PEMERINTAH KOTA TASIKMALAYA

KLINIK MUTIARA BUNDA

Jln. Perintis Kemerdekaan No.232 A KAWALU Kota Tasikmalaya

DAFTAR HARGA OBAT KLINIK MUTIARA BUNDA 2020

NO NAMA OBAT HARGA HARGA SATUAN ( PER TAB/BOTOL)
BELI

ANALGESIK ANTIPIRETIK
1 Opistan tab. 500 51.900 519
mg
2 Ibuprofen tab. 34.200 324
400 mg

PARACETAMOL
3 Fasidol syr 120 4.555/botol 4.555
mg
4 Fasidol drop 60 9.150/btol 9.150
mg
5 Mirasic tab. 500 24.600/100 246
mg tab
Mirasic syr 17.000/botol 17.000
6 Pamol supp. 125 168.600/12 14.050
mg tab

7 Piroxicam tab. 20 13.557/100 135

mg tab
8 Natrium
diclofenac tab. 50
mg
ANTI PIRAI
9 Allopurinol 100 21.000/100 210
mg tab
ANTI HISTAMIN/ALERGI
10 Klorfeniramin 29.700/100 297
(CTM) tab. 4 mg tab
11 Cetirizine tab. 10 20.250/50 405
mg tab
BETAHISTIN/VERTIGO
12 Histigo tab. 6 mg 29.300/50 586
tab

ANTIBIOTIK
AMOXICILIN
13 Novamox tab. 44.500/100 445
500 mg tab
Yusimox syr 125 5000/ botol 5.000
mg/5ml
CEFADROXIL
14 Cefadroxil tab. 25.000/100 500
 500 mg tab
15 Lostasef syr 125 11.500/botol 11.500
mg
CEFIXIME
16 Cefixime tab. 100 59.350/50 1.187
mg tab
17 Cefixime syr 100 24.750/botol 24.750
mg/5mL

18 Gentamicin inj. 27.325/ 5 5.465

40 mg/ml vial
19 Ciprofloxacin 47.400/ 100 474
tab. 500 mg tab
20 Metronidazol tab. 30.000/100 300
500 mg tab
ANTI FUNGI
21 Kandistatin drop 42.000/botol 42.000
22 Nystatin tab 80.000/100 800
vaginal 100 000 tab
UI
23 Nystatin tab 500 112.500/100 1.125
000 UI oral tab
OBAT YANG MEMPENGARUHI DARAH
24 Sianokobalamin 20.000 / 250 80
(Vit. B12) 50 mcg tab
25 FE
26 Tiavit inj. 1 86.250/10 8.625
mg/0,5 ml ampl
27 Methylergometrin
e 0,125 mg
ANTI INFLAMASI
28 Dexamehtasone 33.400/200 167
tab 0,5 mg tab
29 Lanadexon tab. 17.900/100 179
0,5 mg tab
30 Mexon 22.800/100 228
tab
31 Methyl 30.200/100 302
Prednisolon tab

ANTI HIPERTENSI
32 Amlodipin 10 mg 16.000/100 160
tab
AMLODIPIN 5MG
33 Kaptopril 12,5 mg 12.800/100 128
tab
OBAT TOPIKAL /LUAR
34 Oksitetrasiklin 1 5.100/tube 5.100
%
35 Acyclovir 5 % 3.400/tube 3.400
36 Mikonazol 2 % 4500/tube 4500
37 Betametason 0,1 2.863/tube 2.863
%
38 Hidrokortison 1 4.300/tube 4.300
%
39 Hidrokortison 2,5 5.700/tube 5.700
%
40 Salep 24 4.435/pot 4.435
41 Baby care 25.000/tube 25.000
42 Kindern 22.000/tube 22.000
OBAT DIARE
43 Oralit 83.000/100 830
pcs
44 Zink tab. 20 mg
45 Zink syr 20 mg/5 3000/botol 3.000
ml
46 New diatab 2.350/ 4 tab 587
47 Inamid 21.700/100 217
tab
48 Lacto-b 7000/saset 7.000
OBAT SALURAN CERNA
49 Magtral tab. 29.800/100 298
tab
50 Magnidicon tab.
51 Omeprazol tab. 11.830/30 394
20 mg tab
52 Na. Bikarbonat
tab. 500 mg
53 Ranitidin tab. 150 16.900/100 169
mg tab
54 Ranitidin inj. 25 2000/vial 2.000
mg/mL
55 Loratadine tab. 16.750/50 335
10 mg tab

