2017

KEMENTERIAN KESEHATAN RI DIREKTORAT JENDERAL PELAYANAN KESEHATAN BALAI BESAR KESEHATAN PARU MASYARAKAT SURAKARTA Jl. Profesor dr. R. Soeharso Nomor 28 Surakarta 57144 Telepone/Faksimile (0271) 713055, 720002 Laman : www.bbkpmska.com; Pos-el (E-mail) : [email protected]

PENGUMUMAN PEMENANG LELANG PENGADAAN ITEMIZED OBAT-OBATAN NON E-CATALOG BBKPM SURAKARTA TAHUN 2017 Nomor : 1939/Obat/Pokja-ULP/VI/2017

Dengan ini diberitahukan bahwa setelah diadakan evaluasi penawaran dan evaluasi kualifikasi sesuai dengan peraturan yang berlaku, maka Pokja Pengadaan Barang/Jasa Belanja Non Modal ULP Balai Besar Kesehatan Paru Masyarakat Surakarta Tahun Anggaran 2017 telah menetapkan pemenang Pelelangan Pengadaan Itemized Obat-Obatan Non E-Catalog BBKPM Surakarta Tahun 2017 dengan nilai HPS sebesar Rp 836.752.875,- sebagai berikut : Terlampir

Masa sanggah dari tanggal 07 Juni 2017 s/d 08 Juni 2017, secara elektronik melalui Aplikasi SPSE atas penetapan pemenang kepada Pokja Pengadaan Barang/Jasa Belanja Non Modal ULP Balai Besar Kesehatan Paru Masyarakat Surakarta.

Surakarta, 07 Juni 2017 Pokja Pengadaan Barang/Jasa Belanja Non Modal ULP BBKPM Surakarta Ketua,

Tri Yanta, SKM, M.Kes

NIP. 197011291992031003

Lampiran Pengumuman Pengadaan Itemized Obat-Obatan non E-Catalog BBKPM Surakarta Tahun 2017 Nomor

: 1939/Obat/Pokja-ULP/VI/2017

Tanggal : 07 Juni 2017 Calon Pemenang 1 Nama Penyedia

: PT. Sukses Mandiri Farma

Alamat

: Gronong Rt.02, Ds.Sidodadi, Masaran, Sragen

Harga Penawaran Total

: Rp. 505.374.850,-

Harga Penawaran Total terkoreksi

: Rp. 505.374.850,-

Harga Penawaran item yang lulus

: Rp. 505.374.850,-

Harga Negosiasi yang disepakati

: Rp. 504.749.850,-

Dengan item barang yang dimenangkan :

HPS NO

NAMA ITEM OBAT

1

AB Vask 10 mg

2

Aclam tablet

3

Amadiab 2 mg

4

Asam Traneksamat 500 mg

5

Cefat 500

JUMLA H

380 100 1,000 5,000 1,200

SATUA N HARGA SATUAN (RP) tablet tablet tablet tablet kapsul

JUMLAH HARGA (RP)

PENAWARAN PT. SUKSES MANDIRI FARMA SETELAH NEGOSIASI HARGA SATUAN (RP)

JUMLAH HARGA (RP)

10,120

3,845,600

10,120

3,845,600

13,200

1,320,000

13,200

1,320,000

4,400

4,400,000

4,400

4,400,000

2,690

13,450,00 0

1,850

9,250,000

10,615

12,738,00 0

10,615

12,738,00 0

HARGA ITEM SATUAN TERENDA H

10,120 13,200 4,400 1,850 10,615

JUMLAH HARGA (RP)

3,845,600 1,320,000 4,400,000 9,250,000 12,738,00 0

KETERANGA N

LULUS LULUS LULUS LULUS LULUS

PERUSAHAA N PENAWAR TERENDAH

PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA

6

Cefila 100

7

Cefila 200

8

Cefila sirup kering 100 mg/5 ml

9

Cefxon injeksi 1 g

10

Cepraz injeksi 1 g

11

Ciflos 500 mg

12

Cravox 500 mg

13

Cravox infus 500 mg

14

Dom 10

15

Dom suspensi

16

Extropect sirup

17

Fastor 20

18

Forasma

19

Galflux

800 500 60 60 60 300 800 40 500 20 70 60 500 1,000

kapsul

19,250

15,400,00 0

19,250

15,400,00 0

LULUS

15,125,00 0

30,250

15,125,00 0

30,250

15,125,00 0

LULUS

85,800

5,148,000

85,800

5,148,000

vial

209,00 0

12,540,00 0

209,00 0

12,540,00 0

vial

154,00 0

9,240,000

154,00 0

9,240,000

13,200

3,960,000

13,200

3,960,000

35,200

28,160,00 0

35,200

28,160,00 0

242,00 0

9,680,000

242,00 0

9,680,000

3,630

1,815,000

3,630

1,815,000

41,250

825,000

41,250

825,000

26,400

1,848,000

26,400

1,848,000

12,100

726,000

12,100

726,000

1,320

660,000

1,320

660,000

3,960

3,960,000

3,960

3,960,000

kapsul botol

tablet tablet botol tablet botol botol tablet tablet tablet

19,250

15,400,00 0

30,250

85,800 209,000 154,000 13,200 35,200 242,000 3,630 41,250 26,400 12,100 1,320 3,960

5,148,000 12,540,00 0 9,240,000 3,960,000 28,160,00 0 9,680,000 1,815,000 825,000 1,848,000 726,000 660,000 3,960,000

LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS

PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA

20

Getidin injeksi 25

21

Goforan injeksi 1 g

22

Goron 25 mg

23

Imunos Plus sirup

24

Imunos Plus tablet

25

Imunos sirup

26

Lacedim injeksi 1 g

27

Lameson 125

28

Lameson 4

29

Lapicef 500

30

Lapicef sirup kering 125 mg/5 ml

31

Lapifed sirup

32

Lapiflox 500 mg

33

Lapisiv sirup

100 50 200 50 900 15 60 100 1,000 1,000 60 300 200 200

ampul vial tablet botol tablet botol vial vial tablet tablet botol botol tablet botol

20,900

2,090,000

20,900

2,090,000

157,30 0

7,865,000

157,30 0

7,865,000

1,700

340,000

1,700

340,000

88,000

4,400,000

88,000

4,400,000

9,130

8,217,000

9,130

8,217,000

63,250

948,750

63,250

948,750

231,00 0

13,860,00 0

231,00 0

13,860,00 0

95,700

9,570,000

95,700

9,570,000

3,355

3,355,000

3,355

3,355,000

10,450

10,450,00 0

10,450

10,450,00 0

46,200

2,772,000

46,200

2,772,000

22,000

6,600,000

22,000

6,600,000

13,200

2,640,000

13,200

2,640,000

19,250

3,850,000

19,250

3,850,000

20,900 157,300 1,700 88,000 9,130 63,250 231,000 95,700 3,355 10,450 46,200 22,000 13,200 19,250

2,090,000 7,865,000 340,000 4,400,000 8,217,000 948,750 13,860,00 0 9,570,000 3,355,000 10,450,00 0 2,772,000 6,600,000 2,640,000 3,850,000

LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS


34

Lapisiv tablet

35

Lasal 2 tablet

36

Lasal Expectorant sirup

37

Lasgan 30

38

Lefos 500 mg tab

39

Lefos infus 500 mg

40

Lefos infus 750 mg

41

Lesipar

42

Meloksikam 15 mg

43

Myonep 50 mg

44

Nonemi

45

Nucef 100 kapsul

46

Nufit sirup

47

Nufit tablet

4,300 6,000 300 1,000 300 50 30 800 4,200 100 2,600 1,200 20 500

tablet

1,100

1,100

4,730,000

1,100

4,730,000

1,155

6,930,000

1,155

6,930,000

37,950

11,385,00 0

37,950

11,385,00 0

37,950

11,385,00 0

LULUS

13,200

13,200,00 0

13,200

13,200,00 0

13,200

13,200,00 0

LULUS

36,300

10,890,00 0

36,300

10,890,00 0

36,300

10,890,00 0

LULUS

botol

280,50 0

14,025,00 0

280,50 0

14,025,00 0

280,500

14,025,00 0

LULUS

botol

319,00 0

9,570,000

319,00 0

9,570,000

3,630

2,904,000

3,630

2,904,000

930

3,906,000

875

3,675,000

tablet botol kapsul tablet

tablet tablet tablet tablet kapsul

4,400

440,000

4,400

440,000

1,430

3,718,000

1,430

3,718,000

20,350

24,420,00 0

20,350

24,420,00 0

1,265,000

63,250

1,265,000

3,800,000

7,600

3,800,000

botol 60 ml 63,250 tablet

7,600

1,155

319,000 3,630 875 4,400 1,430 20,350 63,250 7,600

4,730,000

LULUS

6,930,000

9,570,000 2,904,000 3,675,000 440,000 3,718,000 24,420,00 0 1,265,000 3,800,000

LULUS

LULUS LULUS LULUS LULUS LULUS LULUS LULUS LULUS


48

Nystin 100.000 IU/ml suspensi

49

Pehadoxin Forte

50

Pro TB 4

51

Pro TB Kid (Pro TB 3)

52

Pulmicort respules 0,5 mg/ml @ 2ml

53

Stenirol 8 tab

54

Stenirol injeksi

55

Teranol injeksi 30 mg/ml

56

Tiriz 10 mg

57

Tiriz oral drops 10 mg/ml

58

Vipalbumin

59

Xidane licaps

60

Zibramax 500 mg

10 2,600 6,000 2,800 2,100 3,000 150 30 700 100 3,000 600 600

botol 12 ml 38,500 tablet tablet tablet ampul tablet vial ampul tablet

kapsul tablet

38,500

385,000

700

385,000

LULUS

1,820,000

700

1,820,000

5,500

33,000,00 0

5,500

33,000,00 0

5,500

33,000,00 0

LULUS

4,700

13,160,00 0

4,700

13,160,00 0

4,700

13,160,00 0

LULUS

21,200

44,520,00 0

21,200

44,520,00 0

21,200

44,520,00 0

LULUS

5,060

15,180,00 0

5,060

15,180,00 0

5,060

15,180,00 0

LULUS

88,000

13,200,00 0

88,000

13,200,00 0

88,000

13,200,00 0

LULUS

35,750

1,072,500

35,750

1,072,500

3,960

2,772,000

3,960

2,772,000

6,600,000

66,000

6,600,000

6,050

18,150,00 0

6,050

18,150,00 0

7,600

4,560,000

7,600

4,560,000

36,300

21,780,00 0

36,300

21,780,00 0

35,750 3,960 66,000 6,050 7,600 36,300

1,820,000

LULUS

700

botol 20 ml 66,000 kapsul

385,000

38,500

1,072,500 2,772,000 6,600,000 18,150,00 0 4,560,000 21,780,00 0

LULUS LULUS LULUS LULUS LULUS LULUS

PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA PT.SUKSES MANDIRI FARMA

Surakarta, 07 Juni 2017 Pokja Pengadaan Barang/Jasa Belanja Non Modal ULP BBKPM Surakarta Ketua,

Tri Yanta, SKM, M.Kes

NIP. 197011291992031003

2017

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