PERATURAN BUPATI TUBAN Nomor 47 Tahun 2015 tentang STANDAR SATUAN BARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGGARAN 2016 (berlaku 28 September 2015)
Pembukaan
Menimbang
Mengingat
BUPATITUBAN
PERATURAN BUPATI TUBAN NOMOR 47 TAHUN 2015 TENTANG
STANDAR SATUAN BARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGGARAN 2016
DENGAN RAHMAT TUHAN YANG MAHA ESA
BUPATI TUBAN,
bahwa dalam rangka mewujudkan efisiensi dan efektivitas penyusunan dan pelaksanaan Belanja Daerah pada Anggaran Pendapatan dan Belanja Daerah Tahun 2016 sebagaimana diatur dalam Peraturan Menteri Dalam Negeri Nomor 13 Tahun 2006 sebagaimana telah diubah kedua kali dengan Peraturan Menteri Dalam Negeri Nomor 21 Tahun 2011 Pasal 93 ayat (1) dan ayat ( 5), perlu ditetapkan Standar Satuan Harga Pemerintah Kabupaten Tuban Tahun Anggaran 2016 dalam suatu Peraturan Bupati;
: 1. Undang-Undang Nomor 12 Tahun 1950 tentang Pembentukan Daerah- daerah Kabupaten Dalam Lingkungan Propinsi Djawa Timur sebagaimana telah diubah dengan Undang-Undang Nomor 2 Tahun 1965 (Lembaran Negara Republik Indonesia Tahun 1965 Nomor 19, Tambahan Lembaran Negara Republik Indonesia Nomor 2730);
2. Undang-Undang Nomor 17 Tahun 2003 tentang Keuangan Negara (Lembaran Negara Republik Indonesia Tahun 2003 Nomor 47, Tambahan Lembaran Negara Republik Indonesia Nomor 4286);
3. Undang-Undang Nomor 1 Tahun 2004 tentang Perbendaharaan Negara (Lembaran Negara Republik Indonesia Tahun 2004 Nomor 5, Tambahan Lembaran Negara Republik Indonesia Nomor 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 tentang 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 tentari.g 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 tentang Pedoman Pengelolaan Keuangan Daerah sebagaimana telah diubah kedua kali dengan Peraturan Menteri Dalam Negeri Nomor 21 Tahun 2011;
MEMUTUSKAN:
Menetapkan PERATURAN BUPATI TENTANG STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TOBAN TAHUN ANGGARAN 2016.
Pasal 1
Standar Satuan Harga Pemerintah Kabupaten Tu.ban Tahun Anggaran 2016 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 Tu.ban.
- b. sebagai pedoman untuk mengevaluasi harga yang dikalkulasikan secara keahlian.
- c. sebagai pedoman/ acuan penyusunan kebijakan anggaran.
Pasal 2
- (1) Standar Satuan Harga sebagaimana dimaksud dalam Pasal 1, dikategorikan dalam:
- a. bidang obat dan peralatan kesehatan;
- b. bidang bahan dan peralatan laboratorium;
- c. bidang peralatan;
- d. bidang petemakan 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;
- i. bidang lain-lain;
- (2) Standar Satuan Harga sebagaimana dimaksud pada ayat (1) tercantum dalam
LAMPIRAN
LAMPIRAN
lampiran I, II, III, IV, V, VI, VII, VIII, dan 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.


It~~

## Pasal 4

Satuan Kerja Perangkat Daerah (SKPD) dalam melaksanakan Anggaran Daerah harus berdasarkan Standar Satuan Harga sebagaimana dimaksud dalam Pasal 2 ayat (2).

## Pasal 5

- (1) Dalam hal belum ditetapkan besaran standar satuan harga oleh Bupati, dapat berpedoman pada standar satuan harga yang sudah ditetapkan dalam peraturan perundang-undangan lainnya.
- (2) Dalam hal belum ditetapkan besaran standar satuan harga oleh Bupati atau peraturan perundang-undangan lainnya, SKPD yang bersangkutan 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 Tuban.

Ditetapkan di Tuban pada tanggal 28 September 2015


1

Diundangkan di Tuban

pada tanggal 28 September 2015

SEKRETARIS DAERAH,

/

B6ANA


BERITA DAERAH KABUPATEN TUBAN TAHUN 2015 SERI B NOMOR 47

LAMPIRAN I PERATURAN BUPATI TUBAN NOMOR 47 TAHUN 2015 TENTANG STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGGARAN 2016

