1 2 3 4

28 ACYCLOVIR 200 TAB TAB 600

29 ACYCLOVIR 400MG TAB TAB 900
30 ACYCLOVIR CREAM TUBE 5,500
31 ADALAT OROS 30 TAB 11,000
32 ADONA AC-17 INJ 5 ML AMPU 21,600
33 ADONA TAB TAB 3,200
34 AERIUS TAB TAB 10,200
35 AERRANE 250 ML FLS 2,381,700
36 AGRAVAN TAB TAB 8,500
37 AGULAN TAB TAB 11,900
38 AIRWAYS 100 MM PCS 34,100
39 AIRWAYS 80MM PCS 34,100
40 AIRWAYS 90MM PCS 34,100
41 AKILEN 200 TAB 10,900
42 AKILEN 400 TAB 21,200
43 AKRINOR TAB TAB 8,000
44 ALBOTYL 100 CC FLS 365,800
45 ALBUMIN 20 % inf 100 ml FLS 2,594,400
46 ALBUMIN 20 % INF ASKES FLS 1,392,000
47 ALBUVIT ED FLS 17,300
48 ALCO PLUS DROP FLS 57,000
49 ALCO PLUS SYR FLS 38,300
50 ALDAZIDE TAB 3,700
51 ALDISA SR CAP CAP 5,700
52 ALEGYSAL ED FLS 69,800
53 ALGANAX 0,5 TAB TAB 2,700
54 ALGANAX 0.25 TAB TAB 1,800
55 ALINAMIN F 10 MG INJ AMPU 18,200
56 ALINAMIN F TAB TAB 1,200
57 ALLOPURINOL 100 MG TAB TABL 200
58 ALLORIS SYR FLS 71,400
59 ALLORIS TAB TAB 6,500
60 ALPENTIN 300 TAB TAB 4,700
61 ALPRAZOLAM 0.25 TAB 700
62 ALPRAZOLAM 0.5 TAB 900
63 ALTOFEN INJ AMP 34,600
64 ALUPENT 20 mg TAB TAB 4,500
65 ALUPENT SWING PCS 180,200
66 AMARYL 2 MG TAB TABL 6,800
67 AMBACIM 500 MG TAB CAPL 27,900
68 AMBACIM INJ VIAL 99,200
69 AMBROXOL SIR FLS 5,100
70 AMBROXOL TAB TAB 200
71 AMCOR 5MG TAB TAB 1,600
72 AMDIXAL 10 TAB TAB 12,700
73 AMDIXAL 5MG TAB 7,100
74 AMINOFLUID 500 ML INF FLS 125,200
75 AMINOFLUID INF IL FLS 178,600
76 AMINOFUSIN PAED INF FLS 115,700
77 AMINOFUSIN HEPAR FLS 258,500
78 AMINOLEBAN BTL 233,400
79 AMINOPHILIN INJ 24 MG AMPU 8,500
80 AMINOPHILIN TAB TABL 100

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 38

 1 2 3 4
81 AMINORAL TAB TAB 8,500
82 AMINOSTERIL 6% INF FLS 93,600
83 AMINOVEL 600 LABU LABU 83,700
84 AMIPAREN 10 MG BTL 140,700
85 AMITRIPHILIN HCL 25 MG TAB 200
86 AMLODIPIN 10 TAB TAB 2,700
87 AMLODIPINE 5 TAB TAB 1,600
88 AMOXAN 250 MG TAB TAB 2,300
89 AMOXAN 500 MG KAPS TABL 4,800
90 AMOXAN DROPS FLS 32,700
91 AMOXAN INJ 1 GR VIAL 32,700
92 AMOXICILIN 250MG SYR FLS 11,100
93 AMOXICILLIN 1 GR INJ VIAL 12,700
94 AMOXICILLIN 125 MG SYR FLS 5,700
95 AMOXICILLIN 250 MG TAB 300
96 AMOXICILLIN 500 MG TB TABL 700
97 AMOXSAN F SYR FLS 46,700
98 AMOXSAN SYR FLS 32,700
99 AMPICILLIN 1 GR INJ VIAL 8,800
100 AMPICILLIN 125 MG SIROP FLS 4,900
101 AMPICILLIN 500MG TAB TAB 900
102 ANADEX KAP KAPL 1,400
103 ANADEX SYR FLS 19,600
104 ANALSIK KAPL 1,700
105 ANEMOLAT /FOLIC ACID TAB 300
106 ANGIOTEN 50 TAB TAB 16,100
107 ANTALGIN 500 MG TAB 200
108 ANTALGIN INJ 2 ML AMP 700
109 ANTASIDA DOEN @1 TAB TABL 100
110 ANTASIDA DOEN SYR FLS 4,000
111 ANTIHAEMOROID SUPP SUPP 2,500
112 APIALYS DROPS FLS 42,500
113 APIALYS SYR FLS 37,500
114 APTOR TAB TAB 500
115 ARCALION 200 TAB TAB 7,300
116 ARDIUM TAB TAB 12,800
117 ARICEPT TAB TAB 42,200
118 ARIXTRA 2.5MG INJ AMP 535,300
119 ARKINE TAB TAB 700
120 ARM -SLING BUAH 92,800
121 ARM SLING NO L PCS 127,600
122 ARM SLING NO M PCS 127,500
123 ARM SLING NO S PCS 127,400
124 ARTIFLEX 3 INC ROL 20,400
125 ARTIFLEX 4INCH 25,600
126 ARTIFLEX 6INCH ROL 37,800
127 ARTRODAR CAP CAP 11,500
128 AS TRANEKASAMAT 500 TAB TAB 1,100
129 AS TRAXENAMAT 500 INJ AMP 8,900
130 ASABIUM TAB 2,400
131 ASAM MEF. 500 MG TABL 200
132 ASAM TRANEKSAMAT INJ 250 AMP 5,000
133 ASEDAS SYR FLS 44,200

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 1 2 3 4
134 ASERING INFUS FLA 20,900
135 ASPAR K 300 MG TABL 2,600
136 ASPILET TAB TAB 400
137 ASTHIN FORCE TAB 9,300
138 ASTIKA TAB TAB 200
139 ATARAX 0,5 TAB 2,200
140 ATORSAN 10 TAB TAB 17,000
141 ATORSAN 20 TAB TAB 20,400
142 ATORVASTATIN 20MG TAB 6,800
143 ATP DANKOS TAB 2,000
144 ATRACURIUM HAMELN 50 AMP 88,500
145 ATRAUCAN PCS 166,700
146 ATROVENT SOL INH FLS 161,300
147 ATS 1500 IU AMPU 175,800
148 ATS 1500 PLUS DISP 1CC VIAL 75,700
149 ATS 20000 IU VIAL 935,100
150 AVITER SACH SACH 20,400
151 BACBUTINH FORTE TAB 2,500
152 BACTESYN 0.75 INJ VIAL 127,600
153 BACTESYN 1500MGINJ VIAL 212,700
154 BACTESYN 375 TAB TAB 23,300
155 BACTIROM INJ VIAL 403,800
156 BACTRAZ INJ VIAL 255,200
157 BAQUINOR 500 MG TAB TAB 18,500
158 BAQUINOR EYE DROPS FLS 45,900
159 BAQUINOR INFUS FLS 307,800
160 BARITOP INJ VIAL 425,300
161 BARZEPIN 300 TAB TAB 11,100
162 BD MICRO FINE PCS 1,900
163 BD NEOFLON 26 PCS 53,200
164 BECOM - ZET CAPL TAB 2,500
165 BECOM C TAB 9,200
166 BECOMBION SYR FLS 25,600
167 BEDAK SALICYL POT 1,700
168 BELLAPHEEN TAB TAB 2,200
169 BEROTEC INH FLS 180,200
170 BERRY VISION TAB 4,100
171 BERSOL CREAM 15 GR TUBE 48,400
172 BETA C-E KAPSUL KAP 1,900
173 BETAGENTAM ED BTL 72,900
174 BETAHISTIN MESILAT 6MG TAB 1,400
175 BETASIN CRM 10GR TUB 39,100
176 BEVITA SYR FLS 38,300
177 BEVIZIL TAB 2,000
178 BIFOTIK INJ VIAL 238,800
179 BIO ATP TAB TAB 3,600
180 BIO PLACENTON 15 MG TUBE 18,500
181 BIOACNE 10 G CR TUB 24,700
182 BIOCARE 3 INC ROLL 22,500
183 BIOCARE 4 INC ROLL 31,900
184 BIOCARE 6 INC ROLL 41,300
185 BIOCEF INJ VIAL 178,600
186 BIOCEPIME INJ VIAL 374,300

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 1 2 3 4
187 BIOFIX 10MX6CM METR 10,200
188 BIOFIX 10X4 CM METR 7,300
189 BIOLINCOM 500 CAP 6,400
190 BIOLINCOM SYR FLS 71,400
191 BIONEMI TAB TAB 1,700
192 BIOPAD 3 INC ROLL 21,200
193 BIOPAD 4 INC ROLL 25,600
194 BIOPLACENTON TULL PCS 24,100
195 BIOQUINONE TAB TAB 9,200
196 BIORAZON INJ VIAL 195,600
197 BIOSANBE TABLET KAP 1,300
198 BIOSTRUM SYR FLS 61,300
199 BIOTHICOL 500 CAP 5,100
200 BIOTHICOL F SYR FLS 76,600
201 BIOTHICOL SYR FLS 27,700
202 BIOXON INJ VIAL 263,700
203 BIOZIM INJ VIAL 272,200
204 BISOLVON INJ AMP 51,500
205 BISOPROLOL 5MG TAB 3,900
206 BLECIDEX EAR DROP FLS 55,600
207 BLOOD SET INF PCS 39,100
208 BLUE MONOLON 3-0 BUAH 76,600
209 BLUE MONOLON 4-0 BUAH 81,700
210 BONESCO CAPS CAPS 4,700
211 BONGROS 5CC FLS 3,402,500
212 BOTOL 15 ML BTL 1,400
213 BOTOL 500 ML FLS 8,500
214 BOTOL 60 CC BTL 1,600
215 BRAINACT 250 INJ AMP 55,200
216 BRAINACT 500 INJ VIAL 94,900
217 BRAINACT 500 tab TAB 17,600
218 BRAINACT O-DIS TAB TAB 18,300
219 BRAXIDIN TAB TABE 1,100
220 BRICASMA RESPULES 2.5 ML FLS 11,700
221 BRICASMA SYR FLS 62,800
222 BRILON 3-0 CUTING PCS 68,000
223 BRILON 4-0 cuting PCS 51,000
224 BRILON 5-0 cuting PCS 47,600
225 BROADCED INJ 1GR VIAL 279,900
226 BRONCHOPRONT 100 SYR FLS 74,800
227 BROSPEC INJ VIAL 212,700
228 BUFECT F SYR FLS 28,500
229 BUFECT SYR FLS 19,100
230 BUPIVACAINE INJ AMP 34,100
231 BURNAZIN CREAM 35 g TUBE 59,000
232 C.ASTENOF ED FLS 27,400
233 C.ASTHENOF MINIDOS STP 26,800
234 C.AUGENTONIC 15CC ED FLS 45,100
235 C.AUGENTONIC 5CC FLS 32,700
236 C.AUGENTONIC MINIDOS TUBE 5,900
237 C.BERRY TAB TAB 5,400
238 C.CARPIN 1% ED FLS 26,400
239 C.CARPIN 2% ED FLS 32,300

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 1 2 3 4
240 C.CATARLENT 5 ML ED FLS 44,000
241 C.CATARLENT ED 15 ML FLS 40,000
242 C.CATARLENT MINIDOS TUBE 5,500
243 C.CENDRID ED FLS 25,800
244 C.CENFRESH MDS TUBE 6,000
245 C.CETAMID 5ML ED FLS 19,100
246 C.CONVER 15CC FLS 22,100
247 C.CORTIHIST ED PCS 29,600
248 C.CORTIHIST MND ED STRP 28,300
249 C.EFRISEL 10 % ED FLS 12,700
250 C.EYEFRESH MDS STP 30,200
251 C.FENICOL 0,25% ED FLS 28,500
252 C.FENICOL 0.5% ED FLS 40,000
253 C.FENICOL SALEP TUBE 29,800
254 C.FLOURESCEIN 2% ED FLS 22,100
255 C.FLOXA MND ED STRP 34,900
256 C.HERVIS SM FLS 62,500
257 C.HYALUB MND ED STRP 80,800
258 C.L F X MND ED STRP 97,800
259 C.LUBRICEN GEL TUB 81,500
260 C.LYTEERS ED FLS 29,400
261 C.LYTER MND ED STRP 25,000
262 C.MYCETIN SM FLS 21,700
263 C.MYCOS ED FLS 34,300
264 C.MYCOS SM TUBE 34,300
265 C.MYDRIATIL 1% ED FLS 15,900
266 C.NONCORT MDS TUBE 11,100
267 C.PANTOCAIN 2% ED FLS 22,600
268 C.POLYDEX ED FLS 55,300
269 C.POLYNEL ED FLS 35,100
270 C.TIMOL 0.25% ED FLS 54,200
271 C.TIMOL 0.50% FLS 84,900
272 C.TOBRO ED FLS 49,500
273 C.TOBRO MDS TUBE 6,500
274 C.TOBROSAN EO FLS 63,100
275 C.TOBROSON ED FLS 76,400
276 C.TOBROSON MDS PCS 11,900
277 C.TROPIN ED FLS 19,100
278 C.ULCORI MND TUBE 6,700
279 C.VASACON A ED 15CC FLS 38,100
280 C.VASACON A MND ED STRP 26,200
281 C.VASACON ED 15CC FLS 30,400
282 C.VASACON MD STRP 28,900
283 C.VERNACEL MND ED STRP 27,000
284 C.VITAL TAB TAB 5,100
285 C.VITROLENTA MDS STRP 41,200
286 C.XITROL ED FLS 44,000
287 C.XITROL MNDS TUBE 6,600
288 C.XITROL SM TUBE 45,500
289 CA.GLUKONAS AMPU 12,100
290 CAIRAN 1;4 SANBE FLS 22,700
291 CAIRAN 2A INF FLS 15,900
292 CAIRAN 4:1 FLS 15,900

