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URAIAN SINGKAT
OBAT-OBATAN POLIKLINIK
KEMENTERIAN KELAUTAN DAN PERIKANAN
TAHUN ANGGARAN 2024
1. LATAR BELAKANG
a. Dalam rangka mencegah terjadinya kekurangan stok obat serta
meningkatkan penggunaan persediaan obat secara efektif dan efisien
pada Klinik Pratama Kementerian Kelautan dan Perikanan.
b. Pengadaan belanja obat generik, non generik, BP Gigi, dan
Reagensia mutlak dilaksanakan agar penyelenggaraan pelayanan
kesehatan di lingkup KKP dapat berjalan dengan optimal.
c. Mengingat tingginya kebutuhan obat generik, non generik, BP Gigi,
dan Reagensia pada Klinik Pratama KKP, maka penyedian kebutuhan
tersebut diserahkan kepada pihak ketiga (penyedia barang/jasa).
2. MAKSUD DAN TUJUAN
a. Maksud pengadaan
Maksud disusunnya Kerangka Acuan Kerja (KAK) ini adalah untuk
memberikan arah dan petunjuk bagi calon penyedia obat generik, non
generik, BP Gigi, dan Reagensia.
b. Tujuan pengadaan
Tujuannya adalah terpenuhinya ketersediaan obat generik, non
generik, BP Gigi, dan Reagensia yang lengkap sesuai dengan
kebutuhan.
3. JENIS KONTRAK dan CARA PEMBAYARAN
a. Jenis kontrak
Kontrak Harga Satuan
b. Cara pembayaran
Termin
4. LOKASI PELAKSANAAN PEKERJAAN
Lokasi pelaksanaan pekerjaan dilakukan di Gedung Mina Bahari I
Kementerian Kelautan dan Perikanan, Jalan Medan Merdeka Timur No.
16 Jakarta Pusat.
5. JANGKA WAKTU PELAKSANAAN PEKERJAAN
Jangka waktu penyelesaian pekerjaan adalah 350 (tiga ratus lima puluh)
hari kalender.
6. LINGKUP PEKERJAAN
Ruang lingkup pekerjaan
- Menyediakan obat generik, non generik, BP Gigi dan Reagensia
sesuai dengan Surat Perjanjian (kontrak) dalam keadaan baik dan
sesuai spesifikasi;
- Jumlah dan jenis obat yang diserahkan sesuai dengan permintaan.
7. SPESIFIKASI
a. Spesifikasi mutu/kualitas
Volume
Satuan Ket.
No Nama Obat/Reagen Spesifikasi
Unit Produk
Umum
1 Acyclovir 400 mg (100 tablet) kotak 8 Acyclovir 400 mg tablet 33.00%
- OGB Dexa / Kimia Farma
2 Acyclovir 5 % salep tube 40 Acyclovir 5% salep 32.25%
3 Acran injeksi kotak 20 Ranitidin 25mg/mL 33.00%
4 Alerten Q 100 kotak 8 Co-Enzyme Q10 100 30.50%
mcg
5 Afucid tube 20 Fusidic Acid 2% 32.05%
6 Pritanol 100 kotak 30 Allopurinol 100 mg 32.93%
7 Pritanol 300 kotak 15 Allopurinol 300 mg 32.93%
8 Amlodipin 10 (100') - OGB kotak 100 Amlodipin 10 mg PDN
Dexa
9 Amlodipin 5 mg (100')- OGB kotak 50 Amlodipin 5 mg 33.50%
Dexa
10 Amoxsan 500 kotak 25 Amoksisilin 500 mg PDN
11 Amoxsan Forte Dry Syrup botol 10 Amoksisilin trihidrat 250 PDN
mg/5 mL
12 Amoxsan Dry Syrup botol 20 Amoksisilin trihidrat 125 32.69%
mg/5 mL
13 Analtram tab kotak 20 Tramadol 37.5 mg, 34.00%
Paracetamol 325 mg
14 Arcoxia 60 kotak 20 Etoricoxib 60 mg PDN
15 Asthin B-OND 6 kapsul kotak 20 Natural Astaxanthin 4 PDN
mg, Extramel® 10 mg
(Melon extract)
16 Ascardia 80 mg kotak 20 Acetosal enteric coated PDN
80 mg
17 Bedak Salicyl KF buah 35 Tiap 60 gram bedak PDN
mengandung talc,
salicylic acid 2 %
18 Bodrex Migra kotak 1 Paracetamol 350 mg, 32.62%
Propyphenazone 150
mg, caffein 50 mg
19 Boraginol S oint tube 6 lithospermi radix PDN
ekstrak, prednisolonum,
lidocainum, aethylis
aminobenzoas,
cetrimide
20 Atorvastatin 10 mg - Pratapa kotak 250 Atorvastatin 10 mg PDN
Nirmala
21 Atorvastatin 20 mg - OGB kotak 350 Atorvastatin 20 mg 35.25%
Dexa/ Pratapa Nirmala
22 Atofar 20 kotak 30 Atorvastatin 20mg PDN
23 Azitromisin 500 mg kotak 3 Azitromisin 500 mg 34.89%
24 Bexicom Z kotak 300 vitamin B1 15mg , PDN
vitamin B2 15mg ,
vitamin B6 20mg,
vitamin B12 12 mcg ,Ca
pantothenate 20mg,
nicotinamide 100 mg,
folic acid 400mcg,
vitamin C 750mg,
vitamin E 30IU, dan
zinc 22,5mg
25 Benoson M tube 50 Betametason 1 mg, 34.33%
Miconazole nitrat 20 mg
26 Betadine solution 15 mL botol 50 Povidon iodin 10% b/v PDN
27 Betametason Cream tube 150 Betametason 0,1 % 35.50%
cream
28 Bephanten oint 20 gr tube 10 Dekspanthenol 5% PDN
29 Bioplacenton tube 40 ekstrak placenta dari PDN
sapi 10%, neomycin
sulfate 0.5%, jelly base
30 Bisolvon Extra Syrup 60 mL botol 125 bromhexine Hcl 4mg, PDN
guaifenesin 100mg
31 Bisoprolol 5 mg (30')- OGB kotak 25 Bisoprolol Fumarate 5 35.09%
Dexa mg
32 Buscopan Plus kotak 8 Hyoscine-N- PDN
butylbromide 10mg,
parasetamol 500mg
33 Bufect Forte Syrup botol 10 Tiap 5 mL mengandung PDN
Ibuprofen 200 mg
34 Krili kotak 6 Krill oil 500 mg 33.42%
35 Combes FC kotak 20 Chitosan 250mg, PDN
garcinia cambogia
ekstrak 250mg, L-
carnitine 50mg,
chromium picolinate
50mcg, coenzym Q10
10mg, vitamin C 25mg
36 Calorloss FC tablet kotak 16 Alpha cyclodextrin 1000 PDN
mg
37 Candesartan 16 mg - OGB kotak 36 Candesartan 16 mg 36.00%
Dexa /Pratapa Nirmala tablet (OGB Dexa
Medica)
38 Candesartan 8 mg - OGB kotak 70 Candesartan 8 mg 36.00%
Dexa/Pratapa Nirmala tablet (OGB Dexa
Medica)
39 Cataflam 50 mg kotak 120 Diklofenac potassium TKDN
50 mg
40 Cataflam Fast 50 mg kotak 45 Diklofenac potassium 26.05%
50 mg
41 CDR (10 tab effv) tube 60 Ca carbonate 625 mg PDN
(setara dengan Calsium
250 mg), vitamin B6 15
mg, vitamin C 1.000
mg, vitamin D 300 IU.