## STANDAR SATUAN BARGA

## BmANG OBAT DAN PERALATAN KESEHATAN

| NO. | NAMABARANG | JENIS/MERK | SATUAN | SATUAN BARGA TAHUN2016 |
|-------|------------------------------------|-------------------|-----------|--------------------------|
| 1 | 2 | 3 | 4 | 5 |
| I. | FARMASI | | fls | 19.466 |
| 1 2 | ABDELYN drop Acitral syr 120 cc | Coronet Interbat | fls | 25.854 |
| 3 | Acitral tab | Interbat | biji | 672 |
| 4 | Acranini | Sanbe | ampul | 21.358 |
| 5 | Actimove vertebrace L | BSN | PCS | 247.203 |
| 6 | Actimove vertebrace M | BSN | ocs | 247.203 |
| 7 | Actimove vertebrace S | BSN | ocs | 247.203 |
| 8 | Adalat OROS 20 ml{ | Baver | biii | 3.299 |
| 9 | ADALAT OROS 30 | Baver | biii | 3.850 |
| 10 | Adona 10 cc ini | Tanabe | ampul | 25.168 |
| 11 | Adona AC | Tanabe | biii | 2.185 |
| 12 | aerrane 250 ml | Kalbe Farm.a | fls | 1.790.800 |
| 13 | Albothil Cone | Pharos | fls | 27.500 |
| 14 | Albothvl ovula | Pharos | :PCS | 18.634 |
| 15 | Alinamin F inj | Takeda | ampul | 16.470 |
| 16 | Alinamin F tab | Takeda | biii | 899 |
| 17 | Alkohol 70% 1 ltr FS | onemed | fls | 23.650 |
| 18 | Alkohol 70% 100 cc | onemed | fls | 2.904 |
| 19 | Alkohol 70% 300 cc | onemed | fls | 9.317 |
| 20 | alkohol 95 % 1 lt | onemed | fls | 66.550 |
| 21 | alkohol 95% 100 ml | onemed | fls | 6.050 |
| 22 | Alkohol 96 % 20 It | onemed | fls | 968.000 41.250 |
| 23 24 | Alkohol 96% 1 ltr alloris svr | onemed Sanbe | fls fls | 55.278 |
| 25 | Alpentin 300 ml{ | Actavis | biii | 2.915 |
| | | | | 67.760 |
| 26 | Aminofluid inf 500 ml | Otsuka | fls | |
| 27 | Aminofusin Hepar | Kalbe Farm.a | fls | 183.920 |
| 28 | Aminofusin L 600 | Kalbe Farm.a | fls | 45.101 |
| 29 | Aminofusin Paed 250 ml | Kalbe Farm.a | fls | 84.700 |
| 30 | Aminoleban | Otsuka | fls fls | 71.500 40.334 |
| 31 32 | Aminosteril infant 6% Aminovel 600 | Fresenius Otsuka | fls | 52.800 |
| 33 | AMOXSAN250 | Sanbe | biii | 1.672 |
| 34 | AMOXSAN 500 TAB | Sanbe | biji | 3.424 |
| 35 | Amoxsan drop | Sanbe | fls | 22.132 |
| 36 | AMOXSAN DRY SYP | Sanbe | fls | 23.492 |
| 37 | AMP long stem | Ortho | pcs | 8.131.200 |
| 38 | AMP NARROW STEM | Ortho | pcs | 5.730.258 |
| 39 | AMP NARROW STEM + 1 BONE cement | Ortho | pcs | 8.604.008 |
| 40 | AMP NARROW STEM + 2 BONE cement | Ortho | PCS | 11.477.758 |
| 41 | AMP set narrow fuone cement 1 l | Ortho | DCS | 8.604.008 |
| 42 | AMP STRAIGHT STEM | Ortho | PCS | 6.202.702 |
| | BONE cement | | | 9.076.452 |
| 43 | AMP straieht stem + 1 | Ortho | !PCS | |
| 44 | AMP straieht stem + 2 BONE cement | Ortho | :PCS | 11.950.202 |
| 45 46 | ANADEXSYR Anadextab | Interbat Interbat | fls biii | 15.166 839 |
| 47 | | | biii | |
| | Analsik | Sanbe | | 1.283 |
| 48 49 | Analtram tab ANEMOLAT | Lapi Phapros | biji biii | 6.897 121 |
| 50 | anesiect ini | Guardian | vial | 169.400 |
| 51 52 | Antrain inj Apialvs drop | lnterbat Lapi | ampul fls | 10.780 34.485 |
| 53 | Apialvs svr | Lapi | fls | 28.738 |

I - 1


| NO. | NA.MA BA.RANG | JENIS/MERK | SATUAN | SATUAN BARGA TAHUN2016 |
|--------------|-------------------------------------------------------------------------------------------------------------|--------------------------|-----------|--------------------------|
| 1 | 2 | 3 | 4 | 5 |
| 54 55 | Apidra Solostar Aptortab | Sanofi Nicholas | •ocs biii | 87.082 173 |
| 56 | | | | |
| 57 | Aqua pro iaj | Otsuka | fls | 1.848 |
| | Aquabides 1 liter | onemed | fls | 11.495 |
| 58 | Aquadest 5 ltr | onemed | fls | 48.400 |
| 59 | Arixtraini | Glaxo | vial | 265.834 |
| 60 Arm sling | comfort L | onemed | IPCS | 13.504 |
| 61 | Arm sling comfort M | onemed | [pcs | 13.504 |
| 62 Arm sling | comfort S | onemed | [pcs | 13.504 |
| 63 | Asering | Otsuka | fls | 9.900 |
| 64 | Asoilet | Darva Varia | biii | 176 |
| 65 | Asthin force caps | Soho | biii | 7.865 |
| 66 | Asthin Force cream | Soho | tube | 78.650 |
| 67 | ATMACID tab | GrahaFarma | biii | 136 |
| 68 | atmacid sirup | GrahaFarma | fls | 3.300 |
| 69 | ATS 1500 ui | Bio Farma | ampul | 135.672 |
| 70 | Aumnentin forte syr | Glaxo | fls | 65.120 |
| 71 | svr | | fls | 48.464 |
| 72 | Aumnentin avodart | Glaxo Glaxo | biii | 7.810 |
| 73 | | Alcon | fl.s | 139.700 |
| 74 | AzoptED | Mersi | biii | 286 |
| 75 | Bamgetol 200 mg Baquinor 500 mg | Sanbe | biii | 14.308 |
| | BD-gard | | | 9.043 |
| 76 | caps | Mahakam | biii | |
| 77 | beclov ini | Sanbe | ampul | 33.354 1.359 |
| 78 | Becom C Berotec Sprav | Sanbe | biii | 80.190 |
| 79 80 | Betadin Gar~e | Boehriru!:er Mahakam | fl.s fl.s | 17.182 |
| 81 | Betadin sol 30 cc | Mahakam | fl.s | 15.004 |
| 82 | | | fl.s | 26.015 |
| 83 | Betadin sol 60 ml Bio Curliv | Mahakam Soho | hiii | 7.260 |
| 84 | Bionect | | tube | 119.391 |
| 85 | Cream Bioplacenton er | Astra Zeneca Kalbe Farma | tube | 13.915 |
| 86 | 15 gr Bioplacenton Tull | Kalbe Farma | •PCS | 11.440 |
| 87 | Bisolvon ini | Boehringer | ampul | 41.622 |
| 88 | BONE cement | Ortho | PCS | 2.873.750 |
| 89 | Bone Wax | Bbraun | !PCS | 50.639 |
| 90 | Bralifex ED | | fl.s | 32.423 |
| 91 | Bralifex plus ED | Sanbe Sanbe | | 46.483 |
| 92 | Braxidin | Sanbe | fl.s biii | 932 |
| 93 | Bricasma inj | Astra Zeneca | ampul | 20.667 |
| | broad dcp plates (10-12 holes) | Ortho | pcs | 2.758.800 |
| 94 95 | broad dcp plates (13-14 | Ortho | ncs | 2.758.800 |
| 96 | holes) broad dcp plates (16-18 holes} | | PCS | 2.758.800 |
| 97 | broad dcp plates (4-5 holes) | Ortho Ortho | PCS | 2.069.100 |
| 98 | (6-7 holes) | | pcs | 2.069.100 |
| 99 | broad dcp plates broad dcp plates (8-9 holes) | Ortho Ortho | PCS | 2.758.800 |
| 100 | | Bernofarm | ampul | 66.550 |
| 101 | bucain spinal 0.5 Burnazin Cream 35 gr | Darva Varia | tube | 37.209 |
| 102 | Buscopan inj | | ampul | 23.272 |
| 103 | | Boehringer Boehringer | biii | 3.135 |
| 104 | Plus | | | 2.268 |
| 105 | Buscopan buscopan tab Cal 95 | Boehringer Lapi | biii biii | 4.024 |
| 106 | cancellous screws 4.0 mm.dia.full tread | Ortho | ncs | 391.980 |
| 107 | 02b.10-02b.18) screws 4.0 mm.dia.full tread | | | |
| 108 | cancellous cancellous screws 4.0 mm.dia.full tread 1 | Ortho | nrs | 459.800 626.248 |
| 109 | 02b.20-02b.30} cancellous screws 4.0 mm.dia.full tread 1 | | ncs PCS | 718.667 |
| 110 | 02b.35-02b.45) 02b.50-02b.60} cancellous screws 4.0 mm.dia.short thread (41.10-41.18) | Ortho | | |
| | | Ortho Ortho | pcs | 391.980 |
| 111 | screws 4.0 mm.dia.short thread (41.20-41.30) Ortho | | pcs | 459.800 |
| | cancellous | | | |
| 112 | cancellous screws 4.0 mm.dia.short thread (41.35-41.45) | Ortho | pcs | 521.873 |
| 113 | cancellous screws 4.0 mm.dia.short thread (41.50-41.60) | Ortho | pcs | 598.890 |
| 114 | cancellous screws 6.5 mm. dia 1/3 alur (05.105-05.110} cancellous screws 6.5 mm. dia 1/3 alur (05.25-05.35) | Ortho Ortho | IPCS | 782.810 314.963 |
| 115 | | | pcs | |
| | cancellous screws 6.5 mm. dia 1/3 alur (05.40-05.50) | Ortho | PCS | 391.980 |
| 116 | | | | |


