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PEMAKAIAN RATA-RATA OBAT PUSKESMAS TROSOBO 2019

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(1a) ANALG,ANTIP,AN.INFL NON NARKOTIK


1 Analsik tab Tablet 292 356 316 348 287 354 329 2282
2 Antalgin 500 mg tab Tablet 1,935 1676 294 155 - - 0 4060
3 Asam Mefenamat 500 mg tab Tablet 3,688 4376 4,362 5,765 5,596 5,140 5685 34612
4 Asetosal 100 mg tab Tablet - 0 - - - - - 0
5 Aspilets 80 mg tab Tablet 34 60 500 80 2,070 733 65 3542
6 Diklofenak Kalium 50 mg tab Tablet - 0 - - 40 104 356 500
7 Diklofenak Na. 50 mg tab Tablet 2,392 2502 2,140 2,086 2,796 1,826 3156 16898
8 Eprinoc tab Tablet - 0 - - - - 27 27
9 Ibuprofen 100 mg/5 ml sirup Botol 60 ml 17 90 124 60 11 8 17 327
10 Ibuprofen 200 mg tab Tablet - 0 - - - - 0
11 Ibuprofen 400 mg tab Tablet 2,304 1267 1,179 110 586 414 5860
12 Meloxicam 15 mg supp Suppositoria - 0 - - 15 - 15 30
13 Meloxicam 15 mg tab Tablet - 0 - - - - 0
14 Meloxicam 7,5 mg tab Tablet 260 206 - - - - 466
15 Metoklopramid 10 mg Tablet - 0 - - - - 510 510
16 Metoklopramid inj. 5 mg/ml Ampul - 0 - - - - 0
17 Molakrim krim Tube 30 g 10 0 - - - - - 10
18 Nonflamin tab Tablet - 0 - - - - 0
19 Parasetamol 500 mg tab Tablet 4,868 5309 6,419 4,352 9,879 11,677 9730 52234
20 Parasetamol sirup 120 mg/5 ml Botol 60 ml 93 77 - 56 83 42 72 423
21 Piroksikam 10 mg tab Tablet 540 466 880 560 510 470 290 3716
22 Piroksikam 20 mg tab Tablet - 0 - - - - 0
23 Profenid supp Suppositoria 4 5 11 1 14 - 35
24 Proris supp Suppositoria 11 70 10 10 10 - 111
25 Santagesic inj. Ampul - 11 32 - - 43
26 Tramadol injeksi 50 mg/ml Ampul - - - - - 0
27 Tramadol kap 50 mg Tablet - - - - 16 16
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

(1b) ANALGETIK NARKOTIK - - 0


1 Pethidin HCl 50 mg/ml inj Ampul - - 0
(1c) ANTIPIRAI - - 0
Alopurinol 100 mg Tablet 1,115 640 1,050 980 1,380 540 1366 7071
0 0
(2) ANESTESI LOKAL 0
1 Etil Klorida semprot Botol 100 ml - 5 1 - 3 0 1 10
2 Ketamin / Ketalar inj. 100 mg/ml Vial 10 ml - - - - 0 0
3 Lidokain inj 2% (HCl) / 2 ml Ampul - 200 - - 0 200
4 Lidokain komb inj / 2 ml Ampul - 60 - 70 290 420
5 Xylocain spray Botol 50 ml 0
0
(3) AN.EPILEPSI, AN.KONV, AN.ASIETAS, SEDATIV, HIPNOTIK, AN.PSIKOTIK 0
1 Alprazolam 0,5 mg Tablet 64 150 213 187 173 103 123 1013
2 Diazepam 2 mg Tablet 2 4 32 10 60 5 45 158
3 Diazepam 5 mg Tablet - - - - - - 0
4 Diazepam inj. 5 mg/ 2 ml Ampul - - 30 - - - 30
5 Fenitoin kapsul 100 mg Kapsu; 60 60 120 90 1,310 360 105 2105
6 Fenobarbital 100 mg Tablet - - - - - - 0
7 Fenobarbital 30 mg Tablet - - - - - - 0
8 Fenobarbital inj. 50 mg/ml Ampul - - - - - - 0
9 Haloperidol 0.5 mg tab Tablet 590 990 870 1,020 905 - 4375
10 Haloperidol 1,5 mg Tablet - - - - - 390 795 1185
11 Haloperidol inj 50 mg/ml Ampul - - 1 - 5 14 15 35
12 Klobazam 10 mg tab Tablet - - - - - - - 0
13 Klorpromazin HCl 100 mg tab Tablet - 560 620 600 660 820 890 4150
14 Klorpromazin HCl inj 25 mg/ml Ampul - - - - - - 1 1
15 Trifluoperazine 5 mg tab Tablet 30 100 150 60 120 120 120 700
16 Stesolid rectal 5 mg Tube 8 2 - 8 5 5 28
0
(4) ANTI PARKINSON 0
1 Levopar tab Tablet - - 0 0
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

2 Triheksifenidil 2 mg Tablet 350 480 580 495 620 725 600 3850
0
(5) ANTI DEPRESI 0
1 Amitriptilin HCl 25 mg Tablet 145 198 150 280 225 259 270 1527
2 Deproz 20 mg Tablet - - 0
- 0
(6) ANTI MIGREN -
1 Anti Migren (Komb. Ergot+Kafei Tablet 20 20 30 10 - 10 880 970
2 Betahistin Mesilat 6 mg Tablet 16 118 80 123 337
0
(7) ANTI ANGINA - ANTI ARITMIA 0
1 Isosorbit Dinitrat 5 mg Tablet 6 119 80 30 110 91 250 686
2 Nifedipin 10 mg Tablet 240 340 240 110 930
3 Nifedipin GITS (Adalat Oros) 30 Tablet 0
4 Propanolol 10 mg Tablet 0
5 Propanolol 40 mg Tablet 0
0
(8) ANTI HIPERTENSI-DIURETIKA 0
1 Amlodipin 5 mg Tablet 1,260 1,320 2,471 2,075 1,550 1,610 2740 13026
2 Amlodipin 10 mg Tablet 200 700 - - - 0 900
3 Bisoprolol Fumarat 5 mg Tablet 180 400 270 260 250 50 1150 2560
4 Captopril 25 mg Tablet 1,025 905 790 945 940 450 1022 6077
5 Furosemid 40 mg Tablet 10 64 100 40 145 60 75 494
6 Furosemid inj. Ampul - - - - - 0 0
7 H.C.T 25 mg Tablet 195 150 585 400 334 60 570 2294
8 Lisinopril 10 mg Tablet - 0
9 Valsartan tab 80 mg / Diovan 80 Tablet - 0
10 Valsartan tab 160 mg / Diovan Tablet - 0
- 0
(9) GLUKOSIDA JANTUNG - 0
1 Digoksin 0,25 mg Tablet 0 500 500
2 Verapamil 80 mg Tablet 0
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

0
(10) OBAT PD SHOK-ANTI ASMA KORTIKOSTEROID 0
1 Aminofilin 200 mg Tablet 16 - 4 10 30
2 Aminofilin inj 24 mg Ampul - 0
3 Bisolvon solution 10 mg/5 ml Botol 50 ml - 0
4 Bisolvon injeksi 2 mg/ml Ampul - 0
5 Bricasma inj 0,5 mg/ml Ampul - 0
6 Deksamethason 0,5 mg Tablet 6,858 6,735 6,707 6,785 4,684 3,751 4687 40207
7 Deksamethason inj 5 mg/ml Ampul 410 - 10 20 - 440
8 Efedrin HCl 25 mg Tablet - - - - - 0
9 Epinefrin inj. Ampul - - 30 - 100 250 380
10 Methylprednisolon 4 mg Tablet 255 255 389 1,500 1,549 363 1982 6293
11 Prednison 5 mg Tablet - - - - - 0
12 Salbutamol 2 mg Tablet 475 269 487 418 503 310 291 2753
13 Salbutamol sirup (Astharol) Botol 60 ml - - - - 0
14 Ventolin Nebulizer Ampul 20 - 60 8 52 140
- 0
(11) ANTI TUSIF - 0
1 Dexmolex sirup Botol 100 ml - - 16 44 60
2 Kodein 10 mg Tablet 218 96 149 238 132 222 254 1309
3 Sanadryl DMP sirup Botol 60 ml - - - - - - 0
4 Tuzalos tab Tablet 44 12 420 1,081 202 832 704 3295
- - 0
(12) EKSPEKTORAN - - 0
1 Ambroxol HCl 30 mg Tablet 3,315 2,129 1,673 3,127 1,580 - 11824
2 Ambroxol syrup Botol 60 ml 11 41 29 4 16 - 101
3 Gliseril Guayakolat 100 mg Tablet 2,677 2,967 3,033 1,750 1,709 3874 16010
4 Hustab sirup Botol 60 ml - - - - - - 0
5 Hustab tab Tablet 366 834 - - - - 1200
6 OBH Plus Anak Botol 60 ml - - - - - - 0
7 OBH Plus Dewasa Botol 60 ml 16 94 46 16 18 - 1 191
8 Sanadryl Expectorant Botol 60 ml - 29 26 6 28 7 96
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

- - 0
(13) ANTI INFLUENZA - - 0
1 Alpara tab Tablet - - 0
2 Alpara sirup Botol 60 ml - - 0
3 Protexinal tab Tablet 1,329 1,285 1,212 495 1,023 226 600 6170
4 Protexinal sirup Botol 60 ml - 6 - - 15 - 10 31
5 Tremenza tab Tablet 251 276 604 544 264 157 196 2292
- 0
(14) ANTASIDA 0
1 Antasida DOEN I tab Tablet 4,449 4,365 4,532 4,534 5,428 2,111 4584 30003
2 Antasida DOEN II sirup Botol 60 ml 24 60 92 24 27 20 23 270
3 Cimetidin 200 mg Tablet 519 592 436 150 600 100 270 2667
4 Cytotec Tablet - - - - - - 0
5 Famotidine 20 mg Tablet - - - - - - 0
6 Omeprazole kap 20 mg Tablet 1,910 1,285 515 414 548 462 792 5926
7 Ranitidin tab 150 mg Tablet 343 287 981 798 1,085 120 383 3997
8 Ranitidin inj 25 mg/2 ml Ampul 30 - 100 - 130 150 15 425
9 Sanmag suspensi Botol 120 ml - - - - - - 0
10 Sanmag tab Tablet 730 158 214 306 605 260 539 2812
0 0 0
(15) OBAT DIARE-KESEIMBANGAN CAIRAN ELEKTROLIT 0 0
1 Asering infus Botol 500 ml 0
2 D5 + 1/2 NS Botol 500 ml 3 11 14
3 D5 + 1/4 NS Botol 500 ml 11 11
4 Dehaf Sachet 0
5 KAEN 3A Botol 500 ml 0
6 KAEN 3B Botol 500 ml 0
7 L-Bio Sachet 0
8 Loperamide Tablet 110 - 10 120
9 Molagit tab Tablet 66 112 745 356 807 2086
10 Na. Klorida 0,9% infus Botol 500 ml 20 10 10 - 30 - 10 80
11 Na. Klorida 0,9% piggy bag Botol 100 ml - - - - - - 0
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

