DAFTAR NAMA OBAT DAN BHP YANG TELAH KADALUWARSA DI PKM DAIEKO

NO NAMA OBAT SATUAN JUMLAH TANGGAL KADALUWARSA TANGGAL PRODUKSI NO. BATCH NAMA PABRIK
1 Acyclovir 200 Tablet 140 Jul-19 Jul-17 71307 PT. Tempo Scan Pacific
2 Acyclovir 200 Tablet 472 Mar-19 Mar-14 E7C159 PT. Novell
3 Albendazole Tablet 28 Sep-16 Jul-11 1207032 PT. Indofarma
4 Allopurinol 100 mg Tablet 69 Jan-19 Jan-17 A160015B PT. KIMIA FARMA
5 ambroxol sirup Botol 3 Sep-14 Sep-13 RF1H001 PT. Indofarma
6 Aminofillin Tablet 218 Dec-15 Oct-10 1008024 PT. Indofarma
7 Aminofillin injeksi Tablet 140 Sep-17 Sep-14 2549017.1 PT.ERELA
8 Amitriptilin 25 mg Tablet 500 Sep-18 Sep-14 1407009 PT. Indofarma
9 Amlodipine Ampul 17 May-18 May-16 853070142 PT. Phapros
10 Amoksillin sirup Botol 2 Apr-08 Apr-05 920218 PT. Phyto keuro Agung Farma
11 Antalgin injkesi Ampul 90 Jul-14 Jul-11 45313004 PT. Phapros Tbk.
12 Antasida doen Tablet 30 Feb-16 Feb-14 T554848 PT.Er ela
13 Antrain injeksi Ampul 59 May-19 May-17 Io14G0091 PT. Interbat
14 Artesunat Injeksi Ampul 66 14-May-18 15-May-15 LA150670 PT. Pharma Laboratorie
15 Artesunat Injeksi Ampul 8 Aug-14 Aug-11 LA111009 PT. Guillin Pharmaceutical
16 Bedak Salicyl Dos 87 Jul-19 Jun-16 A80GFW0240 PT. Rama Mulia Cosmetic
17 Bisacodil Supp 5 mg Suppo 18 Agt-19 Sep-15 15091984 PT. Boehringer. Ingelheim
18 Calsium Lactate 500mg Tablet 290 Sep-18 Sep-16 161218 PT. Mersi
19 Captoril 25 mg Tablet 847 1-Jun-19 Jun-17 201331 PT. Pertiwi Agung
20 Cefadroxil Syrup Botol 54 Agt-19 Agt-17 HH398136 PT. Pharma Laboratories
21 Cefotaxime injeksi Ampul 89 Oct-18 Oct-16 215473 pt. Dankos Farma
22 Cetrizine Syrup Botol 8 Jul-19 Jul-19 1707047 PT. Indofarma
23 Cimetidine Tablet 915 16-Apr-19 Apr-16 61197 PT. Sejahtera Lestari Farma
24 Cimetidine Tablet 105 1-Apr-19 Apr-16 61197 PT. Sejahtera Lestari Farma
25 Cloramphenicol Mycetin Botol 3 Oct-18 Jan-17 652010 PT. Erla
26 Cotrimoksazole 480 mg Tablet 2144 Agt-18 Agt-16 1608202 PT. Holi Pharma
27 Cotrimoksazole 480 mg Tablet 100 Jul-15 Jul-10 TPH92539 PT.BernoFram
28 Cotrimoksazole Pediatrik Tablet 194 Jul-17 Jul-12 74709 PT.Erla
29 Dexa injeksi Ampul 25 Mar-18 Mar-14 1403030 PT. Indofarma
30 Dexa injeksi Ampul 408 July 2019 Jul-16 95337013BF PT. Phapros
31 Dexa injeksi Ampul 61 Sep-15 Sep-11 1109062 PT. Indofarma
32 Dextrosa 5% Botol 2 Agt-18 Sep-14 240927 PT.Widatra Bhakti
33 DHP Tablet 78 16-Aug-17 17-Aug-15 S0150807 PT. Guillin Pharmaceutical
34 DHP Tablet 109 May-19 May-17 170506 PT. Mersi
35 Difenhydramine injeksi Ampul 450 Agt-18 Agt-14 753420242 PT.phapros
36 Difenhydramine injeksi Ampul 2163 Mar-19 Mar-15 853420152 PT.phapros
37 Doksisiklin 100 mg Tablet 13400 Sep-14 Aug-10 100602048 PT. Indofarma
38 Domperidone tab Tablet 174 Sep-18 Sep-15 15149 PT.Novapharin
39 Domperidone tab Tablet 56 Dec-15 Dec-12 PT.Novapharin
40 Dorplex Tablet 88 May-15 May-12 IZEA PT.Kunning Pharmatecal