| NO. NAMABARANG | JENIS/MERK | SATUAN | SATUAN BARGA TAHUN 2016 |
|------------------------------------------------------------|------------------|-----------|---------------------------|
| 1 2 | 3 | 4 | 5 |
| 117 cancellous screws 6.5 mm. dia 1/3 alur (05.55-05.60) | Ortho | pcs | 459.800 |
| 118 cancellous screws 6.5 mm. dia 1/3 alur (05.65-05.70) | Ortho | pcs | 521.873 |
| 119 cancellous screws 6.5 mm. dia 1/3 alur (05.75-05.80) | Ortho | pcs | 598.890 |
| 120 cancellous screws 6.5 mm. dia 1/3 alur (05.85-05.90) | Ortho | pcs | 657.514 |
| 121 cancellous screws 6.5 mm. dia 1/3 alur (05.95-05. lOOl | Ortho | locs | 714.989 |
| 122 cancellous screws 6.5 mm. dial/2 alur (06.105-06.110} | Ortho | IOCS | 782.810 |
| 123 cancellous screws 6.5 mm. dia.1/2 alur (06.35-06.40) | Ortho | pcs | 391.980 |
| 124 cancellous screws 6.5 mm. dia.1/2 alur (06.45-06.601 | Ortho | IPCS | 459.800 |
| 125 cancellous screws 6.5 mm. dia.1/2 alur (06.65-06.70) | Ortho | pcs | 521.873 |
| 126 cancellous screws 6.5 mm. dial/2 alur (06.75-06.80) | Ortho | pcs | 598.890 |
| 127 cancellous screws 6.5 mm. dia.1/2 alur (06.85-06.90) | Ortho | pcs | 657.514 |
| 128 cancellous screws 6.5 mm. dia.1/2 alur (06.95-06.100) | Ortho | IOCS | 714.989 |
| 129 cancellous screws 6.5 mm. full alur (006.105:-006.110} | Ortho | locs | 782.810 |
| 130 cancellous screws 6.5 mm. full alur (006.45-006.60l | Ortho | IPCS | 459.800 |
| 131 cancellous screws 6.5 mm. full alur (006.65-006.70) | Ortho | IPCS | 521.873 |
| 132 cancellous screws 6.5 mm. full alur (006.75-006.80) | Ortho | pcs | 598.890 |
| 134 cancellous screws 6.5 mm. full alur (006.95-006.100) | Ortho | pcs | 714.989 |
| 135 Carbloxal 6.25 m12: | sandoz | | 2.993 |
| 136 Camiaton 100 m~ | Fahrenheit | biii | 3.872 |
| | | biii | 1.392 |
| 137 Carniaton 25 mg | Fahrenheit | biii | |
| 138 Carsive ini | Landson | ampul | 143.990 |
| 139 Cataores 150 ini | Boehringer | ampul | 33.660 62.648 |
| 140 Cedocard Inj | Darva Varia | ampul | |
| 141 Cebactam ini | Laoi | vial | 143.688 |
| 142 Cedantron 4 mg inj m12: | Soho | ampul | 33.336 |
| 143 Cedocard 5 | Soho | blii | 1.188 |
| 144 Cefat 250 | Sanbe | biii | 5.262 |
| 145 Cefat 500 | Sanbe | biii | 10.930 |
| 146 Cefat Syr 147 | Sanbe | fls | 45.052 |
| CENDO ASTENOF ED 148 | Cendo | fls | 19.512 |
| cendo caroine 2% | Cendo | fls | 22.990 |
| 149 CENDO CITAMID eye drop | Cendo | fls | 13.613 |
| 150 cendo dexaton 5 cc | Cendo | fls | 21.962 |
| 151 Cendo efrisel minidose | Cendo | fls | 18.453 |
| 152 CENDO GENTAMICIN tts mata | Cendo | fls | 26.318 |
| cendo 12:entamisin 0.3 % slo mata | Cendo | tube | 26.400 |
| 153 154 cendo hervis 3.5 f!.r sip mata | Cendo | tube | 44.468 |
| 155 Cendo Lyters 15 ccTM | Cendo | fls | 17.325 |
| CENDO MIDRIATIL eve | Cendo | fls | 24.957 |
| 156 drop | | | |
| 157 CENDO PANTOCAIN eve drop cendo statrol 3.5 gr slp mata | Cendo Cendo | fls | 14.672 22.083 |
| | | tube | |
| 158 159 cendo statrol 5 ccTM | Cendo | fls | 22.083 |
| CENDO TIMOWL 0.5 % | Cendo Cendo | fls fls | 57.778 36.905 |
| 160 cendo timolol 0.25% | | | |
| 161 CENDO TROPIN 0.5% | Cendo | fls | 13.613 |
| 162 cendo xitrol 5 ccTM | Cendo | fls | 31.324 27.280 |
| 163 164 Cendo Xitrol salen mata | Cendo | tube | |
| Ceptik cap | Interbat | biii | 18.916 |
| 165 Cernevit inj | Kalbe | ampul | 153.670 |
| Cervical Collar L | Farma | | 157.300 |
| 166 | | | 157.300 |
| 167 168 Cervical CollarM | Soho | ampul | 14.828 |
| 169 Cetadooini 170 Chloramex ini 171 Chlorbiotic ini | Actavis | vial vial | 8.195 8.251 |
| 172 chromic catiru.t 2 173 | Bernofarm Bbraun | IOCS | 67.828 |
| HR 43 chromic catJrut 2 hr 48 | Bbraun | IOCS | 67.518 |
| chromic catsrut 2/0 hr 26 | Bbraun | IOCS | 66.581 |
| 174 | | | |


