REKAP USULAN RKO PROVINSI Jambi 2018

PROVINSI : KEPULAUAN RIAU
PROVINSI
NO NAMA OBAT KEMASAN
Sisa Stok Per 1 Pemakaian Rata-
Jan 2012 rata per Bulan
2 blister @
1 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)
12 tablet / kotak
3 blister @
2 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)
8 tablet / kotak
3 Albendazol suspensi 200 mg/5 ml ktk 10 btl @ 10 ml
4 Albendazol tablet/tablet kunyah 400 mg ktk 5 x 6 tablet
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet
6 Alopurinol tablet 300 mg ktk 3 x 10 tablet
7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet
8 Alprazolam tablet 0,5 mg ktk 10 x 10 tablet
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet
10 Ambroxol sirup 15 mg/ml btl 60 ml
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet
12 Amilorida tablet 5 mg (HCl) ktk 10 x 10 tablet
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml
14 Aminofilin tablet 150 mg btl 1000 tablet
15 Aminofilin tablet 200 mg btl 100 tablet
16 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut
17 Amlodipin tablet 5 mg ktk 3 x 10 tablet
21 Amoksisilin + As. Klavulanat 625 mg tablet ktk 5 x 6 tablet
22 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul
24 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet
25 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml
27 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet
29 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial ktk 10 vial
30 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial ktk 10 vial
31 Ampisilin sirup kering 125 mg/5ml btl 60 ml
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
32 ktk 10 x 10 tablet kunyah
Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
33 btl 60 ml
Magnesium Hidroksida 200 mg/5 ml
34 Anti Bakteri DOEN salep kombinasi: ktk 25 tube @ 5 g
35 Antifungi DOEN Kombinasi: ktk 24 pot @ 30 g
36 Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg Heksaklorofen 2,5 mg ktk 10 supp
Antimalaria DOEN kombinasi : Pirimetamin 25 mg
37 ktk 10 x 10 tablet
Sulfadoksin 500 mg
38 Antimigren: btl 100 tablet
Antiparkinson DOEN tablet kombinasi : Karbidopa 25 mg
Levodopa 250 mg
40 Aqua pro Injeksi steril, bebas pirogen ktk 10 vial @ 20 ml
41 Artemether injeksi 80 mg/ml ktk 6 ampul
42 Artesunate injeksi, vial 60 mg ktk 8 vial
43 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet
44 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet
48 Asam Folat tablet 1 mg btl 100 tablet
49 Asam Folat tablet 5 mg btl 1000 tablet
50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet
52 Asetazolamid tablet 250 mg btl 100 tablet
53 Asiklovir krim 5% tube 5 gram
54 Asiklovir krim 5% ktk 25 tube @ 5 gram
55 Asiklovir tablet 200 mg ktk 3 x 10 tablet
61 Atenolol tablet 100 mg ktk 5 x 10 tablet
62 Atenolol tablet 50 mg ktk 10 x 10 tablet
63 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml
64 Atropin Sulfat tablet 0,5 mg btl 100 tablet
65 Atropin Sulfat tablet 0,5 mg btl 500 tablet
66 Atropin Sulfat tetes mata 0,5% ktk 24 btl @ 5 ml
67 Atropin Sulfat tetes mata 0,5 % btl 5 ml
68 Azatioprin tablet 50 mg ktk 10 x 10 tablet
69 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml
70 Benzatin Benzil Penisilin 2,4 juta IU/vial ktk 10 vial @ 20 ml
71 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut
1 sase
72 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah darah kombinas
@ 30 tab
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet
74 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram
75 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g
76 Betametason tablet 0,5 mg ktk 10 x 10 tablet
77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet
79 Cetirizin sirup 5 mg/5 ml btl 60 ml
80 Cetirizine tablet 10 mg ktk 3 x 10 tablet
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet
82 Cisapride tablet 10 mg ktk 10 x 10 tablet
83 Cisapride tablet 5 mg ktk 10 x 10 tablet
84 Clobazam tablet 10 mg ktk 10 x 10 tablet
85 Clobetasol krim 0,05% tube 10 gram
86 Dapson tablet 100 mg btl 1000 tablet
87 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet
89 Dekstran 70 - larutan infus 6% steril btl 500 ml
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet
92 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml
93 Diazepam tablet 2 mg btl 100 tablet
94 Diazepam tablet 2 mg ktk 10 x 10 tablet
97 Diazepam tablet 5 mg ktk 10 x 10 tablet
98 Dietilkarbamazin Sitrat tablet 100 mg ktk 10 x 10 tablet
99 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet
101 Digoksin tablet 0,0625 mg btl 100 tab
102 Dikloksasilin kapsul 125 mg ktk 100 kapsul
103 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul
104 Dikloksasilin kapsul 500 mg ktk 25 x 4 kapsul
105 Diltiazem HCl tablet 30 mg ktk 10 x 10 tablet
106 Dimenhidrinat tablet 50 mg btl 100 tablet
107 Disopiramid kapsul 100 mg btl 100 kapsul
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul
109 Domperidon suspensi 5 mg/5 ml btl 60 ml
110 Domperidon tablet 10 mg ktk 10 x 10 tablet
111 Efedrin tablet 25 mg (HCl) btl 250 tablet
112 Ekstraks Belladona tablet 10 mg btl 1000 tablet
113 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul
115 Eritromisin kapsul 250 mg ktk 12 x 10 kapsul
116 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet
117 Eritromisin sirup 200 mg/ 5 ml btl 60 ml
118 Etakridin larutan 0,1% btl 300 ml
119 Etambutol tablet 250 mg (HCl) ktk 10 x 10 tablet
120 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet
121 Etambutol tablet salut 500 mg (HCl) ktk 10 x 10 tablet salut
122 Etoposid kapsul 100 mg btl 10 kapsul
123 Famotidine tablet 40 mg ktk 5 x 10 tablet
124 Famotidine tablet 20 mg ktk 5 x 10 tablet
125 Fenilbutason tablet 200 mg btl 1000 tablet
126 Fenitoin kapsul 100 mg btl 250 kapsul
127 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul
129 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml
130 Fenobarbital tablet 30 mg btl 100 tablet
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet
134 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet
135 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet
137 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet
138 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml
139 Menadion (Vitamin K3) injeksi 10 mg/ml ktk 100 amp @ 1 ml
140 Flukonazol tablet 150 mg ktk 10 tablet
141 Fluoride tablet 0,5 mg btl 100 tablet
142 Fluoride tablet 1 mg btl 100 tablet
143 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml
144 Furosemid tablet 40 mg ktk 20 x 10 tablet
145 Furosemid tablet 40 mg ktk 10 x 10 tablet
146 Furosemid tablet 40 mg btl 250 tablet
147 Gameksan lotion 1 % btl 30 ml
Garam Oralit I serbuk, kombinasi : Natrium 0,52 g

Kalium klorida 0,30 g
148 ktk 25 sachet
Trinatrium sitrat dihidrat 0,58 g
Glukosa Anhidrat 2,7 g
Garam Oralit I serbuk, kombinasi : Natrium 0,52 g

Kalium klorida 0,30 g
149 ktk 100 sachet
150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul

151 Gemfibrozil kapsul 300 mg ktk 10 x 10 kapsul
152 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet
153 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml
154 Gentamisin injeksi 40 mg/ ml ktk 5 amp
155 Gentamisin salep kulit 0.1% ktk 10 tube 5 gram
156 Gentamisin salep kulit 0.1% ktk 25 tube 5 gram
157 Gentamisin salep kulit 0.1% tube 5 gram
158 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml
159 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml
160 Gentian Violet larutan 1 % btl 10 ml
161 Glibenklamida tablet 5 mg ktk 10 x 10 tablet
162 Glimepiride tablet 1 mg ktk 5 x 10 tablet
170 Glipizid tablet 5 mg ktk 30 tablet
171 Gliquidon tablet 30 mg ktk 10 x 10 tablet
172 Gliseril guaiakolat tablet 100 mg btl 1000 tablet
173 Gliserin btl 100 ml
174 Glukosa larutan infus 10 % steril btl 500 ml
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml
176 Glukosa larutan infus 5 % steril btl 500 ml
177 Griseofulvin tablet 250 mg ktk 10 x 10 tablet
178 Griseofulvin tablet 125 mg ktk 10 x 10 tablet
179 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet
180 Haloperidol tablet 5 mg ktk 10 x 10 tablet
181 Haloperidol tablet 1,5 mg ktk 10 x 10 tablet
182 Haloperidol tablet 2 mg ktk 10 x 10 tablet
183 Hidroklorotiazida tablet 25 mg btl 1000 tablet
184 Hidrokortison krim 1% tube 5 g
185 Hidrokortison krim 2,5 % tube 5 g
186 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g
187 Hyoscine -N-Butilbromide tablet 10 mg ktk 10 x 10 tablet
188 Ibuprofen suspensi 100 mg/5 ml btl 60 ml
189 Ibuprofen suspensi 200 mg/5 ml btl 60 ml
190 Ibuprofen tablet 200 mg btl 100 tablet
191 Ibuprofen tablet 400 mg ktk 10 x 10 tablet
192 Indometasin kapsul 25 mg ktk 10 x 10 kapsul
193 Iodiol kapsul lunak btl 100 kapsul
194 Isoniazid tablet 100 mg btl 1000 tablet
195 Isoniazid tablet 300 mg btl 1000 tablet
196 Isosorbid Dinitrat tablet sublingual 5 mg ktk 10 x 10 tablet
197 Itrakonazol kapsul 100 mg ktk 3 x 10 kapsul
198 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet
199 Kalium Diklofenak tablet 50 mg ktk 5 x 10 tablet
200 Kalium Klorida tablet 300 mg tube 10 tablet
201 Kalsium Folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet
202 Kalsium Karbonat tablet 500 mg btl 100 tablet
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet
204 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet
205 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet
206 Kaptopril tablet 25 mg ktk 6 x 10 tablet
209 Karbamazepin tablet 200 mg ktk 10 x 10 tablet
210 Ketokonazol krim 2% tube 15 gram
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet
212 Ketoprofen injeksi 100 mg ktk 6 amp @ 1 ml
213 Ketoprofen tablet 100 mg ktk 10 x 10 tablet
214 Ketorolac injeksi 10 mg ktk 6 amp @ 1 ml
219 Klindamisin kapsul 150 mg ktk 10 x 10 kapsul
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul
224 Klomifen tablet 50 mg btl 10 tablet
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet
226 Kloramfenikol kapsul 250 mg ktk 12 X 10 kapsul
227 Kloramfenikol kapsul 250 mg ktk 10 X 10 kapsul
228 Kloramfenikol kapsul 250 mg btl 250 kapsul
229 Kloramfenikol salep mata 1 % tube 5 g
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml
231 Kloramfenikol tetes mata 0,5 % btl 5 ml
232 Kloramfenikol tetes telinga 3 % btl 5 ml
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet
234 Klorokuin tablet 150 mg btl 1000 tablet
235 Klorokuin tablet 250 mg btl 1000 tablet
236 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ktk 30 ampul
238 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut
239 Klorpromazin tablet salut 100 mg (HCl) btl 250 tablet
240 Kodein tablet 10 mg btl 250 tablet
244 Kolkisin tablet 500 mcg ktk 10 x 10 tablet
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi :

246 Sulfametoksazol 100 mg ktk 10 x 10 tablet
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb:

247 btl 60 ml
Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml
248 Kuinidin tablet 100 mg btl 1000 tablet
249 Kuinidin tablet 200 mg ktk 10 x 10 tablet
250 Kuinin (Kina) tablet 200 mg ktk 60 tablet
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul
252 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml
253 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet
254 Lamivudine tablet 150 mg btl 60 tablet
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul
256 Levamisol tablet 50 mg ktk 4 x 9 tablet
257 Levamisol tablet 50 mg btl 25 tablet
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet
259 Levofloksasin tablet 500 mg ktk 3 x 10 tablet
260 Lidokain injeksi 2% ktk 100 amp @ 2 ml
261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml
262 Linkomisin kapsul 250 mg ktk 10 x 10 kapsul
266 Lisinopril tablet 10 mg ktk 3 x 10 tablet
269 Loperamid tablet 2 mg ktk 10 x 10 tablet
270 Loratadin tablet 10 mg ktk 5 x 10 tablet
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial
273 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr
274 Mebendazol sirup 100 mg / 5 ml btl 30 ml
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet
276 Mebendazol tablet 500 mg ktk 10 x 10 tablet
277 Meloksikam suppositoria ktk 10 supp
278 Meloksikam tablet 15 mg ktk 5 x 10 tablet
279 Meloksikam tablet 15 mg ktk 2 x 10 tablet
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet
281 Meloksikam tablet 7,5 mg ktk 2 x 10 tablet
282 Merkaptopurin tablet 50 mg btl 25 tablet
283 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml
284 Metampiron tablet 500 mg ktk 10 x 10 tablet
285 Metformin HCl tablet 500 mg ktk 10 x 10 tablet
286 Metformin HCl tablet 850 mg ktk 10 x 10 tablet
287 Metildopa tablet 250 mg btl 100 tablet
288 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg ktk 10 x 10 tablet
289 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul
290 Metilprednisolon injeksi 500 mg ktk 1 vial
291 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet
295 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml
296 Metoklopramide sirup 5 mg/ 5 ml btl 60 ml
297 Metoklopramide tablet 10 mg ktk 10 x 10 tablet
298 Metoklopramide tablet 5 mg ktk 10 x 10 tablet
299 Metronidazol infus 500 mg/100 ml btl 100 ml
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet
301 Metronidazol tablet 500 mg ktk 10 x 10 tablet
302 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr
Mineral Mix, kombinasi : Kalium klorida 1792 mg

303 Trikalium sitrat (1H2O) 648 mg
Magnesium klorida (6H2O) 608 mg
Seng asetat (2H2O) 66 mg
Tembaga sulfat (5H2O) 11 mg ktk 40 sachet
304 Momethason krim 0,1 % tube 5 gram
305 Momethason krim 0,1 % tube 10 gram
306 Morfin injeksi 10 mg/ml ktk 10 ampul @ 1 ml
307 Morfin tablet 10 mg btl 30 tablet
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml
312 Natrium Klorida larutan infus 0,9 % btl 500 ml
313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml
314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul
315 Nevirapin tablet 200 mg btl 60 tablet
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet
317 Nistatin tablet salut 500.000 IU/ g ktk 10 x 10 tablet salut
318 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal
319 Nitrofurantoin tablet 100 mg btl 100 tablet
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos
321 Obat Antituberkulosis Kategori anak Paket / dos
322 Obat Batuk Hitam ( O.B.H. ) cairan btl 100 ml
323 Obat Batuk Hitam ( O.B.H. ) cairan btl 200 ml
324 Obat Antituberkulosis FDC Kategori Anak paket
325 Obat Antituberkulosis FDC Kategori 1 paket
326 Obat Antituberkulosis FDC Kategori 2 paket
327 Obat Antituberkulosis FDC Sisipan paket
328 Ofloxacin tablet 200 mg ktk 5 x 10 tablet
329 Ofloxacin tablet 400 mg ktk 5 x 10 tablet
330 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram
331 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g
332 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml ktk 10 vial
333 Oksitetrasiklin salep kulit 3% tube 5 gram
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 g
335 Oksitosin injeksi 10 IU/ml - 1 ml ktk 30 ampul
336 Omeprazol kapsul 20 mg btl 7 kapsul
337 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul
338 Oseltamivir 75 mg ktk 10
339 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml
340 Papaverin tablet 40 mg btl 1000 tablet
341 Parasetamol drops btl 15 ml
342 Parasetamol sirup 120 mg / 5 ml btl 60 ml
343 Parasetamol tablet 100 mg botol 100 tablet
344 Parasetamol tablet 500 mg ktk 10 x 10 tablet
345 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial
346 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet
347 Perfenazin tablet 4 mg (HCl) btl 100 tablet
348 Perfenazin tablet 2 mg (HCl) ktk 15 x 10 tablet
349 Perfenazin tablet 8 mg (HCl) ktk 15 x 10 tablet
350 Petidin injeksi 50 mg/ml ktk 10 ampul
351 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml
352 Piracetam injeksi 1 g/5 ml ktk 10 amp
353 Piracetam injeksi 3 g/15 ml ktk 4 amp
354 Piracetam tablet 1200 mg ktk 10 x 10 tablet
358 Pirantel sirup 125 mg/5 ml btl 60 ml
359 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score
360 Pirantel tablet score (base) 125 mg ktk 30 x 2 tablet score
361 Pirazinamid tablet 500 mg ktk 10 x 10 tablet
362 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet
363 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet
365 Piroksikam kapsul 10 mg ktk 12 x10 kapsul
366 Piroksikam tablet 20 mg ktk 10 x 10 tablet
367 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul
368 Povidon Iodida larutan 10% btl 30 ml
372 Pravastatin tablet 10 mg ktk 3 x 10 tablet
375 Prazikuantel tablet 300 mg btl 1000 tablet
376 Prazikuantel tablet 600 mg btl 100 tablet
377 Prednison tablet 5 mg btl 1000 tablet
378 Primakuin tablet 15 mg btl 1000 tablet
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial
380 Prometazin tablet 25 mg ktk 100 tablet
381 Propanolol tablet 40 mg (HCl) btl 100 tablet
382 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet
383 Propiltiourasil tablet 100 mg btl 100 tablet
384 Propiltiourasil tablet 50 mg btl 1000 tablet
385 Ramipril tablet 2,5 mg ktk 10 x 10 tablet
386 Ramipril tablet 5 mg ktk 10 x 10 tablet
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp
388 Ranitidin tablet 150 mg ktk 3 x 10 tablet
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet
390 Reserpin tablet 0,10 mg btl 250 tablet
391 Reserpin tablet 0,25 mg btl 1000 tablet
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet
396 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul
397 Rifampisin kapsul 300 mg ktk 12 x 10 kapsul
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut
399 Ringer Laktat larutan infus btl 500 ml
400 Risperidon tablet 1 mg ktk 2 x 10 tablet
405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet
407 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% ktk 24 pot @ 30 g
408 Salisil Bedak 2 % ktk 50 gram
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml
410 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul
414 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul
415 Sefaklor kapsul 500 mg ktk 3 x 10 kapsul
416 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul
417 Sefaleksin kapsul 500 mg ktk 5 x 10 kapsul
418 Sefazolin injeksi 1 g ktk 2 vial
419 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul
422 Sefiksim sirup kering 100 mg/ 5 ml btl 30 ml
423 Sefiksim 400 mg + Azitromisin 1000 mg paket
424 Sefotaksim injeksi 0,5 g ktk 2 vial
425 Sefotaksim injeksi 1 g ktk 2 vial
426 Sefotaksim injeksi 1 g ktk 10 vial
427 Sefotaksim injeksi 1 g per vial ktk 1 vial
428 Seftazidim injeksi 1 g ktk 2 vial
429 Seftriakson injeksi 1 g ktk 2 vial
430 Seftriakson serbuk injeksi 1 g/ vial 1 vial
431 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml
432 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml
433 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet
434 Siklofosfamid tablet 50 mg btl 50 tablet
435 Siklosporin kapsul lunak 25 mg btl 50 kapsul
436 Simetidin tablet 200 mg ktk 10 x 10 tablet
437 Simvastatin tablet 5 mg ktk 3 x 10 tablet
442 Siprofloksasin tetes mata 0,3 % btl 10 ml
443 Siprofloksasin infus 2% btl 100 ml
444 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet
449 Spiramisin tablet 250 mg ktk 5 x 10 tablet
450 Spiramisin tablet 500 mg ktk 5 x 10 tablet
451 Spironolakton tablet 100 mg ktk 10 x 10 tablet
452 Spironolakton tablet 25 mg ktk 10 x 10 tablet
453 Stavudin tablet 30 mg btl 60 tablet
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml
455 Sulfadiazin tablet 500 mg btl 100 tablet
456 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet
457 Sulfasalazin tablet 500 mg btl 500 tablet
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml
459 Tamoksifen tablet 20 mg btl 30 tablet
460 Teofilin tablet 150 mg ktk 10 x 10 tablet
461 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul
465 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul
466 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet
469 Tiamin (Vitamin B1) 100 mg tablet btl 1000 tablet
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml
471 Tramadol injeksi 50 mg/ml ktk 5 ampul
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul
473 Tramadol tablet 50 mg ktk 5 x 10 tablet
474 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet
475 Trifluoperazin tablet 5 mg ktk 10 x 10 tablet
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet
477 Trimetoprim tablet 200 mg btl 100 tablet
478 Valproat tablet 150 mg btl 50 tablet
479 Valproat tablet 250 mg btl 50 tablet
480 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet
481 Vitamin B Kompleks tablet btl 1000 tablet
482 Zidovudin 300 mg + Lamivudine 150 mg btl 60 tablet
483 Zidovudin tablet 100 mg btl 60 tablet
484 Zinc tablet 20 mg ktk 10 x 10 tablet
ROVINSI KAB. BUNGO KAB. MUARO JAMBI KAB. MERAN
Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1
Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012
0 0 0 0 164 2,952 0
657 32 0 13,624 1,304 9,848 0
0 0 0 0 0 0 0
2,173 35 0 65,990 500 56,990 12,540
1,268 54 0 1,500 333 4,494 17,900
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 3,657 670 8,403 228
0 0 0 0 0 0 28,900
0 0 0 0 0 0 0
33 1 0 220 70 1,040 0
0 0 0 0 0 0 0
300 34 312 15,400 1,433 10,394 5,100
80 10 100 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 0 0 0 130,895
2,415 220 1,545 31,100 4,940 57,820 0
4,184 257 442 931,400 58,600 123,400 788,645
0 0 0 0 0 0 0
21,987 1,450 4,113 16,961 1,850 16,339 18,957
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1,227
0 0 0 0 0 0 0
0 0 0 0 0 0 0
4,532 322 1,264 318,300 34,000 293,700 409,000
0 0 0 5,895 477 2,691 1,265
418 39 284 1,581 187 1,785 153

265 27 221 944 172 2,152 3,366
70 7 56 0 0 0 1,920
347 41 391 0 0 0 0
0 0 0 35,700 1,333 11,706 4,000
0 0 0 0 0 0 0
2 3 52 1,061 408 6,283 714

