DATA PERSEDIAAN OBAT DAN BMHP PUSKESMAS KAB.

OKI
PER 30 DESEMBER 2020

Harga Satuan
Jumlah Jumlah
(Rp) menurut
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan Nilai (Rp)
harga pembelian
catatan Fisik)
terakhir
1 2 3 4 5 6 7 8=4x7

Absorbent tipped applicator (alcohol

1 swab) 11,967 11,967 - Pcs 132.00 1,579,644.00
2 Acetylcystein Kapsul 200mg 37,060 37,060 - Kapsul 381.00 14,119,860.00
3 Acyclovir tab 200 mg 6,229 6,229 - Tablet 720.00 4,484,880.00
4 Acyclovir cream 1,869 1,869 - Tube 3,220.00 6,018,180.00
5 Albendazol tab 400 mg 4,735 4,735 - Tablet 452.00 2,140,220.00
6 Alkohol Liquid (etanol) 70%-1000 ml 233 233 - Tablet 30,250.00 7,048,250.00
7 Allopurinol 100 mg 74,928 74,928 - Tablet 105.00 7,867,440.00
8 Aminophylline Inj 24 mg/ml-10 ml 1,275 1,275 - Ampul 2,976.00 3,794,400.00
9 Aminophylline tab 200 mg 9,894 9,894 - Tablet 96.00 949,824.00
10 Amitriptyline 25 mg tab 13,130 13,130 - Tablet 168.00 2,205,840.00
11 Amlodipine tab 5 mg 65,535 65,535 - Tablet 78.00 5,111,730.00
12 Amoxycillin Syr 5,327 5,327 - Btl 2,871.00 15,293,817.00
13 Amoxycillin 250 mg 15,455 15,455 - Kapsul 272.00 4,203,760.00
14 Amoxycillin 500 mg 234,549 234,549 - Kaptab 216.00 50,662,584.00
15 Ampicilin 1 gr Inj 345 345 - Vial 1,286.00 443,670.00
16 Antasida Syr DOEN 5,071 5,071 - Btl 2,189.00 11,100,419.00
17 Antasida DOEN Kombinasi 182,395 182,395 - Tablet 60.00 10,943,700.00
18 Anti Bisa Ular 5 ml (ABU I)/ Biosave 13 13 - Ampul 512,204.00 6,658,652.00
19 Asam Mefenamat 500 mg tab 31,862 31,862 - Tablet 178.20 5,677,808.40
20 Ascorbic acid (Vit.C) 50 mg 122,936 122,936 - Tablet 112.00 13,768,832.00
Ascorbic acid |calsium carbonate 500
21 mg (Pehavral) - - - Tablet -
22 Aspirin (miniaspi) 100 mg tab 11,033 11,033 - Tablet 105.00 1,158,465.00
23 Atropine inj 0,25 mg/ml 66 66 - Ampul 1,694.00 111,804.00
24 Attapulgite Tablet (Pularex) 11,183 11,183 - Tablet 171.00 1,912,293.00
Attapulgite Tablet 600 mg (New
25 Antides) 8,809 8,809 - Tablet 145.00 1,277,305.00
Automated blood grouping (Tes Gol.
26 Darah) 10 10 - Paket 377,278.0 3,772,780.00
Bahan Tambal Gigi Sementara
27 (Fletcher/Caviton) 2 2 - Pcs 154,000.0 308,000.00
28 Bedak Salisil 2% 369 369 - Btl 3,600.00 1,328,400.00
Benzoic acid |salicylic acid salep (anti
29 fungi) 1,947 1,947 - Tube 2,938.00 5,720,286.00
30 Betahistine Mesylate 6 mg tab 46,289 46,289 - Tablet 110.00 5,091,790.00
31 Betamethasone 0,1% krim 3,165 3,165 - Tube 1,430.00 4,525,950.00
32 Bisacodyl 5mg - - - Tablet 327.00 -
33 Bismuth subgallas (antihemoroid) 2,789 2,789 - Pot 3,325.00 9,273,425.00
34 Calcium chloride lactate infus (RL) 5,756 5,756 - Botol 7,630.00 43,918,280.00
35 Calsium Laktat (Kalk) 500 mg 96,181 96,181 - Tablet 63.00 6,059,403.00
36 Captopril 12,5 mg 30,244 30,244 - Tablet 68.00 2,056,592.00
37 Captopril 25 mg 19,911 19,911 - Tablet 143.00 2,847,273.00
38 Carbamazepin tab 27,675 27,675 - Tablet 247.00 6,835,725.00
Catgut/Benang Chromic Bedah
39 No.2/0-3/0 2,849 2,849 - Pcs 5,500.00 15,669,500.00
Catgut/Benang Plain Bedah No.2/0-
40 3/0 2,999 2,999 - Pcs 5,500.00 16,494,500.00
41 Cefadroxil 500mg - - - Tablet -
42 Cetirizine 5 mg/5 ml sirup 1,553 1,553 - Botol 2,973.00 4,617,069.00
43 Chloramhenicol Salep Mata 1% 2,460 2,460 - Tube 2,007.00 4,937,220.00
 Harga Satuan
Jumlah Jumlah
(Rp) menurut
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan Nilai (Rp)
harga pembelian
catatan Fisik)
terakhir
1 2 3 4 5 6 7 8=4x7