42 Caladine Lotion 60 mL botol 15 calamin, zinc oxide, PDN
diphendramine Hcl
43 Cefadroxil 500MG @ 100 - kotak 25 Cefadroxil monohydrate 37.00%
OGB Dexa 500 mg
44 Cefadroksil Forte Syrup botol 15 Cefadroxil monohydrate PDN
250 mg tiap 5 ml.
45 Cefadroksil syrup 125 mg botol 12 Cefadroxil monohydrate PDN
125 mg tiap 5 ml.
46 Cefixime dry Sirup - OGB botol 30 Cefixime 100mg/5ml 39.60%
Dexa
47 Cefixime 100 kotak 3 Cefixime 100 mg PDN
48 Cefixime 200 mg- OGB Dexa kotak 10 Cefixime 200 mg 36.30%
49 Novexib 100 kotak 30 Celecoxib 100 mg 30.78%
50 Cendo Cenfresh m.d strip 40 Carmellose sodium 31.42%
5mg
51 Cendo Lyter 15 mL botol 15 Sodium chloride 4.40 31.42%
mg dan Potassium
chloride 0.80 mg
52 Cendo Protagenta m.d strip 40 polyvinylpyrrolidone 32.04%
20.0mg, vitamin A,
natrium hyaluronat
53 Cendo Xitrol m.d strip 60 Dexamethasone 1mg, 31.29%
neomycin sulphate
3.5mg, polymixin B
sulphate 10.000SI
54 Cendo Xitrol oint tube 25 dexamethasone 1mg, 32.88%
neomycin sulfate
3.5mg, polymixin B
sulfate 10.000SI
55 Cetirizin 10 mg FC tablet kotak 70 Cetirizin tablet 36.00%
(60')- OGB Dexa
56 Cetirizin syrup botol 10 Cetirizin syrup 10 mg/5 37.30%
mL
57 Cinogenta tube 30 Gentamisin sulfat 1,67 32.68%
mg dan fluocinolon
asetonid 0,25 mg
58 Cinolon N tube 10 Fluocinolone acetonide 33.60%
dan Neomycin sulfate.
59 Ciprofloxacin 500 mg kotak 3 Ciprofloxacin 500 PDN
60 Citicoline 500- OGB Dexa kotak 15 Citicoline 500 mg PDN
61 Co-Amoxyclav 500/125 mg kotak 6 Amoxicillin trihydrate, K 33.00%
('30) clavulanate / 500 MG
62 Clopidogrel 75 mg (30') - kotak 75 Clopidogrel 75 mg 35.83%
OGB Dexa
63 Cohistan Syrup botol 200 Glyceryl guaiacolate 50 PDN
mg, chlorpheniramine
maleate 1 mg
64 Hical Chew tablet kotak 100 Ca 325 mg, Vit D3 150 34.00%
IU, Mg 85 mg, Zn 4 mg
65 Domperidone tablet kotak 6 Domperidone 10 mg 33.50%
66 Stop X 30 gram tube 400 Per g : Menthol 6 %, PDN
methyl salicylate 11,5
%, camphor 1,5 %,
eugenol 1 %, benzyl
nicotinate 0,1 %
67 Cortidex 0,5 mg tablet kotak 50 Deksametason 0,5 mg 33.60%
tablet
68 Sanprima Forte Kaplet kotak 2 Cotrimoxazol 960 mg PDN
tablet
69 DaryaZinc syrup botol 30 Zinc Sulfat Monohidrat 39.63%
55 mg setara dengan
Zinc elemental 20 mg
70 Deksametason injeksi 5 can 1 Deksametason injeksi 5 PDN
mg/mL mg/mL
71 Desolex 0,05% cream tube 10 Desonide 0,05% Import
72 Diprosta Cream tube 10 Betamethasone 39.00%
dipropionate 0,5 mg,
gentamicin sulfate 1 g
73 Dramamine kotak 1 Dimenhydrinate BP 50 34.96%
mg
74 Dumin rektal tub 125mg kotak 4 Paracetamol 125 mg/ 30.03%
2,5 mL
75 Dumin rektal tube 250 mg kotak 2 Paracetamol 250 30.03%
mg/2,5 mL
76 Dtrivit 1000 kotak 100 Vitamin D3 1000 IU 32.25%
77 Edotin 300 kotak 40 Erdosteine 300 mg 31.59%
78 Elox cream tube 25 Mometasone furoate PDN
0.1%
79 Enystin oral suspension botol 8 Nystatin 100.000 IU/ML 33.42%
ORAL SUSP 12 mL
80 Epexol tablet kotak 50 Ambroxol HCl 30 mg 33.60%
81 Eprinoc kotak 18 Eperison HCL 50 mg 33.60%
82 Erlamycetin Salep mata tube 5 Chlorampenicol 1 % PDN
83 Entrostop Herbal anak kotak 5 Psidii folium leaf extr 33.42%
100 mg, Curcuma
domestica rhizoma extr
80 mg, Camellia
sinensis leaves extr 45
mg. Zingiber rhizoma
extr 50 mg.
84 Faktu suppost kotak 8 Policresulen 100 mg, PDN
cinchocain 2.5 mg
85 FG Troches kotak 6 fradiomycin 2,5 mg, PDN
gramicidin 1 mg
86 Flagystatin Ovula kotak 2 metronidazol 500 mg, 24.40%
nystatin 22,7 mg
87 Fluimucil kapsul kotak 15 N-Acetyl sistein 200 mg PDN
88 Folamil Genio kotak 150 asam folat 1 mg+IPC 38.27%
30mg+DHA 40mg+Beta
caroten 10000
IU+Multivit+Mineral
89 Furosemide 40 mg kotak 1 Furosemid 40 mg 37.39%
90 Minyak Fresh Care Lavender kotak 10 mentol 20%, camphor PDN
10 mL 4%, olive virgin oil 19%,
essential oil 5%, base
ad 100%
91 Glumin XR 500 kotak 30 Metformin HCl 500 mg 33.00%
Extended Release
92 Gentamisin cream Tube 100 Gentamisin cream 34.88%
93 Gengigel sachet (30') kotak 12 Hyaluronic Acid 0,2%, PDN
Xylitol, Excipients.
