Daftar Harga BPJS - E-Katalog OPM 2019

DAFTAR HARGA B BRAUN HOSPITAL CARE
( B P J S / e-katalog)
Berlaku per : 01 Januari 2019
HARGA
KODE DNR NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
B. BRAUN SPECIAL SYRINGE
064-20211 AKL 20902600190 4617207 Omnifix 20 ml, Luer Lock, Centric Co 100 pcs/box 7,727 772,727
064-20221 AKL 20902600190 4616200 Omnifix 20 ml, Luer Slip, Eccentric C 100 pcs/box 6,364 636,400
064-20231 AKL 20902600242 4617304 Omnifix 30 ml, Luer Lock, Centric Co 100 pcs/box 8,182 818,182
064-20251 AKL 20902600243 4617509 Omnifix 50 ml, Luer Lock, Centric Co 100 pcs/box 13,636 1,363,636
064-20261 AKL 20902600243 4616502 Omnifix 50 ml, Luer Slip, Eccentric C 100 pcs/box 13,636 1,363,636
B. BRAUN I.V. CANNULA
064-20387 AKL 20902011183 4252500 Introcan Safety G24 x 3/4" 50 pcs/box 20,000 1,000,000
064-20388 AKL 20902011183 4252519 Introcan Safety G22 x 1" 50 pcs/box 20,000 1,000,000
064-20389 AKL 20902011183 4252535 Introcan Safety G20 x 1 1/4" 50 pcs/box 20,000 1,000,000
064-20392 AKL 20902011183 4252578 Introcan Safety G16 x 2" 50 pcs/box 20,000 1,000,000
B. BRAUN I.V. CANNULA
064-20786 AKL 20902011184 4268210S-03 Vasofix Safety G 14 50 pcs/box 20,000 1,000,000
064-20785 AKL 20902011184 4268172S Vasofix Safety G16 x 2" 50 pcs/box 20,000 1,000,000
064-20784 AKL 20902011184 4268130S Vasofix Safety G18 x 1¾" 50 pcs/box 20,000 1,000,000
064-20783 AKL 20902011184 4268334S Vasofix Safety G18 x 1¼" 50 pcs/box 20,000 1,000,000
064-20782 AKL 20902011184 4268113S Vasofix Safety G20 x 1¼" 50 pcs/box 20,000 1,000,000
064-20781 AKL 20902011184 4268091S Vasofix Safety G22 x 1'' 50 pcs/box 20,000 1,000,000
064-20780 AKL 20902011184 4269071S Vasofix Safety G24 x ¾'' 50 pcs/box 20,000 1,000,000
064-20612 AKL 20902413069 4056502-03 VENOFIX SAFETY G25 30CM 50 pcs/box 7,054 352,700
B. BRAUN INFUSION SET
064-20801 AKL 20902700099 4099842N INTRAPUR INLINE 20 pcs/box 81,818 1,636,364
PVC Free, DEHP Free, 0.2 µm aerosol retentive air filter
for Paclitaxel Drugs
064-20827 AKL 20902604470 4063005 INTRAFIX SAFESET IS 100 pcs/box 21,818 2,181,800
064-20829 AKL 20902010900 4063004 INTRAFIX SAFESET P I S Y N.F 100 pcs/box 18,852 1,885,200
064-20831 AKL 20902412362 4063002 INTRAFIX SAFE NEUTRA LL 180 100 pcs/box 25,207 2,520,700
B. BRAUN INFUSION SET & SCALE FOR CENTRAL VENOUS PRESSURE MEASUREMENT
064-22111 AKL 20501603190 427 662/0 MEDIFIX W.INTR,MT100CM PL90 NRC 50 pcs/box 88,543 4,427,150
064-22121 AKL 20501603190 427 991/3 MEDIFIX Manometer Scale NRC 50 pcs/box 164,799 8,239,950
B. BRAUN TRANSFUSION SET
Catatan:
HArga tersebut diatas sewaktu-waktu dapat berubah dab belum termasuk PPN 10%.
HARGA
RP./ PC RP./ BOX
064-20911 AKL 20902113650 403 422/8 SANGOFIX ES 180 cm, G 18, needle 80 pcs/box 18,480 1,478,400
luer lock connector, filter surface
area = 22 cm2
064-20914 AKL 20902412363 4080187 SANGOFIX AIR G18X1 1/2 LL 180 100 pcs/box 7,414 741,400
064-20915 AKL 20902412363 4050151 SANGOFIX AIR 180 SAFSET T LL 100 pcs/box 9,532 953,200
B. BRAUN INFUSION ACCESSORIES

064-21001 AKL 20902012317 16401 ECOFLAC MIX 250 pcs/box 5,000 1,250,000
064-21021 AKL 20902504415 4090500 TRANSOFIX 25 pcs/box 3,091 77,273
Transfer Set for Sterile Fluid
064-21033 AKL 20902510207 4550250 50 pcs/box 6,567 328,350

064-21034 AKL 20902510207 4550200 STERIFIX FILT STRW 5µM 4,5CM 50 pcs/box 5,084 254,200
STERIFIX FILT STRW 5 µM 10CM
064-21041 AKL 20902600178 409 511/1 DISCOFIX 3-WAY Stopcock Blue 50 pcs/box 18,182 909,100
064-21052 AKL 20902600178 409 810/2 DISCOFIX 3-WAY + 10 cm Tubing 100 pcs/box 29,227 2,922,700
064-21063 AKL 20902011355 4495101 Combi Stopper-Red 100 pcs/box 3,636 363,636
064-21064 AKL 0902291415 4238010 IN STOPPER LL 100 pcs/box 4,236 423,600
064-21071 AKL 20902011463 16495C DISCOFIX C WHITE 200 pcs/box 22,242 4,448,400
064-21081 AKL 20902011464 16501C DISCOFIX C,3W STOPC+10CM TUB 200 pcs/box 27,325 5,465,000
064-21091 AKL 20902011464 16520C DISCOFIX C BLUE + 25CM TUBING 50 pcs/box 31,774 1,588,700
064-21099 AKL 20902011464 16600C DISCOFIX C, MANIFOLD 3 100 pcs/box 38,799 3,879,900
064-21103 AKL 20902011464 16494CSF DISCOFIX C 3SC BLUE 100 pcs/box 17,380 1,738,000
064-21104 AKL 20902011464 16500CSF DISCOFIX C3SC BLUE+TUB 10 50 pcs/box 31,774 1,588,700
PROTECTIVE ADMIXTURE TOOLS
064-20953 AKL 20902011348 4550587 Chemo Mini-Spike V 100 pcs/box 25,000 2,500,000
064-20961 AKL 20902011354 A2902N Cyto-Set Mix 20 pcs/box 70,000 1,400,000
064-20972 AKL 20902011351 A1686 Cyto-Set Infusion with 3 safsite 20 pcs/box 100,000 2,000,000
064-20984 AKL 20902513809 8250920SP CYTO SET UV-PRO 3 NF VALV

20 pcs/box 98,625 1,972,500
064-20985 AKL 20902513809 8250820SP CYTO-SET UV-PRO 5-NF-VALV

20 pcs/box 87,313 1,746,260
064-20986 AKL 20902513892 A2906N CYTO-SET MIX UV-PRO 1 NF V

20 pcs/box 57,479 1,149,580
064-20954 AKL 20902011349 4550579 Mini Spike Filter V 50 pcs/box 13,182 659,091
064-20955 AKL 20902011348 4550536 MINI SPIKE CHEMO MICRO TIP 20 pcs/box 25,000 500,000
Catatan:
HARGA
RP./ PC RP./ BOX
064-20957 AKL 20902011350 4550242 Mini Spike Plus 100 pcs/box 11,364 1,136,364
B. BRAUN SPINAL ANAESTHESIA

064-21303 AKL 0903490121 4504739 ATRAUCAN G26X3 1/2 25 pcs/box 81,129 2,028,225
064-21304 AKL 0903490121 4504763 ATRAUCAN PAED G26X2 25 pcs/box 89,814 2,245,350
064-21311 AKL 20403600182 450201/9 PENCAN PENCIL PNT G25X3 1/2 25 pcs/box 37,705 942,625
064-21325 AKL 20403600182 4502027 PENCAN, Pencil Point G27 x 3 1/2" 25 pcs/box 52,500 1,312,500
064-21326 AKL 20403600182 450205/1 PENCAN G27+INTRODUCER 25 pcs/box 66,301