64 1 0 0 0 0 0
82 0 0 400 32 176 0
0 0 0 0 0 0 500
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
772 82 704 346,000 33,000 248,000 476,305
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1,000 73 314 206,400 18,900 133,800 363,000
0 0 0 0 0 0 0
0 0 0 479 160 2,401 1,532
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 18,850 1,900 15,350 950
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 3,000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
30 3 24 660 0 660 541
0 0 0 36,100 12,000 179,900 30,000
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
0 0 0 0 0 0 89,000
31,959 2,151 6,759 750,800 27,667 252,794 720
0 0 0 0 0 0 0
0 0 0 0 0 0 0
56 19 286 4,642 647 7,004 5,108
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 21,720
0 0 0 0 0 0 0
0 0 0 16,850 367 10,244 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 0
174 13 60 11,300 2,467 33,106 51,400
2,463 207 1,263 409,300 44,200 386,300 467,950
0 0 0 0 0 0 0
7,843 680 4,397 576 183 2,718 5,504
3,042 20 0 131,000 15,667 151,006 103,500
19 0 0 0 0 0 1,100
665 47 181 0 0 0 452,000
0 0 0 10,000 767 3,806 0
0 0 0 0 0 0 20,250
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
668 59 394 0 0 0 26,288
109 1 0 19,300 2,500 25,700 2,620
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
0 0 0 0 0 0 0
0 0 0 8,500 300 3,100 0
0 0 0 0 0 0 0
0 0 0 12,900 3,533 50,694 0
284 27 202 24,000 8,000 120,000 178,000
0 0 0 55,000 5,333 40,994 131,500
28 1 0 220 52 716 2,852
0 0 0 0 0 0 2,220
0 0 0 0 0 0 0
0 0 0 14,600 1,800 17,800 27,500
0 0 0 0 0 0 15
581 80 859 518 52 418 2,188
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
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 2,000
0 0 4 0 0 0 330
0 0 0 0 0 0 337,170
250 6 0 0 0 0 0
0 0 0 0 0 0 1,580
0 0 0 0 0 0 0
6 4 66 0 0 0 0
183 14 69 2,033 124 199 727
348 39 354 6,500 1,800 25,900 24,250
0 0 0 0 0 0 0
188 19 154 7,656 850 7,644 25,794
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
143 15 127 600 2,666 47,388 7,270
0 0 0 0 0 0 0
0 0 0 0 0 0 80
0 0 0 0 0 0 0
412 34 200 0 0 0 61,810
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 2,889
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 352 77 1,034 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1,680 190 1,740 0 0 0 3,419
262 21 116 10,600 2,033 25,994 15,450
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
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
415 30 125 264,000 37,667 414,006 500,200
0 0 0 0 0 0 0
2,174 49 0 0 0 0 0
0 0 0 0 0 0 507
3,390 260 1,290 2,220 337 3,846 3,779
0 0 0 0 0 0 0
244 46 584 2,900 967 14,506 45,780
230 18 94 0 0 0 0
0 0 0 0 0 0 0
70 10 110 0 0 0 600
0 0 0 0 0 0 0
52 6 56 14,000 4,333 63,994 69,000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
175 26 293 2,444 433 5,350 5,249
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
313 21 65 29,700 4,267 47,106 46,600
776 131 1,582 93,400 7,100 34,400 139,035
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
81 1 0 24,900 1,700 5,700 1,090
0 0 0 0 0 0 0
0 0 0 0 0 0 12,300
0 0 0 0 0 0 14,250
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
170 16 118 336,000 20,000 24,000 141,000
450 47 396 79,000 7,633 58,394 56,630
0 0 0 0 0 0 0
0 0 0 0 0 0 0
802 88 782 79,900 7,833 61,094 107,200
0 0 0 0 0 0 0
8 5 82 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 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 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
285 21 93 0 0 0 1
0 0 0 0 0 0 2
0 0 0 38,500 1,917 3,994 189,555
0 0 0 0 0 0 2,036
0 0 0 0 0 0 1,100
0 0 0 0 0 0 481
720 141 1,818 0 0 0 607
1,051 73 263 428,000 52,000 508,000 694,500
0 0 0 0 0 0 0
116 6 0 135,000 6,000 27,000 89,500
10 0 0 0 0 0 0
0 0 0 0 0 0 0
12 2 24 7,000 1,667 23,006 4,100
27 2 9 0 0 0 6,900
0 0 0 0 0 0 300
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
1,684 117 422 165,100 9,233 1,094 29,700
266 20 94 12,300 3,767 55,506 60,000
24,880 1,735 6,350 4,525 1,133 15,869 10,085
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 2,180 0 2,180 0
0 0 0 760 0 760 0
0 0 0 0 0 0 500
0 0 0 0 0 0 6,960
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
0 0 0 0 0 0 0
388 28 116 11,010 1,090 8,610 13,558
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
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 835 60 245 114
0 0 0 0 0 0 178
0 0 0 454 0 454 0
0 0 0 0 0 0 0
0 0 0 0 0 0 540
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
0 0 0 0 0 0 0
86 23 328 0 0 0 4,570
41 202 3,595 441,900 16,133 151,506 367,800
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
268 37 398 61,400 2,433 17,606 28,090
298 35 332 40 300 5,360 33,617
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 26,600 1,133 6,206 0
0 0 0 0 0 0 0
0 0 0 805 325 5,045 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 5,400
0 0 0 0 0 0 0
0 0 0 22,700 5,667 79,306 30,700
1,071 11 0 0 0 0 0
0 0 0 121 117 1,985 1,118
0 0 0 0 0 0 4,000
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
108 15 162 14,000 2,667 34,006 26,000
0 0 0 0 0 0 14,250
0 0 0 17,960 2,733 31,234 12,300
0 0 0 0 0 0 0
2,912 220 1,048 430 294 4,862 596
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 15,430
3 2 33 0 0 0 0
16 2 20 0 0 0 910
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6,020 549 3,862 5,153 883 10,741 9,317
0 0 0 0 0 0 0
10 1 1 23 4 49 14
122 14 130 472 29 50 572
3 0 0 20 1 2 25
3 0 2 22 1 4 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
177 15 93 1,541 278 3,463 9,641
144 20 216 1,990 188 1,394 4,154
0 0 0 0 0 0 0
300 30 240 1,972 417 5,534 3,762
290 20 70 4,470 353 1,884 15,410
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 20,000
0 0 0 0 0 0 0
31,490 2,460 12,790 10,585 1,753 20,969 14,964
68 12 148 25,700 3,833 43,294 87,400
11,032 764 2,720 851,000 56,333 162,994 2,156,670
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 35
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
0 0 0 0 0 0 0
0 0 0 0 0 0 0
995 57 31 2,980 563 7,154 21,554
0 0 0 0 0 0 0
0 0 0 0 0 0 0
516 53 438 230,000 23,333 189,994 312,000
0 0 0 0 0 0 0
0 0 0 0 0 0 29,415
0 0 0 25,260 2,960 28,020 0
0 0 0 0 0 0 46,762
0 0 0 0 0 0 0
1,500 180 1,740 0 0 0 664
0 0 0 0 0 0 0
551 56 457 230 39 472 497
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
461 29 61 89,000 26,333 384,994 283,000
0 0 0 389,000 7,667 250,994 38,000
0 0 0 0 0 0 637
0 0 0 0 0 0 0
253 22 143 5,900 1,100 13,900 6,700
0 0 0 0 0 0 0
59 6 49 1,600 433 6,194 6,100
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 4,595 575 5,755 1,935
0 0 0 0 0 0 0
0 0 0 61,300 6,667 58,706 73,175
0 0 0 0 0 0 0
0 0 0 0 0 0 0
256 20 104 2,574 2,834 48,438 5,200
2,179 115 109 109,325 40,825 625,525 36,100
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
6,329 420 1,231 7,914 967 9,492 160
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
195 15 75 30,700 2,400 12,500 0
0 0 0 0 0 0 1,580
77 18 247 521 403 6,733 1,600
2,100 260 2,580 1,218 192 2,238 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 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 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 0 240 4,320 1,444
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 100 1,800 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
227 23 187 15,000 1,367 9,606 34,158
0 0 0 0 0 0 77,000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 40,635
0 0 0 340 920 16,220 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 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 42,800 13,500 200,200 171,400
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
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 0 620
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
81 8 63 113,000 15,667 169,006 96,935
602 83 892 72,900 5,667 29,106 55,400
0 0 0 0 0 0 0
0 0 0 0 0 0 0
155 31 403 2,700 440 5,220 18,735
483 51 435 166,000 15,667 116,006 196,100
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1,921 465 6,449 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
26 8 118 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
752 54 220 284,000 33,333 315,994 179,000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 67,000 6,000 41,000 10,300
REKAPITULASI RENCANA KEBUTUHAN OBAT DAN PERBE
UNTUK PELAYANAN KESEHATAN DAS
TAHUN 2012
KAB. MERANGIN KAB. YANJUNG JABUNG BARAT KAB. SUNGAI PENUH
Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana
rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan
0 0 0 0 0 0 0 0
0 0 297 32 600 24 1 6
0 0 0 0 0 0 0 0
199 8,961 0 0 0 21 0 21
1,851 0 480 67 1,300 482 12 266
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
40 0 8,000 567 10,000 2,000 267 2,806
712 16,086 1,355 80 1,440 200 19 142
0 0 0 0 0 0 0 0
32 0 61 4 70 11 0 5
0 0 0 0 0 0 0 0
3,228 0 1,141 26 470 200 7 74
134 0 160 10 180 565 5 475
0 0 0 0 0 0 0 0
0 0 99 6 90 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 618 54 1,000 0 0 0
13,128 0 0 0 0 7,200 67 6,000
0 0 1,000 56 1,100 0 0 0
63,363 0 242 303 5,500 15,470 110 13,490
0 0 0 0 0 0 0 0
2,259 0 10,096 970 10,000 10,350 590 270
0 0 0 0 0 0 0 0
154 0 904 82 1,500 500 22 104
51 309 75 15 270 0 0 0
0 0 0 0 0 0 0 0
0 0 10,000 507 10,000 2,000 150 700
28,239 0 628 75 1,600 5,396 72 4,100
102 0 3,000 300 5,400 0 0 0
72 0 5,875 217 4,000 146 8 8

104 1,493 63 12 300 0 0 0
121 0 0 12 220 57 8 87
0 0 0 0 0 344 0 344
653 0 0 16 250 0 0 0
60 0 0 0 0 0 0 0
98 0 174 4 90 46 3 8
0 0 15 3 50 24 0 24
0 0 0 0 0 13 0 13
63 0 77 10 180 0 0 0
96 0 0 0 0 137 6 29
1,013 0 0 0 0 75 7 45
0 0 0 0 0 0 0 0
34,480 0 1,843 473 9,000 261 14 9
0 0 390 22 400 1,000 10 820
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
23,488 0 2,972 146 2,800 350 33 244
0 0 0 0 0 0 0 0
74 194 5,240 345 5,000 1,000 93 674
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
140 0 201 14 300 300 18 24
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
157 173 494 29 400 300 21 78
0 0 0 0 0 0 0 0
0 0 50 15 200 0 0 0
208 0 64 4 72 0 0 0
1,527 2,508 0 0 0 0 0 0
0 0 102 3 50 100 1 82
8 0 0 0 0 0 0 0
0 0 60 11 200 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 89,000 0 0 0 0 0 0
45,565 0 0 0 0 52,400 0 52,400
0 0 212 21 300 0 0 0
0 0 73,000 683 4,000 0 0 0
481 0 0 0 0 153 4 87
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2,760 0 3,445 52 900 100 9 62
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 573 32 500 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 0
2,889 0 313 20 500 0 0 0
43,187 0 992 247 5,000 1,100 17 794
1 0 701 33 200 0 0 0
702 0 12,996 1,250 4,000 4,850 183 1,556
11,224 0 4,630 177 3,000 580 43 194
159 0 20 2 40 73 1 55
5,846 346,777 691 60 1,000 1,568 32 992
0 0 0 0 0 0 0 0
193 16,784 200 10 200 143 6 41
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1,209 4,522 326 29 500 70 2 34
256 0 395 18 200 399 3 345
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 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1,142 0 100 14 200 45 4 27
0 0 852 105 2,000 0 0 0
0 0 618 21 500 0 0 0
7,426 44,337 200 8 200 204 13 36
13,397 0 39 5 90 0 0 0
118 730 331 8 120 0 0 0
586 0 430 30 500 0 0 0
0 0 0 0 0 200 15 64
1,618 0 300 38 500 0 0 0
32 0 2,501 265 4,000 0 0 0
130 0 793 53 300 188 14 64
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 0 0 0 0 0 0
0 0 80 2 36 0 0 0
7 0 0 0 0 40 1 16
3 0 46 9 100 0 0 0
188 0 102 3 20 100 2 64
9 171 0 0 0 0 0 0
465 328,797 0 0 0 430 13 196
0 0 377 9 150 0 0 0
115 0 100 3 50 0 0 0
2 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
36 78 199 4 60 0 0 0
2,501 0 336 24 400 232 8 88
0 0 0 0 0 0 0 0
483 17,097 158 8 200 29 0 29
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 79 3 40 0 0 0
0 0 0 0 0 0 0 0
1,551 0 541 25 300 582 13 348
0 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5,388 0 654 34 600 455 12 239
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
191 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 250 10 76
0 0 2,354 193 4,000 0 0 0
0 0 0 0 0 350 33 244
0 0 120 12 300 0 0 0
254 0 10,841 168 2,000 300 34 312
1,561 0 596 40 400 1,074 17 768
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 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
34,493 0 468 233 6,000 298 7 172
42 0 101 15 300 1,222 8 1,078
55 0 1,660 40 1,000 53 17 253
4 444 158 4 100 0 0 0
470 0 4,300 93 1,500 185 30 355
0 0 0 0 0 0 0 0
4,664 0 360 24 600 390 17 84
55 0 143 12 300 178 10 2
0 0 0 0 0 205 7 79
108 0 150 13 300 859 13 625
0 0 0 0 0 0 0 0
1,434 43,197 112 9 200 74 3 20
0 0 0 0 0 0 0 0
0 0 5,654 177 4,000 0 0 0
420 0 0 0 0 213 9 51
0 0 0 0 0 50 8 94
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6,048 0 1,018 55 1,000 400 38 284
7,038 12,353 1,166 59 1,200 580 33 14
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
46 262 501 8 100 320 5 230
0 0 0 0 0 0 0 0
195 8,792 0 0 0 0 0 0
74 12,915 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
18,816 0 214 12 150 750 12 534
8,543 0 2,476 103 2,000 690 38 6
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
9,112 0 1,936 96 3,000 485 61 613
0 0 0 0 0 0 0 0
411 0 306 13 150 0 0 0
0 0 2,577 152 3,000 500 32 76
0 0 536 37 700 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
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 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 0 0 0 522 35 108
0 2 681 28 600 0 0 0
5,620 88,391 0 0 0 0 0 0
113 0 590 160 3,000 0 0 0
27 620 1,600 183 4,000 0 0 0
2 444 1,125 48 900 100 11 98
155 0 301 100 1,900 3,432 40 2,712
58,958 0 337 29 600 3,018 1 3,000
0 0 0 0 0 0 0 0
3,796 21,181 15 2 45 17 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
285 0 28 2 40 50 2 14
264 2,141 86 14 250 100 8 44
81 0 10 1 18 15 0 15
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
10,453 0 1,083 55 1,000 1,000 37 334
2,568 13,776 780 33 400 260 5 170
1,153 0 4,000 435 8,000 17,300 250 12,800
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
45 0 0 0 0 0 0 0
117 4,848 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 949 23 300 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 34 11 200 0 0 0
0 0 13 3 60 0 0 0
1,323 0 528 35 700 1,254 9 1,092
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 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
3 68 175 3 20 0 0 0
0 177 29 2 25 0 0 0
0 0 48 6 50 0 0 0
0 0 284 57 1,100 0 0 0
81 0 19 3 55 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 32 9 180 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 150 11 48
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
584 0 229 12 240 6 1 12
21,222 0 2,454 112 2,000 425 26 43
0 0 160 11 200 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2,328 0 399 43 500 50 5 40
380 26,780 189 13 150 63 1 45
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 5 17 250 250 21 128
0 0 0 0 0 0 0 0
0 0 94 9 100 0 0 0
0 0 0 0 0 0 0 0
0 0 212 29 500 100 9 62
692 0 0 0 0 0 0 0
0 0 160 12 100 0 0 0
5,985 0 627 29 600 0 0 0
0 0 985 38 500 390 22 6
120 0 1,765 117 3,000 0 0 0
0 4,000 61 23 500 100 1 82
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
3,587 0 534 423 3,000 425 3 371
74 12,915 1,030 63 800 0 0 0
195 8,792 209 58 800 50 8 88
0 0 0 0 0 0 0 0
338 0 2,840 128 2,000 400 33 194
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
878 0 292 43 400 0 0 0
167 0 86 3 55 0 0 0
100 0 16 2 42 50 0 50
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 4 1 14
1,015 0 10,933 381 3,000 0 0 0
0 0 0 0 0 0 0 0
0 14 10 1 16 0 0 0
0 572 116 37 300 83 5 7
0 25 11 1 16 0 0 0
0 0 10 1 5 19 0 19
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 700 74 1,500 500 32 76
219 5,701 0 0 0 0 0 0
286 0 80 6 200 90 1 72
0 0 1,000 308 5,000 1,900 83 406
271 0 0 0 0 0 0 0
397 8,260 100 5 70 71 1 53
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
2,565 0 0 0 0 0 0 0
0 0 1,510 84 1,000 0 0 0
2,487 0 10,001 840 10,000 18,450 617 7,344
8,129 0 180 18 300 0 0 0
58,781 1,098,618 4,959 362 10,000 13,600 235 9,370
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
1 16 100 1 10 0 0 0
0 0 60 11 200 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 0 200 14 52
0 0 0 0 0 150 12 66
0 0 0 0 0 0 0 0
1,436 0 65 6 120 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
19,697 0 160 10 100 364 4 292
0 0 0 0 0 0 0 0
3,996 0 0 0 0 0 0 0
0 0 548 22 240 0 0 0
8,107 0 0 0 0 0 0 0
0 0 448 23 200 300 21 72
291 0 4,260 87 600 116 6 8
0 0 0 0 0 0 0 0
83 0 1,167 38 300 112 12 104
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 0 0 0 0 0 0
20,026 0 114 9 200 364 5 274
4,575 0 26 4 50 0 0 0
17 339 35 7 100 6 0 6
0 0 0 0 0 0 0 0
132 4,317 336 15 200 930 3 876
0 0 160 5 90 0 0 0
603 0 418 48 200 1,768 4 1,696
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
90 317 126 6 120 0 0 0
0 0 0 0 0 0 0 0
8,284 0 300 39 800 490 57 536
0 0 0 0 0 20 2 16
0 0 0 0 0 0 0 0
0 5,200 668 35 500 10,500 250 6,000
0 36,100 400 23 500 27,133 1,700 3,467
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
820 0 5,810 407 7,000 580 27 94
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 0 0 0 300 16 12
1,230 0 1,840 50 500 0 0 0
141 0 153 11 220 100 7 32
0 0 9,192 388 4,000 2,440 150 260
0 0 1,004 118 2,200 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 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 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
31 879 200 6 100 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 0 100 7 120 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1,265 11,397 28 12 300 0 0 0
8,957 0 30 9 200 250 13 16
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
7,119 0 1,178 105 2,000 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 150 14 96
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 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
15,219 0 200 60 1,500 300 28 204
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 8 1 22 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
3 563 12 2 36 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 8 1 20 0 0 0
6,480 0 16 2 60 55 1 37
8,479 0 32 8 140 206 0 206
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
976 1,166 110 8 100 30 1 12
23,864 0 99 13 200 319 13 85
0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0
0 0 122 28 400 0 0 0
0 0 176 18 340 0 0 0
0 0 0 0 0 100 10 80
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 1,374 20 100 1,500 35 870
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
12,211 0 161 23 400 750 10 570
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
886 0 160 12 200 388 3 334
N OBAT DAN PERBEKALAN KESEHATAN
AN KESEHATAN DASAR
UN 2012
KAB. TANJUNG JABUNG TIMUR KAB. KAB.
Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata-
Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan
58 63 1,076
0 0 0
0 0 0
700 0 700
600 23 186
0 0 0
0 0 0
0 0 0
0 0 0
4,000 372 2,696
1,000 34 388
0 0 0
0 4 72
0 0 0
63 20 297
149 3 95
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1,559 124 673
3,143 164 191
0 0 0
1,000 0 1,000
0 0 0
500 3 446
0 0 0
0 0 0
0 0 0
6,000 111 4,002
4,000 222 4
68 15 202
0 6 108
0 0 0
240 40 480
0 0 0
0 0 0
0 9 162
0 0 0
16 0 16
280 0 280
0 0 0
0 13 234
0 0 0
750 6 642
0 0 0
0 0 0
0 0 0
1,424 126 844
0 0 0
290 196 3,238
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 90
500 5 410
0 0 0
0 0 0
45 2 9
0 2 36
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
15,000 0 15,000
0 0 0
0 0 0
250 16 38
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
733 0 733
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 12 216
1,114 267 3,692
0 0 0
7,250 600 3,550
3,750 104 1,878
0 13 234
500 29 22
0 0 0
0 1 18
0 0 0
0 0 0
0 0 0
100 8 44
275 18 49
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
737 13 503
0 0 0
134 0 134
500 30 40
0 3 54
0 1 18
700 7 574
0 0 0
0 0 0
1,500 218 2,424
400 28 104
18 5 72
0 0 0
0 0 0
0 0 0
500 0 500
300 0 300
0 0 0
0 0 0
0 1 18
0 1 18
0 0 0
500 8 356
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
400 7 274
0 0 0
114 5 24
0 0 0
0 0 0
0 3 54
0 0 0
0 0 0
0 0 0
501 28 3
0 0 0
2 11 196
0 0 0
144 25 306
0 0 0
0 0 0
0 0 0
0 0 0
13 1 5
1,000 30 460
0 0 0
0 0 0
0 0 0
0 0 0
500 384 6,412
600 35 30
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
509 23 95
0 0 0
1,040 48 176
0 37 666
1,000 120 1,160
0 0 0
1,503 21 1,125
0 7 126
52 0 52
92 4 20
0 0 0
213 24 219
0 0 0
0 0 0
250 16 38
0 0 0
0 0 0
0 0 0
0 0 0
500 38 184
0 0 0
0 0 0
0 0 0
99 1 81
239 12 23
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1,500 45 690
0 0 0
0 0 0
1,224 36 576
0 0 0
501 1 483
500 0 500
300 0 300
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
20 10 160
0 0 0
0 0 0
0 0 0
0 0 0
0 53 954
0 0 0
0 40 720
0 0 0
0 0 0
2,000 749 11,482
466 37 200
0 0 0
0 7 126
0 0 0
0 0 0
106 1 88
0 0 0
1 0 1
0 0 0
0 0 0
0 0 0
0 0 0
723 52 213
3 10 177
3,000 706 9,708

0 0 0
0 0 0
0 4 72
0 5 90
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
656 7 530
0 0 0
0 0 0
671 14 419
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
400 4 328
0 0 0
0 0 0
0 2 36
0 0 0
0 0 0
663 2 627
0 0 0
0 0 0
0 0 0
0 0 0
525 0 525
0 0 0
0 0 0
0 4 72
3,140 109 1,178
0 0 0
0 0 0
0 0 0
259 22 137
71 7 55
0 0 0
0 0 0
0 0 0
508 18 184
0 0 0
0 0 0
0 0 0
124 3 70
0 0 0
0 0 0
400 27 86
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
96 7 30
800 0 800
0 0 0
0 0 0
1,000 105 890
0 5 90
0 0 0
0 0 0
202 24 230
5 9 157
0 0 0
0 0 0
308 60 772
0 0 0
5,000 627 6,286
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 7 74
100 10 80
0 0 0
0 0 0
100 14 152
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4,000 0 4,000
20,000 560 9,920
0 7 126
3,600 296 1,728
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
0 11 198
0 0 0
0 0 0
300 28 204
0 0 0
500 26 32
0 0 0
1,000 53 46
0 0 0
442 457 7,784
0 0 0
233 385 6,697
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
300 19 42
0 0 0
0 0 0
0 0 0
520 7 394
100 25 350
0 2 36
0 0 0
0 0 0
0 0 0
30 11 168
0 0 0
806 39 104
0 0 0
0 0 0
500 95 1,210
2,067 63 933
0 0 0
0 0 0
0 0 0
0 0 0
100 1 82
8,000 349 1,718
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
107 9 55
302 17 4
101 6 7
500 94 1,192
0 0 0
0 0 0
0 0 0
0 0 0
601 9 439
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
0 0 0
250 15 20
0 0 0
0 0 0
200 8 56
200 0 200
0 0 0
0 0 0
1,002 18 678
0 0 0
0 0 0
230 12 14
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1,170 26 702
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
0 3 54
1 10 179
0 0 0
0 0 0
0 4 72
307 15 37
0 0 0
0 0 0
71 8 73
0 0 0
500 11 302
0 0 0
0 0 0
418 3 364
0 0 0
0 0 0
0 0 0
0 0 0
501 30 39
0 0 0
0 0 0
1,000 26 532
KAB. KAB. KAB. KAB.
Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1
Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012
KAB. KAB. KAB.
Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana
rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan
KAB. KAB. KAB.
Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata-
Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan
KAB. KAB. KAB.
Rencana Sisa Stok Per 1 Pemakaian Rata- Rencana Sisa Stok Per 1 Pemakaian Rata-
Pengadaan Jan 2012 rata per Bulan Pengadaan Jan 2012 rata per Bulan
RENCANA KEBUTUHAN OBAT KABUPATEN/KOTA
TAHUN 2018
KABUPATEN : BUNGO
SISA STOK PEMAKAIAN RENCANA KEBUTUHAN RENCANA PENGADAAN

PER 1 JAN 2017 RATA2/BULAN 2013 2013
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
ACT (Artesunate tablet 50 mg + Amodiaquine 2 blister @

