DAFTAR HARGA OBAT DAN BHMP TAHUN 2018

I Persediaan Bahan Pakai Habis

A Persediaan Alat Kesehatan Habis Pakai Satuan Harga Satuan
1 Alat suntik 1 ml Pcs 777
2 Alat suntik 10 ml Pcs 1,067
3 Alat suntik 2,5 ml Pcs 649
4 Alat suntik 20 ml Pcs 2,650
5 Alat suntik 3 ml Pcs 825
6 Alat suntik 5 ml Pcs 856
7 Alat suntik syrine 3 cc (Remedi ) Set 816
8 Alkacide 1 L Botol 2,702,700
9 Alkazyme Sachet 25 mg Pack 801,000
10 Alkohol 70 % 1 L Botol 24,992
11 Alkohol Swab Bok 32,600
12 Aquadest 20 Liter Botol 330,000
13 Benechek Plus Tes Colesterol Bok 23,162
14 Benechek Plus Tes Glucosa bok 3,009
15 Benechek Plus Tes Uric Acid bok 5,077
16 Brilian Green Bile Broth Kotak 8,525,000
17 Cat Gut 3/0 ( 24 mm ) Sachet 84,601
18 Cat Gut 3/0 ( 26 mm ) Sachet 68,433
19 Cat Gut no 2/0 Sachet 60,622
20 Cat Gut no 3/0 Sachet 44,953
21 Cathetter Jelly Biji 41,600
22 Cellclean ( CL-50 ) Reagen Botol 1,254,000
23 Cellpack ( PK-30 L ) Reagen Kotak 1,760,000
24 Demetech Silk 3/0 Set 3,825
25 E-Care Film I.V Dresing Pcs 6,850
26 Eight Check ( L.N.H ) Reagen set 990,000
27 Folly No 14 Catether pcs 16,610
28 Folly No 16 Catether pcs 12,036
29 Giesma 100 ml Botol 1,089,000
30 Glass Ionomer Cement Botol 874,995
31 Hematologi Calibrator ( Reagen ) Botol 2,035,000
32 I.V Cathetter No. 20 Set 4,783
33 I.V Cathetter No. 22 Set 12,232
34 I.V Cathetter No. 24 Set 4,783
35 I.V Cathetter No. 26 Set 13,464
36 Infuset Anak Set 3,498
37 Infuset Dewasa Set 4,147
38 Infuset Dewasa ( Otsuka ) Set 7,920
39 Jarum Citojeck uk 16 mm Bok 243,650
40 Jarum Insulin biji 2,083
41 Kapas Berlemak 250 gr Bungkus 298,250
 42 Kasa 4 m x 10 cm Rol 1,440
43 Kasa Hidrofil 36 x 80 cm Rol 127,600
44 Kasa Kompres 40 x 40 Lembar 1,800
45 Kasa Pembalut 2 m x 80 cm Pak 9,400
46 Kasa Steril 16 x 16 cm Kotak 7,370
47 Kertas Saring Whatman Kotak 1,430,000
48 Lactose Broth 500 gr Botol 3,740,000
49 Lysol Botol 40,997
50 Masker Ear LOOP Sachet 364
51 Masker karet Biji 740
52 Masker tali (E Care Surgical Mask Tie On) Kotak 549
53 Paper Thermal KX Series Rol 39,600
54 Paper Thermal XP Series Rol 39,600
55 Pipet Ukur 10 ml Biji 154,000
56 Plester 1" Rol 8,167
57 Plester 2,5 cm Rol 7,624
58 Plester Non Woven 5 Cm x 5 M PCS 23,760
59 Poch Pack D (II) Reagen Kotak 610,500
60 Poch Pack L (II) Reagen Kotak 1,958,000
61 RF Test set 572,000
62 Sarung Tangan Gloves 6,5 Steril Pair/Pasang 7,931
63 Sarung Tangan Gynecolog no 7 Pasang 17,748
64 Sarung tangan M (Non Steril) Aximed Lembar 924
65 Sarung tangan no 6,5 Cosmo Pasang 1,018
66 Selang Section Pcs 30,003
67 Spiritus 1 L Botol 89,100
68 Stik Urine 10 P Kotak 588,500
69 Stromatolyser-WH (SWH-200) Botol 1,155,000
70 Tabung EDTA K-3 / 3 ml Pack 109,591
71 Tabung Plan Buah 363,000
72 Tips For Micropipetes MT 1-up to 200 Ui Pak 175
73 Tips For Micropipetes MT -up to 1 ml Pak 227
74 Total Protein (Reagen) Kotak 935,000
75 Underpad Lembar 4,162
76 Urine Bag Biji 7,038