1,657,525
064-21327 AKL 20403600182 4502175 PENCAN PAED G27X2 25 pcs/box 77,104

1,927,600
B. BRAUN EPIDURAL ANESTHESIA CATHETER + NEEDLE SET

064-21381 AKL 0403921418 4510216 PERIFIX 700, SOFT TIP CATH. 20 pcs/box 231,101 4,622,020
064-21411 AKL 20403010526 451 400/9 PERIFIX 400, G18 x 3 1/4" with filter 10 set/box 285,727 2,857,270
064-21404 AKL 20403801097 4512014C PERIFIX ONE PAED, 20 G 10 set/box 261,603 2,616,030
064-21405 AKL 20403802286 4514017C PERIFIX ONE 401FILT SET 18G 20 pcs/box 165,859 3,317,180
064-21434 AKL 20403600175 4556763 ESPOCAN, DOCKING SYSTEM 10 set/box 401,831 4,018,310
B. BRAUN PLEXUS ANAESTHESIA

064-21496 AKL 20403600189 4892505-03 STIMUPLEX ULT 360 22GX50 25 pcs/box 150,000 3,750,000
064-21497 AKL 20403710630 4892508-03 STIMUPLEX ULTRA 360 22GX80 25 pcs/box 106,548 2,663,700
064-21498 AKL 20403600189 4892510-03 STIMUPLEX ULT 360 20GX100 25 pcs/box 150,000 3,750,000
064-21499 AKL 20403710630 4892515-03 STIMUPLEX ULTRA360 20GX150 25 pcs/box 106,548 2,663,700
B. BRAUN CENTRAL VENOUS CATHETERS, SELDINGER METHODE

064-21721 AKL 20501604038 416021/5 CERTOFIX MONO V220 10 pc 324,939 3,249,390
064-21741 AKL 20501604038 4160320 CERTOFIX MONO V420 10 pc 347,455 3,474,550
Single lumen cath. G14, 20 cm, jugularis/subclavia
064-21761 AKL 20501604037 4161211 CERTOFIX DUO V720 10 pc 541,182 5,411,820
Double lumen cath. F7, 20 cm, jugularis
064-21791 AKL 20902600181 4163214 CERTOFIX TRIO V720 10 pc 647,636 6,476,360
Triple Lumen cath. Fr.7x20 cm, subclavia
064-21811 AKL 20501604039 4167775 CERTOFIX QUATTRO V820 10 pc 713,636 7,136,360
Four lumen cath. F8, 20 cm
064-21921 AKL 20501604038 416017/7 CERTOFIX MONO PAED+ACCESS. 10 pc 475,122 4,751,220
064-21931 AKL 20902612558 416692/2 CERTOFIX DUO PAED S413 10 pc 491,009 4,910,090
064-21941 AKL 20902612558 416713/9 CERTOFIX DUO PAED S513 10 pc 468,768 4,687,680
064-21951 AKL 20902600181 416724/4 CERTOFIX TRIO PAED S513 10 pc 482,113 4,821,130
064-21991 AKL 20501901301 4168528 CERTOFIX DUO HF S720 10 pc 299,520 2,995,200
064-22001 AKL 20501604037 4167538 CERTOFIX DUO V1215 HF (High Flow) 10 pc 675,636 6,756,360
Double Lumen catch. F12, 15 cm, Jugular for HD
064-22022 AKL 0902690265 4160614 CERTOFIX TRIO V1215 HF 10 pc 757,273 7,572,730
064-22011 AKL 20501604037 4167546 CERTOFIX DUO V1220 HF (High Flow) 10 pc 831,636 8,316,360
Double Lumen catch. F12, 20 cm, Subclavia for HD
Catatan:
HARGA
RP./ PC RP./ BOX
064-22032 AKL 0902690265 4160622 CERTOFIX TRIO V1220 HF 10 pc 695,632 6,956,320
064-22041 AKL 20902902752 4163214P CERTOFIX PROTECT TRIO V720 10 pc 691,607 6,916,070
064-22051 AKL 20902902753 4161211P CERTOFIX PROTECT DUO V720 10 pc 627,212 6,272,120
B. BRAUN PUMPS ACCESSORIES
064-22554 AKL 20902603191 8255504 Perfusor Tubing White 150 cm 100 pcs/box 33,636 3,363,600
064-22555 AKL 20902603191 8745919 Perfusor Tubing, White, 200 cm 25 pcs/box 35,455 886,375
064-22511 AKL 20902603733 8728828 Perfusor Syringe 50 ml / Black 50 pcs/box 50,909 2,545,450
064-22521 AKL 20902603733 8728844 Perfusor Syringe 50 ml / White 50 pcs/box 19,091 954,550
064-22532 AKL 20902603724 8728623 Perfusor Syringe 20 ml With Needle 400 pcs/box 9,091 3,636,400
064-22541 AKL 20902701055 8723010 Perfusor Tubing PE / Black 100 pcs/box 43,636 4,363,600
064-22574 AKL 20902600176 8700128SP INFUSMT SP LINE UV-PRO 100 pcs/box 25,972 2,597,200
064-22581 AKL 20902600176 8700087SP INFUSOMAT SPACE LINE 100 pcs/box 20,759 2,075,900
064-22582
AKL 20902600176/AKL 20902110434 8270066SP INFUSMT SPLINE TRANSF SET 25 pcs/box 27,749 693,725
064-22583 AKL 20902511650 8250839SP INFUSMT SPLINE NUTRIFIX1L 100 pcs/box 133,873 13,387,300
064-22618 AKL 20902510656 4540006 EASYPUMP II LT 125-25-S NRC 10 pcs/box 166,918 1,669,180
064-22616 AKL 20902510656 4540056 EASYPUMP II ST 100-2-S NRC 10 pcs/box 215,426 2,154,260
B. BRAUN BASIC SOLUTION
064-40023 DKI0477201049A1 3610587 ECOSOL Glucose 5%, 500 ml 10 botol/box 6,273 62,730
064-40052 DKI0377200949A1 3610590 ECOSOL Ringer Lactate, 500 ml 10 botol/box 6,500 65,000
B. BRAUN PLASMA VOLUME REPLACEMENT (PVR)

064-10414 DKI0477201349A1 3610089/3610631 Gelofusine Ecoflac 500 ml 10 botol/box 131,832 1,318,320
064-10642 DKI1386701549A1 3532984 Ringerfundin 500 ml 10 botol/box 10,000 100,000
B. BRAUN PARENTERAL NUTRITION (PN)
064-10214 DKI1296900949A1 FA 79499 Combiflex Peri, 1000 ml 5 bag / box 185,950 929,750
064-10043 DKI1186701249A1 3655744/3533042 Lipofundin MCT/LCT 20% 100 ml 10 btl / box 60,455 604,550
064-10052 DKI1186701249A1 3655745/3533050 Lipofundin MCT/LCT 20% 250 ml 10 btl / box 132,390 1,323,900
064-10252 DKI1086701549A1 3533140 Nutriflex Lipid Peri N3C 1250 ML 5 bag / box 388,430 1,942,150
064-10274 DKI1086701649A1 3533166 Nutriflex Lpd Spcial N3C625ML ID 5 bag / box 280,991 1,404,955
064-10275 DKI1086701649A1 3533115 Nutriflex Lipid Special N3C 1250 ML 5 bag / box 462,810 2,314,050
064-10701 AKL 20902905766 2112145 EVA BAG NUTRIMIX 0.2 / 0 25 bag / box 48,084.00 1,202,100
Catatan:
HARGA
RP./ PC RP./ BOX
Catatan:
Harga tersebut diatas sewaktu-waktu dapat berubah dan belum termasuk PPN 10 %.
Catatan:
HARGA
RP./ PC RP./ BOX
Catatan:
DAFTAR HARGA B BRAUN INFECTION CONTROL dan WOUND MANAGEMENT
HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
HAND DISINFECTANT
PKL 20501800228 19437 Softaman Bottle “D” 100ml 20 btl / box 25,909 518,180
PKL 20502600243 19438 Softaman Bottle “D” 500ml 20 btl / box 59,550 1,191,000
PKL 20501800228 19439 Softaman Bottle “D” 1000ml 10 btl / box 130,000 1,300,000
PKL 20207510051 19807 LIFO SCRUB BOTTLE (DP) "ID 500ML 20 btl / box 76,364 1,527,280
LIFO SCRUB BOTTLE (DP) "ID
PKL 20207510051 19808 10 btl / box 127,273 1,272,730
1000ML
PKL 20207110038 18948 Softaskin 500 ml 20 btl / box 49,091 981,820
PKL 20207110038 18949 Softaskin 1000 ml 10 btl / box 82,879 828,790
SKIN DISINFECTANT
PKL 20502800416 18990 Braunol 100ml 20 btl / box 29,545 590,900
PKL 20502800416 19356 Braunol 1 L 10 btl / box 168,636 1,686,360
PKL 20502800416 19357 Braunol 5000ml 2 Gal / box 600,000 1,200,000
PKL 20501210239 3881156 Braunoderm Uncolored 1000 ml 10 btl / box 120,909 1,209,090
PKL 20501210239 18420 Braunoderm Uncolored 100 ml 20 btl / box 28,182 563,636
PKL 20502700238 3881105 Braunoderm Uncolored Spray 250 ml 20 btl / box 118,182 2,363,640
WOUND DISINFECTANT
PKL 20501010197 400403 Prontosan Solution Round Bot."West" 10 btl / box 137,818 1,378,180
AKL 21603113455 400505 PRONTOSAN WOUND GEL 30 ML 10 btl 176,455 1,764,550
AKL 21603113454 400508 PRONTOSAN WOUND GEL X 250 gr 1 tube 505,545 505,545
AKL 21603113454 400517 PRONTOSAN WOUND GEL X 50 gr 1 tube 236,545 236,545
PKL 20501010197 400484 PRONTOSAN AMPUL 24x40 ML 24 amp / box - 565,364
INSTRUMENT DISINFECTANT
AKL 10903604349 18557 Helizyme Bottle "West" 1000ML 10 btl / box 340,909 3,409,090
AKL 20903604764 18849 Stabimed Bottle "GB/E/P/F" 1000ML 10 btl / box 563,636 5,636,360
AKL 20903516168 19948 Helimatic Cleaner MA 5 L 96 gln/box 635,474 61,005,504
AKL 20903516168 19949 Helimatic Cleaner MA Can 10 LT 40 gln/box 1,249,765 49,990,600
SURFACE DISINFECTANT
AKL 20902604179 18564 Meliseptol Rapid Spraybottle "West" 20 btl / box 127,273 2,545,460
AKL 20903111743 19171 Meliseptol Foam Pure Spr.Fl.750ml 20 btl / box 128,182 2,563,640
AKL 10903413476 19530 Meliseptol Wipes Refill 12 pac / box 85,909 1,030,908
AKL 10903413476 19582 Meliseptol Wipes Box 12 box / crt 151,818 1,821,816
AKL 20903605099 18784 Hexaquart Plus 1000ml 10 btl / box 290,909 2,909,090
B. BRAUN DRESSINGS & BANDAGES