94 Glimepiride 2 mg - OGB kotak 15 Glimepiride 2 mg PDN
Dexa
95 Glimepiride 4 mg - OGB kotak 5 Glimepiride 4 mg 37.88%
Dexa
96 Glyceril Guaiacolate 100 mg kotak 5 Glyceril Guaiacolas 100 Import
mg
97 Hepa-Balance kotak 6 ekstrak schisandra PDN
chinensis fructus 135
mg, lecithin 300 mg,
ekstrak silybum
marianum semen 70
mg, curcuminoid 20
mg, vitamin b6 2 mg
98 Hydrocortison 2,5% cream tube 120 hydrocortison acetate 34.88%
2,5%
99 Hi - D 5000 IU kotak 100 Vitamin D3 5000 IU 30.50%
100 Hypofil 300 mg kotak 5 Gemfibrozil 300 mg 33.60%
101 Hyoscin ButilBromide injeksi kotak 3 Hyoscin Butilbromide PDN
(5') 20 mg/mL
102 Imboost Force Kaplet kotak 100 Ekstrak Echinacea 32.44%
250 mg, Zn Picolinate
10 mg, dan Black
Elderberry 400 mg
103 Imboost kids sirup 60 mL botol 125 Echinacea purpurea 33.94%
herb dry extract 250
mg, Zn Picolinate 5 mg
104 Ibuprofen 400 mg kotak 6 Ibuprofen 400 mg 34.00%
105 Intunal Forte tablet kotak 150 Paracetamol 500 mg, PDN
Phenylpropanolamine
HCL 15 mg,
Dexchlorpheniramine
maleat 2 mg,
Dextromethorpan HBr
15 mg, Glyceryl
guaiacolate 50 mg
106 Inpepsa Syrup 100 mL botol 75 Tiap 5 mL mengandung PDN
sukralfat 500mg
107 Kenalog in oral base tube 75 triamcinolon 0,1 % 34.96%
108 Ketorolak 3% injeksi kotak 3 Ketorolak 3% injeksi 38.85%
109 Lusanoc 2% cream tube 40 ketoconazol 2% cream 34.85%
110 Ketoconazol 200 mg tablet kotak 2 Ketoconazol 200 mg 37.00%
111 L-Bio kotak 6 rice starch, Import
maltodextrin,
lactobacillus
acidophilus,
lactobacillus casei,
lactobacillus salivarius,
bifidobacterium infantis,
bifidobacterium lactis,
bifidobacterium longum,
lactococcus lactis
112 Lodia kotak 10 Loperamide PDN
hydrochloride 2 mg
113 Lactamam kotak 15 ekstrak biji trigonella 30.78%
foenum-gracum 600
mg, ekstrak sauropus
androgynus 100 mg
114 Lansoprazol 30 mg kapsul kotak 200 Lansoprazol 30 mg PDN
kapsul
115 Levofloxacin 500 kotak 3 levofloxacin 500 35.69%
116 Loratadin kotak 20 Loratadin 32.69%
117 Lidocain injeksi kotak 1 Lidocain injeksi 2% 36.33%
118 Lipanthyl Penta 145 kotak 10 Fenofibrate 145 mg 24.40%
119 Maltofer Chewable Tablet kotak 40 Zat besi sebagai 33.48%
Kompleks Besi (III)-
hidroksi polimaltosa
100 mg
120 Maxiliv kotak 60 Phosphatidylcholine 30.50%
250 mg, Alpha Lipoic
Acid 50 mg,
Schisandrae 50 mg,
Silymarin 70 mg
121 Megabal kapsul kotak 30 Mecobalamin 500 mg 35.93%
122 Medscab cream tube 25 Permethrine 5% 31.96%
123 Mediklin gel tube 10 Clindamycin phosphate 31.42%
1%
124 Mefinal 500 mg kotak 15 Asam mefenamat 500 PDN
mg tablet
125 Melanox ES tube 10 Ekstrak Rumex, asam Import
kojik, asam laktat,
vitamin e
126 Meloksikam 15 mg @100 tab kotak 15 Meloksikam 15 mg 34.39%
(OGB Dexa)
127 Meloksikam 7,5 mg @100 kotak 20 Meloksikam 7,5 mg 34.88%
tab (OGB Dexa)
128 Meprothion 500 tablet kotak 15 L- Glutathione reduced PDN
500 mg
129 Mersibion 5000 kotak 200 Vitamin B1 100mg+ B6 PDN
100mg+ B12 5000mcg
130 Mersibion 5000 injeksi kotak 8 Vitamin B1 100mg+ B6 PDN
100mg+ B12 5000mcg
131 Mertigo kotak 10 Betahistin mesylate 6 30.50%
mg
132 Metformin 500 mg - OGB kotak 120 Metformin 500 mg 39.33%
Dexa/OGB Berno/ OGB tablet
Nulab
133 Metformin 850 mg kotak 5 Metformin 850 mg 39.33%
tablet
134 Metil prednisolon 4 mg - OGB kotak 100 Metil prednisolon 4 mg 30.50%
Dexa / Quantum Lab
International
135 Metronidazol 500 mg kotak 2 Metronidazol 500 mg 30.50%
136 Microgynon kotak 5 levonorgestrel 150 PDN
mcg, ethinylestradiol 30
mcg plus 7 tablet
plasebo
137 Miconazole cream 2% tube 50 Miconazole nitrate 2% 37.06%
138 Minosept 60 mL botol 150 Chlorhexidine PDN
Gluconate 0.2%
139 Minyak kayu putih cap lang botol 300 Minyak kayu putih 30 PDN
30 mL mL
140 Mucos Syrup botol 125 Ambroxol Syr 30 mg/5 41.77%
mL
141 My baby minyak telon plus 57 botol 120 Oleum citronella, oleum PDN
mL chamomillae, oleum
anisi, oleum cajuputi,
oleum cocos.
