Apbd 19

LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN
DANA APBD TA. 2019

REKAPAN : Januari 2019
PUSKESMAS : TAMALATEA
Imunisa
Stok Prog POLI Rawat Pustu PUSTU PUSTU Pustu Poskesdes Pustu Pustu Pustu PUSTU PUSTU Polindes Pustu Total STOK TOTAL
NO NAMA OBAT KEMASAN Masuk si APOTIK UGD KIA LAB HARGA SATUAN
HARGA
Awal TB GIGI Inap M.loe Kr.Layu T.Roya Bt.Sunggu Turatea Tur.Tim Tonrokassi T.kassi tmr T.Kassi brt Bontojai Sulurang Br.tala Pemberian AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
1 Alat suntik sekali pakai 1 ml (DAK 2017) Pcs 360 60 100 10 170 190 1,139.00 216410
2 Alat suntik sekali pakai 1 ml (DAK 2018) Pcs - - 808.68 0
3 Alat suntik sekali pakai 3 ml (DAK 2017) Pcs 345 40 100 45 60 10 10 10 10 10 10 10 10 10 10 345 - 911.00 0
5 Alat suntik sekali pakai 5 ml (DAK 2017) Pcs 605 20 25 10 10 20 5 10 10 10 10 130 475 1,126.00 534850
7 Catgut/ Benang Bedah no. 2/0-3/0 (DAK 2017) Pcs - - 63,669.00 0
9 Folley cateter 16 (DAK 2018) Pcs 11 30 12 2 14 27 10,672.00 288144
10 Folley cateter 18 (DAK 2018) Pcs 18 2 2 16 10,672.00 170752
11 Folley cateter 20 (DAK 2017) Pcs - - 11,500.00 0
13 Handscun 6,5 steril (DAK 2018) Psg - - 8,652.00 0
14 Handscun 7 steril (DAK 2017) Psg - - 8,652.00 0
18 Handscun M Nonsteril Pcs 800 200 100 500 300 100 1,000 - 506.00 0
19 IV.cateter 18 (DAK 2018) Pcs - - 8,707.70 0
21 IV.cateter 20 (DAK 2018) Pcs 36 36 36 - 8,070.70 0
23 IV.cateter 22 (DAK 2018) Pcs 48 50 48 48 50 8,070.70 403535
24 IV.cateter 24 (DAK 2018) Pcs 62 50 50 12 8,070.70 96848.4
25 Infus set anak (DAK 2017) Pcs - - 8,800.00 0
26 Infus set anak (DAK 2018) Pcs 72 24 3 27 45 5,610.00 252450
27 Infus set dewasa (DAK 2017) Pcs - - 4,500.00 0
28 Infus set dewasa (DAK 2018) Pcs 117 25 3 28 89 4,176.00 371664
29 Jkn Infus set/Remedi pack (DAK 2017) Set 151 40 25 65 86 25,750.00 2214500
30 Jkn Infus set/Remedi pack (DAK 2018) Set - - 25,708.00 0
31 Kapas Pembalut 250g (DAK 2017) Rol 11 1 2 1 1 5 6 26,400.00 158400
32 Kapas Pembalut 250g (DAK 2018) Rol - - 29,500.00 0
33 Kasa hidrofil Ukuran 36 m x 80 cm (DAK 2018) Rol 5 3 2 5 - 124,125.00 0
34 Kasa hidrofil Ukuran 10 cm x 4 m (DAK 2018) Rol 20 40 - 60 1,740.00 104400
Stok POLI Rawat Pustu PUSTU PUSTU Pustu Poskesdes Pustu Pustu Pustu PUSTU PUSTU Polindes Pustu Total STOK
NO NAMA OBAT KEMASAN Masuk APOTIK UGD KIA LAB HARGA SATUAN
Awal GIGI Inap M.loe Kr.Layu T.Roya Bt.Sunggu Turatea Tur.Tim t.kassi T.kassi tmr T.Kassi brt Bontojai Sulurang Br.tala Pemberian AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
35 Kasa hidrofil Ukuran 5 cm x 4 m (DAK 2018) Rol 20 40 - 60 900.00 54000
36 Kasa hidrofil 16x16 (DAK 2017) Ktk - - 9,200.00 0
37 Kasa hidrofil steril 16 x 16 cm (DAK 2018) Ktk - - 8,769.00 0
38 Kartu golongan darah (DAK 2017) Pack - - 700.00 0
39 Masker karet (DAK 2017) Pcs - - 805.00 0
40 Masker Hijab (DAK 2018) Pcs 350 90 50 50 25 25 25 25 10 25 25 350 - 442.94 0
41 Needle citoject (DAK 2017) Pcs 400 - 400 2,275.00 910000
42 Oxygen nasal cannula white tubing adult (Dak 20 Pcs - - 7,424.00 0
43 Oxygen nasal cannula white tubing Child (DAK 2 Pcs 13 - 13 7,424.00 96512
44 Plester 7,5 cm x 4,5 m (DAK 2017) Rol 12 2 1 1 1 1 1 1 1 1 10 2 35,532.00 71064
45 Paper tape 2,5 cm x 9,14 m (DAK 2018) Rol 10 12 2 2 20 8,965.00 179300
46 Pot Sputum 7x5 cm (DAK 2017) Pot - - 3,300.00 0
47 Pot Sputum Reguler (DAK 2018) Pot - - 3,750.00 0
48 Pot Sputum Steril (DAK 2018) Pot - - 6,000.00 0
49 Strip kolesterol /easy touch (DAK 2017) Strip - - 21,950.00 0
50 Surgival glove steril Gynecolog - no.7 (DAK 2018 Psg - - 20,184.00 0
51 Silk (benang Bedah Sutera 3/0) (DAK 2017) Pcs - - 21,735.00 0
52 Silk (benang Bedah Sutera 3/0) (DAK 2018) Pcs 41 12 12 29 21,735.00 630315
53 Urin Bag (DAK 2018) Pcs 7 2 2 5 6,050.00 30250
54 Antiseptik Hand Rub (DAK 2018) Btl 5000 ml - - 666,000.00 0
55 Alkoho/Etanol 70% (DAK 2017) Btl 10 1 1 1 1 1 5 5 28,000.00 140000
56 Alkoho Swab (DAK 2018) Pcs 400 - 400 121.00 48400
57 Betadine Antiseptik solution (DAK 2018) Btl 60 ml - - 23,890.00 0
59 Allupurinol tablet 100 mg (DAK 2017) Tablet 300 50 50 250 117.00 29250
60 Allupurinol tablet 100 mg (DAK 2018) Tablet - - 99.00 0
61 Amitripillin tablet (DAK 2017) Tablet 300 - 300 123.00 36900
62 Amoksisillin 250 mg kaps (DAK 2017) Tablet 1400 300 100 100 100 100 700 700 191.00 133700
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet - - 196.00 0
64 Amoksisillin 500 mg kaps (DAK 2017) Kaplet - - 191.00 0
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 4800 3,000 2,800 500 100 200 200 200 100 200 200 300 200 200 200 200 5,600 2,200 399.938 879863.6
66 Amoksisillin syrup (DAK 2017) Btl 60 ml - - 1,920.00 0
68 Amlodipin Tab 5 mg (DAK 2018) Tablet - - 74.00 0
70 Ambroksol Tab 30 mg (DAK 2018) Tablet - - 330.00 0
71 Ambroksol Sirup 15 mg/ml (DAK 2018) Btl 60 ml 30 5 5 25 6,600.00 165000
72 Antalgin 500 mg Tab (Novaron) (DAK 2017) Tablet - - 266.48 0
Awal GIGI Inap M.loe Kr.Layu T.Roya Bt.Sunggu Turatea Tur.Tim Tonrokassi T.kassi tmr T.Kassi brt Bontojai Sulurang Br.tala Pemberian AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
73 Antalgin 500 mg Tab (DAK 2018) Tablet - - 220.00 0
74 Antasida Doen tablet (DAK 2017) Tablet - - 136.50 0
75 Antasida Doen tablet (DAK 2018) Tablet 1500 100 100 100 300 1,200 56.00 67200
76 Antasida suspensi (DAK 2017) Btl 60 ml - - 3,940.00 0
77 Antasida suspensi (DAK 2018) Btl 60 ml 20 5 5 15 2,098.00 31470
78 Asam Askorbat 50 mg (Vit.C) (DAK 2017) Tablet - - 120.00 0
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 400 400 400 - 120.00 0
80 Asam Mefenamat 500 mg tab (DAK 2017) Tablet - - 230.00 0
82 Asering (DAK 2017) Btl - - 8,432.00 0
83 Asering (DAK 2018) Btl 500 ml 48 48 24 24 72 9,646.00 694512
84 Acyclovir 5% krim (DAK 2017) Tube - - 3,462.00 0
85 Acyclovir Tab (DAK 2018) Tablet - - 807.00 0
Anti Bakteri Salep komb. (Basitrasin 500
Tube 22 3,490.00
86 IU/g+Polimiksin 10.000 54/g) (DAK 2018) - 22 76780
87 Antifungi Salep komb. (DAK 2018) Pot - - 5,170.00 0
88 Antihemoroid Suppo Komb (DAK 2018) Suppo 10 - 10 3,642.00 36420
Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 4,250.00

