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Generik 2 Perub

The document is a price estimate from the Skin, Sexual and Cosmetic Health Services Unit of the South Sulawesi Provincial Health Office for generic drugs for 2022. It includes 40 items with details on the drug name, quantity, packaging, price per unit, and total price. The total estimated cost is Rp55,187,483,000 with a value added tax of 11%.

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36 views8 pages

Generik 2 Perub

The document is a price estimate from the Skin, Sexual and Cosmetic Health Services Unit of the South Sulawesi Provincial Health Office for generic drugs for 2022. It includes 40 items with details on the drug name, quantity, packaging, price per unit, and total price. The total estimated cost is Rp55,187,483,000 with a value added tax of 11%.

Uploaded by

a. munawir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 8

PEMERINTAH PROVINSI SULAWESI SELATAN

DINAS KESEHATAN
UNIT PELAYANAN KESEHATAN KULIT, KELAMIN DAN KOSMETIKA
JL. Veteran Utara No. 91 Makassar 90145, Tlp. 449504

HARGA PERKIRAAN SENDIRI (HPS) OBAT GENERIK ( Kode Rekening : 5.1.02.01.01.0037 )


UPK. KULIT, KELAMIN DAN KOSMETIKA DINKES PROV. SULSEL APBD PERUBAHAN T.A. 2022

NO NAMA OBAT JUMLAH KEMASAN HARGA JUMLAH TOTAL

1 Acicylovir 400 mg 5 Box 100's 98,287.00 491,435.00


2 Albendazol 400 mg 2 Box 100's 49,286.00 98,572.00
3 Amoxicillin sirup 125 mg/5 ml 12 Botol 60 ml 5,776.00 69,312.00
4 Amoxicillin Tab 500mg 10 Kotak 36,667.00 366,670.00
5 Antasida Doen Table/Strip 2 Box 36,036.00 72,072.00
6 Asam Mefenamat 500mg 25 Box 100's 58,179.00 1,454,475.00
7 Asiklovir krim 5% 25 Tube @ 5 gr 2 Kotak 104,899.00 209,798.00
8 Betametasol cream, Box 25 tube 50 Box 46,230.00 2,311,500.00
9 Cefadroxil Tab 500mg 15 Box/100 Cps 83,243.00 1,248,645.00
10 Cefadroxil sirup 125 mg/5ml 25 Botol 60 ml 8,612.00 215,300.00
11 Cefixim 100 mg 15 Box 30's 40,432.00 606,480.00
12 Cefixim 200 mg 3 Box 100'\s 265,692.00 797,076.00
13 Cetirzine 5 mg/ 5 ml sirop 50 Botol 60 ml 9,405.00 470,250.00
14 Cetirzine tablet 10 mg 100 Box 100's 32,923.00 3,292,300.00
15 Cimetidine 200 mg 320 Tablet 114.00 36,480.00
16 Clobetasol krim 0,05% 10 g 150 tube 16,369.00 2,455,350.00
17 CTM 4 mg 25 Pak 24x12 14,747.00 368,675.00
18 Cyprofloxacin 500 mg 15 Box 100's 79,460.00 1,191,900.00
19 Desoximethasone krim 0,25 % 15 g 50 Box 12's 112,920.00 5,646,000.00
20 Doxycycline 100 mg, 10 strip @ 10 kapsul 20 Strip 22,770.00 455,400.00
21 Erithromicyn tab 500mg 825 Tablet 922.00 760,650.00
22 Erithromicyn syrup 125mg/5ml 10 Botol 60 ml 12,836.00 128,360.00
23 Fusycom Sodium Fusidate Krim 5 g 200 Tube 5 gr 18,087.00 3,617,400.00
24 Gentamisin salep Kulit 0,1 % 5gr, 10 tube 5 gr 231 Kotak/10tb 25,694.00 5,935,314.00
25 Griseofulvin 125 mg 5 Box 100's 23,176.00 115,880.00
26 Hidrocortison Cream 2,5 % 5g 25 Kotak/24tb 64,350.00 1,608,750.00
27 Ketoconazole 2% krim 10g 30 Box 25's 115,036.00 3,451,080.00
28 Levocetirizine 10 Box 30's 127,467.00 1,274,670.00
NO NAMA OBAT JUMLAH KEMASAN HARGA JUMLAH TOTAL

