RENCANA KEBUTUHAN OBAT (RKO) 2020

RS DAERAH MADANI KOTA PEKANBARU

Rumah Sakit RS. Daerah Madani

KAB/KOTA Pekanbaru
PROPINSI Riau
SISA Pemakaian Obat/bln
NO NAMA OBAT SATUAN STOK juli agust sept oktb nov des jan feb mart april mei juni SUM Pemakaian 12 bln 2020 ED
1 Attapulgit (NEO Diagon)650 mg tablet 0 102 8 110 10.0
2 ATS 1500 UI AMP 1 1 3 - 2 7 0.6
3 ABU AMP 0 - - 0.0
4 Acyclovir krim tube 1 2 1 27 1 1 11 130 174 15.8 Apr-19
5 Acyclovir tablet 200 mg tablet 30 0 - 20 50 4.5 Feb-20
6 Acyclovir tablet 400 mg tablet 100 70 70 4 846 - 40 115 1,245 113.2
7 Akarbose tablet 100 mg tablet 100 0 - 6,930 7,030 639.1 Mar-19
8 Albendazol tablet 400 mg tablet 6 16 1169 - 422 1,613 146.6 AGUST 18
9 Albendazol syrup botol 2 0 - 2 0.2
10 Alluporinol tablet 100 mg tablet 80 170 20 255 110 170 110 150 107 1,172 106.5
11 Allopurinol 300mg tablet 125 306 458 224 179 446 289 44 185 2,256 205.1
12 Ambroxol tablet 30 mg tablet 20 24 22 29 27 31 33 42 25 253 23.0
13 Ambroxol sirup 15 mg/ 5 ml/Amerosol botol 357 140 0 - 2 499 45.4
14 Aminofilin inj. 24 mg/ml ampul 14 100 - 114 10.4
15 aminofilin tablet (DECAFIL) 150 mg tablet 600 0 - 600 54.5 Mei 20
16 Amitriptilin tablet 25 mg tablet 335 219 70 277 3491 165 370 235 251 5,413 492.1
17 Amlodipin besilat tablet 10 mg tablet 0 40 135 146 244 565 51.4
18 Amlodipin besilat tablet 5 mg tablet 230 35 15 260 42 72 10 142 806 73.3
19 Amoksisilin tablet 250 mg kapsul 282 272 108 396 663 202 440 341 390 320 3,414 310.4 Apr-19
20 Amoksisilin tablet 500 mg tablet 120 3 7 9 12 19 11 8 18 100 307 27.9
21 Amoksisilin syr kering 125 mg botol 368 922 324 - 1,614 146.7 May-19
22 Amoksisilin syr kering forte 250 mg/5ml botol 34 15 20 144 34 30 15 1 293 26.6 AGUST 18
23 Amoksisilin + asam klavulanat tab kapsul 16 0 - 7 23 2.1 Feb-20
24 amiodaron tab 200 mg tablet 24 0 - 24 2.2
25 amiodaron inj 50 mg/ml amp 55 93 50 60 749 200 170 30 9 15 1,431 130.1
26 Antasida doen komb tablet kunyah tablet 4 4 2 12 27 3 4 12 12 255 335 30.5
27 Antasida doen suspensi komb/Triocid botol 160 6 1 0 3 2 172 15.6
28 Anti hemoroid supp komb supp 4 0 - 263 267 24.3
Anti malaria doen komb (pirimetamin 25 mg,
29 tablet
sulfadoksin 500 mg 8 180 - 97 285 25.9

30 Anti parkinson doen tab komb/ stalevo (Levodopa 100 tablet

mg, Karbidopa 25 mg, Entekapon 200 mg 1 1 - 2 9 13 1.2
31 Aqua pro inj steril 20 ml bebas pirogen ampul 387 214 240 488 11154 399 412 567 519 14,380 1307.3
32 Asam askorbat tab 50 mg tablet 0 - - 0.0 19-Sep
33 Asam askorbat tab 250 mg tablet 347 240 290 475 491 503 335 355 400 687 4,123 374.8
34 Asam mefenamat tablet 500 mg/Lisfen kaplet 30 60 20 60 20 95 15 20 320 29.1 oktb 19
35 Asam Traneksamat tab/lexatran tab tablet 299 0 - 299 27.2 Jul-19
36 Asam valproat 250mg tablet 25 0 130 355 352 660 1,522 138.4
37 Asam folat I mg tablet 0 - 2 9 11 1.0
38 Asam tranexamat inj 100mg/5ml amp 5 - 5 0.5
39 Atropin Sulphate inj 0.25mg/ml ampul 10 35 25 0 - 6 15 91 8.3
40 Azitromisin tablet 500 mg Tablet 0 - - 0.0 Jun-19
41 Ampisilin inj 1 gr amp 6 11 16 20 61 - 114 10.4
42 Becefort sirup botol 0 2 21 23 46 4.2 20-Sep
43 Benzatin Penisilin 2,4 IU im vial 11 50 70 20 40 91 - 3 285 25.9
44 Betahistin mesilat 6 mg/Histigo tablet 20 10 27 30 105 136 140 468 42.5 20-Nov
45 Betametason krim 0,1 % tube 110 49 30 10 76 1238 22 27 37 46 1,645 149.5 Apr-20
46 Bisoprolol tab 5 mg tablet 11 0 80 120 114 50 375 34.1
47 Bisacodil supp 5 mg supp 55 0 - 275 330 30.0
48 Bisacodyl supp 10 mg supp 0 - 300 300 27.3
49 Bisacodyl tab tablet 0 - 260 260 23.6

50 Budesonid formoterol (Fixed combination) inhaler turbuhaler

160/4,5 mcg (Symbicort) 5 0 2 4 15 26 2.4 Feb-20
51 Pulmicort respules (Budesonid 0,25 mg/ml) turbuhaler 2 0 1 12 3 18 1.6 Feb-20
52 Primolut N 5 0 - 5 0.5
53 Budesonid formoterol nebu pcs 0 - 30 30 2.7
54 berotec inh 200 (fenoterol cairan) pcs 0 - - 0.0 Jan-20
55 Berotec inh 100 mcg/puff (fenoterol aerosol) 0 - 2 2 0.2
56 Captopril tab 25 mg tablet 135 40 0 - 65 240 21.8
57 Captopril tab 12,5 mg tablet 396 671 - 1,067 97.0
58 Cetirizin tablet 10 mg tablet 24 25 40 30 121 509 483 552 663 2,447 222.5
59 Ciprofloxacin tab 500 mg tablet 0 85 82 50 135 2 354 32.2 Dec-19
60 Calnic syrup botol 140 10 40 20 0 - 20 230 20.9
61 Clobazam 10 mg tablet 20 0 - 10 30 2.7
62 COLCITINE kolkisin tablet 0 - - 0.0
63 cefazolin 1 g vial 0 - - 0.0
64 cefepim 1 g vial 0 - 39 39 3.5 Apr-20
65 Cefoperazon vial 0 - - 0.0
66 Cefotaxim vial 0 - 4 4 0.4
67 Ceftriaxon 1 g inj vial 125 73 60 10 10 20 30 328 29.8
68 Curcuma tab tablet 0 - - 0.0 May-19
69 COCOA butter 0 30 140 7 177 16.1
70 Candesartan 16 mg tablet 0 - 155 155 14.1
71 Cendo genta md 0.3 % fls 0 - 33 33 3.0
72 Cendo xitrol btl 0 - - 0.0
73 Citikolin inj 250 mg amp 283 0 - 283 25.7
74 Cilostazol 100 mg tablet 2 1 210 296 1 3 513 46.6
75 Dexametason inj 5 mg ampul 20 301 306 233 461 340 358 323 236 2,578 234.4 Feb-20
76 Dexametason tab 0,5 mg/Flacoid tablet 0 - 60 60 5.5 Nov-19
77 Diazepam inj 5 mg / ml/stesolid inj ampul 14 16 75 10 10 9 3 137 12.5
78 Diazepam 2 mg tab tablet 0 - - 0.0
79 Digoxin tab 0,25 mg tablet 0 - - 0.0 May-19
80 Diltiazem tab 30 mg tablet 0 - - 0.0 Apr-19
81 diltiazem 50 mg inj ampul 56 300 - 20 376 34.2
82 Dimenhidrinat tab tablet 3 35 30 10 100 0 60 40 67 115 460 41.8 Mar-19
83 Doksisiklin tablet 100 mg tablet 66 130 18 48 431 75 150 75 993 90.3
84 Domperidone tablet 10 mg tablet 2 1 8 6 - 2 1 7 27 2.5
85 Domperidone sirup 5 mg/ 5 ml Botol 3 0 - 3 0.3
86 Dobutamin inj 12,5 mg/ml amp 0 - - 0.0
87 D vit syrup botol 6 4 8 5 5 13 6 2 49 4.5
88 OBH SYRUP BOTOL 9 - 9 0.8 agust 20
89 Diphenhidramin HCl inj iv/im 10 mg/ml ampul 0 - - 0.0 May-19
90 D5N0,25 botol 0 - - 0.0
91 D5N0,5 botol 35 31 - 66 6.0
92 Efinefrin (Adrenalin) Hcl inj 1mg/ml ampul 15 10 50 0 40 30 611 756 68.7 mart 20
93 Erytromycin tablet 500 mg tablet 60 40 20 50 170 15.5 Dec-19
94 Erytromycin cap 250 mg kapsul 2 2 4 1 4 - 3 2 85 103 9.4 Apr-19
95 Erytromycin syr kering 200mg/5ml botol 0 - - 0.0
96 Etambutol hcl tab 500 mg tablet 0 3 1 4 0.4 May-19
97 Eugenol cairan botol 100 0 - 100 9.1
98 Enoxaparin inj 0,6 pcs 1560 0 - 1,560 141.8
99 Fenitoin Na cap 100 mg kapsul 0 - 10 10 0.9 May-19
100 Fenitoin Na inj ampul 0 - 30 30 2.7 mart 20
101 Fenobarbital inj 50 mg ampul 3 2288 - 2,291 208.3
102 Fenobarbital tablet 30 mg tablet 42 1 2 0 - 45 4.1
103 Fenol gliserol tts telinga/karbo gliserol botol 20 20 1056 1000 50 30 4 2,180 198.2 Sep-19
104 Fitomenadion tab salut gula 10 mg tablet 2 0 - 2 0.2
105 Fondaparinuks inj 2,5 mg (ARIXTRA) pcs 43 1 1 2 1 1 49 4.5
106 Flukonazol tablet 150 mg Tablet 30 14 - 30 74 6.7 Aug-19
107 Furosemid tablet 40 mg tablet 0 - - 0.0 Jul-19
108 Furosemid inj 10 mg/ml amp 0 - 3 3 0.3
109 Fenofibrat 300 mg tablet 115 0 - 115 10.5
110 Flusinolon asetonid cr 0,025% tube 55 30 120 96 30 90 30 30 388 869 79.0
111 Ganin tab/gabapentin tablet 300 mg tablet 15 21 17 31 0 49 70 16 32 36 287 26.1 Jun-19
112 Garam oralit 200 ml sacc 134 - 1 135 12.3 Jul-19
113 Gemfibrozil tablet 300 mg kapsul 6 1 3 3 4 1 5 10 33 3.0 Jun-19
114 Gentamisin Sulfat tetes mata/genoint tm botol 15 0 10 25 2.3
115 gentamisin inj 40mg/ml amp 1 3 6 10 25 0 16 21 7 11 100 9.1 mart 20
116 Gentamisin salep kulit 1%/genoint sk tube 100 4 4 0 1 4 2 2 117 10.6
117 Gentian violet 1 % botol 41 8 5 60 50 30 15 20 229 20.8
118 Glibenklamid tablet 5 mg tablet 33 46 47 14 189 87 213 133 135 897 81.5
119 Gliseril guayacolat tab 100 mg/guaefenesin 100mg tablet 0 - - 0.0
120 Gliseril trinitrate sublingual tablet/nitral tabsub tablet 0 - 10 10 0.9
121 Cairan D 40 glukosa lart inf 40 % flas 0 - 50 50 4.5
122 Cairan D 40 glukosa lart inf 40 % flas 10 0 - 2 12 1.1
123 Cairan D 40 glukosa lart inf 40 % flas - 7 7 0.6
124 Cairan Asering flas 1070 700 30 105 57 145 2,107 191.5
125 Griseofulvin 125 mg tablet tablet 0 - 30 30 2.7
126 Glimepirid 2 mg tablet 0 - - 0.0
127 Glimepirid 3mg tablet 0 - - 0.0
128 H2O2 3% BOTOL 100 ML 0 - - 0.0
129 Haloperidol tablet 0,5 mg tablet 10 - 2 12 1.1 Jun-19
130 Haloperidol tablet 1,5 mg tablet 0 - - 0.0
131 Haloperidol tablet 2 mg tablet 12 0 - 12 1.1
132 Haloperidol tablet 5 mg tablet 10 6 5 0 12 12 7 9 61 5.5
133 Hidroklorotiazid tab 25 mg tablet 3 2 12 420 - 437 39.7
134 Hidrokortison krim 2.5 % tube 0 - - 0.0
135 Hiosina Hbr inj amp 0 - - 0.0
136 Hiosina Hbr tab tablet 0 - - 0.0
137 HES (cairan koloid) Voluven Hidroxyl ethyl 6 % fls 170 20 20 10 50 105 50 81 506 46.0
138 Ibuprofen tab 200 mg tablet 4 10 40 30 150 466 11 2 17 10 740 67.3
139 Ibuprofen tab 400 mg tablet 6 2 8 9 6 - 31 2.8
140 Ibuprofen sirup 100 mg/5ml Botol 0 60 60 5.5
141 imunoglobulin( Tetagam) 250 IU ampul 2290 2010 - 92 4,392 399.3
142 Irbesartan tab 150 mg kapsul 10 - 10 65 85 7.7
143 Isoniazid tab 300 mg tablet 25 10 5 361 - 1 402 36.5
144 Isosorbit dinitrat 5 mg tablet sub lingual tablet 93 0 700 790 915 355 2,853 259.4
145 Isosorbit dinitrat inj 1 mg/ml (cedocard) amp 85 176 545 360 14991 - 16,157 1468.8
146 Kalsium lactat tablet 500 mg tablet 30 0 121 94 116 95 1 457 41.5 Apr-19
147 Karbamazepin tab 200 mg tablet 1 109 109 2398 5036 14 22 21 13 1 7,724 702.2 Nov-19
148 Katekonazole 200 mg tablet 5 7 1 11 96 - 20 140 12.7
149 Katekonazole krim 2 % tube 3 1 5 0 40 40 10 60 159 14.5 Feb-20
150 Ketorolac injeksi 30 mg/ml Ampul 40 15 20 70 25 0 30 15 70 28 155 468 42.5
151 Klindamycin 150 mg kapsul 100 33 85 10 48 2,254 2,530 230.0
152 Klindamycin 300 mg capsul 60 0 - 82 40 60 32 274 24.9
153 Klopidogrel tablet 75 mg tablet 40 40 0 - 1 3 6 90 8.2
154 Kloramfenikol cap 250 mg kapsul 1 0 - 1 0.1
155 Kloramfenikol salap mata 0 139 195 52 69 30 485 44.1 Apr-20
156 Bacitracin salap 324 150 198 131 224 730 - 3 1,760 160.0
157 Klorfeniramin maleat tab 4 mg tablet 0 9 28 44 9 90 8.2 Nov-19
158 Klorpromazin Hcl tab 100 mg tablet 25 46 61 46 22 26 3 1 1 231 21.0
159 Kodein tablet 10 mg tablet 4 3 63 60 40 50 132 352 32.0
160 Kotrimoksazol suspensi botol 20 20 60 60 75 0 - 235 21.4
161 Kotrimoksazol tab 480 mg tablet 0 - 4 4 0.4 Jun-19
162 KSR 600 mg (kalium klorida) tablet 0 - - 0.0
163 KCL inj (kalium klorida 25 mg) inj fls 0 - - 0.0
164 Vetricin orabase 0 - - 0.0
165 Scopma plus tablet 0 - - 0.0
166 Ultracet tablet 0 - - 0.0
167 Loperamid tab tablet 0 - - 0.0
168 Lactulosa syrup botol 0 - - 0.0 May-20
169 Lacto b sach 2 0 - 2 0.2
Larutan mengandung karbohidrat + elektrolit (glukosa
170 25 g, NaCl 4,5 g)/ WIDA klof
3 5 2 20 - 30 2.7
171 Lidocain comp inj 2 % ampul 100 - 100 9.1
172 LIDOCAIN INJ Ampul 0 - 63 63 5.7
173 Lidokain gel (xylocain) gel 0 - - 0.0 Feb-20
174 Lidokain spray oral 10 % 0 - - 0.0
175 Pehacain inj box 0 - - 0.0
176 Xylestesin inj box 20 10 10 0 128 101 122 7 398 36.2
177 Lisinopril tabl 10 mg Tablet 208 244 137 195 0 40 10 834 75.8 Jul-19
178 Loratadine tablet 10 mg Tablet 321 40 20 10 10 0 80 40 50 20 591 53.7 Aug-19
179 Levofloxacin tab 500 mg tablet 33 31 0 - 3 1 2,795 2,863 260.3 mart 20
180 Lansoprazol cap capsul 0 - 220 220 20.0
181 Lansoprazol inj (prosogan inj) vial 0 - 6 6 0.5
182 LIVRON B PLEK tablet 0 - - 0.0
183 MgSO4 inj 40 % ampul 0 25 130 45 145 103 448 40.7
184 meylon (NA Bikarbonat inj) fls 95 90 129 60 107 70 130 140 280 95 1,196 108.7
185 Meloxicam 15 mg tab tablet 200 360 120 295 300 - 30 1,305 118.6 Jul-19
186 Metformin tablet 500 mg tablet 320 0 459 694 486 514 2,473 224.8 Jan-20
187 Metformin tablet 850 mg tablet 209 497 148 360 16647 - 17,861 1623.7 Jun-19
188 Metil prednisolon 4 mg tablet 0 - - 0.0
189 Metil prednisolon 8 mg TABLET 0 80 40 50 170 15.5
190 metil prednisolon inj 125 mg vial 10 45 50 30 60 - 195 17.7
191 Metilergometrin maleat tablet 0,125 mg tablet 40 0 - 5 45 4.1 Nov-19
192 Metilergometrin maleat inj amp 1 10 10 50 - 10 49 130 11.8
193 Metoklopramid HCl tablet 10 mg tablet 0 - - 0.0 Sep-19
194 Metoklopramid sirup 5 mg/5 ml/lexapram syr botol 94 0 - 94 8.5
195 metoklorpramid inj amp 63 4523 0 - 4,586 416.9
196 Metronidazol tab 500 mg tablet 0 - - 0.0
197 Metronidazol tab 250 mg tablet 0 - 49 49 4.5
198 Metronidazol supp 500 mg/FLAGYL supp 13 0 - 13 26 2.4
199 Magnesium sulfat inj 40 % bks 0 7 4 6 4 21 1.9
200 Metronidazol inf botol 6 3 6 4 3 1 8 31 2.8
201 Miconazol krim tube 0 - 4 4 0.4
202 Mometason furoat krim 0,1 %/ELOMOX tube 0 - - 0.0
203 Metil dopa (dopamet) tablet 55 0 - 20 75 6.8
204 Meropenem 1 g vial 0 135 30 60 48 273 24.8
205 Myco z cr tube 140 94 30 90 500 30 70 80 60 10 1,104 100.4
206 Natrium Bikarbonat tab 500 mg tablet 20 40 150 0 75 230 60 241 816 74.2
207 Natrium diklofenat tab 25 mg tablet 1 75 95 100 145 450 22 21 34 1 944 85.8
208 Natrium diklofenat tab 50 mg/Fenosia tablet 3 6 46 3 193 251 22.8 Jan-19
209 Natrium fusidat salep 20 mg/g (Acdat) tube 2 3 2 53 - 60 5.5 May-19
210 Natrium klorida inf 0.9 % (NaCl) 500 ml botol 15 0 - 33 48 4.4
211 NaCl 3 % botol 17 0 - 17 1.5
212 NaCl 100 ml 600 7 607 55.2
213 Nifedipin tab tablet 5 15 7 14 4 - 45 4.1
214 Nistatin tab vagina 100.000 tablet 20 0 - 50 70 6.4 Aug-19
215 Nistatin tab gula 500.000 tablet 0 80 30 130 180 420 38.2
216 Nistatin suspensi botol 55 30 70 205 110 139 609 55.4
217 Noretisteron tablet 5 mg/NORESTIL tablet 10 90 - 1 101 9.2 Mar-19
218 N-ASETIL SISTEIN CAP capsul 0 - 115 115 10.5
219 NEUROBION INJ AMP 0 - 9 9 0.8
220 Neurosanbe Tablet 0 - - 0.0
221 Nicardipin inj amp 0 11 5 16 1.5
222 Novorapid flexpen inj pcs 10 - 2 1 10 23 2.1
223 Novomix flexpen pcs 0 - 25 25 2.3
224 Levemir flexpen pcs 0 - - 0.0
225 OAT kategori I (FDC) paket 4 1 7 4 1 17 1.5
226 OAT kategori II (FDC) paket 2 1 8 1 3 15 1.4
227 Oflofloksasin tetes telinga/tarivid tt botol 0 - 3 3 0.3 Jul-19
228 Oksimetazolin tetes hidung 0,050 % (ILLIADIN) 1 0 - 1 0.1
229 Oksimetazolin tetes hidung 0,025 % (ILLIADIN) botol 0 - 8 8 0.7 Jun-19
230 Otopain tetes teling 4 1 1 4 164 205 175 276 830 75.5
231 Oksitetrasiklin HCl SK 3% tube 177 364 130 264 1189 - 81 2,205 200.5 Aug-19
232 Omeprazol 20 mg tablet 1 0 - 5 1 7 0.6
233 Omeprazol inj vial 2 6 1 1 22 - 65 97 8.8
234 Ondansetron inj 4 mg/ 2 mL Ampul 0 12 51 24 20 107 9.7 Nov-19
235 Ondansentron 8 mg inj amp 1260 - 1,260 114.5
236 Ondansetron tablet 8 mg tablet 0 12 11 5 8 1,845 1,881 171.0 Dec-19
237 oflofloksasin 400 mg tab tablet 3 3 5 6 6 10 22 32 39 43 169 15.4
238 Parasetamol drop (pyridol) Botol 47 24 23 21 39 10 505 553 483 490 470 2,665 242.3
239 Paracetamol sirup 120 mg/5 ml botol 599 408 562 469 482 1399 - 5 3,924 356.7 Sep-19
240 Paracetamol tablet 500 mg tablet 0 - - 0.0
241 Paracetamol inf botol 80 0 40 116 30 100 366 33.3
242 Piracetam tablet 400 mg tablet 11 15 40 0 - 25 91 8.3
243 Piridoxin HCl tab 10 mg (vit B6) tablet 100 80 180 16.4 Jan-19
244 Piridoxin HCl tab 25 mg (vit B6) tablet 40 40 265 0 - 40 30 415 37.7 oktb 19
245 Propanolol Hcl tab 40 mg tablet 0 - 50 50 4.5
246 Propanolol Hcl tab 10 mg tablet 220 150 50 0 8 7 8 7 450 40.9
247 Propiltiourasil tab 100 mg tablet 0 - - 0.0
248 Permetrin cr 5% (scabimate) tube 0 - - 0.0
249 PROFERTIL TABLET 0 240 292 226 162 920 83.6
250 PRONALGES SUPP SUPP 347 358 247 274 231 1230 - 2,687 244.3
251 Ranitidin tablet 150 mg tablet 1 1 387 280 - 669 60.8
252 Ranitidin inj 25 mg/2 ml ampul 0 - 30 30 2.7
253 Ranitidin syru botol 0 - 1 - 6 7 0.6
254 Reamer ktk/6 8 1 5 - 14 1.3
255 Retinol (Vit A) caps 200.000 IU tablet 0 30 15 45 4.1
256 Rifampicin cap 300 mg tablet 0 - 20 19 39 3.5 Jun-19
257 Rifampisin cap 450 mg tablet 0 - - 0.0
258 Ramipril 2,5 mg tablet 100 - 1 101 9.2 20-Apr
259 Ramipril 5 mg tablet 2 2 1 3 72 1 2 2 85 7.7 mei 20
260 Ringer laktat larutan infus ( RL ) Botol 1 2 0 253 142 226 207 831 75.5
261 Salap 2 - 4 komb pot 60 163 217 110 158 364 209 257 178 263 1,979 179.9
262 Salbutamol tablet 2 mg tablet 268 182 247 284 110 86 6 4 9 8 1,204 109.5
263 salbutamol 4 mg tab tablet 5 7 4 4 5 5 107 148 174 270 115 844 76.7
264 salbutamol syrup 2mg/2ml botol 121 60 64 120 221 2742 - 110 3,438 312.5
265 Sefadroxil Tablet 500 mg kapsul 0 15 10 10 7 119 161 14.6 Feb-20
266 Sefadroxil syr 125 mg/5 ml botol 4 4 8 11 4 - 4 35 3.2
267 Sefixim Tablet 100 mg kapsul 1 6 92 0 - 2 101 9.2 Jun-19
268 SEFIXIM 200 tablet 158 130 105 10 40 - 95 45 130 713 64.8
269 Sefixim syr kering 100 mg/5 ml Botol 48 17 135 102 381 150 100 148 1,081 98.3 Aug-19
270 Sianokobalamin (vit B12)inj 500 mcg ampul 1 2335 0 - 10 2,346 213.3
271 sianokobalamin 50 mcg tablet 55 90 20 30 0 20 215 19.5
272 Simvastatin tablet 10 mg tablet 3 6 7 9 2 16 - 1 8 6 58 5.3
273 Simvastatin tab 20 mg tablet 0 - 2 1 3 0.3 Feb-20
274 Spiranolacton 25 mg tablet 0 - 2 1 3 0.3
275 Sukralfat tablat 500 mg/ULSIDEX tablet 30 65 151 935 1461 5001 - 735 965 760 85 10,188 926.2 Apr-19
276 sukralfat syrup botol 14 7 30 60 - 111 10.1
277 salisil talk sach 0 - - 0.0
278 stesolid supp 10 mg supp 0 - - 0.0
279 stesolid supp 5 mg supp 0 1 1 2 0.2
280 Tab. tambah darah komb tablet 92 70 90 80 110 295 100 55 40 60 6 998 90.7
281 Tamsulosin tab Sr 0,4 mg/harnal ocas tablet 60 15 55 10 55 180 - 10 15 20 420 38.2
282 Prostam sr 0 - 2 2 0.2
283 Silodusin 4 mg / urief 20 - 20 1.8
284 Tetrakain HCl tetes mata 0,5 % (pantocain TM) Botol 0 - 10 10 0.9 Oct-19
285 Thiamin HCl tablet 50 mg (vit B1) tablet 0 - - 0.0
286 Tramadol tablet 50 mg tablet 0 - 2 2 0.2
287 TRAMADoL INJ Ampul 0 - - 0.0
288 Triheksipenidil tablet 2 mg tablet 6 2 4 6 4 4 1 21 2 2 52 4.7 May-19
289 teosal tab tablet 292 71 158 50 129 12 266 347 189 189 1,703 154.8
290 terbinafin tab 250 mg tablet 100 40 60 10 51 70 70 50 15 15 290 771 70.1
291 UTROGESTAN 200 capsul 0 2 7 4 4 17 1.5
292 UTROGESTAN 400 73 10 0 86 75 10 10 264 24.0
293 Ventolin nebuliser ampul 4 247 240 - 3 494 44.9 Jan-20
294 Vitamin B komplek tab tablet 10 7 31 10 76 - 40 43 43 260 23.6 Feb-20
295 Zink dispersible 20 gr tablet 47 92 57 186 35 50 110 148 148 5 878 79.8
296 zink syrup botol 2 6 7 5 7 - 1 4 4 36 3.3
297 Anti asma oral (Teofilin SR 300 mg/Rethapyl tab ) Tablet 6 40 50 10 50 756 10 10 20 99 1,051 95.5 Mar-20