142 Nasonex spray 60 metered botol 10 Mometasone furoate 26.56%
dose 0.05%
143 Nexium 20mg kotak 20 Esomeprazol 20 mg PDN
144 Neuralgin RX kotak 6 Metampiron 500mg, Vit 32.99%
B1 50mg, Vit B6 10 mg,
Vit B12 10 mcg,kafein
50 mg
145 New Diatab tablet kotak 30 Attapulgit aktif 600 mg PDN
146 Noroid Cream 80 mL tube 20 Squalane, Sunflower oil Import
decyl ester, Tocopheryl
acetate, Hydrogenated
olive oil, Anthemis
nobilis flower extract,
Glycine soja sterol,
Camelia sinensis seed
oil, Allantoin,
Glycyrrhiza glabra root
extract
147 Nifedipin 10 mg OGB Dexa kotak 1 Nifedipin 10 mg PDN
148 Ondansetron 4 mg tablet kotak 10 Ondansetron 4 mg 34.00%
149 Ondansetron injeksi kotak 1 Ondansetron 4 mg/2ml 38.85%
150 Obeslim kotak 35 Orlistat 120 mg 20.03%
151 OBH Itrasal 100 mL botol 250 Tiap 5 ml : Glycyrrhizae 44.63%
Succus 160 mg,
Chloretum Ammonicum
100 mg, Solutio
ammonia dan Sprituosa
anisata 100 mg
152 Octedine 50 mL spray botol 6 Tiap mL mengandung : 20.40%
Octedine dihidroklorida
0.1%
153 Omeprazol 20 mg kapsul kotak 40 Omeprazol 20 mg 38.50%
@100 tab - OGB DEXA kapsul
154 Otopain Ear drop botol 6 Polymyxin B sulfate 36.33%
50000 iu, neomycin
sulfate 25 mg,
fludrocortisone acetate
5 mg, lidocaine HCl 200
mg
155 Otsu NaCl 0,9 % piggy bag botol 40 Otsu NaCl 0,9 % piggy 38.40%
100 mL bag 100 mL
156 Otsu NaCl 0,9% 500 mL botol 15 Otsu NaCl 0,9 % 500 PDN
mL
157 Osteor tablet kotak 140 Glucosamine sulphate PDN
500 mg, chondroitin
sulphate 400 mg, vit C
50 mg, manganese 0.5
mg, Mg 10 mg, Zn 5
mg, selenium 10 mcg
158 Osteor Plus tablet kotak 60 Glucosamine sulphate PDN
500 mg, chondroitin
sulfate 400 mg, vit C 50
mg, manganese 0.5
mg, Mg 10 mg,
selenium 10 mcg, Zn 5
mg, MSM 350 mg
159 Osteor C Cream tube 120 Glucosamine sulphate PDN
20mg, chondroitin
sulphate 10 mg,
capsicum extr 3.5mg,
camphor 20mg, methyl
salicylate 100mg
160 Pepsodent Mouthwash Active botol 350 Water, Sorbitol, PEG- PDN
Defense 150ml 40 Hydrogenated
Castor Oil, Glycerin,
Benzyl Alcohol,
Phenoxyethanol,
Flavor, Sodium
Saccharin,
Cetylpyridinium
Chloride, Sodium
Floride, Citric Acid,
Sodium Hydroxide,
Sodium Chloride,
Sodium Sulfate, CI
42090. Bahan Aktif:
Sodium Fluoride
161 Praxion Forte 250 syrup botol 20 Paracetamol Syrup 250 34.48%
mg/5 mL
162 Tempra syrup botol 50 Paracetamol 160 mg/5 31.03%
mL
163 Pritacort kotak 12 dexamethasone 0.5 mg 30.50%
, dexchlorpheniramine
maleate 2 mg
164 Meproce 1000 injeksi kotak 10 Ascorbic Acid 1000 mg 41.77%
i.v/i.m
165 MYWELL Vit C+Zn Pure Way kotak 30 Pure Way C 500 mg, PDN
C 500 mg Zn 10 mg
166 PROVE D3 400 IU DROP botol 12 Cholecalsiferol 400 31.96%
IU/tetes
167 Polysilane tablet kunyah kotak 120 Al(OH)3 200mg, PDN
dimethicone 80mg,
Mg(OH)2 200mg
168 Polysilane syrup 100 mL botol 100 per 5 mL : Mg(OH)2 PDN
200 mg, Al(OH)3 200
mg, dimethicone 80
mg.
169 Promag Suspensi sachet ('6 kotak 75 Tiap sachet 31.96%
sachet) mengandung :
Hydrotalcite 200mg,
Mg(OH)2 150mg,
Simethicone 50mg
170 Ranicho syrup botol 8 Ranitidin HCl 75 mg 34.57%
tiap 5 mL
171 Kolsin 0.5 mg kotak 40 kolkisin 0,5mg 41.77%
172 Rhinos Junior botol 30 Per 5 mL PDN
Pseudoephedrine HCl
15 mg,
chlorpheniramine
maleate 1 mg.
173 Rhinos SR kotak 70 Loratadine 5 mg, PDN
Pseudoefedrin HCl 120
mg.
174 Rohto Cool Tetes Mata 7ml kotak 8 nafazolin hcl 0,012%, PDN
asam borat,natrium
borat,dinatrium
edetat,polisorbat
80,benzalkonium
klorida
0,005%,klorobutanol
dan menthol
175 Rosuvastatin 20 mg kotak 6 Rosuvastatin Calsium 36.00%
20 mg
176 SP Troches (120 tablet) kotak 30 dequalinium chloride PDN
0,25 mg
177 Sanadryl DMP 120 mL botol 75 Per 5 ml mengandung : Import
dextromethorphan HBr
10 mg, Difenhidramin
HCl 12,5 mg, Amonium
Klorida 100 mg dan
Natrium Sitrat 50 mg,
Mentol 1 mg.
178 Sanmol Forte tablet kotak 75 Paracetamol 650 mg PDN
179 Sanmol tablet kotak 75 Paracetamol 500 mg PDN
180 Sea Quill Omega 3 (Z3 Botol 5 Omega 3 (EPA dan Import
Suplemen Makanan) DHA), vitamin E
181 Seloxy AA kotak 20 a-lipoic acid 100mg+vit PDN
c 500mg+Zn picolinate
50mg+selenium
50mcg+b-carotene
5000 iu
182 Silex Syr botol 25 extract thymi liquid 250 41.77%
mg, extract primulae
liquid 50 mg, extract
althae liquid 175 mg,
extract droserae 25 mg,
extract serphylli 175
mg, ol eucalypti 0,5mg,
ol anisi 1,25 mg,
syrupus simplex 2,5g,
excip c corrigen q s ad
5 ml.
183 Synbio kotak 10 Lactobacillus 32.83%
acidophilus dan
Bifidobacterium longum
5.000.000.000 CFU,
fructoligosaccharides
(FOS) 15%
184 Thrombophob gel tube 40 heparin sodium 200 IU PDN
185 Tonicard kotak 3 ubidecarenone 100mg, PDN
l-carnitine 500 mg,
vitamin E 100 IU, asam
folat 800 mcg
186 Transpulmin Kids Balsam tube 15 Eucalyptus oil 100 mg, Import
menthol 50 mg,
camphor 25 mg, sage
oil 25 mg, extractive
subs from camomile
flowers 2 mg
187 Transpulmin Baby 20 gram tube 25 camomile 7.74 mg, Import
eukaliptol 10 mg
188 Tremenza tablet kotak 25 pseudoephedrine 60 35.93%
mg, 2,5 mg triprolidine
HCl
189 Fenofibrate 300 kotak 10 Fenofibrat 300 mg 38.00%
190 Unisia kotak 125 Candesartan Cilexetil 8 PDN
mg, Amlodipine 5 mg
191 Urotractin 400 mg kotak 2 asam pipemidat 400mg PDN
192 Ventolin Nebules 2,5 mg kotak 2 Salbutamol Sulfat 2.5 PDN
mg
193 Vitamin B1 IPI botol 30 Vitamin B1 Mononitrat PDN
15 mg
194 Voltadex Enteric Coated kotak 50 Natrium diklofenak 50 33.00%
Tablet 50 mg mg
195 Flamar gel 20 gram tube 25 diclofenac diethylamin PDN
10 mg/gram gel
196 Vometa syrup botol 12 Domperidon 1 mg/mL PDN
197 Vitacid 0,025% gel tube 20 Tretinoin 0,025% dalam 31.42%
zat dasar gel.