12 Neo Kaolana suspensi Botol 60 ml - - - - - 2 3 5


13 New Diaform Tablet 1,757 997 820 594 388 960 5516
14 Oralit 200 ml Sachet 5 - - 36 113 48 3695 3897
15 Ringer Laktat infus Botol 500 ml 10 35 20 34 59 - 23 181
16 Zink tab dispersible 20 mg Tablet 50 20 40 30 280 27 1155 1602
17 Zink sirup 20 mg/5 ml Botol 60 ml - 0
- 0
(16) LAKSAN - 0
1 Bicolax tab 5 mg Tablet 16 16 4 32 85 34 10 197
2 Dulcolax supp 5 mg Suppositoria 8 - 16 12 6 5 47
3 Stolax supp 10 mg Suppositoria 16 27 - 3 46
- 0
(17) ANTI SPASMODIK - 0
1 Atropin Sulfat inj 0,25 mg/ml Ampul - - - 0
2 Braxidin tab Tablet - 112 284 305 172 27 900
3 Buscopan inj Ampul 2 - 1 2 10 15
4 Buscopan tab Tablet 7 66 50 40 128 291
5 Buscopan plus Tablet 132 132
6 Ekstrak Belladona 10 mg Tablet 0
0
(18) ANTI HISTAMIN 0
1 Ceterizine sirup Botol 60 ml 0
2 Cetirizine tab 10 mg Tablet 1,307 846 852 1,469 898 664 903 6939
3 Difenhidramin inj Ampul 90 - 0 10 60 - 160
4 Klorfeniramin Maleat 4 mg Tablet 3,340 3,282 3606 3,461 3,974 1,802 2369 21834
5 Loratadine 10 mg Tablet 194 107 239 185 459 140 121 1445
- 0
(19) LARUTAN NUTRISI - 0
1 Aminofluid Softbag 500 ml - 0
2 Glukose 10% infus 500 ml Botol 500 ml 2 - 0 5 7
3 Glukose 40% inj 25 ml Ampul 6 - 0 50 20 76
4 Glukose 5% infus 500 ml Botol 500 ml 19 - 0 5 - 24
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

- 0
(20) TIROID ANTAGONIS - 0
1 Propiltiourasil 100 mg Tablet - 0
- 0
(21) ANTI DIABETIK ORAL - 0
1 Glibenklamid 5 mg Tablet 450 515 800 610 90 290 315 3070
2 Glimipiride 2 mg Tablet 1,470 1,245 1260 1,625 1,873 1,396 2730 11599
3 Metformin tab 500 mg Tablet 5,250 4,570 4800 7,049 5,070 4,100 7400 38239
0
(22) ANTI DIABETIK PARENTERAL 0
1 Apidra Solostar 100 IU/ml Pen 0
2 Lantus Solostar 100 IU/ml Pen 0
0
(23) VITAMIN DAN MINERAL 0
1 Anemolat tab / Asam folat tab Tablet - - 0
2 Asam Askorbat 50 mg Tablet 3,303 2,579 119 1,978 3,086 1,519 2969 15553
3 Becom C kaplet Kaplet 178 - 120 40 40 - 378
4 Calcii Gluconas inj Ampul - - 0 - - 0
5 Caldece tab effervecent Tablet - - - - - 0
6 Cavit D3 Tablet 125 305 120 40 30 494 1114
7 Elkana sirup Botol 60 ml - - - - - 0
8 Elkana tab Tablet - - - 10 - - 10
9 Glucosamin tab Tablet - 116 50 - - - 30 196
10 Hepagard tab Tablet - 50 110 110 16 - 286
11 Kalsium Laktat 500 mg Tablet 2,515 15,002 5280 3,090 1,785 930 1123 29725
12 Neurosanbe 5000 Tablet - - 0 - - 0
13 Neurosanbe inj Ampul - 150 20 - 10 180
14 Neurosanbe Plus Tablet 171 - 0 - - 171
15 Neurosanbe tab Tablet - - 110 441 687 270 288 1796
16 Osteotin tab Tablet 24 84 175 66 220 35 604
17 Pharmaton Vit Tablet - - 0 - - - 0
18 Piridoksin 10 mg (Vit. B6) Tablet 1,651 2,198 4052 5,021 18,149 8,382 241 39694
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

19 Procurma Plus sirup Botol 60 ml - - 0 - - - 0


20 Santa E 200 mg tablet hisap Tablet 20 - 12 68 - - 100
21 Sianokobalamin tab Tablet 1,050 2,075 2540 1,310 1,310 720 1040 10045
22 Tiamin HCl (Vit. B1) inj 100 mg/ Ampul 84 - 0 - - - 84
23 Tiamin HCl 50 mg (Vit. B1) tab Tablet 3,410 2,359 3541 3,090 2,828 1,584 2740 19552
24 Vit. B kompleks Tablet 6,011 6,769 7550 4,852 5,489 2,786 5363 38820
0
(24) ANTI BAKTERI SISTEMIK, ANTISEPTIK SAL.KEMIH 0
1 Amoksisilin 500 mg Tablet 6,222 5,878 6404 5,017 5,322 3,167 4376 36,386
2 Amoksisilin inj. Ampul - - 0 - - - 0
3 Amoksisilin sirup kering Botol 60 ml 39 76 75 52 64 46 44 396
4 Ampisilin 500 mg Kaplet - 0
5 Ampisilin inj. Ampul - 0
6 Ampisilin sirup kering Botol 60 ml - 0
7 Azitomisin 250 mg kaplet Kaplet - 0
8 Biothicol sirup kering Botol 60 ml - - 11 7 4 1 23
9 Cefadroxil 500 mg Kaplet 1,919 1,713 2088 2,524 1,405 1,452 1898 12999
10 Cefadroxil sirup kering Botol 60 ml 0
11 Cefalexin 500 mg Tablet 0
12 Cefixime kapsul 100 mg Kapsul 1,191 989 865 160 709 1,131 110 5155
13 Cefixime sirup Botol 30 ml
14 Cefotaxime injeksi 1 g Ampul - 30 10 - - 40
15 Ceftriaxone injeksi 1 g Ampul - - - -
16 Ciprofloxacin 500 mg Tablet 810 300 900 480 660 250 770 4170
17 Claneksi sirup Tablet 0
18 Co-Amoksiklav Tablet 0
19 Colsancetine inj Ampul 0
20 Eritromisin 250 mg Tablet 0
21 Eritromisin 500 mg Kaplet 10 - 0 7 8 - 123 148
22 Eritromisin sirup kering Botol 60 ml - 1 20 32 - 53
23 Gentamisin inj. 40 mg/ml Ampul - - - 0
24 Klindamisin 300 mg Kapsul 170 - 0 60 30 140 460 860
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

25 Kloramfenikol 250 mg Kapsul 280 280


26 Kloramfenikol sirup Botol 60 ml - 25 6 24 145 200
27 Kotrimoksasol 480 mg Tablet 1,260 1,914 3567 2,672 3,310 640 6137 19500
28 Kotrimoksasol suspensi Botol 60 ml 29 67 75 37 55 32 23 318
29 Levofloksasin 500 mg Tablet 50 10 160 425 390 205 303 1543
30 Linkomisin kapsul 500 mg Tablet 0
31 Ofloxacin 400 mg Tablet 0
32 Spyramisin 500 mg Tablet - - 400 1,060 1460
33 Tetrasiklin 500 mg Tablet - 0
34 Thiamphenikol 500 mg Tablet 976 916 1026 1,532 1,105 347 386 6288
0
(25) ANTI VIRUS 0
1 Acyclovir 200 mg tab Tablet
2 Acyclovir 400 mg tab Tablet 590 160 491 370 390 330 160 2491
3 Acyclovir cream Tube 14 2 7 20 5 1 49
0
(26) ANTI FUNGI 0
1 Griseofulvin 125 mg Tablet 40 160 90 30 20 70 20 430
2 Ketokonazol 200 mg Tablet 40 2 0 120 50 20 232
3 Nistatin 100.000 IU tab.vag Tablet 14 - 399 323 137 14 887
4 Nistatin 500.000 IU tab Tablet 0
0
(27) ANTI TUBERKULOSIS 0
1 Etambutol 500 mg tab salut Tablet 0
2 I.N.H 100 mg Tablet 0
3 I.N.H 300 mg Tablet 0
4 Kanamycin inj 1 g Vial 0
5 OAT FDC Kategori 1 Paket 0
6 OAT FDC Kategori 2 Paket 0
7 OAT FDC Kategori Anak Paket 0
8 OAT FDC Sisipan Paket 0
9 Pyrazinamid 500 mg Tablet 0
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

10 Streptomycin S inj 1 g Vial 0


11 Rifampisin 450 mg Tablet 0
12 Rifampisin 600 mg Tablet 0
0
(28) ANTI SEPTIK, DESINFEKTAN 0
1 Etakridina larutan 0,1% Botol 300 ml 0
2 Etanol 70% Botol 100 ml 9 12 4 3 1 2 31
3 H2O2 3% Botol 1000 ml - 7 3 - - 12 22
4 Klorin Botol 500 ml - 2 0 1 1 19 23
5 Lisol 50% Botol 1000 ml - - 0 1 2 3
6 Paraformaldehid 1 g Tablet - - 0 - - 0
7 Povidon Iodida larutan 10% Botol 300 ml 4 1 0 2 - 2 1 10
8 Softa-Man Botol 500 ml 3 3 1 3 10 0 5 25
9 Softaskin Botol 500 ml 5 3 0 3 5 21 37
0 0
(29) ANTELMENTIK 0
1 Albendazol 400 mg Tablet 17010 17010
2 Mebendazol 100 mg Tablet 0
3 Mebendazol sirup 30 ml Botol 30 ml 0
4 Pirantel 125 mg Tablet 8 4 0 4 16
0 0
(30) ANTI AMUBIASIS 0
1 Metronidazol 500 mg Tablet 0
2 Metronidazol infus Botol 100 ml 0
0
(31) OBAT YG MEMPENGARUHI DARAH, ANTI ANEMIA 0
1 Besi (II) Sulfat tab Sachet 780 420 6,600 9,870 3810 810 22290
2 Besi sirup Botol 150 ml - 6750 - 6750
3 Sianokobalamin inj (Vit. B 12) Ampul 10 20 30
4 Vitalex kap Kaplet 0 0
0
(32) HEMOSTATIK 2145
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

