Kegiatan : Pengadaan BMHP dan Alkes Rumah Sakit

TAHUN ANGGARAN 2019

VOLUME SATUAN HARGA

NO SPESIFIKASI /MERK/TYPE PENYEDIA harga total/unit
satuan Pembelian Kemasan Pabrik bok/dus e-Catalog ONGKIR TOTAL
1 2 3 4 5 6 PT. INTI SUMBER 7HASIL 8 9 10 11
1 Alkohol swab 100 3,000 30 SEMPURNA
PT. INTI SUMBER HASIL Rp 250.00 Rp 750,000.00
2 Masker hijab 50 2,000 40 SEMPURNA
PT. INTI SUMBER HASIL Rp 500.00 Rp 1,000,000.00
3 Handscoon disposible ukuran S maxter 50 1,000 20 SEMPURNA
PT. INTI SUMBER HASIL Rp 1,400.00 Rp 1,400,000.00
4 handscoon disposible ukuran M maxter 50 2,000 40 SEMPURNA
PT. INTI SUMBER HASIL Rp 1,400.00 Rp 2,800,000.00
5 Handscoon disposible ukuran L maxter 50 2,000 40 SEMPURNA
PT. INTI SUMBER HASIL Rp 1,400.00 Rp 2,800,000.00
6 Spuitt 50cc lubang tengah 20 20 1 SEMPURNA
PT. INTI SUMBER HASIL Rp 30,000.00 Rp 600,000.00
7 Maxiflow bayi ( masker oxygen ) 25 100 4 SEMPURNA Rp 20,000.00 Rp 2,000,000.00
 VOLUME HARGA
SPESIFIKASI /MERK/TYPE
satuan e-Catalog
3 4 10
Acdat Natrium Fusidat Krim 20 mg/g 1 5,898 5,898
Adalat Oros 20 mg Nifedipin 20 mg, Slow release ; oros 30 3,285 98,550
Air untuk injeksi ( aqua pro injeksi ) 20 ml 1 2,302 2,302
Albendazole tablet 400 mg 30 392 11,760
Allupurinol 100 mg 100 89 8,900
Allupurinol 300 mg 100 210 21,000
Alpentin Gabapentin, tablet/kapsul/kaplet 100 mg 50 1,396 69,800
Alprazolam tab 0,5 mg 100 108 10,800
Alprazolam tab 1 mg 100 143 14,300
Aminofluid Larutan mengandung asam amino 500 ml 5 64,990 324,950
Amlodipin 10 mg 30 104 3,120
amoxicillin kapsul/ kaplet scored 500 mg 100 190 19,000
amoxicillin sirup kering 125 mg/ 5ml 1 1,881 1,881
Asam askorbat (vitamin c ) 250 mg tablet 100 114 11,400
Asam mefenamat 500 mg tablet/kaplet/kapsul 100 100 10,000
Asam traneksamat injeksi 100 mg/ ml 10 2,190 21,900
Asam traneksamat injeksi 50 mg/ ml 10 1,956 19,560
Asering - Asering ringer (Asering Plabot) 20 9,275 185,500
Asiklovir 200 mg tablet 100 240 24,000
Asiklovir 400 mg tablet 100 365 36,500
Atropin injeksi 0,25 mg 100 1,540 154,000
Azitromisin tablet 500 mg 100 1,888 188,800
Benzantin penisilin 1,2 UI/ ml 10 10,700 107,000
betametason krim 0,1%, sebagai valerat 25 1,349 33,725
BIOSAT 1,5 Serum Antitetanus (ATS) Cairan Injeksi 1500
10 126,500
IU/amp (im) 1,265,000
BIOSAVE Serum Anti Bisa Ular (ABU) Cairan Injeksi (im/iv) 1 462,000 462,000
BRICASMA 0,5 mg/ml, Terbutalin Injeksi s.k/iv, 0,5 mg/ml 5 11,500 57,500
BRICASMA, Terbutalin serbuk ih 0,5 mg 1 56,012 56,012
Bronsolvan- Teofilin Tab 150 mg 100 285 28,500
Cardura 1 mg- Doksazosin mesilate 1 mg 50 3,395 169,750
Cardura 2 mg- Doksazosin mesilate 2 mg 50 5,363 268,150
Cetadop dopamin inj 40 mg/ml 5 6,468 32,340
Chloramex- Kloramfenicol kapsul 500 mg 100 1,048 104,800
Combivent UDV-kombinasi Ipratropium bromida 0,5 mg +
20 5,700
salbutamol 2,5 mg 114,000
Concor 10- bisoprolol tablet 10 mg 30 2,848 85,440