44 Chloramphenicol Suspensi 125 mg/ml 526 526 - Btl 5,168.00 2,718,368.00

45 Chloramphenicol 250 mg caps 10,734 10,734 - Tablet 680.00 7,299,120.00
46 Chloramphenicol TT 3% - - - Botol -
Chloramphenicol/ Hidrokortison krim
47 2,5% 3,030 3,030 - Tube 2,476.00 7,502,280.00
48 Chlorpheniramine Maleat (CTM) 4 mg 151,308 151,308 - Tablet 46.00 6,960,168.00
49 Chlorpromazine HCl 100 mg 48,214 48,214 - Tablet 250.00 12,053,500.00
50 Cimetidin 200 tab - - - Tablet -
51 Ciprofloxacin 500 mg tab 4,661 4,661 - Tablet 524.00 2,442,364.00
52 Ciprofloxacin Infus 58 58 - Botol 10,029.00 581,682.00
53 Clindamycin 300mg 2,049 2,049 - Kapsul 3,070.0 6,290,430.00
54 Cresol liquid 1 Liter (lysol) 199 199 - Botol 44,770.00 8,909,230.00
Cyanocobalamin (Vit B12) inj 500
55 mcg/ml 2,162 2,162 - Ampul 1,136.00 2,456,032.00
56 Devitalisasi pasta 1 1 - pot 220,000.0 220,000.00
57 Dexamethasone 0,5 mg 24,457 24,457 - Tablet 116.00 2,837,012.00
58 Dexamethasone inj 5mg/ml-1ml 3,435 3,435 - Ampul 1,152.00 3,957,120.00
59 Diazepam 5mg/ml-2 ml inj 321 321 - Ampul 1,822.00 584,862.00
60 Diazepam 2 mg 3,860 3,860 - Tablet 86.00 331,960.00
61 Diclofenac sodium 25 mg tab 80,817 80,817 - Tablet 136.00 10,991,112.00
62 Digoxin 0,25 mg 20,524 20,524 - Tablet 104.00 2,134,496.00
63 Dimenhydrinate 50mg 7,659 7,659 - Tablet 110.00 842,490.00
64 Dipenhidramine HCl inj 10mg/ml 4,561 4,561 - Ampul 1,114.00 5,080,954.00
65 Domperidone 10 mg 45,324 45,324 - Tablet 86.00 3,897,864.00
66 Doxycycline 100 mg Kapsul 1,800 1,800 - Kapsul 280.00 504,000.00
67 Epinephrine HCl/bitartrat inj 0,1% 323 323 - Btl 1,408.00 454,784.00
68 Erythromicin Syr 760 760 - Btl 3,721.00 2,827,960.00
69 Erythromicin 500 mg capsul 27,134 27,134 - Kapsul 785.00 21,300,190.00
70 Ethacridine (Rivanol) 0,1% 360 360 - Btl 3,600.00 1,296,000.00
71 Ethanol ( Aseptan ) 500 cc+ Pump 250 250 - Botol 40,293.00 10,073,250.00
72 Eugenol cairan 33 33 - Btl 19,765.00 652,245.00
Ferrous fumarate ( Tab. Tambah
73 Darah ) 120,898 120,898 - Tablet 372.00 44,974,056.00
74 Folic acid 1mg ( asam folat) 210 210 - Tablet 79.00 16,590.00
75 Folley Catheter No.16 417 417 - Pcs 15,318.00 6,387,606.00
76 Furosemida Injeksi 424 424 - Ampul 1,333.00 565,192.00
77 Furosemida 40 mg 41,683 41,683 - Tablet 82.00 3,418,006.00
78 Garam Oralit 5,627 5,627 - Sachet 274.00 1,541,798.00
79 Gentamicyn 0,3% TM 2,675 2,675 - Botol 4,452.00 11,909,100.00
80 Gentamicyn Inj 40 mg/ml 123 123 - Ampul 3,685.00 453,255.00
81 Gentamicyn 0,1% SK 277 277 - Tube 3,850.00 1,066,450.00
82 Glass lonomer 1 1 - Paket 781,000.0 781,000.00
83 Glibenclamide 5 mg 56,613 56,613 - Tablet 125.00 7,076,625.00
84 Glimepiride 1 mg 30,278 30,278 - Tablet 174.00 5,268,372.00
85 Glukosa larutan infus 10% 650 650 - Botol 8,003.00 5,201,950.00
86 Glukosa larutan infus 5% 1,959 1,959 - Botol 7,363.00 14,424,117.00
87 Griseofulvin 125 mg 4,661 4,661 - Tablet 952.00 4,437,272.00
88 Guaifenesin 100 Tab/GG Tab 146,153 146,153 - Tablet 119.00 17,392,207.00
89 Haloperidol 0,5 mg tab - - - Tablet -
90 Haloperidol 5 mg tab 72,891 72,891 - Tablet 60.00 4,373,460.00
Human chorionic (HCG/Tes kehamilan
91 ) 3,357 3,357 - Strip 2,090.00 7,016,130.00
92 Hydrochlorotiazide (HCT) 25 mg 6,689 6,689 - Tablet 163.00 1,090,307.00
93 Ibuprofen sirup 2,091 2,091 - Botol 2,776.00 5,804,616.00
94 Ibuprofen 200 mg 746 746 - Tablet 108.00 80,568.00
 Harga Satuan
Jumlah Jumlah
(Rp) menurut
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan Nilai (Rp)
harga pembelian
catatan Fisik)
terakhir
1 2 3 4 5 6 7 8=4x7