Alat Kesehatan Program Vaksin

77 ADS 0,05 ml Unit 1,590
78 ADS 0,5 ml Unit 1,195
79 ADS 5 ml Unit 1,640
80 Safety Box Unit 21,929

II Persediaan Bahan Material

A Persediaan Obat-Obatan
1 Acetylcysteine 200 mg Tablet 358
2 Albendazol Tablet 400 mg Tablet 390
3 Allopurinol tablet 100 mg Tablet 99
4 Ambroxol sirup Botol 9,883
5 Aminofilin Tablet 200 mg Tablet 91
6 Aminofilina injeksi 24 mg/ml - 10 ml Ampul 3,345
7 Amitriptilin HCL Tablet 25 mg Tablet 143
8 Amlodipin 10 mg Tablet 93
9 Amlodipin 5 mg Besilate Tablet 70
10 Amoksisilin 500 mg tablet Tablet 233
11 Amoksisilin Forte sirup kering 250mg Botol 3,400
12 Amoksisillin Sirup Kering 125 mg/5 ml Botol 1,881
13 Ampisilin Injeksi 1 gr Vial 5,368
14 Analog insulin Long Acting Pen 425,000
15 Analog insulin Mix Acting Pen 550,000
16 Antasida Doen Suspensi Botol 1,923
17 Antasida Doen Tablet Tablet 54
18 Anti A Monoclonal 10 ml Syringe2 ml 71,825
19 Anti AB Monoclonal 10 ml Syringe2 ml 96,135
20 Anti B Monoclonal 10 ml Syringe2 ml 71,825
21 Anti Bakteri ( Bacitrasin salep ) Tube 3,035
22 Anti D Duoclone Monoclonal 10 ml Syringe2 ml 117,695
23 Antihemoroid Suppositoria supp 3,167
24 Aqua Pro Injeksi Ampul 2,860
25 Artermether injeksi Ampul 1,000
26 Artikulating Paper Full Bok 155,650
27 Asam Asetil Salicilat 100 mg tablet Tablet 130
28 Asam Askorbat tablet 50 mg Tablet 105
29 Asam Folat 0.4 mg Tablet 55
30 Asam Fusidat Cream Tube 5,506
31 Asam Mefenamat 500 mg Tablet 103
32 Asam Traneksamat Inj 5% Ampul 24,449
33 Asering Botol 9,646
34 Asiklovir Cream 5% Tube 8,800
35 Asiklovir tablet 200 mg Tablet 237
36 Asiklovir tablet 400 mg Tablet 380
37 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,595
38 Bahan Tumpatan Sementara kotak 385,000
39 Berotec 0.1 Mg Box 80,000
40 Betadine Salep Antiseptik Tube 7,039
41 Betametason krim 0,1 % Tube 1,349
42 Bilirubin T/D (Reagen) Kit 880,000
43 Bisakodil Suppositoria supp 5,800
44 Bisoprolol 2,5MG Tablet 650
45 Bisoprolol 5 Mg Tablet 263
46 Bonding Botol 1,100,000
47 Cairan Pembersih ( Protektor ) Botol 22,000
48 Captopril Tablet 12,5 mg Tablet 62
49 Captopril Tablet 25 mg Tablet 72
50 Carbamazepin 200 mg tablet Tablet 269
51 Cefadroxil Capsul 500 mg Capsul 516
52 Cefixime Capsul 100 mg Capsul 590
53 Cefixime Sirup Botol 7,490
54 Cefotaksime 1 gr Injeksi Vial 4,200
55 Cetirizine sirup 5 mg/5 ml Botol 2,849
56 Cholesterol Stik (Reagen) Kit 121,000
57 Ciprofloxcacin 500 mg tablet Tablet 265
58 Clorheksida Larutan 0,2 % Botol 369,985
59 Clozapine 25 mg Tablet Tablet 1,121
60 Combivent UDV 2,5 mg + 0,5 mg / 2,5 ml Vial 4,550
61 Composite Universal Hybrid A1 Syringe2 ml 249,975
62 Composite Universal Hybrid A2 Syringe2 ml 249,975
63 Composite Universal Hybrid A3 Syringe2 ml 249,975
64 Composite Universal Hybrid A3,5 Syringe2 ml 249,975
65 Creatinin (Reagrn) Kit 748,000
66 Decacetin ( Kloram Tetes Mata ) Botol 3,250
67 Deksametason injeksi 1 ml Ampul 1,097
68 Deksametason tablet 0,5 mg Tablet 32
69 Devitalisasi Pasta Pot 558,250
70 Diazepam injeksi 2 ml Ampul 17,350