89 - - 0
90 Betametason krim 0,1 % (DAK 2017) Tube - - 3,916.00 0
92 Bisakodil Tablet 5 mg (DAK 2018) Tablet 270 - 270 316.00 85320
93 Captopril 25 mg (DAK 2017) Tablet 600 100 100 100 100 100 100 600 - 86.00 0
94 Cefadroxil Kaps 500 mg (DAK 2017) Tablet 1400 100 1,000 1,400 455.00 637000
95 Cefadroxil Kaps 500 mg (DAK 2018) Tablet - - 492.00 0
96 Cefadroxil syrup (DAK 2017) Btl - - 5,286.00 0
97 Cetrizin 10 mg tab (DAK 2017) Tablet - - 230.00 0
98 Cetrizin 10 mg tab (DAK 2018) Kapsul - - 97.00 0
99 Ciprofloxacin Tab 500 mg (DAK 2017) Tablet 8000 - 8,000 254.00 2032000
100 Ciprofloxacin Tab 500 mg (DAK 2018) Tablet - - 281.00 0
101 Codein phospat Tab 10 mg (DAK 2018) Tablet - - 657.00 0
102 Corovit tab (DAK 2017) Tablet - - 924.00 0
103 Corovit tab (DAK 2018) Tablet 2700 300 100 100 100 600 2,100 922.51 1937271
104 Corovit syr (DAK 2017) Btl - - 29,500.00 0
105 Corovit syr (DAK 2018) Btl 68 60 3 5 68 - 26,061.00 0
106 Deksamethason Injeksi (DAK 2017) Ampul - - 1,805.00 0
107 Deksamethason Injeksi (DAK 2018) Ampul 100 3 5 5 13 87 1,210.00 105270
108 Deksamethason tablet 0,5 mg (DAK 2017) Tablet - - 45.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
110 Doksisiklin Tab 100 mg (DAK 2018) Tablet - - 264.00 0
111 Domporidon tablet (DAK 2017) Tablet - - 1,276.00 0
112 Domporidon tablet 10 mg (DAK 2018) Tablet - - 90.00 0
113 Domperidon Sirup 5 mg/ml (DAK 2018) Btl 60 ml - - 2,862.00 0
114 Diazepam 5 mg/ Valdimex (DAK 2017) Tablet 261 41 41 220 65.00 14300
115 Difenhidramin Hcl injeksi (DAK 2017) Ampul 11 - 11 1,222.00 13442
116 Epatin Kapsul (DAK 2017) Kapsul - - 5,770.00 0
117 Eritromisin Tablet (DAK 2018) Tablet - - 781.00 0
118 Eritromisin Sirup Kering 200 mg/5 ml (DAK 2018)Btl 60 ml - - 6,390.00 0
119 Epinefrin (adrenalin) injeksi 0,1 % (DAK 2018) Ampul - - 1,518.00 0
120 Ergotamin 1 mg + kafein 50 mg Komb (DAK 2018 Tablet 200 - 200 199.00 39800
121 Fenobarbital Tab 30 mg (DAK 2018) Tablet - - 197.00 0
122 Fitaminadion (Vit K) injeksi (DAK 2017) Ampul - - 3,754.00 0
124 Fitaminadion (Vit K) Tablet (DAK 2017) Tablet - - 790.00 0
125 Fitaminadion (Vit K) Tablet (DAK 2018) Tablet 300 - 300 818.00 245400
126 Furosemid Tab 40 mg (DAK 2017) (DAK 2017) Tablet 550 - 550 84.00 46200
127 Furosemid Tab 40 mg (DAK 2017) (DAK 2018) Tablet - - 82.00 0
128 Glimepiride Tab 2 mg (DAK 2018) Tablet - - 207.00 0
129 Geriavita Tab (Multivitamin Usila) (DAK 2017) Tablet - - 2,989.50 0
131 Garam Oralit Untuk 200 ml air (DAK 2017) Sachet - - 317.00 0
132 Glibenklamide Tab 5 mg (DAK 2017) Tablet 400 - 400 793.00 317200
133 Griseofulvin Tab 125 mg (DAK 2017) Tablet 500 - 500 263.00 131500
134 Griseofulvin Tab 125 mg (DAK 2018) Tablet - - 223.00 0
135 Glukosa Lar.Infus 5% sterile (DAK 2017) Btl 19 - 19 5,720.00 108680
136 Glukosa Lar.Infus 5% sterile (DAK 2018) Btl - - 6,900.00 0
137 Gamexane 10 mg krim/ Scabimit krim (DAK 2017 Tube - - 39,050.00 0
138 Hidrokortison krim (DAK 2017) Tube - - 4,954.00 0
139 Hidrokortison krim 2,5 % (DAK 2018) Tube - - 2,648.00 0
140 Hidroklortiasid (Hct) Tab 25 mg (DAK 2018) Tablet - - 178.00 0
141 Hemafort (Fe Komb) Kaplet (DAK 2017) Tablet - - 981.00 0
142 Hemafort (Fe Komb) Kaplet (DAK 2018) Tablet - - 1,137.89 0
143 Halmezyn syrup (DAK 2017) Btl 26 5 5 10 16 34,750.00 556000
144 Halmezyn syrup (DAK 2018) Btl - - 34,694.00 0
145 Ibuprofen Suspensi (DAK 2017) Btl - - 2,560.00 0
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 900 200 100 100 400 500 112.00 56000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
148 Ibuprofen Tab 400 mg (DAK 2018) Tablet - - 127.00 0
149 Iodium Test (DAK 2017) Btl - - 27,500.00 0
150 Iodium Test KF (DAK 2018) Btl - - 9,850.00 0
151 KA-EN-3B (DAK 2017) Btl 120 40 20 60 60 9,136.00 548160
152 KA-EN-3B (DAK 2018) Btl - - 11,314.00 0
153 Kalsium Laktat tab 500 mg (DAK 2017) Tablet - - 57.00 0
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 3500 300 100 100 100 100 700 2,800 59.00 165200
155 Ketokenazole tab 200 mg (DAK 2017) Tablet - - 297.00 0
157 ketokenazole 2% krim (DAK 2017) Tube - - 2,790.00 0
158 ketokenazole 2% krim (DAK 2018) Tube 10 10 10 - 2,694.00 0
159 Klorpromazine Tab 100 mg (DAK 2018) Tablet - - 170.00 0
160 Kloramfenikol kaps 250 mg (DAK 2017) Tablet - - 470.96 0
162 Kloramfenikol kaps 500 mg (DAK 2017) Tablet 200 100 100 100 1,205.00 120500
163 Kloramfenikol syrup (DAK 2017) Btl - - 4,050.00 0
165 Kloramfenikol salep mata 1% (DAK 2018) Btl - - 2,013.00 0
166 Kloramfenikol tetes mata / decacetin (DAK 2017) Btl - - 3,850.00 0
167 Kloramfenikol tetes telinga 3%/ erlamycetin (DA Btl - - 2,288.00 0
168 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2017) Tablet - - 68.30 0
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 1100 2,000 400 100 100 600 2,500 24.00 60000
170 Kodein Fosfat tab 10 mg (DAK 2017) Tablet 186 300 85 85 401 632.00 253432
171 Kotrimoksazole syrup (DAK 2017) Btl - - 2,462.00 0
172 Kotrimoksazole syrup (DAK 2018) Btl 12 12 12 - 2,052.00 0
173 Kotrimoksazole tab 480 mg (DAK 2017) Tablet 1400 - 1,400 152.00 212800
174 Kotrimoksazole tab 480 mg (DAK 2018) Tablet - - 125.00 0
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 90 - 90 1,317.00 118530
176 Lidokain Injeksi 2% (DAK 2018) Ampul 2 2 2 - 1,317.00 0
177 Loperamide tab (DAK 2017) Tablet - - 85.00 0
178 Loperamide tab (DAK 2018) Tablet 800 300 300 500 213.00 106500
179 Livron (Bcomp C + Mineral) Tab (DAK 2017) Tablet - - 335.00 0
180 Metamizol injeksi / Antalgin Injeksi (DAK 2017) ampul - - 3,050.00 0
181 Methylergometrin tablet (DAK 2017) Tablet - - 715.00 0
182 Methylergometrin tablet (DAK 2018) Tablet 250 - 250 242.00 60500
183 Methylergometrin Inj 0,2 mg/ml (DAK 2018) Ampul 20 - 20 3,399.00 67980
184 Metoklopramide tablet (DAK 2017) Tablet 1900 200 100 300 1,600 132.00 211200
185 Metoklopramide Tab 5 mg (DAK 2018) Tablet - - 129.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
186 Metoklopramide Inj. 10 mg/2 ml (DAK 2018) Ampul 30 10 10 20 4,800.00 96000
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol - - 2,700.00 0
188 Metronidazole tab 250 mg (DAK 2017) Tablet 900 - 900 116.00 104400
190 Metronidazole tab 500 mg (DAK 2018) Tablet - - 127.00 0
191 Metformin Tab 500 mg (DAK 2018) Tablet 700 - 700 275.00 192500
192 Metformin Tab 850 mg (DAK 2018) Tablet - - 167.00 0
193 Methyilprednisolone tab 4 mg (DAK 2017) Tablet - - 165.00 0
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 4000 500 200 100 100 100 100 100 100 1,300 2,700 139.00 375300
195 Meloxicam 7,5 mg (DAK 2017) Tablet - - 1,452.00 0
196 Mikonazole krim (DAK 2017) Tube - - 5,407.00 0
198 Miniaspi Tablet (DAK 2017) Tablet 200 - 200 163.00 32600
199 Mineral Mix (DAK 2018) Sachet - - 2,920.00 0
200 Natrium diklofenat tab 25 mg (DAK 2017) Tablet - - 150.00 0
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 1000 50 50 50 50 200 800 526.02 420816
202 Natrium klorida (Nacl) (DAK 2017) Btl 25 5 3 1 2 11 14 6,410.00 89740
203 Natrium klorida (Nacl) (DAK 2018) Btl - - 6,410.00 0
204 Neurotropik tab / Vastarel (DAK 2017) Tablet 400 100 100 300 784.00 235200
205 Neurotropik tab / Corobion (DAK 2018) Tablet - - 1,605.75 0
206 Nistatin Vaginal Tab 100.000 IU (DAK 2018) Tablet - - 645.00 0
207 Obat TBC kat.1 (DAK 2017) Paket 6 4 4 2 395,900.00 791800
208 Obat TBC kat.2 (DAK 2017) Paket - - 1,319,900.00 0
210 Obat TBC kat.Anak (DAK 2018) Paket - - 267,397.00 0
211 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2017) Tube - - 4,290.00 0
212 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2018) Tube 25 - 25 4,290.00 107250
213 Oksitetrasiklin Hcl Salep mata (DAK 2018) Tube - - 2,600.00 0
214 Oksitosin Injeksi (DAK 2017) Ampul - - 1,900.00 0
215 Oksitosin Injeksi (DAK 2018) Ampul 100 - 100 1,232.00 123200
216 Omeprazole tab (DAK 2017) Tablet 450 150 30 180 270 148.00 39960
217 Omeprazole tab (DAK 2018) Tablet - - 138.00 0
218 Paracetamol syrup (DAK 2017) Btl - - 3,675.00 0
219 Paracetamol syrup (DAK 2018) Btl 44 60 15 10 25 79 3,426.00 270654
220 Paracetamol tab 500 mg (DAK 2017) Tablet - - 137.76 0
221 Paracetamol tab 500 mg (DAK 2018) Tablet 2200 2,000 800 200 100 1,100 3,100 60.00 186000
222 Paracetamol Drops (DAK 2018) Btl - - 7,646.00 0
223 Phenol Glyserol tetes telinga 10% (DAK 2018) Btl 24 - 24 2,590.00 62160
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
224 Pirantel tab 125 mg (DAK 2017) Tablet - - 318.00 0
225 Pirantel Pamoat tab 125 mg (DAK 2018) Tablet - - 331.00 0
226 Piridoksin Hcl (Vit.B6) tab 10 mg (DAK 2017) Tablet - - 185.00 0
227 Piridoksin Hcl (Vit.B6) tab 10 mg (DAK 2018) Tablet 2700 100 100 2,600 141.00 366600
228 Prednison tab 5 mg (DAK 2017) Tablet 1000 200 200 800 85.00 68000
229 Prednison tab 5 mg (DAK 2018) Tablet 600 - 600 74.00 44400
230 Povidon iodida 10% (DAK 2017) Btl 300 ml - - 15,386.00 0
231 Quinine Tab 200 mg (DAK 2018) Tablet - - 801.00 0
232 Ranitidine Injeksi (DAK 2017) Ampul - - 6,199.00 0
233 Ranitidine Injeksi (DAK 2018) Ampul 20 30 20 15 35 15 1,155.00 17325
234 Ranitidine tab 150 mg (DAK 2017) Tablet - - 105.00 0
235 Ranitidine tab 150 mg (DAK 2018) Tablet 2400 100 100 100 100 200 100 700 1,700 243.00 413100
236 Ringer Laktat Lar.Infus Steril (DAK 2017) btl 500 ml - - 7,150.00 0
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 140 200 140 80 2 3 2 3 3 233 107 7,150.00 765050
238 Retinol (Vit A.200.000.IU) (DAK 2017) Tablet - - 583.00 0
240 Salbutamol tab 2 mg (DAK 2017) Tablet - - 82.00 0
242 Salbutamol tab 4 mg (DAK 2017) Tablet 200 - 200 89.00 17800
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 24 24 24 - 4,725.00 0
246 Salicyl Bedak 2% (DAK 2018) Pot 4 4 4 - 7,200.00 0
247 Sianacobalamin tab (Vit B12) (DAK 2017) Ktk - - 30.00 0
248 Sianocobalamin tab (Vit B12) (DAK 2018) Tablet - - 48.00 0
249 Sianocobalamin Inj. (Vit B12) 500 mcg/ml (DAK Tablet - - 1,087.00 0
250 Simvastatin tab (DAK 2017) Ampul - - 113.00 0
251 Simvastatin tab (DAK 2018) Tablet 150 - 150 110.00 16500
252 Spironolakton Tab 25 mg (DAK 2018) Tablet - - 212.00 0
253 Stesolid (Diazepam enema 5 mg/2.5ml) (DAK 20 Tablet - - 14,459.00 0
254 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2017) tablet 400 100 100 100 300 100 87.00 8700
255 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2018) Tablet - - 90.00 0
256 Thiamin Hcl (Vit B1 ) Injeksi (DAK 2018) Tablet - - 1,567.00 0
257 Tablet tambah darah (DAK 2018) Ampul - - 409.00 0
258 Vitamim Bcompleks Tab (DAK 2017) Tablet - - 132.00 0
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 3000 800 100 100 200 200 100 100 100 100 1,800 1,200 135.00 162000
260 Vaksin Verrorab (DAK 2017) Tablet - - 248,050.00 0
261 Xylocaine Spray (DAK 2018) Vial 4 - 4 177,216.00 708864
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
262 Zink Tab (DAK 2018) tablet - - 604.00 0
263 Zinc syrup (DAK 2017) botol - - 4,959.00 0
264 Zinc syrup (DAK 2018) Btl 15 50 25 25 40 3,285.00 131400
265 Handrub Antiseptik Btl 5 liter 4 4 3,285.00 13140
TOTAL 23302534
Mengetahui, Tamalatea, Januari 2019