95 Ibuprofen 400 mg 38 38 - Tablet 524.00 19,912.00

96 Ichthyol salep 10% - - - Pcs -
Immunoglobulin human anti-tetanus
97 (Tetagam) 73 73 - Pcs 188,663.00 13,772,399.00
98 Infus set dewasa 6,318 6,318 - Pcs 3,520.00 22,239,360.00
99 Infusi set anak 3,936 3,936 - Pcs 3,850.00 15,153,600.00
100 Iodium Povidon 10% 30 ml 1,817 1,817 - Botol 3,520.00 6,395,840.00
101 Isosorbide tablet 7,492 7,492 - Tablet 89.00 666,788.00
102 IV Catheter No.20 3,341 3,341 - Pcs 5,869.00 19,608,329.00
103 IV Catheter No.22 2,711 2,711 - Pcs 5,869.00 15,910,859.00
104 IV Catheter No.24 2,535 2,535 - Pcs 5,869.00 14,877,915.00
105 Jarum Jahit Kulit 140 140 - Pcs 500.0 70,000.00
106 Kalium Permanganat Serbuk - - - Pcs -
107 Kapas pembalut/Absorben 250 g 435 435 - Pcs 13,750.00 5,981,250.00
108 Kasa pembalut 2x80 1,491 1,491 - Pcs 8,470.00 12,628,770.00
109 Kasa pembalut hidrofil 4 m x 15 cm 3,851 3,851 - Pcs 2,310.00 8,895,810.00
110 Kasa pembalut hidrofil 4 m x 3 cm 2,292 2,292 - Pcs 649.00 1,487,508.00
111 Kasa kompres 40/40 steril 4,484 4,484 - Pcs 1,760.00 7,891,840.00
112 Ketoconazole 200 mg Cream 3,079 3,079 - Tube 2,518.00 7,752,922.00
113 Ketoconazole 200 mg tab 9,331 9,331 - Tablet 297.00 2,771,307.00
114 Klorokina Fosfat 250 mg - - - Tablet -
115 Levertran Salep/ Salep Luka Bakar 422 422 - Btl 4,200.0 1,772,400.00
116 Lidocain 2% 14 14 - Ampul 1,283.00 17,962.00
117 Lidokain Comp. inj Kombinasi 5,062 5,062 - Ampul 1,286.00 6,509,732.00
118 Lidocaine spray (Xylocaine spray) 3 3 - Pcs 177,216.0 531,648.00
119 Liquorice liquid extract (OBH) 23 23 - Botol 2,990.0 68,770.00
120 Locoriz Cream - - - Tablet -
121 Loperamid 2 mg tab / Diastrix 2 mg 7,443 7,443 - Tablet 123.00 915,489.00
122 Loratadine 10 mg tab 40,709 40,709 - Tablet 133.00 5,414,297.00
Magnesium Sulfat Injeksi 20%
123 (MgSO4) 213 213 - Ampul 3,320.00 707,160.00
Magnesium Sulfat Injeksi 40%
124 (MgSO4) 125 125 - Ampul 3,796.00 474,500.00
125 Masker 3,635 3,635 - Pcs 1,490.00 5,416,150.00
Medical adhesive tape
126 (dermafix/leukomed) 1,330 1,330 - Pcs 2,053.00 2,730,490.00
127 Metamizole injeksi (antalgin 1000) 327 327 - Ampul 3,675.00 1,201,725.00
128 Metformin 500mg tab 68,378 68,378 - Tablet 273.00 18,667,194.00
Methyl Ergometrin Maleat inj 0,2
129 mg/ml 167 167 - Ampul 3,102.00 518,034.00
130 Methyl Ergometrin Maleat 0,125 mg 29,147 29,147 - Tab 222.00 6,470,634.00
131 Methyl Prednisolon tab 4 mg 34,223 34,223 - Tablet 440.00 15,058,120.00
132 Methyl Rosanilinium (gentian violet) 144 144 - Botol 3,500.0 504,000.00
133 Metronidazol 250 mg tab 3,433 3,433 - Tablet 91.00 312,403.00
134 Metronidazol 500 mg tab 5,427 5,427 - Tablet 106.00 575,262.00
135 Metronidazol Infus 203 203 - Botol 8,250.00 1,674,750.00
136 Metronidazol syr 193 193 - Botol 3,950.00 762,350.00
137 Miconazole 2% Salep Kulit 2,635 2,635 - Tube 3,585.00 9,446,475.00
138 Momilen Baby Gold Sirup - - - Botol -
139 Natrium Bikarbonat 500 mg 2,430 2,430 - Tablet 110.6 268,855.20
140 Nifedipin 10 mg tab 2,515 2,515 - Kapsul 131.0 329,465.00
141 Nystatin Tab Vag 10.000 iu/g 6,563 6,563 - Tablet 630.00 4,134,690.00
142 Omeprazole inj 347 347 - Vial 9,999.00 3,469,653.00
143 Omeprazole kaps 48,788 48,788 - Tablet 330.00 16,100,040.00
144 Oxytetracycline HCl 1% Salep Mata 1,403 1,403 - Tube 2,774.00 3,891,922.00
145 Oxytetracycline HCl 3% Salep Kulit - - - Tube -
 Harga Satuan
Jumlah Jumlah
(Rp) menurut
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan Nilai (Rp)
harga pembelian
catatan Fisik)
terakhir
1 2 3 4 5 6 7 8=4x7

146 Oxytocin inj 10 IU 163 163 - Ampul 1,199.00 195,437.00

147 Papaverin 40 mg tab - - - Tablet -
148 Papaverin inj - - - Tablet -
149 Paracetamol Drops 15 ml 149 149 - Botol 6,981.00 1,040,169.00
150 Parasetamol 120 mg/5 ml Syr 6,190 6,190 - Botol 1,181.00 7,310,390.00
151 Parasetamol 500 mg 288,404 288,404 - Tablet 89.10 25,696,796.40
152 Patient Lubricant (My Jelly ) 58 58 - Tube 29,550.00 1,713,900.00
153 Permethrin (Scabimite Cream) 744 744 - Tube 11,825.00 8,797,800.00
154 Phenobarbital inj 50mg/ml-2ml 380 380 - Ampul 2,081.00 790,780.00
155 Phenobarbital 30 mg 11,146 11,146 - Tablet 180.00 2,006,280.00
156 Phenol gliserol 10% TT 552 552 - Botol 2,764.00 1,525,728.00