29 Methilprednisolon 4 Mg 25 Kotak 45,045.00 1,126,125.00


30 Metronidazole Tab 2 Box 12,613.00 25,226.00
31 Miconazole 2% krim 10 g 30 Box 24's 41,081.00 1,232,430.00
32 Oflofloxacin Tab 400 3 Kotak 28,649.00 85,947.00
33 Omeprazole 20 mg 2 Box 200's 23,243.00 46,486.00
34 Paracetamol Tab 500mg 5 Box 100's 28,825.00 144,125.00
35 Permethrine krim 5% 10 g 100 Tube 7,569.00 756,900.00
36 Permethrine krim 5% 30 g 100 Tube 42,342.00 4,234,200.00
37 Rifampicin 600 mg 2 Box 100's 128,945.00 257,890.00
38 Vaselin 30 kg 85,586.00 2,567,580.00
39 Vitamin B.Comp 25 Box 100's 14,859.00 371,475.00
40 Vitamin C 25 Box 100's 4,811.00 120,275.00
JUMLAH 49,718,453
PPN 11 % 5,469,030
TOTAL 55,187,483
Makassar, November 2022
Mengetahui,
KEPALA UPK. KULIT, KELAMIN & KOSMETIKA
DINKES PROV. SULSEL
PEMERINTAH PROVINSI SULAWESI SELATAN
DINAS KESEHATAN
UNIT PELAYANAN KESEHATAN KULIT, KELAMIN DAN KOSMETIKA
JL. Veteran Utara No. 91 Makassar 90145, Tlp. 449504

HARGA PERKIRAAN SENDIRI (HPS) OBAT GENERIK ( Kode Rekening : 5.1.02.01.01.0037 )


UPK. KULIT, KELAMIN DAN KOSMETIKA DINKES PROV. SULSEL APBD PERUBAHAN T.A. 2022

NO NAMA OBAT JUMLAH KEMASAN HARGA JUMLAH TOTAL


OBAT GENERIK
1 Acicylovir 400 mg 5 Box 100's 98,287.00 491,435.00
2 Albendazol 400 mg 2 Box 100's 49,286.00 98,572.00
3 Amoxicillin sirup 125 mg/5 ml 12 Botol 60 ml 5,776.00 69,312.00
4 Amoxicillin Tab 500mg 10 Kotak 36,667.00 366,670.00
5 Antasida Doen Table/Strip 2 Box 36,036.00 72,072.00
6 Asam Mefenamat 500mg 25 Box 100's 58,179.00 1,454,475.00
7 Asiklovir krim 5% 25 Tube @ 5 gr 2 Kotak 104,899.00 209,798.00
8 Betametasol cream, Box 25 tube 50 Box 46,230.00 2,311,500.00
9 Cefadroxil Tab 500mg 15 Box/100 Cps 83,243.00 1,248,645.00
10 Cefadroxil sirup 125 mg/5ml 25 Botol 60 ml 8,612.00 215,300.00
11 Cefixim 100 mg 15 Box 30's 40,432.00 606,480.00
12 Cefixim 200 mg 3 Box 100'\s 265,692.00 797,076.00
13 Cetirzine 5 mg/ 5 ml sirop 50 Botol 60 ml 9,405.00 470,250.00
14 Cetirzine tablet 10 mg 100 Box 100's 32,923.00 3,292,300.00
15 Cimetidine 200 mg 320 Tablet 114.00 36,480.00
16 Clobetasol krim 0,05% 10 g 150 tube 16,369.00 2,455,350.00
17 CTM 4 mg 25 Pak 24x12 14,747.00 368,675.00
18 Cyprofloxacin 500 mg 15 Box 100's 79,460.00 1,191,900.00
19 Desoximethasone krim 0,25 % 15 g 50 Box 12's 112,920.00 5,646,000.00
20 Doxycycline 100 mg, 10 strip @ 10 kapsul 20 Strip 22,770.00 455,400.00
21 Erithromicyn tab 500mg 825 Tablet 922.00 760,650.00
22 Erithromicyn syrup 125mg/5ml 10 Botol 60 ml 12,836.00 128,360.00
23 Fusycom Sodium Fusidate Krim 5 g 200 Tube 5 gr 18,087.00 3,617,400.00
24 Gentamisin salep Kulit 0,1 % 5gr, 10 tube 5 gr 231 Kotak/10tb 25,694.00 5,935,314.00
25 Griseofulvin 125 mg 5 Box 100's 23,176.00 115,880.00
26 Hidrocortison Cream 2,5 % 5g 25 Kotak/24tb 64,350.00 1,608,750.00
27 Ketoconazole 2% krim 10g 30 Box 25's 115,036.00 3,451,080.00
28 Levocetirizine 10 Box 30's 127,467.00 1,274,670.00
29 Methilprednisolon 4 Mg 25 Kotak 45,045.00 1,126,125.00
30 Metronidazole Tab 2 Box 12,613.00 25,226.00
31 Miconazole 2% krim 10 g 30 Box 24's 41,081.00 1,232,430.00
32 Oflofloxacin Tab 400 3 Kotak 28,649.00 85,947.00
33 Omeprazole 20 mg 2 Box 200's 23,243.00 46,486.00
34 Paracetamol Tab 500mg 5 Box 100's 28,825.00 144,125.00
35 Permethrine krim 5% 10 g 100 Tube 7,569.00 756,900.00
36 Permethrine krim 5% 30 g 100 Tube 42,342.00 4,234,200.00
37 Rifampicin 600 mg 2 Box 100's 128,945.00 257,890.00
38 Vaselin 30 kg 85,586.00 2,567,580.00
39 Vitamin B.Comp 25 Box 100's 14,859.00 371,475.00
40 Vitamin C 25 Box 100's 4,811.00 120,275.00
JUMLAH 49,718,453
PPN 11 % 5,469,030
TOTAL 55,187,483