Kepala Puskesmas Pengelola Obat Puskesmas
(ABIDIN, SKM. M.Kes)

NIP.19670618 198803 1 015 (NURFITRIANI KALSUM P, S.Si Apt)
DANA APBD TA. 2019
REKAPAN : Februari 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
1 Alat suntik sekali pakai 1 ml (DAK 2017) Pcs 190 20 10 10 40 150 1,139.00 170850
2 Alat suntik sekali pakai 1 ml (DAK 2018) Pcs 100 - 100 808.68 80868
4 Alat suntik sekali pakai 3 ml (DAK 2018) Pcs 100 - 100 815.63746667 81563.7467
5 Alat suntik sekali pakai 5 ml (DAK 2017) Pcs 475 100 20 10 10 5 10 5 10 10 80 495 1,126.00 557370
18 Handscun M Nonsteril Pcs - - 506.00 0
23 IV.cateter 22 (DAK 2018) Pcs 50 50 50 50 50 8,070.70 403535
29 Jkn Infus set/Remedi pack (DAK 2017) Set 86 36 36 50 25,750.00 1287500
30 Jkn Infus set/Remedi pack (DAK 2018) Set 89 50 2 2 54 35 25,708.00 899780
31 Kapas Pembalut 250g (DAK 2017) Rol 6 1 1 1 1 1 5 1 26,400.00 26400
33 Kasa hidrofil Ukuran 36 m x 80 cm (DAK 2018) Rol 5 - 5 124,125.00 620625
34 Kasa hidrofil Ukuran 10 cm x 4 m (DAK 2018) Rol 60 - 60 1,740.00 104400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
35 Kasa hidrofil Ukuran 5 cm x 4 m (DAK 2018) Rol 60 - 60 900.00 54000
40 Masker Hijab (DAK 2018) Pcs 200 - 200 442.94 88588
44 Plester 7,5 cm x 4,5 m (DAK 2017) Rol 2 1 1 2 - 35,532.00 0
45 Paper tape 2,5 cm x 9,14 m (DAK 2018) Rol 20 1 1 2 18 8,965.00 161370
46 Pot Sputum 7x5 cm (DAK 2017) Pot 234 - 234 3,300.00 772200
52 Silk (benang Bedah Sutera 3/0) (DAK 2018) Pcs 29 24 - 53 21,735.00 1151955
53 Urin Bag (DAK 2018) Pcs 5 2 2 3 6,050.00 18150
54 Antiseptik Hand Rub (DAK 2018) Btl 5000 ml 4 1 1 3 666,000.00 1998000
55 Alkoho/Etanol 70% (DAK 2017) Btl 5 1 1 1 1 4 1 28,000.00 28000
57 Betadine Antiseptik solution (DAK 2018) Btl 60 ml 10 - 10 23,890.00 238900
59 Allupurinol tablet 100 mg (DAK 2017) Tablet 250 - 250 117.00 29250
61 Amitripillin tablet (DAK 2017) Tablet - - 123.00 0
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 700 2,000 400 100 100 100 700 2,000 196.00 392000
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 2200 2,000 1,900 200 100 2,200 2,000 399.938 799876
69 Amlodipin Tab 10 mg (DAK 2018) Tablet 600 - 600 95.00 57000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 1200 2,000 300 100 100 100 100 100 100 900 2,300 56.00 128800
77 Antasida suspensi (DAK 2018) Btl 60 ml 15 50 10 5 15 50 2,098.00 104900
78 Asam Askorbat 50 mg (Vit.C) (DAK 2017) Tablet 0 - - 120.00 0
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 2,000 - 2,000 120.00 240000
82 Asering (DAK 2017) Btl - - 8,432.00 0
Tube 22 3,490.00

89 - - 0
91 Betametason krim 0,1 % (DAK 2018) Tube 25 - 25 1,420.00 35500
93 Captopril 25 mg (DAK 2017) Tablet - - 86.00 0
94 Cefadroxil Kaps 500 mg (DAK 2017) Tablet 1300 - 1,300 455.00 591500
98 Cetrizin 10 mg tab (DAK 2018) Kapsul 500 - 500 97.00 48500
99 Ciprofloxacin Tab 500 mg (DAK 2017) Tablet 800 200 200 600 254.00 152400
102 Corovit tab (DAK 2017) Tablet 2100 4,000 800 100 100 100 100 200 100 100 1,600 4,500 924.00 4158000
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 2,000 - 2,000 34.00 68000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
125 Fitaminadion (Vit K) Tablet (DAK 2018) Tablet 300 100 100 200 818.00 163600
139 Hidrokortison krim 2,5 % (DAK 2018) Tube 24 - 24 2,648.00 63552
143 Halmezyn syrup (DAK 2017) Btl 16 11 5 16 - 34,750.00 0
146 Ibuprofen Suspensi (DAK 2018) Btl 50 - 50 2,678.00 133900
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 500 1,000 300 100 100 500 1,000 112.00 112000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
151 KA-EN-3B (DAK 2017) Btl 60 60 60 - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl - - 11,314.00 0
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 2800 1,000 600 100 200 100 100 100 400 1,600 2,200 59.00 129800
156 Ketokenazole tab 200 mg (DAK 2018) Tablet 300 - 300 286.00 85800
158 ketokenazole 2% krim (DAK 2018) Tube 15 - 15 2,694.00 40410
162 Kloramfenikol kaps 500 mg (DAK 2017) Tablet 100 100 100 - 1,205.00 0
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 2500 2,000 900 100 300 100 1,400 3,100 24.00 74400
170 Kodein Fosfat tab 10 mg (DAK 2017) Tablet 401 187 187 214 632.00 135248
172 Kotrimoksazole syrup (DAK 2018) Btl 50 - 50 2,052.00 102600
173 Kotrimoksazole tab 480 mg (DAK 2017) Tablet 1400 200 100 300 1,100 152.00 167200
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul - - 1,317.00 0
176 Lidokain Injeksi 2% (DAK 2018) Ampul 90 90 30 2 3 2 2 3 3 3 5 3 56 124 1,317.00 163308
178 Loperamide tab (DAK 2018) Tablet 500 100 100 100 300 200 213.00 42600
184 Metoklopramide tablet (DAK 2017) Tablet 1500 200 100 300 1,200 132.00 158400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
186 Metoklopramide Inj. 10 mg/2 ml (DAK 2018) Ampul 20 - 20 4,800.00 96000
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 50 15 5 20 30 2,700.00 81000
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 2700 1,000 900 100 100 100 100 100 100 100 100 1,700 2,000 139.00 278000
197 Mikonazole krim (DAK 2018) Tube 24 - 24 3,926.00 94224
198 Miniaspi Tablet (DAK 2017) Tablet 200 100 100 100 163.00 16300
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 800 200 50 50 50 50 50 50 50 550 250 526.02 131505
202 Natrium klorida (Nacl) (DAK 2017) Btl 14 6 2 8 6 6,410.00 38460
203 Natrium klorida (Nacl) (DAK 2018) Btl 20 - 20 6,410.00 128200
204 Neurotropik tab / Vastarel (DAK 2017) Tablet 300 100 100 200 784.00 156800
205 Neurotropik tab / Corobion (DAK 2018) Tablet 1000 - 1,000 1,605.75 1605750
207 Obat TBC kat.1 (DAK 2017) Paket - - 395,900.00 0
212 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2018) Tube 25 25 25 - 4,290.00 0
215 Oksitosin Injeksi (DAK 2018) Ampul 100 50 3 5 2 5 5 5 5 80 20 1,232.00 24640
217 Omeprazole tab (DAK 2018) Tablet 270 180 180 90 138.00 12420
219 Paracetamol syrup (DAK 2018) Btl 79 100 45 5 3 53 126 3,426.00 431676
221 Paracetamol tab 500 mg (DAK 2018) Tablet 3100 3,000 1100 100 200 1,400 4,700 60.00 282000
222 Paracetamol Drops (DAK 2018) Btl 56 - 56 7,646.00 428176
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
228 Prednison tab 5 mg (DAK 2017) Tablet 800 300 100 100 100 200 800 - 85.00 0
233 Ranitidine Injeksi (DAK 2018) Ampul 15 60 - 75 1,155.00 86625
235 Ranitidine tab 150 mg (DAK 2018) Tablet 1700 300 100 100 100 100 700 1,000 243.00 243000
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 107 500 211 40 245 4 2 2 2 3 509 98 7,150.00 700700
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 24 - 24 4,725.00 113400
246 Salicyl Bedak 2% (DAK 2018) Pot 12 - 12 7,200.00 86400
248 Sianocobalamin tab (Vit B12) (DAK 2018) Tablet 100 - 100 48.00 4800
254 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2017) tablet 100 100 100 - 87.00 0
255 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2018) Tablet 1,000 - 1,000 90.00 90000
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 1200 2,000 1100 100 1,200 2,000 135.00 270000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
262 Zink Tab (DAK 2018) tablet 500 - 500 604.00 302000
264 Zinc syrup (DAK 2018) Btl 40 50 40 40 50 3,285.00 164250
TOTAL 28419114
Mengetahui, Tamalatea, Februari 2019


