. PENGUMUMAN PEMENANG LELANG PENGADAAN OBAT REGULER TAHUN 2015 ( KEBUTUHAN 5 BULAN ) Nomor : BN.01.04/7369/2015 Tanggal 27 Maret 2015 Berdasarkan Berita Acara Hasil Pelelangan Nomor : BN.01.04/7367/2015 tanggal 27 Maret 2015, dengan ini dengan diumumkan bahwa sebagai pemenang lelang untuk pengadaan obat reguler tahun 2015 ( kebutuhan 5 bulan ) (tahap3) adalah sebagai berikut: PT. AAM No. 1
Uraian Dumin RT tube rectal 125 mg/2,5 ml
2
Avelox inf 400mg/250ml
3
Nimotop tab 30 mg
4
Disolf tab 490 mg
5
Flamicort inj 40 mg/ml, 1 ml
6
Vol Satuan Merk/ Type 20 Tube Actavis 6 Btl 1.100 Tablet 120 Tablet
Bayer Schering Pharma Bayer Schering Pharma Dexa Medica
Harga Satuan (Rp)
Jml Harga (Rp)
11.077,00
221.540,00
427.432,50
2.564.595,00
5.650,20
6.215.220,00
6.792,50
815.100,00
50 Vial
Dexa Medica
74.800,00
3.740.000,00
Sistenol capl
6.840 Tablet
Dexa Medica
1.309,00
8.953.560,00
7
SNMC inj, 20 ml
1.520 Amp
Dexa Medica
8
Vectrine tab 300 mg
9
Vometa drops 5 mg/ml, 10 ml
10
Acanthe SPF 30+
11
Biobran tab
12
Cinogenta cr, 10 g
13
Crome inj 50 mg/10 ml
14
81.241,94 123.487.748,80
100 Tablet
Dexa Medica
3.599,75
359.975,00
6 Btl
Dexa Medica
35.062,50
210.375,00
Ferron
52.937,50
2.435.125,00
Ferron
9.350,00
15.147.000,00
11 Tube
Ferron
37.056,25
407.618,75
140 Amp
Ferron
16.280,00
2.279.200,00
Dermovel cr 0,1%, 10 g
55 Tube
Ferron
54.862,50
3.017.437,50
15
Dermovel cr 0,1%, 5 g
75 Tube
Ferron
33.687,50
2.526.562,50
16
Evalen gel 0,1%, 10 g
210 Tube
Ferron
35.200,00
7.392.000,00
17
Frazon inj 2 mg/ml, 2 ml
56 Amp
Ferron
11.440,00
640.640,00
18
Ketesse inj 50 mg/2 ml
695 Amp
Ferron
36.581,16
25.423.906,20
19
Seloxy AA capl
180 Tablet
Ferron
5.646,67
1.016.400,60
20
Seloxy cap
300 Tablet
Ferron
4.331,25
1.299.375,00
21
Termisil cr 1%, 10 g
7 Tube
Ferron
44.275,00
309.925,00
22
Dynastat inj 40 mg/2 ml
24 Vial
Pfizer
102.687,75
2.464.506,00
23
Lipitor tab 10 mg
120 Tablet
Pfizer
15.463,80
1.855.656,00
24
Lipitor tab 20 mg
1.260 Tablet
Pfizer
15.463,80
19.484.388,00
25
Lipitor tab 40 mg
5.910 Tablet
Pfizer
15.463,80
91.391.058,00
26
Lyrica cap 50 mg
588 Cap
Pfizer
7.834,08
4.606.439,04
27
Lyrica cap 75 mg
1.554 Cap
Pfizer
11.313,15
17.580.635,10
28
Viagra tab 100 mg
4.500 Tablet
Pfizer
29
Viagra tab 50 mg
260 Tablet
Pfizer
91.635,64
23.825.266,40
30
Adona (AC-17) inj 25 mg/5 ml
80 Amp
Tanabe Indonesia
14.414,40
1.153.152,00
31
Adona (AC-17) inj 50 mg/10 ml
470 Amp
Tanabe Indonesia
20.592,00
9.678.240,00
32
Adona (AC-17) tab 10 mg
200 Tablet
Tanabe Indonesia
1.995,84
399.168,00 921.169.697,89
46 Tube 1.620 Tablet
120.059,53 540.267.885,00
PT. AMS No.