1 Adona AC-17 10 mg Tablet 0


2 Adona inj 5 ml Ampul 0
3 Fitomenadion 10 mg (Vit. K) Tablet 10 10 140 320 100 30 610
4 Fitomenadion inj (Vit. K) Ampul - 230 - 230
5 Magnesium Sulfat 20% Vial - 9 9
6 Magnesium Sulfat 40% Vial 0
7 Plasminex inj. Ampul 0
8 Plasminex tab Tablet 0
9 Vit. K infant inj Ampul 0
0
(33) PRODUK DAN SUBTITUEN PLASMA 0
1 Widahes infus Botol 500 ml 0
0
(34) SERUM 0
1 ABU I Polivalen 5 ml Vial - 0
2 ATS 1.500 IU Ampul 4 2 2 2 10
0
(35) OKSITOSIK 0
1 Metilergometrin 0,125 mg Tablet - 4 10 720 110 844
2 Metilergometrin inj Ampul - - - 0
3 Oksitosin inj 10 IU/ml-1 ml Ampul - - - 0
- 0
(36) RELAKSAN UTERUS - 0
1 Papaverin 40 mg Tablet 620 256 364 394 105 1739
- 0
(37) ANTI INFLAMASI SALEP - 0
1 Betametason krem 0,1% Tube 44 41 83 48 74 30 46 366
2 Betason N krem Tube - - 0 - - 0 7 7
3 Hidrokortison krem 2,5% Tube 14 14 44 53 31 13 19 188
- 0
(38) PERANGSANG JARINGAN GRANULASI - 0
1 Bioplacenton gel Tube 4 1 1 - 14 3 5 28
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

2 Prontosan Solution Botol 350 ml 0


3 Prontosan Gel Botol 30 ml 0
0
(39) ANTI BAKTERI 0
Anti Bakteri DOEN s.k Tube 5 - 23 26 1 26 8 89
2 Gentamisin salep kulit 0,1% Tube 54 55 0 52 58 0 219
3 Kloramfekort H krem Tube - - 21 39 16 22 22 120
4 Oksitetrasiklin HCl sk 3% Tube - - 1 24 25 6 25 81
- - 0
(40) ANTI FUNGI SALEP - - 0
1 Anti Fungi DOEN (As.Benz 60+A Pot - - 80 104 - 8 1 193
2 Ketokonazol cream 2% Tube 17 6 13 2 39 12 89
3 Miconazol cream 2% Tube 20 30 25 40 20 20 21 176
- 0
(41) ANTI SCABIES - 0
1 Salep 2-4 30 g Pot 8 8 29 14 40 3 22 124
2 Scabicide Tube - 10 0 2 7 1 20
- 0
(42) ANTI SEPTIK - 0
1 P.K serbuk 5 gram Botol - 0 - 0
- 0
(43) LAIN-LAIN OBAT KULIT - 0
1 Ikhtamol salep 15 g Pot 1 33 21 38 0 93
2 Salisil bedak 2% Kotak 8 18 13 14 16 6 7 82
3 Salisil spiritus Botol 0
0
(44) ANTI SISTEMIK MATA 0
1 Berry vision tab Tablet 0
2 Retinol 100.000 IU (Vit. A) Kapsul 0
3 Retinol 200.000 IU Kapsul 0
0
(45) ANESTESI LOKAL MATA
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

1 Tetrakain HCl 0,5% t.m - 5 ml Botol 5 ml - - 4 4


0
(46) ANTI INFEKSI MATA 0
1 Gentamisin Sulfat 0,3% t.m Botol 5 ml 1 17 1 2 1 1 5 28
2 Kloramfenikol 0,5% t.m Botol 5 ml 29 19 34 45 34 15 31 207
3 Kloramfenikol 1% s.m Tube 5 g 9 8 8 14 6 2 11 58
4 Oksitetrasiklin HCl 1% s.m Tube 5 g 1 1 27 1 32 2 7 71
5 Polidemisin eye drop Botol 5 ml 0
6 Sulfasetamid Natrium 15% t.m Botol 5 ml 0
0
(47) LAIN-LAIN OBAT MATA 0
1 Catalin Opth Botol 15 ml 0
2 Cendolyteers tetes mata Botol 5 ml 6 8 10 11 8 4 9 56
- 0
(48) ANTI INFEKSI THT - 0
1 Kloramfenikol 3% t.t Botol 11 7 9 17 11 4 9 68
- - 0 0
(49) LAIN-LAIN INFEKSI THT - - 27
1 Fenol gliserol 10% t.t Botol 3 11 3 7 5 24 24 77
0
(50) ANTI FILARIASIS 0
1 Dietilkarbamasin Sitrat 100 mg Tablet 0
0
(51) ANTI HEMOROID 0
1 Anti Hemoroid supp Suppositoria 29 20 24 118 55 25 25 296
2 Anusol Suppositoria - 0
3 Borraginol N Salep Tube 15 g - 0
4 Borraginol N Supp Suppositoria - 0
5 Hemorogard tab Tablet - 0
- 0
(52) ANTI EMETIK - 0
1 Dimenhidrinat 50 mg Tablet 1,100 1,130 640 1,100 1,230 380 500 6080
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

2 Domperidon sirup Botol 60 ml - 41 17 10 11 4 2 85


3 Domperidon tab Tablet 141 40 44 144 46 20 1150 1585
4 Mediamer B6 Tablet - - 0 - - 0
5 Ondansetron 8 mg tab Tablet 928 382 322 308 426 196 230 2792
6 Ondansetron 4 mg/2 ml inj. Ampul 40 0 50 30 120
0
(53) ANTI HIPERKOLESTEROLEMIA 0
1 Gemfibrozil kapsul 300 mg Tablet 10 10 24 - 12 24 80
2 Kalsium Atorvastatin Tablet 327 283 474 380 606 360 883 3313
3 Lipitor 20 mg Tablet - - 0 - - 0 0
4 Simvastatin tab 10 mg Tablet 860 1,095 860 845 970 480 670 5780
- 0
(54) NOOTROPIK - 0
1 Piracetam 400 mg Tablet 120 206 260 290 340 164 64 1444
2 Piracetam inj 1 g/5 ml Ampul 0
3 Piracetam inj 3 g / 15 ml Ampul 0
0
(55) IMMUNDILATOR 0
1 Imunos sirup Botol 60 ml 0
2 Imunos tablet Tablet 60 8 68
0
(56) PROGRAM GIZI 0
1 Biskuit Bungkus 0
2 Biskuit MP-ASI Bungkus 0
3 Iodina Test Botol 270
4 Susu Dancow Bungkus 0
5 Susu Mineral Mix Bungkus 0
6 Susu Mom and Me Bungkus 0
7 Susu Pan-Enteral Bungkus 0
8 Susu Proten Bungkus 0
9 Taburia Sachet 0
10 Zink Sirup Botol 60 ml 0
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

0
(57) PROGRAM P2PL 0
1 Albendazole 400 mg tablet 0
2 Box Slide pcs 0
3 OAT FDC paket 0
4 OAT FDC Anak paket 0
5 OAT FDC Kategori II paket
6 Obyek Glass pcs
7 Reagen Intech pcs
8 Reagen Oncoprobe pcs 0
9 Reagen SD HIV pcs 0
10 Reagen Vikia pcs 0
11 Reagen Zn set 0
12 Sputum Pot pcs 0
13 Susu Proten bungkus 0
0
(58) PROGRAM GANGGUAN JIWA 0
1 Alkohol swab pcs 0
2 Amitriptilin 25 mg tablet 0
3 Anuscope pcs 0
4 Blue Tape pcs 0
5 Clozapin 25 mg tablet 70 145 100 100 180 30 625
6 Combipack pcs - - 0 0
7 Fluconazole 150 mg tablet - 0 0
8 Haldol inj. ampul - 0 - 5 10 15
9 Haloperidol 1.5 mg tablet 0 0
10 Haloperidol 5 mg tablet 30 630 320 980
11 Handscoon pcs 0
12 Holder Prontho pcs 0
13 Klorpromazin 100 mg tablet 0
14 Klorpromazin 25 mg tablet 0
15 Lodomer inj. ampul 4 4
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

16 Mantoux tab tablet 0


17 Micropipet pcs 0
18 pH Paper pcs 0
19 Phenitoin 100 mg tablet 0
20 Risperidon 2 mg tablet 110 90 200 232 320 110 120 1182
21 SD Reagen Syphillis pcs 0
22 Tabung Vacutainer Merah pcs 0
23 Trifluoperazin 5 mg tablet 0
24 Triheksifenidil 5 mg tablet 0
0
(59) OBAT GIGI 0
1 Alvogyl (Septodont) Botol 10 g - 0
2 Caustener rapid Botol 6,5 g - 0
3 Cavit (Tumpatan sementara) Set 2 6 8 16
4 Cresophene (Septodont) Botol 7,5 g - 4 4
5 Elite semen Botol - 0
6 Estelite Composite Set - 0
7 Ectsa gel (Denta merica) Syringe 12 g - 0
8 Eugenol Botol 10 ml 1 5 7 1 14
9 Forinokresol / Formocresol Botol 10 ml - 0
10 Glass Ionomer Cement (Fuji II L Set - 3 3
11 Glass Ionomer Cement (Fuji IX) Set - 4 4
12 Kalsium Hidroksida pasta Tube - 4 4
13 Klorfenol Kamfer Mentol (CHKM Botol 20 ml - 0
14 Mumifying pasta Botol 7 g - 4 4
15 Spongostan Pcs - 30 30 60
16 Te-econom bond Botol 1 1
17 Temporary Stopping Fletcher Botol - 4 4
18 Tooth Cleansing (Occo) Botol 15 ml - 4 5 9
19 Vinafluor Tablet 2 2 4
0
(60) OBAT TOPIKAL MULUT 0
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

