 NOVAPHARIN
389 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 1 NOVAPHARIN
390 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 NUFARINDO, PT
391 12005737 HALOPERIDOL 5 MG DUS 100 - 50 MERSIFARMA
392 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC #N/A 7,652 190 PIHAK 3
393 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 NUFARINDO, PT
394 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 92 PHAPROS, PT
395 12006958 HEPAGARD DUS 0 76,230 81 PHAPROS, PT
396 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 3 KIMIA FARMA
397 11000516 HUMAN ALBUMIN 20 % 50 ML BT 1 400,901 37 KIMIA FARMA
398 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 115 KIMIA FARMA
399 12005248 HUSTAB 30X10S DUS 300 119,196 20 PHAPROS, PT
400 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJN DUS 100 16,500 644 KIMIA FARMA
401 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 KIMIA FARMA
402 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 206 KIMIA FARMA
403 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA) DUS #N/A #N/A 30 RAMA EMERALD, PT
404 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 195 PHAPROS, PT
405 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 808 PHAPROS, PT
406 12013954 HYTOSA (SAP) BT 1 122,000 53 SATYA ABADI PHARMA, PT
407 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 PT AFIFARMA
408 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 441 NOVAPHARIN
409 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 1,366 NOVAPHARIN
410 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 PYRIDAM, PT
411 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 2 PHAPROS, PT
412 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 PHAPROS, PT
413 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC 1 2,600,000 2 PHAPROS, PT
414 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 PHAPROS, PT
415 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 PHAPROS, PT
416 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 5 PHAPROS, PT
417 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 42 MOLEX AYUS, PT
418 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 PRATAPA NIRMALA
419 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 263 PRATAPA NIRMALA
420 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 213 PRATAPA NIRMALA
421 12007335 INSTO REGULAR 15 ML DUS 1 16,100 31 COMBIPHAR, PT
422 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 180 PRATAPA NIRMALA
423 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 503 KIMIA FARMA
424 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 108 KIMIA FARMA
425 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 1,217 KIMIA FARMA
426 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 544 KIMIA FARMA
427 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 1,039,000 16 PRATAPA NIRMALA
428 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 KIMIA FARMA
429 12001211 ISONIAZID 100 MG TABLET DUS #N/A #N/A 9 HOLI PHARMA
430 12015382 JAYAMEKSI ALCOHOL SWAB - ETHYL 70% @100 DUS #N/A #N/A 600 SINAR RODA UTAMA, PT
431 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 PHAPROS, PT
432 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 171 KIMIA FARMA
433 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS #N/A #N/A 24 KIMIA FARMA
434 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 457 NOVAPHARIN
435 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS 12 30,600 185 PHAPROS, PT
436 13011641 KETOROLAC 30MG INJ AMP@12 GPH (PEHA) DUS #N/A 21,600 10 PHAPROS, PT
437 12014743 KETOROLAC TROMEMATOL INJ 30MG/1ML DUS #N/A #N/A 550 PIHAK 3
438 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS 50 65,901 148 KIMIA FARMA
439 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 26 KIMIA FARMA
440 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 100 KIMIA FARMA
441 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 11 KIMIA FARMA
442 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC 50 143,190 12 KIMIA FARMA
443 11002188 KIFAMED KASA STERIL 16CMx16CM(DUS 16 PC) DUS 16 10,000 347 KIMIA FARMA
444 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 KIMIA FARMA
445 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 KIMIA FARMA
446 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 738 KIMIA FARMA
447 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 KIMIA FARMA
448 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 4 KIMIA FARMA
449 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 46 KIMIA FARMA
450 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 22 KIMIA FARMA
451 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 KIMIA FARMA
452 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 145 KIMIA FARMA
453 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 101 KIMIA FARMA
454 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 55 PHAPROS, PT
455 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 376 PHAPROS, PT
456 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 KIMIA FARMA
457 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 IFARS PHARMACEUTICAL, P
458 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 28 PRATAPA NIRMALA
459 13009512 LACTOR 30MG INJ@6 DUS 6 16,500 300 PHAPROS, PT
460 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 1,093 PRATAPA NIRMALA
461 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 PYRIDAM, PT
462 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 YARINDO FARMATA, PT
463 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 PIHAK 3
464 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 40 KIMIA FARMA
465 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 161 MEPROFARM
466 12008447 LEXACORT TAB@100 MOL DUS 100 19,600 40 MOLEX AYUS, PT
467 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 90 MOLEX AYUS, PT
468 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 720 MOLEX AYUS, PT
469 12008490 LEXADON TAB@50 MOL DUS 50 15,000 80 MOLEX AYUS, PT
470 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 40,000 16 MOLEX AYUS, PT
471 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 7 MOLEX AYUS, PT
472 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 149 MOLEX AYUS, PT
473 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 35 MOLEX AYUS, PT
474 13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) DUS #N/A #N/A 103 PHAPROS, PT
475 12014749 LIDOCAINE HCL MONOHYDRATE INJ 100AMP@2ML DUS #N/A #N/A 5 MEPROFARM
476 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 8 KIMIA FARMA
477 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS 30 315,000 41 KIMIA FARMA
478 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS 30 350,000 30 KIMIA FARMA
479 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 409 PHAPROS, PT
480 12003048 LOPAMID TABLET @ 100 DUS 100 - 148 HARSEN LABORATORIES, PT
481 12006925 LOPERAMID HCL 2 MG TABLET(IFARS) DUS 0 17,636 150 IFARS PHARMACEUTICAL, P
482 12011680 LOPERAMIDE HCL 2MG TAB@100 (NOVA) DUS #N/A #N/A 10 NOVAPHARIN
483 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 81 KIMIA FARMA
484 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 26 NOVAPHARIN
485 11001732 LOVE TEST COMPACT DUS #N/A 18,191 20 KIMIA FARMA
486 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 69 KIMIA FARMA
487 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 KIMIA FARMA
488 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 17 PRATAPA NIRMALA
489 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 MUSTIKA RATUBUANA INTER
490 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 10 MUSTIKA RATUBUANA INTER
491 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 MUSTIKA RATUBUANA INTER
492 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 8 MUSTIKA RATUBUANA INTER
493 13027133 M RATU M ZAITUN 175ML BH 1 25,135 1 MUSTIKA RATUBUANA INTER
494 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150ML BT 1 20,739 16 MUSTIKA RATUBUANA INTER
495 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 9 KIMIA FARMA
496 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 664 KIMIA FARMA
497 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 461 KIMIA FARMA
498 11002329 MARCKS ACTIVE WHITE 20GR (NEW) PC 1 23,700 117 KIMIA FARMA
499 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 182 KIMIA FARMA
500 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 45 KIMIA FARMA
501 11001945 MARCKS BREATHABLE POWDER NATURAL BEIGE BOX 1 34,700 1 KIMIA FARMA
502 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 190 KIMIA FARMA
503 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 102 KIMIA FARMA
504 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 88 KIMIA FARMA
505 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 4,112 KIMIA FARMA
506 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC 1 13,700 614 KIMIA FARMA
Material Isi Harga Reg
No Material Description UoM Qty Nama Principle
Number Uom (HNA)
507 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 2,679 KIMIA FARMA
508 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 13,700 1,176 KIMIA FARMA
509 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC 1 13,700 719 KIMIA FARMA
510 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 1,113 KIMIA FARMA
511 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT 1 17,300 135 KIMIA FARMA
512 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 69 KIMIA FARMA
513 11002301 MARCKS TEENS ACNE EXPERT SHEET MASK PC 1 11,000 83 KIMIA FARMA
514 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 73 KIMIA FARMA
515 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 652 KIMIA FARMA
516 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 888 KIMIA FARMA
517 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 523 KIMIA FARMA
518 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 109 KIMIA FARMA
519 11002303 MARCKS TEENS HI! DRATE SHEET MASK PC #N/A 11,000 32 KIMIA FARMA
520 11001315 MARCKS TEENS REFILL COMPACT POWDER PINK PC 12 15,500 101 KIMIA FARMA
521 11001314 MARCKS TEENS REFILL COMPACT POWDER WHIT PC 12 15,500 71 KIMIA FARMA
522 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 78 PHAPROS, PT
523 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 8 DARYA VARIA, PT
524 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 97 PT. LIKUID PHARMALAB IND
525 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 154 PT. LIKUID PHARMALAB IND
526 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT 1 11,825 227 PT. LIKUID PHARMALAB IND
527 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 267 PT. LIKUID PHARMALAB IND
528 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 PT. LIKUID PHARMALAB INDONESIA
529 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 PT. LIKUID PHARMALAB INDONESIA
530 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 PT. LIKUID PHARMALAB INDONESIA
531 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 PT. LIKUID PHARMALAB INDONESIA
532 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 PT. LIKUID PHARMALAB INDONESIA
533 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 251 PT. LIKUID PHARMALAB INDONESIA
534 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 PT. LIKUID PHARMALAB INDONESIA
535 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 445 PT. LIKUID PHARMALAB INDONESIA
536 12008458 MELOCID TAB@50 MOL DUS 50 30,000 24 MOLEX AYUS, PT
537 11000220 MELOXICAM 15 MG (DUS 20 TAB) DUS 20 14,500 336 KIMIA FARMA
538 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 200 MEPROFARM
539 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 16 KIMIA FARMA
540 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 15 PRATAPA NIRMALA
541 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,232 KIMIA FARMA
542 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A 68 MEPROFARM
543 12007628 METANEURON TABLET DUS 300 311,454 12 PHAPROS, PT
544 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 967 KIMIA FARMA
545 12014746 METHYLERGOMETRINE MALEATE INJ100 AMP@1ML DUS #N/A #N/A 103 MEPROFARM
546 12012550 METHYLPREDNISOLONE 4MG TAB@100 (NOVA) DUS #N/A #N/A 100 NOVAPHARIN
547 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 504 MOLEX AYUS, PT
548 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS 1 18,000 395 PHAPROS, PT
549 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 286 KIMIA FARMA
550 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 16 KIMIA FARMA
551 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 94 KIMIA FARMA
552 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 ML DUS #N/A #N/A 11 MEPROFARM
553 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 25 KIMIA FARMA
554 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 533 NOVAPHARIN
555 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT 1 #N/A 2 DARYA VARIA, PT
556 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 MEPROFARM