| NO. | N.AlllA BARANG | J'ENIS/MERK SATUAN | SATUAN BARGA TABUN2016 |
|--------------------------------------------------------------------------------------|------------------------|----------------------|--------------------------|
| 1 2 | 3 | 4 | 5 |
| 175 chromic catsrut 3/0 | Bbraun | IPCS | 15.778 |
| 176 chromic catsrut 3/0 hr 26 | Bbraun | IPCS | 63.298 |
| 177 Cinam ini | sanbe | vial | 89.104 |
| 178 Citicolin 250 mg / 2 ml ini | | ampul | 4.538 |
| 179 Citicolin tab | | bi,ii | 6.454 |
| 180 clavicula s-plates | Ortho | IPCS | 2.069.100 |
| LEFf (6 holes) (MD 001-22161) 181 clavicula s-plates LEFf (7 holes) (MD 001-22171) | Ortho | IPCS | 2.069.100 |
| 182 clavicula s-plates RIGHT (6 holes) (MD 001-22161) | Ortho | IPCS | 2.069.100 |
| 183 clavicula s-plates RIGHT (7 holes) (MD 001-22171) | Ortho | IPCS | 2.069.100 |
| 184 Cleansiniz Enema Set | | IPCS | 18.211 |
| 185 Cloned.in ini | KimiaFarma | ampul | 28.435 |
| 186 clover leafLC {4-7 holes) | Ortho | IPCS | 1.331.000 |
| 187 cloverleaf {4-10 holes) mg | Ortho | IPCS | 1.448.370 |
| 188 Cobazim tab 1000 | Interbat | biii | 2.669 |
| 189 Codein 10 miz | KimiaFarma | biji | 550 |
| 190 COLME eve drop | Interbat | fls | 21.266 |
| 191 ColmeTT | Interbat | fls | 21.266 |
| 192 Colsancetin 1 gr | Sanbe | vial | 10.459 |
| 193 Comafusin Hepar | Sanbe | fls | 71.390 |
| 194 COMBANTRIN 250 | Phapros | biii | 4.684 |
| 195 Combiven UDV | Boehringer | vial | 8.910 |
| 196 Concor 5 mJt | Merck | biii | 2.649 |
| 197 condilar butters | Ortho | IDCS | 3.109.398 |
| plates {14 holes) 198 condilar butters plates (15 holes) | Ortho | IPCS | 3.109.398 |
| 199 cortical screw 2.0 mm. dia dia | Ortho | !PCS | 391.980 |
| 200 cortical screw 2.7 mm. | Ortho | IPCS | 257.488 |
| 201 cortical screw 3.5 mm. dia | Ortho | IPCS | 223.003 |
| 202 cortical screw 4.5 mm. dia | Ortho | IPCS | 189.668 |
| 203 Cortidex inj | Sanbe | ampul | 6.389 |
| 204 Cravit ED | Ferron | fls | 118.399 |
| 205 Cravox infus 206 Curcuma | Lapi | fls biji | 229.900 |
| 200mg 207 curcuma blister | Soho | | 484 |
| | Soho | biii | 799 |
| 208 Cuticell lOxlO | BSN | IPCS biji | 9.462 |
| 209 I Cvtodrox 500 | Combiphar | | 6.875 |
| 210 D 10% | Widatra | fls fls | 6.270 |
| 211 D 40%(DEXTROSE 40%) 25 ML %{GLUCOSE 5%) | Otsuka | fls | 2.178 |
| 212 D 5 | Bbraun | | 5.720 |
| 213 D 5 1/4 | Widatra | fls | 8.470 |
| 214 Darvacefini | Darva Varia | vial | 159.720 |
| 215 Danalllin tab | Phapros | biii | 908 |
| 216 Darvantul 217 dcp plates | Darva Varia Ortho | DCS pcs | 11.193 |
| (small dcp plate) 12.hole | | | 1.310.430 |
| 218 dcp plates {small dcp plate} 2-5 hole | Ortho Ortho | IPCS | 1.310.430 1.310.430 |
| 219 dcp plates (small dcp plate) 6-8 hole hole | | | 1.310.430 |
| 220 dco plates (small dcp plate) 9 | Ortho | IPCS !PCS | |
| 221 dcp plates 2.7 mm (10 hole) | Ortho | !PCS | 1.379.400 1.379.400 |
| 222 dcp plates 2.7 mm (12 hole} | Ortho | IPCS | |
| 223 dcp plates 2.7 mm (2-5 hole) 224 dcp plates 2.7 mm (6-8 hole) | Ortho | IPCS IPCS | 1.379.400 1.379.400 |
| 225 dco olates 2.7 mm (9 hole) | | | |
| | Ortho Ortho | !PCS | 1.379.400 |
| 226 DCS plates ( 11 holl ) | Ortho | IPCS | 6.083.154 |
| 227 DCS plates ( 8 holl ) | Ortho | IPCS | 5.784.284 |
| 228 DCS plates ( 9 holl ) | | !PCS | 5.784.284 |
| 229 deculin tab | Ortho Dexa | biji | 3.432 |
| 230 Depakene 250m2/ml | Abbot | fls | 81.186 |
| svr 120ml | | | |
| 231 Depakote ER 250mg 232 DISTAL HUMERAL st | Abbot | biii | 3.072 1.936.000 |
| shaped plate left/ righ i(Al | Java | pcs | |
| (5-7 holes) 233 DISTAL lateral tibial plate recontruction lrmht leg (5-12 holes} (Al | Java | pcs | 1.452.000 |
| 4.5/5.0mm.left | | | |
| 234 Dopamin ini | KimiaFarma | ampul | 79.703 |
| 235 Dulcolax suoo Anak 236 Dulcolax sunn Dewasa | Boehringer BoehrinJter | IPCS 1pcs | 10.921 11.605 |
| 237 Dulcolax tab | Boehrinizer | biii | 869 |
| 238 eclid tab | Dexa | biji | 1.375 |
| 239 Eflauen 50 tab | | | 2.164 |
| | Sanbe | biii | |
| 240 Efrisel ED | Cendo | fls | 18.453 |