1 Bufacomb Iob (Zenith) Tube 8 1 2 8 8 7 22 56


2 Gentian violet 1% Botol 10 ml 5 3 7 4 2 1 22
3 Minosep gargle 0.2% Botol 60 ml - 0 1 1
4 Polikresulen (Metakresol) Botol 10 ml 0
0
(61) BAHAN MEDIS HABIS PAKAI (BMHP) 0
1 Alat suntik 1xpakai 0.05 ml Pcs 0
2 Alat suntik 1xpakai 0.5 ml Pcs 0
3 Alat suntik 1xpakai 1 ml Pcs 5 100 100 - 200 95 500
4 Alat Suntik 1xpakai 3 ml Pcs 300 400 0 600 300 100 900 2600
5 Alat suntik 1xpakai 5 ml Pcs 5 - 400 100 - 505
6 Alat suntik 1xpakai 10 ml Pcs 5 - 0 195 200
7 Aqua pro injeksi Vial - - 10 10 - 18 38
8 Aquadest steril 500 ml Botol 500 ml - - 4 4
9 Blood Lancet Pcs - 0
10 Blue tape Pcs - 0
11 Cat-gut dg jarum 2/0 Sachet - - - 10 10
12 Cat-gut dg jarum 3/0 Sachet - - - 600
13 Catton swap Pcs - - 0
14 Cerplast Pcs - - 0
15 Cover glass Pcs - - 0
16 Folley Cath 12 Pcs - - - 0
17 Folley Cath 16 Pcs - - - 0
18 Folley Cath 18 Pcs - - - 0
19 Folley Cath 20 Pcs - 0
20 Folley Cath 22 Pcs - 0
21 Gelang Bayi Lahir Pcs - 0
22 Gelang Ibu Melahirkan Pcs - 0
23 Handscoon Panjang Pcs - 0
24 Handscoon uk. L Pcs 600 1,000 100 200 900 200 750 3750
25 Handscoon uk. M Pcs 1,100 100 300 400 700 300 900 3800
26 Handscoon uk. S Pcs - - - - 0
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

27 Hipavix 5 x 5 m Rol - 4 4 4 9 5 6 32
28 Holder Pronto Pcs - - 0
29 I.V. Catheter 16 Pcs - - 0
30 I.V. Catheter 18 Pcs - - 0 - - 0
31 I.V. Catheter 20 Pcs 10 10 0 - 60 80
32 I.V. Catheter 22 Pcs 30 24 20 36 30 40 180
33 I.V. Catheter 24 Pcs 10 - 57 20 28 200 315
34 Infusion set anak Pcs - 10 35 - - 45
35 Infusion set dewasa Pcs 40 20 30 30 76 10 10 216
36 Jarum jahit (bedah) no. 13 Pcs - - - 0
37 Jarum jahit (bedah) no. 14 Pcs - - - 0
38 Jarum jahit (bedah) no. 16 Pcs - - - 0
39 Jarum Jahit (bedah) no. 12 Pcs - - - 0
40 Jarum Suntik no. 25 Pcs - - 100 250 200 550
41 Jarum Vacutainer 21 Pcs - 0
42 Jarum Vacutainer 22 Pcs - 0
43 Kapas berlemak 500 g Bungkus - 0
44 Kapas pembalut 250 g Bungkus 1 1 1 2 1 4 10
45 Kasa elastis 3x4 cm Rol - 0
46 Kasa elstis 4x10 cm Rol - 0
47 Kasa kompres 40/40 steril Pcs - 0
48 Kasa Pembalut 1 yard 40m x 80 Rol 2 2 2 3 3 12
49 Kasa pembalut 2 m x 80 cm Rol - - - - 0
50 Kasa pembalut hid 4 x 10 cm Rol 50 - 0 150 10 50 260
51 Kasa pembalut hid 4 x 5 cm Rol 5 - 0 100 - 50 155
52 Kasa Steril 16 x 16 cm Pcs - - 0 - - 0
53 Kertas Puyer Pcs 3,000 3,000 3000 120 4,380 1500 3000 18000
54 Lomatull Pcs 5 80 40 35 140 40 17 357
55 Masker Pcs 500 850 800 750 450 400 650 4400
56 Masker O2 anak Pcs - - - 2 2
57 Masker O2 dewasa Pcs - - - 10 10
58 Mesh 11 Lancip Pcs - - - 22 22
NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES JML

59 Microburet Pcs - - 0
60 Nasal Canula Anak Pcs - - - 0
61 Nasal Canula Dewasa Pcs - - - 5 5
62 Needle Novofine Pcs 0
63 Obyek glass Pcs 0
64 Pipet thoma Erythrocyt Pcs 0
65 Pipet thoma Leucocyt Pcs 0
66 Plester 2.5 cm x 4.5 m Rol 3 2 18 6 5 34
67 Plester 7.5 cm x 4.5 m Rol 0
68 Pot urine 10 ml Pcs - 0
69 Sharp Collector Pcs - 0
70 Silk (benang bedah sutra) dg ja Sachet 36 36
71 Silk tanpa jarum 2/0 Sachet - 10 10
72 Silk tanpa jarum 3/0 Sachet 36 20 56
73 Slim Zuiker Pcs
74 Sputum pot Pcs
75 Tab. Kapiler Hematokrit Pcs
76 Tabung Vacutainer Kuning Pcs
77 Tabung Vacutainer Merah Pcs
78 Tabung Vacutainer Ungu Pcs
79 Tissue Lensa Kotak
80 Tranfusion Set Dewasa Pcs
81 Umbilical Pcs
82 Urine Bag Pcs 15 15
83 White tape Pcs
84 Wing Needle 25 Pcs
85 Wing Needle 27 Pcs
86 Yellow tape Pcs
87 Wing Needle 25 Pcs
88 Wing Needle 27 Pcs
89 Yellow tape Pcs
87 spuit 3cc injek
RATA2X RATA2 X 18

326 5,868
580 10,440
4944.57142857143 89,002
0 0
506 9,108
71.4285714285714 1,286
2414 43,452
3.85714285714286 69
46.7142857142857 841
0 0
837.142857142857 15,069
4.28571428571429 77
0 0
66.5714285714286 1,198
72.8571428571429 1,311
0 0
1.42857142857143 26
0 0
7462 134,316
60.4285714285714 1,088
530.857142857143 9,555
0 0
5 90
15.8571428571429 285
6.14285714285714 111
0 0
2.28571428571429 41
RATA2X RATA2 X 18

0 0
0 0
0 0
1010.14285714286 18,183
0 0
0 0
1.42857142857143 26
0 0
28.5714285714286 514
60 1,080
0 0
0 0
0 0
144.714285714286 2,605
22.5714285714286 406
0 0
4.28571428571429 77
300.714285714286 5,413
0 0
0 0
0 0
625 11,250
169.285714285714 3,047
5 90
0 0
592.857142857143 10,671
0.14285714285714 3
100 1,800
4 72
0 0
0 0
0 0
RATA2X RATA2 X 18

550 9,900
0 0
0 0
218.142857142857 3,927
0 0
0 0
0 0
138.571428571429 2,494
48.1428571428572 867
0 0
0 0
98 1,764
132.857142857143 2,391
0 0
0 0
0 0
0 0
0 0
1860.85714285714 33,495
128.571428571429 2,314
365.714285714286 6,583
868.142857142857 15,627
70.5714285714286 1,270
0 0
327.714285714286 5,899
0 0
0 0
0 0
0 0
0 0
71.4285714285714 1,286
0 0
RATA2X RATA2 X 18

0 0
0 0
4.28571428571429 77
0 0
0 0
0 0
0 0
5743.85714285714 103,389
62.8571428571429 1,131
0 0
54.2857142857143 977
899 16,182
0 0
393.285714285714 7,079
0 0
20 360
0 0
0 0
8.57142857142857 154
187 3,366
0 0
470.714285714286 8,473
0 0
0 0
1689.14285714286 30,405
14.4285714285714 260
2287.14285714286 41,169
0 0
171.428571428571 3,086
0 0
27.2857142857143 491
13.7142857142857 247
RATA2X RATA2 X 18

0 0
0 0
0 0
0 0
881.428571428572 15,866
4.42857142857143 80
327.428571428571 5,894
0 0
0 0
4286.14285714286 77,151
38.5714285714286 694
381 6,858
0 0
0 0
846.571428571429 15,238
571 10,278
60.7142857142857 1,093
0 0
401.714285714286 7,231
0 0
0 0
0 0
2 36
1.57142857142857 28
0 0
0 0
0 0
0 0
17.1428571428571 309
298 5,364
11.4285714285714 206
0 0
RATA2X RATA2 X 18

0.71428571428572 13
788 14,184
556.714285714286 10,021
25.8571428571429 465
228.857142857143 4,119
0 0
0 0
0 0
28.1428571428571 507
6.71428571428571 121
6.57142857142857 118
0 0
0 0
0 0
128.571428571429 2,314
2.14285714285714 39
41.5714285714286 748
18.8571428571429 339
0 0
0 0
0 0
0 0
991.285714285714 17,843
22.8571428571429 411
3119.14285714286 56,145
206.428571428571 3,716
0 0
0 0
0 0
1 18
10.8571428571429 195
3.42857142857143 62
RATA2X RATA2 X 18

0 0
0 0
0 0
0 0
0 0
438.571428571429 7,894
1657 29,826
5462.71428571429 98,329
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2221.85714285714 39,993
54 972
0 0
0 0
159.142857142857 2,865
0 0
1.42857142857143 26
28 504
40.8571428571429 735
4246.42857142857 76,436
0 0
25.7142857142857 463
24.4285714285714 440
256.571428571429 4,618
86.2857142857143 1,553
0 0
5670.57142857143 102,070
RATA2X RATA2 X 18

0 0
14.2857142857143 257
1435 25,830
12 216
2793.14285714286 50,277
5545.71428571429 99,823
0 0
0 0
5198 93,564
0 0
56.5714285714286 1,018
0 0
0 0
0 0
0 0
3.28571428571429 59
1857 33,426
0 0
0 0
736.428571428572 13,256
0 0
5.71428571428571 103
#VALUE! #VALUE!
595.714285714286 10,723
0 0
0 0
0 0
0 0
21.1428571428571 381
7.57142857142857 136
0 0
122.857142857143 2,211
RATA2X RATA2 X 18