71 Diazepam Rektal 0,5 mg supp 11,516
72 Difenhidramin HCL injeksi 10 mg/ml - 1ml Ampul 1,176
73 Digoksin tablet 0,25 mg Tablet 105
74 Doksisiklin Kapsul 100 mg Capsul 268
75 Domperidon 10mg Tablet Tablet 85
76 Epinefrina HCL/Bitartrat Injeksi Ampul 1,408
77 Erytromicin kapsul 500 mg Tablet 730
78 Etcing Gel Botol 685,300
79 Etil Klorida Semprot Botol 137,500
80 Eugenol Botol 89,980
81 Febrile Antigen H Parathipy Vial 25,924
82 Febrile Antigen H-A Parathipy Vial 25,924
83 Febrile Antigen H-B Parathipy Vial 25,924
84 Febrile Antigen H-C Parathipy Vial 25,924
85 Febrile Antigen O Parathipy Vial 25,924
86 Febrile Antigen O-A Parathipy Vial 25,924
87 Febrile Antigen O-B Parathipy Vial 25,924
88 Febrile Antigen O-C Parathipy Vial 25,924
89 Fenitoin Kapsul Kapsul 154
 90 Fenobarbital injeksi 50 mg/ml - 2 ml Ampul 1,740
91 Fenobarbital Tablet 30 mg Tablet 165
92 Fenol Gliserol Tetes Telinga Botol 2,590
93 Fitomenadion (Vit.K1) Injeksi 10 mg/ml-1 ml Ampul 3,550
94 Fitomenadion 10 mg Tablet 710
95 Flufenazine deconat inj 25 mg/ml Ampul 57,500
96 Garam Oralit Sachet 264
97 Gas Powered Jet Injector Botol 369930
98 Gemfibrozil 300 mg Capsul 380
99 Gentamicin Salep Kulit Tube 2,800
100 Glibenclamid tablet 5 mg Tablet 119
101 Glikazid 80 mg Tablet Tablet 235
102 Glimepiride 2 mg Tablet 288
103 Glukosa larutan infus 5 % steril Botol 6,900
104 Griseofulvin 125 mg Tablet 210
105 Griseofulvin tablet 250 mg, Tablet 1,705
106 Griseofulvin tablet 500 mg, Tablet 2,200
107 Guaiafenisin tablet 100 mg Tablet 132
108 HCG Strip Vial 6,905
109 HDL Chlolesterol (Reagen) Kit 4,620,000
110 Hidroklorotiazid (HCT) tab. 25 mg Tablet 149
111 Hidrokortison krim 2,5% Tube 2,639
112 Ibuprofen tablet 200 mg Tablet 105
113 Imunomodulator sirup (STIMUNO) Botol 23,540
114 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 89
115 Kaen 3 B cairan infus Botol 10,050
116 Kalsium Glukonas Injeksi Ampul 10,351
117 Kalsium Laktat (Kalk) tablet 500 mg Tablet 59
118 Karbolgliserol Tetes Telinga Botol 2,500
119 KDN Cairan Infus Botol 11,435
120 Ketokonazol Kream Tube 2,545
121 Ketokonazol Tablet 200 mg Tablet 270
122 Ketorolac inj Ampul 1,045
123 Kloramfenikol Salep Kulit Tube 3,008
124 Kloramfenikol salep mata 1 % Tube 1,881
125 Kloramfenikol tetes mata Botol 3,250
126 Kloramphenicol 250 mg Capsul 310
127 Kloramphenicol 500 mg Capsul 1,048
128 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 22
129 Klorfenol Kamper Mentol ( CHKM ) Botol 125,400
130 Klorheksidin Larutan 2 % Botol 369,985
131 Kotrimoksazol Dewasa Tablet 480 MG Tablet 125
132 Kotrimoksazol Suspensi Botol 2,052
133 Lactobacilus serbuk Sachet 14,707
134 LDL Cholesterol (Reagen) Kit 5,390,000
135 Lidocain 2%+efinefrin injeksi Ampul 1,140
136 Lidocain injeksi 2 ml Ampul 1,140
137 Lisinopril 10 mg tablet Tablet 448
138 Lisinopril 5 mg tablet Tablet 375
139 Loperamid 2 mg tablet Tablet 85
140 Magnesium Sulfat injeksi 25 ml Ampul 3,328
141 Metamizol 500 mg Tablet 473
142 Metampiron tablet 500 mg Tablet 305
