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DAFTAR HARGA B BRAUN HOSPITAL CARE

( B P J S / e-katalog)
Berlaku per : 01 April 2018

HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
B. BRAUN SPECIAL SYRINGE
AKL 20902600190 4617207 Omnifix 20 ml, Luer Lock, Centric Co 100 pcs/box 7,727 772,727
AKL 20902600190 4616200 Omnifix 20 ml, Luer Slip, Eccentric C 100 pcs/box 7,727 772,727
AKL 20902600242 4617304 Omnifix 30 ml, Luer Lock, Centric Co 100 pcs/box 8,182 818,182
AKL 20902600243 4617509 Omnifix 50 ml, Luer Lock, Centric Co 100 pcs/box 13,636 1,363,636
AKL 20902600243 4616502 Omnifix 50 ml, Luer Slip, Eccentric C 100 pcs/box 13,636 1,363,636
B. BRAUN I.V. CANNULA
AKL 20902011183 4252500 Introcan Safety G24 x 3/4" 50 pcs/box 20,000 1,000,000
AKL 20902011183 4252519 Introcan Safety G22 x 1" 50 pcs/box 20,000 1,000,000
AKL 20902011183 4252535 Introcan Safety G20 x 1 1/4" 50 pcs/box 20,000 1,000,000
AKL 20902011183 4252560 Introcan Safety G18 x 1 1/4" 50 pcs/box 20,000 1,000,000
AKL 20902011183 4252551 Introcan Safety G18 x 1 3/4" 50 pcs/box 20,000 1,000,000
AKL 20902011183 4252578 Introcan Safety G16 x 2" 50 pcs/box 20,000 1,000,000
B. BRAUN I.V. CANNULA
AKL 20902011184 4268210S-03 Vasofix Safety G 14 50 pcs/box 20,000 1,000,000
AKL 20902011184 4268172S Vasofix Safety G16 x 2" 50 pcs/box 20,000 1,000,000
AKL 20902011184 4268130S Vasofix Safety G18 x 1¾" 50 pcs/box 20,000 1,000,000
AKL 20902011184 4268334S Vasofix Safety G18 x 1¼" 50 pcs/box 20,000 1,000,000
AKL 20902011184 4268113S Vasofix Safety G20 x 1¼" 50 pcs/box 20,000 1,000,000
AKL 20902011184 4268091S Vasofix Safety G22 x 1'' 50 pcs/box 20,000 1,000,000
AKL 20902011184 4269071S Vasofix Safety G24 x ¾'' 50 pcs/box 20,000 1,000,000
B. BRAUN INFUSION SET
AKL 20902700099 4099842N INTRAPUR INLINE 20 pcs/box 81,818 1,636,364
PVC Free, DEHP Free, 0.2 µm aerosol retentive air filter
for Paclitaxel Drugs

AKL 20902604470 4063005 INTRAFIX SAFESET IS 100 pcs/box 19,250 1,925,000


B. BRAUN TRANSFUSION SET
AKL 20902113650 403 422/8 SANGOFIX ES 180 cm, G 18, needle 80 pcs/box 18,480 1,478,400
luer lock connector, filter surface
area = 22 cm2

B. BRAUN INFUSION ACCESSORIES


AKL 20902504415 4090500 TRANSOFIX 25 pcs/box 3,091 77,273
Transfer Set for Sterile Fluid

AKL 20902012317 16401 ECOFLAC MIX 250 pcs/box 5,000 1,250,000

AKL 20902600178 409 511/1 DISCOFIX 3-WAY Stopcock Blue 50 pcs/box 17,500 875,000
AKL 20902600178 409 810/2 DISCOFIX 3-WAY + 10 cm Tubing 100 pcs/box 29,227 2,922,700
AKL 20902011355 4495101 Combi Stopper-Red 100 pcs/box 3,636 363,636
PROTECTIVE ADMIXTURE TOOLS

AKL 20902011348 4550587 Chemo Mini-Spike V 100 pcs/box 25,000 2,500,000

AKL 20902011354 A2902N Cyto-Set Mix 20 pcs/box 51,364 1,027,273

AKL 20902011351 A1686 Cyto-Set Infusion with 3 safsite 20 pcs/box 100,000 2,000,000

AKL 20902011349 4550579 Mini Spike Filter V 50 pcs/box 13,182 659,091

AKL 20902011348 4550536 MINI SPIKE CHEMO MICRO TIP 20 pcs/box 25,000 500,000

AKL 20902011350 4550242 Mini Spike Plus 100 pcs/box 11,364 1,136,364

B. BRAUN SPINAL ANAESTHESIA

AKL 20403600182 4502027 PENCAN, Pencil Point G27 x 3 1/2" 25 pcs/box 52,500 1,312,500
B. BRAUN EPIDURAL ANESTHESIA CATHETER + NEEDLE SET

