Unknown Unknown Nomor 26 Tahun 2014 tentang STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGGARAN 2015 (berlaku Unknown)
Pembukaan
Menimbang
Mengingat
BUPATITUBAN
PERATURANBUPATITUBAN NOMOR 26 TAHUN 2014 TENTANG
STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGGARAN 2015
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 2015 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 2015 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 32 Tahun 2004 tentang Pemerintahan Daerah sebagaimana telah diubah kedua kali dengan Undang› Undang Nomor 12 Tahun 2008 (Lembaran Negara Republik Indonesia Tahun 2008 Nomor 59, Tambahan Lembaran Negara Republik Indonesia Nomor 4844);
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 · 6 Tahun 2006 tentang Pengelolaan Barang Milik Negara/Daerah sebagaimana telah diubah dengan Peraturan Pemerintah Nomor 38 Tahun 2008 (Lembaran Negara Republik Indonesia Tahun 2008 Nomor 78, Tambahan Lembaran Negara Republik Indonesia Nomor 4855);
7. Peraturan Presiden Nomor 54 Tahun 2010 tentang Pengadaan Barang/Jasa Pemerintah sebagaimana telah diubah kedua kali dengan Peraturan Presiden Nomor 70 Tahun 2012;
8. Peraturan Menteri Dalam Nege:ri 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 BARGA ANGGARAN
PEMERINTAH KABUPATEN TUBAN TAHUN 2015.
Pasal 1
Standar Satuan Harga Pemerintah Kabupaten Tu.ban Tahun Anggaran 2015 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 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 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;
- 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 :rtbrangbersangku~-\_ \_ .~···


Diundangkan di Tu.ban pada tanggal 12 .Aguetus 2014 SEKRETARIS DAERAH KABUPATEN TUBAN,

~i


BERITA DAERAH KABJPATEN TUBAN TAHUN 2014 SERIE NOMOR 29.

## 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 Tu.ban.

Ditetapkan di Tuban


## DAFTARISI

| l | BIDANG OBAT DAN PERALATAN KESEHATAN | 1 | s/d | 17 |
|------|---------------------------------------------|-----|-------|------|
| II | BIDANG DAHAN DAN PERALATAN LABORATORIUM | 1 | s/d | 9 |
| III | BIDANG PERALATAN | 1 | s/d | 30 |
| IV | BIDANG PETERNAKAN DAN PERIKANAN | 1 | s/d | 4 |
| V | BIDANG TANAMAN DAN PUPUK/OBAT TANAMAN | 1 | s/d | 9 |
| VI | BIDANG PEMELIHARAN BARANG INVENTARIS KANTOR | 1 | s/d | 3 |
| VII | BIDANG DAHAN KONSTRUKSI | 1 | s/d | 16 |
| VIII | BIDANG BARANG PERSEDIAAN DAN PAKAI HABIS | 1 | s/d | 28 |
| IX | BIDANG LAIN - LAIN | 1 | s/d | 7 |

## STANDAR SATUAN HARGA

## BIDANG OBAT DAN PERALATAN KESEHATAN

| NO. | NAMABARANG | JENIS/MERK | SATUAN | SATUAN HARGA TAHUN2015 |
|-------|-----------------------------------|-------------------------|-----------|--------------------------|
| 1 | 2 | 3 | 4 | |
| I | FARMASI RSUD Dr. R. KOESMA | | | |
| 1 2 | ABDELYN drop Acitral syr 120 cc | Coronet ... Interbat | fls fls | 19.466 25.854 |
| 3 | Acitral tab | Interbat | biji | 672 |
| 4 | Acran inj | Sanbe | ampul | 20.834 |
| 5 | Acran tab | Sanbe | biji | 5.024 |
| 6 | ADALAT OROS 30 | Bayer | biji | 8.037 |
| 7 | Adona 10 cc inj | Tanabe | ampul | 25.168 |
| 8 | aerrane 250 ml | Kalbe farma | fls | 1.694.000 |
| 9 | Albothil Cone | Pharos | fls | 27.500 |
| 10 | Alinamin F inj | Takeda | ampul | 16.058 |
| 11 | Alinamin F tab | Takeda | biji | 894 |
| 12 | Alkohol 70% 1 ltr | | | |
| | FS | One med | fls | 33.275 |
| 13 | Alkohol 70% 100 cc | One med | fls | 4.024 |
| 14 | Alkohol 70% 300 cc | One med | fls | 9.317 |
| 15 | alkohol 95 % 1 1t | One med | fls | 66.550 |
| 16 17 | alkohol 95% 100 ml lt | One med | fls | 6.050 |
| | Alkohol 96 % 20 | One med | fls | 968.000 |
| 18 | Alkohol 96% 1 ltr | One med | fls | 66.550 |
| 19 | alloris syr | Sanbe | fls | 53.931 |
| 20 | Alpentin 300 mg | Actavis | biji | 2.915 |
| 21 | Aminofluid inf 500 ml | Otsuka | fls | 67.760 |
| 22 23 | Aminofusin Hepar Aminofusin L 600 | Kalbe farma Kalbe farma | fls fls | 183.920 45.101 |
| 24 | Aminofusin Paed 250 ml | Kalbe farma | fls | 84.700 |
| 25 | Aminoleban Aminovel 600 | Otsuka Otsuka | fls | 167.265 |
| 27 | AMOXSAN250 | Sanbe | biji | 1.672 |
| | AMOXSAN 500 TAB | Sanbe | biji | 3.424 |
| 28 29 | Amoxsan drop | Sanbe | fls | 22.132 |
| 30 | AMOXSAN DRY SYP | Sanbe | fls | 23.492 |
| 31 | AMP set narrow (bone cement 1 ) | Ortho | pcs | 7.821.825 |
| 32 | AMP straight stem + 1 BONE cement | Ortho | pcs | 8.251.320 |
| 33 | AMP straight stem + 2 BONE cement | Ortho | pcs | 10.863.820 |
| 34 | Anadex syr | Interbat | fls | 13.823 |
| 35 | Anadex tab | | biji | 839 |
| 36 | Analsik | Interbat Sanbe | biji | 1.192 |
| 37 | Analtram tab | Lapi | biji biji | 6.897 |
| 38 | ANEMOLAT | Phapros | | 219 |
| 39 | anesject inj | Guardian | vial | 169.400 |
| 40 | Antrain inj | Interbat | ampul | 9.402 |
| 41 | Apialys drops | t Lapi | ... fls | 31.612 |
| 42 | Apialys syr | Lapi | fls | 27.588 |
| 43 | Apidra Solostar | Sanofi | pcs | 110.000 |
| 44 | Aptor tab | Nicholas | biji | 173 |
| 45 | Aqua pro inj | Otsuka | vial | 1.848 |
| 46 | AQUADEST 1 Ltr | One med | fls | 17.424 |
| 47 | Aquadest 5 !tr | One med | fls | 48.400 |
| 48 | Arixtrainj | Glaxo | vial | 396.578 |
| 49 | Asering | Otsuka | fls | 16.039 |
| so | Aspilet | Darya varia | biji | 710 |
| 51 | Asthin force caps | Soho | biji | 7.865 |
| 52 | Asthin Force | Soho | tube | 78.650 |
| 53 | ATMACID tab | Grahafarma | biji | 127 |