557 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 345 KIMIA FARMA
558 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 20 PRATAPA NIRMALA
559 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 83 MOLEX AYUS, PT
560 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 189 MOLEX AYUS, PT
561 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 8 MOLEX AYUS, PT
562 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 13 MOLEX AYUS, PT
563 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 113 MOLEX AYUS, PT
564 12008465 MOLEXDINE 1L MOL BT 1 - 280 MOLEX AYUS, PT
565 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 32 MOLEX AYUS, PT
566 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 14 PRATAPA NIRMALA
567 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 KIMIA FARMA
568 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 16 KIMIA FARMA
569 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 309,545 35 KIMIA FARMA
570 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 4 KIMIA FARMA
571 11000501 MST CONTINUS 10 MG DUS 60 852,000 1 MAHAKAM BETA FARMA
572 11000502 MST CONTINUS 15 MG DUS 60 2,190,000 5 MAHAKAM BETA FARMA
573 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 KIMIA FARMA
574 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 23 PHAPROS, PT
575 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 3 KIMIA FARMA
576 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 PRATAPA NIRMALA
577 11002020 NACL 0.9% INFUS BT 1 7,009 18,974 KIMIA FARMA
578 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 144 PYRIDAM, PT
579 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 1,480 KIMIA FARMA
580 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 510 PHAPROS, PT
581 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 47 DARYA VARIA, PT
582 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 47 DARYA VARIA, PT
583 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 23 DARYA VARIA, PT
584 12000832 NATUR E HBL 100 ML BT 1 10,424 72 DARYA VARIA, PT
585 12000833 NATUR E HBL 245 ML BT 1 20,913 3 DARYA VARIA, PT
586 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 DARYA VARIA, PT
587 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 57,626 2 DARYA VARIA, PT
588 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 DARYA VARIA, PT
589 12005302 NATUR-E 300 IU 32's DUS 32 56,496 37 DARYA VARIA, PT
590 13004776 NB TOP OINT 5GR TUB 1 15,641 132 PHAPROS, PT
591 12013182 NELANDOZ 2MG TAB@28 (FAH) DUS 28 410,000 16 PRATAPA NIRMALA
592 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 834 MOLEX AYUS, PT
593 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 50,505 10 DARYA VARIA, PT
594 12005687 NEURAXON 5000 KPL@100 (PYRIDAM) DUS 100 316,000 42 PYRIDAM, PT
595 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 HARSEN LABORATORIES, PT
596 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 KIMIA FARMA
597 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS 30 250,000 23 KIMIA FARMA
598 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 HARSEN LABORATORIES, PT
599 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 41 DARYA VARIA, PT
600 12010392 NICARDIPINE INJ VIAL@2 (FAH) DUS 2 260,000 100 PRATAPA NIRMALA
601 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 KIMIA FARMA
602 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 SINAR RODA UTAMA, PT
603 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 528 SINAR RODA UTAMA, PT
604 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 55 SINAR RODA UTAMA, PT
605 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,511 SINAR RODA UTAMA, PT
606 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 230 PHAPROS, PT
607 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 200 KIMIA FARMA
608 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS #N/A 246,000 148 KIMIA FARMA
609 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 459 PHAPROS, PT
610 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 23 PRATAPA NIRMALA
611 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 NOVAPHARIN
612 12009890 NOZA @4 TAB STR 4 72,500 1,000 PHAPROS, PT
613 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 2,462 EMJEBE PHARMA , PT
614 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 NUFARINDO, PT
615 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 25 PRATAPA NIRMALA
616 12015035 NYSTATIN DROP DUS 10 - 2 PIHAK 3
617 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 529 PHAPROS, PT
618 12008469 OBH 60ML MOL BT #N/A #N/A 920 MOLEX AYUS, PT
619 12004243 OBH COMBI BATUK BERDAHAK JAHE 100 ML BT 1 11,500 130 COMBIPHAR, PT
620 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 241 COMBIPHAR, PT
621 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 575 COMBIPHAR, PT
622 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 424 COMBIPHAR, PT
623 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 12,500 426 COMBIPHAR, PT
624 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 256 COMBIPHAR, PT
625 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 91 COMBIPHAR, PT
626 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 116 COMBIPHAR, PT
627 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 318 COMBIPHAR, PT
628 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 231 COMBIPHAR, PT
629 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 1 DARYA VARIA, PT
630 12007268 OCTANATE 250 IU DUS 1 720,000 11 SATYA ABADI PHARMA, PT
631 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 SATYA ABADI PHARMA, PT
632 12013632 OMEPRAZOLE 20MG @100 KPS (NOVA) DUS #N/A #N/A 1,289 NOVAPHARIN
633 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 564 DARYA VARIA, PT
Material Isi Harga Reg
No Material Description UoM Qty Nama Principle
Number Uom (HNA)
634 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 408 PHAPROS, PT
635 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 PRATAPA NIRMALA
636 12010612 ORABLOC INJ (PEHA) DUS 50 810,000 13 PHAPROS, PT
637 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 PYRIDAM, PT
638 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 50 SATYA ABADI PHARMA, PT
639 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 13 PYRIDAM, PT
640 13007995 OSTEOTIN CAP@60 DUS 60 179,100 6 PHAPROS, PT
641 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 PRATAPA NIRMALA
642 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 100 PIHAK 3
643 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 158 PHAPROS, PT
644 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 4,123 KIMIA FARMA
645 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 6,500 PT AFIFARMA
646 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 574 DARYA VARIA, PT
647 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 290 DARYA VARIA, PT
648 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 45 DARYA VARIA, PT
649 12007337 PEDITOX 1% 50 ML BT 1 7,420 49 COMBIPHAR, PT
650 12005890 PEHACAIN INJ DUS #N/A 66,791 355 PHAPROS, PT
651 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 25 PHAPROS, PT
652 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 PHAPROS, PT
653 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 250 PHAPROS, PT
654 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 9 PRATAPA NIRMALA
655 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 PIHAK 3
656 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 161 KIMIA FARMA
657 13009792 PHADILON 125MG INJ VL 1 30,000 109 PHAPROS, PT
658 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 PHAPROS, PT
659 13009794 PHAMINOV INJ@10 DUS 10 65,000 193 PHAPROS, PT
660 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 OPELLA HEALTHCARE INDONESIA, PT
661 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 288 KIMIA FARMA
662 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 885 LUCAS DJAJA
663 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 PHAPROS, PT
664 12008230 PHENYTOIN SODIUM INJ (MEPRO) DUS #N/A #N/A 400 MEPROFARM
665 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 290 PHAPROS, PT
666 12008909 PHYTOMENADION INJ 2 MG/ML (PEHA) DUS #N/A #N/A 3 PHAPROS, PT
667 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 168,000 210 PHAPROS, PT
668 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,851 KIMIA FARMA
669 11001543 PIROXICAM 20 MG (DUS 100 TAB)-BJN DUS 100 22,458 194 KIMIA FARMA
670 12013098 POVIDONE IODINE 1L (NOVA) BT #N/A #N/A 150 NOVAPHARIN
671 12007665 PPD 2 TU (BF) VL 1 630,000 485 BIOFARMA
672 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 695 PRATAPA NIRMALA
673 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 SINAR RODA UTAMA, PT
674 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 SINAR RODA UTAMA, PT
675 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS 100 - 10 IMFARMIND FARMASI INDUSTRI, PT
676 12001215 PREDNISON 5 MG TAB (HOLI) DUS #N/A #N/A 1,107 HOLI PHARMA
677 12014933 PREDNISONE 5MG(IFARS) DUS #N/A #N/A 703 IFARS PHARMACEUTICAL, PT
678 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 2 PYRIDAM, PT
679 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 20 KIMIA FARMA
680 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 20 PRATAPA NIRMALA
681 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 4,415 PHAPROS, PT
682 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 KIMIA FARMA
683 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 105 MOLEX AYUS, PT
684 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 505 MOLEX AYUS, PT
685 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 474 MOLEX AYUS, PT
686 12008470 PRITANOL 100MG TAB@50 MOL DUS 50 20,000 40 MOLEX AYUS, PT
687 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 99 MOLEX AYUS, PT
688 12008473 PRITAVIT KPL@100 MOL DUS 100 100,000 80 MOLEX AYUS, PT
689 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 PHAPROS, PT
690 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 96 PHAPROS, PT
691 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 41 PHAPROS, PT
692 13001143 PRO TB2 TAB@28 DUS 28 184,450 84 PHAPROS, PT
693 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 21 PHAPROS, PT
694 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 118 PHAPROS, PT
695 12014878 PRONAM DUS 100 - 40 HARSEN LABORATORIES, PT
696 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 42 HOLI PHARMA
697 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 HOLI PHARMA
698 12014879 PROXONA DUS 100 - 99 HARSEN LABORATORIES, PT
699 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 PYRIDAM, PT
700 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 505 KIMIA FARMA
701 12001220 PYRANTEL TAB 125 MG DUS 100 - 269 HOLI PHARMA
702 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 KIMIA FARMA
703 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 PYRIDAM, PT
704 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 1,122 PHAPROS, PT
705 12005060 RANITIDINE INJ 25 MG/2ML (Mepro) AMP #N/A #N/A 1,000 MEPROFARM
706 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 18 PRATAPA NIRMALA
707 13005126 RECOLFAR 0.5MG TAB@30 (FAH) DUS 30 180,000 50 PRATAPA NIRMALA
708 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 KIMIA FARMA
709 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 PRATAPA NIRMALA
710 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 29 PRATAPA NIRMALA
711 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 79 PRATAPA NIRMALA
712 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 18 PRATAPA NIRMALA
713 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 50 LUCAS DJAJA
714 12005311 RETINOL (VIT.A) 200.000 IU KAP (LUCAS) BT #N/A #N/A 50 LUCAS DJAJA
715 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 591 KIMIA FARMA
716 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 167 KIMIA FARMA
717 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 SATORIA ANEKA INDUSTRI, PT
718 12008263 RINGER LACTATE 500 ML (SATORIA) BT 1 7,970 6,395 SATORIA ANEKA INDUSTRI, PT
719 11002018 RINGER LAKTAT INFUS BT 1 7,658 1,336 KIMIA FARMA
720 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 200 MERSIFARMA
721 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 108 PHAPROS, PT
722 12008474 RIVANOL 100ML MOL BT 1 4,000 1,857 MOLEX AYUS, PT
723 12008475 RIVANOL 300ML MOL BT 1 9,000 884 MOLEX AYUS, PT
724 12000928 RL - MJB 500 ML BT #N/A #N/A 1,100 EMJEBE PHARMA , PT
725 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC PAC 10 21,608 43 PIHAK 3
726 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS 30 210,000 17 KIMIA FARMA
727 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 23 KIMIA FARMA
728 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 390,000 58 PRATAPA NIRMALA
729 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS 100 18,000 204 KIMIA FARMA