AKL 20403010526 451 400/9 PERIFIX 400, G18 x 3 1/4" with filter 10 set/box 281,818 2,818,182

B. BRAUN PLEXUS ANAESTHESIA


Catatan:
HArga tersebut diatas sewaktu-waktu dapat berubah dab belum termasuk PPN 10%.
DAFTAR HARGA B BRAUN HOSPITAL CARE
( B P J S / e-katalog)
Berlaku per : 01 April 2018

HARGA
NO. REGISTRASI NO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
AKL 20403600189 4894502 STIMUPLEX A300 22GX2", 0.70X50MM 25 pcs/box 163,636 4,090,909
AKL 20403600189 4894260 STIMUPLEX A300 21GX4", 0.80X100MM25 pcs/box 163,636 4,090,909

B. BRAUN CENTRAL VENOUS CATHETERS, SELDINGER METHODE


AKL 20501604038 4160320 CERTOFIX MONO V420 10 pc 295,455 2,954,545
Single lumen cath. G14, 20 cm, jugularis/subclavia
AKL 20501604037 4161211 CERTOFIX DUO V720 10 pc 500,000 5,000,000
Double lumen cath. F7, 20 cm, jugularis
AKL 20902600181 4163214 CERTOFIX TRIO V720 10 pc 590,909 5,909,091
Triple Lumen cath. Fr.7x20 cm, subclavia
AKL 20501604039 4167775 CERTOFIX QUATTRO V820 10 pc 681,818 6,818,182
Four lumen cath. F8, 20 cm
AKL 20501604037 4167538 CERTOFIX DUO V1215 HF (High Flow) 10 pc 636,364 6,363,636
Double Lumen catch. F12, 15 cm, Jugular for HD
AKL 20501604037 4167546 CERTOFIX DUO V1220 HF (High Flow) 10 pc 863,636 8,636,364
Double Lumen catch. F12, 20 cm, Subclavia for HD
B. BRAUN PUMPS ACCESSORIES
AKL 20902603191 8255504 Perfusor Tubing White 150 cm 100 pcs/box 31,818 3,181,818
AKL 20902603191 8745919 Perfusor Tubing, White, 200 cm 25 pcs/box 32,727 818,182
AKL 20902603733 8728828 Perfusor Syringe 50 ml / Black 50 pcs/box 50,000 2,500,000
AKL 20902603733 8728844 Perfusor Syringe 50 ml / White 50 pcs/box 18,182 909,091
AKL 20902603724 8728623 Perfusor Syringe 20 ml With Needle 400 pcs/box 8,636 3,454,545
AKL 20902701055 8723010 Perfusor Tubing PE / Black 100 pcs/box 42,727 4,272,727

B. BRAUN BASIC SOLUTION


DKI0477201049A1 3610587 ECOSOL Glucose 5%, 500 ml 10 botol/box 6,273 62,730
DKI0377200949A1 3610590 ECOSOL Ringer Lactate, 500 ml 10 botol/box 6,500 65,000

B. BRAUN PLASMA VOLUME REPLACEMENT (PVR)


DKI0477201349A1 3610089/3610631 Gelofusine Ecoflac 500 ml 10 botol/box 131,832 1,318,320

DKI1386701549A1 3532984 Ringerfundin 500 ml 10 botol/box 10,000 100,000

B. BRAUN PARENTERAL NUTRITION (PN)

DKI1296900949A1 FA 79499 Combiflex Peri, 1000 ml 5 bag / box 185,950 929,750

DKI1186701249A1 3655744/3533042 Lipofundin MCT/LCT 20% 100 ml 10 btl / box 60,455 604,550

DKI1186701249A1 3655745/3533050 Lipofundin MCT/LCT 20% 250 ml 10 btl / box 132,390 1,323,900

DKI1086701549A1 3533140 Nutriflex Lipid Peri N3C 1250 ML 5 bag / box 388,430 1,942,150

DKI1086701649A1 3533166 Nutriflex Lpd Spcial N3C625ML ID 5 bag / box 280,991 1,404,955

DKI1086701649A1 3533115 Nutriflex Lipid Special N3C 1250 ML 5 bag / box 462,810 2,314,050

Catatan:
HArga tersebut diatas sewaktu-waktu dapat berubah dab belum termasuk PPN 10%.
DAFTAR HARGA B BRAUN INFECTION CONTROL dan WOUND MANAGEMENT
( B P J S / e-katalog)
Berlaku per : 01 Januari 2018

HARGA
NO. REGISTRASINO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
HAND DISINFECTANT
PKL 20501800228 19437 Softaman Bottle “D” 100ml 20 btl / box 29,091 581,818