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 42

 1 2 3 4
293 CAL 95 TAB 5,100
294 CALCIDIN SYR FLS 25,600
295 CALCIDIN TAB TAB 900
296 CALCIUM LACTAT TAB 100
297 CALNIC PLUS SYR FLS 76,600
298 CALNIC PLUS TAB TAB 4,200
299 CALNIC SYR FLS 68,000
300 CALNIC TAB TAB 3,400
301 CALOS TAB 800
302 CANDERSARTAN 8 MG TAB 6,800
303 CAPSUL NO 3 CAPS 100
304 CAPTENSIN 12,5 MG TAB 600
305 CAPTOPRIL 12,5 MG TAB 200
306 CAPTOPRIL 25 MG TAB TAB 300
307 CAR Q TAB TAB 8,700
308 CARANAL CAP 1,100
309 CARBAMAZEPIN 200 MG TAB TAB 400
310 CARDIO ASPIRIN TAB TAB 2,000
311 CARDIOMIN CAP 3,400
312 CARDISAN 10 TAB TAB 14,000
313 CARDISAN 5 TAB TAB 7,900
314 CARDISMO TAB TAB 4,200
315 CARTRILET TABLET TAB 9,300
316 CAT GUT HR 26 3-0 PCS 76,200
317 CATAFLAM 25 tab TAB 3,500
318 CATAFLAM FAST 50 TAB'9 TAB 9,300
319 CATGUT CHROMIC 2-0 TAPPER PCS 68,000
320 CATGUT HR 26 2-0 PCS 80,100
321 CATHETER NO.28 (TORASIC) PCS 136,100
322 CATHETER NO.32 (TORASIC) PCS 136,100
323 CEALB 20% 100ML FLS 989,800
324 CEALB 20% 50ML FLS 464,000
325 CEDOCARD 10 TAB 2,100
326 CEDOCARD 5 MG TAB 1,300
327 CEDOCARD INJ AMP 99,300
328 CEFADROXIL 250 CAP CAPS 700
329 CEFADROXIL 500 MG CAP 1,300
330 CEFADROXIL SYR FLS 12,700
331 CEFARIN INJ VIAL 187,100
332 CEFAROX CAPS TAB 23,800
333 CEFAROX SYR FLS 102,100
334 CEFAT 500 MG CAP 14,500
335 CEFAT F SYR FLS 107,700
336 CEFAT SYR FLS 59,700
337 CEFAZOL 1 GR INJ VIAL 139,500
338 CEFILA 50 CAPS CAPS 9,300
339 CEFILA SYR FLS 106,300
340 CEFIXIME 100 @50 TAB 3,700
341 CEFIXIME 100 CAP CAP 3,700
342 CEFIXIME SYR FLS 46,800
343 CEFIZOX INJ VIA 348,800
344 CEFOPERAZONE INJ VIAL 170,200
345 CEFORIM INJ VIAL 429,000

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 43

 1 2 3 4
346 CEFOTAXIM 1 GR INJ @1 VIAL 10,900
347 CEFOTAXIM INJ HEXP VIAL 11,900
348 CEFSPAN 100 MG CAP CAP 28,700
349 CEFSPAN 200 TAB 44,100
350 CEFSPAN 50 MG CAP CAP 13,900
351 CEFSPAN SYR FLS 127,600
352 CEFTAZIDIME INJ VIAL 52,400
353 CEFTIZ IG INJ VIAL 246,600
354 CEFTIZOXIM I G VIAL 170,200
355 CEFTRIAXONE 1 GR INJ VIAL 13,200
356 CEFXON IG INJ VIAL 272,200
357 CELEBREX 100 CAP 11,200
358 CELEBREX 200 CAP 19,300
359 CELEMIN 10 INF FLS 131,000
360 CELEMIN 5 FLS 119,100
361 CELESTAMIN 30 ML SYR FLS 39,500
362 CELESTAMIN 60 ML SYR FLS 39,500
363 CELLCEPT 500 TAB TAB 33,900
364 CELLONA X-TRA ROL 32,300
365 CENTABIO GEL TUBE 17,900
366 CEPEZET 100 TAB 600
367 CEPRAZ INJ 1 GR VIAL 187,100
368 CEPTIK CAP CAP 25,200
369 CEPTIK SYR FLS 109,700
370 CERADOLAN 1GR VIAL 332,300
371 CERADOLAN 200 MG TAB TABL 24,100
372 CERCUL INJ/5 AMP 23,200
373 CEREMAX IV 2 DUS+I PE TUB VIAL 361,500
374 CERINI TAB 4,800
375 CERNEVIT INJ VIAL 195,600
376 CEROPID INJ VIAL 205,900
377 CERPALST AEROFILM 150 PCS 136,100
378 CERPLAST 50 AEROFILM PCS 80,800
379 CERPLAST BASIC 100X150 PCS 110,500
380 CERPLAST CAVITY 100 PCS 119,100
381 CETINAL 10 MG TAB TAB 7,300
382 CETINAL SYR FLS 63,800
383 CETIRIZIN TAB TAB 800
384 CHLORAMEX INJ VIAL 9,300
385 CHLORAMPHENICOL 250 MG @1 CAPS 300
386 CHLORAMPHENICOL SALEPMATA TUBE 2,700
387 CHLORAMPHENICOL SYR FLS 6,200
388 CHLORAMPHENICOL TK FLS 1,600
389 CHLORAMPHENICOL TM FLS 4,700
390 CHLORETHYL SPRAY FLS 187,100
391 CHOLESTAT 10MG TAB 4,500
392 CHOLVASTIN TAB TAB 14,100
393 CHROMIC 2/0 HR 26 PCS 80,100
394 CHROMIC 3/0 HR 26 PCS 76,200
395 CIFLON CAPL TAB 8,100
396 CIMETIDIN 200 MG TABL 200
397 CINOLON CREAM TUBE 22,300
398 CINOLON N CREAM TUB 24,300

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 44

 1 2 3 4
399 CINULA TAB TAB 6,800
400 CIPROFLOXACIN 500 MG TAB TABL 600
401 CIPROFLOXACIN INF FLS 88,200
402 CITAZ 100 TAB TAB 17,000
403 CITAZ 50MG TAB 9,300
404 CITICHOLIN 250 INJ AMP 25,600
405 CITICHOLIN 500 MG TAB TAB 11,400
406 CITROSOL TAB TAB 11,900
407 CIVELL 500 TAB 13,600
408 CIVELL INF FLS 224,600
409 CLABAT SYR BTL 78,200
410 CLACEF 1GR VIAL 168,400
411 CLANEKSI F SYR FLS 98,200
412 CLANEKSI INJ VIAL 127,300
413 CLANEKSI SYR FLS 73,400
414 CLANEXSI 500 CAPL CAPS 16,400
415 CLAVAMOX 1GR INJ VIAL 132,700
416 CLAVAMOX 500 TAB TAB 16,400
417 CLAVAMOX SYR FLS 81,700
418 CLIMADAN 150 CAP 6,300
419 CLIMADAN 300 CAP CAP 10,200
420 CLINDAMICIN 150 CAPS caps 800
421 CLINDAMYCINE 300 TAB 1,100
422 CLINMAS 150 TAB TAB 5,100
423 CLINMAS 300 TAB TAB 8,500
424 CLOBAZAM 10 MG TAB TAB 1,400
425 CLONIDIN TAB TAB 300
426 CLOPIDOGREL TAB TAB 12,900
427 CLOPISAN 75 TAB TAB 13,100
428 CLOZARIL 25MG TAB TAB 11,100
429 CO AMOXILAV 625 MG TAB 7,800
430 CODEIN 10 MG TAB 600
431 CODEIN 20 TAB TAB 1,300
432 CODIPRONT CAP CAP 6,800
433 CODIPRONT CUM EXP FLS 42,700
434 CODIPRONT SIR FLS 75,700
435 CODITAM TAB TAB 4,800
436 COLERGIS SYR FLS 59,500
437 COLERGIS TAB TAB 2,800
438 COLISTINE 1,5UG TAB 8,700
439 COLME ED FLS 32,300
440 COLME SYR FLS 22,500
441 COLOSTOMY BAG F5 PCS 4,200
442 COLSANCENTINE INJ VIAL 14,200
443 COLSANCETINE 250 MG CAPS TAB 800
444 COLSANCETINE SYR FLS 15,200
445 COMAFUSIN HEPAR FLS 268,800
446 COMBIVENT UDV AMP 12,500
447 COMBO PACK 18 PCS 47,600
448 COMBO PACK 20 PCS 44,200
449 COMBO PACK 22 PCS 40,500
450 COMBO PACK 24 PCS 46,000
451 COMBO PACK 24+SPALK BUAH 57,900

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 45

 1 2 3 4
452 COMSIKLA 500 TAB TAB 18,400
453 COMTUSI 100 ML SYR BTL 69,200
454 COMTUSI 60 ML SYR FLS 47,800
455 CONCOR 2.5MG TAB TAB 7,200
456 CONCOR 5MG TAB TAB 10,500
457 CONSTIPEN SYR FLS 93,600
458 COPPER T LIMAS PCS 59,500
459 CORDARONE TAB TAB 9,000
460 COROLENE 3-0 C PCS 153,100
461 COROLENE 4-0(20S15K) CUTT PCS 119,100
462 COROLENE 5-0(20S10K) PCS 127,600
463 COROLENE 6-0 (20S07D) PCS 144,600
464 CORSEL TAB TAB 6,800
465 CORTIDEX INJ AMP 8,900
466 CORTIDEX TAB TAB 300
467 COTRIMOXAZOLE 480 MG TB TAB 300
468 COTRIMOXAZOLE SYR FLS 5,400
469 CPG 75 TAB TAB 11,300
470 CPZ 100 MG TAB 200
471 CPZ 25 MG TABL 40
472 CRAVIT 500 TAB TAB 53,600
473 CRAVIT INF FLS 425,300
474 CRAVOX 500 TAB TAB 39,100
475 CRAVOX INF FLS 297,700
476 CRIPSA TAB TAB 19,300
477 CROM OPHTAL ED BTL 66,700
478 CTM (CHLORPHENIRAMIN) 4MG TABL 17
479 CURCUMA PLUS SYR FLS 12,900
480 CURCUMA TAB LOS PCS 900
481 CURCUMA TAB STRIP TAB 1,000
482 CURLIV CAPLT CAPT 3,100
483 CURLIV PLUS SYR FLS 34,100
484 CURLIV PLUS TAB TAB 3,700
485 CURVIT SYR FLS 22,100
486 CUTICELL CLASSI 10X10 PCS 20,100
487 CUTISORB 10X20 PCS 25,600
488 CUTISORB 4x6 PCS 32,700
489 CUTISORB SORBAT7X9 PCS 51,000
490 CYGEST OVULA TAB 18,700
491 CYTOSTOL TAB TAB 13,600
492 DACLON 2/0 DS 24MM PCS 76,600
493 DACLON 3/0 EP 2 PCS 76,600
494 DACLON 4/0 EP1.5 PCS 75,100
495 DACLON 5/0 PCS 75,100
496 DACLON 6/0 PCS 75,100
497 DAFILON 2/0 DS24C PCS 116,300
498 DAFILON 3-0 C DS24 PCS 104,800
499 DAFILON 4-0 DS19 PCS 103,700
500 DAFILON 5-0 DS16 C PCS 89,300
501 DAKTARIN ORAL GEL TUB 80,800
502 DALMADORM TAB 4,100
503 DAMABEN DROP FLS 17,900
504 DAMABEN SYR FLS 12,800