198 Xepazym tablet kotak 40 Pancreatin 170 mg PDN
,Simethicone 80 mg
199 Zamel syrup botol 160 vit A 2000 IU, tiamine 5 29.40%
mg, riboflavin 2 mg,
pyridoxine 5 mg,
cyanocobalamin 2 mcg,
nicotinamide 10 mg,
folic acid 15
mcg,choline 5 mg,
inositol 12 mg,biotin
100 mcg, vitamin E 5
IU,Fe 5 mg,Zn 2,5 mg,
Mg 35 mg, copper 300
mcg, selenium 20 mcg,
chromium 15 mcg,
lysine 100 mg, L-
glutamine 50 mg
GIGI
200 Aquabidest Wida Liter 300 water steril 1 liter PDN
201 Aquabidest Galon 15 Brataco PDN
202 Perfectan Endo Galon Galon 6 Dr. Schumacher Import
203 Descoderm galon Galon 6 Dr. Schumacher Import
204 Descosuc Galon Galon 6 Dr. Schumacher Import
205 Wipes Cleanisept Reffil Pack 60 Dr. Schumacher Import
206 H2O2 3 % Liter 2 Onemed 61.15%
207 NaOcL 2,5% Botol 6 Onemed PDN
208 Dettol handwash Pump botol 18 Dettol PDN
209 Clinpro white varnish 3M Pcs 36 sodium fluoride 5% PDN
Bonding self etch adhesive 5 Single Bond Universal Import
Pcs
210 type 3M
Bonding nano reinforced self 8 Import
Pcs Bondfix Voco
211 etch
Etching Gel Vial 6 Scotchbond Universal Import
Vial
212 Etchant 3M 9 ml
213 Dycal Base catalis kotak 2 Hydcal import
214 Ledermix paste pcs 1 Ledermix paste 5g tube import
215 CHKM pcs 6 GHIMAS 10 ml import
Cresotine Paste 2 Cresotin Paste Import
pcs
216 Tehnodent ( 25 g)
pulpevit liquid no. 2 1 pulpevit liquid no. 2 ( 15 Import
Pcs
217 ml )
218 Eugenol Pcs 20 GHIMAS ITALY 10 ml PDN
Calcipex II 200 gr 1 Calcium hydroxide 300 Import
Pot
219 gr
220 Composite Flow 3M z350xt Pcs 4 3M Import
221 Composite Flow Solare Pcs 3 SOLARE Flo GC Import
Composite body gingiva 2 Beautifull II Gingiva Import
Pcs
222 SHOFU
223 Composite body 3M z350xt Siring 4 3M Import
Composite body Solare 4 Import
Siring SOLARE GC
224 Anterior
Composite body Solare X 8 Import
Siring SOLARE GC
225 Posterior
Composite body BULKFILL 2 Import
Siring Filtek One 3M
226 3M
GIC Posterior 2 GC FUJI IX (Pow.15g; PDN
Kotak
227 Liq. 8g)
228 GIC for Restorative Kotak 4 SMIC Import
229 Gengigel prof syringes kotak 1 Hyaluronic Acid 0,80% PDN
230 Gengigel gingival gel kotak 4 Hyaluronic Acid 0,20% PDN
Gengigel gingival spray 4 sodimun hiyaluronat PDN
kotak
231 0.01%
232 Guttapercha VDW .m two Pcs 5 VDW guttappercha Import
233 alvanes Pot 1 alvanes paste 20g Import
Dental Oil Handpiece 4 Pana Spray Plus NSK PDN
Botol
234 480 ml
235 D pulp Tube 1 AMMDENT 7,5 gm Import
236 OCO Botol 2 OCO Import
237 Prophylaxis Paste Botol 2 Spectra Minty Dentpro Import
238 Octocaine 100 carpule Kotak 1 Octocaine isi 100 Import
Chlor Ethyl Spray 14 Chlor Ethyl Spray PDN
Botol
239 walter ritter 100ml
240 CEIVITRON Pot 12 Ceivitron pink 30 gr PDN
241 Vaseline Pot 6 Vaseline gel 50 ml PDN
242 biosponge Kotak 3 biosponge isi 12 Import
243 sandblasting dental powder botol 4 powder 130 gram Import
LABORATORIUM
Calibrator, Sysmex 1 Calibrator, Sysmex XN Import
Vial
244 Cal
Control, Sysmex 3 XN-L Check (L1, L2, Import
serial
245 L3) Sysmex
246 Cobas Asam Urat Kit 2 Asam Urat Cobas C111 Import
247 Cobas C.f.a.s Kit 1 C.f.a.s Cobas C111 Import
Cobas C.f.a.s lipid 1 C.f.a.s lipid Cobas Import
Kit
248 C111
Cobas Cholesterol 2 Cholesterol Cobas Import
Kit
249 C111
250 Cobas Cleaner / CLEANER Botol 4 Cleaner Cobas C111 Import
Cobas 2 Import
Creatinin/CREATININE Kit Creatinin Cobas C111
251 PLUS VERS 2
Cobas Deproteinizer/ ISE 1 ISE Deproteinizer Import
Kit
252 DEPROTEINIZER Cobas C111
Cobas Glukosa/GLUCOSE 2 Import
Kit Glukosa Cobas C111
253 HK
Cobas HDL/ HDL-Cholesterol 2 Import
Kit HDL Cobas C111
254 Gen.4
Cobas LDL/LDL-Cholesterol 4 Import
Kit LDL Cobas C111
255 Gen. 3
Cobas PreciControl 1 PreciControl ClinChem Import
ClinChem Multi 1 QCS Kit Multi 1 QCS Cobas
256 C111
257 Cobas SGOT Kit 2 SGOT Cobas C111 Import
258 Cobas SGPT Kit 2 SGPT Cobas C111 Import
Cobas Trigliseride/riglyceride 2 Trigliseride Cobas Import
Kit
259 C111
260 Cobas Ureum Kit 2 Ureum Cobas C111 Import
261 Cellclean Auto, Sysmex Box 3 Cellclean Auto, Sysmex Import
Fluorocell WDF, Sysmex 2 Fluorocell WDF, Import
catridge
262 Sysmex
263 Lysercell WDF, Sysmex Box 2 Lysercell WDF, Sysmex Import
264 Sulfolyser, Sysmex Botol 2 Sulfolyser, Sysmex Import
265 Cellpack DCL, Sysmex Box 6 Cellpack DCL, Sysmex Import
Widal 1 Widal Test, Fortress Import
Box
266 Diagnostics
