DAFTAR KEBUTUHAN OBAT NON E-CATALOG BULAN MARET-APRIL

INSTALASI FARMASI RS UNAND TAHUN 2021

Kebutuhan Buffer Volume Volume

No. PBF Nama Satuan Harga Sisa stok perbulan Stok 30% pengadaan pembulatan Total Harga (Rp.)

1 Parit Padang Global Adalat Oros 30 mg Tablet 3,948 150 1,220 366 3,022 3,000 11,844,000
2 Merapi Utama Pharma Allopurinol 100 mg Tablet 157 - 8,600 2,580 22,360 22,000 3,454,000
3 Parit Padang Global Allopurinol 300 mg Tablet 415 - 1,000 300 2,600 2,600 1,079,000
4 Anugrah Argon Medica Alpentin 100 mg Tablet 1,095 - 2,800 840 7,280 7,250 7,938,750
5 Merapi Utama Pharma Alprazolam 0,5 mg tablet 94 500 1,200 360 2,620 2,600 244,387
6 Mensa Binasukses amlodipine Besilate 10 mg Tablet 94 - 7,320 2,196 19,032 19,020 1,788,134
7 Anugerah Pharmindo Lestari Apidra Pen 89,500 5 113 34 289 290 25,955,000
8 Kebayoran Pharma Aptor Tablet Tablet 157 200 11,000 3,300 28,400 28,400 4,459,198
9 Merapi Utama Pharma Aqua Pro Inj 25 mL Botol 2,860 360 480 144 888 840 2,402,400
10 Medisi Sainsindo Aqua Steril 1 L Botol 11,235 220 234 70 388 390 4,381,650
11 Indofarma Global Medika Asam Folat 1 mg Tablet 79 100 4,900 1,470 12,640 12,600 995,400
12 Anugrah Argon Medica Atorvastatin 20 mg Tablet 835 - 5,500 1,650 14,300 14,280 11,923,540
13 Anugerah Pharmindo Lestari Avamys Box 112,476 - 20 6 52 50 5,623,800
14 Anugerah Pharmindo Lestari Avodart 0,5 mg Tablet 4,935 - 90 27 234 210 1,036,350
15 Anugerah Pharmindo Lestari Berotec botol 83,190 5 25 8 60 60 4,991,400
16 Anugrah Argon Medica Betahistine 6 mg Tablet 110 - 1,800 540 4,680 4,600 506,000
17 Tempo Betametason tube 3,500 5 30 9 73 75 262,500
18 Talang Gugun Bicarbonat Natric 500 mg tablet 52 1,800 2,600 780 4,960 4,800 248,582
19 Antarmitra Sembada Bisacodil 5 mg Tablet 327 90 150 45 300 420 137,340
20 Anugrah Argon Medica Bisoprolol 5 mg Tablet 237 1,680 7,350 2,205 17,430 17,400 4,123,802
21 BSP Blecidex Botol 44,990 8 6 2 8 8 359,920
22 Antarmitra Sembada Bunascan spinal ampul 58,080 15 55 17 128 125 7,260,000
23 Anugerah Pharmindo Lestari Calcii Gluconas ampul 10,351 0 116 35 302 168 1,738,968
24 Merapi Utama Pharma Calcium lactat 500 mg Tablet 63 - 3,500 1,050 9,100 2,400 151,200
25 Anugrah Argon Medica Candesartan 16 mg Tablet 943 7,500 9,000 2,700 15,900 15,900 14,993,699
26 Anugrah Argon Medica Candesartan 8 mg Tablet 545 4,710 6,000 1,800 10,890 10,890 5,935,051
27 Penta Valent Catarlent 0,6 ml strip 20,900 - 5 2 13 13 271,700
28 Trisapta Jaya Cefixime 200 mg Tablet 2,400 200 1,200 360 2,920 2,900 6,960,000
29 Penta Valent Cendo Caterlent strip 20,900 - 10 3 26 20 418,000
30 Penta Valent Cendo cenfresh strip 24,035 1 40 12 103 100 2,403,500
31 Penta Valent Cendo lyteers strip 20,116 95 60 18 61 61 1,227,091
32 Penta Valent Cendo Mycetin botol 13,324 15 10 3 11 11 146,561
33 Penta Valent Cendo Timol strip 26,909 - 20 6 52 52 1,399,255
34 Penta Valent Cendo Tobroson strip 30,305 - 15 5 39 40 1,212,200
35 Penta Valent Cendo tropin botol 13,063 12 8 2 9 9 117,563
36 Penta Valent Cendo Xitrol strip 25,472 - 10 3 26 26 662,269
37 Penta Valent Cendo Xitrol MD strip 25,471 - 25 8 65 60 1,528,260
38 Rajawali Nusindo Cetirizine 10 mg Tablet Tablet 101 1,200 1,100 330 1,660 1,700 171,700
39 Parit Padang Global Cilostazol 100 mg Tablet 5,225 - 600 180 1,560 1,500 7,837,500
40 Merapi Utama Pharma Citicolin inj ampul 4,576 15 220 66 557 550 2,516,800
41 Anugrah Argon Medica Clobazam 10 mg tablet 776 200 2,500 750 6,300 6,300 4,888,800
42 Kimia Farma Clonidine HCl Tablet 176 200 1,100 330 2,660 2,700 475,200
43 Anugrah Argon Medica Clopidogrel 75 mg Tablet 660 - 2,100 630 5,460 5,460 3,603,600
44 Anugrah Argon Medica Concor 2,5 mg Tablet 626 - 7,500 2,250 19,500 19,500 12,206,981
45 Parit Padang Global Curcuma 20 mg Tablet 416 - 17,500 5,250 45,500 45,500 18,928,000
46 Anugerah Pharmindo Lestari Depakote 250 mg Tablet 1,200 - 500 150 1,300 1,300 1,560,130
47 Kimia Farma Dexamethason injeksi ampul 1,152 160 408 122 901 900 1,036,827
48 Kebayoran Pharma dextral sirup 60 mL botol 7,656 7 10 3 19 20 153,120
49 Anugrah Argon Medica Domperidone 10 mg Tablet 86 1,400 2,100 630 4,060 4,000 344,000
50 Antarmitra Sembada Donepezil Tablet Tablet 1,793 480 300 90 300 300 537,900
51 Anugrah Argon Medica Dopamet Tablet Tablet 993 - 200 60 520 500 496,500
52 Anugerah Pharmindo Lestari Dorner 20 mcg Tablet 4,873 360 360 108 576 570 2,777,610
53 Anugerah Pharmindo Lestari Dulcolax 5 mg supp 6,000 6 24 7 56 54 324,000
54 Enseval Putera Megatrading Enystin drop botol 25,575 2 20 6 50 50 1,278,750
55 Eperisone HCl 50 mg Tablet 1,032 700 500 150 600 600 619,200
56 Kimia Farma Ephineprin ampul 6,388 0 100 30 260 260 1,660,802
57 Anugrah Argon Medica Euthyrox 100 mcg Tablet 1,072 800 1,800 540 3,880 3,800 4,073,619
58 Enseval Putera Megatrading Ezelin Box 83,950 70 80 24 138 130 10,913,500
59 Kimia Farma Fenitoin 100 mg Tablet 440 - 600 180 1,560 1,500 660,000
60 Kimia Farma Framicetin sulfate pcs 12,012 - 80 24 208 200 2,402,400
61 Kimia Farma Furosemide 40 mg Tablet 82 200 2,000 600 5,000 5,000 409,998
62 Anugrah Argon Medica Gabapentin 300 mg Tablet 1,015 1,380 6,000 1,800 14,220 14,220 14,433,301
63 Parit Padang Global Gelofusin Botol 1,450,152 10 8 2 11 10 14,501,520
64 Indofarma Global Medika Gentamicin 40 mg/ml Injeksi ampul 5,060 40 30 9 38 35 177,100
65 Anugrah Argon Medica Glimepiride 2 mg Tablet 207 1,500 2,500 750 5,000 5,000 1,035,000
66 Indofarma Global Medika Glimepiride 4 mg Tablet 270 - 1,000 300 2,600 2,600 702,000
67 Anugrah Argon Medica Gliquidone 30 mg Tablet 1,140 3,700 4,000 1,200 6,700 6,700 7,638,000
68 Anugerah Pharmindo Lestari Harnal Ocas Tablet 4,114 - 360 108 936 930 3,826,020
69 Enseval Putera Megatrading Hepamax Tablet 9,579 30 180 54 438 420 4,023,250
70 Anugrah Argon Medica Herbesser CD 100 mg Tablet 4,460 - 1,100 330 2,860 2,800 12,488,000
71 Anugrah Argon Medica Herbesser CD 200 mg Tablet 4,835 - 1,200 360 3,120 3,100 14,988,500
72 Kimia Farma Hidroclorthiazid 25 mg Tablet 163 100 1,800 540 4,580 4,500 733,491
73 Mensa Binasukses Hyoscine bromide ampul 7,920 60 80 24 148 145 1,148,400
74 Anugrah Argon Medica Hystolan 20 mg Tablet 4,950 50 50 15 80 100 495,000
75 Millennium Pharmacon Int ialuset 100 g tube 99,995 - 8 2 21 8 799,959
76 Anugerah Pharmindo Lestari Ketorolac injeksi 30 mg/ml ampul 1,089 75 320 96 757 700 762,300
77 Penta Valent kloderma cream tube 31,309 - 26 8 68 68 2,128,995
78 Antarmitra Sembada kloderma oint tube 31,309 - 26 8 68 68 2,128,995
79 Kebayoran Pharma Laktulosa sirup botol 27,225 3 45 14 114 114 3,103,650
80 Indofarma Global Medika Lansoprazole 30 mg Kapsul Tablet 323 - 18,000 5,400 46,800 36,000 11,628,005
81 Anugerah Pharmindo Lestari Lantus solostar Pen 89,000 55 70 21 127 125 11,125,000
82 Anugrah Argon Medica Levemir Pen 83,950 55 70 21 127 125 10,493,750
83 Kimia Farma Levopar tablet 1,033 450 1,000 300 2,150 2,100 2,169,300
84 Enseval Putera Megatrading Loratadine Tablet Tablet 131 350 450 135 820 850 111,350
85 Anugerah Pharmindo Lestari mebo tube 87,450 - 6 2 16 16 1,399,200
86 Antarmitra Sembada Mecobalamin 500 mcg Cap Tablet 616 500 1,500 450 3,400 3,400 2,094,400
87 Antarmitra Sembada Mecobalamin injeksi ampul 7,480 0 80 24 208 200 1,496,000
 88 Enseval Putera Megatrading Mefenamic Acid 500 mg Tablet 275 - 1,800 540 4,680 4,600 1,265,012
89 Merapi Utama Pharma Meloxicam 7,5 mg Tablet 256 700 1,250 375 2,550 2,550 652,724
90 Merapi Utama Pharma Merlopam 0,5 mg tablet 379 300 800 240 1,780 1,800 682,200
91 Enseval Putera Megatrading Metformin 500 mg Tablet 106 700 17,500 5,250 44,800 44,800 4,748,798
92 Anugerah Pharmindo Lestari Methylergometrin ampul 3,102 100 200 60 420 400 1,240,800
93 Merapi Utama Pharma Meylon 25 ml botol 6,447 20 20 6 32 32 206,304
94 Antarmitra Sembada Miloz 5 mg tablet 4,489 80 250 75 570 570 2,558,724
95 BSP Miriwash 500 ml bag 110,044 30 21 6 25 24 2,641,056
96 Millennium Pharmacon Int Misoprostol 200 mcg Tablet 4,675 90 120 36 222 210 981,750
97 Mensa Binasukses molacream tube 8,999 36 165 50 393 390 3,509,795
98 Kimia Farma Molocco tablet Tablet 3,353 - 180 54 468 420 1,408,260
99 Rajawali Nusindo Natrium Diclofenak 50 mg Tablet 136 2,000 2,000 600 3,200 3,200 435,200
100 Kimia Farma Nicardipin HCl ampul 24,000 134 132 40 209 200 4,800,000
101 Anugrah Argon Medica Nitral 500 mcg Tablet 1,400 60 300 90 720 720 1,008,000
102 Kimia Farma Nitrocaf Retard tablet 1,638 600 3,200 960 7,720 7,700 12,612,592
103 Penta Valent Noncort botol 44,151 - 8 2 21 21 927,176
104 Anugrah Argon Medica Nopres 20 mg tablet 676 510 300 90 270 270 182,544
105 Anugerah Pharmindo Lestari Norephineprin 1 mg/ml Ampul 25,850 140 310 93 666 260 6,721,000
106 Antarmitra Sembada Notrixum ampul 55,275 5 55 17 138 135 7,462,125
107 Anugrah Argon Medica Novomix Pen 110,968 10 10 3 16 15 1,664,520
108 Anugrah Argon Medica Novorapid flexpen Pen 89,500 - 113 34 294 290 25,955,000
109 Antarmitra Sembada Omeprazole 20 mg tablet 347 960 3,000 900 6,840 6,600 2,290,676
110 Millennium Pharmacon Int Ondansetron 8 mg tablet 1,645 100 300 90 680 700 1,151,150
111 Anugerah Pharmindo Lestari Oxytocin ampul 1,200 100 100 30 160 200 240,000
112 Penta Valent Pantocain MD botol 14,575 9 7 2 9 10 145,750
113 Merapi Utama Pharma Pletaal 100 mg tablet 5,800 60 210 63 486 480 2,784,000
114 Kimia Farma Pregabalin Tablet 3,960 60 300 90 720 720 2,851,200
115 Kimia Farma Propanolol 10 mg Tablet 61 800 2,500 750 5,700 5,700 347,672
116 Antarmitra Sembada Ramipril 10 mg tablet 715 - 600 180 1,560 1,560 1,115,400
117 Anugrah Argon Medica Ramipril 2,5 mg tablet 295 - 2,000 600 5,200 5,200 1,534,000
118 Anugrah Argon Medica Ramipril 5 mg tablet 245 100 2,100 630 5,360 5,300 1,298,500
119 Anugerah Pharmindo Lestari Ranitidin injeksi ampul 1,188 400 400 120 640 600 712,800
120 Enseval Putera Megatrading Ranitidine Hcl tablet 121 100 1,800 540 4,580 4,600 556,600
121 Anugrah Argon Medica Risperidone 2 mg tablet 440 300 800 240 1,780 1,800 792,000
122 Kimia Farma Ristonat 35 mg tablet 35,546 4 12 4 27 28 995,287
123 Kimia Farma Salofalk 250 mg Tablet 3,575 100 300 90 680 600 2,145,000
124 Anugerah Pharmindo Lestari seretide 50/250 box 109,008 - 8 2 21 21 2,289,164
125 Enseval Putera Megatrading Serlof tablet 12,320 30 120 36 282 270 3,326,400
126 Millennium Pharmacon Int Sertraline 50 mg tablet 3,933 - 990 297 2,574 2,550 10,027,875
127 Tempo Sifrol 0,375 mg Tablet 8,300 - 90 27 234 240 1,992,000
128 Penta Valent Siloxan botol 55,124 28 14 4 8 8 440,990
129 Parit Padang Global Simvastatin 20 mg Tablet 226 500 2,000 600 4,700 4,500 1,017,000
130 Anugerah Pharmindo Lestari spiriva respimat box 453,000 11 25 8 54 54 24,462,000
131 Anugrah Argon Medica Spironolactone 100 mg Tablet 575 400 1,100 330 2,460 2,400 1,380,000
132 Anugrah Argon Medica Spironolactone 25 mg Tablet 208 100 1,700 510 4,320 4,300 894,400
133 Kimia Farma sucralfate botol 6,989 26 146 44 354 354 2,474,248
134 Kimia Farma Suprafenid pcs 2,380 300 280 84 428 430 1,023,400
135 Anugerah Pharmindo Lestari Symbicort 160 box 149,226 1 30 9 77 70 10,445,820
136 Anugerah Pharmindo Lestari symbicort 80 box 134,284 17 13 4 17 17 2,282,828
137 Indofarma Global Medika Tablet Tambah Darah Tablet 372 30 1,450 435 3,740 3,720 1,383,839
138 Anugrah Argon Medica Tanapress 10 mg Tablet 4,735 1,200 2,000 600 4,000 4,000 18,940,000
139 Anugrah Argon Medica Tanapress 5 mg Tablet 2,530 900 1,400 420 2,740 2,700 6,831,000
140 AAM Tetagam Box 188,663 16 25 8 49 50 9,433,150
141 Anugrah Argon Medica Thyrozol 10 mg Tablet 1,286 600 1,000 300 2,000 2,000 2,571,998
142 Merapi Utama Pharma Tramadol HCl ampul 9,411 - 300 90 780 780 7,340,190
143 Anugrah Argon Medica Tranexamic acid injeksi 10% ampul 2,088 0 80 24 208 200 417,600
144 Anugrah Argon Medica Tranexamic acid injeksi 5% ampul 1,813 0 70 21 182 180 326,340
145 Anugrah Argon Medica Ubi-Q tablet 14,687 - 150 45 390 390 5,727,930
146 Anugrah Argon Medica Ulsidex tab Tablet 925 400 300 90 380 400 370,000
147 Parit Padang Global Umaron 10 mg/ml vial 173,250 2 20 6 50 50 8,662,500
148 Anugrah Argon Medica Ursodeoxycholic Acid 250 mg Cap Tablet 2,268 - 1,020 306 2,652 2,640 5,987,519
149 Rajawali Nusindo Vitamin B12 Tablet 50 1,900 2,000 600 3,300 3,300 165,000
150 AAM Vometa tablet 4,000 - 500 150 1,300 1,300 5,200,000
151 Anugerah Pharmindo Lestari Xanax 0,5 mg Tablet 4,439.00 - 1,000 300 2,600 2,600 11,541,400
Total 593,266,097