41 Efedrin Tablet Tablet 530 Aug-18 Aug-15 H151086B PT. Kimia Farma
42 Ephedrine Tablet 25 Sep-18 Sep-15 Hi51086B PT. Kimia Farma
43 Epinefrin injeksi Ampul 503 Nov-14 Nov-11 11K075 PT. Etica
44 Erlamycetin TT Botol 158 Mar-18 Jun-16 651075 PT.ErEla
45 Fenol Gliserin Botol 6 Sep-16 Sep-14 2175 PT.sandai Farma
46 Furosemide 40 mg Tablet 279 Agt-18 Agt-14 CH3511 PT. Sampharindo perdana
47 Furosemide 40 mg Tablet 450 Dec-18 Dec-14 1008003 PT. Indofarma
48 Furosemide injeksi Ampul 60 Jul-19 Jul-16 IL17E077 PT. Indofarma
 49 Gentamisin Injeksi Ampul 19 Agt-19 Agt-16 BF17f026 PT. Indofarma
50 Gentian Violet Botol 1 Sep-15 Oct-11 PT. Jaya Mas
51 Gricin Tablet 100 Jul-15 Jul-11 110705118 PT. Novaphrin Indo
52 Hidrokortison SK Tube 150 Sep-14 Sep-11 1109033 PT. Indofarma
53 Ibuprofen sirup Botol 7 Apr-19 Apr-17 S0438AG PT.Rama Emeraid Multi Sukses
54 ISDN Tablet 2305 Agt- 2019 Agt-15 1506043 PT. Indofarma
55 ISDN Tablet 340 Dec-14 Dec-10 1011074 PT. Indofarma
56 Kalak Tablet 300 Sep-18 Sep-16 161218 PT. Mersi
57 Lidocalin Ampul 79 Nov-14 Nov-10 PIM60939 PT.BernoFram
58 Lidocalin Ampul 2011 Sep-14 Sep-12 P1K41239 PT. Bernofarm
59 Loperamide Tablet 829 Sep-17 Sep-14 PCL0P202 PT.Ifars
60 Metformin 500 Tablet 7610 May-19 May-17 HTMFNA73101 PT. Hexpharm jaya
61 Methylergometrin Injeksi Ampul 1020 Oct-14 Oct-11 11J025 PT. Etica
62 Metocloperamide Tablet 357 Jan-18 Jan-13 1133 Pt.First Medifarma
63 Metoclopramide Tablet 1300 May-18 May-13 14833 PT. First Medipharma
64 MgSO4 20% Flacon 14 Apr-17 May-12 73E42 PT. Otsuka
65 MgSO4 40% Flacon 9 Sep-17 Sep-12 95142 PT. Otsuka
66 MgSO4 40% Flacon 22 Jul-18 Jul-16 94G46A PT. Otsuka
67 my Jelly tube 15 May-19 May-17 28061688 PT. Finis meclipharma sidoarjo
68 Nifedipine Tablet 358 Jun-19 Jun-15 46F4117 PT. Beta Pharmacon
69 Nistatin 1000 IU Suppo 800 Nov-14 Nov-10 35372015 PT. Phapros Tbk.
70 Nystatin 100000 IU Tablet 350 Nov-14 Jan-10 35372014 PT. Phapros Tbk
71 OAM Tablet 1723 Apr-18 Apr-16 160439 PT. Mersifarma TM
72 OBH Botol 3 Jul-17 Jul-14 9300811 PT. Afifarma
73 Oksitetrasiklin Injeksi Ampul 51 Jun-14 Jun-18 P1692443 PT. Bernofarm
74 Oksitetrasiklin SM Tube Jan-00 Nov-15 Nov-18 1150984 PT. Kimia Farma
75 Omeprazole Kapsul 104 Aug-18 Apr-16 50310 PT.Ifars
76 Ondansentron 4 mg Tablet 82 Agt-19 Agt-18 1606002 PT. Indofarma
77 Oxytetracycline SM tube 17 Jun-17 Jun-14 064115w PT. Kimia Farma
78 Oxytocin injeksi Ampul 87 Apr-19 Apr-16 97KD0049 PT.Ethica
79 Oxytocin Injeksi Ampul 550 Oct-13 Oct-10 101070 PT. Etica
80 Papaverin 40 mg Tablet 900 Nov-15 Nov-11 11AE034 PT. Yekatria Farma
81 Papaverin 40 mg Tablet 1300 Jan-16 Jan-12 2AF002 PT. Yekatria Farma
82 Papaverin injeksi Ampul 35 Jun-16 Jun-13 D2018276 PT. Dura
83 Papaverin injeksi Ampul 81 Mar-19 Jan-16 270308B PT. Ikapharmindo Putramas
84 Papaverin Tablet Tablet 6700 Mar-18 Mar-13 D130549B PT. Kimia Farma