298 Anti bakteri topikal untuk luka bakar (Neocenta gel) tube 15 g
20 180 - 5 205 18.6
299 Anti platelet (Asetosal 80 mg tab/ Miniaspi Tablet 10 10 0 - 32 52 4.7

300 Mukolitik, ekspektoran nasal dekongestan (Valved tab) Tablet

0 - 520 520 47.3
301 Anti tusif syr (Dextropen syr) botol 60 ml 105 50 10 10 145 4445 45 50 110 9 4,979 452.6
302 Anti vertigo/migrain tablet (CEVADIL 5 MG) Tablet 307 150 230 360 289 1470 - 30 2,836 257.8
Hormon progestogen / penguat kandungan (Duphaston
303 tab) Tablet
3 1 1 1 1 2 7 1 17 1.5
304 Relaksan uterus (Duvadilan Tablet) Tablet 0 - - 0.0 Jun-19
305 DUVADILAN INJ AMP 10 3 4 0 3 11 1 1 33 3.0

306 Vitamin B untuk syaraf (neuropati perifer) (Oxicobal) Tablet

9 4 4 1 0 - 220 238 21.6 Jun-19
307 Vitamin neurotropik tablet + vit E (Neurovit E) Tablet 20 30 60 110 40 8015 20 30 30 8,355 759.5
308 Anti fungi sirup untuk candidiasis (Cazetin drop) botol 15 ml 115 137 90 70 50 110 140 350 150 50 10 1,272 115.6
Penguat kontraksi uterus/uterotonik (Oxitosin inj)/
309 ampul
cyntosinon 0 - 66 66 6.0 Feb-20
Analgetik, antipirektik rectal (Parasetamol rectal)
310 tube
(PROPIRETIK SUP) 229 60 0 - 289 26.3 May-19

311 Anti inflamasi jelly (Diklofenak sodium 1 %)(megatic gel) tube

30 10 0 - 40 3.6

312 Anti mual untuk ibu hamil (Anvomer B6)(PRPVORMER) tablet

70 60 120 40 20 290 60 65 725 65.9
Pengencer dahak tab (Bromheksin, Diphenhidramin,
313 tablet
Parasetamol/Hustab tab) 0 - 110 56 166 15.1
314 Penguat rahim (Allylestrenol tab 5 mg/garvinon) tablet 0 - 30 30 2.7
Natavit/Vitamin untuk ibu hamil (DHA 20 mg, AA 60 mg,
315 kapsul
Asam folat 0,8 mg) 10 12 10 2 - 15 49 4.5
316 Asifit tablet tablet 10 - 10 0.9
317 Atovar 10 mg (Atorvastatin 10 mg) tablet 0 - - 0.0 Jun-19
318 atorvastatin 20 mg tablet 0 - 30 30 2.7 mart 20
319 Becefort tab tablet 0 - - 0.0
320 Kotrimoksazol Forte tab 960 mg tablet 0 - 4 5 9 0.8
321 Yodium povidon lart.10% 60 ml/Molexdine botol 15 80 30 60 80 60 30 30 60 445 40.5
322 Isoniazid tab 100 mg (INH) tablet 50 0 - 15 65 5.9
323 Ketoprofen 50 mg tablet 30 35 43 - 15 123 11.2
324 Ketoprofen inj amp 18 0 - 18 1.6
325 Ketoprofen supp 100 mg (suprafenid supp) 10 30 20 0 - 20 322 402 36.5
326 Warfarin 2mg (Simarc-2) tablet 30 40 0 - 60 130 11.8 Nov-19
327 Dustasteride 0,5mg (Avodart) tablet 8 0 - 8 0.7
328 Asam pipemidat 400mg (Urinter/ uritractin) tablet 8 10 13 5 18 84 34 20 192 17.5
329 Voluven lar Inf. 6%/cairan koloidal botol 1 1 0 - - 2 0.2
330 Alprazolam tablet 1 mg tablet 1 - 6 1 8 0.7 Apr-19
331 Ataroc syr/ procaterol hcl botol 0 - - 0.0
332 Biofos syr/imonudulator syr botol 0 - 3 3 0.3
333 Caladine lot botol 6 8 10 19 13 22 13 13 1 3 108 9.8
334 Calusol sol botol 0 - 192 192 17.5 Mar-19
335 Cystone 25 BTL 4 1 5 0.5 Nov-19
336 Cystone 100 BTL 1 1 0 2 4 0.4
337 Decatona 30mg capsul 46 80 35 13 5355 2907 46 55 78 66 8,681 789.2
338 Ferriz drops/ferro sulfat drop botol 0 - 1 1 0.1 Jun-19
339 Ferriz syr//ferro sulfat sir 150mg/5 ml botol 0 - - 0.0
340 Ifison / Prednison 5mg tablet 70 46 53 - 30 199 18.1
341 Ketokonazol scalp sol 2 % (FUNGASOL) botol 4 1 1 - 2 3 2 13 1.2
342 Kombipak Azithromycin+Cefixim paket 0 - 5 5 0.5
343 Micardis tab tablet 0 - - 0.0
344 Nelicort Ear Drops botol 0 - 105 2 5 112 10.2
345 Novomix - 30 Flex pen pcs 15 26 45 46 108 - 240 21.8
346 novorapid pcs 0 60 60 30 10 160 14.5
347 Novo twist 32G pcs 0 - 280 280 25.5
348 Proimbus tab/imonudulator tab tablet 0 - - 0.0
349 Prorenal TAB tablet 3 14 10 11 20 33 25 26 19 24 14 199 18.1
350 Slidenafil 50mg tablet 0 - 119 119 10.8 Mar-19
351 SANGOBION CAP capsul 0 - - 0.0
352 Trisela syr/setirizin syr botol 0 - 28 28 2.5
353 Tonotan/Isoxsuprine tabl tablet 20 92 - 112 10.2
354 Trifed tablet 0 - - 0.0
355 Urispas tab tablet 0 - 30 30 2.7
356 Vagizol ovula/Metronidazol ovula 500 mg supp 0 - 190 190 17.3
357 Vesicare 5mg tablet 0 - - 0.0 Dec-19
358 Vesicare 10mg tablet 0 - 20 20 1.8 Dec-19
359 Valasiklovir tablet 0 - - 0.0
360 Vit k inj 10 mg amp 0 - - 0.0
361 Verapamil 80 mg tablet 100 - 100 9.1
362 Valsartan 80 mg tablet 79 11 8 22 14 69 11 11 16 16 257 23.4
363 Vicillin inj 1500mg (ampicilin + sulbactam) inj vial 2 2 1 1 3 2 3 3 2 19 1.7
364 Itrakonazole 100mg/Tracon tablet 3 3 1 1 0 4 2 1 3 18 1.6 May-19
365 Valved syr (Tripolidin + Pseudo efedrine) botol 42 20 30 10 35 19 16 68 40 115 395 35.9
366 Amoksisilin Drops/Amoxan botol 1 2 0 - 3 0.3 mart 20
367 Ducosate Sodium 5mg Ear drops/Forumen botol 0 - - 0.0
368 Misoprostol 200mcg/Gastrul tablet 0 - 130 130 11.8 Jul-19
369 Co Amoksiclav Syrup/claneksi syr botol 84 136 362 66 114 714 44 36 1,556 141.5
370 Zamel syrup botol 0 - 1 1 0.1
371 Zamel drop botol 0 - 40 40 3.6
372 NOZA tablet tablet 20 20 30 0 - 50 120 10.9 Mar-19
373 Cervical guiding Luvipa pcs 210 565 555 245 195 1500 - 3,270 297.3
374 Kloramfenikol Salap kulit tube 0 - - 0.0
375 Piroksicam tab 10 mg tablet 0 - - 0.0 Nov-19
376 Multivitamin (Pehavral) tablet 0 - - 0.0
377 Diazepam rectal (stesolid rectal) supp 0 - - 0.0
378 Parasetamol Forte syr 250 mg botol 0 - - 0.0
379 Anti D, golongan darah vial 0 - - 0.0
380 Anti A, golongan darah vial 0 - - 0.0
381 Anti B, golongan darah vial 0 - - 0.0
382 Anti AB, golongan darah vial 0 - - 0.0
383 Salmonela paratipii (AH widal test) vial 0 - 19 19 1.7
384 Salmonela paratipii (AO widal test) vial 0 - 22 22 2.0
385 Salmonela paratipii (BH widal test) vial 0 - - 0.0
386 Salmonela paratipii (BO widal test) vial 0 - - 0.0
387 Salmonela paratipii (CO widal test) vial 0 - - 0.0
388 Salmonela paratipii (CH widal test) vial 0 - - 0.0
389 Salmonela tyiphi (H widal test) vial 0 - - 0.0
390 Salmonela typhi (O widal test) vial 0 - - 0.0
391 URINE TEST STRIPS ( U 11 PLUS) TUBE 0 - 232 232 21.1
392 Herbesser vial 0 - - 0.0
393 Algeniux pack 0 - - 0.0
394 INDOREAGEN immerson oil botol 0 - - 0.0
395 Tehnodent Cresotin Liquid No 2 botol 0 - - 0.0 Feb-20
396 my jelly 82 gram tube 0 - - 0.0
397 sabun anti bakteri 500 ml + disp botol 0 - - 0.0
398 WI air untuk irigasi inf 1000 ml botol 0 - - 0.0
399 Midazolam inj 5 mg/ml ampul 0 - - 0.0
400 Propofol inj 1 % ampul 0 - 50 50 4.5
401 Kalsium gluconat inj 10 % ampul 0 - 4 4 0.4
402 Fentanil inj 0,05 mg/ml ampul 2 ml ampul 0 - 1 1 0.1
403 Isofluran inhalasi 250 ml (TERRELL) botol 403 403 36.6
404 Enoksaparin inj 60 mg/ 0,6 ml (LOVENOX) syringe - 0.0
405 Sulfadiazine krim 1 % tube - 0.0 mart 20
406 Propofol inj ampul - 0.0
407 Atracurium inj ampul - 0.0
408 Isoflurance 250 ml botol - 0.0
409 Midazolam inj 1 mg ampul - 0.0
410 Midazolam inj 5 mg ampul - 0.0
411 Bupivacain inj 0,5 ampul - 0.0
412 Bupivacain inj 0,5 (heavy) ampul - 0.0
413 Fentanil inj 0,05 mg/ml, 2 ml ampul - 0.0
414 Fentanil inj 0,05 mg/ml, 5 ml ampul - 0.0
415 Petidin inj 50 mg/ml ampul - 0.0
416 Sufentanil inj 5 mg/ml ampul - 0.0
417 Nalukson inj 0,4 mg/ml ampul - 0.0
418 Atrropin inj 0,25 mg/ml ampul - 0.0
419 Difenhidramin 10 mg ampul - 0.0
420 Efedrin inj ampul - 0.0
421 Manitol inf 20 % botol - 0.0
422 Kalsium glukorat inj ampul - 0.0
423 Neostigmin inj 0,5 mg/ml - 0.0
424 Heparin inj 5000 iv/ml vial - 0.0
425 Vakuronium 10 mg/ml ampul - 0.0
426 Adona inj ampul - 0.0
427 Colcitine (kolkisin) tab tablet - 0.0
428 Glauseta (sanbe) Tablet - 0.0
429 Retivit (Sanbe) Tablet - 0.0
430 Citicolin Tablet - 0.0
431 Terramysin SM tube - 0.0
432 Asthenof MD minidose - 0.0
433 Catarlent MD minidose - 0.0
434 Cendo Carpin 2 % botol 5 ml - 0.0
435 Convers 2 % botol - 0.0
436 Efrisel 10 % botol - 0.0
437 EDTA MD minidose - 0.0
438 Floxa MD minidose - 0.0
439 Glaucon tab tab (isi 20) - 0.0
440 Lyteers ED 15 ml botol - 0.0
441 Noncort MD minidose - 0.0
442 Polydex MD minidose - 0.0
443 Protagenta MD minidose - 0.0
444 Repithel MD minidose - 0.0
445 Timol 0,5 % MD minidose - 0.0
446 Tobroson MD minidose - 0.0
447 Ulcori MD minidose - 0.0
448 Vasacon A MD minidose - 0.0
449 Vernacel MD minidose - 0.0
450 Vitrolenta MD minidose - 0.0
451 Xitrol MD minidose - 0.0
452 LFX - 0.0
453 Sulinvadiazin silver krim 1 % tube - 0.0
454 Stalevo 100 mg tablet - 0.0
455 Formalin ( 1 L) liter - 0.0
 DAFTAR KEBUTUHAN OBAT EKATAOG RSD MADANI UNTUK TAHUN 2020