| NO. | NAJ4A BARA.NG | JENIS/MERK SATUAN | SATUAN BARGA TAHUN2016 |
|----------------------------------------|---------------------|---------------------|--------------------------|
| 1 | 2 3 | 4 | 5 |
| 241 eke: a4 | | roll | 155.727 |
| 242 eke: mortara | Mortara | roll | 1.245.695 |
| 243 ekuversion | Welch Allvn | roll | 1.815.000 |
| 244 Elastomull 3' | BSN | roll | 33.167 |
| 245 Elastomull 4' | BSN | roll | 39.800 |
| 246 Elastomull 6' | BSN | roll | 46.433 |
| elektroda | | | |
| 247 | 3M | IPCS | 4.659 |
| 248 ElkanaSyr | Sanbe | fls | 21.930 |
| 249 Elkana tab | sanbe | biii | 751 |
| 250 ENATINTAB | Pharos | biii | 1.242 |
| 251 ENDROLIN INJ | KalbeFarma | ampul | 1.355.200 |
| 252 Enema set | onemed | IOCS | 18.211 |
| 253 Envstin drop | Dankos | fls | 21.230 |
| 254 Escovit tab | Escolab | biii | 7.835 |
| 255 Esthero 0.625 mg | Sunthi Sepuri | biji | 6.641 |
| 256 Ethia:ent ini | Ethica | ampul | 11.096 |
| 257 Euthvrox 100 | Merck | biji | 1.045 |
| 258 EXTERNAL Fixation set kaki | Ortho | 1pcs | 6.903.897 |
| 259 IEvevit tab | Lapi | biii | 3.851 |
| 260 Fare:oxin | | biii | 121 |
| 261 Farnormin tab | Fahrenheit | biii | 468 |
| 50me: 262 Farsix ini | Fahrenheit | ampul | 7.260 |
| 263 Femara 2.5 | Fahrenheit Novartis | biii | 46.200 |
| mg 264 FENTANYL 0.05/2ml/cc | KimiaFarma | ampul | 37.305 |
| 265 Fimahes 500ml | Kalbe Farm.a | fls | 57.200 |
| 266 Fleet Enema | Combiphar | IPCS | 49.496 |
| 267 Flixotide Nebul | Glmm | ampul | 14.209 |
| 268 Fluorescein ED | Cendo | fls | 15.730 |
| 269 Folavit 400 me: | Sanbe | biii | 811 |
| 270 Formalin sol | onemed | fls tube | 53.240 |
| 271 Fuson er | IPvridam | | 41.745 |
| 272 I e:astor oil | Brataco | fls | 78.650 |
| 273 Gastridin ini | Interbat | ampul | 18.580 |
| 274 Gastridin tab | Interbat | biji | 4.701 |
| 275 GASTROFERINJ | Dexa | vial | 97.557 |
| 276 Gitas plus | Interbat | | 2.065 |
| 277 Glaucon | | biii biii | 4.598 |
| tab 278 GlidiabTab | Cendo | | 1.155 |
| 279 Gliserin 1 lt | Soho Brataco | biii fls | 54.450 |
| 280 Glucobay 50 mg | haver | biii | 1.265 2.511 |
| 281 Glurenorm 282 Glvbotic 250 ini | Boehrine:er Sanbe | biii ampul | 68.828 |
| 283 Glybotic 500 inj 284 Grahabion | Sanbe | ampul biii | 55.550 385 |
| | GrahaFarma Dexa | | 1.331.000 |
| 285 halotan (/ FLS) 286 Herbesser CD | | fls | |
| 100 tab 287 Hexvmer 2 me: | Tanabe Mersi | biii | 4.034 |
| 288 Hibicet 5 lt | BCM | biji | 319 |
| 289 Humalog Mix | Lilly | fls | 992.503 165.044 |
| Cart 25 290 Human Albumin 20% | Bio Test | ampul fls | 1.633.500 |
| biotest 291 Humulin N 100 iu 10ml 10ml | 100m Lilly | vial | 235.400 |
| 292 Humulin R 100 iu | Lilly | vial | 235.400 |
| Imunoglobulin | Dipa | IPCS | |
| 293 Hyperhep 294 Hvtroz 1 mg | Dexa | biii | 1.452.000 |
| tab Ikalep caps | | biji | 3.245 |
| 295 | | | 2.723 |
| | Ikapharmindo | fls | 62.073 |
| 296 Ikalep syr | Ikapharmindo | | |
| 297 IKAMICETIN SM | Ikapharmindo | tube | 4.235 |
| | Janssen | biji | 7.571 |
| 298 lmodium 299 Imunos | Lapi | fls | 60.349 |
| svr 300 301 | Lapi Glaxo | biii | 6.323 7.827 |
| Imunostab | | biii | 1.231 |
| IMURANTAB | Interbat | biii | |
| 302 inbion tab | Interbat | | 10.185 |
| 303 INCELINTAB | | biji | 7.113 |
| 304 Indexonini | Interbat | ampul | |