267 Aquabidest Wida Liter 80 Water steril 1 liter PDN
b. Spesifikasi jumlah
No Nama Obat/Reagen Spesifikasi Kemasan
Umum
1 Acyclovir 400 mg (100 tablet) - OGB Dexa / 1 kotak = 100 tablet
Kimia Farma
2 Acyclovir 5 % salep 1 tube = 5 gram
3 Acran injeksi 1 kotak = 5 ampul
4 Alerten Q 100 1 kotak = 3 strip @ 10 kapsul
5 Afucid 1 tube = 5 gram
6 Pritanol 100 1 kotak = 5 strip @ 10 tablet
7 Pritanol 300 1 kotak = 10 strip @ 10 tablet
8 Amlodipin 10 (100') - OGB Dexa 1 kotak = 10 strip @ 10 tablet
9 Amlodipin 5 mg (100')- OGB Dexa 1 kotak = 10 strip @ 10 tablet
10 Amoxsan 500 1 kotak = 10 strip @ 10 tablet
11 Amoxsan Forte Dry Syrup 1 botol = 60 mL
12 Amoxsan Dry Syrup 1 botol = 60 mL
13 Analtram tab 1 kotak = 3 strip @ 10 tablet
14 Arcoxia 60 1 kotak = 3 blister @10 tablet
15 Asthin B-OND 6 kapsul 1 kotak = 2 strip @ 10 tablet
16 Ascardia 80 mg 1 kotak = 10 blister @10 tablet
17 Bedak Salicyl KF 1 buah = 60 gram
18 Bodrex Migra 1 kotak = 25 strip @ 4 tablet
19 Boraginol S oint 1 tube = 15 gram
20 Atorvastatin 10 mg - Pratapa Nirmala 1 kotak = 30 tablet
21 Atorvastatin 20 mg - OGB Dexa/ Pratapa 1 kotak = 30 tablet
Nirmala
22 Atofar 20 1 kotak = 3 blister @10 tablet
23 Azitromisin 500 mg 1 kotak = 30 tablet
24 Bexicom Z 1 kotak = 10 strip @ 10 tablet
25 Benoson M 1 tube = 5 gram
26 Betadine solution 15 mL 1 botol = 15 mL
27 Betametason Cream 1 tube = 5 gram
28 Bephanten oint 20 gr 1 tube = 20 gram
29 Bioplacenton 1 tube = 15 gram
30 Bisolvon Extra Syrup 60 mL 1 botol = 60 mL
31 Bisoprolol 5 mg (30')- OGB Dexa 1 kotak = 3 strip @ 10 tablet
32 Buscopan Plus 1 kotak = 25 strip @ 4 tablet
33 Bufect Forte Syrup 1 botol = 50 mL
34 Krili 1 botol = 30 soft capsul
35 Combes FC 1 kotak = 5 strip @ 6 tablet
36 Calorloss FC tablet 1 kotak = 30 tablet
37 Candesartan 16 mg - OGB Dexa /Pratapa 1 kotak = 3 strip @ 10 tablet
Nirmala
38 Candesartan 8 mg - OGB Dexa/Pratapa 1 kotak = 3 strip @ 10 tablet
Nirmala
39 Cataflam 50 mg 1 kotak = 5 strip @ 10 tablet
40 Cataflam Fast 50 mg 1 kotak = 9 sachet
41 CDR (10 tab effv) 1 tube = 10 tablet effv
42 Caladine Lotion 60 mL 1 botol = 60 ml
43 Cefadroxil 500MG @ 100 - OGB Dexa 1 kotak = 100 kapsul
44 Cefadroksil Forte Syrup 1 botol= 60 mL
45 Cefadroksil syrup 125 mg 1 botol = 60 mL
46 Cefixime dry Sirup - OGB Dexa 1 botol = 30 mL
47 Cefixime 100 1 kotak = 10 strip @10 kapsul
48 Cefixime 200 mg- OGB Dexa 1 kotak = 100 kapsul
49 Novexib 100 1 kotak = 3 strip @10 kapsul
50 Cendo Cenfresh m.d 1 strip = 5 mini dose 0,6 mL
51 Cendo Lyter 15 mL 1 botol = 15 mL
52 Cendo Protagenta m.d 1 strip = 5 mini dose 0,6 mL
53 Cendo Xitrol m.d 1 strip = 5 mini dose 0,6 mL
54 Cendo Xitrol oint 1 tube = 3,5 gram
55 Cetirizin 10 mg FC tablet (60')- OGB Dexa 1 kotak = 6 strip @ 10 tablet
56 Cetirizin syrup 1 botol = 60 mL
57 Cinogenta 1 tube = 10 gram
58 Cinolon N 1 tube= 5 gram
59 Ciprofloxacin 500 mg 1 kotak = 10 strip @ 10 tablet
60 Citicoline 500- OGB Dexa 1 kotak = 30 tablet
61 Co-Amoxyclav 500/125 mg ('30) 1 kotak = 30 tablet
62 Clopidogrel 75 mg (30') - OGB Dexa 1 kotak = 5 strip @ 6 tablet
63 Cohistan Syrup 1 botol = 60 mL
64 Hical Chew tablet 1 kotak = 10 strip @ 2 kaplet
65 Domperidone tablet 1 kotak = 10 strip @ 10 tablet
66 Stop X 30 gram 1 tube = 30 gram
67 Cortidex 0,5 mg tablet 1 kotak = 10 strip @ 10 tablet
68 Sanprima Forte Kaplet 1 kotak = 10 strip @10 kaplet
69 DaryaZinc syrup 1 botol = 60 mL
70 Deksametason injeksi 5 mg/mL 1 kotak = 100 ampul
71 Desolex 0,05% cream 1 tube = 10 gram
72 Diprosta Cream 1 tube = 5 gram
73 Dramamine 1 kotak = 10 strip @10 tablet
74 Dumin rektal tub 125mg 1 kotak = 5 tube
75 Dumin rektal tube 250 mg 1 kotak = 5 tube
76 Dtrivit 1000 1 kotak = 3 strip @ 10 tablet
77 Edotin 300 1 kotak = 2 strip @10 kapsul
78 Elox cream 1 tube = 5 gram
79 Enystin oral suspension 1 botol = 12 mL
80 Epexol tablet 1 kotak = 10 strip @10 tablet
81 Eprinoc 1 kotak = 100 tablet
82 Erlamycetin Salep mata 1 tube = 3,5 gram
83 Entrostop Herbal anak 1 kotak = 6 sachet
84 Faktu suppost 1 kotak = 2 strip @ 5 suppost
85 FG Troches 1 kotak = 300 tablet
86 Flagystatin Ovula 1 kotak = 10 ovula
87 Fluimucil kapsul 1 kotak = 6 strip @ 10 kapsul
88 Folamil Genio 1 Kotak = 30 softgel
89 Furosemide 40 mg 1 kotak = 20 strip @ 10 tablet