157 Phytomenadione (Vit.K1) inj 10 mg/ml 2,091 2,091 - Ampul 3,867.00 8,085,897.00
158 Phytomenadione (Vit.K1) 10 mg 36,492 36,492 - Tablet 797.00 29,084,124.00
159 Piracetam 400 mg 6,890 6,890 - Tablet 540.0 3,720,600.00
160 Piroxicam 20 mg tab 9,607 9,607 - Tablet 153.00 1,469,871.00
161 Pisau Disposable (Mess No.14/21) 244 244 - pisau 3,000.0 732,000.00
162 Plesterku (Leukoplast) 546 546 - Pcs 12,675.00 6,920,550.00
Polivalen serum (Anti Tetanus Inj.
163 1500 iu/Biosat) 3 3 - Ampul 130,999.0 392,997.00
164 Povidon iodium 10% 300 ml 597 597 - Botol 23,100.00 13,790,700.00
165 Prednison 5 mg 109,124 109,124 - Tablet 77.00 8,402,548.00
166 Primaquin 15 mg tab 2,978 2,978 - Tablet 242.00 720,676.00
167 Profolat tab - - - Tablet -
168 Prokaina Penisilin G inj 3.000.000 iu - - - Ampul -
169 Propranolol HCl 10 mg 13,270 13,270 - Tablet 61.00 809,470.00
170 Propranolol HCl 40 mg 12,390 12,390 - Tablet 85.00 1,053,150.00
171 Propylthiouracil 100 mg 1,110 1,110 - Tablet 460.00 510,600.00
172 Protein Gluco Test 340 340 - Strip 1,097.30 373,082.00
173 Pyrantel Pamoat 125 mg 10,459 10,459 - Tablet 322.00 3,367,798.00
174 Pyridoxine HCl 10 mg 30,506 30,506 - Tablet 138.00 4,209,828.00
175 Ranitidin 150 mg 5,217 5,217 - Tablet 352.0 1,836,384.00
176 Ranitidin Injeksi - - - Ampul 1,188.00 -
177 Retinol (Vit.A) kaps 100.000 iu 26,744 26,744 - Tablet 322.00 8,611,568.00
178 Retinol (Vit.A) kaps 200.000 iu 34,355 34,355 - Tablet 579.00 19,891,545.00
179 Risperidone 2mg 60,351 60,351 - Tablet 287.00 17,320,737.00
180 Salbutamol 2 mg 70,934 70,934 - Tablet 67.00 4,752,578.00
181 Salep 2-4 Kombinasi 1,096 1,096 - Tube 2,938.00 3,220,048.00
Sarung tangan (HandScuun) no 7,5 /
182 M 708 708 - Pcs 409.63 290,018.04
Sarung tangan (HandScuun Steril) No.
183 6,5 30 30 - Pcs 7,500.0 225,000.00
Sarung tangan (HandScuun Steril)
184 No.7 5 5 - Pcs 7,500.0 37,500.00
Sarung tangan (HandScuun Steril)
185 No.7,5 - - - Pcs 4,807.0 -
186 Semen Seng Fosfat Serbuk & Cairan - - - Set -
187 Sianocobalamin (Vit B12) 50 mg tab 105,786 105,786 - Tablet 50.00 5,289,300.00
188 Silk (Benang Bedah) No. 3/0 2,297 2,297 - Pcs 3,055.80 7,019,172.60
189 Silver Sulfadiazine 76 76 - Tube 20,700.00 1,573,200.00
190 Simvastatin 10 mg tab 28,592 28,592 - Kapsul 117.00 3,345,264.00
191 Sodium cloride infus 0,9% ( NACL ) 2,884 2,884 - Botol 6,840.00 19,726,560.00
192 Spuit 1 ml 15,581 15,581 Pcs 715.00 11,140,415.00
193 Spuit 3 ml 34,022 34,022 Pcs 856.90 29,153,451.80
194 Spuit 5 ml 15,309 15,309 Pcs 1,064.80 16,301,023.20
 Harga Satuan
Jumlah Jumlah
(Rp) menurut
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan Nilai (Rp)
harga pembelian
catatan Fisik)
terakhir
1 2 3 4 5 6 7 8=4x7

Sulfadoxine | Pyrimethamine Tablet

195 500mg|25mg 3,703 3,703 Tablet 647.00 2,395,841.00
Sulfamethoxazole | trimethoprim
196 (cotri) syr 5,815 5,815 Botol 2,190.00 12,734,850.00
197 Sulfasetamida 15% TM - - Ampul -
198 Tetracycline 250 mg 12,055 12,055 Tablet 169.0 2,037,295.00
199 Tetracycline 500 mg 36,000 36,000 Tablet 323.00 11,628,000.00
200 Thiamine HCl (Vit B1) inj 100 mg/ml 6 6 Ampul 1,182.0 7,092.00
201 Thiamine HCl (Vit B1) 50 mg 77,452 77,452 Tablet 92.00 7,125,584.00
202 Trihexyphenidyl tab 2 mg 58,840 58,840 Tablet 93.00 5,472,120.00
Trimethoprim (cotrimoxazol 480 mg)
203 tablet 91,552 91,552 Tablet 319.00 29,205,088.00
204 Urin Bag 466 466 Pcs 3,000.00 1,398,000.00
205 Usg Gel 57 57 Botol 15,100.80 860,745.60
206 Vaksin Rabies Vero/ Verorab - - Paket -
207 Vitamin B Kompleks 135,285 135,285 Tablet 131.00 17,722,335.00
208 Vitamin K Infant Inj - - Ampul -
209 Water liquid (aqua P,I) 1,271 1,271 Botol 2,860.00 3,635,060.00
210 Wing Needle No.21 65 65 Pcs 1,778.00 115,570.00
211 Wing Needle No.27 99 99 Pcs 1,778.00 176,022.00
Zinc Sulphate Suppositoria
212 (Superhoid) - - Kapsul -
213 Zinc tab 40,747 40,747 Tablet 551.00 22,451,597.00
214 Ondansetron iv/im 4mg 354 354 Ampul 1,098.00 388,692.00
215 Tranexamic Acid inj 5% 334 334 Ampul 1,748.00 583,832.00
216 Poliwash 500 ml 57 57 Botol 58,300.00 3,323,100.00
217 Policlean Handrub 48 48 Botol 78,200.00 3,753,600.00
218 Sarung tangan (HandScuun) L 1,164 1,164 Pcs 409.63 476,809.32
219 Cefotaaxime Sodium inj 1gr 441 441 Vial 4,571.00 2,015,811.00
220 Methyl Prednisolon tab 16 mg 1,055 1,055 Tablet 551.00 581,305.00
221 Lancet 3,788 3,788 Pcs 111.32 421,680.16
222 Strip kolestrol - - Pcs -
223 Strip Gula Darah - - Pcs -
224 Strip Asam Urat - - Pcs -
225 Nonwoven Fixation Rool 28 28 Pcs 49,244.00 1,378,832.00
226 Parasetamol 1000mg/100ml 88 88 Botol 12,389.00 1,090,232.00
227 Otsu D-40 25ml 320 320 Botol 2,190.00 700,800.00
228 Ketorolac inj 30mg 17 17 Ampul 29,900.00 508,300.00
229 Dulcolax tab 237 237 Tablet 1,340.00 317,580.00
230 Ibupropen 400mg.1 11,648 11,648 Tablet 350.00 4,076,800.00
231 Permethrin (Scabimite Cream).1 34 34 Tube 43,500.00 1,479,000.00
232 Masker Plus - - Pcs 506.00 -
233 Erythromicin 250 mg capsul 12,710 12,710 Kapsul 615.00 7,816,650.00
234 Acyclovir tab 400 mg 38,820 38,820 Tablet 426.00 16,537,320.00
235 Poli Aid 1 liter - - Pcs 129,400.00 -
236 Mesker KN95 14,960.00

