Unknown Unknown Nomor 21 Tahun 2017 tentang STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TOBAN TAHON ANGGARAN 2018 (berlaku Unknown)
Pembukaan
Mengingat
BUPATITUBAN
PROVINS! JAWA TIMUR
PERATURANBUPATITUBAN NOMOR 21 TAHON 2017 TENTANG
STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TOBAN
TAHON ANGGARAN 2018
DENGAN RAHMAT TUHAN YANG MAHA ESA
BUPATI TOBAN,
bahwa dalarn rangka rnewujudkan efisiensi dan efektivitas penyusunan dan pelaksanaan Belanja Daerah pada Anggaran Pendapatan dan Belanja Daerah Tahun 2018 sebagairnana diatur dalarn Pasal 93 ayat (1) dan ayat (5) Peraturan Menteri Dalarn Negeri Nornor 13 Tahun 2006 tentang Pedornan Pengelolaan Keuangan Daerah sebagairnana telah diubah kedua kali dengan Peraturan Menteri Dalarn Negeri Nornor 21 Tahun 2011, perlu rnenetapkan Standar Satuan Harga Pernerintah Kabupaten Toban Tahun Anggaran 2018 dalarn suatu Peraturan Bupati;
1. Undang-Undang Nornor 12 Tahun 1950 tentang Pernbentukan Daerah-daerah Kabupaten Dalarn Lingkungan Propinsi Djawa Timur sebagairnana telah diubah dengan Undang-Undang Nornor 2 Tahun 1965 (Lernbaran Negara Republik Indonesia Tahun 1965 Nornor 19, Tarnbahan Lernbaran Negara Republik Indonesia Nornor 2730);
2. Undang-Undang Nornor 17 Tahun 2003 tentang Keuangan Negara (Lernbaran Negara Republik Indonesia Tahun 2003 Nornor 47, Tarnbahan Lernbaran Negara Republik Indonesia Nornor 4286);
3. Undang-Undang Perbendaharaan Nornor Negara 1 Tahun (Lembaran 2004 Negara tentang Republik Indonesia Tahun 2004 Nornor 5, Tarnbahan Lernbaran Negara Republik Indonesia Nornor 4355);
4. Undang-Undang Nomor 23 Tahun 2014 tentang Pemerintahan Daerah sebagaimana telah diubah Kedua kali dengan Undang-Undang Nomor 9 Tahun 2015 (Lembaran Negara Republik Indonesia Tahun 2015 Nomor 58, Tambahan Lembaran Negara Republik Indonesia Nomor 5679);
5. Peraturan Pemerintah Nomor 58 Tahun 2005 tentang Pengelolaan Keuangan Daerah (Lembaran Negara Republik Indonesia Tahun 2005 Nomor 49, Tambahan Lembaran Negara Republik Indonesia Nomor 4578);
6. Peraturan Pemerintah Nomor 27 Tahun 2014 ten tang Pengelolaan Barang Milik Negara/Daerah (Lembaran Negara Republik Indonesia Tahun 2014 Nomor 92, Tambahan Lembaran Negara Republik Indonesia Nomor 5533);
7. Peraturan Presiden Nomor 54 Tahun 2010 tentang Pengadaan Barang/Jasa Pemerintah sebagaimana telah diubah keempat kali dengan Peraturan Presiden Nomor 4 Tahun 2015;
8. Peraturan Menteri Dalam Negeri Nomor 13 Tahun 2006 ten tang Pedoman Pengelolaan Keuangan Daerah sebagaimana telah diubah Kedua kali dengan Peraturan Menteri Dalam Negeri Nomor 21 Tahun 2011;
9. Peraturan Menteri Dalam Negeri Nomor 19 Tahun 2016 tentang Pedoman Pengelolaan Barang Milik Daerah;
MEMUTUSKAN:
PERATURAN BUPATI TENTANG STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGGARAN
Menetapkan 2018.
Pasal 1
Standar Satuan Harga Pemerintah Kabupaten Tuban Tahun Anggaran 2018 adalah:
- a. biaya setinggi-tingginya dari suatu barang dan jasa baik secara mandiri maupun gabungan dan dapat dinegosiasikan kembali untuk memperoleh harga yang lebih menguntungkan bagi Pemerintah Kabupaten Tuban.
- b. sebagai pedoman untuk mengevaluasi harga yang dikalkulasikan secara tit{' keah!ian.
- c. sebagai pedoman/acuan penyusunan kebijakan anggaran.
Pasal 2
- (1) Standar Satuan Harga sebagaimana dimaksud dalam Pasal 1, dikategorikan
2. dalam:
- a. bidang obat dan peralatan kesehatan;
- b. bidang bahan dan peralatan laboratorium;
- c. bidang peralatan;
- d. bidang peternakan dan perikanan;
- e. bidang tanaman dan pupuk/obat tanaman;
- f. bidang pemeliharaan barang inventaris kantor;
- g. bidang bahan konstruksi;
- h. bidang barang persediaan dan pakai habis; dan
- i. bidang lain-lain;
- (2) Standar Satuan Harga sebagaimana dimaksud pada ayat (1) tercantum dalam
LAMPIRAN
LAMPIRAN
lampiran I, lampiran II, lampiran III, lampiran IV, lampiran V, lampiran VI, lampiran VII, lampiran VIII, dan lampiran IX dan merupakan bagian yang tidak terpisahkan dengan Peraturan Bupati ini.
- (3) Standar Satuan Harga sebagaimana dimaksud pada ayat (2) sudah termasuk pajak kecuali bidang bahan konstruksi.

## Pasal 3

Standar Satuan Harga yang dikeluarkan oleh Agen Tunggal Pemegang Merk (ATPM) harus menggunakan daftar harga (price list) pemegang merk atau penerbit yang bersangkutan.

## Pasal 4

Organisasi Perangkat Daerah dalam melaksanakan Anggaran Daerah harus berdasarkan Standar Satuan Harga sebagaimana dimaksud dalam Pasal 2.

## Pasal 5

- ( 1) Dalam hal belum ditetapkan besaran standar satuan harga oleh Bupati, dapat berpedoman pada standar satuan harga yang sudah ditetapkan dalam 'f ;eraturan perundang--undangan lainnya.


- (2) Dalam hal belum ditetapkan besaran standar satuan harga oleh Bupati, peraturan perundang-undangan lainnya atau ada perubahan harga yang sangat signifikan dipasaran maka Organisasi Perangkat Daerah yang bersangkutan dapat melaporkan kepada Bupati dengan dilampiri bukti pendukung hasil survey.

## Pasal 6

Peraturan Bupati ini mulai berlaku pada tanggal diundangkan.

Agar setiap orang mengetahuinya, memerintahkan pengundangan Peraturan Bupati ini dengan penempatannya dalam Berita Daerah Kabupaten Tu.ban.