730 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1 KIMIA FARMA
731 11001556 SALBUTAMOL 4 MG (DUS 100 TAB)-BJN DUS 100 20,000 484 KIMIA FARMA
732 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,506 KIMIA FARMA
733 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 PHAPROS, PT
734 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 13 PT. LIKUID PHARMALAB INDONESIA
735 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 36 PT. LIKUID PHARMALAB INDONESIA
736 12011511 SASKLIN HAND SANITIZER GEL @500 ML BT 1 48,000 3 PT. LIKUID PHARMALAB INDONESIA
737 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 PT. LIKUID PHARMALAB INDONESIA
738 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 26 SINKONA INDONESIA LESTARI, PT
739 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 39 SINKONA INDONESIA LESTARI, PT
740 12012338 SELENSIA AROMATHERAPY LEMON 10ML BT 1 109,091 9 SINKONA INDONESIA LESTARI, PT
741 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 8 SINKONA INDONESIA LESTARI, PT
742 12010658 SEVOFLURANE INHALASI 250ML (FAH) BT 1 1,800,000 10 PRATAPA NIRMALA
743 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 4 PRATAPA NIRMALA
744 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 PRATAPA NIRMALA
745 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 62 PRATAPA NIRMALA
746 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 56 PRATAPA NIRMALA
747 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 34 PRATAPA NIRMALA
748 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 DARYA VARIA, PT
749 12005695 SILOPECT 30MG TAB@100 (PYRIDAM) DUS 100 128,000 1 PYRIDAM, PT
750 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 KIMIA FARMA
751 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 1,120 KIMIA FARMA
752 12012551 SIMVASTATIN 20MG TAB@100 (NOVA) DUS #N/A #N/A 420 NOVAPHARIN
753 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 33 PHAPROS, PT
754 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 1,400 SATORIA ANEKA INDUSTRI, PT
755 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT 1 7,097 8,390 SATORIA ANEKA INDUSTRI, PT
756 12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) BT #N/A 26,400 290 PHAPROS, PT
757 12006476 SOTATIC INJ AMP@5 (FAH) DUS 5 33,000 40 PRATAPA NIRMALA
758 12014880 STAR CE DUS 30 - 100 HARSEN LABORATORIES, PT
759 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 1 KIMIA FARMA
760 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 KIMIA FARMA
Material Isi Harga Reg
No Material Description UoM Qty Nama Principle
Number Uom (HNA)
761 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 37,839 4 DARYA VARIA, PT
762 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 16 KIMIA FARMA
763 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 12 PHAPROS, PT
764 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 108 MEGA MEDICA PHARMACEUTICALS, PT
765 12006932 SUKRALFAT SUSP 500 MG/5 ML, 100 ML BT #N/A #N/A 140 MEPROFARM
766 12009948 SULFADIAZINE SILVER 10 MG POT 500GR(DVRS POT 1 259,585 22 DARYA VARIA, PT
767 12000876 SUMAGESIC 600 MG TAB @ 100 (UN DUS 100 52,080 7 DARYA VARIA, PT
768 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 7 DARYA VARIA, PT
769 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 KASA HUSADA WIRA JATIM, PT
770 13079783 SUTRA GERIGI KONDOM@ 3 DUS 3 172,368 1,198 PIHAK 3
771 13079784 SUTRA GERIGI KONDOM@12 BH 12 245,232 720 PIHAK 3
772 13029419 SUTRA KONDOM@24 DUS 24 30,818 42 PIHAK 3
773 13016440 SUTRA OK KONDOM@ 3 DUS 3 7,182 600 PIHAK 3
774 13026495 SYNFONIA 24 TAB NUF STR 24 156,000 1 NUFARINDO, PT
775 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS 30 135,000 45 PRATAPA NIRMALA
776 11001563 TABLET TAMBAH DARAH (TSG)(DUS100TAB)-BJN DUS #N/A #N/A 996 KIMIA FARMA
777 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 249 KIMIA FARMA
778 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 53 PHAPROS, PT
779 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 5 PHAPROS, PT
780 13003109 TEBOKAN SPECIAL CAP@30 DUS #N/A 335,475 38 PHAPROS, PT
781 11002049 TECAVIR 0.5 MG TSS (DUS 30 TAB) DUS 30 600,000 6 KIMIA FARMA
782 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 13 KIMIA FARMA
783 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS 100 420,000 28 KIMIA FARMA
784 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT #N/A #N/A 145 KIMIA FARMA
785 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 336,000 30 PRATAPA NIRMALA
786 12013119 TETRACYCLINE HCL 250MG CAP@100 (NOVA) DUS #N/A #N/A 135 NOVAPHARIN
787 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 40 MOLEX AYUS, PT
788 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 92 MOLEX AYUS, PT
789 12005181 TIARYT TAB@30 (FAH) DUS 30 135,000 6 PRATAPA NIRMALA
790 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB 1 236,000 3 PYRIDAM, PT
791 12007362 TOPGRA 100 MG TABLET DUS #N/A 187,200 194 HARSEN LABORATORIES, PT
792 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 690,000 17 PRATAPA NIRMALA
793 13006433 TRACETATE SUSP 200ML (FAH) BT 1 420,000 22 PRATAPA NIRMALA
794 12008343 TRAMADOL HCL 50MG CAP@50 (GRAF) DUS #N/A #N/A 10 GRAHA FARMA, PT
795 13076813 TRAMPARA TAB@30 DUS #N/A 145,000 59 PHAPROS, PT
796 13008015 TRAMSET KPL@30 (FAH) DUS 30 219,000 28 PRATAPA NIRMALA
797 12008526 TRIHEXYPHENIDYL 2 MERSI DUS 0 - 25 MERSIFARMA
798 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 78,000 3 KIMIA FARMA
799 13010118 TRIXON INJ 1GR VL 1 55,000 103 PHAPROS, PT
800 11000172 TROMBIKAF TABLET-STRIP 3X10 TABLET DUS 30 360,000 4 KIMIA FARMA
801 13026424 UMARONE INJ 2ML (FAH) VL 1 183,000 67 PRATAPA NIRMALA
802 13006475 URIEF 4MG TAB@100 DUS #N/A #N/A 60 PIHAK 3
803 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 463 PRUNING
804 11000292 VAGIZOLE OVULA (DUS 5 SUPP) DUS 5 55,000 50 KIMIA FARMA
805 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS 1 258,500 1 BIOFARMA
806 12007630 VAKSIN BIO TD 1 DS (BF) AMP 1 69,300 100 BIOFARMA
807 12007631 VAKSIN BIO TT 1 DS (BF) AMP 1 36,300 170 BIOFARMA
808 12007659 VAKSIN CAMPAK 10 DS (BF) DUS 1 154,000 3 BIOFARMA
809 12011966 VAKSIN CERVARIX (BF) DUS 1 607,700 14 BIOFARMA
810 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS 1 152,000 2 BIOFARMA
811 12007662 VAKSIN FLUBIO (BF) VL 1 99,800 138 BIOFARMA
812 12011967 VAKSIN HAVRIX ADULT (BF) DUS 1 289,200 4 BIOFARMA
813 12007661 VAKSIN HEPATITIS-B BAYI (BF) SC 1 52,470 1,000 BIOFARMA
814 12007660 VAKSIN HEPATITIS-B DEWASA (BF) POU 1 79,200 80 BIOFARMA
815 12008932 VAKSIN IPV 5 DS (BF) DUS 10 3,630,000 3 BIOFARMA
816 12007741 VAKSIN MEASLES RUBELLA (MR) 10 DS (BF) VL 1 525,000 47 BIOFARMA
817 12007658 VAKSIN POLIO / BOPV 10 DS (BF) DUS 1 75,600 2 BIOFARMA
818 12008612 VAKSIN VARICELLA (BF) DUS 1 360,500 5 BIOFARMA
819 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 60,000 40 KIMIA FARMA
820 11002134 VALSARTAN 80 MG (DUS 30 TAB)-BJN DUS 30 40,000 89 KIMIA FARMA
821 11002240 VALTENSI 160 MG TSS (DUS 30 TAB) DUS 30 290,000 11 KIMIA FARMA
822 11002239 VALTENSI 80 MG TSS (DUS 30 TAB) DUS 30 160,000 16 KIMIA FARMA
823 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 420,000 80 PRATAPA NIRMALA
824 12010331 VARTAN 160MG KPL@30 (PYRIDAM) DUS 30 209,000 3 PYRIDAM, PT
825 12010330 VARTAN 80MG TAB@30 (PYRIDAM) DUS 30 137,000 2 PYRIDAM, PT
826 12004993 VASCON INJ AMP@5 (FAH) DUS 5 500,000 55 PRATAPA NIRMALA
827 12011812 VASOLA 0.5 ML @5 VL (FAH) DUS 5 1,250,000 7 PRATAPA NIRMALA
828 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 38 PRATAPA NIRMALA
829 11000361 VENUS COMPACT NO.1 INVISIBLE PC 1 38,300 135 KIMIA FARMA
830 11000362 VENUS COMPACT NO.2 NAT BEIGE PC 1 38,300 124 KIMIA FARMA
831 11000363 VENUS COMPACT NO.3 IVORY PC 1 38,300 135 KIMIA FARMA
832 11002057 VENUS EYE & LIP MAKEUP REMOVER 100ML BT 1 36,951 140 KIMIA FARMA
833 11000368 VENUS FACIAL WASH 100ml PC 1 22,091 1 KIMIA FARMA
834 11000369 VENUS FACIAL WASH 50ml PC 1 12,000 1 KIMIA FARMA
835 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 PC 48 90,700 63 KIMIA FARMA
836 11002429 VENUS LP DYNAMIC NO.1 INVISIBLE NEW PC 1 38,625 124 KIMIA FARMA
837 11002430 VENUS LP DYNAMIC NO.2 NAT.BEIGE NEW PC 1 38,625 124 KIMIA FARMA
838 11002431 VENUS LP DYNAMIC NO.3 IVORY NEW PC 1 38,625 126 KIMIA FARMA
839 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE PC 12 47,500 190 KIMIA FARMA
840 11001184 VENUS SOFT MATTE LIPCREAM NO.10 PC 1 38,389 96 KIMIA FARMA
841 11001144 VENUS SOFT MATTE LIPCREAM NO.2 PC 1 38,389 96 KIMIA FARMA
842 11001146 VENUS SOFT MATTE LIPCREAM NO.4 PC 1 38,389 96 KIMIA FARMA
843 11001148 VENUS SOFT MATTE LIPCREAM NO.6 PC 1 38,389 96 KIMIA FARMA
844 11001149 VENUS SOFT MATTE LIPCREAM NO.7 PC 1 38,389 96 KIMIA FARMA
845 11001151 VENUS SOFT MATTE LIPCREAM NO.9 PC 1 38,389 96 KIMIA FARMA
846 11000379 VENUS TWC NO.1 TRANSLUCENT PC 12 61,091 9 KIMIA FARMA
847 11000381 VENUS TWC NO.3 PORCELEIN PC 12 61,091 72 KIMIA FARMA
848 11000137 VERTIKAF 24 MG TABLET (DUS 100 TAB) DUS 100 650,000 11 KIMIA FARMA
849 11000138 VERTIKAF 8 MG TABLET (DUS 100 TAB) DUS 100 321,860 30 KIMIA FARMA
850 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 58,888 7 DARYA VARIA, PT
851 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 58,888 59 DARYA VARIA, PT
852 11002363 VIDERMA GEL 15 G (PAC 6 TUB) TUB 6 20,000 22 KIMIA FARMA
853 12014622 VIKOM-Z DUS @ 100 KPL (PEHA) DUS #N/A 180,000 17 PHAPROS, PT
854 13011058 VIOXY FM TAB@30 (FAH) DUS 30 150,000 19 PRATAPA NIRMALA
855 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - 300 HOLI PHARMA
856 11001571 VITAMIN B KOMPLEKS(SPLMN)(DUS100TAB)-BJN DUS 100 18,200 2,362 KIMIA FARMA
857 11001572 VITAMIN B1 100MGTAB(SUPL)(DUS100TAB)-BJN DUS 100 23,700 884 KIMIA FARMA
858 11001573 VITAMIN B1 50 MG (SPLMN)(DUS100TAB)-BJN DUS 100 18,343 384 KIMIA FARMA
859 11001574 VITAMIN B12 50 MCG (SUPL)(DUS100TAB)-BJN DUS 100 12,000 757 KIMIA FARMA
860 11000485 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TAB) DUS 100 12,000 472 KIMIA FARMA
861 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 12,200 1 MARIN LIZA
862 12013832 VITAMIN B6 HCL DUS@200 TAB (PEHA) DUS 200 60,000 142 PHAPROS, PT
863 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 17,000 2 KIMIA FARMA
864 11001576 VITAMIN C 100MG TAB(SUPL)(DUS100TAB)-BJN DUS #N/A 17,000 1 KIMIA FARMA
865 12013939 VITAMIN C 250 @100 KPL DUS 0 13,964 8 MERSIFARMA
866 11001577 VITAMIN C 250 MG TAB (DUS100TAB)-BJN DUS 100 18,200 1,485 KIMIA FARMA
867 11001578 VITAMIN C 50 MG TAB(SUPL)(DUS100TAB)-BJN DUS 100 14,291 4,291 KIMIA FARMA
868 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 0 65 100 MARIN LIZA
869 13026624 VOPICAIN 0.5% 10ML VIAL@2 (FAH) DUS 2 110,000 24 PRATAPA NIRMALA
870 12012324 WARFARIN SODIUM 2MG TAB@100 (FAH) DUS 100 122,000 10 PRATAPA NIRMALA
Stok Per Tanggal 07 Juli 2023 PT.KFTD Jayapura

Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
1 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS 100 75,000 427 427 KIMIA FARMA
2 11000000 ACICLOVIR 200 MG (DUS 100 TAB) DUS 100 55,567 248 60 308 KIMIA FARMA
3 11000002 ACICLOVIR 400 MG (DUS 100 TAB) DUS 100 93,593 98 127 225 KIMIA FARMA
4 11000004 ACICLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) DUS 25 3,764 0 14 14 KIMIA FARMA
5 11002061 ACRIPTEGA TSS (BTL30 TAB) BT 30 500,000 2 2 KIMIA FARMA
6 13068943 ACYCLOVIR 200MG TAB GYA TAB 1 #N/A 2,000 2,000 YARINDO FARMATA, PT
7 13068951 ACYCLOVIR 400MG TAB@50 GPH (PEHA) DUS 50 37,150 896 373 15 1,284 PHAPROS, PT
8 12010992 ACYCLOVIR 5% CR TUB (PEHA) DUS 1 4,000 12 12 PHAPROS, PT
9 13020930 ALBUFORCE CAP@100 DUS 100 589,000 91 91 SATYA ABADI PHARMA, PT
10 12007260 ALBUNORM 25% 100 ML BT 1 1,573,500 3 3 SATYA ABADI PHARMA, PT
11 12004560 ALKOHOL 70% 100ML MOL BT 1 6,600 860 860 MOLEX AYUS, PT
12 12008442 ALKOHOL 70% 1L MOL BT 1 50,000 943 943 MOLEX AYUS, PT
13 13029465 ALKOHOL 70% 300ML MOL BT 1 17,000 798 798 MOLEX AYUS, PT
14 12000705 ALLERIN EXPECTORANT 60 ML (UN) BT 1 10,238 21 21 DARYA VARIA, PT
15 12008443 ALPARA KPL@150 MOL DUS 150 115,000 499 499 MOLEX AYUS, PT
16 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS 100 55,000 63 63 KIMIA FARMA
17 13010280 AMAROPO PLUS KPL@100 DUS 100 207,900 71 71 PHAPROS, PT
18 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS 100 21,528 177 177 KIMIA FARMA
19 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT 1 5,500 8 8 KIMIA FARMA
20 12009824 AMIKACIN SULFATE INJEKSI 250 MG/ML(PEHA) DUS 1 16,200 1 1 PHAPROS, PT
21 12012976 AMINOPHYLLIN 200 MG DUS@100 TAB (MARIN) DUS 100 9,729 18 20 38 MARIN LIZA
22 12009825 AMINOPHYLLINE INJ 24 MG/ML (PEHA) DUS 30 83,784 281 2 15 298 PHAPROS, PT
23 12009708 AMIODARONE IV (G) (DVRS) DUS 6 47,455 40 40 DARYA VARIA, PT
24 12013471 AMLODIPIN 10 MG DUS @100 (MARIN) DUS 100 #N/A 400 400 MARIN LIZA
25 12013470 AMLODIPIN 5 MG DUS@100 (MARIN) DUS 100 #N/A 300 300 MARIN LIZA
26 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS 50 15,000 112 112 KIMIA FARMA