DANA APBD TA. 2019
REKAPAN : Maret 2019
Stok Prog prog POLI Rawat Pustu PUSTU PUSTU Pustu Poskesdes Pustu Pustu Pustu PUSTU PUSTU Polindes Pustu Total STOK TOTAL
Awal TB gizi GIGI Inap M.loe Kr.Layu T.Roya Bt.Sunggu Turatea Tur.Tim Tonrokassi T.kassi tmr T.Kassi brt Bontojai Sulurang Br.tala Pemberian AKHIR HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
1 Alat suntik sekali pakai 1 ml (DAK 2017) Pcs 150 100 10 10 10 10 10 150 - 1,139.00 0
2 Alat suntik sekali pakai 1 ml (DAK 2018) Pcs 100 100 120 30 150 50 808.68 40434
4 Alat suntik sekali pakai 3 ml (DAK 2018) Pcs 100 100 - 200 815.63746667 163127.493
10 Folley cateter 18 (DAK 2018) Pcs 15 20 3 4 7 28 10,672.00 298816
21 IV.cateter 20 (DAK 2018) Pcs 50 20 20 30 8,070.70 242121
26 Infus set anak (DAK 2018) Pcs 50 50 - 100 5,610.00 561000
28 Infus set dewasa (DAK 2018) Pcs 35 40 - 75 4,176.00 313200
29 Jkn Infus set/Remedi pack (DAK 2017) Set 50 50 50 - 25,750.00 0
31 Kapas Pembalut 250g (DAK 2017) Rol 1 1 1 - 26,400.00 0
32 Kapas Pembalut 250g (DAK 2018) Rol 10 1 1 2 8 29,500.00 236000
33 Kasa hidrofil Ukuran 36 m x 80 cm (DAK 2018) Rol 5 5 2 2 4 6 124,125.00 744750
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
40 Masker Hijab (DAK 2018) Pcs 200 200 50 100 50 50 50 300 100 442.94 44294
43 Oxygen nasal cannula white tubing Child (DAK 2 Pcs 13 1 1 12 7,424.00 89088
44 Plester 7,5 cm x 4,5 m (DAK 2017) Rol 234 234 234 - 35,532.00 0
45 Paper tape 2,5 cm x 9,14 m (DAK 2018) Rol 18 - 18 8,965.00 161370
52 Silk (benang Bedah Sutera 3/0) (DAK 2018) Pcs 53 2 2 51 21,735.00 1108485
53 Urin Bag (DAK 2018) Pcs 3 20 - 23 6,050.00 139150
54 Antiseptik Hand Rub (DAK 2018) Btl 5000 ml 3 1 1 2 1 666,000.00 666000
55 Alkoho/Etanol 70% (DAK 2017) Btl 1 1 1 - 28,000.00 0
56 Alkoho Swab (DAK 2018) Pcs 400 100 100 300 121.00 36300
57 Betadine Antiseptik solution (DAK 2018) Btl 60 ml 10 2 2 8 23,890.00 191120
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 2000 3,000 1400 100 100 100 1,700 3,300 196.00 646800
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 2000 2,000 2,400 500 200 100 100 100 100 3,500 500 399.938 199969
69 Amlodipin Tab 10 mg (DAK 2018) Tablet 600 510 510 90 95.00 8550
71 Ambroksol Sirup 15 mg/ml (DAK 2018) Btl 60 ml 15 30 15 15 30 6,600.00 198000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 2300 500 300 200 100 100 1,200 1,100 56.00 61600
77 Antasida suspensi (DAK 2018) Btl 60 ml 50 50 48 48 52 2,098.00 109096
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 2000 2,000 1,000 1,000 3,000 120.00 360000
82 Asering (DAK 2017) Btl - - 8,432.00 0
83 Asering (DAK 2018) Btl 500 ml 96 24 24 72 9,646.00 694512
Tube 22 3,490.00

89 100 20 20 80 340000
91 Betametason krim 0,1 % (DAK 2018) Tube 25 50 25 25 50 1,420.00 71000
94 Cefadroxil Kaps 500 mg (DAK 2017) Tablet 1300 100 100 1,200 455.00 546000
100 Ciprofloxacin Tab 500 mg (DAK 2018) Tablet 500 - 500 281.00 140500
102 Corovit tab (DAK 2017) Tablet 4500 600 100 100 100 100 100 1,100 3,400 924.00 3141600
107 Deksamethason Injeksi (DAK 2018) Ampul 72 5 5 67 1,210.00 81070
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 2000 2,000 1,500 100 100 1,700 2,300 34.00 78200
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
114 Diazepam 5 mg/ Valdimex (DAK 2017) Tablet - - 65.00 0
125 Fitaminadion (Vit K) Tablet (DAK 2018) Tablet 200 200 200 - 818.00 0
130 Geriavita Tab (Multivitamin Usila) (DAK 2018) Tablet 2850 - 2,850 2,984.67 8506309.5
138 Hidrokortison krim (DAK 2017) Tube 24 48 - 72 4,954.00 356688
141 Hemafort (Fe Komb) Kaplet (DAK 2017) Tablet 5200 1500 1000 2,500 2,700 981.00 2648700
142 Hemafort (Fe Komb) Kaplet (DAK 2018) Tablet 31900 500 1000 1,500 30,400 1,137.89 34591856
146 Ibuprofen Suspensi (DAK 2018) Btl 50 3 2 3 3 2 3 2 18 32 2,678.00 85696
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 1000 1,000 300 100 400 1,600 112.00 179200
Stok Prog POLI Rawat Pustu Pust Pust Pustu Poskesdes Pustu Pustu Pustu PUSTU PUSTU Pol Pustu Total STOK
NO NAMA OBAT KEMASAN Masuk Imunisasi APOTIK UGD KIA LAB HARGA SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
151 KA-EN-3B (DAK 2017) Btl - - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl - - 11,314.00 0
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 2200 1,200 100 1,300 900 59.00 53100
156 Ketokenazole tab 200 mg (DAK 2018) Tablet 300 50 50 250 286.00 71500
162 Kloramfenikol kaps 500 mg (DAK 2017) Tablet - - 1,205.00 0
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 3100 1000 100 100 100 100 100 100 1,600 1,500 24.00 36000
170 Kodein Fosfat tab 10 mg (DAK 2017) Tablet - - 632.00 0
172 Kotrimoksazole syrup (DAK 2018) Btl 50 50 20 5 25 75 2,052.00 153900
173 Kotrimoksazole tab 480 mg (DAK 2017) Tablet 1100 200 100 300 800 152.00 121600
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 124 90 35 60 3 3 3 2 3 109 105 1,317.00 138285
176 Lidokain Injeksi 2% (DAK 2018) Ampul - - 1,317.00 0
178 Loperamide tab (DAK 2018) Tablet 200 100 100 100 213.00 21300
184 Metoklopramide tablet (DAK 2017) Tablet 1200 100 100 1,100 132.00 145200
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
186 Metoklopramide Inj. 10 mg/2 ml (DAK 2018) Ampul 20 5 5 10 10 4,800.00 48000
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 50 25 8 2 2 2 2 41 9 2,700.00 24300
189 Metronidazole tab 500 mg (DAK 2017) Tablet 600 200 200 400 115.00 46000
191 Metformin Tab 500 mg (DAK 2018) Tablet 700 100 100 600 275.00 165000
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 2000 1,000 200 200 2,800 139.00 389200
199 Mineral Mix (DAK 2018) Sachet 120 120 120 - 2,920.00 0
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 250 250 250 - 526.02 0
202 Natrium klorida (Nacl) (DAK 2017) Btl 6 1 1 5 6,410.00 32050
204 Neurotropik tab / Vastarel (DAK 2017) Tablet 200 200 200 - 784.00 0
215 Oksitosin Injeksi (DAK 2018) Ampul 20 17 3 20 - 1,232.00 0
217 Omeprazole tab (DAK 2018) Tablet 90 - 90 138.00 12420
221 Paracetamol tab 500 mg (DAK 2018) Tablet 4700 3,000 1500 200 100 300 300 100 100 100 2,700 5,000 60.00 300000
222 Paracetamol Drops (DAK 2018) Btl 56 11 3 14 42 7,646.00 321132
223 Phenol Glyserol tetes telinga 10% (DAK 2018) Btl 24 24 - 48 2,590.00 124320
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
228 Prednison tab 5 mg (DAK 2017) Tablet - - 85.00 0
233 Ranitidine Injeksi (DAK 2018) Ampul 75 10 10 65 1,155.00 75075
235 Ranitidine tab 150 mg (DAK 2018) Tablet 1000 900 100 1,000 - 243.00 0
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 98 500 60 20 80 3 163 435 7,150.00 3110250
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 24 24 24 - 4,725.00 0
246 Salicyl Bedak 2% (DAK 2018) Pot 12 12 12 12 12 7,200.00 86400
249 Sianocobalamin Inj. (Vit B12) 500 mcg/ml (DAK Tablet 100 3 5 8 92 1,087.00 100004
253 Stesolid (Diazepam enema 5 mg/2.5ml) (DAK 20 Tablet 5 5 5 5 5 14,459.00 72295
254 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2017) tablet - - 87.00 0
255 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2018) Tablet 1000 200 100 300 700 90.0063000
257 Tablet tambah darah (DAK 2018) Ampul 69120 2,160 2,160 66,960 409.00 27386640
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 1500 2,000 300 300 3,200 135.00 432000
261 Xylocaine Spray (DAK 2018) Vial 4 4 4 - 177,216.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
264 Zinc syrup (DAK 2018) Btl 50 20 20 30 3,285.00 98550
265 Handrub Antiseptik Btl 5 liter - - 3,285.00 0
` 97278711
Mengetahui, Tamalatea, Maret 2019


DANA APBD TA. 2019
REKAPAN : April 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
1 Alat suntik sekali pakai 1 ml (DAK 2017) Pcs - - 1,139.00 0
2 Alat suntik sekali pakai 1 ml (DAK 2018) Pcs 50 25 25 25 808.68 20217
9 Folley cateter 16 (DAK 2018) Pcs 23 1 2 3 20 10,672.00 213440
26 Infus set anak (DAK 2018) Pcs 100 25 25 75 5,610.00 420750
28 Infus set dewasa (DAK 2018) Pcs 75 25 25 50 4,176.00 208800
30 Jkn Infus set/Remedi pack (DAK 2018) Set 50 - 50 25,708.00 1285400
32 Kapas Pembalut 250g (DAK 2018) Rol 8 5 2 2 1 1 1 7 6 29,500.00 177000
33 Kasa hidrofil Ukuran 36 m x 80 cm (DAK 2018) Rol 6 5 6 2 2 10 1 124,125.00 124125
34 Kasa hidrofil Ukuran 10 cm x 4 m (DAK 2018) Rol 60 5 5 55 1,740.00 95700
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
40 Masker Hijab (DAK 2018) Pcs 100 300 100 50 150 250 442.94 110735
44 Plester 7,5 cm x 4,5 m (DAK 2017) Rol - - 35,532.00 0
52 Silk (benang Bedah Sutera 3/0) (DAK 2018) Pcs 51 2 2 4 47 21,735.00 1021545
53 Urin Bag (DAK 2018) Pcs 23 3 3 20 6,050.00 121000
55 Alkoho/Etanol 70% (DAK 2017) Btl - - 28,000.00 0
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 3300 600 100 700 2,600 196.00 509600
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 500 2,000 800 300 100 1,200 1,300 399.938 519919.4
69 Amlodipin Tab 10 mg (DAK 2018) Tablet 300 150 30 180 120 95.00 11400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 1100 200 100 100 400 700 56.00 39200
77 Antasida suspensi (DAK 2018) Btl 60 ml 52 5 5 47 2,098.00 98606
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 3000 500 500 2,500 120.00 300000
82 Asering (DAK 2017) Btl - - 8,432.00 0
Tube 22 3,490.00
Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 80 4,250.00