Diketahui Oleh: Padang, 3 Maret 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 KET

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Poli Executive
 DAFTAR KEBUTUHAN OBAT COVID
INSTALASI FARMASI RS UNAND BULAN MARET TAHUN 2021

Sisa Volume Volume Total Harga

No. PBF Nama Satuan harga Kebutuhan perbulan
stok pengadaan pembulatan (Rp.)

1 Antarmitra Sembada Acetylcysteine Tablet 381 2,600 2,100 2,860 2,900 1,104,888
2 Anugerah Pharmindo Lestari Cavit D3 Tablet 1,880 1,500 1,000 1,100 1,100 2,068,000
3 Enseval Putera Megatrading Clinoleic 20% Plabot 152,900 7 5 6 10 1,529,000
4 Anugerah Pharmindo Lestari Fluimucil EFF tablet 60 Tablet 12,858 - 80 208 210 2,700,075
5 Anugerah Pharmindo Lestari Fluimucil Granule 200 Tablet 2,936 - 120 312 300 880,910
6 Merapi Utama Pharma NaCl 0,9% 500 ml Plabot 6,900 87 1,100 2,773 2,700 18,630,000
7 Enseval Putera Megatrading Prove D3 1000IU tablet 2,200 210 600 1,350 1,350 2,970,000
8 Merapi Utama Pharma RL 500 ml Botol 7,703 667 800 1,413 1,400 10,784,200
9 Enseval Putera Megatrading Roculax inj ampul 52,500 - 60 156 150 7,875,000
10 Merapi Utama Pharma Vip Albumin Kap Tablet 6,468 - 420 1,092 1,080 6,985,440
11 Merapi Utama Pharma Vitamin C 500 mg Tablet 468 3,500 2,500 3,000 3,000 1,402,500
12 Kimia Farma Zink 20 mg Tablet Tablet 451 700 1,000 1,900 1,900 857,339
13 Anugerah Pharmindo Lestari Dobutamin inj ampul 12,211 10 25 55 55 671,605
14 Anugerah Pharmindo Lestari Lovenox 0,6 Syringe 125,384 - 28 73 72 9,027,652
15 PPG Resfar Vial 199,000 6 18 41 40 7,960,000
16 Anugrah Argon Medica Arixtra Syringe 261,300 30 30 48 40 10,452,000
17 Anugerah Pharmindo Lestari Ascorbic acid inj ampul 7,054 120 300 660 600 4,232,580
18 Enseval Putera Megatrading Bactesyn 0,75 g vial 47,207 13 90 221 220 10,385,539
19 Anugerah Pharmindo Lestari Bricasma 0,5 mg/ml ampul 62,790 10 30 68 70 4,395,314
20 Rajawali Nusindo Ceftriaxon sodium vial 8,520 228 1040 2,476 1124 9,576,143
21 Anugerah Pharmindo Lestari Cetadop 40 mg/ml ampul 6,160 80 85 141 140 862,400
22 Anugerah Pharmindo Lestari Ketamin injeksi 10% vial 57,240 1 7 17 17 973,080
23 Anugerah Pharmindo Lestari Lovenox 0,4 ml Syringe 82,458 4 110 282 280 23,088,240
24 Kimia Farma Meropenem 1 g Vial 33,962 180 140 184 180 6,113,151
25 Enseval Putera Megatrading Octalbin 25% 100 mL vial 1,590,000 3 37 93 93 147,870,000
26 Antarmitra Sembada Omeprazole sodium Vial 9,999 0 542 1,409 1400 13,998,600
27 Anugerah Pharmindo Lestari Tamicil injeksi 4 g/0,5 vial 195,000 - - 0 20 3,900,000
28 Tempo Zink sirup botol 3,322 36 35 55 58 192,676
Total 311,486,332
 Diketahui Oleh: Padang, 19 Maret 202
Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, M
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2
 Keterangan