40 720
28.5714285714286 514
2785.71428571429 50,143
45.4285714285714 818
220.428571428571 3,968
0 0
0 0
208.571428571429 3,754
0 0
898.285714285714 16,169
0 0
0 0
0 0
355.857142857143 6,405
7 126
0 0
0 0
61.4285714285714 1,106
33.1428571428571 597
126.714285714286 2,281
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
RATA2X RATA2 X 18

0 0
0 0
0 0
0 0
0 0
0 0
4.42857142857143 80
3.14285714285714 57
3.28571428571429 59
0.42857142857143 8
0 0
1.42857142857143 26
3.57142857142857 64
5.28571428571429 95
0 0
0 0
2430 43,740
0 0
0 0
2.28571428571429 41
0 0
0 0
0 0
0 0
0 0
0 0
3184.28571428571 57,317
964.285714285714 17,357
4.28571428571429 77
0 0
0 0
306.428571428571 5,516
RATA2X RATA2 X 18

0 0
0 0
87.1428571428571 1,569
32.8571428571429 591
1.28571428571429 23
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1.42857142857143 26
0 0
0 0
120.571428571429 2,170
0 0
0 0
0 0
0 0
248.428571428571 4,472
0 0
0 0
52.2857142857143 941
1 18
26.8571428571429 483
0 0
0 0
4 72
RATA2X RATA2 X 18

0 0
0 0
0 0
0 0
12.7142857142857 229
31.2857142857143 563
17.1428571428571 309
11.5714285714286 208
0 0
0 0
27.5714285714286 496
12.7142857142857 229
25.1428571428571 453
0 0
0 0
17.7142857142857 319
2.85714285714286 51
0 0
0 0
0 0
0 0
0 0
13.2857142857143 239
11.7142857142857 211
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
RATA2X RATA2 X 18

0.57142857142857 10
0 0
0 0
4 72
29.5714285714286 532
8.28571428571429 149
10.1428571428571 183
0 0
0 0
0 0
0 0
0 0
8 144
0 0
0 0
9.71428571428571 175
0 0
3.85714285714286 69
11 198
0 0
0 0
0 0
0 0
0 0
42.2857142857143 761
0 0
0 0
0 0
0 0
0 0
0 0
868.571428571429 15,634
RATA2X RATA2 X 18

12.1428571428571 219
226.428571428571 4,076
0 0
398.857142857143 7,179
17.1428571428571 309
0 0
0 0
11.4285714285714 206
473.285714285714 8,519
0 0
825.714285714286 14,863
0 0
0 0
206.285714285714 3,713
0 0
0 0
0 0
0 0
0 0
9.71428571428571 175
0 0
0 0
0 0
0 0
38.5714285714286 694
0 0
0 0
0 0
0 0
0 0
0 0
0 0
RATA2X RATA2 X 18

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
89.2857142857143 1,607
0 0
0 0
2.14285714285714 39
0 0
140 2,520
0 0
0 0
0 0
0 0
0.57142857142857 10
RATA2X RATA2 X 18

0 0
0 0
0 0
0 0
168.857142857143 3,039
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2.28571428571429 41
0.57142857142857 10
0 0
0 0
0 0
2 36
0 0
0.42857142857143 8
0.57142857142857 10
0.57142857142857 10
0 0
0.57142857142857 10
8.57142857142857 154
0.14285714285714 3
0.57142857142857 10
1.28571428571429 23
0.57142857142857 10
0 0
0 0
RATA2X RATA2 X 18

8 144
3.14285714285714 57
0.14285714285714 3
0 0
0 0
0 0
0 0
0 0
71.4285714285714 1,286
371.428571428571 6,686
72.1428571428571 1,299
28.5714285714286 514
5.42857142857143 98
0.57142857142857 10
0 0
0 0
1.42857142857143 26
85.7142857142857 1,543
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
535.714285714286 9,643
542.857142857143 9,771
0 0
RATA2X RATA2 X 18

4.57142857142857 82
0 0
0 0
0 0
11.4285714285714 206
25.7142857142857 463
45 810
6.42857142857143 116
30.8571428571429 555
0 0
0 0
0 0
0 0
78.5714285714286 1,414
0 0
0 0
0 0
1.42857142857143 26
0 0
0 0
0 0
1.71428571428571 31
0 0
37.1428571428571 669
22.1428571428571 399
0 0
2571.42857142857 46,286
51 918
628.571428571429 11,314
0.28571428571429 5
1.42857142857143 26
3.14285714285714 57
RATA2X RATA2 X 18

0 0
0 0
0.71428571428572 13
0 0
0 0
0 0
0 0
4.85714285714286 87
0 0
0 0
0 0
5.14285714285714 93
1.42857142857143 26
8 144
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2.14285714285714 39
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
PENERIMAAN OBAT PUSKESMAS TROSOBO 2019
SUMBER DANA DAU DAN APBD