89 100 20 20 40 140 595000
91 Betametason krim 0,1 % (DAK 2018) Tube 50 25 25 25 1,420.00 35500
94 Cefadroxil Kaps 500 mg (DAK 2017) Tablet 1200 200 200 1,000 455.00 455000
98 Cetrizin 10 mg tab (DAK 2018) Kapsul 1500 300 300 1,200 97.00 116400
101 Codein phospat Tab 10 mg (DAK 2018) Tablet 300 161 161 139 657.00 91323
103 Corovit tab (DAK 2018) Tablet 3400 200 100 100 100 100 200 100 100 100 1,100 2,300 922.51 2121773
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 2300 700 100 800 1,500 34.00 51000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
115 Difenhidramin Hcl injeksi (DAK 2017) Ampul - - 1,222.00 0
139 Hidrokortison krim 2,5 % (DAK 2018) Tube 72 24 24 48 2,648.00 127104
146 Ibuprofen Suspensi (DAK 2018) Btl 32 5 5 27 2,678.00 72306
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 1600 200 100 300 1,300 112.00 145600
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
151 KA-EN-3B (DAK 2017) Btl - - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl 100 20 20 80 11,314.00 905120
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 900 1,000 300 300 1,600 59.00 94400
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 1500 800 100 100 1,000 500 24.00 12000
172 Kotrimoksazole syrup (DAK 2018) Btl 75 30 30 45 2,052.00 92340
173 Kotrimoksazole tab 480 mg (DAK 2017) Tablet 800 500 100 600 200 152.00 30400
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 105 3 3 5 3 2 2 18 87 1,317.00 114579
178 Loperamide tab (DAK 2018) Tablet 100 - 100 213.00 21300
184 Metoklopramide tablet (DAK 2017) Tablet - - 132.00 0
185 Metoklopramide Tab 5 mg (DAK 2018) Tablet 1100 100 100 1,000 129.00 129000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 9 9 9 - 2,700.00 0
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 2800 1800 1,800 1,000 139.00 139000
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 1,000 250 250 750 526.02 394515
204 Neurotropik tab / Vastarel (DAK 2017) Tablet - - 784.00 0
219 Paracetamol syrup (DAK 2018) Btl 36 31 5 36 - 3,426.00 0
221 Paracetamol tab 500 mg (DAK 2018) Tablet 5000 300 300 100 100 200 200 100 100 100 200 1,700 3,300 60.00 198000
222 Paracetamol Drops (DAK 2018) Btl 48 6 6 42 7,646.00 321132
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
229 Prednison tab 5 mg (DAK 2018) Tablet 300 - 300 74.00 22200
235 Ranitidine tab 150 mg (DAK 2018) Tablet 2,000 - 2,000 243.00 486000
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 435 57 20 160 3 6 2 3 3 3 3 3 263 172 7,150.00 1229800
242 Salbutamol tab 4 mg (DAK 2017) Tablet 100 100 100 - 89.00 0
243 Salbutamol tab 4 mg (DAK 2018) Tablet 500 100 100 400 77.00 30800
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot - - 4,725.00 0
246 Salicyl Bedak 2% (DAK 2018) Pot 12 6 6 6 7,200.00 43200
251 Simvastatin tab (DAK 2018) Tablet 150 300 150 150 300 110.00 33000
253 Stesolid (Diazepam enema 5 mg/2.5ml) (DAK 20 Tablet 5 5 5 - 14,459.00 0
255 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2018) Tablet 700 300 100 400 300 90.00 27000
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 3200 800 100 100 1,000 2,200 135.00 297000
260 Vaksin Verrorab (DAK 2017) Tablet 16 Prog Rabies : 16 16 - 248,050.00 0
261 Xylocaine Spray (DAK 2018) Vial - - 177,216.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
264 Zinc syrup (DAK 2018) Btl 30 30 30 - 3,285.00 0
265 Handrub Antiseptik Btl 5 liter - 3,285.00 0
TOTAL 21415104
Mengetahui, Tamalatea, April 2019


DANA APBD TA. 2019
REKAPAN : Mei 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
2 Alat suntik sekali pakai 1 ml (DAK 2018) Pcs 25 15 10 25 - 808.68 0
3 Alat suntik sekali pakai 3 ml (DAK 2017) Pcs - - 911.00
0
4 Alat suntik sekali pakai 3 ml (DAK 2018) Pcs 200 100 40 25 20 100 5 10 10 10 10 10 10 10 10 10 280 20 815.63746667 16312.7493
5 Alat suntik sekali pakai 5 ml (DAK 2017) Pcs 180 200 10 5 10 25 355 1,126.00 399730
9 Folley cateter 16 (DAK 2018) Pcs 20 - 20 10,672.00 213440
28 Infus set dewasa (DAK 2018) Pcs 50 25 25 2 27 48 4,176.00 200448
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
40 Masker Hijab (DAK 2018) Pcs 250 200 50 50 50 50 200 250 442.94 110735
53 Urin Bag (DAK 2018) Pcs 20 - 20 6,050.00 121000
56 Alkohol Swab (DAK 2018) Pcs 300 - 300 121.00 36300
57 Betadine Antiseptik solution (DAK 2018) Btl 60 ml 8 1 1 7 23,890.00 167230
60 Allupurinol tablet 100 mg (DAK 2018) Tablet 100 500 300 300 300 99.00 29700
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 2600 500 200 100 100 900 1,700 196.00 333200
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 1300 2,000 1,000 200 100 100 100 100 100 1,700 1,600 399.938 639900.8
69 Amlodipin Tab 10 mg (DAK 2018) Tablet 120 300 150 60 210 210 95.00 19950
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 700 2,000 800 100 100 1,000 1,700 56.00 95200
77 Antasida suspensi (DAK 2018) Btl 60 ml 47 50 45 3 3 3 3 2 59 38 2,098.00 79724
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 2500 1,100 1,100 1,400 120.00 168000
82 Asering (DAK 2017) Btl - - 8,432.00 0
83 Asering (DAK 2018) Btl 500 ml 24 48 72 72 - 9,646.00 0
Tube 22 3,490.00
88 Antihemoroid Suppo Komb (DAK 2018) Suppo 10 10 10 - 3,642.00 0

89 100 40 20 60 180 765000
92 Bisakodil Tablet 5 mg (DAK 2018) Tablet 270 600 - 870 316.00 274920
94 Cefadroxil Kaps 500 mg (DAK 2017) Tablet 1000 300 300 700 455.00 318500
98 Cetrizin 10 mg tab (DAK 2018) Kapsul 1200 300 300 900 97.00 87300
102 ` Tablet - - 924.00 0
103 Corovit tab (DAK 2017) Tablet 2300 700 100 100 100 100 1,100 1,200 922.51 1107012
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 1500 600 100 100 800 700 34.00 23800
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
120 Ergotamin 1 mg + kafein 50 mg Komb (DAK 2018 Tablet 200 100 100 100 199.00 19900
127 Furosemid Tab 40 mg (DAK 2017) (DAK 2018) Tablet 550 ED : 550 550 82.00 0
131 Geriavita Tab (Multivitamin Usila) (DAK 2019) Tablet 2850 - 2,850 0
132 Glibenklamide Tab 5 mg (DAK 2017) Tablet 400 100 100 300 793.00 237900
133 Griseofulvin Tab 125 mg (DAK 2017) Tablet 500 100 100 400 263.00 105200
141 Hemafort (Fe Komb) Kaplet (DAK 2017) Tablet 800 300 300 500 981.00 490500
143 Hemafort (Fe Komb) Kaplet (DAK 2019) Tablet 29500 - 29,500 0
146 Ibuprofen Suspensi (DAK 2018) Btl 27 50 5 3 8 69 2,678.00 184782
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 1300 600 100 100 100 900 400 112.00 44800
NO NAMA OBAT KEMASAN Awal Masuk APOTIK UGD KIA GIGI Inap LAB M.loe Kr.Layu T.Roya Bt.Sunggu Turatea Tur.Tim Tonrokassi T.kassi tmr T.Kassi brt Bontojai Sulurang Br.tala Pemberian AKHIR HARGA SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
151 KA-EN-3B (DAK 2017) Btl 80 20 60 80 - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl - - 11,314.00 0
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 1600 1,000 800 100 100 100 100 100 1,300 1,300 59.00 76700
158 ketokenazole 2% krim (DAK 2018) Tube 15 5 5 10 2,694.00 26940
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 500 1,000 600 600 900 24.00 21600
172 Kotrimoksazole syrup (DAK 2018) Btl 50 20 3 23 27 2,052.00 55404
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 87 3 3 2 3 2 3 3 19 68 1,317.00 89556
178 Loperamide tab (DAK 2018) Tablet 100 100 100 - 213.00 0
184 Metoklopramide tablet (DAK 2017) Tablet 1000 - 1,000 132.00 132000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 50 10 10 40 2,700.00 108000
189 Metronidazole tab 500 mg (DAK 2017) Tablet 200 200 200 - 115.00 0
191 Metformin Tab 500 mg (DAK 2017) Tablet 600 100 100 500 275.00 137500
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 1000 1,000 1200 1,200 800 139.00 111200
198 Miniaspi Tablet (DAK 2017) Tablet 100 100 100 - 163.00 0
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 750 1,000 600 600 1,150 526.02 604923
203 Natrium klorida (Nacl) (DAK 2018) Btl 11 5 2 7 4 6,410.00 25640
205 Neurotropik tab / Corobion (DAK 2018) Tablet 1000 300 300 700 1,605.75 1124025
212 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2018) Tube 50 25 25 25 4,290.00 107250
219 Paracetamol syrup (DAK 2018) Btl 100 - 100 3,426.00 342600
221 Paracetamol tab 500 mg (DAK 2018) Tablet 3000 900 200 100 100 100 1,400 1,600 60.00 96000
223 Phenol Glyserol tetes telinga 10% (DAK 2018) Btl 48 24 24 24 2,590.00 62160
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
227 Piridoksin Hcl (Vit.B6) tab 10 mg (DAK 2018) Tablet 2000 300 100 400 1,600 141.00 225600
229 Prednison tab 5 mg (DAK 2018) Tablet 300 300 300 - 74.00 0
235 Ranitidine tab 150 mg (DAK 2018) Tablet 2000 600 100 100 100 900 1,100 243.00 267300
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 172 1,200 200 60 140 5 2 2 3 2 2 2 2 420 952 7,150.00 6806800
241 Salbutamol tab 2 mg (DAK 2018) Tablet 2,000 200 200 1,800 64.00 115200
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 48 29 29 19 4,725.00 89775
246 Salicyl Bedak 2% (DAK 2018) Pot 6 6 6 - 7,200.00 0
251 Simvastatin tab (DAK 2018) Tablet 300 300 150 150 450 110.00 49500
255 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2018) Tablet 300 300 300 - 90.00 0
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 2200 500 500 1,700 135.00 229500
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
262 Zink Tab (DAK 2018) tablet 500 200 200 300 604.00 181200
264 Zinc syrup (DAK 2018) Btl - - 3,285.00 0
TOTAL 24720358


DANA APBD TA. 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
4 Alat suntik sekali pakai 3 ml (DAK 2018) Pcs 10 200 10 10 200 815.63746667 163127.493
5 Alat suntik sekali pakai 5 ml (DAK 2017) Pcs 355 200 39 10 10 10 10 10 89 466 1,126.00 524716
28 Infus set dewasa (DAK 2018) Pcs 48 - 48 4,176.00 200448
30 Jkn Infus set/Remedi pack (DAK 2018) Set 30 25 25 5 25,708.00 128540
32 Kapas Pembalut 250g (DAK 2018) Rol 8 5 1 1 2 1 1 1 7 6 29,500.00 177000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
40 Masker Hijab (DAK 2018) Pcs 250 200 - 450 442.94 199323
42 Oxygen nasal cannula white tubing adult (Dak 20 Pcs 12 1 1 11 7,424.00 81664
43 Oxygen nasal cannula white tubing Child (DAK 2 Pcs - - 7,424.00 0
53 Urin Bag (DAK 2018) Pcs 20 - 20 6,050.00 121000
55 Alkohol/Etanol 70% (DAK 2017) Btl - - 28,000.00 0
56 Alkohol Swab (DAK 2018) Pcs 300 500 200 200 600 121.00 72600
57 Betadine Antiseptik solution (DAK 2018) Btl 60 ml 7 10 - 17 23,890.00 406130
60 Allupurinol tablet 100 mg (DAK 2018) Tablet 300 500 - 800 99.00 79200
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 1700 2,000 100 100 100 100 100 100 600 3,100 196.00 607600
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 1600 2,000 100 100 200 100 200 100 200 1,000 2,600 399.938 1039838.8
71 Ambroksol Sirup 15 mg/ml (DAK 2018) Btl 60 ml 15 - 15 6,600.00 99000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 1700 1,000 100 100 100 100 100 100 600 2,100 56.00 117600
77 Antasida suspensi (DAK 2018) Btl 60 ml 38 50 20 20 68 2,098.00 142664
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 1400 1,000 100 100 2,300 120.00 276000
82 Asering (DAK 2017) Btl - - 8,432.00 0
83 Asering (DAK 2018) Btl 500 ml 72 - 72 9,646.00 694512
Tube 22 3,490.00
88 Antihemoroid Suppo Komb (DAK 2018) Suppo - - 3,642.00 0