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 46

 1 2 3 4
505 DAMABEN TAB TAB 500
506 DANSERA TABLET TAB 4,000
507 DARYACEF INJ VIAL 252,600
508 DARYANT-TULLE PCS 19,100
509 DAY-CAL TAB 2,100
510 DEFLAMAT CR 100 TAB 10,700
511 DEFLAMAT CR 75 TAB 8,900
512 DEHAF TAB SACH 9,700
513 DEPAKENE SYRUP FLS 112,900
514 DEPAKOTE 250 TAB TAB 6,600
515 DEPAKOTE ER 250MG TAB 4,300
516 DEPAKOTE ER 500MG TAB 16,200
517 DERMAFILM 23 PCS 44,200
518 DERMALON 2-0 (1727-51) PCS 75,700
519 DERMALON 3-0 <1756-41> PCS 91,000
520 DERMALON 4-0 (1756-31) PCS 103,800
521 DERMALON 5-0 1741 PCS 111,600
522 DERMANID CR TUBE 33,600
523 DESOLEX CR 10 G TUB 26,400
524 DEXACAP 25 TAB 500
525 DEXAMETHASON TAB TAB 100
526 DEXAMETHASONE 0,5 MG INJ AMP 2,800
527 DEXAZOL TAB TAB 800
528 DEXOCORT 0.25 CRM TUBE 32,900
529 DEXON 0 (9828-61)TAPPER PCS 129,200
530 DEXON 1 (9864-71) CUTTING UNIT 120,800
531 DEXON 1 TAPPER(9836-71) PCS 139,100
532 DEXON 2-0 (9618-51)CUTT PCS 107,500
533 DEXON 3-0 (9618-41) CUTT PCS 107,500
534 DEXON 3-0 (9819-41)TAPPER PCS 123,500
535 DEXON 4-0 (9813-31) TAPP PCS 104,900
536 DEXON 4-0(9612-31)CUTT PCS 121,300
537 DEXON 5-0 7206 PCS 120,400
538 DEXON 6-0 C PCS 219,000
539 DEXON 6-0 TAPP PCS 229,700
540 DEXTAFEN TAB TAB 1,700
541 DEXTAMIN SYR FLS 36,700
542 DEXTAMIN TAB TABL 2,800
543 DEXTROMETHORPHAN 60 ML SY FLS 4,500
544 DEXTROP TAB 15 MG TAB 100
545 DEXTROSE 10% INf FLS 15,900
546 DEXTROSE 40 % AMP 3,200
547 DEXTROSE 5 % OTSUKA FLS 8,200
548 DEXTROSE 5% SANBE FLS 21,800
549 DEXTROSE EUROMED FLS 11,100
550 DEXYCLAV 500 TAB 15,200
551 DHAFIT SYR FLS 29,800
552 DIABETASOL COKLAT DOS 46,000
553 DIABETASOL VANILA BOX 46,000
554 DIABEX 500 TAB 1,600
555 DIAFLON 18 PCS 11,600
556 DIAFLON 20 PCS 11,600
557 DIALAC 20 SACH SACH 7,700

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 47

 1 2 3 4
558 DIALON TAB TAB 3,700
559 DIAZEPAM 2 MG TAB 20
560 DIAZEPAM 5 MG TAB TAB 100
561 DIFLOXIN INF VIAL 289,200
562 DIFLOXIN TAB TAB 35,700
563 DIFTERI TETANUS VIAL 61,300
564 DIGOXIN TAB TABL 200
565 DILANTIN CAP CAP 5,600
566 DILBLOC 25 TAB TAB 10,800
567 DILBLOC 6.25 TAB TAB 4,200
568 DILMEN 60 TAB 1,400
569 DILTIAZEM 30 TAB 400
570 DIMEDAZOL INF FLS 93,600
571 DISPO.ELEKTRODE UNIT 6,800
572 DITALIN TAB TAB 2,600
573 DIUVAR INJ AMP 13,600
574 DIVASK 10 TAB TAB 15,300
575 DIVASK 5MG TAB TAB 1,300
576 DOBUJECT 250/5ML INJ AMP 214,000
577 DOBUTEL INJ VIAL 49,500
578 DOGMATIL CAP 5,100
579 DOKSISILIN 100 MG TAB 500
580 DOLOFENAC TAB TAB 4,800
581 DOLONES CR TUBE 66,300
582 DOMINIC INJ VIAL 165,400
583 DOMPERIDONE TAB TAB 1,200
584 DOPAC 200 INJ AMP 62,900
585 DOPAMET 250 MG TABL 2,700
586 DOXACIN CAP CAP 6,100
587 DOXERGAN TAB TAB 40
588 DPT INJ AMP 12,000
589 DRAMAMINE TAB TAB 1,900
590 DROXEFA 500 TAB TAB 13,600
591 DULCOLAX 10 DEWASA"50 SUPP 16,700
592 DULCOLAX 10 MG @5 SUP 114,200
593 DULCOLAX 10 SUPP SUP 23,900
594 DULCOLAX 5 MG TAB TAB 1,200
595 DULCOLAX SUPP 10 MG DWS SUPP 21,200
596 DULCOLAX SUPP 5 MG ANAK SUPP 15,800
597 DUMIN RECTAL PCS 16,400
598 DUMOZOL INF FLS 30,600
599 DUVADILAN TAB TAB 3,200
600 EAS PRIMER FLS 88,500
601 EBB 25 %(BENZIL BENZOAT) CC 100
602 ECOLEN 2/0 C PCS 103,800
603 ECOLENE 3/0 C PCS 124,200
604 ECOLENE 4/0 C PCS 112,300
605 ECOLENE 5/0 C PCS 127,600
606 ECOLENE 6-0 PCS 136,100
607 ECOSORB 1 CUTING PCS 125,900
608 ECOSORB 1 TAPER PCS 117,400
609 ECOSORB 2-0 TAPER PCS 114,000
610 ECOSORB 3-0 CUTING PCS 98,600

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 48

 1 2 3 4
611 ECOSORB 4-0 PCS 95,200
612 ECOTRIXON INJ VIAL 238,200
613 EDOTIN CAP TAB 6,200
614 EFLAGEN 50 TAB TAB 2,900
615 ELASTIC BIDAI 3INC ROLL 34,800
616 ELASTIC BIDAI 4INC ROLL 34,800
617 ELKANA SYRUP FLS 29,800
618 ELKANA TABLET TABL 1,000
619 ELOX 5 GR CR TUBE 51,000
620 ELOX CR 10 G TUB 93,600
621 ELPICEF I GR INJ VIAL 246,600
622 ELSAZYM FILM TAB 2,600
623 ENATIN TAB TAB 1,900
624 ENCEPHABOL SYR FLS 89,800
625 ENGERIX B INJ DOSI 68,000
626 ENTRASOL COKLAT SAC 44,200
627 ENTRASOL MOCCA SAC 40,800
628 ENTRASOL VANILA SAC 44,200
629 EPEXOL SYR FLS 22,700
630 EPEXOL TAB TAB 1,100
631 EPIDOSIN INJ AMP 28,000
632 EPREX 2000 UI PCS 303,700
633 EPRINOC TAB 4,700
634 ERGOMETRIN MAL TAB TAB 20
635 ERITROMYCIN 200 MG SYR FLS 13,000
636 ERITROMYCIN 250 MG CAPS 700
637 ERYMED CR 20 GR TUBE 36,500
638 ERYSANBE 250 CAP 1,900
639 ERYSANBE 500 TAB 3,500
640 ERYSANBE CHEW TAB 2,100
641 ERYSANBE SYR FLS 29,200
642 ERYTROMYCIN 500 MG KAPS 1,700
643 ESILGAN 2MG TAB 4,900
644 ESTAZOR 250 TAB 8,500
645 ETASON INJ AMP 8,500
646 ETHAMBUTOL 500 MG TABL 900
647 ETHICON 6-0 PCS 56,100
648 ETHIFLEX 4/0 PCS 56,100
649 ETHIGEN INJ AMP 5,000
650 ETT 2.5 PCS 127,600
651 ETT 3 PCS 37,500
652 ETT 3.5 PCS 51,000
653 ETT 3.5 PCS 73,800
654 ETT 6.5 UNIT 90,100
655 ETT NO 3.5 PCS 90,100
656 ETT NO 6 PCS 37,500
657 ETT NO 7 UNIT 37,500
658 ETT NO 7.5 PCS 37,500
659 ETT NO.2 PCS 37,500
660 EUPHYLIN R. MITE TAB TAB 1,200
661 EUPHYLIN RETARD TAB 2,600
662 EUTHYROX 100 TAB TAB 2,200
663 EUTHYROX 50 TAB TAB 1,400

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 49

 1 2 3 4
664 EVALEN GEL 10 GR TUBE 63,800
665 EXCELASE-E CAP 2,900
666 EXERGIN 4.5 MG TAB TAB 6,000
667 EXZADE PB TAB 250 MG TAB 54,900
668 EYEVIT SYR FLS 59,900
669 EYEVIT TAB TAB 5,300
670 FAKTU OINT TUBE 110,400
671 FAKTU SUPPO SUPP 10,600
672 FALERGI TAB TAB 2,600
673 FAMOCID 20 MG TAB TAB 5,100
674 FANSIDAR TAB TAB 11,200
675 FARGOXIN TAB TAB 400
676 FARMADOL INF FLS 85,100
677 FARMALAT TAB 10 MG TAB 700
678 FARMASAL TAB TAB 600
679 FARSIK INJ AMP 10,200
680 FARSIK TAB TAB 1,300
681 FARSORBID INJ VIAL 102,100
682 FARSORBID TAB TAB 300
683 FEBOGREL TAB TAB 18,700
684 FEEDING N0.10 PCS 22,300
685 FEEDING N0.12 PCS 16,200
686 FEEDING N0.5 PCS 27,500
687 FEEDING N0.6 PCS 22,500
688 FEEDING N0.8 PCS 27,500
689 FEEDING N0.8 PANJANG PCS 25,700
690 FEEDING NO.3,5 PCS 27,500
691 FEEDING NO.5 (PANJANG) PCS 25,700
692 FEEDING TUBE 6 PANJANG PCS 22,500
693 FENRIS SUSP FLS 20,100
694 FEROFORT CAPL CAPL 2,300
695 FERRIPROX 500 TAB TAB 44,200
696 FERRO SULFAT TAB 100
697 FEXOFED CAP KAP 15,300
698 FIBESCO CAPS CAPS 13,600
699 FIBRAMED 300 TAB CAPS 10,200
700 FIMAHES INF FLS 138,700
701 FIXOMUL 5X5 PAK 60,400
702 FLAGYL SYR 60CC FLS 61,900
703 FLAMAR 25 MG TABL 1,100
704 FLAMAR 50 MG TABL 2,400
705 FLAMAR ED FLS 46,300
706 FLAMERGI ED FLS 24,600
707 FLAMICORT INJ VIAL 149,700
708 FLAVIN TAB TAB 2,900
709 FLEET ENEMA FLS 106,700
710 FLEET PHOSPHOSODA FLS 86,100
711 FLEXIMAX TAB TAB 6,000
712 FLEXOR DS CAP KAP 5,600
713 FLOXIGRAINF FLS 77,300
714 FLUCODIN TAB TAB 1,100
715 FLUCONAZOL TAB TAB 34,100
716 FLUCORAL 150 TAB TAB 98,600

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 50

 1 2 3 4
717 FLUIMUCIL CAPS 200 CAPS 4,800
718 FLUORICARE TAB TAB 400
719 FLUZEP KAPLET TAB 1,200
720 FM CREPE 3INC PCS 62,000
721 FM CREPE 4INC ROLL 75,100
722 FM CREPE 6INC ROLL 108,100
723 FOLAC TAB TAB 1,000
724 FOLAVIT 400 TAB 800
725 FOLIC ACID 1 MG TABL 100
726 FOLLY CATH 10 PCS 13,100
727 FOLLY CATH 12 PCS 13,100
728 FOLLY CATH 14 PCS 13,100
729 FOLLY CATH 16 PCS 13,100
730 FOLLY CATH 18 PCS 13,100
731 FOLLY CATH 20 PCS 13,100
732 FOLLY CATH 22 PCS 13,100
733 FOLLY CATH 24 PCS 13,100
734 FOLLY CATH 8 PCS 13,100
735 FOOTHY CRM TUB 30,600
736 FORANSI 10 CAPS CAPS 5,100
737 FORANSI 20 CAPS CAPS 7,700
738 FORASMA SYR FLS 32,300
739 FORASMA TAB TAB 1,400
740 FORBETES 500 TAB 1,200
741 FORBETES 850 TAB 1,300
742 FORDESIA TAB TAB 34,900
743 FORINFEC GARGLE FLS 23,800
744 FORMYCO 200 MG TAB TAB 6,700
745 FORMYCO CREAM 10 GR TUBE 24,300
746 FORNEURO CAP 6,700
747 FORRES TAB TAB 6,300
748 FORUMEN TK FLS 33,700
749 FOSMICIN 2 GR INJ VIAL 232,900
750 FOSULAR INJ VIAL 263,700
751 FOTARAM INJ I GR VIAL 163,600
752 FREGO 10 MG TAB TAB 8,800
753 FREGO 5 TAB 7,100
754 FRESUBIN VANILA FLS 37,500
755 FRIDEP TAB 10,200
756 FRISIUM TAB TABL 4,200
757 F-SLIM TAB TAB 6,000
758 FUCIDIN CR TUBE 62,900
759 FUCITHALMIC ED FLS 102,100
760 FUCOHELIX 100MG TAB 14,500
761 FUCOHELIX 50MG TAB 6,000
762 FUCOIDAN 100 TAB TAB 17,900
763 FUCOIDAN SYR FLS 121,200
764 FULADIC 5GR TUBE 57,900
765 FURROCEMIDE 40 MG TABL 200
766 FURROCEMIDE INJ 10 MG AMP 2,400
767 FUSON CR TUBE 10,700
768 FUZIDE SYR FLS 54,400
769 GASTROLAN CAPS CAPS 17,000

