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Epo TR IV Blud Rs Konsel
Epo TR IV Blud Rs Konsel
Nama Obat
NO Bentuk Sediaan
Bermerek Generik
1 ACARBOSE 100 MG TABLET
2 ACARBOSE 50 MG TABLET
3 ACYCLOVIR 400MG TABLET
4 ACYCLOVIR SALEP SALEP
5 AKILEN TETES TELINGA
6 AKILEN 400 MG TABLET
7 ALLOPURINOL 100 MG TABLET TABLET
8 ALLOPURINOL 300 MG TABLET
9 AMBROXOL 30 MG TABLET TABLET
11 AMINEFRON TABLET
12 AMINOPHILIN 24 MG/ML INJEKSI
13 AMLODIPIN 10 MG TABLET TABLET
15 AMLODIPIN 5 MG TABLET TABLET
18 AMOXAN DROPS DROP
19 AMOXICILLIN 125 MG/5 ML @60 ML SIRUP
20 AMOXICILLIN 500 MG TABLET TABLET
21 ANALTRAM TABLET
22 ANTASIDA DOEN 400 TABLET MG TABLET
23 ANTASIDA SIRUP SIRUP
24 APIYALIS DROP
25 APIYALIS SIRUP
26 ASAM TRANEXAMAT 500 MG TABLET TABLET
27 ASAM TRANEXAMAT 500MG/5ML INJEKSI
28 ASAM VALPROAT SIRUP
29 ATOVAR TABLET
30 ATROPIN SULFAT 0,25 MG/ML INJEKSI
31 AZITROMICIN INJEKSI
32 AZYTROMICIN 500 MG TAB KAPSUL KAPSUL
33 BECEFORT KAPLET
34 BETAMETHASON SALEP SALEP
35 BISOPROLOL FUMARAT 5MG TABLET
36 BUCAIN SPINAL 0.5% INJEKSI
37 BUSCOPAN TABLET
38 CALC-95 KAPSUL LUNAK
39 CALCIUM LACTAT 500 MG TABLET TABLET
40 CANDEFION 16 MG TABLET
41 CANDEFION 8MG TABLET
42 CANDESARTAN 16 MG TABLET
43 CAPTOPRIL 12,5 MG TABLET
44 CAPTOPRIL 12,5 MG TABLET
45 CAPTOPRIL 25 MG TABLET TABLET
46 CAPTOPRIL 25 MG TABLET TABLET
47 CEFADROXIL 125 MG/5 ML @60 ML SIRUP
48 CEFADROXIL 250 MG/5 ML @60 ML SIRUP
49 CEFADROXIL 500 MG KAPSUL KAPSUL
50 CEFAZOLIN INJEKSI
51 CEFIXIME @100 ML SIRUP
52 CEFIXIME 100 MG KAPSUL KAPSUL
53 CEFTAZIDIME INJEKSI
54 CEFTOTAXIME INJEKSI 1 GR INJEKSI
55 CEFTRIAXONE 1GR INJEKSI
56 CENDO XITROL TETES MATA
57 CERINI DROPS DROP
58 CETIRIZINE 10 MG TABLET TABLET
59 CETIRIZINE 5MG/5ML SIRUP
60 CHLORAMPHENICOL 250 MG TABLET
61 CLANEKSI SIRUP
62 CLOPIDOGREL 75 MG TABLET TABLET
63 CLYNDAMICIN 300 MG KAPSUL
64 COMBIVENT NEBU NEBU
65 COTRIMOXAZOLE 480 MG TABLET
66 COTRIMOXAZOLE FORTE 960 MG TABLET
67 CURCUMA TABLET
68 DEXAMETHASONE 0.5 MG TABLET TABLET
70 DEXAMHETASONE INJEKSI INJEKSI
71 DHP - FLIMAL KAPSUL
72 DIBEKACIN TETES MATA
73 DIGOXIN 0,25 MG TABLET
74 DIPHENHIDRAMIN 150MG/15ML INJEKSI
75 DOBUTAMINE-HAMELN 12,5 MG/ML INJECTIONINJEKSI
76 DOMPERIDON 10 MG TABLET
77 DOMPERIDONE SIRUP @60 ML SIRUP
78 DULCOLAX TABLET
79 EPEXOL 30 MG TABLET
80 EPEXOL DROPS DROP
