PENGADAAN OBAT NONEKATALOG
RUMAH SAKIT UMUM PUSAT H. ADAM MALIK
TAHUN ANGGARAN 2023
HARGA SATUAN +
NO NAMA BARANG SATUAN KUANTITAS JUMLAH HARGA + PPN TKDN
PPN
1 Koloid HES BM 130000 6% Botol 6,000 49,950.00 299,700,000.00 38.85%
2 Cardioplegia Sol Ml 1000 ml bag 300 1,998,000.00 599,400,000.00 N/A
3 Urea 10% tube 2,000 36,075.00 72,150,000.00 N/A
4 Sulfur COLOID box 2 8,880,000.00 17,760,000.00 N/A
5 NANO ALBUMIN box 2 13,320,000.00 26,640,000.00 N/A
6 MAA box 2 6,327,000.00 12,654,000.00 N/A
7 DMSA box 2 6,882,000.00 13,764,000.00 N/A
8 UBI box 2 34,965,000.00 69,930,000.00 N/A
9 RBC box 2 6,402,480.00 12,804,960.00 N/A
10 PYROSCINT/PYP box 2 4,162,500.00 8,325,000.00 N/A
11 OCTREOTIDE box 2 6,105,000.00 12,210,000.00 N/A
12 TECHIDA box 2 7,080,789.90 14,161,579.80 N/A
13 PSMA vial 2 9,455,382.93 18,910,765.86 N/A
14 Digoksin inj vial 300 63,270.00 18,981,000.00 33.6
15 Vasopressin inj vial 840 116,550.00 97,902,000.00 33.58
Lidokain inj 100mg@2ml+
16 ampul 300 72,150.00 21,645,000.00 30.1
Dextrose
17 Milrinone inj 1 mg/ml vial 500 271,950.00 135,975,000.00 32.7
18 Bupivacain ampul 1,400 58,275.00 81,585,000.00 N/A
19 Ropivacain ampul 1,500 67,500.00 101,250,000.00 N/A
20 Anti Tetanus 150000IU vial 1,500 146,242.50 219,363,750.00 N/A
21 Protamin ampul 1,000 89,077.50 89,077,500.00 N/A
22 Anti Bisa Ular vial 50 521,922.00 26,096,100.00 N/A
23 Gentamisin ampul 17,000 4,440.00 75,480,000.00 PDN
24 Iopamidol 300/100 Botol 400 398,628.75 159,451,500.00 N/A
25 Iopamidol 370/100 Botol 1,800 438,852.93 789,935,274.00 N/A
26 Larutan elektrolit flash 1,000 19,425.00 19,425,000.00 31.47
27 Ebtifibatid box 10 1,998,000.00 19,980,000.00 N/A
TOTAL HARGA Rp 3,034,557,429.66
Terbilang : Tiga milyar tiga puluh lima juta seratus empat belas ribu tiga ratus sepuluh rupiah
Ditetapkan Oleh
Pejabat Pembuat Komitmen
Defritua Sihombing, S.Sos.,MM
NIP. 197312211999031004