1 - - - -
anhydrida tablet 200 mg) 12 tablet / kotak
2 657 32 576 -
3 Albendazol suspensi 200 mg/5 ml ktk 10 btl @ 10 ml - - - -
4 Albendazol tablet/tablet kunyah 400 mg ktk 5 x 6 tablet 2,173 35 630 -
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 1,268 54 972 -
6 Alopurinol tablet 300 mg ktk 3 x 10 tablet - - - -
7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet - - - -
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet - - - -
10 Ambroxol sirup 15 mg/ml btl 60 ml - - - -
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet - - - -
12 Amilorida tablet 5 mg (HCl) ktk 10 x 10 tablet - - - -
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml 33 1 18 -
14 Aminofilin tablet 150 mg btl 1000 tablet - - - -
15 Aminofilin tablet 200 mg btl 100 tablet 300 34 612 312
16 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut 80 10 180 100
17 Amlodipin tablet 5 mg ktk 3 x 10 tablet - - - -
21 Amoksisilin + As. Klavulanat 625 mg tablet ktk 5 x 6 tablet - - - -
22 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul - - - -
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 2,415 220 3,960 1,545
24 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 4,184 257 4,626 442
25 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial - - - -
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 21,987 1,450 26,100 4,113
27 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet - - -
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet - - -
29 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial ktk 10 vial - - -
30 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial ktk 10 vial - - -
31 Ampisilin sirup kering 125 mg/5ml btl 60 ml - - -
Antasida DOEN I tablet kunyah, kombinasi :
ktk 10 x 10 tablet
32 Aluminium Hidroksida 200 mg 4,532 322 5,796 1,264
kunyah
Antasida DOEN II suspensi, kombi :
33 Aluminium Hidroksida 200 mg/5 ml btl 60 ml - - -
Anti Bakteri DOEN salep kombinasi:
34 Basitrasin 500 ktk 25 tube @ 5 g 418 39 702 284
IU/g + Polimiksin 10.000 IU/g
Antifungi DOEN Kombinasi:
35 Asam Benzoat ktk 24 pot @ 30 g 265 27 486 221
6% + Asam Salisilat 3%
Antihemoroid DOEN kombinasi :
36 Bismut subgalat 150 mg ktk 10 supp 70 7 126 56
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi :
37 Pirimetamin 25 mg ktk 10 x 10 tablet 347 41 738 391
Sulfadoksin 500 mg
Antimigren:
38 Ergotamin btl 100 tablet - - -
Tartrat 1 mg + Kofein 50 mg
Antiparkinson DOEN tablet kombinasi :
39 Karbidopa 25 mg ktk 10 x 10 tablet - - -
Levodopa 250 mg
40 Aqua pro Injeksi steril, bebas pirogen ktk 10 vial @ 20 ml 2 3 54 52
41 Artemether injeksi 80 mg/ml ktk 6 ampul 64 1 18 -
42 Artesunate injeksi, vial 60 mg ktk 8 vial 82 - - -
43 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet - - -
44 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet - - -
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet - -
46 Asam Askorbat (Vitamin C) tablet 100 mg btl 500 tablet - - -
47 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 772 82 1,476 704
48 Asam Folat tablet 1 mg btl 100 tablet - - -
49 Asam Folat tablet 5 mg btl 1000 tablet - - -
50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul - - -
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 1,000 73 1,314 314
52 Asetazolamid tablet 250 mg btl 100 tablet - - -
53 Asiklovir krim 5% tube 5 gram - - -
54 Asiklovir krim 5% ktk 25 tube @ 5 gram - - -
55 Asiklovir tablet 200 mg ktk 3 x 10 tablet - - -
61 Atenolol tablet 100 mg ktk 5 x 10 tablet - - -
62 Atenolol tablet 50 mg ktk 10 x 10 tablet - - -
63 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 30 3 54 24
64 Atropin Sulfat tablet 0,5 mg btl 100 tablet - - -
65 Atropin Sulfat tablet 0,5 mg btl 500 tablet - - -
66 Atropin Sulfat tetes mata 0,5% ktk 24 btl @ 5 ml - - -
67 Atropin Sulfat tetes mata 0,5 % btl 5 ml - -
68 Azatioprin tablet 50 mg ktk 10 x 10 tablet - - -
69 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml - - -
70 Benzatin Benzil Penisilin 2,4 juta IU/vial ktk 10 vial @ 20 ml - - -
71 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut - - -
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet 1 sase
72 31,959 2,151 38,718 6,759
(tablet tambah darah kombinasi ) @ 30 tab
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet - - -
74 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram - - -
75 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g 56 19 342 286
76 Betametason tablet 0,5 mg ktk 10 x 10 tablet - - -
77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet - - -
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet - - -
79 Cetirizin sirup 5 mg/5 ml btl 60 ml - - -
80 Cetirizine tablet 10 mg ktk 3 x 10 tablet - - -
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet - - -
82 Cisapride tablet 10 mg ktk 10 x 10 tablet - - -
83 Cisapride tablet 5 mg ktk 10 x 10 tablet - - -
84 Clobazam tablet 10 mg ktk 10 x 10 tablet - - -
85 Clobetasol krim 0,05% tube 10 gram - - -
86 Dapson tablet 100 mg btl 1000 tablet - - -
87 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml 174 13 234 60
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 2,463 207 3,726 1,263
89 Dekstran 70 - larutan infus 6% steril btl 500 ml - - -
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 7,843 680 12,240 4,397
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 3,042 20 360 -
92 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml 19 - - -
93 Diazepam tablet 2 mg btl 100 tablet 665 47 846 181
94 Diazepam tablet 2 mg ktk 10 x 10 tablet - - -
95 Diazepam tablet 5 mg btl 250 tablet - - -
96 Diazepam tablet 5 mg btl 100 tablet - - -
97 Diazepam tablet 5 mg ktk 10 x 10 tablet - - -
98 Dietilkarbamazin Sitrat tablet 100 mg ktk 10 x 10 tablet - - -
99 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml 668 59 1,062 394
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 109 1 18 -
101 Digoksin tablet 0,0625 mg btl 100 tab - - -
102 Dikloksasilin kapsul 125 mg ktk 100 kapsul - - -
103 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul - - -
104 Dikloksasilin kapsul 500 mg ktk 25 x 4 kapsul - - -
105 Diltiazem HCl tablet 30 mg ktk 10 x 10 tablet - - -
106 Dimenhidrinat tablet 50 mg btl 100 tablet - - -
107 Disopiramid kapsul 100 mg btl 100 kapsul - - -
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul - - -
109 Domperidon suspensi 5 mg/5 ml btl 60 ml - - -
110 Domperidon tablet 10 mg ktk 10 x 10 tablet - - -
111 Efedrin tablet 25 mg (HCl) btl 250 tablet 284 27 486 202
112 Ekstraks Belladona tablet 10 mg btl 1000 tablet - - -
113 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml 28 1 18 -
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul - - -
115 Eritromisin kapsul 250 mg ktk 12 x 10 kapsul - - -
116 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet - - -
117 Eritromisin sirup 200 mg/ 5 ml btl 60 ml - - -
118 Etakridin larutan 0,1% btl 300 ml 581 80 1,440 859
119 Etambutol tablet 250 mg (HCl) ktk 10 x 10 tablet - - -
120 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet - - -
121 Etambutol tablet salut 500 mg (HCl) ktk 10 x 10 tablet salut - - -
122 Etoposid kapsul 100 mg btl 10 kapsul - - -
123 Famotidine tablet 40 mg ktk 5 x 10 tablet - - -
124 Famotidine tablet 20 mg ktk 5 x 10 tablet - - -
125 Fenilbutason tablet 200 mg btl 1000 tablet - - -
126 Fenitoin kapsul 100 mg btl 250 kapsul - - -
127 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml - - -
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul - - -
129 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml - - - 4
130 Fenobarbital tablet 30 mg btl 100 tablet - - -
131 Fenobarbital tablet 30 mg btl 250 tablet 250 6 108 -
132 Fenobarbital tablet 100 mg btl 250 tablet - - -
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet - - -
134 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet 6 4 72 66
135 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml 183 14 252 69
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 348 39 702 354
137 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet - - -
138 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 188 19 342 154
139 Menadion (Vitamin K3) injeksi 10 mg/ml ktk 100 amp @ 1 ml - - -
140 Flukonazol tablet 150 mg ktk 10 tablet - - -
141 Fluoride tablet 0,5 mg btl 100 tablet - - -
142 Fluoride tablet 1 mg btl 100 tablet - - -
143 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml - - -
144 Furosemid tablet 40 mg ktk 20 x 10 tablet - - -
145 Furosemid tablet 40 mg ktk 10 x 10 tablet 143 15 270 127
146 Furosemid tablet 40 mg btl 250 tablet - - -
147 Gameksan lotion 1 % btl 30 ml - - -
Garam Oralit I serbuk, kombinasi :
Natrium 0,52 g
148 Kalium klorida 0,30 g ktk 25 sachet - - -
Natrium 0,52 g
149 Kalium klorida 0,30 g ktk 100 sachet 412 34 612 200
150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul - - -
151 Gemfibrozil kapsul 300 mg ktk 10 x 10 kapsul - - -
152 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet - - -
153 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml - - -
154 Gentamisin injeksi 40 mg/ ml ktk 5 amp - - -
155 Gentamisin salep kulit 0.1% ktk 10 tube 5 gram - - -
156 Gentamisin salep kulit 0.1% ktk 25 tube 5 gram - - -
157 Gentamisin salep kulit 0.1% tube 5 gram - - -
158 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml - - -
159 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml - - -
160 Gentian Violet larutan 1 % btl 10 ml 1,680 190 3,420 1,740
161 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 262 21 378 116
162 Glimepiride tablet 1 mg ktk 5 x 10 tablet - - -
170 Glipizid tablet 5 mg ktk 30 tablet - - -
171 Gliquidon tablet 30 mg ktk 10 x 10 tablet - - -
172 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 415 30 540 125
173 Gliserin btl 100 ml - - -
174 Glukosa larutan infus 10 % steril btl 500 ml 2,174 49 882 -
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml - - -
176 Glukosa larutan infus 5 % steril btl 500 ml 3,390 260 4,680 1,290
177 Griseofulvin tablet 250 mg ktk 10 x 10 tablet - - -
178 Griseofulvin tablet 125 mg ktk 10 x 10 tablet 244 46 828 584
179 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet 230 18 324 94
180 Haloperidol tablet 5 mg ktk 10 x 10 tablet - - -
182 Haloperidol tablet 2 mg ktk 10 x 10 tablet - - -
183 Hidroklorotiazida tablet 25 mg btl 1000 tablet 52 6 108 56
184 Hidrokortison krim 1% tube 5 g - - -
185 Hidrokortison krim 2,5 % tube 5 g - - -
186 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 175 26 468 293
187 Hyoscine -N-Butilbromide tablet 10 mg ktk 10 x 10 tablet - - -
188 Ibuprofen suspensi 100 mg/5 ml btl 60 ml - - -
189 Ibuprofen suspensi 200 mg/5 ml btl 60 ml - - -
190 Ibuprofen tablet 200 mg btl 100 tablet 313 21 378 65
191 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 776 131 2,358 1,582
192 Indometasin kapsul 25 mg ktk 10 x 10 kapsul - - -
193 Iodiol kapsul lunak btl 100 kapsul - - -
194 Isoniazid tablet 100 mg btl 1000 tablet - - -
195 Isoniazid tablet 300 mg btl 1000 tablet - - -
196 Isosorbid Dinitrat tablet sublingual 5 mg ktk 10 x 10 tablet 81 1 18 -
197 Itrakonazol kapsul 100 mg ktk 3 x 10 kapsul - - -
198 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet - - -
199 Kalium Diklofenak tablet 50 mg ktk 5 x 10 tablet - - -
200 Kalium Klorida tablet 300 mg tube 10 tablet - - -
201 Kalsium Folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet - - -
202 Kalsium Karbonat tablet 500 mg btl 100 tablet - - -
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 170 16 288 118
204 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 450 47 846 396
205 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet - - -
206 Kaptopril tablet 25 mg ktk 6 x 10 tablet - - -
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 802 88 1,584 782
208 Kaptopril tablet 50 mg ktk 10 x 10 tablet - - -
209 Karbamazepin tablet 200 mg ktk 10 x 10 tablet 8 5 90 82
210 Ketokonazol krim 2% tube 15 gram - - -
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet - - -
212 Ketoprofen injeksi 100 mg ktk 6 amp @ 1 ml - - -
213 Ketoprofen tablet 100 mg ktk 10 x 10 tablet - - -
214 Ketorolac injeksi 10 mg ktk 6 amp @ 1 ml - - -
219 Klindamisin kapsul 150 mg ktk 10 x 10 kapsul - - -
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul - - -
224 Klomifen tablet 50 mg btl 10 tablet - - -
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet - - -
226 Kloramfenikol kapsul 250 mg ktk 12 X 10 kapsul 285 21 378 93
227 Kloramfenikol kapsul 250 mg ktk 10 X 10 kapsul - - -
228 Kloramfenikol kapsul 250 mg btl 250 kapsul - - -
229 Kloramfenikol salep mata 1 % tube 5 g - - -
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml - - -
231 Kloramfenikol tetes mata 0,5 % btl 5 ml - - -
232 Kloramfenikol tetes telinga 3 % btl 5 ml 720 141 2,538 1,818
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet 1,051 73 1,314 263
234 Klorokuin tablet 150 mg btl 1000 tablet - - -
235 Klorokuin tablet 250 mg btl 1000 tablet 116 6 108 -
236 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml 10 - - -
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ktk 30 ampul - - -
238 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut 12 2 36 24
239 Klorpromazin tablet salut 100 mg (HCl) btl 250 tablet 27 2 36 9
240 Kodein tablet 10 mg btl 250 tablet - - -
244 Kolkisin tablet 500 mcg ktk 10 x 10 tablet - - -
Kotrimoksazol DOEN I (dewasa) kombinasi :
245 Sulfametoksazol 400 mg ktk 10 x 10 tablet 1,684 117 2,106 422
Trimetoprim 80 mg
246 Sulfametoksazol 100 mg ktk 10 x 10 tablet 266 20 360 94
Trimetoprim 20 mg
247 Sulfametoksazol 200 mg + Trimetoprim btl 60 ml 24,880 1,735 31,230 6,350
40 mg / 5 ml
248 Kuinidin tablet 100 mg btl 1000 tablet - - -
249 Kuinidin tablet 200 mg ktk 10 x 10 tablet - - -
250 Kuinin (Kina) tablet 200 mg ktk 60 tablet - - -
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul - - -
252 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml - - -
253 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet - - -
254 Lamivudine tablet 150 mg btl 60 tablet - - -
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul - - -
256 Levamisol tablet 50 mg ktk 4 x 9 tablet - - -
257 Levamisol tablet 50 mg btl 25 tablet - - -
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet - - -
259 Levofloksasin tablet 500 mg ktk 3 x 10 tablet - - -
260 Lidokain injeksi 2% ktk 100 amp @ 2 ml - - -
261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml 388 28 504 116
262 Linkomisin kapsul 250 mg ktk 10 x 10 kapsul - - -
266 Lisinopril tablet 10 mg ktk 3 x 10 tablet - - -
269 Loperamid tablet 2 mg ktk 10 x 10 tablet - - -
270 Loratadin tablet 10 mg ktk 5 x 10 tablet - - -
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial - - -
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial - - -
273 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr - - -
274 Mebendazol sirup 100 mg / 5 ml btl 30 ml - - -
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet - - -
277 Meloksikam suppositoria ktk 10 supp - - -
278 Meloksikam tablet 15 mg ktk 5 x 10 tablet - - -
279 Meloksikam tablet 15 mg ktk 2 x 10 tablet - - -
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet - - -
281 Meloksikam tablet 7,5 mg ktk 2 x 10 tablet - - -
282 Merkaptopurin tablet 50 mg btl 25 tablet - - -
283 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml 86 23 414 328
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 41 202 3,636 3,595
285 Metformin HCl tablet 500 mg ktk 10 x 10 tablet - - -
286 Metformin HCl tablet 850 mg ktk 10 x 10 tablet - - -
287 Metildopa tablet 250 mg btl 100 tablet - - -
Metilergometrin Maleat (Metilergometrin)
288 ktk 10 x 10 tablet 268 37 666 398
tablet salut 0,125 mg
289 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul 298 35 630 332
290 Metilprednisolon injeksi 500 mg ktk 1 vial - - -
291 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet - - -
295 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml - - -
296 Metoklopramide sirup 5 mg/ 5 ml btl 60 ml - - -
297 Metoklopramide tablet 10 mg ktk 10 x 10 tablet - - -
298 Metoklopramide tablet 5 mg ktk 10 x 10 tablet - - -
299 Metronidazol infus 500 mg/100 ml btl 100 ml - - -
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet - - -
301 Metronidazol tablet 500 mg ktk 10 x 10 tablet 1,071 11 198 -
302 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr - - -
Mineral Mix, kombinasi :
Kalium klorida 1792 mg
Trikalium sitrat (1H2O) 648 mg
303 ktk 40 sachet - - -
Tembaga sulfat (5H2O) 11 mg
304 Momethason krim 0,1 % tube 5 gram - - -
305 Momethason krim 0,1 % tube 10 gram - - -
306 Morfin injeksi 10 mg/ml ktk 10 ampul @ 1 ml - - -
307 Morfin tablet 10 mg btl 30 tablet - - -
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 108 15 270 162
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet - - -
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet - - -
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml - - -
312 Natrium Klorida larutan infus 0,9 % btl 500 ml 2,912 220 3,960 1,048
313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml - - -
314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul - - -
315 Nevirapin tablet 200 mg btl 60 tablet - - -
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet - - -
317 Nistatin tablet salut 500.000 IU/ g ktk 10 x 10 tablet salut 3 2 36 33
318 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal 16 2 36 20
319 Nitrofurantoin tablet 100 mg btl 100 tablet - - -
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos - - -
321 Obat Antituberkulosis Kategori anak Paket / dos - - -
322 Obat Batuk Hitam ( O.B.H. ) cairan btl 100 ml 6,020 549 9,882 3,862
323 Obat Batuk Hitam ( O.B.H. ) cairan btl 200 ml - - -
324 Obat Antituberkulosis FDC Kategori Anak paket 10 0.6 11 1
325 Obat Antituberkulosis FDC Kategori 1 paket 122 14 252 130
326 Obat Antituberkulosis FDC Kategori 2 paket 3 - - -
327 Obat Antituberkulosis FDC Sisipan paket 3 0.3 5 2
328 Ofloxacin tablet 200 mg ktk 5 x 10 tablet - - -
329 Ofloxacin tablet 400 mg ktk 5 x 10 tablet - - -
330 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram - - -
331 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g 177 15 270 93
332 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml ktk 10 vial 144 20 360 216
333 Oksitetrasiklin salep kulit 3% tube 5 gram - - -
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 g 300 30 540 240
335 Oksitosin injeksi 10 IU/ml - 1 ml ktk 30 ampul 290 20 360 70
336 Omeprazol kapsul 20 mg btl 7 kapsul - - -
337 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul - - -
338 Oseltamivir 75 mg ktk 10 - - -
339 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml - - -
340 Papaverin tablet 40 mg btl 1000 tablet - - -
341 Parasetamol drops btl 15 ml - - -
342 Parasetamol sirup 120 mg / 5 ml btl 60 ml 31,490 2,460 44,280 12,790
343 Parasetamol tablet 100 mg botol 100 tablet 68 12 216 148
344 Parasetamol tablet 500 mg ktk 10 x 10 tablet 11,032 764 13,752 2,720
345 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial - - -
346 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet - - -
347 Perfenazin tablet 4 mg (HCl) btl 100 tablet - - -
348 Perfenazin tablet 2 mg (HCl) ktk 15 x 10 tablet - - -
349 Perfenazin tablet 8 mg (HCl) ktk 15 x 10 tablet - - -
350 Petidin injeksi 50 mg/ml ktk 10 ampul - - -
351 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml - - -
352 Piracetam injeksi 1 g/5 ml ktk 10 amp - - -
353 Piracetam injeksi 3 g/15 ml ktk 4 amp - - -
354 Piracetam tablet 1200 mg ktk 10 x 10 tablet - - -
358 Pirantel sirup 125 mg/5 ml btl 60 ml - - -
359 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score 995 57 1,026 31
360 Pirantel tablet score (base) 125 mg ktk 30 x 2 tablet score - - -
361 Pirazinamid tablet 500 mg ktk 10 x 10 tablet - - -
362 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet 516 53 954 438
363 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet - - -
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet - - -
365 Piroksikam kapsul 10 mg ktk 12 x10 kapsul - - -
366 Piroksikam tablet 20 mg ktk 10 x 10 tablet - - -
367 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul - - -
368 Povidon Iodida larutan 10% btl 30 ml 1,500 180 3,240 1,740
369 Povidon Iodida larutan 10% btl 60 ml - - -
370 Povidon Iodida larutan 10% btl 300 ml 551 56 1,008 457
371 Povidon Iodida larutan 10% btl 1000 ml - - -
372 Pravastatin tablet 10 mg ktk 3 x 10 tablet - - -
375 Prazikuantel tablet 300 mg btl 1000 tablet - - -
376 Prazikuantel tablet 600 mg btl 100 tablet - - -
377 Prednison tablet 5 mg btl 1000 tablet 461 29 522 61
378 Primakuin tablet 15 mg btl 1000 tablet - - -
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial - - -
380 Prometazin tablet 25 mg ktk 100 tablet - - -
381 Propanolol tablet 40 mg (HCl) btl 100 tablet 253 22 396 143
382 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet - - -
383 Propiltiourasil tablet 100 mg btl 100 tablet 59 6 108 49
384 Propiltiourasil tablet 50 mg btl 1000 tablet - - -
385 Ramipril tablet 2,5 mg ktk 10 x 10 tablet - - -
386 Ramipril tablet 5 mg ktk 10 x 10 tablet - - -
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp - - -
388 Ranitidin tablet 150 mg ktk 3 x 10 tablet - - -
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet - - -
390 Reserpin tablet 0,10 mg btl 250 tablet - - -
391 Reserpin tablet 0,25 mg btl 1000 tablet - - -
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 256 20 360 104
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 2,179 115 2,070 (109)
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet - - -
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet - - -
396 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul - - -
397 Rifampisin kapsul 300 mg ktk 12 x 10 kapsul - - -
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut - - -
399 Ringer Laktat larutan infus btl 500 ml 6,329 420 7,560 1,231
400 Risperidon tablet 1 mg ktk 2 x 10 tablet - - -
405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet 195 15 270 75
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet - - -
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang
407 ktk 24 pot @ 30 g 77 18 324 247
endap 4%
408 Salisil Bedak 2 % ktk 50 gram 2,100 260 4,680 2,580
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml - - -
410 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul - - -
414 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul - - -
415 Sefaklor kapsul 500 mg ktk 3 x 10 kapsul - - -
416 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul - - -
417 Sefaleksin kapsul 500 mg ktk 5 x 10 kapsul - - -
418 Sefazolin injeksi 1 g ktk 2 vial - - -
419 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul - - -
422 Sefiksim sirup kering 100 mg/ 5 ml btl 30 ml - - -
423 Sefiksim 400 mg + Azitromisin 1000 mg paket - - -
424 Sefotaksim injeksi 0,5 g ktk 2 vial - - -
425 Sefotaksim injeksi 1 g ktk 2 vial - - -
426 Sefotaksim injeksi 1 g ktk 10 vial - - -
427 Sefotaksim injeksi 1 g per vial ktk 1 vial - - -
428 Seftazidim injeksi 1 g ktk 2 vial - - -
429 Seftriakson injeksi 1 g ktk 2 vial - - -
430 Seftriakson serbuk injeksi 1 g/ vial 1 vial - - -
431 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml - - -
432 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 227 23 414 187
433 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet - - -
434 Siklofosfamid tablet 50 mg btl 50 tablet - - -
435 Siklosporin kapsul lunak 25 mg btl 50 kapsul - - -
436 Simetidin tablet 200 mg ktk 10 x 10 tablet - - -
437 Simvastatin tablet 5 mg ktk 3 x 10 tablet - - -
442 Siprofloksasin tetes mata 0,3 % btl 10 ml - - -
443 Siprofloksasin infus 2% btl 100 ml - - -
444 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet - - -
449 Spiramisin tablet 250 mg ktk 5 x 10 tablet - - -
450 Spiramisin tablet 500 mg ktk 5 x 10 tablet - - -
451 Spironolakton tablet 100 mg ktk 10 x 10 tablet - - -
452 Spironolakton tablet 25 mg ktk 10 x 10 tablet - - -
453 Stavudin tablet 30 mg btl 60 tablet - - -
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml - - -
455 Sulfadiazin tablet 500 mg btl 100 tablet - - -
456 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet - - -
457 Sulfasalazin tablet 500 mg btl 500 tablet - - -
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml - - -
459 Tamoksifen tablet 20 mg btl 30 tablet - - -
460 Teofilin tablet 150 mg ktk 10 x 10 tablet - - -
461 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet - - -
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml - - -
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul 81 8 144 63
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 602 83 1,494 892
465 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul - - -
466 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul - - -
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 155 31 558 403
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet 483 51 918 435
469 Tiamin (Vitamin B1) 100 mg tablet btl 1000 tablet - - -
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml - - -
471 Tramadol injeksi 50 mg/ml ktk 5 ampul - - -
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul - - -
473 Tramadol tablet 50 mg ktk 5 x 10 tablet - - -
474 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet - - -
475 Trifluoperazin tablet 5 mg ktk 10 x 10 tablet - - -
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 26 8 144 118
477 Trimetoprim tablet 200 mg btl 100 tablet - - -
478 Valproat tablet 150 mg btl 50 tablet - - -
479 Valproat tablet 250 mg btl 50 tablet - - -
480 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet - - -
481 Vitamin B Kompleks tablet btl 1000 tablet 752 54 972 220
482 Zidovudin 300 mg + Lamivudine 150 mg btl 60 tablet - - -
483 Zidovudin tablet 100 mg btl 60 tablet - - -
484 Zinc tablet 20 mg ktk 10 x 10 tablet - - -
Kepala Instalasi Farmasi Kab. Bungo
( EVA DEWI,S.Si., Apt. )