LAMPIRAN I PERATURAN BUPATI TUBAN NOMOR 26 TAHUN 2014 TENTANG STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGARAN 2015

## STANDAR SATUAN HARGA

## BIDANG OBAT DAN PERALATAN KESEHATAN

| NO. | NAMABARANG | JENIS/MERK | SATUAN | SATUAN HARGA TAHUN2015 |
|-------|------------------------------------------------------------------|--------------------|-----------|--------------------------|
| 1 | 2 | 3 | 4 | |
| I | FARMASI RSUD Dr. R. KOESMA | | | |
| 1 2 | ABDELY.N drop Acitral syr 120 cc | Coronet Interbat | fls fls | 19.466 25.854 |
| 3 | Acitral tab | Interbat | biji | 672 |
| 4 | Acran inj | Sanbe | ampul | 20.834 |
| 5 | Acran tab | Sanbe | biji | 5.024 |
| 6 | ADALAT OROS 30 | Bayer | biji | 8.037 |
| 7 | Adona 10 cc inj | Tanabe | ampul | 25.168 |
| | | | fls | |
| 8 | aerrane 250 ml Albothil Cone | Kalbe farma Pharos | fls | 1.694.000 |
| 9 10 | Alinamin F inj | Takeda | ampul | 27.500 16.058 |
| | | Takeda | biji | |
| 11 12 | Alinamin F tab | | fls | 894 |
| 13 | Alkohol 70% 1 !tr FS | One med | | 33.275 |
| | Alkohol 70% 100 cc | One med | fls | 4.024 |
| 14 | Alkohol 70% 300 cc | One med | fls | 9.317 |
| 16 | alkohol 95% 100 ml | One med | fls | 6.050 |
| 15 | alkohol 95 % 1 It | One med | fls | 66.550 |
| 17 | Alkohol 96 % 20 It | One med | fls | 968.000 |
| 18 | Alkohol 96% 1 .!tr | One med | fls | 66.550 |
| 19 | alloris syr | Sanbe | fls | 53.931 |
| 20 | Alpentin 300 mg | Actavis | biji | 2.915 |
| 21 | Aminofltiid inf 500 ml | Otsuka | fls | 67.760 |
| 22 | Aminofusin Hepar | Kalbe farma | fls | 183.920 |
| 23 | Aminofusin L 600 | Kalbe farma | fls | 45.101 |
| 24 | Aminofusin Paed 250 ml | Kalbe farma | fls | 84.700 167.265 |
| 25 | Aminoleban | Otsuka | fls | |
| 26 | Aminovel 600 | Otsuka | fls | 52.800 |
| 27 | AMOXSAN 250 | Sanbe Sanbe | biji | 1.672 |
| 28 | AMOXSAN 500 TAB | | biji | 3.424 |
| 29 | Amoxsan drop AMOXSAN DRY SYP | Sanbe Sanbe | fls | 22.132 |
| 31 32 | AMP set narrow (bone cement 1 ) AMP straight stem+ 1 BONE cement | Ortho Ortho | pcs pcs | 7.821.825 8.251.320 |
| 33 | | | fls | 13.823 |
| | AMP straight stem+ 2 BONE cement | Ortho | pcs | 10.863.820 |
| 34 35 | Anadex syr Anadex tab | Interbat Interbat | biji | 839 |
| 36 | Analsik | Sanbe | biji | 1.192 |
| 37 | Analtram tab | Lapi | biji | 6.897 |
| 38 | ANEMOLAT | Phapros | biji | 219 |
| 39 | anesject inj | Guardian | vial | 169.400 |
| 40 | Antrain inj | Interbat | ampul | 9.402 |
| | Apialys drops | | | 31.612 |
| 41 | | Lapi | fls | |
| 42 | Apialys syr | Lapi | fls | 27.588 |
| 43 | Apidra Solostar | Sanofi | pcs | 110.000 |
| 44 | Aptor tab | Nicholas | biji | 173 |
| 45 | Aqua pro inj | Otsuka | vial | 1.848 |
| 46 | AQUADEST 1 Ltr | One med | ... fls | 17.424 |
| 47 | Aquadest 5 !tr | One med | fls | 48.400 |
| 48 | Arixtra inj | Glaxo | vial | 396.578 |
| 49 | Asering | Otsuka | fls | 16.039 |
| 50 51 | Aspilet Asthin force caps | Darya varia Soho | biji biji | 710 7.865 |
| 52 | Asthin Force | Soho | tube | 78.650 |
| 53 | ATMACID tab | Grahafarma | biji | 127 |

