PEMERINTAH KABUPATEN KEPULAUAN TANIMBAR

DINAS KESEHATAN
Jln. Ir. Soekarno, Telp. (0918) 21330 – Fax. (0918) 21330
SAUMLAKI - 97664

BIL OF QUALITY (BQ) PEKERJAAN BELANJA PENGADAAN OBAT ESENSIAL UNTUK PELAYANAN KESEHATAN PRIMER

NO NAMA BARANG SATUAN VOLUME HARGA SATUAN PPN 10% TOTAL

1 ADALAT 30 MG TAB 480 - -

2 AZITROMICIN 500 MG TAB 9,996 - -
3 AMPICILIN SERBUK INJ 1000 MG VIAL 100 - -
4 AMOXICILIN 500 MG TAB 200,000 - -
5 AMINOPHILIN 200 MG TAB 1,500 - -
6 ALLOPURINOL 300 MG TAB 30,000 - -
7 AMBROXOL 30 MG TAB 300,000 - -
8 AMPICILIN 500 MG TAB 200,000 - -
9 ACIKLOVIR 400 MG TAB 2,000 - -
10 ACIKLOVIR KRIM TUBE 2,000 - -
11 AMPICILIN SYRUP 125 MG BOTOL 1,000 - -
12 ASAM MEFENAMAT 500 MG KAPSUL 240,000 - -
13 ANTIHEMOROID SUPP TAB 1,940 - -
14 AGUA PROINJKSI VIAL 1,000 - -
15 BETAMETASON KRIM TUBE 2,000 - -
16 BIOPLASENTON GEL TUBE 500 - -
17 BISOLVON LARUTAN BOTOL 200 - -
18 BUFACETINE 2% SALEP 15 GR/ FARSYSOL TUBE 1,000 - -
19 BIOSAT-1.5 (ATS 1500 Ul) AMP 50 - -
20 CARBAMAZEPINE 200 MG / BAMGETOL TAB 50,000 - -
21 CENDO XYTROL BTL 50 - -
22 CEFOTAXIM INJ VIAL 200 - -
23 CEFTR1AXON INJ VIAL 200 - -
24 CATOPRIL 12,5 MG TAB 200,000 - -
25 CAPTOPRIL TABLET 25 MG TAB 100,000 - -
26 CHLORAMPENICOL CAP KAPSUL 30,000 - -
27 CETIRIZINE HCL TAB 10MG TAB 50,000 - -
28 CHLORAMPHENICOL SUSP 60 ML BOTOL 1,000 - -
29 CIPROFLOXACIN 500 MG TAB @ 100 TAB 100,000 - -
30 CIMETIDINE TAB 200MG TAB 50,000 - -
31 CHLORPROMAZINE 100 MG TAB 5,000 - -
32 CTM TAB 150,000 - -
33 DEMACOLIN TAB TAB 50,000 - -
34 DEMACOLIN SYRUP BOTOL 500 - -
35 DULCOLAX SUPP 10MG SUPP 150 - -
36 DEXAMETAXONE TAB 0.5 MG TAB 300,000 - -
37 FOROSEMIDE 40 MG TAB TAB 5,000 - -
38 GENTAMICIN SALEP TUBE 1,500 - -
39 GENTAMICIN SALEP MATA TUBE 600 - -
40 GLISERIL GUAYAKOLAT 100 MG TAB 400,000 - -
41 GRISEOFULVIN 125 MG TAB 30,000 - -
42 IBUPROFEN 400 MG TAB TAB 100,000 - -
43 INERSON KRIM TUBE 200 - -
44 IVANES 1000 MG / 10 ML (KETAMIN ) VIAL 20 - -
45 KLORAMFENIKOL SALEP MATA TUBE 500 - -
46 KLORAMFENICOL TTS TELINGGA BOTOL 500 - -
47 KLORAMFENICOL TTS MATA BOTOL 500 - -
48 LANSOPRAZOLE CAP KAPSUL 5,000 - -
49 KETOKONASOL TAB TAB 30,000 - -
50 KETOKONASOLE SALEP TUBE 1,000 - -