Kegiatan : Pengadaan Obat Ekatalog

Pekerjaan : Pengadaan RSD Madani Kota Pekanbaru

Harga
SATUAN STOK AWAL Satuan Volume JUMLAH
PO NAMA OBAT (Rp)
1 Amlodipin besilat 5 mg tablet Tablet 14474 94 2,100 Rp 197,400
2 Amoksisilin 500 mg tablet Tablet 10568 261 40,000 Rp 10,440,000
3 Asam askorbat 50 mg tablet Tablet 3105 110 40,000 Rp 4,400,000
4 Asam folat 1 mg tablet Tablet 2463 79 40,000 Rp 3,160,000
5 Atovar 10 mg (Atorvastatin 10 mg) Tablet 1150 20,000 Rp 23,000,000
6 Bisoprolol 5 mg tablet Tablet 828 237 18,000 Rp 4,266,000
Diazepam 10 mg / 2,5 ml rectal (Stesolid rectal 10
7 tube 99 19193 1,000 Rp 19,193,000
mg)
8 Diazepam 2 mg tablet Tablet 904 86 1,000 Rp 86,000
Diazepam 5 mg rectal / 2,5 ml (Stesolid rectal 5
9 tube 96 13202 1,000 Rp 13,202,000
mg)
10 Garam oralit 200 ml sacc 5434 274 20,000 Rp 5,480,000
11 Gentamisin inj 40 mg/ml ampul 170 3685 20,000 Rp 73,700,000
12 Ketorolac injeksi 30 mg/ml ampul 984 1089 20,000 Rp 21,780,000
13 Kodein 10 mg tablet Tablet 1231 600 40,000 Rp 24,000,000
14 Magnesium sulfat inj 20 % ampul 3328 9,600 Rp 31,948,800
15 Metformin 500 mg tablet Tablet 96 106 40,000 Rp 4,240,000
16 Piridoxin HCl 10 mg tablet Tablet 3801 138 40,000 Rp 5,520,000
17 Prednison 5 mg tablet Tablet 9845 77 20,000 Rp 1,540,000
18 Simvastatin 10 mg tablet Tablet 2540 117 35,000 Rp 4,095,000
19 Sukralfat 500 mg / 5 ml sirup botol 6989 20,000 Rp 139,780,000

Tab. tambah darah komb(minimal mengandung fe

20 fumarat 180 mg atau fe gliconat 500 mg dan asam Tablet
folat 0,4 mg ( bionemi)
2989 372 48,000 Rp 17,856,000
21 Zink sirup 20 mg/5 ml botol 483 3322 20,000 Rp 66,440,000
22 Candesartan 16 mg tablet 3251 545 45,000 Rp 24,525,000
23 Furosemid inj ampul 900 1333 15,000 Rp 19,995,000
TOTAL HARGA Rp 518,844,200
 DAFTAR HARGA PERKITRAAN KEBUTUHAN OBAT NON EKATALOG RSD MADANI UNTUK TAHUN 2020

Kegiatan : Pengadaan Obat Non Ekatalog

Pekerjaan : Pengadaan Obat-Obatan RSD Madani
NO NAMA OBAT SATUAN Harga Satuan Volume Jumlah keterangan
1 Acdat krim (asam fusidat 20 mg/g) tube 20,000 1000 20,000,000
2 Acyclovir 5% krim tube 5,068 2400 12,163,200
3 Alluporinol 300 mg tablet Tablet 225 20000 4,500,000
4 Ambroxol 15 mg/5 ml sirup botol 782 30000 23,460,000
5 Anti mual untuk ibu hamil (Provomer B6) Tablet 2,752 10000 27,520,000
6 Betametason, neomisin krim (Betason-N cream) tube 1,340 2000 2,680,000
7 Bromheksin HCl 4 mg/5 ml (Hustab) Tablet 413 5000 2,065,000
8 Cendo eyefresh minidose botol 26000 500 13,000,000
9 Cendo xitrol botol 27,830 1000 27,830,000
10 Cetirizin 10 mg tablet Tablet 94 10000 940,000
11 Cetirizin 5 mg/5 ml sirup botol 2,907 5000 14,535,000
12 Curcuma tablet Tablet 518 20000 10,360,000
13 Dexametason 0,5 mg tablet Tablet 33 10000 330,000
14 Dexametason inj 5 mg ampul 1,659 1000 1,659,000
15 Ducosate sodium 5 mg Ear drops / Forumen botol 28,050 500 14,025,000
16 Erytromycin 200mg/5ml sirup kering botol 6,867 5000 34,335,000
17 Flukonazol 150 mg tablet Tablet 18,900 3000 56,700,000
Fluocinolon acetonid 0,25 mg krim (Dermasolon
18 tube
oint) 5,200 2000 10,400,000
19 Gluconas kalsikus inj ampul 22500 240 5,400,000
20 Hiosin butilbromid inj 20 mg/ml (Buscopan injeksi) ampul 33,000 500 16,500,000
Hiosin-N-Butilbromida 10 mg tablet (Scopma
21 Tablet
tablet) 1,320 10000 13,200,000
22 Isosorbit dinitrat sub lingual tablet 5 mg Tablet 91 10000 910,000
23 Katekonazole krim 2 % tube 2,518 1000 2,518,000
Kombinasi Tripolidin, Pseudoefedrin sirup (Valved
24 botol
Sirup) 24,200 500 12,100,000
Kombinasi tripolidin, Pseudoefedrin tablet (Valved
25 Tablet
tablet) 1,375 5000 6,875,000
26 Lactobasilus ( Lacto. B ) pcs 7,651 1000 7,651,000
27 Lidokain jeli 2 % Injeksi 55,000 500 27,500,000
28 Meloxicam 15 mg tablet Tablet 1,265 5000 6,325,000
29 Metil prednisolon 4 mg tablet Tablet 137 10000 1,370,000
30 Misoprostol 200 mcg tablet (Gastrul) Tablet 9,900 5000 49,500,000
31 Multivitamin sirup (Becefort sirup) botol 19,250 500 9,625,000
32 Oxitosin inj ampul 1,900 500 950,000
Paracetamol 160 mg suppos (Propiretik 160 mg
33 suppos 6,820 1500 10,230,000
suppos)
34 Sefadroxil 500 mg tablet Tablet 488 20000 9,760,000
35 Sefixim 100 mg tablet Tablet 750 5000 3,750,000
36 Sefixim 100 mg/5 ml sirup kering botol 5,530 3000 16,590,000
37 Vitamin untuk ibu hamil tablet (Natavit tablet) Botol 85,000 5000 425,000,000
38 Tramadol tab 50 mg Tablet 3000 1000 3,000,000
TOTAL 905,256,200
 RENCANA KEBUTUHAN OBAT TAHUN 2020
NO NAMA OBAT SATUAN STOK AWAL RKO EXP
1 Acdat krim (asam fusidat 20 mg/g) tube 200
2 Acyclovir 5% krim tube 200
3 Alluporinol 300 mg tablet Tablet 840 1000 Sep-19
4 Ambroxol 15 mg/5 ml sirup botol 22
5 Amlodipin besilat 5 mg tablet Tablet 14474 5000 Juni 20
6 Amoksisilin 500 mg tablet Tablet 10568 3000 Sep-20
7 Anti mual untuk ibu hamil (Provomer B6) Tablet 200 800
8 Asam askorbat 50 mg tablet Tablet 3105 10000 Mei, Juli 21
9 Asam folat 1 mg tablet Tablet 2463 2000 Agus 20
10 Atovar 10 mg (Atorvastatin 10 mg) Tablet 500 Mar-20
11 Betametason, neomisin krim (Betason-N cream) tube
12 Bisoprolol 5 mg tablet Tablet 828 100 Agus 20
13 Bromheksin HCl 4 mg/5 ml (Hustab) Tablet 1500
14 Cendo eyefresh minidose botol
15 Cendo xitrol botol
16 Cetirizin 10 mg tablet Tablet 20781 6000 Apr-20
17 Cetirizin 5 mg/5 ml sirup botol 394 150 Okt 20
18 Curcuma tablet Tablet 1650
19 Dexametason 0,5 mg tablet Tablet 12239 3000 Nov-19
20 Dexametason inj 5 mg ampul 559 100 Feb-20
21 Diazepam 10 mg / 2,5 ml rectal (Stesolid rectal 10 mg) tube 99 30 Mei 20
22 Diazepam 2 mg tablet Tablet 904 200 Mei 20
23 Diazepam 5 mg rectal / 2,5 ml (Stesolid rectal 5 mg) tube 96 50 Juni 19
24 Ducosate sodium 5 mg Ear drops / Forumen botol 23 Jan-19
25 Erytromycin 200mg/5ml sirup kering botol 2 100
26 Flukonazol 150 mg tablet Tablet 229 300 Agus 19
27 Fluocinolon acetonid 0,25 mg krim (Dermasolon oint) tube
28 Garam oralit 200 ml sacc 5434 6000 Juli 2019
29 Gentamisin inj 40 mg/ml ampul 170 50 Mar-20
30 Gentamisin salep kulit 1% tube 177 100 Juli 21
31 Gluconas kalsikus inj 48
32 Hiosin butilbromid inj 20 mg/ml (Buscopan injeksi) ampul
33 Hiosin-N-Butilbromida 10 mg tablet (Scopma tablet) Tablet
34 Isosorbit dinitrat sub lingual tablet 5 mg Tablet 930 Apr-21
35 Katekonazole krim 2 % tube 100Feb 20, Mei 22
36 Ketorolac injeksi 30 mg/ml ampul 984 Mei 20
37 Kodein 10 mg tablet Tablet 1231
38 Kombinasi Tripolidin, Pseudoefedrin sirup (Valved botol 410 150 Sep-20
Sirup)
Kombinasi tripolidin, Pseudoefedrin tablet (Valved
39 Tablet 1489 150 Sep-20
tablet)
40 Lactobasilus ( Lacto. B )
41 Lidokain jeli 2 % 50 10 Feb-20
42 Magnesium sulfat inj 20 % ampul
43 Meloxicam 15 mg tablet Tablet 1228 1000 Juli 2019
44 Metformin 500 mg tablet Tablet 96 3000
45 Metil prednisolon 4 mg tablet Tablet 11015 8000 ei 21, Mei 22
46 Misoprostol 200 mcg tablet (Gastrul) Tablet 180 200 Juli 2019
47 Multivitamin sirup (Becefort sirup) botol 177 200 Sep-20
48 Oxitosin inj ampul 89 Feb-20
49 Paracetamol 160 mg suppos (Propiretik 160 mg suppos) suppos 252
50 Piridoxin HCl 10 mg tablet Tablet 3801 500 Jan-20
51 Prednison 5 mg tablet Tablet 9845 1000 Juni 20
52 Sefadroxil 500 mg tablet Tablet 1600 1000 Feb-20
53 Sefixim 100 mg tablet Tablet 50 3000
54 Sefixim 100 mg/5 ml sirup kering botol 552 200 Agus 19
55 Simvastatin 10 mg tablet Tablet 2540 Mei 20
56 Sukralfat 500 mg / 5 ml sirup botol
Tab. tambah darah komb(minimal mengandung fe
57 fumarat 180 mg atau fe gliconat 500 mg dan asam folat Tablet
0,4 mg ( bionemi) 2989 20001,Ap21,Des21
58 Vitamin untuk ibu hamil tablet (Natavit tablet) Tablet
59 Zink sirup 20 mg/5 ml botol 483 50 Juni 20
60 Candesartan 16 mg tablet 3251 Mei 20
61 Furosemid inj ampul 900 Juni 20
62 Tramadol tab 50 mg 1000 Des 20