Uraian
Vol
Satuan
Merk/ Type
Harga Satuan (Rp)
Jml Harga (Rp)
1
Gamunex inj 10%, 10 ml
50 Vial
2
Gamunex inj 10%, 50 ml
20 Vial
3
Acne Feldin lot 6,6%, 110 ml
4
Ressal acne lotion, 100 ml
5
Topsy cr 5%, 5 g
100 Btl 40 Btl 5 Tube 200 Tablet
Dipa Pharmalab Intersains Dipa Pharmalab Intersains Galenium Pharmasia Lab Galenium Pharmasia Lab Galenium Pharmasia Lab Novell Pharma
1.718.000,00
85.900.000,00
7.392.000,00 147.840.000,00 33.000,00 3.300.000,00 29.568,00
1.182.720,00
42.240,00
211.200,00
6
Prorenal tab
5.940,00
1.188.000,00
7
Q ten cap 30 mg
90 Cap
Novell Pharma
5.198,00
467.820,00
8
Zamel syr, 60 ml
10 Btl
Novell Pharma
323.400,00
9
Microlax enema, 5 ml
160 Tube
Pharos Indonesia
32.340,00 15.950,00
2.552.000,00
10
Narfoz inj 4 mg/2 ml
195 Amp
Pharos Indonesia
23.656,00
4.612.920,00
11
Ozen drops 10 mg/ml, 12 ml
10 Btl
Pharos Indonesia
56.100,00
561.000,00
12
Praxion drops 100 mg/ml, 10 ml
2 Btl
Pharos Indonesia
16.830,00
33.660,00
13
Praxion forte syr 250 mg/ml, 60 ml
10 Btl
Pharos Indonesia
22.440,00
224.400,00
14
Proris syr 100 mg/5 ml, 60 ml
10 Btl
Pharos Indonesia
16.500,00
165.000,00
15
Salbuven Expectorant syr,100 ml
15 Btl
Pharos Indonesia
37.400,00
561.000,00
16
Salbuven syr, 100 ml
35 Btl
Pharos Indonesia
14.633,00
512.155,00
17
Ecron inj 10 mg/vial
133.650,00
668.250,00
18
Pantozol inj 40 mg
210 Vial
Pharos/Korea United Pharm Pharos/Nycomed
142.962,00
30.022.020,00
19
Pantozol tab 40 mg
105 Tablet
Pharos/Nycomed
16.594,00
1.742.370,00
20
Benzolac CL gel 10 g
50 Tube
SDM Lab
25.080,00
1.254.000,00
21
Benzolac gel 5 %, 5 gr
14 Tube
SDM Lab
15.205,00
212.870,00
22
Carmed cr 20%, 40 g
20 Tube
SDM Lab
32.134,00
642.680,00
23
Carmed lot, 120 ml
16 Btl
SDM Lab
27.693,00
443.088,00
24
Desolex cr 0.05%, 10 g
25 Tube
SDM Lab
19.599,00
489.975,00
25
Desolex lot 0.05%, 10 ml
19 Btl
SDM Lab
22.128,00
420.432,00
26
Erymed cr 2%, 20 g
20 Tube
SDM Lab
24.714,00
494.280,00
27
Erymed Plus sol, 30 ml
10 Btl
SDM Lab
36.784,00
367.840,00
28
Erymed sol 2%, 30 ml
34 Btl
SDM Lab
24.714,00
840.276,00
29
Ketomed cr 2%, 15 g
15 Tube
SDM Lab
21.632,00
324.480,00
30
Kloderma cr 0.05%, 5 g
15 Tube
SDM Lab
17.556,00
263.340,00
31
Kloderma oint 0.05%, 10 g
70 Tube
SDM Lab
26.125,00
1.828.750,00
32
Medi-Klin gel, 15 g
90 Tube
SDM Lab
19.751,00
1.777.590,00
33
Mediklin sol 1.2%, 30 ml
45 Btl
SDM Lab
36.575,00
1.645.875,00
34
Medi-Klin TR gel, 15 g
15 Tube
SDM Lab
34.772,00
521.580,00
35
