SPESIFIKASI TEKNIS
BELANJA OBAT-OBATAN-OBAT
No Nama Item Satuan Spesifikasi Teknis
1 C. ASTHENOF 5 ml BOTOL Botol tetes mata botol @5 ml
2 C. CARPINE 1% 5ml BOTOL Botol tetes mata botol @5 ml
3 C. CARPINE 2% 5ml BOTOL Botol tetes mata botol @5 ml
4 C. Catarlent m.d. Strip tetes mata strip @5 minidose
5 C. Convers 2% m.d. Strip tetes mata strip @5 minidose
6 C. CYCLON (BOTOL) Botol tetes mata botol @5 ml
7 C. Efrisel 10% 5ml (botol) Botol tetes mata botol @5 ml
8 C. Eyefresh m.d. Strip tetes mata strip @5 minidose
9 C. Eyefresh PLUS m.d. Strip tetes mata strip @5 minidose
10 C. Eyelotion m.d. Strip tetes mata strip @5 minidose
11 C. Floxa m.d. Strip tetes mata strip @5 minidose
12 C. FLUORESCEIN 2% BOTOL Botol tetes mata botol @5 ml
13 C. Gentamicyn eo Tube salep mata tube @5 gram
14 C. Hervis eo Tube salep mata tube @5 gram
15 C. HOMATRO 2% 5ml BOTOL Botol tetes mata botol @5 ml
16 C. Hyalub m.d. Strip tetes mata strip @5 minidose
17 C. LFX m.d. Strip tetes mata strip @5 minidose
18 C. Lyteers m.d. Strip tetes mata strip @5 minidose
19 C. Mydriatyl ED 0.5% botol Botol tetes mata botol @5 ml
20 C. Natacen m.d. Strip tetes mata strip @5 minidose
21 C. Noncort m.d. Strip tetes mata strip @5 minidose
22 C. Oculenta eo Tube salep mata tube @5 gram
23 C. P-Pred Strip tetes mata strip @5 minidose
24 C. Pantocain ed 0,5% 5ml Botol tetes mata botol @5 ml
25 C. Pantocain ed 2 % 5ml Botol tetes mata botol @5 ml
26 C. PolyDEX m.d. Strip tetes mata strip @5 minidose
27 C. PolyGRAN m.d. Strip tetes mata strip @5 minidose
28 C. Polygran salep mata Tube salep mata tube @5 gram
29 C. PolyNEL m.d. Strip tetes mata strip @5 minidose
30 C. POSOP Strip tetes mata strip @5 minidose
31 C. Protagenta m.d. Strip tetes mata strip @5 minidose
32 C. SILOXAN BOTOL Botol tetes mata botol @5 ml
33 C. STATROL Strip tetes mata strip @5 minidose
34 C. Timol t.m.0,25% m.d. Strip tetes mata strip @5 minidose
35 C. Timol t.m.0,5% m.d. Strip tetes mata strip @5 minidose
36 C. Tobroson m.d. Strip tetes mata strip @5 minidose
37 C. TONOR 0.5% m.d Strip tetes mata strip @5 minidose
38 C. Tropin 1% m.d. Strip tetes mata strip @5 minidose
39 C. Ulcori Strip tetes mata strip @5 minidose
40 C. Vasacon Strip tetes mata strip @5 minidose
41 C. Vasacon A Strip tetes mata strip @5 minidose
42 C. VITROLENTA 5 ml BOTOL Botol tetes mata botol @5 ml
43 C. Xitrol m.d. Strip tetes mata strip @5 minidose
44 C. Xitrol salep mata Tube salep mata tube @5 gram
45 C. Augentonic m.d. Strip tetes mata strip @5 minidose
46 C. GLAOPEN M.D Strip tetes mata strip @5 minidose
47 C. GLOPAC ED Botol tetes mata botol @5 ml
48 Mecobalamin 500 mg Box box @ 100 tab
49 C. Cenfresh Pluridose PD Botol tetes mata botol @5 ml
50 C. Eyefresh Mild md Strip tetes mata strip @5 minidose
51 C. Eyefresh Pluridose PD Botol tetes mata botol @5 ml
52 C. Eyefresh Plus Pluridose PD Botol tetes mata botol @5 ml
53 C. Hyalub Pluridose PD Botol tetes mata botol @5 ml
54 C. Lyteer Pluridose PD Botol tetes mata botol @5 ml
55 C. TGF tab Box box @18 tab
56 Genoint eo Tube salep mata tube @5 gram
57 KTM Pcs vial
58 R-VIT D3 1000 IU Box box @30 tab
59 R-VIT D3 400 IU Box box @30 tab
60 C. EDTA ED Botol tetes mata botol @5 ml
61 C. GLOPAC PLUS ED Botol tetes mata botol @5 ml
62 MECOBALAMIN INJ 500 MCG Box box @10 amp
Bali, 6 Januari 2025
Mengetahui, PPTK Peningkatan Pelayanan BLUD pada
Plt.Kepala Bidang Pelayanan Penunjang Rumah Sakit Mata Bali Mandara
selaku Pejabat Pembuat Komitmen
dr. Putu Santy Erawati Luh Nyoman Wismayati, S.Kep.Ns
NIP. 197710282011012004 NIP. 197407281998032003| Authority | |||
|---|---|---|---|
| 31 January 2017 | Pengadaan Obat - Obatan | Kementerian Kesehatan | Rp 45,000,000,000 |
| 5 December 2024 | Belanja Obat-Obatan -Obat | Provinsi Bali | Rp 3,764,481,000 |
| 8 January 2024 | Belanja Obat-Obatan -Obat | Provinsi Bali | Rp 3,764,481,000 |
| 1 July 2024 | Belanja Obat-Obatan -Obat | Provinsi Bali | Rp 3,764,481,000 |
| 1 July 2025 | Belanja Obat-Obatan -Obat | Provinsi Bali | Rp 3,686,151,000 |
| 22 December 2022 | Belanja Obat-Obatan-Obat-Obatan Lainnya | Provinsi Bali | Rp 2,641,347,000 |
| 17 June 2023 | Belanja Obat-Obatan-Obat-Obatan Lainnya | Provinsi Bali | Rp 2,641,347,000 |
| 20 October 2023 | Belanja Obat-Obatan-Obat-Obatan Lainnya | Provinsi Bali | Rp 2,411,347,000 |
| 10 February 2025 | Belanja Obat-Obatan Reguler B | Kab. Grobogan | Rp 2,400,000,000 |
| 11 June 2025 | Belanja Obat-Obatan Reguler C | Kab. Grobogan | Rp 2,400,000,000 |