Ditetapkan di Tu.ban


Diundangkan di Tuban pada tanggal 9 JUl'li 2917

SEKRETARIS DAERAH

KABUPATEN TUBAN,

f


BERITA DAERAH KABUPATEN TUBAN TAHUN 2017 SERI E NOMOR 2t

'"


LAMPIRAN I

PERATURAN BUPATI TUBAN

NOMOR

24 TAHUN 2017

TENTANG

STANDAR SATUAN HARGA

PEMERINTAH KABUPATEN TUBAN

TAHUN ANGGARAN 2018

## STANDAR SATUAN HARGA BIDANG OBAT DAN PERALATAN KESEHATAN

| NO. | NAMABARANG | JENIS/MERK | SATUAN | SATUAN HARGA TAHUN 2018 | SATUAN HARGA TAHUN 2018 |
|-----------------------------------------------------|---------------------------------------------|------------------|-----------------------|---------------------------|---------------------------|
| 1 | 2 | 3 | 4 | 5 | 5 |
| I FARMASI | | | | | |
| | Coronet | fls | | 20.210 | 20.210 |
| 1 ABDELYN dron | | | | 27.515 | 27.515 |
| 2 Acitral syr 120 cc | Interbat | fls | | | |
| 3 Acitral tab | Interbat | biii | | 750 | 750 |
| 4 Acran ini | Sanbe | | amnul_____ | 22.735 | 22.735 |
| 5 Adona 10 cc ini | Tanabe | | ~nul | 26.130 | 26.130 |
| 6 AdonaAC | Tanabe | | biii | 2.270 | 2.270 |
| 7 aerrane 250 ml | Kalbe_Farma | _______ | ________fls ________ | 1.952.170 | 1.952.170 |
| 8 Albothil Cone | Pharos | | fls ---- | 34.120 | 34.120 |
| | | Pharos | ncs | 19.350 | 19.350 |
| 9 Alboth'-clovula Alinamin_F ini____________ | | Takeda | amnul | 16.675 | 16.675 |
| 10 | | | biii | 1.050 | 1.050 |
| 11 Alinamin F tab ---------- | Takeda | | | | |
| 12 alloris s ---------------------- | ----- -- | Sanbe______ | fls | 58.830 | 58.830 |
| _n_ Alpentin_300 _m~--------- | b_ctavis --- | | biii | 2.060 | 2.060 |
| 14 Aminovel_600_ | Otsuka_____ ------ | --- _______ biji | fls | 54.820 | 54.820 |
| 15 AMOXSAN 250 ___________ 16 AMOXS~!':L!?.QOTAB | Sanbe_____________ ---------- - Sanbe______ | | biii | 1.740 3.740 | 1.740 3.740 |
| 17 Amoxsan drop | -- Sanbe________ | | fls | 22.980 | 22.980 |
| AMOXSAN DRY SYP | Sanbe | | fls | 25.630 | 25.630 |
| 18 ANADEX SY___ | ---- Interbat | | fls | 16.155 | 16.155 |
| 19 | | | | 895- | 895- |
| 20 Anadex tab | lnterbat | biii | biii | 1.385 | 1.385 |
| -~_l. Analsik_ 22 Analtram tab | Sanbe ----------- Lapi | | biii | 7.165 | 7.165 |
| 23 ANEMOLAT | Phanros | | biii | 130 | 130 |
| 24 anesi!:!.<::.Uni | Guardian | | vial | 175.875 | 175.875 |
| 25 Antrain ini | lnterbat | | amnul | 3.870 35.805 | 3.870 35.805 |
| -~§. ~Qialys dro2 | Lapi | | fls | 29.840 | 29.840 |
| -~Z. ~nialvs svr | Lapi | fls biii | | 180 | 180 |
| -~§_ ~otor tab 29 Aaua oro ini | Nicholas Otsuka | | fls | 3.430 | 3.430 |
| 30 Asthin force cans | Soho | biii | | 8.170 | 8.170 |
| 31 Asthin Force cream | Soho | | tube | 81.655 | 81.655 |
| ---- 32 ATS 1500 ui | Bio Farma | | amnul | 140.855 | 140.855 |
| 33 Bamgetol 200 mg | Mersi | | biii | 300 | 300 |
| 34 Banuinor 500_mg________ | Sanbe | | biii | 15.595 | 15.595 |
| 35 BD-,:,ard ca2s | Mahakam | | biii | 9.390 | 9.390 |
| 36 beclov ini_____ | Sanbe | | amnul | 34.630 | 34.630 |
| 37 Becom C | Sanbe | | biij. | 1.415 | 1.415 |
| 38 Betadin_Gar_ le | _____Jy1ahakam | | fls | 17.840 | 17.840 |
| 39 Bio Curliv | | | biii | 7.540 | 7.540 |
| 40 Bionect Cream | Soho Astra Zeneca | | tube | 114.420 | 114.420 |
| 41 Bionlacenton_cr 15 gr | Kalbe Farma | _______ | tube | 15.075 | 15.075 |
| 42 Bionlacenton Tull | Kalbe Farma | | | 11.880 ----------- | 11.880 ----------- |
| -------- _:Et Biosat 1,5 ini ------------ | | | | 140.855 | 140.855 |
| 44 Bisolvon ini | Bo~_J]-_1:_:igger | | amnul | 49.455 | 49.455 |
| 45 Bralifex ED | Sanbe | fls | | 33.665 | 33.665 |
| _:!:§_ ?ralifex 2lus ED | Sanbe | fls | | 49.465 | 49.465 |
| 47 Braxidin______ ----------- | Sanbe | | biii | 1.005 | 1.005 |
| 48 Bricasma ini - | Astra Zeneca | amnul | | 22.530 | 22.530 |
| .:!:2_ 1?..~~ain s2inal 0.5 | Bernofarm | amnul | | | |
| _§Q_ ~µrnazin Crea_m__~_!?_ _g_r | D:arva Varia | tube | | 65.640- 26.270 | 65.640- 26.270 |
| _§_l. Buscopan inj ---------------- --------------- | Boehrin<>er | amnul | | 26.585 | 26.585 |
| _§~. BuscoP-an Plus ------------------ | Boehrin<>er | | ----- | 3.420 | 3.420 |
| 53 buscopan_tab__________ | Boehringer________________ | biji | - ---- | 2.600 | 2.600 |
| _§:!_ Q§llos chew | ________ Fahrenheit | bjji | | 860 | 860 |
| 55 Carsive ini | Landson | amoul | | 128.135 | 128.135 |
| 56 Cedocard Ini ------------ | Darva Varia | amoul vial | | | |
| 57 Cebactam inj -------------------- | Lapi -------- | ampul | -- | 169.590 | 169.590 |
| 58 Cedantron 4 mg ini | Soho | | | 65.045- 34.610 | 65.045- 34.610 |
| 59 Cedocard 5 m<>;,____________ --------- | Soho | biii biiT- | | 1.235 | 1.235 |
| 60 Cefat_~50 ------ | ____________Sanbe_ | biii | | 5.465 | 5.465 |
| _§_t Q!:!.f~t 500 | S~r.!.be | | | 11.945 | 11.945 |
| 62 Cefat Svr | Sanbe | fls | | 49.125 | 49.125 |
| 63 CENDO ASTENOF ED | | fls | | 25.065 | 25.065 |
| | ----~endo | fls | | 23.870 | 23.870 |
| 64 cendo cru:pine 2% | Cendo | fls | | 13.145 | 13.145 |
| 65 CENDO CITAMID eye dro2 | Cendo | fls | | 22.805 | 22.805 |
| 66 cendo dexaton 5 cc | --- Cendo | | | 19.160 | 19.160 |
| 67 Cendo efrisel minidose | Cendo | fls | | | |
| | Cendo | | | 35.650 | 35.650 |
| 68 CENDO GENTAMICIN tts mata | | | fls | | |
| | Cendo | | tube | | |
| 69 cendo gentamisin 0.3 | | | | | |
| | | | | 27.410 | 27.410 |
| | % slo mata | | | | |
| | -------- -- | | | | |
| | --- | | biiL_____ _______ | | |
| | ----- | | | | |
| | | | pcs_______ ampul_____ | | |
| | | | _______ --- | | |