Concor 2,5- bisoprolol tablet 2,5 mg 50 635 31,750
DARYANT TULLE Framesetin Sulfat tulle 1 % 10 8,990 89,900
deksametason injeksi i.v/i.m 5 mg/ ml ( 3 bln) 100 1,567 156,700
deksametason tablet 0,5 mg 100 41 4,100
Dermasolon- Flucinolon Asetonide Salep 0,025 % 1 5,200 5,200
DEXOCORT- Desoksimetason 0,25 % 1 7,250 7,250
Diazepam tablet 5 mg 100 103 10,300
difenhidramin injeksi i.v/i.m 10 mg/ml (HCL) 30 1,060 31,800
DIFLUCAN 50mg, Flukonazol kaps 50 mg 10 7,360 73,600
digoksin 0,25 mg 100 104 10,400
DIPSAMOL Salbutamol aerosol/inhalasi 100mcg/dosis 1 41,250 41,250
domperidon tablet 10 mg 100 95 9,500
DOPAMET Metildopa tablet 250 mg 100 911 91,100
Dulcolac Supp Adult 10 mg- Bisakodil supposutoria 10 mg 50 5,800 290,000
Dulcolac Supp Infant 5 mg- Bisakodil supposutoria 5 mg 50 5,800 290,000
DUROGESIC 25 MCG/H H Fentanil pactch 25/mcg/jam 1 188,000 188,000
ELIZAC 20 Fluoksetin Tablet 20 mg 30 225 6,750
Epinefrin (adrenalin) injeksi 1 mg/ml (0,1%) 100 1,749 174,900
eritromisin kaplet 500 mg 100 730 73,000
eritromisin sirup kering 200 mg/5ml 1 6,150 6,150
EUTYROX 100 Levotiroksin tablet 100 mcg 100 982 98,200
EUTYROX 50 Levotiroksin tablet 50 mcg 100 719 71,900
Farsorbid 10 mg - Isosorbid dinitrate kaplet 10 mg 100 198 19,800
fenitoin injeksi 50 mg/ml (100 mg/ 2ml ) 10 4,956 49,560
fenitoin kapsul 100 mg 100 152 15,200
fenobarbital injeksi 50 mg/ml 10 1,740 17,400
Fenofibrate kaps 100 mg 100 1,073 107,300
Fenofibrate kaps 300 mg 100 1,303 130,300
FETIK Supp Ketopropen Supp 100 mg 10 2,640 26,400
fitomenadion (Vit K) tablet 10 mg 100 686 68,600
flukonazol tablet 150 mg 10 18,000 180,000
FORTANEST Midazolam Injeksi iv 5 mg/ml 5 8,580 42,900
FRESOFOL 1 %, MCT/LCT Propofol Injeksi iv Bolus 1 % 5 11,330 56,650
furosemide tablet 40 mg 100 80 8,000
Garam oralit 100 260 26,000
Gemfibrozil tablet 600 mg 100 769 76,900
Generik Anti Bakteri Deon salep, Basitrasin 500 IU/g +
25 2,924
Polimiksin 10.000IU/g 73,100
Generik Asam Folat tablet 1 mg 100 67 6,700
Generik Betahistin tablet 6 mg 30 149 4,470
Generik Bisakodil tablet 5 mg 30 300 9,000
Generik Fentanil injeksi im/iv, 0,05 mg/ml, ampul 10 ml 5 151,000 755,000
Generik Fentanil injeksi im/iv, 0,05 mg/ml, ampul 2 ml 5 40,000 200,000
Generik Gentamisin injeksi 40 mg/ml 5 3,386 16,930
Generik inn - Antasida doen I tablet kunyah, ALOH 200 mg,
100 58
MgOH 200mg 5,800
Generik inn - Antasida doen II SUSPENSI 1 1,923 1,923
Generik inn - Anti fungi Doen salep, Kombinasi Asam
1 4,323
benzoat 6%+ Asam salisilat 3% 4,323
Generik inn - asam asetil salisilat (asetosal ) tablet 100 133 13,300
Generik inn - Asam askorbat (vitamin c ) 50 mg tablet 100 104 10,400
Generik inn - Bedak salisil serbuk 2 % 1 1,020 1,020
Generik inn - Metiprednisolon inj 125 mg/ml 1 12,090 12,090
Generik inn - Metiprednisolon inj 500 mg/ml 1 64,971 64,971