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 51

 1 2 3 4
770 GASTRUL TAB TAB 16,100
771 GAVAZOL 150 TAB TAB 68,000
772 GELOFUSAL INF FLS 136,800
773 GELOFUSIN INF FLS 136,800
774 GEMFIBROZIL 300 CAP 400
775 GENTAMYCIN 0.1%CR TUB 3,000
776 GENTAMYCIN INJ GENERIK AMP 3,800
777 GERDILIUM DROP FLS. 46,000
778 GERDILIUM SYR FLS 46,000
779 GERDILIUM TAB TAB 4,200
780 GERIATRIE TAB CAPS 8,500
781 GLAUCON TAB 6,400
782 GLIBENKLAMID TAB TAB 200
783 GLICERIL GUACOLAT TAB 40
784 GLIDABET 80 TAB 1,700
785 GLIMERIPIDE 1MG TAB 1,300
786 GLIMERIPIDE 2MG TAB 2,500
787 GLIQUIDON TAB 900
788 GLISODIN CAP CAP 8,500
789 GLOCOPHAGE TAB 500MG TAB 1,700
790 GLUCOBAY 50 TAB TAB 2,600
791 GLUCOBION TAB TAB 2,800
792 GLUCODEX TAB TAB 500
793 GLUCOSAMIN 250 TAB TAB 1,300
794 GLUCOSAMIN 500 tab TAB 2,300
795 GLUCOVANCE 2.5MG TAB TAB 4,900
796 GLUKOLOS TAB TAB 2,200
797 GLUMIN TAB 500 TAB 1,400
798 GLUMIN XR TAB TAB 1,900
799 GLURENORM TAB 3,400
800 GLUTROP TAB TAB 19,600
801 GLYBOTIC 250 INJ VIAL 130,800
802 GLYBOTIC 500 INJ VIAL 226,700
803 GOFLEX 500 TAB 11,100
804 GOFORAN I G INJ VIAL 187,100
805 GOTROPIL 3 G inj AMP 30,600
806 GOVAZOL TAB TAB 85,100
807 GOVOTIL 2 MG TAB TAB 1,700
808 GRACIVASK 5 TAB TAB 7,700
809 GRANEM 1G INJ VIAL 306,300
810 GYPSONA 10 CM ROLL 64,700
811 GYPSONA 15 CM ROLL 81,700
812 GYPSONA 7,5 CM ROL 33,200
813 GYPSONA SPILT 4" METR 386,200
814 GYPSONA SPILT 5" METR 424,800
815 HAEMACELL INFUS FLS 289,200
816 HAEMOSTOP 250 INJ AMP 6,300
817 HALOPERIDOL 0,5 MG TABL 100
818 HALOPERIDOL 1,5 MG TABL 100
819 HALOPERIDOL 5 MG TAB TAB 200
820 HARNAL CAPS TABL 17,300
821 HCT (HYDROCHLORTIAZIDE> TABL 40
822 HEDIX KAPLET KAP 1,400

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 52

 1 2 3 4
823 HEMAPO 3000 IU INJ VIAL 267,500
824 HEPABALANCE CPS CAPS 12,700
825 HEPAMAX CAP CAP 10,800
826 HEPA-MERZ AMP 152,600
827 HEPATIN CAP TAB 6,800
828 HEPATOSOL COKL SACK 95,200
829 HEPATOSOL VANIL BOX 95,200
830 HEPTASAN TAB TAB 300
831 HERBESSER 50 MG INJ AMP 459,300
832 HERBESSER CD 100 TAB 12,600
833 HERBESSER CD 200 TAB 19,300
834 HERCLOV TAB TAB 20,300
835 HESTAR INF FLS 83,300
836 HEXADOL GARGLE FLS 20,400
837 HEXILON 4 TAB TAB 3,800
838 HEXILON 8 TAB TAB 6,300
839 HEXILON INJ 125MG VIAL 125,000
840 HEXYMER 2 TAB 400
841 HI BONE 600 TAB TAB 5,500
842 HIALID ED FLS 90,100
843 HI-BONE TAB 4,800
844 HISTAPAN 50 MG TAB TAB 800
845 HOMOCLOMIN 10 MG TAB 2,700
846 HUMAPEN ERGO 2 MS PCS 306,300
847 HUMULIN R CATR 100 VILA 127,600
848 HUMULIN R INJ VIAL 317,000
849 HYDREA CAPS CAPS 14,800
850 HYDROCORTISON 2.5%CR 5GR TUBE 6,000
851 HYPAFIX 5cmX10 PCS 185,400
852 HYPERIL 5 mg tab TAB 11,900
853 HYPOBAC 100 INJ AMP 182,500
854 HYPOBHAC 200 INJ VIAL 325,200
855 HYPOFIL CAP CAP 3,100
856 HYSTOLON TAB TAB 4,700
857 HYTRIN 2MG TAB 9,200
858 HYTRIN IMG TAB 5,200
859 HYTROZ 1MG TAB 4,500
860 HYTROZ 2MG TAB 14,300
861 I.SALMICOL 0.5 % FLS 17,000
862 I.SALMICOL 1% FLS 20,400
863 IBU PROFEN 200 MG TAB 200
864 IBU PROFEN 400 MG TAB TAB 300
865 IBUPROFEN SYR FLS 5,400
866 IKALEP 250MG TAB 3,800
867 IKAMICETIN SK TUBE 9,300
868 IKAMICETIN SM TUBE 5,400
869 IKAPHEN CAPS CAPS 2,100
870 IM BOOST FORCE TAB 6,500
871 IM BOOST SYR 60 FLS 42,500
872 IM BOOST TAB TAB 3,900
873 IMDUR CAP 60mg TAB 7,700
874 IMPUGAN INJ AMPU 12,600
875 IMUDATOR SYR FLS 73,200

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 53

 1 2 3 4
876 IMUDATOR TAB TAB 9,300
877 IMUNOS SYR FLS 85,100
878 IMUNOS tab TAB 8,500
879 IMUNOVIT TAB TAB 9,300
880 INDOP INJ VIAL 51,000
881 INDUXIN INJ AMP 3,400
882 INERSON SALEP TUBE 43,600
883 INF SET UNIONEX PCS 5,400
884 INFUS SET AMS PCS 5,400
885 INFUS.SET/MICRO DRIP PCS 6,200
886 INFUSION SET PCS 5,400
887 INHA 400 TAB 900
888 INHA 400 TAB TAB 800
889 INMATROL ED FLS 31,700
890 INOTROP INJ VIAL 168,400
891 INOVAD INJ VIAL 340,200
892 INPEPSA 100 ML SYR FLS 78,200
893 INPEPSA 200 ML SYR FLS 114,000
894 INSULATARD NOVOLET AMP 223,800
895 INTERCON CR 10 G TUBE 101,100
896 INTERDOXIN 50 TAB TAB 6,200
897 INTERHISTIN TAB TAB 900
898 INTERNOLOL TAB 50 MG TAB 2,700
899 INTERPEC 30 CC SYR FLS 46,800
900 INTERPEC 30 MG TAB TABL 1,700
901 INTERPECT 15 SYR FLS 35,600
902 INTERPRIL TAB 5 MG TAB 3,900
903 INTERZOL TAB TAB 7,500
904 INTRAFIX SAFESET IS PCS 25,600
905 INVICLOT INJ VIAL 97,000
906 INVITEC TAB TAB 10,000
907 IRONYL CAPL CAPL 2,300
908 IRVASK 150 TAB TAB 12,700
909 IRVASK 300 TAB TAB 16,100
910 IRVEL 150 TAB TAB 11,700
911 ISONIAZIDE 100 MG TABL 100
912 ISONIAZIDE 300 MG TABL 100
913 ISOSORBIDE DINITRAT 5MG TAB 100
914 ITZOL TAB TAB 23,800
915 IV 18 TROGE UNIT 11,600
916 IV 20 TROGE UNIT 11,600
917 IV 22 troge PCS 12,000
918 IV 24 troge UNIT 11,600
919 IV AESCOMED 20 PCS 12,000
920 IV BD 18 PCS 16,400
921 IV CANULA 16 PCS 20,400
922 IV CANULA 18 PCS 23,000
923 IV CANULA 20 PCS 23,000
924 IV CANULA 22 PCS 22,100
925 IV CANULA 24 PCS 12,000
926 IV CANULA 26 PCS 22,500
927 IV TERUMO 18 PCS 25,200
928 IV TERUMO 24 PCS 33,600

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 54

 1 2 3 4
929 IVELIP 20% 100ml FLS 236,500
930 JELCO 18 PCS 21,200
931 JELCO 20 PCS 12,000
932 JELCO 22 PCS 12,000
933 JELCO 24 PCS 12,000
934 KA-EN 1B INFUS FLS 23,100
935 KA-EN 3A FLS 23,100
936 KAEN 4A INF FLS 21,800
937 KAEN 4B INF FLS 23,100
938 KA-EN MG 3 INFUS FLS 25,200
939 KALFOXIM IG INJ VIAL 188,900
940 KALII CHLORID POWDE GRAM 700
941 KALKURENAL DROPS FLS 154,400
942 KALMECO 500 CAP CAP 3,000
943 KALMECO INJ AMP 28,300
944 KALMETHASON INJ AMP 3,800
945 KALMOXILIN I GR INJ VIAL 39,100
946 KALMOXILLIN 250 SYR FLS 41,700
947 KALMOXILLIN 500 TAB TAB 3,200
948 KALNEX 500 MG TAB TAB 3,900
949 KALNEX INJ AMPU 12,700
950 KALOSTE TAB 7,800
951 KALPICILLIN 1GR VIAL 21,200
952 KALTROFEN EC 100 MG CAP CAP 6,800
953 KALTROFEN GEL TUBE 82,200
954 KALTROFEN INJ 100 MG AMP AMP 37,500
955 KALTROFEN OD 200 MG CAP CAP 7,900
956 KALTROFEN SUPP SUPP 6,900
957 KALTROPEN 50 TAB TAB 3,800
958 KALXETIN 10 MG CAP CAP 5,500
959 KALXETIN 20 CAPS CAPS 1,200
960 KARY UNI ED FLS 52,800
961 KASA KAMBIUM BOX 9,900
962 KASA LIPAT GOLD(GOLD) PCS 12,800
963 KASA LIPAT SILVER(TAMPON) PCS 7,300
964 KASA STERIL PCS 4,600
965 KASA TAMPON SILVER PCS 7,300
966 KELFEX 500 MG CAP KAPL 13,600
967 KENACORT A INJ 10 MG VIAL 159,400
968 KENALOG IN ORA BASE TUB 62,900
969 KENANTIST TAB 4,300
970 KENDARON INJ AMP 36,500
971 KENDARON TAB TAB 7,200
972 KETAMIN-HAMELN VIAL 187,500
973 KETESSE 25 TAB 10,200
974 KETESSE INJ AMP 60,800
975 KETOKONAZOL 200MG TAB TAB 600
976 KETOKONAZOL CREAM TUB 10,900
977 KETOMED SCALP SOLUTION FLS 37,500
978 KETOPROFEN INJ AMP 11,900
979 KETOPROFEN TAB TAB 1,100
980 KETOROLAC INJ AMP 22,800
981 KETOROLAC TAB TAB 3,900

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 55

 1 2 3 4
982 KIDMIN INF FLS 120,700
983 KLIRAN INJ AMP 34,100
984 KOATE DVI 280 IU VIAL 1,941,800
985 KONDOM CATHETER UNIT 12,200
986 K-PAIN INJ AMP 25,600
987 KSR ALUFIL 600 MG TAB 4,100
988 L BIO SACH SACH 6,300
989 LACEDIM INJ VIAL 263,700
990 LACOLDIN SYR FLS 20,400
991 LACTACYD LIQ 60ML FLS 27,100
992 LACTULAC 60 CC FLS 56,100
993 LACTULAX 120ML FLS 84,200
994 LAGESIL SYR FLS 39,100
995 LAMESON 4 TAB TAB 3,700
996 LAMESON 8MG TAB 6,300
997 LAMINARIA STIF F PCS 143,100
998 LANAGINKOLA CAP 7,500
999 LANARIF TAB 4,200
1000 LANCEF INJ VIAL 153,100
1001 LANCID 30 tab TAB 19,600
1002 LANITOP 0,1 MG TABL 2,500
1003 LANSOPRAZOLE 30MG TAB 2,100
1004 LANTIFLAM 100 TAB 4,500
1005 LAPIBAL 500 MG CAP 2,700
1006 LAPICEF 125 SYR FLS 57,900
1007 LAPICEF 250 SYR FLS 93,600
1008 LAPICEF 500 TAB 13,600
1009 LAPIFLOX 500 TAB TAB 17,000
1010 LAPIMOX F.SYR 250 MG FLS 44,200
1011 LAPIMOX SYR 125 MG BTL 27,200
1012 LAPIMOX TAB 500 MG TAB 3,100
1013 LAPIMUC TAB 30MG TAB 1,000
1014 LAPIROM 1 G INJ VIAL 370,800
1015 LAPISTAN 500 TAB TAB 1,300
1016 LAPIXIME 1GR VIAL 187,100
1017 LAPRAZ TAB CAPS 16,400
1018 LASAL EXPECT SYR FLS 46,800
1019 LASAL SYRUP FLS 29,800
1020 LASGAN CAPS CAPS 17,000
1021 LASMALIN SYR FLS 32,300
1022 LATROPIL SYR 100 FLS 57,900
1023 LAXADINE SYR FLS 40,000
1024 LAXOBERON DROP FLS 77,900
1025 LCD ML 2,500
1026 LEGRES CAPS CAPS 3,700
1027 LEGRESKIN TAB TAB 6,500
1028 LEIKOPLAS 5 CMX1M ROLL 53,400
1029 LEPARSON TAB 6,400
1030 LEPIGO TAB 500
1031 LESICHOL CAPS CAP 10,200
1032 LESIDAS 10 MG TAB TAB 6,800
1033 LESIFIT CAP CAP 8,500
1034 LESIPAR 300 CAP CAP 4,800