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 Padang, 19 Maret 2021
Ka. Instalasi Farmasi

Sy. N. Zarmini, S.Si, Apt, MKM

NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN NARKOTIKA MARET-APRIL
INSTALASI FARMASI RS UNIVERSITAS ANDALAS

Harga Pemakaian Buffer Stok Volume

No. Nama Obat Satuan Satuan Sisa Stok Perbulan 30% Pengadaan Pembulatan Total harga

1 Codein 10 mg tablet 600 700 600 180 860 800 479,996

2 Etanyl Injeksi 2 ml tablet 40,700 85 190 57 409 400 16,280,000
3 Morfin Inj box/10 34,050 - 110 33 286 280 9,534,000
4 MST Continus 10 mg box/60 15,620 360 1,200 360 2,760 2,760 43,111,200
5 Pethidina 50 mg/ml Injeksbox/10 19,481 40 30 9 38 20 389,620
Jumlah 69,794,816

Diketahui Oleh Padang, 3 Maret 2021

Direktur Yanmed dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi. FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
Ket

Narkotika
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 DAFTAR KEBUTUHAN OBAT POLI EXECUTIVE BULAN MARET
INSTALASI FARMASI RS UNAND TAHUN 2021

Harga Volume Volume

Kebutuhan Buffer Total Harga
No. PBF Nama Satuan Satuan Sisa stok kebutuhan Pengadaan KET
perbulan Stok 30% (Rp.)
(Rp.) 1 bulan 1 bulan
Non E-catalog
1 Enseval Putera MLancid Tablet 12,980 - 160 48 416 420 5,451,600 Poli Executive
2 Penta Valent Lesiten Kapsul Tablet 8,580 - 90 27 234 240 2,059,200 Poli Executive

Total 7,510,800

Diketahui Oleh: Padang, Maret 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN OBAT KEMOTERAPI MARET-APRIL
INSTALASI FARMASI RS UNAND TAHUN 2021

Volume
Kebutuhan Buffer Stok Volume
No. PBF Nama Satuan Harga Sisa stok pengadaan 1 Total Harga (Rp.)
perbulan 30% pembulatan
bulan
1 Anugerah Pharmindo Lestari Endoxan 1 G Botol 200,970 6 12 4 25 23 4,622,310
2 Anugerah Pharmindo Lestari Holoxan 1 G Vial 1,470,040 - 4 1 10 8 11,760,320
3 Anugerah Pharmindo Lestari Holoxan 2 G Vial 2,091,480 - 4 1 10 8 16,731,836
4 Anugerah Pharmindo Lestari Mesna vial 90,479 - 20 6 52 45 4,071,555
5 Anugerah Pharmindo Lestari Oxitan inj 100 mg Vial 492,800 10 12 4 21 20 9,856,000
6 Anugerah Pharmindo Lestari Arimidex Tablet 6,750 52 112 34 239 224 1,512,000
7 Anugerah Pharmindo Lestari Zoladex Box 978,829 - 6 2 16 15 14,682,435
8 Anugerah Pharmindo Lestari Oxitan inj 50 mg Vial 242,000 4 6 2 12 11 2,662,000
9 Anugrah Argon Medica Binecap 500 tablet 18,033 - 1,300 390 3,380 3,300 59,508,900
10 Enseval Putera Megatrading Tamoxifen 10 mg tablet 1,987 240 300 90 540 540 1,072,980
11 Enseval Putera Megatrading Curacil Vial 40,008 18 24 7 44 40 1,600,320
12 Enseval Putera Megatrading Doxorubicin 50 mg Vial 227,700 7 10 3 19 18 4,098,600
13 Enseval Putera Megatrading Doxorubicin 10 mg Vial 44,500 26 20 6 26 24 1,068,000
14 Enseval Putera Megatrading Brexel 20 mg Vial 185,130 1 1 0 2 2 370,260
15 Enseval Putera Megatrading Brexel 60 mg Vial 953,700 1 1 0 2 2 1,907,400

Total 135,524,916

Diketahui Oleh: Padang, 3 Maret 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19640317 199203 2 003
 KET

Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
Kemoterapi
 DAFTAR KEBUTUHAN BMHP
INSTALASI FARMASI RS UNAND KEBUTUHAN BULAN MARET TAHUN 2021

Harga
Sisa Pemakaian Volume
No Distributor Nama Satuan Satuan Total Harga (Rp.) Keterangan
Stok Perbulan Pengadaan
(Rp.)
1 MPI Chromic 2-0 RB (C96) Pcs 58,700 12 24 48 2,817,600 BMHP NON Covid
2 MPI Chromic 2 RB (C99) Pcs 57,000 - 36 84 4,788,000 BMHP NON Covid
3 MPI Chromic3-0 RB (C44) Pcs 59,600 - 12 24 1,430,400 BMHP NON Covid
4 MPI Vio 1 RB (V16) Pcs 78,799 12 24 48 3,782,352 BMHP NON Covid

5 MPI Vio 2 RB (V171) Pcs 83,400 - 12 24 2,001,600 BMHP NON Covid

6 MPI Vio 2-0 RB (V10) Pcs 72,099 - 36 84 6,056,316 BMHP NON Covid
7 MPI Vio 2-0 RC (V4) Pcs 70,400 - 12 24 1,689,600 BMHP NON Covid
8 MPI Precut Silk 1 (PS26) Pcs 18,205 - 12 24 436,920 BMHP NON Covid
9 MPI Hernia mesh 30 x30 Pcs 1,908,200 1 1 2 3,816,400 BMHP NON Covid
10 PPG Monosyn 3-0 DS 24 Pcs 88,245 4 30 72 6,353,640 BMHP NON Covid
11 APL Endoloop PDII EZ10 Pcs 759,000 - 1 759,000 BMHP NON Covid
12 APL Harmonic (Har36) Pcs 3,730,650 - 1 3,730,650 BMHP NON Covid
13 APL Ligamax 5 (EL5ML Pcs 857,960 - 2 1,715,920 BMHP NON Covid
14 Medisia Karet trocar Set 2,542,190 2 4 10,168,760 BMHP NON Covid
15 Medisia Laminaria Pcs 88,000 10 880,000 BMHP NON Covid
16 Kimia Farma Alkohol 70% 1 L Botol 18,700 1 5 12 224,400 non Covid
17 Anugrah Argon Cutimed Siltec 10 x 10 cm pcs 35,460 3 50 127 4,503,419 non Covid
18 Anugrah Argon Cutimed Sorbact 7 x 9 cm pcs 32,800 7 30 71 2,328,800 non Covid
19 Artha Pradja MaDermafix T 10 x 25 pcs 13,860 0 40 100 1,386,000 non Covid
20 Tirta Medical In Endotracheal Tube No 7.0 pcs 19,000 27 30 50 950,000 non Covid
21 Tirta Medical In Endotracheal Tube No 7.5 pcs 19,000 30 20 20 380,000 non Covid
22 Mensa BinasuksExtension 150 cm pcs 22,567 4 50 150 3,384,975 non Covid
23 Etiqa Prima Uta Folley Catheter 16 pcs 14,490 60 60 100 1,449,000 non Covid
24 IDSMED Jet Nebulizer Set Tubing & Mo pcs 110,000 2 3 10 1,100,000 non Covid
25 Enseval Putera Kasa besar 110x42 Yard roll 333,400 6 16 36 12,002,400 non Covid
26 Dosni Roha Lyostip 5 x 8 cm pcs 82,800 12 12 20 1,656,006 non Covid
27 NGT 14 pcs 12,430 11 30 50 621,500 non Covid
28 Mensa BinasuksNGT 16 pcs 12,430 25 100 250 3,107,500 non Covid
29 Mensa BinasuksNGT 5 100 cm pcs 19,104 0 15 40 764,160 non Covid
30 Anugrah Argon Pen Insulin Box 140,182 600 400 400 56,072,800 non Covid
31 Enseval Putera Polifix 15 cm x 5 m roll 104,700 26 30 50 5,235,000 non Covid
32 Megah Medika Poliwin 26 G pcs 13,700 0 40 100 1,370,000 non Covid
33 Kimia Farma Povidone Iodine 60 ml Botol 4,620 390 277 300 1,386,000 non Covid
34 Artha Pradja MaSoft Pad Non Steril Pcs 4,371 210 120 100 437,052 non Covid
35 Anugerah Pharmi Spuit 10 ml box 1,529 900 1,800 3,600 5,503,680 non Covid
36 Anugerah Pharmi Spuit 3 cc pcs 1,138 3,600 3,500 5,400 6,145,200 non Covid
37 Anugerah Pharmi Spuit 5 cc pcs 1,400 1,000 1,200 0 non Covid
38 Sari Kimia Spuit 50 cc L Tepi pcs 5,082 100 100 150 762,300 non Covid
39 Etiqa Prima Uta Suction Catheter 14 pcs 3,255 0 80 200 651,000 non Covid
40 Etiqa Prima Uta Suction Catheter 8 pcs 3,255 0 30 100 325,500 non Covid
41 Mensa BinasuksSurflo IV 22 Pcs 6,270 200 300 600 3,762,000 non Covid
42 Mensa BinasuksSurflo IV 24 Pcs 6,270 150 200 350 2,194,500 non Covid
43 Dosni Roha Transofix pcs 3,400 50 100 200 680,020 non Covid
44 Millenium PharmT-Skin Marker Reguler pcs 37,367 0 5 13 485,771 non Covid
45 Etiqa Prima Uta Urine Bag Steril pcs 5,040 5 80 200 1,008,000 non Covid
46 Kebayoran Alkohol 70% 100 mL Botol 6,710 9 17 35 234,850 non Covid
47 DNR Spinocan 27 Pcs 19,150 27 30 50 957,500 non Covid
48 DNR In stopper Pcs 4,670 150 100 100 467,000 non Covid
49 Merapi Utama Kasa Steril 16 x 16 cm Box 7,370 20 80 180 1,326,600 non Covid
50 Rajawali Harum Plate Monopolar Pcs 13,200 10 10 15 198,000 non Covid
51 AMS Kondom box 25,300 - 3 8 202,400 non Covid
52 APM Dermafix 5 x 7 cm Pcs 1,711 50 50 75 128,325 non Covid
53 Medisia Kertas lakmus Box 60,000 - 1 5 300,000 non Covid
Total 12,818,352

Diketahui Oleh: Padang, Maret 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN BMHP COVID
INSTALASI FARMASI RS UNAND KEBUTUHAN BULAN MARET TAHUN 2021

Harga Sisa Pemakaian Buffer Stok Volume Volume Total Harga

No Distributor Nama Satuan
Satuan (Rp.) Stok Perbulan 30% Pengadaan Pengadaan (Rp.)