JUMLAH Rp. 1,289,406,778.72

Mengetahui Kayuagung, 30 Desember 2020

Kepala Dinas Kesehatan Kab. OKI Kepala Instalasi Farmasi Dinkes
 Harga Satuan
Jumlah Jumlah
(Rp) menurut
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan Nilai (Rp)
harga pembelian
catatan Fisik)
terakhir
1 2 3 4 5 6 7 8=4x7

Iwan Setiawan, SKM, M.Kes Himayanti, S.Si, Apt

NIP. 197303051998031005 NIP. 197702212005012005
 DATA PERSEDIAAN OBAT INSTALASI FARMASI DINKES OKI
PER 30 DESEMBER 2020

Jumlah Jumlah Harga Satuan (Rp)

No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan menurut harga Nilai (Rp)
catatan Fisik) pembelian terakhir

1 2 3 4 5 6 7 8=4x7

1 Acetylcystein Kapsul 200mg 184,500 184,500 - Kapsul 381.00 70,294,500.00

2 Acyclovir tab 200 mg - - - Tablet - -
3 Acyclovir cream 2,550 2,550 - Tube 3,220.00 8,211,000.00
4 Albendazol tab 400 mg 10,860 10,860 - Tablet 452.00 4,908,720.00
5 Alkohol Liquid (etanol) 70%-1000 ml 1,232 1,232 - Tablet 30,250.00 37,268,000.00
6 Allopurinol 100 mg 516,600 516,600 - Tablet 105.00 54,243,000.00
7 Aminophylline Inj 24 mg/ml-10 ml - - - Ampul 2,976.00 -
8 Aminophylline tab 200 mg - - - Tablet 96.00 -
9 Amitriptyline 25 mg tab 21,800 21,800 - Tablet 168.00 3,662,400.00
10 Amlodipine tab 5 mg 144,600 144,600 - Tablet 78.00 11,278,800.00
11 Amoxycillin Syr - - - Btl 2,871.00 -
12 Amoxycillin 250 mg - - - Kapsul 272.00 -
13 Amoxycillin 500 mg 1,173,800 1,173,800 - Kaptab 216.00 253,540,800.00
14 Ampicilin 1 gr Inj 74 74 - Vial 1,286.00 95,164.00
15 Antasida Syr DOEN 5,300 5,300 - Btl 2,189.00 11,601,700.00
16 Antasida DOEN Kombinasi 859,400 859,400 - Tablet 60.00 51,564,000.00
17 Anti Bisa Ular 5 ml (ABU I)/ Biosave - - - Ampul 512,204.00 -
18 Asam Mefenamat 500 mg tab 9,200 9,200 - Tablet 178.20 1,639,440.00
19 Ascorbic acid (Vit.C) 50 mg 253,700 253,700 - Tablet 112.00 28,414,400.00
Ascorbic acid |calsium carbonate 500
20 mg (Pehavral) - - - Tablet -
21 Aspirin (miniaspi) 100 mg tab - - - Tablet 105.00 -
22 Atropine inj 0,25 mg/ml 900 900 - Ampul 1,694.00 1,524,600.00
23 Attapulgite Tablet (Pularex) - - - Tablet 171.00 -
24 Attapulgite
Bahan Tablet
Tambal Gigi600 mg (New Antides)
Sementara - - - Tablet 145.00 -
25 (Fletcher/Caviton) - - - Pcs -
26 Bedak
BenzoicSalisil 2%
acid |salicylic acid salep (anti - - - Btl 3,600.00 -
27 fungi) 360 360 - Tube 2,938.00 1,057,680.00
28 Betahistine Mesylate 6 mg tab 203,200 203,200 - Tablet 110.00 22,352,000.00
29 Betamethasone 0,1% krim 2,800 2,800 - Tube 1,430.00 4,004,000.00
30 Bisacodyl 5mg - Tablet 327.00 -
31 Bismuth subgallas (antihemoroid) 4,120 4,120 - Pot 3,325.00 13,699,000.00
32 Calcium chloride lactate infus (RL) 11,700 11,700 - Botol 7,630.00 89,271,000.00
33 Calsium Laktat (Kalk) 500 mg 294,300 294,300 - Tablet 63.00 18,540,900.00
34 Captopril 12,5 mg 750,000 750,000 - Tablet 68.00 51,000,000.00
35 Captopril 25 mg - - - Tablet 143.00 -
36 Carbamazepin tab 12,000 12,000 - Tablet 247.00 2,964,000.00
37 Cefadroxil 500mg - - - Tablet -
38 Cetirizine 5 mg/5 ml sirup 4,250 4,250 - Botol 2,973.00 12,635,250.00
39 Chloramhenicol Salep Mata 1% 2,320 2,320 - Tube 2,007.00 4,656,240.00
40 Chloramphenicol Suspensi 125 mg/ml - - - Btl 5,168.00 -
41 Chloramphenicol 250 mg caps - - - Tablet 680.00 -
42 Chloramphenicol
Chloramphenicol/TT 3%
Hidrokortison krim - - - Botol -
43 2,5% 4,848 4,848 - Tube 2,476.00 12,003,648.00
44 Chlorpheniramine Maleat (CTM) 4 mg 1,075,500 1,075,500 - Tablet 46.00 49,473,000.00
45 Chlorpromazine HCl 100 mg 109,700 109,700 - Tablet 250.00 27,425,000.00
46 Cimetidin 200 tab - - - Tablet -
47 Ciprofloxacin 500 mg tab - - - Tablet 524.00 -
 Jumlah Jumlah Harga Satuan (Rp)
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan menurut harga Nilai (Rp)
catatan Fisik) pembelian terakhir