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 56

 1 2 3 4
1035 LETONAL 100 MG TAB TAB 5,500
1036 LETONAL 25 TAB 1,800
1037 LETROPAR 300 TAB TAB 8,900
1038 LEUKOCRAPE 6" ROLL 96,900
1039 LEUKOCREPE 4" ROLL 64,300
1040 LEUKODUR 3" ROLL 24,700
1041 LEUKODUR 4" ROL 33,200
1042 LEUKODUR 6" ROL 45,100
1043 LEUKOMED 7.2X5 PCS 2,300
1044 LEUKOMED IV NON WOVEN PCS 5,800
1045 LEUKOMED T 8X10 PCS 11,200
1046 LEUKOMED T PLUS 8X10 PCS 14,700
1047 LEUKOMED T PLUS 8X15 PCS 21,200
1048 LEUKOPLAST 1/2 X 1 CM PCS 4,000
1049 LEVAZIDE TAB TAB 6,600
1050 LEVEMIR FLUXPEN PEN 253,200
1051 LEVOCIN 500 TAB TAB 50,200
1052 LEVOCIN INF FLS 421,300
1053 LEVOFLOXACIN INFUS FLS 136,100
1054 LEVOFLOXACIN TAB TAB 2,100
1055 LEVORES INF FLS 195,600
1056 LIBRAX TAB 2,800
1057 LIMBRITOL CAP CAP 3,500
1058 LIORESAL TAB 10MG TAB 10,700
1059 LIPITOR 10 TAB 24,800
1060 LIPITOR 20 TAB 21,400
1061 LIPITOR 40 TAB 31,500
1062 LIPOFOOD TAB 6,600
1063 LOCOID CREAM 10 GR TUBE 73,200
1064 LODIA 2 TAB 1,300
1065 LODOMER 2 MG TAB 1,400
1066 LODOMER 5MG TAB 2,600
1067 LODOPIN 25 TAB TAB 11,300
1068 LODOPIN 50 TAB TAB 19,600
1069 LODOZ TAB tab 9,400
1070 LOMATUEL PCS 18,500
1071 LONGCEF 500 MG CAP 14,800
1072 LONGCEF F SYR FLS 110,500
1073 LONGCEF SYR FLS 68,000
1074 LOPITEN 5 MG TAB TAB 6,800
1075 LORATADINE TAB 800
1076 LORINID MITE TAB TAB 1,700
1077 LOT KUMERFELDI 100CC FLS 46,000
1078 LOTASBAT CR TUBE 51,000
1079 LOTASBAT OINT 10 G TUBE 47,100
1080 LOVENOX 0.4 INJ AMP 206,400
1081 LOVENOX 0.6 INJ AMP 295,300
1082 LUBRICENT GEL TUB 81,500
1083 LUDIOMIL 25 TAB TAB 9,700
1084 LUTENYL CAP CAP 12,500
1085 LUTEVIT TAB 5,100
1086 LYCOTEN TAB 4,200
1087 LYRICA 75MG tab TAB 17,600

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 57

 1 2 3 4
1088 MAAG SLANG 12 PCS 27,800
1089 MAAG SLANG 14 PCS 27,800
1090 MAAG SLANG 16 PCS 30,600
1091 MAAG SLANG 18 PCS 39,100
1092 MAG SLANG 20 PCS 27,800
1093 MAGN.SULFAT 40% AMP 6,600
1094 MAGN.SULP 20 % 25 ML AMP 4,100
1095 MAGTRAL F SYR FLS 37,500
1096 MAGTRAL FORTE TAB TAB 900
1097 MAGTRAL SYR FLS 32,300
1098 MAINTATE 2.5 TAB 6,700
1099 MAINTATE 5 TAB TAB 9,300
1100 MALTIRON PLUS TAB TAB 1,200
1101 MALTOFER CHEW TAB 3,500
1102 MANITOL 20% INJECTION FLS 106,500
1103 MASKER OXIGEN ANAK PCS 63,800
1104 MASKER OXIGEN DEWASA PCS 63,800
1105 MATOOVIT FIFTY TAB 5,700
1106 MATOVIT SYR FLS 39,100
1107 MATOVIT TAB TAB 4,900
1108 MECOBALAMIN 500 CAPS CAP 1,200
1109 MECOBALAMIN INJ AMP 13,600
1110 MECOLA FORTE TAB CAPL 8,500
1111 MECOLA TAB TAB 5,500
1112 MEDERMA CR 20GR TUBE 194,700
1113 MEDIAMER B6 TAB 3,300
1114 MEDICINE PACK BOX 3,164,300
1115 MEDIFLEX 30 G CR TUB 103,100
1116 MEDIFLEX CREAM 75 GR TUBE 257,700
1117 MEDIXON INJ 125 VIAL 102,100
1118 MEDIXON TAB 4 TAB 3,400
1119 MEFINAL 500 MG TAB 1,800
1120 MEFIX 500 MG KAPL 1,400
1121 MEFOTIK IG INJ VIAL 510,400
1122 MEFUROSAN CRM TUB 99,600
1123 MEGABAL CAP 2,300
1124 MEGAZING CAP CAP 2,600
1125 MEIXAM 500 CAP 4,900
1126 MELOXICAM 15 TAB 1,900
1127 MELOXICAM 15MG TAB/50 TAB 1,900
1128 MELOXICAM 7.5 TAB TAB 1,000
1129 MEPTIN SYR FLS 59,700
1130 MERCOTIN DROP FLS 59,900
1131 MERISLON TAB TAB 4,300
1132 MERLOPAM 0.5 MG TAB 600
1133 MEROFEN I G VIAL 731,500
1134 MEROPENEM 0.5 GRAM VIAL 170,200
1135 MEROPENEM IG INJ VIAL 306,300
1136 MEROSAN INJ VIAL 732,900
1137 MEROTIK INJ VIAL 510,400
1138 MERTIGO TAB 3,900
1139 MERTIGO SR TAB TAB 7,700
1140 MESTINON TAB TAB 11,600

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 58

 1 2 3 4
1141 METFORMIN 500 TAB 300
1142 METFORMIN 850 TAB 800
1143 METHYLPRED 125 MG INJ VIAL 54,900
1144 METHYLPREDNISOLON 16MG TAB 2,200
1145 METHYLPREDNISOLON 4MG TAB 700
1146 METIL ERGOMETRIL TAB TAB 200
1147 METIL PREDNISOLON 8 TAB TAB 1,300
1148 METOCLOPRAMIDE 10MG TAB 100
1149 METRIX 1MG TAB 3,300
1150 METRIX 2MG TAB 6,200
1151 METRIX 3MG TAB 8,300
1152 METRIX 4MG TAB 9,600
1153 METROFUSIN INF INF 15,300
1154 METROLET SYR FLS 8,800
1155 METRONIDAZOLE 500 MG TABL 300
1156 METRONIDAZOLE GNK INF FLS 45,600
1157 METVELL INJ AMP 8,400
1158 METVELL TAB TAB 2,400
1159 MEXPHARM 15 TAB 12,100
1160 MEXPHARM 7.5 TAB TAB 7,200
1161 MEXPHARM SUPP SUP 15,500
1162 MEYLON 25 MG INJ AMPU 12,700
1163 MICONAZOLE CR TUBE 4,700
1164 MICRO DRIP BURET PCS 113,100
1165 MICROBAR POWDER 500 GRAM PCS 123,000
1166 MICROLAX SUPPO SUPO 23,000
1167 MIKASIN 250 mg INJ VIAL 100,500
1168 MIKASIN 500 MG INJ VIAL 165,500
1169 MITOLIFE TAB 7,000
1170 MIXTARD 100IU AMP 493,400
1171 MIXTARD 30 NOVOLET AMP 203,500
1172 MOLOCO B12 TABL 3,900
1173 MONECTO 20 TAB TAB 4,000
1174 MONOFIT 3-0 CUTING PCS 127,600
1175 MONOSOF 2-0 SN-664 PCS 71,400
1176 MONOSOF 3-0 SN-648 PCS 70,600
1177 MONOSOF 4-0 PCS 74,000
1178 MONOSOF 5-0 PCS 73,200
1179 MONOSYN 3/0 (DS24) PCS 132,500
1180 MOVIX 15 TAB TAB 11,100
1181 MOVIX 7.5 TAB TAB 7,100
1182 MOXIC F TAB TAB 4,700
1183 MOXIC TAB TAB 6,400
1184 MOZUKU CAPS TAB 11,300
1185 MST CONTINUS 10MG TAB 24,100
1186 MUCERA DROPS FLS 51,000
1187 MUCERA FORTE SYR FLS 29,800
1188 MUCERA SYR FLS 27,200
1189 MUCERA TAB TAB 1,100
1190 MUCOHEXIN 8 MG TAB 600
1191 MUCOS DROPS FLS 44,200
1192 MUCOSTA TAB TAB 6,100
1193 MUCUS EXTRACTOR UNIT 20,700

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 59

 1 2 3 4
1194 MUSIN SYR 120 FLS 72,300
1195 MUSIN TAB TAB 1,900
1196 MYCO Z CREAM TUBE 87,700
1197 MYCODERM CRM TUB 18,700
1198 MYCODERM TAB TAB 5,100
1199 MYOMERGIN INJ AMP 2,700
1200 MYONEP TAB 4,600
1201 MYORES TAB TAB 6,000
1202 NA DICLOFENAC 25MG TAB 300
1203 NA DICLOFENAC 50 TAB 500
1204 NACL 0,9 % 500 CC FLS 8,500
1205 NACL 0.9% 1000 ML FLS 16,600
1206 NACL 100 CC FLS 12,900
1207 NAIRET TAB 1,300
1208 NAIRET SYR FLS 34,100
1209 NALGESTAN TAB TAB 1,300
1210 NASAL OXIGEN DEWASA SET 25,400
1211 NASAL OXIGEN MASKER CHILD PCS 63,800
1212 NASAL OXYGEN CHILD PCS 25,400
1213 NASAL OXYGEN MASKER PCS 58,000
1214 NEEDLE NO.26 UNIT 1,200
1215 NEEDLE NOVOFINE PCS 3,400
1216 NELATON CATETER N0.12 PCS 14,500
1217 NELATON CATETER N0.16 PCS 25,700
1218 NELATON CATETER N0.18 PCS 25,700
1219 NELATON CATETER N0.20 PCS 14,500
1220 NELATON CATH NO.14 PCS 14,500
1221 NELATON CATHETER N0.8 PCS 14,500
1222 NELATON CATHETER NO.10 PCS 14,500
1223 NEO DIAFORM TAB TAB 200
1224 NEO GYNOXA OVUL OVUL 19,600
1225 NEO KAOLANA SYR FLS 17,200
1226 NEO MERCAZOLE TAB TAB 1,800
1227 NEO MUNE SACC SACC 33,500
1228 NEOCORTIC ED FLS 42,500
1229 NEO-K INJ 2MG AMP 17,900
1230 NEOSTIGMINE INJ AMP 21,000
1231 NEPATIC 300 CAP CAP 14,300
1232 NEPHRISOL COKLAT DOS 49,400
1233 NEPHRISOL VANILLA DOS 49,400
1234 NERILON CRM 10GR TUBE 42,400
1235 NERVA PLUS TAB 2,200
1236 NEUCITI 250 INJ AMP 44,200
1237 NEULIN INJ 500 MG AMP 51,300
1238 NEULIN PS TAB TAB 15,300
1239 NEURO BESTON TAB TAB 1,700
1240 NEURODEX TAB TAB 300
1241 NEUROMED 5000mcg tab TAB 3,100
1242 NEUROSANBE 5000 TAB TAB 3,300
1243 NEUROSANBE INJ @10 AMP AMP 5,500
1244 NEUROSANBE PLUS CAP CAPL 1,300
1245 NEUROSANBE TAB TABL 1,600
1246 NEUROTAM 1200 tab TAB 7,800