85 Penicilin injeksi Ampul 10 May-19 May-16 15903 PT.Meisi
86 Phenol Glycerol 10% Botol 20 Jul-19 Jul-17 17LG008 PT.Lucas Djaja
87 Phytomenadion Injeksi Ampul 40 Aug-13 Aug-16 65382016BF PT. Phapros Tbk.
88 Phytomenadion Injeksi Ampul 250 Oct-16 Oct-18 95478032 PT. Phapros Tbk.
89 Phytomenadion Injeksi Ampul 1020 Mar-12 Mar-15 55382008BF PT. Phapros Tbk.
90 Phytomenadion Tablet Tablet 1815 Aug-15 Aug-18 85381003 PT. Phapros Tbk.
91 Phytomenadione Ampul 270 Agt-18 Agt-16 6478019 PT. Phapros Tbk
92 Pil KB Tablet 168 May-16 AE0454 PT. Pratapa Nirmala
93 Prednison Tablet 9120 Nov-14 Nov-11 111054 PT. Holi Pharma
94 Primaquin Tablet 100 Agt-18 Agt-15 85386006 PT. Phapros Tbk
95 Primaquin Tablet 1510 Aug-18 Aug-15 8536006 PT. Phapros Tbk.
96 Prokain Benzil Penicilin Injeksi Ampul 289 Dec-18 Dec-14 14869 PT. Meiji Indonesia
97 Quinine Tablet 1260 Mar-19 Mar-14 c140259B PT. Kimia Farma
98 Quinine Injeksi Ampul 292 May-12 Aug-15 ED1655J PT. Kimia Farma
99 Quinine Tablet Tablet 68 Oct-10 Oct-15 J100849B PT. Kimia Farma
100 Ranitidin Ampul 240 Apr-19 Apr-13 TSE25042 PT. Bernofarin
101 Ranitidin Ampul 10 Apr-16 Apr-14 TSE25042 PT. Bernofarin
102 Ringer Laktat Botol 1 Agt-18 Sep-15 450901 PT.Widatra Bhakti
103 Salbutamol 2 mg Tablet 9 Sep-15 Sep-13 10007202 PT. Indofarma
104 Salbutamol 4 mg Tablet 6 Jun-16 Jun-13 75482003 PT. Phapros Tbk
105 Salbutamol 4 mg Tablet 620 Jul-19 Jul-17 6481010 PT. Phapros Tbk
106 SF Tablet 62753 Apr-19 dan Jun-19 Mei dan Jul 17 E70693B (Apr) dan G71121B(juni) PT. Kimia Farma
107 Sotatic injeksi Ampul 2 Jul-18 Jan-15 NA1673 PT. Pratapa Nirmala
108 Spironolakton Tablet 100 May-19 May-17 C7E0515 PT.Otto
109 Sulfadoxin - Pirimetamin Tablet 70
110 Sulfadoxine Tablet 100 Sep-15 Sep-11 1107005 PT.Indo farma
111 Sulfadoxine Tablet 30 Mar-15 Mar-11 1103002 PT. Indofarma
112 Tablet Tambah Darah Tablet 33600 Apr-19 E70693B PT. Kimia Farma
113 Tetrasiklin 250mg Kapsul 156 Agt-18 Agt-16 1608112 PT. Holi Pharma
114 Tetrasiklin Kapsul Kapsul 19290 Aug-18 Aug-16 1608112 PT. Poly Pharma
115 Thiamin Tablet 1000 Agt-19 Agt-15 15080204 PT. Novaphrin Indo
116 Tramadol injeksi Ampul 15 16-Apr-19 Apr-16 460050 PT. Mersifarma TM
117 vitamin A Kapsul 312 May-19 Me-16 056075W PT.Kimia Farma
118 Vitamin B1 Tablet 1762 Des -15 dan Agt-19 Des-12 dan Agt-15 15080204 PT. Novaphrin Indo
119 vitamin B1 injeksi Ampul 1189 Jan-18 Jan-15 85402001 PT. Phapros Tbk
120 vitamin B1 injeksi Ampul 5 Jun-16 Jun-13 654020057 PT. Phapros Tbk
121 Vitamin B1 Tablet Tablet 2300 Dec-14 Dec-10 04473 PT. Sejahtera Lestari Farma
122 Vitamin B12 injeksi Ampul 99 Sep-19 Sep-16 161J005B PT. Lucas Djaja
123 vitamin B6 Tablet 1188 Agt-19 Agt-16 23605608 PT. INFarmin FARMASI Industri indo
124 Vitamin B6 Tablet 2732 Oct-15 Oct-11 11AII026 PT. Yekatria Farma
125 Zink Tablet 175 May-12 May-10 L10245 PT. Kimia Farma
126 Zink Tablet 140 Jun-16 Jun-14 GD0445 PT. Kimia Farma