143 Metformin 500 mg Tablet Tablet 100
144 Methilprednisolon 4 Mg Tablet 150
145 Metilergometrin Injeksi 1 mg Ampul 2,840
146 Metilergometrin tablet Tablet 210
147 Metoklopramid Suspensi Botol 2,345
148 Metronidazol 500 mg Tablet 113
149 Metronidazol Ovula Ovula 4,100
150 Metronidazol suspensi Botol 3,799
151 Mikonazol kream Tube 3,414
152 Multivitamin Anak ( Procurma ) Botol 12,100
153 Multivitamin Dewasa Antioksidan ( Becom c ) Tablet 1,440
154 natrium diklofenak 25 mg Tablet 145
155 Natrium Diklofenak 50 mg Tablet 115
156 Natrium Klorida Cairan Infus ( NaCl ) Botol 6,410
157 Nifedipine Tablet 10 mg Tablet 108
158 Obat Anti Diare Tablet (Akita / Molagit ) Tablet 450
159 Obat Antituberkulosis Kat.Anak (FDC ) Paket 223,585
160 Obat Batuk Flu Kapsul Kapsul 413
161 Obat Batuk Sirup Herbal ( Herbacop ) Botol 12,000
162 Oksitosin injeksi 10 IU/ml - 1 ml Ampul 1,199
163 Omeprazol injeksi Ampul 16,997
164 Omeprazol Kapsul 20 mg capsul 130
165 Ondancentron injeksi 4 mg Ampul 1,650
166 Ondancentron Tablet 4 mg Tablet 471
167 Paracetamol Drop Botol 6,649
168 Paracetamol Sirup 120 mg/5 ml Botol 1,107
169 Parasetamol tablet 500 mg Tablet 53
170 Pasta Pengisi Saluran Akar Syringe2 ml 339,900
171 Permetrin Krim 5 % Tube 12,155
172 Pirantel Sirup Botol 9,700
173 Pirantel Tablet 125 mg Tablet 291
174 piridoksin HCL (VIT B6) tablet 10mg Tablet 123
175 Piroksikam tablet 10 mg Tablet 234
176 povidon lodida 10% 300 ml Botol 17,996
177 povidon lodida 10% 60 ml Botol 6,550
178 Prednison Tablet 5 mg Tablet 68
179 Primakuin Tablet 224
180 Propanolol HCL tablet 10 mg Tablet 60
181 Ranitidin injeksi Ampul 1,155
182 Ranitidin tablet Tablet 105
183 Resperidone 2 mg tablet Tablet 347
184 Ringer Laktat ( Otsu ) Botol 7,150
185 Ringer Laktat cairan infus Botol 7,150
186 Rivanol Botol 2,992
187 Salbutamol Nebulizer ( Ventolin ) Ampul 110
188 Salbutamol Tablet 2 mg Tablet 63
189 Salbutamol tablet 4mg Tablet 70
190 Salep 2-4 Tube 2,621
191 Salep Kombinasi Tube 11,000
192 Salicil bedak kotak 1,025
193 Saraye Alsoft A 500 Ml Botol 72,047
194 Saraye Alsoft Pure 500 Ml Botol 64,523
195 Serum Anti Bisa Ular Inj. 5ml Vial 479,996
196 Serum Anti Tetanus ( TETAGAM ) Vial 170,000
197 Setirizin Tablet 10 mg Tablet 90
198 SGOT Kit 2,090,000
199 SGPT Kit 2,090,000
200 Sianokobalamin Injeksi Ampul 1,035
201 Simvastatin 10 mg tablet Tablet 110
202 Simvastatin 20 mg tablet Tablet 205
203 Spon Gelatin Botol 199,980
204 Stik Narkoba 3 P Bok 1745700
205 Stik Narkoba 5 P Bok 2,915,000
206 Sukralfat Sirup Botol 6,789
207 Sukralfat tablet 500 mg Tablet 368
208 Tablet Penambah Darah Tablet 352
209 Tetrasiklin 250 mg capsul capsul 163
210 Thiamin Tablet 50 Mg Tablet 85
211 Tooth Sain Remover Botol 249975
212 Triglycerida (Reagen) Kit 3135000
213 Triheksilfenidil Hcl 2 mg tablet Tablet 88
214 Urea ( Reagen) Kit 715000
215 Uric Acid (Reagen) Kit 1925000
216 Vitamin B komplek Tablet 118
217 Wida KDN 1 Larutan Botol 11435
218 Zink sirup Botol 2,972
219 Zink tablet 20 mg Tablet 514