| NO. | NAMABARANG JENIS/MERK | SATUAN | SATUAN HARGA |
|----------------------------------------------------------------------------------------------|------------------------------------------------|-----------------------------------------------|--------------------------|
| 1 2 | 3 | 4 | TAHUN 2018 5 |
| 70 cendo hervis 3.5 ,,r sln mata | Cendo | tube | 42.935 -------- |
| 71 Cendo oantocain mds 72 cendo ~:gp mini dose | Cendo Cendo_____________ | tube tube | 16.845 17.235 |
| ------ 73 cendo Reoithel minidose | | ---- | 42.935 |
| | Cendo | tube | |
| 74 Cendo reoithel SM cendo statrol 3.5 slp mata | Cendo | tube tube | 54.650 21.325 |
| 75 1,r "••fl•••••-•n• 76 cendo statrol 5 cc TM | Cendo Cendo_______ | fls | 22.930 |
| ----- 77 CENDO TIMOLOL 0.5_% ---- | Cendo_____________ | fls | 56.990- |
| 78 cendo timolol 0.25% | ____________Cendo__ | fls | 38.3T5- |
| 79 CENDO TROPIN 0.5'.J"o ------------ | Cendo | fls fls | 15.705- 31.840 |
| _!30 cendo xitrol 5 cc TM ------- | Cendo Cendo | tube | 41.915 |
| 81 Cendo Xitrol salen mat~ --- 82 Cenfresh ED - | | PCS | ------ 19.485 |
| -------------- -- 83 Cenfresh Mds | -------- | ___ pcs | 28.895 |
| 84 Centik can | Interbat | biii | 20.135 |
| 85 Cerini tab | Sanbe | biii | 3.350 ------ |
| 86 Cernevit ini | Kalbe Farma | ameul | 171.855 |
| 87 Cetadon ini | Soho | amoul | 53.f.?75_ |
| 88 Chloramex ini | Actavis | vial | 8.sTo- |
| 89 Chlorbiotic ini ------------ 90 Cinamini | Bernofarm sanbe | vial vial | 8.570 63.325 |
| 91 Citicolin 250 mg.}_ 2 ml ini | | ampul | 9.425 |
| 92 Citicolin tab | | bW | 7.960 ------------------ |
| 93 Claneksi L i:,r | Sanbe | ampul | 91.745 |
| 94 Clooedin ini Cobaziil}_tab 1000_,mg____ | Kimia J:grma | ~oul | 29.525 |
| 95 COLME_eye drop_______________ | Interbat Interbat | _J:l_iji fls | 2.775 22.635 |
| -~6 ----- 97 Colme TT ----------- | Inter_g_at | fls fls | 22.635 74.120 |
| -- 98 Comafusin Heoar ------ | San_ge - | | |
| _22_ COMBANTRIN_250_______ -------- | PhaP.ros | ___ biji . | 4.865 |
| _lQQ Q;mcor 5 mg_ ----------- 101 Cortidex ini | Merck_____________ Sanbe___ | _______ biji •----- ampul | 2.750 6.635 |
| IQ~ Qravit ED | Ferron ____________ | fls | 122.925 |
| 103 Cravox infus | | --------------- | 238.685 |
| ---- 104 Curcuma 200me | La_pi Soho___ | fls biji | 505 |
| IQ§ ~l)._rcuma blister lQ§ D 10% | Soi:}.Q___ ____Widatra _ | biji ns___ | 1.005 8.570 |
| lQZ Darvacef ini | Darya Varia | vial | 165.825 |
| lQ§ Danalgin tab 109 Deoakene 250me/!!!Ui.vr 120ml | Phapros | biii | 945 |
| 110 Diazole infus | Abbot | fls fls | 84.290 8.795 |
| - 111 eclid tab | Dexa | biji | 1.430 |
| 112 Efla,:,en 50 tab | Sanbe | biji | 2.355 |
| UJ Efrisel ED | c_~n_g_o | fls | 17.725 |
| - 114 Elkana Svr ----- | Sag_be | fls | 23.945 |
| u~ Elkana tab | Sfil1Q!'! | -:::i?.iji biji | _____ 870_ |
| 116 ENATIN TAB -------- 117 ENDROLIN !NJ | Pharos___________________ Kalbe J:grma | ~pul | 1.290 - 1.336.625 |
| 118 Enema set | onemed | pcs | 17.560 |
| 119 | Dankos | fls | -------- 22.045 |
| Envstin_drop •---------------- ------------ l~Q Escovit_tab ----------------- -------------- | __________ Escolab __________________ ______ | biji | -------- 8.135 |
| 1~1 Esthero_ O.625_mg_____________ ---------- Ethigent_inj_____________________________ | Sunthi Sepuri Etht9_~ | biii amoul ________-fiiji | 7.365 11:5~fo- |
| 1~~ ------------------ l~J Evevit tab -------------------- ----------------- 124 Fare:oxin | La_p_i _____________ _____ Fahrenheit_________ | biji •----- | 4.000 130 |
| ----------------- ----------- | | _______ b... | ---- |
| 125 Farnormin 50m<'_!_~.Q | Fahrenheit | !Jl ampul | 405 7.540 |
| _l~§ f~six inj 127 Fimahes_500ml ------- Fleet Enema_____ | Fahr~~heit Kalbe_Farma | -------- •----- fls | 59.390 |
| 1~§ ------- Fluorescein ED___________ | _ Combiohar___ | PCS | |
| _1_62 l~Q Folavit 400_mg______________ | G_mg_o Sanbe | fls biji | 45.625- |
| -- --- 131 Fuson er --- | Pv-;:ict~ | tube | 15.190- ----- 44.540 |
| _l~~ gastor oil | Brataco | fls | ~f9-: 81.655- |
| 133 Gastridin ini 134 Gastridin tab | Interbat | ampul | 21.500- |
| - 135 GASTROFER !NJ | Interbat | biji | 5.000 |
| 136 Gitas olus | Dexa Interbat | vial biii | 108~350_ |
| 137 Glaucon tab | Cendo | b... 1)1 | 2.145 4.775- |
| --- P8 Glidia):2J.:§lb | Soho | biji | ---- 1.200 |
| ------------------ 139 Gliserin 1 It | | __________ fls | 56.530- |
| 140 Glucobav 50 m | --- Brataco____________ bg_y:er | biii | |
| 141 Glvbotic 250 ini | Sanbe | ampul | 1.315 |
| _l42 Halmezine 100ml ---------------------- 143 halo_tg_I].__( I FLSJ _______________ | Coronet Dexa | -ii.s fls | |
| ------------- 144 n~?J.c;,.2 caps | ______lkapharmindo | ________ biji | 73.250- 1.381.845 2.830 |
| -------------------- !~MICETIN SM | | •----- tube | 25.725- |
| 1:!:~ ---- H§ !!!!odium | _____ _____ Janssen __ | -------------------- b... ----- \,l_l _______ | 4.400 7.865 |
| --------- _l:!:'.7- Imunos syr | | fls | |
| ------- _l:!:§ Imunos tg_1?.__ | ______Ikapharmindo Lap_i_ | b'" | 62.655 |
| ------- 149 !MURAN TAB | Lapi | !Jl - | 6.565 |
| --- --- 150 inbion tab | Ql.il)CO Interbat | biii biii | 8.555 1.315 |
| ------------ 151 INCELIN TAB | Interbat | •-------• biii | |
| 152 Indexon ini | Interbat | ampul | 10.575 |
| ------ | Interbat | | 7.385 |
| 153 INDEXONTAB --- induxin inj | | --- biji _____ampul_____ | 360 |
| _l§:!: | Kalbe Farma | | 10.050 |
| --------- ----------- | | | |