1 Aga Medika Accu Check Box 400,000 11 12 4 20 20 8,000,000

2 Parit Padang GlobalAlkazyme Pack 727,560 3 6 2 13 13 9,458,280
3 Medisia Sainsindo Alkohol swab Box 11,000 107 110 33 179 180 1,980,000
4 Etiqa Prima Utama Apron Disposible pcs 3,000 2,800 1,800 540 1,880 1,800 5,400,000
5 TSJ Elektroda dewasa Pcs 3,220 300 270 81 402 420 1,352,400
6 Enseval Putera MegEMP Connection Suct pcs 21,001 41 32 10 42 42 882,050
7 Millenium Pharmaco Guedel 100 mm pcs 19,800 0 5 2 13 10 198,000
8 Millenium Pharmaco Guedel Airway 80 pcs 19,800 0 20 6 52 50 990,000
9 Millenium Pharmaco Guedel Airway 90 pcs 18,480 7 24 7 55 50 924,000
10 Handscoon Latex M box 180,000 163 300 90 617 600 108,000,000
11 Handscoon Latex S box 180,000 6 130 39 332 300 54,000,000
12 Medisia Sainsindo kasa Hydrofil 4 x 10 cm roll 2,420 20 40 12 84 100 242,000
13 Kimia Farma Povidon Iodin 1L Botol 50,600 1 4 1 9 10 506,000
14 Aga Medika Safe T- Pro Uno box/200 130,000 7 5 2 6 6 780,000
15 Mensa Binasukses Safety box 12,5 L Pcs 34,000 9 20 6 43 40 1,359,996
16 Mensa Binasukses Safety box 5 L Pcs 21,500 31 30 9 47 48 1,031,976
17 Enseval Putera MegSkinClean 500 mL Botol 70,917 98 82 25 115 110 7,800,870
18 Merapi Utama Pha Stericide 500 ml Spray Botol 87,120 28 32 10 55 50 4,356,000
19 Parit Padang GlobalAlkacid Botol 2,702,700 4 3 1 4 2 5,405,400
20 UDC Handrub 5 L Jerigen 242,000 - 35 11 91 90 21,780,000
21 APM Lysol Botol 45,100 1 5 2 12 12 541,200
22 Handscoon steril no 7 Pcs 5,904 800 1,200 360 2,320 2,300 13,579,200
23 MBS Bloodset Pcs 13,976 250 400 120 790 800 11,180,800
24 MBS Surflo 20 Pcs 6,270 200 400 120 840 800 5,016,000
25 Etiqa Prima Utama 3 way Pcs 3,780 525 400 120 515 500 1,890,000
26 Glomeda HFNC set (China) Set 2,600,000 - 15 5 39 19 49,400,000
27 Kolosal HFNC set (Indonesia) Set 1,650,000 - 15 5 39 30 49,500,000
28 PPG Breathing Circuit Pcs 74,624 2 10 3 24 20 1,492,480
29 AAM Leukomed IV Film Pcs 2,760 300 200 60 220 200 552,000
 30 PPG Closed Suction 14 FR Pcs 176,000 8 7 2 10 10 1,760,000
31 Aga Medika Flow Sensor Pcs 1,020,800 - 5 2 13 10 10,208,000
32 Surya jaya Lestari tripel lumen CVC Set Pcs 515,000 5 4 1 5 5 2,575,000
33 BISAMED nurse cap pcs 583 - 800 240 2,080 2,000 1,166,000
34 Masker Tie On Box 59,000 - 160 48 416 400 23,600,000
-
Total 383,307,652

Diketahui Oleh: Padang, Maret 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 Keterangan
sisa dana HS non
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid
Covid

(173,307,652)
 DAFTAR KEBUTUHAN BMHP HD
INSTALASI FARMASI RS UNAND BULAN MARET TAHUN 2021

Harga Kebutuhan Buffer Stok Kebutuhan Volume

No Distributor Nama Satuan Sisa Stok Total Harga (Rp.) Keterangan
Satuan (Rp.) Perbulan 30% perbulan Pembulatan

1 Kimia Farma Renogen pcs 84,150 14 10 3 12 12 1,009,800 HD

1,009,800

Diketahui Oleh: Padang, Maret 2021

Direktur Yanmed dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN BMHP HD
INSTALASI FARMASI RS UNAND TAHUN 2020

Harga Kebutuhan Buffer Stok Kebutuhan Volume

No Distributor Nama Satuan Sisa Stok Total Harga (Rp.) Keterangan
Satuan (Rp.) Perbulan 30% perbulan Pembulatan
 Pengadaan 3
bulan karena
pihak vendor
1 Mendjangan HD set Set 314,900 - 0 0 63 19,838,700 keberatan di
ongkir jika
pemesanan untuk
1 bln

19,838,700

Diketahui Oleh: Padang, 19 Oktober 2020

Direktur Yanmed dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003

DAFTAR KEBUTUHAN BMHP HD

 INSTALASI FARMASI RS UNAND TAHUN 2020

Harga Kebutuhan Buffer Stok Kebutuhan Volume

No Distributor Nama Satuan Sisa Stok Total Harga (Rp.) Keterangan
Satuan (Rp.) Perbulan 30% perbulan Pembulatan

Pengadaan 3
bulan karena
pihak vendor
1 Mendjangan HD set Set 314,900 - 0 0 60 18,894,000 keberatan di
ongkir jika
pemesanan untuk
1 bln

2 Kimia Farma Renogen Inj 84,500 - 0 0 10 845,000

19,739,000

Diketahui Oleh: Padang, 5 Agustus 2020

Direktur Yanmed dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN BMHP IMPLAN
INSTALASI FARMASI RS UNAND BULAN MARET TAHUN 2020

Volume
No Distributor Nama Satuan Harga Satuan Sisa Pemakaian Buffer Stok Volume 1
Pengadaan 1 Total Harga (Rp.)
(Rp.) Stok Perbulan 30% bulan
bulan
1 PPG Rohto Hyron Pcs 330,880 - 6 2 16 16 5,294,080
2 Yota medika Cristalens Pcs 1,100,000 - 20 6 52 50 55,000,000
3 Elo Karsa Utama Cassete Tubing Pcs 1,147,162 - - 0 10 11,471,620
4 PT. Duha CTR Pcs 346,500 0 0 5 1,732,500
5 PPG 2.0 MM x 8 MM auto drive screw Pcs 259,091 4 1,036,364
6 PPG 2.0 MM x 12 MM screw Pcs 243,636 12 2,923,632
7 PPG 10 Hole straight plate 1.6 mm Pcs 1,757,273 1 1,757,273
8 PPG Mini 8 hole straight plate Pcs 1,575,455 1 1,575,455
9 PPG L Plate 1.6 mm Pcs 1,198,182 1 1,198,182
10 PPG Right L Plate 2.3 mm Pcs 1,198,182 1 1,198,182
11 PPG 2.0 mm x 5 mm auto drive Pcs 259,091 8 2,072,728
12 Merapi Utama PharEye Drape Pcs 48,300 23 20 6 29 30 1,449,000
Total 86709016.000

Diketahui Oleh: Padang, Maret 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 Keterangan

BMHP Implan
BMHP Implan
BMHP Implan
Kebutuhan Pheco
Implan
Implan
Implan
Implan
Implan
Implan
Implan
Implan mata
 DAFTAR KEBUTUHAN BMHP COVID RADIOLOGI NON E-CATALOG
INSTALASI FARMASI RS UNAND BULAN FEBRUARI TAHUN 2021

Harga Volume
No Distributor Nama Satuan Satuan Pengadaan 1 Total Harga (Rp.) Keterangan
(Rp.) bulan
1 PT. Azza Film Rontgen 20 X 25 cm (8x10 Inch) Box 1,563,000 5 7,815,000 Kebutuhan Radiologi
2 PT. Azza Film Rontgen 28 X 35 cm (11x14 Inch) Box 2,918,000 7 20,426,000 Kebutuhan Radiologi
3 Mutiara Labsains Aqua DM 20 L jerigen 110,000 5 550,000 Kebutuhan Radiologi

Total 28,791,000

Diketahui Oleh: Padang, 15 Februari 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 Kebutuhan Buffer Volume Volume KET(Covid/no
No. PBF Nama Satuan Harga Sisa stok perbulan Stok 30% pengadaan pembulatan Total Harga (Rp.) n Covid)

