| 0011297371411000 | Rp 98,901,000 | |
PT Anugerah Pharmindo Lestari Cabang Medan | 00*3**5****92**0 | Rp 276,457,328 |
| 0318168341518000 | Rp 5,904,981,927 | |
PT Peranan Intro Solutiva | 09*1**5****18**0 | - |
| 0010612281051000 | - | |
| 0802358960901000 | - | |
| 0032281826124000 | - | |
Arvensis Solusi Indonesia | 09*0**4****07**0 | - |
| 0751788746443000 | - | |
| 0025468554307000 | - | |
CV Putra Bhakti Persada | 06*4**5****02**0 | - |
| 0420156697447000 | - | |
| 0026950311004000 | - | |
CV Deltamas Makmur Perkasa | 0712562149421000 | - |
| 0915271423401000 | - | |
| 0665450003124000 | - | |
Bukit Barisan Mandiri | 07*0**4****02**0 | - |
| 0534362827518000 | - | |
| 0025088378003000 | - | |
| 0025369398922000 | - | |
CV Tuah Payung Sekaki | 00*0**7****08**0 | - |
| 0010612489051000 | - | |
Raharja Jaya Bersama | 07*3**7****32**0 | - |
| 0726737786101000 | - | |
PT Rekayasa Teknologi Indonesia | 00*2**3****28**0 | - |
| 0030792360005000 | - | |
| 0024145054056000 | - | |
| 0802523738432000 | - | |
| 0628045247002000 | - | |
| 0908885049504000 | - | |
| 0016399966061000 | - | |
| 0030433981404000 | - | |
| 0021227574002000 | - | |
| 0944818038435000 | - | |
| 0013019112062000 | - | |
PT Dimas Andalas Makmur | 00*8**0****21**0 | - |
| 0024050049038000 | - | |
Perdana Sukses, Pb | 0078385796543000 | - |
| 0018138941046000 | - | |
| 0825553373543000 | - | |
| 0834765117211000 | - | |
| 0028352821008000 | - | |
PT Ravindra Putrapratama | 00*8**4****19**0 | - |
PT Azka Artha Niaga | 04*9**3****03**0 | - |
| 0664499423423000 | - | |
| 0010612281051000 | - | |
| 0033300906061000 | - | |
PT Sanbe Farma | 00*1**9****92**0 | - |
| 0015070501955000 | - | |
| 0018494450038000 | - | |
| 0022954960121000 | - | |
| 0026237511048000 | - | |
PT Trikarsa Esa Jaya | 09*4**5****48**0 | - |
| 0639472968643000 | - | |
| 0027488527009000 | - | |
| 0637398678427000 | - | |
| 0749027041124000 | - | |
CV Dodo Property | 07*5**6****09**0 | - |
| 0315718882124000 | - | |
PT Duta Afiat | 00*1**0****48**0 | - |
| 0703732123061000 | - | |
| 0016133456422000 | - | |
| 0932852148443000 | - | |
| 0719161747906000 | - | |
| 0030422166035000 | - | |
| 0838059285609000 | - | |
CV Costa | 00*2**2****09**0 | - |
| 0316965870429000 | - | |
| 0631296860421000 | - | |
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PT Valtekindo Global Intertek | 08*0**5****29**0 | - |
URAIAN SINGKAT PEKERJAAN
PENGADAAN KEBUTUHAN BMHP NON E-CATALOG
RUMAH SAKIT UMUM PUSAT H. ADAM MALIK TAHUN 2023
NO NAMA BARANG KUANTITAS SATUAN HARGA SATUAN TOTAL
1 Amicasin Disc 1 ,00 Kit/5X50disc 4 69.576,00 4 69.576,00
2 Amies Agar Gel 1 00,00 Pcs 1 .361.659,00 136.165.900,00
3 Orthodontic Bonding Lightcure – Heliosit 1 ,00 B o x 2 .117.500,00 2.117.500,00