NIP. 197705162005012006
TAHUN 2018
KABUPATEN : MUARO JAMBI
SISA STOK PEMAKAIAN

PER 1 JAN 2017 RATA2/BULAN
1 2 3 4 5

1 - 164
2 13,624 1,304
3 Albendazol suspensi 200 mg/5 ml ktk 10 btl @ 10 ml - -
4 Albendazol tablet/tablet kunyah 400 mg ktk 5 x 6 tablet 65,990 500
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 1,500 333
6 Alopurinol tablet 300 mg ktk 3 x 10 tablet - -
7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet -
8 Alprazolam tablet 0,5 mg ktk 10 x 10 tablet -
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet -
10 Ambroxol sirup 15 mg/ml btl 60 ml 3,657 670
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet -
12 Amilorida tablet 5 mg (HCl) ktk 10 x 10 tablet -
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml 220 70
14 Aminofilin tablet 150 mg btl 1000 tablet -
15 Aminofilin tablet 200 mg btl 100 tablet 15,400 1,433
16 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut -
17 Amlodipin tablet 5 mg ktk 3 x 10 tablet -
21 Amoksisilin + As. Klavulanat 625 mg tablet ktk 5 x 6 tablet -
22 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul -
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 31,100 4,940
24 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 931,400 58,600
25 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial -
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 16,961 1,850
27 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet -
29 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial ktk 10 vial -
30 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial ktk 10 vial -
31 Ampisilin sirup kering 125 mg/5ml btl 60 ml -
32 Aluminium Hidroksida 200 mg ktk 10 x 10 tablet kunyah 318,300 34,000
33 Aluminium Hidroksida 200 mg/5 ml btl 60 ml 5,895 477
34 Basitrasin 500 ktk 25 tube @ 5 g 1,581 187
35 Asam Benzoat ktk 24 pot @ 30 g 944 172
36 Bismut subgalat 150 mg ktk 10 supp -
37 Pirimetamin 25 mg ktk 10 x 10 tablet -
Sulfadoksin 500 mg
Antimigren:
38 Ergotamin btl 100 tablet 35,700 1,333
39 Karbidopa 25 mg ktk 10 x 10 tablet -
Levodopa 250 mg
40 Aqua pro Injeksi steril, bebas pirogen ktk 10 vial @ 20 ml 1,061 408
41 Artemether injeksi 80 mg/ml ktk 6 ampul -
42 Artesunate injeksi, vial 60 mg ktk 8 vial 400 32
43 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet -
44 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet -
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet -
46 Asam Askorbat (Vitamin C) tablet 100 mg btl 500 tablet -
47 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 346,000 33,000
48 Asam Folat tablet 1 mg btl 100 tablet -
50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul -
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 206,400 18,900
52 Asetazolamid tablet 250 mg btl 100 tablet -
53 Asiklovir krim 5% tube 5 gram 479 160
54 Asiklovir krim 5% ktk 25 tube @ 5 gram -
55 Asiklovir tablet 200 mg ktk 3 x 10 tablet -
57 Asiklovir tablet 200 mg ktk 10 x 10 tablet 18,850 1,900
61 Atenolol tablet 100 mg ktk 5 x 10 tablet -
63 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 660 -
64 Atropin Sulfat tablet 0,5 mg btl 100 tablet 36,100 12,000
65 Atropin Sulfat tablet 0,5 mg btl 500 tablet -
66 Atropin Sulfat tetes mata 0,5% ktk 24 btl @ 5 ml -
67 Atropin Sulfat tetes mata 0,5 % btl 5 ml -
68 Azatioprin tablet 50 mg ktk 10 x 10 tablet -
69 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml -
70 Benzatin Benzil Penisilin 2,4 juta IU/vial ktk 10 vial @ 20 ml -
71 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut -
72 750,800 27,667
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet -
74 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram -
75 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g 4,642 647
76 Betametason tablet 0,5 mg ktk 10 x 10 tablet -
77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet -
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet -
79 Cetirizin sirup 5 mg/5 ml btl 60 ml -
80 Cetirizine tablet 10 mg ktk 3 x 10 tablet 16,850 367
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet -
82 Cisapride tablet 10 mg ktk 10 x 10 tablet -
83 Cisapride tablet 5 mg ktk 10 x 10 tablet -
84 Clobazam tablet 10 mg ktk 10 x 10 tablet -
85 Clobetasol krim 0,05% tube 10 gram -
86 Dapson tablet 100 mg btl 1000 tablet -
87 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml 11,300 2,467
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 409,300 44,200
89 Dekstran 70 - larutan infus 6% steril btl 500 ml -
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 576 183
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 131,000 15,667
92 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml -
93 Diazepam tablet 2 mg btl 100 tablet -
94 Diazepam tablet 2 mg ktk 10 x 10 tablet 10,000 767
97 Diazepam tablet 5 mg ktk 10 x 10 tablet -
98 Dietilkarbamazin Sitrat tablet 100 mg ktk 10 x 10 tablet -
99 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml -
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 19,300 2,500
101 Digoksin tablet 0,0625 mg btl 100 tab -
102 Dikloksasilin kapsul 125 mg ktk 100 kapsul -
103 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul -
104 Dikloksasilin kapsul 500 mg ktk 25 x 4 kapsul -
105 Diltiazem HCl tablet 30 mg ktk 10 x 10 tablet -
106 Dimenhidrinat tablet 50 mg btl 100 tablet -
107 Disopiramid kapsul 100 mg btl 100 kapsul -
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 8,500 300
109 Domperidon suspensi 5 mg/5 ml btl 60 ml -
110 Domperidon tablet 10 mg ktk 10 x 10 tablet 12,900 3,533
111 Efedrin tablet 25 mg (HCl) btl 250 tablet 24,000 8,000
112 Ekstraks Belladona tablet 10 mg btl 1000 tablet 55,000 5,333
113 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml 220 52
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul -
116 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet 14,600 1,800
117 Eritromisin sirup 200 mg/ 5 ml btl 60 ml -
118 Etakridin larutan 0,1% btl 300 ml 518 52
119 Etambutol tablet 250 mg (HCl) ktk 10 x 10 tablet -
120 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet -
121 Etambutol tablet salut 500 mg (HCl) ktk 10 x 10 tablet salut -
122 Etoposid kapsul 100 mg btl 10 kapsul -
123 Famotidine tablet 40 mg ktk 5 x 10 tablet -
124 Famotidine tablet 20 mg ktk 5 x 10 tablet -
125 Fenilbutason tablet 200 mg btl 1000 tablet -
126 Fenitoin kapsul 100 mg btl 250 kapsul -
127 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml -
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul -
129 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml -
130 Fenobarbital tablet 30 mg btl 100 tablet -
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet -
134 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet -
135 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml 2,033 124
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 6,500 1,800
137 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet -
138 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 7,656 850
139 Menadion (Vitamin K3) injeksi 10 mg/ml ktk 100 amp @ 1 ml -
140 Flukonazol tablet 150 mg ktk 10 tablet -
141 Fluoride tablet 0,5 mg btl 100 tablet -
142 Fluoride tablet 1 mg btl 100 tablet -
143 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml -
144 Furosemid tablet 40 mg ktk 20 x 10 tablet -
145 Furosemid tablet 40 mg ktk 10 x 10 tablet 600 2,666
146 Furosemid tablet 40 mg btl 250 tablet -
147 Gameksan lotion 1 % btl 30 ml -
Natrium 0,52 g
148 Kalium klorida 0,30 g ktk 25 sachet -
Natrium 0,52 g
149 Kalium klorida 0,30 g ktk 100 sachet -
150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul -
151 Gemfibrozil kapsul 300 mg ktk 10 x 10 kapsul -
152 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet -
153 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml -
154 Gentamisin injeksi 40 mg/ ml ktk 5 amp -
155 Gentamisin salep kulit 0.1% ktk 10 tube 5 gram -
156 Gentamisin salep kulit 0.1% ktk 25 tube 5 gram -
157 Gentamisin salep kulit 0.1% tube 5 gram 352 77
158 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml
159 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml
160 Gentian Violet larutan 1 % btl 10 ml -
161 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 10,600 2,033
162 Glimepiride tablet 1 mg ktk 5 x 10 tablet -
170 Glipizid tablet 5 mg ktk 30 tablet -
171 Gliquidon tablet 30 mg ktk 10 x 10 tablet -
172 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 264,000 37,667
173 Gliserin btl 100 ml -
174 Glukosa larutan infus 10 % steril btl 500 ml -
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml -
176 Glukosa larutan infus 5 % steril btl 500 ml 2,220 337
177 Griseofulvin tablet 250 mg ktk 10 x 10 tablet -
178 Griseofulvin tablet 125 mg ktk 10 x 10 tablet 2,900 967
179 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet -
180 Haloperidol tablet 5 mg ktk 10 x 10 tablet -
181 Haloperidol tablet 1,5 mg ktk 10 x 10 tablet -
183 Hidroklorotiazida tablet 25 mg btl 1000 tablet 14,000 4,333
184 Hidrokortison krim 1% tube 5 g -
185 Hidrokortison krim 2,5 % tube 5 g -
186 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 2,444 433
187 Hyoscine -N-Butilbromide tablet 10 mg ktk 10 x 10 tablet -
188 Ibuprofen suspensi 100 mg/5 ml btl 60 ml -
189 Ibuprofen suspensi 200 mg/5 ml btl 60 ml -
190 Ibuprofen tablet 200 mg btl 100 tablet 29,700 4,267
191 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 93,400 7,100
192 Indometasin kapsul 25 mg ktk 10 x 10 kapsul -
193 Iodiol kapsul lunak btl 100 kapsul -
194 Isoniazid tablet 100 mg btl 1000 tablet -
196 Isosorbid Dinitrat tablet sublingual 5 mg ktk 10 x 10 tablet 24,900 1,700
197 Itrakonazol kapsul 100 mg ktk 3 x 10 kapsul -
198 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet -
199 Kalium Diklofenak tablet 50 mg ktk 5 x 10 tablet -
200 Kalium Klorida tablet 300 mg tube 10 tablet -
201 Kalsium Folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet -
202 Kalsium Karbonat tablet 500 mg btl 100 tablet -
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 336,000 20,000
204 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 79,000 7,633
205 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet -
206 Kaptopril tablet 25 mg ktk 6 x 10 tablet -
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 79,900 7,833
208 Kaptopril tablet 50 mg ktk 10 x 10 tablet -
209 Karbamazepin tablet 200 mg ktk 10 x 10 tablet -
210 Ketokonazol krim 2% tube 15 gram -
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet -
212 Ketoprofen injeksi 100 mg ktk 6 amp @ 1 ml -
213 Ketoprofen tablet 100 mg ktk 10 x 10 tablet -
214 Ketorolac injeksi 10 mg ktk 6 amp @ 1 ml -
219 Klindamisin kapsul 150 mg ktk 10 x 10 kapsul -
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul -
224 Klomifen tablet 50 mg btl 10 tablet -
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet -
226 Kloramfenikol kapsul 250 mg ktk 12 X 10 kapsul -
227 Kloramfenikol kapsul 250 mg ktk 10 X 10 kapsul -
228 Kloramfenikol kapsul 250 mg btl 250 kapsul 38,500 1,917
229 Kloramfenikol salep mata 1 % tube 5 g -
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml -
231 Kloramfenikol tetes mata 0,5 % btl 5 ml -
232 Kloramfenikol tetes telinga 3 % btl 5 ml -
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet 428,000 52,000
234 Klorokuin tablet 150 mg btl 1000 tablet -
235 Klorokuin tablet 250 mg btl 1000 tablet 135,000 6,000
236 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml -
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ktk 30 ampul -
238 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut 7,000 1,667
239 Klorpromazin tablet salut 100 mg (HCl) btl 250 tablet -
240 Kodein tablet 10 mg btl 250 tablet -
244 Kolkisin tablet 500 mcg ktk 10 x 10 tablet -
245 Sulfametoksazol 400 mg ktk 10 x 10 tablet 165,100 9,233
Trimetoprim 80 mg
246 Sulfametoksazol 100 mg ktk 10 x 10 tablet 12,300 3,767
Trimetoprim 20 mg
247 Sulfametoksazol 200 mg + Trimetoprim btl 60 ml 4,525 1,133
40 mg / 5 ml
248 Kuinidin tablet 100 mg btl 1000 tablet -
249 Kuinidin tablet 200 mg ktk 10 x 10 tablet -
250 Kuinin (Kina) tablet 200 mg ktk 60 tablet 2,180 -
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul 760 -
252 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml -
253 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet -
254 Lamivudine tablet 150 mg btl 60 tablet -
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul -
256 Levamisol tablet 50 mg ktk 4 x 9 tablet -
257 Levamisol tablet 50 mg btl 25 tablet -
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet -
259 Levofloksasin tablet 500 mg ktk 3 x 10 tablet -
260 Lidokain injeksi 2% ktk 100 amp @ 2 ml -
261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml 11,010 1,090
262 Linkomisin kapsul 250 mg ktk 10 x 10 kapsul -
266 Lisinopril tablet 10 mg ktk 3 x 10 tablet -
269 Loperamid tablet 2 mg ktk 10 x 10 tablet -
270 Loratadin tablet 10 mg ktk 5 x 10 tablet -
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial 835 60
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial -
273 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr 454 -
274 Mebendazol sirup 100 mg / 5 ml btl 30 ml -
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet -
277 Meloksikam suppositoria ktk 10 supp -
278 Meloksikam tablet 15 mg ktk 5 x 10 tablet -
279 Meloksikam tablet 15 mg ktk 2 x 10 tablet -
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet -
281 Meloksikam tablet 7,5 mg ktk 2 x 10 tablet -
282 Merkaptopurin tablet 50 mg btl 25 tablet -
283 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml -
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 441,900 16,133
285 Metformin HCl tablet 500 mg ktk 10 x 10 tablet -
287 Metildopa tablet 250 mg btl 100 tablet -
288 ktk 10 x 10 tablet 61,400 2,433
289 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul 40 300
290 Metilprednisolon injeksi 500 mg ktk 1 vial -
291 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet -
293 Metilprednisolon tablet 4 mg ktk 10 x 10 tablet 26,600 1,133
295 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml 805 325
296 Metoklopramide sirup 5 mg/ 5 ml btl 60 ml -
297 Metoklopramide tablet 10 mg ktk 10 x 10 tablet -
298 Metoklopramide tablet 5 mg ktk 10 x 10 tablet -
299 Metronidazol infus 500 mg/100 ml btl 100 ml -
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet 22,700 5,667
301 Metronidazol tablet 500 mg ktk 10 x 10 tablet -
302 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 121 117
303 ktk 40 sachet -
304 Momethason krim 0,1 % tube 5 gram -
305 Momethason krim 0,1 % tube 10 gram -
306 Morfin injeksi 10 mg/ml ktk 10 ampul @ 1 ml -
307 Morfin tablet 10 mg btl 30 tablet -
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 14,000 2,667
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet -
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet 17,960 2,733
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml -
312 Natrium Klorida larutan infus 0,9 % btl 500 ml 430 294
313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml -
314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul -
315 Nevirapin tablet 200 mg btl 60 tablet -
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet -
317 Nistatin tablet salut 500.000 IU/ g ktk 10 x 10 tablet salut -
318 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal -
319 Nitrofurantoin tablet 100 mg btl 100 tablet -
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos -
321 Obat Antituberkulosis Kategori anak Paket / dos -
322 Obat Batuk Hitam ( O.B.H. ) cairan btl 100 ml 5,153 883
323 Obat Batuk Hitam ( O.B.H. ) cairan btl 200 ml -
324 Obat Antituberkulosis FDC Kategori Anak paket 23 4
325 Obat Antituberkulosis FDC Kategori 1 paket 472 29
326 Obat Antituberkulosis FDC Kategori 2 paket 20 1
327 Obat Antituberkulosis FDC Sisipan paket 22 1
328 Ofloxacin tablet 200 mg ktk 5 x 10 tablet -
329 Ofloxacin tablet 400 mg ktk 5 x 10 tablet -
330 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram -
331 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g 1,541 278
332 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml ktk 10 vial 1,990 188
333 Oksitetrasiklin salep kulit 3% tube 5 gram -
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 g 1,972 417
335 Oksitosin injeksi 10 IU/ml - 1 ml ktk 30 ampul 4,470 353
336 Omeprazol kapsul 20 mg btl 7 kapsul -
337 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul -
338 Oseltamivir 75 mg ktk 10 -
339 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml -
340 Papaverin tablet 40 mg btl 1000 tablet -
341 Parasetamol drops btl 15 ml -
342 Parasetamol sirup 120 mg / 5 ml btl 60 ml 10,585 1,753
343 Parasetamol tablet 100 mg botol 100 tablet 25,700 3,833
344 Parasetamol tablet 500 mg ktk 10 x 10 tablet 851,000 56,333
345 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial -
346 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet -
347 Perfenazin tablet 4 mg (HCl) btl 100 tablet -
348 Perfenazin tablet 2 mg (HCl) ktk 15 x 10 tablet -
349 Perfenazin tablet 8 mg (HCl) ktk 15 x 10 tablet -
350 Petidin injeksi 50 mg/ml ktk 10 ampul -
351 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml -
352 Piracetam injeksi 1 g/5 ml ktk 10 amp -
353 Piracetam injeksi 3 g/15 ml ktk 4 amp -
354 Piracetam tablet 1200 mg ktk 10 x 10 tablet -
358 Pirantel sirup 125 mg/5 ml btl 60 ml -
359 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score 2,980 563
360 Pirantel tablet score (base) 125 mg ktk 30 x 2 tablet score -
361 Pirazinamid tablet 500 mg ktk 10 x 10 tablet -
362 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet 230,000 23,333
363 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet -
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet -
365 Piroksikam kapsul 10 mg ktk 12 x10 kapsul 25,260 2,960
366 Piroksikam tablet 20 mg ktk 10 x 10 tablet -
367 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul -
368 Povidon Iodida larutan 10% btl 30 ml -
370 Povidon Iodida larutan 10% btl 300 ml 230 39
372 Pravastatin tablet 10 mg ktk 3 x 10 tablet -
375 Prazikuantel tablet 300 mg btl 1000 tablet -
377 Prednison tablet 5 mg btl 1000 tablet 89,000 26,333
378 Primakuin tablet 15 mg btl 1000 tablet 389,000 7,667
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial -
380 Prometazin tablet 25 mg ktk 100 tablet -
381 Propanolol tablet 40 mg (HCl) btl 100 tablet 5,900 1,100
382 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet -
383 Propiltiourasil tablet 100 mg btl 100 tablet 1,600 433
384 Propiltiourasil tablet 50 mg btl 1000 tablet -
385 Ramipril tablet 2,5 mg ktk 10 x 10 tablet -
386 Ramipril tablet 5 mg ktk 10 x 10 tablet -
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp 4,595 575
388 Ranitidin tablet 150 mg ktk 3 x 10 tablet -
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet 61,300 6,667
390 Reserpin tablet 0,10 mg btl 250 tablet -
391 Reserpin tablet 0,25 mg btl 1000 tablet -
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 2,574 2,834
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 109,325 40,825
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet -
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet -
396 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul -
397 Rifampisin kapsul 300 mg ktk 12 x 10 kapsul -
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut -
399 Ringer Laktat larutan infus btl 500 ml 7,914 967
400 Risperidon tablet 1 mg ktk 2 x 10 tablet -
405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet 30,700 2,400
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet -
407 ktk 24 pot @ 30 g 521 403
endap 4%
408 Salisil Bedak 2 % ktk 50 gram 1,218 192
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml -
410 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul -
414 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul -
415 Sefaklor kapsul 500 mg ktk 3 x 10 kapsul -
416 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul -
417 Sefaleksin kapsul 500 mg ktk 5 x 10 kapsul -
418 Sefazolin injeksi 1 g ktk 2 vial -
419 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul -
422 Sefiksim sirup kering 100 mg/ 5 ml btl 30 ml -
423 Sefiksim 400 mg + Azitromisin 1000 mg paket -
424 Sefotaksim injeksi 0,5 g ktk 2 vial -
425 Sefotaksim injeksi 1 g ktk 2 vial - 240
426 Sefotaksim injeksi 1 g ktk 10 vial -
427 Sefotaksim injeksi 1 g per vial ktk 1 vial -
428 Seftazidim injeksi 1 g ktk 2 vial -
429 Seftriakson injeksi 1 g ktk 2 vial - 100
430 Seftriakson serbuk injeksi 1 g/ vial 1 vial -
431 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml -
432 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 15,000 1,367
433 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet -
434 Siklofosfamid tablet 50 mg btl 50 tablet -
435 Siklosporin kapsul lunak 25 mg btl 50 kapsul -
436 Simetidin tablet 200 mg ktk 10 x 10 tablet -
437 Simvastatin tablet 5 mg ktk 3 x 10 tablet 340 920
438 Simvastatin tablet 10 mg ktk 3 x 10 tablet -
442 Siprofloksasin tetes mata 0,3 % btl 10 ml -
443 Siprofloksasin infus 2% btl 100 ml -
444 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet -
448 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 10 x 10 tablet 42,800 13,500
449 Spiramisin tablet 250 mg ktk 5 x 10 tablet -
450 Spiramisin tablet 500 mg ktk 5 x 10 tablet -
451 Spironolakton tablet 100 mg ktk 10 x 10 tablet -
452 Spironolakton tablet 25 mg ktk 10 x 10 tablet -
453 Stavudin tablet 30 mg btl 60 tablet -
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml -
455 Sulfadiazin tablet 500 mg btl 100 tablet -
456 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet -
457 Sulfasalazin tablet 500 mg btl 500 tablet -
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml -
459 Tamoksifen tablet 20 mg btl 30 tablet -
460 Teofilin tablet 150 mg ktk 10 x 10 tablet -
461 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet -
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml -
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul 113,000 15,667
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 72,900 5,667
465 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul -
466 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul -
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 2,700 440
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet 166,000 15,667
469 Tiamin (Vitamin B1) 100 mg tablet btl 1000 tablet -
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml -
471 Tramadol injeksi 50 mg/ml ktk 5 ampul 1,921 465
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul -
473 Tramadol tablet 50 mg ktk 5 x 10 tablet -
474 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet -
475 Trifluoperazin tablet 5 mg ktk 10 x 10 tablet -
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet -
477 Trimetoprim tablet 200 mg btl 100 tablet -
478 Valproat tablet 150 mg btl 50 tablet -
479 Valproat tablet 250 mg btl 50 tablet -
480 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet -
481 Vitamin B Kompleks tablet btl 1000 tablet 284,000 33,333
482 Zidovudin 300 mg + Lamivudine 150 mg btl 60 tablet -
483 Zidovudin tablet 100 mg btl 60 tablet -
484 Zinc tablet 20 mg ktk 10 x 10 tablet 67,000 6,000
Kepala Instalasi Farmas
Kabupaten Muaro Jamb
SITI AISYAH, S.Si, Ap

NIP. 19770930 200312 2
TAHUN 2018
RENCANA KEBUTUHAN RENCANA PENGADAAN

2018 2018
6 = ( 5 X 18 ) 7=(6-4)
2,952 2,952
23,472 9,848
- -
9,000 (56,990)
5,994 4,494
- -
- -
- -
- -
12,060 8,403
- -
- -
1,260 1,040
- -
25,794 10,394
- -
- -
- -
- -
- -
- -
- -
88,920 57,820
1,054,800 123,400
- -
33,300 16,339
- -
- -
- -
- -
- -
612,000 293,700
8,586 2,691
3,366 1,785
3,096 2,152
- -
- -
23,994 (11,706)
- -
7,344 6,283
- -
576 176
- -
- -
- -
- -
594,000 248,000
- -
- -
- -
340,200 133,800
- -
2,880 2,401
- -
- -
- -
34,200 15,350
- -
- -
- -
- -
- -
- (660)
216,000 179,900
- -
- -
- -
- -
- -
- -
- -
498,006 (252,794)
- -
- -
11,646 7,004
- -
- -
- -
- -
6,606 (10,244)
- -
- -
- -
- -
- -
- -
44,406 33,106
795,600 386,300
- -
3,294 2,718
282,006 151,006
- -
- -
13,806 3,806
- -
- -
- -
- -
- -
45,000 25,700
- -
- -
- -
- -
- -
- -
- -
5,400 (3,100)
- -
63,594 50,694
144,000 120,000
95,994 40,994
936 716
- -
- -
32,400 17,800
- -
936 418
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2,232 199
32,400 25,900
- -
15,300 7,644
- -
- -
- -
- -
- -
- -
47,988 47,388
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,386 1,034
- -
- -
- -
36,594 25,994
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
678,006 414,006
- -
- -
- -
6,066 3,846
- -
17,406 14,506
- -
- -
- -
- -
77,994 63,994
- -
- -
7,794 5,350
- -
- -
- -
76,806 47,106
127,800 34,400
- -
- -
- -
- -
30,600 5,700
- -
- -
- -
- -
- -
- -
360,000 24,000
137,394 58,394
- -
- -
140,994 61,094
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
34,506 (3,994)
- -
- -
- -
- -
936,000 508,000
- -
108,000 (27,000)
- -
- -
30,006 23,006
- -
- -
- -
- -
- -
- -
166,194 1,094
67,806 55,506
20,394 15,869
- -
- -
- (2,180)
- (760)
- -
- -
- -
- -
- -
- -
- -
- -
- -
19,620 8,610
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,080 245
- -
- (454)
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
290,394 (151,506)
- -
- -
- -
43,794 (17,606)
5,400 5,360
- -
- -
- -
20,394 (6,206)
- -
5,850 5,045
- -
- -
- -
- -
102,006 79,306
- -
2,106 1,985
- -
- -
- -
- -
- -
48,006 34,006
- -
49,194 31,234
- -
5,292 4,862
- -
- -
- -
- -
- -
- -
- -
- -
- -
15,894 10,741
- -
72 49
522 50
18 (2)
18 (4)
- -
- -
- -
5,004 3,463
3,384 1,394
- -
7,506 5,534
6,354 1,884
- -
- -
- -
- -
- -
- -
31,554 20,969
68,994 43,294
1,013,994 162,994
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
10,134 7,154
- -
- -
419,994 189,994
- -
- -
53,280 28,020
- -
- -
- -
- -
702 472
- -
- -
- -
- -
- -
- -
473,994 384,994
138,006 (250,994)
- -
- -
19,800 13,900
- -
7,794 6,194
- -
- -
- -
10,350 5,755
- -
120,006 58,706
- -
- -
51,012 48,438
734,850 625,525
- -
- -
- -
- -
- -
17,406 9,492
- -
- -
- -
- -
- -
43,200 12,500
- -
7,254 6,733
3,456 2,238
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
4,320 4,320
- -
- -
- -
1,800 1,800
- -
- -
24,606 9,606
- -
- -
- -
- -
16,560 16,220
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
243,000 200,200
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
282,006 169,006
102,006 29,106
- -
- -
7,920 5,220
282,006 116,006
- -
- -
8,370 6,449
- -
- -
- -
- -
- -
- -
- -
- -
- -
599,994 315,994
- -
- -
108,000 41,000
Kepala Instalasi Farmasi
Kabupaten Muaro Jambi
SITI AISYAH, S.Si, Apt

NIP. 19770930 200312 2 007
RENCANA KEBUTUHAN OBAT DAN PERBEKALAN KESEHATAN
UNTUK PELAYANAN KESEHATAN DASAR
TAHUN 2017
KAB/KOTA Sarolangun
Sisa Stok Pemakaian

NO NAMA OBAT KEMASAN GFK Rata-rata Rencana Keterangan
Kebutuhan
per 01 april 2017 per Bulan
1 2 3 4 5 6 = ( 5 x 18 ) 7
1 Alopurinol tablet 100 mg ktk 10 x 10 tablet 35 32 576