| NO. | NAMABARANG | JENIS/MERK | SATUAll' | SATUAll' HARGA TAHUN2016 |
|-------------------------------------------------------------------------------------------|---------------------|--------------|------------|----------------------------|
| 1 | 2 | 3 | 4 | 5 |
| 305 INDEXONTAB | Interbat | | biji | 336 |
| 306 Indikator tape | 3M | PCS | | 97.194 |
| 307 induxin inj | Kalbe Farm.a | | ampul | 9.680 |
| 308 lnerson Cream | Interbat | tube | | 27.940 |
| infusan D5 | Sanbe | fls | | 18.029 |
| 309 DP 310 Infusan D5+1/ 2NS 500 ml | Sanbe | | | 8.470 |
| 311 infusan NS DP | Sanbe | | fls fls | 17.673 |
| 312 infusan RL DP | Sanbe | | fls | 17.727 |
| 313 InlactaDha | lnterbat | | biii | 3.678 |
| Inmatrol | Interbat | | | 21.903 |
| 314 ed | | | fls | |
| 315 lnterflox 500 | Interbat | | biii | 12.871 |
| 316 Interhistin | Interbat | | biii | 648 |
| 317 Intermic 5 ml inj | Interbat | | ampul | 7.460 |
| 318 Intermoxil 1 gr ini | Interbat | | ampul | 15.949 |
| 319 intermoxil 500 tab | Interbat | | biii | 2.983 |
| 320 intermoxil sirup ml | Interbat | | fls | 22.143 |
| 60 321 Interoril 10mg | Interbat | | biii | 4.209 |
| 322 Interpril 5 mg | Interbat | | biii | 589 |
| tab 323 INTERVASK 10 | Interbat | | biii | 990 |
| mg 324 interzinc sirup 60 ml | Interbat | | fls | 25.296 |
| 325 invitee | Dankos | | biii | 11.091 |
| tab 326 lnvomit 4 | | | ampul | 30.444 |
| mg inj mg tab | Interbat | | | |
| 327 Invomit 4 328 lrtan 150 mg | lnterbat | Ikapharmindo | biii biji | 15.545 2.200 |
| 329 ISOKET5MG | Ikapharmindo | | biji | 1.041 |
| 330 Isoket | Glaxo | | ampul | 72.600 |
| i.v 331 kacamata fototerapi (eye protector} 1B | fposev | IPCS | | 59.290 |
| 332 Kaen | Otsuka | | fls | 9.900 |
| 333 Kaen3A 334 Kaen3B | Otsuka | | fls fls | 12.515 11.000 |
| Kaen4A | Otsuka | | | 15.627 |
| 335 336 Kaen4B | Otsuka | | fls | 18.271 |
| KaenMg3 | Otsuka | | fls | 10.084 |
| 337 | Otsuka | | fls | |
| 338 Kalmetason 4 ini | | KalbeFarma | ampul | 2.393 |
| mg 339 Kalnex 250 mg ini | Kalbe | Farma | ampul | 10.890 |
| 340 Kalnex 500 mg | Kalbe | Farm.a | biii | 3.146 |
| 341 Kaltrofen Suon w.- | Kalbe | Farm.a | IPCS | 13.310 12.100 |
| 342 Kanabiotic 1 | | Bernofarm | vial | |
| 343 kapsul0 | Brataco | | IPCS | 41 70 |
| 344 kapsulO0 345 kapsul 1 | Brataco Brataco | | IDCS IPCS | 39 |
| 346 kapsul 2 | | | | 37 |
| | Brataco Ferron | | IPCS fls | 39.083 |
| 347 KarvuniED | | | | |
| 348 KCI 7.46% | Otsuka | | ampul | 2.255 |
| 349 Kedacillin 1 w.- ini Orabase | Takeda Thaiso | | vial | 44.983 |
| 350 Kenalog In | | Pharmaceutic | tube | 53.966 |
| | al | | | |
| 351 Ketrobat ini 30 mg 352 KTM/Ketalar | Interbat ll!Uardian | vial | amoul | 35.256 121.000 |
| (/VIAL) 353 kuntscher cloverleaf nails {dia 354 Kurkumex tab | 34-42 mm) Ortho | IPCS | | 1.303.533 |
| 355 KUS LC - dcp broad | Java | biii IDCS | | 472 1.815.000 |
| plate 356 KUS LC - dcp broad olate | holes) (Al | [PCS | | 1.815.000 |
| 4.5 / 5.0mm (10-14 4.5 / 5.0mm (9 holes 357 KUS LC - dcp broad plate 4.5 / 5.0mm (9 holes | lone:) (A) Java | | | 1.815.000 |
| | short) Java | pcs | | |
| 358 Kutoin cap 100 mg | (A) | | | 975 |
| 359 KY Jelly | Mersi Johnson | biii IPCS | | 71.390 |
| 360 L - buttress plates leg 361 L - buttress plates | 3-12 holes) Ortho | [PCS | | 3.009.391 3.009.391 |
| (for left (for rimt le2: | 3-12 holes} Ortho | !PCS | | |
| 362 L-Bio | Laoi | biii | | 5.748 |
| 363 Lacedim ini 1 gr | | | | 183.920 |
| 364 Lactosum 1 kg | Lapi | vial | | 121.000 |
| 365 LAG screw | Brataco | fls | | 2.285.206 |
| | Ortho | IPCS | | 2.285.206 |
| 366 LAG screw 65 mm | Ortho | IOCS | | |
| 367 LAG screw for | Ortho | | | 2.285.206 |
| | | IPCS | | |
| DCS | | | | |