1 Antarmitra Sembada Acetylcysteine Tablet 381 2,600 2,100 630 2,860 2,900 1,104,888 Covid
2 Parit Padang Global Adalat Oros 30 mg Tablet 3,948 150 1,220 366 3,022 3,000 11,844,000 non Covid
3 Merapi Utama Pharma Allopurinol 100 mg Tablet 157 - 8,600 2,580 22,360 22,000 3,454,000 non Covid
4 Parit Padang Global Allopurinol 300 mg Tablet 415 - 1,000 300 2,600 2,600 1,079,000 non Covid
5 Anugrah Argon Medica Alpentin 100 mg Tablet 1,095 - 2,800 840 7,280 7,250 7,938,750 non Covid
6 Merapi Utama Pharma Alprazolam 0,5 mg tablet 94 500 1,200 360 2,620 2,600 244,387 non Covid
7 Mensa Binasukses amlodipine Besilate 10 mg Tablet 94 - 7,320 2,196 19,032 19,020 1,788,134 non Covid
8 Anugerah Pharmindo Lestari Apidra Pen 89,500 5 113 34 289 290 25,955,000 Non covid
9 Kebayoran Pharma Aptor Tablet Tablet 157 200 11,000 3,300 28,400 28,400 4,459,198 non Covid
10 Medisi Sainsindo Aqua Steril 1 L Botol 11,235 220 234 70 388 390 4,381,650 non Covid
11 Anugrah Argon Medica Arixtra Syringe 261,300 30 30 9 48 40 10,452,000 Covid
12 Indofarma Global Medika Asam Folat 1 mg Tablet 79 100 4,900 1,470 12,640 12,600 995,400 non Covid
13 Anugerah Pharmindo Lestari Ascorbic acid inj ampul 7,054 120 300 90 660 600 4,232,580 Covid
14 Anugrah Argon Medica Atorvastatin 20 mg Tablet 835 - 5,500 1,650 14,300 14,280 11,923,540 non Covid
15 Anugerah Pharmindo Lestari Avodart 0,5 mg Tablet 4,935 - 90 27 234 210 1,036,350 non Covid
16 Enseval Putera Megatrading Bactesyn 0,75 g vial 47,207 13 90 27 221 220 10,385,539 Covid
17 Anugerah Pharmindo Lestari Berotec botol 83,190 5 25 8 60 60 4,991,400 Non covid
18 Anugrah Argon Medica Betahistine 6 mg Tablet 110 - 1,800 540 4,680 4,600 506,000 non Covid
19 Tempo Betametason tube 3,500 5 30 9 73 75 262,500 Non covid
20 Talang Gugun Bicarbonat Natric 500 mg tablet 52 1,800 2,600 780 4,960 4,800 248,582 non Covid
21 Anugrah Argon Medica Binecap 500 tablet 18,033 - 360 108 936 900 16,229,700 Kemoterapi
22 Antarmitra Sembada Bisacodil 5 mg Tablet 327 90 150 45 300 420 137,340 non Covid
23 Anugrah Argon Medica Bisoprolol 5 mg Tablet 237 1,680 7,350 2,205 17,430 17,400 4,123,802 non Covid
24 BSP Blecidex Botol 44,990 8 6 2 8 8 359,920 non Covid
25 Anugerah Pharmindo Lestari Bricasma 0,5 mg/ml ampul 62,790 10 30 9 68 70 4,395,314 Covid
26 Antarmitra Sembada Bunascan spinal ampul 58,080 15 55 17 128 125 7,260,000 Non covid
27 Anugerah Pharmindo Lestari Calcii Gluconas ampul 10,351 0 116 35 302 168 1,738,968 Non covid
28 Merapi Utama Pharma Calcium lactat 500 mg Tablet 63 - 3,500 1,050 9,100 2,400 151,200 non Covid
29 Anugrah Argon Medica Candesartan 16 mg Tablet 943 7,500 9,000 2,700 15,900 15,900 14,993,699 non Covid
30 Anugrah Argon Medica Candesartan 8 mg Tablet 545 4,710 6,000 1,800 10,890 10,890 5,935,051 non Covid
31 Penta Valent Catarlent 0,6 ml strip 20,900 - 5 2 13 13 271,700 Non covid
32 Anugerah Pharmindo Lestari Cavit D3 Tablet 1,880 1,500 1,000 300 1,100 1,100 2,068,000 Covid
33 Trisapta Jaya Cefixime 200 mg Tablet 2,400 200 1,200 360 2,920 2,900 6,960,000 non Covid
34 Rajawali Nusindo Ceftriaxon sodium vial 8,520 228 1040 312 2,476 1124 9,576,143 Covid
35 Penta Valent Cendo cenfresh strip 24,035 1 40 12 103 100 2,403,500 Non covid
36 Penta Valent Cendo lyteers strip 20,116 95 60 18 61 61 1,227,091 Non covid
37 Penta Valent Cendo Mycetin botol 13,324 15 10 3 11 11 146,561 Non covid
38 Penta Valent Cendo Timol strip 26,909 - 20 6 52 52 1,399,255 Non covid
39 Penta Valent Cendo Tobroson strip 30,305 - 15 5 39 40 1,212,200 Non covid
40 Penta Valent Cendo tropin botol 13,063 12 8 2 9 9 117,563 Non covid
41 Penta Valent Cendo Xitrol strip 25,472 - 10 3 26 26 662,269 Non covid
42 Penta Valent Cendo Xitrol MD strip 25,471 - 25 8 65 60 1,528,260 Non covid
Cendo Caterlent
43 Anugerah Pharmindo Lestari Cetadop 40 mg/ml ampul 6,160 80 85 26 141 140 862,400 Covid
44 Rajawali Nusindo Cetirizine 10 mg Tablet Tablet 101 1,200 1,100 330 1,660 1,700 171,700 non Covid
45 Parit Padang Global Cilostazol 100 mg Tablet 5,225 - 600 180 1,560 1,500 7,837,500 non Covid
46 Enseval Putera Megatrading Clinoleic 20% Plabot 152,900 7 5 2 6 10 1,529,000 Covid
47 Anugrah Argon Medica Clobazam 10 mg tablet 776 200 2,500 750 6,300 6,300 4,888,800 non Covid
48 Kimia Farma Clonidine HCl Tablet 176 200 1,100 330 2,660 2,700 475,200 non Covid
49 Anugrah Argon Medica Clopidogrel 75 mg Tablet 660 - 2,100 630 5,460 5,460 3,603,600 non Covid
50 Kimia Farma Codein 10 mg tablet 600 700 600 180 860 800 479,996 Narkotika
51 Anugrah Argon Medica Concor 2,5 mg Tablet 626 - 7,500 2,250 19,500 19,500 12,206,981 non Covid
52 Parit Padang Global Curcuma 20 mg Tablet 416 - 17,500 5,250 45,500 45,500 18,928,000 non Covid
53 Anugerah Pharmindo Lestari Depakote 250 mg Tablet 1,200 - 500 150 1,300 1,300 1,560,130 non Covid
54 Kimia Farma Dexamethason injeksi ampul 1,152 160 408 122 901 900 1,036,827 Non covid
55 Kebayoran Pharma dextral sirup 60 mL botol 7,656 7 10 3 19 20 153,120 Non covid
56 Anugrah Argon Medica Domperidone 10 mg Tablet 86 1,400 2,100 630 4,060 4,000 344,000 non Covid
57 Antarmitra Sembada Donepezil Tablet Tablet 1,793 480 300 90 300 300 537,900 non Covid
58 Anugrah Argon Medica Dopamet Tablet Tablet 993 - 200 60 520 500 496,500 non Covid
59 Anugerah Pharmindo Lestari Dorner 20 mcg Tablet 4,873 360 360 108 576 570 2,777,610 non Covid
60 Enseval Putera Megatrading Doxorubicin 10 mg vial 44,500 - 47 14 122 61 2,714,500 Kemoterapi
61 Enseval Putera Megatrading Doxorubicin 50 mg vial 227,700 1 17 5 43 21 4,781,700 Kemoterapi
62 Anugerah Pharmindo Lestari Dulcolax 5 mg supp 6,000 6 24 7 56 54 324,000 Non covid
63 Enseval Putera Megatrading Enystin drop botol 25,575 2 20 6 50 50 1,278,750 Non covid
64 Eperisone HCl 50 mg Tablet 1,032 700 500 150 600 600 619,200 non Covid
65 Kimia Farma Ephineprin ampul 6,388 0 100 30 260 260 1,660,802 Non covid
66 Kimia Farma Etanyl Injeksi 2 ml tablet 40,700 85 190 57 409 410 16,687,000 Narkotika
67 Anugrah Argon Medica Euthyrox 100 mcg Tablet 1,072 800 1,800 540 3,880 3,800 4,073,619 non Covid
68 Kimia Farma Fenitoin 100 mg Tablet 440 - 600 180 1,560 1,500 660,000 non Covid
69 Anugerah Pharmindo Lestari Fluimucil EFF tablet 600 mg Tablet 12,858 - 80 24 208 210 2,700,075 Covid
70 Anugerah Pharmindo Lestari Fluimucil Granule 200 mg Tablet 2,936 - 120 36 312 300 880,910 Covid
71 Kimia Farma Framicetin sulfate pcs 12,012 - 80 24 208 200 2,402,400 Non covid
72 Kimia Farma Furosemide 40 mg Tablet 82 200 2,000 600 5,000 5,000 409,998 non Covid
73 Anugrah Argon Medica Gabapentin 300 mg Tablet 1,015 1,380 6,000 1,800 14,220 14,220 14,433,301 non Covid
74 Anugrah Argon Medica Glimepiride 2 mg Tablet 207 1,500 2,500 750 5,000 5,000 1,035,000 non Covid
75 Indofarma Global Medika Glimepiride 4 mg Tablet 270 - 1,000 300 2,600 2,600 702,000 non Covid
76 Anugrah Argon Medica Gliquidone 30 mg Tablet 1,140 3,700 4,000 1,200 6,700 6,700 7,638,000 non Covid
 77 Anugerah Pharmindo Lestari Harnal Ocas Tablet 4,114 - 360 108 936 930 3,826,020 non Covid
78 Indofarma Global Medika Hb 0 dewasa pcs 87,120 0 0 - 0 150 13,068,000 MCU
79 Enseval Putera Megatrading Hepamax Tablet 9,579 30 180 54 438 420 4,023,250 non Covid
80 Anugrah Argon Medica Herbesser CD 100 mg Tablet 4,460 - 1,100 330 2,860 2,800 12,488,000 non Covid
81 Anugrah Argon Medica Herbesser CD 200 mg Tablet 4,835 - 1,200 360 3,120 3,100 14,988,500 non Covid
82 Kimia Farma Hidroclorthiazid 25 mg Tablet 163 100 1,800 540 4,580 4,500 733,491 non Covid
83 Mensa Binasukses Hyoscine bromide ampul 7,920 60 80 24 148 145 1,148,400 Non covid
84 Anugrah Argon Medica Hystolan 20 mg Tablet 4,950 50 50 15 80 100 495,000 non Covid
85 Millennium Pharmacon Int ialuset 100 g tube 99,995 - 8 2 21 8 799,959 Non covid
86 Anugerah Pharmindo Lestari Ketamin injeksi 10% vial 57,240 1 7 2 17 17 973,080 Covid
87 Anugerah Pharmindo Lestari Ketorolac injeksi 30 mg/ml ampul 1,089 75 320 96 757 700 762,300 Non covid
88 Penta Valent kloderma cream tube 31,309 - 26 8 68 68 2,128,995 Non covid
89 Antarmitra Sembada kloderma oint tube 31,309 - 26 8 68 68 2,128,995 Non covid
90 Kebayoran Pharma Laktulosa sirup botol 27,225 3 45 14 114 114 3,103,650 Non covid

91 - 160 48 416 420 5,451,600 Poli Executive

Enseval Putera Megatrading Lancid Tablet 12,980
92 Indofarma Global Medika Lansoprazole 30 mg Kapsul Tablet 323 - 18,000 5,400 46,800 36,000 11,628,005 non Covid
93 Anugerah Pharmindo Lestari Lantus solostar Pen 89,000 55 70 21 127 125 11,125,000 Non covid