Pekanbaru, November 2019

Ka.Ins Farmasi RSD Madani Kota Pekanbaru

Ira Hesnita, S.Farm., Apt

NIP. 198609062015032003
 RENCANA KEBUTUHAN OBAT (RKO) 2020
RS DAERAH MADANI KOTA PEKANBARU

Rumah Sakit RS. Daerah Madani

KAB/KOTA Pekanbaru
PROPINSI Riau

SATUAN /
N0 KODE NAMA OBAT
KEMASAN
Barang Kebutuhan
STOK AWAL Masuk TOTAL 12 bln RKO 2020 KET
03. OBAT 0
1 03.0001 Acarbose 100 mg tablet Tablet 0 0 0
2 03.0002 Acdat krim (asam fusidat 20 mg/g) tube 0 177.6 -177.6 200
3 03.0003 ACT (artesunat tab 50 mg+amodiaquin anhidrat tab 200 mg) Tablet 0 0 0
4 03.0004 Acyclovir 200 mg tablet Tablet 2175 2175 184.8 1990.2 500 Feb-20
5 03.0005 Acyclovir 400 mg tablet Tablet 3074 3074 1492.8 1581.2
6 03.0006 Acyclovir 5% krim tube 0 189.6 -189.6 200
7 03.0007 Air untuk irigasi infus 1000 ml (WIDA WI UNICAP) botol 38 38 0 38 Juni 20
8 03.0008 Albendazol 400 mg tablet Tablet 1300 1300 0 1300 Juli 21
9 03.0009 Alilestrenol 5 mg tablet (garvinon tablet) Tablet 0 426 -426
10 03.0010 Allopurinol 100 mg tablet Tablet 10110 10110 1659.6 8450.4 Juni 20
11 03.0011 Alluporinol 300 mg tablet Tablet 840 840 122.4 717.6 1000 Sep-19
12 03.0012 Alprazolam 0,5 mg tablet Tablet 0 0 0
13 03.0013 Alprazolam 1 mg tablet Tablet 0 354 -354
14 03.0014 Ambroxol 15 mg/5 ml sirup botol 22 22 0 22
15 03.0015 Ambroxol 15 mg/5 ml sirup (Nuvopec sirup) botol 0 332.4 -332.4 350
16 03.0016 Ambroxol 30 mg tablet Tablet 511 511 3531.6 -3020.6
17 03.0017 Aminofilin 24 mg/ml injeksi ampul 60 60 0 60 Mei 21
18 03.0018 Aminofilin scored 200 mg tablet Tablet 0 0 0
19 03.0019 Aminofilin scored 200 mg tablet (Decavil tablet) Tablet 3993 3993 0 3993 Mei 20
20 03.0020 Amitriptilin 25 mg tablet Tablet 0 0 0
21 03.0021 Amlodipin 5 mg tablet (Zevask 5 mg tablet) Tablet 0 0 0
22 03.0022 Amlodipin besilat 10 mg tablet Tablet 16096 16096 4440 11656
23 03.0023 Amlodipin besilat 5 mg tablet Tablet 14474 14474 570 13904 5000 Juni 20
24 03.0024 Amoksisilin 100 mg/ml drops (Amoxan drop sirup) botol 140 140 214.8 -74.8 50 Maret 20
25 03.0025 Amoksisilin 125 mg/5 ml sirup kering botol 38 38 189.6 -151.6 150
26 03.0026 Amoksisilin 250 mg tablet Tablet 425 425 696 -271 300 Agus 20
27 03.0027 Amoksisilin 250 mg/5ml sirup kering forte botol 240 240 334.8 -94.8 100 Agus 20
 Amoksisilin 500 mg + asam klavulanat tab 125 mg tablet (Co
28 03.0028 Tablet
amoxiclav) 11222 11222 410.4 10811.6 3000 Feb-20
29 03.0029 Amoksisilin 500 mg tablet Tablet 10568 10568 4575.6 5992.4 3000 Sep-20
30 03.0030 Ampicilin injeksi 1500 mg (Vicillin inj 1500 mg) ampul 10 10 0 10
31 03.0031 Ampisillin injeksi (phapin Inj) ampul 0 0 0
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill
32 03.0032 Pen
cartridge (Insulin Aspart (Analogue) 0 0 0
33 03.0033 Anastesi lokal untuk gigi citoject (articain injeksi) ampul 0 0 0
34 03.0034 Anastesi lokal untuk gigi untuk pasien tensi tinggi (mevinor injeksi) ampul 0 0 0
35 03.0035 Antalgin 500 mg tablet Tablet 0 0 0
36 03.0036 Antalgin injeksi ampul 0 0 0
37 03.0037 Antasida doen komb tablet kunyah Tablet 13264 13264 2008.8 11255.2 1000 Agus 20
38 03.0038 Antasida doen kombinasi suspensi botol 60 60 363.6 -303.6 300 Sep-20
Anti bakteri doen salap kombinasi : basitrasin 500 IU polimiksin 10.000
39 03.0039 tube
IU/g 500 500 0 500
40 03.0040 Anti bakteri topikal untuk luka bakar (Bioplasenton gel) tube 0 0 0
41 03.0041 Anti bakteri topikal untuk luka bakar (Neocenta gel) tube 0 271.2 -271.2 300
42 03.0042 Anti fungi doen salep pot 0 0 0
43 03.0043 Anti hemoroid supp kombinasi suppos 24 24 28.8 -4.8 Juli 21
44 03.0044 Anti inflamasi dan antipruritik lotio (Caladin Lotion) botol 0 0 0
45 03.0045 Anti inflamasi dan antipruritik lotio (Calamec Lotion) botol 0 0 0
46 03.0046 Anti influenza, dekongestan tablet (Coparcetin tablet ) Tablet 0 0 0
47 03.0047 Anti malaria doen komb (pirimetamin 25 mg, sulfadoksin 500 mg) Tablet 1200 1200 262.8 937.2 Feb-20
48 03.0048 Anti migrain tablet komb (Ergotamin tartar + kaffein) Tablet 0 0 0
49 03.0049 Anti mual untuk ibu hamil (Anvomer B6) Tablet 0 0 0
50 03.0050 Anti mual untuk ibu hamil (Provomer B6) Tablet 200 200 978 -778 800
Anti parkinson doen tab komb : benserazid 25 mg, levodopa 100 mg
51 03.0051 Tablet
(levovar tablet) 0 277.2 -277.2 300
52 03.0052 Anti tetanus (Tetagam Inj)/human tetanus imonoglobulin inj im 250 IU ampul 180 180 0 180 Des 20
53 03.0053 Anti tusif sirup kombinasi (Dextral sirup) botol 0 0 0
54 03.0054 Anti tusif sirup kombinasi (Dextropen sirup) botol 520 520 0 520 Okt 20
55 03.0055 Anti tusif sirup kombinasi (Samcodryl sirup) botol 0 0 0
56 03.0056 Anti tusif sirup kombinasi (Wood's Pappermint Antitusive sirup) botol 0 0 0
57 03.0057 Anti tusif tablet kombinasi (Corsamyl tablet) Tablet 0 0 0
58 03.0058 Anti tusif tablet kombinasi (Tuzalos kapsul) Tablet 0 0 0
59 03.0059 Anti tusif, dekongestan, ekspektoran (Hufagrip sirup) botol 0 0 0
60 03.0060 Anti tusif, ekspektoran, nasal dekongestan sirup (Colfin sirup) botol 0 0 0
61 03.0061 Antitusif, ekpectoran, nasal dekongestan sirup (Coredryl) botol 0 0 0
62 03.0062 Antitusif, ekpectoran, nasal dekongestan sirup (milsen sirup) botol 0 0 0
63 03.0063 Antitusif, ekpectoran, nasal dekongestan tablet (Flunax ) Tablet 0 0 0
64 03.0064 Antitusif, ekpectoran, nasal dekongestan tablet (Lodecom Forte tab) ) Tablet 0 0 0
65 03.0065 Aqua pro inj steril 25 ml bebas pirogen ampul 950 950 33.6 916.4
66 03.0066 Asam askorbat 250 mg tablet Tablet 9806 9806 0 9806
67 03.0067 Asam askorbat 50 mg tablet Tablet 3105 1900 5005 15216 -10211 10000 Mei, Juli 21
68 03.0068 Asam folat 1 mg tablet Tablet 2463 2463 1497.6 965.4 2000 Agus 20
69 03.0069 Asam mefenamat 500 mg tablet Tablet 0 4731.6 -4731.6 5000 Okt 19
70 03.0070 Asam pipemidat 400mg tablet (Urinter) Tablet 1127 1127 117.6 1009.4 Juli 20, Feb 21
71 03.0071 Asam salisilat, asam laktat, polidocanol (Calusol) botol 0 8.4 -8.4 10
72 03.0072 Asam traneksamat 500 tablet (Clonex) Tablet 0 0 0
73 03.0073 Asam traneksamat 500 tablet (Lexatran) Tablet 4062 4062 345.6 3716.4 1000 Juli 2019
74 03.0074 Asam traneksamat 500 tablet (Transmin) Tablet 0 0 0
75 03.0075 Asam valproat 250 mg /5 ml (Depakene sirup) botol 0 0 0
76 03.0076 Asam valproat 250 mg /5 ml sirup botol 0 0 0
77 03.0077 Asam valproat sirup (Ikalep 250 mg/5 ml sirup) botol 0 0 0
78 03.0078 Asam valproat SR 250 mg tablet (Depakote 250 tablet) Tablet 0 0 0
79 03.0079 Asetil sistein 200 mg tablet Tablet 3322 3322 339.6 2982.4 1000 Juli 20
80 03.0080 Asetosal 80 mg tablet (Ascardia tablet) Tablet 0 0 0
81 03.0081 Asetosal 80 mg tablet (Aspilet tablet) Tablet 0 0 0
82 03.0082 Asetosal 80 mg tablet (Miniaspi Tablet) Tablet 2413 2413 747.6 1665.4 Mar-21
83 03.0083 Atovar 10 mg (Atorvastatin 10 mg) Tablet 0 475.2 -475.2 500 Mar-20
84 03.0084 Atropin sulphate inj 0.25mg/ml ampul 100 100 10.8 89.2 30 Juni 20
85 03.0085 Attapulgite 600 mg tablet(Nodiar) Tablet 0 0 0
86 03.0086 Attapulgite 630 mg tablet (pularex) Tablet 0 0 0
87 03.0087 Attapulgite tablet (Neo Diagon tablet) Tablet 4587 4587 120 4467
88 03.0088 Azitromisin 500 mg tablet Tablet 5665 5665 820.8 4844.2 1500 Apr-20
89 03.0089 Baby cought sirup botol 0 0 0
90 03.0090 Benzatin penisilin 2,4 IU im vial 10 10 0 10
91 03.0091 Betahistin 6 mg tablet (Kurtigo 6 mg) Tablet 0 0 0
92 03.0092 Betahistin mesilat 6 mg tablet Tablet 15067 15067 891.6 14175.4 1000 Des 20
93 03.0093 Betametason krim 0,1 % tube 2307 2307 264 2043 Apr-21
94 03.0094 Betametason, neomisin krim (Betason-N cream) tube 0 0 0
95 03.0095 Betametason, neomisin krim (Bevalex cream) tube 0 0 0
96 03.0096 Bisakodil 5 mg suppositoria suppos 0 0 0
97 03.0097 Bisakodil 10 mg suppositoria (Stolax supp) suppos 0 300 -300 300
98 03.0098 Bisakodil 5 mg supposositoria (Dulcolax suppos) suppos 0 274.8 -274.8 300
99 03.0099 Bisakodil 5 mg tablet Tablet 0 260.4 -260.4 300
100 03.0100 Bisakodil 5 mg tablet (Dulcolak) Tablet 0 0 0
101 03.0101 Bisakodil 5 mg tablet (Laxana) Tablet 0 0 0
102 03.0102 Bisoprolol 5 mg tablet Tablet 828 828 633.6 194.4 100 Agus 20
103 03.0103 Bromheksin 4 mg/5 ml sirup kombinasi (Bisolvon ekstra sirup) botol 0 0 0
104 03.0104 Bromheksin 2 mg/ml injeksi (Bisolvon injeksi Nebu) ampul 0 0 0
105 03.0105 Bromheksin HCl 4 mg/5 ml (Hustab) Tablet 1500 1500 879.6 620.4
106 03.0106 Bromheksin HCl 4 mg/5 ml sirup (Miravon sirup) botol 0 0 0
107 03.0107 Bromheksin tablet kombinasi (Hustab tablet) Tablet 420 420 0 420
Budesonid formoterol (Fixed combination) inhaler 160/4,5 mcg
108 03.0108 botol
(Symbicort) 185 185 32.4 152.6 80 Feb-20
109 03.0109 Budesonid respules cairan inhaler 0,25 mg/ml / Pulmicort ampul 670 670 28.8 641.2 100 Feb-20
110 03.0110 Captopril 12,5 mg tablet Tablet 0 975.6 -975.6 1000
111 03.0111 Captopril 25 mg tablet Tablet 513 513 639.6 -126.6 1000
112 03.0112 Cefotaxime Inj 1000 mg vial 20 20 33.6 -13.6 20
113 03.0113 Ceftriaxon inj 1 mg ampul 1080 1080 3.6 1076.4 Juni 20
114 03.0114 Cendo eyefresh minidose botol 0 0 0
115 03.0115 Cendo xitrol botol 0 0 0
116 03.0116 Cetirizin 10 mg tablet Tablet 20781 20781 3002.4 17778.6 6000 Apr-20
117 03.0117 Cetirizin 5 mg/5 ml sirup botol 394 394 141.6 252.4 150 Okt 20
118 03.0118 Cetirizin 5 mg/5 ml sirup (Trisela sirup) botol 0 0 0
119 03.0119 Chlorhexidine gluconate 0,2 % solution (Periokin) botol 0 0 0
120 03.0120 Cimetidin 200 mg tablet Tablet 0 0 0
121 03.0121 Cintocinon inj ampul 0 0 0
122 03.0122 Ciprofloxacin 250 mg tablet Tablet 0 0 0
123 03.0123 Ciprofloxacin 500 mg tablet Tablet 2297 2297 922.8 1374.2 Des 19
124 03.0124 Citicolin 500 mg tablet Tablet 0 0 0
125 03.0125 Citicolin 500 mg tablet (Recolin 500 mg tablet) Tablet 0 0 0
126 03.0126 Clobazam 10 mg tablet Tablet 890 890 9.6 880.4 Juni 21
127 03.0127 Clopidogrel 75 mg tablet Tablet 5509 5509 0 5509 Mei 20
128 03.0128 Clozapin 25 mg tablet Tablet 0 0 0
129 03.0129 Courage Tablet 0 0 0
130 03.0130 Curcuma tablet Tablet 1650 1650 454.8 1195.2
131 03.0131 Cystone 100 btl/100 500 500 0 500 Nov-19
132 03.0132 Cystone 25 btl/25 0 0 0
133 03.0133 Desoksimetason, neomisin sulfat (Denomix krim) tube 0 0 0
134 03.0134 Detoksifikasi (lecitin, curcuma xanthorrhizae, Vit E) Tablet 0 0 0
135 03.0135 Dexametason 0,5 mg tablet Tablet 12239 12239 0 12239 3000 Nov-19
136 03.0136 Dexametason inj 5 mg ampul 559 559 532.8 26.2 100 Feb-20
Dexamethason phosphat 1 mg, Neomycin sulphat 3,5 mg, Polimixim B
137 03.0137 botol
sulphat 6000 IU 0 0 0
138 03.0138 Dextrometorfan Hbr sirup botol 0 0 0
139 03.0139 Dextrometorfan Hbr 15 mg tablet Tablet 0 0 0
140 03.0140 Diare, konstipasi, kembung (Lactobacillus/L Bio) sacc 0 0 0
141 03.0141 Diazepam 10 mg / 2,5 ml rectal (Stesolid rectal 10 mg) tube 99 99 62.4 36.6 30 Mei 20
142 03.0142 Diazepam 2 mg tablet Tablet 904 904 175.2 728.8 200 Mei 20
143 03.0143 Diazepam 5 mg rectal / 2,5 ml (Stesolid rectal 5 mg) tube 96 96 3.6 92.4 50 Juni 19
144 03.0144 Diazepam 5 mg tablet Tablet 0 0 0
145 03.0145 Diazepam inj 5 mg / ml ampul 105 105 69.6 35.4
146 03.0146 Digoxin 0,125 mg tablet Tablet 0 0 0
147 03.0147 Digoxin 0,25 mg tablet Tablet 0 0 0
148 03.0148 Diltiazem tablet 30 mg Tablet 0 0 0
149 03.0149 Dimenhidrinat 50 mg tablet Tablet 2000 2000 19.2 1980.8 Juli 23
150 03.0150 Diphenhidramin HCl inj iv/im 10 mg/ml ampul 60 60 19.2 40.8 28-Feb-21
151 03.0151 Doksisiklin100 mg tablet Tablet 1850 1850 492 1358 300 Juli 20
152 03.0152 Domperidon drop 5 mg/ml botol 0 0 0
153 03.0153 Domperidone tablet 10 mg Tablet 10223 10223 32.4 10190.6 300 Okt 20
154 03.0154 Domperidone 5 mg/5 ml sirup botol 46 46 0 46
155 03.0155 Ducosate sodium 5 mg Ear drops / Forumen botol 23 23 15.6 7.4 Jan-19
156 03.0156 Dustasteride 0,5 mg (Avodart) Tablet 150 150 15.6 134.4 100 Sep-20
157 03.0157 Dydrogesterone 10 mg tablet (Dupaston 10 mg tablet) Tablet 2740 2740 0 2740
158 03.0158 Efinefrin (Adrenalin) Hcl inj 1mg/ml ampul 105 105 44.4 60.6 100 Maret & Nov 20
159 03.0159 Eperison HCl 50 mg tablet (Estalex tablet) Tablet 0 0 0
160 03.0160 Ergokalsiferol (vitamin D3/D2 kaps 50,000 UI) Tablet 0 0 0
161 03.0161 Erytromycin 200mg/5ml sirup kering botol 2 2 103.2 -101.2 100
162 03.0162 Erytromycin 250 mg kapsul kapsul 0 300 -300 300
163 03.0163 Erytromycin 500 mg kapsul kapsul 2535 2535 790.8 1744.2 1000 Nov-19
164 03.0164 Etambutol HCl 500 mg tablet Tablet 0 0 0
165 03.0165 Ethisolvon Tablet 0 0 0
166 03.0166 Eugenol cairan botol 22 22 3.6 18.4 Mei 21
167 03.0167 Extrac beladon 10 mg tablet Tablet 0 0 0
168 03.0168 Famotidine 20 mg tablet Tablet 0 0 0
169 03.0169 Famotidine 40 mg tablet Tablet 0 0 0
170 03.0170 Fenitoin Na 100 mg kapsul kapsul 0 166.8 -166.8 300
171 03.0171 Fenitoin Na 30 mg kapsul kapsul 0 0 0
172 03.0172 Fenitoin Na 30 mg kapsul (Decatona 30mg) kapsul 0 195.6 -195.6 300
173 03.0173 Fenobarbital inj 50 mg ampul 30 30 30 0
174 03.0174 Fenobarbital 30 mg tablet Tablet 300 300 229.2 70.8 100
175 03.0175 Fenofibrat 100 mg tablet Tablet 0 3.6 -3.6
176 03.0176 Fenol gliserol tts telinga / Carbo gliserol tetes telinga botol 85 85 104.4 -19.4 24 Sep 2019 & Juni 20
177 03.0177 Fitomenadion (vit K) inj im 2 mg/ml ampul 0 0 0
178 03.0178 Fitomenadion inj 10 mg ampul 0 0 0
179 03.0179 Fitomenadion inj 2 mg/ml (vit K infant inj) ampul 0 0 0
180 03.0180 Fitomenadion tablet salut gula 10 mg Tablet 1130 1100 2230 1166.4 1063.6 1063 Okt 19,Juni 21,Okt 21
181 03.0181 Fluanza sirup botol 0 0 0
182 03.0182 Flukonazol 150 mg tablet Tablet 229 229 8.4 220.6 300 Agus 19
183 03.0183 Flunarizin 10 mg tablet (Cevadil 10 tablet) Tablet 0 895.2 -895.2 500 Apr-20
184 03.0184 Flunarizin 10 mg tablet (Seremig 10 mg tablet) Tablet 0 0 0
185 03.0185 Flunarizin 10 mg tablet (Sinral 10 mg tablet) Tablet 0 0 0
186 03.0186 Flunarizin 5 mg tablet (Sinral 5 mg tablet) Tablet 0 0 0
187 03.0187 Flunarizin 5 mg tablet (Cevadil 5 mg tablet) Tablet 1009 1009 0 1009
188 03.0188 Flunarizin10 mg tablet Tablet 0 0 0
189 03.0189 Fluocinolon acetonid 0,25 mg krim (Dermasolon oint) tube 0 0 0
190 03.0190 Fluoksetin 20 mg tablet Tablet 0 0 0
191 03.0191 Fluoksetin10 mg tablet (Foransi 10 mg) Tablet 0 0 0
192 03.0192 Fluor 0,5 mg tablet Tablet 0 0 0
193 03.0193 Fluosinolon asetonid, neomisin krim (Flucort N cream) tube 0 0 0
194 03.0194 Flusinolon asetonid krim 0,025 % (Synarcus krim) tube 0 51.6 -51.6 50
195 03.0195 Formalin tablet Tablet 0 0 0
196 03.0196 Fradiomisin, gramisidin tablet (FG- Troches tablet) Tablet 0 0 0
197 03.0197 Furosemid 40 mg tablet Tablet 3298 1000 4298 151.2 4146.8 3000 Juli 19, Jan 22
198 03.0198 Gaba pentin 300 mg tablet (Galepsi tablet) Tablet 110 110 94.8 15.2
199 03.0199 Gamexan emulsi 1 % botol 0 0 0
200 03.0200 Garam oralit 200 ml sacc 5434 5434 342 5092 6000 Juli 2019
201 03.0201 Gemfibrozil 300 mg tablet Tablet 0 135.6 -135.6 200 Agus 19
202 03.0202 Gentamisin inj 40 mg/ml ampul 170 170 9.6 160.4 50 Mar-20
203 03.0203 Gentamisin salep kulit 1% tube 177 177 274.8 -97.8 100 Juli 21
204 03.0204 Gentamisin salep mata 0,3 % tube 0 0 0
205 03.0205 Gentamisin sulfat tetes mata botol 139 139 37.2 101.8 Agus 20
206 03.0206 Gentian violet 1 % botol 114 114 18 96 Juni 21
207 03.0207 Glibenklamid 5 mg tablet Tablet 630 630 387.6 242.4
208 03.0208 Glikazide 80 mg tablet Tablet 0 0 0
209 03.0209 Glimepirid 1 mg tablet Tablet 0 0 0
210 03.0210 Glimepirid 2 mg tablet Tablet 14570 14570 337.2 14232.8 Mei 21
211 03.0211 Gliseril guayacolat 100 mg tablet / Guafenisin 100 mg tablet Tablet 4680 4680 1082.4 3597.6
212 03.0212 Gliseril trinitrate sublingual tablet Tablet 0 0 0
213 03.0213 Gluconas kalsikus inj 48 48 0 48
214 03.0214 Glucosa lart inf 5 % botol 100 100 21.6 78.4
215 03.0215 Glucosa lart inf 10 % botol 40 40 110.4 -70.4 60
216 03.0216 Griseofulvin 125 mg tablet Tablet 0 182.4 -182.4 300
217 03.0217 Haloperidol 0,5 mg tablet Tablet 0 99.6 -99.6 100
218 03.0218 Haloperidol 1,5 mg tablet Tablet 300 300 9.6 290.4
219 03.0219 Haloperidol 2 mg tablet Tablet 0 2.4 -2.4
220 03.0220 Haloperidol 5 mg tablet Tablet 100 100 0 100
221 03.0221 Heparin sodium jelly (Hico gel) tube 0 0 0
222 03.0222 Heparin sodium jelly (Trombophop gel) tube 0 0 0
223 03.0223 Hidroklorotiazid 25 mg tablet Tablet 2339 2339 42 2297 Ap 21
224 03.0224 Hidrokortison krim 2.5 % tube 387 432 819 517.2 301.8 50 Agus 20,Nov 22
225 03.0225 Hiosin butilbromid inj 20 mg/ml ampul 0 0 0
226 03.0226 Hiosin butilbromid inj 20 mg/ml (Buscopan injeksi) ampul 0 0 0
227 03.0227 Hiosin-N-Butilbromida 10 mg tablet (Scopamin tablet) Tablet 0 0 0
228 03.0228 Hiosin-N-Butilbromida 10 mg tablet (Scopma tablet) Tablet 0 0 0
229 03.0229 Hiosin-N-Butilbromida 10 mg tablet (Spasmalit tablet) Tablet 0 0 0
230 03.0230 HPMC, Dextran 70 0 0 0
231 03.0231 Ibuprofen 100 mg /5 ml sirup botol 0 0 0 Mei 20
232 03.0232 Ibuprofen 125 mg supositoria suppos 0 0 0
233 03.0233 Ibuprofen 125 mg suppos (Proris 125 mg suppos) suppos 0 0 0
234 03.0234 Ibuprofen 200 mg /5 ml sirup botol 391 391 75.6 315.4
235 03.0235 Ibuprofen 200 mg tablet Tablet 835 835 309.6 525.4
236 03.0236 Ibuprofen 400 mg tablet Tablet 2581 2581 1298.4 1282.6
237 03.0237 Immunoglobulin manusia 100 - 170 mg / ATS ampul 338 338 7.2 330.8 Apr-20
238 03.0238 Imunomodulator sirup (Stimuno sirup) botol 0 0 0
239 03.0239 Imunomodulator tablet (Fituno kapsul) kapsul 0 0 0
240 03.0240 Imunomodulator tablet (Imunvit tab) Tablet 0 0 0
241 03.0241 Imunomodulator tablet (Proimbus tablet) Tablet 0 0 0
242 03.0242 Imunomodulator tablet (Stimuno tablet) Tablet 0 0 0
243 03.0243 Imunomudulator sirup (HI_Boster) botol 0 0 0
244 03.0244 Imunomudulator sirup (Stimuno sirup) botol 0 0 0
245 03.0245 Infatrim forte (Sulfametaksazol 800 mg + trimetropin 160 mg Tablet 0 0 0
246 03.0246 Irbesartan 150 mg tablet Tablet 0 0 0
247 03.0247 Isoniazid 300 mg tablet Tablet 6949 6949 105.6 6843.4
248 03.0248 Isoniazid 100 mg tablet Tablet 100 100 0 100
249 03.0249 Isosorbit dinitrat sub lingual tablet 5 mg Tablet 930 930 739.2 190.8 Apr-21
250 03.0250 Isosukprine 20 mg tablet (Tonotan tablet) Tablet 100 100 118.8 -18.8 100
251 03.0251 Isotic neolyson tetes mata botol 0 0 0
252 03.0252 Isoxsuprine 20 mg tablet (Duvadilan Tablet) Tablet 0 2050.8 -2050.8 2000
253 03.0253 Isoxsuprine 20 mg tablet (Hystolan tablet) Tablet 0 0 0
254 03.0254 Itrakonazole 100 mg tablet (Tracon) Tablet 275 275 110.4 164.6 200 Mei 20
255 03.0255 Kalium diklofenak 50 mg tablet Tablet 0 0 0
256 03.0256 Kalium diklofenak tablet (Erphaflam) Tablet 0 0 0
257 03.0257 Kalium klorida tablet 600 mg (KSR) Tablet 1600 1600 0 1600
258 03.0258 Kalsium lactat 500 mg tablet Tablet 1415 5000 6415 4371.6 2043.4 1000
259 03.0259 Kalsium organik aquamin (Cavit D) Tablet 0 0 0
260 03.0260 Kanamycin inj 1200 1200 0 1200
261 03.0261 Kaolin pectin sirup botol 36 36 0 36
262 03.0262 Karbamazepin 200 mg tablet tablet 0 0 0 Agust 19
263 03.0263 Katekonazole krim 2 % tube 100 100 202.8 -102.8 100 Feb 20, Mei 22
264 03.0264 Katekonazole 200 mg tablet tablet 4535 4535 81.6 4453.4 2000 Jan dan Juni 2020
265 03.0265 Ketamin inj 100 mg/ml ampul 0 0 0
266 03.0266 Ketokonazol solution 2 % (Fungazol scalp sol 2%) 0 0 0
267 03.0267 Ketokonazol solution 2 % (Interzol scalp sol 2%) botol 2 2 0 2
268 03.0268 Ketorolac injeksi 30 mg/ml ampul 984 984 52.8 931.2 Mei 20
269 03.0269 Klindamycin 150 mg kapsul kapsul 245 800 1045 1430.4 -385.4 400 Juli 20, Mei 21
270 03.0270 Klindamycin 300 mg kapsul kapsul 1683 1683 398.4 1284.6 Agus 20
271 03.0271 Klomifen citrat tablet (Provula tablet) Tablet 0 0 0
272 03.0272 Kloramfenicol SM 1 % tube 463 463 495.6 -32.6 50 Apr-21
273 03.0273 Kloramfenicol tetes mata 0,05 % (Reco TM) botol 0 0 0
274 03.0274 Kloramfenicol tts telinga 3 % (erlamycetin tts telinga) botol 0 0 0
275 03.0275 Kloramfenikol 0,5 % tetes mata (Erlamycetin tetes mata) botol 0 0 0
276 03.0276 Kloramfenikol 250 mg kapsul kapsul 540 540 459.6 80.4
277 03.0277 Kloramfenikol salep kulit 2% (Bufacetin krim) tube 432 432 20.4 411.6
278 03.0278 Klorfeniramin maleat 4 mg tablet Tablet 18836 18836 3060 15776 6000 Nov 19, Feb 20
279 03.0279 Klorpromazin HCl 100 mg tablet Tablet 100 100 3.6 96.4
280 03.0280 Kodein 10 mg tablet Tablet 1231 1231 336 895
281 03.0281 Kombinasi Attapulgite + pectin tablet (Akita Tablet) Tablet 0 0 0
282 03.0282 Kombinasi Attapulgite + pectin tablet (Omegdiar tablet) Tablet 0 0 0
 Kombinasi Bromheksin HCl dan guafenisin sirup (Wood's Pappermint
283 03.0283 botol 0 0 0
Expetorant sirup)
284 03.0284 Kombinasi Kaolin + pectin (New Diaform tablet) Tablet 0 0 0
285 03.0285 Kombinasi Poly dan sodium chloride (Voluven lar Inf. 6%) botol 180 180 90 90 15 Agust 19, Feb 20
286 03.0286 Kombinasi Tripolidin, Peudoefedrin tablet (Noza Tablet) Tablet 0 122.4 -122.4 100
287 03.0287 Kombinasi Tripolidin, Pseudoefedrin Dekstromethorpan HBr sirup botol 0 0 0
288 03.0288 Kombinasi Tripolidin, pseudoefedrin sirup (Protifed sirup) botol 0 0 0
289 03.0289 Kombinasi Tripolidin, Pseudoefedrin sirup (Quantidex sirup) botol 0 0 0
290 03.0290 Kombinasi Tripolidin, Pseudoefedrin sirup (Valved Sirup) botol 410 410 132 278 150 Sep-20
291 03.0291 Kombinasi Tripolidin, Pseudoefedrin tablet (Alerfed tablet) Tablet 0 0 0
292 03.0292 Kombinasi Tripolidin, Pseudoefedrin tablet (Neo protifed Tablet) Tablet 0 0 0
293 03.0293 Kombinasi tripolidin, Pseudoefedrin tablet (Valved tablet) Tablet 1489 1489 516 973 150 Sep-20
294 03.0294 Kombinasi Tripolidine, Pseudoefedrin tablet (grafed tablet) Tablet 0 0 0
295 03.0295 Kombinasi Tripolidine, Pseudoefedrin tablet (Martisal tablet) Tablet 0 0 0
296 03.0296 Kombipak Azithromycin + Cefixim Tablet 60 60 6 54
297 03.0297 Kotrimoksazol 480 mg tablet Tablet 260 3000 3260 517.2 2742.8
298 03.0298 Kotrimoksazol forte 960 mg tablet Tablet 0 18 -18
299 03.0299 Kotrimoksazol suspensi botol 267 267 75.6 191.4 50 Agus 20
300 03.0300 Lactobasilus ( Lacbon ) ) sacc 0 0 0
301 03.0301 Lactobasilus ( Lacto. B ) 0 0 0
302 03.0302 Lactulosa sirup ( Lactulax sirup) botol 149 149 0 149 50 Mei 20
303 03.0303 Lancar ASI tablet Tablet 0 0 0
304 03.0304 Lansoprazol kapl 30 mg kaplet 19855 19855 189.6 19665.4
305 03.0305 Larutan mengandung karbohidrat + elektrolit (glukosa 25 g, NaCl 4,5 g) botol 88 88 2.4 85.6 20 Agus 19
306 03.0306 Levofloksasin 500 mg tablet Tablet 1650 1650 81.6 1568.4 500 Mar-20
307 03.0307 Lidocain comp inj 2 % ampul 690 690 146.4 543.6 100 Agus 20
308 03.0308 Lidocain comp inj 2 % (Pehacain inj) ampul 0 0 0
309 03.0309 Lidocain inj 2 % (HCL) ampul 200 200 99.6 100.4
310 03.0310 Lidocain spray oral 10 % (Xylocain spray) botol 53 53 63.6 -10.6 10 Apr-20
311 03.0311 Lidokain jeli 2 % 50 50 0 50 10 Feb-20
312 03.0312 Lincomisin 500 mg tablet Tablet 0 0 0
313 03.0313 Lisinopril 10 mg tablet Tablet 1419 1419 1113.6 305.4 300 Juli 2019
314 03.0314 Litrol tetes mata botol 0 0 0
315 03.0315 Loperamide 2 mg tablet Tablet 0 0 0
316 03.0316 Loperamide 2 mg tablet (Diastrix) Tablet 0 0 0
317 03.0317 Loratadine10 mg tablet Tablet 15108 15108 471.6 14636.4 2000 Agust 19, Juli 21
318 03.0318 Magnesium sulfat inj 20 % ampul 0 0 0
319 03.0319 Magnesium sulfat inj 40 % ampul 100 100 49.2 50.8 Nov & Des 20,
Maltodextran, Lactobacilus acidophilus, Lactobacilus casei, lactobacilus
320 03.0320 salivanur, bifidobacterium infantis, bifidobacterium lactis,
bifidobacterium longun 0 0 0
321 03.0321 Mdt Kusta Mb Dewasa blister 0 0 0
322 03.0322 Mdt Kusta Pb Dewasa blister 0 0 0
323 03.0323 Mecobalamin 500 mg tablet (Nufacobal tablet) Tablet 0 0 0
324 03.0324 Mecobalamin 500 mg tablet (Oxicobal tablet) Tablet 2200 2200 4675.2 -2475.2 3000 Juli 2019
325 03.0325 Meloxicam 15 mg tablet Tablet 1228 1228 2090.4 -862.4 1000 Juli 2019
326 03.0326 Metformin 500 mg tablet Tablet 96 96 945.6 -849.6 3000
327 03.0327 Metformin 850 mg tablet Tablet 0 1906.8 -1906.8 2000
328 03.0328 Methyl salisilat 110, Menthol 60 mg, Eugenol 15 mg botol 0 0 0
329 03.0329 Metil Dopa 250 mg tablet (Dopamet 250 mg tablet) Tablet 1360 1360 3.6 1356.4 Apr-21
330 03.0330 Metil prednisolon 4 mg tablet Tablet 11015 200 11215 18800.4 -7585.4 8000 Mei 21, Mei 22
331 03.0331 Metilergometrin maleat inj 0.2 mg/ml ampul 1800 1800 60 1740
332 03.0332 Metilergometrin maleat inj (Myomergin injeksi) ampul 0 0 0 Juni 20
333 03.0333 Metilergometrin maleat tablet 0,125 mg Tablet 3244 500 3744 244.8 3499.2 1000 Nov 19, Apr 23
334 03.0334 Metoklopramid 5 mg/5 ml sirup (Lexapram sirup) botol 0 58.8 -58.8 50 Sep-19
335 03.0335 Metoklopramid 5 mg/5 ml sirup (Primpen sirup) botol 0 0 0
336 03.0336 Metoklopramid HCl 10 mg tablet Tablet 1900 1900 56.4 1843.6 500 Sep-19
337 03.0337 Metronidazol 250 mg tablet Tablet 0 0 0
338 03.0338 Metronidazol lar. Infus 5mg/ml botol 3600 3600 45.6 3554.4 Juni 20
339 03.0339 Metronidazol 500 mg tablet Tablet 0 12454.8 -12454.8 10000
340 03.0340 Metronidazol ovula 500 mg (Vagizol ovula) suppos 215 215 182.4 32.6 Juni 21
341 03.0341 Metronidazol suppos (Flagil suppositoria) suppos 0 0 0
342 03.0342 Metyagin Injeksi ampul 0 0 0
343 03.0343 Miconazol krim tube 1562 1562 27.6 1534.4
344 03.0344 Mineral Mix 0 0 0
345 03.0345 Misoprostol 200 mcg tablet (Gastrul) Tablet 180 180 258 -78 200 Juli 2019
346 03.0346 Molex flu 0 0 0
347 03.0347 Mometason furoat krim 0,1 % tube 216 100 316 9.6 306.4 Juli 20,Mei 21
348 03.0348 Multivitamin Pelancar ASI Tablet 0 0 0
349 03.0349 Multivitamin sirup botol 0 0 0
350 03.0350 Multivitamin sirup (Alvit sirup) botol 0 0 0
351 03.0351 Multivitamin sirup (Anabion plus Dha Sirup) botol 0 0 0
352 03.0352 Multivitamin sirup (Becefort sirup) botol 177 177 183.6 -6.6 200 Sep-20
353 03.0353 Multivitamin sirup (Betafort Sirup) botol 0 0 0
354 03.0354 Multivitamin sirup (Biofos Sirup) botol 0 141.6 -141.6 100
355 03.0355 Multivitamin sirup (Biovitan sirup) botol 0 0 0
356 03.0356 Multivitamin sirup (Calcidol B12 syrup 120 ml) botol 0 0 0
357 03.0357 Multivitamin sirup (Cavicur Emulsion syrup) botol 0 0 0
358 03.0358 Multivitamin sirup (Lyscavit sirup)) botol 0 0 0
359 03.0359 Multivitamin sirup (Lytacur sirup) botol 0 0 0
360 03.0360 Multivitamin sirup (Mulsamol sirup) botol 0 0 0
361 03.0361 Multivitamin sirup (Prolysin Syrup Plus) botol 0 0 0
362 03.0362 Multivitamin sirup (Sanbe Kids Syrup) botol 0 0 0
363 03.0363 Multivitamin sirup (Sangobion Vita Tonik sirup) botol 0 0 0
364 03.0364 Multivitamin sirup (Truvit sirup) botol 0 0 0
365 03.0365 Multivitamin tablet Tablet 0 0 0
366 03.0366 Multivitamin tablet (Adfer tablet) Tablet 0 0 0
367 03.0367 Multivitamin tablet (Albion tablet) Tablet 0 0 0
368 03.0368 Multivitamin tablet (Asifit tablet) Tablet 0 0 0
369 03.0369 Multivitamin tablet (Becefort tablet) Tablet 0 39.6 -39.6 3000
370 03.0370 Multivitamin tablet (Bionemi tablet) Tablet 0 0 0
371 03.0371 Multivitamin tablet (Bioron tablet ) Tablet 0 0 0
372 03.0372 Multivitamin tablet (Caviplex tablet)) Tablet 0 0 0
373 03.0373 Multivitamin tablet (Dasabion) Tablet 0 0 0
374 03.0374 Multivitamin tablet (Geriavita tablet) Tablet 0 0 0
375 03.0375 Multivitamin tablet (Hemafort tablet) Tablet 0 0 0
376 03.0376 Multivitamin tablet (Livron B Plek) Tablet 0 230.4 -230.4 3000
377 03.0377 Multivitamin tablet (Mersibion) Tablet 0 0 0
378 03.0378 Multivitamin tablet (Pehavral tablet) Tablet 0 1500 -1500 5000
379 03.0379 Multivitamin tablet (Samcobion tablet) Tablet 0 0 0
380 03.0380 Multivitamin tablet (Selkom-C tab) Tablet 0 0 0
381 03.0381 Multivitamin tablet (Selviplex tab) Tablet 0 0 0
382 03.0382 Natrium bikarbonat 500 mg tablet Tablet 925 925 982.8 -57.8 100
383 03.0383 Natrium diklofenak gel (Megatik gel) tube 0 0 0
384 03.0384 Natrium diklofenak gel (Voltaren gel) tube 0 219.6 -219.6 300
385 03.0385 Natrium diklofenat 25 mg tablet Tablet 4492 4492 0 4492
386 03.0386 Natrium diklofenat 50 mg tablet Tablet 9542 3000 12542 0 12542 Juni 21, 31 Juli 21
387 03.0387 Natrium fusidat 20 mg krim (Fucilex krim) tube 59 59 0 59
388 03.0388 Natrium fusidat salep 20 mg/g tube 0 0 0
389 03.0389 Natrium klorida inf 0.9 % botol 0 0 0
390 03.0390 Natrium tiroksin 100 mg/Euthyrox 100ug 0 0 0
391 03.0391 Natrium valproat 250 mg tablet (Ikalep 250 mg tablet) Tablet 0 0 0
392 03.0392 Nelicort ear drops botol 34 34 8.4 25.6 25 Juli 20
393 03.0393 Neo Guanistrep sirup botol 0 0 0
394 03.0394 Neurotropik injeksi ampul 0 0 0
395 03.0395 Nifedipin 20 mg tablet (Adalat Oros 2.0 mg) Tablet 0 0 0
396 03.0396 Nifedipin 20 mg tablet Tablet 0 675.6 -675.6 700
397 03.0397 Norestisteron 5 mg tablet (Norelut 5 mg tablet) Tablet 0 0 0
398 03.0398 Norestisteron 5 mg tablet (Norestil 5 mg tablet) Tablet 180 180 634.8 -454.8 500 Juni 20
399 03.0399 Norestisteron 5 mg tablet (Primolut N 5 mg tablet) Tablet 0 0 0
400 03.0400 Novalgin inj (Metamizol 500 mg injeksi) ampul 0 0 0
401 03.0401 Novomix - 30 Flex pen 180 180 26.4 153.6 15 Jan-20
402 03.0402 Nystatin 500.000 tablet gula Tablet 400 400 0 400 100 Agust 19
403 03.0403 Nystatin 100.000 tablet vagina Tablet 994 994 10.8 983.2
404 03.0404 Nystatin 100.000 UI/ml drop (Cazetin drop) botol 178 178 274.8 -96.8 100 Okt 20
405 03.0405 Nystatin 100.000 UI/ml drop (Nocandis drop) botol 0 0 0
406 03.0406 OAT kategori I ( Kombipak ) Paket 0 0 0
407 03.0407 OAT kategori I (FDC) Paket 16 16 25.2 -9.2
408 03.0408 OAT kategori anak Paket 0 0 0
409 03.0409 OAT kategori II (FDC) Paket 5 5 16.8 -11.8
410 03.0410 OAT sisipan ( FDC ) Paket 0 0 0
411 03.0411 Obat anti malaria Tablet 0 0 0