'~

1


LAMPIRAN I PERATURAN BUPATI TUBAN NOMOR 26 TAHUN 2014 TENTANG STANDAR SATUAN HARGA PEMERINTAH KABUPATEN TUBAN TAHUN ANGGARAN 2015

| NO. | NAMABARANG | JENIS/MERK | SATUAN | SATUAN BARGA TAHUN2015 |
|-------|-----------------------------------------------------------------------------------------------------------------|---------------------|-------------|--------------------------|
| 1 | 2 | 3 | 4 | |
| 54 | atmacid sirup | Grahafarma | fls | 3.300 |
| 55 | ATS 1500 ui ATS 20000ui | Bio farma Bio farma | ampul ampul | 135.672 671.343 |
| 56 57 | avodart | Glaxo | biji | 9.350 |
| 58 | Azopt ED | Alcon | fls | 139.709 |
| 59 | Bamgetol tab | Mersi | biji | 286 |
| 60 | Baquinor 500 mg | Sanbe | biji | 13.957 |
| 61 | BD gard.caps | Mahakam | biji | 8.813 |
| 62 | BECECAR | Sanbe | biji | 1.815 |
| 63 | beclov inj | Sanbe | ampul | 33.862 |
| 64 | Becom C | Sanbe | biji | 1.323 |
| 65 | Berotec Spray | Boehringer | fls | 137.500 |
| 66 | Betadin Gargle | Mahakam | fls | 8.059 |
| 67 | Betadin sol 30 cc | Mahakam | fls | 14.278 |
| 68 | Betadin sol 60 ml | Mahakam | fls | 24.563 |
| 69 | Bio Curliv | Soho | biji | 7.260 |
| 70 | | | tube | |
| | Bionect Cream | Astra zeneca | | 119.391 |
| 71 | Bioplacenton er 15 ~ | Kalbe farma | tube | 13.915 |
| 72 | Bisolvon inj | Boehringer | ampul | 39.950 |
| 73 | BONE cement | Ortho | pcs | 2.420.000 |
| 74 | Bone Wax | Bbraun | pcs | 76.533 |
| 75 | Botol gliserin | | fls | 1.513 |
| 76 | botol plastik 50 cc | | fls | 878 |
| 77 78 | BralifexED Bralifex plus ED | Sanbe | fls fls | 32.423 45.350 |
| 79 | Braxidin | Sanbe Sanbe | biji | 823 |
| | | | ampul | |
| 80 | Bricasma inj | Astra zeneca | | 20.065 |
| 81 | broad dcp plates (10-12 holes) | Ortho | pcs pcs | 2.758.800 |
| 82 83 | broad dcp plates (13-14 holes) | Ortho | pcs | 2.758.800 2.758.800 |
| | broad dcp plates (16-18 holes) broad dcp plates (4-5 holes) | Ortho Ortho | pcs | 2.069.100 |
| 84 | broad dcp plates (6-7 holes) | | | 2.069.100 |
| 85 | broad dcp plates (8-9 holes) | Ortho | pcs | |
| 86 87 | BROAD plate LC hole (6-12) | Ortho Ortho | pcs pcs | 2.069.100 1.929.950 |
| 88 | bucain spinal 0.5 | Bernofarm | ampul | 63.707 |
| 89 | Burnazin Cream 35 gr | Darya varia | tube | 44.256 |
| 90 | Buscopan inj | Boehringer | ampul | 22.542 2.949 |
| 91 | Buscopan Plus buscopan tab | Boehringer | biji | 2.133 |
| 92 93 | Cal95 | Boehringer Lapi | biji biji | 3.678 |
| 94 | cancellous screws 4.0 mm.dia.full tread (02b.10-02b.18) | Ortho | pcs | 391.980 |
| 95 | cancellous screws 4.0 mm.dia.full tread (02b.20-02b.30) | Ortho | pcs pcs | 459.800 521.873 |
| 96 | cancellous screws 4.0 mm.dia.full tread (02b.35-02b.45) cancellous screws 4.0 mm.dia.full tread (02b.50-02b.60) | Ortho Ortho | pcs | 598.890 |
| 97 98 | cancellous screws 4.0 mm.dia.short thread (41.10-41.18) | Ortho | pcs | 391.980 |
| 99 | cancellous screws 4.0 mm.dia.short thread (41.20-41.30) | Ortho | pcs | 459.800 |
| 100 | cancellous screws 4.0 mm.dia.short thread (41.35-41 .45) | Ortho | pcs | 521.873 |
| 101 | cancellous screws 4.0 mm.dia.short thread (41.50-41.60) | Ortho | pcs | 598.890 |
| 102 | cancellous screws 6.5 mm. dia 1/3 alur (05.105-05.110) | Ortho | pcs | 782.810 |
| 103 | cancellous screws 6.5 mm. dia 1/3 alur (05.25-05.35) | Ortho | pcs | 314.963 |
| 104 | cancellous screws 6.5 mm. dia 1/3 alur (05.40-05.50) | Ortho | pcs | 391.980 |
| 105 | cancellous screws 6.5 mm. dia 1/3 alur (05.55-05.60) | Ortho | pcs | |
| 106 | cancellous screws 6.5 mm. dia 1/3 alur (05.65-05.70) | Ortho | pcs | 521.873 |
| 107 | cancellous screws 6.5 mm. dia 1/3 alur (05.75-05.80) | Ortho | pcs | 598.890 |