ANTI EMETIK/MUAL
56 Domperidon tab. 21.673/50 433
10 mg tab
57 Ondansetron 1.600/tab 1.600
tab. 4 mg
58 Ondanseton inj. 2 4.050/ampul 4.050
mg/mL
59 Metoklopramide / 4.575/ampul 4.575
sotatic injk
vosea 21.000 210
ANTI ASMA
60 Salbutamol tab. 2 12.600/100 126
mg tab
OBAT BATUK/FILEK
61 Bromifar syr 4.575/botol 4.575/bot
ol
62 Brontusin syr 9.700/botol 9.700/bot
ol
63 OBH berlico 7000/botol 7000/boto
l
64 Wybert 60 ml 10.000/botol 10.000/bo
tol
65 Wybert 100 ml 15.000/botol 15.000/bo
tol
66 Flutamol tab 37.000/100 370
tab
67 Gliseril 9000/100 90
Guaiakolat tab. tab
 100 mg
68 Ambroxol syr 30 3.880/botol 3.880
mg/5ml
69 Ambroksol tab. 32.800/ 100 328
30 mg tab
70 Molexflu tab. 52.000/100 520
tab
MULTI VITAMIN DAN MINERAL
Kalk (Calcifar) 16.600/100 166
71 tab
72 Piridoksin 55.000/250 220
(Vit. B6) tab
73 Retinol (Vit. A) 5.239/botol 5.239
74 Thiamin ( Vit B1) 17.500/250 70
TAB
75 Vit. B Kompleks 19.300/ 100 193
(Bethominplex) capsul
76 Caviplex tab. 66.900/ 100 669
tab
77 Sangovitin caps. 68.000/100 680
tab
78 Gestiamin tab. 46.200/30 1.540
tab
79 Vit c 6000/botol
80 Vit D3 dan 44.000/30 1.446
Kalsium (Calcid) tab
81 Herbatia sari asi 49.500/box 49.500
82 Herbatia sari 49.500/box 49.500
putih
83 Mulsanol 2500/botol 2500
84 Afolat 10.000/box
85 Lanakalk 27.000/100 270
tab

Obat baru (dr. Akbar )

demacolin 43.545/ 100 435
tab
Curcuma syr 13.662/ 13.662
botol
acetylsystein 100.000/100 1.000
tab
eperison 154.000 1.540
Sucralfat syr 66.000/botol 66.000
Permetrin 5 % 25.000/tube 25.000
metoclorpamid 13.000/100 130
tab
Antasida tab 28.093/100 281
tab
Methisoprinol syr 50.000/botol 50.000
Kaltropen supp 130.000/10 13.000
tab
Lansoprazole 45.000/50 900
tab
Meloxicam 35.000/50 700
tab
Otopain ear 72.500/botol 72.500
drops
Simvastatin 93.333 933
Astharol syr 15.000/botol 15.000
Cerini syr 39.800/botol 39.800
 DAFTAR HARGA OBAT INJEKSI/INFUS