1 2 3 4 5 6 7 8=4x7

48 Ciprofloxacin Infus - - - Botol 10,029.00 -

49 Clindamycin 300mg - - - Kapsul -
50 Cresol liquid 1 Liter
Cyanocobalamin (Vit(lysol)
B12) inj 500 290 290 - Botol 44,770.00 12,983,300.00
51 mcg/ml 100 100 - Ampul 1,136.00 113,600.00
52 Devitalisasi pasta - - - pot -
53 Dexamethasone 0,5 mg - - - Tablet 116.00 -
54 Dexamethasone inj 5mg/ml-1ml 8,130 8,130 - Ampul 1,152.00 9,365,760.00
55 Diazepam 5mg/ml-2 ml inj 240 240 - Ampul 1,822.00 437,280.00
56 Diazepam 2 mg 30,400 30,400 - Tablet 86.00 2,614,400.00
57 Diclofenac sodium 25 mg tab 376,400 376,400 - Tablet 136.00 51,190,400.00
58 Digoxin 0,25 mg 11,100 11,100 - Tablet 104.00 1,154,400.00
59 Dimenhydrinate 50mg 104,700 104,700 - Tablet 110.00 11,517,000.00
60 Dipenhidramine HCl inj 10mg/ml 51,640 51,640 - Ampul 1,114.00 57,526,960.00
61 Domperidone 10 mg 210,300 210,300 - Tablet 86.00 18,085,800.00
62 Doxycycline 100 mg Kapsul - - - Kapsul 280.00 -
63 Epinephrine HCl/bitartrat inj 0,1% - - - Btl 1,408.00 -
64 Erythromicin Syr - - - Btl 3,721.00 -
65 Erythromicin 500 mg capsul 32,200 32,200 - Kapsul 785.00 25,277,000.00
66 Ethacridine (Rivanol) 0,1% - - - Btl 3,600.00 -
67 Ethanol ( Aseptan ) 500 cc+ Pump 483 483 - Botol 40,293.00 19,461,519.00
68 Eugenol cairan - - - Btl 19,765.00 -
69 Ferrous fumarate ( Tab. Tambah Darah ) 792,390 792,390 - Tablet 372.00 294,769,080.00
70 Folic acid 1mg ( asam folat) - - - Tablet 79.00 -
71 Furosemida Injeksi - - - Ampul 1,333.00 -
72 Furosemida 40 mg 12,800 12,800 - Tablet 82.00 1,049,600.00
73 Garam Oralit 54,100 54,100 - Sachet 274.00 14,823,400.00
74 Gentamicyn 0,3% TM 2,352 2,352 - Botol 4,452.00 10,471,104.00
75 Gentamicyn Inj 40 mg/ml - - - Ampul 3,685.00 -
76 Gentamicyn 0,1% SK - - - Tube 3,850.00 -
77 Glass lonomer - - - Paket -
78 Glibenclamide 5 mg 36,700 36,700 - Tablet 125.00 4,587,500.00
79 Glimepiride 1 mg 25,000 25,000 - Tablet 174.00 4,350,000.00
80 Glukosa larutan infus 10% 620 620 - Botol 8,003.00 4,961,860.00
81 Glukosa larutan infus 5% 180 180 - Botol 7,363.00 1,325,340.00
82 Griseofulvin 125 mg - - - Tablet 952.00 -
83 Guaifenesin 100 Tab/GG Tab 562,400 562,400 - Tablet 119.00 66,925,600.00
84 Haloperidol 0,5 mg tab - - - Tablet -
85 Haloperidol 5 mg tab 105,500 105,500 - Tablet 60.00 6,330,000.00
86 Hydrochlorotiazide (HCT) 25 mg 200,000 200,000 - Tablet 163.00 32,600,000.00
87 Ibuprofen sirup 550 550 - Botol 2,776.00 1,526,800.00
88 Ibuprofen 200 mg - - - Tablet 108.00 -
89 Ibuprofen 400 mg - - - Tablet 524.00 -
90 Ichthyol salep 10%
Immunoglobulin human anti-tetanus - - - Pcs -
91 (Tetagam) 227 227 - Pcs 188,663.00 42,826,501.00
92 Iodium Povidon 10% 30 ml 1,660 1,660 - Botol 3,520.00 5,843,200.00
93 Isosorbide tablet - - - Tablet 89.00 -
94 Kalium Permanganat Serbuk - - - Pcs -
95 Ketoconazole 200 mg Cream 1,850 1,850 - Tube 2,518.00 4,658,300.00
96 Ketoconazole 200 mg tab - - - Tablet 297.00 -
97 Klorokina Fosfat 250 mg - - - Tablet -
98 Levertran Salep/ Salep Luka Bakar - - - Btl -
99 Lidocain 2% - - - Ampul 1,283.00 -
 Jumlah Jumlah Harga Satuan (Rp)
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan menurut harga Nilai (Rp)
catatan Fisik) pembelian terakhir