| NO. | N'.AMA BA.RANG | JENIS/MERK SATUAN | SATUAN BARGA TABUN2016 |
|---------------------------------------------------------------------------------------------------------------|------------------------|---------------------|--------------------------|
| 1 2 | 3 | 4 | 5 |
| 368 LAMESONINJ Solostar lO0iu | Lapi | vial | 83.914 |
| 369 Lantus | Sanofi | IPCS | 93.500 |
| 370 Lapibal 500 | Lapi | biii | 2.012 |
| 371 Lapicef 500 | Lapi | biii | 10.116 |
| 372 LaoifloxSO0 | Lapi | biii | 12.645 |
| 373 Lapimox 500 mg | Lapi | biji | 2.299 |
| | Lapi | | |
| 374 Lapistan 500 mg | Lapi | biji | 920 137.940 |
| 375 Lapixim.e inj 1 gr | Sanofi | vial | |
| 376 Lasix amp | | ampul | 14.428 |
| 377 Laxaclin 60 cc SYR | Galenium | fls | 13.692 |
| 378 LC - dcp narrow plate 4.5mm (6-16 holes) | Ortho | !PCS | 1.331.000 |
| 379 LC dcp clavicula hook depth 17mm 3.5mm. left/right 10 holes) (A) | (6- Ortho | pcs | 1.815.000 |
| 380 LC dco clavicula s plate 3.5mm. left/riuht (7-8 holes) (A) 381 LC dcp proximal femoral condyle long plate | Ortho | IPCS pcs | 1.331.000 1.936.000 |
| 4.5/5.0mm.left /ri!!ht leR (4-11 holes) (A) 382 LC dcp proximal humerus plate 3.5mm left/right | Ortho {4-5 | Ortho pcs | 1.694.000 |
| holes) (A) 383 LC dcp proximal lateral tibial plate 4.5/5.0mm.left/right leg (4-10 holes) (A) | Ortho | pcs | 1.452.000 |
| 384 LC dcp proximal medial tibial plate 4.5/5.0mm.left/right leg (4-10 holes) (A) | Ortho | pcs | 1.452.000 |
| 385 LC dcp small T-plate 3.5mm.oblique reconstruction.lef/rimt (6-7 holes) (A) | Ortho | pcs | 847.000 |
| 386 LC dcp small ulna radius plate 3.5mm (6-8 holes) (Al | Ortho | PCS | 847.000 |
| 387 LenalAce | Novartis | biii | 853 |
| 388 Leparson tab | Dexa | biii | 2.310 |
| 389 leukoplas 1.25 | BSN | pcs | 5.808 |
| *4.5 1621 390 Leukoplast 7.5cm x 4.5m (1625) | BSN | ncs | 42.720 |
| 391 Levemir Flexipen inj | Novo Nordisk | 1pcs | 123.196 |
| 392 Lidodex | Bernofarm | ampul | 64.887 |
| 393 Lodia2mg 394 Lvnoral | Sanbe | biji | 1.001 |
| | Orp;anon | biji | 1.618 |
| 395 lvostvot 5x8 | Bbraun | IPCS | 94.713 |
| cm 396 Ma!!asida 60 ml svr | KimiaFarma | fls | 23.980 |
| 397 Maintate 2.5mR | Merck | biii | 4.770 |
| 398 Maintate 5 | Merck | biii pcs | 7.885 254.980 |
| 399 malleolar screws 4.5 mm.dia (25-30 | Ortho | | |
| mm) 400 malleolar screws 4.5 mm.dia (35-40 mm) | Ortho | pcs | 286.330 |
| 401 malleolar screws 4.5 mm.dia (45-50 mm) | Ortho | PCS | 342.760 425.315 |
| 402 malleolar screws 4.5 mm.dia (55-60 mm) 403 malleolar screws 4.5 mm.dia (65-70 mm) | Ortho Ortho | pcs pcs | 488.538 |
| 404 malleolar screws 4.5 mm.dia (75-80 mm) | Ortho | | 547.162 |
| ml | | [pcs fls | |
| 405 Manito! 500 | Otsuka | | 68.200 43.175 |
| 406 Martos | Otsuka | fls | |
| 407 me:final 250 Me:final 500 | Sanbe | biii | 619 |
| 408 | Sanbe | biii | 1.359 |
| 409 Me:finter 500 | Interbat | biii | 1.377 |
| 410 Mefurosan cream | Sanbe Landson | tube | 73.269 |
| 411 Metherinal tab 412 Metolon ini | | biii vial | 484 2.750 |
| 413 Mevlon ini 414 MEZATRIN | Bernofarm Otsuka Sanbe | vial | 6.820 |
| 415 MgSO420% | | biii | 14.845 |
| 416 MgSO440% | Otsuka | vial | 2.971 4.070 |
| 417 Micardis 80 | Otsuka | vial biji | 15.345 |
| | Boehringer | ampul | |
| mg 418 miloz 5 ml | Novell | | 24.200 |
| 419 mini L- plate | Ortho | PCS | 971.328 1.512.500 |
| (mini 420 Mini plate mini plate for dia | Ortho | ncs | 425.920 |
| plate r:uilit) 421 2.0mm screw | Java | pcs | 1.815.000 |
| (3-6 holes) 422 Mini plate STRAIGHT plate 0.6 mm 16 holes | Java | ncs PCS | 544.500 |
| 423 Mini plate STRAIGHT plate 0.6 mm 2 holes | Java | | |
| (A) (A) 424 Mini plate STRAIGHT plate 1.0mm 20 holes | Java | PCS | 2.420.000 |
| (Al 425 Mini plate Yplate 0.6 mm 4 holes (A) | Java | PCS | 1.452.000 |
| 426 mini recontruction plate for dia 2.0mm screw | Ortho | pcs | 425.920 |
| | (3-6 holes) | | |
| | Ortho | ncs | 363.000 |
| 427 Mini screw | | | 726.000 |
| 428 MINI screw self drillinR 1.5 * 5 mm (A) | Java | pcs | |