-----------


| NO. | NAMABARANG JENIS/MERK | SATUAN | SATUAN HARGA TAHUN 2018 | SATUAN HARGA TAHUN 2018 |
|------------------------------------------------------------------------|----------------------------------|-----------------------------|----------------------------|----------------------------|
| 1 | 3 | | 5 | 5 |
| 2 155 Inerson Cream | lnterbat | 4 tube | 32.100 | 32.100 |
| 156 infusan D5 DP | -- Sanbe | fls | 18.720 8:1§"s" | 18.720 8:1§"s" |
| 157 lnfusan D5+1/2NS 500 ml 158 infusan NS DP | Sanbe | fls -- fls | 18.350 | 18.350 |
| 159 infusan RINGS-AS DP | Sanbe Sanbe | fls | 20.605 | 20.605 |
| 160 infusan RL DP | Sanbe | | 18.405 | 18.405 |
| 161 InlactaDha | Interbat | fls b"' . \)l _______ | 3.915 | 3.915 |
| -------- 162 Inmatrol ed | Interbat | fls | 24.955 | 24.955 |
| 163 Interflox 500 - | Interbat | bii_~ bij_i_ | 13.700 755 | 13.700 755 |
| 164 Interhistin ---- 165 lnterlac droos | Interbat | pcs | 176.875 | 176.875 |
| 166 Intermoxil 1 ~ ini | ------- Interbat | am~~! | 16.560 | 16.560 |
| 167 intermoxi! 500 tab | lnterbat | bij_i_ | 3.175 | 3.175 |
| 168 intermoxil siruo 60 ml | Interbat | fls | 22.990 | 22.990 |
| .l§2 lnteroril 10 mg | Interbat | biii | 4.370 | 4.370 |
| 170 lnteroril 5 mg tab | Interbat | biii | 615 | 615 |
| 171 INTERVASK 10 m | Interbat | biji fls | 10.130 26.920 | 10.130 26.920 |
| 172 interzinc sirup 60 ml 173 invitee tab | Interbat | biji | | |
| 174 Invomit 4 mg ini | Dankos | | 11.855 | 11.855 |
| 175 Invomit 4 mg tab | Interbat Interbat | ampul biii | 34.280 16.545 | 34.280 16.545 |
| 176 Irtan 150 m!! | Ikaoharmindo | biii | 2.285 | 2.285 |
| 177 ISOKET5MG | Ikaoharmindo | bi.ii | 1.085 | 1.085 |
| _E§ l;:;_oket i.v 179 Kaen 4A | Glaxo | ampul fls | 75.375 -------- 16.225 | 75.375 -------- 16.225 |
| 180 Kaen 4B | 0!.§Uka Otsuka | fls | 18.970 | 18.970 |
| 181 Kalmetason 4 mgJ!!i.. | Kalbe Farma | arI!PUI | 2.485 | 2.485 |
| 182 Kalnex 250 m!! ini | Kalbe Farma | ampul biii | 10.745 | 10.745 |
| 183 Kalnex 500 m | Kalbe Farma --- | | 3.345 | 3.345 |
| 184 Kaltrofen Su _:Q | Kalbe Farma | pcs | 13.130 | 13.130 |
| 185 Kanabio~t9__!_~ 186 kaosu!O | Bernofarm Brataco | vial pcs | 12.565 55 | 12.565 55 |
| 187 kaosul 00 | Brataco | | 90 | 90 |
| 188 kaosul 1 | Brataco | pcs ocs | 55 | 55 |
| 189 kaosul 2 | - Brat~90 | PCS fls | 40 40.580 | 40 40.580 |
| 190 Karvuni ED .l2.l Kedacillin 1 gr inj | Ferron Takeda | vial | 46.705 | 46.705 |
| 192 Kenalog In Orabase | Thaiso | tube | 56.030 | 56.030 |
| 193 Ketrobat ini 30 ID!! | Pharmaceutical | | 37.520 | 37.520 |
| 194 KTM/Ketalar ( /VIAU | Interbat ,mardian | am~~! vial | 125.625 | 125.625 |
| 195 Kutoin can 100 m - | Mersi | biii | 1.015 | 1.015 |
| 196 L-Bio | Lapi | biii | 5.970 190.950 | 5.970 190.950 |