AKL 11603111122 9086857 Askina Soft Clear 9 X 30 30 pcs/box - 927,273
AKL 11603111122 9086848 Askina Soft Clear 9 X 25 CM 30 pcs/box - 818,182
AKL 11603111122 9086839 ASKINA SOFT CLEAR 9X20 30 /box - 710,000
AKL 11603111122 9086803 Askina Soft Clear 7,5 x 5 50 pcs/box - 402,273
HARGA
RP./ PC RP./ BOX
AKL 10902111123 9086893 ASKINA SOFT CLEAR IV 8X6 50 /box - 431,091
AKL 21603213231 001419N Askina Gel 15 g 10 tb/box - 735,240

AKL 21603213205 2107S Askina Sorb 10 x 10 cm 3 pcs/box - 190,182
AKL 21603213205 2101S ASKINA SORB 10X10 15 pcs/box - 950,909
AKL 21603213205 2106S ASKINA SORB ROPE 2.7x34 3 /box - 267,273
AKL 21603212891 5197510 Askina Silnet 10 X 7,5 CM 10 pcs/box - 372,727

AKL 21603212894 6211010 ASKINA CALGITROL AG 10X10 10 /box - 970,364
AKL 21603212894 6212010 ASKINA CALGITROL AG 20X20 10 /box - 4,194,545
AKL 21603313620 6241510 ASKINA CALGITROL PASTE 15 G 10 tb/box - 745,450
AKL 21603213308 F72033 ASKINA DERM 6 X 7 CM 100 pcs/box - 892,909
AKL 21603213308 F72035 ASKINA DERM 10X12 10 /box - 224,636
AKL 11603412302 4002801 ASKINA BARRIER FILM 28 ML SPRAY 12 bt/box 90,025 1,080,300
AKL 21603213305 7241010 ASKINA FOAM 10 X 10 CM 10 pcs/box - 613,091

B. BRAUN UROLOGY PRODUCT
AKL 20805600180 4442059 CYSTOFIX F10, 8 cm Bottom Outlet 25 /box 409,091 10,227,273
AKL 20805600180 4442121 CYSTOFIX F10, 12 cm Bottom Outlet 25 /box 348,182 8,704,550
AKL 20805516352 4450200 CYSTOFIX INTEGRAL BALLOON 12 25 /box 242,751 6,068,775
AKL 20805516352 4450210 CYSTOFIX CLASSICAL BALON 12 25 /box 281,727 7,043,175
AKL 20895801260 4417930 UREOFIX 500, urine measurement sys 10 /box 1,833,640
183,364
urine bag 1.5 l with anti-reflux valve and bottom outlet
AKL 20805801260 4417901 UREOFIX COMPACT 2 L 1.5M 10 /box 99,981 999,810
AKL 20805614305 4563250 URIMED CATH FOLEY NELAT FR12 10 pcs/box 61,217 612,170
VASCO
B. BRAUN EXAMINATION GLOVES
AKL 10903300130 06066526H/AP Vasco Powd Exam Size S 100 pcs/box 59,091
AKL 10903300130 06066542H/AP Vasco Powd Exam Size M 100 pcs/box 59,091
AKL 10903300130 06066569H/AP Vasco Powd Exam Size L 100 pcs/box 59,091
AKL 10903613743 9207910AP VASCO NITRIL WHITE S 100 pcs/box 59,091
AKL 10903613743 9207929AP VASCO NITRIL WHITE M 100 pcs/box 59,091
AKL 10903613743 9207937AP VASCO NITRIL WHITE L 100 pcs/box 59,091
AKL 10903711383 9206612AP VASCO NITRIL BLUE S 100 pcs/box 61,853
AKL 10903711383 9206620AP VASCO NITRIL BLUE M 100 pcs/box 61,853
AKL 10903711383 9206639AP VASCO NITRIL BLUE L 100 pcs/box 61,853
B. BRAUN SURGICAL GLOVES

AKL11603504425 6036066A/6035500APL/APS Vasco SS 6.0 50 pair / box 318,182
AKL11603504425 6036074T/6035518APL/APS Vasco SS 6.5 50 pair / box 318,182
HARGA
RP./ PC RP./ BOX
AKL 11603710328 6081101APL Vasco Surg Pwd-Fr Size 6 50 pair / box 409,050
AKL 11603710328 6081111APL Vasco Surg Pwd-Fr Siz 6.5 50 pair / box 409,050
AKL 11603710328 6081121APL Vasco Surg Pwd-Fr Size 7 50 pair / box 409,050
AKL 11603710328 6081131APL Vasco Surg Pwd-Fr Siz 7.5 50 pair / box 409,050
AKL 11603710328 6081141APL Vasco SurgicPwd-Fr Size8 50 pair / box 343,156
Catatan:
DAFTAR HARGA B BRAUN SUTURE
( B P J S) / e-katalog
CP : Candra (081373662196)
NO. GAMBAR HARGA (Rp.)
NO. REGISTRASI USP JARUM INDIKASI
KATALOG JARUM PCS BOX
CATGUT CHROMIC Atraumatic

Mucosa
064-32311 AKL 21603113501 56014/6 4/0 HR 17 Genital 25,543 613,032
Box @ 24 75 cm Taper Urogenital
064-32321 AKL 21603113501 56030/8 4/0 HR 22 Subcutaneous 25,543 613,032

Box @ 24 75 cm Taper Genital

Box @ 24 75 cm Taper Peritonium
064-32341 AKL 21603113501 56215/7 3/0 DS 16 Subcuticular 29,382 705,168

Box @ 24 75 cm Reverse Cutting

Fascial
064-32351 AKL 21603113501 56031/6 3/0 HR 22 Muscles 26,822 643,728
Box @ 24 75 cm Taper Mucosa
HR 26 Genital
064-32361 AKL 21603113501 56042/1 3/0 75 cm Fascial 38,732 929,566
Box @ 24 Taper Muscles
064-32381 AKL 21603113501 56242/4 3/0 HS 26 Subcuticular 18,632 447,168


Box @ 24 75 cm Ligatures
Taper
064-32401 AKL 21603113501 56043/0 HR 26 Gastrointestinal 38,732 929,566

Box @ 24 2/0 75 cm Mucosa
Taper
064-32411 AKL 21603113501 56048/0 2/0 HR 30 Fascial 23,001 552,024

Box @ 24 75 cm Taper Gastrointestinal
064-32432 AKL 21603113501 56096/0 HR 37s Fascial 29,091 698,184

Box @ 24 2/0 75 cm Taper Heavy Genital
Double Needled
064-32433 AKL 21603113501 B0569852 2/0 HR 37s/HS 37S Obstetric 47,572 1,141,728
Box @ 24 150 cm Taper Heavy Gynaecology
Reverse Cutting Heavy
064-32461 AKL 21603113501 56049/9 0 HR 30 Gastrointestinal 20,909 501,816

Box @ 24 75 cm Taper
064-32492 AKL 21603113501 B0560979 0 HR 37s Fascial 19,161 459,864

Box @ 24 75 cm Muscles
Taper Heavy Genital
064-32493 AKL 21603113501 56053/7 0 HR 37 Muscles 24,148 579,552

064-32511 AKL 21603113501 56026/0 0 HR 40 Muscles 26,381 633,144

064-32521 AKL 21603113501 56050/2 1 HR 30 Fascial 23,001 552,024

CP : Candra (081373662196)
NO. REGISTRASI NO. USP JARUM GAMBAR INDIKASI HARGA (Rp.)