Melanox ES cr, 15 g
75 Tube
SDM Lab
51.728,00
3.879.600,00
36
Mofacort cr 1%, 10 g
85 Tube
SDM Lab
57.475,00
4.885.375,00
37
Mofacort cr 1%, 5 g
25 Tube
SDM Lab
30.044,00
751.100,00
38
Niacef gel 4%, 15 g
680 Tube
SDM Lab
24.714,00
16.805.520,00
39
Parasol lot SPF 30, 120 ml
137 Btl
SDM Lab
75.352,00
10.323.224,00
40
Refaquin cr, 15 g
40 Tube
SDM Lab
54.027,00
2.161.080,00
41
Regrou sol 2%, 30ml
15 Btl
SDM Lab
47.548,00
713.220,00
42
Reviderm cr 0,01 %, 15 g
85 Tube
SDM Lab
22.760,00
1.934.600,00
43
Reviderm cr 0.02 %, 15 g
69 Tube
SDM Lab
24.140,00
1.665.660,00
44
Tekasol oint 1%, 10 g
15 Tube
SDM Lab
32.918,00
493.770,00
45
Vitacid cr 0.025%, 15 g
37 Tube
SDM Lab
19.829,00
733.673,00
5 Vial
46
Vitacid cr 0.05%, 20 g
47
Vitacid sol 0.05%, 50 ml
50 Tube
SDM Lab
29.103,00
1.455.150,00
5 Btl
SDM Lab
38.500,00
192.500,00 339.589.443,00
PT. APL No. 1
Uraian Locoid cr 1%, 10 g
Vol Satuan Merk/ Type 80 Tube Astelas 4 Btl
Jml Harga (Rp)
62.194,00
4.975.520,00
107.932,00
431.728,00
2
Locoid Scalp lot 0.1%, 20 g
3
Brilinta tab 90 mg
56 Tablet
Astra Zeneca
13.667,00
765.352,00
4
Crestor tab 10 mg
140 Tablet
Astra Zeneca
16.033,00
2.244.620,00
5
Nexium IV inj 40 mg
40 Vial
Astra Zeneca
171.589,00
6.863.560,00
6
Nexium tab 20 mg
28 Tablet
Astra Zeneca
14.510,00
406.280,00
7
Gammaraas inj 2.5 g/50 ml
90 Vial
COMBIPHAR
8
Hepa-Merz Granul sach, 3 g
40 Sache
COMBIPHAR
39.930,00
1.597.200,00
9
Hepa-Merz inj 5 g/10 ml
500 Amp
COMBIPHAR
114.950,00
57.475.000,00
10
Levopront syr 60 mg/5 ml, 120 ml
5 Btl
COMBIPHAR
58.078,00
290.390,00
11
Maltofer Chewable tab
300 Tablet
COMBIPHAR
2.823,00
846.900,00
12
Maltofer Fol Chewable tab
90 Tablet
COMBIPHAR
3.025,00
272.250,00
13
Mederma gel, 20 g
5 Tube
COMBIPHAR
166.375,00
831.875,00
14
Pantogar cap
270 Cap
COMBIPHAR
5.647,00
1.524.690,00
15
Phental inj 100 mg/1 ml
215 Amp
COMBIPHAR
9.075,00
1.951.125,00
16
Sibro oint, 20 g
240 Tube
COMBIPHAR
84.700,00
20.328.000,00
17
Daryant-Tulle 10 cm X 10 cm
Darya-Varia
14.025,00
81.625.500,00
18
Moloco + B12 tab
100 Tablet
Darya-Varia
2.743,00
274.300,00
19
Salofalk tab 500 mg
300 Cap
Darya-Varia
10.128,00
3.038.400,00
20
Somatostatin-Lyomark inj 3 mg/vial
312 Vial
Lyomark
21
Ferlin drops, 15 ml
22
Sumagesic tab 600 mg
23
Elocon cr 0,1% 5 g
45 Tube
24
Elocon cr 0,1%, 10 g
30 Tube
5.820 Lbr
20 Btl 1.000 Tablet
Astelas
Harga Satuan (Rp)
Medifarma Medifarma/UAP
2.859.813,00 257.383.170,00
774.400,00 241.612.800,00 25.740,00
