FORMAT DPL 2014DPL DISCOUNT PROPOSAL LIST ( DPL)NO. DPL DISTRIBUTOR: DOS NI ROHA & PARAZELSUSCABANG : KEMANGGISAN / BEKASIMASA BERLAKU: JANUARY s/d MARET 2014

NO.OUTLETPRODUKKEMASANHNA + PPNEST SALESTOTAL DISCOUNTKETERANGAN PER BULAN (BOX)ON FAKTURBEBAN DISTRIBUTORDISTRIBUTOR CLAIM KE BERNOFARMBERNOFARM CLAIM KE DISTRIBUTOR (HARGA JADI/BOX)total salessales net

Allopurinol 100 mg tabletBox 10 blister @ 10 tablet17,00018,7000.00.00%0.0%18,7000.00.0Allopurinol 300 mg tabletBox 10 blister @ 10 tablet26,72729,4000.00.00%0.0%29,4000.00.0Allopurinol 300 mg tablet @ 30 tabBox 30 tablet8,0188,8200.00.00%0.0%8,8200.00.0Allylestrenol 5 mg tabletBox 3 strip @ 10 tablet68,18275,0000.00.00%0.0%75,0000.00.0Acyclovir 400mg kapletBox @ 100 kaplet79,09187,0000.00.00%0.0%87,0000.00.0Ambroxol 15 mg/5 ml ElixirBotol 60 ml6,0006,6000.00.00%0.0%6,6000.00.0Ambroxol 30 mg/5 ml ElixirBotol 60 ml9,0009,9000.00.00%0.0%9,9000.00.0Ambroxol 30 mg tabletBox 10 strip @ 10 tablet30,00033,0000.00.00%0.0%33,0000.00.0Amlodipin 10 mg tab @ 30'S (BERNO)Box 3 blister @ 10 tablet55,41860,9600.00.00%0.0%60,9600.00.0Amlodipin 5 mg tab @ 30'S (BERNO)Box 3 blister @ 10 tablet31,41834,5600.00.00%0.0%34,5600.00.0Amlodipin 5 mg tablet @100 ( BERNO )1 box @ 100 tablet104,727115,2000.00.00%0.0%115,2000.00.0Amlodipin 10 mg tablet @100 ( BERNO )1 box @ 100 tablet184,727203,2000.00.00%0.0%203,2000.00.0Amoxicillin 500 mg kapletBox 10 strip @ 10 captab40,36444,4000.00.00%0.0%44,4000.00.0Amoxicillin syrupBotol 60 ml6,0006,6000.00.00%0.0%6,6000.00.0Amoxicillin 250 mg kaplet1 Box @ 100 Kapsul31,35334,4880.00.00%0.0%34,4880.00.0Ampicillin 1 g injeksi 10'sBox 10 vial 80,00088,0000.00.00%0.0%88,0000.00.0Ampicillin 500mg injeksi @ 10Box 10 vial 50,00055,0000.00.00%0.0%55,0000.00.0Antalgin 500 mg @ 1000 kapletBotol @ 1000 kaplet100,000110,0000.00.00%0.0%110,0000.00.0Antalgin 500 mg @ 100 kapletBox @ 100 kaplet16,25417,8790.00.00%0.0%17,8790.00.0Antalgin 1000 mg/2 ml injBox @ 100 ampul300,000330,0000.00.00%0.0%330,0000.00.0Aqua Pro 20 ml injeksi @ 10 vialBox @ 10 vial 60,00066,0000.00.00%0.0%66,0000.00.0Aqua Pro 50 ml injeksiBox @ 1 vial 15,00016,5000.00.00%0.0%16,5000.00.0Aqua pro injection 10 ml @ 100Box @ 100 ampul300,000330,0000.00.00%0.0%330,0000.00.0As. Mefenamat 500 mg kaptabBox 10 blister @ 10 kaptab19,20021,1200.00.00%0.0%21,1200.00.0As. Mefenemat 50mg/5 ml Suspensi Botol 