064-32531 AKL 21603113501 56098/7 1 HR 37s Fascial 20,706 496,944
Box @ 24 75 cm Taper Heavy Genital
064-32551 AKL 21603113501 56058/8 1 HR 43 Fascial 24,272 582,528

064-32581 AKL 21603113501 56099/5 2 HR 37s Fascial 24,148 579,552

Box @ 24 75 cm Taper Heavy Uterus
064-32591 AKL 21603113501 56059/6 HR 43 Fascial

Box @ 24 2 75 cm Taper Muscles 38,732 929,566
Uterus
064-32601 AKL 21603113501 56064/2 HR 48 Muscles 38,732 929,566

Box @ 24 2 75 cm Taper Uterus
064-32611 AKL 21603113501 57066/4 2 HR 50 Muscles 25,543 613,032

Box @ 24 75 cm Uterus
Taper
CP : Candra (081373662196)

SOFTCAT CHROMIC
064-34531 AKL 21603412364 C0660493 0 HR 30 23,001 828,036

Box @ 36 75 cm
064-34534 AKL 21603412364 C0640743 0 HR 40 17,829 641,844

Box @ 36 75 cm
064-34535 AKL 21603412364 C0660582 1 HR 43 25,490 917,640

Box @ 36 75 cm
064-34536 AKL 21603412364 C0660540 1 HR 37 21,612 778,032

Box @ 36 75 cm
064-34537 AKL 21603412364 G0660990 2 HR 37s 14,766 177,192

Box @ 12 75 cm
064-34538 AKL 21603412364 C0660590 2 HR 43 27,172 978,192

Box @ 36 75 cm
064-34540 AKL 21603412364 C0660434 2/0 HR 26 18,758 675,288

Box @ 36 75 cm
064-34541 AKL 21603412364 C0660485 2/0 HR 30 23,001 828,036

Box @ 36 75 cm
064-34544 AKL 21603412364 C0660310 3/0 HR 22 18,758 675,288

Box @ 36 75 cm
064-34545 AKL 21603412364 C0660426 3/0 HR 26 18,758 675,288

Box @ 36 75 cm
064-34546 AKL 21603412364 C0660477 3/0 HR 30 24,148 869,328

Box @ 36 75 cm
064-34547 AKL 21603412364 C0660140 4/0 HR 17 18,758 675,288

Box @ 36 75 cm
064-34548 AKL 21603412364 C0660302 4/0 HR 22 25,543 919,548

Box @ 36 75 cm
064-34600 AKL 21603412364 C0660132 5/0 HR 17 44,059 1,586,124

Box @ 36 75 cm
CP : Candra (081373662196)

CATGUT PLAIN
064-32721 AKL 21603113502 53214/2 4/0 DS 16 Skin 23,927 574,248

Box @ 24 45 cm Reverse Cutting Circumsisi
064-32731 AKL 21603113502 53014/0 4/0 HR 17 Skin, Gastrointesti 19,161 459,864

Box @ 24 75 cm Taper Urology, Mucosa
Ligatures

Ligatures
064-32761 AKL 21603113502 53215/0 3/0 DS 16 Skin 23,927 574,248

Box @ 24 45 cm Reverse Cutting Circumsisi


Ligatures, Genital
064-32781 AKL 21603113502 53031/0 3/0 HR 22 Skin, Circumsisi 23,001 552,024

Mucosa
064-32801 AKL 21603113502 53042/5 3/0 HR 26 Peritonium 25,490 611,760

Muscles

064-32821 AKL 21603113502 53032/8* 2/0 HR 22 Subcutaneous 23,001 552,024

Box @ 24 75 cm Taper Muscles
064-32841 AKL 21603113502 53043/3 2/0 HR 26 Gastrointestinal 24,272 582,528

Box @ 24 Urology, Subcutaneous
75 cm Taper Fascial
064-32873 AKL 21603113502 B0530522 2/0 HR 37 Gastrointestinal 25,543 613,032

Box @ 24
75 cm
064-32872 AKL 21603113502 53396/3 2/0 HRT 37s 43,733 1,049,592

Box @ 24 Ob - Gyn
75 cm Taper Heavy
064-32891 AKL 21603113502 53053/0 0 HR 37 Subcutaneous, Urolo 25,543 613,032

Box @ 24 Gastrointestinal
75 cm Taper Fascial
064-32901 AKL 21603113502 53057/3 0 HR 43 Ob - Gyn 26,831 643,944

Box @ 24 Fascial
75 cm Taper Subcutaneous
064-32921 AKL 21603113502 53058/1 1 HR 43 Ob - Gyn 26,831 643,944
Box @ 24 Fascial
HR 48 Ob - Gyn
064-32931 AKL 21603113502 53063/8 1 Fascial 42,636 1,023,264
064-32951 AKL 21603113502 B0530646 2 HR 48 Ob - Gyn 65,577 1,573,848

CP : Candra (081373662196)
Box @ 24 75cm
Taper

DAFILON*
Monofilament Nylon Sutures
064-31712 AKL 21603111119 C0093206/0 6/0 DS 12 Cuticular 24,142 869,112

Box @ 36 Blue Subcuticular
45 cm Reverse Cutting



064-31752 C00935204 DS 19 Cuticular 17,434 627,624
AKL 21603111119 Box @ 36 4/0 Blue Subcuticular
C00935220 4/0 DS 19 Cuticular

064-31764 AKL 21603111119 Box @ 36 Blue Subcuticular 25,543 919,548
064-31763 AKL 21603111119 C0093521/2 3/0 DS 19 Subcuticular 17,434 627,624

Box @ 36 Blue Plastic

064-31792 AKL 21603111119 C00935328 3/0 DS 24 Cuticular 26,819 965,484


064-31812 AKL 21603111119 C0093255/8 2/0 DS 39 Subcuticular 16,511 594,396

Box @ 36 Blue
064-31821 AKL 21603111119 C0935484 0 DS 30 Skin 46,101 1,659,636

Box @ 36 75 cm
Reverse Cutting
064-31831 AKL 21603111119 C0935492 1 DS 30 Skin 27,543 991,548

Box @ 36 75 cm
Reverse Cutting
CP : Candra (081373662196)

MONOPLUS
( Monofilament Polydioxanone Suture )
HR 48
064-33313 AKL 21603902369 C0024090 0 Violet Fascia 168,182 6,054,552
Box @ 36 150 cm Sternum
LOOP Taper
064-33321 AKL 21603902369 C0024468 1 HR 40S Fascia 114,621 4,126,356
Box @ 36 Violet Sternum
90 cm Taper Heavy
064-33335 AKL 21603902639 C0024535 5/0 DS 16 Skin 166,312 5,987,232

Box @ 36 Violet Taper
70 cm
CP : Candra (081373662196)

MONOSYN®
Mid-term absorbable synthetic monofilament made of glyconate
064-30511 AKL21603400867 C0022322 6/0 HRT 17 Urology 111,879.00 4,027,644
Box @ 36 violet
Trocar point
064-30501 AKL21603400867 C0023603 5/0 DSMP 13 Plastic 107,460 3,868,560