| .l2Z Lacedim iniJ._ gr 198 | Lapi | vial vial | 87.120 | 87.120 |
| LAMESON !NJ 199 Laoibal 500 | Lapi __La_pj | biji | 2.210 | 2.210 |
| ----------- 200 Lapicef 500 | Laoi | bjji | 10.505 ------ | 10.505 ------ |
| ----------- 201 Laniflox 500 | Lapi | biji | 13.130 | 13.130 |
| ~Q~ Laoimox 500 m!! | Lapi | biii biji | 2.630 1.075 | 2.630 1.075 |
| 203 Laoistan 500 mg | Lapi | | 143.210 | 143.210 |
| 204 Laoixime ini 1 ,:,-r 205 Lasix amo | Lapi Sanofi | vial ampul | 14.830 | 14.830 |
| 206 Lenal Ace 207 Leoarson_tab ______ | Novartis Dexa | biji biji | 890 2.745 | 890 2.745 |
| 208 Levemir Flexipen | Novo Nordisk | pcs | | |
| 209 Lidodexini | _____ | ampul | 97.075 | 97.075 |
| -------------------- 210 Lodia 2m!!______ | Bernofarm Sanbe_____________ | \)! _______ _________ | 65.640 1.115 | 65.640 1.115 |
| ---------------- -------------- ~H ~ynoral ------- ------- ----------- | Organon | b"' _________ ________ biji | 1.680- | 1.680- |
| 212 Magasida 60 ml svr 213 Maintate 2.5m!! | KimiaFarma | fls ------ biji | 24.900 | 24.900 |
| 214 Maintate 5 | Merck Merck | | 4.955 | 4.955 |
| 215 Manito! 500 ml | Otsuka | | 8.190 | 8.190 |
| 216 Martos | Otsuka | biii fls fls | | |
| 217 mefinal 250 218 Mefinal 500 | Sanbe | | 70.810 | 70.810 |
| 219 | Sanbe | biji biji | 44.825 | 44.825 |
| Mefinter 500 220 Mefurosan cream | Interbat | ------- ---- | 645 | 645 |
| 221 | --- ------- Sanbe | bijj tube | 1.485 | 1.485 |
| ---------- Methert!!§ll tab ----------- | Landson | biji | 1.465 | 1.465 |
| 222 Metolon ini 223 Mevlon ini | Berp.ofarm | vial vial | 79.-935- 505- | 79.-935- 505- |
| 224 MEZATRIN | ---- Otsuka Sanbe | _______ biji | | |
| ~~~ MgS04_20% | Otsuka | vial | 2.-860- 7.085 15.805 3.200 | 2.-860- 7.085 15.805 3.200 |
| ~~§ l\l!g_S04_40% 227 Micardis 80 mg | Otsuka | vial biji | - 4.000 | - 4.000 |
| 228 miloz 5 ml | Boehringer Novell | ampu! | 7.425 22.615 | 7.425 22.615 |
| ----- ;229 | Sanbe | pcs | 560 | 560 |
| MUC_OHEXSIN TA~---------------------- ~~Q Nebacetin oowder ---------- | Pharos | pcs | 22.080 | 22.080 |
| ---------- 231 Neo Diaform | Corsa | Jj"• \)l | 255- | 255- |
| ---------------------- ~32 Neo Kini --------- | -------- ___________ - Combiphar | ------ | 12.385 | 12.385 |
| --------------- 233 Nerilon cream 10 !!r Neuciti 250 mg ini________ | ____________ - Interbat | _________ tube | ------------ 31.270 | ------------ 31.270 |
| --------- 234 | -------- Lapi | -----arI!PUI_____ ampul | 34.550 | 34.550 |
| 235 neurobat_dr~ee tab | Interbat | biji | | |
| 236 Neurobat forte ini | Interbat | ampul | 9-90- 4.250 | 9-90- 4.250 |
| 237 NEUROBION 5000 !NJ | Merck | ampul | 9.130 | 9.130 |
| 238 | Merck | biii | 2.620 | 2.620 |
| Neurobion 5000 m!! tab | | | | |
| | --- | | | |
| | | ______ | | |
| | _______ | | | |
| | ______________ | | | |

