PENGUSULAN PERMINTAAN OBAT 2019

INSTALASI FARMASI RSUD KAB. BINTAN

NO NAMA OBAT SATUAN STOK DI GUDANG PEMAKAIAN PERBULAN

1 Asam amino + elektrolit Softbag 100 30
2 Acarbose tablet/kaplet 100 mg Tablet 900 800
3 Acarbose tablet/kaplet 50 mg Tablet 3400 1000
4 Acetylcystein kapsul 200 mg Kapsul 2640 1500
5 Acyclovir cream 5% Tube 300 25
6 Albendazol tab 400 mg Tablet 1050 30
7 Albumin / Plasbumin 20% Botol 234 20
8 Albumin / Plasbumin 25% Botol 105 15
9 Albumin / Plasbumin 5% Botol 29 5
10 Allupurinol 100 mg Tablet 3200 800
11 Allupurinol 300 mg Tablet 16200 1500
12 Allystrenol tablet 5 mg Tablet 2550 150
13 Alprazolam tablet 0,5 mg Tablet 1200 600
14 Ambroxol Eliksir 30 mg/5 ml Botol 100 170
15 Ambroxol tab 30 mg Tablet 3000 4000
16 Aminofluid 500 ml Softbag 140 400
17 Aminophyllin 24 mg/ml Ampul 1000 30
18 Aminosteril infant 6% Softbag 155 5
19 Amiodaron tab Tablet 90 30
20 Amitripthylline 25 mg Tablet 9100 800
21 Amlodipine besilate 10 mg Tablet 4400 3000
22 Amlodipine besilate 5 mg Tablet 6000 2400
23 Amoksisilin syr kering 125 mg/ 5 ml Botol 350 50
24 Amoxicillin kap 500 mg Tablet 5000 2300
25 Antasida DOEN I tablet komb : Al(OH) 200 mg + Mg (OH) 200 mg Tablet 2500 1500
26 Antasida DOEN II susp komb.:Al(OH) 200 mg/5 ml.+Mg(OH) 200 mg Botol 0 100
27 Anti hemoroid supp Suppositoria 950 50
28 Asam asetil salisilat 80 mg Tablet 4500 2000
29 Asam Fusidat Krim Tube 476 25
30 Asam Traneksamat Injeksi 5% 500mg/5ml Vial 2300 150
31 Asam Traneksamat Tablet 500 mg Tablet 3900 800
32 Asam valproat syrup Botol 245 15
33 Asam valproat tablet 250 mg Tablet 3400 800
34 Asering 500 ml / WIDA BES Kolf 480 200
35 Atorvastatin tab 20 mg Tablet 3150 150
36 Atracurium Bestylate inj 10 mg/ml Ampul 205 5
37 Atropin injeksi Ampul 600 100
38 Attapulgite Tablet 5000 500
39 Avamys nasal spray Botol 0 20
40 Azitromycin Tablet 500 mg Tablet 1220 160
41 Bedak salicyl Pcs 0 5
42 Betahistin Mesilat Tablet 6 mg Tablet 3900 2500
43 Betamethasone salep kulit Tube 175 25
44 Bisakodil Suppositoria 5 mg Suppositoria 222 12
45 Bisakodil Tablet 5 mg Tablet 7110 300
46 Bisoprolol Tablet 5 mg Tablet 2640 1200
47 Bromheksin syrup extra Botol 105 25
48 Budesonide/Pulmicort 0,25 mg/0,5 ml Respule 1360 120
49 Bupivacain spinal 0,5 % 4 mg Ampul 305 10
50 Calcii Gluconas Inj Ampul 168 24
51 Calsium Laktat Tablet 500 mg Tablet 0 800
52 Candesartan tab 16 mg Tablet 5300 700
53 Candesartan tablet 8 mg Tablet 15600 1200
54 Captopril tablet 12,5 mg Tablet 500 500
55 Captopril tablet 25 mg Tablet 1600 1500
56 Carbamazepin 200 mg Tablet 300 800
57 Cefadroksil sir kering 125 mg/ 5 ml Botol 100 100
58 Cefadroksil sir kering 250 mg/ 5 ml Botol 850 70
59 Cefadroxil Kapsul 500 mg Kapsul 7300 3000
60 Cefixime Kapsul 100 mg Kapsul 850 750
61 Cefixime Kapsul 200 mg Kapsul 5930 1800
62 Cefixime syr 100 mg/5 ml Botol 100 50
63 Cefotaxime 1 g Tablet 500 288
64 Ceftazidime 1g injeksi Vial 550 50
65 Ceftriaxone inj 1 g Vial 1600 1000
66 Cefuroxime 750 mg injeksi Vial 100 10
67 Cendo catarlent eye drop Strip 355 20
68 Cendo Cenfresh Strip 175 40
69 Cendo floxa eye drop Strip 5 20
70 Cendo lyters eye drop Botol 45 10
71 Cendo Pantocain 0,5 % eye drop Botol 30 5
72 Cendo Poligran eye oint 3,5 gr Tube 4 2
73 Cendo Polygran eye drop Strip 168 10
74 Cendo Polynel Strip 35 10
75 Cendo Protagenta Minidose Strip 80 40
76 Cendo timol eye drop Strip 30 20
77 Cendo Timolol tetes mata 0,5% Strip 85 3
78 Cendo tobroson eye drop Strip 16 15
79 Cendo vitrolenta eye drop Botol 22 15
80 Cendo xitrol eye drop Strip 35 20
81 Cendo Xitrol Eye oint Tube 72 8
82 Cetirizine syr 5 mg/5 ml Botol 100 50
83 Cetirizine tab 10 mg Tablet 8350 2500
84 Chloramphenicol 125 mg syrup Botol 545 5
85 Chloramphenicol tetes mata Pcs 0 25
86 Chlorhexidine 0,20% / Periokin spray 40 ml Botol 183 7
87 Chlorpromazin HCl 100 mg Tablet 3000 100
88 Ciprofloxacin infus 100 mg 0,2% Botol 520 40
89 Ciprofloxacin Tablet 500 mg Tablet 5600 1500
90 Citicoline 500 mg Tablet 2250 300
91 Citicoline sodium inj 250 mg/2 ml Ampul 460 250
92 Clindamycin 300 mg Kapsul 1700 800
93 Clindamycin Kapsul 150 mg Kapsul 2450 600