Box @ 36 undyed
45 cm Reverse Cutting, Microtip
064-30521 AKL21603400867 C0022004 4/0 HR 17 Urology, Dura 67,690 2,436,840
Box @ 36 violet Gastrointestinal
70 cm Trocar point
064-30541 AKL21603400867 C0022204 4/0 DS 19 Skin 93,727 3,374,172
Box @ 36 violet Subcuticular
70 cm Reverse cutting
064-30531 AKL 21063902371 C0023404 4/0 DS 19 Skin 96,000 3,456,000
Box @ 36 undyed Subcuticular
064-30551 AKL 21063902371 C0023214 4/0 DS 24 Skin 96,000 3,456,000
064-30561 AKL21603400867 C0022015 3/0 HR 22 Gastrointestinal 63,053 2,269,908

Box @ 36 violet
70 cm Taper
064-30581 AKL21603400867 C0022205 3/0 DS 19 Skin 69,167 2,490,012
064-30591 AKL 21063902371 C0023215 3/0 DS 24 Skin 80,222 2,887,992

064-30571 AKL 21063902371 C0023405 3/0 DS 19 Skin 95,182 3,426,552
064-30601 AKL21603400867 C0022215 3/0 DS 24 Skin 82,949 2,986,164
064-30611 AKL21603400867 C0022305 3/0 HRT 26 Fascia 84,547 3,043,692
Box @ 36 Violet Urologie
70 cm Tapercut
064-30621 AKL21603400867 C0022306 2/0 HRT 26 Fascia 93,415 3,362,940

Box @ 36 Violet Urologie
70 cm Tapercut
DS 24
064-30623 AKL 21063902371 C0023216 2/0 undyed Skin 77,704 2,797,344
Box @ 36 70 cm Reverse cutting Subcuticular
064-30631 AKL21603400867 C0022516 2/0 HRT 37 Gynaecology, 144,818 5,213,448

Box @ 36 Violet episiotomy,
90 cm Tapercut general surgery
064-30671 AKL21603400867 C0022078 1 HR 48 Fascia 113,400 4,082,400
Box @ 36 Violet Peritonium
90 cm Taper Uterus
064-30661 AKL21603400867 C0022468 1 HR 40s Fascia 92,045 3,313,620
90 cm Taper Heavy Uterus
064-30641 AKL21603400867 C0022467 0 HR 40s Fascia 93,682 3,372,552
90 cm Taper Heavy Uterus
CP : Candra (081373662196)

OPTHALMIC
Microsurgical Sutures
2XDLM 6s Lancet Point
064-33111 KL0902590826 111876/5 10/0 Nylon Black Micro point Opthalmic 343,364 4,120,368
Box @ 12 30 cm Heavy Needle
2XDLM 6s
064-33122 KL0902590826 G1048710 Safil Lancet Point
Box @ 12 8/0 (Sintetic Micro point Opthalmic 227,273 2,727,276
Absorbable Heavy Needle
PGA)
30 cm

OPTILENE®
2XDR 8 CV Pass
064-34501 AKL 21603510583 C3090887 8/0 Cardiovascular 126,512 4,554,432
Box @ 36 Blue
60CM Double Needle
2XDRC 10 CV Pass
064-34502 AKL 21603510583 C3090544 7/0 Cardioavascular 125,859 4,530,924
Box @ 36 Blue
60CM Double Needle
CV Pass
2XDRC 8
Box @ 36 Blue
60CM Double Needle
2XDRC 13 CV Pass
064-34505 AKL 21603510583 C3095271 6/0 Blue Cardioavascular 107,319 3,863,484
Box @ 36 60 cm Double Needle
CV pass
2XDRC 10
Box @ 36 60 cm Double Needled
CV pass
2XHR 26
CV pass
2XHRC 17
CV pass
2XHRC 10
CV pass
2XHRC 10
Box @ 36 60 CM Double Needled
CV pass
2XHR 26
Box @ 36 90CM Double Needled
CV pass
2XHRC 17
CV pass
2XHR 26
Box @ 36 75cm
Double Needled
CV pass
2XHR 22
CP : Candra (081373662196)
Box @ 36 75cm Double Needled

PREMICRON *
Braided Coated Polyester Suture
Trocar point
2XHRT 17
064-31911 KL1603200267 C0026414 4/0 Green Cardiovascular 124,135 4,468,860
2XHR 26
Box @ 36 90 cm
Double Needled
2XHRT 26
Box @ 36 90 cm
Double Needled
2XHRT 17 Trocar point
064-31941 KL1603200267 M0027782 2/0 Green Cardiovascular 1,164,651 6,987,906
Box @ 6 8X75 cm
4 white
4 green Double Needled
Box @ 6 8X75 cm
4 white
4 green
with 7X3 Double Needled
Teflon Pledget
Box @6 8X75 cm
4 white
4 green
Teflon Pledget
HRT 43
064-31963 AKL 21603703371 B 0026718 2 Green Cardiovascular 206,997 4,967,928
Box @24 4 x 75cm
Trocar Point
J-Shape Round bodied heavy

064-31973 KL1603200267 C0026987 JRC30s Hernia repair 72,762 2,619,432
Box @36 1 Green
75 cm
3/8 circle 30 mm
HR 37s
064-31974 AKL 21603703371 C0026068 1 Orthopedy 44,118 1,588,248
Box @36 75 cm Cardiovascular
Taper
CP : Candra (081373662196)

PREMILENE *
Monofilament Polypropylene Sutures
AKL 21603500235 G 0090782 DRm 5
064-31654 Box @ 12pcs 10/0 Blue Cardiovascular 204,893 2,458,716
15 cm Trocar Point
064-31412 AKL 21603500235 C2090004 8/0 2XDR 8 Cardiopoint Cardiovascular 106,306 3,827,016
Box @ 36 Blue
75 cm Double Needled
Cardiopoint
064-31422 AKL 21603500235 C209054/5 7/0 2XDRC 10 Cardiovascular 218,273 7,857,828
Box @ 36 Blue
064-31433 AKL 21603500235 G0095560 7/0 2XDRC 10 Cardiopoint Cardiovascular 558,758 6,705,096
Box @ 12 Blue
2x75 cm Double Needled
064-31454 AKL 21603500235 G 0090185 6/0 2XDRC 12 Cardiopoint Cardiovascular 322,025 3,864,300
Box @ 12 Blue
2x75 cm
Double Needled
064-31455 AKL 21603500235 G0095561 6/0 2XDRC 10 Cardiopoint Cardiovascular 87,884 1,054,608
Box @ 12 Blue
75 cm
Double Needled
064-31472 AKL 21603500235 C209076/3 6/0 2XDRT 12 Trocar point Cardiovascular 113,338 4,080,168
Box @ 36 Blue
75 cm
Double Needled
DS 12 Cuticular
064-31483 AKL 21603500235 C2090206 6/0 Blue Subcuticular 52,000 1,872,000
Box @ 36 45 cm Reverse Cutting Plastic
064-31484 AKL 21603500235 C0090618 6/0 DSMP 13 Plastic 85,089 3,063,204
Box @ 36 Blue
064-31492 AKL 21603500235 C209021/1 6/0 DS 16 Cuticular 31,326 1,127,736
45 cm Reverse Cutting Plastic
064-31503 AKL 21603500235 C209020/7 5/0 DS 12 Cuticular 34,292 1,234,512
064-31504 AKL 21603500235 C0090619 5/0 DSMP 13 Plastic 85,089 3,063,204
Box @ 36 Blue
064-31522 AKL 21603500235 C209092/5 5/0 2XHRT 17 Trocar point Cardiovascular 109,543 3,943,548
Box @ 36 Blue
064-31532 AKL 21603500235 C2090954 5/0 2XHR 13 Cardiovascular 63,661 2,291,807
Box @ 36
064-31533 AKL 21603500235 C2090906 5/0 2XHR26 Cardiovascular 128,182 4,614,552
Box @ 36 Blue
75 cm Taper
C209057/1 4/0 2XHRC 17 Cardiopoint
064-31544 AKL 21603500235 Box @ 36 Blue Cardiovascular 131,702 4,741,272
90 cm
Double Needled
064-31545 AKL 21603500235 C2095205 5/0 2XHRC10 Cardiopoint Cardiovascular 172,237 6,200,532
Box @ 36 Blue
064-31546 AKL 21603500235 C2090869 5/0 2XHR10 Cardiopoint Cardiovascular 107,307 3,863,052
Box @ 36 Blue
CP : Candra (081373662196)

PREMILENE *
064-31562 AKL 21603500235 C2090520 4/0 DS 19 Cuticular

Box @ 36 Blue Subcuticular 47,262 1,701,449
064-31573 AKL 21603500235 C209090/2 4/0 2XHR17 Cardiovascular 46,225 1,664,100
Box @ 36 Blue
90 cm Taper
Box @ 36 Blue
90 cm Taper
C209023/5 DS 24 Cuticular
064-31592 AKL 21603500235 Box @ 36 3/0 Blue Subcuticular 47,273 1,701,828
064-31582 AKL 21603500235 C2090521 3/0 DS 19 Cuticular