| NO. NAMABARANG | JENIS/MERK | SATUAN | SATUAN HARGA TAHUN2015 |
|------------------------------------------------------------|-----------------------|-----------|--------------------------|
| 1 2 | 3 | 4 | |
| 108 cancellous screws 6.5 mm. dia 1/3 alur (05.85-05.90) | Ortho | pcs | 657.514 |
| 109 cancellous screws 6.5 mm. dia 1/3 alur (05.95-05.100) | Ortho | pcs | 714.989 |
| 110 cancellous screws 6.5 mm. dia.1/2 alur (06.105-06.110) | Ortho | pcs | 782.810 |
| 111 cancellous screws 6.5 mm. dia.1/2 alur (06.35-06.40) | Ortho | pcs | 391.980 |
| 112 cancellous screws 6.5 mm. dia.1/2 alur (06.45-06.60) | Ortho | pcs | 459.800 |
| 113 cancellous screws 6.5 mm. dia.1/2 alur (06.65-06.70) | Ortho | pcs | 521.873 |
| 114 cancellous screws 6.5 mm. dia.1/2 alur (06.75-06.80) | Ortho | pcs | 598.890 |
| 115 cancellous screws 6.5 mm. dia.1/2 alur (06.85-06.90) | Ortho | pcs | 657.511 |
| 116 cancellous screws 6.5 mm. dia.1/2 alur (06.95-06.100) | Ortho | pcs | 714.989 |
| 117 cancellous screws 6.5 mm. full alur (006.105-006.110) | Ortho | pcs | 848.810 |
| 118 cancellous screws 6.5 mm. full alur (006.45-006.60) | Ortho | pcs | 459.800 |
| 119 cancellous screws 6.5 mm. full alur (006.65-006.70) | Ortho | pcs | 521.873 |
| 120 cancellous screws 6.5 mm. full alur (006.75-006.80) | Ortho | pcs | 598.890 |
| 121 cancellous screws 6.5 mm. full alur (006.85-006.90) | Ortho | pcs | 657.514 |
| 122 cancellous screws 6.5 mm. full alur (006.95-006.100) | Ortho | pcs | 714.989 |
| 123 Carbloxal 6,25 mg | Sandoz | biji | 2.993 |
| 124 Carpiaton 100 mg | Fahrenheit Fahrenheit | biji biji | 3.872 1.392 |
| 125 Carpiaton 25 mg | Boehringer | ampul | |
| 126 Catapres 150 inj 127 | | fls | 36.905 1.933.580 |
| Albuman 20 % 100 ml Albuman 20 % 50 ml | Sanquin Sanquin | fls | 455.400 |
| 128 129 Cebactam inj | Lapi | vial | 143.688 |
| 130 Cedantron 4 mg inj | Soho | ampul | 33.336 |
| Cedocard 5 mg | Soho | biji | 1.128 |
| 131 Cedocard Inj | Darya varia | ampul | 78.408 |
| 132 133 Cefat 250 | Sanbe | biji | 5.262 |
| 134 Cefat 500 | Sanbe | biji | 10.930 |
| 135 Cefat Syr | Sanbe | fls | 45.052 |
| 136 CENDO ASTENOF eye drop | Cendo | fls | 21.462 |
| 137 cendo carpine 2% | Cendo | fls | 22.990 |
| 138 CENDO CATARLEN eye drop drop | Cendo | fls | 21.024 |
| 139 CENDO CETAMID eye | Cendo | fls | 13.613 |
| 140 cendo dexaton 5 cc | Cendo | fls | 21.962 |
| 141 Cendo efrisel minidose | Cendo | fls | 3.721 |
| 142 CENDO GENTAMICIN tts mata mata | Cendo Cendo | fls tube | 26.318 |
| 143 cendo gentamisin 0.3 % slp mata | | tube | 29.343 |
| 144 cendo hervis 3,5 gr slp | Cendo | | 44.468 |
| 145 Cendo Lyters 15 cc TM 146 CENDO MIDRIATIL eye | Cendo | fls fls | 20.873 24.957 |
| drop 147 CENDO PANTOCAIN eye drop | Cendo | | 14.672 |
| | Cendo | fls | |
| 148 cendo pnp mini dose | Cendo Cendo | fls | 17.848 |
| 149 cendo statrol 3.5 gr slp mata | Cendo | tube | 22.083 |
| 150 cendo statrol 5 cc TM | | fls | 24.292 |
| 151 CENDO TIMOLOL 0,5 % cendo timolol 0.25% | Cendo Cendo | fls fls | 57.778 36.905 |
| 152 CENDO TROPIN eye drop | Cendo | fls | 13.613 |
| 153 cendo xitrol 5 cc TM | Cendo | fls | 29.948 |
| 154 Cendo Xitrol salep mata | Cendo | tube | 31.007 |
| 155 Cenfresh Mds | Cendo | strip | 27.830 |
| 156 157 Ceptik caps | Interbat | biji | 18.356 |
| 158 Cernevit inj | Kalbe farma | ampul | 153.670 14.828 |
| 159 Cetadop inj 160 Chloramex inj | Soho Actavis | ampul | 8.360 |
| | | vial | 8.251 |
| 161 Chlorbiotic inj 162 chromic catgut 2 HR 43 | Bernofarm | vial | |
| | Bbraun | pcs | 77.077 |