94 Clobazam 10 mg Tablet 9100 700
95 Clonidin HCL injeksi 150 mcg Vial 150 20
96 Clopidogrel Tablet 75 mg Tablet 1740 450
97 Co-amoxiclav kaplet 625 mg Tablet 180 150
98 Codein 10 mg tab Tablet 1200 700
99 Colchicine/Recolfar Tab Tablet 90 300
100 Cotrimoxazole tablet 480 mg Tablet 100 100
101 Cotrimoxazole tablet 960 mg Tablet 1000 200
102 Desoximetasone 0,25 cr 15 g Tube 445 50
103 Dexametason 0,5 mg tablet Tablet 5000 1500
104 Dexamethasone injeksi 5 mg/ml Ampul 10600 400
105 Dextrose 40% Vial 250 50
106 Diazepam 5 mg Tablet
Ampul 5500 2000
107 Diazepam injeksi 5 mg/ml - 2 ml 980 30
108 Diazepam Rectal 5 mg Suppositoria 400 15
109 Digoxin injeksi 0,25 mg/ml Ampul 75 15
110 Diltiazem HCl 100 mg Tablet 350 50
111 Diphenhidramine HCl 10 mg/ml Ampul 13980 300
112 Diphenhydramine 150 mg/15 ml injeksi Vial 500 20
113 Dobutamin injeksi Vial 909 40
114 Docusate sodium Ear Drop/Forumen Botol 25 10
115 Doksisiklin kapsul 100 mg Kapsul 800 200
116 Domperidone suspensi 5 mg/5 ml Botol 1500 80
117 Domperidone Tablet 10 mg Tablet 30000 5000
118 Dopamin HCl Vial 235 5
119 Efedrin injeksi Vial 170 50
120 Eperison HCl 50 mg Tablet 2300 750
121 Epinefrin injeksi Ampul 200 50
122 Ethylchloride spray Botol 6 2
123 Farbion 5000 inj Vial 220 175
124 Fenobarbital 30 mg Tablet 3100 500
125 Fenobarbital inj Ampul 30 10
126 Ferro sulfat / Tablet tambah darah Tablet 80 1500
127 Fitomenadion 2mg/ml Ampul 420 30
128 Flavoxat tab 200 mg Tablet 720 150
129 Flukonazol tablet 150 mg Tablet 150 30
130 Flunarizine HCl 5 mg Tablet 80 800
131 Framycetin Pcs 0 200
132 Furosemid tablet 40 mg Tablet 12800 3000
133 Furosemide injeksi 10 mg Ampul 3750 625
134 Gabapentin kapsul 300 mg Kapsul 3750 1200
135 Gabapentin 100 mg Kapsul 650 3000
136 Gelofusine infus 500 ml Kolf 30 15
137 Gentamicin injeksi 40 mg/ ml Ampul 150 100
138 Gliclazide 60 mg Tablet 480 240
139 Glimepiride 1 mg Tablet 750 250
140 Glimepiride 3 mg Tablet 7000 400
141 Glimepiride 4 mg Tablet 750 250
142 Glukosa 10% steril @ 500 ml. Kolf 80 40
143 Glukosa 5 % + NaCl 0,225 % / D 1/4 Kolf 1980 40
144 Glukosa 5 % + NaCl 0,45 % / D 1/2 Kolf 3340 300
145 Glukosa Larutan infus 5 % steril 500ml Kolf 240 120
146 Griseofulvin tab 500 mg Tablet 7100 300
147 Haloperidol tablet 0,5 mg Tablet 9500 200
148 Haloperidol tablet 1,5 mg Tablet 9500 200
149 Heparin sodium inj 500 IU Vial 215 15
150 Hidrochlortiazide tab Tablet 8500 500
151 Hidrokortison salep kulit Tube 216 24
152 Hyosine-N-Butil Bromide 20 mg/ml Ampul 275 100
153 Ibuprofen 200 mg Tablet 400 1700
154 Ibuprofen 400 mg Tablet 0 700
155 Ibuprofen suspensi 100 mg/5 ml Botol 256 50
156 Imidapril Tab 5 mg Tablet 0 500
157 Imodulator Botol 0 50
158 Ipratorium bromida 0.5 mg - salbutamol 2,5 mg respul / Combivent Respule 1140 160
159 Irbesartan kaplet 150 mg Tablet 0 150
160 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 500 1000
161 Isoxsuprine HCl 20 mg/Hystolan Tablet 950 100
162 KA-EN 3B Kolf 600 90
163 Kalium chloride / otsu-KCL Vial 100 100
164 Kalium Klorida / KSR Tablet 2500 500
165 Ketamin-Hameln 50 mg/ml Inj Vial 104 10
166 Ketokonazol krim 2 % @ 15 g Tube 145 15
167 Ketokonazole tab 200 mg Tablet 1100 100
168 Ketoprofen suppusitoria Suppositoria 2450 30
169 Ketoprofen tab Tablet 200 500
170 Ketorolac inj 30 mg/ml Ampul 1700 800
171 Lactobacillus/Liprolac Sachet 9150 450
172 Lansoprazole kapsul 30 mg Kapsul 0 2000
173 Leparson (Levodopa + Benzerazide) Tablet 0 400
174 Levemir flexpen Pen 115 50
175 Levofloxacin 500 mg Kapsul 2600 100
176 Levofloxacin infus 500 mg/100 ml Botol 518 50
177 Lidocain compositum inj Ampul 5940 120
178 Lidocain HCl 2% 20 mg/2 ml inj Ampul 1600 200
179 Lincomisin tab 500 mg Tablet 1500 300
180 Lisinopril tablet 5mg Tablet 600 200
181 Loperamid Tablet 0 400
182 Loratadine 10 mg Tablet 2050 200
183 Magnesium sulfat 20% injeksi Vial 0 5
184 Magnesium sulfat injeksi (IV) 40% - 25 ml Vial 8 20
185 Manitol 20% 500ml Botol 30 15
186 Mecobalamin 500 mcg Tablet 3300 2500
187 Meloxicam 15 mg Tablet 2000 1000
188 Meloxicam 7,5 mg Tablet 4750 200
189 Meltilergometrin inj Ampul 300 100
190 Metformin 850 mg Tablet 4000 200