60 ml10,00011,0000.00.00%0.0%11,0000.00.0As. Traneksamat 250 mg/5 ml injBox 10 ampul60,00066,0000.00.00%0.0%66,0000.00.0As. Traneksamat 500 mg/5 ml injBox 10 ampul100,000110,0000.00.00%0.0%110,0000.00.0As. Traneksamat 500 mg tabletBox 10 blister @ 10 tablet95,000104,5000.00.00%0.0%104,5000.00.0Azythtomycin 200mg/5ml syrup keringBox 1 fls @15ml50,00055,0000.00.00%0.0%55,0000.00.0Azythtomycin 500mg Serbuk InfusBox @ 1 vial 105,000115,5000.00.00%0.0%115,5000.00.0Bupivacaine spinal 5 mg/ml injBox 5 ampul160,000176,0000.00.00%0.0%176,0000.00.0Bupivacaine spinal 5 mg/ml inj @10Box 10 ampul320,000352,0000.00.00%0.0%352,0000.00.0Cefpirome 1 gr injeksiBox @ 1 vial130,000143,0000.00.00%0.0%143,0000.00.0Cefepime 1 gr injeksiBox @ 1 vial 130,000143,0000.00.00%0.0%143,0000.00.0Cefoperazone Sulbactam 1 g injeksiBox @ 1 vial100,000110,0000.00.00%0.0%110,0000.00.0Cefoperazone 1 gr inj SerbukBox @ 1 vial80,00088,0000.00.00%0.0%88,0000.00.0Cefadroxil 500 mg kapsul (BERNO)Box 10 blister @ 10 kapsul91,636100,8000.00.00%0.0%100,8000.00.0Cefadroxil Dry SyrupBotol 60 ml8,9459,8400.00.00%0.0%9,8400.00.0Cefixime 100 mg kapsul (BERNO)Box 3 blister @ 10 kapsul78,36986,2060.00.00%0.0%86,2060.00.0Cefixime 200 mg kapletBox 3 blister @ 10 kaplet110,000121,0000.00.00%0.0%121,0000.00.0Cefixime Dry SyrupBotol 30 ml33,00036,3000.00.00%0.0%36,3000.00.0Cefotaxime 1 g injeksi @ 10 vialBox 10 vial 75,60083,1600.00.00%0.0%83,1600.00.0Ceftriaxone 1 g injeksi @ 10 vialBox 10 vial 93,755103,1310.00.00%0.0%103,1310.00.0Ceftriaxone 1 g injeksi @ 2 vialBox 2 vial 18,75120,6260.00.00%0.0%20,6260.00.0Chloramphenicol SuspensiBotol 60 ml5,5006,0500.00.00%0.0%6,0500.00.0Chloramphenicol 250 mg kapsulBox 10 blister @ 10 kapsul32,00035,2000.00.00%0.0%35,2000.00.0Cilostazol 100 mg @ 100 tabletBox 10 blister @ 10 tablet650,000715,0000.00.00%0.0%715,0000.00.0Cilostazol 100 mg @ 30 tabletBox 3 blister @ 10 tablet195,000214,5000.00.00%0.0%214,5000.00.0Cimetidine 200 mg tabletBox @ 100 tablet12,53513,7890.00.00%0.0%13,7890.00.0Ciprofloxacin 500 mg tablet (BERNO)Box 10 blister @ 10 tablet40,00044,0000.00.00%0.0%44,0000.00.0Ciprofloxacin 200 mg/100 ml infusBotol @ 100 ml62,18268,4000.00.00%0.0%68,4000.00.0Citicoline 125 mg/ml injeksiBox 10 ampul 150,000165,0000.00.00%0.0%165,0000.00.0Citicoline 500 mg TabletBox @ 30 Tablet200,000220,0000.00.00%0.0%220,0000.00.0Citicoline 1000 