51 MELOXICAM 7.5 MG TAB 10,000 - -
52 METAMISOLE 500 TAB TAB 50,000 - -
53 METAMIDONE INJ VIAL 500 - -
54 METRONIDAZOLE INFUS BOTOL 100 - -
55 METOCLOPRAMIDE 10 MG TABLET TAB 10,000 - -
56 MICONAZOLE 2 % CREAM TUBE 1,500 - -
57 METILPREDNISOLON 8 MG TAB 10,000 - -
58 MICROLAX SUPP SUPP 150 - -
59 METRONIDAZOLE 500 MG TAB @ 100 TAB TAB 30,000 - -
60 BETASON N TUBE 500 - -
61 NATRIUM DIKLOFENAK 50 MG TAB 10,000 - -
62 NEUROBION INJ / MERSIBION AMP 1,000 - -
63 NEUROBION TAB 5000 Ul TAB 5,000 - -
64 METILPREDNISOLON 16 MG TAB 15,000 - -
65 NEUROBION TAB 1000 Ul TAB 5,000 - -
66 ONDANSETRON TAB 4MG TAB 10,000 - -
67 ONDANSENTRON INJ 4MG/ML AMP 3,000 - -
68 OMEPRASOL INJ VIAL 100 - -
69 PHITOMENADION TAB TAB 5,000 - -
70 PHITOMENADION INJ 10MG AMPUL 1,000 - -
71 PREDNISON TABLET 5 MG TAB 200,000 - -
72 PARACETAMOL TAB TAB 150,000 - -
73 PIROXICAM 20 MG CAP KAPSUL 50,000 - -
74 PROFENID SUPP SUPP 200 - -
75 RANITIDINE INJ AMP 2,500 - -
76 RANITIDINE 150 MG TAB @ 100 TAB TAB 30,000 - -
77 REKODRYL VIAL 302 - -
78 UTERGIN INJ AMPUL 5,000 - -
79 SALBUTAMOL 4 MG @ 100 TAB TAB 50,000 - -
80 ATORVASTATIN 20 MG TAB 6,990 - -
81 SIMVASTATIN 10 MG TAB 50,000 - -
82 CEFADROKSIL CAP 500 MG KAPSUL 50,000 - -
83 SALEP BISUL (Icthiol) POT 500 - -
84 BECOM INJ VIAL 480 - -
85 TROMBOPOB OINT TUBE 100 - -
86 VITAMIN C 50 MG TAB 200,000 - -
87 VITAMIN B1 TAB (TIAMIN ) 50MG TAB 100,000 - -
88 VITAMIN B12 TAB TAB 50,270 - -
89 VITAMIN B12 INJ VIAL 500 - -
90 VENTOLIN NEBUL/FARTOLIN NEBUL AMP 500 - -
91 VITAMIN B6 10 MCG (SUPLEMEN) TAB 70,000 - -
92 CITIKOLOIN INJ 250MG/ML AMP 300 - -
93 CITIKOLOIN 500 MG TAB 1,000 - -
94 PIRACETAM 400 MG TAB 5,000 - -
95 PIRACETAM 3 G INJ AMP 200 - -
96 ZINC SYTRUP BOTOL 500 - -
97 ZINK TAB 20 MG TAB 10,000 - -
98 BIONICOM ZINK TAB 3,000 - -
99 IBUPROFEN 200 MG TAB TAB TAB 30,000 - -
100 AMLODIPINE 10MG TAB 30,000 - -
101 NISTATIN VAGINA 500.000 UI TAB 5,000 - -
102 NISTATIN VAGINA 100.000 UI TAB 5,700 - -
103 LIDIASTOP TAB 6,005 - -
TOTAL -

Saumlaki, 24 juni 2022

Pengirim :

Kepala Dinas Kesehatan

Kabupaten Kepulauan Tanimbar,

dr. EDWIN TOMASOA

Pembina Utama Muda
NIP. 19681229 199903 1 006