PKL 20502600243 19438 Softaman Bottle “D” 500ml 20 btl / box 71,591 1,431,820
PKL 20501800228 19439 Softaman Bottle “D” 1000ml 10 btl / box ### 1,390,909
PKL 20207510051 19807 LIFO SCRUB BOTTLE (DP) "ID 500ML 20 btl / box 81,818 1,636,364
LIFO SCRUB BOTTLE (DP) "ID
PKL 20207510051 19808 10 btl / box ### 1,363,636
1000ML
PKL 20207110038 18613 Softaskin 500 ml 20 btl / box 53,217 1,064,340
PKL 20207110038 18949 Softaskin 1000 ml 10 btl / box 82,879 828,790
SKIN DISINFECTANT
PKL 20502800416 18990 Braunol 100ml 20 btl / box 30,909 618,182
PKL 20502800416 19356 Braunol 1 L 10 btl / box ### 1,686,360
PKL 20502800416 19357 Braunol 5000ml 2 Gal / box ### 1,309,091
PKL 20501210239 3881156 Braunoderm Uncolored 1000 ml 10 btl / box ### 1,686,364
PKL 20501210239 18420 Braunoderm Uncolored 100 ml 20 btl / box 28,182 563,636
PKL 20502700238 3881105 Braunoderm Uncolored Spray 250 ml 20 btl / box ### 2,363,640
WOUND DISINFECTANT
PKL 20501010197 400403 Prontosan Solution Round Bot."West 10 btl / box ### 1,490,910
AKL 21603113455 400505 PRONTOSAN WOUND GEL 30 ML 10 btl ### 1,850,000
AKL 21603113454 400508 PRONTOSAN WOUND GEL X 250 gr 1 tube ### 627,273
AKL 21603113454 400517 PRONTOSAN WOUND GEL X 50 gr 1 tube ### 260,000
PKL 20501010197 400484 PRONTOSAN AMPUL 24x40 ML 24 amp / box - 1,109,090

INSTRUMENT DISINFECTANT
AKL 10903604349 18557 Helizyme Bottle "West" 1000ML 10 btl / box ### 3,409,090
AKL 20903604764 18849 Stabimed Bottle "GB/E/P/F" 1000ML 10 btl / box ### 5,636,360

SURFACE DISINFECTANT
AKL 20902604179 18564 Meliseptol Rapid Spraybottle "West" 20 btl / box ### 2,890,909
AKL 20903111743 19171 Meliseptol Foam Pure Spr.Fl.750ml 20 btl / box ### 2,881,818
AKL 10903413476 19530 Meliseptol Wipes Refill 12 pac / box ### 1,200,000
AKL 10903413476 19582 Meliseptol Wipes Box 12 box / crt ### 1,914,540
AKL 20903605099 18784 Hexaquart Plus 1000ml 10 btl / box ### 3,181,818
B. BRAUN DRESSINGS & BANDAGES
AKL 11603111122 9086857 Askina Soft Clear 9  X 30  30 pcs/box - 927,273
AKL 11603111122 9086848 Askina Soft Clear 9 X 25 CM 30 pcs/box - 900,000
AKL 11603111122 9086839 ASKINA SOFT CLEAR 9X20 30 /box - 799,091
AKL 11603111122 9086830 ASKINA SOFT CLEAR 9X15 40 /box - 749,091
AKL 11603111122 9086821 ASKINA SOFT CLEAR 9X10 50 /box - 650,000
AKL 11603111122 9086812 ASKINA SOFT CLEAR 9X5 50 /box - 454,545
AKL 11603111122 9086803 Askina Soft Clear 7,5  x 5  50 pcs/box - 446,450
AKL 10902111123 9086893 ASKINA SOFT CLEAR IV 8X6 50 /box - 477,273

AKL 21603213231 001419N Askina Gel 15 g 10 tb/box - 735,240


AKL 21603213205 2107S Askina Sorb 10 x 10 cm 3 pcs/box - 190,908
AKL 21603213205 2101S ASKINA SORB 10X10 15 pcs/box - 954,540
AKL 21603213205 2106S ASKINA SORB ROPE 2.7x34 3 /box - 267,273

AKL 21603212891 5197510 Askina Silnet 10 X 7,5 CM 10 pcs/box - 372,727

AKL 21603212894 6211010 ASKINA CALGITROL AG 10X10 10 /box - 1,200,000


AKL 21603212894 6212010 ASKINA CALGITROL AG 20X20 10 /box - 4,500,000
AKL 21603313620 6241510 ASKINA CALGITROL PASTE 15 G 10 tb/box - 745,450
AKL 21603213308 F72033 ASKINA DERM 6 X 7 CM 100 pcs/box - 892,900
DAFTAR HARGA B BRAUN INFECTION CONTROL dan WOUND MANAGEMENT
( B P J S / e-katalog)
Berlaku per : 01 Januari 2018