mg KapletBox @ 30 Kaplet360,000396,0000.00.00%0.0%396,0000.00.0Clindamycin 300 mg kapsulBox 3 strip @ 10 kapsul49,09053,9990.00.00%0.0%53,9990.00.0Cotrimoxazole 480 mg tabletBox 10 strip @ 10 tablet18,00019,8000.00.00%0.0%19,8000.00.0Cotimoxazole Forte 960 mg kapletBox @ 100 kaplet36,00039,6000.00.00%0.0%39,6000.00.0Cotrimoxazole syrupBotol 60 ml6,0006,6000.00.00%0.0%6,6000.00.0Dexamethasone 5 mg/ml injeksiBox @ 100 ampul218,400240,2400.00.00%0.0%240,2400.00.0Dexamethasone 0,5 mg tabletBox 10 strip @ 10 tablet9,49110,4400.00.00%0.0%10,4400.00.0Dextrometorphan 15 mg @ 1000 kapletBotol @ 1000 kaplet300,000330,0000.00.00%0.0%330,0000.00.0Dextrometorphan 15 mg @ 100 tabletBox 10 strip @ 10 tablet32,50035,7500.00.00%0.0%35,7500.00.0Dextrometorphan syrupBotol 60 ml8,0008,8000.00.00%0.0%8,8000.00.0Domperidon 10 mg tablet (BERNO)Box @ 30 tablet13,20914,5300.00.00%0.0%14,5300.00.0Domperidon 10 mg tablet @100tab (BERNO)Box @ 100 tablet44,03148,4340.00.00%0.0%48,4340.00.0Domperidone 5mg/5ml SuspensiBotol 60 ml13,80015,1800.00.00%0.0%15,1800.00.0Domperidon 5mg/ml drops Box @ 1Botol@10 ml18,00019,8000.00.00%0.0%19,8000.00.0Ethambutol 500 mg tabletBox 10 strip @ 10 tablet62,57568,8330.00.00%0.0%68,8330.00.0Fluconazole 200 mg/100 ml infusBox @ 1 botol110,000121,0000.00.00%0.0%121,0000.00.0Flunarizin 5 mg tabletBox 3 blister @ 10 tablet60,00066,0000.00.00%0.0%66,0000.00.0Glimepiride 1 mg tabletBox 3 blister @ 10 tablet24,91527,4070.00.00%0.0%27,4070.00.0Glimepiride 1 mg @ 100 tabletBox 100 tablet83,04891,3530.00.00%0.0%91,3530.00.0Glimepiride 2 mg tabletBox 3 blister @ 10 tablet46,91551,6070.00.00%0.0%51,6070.00.0Glimepiride 2 mg @ 100 tabletBox 100 tablet156,385172,0240.00.00%0.0%172,0240.00.0Glimepiride 3 mg tabletBox 3 blister @ 10 tablet63,95570,3510.00.00%0.0%70,3510.00.0Glimepiride 4 mg tabletBox 3 blister @ 10 tablet85,28893,8170.00.00%0.0%93,8170.00.0Glimepiride 4 mg tablet @ 100 tabBox 100 tablet284,294312,7230.00.00%0.0%312,7230.00.0Glimepiride 3 mg tablet @100Box @ 100 tablet213,182234,5000.00.00%0.0%234,5000.00.0Hydrocortisone Cream 5 grBox @ 25 tube @ 5 gr150,000165,0000.00.00%0.0%165,0000.00.0Hydrocortisone Cream 5 gr @ 24 tubeBox @ 24 tube @ 5 gr144,000158,4000.00.00%0.0%158,4000.00.0Itraconazole 100 mg kapsulBox 3 strip @ 10 kapsul120,000132,0000.00.00%0.0%132,0000.00.0Imipenem Cilastatin 1 G InjeksiBox @ 1 