94 - 90 27 234 240 2,059,200 Poli Executive

Penta Valent Lesiten Kapsul Tablet 8,580
95 Enseval Putera Megatrading Loratadine Tablet Tablet 131 350 450 135 820 850 111,350 non Covid
96 Anugerah Pharmindo Lestari Lovenox 0,4 ml Syringe 82,458 4 110 33 282 280 23,088,240 Covid
97 Anugerah Pharmindo Lestari mebo tube 87,450 - 6 2 16 16 1,399,200 Non covid
98 Antarmitra Sembada Mecobalamin 500 mcg Cap Tablet 616 500 1,500 450 3,400 3,400 2,094,400 non Covid
99 Antarmitra Sembada Mecobalamin injeksi ampul 7,480 0 80 24 208 200 1,496,000 Non covid
100 Enseval Putera Megatrading Mefenamic Acid 500 mg Tablet 275 - 1,800 540 4,680 4,600 1,265,012 non Covid
101 Merapi Utama Pharma Meloxicam 7,5 mg Tablet 256 700 1,250 375 2,550 2,550 652,724 non Covid
102 Merapi Utama Pharma Merlopam 0,5 mg tablet 379 300 800 240 1,780 1,800 682,200 non Covid
103 Kimia Farma Meropenem 1 g Vial 33,962 180 140 42 184 180 6,113,151 Covid
104 Enseval Putera Megatrading Metformin 500 mg Tablet 106 700 17,500 5,250 44,800 44,800 4,748,798 non Covid
105 Merapi Utama Pharma Meylon 25 ml botol 6,447 20 20 6 32 32 206,304 Non covid
106 Antarmitra Sembada Miloz 5 mg tablet 4,489 80 250 75 570 570 2,558,724 non Covid
107 Millennium Pharmacon Int Misoprostol 200 mcg Tablet 4,675 90 120 36 222 210 981,750 non Covid
108 Mensa Binasukses molacream tube 8,999 36 165 50 393 390 3,509,795 Non covid
109 Kimia Farma Morfin Inj box/10 34,050 - 200 60 520 500 17,025,000 Narkotika
110 Kimia Farma MST Continus 10 mg box/60 15,620 360 1,200 360 2,760 2,760 43,111,200 Narkotika
111 Merapi Utama Pharma NaCl 0,9% 500 ml Plabot 6,900 87 1,100 330 2,773 2,700 18,630,000 Covid
112 Rajawali Nusindo Natrium Diclofenak 50 mg Tablet 136 2,000 2,000 600 3,200 3,200 435,200 non Covid
113 Kimia Farma Nicardipin HCl ampul 24,000 134 132 40 209 200 4,800,000 Non covid
114 Anugrah Argon Medica Nitral 500 mcg Tablet 1,400 60 300 90 720 720 1,008,000 non Covid
115 Kimia Farma Nitrocaf Retard tablet 1,638 600 3,200 960 7,720 7,700 12,612,592 non Covid
116 Penta Valent Noncort botol 44,151 - 8 2 21 21 927,176 Non covid
117 Anugrah Argon Medica Nopres 20 mg tablet 676 510 300 90 270 270 182,544 non Covid
118 Anugerah Pharmindo Lestari Norephineprin 1 mg/ml Ampul 25,850 140 310 93 666 260 6,721,000 Non covid
119 Antarmitra Sembada Notrixum ampul 55,275 5 55 17 138 135 7,462,125 Non covid
120 Anugrah Argon Medica Novomix Pen 110,968 10 10 3 16 15 1,664,520 Non covid
121 Anugrah Argon Medica Novorapid flexpen Pen 89,500 - 113 34 294 290 25,955,000 Non covid
122 Enseval Putera Megatrading Octalbin 25% 100 mL vial 1,590,000 3 37 11 93 93 147,870,000 Covid
123 Antarmitra Sembada Omeprazole 20 mg tablet 347 960 3,000 900 6,840 6,600 2,290,676 non Covid
124 Antarmitra Sembada Omeprazole sodium Vial 9,999 0 542 163 1,409 1400 13,998,600 Covid
125 Millennium Pharmacon Int Ondansetron 8 mg tablet 1,645 100 300 90 680 700 1,151,150 non Covid
126 Anugerah Pharmindo Lestari Oxytocin ampul 1,200 100 100 30 160 200 240,000 Non covid
127 Penta Valent Pantocain MD botol 14,575 9 7 2 9 10 145,750 Non covid
128 Kimia Farma Pethidina 50 mg/ml Injeksi box/10 19,481 40 30 9 38 20 389,620 Narkotika
129 Merapi Utama Pharma Pletaal 100 mg tablet 5,800 60 210 63 486 480 2,784,000 non Covid
130 Kimia Farma Propanolol 10 mg Tablet 61 800 2,500 750 5,700 5,700 347,672 non Covid
131 Enseval Putera Megatrading Prove D3 1000IU tablet 2,200 210 600 180 1,350 1,350 2,970,000 Covid
132 Antarmitra Sembada Ramipril 10 mg tablet 715 - 600 180 1,560 1,560 1,115,400 non Covid
133 Anugrah Argon Medica Ramipril 2,5 mg tablet 295 - 2,000 600 5,200 5,200 1,534,000 non Covid
134 Anugrah Argon Medica Ramipril 5 mg tablet 245 100 2,100 630 5,360 5,300 1,298,500 non Covid
135 Anugerah Pharmindo Lestari Ranitidin injeksi ampul 1,188 400 400 120 640 600 712,800 Non covid
136 Enseval Putera Megatrading Ranitidine Hcl tablet 121 100 1,800 540 4,580 4,600 556,600 non Covid
137 Anugrah Argon Medica Risperidone 2 mg tablet 440 300 800 240 1,780 1,800 792,000 non Covid
138 Kimia Farma Ristonat 35 mg tablet 35,546 4 12 4 27 28 995,287 non Covid
139 Merapi Utama Pharma RL 500 ml Botol 7,703 667 800 240 1,413 1,400 10,784,200 Covid
140 Enseval Putera Megatrading Roculax inj ampul 52,500 - 60 18 156 150 7,875,000 Covid
141 Kimia Farma Salofalk 250 mg Tablet 3,575 100 300 90 680 600 2,145,000 non Covid
142 Anugerah Pharmindo Lestari seretide 50/250 box 109,008 - 8 2 21 21 2,289,164 Non covid
143 Enseval Putera Megatrading Serlof tablet 12,320 30 120 36 282 270 3,326,400 non Covid
144 Millennium Pharmacon Int Sertraline 50 mg tablet 3,933 - 990 297 2,574 2,550 10,027,875 non Covid
145 Tempo Sifrol 0,375 mg Tablet 8,300 - 90 27 234 240 1,992,000 non Covid
146 Penta Valent Siloxan botol 55,124 28 14 4 8 8 440,990 Non covid
147 Parit Padang Global Simvastatin 20 mg Tablet 226 500 2,000 600 4,700 4,500 1,017,000 non Covid
148 Anugerah Pharmindo Lestari spiriva respimat box 453,000 11 25 8 54 54 24,462,000 Non covid
149 Anugrah Argon Medica Spironolactone 100 mg Tablet 575 400 1,100 330 2,460 2,400 1,380,000 non Covid
150 Anugrah Argon Medica Spironolactone 25 mg Tablet 208 100 1,700 510 4,320 4,300 894,400 non Covid
151 Kimia Farma sucralfate botol 6,989 26 146 44 354 354 2,474,248 Non covid
152 Kimia Farma Suprafenid pcs 2,380 300 280 84 428 430 1,023,400 Non covid
153 Anugerah Pharmindo Lestari Symbicort 160 box 149,226 1 30 9 77 70 10,445,820 Non covid
154 Anugerah Pharmindo Lestari symbicort 80 box 134,284 17 13 4 17 17 2,282,828 Non covid
155 Indofarma Global Medika Tablet Tambah Darah Tablet 372 30 1,450 435 3,740 3,720 1,383,839 non Covid
156 Anugerah Pharmindo Lestari Tamicil injeksi 4 g/0,5 vial 195,000 - - - 0 20 3,900,000 Covid
157 Enseval Putera Megatrading Tamoxifen 10 mg tablet 1,987 240 300 90 540 540 1,072,980 Kemoterapi
158 Anugrah Argon Medica Tanapress 10 mg Tablet 4,735 1,200 2,000 600 4,000 4,000 18,940,000 non Covid
159 Anugrah Argon Medica Tanapress 5 mg Tablet 2,530 900 1,400 420 2,740 2,700 6,831,000 non Covid
160 Anugrah Argon Medica Thyrozol 10 mg Tablet 1,286 600 1,000 300 2,000 2,000 2,571,998 non Covid
161 Merapi Utama Pharma Tramadol HCl ampul 9,411 - 300 90 780 780 7,340,190 Non covid
162 Anugrah Argon Medica Tranexamic acid injeksi 10% ampul 2,088 0 80 24 208 200 417,600 Non covid
163 Anugrah Argon Medica Tranexamic acid injeksi 5% ampul 1,813 0 70 21 182 180 326,340 Non covid
164 Anugrah Argon Medica Ulsidex tab Tablet 925 400 300 90 380 400 370,000 non Covid
165 Parit Padang Global Umaron 10 mg/ml vial 173,250 2 20 6 50 50 8,662,500 Non covid
166 Anugrah Argon Medica Ursodeoxycholic Acid 250 mg Cap Tablet 2,268 - 1,020 306 2,652 2,640 5,987,519 non Covid
167 Merapi Utama Pharma Vip Albumin Kap Tablet 6,468 - 420 126 1,092 1,080 6,985,440 Covid
168 Rajawali Nusindo Vitamin B12 Tablet 50 1,900 2,000 600 3,300 3,300 165,000 non Covid
169 Merapi Utama Pharma Vitamin C 500 mg Tablet 468 3,500 2,500 750 3,000 3,000 1,402,500 Covid
170 Kimia Farma Zink 20 mg Tablet Tablet 451 700 1,000 300 1,900 1,900 857,339 Covid
171 Tempo Zink sirup botol 3,322 36 35 11 55 58 192,676 Covid
Arimidex Tablet 52 112 34 239 224 0 Kemoterapi
Anugerah Pharmindo Lestari Avamys Box - 20 6 52 50 0 Non covid
Merapi Utama Pharma Citicolin inj ampul 15 220 66 557 550 0 Non covid
Gelofusin Botol 10 8 2 11 10 0 Non covid
BSP Miriwash bag 30 21 6 25 24 0 Non covid
Indofarma Global Medika Gentamicin inj ampul 40 30 9 38 35 0 Non covid
Enseval Putera Megatrading Curacil Vial 18 24 7 44 40 0 Kemoterapi
Merapi Utama Pharma Aqua Pro Inj 25 mL Botol 2,860 360 480 144 888 840 2,402,400 Non covid
Enseval Putera Megatrading Doxorubicin 50 mg Vial 7 10 3 19 19 0 Kemoterapi
Enseval Putera Megatrading Doxorubicin 10 mg Vial 26 20 6 26 26 0 Kemoterapi
Enseval Putera Megatrading Ezelin Box 70 - -70 0 Non covid
Anugrah Argon Medica Levemir Pen 55 - -55 0 Non covid
Anugerah Pharmindo Lestari Dobutamin inj ampul 10 - -10 0 Covid
Anugerah Pharmindo Lestari Endoxan 1 G Botol 6 - -6 0 Kemoterapi
Enseval Putera Megatrading Brexel 20 mg Vial 1 - -1 0 Kemoterapi
Enseval Putera Megatrading Brexel 60 mg Vial 1 - -1 0 Kemoterapi
Anugerah Pharmindo Lestari Holoxan 1 G - 4 1 10 8 0 Kemoterapi
Anugerah Pharmindo Lestari Holoxan 2 G - 4 1 10 8 0 Kemoterapi
Anugerah Pharmindo Lestari Mesna - 20 6 52 45 0 Kemoterapi
Kimia Farma Molocco tablet Tablet - 180 54 468 420 0 non Covid
Anugerah Pharmindo Lestari Lovenox 0,6 Syringe - 28 8 73 72 0 Covid
Anugerah Pharmindo Lestari Methylergometrin ampul 100 200 60 420 400 0 non Covid
Anugerah Pharmindo Lestari Oxitan inj 100 mg Vial 10 12 4 21 21 0 Kemoterapi
Anugerah Pharmindo Lestari Oxitan inj 50 mg Vial 4 6 2 12 12 0 Kemoterapi
Kimia Farma Pregabalin Tablet 3,960 60 300 90 720 720 2,851,200 non Covid
Kimia Farma Renogen pcs 14 - -14 0 HD
PPG Resfar Vial 6 18 5 41 40 0 Covid
AAM Tetagam Box 16 - -16 0 non Covid
AAM Vometa tablet - - 0 0 non Covid
Kimia Farma Levopar tablet 450 - -450 0 non Covid
Anugerah Pharmindo Lestari Zoladex Box - - 0 0 Kemoterapi
- 0 0
- 0 0
- 0 0
Total 926,157,302