2 Aminofilin tablet 200 mg btl 100 tablet 63 89 1,602
3 Amitripilin tablet salut 25 mg (HCL) ktk 10 x 10 tablet salut 60 13 234
4 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 2,378 799 14,382
5 Amoksisilin kapsul 250 mg 120 kapsul/strip/blister, kotak 1,267 678 12,204
6 Amoksisilin sirup kering 125 mg/ 5 mg btl 60 ml 24,200 2,500 45,000
8 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/ml ktk 10 bial -
9 btl 1000 tablet kunyah
Aluminium Hidroksida 200 mg + Magnesium Hidroksida 200 mg -
10 ktk 10 x 10 tablet kunyah
Aluminium Hidroksida 200 mg + Magnesium Hidroksida 200 mg 2,950 150 2,700
Anti Bakteri DOEN saleb kombinasi :
11 ktk 25 tube @ 5 g
Basitrasin 500 IU/g + polimiksin 10.000 IU/g 208 50 900
Antifungi DOEN Kombinasi :
12 ktk 24 pot @ 30 g
Asam Benzoat 6% + Asam Salisilat 3% 50 30 540
13 ktk 10 supp
Bismut Subgalat 150 mg + Heksaklorofen 250 mg 30 30 540
Pirimatamin 25 mg + Sulfadoksin 500 mg 156 20 360
Antimigren :
15 btl 100 tablet
Ergotamin tartrat 1 mg + Kofein 50 mg 134 10 180
16 btl 100 tablet
Karbidopa 25 mg + Levodopa 250 mg -
17 Aqua Pro Injeksi Steril, bebas pirogen ktk 10 vial @20 ml 78 50 900
18 Asam Asetisalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet -
19 Asam Asetisalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet -
20 Asam Askorbat (vitamin C) tablet 50 mg btl 1000 tablet 9 189 3,402
22 Asam Salisilat Salep 2% pot 30 g -
24 Atropin injeksi i.m/i.v/s.k. 0,25 mg/mL (sulfat) ktk 30 ampul @ 1 ml 68 5 90
25 Atropin tetes mata 0,5% (sulfat) btl 5 ml -
26 Betametason krim 0,1 % ktk 25 tube @ 5 g 85 20 360
27 Deksametason Injeksi i.v. 5 mg/ml ktk 100 ampul @ 1 ml 342 33 594
28 Deksametason tablet 0,5 mg btl 1000 tablet 177 50 900
29 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 1,300 600 10,800
30 Dekstrometorfan tablet 15 mg (HBr) btl 1000 tablet 315 30 540
31 Diazepam Injeksi 5 mg/ml ktk 30 ampul @ 2 ml 36 3 54
32 Diazepam tablet 2 mg btl 1000 tablet 25 6 108
33 Diazepam tablet 5 mg btl 250 tablet 12 5 90
34 Difenhidramin Injeksi i.m. 10 mg/ml (HCL) ktk 30 ampul @ 1 ml 1,172 90 1,620
35 Digoksin injeksi 0,25 mg/ml ktk 1 amp @ 2 ml - - -
36 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 89 18 324
37 Digoksin 0,0625 mg btl 100 tablet -
38 Dimenhidrinat tablet 50 mg btl 100 tablet -
39 Efedrin tablet 25 mg (HCL) btl 1000 tablet 75 10 180
40 Ekstraks belladona tablet 10 mg btl 1000 tablet 250 5 90
41 Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL) ktk 30 ampul @ 1 ml 63 5 90
43 Eritromisin sirup 200 mg/ 5 ml btl 60 ml -
44 Etambutol tablet 250 mg ktk 10 x 10 tablet -
45 Etambutol tablet salut 500 mg (HCl) ktk 10 x 10 tablet salut -
46 Etanol 70% larutan btl 1000 ml 699 -
47 Fenilbutason tablet 200 mg btl 1000 tablet -
48 Fenitoin kapsul 100 mg (garam natrium) btl 250 kapsul -
49 Fenitoin Natrium Injeksi 50 mg/ml ampul @ 2 ml -
50 Fenitoin Natrium kapsul 30 mg btl 250 kapsul -
51 Fenobarbital tablet 30 mg btl 1000 tablet 8 2 36
52 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet 35 29 522
53 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet 7 50 900
54 Fitomenadion (Vit. K1) tablet salut gula 10 mg btl 100 tablet 12 28 504
55 Fitomenadion (Vit. K1) injeksi 10 mg/ml ktk 30 ampul @ 1 ml 137 22 396
56 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml -
57 Furosemid tablet 40 mg ktk 20 x 10 tablet - 24 432
Garam Oralit Kombinasi :
58 Natrium 0,70 g , Kalium klorida 0,30 g, Trinatrium Sitrat dihidrat 0,58 g serbuk 100 ktg. Tiap ktg untuk 200 ml
- 100 1,800
59 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 300 30 540
60 Gliseril Gualakolat tablet 100 mg btl 1000 tablet 289 89 1,602
61 Gliserin btl 100 ml -
62 Glukosa larutan infus 10% btl 500 ml 20 10 180
63 Glukosa larutan infus 40% ktk 10 amp @ 25 ml -
64 Glukosa larutan infus 5% btl 500 ml 221 100 1,800
65 Griseofulvin micronized tablet 250 mg ktk 10 x 10 tablet 213 28 504
66 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet 27 10 180
68 Haloperidol tablet 1,5 mg ktk 10 x 10 tablet 18 10 180
70 Hidroklorotiazida tablet 25 mg btl 1000 tablet 184 6 108
71 Hidrokortison krim 2,5% ktk 24 tube @ 5 g 59 -
72 Ibuprofen tablet 200 mg btl 100 tablet 154 50 900
73 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 232 50 900
76 Isosorbid Dinitrat Tablet Sublingual 5 mg ktk 10 x 10 tablet 151 20 360
77 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 43 25 450
78 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 542 98 1,764
79 Kaptopril tablet 25 mg ktk 10 x 10 tablet 185 150 2,700
80 Karbogliserin tetes telinga 10% btl 5 ml -
81 Karbon aktif serbuk kantong 30 g -
82 Ketamin injeksi 50 mg/ml sebagai HCl ktk 10 vial @ 20 ml -
83 Ketamin injeksi 10 mg/ml ktk 10 vial @ 20 ml -
84 Klofazimin kapsul 100 mg micronize btl 100 kapsul -
85 Kloramfenikol kapsul 250 mg btl 250 kapsul 131 50 900
86 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml -
87 Kloraniramina mealeat (CTM) tablet 4 mg btl 1000 tablet 311 150 2,700
88 Klorpromazin injeksi i.m 25 mg/ml (HCL) ktk 30 ampul @ 2 ml -
89 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ktk 30 ampul -
90 Klorpromazin tablet salut 100 mg (HCL) btl 1000 tablet salut -
91 Klorpromazin tablet salut 25 mg (HCL) btl 1000 tablet salut 53 2 36
92 Kodein tablet 10 mg btl 250 tablet 2 1 18
Kotrimosazol DOEN I (dewasa) kombinasi :
Sulfametoksazol 400 mg, Trimetoprim 80 mg 1 100 1,800
Kotrimosazol DOEN II (pediatrik) Kombinasi :
Sulfametoksazol 100 mg, Trimetoprim 20 mg 644 78 1,404
95 Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000 ktk 30 vial @ 2 ml 844 50 900
96 Lisol (Kresol tersaponifikai 50%) btl 1000 ml 141 12 216
97 Magnesium Sulfat inj (IV) 40%-25 ml ktk 10 vial 16 2 36
98 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr -
99 Mebendazol sirup 100 mg / 5 ml btl 30 ml -
101 Metampiron tablet 500 mg btl 1000 tablet 526 50 900
103 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg ktk 10 x 10 tablet 242 4 72
104 Metilergometrin Maleat injeksi 0,200 mg -1 ml ktk 30 ampul 72 10 180
105 Metronidazol infus 500 mg/100 ml btl 100 ml -
106 Metronidazol tablet 250 mg ktk 10 x 10 tablet 252 50 900
107 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 11 12 216
108 Natrium Klorida larutan infus 3% btl 500 ml - -
109 Natrium Klorida larutan infus 0,9 % btl 500 ml 352 200 3,600
110 Natrium Thiosulfat injeksi i.v. 25 % ktk 10 amp @ 10 ml -
111 Nistatin tablet salut 500.000 IU/g ktk 10 x 10 tablet salut 143 35 630
112 Nistatin Vaginal tablet salut 100.000 IU/g ktk 10 x 10 tablet Vaginal 177 29 522
113 Nitrofurantoin tablet 100 mg btl 100 tablet -
114 Obat Batuk hitam ( O.B.H.) btl 100 ml 13,673 500 9,000
115 Oksitetrasiklin HCL salep mata 1 % ktk 25 tube @ 3,5 g 13 10 180
116 Oksitosin injeksi 10 UI/ml-1 ml ktk 30 ampul 206 36 648
117 Parasetamol sirup 120 mg / 5 ml btl 60 ml 21,550 1,000 18,000
118 Parasetamol tablet 100 mg btl 100 tablet 985 100 1,800
119 Parasetamol tablet 500 mg btl 1000 tablet 961 200 3,600
120 Paraformaldehid tablet 1 gram 100 tablet/botol -
121 Petidin injeksi 50 mg/ml ktk 10 ampul @ 2 ml 17 1 18
122 Pilokarpin tetes mata 2 % (HCL/Nitrat) btl 5 ml -
123 Pilokarpin tetes mata 4% btl 5 ml -
124 Pirantel sirup 125 mg/5 ml btl 60 ml -
125 Pirantel tab. Score (base) 250 mg btl 250 tablet 81 10 180
126 Pirazinamid tablet 500 mg ktk 10 x 10 tablet -
127 Piridoksin (Vitamin B6) tablet 10 mg (HCL) btl 1000 tablet 392 100 1,800
128 Piridoksin (Vitamin B6) tablet 25 mg (HCL) btl 1000 tablet -
129 Povidon Iodida larutan 10 % btl 30 ml 402 50 900
131 Prednison tablet 5 mg btl 1000 tablet 261 100 1,800
132 Propanolol tablet 10 mg (HCl) ktk 10 x 10 tablet - -
133 Propillitiourasil tablet 100 mg btl 100 tablet 85 35 630
134 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet -
135 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet -
136 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut -
137 Ringer Laktat larutan infus btl 500 ml 1,660 500 9,000
138 Salbutamol tablet 2 mg (sebagai sulfat) ktk 10 x 10 tablet -
139 Salbutamol tablet 4 mg (sebagai sulfat) ktk 10 x 10 tablet -
Salep 2-4, kombinasi :
140 ktk 24 pot @ 30 g
Asam Salisilat 2% + Belerang endap 4% 9 16 288
141 Salisil bedak 2% ktk 50 gram 2,210 50 900
142 Seftriakson serbuk injeksi 1 g/vial ktk 1 vial @ 10 ml -
143 Sianokobalamin (Vitamin B12) injeksi 500 mcg ktk 100 ampul @ 1 ml 317 100 1,800
144 Sianokobalamin (Vitamin B12) tablet 50 mcg btl 1000 tablet -
147 Sulfadiazin tablet 500 mg btl 100 tablet -
148 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml -
149 Tetrakain HCL tetes mata 0,5% ktk 24 btl @ 5 ml -
150 Tetrasiklin kapsul 250 mg btl 1000 kapsul 127 150 2,700
151 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 3,072 90 1,620
152 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) btl 1000 tablet 281 100 1,800
153 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 25 3 54
154 Trimetoprim tablet scored 200 mg btl 100 tablet scored -
155 Vitamin B Kompleks tablet btl 1000 tablet 333 150 2,700
-
OBAT GIGI -
1 Devitalisasi Pasta (Non Arsen) btl / ktk - 1 18
2 Etil Klorida spray btl 100 ml 15 5 90
3 Eugenol cairan ktk 12 btl @ 10 ml 40 5 90
4 Glass Ionomer Cement ART set / botol 8 1 18
5 Kalsium Hidroksida Pasta ktk 2 tube 6 1 18
6 Klorfenol kamfer Menthol ( CHKM ) btl 10 ml 10 1 18
7 Mummifying Pasta btl / kotak 5 1 18
8 Semen Seng Fosfat serbuk dan cairan set @ 30 gram / botol 10 2 36
9 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan set @ 100 gram / btl 23 1 18
-
VAKSIN DAN SERUM -
1 Serum Anti Bisa Ular ABU I vial 5 ml - 4 72
2 Serum Anti Bisa Ular ABU II vial 50 ml -
3 Serum Antidifteri (ADS) inj 10.000 IU ktk 10 vial @ 50 ml -
4 Serum Antidifteri (ADS) inj 20.000 IU vial 5 ml -
5 Serum Antirabies inj 100 IU/ml ktk 10 vial @ 20 ml -
6 Serum Antitetanus (ATS) 1.500 IU/amp amp 1 ml 79 30 540
7 Serum Antitetanus (ATS) 10.000 IU/amp ktk 10 amp @ 2 ml -
8 Serum Antitetanus (ATS) 20.000 IU/vial vial 5 ml -
ktk 7 vial @ 1 dosis + 7 amp plrt @ 2
9 Vaksin rabies, untuk manusia
ml - -
booster : ktk 5 amp @ 1 dosis + 5 amp
10 Vaksin rabies, untuk manusia
plrt @ 4 ml 11 2 36
-
OBAT DAN ALAT KONTRASEPSI -
1 Auto Disable Syringe 0,05 ml pcs/buah -
2 Auto Disable Syringe 0,5 ml pcs/buah -
3 Auto Disable Syringe 1 ml pcs/buah -
6 Auto Disable / Distruct Syringe with Needle pcs/buah -
7 Cooper T (380 A) unit -
8 Fallope Ring pcs/buah -
9 Kondom Beraroma gross (144 buah) -
10 Kondom Tidak Beraroma gross (144 buah) -
11 Obat Suntik KB I : Madroxyprogesteron Acetat 150 mg 1 vial @ 1 ml -
12 Obat Suntik KB I : Madroxyprogesteron Acetat 150 mg 1 vial @ 3 ml -
Obat Suntik KB II : Medroxyprogesteron acetat 25 mg + Estradiol
13 1 vial @ 0,5 ml
Cypionate 5 mg -
1 blister @ 21 tablet hormon + 7 tablet
14 Pil KB I : Ethinylestradiol 0,03 mg + Levonorgestrel 0,15 mg
placebo -
15 Pil KB II : Lynestrenol 0,5 mg 1 blister @ 28 tablet hormon -
1 blister @ 21 tablet hormon + 7 tablet
16 Pil KB III : Desogestrel 0,15 mg + Ethynilestradiol 0,03 mg
placebo -
17 Susuk KB I : Etonogestrel 68 mg 1 set 1 implant -
18 Susuk KB II : Levonogestrel 75 mg 1 set 2 implant -
19 Sususk KB II : Levonogestrel 75 mg + Inserter 1 set 2 implant + Inserter -
20 Susuk KB III : Levonogestrel 36 mg 1 set 6 implant -
-
REAGENSIA UJI -
1 Asam Urat kit 4 x 30 ml -
2 Dengue Test kit / 25 tes -
3 HbsAg Test dus / 50 pcs -
4 HIV Test kit / 40 tes -
5 Kolesterol btl 5 x 100 ml -
6 Larutan Benedict btl 100 ml - 12 216
7 Larutan Eosin 2% btl 100 ml - 12 216
8 Larutan Etanol Asam btl 100 ml - 12 216
9 Larutan Giemsa Stain btl 100 ml - 12 216
10 Larutan Karbol Fuksin btl 100 ml - 12 216
11 Larutan Metilen Biru btl 100 ml - 12 216
12 Larutan Turk btl 100 ml - 12 216
13 Malaria Test dus / 25 tes -
14 SGOT btl 2 x 62.5 ml -
15 SGPT btl 2 x 62.5 ml -
16 TB Test kit / 30 tes -
17 Trigliserida btl 6 x 50 ml -
-
PERBEKALAN KESEHATAN -
1 Alat suntik sekali pakai 1 ml 100 set / kotak 153 30 540
2 Alat suntik sekali pakai 2,5 ml 100 set / kotak 309 100 1,800
3 Alat suntik sekali pakai 5 ml 100 set / kotak 23 80 1,440
4 Catgut / Benang Bedah No. 2/0 dengan jarum bedah 24 x 70 cm / kotak - -
5 Catgut / Benang Bedah No. 3/0 dengan jarum bedah 24 x 70 cm / kotak 147 25 450
6 Foley Catheter 18 pcs -
7 Foley Catheter Rush pcs -
8 Handscoon 50 pasang / kotak -
9 Infusion set anak Set /kantong 116 100 1,800
10 Infusion set dewasa Set /kantong 75 240 4,320
11 IV Catheter No. 20 G 50 buah / kotak 141 50 900
12 IV Catheter No. 22 G 50 buah / kotak 222 60 1,080
13 IV Catheter No. 24 G 50 buah / kotak 253 60 1,080
14 Kapas Berlemak 500 gram Bungkus -
15 Kapas Pembalut / Absorben 250 gram Bungkus 89 80 1,440
16 Kasa Hidrofil Steril uk. 16 x 16 kotak -
17 Kasa Hidrofil Steril uk. 18 x 22 cm kotak -
18 Kasa Hidrofil uk. 36 m x 80 cm rol -
19 Kasa Pembalut Elastic 4 m x 15 cm rol 7,150 1,000 18,000
20 Kasa Pembalut Elastic 4 m x 3 cm rol 740 -
21 Kasa Pembalut Elastic 4 m x 10 cm rol / 50 -
22 Kasa Pembalut Elastic 4 m x 5 cm rol / 100 -
23 Masker 20 pcs / kotak -
24 Plester 5 yards x 2 inch rol - 100 1,800
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 12 x 3 x 75 cm / kotak 48 40 720
26 Pembalut Gips uk. 3" rol 10 3 54
27 Pembalut Gips uk. 4" rol -
28 Pembalut Gips uk. 6" rol -
29 Urine Bag pcs -
30 Wing Needle No. 21 G 100 buah / kotak -
Catatan : Untuk Item Obat tambahan
NO NAMA OBAT KEMASAN JUMLAH KETERANGAN

Sisa stok per 30 juni
1 2 3 4 5
1 Multivitamin Dewasa ktk/100' 250
2 Multivitamin Anak btl 60 ml -
3
4
5
6
7
8
9
Mengetahui,
Sarolangun. , September 2011
Kepala Dinas Kesehatan Kab.Sarolangun
H.Adnan HS,SE,M.Kes
NIP. 19631231 198412 1 012
TAHUN 2018
PROPINSI/KABUPATEN/KOTA :
Kab. Merangin

1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
2 blister @
1 4 - -
12 tablet / kotak
2 - -
4 Albendazol tablet/tablet kunyah 400 mg ktk 5 x 6 tablet 12540 199 3,579 (8,961)
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 17900 1,851 33,316 -
7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet - -
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet - -
10 Ambroxol sirup 15 mg/ml btl 60 ml 228 40 711 -
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet 28900 712 12,815 (16,086)
12 Amilorida tablet 5 mg (HCl) ktk 10 x 10 tablet 0 - - -
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml 0 32 581 -
14 Aminofilin tablet 150 mg btl 1000 tablet 0 - - -
15 Aminofilin tablet 200 mg btl 100 tablet 5100 3,228 58,106 -
16 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut 0 134 2,405 -
22 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul 130895 13,128 236,300 -
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul - -
24 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 788645 63,363 1,140,537 -
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 18957 2,259 40,656 -
27 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet - - - -
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 0 154 2,775 -
29 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial ktk 10 vial 1227 51 918 (309)
30 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial ktk 10 vial - - - -
31 Ampisilin sirup kering 125 mg/5ml btl 60 ml - - - -
ktk 10 x 10 tablet
32 Aluminium Hidroksida 200 mg 409000 28,239 508,305 -
kunyah
33 Aluminium Hidroksida 200 mg/5 ml btl 60 ml 1265 102 1,832 -
34 Basitrasin 500 ktk 25 tube @ 5 g 153 72 1,289 -
35 Asam Benzoat ktk 24 pot @ 30 g 3366 104 1,874 (1,493)
36 Bismut subgalat 150 mg ktk 10 supp 1920 121 2,178 -
37 Pirimetamin 25 mg ktk 10 x 10 tablet - -
Sulfadoksin 500 mg
Antimigren:
38 Ergotamin btl 100 tablet 4000 653 11,747 -
39 Karbidopa 25 mg ktk 10 x 10 tablet 1,080 -
Levodopa 250 mg 0 60
40 Aqua pro Injeksi steril, bebas pirogen ktk 10 vial @ 20 ml 714 98 1,770 -
41 Artemether injeksi 80 mg/ml ktk 6 ampul - -
42 Artesunate injeksi, vial 60 mg ktk 8 vial - -
43 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet 500 63 1,133 -
44 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet 0 96 1,733 -
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet 0 1,013 18,225 -
46 Asam Askorbat (Vitamin C) tablet 100 mg btl 500 tablet - - - -
47 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 476305 34,480 620,631 -
48 Asam Folat tablet 1 mg btl 100 tablet - - - -
50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul - - - -
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 363000 23,488 422,786 -
52 Asetazolamid tablet 250 mg btl 100 tablet - - - -
53 Asiklovir krim 5% tube 5 gram 1532 74 1,338 (194)
54 Asiklovir krim 5% ktk 25 tube @ 5 gram - - - -
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
55 Asiklovir tablet 200 mg ktk 3 x 10 tablet - - - -

57 Asiklovir tablet 200 mg ktk 10 x 10 tablet 950 140 2,516 -
58 Asiklovir tablet 400 mg ktk 3 x 10 tablet 0 - - -
60 Asiklovir tablet 400 mg ktk 10 x 10 tablet 3000 157 2,828 (173)
61 Atenolol tablet 100 mg ktk 5 x 10 tablet - - - -
63 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 541 208 3,750 -
64 Atropin Sulfat tablet 0,5 mg btl 100 tablet 30000 1,527 27,492 (2,508)
65 Atropin Sulfat tablet 0,5 mg btl 500 tablet - - - -
66 Atropin Sulfat tetes mata 0,5% ktk 24 btl @ 5 ml 0 8 143 -
67 Atropin Sulfat tetes mata 0,5 % btl 5 ml - - - -
68 Azatioprin tablet 50 mg ktk 10 x 10 tablet - - - -
69 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml 0 1 18 -
70 Benzatin Benzil Penisilin 2,4 juta IU/vial ktk 10 vial @ 20 ml - - - -
71 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut 89000 - - (89,000)
72 720 45,565 820,176 -
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet - - - -
74 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram - - - -
75 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g 5108 481 8,664 -
76 Betametason tablet 0,5 mg ktk 10 x 10 tablet - - - -
77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet - - - -
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet 21720 2,760 49,682 -
79 Cetirizin sirup 5 mg/5 ml btl 60 ml - - - -
80 Cetirizine tablet 10 mg ktk 3 x 10 tablet - - - -
82 Cisapride tablet 10 mg ktk 10 x 10 tablet - - - -
84 Clobazam tablet 10 mg ktk 10 x 10 tablet - - - -
85 Clobetasol krim 0,05% tube 10 gram - - - -
86 Dapson tablet 100 mg btl 1000 tablet - - - -
87 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml 51400 2,889 51,998 -
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 467950 43,187 777,368 -
89 Dekstran 70 - larutan infus 6% steril btl 500 ml 0 1 11 -
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 5504 702 12,635 -
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 103500 11,224 202,031 -
92 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml 1100 159 2,858 -
93 Diazepam tablet 2 mg btl 100 tablet 452000 5,846 105,224 (346,777)
94 Diazepam tablet 2 mg ktk 10 x 10 tablet - - - -
95 Diazepam tablet 5 mg btl 250 tablet 20250 193 3,467 (16,784)
96 Diazepam tablet 5 mg btl 100 tablet - - - -
98 Dietilkarbamazin Sitrat tablet 100 mg ktk 10 x 10 tablet - - - -
99 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml 26288 1,209 21,767 (4,522)
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 2620 256 4,605 -
101 Digoksin tablet 0,0625 mg btl 100 tab - - - -
102 Dikloksasilin kapsul 125 mg ktk 100 kapsul - - - -
103 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul - - - -
105 Diltiazem HCl tablet 30 mg ktk 10 x 10 tablet - - - -
106 Dimenhidrinat tablet 50 mg btl 100 tablet - - - -
107 Disopiramid kapsul 100 mg btl 100 kapsul - - - -
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 1,142 20,552 -
109 Domperidon suspensi 5 mg/5 ml btl 60 ml - - - -
110 Domperidon tablet 10 mg ktk 10 x 10 tablet - - - -
111 Efedrin tablet 25 mg (HCl) btl 250 tablet 178000 7,426 133,664 (44,337)
112 Ekstraks Belladona tablet 10 mg btl 1000 tablet 131500 13,397 241,140 -
113 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml 2852 118 2,123 (730)
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul 2220 586 10,548 -
115 Eritromisin kapsul 250 mg ktk 12 x 10 kapsul - - - -
116 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet 27500 1,618 29,115 -
117 Eritromisin sirup 200 mg/ 5 ml btl 60 ml 15 32 575 -
118 Etakridin larutan 0,1% btl 300 ml 2188 130 2,344 -
119 Etambutol tablet 250 mg (HCl) ktk 10 x 10 tablet 0 0 2 -
120 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet - - - -
121 Etambutol tablet salut 500 mg (HCl) ktk 10 x 10 tablet salut - - - -
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
122 Etoposid kapsul 100 mg btl 10 kapsul - - - -

123 Famotidine tablet 40 mg ktk 5 x 10 tablet - - - -
125 Fenilbutason tablet 200 mg btl 1000 tablet - - - -
126 Fenitoin kapsul 100 mg btl 250 kapsul 0 7 120 -
127 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml 0 3 51 -
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul 2000 188 3,387 -
129 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml 330 9 159 (171)
130 Fenobarbital tablet 30 mg btl 100 tablet 337170 465 8,373 (328,797)
131 Fenobarbital tablet 30 mg btl 250 tablet - - - -
132 Fenobarbital tablet 100 mg btl 250 tablet 1580 115 2,066 -
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet 0 2 30 -
134 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet 0 2 38 -
135 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml 727 36 650 (78)
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 24250 2,501 45,017 -
137 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet - - - -
138 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 25794 483 8,697 (17,097)
139 Menadion (Vitamin K3) injeksi 10 mg/ml ktk 100 amp @ 1 ml - - - -
140 Flukonazol tablet 150 mg ktk 10 tablet - - - -
141 Fluoride tablet 0,5 mg btl 100 tablet 0 65 1,175 -
142 Fluoride tablet 1 mg btl 100 tablet - - - -
143 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml - - -
144 Furosemid tablet 40 mg ktk 20 x 10 tablet - - - -
145 Furosemid tablet 40 mg ktk 10 x 10 tablet 7270 1,551 27,909 -
146 Furosemid tablet 40 mg btl 250 tablet - - - -
147 Gameksan lotion 1 % btl 30 ml 80 24 435 -
Natrium 0,52 g
148 Kalium klorida 0,30 g ktk 25 sachet - - - -
Natrium 0,52 g
149 Kalium klorida 0,30 g ktk 100 sachet 61810 5,388 96,986 -
150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul - - - -
152 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet - - - -
153 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml - - -
154 Gentamisin injeksi 40 mg/ ml ktk 5 amp 2,889 191 3,441 -
155 Gentamisin salep kulit 0.1% ktk 10 tube 5 gram - - - -
157 Gentamisin salep kulit 0.1% tube 5 gram - - - -
158 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml - - - -
159 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml - - - -
160 Gentian Violet larutan 1 % btl 10 ml 3419 254 4,580 -
161 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 15450 1,561 28,103 -
162 Glimepiride tablet 1 mg ktk 5 x 10 tablet - - - -
170 Glipizid tablet 5 mg ktk 30 tablet - - - -
171 Gliquidon tablet 30 mg ktk 10 x 10 tablet - - - -
172 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 500200 34,493 620,868 -
173 Gliserin btl 100 ml 0 42 750 -
174 Glukosa larutan infus 10 % steril btl 500 ml 0 55 995 -
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml 507 4 63 (444)
176 Glukosa larutan infus 5 % steril btl 500 ml 3779 470 8,457 -
177 Griseofulvin tablet 250 mg ktk 10 x 10 tablet 0 - - -
178 Griseofulvin tablet 125 mg ktk 10 x 10 tablet 45780 4,664 83,954 -
179 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet 0 55 990 -
180 Haloperidol tablet 5 mg ktk 10 x 10 tablet - - - -
181 Haloperidol tablet 1,5 mg ktk 10 x 10 tablet 600 108 1,943 -
183 Hidroklorotiazida tablet 25 mg btl 1000 tablet 69000 1,434 25,803 (43,197)
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
184 Hidrokortison krim 1% tube 5 g - - - -

185 Hidrokortison krim 2,5 % tube 5 g - - - -
186 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 5249 420 7,563 -
187 Hyoscine -N-Butilbromide tablet 10 mg ktk 10 x 10 tablet - - - -
188 Ibuprofen suspensi 100 mg/5 ml btl 60 ml - - - -
190 Ibuprofen tablet 200 mg btl 100 tablet 46600 6,048 108,867 -
191 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 139035 7,038 126,682 (12,353)
192 Indometasin kapsul 25 mg ktk 10 x 10 kapsul - - - -
193 Iodiol kapsul lunak btl 100 kapsul - - - -
194 Isoniazid tablet 100 mg btl 1000 tablet - - - -
195 Isoniazid tablet 300 mg btl 1000 tablet 0 - - -
196 Isosorbid Dinitrat tablet sublingual 5 mg ktk 10 x 10 tablet 1090 46 828 (262)
197 Itrakonazol kapsul 100 mg ktk 3 x 10 kapsul - - - -
198 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet 12300 195 3,508 (8,792)
199 Kalium Diklofenak tablet 50 mg ktk 5 x 10 tablet 14250 74 1,335 (12,915)
200 Kalium Klorida tablet 300 mg tube 10 tablet - - - -
201 Kalsium Folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet - - - -
202 Kalsium Karbonat tablet 500 mg btl 100 tablet - - - -
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 141000 18,816 338,682 -
204 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 56630 8,543 153,770 -
205 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet - - - -
206 Kaptopril tablet 25 mg ktk 6 x 10 tablet - - - -
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 107200 9,112 164,022 -
209 Karbamazepin tablet 200 mg ktk 10 x 10 tablet 0 411 7,392 -
210 Ketokonazol krim 2% tube 15 gram - - - -
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet - - - -
212 Ketoprofen injeksi 100 mg ktk 6 amp @ 1 ml - - - -
213 Ketoprofen tablet 100 mg ktk 10 x 10 tablet - - - -
214 Ketorolac injeksi 10 mg ktk 6 amp @ 1 ml - - - -
216 Ketorolac injeksi 10 mg ktk 12 amp @ 1 ml 0 18 329 -
219 Klindamisin kapsul 150 mg ktk 10 x 10 kapsul - - - -
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul 0 1 18 -
224 Klomifen tablet 50 mg btl 10 tablet - - - -
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet - - -
226 Kloramfenikol kapsul 250 mg ktk 12 X 10 kapsul 1 - (1)
227 Kloramfenikol kapsul 250 mg ktk 10 X 10 kapsul 2 - (2)
228 Kloramfenikol kapsul 250 mg btl 250 kapsul 189555 5,620 101,165 (88,391)
229 Kloramfenikol salep mata 1 % tube 5 g 2036 113 2,039 -
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml 1100 27 480 (620)
231 Kloramfenikol tetes mata 0,5 % btl 5 ml 481 2 38 (444)
232 Kloramfenikol tetes telinga 3 % btl 5 ml 607 155 2,784 -
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet 694500 58,958 1,061,235 -
234 Klorokuin tablet 150 mg btl 1000 tablet - - - -
235 Klorokuin tablet 250 mg btl 1000 tablet 89500 3,796 68,319 (21,181)
236 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml 0 - - -
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ktk 30 ampul 0 - - -
238 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut 4100 285 5,129 -
239 Klorpromazin tablet salut 100 mg (HCl) btl 250 tablet 6900 264 4,760 (2,141)
240 Kodein tablet 10 mg btl 250 tablet 300 81 1,463 -
241 Kodein tablet 15 mg btl 250 tablet - - - -
244 Kolkisin tablet 500 mcg ktk 10 x 10 tablet - - - -
245 Sulfametoksazol 400 mg ktk 10 x 10 tablet 29700 10,453 188,160 -
Trimetoprim 80 mg
246 Sulfametoksazol 100 mg ktk 10 x 10 tablet 60000 2,568 46,224 (13,776)
Trimetoprim 20 mg
247 Sulfametoksazol 200 mg + Trimetoprim btl 60 ml 10085 1,153 20,762 -
40 mg / 5 ml
248 Kuinidin tablet 100 mg btl 1000 tablet - - - -
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
249 Kuinidin tablet 200 mg ktk 10 x 10 tablet - - - -