botol181,818200,0000.00.00%0.0%200,0000.00.0Ketoprofen 100 mg tabletBox 10 blister @ 10 tablet147,273162,0000.00.00%0.0%162,0000.00.0Ketoprofen 100 mg/2 ml injeksiBox 5 ampul 30,81833,9000.00.00%0.0%33,9000.00.0Ketoprofen 100 mg/2 ml injeksi@10 ampulBox 10 ampul 61,63667,8000.00.00%0.0%67,8000.00.0Ketorolac 10 mg/ml injeksiBox 10 ampul 81,81890,0000.00.00%0.0%90,0000.00.0Ketorolac 10 mg tabletBox 3 blister @ 10 tablet69,00075,9000.00.00%0.0%75,9000.00.0Ketorolac 30 mg/ml injeksiBox 10 ampul 145,800160,3800.00.00%0.0%160,3800.00.0Lanzoprazole 30 mg kapsul (BERNO)Box 3 strip @ 10 kapsul44,22548,6480.00.00%0.0%48,6480.00.0Lanzoprazole 30 mg @ 100 kapsulBox @ 100 kapsul147,418162,1600.00.00%0.0%162,1600.00.0Levofloxacin 500 mg kapletBox 3 blister @ 10 tablet36,21839,8400.00.00%0.0%39,8400.00.0Levofloxacin 500 mg kaplet @1001 Box @ 100 kaplet120,727132,8000.00.00%0.0%132,8000.00.0Levofloxacin 500 mg/100 ml infusBox @ 1 botol80,00088,0000.00.00%0.0%88,0000.00.0Lidocain 2 % injeksi @100 ampul kotakBox 100 ampul 110,181121,1990.00.00%0.0%121,1990.00.0Lidocain 2 % inj @100 ampul bundarBox 100 ampul (bundar)110,181121,1990.00.00%0.0%121,1990.00.0Lidocain 5 % injeksiBox 10 ampul200,000220,0000.00.00%0.0%220,0000.00.0Metformin 500 mg tabletBox 10 blister @ 10 tablet19,80021,7800.00.00%0.0%21,7800.00.0Metformin 850 mg kapletBox 10 blister @ 10 kaplet36,00039,6000.00.00%0.0%39,6000.00.0Meloxicam 15 mg tablet (BERNO)Box 3 blister @ 10 tablet39,24043,1640.00.00%0.0%43,1640.00.0Meloxicam 15 mg tablet (BERNO)@100 tabletBox 100 tablet130,800143,8800.00.00%0.0%143,8800.00.0Meloxicam 7,5 mg tablet (BERNO)Box 3 blister @ 10 tablet22,64424,9080.00.00%0.0%24,9080.00.0Meloxicam 7,5 mg tablet (BERNO)@100 tabletBox 100 tablet75,48083,0280.00.00%0.0%83,0280.00.0Meropenem 1 g injeksiBox 1 vial200,000220,0000.00.00%0.0%220,0000.00.0Meropenem 500 mg injeksiBox 1 vial120,000132,0000.00.00%0.0%132,0000.00.0Methylprednisolone 4 mg tablet (BERNO)Box 10 blister @ 10 tablet48,06052,8660.00.00%0.0%52,8660.00.0Methylprednisolone 8 mg tabletBox 10 blister @ 10 tablet63,81870,2000.00.00%0.0%70,2000.00.0Methylprednisolone 125 mg injeksiBox @ 1 vial 5 ml + pelarut40,00044,0000.00.00%0.0%44,0000.00.0Methylprednisolone 500 mg injeksiBox @ 1 vial90,57399,6300.00.00%0.0%99,6300.00.0Metronidazole 500 mg tabletBox 10 strip @ 10 tablet 24,00026,4000.00.00%0.0%26,4000.00.0Metronidazole 