90 Minyak Fresh Care Lavender 10 mL 1 kotak = 12 roll on
91 Glumin XR 500 1 kotak = 30 tablet
92 Gentamisin cream 1 tube = 5 gram
93 Gengigel sachet (30') 1 kotak = 30 sachet @ 1 mL
94 Glimepiride 2 mg - OGB Dexa 1 kotak = 10 strip @ 10 tablet
95 Glimepiride 4 mg - OGB Dexa 1 kotak = 10 strip @ 10 tablet
96 Glyceril Guaiacolate 100 mg 1 kotak = 10 strip @ 10 tablet
97 Hepa-Balance I kotak = 10 strip @ 6 tablet
98 Hydrocortison 2,5% cream 1 tube = 5 gram
99 Hi - D 5000 IU 1 kotak = 30 tablet
100 Hypofil 300 mg 1 kotak = 10 strip @10 kapsul
101 Hyoscin ButilBromide injeksi (5') 1 kotak = 5 ampul
102 Imboost Force Kaplet 1 kotak = 3 blister @10 tablet
103 Imboost kids sirup 60 mL 1 botol = 60ml
104 Ibuprofen 400 mg 1 kotak = 10 strip @ 10 tablet
105 Intunal Forte tablet 1 kotak = 100 tablet
106 Inpepsa Syrup 100 mL 1 botol = 100 mL
107 Kenalog in oral base 1 tube = 5 g
108 Ketorolak 3% injeksi 1 kotak = 10 ampul
109 Lusanoc 2% cream 1 tube = 10 gram
110 Ketoconazol 200 mg tablet 1 kotak = 50 tablet
111 L-Bio 1 kotak = 30 sachet
112 Lodia 1 kotak = 10 strip @ 10 tablet
113 Lactamam 1 kotak = 6 strip @10 tablet
114 Lansoprazol 30 mg kapsul 1 kotak = 2 strip @ 10 kapsul
115 Levofloxacin 500 1 kotak = 50 tablet
116 Loratadin 1 kotak = 50 tablet
117 Lidocain injeksi 1 kotak = 100 ampul
118 Lipanthyl Penta 145 1 kotak = 3 strip @ 10 tablet
119 Maltofer Chewable Tablet 1 kotak = 30 tablet
120 Maxiliv 1 kotak = 30 softkapsul
121 Megabal kapsul 1 kotak = 10 strip @ 10 kapsul
122 Medscab cream 1 tube = 30 gram
123 Mediklin gel 1 tube = 15 gram
124 Mefinal 500 mg 1 kotak = 10 strip @ 10 tablet
125 Melanox ES 1 tube = 15 gram
126 Meloksikam 15 mg @100 tab (OGB Dexa) 1 kotak = 10 strip @ 10 tablet
127 Meloksikam 7,5 mg @100 tab (OGB Dexa) 1 kotak = 10 strip @ 10 tablet
128 Meprothion 500 tablet 1 kotak = 30 tablet
129 Mersibion 5000 1 kotak = 5 strip @ 10 tablet
130 Mersibion 5000 injeksi 1 kotak = 10 ampul
131 Mertigo 1 kotak = 10 strip @ 10 tablet
132 Metformin 500 mg - OGB Dexa/OGB Berno/ 1 kotak = 10 strip @ 10 tablet
OGB Nulab
133 Metformin 850 mg 1 kotak = 10 strip @ 10 tablet
134 Metil prednisolon 4 mg - OGB Dexa / 1 kotak = 10 strip @ 10 tablet
Quantum Lab International
135 Metronidazol 500 mg 1 kotak = 10 strip @ 10 tablet
136 Microgynon 1 kotak = 10 box @ 28 tablet
137 Miconazole cream 2% 1 tube = 10 gram
138 Minosept 60 mL 1 botol = 60 mL
139 Minyak kayu putih cap lang 30 mL 1 botol = 30 ml
140 Mucos Syrup 1 botol = 60 mL
141 My baby minyak telon plus 57 mL 1 botol = 57 mL
142 Nasonex spray 60 metered dose 1 botol = 60 metered spray
143 Nexium 20mg 1 kotak = 3 strip @ 10 tablet
144 Neuralgin RX 1 kotak = 10 strip @ 10 tablet
145 New Diatab tablet 1 kotak = 25 strip @ 4 tablet
146 Noroid Cream 80 mL 1 tube = 80 mL
147 Nifedipin 10 mg OGB Dexa 1 kotak = 10 strip @ 10 tablet
148 Ondansetron 4 mg tablet 1 kotak = 2 strip @ 6 tablet
149 Ondansetron injeksi 1 Kotak = 25 Ampul
150 Obeslim 1 kotak = 3 strip @ 10 kapsul
151 OBH Itrasal 100 mL 1 botol = 100 mL
152 Octedine 50 mL spray 1 botol = 50 mL
153 Omeprazol 20 mg kapsul @100 tab - OGB 1 kotak = 10 strip @ 10 kapsul
DEXA
154 Otopain Ear drop 1 botol = 8 mL
155 Otsu NaCl 0,9 % piggy bag 100 mL 1 botol = 100 mL
156 Otsu NaCl 0,9% 500 mL 1 botol = 500 mL
157 Osteor tablet 1 kotak = 30 tablet
158 Osteor Plus tablet 1 kotak = 30 tablet
159 Osteor C Cream 1 tube = 60 gram
160 Pepsodent Mouthwash Active Defense 1 botol = 150 mL
150ml
161 Praxion Forte 250 syrup 1 botol = 60 mL
162 Tempra syrup 1 botol = 100 mL
163 Pritacort 1 kotak = 15 strip @10 tablet
164 Meproce 1000 injeksi 1 kotak = 5 ampul
165 MYWELL Vit C+Zn Pure Way C 500 mg 1 kotak = 12 blister @ 5 kaplet
166 PROVE D3 400 IU DROP 1 botol = 12,5 mL
167 Polysilane tablet kunyah 1 kotak = 5 strip @ 8 tablet
168 Polysilane syrup 100 mL 1 botol = 100 mL
169 Promag Suspensi sachet ('6 sachet) 1 kotak = 6 sachet @7 mL
170 Ranicho syrup 1 botol = 60 mL
171 Kolsin 0.5 mg 1 kotak = 3 blister @10 tablet
172 Rhinos Junior 1 botol = 60 mL
173 Rhinos SR 1 kotak = 5 blister @ 10 kapsul
174 Rohto Cool Tetes Mata 7ml 1 botol = 7 mL
175 Rosuvastatin 20 mg 1 kotak = 3 strip @ 10 tablet
176 SP Troches (120 tablet) 1 kotak = 20 strip @ 6 tablet
177 Sanadryl DMP 120 mL 1 botol = 120 mL