1 2 3 4 5 6 7 8=4x7

100 Lidokain Comp. inj Kombinasi 24,330 24,330 - Ampul 1,286.00 31,288,380.00
101 Lidocaine spray (Xylocaine spray) - - - Pcs -
102 Liquorice liquid extract (OBH) - - - Botol -
103 Locoriz Cream - - - Tablet -
104 Loperamid 2 mg tab / Diastrix 2 mg - - - Tablet 123.00 -
105 Loratadine 10 mg tab 74,100 74,100 - Tablet 133.00 9,855,300.00
106 Magnesium Sulfat Injeksi 20% (MgSO4) - - - Ampul 3,320.00 -
107 Magnesium Sulfat Injeksi 40% (MgSO4) - - - Ampul 3,796.00 -
108 Metamizole injeksi (antalgin 1000) 2,400 2,400 - Ampul 3,675.00 8,820,000.00
109 Metformin 500mg tab 3,300 3,300 - Tablet 273.00 900,900.00
110 Methyl Ergometrin Maleat inj 0,2 mg/ml 3,200 3,200 - Ampul 3,102.00 9,926,400.00
111 Methyl Ergometrin Maleat 0,125 mg 30,400 30,400 - Tab 222.00 6,748,800.00
112 Methyl Prednisolon tab 4 mg - - - Tablet 440.00 -
113 Methyl Rosanilinium (gentian violet) - - - Botol -
114 Metronidazol 250 mg tab - - - Tablet 91.00 -
115 Metronidazol 500 mg tab - - - Tablet 106.00 -
116 Metronidazol Infus 5 5 - Botol 8,250.00 41,250.00
117 Metronidazol syr - - - Botol 3,950.00 -
118 Miconazole 2% Salep Kulit 1,536 1,536 - Tube 3,585.00 5,506,560.00
119 Momilen Baby Gold Sirup - - - Botol -
120 Natrium Bikarbonat 500 mg - - - Tablet -
121 Nifedipin 10 mg tab - - - Kapsul -
122 Nystatin Tab Vag 10.000 iu/g 900 900 - Tablet 630.00 567,000.00
123 Omeprazole inj - - - Vial 9,999.00 -
124 Omeprazole kaps 36,450 36,450 - Tablet 330.00 12,028,500.00
125 Oxytetracycline HCl 1% Salep Mata 1,775 1,775 - Tube 2,774.00 4,923,850.00
126 Oxytetracycline HCl 3% Salep Kulit - - - Tube -
127 Oxytocin inj 10 IU 13,200 13,200 - Ampul 1,199.00 15,826,800.00
128 Papaverin 40 mg tab - - - Tablet -
129 Papaverin inj - - - Tablet -
130 Paracetamol Drops 15 ml - - - Botol 6,981.00 -
131 Parasetamol 120 mg/5 ml Syr 12,000 12,000 - Botol 1,181.00 14,172,000.00
132 Parasetamol 500 mg 438,000 438,000 - Tablet 89.10 39,025,800.00
133 Patient Lubricant (My Jelly ) 554 554 - Tube 29,550.00 16,370,700.00
134 Permethrin (Scabimite Cream) 2,899 2,899 - Tube 11,825.00 34,280,675.00
135 Phenobarbital inj 50mg/ml-2ml 270 270 - Ampul 2,081.00 561,870.00
136 Phenobarbital 30 mg 20,100 20,100 - Tablet 180.00 3,618,000.00
137 Phenol gliserol 10% TT - - - Botol 2,764.00 -
138 Phytomenadione (Vit.K1) inj 10 mg/ml 2,130 2,130 - Ampul 3,867.00 8,236,710.00
139 Phytomenadione (Vit.K1) 10 mg 21,800 21,800 - Tablet 797.00 17,374,600.00
140 Piracetam 400 mg - - - Tablet -
141 Piroxicamserum
Polivalen 20 mg (Anti
tab Tetanus Inj. 1500 - - - Tablet 153.00 -
142 iu/Biosat) - - - Ampul -
143 Povidon iodium 10% 300 ml 2,871 2,871 - Botol 23,100.00 66,320,100.00
144 Prednison 5 mg 383,000 383,000 - Tablet 77.00 29,491,000.00
145 Primaquin 15 mg tab - - - Tablet 242.00 -
146 Profolat tab - - - Tablet -
147 Prokaina Penisilin G inj 3.000.000 iu - - - Ampul -
148 Propranolol HCl 10 mg 13,100 13,100 - Tablet 61.00 799,100.00
149 Propranolol HCl 40 mg 28,600 28,600 - Tablet 85.00 2,431,000.00
150 Propylthiouracil 100 mg - - - Tablet 460.00 -
151 Pyrantel Pamoat 125 mg 9,900 9,900 - Tablet 322.00 3,187,800.00
 Jumlah Jumlah Harga Satuan (Rp)
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan menurut harga Nilai (Rp)
catatan Fisik) pembelian terakhir

1 2 3 4 5 6 7 8=4x7

152 Pyridoxine HCl 10 mg - - - Tablet 138.00 -

153 Ranitidin 150 mg - - - Tablet -
154 Ranitidin Injeksi - - - Ampul 1,188.00 -
155 Retinol (Vit.A) kaps 100.000 iu 7,200 7,200 - Tablet 322.00 2,318,400.00
156 Retinol (Vit.A) kaps 200.000 iu 44,700 44,700 - Tablet 579.00 25,881,300.00
157 Risperidone 2mg 58,300 58,300 - Tablet 287.00 16,732,100.00
158 Salbutamol 2 mg 24,200 24,200 - Tablet 67.00 1,621,400.00
159 Salep 2-4 Kombinasi 764 764 - Tube 2,938.00 2,244,632.00
160 Semen Seng Fosfat Serbuk & Cairan - - - Set -
161 Sianocobalamin (Vit B12) 50 mg tab 241,000 241,000 - Tablet 50.00 12,050,000.00
162 Silver Sulfadiazine - - - Tube 20,700.00 -
163 Simvastatin 10 mg tab 85,230 85,230 - Kapsul 117.00 9,971,910.00
164 Sodium cloride
Sulfadoxine infus 0,9% ( NACL
| Pyrimethamine )
Tablet 980 980 - Botol 6,840.00 6,703,200.00
165 500mg|25mg
Sulfamethoxazole | trimethoprim (cotri) 0 0 Tablet 647.00 -
166 syr 12300 12300 Botol 2,190.00 26,937,000.00
167 Sulfasetamida 15% TM 0 0 Ampul -
168 Tetracycline 250 mg 0 0 Tablet -
169 Tetracycline 500 mg 121900 121900 Tablet 323.00 39,373,700.00
170 Thiamine HCl (Vit B1) inj 100 mg/ml 0 0 Ampul -
171 Thiamine HCl (Vit B1) 50 mg 227600 227600 Tablet 92.00 20,939,200.00
172 Trihexyphenidyl tab 2 mg 480 mg)
Trimethoprim (cotrimoxazol 376500 376500 Tablet 93.00 35,014,500.00
173 tablet 54300 54300 Tablet 319.00 17,321,700.00
174 Vaksin Rabies Vero/ Verorab 0 0 Paket -
175 Vitamin B Kompleks 365200 365200 Tablet 131.00 47,841,200.00
176 Vitamin K Infant Inj 0 0 Ampul -
177 Water liquid (aqua P,I) 0 0 Botol 2,860.00 -
178 Zinc Sulphate Suppositoria (Superhoid) 0 0 Kapsul -
179 Zinc tab 92900 92900 Tablet 551.00 51,187,900.00
180 Ondansetron iv/im 4mg 35 35 Ampul 1,098.00 38,430.00
181 Tranexamic Acid inj 5% 0 0 Ampul 1,748.00 -
182 Poliwash 500 ml 531 531 Botol 58,300.00 30,957,300.00
183 Policlean Handrub 1145 1145 78,200.00 89,539,000.00
184 Cefotaaxime Sodium inj 1gr 460 460 Vial 4,571.00 2,102,660.00
185 Methyl Prednisolon tab 16 mg 0 0 Tablet 551.00 -
186 Parasetamol 1000mg/100ml 0 0 Botol 12,389.00 -
187 Otsu D-40 25ml 3007 3007 Botol 2,190.00 6,585,330.00
188 Ketorolac inj 30mg 0 0 Ampul 29,900.00 -
189 Dulcolax tab 0 0 Tablet 1,340.00 -
190 Ibupropen 400mg.1 0 0 Tablet 350.00 -
191 Permethrin (Scabimite Cream).1 0 0 43,500.00 -
192 Erythromicin 250 mg capsul 21000 21000 Kapsul 615.00 12,915,000.00
193 Acyclovir tab 400 mg 201100 201100 0 Tablet 426.00 85,668,600.00
194 Poli Aid 1 liter 80 80 Botol 129,400.00 10,352,000.00