250 Kuinin (Kina) tablet 200 mg ktk 60 tablet 0 - - -
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul 0 - - -
252 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml 500 45 816 -
253 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet 6960 117 2,112 (4,848)
254 Lamivudine tablet 150 mg btl 60 tablet - - - -
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul - - - -
256 Levamisol tablet 50 mg ktk 4 x 9 tablet - - - -
257 Levamisol tablet 50 mg btl 25 tablet - - - -
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet - - - -
260 Lidokain injeksi 2% ktk 100 amp @ 2 ml 0 - - -
261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml 13558 1,323 23,810 -
262 Linkomisin kapsul 250 mg ktk 10 x 10 kapsul - - - -
266 Lisinopril tablet 10 mg ktk 3 x 10 tablet - - - -
269 Loperamid tablet 2 mg ktk 10 x 10 tablet - - - -
270 Loratadin tablet 10 mg ktk 5 x 10 tablet - - - -
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial 114 3 47 (68)
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial 178 0 2 (177)
273 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr - - - -
274 Mebendazol sirup 100 mg / 5 ml btl 30 ml - - - -
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet 540 81 1,455 -
277 Meloksikam suppositoria ktk 10 supp - - - -
278 Meloksikam tablet 15 mg ktk 5 x 10 tablet - - - -
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet - - - -
282 Merkaptopurin tablet 50 mg btl 25 tablet - - - -
283 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml 4570 584 10,520 -
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 367800 21,222 382,004 -
285 Metformin HCl tablet 500 mg ktk 10 x 10 tablet 0 - - -
286 Metformin HCl tablet 850 mg ktk 10 x 10 tablet - - - -
287 Metildopa tablet 250 mg btl 100 tablet - - - -
288 ktk 10 x 10 tablet 28090 2,328 41,910 -
289 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul 33617 380 6,837 (26,780)
290 Metilprednisolon injeksi 500 mg ktk 1 vial - - - -
291 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet - - - -
295 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml - - - -
296 Metoklopramide sirup 5 mg/ 5 ml btl 60 ml - - - -
297 Metoklopramide tablet 10 mg ktk 10 x 10 tablet - - - -
298 Metoklopramide tablet 5 mg ktk 10 x 10 tablet 5400 692 12,452 -
299 Metronidazol infus 500 mg/100 ml btl 100 ml - - - -
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet 30700 5,985 107,732 -
301 Metronidazol tablet 500 mg ktk 10 x 10 tablet - - - -
302 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 1118 120 2,156 -
303 ktk 40 sachet 4000 - (4,000)
304 Momethason krim 0,1 % tube 5 gram - - - -
306 Morfin injeksi 10 mg/ml ktk 10 ampul @ 1 ml - - - -
307 Morfin tablet 10 mg btl 30 tablet - - - -
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 26000 3,587 64,559 -
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet 14250 74 1,335 (12,915)
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet 12300 195 3,508 (8,792)
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml - - - -
312 Natrium Klorida larutan infus 0,9 % btl 500 ml 596 338 6,083 -
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml 0 0 3 -

314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul 0 0 3 -
315 Nevirapin tablet 200 mg btl 60 tablet 0 0 3 -
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet 15430 878 15,797 -
317 Nistatin tablet salut 500.000 IU/ g ktk 10 x 10 tablet salut 0 167 3,014 -
318 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal 910 100 1,803 -
319 Nitrofurantoin tablet 100 mg btl 100 tablet - - - -
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos - -
321 Obat Antituberkulosis Kategori anak Paket / dos - -
322 Obat Batuk Hitam ( O.B.H. ) cairan btl 100 ml 9317 1,015 18,278 -
323 Obat Batuk Hitam ( O.B.H. ) cairan btl 200 ml - - - -
324 Obat Antituberkulosis FDC Kategori Anak paket 14 - (14)
325 Obat Antituberkulosis FDC Kategori 1 paket 572 - - (572)
326 Obat Antituberkulosis FDC Kategori 2 paket 25 - - (25)
327 Obat Antituberkulosis FDC Sisipan paket - - - -
328 Ofloxacin tablet 200 mg ktk 5 x 10 tablet - - - -
330 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram - - - -
331 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g 9641 219 3,941 (5,701)
332 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml ktk 10 vial 4154 286 5,156 -
333 Oksitetrasiklin salep kulit 3% tube 5 gram - - - -
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 g 3762 271 4,876 -
335 Oksitosin injeksi 10 IU/ml - 1 ml ktk 30 ampul 15410 397 7,151 (8,260)
336 Omeprazol kapsul 20 mg btl 7 kapsul - - - -
337 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul - - - -
338 Oseltamivir 75 mg ktk 10 - - - -
339 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml - - - -
340 Papaverin tablet 40 mg btl 1000 tablet 20000 2,565 46,164 -
341 Parasetamol drops btl 15 ml - - - -
342 Parasetamol sirup 120 mg / 5 ml btl 60 ml 14964 2,487 44,772 -
343 Parasetamol tablet 100 mg botol 100 tablet 87400 8,129 146,318 -
344 Parasetamol tablet 500 mg ktk 10 x 10 tablet 2156670 58,781 1,058,052 (1,098,618)
345 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial - - - -
346 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet - - - -
347 Perfenazin tablet 4 mg (HCl) btl 100 tablet - - - -
348 Perfenazin tablet 2 mg (HCl) ktk 15 x 10 tablet - - - -
350 Petidin injeksi 50 mg/ml ktk 10 ampul 35 1 20 (16)
351 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml 0 - - -
352 Piracetam injeksi 1 g/5 ml ktk 10 amp - - - -
354 Piracetam tablet 1200 mg ktk 10 x 10 tablet - - - -
358 Pirantel sirup 125 mg/5 ml btl 60 ml - - - -
359 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score 21554 1,436 25,851 -
360 Pirantel tablet score (base) 125 mg ktk 30 x 2 tablet score - - - -
361 Pirazinamid tablet 500 mg ktk 10 x 10 tablet - - - -
362 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet 312000 19,697 354,554 -
363 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet - - - -
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet 29415 3,996 71,933 -
365 Piroksikam kapsul 10 mg ktk 12 x10 kapsul - - - -
366 Piroksikam tablet 20 mg ktk 10 x 10 tablet 46762 8,107 145,926 -
367 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul - - - -
368 Povidon Iodida larutan 10% btl 30 ml 664 291 5,238 -
369 Povidon Iodida larutan 10% btl 60 ml 0 - - -
370 Povidon Iodida larutan 10% btl 300 ml 497 83 1,491 -
371 Povidon Iodida larutan 10% btl 1000 ml - - - -
372 Pravastatin tablet 10 mg ktk 3 x 10 tablet - - - -
375 Prazikuantel tablet 300 mg btl 1000 tablet - - - -
377 Prednison tablet 5 mg btl 1000 tablet 283000 20,026 360,464 -
378 Primakuin tablet 15 mg btl 1000 tablet 38000 4,575 82,343 -
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial 637 17 299 (339)
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
380 Prometazin tablet 25 mg ktk 100 tablet - - - -

381 Propanolol tablet 40 mg (HCl) btl 100 tablet 6700 132 2,384 (4,317)
382 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet - - - -
383 Propiltiourasil tablet 100 mg btl 100 tablet 6100 603 10,848 -
384 Propiltiourasil tablet 50 mg btl 1000 tablet - - - -
385 Ramipril tablet 2,5 mg ktk 10 x 10 tablet - - - -
386 Ramipril tablet 5 mg ktk 10 x 10 tablet - - - -
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp 1935 90 1,619 (317)
388 Ranitidin tablet 150 mg ktk 3 x 10 tablet - - - -
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet 73175 8,284 149,112 -
390 Reserpin tablet 0,10 mg btl 250 tablet - - - -
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 5200 - (5,200)
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 36100 - (36,100)
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet - - - -
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet - - - -
396 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul - - - -
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut - - - -
399 Ringer Laktat larutan infus btl 500 ml 160 820 14,754 -
400 Risperidon tablet 1 mg ktk 2 x 10 tablet - - - -
405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet - -
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet 1580 1,230 22,139 -
407 ktk 24 pot @ 30 g 1600 141 2,529 -
endap 4%
408 Salisil Bedak 2 % ktk 50 gram - - - -
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml - - - -
410 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul - - - -
414 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul - - - -
416 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul - - - -
418 Sefazolin injeksi 1 g ktk 2 vial - - - -
419 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul - - - -
422 Sefiksim sirup kering 100 mg/ 5 ml btl 30 ml - - - -
423 Sefiksim 400 mg + Azitromisin 1000 mg paket - - - -
424 Sefotaksim injeksi 0,5 g ktk 2 vial - - - -
425 Sefotaksim injeksi 1 g ktk 2 vial 1444 31 566 (879)
426 Sefotaksim injeksi 1 g ktk 10 vial - - - -
427 Sefotaksim injeksi 1 g per vial ktk 1 vial - - - -
428 Seftazidim injeksi 1 g ktk 2 vial - - - -
429 Seftriakson injeksi 1 g ktk 2 vial - - - -
430 Seftriakson serbuk injeksi 1 g/ vial 1 vial - - - -
431 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml - - - -
432 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 34158 1,265 22,761 (11,397)
433 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet 77000 8,957 161,230 -
434 Siklofosfamid tablet 50 mg btl 50 tablet - - - -
435 Siklosporin kapsul lunak 25 mg btl 50 kapsul - - - -
436 Simetidin tablet 200 mg ktk 10 x 10 tablet 40635 7,119 128,137 -
437 Simvastatin tablet 5 mg ktk 3 x 10 tablet - - - -
442 Siprofloksasin tetes mata 0,3 % btl 10 ml - - - -
443 Siprofloksasin infus 2% btl 100 ml - - - -
444 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet - - - -
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

448 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 10 x 10 tablet 171400 15,219 273,944 -
449 Spiramisin tablet 250 mg ktk 5 x 10 tablet - - - -
451 Spironolakton tablet 100 mg ktk 10 x 10 tablet - - - -
453 Stavudin tablet 30 mg btl 60 tablet - - - -
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml - - - -
455 Sulfadiazin tablet 500 mg btl 100 tablet - - - -
456 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet - - - -
457 Sulfasalazin tablet 500 mg btl 500 tablet - - - -
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml 620 3 57 (563)
459 Tamoksifen tablet 20 mg btl 30 tablet - - - -
460 Teofilin tablet 150 mg ktk 10 x 10 tablet - - - -
461 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet - - - -
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml - - - -
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul 96935 6,480 116,631 -
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 55400 8,479 152,628 -
465 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul - - - -
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 18735 976 17,570 (1,166)
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet 196100 23,864 429,560 -
469 Tiamin (Vitamin B1) 100 mg tablet btl 1000 tablet - - - -
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml 0 8 146 -
471 Tramadol injeksi 50 mg/ml ktk 5 ampul - - - -
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul - - - -
473 Tramadol tablet 50 mg ktk 5 x 10 tablet - - - -
474 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet - - - -
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet - - - -
477 Trimetoprim tablet 200 mg btl 100 tablet - - - -
478 Valproat tablet 150 mg btl 50 tablet - - - -
480 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet - - - -
481 Vitamin B Kompleks tablet btl 1000 tablet 179000 12,211 219,803 -
482 Zidovudin 300 mg + Lamivudine 150 mg btl 60 tablet - - - -
483 Zidovudin tablet 100 mg btl 60 tablet - - - -
484 Zinc tablet 20 mg ktk 10 x 10 tablet 10300 886 15,944 -
Kepala Instalasi Farmasi Prop/Kab/Kota
( ................................................................................... )
NIP.
RENCANA KEBUTUHAN OBAT KABUPATEN / KOTA
TAHUN 2018
PROPINSI / KABUPATEN / KOTA

Kab. Batang Hari
NO NAMA OBAT KEMASAN SISA STOK PEMAKAIAN RENCANA KEBUTUHAN RENCANA PENGADAAN
PER 1 JAN 2017 RATA2/BLN 2018 2018
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
1 Albendazol tab kunyah 400 mg ktk/30 tab 112 9.00 162.04 50.036
2 Alopurinol tab 100 mg ktk/100tab 130 12.99 233.82 103.82
3 Ambroksol sirup 15 mg/ml btol 60 ml 0 144.5 2601 2601
4 Ambroksol tablet 30 mg ktk/100tab 0 10.04 180.72 180.72
5 Aminofilin injeksi 24 mg/ml ktk/30amp 0 2.14 38.52 38.52
6 Aminofilin tablet 200 mg ktk/100tab 51 15.11 271.98 220.98
7 Amoksisilin kaplet 500 mg ktk/100tab 2111 216.89 3904.02 1793.02
8 Amoksisilin 125 mg / 5 ml btol 60 ml 2050 1142.83 20570.94 18520.94
9 Ampisilin serbuk injeksi 1000 mg/vial ktk/10 vial 0 0 0 0
10 Antasida DOEN tablet kunyah ktk/100tab 0 119.84 2157.12 2157.12
11 Antasida DOEN suspensi btol 60 ml 0 211.83 3812.94 3812.94
12 Antibakteri DOEN salep kombinasi ktk/25 tube 141 12.01 216.18 75.18
13 Antifungi DOEN kombinasi ktk/24 tube 101 6.37 114.66 13.66
14 Antimalaria kom.Pirimetamin 25mg + ktk/100tab 8 784.47 14120.46 14112.46
Sulfadoksin 500 mg
15 Antimigren DOEN kombinasi ktk/100tab 1 924.33 924.33 923.33
16 Aqua Pro injeksi steril,bebas pitogen ktk/10 vial 227 12.82 230.76 3.75999999999999
17 Asam asetisalisilat 100 mg ( asetosal ) ktk/100tab 0 0 0 0
18 Asam Ascorbat ( Vit.C ) 50 mg ktk/1000tab 266 28.9 520.2 254.2
19 Asam Folat tab 50 mg ktk/100tab 0 0 0 0
20 Asam Mefenamat 500 mg ktk/100tab 868 127.96 2303.28 1435.28
21 Asiklovir krim 5% Tube 0 45.83 824.94 824.94
22 Asiklovit tab 200 mg ktk/100tab 0 2.86 51.48 51.48
23 Asiklovir tab 400 mg ktk/100tab 36 19.44 349.92 313.92
24 Atropin injeksi 0,25 mg/ml ktk/30 ampl 3 1.22 21.96 18.96
25 Betametason krim 0,1% ktk/25 tube 0 15.84 285.12 285.12
26 Deksametason injeksi 5 mg/ml ktk/100 ampl 0 8.65 155.7 155.7
27 Deksametason tab 0,5 mg ktk/100tab 0 220.53 3969.54 3969.54
28 Dekstrometorfan tab 15 mg ktk/100tab 460 90.22 1623.96 1163.96
29 Dekstrometorfan sirup btol 60 ml 0 211 3798 3798
30 Diazepam injeksi 25 mg/ml ktk/30 ampl 9 2.11 37.98 28.98
31 Diazepam tab 2 mg btol/100 tab 0 22.28 401.04 401.04
32 Diazepam tab 5 mg btol/250 tab 8 1.29 23.22 15.22
33 Difenhidramin injeksi 10 mg/ml Ktak/30 amp 0 3.38 60.84 60.84
34 Digoksin tab 0,25 mg ktk/100 tab 25 7.3 131.4 106.4
35 Doksisiklin kapsul 100 mg ktk/100 tab 0 1.02 18.36 18.36
36 Efedrin tab 25 mg ( HCL) btl/1000 tab 17 122.22 2199.96 2182.96
37 Eritromisin tab 500 mg ktk/100 tab 26 21.2 381.6 355.6
38 Eritromisin sirup 200 mg/ 5 ml botol 60 ml 0 262.5 4725 4725
39 Etakridin lar.0,1% btol 300 ml 1512 68.33 1229.94 -282.06
40 Famotidin tablet 40 mg ktk/50 tab 0 15.1 271.8 271.8
41 Fenobarbital tab 30 mg btl/1000 tab 81 3.19 57.42 -23.58
42 Fenol Gliserol tetes telinga 10% ktk/24 btol 0 26.1 469.8 469.8
43 Fitomenadion (Vit,K1) tab salut gula 10 btol/100 tab 0 13.02 234.36 234.36
44 Fitomenadion (Vit.K1) injeksi 10 mg/ml ktk/30 ampl 0 12.46 224.28 224.28
45 Furosemid injeksi 10 mg/ml ktk/25 ampl 31 0.36 6.48 -24.52
46 Furosemid tablet 40 mg btol/250 tab 136 6.92 124.56 -11.44
47 Garam Oralit seruk 25/scet 1244 150.38 2706.84 1462.84
48 Gentamisin injeksi 40 mg/ml ktk/5 ampl 0 8.38 150.84 150.84
49 Gentamisin salep kulit 0,1% ktk/25 tube 18.73 14.98 269.64 250.91
50 Glibenklamid tab 5 mg ktk/100 tab 35 15.49 278.82 243.82
51 Gliseril Guayakolat tab 100 mg btol/1000 ta 153 20.87 375.66 222.66
52 Glukosa lar.infus 10% btol 500ml 340 20.16 362.88 22.88
53 Glukosa lar.infus 5% btol 500ml 8860 321.83 5792.94 -3067.06
54 Griseofulfin tab 125 mg ktk/100 tab 1 16.44 295.92 294.92
55 Hidroklorida tab 25 mg btol/1000 ta 67 1.79 32.22 -34.78
56 Hidrokortison krim 2,5% Tube 0 846.91 15244.38 15244.38
57 Hyosin N-Butilbromid tab 10 mg ktk/100 tab 0 0 0 0
58 Ibuprofen tab 200 mg ktk/100 tab 0 27.79 500.22 500.22
59 Ibuprofen tab 400 mg ktk/100 tab 0 19.89 358.02 358.02
60 Isosorbid dinitrat tablet 5 mg ktk/100 tab 153 9.04 162.72
61 Kalsium laktat (kalk) tab 500 mg btol/1000 tab 0 15.31 275.58 275.58
62 Kaptropil tab 12,5 mg ktk/100 tab 0 54.35 978.3 978.3
63 Kaptropil tab 25 mg ktk/100 tab 0 25.03 450.54 450.54
64 Keterolac injeksi 10 mg ktk/6 ampl 0 0 0 0
65 Kloramfenikol kapsul 250 mg btol/250 tab 108 9.33 167.94 59.94
66 Kloramfenikol salep mata 1% Tube 1605 10005.58 180100.44 178495.44
67 Kloramfenikol tetes telinga 3% btol 5ml 789 54.16 974.88 185.88
68 Klorfeniramina Maleat (CTM) tab 4 mg btol/1000 ta 185 39.95 719.1 534.1
69 Kloroquin tab 250 mg btol/1000 tab 124 5 90 -34
70 Klorfomazin tab salut 25 mg (Hcl) btol/1000 ta 16 2.08 37.44 21.44
71 Kotrimoksazol dewasa 480 mg ktk/100 tab 0 68.46 1232.28 1232.28
72 Kotrimoksazol pedriatik 120 mg ktk/100 tab 254 15.16 272.88 18.88
73 Kotrimoksazol suspensi btol 60 ml 0 790.5 14229 14229
74 Kuinin (kina) tab 200 mg ktk/60 tab 67 1.53 27.54 -39.46
75 Kuinin Hidroksida injeksi ktk/30amp 2 4.18 75.24 73.24
76 Lidokain injeksi ktk/30 ampl 0 28.64 515.52 515.52
77 Magnesium Sulfat inj(IV) 20% ktk/10 vial 13 0.04 0.72 -12.28
78 Magnesium Sulfat inj(IV) 40% ktk/10 vial 26 0.31 5.58 -20.42
79 Mebendazol sirup 100 mg/ 5ml btol 30 ml 5 10.83 194.94 189.94
80 Mebendazol tab 100 mg ktk/30 tab 210 2.56 46.08 -163.92
81 Metampiron injeksi ktk/30 ampl 14 9.34 168.12 154.12
82 Metampiron tab 500 mg ktk/100 tab 0 0 0 0
83 Metilergometrin maleat tab 0,125 mg ktk/100 tab 0 11.19 201.42 201.42
84 Metilergometrin maleat injeksi 0.200 mgktk/30 ampl 0 3.71 66.78 66.78
85 Metoklopramida injeksi 5 mg/ml ktk/10 ampl 0 1.9 34.2 34.2
86 Metoklopramida tab 5 mg ktk/100 tab 0 0.16 2.88 2.88
87 Metronidazol tab 250mg ktk/100 tab 777 27.92 502.56 -274.44
88 Mikonazol krim Tube 0 41.16 740.88 740.88
89 Natrium Bikarbonat tab 500 mg btol/1000 ta 182 5.91 106.38 -75.62
90 Natrium Diklofenak 25 mg ktk/50 tab 190 14.44 259.92 69.92
91 Natrium Diklofenak 50 mg ktk/50 tab 0 15.46 278.28 278.28
92 Natrium Klorida lar.infus 0,9% btol 500ml 4340 216.66 3899.88 -440.12
93 Nifedipin tab 10 mg ktk/100 tab 357 12.94 232.92 -124.08
94 Obat Batuk Hitam ( OBH ) btol 100 ml 0 711.41 12805.38 12805.38
95 Oksitetrasiklin Hcl salep 3 % Tube 0 119.25 2146.5 2146.5
96 Oksitetrasiklin Hcl salep mata 1 % Tube 3525 191.9 3454.2 -70.7999999999997
97 Oksitetrasiklin injeksi ktk 10 vial 0 23.32 419.76 419.76
98 Oksitosin injeksi ktk/30 ampl 0 2.04 36.72 36.72
99 Parasetamol Drop botol 0 0 0 0
100 Parasetamol tablet 100 mg ktk/100 tab 170 37.06 667.08 497.08
101 Parasetamol tablet 500 mg ktk/100 tab 3225 354.29 6377.22 3152.22
102 Parasetamol Syr botol 60 ml 5496 2043.41 36781.38 31285.38
103 Piracetam injeksi 1 ml ktk/10 ampl 41 0.25 4.5 -36.5
104 Pyrantel tab 125 mg ktk/60 tab 231 6.37 114.66 -116.34
105 Piridoksin (vit.B6) tab 10 mg btol/1000 ta 0 27.01 486.18 486.18
106 Povidon 10% btol 30 ml 334 81.41 1465.38 1131.38
107 Povidon 10% btol 300 ml 307 39.75 715.5 408.5
108 Prednison tab 5 mg btol/1000 ta 8 20.23 364.14 356.14
109 Primaquin tab 15 mg btol/1000 ta 0 1.39 25.02 25.02
110 Propitiourasil Tablet 100 mg ktk/100 tab 0 8.81 158.58 158.58
111 Propanolol HCl Tablet 40 mg ktk/100 tab 242 5.04 90.72 -151.28
112 Ranitidin Tablet ktk/100 tab 0 12.81 230.58 230.58
113 Ranitidin injeksi 25mg/2ml ktk/25 ampl 22 12.59 226.62 204.62
114 Retinol (Vitamin A) Kapsul 100.000 IU btl/50 kpsl 35 5 90 55
115 Retinol (Vitamin A) Kapsul 200.000 IU btl/50 kpsl 932 17.38 312.84 -619.16
116 Ringer Laktat Larutan Infus Steril btol 500ml 0 662.58 11926.44 11926.44
117 Salbutamol Tablet 2 mg ktk/100 tab 0 25.72 462.96 462.96
118 Salbutamol Tablet 4 mg ktk/100 tab 0 14.08 253.44 253.44
119 Salep 2 - 4 Kombinasi ktk/25 pot 89.41 14.75 265.5 176.09
120 Salisil Bedak 2 % bks 0 89.25 1606.5 1606.5
121 Sefadroksil kapsul 500 mg ktk/100 tab 0 4.96 89.28 89.28
122 Sefotaksim injek 1 gr ktk/2 vial 160 18.37 330.66 170.66
123 Seftriakson injeksi 1 gr ktk/2 vial 0 2.91 52.38 52.38
124 Sianokobalamin (Vit.B12) Inj.500 MCG/ktk/100 ampl 59 10.78 194.04 135.04
125 Simvastatin tab 10 mg ktk/30 tab 161.25 4.16 74.88 -86.37
126 Siprofloksasin 500 mg ktk/50 tab 0 69.91 1258.38 1258.38
127 Sulfasetamid Natrium Tetes Mata 15 %ktk/24 tube 0 3 54 54
128 Tetrakain HCl Tetes Mata ktk/24 btol 20 4.37 78.66 58.66
129 Tetrasiklin HCl Kapsul 250 mg btol/1000 ta 36 9.76 175.68 139.68
130 Tetrasiklin HCl Kapsul 500 mg Ktk/100 kaplet 4 34.85 627.3 623.3
131 Tiamin HCl (Vit.B1) Inj. 100 mg/ ml - 1 m Ampul 2910 12.87 231.66 -2678.34
132 Tiamin HCl Mononitrat ( Vit. B1 ) Table btol/1000 ta 0 16.76 301.68 301.68
133 Tramadol injeksi ktk/5 ampl 4 8.61 154.98 150.98
134 Vitamin B Kompleks tablet btol/1000 ta 0 24.94 448.92 448.92
135 Zink tablet 20 mg ktk/100 tab 4 33.64 605.52 601.52
Muara Bulian, 16 April 2017
KEPALA UPTD GUDANG FARMASI

KABUPATEN BATANG HARI
Rts.Rayani, S.KM
Penata III / c
NIP. 197006071997032005
TAHUN 2018
PROPINSI/KABUPATEN/KOTA :
Kab. Tanjung Jabung Barat