064-31614 AKL 21603500235 C20097/7 3/0 2XHR22 Cardiovascular 41,724 1,502,064
Box @ 36 Blue
90 cm Taper
Box @ 36 Blue
90 cm Taper
Box @ 36 Blue
90 cm Taper
064-31622 AKL 21603500235 C209023/6 2/0 DS 24 Cuticular

064-31637 AKL 21603500235 C 2090042 2/0 HR 26 Fascia 26,655 959,580

HR 30
064-31638 AKL 21603500235 C 2090047 2/0 Blue Fascia 29,449 1,060,164
064-31642 AKL 21603500235 C2090100 1 HR 40 Hernia Repair/ 31,944 1,149,984
Box @ 36 Blue Bascini Plasty
100 cm Taper
064-31653 AKL 21603500235 C2090453 0 HRT 37 90,361 3,252,996
Box @ 36 Blue Orthopedic
75 cm Taper
CP : Candra (081373662196)

SAFIL *
Coated Braided Polyglycolic Acid (Mid-Term Synthetic Absorbable) Suture
C1048206 DS 12 Cuticular
064-30912 AKL21603403777 Box @ 36 6/0 45 cm Subcuticular 61,541 2,215,476
Violet Reverse Cutting Plastic
064-30922 C1048207 DS 12 Cuticular 60,770 2,187,720

AKL21603403777 Box @ 36 5/0 Subcuticular
Violet 45 cm Reverse Cutting Plastic
064-30932 AKL21603403777 C1048212 5/0 DS 16 Cuticular 57,546 2,071,656

Box @ 36 Subcuticular
Violet 45 cm Reverse Cutting Plastic
064-30942 AKL21603403777 C1048012 5/0 HR 17 Urology 94,897 3,416,292

Violet

Box @ 36 45 cm Subcuticular
Violet Reverse Cutting Plastic
064-30972 AKL21603403777 C1048313 4/0 HRT 17 Orthopaedic 74,297 2,674,692

Box @ 36 Cuticular
Violet 70 cm Taper Subcuticular
Violet Reverse Cutting
064-30962 AKL21603403777 C1048013 4/0 HR 17 Urology 88,091 3,171,276

Box @ 36 70 cm Gastrointestinal
Violet Taper
064-30992 AKL21603403777 C1048029 4/0 HR 22 Urology 83,636 3,010,896
Box @ 36 70 cm Gastrointestinal
Violet Taper

Violet 70 cm Reverse Cutting

70 cm
064-31022 AKL21603403777 C1048014 3/0 HR 17 Urology 87,818 3,161,448
Violet 70 cm Taper

Violet 45 cm Reverse cutting

Box @ 36
Violet 70 cm Taper

Violet Reverse Cutting
AKL21603403777 C1048041
064-31072 Box @ 36 3/0 HR 26 Gastrointestinal 86,877 3,127,572
violet 70 cm Taper
064-31092 AKL21603403777 C1048341 3/0 HRT 26 Fascia 69,467 2,500,812

Box @ 36 Urologie
Violet 70 cm Tapercut

CP : Candra (081373662196)
Box @ 36
Violet 70 cm Taper
064-31104 AKL21603403777 C1048036 2/0 HR 22s Fascia 60,770 2,187,720
Box @ 36
Violet 70 cm Taper
SAFIL *

Box @ 36 70 cm Reverse Cutting Subcuticular
Violet

Box @ 36
Violet 70 cm
064-31132 AKL21603403777 C1048342 2/0 HRT 26 Fascia 71,361 2,568,996

Box @ 36 70 cm Urologie
Violet Tapercut
064-31143 AKL21603403777 C1048242 2/0 HS 26 Fascia 87,727 3,158,172
Box @ 36 70 cm
Violet Revese Cutting

Box @ 36 90 cm
Violet Taper
064-31144 AKL21603403777 C1048596 2/0 HS 37s Fascia 67,843 2,442,348

Box @ 36 90 cm
Violet Revese Cutting
064-31152 AKL21603403777 C1048415 2/0 FR 26 Fascia 64,224 2,312,064

Box @ 36 70 cm Urologie
Violet Taper
064-31162 AKL21603403777 C1048551 2/0 HR 37 Fascia 69,331 2,495,916

Box @ 36 90 cm Peritonium
Violet Taper Uterus
Double Needled
064-31175 AKL21603403777 B1048278 2/0 HR 37s/HS 37s Gynaecology 83,468 2,003,232
Box @ 24 violet Taper Heavy
150 cm Reverse Cutting Heavy
064-31342 AKL21603403777 C1048557 1 HR 40s Fascia 79,773 2,871,828

Violet Taper Heavy Uterus
064-31362 AKL21603403777 C1048562 1 HR 48 Fascia 90,500 3,258,000

Violet Taper Uterus
064-31392 AKL21603403777 C1048563 2 HR 48 Fascia 85,455 3,076,380

Violet Taper Uterus
064-31212 AKL21603403777 C1048552 0 HR 37 Fascia 68,867 2,479,212
Violet Taper Uterus
064-31232 AKL21603403777 C1048956 0 HR 37s Fascia 68,914 2,480,904

Violet Taper Uterus
064-31262 AKL21603403777 C1048533 0 HRT 37s Fascia 73,962 2,662,632
Violet Tapercut Heavy
064-31292 AKL21603403777 C1048561 0 HR 48 Fascia 72,573 2,612,628

Violet Taper Uterus
064-31282 AKL21603403777 C1048586 0 HS 40s Fascia 100,091 3,603,276

Violet Uterus
CP : Candra (081373662196)
R. Cutting Heavy
064-31312 AKL21603403777 C1048597 1 HR 37s Fascia 66,466 2,392,776


SAFIL *
064-31332 AKL21603403777 C1048534 1 HRT 37s Uterus 86,666 3,119,976
Box @ 36 90 cm
064-31372 AKL21603403777 C1048502 1 HRT 48 Fascia 103,459 3,724,524

Violet Tapercut Uterus
064-31352 AKL21603403777 C1048587 1 HS 40s Fascia 78,882 2,839,752
Violet R. Cutting Heavy Uterus
064-31173 AKL21603403777 C1048595 2/0 HR 37s Fascia 77,273 2,781,828

064-31272 AKL21603403777 C1048556 0 HR 40s Fascia 86,150 3,101,400
064-31082 AKL21603403777 C1048541
Box @ 36 3/0 HR 26 Gastrointestinal 94,636 3,406,896
violet 90 cm Taper
064-31202 AKL21603403777 C1048532 2/0 HRT 37s Fascia 113,000 4,068,000

HRT 48 Fascia
064-31383 AKL21603403777 B1048503 2 90 cm Peritonium 69,902 1,677,648
Box @ 24 Violet Uterus
Tapercut
064-31402 AKL21603403777 C1048066 1 HR 60 Fascia 63,294 2,278,584

Violet Taper Uterus

SAFIL QUICK
Polyglycolic Acid Coated Magnesium Stearate
Short-Term Braided Synthetic Absorbable Suture
064-30723 AKL 21603111323 C1046420 4/0 DS 19 Skin 70,944 2,553,984

064-30751 AKL 21603111323 C1046235 3/0 DS 24 Skin 99,636 3,586,896

064-30761 AKL 21603111323 C1046636 2/0 DS 24 Skin 75,386 2,713,896

Reverse cutting
064-30791 AKL 21603111323 C1046651 2/0 HRT 37S Gynaecology, 122,000 4,392,000
Box @ 36 90 cm episiotomy,
Tapercut general surgery
064-30811 AKL 21603111323 C1046663 1 HR 48S Gynaecology, 87,201 3,139,236