514.800,00
379,00
379.000,00
51.966,00
2.338.470,00
87.252,00
2.617.560,00
90.016,00
2.250.400,00
27
Neostrata AHA 15 lot plus, 200 ml
3 Btl
Merck Sharp & Dohme Merck Sharp & Dohme Merck Sharp & Dohme Merck Sharp & Dohme Neostrata
28
Neostrata AHA Ultra Smoothing cr, 40 g
6 Btl
Neostrata
276.715,00
1.660.290,00
29
Neostrata AHA Ultra Smoothing lot,200 ml
3 Btl
Neostrata
276.715,00
830.145,00
30
Neostrata Bionic Face cr, 40 g
10 Tube
Neostrata
276.715,00
2.767.150,00
31
Neostrata Bionic lot, 100 ml
15 Btl
Neostrata
264.137,00
3.962.055,00
32
Neostrata Daytime Protection cr, 40 g
55 Tube
Neostrata
319.839,00
17.591.145,00
33
Neostrata PHA Eye cr, 15 g
10 Tube
Neostrata
270.126,00
2.701.260,00
34
Neostrata Prosystem 20% Rejuv Peel, 30 ml
1 Btl
Neostrata
486.351,00
486.351,00
35
Neostrata Prosystem 35% Rejuv Peel, 30 ml
1 Btl
Neostrata
502.297,00
502.297,00
36
Neostrata Prosystem 50% Rejuv Peel, 30 ml
1 Btl
Neostrata
556.652,00
556.652,00
37
Neostrata Ultra Daytime Smothing cr, 40
6 Tube
Neostrata
303.069,00
1.818.414,00
38
Acuatim cr, 10 g
40 Tube
Otsuka Indonesia
94.740,00
3.789.600,00
39
Meptin syr 5 mcg/ml, 60 ml
10 Btl
Otsuka Indonesia
44.220,00
442.200,00
25
Elocon lot 0,1%, 10 ml
25 Btl
26
Elocon oint 0.1%, 10 g
15 Tube
87.252,00
1.308.780,00
264.137,00
792.411,00
40
Tygacil inj 50 mg/5 ml
240 Vial
Pfizer
603.487,00 144.836.880,00
41
Zithromax inj 500 mg
10 Vial
Pfizer
182.607,00
1.826.070,00
42
Zyvox inf 2 mg/ml, 300 ml
20 Btl
Pfizer
580.774,00
11.615.480,00
43
Lasix inj 20 mg/2 ml
20 Amp
Sanofi Aventis
6.492,00
129.840,00
44
Novalgin inj 500 mg/ml, 2 ml
1.515 Amp
Sanofi Aventis
9.387,00
14.221.305,00
45
Trental tab 400 mg
200 Tablet
Sanofi Aventis
9.696,00
1.939.200,00
46
Atopiclair cr 100 ml
2 Tube
197.100,00
394.200,00
47
Atopiclair lot 120 ml
2 Btl
207.000,00
414.000,00
48
Elidel cr 1%, 10 g
5 Tube
161.388,00
806.940,00
49
Papulex hydrating cr 50 ml
6 Btl
156.800,00
940.800,00
160.200,00
1.602.000,00
128.200,00
1.282.000,00
509.157,00
28.003.635,00
50
Papulex moussant clns gel 150 ml
10 Tube
51
Papulex oil free cr 40 ml
10 Btl
52
Precedex inj 100mcg/ml, 2ml
55 Amp
Transfarma Medica Indah Transfarma Medica Indah Transfarma Medica Indah Transfarma Medica Indah Transfarma Medica Indah Transfarma Medica Indah Transfarma Medica Indah
940.059.990,00 PT. Enseval No. 1
Uraian Theracim inj 50 mg/10 ml
Vol Satuan Merk/ Type 20 Vial Innogene
Harga Satuan (Rp)
Jml Harga (Rp)