Diketahui Oleh: Padang, 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 Kebutuhan Buffer Volume Volume
No. PBF Nama Satuan Harga Sisa stok perbulan Stok 30% pengadaan pembulatan Total Harga (Rp.) KET(Covid/non Covid)

12 PPG Rohto Hyron Pcs 330,880 - 6 2 16 16 5,294,080 BMHP Implan

13 Yota medika Cristalens Pcs 1,100,000 - 20 6 52 50 55,000,000 BMHP Implan
17 Elo Karsa Utama Cassete Tubing Pcs 1,147,162 - - 0 10 11,471,620 BMHP Implan
1 MPI Chromic 2-0 RB (C96) Pcs 58,700 12 24 7 50 48 2,817,600 BMHP NON Covid
2 MPI Chromic 2 RB (C99) Pcs 57,000 - 36 11 94 84 4,788,000 BMHP NON Covid
3 MPI Chromic3-0 RB (C44) Pcs 59,600 - 12 4 31 24 1,430,400 BMHP NON Covid
4 MPI Vio 1 RB (V16) Pcs 78,799 12 24 7 50 48 3,782,352 BMHP NON Covid
5 MPI Vio 2 RB (V171) Pcs 83,400 - 12 4 31 24 2,001,600 BMHP NON Covid
6 MPI Vio 2-0 RB (V10) Pcs 72,099 - 36 11 94 84 6,056,316 BMHP NON Covid
7 MPI Vio 2-0 RC (V4) Pcs 70,400 - 12 4 31 24 1,689,600 BMHP NON Covid
8 MPI Precut Silk 1 (PS26) Pcs 18,205 - 12 4 31 24 436,920 BMHP NON Covid
10 MPI Hernia mesh 30 x30 Pcs 1,908,200 1 1 0 2 2 3,816,400 BMHP NON Covid
11 PPG Monosyn 3-0 DS 24 Pcs 88,245 4 30 9 74 72 6,353,640 BMHP NON Covid
14 APL Endoloop PDII EZ10 Pcs 759,000 - - 0 1 759,000 BMHP NON Covid
15 APL Harmonic (Har36) Pcs 3,730,650 - - 0 1 3,730,650 BMHP NON Covid
16 APL Ligamax 5 (EL5ML Pcs 857,960 - - 0 2 1,715,920 BMHP NON Covid
18 Medisia Karet trocar Set 2,542,190 2 1 5 4 10,168,760 BMHP NON Covid
19 Medisia Laminaria Pcs 88,000 - 0 10 880,000 BMHP NON Covid
21 Aga Medika Accu Check Box 400,000 11 12 4 20 20 8,000,000 Covid
22 Parit Padang Global Alkazyme Pack 727,560 3 6 2 13 13 9,458,280 Covid
24 Medisia Sainsindo Alkohol swab Box 11,000 107 110 33 179 180 1,980,000 Covid
25 Etiqa Prima Utama Apron Disposible pcs 3,000 2,800 1,800 540 1,880 1,800 5,400,000 Covid
29 TSJ Elektroda dewasa Pcs 3,220 300 270 81 402 420 1,352,400 Covid
30 Enseval Putera MegaEMP Connection Suct pcs 21,001 41 32 10 42 42 882,050 Covid
35 Millenium PharmacoGuedel 100 mm pcs 19,800 0 5 2 13 10 198,000 Covid
36 Millenium PharmacoGuedel Airway 80 pcs 19,800 0 20 6 52 50 990,000 Covid
37 Millenium PharmacoGuedel Airway 90 pcs 18,480 7 24 7 55 50 924,000 Covid
38 Handscoon Latex M box 180,000 163 300 90 617 600 108,000,000 Covid
39 Handscoon Latex S box 180,000 6 130 39 332 300 54,000,000 Covid
42 Medisia Sainsindo kasa Hydrofil 4 x 10 cm roll 2,420 20 40 12 84 100 242,000 Covid
50 Kimia Farma Povidon Iodin 1L Botol 50,600 1 4 1 9 10 506,000 Covid
52 Aga Medika Safe T- Pro Uno box/200 130,000 7 5 2 6 6 780,000 Covid
53 Mensa Binasukses Safety box 12,5 L Pcs 34,000 9 20 6 43 40 1,359,996 Covid
54 Mensa Binasukses Safety box 5 L Pcs 21,500 31 30 9 47 48 1,031,976 Covid
55 Enseval Putera MegaSkinClean 500 mL Botol 70,917 98 82 25 115 110 7,800,870 Covid
61 Merapi Utama Phar Stericide 500 ml Spray Botol 87,120 28 32 10 55 50 4,356,000 Covid
Parit Padang Global Alkacid Botol 2,702,700 4 3 1 4 2 5,405,400 Covid
UDC Handrub 5 L Jerigen 242,000 - 35 11 91 90 21,780,000 Covid
APM Lysol Botol 45,100 1 5 2 12 12 541,200 Covid
Handscoen steril no 7 Pcs 5,904 800 1,200 360 2,320 2,300 13,579,200 Covid
 MBS Bloodset Pcs 13,976 250 400 120 790 800 11,180,800 Covid
MBS Surflo 20 Pcs 6,270 200 400 120 840 800 5,016,000 Covid
Etiqa Prima Utama 3 way Pcs 3,780 525 400 120 515 500 1,890,000 Covid
Glomeda HFNC set (China) Set 2,600,000 - 15 5 39 19 49,400,000 Covid
Kolosal HFNC set (Indonesia) Set 1,650,000 - 15 5 39 30 49,500,000 Covid
PPG Breathing Circuit Pcs 74,624 2 10 3 24 20 1,492,480 Covid
AAM Leukomed IV Film Pcs 2,760 300 200 60 220 200 552,000 Covid
PPG Closed Suction 14 FR Pcs 176,000 8 7 2 10 10 1,760,000 Covid
Aga Medika Flow Sensor Pcs 1,020,800 - 5 2 13 10 10,208,000 Covid
Surya jaya Lestari tripel lumen CVC Set Pcs 515,000 5 4 1 5 5 2,575,000 Covid
20 nurse cap pcs 583 - 800 240 2,080 2,000 1,166,000 Covid
PPG 2.0 MM x 8 MM auto drive screw Pcs 259,091 4 1,036,364 Implan
PPG 2.0 MM x 12 MM screw Pcs 243,636 12 2,923,632 Implan
PPG 10 Hole straight plate 1.6 mm Pcs 1,757,273 1 1,757,273 Implan
PPG Mini 8 hole straight plate Pcs 1,575,455 1 1,575,455 Implan
PPG L Plate 1.6 mm Pcs 1,198,182 1 1,198,182 Implan
PPG Right L Plate 2.3 mm Pcs 1,198,182 1 1,198,182 Implan
PPG 2.0 mm x 5 mm auto drive Pcs 259,091 8 2,072,728 Implan
Merapi Utama Phar Eye Drape Pcs 48,300 23 20 6 29 30 1,449,000 Implan mata
9 MPI T-Lene 6-0 RB (L74 ) Pcs 178,000 - 3 1 8 6 1,068,000 non Covid
23 Kimia Farma Alkohol 70% 1 L Botol 18,700 1 5 2 12 12 224,400 non Covid
26 Anugrah Argon MedCutimed Siltec 10 x 10 cm pcs 35,460 3 50 15 127 127 4,503,419 non Covid
27 Anugrah Argon MedCutimed Sorbact 7 x 9 cm pcs 32,800 7 30 9 71 71 2,328,800 non Covid
28 Artha Pradja MandirDermafix T 10 x 25 pcs 13,860 0 40 12 104 100 1,386,000 non Covid
31 Tirta Medical IndoneEndotracheal Tube No 7.0 pcs 19,000 27 30 9 51 50 950,000 non Covid
32 Tirta Medical IndoneEndotracheal Tube No 7.5 pcs 19,000 30 20 6 22 20 380,000 non Covid
33 Mensa Binasukses Extension 150 cm pcs 22,567 4 50 15 126 150 3,384,975 non Covid
34 Etiqa Prima Utama Folley Catheter 16 pcs 14,490 60 60 18 96 100 1,449,000 non Covid
40 IDSMED Jet Nebulizer Set Tubing & Mouth Pipcs 110,000 2 3 1 6 10 1,100,000 non Covid
41 Enseval Putera MegaKasa besar 110x42 Yard roll 333,400 6 16 5 36 36 12,002,400 non Covid
43 Dosni Roha Lyostip 5 x 8 cm pcs 82,800 12 12 4 19 20 1,656,006 non Covid
44 NGT 14 pcs 12,430 11 30 9 67 50 621,500 non Covid
45 Mensa Binasukses NGT 16 pcs 12,430 25 100 30 235 250 3,107,500 non Covid
46 Mensa Binasukses NGT 5 100 cm pcs 19,104 0 15 5 39 40 764,160 non Covid
47 Anugrah Argon MedPen Insulin Box 140,182 600 400 120 440 400 56,072,800 non Covid
48 Enseval Putera MegaPolifix 15 cm x 5 m roll 104,700 26 30 9 52 50 5,235,000 non Covid
49 Megah Medika Poliwin 26 G pcs 13,700 0 40 12 104 100 1,370,000 non Covid
51 Kimia Farma Povidone Iodine 60 ml Botol 4,620 390 277 83 330 300 1,386,000 non Covid
56 Artha Pradja MandirSoft Pad Non Steril Pcs 4,371 210 120 36 102 100 437,052 non Covid
57 Anugerah Pharmindo Spuit 10 ml box 1,529 900 1,800 540 3,780 3,600 5,503,680 non Covid
58 Anugerah Pharmindo Spuit 3 cc pcs 1,138 3,600 3,500 1,050 5,500 5,400 6,145,200 non Covid
59 Anugerah Pharmindo Spuit 5 cc pcs 1,400 1,000 300 1,200 1,200 0 non Covid
60 Sari Kimia Spuit 50 cc L Tepi pcs 5,082 100 100 30 160 150 762,300 non Covid
62 Etiqa Prima Utama Suction Catheter 14 pcs 3,255 0 80 24 208 200 651,000 non Covid
63 Etiqa Prima Utama Suction Catheter 8 pcs 3,255 0 30 9 78 100 325,500 non Covid
64 Mensa Binasukses Surflo IV 22 Pcs 6,270 200 300 90 580 600 3,762,000 non Covid
65 Mensa Binasukses Surflo IV 24 Pcs 6,270 150 200 60 370 350 2,194,500 non Covid
66 Dosni Roha Transofix pcs 3,400 50 100 30 210 200 680,020 non Covid
67 Millenium PharmacoT-Skin Marker Reguler pcs 37,367 0 5 2 13 13 485,771 non Covid
68 Etiqa Prima Utama Urine Bag Steril pcs 5,040 5 80 24 203 200 1,008,000 non Covid
Kebayoran Alkohol 70% 100 mL Botol 6,710 9 17 5 35 35 234,850 non Covid
DNR Spinocan 27 Pcs 19,150 27 30 9 51 50 957,500 non Covid
DNR In stopper Pcs 4,670 150 100 30 110 100 467,000 non Covid
Merapi Utama Phar Kasa Steril 16 x 16 cm Box 7,370 20 80 24 188 180 1,326,600 non Covid
Rajawali Harum Plate Monopolar Pcs 13,200 10 10 3 16 15 198,000 non Covid
AMS Kondom box 25,300 - 3 1 8 8 202,400 non Covid
APM Dermafix 5 x 7 cm Pcs 1,711 50 50 15 80 75 128,325 non Covid
Medisia Kertas lakmus Box 60,000 - 1 0 3 5 300,000 non Covid
- 0 0
Total 643,470,986