-


| NO. | NAMABARANG JENIS/MERK | SATUAN | SATUAN HARGA |
|-----------------------------------------------------------------------|-------------------------------|---------------------------|-----------------|
| 1 2 | 3 | 4 | TAHUN 2018 5 |
| 239 NEUROSANBE | Sanbe | biii | 1.165 |
| 240 Neurosanbe 5000 | Sanbe Sanbe | biii ampul | 2.200 5.695 |
| 241 Neurosanbe ini -------- 242 Nonflamin | Takeda | biii | 4.885 |
| 243 Nonerten_lO_m!! | | biii | 1.830 |
| | Dexa Dexa | bUi | 4.715 |
| 244 Norelut _!;i_E}g 245 notrixum_25_iaj | Novell | | 49.245 |
| 246 Novellmvcin _l e:r ini | Novell | ampul vial | 63.315 |
| ~17- noveron inj | N9_y~ll | ampul | 108.340 |
| 248 Novomix Flexnen | Novo Nordisk | pcs PCS | 125.625 |
| 249 Novorapid Flexoen | l'!:.QY..O Nordisk | biii | 99.360 9.740 |
| 250 nutriflam tab 251 Omz caosul___ | Tropica Ferron | biji | 14.660 |
| 252 OMZini | Ferron | vial | 82.220 |
| ~§~ Optimax ____________________________ | Ferron | bjji | 7.005 |
| 254 Osfit Dha__________ | Kalbe Farma | biii | 3.350 |
| ~§§ osteocal | Nicholas | biii | 640 |
| 256 Otooain 8 ml T Telin a - | Interbat | fls biii | 40.675 |
| 257 Pamol5QQmg | Interbat | | 410 23.765 |
| 258 Pamol dr.9_ps 259 PARACO drop | Interbat Coronet | fls fls | 26.950 |
| 260 PATRALTAB | Mahakam | biii | 8.545 |
| 261 Pehacain ini | Pharos | ampul | 3.200 |
| 262 Phamin9_yJni 263 Picyn 1..§_e: | Pharos | amoul vial | 4.685 109.920 |
| 264 Picvn 7..§_g_____ | --~~mofarm Bernofarm | vial -- | 91.865 |
| ~§§ pirabrain_iaj | Interbat | amoul | 52.295 6.170- |
| 266 Piracetam 3 e:r ini | | ampul biji | |
| 267 Piracetam 800 m - | | | 555 |
| ~§§ pk (1 k_ | Brataco -- | pcs biji | 502.490 4.570 |
| 269 Placta tab 270 Plasminex ini | actavis Sanbe | | 12.935 |
| 271 Plasminex tab | Sanbe ---- | amoul biii | 2.805 |
| ~z~ polidemisin eye drop | Sanb_!.:______ | fls -------- | 27.435 705 |
| 273 Pondex 500 me: | Dexa | bii_i_ fls | 9.400 |
| 274 Pondex svr ~Z§ Posp~!!in ini | Dexa ------------ Kalb~ Farma | amP.ul_____ | 6.565 |
| 276 Posoare:in tab | Kalbe Farma | bii_i_ bii_i_ | 645 2.630 |
| 277 Prednox 4m - 278 Prenamia | Pvridam | | 1.240 |
| | Sanbe | biii | 11.310 |
| 279 Primoeran ini 280 Prolic 150 m | Soho Sanbe | ampul biii | 3.960 |
| - 281 Prolic 300 | Sanbe | _______ biji | 7.395 |
| 282 Prorenal tab | Novell | biji | 7.540 |
| 283 PROTEMUN TAB ~§1 prothyra 5 mg____________ | Novell Sunthi Sepuri | biji bij_i | 5.025 2.420 |
| 285 Pumoitor ini ______________________ | | _______ vial | 108.235 |
| ------ 286 Redacid t~J;? | Sanbe_____________ Dexa | biji | 9.425 |
| 287 Renadinac 50 me: | Fahrenheit | -------------------- biji | 695 |
| | | | 440 |
| 288 renadinac 25 289 Retivit | Fahrenheit Sanbe | biii biji | 4.270 58.735 |
| 290 Revolan ini 3 e:r 291 REVOLAN TAB 1200 | Sanbe Sanbe | ampul biii | 4.925 |
| 292 Revolan tab 800 | Sanbe | biii _______ | 4.100 |
| ~2~ 8IMSTAR tab --------- | ____ Sandoz | biii | 6.725 |
| ~21 ROXEMID !NJ --------------- | Sanbe | - vial | 9.850 150:Cffs- |
| ~9.§ Rvcef l_gr __ --------- ------------- ~9.§ RYVEL 1O_M_G | Novell_____________ | ampul biii | 3.580 |
| ~27- Sabu ini | Interbat N9_Y.!.:ll | viai-- vial | 526.675 |
| 298 Safol 10 ini 299 Sanexon ini | Novell | | 106.780 |
| 300 Sanm,.~__f'!vr | Sanbe | fls | 99.945 27.965 |
| 301 Sanmag__tab ________ | Sanbe Sanbe | ampul biji | 820 |
| 302 sanmetidin tab | Sanbe | bjji | 1.675 |
| 303 SANMOLDROP | Sanbe | fls | |
| 304 Sanmol infus | Sanbe | | 36.060 |
| 305 Sanmol ~yr | Sanbe | fls fls | 14.880 12.935 |
| 306 Sanmol tab -- | Sanbe | biii biji | 310 |
| ~QZ ~§1.lorimaF | Sanbe | _______ _______ amoul | 2.110 |
| 308 Sansulin N 309 Sansulin R | Sanbe | am~~! | 85.655 85.655 |
| 310 Santa E 100 m!! | Sanbe | _______ biii | 850 |
| ~ll Santa E 400 me: 312 Santa!!esic ini | Sanbe Sanbe | biii | 4.140 |
| 313 SCANTIPID 300 MG | Sanbe | ampul biji | 4.010 2.245 |
| 314 Scobutrin tab | Temoo scan | biii | - |
| ~l§ ~ibital inj _ | Landson | | 880 11.310 |
| ------------- ----------- ------- 316 SITRO TAB 150 mg_______________ | Mersi Interbat | PCS | 5.760 |
| sohobion 5000 inj | | _____ampuI_____ | |
| ----- ~E --------- 318 Sohobion tab | _____________Soho | ampul biii | - 4.000 290 |
| -- 319 Solosa 1 me: | Soho ___.§§Ilofi | biii | 575 |
| 320 Solosa 2 me: | Sanofi | biji | 860 |
| 321 Sotatic inj | Fahrenheit | amoul | 3.200 |
| 322 SOTATICTAB | Fahrenheit | biii | 100 |
| ~poretik 50 me: | Sanbe | biii | 10.050 |
| ~~~ | | | |