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 60

 1 2 3 4
1247 NEUROTAM 3GR INJ AMP 74,000
1248 NEUROTAM 800 MG CAP CAP 5,800
1249 NEUROTAM INF FLS 285,800
1250 NEVOX XR TAB TAB 2,100
1251 NEVRADIN E TABL 3,200
1252 NEW DIATAB TAB 700
1253 NIACEF GELL TUBE 36,500
1254 NICHOLIN 250 MG INJ AMPU 65,400
1255 NIFEDIN 10 TAB 800
1256 NIFEDIPIN TAB TABL 200
1257 NIFUDIAR SYR FLS 47,600
1258 NIFURAL SYR FLS 49,100
1259 NIMOTOP TAB TAB 11,000
1260 NIPE DROPS FLS 69,600
1261 NIPE SYR FLS 80,800
1262 NODIRIL 1 TAB TAB 3,000
1263 NODIRIL 2 TAB TAB 4,700
1264 NOLIPO 500 caps CAPS 6,600
1265 NONEMI TAB TAB 1,300
1266 NONFLAMIN TAB TABL 4,000
1267 NONORAPID FLEXPEN VIAL 235,800
1268 NOPERTEN 5MG TAB 4,900
1269 NORELUT TAB 4,200
1270 NORIT TAB TABL 40
1271 NORIZEC 2 TAB TAB 3,100
1272 NORIZEC 3 TAB TAB 4,600
1273 NOROS TAB CAP 6,400
1274 NORTA 16 PCS 20,400
1275 NORTA 18 PCS 20,400
1276 NORVASK 10 TAB 17,600
1277 NORVASK 5 TAB 9,800
1278 NOVALGIN DROP FLS 54,100
1279 NOVALGIN SYR FLS 49,900
1280 NOVAMET 500 INFUS(METRO) FLS 24,300
1281 NOVAX 500 tab TAB 4,200
1282 NOVELMYCIN 2 GR VIAL 221,200
1283 NOVERTY TAB TAB 700
1284 NOVOMIX 30 FLEXPEN VIAL 247,600
1285 NOVORAVID FLEXPEN PEN 157,700
1286 NUCEF DS SYR FLS 102,100
1287 NUCRAL 100ML SYR FLS 72,300
1288 NUCRAL 200ML SYR FLS 114,000
1289 NUFACE 0,25 TUB 32,300
1290 NUFACE 0.5% CREAM TUB 46,800
1291 NULACTA CAPS TAB 5,100
1292 NULACTA PLUS CAP CAPS 6,900
1293 NUTRICHOL SACH SACH 8,000
1294 NUTRICHOLIN CAP CAPS 6,800
1295 NUTRIFLAM CAP CAP 11,200
1296 NUVINO CAP CAP 6,500
1297 NUZYM TAB TAB 8,200
1298 NYLON 3/0 PCS 77,600
1299 NYLON 4/0 C PCS 76,600

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 61

 1 2 3 4
1300 NYLON 5/0 PCS 67,900
1301 NYMIKO DROPS FLS 45,900
1302 NYSTATIN TAB VAG OVUL 400
1303 OBH SYR 100 ML FLS 2,800
1304 OBH SYR 200 ML FLS 3,100
1305 OBUCORT SWING TUBE 202,100
1306 OCTALBIN 20 % 50CC FLS 1,275,900
1307 OCTALBIN 20% 100CC FLS 2,551,900
1308 OCTALBIN 25 % 50 ML FLS 1,403,600
1309 OCUSON TABLET TAB 1,900
1310 ODACE 10 TAB TAB 4,300
1311 OFLOXACIN 200 TAB 900
1312 OFLOXACIN 400 MG TAB TAB 1,300
1313 OMEPRAZOLE 20 MG CAP CAP 600
1314 OMEPRAZOLE CAP CAP 1,200
1315 OMEPRAZOLE INJ VIAL 104,100
1316 OMNIPAQUE 300MG INJ @ 25 FLS 180,000
1317 OMNIPAQUE 300MG INJ @50ML FLS 353,900
1318 OMZ INJ VIAL 102,900
1319 ONDANSETRON 4 TAB TAB 2,400
1320 ONDANSETRON 8 INJ AMP 12,400
1321 ONDANSETRON 8 TAB TAB 8,500
1322 ONDASETRON 4 MG INJ AMP 8,500
1323 ONDAVELL 4MG INJ AMP 34,100
1324 ONDAVELL 4MG TAB TAB 14,200
1325 ONDAVELL 8MG INJ AMP 76,600
1326 ONDAVELL 8MG TAB TAB 23,400
1327 OPIBRIGHT TAB 5,500
1328 OPICEF 500 TAB 13,600
1329 OPICEF F SYR FLS 85,100
1330 OPICEF SYR FLS 56,100
1331 OPICEL 20 G CR TUB 25,600
1332 OPICLAM 150 cap TAB 4,700
1333 OPILAX 120 FLS 81,700
1334 OPILAX 60 FLS 54,400
1335 OPIMOX 500 TAB 3,400
1336 OPIMOX INJ VIAL 28,900
1337 OPIMOX SYR FLS 25,600
1338 OPINACEA TAB TAB 6,800
1339 OPINEURON TAB TAB 1,600
1340 OPIPHEN SYR FLS 26,400
1341 OPISTAN 500 TAB TAB 200
1342 OPITHROCIN Dulcet Tab TAB 2,200
1343 OPITROCIN DULCET TAB TAB 2,200
1344 OPIVASK 10 TAB TAB 11,100
1345 OPIVASK 5 TAB TAB 6,000
1346 OPIXIM SYR FLS 102,100
1347 OPIXIME 100 CAP TAB 24,600
1348 OPTIMAX SYR FLS 59,500
1349 OPTIMAX TAB TAB 8,200
1350 OPTIME 3/0 C PCS 151,400
1351 OPTIME 4/0 PCS 122,400
1352 OPUS TAB TAB 6,000

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 62

 1 2 3 4
1353 ORALIT SACH 500
1354 ORASIC INJ AMP 18,700
1355 OSATROL ED FLS 35,800
1356 OSCAL O,25 TAB CAP 9,800
1357 OSFIT DHA CAPS CAPS 4,900
1358 OSSOPAN 200 MG @100 TAB 1,900
1359 OSSORAL 800 TAB 4,500
1360 OSTARIN 200 TAB 700
1361 OSTARIN 400 TAB 1,000
1362 OSTARIN F SYR FLS 25,600
1363 OSTARIN SYR FLS 20,400
1364 OSTELOX 15 TAB 12,400
1365 OSTELOX 7.5MG TAB 7,700
1366 OSTEOFLAM TAB 6,000
1367 OSTEOKOM CREM TUBE 212,700
1368 OSTEOKOM TAB TAB 7,900
1369 OSTRID 200 TAB 11,900
1370 OSTRID 400 TAB TAB 15,300
1371 OTOPAIN TK FLS 52,300
1372 OTOPRAF TK FLS 35,400
1373 OTSUCATH 18 PCS 17,300
1374 OTSUCATH 20 PCS 12,000
1375 OTSUCATH 22 PCS 12,000
1376 OTSUCATH 24 PCS 12,000
1377 OTTOGENTA 5 G CR TUB 10,200
1378 OTTOGENTA 80 MG INJ AMP 13,600
1379 OTTOPAN DROPS FLS 25,600
1380 OTTOPRIM SYR BTL 3,100
1381 OTTOZOL INJ VIAL 187,100
1382 OXOFERIN SOL FLS 97,800
1383 OZID INJ VIAL 105,100
1384 PAKET LENSA PKT 636,200
1385 PALENTINE TAB TAB 16,400
1386 PALMICOL SYR FLS 4,500
1387 PAMOL SYR FLS 19,700
1388 PAMOL TABLET @200 TAB 500
1389 PAN AMIN G BTL 47,400
1390 PANSO 40MG VIAL VIAL 194,000
1391 PANTOZOL INJ VIAL 207,500
1392 PANTOZOL TAB TAB 19,100
1393 PAPAVERIN 40 MG TAB TAB 30
1394 PARACETAMOL 500 MG TABL 100
1395 PARACETAMOL DROP FLS 8,200
1396 PARACETAMOL INF FLS 76,600
1397 PARACETAMOL SYR FLS 3,500
1398 PARASOL 20 G CR TUBE 43,100
1399 PARIET 10 MG TAB TAB 18,900
1400 PARLODEL 2.5 TAB TAB 24,300
1401 PEDAB TAB TAB 2,300
1402 PEHACAIN INJ AMPU 4,900
1403 PELASTIN INJ BOX 434,200
1404 PEPTISOL COKLAT DOS 50,200
1405 PEPTISOL MOCCA BOX 48,400

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 63

 1 2 3 4
1406 PEPTISOL VANILI BOX 50,200
1407 PERFUSOR TUB WHITE PCS 64,700
1408 PERIFAS TABLET TAB 1,900
1409 PERPHENAZINE 4 MG TAB 100
1410 PERSANTIN 25 TAB TAB 2,700
1411 PERSIDAL 2 TAB 9,800
1412 PERVITA TAB TAB 1,800
1413 PETHIDIN 50 MG INJ AMPU 22,800
1414 PHENOBARBITAL 100 MG @250 TAB 100
1415 PHENOBARBITAL 30 MG /1000 TAB 100
1416 PHENOBARBITAL INJ AMP 1,100
1417 PHENOL GLISERIN TK BTL 13,600
1418 PHENTAL 100MG INJ AMP 12,700
1419 PHENYTOIN CAP caps 300
1420 PHENYTOIN INJ AMP 41,000
1421 PHENYTOIN LUCAS CAP TAB 100
1422 PHYLOCONTIN TAB TAB 3,100
1423 PIPET DROP PCS 2,200
1424 PIRACETAM 12 GR INF FLS 119,100
1425 PIRACETAM 1200 TAB 2,100
1426 PIRACETAM 3 G INJ AMP 30,600
1427 PIRALEN INJ AMP 7,700
1428 PIRALEN TAB TAB 600
1429 PIROXICAM 10 MG CAPS 200
1430 PIROXICAM 20 MG CAPS 300
1431 PITOGIN INJ AMP 3,400
1432 PITON S INJ AMP 17,300
1433 PK POWDER KG KG 510,400
1434 PLACTA 75 TAB TAB 8,200
1435 PLANTACID FORTE SYR 100 C FLS 28,000
1436 PLANTACID SYRUP FLS 10,200
1437 PLANTACID TAB TABL 300
1438 PLASMANAT 250ML FLS 1,982,300
1439 PLASMINEX 500 TAB TAB 3,600
1440 PLASMINEX INJ AMP 16,500
1441 PLASTIK SPOON S PCS 23,800
1442 PLAVIX TAB TAB 37,100
1443 PLETAAL 100mg tab TAB 18,000
1444 PLETAAL TAB 50 MG TAB 10,800
1445 POLARAMIN TAB TAB 4,200
1446 POLIBAN 3INC ROLL 17,000
1447 POLIBAN 4INC ROLL 28,300
1448 POLIBAN 6INC ROLL 48,000
1449 POLIDEMYSIN ED BTL 34,200
1450 POLIGYP 3INC ROLL 33,600
1451 POLIGYP 4INC ROLL 43,300
1452 POLIGYP 6INC ROLL 63,100
1453 POLYESTER 1 T PCS 77,900
1454 POLYGRAN ED FLS 51,400
1455 POLYGRAN EYE OINT FLS 31,500
1456 POLYGRAN MDS PCS 6,200
1457 POLYPROPILEN 2/0 T PCS 120,300
1458 POLYPROPILEN 4/0 T PCS 105,200

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 64

 1 2 3 4
1459 POLYPROPILENE 3/0 T PCS 103,100
1460 POLYPROPILENE 5/0 T PCS 111,500
1461 POLYPROPILENE 6/0 T PCS 284,500
1462 POLYPROPYLENE 3/0 PCS 102,900
1463 POLYSILANE CAP CAP 900
1464 POLYSILANE SYR FLS 26,400
1465 POLYWIN 26 PCS 15,300
1466 PONDEX SYR FLS 17,400
1467 POS OP 5 ML FLS 96,200
1468 POSOP MND ED STRP 105,800
1469 POSPARGIN 0,125 TAB TAB 800
1470 POSPARGIN 2 MG VIAL VIAL 2,300
1471 POSTOPIX 25X10 PCS 46,800
1472 POSTOVIT TAB TAB 3,400
1473 POT KOSMETIK 30 PCS 7,700
1474 POT PLASTIK 100 GR FLS 3,700
1475 POT PLASTIK 20' PCS 600
1476 POT PLASTIK 30 PCS 1,000
1477 POVIDON IODINE 60ML FLS 5,100
1478 PPD 5 TU DOSI 118,800
1479 PRANZA INJ VIAL 204,100
1480 PREABOR TAB TAB 4,500
1481 PREDNICORT 4MG TAB 3,400
1482 PREDNICORT 8MG TAB 5,600
1483 PREDNISONE 5 MG TABL 100
1484 PREDNOX 4MG TAB 3,200
1485 PREGNASEA TAB TAB 2,500
1486 PREMASTON TABL 5,900
1487 PREMICRON 1 TRC 30 S PCS 138,300
1488 PREMILEN MESH 7.5X15 PCS 527,300
1489 PRENAMIA CAP 1,300
1490 PRENATIN PLUS TAB TAB 500
1491 PRETILON 16MG TAB TAB 8,100
1492 PRETILON 4MG TAB TAB 2,600
1493 PRETILON 8MG TAB TAB 4,200
1494 PRIDESIA 5 TAB 2,600
1495 PRIMAZOLE SYR FLS 27,200
1496 PROCARDIO TAB TAB 5,000
1497 PROCUR PLUS CAPS 7,500
1498 PROFERTIL TAB TAB 18,700
1499 PROFIKA SUPP PCS 6,800
1500 PROFUNGAL 200 tab TAB 6,000
1501 PROFUNGAL CR 5 g TUB 25,600
1502 PROLEN 3/0 PCS 56,100
1503 PROLIC 150 CAP CAP 4,800
1504 PROLIC 300 CAP 9,700
1505 PROLIVA TAB TAB 11,900
1506 PROMAVIT CAPS CAPS 2,600
1507 PRONALGES INJ AMP 39,300
1508 PRONALGES SUPP SUPP 6,900
1509 PRONALGES TAB TAB 6,000
1510 PRONEURON CAP CAP 1,400
1511 PROPANOLOL 10 MG TAB TAB 100