JUMLAH Rp. 2,450,703,503.00

Mengetahui Kayuagung, 30 Desember 2020

Kepala Dinas Kesehatan Kab. OKI Kepala Instalasi Farmasi Dinkes
 Jumlah Jumlah Harga Satuan (Rp)
No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan menurut harga Nilai (Rp)
catatan Fisik) pembelian terakhir

1 2 3 4 5 6 7 8=4x7

Iwan Setiawan, SKM, M.Kes Himayanti, S.Si, Apt

NIP. 197303051998031005 NIP. 197702212005012005
 DATA PERSEDIAAN BMHP INSTALASI FARMASI DINKES OKI
PER 30 DESEMBER 2020

Jumlah Jumlah Harga Satuan (Rp)

No Jenis Persediaan / Nama Barang menurut (sesuai BA Selisih Satuan menurut harga Nilai (Rp)
catatan Fisik) pembelian terakhir

1 2 3 4 5 6 7 8=4x7

1 Absorbent tipped applicator (alcohol swab) 20,300 20,300 - Pcs 132.00 2,679,600.00
2 Catgut/Benang Chromic Bedah No.2/0-3/0 384 384 - Pcs 5,500.00 2,112,000.00
3 Catgut/Benang Plain Bedah No.2/0-3/0 696 696 - Pcs 5,500.00 3,828,000.00
4 Folley Catheter No.16 820 820 - Pcs 15,318.00 12,560,760.00
5 Human chorionic (HCG/Tes kehamilan ) 5,200 5,200 - Strip 2,090.00 10,868,000.00
6 Infus set dewasa 6,700 6,700 - Pcs 3520 23584000
7 Infusi set anak 4,550 4,550 - Pcs 3850 17517500
8 IV Catheter No.20 7,050 7,050 - Pcs 5,869.00 41,376,450.00
9 IV Catheter No.22 4,850 4,850 - Pcs 5,869.00 28,464,650.00
10 IV Catheter No.24 3,150 3,150 - Pcs 5,869.00 18,487,350.00
11 Jarum Jahit Kulit - - - Pcs -
12 Kapas pembalut/Absorben 250 g 1,534 1,534 - Pcs 13,750.00 21,092,500.00
13 Kasa pembalut 2x80 3,850 3,850 - Pcs 8,470.00 32,609,500.00
14 Kasa pembalut hidrofil 4 m x 15 cm 5,365 5,365 - Pcs 2,310.00 12,393,150.00
15 Kasa pembalut hidrofil 4 m x 3 cm 17,625 17,625 - Pcs 649.00 11,438,625.00
16 Kasa kompres 40/40 steril 11,600 11,600 - Pcs 1,760.00 20,416,000.00
17 Masker 92,150 92,150 - Pcs 1,490.00 137,303,500.00
18 Medical adhesive tape (dermafix/leukomed) 2,223 2,223 - Pcs 2,053.00 4,563,819.00
19 Pisau Disposable (Mess No.14/21) - - - pisau -
20 Plesterku (Leukoplast) 1,780 1,780 - Pcs 12,675.00 22,561,500.00
21 Protein Gluco Test - - - Strip 1,097.30 -
22 Sarung tangan (HandScuun) no 7,5 / M - - - Pcs 409.63 -
23 Sarung tangan (HandScuun Steril) No. 6,5 - - - Pcs -
24 Sarung tangan (HandScuun Steril) No.7 - - - Pcs -
25 Sarung tangan (HandScuun Steril) No.7,5 - - - Pcs -
26 Silk (Benang Bedah) No. 3/0 2,844 2,844 - Pcs 3,055.80 8,690,695.20
27 Spuit 1 ml 78200 78200 Pcs 715.00 55,913,000.00
28 Spuit 3 ml 135900 135900 Pcs 856.90 116,452,710.00
29 Spuit 5 ml 66600 66600 Pcs 1,064.80 70,915,680.00
30 Urin Bag 1770 1770 Pcs 3,000.00 5,310,000.00
31 Usg Gel 354 354 Botol 15,100.80 5,345,683.20
32 Wing Needle No.21 0 0 Pcs 1,778.00 -
33 Wing Needle No.27 0 0 Pcs 1,778.00 -
34 Sarung tangan (HandScuun) L 0 0 Pcs 409.63 -
35 Lancet 11700 11700 Pcs 111.32 1,302,444.00
36 Strip kolestrol 0 0 Pcs -
37 Strip Gula Darah 0 0 Pcs -
38 Strip Asam Urat 0 0 Pcs -
39 Nonwoven Fixation Rool 0 0 Pcs 49,244.00 -
40 Masker Plus 150 150 506.00 75,900.00
41 Mesker KN95 2550 2550 Pcs 14,960.00 38,148,000.00
JUMLAH Rp. 726,011,016.40

Mengetahui Kayuagung, 30 Desember 2020

Kepala Dinas Kesehatan Kab. OKI Kepala Instalasi Farmasi Dinkes
Iwan Setiawan, SKM, M.Kes Himayanti, S.Si, Apt
NIP. 197303051998031005 NIP. 197702212005012005