3.252.562,00
65.051.240,00
2
Interdoxin cap 100 mg
700 Cap
INTERBAT
5.104,00
3.572.800,00
3
Interhistin tab 50 mg
100 Tablet
INTERBAT
506,00
50.600,00
4
Intersun SPF 30 lot, 100 ml
150 Btl
INTERBAT
41.606,40
6.240.960,00
5
Intersun SPF 35 cr, 20 g
INTERBAT
28.661,60
1.031.817,60
6
ATP Kalbe inj 20 mg/2 ml
100 Amp
Kalbe Farma
38.500,00
3.850.000,00
7
Bactesyn tab 375 mg
750 Tablet
Kalbe Farma
16.500,00
12.375.000,00
8
Brainact inj 500 mg/4 ml
Kalbe Farma
69.740,00 163.191.600,00
9
Brainact tab 500 mg
Kalbe Farma
12.246,67
9.919.802,70
10
Ceremax inf 10 mg/50 ml
Kalbe Farma
291.500,00
23.320.000,00
11
Ferofort capl
400 Tablet
Kalbe Farma
1.705,00
682.000,00
12
Fordesia tab 5 mg
660 Tablet
Kalbe Farma
24.128,50
15.924.810,00
13
Forres tab 50 mg
50 Tablet
Kalbe Farma
4.070,00
203.500,00
14
Frego tab 5 mg
650 Tablet
Kalbe Farma
5.434,00
3.532.100,00
15
Kalmeco cap 500 mcg
11.100 Cap
Kalbe Farma
2.046,00
22.710.600,00
16
Kalmeco inj 500 mcg/ml
2.115 Vial
Kalbe Farma
19.360,00
40.946.400,00
17
Neurotam inf 12 g/60 ml
20 Btl
Kalbe Farma
225.500,00
4.510.000,00
18
Neurotam inj 3 g/15 ml
140 Amp
Kalbe Farma
57.200,00
8.008.000,00
19
Neurotam syr 10%, 100 ml
16 Btl
Kalbe Farma
63.800,00
1.020.800,00
20
Premaston tab 5 mg
120 Tablet
Kalbe Farma
4.033,33
483.999,60
21
Profertil tab 50 mg
30 Tablet
Kalbe Farma
14.410,00
432.300,00
22
Suprane sol, 240 ml
4.560 ml
Kalbe Farma
10.000,00
45.600.000,00
23
Tamoliv inf 10 mg/ml, 100 ml
376 Btl
Kalbe Farma
55.000,00
20.680.000,00
36 Tube
2.340 Amp 810 Tablet 80 Btl
453.338.329,90 PT. Indofarma
No. 1
Uraian Lactulax syr, 120 ml
2
Bactoderm cr 2%, 5 g
3
Bactoderm oint 2%, 10 g
4
Vol Satuan Merk/ Type 95 Btl Fresenius
Harga Satuan (Rp)
Jml Harga (Rp)
61.380,00
5.831.100,00
110 Tube
Ikapharmindo
41.221,40
4.534.354,00
35 Tube
Ikapharmindo
59.400,00
2.079.000,00
Bioacne cr, 10 g
110 Tube
Ikapharmindo
17.765,00
1.954.150,00
5
Biolastin cr, 10 g
15 Tube
Ikapharmindo
30.492,00
457.380,00
6
Biolite Whitening cr, 10 g
134 Tube
Ikapharmindo
37.383,50
5.009.389,00
7
Clinika gel 1%, 10 g
65 Tube
Ikapharmindo
18.601,00
1.209.065,00
8
Clinika soln 1%, 30 ml
90 Btl
Ikapharmindo
38.491,20
3.464.208,00
9
Gentasolon cr, 10 g
10 Tube
Ikapharmindo
24.186,80
241.868,00
10
Gentasolon cr, 5 g
15 Tube
Ikapharmindo
16.526,40
247.896,00
11
Ikaderm cr 0,05%, 10 g
45 Tube
Ikapharmindo
33.000,00
1.485.000,00
12
Ikaderm oint 0,05%, 10 g
40 Tube
Ikapharmindo
33.000,00