(box/3)
4 TYSHAK All Size 1 2,00 Pcs 1 3.875.000,00 166.500.000,00
5 Wax Paraffin 2 0,00 Pack 8 62.125,00 17.242.500,00
6 INOUE BALLOON CATHETER All Size 4 ,00 Pcs 3 2.605.701,00 130.422.804,00
7 Dengue Rapid WB/10 8 0,00 P c s 8 8.800,00 7.104.000,00
8 FOB (Fecal Occult Blood) 50mg/mL /10 1 00,00 P c s 3 9.930,00 3.993.000,00
9 HBsAg 1ng/25 2 5,00 Kit 2 9.410,00 7 35.250,00
10 HIV 1/2/0 Triline 8 00,00 Kit 5 3.280,00 42.624.000,00
11 Malaria P.F/25 2 5,00 P c s 6 3.936,00 1.598.400,00
12 BLAZER II 7/110/2.5/7-4 QUAD N4 5 ,00 P c s 1 3.093.283,00 65.466.415,00
13 LOCAL REFF PATCH KIT&CABLE 8 ,00 P c s 6 .428.125,00 51.425.000,00
M004RAPATCH10
14 METRIQ IRRIGATION TUBING SET 3 ,00 P c s 3 .300.000,00 9.900.000,00
15 Rectal Tube No.32 . 1 20,00 P c s 1 3.000,00 1.560.000,00
16 Rectal Tube No. 30 1 47,00 P c s 1 3.000,00 1.911.000,00
17 Deck Glass (Cover Glass) 24x24 2 5,00 Pack 6 6.000,00 1.650.000,00
18 Pediatric HEATED WIRE 1,6mm 03832768 5 0,00 S e t 1 .061.775,00 53.088.750,00
19 BISTOS BT-350 CTG Z-FOLD 150X90X150SH 5 ,00 P c s 1 69.400,00 8 47.000,00
20 Jarum Radiofrekuensi 22GA 100mm L5mm 8 ,00 P c s 5 08.200,00 4.065.600,00
Baretip
21 Jarum Radiofrekuensi 22GA 100mm L2mm 8 ,00 P c s 5 08.200,00 4.065.600,00
Baretip
22 Jarum Radiofrekuensi 21GA 50mm L4mm 8 ,00 P c s 5 08.200,00 4.065.600,00
Baretip
23 Jarum Radiofrekuensi 20GA 145mm L5mm 8 ,00 P c s 5 08.200,00 4.065.600,00
Baretip
24 Jarum Radiofrekuensi 20GA 100mm L10mm 8 ,00 P c s 5 08.200,00 4.065.600,00
Baretip
25 ANA Test Elisa/96 9 6,00 Test 1 36.488,00 13.102.848,00
26 Anti- dsDNA/96 9 6,00 Test 1 08.412,00 10.407.552,00
27 VIKING All Size 1 5,00 Pcs 3 .849.999,00 57.749.985,00
28 ROTABLATOR All Size 5 ,00 Pcs 1 8.150.000,00 90.750.000,00
29 ROTA WIRE All Size 5 ,00 Pcs 3 .176.250,00 15.881.250,00
30 Buccal Tube First Molar 5 ,00 S e t 6 8.365,00 3 41.825,00
31 Bur polishing putih round, flame, fissure 3 ,00 S e t 3 49.690,00 1.049.070,00
32 Dental Stone Pink 2 ,00 Botol 8 4.700,00 1 69.400,00
33 Elite Cement Powder + Liquid 2 ,00 B o x 3 17.625,00 6 35.250,00
34 Occo 2 ,00 Botol 1 96.625,00 3 93.250,00
35 Mata Bor Tulang FG. 151 Z. 23mm 1 5,00 Buah 3 36.380,00 5.045.700,00
36 Matrix 2 ,00 Roll 9 4.380,00 1 88.760,00
37 Wire 0.016x 0.022 SS Natural Upper and Lower 2 ,00 Pack 3 81.150,00 7 62.300,00
38 Wire 0.016 SS Natural Upper and Lower 2 ,00 Pack 1 .149.500,00 2.299.000,00
39 Wire 0.016 Niti Natural Upper and Lower 2 ,00 Pack 3 81.150,00 7 62.300,00
40 Wire 0.014 Niti Natural Upper and Lower 2 ,00 Pack 3 81.150,00 7 62.300,00
41 Wire 0.012 Niti Natural Upper and Lower 2 ,00 Pack 3 81.150,00 7 62.300,00
42 Scalpel Handle no. 3 5 ,00 P c s 3 63.000,00 1.815.000,00
43 Eugetin/ Epoxidin root canal sealer 2 ,00 B o x 7 56.250,00 1.512.500,00