81 EPHEDRINE 50MG/ML INJEKSI
82 EPINEPHRINE 0.1% INJEKSI
83 ERYTROMICIN SIRUP
84 ERYTROMICIN 250 MG KAPSUL KAPSUL
86 ETHAMBUTOL 500 MG KAPSUL KAPSUL
87 FARELAX INJEKSI INJEKSI
88 FARGOXIN INJEKSI
89 FIBUMIN KAPSUL
90 FIOCILAS INJEKSI
91 FIONDAZOL INFUS INFUS
92 FIOPRAZ 40MG INJEKSI INJEKSI
93 FIORAMOL 1GR/100ML INFUS
94 FOLAMIL GENIO KAPSUL LUNAK
95 FOLAMIL GOLD KAPSUL LUNAK
96 FOLIC ACID 1 MG TABLET TABLET
97 FORUMEN TETES TELINGA
98 FOSMICIN INJEKSI
99 FUROSEMIDE 10MG/ML INJEKSI
100 FUROSEMIDE 40 MG TABLET TABLET
101 GENTAMICIN INJEKSI
102 GENTAMICIN 0,1% KRIM SALEP
103 GLIMEFION 4 MG TABLET
104 GLIMEPIRIDE 2 MG TABLET TABLET
105 GLIMEPIRIDE 4 MG TABLET
106 GRAPLAC SIRUP
107 GRISEOFULVIN 125 MG TABLET TABLET
108 HEPATIN KAPLET
109 HUMAN ALBUMIN 100 ML INJEKSI
110 HUMAN ALBUMIN 50 ML INJEKSI
111 HUSTAB KAPSUL
112 HYDROCORTISON SALEP SALEP
113 IMIPENEM INJEKSI
114 IMUNOS KAPLET
115 IMUNOS SIRUP
116 INBACEF KAPSUL
118 INFENEM INJEKSI
119 INTERHISTIN TABLET
120 IREMAX KAPLET
121 ISDN 5MG TABLET
122 ISOFLURAN 250 ML INFUS
123 KTM INJEKSI
124 KETOCONAZOLE 2% CREAM SALEP
125 KETOCONAZOLE 200 MG TABLET
126 KETOROLAC 30 MG INJEKSI
127 KSR TABLET
128 LACIDOFIL SERBUK
129 LANSOPRAZOLE 30 MG KAPSUL
130 LAPIBAL KAPSUL
131 LAPIBAL inj INJEKSI
132 LAPIFED TABLET
133 L-BIO SERBUK
134 LEVEMIR FELXPEN 100 UI/ML FLEXPEN
135 LEVOFLOXACIN 500 MG TABLET TABLET
138 LIDOCAIN 2% INJEKSI
139 LIDODEX 100 MG/ 2 ML @2 ML INJEKSI
140 LORATADIN 10 MG TABLET
141 L-ZINK SIRUP
142 MEIACT KAPSUL
143 MELOXICAM 15 MG TABLET TABLET
144 MELOXICAM 7.5 MG TABLET TABLET
145 MEROPENEM INJEKSI
146 MERTIGO TABLET
147 METFORMIN 500 MG TABLET
148 METHISOPRINOL 500 MG TABLET TABLET
149 METHYLERGOMETRINE 0,125 MG INJEKSI
150 METHYLPREDNISOLON 125MG INJEKSI
151 METHYLPREDNISOLON 16 MG TABLET TABLET
152 METHYLPREDNISOLON 4 MG TABLET TABLET
153 METHYLPREDNISOLON 8 MG TABLET TABLET
154 METOCLOPRAMIDE 10MG TABLET
155 METRONIDAZOLE 500 MG TABLET
157 MGSO4 20% INJEKSI
158 MGSO4 40% INJEKSI
159 MORGIN INJEKSI INJEKSI
160 NATRIUM DIKLOFENAK 25 MG TABLET
161 NATRIUM FENITOIN INJEKSI
162 NEUROSANBE INJEKSI INJEKSI
163 NEW ANTIDES TABLET
164 NIFEDIPINE 10 MG TABLET
165 NORFION 4MG TABLET
166 NOVOMIX -30 FLEXPEN
167 NOVORAPID FLEXPEN 100 U/ML FLEXPEN
168 NYSTATIN DROP DROP
169 ONDANCENTRON 4 MG TABLET
170 ORALIT SERBUK