NO NAMA OBAT KEMASAN JAN PEB MAR APR MEI JUN JULI AGT SEP OKT NOP DES

(1a) ANALG,ANTIP,AN.INFL NON NARKOTIK


1 Neuroval tab Tablet - - - - - 1,000 1,500
2 Antalgin 500 mg tab Tablet 1,600 900 - - - 1,000 10,000
3 Asam Mefenamat 500 mg tab Tablet - - - - - - 15,000
4 Asetosal 100 mg tab Tablet - - - - - - -
5 Miniaspi 80 mg Tablet - - - - - - - 200 300
6 Diklofenak Kalium 50 mg tab Tablet - 500 - - - 1,000 750 -
7 Diklofenak Na. 50 mg tab Tablet - - - 5,600 - 5,600 - - 2,000
8 Eprinoc tab Tablet - - - - - 300 - -
9 Ibuprofen 100 mg/5 ml sirup Botol 60 ml - - - - - - - 100
10 Ibuprofen 200 mg tab Tablet - - - - - - - -
11 Ibuprofen 400 mg tab Tablet - - 200 1,000 - - - 5,000
12 Meloxicam 15 mg supp Suppositoria - - - - - - - -
13 Meloxicam 15 mg tab Tablet - - - - - - - -
14 Meloxicam 7,5 mg tab Tablet - 200 - - - - - -
15 Metoklopramid 10 mg Tablet - 500 - - - - - -
16 Sotatic inj. 5 mg/ml Ampul - - - - - - -
17 Molakrim krim Tube 30 g - - - - - - 30
18 Nonflamin tab Tablet - - - - - - -
19 Parasetamol 500 mg tab Tablet - - - 10,000 - - - 15,000
20 Parasetamol sirup 120 mg/5 Botol 60 ml - - - 300 - 200 - 100 100
21 Piroksikam 10 mg tab Tablet - - - - - - - - 500 1,000
22 Piroksikam 20 mg tab Tablet - - - - - - - -
23 Suprafenid supp Suppositoria - 10 - - - 60 - -
24 Proris supp Suppositoria - 50 - - - - - -
25 Antalgin inj. Ampul - - 100 - - - 100
26 Tramadol injeksi 50 mg/ml Ampul - - - - - - -
27 Tramadol kap 50 mg Tablet 300 - - - - - -
(1b) ANALGETIK NARKOTIK
1 Pethidin HCl 50 mg/ml inj Ampul
(1c)
ANTIPIRAI Tablet - - - - -
Alopurinol 100 mg - -
(2)
1 ANESTESI LOKAL Botol 100 ml - - - -
2 Etil Klorida semprot Vial 10 ml - 17 - - - - -
3 Ketamin / Ketalar inj. 100 mg Ampul - - - - - - -
4 Lidokain inj 2% (HCl) / 2 ml Ampul - - - - - - -
5 Lidokain komb inj / 2 ml Botol 50 ml - - -
Xylocain spray 5 - -
(3)
1 AN.EPILEPSI, AN.KONV, AN Tablet - - - - -
2 Alprazolam 0,5 mg Tablet - 1,000 - - - - - 500 500
3 Diazepam 2 mg Tablet - - - - - - -
4 Diazepam 5 mg Ampul - 400 - - - - - -
5 Diazepam inj. 5 mg/ 2 ml Kapsu; - 60 - - - - - -
6 Fenitoin kapsul 100 mg Tablet - 400 - - - - - - 300
7 Fenobarbital 100 mg Tablet - - - - - - - -
8 Fenobarbital 30 mg Ampul - 400 - - - - - -
9 Fenobarbital inj. 50 mg/ml Tablet - - - - - - -
10 Haloperidol 0.5 mg tab Tablet - - - - - -
11 Haloperidol 1,5 mg Ampul - - - 3,000 1,000 - 5,000 -
12 Haloperidol inj 50 mg/ml (Da Tablet - 50 - - - - 100 - 14
13 Klobazam 10 mg tab Tablet - - - - - - - - 1,300
14 Klorpromazin HCl 100 mg tab Ampul - 6,000 - - - 210 - - 6,200
15 Klorpromazin HCl inj 25 mg/m Tablet - - - - - - - -
16 Trifluoperazine 5 mg tab Tube - 1,000 - - - 25 - -
Stesolid rectal 5 mg 15 - -
(4)
1 ANTI PARKINSON Tablet - - - -
2 Levopar tab Tablet - 200 - - - - -
Triheksifenidil 2 mg 3,000 2,000 2,000 - 9,000
(5)
1 ANTI DEPRESI Tablet - - - -
2 Amitriptilin HCl 25 mg Tablet 1,500 - 1,000 - 11,800
Deproz 20 mg - - -
(6) - -
1 ANTI MIGREN Tablet - - - - -
2 Anti Migren (Komb. Ergot+Kaf Tablet 500 - 200
Betahistin Mesilat 6 mg 500 2,000 - 300
(7)
1 ANTI ANGINA - ANTI ARITM Tablet - - -
2 Isosorbit Dinitrat 5 mg - 2018 Tablet - - 500 - - -
3 Nifedipin 10 mg Tablet 300 3,000 - - -
4 Nifedipin GITS (Adalat Oros) Tablet - -
5 Propanolol 10 mg Tablet - -
Propanolol 40 mg - -
(8) - -
1 ANTI HIPERTENSI-DIURETI Tablet - - - -
2 Amlodipin 5 mg Tablet - - 9,000 - 9,000 1,500 15,000
3 Amlodipin 10 mg Tablet - - - - 3,000
4 Bisoprolol Fumarat 5 mg Tablet - 1,000 - - - -
5 Captopril 25 mg Tablet - - - 1,000 - 7,500 -
6 Furosemid 40 mg Ampul - 500 - - - - 300
7 Furosemid inj. Tablet - - - - - - -
8 H.C.T 25 mg Tablet - - 1,200 -
9 Lisinopril 10 mg Tablet - - -
10 Valsartan tab 80 mg / Diovan Tablet - - -
Valsartan tab 160 mg / Diovan 160 - - -
(9) - - -
1 GLUKOSIDA JANTUNG Tablet - - 0 - -
2 Digoksin 0,25 mg Tablet -
Verapamil 80 mg -
(10) -
1 OBAT PD SHOK-ANTI ASM Tablet - - - -
2 Aminofilin 200 mg Ampul - 500 - - -
3 Aminofillin 200 mg (Decafil) Botol 50 ml - - - - - -
4 Aminofilin inj 24 mg Ampul - - - - - -
5 Bisolvon solution 10 mg/5 ml Ampul - - - - - -
6 Bisolvon injeksi 2 mg/ml Tablet - - - - - - -
7 Bricasma inj 0,5 mg/ml Ampul - - - - -
8 Deksamethason 0,5 mg Tablet - - - - -
9 Deksamethason inj 5 mg/ml Ampul - 100 - 100 - 60 -
10 Efedrin HCl 25 mg Tablet - - - - - - -
11 Epinefrin inj. Tablet - - - - -
12 Methylprednisolon 4 mg Tablet - 400 3,000 - - 1,000
13 Prednison 5 mg Botol 60 ml - - - - - - - 1,000
14 Salbutamol 4 mg Ampul - 100 400 5,000 - -
Salbutamol sirup (Astharol) - - -
(11) Ventolin Nebulizer - - -
1 Botol 100 ml - - - - - -
2 ANTI TUSIF Tablet - - -
3 Dexmolex sirup Botol 60 ml - - - - 60
4 Kodein 10 mg Tablet - - 1,000 - 1,000 2,000
Sanadryl DMP sirup - - - - -
(12) Tuzalos tab - 1,500 - 1,000 -
1 Tablet - -
2 EKSPEKTORAN Botol 60 ml - - - -
3 Ambroxol HCl 30 mg Tablet - 7,000 - 1,000 200 -
4 Ambroxol syrup Botol 60 ml - - - - -
5 Gliseril Guayakolat 100 mg Tablet - 6,000 - 4,700 40,800 -
6 Hustab sirup Botol 60 ml - - - - - -
7 Hustab tab Botol 60 ml - - - - - 1,500 1,500
8 OBH Plus Anak Botol 60 ml - - - - - - -
OBH Plus Dewasa - - 160 50
(13) Sanadryl Expectorant - 72 72
1 Tablet - -
2 ANTI INFLUENZA Botol 60 ml - -
3 Alpara tab Tablet - - - - - -
4 Alpara sirup Botol 60 ml - - - - - -
5 Molexflu tab Tablet - - - - -
Colpica tab - - 5,200 3,000
(14) Demacolin tab - - -
1 Molexflu sirup Tablet - - - -
2 Demacolin syr Botol 60 ml - - - 50 -
3 Quantidex tab Tablet - - - - 2,000
4 Tablet - - - - -
5 ANTASIDA Tablet - - - -
6 Antasida DOEN I tab Tablet - 200 16,800 - 16,800 -
7 Antasida DOEN II sirup Tablet - - - 300 - - -
8 Cimetidin 200 mg Ampul - - - - - -
9 Cytotec Botol 120 ml - - - - - - -
10 Famotidine 20 mg Tablet - - - - - -
Omeprazole kap 20 mg 5,000 300 2,910 - 2,910 2,910
(15) Ranitidin tab 150 mg - - - - -
1 Ranitidin inj 25 mg/2 ml Botol 500 ml - 100 100 100 200
2 Sanmag tab Botol 500 ml 300 2,000 1,000 - 600 2,500
3 Ulsidex tab Botol 500 ml 500 - -
4 Sachet - -
5 OBAT DIARE-KESEIMBANG Botol 500 ml - -
6 Asering infus Botol 500 ml - 24 -
7 D5 + 1/2 NS Sachet 40 - 20 -
8 D5 + 1/4 NS Tablet - 20 - 40 -
9 Dehaf Tablet - - - -
10 KAEN 3A Botol 500 ml - - - - - -
11 KAEN 3B Botol 100 ml - - - - - -
12 L-Bio Botol 60 ml - - - - -
13 Loperamide Tablet - 1,000 - - -
14 Molagit tab Sachet - 750 - 600 3,000 1,500
15 Na. Klorida 0,9% infus Botol 500 ml - - - - -
16 Na. Klorida 0,9% piggy bag Tablet - - - - - -
17 Neo Kaolana suspensi Botol 60 ml - 24 - - -
New Diaform - - 1,000 - -
(16) Oralit 200 ml - 200 - 5,400 -
1 Ringer Laktat infus Tablet 60 - 60 60 100 40
2 Zink tab dispersible 20 mg Suppositoria - 1,000 - 1,000 -
3 Zink sirup 20 mg/5 ml Suppositoria - - -
- -
(17) LAKSAN - -
1 Bisacodyl tab 5 mg Ampul 36 - 450 - - -
2 Dulcolax supp 5 mg Tablet - 36 - 30 -
3 Dulcolax supp 10 mg Ampul - - 50 - 50 -
4 Tablet - - - - -
5 ANTI SPASMODIK Tablet - -
6 Atropin Sulfat inj 0,25 mg/ml Tablet 200 - - -
Braxidin tab 400 600 - - -
(18) Hyosin Bromida inj - 15 - 10 20
1 Scopma tab Botol 60 ml - - - -
2 Scopma plus Tablet - 0 - 400 300 200
3 Ekstrak Belladona 10 mg Ampul - 0 -
4 Tablet - 0 -
5 ANTI HISTAMIN Tablet - 0 -
Ceterizine sirup -
(19) Cetirizine tab 10 mg 1,860 4,340 - 2,480 2,480
1 Difenhidramin inj Softbag 500 ml 90 - 60 -
2 Klorfeniramin Maleat 4 mg Botol 500 ml - 0 - - -
3 Loratadine 10 mg Ampul - 0 - 750 500
4 Botol 500 ml - 0 - -
LARUTAN NUTRISI -
(20) Aminofluid -
1 Glukose 10% infus 500 ml - Tablet 20 - 20
Glukose 40% inj 25 ml - -
(21) Glukose 5% infus 500 ml 20 - -
1 Tablet - 0 - -
2 TIROID ANTAGONIS Tablet - 0 - -
3 Propiltiourasil 100 mg Tablet - 0 - -
-
(22) ANTI DIABETIK ORAL -
1 Glibenklamid 5 mg Pen -
2 Glimipiride 2 mg Pen - 2000 8,000
Metformin tab 500 mg 50,000 - 10,000
(23) -
1 ANTI DIABETIK PARENTER Tablet 0 - -
2 Apidra Solostar 100 IU/ml Tablet 0 -
3 Lantus Solostar 100 IU/ml Kaplet - 0 -
4 Ampul - 0 -
5 VITAMIN DAN MINERAL Tablet - -
6 Anemolat tab / Asam folat tab Tablet - 600 - -
7 Asam Askorbat 50 mg Botol 60 ml 3,000 2,000 14,000 - 7,000 3,000 5,000
8 Pritavit kaplet Tablet - 200 - - - 1,500
9 Calcii Gluconas inj Tablet - 0 24 - - -
10 Caldece tab effervecent Tablet - 0 - - - -
11 Caldetri Tablet - 0 1,000 - - 300
12 Elkana sirup Tablet - 0 - - - -
13 Elkana tab Ampul - 0 500 - - -
14 Glucosamin tab Tablet - 0 - - 900 1,800
15 Hepagard tab Tablet - 0 - - 150 -
16 Kalsium Laktat 500 mg Tablet - 0 5,700 - 16,800 -
17 Neurosanbe 5000 Tablet - 0 - - - -
18 Neurosanbe inj Tablet - 50 0 30 - - -
19 Mersibion inj Botol 60 ml - 0 - - - 50
20 Neurosanbe Plus Tablet - 0 - - -
21 Neurosanbe tab Tablet - 1,000 0 1,000 - - -
22 Osteotin tab Ampul - 420 0 - - - 600
23 Pharmaton Vit Tablet - 0 - - - -
24 Piridoksin 10 mg (Vit. B6) Tablet - 0 - - 7,000 -
Procurma Plus sirup - - -
(24) Santa E 200 mg tablet hisap - -
1 Sianokobalamin tab Tablet - 5500 10,000 - - - 1,000 5,000
2 Tiamin HCl (Vit. B1) inj 100 Ampul - 0 - - -
3 Tiamin HCl 50 mg (Vit. B1) ta Botol 60 ml - 0 13,600 - 13,600 -
4 Vit. B kompleks Kaplet 30,000 6,000 10,000
5 Ampul
6 ANTI BAKTERI SISTEMIK, Botol 60 ml
7 Amoksisilin 500 mg Kaplet 5500 30,000 18,000
8 Amoksisilin inj. Botol 60 ml - 0 - - -
9 Amoksisilin sirup kering Kaplet - 0 - - 300 120
10 Ampisilin 500 mg Botol 60 ml -
11 Ampisilin inj. Tablet -
12 Ampisilin sirup kering Kapsul - 0 - -
13 Azitomisin 500 mg kaplet Botol 30 ml 120 -
14 Dionicol sirup kering Ampul - - - 50 50
15 Cefadroxil 500 mg Ampul - 15,000 - - 3,000
16 Cefadroxil sirup kering Tablet - 0 - -
17 Cefalexin 500 mg Tablet -
18 Cefixime kapsul 200 mg Tablet 2,000 300 300
19 Cefixime sirup Ampul -
20 Cefotaxime injeksi 1 g Tablet 100 - 50
21 Ceftriaxone injeksi 1 g Kaplet - 0 - -
22 Ciprofloxacin 500 mg Botol 60 ml - 0 5,000 - - -
23 Claneksi sirup Ampul - - -
24 Co-Amoksiklav Kapsul - 0 - -
25 Colsancetine inj Kapsul -
26 Eritromisin 250 mg Botol 60 ml - 0 - -
27 Eritromisin 500 mg Tablet - 1,000 0 - - - 500
28 Eritromisin sirup kering Botol 60 ml - - 0 - - - -
29 Gentamisin inj. 40 mg/ml Tablet - - 0 - - - -
30 Klindamisin 150 mg Tablet 400 - - 1,000 1,000
31 Kloramfenikol 250 mg Tablet 5,000 -
32 Kloramfenikol sirup Tablet - 0 - -
33 Kotrimoksasol 480 mg Tablet - 2,000 - -
34 Kotrimoksasol suspensi Tablet - 300 - - -
Levofloksasin 500 mg 1,000 300 600
(25) Linkomisin kapsul 500 mg -
1 Ofloxacin 400 mg Tablet -
2 Spyramisin 500 mg Tablet - 0 - - -
3 Tetrasiklin 500 mg Tube - 0 - -
Thiamphenikol 500 mg 700 3,000 1,900 - 2,000
(26)
1 ANTI VIRUS Tablet - 0 - -
2 Acyclovir 200 mg tab Tablet - 0 - - -
3 Acyclovir 400 mg tab Tablet - 2,400 0 - - -
4 Acyclovir cream Tablet 200 50