178 Sanmol Forte tablet 1 kotak = 25 strip @ 4 tablet
179 Sanmol tablet 1 kotak = 25 strip @ 4 tablet
180 Sea Quill Omega 3 (Z3 Suplemen Makanan) 1 Botol = 50 Soft gel Capsule
181 Seloxy AA 1 kotak = 5 strip @ 6 tablet
182 Silex Syr 1 botol =100 ml
183 Synbio 1 kotak = 3 Strip @ 10 kapsul
184 Thrombophob gel 1 tube = 20 gram
185 Tonicard 1 kotak = 10 strip @ 10 tablet
186 Transpulmin Kids Balsam 1 tube = 20 gram
187 Transpulmin Baby 20 gram 1 tube = 20 gram
188 Tremenza tablet 1 kotak = 10 strip @ 10 tablet
189 Fenofibrate 300 1 kotak = 50 kapsul
190 Unisia 1 kotak = 2 strip @ 10 tablet
191 Urotractin 400 mg 1 kotak = 60 kapsul
192 Ventolin Nebules 2,5 mg 1 kotak = 20 pcs @ 2,5 mL
193 Vitamin B1 IPI 1 botol = 45 tablet
194 Voltadex Enteric Coated Tablet 50 mg 1 kotak = 10 strip @ 10 tablet
195 Flamar gel 20 gram 1 tube = 20 gram
196 Vometa syrup 1 botol = 60 mL
197 Vitacid 0,025% gel 1 tube = 20 gram
198 Xepazym tablet 1 kotak = 5 Strip x 6 Tablet
199 Zamel syrup 1 botol = 60 mL
GIGI
200 Aquabidest Wida Liter = 1 liter
201 Aquabidest Galon = 20 liter
202 Perfectan Endo Galon Galon = 5 liter
203 Descoderm galon Galon = 5 liter
204 Descosuc Galon Galon = 5 liter
205 Wipes Cleanisept Reffil Pack = 100 lembar
206 H2O2 3 % Liter = 800ml
207 NaOcL 2,5% Botol = 500 ml
208 Dettol handwash Pump Botol = 245gram
209 Clinpro white varnish 3M 1 Pcs = 25 gram
210 Bonding self etch adhesive type 1 Pcs = 5 ml
211 Bonding nano reinforced self etch 1 Pcs = 2 ml
212 Etching Gel Vial 1 vial = 9ml
213 Dycal Base catalis 1 Kotak = isi 2 tube
214 Ledermix paste 1 Pcs = 10mg
215 CHKM 1 Pcs = 15ml
216 Cresotine Paste 1 Pcs = 25 gram
217 pulpevit liquid no. 2 1 Pcs = 15ml
218 Eugenol 1 Pcs = 10ml
219 Calcipex II 200 gr 1 kotak=300 gram
220 Composite Flow 3M z350xt 1 Pcs = isi 2 @ 2 gram
221 Composite Flow Solare 1 Pcs = isi 1 @ 1 gm/0,56 ml
222 Composite body gingiva 1 syr = 4,5 gram
223 Composite body 3M z350xt 1 siring = 4gram
224 Composite body Solare Anterior 1 siring = 3 gram (2 ml)
225 Composite body Solare X Posterior 1 siring = 3,7 gram (2 ml)
226 Composite body BULKFILL 3M 1 siring = 4 gram
227 GIC Posterior 1 kotak = isi 1 tube@8g & 1 pot@15g
228 GIC for Restorative 1 kotak = isi 1 tube@3g & 1 pot@5g
229 Gengigel prof syringes 1 kotak = 4 syr
230 Gengigel gingival gel 1 botol =2o ml
231 Gengigel gingival spray 1 botol =2o ml
232 Guttapercha VDW .m two 1 pcs = 28mm
233 alvanes 1 pot = 20 gram
234 Dental Oil Handpiece 1 botol = 400 ml
235 D pulp 1 tube = 7,5 gram
236 OCO 1 botol =15 ml
237 Prophylaxis Paste 1 botol = 200gram
238 Octocaine 100 carpule 1 kotak = 100pcs (1 strip isi 10)
239 Chlor Ethyl Spray 1 botol = 100ml
240 CEIVITRON 1 pot =30 gram
241 Vaseline 1 pot = 50 ml
242 biosponge 1 kotak = @ 12 pcs
243 sandblasting dental powder 1 botol = 130 gram
LABORATORIUM
244 Calibrator, Sysmex 1 vial = 3 ml
245 Control, Sysmex 1 serial = 3x3 ml
246 Cobas Asam Urat 1 kit = 4x100 test
247 Cobas C.f.a.s 1 kit = 12x3 ml
248 Cobas C.f.a.s lipid 1 kit = 3x1 ml
249 Cobas Cholesterol 1 kit = 4x100 test
250 Cobas Cleaner / CLEANER 1 botol = 1000 ml
251 Cobas Creatinin/CREATININE PLUS VERS 1 kit = 2x100 test
2
252 Cobas Deproteinizer/ ISE DEPROTEINIZER 1 kit = 2x11 ml
253 Cobas Glukosa/GLUCOSE HK 1 kit = 4x100 test
254 Cobas HDL/ HDL-Cholesterol Gen.4 1 kit = 2x100 test
255 Cobas LDL/LDL-Cholesterol Gen. 3 1 kit = 2x50 test
256 Cobas PreciControl ClinChem Multi 1 QCS 1 kit = 20x5 ml
257 Cobas SGOT 1 kit = 4x100 test
258 Cobas SGPT 1 kit = 4x100 test
259 Cobas Trigliseride/riglyceride 1 kit = 4x50 test
260 Cobas Ureum 1 kit = 4x100 test
261 Cellclean Auto, Sysmex 1 Box = 20x4 ml
262 Fluorocell WDF, Sysmex 1 catridge = 1x22 ml
263 Lysercell WDF, Sysmex 1 box = 1x2 L
264 Sulfolyser, Sysmex 1 botol = 1x500 ml
265 Cellpack DCL, Sysmex 1 box = 1x20 ml
266 Widal 1 Box = 8 tube
267 Aquabidest Wida 1 Liter = 1000 ml
c. Spesifikasi pelayanan
- Semua item barang harus memiliki masa kadaluarsa minimal 2 tahun dari tanggal
penerimaan barang kecuali reagensia;
- Untuk reagensia harus memiliki masa kadaluarsa minimal 4 bulan ke atas dari waktu
penerimaan reagen;
- Penyedia memberikan surat jaminan retur barang dengan masa kadaluarsa yang lebih
panjang, untuk barang yang mempunyai masa kadaluarsa kurang dari 2 tahun.