191 Metformin HCl tab 500 mg Tablet 14000 3500
192 Methylergometrine tab 0,125 mg Tablet 900 100
193 Metildopa 250 mg/Dopamet Tablet 11400 200
194 Metilprednisolon 4 mg Tablet 8700 2500
195 Metilprednisolon sodium succinate 125 mg/ml Vial 558 80
196 Metilprednisolon tab 8 mg Tablet 2500 2000
197 Metronidazole 500 mg Tablet 4500 1200
198 Metronidazole infus 500 mg/100 ml Botol 1972 192
199 Midazolam 5 injeksi (Miloz) Vial 900 50
200 Mikonazole krim 2% Tube 0 48
201 Misoprostol 200 mcg Tablet 810 120
202 Morfin 10 mg/ml Ampul 70 30
203 Moxifloxacin HCl infus 400 mg /250 ml Botol 416 50
204 Natrium Bikarbonat 8,4% / Meylon Vial 80 10
205 Natrium biphospate / Fleet Enema Botol 7 10
206 Natrium diklofenak 25 mg Tablet 11908 350
207 Natrium diklofenak gel (Flamar emulgel) 20 g Tube 270 15
208 Natrium Heparina oint @ 15 g Tube 35 10
209 Natrium klorida 6,5 mg / Breathy tetes hidung Botol 142 10
210 Natrium Klorida Infus 0,9 % steril @ 500 ml Kolf 6380 800
211 Natrium Phenytoin injeksi Vial 310 20
212 Neostigmin metilsulfat injeksi Ampul 2950 75
213 Nikardipin inj Vial 100 200
214 Norepinephrine 1 mg/ml Ampul 300 40
215 Norethisteron Tablet 250 150
216 Novorapid Flex Pen Pen 330 60
217 Nystatin drop / Enystin 12 ml Botol 120 20
218 Nystatin vaginal 100.000 IU Tablet 200 100
219 Ofloxacin / Tarivid otic solution Botol 45 20
220 Ofloxacin tab 200 mg Tablet 500 50
221 Omeprazol capsul 20 mg Kapsul 10200 4500
222 Omeprazole 40 mg inj Vial 4752 600
223 Ondansentron Injeksi 4mg Ampul 2010 1000
224 Ondansentron tablet 4mg OGB Tablet 9888 600
225 Ondansentron tablet 8mg OGB Tablet 2240 300
226 Oralit Sachet 0 200
227 Otopain Botol 42 15
228 Oxymetazoline HCl 0,025% (Iliadin) tetes hidung Botol 25 7
229 Oxytocin 10 IU/ml Vial 800 100
230 Paracetamol drop Botol 331 50
231 Paracetamol Infus Botol 1400 150
232 Paracetamol Rectal Tube 125mg/2,5ml Suppositoria 130 50
233 Paracetamol syrup 120 mg/5 ml Botol 900 400
234 Paracetamol tablet 500 mg Tablet 26700 12000
235 Permethrin 5% Tube 1980 10
236 Petidine HCl 50 mg/ml Vial 110 10
237 Phenytoin sodium 100 mg Kapsul 4900 500
238 Phytomenadion inj 2 mg/ml Ampul 420 30
239 Phytomendion 10 mg tablet Tablet 3400 100
240 Piracetam 1g/5 ml Vial 320 150
241 Piracetam kap 800 mg Kapsul 3700 500
242 Piroksikam kapsul 20 mg Kapsul 240 120
243 Povidone Iodine Kumur Botol 89 15
244 Prednison tab 5 mg Tablet 0 600
245 Primaquin 15 mg Tablet 900 100
246 Propanolol tab 40 mg Tablet 300 100
247 Propofol (Fresofol 1%) Vial 305 70
248 Propylthiouracil 100 mg Tablet 1000 500
249 Ramipril 5 mg Tablet 2100 300
250 Ranitidine inj 50 mg/2 ml Ampul 2400 1000
251 Ranitidine tab 150 mg Tablet 4700 3500
252 Ringer Laktat Softbag 7584 1200
253 Salbutamol tablet 2 mg Tablet 1900 500
254 Salbutamol tablet 4 mg Tablet 200 1200
255 Sanbe water for irrigation 1000 ml Softbag 600 15
256 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) / Biosave Vial 4 3
257 Sifrol 0,25 mg Tablet 90 150
258 Silver sulfadiazin Tube 0 10
259 Simvastatin tab 20 mg Tablet 17400 1500
260 Simvastatin tablet 10 mg Tablet 4130 1500
261 Spironolakton 100 mg Tablet 1600 400
262 Spironolakton 25 mg Tablet 4900 1500
263 Sukralfat suspensi Botol 1225 250
264 Telmisartan 40 mg (Micardis) Tablet 460 40
265 Terazosin tab 1 mg/Hytroz Tablet 600 100
266 Tetagam P.Prefilled syringe 1 ml Ampul 60 30
267 Theophylline tablet 100 mg Tablet 1700 200
268 Thiamazole tab 10 mg / Thyrozol Tablet 4500 500
269 Tramadol 50 mg Kapsul 0 800
270 Tramadol inj 50 mg/ml Ampul 2110 150
271 Triheksifenidil 2 mg Tablet 5000 1000
272 Tripolidine + pseudoefedrin syrup Botol 182 80
273 Tripolidine + pseudoefedrin tab Tablet 2800 1500
274 Ursodeoxycholic acid kapsul 260 mg Kapsul 1170 450
275 Vaksin hepatitis B Vial 80 10
276 Valsartan 160 mg Tablet 20460 300
277 Ventolin inhaler CFC Can 0 5
278 Ventolin nebules 2,5 mg (salbutamol) Respule 280 400
279 Vicillin-SX Vial 900 30
280 Vitamin B komplex Tablet 4900 8000
281 Vitamin B1 50 mg (Tiamin) Tablet 1500 500
282 Vitamin B6 Tablet 1000 700
283 Vitamin C 50 mg Tablet 5000 1500
284 Voluven 500 ml Kolf 200 20
285 Zinc 20 mg Tablet 20600 500