Makassar, November 2022

Mengetahui,
Kepala Dinas Kesehatan
Provinsi Sulawesi Selatan

dr. Hj. Rosmini Pandin, MARS


NIP : 19690909 200112 2 01
PEMERINTAH PROVINSI SULAWESI SELATAN
DINAS KESEHATAN
UNIT PELAYANAN KESEHATAN KULIT, KELAMIN DAN KOSMETIKA
JL. Veteran Utara No. 91 Makassar 90145, Tlp. 449504

HARGA PERKIRAAN SENDIRI (HPS) OBAT GENERIK ( Kode Rekening : 5.1.02.01.01.0037 )


UPK. KULIT, KELAMIN DAN KOSMETIKA DINKES PROV. SULSEL APBD PERUBAHAN T.A. 2022

NO NAMA OBAT JUMLAH KEMASAN HARGA JUMLAH TOTAL


OBAT GENERIK
1 Acicylovir 400 mg 5 Box 100's 98,250.00 491,250.00
2 Albendazol 400 mg 2 Box 100's 49,275.00 98,550.00
3 Amoxicillin sirup 125 mg/5 ml 12 Botol 60 ml 5,775.00 69,300.00
4 Amoxicillin Tab 500mg 10 Kotak 36,650.00 366,500.00
5 Antasida Doen Table/Strip 2 Box 36,000.00 72,000.00
6 Asam Mefenamat 500mg 25 Box 100's 58,175.00 1,454,375.00
7 Asiklovir krim 5% 25 Tube @ 5 gr 2 Kotak 104,875.00 209,750.00
8 Betametasol cream, Box 25 tube 50 Box 46,225.00 2,311,250.00
9 Cefadroxil Tab 500mg 15 Box/100 Cps 83,225.00 1,248,375.00
10 Cefadroxil sirup 125 mg/5ml 25 Botol 60 ml 8,600.00 215,000.00
11 Cefixim 100 mg 15 Box 30's 40,425.00 606,375.00
12 Cefixim 200 mg 3 Box 100'\s 265,675.00 797,025.00
13 Cetirzine 5 mg/ 5 ml sirop 50 Botol 60 ml 9,400.00 470,000.00
14 Cetirzine tablet 10 mg 100 Box 100's 32,900.00 3,290,000.00
15 Cimetidine 200 mg 320 Tablet 100.00 32,000.00
16 Clobetasol krim 0,05% 10 g 150 tube 16,350.00 2,452,500.00
17 CTM 4 mg 25 Pak 24x12 14,725.00 368,125.00
18 Cyprofloxacin 500 mg 15 Box 100's 79,450.00 1,191,750.00
19 Desoximethasone krim 0,25 % 15 g 50 Box 12's 112,900.00 5,645,000.00
20 Doxycycline 100 mg, 10 strip @ 10 kapsul 20 Strip 22,750.00 455,000.00
21 Erithromicyn tab 500mg 825 Tablet 900.00 742,500.00
22 Erithromicyn syrup 125mg/5ml 10 Botol 60 ml 12,825.00 128,250.00
23 Fusycom Sodium Fusidate Krim 5 g 200 Tube 5 gr 18,075.00 3,615,000.00
24 Gentamisin salep Kulit 0,1 % 5gr, 10 tube 5 gr 231 Kotak/10tb 25,675.00 5,930,925.00