412 03.0412 Obat batuk berdahak, pilek, flu, demam anak-anak (Millsen) 0 0 0
413 03.0413 Obat batuk berdahak, pilek, flu, demam dewasa (Wicold) 0 0 0
414 03.0414 OBH combi plus sirup 100 ml botol 0 0 0
415 03.0415 OBH Indo Plus sirup botol 0 0 0
416 03.0416 OBH sirup botol 227 227 52.8 174.2 50 Agus 20
417 03.0417 Oflofloksasin tetes telinga (Tarivid tetes telinga) 150 77 77 15.6 61.4 80 Juli 19
418 03.0418 Ofloxacin 400 mg tablet 69 150 150 0 150
419 03.0419 Oksitetrasiklin HCl salep kulit 3% tube 69 69 12 57 50 Agust 19
420 03.0420 Oksitetrasiklin HCl salep mata 1 % tube 0 0 0
421 03.0421 Omeprazol 20 mg tablet Tablet 28714 28714 2030.4 26683.6 2000 Okt 20, Jan 21
422 03.0422 Omeprazole inj 40 mg/10 ml ampul 100 100 81.6 18.4
423 03.0423 Ondansetron inj 4 mg/ 2 mL ampul 1000 1000 27.6 972.4 50 Nov-19
424 03.0424 Ondansetron 4 mg tablet Tablet 10 10 0 10
425 03.0425 Ondansetron 8 mg tablet Tablet 1014 336 1350 1389.6 -39.6 100 Des 19, 22 Jan 20
426 03.0426 Oxfezin syrup botol 0 0 0
427 03.0427 Oxitosin inj ampul 89 89 0 89 Feb-20
428 03.0428 Oxymethazolin HCl 0,025 mg/ml tetes (Iliadin drop) botol 79 79 0 79 Juni 20
429 03.0429 Oxymethazolin HCl 0,05 % spray (Iliadin spray) botol 83 83 0 83
430 03.0430 Pacdin cough sirup botol 0 0 0
431 03.0431 Panvit C Tablet 0 0 0
432 03.0432 Papaverin 40 mg tablet Tablet 0 0 0
433 03.0433 Paracetamol 160 mg suppos (Propiretik 160 mg suppos) suppos 252 252 69.6 182.4
434 03.0434 Paracetamol 500 mg tablet Tablet 3111 3111 3980.4 -869.4 3000 Agus 20
435 03.0435 Paracetamol 500 mg tablet (Fasidol tablet) Tablet 0 0 0
436 03.0436 Paracetamol 500 mg tablet (Pacetik 500 tablet) Tablet 0 0 0
437 03.0437 Paracetamol 80 mg suppos (Propiretik 80 mg suppos) suppos 0 0 0
438 03.0438 Paracetamol 80 mg suppos (Pyrexin 80 mg suppos) suppos 0 0 0
439 03.0439 Paracetamol infuse botol 888 888 805.2 82.8 Sep-20
440 03.0440 Paracetamol sirup 120 mg/5 ml botol 2940 2940 146.4 2793.6 300 Sep-19
441 03.0441 Paracetamol sirup 120 mg/5 ml (Fasidol sirup) botol 0 0 0
442 03.0442 Paracetamol suppos (Pamol supp) suppos 0 0 0
443 03.0443 Paracetamol, fenil propanolamin, CTM Tablet 0 0 0
444 03.0444 Parasetamol 100 mg/ml drop botol 0 0 0
445 03.0445 Parasetamol 125/2,5 ml tube rectal (Dumin 125 mg/5 ml Rectal) 0 0 0
Parasetamol 200 mg, Succus liquiretiae 75 mg, Amonium klorida 25
446 03.0446
mg, Pseudoefedrin 15 mg, CTM 0,5 mg 0 0 0