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 65

 1 2 3 4
1512 PROPANOLOL 40 MG @ 100 TAB 200
1513 PROPEPSA SYR FLS 74,800
1514 PROPILETYLEN 3/0 PCS 102,900
1515 PROPYLTHIOURACILE 100 MG TAB 500
1516 PRORENAL TAB TAB 10,200
1517 PROSOGAN FD TAB 24,300
1518 PROSTACOM TAB TAB 13,800
1519 PROSTIGMIN INJ AMP 21,000
1520 PROTERINE 20 MG TAB TAB 3,400
1521 PROTEXIN infant sach sach 19,300
1522 PROVE C TAB TAB 4,200
1523 PROVE-C TAB 4,200
1524 PROXIM TAB TAB 1,600
1525 PROXIME TAB TAB 1,600
1526 PROZA SYR FLS 83,300
1527 PSIDII CAP CAP 4,200
1528 PULMICORT RESPULES 0.25 RESP 22,100
1529 PULNA FORTE TAB 2,900
1530 PULVIS PULV 200
1531 PUMPITOR CAP TAB 18,000
1532 PUMPITOR INJ VIAL 104,100
1533 PURICEMIA TAB 3,800
1534 PYDERMA CR TUB 28,900
1535 PYLOR SYR FLS 24,600
1536 PYRANTEL TAB TAB 300
1537 PYRAZINAMIDE 500 MG TAB TABL 300
1538 PYRICEF SYR FLS 54,400
1539 PYRIDOXIN TAB TABL 30
1540 Q 10 DS CAP CAP 20,300
1541 Q-TEN 100 SOFT CAPS CAPS 14,000
1542 QUIBRON TSR TAB TAB 5,800
1543 QUICKY SUCTION 14 PCS 359,400
1544 RADIBLOCK CAPS TAB 9,300
1545 RANITIDIN 150 MG @100 TAB TABL 300
1546 RANITIDIN INJ AMP 3,900
1547 RANSEL VERBAN L PCS 68,000
1548 RANSEL VERBAN M PCS 68,000
1549 RANSEL VERBAN S PCS 68,000
1550 RANTIN 150 MG TAB TAB 6,700
1551 RANTIN INJ AMP 33,200
1552 RECOLFAR TAB TAB 6,400
1553 REGROU Hair PCS 48,400
1554 REGUMEN TAB 4,600
1555 RENADINAC 25 TAB TAB 600
1556 RENAQUIL TAB TAB 2,700
1557 RENAX CAPSUL 5,800
1558 RENXAMIN INF FLS 74,300
1559 REOTAL 300 MG INJ AMP 56,800
1560 REOTAL SR tab TAB 9,900
1561 RESFLOX TAB TAB 29,500
1562 RESTOR TAB TAB 900
1563 RETAPHYL SR TAB TAB 2,500
1564 RETIVIT TAB TAB 4,900

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 66

 1 2 3 4
1565 REVOLAN 800 CAPL TAB 9,200
1566 REVOLAN INJ AMP 23,700
1567 RHELAFEN F SYR FLS 28,900
1568 RHELAFEN SYR FLS 26,200
1569 RHETOFLAM GEL TUB 41,500
1570 RIF 450 TAB 5,000
1571 RIF 600 TAB 6,600
1572 RIFAMPICIN 300 MG CAPS 500
1573 RIFAMPICIN 450 MG KAPL 1,000
1574 RIFAMPICIN 600 MG TABL 1,200
1575 RIFAMTIBI 450 MG TAB TAB 5,800
1576 RIFAMTIBI 600 MG TABL 7,800
1577 RIHEST SYR FLS 34,100
1578 RIHEST TAB TAB 6,000
1579 RILLUS TAB TAB 9,600
1580 RIMACTAZID 450MG TAB TAB 13,100
1581 RIMCUR PEAD TAB 3,100
1582 RIMCURE 3 FDC TABL 8,200
1583 RIMSTAR 4-FDC TAB TAB 9,100
1584 RING AS INF FLS 25,900
1585 RINGEL LACTATE FLS 8,700
1586 RINGER LACTAS SANBE FLS 23,200
1587 RINGER LACTAT WIDATRA FLS 8,100
1588 RISPERIDON 2MG TAB TAB 3,300
1589 RIVANOL 200CC FLS 3,100
1590 RIVOTRIL 2MG TAB 9,600
1591 RIZODAL 2MG TAB 9,300
1592 RIZODAL 3MG TAB 12,700
1593 RL EUROMED FLS 10,400
1594 ROBUMIN 100 FLS 1,446,100
1595 ROBUMIN 50ML FLS 765,600
1596 ROCER CAPS TAB 17,000
1597 ROCER INJ VIAL 170,200
1598 ROVADIN 500 TAB 7,700
1599 ROVADIN SYR 100ml FLS 61,300
1600 ROVADIN SYR 60ML FLS 46,800
1601 ROXEMID INJ AMP 12,600
1602 RYDIAN TAB TAB 4,700
1603 RYZEN TAB TAB 8,900
1604 SAFIL 0 C HS 40S PCS 127,100
1605 SAFIL 0 T HR 40S PCS 129,000
1606 SAFIL 1 C HS 40S PCS 131,000
1607 SAFIL 1 T HR 48 PCS 156,700
1608 SAFIL 2/0 HR 26 T PCS 157,800
1609 SAFIL 3-0 C DS24 PCS 140,600
1610 SAFIL 3-0 T HR26 PCS 130,200
1611 SAFIL 4/0 C PCS 128,800
1612 SAFIL 4/0 HR T PCS 133,000
1613 SAFIL 5-0 HR 17 70CM PCS 118,400
1614 SAGESTAM 10 g CR TUBE 17,000
1615 SAGESTAM ED FLS 27,700
1616 SAGESTAM INJ 80 MG AMP 12,900
1617 SALBUTAMOL 2MG TAB 200

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 67

 1 2 3 4
1618 SALBUTAMOL 4MG TAB 200
1619 SANADRYL DMP SYR FLS 13,900
1620 SANADRYL EXP 60CC SYR FLS 12,900
1621 SANAZET TABLET TABL 1,800
1622 SAN-B PLEX DROP FLS 23,500
1623 SANBE TEARS ED FLS 25,400
1624 SANEXON 4 TAB TAB 3,000
1625 SANLIN 500 CAPS TAB 1,100
1626 SANMAG SYR FLS 33,100
1627 SANMAG TAB TAB 900
1628 SANMETIDIN TAB TAB 2,200
1629 SANMOL DROP FLS 20,700
1630 SANMOL SYR FLS 15,300
1631 SANMOL TAB TAB 300
1632 SANPICILLIN INJ 1 GR VIAL 22,300
1633 SANPRIMA F TAB TAB 2,600
1634 SANPRIMA SYR FLS 33,700
1635 SANPRIMA TAB TAB 1,100
1636 SANSULIN PEN PCS 392,400
1637 SANSULIN-N VIAL 174,000
1638 SANSULIN-R VIAL 174,000
1639 SANTA E 200 TAB 2,600
1640 SANTAE E 400 TAB TAB 5,200
1641 SANTIBI 500 TAB 1,300
1642 SANTIBI PLUS TABL 900
1643 SAPOPIRIDIS 100GR BUAH 11,100
1644 SCABIMITE 10GR TUBE 33,200
1645 SCABIMITE 30GR TUBE 76,600
1646 SCOPAMIN INJ AMP 15,300
1647 SCOPAMIN PLUS TAB TAB 2,900
1648 SCOPAMIN tab TAB 1,900
1649 SELOXY AA TAB TAB 7,500
1650 SELOXY CAPL CAPL 5,400
1651 SEPTIKA FLS 153,100
1652 SEREQUAL TAB 56,600
1653 SERFAC 250 INJ AMP 34,100
1654 SERFAC 500 INJ AMP 68,000
1655 SERLOF TAB TAB 18,800
1656 SEROLIN 10 TAB TAB 8,800
1657 SERUM A.B.U 5 ML VIAL 634,400
1658 SICLIDON 100 TAB 6,900
1659 SIFROL 0,25 TAB 13,600
1660 SIFROL 0.125 TAB 7,700
1661 SILAX INJ AMP 4,700
1662 SILKAM 2-0 HR26 T PCS 62,600
1663 SILKAM 3-0 HR26 T PCS 65,600
1664 SIMBADO 10MG TAB 8,500
1665 SIMBADO 5 MG TAB 5,100
1666 SIMVASTATIN 10 MG TAB TAB 800
1667 SIMVASTATIN 20 TAB TAB 1,600
1668 SINRAL 10MG TAB 6,400
1669 SINRAL 5MG TAB 4,600
1670 SIRDALUD TAB TAB 10,900

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 68

 1 2 3 4
1671 SISTENOL CAP TAB 2,300
1672 SITRO 300 CAP 15,600
1673 SIZORIL TAB TAB 6,200
1674 SKIN TRACTION ANAK UNIT 111,200
1675 SKIN TRACTION DEWASA UNIT 182,600
1676 SMECTA SACC 4,100
1677 SMOOTHING CR TUBE 306,300
1678 SOFRA-TULE LEMB 20,400
1679 SOLAC 120ML SYR FLS 84,200
1680 SOLMUC CAP CPS 1,900
1681 SOPT BAND 3" ROLL 26,100
1682 SOPT BAND 4 " ROLL 34,400
1683 SOPT BAND 6" ROLL 51,900
1684 SOTATIC INJ AMP 6,800
1685 SPALK KAWAT 23 X 7 no.4 STK 41,000
1686 SPALK KAWAT 30 X 7 no.3 STK 41,000
1687 SPALK KAWAT 35 X 7 no.2 STK 44,100
1688 SPALK KAWAT 45 X 7 no.1 STK 44,100
1689 SPALK KAWAT NO.5 BUAH 35,100
1690 SPASMOMEN FC TAB TAB 5,200
1691 SPINAL NEEDLE 18 PCS 35,700
1692 SPINAL NEEDLE N0. 20 PCS 25,600
1693 SPINOCAN G25X3 PCS 49,400
1694 SPIRASIN TAB TAB 7,600
1695 SPIROLA 25MG TAB TAB 700
1696 SPIROLAC 100 TAB TAB 6,100
1697 SPIRONOLACTONE 100 TAB TAB 1,700
1698 SPIRONOLACTONE 25 TAB TAB 500
1699 SPORETIC 50 CAP CAP 12,800
1700 SPORETIK 100 caps TAB 26,800
1701 SPORETIK SYR FLS 110,700
1702 STABLON TAB TAB 11,100
1703 STAFORIN 500 CAP 13,500
1704 STAMINO SYR FLS 61,300
1705 STAMINO TAB CAP 11,600
1706 STARMUNO SYR FLS 85,100
1707 STARMUNO TAB TAB 9,500
1708 STARXON INJ 1G VIAL 280,700
1709 STATOR 10 TAB TAB 19,900
1710 STATOR 20 TAB TAB 19,900
1711 STELAZINE 5 MG TAB 1,100
1712 STERIMAR BABY FLS 141,000
1713 STERIMAR CLASSIC ADULT FLS 145,400
1714 STESOLID 10 MG SUPPO RECT 55,200
1715 STESOLID 10 ML INJ AMP 6,200
1716 STESOLID 5 MG SUPPO RECT 22,500
1717 STESOLID 5 TAB TAB 2,200
1718 STOLAX 10 SUPP SUPP 9,200
1719 STOMACAIN TAB 1,700
1720 STREPTOMYCIN INJ 1 GR VIAL 7,900
1721 STROCAIN P TAB TAB 2,400
1722 STRONGER NEO MINOPHAGEN AMP 147,800
1723 SUCTION CATETER 12 PCS 20,400