Kijang, 04 Januari 2019

Ka. Instalasi Farmasi Pj. Gudang Farmasi

M. Reza Hidayat, S.Farm., Apt. Sherly Marina B, S.Farm., Apt.

 PENGUSULAN PERMINTAAN OBAT 2019
INSTALASI FARMASI RSUD KAB. BINTAN

NO NAMA OBAT SATUAN STOK DI GUDANG PEMAKAIAN PERBULAN

1 Asam amino + elektrolit Softbag 100 30
2 Acarbose tablet/kaplet 100 mg Tablet 900 800
3 Acarbose tablet/kaplet 50 mg Tablet 3400 1000
4 Acetylcystein kapsul 200 mg Kapsul 2640 1500
5 Acyclovir cream 5% Tube 300 25
6 Albumin / Plasbumin 20% Botol 234 20
7 Albumin / Plasbumin 25% Botol 105 15
8 Albumin / Plasbumin 5% Botol 29 5
9 Allupurinol 100 mg Tablet 3200 800
10 Allupurinol 300 mg Tablet 16200 1500
11 Alprazolam tablet 0,5 mg Tablet 1200 600
12 Ambroxol Eliksir 30 mg/5 ml Botol 100 170
13 Ambroxol tab 30 mg Tablet 3000 4000
14 Aminofluid 500 ml Softbag 140 400
15 Aminophyllin 24 mg/ml Ampul 1000 30
16 Aminosteril infant 6% Softbag 155 5
17 Amiodaron tab Tablet 90 30
18 Amitripthylline 25 mg Tablet 9100 800
19 Amlodipine besilate 10 mg Tablet 4400 3000
20 Amlodipine besilate 5 mg Tablet 6000 2400
21 Amoksisilin syr kering 125 mg/ 5 ml Botol 350 50
22 Amoxicillin kap 500 mg Tablet 5000 2300
23 Antasida DOEN I tablet komb : Al(OH) 200 mg + Mg (OH) 200 mg Tablet 2500 1500
24 Antasida DOEN II susp komb.:Al(OH) 200 mg/5 ml.+Mg(OH) 200 mg Botol 0 100
25 Anti hemoroid supp Suppositoria 950 50
26 Asam asetil salisilat 80 mg Tablet 4500 2000
27 Asam Fusidat Krim Tube 476 25
28 Asam Traneksamat Injeksi 5% 500mg/5ml Vial 2300 150
29 Asam Traneksamat Tablet 500 mg Tablet 3900 800
30 Asam valproat syrup Botol 245 15
31 Asam valproat tablet 250 mg Tablet 3400 800
32 Asering 500 ml / WIDA BES Kolf 480 200
33 Atracurium Bestylate inj 10 mg/ml Ampul 205 5
34 Atropin injeksi Ampul 600 100
35 Attapulgite Tablet 5000 500
36 Avamys nasal spray Botol 0 20
37 Azitromycin Tablet 500 mg Tablet 1220 160
38 Bedak salicyl Pcs 0 5
39 Betahistin Mesilat Tablet 6 mg Tablet 3900 2500
40 Betamethasone salep kulit Tube 175 25
41 Bisakodil Suppositoria 5 mg Suppositoria 222 12
42 Bisakodil Tablet 5 mg Tablet 7110 300
43 Bisoprolol Tablet 5 mg Tablet 2640 1200
44 Bromheksin syrup extra Botol 105 25
45 Budesonide/Pulmicort 0,25 mg/0,5 ml Respule 1360 120
46 Bupivacain spinal 0,5 % 4 mg Ampul 305 10
47 Calcii Gluconas Inj Ampul 168 24
48 Calsium Laktat Tablet 500 mg Tablet 0 800
49 Candesartan tab 16 mg Tablet 5300 700
50 Candesartan tablet 8 mg Tablet 15600 1200
51 Captopril tablet 12,5 mg Tablet 500 500
52 Captopril tablet 25 mg Tablet 1600 1500
53 Carbamazepin 200 mg Tablet 300 800
54 Cefadroksil sir kering 125 mg/ 5 ml Botol 100 100
55 Cefadroksil sir kering 250 mg/ 5 ml Botol 850 70
56 Cefadroxil Kapsul 500 mg Kapsul 7300 3000
57 Cefixime Kapsul 100 mg Kapsul 850 750
58 Cefixime Kapsul 200 mg Kapsul 5930 1800
59 Cefixime syr 100 mg/5 ml Botol 100 50
60 Cefotaxime 1 g Tablet 500 288
61 Ceftazidime 1g injeksi Vial 550 50
62 Ceftriaxone inj 1 g Vial 1600 1000
63 Cefuroxime 750 mg injeksi Vial 100 10
64 Cendo catarlent eye drop Strip 355 20
65 Cendo Cenfresh Strip 175 40
66 Cendo floxa eye drop Strip 5 20
67 Cendo lyters eye drop Botol 45 10
68 Cendo Pantocain 0,5 % eye drop Botol 30 5
69 Cendo Poligran eye oint 3,5 gr Tube 4 2
70 Cendo Polygran eye drop Strip 168 10
71 Cendo Polynel Strip 35 10
72 Cendo Protagenta Minidose Strip 80 40
73 Cendo timol eye drop Strip 30 20
74 Cendo Timolol tetes mata 0,5% Strip 85 3
75 Cendo tobroson eye drop Strip 16 15
76 Cendo vitrolenta eye drop Botol 22 15
77 Cendo xitrol eye drop Strip 35 20
78 Cendo Xitrol Eye oint Tube 72 8
79 Cetirizine syr 5 mg/5 ml Botol 100 50
80 Cetirizine tab 10 mg Tablet 8350 2500
81 Chloramphenicol 125 mg syrup Botol 545 5