500 mg/100 ml infusBox @ 1 botol32,18235,4000.00.00%0.0%35,4000.00.0Natrium Diclofenac 50mg tab @ 100 tabBox @ 100 tablet23,74726,1220.00.00%0.0%26,1220.00.0Omeprazole 40 mg injeksiBox @ 1 vial + 1 ampul pelarut80,00088,0000.00.00%0.0%88,0000.00.0Ondansetron 4 mg/2 ml injeksi @ 5 ampulBox @ 5 ampul 25,00027,5000.00.00%0.0%27,5000.00.0Ondansetron 4 mg/2 ml injeksi @ 10 ampulBox @ 10 ampul50,00055,0000.00.00%0.0%55,0000.00.0Ondansetron 8 mg/4 ml injeksi @ 5 ampulBox 5 ampul 36,36440,0000.00.00%0.0%40,0000.00.0Ondansetron 8 mg/4 ml injeksi @ 10 ampulBox @ 10 ampul72,72880,0010.00.00%0.0%80,0010.00.0Ondansetron 8 mg tabletBox 3 blister @ 10 tablet150,000165,0000.00.00%0.0%165,0000.00.0Oxytetracycline 500mg/10ml injBox @ 10 vial70,00077,0000.00.00%0.0%77,0000.00.0Pantoprazole 40 mg injeksiBox @ 1 vial80,00088,0000.00.00%0.0%88,0000.00.0Paracetamol 500 mg @ 1000 kapletBotol @ 1000 kaplet114,550126,0050.00.00%0.0%126,0050.00.0Paracetamol 500 mg @ 100 kapletBox @ 100 kaplet15,00016,5000.00.00%0.0%16,5000.00.0Paracetamol syrupBotol 60 ml5,0005,5000.00.00%0.0%5,5000.00.0Paracetamol InfusBox @ 1 Botol @ 100 ml45,00049,5000.00.00%0.0%49,5000.00.0Piracetam 1 g/5 ml injeksiBox 5 ampul 30,00033,0000.00.00%0.0%33,0000.00.0Piracetam 1 g/5 ml injeksi @ 10 ampulBox 10 ampul 60,00066,0000.00.00%0.0%66,0000.00.0Piracetam 3 g/15 ml injeksiBox 4 ampul74,64082,1040.00.00%0.0%82,1040.00.0Piracetam 3 g /15 ml inj @ 10Box 10 ampul186,600205,2600.00.00%0.0%205,2600.00.0Piracetam 12 g/60 ml infusBotol @ 60 ml70,00077,0000.00.00%0.0%77,0000.00.0Piracetam 1200 mg kaptab (BERNO)Box 10 blister @ 10 tablet141,120155,2320.00.00%0.0%155,2320.00.0Piracetam 800 mg kaptab (BERNO)Box 10 blister @ 10 tablet87,60096,3600.00.00%0.0%96,3600.00.0Piracetam 400 mg kapsul (BERNO)Box 10 blister @ 10 kapsul49,20054,1200.00.00%0.0%54,1200.00.0Prednison 5 mg @ 1000 kapletBotol @ 1000 kaplet136,364150,0000.00.00%0.0%150,0000.00.0Ranitidin 150 mg kapletBox 10 blister @ 10 tablet24,00026,4000.00.00%0.0%26,4000.00.0Ranitidin 25 mg/ml injBox 10 ampul 28,03630,8400.00.00%0.0%30,8400.00.0Ranitidin 50 mg/2 ml inj @100 ampulBox 100 ampul 280,400308,4400.00.00%0.0%308,4400.00.0Rifampicin 450 mg kapletBox 10 strip @ 10 kaplet100,000110,0000.00.00%0.0%110,0000.00.0Rifampicin 600 mg kapletBox 10 strip @ 10 kaplet130,000143,0000.00.00%0.0%143,0000.00.0Simvastatin 10 mg KaptabBox 