Generik inn Aminofilin inj 24 mg/ ml 30 2,998 89,940
Generik -inn-Aminopylin tablet 200 mg 100 91 9,100
Generik Kotrimoksazol (dewasa), kombinasi Sulfametoksazol
100 129
400mg+ trimetropin 80 mg 12,900
Generik Kotrimoksazol 5ml, kombinasi Sulfametoksazol
1 2,286
200mg+ trimetropin 40 mg 2,286
Generik Kotrimoksazol forte, kombinasi Sulfametoksazol
100 321
800mg+ trimetropin 160 mg 32,100
Generik Manitol Lar. Infus 20 % 1 44,000 44,000
Generik, Fitomenadion (Vit K1) injek 10 mg/ml 30 4,167 125,010
Generik, Fitomenadion (Vit K1) injek 2 mg/ml 30 4,167 125,010
Generik-inn-Amoxillin sirup kering forte 250 mg/5ml 1 3,473 3,473
Generik-inn-Metokploramide Injeksi 5 mg/ml 10 3,395 33,950
Generik-inn-Simvastatin tablet 10 mg 30 111 3,330
Genoint -gentamicin salep mata 0,3 % 1 2,960 2,960
Genoint -gentamicin tetes mata 0,3 % 1 4,170 4,170
gentamisin tetes mata 0,3 % ( stok habis) 1 4,170 4,170
Glimepirid 3 mg 100 283 28,300
Glimepirid 4 mg 100 281 28,100
Glucodex- Gliklazid tab 80 mg 100 210 21,000
Glukosa larutan infus 10 % 20 7,500 150,000
Glukosa larutan infus 5 % 20 6,900 138,000
Haloperidol tablet 5 mg 100 69 6,900
hidroklortiazid tablet 25 mg 100 149 14,900
hidrokortison krim 1 % 24 2,799 67,176
hidrokortison krim 2,5 % 24 2,640 63,360
ibuprofen 400 mg tablet 100 111 11,100
ibuprofen suspensi 200 mg/ 5 ml 1 4,943 4,943
ibuprofen, tablet 200 mg 100 102 10,200
Ibupropen Suspensi 100mg/5ml 1 2,475 2,475
INTERZINC Syr Zinc sirup 10 mg/ml 1 6,600 6,600
ISOFLURANE, Isoflurane Inhalasi botol 250 ml 1 580,000 580,000
isosorbid dinitrat sub lingual 5 mg 100 90 9,000
ISOTIC ADRETOR 0,25%timolol tetes mata 0,25% 1 10,425 10,425
ISOTIC ADRETOR 0,5%timolol tetes mata 0,5% 1 11,305 11,305
KAEN 3A 20 10,285 205,700
KAEN 3B 20 10,285 205,700
Kalsium glukonat inj. Iv 10 % 24 9,955 238,920
kalsium laktat (kalk ) tablet 500 mg 100 56 5,600
Kandarstan tablet 16 mg 30 1,122 33,660
Kandarstan tablet 8 mg 30 693 20,790
Kaptopril 12,5 mg 100 62 6,200
Kaptopril 25 mg 100 80 8,000
Karbogliserin tetes telinga 10 % 1 2,500 2,500
Ketokenazol tablet 200 mg 100 280 28,000
ketokonazole krim 2 % 1 2,596 2,596
ketorolac inj 30 mg/ml 6 1,100 6,600
Klindamisin kapsul 300 mg 50 578 28,900
Klindamisin tablet 300 mg 100 578 57,800
klobazam tab 10 mg 100 967 96,700
klonidin tablet 0,15 mg 100 170 17,000
klopidogrel tablet 75 mg 30 1,650 49,500
Kloramfenicol suspensi 125mg/5ml 1 4,700 4,700
klorfeniramina maleat (CTM) 4 mg tablet 200 36 7,200
klorpromazin inj i.m 5 mg/ 2 ml (HCL) 30 1,456 43,680
klorpromazin tablet salut 100 mg 100 144 14,400
kodein tablet 10 mg 100 550 55,000
kodein tablet
Kombinasi 20 mg
Ferro fumarat 60mg + As Folat 0,4mg, tablet salut 100 1,250 125,000
gula 30 355 10,650
KSR - Kalium klorida tablet SR 600 mg 100 1,700 170,000
lanzoprazol kapsul 30 mg ( stok Habis) 20 315 6,300