No Nama Produk Harga Beli Harga satuan

1 Ceftriaxone 1 G/1 (Generik) 12.500 12.500/Vial
Ecotrixon CEFTRIAXONE (Paten) 170.000 170.000/Vial
2 Dexametason Injeksi @1 ml 2.500 2.500
3 Epinephrine 15.000 15.000
4 Gentamicin Sulfat 40 mg / 5 Apml 40.000/ 5 ampl 8000/Ampul
@2 Ml
5 Furosemide /25 ampul @2ml 115.000/ 25 ampl 4600/Ampul
6 Ketoprofen /5 ampul @2ml 65.000/ 5 ampl 15.000/Ampul
7 Lidocaine HCl /100 Ampul @ 2 ml 2.000/ampul 2000/Ampul
8 Myotonic (Methylergometrine 100.000/ 10 ampl 10.000/Ampul
Maleate paten)
9 Methylprednisolone Sodium /1 Vial 50.000 50.000/Vial
@125 Mg
10 Mgso4 20 %/Botol 11.000 11.000/Botol
11 Mgso4 40%/Botol 11.000 11.000/Botol
12 Metronidazol 500 Mg/ 100 ml 45.000/botl 45.000/Botol
13 NaCl 14.700/labu 14.700
14 Ondansentron HCl 4 mg/10 Ampl 40.000/ 10 ampl 4000/Ampul
@2 ml
15 Ondansentron HCl 8 mg/10 Ampl 65.000/ 10 ampul 6500/Ampul
@2 ml
16 Otsu-D40 21.500/labu 21.500/labu
17 Otsu-Wi /25 ml (Water Pro 10.000/labu 10.000/labu
Injeksi)
18 Otsu D5 27.600/labu 27.600/labu
19 Pitogen Oxytocin 10 Ampul@1 ml 100.000/ 10 ampul 10.000/Ampul
20 Ranitidin 50 Mg/ 10 Ampul @2 ml 40.000/ 10 ampul 4000/Ampul
22 Sotatic Metoclopramide / 5 Ampul 38.000/ 5 amoul 7600/Ampul
@2 ml
23 Vit K/10 Ampul 86.250/ 10 ampul 8.625/Ampul
24 Tranexamic Acid 250 Mg /10 90.000/ 5 vial 9.000/Ampul
Ampul @5 ml
25 Triclofem/20 Vial 198.550/ 20 vial 9.927/Vial
26 Cyclofem/20 Vial 181.104/ 20 vial 9.055/Vial
27 Paramol Infus 210.000/Botol 210.000/Botol
28 Furamin 95.000/ 5 ampul 19.000/ampul
29 Methyl ergometrin (generik) 35.000/ 10 ampul 3.500/ampul

DAFTAR HARGA ALAT KESEHATAN

NO NAMA BARANG SATUAN HARGA BELI HARGA SATUAN

1 ALKOHOL 1 L BOTOL 55.000 55.000
2 ALKOHOL 100 ML BOTOL 10.000 10.000
3 ALKOHOL SWAB BOX/100 12.500 125
PCS
4 BETADIN 1 L BOTOL 85.000
5 BENANG JAHIT CHROMIC GEA PCS 10.000 10.000
6 BLOOD LANCET BOX 30.000

7 IV CATH 20 PCS 4.550 4.550

8 IV CATH 22 PCS 4.550 4.550
9 IV CATH 24 PCS 4.550 4.550
10 IV CATH 26 PCS 6.000 6.000

11 SPUIT 1 CC PCS 800 800

12 SPUIT 3 CC PCS 800 800
13 SPUIT 5 CC PCS 1.000 1.000
14 SPUIT 10 CC PCS 2.000 2.000
15 URIN BAG PCS 5.000 5.000
16 INFUSET PCS 4.550 4.550
17 LUMATUL/CUTICEL PCS 20.000 20.000
18 KASA STERIL 16X16 BOX 4.080 4.080
19 FOLEY CATHETER PCS 22.000 22.000
20 PLESTER ANTI AIR PCS 55.000 55.000

22 HYFAFIX 10X5 BOX 200.000

23 HYFAFIX 15X5 BOX 230.000
24 HYFAFIX 5X5 BOX 95.000

25 MICROFORE 1 INC PCS 24.000

25 MASKER BOX 85.000 5.000
27 GELANG BAYI BIRU BOX 136.000
28 GELANG BAYI PINK BOX 136.000
29 KLEM UMBILICAL PCS 3.000 3.000
30 KAPAS 1 KG BAL 85.000
31 KASA ROLL ROLL 100.000
32 LABEL OBAT PAK 11.000
33 SENDOK OBAT PCS 500
34 SELANG OKSIGEN PCS 9.100 9.100
35 SARUNG TANGAN BERSIH BOX/50 PCS 125.000 2.500
36 SARUNG TANGAN MAXTER PCS 10.000 10.000
STERIL
37 SARUNG TANGAN OBGYN PCS 65.000 65.000
38 SAFETY BOX 5 L PCS 18.000
39 SAFETY BOX 12.5 L 28.000
40 STRIP HB BOTOL/25 175.000 7.000/PCS
PCS
41 SUCTION CATETER PCS 7.000 7.000
42 TES PACK PCS 2200 2.200
43 STRIP URIN FLS/ 100 240.000 2.400
44 UNDER PAD PAK/ 10 PCS 50.600 5.060
45 BENANG JAHIT ONE MADE PCS 20.000 20.000