447 03.0447 Parasetamol 250 mg/2,5 ml tube rectal (Dumin 250 mg/2,5 ml Rectal)
0 0 0
448 03.0448 Parasetamol suppos suppos 0 0 0
Pemulihan tulang rawan sendi (Glukosamin, chondroitin, vit C dan
449 03.0449 Tablet
manganase / Osteotin) 0 0 0
450 03.0450 Permetrin 5 % krim (Scabimite Cream) tube 66 66 27.6 38.4 50 Mei 20
451 03.0451 Pharmaton formula kapsul kapsul 0 0 0
452 03.0452 Piracetam 400 mg tablet Tablet 3400 3400 454.8 2945.2 1000 Juni 20
453 03.0453 Pirantel 125 mg/5ml sirup botol 0 0 0
454 03.0454 Pirantel pamoat tablet 125 mg tablet Tablet 0 0 0
455 03.0455 Pirazinamid 500 mg tablet Tablet 0 0 0
456 03.0456 Piridoxin HCl 10 mg tablet Tablet 3801 3801 285.6 3515.4 500 Jan-20
457 03.0457 Piridoxin HCl 25 mg tablet Tablet 1680 1680 825.6 854.4 300 Okt 19
458 03.0458 Piroksikam 10 mg tablet Tablet 1590 1590 50.4 1539.6 1000 Nov-19
459 03.0459 Piroksikam 20 mg tablet Tablet 0 0 0
460 03.0460 Policresulen (Albotil) botol 0 0 0
461 03.0461 Policresulen (Aptil) botol 0 0 0
462 03.0462 Pravastatin 20 mg tablet Tablet 0 0 0
463 03.0463 Prednison 5 mg tablet Tablet 9845 9845 3201.6 6643.4 1000 Juni 20
464 03.0464 Prednison 5 mg tablet (Remacort 5 mg) Tablet 0 0 0
465 03.0465 Primaquin 25 mg Tablet 0 0 0
466 03.0466 Probenesid tablet (Probenid Tablet) Tablet 0 0 0
467 03.0467 Prokain penisilin G 3 juta inj ampul 0 0 0
468 03.0468 Prokaterol HCl 50 mcg/5 ml sirup (Ataroc sirup) botol 0 4.8 -4.8 50
469 03.0469 Propanolol HCl 40 mg tablet Tablet 985 985 80.4 904.6
470 03.0470 Propanolol HCl 10 mg tablet Tablet 950 950 69.6 880.4 Juli 21
471 03.0471 Propiltiourasil 100 mg tablet Tablet 0 50.4 -50.4 100
472 03.0472 Prorenal tablet Tablet 40 40 159.6 -119.6 200
473 03.0473 Ranitidin 150 mg tablet Tablet 4812 4812 2151.6 2660.4 2000 Juli 20
474 03.0474 Ranitidin 25 mg/2 ml injeksi ampul 0 297.6 -297.6 300
475 03.0475 Red yeast rice (Angkak) extrac 300 mg, Gauva folium extrac 300 mg Tablet 0 0 0
476 03.0476 Retinol (Vit A) 200.000 IU kapsul kapsul 70 70 12 58
477 03.0477 Retinol (Vit A) 100.000 IU kapsul kapsul 0 0 0
478 03.0478 Rifampicin 300 mg kapsul kapsul 100 100 0 100
479 03.0479 Rifampicin 600 mg kapsul kapsul 0 0 0
480 03.0480 Rifampisin 450 mg kapsul kapsul 270 270 108 162
481 03.0481 Ringer laktat larutan infus botol 10811 10811 1414.8 9396.2 23-Jan
482 03.0482 Risperidone 2 mg tablet Tablet 0 0 0
483 03.0483 Salap 2 - 4 komb Pot 113 113 2.4 110.6
484 03.0484 Salbutamol 2 mg tablet Tablet 5745 2000 7745 1995.6 5749.4 3000 Apr 20,Juni 22
485 03.0485 Salbutamol 2 mg/5 ml sirup botol 0 0 0
486 03.0486 Salbutamol 2,5 mg/amp (Ventolin nebuliser) ampul 0 307.2 -307.2 500
487 03.0487 Salbutamol 4 mg tablet Tablet 0 0 0
488 03.0488 Salbutamol aerosol/inhalasi 100 mcg (Dipsamol) botol 0 0 0
489 03.0489 Salbutamol inhalasi / aerosol 100 mcg/dosis botol 0 0 0
490 03.0490 Salbutamol inhalasi / aerosol 100 mcg/dosis (Salbulinn MDI) botol 0 0 0
491 03.0491 Salisil bedak 2 % 179 179 271.2 -92.2 100
492 03.0492 Scabicid cream tube 0 214.8 -214.8 200
493 03.0493 Sefadroxil 125 mg/5 ml sirup kering botol 502 502 75.6 426.4
494 03.0494 Sefadroxil 250 mg tablet Tablet 0 0 0
495 03.0495 Sefadroxil 500 mg tablet Tablet 1600 1600 993.6 606.4 1000 Feb-20
496 03.0496 Sefixim 100 mg tablet Tablet 50 50 3555.6 -3505.6 3000
497 03.0497 Sefixim 100 mg/5 ml sirup kering botol 552 552 774 -222 200 Agus 19
498 03.0498 Sianokobalamin (vit B12)inj 500 mcg ampul 0 0 0
499 03.0499 Silver sulfadiazin cr tube 204 204 1.2 202.8 50 Maret 20, Mei 21
500 03.0500 Simvastatin 20 mg tablet Tablet 0 811.2 -811.2 800
501 03.0501 Simvastatin 10 mg tablet Tablet 2540 2540 835.2 1704.8 Mei 20
502 03.0502 Sirup besi (Ferriz sirup) botol 107 107 3.6 103.4 Mar-20
503 03.0503 Sirup besi drop (Ferriz drops) botol 4 4 55.2 -51.2 50
504 03.0504 Slidenafil 50 mg tablet Tablet 0 34.8 -34.8
505 03.0505 Solifenacin succinat (Vesicare 10 mg) Tablet 300 300 30 270 200 Des 19
506 03.0506 Solifenacin succinat (Vesicare 5 mg) Tablet 300 300 0 300 200 Des 19
507 03.0507 Spiranolacton 25 mg tablet Tablet 483 483 9.6 473.4 400 Apr-20
508 03.0508 Sucralfat tablet (Ulsidex tablet) Tablet 0 20.4 -20.4 100
509 03.0509 Sukralfat 500 mg / 5 ml sirup botol 0 0 0
510 03.0510 Sukralfat 500 mg tablet Tablet 0 0 0
511 03.0511 Sulfadimidin 500 mg tablet Tablet 0 0 0
Tab. tambah darah komb(minimal mengandung fe fumarat 180 mg atau
512 03.0512 Tablet
fe gliconat 500 mg dan asam folat 0,4 mg ( bionemi) 2989 7500 10489 7545.6 2943.4 2000 Agus19,Jan21,Ap21,Des21
513 03.0513 Tamsulosin tablet Sr 0,4 mg tablet (harnal ocas tablet) Tablet 611 611 62.4 548.6 Des 19
514 03.0514 Telmisartan 40 mg tablet (Micardis 40 tablet) Tablet 1493 1493 82.8 1410.2 1000 Agus 20
515 03.0515 Teofilin SR 300 mg tablet (Rethapyl tablet ) Tablet 15749 15749 771.6 14977.4 500 Maret 20
516 03.0516 Tetrahydrozoline HCl tetes mata (Ailin tetes mata) botol 0 0 0
517 03.0517 Tetrahydrozoline HCl tetes mata (Insto hijau tetes mata) botol 0 0 0
518 03.0518 Tetrahydrozoline HCl tetes mata (Isotic Clearens tetes mata) botol 0 0 0
519 03.0519 Tetrahydrozoline HCl tetes mata (Rotho tetes mata) botol 0 0 0
520 03.0520 Tetrakain HCl tetes mata 0,5 % (Pantocain tetes mata) botol 48 48 2.4 45.6 Sep-19
521 03.0521 Tetrasiklin HCl 500 mg tablet Tablet 0 0 0
522 03.0522 Thiamfenicol 125 mg/5 ml sirup (Dionicol sirup) botol 0 0 0
523 03.0523 Thiamfenicol 500 mg tablet (Dionicol tablet) Tablet 0 0 0
524 03.0524 Thiamin HCl 50 mg tablet B1 Tablet 14045 14045 615.6 13429.4 Juli 21
525 03.0525 Toksilixe Tablet 0 0 0
526 03.0526 dobutamin inj Tablet 40 40 0 40 Apr-20
527 03.0527 Tretinoin 0,05% krim (Nuface Cream) tube 0 0 0
528 03.0528 Triheksipenidil 2 mg tablet Tablet 20 20 20.4 -0.4
529 03.0529 Tyasinon injeksi ampul 0 0 0
530 03.0530 Unibebi cough sirup botol 0 0 0
531 03.0531 Urispas tablet (Flavoxate Hcl 200 mg tablet) Tablet 3000 3000 27.6 2972.4
532 03.0532 Valsartan 80 tablet (Valesco 80 mg tablet) Tablet 0 0 0
533 03.0533 Vicalcin sirup botol 0 0 0
534 03.0534 Vitamin B komplek tablet Tablet 5347 1000 6347 1202.4 5144.6 2000 Maret 20,Feb 22
535 03.0535 Vitamin neurotropik tablet (Beneuron) Tablet 0 0 0
536 03.0536 Vitamin neurotropik tablet (Neurovit E) Tablet 0 1543.2 -1543.2 3000
537 03.0537 Vitamin neurotropik tablet (Vitever tablet) Tablet 0 0 0
538 03.0538 Vitamin untuk ibu hamil tablet (Bundavin tablet) Tablet 0 0 0
539 03.0539 Vitamin untuk ibu hamil tablet (Natavit tablet) Tablet 0 0 0
540 03.0540 Vitamin untuk ibu hamil tablet (Selfero tablet) Tablet 0 0 0
541 03.0541 Warfarin 2 mg tablet (Notisil tablet) Tablet 0 0 0
542 03.0542 Warfarin 2 mg tablet (Simarc-2 tablet ) Tablet 2440 2440 343.2 2096.8 2000 Nov-19
543 03.0543 Zink sirup 20 mg/5 ml botol 483 483 253.2 229.8 50 Juni 20
544 03.0544 Zink dispersible tablet 20 mg Tablet 310 310 760.8 -450.8 500 Agus 20
545 03.0545 Zink drop 10 ml/ml botol 0 0 0
546 03.0546 Zink drop 10 ml/ml (Daryazinc drop) botol 0 0 0
547 03.0547 Zink sirup 20 mg/5 ml sirup (Zircum Kids sirup) botol 0 0 0
548 03.0548 Zink sulfat 20 mg/5 ml sirup (Interzinc sirup) botol 0 0 0
549 ABU inj vial 35 35 0 35 Juni 20
550 Arixtra inj syringe 270 270 0 270 Mar-21
551 Atorvastatin 20 MG TAB Tablet 1654 1654 0 1654
552 Atorvastatin 10 MG TAB tablet 2910 2910 0 2910 1000 Mar-20
553 Anti perkinson (stalevo) tablet 930 930 0 930
554 Asam tranexamat inj ampul 983 983 10.8 972.2 50 Feb-20
555 Berotec solution botol 271 271 0 271
556 Berotec aerosol pcs 97 97 0 97 50 Jan-20
557 Cepefim inj vial 10 10 39.6 -29.6 20 Apr 20b
558 Creseotin oil liq botol 2 2 0 2 Feb-20
559 Colcitine tablet tablet 860 900 1760 0 1760 Nov-21
560 Candesartan 16 mg tablet 3251 3251 177.6 3073.4 Mei 20
561 Co amoxiclav syr (calnicsyr) botol 0 129.6 -129.6 100
562 Cendo genta md 0.3% 0 154.8 -154.8 100
563 Fenitoin inj ampul 270 270 9.6 260.4 Mar-20
564 Fungasol sampo botol 93 93 205.2 -112.2 100 Juli 20
565 Furosemid inj ampul 900 900 0 900 Juni 20
566 Fenofibrat 300 mg Tablet 3600 3600 0 3600
567 Fresofol inj 1% ampul 300 300 0 300 18-Apr-21
568 Fentanil inj ampul 55 55 0 55 Ap 21
569 Glimepirid 3 mg tablet 15000 15000 30 14970 Juni 21
570 Herbesser inj vial 270 270 0 270 Sep-20
571 Isofluran inhalasi 250 ml botol 5 5 50.4 -45.4 50
572 Isosorbit dinitrat inj 1 mg/ml ampul 0 1.2 -1.2
573 KSR Tablet 1300 1300 0 1300 Ap 21
574 KCL inj flash 240 240 3.6 236.4 Mei 20
575 Lovenox inj syringe 270 270 3.6 266.4
576 Levemir inj pen 568 568 13.2 554.8 Mei 20
577 Metil prednisolon inj 125 mg vial 538 538 135.6 402.4 Mei 21
578 Meropenem 1gr inj VIAL 353 50 403 0 403 Mei 20
579 Midazolam inj ampul 100 100 0 100 Juni 21
580 Meylon inj (na bikarbonat inj) falsh 120 120 770.4 -650.4 100 Mei 20
581 Pyridol drop botol 309 309 144 165 Juli 21
582 Prosogan inj (lansoprazol inj) vial 877 877 2799.6 -1922.6 100 Jan-21
583 Nicardipin inj ampul 180 180 9.6 170.4 Mar-20
584 Ramipril 2,5 mg tablet 900 900 51.6 848.4 Apr-20
585 Ramipril 5 mg tablet 680 680 0 680 Mei 20
586 Suprafenid supp suppos 716 716 19.2 696.8 Mei 21
587 Tramadol inj ampul 353 353 2.4 350.6
588 Tramadol tab 50 mg 0 225.6 -225.6 1000 Des 20
589 Verapamil tablet 700 700 20.4 679.6
590 Ofloxacin 200 mg tablet Tablet 550 550 192 358 Juni 21
591 Penguat kandungan( duphaston) Tablet 0 3410.4 -3410.4 3000
592 Propiretic supp suppos 0 0 0
593 Novorapid inj syringe 545 545 132 413 Juli 20
594 Bupivacain HCl heavy inj 4 ml ampul 100 100 0 100 Mei 22
595 Atracurium basylat 10 mg/ml ampul 200 200 0 200 Apr-21
596 D5 1/4 NS botol 200 200 0 200 Mar-21
597 Otsu D 10 % botol 1080 1080 18 1062 Feb20,Feb,Ap,Juli21
598 Asering 500 cc botol 300 300 0 300 Apr-22
599 Otsu D 5 % botol 1500 1500 184.8 1315.2 Mar-22
600 Manitol 20 mg/250 ml botol 50 50 0 50 17-Apr-22
septocain 2% box/10 10