(27) ANTI FUNGI


1 Griseofulvin 125 mg Tablet 2,400 300
2 Ketokonazol 200 mg Tablet 1,500 -
3 Nistatin 100.000 IU tab.vag Tablet 600 -
4 Nistatin 500.000 IU tab Vial -
5 Paket
6 ANTI TUBERKULOSIS Paket
7 Etambutol 500 mg tab salut Paket
8 I.N.H 100 mg Paket
9 I.N.H 300 mg Tablet
10 Kanamycin inj 1 g Vial
11 OAT FDC Kategori 1 Tablet -
12 OAT FDC Kategori 2 Tablet 2 -
OAT FDC Kategori Anak
(28) OAT FDC Sisipan
1 Pyrazinamid 500 mg Botol 300 ml
2 Streptomycin S inj 1 g Botol 100 ml - 0 -
3 Rifampisin 450 mg Botol 1000 ml - 0 - -
4 Rifampisin 600 mg Botol 500 ml - 0 - -
5 Masker (TB) Botol 1000 ml - 0 - - 118
6 ANTI SEPTIK, DESINFEKTA Tablet - 0 - -
7 Etakridina larutan 0,1% Botol 300 ml - 0 - - -
8 Etanol 70% Botol 500 ml - 0 10 - 96 50
9 H2O2 3% Botol 500 ml - 0 - - - -
Klorin 1 - - - -
(29) Lisol 50% 10 - - -
1 Paraformaldehid 1 g Tablet - - - -
2 Povidon Iodida larutan 10% Tablet 10 - - 12
3 Softa-Man (biru) Botol 30 ml 10 - 10 -
4 Softaskin (nerah) Tablet 0 10 - 10 -
-
(30) ANTELMENTIK -
1 Albendazol 400 mg Tablet - 17,010
2 Mebendazol 100 mg Botol 100 ml -
Mebendazol sirup 30 ml -
(31) Pirantel 125 mg 500 - -
1 Sachet - 0 - -
2 ANTI AMUBIASIS Botol 150 ml - -
3 Metronidazol 500 mg Ampul 0 - - 2,000 5,000
4 Metronidazol infus Kaplet - -
-
(32) OBAT YG MEMPENGARUHI DARAH, ANTI ANEMIA -
1 Besi (II) Sulfat tab Tablet - -
2 Besi sirup Ampul - -
3 Sianokobalamin inj (Vit. B 12) Tablet - 100 0 - - -
4 Vitalex kap Ampul - 0 - - -
5 Vial - 0 -
6 HEMOSTATIK Vial -
7 Adona AC-17 10 mg Ampul -
8 Adona inj 5 ml Tablet -
9 Fitomenadion 10 mg (Vit. K) Ampul 700 -
Fitomenadion inj (Vit. K) -
(33) Magnesium Sulfat 20% 10
1 Magnesium Sulfat 40% Botol 500 ml 10
Plasminex inj. -
(34) Plasminex tab -
1 Vit. K infant inj Vial 0 - - - -
2 Ampul - 0 - - - -
PRODUK DAN SUBTITUEN PLASMA - -
(35) Widahes infus -
1 Tablet - 0 - -
2 SERUM Ampul - 0 - -
3 ABU I Polivalen 5 ml Ampul - 2 0 - -
ATS 1.500 IU 20 -
(36) - -
1 OKSITOSIK Tablet 0 - -
Metilergometrin 0,125 mg - 1,000 -
(37) Metilergometrin inj - 200 -
1 Oksitosin inj 10 IU/ml-1 ml Tube - - 0 100 - -
2 Tube - - 0 - - -
3 RELAKSAN UTERUS Tube - 0 - - -
Papaverin 40 mg 900 - -
(38) - -
1 ANTI INFLAMASI SALEP Tube - 0 - -
2 Betametason krem 0,1% Botol 350 ml - 150
3 Nisagon krem Botol 30 ml - 200 100
Hidrokortison krem 2,5% - 120 -
(39) -
1 PERANGSANG JARINGAN Tube - 0 - -
2 Bioplacenton gel Tube - 0 15 -
3 Prontosan Solution Tube - 0 - -
4 Prontosan Gel Tube - 0 - -
- - -
(40) ANTI BAKTERI - - -
1 Anti Bakteri DOEN s.k Pot - 0 100 - -
2 Gentamisin salep kulit 0,1% Tube - 0 100 10 - -
3 Klorfeson krem Tube 0 - - 48
Oksitetrasiklin HCl sk 3% 50 - 50
(41) -
1 ANTI FUNGI SALEP Pot - 0 - -
2 Anti Fungi DOEN (As.Benz 60 Tube - 0 - 48 -
Ketokonazol cream 2% - - -
(42) Miconazol cream 2% 24 72 72 - 72 72
1 Botol - 0 - -
ANTI SCABIES - - -
(43) Salep 2-4 30 g - 192 - - -
1 Scabicide Pot - 10 0 - 20 -
2 Kotak - 0 - -
3 ANTI SEPTIK Botol
P.K serbuk 5 gram 24 -
(44) -
1 LAIN-LAIN OBAT KULIT Tablet -
2 Ikhtamol salep 15 g Kapsul -
3 Salisil bedak 2% Kapsul 30 30 50 100
Salisil spiritus
(45)
1 ANTI SISTEMIK MATA Botol 5 ml 0 - -
Berry vision tab -
(46) Retinol 100.000 IU (Vit. A) -
1 Retinol 200.000 IU Botol 5 ml - 0 - -
2 Botol 5 ml - 0 - -
3 ANESTESI LOKAL MATA Tube 5 g - 0 -
4 Tetrakain HCl 0,5% t.m - 5 ml Tube 5 g - 24 0 - - -
5 Botol 5 ml -
6 ANTI INFEKSI MATA Botol 5 ml -
Gentamisin Sulfat 0,3% t.m - -
(47) Kloramfenikol 0,5% t.m - - 50
1 Kloramfenikol 1% s.m Botol 15 ml - 120 -
2 Oksitetrasiklin HCl 1% s.m Botol 5 ml - 0 - - -
Polidemisin eye drop - - -
(48) Sulfasetamid Natrium 15% t.m - - -
1 Botol - 0 - -
LAIN-LAIN OBAT MATA - -
(49) Catalin Opth - - -
1 Cendolyteers tetes mata Botol - 0 - 120 -
- -
(50) ANTI INFEKSI THT - -
1 Kloramfenikol 3% t.t Tablet 50 30 - - 50
-
(51) LAIN-LAIN INFEKSI THT -
1 Fenol gliserol 10% t.t Suppositoria - 0 - 120 24
2 Suppositoria
3 ANTI FILARIASIS Tube 15 g
4 Dietilkarbamasin Sitrat 100 m Suppositoria
5 Tablet
ANTI HEMOROID
(52) Anti Hemoroid supp 30
1 Anusol Tablet - 0 - -
2 Borraginol N Salep Botol 60 ml - 0 - - -
3 Borraginol N Supp Tablet - 0 - - -
4 Hemorogard tab Tablet - 0 - - 300
5 Tablet - 0 - -
6 ANTI EMETIK Ampul - 0 -
Dimenhidrinat 50 mg 2,000 - 2,000 600
(53) Domperidon sirup - - - -
1 Domperidon tab Tablet - 0 - - - - 200
2 Mediamer B6 Tablet - 0 - - - -
3 Ondansetron 8 mg tab Tablet - 0 360 - - -
4 Ondansetron 4 mg/2 ml inj. Tablet - 50 0 40 - 60
- -
(54) ANTI HIPERKOLESTEROLEMIA - -
1 Gemfibrozil kapsul 300 mg Tablet - 0 400 -
2 Kalsium Atorvastatin Ampul 600 - - 510 900
3 Lipitor 20 mg Ampul - - -
Simvastatin tab 10 mg - 5,040 - 600
(55) - - -
1 NOOTROPIK Botol 60 ml - - -
2 Piracetam 400 mg Tablet - 0 400 100 500
Piracetam inj 1 g/5 ml
(56) Piracetam inj 3 g / 15 ml -
1 Bungkus -
2 IMMUNDILATOR Bungkus -
3 Imunos sirup Botol
4 Imunos tablet Bungkus
5 Bungkus
6 PROGRAM GIZI Bungkus
7 Biskuit Bungkus
8 Biskuit MP-ASI Bungkus
9 Iodina Test Sachet
10 Susu Dancow Botol 60 ml
Susu Mineral Mix
(57) Susu Mom and Me
1 Susu Pan-Enteral tablet
2 Susu Proten pcs
3 Taburia paket
4 Zink Sirup paket
5 paket
6 PROGRAM P2PL pcs
7 Albendazole 400 mg pcs
8 Box Slide pcs
9 OAT FDC pcs
10 OAT FDC Anak pcs
11 OAT FDC Kategori II set
12 Obyek Glass pcs
13 Reagen Intech bungkus
Reagen Oncoprobe
(58) Reagen SD HIV
1 Reagen Vikia pcs
2 Reagen Zn tablet
3 Sputum Pot pcs
4 Susu Proten pcs
5 tablet - -
6 PROGRAM GANGGUAN JI pcs - - -
7 Alkohol swab tablet - - - -
8 Amitriptilin 25 mg ampul - 0 - - - -
9 Anuscope tablet - - -
10 Blue Tape tablet - -
11 Clozapin 25 mg pcs 300 150 200 - - 4,150 250
12 Combipack pcs - - -
13 Carbamazepin tab tablet 400 - 1,400 -
14 Haldol inj. 5mg/ml tablet - -
15 Haloperidol 1.5 mg ampul - -
16 Haloperidol 5 mg tablet 3,000 - - - 1,600
17 Handscoon pcs - -
18 Holder Prontho pcs - -
19 Clozapin 100 mg tablet - - 400
20 Klorpromazin 25 mg tablet - 0 -
21 Haloperidol inj (Lodomer) pcs 24 72
22 Lodomer Drop pcs 5 6
23 Mantoux tab tablet
24 Micropipet tablet
pH Paper
(59) Sikzonoate 25 mg inj 8
1 Risperidon 2 mg Botol 10 g - 200 0 800 - 1,000 1,000 2,900
2 SD Reagen Syphillis Botol 6,5 g - 0 - - -
3 Tabung Vacutainer Merah Set - 0 - - -
4 Trifluoperazin 5 mg Botol 7,5 g - 0 - - -
5 Triheksifenidil 5 mg Botol - 0 - - -
6 Set - 0 - - -
7 OBAT GIGI Syringe 12 g - 0 - - -
8 Alvogyl (Septodont) Botol 10 ml - 1 0 - - -
9 Caustener rapid Botol 10 ml - - 0 - - -
10 Cavit (Tumpatan sementara) Set - - 0 - - - -
11 Cresophene (Septodont)/Cres Set - 2 0 - - - -
12 Elite semen Tube - 2 0 - - - -
13 Estelite Composite Botol 20 ml - 3 0 - - - -
14 Ectsa gel (Denta merica) Botol 7 g - - 0 - - - -
15 Eugenol Pcs - 4 0 - - - -
16 Forinokresol / Formocresol Botol - 2 0 - - - -
17 Glass Ionomer Cement (Fuji I Botol - 3 0 - - - 2
18 Glass Ionomer Cement (Fuji I Botol 15 ml - - 0 - - - -
19 Kalsium Hidroksida pasta Tablet - 2 0 - - - -
Klorfenol Kamfer Mentol (CHKM) 2 - -
(60) Mumifying pasta/Cresotin Pasta 2
1 Spongostan Tube 100 0 - - -
2 Te-econom bond Botol 10 ml - - 0 - - -
3 Temporary Stopping Fletcher Botol 60 ml - - 0 - - - 2
4 Tooth Cleansing (Occo)/ Polir Botol 10 ml 2 - -
Vinafluor 200
(61) -
1 OBAT TOPIKAL MULUT Pcs -
2 Bufacomb Iob (Zenith) Pcs 48 48
3 Gentian violet 1% Pcs - 0 - - -
4 Minosep gargle 0.2% Pcs - 0 - -
5 Polikresulen (Metakresol) Pcs - 0 - -
6 Pcs - 0
7 BAHAN MEDIS HABIS PAKA Vial - 0 - -
8 Alat suntik 1xpakai 0.05 ml Botol 500 ml - 0 -
9 Alat suntik 1xpakai 0.5 ml Pcs - 0
10 Alat suntik 1xpakai 1 ml Pcs - 0 200 -
11 Alat Suntik 1xpakai 3 ml Sachet - 1,000 0 1,000 - 1,800 1,000
12 Alat suntik 1xpakai 5 ml Sachet - 0 - - -
13 Alat suntik 1xpakai 10 ml Pcs - 0 - 200
14 Aqua pro injeksi Pcs - 0 120 - 120
15 Aquadest steril 500 ml Pcs - 0 - 10
16 Blood Lancet Pcs - 0 - -
17 Blue tape Pcs - 0 20 - -
18 Cat-gut dg jarum 2/0 (Cromic Pcs - 0 10 - -
19 Cat-gut dg jarum 3/0 (Plain) Pcs 3 - -
20 Catton swap Pcs -
21 Cerplast Pcs -
22 Cover glass Pcs -
23 Folley Cath 12 Pcs -
24 Folley Cath 16 Pcs - 0 20 - -
25 Folley Cath 18 Pcs - 0 10 - -
26 Folley Cath 20 Pcs - - - -
27 Folley Cath 22 Rol - 0 - -
28 Gelang Bayi Lahir Pcs - -
29 Gelang Ibu Melahirkan Pcs - - -
30 Handscoon Panjang Pcs - 0 - - -
31 Handscoon uk. L Pcs - 0 - - -
32 Handscoon uk. M Pcs - 0 - -
33 Handscoon uk. S Pcs - 0 - -
34 Hipavix 5 x 5 m Pcs - 10 0 - 11 30 30
35 Holder Pronto Pcs - -
36 I.V. Catheter 16 Pcs - 0 -
37 I.V. Catheter 18 Pcs - 100 0 - -
38 I.V. Catheter 20 Pcs - 100 0 - 100
39 I.V. Catheter 22 Pcs - - 0 - 100
40 I.V. Catheter 24 Pcs - 100 0 -
41 Infusion set anak Pcs -
42 Infusion set dewasa Pcs - 100 -
43 Infusion set dewasa Bungkus 50 200 - 100
44 Jarum jahit (bedah) no. 13 Bungkus 0 36 -
45 Jarum jahit (bedah) no. 14 Rol
46 Jarum jahit (bedah) no. 16 Rol
47 Jarum jahit (bedah) no. 11 Pcs
48 Jarum jahit (bedah) no. 15 Rol - 0 - -
49 Jarum Jahit (bedah) no. 12 Rol - - -
50 Jarum Suntik no. 25 Rol - 0 800 -
51 Jarum Vacutainer 21 Rol - 0 - -
52 Jarum Vacutainer 22 Pcs - 0 - -
53 Kapas berlemak 500 g Pcs - 0 - -
54 Kapas pembalut 250 g Pcs - 12 0 10 - 20
55 Kasa elastis 3x4 cm Pcs - 0 - 20
56 Kasa elstis 4x10 cm Pcs - 0 -
57 Kasa kompres 40/40 steril Pcs - 0 -
58 Kasa Pembalut 1 yard 40m x Pcs - 0 -
59 Kasa pembalut 2 m x 80 cm Pcs - 0 50
60 Kasa pembalut hid 4 x 10 cm Pcs - 0 - 200
61 Kasa pembalut hid 4 x 5 cm Pcs - 100 0 - 200
62 Kasa Steril 16 x 16 cm Pcs 100 - -
63 Kertas Puyer Pcs - -
64 Lomatull Pcs 100 200 - 100 100
65 Masker Pcs 25 - 40 10 10
66 Masker O2 anak Rol - 0 -
67 Masker O2 dewasa Rol - - -
68 Mesh 11 Lancip Pcs - -
69 Mesh 11 Lancip Pcs - 200 -
70 Microburet Sachet - 0 -
71 Nasal Canula Anak Sachet - 0 -
72 Nasal Canula Dewasa Sachet - 0 - -
73 Needle Novofine Pcs - 0 -
74 Obyek glass Pcs -
75 Pipet thoma Erythrocyt Pcs -
76 Pipet thoma Leucocyt Pcs
77 Plester 2.5 cm x 4.5 m Pcs 15
78 Plester 7.5 cm x 4.5 m Pcs
79 Pot urine 10 ml Kotak
80 Sharp Collector Pcs
81 Silk (benang bedah sutra) dg Pcs
82 Silk jarum 2/0 Pcs - 0 36 -
83 Silk jarum 3/0 Pcs 12 24
84 Slim Zuiker Pcs 25
85 Sputum pot Pcs
86 Tab. Kapiler Hematokrit Pcs
87 Tabung Vacutainer Kuning Pcs
88 Tabung Vacutainer Merah Pcs
89 Tabung Vacutainer Ungu Pcs
87 Tissue Lensa injek
JML