25 Griseofulvin 125 mg 5 Box 100's 23,175.00 115,875.00
26 Hidrocortison Cream 2,5 % 5g 25 Kotak/24tb 64,350.00 1,608,750.00
27 Ketoconazole 2% krim 10g 30 Box 25's 115,025.00 3,450,750.00
28 Levocetirizine 10 Box 30's 127,450.00 1,274,500.00
29 Methilprednisolon 4 Mg 25 Kotak 45,000.00 1,125,000.00
30 Metronidazole Tab 2 Box 12,600.00 25,200.00
31 Miconazole 2% krim 10 g 30 Box 24's 41,075.00 1,232,250.00
32 Oflofloxacin Tab 400 3 Kotak 28,625.00 85,875.00
33 Omeprazole 20 mg 2 Box 200's 23,225.00 46,450.00
34 Paracetamol Tab 500mg 5 Box 100's 28,800.00 144,000.00
35 Permethrine krim 5% 10 g 100 Tube 7,550.00 755,000.00
36 Permethrine krim 5% 30 g 100 Tube 42,325.00 4,232,500.00
37 Rifampicin 600 mg 2 Box 100's 128,925.00 257,850.00
38 Vaselin 30 kg 85,575.00 2,567,250.00
39 Vitamin B.Comp 25 Box 100's 14,850.00 371,250.00
40 Vitamin C 25 Box 100's 4,800.00 120,000.00
JUMLAH 49,673,300
PPN 11 % 5,464,063
TOTAL 55,137,363

Makassar, November 2022

Mengetahui,
Kepala Dinas Kesehatan
Provinsi Sulawesi Selatan

dr. Hj. Rosmini Pandin, MARS


NIP : 19690909 200112 2 01
10,808 109,058 545,288
5,420 54,695 109,391
635 6,410 76,923
4,032 40,682 406,815
3,960 39,960 79,920
6,399 64,574 1,614,356
11,536 116,411 232,823
5,085 51,310 2,565,488
9,155 92,380 1,385,696
946 9,546 238,650
4,447 44,872 673,076
29,224 294,899 884,698
1,034 10,434 521,700
3,619 36,519 3,651,900
11 111 35,520
1,799 18,149 2,722,275
1,620 16,345 408,619
8,740 88,190 1,322,843
12,419 125,319 6,265,950
2,503 25,253 505,050
99 999 824,175
1,411 14,236 142,358
1,988 20,063 4,012,650
2,824 28,499 6,583,327
2,549 25,724 128,621
7,079 71,429 1,785,713
12,653 127,678 3,830,333
14,020 141,470 1,414,695
4,950 49,950 1,248,750
1,386 13,986 27,972
4,518 45,593 1,367,798
3,149 31,774 95,321
2,555 25,780 51,560
3,168 31,968 159,840
831 8,381 838,050
4,656 46,981 4,698,075
14,182 143,107 286,214
9,413 94,988 2,849,648
1,634 16,484 412,088
528 5,328 133,200

55,137,363

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