171 ORINOX 60 TABLET
172 ORINOX 90 TABLET
173 OXYTETRACYCLINE SALEP KULIT SALEP
174 OXYTETRACYCLINE SALEP MATA SALEP
175 PANTOPRAZOLE INJEKSI INJEKSI
176 PARACETAMOL 500 MG TABLET TABLET
177 PARACETAMOL INFUS 1 GR/100 ML INFUS
178 PARACETAMOL SIRUP SIRUP
179 PEHACAIN INJEKSI
180 PHYFION INJEKSI
181 PHYTOMINADION 10MG/ML INJEKSI
182 PIRACETAM 1G INJEKSI
183 PIRACETAM 3GR INJEKSI
184 PIRACETAM 800 MG KAPSUL TABLET
185 PREDNISON 5 MG TABLET TABLET
186 PRIMAKUIN 15 MG TABLET
187 PROMAVIT KAPSUL LUNAK
188 PROPANOLOL 40 MG TABLET
189 PROSTER 200 MG TABLET
190 PROVULA TABLET
191 PTU TABLET
192 PYRAZINAMIDE 500MG TABLET
193 RANITIDIINE 50 MG/ 2 ML INJEKSI INJEKSI
194 RANITIDINE 150 MG KAPLET TABLET
195 RECOFOL N INJEKSI INJEKSI
196 RHINOS SR KAPSUL
197 SALBUTAMOL 2 MG TABLET TABLET
199 SALBUTAMOL 4 MG TABLET TABLET
200 SANBE KIDS SIRUP SIRUP
201 SANMOL DROP
202 SANTOCYN 10 UI@1 ML INJEKSI
203 SIMVASTATIN 10 MG TABLET TABLET
205 SIMVASTATIN 20 MG TABLET TABLET
207 SPIRONOLACTON 25 MG TABLET
208 SUCRALFAT SIRUP
209 SULPEFION 1G INJEKSI
210 TABLET TAMBAH DARAH (SF) TABLET
211 TEBOKAN SP TABLET
212 THIOPENTAL INJEKSI INJEKSI
213 TROMBO ASPILET TABLET
214 URDEX KAPLET
215 VECTRIN KAPSUL
216 VECTRIN SIRUP
217 VENTOLIN NEBUL NEBU
218 VERORAB INJEKSI
219 VICILIN INJEKSI
220 VITAMIN A 100,000IU KAPSUL LUNAK
221 VITAMIN A 200,000IU KAPSUL LUNAK
222 VITAMIN B1 TABLET
223 VITAMIN C 250 MG TABLET TABLET
224 VOMETA SIRUP
225 VOPICAIN 0,5% INJEKSI
226 WIDOXIL SIRUP SIRUP
227 ZINK SULPHATE 20 MG TABLET TABLET
JUMLAH
%KESESUAIAN FORNAS
NAAN OBAT DI FKRTL
Periode Bulan
: OKTOBER
: 2019
∑Item Obat dalam Formularium RS : 250
Kesesuaian dengan
Jumlah Jumlah Formularium Ket
Persediaan Penggunaan Nasional
Y T
174 1 0
617 1 0
1000 1 0
454 1 0
30 1 0
35 1 0
2883 1 0
70 1 0
159 0 1
2458 1 0
29 1 0
5073 1 0
422 1 0
1 1 0
12 1 0
1138 1 0
504 1 0
385 1 0
4 1 0
7 0 1
60 0 1
280 1 0
258 1 0
19 1 0
59 1 0
24 1 0
8 1 0
3 1 0
975 1 0
166 1 0
1014 1 0
3 1 0
95 1 0
1736 0 1
224 1 0
300 1 0
5 1 0
3240 1 0
157 1 0
4 1 0
400 1 0
57 1 0
36 1 0
34 1 0
2010 1 0
15 1 0
5 1 0
400 1 0
1 1 0
65 1 0
1575 1 0
6 1 0
13 1 0
1707 1 0
28 1 0
396 1 0
20 1 0
590 1 0
65 1 0
301 1 0
289 1 0
15 1 0
1073 0 1
1546 1 0
102 1 0
39 1 0
4 1 0
31 1 0
5 1 0
2 1 0
760 1 0
67 1 0
31 1 0
1103 0 1
19 0 1
64 1 0
14 1 0
5 1 0
238 1 0