-l


| NO. | NAMABARANG | JENIS/MERK SATUAN | SATUAN HARGA TAHUN2015 |
|-------------------------------------------------------------------------------------|-------------------------|---------------------|--------------------------|
| 1 2 | 3 | 4 | |
| 163 chromic catgut 2 hr 48 | Bbraun | pcs | 80.526 |
| 164 chromic catgut 2/0 hr 26 | Bbraun | pcs | 72.116 |
| 165 chromic catgut 3/ 0 | Bbraun | pcs | 19.723 |
| 166 chromic catgut 3/0 hr 26 | Bbraun | pcs | 75.335 |
| 167 Cinaminj | Sanbe | vial | 138.164 |
| 168 Claneksi 500 mg | Sanbe | biji | 12.377 |
| 169 clavicula s-plates LEFT (6 | ortho | pcs | 2.069.100 |
| holes)...(MD 001-22161) 170 clavicula s-plates LEFT (7 holes)...(MD 001-22171) | ortho | pcs | 2.069.100 |
| 171 clavicula s-plates RIGHT (6 holes)..JMD 001-22161) | ortho | pcs | 2.069.100 |
| 172 clavicula s-plates RIGHT (7 holes)..JMD 001-22171) | ortho | pcs | 2.069.100 |
| 173 Clopedin inj | | ampul | 28.435 |
| 174 clover leaf LC (4-7 | Kimiafarma ortho | pcs | 1.331.000 |
| holes) 175 cloverleaf (4-10 holes) | ortho | pcs | 1.448.370 |
| 176 Cobazim tab 1000 mg | Interbat | biji | |
| 177 Codein io mg | | biji | 2.669 |
| drop | Kimiafarma | | 479 |
| 178 COLME eye 179 ColmeTT | Interbat | fls | 20.873 |
| 180 Colsancetin caps | Interbat Sanbe | fls | 21.266 567 |
| 181 Colsancetin 1 gr | Sanbe | biji vial | 10.203 |
| 182 Comafusin Hepar | Kalbe | fls | 80.300 |
| COMBANTRIN 250 | farma | | 4.684 |
| 183 184 Combiven UDV | Phapros Boehringer | biji vial | 8.910 |
| 185 condilar butters plates | ortho | | 5.128.200 |
| (14 holes) 186 condilar butters plates (15 holes) | | pcs | 5.128.200 |
| 187 cortical screw (3.5 mm.dial | ortho ortho | pcs pcs | 223.003 |
| 188 cortical screw 2.0 mm. dia | ortho | pcs | 391.980 |
| 189 cortical screw 2.7 mm. dia | ortho | pcs | 257.488 |
| 190 cortical screw 4.5 mm. dia | ortho | pcs | 189.668 |
| 191 Cortidex inj | Sanbe | ampul | 6.389 |
| 192 Cravit ED | Ferron | fls | 112.651 |
| 193 Cravox infus | Lapi | fls | 201.163 |
| 194 Curcuma 200mg | Soho | biji | 484 799 |
| 195 curcuma blister | Soho | biji | |
| 196 Cuticell. | BSN | pcs | 9.005 12.112 |
| 197 Cytodrox 500 | Combiphar | biji | |
| 198 D 10% | Widatra | fls | 6.300 |
| 199 D 40%) 25 ML | Otsuka | | 2.178 |
| 40%(DEXTROSE 200 D 5 %(GLUCOSE 5%) | Bbraun | vial fls | 5.566 |
| 201 D 5 1/4 | Widatra | fls | 8.316 |
| 202 Danalgin tab | Phapros | biji | 908 |
| 203 Daryacef inj | Darya varia Darya varia | vial pcs | 159.720 17.243 |
| 204 Daryantul 205 dcp plates (small dcp | ortho | pcs | 1.310.430 |
| plate) 12 hole | | | 1.310.430 |
| 206 dcp plates (small dcp plate) 2-5 hole 207 dcp plates (small dcp plate) 6-8 hole | ortho ortho | pcs | 1.310.430 |
| 208 dcp plates (small dcp plate) 9 hole | ortho | pcs | 1.310.430 |
| 209 dcp plates 2.7 mm (10 hole) | ortho | pcs pcs | 1.379.400 |
| | I ortho | | 1.379.400 |
| 210 dcp plates 2.7 mm (12 hole) | | pcs | 1.379.400 |
| 211 dcp plates 2.7 mm (2-5 hole) 212 dcp plates 2.7 mm (6-8 hole) | ortho ortho | pcs pcs | 1.379.400 |
| 213 dcp plates 2.7 mm (9 hole) | ortho | pcs | 1.379.400 |
| 214 DCS plate (7 hole) | ortho | pcs | 5.784.284 |
| 215 DCS plates ( 11 holl ) | ortho | pcs | 6.083.154 |
| 216 DCS plates ( 8 holl ) | ortho | pcs | 5.784.284 |
| 217 DCS plates ( 9 holl ) | ortho | pcs | 5.784.284 |
| 218 deculin tab | Dexa | biji | 4.400 |
| 219 Depakene | Abbott | fls | 147.668 3.190 |
| 250mg/ml syr 120ml 220 Depakote ER 250mg 221 DISTAL HUMERAL st | Abbott | biji | |
| shaped plate left/ righ (5-7 holes) ..(~) ... | Java | pcs | 1.936.000 |
| 222 DISTAL lateral tibial plate recontruction 4,5/5,0mm,left (5-12 holes)(~) | Java | pcs | 1.452.000 |
| . ~~~.!..!~-~ ... | | | |
| | | ... ampul | 74.137 |
| 223 Dopamin inj 224 Dulcolax supp Anak | Kimiafarma Boehringer | pcs | 11.000 |
| 225 Dulcolax supp Dewasa | Boehringer | pcs | 11.605 |
| 226 Dulcolax tab | Boehringer | biji | 988 |
| | | | 3.513 |
| 227 Duvadilan | Kimiafarma | biji | 31.259 |
| | Kimiafarma | ampul | |
| inj | | | |
| __228_ Duvadillan | | | |