44 HIGH PRESSURE SYRINGE-100201 150ML 1 40,00 P c s 1 87.550,00 26.257.000,00
45 High Pressure Syringe CT-1001106 200ml 4 25,00 P c s 1 81.500,00 77.137.500,00
46 High Pressure Syringe CT-100111 200ml (syringe+ C o n 2 n0e0c,t0o0r) P c s 3 85.990,00 77.198.000,00
47 Cystine Tullurite Agar Base 500g 1 ,00 Botol 1 .799.875,00 1.799.875,00
48 Brucella Agar Base 500g 2 ,00 Botol 2 .299.000,00 4.598.000,00
49 HAND HELD HIGH FLOW CORONARY ARTERY OST I A L C A N1 ,N00ULAPE c 1 s0FR 90▫ 1 .437.480,00 1.437.480,00
50 HAND HELD HIGH FLOW CORONARY ARTERY OST I A L C A N3 ,N00ULAPE c 1 s2FR 45▫ 1 .437.480,00 4.312.440,00
51 HAND HELD HIGH FLOW CORONARY ARTERY OST I A L C A N3 ,N00ULAPE c 1 s2FR 90▫ 1 .437.480,00 4.312.440,00
52 Silkam 2/0 NNS 13 x 60 cm 5 40,00 Sacchet 3 4.455,00 18.605.700,00
53 Z5 Ballon Atrioseptostomy Bas 1 ,00 P c s 1 1.322.000,00 11.322.000,00
54 N-Acetyl L cystein for biochemistry 1 ,00 Botol 3 .138.921,00 3.138.921,00
55 Tri Sodium Citrate Dihydrate 1 ,00 Botol 7 14.928,00 7 14.928,00
56 Pusher 8,5 Fr 1 ,00 P c s 1 .142.856,00 1.142.856,00
57 Pusher 5 Fr 220cm 1 ,00 P c s 1 .142.856,00 1.142.856,00
58 Pancreatic Stent Single Cath FR07/Fusion Oasis 1 ,00 P c s 1 .298.700,00 1.298.700,00
59 Biliary Stent 10 Fr-12cm. 70,00 P c s 1 .554.000,00 108.780.000,00
60 Renodrain Yell Nephr Punct Set No.7/34cm 140,00 P c s 2 .545.452,00 356.363.280,00
61 Disp Concent EMG Needle Elect Green 37mm 300,00 P c s 3 33.355,00 100.006.500,00
62 TBNA Needle 19G 15mm 130cm 5,00 P c s 4 .129.200,00 20.646.000,00
63 Parafil 4 x 125 Feet 30,00 Roll 8 95.000,00 26.850.000,00
64 Bola Lampu Laryngoscope Adult 45,00 Buah 3 02.500,00 13.612.500,00
65 Rectal Tube No.28 - 40cm 100,00 P c s 1 5.125,00 1.512.500,00
66 Rectal Tube No.20 - 40cm 50,00 P c s 7 .139,00 3 56.950,00
67 Rectal Tube No.18 - 40cm 50,00 P c s 7 .203,00 3 60.150,00
68 Rectal Tube No.16 - 40cm 50,00 P c s 7 .203,00 3 60.150,00
69 Heimlich Valve 5,00 P c s 3 63.000,00 1.815.000,00
70 BLUING 2,00 Botol/L 1 .210.000,00 2.420.000,00
71 TBD-1 Decalcifer 1,00 Liter 1 .936.000,00 1.936.000,00
72 Tenckoff Ped 30cm 30,00 Buah 9 13.550,00 27.406.500,00
73 Tenckoff 30,00 P c s 9 13.550,00 27.406.500,00
74 RAPID-crome papanicolous stains kit slid 2,00 S e t 7 .114.800,00 14.229.600,00
75 Instan Eosin (Alkohol) 1,00 Kit 5 .082.000,00 5.082.000,00
76 Cytofunnel 4,00 B o x 1 .500.400,00 6.001.600,00
77 Petri Dish 3Vent 25.000,00 Buah 2 .511,00 62.775.000,00
78 TRYPTONE SOYA AGAR 1,00 Botol 1 .002.787,00 1.002.787,00
79 GC Agar Base 1,00 Kit 2 .072.427,00 2.072.427,00
80 Columbia Blood Agar Base 500gr 5,00 Pack 2 .251.834,00 11.259.170,00
81 STAPHAUREX 2,00 Kit 2 .420.677,00 4.841.354,00
82 Anaerobic Gas Generat/ ANAEROGEN 10,00 Box/10kit 9 05.080,00 9.050.800,00