| NO. | NA.MA BAR.ANG | JENIS/JIIIERK SATUAN | SATUAN HARGA TAHUB2016 |
|------------------------------------------------------------------------------------|-------------------|------------------------|--------------------------|
| 1 2 | 3 | 4 | 5 |
| 429 mini straillht plate (se 125) mini T- plate | Ortho | ncs | 971.328 |
| 430 | Ortho | ncs | 971.328 |
| 431 monosin 1 hr 48 | Bbraun | pcs | 123.783 |
| 432 monosvn 4/0 ds 19 | Bbraun | pcs | 105.497 |
| 433 MST Continus 10 mg | Mahakam. | PCS | 17.182 |
| 434 MUCOHEXSIN TAB | Sanbe | PCS | 476 |
| | Ortho | PCS | 1.363.670 |
| 435 multi condylar plate left (se RT 05-12 holes) rillht (se RT 05-12 holes) | | | |
| 436 multi condylar plate | Ortho | PCS | 1.363.670 |
| 437 MY JELLY 80 GR | Onemed | tube | 22.688 |
| 438 narrow dcp plates 4.5 mm (10-11 holes) | Ortho | PCS | 2.620.860 |
| 439 narrow dcp plates 4.5mm (12 holes) | Ortho | PCS | 2.620.860 |
| 440 narrow dcp plates 4.5 mm (13 holes) | | | 2.620.860 |
| | Ortho | IPCS | |
| 441 narrow dcp plates 4.5 mm (14 holes) | Ortho | pcs | 2.620.860 |
| 442 narrow dcp plates 4.5 mm (15 holes) | Ortho | PCS | 2.620.860 |
| 443 narrow dcp plates 4.5 mm (16 holes) | Ortho | PCS | 2.620.860 |
| 444 narrow dcp plates 4.5 mm (4-5 holes) | Ortho | PCS | 1.655.280 |
| 445 narrow dcp plates 4.5 mm (6 holes) | Ortho | pcs | 1.655.280 |
| 446 narrow dcp plates 4.5 mm {7 holes) | | | |
| 447 narrow dcp plates 4.5 mm (8 holes) | Ortho Ortho | pcs | 1.655.280 1.655.280 |
| 448 narrow den plates 4.5 mm (9 holes) | Ortho | PCS PCS | 1.655.280 |
| 449 NARROW plate LC hole (6-12) | | | |
| 450 Nebacetin powder | Ortho | pcs | 1.500.400 21.714 |
| 451 Neo Diaform | Pharos | IPCS biii | 133 |
| 452 Neo Kinj | Corsa | | 14.534 |
| 453 Neo | Combiphar | ampul | 1.321 |
| mercazole Nerilon cream | Nicholas | biii | 15.401 |
| 454 10 gr | Interbat | tube | |
| 455 Neuciti 250 mg inj 456 | Lapi | ampul biii | 33.275 952 |
| neurobatdra2:eetab 457 Neurobat forte inj | Interbat Interbat | ampul | 6.156 |
| 458 NEUROBION 5000 INJ | Merck | ampul | 7.994 |
| 459 Neurobion 5000 m2 tab | Merck | bi,ii | 2.520 |
| NEUROSANBE | | biji | 1.120 |
| 460 Neurosanbe 5000 | Sanbe | biii | 2.119 |
| 461 | Sanbe | ampul | 5.184 |
| 462 Neurosanbe ini 463 Nonafact inj 500iu | Sanbe Sanquin | vial | 5.511.853 |
| 464 Nonflamin | Takeda | hiii | 4.277 |
| 465 Noperten 10 mg | Dexa | biii | 1.760 |
| 466 Norelut 5 mg | | biii | 3.993 |
| | Dexa | | 48.400 |
| 467 notrixum 25 inj ini | Novell Novell | ampul vial | 96.800 |
| 468 Novellmvcin 1 gr | | | |
| 469 noveron ini | Novell | ampul | 106.480 |
| 470 Novomix Flexoen Flexpen | Novo Nordisk Novo | IOCS IPCS | 116.600 93.880 |
| 471 Novorapid | Nordisk | | |
| 472 NSDP | Sanbe | fls | 17.243 9.379 |
| 473 nutriflam tab | Tropica | biii | |
| 474 OBH 100 cc | Ikapharmindo | fls | 2.200 |
| 475 OBUCORT swin!lhaler | Otsuka | fls | 123.750 |
| 476 Omzcapsul 477 OMZinj | Ferron Ferron | bi,ji vial | 14.116 79.195 |
| 478 one - third tubular plates (tebal) 10 479 one - third tubular plates (tebal) 4 | Ortho | IPCS | 1.517.340 |
| hole 480 one - third tubular plates (tebal) 5 | Ortho | IPCS | 1.517.340 |
| holes holes | Ortho | IPCS | 1.517.340 |
| 481 one - third tubular plates (tebal) 6 holes | Ortho | locs | 1.517.340 |
| 482 one - third tubular plates {tebal) 7 holes | Ortho | IPCS | 1.517.340 |
| 483 one - third tubular plates (teball 8 | Ortho | IOCS | 1.517.340 |
| holes 484 one - third tubular plates (tebal) 9 hole | Ortho | PCS | 1.517.340 |
| 485 Optimax | Ferron | biii | 6.744 |
| 486 Osfit Dha | Kalbe | biii | 3.226 |
| 487 osteocal | Farma | | 616 |
| 488 Otopain 8 ml T | Nicholas | biii | 35.760 |
| Telin2a | Interbat | fls | |
| 489 Pamol500mg | Interbat | biii | 387 |
| 490 Pamoldrops | Interbat | fls | 22.329 |
| 491 PanaminG | Otsuka | fls | 44.000 |
| 492 PARACOdrop | Coronet | fls | 25.955 |
| | | | 7.817 |
| 493 PATRALTAB | Mahakam | biii | |
| 494 Pehacain ini | Pharos | ampul | 2.996 |
| 495 Pethidine ini | | ampul | 14.510 |
| | KimiaFarma | | |


I

I

| NO. | NAlllA B.ARAKG | JENIS/MERK SATUAN | SATUAN HARGA TABUN'2016 |
|-------------------------------------------------------------------------------------------------------------|------------------|---------------------|---------------------------|
| 1 2 | 3 | 4 | 5 |
| 496 Phaminov in,i | Pharos | ampul | 4.510 |
| 497 Picvn 1.Sg | Bernofarm | vial | 105.875 |
| 498 Picvn 7.5 g | Bernofarm | vial | 88.482 |
| 499 roirabrain ini | Interbat | ampul | 50.367 |
| 500 Piracetam 3 gr | | ampul | 7.902 |
| ini 501 Piracetam 800 mg | | biii | 421 |
| 502 pk (1 kg) | Brataco | PCS | 484.000 |
| 503 Placta tab | actavis | biii | 4.400 |
| 504 plain cat gut 1 hr 48 | Bbraun | pcs | 78.302 |
| 505 plain cat e:ut 2/0 hr 26 | Bbraun | | 59.547 |
| | | IPCS | |
| 506 plain cat e:ut 3/0 | Bbraun | IPCS | 15.391 |
| 507 plain cat gut 3/0 hr 26 | Bbraun | IPCS | 64.705 |
| 508 PLAIN CATGUT 1 HR 43 | Bbraun | IPCS | 67.987 |
| 509 Plasbumin 20% 50 ml | Dipa | fls | 379.486 |
| 510 Plasbumin 25% 20 ml | Dipa | fls | 371.800 |
| 511 Plasminex ini | Sanbe | ampul | 12.455 |
| 512 Plasminex tab | Sanbe | biii | 2.699 |
| 513 polidemisin eve drop | Sanbe | fls | 25.780 |
| 514 Pondex 500 mg | Dexa | biii | 678 |
| 515 Pondex syr | Dexa | fls | 7.040 |
| 516 PosoarR:in inj | Kalbe Farm.a | ampul | 6.655 |
| 517 Posparlrin tab | Kalbe Farm.a | biii | 605 |
| 518 Prednox 4mg | IPvridam | biii | 2.529 |
| 519 premilen 3/0 ds | Bbraun | pcs | 97.889 |
| 19 520 premilen 4/0 ds19 | Bbraun | PCS | 91.900 |
| 521 oremilene 2/0 ds 24 | Bbraun | ncs | 87.241 |
| 522 premilene 3/0 ds 24 15x15 | Bbraun | pcs | 86.2