| NO, | NAMABARANG | JENIS/MERK SATUAN | SATUAN HARGA TAHUN2015 | | | | | | |
|-----------------------------------------|-----------------------|---------------------|--------------------------|----------------|-----|----|----|--------|----|
| 1 | 2 3 | 4 | | | | | | | |
| 229 eclid tab | Dexa | biji | 1.375 | | | | | | |
| 230 Eflagen tab 50 | Sanbe | biji | 2.110 | | | | | | |
| 231 Efrisel ED | Cendo | fls | 18.453 | | | | | | |
| 232 ekga4 | | roll | 242.000 | | | | | | |
| 233 ekgmortara | Mortara | roll | 1.245.695 | | | | | | |
| 234 ekgversion | Welch Allyn | roll | 1.815.000 | | | | | | |
| 235 Elastomull 3' | BSN | roll | 34.334 | | | | | | |
| 236 Elastomull 4' | BSN | roll | 39.800 | | | | | | |
| 237 Elastomull | BSN | roll | 46.433 | | | | 6' | | |
| 238 elektroda | 3M | pcs | 9.075 | | | | | | |
| 239 Elkana tab | Sanbe | biji | 733 | | | | | | |
| 240 Elkana syr | | | 21.394 | | | | | | |
| | Sanbe | fls | | | | | | | |
| 241 Enatin tab | Pharos | biji | 1.242 | | | | | | |
| 242 ENDROLIN !NJ | Kalbe farma | pcs | 891.000 | | | | | | |
| 243 Enema set | One med | pcs | 18.211 | | | | | | |
| 244 Enystin drop | Dankos | fls | 30.250 | | | | | | |
| 245 Escovit tab | Escolab | biji | 8.047 | | | | | | |
| 246 Esthero 0.625 | Sunthi sepuri | biji | 6.641 | | | mg | | | |
| 247 Ethigent inj | Ethica | ampul | 11.096 | | | | | | |
| 248 Euthyrox 100 | Merck | biji | 1.692 | | | | | | |
| 249 EXTERNAL Fixation | ortho | pcs | 8.970.698 | | | | | set | |
| 250 Eyevit tab | Lapi | biji | 3.851 | | | | | | |
| 251 Fargoxin | Fahrenheit | biji | 303 | | | | | | |
| 252 Farnormin 50mg | Fahrenheit | biji | 484 | | tab | | | | |
| 253 Farsix inj | Fahrenheit | ampul | 7.260 45.298 | | | | | | |
| 254 Femara 2,5 mg | Novartis | biji | 44.767 | | | | | | |
| 255 FENTANYL 0,05/2ml/cc 256 | Kimiafarma | ampul | | | | | | | |
| Fetavitatab 257 Fimahes | Escolab ... | biji | 6.716 57.201 | | | | | | |
| 258 Fleet enema | Kalbe farma Combiphar | fls tube | 75.867 | | | | | | |
| 259 Flixotide | Glaxo | vial | 21.054 | | | | | | |
| 260 Fluorescein | Cendo | fls | 15.730 | | | | | | |
| 261 Folavit 400 | Sanbe | biji | 787 | | | | | | |
| 262 Fordin tab | Promed | biji | 4.538 | | | | | | |
| 263 Formalin sol | One med | fls | 53.240 | | | | | | |
| 264 Formalin | One med | | 1.198 | | | | | | |
| 265 Fuson er | Pyridam | | 41.745 | | | | | | |
| | | | 54.450 | | | | | | |
| 266 gastor oil 267 Gastridin | Brataco Interbat | fls | 17.740 | | | | | | |
| inj tab | | ampul | 4.701 | | | | | | |
| 269 GASTROFER | Dexa | biji vial | 93.500 | | | | | | |
| !NJ 270 Gitas plus | | biji | 2.065 | | | | | | |
| 271 Glassionomer Fuji | Fuji | pcs | 439.230 | | | | | / GIGI | IX |
| 272 Glaucon tab | Cendo | | 4.598 | | | | | | |
| 273 GlidiabTab | Soho | | 1.156 | | | | | | |
| 274 Gliserin 1 lt | Brataco | biji fls | 54.450 | | | | | | |
| 275 Glucobay 50 | Bayer | biji | 1.265 | | | | | | |
| 276 Glurenorm | Boehringer | biji | 2.511 | | | mg | | | |
| 277 Glybotic | Sanbe | ampul | 65.403 | | | | | | |
| 250 278 Glybotic | Sanbe | ampul | 112.759 | | | | | | |
| 500 279 Grafix tab | Gracia | biji | | | | | | | |
| | | biji | 1.210 | | | | | | |
| 280 Grahabion | | | 385 | | | | | | |
| | Grahafarma Coronet | fls | 24.185 | | | | | | |
| 281 Halmezine 100ml 282 halotan (/ FLS) | Dexa | fls | | | | | | | |
| 283 Herbesser CD 100 | Tanabe | biji | 9.002 | | | | | | |
| tab 284 HeXYffier 2 mg | Mersi | biji | 415 | | | | | | |
| 285 Hibicet 5 L | BCM | fls | 992.503 | | | | | | |
| 286 Humalog mix | Lilly | ••arnpul | 165.044 | | | | | | |
| cart 287 Human Albumin | Bio test | fls | 1.633.500 | | | | | | |
| 25 20% biotest | 100m Lilly | vial | 235.400 | | | | | | |
| 288 Humulin N 100 iu 10ml 10ml | Lilly | | 235.400 | | | | | | |
| 289 Humulin R 100 iu | | vial | 2.178.000 | | | | | | |
| 290 Hyperhep Imunoglobulin | Dipa | pcs | | | | | | | |
| 291 Hytroz 1 mg tab | Dexa | biji | 3.246 4.538 | | | | | | |
| 292 Ikalep caps | | biji | | | | | | | |
| Ikalep syr | Ikapharmindo | | 68.970 | | | | | | |
| 293 | Ikapharmindo | fls | | | | | | | |
| 294 | Ikapharmindo | tube | 4.235 | | | | | | |
| | | | | | | SM | | | |
| ... | | | | | | | | | |
| IKAMICETIN | | | | | | | | | |
| | | | 1.331.000 | | | | | | |
| | Interbat Interbat | biji | | | | | | | |
| | | biji | | | | | | | |
| 268 | | | | | | | | | |
| Gastridin | mg tab | | | | | | | | |
| | | | | 500ml Nebul ED | | | | | |
| | | | tube | | | | | | |