83 Vancomysin 1,00 Kit/5X50disc 4 72.626,00 4 72.626,00
84 Tigecycline TGC15 1,00 Disc 5x50 4 68.814,00 4 68.814,00
85 Tetracyclin 1,00 Kit/5X50disc 4 70.992,00 4 70.992,00
86 Sabouraud Dextrose Agar 7,00 Pack/500gr 1 .029.649,00 7.207.543,00
87 Metronidazole MTZ5 6,00 Kit/5X50disc 4 68.270,00 2.809.620,00
88 Mac Conkey Agar No,3 20,00 Kit 1 .249.627,00 24.992.540,00
89 Erytromycin 1,00 Kit/5X50disc 4 68.270,00 4 68.270,00
90 Clindamycin 1,00 Disc 5x50 4 72.626,00 4 72.626,00
91 Cefoperazone Sulbactam 1,00 Kit/5X50disc 4 68.814,00 4 68.814,00
92 Cefepime 1,00 Kit/5X50disc 4 75.893,00 4 75.893,00
93 Brucella Medium Base Agar 1,00 Btl/500gr 3 .277.764,00 3.277.764,00
94 EMERGENCY KEY disposable 1.000,00 P c s 1 1.132,00 11.132.000,00
95 Kit Ekstraksi High Pure Viral RNA 3.400,00 P c s 3 8.603,00 131.250.200,00
96 Lightcycler 480 Multiwell Plate 96 200,00 B o x 9 .531.910,00 1.906.382.000,00
97 Electrode Pad 100,00 P c s 4 2.350,00 4.235.000,00
98 Legend 8cm, 2,3mm Tapered F2/8TA23-BI 3,00 P c s 4 .412.930,00 13.238.790,00
99 Lowenstein Jensen Medium Base 500gr 2,00 Botol 3 .097.600,00 6.195.200,00
100 Masker Radioterapi 4 Point (Head&Neck) 250,00 Buah 1 .015.000,00 253.750.000,00
101 Masker Radioterapi 3 Point (Head) 100,00 Buah 1 .594.000,00 159.400.000,00
102 Pulp X 1,00 B o x 2 23.468,00 2 23.468,00
103 Z250 Universal Restorative 1370A3,5 2,00 Buah 1 79.428,00 3 58.856,00
104 Z250 Universal Restorative 1370A3 2,00 Buah 2 41.018,00 4 82.036,00
105 Z250 Universal Restorative 1370A2 2,00 Buah 1 81.063,00 3 62.126,00
106 Transbronchial Needle Aspiration (TBNA) Echo- 3,00 P c s 7 .005.900,00 21.017.700,00
3-HD22 Echotip Ultra
107 Six Shooter Saeed Multi Band Liga MBL-6 10,00 P c s 4 .658.500,00 46.585.000,00
108 Biopsy Forceps Broncho Standart Fenestrated 1,00 P c s 1 4.229.600,00 14.229.600,00
109 Biopsy Forcep 230cm Colon 10,00 P c s 3 39.926,00 3.399.260,00
110 Biopsy Forcep 180cm Gastro 10,00 P c s 3 70.550,00 3.705.500,00
111 Biliary Stent 7 Fr-12cm 2,00 P c s 1 .996.500,00 3.993.000,00
112 Polipectomi Snare L2300mm 3,00 P c s 6 41.300,00 1.923.900,00
113 Mouth Piece Standart Reusable 2,00 P c s 1 .500.400,00 3.000.800,00
114 Gliserin 1 liter 50,00 Botol/L 1 09.009,00 5.450.450,00
115 Kertas Perkamen 50.000,00 Bks/1000 1 4.171,00 708.550.000,00
116 Formalin 37 60,00 Gln/10ltr 5 99.549,00 35.972.940,00
117 Capsul Kosong No.3 5.000,00 Kapsul 6 5,00 3 25.000,00
118 Capsul Kosong No.1 12.000,00 P c s 5 7,00 6 84.000,00
119 Capsul Kosong No.0 8.000,00 Buah 5 5,00 4 40.004,00
120 Tissue Freezin Medium (cryomatrix) 3,00 Botol 4 13.820,00 1.241.460,00
121 Viral Nucleic Acid Extraction Kit II-VR300 3.000,00 P c s 2 2.586,00 67.758.000,00