89 100 20 10 100 130 150 637500
92 Bisakodil Tablet 5 mg (DAK 2018) Tablet 870 330 30 30 1,170 316.00 369720
94 Cefadroxil Kaps 500 mg (DAK 2017) Tablet 700 - 700 455.00 318500
99 Ciprofloxacin Tab 500 mg (DAK 2017) Tablet 200 200 200 - 254.00 0
102 Corovit tab (DAK 2017) Tablet 1200 4,000 100 100 100 200 100 100 100 100 900 4,300 924.00 3973200
107 Deksamethason Injeksi (DAK 2018) Ampul 44 2 2 42 1,210.00 50820
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 700 1,000 100 100 100 100 400 1,300 34.00 44200
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
139 Hidrokortison krim 2,5 % (DAK 2018) Tube 24 - 24 2,648.00 63552
146 Ibuprofen Suspensi (DAK 2018) Btl 69 3 3 6 63 2,678.00 168714
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 400 1,000 - 1,400 112.00 156800
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
151 KA-EN-3B (DAK 2017) Btl - - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl 100 - 100 11,314.00 1131400
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 1300 1,000 100 100 100 100 400 1,900 59.00 112100
158 ketokenazole 2% krim (DAK 2018) Tube 10 10 10 - 2,694.00 0
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 900 1,000 100 200 100 400 1,500 24.00 36000
172 Kotrimoksazole syrup (DAK 2018) Btl 27 5 5 22 2,052.00 45144
173 Kotrimoksazole tab 480 mg (DAK 2017) Tablet 200 - 200 152.00 30400
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 68 2 2 66 1,317.00 86922
182 Methylergometrin tablet (DAK 2018) Tablet 250 500 150 100 100 350 400 242.00 96800
184 Metoklopramide tablet (DAK 2017) Tablet 1000 100 100 100 300 700 132.00 92400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
186 Metoklopramide Inj. 10 mg/2 ml (DAK 2018) Ampul - - 4,800.00 0
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 40 16 2 2 20 20 2,700.00 54000
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 800 300 300 500 139.00 69500
198 Miniaspi Tablet (DAK 2017) Tablet - - 163.00 0
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 1150 1,000 300 300 1,850 526.02 973137
205 Neurotropik tab / Corobion (DAK 2018) Tablet 700 300 300 400 1,605.75 642300
212 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2018) Tube 25 25 - 50 4,290.00 214500
221 Paracetamol tab 500 mg (DAK 2018) Tablet 1600 3,000 1100 100 1,200 3,400 60.00 204000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
227 Piridoksin Hcl (Vit.B6) tab 10 mg (DAK 2018) Tablet 1600 - 1,600 141.00 225600
233 Ranitidine Injeksi (DAK 2018) Ampul 30 100 20 20 110 1,155.00 127050
235 Ranitidine tab 150 mg (DAK 2018) Tablet 1100 100 100 200 900 243.00 218700
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 918 60 72 3 3 2 3 3 3 2 2 2 155 763 7,150.00 5455450
241 Salbutamol tab 2 mg (DAK 2018) Tablet 1800 400 100 500 1,300 64.00 83200
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 19 50 21 21 48 4,725.00 226800
246 Salicyl Bedak 2% (DAK 2018) Pot - - 7,200.00 0
249 Sianocobalamin Inj. (Vit B12) 500 mcg/ml (DAK Tablet 76 - 76 1,087.00 82612
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 1700 - 1,700 135.00 229500
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
TOTAL 30363947


DANA APBD TA. 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
2 Alat suntik sekali pakai 1 ml (APBD 2019) Pcs 200 30 30 170 808.68 137475.6
4 Alat suntik sekali pakai 3 ml (DAK 2018) Pcs 200 200 100 100 300 815.63746667 244691.24
5 Alat suntik sekali pakai 5 ml (DAK 2017) Pcs 466 100 10 10 10 5 10 5 10 10 10 80 286 1,126.00 322036
8 Catgut/ Benang Bedah no. 2/0-3/0 (DAK 2018) Pcs 36 - 36 63,669.00 2292084
10 Folley cateter 18 (DAK 2018) Pcs 23 1 3 1 1 1 7 16 10,672.00 170752
18 Handscun M Nonsteril (DAK 2018) Pcs 100 100 100 - 506.00 0
28 Infus set dewasa (DAK 2018) Pcs 48 50 25 25 73 4,176.00 304848
32 Kapas Pembalut 250g (DAK 2018) Rol 6 10 1 1 1 1 1 1 1 7 9 29,500.00 265500
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
35 Kasa hidrofil Ukuran 5 cm x 4 m (DAK 2018) Rol 60 20 20 40 900.00 36000
40 Masker Hijab (DAK 2018) Pcs 450 200 50 100 150 500 442.94 221470
45 Paper tape 2,5 cm x 9,14 m (DAK 2018) Rol 18 6 6 12 8,965.00 107580
52 Silk (benang Bedah Sutera 3/0) (DAK 2018) Pcs 36 13 2 2 2 19 17 21,735.00 369495
53 Urin Bag (DAK 2018) Pcs 20 1 1 19 6,050.00 114950
55 Alkohol/Etanol 70% (DAK 2017) Btl - - 28,000.00 0
56 Alkohol Swab (DAK 2018) Pcs 600 200 200 400 121.00 48400
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 3100 100 100 100 100 400 2,700 196.00 529200
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 2600 3,000 500 100 100 200 100 100 100 1,200 4,400 399.938 1759727.2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 2100 2,000 100 200 100 100 200 100 800 3,300 56.00 184800
77 Antasida suspensi (DAK 2018) Btl 60 ml 68 63 5 68 - 2,098.00 0
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 2300 900 900 1,400 120.00 168000
82 Asering (DAK 2017) Btl - - 8,432.00 0
Tube 22 3,490.00

89 100 25 100 5 130 120 510000
91 Betametason krim 0,1 % (DAK 2018) Tube 25 3 2 2 3 10 15 1,420.00 21300
92 Bisakodil Tablet 5 mg (DAK 2018) Tablet 1170 60 60 60 60 60 60 60 60 60 540 630 316.00 199080
94 Cefadroxil Kaps 500 mg (DAK 2017) Tablet 700 300 300 400 455.00 182000
102 ` Tablet - - 924.00 0
103 Corovit tab (DAK 2017) Tablet 4300 400 200 100 100 200 100 100 100 100 100 100 1,600 2,700 922.51 2490777
107 Deksamethason Injeksi (DAK 2018) Ampul 42 3 3 6 36 1,210.00 43560
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 1300 2,000 1,100 100 200 100 100 1,600 1,700 34.00 57800
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
127 Furosemid Tab 40 mg (DAK 2017) (DAK 2018) Tablet 200 200 200 - 82.00 0
134 Griseofulvin Tab 125 mg (DAK 2018) Tablet 400 1,000 600 600 800 223.00 178400
135 Glukosa Lar.Infus 5% sterile (DAK 2017) Btl 19 1 1 2 17 5,720.00 97240
140 Hidroklortiasid (Hct) Tab 25 mg (DAK 2018) Tablet 100 100 100 - 178.00 0
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 1400 500 100 100 700 700 112.00 78400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
151 KA-EN-3B (DAK 2017) Btl - - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl 100 100 40 40 160 11,314.00 1810240
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 1900 2,000 1,000 100 100 100 100 100 1,500 2,400 59.00 141600
156 Ketokenazole tab 200 mg (DAK 2018) Tablet 250 100 100 150 286.00 42900
161 Kloramfenikol kaps 250 mg (DAK 2018) Tablet 1,000 100 100 900 329.00 296100
166 Kloramfenikol tetes mata / decacetin (DAK 2017) btl - - 3,850.00 0
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 1500 2,000 1000 100 1,100 2,400 24.00 57600
172 Kotrimoksazole syrup (DAK 2018) Btl 22 50 10 10 62 2,052.00 127224
173 Kotrimoksazole tab 480 mg (DAK 2017) Tablet 200 - 200 152.00 30400
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 62 90 2 3 3 3 3 14 138 1,317.00 181746
182 Methylergometrin tablet (DAK 2018) Tablet 400 200 200 200 242.00 48400
183 Methylergometrin Inj 0,2 mg/ml (DAK 2018) Ampul 20 10 - 30 3,399.00 101970
184 Metoklopramide tablet (DAK 2017) Tablet 700 100 100 200 500 132.00 66000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 20 50 20 20 50 2,700.00 135000
188 Metronidazole tab 250 mg (DAK 2017) Tablet 700 700 700 - 116.00 0
191 Metformin Tab 500 mg (DAK 2017) Tablet 500 500 500 - 275.00 0
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 500 2,000 200 100 100 100 500 2,000 139.00 278000
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 1850 500 50 50 50 50 50 50 800 1,050 526.02 552321
205 Neurotropik tab / Corobion (DAK 2018) Tablet 400 - 400 1,605.75 642300
212 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2018) Tube 50 3 2 5 45 4,290.00 193050
215 Oksitosin Injeksi (DAK 2018) Ampul 200 5 5 195 1,232.00 240240
217 Omeprazole tab (DAK 2018) Tablet 300 - 300 138.00 41400
219 Paracetamol syrup (DAK 2018) Btl 190 90 5 95 95 3,426.00 325470
221 Paracetamol tab 500 mg (DAK 2018) Tablet 3400 1500 100 200 100 100 100 2,100 1,300 60.00 78000
222 Paracetamol Drops (DAK 2018) Btl 18 2 2 2 2 2 10 8 7,646.00 61168
NO NAMA OBAT KEMASAN Masuk Prog. APOTIK UGD KIA LAB HARGA SATUAN
Awal Gizi GIGI Inap M.loe Kr.Layu T.Roya Bt.Sunggu Turatea Tur.Tim Tonrokassi T.kassi tmr T.Kassi brt Bontojai Sulurang Br.tala Pemberian AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
235 Ranitidine tab 150 mg (DAK 2018) Tablet 900 100 100 200 700 243.00 170100
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 763 100 20 200 3 3 3 3 3 3 2 3 3 346 417 7,150.00 2981550
241 Salbutamol tab 2 mg (DAK 2018) Tablet 1300 300 300 1,000 64.00 64000
243 Salbutamol tab 4 mg (DAK 2018) Tablet 300 500 400 400 400 77.00 30800
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 48 3 3 3 2 11 37 4,725.00 174825
249 Sianocobalamin Inj. (Vit B12) 500 mcg/ml (DAK ampul 76 - 76 1,087.00 82612
251 Simvastatin tab (DAK 2018) Tablet 450 30 30 420 110.00 46200
255 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2018) Tablet 2,000 500 500 1,500 90.00 135000
256 Thiamin Hcl (Vit B1 ) Injeksi (DAK 2018) Tablet 60 60 60 - 1,567.00 0
257 Tablet tambah darah (DAK 2018) Ampul 60480 ### - 51,840 409.00 21202560
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 1700 800 100 900 800 135.00 108000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
262 Zink Tab (DAK 2018) tablet 300 1,000 300 300 1,000 604.00 604000
TOTAL 50963036