27 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS 50 15,000 255 255 KIMIA FARMA
28 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS 50 13,500 252 2,209 1,500 3,961 KIMIA FARMA
29 12009827 AMLODIPINE BESYLATE 5 MG @30 TAB (PEHA) DUS 30 6,000 119 119 PHAPROS, PT
30 12012177 AMOXICILLIN DROP 100MG/ML (MEPRO) BT 1 #N/A 200 - 200 MEPROFARM
31 12012165 AMOXICILLIN DS 250MG/5ML 60ML (MERSI) BT 1 - 7,883 7,883 MERSIFARMA
32 13008755 AMOXYCILLIN 1GR INJ GPH DUS 10 144,000 8 8 PHAPROS, PT
33 13081141 ANDALAN FEMININE FRESH 60ML BT 1 13,000 38 38 PIHAK 3
34 12005974 ANDALAN INJ ( 3 BLN ) DUS 20 165,000 5 5 PIHAK 3
35 13004170 ANDALAN LAKTASI TAB@28 STR 30 10,262 390 390 PIHAK 3
36 12005148 ANDALAN PIL KB @ 30 TABLET TAB 56 228 106,680 106,680 PIHAK 3
37 13004173 ANDALAN POSTPIL TAB@2 DUS 2 21,300 170 170 PIHAK 3
38 13018446 ANDALAN PREGNA TEST BH 50 185,000 8 8 PIHAK 3
39 13003589 ANESFAR 5MG INJ AMP@5 (FAH) DUS 5 115,000 160 160 PRATAPA NIRMALA
40 11001451 ANTASIDA DOEN (DUS 100 TAB)-BJN DUS 100 39,000 100 100 KIMIA FARMA
41 12012158 ANTASIDA DOEN @60 ML (AFI) BT 1 - 18,000 18,000 PT AFIFARMA
42 12008528 ANTASIDA DOEN TAB MERSI DUS 100 - 49 49 MERSIFARMA
43 11002014 ANTIFECT HAND SANITIZER LIQUID 5 L JRG 1 367,500 88 88 KIMIA FARMA
44 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS 10 33,000 311 55 12 378 KIMIA FARMA
45 13019849 ANTIMO ANAK JERUK SACH @10 DUS 10 9,870 751 751 PHAPROS, PT
46 13019850 ANTIMO ANAK STRAWBERRY@10 DUS 10 9,870 97 97 PHAPROS, PT
47 12005096 ANTIMO DEWASA TAB DUS 1 309,600 204 204 PHAPROS, PT
48 12009835 AQUA PRO INJ @10 VL (PEHA) DUS 10 102,000 8 8 PHAPROS, PT
49 12012479 AROSA GEL 1ML SACH@10 (PYRIDAM) DUS 10 236,000 5 5 PYRIDAM, PT
50 13076374 ARTESUNATE INJ VL 1 97,000 105 105 BHINNEKA USADA RAYA
51 12000114 ARTESUNATE INJEKSI 60 MG/ML DUS 1 97,000 28 28 BHINNEKA USADA RAYA
52 12002137 ASAM FOLAT 1 MG TAB @ 100 (MARIN) DUS 100 8,250 2 2 MARIN LIZA
53 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS 100 180,000 165 165 KIMIA FARMA
54 11000155 ASIFIT KAPLET-BLISTER 3X10 KAPL DUS 30 58,704 340 340 KIMIA FARMA
55 11002193 ASIFIT TAB SALUT (BLISTER 3X10 TAB)-BJN DUS 30 - 1,687 1,687 KIMIA FARMA
56 12009711 ASPILETS THROMBO TABLET @ 150( (DVRS) DUS 150 126,500 56 56 DARYA VARIA, PT
57 12008865 A-STARK GEL 100ML (PYRIDAM) TUB 1 236,000 5 5 PYRIDAM, PT
58 13002690 ATOFAR 10MG TAB@30 (FAH) DUS 30 390,000 4 4 PRATAPA NIRMALA
59 12005177 ATOFAR 20 TAB@30 (FAH) DUS 30 390,000 17 17 PRATAPA NIRMALA
60 13002692 ATOFAR 40MG TAB@30 (FAH) DUS 30 390,000 16 16 PRATAPA NIRMALA
61 11001586 ATORVASTATIN 10 MG (DUS 30 TAB) DUS 30 30,000 144 144 KIMIA FARMA
62 12009722 ATORVASTATIN 10 MG @ 100 TAB (DVRS) DUS 100 104,545 15 15 DARYA VARIA, PT
63 11001587 ATORVASTATIN 20 MG (DUS 30 TAB) DUS 30 41,250 2 2 KIMIA FARMA
64 11001588 ATORVASTATIN 40 MG (DUS 30 TAB) DUS 30 70,000 53 53 KIMIA FARMA
65 11002183 AVICOV 200 MG TSS (DUS 100 TAB) DUS 100 1,600,000 70 70 KIMIA FARMA
66 11002062 AVONZA TSS (BTL 30 TAB) BT 30 250,000 3 3 KIMIA FARMA
67 12000148 AXIMED AIRFLOW TUB, ETT 5.5 PC 1 20,800 2 2 BIO AXION HEALTHINDO, PT
68 12000117 AXIMED CHIRURGIC GLOVES. 6.0 PAC 1 11,364 81 81 BIO AXION HEALTHINDO, PT
69 12000196 AXIMED STOMACH TUB NO.14 PC 1 6,900 60 60 BIO AXION HEALTHINDO, PT
70 12000204 AXIMED SUCTION CATHETER NO.16 PC 1 6,600 16 16 BIO AXION HEALTHINDO, PT
71 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS 20 46,000 2,222 - 150 400 - 2,772 KIMIA FARMA
72 11002197 BATUGIN SIRUP BT 300 ML - BJN BT 1 44,900 6,839 6,839 KIMIA FARMA
73 12013463 BAYGEL 5 LITER JRG 1 205,455 2 2 PT. LIKUID PHARMALAB INDONESIA
74 12013491 BAYMAN ANTISEPTIC SPRAY BT@20 ML BT 1 50,000 20 20 PT. LIKUID PHARMALAB INDONESIA
75 12011508 BAYMED ALKOHOL SWAB 2 PLY @100 PC DUS 100 12,273 65 65 PT. LIKUID PHARMALAB INDONESIA
76 12011509 BAYMED CHLORHEXIDINE 4% 500 ML BT 1 77,273 17 17 PT. LIKUID PHARMALAB INDONESIA
77 12011614 BAYMED CRUTCH TONGKAT KETIAK (S) PAA 1 150,000 7 7 PT. LIKUID PHARMALAB INDONESIA
78 12013414 BAYMED HANDRUB 500 ML BT 1 28,363 18 18 PT. LIKUID PHARMALAB INDONESIA
79 12011516 BAYMED MASKER EAR LOOP @50 PCS DUS 50 25,000 57 57 PT. LIKUID PHARMALAB INDONESIA
80 12011920 BAYMED PLUS 750ML BT 1 181,044 12 12 PT. LIKUID PHARMALAB INDONESIA
81 12011515 BAYMED SAFETY BOX @5L DUS 1 22,728 10 10 PT. LIKUID PHARMALAB INDONESIA
82 12011805 BAYMED STIKPAN PC 1 22,000 11 11 PT. LIKUID PHARMALAB INDONESIA
83 12012145 BAYMED SURGICAL FACE MASK HIJAB DUS 50 25,000 72 72 PT. LIKUID PHARMALAB INDONESIA
84 12012221 BAYMED TRIPOD WALKING STICK (KAKI 3) PC 1 100,000 15 15 PT. LIKUID PHARMALAB INDONESIA
85 12014105 BAYMEDIKA SINGLE POD STICK SIZE M PC 1 70,000 9 9 PT. LIKUID PHARMALAB INDONESIA
86 12011923 BAYZIME DETERGENT ALKALI ENZIMATIK 1L BT 1 903,359 12 12 PT. LIKUID PHARMALAB INDONESIA
87 13022661 BECEFORT SYR 60ML BT 1 14,998 80 80 PHAPROS, PT
88 11000323 BEDAK SALICYL 2% 60 gr PC 1 5,842 3,540 3,540 KIMIA FARMA
89 13001869 BENZATIN BENZIL PENICILLIN 1.2 DUS 100 - 7 50 57 PHAPROS, PT
90 13001870 BENZATIN BENZIL PENICILLIN 2.4 DUS 10 774,150 4 71 75 PHAPROS, PT
91 13010345 BETAFORT SUSP 60ML BT 1 21,460 24 24 PHAPROS, PT
92 11000383 BETAMETASON 0.1% CR(DUS 25 TUBE@5 GRAM) DUS 1 2,217 1 51 48 100 KIMIA FARMA
93 11000385 BETASON CREAM (DUS 24 TUB @ 5 G) DUS 24 7,950 101 101 KIMIA FARMA
94 12006329 BEVALEX CR 5GR MOL TUB 1 15,000 928 928 MOLEX AYUS, PT
95 13010351 BEXICOM Z TAB@100 NUF DUS 100 137,000 28 28 NUFARINDO, PT
96 13010355 BIO ATP KPL@100 DUS 100 214,180 18 18 PHAPROS, PT
97 12011446 BIOAXI FACE MASK EAR LOOP @50 PCS DUS 50 16,216 453 453 BIO AXION HEALTHINDO, PT
98 12000713 BIOGESIC BLISTER 100 S (UN) DUS 100 39,600 2 2 DARYA VARIA, PT
99 12013616 BIORON FORTE TSG.7 CC X 4S DUS 28 60,800 13 13 PHAPROS, PT
100 13026576 BIORON TAB@100 DUS 100 101,650 38 38 PHAPROS, PT
101 13002567 BIPRO 5MG TAB@30 (FAH) DUS 30 159,000 112 112 PRATAPA NIRMALA
102 12012222 BISACODYL 5MG TAB@100 DUS 10 23,783 16 5 21 HARSEN LABORATORIES, PT
103 12000276 BISOLVON EXTRA SYR 60 ML BT 1 42,145 162 162 OPELLA HEALTHCARE INDONESIA, PT
104 12000281 BISOLVON SOLUTION BT 1 81,060 19 19 OPELLA HEALTHCARE INDONESIA, PT
105 12010616 BONEFILL ORTHO BT 1 1,350,000 10 10 PHAPROS, PT
106 12013139 BONEFILL ORTHO BONE GRAFT GRANULE BT 1 2,300,000 1 1 PHAPROS, PT
107 12013514 BONEFILL POWDER HYDROXYAPATITE BONEGRAFT DUS 1 400,000 2 2 PHAPROS, PT
108 12012143 BONFORCE SACH@15 (SAP) DUS 15 410,000 49 49 SATYA ABADI PHARMA, PT
109 12008187 BUFACETINE 2% SALEP 15 GR DUS 1 - 20 20 BUFA ANEKA, PT
110 12010376 BUNASCAN EPIDURAL 0.5 % INJ AMP@5 (FAH) DUS 5 350,000 15 15 PRATAPA NIRMALA
111 13008853 BUNASCAN SPIN 0.5% HEAVY INJ AMP@5 (FAH) DUS #N/A 350,000 4 4 PRATAPA NIRMALA
112 12000729 BURNAZIN CREAM 35 GR TUB 1 61,933 23 23 DARYA VARIA, PT
113 12009724 BURNAZIN CREAM 35 GR (DVRS) TUB 1 61,933 10 10 DARYA VARIA, PT
114 12000282 BUSCOPAN 10 MG DRAG DUS 100 327,945 37 37 OPELLA HEALTHCARE INDONESIA, PT
115 12000283 BUSCOPAN 20 MG / ML INJ DUS 100 368,480 10 10 OPELLA HEALTHCARE INDONESIA, PT
116 12009840 CALCITRIOL 0.5 MCG @30 KPS (PEHA) DUS 30 - 229 229 PHAPROS, PT
117 11001459 CALCIUM LACTAT 500 MG (DUS 100 TAB)-BJN DUS 100 25,000 6 6 KIMIA FARMA
118 13073591 CALGAE KPL@30 (FAH) DUS 30 165,000 19 19 PRATAPA NIRMALA
119 12008867 CALMOSAN CREAM 125ML (PYRIDAM) TUB 1 268,000 3 3 PYRIDAM, PT
120 13002401 CALSIVAS 10MG TAB@30 (FAH) DUS 30 - 5 5 PRATAPA NIRMALA
121 13002400 CALSIVAS 5MG TAB@30 (FAH) DUS 30 165,000 12 12 PRATAPA NIRMALA
122 12011932 CAMIVIT D3 1000 IU BT@ 30 KPS (LUCAS) BT 30 29,715 1,401 1,401 LUCAS DJAJA
123 12009842 CAPTOPRIL 12.5 MG @100 TAB (PEHA) DUS 100 9,500 317 317 PHAPROS, PT
124 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS 100 22,000 446 446 KIMIA FARMA
125 12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) DUS 100 13,423 183 100 3,099 3,382 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
126 13002406 CARDISMO TAB@100 DUS 100 246,675 1 1 PHAPROS, PT
127 13072425 CEFIXIME 200MG CAP@30 GBN DUS 30 - 20 20 PIHAK 3
128 12014802 CEFTRIAXONE SODIUM 1G (MEPRO) DUS #N/A #N/A 40 40 PIHAK 3
129 12004089 CENDO ASTHENOF ED 5ML BT 1 21,000 34 34 CENDO, PT
130 12004093 CENDO CARPINE 1% EYE DROP 5 ML BT 1 15,500 18 18 CENDO, PT
131 12004095 CENDO CARPINE 2% EYE DROP 5 ML BT 1 19,000 136 136 CENDO, PT
132 12004096 CENDO CARPINE 2% MINIDOSE 5 X 0.6 ML DUS 1 17,625 4 4 CENDO, PT
133 12004098 CENDO CATARLENT EYE DROP 15 ML BT 1 30,625 66 66 CENDO, PT
134 12004099 CENDO CATARLENT EYE DROP 5 ML BT #N/A 22,625 102 102 CENDO, PT
135 12004100 CENDO CATARLENT MINIDOSE 5 X 0.6 ML STR 1 20,000 131 131 CENDO, PT
136 12004103 CENDO CENFRESH EYE DROP 5 ML BT 1 34,875 23 23 CENDO, PT
137 12004112 CENDO CONVER 2% EYE DROP 15 ML BT 1 13,000 12 12 CENDO, PT
138 12004113 CENDO CONVER 4% MINIDOSE 5 X 0.6 ML STR 1 16,125 40 40 CENDO, PT
139 12004116 CENDO CYCLON EYE DROP 5 ML BT 1 17,750 18 18 CENDO, PT
140 12004120 CENDO EFRISEL 10% EYE DROP 5 ML BT 1 15,250 44 44 CENDO, PT
141 12004122 CENDO EYEFRESH EYE DROP 5 ML BT 1 28,875 4 4 CENDO, PT
142 12004123 CENDO EYEFRESH MILD MINIDOSE 5 X 0.6 ML STR 1 30,625 32 32 CENDO, PT
143 12004125 CENDO EYEFRESH PLUS MINIDOSE 5 X 0.6 ML STR 1 34,875 89 89 CENDO, PT
144 12004126 CENDO FENICOL 0.25% EYE DROP 5 ML BT 1 21,875 39 39 CENDO, PT
145 12004128 CENDO FENICOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 14 14 CENDO, PT
146 12004127 CENDO FENICOL 0.5% EYE DROP 5 ML BT 1 - 78 78 CENDO, PT
147 12004129 CENDO FENICOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 17,500 16 16 CENDO, PT
148 12004130 CENDO FENICOL EYE OINTMENT 3.5 GRAM TUB 1 21,875 110 110 CENDO, PT
149 12004977 CENDO FLOXA MINIDOSE 5 X 0.6 ML STR 1 - 228 228 CENDO, PT
150 12004132 CENDO FLUORESCEIN 2% EYE DROP 5 ML BT 1 13,000 96 96 CENDO, PT
151 12004135 CENDO GENTA 0.3% EYE DROP 5 ML BT 1 28,375 49 49 CENDO, PT
152 12004134 CENDO GENTA 0.3% EYE OINT 3.5 GRAM TUB 1 36,375 44 44 CENDO, PT
153 12004136 CENDO GENTA 0.3% MINIDOSE 5 X 0.6 ML STR 1 15,875 32 32 CENDO, PT
154 12004137 CENDO GENTA 1% EYE DROP 5 ML BT 1 23,250 8 8 CENDO, PT
155 12004138 CENDO GENTA 1% MINIDOSE 5 X 0.6 ML STR 1 16,625 120 120 CENDO, PT
156 12004139 CENDO GLAOPEN MINIDOSE 5 X 0.6 ML STR 1 90,250 29 29 CENDO, PT
157 12004140 CENDO GLAOPLUS MINIDOSE 5 X 0.6 ML STR 1 95,875 42 42 CENDO, PT
158 12005845 CENDO GLAUCON TAB@20 DUS 20 76,000 69 69 CENDO, PT
159 12004141 CENDO HERVIS EYE OINT 3.5 GRAM TUB 1 36,750 2 2 CENDO, PT
160 12004143 CENDO HOMATRO 2% EYE DROP 5 ML BT 1 35,500 5 5 CENDO, PT
161 12004167 CENDO HYALUB MINIDOSE 5 X 0.6 ML STR 1 - 17 17 CENDO, PT
162 12004146 CENDO LENTIKULER MINIDOSE 5 X 0.6 ML STR 1 33,250 164 164 CENDO, PT
163 12004147 CENDO LFX EYE DROP 5 ML BT 1 - 3 3 CENDO, PT
164 12004148 CENDO LFX MINIDOSE 5 X 0.6 ML STR 1 - 40 40 CENDO, PT
165 12009574 CENDO LUBRICEN EYE DROP 15 ML BT 1 42,250 95 95 CENDO, PT
166 12004150 CENDO LUBRICEN MINIDOSE 5 X 0.6 ML STR 1 40,500 353 353 CENDO, PT
167 12004152 CENDO LYTEERS EYE DROP 15 ML BT 1 22,500 241 241 CENDO, PT
168 12004153 CENDO LYTEERS MINIDOSE 5 X 0.6 ML STR 1 19,250 43 43 CENDO, PT
169 12004158 CENDO MYCOS EYE DROP 5 ML BT 1 19,875 10 10 CENDO, PT
170 12004157 CENDO MYCOS EYE OINT 3.5 GRAM TUB 1 26,250 20 20 CENDO, PT
171 12004159 CENDO MYCOS MINIDOSE 5 X 0.6 ML STR 1 16,625 61 61 CENDO, PT
172 12004160 CENDO MYDRIATYL 0.5% EYE DROP 5 ML BT 1 28,875 3 3 CENDO, PT
173 12004162 CENDO MYDRIATYL 1% EYE DROP 5 ML BT 1 38,250 17 17 CENDO, PT
174 12004163 CENDO MYDRIATYL 1% MINIDOSE 5 X 0.6 ML STR 1 29,375 59 59 CENDO, PT
175 12004165 CENDO NATACEN MINIDOSE 5 X 0.6 ML STR 1 - 49 49 CENDO, PT
176 12004980 CENDO NONCORT MINIDOSE 5 x 0.6 ML STR 1 42,250 91 91 CENDO, PT
177 12004168 CENDO OCULENTA VED 5 GRAM TUB 1 - 3 3 CENDO, PT
178 12004171 CENDO PANTOCAIN 0.5% EYE DROP 5 ML BT 1 12,125 19 19 CENDO, PT
179 12004172 CENDO PANTOCAIN 2% EYE DROP 5 ML BT 1 13,250 35 35 CENDO, PT
180 12004174 CENDO POLYDEX EYE DROP 5 ML BT 1 35,750 142 142 CENDO, PT
181 12004175 CENDO POLYDEX MINIDOSE 5 X 0.6 ML STR 1 26,500 136 136 CENDO, PT
182 12004176 CENDO POLYGRAN EYE DROP 5 ML BT 1 31,625 5 5 CENDO, PT
183 12004178 CENDO POLYGRAN MINIDOSE 5 X 0.6 ML STR 1 17,500 8 8 CENDO, PT
184 12004179 CENDO POLYNEL EYE DROP 5 ML BT 1 26,875 82 82 CENDO, PT
185 12004180 CENDO POLYNEL MINIDOSE 5 X 0.6 ML STR 1 - 13 13 CENDO, PT
186 12004181 CENDO POLYPRED MINIDOSE 5 X 0.6 ML STR 1 17,375 24 24 CENDO, PT
187 12004182 CENDO POSOP MINIDOSE 5 X 0.6 ML STR 1 52,500 5 5 CENDO, PT
188 12004188 CENDO SILOXAN EYE DROP 5 ML BT 1 52,750 57 57 CENDO, PT
189 12004193 CENDO TIMOL 0.25% MINIDOSE 5 X 0.6 ML STR 1 - 23 23 CENDO, PT
190 12004194 CENDO TIMOL 0.5% EYE DROP 5 ML BT 1 47,750 28 28 CENDO, PT
191 12004195 CENDO TIMOL 0.5% MINIDOSE 5 X 0.6 ML STR 1 25,750 55 55 CENDO, PT
192 12004197 CENDO TOBRO EYE DROP 5 ML BT 1 20,750 26 26 CENDO, PT
193 12004198 CENDO TOBRO MINIDOSE 5 X 0.6 ML STR 1 19,125 87 87 CENDO, PT
194 12004200 CENDO TOBROSON EYE DROP 5 ML BT 1 - 88 88 CENDO, PT