NO NAMA BMHP SATUAN JUMLAH TANGGAL KADALUWARSA TANGGAL PRODUKSI NO. BATCH NAMA PABRIK
1 Abocath No. 24 PCS 35 Jun-19 Jun-14 40285/0265 PT. Jayamas Medica Industri
2 Abbocath No. 20 PCS 100 Mar-14 Apr-09 PT. Jayamas Medica Industri
3 Abocath No.20 PCS 21 Mar-14 Mar-09 PT. Jayamas Medica Industri
4 Abbocath No. 26 PCS 50 Oct-17 Nov-12 PT. Jayamas Medica Industri
5 Abbocatn No. 18 PCS 150 Jun-17 Jul-12 PT. Jayamas Medica Industri
6 Abocath No. 18 PCS 18 Mei-17 dan Jun-18 14052 PT. Otsuka
7 Aqua Pro Injeksi Flacon 149 Jan-19 27-Jan-16 96A46A PT. Otsuka
8 Catgut Chrom PCS 3 Dec-18 28141 PT. Enseval Medika Prima
9 Catgut Chromic PCS 2 May-18 13E31 PT. Jayamas Medica Industri
10 Catgut Plain PCS 4 Mar-19 14C14 PT. JMI Indonesia
11 Condom kateter PCS 3 Sep-14 PT. Jayamas Medic Industri
12 Cuticell Clasic PCS 86 Jan-19 605158 PT. BSN medical
13 Dispo 0,05 cc PCS 10 Apr-19 May-14 14001 PT. Oneject Indonesia
14 Dispo 0,5 cc PCS 21 Feb-17 Mar-12 12103 PT. Oneject Indonesia
15 Dispo 1 cc PCS 423 May-19 Jun-16 0206100488 PT. Jayamas Medica Industri
16 Dispo 3 cc PCS 700 Jan-18 01021388 PT. Jayamas Medica Industri
17 Disposible 0,05 ml PCS 19 Jul-17 dan Apr-19 May-14 14001 PT.Oneject Indonesia
18 Disposible 0,5 ml PCS 4 Jun-18 Jul-13 13115 PT. Oneject Indo
19 Disposible 2,5 ml PCS 400 Sep-18 Sep-15 1101388 PT. Jaya Mas
20 Disposible 20 ml PCS 26 Jan-18 Jan-15 1021388 PT. Jaya Mas
21 Disposible 5 ml PCS 3 Mar-18 PT. Jayamas Medic Industri
22 Disposible Duk Sterile PCS 5 Mar-14 Mar-09 9203005 PT. Triasa Nagamas Farma
23 Feeding Tube No. 8 PCS 5
24 Folley Catheter No. 12 PCS 10 Oct-16 Nov-11 11-G-20L PT. Uro Teknologi
25 Folley Catheter No. 18 PCS 1 Aug-18 Sep-13 2121830 PT. Uro Teknologi
26 HCG PCS 300 Sep-14 Nov-12 PT. Jayamas Medica Industri
27 HCG PCS 94 Jun-16 208053 PT. Jayamas Medica Industri
28 Infus Set Makro PCS 2 Agst-16 92011 PT. Jayamas Medic Industri
29 Infus Set Mikro PCS 4 Des-15 dan Agt-18 10-Dec-15 179L40K PT. Otsuka
30 Infuset Mikro PCS 30 10-Dec-15 179L40K PT. Otsuka
31 Infuset Mikro PCS 750 Oct-17 Nov-11 PT. Jayamas Medica Industri
32 Infuset Mikro PCS 604 Aug-16 Sep-11 PT. Jayamas Medica Industri
33 Kondom PCS 18 Mar-17 Mar-13 303019 PT. Mitra Rajawali Banjaran
34 NGT16 PCS 7 Jun- 2018 dan Agt-18 Jul-15 PT. TERUMO
35 one med test PCS 146 Oct-18 1111588 PT. Jayamas Medic Industri
36 Protein Urin Test PCS 91 Oct-16 2GP131018 PT. Jayamas Medica Industri
37 RDT PCS 361 Dec-17 Jul-15 MR15G02 PT. Acces Bio
38 RDT PCS 31 Jul-17 W05650702W
39 RDT PCS 4 Agt-19 Agt-17 LOTMR17C63 PT.acces Bio
40 Stomach Tube PCS 7 Agt-12 Agt-15 150818541 PT. JMS
41 Wing Needle PCS 4 Nov-15 25122010 PT.jayamas Medic Industri

Mengetahui Tanajawa, 23 September 2019

Kepala Puskesmas Daieko Pengelola Obat Puskesmas

Kornelius Riwu Mone,A.Md.Kes Dafrosa A.R. Jik.,S. Farm., Apt

NIP. 19710602 199403 1 008