DANA APBD TA. 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
33 Kasa hidrofil Ukuran 36 m x 80 cm (DAK 2018) Rol - - 124,125.00 0
34 Kasa hidrofil Ukuran 10 cm x 4 m (DAK 2018) Rol - - 1,740.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
35 Kasa hidrofil Ukuran 5 cm x 4 m (DAK 2018) Rol - - 900.00 0
40 Masker Hijab (DAK 2018) Pcs - - 442.94 0
41 Needle citoject (DAK 2017) Pcs - - 2,275.00 0
43 Oxygen nasal cannula white tubing Child (DAK 2 Pcs - - 7,424.00 0
45 Paper tape 2,5 cm x 9,14 m (DAK 2018) Rol - - 8,965.00 0
53 Urin Bag (DAK 2018) Pcs - - 6,050.00 0
56 Alkoho Swab (DAK 2018) Pcs - - 121.00 0
71 Ambroksol Sirup 15 mg/ml (DAK 2018) Btl 60 ml - - 6,600.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
82 Asering (DAK 2017) Btl - - 8,432.00 0
83 Asering (DAK 2018) Btl 500 ml - - 9,646.00 0
Tube 3,490.00
86 IU/g+Polimiksin 10.000 54/g) (DAK 2018) - - 0

89 - - 0
92 Bisakodil Tablet 5 mg (DAK 2018) Tablet - - 316.00 0
98 Cetrizin 10 mg tab (DAK 2018) Kapsul - - 97.00 0
102 ` Tablet - - 924.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
120 Ergotamin 1 mg + kafein 50 mg Komb (DAK 2018 Tablet - - 199.00 0
132 Glibenklamide Tab 5 mg (DAK 2017) Tablet - - 793.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
151 KA-EN-3B (DAK 2017) Btl - - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl - - 11,314.00 0
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul - - 1,317.00 0
183 Methylergometrin Inj 0,2 mg/ml (DAK 2018) Ampul - - 3,399.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol - - 2,700.00 0
222 Paracetamol Drops (DAK 2018) Btl - - 7,646.00 0
223 Phenol Glyserol tetes telinga 10% (DAK 2018) Btl - - 2,590.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot - - 4,725.00 0
251 Simvastatin tab (DAK 2018) Tablet - - 110.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
262 Zink Tab (DAK 2018) tablet - - 604.00 0
TOTAL 0


DANA APBD TA. 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
1 Alat suntik sekali pakai 1 ml (DAK 2019) 10 100 - 100 1,139.00 113900
2 Alat suntik sekali pakai 1 ml (APBD 2019) Pcs 170 25 100 10 10 10 10 5 170 - 808.68 0
3 Alat suntik sekali pakai 3 ml (DAK 2019) Pcs 300 - 300 911.00 273300
4 Alat suntik sekali pakai 3 ml (DAK 2018) Pcs 300 30 20 5 10 10 10 10 10 10 10 10 10 10 155 145 815.63746667 118267.433
5 Alat suntik sekali pakai 5 ml (DAK 2017) Pcs 286 5 10 10 5 10 5 5 10 10 10 10 90 196 1,126.00 220696
7 Catgut/ Benang Bedah no. 2/0-3/0 (DAK 2018) Pcs 36 20 3 1 2 2 2 3 2 1 36 - 63,669.00 0
8 Catgut/ Benang Bedah no. 2/0-3/0 (DAK 2019) Pcs 24 - 24 63,669.00 1528056
10 Folley cateter 18 (DAK 2018) Pcs 16 10 1 2 1 4 22 10,672.00 234784
18 Handscun M Nonsteril (2019) Pcs 500 4 200 100 100 20 20 30 470 26 506.00 13156
21 IV.cateter 20 (DAK 2019) Pcs 100 2 2 98 8,070.70 790928.6
23 IV.cateter 22 (DAK 2019) Pcs 200 50 50 150 8,070.70 1210605
24 IV.cateter 24 (DAK 2019) Pcs 50 - 50 8,070.70 403535
26 Infus set anak (DAK 2018) Pcs 158 6 3 2 11 147 5,610.00 824670
27 Infus set dewasa (DAK 2019) Pcs 50 - 50 4,500.00 225000
28 Infus set dewasa (DAK 2018) Pcs 73 10 3 2 3 2 2 1 3 2 28 45 4,176.00 187920
32 Kapas Pembalut 250g (DAK 2018) Rol 9 10 1 1 1 2 1 1 1 1 9 10 29,500.00 295000
33 Kasa hidrofil Ukuran 36 m x 80 cm (DAK 2018) Rol 5 5 1 1 1 3 7 124,125.00 868875
34 Kasa hidrofil Ukuran 10 cm x 4 m (DAK 2018) Rol 40 5 5 5 15 25 1,740.00 43500
s NAMA OBAT KEMASAN Masuk APOTIK UGD KIA LAB HARGA SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
40 Masker Hijab (DAK 2018) Pcs 500 500 100 50 25 25 25 25 20 20 25 50 365 635 442.94 281266.9
43 Oxygen nasal cannula white tubing Child (DAK 2 Pcs 11 5 5 6 7,424.00 44544
45 Paper tape 2,5 cm x 9,14 m (DAK 2018) Rol 12 12 - 24 8,965.00 215160
52 Silk (benang Bedah Sutera 3/0) (DAK 2018) Pcs 17 36 14 2 16 37 21,735.00 804195
53 Urin Bag (DAK 2018) Pcs - - 6,050.00 0
56 Alkoho Swab (DAK 2018) Pcs 400 500 400 300 700 200 121.00 24200
57 Betadine Antiseptik solution (DAK 2018) Btl 60 ml 17 2 1 3 14 23,890.00 334460
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 2700 1,000 1000 300 200 200 100 100 1,900 1,800 196.00 352800
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 4400 5,000 3,000 400 100 300 200 100 200 200 200 200 300 200 200 200 5,800 3,600 399.938 1439776.8
69 Amlodipin Tab 10 mg (DAK 2018) Tablet 840 600 - 1,440 95.00 136800
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 3300 3,000 800 100 100 100 200 100 100 100 100 100 200 2,000 4,300 56.00 240800
77 Antasida suspensi (DAK 2018) Btl 60 ml 100 23 2 3 3 2 3 3 39 61 2,098.00 127978
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 1400 1,000 1,000 100 200 100 100 200 100 100 100 200 100 2,300 100 120.00 12000
82 Asering (DAK 2017) Btl - - 8,432.00 0
Tube 22 3,490.00
Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 120 200 40 100 5 145 175 4,250.00
89 743750
91 Betametason krim 0,1 % (DAK 2018) Tube 15 25 25 3 2 2 2 2 3 39 1 1,420.00 1420
98 Cetrizin 10 mg tab (DAK 2018) Tablet 900 2,000 100 100 100 100 400 2,500 97.00 242500
100 Ciprofloxacin Tab 500 mg (DAK 2018) Tablet 200 1,000 700 700 500 281.00 140500
102 Corovit tab (DAK 2017) Tablet 2700 4,000 1,500 100 200 100 100 100 100 100 100 2,400 4,300 924.00 3973200
104 Corovit syr (DAK 2017) Btl 100 50 50 50 29,500.00 1475000
105 Corovit syr (DAK 2018) Btl 100 50 50 50 26,061.00 1303050
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 1700 2,000 2,300 200 100 100 200 100 100 100 100 200 100 100 3,700 - 34.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
118 Etil Klorida (APBD 2019) Botol 2 - 2 6,390.00 12780
127 Furosemid Tab 40 mg (DAK 2018) Tablet 200 200 200 - 82.00 0
134 Griseofulvin Tab 125 mg (DAK 2018) Tablet 800 500 100 100 100 300 1,000 223.00 223000
139 Hidrokortison krim 2,5 % (DAK 2018) Tube 22 24 24 24 22 2,648.00 58256
140 Hidroklortiasid (Hct) Tab 25 mg (DAK 2018) Tablet 200 100 100 100 178.00 17800
146 Ibuprofen Suspensi (DAK 2018) Btl 56 5 5 2 2 2 16 40 2,678.00 107120
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 700 2,000 600 100 100 100 200 100 100 100 100 1,500 1,200 112.00 134400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
148 Ibuprofen Tab 400 mg (DAK 2018) Tablet 3,000 500 200 100 100 900 2,100 127.00 266700
151 KA-EN-3B (DAK 2017) Btl - - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl 160 20 20 140 11,314.00 1583960
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 2400 3,000 100 200 200 100 200 100 100 200 1,200 4,200 59.00 247800
161 Kloramfenikol kaps 250 mg (DAK 2018) Tablet 900 500 300 300 1,100 329.00 361900
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 2400 3,000 500 100 200 200 100 200 100 100 200 100 100 100 2,000 3,400 24.00 81600
172 Kotrimoksazole syrup (DAK 2018) Btl 62 100 110 5 2 3 3 2 2 3 130 32 2,052.00 65664
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 138 60 30 5 3 2 3 2 2 3 50 148 1,317.00 194916
182 Methylergometrin tablet (DAK 2018) Tablet 200 500 50 50 650 242.00 157300
185 Metoklopramide Tab 5 mg (DAK 2018) Tablet 500 500 200 100 100 400 600 129.00 77400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 50 35 5 2 2 2 2 2 50 - 2,700.00 0
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 2000 600 2600 2,600 - 139.00 0
197 Mikonazole krim (DAK 2018) Tube 48 24 24 24 3,926.00 94224
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 1050 2,000 1000 100 50 50 50 100 50 100 1,500 1,550 526.02 815331
203 Natrium klorida (Nacl) (DAK 2018) Btl 35 3 1 1 1 1 1 1 9 26 6,410.00 166660
212 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2018) Tube 45 3 2 2 3 2 2 2 16 29 4,290.00 124410
215 Oksitosin Injeksi (DAK 2018) Ampul 195 52 5 5 5 3 5 5 5 5 10 5 105 90 1,232.00 110880
217 Omeprazole tab (DAK 2018) Tablet 300 600 300 300 600 138.00 82800
219 Paracetamol syrup (DAK 2018) Btl 95 15 5 10 10 5 6 5 5 5 5 10 5 86 9 3,426.00 30834
221 Paracetamol tab 500 mg (DAK 2018) Tablet 1300 3,000 1100 600 100 100 200 100 100 200 100 100 200 100 100 100 3,200 1,100 60.00 66000
222 Paracetamol Drops (DAK 2018) Btl 8 4 2 2 8 - 7,646.00 0
223 Phenol Glyserol tetes telinga 10% (DAK 2018) Btl 24 48 - 72 2,590.00 186480
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
227 Piridoksin Hcl (Vit.B6) tab 10 mg (DAK 2018) Tablet 1000 800 100 100 1,000 - 141.00 0
233 Ranitidine Injeksi (DAK 2018) Ampul 55 100 20 20 135 1,155.00 155925
235 Ranitidine tab 150 mg (DAK 2018) Tablet 700 300 200 100 600 100 243.00 24300
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 417 500 100 40 200 3 3 2 3 3 3 3 3 2 2 2 369 548 7,150.00 3918200
243 Salbutamol tab 4 mg (DAK 2018) Tablet 400 1,000 100 100 100 300 1,100 77.00 84700
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 37 24 24 3 2 2 2 33 28 4,725.00 132300
249 Sianocobalamin Inj. (Vit B12) 500 mcg/ml (DAK Tablet 76 10 3 3 2 3 21 55 1,087.00 59785
251 Simvastatin tab (DAK 2018) Tablet 420 600 - 1,020 110.00 112200
253 Stesolid (Diazepam enema 5 mg/2.5ml) (DAK 20 Tablet 5 - 5 14,459.00 72295
255 Thiamin Hcl tab (Vit.B1) 50 mg (DAK 2018) Tablet 1500 1,000 700 100 100 100 100 100 1,200 1,300 90.00 117000
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 800 2,000 1100 100 100 100 200 100 100 100 100 100 100 2,200 600 135.00 81000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
262 Zink Tab (DAK 2018) tablet 1000 2,000 100 100 2,900 604.00 1751600
264 Zinc syrup (DAK 2018) Btl 100 70 70 30 3,285.00 98550
TOTAL 37472398