195 12009578 CENDO TOBROSON EYE OINT 3.5 GR BT 1 43,250 40 40 CENDO, PT
196 12004201 CENDO TOBROSON MINIDOSE 5 X 0.6 ML STR 1 - 69 69 CENDO, PT
197 12006043 CENDO TONOR 0.5% MINIDOSE 5 X 0.6 ML STR 1 38,100 38 38 CENDO, PT
198 12004209 CENDO TROPINE 0.5% EYE DROP 5 ML BT 1 11,250 25 25 CENDO, PT
199 12004210 CENDO TROPINE 0.5% MINIDOSE 5 X 0.6 ML STR 1 15,375 18 18 CENDO, PT
200 12004202 CENDO TROPINE 1% EYE DROP 5 ML BT 1 12,500 24 24 CENDO, PT
201 12004207 CENDO VASACON EYE DROP 15 ML BT 1 16,250 19 19 CENDO, PT
202 12004211 CENDO VASACON-A EYE DROP 15 ML BT 1 22,375 21 21 CENDO, PT
203 12004981 CENDO VASACON-A MINIDOSE 5 X 0.6 ML STR 1 14,750 71 71 CENDO, PT
204 12004213 CENDO VERNACEL EYE DROP 5 ML BT 1 18,500 2 2 CENDO, PT
205 12005164 CENDO VITAL TAB@30 DUS 30 90,000 11 11 CENDO, PT
206 12004218 CENDO VITROLENTA EYE DROP 5 ML BT 1 32,750 136 136 CENDO, PT
207 12004222 CENDO XITROL EYE DROP 5 ML BT 1 27,250 429 429 CENDO, PT
208 12004224 CENDO XITROL EYE OINT 3.5 G TUB 1 35,875 121 121 CENDO, PT
209 12004223 CENDO XITROL MINIDOSE 5 X 0.6 ML STR 1 24,375 456 456 CENDO, PT
210 11001365 CERASPON DUS 1 240,000 1 1 2 KIMIA FARMA
211 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS 30 11,000 139 139 KIMIA FARMA
212 12012303 CETIRIZINE 5MG/5ML SYR 60ML (AFI) BT 1 2,178 994 994 PT AFIFARMA
213 12013772 CHANNA BOOST 30 KPS /500 MG DUS 30 165,000 53 53 MEGA MEDICA PHARMACEUTICALS, PT
214 12014733 CHANNA FOLA (MMP) DUS #N/A 165,000 61 61 MEGA MEDICA PHARMACEUTICALS, PT
215 12014734 CHANNA LAKTA (MMP) DUS #N/A 165,000 66 66 MEGA MEDICA PHARMACEUTICALS, PT
216 12006912 CHANNA PLUS SACHET DUS 3 190,500 52 52 MEGA MEDICA PHARMACEUTICALS, PT
217 12014735 CHANNA SIRUP (MMP) BT #N/A 70,000 100 100 MEGA MEDICA PHARMACEUTICALS, PT
218 12008508 CHANNA STRIATA 500 MG @ 30 KPS DUS #N/A 181,500 120 13 133 MEGA MEDICA PHARMACEUTICALS, PT
219 13084478 CHANNAFIT SYR 100ML BT 1 70,000 113 113 MEGA MEDICA PHARMACEUTICALS, PT
220 11000026 CHLORAMFECORT CREAM (DUS 24 TUB @10 G) DUS 24 13,400 20 20 KIMIA FARMA
221 11000027 CHLORAMFECORT H CREAM (DUS 24TUB @10 G) DUS 24 13,225 67 67 KIMIA FARMA
222 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS 100 61,622 18 18 KIMIA FARMA
223 12005757 CHLORAMPHENICOL 250MG CAP@100(NOVA) DUS #N/A #N/A 50 50 NOVAPHARIN
224 12002376 CHLORPHENIRAMINE 4MG TAB@100 (NOVA) DUS 100 10,000 788 - - - 788 NOVAPHARIN
225 12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) DUS 30 - 1 1 PHAPROS, PT
226 12009853 CHLORPROMAZINE 25 MG @100 TAB (PEHA) DUS 100 50,000 50 1 4 55 PHAPROS, PT
227 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS 100 33,407 519 519 KIMIA FARMA
228 12002378 CIPROFLOXACIN 500MG TAB@100 (NOVA) DUS 100 40,700 223 25 248 NOVAPHARIN
229 11002212 CITAMIN C PLUS 1000MG EFF (DUS 10 TAB) DUS 10 27,500 552 552 KIMIA FARMA
230 11002209 CITAMIN D3 1000IU SOFT KAPSUL (DUS30KPS) BT 30 49,500 364 364 KIMIA FARMA
231 11002245 CITAMIN E 400 IU (DUS 30 SOFT KPS) DUS 30 49,500 901 901 KIMIA FARMA
232 12009857 CITICOLINE SODIUM 125 MG/ML INJ @5 AMP ( DUS 5 37,500 150 150 PHAPROS, PT
233 12014739 CLEAN PLUS FACIAL SOFTPACK TISSUE 180 SH PAC #N/A 4,865 1 1 PIHAK 3
234 12014740 CLEAN PLUS FACIAL SOFTPACK TISSUE 250 SH PAC #N/A 6,713 321 321 PIHAK 3
235 12005359 CLINDAMYCIN 300 MG KAPS @ 50 ( DUS 50 - 50 50 MERSIFARMA
236 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS 100 20,000 4 4 KIMIA FARMA
237 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS 100 20,000 479 115 594 KIMIA FARMA
238 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB)-BJN DUS 30 50,000 655 285 1,000 1,940 KIMIA FARMA
239 12009859 CLOPIDOGREL BISULFATE 75 MG @30 TAB (PEH DUS 30 37,500 170 170 PHAPROS, PT
240 11000033 CODEINE 10 MG (DUS 100 TAB) DUS 100 54,685 68 90 158 KIMIA FARMA
241 11000035 CODEINE 15 MG (DUS 100 TAB) DUS 100 112,180 18 18 KIMIA FARMA
242 11000037 CODEINE 20 MG (DUS 100 TAB) DUS 100 147,600 20 58 78 KIMIA FARMA
243 11000038 CODIKAF 10 MG TABLET (DUS 100 TAB) DUS 100 78,750 4 4 KIMIA FARMA
244 11000040 CODIKAF 20 MG TABLET (DUS 100 TAB) DUS 100 156,000 5 5 KIMIA FARMA
245 11000042 CODIPRONT CUM EXPECT.SIROP (BTL 60 ML) BT 1 55,550 10 10 KIMIA FARMA
246 11000046 CODITAM TABLET (DUS 100 TAB) DUS 100 410,000 15 15 KIMIA FARMA
247 12001206 COTRIMOXAZOL SYR(HOLI) BT #N/A #N/A 5,000 5,000 HOLI PHARMA
248 12013402 CURLYSINE RASA JERUK @60 ML BT 1 16,000 6 6 PHAPROS, PT
249 13010481 CURMUNOS SYR 60ML (FAH) BT 1 90,000 200 200 PRATAPA NIRMALA
250 12011731 D3-1000 TAB@30 (PYRIDAM) DUS 30 75,000 14 14 PYRIDAM, PT
251 12005932 D5 - MJB 500 ML BT 1 6,924 16 16 EMJEBE PHARMA , PT
252 12014409 D-ARTEPP DISPERSIBLE KIDS @6 TAB DUS 6 87,023 1,814 1,814 BHINNEKA USADA RAYA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
253 13076707 D-ARTEPP TAB@9 DUS 9 72,000 18,773 18,773 BHINNEKA USADA RAYA
254 12009744 DARYANT-TULLE STERILE DUS 10 PC (DVRS) DUS 10 206,388 478 478 DARYA VARIA, PT
255 12015023 DECADRYL 120 (HARSEN) DUS 1 20,000 349 349 HARSEN LABORATORIES, PT
256 12006576 DECADRYL EXP 60 ML BT 1 15,500 310 310 HARSEN LABORATORIES, PT
257 12000771 DECOLGEN TAB @ 100 (UN) DUS 100 39,573 4 4 DARYA VARIA, PT
258 12000773 DECOLSIN SIRUP 60 ML (UN) BT 1 14,850 14 14 DARYA VARIA, PT
259 13009034 DEPO PROGESTIN INJ 3ML@20 VL 20 6,916 1,900 1,900 PIHAK 3
260 12015111 DEXAHARSEN 0,75 MG KAPLET ( HARSEN ) DUS 200 41,800 79 79 HARSEN LABORATORIES, PT
261 12006873 DEXAMETHASONE 0,5MG TAB@100 (NOVA) DUS #N/A #N/A - 300 - - 300 NOVAPHARIN
262 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS 100 8,000 116 116 KIMIA FARMA
263 13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) DUS 100 237,509 470 10 162 8 650 PHAPROS, PT
264 12005496 DEXAMETHASONE INJ. 5 MG/ML DUS #N/A #N/A - 400 - - 400 MEPROFARM
265 13000718 DEXTAMIN TAB@100 DUS 100 165,000 385 385 PHAPROS, PT
266 13000720 DEXTAMINE 30X10pcs DUS 300 486,610 265 265 PHAPROS, PT
267 13000719 DEXTAMINE SYRUP 60 ML BT 1 27,458 116 116 PHAPROS, PT
268 12006396 DEXTRAL SYRUP 60ML MOL BT 1 8,700 217 217 MOLEX AYUS, PT
269 12006487 DIAZEPAM 5MG TAB@100 (MERSI) DUS 100 - 68 68 MERSIFARMA
270 12008228 DIAZEPAM INJ 5MG/ML (MEPRO) DUS 0 14,773 309 160 469 MEPROFARM
271 12012922 DIFFUSER SELENSIA MOTIF KAYU 400ML UNT 1 228,000 2 2 SINKONA INDONESIA LESTARI, PT
272 12008868 DI-HERB GEL 125ML (PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
273 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS 100 19,328 3 3 KIMIA FARMA
274 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT 100 14,755 849 20 869 KIMIA FARMA
275 13002883 DIOS TAB@30 DUS 30 115,000 100 100 PHAPROS, PT
276 12007555 DISP.SYRINGE WITH NEEDLE 1 CC TUBERCULIN DUS 100 - 7 7 PRUNING
277 12007560 DISP.SYRINGE WITHOUT NEEDLE 5 CC DUS 100 - 25 25 PRUNING
278 12011117 DISPOSABLE MASK KN95 POUCH@5 PC POU 5 - 150 150 PIHAK 3
279 11002210 DOBUTAMINE 250 MG/ 5 ML INJEKSI DUS 5 140,000 1 1 KIMIA FARMA
280 12012305 DOMPERIDON 5MG/5ML SYR 60ML (AFI) BT 1 - 2,000 2,000 PT AFIFARMA
281 12002383 DOMPERIDONE 10MG TAB@100 (NOVA) DUS 100 15,038 180 180 NOVAPHARIN
282 11002225 DOVASTROP 250 MG/ 5 ML INJEKSI DUS 5 400,000 11 11 KIMIA FARMA
283 11000055 DOXEF 500 MG KAPSUL (DUS 60 KPS) DUS 60 495,521 4 4 KIMIA FARMA
284 12003670 DT LABEL WHITE PERMANENT 2" X 1-1/4" RLL 1 210,000 100 100 SINAR RODA UTAMA, PT
285 12003672 DT LABEL WHITE PERMANENT 2" X 2-3/8"s RLL 1 730,400 5 5 SINAR RODA UTAMA, PT
286 12000289 DULCOLACTOL SYR 60 ML BT 1 62,602 94 94 OPELLA HEALTHCARE INDONESIA, PT
287 12000291 DULCOLAX 10 MG SUPP ADULT DUS 5 126,391 48 48 OPELLA HEALTHCARE INDONESIA, PT
288 12000292 DULCOLAX 5 MG ECT @200 TAB DUS 200 313,734 37 37 OPELLA HEALTHCARE INDONESIA, PT
289 12000293 DULCOLAX 5 MG ECT 80 TAB DUS 80 167,398 8 8 OPELLA HEALTHCARE INDONESIA, PT
290 12000294 DULCOLAX 5 MG SUPP. INF 6pcs DUS 6 108,716 9 9 OPELLA HEALTHCARE INDONESIA, PT
291 12008507 DUPLANT 75 MG (HARSEN) DUS 1 291,909 10 10 HARSEN LABORATORIES, PT
292 11000496 DUROGESIC 12.5 MU MATRIX (YS) DUS 0 598,500 21 21 JANSSEN PHARMACEUTICA NV
293 11000497 DUROGESIC 25 MU MATRIX (YS) DUS 0 1,109,825 57 57 JANSSEN PHARMACEUTICA NV
294 11000057 DUVADILAN INJEKSI (DUS 6 AMP) DUS 6 179,000 14 14 KIMIA FARMA
295 11000058 DUVADILAN TABLET (DUS 50 TAB) DUS 50 250,000 17 17 KIMIA FARMA
296 11000059 DUVIRAL TAB (BTL 60 TAB) BT 60 300,000 1 1 KIMIA FARMA
297 13077781 E - SOME 40MG INJ VL 1 36,145 442 442 PHAPROS, PT
298 13009127 ELPICEF 1GR INJ VIAL@2 (FAH) DUS 2 420,000 61 61 PRATAPA NIRMALA
299 12005966 ENERVON - C TAB @ 30 (UN) BT 30 29,410 39 39 DARYA VARIA, PT
300 12000787 ENERVON C EFFERVESCENT 10 TAB TUB 1 25,792 29 29 DARYA VARIA, PT
301 12000789 ENERVON C FC TAB @ 100 (UN) DUS 100 99,850 11 11 DARYA VARIA, PT
302 11002195 ENKASARI HERBAL (BTL@120 ML)-BJN BT 1 17,049 7,317 7,317 KIMIA FARMA
303 12005679 ERABUTOL PLUS KPL@100 (PYRIDAM) DUS 100 165,000 9 9 PYRIDAM, PT
304 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT 100 22,000 5 5 KIMIA FARMA
305 11001483 ERSYLAN SYRUP (BTL 60 ML)-BJN BT 1 20,000 34 34 KIMIA FARMA
306 12008245 ERYTHROMYCIN STEARATE 500MG (RAMA) DUS 0 137,747 140 140 RAMA EMERALD, PT
307 12011959 ERYTHROMYCIN SUCCINATE SYR 60 ML (HOLI) BT #N/A #N/A 550 650 1,200 HOLI PHARMA
308 11000310 EUGENOL (BTL 10 ML) DUS 12 24,000 2 1 1 4 KIMIA FARMA
309 12014872 FACIAL CLEAN PLUS 1 KG X 20 PACK PAC #N/A 30,221 3 3 PIHAK 3
310 13000734 FALERGI 10MG TAB@60 (FAH) DUS 60 210,000 19 19 PRATAPA NIRMALA
311 12005971 FARGOXIN INJ AMP@5 (FAH) DUS 5 300,000 26 - - 26 PRATAPA NIRMALA
312 13002090 FARLEV 500MG TAB@10 (FAH) DUS 10 300,000 19 19 PRATAPA NIRMALA
313 13009195 FARLEV 750MG INF 150ML (FAH) VL 1 325,000 10 10 PRATAPA NIRMALA
314 13002626 FARMABES 30MG TAB@100 (FAH) DUS #N/A #N/A 1 1 PRATAPA NIRMALA
315 13009197 FARMABES INJ VIAL@2 (FAH) DUS 2 220,000 107 50 157 PRATAPA NIRMALA
316 13019746 FARMACROL FORTE SUSP 100ML (FAH) BT 1 50,000 55 55 PRATAPA NIRMALA
317 13019747 FARMACROL FORTE SUSP 200ML (FAH) BT 1 60,000 45 45 PRATAPA NIRMALA
318 13003188 FARMADOL 500MG TAB@100 (FAH) DUS 100 40,000 54 54 PRATAPA NIRMALA
319 13009198 FARMADOL INF 50ML (FAH) VL 1 40,000 29 29 PRATAPA NIRMALA
320 12005072 FARMAVON 4MG/2ML INJ AMP@10 (FAH) DUS 10 420,000 58 57 115 PRATAPA NIRMALA
321 13009203 FARPAIN 30MG INJ AMP@5 (FAH) DUS 5 178,000 2 2 PRATAPA NIRMALA
322 13070828 FARTISON INJ VIAL@2 (FAH) DUS 2 - 20 20 PRATAPA NIRMALA
323 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS 100 1,500,000 253 253 KIMIA FARMA
324 13019430 FEBRINEX SYR 60ML BT 1 14,414 55 55 PHAPROS, PT
325 12005859 FENDEX 25MG TAB@30 (FAH) DUS 30 189,000 7 7 PRATAPA NIRMALA
326 13009207 FENDEX INJ AMP@5 (FAH) DUS 5 225,000 142 142 PRATAPA NIRMALA
327 12009305 FENTANYL CITRATE INJ 10 ML (MBF) DUS 0 135,000 2 2 MAHAKAM BETA FARMA
328 12009304 FENTANYL CITRATE INJ 2 ML (MBF) DUS 5 34,000 219 219 MAHAKAM BETA FARMA
329 11001978 FERMOL DEMAM ANAK 60 ML RASA ANGGUR BT 1 30,000 287 287 KIMIA FARMA
330 11001979 FERMOL DEMAM ANAK 60 ML RASA JERUK BT 1 30,000 624 624 KIMIA FARMA
331 11001980 FERMOL DEMAM ANAK 60 ML RASA STRAWBERRY BT 1 30,000 850 850 KIMIA FARMA
332 13085935 FIESTA BLACK COFFEE LATEX KONDOM@3 PAC 3 9,818 163 163 PIHAK 3
333 13016405 FIESTA DOTTED KONDOM@ 3 BH 3 10,364 271 271 PIHAK 3
334 13077914 FIESTA GRAPE KONDOM@3 DUS 3 10,091 20 20 PIHAK 3
335 13085936 FIESTA WATERMELON SUGAR KONDOM@3 PAC 3 9,818 168 168 PIHAK 3
336 12012290 FINGER CLIP PULSE OXIMETER TIPE P-04 (SS UNT 1 153,636 288 288 SURYA SUKSES PERKASA, PT
337 11002073 FITOCARE MINYAK KAYU PUTIH 100 ML (NEW) BT 1 32,056 355 355 KIMIA FARMA
338 11002076 FITOCARE MINYAK TELON 100 ML (NEW) BT 1 29,472 189 189 KIMIA FARMA
339 11002074 FITOCARE MINYAK TELON 30 ML (NEW) BT 1 11,366 190 190 KIMIA FARMA
340 11002075 FITOCARE MINYAK TELON 50 ML (NEW) BT 1 14,780 166 166 KIMIA FARMA
341 11001823 FITUNO IMMUNE KIDS 100 ML BT 1 33,000 72 72 KIMIA FARMA
342 11002186 FITUNO KAPLET BLISTER 1 X 10 KAPLET DUS 10 41,845 662 662 KIMIA FARMA
343 11000197 FITUNO KAPLET-BLISTER 3X10 KAPLET DUS 30 119,216 6,099 6,099 KIMIA FARMA
344 13001320 FIXACEP 200MG TAB@10 (FAH) DUS 10 250,000 21 21 PRATAPA NIRMALA
345 13001321 FIXACEP ORAL DROP 15ML (FAH) BT 1 68,000 33 33 PRATAPA NIRMALA
346 13001322 FIXACEP SYR 30ML (FAH) BT 1 80,000 96 96 PRATAPA NIRMALA
347 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS 10 170,182 632 632 KIMIA FARMA
348 13011731 FOLIC ACID 1MG GPH DUS 100 17,400 171 10 181 PHAPROS, PT
349 12005681 FORMOM KPL@100 (PYRIDAM) DUS 100 275,000 7 7 PYRIDAM, PT
350 11001658 FOVEPTA DUS. 1 PREFILLED SYRINGE @0.4 ml DUS 1 1,900,000 10 10 KIMIA FARMA
351 12009765 FRAMYCETIN SULFATE 10X10 CM (DVRS) DUS 100 97,100 150 - 150 DARYA VARIA, PT
352 12011679 FRESMED DESINFECTAN SPRAY @250 ML BT 1 27,273 20 20 PT. LIKUID PHARMALAB INDONESIA
353 12005260 FUDAN 50MG CAP@30 (PYRIDAM) DUS 30 328,000 10 10 PYRIDAM, PT
354 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS 200 29,250 8 8 KIMIA FARMA