| NO. NAMABARANG | JENIS/MERK | SATUAN | SATUAN HARGA TAHUN2015 |
|----------------------------------------------------------------------|-------------------|------------|--------------------------|
| 2 | 3 | 4 | |
| 295 Imodium tab | Janssen | biji | 7.211 |
| 296 Impuganinj Actavis Lapi | | ampul | 2.695 |
| 297 Imunostab | | biji | 5.748 |
| 298 Imunos syr | Lapi | fls | 57.475 |
| 299 IMURANTA8 | Glaxo | biji | 8.239 |
| 300 inbion tab | Interbat | biji | 1.231 |
| 301 INCELINTA8 | Interbat | biji | 10.185 |
| 302 Indexon inj | Interbat ... | ampul | 7.690 |
| 303 INDEXONTA8 | Interbat | biji | 336 |
| 304 lndikator tape | 3M | pcs | 97.194 |
| 305 induxin inj | Kalbe farma | ampul | 9.438 |
| 306 Inerson Cream | Interbat | tube | 29.456 |
| 307 D5 DP | Sanbe | fls | 18.029 |
| infusan 308 Infusan D5+1/2NS 500 ml | Sanbe | fls | 9.280 |
| 309 infusan | Sanbe | fls | 17.673 |
| NS DP 310 infusan RINGS-AS DP | Sanbe | fls | 19.844 |
| 311 infusan RL DP | Sanbe | fls | 17.727 |
| 312 InlactaDHA | Interbat | biji | 3.678 |
| 313 lnmatrol ed | lnterbat | fls | 21.903 |
| 314 | Interbat | biji | 12.871 |
| Interflox 500 315 Interhistin | lnterbat | biji | 682 |
| 316 | Interbat | ampul | 7.460 |
| Intermic 5 ml inj 317 Intermoxil 1 gr inj | Interbat | vial | 23.958 |
| 318 tab | Interbat | biji | 2.983 |
| intermoxil 500 319 intermoxil sirup 60 ml | Interbat | fls | 22.143 |
| 320 10 mg | Interbat | biji | 4.209 |
| Interpril 321 lnterpril 5 mg tab | Interbat | biji | 655 |
| 322 lnterbat | | biji | 90.044 |
| INTERVASK 10 mg 323 interzinc sirup 60 ml invitee tab | Interbat | fls | 24.200 |
| 324 | Dankos Interbat | biji ampul | 10.890 32.912 |
| 325 Invomit 4 mg inj 326 Invomit tab 4 mg | Interbat | biji | 15.545 |
| 327 Irtan 150 mg | Ikapharmindo | biji | 2.200 |
| 328 | Glaxo | biji | 1.041 |
| ISOKET5MG Isoket i.v | Glaxo | ampul | 72.600 |
| 329 | | | |
| 330 kacamata fototerapi (eye protector) 18 | Posey | pcs fls | 54.269 17.227 |
| Kaen | Otsuka | fls | 14.455 |
| 331 332 Kaen 3A Kaen 38 | Otsuka | | |
| 333 334 Kaen4A | Otsuka Otsuka | fls fls | 11.277 15.627 |
| 4B- | | | |
| 335 Kaen 336 Kaen Mg3 Kalmetason 4 m~}.~j | Otsuka Otsuka | fls fls | 17.227 18.792 |
| Kalbe farma | | ampul | 2.393 |
| 337 | | | 9.680 |
| 338 Kalnex 250 mg inj 339 Kalnex 500 mg Kaltrofen | Kalbe farma Kalbe | ampul biji | 3.025 |
| farma 340 Supp Kalbe farma | | pcs vial | 12.705 |
| 341 8ernofarm | | | 12.100 |
| Kanabiotic 1•gr 342 kapsul 0 | 8rataco | pcs | 43 |
| | | pcs | 67 |
| 343 kapsul0O 344 kapsul 1 kapsul2 | 8rataco 8rataco | pcs | 46 |
| 345 | 8rataco | pcs | 40 |
| | | fls | 35.635 |
| | Ferron Otsuka | ampul | 2.255 |
| 346 KaryuniED 347 KCl 7,46 348 Kedacillin 1 gr inj | | | 44.983 |
| 349 irtj 30 mg | Takeda | vial ampul | 35.256 |
| Ketrobat 350 KSR | Interbat Merck | biji | 2.948 |
| 351 inj | Guardian | vial | 127.595 |
| KTM cloverleaf nails (dia 34-42 mm) | | pcs | 1.303.533 1.815.000 |
| 352 kuntscher KUS LC - dcp broad plate 4,5 / 5,0mm (10-14 holes) (A) | ortho Java | pcs | |
| 353 | | | |
| 354 broad plate 4,5 / 5,0mm (9 holes long) (A) Java | | pcs | 1.815.000 |
| KUS LC - dcp | | | |
| 355 KUS LC - dcp broad plate 4,5 / 5,0mm ( 9 holes short) (A) | Java | pcs | 1.815.000 |
| 356 Kutoin cap 100 mg | | biji | 242 |
| 357 Kutoin inj | Mersi | ampul | 26.400 |
| 358 KY Jelly | Mersi Johnson | tube | 71.390 |
| L: buttress plates (for left leg 3-12 holes) | ortho | pcs | 3.009.391 |
| __359_ | | | |