82 Chloramphenicol tetes mata Pcs 0 25
83 Chlorhexidine 0,20% / Periokin spray 40 ml Botol 183 7
84 Chlorpromazin HCl 100 mg Tablet 3000 100
85 Ciprofloxacin infus 100 mg 0,2% Botol 520 40
86 Ciprofloxacin Tablet 500 mg Tablet 5600 1500
87 Citicoline 500 mg Tablet 2250 300
88 Citicoline sodium inj 250 mg/2 ml Ampul 460 250
89 Clindamycin 300 mg Kapsul 1700 800
90 Clindamycin Kapsul 150 mg Kapsul 2450 600
91 Clonidin HCL injeksi 150 mcg Vial 150 20
92 Clopidogrel Tablet 75 mg Tablet 1740 450
93 Co-amoxiclav kaplet 625 mg Tablet 180 150
94 Codein 10 mg tab Tablet 1200 700
95 Colchicine/Recolfar Tab Tablet 90 300
96 Cotrimoxazole tablet 480 mg Tablet 100 100
97 Cotrimoxazole tablet 960 mg Tablet 1000 200
98 Desoximetasone 0,25 cr 15 g Tube 445 50
99 Dexametason 0,5 mg tablet Tablet 5000 1500
100 Dextrose 40% Vial 250 50
101 Diazepam 5 mg Tablet
Ampul 5500 2000
102 Diazepam injeksi 5 mg/ml - 2 ml 980 30
103 Diazepam Rectal 5 mg Suppositoria 400 15
104 Digoxin injeksi 0,25 mg/ml Ampul 75 15
105 Diltiazem HCl 100 mg Tablet 350 50
106 Dobutamin injeksi Vial 909 40
107 Docusate sodium Ear Drop/Forumen Botol 25 10
108 Doksisiklin kapsul 100 mg Kapsul 800 200
109 Domperidone suspensi 5 mg/5 ml Botol 1500 80
110 Domperidone Tablet 10 mg Tablet 30000 5000
111 Efedrin injeksi Vial 170 50
112 Eperison HCl 50 mg Tablet 2300 750
113 Epinefrin injeksi Ampul 200 50
114 Ethylchloride spray Botol 6 2
115 Farbion 5000 inj Vial 220 175
116 Fenobarbital 30 mg Tablet 3100 500
117 Fenobarbital inj Ampul 30 10
118 Ferro sulfat / Tablet tambah darah Tablet 80 1500
119 Fitomenadion 2mg/ml Ampul 420 30
120 Flavoxat tab 200 mg Tablet 720 150
121 Flukonazol tablet 150 mg Tablet 150 30
122 Flunarizine HCl 5 mg Tablet 80 800
123 Framycetin Pcs 0 200
124 Furosemid tablet 40 mg Tablet 12800 3000
125 Furosemide injeksi 10 mg Ampul 3750 625
126 Gabapentin kapsul 300 mg Kapsul 3750 1200
127 Gabapentin 100 mg Kapsul 650 3000
128 Gelofusine infus 500 ml Kolf 30 15
129 Gentamicin injeksi 40 mg/ ml Ampul 150 100
130 Gliclazide 60 mg Tablet 480 240
131 Glimepiride 1 mg Tablet 750 250
132 Glimepiride 4 mg Tablet 750 250
133 Glukosa 10% steril @ 500 ml. Kolf 80 40
134 Glukosa 5 % + NaCl 0,45 % / D 1/2 Kolf 3340 300
135 Glukosa Larutan infus 5 % steril 500ml Kolf 240 120
136 Griseofulvin tab 500 mg Tablet 7100 300
137 Heparin sodium inj 500 IU Vial 215 15
138 Hidrokortison salep kulit Tube 216 24
139 Hyosine-N-Butil Bromide 20 mg/ml Ampul 275 100
140 Ibuprofen 200 mg Tablet 400 1700
141 Ibuprofen 400 mg Tablet 0 700
142 Ibuprofen suspensi 100 mg/5 ml Botol 256 50
143 Imidapril Tab 5 mg Tablet 0 500
144 Imodulator Botol 0 50
145 Ipratorium bromida 0.5 mg - salbutamol 2,5 mg respul / Combivent Respule 1140 160
146 Irbesartan kaplet 150 mg Tablet 0 150
147 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 500 1000
148 Isoxsuprine HCl 20 mg/Hystolan Tablet 950 100
149 KA-EN 3B Kolf 600 90
150 Kalium chloride / otsu-KCL Vial 100 100
151 Kalium Klorida / KSR Tablet 2500 500
152 Ketamin-Hameln 50 mg/ml Inj Vial 104 10
153 Ketokonazol krim 2 % @ 15 g Tube 145 15
154 Ketokonazole tab 200 mg Tablet 1100 100
155 Ketoprofen tab Tablet 200 500
156 Ketorolac inj 30 mg/ml Ampul 1700 800
157 Lansoprazole kapsul 30 mg Kapsul 0 2000
158 Leparson (Levodopa + Benzerazide) Tablet 0 400
159 Levemir flexpen Pen 115 50
160 Levofloxacin infus 500 mg/100 ml Botol 518 50
161 Lidocain HCl 2% 20 mg/2 ml inj Ampul 1600 200
162 Lincomisin tab 500 mg Tablet 1500 300
163 Lisinopril tablet 5mg Tablet 600 200
164 Loperamid Tablet 0 400
165 Loratadine 10 mg Tablet 2050 200
166 Magnesium sulfat 20% injeksi Vial 0 5
167 Magnesium sulfat injeksi (IV) 40% - 25 ml Vial 8 20