100 1 0
3 1 0
2 1 0
885 0 1
21 1 0
252 1 0
473 1 0
89 1 0
750 0 1
210 0 1
1319 1 0
10 0 0
130 1 0
126 1 0
2870 1 0
245 1 0
53 1 0
47 1 0
132 1 0
8 1 0
6 1 0
700 1 0
94 0 1
5 1 0
2 1 0
145 1 0
23 1 0
21 1 0
1131 0 1
41 0 1
67 1 0
7 1 0
44 0 1
7848 1 0
1416 1 0
2 1 0
2 1 0
20 1 0
28 1 0
1058 1 0
22 1 0
3 0 1
4611 1 0
1084 1 0
41 1 0
583 1 0
608 0 1
20 1 0
1254 1 0
311 1 0
5 1 0
1705 1 0
50 1 0
6 1 0
75 1 0
300 1 0
375 1 0
980 1 0
720 1 0
705 1 0
52 1 0
61 1 0
988 1 0
2987 1 0
332 1 0
7 1 0
660 1 0
9 1 0
2 1 0
14 1 0
955 1 0
15 1 0
110 1 0
306 1 0
4 1 0
2 1 0
9 1 0
37 1 0
33 1 0
643 1 0
92 1 0
636 1 0
149 1 0
32 1 0
6 1 0
260 1 0
2236 1 0
121 1 0
72 1 0
11 1 0
3 1 0
33 1 0
16 1 0
73 1 0
102 1 0
90 1 0
100 1 0
1230 0 1
2584 1 0
180 1 0
11 0 1
9210 1 0
5 1 0
312 1 0
3380 1 0
46 1 0
345 1 0
4880 1 0
12600 1 0
38 0 1
9 1 0
63 1 0
550 1 0
713 1 0
1100 1 0
191 1 0
334 1 0
2012 1 0
94 0 1
1 1 0
120 1 0
452 1 0
480 1 0
48 1 0
55 1 0
5 1 0
105 1 0
53 1 0
70 1 0
6 1 0
2476 1 0
7 1 0
2 1 0
7 1 0
205 1 0
#REF! 126296 193 20
85.02
Periode Bulan
: NOVEMBER
Tahun
: 2019
∑Item Obat dalam Formularium RS : 250
Kesesuaian dengan
Jumlah Jumlah Formularium Ket
Persediaan Penggunaan Nasional
Y T
596 1 0
93 1 0
602 1 0
2160 1 0
799 1 0
79 1 0
10 1 0
403 1 0
2669 1 0
85 1 0
6086 0 1
85 0 1
9 1 0
1100 1 0
5678 1 0
1 1 0
10 1 0
1151 1 0
166 1 0
56 1 0
316 1 0
21 1 0
130 0 1
392 1 0
255 1 0
7 1 0
469 1 0
45 1 0
32 1 0
483 1 0
4 0 1
1741 1 0
88 1 0
253 1 0
17 1 0
85 1 0
33 1 0
1428 0 1
532 1 0
200 1 0
335 1 0
1200 1 0
1582 1 0
1193 1 0
17 1 0
5 1 0
1840 1 0
13 1 0
12 1 0
765 1 0
40 1 0
54 1 0
422 1 0
4 0 1
40 1 0
1901 1 0
13 1 0
383 1 0
689 1 0
126 1 0
16 1 0
275 1 0
70 1 0
704 1 0
212 1 0
20 1 0
6331 1 0
354 1 0
196 1 0
30 1 0
16 1 0
84 1 0
21 1 0
8 1 0
750 1 0
41 1 0
2470 1 0
73 1 0
11 1 0
19 0 1
116 1 0
100 1 0
20 1 0
1 1 0
75 1 0
271 1 0
56 1 0
3 1 0
4 1 0
133 1 0
17 1 0
41 1 0
151 1 0
79 0 1
890 0 1
1520 0 1
144 1 0
1 0 1
15 1 0
254 1 0
1679 1 0
258 1 0
97 1 0
40 1 0
6 1 0
725 1 0
640 1 0
106 1 0
36 0 1
11 1 0
110 1 0
370 1 0
225 0 1
32 0 1
38 1 0
462 0 1
29 1 0
110 0 1
147 1 0
520 1 0
14 1 0
19 1 0
3 1 0
366 1 0
4 1 0
170 0 1
4252 1 0
86 1 0
52 1 0
296 0 1
32 1 0
340 1 0
109 1 0
6 1 0
2009 1 0
51 1 0
1170 1 0
1665 1 0
49 1 0
501 1 0
1178 1 0
735 1 0
40 1 0
304 1 0
77 1 0
243 1 0