3 strip @ 10 kaptab16,78918,4680.00.00%0.0%18,4680.00.0Simvastatin 10 mg @ 100 kaptabBox 100 kaptab55,96361,5590.00.00%0.0%61,5590.00.0Simvastatin 20mg Kaplet Salut Selaput Box 100 kaplet111,928123,1210.00.00%0.0%123,1210.00.0Sulfazalazine 500 mg kaptabBox 10 blister @ 10 kaptab200,000220,0000.00.00%0.0%220,0000.00.0Tetracyclin 250 mg kapsulBox 10 strip @ 10 kapsul25,00027,5000.00.00%0.0%27,5000.00.0Tramadol 100 mg/2 ml injeksiBox 10 ampul69,84076,8240.00.00%0.0%76,8240.00.0Tramadol 50 mg/ml Injeksi@ 5 ampBox @ 5ampul @1 ml25,00027,5000.00.00%0.0%27,5000.00.0Tramadol 50 mg kapsulBox 3 blister @ 10 kapsul22,50024,7500.00.00%0.0%24,7500.00.0Tramadol 50 mg kapsul @ 100Box @ 100 tablet75,00082,5000.00.00%0.0%82,5000.00.0Thiampenicol 125 mg/5 ml Syrup KeringBotol 60 ml9,0009,9000.00.00%0.0%9,9000.00.0Thiampenicol 500 mg kapsulBox @ 100 kapsul67,20073,9200.00.00%0.0%73,9200.00.0Vitamin B1 (Thiamin) 100 mg/ml injeksiBox (bentuk bulat) @ 100 ampul120,000132,0000.00.00%0.0%132,0000.00.0Vitamin B1 (Thiamin) 100 mg/ml inj @ 30 ampBox @ 30 ampul36,00039,6000.00.00%0.0%39,6000.00.0Vitamin B12 (Cyanocobalamin) 1000 mg/ml injeksiBox (bentuk bulat) @ 100 ampul175,000192,5000.00.00%0.0%192,5000.00.0Vitamin B6 (Pyridoxine HCl) 50 mg/ml injeksiBox @ 100 ampul120,000132,0000.00.00%0.0%132,0000.00.0Valacyclovir 500 mg tab @ 30 tabletBox @ 30 tablet300,000330,0000.00.00%0.0%330,0000.00.0

NB : HARGA DISESUAIKAN DENGAN HARGA KOMPETITOR0.00.0DIAJUKAN OLEH MENGETAHUI PEJABAT KP BERNOFARMDISETUJUI PEJABAT KP BERNOFARMKA.CAB DISTRIBUTORSPV / DM / AM BERNOFARMKP DISTRIBUTORSMMM / GSM / NSMASST.DIREKTUR/DIREKTURTGL :TGL :TGL :TGL :TGL :TGL :

SYARAT DAN KETENTUAN :1DPL INI HARUS DIISI DENGAN DATA YANG BENAR DAN JELASSETELAH ITU DPL DIKIRIM KE KANTOR PUSAT (KP) DISTRIBUTOR UNTUK DITANDATANGANI2NAMA DISTRIBUTOR, OUTLET & ALAMAT, CABANG DAN MASA BERLAKU HARUS DICANTUMKANSETELAH DITANDATANGANI KP DISTRIBUTOR, DPL DIKIRIM KEPADA PEJABAT MARKETING3DPL INI BERLAKU UNTUK MASA 6 (ENAM) BULANPUSAT BERNOFARM, JKT UNTUK DITANDATANGANI4SEBELUM DIAJUKAN KE KANTOR PUSAT, DPL HARUS DITANDATANGANI DAHULU KACAB.DISTRIBUTORSETELAH DITANDATANGANI PEJABAT MARKETING PUSAT BERNOFARM, DPL DIDISTRIBUSIKAN DAN PEJABAT BERWENANG BERNOFARM CABANGSESUAI DENGAN LEMBAR PENERIMANYADPL INI BARU DAPAT DI PROSES BILAMANA SUDAH MENDAPAT PERSETUJUAN DARI KEDUAPEJABAT KP BERNOFARM