168 Manitol 20% 500ml Botol 30 15
169 Mecobalamin 500 mcg Tablet 3300 2500
170 Meloxicam 15 mg Tablet 2000 1000
171 Meltilergometrin inj Ampul 300 100
172 Metformin HCl tab 500 mg Tablet 14000 3500
173 Methylergometrine tab 0,125 mg Tablet 900 100
174 Metilprednisolon 4 mg Tablet 8700 2500
175 Metilprednisolon sodium succinate 125 mg/ml Vial 558 80
176 Metilprednisolon tab 8 mg Tablet 2500 2000
177 Metronidazole 500 mg Tablet 4500 1200
178 Mikonazole krim 2% Tube 0 48
179 Misoprostol 200 mcg Tablet 810 120
180 Morfin 10 mg/ml Ampul 70 30
181 Moxifloxacin HCl infus 400 mg /250 ml Botol 416 50
182 Natrium Bikarbonat 8,4% / Meylon Vial 80 10
183 Natrium biphospate / Fleet Enema Botol 7 10
184 Natrium Heparina oint @ 15 g Tube 35 10
185 Natrium klorida 6,5 mg / Breathy tetes hidung Botol 142 10
186 Natrium Klorida Infus 0,9 % steril @ 500 ml Kolf 6380 800
187 Nikardipin inj Vial 100 200
188 Norepinephrine 1 mg/ml Ampul 300 40
189 Norethisteron Tablet 250 150
190 Novorapid Flex Pen Pen 330 60
191 Nystatin drop / Enystin 12 ml Botol 120 20
192 Nystatin vaginal 100.000 IU Tablet 200 100
193 Ofloxacin / Tarivid otic solution Botol 45 20
194 Ofloxacin tab 200 mg Tablet 500 50
195 Omeprazol capsul 20 mg Kapsul 10200 4500
196 Omeprazole 40 mg inj Vial 4752 600
197 Ondansentron Injeksi 4mg Ampul 2010 1000
198 Ondansentron tablet 8mg OGB Tablet 2240 300
199 Oralit Sachet 0 200
200 Otopain Botol 42 15
201 Oxymetazoline HCl 0,025% (Iliadin) tetes hidung Botol 25 7
202 Oxytocin 10 IU/ml Vial 800 100
203 Paracetamol drop Botol 331 50
204 Paracetamol Infus Botol 1400 150
205 Paracetamol Rectal Tube 125mg/2,5ml Suppositoria 130 50
206 Paracetamol syrup 120 mg/5 ml Botol 900 400
207 Paracetamol tablet 500 mg Tablet 26700 12000
208 Permethrin 5% Tube 1980 10
209 Petidine HCl 50 mg/ml Vial 110 10
210 Phenytoin sodium 100 mg Kapsul 4900 500
211 Phytomenadion inj 2 mg/ml Ampul 420 30
212 Phytomendion 10 mg tablet Tablet 3400 100
213 Piracetam 1g/5 ml Vial 320 150
214 Piracetam kap 800 mg Kapsul 3700 500
215 Piroksikam kapsul 20 mg Kapsul 240 120
216 Povidone Iodine Kumur Botol 89 15
217 Prednison tab 5 mg Tablet 0 600
218 Primaquin 15 mg Tablet 900 100
219 Propanolol tab 40 mg Tablet 300 100
220 Propofol (Fresofol 1%) Vial 305 70
221 Propylthiouracil 100 mg Tablet 1000 500
222 Ramipril 5 mg Tablet 2100 300
223 Ranitidine inj 50 mg/2 ml Ampul 2400 1000
224 Ranitidine tab 150 mg Tablet 4700 3500
225 Ringer Laktat Softbag 7584 1200
226 Salbutamol tablet 2 mg Tablet 1900 500
227 Salbutamol tablet 4 mg Tablet 200 1200
228 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) / Biosave Vial 4 3
229 Sifrol 0,25 mg Tablet 90 150
230 Silver sulfadiazin Tube 0 10
231 Simvastatin tablet 10 mg Tablet 4130 1500
232 Spironolakton 100 mg Tablet 1600 400
233 Spironolakton 25 mg Tablet 4900 1500
234 Sukralfat suspensi Botol 1225 250
235 Telmisartan 40 mg (Micardis) Tablet 460 40
236 Terazosin tab 1 mg/Hytroz Tablet 600 100
237 Tetagam P.Prefilled syringe 1 ml Ampul 60 30
238 Theophylline tablet 100 mg Tablet 1700 200
239 Thiamazole tab 10 mg / Thyrozol Tablet 4500 500
240 Tramadol 50 mg Kapsul 0 800
241 Triheksifenidil 2 mg Tablet 5000 1000
242 Tripolidine + pseudoefedrin syrup Botol 182 80
243 Tripolidine + pseudoefedrin tab Tablet 2800 1500
244 Ursodeoxycholic acid kapsul 260 mg Kapsul 1170 450
245 Vaksin hepatitis B Vial 80 10
246 Ventolin inhaler CFC Can 0 5
247 Ventolin nebules 2,5 mg (salbutamol) Respule 280 400
248 Vitamin B komplex Tablet 4900 8000
249 Vitamin B1 50 mg (Tiamin) Tablet 1500 500
250 Vitamin B6 Tablet 1000 700
251 Vitamin C 50 mg Tablet 5000 1500
252 Voluven 500 ml Kolf 200 20