1.320.000,00
13
Ikagen cr 0,1%, 10 g
100 Tube
Ikapharmindo
15.015,00
1.501.500,00
14
Ikagen oint 0,1%, 10 g
90 Tube
Ikapharmindo
16.491,20
1.484.208,00
15
Ikaphen inj 50 mg/ml, 2 ml
250 Amp
Ikapharmindo
83.077,50
20.769.375,00
16
Nomika tab 100 mg
400 Tablet
Ikapharmindo
8.791,20
3.516.480,00
17
Probio-C sol, 10 ml
280 Btl
Ikapharmindo
46.183,50
12.931.380,00
18
Zoloral tab 200 mg
100 Tablet
Ikapharmindo
4.158,00
415.800,00
19
Zinkid syr 10 mg/5 ml, 100 ml
215 Btl
Promedic
23.925,00
5.143.875,00 73.596.028,00
PT. Kimia Farma No. 1
Uraian Ecosol Glukosa inf 10%, 500 ml
Vol Satuan Merk/ Type 3.440 plabbot B Braun
2
Ecosol Glukosa inf 5%, 500 ml
3.340 plabbot
3
Ecosol NaCl inf 0.9%, 100 ml
4
Ecosol NaCl inf 0.9%, 500 ml
Harga Satuan (Rp)
Jml Harga (Rp)
5.720,00
19.676.800,00
B Braun
5.190,00
17.334.600,00
12.340 plabbot
B Braun
8.790,00 108.468.600,00
9.720 plabbot
B Braun
5.330,00
51.807.600,00 197.287.600,00
PT. RNI No. 1
Uraian Vaksin Hepatitis B inj 20 mcg/ml
Vol Satuan Merk/ Type 800 Amp Biofarma
Harga Satuan(Rp)
Jml Harga (Rp)
51.000,00
40.800.000,00
2
Bio ATP tab
200 Tablet
Phapros
2.238,00
447.600,00
3
Cardismo tab 20 mg
500 Tablet
Phapros
2.578,00
1.289.000,00
4
Hypobhac inj 100 mg/ml, 1.5 ml
380 Amp
Phapros
136.997,00
52.058.860,00
5
Mictonorm tab 15 mg
Phapros
10.116,00
283.248,00
6
Pehacain inj
1.480 Amp
Phapros
2.957,00
4.376.360,00
7
Proinfark inj 20 mg/ml, 10 ml
140 Amp
Phapros
12.540,00
1.755.600,00
28 Tablet
101.010.668,00 PT. MUP No. 1 2
Uraian Chirocaine inj 5 mg/ml Fosmicin inj 1 g
Vol Satuan Merk/ Type 760 Amp Abbott Indonesia 540 Vial
Meiji
Harga Satuan(Rp)
Jml Harga (Rp)
96.050,00
72.998.000,00
70.488,00
38.063.520,00
3
Fosmicin inj 2 g
4
Meixam inj 1 g
5
Sibital inj 200 mg/2 ml
6
Otsutran - 40 inf, 500 ml
140 Vial
Meiji
125.125,00
17.517.500,00
5 Vial
Meiji
26.136,00
130.680,00
9.653,00
1.544.480,00
93.005,00
1.860.100,00
160 Amp 20 plabbot
Mersifarma Otsuka Indonesia
132.114.280,00 PT. Tempo No. 1
Uraian Cardioplegia inj, 20 ml
Vol Satuan Merk/ Type 20 Amp Tempo Scan Pacific/Hospira
Harga Satuan(Rp) 166.500
Jml Harga (Rp) 3.330.000,00 3.330.000,00
PT. MPI No. 1
Uraian HTK Perfusion Sol, 1000 ml
2
Thecort cr, 5 g
3
Bestalin tab 25 mg
4
Clast tab 0.5 mg
Vol Satuan Merk/ Type 30 plabbot Dipa Pharmalab Intersains 25 Tube Guardian Pharmatama 100 Tablet LAPI 100 Tablet
Meiji
Harga Satuan(Rp)
Jml Harga (Rp)
1.980.000,00
59.400.000,00
49.925,00
1.248.125,00
3.239,00