355 11002137 GABAPENTIN 100 MG (DUS 100 KPS) DUS 100 150,000 114 114 KIMIA FARMA
356 13081252 GABAXA 200MG/ML INF 100ML (FAH) VL 1 262,000 33 10 43 PRATAPA NIRMALA
357 11000551 GAMA-CHA (KARBONAT APATIT 70 MG DUS 10 500,000 10 10 KIMIA FARMA
358 12005178 GASTRUL TAB@30 (FAH) DUS 30 375,000 67 2 69 PRATAPA NIRMALA
359 13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) DUS 100 48,000 237 237 PHAPROS, PT
360 12013557 GENALSIK 40MG TAB@30 (FAH) DUS 30 120,000 47 47 PRATAPA NIRMALA
361 12011968 GERIAVITA KPL@100 (PEHA) DUS 100 247,500 120 120 PHAPROS, PT
362 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS 100 20,255 50 170 220 KIMIA FARMA
363 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS 50 20,000 597 597 KIMIA FARMA
364 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS 50 35,000 161 110 271 KIMIA FARMA
365 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS 50 35,000 80 80 KIMIA FARMA
366 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS 50 40,000 20 7 27 KIMIA FARMA
367 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS 100 30,590 2,406 2,406 KIMIA FARMA
368 12006352 GUAIFENESIN 100MG TAB@100 (NOVA) DUS #N/A 20,000 1 1 NOVAPHARIN
369 12013879 GYNPROGEST 100 MG @30 KPS (NUF) DUS 30 280,000 1 1 NUFARINDO, PT
370 12005737 HALOPERIDOL 5 MG DUS 100 - 50 50 MERSIFARMA
371 12014876 HANDTOWEL CLEAN PLUS BIRU 150 SHEETS X 2 PAC #N/A 7,652 90 90 PIHAK 3
372 13001573 HECOBAC 500MG TAB@30 NUF BT 30 675,000 1 1 NUFARINDO, PT
373 12006354 HEMOROGARD KAPS @30 DUS 30 39,163 92 92 PHAPROS, PT
374 12006958 HEPAGARD DUS 0 76,230 83 83 PHAPROS, PT
375 11000077 HEPLAV TABLET (BTL 30 TAB) BT 1 145,000 3 3 KIMIA FARMA
376 11000516 HUMAN ALBUMIN 20 % 50 ML BT 1 400,901 40 40 KIMIA FARMA
377 11000517 HUMAN ALBUMIN 20% 100 ML BT 1 815,315 120 120 KIMIA FARMA
378 12005248 HUSTAB 30X10S DUS 300 119,196 20 20 PHAPROS, PT
379 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJN DUS 100 16,500 36 200 100 336 KIMIA FARMA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
380 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS 100 16,500 1 1 KIMIA FARMA
381 11000394 HYDROCORTISONE 2.5%CR(DUS 24TUBE@ 5GRAM) DUS 24 3,458 0 4 201 206 KIMIA FARMA
382 12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA) DUS #N/A #N/A 30 30 RAMA EMERALD, PT
383 12008902 HYPOBHAC 100 MG/ML DUS 1 131,098 203 203 PHAPROS, PT
384 12008903 HYPOBHAC 200 MG/ML DUS 1 233,633 896 896 PHAPROS, PT
385 12013954 HYTOSA (SAP) BT 1 122,000 53 53 SATYA ABADI PHARMA, PT
386 12011728 IBU PROFEN SUSP 100 MG/5 ML (AFI) BT 1 - 900 900 PT AFIFARMA
387 12002387 IBUPROFEN 200MG TAB@100 (NOVA) DUS 100 22,950 494 494 NOVAPHARIN
388 12002386 IBUPROFEN 400MG TAB@100 (NOVA) DUS 100 31,500 2 500 - - 502 NOVAPHARIN
389 12004761 IMUDATOR SYRUP 60ML (PYRIDAM) BT 1 65,000 19 19 PYRIDAM, PT
390 12010148 INA-SHUNT SEMILUNAR FLUSH ADULT/MED PC 1 2,600,000 3 3 PHAPROS, PT
391 12010149 INA-SHUNT SEMILUNAR FLUSH INFANT/LOW PC 1 2,600,000 8 8 PHAPROS, PT
392 12010146 INA-SHUNT SEMILUNAR FLUSH INFANT/MED PC 1 2,600,000 2 2 PHAPROS, PT
393 12010654 INA-SHUNT SEMILUNAR FLUSH PAED/HIGH PC 1 - 2 2 PHAPROS, PT
394 12010150 INA-SHUNT SEMILUNAR FLUSH PAED/LOW PC 1 2,600,000 3 3 PHAPROS, PT
395 12010147 INA-SHUNT SEMILUNAR FLUSH PAED/MED PC 1 2,600,000 6 6 PHAPROS, PT
396 13002217 INFATRIM SYR 50ML MOL BT 1 6,500 42 42 MOLEX AYUS, PT
397 13009410 INOTROP 10ML INJ VIAL@2 (FAH) DUS 2 208,000 31 31 PRATAPA NIRMALA
398 12004320 INPEPSA SUSP 100ML (FAH) BT 1 70,000 284 284 PRATAPA NIRMALA
399 13005812 INPEPSA SUSP 200ML (FAH) BT 1 100,000 218 218 PRATAPA NIRMALA
400 12007335 INSTO REGULAR 15 ML DUS 1 16,100 33 33 COMBIPHAR, PT
401 13009429 INVICLOT 5000IU/ML INJ 5ML VIAL(FAH) VL 1 330,000 180 180 PRATAPA NIRMALA
402 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT 1 100,000 219 250 469 KIMIA FARMA
403 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT 30 32,500 149 9 158 KIMIA FARMA
404 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT 1 11,000 779 448 1,227 KIMIA FARMA
405 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT 1 7,500 554 554 KIMIA FARMA
406 12011577 ISOFLURANE INHALASI 250ML (FAH) DUS 1 - 1 1 PRATAPA NIRMALA
407 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS 100 24,000 2 2 KIMIA FARMA
408 12001211 ISONIAZID 100 MG TABLET DUS #N/A #N/A 9 9 HOLI PHARMA
409 12009870 KALOBA FCT @21 TAB DUS 21 145,040 6 6 PHAPROS, PT
410 11000080 KAMAFLAM 50 MG TSG (DUS 50 TAB) DUS 50 290,000 181 181 KIMIA FARMA
411 11000395 KETOCONAZOLE 2 % CR (DUS 25 TUB @10 G) DUS #N/A #N/A 8 5 13 KIMIA FARMA
412 12002388 KETOCONAZOLE 200MG TAB@50 (NOVA) DUS 50 24,000 25 410 - - 435 NOVAPHARIN
413 13011635 KETOROLAC 10MG INJ AMP@12 GPH (PEHA) DUS 12 30,600 185 185 PHAPROS, PT
414 13011641 KETOROLAC 30MG INJ AMP@12 GPH (PEHA) DUS #N/A 21,600 10 10 PHAPROS, PT
415 12014743 KETOROLAC TROMEMATOL INJ 30MG/1ML DUS #N/A #N/A 550 550 PIHAK 3
416 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS 50 65,901 148 148 KIMIA FARMA
417 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS 50 65,901 26 26 KIMIA FARMA
418 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS 50 59,054 100 100 KIMIA FARMA
419 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM PAC 50 102,285 11 11 KIMIA FARMA
420 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM PAC 50 143,190 12 12 KIMIA FARMA
421 11002188 KIFAMED KASA STERIL 16CMx16CM(DUS 16 PC) DUS 16 10,000 367 367 KIMIA FARMA
422 11002235 KIFAMED KURSI RODA (KFM-01) DUS 1 - 7 7 KIMIA FARMA
423 11002236 KIFAMED KURSI RODA (KFM-02) DUS 1 1,545,455 3 3 KIMIA FARMA
424 11001989 KIFAMED SURGICAL F. M. EARLOOP (50 PC) DUS 50 40,909 738 738 KIMIA FARMA
425 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC 1 77,273 1 1 KIMIA FARMA
426 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC 1 170,455 4 4 KIMIA FARMA
427 11000082 KIFAROX 500 MG TSS (DUS 30 TAB) DUS 30 390,000 47 47 KIMIA FARMA
428 11001938 KIFOVIR 300 MG TSS (DUS 30 TAB) BT 30 350,000 23 23 KIMIA FARMA
429 11002433 KIMOXIL FORTE 250 MG SIRUP KERING 60 ML BT 1 26,000 25 25 KIMIA FARMA
430 11000086 KLOTAREN 25 MG TSE (DUS 50 TAB) DUS 50 47,300 145 145 KIMIA FARMA
431 11000087 KLOTAREN 50 MG TSE (DUS 50 TAB) DUS 50 108,680 109 109 KIMIA FARMA
432 13005102 KOLKATRIOL 0.25MCG CAP@30 BT 1 179,463 57 57 PHAPROS, PT
433 13005103 KOLKATRIOL 0.5MCG CAP@30 BT 1 300,000 408 408 PHAPROS, PT
434 11000088 KOMBIPAK AZITHROMYCIN-CEFIXIME (PAKET) DUS 100 - 25 25 KIMIA FARMA
435 12007914 KOMPOLAX SUSP 60ML (IFARS) BT 1 5,427 150 150 IFARS PHARMACEUTICAL, PT
436 13010687 LACTAFAR CAP@30 (FAH) DUS 30 129,000 28 28 PRATAPA NIRMALA
437 12009131 LANSOPRAZOLE 30MG INJ (FAH) VL 1 95,000 1,093 1,093 PRATAPA NIRMALA
438 12005136 LECRAV 500MG TAB@12 (PYRIDAM) DUS 12 468,000 16 16 PYRIDAM, PT
439 12015272 LEVETIRACETAM 250 MG(YARINDO) DUS #N/A #N/A 40 40 YARINDO FARMATA, PT
440 12010162 LEVOFLOXACIN 500 MG @ 50 TAB DUS 50 - 15 15 PIHAK 3
441 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG TSS DUS 50 40,000 22 18 40 KIMIA FARMA
442 12008552 LEVOPAR @100 TAB(MEPRO) DUS 100 109,091 - 8 34 - 42 MEPROFARM
443 12008448 LEXACORTON CR 5GR MOL TUB 1 5,500 90 90 MOLEX AYUS, PT
444 12008489 LEXADON SUSP 60ML MOL BT 1 16,000 720 720 MOLEX AYUS, PT
445 12008491 LEXAGIN 500MG KPL@100 MOL DUS 100 40,000 16 16 MOLEX AYUS, PT
446 12008452 LEXATRANS 500MG KPL@50 MOL DUS 50 100,000 9 9 MOLEX AYUS, PT
447 12008453 LEXAVON SYR 60ML MOL BT 1 12,500 149 149 MOLEX AYUS, PT
448 12008454 LEXCOMET 4MG TAB@100 MOL DUS 100 77,500 35 35 MOLEX AYUS, PT
449 11002205 LIPIDEF 10 MG TSS (DUS 30 TAB) DUS 30 200,000 8 8 KIMIA FARMA
450 11002206 LIPIDEF 20 MG TSS (DUS 30 TAB) DUS 30 315,000 41 41 KIMIA FARMA
451 11002207 LIPIDEF 40 MG TSS (DUS 30 TAB) DUS 30 350,000 30 30 KIMIA FARMA
452 12006359 LIVRON - B PLEX TAB @ 100 DUS 100 29,500 349 349 PHAPROS, PT
453 12003048 LOPAMID TABLET @ 100 DUS 100 - 168 168 HARSEN LABORATORIES, PT
454 12006925 LOPERAMID HCL 2 MG TABLET DUS 0 17,636 150 150 IFARS PHARMACEUTICAL, PT
455 11000095 LOPREZOL 30 MG KAPSUL (DUS 30 KPS) DUS 30 347,091 81 81 KIMIA FARMA
456 12012216 LORATADINE 10MG TAB@100 (NOVA) DUS 100 - 26 26 NOVAPHARIN
457 11001223 LOVE TEST KEMASAN BARU DUS 25 436,375 69 69 KIMIA FARMA
458 11002047 LOVEQUIN 500 MG TSS (DUS 20 TAB) DUS 20 710,000 2 2 KIMIA FARMA
459 13006611 LUPRED 5MG TAB@30 (FAH) DUS 30 99,000 17 17 PRATAPA NIRMALA
460 13064223 M RATU BERAS KENCUR 200ML BH 1 4,600 34 34 MUSTIKA RATUBUANA INTERNATIONAL, PT
461 13080423 M RATU GULA ASEM 200 ML BH 1 4,600 10 10 MUSTIKA RATUBUANA INTERNATIONAL, PT
462 13084348 M RATU HERBAMUNO PLUS 12 X 4 TAB DUS 48 90,000 57 57 MUSTIKA RATUBUANA INTERNATIONAL, PT
463 13064224 M RATU KUNIR ASEM 200ML BH 1 4,600 8 8 MUSTIKA RATUBUANA INTERNATIONAL, PT
464 13027133 M RATU M ZAITUN 175ML BH 1 25,135 1 1 MUSTIKA RATUBUANA INTERNATIONAL, PT
465 13084324 M RATU ZAITUN LEMONGRASS&AROMATIC 150ML BT 1 20,739 16 16 MUSTIKA RATUBUANA INTERNATIONAL, PT
466 11002328 MARCKS ACTIVE CREME 20GR (NEW) PC 1 23,700 37 37 KIMIA FARMA
467 11002332 MARCKS ACTIVE INVISIBLE 20GR (NEW) PC 1 23,700 688 688 KIMIA FARMA
468 11002331 MARCKS ACTIVE NATURAL BEIGE 20GR (NEW) PC 1 23,700 47 47 KIMIA FARMA
469 11002330 MARCKS ACTIVE PINK 20GR (NEW) PC 1 23,700 533 533 KIMIA FARMA
470 11002329 MARCKS ACTIVE WHITE 20GR (NEW) PC 1 23,700 123 123 KIMIA FARMA
471 11000338 MARCKS BEDAK WHITE 20gr PC 1 23,700 182 182 KIMIA FARMA
472 11001944 MARCKS BREATHABLE POWDER IVORY PC #N/A 34,700 45 45 KIMIA FARMA
473 11001945 MARCKS BREATHABLE POWDER NATURAL BEIGE BOX 1 34,700 1 1 KIMIA FARMA
474 11001947 MARCKS BREATHABLE POWDER ROSE PINK PC 1 34,700 190 190 KIMIA FARMA
475 11002138 MARCKS CC CAKE POWDER IVORY REFIL PC 1 22,700 102 102 KIMIA FARMA
476 11002140 MARCKS CC CAKE POWDER WARM BEIGE REFIL PC 1 22,700 88 88 KIMIA FARMA
477 11002323 MARCKS CLASSIC CREME 40GR (NEW) PC 1 13,700 4,492 4,492 KIMIA FARMA
478 11002327 MARCKS CLASSIC INVISIBLE 40GR (NEW) PC 1 13,700 641 641 KIMIA FARMA
479 11002326 MARCKS CLASSIC NATURAL BEIGE 40GR (NEW) PC 1 13,700 2,994 2,994 KIMIA FARMA
480 11002324 MARCKS CLASSIC PUTIH 40GR (NEW) PC 1 13,700 1,191 1,191 KIMIA FARMA
481 11002325 MARCKS CLASSIC ROSE 40GR (NEW) PC 1 13,700 1,087 1,087 KIMIA FARMA
482 11000993 MARCKS MOISTURIZER 30gr DUS 1 17,000 5 5 KIMIA FARMA
483 11002219 MARCKS TEEN MICELLAR WATER 100 (NEW) BT 1 20,000 1,113 1,113 KIMIA FARMA
484 11002384 MARCKS TEENS ACNE EXPERT FACE TONER BT 1 17,300 135 135 KIMIA FARMA
485 11001981 MARCKS TEENS ACNE EXPERT FACE WASH PC 1 13,200 165 165 KIMIA FARMA
486 11002301 MARCKS TEENS ACNE EXPERT SHEET MASK PC 1 11,000 83 83 KIMIA FARMA
487 11001982 MARCKS TEENS ACNE EXPERT SPOT GEL PC 1 14,700 73 73 KIMIA FARMA
488 11002218 MARCKS TEENS CP CREME (NEW) PC 1 20,000 823 823 KIMIA FARMA
489 11002217 MARCKS TEENS CP NATURAL BEIGE (NEW) PC 1 20,000 1,059 1,059 KIMIA FARMA
490 11002215 MARCKS TEENS CP PINK (NEW) PC 1 20,000 667 667 KIMIA FARMA
491 11002302 MARCKS TEENS HELLO BRIGHT SHEET MASK PC #N/A 11,000 109 109 KIMIA FARMA
492 11002303 MARCKS TEENS HI! DRATE SHEET MASK PC #N/A 11,000 32 32 KIMIA FARMA
493 11001315 MARCKS TEENS REFILL COMPACT POWDER PINK PC 12 15,500 101 101 KIMIA FARMA
494 11001314 MARCKS TEENS REFILL COMPACT POWDER WHIT PC 12 15,500 71 71 KIMIA FARMA
495 12009876 MARIMER ISOTONIC/DS @100 ML DUS 1 90,000 82 82 PHAPROS, PT
496 12000816 MEDIAMER B6 TABLET @ 100 DUS 100 270,000 8 8 DARYA VARIA, PT
497 13077585 MEDIKA ALKOHOL 70% @ 1 L BT 1 34,217 97 97 PT. LIKUID PHARMALAB INDONESIA
498 13077583 MEDIKA ALKOHOL 70% @ 100 ML BT 1 5,030 154 154 PT. LIKUID PHARMALAB INDONESIA
499 13077584 MEDIKA ALKOHOL 70% @ 300 ML BT 1 11,825 227 227 PT. LIKUID PHARMALAB INDONESIA
500 13077588 MEDIKA ANTISEPTIC HANDRUB 500 ML BT 1 49,552 267 267 PT. LIKUID PHARMALAB INDONESIA
501 12009531 MEDIKA POVIDINE 10% 100 ML DUS 1 8,754 2 2 PT. LIKUID PHARMALAB INDONESIA
502 12013462 MEDIKA POVIDINE 10% 15 ML BT 1 2,728 40 40 PT. LIKUID PHARMALAB INDONESIA
503 12012300 MEDIKA POVIDINE 10% 30 ML BT 1 4,010 3 3 PT. LIKUID PHARMALAB INDONESIA
504 12009552 MEDIKA POVIDINE 10% 300 ML DUS 1 22,882 2 2 PT. LIKUID PHARMALAB INDONESIA
505 12009530 MEDIKA POVIDINE 10% 60 ML DUS 1 7,680 2 2 PT. LIKUID PHARMALAB INDONESIA
506 13077587 MEDIKA RIVANOL 300 ML BT 1 9,153 251 251 PT. LIKUID PHARMALAB INDONESIA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
507 12009177 MEDIKACARE 0.5% TPC ANTISEPTIC @ 1 L BT 1 78,727 142 142 PT. LIKUID PHARMALAB INDONESIA
508 12009180 MEDIKACARE 0.5% TPCL ANTISEPTIC @ 500 ML BT 1 53,645 445 445 PT. LIKUID PHARMALAB INDONESIA
509 12008458 MELOCID TAB@50 MOL DUS 50 30,000 24 24 MOLEX AYUS, PT
510 11000220 MELOXICAM 15 MG (DUS 20 TAB) DUS 20 14,500 336 336 KIMIA FARMA
511 13083465 MEPROVENT INH AMP@10 DUS #N/A #N/A 200 - - 200 MEPROFARM
512 11001733 MEROPENEM 1G SERBUK INJ (DUS 10 VL) DUS 10 550,000 16 16 KIMIA FARMA
513 13026668 METACOSFAR 50 INJ 50ML (FAH) VL 1 700,000 15 15 PRATAPA NIRMALA