Diketahui Oleh: Padang, 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN BMHP OK NON E-CATALOG
INSTALASI FARMASI RS UNAND TAHUN 2020

Rata2 Volume
No. PBF Nama Satuan Harga Sisa stok Pemakaian Buffer Stok Volume 1 Pengadaan 1 Jumlah KET
Satuan (Rp.) 30% bulan Harga(Rp.)
perbulan bulan
1 Medisia Pcs 1,266,700 0
2 Medisia Pcs 1,266,700 0
3 Medisia Pcs 1,266,700 0
4 Medisia Pcs 1,266,700 0
5 Medisia Pcs 1,266,700 0
6 Medisia Pcs 1,266,700 0
7 Medisia Pcs 1,266,700 0
8 Medisia Pcs 1,266,700 0
9 Medisia Pcs 1,266,700 0
10 Medisia Pcs 1,266,700 0
11 Medisia Pcs 88,000 0
12 Medisia Pcs 88,000 0
13 Medisia Pcs 88,000 0
14 PPG Roll 381,150 0
-
Total

Diketahui Oleh: Padang, 17 April 2020

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN ALAT CANGGIH LAPARASKOPI (OK)
INSTALASI FARMASI RS UNAND TAHUN 2020

Rata2 Volume
Harga Buffer Stok Volume 1 Jumlah
No. PBF Nama Satuan Sisa stok Pemakaian Pengadaan 1
Satuan (Rp.) 30% bulan Harga(Rp.)
perbulan bulan

1 APL Linier Cutter Reload SR75 Pcs 922,800 - 7 2 9 10 9,228,000

2 APL Ligamax 5 mm (EL5ML) Pcs 3,432,000 - - - 3 10,296,000
3 APL Ligaclip 10 (ER320) Pcs 1,974,000 - - - 3 5,922,000
APL Harmonic REF HAR36
25,446,000
Total

Diketahui Oleh: Padang, 1 Juli 2020

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
KET
 DAFTAR KEBUTUHAN BMHP IDT
INSTALASI FARMASI RS UNAND TAHUN 2020

Volume
Harga
No Distributor Nama Satuan Sisa Stok PERMINTAAN Pengadaan 3 Total Harga (Rp.) KET
Satuan (Rp.)
bulan
1 MEDISON JAYA RAYA OPAL 5 L GALON 1,080,000 - 12 0
2 MEDISON JAYA RAYA MEDYZYM GALON 1,440,000 - 3 0
3 MEDISON JAYA RAYA MATRIX WIPES PACK 170,000 - 2 0

Diketahui Oleh: Padang, 5 Maret 2020

Direktur Yanmed dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN BMHP LABORATORIUM PATOLOGI ANATOMI
INSTALASI FARMASI RS UNAND TAHUN 2020

Harga Satuan Sisa

No Distributor Nama Satuan PERMINTAAN Total Harga (Rp.) KET
(Rp.) Stok
1 MEDISIA Parafin Box/Kg 200,000 15 10 2,000,000
Box/20 box
2 MEDISIA Cover Glass 660,000 - 1 660,000
kecil
3 MEDISIA Objek Glass (hijau) pak 24,200 - 30 726,000
4 MEDISIA Haemotoksilin Botol 1,429,000 1 4 5,716,000
5 MEDISIA Eosin Y Alkoholic Botol 418,399 2 2 836,798
6 MEDISIA Xilol Botol 973,500 3 3 2,920,500
7 MEDISIA Entelan Botol 1,920,000 - 1 1,920,000
8 MEDISIA Alkohol 70 % Botol 33,000 - 30 990,000
9 MEDISIA Alkohol 80 % Botol 60,000 - 30 1,800,000
10 MEDISIA Alkohol 96 % Botol 36,300 - 30 1,089,000
11 MEDISIA Methanol Botol 456,500 - 3 1,369,500
12 MEDISIA EA 50 Botol 524,659 1 1 524,659
13 MEDISIA Giemsa Botol 1,210,000 - 2 2,420,000
14 MEDISIA OG6 Botol 524,000 1 1 524,000
15 MEDISIA 10 % Neutral buffer formalin Botol 700,000 2 2 1,400,000
16 MEDISIA Embedding Cassete Box 747,500 - 1 747,500
17 MEDISIA Processing Cassete Box 1,000,000 - 1 1,000,000
18 MEDISIA Pisau Microtome Box 2,300,000 1 2 4,600,000
19 MEDISIA Spatula Cytology Box 110,000 - 1 110,000
20 MEDISIA Cytology Brushes Box 192,500 - 1 192,500
21 MEDISIA Filter Paper no 93 61x61 cm lembar 15,400 - 1 15,400
22 MEDISIA Aquadest botol 88,700 - 1 88,700
23 MEDISIA Etanol Botol 825,000 4 2 1,650,000
TOTAL 33,300,557

Diketahui Oleh: Padang, 5 Maret 2020

 Direktur Yanmed dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN BMHP LABORATORIUM
INSTALASI FARMASI RS UNAND TAHUN 2020

Kebutuhan
No. PBF Nama Satuan harga Sisa stok Total Harga (Rp.) KET
perbulan
Non E-catalog
1 PT. Gandasari Ekasatya Nasofaring Swab psc 16,280 - 200 3,256,000
2 PT. Gandasari Ekasatya Nasofaring Swab Anak psc 15,510 - 50 775,500
3 PT. Gandasari Ekasatya UTM psc 51,480 - 200 10,296,000
Total 14,327,500

Diketahui Oleh: Padang, 20 Maret 2020

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi
Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN FISIOTERAPI RS UNAND

No. PBF Nama Satuan harga Sisa stok Kebutuhan Total Harga (Rp.)
Non E-catalog
1 PT. inamed Mukti Karya Ped spon Vakum (bulat) Pack/8 490,000 - 10 4,900,000
2 PT. inamed Mukti Karya Moist pad Elektroda tens Pack/8 489,000 - 20 9,780,000
-

Total 14,680,000

Diketahui Oleh: Padang, 16 November 2020

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN CSSD RS UNAND

No. PBF Nama Satuan harga Sisa stok Kebutuhan Total Harga (Rp.)
Non E-catalog
1 Intergastra Tyvex LTR 43 Roll 2,513,225 - 3 7,539,675
2 Aga Medika Counting Strip Pack 2,480,500 - -
3 Integastra Autoclave tape Pcs 75,000 30 2,250,000

Total 9,789,675

Diketahui Oleh: Padang, 16 November 2020

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003
 DAFTAR KEBUTUHAN MCU NON E-CATALOG
INSTALASI FARMASI RS UNAND TAHUN 2021

Volume
Harga Satuan
No Distributor Nama Satuan Pengadaan 1 Total Harga (Rp.) Keterangan
(Rp.) bulan
1 Indofarma GlobHb 0 dewasa pcs 87,120 0 0 -

Total 0

Diketahui Oleh: Padang, Maret 2021

Dir. Yan Medik dan Keperawatan Ka. Instalasi Farmasi

Dr. dr. Arina Widya Murni, Sp.PD-K Psi.FINASIM Sy. N. Zarmini, S.Si, Apt, MKM
NIP. 19700309 200012 2 001 NIP. 19640317 199203 2 003