Box @ 36 90 cm general surgery
CP : Candra (081373662196)
Taper Heavy

SILKAM *
( SILK BLACK )
C0076412/4 DS 16
064-32013 KL1603292361 Box @ 36 5/0 Black Skin #N/A #N/A
DS 16
064-32022 KL1603292361 C0076413/2 4/0 Black Skin #N/A #N/A
HR 17 Gastrointestinal
064-32032 KL1603292361 C0076013/7 4/0 Black Paediatric #N/A #N/A
Box @ 36 75 cm Taper Cardiovascular
4/0 DS 19 Skin
064-32053 KL1603292361 C0076220/2 Black Plastic #N/A #N/A
Box @ 36 45 cm
Reverse Cutting
DS 19
064-32054 KL1603292361 C00765201 4/0 Black Skin #N/A #N/A
Box @ 36 75 cm
DS 16
Box @ 36 45 cm
Reverse Cutting
064-32082 KL1603292361 C0076014/5 3/0 Black Arterial, Dura #N/A #N/A
Box @ 36 75 cm Taper Paediatric
DS 19
C0076030/7 HR 22 Gastrointestinal
064-32112 KL1603292361 Box @ 36 3/0 Black Arterial, Dura #N/A #N/A
75 cm Paediatric
Taper
HR 26
064-32132 KL1603292361 C0076041/2 3/0 Black Gastrointestinal #N/A #N/A
Box @ 36 75 cm
Taper
DS 24
064-32122 KL1603292361 C00762350 3/0 Black Skin 23,273 837,828
064-32142 KL1603292361 C0076031/5 2/0 HR 22 Cardiovascular #N/A #N/A

Box @ 36 Black Taper Gastrointestinal
75 cm
064-32152 KL1603292361 C0076236/9 2/0 DS 24 Skin #N/A #N/A

Box @ 36 Black Reverse Cutting
75 cm
064-32162 KL1603292361 C0076042/0 2/0 HR 26 Gastrointestinal #N/A #N/A

Box @ 36 Black Taper Paediatric
75 cm
064-32172 KL1603292361 C0076247/4 2/0 DS 30 Skin #N/A #N/A

Box @ 36 Black

CP : Candra (081373662196)
Box @ 36 Black
75 cm Taper
064-32202 KL1603292361 C0076048/0 0 HR 30 Gastrointestinal #N/A #N/A

Box @ 36 Black Taper
75 cm

SILKAM *
( SILK BLACK )
064-32212 KL1603292361 C0076248/2 0 DS 30 Skin #N/A #N/A

Box @ 36 Black
HR 37s
064-32222 KL1603292361 C00760978 1 Black Gastrointestinal 30,369 1,093,289
064-32242 KL1603292361 C0076062/5 1 HR 48 Ob - Gyn #N/A #N/A

Box @ 36 Black Fascia
75 cm Taper Hernia Repair
064-32252 KL1603292361 C0076063/3 2 HR 48 Ob - Gyn #N/A #N/A


PRECUT / NON NEEDLED SUTURES
SILKAM (SILK BLACK)
064-30422 AKL 21603110639 C026386/9 2/0 26,677 960,382
13X60CM
Box @ 36

SECUREX
Intracutaneous Sutures Set
Description : 2 warna fiksasi klip yang berbeda (merah dan kuning)

3/8 lingkaran jarum reverse cutting dengan ukuran 19 s/d 24 mm
tersimpul dengan benang jenis polypropylene ( Premilene )
064-33221 AKL21603500234 099432/6 3/0 DS 24 Subcuticular 45,419 545,028
Box @ 12 Intracutan

STAINLESS STEEL*
Trocar point+Straight Cutting
3/0 Electrode Set
064-33011 AKL21603304333 C0992062 HRT 17-GS 65V (Cardiac Pacing 353,182 12,714,552
Box @ 36 60 cm wire)
3/0
HRT 26-GS 65V Electrode Set
064-33021 AKL21603304333 C0092070 60 cm (Cardiac Pacing 274,091 9,867,276
Box @ 36 Double Needled Wire)
SURGICAL SPECIALITIES
BONE WAX
CP : Candra (081373662196)
-- For the Control of Oozing Haemorrhages in Bone Injuries
064-33551 AKL 21603211499 102975/4 2,5 g 24 pcs / box 47,909 1,149,816


LYOSTYPT
( Collagen Haemostatic Agent )
064-33582 AKL 21603311396 106915/2 5 x 8 cm 6 pcs / box 75,273 451,638

OMYRA MESH
064-33612 AKL 21602214073 1061515 15 x 15 cm (Square) Box @ 1 12,379,711 12,379,711
064-33613 AKL 21602214073 1062030 20x30cm (Oval) Box @ 1 18,636,364 18,636,364

OPTILENE MESH
( For Hernia Repair with Laparoskopi )
064-33602 AKL21603703823 1065030 7.5 x 15 cm Box @ 5 1,024,078 5,120,391
064-33603 AKL21603703823 1065040 10 x 15 cm Box @ 5 1,152,027 5,760,135

PATELLA SET
Surgical Steel Wire
064-33531 KL1603890293 99112/0 Monofil 12 pcs / box 180,157 3,810,000
60 cm length
Metric 9 - USP size 7

PREMILENE* MESH
( For Hernia Repair )
AKL21603500235 1064315 Box @ 5

064-31674 5 x 10 cm 198,693.2 993,466
064-31676 AKL21603500235 1064455 Box @ 5 1,191,904.76 5,959,524

30 x 30 cm
Catatan:

064-32381 AKL 21603113501 56242/4 3/0 HS 26 Subcuticular 18,632 447,168
Box @ 24 75 cm
Reverse Cutting
064-32432 AKL 21603113501 56096/0 HR 37s Fascial 29,091 698,184

Box @ 24 2/0 75 cm Taper Heavy Genital

Fascial
064-32351 AKL 21603113501 56031/6 3/0 HR 22 Muscles 26,822 643,728

Fascial
064-32351 AKL 21603113501 56031/6 3/0 HR 22 Muscles 26,822 643,728
SOFTCAT CHROMIC
064-34541 AKL 21603412364 C0660485 2/0 HR 30 23,001 828,036
Box @ 36 75 cm
064-34545 AKL 21603412364 C0660426 3/0 HR 26 18,758 675,288

Box @ 36 75 cm
064-34547 AKL 21603412364 C0660140 4/0 HR 17 18,758 675,288
Box @ 36 75 cm
CATGUT PLAIN
064-32841 AKL 21603113502 53043/3 2/0 HR 26 Gastrointestinal 24,272 582,528
Box @ 24 Urology, Subcutaneous
75 cm Taper Fascial
064-32891 AKL 21603113502 53053/0 0 HR 37 Subcutaneous, Urolo 25,543 613,032
75 cm Taper Fascial
064-32921 AKL 21603113502 53058/1 1 HR 43 Ob - Gyn 26,831 643,944
Box @ 24 Fascial
HR 48 Ob - Gyn
064-32931 AKL 21603113502 53063/8 1 Fascial 42,636 1,023,264
OPTHALMIC
Microsurgical Sutures
2XDLM 6s Lancet Point
064-33111 KL0902590826 111876/5 10/0 Nylon Black Micro point Opthalmic 343,364 4,120,368
Box @ 12 30 cm Heavy Needle
2XDLM 6s
064-33122 KL0902590826 G1048710 Safil Lancet Point
Box @ 12 8/0 (Sintetic Micro point Opthalmic 227,273 2,727,276
Absorbable Heavy Needle
PGA)
30 cm
OPTILENE®
2XDRC 10 CV Pass
Box @ 36 Blue
60CM Double Needle
CV pass
2XHRC 10
CV pass
2XHR 26
CV pass
2XHR 26
Box @ 36 75cm
Double Needled
PREMICRON *
Braided Coated Polyester Suture
Trocar point
2XHRT 17
2XHR 26
Box @ 36 90 cm
Double Needled
2XHRT 26
Box @ 36 90 cm
Double Needled
Box @ 6 8X75 cm
4 white
4 green Double Needled
Box @ 6 8X75 cm
4 white
4 green
Teflon Pledget
Box @6 8X75 cm
4 white
4 green
Teflon Pledget
HRT 43
064-31963 AKL 21603703371 B 0026718 2 Green Cardiovascular 206,997 4,967,928
Box @24 4 x 75cm
Trocar Point
J-Shape Round bodied heavy

064-31973 KL1603200267 C0026987 JRC30s Hernia repair 72,762 2,619,432
Box @36 1 Green
75 cm
3/8 circle 30 mm
HR 37s
064-31974 AKL 21603703371 C0026068 1 Orthopedy 44,118 1,588,248
Box @36 75 cm Cardiovascular
Taper
SILKAM *
( SILK BLACK )
C0076412/4 DS 16
064-32013 KL1603292361 Box @ 36 5/0 Black Skin #N/A #N/A
DS 16
064-32032 KL1603292361 C0076013/7 4/0 Black Paediatric #N/A #N/A
Box @ 36 75 cm Taper Cardiovascular
4/0 DS 19 Skin
064-32053 KL1603292361 C0076220/2 Black Plastic #N/A #N/A
Box @ 36 45 cm
Reverse Cutting
DS 19
064-32054 KL1603292361 C00765201 4/0 Black Skin #N/A #N/A
Box @ 36 75 cm
DS 16
Box @ 36 45 cm
Reverse Cutting
064-32082 KL1603292361 C0076014/5 3/0 Black Arterial, Dura #N/A #N/A
Box @ 36 75 cm Taper Paediatric
DS 19
C0076030/7 HR 22 Gastrointestinal
064-32112 KL1603292361 Box @ 36 3/0 Black Arterial, Dura #N/A #N/A
75 cm Paediatric
Taper
HR 26
064-32132 KL1603292361 C0076041/2 3/0 Black Gastrointestinal #N/A #N/A
Box @ 36 75 cm
Taper
DS 24
064-32122 KL1603292361 C00762350 3/0 Black Skin 23,273 837,828
064-32142 KL1603292361 C0076031/5 2/0 HR 22 Cardiovascular #N/A #N/A