04. BAHAN MEDIS HABIS PAKAI SATUAN/KEMASAN STOK AWAL

1 04.0001 Abocat N0.18 / IV CATH No. 18 set 0 100.8 -100.8 100
2 04.0002 Abocat N0.18 / IV CATH No. 18 (Terumo ) set 601 601 277.2 323.8 22-Nov
3 04.0003 Abocat N0.20 / IV CATH No. 20 set 0 0 0
4 04.0004 Abocat N0.20 / IV CATH No. 20 (Terumo ) set 965 965 230.4 734.6 30-Nov-22
5 04.0005 Abocat N0.22 / IV CATH No 22 set 0 0 0
6 04.0006 Abocat N0.22 / IV CATH No 22 ( Terumo ) set 985 985 138 847 Okt 22
7 04.0007 Abocat N0.24 / IV CATH No 24 set 47 47 81.6 -34.6 50
8 04.0008 Abocat N0.24 / IV CATH No 24 ( Terumo ) set 159 159 92.4 66.6 22-Nov
9 04.0009 Air raksa dental use botol 0 0 0
10 04.0010 Alat suntik 1 ml (Disp syringe with needle 1 cc tuberculin (Terumo) set 1,000 1000 0 1000 23-Feb
11 04.0011 Alat suntik 10 ml (Disp syringe with needle 10 cc) set 1,100 1100 0 1100
12 04.0012 Alat suntik 2,5 ml Disp syringe with needle 2,5 cc) set 4,700 4700 2400 2300 500 Juni 20
13 04.0013 Alat suntik 3 ml (Disp syringe with needle 3 cc) (Terumo) set 4,400 4400 0 4400 Des 22
14 04.0014 Alat suntik 5 ml (Disp syringe with needle 5 cc) (Terumo) set 3,400 3400 0 3400 Nov 19, Des 21
15 04.0015 Alginat 0 0 0
16 04.0016 Alkacide 1 L high level desinfectan botol 15 15 45.6 -30.6 27 Mei 21
17 04.0017 Alkohol / Etanol 70% 100 ml botol 69 69 31.2 37.8 Sep-20
18 04.0018 Alkohol / Etanol 70% 1000 ml (Onemed) botol 157 157 3.6 153.4 10 Juli 20
19 04.0019 Alkohol / Etanol 70% 300 ml botol 58 58 2.4 55.6 Sep-20
20 04.0020 Alkohol swab (onemed AC Swab) ktk 489 489 1027.2 -538.2
21 04.0021 Alkohol swab (aximed) ktk 0 0 0
22 04.0022 Alvogyl ( septodont ) botol 0 0 0
23 04.0023 Antiseptik cuci tangan tanpa bilas (Bbraun Softaman 500 ml) botol 15 15 0 15 100
24 04.0024 Apron disposible bag 100 100 0 100 1000
25 04.0025 Aptil cone 0 0 0
26 04.0026 Arsen (Septodont) 15 gr pot 0 0 0
27 04.0027 Artikulating paper ktk 0 0 0
28 04.0028 Asam alkohol botol 0 0 0
29 04.0029 Asam asetat 6 % botol 0 0 0
30 04.0030 Asam sulfosalisilat 20 % botol 0 0 0
31 04.0031 Aximed urine drainage bag Pcs 0 0 0
32 04.0032 Bahan pengisi saluran akar (Metapex) ktk 0 0 0
33 04.0033 Bahan perawatan saluran akar (Cresophein) ktk 0 0 0
34 04.0034 Bahan tambalan ligt curing botol 0 0 0
35 04.0035 Bahan tambalan sinar, anterior dan posterior botol 0 0 0
36 04.0036 Bahan tambalan sementara (Caviton) pot 0 0 0
37 04.0037 Bahan tambalan sementara (Citodur) pot 0 0 0
38 04.0038 Bahan tambalan sinar (Solare A2) tube 0 0 0
39 04.0039 Bahan tambalan sinar (Solare A3) tube 0 0 0
40 04.0040 Bbraun aesculap blades No 11 / Bisturi no 11 ktk 891 891 92.4 798.6 Des 21
41 04.0041 Bbraun aesculap blades No 15 / Bisturi no 10 ktk 0 0 0
42 04.0042 Bbraun aesculap blades No 15 / Bisturi no 15 ktk 969 969 92.4 876.6 200 Agus 19
43 04.0043 Bbraun aesculap blades No 15 / Bisturi no 20 ktk 0 0 0
44 04.0044 Blood lancet 0 0 0
45 04.0045 Blood lancet (Medisafe lancet for fine touch) ktk/30 50 50 0 50 Sep-20
46 04.0046 Bonding komposite + etching botol 0 0 0 5
47 04.0047 Boule M-series Diluid 20 L (Merk Medonic) Galon 0 0 0
48 04.0048 Boule M-series Lyze 5 L (Merk Medonic) Galon 0 0 0
49 04.0049 Boule cleaning kit (Merk Medonic) kit 0 0 0
50 04.0050 Boule Con-Diff Nor 16 Param 1 x 4,5 ml (Merk Medonic) kit 0 0 0
51 04.0051 Box slide ktk 0 0 0
52 04.0052 Brush skeler Pcs 0 0 0
53 04.0053 Bunsen Pcs 0 0 0
54 04.0054 Bur diamond FG set edenta (preparasi) 0 0 0
55 04.0055 Bur polish composite 0 0 0
56 04.0056 Bur tulang high speed 0 0 0
57 04.0057 Cairan handsanitizer 500 ml botol 0 0 0
58 04.0058 Callc denpro 0 0 0
59 04.0059 Carbol fuchsin botol 0 0 0
60 04.0060 Catgut chrom 2/0 75 cm HR26 Sacc 35 35 0 35 Mei 20,Apri 21
61 04.0061 Catgut chrom 3/0 75 cm HR26 Sacc 562 562 51.6 510.4 Nov-20
62 04.0062 Catgut plain 2/0 +jarum1/2 GT 35 mm ktk 403 403 21.6 381.4 Okt 19
63 04.0063 Catgut No.2/0 Sacc 0 21.6 -21.6 96 Okt 21
64 04.0064 Catgut No.3/0 Sacc 0 32.4 -32.4 96
65 04.0065 Cavit (Light Curing Temporary Filling) 0 0 0
66 04.0066 Cell clean (CL-50) (Merk Sismex) botol 0 0 0
67 04.0067 Cell pack (PK-30 L) ( Merk Sismex) box 0 0 0
68 04.0068 Celophan strip strip 0 0 0
69 04.0069 Cervical collar pcs 150 150 2.4 147.6
70 04.0070 Cervical guided disposible pcs 0 0 0
71 04.0071 Cervical guiding luvipa Pcs 20 20 9.6 10.4 Nov-20
72 04.0072 CHKM (Monoklor kamfer mentol cairan) botol 0 0 0 5
73 04.0073 Chlorotulle 0 0 0
 74 04.0074 Cholesterol nesco pcs 0 0 0
75 04.0075 Composit ( XT Rest Syringe 3G ) tube 0 0 0 10
76 04.0076 Control normal hematology 3 diff (Merk Mindray) tube 0 0 0
77 04.0077 Cotton ball ktk 0 0 0
78 04.0078 Cotton rol ktk 0 0 0
79 04.0079 Cresotin liq 2 0 0 0
80 04.0080 Cutticel classis 10 cm x 10 cm pcs 0 0 0
81 04.0081 Daryantulle 0 0 0
82 04.0082 Deg glass 0 0 0
83 04.0083 Dengue lgG / lg M 0 0 0
84 04.0084 Dengue NS 1 card 0 0 0
85 04.0085 Developer 5 Ltr botol 0 0 0
86 04.0086 Devitalisasi pasta tube 0 0 0
87 04.0087 Diluent (Merk Mindray) box 0 0 0
88 04.0088 Dirui H 10 0 0 0
89 04.0089 Doek lubang 30X30 pcs 0 0 0
90 04.0090 Doek steril disposible Pcs 0 0 0
91 04.0091 Eight checks High tube 0 0 0
92 04.0092 Eight checks Low tube 0 0 0
93 04.0093 Eight checks Normal tube 0 0 0
94 04.0094 EKG paper (endo ECG 210 x 30 M) roll 200 200 0 200 500 Des 35
95 04.0095 Elastic Bandage 3"7,5 cm x 4,5 m roll 90 90 0 90
96 04.0096 Elastis Bandage roll 0 0 0
97 04.0097 Elastis Bandage 4" (10cm x 4.5m) roll 174 174 0 174
98 04.0098 Elastis Bandage 6" (15cm x 4.5m) roll 90 90 0 90 Agus 22
99 04.0099 Elite cement mini pack ktk 0 0 0 5
100 04.0100 Eosin 1% botol 0 0 0
101 04.0101 Etakridin (Rivanol) 100 ml botol 0 0 0
102 04.0102 Etakridin (Rivanol) 300 ml botol 493 493 14.4 478.6 Juni 21
103 04.0103 Eter alkokol 100 ml (Aceton Alkohol) botol 0 0 0
104 04.0104 Feeding tube 5 FR Pcs 300 300 49.2 250.8 Jan-21
105 04.0105 Feeding tube 8 FR Pcs 298 298 45.6 252.4 Mar-21
106 04.0106 Female catheter no.12 Pcs 0 0 0
107 04.0107 Filler ktk 0 0 0
108 04.0108 Film gigi 0 0 0
109 04.0109 Film rontgen Uk. 24 x 30 0 0 0
110 04.0110 Film rontgen Uk. 30 x 40 0 0 0
111 04.0111 Film rontgen Uk. 35 x 35 0 0 0
112 04.0112 Fixer 5 Ltr botol 0 0 0
113 04.0113 Fokus 0 0 0
114 04.0114 Folley cateter 2 way no.8 pcs 120 120 0 120 Jan-21
115 04.0115 Folley cateter 2 way no.14 pcs 288 288 22.8 265.2 Mei 22
116 04.0116 Folley cateter 2 way no.16 pcs 280 280 30 250 Mei 22
117 04.0117 Folley cateter 2 way no.18 pcs 300 300 72 228 Mei 22
118 04.0118 Formalin tab tablet 0 0 0
119 04.0119 GC tooth mouse 0 0 0 5
120 04.0120 GIC restorasi ( Ketac Universal ) 0 0 0 5
121 04.0121 GIC restorasi ( ketak universal Liquid ) 0 0 0 5
122 04.0122 GIC sinar (Fuji II LC 1-1 Mini Pack 5 gr) Set 0 0 0 5
123 04.0123 Glass lanomer cement/ GC Fuji IX Set 0 0 0 5
124 04.0124 Gliserin botol 0 0 0
125 04.0125 Gudel anak no 100 mm 19 19 3.6 15.4 22-Sep
126 04.0126 Gudel anak no 80 mm 9 9 21.6 -12.6 Des 22
127 04.0127 Gudel anak no 90 mm 9 9 8.4 0.6 22-Sep
128 04.0128 Gutta percha indodent 15-40 ktk 0 0 0 10
129 04.0129 Gutta percha indoplus#45-80 ktk 0 0 0 10
130 04.0130 H2O2 3% botol 0 0 0 300
131 04.0131 Hands soap 250 ml botol 0 0 0
132 04.0132 Handschoen non steril L psg 0 0 0
133 04.0133 Handschoen non steril M psg 0 0 0
134 04.0134 Handschoen non steril S psg 0 0 0 Juni 20
135 04.0135 Handschoen steril No 8 psg 0 0 0
136 04.0136 Handschoen steril No. 6,5 psg 0 0 0
137 04.0137 Handschoen steril No.7 psg 0 0 0
138 04.0138 Handschoen steril No.7,5 psg 0 0 0
139 04.0139 Handscon gynecolog no 7 psg 0 0 0
140 04.0140 Handsrub 500 cc 2% botol 0 0 0
141 04.0141 Hayem botol 0 0 0
142 04.0142 HB strip merek easy touch strip 0 0 0
143 04.0143 Hemoglobin (stik) strip 0 0 0
144 04.0144 Hematology calibrator SCS-1000 (merk Sismex) tube 0 0 0
145 04.0145 Hexagon syphilis ktk 0 0 0
146 04.0146 Hi oksigen masker dewasa (NR Mask) pcs 300 300 2.4 297.6
147 04.0147 Hibiscrub botol 0 0 0
148 04.0148 Hitung jenis lekosit merk giamsa botol 0 0 0
149 04.0149 HPMC, Dextran 70 0 0 0
150 04.0150 HP rol kain 5 cm x 4,5 m hospital Rol 0 0 0
151 04.0151 Immersion oil botol 10 10 231.6 -221.6 Sep-20
152 04.0152 Infusion set anak (Terumo) pcs 500 500 0 500
153 04.0153 Infusion set dewasa (Terumo) pcs 1,734 1734 61.2 1672.8
154 04.0154 Infusion set y connector pcs 0 0 0
155 04.0155 Intec ktk 0 0 0
156 04.0156 IVA test (Asam Cuka 3-5%) botol 0 0 0
157 04.0157 Jarum extirpasi pcs 0 0 0
158 04.0158 Jarum kulit No.9 s/d 14 pcs 0 0 0
159 04.0159 Jelly KY tube 0 0 0
160 04.0160 Jelly USG (250 ml) tube 0 0 0
161 04.0161 Kalsium hidroksida pasta (hydcal) ktk 0 0 0
162 04.0162 Kapas 1000 gr Rol 0 0 0
163 04.0163 Kapas pembalut 500 gr Rol 300 300 0 300
164 04.0164 Kapas pembalut hidrofil 250 gram Rol 342 342 9.6 332.4
165 04.0165 Kartu golongan darah set 0 0 0
166 04.0166 Kasa hidr steril 18 x 22 ktk 0 0 0
167 04.0167 Kasa hidrofil 36 y x 80 cm Rol 0 0 0
168 04.0168 Kasa kompres 40y/40 cm pcs 2,030 2030 45.6 1984.4 Juli 23
169 04.0169 Kasa pembalut 2y x 80 cm Rol 1,010 1010 4.8 1005.2
170 04.0170 Kasa pembalut 40 x 80 cm Rol 312 312 2.4 309.6
171 04.0171 Kasa pembalut elastis 4 inc Rol 0 0 0
172 04.0172 Kasa pembalut hidro 4x15 Rol 1,050 1050 0 1050
173 04.0173 Kasa pembalut hidro 4x3 Rol 50 50 22.8 27.2
174 04.0174 Kasa pembalut hidro 4x5 Rol 100 100 0 100
175 04.0175 Kasa pembalut hidro 4y x 10 cm Rol 300 300 0 300
176 04.0176 Kasa steril 10 x 10 cm Pcs 345 345 0 345 Nov-20
177 04.0177 Kasa steril 16 x 16 ktk 438 438 92.4 345.6 23-Mar
178 04.0178 Kertas lakmus ktk 0 0 0
179 04.0179 Kertas lensa ktk 0 0 0
180 04.0180 Kertas pH indikator 0-14 ktk 0 0 0
181 04.0181 Kertas puyer 0 0 0
182 04.0182 KOH 10% (IMS Test) botok 0 0 0
183 04.0183 Kondom sutera pcs 0 0 0
184 04.0184 Laju endap darah (LED) (natrium Citrat 3,8%) 0 0 0
185 04.0185 Lar. Methanol botol 0 0 0
186 04.0186 Larutan Chlorine botol 0 0 0
187 04.0187 Larutan HCl 0,1 N botol 0 0 0
188 04.0188 Lekosit (Turk) 100 nl botol 0 0 0
189 04.0189 Lidi kapas steril ktk 0 0 0
190 04.0190 Lidi tusuk sate ktk 0 0 0
191 04.0191 Lubricant sutra pcs 0 0 0
192 04.0192 Lughol 1% 0 0 0
193 04.0193 Lyse (Merk Mindray) botol 500 ml 0 0 0
194 04.0194 Lysol 1000 ml botol 0 0 0
195 04.0195 Lysol kreolin botol 0 0 0
196 04.0196 Masker pcs 0 0 0
197 04.0197 Masker N95 pcs 2,100 2100 1.2 2098.8 Juli 21
198 04.0198 Masker 3 ply pcs 0 0 0
199 04.0199 Masker earloop pcs 500 500 0 500
200 04.0200 Masker nebulizer set anak pcs 600 600 4.8 595.2
201 04.0201 Masker nebulizer set dewasa pcs 997 997 7.2 989.8
202 04.0202 Masker oksigen anak (Maxiflow anak) pcs 200 200 2.4 197.6
203 04.0203 Masker oksigen bayi (Maxiflow bayi) pcs 203 203 0 203
204 04.0204 Masker oksigen dewasa (maxiflow dewasa) pcs 600 600 2.4 597.6
205 04.0205 Masker Tie On pcs 0 0 0
206 04.0206 Master bond / master flow 0 0 0
207 04.0207 Mata bur polis 0 0 0
208 04.0208 Mata skeler ART 0 0 0
209 04.0209 Meditol hand sanitizer botol 0 0 0
210 04.0210 Micro brush pcs 3 3 0 3
211 04.0211 Millsen 0 0 0
212 04.0212 Mitella kain 0 0 0
213 04.0213 My jelly tube 500 500 2.4 497.6 Apr-21
214 04.0214 NaCl 0,9% botol 3,538 3538 249.6 3288.4 5 Juni 23
215 04.0215 Nald hecting No. 13 pcs 0 0 0 Jan-21
216 04.0216 Nald hecting otot No.12 pcs 0 0 0
217 04.0217 Nald hecting otot No.14 pcs 0 0 0 Des 21
218 04.0218 Nald hecting otot No.9 pcs 0 0 0
219 04.0219 Nald hecting kulit No. 12 pcs 0 0 0
220 04.0220 Nald hecting kulit No. 14 pcs 0 0 0
221 04.0221 Nald hecting kulit No. 16 pcs 0 0 0
222 04.0222 Nald hecting kulit No. 9 pcs 0 0 0
223 04.0223 Nald hecting mani no. 32 mm no.15 pcs 0 0 0
224 04.0224 Nald hecting mani SE MH 32 pcs 0 0 0
225 04.0225 Nald hecting mani SE MH 36 pcs 0 0 0
226 04.0226 Nald hecting mani SE MH 40 pcs 0 0 0
227 04.0227 Nald hecting mani SE MH 50 pcs 0 0 0
228 04.0228 Nald hecting mani SE TH 32 pcs 0 0 0
229 04.0229 Nald hecting mani SE TH 36 pcs 0 0 0
230 04.0230 Nald hecting mani SE TH 36 pcs 0 0 0
231 04.0231 Nald hecting mani SE TH 40 pcs 0 0 0
232 04.0232 Nald hecting mani SE TH 45 pcs 0 0 0
233 04.0233 Nald hecting mani SE TH 50 pcs 0 0 0
234 04.0234 Nald hecting mani SE TH 60 pcs 0 0 0
235 04.0235 Nasal canula pediatric pcs 0 0 0
236 04.0236 Nasal oxygen canula anak pcs 0 0 0
237 04.0237 Nasal oxygen canula dewasa pcs 0 0 0
238 04.0238 Nebulizer with mask anak pcs 0 0 0
239 04.0239 Nebulizer with mask dewasa pcs 0 0 0
240 04.0240 Needle 23 untuk bayi pcs 0 0 0
241 04.0241 Needle carpule pcs 0 0 0
242 04.0242 Novotwist 32 G pcs 0 184.8 -184.8 23-Mar
243 04.0243 Objek glass pcs 13,175 13175 0 13175
244 04.0244 Occo botol 1,440 1440 0 1440
245 04.0245 Oksigen 1000 Liter ( Besar) botol 0 0 0
246 04.0246 Oksigen 500 Liter (kecil) botol 0 0 0
247 04.0247 Oksigen nasal canula dewasa dan anak set 0 0 0
248 04.0248 Oksigen nasal canula neonatus set 0 0 0
249 04.0249 Oncoprobe ktk 0 0 0
250 04.0250 Onelab cover glass 18 x 18 mm pcs 0 0 0
251 04.0251 Onescrub refill botol 0 0 0
252 04.0252 Ose Pcs 0 0 0
253 04.0253 Oxycan botol 0 0 0
254 04.0254 Paper ponit denplus#45-80 ktk 0 0 0
255 04.0255 Paper ponit indodent#15-40 ktk 0 0 0
256 04.0256 Papsmear kit ukuran L 0 0 0
257 04.0257 Papsmear kit ukuran M 0 0 0
258 04.0258 Pelunak karang gigi 0 0 0
259 04.0259 Pembalut gips roll 0 0 0
260 04.0260 Pengisian saluran akar 0 0 0
261 04.0261 Perlak 0 0 0
262 04.0262 Pipet plastic 0 0 0
263 04.0263 Plaster (dressing fixasi 5m x 1m) roll 0 0 0
264 04.0264 Plaster (leucoplast 2,5 X 4,5 m) roll 0 0 0
265 04.0265 Plaster mengandung framycetin sulfate 0 0 0
266 04.0266 Plastik obat 4 x 8 cm pcs 0 0 0
267 04.0267 Plastik obat 7 x 10 cm pcs 0 0 0
268 04.0268 Plastik obat 8,7 x 13 cm pcs 0 0 0
269 04.0269 Plastik obat kecil pcs 0 0 0
270 04.0270 Plastik obat sedang pcs 0 0 0
271 04.0271 Plastik obat TB : 10 x 16 cm pcs 0 0 0
272 04.0272 Plastik obat besar pcs 0 0 0
273 04.0273 Plester (hansaplast 2,5 cm x 4,5 m dengan snap ring) rol 0 0 0 Agus 20
274 04.0274 Plester (hansaplast 7,5 cm x 4,5 m dengan snap ring) rol 0 0 0 Sep-20
275 04.0275 Plester (leucoplast 2,5cmx4,5m) rol 1,027 1027 9.6 1017.4 Agus 19
276 04.0276 Plester (leukoplast 7,5 cm x 4,5 m) rol 1,058 1058 8.4 1049.6 Sep-20
277 04.0277 Plester (uniflex 10 cm x 4,5 M/96) rol 6 6 18 -12 s
278 04.0278 Plester 3 rol 0 0 0
279 04.0279 Plester 5 x 4,5 m rol 10 10 4.8 5.2 Agus 20
280 04.0280 Plester 5 Yard x 2 inch rol 0 0 0
281 04.0281 Plester berpori (Fixomul stretch 10 cm x 5 m) rol 330 330 6 324
282 04.0282 Plester berpori (Fixomul stretch 15 cm x 5 m) rol 337 337 21.6 315.4 Juli 21
283 04.0283 Plester berpori (Pharmafix ( 5 Cm x 500 Cm ) rol 0 0 0
284 04.0284 Plester berpori (Pharmaplast) pharmafix ( 5 Cm x 500 Cm ) rol 0 0 0
285 04.0285 Plester berpori 10 cm x 5 m (Pharmafik) rol 0 0 0
286 04.0286 Plester berpori 5 cm x 5 m rol 0 0 0
287 04.0287 Plester gulung rol 0 0 0
288 04.0288 Plester kertas hipoalergenik uk 1 inci (Leucopor) rol 0 0 0
289 04.0289 Plester transparan dermafix 6 X7 rol 0 0 0
290 04.0290 Plester transparan dermafix 10 X 25 rol 0 0 0
291 04.0291 Polifix 10 x 5 rol 0 0 0
292 04.0292 Pot dahak pcs 2,000 2000 0 2000 Juli 23
293 04.0293 Pot salep pcs 0 0 0
294 04.0294 Pot urine pcs 0 0 0
295 04.0295 Printer paper XP series (Merk Sismex) roll 0 0 0
296 04.0296 Probe cleanser (Merk Mindray) botol 0 0 0
297 04.0297 Rapid diagnostik tes (RDT) Pcs 0 0 0
298 04.0298 Reagen HBSAg (hepatitis) Test 0 0 0
299 04.0299 Reagen sodium bicarbonat botol 0 0 0
300 04.0300 Reagen tes golongan darah botol 0 0 0
301 04.0301 Reagen Tes Golongan Darah Anti A 10ml/vial botol 0 0 0
302 04.0302 Reagen Tes Golongan Darah Anti B 10ml/vial botol 0 0 0
303 04.0303 Reagen Tes Golongan Darah Anti D 10ml/vial botol 0 0 0
304 04.0304 Reagen Tes Golongan Daran Anti AB 10ml/vial botol 0 0 0
305 04.0305 Reagen widal + slide botol 0 0 0
306 04.0306 Reagen ziehl nielsen botol 0 0 0
307 04.0307 Reamer kkt 2 2 120 -118
308 04.0308 Resin composit 1470A35Z250XT ktk 0 92.4 -92.4
309 04.0309 Safety box pcs 87 87 0 87
310 04.0310 Saliva ejector BAG 5 5 0 5
311 04.0311 Sarung tangan panjang psg 0 0 0
312 04.0312 SD Bioline HIV Multi ktk 0 0 0
313 04.0313 SE MH 1/2 Circle (H) mani 24 mm no.2 0 0 0
314 04.0314 SE MH 1/2 Circle (H) mani 18 mm No 25 0 0 0
315 04.0315 SE MH 1/2 Circle (H) mani 24 mm No 20 0 0 0
316 04.0316 SE TH 1/2 Circle mani 18 mm No 25 0 0 0
317 04.0317 SE TH 1/2 Circle mani 24 mm No 20 0 0 0
318 04.0318 Selang oksigen unit 0 0 0
319 04.0319 Semen seng fosfat botol 0 0 0
320 04.0320 Sendok obat pcs 0 0 0
321 04.0321 Silk 2/0 sacc 31 31 33.6 -2.6
322 04.0322 Silk 2/0 (Bbraun Silkam Black 2/0 (3) 13 x 60 cm) sacc 0 0 0
323 04.0323 Silk N0.3/0 sacc 0 0 0
324 04.0324 Silk 3/0 (Bbraun Silk kam Black 3/0 75 cm DS24 sacc 91 91 0 91
325 04.0325 Silver amalgam serbuk botol 0 0 0
326 04.0326 Silver sulfadiazin cr botol 179 179 0 179
327 04.0327 Sofratule 0 0 0
328 04.0328 Spalk dewasa 90 cm x 10 cm 0 0 0
329 04.0329 Spalk infuse bayi 0 0 0
330 04.0330 Spalk kai -tangan pcs 0 0 0
331 04.0331 Spalk kayu pcs 97 97 0 97
332 04.0332 Spon gelatin / homospon ktk 0 0 0
333 04.0333 Spritus 1000 cc botol 0 0 0
334 04.0334 Steril pouch width indicator 25cm x 200 m 0 0 0
335 04.0335 Stomach tube 12 FR set 298 298 14.4 283.6 23-Feb
336 04.0336 Stomach tube 16 FR set 298 298 45.6 252.4 23-Feb
337 04.0337 Stone 0 0 0
338 04.0338 Strip cholesterol (Benecheck) ktk/10 12 12 28.8 -16.8 Nov-19
339 04.0339 Strip tes asam urat (Benechek) ktk/25 18 18 10.8 7.2 Des 19
340 04.0340 Strip tes asam urat (Famili DR HB strip) ktk 0 0 0
341 04.0341 Strip tes DBD NS1 ktk 0 0 0
342 04.0342 Strip tes gula darah (Accu chek Activ) ktk 15 15 9.6 5.4 Sep-19
343 04.0343 Strip tes gula darah (Accu chek Performa) ktk/100 0 0 0
344 04.0344 Strip tes gula darah (Accutren Stik Glukosa) ktk 0 0 0
345 04.0345 Strip tes gula darah Acccu chek Safe-T-Pro UNO ktk 9 9 1.2 7.8 Des 21
346 04.0346 Strip tes Hb ( Family DR ) ktk 0 0 0
347 04.0347 Strip tes kolesterol (Accutren Stik Kholesterol) 0 0 0
348 04.0348 Strip tes urine narkoba 5 parameter ( Monotest ) 0 0 0
349 04.0349 Stromatolyser-WH (SWH-200A) (merk Sismex) botol 0 0 0
350 04.0350 Suction catheter No.10 Set 80 80 18 62 Mei 23
351 04.0351 Suction catheter No.12 Set 160 160 18 142 Mei 23
352 04.0352 Suction catheter No.6 Set 0 0 0
353 04.0353 Syringe 50 cc Set 100 100 0 100
354 04.0354 Tambalan sementara ( Cavit RF 28G ) botol 5 5 0 5 Des 21
355 04.0355 Tambalan sementara ( Cavit W) 0 0 0
356 04.0356 Tambalan sinar A2 pcs 3 3 0 3 28 Agus 21
357 04.0357 Tambalan sinar A3 pcs 3 3 0 3 28 Agus 21
358 04.0358 Tambalan sinar A3.5 pcs 3 3 0 3 28-Apr-21
359 04.0359 Tehnodent cresotin liquid No 2 botol 0 0 0
360 04.0360 Temporari restoratif 0 0 0
361 04.0361 Termometer kulkas digital unit 0 0 0
362 04.0362 Tes kehamilan (Pregnancy test stick) strip 233 233 45.6 187.4 Mei 20
363 04.0363 Tes narkoba 0 0 0
364 04.0364 Three way 0 0 0
365 04.0365 Thermal paper hematology (Merk Mindray) Roll 0 0 0
366 04.0366 Tissue biasa roll 0 0 0
367 04.0367 Tissue handuk 0 0 0
368 04.0368 Tisu pembersih lensa 0 0 0
369 04.0369 Tongue spatel disposible 0 0 0
370 04.0370 Touth mouse 0 0 0
371 04.0371 TPC kuas 0 0 0
372 04.0372 Transfusion set (blood set) Set 450 450 189.6 260.4 Apr-20
373 04.0373 Trikresol formalin cairan botol 0 0 0
374 04.0374 Trombosit (Rees Ecker) botol 0 0 0
375 04.0375 Trombufit sachet sacc 0 0 0
376 04.0376 Umbilical cord clamp 1,000 1000 9.6 990.4 Mei 23
377 04.0377 Underpad 0 0 0
378 04.0378 Urine 3 pemeriksa 0 0 0
379 04.0379 Urine bag Pcs 300 300 4.8 295.2 200 Des 22
380 04.0380 Uritest reagen Strip 11 G 0 0 0
381 04.0381 Vacutainer K₃ EDTA 3 ml 0 0 0
382 04.0382 Vikia ktk 0 0 0
383 04.0383 Vitapex ktk 0 0 0
384 04.0384 Wing nedle No.23 (Terumo) Pcs 200 200 0 200
385 04.0385 Wing nedle No.25 (Terumo) Pcs 100 100 0 100
386 04.0386 Wing nedle No.27 Pcs 0 0 0
387 04.0387 Yodium povidon lart.10% 1000 ml botol 198 198 7.2 190.8
388 04.0388 Yodium povidon lart.10% 30 ml botol 50 50 32.4 17.6
389 04.0389 Yodium povidon lart.10% 300 ml botol 0 0 0
390 04.0390 Yodium povidon lart.10% 60 ml botol 0 6 -6
391 04.0391 Povidon yodium salep (Betadine salep anti septik 20 gr) tube 0 0 0
392 04.0392 Xylol botol 0 0 0
393 05 VAKSIN 0 0 0
394 Algeniux sach 4 3 7 12 -5
395 Abocath 14 terumo 0 138 -138 30-Sep-22
396 Abocath 14 pcs 197 197 0 197
397 Abocath 16 terumo pcs 147 147 277.2 -130.2 30-Nov-22
398 Alat suntik 1 ml ( TP.Disp syringe with needle PCS 3,438 3438 92.4 3345.6 Mei 21
399 Alat suntik 3 ml (Disp syringe with needle 3 cc) pcs 100 100 92.4 7.6 22-Jan
400 Alat suntik 10 ml (terumo) pcs 500 500 92.4 407.6 22-Nov
401 Alat suntik 5 ml (Disp syringe with needle 5 cc) pcs 2,226 2226 462 1764 Jan-20
402 Alkohol swabs ( e-care) pcs 75 75 2317.2 -2242.2
403 Alat suntik 50 ml pcs 80 80 37.2 42.8 Des 22
404 Alat suntik 20 ml 0 163.2 -163.2 23-Jan
405 Alkohol swabs ( e-care) pcs 0 0 0 Mei 21
406 Arm sling s pcs 67 67 6 61
407 Arm sling m pcs 54 54 3.6 50.4
408 Arm sling l pcs 53 53 3.6 49.4
409 Cosmomed tri way pcs 390 390 9.6 380.4 Juli 22
410 Folley cateter 2 way no.10 pcs 259 259 12 247 23-Mar
411 Folley cateter 2 way no.12 pcs 259 259 10.8 248.2 23-Mar
412 Folley cateter no 20 pcs 240 240 18 222
413 Folley cateter no.22 pcs 100 100 9.6 90.4 Agus 20
414 Folley cateter no.24 pcs 100 100 9.6 90.4 Agus 20
415 Plester berpori (Fixomul stretch 5cm x 5 m) rol 325 325 14.4 310.6 Jan-22
416 Feeding tube 3,5FR( terumo) pcs 300 300 51.6 248.4 Jan-21
417 Gudel 40 mm pcs 9 9 42 -33 22-Sep
418 Gudel 50 mm pcs 9 9 13.2 -4.2 22-Sep
419 Gudel 60 mm pcs 9 9 3.6 5.4 23-Feb
420 Gudel 70 mm pcs 9 9 58.8 -49.8 23-Feb
421 Gudel 110 pcs 19 19 8.4 10.6 22-Sep
422 Handscoon steril 6,5( troge) psg 1,050 1050 38.4 1011.6 Juli 21
423 Handscoon steril no. 7 (troge) psg 1,350 1350 0 1350 Des 21
424 Handscoon steril no. 7 ,5 (troge) psg 700 700 79.2 620.8 21-Nov
425 Handscoon steril no. 8 (troge) psg 1,050 1050 19.2 1030.8 Okt 20, Apr 21
426 Handscoon steril 6,5 (medigrip) psg 1,200 1200 12 1188 Mar-19
427 Handscoon steril 7 (medigrip) psg 1,200 1200 10.8 1189.2 Mar-19
428 Handscoon steril 7,5 (medigrip) psg 700 700 9.6 690.4 Mar-19
429 Handscoon non steril s (ttardec latex exam) pcs 4,800 4800 0 4800
430 Handscoon non steril m (ttardec latex exam) pcs 5,000 5000 4.8 4995.2
431 Handscoon non steril l (vasco bbraun) pcs 400 400 462 -62
432 Handscoon non steril s (vasco bbraun) pcs 900 900 6 894
433 Hospitech id brand anak pink pcs 5,000 5000 0 5000 Des 22
434 Hospitech id brand anak blue pcs 5,000 5000 0 5000 23-Jan
435 Hospitech id brand adult blue pcs 5,000 5000 0 5000 23-Jan
436 Hospitech id brand adult pink pcs 5,000 5000 0 5000 22-Nov
437 Hi oxygen anak (NRM) PCS 150 150 2.4 147.6
438 Infuset dewasa set 100 100 32.4 67.6 Juli 20
439 Infuset anak set 162 162 109.2 52.8 Juli 19
440 Injection plug pcs 300 300 92.4 207.6 23-Mar
441 Nald hecting mani SE MH 21 pcs 6 6 0 6
442 Nald hecting mani SE MH 24 pcs 6 6 0 6
443 Nald hecting mani SE MH 28 pcs 5 5 0 5
444 Jelly usg 5 liter galon 49 49 0 49 Juni 20
445 Larutan irigasi 1000 ml botol 30 30 0 30
446 Handscoon non steril maxter exam s pcs 5,000 5000 0 5000 Juni 20
447 Handscoon non steril maxter exam m pcs 5,000 5000 4.8 4995.2 23-Mar
448 Masker fesco tie on pcs 3,900 3900 6 3894
449 Masker fesco earloop pcs 0 370.8 -370.8
450 Masker aximed pcs 3,850 3850 0 3850 Juni 20
451 Masker oksigen anak pcs 0 2.4 -2.4
452 Masker oksigen bayi pcs 0 2.4 -2.4
453 Micropipet pcs 3,000 3000 0 3000
454 Needle no 20 pcs 100 100 92.4 7.6
455 Needle no 23 pcs 200 200 184.8 15.2
456 Needle no 25 pcs 100 100 92.4 7.6
457 Needle no 26 pcs 100 100 92.4 7.6
458 Nasal oxygen bayi (oxyflow) pcs 200 100 300 4.8 295.2
459 Nasal oxygen dewasa(oxyflow) pcs 606 606 14.4 591.6
460 Nasal oxygen anak (oxyflow) pcs 205 500 705 12 693
461 Plain 3/0cut 75cm,35mm pcs 360 360 21.6 338.4 Juli 21
462 Polysorb 0 tap 75cm,,37mm pcs 72 72 33.6 38.4 31-Jan-22
463 Polysorb 0 cut 90cm,,40 mm pcs 72 72 33.6 38.4 31-Jan-22
464 Polysorb 1 tap 90cm,,37 mm pcs 72 72 33.6 38.4 31 Agus 22
465 Polysorb 1 cut 90cm,48mm pcs 72 72 33.6 38.4 31 Juni 21
466 Polysorb 2/0 tap,90 cm,37mm GS 21 TCL 923 PCS 72 72 33.6 38.4 30-Nov-22
467 Polysorb 2/0 cut, 90cm,37 mm GS 11TCL 916 PCS 72 72 33.6 38.4 28-Feb-23
468 Polysorb 3/0 cut 75cm,19mm C13TSL822 pcs 72 72 66 6 31 Agus 22
469 Polysorb 3/0 cut 75cm,19mm C14TSL822 PCS 51 51 19.2 31.8 Mare 22
470 Polysorb 4/0 tap 75cm,22mm cv25 tgl181 pcs 72 72 33.6 38.4 31-Jan-23
471 Polysorb 4/0cut 75cm,19mm c13tsl 635 pcs 30 30 66 -36
472 Polygipt 3" 7,5cm x 2,7 m pcs 104 104 3.6 100.4 Jan-21
473 Polygipt 4" 10cm x 2,7 m pcs 96 96 3.6 92.4 Des 20
474 Polygift 6" 15cmx2,7m pcs 100 100 3.6 96.4 Mar-21
475 Silk 1 tap 75cm,37mm pcs 120 120 0 120 23-Feb
476 Silk 4/0 tap 75 cm, 20 mm pcs 120 120 21.6 98.4 22-Nov
477 Silk 5/0 tap 75cm,20mm pcs 120 120 21.6 98.4 Juli 22
478 Silkam 1 tap 75 cm,37 mm pcs 100 100 26.4 73.6 8 Okt 21
479 Stomach tube no 14 terumo pcs 299 299 45.6 253.4 Des 22
480 Sabun antibakteri botol 161 161 45.6 115.4 Juni 21
481 Surgical mask earloop onemed pcs 3,000 3000 3.6 2996.4
482 Surgical mask tie on onemed pcs 3,000 3000 0 3000
483 Surgical mask with visor pcs 200 200 0 200
484 Suction catheter No.8 pcs 360 360 2.4 357.6 Juni 23
485 Suction catheter No.14 pcs 99 99 0 99 Agus 23
486 Suction catheter No.16 pcs 49 49 18 31 Juni 23
487 Suction catheter No.18 pcs 48 48 9.6 38.4 22-Nov
488 Thoracar tube no 28 pcs 100 100 9.6 90.4 23-Mar
489 Vasco surgical powder free bbraun psg 600 600 0 600
490 Vasco powder s bbraun pcs 400 400 0 400 Juli 22
491 Vacum tube pcs 1,200 1200 0 1200 Juli 20
492 Pulpx pcs 2 2 0 2 Feb-22
493 DENTORAMA BERBED BROACH BAG 2 2 0 2
494 DENTORAMA K REAMER 15-40 BOX 2 2 0 2
495 DENTORAMA K REAMER 45-80 BOX 2 2 0 2
496 DENTORAMA K REAMER 15-40 BOX 2 2 0 2
497 DENTORAMA K REAMER 45-80 BOX 2 2 0 2
498 Calplus pcs 5 5 0 5 Jan-22
499 Hyposol BOTOL 5 5 0 5 Des 21
500 Poliren No 1 BOX 3 3 0 3 Nov-21
501 Master FILL BOX 3 3 0 3 Sep-21
502 SINGLE BOND 2 RF 51202 pcs 6 6 0 6 Juni 21
503 D5 1/2 NS botol 200 200 0 200 Apr-21
504 Ambumax pasang 500 500 0 500
505 Levin nasogastric tube 18 pcs 50 50 0 50
506 LMA NO 4.0 pcs 10 10 0 10 Juli 22
507 LMA NO 5,0 pcs 10 10 0 10 Mar-24
508 ETT WITH CUFF NO 4.0 pcs 50 50 0 50 Mar-23
509 ETT WITH CUFF NO 5.5 pcs 50 50 0 50
510 ETT WITH CUFF NO 6.0 pcs 50 50 0 50 Mar-23
511 ETT WITH CUFF NO 6.5 pcs 50 50 0 50
512 ETT WITH CUFF NO 7.5 pcs 50 50 0 50 Sep-23
513 ETT REINFORCED/ ETT NON KINGKING NO 4.5 pcs 50 50 0 50 Jan-24
514 ETT REINFORCED/ ETT NON KINGKING NO 5.5 pcs 50 50 0 50 Jan-02
515 ETT REINFORCED/ ETT NON KINGKING NO 7.0 pcs 100 100 0 100 Mar-23
516 ETT REINFORCED/ ETT NON KINGKING NO 7.5 pcs 100 100 0 100 Mar-24
517 Transofix pcs 50
 INSTALASI CSSD RS MADANI