LEVITAM, Levitirasetam tablet 500 mg 20 4,950 99,000
levofloksasin inf 5 mg/ml 1 22,318 22,318
levofloksasin kaplet 500 mg 50 494 24,700
Lexapram sirup- metoklopramid sirup 5 mg/ 5 ml 1 2,650 2,650
lidokain injeksi 2 % (HCL) 100 1,113 111,300
lidokain injeksi 2 % (HCL)+epinefrin 1:80.000 - 2 ml 30 1,937 58,110
Lisinopril tablet 10 mg 100 319 31,900
Lisinopril tablet 5 mg 100 269 26,900
Lodomer 2 - haloperidol tablet 2 mg 100 94 9,400
Lodomer injeksi -haloperidol injeksi i.m 5 mg/ml 12 4,000 48,000
loperamid tablet 2 mg 100 80 8,000
Loratadin tablet 10 mg 100 123 12,300
Martos -10 mengandung karbohidrat 20 31,100 622,000
MERLPOAM, Lorazepam tablet 0,5 mg 100 405 40,500
Meropenem Serbuk Injeksi 500 mg 1 27,200 27,200
Metamizol Injeksi 500 mg/ml ( 4bln) 100 2,900 290,000
metformin 500 HCL tablet 500 mg 100 94 9,400
Metilergometri Inj. 0,2 mg/ml 100 2,849 284,900
metilprednisolon kaplet 16 mg 30 612 18,360
metilprednisolon kaplet 8 mg 100 2,900 290,000
metoklopramide 10 mg tablet 100 87 8,700
metronidazole 250 mg kaplet 100 90 9,000
metronidazole 500 mg kaplet 100 113 11,300
Metronidazole Infus 5mg/ml 1 8,525 8,525
metronidazole sirup 125 mg/ ml 1 3,800 3,800
MILOZ 5 Midazolam ijeksi iv. 1 mg/ml 10 4,180 41,800
Miniaspi 80- asam asetil salisilat (asetosal) tablet 80 mg 100 92 9,200
Morfin tablet 10 mg 30 1,400 42,000
Nacl 0,9 % 20 6,410 128,200
NAROPIN, Ropivakain inj. 7,5 mg/ml 1 71,865 71,865
Natrium diklofenac tablet 50 mg 50 122 6,100
New antides- attapulgit 600 mg tablet 100 142 14,200
Nifedipin tablet 10 mg 100 99 9,900
Nistatin tablet 500.000 IU/g 100 765 76,500
nistatin vaginal tab 100.000 UI/g 100 545 54,500
NOTRIXUM, Atrakurium, injeksi 25 mg/2,5ml ( 10mg/ml) 5 10,950 54,750
ofloksasin kaplet 200 mg 50 440 22,000
ofloksasin kaplet 400 mg (stok habis) 50 605 30,250
Oksitosin inj. 10 IU/ml 100 1,900 190,000
Omeprazol injeksi 40 mg/ 10 ml 10 11,868 118,680
Omeprazol kapsul 20 mg 30 140 4,200
Ondansentron inj, 2ml/ml (4mg/2ml) 5 1,254 6,270
ondansentron tab 4 mg 12 455 5,460
ondansentron tab 8 mg 12 440 5,280
Onzapin- Olanzapin tablet salut 10 mg (stok kosong) 28 6,995 195,860
Optoflox- Levofloksasin tts mata 0,5 % 1 17,880 17,880
OUTSU MGSO4 Injeksi 20% 120 3,200 384,000
OUTSU MGSO4 Injeksi 40% 120 3,650 438,000
Paracetamol Drip inf. 1000mg/100ml 1 12,940 12,940
Paracetamol sirup 120 mg/5ml 1 1,010 1,010
Paracetamol tablet 500mg 100 49 4,900
Pirantel pamoat Susp. 125/5ml 1 9,510 9,510
Pirantel pamoat tablet. 125/5ml 100 269 26,900
piridoksin (vitamin B6) tablet 10 mg (HCL) 100 118 11,800
prednison kaplet 5 mg 100 76 7,600
Profolat- Asam folat tablet 0,4 mg 100 55 5,500
propanolol tablet 10 mg (HCL) 100 52 5,200
propanolol tablet 40 mg (HCL) 100 74 7,400
Ramipiril tablet 2,5mg 100 285 28,500
Ramipiril tablet 10mg 100 770 77,000
Ranitidin injeksi 25 mg/ml 10 1,458 14,580