| NO. | NAMABARANG | JENIS/MERK SATUAN | SATUAN HARGA TAHUN 2018 |
|--------------------------------------------------------------------------------------------------------------|-------------------------------------|-------------------------|---------------------------|
| 1 2 | 3 | 4 | 5 |
| 324 Tanaoress 10 | Tanabe | biii | 5.205 |
| 325 Tana.J:?_!ess 5 me: tab 326 TARIVID ooth. solution | Tanabe Ferron | biii fls | 2.790 59.925 |
| 327 Tarivid Otic 50 Lotion | Ferron | fls | 83.540 |
| 328 Taxee:ram_1 e:r | Sanbe | vial biii | 155.975 4.400 |
| J22 Ten@ril 2.5 m" | Q.~;sg | biii | 2.170 |
| 330 Tenanril 5 mg 331 Tensilo ini | Dexa Fahrenheit | vial | 154.165 |
| 332 Terasma | Medikon | biii | 690 |
| 333 Terramvcin 1% SM 5GR | Pfizer | tube | 12.460 |
| 334 Tetae:!!:!!!J!!i | Dexa | ampul | 194.145 |
| 335 THROMBO ASPILET | Darva varia | biji | 730 57.875 |
| 336 ThrombqP..hoq__gel 337 Thvrozol 5 me: | Nordmark Merck | tube biii | 645 |
| 338 Tiarvt tablet | Fahrenheit | biji | 1.585 |
| 339 Tomit ini | Interbat | ampul | 8.600 |
| 340 Tomit tab | Interbat | biii | 655 |
| 341 Tria Caroin tetes mata | Cendo | ns | 21.470 |
| 342 Tria timolol 0.5 ed | Cendo | fls | 26.610 |
| 343 Tria xitrol ed | Cendo | fls biji | 11.995 |
| 344 Trifed 345 TROMBOPOB OIN | Interbat Nordmark | tube | 1.340 37.690 |
| 346 Tutofusin LC | | fls | 123.740 |
| 347 Tutofusin OPS | Kalbe Farma Kalbe Farma | fls | 53.390 |
| 348 ulsidex 500 349 Unalium 10 | Dexa s:mardian | biii biii | 440 7.880 |
| J.RQ Urinter_tab | | | |
| | Interbat | biii biii | 2.775 |
| ;1,R_l_ Vaclo_tab 352 VALISANBE 2 MG | Q.~;s_g Sanbe | biii | 8.565 205 |
| 353 VALISANBE 5 m - | Sanbe | biii | 290 |
| 354 Vascon ip.j | Fahrenheit | ampul | 55.315 |
| 355 Vectrine 300 mg | Dexa | bi.ii vial | 4.840 |
| 356 Viccillin 1 e:r | Meiii | | 10.855 |
| J.RZ Vioguin tab | Gracia | biii | 13.130 25.110 |
| 358 vometraz 4 mg ini 359 VOSTRINTAB | Dexa Novell | ampul biii | 4.715 |
| 360 Widahes inf | Widatra | fls vial | 187.180 |
| 361 Xilon ini 125 mg 362 THR Cemented | Mahakam | Ronkard | 83.540 31.444.045 |
| 363 THR Cementless | | Ronkard | 39.809.880 |
| 364 THR Hvbride Cemented | | Ronkard Ronkard | 35.162.315 35.451.080 |
| 365 THR Hvbride Cementless | | Ronkard | 38.244.000 |
| 366 TKR Cruciate Retainine: (TKR CR) _?67 TKR Posterior Sacrifice- (TKR PS) | | Ronkard | 41.579.540 |
| 368 Bioolar Cementless --- 369 Bonecement Non Gentamvcin | | Ronkard Ronkard Ronkard | 35.137.040 1.115.450 |
| 370 Bonecemen Gentamycin | | Ronkard | - 1.795.530 |
| 371 2.7 mm Locking Cortex Screw | 10mm-24mm | | 282.650 |
| 372 3.0 mm Locking Cancellous Screw (Full Thread) | 10mm-40mm | Ronkard | 395.710 |
| 373 3.5 mm Locking Cortex Screw | 10mm-50mm | Ronkard | 282.650- |
| 374 3.8 mm locking Cancellous Screw Full Tread | 10 mm -60mm | Ronkard Ronkard | 395.710 395.710 |
| JZ.R 3.8 mm locking Cancellous Screw HalfTread 376 5.0 mm Locking Cortex Screw | 10mm-45mm 14mm-95mm 4 Hole- 10 Hole | Ronkard Ronkard | 282.650 3.278.740 |
| 377 50 mmY- Humeral Plate 3.5 mm - Left | | Ronkard | 3.278.740 |
| 378 50 mm Y- Humeral Plate 3.5 mm - Right | 4 Hole- 10 Hole | | |
| 379 60 mmY- Humeral Plate 3.5 mm - Left | 4 Hole- 10 Hole | Ronkard | - 3.278.740 |
| 380 60 mm Y- Humeral Plate 3.5 mm - Right | 4 Hole- 10 Hole | Ronkard | 3.278.740 |
| ;1§1 Anterolateral Distal Tibia Lockine: Plate- Left | 5_Hole- 9 Hole | Ronkard | 3.391.800 |
| 382 Anterolateral Distal Tibia Locking Plate- Right Clavicle Locking Plate Left | 5 Hole- 9 Hole 6 Hole - 10 Hole | Ronkard Ronkard | 3.391.800 3.165.680 |
| 383 384 Clavicle Locking Plate Right | 6 Hole - 10 Hole | Ronkard | 3.165.680 |
| 385 Clover Leaf Locking Plate 3.5 mm | 3 hole- 9 hole | Ronkard | 3.165.680 |
| ~§§ Qistal Femur Locking Plate Ri@!t Left 'I)P.e 1 | 5 Hole- 13 Hole 5 Hole- 13 Hole | Ronkard | 3.957.100 |
| 387 Distal Femur Locking Plate Right Left - e 1 388 Distal femur Locking Plate Ri~!__TuE.e 1 | 5 Hole-13 Hole | Ronkard Ronkard | 3.957.100 |
| | - | | 3.957.100 |
| 389 Distal femur Locking Plate Ri~!___ _ e 2 | 5 Hole- 13 Hole | Ronkard | 3.957.100 |
| 390 Distal Fibula Locking Plate 391 Distal Humerus Lockine: Plate Extra Articular- Left | 5 Hole - 13 Hole | Ronkard Ronkard | 3.391.800 3.278.740 |
| 392 Distal Humerus Locking Plate Extra Articular- Rie:ht | 4 Hole- 10 Hole 4 Hole- 10 Hole | Ronkard | 3.278.740 |
| 393 Distal Medial Femur Locking Plate Right | 5 Hole- 13 Hole | Ronkard | 3.957.100 |
| 394 Distal Medial Tibial Locking Plate left 'l~e1 | 4 Hole-10 Hole | Ronkard --- | 3.391.800 |
| 395 Distal Medial Tibial Locking Plate left Type 2 low Bend | 4 Hole-10 Hole | Ronkard | 3.391.800 |
| 396 Distal Medial Tibial Locking Plate Rig!!!}_'yee 1 | | Ronkard | |
| 397 Distal Medial Tibial Locking Plate Right Type 2 Low | 4 Hole-10 Hole | Ronkard | 3.391.800 3.391.800 |
| Dend | 4 Hole-10 Hole | | |
| 398 Distal Tibia Metaphyseal Locking Plate 3.5 mm& 5.0 mm Distal Tibia Metaphyseal Locking Plate 3.5 mm& 5.0 | 5+6hole | Ronkard | 3.391.800 |
| 399 mm | 5+7hole | Ronkard | 3.391.800 |
| 400 Distal Tibia Metaphyseal Locking Plate 3.5 mm& 5.0 | 5+8 hole | Ronkard | |
| mm ------ Lockine: Plate & Screws : Stainless | | | 3.391.800 |
| | | | - |
| Distal Tibia Metaphyseal Locking Plate 3.5 mm& 5.0 | 5+9 Hole | Ronkard | 3.391.800 |
| 401 | | | |
| mm | | | |