2500
13500
15000
0
500
2250
13200
300
100
0
6200
0
0
200
500
0
30
0
25000
700
1500
0
70
50
200
0
300
0
0
0
0
0
0
0
17
0
0
0
5
0
0
2000
0
400
60
700
0
400
0
0
9000
164
1300
12410
0
1025
15
0
0
200
16000
0
0
14300
0
0
0
700
2800
0
0
500
3300
0
0
0
0
0
34500
3000
1000
8500
800
0
1200
0
0
0
0
0
0
0
0
0
500
0
0
0
0
0
0
260
0
0
4400
1000
5500
0
0
0
0
60
4000
0
2500
0
0
8200
0
51500
0
3000
0
210
144
0
0
0
0
0
8200
0
0
50
2000
0
0
33800
300
0
0
0
14030
0
500
6400
500
0
0
24
60
60
0
0
0
0
1000
5850
0
0
24
1000
5600
320
2000
0
0
0
486
66
100
0
0
200
1000
45
0
900
0
0
0
0
11160
150
0
1250
0
0
0
40
0
20
0
0
0
0
0
0
10000
60000
0
0
0
0
0
0
600
34000
1700
24
0
1300
0
500
2700
150
22500
0
80
50
0
2000
1020
0
7000
0
0
21500
0
27200
46000
0
0
53500
0
420
0
0
0
120
100
18000
0
0
2600
0
150
0
5000
0
0
0
0
1500
0
0
2400
5000
0
2000
300
1900
0
0
0
0
7600
0
0
0
2400
250
0
0
2700
1500
600
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
118
0
0
156
0
1
10
0
22
20
20
0
0
17010
0
0
500
0
0
7000
0
0
0
0
0
100
0
0
0
0
0
700
0
10
10
0
0
0
0
0
0
0
0
2
20
0
0
1000
200
100
0
0
900
0
0
150
300
120
0
0
15
0
0
0
0
100
110
48
100
0
0
48
0
312
0
0
192
30
0
0
24
0
0
0
210
0
0
0
0
0
0
0
0
24
0
0
0
50
120
0
0
0
0
0
0
120
0
0
130
0
0
144
0
0
0
0
0
30
0
0
0
300
0
0
4600
0
200
0
360
150
0
0
400
2010
0
5640
0
0
1000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5050
0
1800
0
0
4600
0
0
400
0
96
11
0
0
0
8
5900
0
0
0
0
0
0
1
0
0
2
2
3
0
4
2
5
0
2
2
2
100
0
2
2
200
0
0
96
0
0
0
0
0
0
0
200
4800
0
200
240
10
0
20
10
3
0
0
0
0
20
10
0
0
0
0
0
0
0
0
81
0
0
100
200
100
100
0
100
350
36
0
0
0
0
0
800
0
0
0
42
20
0
0
0
50
200
300
100
0
500
85
0
0
0
200
0
0
0
0
0
0
0
15
0
0
0
0
36
36
25
0
0
0
0
0
0

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