| NO. | JENIS/MERK NAMABARANG | SATUAN | SATUAN HARGA TAHUN2015 |
|--------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------|----------|--------------------------|
| 1 2 | 3 | 4 | |
| 360 L - buttress plates (for right leg 3-12 holes) | ortho | pcs | 3.009.391 |
| 361 L-Bio | Lapi Lapi | biji | 4.484 |
| 362 Lacedim inj 1 gr | | vial | 183.920 |
| 363 Lactosum 1 kg | Brataco | fls | 121.000 |
| 364 LAG screw 60 mm | ortho | pcs | 2.646.149 |
| 365 LAG screw 65 mm | ortho | pcs | 2.646.149 |
| 366 LAG screw for DCS | ortho | pcs | 2.646.149 |
| 367 LAMESON !NJ | Lapi | vial | 88.330 |
| 368 Lantus Solostar l00iu | Sanofi | pcs | 121.000 |
| 369 Lapibal 500 | Lapi | biji | 2.012 |
| 370 Lapicef 500 | Lapi | biji | 9.680 |
| 371 Lapiflox 500 | Lapi | biji | 12.645 |
| 372 Lapimox 500 | Lapi | biji | 2.420 |
| mg 373 Lapistan 500 mg | Lapi | biji | 968 |
| 374 Lapixime inj 1 gr | Lapi | vial | 132.193 |
| 375 Lasixamp | Sanofi | ampul | 14.428 |
| 376 Laxadin 60 | Galenium | fls | 31.612 |
| cc SYR 377 LC - dcp narrow plate 4,5mm | (6-16 holes) ortho | pcs | 1.331.000 |
| 378 LC dcp clavicula hook depth 10 holesl...(~) | 14mm 3,5mm. left/right (6- java | pcs | 1.815.000 |
| 379 LC dcp clavicula hook depth lOholesl.. @ | 17mm 3,5mm. left/right (6- java | pcs | 1.815.000 |
| 380 LC dcp clavicula s plate | 3,5mm, left/right (7-8 holes) (A) java | pcs | 1.331.000 |
| 381 LC dcp proximal femoral condyle ::':.?§.f..:?.,Omm,left ... | long plate java | pcs | 1.936.000 |
| /..~.~~!}~g (4-11 holesl.J~) 382 LC dcp proximal humerus plate 3,5 mm left/right (4-5 holes) .(~) ... | java | pcs pcs | 1.694.000 |
| 383 LC dcp proximal lateral tibial plate 4,5/5,0mm,left/right !~.g (4-10 holesl...!~l ... | java java | pcs | 1.452.000 1.452.000 |
| 384 LC dcp proximal medial tibial plate 4,5/5,0mm,left/right !.~.g (4-10 holes!...(~) ... 385 LC dcp small T-plate 3,5mm,oblique | | | |
| reconstruction,lef(~~t (6-7 holes)J~) 386 LC dcp small ulna radius plate 3,5 | java mm | pcs | 847.000 |
| holes) (A) | (6-8 java | pcs | 847.000 |
| 387 Lenal ace | Novartis | biji | 1.331 |
| 388 Leparson tab | Dexa | biji | 3.795 |
| 389 Leukoplast 1621 | BSN | roll | 6.941 |
| 390 Leukoplast 1625 | BSN | roll | 39.491 |
| 391 Levemir Flexipen | Novo nordisk | pcs | 123.196 |
| 392 Lidodexinj | Bernofarm | ampul | 63.707 |
| 393 Lodia2mg | Sanbe | biji | 1.001 |
| 394 Lynoral | Organon | biji | 1.618 |
| 395 lyostypt 5x8 cm | Bbraun | pcs | 121.726 |
| 396 magasida syr | Kimiafarma | fls | |
| 397 Maintate 2.5mg | Merck | biji | 26.753 4.770 |
| | | | 7.885 |
| 398 Maintate 5 | Merck | biji | |
| 399 malleolar screws 4.5 mm.dia (25-30 400 malleolar screws 4.5 mm.dia (35-40 | mm) ortho ortho | pcs | 280.478 314.963 |
| 401 malleolar screws 4.5 mm.dia | mm) (45-50 mm) ortho | pcs | 377.036 |
| 402 malleolar screws 4.5 | (55-60 mm) ortho | pcs pcs | 425.315 |
| 403 malleolar screws 4.5 | ortho | | 488.538 |
| mm.dia mm.dia 404 malleolar screws 4.5 mm.dia | (65-70 mm) ortho | pcs | |
| 405 Manito! 500 ml | (75-80 mm) Otsuka | pcs fls | 547.162 43.450 |
| 406 Mapryl lmg | | | 539 |
| | | biji | |
| 407. Mapryl_2,mg 408 Martos | Ikaphannindo Ikaphannindo Otsuka | biji fls | 825 43.176 |
| 409 mefinal 250 | Sanbe | biji | 602 |
| 410 Mefinal 500 | Sanbe | biji | 1.323 |
| 411 Mefinter | Interbat | biji | 1.488 |
| 500 412 Mefurosan cream | Sanbe | tube | 71.481 |
| 413 Metherinal tab | Landson | biji | 484 |
| 414 metolon inj | Bernofarm | | 1.056 |
| 415 Meylon inj | Otsuka | biji | 6.820 |
| 416 MEZATRIN | | vial | 14.977 |
| | Sanbe | biji | |
| 417 | Otsuka | vial | 2.971 |
| 418 | Otsuka | | 4.070 |
| MgSO420% | | vial | |
| MgSO440% | | | |


| NO. | NAMABARANG | JENIS/MERK SATUAN | SATUAN BARGA TAHUN2015 |
|---------------------------------------------------------------------------------|---------------------------|---------------------|--------------------------|
| 1 2 | 3 | 4 | |
| 419 Micardis 80 mg | Boehringer | biji | 17.684 |
| 420 miloz5ml (mini | Novell | ampul | 24.200 |
| 421 mini L- plate plate right) | ortho | pcs | 425.920 |
| 422 Mini plate | ortho | pcs | 1.512.500 |
| 423 mini plate for dia 2.0 mm screw | ortho | pcs | 425.920 |
| (3-6 holes) 424 Mini plate STRAIGHT plate 0,6 mm 16 holes (A) | java | pcs | 1.815.000 |
| 425 Mini plate STRAIGHT plate 0,6 mm 2 holes (A) | java | pcs | 544.500 |
| 426 Mini plate STRAIGHT plate 1,0 mm 20 holes (A) | java | pcs | 2.420.000 |
| 427 Mini plate Yplate 0,6 mm 4 holes (A) | java | pcs | 1.452.000 |
| 428 mini recontruction plate for dia 2.0 mm screw | (3- ortho | pcs | 425.920 |
| 6 holes) 429 Mini screw | ortho | pcs | 363.000 |
| mm (A) | | | |
| 430 MINI screw self drilling 1,5 * 5 | java | pcs | 726.000 |
| 432 mini T- plate | ortho | pcs | 425.920 |
| 433 monosin 1 hr | Bbraun | | 145.212 |
| 48 434 monosyn 4/0 ds 19 | Bbraun | pcs | 107.811 |
| 435 MST Continus 10 mg | Mahakam | pcs biji | 17.182 |
| 436 MUCOHEXSIN TAB | Sanbe | | 465 |
| 437 multi condylar plate | ortho | biji pcs | 1.363.670 |
| left (se RT 05-12 holes) 438 multi condylar plate right (se RT 05-12 holes) | | | 1.363.670 |
| 439 MY JELLY 80 GR | ortho | pcs One med | 22.688 |
| 440 narrow dcp plates 4.5 mm (10-11 | | tube | |
| holes) | ortho | pcs | 2.621.960 |
| 441 narrow dcp plates 4.5 mm (12 holes) 442 narrow dcp plates 4.5 mm (13 holes) | ortho ortho | pcs | 2.631.960 2.631.960 |
| 443 narrow dcp plates 4.5 mm (14 holes) | ortho | pcs | 2.631.960 |
| 444 narrow dcp plates 4.5 mm (15 holes) | ortho | pcs pcs | 2.631.960 |
| 445 narrow dcp plates 4.5mm (16 holes) | ortho