1 2 3 4 5 6 7

1 - - - -
2 297 32 576 600
4 Albendazol tablet/tablet kunyah 400 mg ktk 5 x 6 tablet - - - -
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 480 67 1,206 1,300
10 Ambroxol sirup 15 mg/ml btl 60 ml 8,000 567 10,200 10,000
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet 1,355 80 1,440 1,440
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml 61 4 72 70
15 Aminofilin tablet 200 mg btl 100 tablet 1,141 26 468 470
16 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut 160 10 180 180
18 Amlodipin tablet 5 mg ktk 5 x 10 tablet 99 6 108 90
21 Amoksisilin + As. Klavulanat 625 mg tablet ktk 5 x 6 tablet 618 54 972 1,000
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 1,000 56 1,008 1,100
24 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 242 303 5,448 5,500
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 10,096 970 17,460 10,000
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 904 82 1,470 1,500
29 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial ktk 10 vial 75 15 270 270
31 Ampisilin sirup kering 125 mg/5ml btl 60 ml 10,000 507 9,126 10,000
ktk 10 x 10 tablet
32 Aluminium Hidroksida 200 mg 628 75 1,343 1,600
kunyah
33 Aluminium Hidroksida 200 mg/5 ml btl 60 ml 3,000 300 5,400 5,400
34 Basitrasin 500 ktk 25 tube @ 5 g 5,875 217 3,900 4,000
35 Asam Benzoat ktk 24 pot @ 30 g 63 12 216 300
36 Bismut subgalat 150 mg ktk 10 supp - 12 216 220
37 Pirimetamin 25 mg ktk 10 x 10 tablet - - - -
Sulfadoksin 500 mg
Antimigren:
38 Ergotamin btl 100 tablet - 16 288 250
39 Karbidopa 25 mg ktk 10 x 10 tablet - - - -
Levodopa 250 mg
41 Artemether injeksi 80 mg/ml ktk 6 ampul 15 3 54 50
42 Artesunate injeksi, vial 60 mg ktk 8 vial - - - -
43 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet 77 10 186 180
44 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet - - - -
47 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 1,843 473 8,520 9,000
48 Asam Folat tablet 1 mg btl 100 tablet 390 22 396 400
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 2,972 146 2,634 2,800
53 Asiklovir krim 5% tube 5 gram 5,240 345 6,210 5,000
57 Asiklovir tablet 200 mg ktk 10 x 10 tablet 201 14 246 300
62 Atenolol tablet 50 mg ktk 10 x 10 tablet 50 15 265 200
63 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 64 4 72 72
65 Atropin Sulfat tablet 0,5 mg btl 500 tablet 102 3 54 50
66 Atropin Sulfat tetes mata 0,5% ktk 24 btl @ 5 ml - - - -
67 Atropin Sulfat tetes mata 0,5 % btl 5 ml 60 11 192 200
69 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml - - - -
71 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut - - - -
72 - - - -
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet 212 21 384 300
74 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram 73,000 683 12,300 4,000
75 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g - - - -
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet 3,445 52 930 900
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet 573 32 576 500
87 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml 313 20 352 500
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 992 247 4,440 5,000
89 Dekstran 70 - larutan infus 6% steril btl 500 ml 701 33 600 200
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 12,996 1,250 22,500 4,000
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 4,630 177 3,180 3,000
92 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml 20 2 36 40
93 Diazepam tablet 2 mg btl 100 tablet 691 60 1,080 1,000
99 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml 326 29 522 500
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 395 18 330 200
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 100 14 252 200
109 Domperidon suspensi 5 mg/5 ml btl 60 ml 852 105 1,884 2,000
110 Domperidon tablet 10 mg ktk 10 x 10 tablet 618 21 372 500
112 Ekstraks Belladona tablet 10 mg btl 1000 tablet 39 5 90 90
113 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml 331 8 138 120
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul 430 30 542 500
116 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet 300 38 678 500
117 Eritromisin sirup 200 mg/ 5 ml btl 60 ml 2,501 265 4,776 4,000
118 Etakridin larutan 0,1% btl 300 ml 793 53 960 300
125 Fenilbutason tablet 200 mg btl 1000 tablet 80 2 36 36
126 Fenitoin kapsul 100 mg btl 250 kapsul - - - -
127 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml 46 9 153 100
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul 102 3 48 20
129 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml - - - -
131 Fenobarbital tablet 30 mg btl 250 tablet 377 9 157 150
132 Fenobarbital tablet 100 mg btl 250 tablet 100 3 60 50
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet - - - -
135 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml 199 4 67 60
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 336 24 438 400
138 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 158 8 142 200
141 Fluoride tablet 0,5 mg btl 100 tablet - - - -
143 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml 79 3 48 40
147 Gameksan lotion 1 % btl 30 ml - - - -
Natrium 0,52 g
Natrium 0,52 g
153 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml - - - -
154 Gentamisin injeksi 40 mg/ ml ktk 5 amp - - - -
157 Gentamisin salep kulit 0.1% tube 5 gram 2,354 193 3,474 4,000
158 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml - - -
159 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml 120 12 216 300
160 Gentian Violet larutan 1 % btl 10 ml 10,841 168 3,024 2,000
172 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 468 233 4,200 6,000
173 Gliserin btl 100 ml 101 15 276 300
174 Glukosa larutan infus 10 % steril btl 500 ml 1,660 40 720 1,000
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml 158 4 72 100
177 Griseofulvin tablet 250 mg ktk 10 x 10 tablet - - - -
178 Griseofulvin tablet 125 mg ktk 10 x 10 tablet 360 24 438 600
185 Hidrokortison krim 2,5 % tube 5 g 5,654 177 3,186 4,000
186 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g - - - -
190 Ibuprofen tablet 200 mg btl 100 tablet 1,018 55 984 1,000
191 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 1,166 59 1,062 1,200
196 Isosorbid Dinitrat tablet sublingual 5 mg ktk 10 x 10 tablet 501 8 150 100
198 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet - - - -
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 214 12 222 150
204 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 2,476 103 1,860 2,000
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 1,936 96 1,728 3,000
209 Karbamazepin tablet 200 mg ktk 10 x 10 tablet 306 13 234 150
210 Ketokonazol krim 2% tube 15 gram 2,577 152 2,736 3,000
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet 536 37 660 700
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul - - - -
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet - - - -
226 Kloramfenikol kapsul 250 mg ktk 12 X 10 kapsul - - - -
228 Kloramfenikol kapsul 250 mg btl 250 kapsul - - - -
229 Kloramfenikol salep mata 1 % tube 5 g 590 160 2,880 3,000
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml 1,600 183 3,300 4,000
231 Kloramfenikol tetes mata 0,5 % btl 5 ml 1,125 48 870 900
232 Kloramfenikol tetes telinga 3 % btl 5 ml 301 100 1,806 1,900
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet 337 29 528 600
235 Klorokuin tablet 250 mg btl 1000 tablet 15 2 42 45
236 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml - - - -
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ktk 30 ampul - - - -
238 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut 28 2 42 40
240 Kodein tablet 10 mg btl 250 tablet 10 1 18 18
245 Sulfametoksazol 400 mg ktk 10 x 10 tablet 1,083 55 984 1,000
Trimetoprim 80 mg
Trimetoprim 20 mg
247 Sulfametoksazol 200 mg + Trimetoprim btl 60 ml 4,000 435 7,830 8,000
40 mg / 5 ml
250 Kuinin (Kina) tablet 200 mg ktk 60 tablet - - - -
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul - - - -
252 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml - - - -
253 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet - - - -
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul 949 23 408 300
259 Levofloksasin tablet 500 mg ktk 3 x 10 tablet 34 11 204 200
260 Lidokain injeksi 2% ktk 100 amp @ 2 ml 13 3 54 60
261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml 528 35 630 700
269 Loperamid tablet 2 mg ktk 10 x 10 tablet - - - -
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial 175 3 54 20
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial 29 2 36 25
273 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr 48 6 108 50
274 Mebendazol sirup 100 mg / 5 ml btl 30 ml 284 57 1,020 1,100
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet 19 3 54 55
276 Mebendazol tablet 500 mg ktk 10 x 10 tablet - - - -
278 Meloksikam tablet 15 mg ktk 5 x 10 tablet 32 9 162 180
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 2,454 112 2,010 2,000
285 Metformin HCl tablet 500 mg ktk 10 x 10 tablet 160 11 204 200
288 ktk 10 x 10 tablet 399 43 779 500
293 Metilprednisolon tablet 4 mg ktk 10 x 10 tablet 5 17 301 250
295 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml 94 9 167 100
297 Metoklopramide tablet 10 mg ktk 10 x 10 tablet 212 29 528 500
299 Metronidazol infus 500 mg/100 ml btl 100 ml 160 12 210 100
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet 627 29 516 600
302 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 1,765 117 2,106 3,000
303 ktk 40 sachet 61 23 414 500
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 534 423 7,620 3,000
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet 1,030 63 1,134 800
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet 209 58 1,044 800
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml - -
312 Natrium Klorida larutan infus 0,9 % btl 500 ml 2,840 128 2,304 2,000
313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml - - - -
314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul - - - -
315 Nevirapin tablet 200 mg btl 60 tablet - - - -
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet 292 43 768 400
318 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal 16 2 42 42
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos - - - -
321 Obat Antituberkulosis Kategori anak Paket / dos - - - -
324 Obat Antituberkulosis FDC Kategori Anak paket 10 1 18 16
327 Obat Antituberkulosis FDC Sisipan paket 10 1 18 5
330 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram 700 74 1,326 1,500
331 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g - - - -
333 Oksitetrasiklin salep kulit 3% tube 5 gram 1,000 308 5,550 5,000
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 g - - - -
340 Papaverin tablet 40 mg btl 1000 tablet - - - -
341 Parasetamol drops btl 15 ml 1,510 84 1,506 1,000
342 Parasetamol sirup 120 mg / 5 ml btl 60 ml 10,001 840 15,126 10,000
343 Parasetamol tablet 100 mg botol 100 tablet 180 18 324 300
350 Petidin injeksi 50 mg/ml ktk 10 ampul 100 1 18 10
351 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml 60 11 198 200
359 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score 65 6 108 120
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet - - - -
365 Piroksikam kapsul 10 mg ktk 12 x10 kapsul 548 22 396 240
366 Piroksikam tablet 20 mg ktk 10 x 10 tablet - - - -
367 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul 448 23 408 200
368 Povidon Iodida larutan 10% btl 30 ml 4,260 87 1,560 600
370 Povidon Iodida larutan 10% btl 300 ml 1,167 38 684 300
378 Primakuin tablet 15 mg btl 1000 tablet 26 4 72 50
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial 35 7 120 100
381 Propanolol tablet 40 mg (HCl) btl 100 tablet 336 15 264 200
382 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet 160 5 90 90
383 Propiltiourasil tablet 100 mg btl 100 tablet 418 48 870 200
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp 126 6 102 120
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet 300 39 702 800
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet - - - -
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet - - - -
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut - - - -
399 Ringer Laktat larutan infus btl 500 ml 5,810 407 7,320 7,000
405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet - - - -
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet 1,840 50 906 500
407 ktk 24 pot @ 30 g 153 11 206 220
endap 4%
408 Salisil Bedak 2 % ktk 50 gram 9,192 388 6,978 4,000
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 1,004 118 2,124 2,200
425 Sefotaksim injeksi 1 g ktk 2 vial 200 6 108 100
427 Sefotaksim injeksi 1 g per vial ktk 1 vial - - - -
429 Seftriakson injeksi 1 g ktk 2 vial 100 7 120 120
432 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 28 12 216 300
433 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet 30 9 162 200
436 Simetidin tablet 200 mg ktk 10 x 10 tablet 1,178 105 1,884 2,000
448 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 10 x 10 tablet 200 60 1,086 1,500
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml 8 1 22 22
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml 12 2 36 36
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml 8 1 18 20
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul 16 2 30 60
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 32 8 138 140
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 110 8 144 100
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet 99 13 240 200
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml - - - -
471 Tramadol injeksi 50 mg/ml ktk 5 ampul 122 28 504 400
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul 176 18 324 340
473 Tramadol tablet 50 mg ktk 5 x 10 tablet - - - -
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 1,374 20 360 100
484 Zinc tablet 20 mg ktk 10 x 10 tablet 160 12 216 200
(Dra. Erida N Manalu, Apt. MPH)

NIP.19661119 199703 2 002
TAHUN 2018
PROPINSI/KABUPATEN/KOTA :KOTA SUNGAI PENUH

1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

1
2 24 1 18 (6)
3 Albendazol suspensi 200 mg/5 ml ktk 10 btl @ 10 ml - -
4 Albendazol tablet/tablet kunyah 400 mg ktk 5 x 6 tablet 21 - - (21)
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 482 12 216 (266)
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet - -
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet 200 19 342 142
12 Amilorida tablet 5 mg (HCl) ktk 10 x 10 tablet - -
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml 11 0.33 6 (5)
14 Aminofilin tablet 150 mg btl 1000 tablet - -
15 Aminofilin tablet 200 mg btl 100 tablet 200 7 126 (74)
16 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut 565 5 90 (475)
17 Amlodipin tablet 5 mg ktk 3 x 10 tablet - -
21 Amoksisilin + As. Klavulanat 625 mg tablet ktk 5 x 6 tablet - -
22 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul 7,200 67 1,200 (6,000)
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul - -
24 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 15,470 110 1,980 (13,490)
25 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial - -
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 10,350 590 10,620 270
27 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet - -
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 500 22 396 (104)
29 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial ktk 10 vial - -
30 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial ktk 10 vial - -
31 Ampisilin sirup kering 125 mg/5ml btl 60 ml 2,000 150 2,700 700
ktk 10 x 10 tablet
32 Aluminium Hidroksida 200 mg 5,396 72 1,296 (4,100)
kunyah
33 Aluminium Hidroksida 200 mg/5 ml btl 60 ml - -
34 Basitrasin 500 ktk 25 tube @ 5 g 146 8 138 (8)
35 Asam Benzoat ktk 24 pot @ 30 g - -
36 Bismut subgalat 150 mg ktk 10 supp 57 8 144 87
37 Pirimetamin 25 mg ktk 10 x 10 tablet 344 - - (344)
Sulfadoksin 500 mg
Antimigren:
38 Ergotamin btl 100 tablet - -
39 Karbidopa 25 mg ktk 10 x 10 tablet - -
Levodopa 250 mg
41 Artemether injeksi 80 mg/ml ktk 6 ampul 24 - - (24)
42 Artesunate injeksi, vial 60 mg ktk 8 vial 13 - - (13)
43 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet - -
44 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet 137 6 108 (29)
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet 75 7 120 45
46 Asam Askorbat (Vitamin C) tablet 100 mg btl 500 tablet - -
47 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 261 14 252 (9)
48 Asam Folat tablet 1 mg btl 100 tablet 1,000 10 180 (820)
49 Asam Folat tablet 5 mg btl 1000 tablet - -
50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul - -
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 350 33 594 244
52 Asetazolamid tablet 250 mg btl 100 tablet - -
53 Asiklovir krim 5% tube 5 gram 1,000 93 1,674 674
54 Asiklovir krim 5% ktk 25 tube @ 5 gram - -
55 Asiklovir tablet 200 mg ktk 3 x 10 tablet - -
61 Atenolol tablet 100 mg ktk 5 x 10 tablet - -
62 Atenolol tablet 50 mg ktk 10 x 10 tablet - -
63 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml - -
64 Atropin Sulfat tablet 0,5 mg btl 100 tablet - -
65 Atropin Sulfat tablet 0,5 mg btl 500 tablet 100 1 18 (82)
66 Atropin Sulfat tetes mata 0,5% ktk 24 btl @ 5 ml - -
67 Atropin Sulfat tetes mata 0,5 % btl 5 ml - -
68 Azatioprin tablet 50 mg ktk 10 x 10 tablet - -
69 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml - -
70 Benzatin Benzil Penisilin 2,4 juta IU/vial ktk 10 vial @ 20 ml - -
71 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut - -
72 52,400 - - (52,400)
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet - -
74 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram - -
75 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g 153 4 66 (87)
76 Betametason tablet 0,5 mg ktk 10 x 10 tablet - -
77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet - -
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet 100 9 162 62
79 Cetirizin sirup 5 mg/5 ml btl 60 ml - -
80 Cetirizine tablet 10 mg ktk 3 x 10 tablet - -
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet - -
82 Cisapride tablet 10 mg ktk 10 x 10 tablet - -
83 Cisapride tablet 5 mg ktk 10 x 10 tablet - -
84 Clobazam tablet 10 mg ktk 10 x 10 tablet - -
85 Clobetasol krim 0,05% tube 10 gram - -
86 Dapson tablet 100 mg btl 1000 tablet - -
87 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml - -
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 1,100 17 306 (794)
89 Dekstran 70 - larutan infus 6% steril btl 500 ml - -
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 4,850 183 3,294 (1,556)
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 580 43 774 194
92 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml 73 1 18 (55)
93 Diazepam tablet 2 mg btl 100 tablet 1,568 32 576 (992)
94 Diazepam tablet 2 mg ktk 10 x 10 tablet - -
95 Diazepam tablet 5 mg btl 250 tablet 143 6 102 (41)
96 Diazepam tablet 5 mg btl 100 tablet - -
97 Diazepam tablet 5 mg ktk 10 x 10 tablet - -
98 Dietilkarbamazin Sitrat tablet 100 mg ktk 10 x 10 tablet - -
99 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml 70 2 36 (34)
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 399 3 54 (345)
101 Digoksin tablet 0,0625 mg btl 100 tab - -
102 Dikloksasilin kapsul 125 mg ktk 100 kapsul - -
103 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul - -
104 Dikloksasilin kapsul 500 mg ktk 25 x 4 kapsul - -
105 Diltiazem HCl tablet 30 mg ktk 10 x 10 tablet - -
106 Dimenhidrinat tablet 50 mg btl 100 tablet - -
107 Disopiramid kapsul 100 mg btl 100 kapsul - -
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 45 4 72 27
109 Domperidon suspensi 5 mg/5 ml btl 60 ml - -
110 Domperidon tablet 10 mg ktk 10 x 10 tablet - -
112 Ekstraks Belladona tablet 10 mg btl 1000 tablet - -
113 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml - -
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul - -
115 Eritromisin kapsul 250 mg ktk 12 x 10 kapsul 200 15 264 64
116 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet - -
117 Eritromisin sirup 200 mg/ 5 ml btl 60 ml - -
119 Etambutol tablet 250 mg (HCl) ktk 10 x 10 tablet - -
120 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet - -
121 Etambutol tablet salut 500 mg (HCl) ktk 10 x 10 tablet salut - -
122 Etoposid kapsul 100 mg btl 10 kapsul - -
123 Famotidine tablet 40 mg ktk 5 x 10 tablet - -
124 Famotidine tablet 20 mg ktk 5 x 10 tablet - -
125 Fenilbutason tablet 200 mg btl 1000 tablet - -
126 Fenitoin kapsul 100 mg btl 250 kapsul 40 1 24 (16)
127 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml - -
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul 100 2 36 (64)
129 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml - -
130 Fenobarbital tablet 30 mg btl 100 tablet 430 13 234 (196)
131 Fenobarbital tablet 30 mg btl 250 tablet - -
132 Fenobarbital tablet 100 mg btl 250 tablet - -
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet - -
134 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet - -
135 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml - -
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 232 8 144 (88)
137 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet - -
138 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 29 - - (29)
139 Menadion (Vitamin K3) injeksi 10 mg/ml ktk 100 amp @ 1 ml - -
140 Flukonazol tablet 150 mg ktk 10 tablet - -
141 Fluoride tablet 0,5 mg btl 100 tablet - -
142 Fluoride tablet 1 mg btl 100 tablet - -
143 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml - -
144 Furosemid tablet 40 mg ktk 20 x 10 tablet - -
145 Furosemid tablet 40 mg ktk 10 x 10 tablet 582 13 234 (348)
146 Furosemid tablet 40 mg btl 250 tablet - -
147 Gameksan lotion 1 % btl 30 ml - -
Natrium 0,52 g
148 Kalium klorida 0,30 g ktk 25 sachet - -
Natrium 0,52 g
149 Kalium klorida 0,30 g ktk 100 sachet 455 12 216 (239)
150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul - -
151 Gemfibrozil kapsul 300 mg ktk 10 x 10 kapsul - -
152 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet - -
153 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml - -
154 Gentamisin injeksi 40 mg/ ml ktk 5 amp - -
155 Gentamisin salep kulit 0.1% ktk 10 tube 5 gram - -
156 Gentamisin salep kulit 0.1% ktk 25 tube 5 gram 250 10 174 (76)
157 Gentamisin salep kulit 0.1% tube 5 gram - -
158 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml 350 33 594 244
159 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml - -
160 Gentian Violet larutan 1 % btl 10 ml 300 34 612 312
161 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 1,074 17 306 (768)
162 Glimepiride tablet 1 mg ktk 5 x 10 tablet - -
170 Glipizid tablet 5 mg ktk 30 tablet - -
171 Gliquidon tablet 30 mg ktk 10 x 10 tablet - -
172 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 298 7 126 (172)
173 Gliserin btl 100 ml 1,222 8 144 (1,078)
174 Glukosa larutan infus 10 % steril btl 500 ml 53 17 306 253
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml - -
176 Glukosa larutan infus 5 % steril btl 500 ml 185 30 540 355
177 Griseofulvin tablet 250 mg ktk 10 x 10 tablet - -
178 Griseofulvin tablet 125 mg ktk 10 x 10 tablet 390 17 306 (84)
180 Haloperidol tablet 5 mg ktk 10 x 10 tablet 205 7 126 (79)
181 Haloperidol tablet 1,5 mg ktk 10 x 10 tablet 859 13 234 (625)
182 Haloperidol tablet 2 mg ktk 10 x 10 tablet - -
183 Hidroklorotiazida tablet 25 mg btl 1000 tablet 74 3 54 (20)
184 Hidrokortison krim 1% tube 5 g - -
185 Hidrokortison krim 2,5 % tube 5 g - -
186 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 213 9 162 (51)
187 Hyoscine -N-Butilbromide tablet 10 mg ktk 10 x 10 tablet 50 8 144 94
188 Ibuprofen suspensi 100 mg/5 ml btl 60 ml - -
189 Ibuprofen suspensi 200 mg/5 ml btl 60 ml - -
190 Ibuprofen tablet 200 mg btl 100 tablet 400 38 684 284
191 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 580 33 594 14
192 Indometasin kapsul 25 mg ktk 10 x 10 kapsul - -
193 Iodiol kapsul lunak btl 100 kapsul - -
194 Isoniazid tablet 100 mg btl 1000 tablet - -
195 Isoniazid tablet 300 mg btl 1000 tablet - -
197 Itrakonazol kapsul 100 mg ktk 3 x 10 kapsul - -
198 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet - -
199 Kalium Diklofenak tablet 50 mg ktk 5 x 10 tablet - -
200 Kalium Klorida tablet 300 mg tube 10 tablet - -
201 Kalsium Folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet - -
202 Kalsium Karbonat tablet 500 mg btl 100 tablet - -
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 750 12 216 (534)
204 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 690 38 684 (6)
205 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet - -
206 Kaptopril tablet 25 mg ktk 6 x 10 tablet - -
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 485 61 1,098 613
208 Kaptopril tablet 50 mg ktk 10 x 10 tablet - -
209 Karbamazepin tablet 200 mg ktk 10 x 10 tablet - -
210 Ketokonazol krim 2% tube 15 gram 500 32 576 76
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet - -
212 Ketoprofen injeksi 100 mg ktk 6 amp @ 1 ml - -
213 Ketoprofen tablet 100 mg ktk 10 x 10 tablet - -
214 Ketorolac injeksi 10 mg ktk 6 amp @ 1 ml - -
219 Klindamisin kapsul 150 mg ktk 10 x 10 kapsul - -
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul - -
224 Klomifen tablet 50 mg btl 10 tablet - -
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet - -
227 Kloramfenikol kapsul 250 mg ktk 10 X 10 kapsul - -
228 Kloramfenikol kapsul 250 mg btl 250 kapsul - -
229 Kloramfenikol salep mata 1 % tube 5 g - -
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml - -
231 Kloramfenikol tetes mata 0,5 % btl 5 ml 100 11 198 98
232 Kloramfenikol tetes telinga 3 % btl 5 ml 3,432 40 720 (2,712)
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet 3,018 1 18 (3,000)
234 Klorokuin tablet 150 mg btl 1000 tablet - -
235 Klorokuin tablet 250 mg btl 1000 tablet 17 1 18 1
236 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml - -
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ktk 30 ampul - -
238 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut 50 2 36 (14)
240 Kodein tablet 10 mg btl 250 tablet 15 - - (15)
241 Kodein tablet 15 mg btl 250 tablet - -
244 Kolkisin tablet 500 mcg ktk 10 x 10 tablet - -
245 Sulfametoksazol 400 mg ktk 10 x 10 tablet 1,000 37 666 (334)
Trimetoprim 80 mg
246 Sulfametoksazol 100 mg ktk 10 x 10 tablet 260 5 90 (170)
Trimetoprim 20 mg
247 Sulfametoksazol 200 mg + Trimetoprim btl 60 ml 17,300 250 4,500 (12,800)
40 mg / 5 ml
248 Kuinidin tablet 100 mg btl 1000 tablet - -
249 Kuinidin tablet 200 mg ktk 10 x 10 tablet - -
250 Kuinin (Kina) tablet 200 mg ktk 60 tablet - -
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul - -
252 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml - -
253 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet - -
254 Lamivudine tablet 150 mg btl 60 tablet - -
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul - -
256 Levamisol tablet 50 mg ktk 4 x 9 tablet - -
257 Levamisol tablet 50 mg btl 25 tablet - -
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet - -
259 Levofloksasin tablet 500 mg ktk 3 x 10 tablet - -
260 Lidokain injeksi 2% ktk 100 amp @ 2 ml - -
261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml 1,254 9 162 (1,092)
262 Linkomisin kapsul 250 mg ktk 10 x 10 kapsul - -
266 Lisinopril tablet 10 mg ktk 3 x 10 tablet - -
269 Loperamid tablet 2 mg ktk 10 x 10 tablet - -
270 Loratadin tablet 10 mg ktk 5 x 10 tablet - -
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial - -
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial - -
273 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr - -
274 Mebendazol sirup 100 mg / 5 ml btl 30 ml - -
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet - -
276 Mebendazol tablet 500 mg ktk 10 x 10 tablet - -
277 Meloksikam suppositoria ktk 10 supp - -
278 Meloksikam tablet 15 mg ktk 5 x 10 tablet - -
279 Meloksikam tablet 15 mg ktk 2 x 10 tablet - -
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet 150 11 198 48
281 Meloksikam tablet 7,5 mg ktk 2 x 10 tablet - -
282 Merkaptopurin tablet 50 mg btl 25 tablet - -
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 425 26 468 43
285 Metformin HCl tablet 500 mg ktk 10 x 10 tablet - -
286 Metformin HCl tablet 850 mg ktk 10 x 10 tablet - -
287 Metildopa tablet 250 mg btl 100 tablet - -
288 ktk 10 x 10 tablet 50 5 90 40
289 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul 63 1 18 (45)
290 Metilprednisolon injeksi 500 mg ktk 1 vial - -
291 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet - -
293 Metilprednisolon tablet 4 mg ktk 10 x 10 tablet 250 21 378 128
295 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml - -
296 Metoklopramide sirup 5 mg/ 5 ml btl 60 ml - -
297 Metoklopramide tablet 10 mg ktk 10 x 10 tablet 100 9 162 62
298 Metoklopramide tablet 5 mg ktk 10 x 10 tablet - -
299 Metronidazol infus 500 mg/100 ml btl 100 ml - -
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet - -
302 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr - -
303 ktk 40 sachet 100 1 18 (82)
304 Momethason krim 0,1 % tube 5 gram - -
305 Momethason krim 0,1 % tube 10 gram - -
306 Morfin injeksi 10 mg/ml ktk 10 ampul @ 1 ml - -
307 Morfin tablet 10 mg btl 30 tablet - -
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 425 3 54 (371)
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet - -
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet 50 8 138 88
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml - -
312 Natrium Klorida larutan infus 0,9 % btl 500 ml 400 33 594 194
313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml - -
314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul - -
315 Nevirapin tablet 200 mg btl 60 tablet - -
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet - -
317 Nistatin tablet salut 500.000 IU/ g ktk 10 x 10 tablet salut - -
318 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal 50 - - (50)
319 Nitrofurantoin tablet 100 mg btl 100 tablet - -
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos - -
321 Obat Antituberkulosis Kategori anak Paket / dos 4 1 18 14
322 Obat Batuk Hitam ( O.B.H. ) cairan btl 100 ml - -
323 Obat Batuk Hitam ( O.B.H. ) cairan btl 200 ml - -
324 Obat Antituberkulosis FDC Kategori Anak paket - -
326 Obat Antituberkulosis FDC Kategori 2 paket - -
327 Obat Antituberkulosis FDC Sisipan paket 19 - - (19)
328 Ofloxacin tablet 200 mg ktk 5 x 10 tablet - -
329 Ofloxacin tablet 400 mg ktk 5 x 10 tablet - -
330 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram 500 32 576 76
331 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g - -
332 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml ktk 10 vial 90 1 18 (72)
333 Oksitetrasiklin salep kulit 3% tube 5 gram 1,900 83 1,494 (406)
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 g - -
335 Oksitosin injeksi 10 IU/ml - 1 ml ktk 30 ampul 71 1 18 (53)
336 Omeprazol kapsul 20 mg btl 7 kapsul - -
337 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul - -
338 Oseltamivir 75 mg ktk 10 - -
339 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml - -
340 Papaverin tablet 40 mg btl 1000 tablet - -
341 Parasetamol drops btl 15 ml - -
342 Parasetamol sirup 120 mg / 5 ml btl 60 ml 18,450 617 11,106 (7,344)
343 Parasetamol tablet 100 mg botol 100 tablet - -
344 Parasetamol tablet 500 mg ktk 10 x 10 tablet 13,600 235 4,230 (9,370)
345 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial - -
346 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet - -
347 Perfenazin tablet 4 mg (HCl) btl 100 tablet - -
348 Perfenazin tablet 2 mg (HCl) ktk 15 x 10 tablet - -
349 Perfenazin tablet 8 mg (HCl) ktk 15 x 10 tablet - -
350 Petidin injeksi 50 mg/ml ktk 10 ampul - -
351 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml - -
352 Piracetam injeksi 1 g/5 ml ktk 10 amp - -
353 Piracetam injeksi 3 g/15 ml ktk 4 amp - -
354 Piracetam tablet 1200 mg ktk 10 x 10 tablet - -
355 Piracetam tablet 1200 mg ktk 5 x 10 tablet - -
356 Piracetam tablet 400 mg ktk 10 x 10 tablet 200 14 252 52
357 Piracetam tablet 800 mg ktk 10 x 10 tablet 150 12 216 66
358 Pirantel sirup 125 mg/5 ml btl 60 ml - -
359 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score - -
360 Pirantel tablet score (base) 125 mg ktk 30 x 2 tablet score - -
361 Pirazinamid tablet 500 mg ktk 10 x 10 tablet - -
362 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet 364 4 72 (292)
363 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet - -
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet - -
365 Piroksikam kapsul 10 mg ktk 12 x10 kapsul - -
366 Piroksikam tablet 20 mg ktk 10 x 10 tablet - -
367 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul 300 21 372 72
368 Povidon Iodida larutan 10% btl 30 ml 116 6 108 (8)
369 Povidon Iodida larutan 10% btl 60 ml - -
370 Povidon Iodida larutan 10% btl 300 ml 112 12 216 104
371 Povidon Iodida larutan 10% btl 1000 ml - -
372 Pravastatin tablet 10 mg ktk 3 x 10 tablet - -
375 Prazikuantel tablet 300 mg btl 1000 tablet - -
376 Prazikuantel tablet 600 mg btl 100 tablet - -
377 Prednison tablet 5 mg btl 1000 tablet 364 5 90 (274)
378 Primakuin tablet 15 mg btl 1000 tablet - -
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial 6 - - (6)
380 Prometazin tablet 25 mg ktk 100 tablet - -
381 Propanolol tablet 40 mg (HCl) btl 100 tablet 930 3 54 (876)
382 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet - -
383 Propiltiourasil tablet 100 mg btl 100 tablet 1,768 4 72 (1,696)
384 Propiltiourasil tablet 50 mg btl 1000 tablet - -
385 Ramipril tablet 2,5 mg ktk 10 x 10 tablet - -
386 Ramipril tablet 5 mg ktk 10 x 10 tablet - -
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp - -
388 Ranitidin tablet 150 mg ktk 3 x 10 tablet - -
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet 490 57 1,026 536
390 Reserpin tablet 0,10 mg btl 250 tablet 20 2 36 16
391 Reserpin tablet 0,25 mg btl 1000 tablet - -
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 10,500 250 4,500 (6,000)
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 27,133 1,700 30,600 3,467
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet - -
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet - -
396 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul - -
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut - -
399 Ringer Laktat larutan infus btl 500 ml 580 27 486 (94)
400 Risperidon tablet 1 mg ktk 2 x 10 tablet - -
405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet 300 16 288 (12)
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet - -
407 ktk 24 pot @ 30 g 100 7 132 32
endap 4%
408 Salisil Bedak 2 % ktk 50 gram 2,440 150 2,700 260
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml - -
410 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul - -
414 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul - -
415 Sefaklor kapsul 500 mg ktk 3 x 10 kapsul - -
416 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul - -
417 Sefaleksin kapsul 500 mg ktk 5 x 10 kapsul - -
418 Sefazolin injeksi 1 g ktk 2 vial - -
419 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul - -
422 Sefiksim sirup kering 100 mg/ 5 ml btl 30 ml - -
423 Sefiksim 400 mg + Azitromisin 1000 mg paket - -
424 Sefotaksim injeksi 0,5 g ktk 2 vial - -
425 Sefotaksim injeksi 1 g ktk 2 vial - -
426 Sefotaksim injeksi 1 g ktk 10 vial - -
427 Sefotaksim injeksi 1 g per vial ktk 1 vial - -
428 Seftazidim injeksi 1 g ktk 2 vial - -
429 Seftriakson injeksi 1 g ktk 2 vial - -
430 Seftriakson serbuk injeksi 1 g/ vial 1 vial - -
431 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml - -
432 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml - -
433 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet 250 13 234 (16)
434 Siklofosfamid tablet 50 mg btl 50 tablet - -
435 Siklosporin kapsul lunak 25 mg btl 50 kapsul - -
436 Simetidin tablet 200 mg ktk 10 x 10 tablet - -
437 Simvastatin tablet 5 mg ktk 3 x 10 tablet - -
438 Simvastatin tablet 10 mg ktk 3 x 10 tablet 150 14 246 96
442 Siprofloksasin tetes mata 0,3 % btl 10 ml - -
443 Siprofloksasin infus 2% btl 100 ml - -
444 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet - -
448 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 10 x 10 tablet 300 28 504 204
449 Spiramisin tablet 250 mg ktk 5 x 10 tablet - -
450 Spiramisin tablet 500 mg ktk 5 x 10 tablet - -
451 Spironolakton tablet 100 mg ktk 10 x 10 tablet - -
452 Spironolakton tablet 25 mg ktk 10 x 10 tablet - -
453 Stavudin tablet 30 mg btl 60 tablet - -
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml - -
455 Sulfadiazin tablet 500 mg btl 100 tablet - -
456 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet - -
457 Sulfasalazin tablet 500 mg btl 500 tablet - -
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml - -
459 Tamoksifen tablet 20 mg btl 30 tablet - -
460 Teofilin tablet 150 mg ktk 10 x 10 tablet - -
461 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet - -
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml - -
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul 55 1 18 (37)
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 206 - - (206)
465 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul - -
466 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul - -
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 30 1 18 (12)
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet 319 13 234 (85)
469 Tiamin (Vitamin B1) 100 mg tablet btl 1000 tablet - -
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml - -
471 Tramadol injeksi 50 mg/ml ktk 5 ampul - -
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul - -
473 Tramadol tablet 50 mg ktk 5 x 10 tablet 100 10 180 80
474 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet - -
475 Trifluoperazin tablet 5 mg ktk 10 x 10 tablet - -
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 1,500 35 630 (870)
477 Trimetoprim tablet 200 mg btl 100 tablet - -
478 Valproat tablet 150 mg btl 50 tablet - -
479 Valproat tablet 250 mg btl 50 tablet - -
480 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet - -
481 Vitamin B Kompleks tablet btl 1000 tablet 750 10 180 (570)
482 Zidovudin 300 mg + Lamivudine 150 mg btl 60 tablet - -
483 Zidovudin tablet 100 mg btl 60 tablet - -
484 Zinc tablet 20 mg ktk 10 x 10 tablet 388 3 54 (334)
Kepala Instalasi Farmasi Kota Sungai Penuh
( Meoty Dwi Payana, S.Farm, Apt )