323.900,00
1.871,00
187.100,00 61.159.125,00
PT. Penta Vallent No. 1
Uraian Cendo Catarlent tm, 15 ml
2
Cendo Efrisel tm 10%, 5 ml
3
Cendo Floxa tm minidose, 0.6 ml
4
Cendo Mycos sm, 3.5 g
5
Cendo Mydriatyl tm 0.5%, 5 ml
6
Cendo Noncort tm minidose, 0.6 ml
7
Vol Satuan Merk/ Type 10 Btl Cendo
Harga Satuan(Rp)
Jml Harga (Rp)
29.476,56
294.765,60
30 Btl
Cendo
14.678,13
440.343,90
420 Pak
Cendo
25.746,88
10.813.689,60
72 Tube
Cendo
25.265,63
1.819.125,36
2 Btl
Cendo
27.792,19
55.584,38
130 Pak
Cendo
40.665,63
5.286.531,90
Cendo Pantocain tm 2%, 5 ml
10 Btl
Cendo
12.753,13
127.531,30
8
Cendo Polydex tm minidose, 0.6 ml
75 Pak
Cendo
25.506,25
1.912.968,75
9
Cendo Siloxan tm, 5 ml
75 Btl
Cendo
50.771,88
3.807.891,00
10
Cendo Tobro tm minidose, 0.6 ml
8 Pak
Cendo
18.407,81
147.262,48
11
Cendo Tobroson tm minidose, 0.6 ml
66 Pak
Cendo
27.912,50
1.842.225,00
12
Cendo Vitrolenta tm, 5 ml
150 Btl
Cendo
31.521,88
4.728.282,00
13
Cendo Xitrol tm minidose, 0.6 ml
345 Pak
Cendo
23.460,94
8.094.024,30
14
Cendo Xitrol tm, 5 ml
Cendo
26.228,13
41.702.726,70
15
Giflox tm minidose, 0.6 ml
5 Pak
Cendo
77.240,63
386.203,15
16
Glaoplus tm minidose, 0.6 ml
5 Pak
Cendo
92.279,69
461.398,45
17
Lentikular tm minidose, 0.6 ml
5 Pak
Cendo
32.003,13
160.015,65
18
Rephitel tm minidose, 0.6 ml
75 Pak
Cendo
35.371,88
2.652.891,00
19
Proneuron tab
200 Tablet
Meprofarm
966,63
193.326,00
20
Sirplus syr, 100 ml
200 Btl
Meprofarm
10.683,75
2.136.750,00
21
Parasol cr SPF 33, 20 g
45 Tube
SDM Lab
45.420,38
2.043.917,10
22
Parasol lot SPF 15, 120 ml
23 Btl
SDM Lab
43.221,75
994.100,25
1.590 Btl
90.101.553,87
Nama Perusahaan Alamat
: :
NPWP Harga Penawaran
: :
Nama Perusahaan Alamat
:
NPWP Harga Penawaran
Nama Perusahaan Alamat NPWP Harga Penawaran Nama Perusahaan Alamat NPWP Harga Penawaran
PT. ANUGRAH ARGON MEDICA Jl.Tunjung Baru No.9 Baciro Gondokusuman, Yogyakarta telp 0274 549537 fax.549239 01.129.737.1.308.000 Rp. 921.169.697,00 (sembilan ratus dua puluh satu juta seratus enam puluh Sembilan ribu enam ratus Sembilan puluh tujuh rupiah)
: PT.ANTAR MITRA SEMBADA Jl.Jogokaryan 27 Mantrijeron Yogyakarta Telp. 0274 450350 ,450353 fax.450351 : 01.345.766.8.062.000 : Rp. 339.589.443,00 (tiga ratus tiga puluh sembilan juta lima ratus delapan puluh Sembilan ribu empat ratus empat puluh tiga rupiah) : PT. ANUGERAH PHARMINDO LESTARI : Jl.Wates km.5,5 Bodeh,Ambarketawang,Gamping,Sleman, Yogyakarta telp 0274 6499770 