748 1 0
24 1 0
608 1 0
17 1 0
31 1 0
0 1 0
81 1 0
5 0 1
983 1 0
62 1 0
8 1 0
20 1 0
5 1 0
3 1 0
73 1 0
251 1 0
44 1 0
2931 1 0
25 1 0
525 1 0
20 1 0
3 1 0
50 1 0
2185 1 0
8 1 0
54 1 0
31 1 0
10 1 0
20 1 0
13 1 0
8 1 0
1301 1 0
1174 1 0
85 1 0
910 0 1
2178 1 0
192 1 0
59 1 0
150 1 0
91 1 0
466 1 0
36 0 1
17 1 0
719 1 0
354 1 0
574 1 0
456 1 0
80 1 0
109 1 0
642 1 0
79 0 1
1 1 0
1087 1 0
117 1 0
660 1 0
69 1 0
125 1 0
9 1 0
361 1 0
51 1 0
68 1 0
46 1 0
33 1 0
3 1 0
2 1 0
321 1 0
#REF! 95478 190 22
89.62
: DESEMBER
: 2019
tem Obat dalam Formularium RS : 250
Kesesuaian dengan
Jumlah Formularium Ket
Penggunaan Nasional
Y T
140 1 0
162 1 0
497 1 0
203 1 0
2860 1 0
128 1 0
317 1 0
4 1 0
0 1 0
2143 0 1
338 0 1
2589 0 1
119 0 1
1 1 0
1440 1 0
3084 1 0
420 1 0
982 1 0
1 1 0
15 1 0
1344 1 0
400 1 0
133 0 1
1089 1 0
14 1 0
30 1 0
101 0 1
1606 1 0
2416 1 0
262 1 0
13 1 0
131 1 0
5 1 0
20 1 0
1635 1 0
1 0 1
1360 1 0
163 1 0
29 1 0
1145 1 0
22 1 0
201 1 0
1 1 0
812 0 1
1358 1 0
360 1 0
551 1 0
622 1 0
710 1 0
1147 1 0
14 1 0
13 1 0
3 1 0
1580 1 0
15 1 0
3 1 0
1486 1 0
374 1 0
88 1 0
211 1 0
433 1 0
1 0 1
32 1 0
2079 1 0
13 1 0
48 1 0
558 1 0
46 1 0
1059 1 0
977 1 0
462 1 0
360 1 0
248 0 1
20 1 0
6077 1 0
51 1 0
36 1 0
42 1 0
5 1 0
1521 1 0
26 1 0
24 1 0
1004 1 0
86 1 0
14 1 0
11 0 1
8 1 0
5 1 0
278 1 0
2 1 0
2 1 0
664 0 1
40 1 0
127 1 0
529 1 0
155 1 0
73 1 0
300 0 1
1020 0 1
433 1 0
19 0 1
54 1 0
214 1 0
968 1 0
315 1 0
1116 1 0
293 1 0
969 1 0
610 1 0
65 1 0
52 0 1
112 0 1
10 1 0
3 1 0
106 1 0
100 1 0
451 1 0
218 0 1
50 0 1
24 1 0
1252 0 1
49 1 0
63 1 0
1085 0 1
923 1 0
719 1 0
80 1 0
3 1 0
483 1 0
11 1 0
102 0 1
5249 1 0
1550 1 0
93 1 0
762 1 0
6 1 0
5 1 0
5 1 0
370 0 1
39 1 0
214 1 0
101 1 0
910 1 0
40 1 0
1593 1 0
542 1 0
485 1 0
1337 1 0
271 1 0
47 1 0
2844 1 0
16 1 0
159 1 0
120 1 0
30 1 0
209 1 0
413 1 0
12 1 0
844 1 0
8 1 0
149 1 0
106 1 0
10 1 0
5 1 0
19 1 0
43 1 0
47 1 0
25 1 0
107 1 0
4 1 0
79 1 0
230 1 0
21 1 0
4 1 0
173 1 0
3131 1 0
37 1 0
61 1 0
10 1 0
17 1 0
35 1 0
24 1 0
29 1 0
290 1 0
119 1 0
770 0 1
206 1 0
351 1 0
9 0 1
935 1 0
339 1 0
882 1 0
5 1 0
88 1 0
221 1 0
752 1 0
11 1 0
846 1 0
447 1 0
1139 1 0
250 1 0
105 1 0
56 1 0
1333 1 0
240 1 0
239 0 1
235 1 0
240 1 0
403 1 0
75 1 0
176 1 0
7 1 0
4 1 0
160 1 0
163 1 0
17 1 0
336 1 0
100388 191 26
86.43