PERKIRAAN
NO BMHP URAIAN/ SATUAN HARGA PEMAKAIAN TOTAL
I Pencucian Manual
Manual Plus galon (5 L) 1,600,000 24 38,400,000
Pre Treatment Foam galon (500 ml) 310,000 24 7,440,000
II Pencucian dg Washer -
MIS Detergen galon (5 L) 1,750,000 24 42,000,000
Rinse Aid galon (5 L) 1,400,000 24 33,600,000
Wash Monitor pack (50 pcs) 2,960,000 8 23,680,000
Protein Test 3 "swab" box (25 pcs) 4,450,000 12 53,400,000
III Pencucian dg Ultrasonic Cleaner -
Manual Plus galon (5 L) 1,600,000 24 38,400,000
Wash Monitor pack (50 pcs) 3,660,000 8 29,280,000
Protein Test 3 "swab" box (25 pcs) 4,450,000 12 53,400,000
IV Kebutuhan Sterilisasi Steam -
Check Bowie Dick Mini Pack 134 "C box (30 pcs) 3,200,000 12 38,400,000
Internal indicator Steam type 4 pack (250 strip) 440,000 12 5,280,000
Emulating Indicator steam type 6 pack (250 strip) 1,500,000 12 18,000,000
Indicator Tipe Steam roll (19 mm, 50 m) 94,000 12 1,128,000
Self contained Biological indicator box (100 pcs) 5,925,000 6 35,550,000
Label indicator steam box (12 roll @ 750 label) 5,760,000 12 69,120,000