514 12009879 METAMIZOLE 250 MG/ML INJ @30 AMP (PEHA) DUS 30 63,000 47 47 PHAPROS, PT
515 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS 100 26,500 1,247 1,247 KIMIA FARMA
516 12012192 METAMIZOLE SODIUM 500MG/ML INJ (MEPRO) DUS #N/A #N/A - 1 - 1 MEPROFARM
517 12007628 METANEURON TABLET DUS 300 311,454 12 12 PHAPROS, PT
518 11000104 METHYLERGOMETRINE 0.125 MG (DUS 100 TAB) DUS 100 35,000 943 8 76 1,027 KIMIA FARMA
519 12014746 METHYLERGOMETRINE MALEATE INJ100 AMP@1ML DUS #N/A #N/A 7 5 12 MEPROFARM
520 12012550 METHYLPREDNISOLONE 4MG TAB@100 (NOVA) DUS #N/A #N/A 100 100 NOVAPHARIN
521 12006883 METHYLPREDNISOLONE 4MG TAB@100 MOL DUS 100 30,000 587 587 MOLEX AYUS, PT
522 12009883 METHYLPREDNISOLONE SERB INJ 125 MG(PEHA) DUS 1 18,000 395 395 PHAPROS, PT
523 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS 100 12,000 286 286 KIMIA FARMA
524 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-B DUS 100 20,000 6 10 16 KIMIA FARMA
525 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS 100 12,000 94 94 KIMIA FARMA
526 12014731 METOCLOPRAMIDE HYDROCHLORIDE INJ @ 2 ML DUS #N/A #N/A 1 1 MEPROFARM
527 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS 100 35,000 3 22 25 KIMIA FARMA
528 12005445 METRONIDAZOLE 500MG TAB@100 (NOVA) DUS 100 - 407 50 85 542 NOVAPHARIN
529 12009780 METRONIDAZOLE INFUS 100 ML (DVRS) BT #N/A #N/A - - 2,002 2,002 DARYA VARIA, PT
530 12012179 METRONIDAZOLE SYR 125MG/5ML (MEPRO) BT 1 - 34 34 MEPROFARM
531 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) DUS 24 3,750 102 23 249 374 KIMIA FARMA
532 12012326 MIERIN 10MG TAB@30 (FAH) DUS 30 165,000 20 20 PRATAPA NIRMALA
533 12008460 MOLACORT 0.5MG TAB@100 MOL DUS 100 25,000 3 - 3 MOLEX AYUS, PT
534 12008497 MOLAKRIM 30GR MOL TUB 1 12,700 239 239 MOLEX AYUS, PT
535 12005352 MOLANEURON TAB@50 MOL DUS 50 30,000 8 8 MOLEX AYUS, PT
536 13008516 MOLAPECT SYR 15MG 60ML MOL BT 1 9,800 13 13 MOLEX AYUS, PT
537 12008464 MOLAPECT TAB@100 MOL DUS 100 66,600 113 113 MOLEX AYUS, PT
538 12008465 MOLEXDINE 1L MOL BT 1 - 280 280 MOLEX AYUS, PT
539 13008661 MOLEXDRYL SYR 60ML MOL BT 1 5,500 44 44 MOLEX AYUS, PT
540 13002451 MONECTO 20MG TAB@30 (FAH) DUS 30 90,000 14 14 PRATAPA NIRMALA
541 11001647 MORFIKAF 10 MG (BTL 30 TABLET) BT 1 110,000 12 12 KIMIA FARMA
542 11002248 MORFIKAF SR 15 MG (DUS 60 TAB) DUS 60 700,000 16 16 KIMIA FARMA
543 11002394 MORFINA 10 MG/ML (DUS 10 AMP) DUS 10 309,545 35 35 KIMIA FARMA
544 11000106 MORPHINE 10 MG (BTL 30 TAB) BT 1 39,709 4 4 KIMIA FARMA
545 11000501 MST CONTINUS 10 MG DUS 60 852,000 7 7 MAHAKAM BETA FARMA
546 11000502 MST CONTINUS 15 MG DUS 60 2,190,000 5 5 MAHAKAM BETA FARMA
547 11000566 My Dacla 60 MG (Daclastavir) BT 1 1,730,000 3 3 KIMIA FARMA
548 12011747 MYCOCELL 500 MG @50 TAB (PEHA) DUS 50 800,000 23 23 PHAPROS, PT
549 11000723 MyHep KF (SOFOSBUVIR) (BTL 28 TAB) BT 28 3,200,000 3 3 KIMIA FARMA
550 13081423 N(2)-L-ALANYL-L-GLUTAMINE INF100ML (FAH) VL 1 260,000 50 50 PRATAPA NIRMALA
551 11002020 NACL 0.9% INFUS BT 1 7,009 50 18,944 18,994 KIMIA FARMA
552 12005685 NATABION CAP@100 (PYRIDAM) DUS 100 189,000 144 144 PYRIDAM, PT
553 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS 50 30,000 68 1,462 1,530 KIMIA FARMA
554 12009888 NATRIUM DIKLOFENAK 25 MG @50 TAB (PEHA) DUS 50 10,200 584 26 610 PHAPROS, PT
555 12000825 NATUR E ADVANCE HBL 245 ML BT 1 27,810 47 47 DARYA VARIA, PT
556 12000827 NATUR E ADVANCED 32 S DUS 32 63,429 47 47 DARYA VARIA, PT
557 12000831 NATUR E FACE CREAM 50 ML TUB 1 21,800 23 23 DARYA VARIA, PT
558 12000832 NATUR E HBL 100 ML BT 1 10,424 72 72 DARYA VARIA, PT
559 12000833 NATUR E HBL 245 ML BT 1 20,913 3 3 DARYA VARIA, PT
560 12007343 NATUR E NOURISHING 300IU 16'S DUS 16 30,166 46 46 DARYA VARIA, PT
561 12007344 NATUR E NOURISHING 300IU 32'S DUS 32 57,626 2 2 DARYA VARIA, PT
562 12000834 NATUR E SOFT CAPS @ 16 DUS 16 15,891 18 18 DARYA VARIA, PT
563 12005302 NATUR-E 300 IU 32's DUS 32 56,496 37 37 DARYA VARIA, PT
564 13004776 NB TOP OINT 5GR TUB 1 15,641 137 137 PHAPROS, PT
565 13019813 NEO KAOMINAL SUSP 60ML MOL BT 1 7,200 842 842 MOLEX AYUS, PT
566 12000837 NEOZEP FORTE BLISTER TAB @ 100 DUS 100 50,505 10 10 DARYA VARIA, PT
567 12005687 NEURAXON 5000 KPL@100 (PYRIDAM) DUS 100 316,000 42 42 PYRIDAM, PT
568 12003049 NEUROPYRON @ 100 KAPLET DUS 100 - 100 100 HARSEN LABORATORIES, PT
569 11001954 NEVALIN 150 MG KAPSUL (DUS 30 KPS) DUS 30 360,000 16 16 KIMIA FARMA
570 11001953 NEVALIN 75 MG KAPSUL (DUS 30 KPS) DUS 30 250,000 23 23 KIMIA FARMA
571 12008505 NEXTON 0.5 MG TAB (HARSEN) DUS 100 - 50 50 HARSEN LABORATORIES, PT
572 12009785 NICARDIPINE HCL INJ 1 MG (DVRS) DUS 10 218,182 1 40 41 DARYA VARIA, PT
573 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS 100 22,000 20 20 KIMIA FARMA
574 12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 PC 1 8,200 300 300 SINAR RODA UTAMA, PT
575 12003646 NIPRO SAFELET CATH IV PU 16GX2" PC 1 4,380 728 728 SINAR RODA UTAMA, PT
576 12003647 NIPRO SAFELET CATH IV PU 18G X 1-1/4" PC 1 4,380 1,055 1,055 SINAR RODA UTAMA, PT
577 12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2inch PC 1 1,170 500 - - - - 500 SINAR RODA UTAMA, PT
578 12003659 NIPRO SYRINGE 50 ML W/O NEEDLE CT PC 1 4,170 2,511 2,511 SINAR RODA UTAMA, PT
579 12005652 NISTATIN 100.000 IU TAB @ 100 (PEHA) DUS 100 82,200 220 10 230 PHAPROS, PT
580 11000112 NITROKAF RETARD F. KAPS (DUS 100 KPS) DUS 100 284,955 16 184 200 KIMIA FARMA
581 11000113 NITROKAF RETARD KAPSUL (DUS 100 KPS) DUS #N/A 246,000 13 - 29 - 42 KIMIA FARMA
582 12011654 NOLEPTIC @30 KPS (PEHA) DUS 30 112,000 459 459 PHAPROS, PT
583 12012232 NORPHAGEN INJ 20ML AMP@5 (FAH) DUS 5 450,000 23 23 PRATAPA NIRMALA
584 12013077 NOVAGYL 125MG/5ML SUSP 60ML (NOVA) BT 1 5,000 988 988 NOVAPHARIN
585 12009890 NOZA @4 TAB STR 4 72,500 3,650 3,650 PHAPROS, PT
586 12000927 NS - MJB 0.9% 500 ML BT 1 6,913 1,762 1,762 EMJEBE PHARMA , PT
587 13010821 NUFAGRABION GM KPL@100 NUF DUS 100 190,620 1 1 NUFARINDO, PT
588 12013475 NUTRISIP CAP@30 (FAH) DUS 30 150,000 25 25 PRATAPA NIRMALA
589 12015035 NYSTATIN DROP DUS 10 - 2 2 PIHAK 3
590 12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) DUS 100 117,000 310 205 15 530 PHAPROS, PT
591 12008469 OBH 60ML MOL BT #N/A #N/A 920 920 MOLEX AYUS, PT
592 12004243 OBH COMBI BATUK BERDAHAK JAHE 100 ML BT 1 11,500 206 206 COMBIPHAR, PT
593 12004244 OBH COMBI BATUK BERDAHAK MENTHOL 100 ML BT 1 11,500 17 17 COMBIPHAR, PT
594 12004245 OBH COMBI BATUK FLU ANAK APEL 60 ML BT 1 12,500 241 241 COMBIPHAR, PT
595 12004246 OBH COMBI BATUK FLU ANAK MADU 60 ML BT 1 12,500 575 575 COMBIPHAR, PT
596 12004247 OBH COMBI BATUK FLU ANAK ORANGE 60 ML BT 1 12,500 424 424 COMBIPHAR, PT
597 12004248 OBH COMBI BATUK FLU ANAK STRAWBERY 60 ML BT 1 12,500 430 430 COMBIPHAR, PT
598 12004249 OBH COMBI BATUK FLU JAHE 100 ML BT 1 15,300 262 262 COMBIPHAR, PT
599 12004251 OBH COMBI BATUK FLU MADU 100 ML BT 1 15,300 91 91 COMBIPHAR, PT
600 12004252 OBH COMBI BATUK FLU MADU 60 ML BT 1 11,400 116 116 COMBIPHAR, PT
601 12004253 OBH COMBI BATUK FLU MENTHOL 100 ML BT 1 15,300 318 318 COMBIPHAR, PT
602 12004254 OBH COMBI BATUK FLU MENTHOL 60 ML BT 1 11,000 231 231 COMBIPHAR, PT
603 12000845 OBIMIN - AF BLISTER TAB @ 30 ( DUS 30 55,525 1 1 DARYA VARIA, PT
604 12007268 OCTANATE 250 IU DUS 1 720,000 11 11 SATYA ABADI PHARMA, PT
605 12007269 OCTANATE 500 IU DUS 1 1,430,000 1 1 SATYA ABADI PHARMA, PT
606 12010256 OMEPRAZOLE INJECTION 40 MG E (DVRS) DUS 10 107,890 60 4 64 DARYA VARIA, PT
607 12011708 OMEPRAZOLE SODIUM 40MG INJ @10 VL DUS 10 115,000 356 53 409 PHAPROS, PT
608 13009739 ONETIC 4MG INJ AMP@5 (FAH) DUS 5 138,000 101 101 PRATAPA NIRMALA
609 12010612 ORABLOC INJ (PEHA) DUS 50 810,000 13 13 PHAPROS, PT
610 12005690 ORIGINAL E 100MG CAP@100 (PYRIDAM) DUS 100 129,000 4 4 PYRIDAM, PT
611 12012144 OSFORCE SACH@15 (SAP) DUS 15 370,000 50 50 SATYA ABADI PHARMA, PT
612 12004766 OSTEOR C KRIM 60GR (PYRIDAM) TUB 1 166,000 13 13 PYRIDAM, PT
613 13007995 OSTEOTIN CAP@60 DUS 60 179,100 6 6 PHAPROS, PT
614 13005119 OSTRIOL CAP@30 (FAH) BT 30 150,000 28 28 PRATAPA NIRMALA
615 12005536 OXYTOCIN-S 10 IU INJEKSI DUS 0 437,500 100 100 PIHAK 3
616 13076535 PANTOPRAZOLE 40MG INJ GPH AMP 1 34,000 158 158 PHAPROS, PT
617 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS 100 35,000 2,334 2,000 4,334 KIMIA FARMA
618 12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) BT 1 5,052 500 6,000 6,500 PT AFIFARMA
619 12010257 PARACETAMOL INFUSION 10 MG/ML E (DVRS) DUS 1 10,900 11 563 574 DARYA VARIA, PT
620 12009799 PARATUSIN SYRUP 60 ML (DVRS) BT 1 30,200 293 293 DARYA VARIA, PT
621 12009800 PARATUSIN TAB @ 200 (DVRS) DUS 200 244,650 63 63 DARYA VARIA, PT
622 12007337 PEDITOX 1% 50 ML BT 1 7,420 49 49 COMBIPHAR, PT
623 12005890 PEHACAIN INJ DUS #N/A 66,791 152 15 167 PHAPROS, PT
624 13003915 PEHASTAN 500MG TAB@100 DUS 100 40,500 25 25 PHAPROS, PT
625 13003007 PEHAVASK 10MG TAB@30 DUS 30 12,000 5 5 PHAPROS, PT
626 12009819 PEHAVRAL @100 TAB (PEHA) DUS 100 89,500 280 280 PHAPROS, PT
627 12010397 PEINLOS 400 INJ VIAL@5 (FAH) DUS 5 320,000 10 10 PRATAPA NIRMALA
628 12004537 PENICILLIN PROCAIN CRYSTAL VL 1 - 30 30 PIHAK 3
629 11002221 PERMETHRIN KRIM 5% (DUS 25 TUB @10 G) DUS #N/A #N/A 0 0 KIMIA FARMA
630 11002395 PETHIDINA HCl 50 MG/ML DUS 10 177,100 30 142 172 KIMIA FARMA
631 13009792 PHADILON 125MG INJ VL 1 30,000 9 9 PHAPROS, PT
632 12009898 PHALSY 250 MG/5ML SYR BT 1 70,000 100 100 PHAPROS, PT
633 13009794 PHAMINOV INJ@10 DUS 10 65,000 193 193 PHAPROS, PT
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
634 12000318 PHARMATON VIT KAPLET DUS 50 209,335 1 1 OPELLA HEALTHCARE INDONESIA, PT
635 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS 100 20,000 150 1 137 288 KIMIA FARMA
636 12003806 PHENOL GLYCEROL TTS TELINGA 10% (LUCAS) BT 1 - 365 520 885 LUCAS DJAJA
637 12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) DUS 100 141,100 1 1 PHAPROS, PT
638 13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) DUS 100 78,738 250 19 17 5 291 PHAPROS, PT
639 12009901 PHYTOMENADIONE 10 MG/ML INJ@30 AMP(PEHA) DUS 30 168,000 4 214 7 225 PHAPROS, PT
640 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS 100 15,968 1,861 1,861 KIMIA FARMA
641 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS 100 22,458 2 2 KIMIA FARMA
642 11001543 PIROXICAM 20 MG (DUS 100 TAB)-BJN DUS 100 22,458 3 3 KIMIA FARMA
643 12013098 POVIDONE IODINE 1L (NOVA) BT #N/A #N/A 150 150 NOVAPHARIN
644 12007665 PPD 2 TU (BF) VL 1 630,000 485 485 BIOFARMA
645 12010402 PRAZOTEC INJ VIAL (FAH) VL 1 125,000 697 697 PRATAPA NIRMALA
646 12003686 PRECISION INFANT THERMAL BLUE 7701-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
647 12003687 PRECISION INFANT THERMAL PINK 7702-49PDL PC 1 2,800 800 800 SINAR RODA UTAMA, PT
648 12013825 PREDNISON 5 MG @100 TAB (IMFAR) DUS 100 - 10 10 IMFARMIND FARMASI INDUSTRI, PT
649 12001215 PREDNISON 5 MG TAB (HOLI) DUS #N/A #N/A - - - 1,107 - 1,107 HOLI PHARMA
650 12014933 PREDNISONE 5MG DUS #N/A #N/A 703 703 IFARS PHARMACEUTICAL, PT
651 12005692 PREDNOX 8MG KPL@100 (PYRIDAM) DUS 100 557,000 2 2 PYRIDAM, PT
652 11001426 PREGABALINE 150 MG (DUS 30 KPS) DUS 30 270,000 12 12 KIMIA FARMA
653 13006147 PREGVOMIT TAB@100 (FAH) DUS 100 210,000 20 20 PRATAPA NIRMALA
654 12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) DUS 100 67,000 2,027 6 2,565 4,598 PHAPROS, PT
655 11000246 PRIMET 25 MG-STRIP 10X10 TABLET DUS 100 - 91 91 KIMIA FARMA
656 13000817 PRITACORT TAB@150 MOL DUS 150 80,500 115 115 MOLEX AYUS, PT
657 12008501 PRITAMOX 500MG KPS@100 MOL DUS 100 115,000 507 507 MOLEX AYUS, PT
658 12008502 PRITAMOX DS 125MG/5ML 60ML MOL BT 1 15,000 476 476 MOLEX AYUS, PT
659 12008471 PRITANOL 300MG KPL@100 MOL DUS 100 90,000 99 99 MOLEX AYUS, PT
660 13001141 PRO TB 3 KID 75MG@28 DUS #N/A 119,000 39 39 PHAPROS, PT
661 13001142 PRO TB 4 165MG TAB@28 DUS 28 138,133 99 99 PHAPROS, PT
662 13078380 PRO TB2 KID TAB@28 DUS 28 84,000 51 51 PHAPROS, PT
663 13001143 PRO TB2 TAB@28 DUS 28 184,450 84 84 PHAPROS, PT
664 12005251 PROCAINE BENZIL PEN. 3 JUTA (PEHA) DUS 30 496,560 10 11 21 PHAPROS, PT
665 12010403 PROFERRO TAB@30 (FAH) DUS 30 157,000 4 4 PRATAPA NIRMALA
666 13003052 PROINFARK 20MG/10ML AMP DUS 5 60,000 18 18 PHAPROS, PT
667 12014878 PRONAM DUS 100 - 40 40 HARSEN LABORATORIES, PT
668 12001217 PROPANOLOL TAB 10 MG (HOLI) DUS 100 - 23 19 42 HOLI PHARMA
669 12001218 PROPANOLOL TAB 40 MG DUS 100 - 49 - - 49 HOLI PHARMA
670 12014879 PROXONA DUS 100 - 99 99 HARSEN LABORATORIES, PT
671 12012532 PYDEREN EMULSION TUBE 125ML (PYRIDAM) TUB 1 214,000 3 3 PYRIDAM, PT
672 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS 100 62,918 505 505 KIMIA FARMA
673 12001220 PYRANTEL TAB 125 MG DUS 100 - 269 269 HOLI PHARMA
674 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS 100 - 5 5 KIMIA FARMA
675 12005271 PYXIME 100MG CAP@30 (PYRIDAM) DUS 30 686,000 7 7 PYRIDAM, PT
676 12009906 RANITIDINE HCL 25 MG/ML INJ@25 AMP(PEHA) DUS 25 63,600 875 60 935 PHAPROS, PT