NIP. 19850420 201001 2 018
TAHUN 2018
PROPINSI/KABUPATEN/KOTA : JAMBI / TANJUNG JABUNG TIMUR

1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

1 58 63 1,134 1,076
2 - - - -
4 Albendazol tablet/tablet kunyah 400 mg ktk 5 x 6 tablet 700 - - (700)
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 600 23 414 (186)
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet 1,000 34 612 (388)
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml - 4 72 72
15 Aminofilin tablet 200 mg btl 100 tablet 63 20 360 297
16 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut 149 3 54 (95)
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 1,559 124 2,232 673
24 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 3,143 164 2,952 (191)
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 1,000 - - (1,000)
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 500 3 54 (446)
31 Ampisilin sirup kering 125 mg/5ml btl 60 ml - - - -
ktk 10 x 10 tablet
32 Aluminium Hidroksida 200 mg 6,000 111 1,998 (4,002)
kunyah
33 Aluminium Hidroksida 200 mg/5 ml btl 60 ml 4,000 222 3,996 (4)
34 Basitrasin 500 ktk 25 tube @ 5 g 68 15 270 202
35 Asam Benzoat ktk 24 pot @ 30 g - 6 108 108
36 Bismut subgalat 150 mg ktk 10 supp - - - -
37 Pirimetamin 25 mg ktk 10 x 10 tablet 240 40 720 480
Sulfadoksin 500 mg
Antimigren:
38 Ergotamin btl 100 tablet - - - -
39 Karbidopa 25 mg ktk 10 x 10 tablet - - - -
Levodopa 250 mg
40 Aqua pro Injeksi steril, bebas pirogen ktk 10 vial @ 20 ml - 9 162 162
41 Artemether injeksi 80 mg/ml ktk 6 ampul - - - -
42 Artesunate injeksi, vial 60 mg ktk 8 vial 16 - - (16)
43 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet 280 - - (280)
44 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet - - - -
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet - 13 234 234
47 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 750 6 108 (642)
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 1,424 126 2,268 844
53 Asiklovir krim 5% tube 5 gram 290 196 3,528 3,238
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

59 Asiklovir tablet 400 mg ktk 5 x 10 tablet - 5 90 90
60 Asiklovir tablet 400 mg ktk 10 x 10 tablet 500 5 90 (410)
63 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 45 2 36 (9)
64 Atropin Sulfat tablet 0,5 mg btl 100 tablet - 2 36 36
66 Atropin Sulfat tetes mata 0,5% ktk 24 btl @ 5 ml - - - -
67 Atropin Sulfat tetes mata 0,5 % btl 5 ml - - - -
69 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml - - - -
71 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut - - - -
72 15,000 - - (15,000)
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet - - - -
74 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram - - - -
75 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g 250 16 288 38
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet - - - -
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet 733 - - (733)
87 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml - 12 216 216
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 1,114 267 4,806 3,692
89 Dekstran 70 - larutan infus 6% steril btl 500 ml - - - -
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 7,250 600 10,800 3,550
91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 3,750 104 1,872 (1,878)
92 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml - 13 234 234
95 Diazepam tablet 5 mg btl 250 tablet - 1 18 18
99 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml 100 8 144 44
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 275 18 324 49
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 737 13 234 (503)
109 Domperidon suspensi 5 mg/5 ml btl 60 ml - - - -
110 Domperidon tablet 10 mg ktk 10 x 10 tablet 134 - - (134)
112 Ekstraks Belladona tablet 10 mg btl 1000 tablet - 3 54 54
113 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml - 1 18 18
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul 700 7 126 (574)
116 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet - - - -
117 Eritromisin sirup 200 mg/ 5 ml btl 60 ml 1,500 218 3,924 2,424
119 Etambutol tablet 250 mg (HCl) ktk 10 x 10 tablet 18 5 90 72
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

123 Famotidine tablet 40 mg ktk 5 x 10 tablet 500 - - (500)
124 Famotidine tablet 20 mg ktk 5 x 10 tablet 300 - - (300)
125 Fenilbutason tablet 200 mg btl 1000 tablet - - - -
126 Fenitoin kapsul 100 mg btl 250 kapsul - - - -
127 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml - 1 18 18
128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul - 1 18 18
129 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml - - - -
130 Fenobarbital tablet 30 mg btl 100 tablet 500 8 144 (356)
135 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml - - - -
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 400 7 126 (274)
138 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 114 5 90 (24)
141 Fluoride tablet 0,5 mg btl 100 tablet - 3 54 54
143 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml - - - -
147 Gameksan lotion 1 % btl 30 ml 2 11 198 196
Natrium 0,52 g
Natrium 0,52 g
153 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml - - - -
154 Gentamisin injeksi 40 mg/ ml ktk 5 amp 13 1 18 5
155 Gentamisin salep kulit 0.1% ktk 10 tube 5 gram 1,000 30 540 (460)
157 Gentamisin salep kulit 0.1% tube 5 gram - - - -
158 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml - - - -
159 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml - - - -
160 Gentian Violet larutan 1 % btl 10 ml 500 384 6,912 6,412
172 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 509 23 414 (95)
173 Gliserin btl 100 ml - - - -
174 Glukosa larutan infus 10 % steril btl 500 ml 1,040 48 864 (176)
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml - 37 666 666
177 Griseofulvin tablet 250 mg ktk 10 x 10 tablet - - - -
178 Griseofulvin tablet 125 mg ktk 10 x 10 tablet 1,503 21 378 (1,125)
179 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet - 7 126 126
180 Haloperidol tablet 5 mg ktk 10 x 10 tablet 52 - - (52)
181 Haloperidol tablet 1,5 mg ktk 10 x 10 tablet 92 4 72 (20)
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

185 Hidrokortison krim 2,5 % tube 5 g - - - -
186 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 250 16 288 38
190 Ibuprofen tablet 200 mg btl 100 tablet - - - -
191 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 500 38 684 184
195 Isoniazid tablet 300 mg btl 1000 tablet 99 1 18 (81)
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet - - - -
204 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 1,500 45 810 (690)
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 1,224 36 648 (576)
209 Karbamazepin tablet 200 mg ktk 10 x 10 tablet 501 1 18 (483)
210 Ketokonazol krim 2% tube 15 gram 500 - - (500)
211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet 300 - - (300)
222 Klindamisin kapsul 300 mg ktk 10 x 10 kapsul 20 10 180 160
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul - - - -
225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet - - - -
226 Kloramfenikol kapsul 250 mg ktk 12 X 10 kapsul - - - -
227 Kloramfenikol kapsul 250 mg ktk 10 X 10 kapsul - 53 954 954
228 Kloramfenikol kapsul 250 mg btl 250 kapsul - - - -
229 Kloramfenikol salep mata 1 % tube 5 g - 40 720 720
230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml - - - -
231 Kloramfenikol tetes mata 0,5 % btl 5 ml - - - -
232 Kloramfenikol tetes telinga 3 % btl 5 ml 2,000 749 13,482 11,482
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet 466 37 666 200
235 Klorokuin tablet 250 mg btl 1000 tablet - 7 126 126
236 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml - - - -
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ktk 30 ampul - - - -
238 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut 106 1 18 (88)
239 Klorpromazin tablet salut 100 mg (HCl) btl 250 tablet - - - -
240 Kodein tablet 10 mg btl 250 tablet 1 - - (1)
Trimetoprim 80 mg
Trimetoprim 20 mg
247 Sulfametoksazol 200 mg + Trimetoprim btl 60 ml 3,000 706 12,708 9,708
40 mg / 5 ml
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

250 Kuinin (Kina) tablet 200 mg ktk 60 tablet - 4 72 72
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul - 5 90 90
252 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml - - - -
253 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet - - - -
255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul - - - -
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet 656 7 126 (530)
260 Lidokain injeksi 2% ktk 100 amp @ 2 ml - - - -
261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml 671 14 252 (419)
269 Loperamid tablet 2 mg ktk 10 x 10 tablet 400 4 72 (328)
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial - - - -
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial - 2 36 36
273 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr - - - -
274 Mebendazol sirup 100 mg / 5 ml btl 30 ml - - - -
275 Mebendazol tablet 100 mg ktk 5 x 6 tablet 663 2 36 (627)
276 Mebendazol tablet 500 mg ktk 10 x 10 tablet - - - -
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet 525 - - (525)
283 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml - 4 72 72
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 3,140 109 1,962 (1,178)
288 ktk 10 x 10 tablet 259 22 396 137
293 Metilprednisolon tablet 4 mg ktk 10 x 10 tablet 508 18 324 (184)
295 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml - - - -
297 Metoklopramide tablet 10 mg ktk 10 x 10 tablet 124 3 54 (70)
299 Metronidazol infus 500 mg/100 ml btl 100 ml - - - -
301 Metronidazol tablet 500 mg ktk 10 x 10 tablet - - - -
302 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr - - - -
303 ktk 40 sachet - - - -
308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 96 7 126 30
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet 800 - - (800)
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet - - - -
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml - - - -
312 Natrium Klorida larutan infus 0,9 % btl 500 ml 1,000 105 1,890 890
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)
313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml - 5 90 90

314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul - - - -
315 Nevirapin tablet 200 mg btl 60 tablet - - - -
316 Nifedipin tablet 10 mg ktk 10 x 10 tablet 202 24 432 230
318 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal - - - -
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos 308 60 1,080 772
321 Obat Antituberkulosis Kategori anak Paket / dos - - - -
324 Obat Antituberkulosis FDC Kategori Anak paket - - - -
325 Obat Antituberkulosis FDC Kategori 1 paket - - - -
326 Obat Antituberkulosis FDC Kategori 2 paket - - - -
327 Obat Antituberkulosis FDC Sisipan paket - - - -
330 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram - - - -
331 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g 200 7 126 (74)
333 Oksitetrasiklin salep kulit 3% tube 5 gram - - - -
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 g - - - -
340 Papaverin tablet 40 mg btl 1000 tablet - - - -
341 Parasetamol drops btl 15 ml 4,000 - - (4,000)
342 Parasetamol sirup 120 mg / 5 ml btl 60 ml 20,000 560 10,080 (9,920)
343 Parasetamol tablet 100 mg botol 100 tablet - 7 126 126
350 Petidin injeksi 50 mg/ml ktk 10 ampul - - - -
351 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml - - - -
359 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score - 11 198 198
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet 500 26 468 (32)
365 Piroksikam kapsul 10 mg ktk 12 x10 kapsul - - - -
366 Piroksikam tablet 20 mg ktk 10 x 10 tablet 1,000 53 954 (46)
367 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul - - - -
368 Povidon Iodida larutan 10% btl 30 ml 442 457 8,226 7,784
370 Povidon Iodida larutan 10% btl 300 ml 233 385 6,930 6,697
378 Primakuin tablet 15 mg btl 1000 tablet - - - -
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial - - - -
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

381 Propanolol tablet 40 mg (HCl) btl 100 tablet 520 7 126 (394)
382 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet 100 25 450 350
383 Propiltiourasil tablet 100 mg btl 100 tablet - 2 36 36
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp 30 11 198 168
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet 806 39 702 (104)
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 500 95 1,710 1,210
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 2,067 63 1,134 (933)
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet - -
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet - -
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut 100 1 18 (82)
399 Ringer Laktat larutan infus btl 500 ml 8,000 349 6,282 (1,718)
407 ktk 24 pot @ 30 g 101 6 108 7
endap 4%
408 Salisil Bedak 2 % ktk 50 gram 500 94 1,692 1,192
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml - - - -
413 Sefadroksil kapsul 500 mg ktk 10 x 10 kapsul 601 9 162 (439)
427 Sefotaksim injeksi 1 g per vial ktk 1 vial - - -
429 Seftriakson injeksi 1 g ktk 2 vial 250 15 270 20
432 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 200 8 144 (56)
433 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet 200 - - (200)
436 Simetidin tablet 200 mg ktk 10 x 10 tablet 1,002 18 324 (678)
439 Simvastatin tablet 10 mg ktk 5 x 10 tablet 230 12 216 (14)
1 2 3 4 5 6 = ( 5 X 18 ) 7=(6-4)

448 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 10 x 10 tablet 1,170 26 468 (702)
454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml - - - -
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml - - - -
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml - - - -
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul - 3 54 54
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 1 10 180 179
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml - 4 72 72
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet 307 15 270 (37)
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml - - - -
471 Tramadol injeksi 50 mg/ml ktk 5 ampul 71 8 144 73
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul - - - -
473 Tramadol tablet 50 mg ktk 5 x 10 tablet 500 11 198 (302)
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 418 3 54 (364)
484 Zinc tablet 20 mg ktk 10 x 10 tablet 1,000 26 468 (532)
130
( Yuri Febriani S.Far, Apt )

NIP.

REKAP USULAN RKO PROVINSI Jambi 2018

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REKAP USULAN RKO PROVINSI Jambi 2018

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PROVINSI : KEPULAUAN RIAU

Garam Oralit I serbuk, kombinasi : Natrium 0,52 g

Garam Oralit I serbuk, kombinasi : Natrium 0,52 g

150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul

Kotrimoksazol DOEN II (pediatrik) kombinasi :

Kotrimoksazol Suspensi komb:

Mineral Mix, kombinasi : Kalium klorida 1792 mg

657 32 0 13,624 1,304 9,848 0

4,532 322 1,264 318,300 34,000 293,700 409,000

0 0 0 5,895 477 2,691 1,265

418 39 284 1,581 187 1,785 153

0 0 0 35,700 1,333 11,706 4,000

2 3 52 1,061 408 6,283 714

412 34 200 0 0 0 61,810

1,684 117 422 165,100 9,233 1,094 29,700

266 20 94 12,300 3,767 55,506 60,000

24,880 1,735 6,350 4,525 1,133 15,869 10,085

KAB. MERANGIN KAB. YANJUNG JABUNG BARAT KAB. SUNGAI PENUH

28,239 0 628 75 1,600 5,396 72 4,100

102 0 3,000 300 5,400 0 0 0

72 0 5,875 217 4,000 146 8 8

5,388 0 654 34 600 455 12 239

10,453 0 1,083 55 1,000 1,000 37 334

2,568 13,776 780 33 400 260 5 170

1,153 0 4,000 435 8,000 17,300 250 12,800

0 4,000 61 23 500 100 1 82

KAB. TANJUNG JABUNG TIMUR KAB. KAB.

6,000 111 4,002

3,000 706 9,708

SISA STOK PEMAKAIAN RENCANA KEBUTUHAN RENCANA PENGADAAN

ACT (Artesunate tablet 50 mg + Amodiaquine 2 blister @

Kepala Instalasi Farmasi Kab. Bungo

( EVA DEWI,S.Si., Apt. )

SISA STOK PEMAKAIAN

ACT (Artesunate tablet 50 mg + Amodiaquine 2 blister @

SITI AISYAH, S.Si, Ap

RENCANA KEBUTUHAN RENCANA PENGADAAN

SITI AISYAH, S.Si, Apt

Sisa Stok Pemakaian

1 Alopurinol tablet 100 mg ktk 10 x 10 tablet 35 32 576

Catatan : Untuk Item Obat tambahan

NO NAMA OBAT KEMASAN JUMLAH KETERANGAN

SISA STOK PEMAKAIAN RENCANA KEBUTUHAN RENCANA PENGADAAN

55 Asiklovir tablet 200 mg ktk 3 x 10 tablet - - - -

122 Etoposid kapsul 100 mg btl 10 kapsul - - - -

184 Hidrokortison krim 1% tube 5 g - - - -

249 Kuinidin tablet 200 mg ktk 10 x 10 tablet - - - -

313 Natrium Thiosulfat injeksi i.v. 25% ktk 10 amp @ 10 ml 0 0 3 -

380 Prometazin tablet 25 mg ktk 100 tablet - - - -

447 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 5 x 10 tablet - - - -

Kepala Instalasi Farmasi Prop/Kab/Kota

PROPINSI / KABUPATEN / KOTA

Muara Bulian, 16 April 2017

KEPALA UPTD GUDANG FARMASI

SISA STOK PEMAKAIAN RENCANA KEBUTUHAN RENCANA PENGADAAN

ACT (Artesunate tablet 50 mg + Amodiaquine 2 blister @

Kepala Instalasi Farmasi Prop/Kab/Kota

(Dra. Erida N Manalu, Apt. MPH)

SISA STOK PEMAKAIAN RENCANA KEBUTUHAN RENCANA PENGADAAN

ACT (Artesunate tablet 50 mg + Amodiaquine 2 blister @

Kepala Instalasi Farmasi Kota Sungai Penuh

( Meoty Dwi Payana, S.Farm, Apt )