HARGA
NO. REGISTRASINO. KATALOG NAMA PRODUK KEMASAN
RP./ PC RP./ BOX
AKL 21603213308 F72035 ASKINA DERM 10X12 10 /box - 263,636
AKL 21603213308 F72037 ASKINA DERM 10X20 10 /box - 304,545
AKL 21603213308 F72038 ASKINA DERM 15X20 10 /box - 500,000

AKL 21603213305 7241010 ASKINA FOAM 10 X 10 CM 10 pcs/box - 613,640


B. BRAUN UROLOGY PRODUCT
AKL 20805600180 4442059 CYSTOFIX F10, 8 cm Bottom Outlet 25 /box 409,091 ###
AKL 20805600180 4442121 CYSTOFIX F10, 12 cm Bottom Outlet 25 /box 432,727 ###
AKL 20895801260 4417930 UREOFIX 500, urine measurement sys 10 /box 240,000 2,400,000
urine bag 1.5 l with anti-reflux valve and bottom outlet

VASCO
B. BRAUN EXAMINATION GLOVES

AKL 10903300130 06066526H/AP Vasco Powd Exam Size S 100 pcs/box 72,727
AKL 10903300130 06066542H/AP Vasco Powd Exam Size M 100 pcs/box 72,727
AKL 10903300130 06066569H/AP Vasco Powd Exam Size L 100 pcs/box 72,727

AKL 10903613743 9207910AP VASCO NITRIL WHITE S 100 pcs/box 72,727


AKL 10903613743 9207929AP VASCO NITRIL WHITE M 100 pcs/box 72,727
AKL 10903613743 9207937AP VASCO NITRIL WHITE L 100 pcs/box 72,727

B. BRAUN SURGICAL GLOVES


AKL11603504425 6036066A/6035500APL/APS Vasco SS 6.0 50 pair / box 8,181 409,050
AKL11603504425 6036074T/6035518APL/APS Vasco SS 6.5 50 pair / box 8,181 409,050
AKL11603504425 6036023T/6035526APL/APS Vasco SS 7.0 50 pair / box 8,181 409,050
AKL11603504425 6036031T/6035534APL/APS Vasco SS 7.5 50 pair / box 8,181 409,050
AKL11603504425 6036040T/6035559APL/APS Vasco SS 8.0 50 pair / box 8,181 409,050

AKL 11603710328 6081101APL Vasco Surg Pwd-Fr Size 6 NRC 50 pair / box 8,181 409,050
AKL 11603710328 6081111APL Vasco Surg Pwd-Fr Siz 6.5 NRC 50 pair / box 8,181 409,050
AKL 11603710328 6081121APL Vasco Surg Pwd-Fr Size 7 NRC 50 pair / box 8,181 409,050
AKL 11603710328 6081131APL Vasco Surg Pwd-Fr Siz 7.5 NRC 50 pair / box 8,181 409,050

Catatan:
Harga tersebut diatas sewaktu-waktu dapat berubah dan belum termasuk PPN 10 %.
DAFTAR HARGA B BRAUN SUTURE
( B P J S) / e-katalog

Berlaku per : 05 Februari 2018

SURGICAL SPECIALITIES

BONE WAX
-- For the Control of Oozing Haemorrhages in Bone Injuries

NO. HARGA (Rp.)


NO. REGISTRASI UKURAN KEMASAN
KATALOG PCS BOX

AKL 21603211499 102975/4 2,5 g 24 pcs / box 47,091 1,130,184

LYOSTYPT
( Collagen Haemostatic Agent )

AKL 21603311396 106915/2 5 x 8 cm 6 pcs / box 75,273 451,638

OMYRA MESH
AKL 21602214073 1061515 15 x 15 cm (Square) Box @ 1 12,379,711 ###
AKL 21602214073 1062030 20x30cm (Oval) Box @ 1 19,993,315 ###

OPTILENE MESH
( For Hernia Repair with Laparoskopi )
AKL21603703823 1065030 7.5 x 15 cm Box @ 5 1,024,078 5,120,391
AKL21603703823 1065040 10 x 15 cm Box @ 5 1,152,027 5,760,135

PREMILENE* MESH
( For Hernia Repair )

AKL21603500235 1064315 Box @ 5


5 x 10 cm 198,693.2 993,466

AKL21603500235 1064455 Box @ 5 1,191,904.76 5,959,524


30 x 30 cm

Catatan:
Harga tersebut diatas sewaktu-waktu dapat berubah dan belum termasuk PPN 10%.

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