122 BIOTRANS II BASEPLATE BT-201 10,00 P c s 1 .403.902,00 14.039.020,00
123 Inoculation Loop 1Ul / OSE 2.000,00 P c s 1 .794,00 3.588.000,00
124 Skin Traction Paed 50,00 Roll 2 17.591,00 10.879.550,00
125 Skin Traction Adult BSN 100,00 Roll 2 55.871,00 25.587.100,00
126 BERIPLAST P COMBISET 1 ml - FIBRIN SEALANT S E T 30,00 P c s 3 .793.350,00 113.800.500,00
127 Liga clip Applier 7,5 inchi SMALL 3,00 P c s 7 .619.040,00 22.857.120,00
128 LIGA CLIP APPLIER 7,5 INCHI MEDIUM 3,00 P c s 7 .619.040,00 22.857.120,00
129 Mersilk No.1 W215 (13x60cm) 192,00 Sacchet 6 2.626,00 12.024.192,00
130 Surgicel W 1913T 888,00 Sacchet 1 03.632,00 92.025.216,00
131 Prolene No.8/0 EP8741H TP8mm-60cm 72,00 P c s 4 42.307,00 31.846.104,00
132 PROLENE NO.6/0 W8005T RC 36,00 Sacchet 9 8.808,00 3.557.088,00
133 Nylon Tape W275 2.500,00 Sacchet 3 6.596,00 91.490.000,00
134 Ethibond No.2 W4843 48,00 Sacchet 1 99.844,00 9.592.512,00
135 Bola Lampu Laringoscope Anak 40,00 Buah 1 57.500,00 6.300.000,00
136 SELANG SILICONE 8 x 12MM 1,00 Roll 3 .332.000,00 3.332.000,00
137 Cutting Loop 24Fr Cat.27050G 5,00 P c s 2 .249.005,00 11.245.025,00
138 Embedding Cassete White 5.000,00 P c s 2 .015,00 10.075.000,00
139 Cover Glass 24x40 (1000Pcs/Box) 10.000,00 P c s 1 .350,00 13.500.000,00
5.905.572.488,00
Terbilang =Lima milyar sembilan ratus lima juta lima ratus tujuh puluh dua ribu empat ratus delapan puluh delapan rupiah
1 ........2.. . ............3.... .. .........................................................................................| Authority | |||
|---|---|---|---|
| 17 January 2017 | Pengadaan Kebutuhan Alkes Khusus Bariplast Dll Smf Bedah Syaraf Untuk Ta 2017 | Kementerian Kesehatan | Rp 156,709,707,000 |
| 27 September 2017 | Belanja Obat-Obatan & Amhp Dari Pnbp-Blu | Kementerian Kesehatan | Rp 156,709,707,000 |
| 14 July 2017 | Belanja Obat-Obatan & Amhp Dari Pnbp-Blu | Kementerian Kesehatan | Rp 156,709,707,000 |
| 24 August 2016 | Obat & Amhp ( Pengadaan Kebutuhan Alkes Khusus Beriplast Dll Smf Bedah Syaraf Untuk Semester II Ta 2016 ) | Kementerian Kesehatan | Rp 149,899,545,000 |
| 26 January 2017 | Pengadaan Barang Medis Habis Pakai (Alat Disposible) | Kementerian Kesehatan | Rp 55,500,000,000 |
| 17 June 2019 | Konsolidasi Cairan Infus Joglosemar 2019 - 2020 | Kementerian Kesehatan | Rp 49,597,247,091 |
| 5 March 2020 | Amhp Khusus Bagian | Kementerian Kesehatan | Rp 46,610,815,377 |
| 26 January 2017 | Pengadaan Obat - Obatan | Kementerian Kesehatan | Rp 45,000,000,000 |
| 13 February 2017 | Pengadaan Obat - Obatan | Kementerian Kesehatan | Rp 41,570,805,000 |
| 12 January 2017 | Pengadaan Barang Farmasi Obat Fornas Non E-Katalog Secara Itemize Rsup Fatmawati, Kebutuhan Tahun Anggaran 2017 | Kementerian Kesehatan | Rp 41,570,805,000 |