Box @ 36 Black Taper Gastrointestinal
75 cm
064-32152 KL1603292361 C0076236/9 2/0 DS 24 Skin #N/A #N/A

Box @ 36 Black Reverse Cutting
75 cm

Box @ 36 Black Taper Paediatric
75 cm
064-32172 KL1603292361 C0076247/4 2/0 DS 30 Skin #N/A #N/A

Box @ 36 Black

Box @ 36 Black
75 cm Taper
064-32202 KL1603292361 C0076048/0 0 HR 30 Gastrointestinal #N/A #N/A
Box @ 36 Black Taper
75 cm
PREMILENE *
C209023/5 DS 24 Cuticular
064-31592 AKL 21603500235 Box @ 36 3/0 Blue Subcuticular 47,273 1,701,828
SILKAM *
( SILK BLACK )
064-32212 KL1603292361 C0076248/2 0 DS 30 Skin #N/A #N/A

Box @ 36 Black
HR 37s
064-32222 KL1603292361 C00760978 1 Black Gastrointestinal 30,369 1,093,289
064-32242 KL1603292361 C0076062/5 1 HR 48 Ob - Gyn #N/A #N/A

064-32252 KL1603292361 C0076063/3 2 HR 48 Ob - Gyn #N/A #N/A

STAINLESS STEEL*
Trocar point+Straight Cutting
3/0 Electrode Set
064-33011 AKL21603304333 C0992062 HRT 17-GS 65V (Cardiac Pacing 353,182 ###
Box @ 36 60 cm wire)
3/0
HRT 26-GS 65V Electrode Set
064-33021 AKL21603304333 C0092070 60 cm (Cardiac Pacing 274,091 9,867,276
Box @ 36 Double Needled Wire)
OPTILENE MESH
( For Hernia Repair with Laparoskopi )
064-33602 AKL21603703823 1065030 7.5 x 15 cm Box @ 5 1,024,078 5,120,391
064-33603 AKL21603703823 1065040 10 x 15 cm Box @ 5 1,152,027 5,760,135
PREMILENE* MESH
( For Hernia Repair )
AKL21603500235 1064315 Box @ 5

064-31674 5 x 10 cm 198,693.2 993,466
064-31676 AKL21603500235 1064455 Box @ 5 1,191,904.76 5,959,524

30 x 30 cm
PATELLA SET
Surgical Steel Wire
064-33531 KL1603890293 99112/0 Monofil 12 pcs / box 180,157 3,810,000
60 cm length
Metric 9 - USP size 7

Daftar Harga BPJS - E-Katalog OPM 2019

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Daftar Harga BPJS - E-Katalog OPM 2019

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Доступные форматы

DAFTAR HARGA B BRAUN HOSPITAL CARE

Berlaku per : 01 Januari 2019

for Paclitaxel Drugs

B. BRAUN TRANSFUSION SET

Berlaku per : 01 Januari 2019

B. BRAUN INFUSION ACCESSORIES

064-21033 AKL 20902510207 4550250 50 pcs/box 6,567 328,350

PROTECTIVE ADMIXTURE TOOLS

064-20961 AKL 20902011354 A2902N Cyto-Set Mix 20 pcs/box 70,000 1,400,000

064-20984 AKL 20902513809 8250920SP CYTO SET UV-PRO 3 NF VALV

064-20985 AKL 20902513809 8250820SP CYTO-SET UV-PRO 5-NF-VALV

064-20986 AKL 20902513892 A2906N CYTO-SET MIX UV-PRO 1 NF V

Berlaku per : 01 Januari 2019

B. BRAUN SPINAL ANAESTHESIA

064-21326 AKL 20403600182 450205/1 PENCAN G27+INTRODUCER 25 pcs/box 66,301

064-21327 AKL 20403600182 4502175 PENCAN PAED G27X2 25 pcs/box 77,104

B. BRAUN EPIDURAL ANESTHESIA CATHETER + NEEDLE SET

B. BRAUN PLEXUS ANAESTHESIA

B. BRAUN CENTRAL VENOUS CATHETERS, SELDINGER METHODE

Berlaku per : 01 Januari 2019

B. BRAUN PLASMA VOLUME REPLACEMENT (PVR)

B. BRAUN PARENTERAL NUTRITION (PN)

Berlaku per : 01 Januari 2019

Berlaku per : 01 Januari 2019

AKL 20903516168 19948 Helimatic Cleaner MA 5 L 96 gln/box 635,474 61,005,504

AKL 20903516168 19949 Helimatic Cleaner MA Can 10 LT 40 gln/box 1,249,765 49,990,600

B. BRAUN DRESSINGS & BANDAGES

AKL 21603213231 001419N Askina Gel 15 g 10 tb/box - 735,240

AKL 21603212891 5197510 Askina Silnet 10 X 7,5 CM 10 pcs/box - 372,727

AKL 21603213305 7241010 ASKINA FOAM 10 X 10 CM 10 pcs/box - 613,091

AKL 10903711383 9206620AP VASCO NITRIL BLUE M 100 pcs/box 61,853

AKL 10903711383 9206639AP VASCO NITRIL BLUE L 100 pcs/box 61,853

B. BRAUN SURGICAL GLOVES

CATGUT CHROMIC Atraumatic

064-32321 AKL 21603113501 56030/8 4/0 HR 22 Subcutaneous 25,543 613,032

064-32331 AKL 21603113501 56041/3 4/0 HR 26 Subcutaneous 26,822 643,728

064-32341 AKL 21603113501 56215/7 3/0 DS 16 Subcuticular 29,382 705,168

064-32371 AKL 21603113501 56236/0 3/0 DS 24 Subcuticular 28,173 676,152

064-32381 AKL 21603113501 56242/4 3/0 HS 26 Subcuticular 18,632 447,168

064-32391 AKL 21603113501 56047/2 3/0 HR 30 Subcutaneous 23,001 552,024

064-32401 AKL 21603113501 56043/0 HR 26 Gastrointestinal 38,732 929,566

064-32411 AKL 21603113501 56048/0 2/0 HR 30 Fascial 23,001 552,024

064-32432 AKL 21603113501 56096/0 HR 37s Fascial 29,091 698,184

Box @ 24 150 cm Taper Heavy Gynaecology

Reverse Cutting Heavy

064-32461 AKL 21603113501 56049/9 0 HR 30 Gastrointestinal 20,909 501,816

064-32492 AKL 21603113501 B0560979 0 HR 37s Fascial 19,161 459,864

064-32493 AKL 21603113501 56053/7 0 HR 37 Muscles 24,148 579,552

064-32511 AKL 21603113501 56026/0 0 HR 40 Muscles 26,381 633,144

064-32521 AKL 21603113501 56050/2 1 HR 30 Fascial 23,001 552,024

NO. REGISTRASI NO. USP JARUM GAMBAR INDIKASI HARGA (Rp.)

CATGUT CHROMIC Atraumatic

064-32551 AKL 21603113501 56058/8 1 HR 43 Fascial 24,272 582,528

064-32581 AKL 21603113501 56099/5 2 HR 37s Fascial 24,148 579,552

064-32591 AKL 21603113501 56059/6 HR 43 Fascial

064-32601 AKL 21603113501 56064/2 HR 48 Muscles 38,732 929,566

064-32611 AKL 21603113501 57066/4 2 HR 50 Muscles 25,543 613,032

NO. GAMBAR HARGA (Rp.)

064-34531 AKL 21603412364 C0660493 0 HR 30 23,001 828,036

064-34534 AKL 21603412364 C0640743 0 HR 40 17,829 641,844

064-34535 AKL 21603412364 C0660582 1 HR 43 25,490 917,640

064-34536 AKL 21603412364 C0660540 1 HR 37 21,612 778,032

064-34537 AKL 21603412364 G0660990 2 HR 37s 14,766 177,192