Kijang, 04 Januari 2019

Ka. Instalasi Farmasi Pj. Gudang Farmasi

M. Reza Hidayat, S.Farm., Apt. Sherly Marina B, S.Farm., Apt.

 PENGUSULAN PERMINTAAN OBAT 2019
INSTALASI FARMASI RSUD KAB. BINTAN

NO NAMA OBAT SATUAN PERMINTAAN

1 Asam amino + elektrolit Softbag 270
2 Acarbose tablet/kaplet 100 mg Tablet 8,800
3 Acarbose tablet/kaplet 50 mg Tablet 9,000
4 Acetylcystein kapsul 200 mg Kapsul 15,500
5 Albumin / Plasbumin 25% 50ml Botol 60
6 Albumin / Plasbumin 5% 50 ml Botol 35
7 Allupurinol 100 mg Tablet 5,600
8 Allupurinol 300 mg Tablet 3,000
9 Alprazolam tablet 0,5 mg Tablet 6,000
10 Ambroxol Eliksir 30 mg/5 ml Botol 2,000
11 Ambroxol tab 30 mg Tablet 48,000
12 Aminofluid 500 ml Softbag 4,800
13 Amiodaron tab Tablet 270
14 Amitripthylline 25 mg Tablet 800
15 Amlodipine besilate 10 mg Tablet 33,000
16 Amlodipine besilate 5 mg Tablet 24,000
17 Amoksisilin syr kering 125 mg/ 5 ml Botol 250
18 Amoxicillin kap 500 mg Tablet 23,000
19 Antasida DOEN I tablet komb : Al(OH) 200 mg + Mg (OH) 200 mg Tablet 16,500
20 Antasida DOEN II susp komb.:Al(OH) 200 mg/5 ml.+Mg(OH) 200 mg Botol 1,200
21 Asam asetil salisilat 80 mg Tablet 20,000
22 Asam Traneksamat Tablet 500 mg Tablet 6,000
23 Asam valproat tablet 250 mg Tablet 6,400
24 Asetat ringer 500 ml / WIDA BES Kolf 7,200
25 Atropin injeksi Ampul 600
26 Attapulgite / ATAPULGIT Tablet 1,000
27 FLUTIKASON FUROAT Botol 240
28 Azitromycin Tablet 500 mg Tablet 800
29 Bedak salicyl Pcs 60
30 Betahistin Mesilat Tablet 6 mg Tablet 27,500
31 Betamethasone salep kulit Tube 125
32 Bisoprolol Tablet 5 mg Tablet 12,000
33 Bromheksin syrup extra Botol 200
34 Budesonide 0,25mg/ml Respule 120
35 Calcii Gluconas Inj Ampul 120
36 Calsium Laktat Tablet 500 mg Tablet 9,600
37 Candesartan tab 16 mg Tablet 3,500
38 Captopril tablet 12,5 mg Tablet 5,500
39 Captopril tablet 25 mg Tablet 16,500
40 Carbamazepin 200 mg Tablet 9,600
41 Cefadroksil sir kering 125 mg/ 5 ml Botol 1,200
42 Cefadroxil Kapsul 500 mg Kapsul 30,000
43 Cefixime Kapsul 100 mg Kapsul 8,250
44 Cefixime Kapsul 200 mg Kapsul 16,200
45 Cefixime syr 100 mg/5 ml Botol 500
46 Cefotaxime 1 g Tablet 2,880
47 Ceftazidime 1g injeksi Vial 50
48 Ceftriaxone inj 1 g Vial 11,000
49 Cefuroxime 750 mg injeksi Vial 20
50 Cendo Cenfresh Strip 320
51 Cendo floxa eye drop Strip 240
52 Cendo lyters eye drop Botol 80
53 Cendo Pantocain 0,5 % eye drop Botol 30
54 Cendo Poligran eye oint 3,5 gr Tube 20
55 Cendo Polynel Strip 90
56 Cendo Protagenta Minidose Strip 400
57 Cendo timol eye drop Strip 220
58 Cendo tobroson eye drop Strip 165
59 Cendo vitrolenta eye drop Botol 165
60 Cendo xitrol eye drop Strip 220
61 Cendo Xitrol Eye oint Tube 24
62 Cetirizine syr 5 mg/5 ml Botol 500
63 Cetirizine tab 10 mg Tablet 22,500
64 Chloramphenicol tetes mata Pcs 300
65 Ciprofloxacin Tablet 500 mg Tablet 13,500
66 Citicoline 500 mg Tablet 1,500
67 Citicoline sodium inj 250 mg/2 ml Ampul 3,000
68 Clindamycin 300 mg Kapsul 8,000
69 Clindamycin Kapsul 150 mg Kapsul 4,800
70 Clonidin HCL injeksi 150 mcg Vial 100
71 Clopidogrel Tablet 75 mg Tablet 4,000
72 Co-amoxiclav kaplet 625 mg Tablet 1,650
73 Codein 10 mg tab Tablet 7,200
74 Colchicine/Recolfar Tab Tablet 3,600
75 Cotrimoxazole tablet 480 mg Tablet 1,100
76 Cotrimoxazole tablet 960 mg Tablet 1,400
77 Desoximetasone 0,25 cr 15 g ADA 2 PILIHAN Tube 150
78 Dexametason 0,5 mg tablet Tablet 13,500
79 Dextrose 40% Vial 350
80 Diazepam 5 mg Tablet 20,000
81 Digoxin injeksi 0,25 mg/ml Ampul 105
82 Diltiazem HCl 100 mg Tablet 250
83 Docusate sodium Ear Drop/Forumen Botol 100
84 Doksisiklin kapsul 100 mg Kapsul 1,600
85 Domperidone Tablet 10 mg Tablet 30,000
86 Efedrin injeksi Vial 450
87 Eperison HCl 50 mg Tablet 6,750
88 Epinefrin injeksi Ampul 400
89 Ethylchloride spray Botol 20
90 Farbion 5000 inj Vial 1,925
91 Fenobarbital 30 mg Tablet 3,000
92 Fenobarbital inj Ampul 90
93 Ferro sulfat / Tablet tambah darah Tablet 18,000
94 Flavoxat tab 200 mg Tablet 1,200
95 Flukonazol tablet 150 mg Tablet 210
96 Flunarizine HCl 5 mg Tablet 9,600
97 Framycetin Pcs 2,400
98 Furosemid tablet 40 mg Tablet 24,000
99 Furosemide injeksi 10 mg Ampul 3,750
100 Gabapentin kapsul 300 mg Kapsul 10,800
101 Gabapentin 100 mg Kapsul 36,000
102 Gelofusine infus 500 ml Kolf 150
103 Gentamicin injeksi 40 mg/ ml Ampul 1,100
104 Gliclazide 60 mg Tablet 2,400
105 Glimepiride 1 mg Tablet 2,250
106 Glimepiride 4 mg Tablet 2,250
107 Glukosa 10% steril @ 500 ml. Kolf 400
108 Glukosa 5 % + NaCl 0,45 % / D 1/2 Kolf 300
109 Glukosa Larutan infus 5 % steril 500ml Kolf 1,200
110 Hidrokortison salep kulit Tube 72
111 Hyosine-N-Butil Bromide 20 mg/ml Ampul 1,000
112 Ibuprofen 200 mg Tablet 20,400
113 Ibuprofen 400 mg Tablet 8,400
114 Ibuprofen suspensi 100 mg/5 ml Botol 350