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 69

 1 2 3 4
1724 SUCTION CATETER 14 PCS 20,400
1725 SUCTION CATHETER 6 PCS 20,400
1726 SUCTION CATHETER 8 PCS 20,400
1727 SUDAFED TAB 1,800
1728 SULCOLON 500 TAB 8,500
1729 SUNNYCURE SPONG PCS 225,400
1730 SUPRAZID F TAB 900
1731 SURGICRYL 0 T PCS 102,100
1732 SURGICRYL 2/0 C PCS 107,700
1733 SURGICRYL 2/0 T PCS 95,000
1734 SURGICRYL 3/0 C PCS 107,700
1735 SURGICRYL 3/0 T PCS 95,000
1736 SURGICRYL 4/0 C PCS 123,600
1737 SURGICRYL 4/0 T PCS 117,700
1738 SURGICRYL 5/0 C PCS 107,700
1739 SURGICRYL 5/0 T PCS 107,700
1740 SURGICRYL HR 1 T PCS 120,500
1741 SURGICRYL HS 26 1 C PCS 115,700
1742 SURGICRYL O C PCS 102,100
1743 SURGIFIT 1 TAPER PCS 148,000
1744 SURGIFIT 3-0 C PCS 117,400
1745 SURGIFIT 3-0 T PCS 148,000
1746 SURGION 1 TAPPER PCS 148,000
1747 SURGION 3-0 CUTT PCS 129,200
1748 SURGIVENT 1 TAPPER PCS 68,000
1749 SURGIVENT 3-0 CUTTING PCS 68,000
1750 suSUCTION CATHETER 6 PCS 20,400
1751 TANAKAN TAB TAB 6,200
1752 TANAPRES 10 TAB TAB 21,100
1753 TANAPRES 5 TAB TAB 15,600
1754 TANTUM VERDE 120ML FLS 42,500
1755 TANTUM VERDE 60ML FLS 34,100
1756 TARIVID 400 MG TAB TAB 27,200
1757 TARIVID TM FLS 73,200
1758 TARIVID TTS TELINGA FLS 105,500
1759 TAVEGYL TAB TAB 5,800
1760 TAXEGRAM INJ VIAL 189,500
1761 TB VIT B6 TAB 1,000
1762 TEBOKAN SPESIAL TAB TAB 15,700
1763 TEBOKAN TAB TAB 7,900
1764 TENACE 5 MG TAB 4,100
1765 TENATEN TABF TAB 3,400
1766 TENAZIDE TAB 8,500
1767 TENSICAP 12.5 MG TAB 2,800
1768 TENSICAP 25 TAB 5,400
1769 TENSINOP 5 TAB TAB 3,700
1770 TENSIVASK 10 TAB TAB 16,100
1771 TENSIVASK TAB 5 MG TAB 8,800
1772 TENSOCREPE 10 CM ROLL 107,400
1773 TENSOCREPE 15 CM ROLL 141,100
1774 TENSOCREPE 7,5 CM ROLL 89,200
1775 TEQUINOL 500 TAB 16,100
1776 TERANOL INJ 30 MG AMP 44,200

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 70

 1 2 3 4
1777 TERANOL TAB TAB 5,800
1778 TERASMA EXP SYR FLS 17,000
1779 TERFACEF 1GR VIAL 287,200
1780 TETAGAM INJ VIAL 263,700
1781 TETRACYCLIN 250 MG CAPS 100
1782 TEVOX INF FLS 81,700
1783 THIAMPENICOL 500 CAP CAP 600
1784 THIAMYCIN F SYR FLS 76,600
1785 THIAMYCIN SYR FLS 34,100
1786 THROMBO ASPILETS TAB TAB 700
1787 THROMBOPHOB 15 GR CREAM TUBE 38,300
1788 THROMBOPHOB 20 GR JELLY TUBE 68,000
1789 THYRAX TAB TAB 2,700
1790 THYROZOL 10 TAB TAB 2,300
1791 THYROZOL 5MG TAB TAB 1,600
1792 TIARYT INJ AMP 34,100
1793 TIARYT TAB TAB 2,400
1794 TICARD 250 TAB TAB 15,700
1795 TILSAN TAB TAB 4,200
1796 TIRIZ DROP FLS 85,100
1797 TIRIZ tab TAB 4,200
1798 TONAR TAB TAB 10,000
1799 TOPCORT 10 G CR TUBE 31,100
1800 TORAMIN 10 INJ AMP 25,600
1801 TORAMINE INJ 30MG TUB 39,100
1802 TORASIC 10MG TAB TAB 8,000
1803 TORASIC 30 INJ AMP 49,400
1804 TRADOSIK CAP CAP 4,100
1805 TRADOSIK INJ AMP 21,300
1806 TRAMADOL 50 CAP CAP 500
1807 TRAMADOL INJ AMP 9,900
1808 TRAMAL INJ 100 ML AMP 35,600
1809 TRAMAL INJ 50 ML AMP 24,500
1810 TRAMAL RETARD TAB 11,900
1811 TRAMAL SUPPO SUPP 19,600
1812 TRAMIFEN CAPLET TAB 10,200
1813 TRANBRONCHO SYR ADULT FLS 37,500
1814 TRANSAMIN 500 TAB TAB 3,400
1815 TRANSPULMIN SYR FLS 46,000
1816 TREMENZA SYR FLS 20,200
1817 TREMENZA TAB TAB 1,300
1818 TRENXY 15 ML INJ VIAL 51,000
1819 TRIAMCORT 100 MG TAB TAB 3,800
1820 TRIAMCORT A CRM 10GR TUBE 71,400
1821 TRIATEC 2.5 MG TAB TAB 10,200
1822 TRICHODAZOLE 500 TAB 2,200
1823 TRICHODAZOLE INF FLS 118,400
1824 TRICOFIX 10 M X 4 CM CM 100
1825 TRICOFIX 10 M X 6 CM CM 100
1826 TRIFLUOPREAZIN TAB 900
1827 TRIHEXYPHENIDIL 2 MG TABL 100
1828 TRILEPTAL 300 TAB TAB 13,200
1829 TRIMOVAX VIAL 113,600

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 71

 1 2 3 4
1830 TRIMOXUL SYR FLS 36,200
1831 TRIOFUSIN 500 INFUS FLS 110,500
1832 TRIOFUSIN INF VIAL 110,500
1833 TRIOSTEE CAP 9,300
1834 TRIPANZIM CAPL CAPL 1,700
1835 TRIPOTEN TAB TAB 2,700
1836 TRIPTAGIC TAB 58,800
1837 TRIWAY STOPCOCK PCS 23,200
1838 TRIZEDON MR 35 TAB 5,600
1839 TROBESCO CAPS TAB 10,200
1840 TROGYL 500 MG TAB 1,600
1841 TROGYL SYR FLS 59,500
1842 TROLIT SACH SACH 10,800
1843 TROPISTAN 500 TAB 2,500
1844 TROVENSIS 4 INJ AMP 46,000
1845 TROVENSIS 8 INJ AMP 93,600
1846 TROVENSIS 8 tab TAB 22,900
1847 TRUVAZ 10MG TAB 18,700
1848 TRUVAZ 20MG TAB 18,700
1849 TUTOFUSIN OPS FLS 72,300
1850 TYASON 1 GR INJ VIAL 288,100
1851 TYLONIC 100 TAB 1,900
1852 UBI Q 100 CAP 15,900
1853 UBI Q 30 CAP 15,900
1854 ULCERANIN INJ AMP 24,600
1855 ULCERANIN TAB TAB 6,000
1856 ULCUMET INJ AMP 8,200
1857 ULSANIC 500MG TAB TAB 2,800
1858 ULSIDEX TAB TAB 500
1859 ULSIKUR INJ AMP 6,200
1860 ULTILAR 10 TAB TAB 5,300
1861 ULTRACET 37.5 TAB TAB 9,400
1862 ULTRAPROCT N SUPP SUP 18,200
1863 UNALIUM 10 TAB TAB 7,700
1864 UNALIUM 5 MG TAB 6,500
1865 UNIVOXY CAP CAPS 6,300
1866 UPLORES CAP 150 CAP 6,900
1867 URDAFALK CAP CAP 13,400
1868 URDAHEX 250 CAP 13,400
1869 URESIX 40 MG TAB 1,100
1870 URICA 100 TAB 3,000
1871 URICA 300 CAP 6,500
1872 URINE BAG UNIT 6,800
1873 URINTER CAP CAP 5,600
1874 UROGETIK TAB TAB 4,800
1875 UROTRACTIN CAP CAPS 4,000
1876 UROXAL TAB 3,400
1877 VACLO TAB TAB 20,400
1878 VALEMIA 10 TAB 12,400
1879 VALEMIA 5 TAB 7,300
1880 VALISANBE 2 TAB 200
1881 VALISANBE 5 TAB TAB 300
1882 VALISANBE INJ AMP 17,900

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 72

 1 2 3 4
1883 VALSARTAN 80 TAB TAB 6,200
1884 VASTIGO TAB TAB 1,600
1885 V-BLOC 25 TAB 9,900
1886 V-BLOC 6.25 TAB 1,600
1887 VECTRIN SYR FLS 53,600
1888 VECTRINE 300 TAB 6,200
1889 VELAZOL INF FLS 110,500
1890 VELCRHROME 25 MG INJ VIAL 13,600
1891 VENARON CAP TAB 3,700
1892 VENI CATH 20 PCS 18,500
1893 VENOSMIL GEL FLS 205,400
1894 VENOSMIL KAP TAB 10,200
1895 VERTEX TAB TAB 2,400
1896 VERTIZINE TAB TAB 1,900
1897 VESTEIN CAP CAP 6,000
1898 VESTEIN CAPS CAPS 6,000
1899 VESTEIN SYR FLS 51,000
1900 VICILIN IG INJ AMP 16,400
1901 VICRIL 8-0 UNIT 440,200
1902 VICRYL 6/0 JB33G PCS 654,900
1903 VIFERRON TAB TAB 400
1904 VIFLOX 500 TAB TAB 18,600
1905 VILIRON TAB TAB 300
1906 VINAFLUOR TAB TAB 700
1907 VIOPOR M TAB 4,200
1908 VIOQUIN TAB 17,000
1909 VIT B COMPLEX TAB 40
1910 VIT B.1 TAB TABL 100
1911 VIT C 50 MG TAB TABL 30
1912 VIT A 6000 SI TAB TAB 200
1913 VIT B12 TAB TAB 50
1914 VIT C 100 TAB 100
1915 VIT K INJ 1 CC VIAL 2,700
1916 VITACID 0.025 15GR TUBE 29,400
1917 VITACID 0.05%20GR TUBE 43,100
1918 VITACID CR 0.1%20GR TUB 55,300
1919 VITAMIN K TAB TAB 1,000
1920 VITAMULTI TAB TAB 1,300
1921 VITANORM TAB TAB 5,700
1922 VITAPLEX 60 FLS 46,000
1923 VITAPLEX DROP FLS 40,800
1924 VOCEFA SYR FLS 42,500
1925 VOLEQUIN INF FLS 289,200
1926 VOLTADEX RETARD TAB 6,800
1927 VOLTAREN SR 75 TAB TAB 9,100
1928 VOLUVENT INF FLS 361,500
1929 VOMCERAN 4 mg inj AMP 6,500
1930 VOMCERAN 4 MG TAB TAB 4,700
1931 VOMCERAN 8MG TAB TAB 27,200
1932 VOMCERAN INJ 8MG AMP 93,600
1933 VOMETA FT TAB 5,700
1934 VOMETRAZ 4 mg INJ AMP 30,600
1935 VOMILAT TAB TAB 1,100

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 73

 1 2 3 4
1936 VOMITAS FDT TAB TAB 5,500
1937 VOMITAS TAB TAB 5,100
1938 VOSEDON SYR FLS 38,500
1939 VOSEDON TAB TAB 3,100
1940 VOSTEM FORTE TAB 8,100
1941 VOXIN TAB 37,500
1942 WIDAHES FLS 88,900
1943 WIDAHES 130 INF FLS 80,800
1944 WIDAHEST INF ASKES FLS 87,700
1945 WING N0.23 PCS 13,600
1946 WING N0.25 PCS 13,600
1947 WING N0.27 PCS 13,600
1948 XEVOLAC 10 TAB TAB 6,800
1949 XEVOLAC 30 INJ AMP 46,000
1950 XYLONER SPRAY BTL 323,200
1951 ZALDIAR FC TAB TAB 12,200
1952 ZEGASE TAB TAB 3,000
1953 ZEGAVIT TAB TAB 3,400
1954 ZIBRAMAX SYR FLS 136,100
1955 ZIBRAMAX TAB TAB 44,200
1956 ZIDIFEC INJ VIAL 346,100
1957 ZINC TZB TAB 700
1958 ZINCARE 20 TAB TAB 3,100
1959 ZOFREDAL 2MG TAB 3,700
1960 ZOFREDAL 3MG TAB 15,800
1961 ZOLASTIN TAB TAB 4,200
1962 ZUMAFIB 300 TAB 12,700
1963 ZUMAFIB MICRO 160 TAB TAB 18,700
1964 ZYCIN 250MG TAB 20,800
1965 ZYCIN 500 TAB TAB 34,100
1966 ZYFLOX 400 TAB TABL 18,700
1967 ZYPRAZ 0.25 TAB 2,000
1968 ZYPRAZ 0.5 TAB 700

V. ALAT KESEHATAN
A. RSU
HARGA SATUAN
No Nama Alat Spek Satuan (Rp.)
1 2 3 4 4
1 Abdominal Histerectomy Set 176,015,800
Set
2 Alat Cek KG 10-600/Dl, 200 Unit 843,600
Memory
3 Aligator IUD Stainless Stell Set 688,700
4 Amubag Bayi Resucicator Volume Set 5,251,100
635 Ml
5 Amubag Dewasa Resucicator Volume Set 4,992,700
1,475 Ml
6 Autoclave 600-700 Lt 2 Unit 4,670,922,400
Pintu Spin
7 Automatic Processor Unit 199,468,600
8 Autorefractometer Unit 351,633,000

Standar Satuan Harga Belanja Barang Tahun 2018 VII - 74