DANA APBD TA. 2019
Imunisa
HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
2 Alat suntik sekali pakai 1 ml (APBD 2019) Pcs 100 200 25 10 10 45 255 808.68 206213.4
4 Alat suntik sekali pakai 3 ml (APBD 2019) Pcs 215 300 30 100 100 5 10 3 10 10 10 278 237 815.63746667 193306.08
6 Alat suntik sekali pakai 5 ml (DAK 2018) Pcs 396 5 10 10 10 10 10 10 65 331 970.4124 321206.504
8 Catgut/ Benang Bedah no. 2/0-3/0 (APBD 2019) Pcs 24 24 2 3 2 2 2 11 37 63,669.00 2355753
13 Handscun 6,5 steril (DAK 2018) Psg 50 - 50 8,652.00 432600
18 Handscun M Nonsteril Pcs 26 400 26 4 100 100 204 196 506.00 99176
20 IV.cateter 20 (APBD 2019) Pcs 98 3 1 2 2 2 2 12 86 8,071.00 694106
22 IV.cateter 22 (APBD 2019) Pcs 150 3 1 2 2 2 2 2 3 17 133 8,070.70 1073403.1
24 IV.cateter 24 (APBD 2019) Pcs 50 2 3 5 45 8,070.70 363181.5
26 Infus set anak (DAK 2018) Pcs 147 50 2 2 2 56 91 5,610.00 510510
27 Infus set dewasa (APBD 2019 Pcs 50 150 50 50 150 4,500.00 675000
28 Infus set dewasa (DAK 2018) Pcs 45 45 45 - 4,176.00 0
30 Jkn Infus set/Remedi pack (DAK 2018) Set 50 - 50 25,708.00 1285400
34 Kasa hidrofil Ukuran 10 cm x 4 m (DAK 2018) Rol 25 20 5 5 40 1,740.00 69600
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
40 Masker Hijab (DAK 2018) Pcs 635 210 210 425 442.94 188249.5
42 Oxygen nasal cannula white tubing adult (Dak 20 Pcs 10 - 10 7,424.00 74240
46 Pot Sputum 7x5 cm (DAK 2017) Pot 234 234 - - 3,300.00 0
49 Strip kolesterol /Autocheck (APBD 2019) Strip 50 - 50 21,950.00 1097500
53 Urin Bag (DAK 2018) Pcs 17 - 17 6,050.00 102850
56 Alkoho Swab (DAK 2018) Pcs 200 1,000 300 100 400 800 121.00 96800
59 Asiklovir tablet 400 mg (APBD 2019) Tablet 500 150 150 350 0
61 Asiklovir Krim (APBD 2019) Tube 50 25 25 25 123.00 3075
63 Amoksisillin 250 mg kaps (DAK 2018) Tablet 1800 2,000 1000 100 300 100 200 100 1,800 2,000 196.00 392000
65 Amoksisillin 500 mg kaps (DAK 2018) Tablet 3600 5,000 4,800 400 300 200 5,700 2,900 399.938 1159820.2
68 Amlodipin Tab 5 mg (APBD 2019) Tablet 1,500 300 300 1,200 74.00 88800
69 Amlodipin Tab 10 mg (DAK 2018) Tablet 1140 600 30 30 660 480 95.00 45600
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
75 Antasida Doen tablet (DAK 2018) Tablet 4300 3,000 1000 300 100 100 300 100 100 100 100 100 100 100 100 100 2,700 4,600 56.00 257600
76 Antiza tablet (APBD 2019) Tablet 1,000 500 500 500 3,940.00 1970000
77 Antasida suspensi (DAK 2018) Btl 60 ml 61 100 50 6 56 105 2,098.00 220290
79 Asam Askorbat 50 mg (Vit.C) (DAK 2018) Tablet 100 5,000 1,100 1,100 4,000 120.00 480000
82 Asering (DAK 2017) Btl - - 8,432.00 0
83 Asering (DAK 2018) Btl 500 ml 48 24 - 72 9,646.00 694512
Tube 22 3,490.00

89 100 25 25 250 1062500
90 Bioron Injeksi (APBD 2019) Tube 10 - 10 3,916.00 39160
91 Betametason krim 0,1 % (DAK 2018) Tube 1 50 29 3 2 3 3 3 3 46 5 1,420.00 7100
92 Bisakodil Tablet 5 mg (DAK 2018) Tablet - - 316.00 0
93 Captopril 12.5 mg (APBD 2019) Tablet 500 200 200 300 86.00 25800
98 Cetrizin 10 mg tab (DAK 2018) Kapsul 2500 1600 100 100 100 100 100 100 2,200 300 97.00 29100
100 Ciprofloxacin Tab 500 mg (DAK 2018) Tablet 500 1,000 500 500 1,000 281.00 281000
102 ` Tablet - - 924.00 0
104 Corovit Tablet (DAK 2017) tablet 4300 4,000 100 100 100 100 100 200 100 100 900 7,400 924.00 6837600
105 Corovit syr (APBD 2019) Btl 50 100 100 100 50 26,061.00 1303050
109 Deksamethason tablet 0,5 mg (DAK 2018) Tablet 5,000 2,000 2,000 3,000 34.00 102000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
116 Epatin Kapsul (APBD 2019) Kapsul 300 - 300 5,770.00 1731000
119 Etil Klorida (APBD 2019) Btl 2 4 1 1 5 1,518.00 7590
125 Fitaminadion (Vit K) Tablet (DAK 2018) Tablet 500 - 500 818.00 409000
132 Glibenklamide Tab 5 mg (DAK 2017) Tablet 300 100 100 100 300 - 793.00 0
134 Griseofulvin Tab 125 mg (DAK 2018) Tablet 1000 500 100 100 100 100 400 1,100 223.00 245300
139 Hidrokortison krim 2,5 % (DAK 2018) Tube 22 3 2 5 17 2,648.00 45016
140 Hidroklortiasid (Hct) Tab 25 mg (DAK 2018) Tablet 100 - 100 178.00 17800
144 Halmezyn syrup (APBD 2019) Btl 50 - 50 34,694.00 1734700
147 Ibuprofen Tab 200 mg (DAK 2018) Tablet 1200 2,000 100 100 100 100 100 100 600 2,600 112.00 291200
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
148 Ibuprofen Tab 400 mg (DAK 2018) Tablet 2100 1000 100 100 100 100 100 100 100 100 100 1,900 200 127.00 25400
151 KA-EN-3B (DAK 2017) Btl - - 9,136.00 0
152 KA-EN-3B (DAK 2018) Btl 140 20 20 120 11,314.00 1357680
154 Kalsium Laktat tab 500 mg (DAK 2018) Tablet 4200 2,000 100 100 100 100 200 200 100 100 100 200 1,300 4,900 59.00 289100
161 Kloramfenikol kaps 250 mg (DAK 2018) Tablet 1100 500 - 1,600 329.00 526400
165 Kloramfenikol salep mata 1% (DAK 2018) Btl 48 - 48 2,013.00 96624
169 Klorfeniramin maleat (ctm) tab 4 mg (DAK 2018) Tablet 3400 5,000 1000 200 100 200 100 100 100 100 100 200 2,200 6,200 24.00 148800
172 Kotrimoksazole syrup (DAK 2018) Btl 32 5 3 5 3 2 3 21 11 2,052.00 22572
175 Lidokain inj 2% + Epinefrin Inj 2 ml (DAK 2018) Ampul 148 30 2 5 3 2 2 3 17 161 1,317.00 212037
182 Methylergometrin tablet (DAK 2018) Tablet 650 100 100 550 242.00 133100
184 Metoklopramide tablet (DAK 2018) Tablet 600 100 100 100 300 300 132.00 39600
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
187 Metoklopramide sirup 5 mg/ml (DAK 2018) Botol 50 3 3 47 2,700.00 126900
194 Methyilprednisolone tab 4 mg (DAK 2018) Tablet 3,000 1000 1,000 2,000 139.00 278000
197 Mikonazole krim (DAK 2018) Tube 24 24 - 48 3,926.00 188448
201 Natrium diklofenat tab 50 mg (DAK 2018) Tablet 1550 2,800 500 100 50 50 50 50 800 3,550 526.02 1867371
203 Natrium klorida (Nacl) (DAK 2018) Btl 26 8 1 1 1 11 15 6,410.00 96150
205 Neurotropik tab / Corobion (DAK 2018) Tablet 200 1,000 500 500 700 1,605.75 1124025
212 Oksitetrasiklin Hcl Salep Kulit 3% (DAK 2018) Tube 29 50 3 3 2 3 3 14 65 4,290.00 278850
215 Oksitosin Injeksi (DAK 2018) Ampul 90 5 5 5 5 5 25 65 1,232.00 80080
217 Omeprazole tab (DAK 2018) Tablet 600 900 30 30 1,470 138.00 202860
219 Paracetamol syrup (DAK 2018) Btl 9 200 5 5 204 3,426.00 698904
221 Paracetamol tab 500 mg (DAK 2018) Tablet 1100 3,000 900 200 1,100 3,000 60.00 180000
222 Paracetamol Drops (DAK 2018) Btl 50 10 10 40 7,646.00 305840
223 Phenol Glyserol tetes telinga 10% (DAK 2018) Btl 72 24 24 48 2,590.00 124320
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
237 Ringer Laktat Lar.Infus Steril (DAK 2018) btl 500 ml 548 100 40 160 3 3 3 3 3 3 3 3 3 3 330 218 7,150.00 1558700
238 Ringer Laktat Lar.Infus Steril (APBD 2019) W btl 500 mL 548 - 548 583.00 319484
239 Ringer Laktat Lar.Infus Steril (APBD 2019) S btl 500 mL - - 327.00 0
241 Salbutamol tab 2 mg (DAK 2018) Tablet 900 500 900 900 500 64.00 32000
243 Salbutamol tab 4 mg (DAK 2018) Tablet 1100 1,000 100 100 100 100 100 500 1,600 77.00 123200
244 Salep-24 (DAK 2017) Tablet - - 2,907.00 0
245 Salep-24 (DAK 2018) Pot 28 8 2 3 3 3 3 2 2 2 28 - 4,725.00 0
249 Sianocobalamin Inj. (Vit B12) 500 mcg/ml (DAK Tablet 55 100 10 2 3 3 18 137 1,087.00 148919
251 Simvastatin tab (DAK 2018) Tablet 1020 300 30 30 1,290 110.00 141900
253 Stesolid (Diazepam enema 5 mg/2.5ml) (DAK 20 Tablet 5 - 5 14,459.00 72295
256 Thiamin Hcl (Vit B1 ) Injeksi (DAK 2018) Tablet 1300 2,000 500 100 100 100 100 100 100 100 1,200 2,100 1,567.00 3290700
259 Vitamim Bcompleks Tab (DAK 2018) Tablet 600 600 600 - 135.00 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
262 Zink Tab (DAK 2018) tablet 2900 100 100 2,800 604.00 1691200
264 Zinc syrup (DAK 2018) Btl 30 100 30 5 35 95 3,285.00 312075
TOTAL 50854154



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LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN

DANA APBD TA. 2019

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 4,250.00

Mengetahui, Tamalatea, Januari 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 4,250.00

Mengetahui, Tamalatea, Februari 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 4,250.00

Mengetahui, Tamalatea, Maret 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 80 4,250.00

Mengetahui, Tamalatea, April 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 140 4,250.00

Mengetahui, Tamalatea, Februari 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 180 4,250.00

Mengetahui, Tamalatea, Februari 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 150 4,250.00

Mengetahui, Tamalatea, Februari 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 4,250.00

Mengetahui, Tamalatea, Februari 2019

(ABIDIN, SKM. M.Kes)

Mengetahui, Tamalatea, Februari 2019

(ABIDIN, SKM. M.Kes)

Anastesi Lokal (Pehacain Inj) (DAK 2018) Ampul 175 4,250.00

Mengetahui, Tamalatea, Februari 2019

(ABIDIN, SKM. M.Kes)

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