677 12005972 REBAL PLUS CAP@100 (FAH) DUS 100 230,000 19 19 PRATAPA NIRMALA
678 11001304 REMIKAF 2 MG (DUS 5 VL) DUS 5 580,000 13 13 KIMIA FARMA
679 12004322 RENASISTIN 250MG SYR 60ML (FAH) BT 1 71,000 50 50 PRATAPA NIRMALA
680 12005180 RENASISTIN 500MG CAP@30 (FAH) DUS 30 283,000 30 30 PRATAPA NIRMALA
681 12004323 RENASISTIN ORAL DROP 15ML (FAH) BT 1 58,000 81 81 PRATAPA NIRMALA
682 13002168 RENATOR 500MG TAB@30 (FAH) DUS 30 346,000 18 18 PRATAPA NIRMALA
683 12008253 RETINOL (VIT.A) 100.000 IU (LUCAS) DUS #N/A #N/A 50 50 LUCAS DJAJA
684 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS 100 196,974 600 600 KIMIA FARMA
685 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS 100 215,916 182 182 KIMIA FARMA
686 12011489 RINGER ASETAT 500 ML (SATORIA) BT 1 - 1,000 1,000 SATORIA ANEKA INDUSTRI, PT
687 12008263 RINGER LACTATE 500 ML (SATORIA) BT 1 7,970 3,195 3,200 6,395 SATORIA ANEKA INDUSTRI, PT
688 11002018 RINGER LAKTAT INFUS BT 1 7,658 1,336 1,336 KIMIA FARMA
689 12002315 RISPERIDON 2 MG TAB @100 GDX DUS 100 - 200 200 MERSIFARMA
690 13005128 RISTONAT 35MG TAB@4 DUS 4 290,000 12 12 PHAPROS, PT
691 12008474 RIVANOL 100ML MOL BT 1 4,000 1,910 1,910 MOLEX AYUS, PT
692 12008475 RIVANOL 300ML MOL BT 1 9,000 909 909 MOLEX AYUS, PT
693 12014875 ROLL CLEAN PLUS EMBOSS @10 ROLL X 10 PAC PAC 10 21,608 43 43 PIHAK 3
694 11002255 ROVASCOL 10 MG TSS ( DUS 30 TAB) DUS 30 210,000 17 17 KIMIA FARMA
695 11002256 ROVASCOL 20 MG TSS ( DUS 30 TAB) DUS 30 280,000 23 23 KIMIA FARMA
696 12012224 RUVASTIN 20MG TAB@30 (FAH) DUS 30 - 59 59 PRATAPA NIRMALA
697 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS 100 18,000 287 287 KIMIA FARMA
698 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS 100 12,953 1 1 KIMIA FARMA
699 11001556 SALBUTAMOL 4 MG (DUS 100 TAB)-BJN DUS 100 20,000 458 458 KIMIA FARMA
700 11002127 SALICYL KF PLUS MENTHOL 60 GRAM BT 1 9,678 2,523 2,523 KIMIA FARMA
701 12009910 SALTAM 2 MG @100 TAB DUS 100 15,000 1 1 PHAPROS, PT
702 12013412 SASKLIN DISINFECTANT 500 ML BT 1 45,000 13 13 PT. LIKUID PHARMALAB INDONESIA
703 12011612 SASKLIN HAND SANITIZER GEL @ 60 ML BT 1 7,500 36 36 PT. LIKUID PHARMALAB INDONESIA
704 12011511 SASKLIN HAND SANITIZER GEL @500 ML BT 1 48,000 3 3 PT. LIKUID PHARMALAB INDONESIA
705 12013202 SASKLIN HAND SANITIZER SPRAY 100 ML @40 BT 1 20,000 47 47 PT. LIKUID PHARMALAB INDONESIA
706 12003688 SCANBAND DIRECT THERMAL BLUE 7022-13-PDM PC 1 1,900 500 500 SINAR RODA UTAMA, PT
707 12003689 SCANBAND DIRECT THERMAL PINK 7022-12-PDM PC 1 1,900 500 500 SINAR RODA UTAMA, PT
708 12012343 SELENSIA AROMATHERAPY CHEER 10ML BT 1 54,054 26 26 SINKONA INDONESIA LESTARI, PT
709 12012340 SELENSIA AROMATHERAPY FOCUS 10ML BT 1 109,091 39 39 SINKONA INDONESIA LESTARI, PT
710 12012338 SELENSIA AROMATHERAPY LEMON 10ML BT 1 109,091 9 9 SINKONA INDONESIA LESTARI, PT
711 12012334 SELENSIA AROMATHERAPY PEPPERMINT 10ML BT 1 130,909 8 8 SINKONA INDONESIA LESTARI, PT
712 12010658 SEVOFLURANE INHALASI 250ML (FAH) BT 1 1,800,000 5 5 10 PRATAPA NIRMALA
713 12005860 SHAROX 500MG TAB@20 (FAH) DUS 20 460,000 6 6 PRATAPA NIRMALA
714 13009951 SHAROX 750MG INJ VIAL@2 (FAH) DUS 2 142,000 15 15 PRATAPA NIRMALA
715 12011460 SIKSTOP 120MG TAB@30 (FAH) DUS 30 300,000 13 13 PRATAPA NIRMALA
716 12011458 SIKSTOP 60MG TAB@30 (FAH) DUS 30 180,000 57 57 PRATAPA NIRMALA
717 12011459 SIKSTOP 90MG TAB@30 (FAH) DUS 30 225,000 35 35 PRATAPA NIRMALA
718 12000872 SILEX SYRUP 100 ML BT 1 62,900 6 6 DARYA VARIA, PT
719 12005695 SILOPECT 30MG TAB@100 (PYRIDAM) DUS 100 128,000 1 1 PYRIDAM, PT
720 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS 50 14,000 302 302 KIMIA FARMA
721 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS 50 27,000 30 1,090 1,120 KIMIA FARMA
722 13014389 SKINCOL HUMID GEL 30GR TUB 1 125,000 33 33 PHAPROS, PT
723 12011485 SODIUM CHLORIDE 0.9% 100 ML (SATORIA) BT 1 6,425 1,400 1,400 SATORIA ANEKA INDUSTRI, PT
724 12008262 SODIUM CHLORIDE 0.9% 500 ML (SATORIA) BT 1 7,097 3,390 5,000 8,390 SATORIA ANEKA INDUSTRI, PT
725 12014880 STAR CE DUS 30 - 100 100 HARSEN LABORATORIES, PT
726 11000265 STATCOL 10 MG-STRIP 5X10 TABLET DUS 50 347,500 1 1 KIMIA FARMA
727 11000267 STATCOL 20 MG-STRIP 3X10 TABLET DUS 30 270,000 25 25 KIMIA FARMA
728 12000875 STOP COLD DRAGEE @ 60 (UN) DUS 60 37,839 4 4 DARYA VARIA, PT
729 11001894 STREPTOMYCIN 1GR SERBUK INJEKSI @56 VL DUS 56 338,878 15 1 16 KIMIA FARMA
730 12009913 STREPTOMYCIN INJ 1000 MG @56 VL (PEHA) DUS 56 440,160 4 4 PHAPROS, PT
731 13083777 STRIATAMIN CAP 10 X 3 DUS 30 110,550 82 26 108 MEGA MEDICA PHARMACEUTICALS, PT
732 12009948 SULFADIAZINE SILVER 10 MG POT 500GR(DVRS POT 1 259,585 22 22 DARYA VARIA, PT
733 12000876 SUMAGESIC 600 MG TAB @ 100 (UN DUS 100 52,080 7 7 DARYA VARIA, PT
734 12000878 SUPERTIN SOFT KAPSUL @ 30 (UN) DUS 30 33,120 7 7 DARYA VARIA, PT
735 12015106 SUPRALISIN DROPS DUS #N/A #N/A 250 250 MEPROFARM
736 12000962 SURYA HUSADA KASA HYDR 4Y X 15 RLL 1 2,973 250 250 KASA HUSADA WIRA JATIM, PT
737 13079783 SUTRA GERIGI KONDOM@ 3 DUS 3 172,368 1,198 1,198 PIHAK 3
738 13079784 SUTRA GERIGI KONDOM@12 BH 12 245,232 720 720 PIHAK 3
739 13029419 SUTRA KONDOM@24 DUS 24 30,818 54 54 PIHAK 3
740 13016440 SUTRA OK KONDOM@ 3 DUS 3 7,182 576 24 600 PIHAK 3
741 13026495 SYNFONIA 24 TAB NUF STR 24 156,000 1 1 NUFARINDO, PT
742 13006431 SYSMUCO 100MG TAB@30 (FAH) DUS 30 135,000 50 50 PRATAPA NIRMALA
743 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS 100 45,000 249 249 KIMIA FARMA
744 13003107 TEBOKAN FC TAB@100 DUS 100 557,550 19 19 PHAPROS, PT
745 13003108 TEBOKAN FORTE 120MG TAB@30 DUS 30 513,700 14 14 PHAPROS, PT
746 13003109 TEBOKAN SPECIAL CAP@30 DUS #N/A 335,475 41 41 PHAPROS, PT
747 11002049 TECAVIR 0.5 MG TSS (DUS 30 TAB) DUS 30 600,000 6 6 KIMIA FARMA
748 11002296 TENCARD 2.5 MG TSS (DUS 100 TAB) DUS 100 210,000 13 13 KIMIA FARMA
749 11002297 TENCARD 5 MG TSS (DUS 100 TAB) DUS 100 420,000 28 28 KIMIA FARMA
750 11001243 TENOFOVIR 300 MG TSS (BTL 30 TAB) BT #N/A #N/A 145 145 KIMIA FARMA
751 13010044 TENSILO 10ML INJ VIAL@2 (FAH) DUS 2 336,000 30 30 PRATAPA NIRMALA
752 12007644 THIAMFILEX 500MG KPS@100 MOL DUS 100 145,000 9 9 MOLEX AYUS, PT
753 12008503 THIAMFILEX DS 125MG/5ML 60ML MOL BT 1 10,500 92 92 MOLEX AYUS, PT
754 12008866 TONIC BUST EMULSION 125ML(PYRIDAM) TUB 1 236,000 3 3 PYRIDAM, PT
755 12007362 TOPGRA 100 MG TABLET DUS #N/A 187,200 194 194 HARSEN LABORATORIES, PT
756 13070793 TRACETATE 160MG TAB@30 (FAH) DUS 30 690,000 17 17 PRATAPA NIRMALA
757 13006433 TRACETATE SUSP 200ML (FAH) BT 1 420,000 22 22 PRATAPA NIRMALA
758 12008343 TRAMADOL HCL 50MG CAP@50 (GRAF) DUS #N/A #N/A 10 10 GRAHA FARMA, PT
759 13076813 TRAMPARA TAB@30 DUS #N/A 145,000 69 69 PHAPROS, PT
760 13008015 TRAMSET KPL@30 (FAH) DUS 30 219,000 31 31 PRATAPA NIRMALA
Kontrak
Material Isi Harga Reg Rutin BPJS E Cat Tender
No Material Description UoM E Cat Qty Nama Principle
Number Uom (HNA) (99) (02) Reg (00) Rutin (98)
(20)
761 12008526 TRIHEXYPHENIDYL 2 MERSI DUS 0 - 25 25 MERSIFARMA
762 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS 50 78,000 3 3 KIMIA FARMA
763 13010118 TRIXON INJ 1GR VL 1 55,000 103 103 PHAPROS, PT
764 11000172 TROMBIKAF TABLET-STRIP 3X10 TABLET DUS 30 360,000 4 4 KIMIA FARMA
765 13026424 UMARONE INJ 2ML (FAH) VL 1 183,000 67 67 PRATAPA NIRMALA
766 13006475 URIEF 4MG TAB@100 DUS #N/A #N/A 60 60 PIHAK 3
767 12000343 UTAMA KAPAS PEMBALUT 100 GR PAC 1 7,425 463 463 PRUNING
768 11000292 VAGIZOLE OVULA (DUS 5 SUPP) DUS 5 55,000 10 40 50 KIMIA FARMA
769 12007629 VAKSIN BCG BAYI LOKAL (BF) DUS 1 258,500 1 1 BIOFARMA
770 12007630 VAKSIN BIO TD 1 DS (BF) AMP 1 69,300 100 100 BIOFARMA
771 12007631 VAKSIN BIO TT 1 DS (BF) AMP 1 36,300 170 170 BIOFARMA
772 12007659 VAKSIN CAMPAK 10 DS (BF) DUS 1 154,000 3 3 BIOFARMA
773 12011966 VAKSIN CERVARIX (BF) DUS 1 607,700 14 14 BIOFARMA
774 12007656 VAKSIN DTP HB HIB 1 DS (BF) DUS 1 152,000 2 2 BIOFARMA
775 12007662 VAKSIN FLUBIO (BF) VL 1 99,800 138 138 BIOFARMA
776 12011967 VAKSIN HAVRIX ADULT (BF) DUS 1 289,200 4 4 BIOFARMA
777 12007661 VAKSIN HEPATITIS-B BAYI (BF) SC 1 52,470 1,000 1,000 BIOFARMA
778 12007660 VAKSIN HEPATITIS-B DEWASA (BF) POU 1 79,200 90 90 BIOFARMA
779 12008932 VAKSIN IPV 5 DS (BF) DUS 10 3,630,000 3 3 BIOFARMA
780 12007741 VAKSIN MEASLES RUBELLA (MR) 10 DS (BF) VL 1 525,000 47 47 BIOFARMA
781 12007658 VAKSIN POLIO / BOPV 10 DS (BF) DUS 1 75,600 2 2 BIOFARMA
782 12008612 VAKSIN VARICELLA (BF) DUS 1 360,500 5 5 BIOFARMA
783 11002086 VALSARTAN 160 MG TSS (DUS 30 TAB) DUS 30 60,000 40 40 KIMIA FARMA
784 11002134 VALSARTAN 80 MG (DUS 30 TAB)-BJN DUS 30 40,000 89 89 KIMIA FARMA
785 11002240 VALTENSI 160 MG TSS (DUS 30 TAB) DUS 30 290,000 11 11 KIMIA FARMA
786 11002239 VALTENSI 80 MG TSS (DUS 30 TAB) DUS 30 160,000 16 16 KIMIA FARMA
787 13010147 VANCEP 0.5GR INJ AMP@2 (FAH) DUS 2 420,000 80 80 PRATAPA NIRMALA
788 12010331 VARTAN 160MG KPL@30 (PYRIDAM) DUS 30 209,000 3 3 PYRIDAM, PT
789 12010330 VARTAN 80MG TAB@30 (PYRIDAM) DUS 30 137,000 2 2 PYRIDAM, PT
790 12004993 VASCON INJ AMP@5 (FAH) DUS 5 500,000 55 55 PRATAPA NIRMALA
791 12011812 VASOLA 0.5 ML @5 VL (FAH) DUS 5 1,250,000 12 12 PRATAPA NIRMALA
792 12011583 V-C 1000 INJ AMP@5 (FAH) DUS 5 250,000 45 45 PRATAPA NIRMALA
793 11000361 VENUS COMPACT NO.1 INVISIBLE PC 1 38,300 135 135 KIMIA FARMA
794 11000362 VENUS COMPACT NO.2 NAT. BEIGE PC 1 38,300 124 124 KIMIA FARMA
795 11000363 VENUS COMPACT NO.3 IVORY PC 1 38,300 135 135 KIMIA FARMA
796 11002057 VENUS EYE & LIP MAKEUP REMOVER 100ML BT 1 36,951 140 140 KIMIA FARMA
797 11000368 VENUS FACIAL WASH 100ml PC 1 22,091 1 1 KIMIA FARMA
798 11000369 VENUS FACIAL WASH 50ml PC 1 12,000 1 1 KIMIA FARMA
799 11001962 VENUS FLAWLESS MATTE CUSHION NO. 2 PC 48 90,700 63 63 KIMIA FARMA
800 11002429 VENUS LP DYNAMIC NO.1 INVISIBLE NEW PC 1 38,625 124 124 KIMIA FARMA
801 11002430 VENUS LP DYNAMIC NO.2 NAT.BEIGE NEW PC 1 38,625 124 124 KIMIA FARMA
802 11002431 VENUS LP DYNAMIC NO.3 IVORY NEW PC 1 38,625 126 126 KIMIA FARMA
803 11000774 VENUS REFILL TWC NO.4 TROPICAL BEIGE PC 12 47,500 190 190 KIMIA FARMA
804 11000379 VENUS TWC NO.1 TRANSLUCENT PC 12 61,091 9 9 KIMIA FARMA
805 11000381 VENUS TWC NO.3 PORCELEIN PC 12 61,091 72 72 KIMIA FARMA
806 11000773 VENUS TWC NO.4 TROPICAL BEIGE PC 12 61,091 756 756 KIMIA FARMA
807 11000137 VERTIKAF 24 MG TABLET (DUS 100 TAB) DUS 100 650,000 11 11 KIMIA FARMA
808 11000138 VERTIKAF 8 MG TABLET (DUS 100 TAB) DUS 100 321,860 30 30 KIMIA FARMA
809 12000887 VICEE LEMON TAB @ 100 (UN) DUS 100 58,888 10 10 DARYA VARIA, PT
810 12000889 VICEE STRAWBERY TAB @ 100 (UN) DUS 100 58,888 64 64 DARYA VARIA, PT
811 11002363 VIDERMA GEL 15 G (PAC 6 TUB) TUB 6 20,000 22 22 KIMIA FARMA
812 12014622 VIKOM-Z DUS @ 100 KPL (PEHA) DUS #N/A 180,000 17 17 PHAPROS, PT
813 13011058 VIOXY FM TAB@30 (FAH) DUS 30 150,000 19 19 PRATAPA NIRMALA
814 12008189 VITAMIN B COMPLEX TAB @ 100 (HOLI) DUS 100 - - 300 - 300 HOLI PHARMA
815 11001571 VITAMIN B KOMPLEKS(SPLMN)(DUS100TAB)-BJN DUS 100 18,200 1,562 1,562 KIMIA FARMA
816 11001572 VITAMIN B1 100MGTAB(SUPL)(DUS100TAB)-BJN DUS 100 23,700 888 888 KIMIA FARMA
817 11001573 VITAMIN B1 50 MG (SPLMN)(DUS100TAB)-BJN DUS 100 18,343 384 384 KIMIA FARMA
818 11001574 VITAMIN B12 50 MCG (SUPL)(DUS100TAB)-BJN DUS 100 12,000 133 756 889 KIMIA FARMA
819 11000485 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TAB) DUS 100 12,000 452 25 477 KIMIA FARMA
820 12007466 VITAMIN B12 50 MCG TABLET (MARIN) DUS 100 12,200 1 1 MARIN LIZA
821 12013832 VITAMIN B6 HCL DUS@200 TAB (PEHA) DUS #N/A #N/A 1 1 PHAPROS, PT
822 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS 100 17,000 2 2 KIMIA FARMA
823 11001576 VITAMIN C 100MG TAB(SUPL)(DUS100TAB)-BJN DUS #N/A 17,000 1 1 KIMIA FARMA
824 12013939 VITAMIN C 250 @100 KPL DUS 0 13,964 8 8 MERSIFARMA
825 11001577 VITAMIN C 250 MG TAB (DUS100TAB)-BJN DUS 100 18,200 1,460 1,460 KIMIA FARMA
826 11001578 VITAMIN C 50 MG TAB(SUPL)(DUS100TAB)-BJN DUS 100 14,291 3,365 3,365 KIMIA FARMA
827 12011955 VITAMIN C PUTIH 50 MG (MARIN) DUS 0 65 100 100 MARIN LIZA
828 12014123 VITSAP @30 KPS (SAP) DUS 30 92,000 4 4 SATYA ABADI PHARMA, PT
829 13026624 VOPICAIN 0.5% 10ML VIAL@2 (FAH) DUS 2 - 24 24 PRATAPA NIRMALA
830 12013022 WATER FOR INJECTION AMP 25ML (MJB) DUS #N/A #N/A 197 197 EMJEBE PHARMA , PT
831 12012181 ZINC SULFATE DROP 10MG/ML (MEPRO) BT #N/A #N/A 100 100 MEPROFARM
832 12014963 ZINC SULFATE MONOHYDRATE SYRUP 60ML (MEP BT #N/A #N/A 1,000 1,000 MEPROFARM

NB :
* Tahun 2023 Harga dan stok sewaktu-waktu dapat berubah
* Stok barang yang baru masuk
* Kemasan Box = Karton
Material Description Storag Batch SAP Var.Cod. Supplier Batch Number Last Goods Receipt SLED/BBD
e
Locati
on
A-STARK GEL 100ML (PYRIDAM) 0005 21071599 99 210715 3/31/2022 7/30/2025
ACARBOSE 100 MG (DUS 100 TAB) 0005 E30615N00 00 E30615N 8/8/2023 5/14/2025
ACARBOSE 100 MG (DUS 100 TAB) 0005 G31118N00 00 G31118N 8/30/2023 7/12/2025
Stock UoM
Unrestrict
ed

5 TUB
9,600 TAB
3,000 TAB

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