| NO. | NAMABARANG JENIS/MERK | SATUAN | SATUAN HARGA TAHUN 2018 |
|----------------------------------------------------------------------------------|----------------------------------------|-----------------|---------------------------|
| 1 2 | 3 | 4 | 5 |
| 402 Distal Tibia Metaphyseal Locking Plate mm | 3.5 mm& 5.0 5+ 10 Hole | Ronkard | 3.391.800 |
| 403 Distal Medial Humerus Locking Plate -Left (3.5 mm) | 4 Hole - 10 Hole | Ronkard | 3.278.740 |
| 404 Distal Medial Humerus Locking Plate -Right (3.5 mm) y | 4 Hole - 10 Hole | Ronkard | 3.278.740 |
| lolate 405 Dorsal Locking Plate 3.5 mm Left | 3 Hole-6 Hole | Ronkard | 3.278.740 |
| 1Q§ Dorsal Locking Plate 3.5 mm Right | 3 Hole-6 Hole | Ronkard | 3.278.740 |
| 1Q.'.7- Lateral Tibial Buttress Lockine: Plate-Left Plate-Right | 5 Hole-13 Hole | Ronkard | 3.391.800 |
| 408 Lateral Tibial Buttress Locking mm | 3 Hole- 13 Hole | Ronkard Ronkard | 3.391.800 3.222.210 |
| 409 Locking Plate Btoad-5.0 410 Locking Plate Narrow - 5 mm | 6 Hole- 16 Hole 5 Hole-16 Hole | Ronkard | 3.165.680 |
| 411 Locking Plate Small-3.5 mm (5 Hole sampai 14 Hole | 5 Hole-14 hole | Ronkard | 3.165.680 |
| 412 Olecranon Locking Plate-Left | 2 Hole- 10 Hole | Ronkard | 3.391.800 |
| 413 Olecranon Locking Plate-Right | 2 Hole- 10 Hole | Ronkard | 3.391.800 |
| 414 Posterolateral Distal Humerus Locking Plate - Right | 4 Hole- 10 Hole | Ronkard | 3.278.740 |
| 415 Posterolateral Distal Humerus Lockine: Plate- Left | 4 Hole- 10 Hole | Ronkard | 3.278.740 |
| 416 Posterolateral Distal Humerus Plate | (With Support)- Left 4 Hole- 10 Hole | Ronkard | 3.278.740 |
| 417 Posterolateral Distal Humerus Plate (With Support)- Rie:ht | 4 Hole- 10 Hole | Ronkard | 3.278.740 |
| 418 Proximal Femur Lockine: Plate | 5 Hole-13 Hole | Ronkard | 3.957.100 |
| 419 Proximal Humerus Locking Plate 3.5 | mm 3 Hole-10 Hole | Ronkard Ronkard | 3.391.800 |
| 420 Proximal lateral Tibial Lockine: Plate-Left | /3.5 mm) 5 Hole- 13 Hole | Ronkard | 3.957.100 |
| 421 Proximal lateral Tibial Locking Plate-Rillht Tibial Locking Plate Left | 13.5 mm) 5 Hole- 13 Hole | Ronkard | 3.957.100 |
| 422 Proximal Medial 423 Proximal Medial Tibial Locking Plate | 5 Hole- 11 Hole Right 5 Hole - 11 Hole | Ronkard | 3.957.100 3.957.100 |
| 424 Reconstruction Locking Plate 3.5 mm (DINAMYC | HOLE) 5 Hole- 20 Hole | Ronkard | 3.165.680 |
| 425 Reconstruction Locking Plate 3.5 mm (ROUND | | Ronkard | 3.052.620 |
| HOLE) | 5 Hole- 20 Hole | | |
| 426 Reconstruction Lockine: Plate 4.5 mm | 4 Hole- 14 Hole | Ronkard | 3.165.680 |
| 427 T - Locking Plate Oblique Angle Left-3.5 mm (Small T Plate) | 3 Hole-6 Hole T | Ronkard | 3.278.740 |
| 428 T - Locking Plate Oblique Angle Right-3.5 mm (Small Platel | 3 Hole-6 Hole | Ronkard | 3.278.740 |
| 429 -r:•eickine: Plate Rie:ht Ane:le 3.5 mm /Small T Platel | 3 Hole-6 Hole | Ronkard Ronkard | 3.278.740 3.278.740 |
| 430 T-Buttress Locking Plate:••5,00mm 431 T-Buttress Locking Plate left- 5,00 mm | 3 Hole -10 Hole | Ronkard | 3.278.740 |
| 5,00 mm | 3 Hole -10 Hole | Ronkard | 3.278.740 |
| 432 T-Buttress Locking Plate Right- | 3 Hole -10 Hole | Ronkard | 3.278.740 |
| 433 Volar Locking Plate 3.5 mm Left 434 Volar Locking Plate 3.5 mm Right | 3 Hole-6 Hole 3 Hole-6 Hole | Ronkard | 3.278.740 |
| 435 ------ | 4,5x30 MM | Ronkard Ronkard | 2.507.220 2.507.220 |
| 436 ------ | 4,5X35MM | Ronkard | 2.507.220 |
| 437 | 4,5X40 MM | | |
| 438 ------ | 4,5X45 MM | Ronkard Ronkard | 2.507.220 2.507.220 |
| 439 ----- 440 Pedicle Monoaxial | 5,5X30MM 5,5X35MM | Ronkard Ronkard | 2.507.220 |
| 441 ------ | 5,5X40MM | Ronkard | 2.507.220 2.507.220 |
| 442 ------ | 5,5X45 MM | Ronkard | |
| 443 ------ | 6,5X30MM | Ronkard | 2.507.220 2.507.220 |
| 111 | 65X35MM | Ronkard | 2.507.220 |
| 11..~ 446 | 6 5X40MM | Ronkard | 2.507.220 |
| 11.'.7- | 65X45MM 45x30 MM | Ronkard Ronkard | 3.009.660 3.009.660 |
| 11§ | 4 5X35MM | | |
| 112 1§Q | 4 5X40MM 4 5X45MM | Ronkard Ronkard | 3.009.660 3.009.660 |
| 1§1 452 ------ | 5 5X30 MM | Ronkard Ronkard | 3.009.660 |
| Pedicle Polyxial 1§~ 454 | 55X35MM 5.5X40MM | Ronkard | 3.009.660 3.009.660 |
| 455 | 5,5X45MM | Ronkard | 3.009.660 |
| ------ | 6,5X30MM | Ronkard | 3.009.660 |
| 456 ------ | 6,5X35MM | Ronkard Ronkard | 3.009.660 |
| 457 ------ 458 | 6,5X40 MM 6,5X45MM | Ronkard | 3.009.660 3.009.660 |
| 1§2 460 | 6 5X40MM | Ronkard | 3.009.660 |
| Pedicle Mono 1§1 Pedicle Poly Long | 6.5X45 MM | Ronkard Ronkard | 3.009.66(:i° |
| Long | 6 5X40MM | | 3.009.660 |
| Screw Screw 462 | 6.5X45 MM | Ronkard | 3.009.660 2.751.870 |
| 463 Cross Link 1§1 | 50MM 001 MM - 200 | Ronkard Ronkard | 932.745 |
| ROD 6,0 465 | MM 201 MM - 400 MM | Ronkard Ronkard | 3.034.530 9.368.160 |
| 466 LUMBAL CAGE PLIF TITANIUM | All Size | | 256.650 |
| 467 Actimove vertebrace L | | BSN | |
| 468 Actimove vertebrace M 469 Actimove vertebrace S | | BSN | 256.650 |
| | | BSN | 256.650 |
| 470 Alkohol 70% 100 cc | | onemed onemed | 4.525 8.645 |
| 471 Alkohol 70% 300 cc 472 alkohol 95 % 1 It | | onemed | 50.410 |



| NO. | NAMABARANG | JENIS/MERK | SATUAN | SATUAN HARGA TAHUN 2018 |
|------------------------------------------------------|---------------------------