Obat Program Kecacingan

220 Albendazol Tablet 400 mg Tablet 404

Obat Program Jiwa

221 Amitriptylin 25 mg ( Program ) Tablet 167
222 Carbamazepin 200 mg tablet ( Program ) Tablet 228
223 Clobazam 10 mg Tablet Tablet 739
224 Clozapine 25 mg Tablet 1121
225 Flufenazine deconat inj 25 mg/ml Ampul 55,000
226 Haloperidol 1,5 mg tablet Tablet 59
227 Haloperidol 2 mg tablet Tablet 126
228 Haloperidol 5 mg Tablet Tablet 96
229 Haloperidol Injeksi Ampul 97500
230 Klorpromazin HCL Tablet 100 mg Tablet 147
231 Resperidone 2 mg tablet ( Program ) Tablet 273
232 Triheksilfenidil Hcl 2 mg tablet ( Program ) Tablet 88
Obat Program P2 HIV AIDS IMS
233 Duviral 300/150 mg Botol 222,000
234 Efavirenz ( EFV ) 200 mg Botol 288,201
235 Efavirenz 600 mg Botol 191,250
236 Lamivudine ( 3TC ) 150 mg Botol 90,000
237 Nevirapine 200 mg Botol 167,880
238 TDF + 3TC +EFV (300/300/600 ) Botol 98,273
239 Tenofir ( TDF ) 300 mg Botol 243,000
240 Tenofovir + Emtricitabine 300/200 mg Botol 303,461
241 Zidovudine 100 mg Botol 222,000
Obat Program Penanganan Penyakit TB
242 Isoniazid tablet 100 mg ( Program ) Sachet 125
243 Obat Antituberkulosis Kat.1 ( FDC ) Paket 317,018
244 Obat Antituberkulosis Kat.2 ( FDC ) Paket 1,297,894
245 Obat Antituberkulosis Kat.Anak ( FDC ) Paket 214,985
246 POT Dahak Steril biji 5,890

Obat Program Penanganan Penyakit Kusta

247 MDT MB Anak Tablet Blister 21,750
248 MDT MB Dewasa Tablet Blister 30,595
249 MDT PB Dewasa Tablet Blister 9,770
250 MDT PB Anak Tablet Blister 8,891
Obat Program GIZI
251 Retinol (Vitamin A) kapsul 100.000 IU capsul 284
252 Retinol (Vitamin A) kapsul 200.000 IU capsul 505
253 Tablet Penambah Darah ( Program ) Tablet 352

Program Vaksin
254 Vaksin Anti Rabies Vial 165,000
255 Vaksin BCG Vial 59,950
256 Vaksin Campak Vial 28,204
257 Vaksin DT Vial 16,412
258 Vaksin HB 0 Vial 20,900
259 Vaksin HBIG Vial 1,300,000
260 Vaksin Measless Rubella Vial 136,200
261 Vaksin Pentabio ( DPT - HB - Hib ) Vial 76,285
262 Vaksin Polio b OPV Vial 19,954
263 Vaksin Polio IPV Vial 137,610
264 Vaksin TD Vial 16,500

B Persediaan Bahan Uji Labolatorium

Obat Program Penanganan Penyakit TB
265 Reagen Ziehl Neelsen Kit 276,600

PROGRAM MALARIA
266 Dehidydro Artemisin 40mg+Piperaquin 320mg(DHP) Tablet 3498
267 Primaquin Tablet 15 mg Tablet 224