Ranitidin tablet 150 mg 100 98 9,800
RETAPYL SR Teofil tab. 300mg 100 1,050 105,000
Retinol Vit A 100.000 50 284 14,200
Retinol Vit A 200.000 50 505 25,250
Ringer lactat 20 7,150 143,000
Risperidon 1 mg 100 300 30,000
Risperidon 2 mg 100 347 34,700
Risperidon 3 mg 100 560 56,000
salbutamol 2 mg tablet 100 78 7,800
salbutamol sirup 1 4,275 4,275
salbutamol tablet 4 mg 100 80 8,000
Scabimite cream 10 - permetrin krim 5 % 60 12,155 729,300
sefadroksil 500 mg kaplet 100 450 45,000
sefadroksil sirup kering 125 mg/ 5 ml 1 3,980 3,980
sefadroksil sirup kering 250 mg/ 5 ml 1 5,218 5,218
Sefaleksin tablet 500 mg 50 669 33,450
Sefazolin serbuk inj 1gg 2 16,718 33,436
sefiksim kaplet 100 mg 50 750 37,500
sefiksim kaplet 200 mg 100 2,218 221,800
sefiksim sirup kering 100 mg/ 5 ml 1 6,150 6,150
sefotaksim serb inj 1000 mg 10 4,282 42,820
sefotaksim serb inj 500 mg 2 5,830 11,660
SERETIDE , kombinasi salmeterol 50 mcg, + Flutikason
1 123,948
500+ih500mcg/puff 123,948
SERETIDE , kombinasi salmeterol 50 mcg, +
1 113,333
Flutikason250+ih250mcg/puff 113,333
setirizin kapsul 10 mg 50 96 4,800
setirizin sirup mg/ 5 ml 1 3,150 3,150
sianokobalamin (vit b 12) inj 500 mcg 100 1,087 108,700
sianokobalamin (vit b 12) tablet 50 mcg 10 51 510
simvastatin tablet 20 mg 100 229 22,900
siprofloksasin infus 2 % 1 9,911 9,911
siprofloksasin tab scored 500 mg 100 240 24,000
SKIZON, Betametason krim 0,5% 1 3,388 3,388
SPICA SPINAL, Bupivakain Injeksi 0,5% (PV) 5 10,890 54,450
spironolaktone 100 mg 100 699 69,900
spironolaktone 25 mg 100 244 24,400
Stesolid - diazepam larutan rektal 10 mg/ 2,5 ml 5 17,577 87,885
Stesolid - diazepam larutan rektal 5 mg/ 2,5 ml 5 12,090 60,450
SUFENTA, Sufentanil Injeksi 5 Mcg/ml 5 160,000 800,000
sukralfat susp 500 mg/ 5 ml. 100 ml 1 8,338 8,338
Sulfadiazin Tablet 500 mg 100 277 27,700
Synarcus - flusinolon asetonid krim 0,025 % 1 2,374 2,374
Tanapress, 5 Imidapril tab 10 mg 100 4,554 455,400
Tanapress, 5 Imidapril tab 5 mg 100 2,442 244,200
Tarivid otic solution- ofloksasin tetes telinga 3 % 1 36,900 36,900
TERRELL 100 Isofrulan
Tetagam - human tetanusinhalasi botol 100injeksi
imunoglobulin ml i.m 250 UI 1 307,600 307,600
(kosong) 1 170,000 170,000
Thyrozol 10- Tiamazol tab 10 mg 100 1,195 119,500
tiamin (vit b1) tablet 50 mg 100 82 8,200
Tramadol injeksi 50 mg/ ml 5 1,710 8,550
triheksifenidil tablet 2 mg 100 80 8,000
Vagizol- metronidazol ovula 500 mg 5 4,100 20,500
Ventolim nebules - salbutamol cairan ih 200 mcg/kapsul 128 450 57,600
vitamin b kompleks tablet 100 115 11,500
Voluven Koloid HES BM 130000 lar infus 6 % 1 22,319 22,319
WIDA D5-1/2NS 20 9,400 188,000
WIDA RD, Larutan mengadung karbohidrat + elektrolit 20 8,550 171,000
XYLOCAINE Lidokain Jelli 2 % 10 40,000 400,000
XYLOCAINE Lidokain spray 10 % 1 170,400 170,400
zinc tablet dispersible 20 mg 100 513 51,300