115 Imidapril Tab 5 mg Tablet 6,000
116 Imodulator Botol 600
117 Ipratorium bromida 0.5 mg - salbutamol 2,5 mg respul / Combivent Respule 800
118 Irbesartan kaplet 150 mg Tablet 1,800
119 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 12,000
120 Isoxsuprine HCl 20 mg/Hystolan Tablet 300
121 KA-EN 3B Kolf 540
122 Kalium chloride / otsu-KCL Vial 1,100
123 Kalium Klorida / KSR Tablet 3,500
124 Ketamin-Hameln 50 mg/ml Inj Vial 20
125 Ketokonazol krim 2 % @ 15 g Tube 45
126 Ketokonazole tab 200 mg Tablet 100
127 Ketoprofen tab Tablet 6,000
128 Ketorolac inj 30 mg/ml Ampul 8,000
129 Lansoprazole kapsul 30 mg Kapsul 24,000
130 Leparson (Levodopa + Benzerazide) Tablet 4,800
131 Levemir flexpen Pen 500
132 Levofloxacin infus 500 mg/100 ml Botol 100
133 Lidocain HCl 2% 20 mg/2 ml inj Ampul 800
134 Lincomisin tab 500 mg Tablet 2,100
135 Lisinopril tablet 5mg Tablet 1,800
136 Loperamid Tablet 4,800
137 Loratadine 10 mg Tablet 2,000
138 Magnesium sulfat 20% injeksi Vial 60
139 Magnesium sulfat injeksi (IV) 40% - 25 ml Vial 240
140 Manitol 20% 500ml Botol 150
141 Mecobalamin 500 mcg Tablet 27,500
142 Meloxicam 15 mg Tablet 10,000
143 Meltilergometrin inj Ampul 900
144 Metformin HCl tab 500 mg Tablet 28,000
145 Methylergometrine tab 0,125 mg Tablet 300
146 Metilprednisolon 4 mg Tablet 22,500
147 Metilprednisolon sodium succinate 125 mg/ml Vial 450
148 Metilprednisolon tab 8 mg Tablet 22,000
149 Metronidazole 500 mg Tablet 10,800
150 Mikonazole krim 2% Tube 576
151 Misoprostol 200 mcg Tablet 720
152 Morfin 10 mg/ml Ampul 300
153 Moxifloxacin HCl infus 400 mg /250 ml Botol 200
154 Natrium Bikarbonat 8,4% / Meylon Vial 40
155 Natrium biphospate / Fleet Enema Botol 120
156 Natrium Heparina oint @ 15 g Tube 90
157 Natrium Klorida Infus 0,9 % steril @ 500 ml Kolf 4,000
158 Nikardipin inj Vial 2,400
159 Norepinephrine 1 mg/ml Ampul 200
160 Norethisteron Tablet 1,600
161 Novorapid Flex Pen Pen 420
162 Nystatin drop / Enystin 12 ml Botol 120
163 Nystatin vaginal 100.000 IU Tablet 1,000
164 Ofloxacin / Tarivid otic solution Botol 200
165 Ofloxacin tab 200 mg Tablet 100
166 Omeprazol capsul 20 mg Kapsul 45,000
167 Omeprazole 40 mg inj Vial 3,000
168 Ondansentron Injeksi 4mg Ampul 10,000
169 Ondansentron tablet 8mg OGB Tablet 1,500
170 Oralit Sachet 2,400
171 Otopain Botol 150
172 Oxymetazoline HCl 0,025% (Iliadin) tetes hidung Botol 63
173 Oxytocin 10 IU/ml Vial 400
174 Paracetamol drop Botol 300
175 Paracetamol Infus Botol 450
176 Paracetamol Rectal Tube 125mg/2,5ml Suppositoria 500
177 Paracetamol syrup 120 mg/5 ml Botol 4,000
178 Paracetamol tablet 500 mg Tablet 120,000
179 Petidine HCl 50 mg/ml Vial 10
180 Phenytoin sodium 100 mg Kapsul 1,500
181 Piracetam 1g/5 ml Vial 1,500
182 Piracetam kap 800 mg Kapsul 2,500
183 Piroksikam kapsul 20 mg Kapsul 1,200
184 Povidone Iodine Kumur Botol 100
185 Prednison tab 5 mg Tablet 7,200
186 Primaquin 15 mg Tablet 300
187 Propanolol tab 40 mg Tablet 900
188 Propofol (Fresofol 1%) Vial 560
189 Propylthiouracil 100 mg Tablet 5,000
190 Ramipril 5 mg Tablet 1,500
191 Ranitidine inj 50 mg/2 ml Ampul 10,000
192 Ranitidine tab 150 mg Tablet 38,500
193 Ringer Laktat Softbag 7,200
194 Salbutamol tablet 2 mg Tablet 4,500
195 Salbutamol tablet 4 mg Tablet 14,500
196 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) / Biosave Vial 30
197 Sifrol 0,375 mg Tablet 1,800
198 Silver sulfadiazin Tube 120
199 Simvastatin tablet 10 mg Tablet 15,000
200 Spironolakton 100 mg Tablet 3,200
201 Spironolakton 25 mg Tablet 13,500
202 Sukralfat suspensi Botol 2,000
203 Susu Entrasol 370 g (vanila) Kotak 96
204 Susu Diabetasol 400 g (vanila) Kotak 60
205 Susu Entramix 185 g (plain/vanila) Kotak 36
206 Susu Hepatosol 240 g (vanila) Kotak 36
207 Susu Peptisol 185 g (vanila) Kotak 60
208 Susu Entrakid 185 g (vanila) Kotak 24
209 Susu Nutrican 245 g (vanila) Kotak 24
210 Telmisartan 40 mg (Micardis) Tablet 40
211 Terazosin tab 1 mg/Hytroz Tablet 600
212 Tetagam P.Prefilled syringe 1 ml Ampul 300
213 Theophylline tablet 100 mg Tablet 800
214 Thiamazole tab 10 mg / Thyrozol Tablet 1,500
215 Tramadol 50 mg Kapsul 9,600
216 Triheksifenidil 2 mg Tablet 7,000
217 Tripolidine + pseudoefedrin syrup Botol 800
218 Tripolidine + pseudoefedrin tab Tablet 16,500
219 Urea 20% Tube 20
220 Ursodeoxycholic acid kapsul 260 mg Kapsul 4,500
221 Vaksin hepatitis B Vial 40
222 Ventolin inhaler CFC Can 60
223 Ventolin nebules 2,5 mg (salbutamol) Respule 4,800
224 Vitamin B komplex Tablet 96,000
225 Vitamin B1 50 mg (Tiamin) Tablet 4,500
226 Vitamin B6 Tablet 7,700
227 Vitamin C 50 mg Tablet 13,500
228 Voluven 500 ml Kolf 40
 Kijang, 08 Januari 2019

Ka. Instalasi Farmasi Pj. Gudang Farmasi

M. Reza Hidayat, S.Farm., Apt. Sherly Marina B, S.Farm., Apt.