fax,6499771 fax.450351 : 01.369.518.4.091.000 : Rp. 940.059.990,00 (sembilan ratus empat puluh juta lima puluh sembilan ribu sembilan ratus sembilan puluh rupiah) : PT. ENSEVAL PUTERA MEGATRADING Tbk Ring road Barat,Kaliabu,Banyuraden,Gamping,Sleman, Yogyakarta Telp. (0274) 627271, Fax. 627288 : 01.301.808.0.062.000 : Rp.453.338.329,00 (empat ratus lima puluh tiga juta tiga ratus tiga puluh delapan ribu tiga ratus dua p[uluh Sembilan rupiah) :
Nama Perusahaan Alamat
: :
NPWP Harga Penawaran
: :
Nama Perusahaan Alamat
: :
NPWP Harga Penawaran
: :
Nama Perusahaan Alamat
: :
NPWP Harga Penawaran
: :
Nama Perusahaan Alamat
: :
NPWP Harga Penawaran
: :
Nama Perusahaan Alamat
: :
PT. INDOFARMA GLOBAL MEDIKA Jl. Lakda Adusucipto Km. 7, Ruko Permai Janti No.1, Ngentak, Catur Tunggal, Depok, Sleman, Yogyakarta 01.061.184.6.051.000 Rp. 73.596.028,00 (tujuh puluh tiga juta lima ratus sembilan puluh enam ribu dua puluh delapan rupiah) PT. KIMIA FARMA TRADING & DISTRIBUTION Jl.LU Adisucipto 63 A Yogyakarta 55281, Telp.(0274) 488142, Fax. 486921 01.061.228.1.051.000 R.p.197.287.600,00 (seratus Sembilan puluh tujuh juta dua ratus delpan puluh tujuh ribu enam ratus rupiah) PT. RAJAWALI NUSINDO RD PG.Madukismo no.21 Padokan Tirtonirmolo, Kasihan ,Bantul Yogyakarta telp 0274 450370 fax.450371 01.061.248.9.051.000 Rp.101.010.668,00 (seratus satu juta sepuluh ribu enam ratus enam puluh delapan rupiah) PT. MERAPI UTAMA PHARMA Jl.Magelang Km.6,2 Sinduadi,Sleman, Yogyakarta telp 0274 623884 fax.623806 01.313.257.6.073.000 Rp.132.114.280,00 (seratus tiga puluh dua juta seratus empat belas ribu dua ratus delapan puluh rupiah) PT. TEMPO Jl. Kebon Agung no. 8, Kronggahan, Sleman, Yogyakarta, telp (0274) 7490627
.
NPWP Harga Penawaran
: :
01.301.808.0.062.000 Rp. 3.330.000,00 (Tiga juta tiga ratus tiga puluh ribu rupiah)
Nama Perusahaan Alamat
: :
NPWP Harga Penawaran
: :
PT.MILLENIUM PHARMACON INTERNATIONAL Tbk Jl.Dumung No.111 A, Karanggayam,Catur tunggal, Depok ,Sleman Yogyakarta Telp 0274 565107 fax.565258 01.300.861.0.054.000 Rp. 61.159.125 (enam puluh satu juta seratus lima puluh sembilan ribu seratus dua puluh lima rupiah)
Nama Perusahaan Alamat
: :
NPWP Harga Penawaran
: :
PT. PENTA VALENT Jl. Jembatan Merah No. 103.A, Sleman, Yogyakarta, Telp (0274) 588017 01.305.436.6.056.000 Rp.90.101.553,00 (Sembilan puluh juta seratus satu ribu lima ratus lima puluh tiga rupiah)
Pokja Pengadaan Obat ULPBJ :
