Berita Acara Persediaan Obat Dinkes 2020

SUMBER DANA LAIN-LAIN (BTT)
DINAS KESEHATAN KABUPATEN GARUT

TAHUN 2020
PERSEDIAAN AWAL PENERIMAAN

NO NAMA OBAT SATUAN
KEMASAN HARGA HARGA
VOLUME JUMLAH HARGA VOLUME JUMLAH HARGA
SATUAN SATUAN
1 2 3 4 5 6 7 8 9
BAHAN OBAT-OBATAN
1 Eritromisin Kapsul 500 mg Kapsul 730.00 75,100 54,823,000.00 730.00 -
2 Eritromisin Sirup 200 mg/5 ml Botol 6,150.00 225 1,383,750.00 6,150.00 -
3 Azithromisin Tablet 500 mg Tablet 1,778 - 1,777.99 300 533,395.50
4 Multivitamin kaplet kombinasi Kaplet 1,050.00 - 1,050.00 20,000 21,000,000.00
1,407.66 - 1,407.66 5,000 7,038,300.00
5 Curcuma Tablet 1,188.00 - 1,188.00 1,200 1,425,600.00
6 Curcuma Syr 17,226.00 - 17,226.00 200 3,445,200.00
7 Asam Ascorbat Inj 7,019.03 - 7,019.03 500 3,509,513.10
8 Azitromycin inj 109184.8285 - 109,184.83 150 16,377,724.28
9 Na Cl 5% 100 Ml 14,421.00 - 14,421.00 100 1,442,100.00
10 Paracetamol 500 mg 172.41 - 172.41 1,250,000 215,517,241.38
Jumlah Bahan Obat - Obatan 56,206,750.00 270,289,074.25
BAHAN ALAT HABIS PAKAI

1 Maxiflow Dws 12,272.73 - 12,272.73 100 1,227,273.00
2 Maxiflow Anak 12,272.73 - 12,272.73 50 613,636.50
3 Oxyflow Dws 6,363.64 - 6,363.64 100 636,364.00
4 Micropore 1/2 9,545.45 - 9,545.45 50 477,272.50
5 Torniquete 12,272.73 - 12,272.73 3 36,818.19
6 Vaculab edta 1,050.00 - 1,050.00 100 105,000.00
7 Urinal Laki-Laki Plastik 5,000.00 - 5,000.00 10 50,000.00
8 Urinal Perempuan plastik 5,000.00 - 5,000.00 10 50,000.00
9 Nassal oksigen anak 3,636.36 - 3,636.36 50 181,818.00
5,500.00 - 5,500.00 50 275,000.00
10 Alkohol Swab 454.55 - 454.55 5,000 2,272,727.27
11 Kantung mayat 200,000.00 - 200,000.00 100 20,000,000.00
12 Masker Tie On 1,100.00 - 1,100.00 4,000 4,400,000.00
3,300.00 - 3,300.00 2,500 8,250,000.00
2,000.00 - 2,000.00 5,000 10,000,000.00
3,000.00 - 3,000.00 25,000 75,000,000.00
5,454.55 - 5,454.55 8,000 43,636,363.64
4,545.45 - 4,545.45 500 2,272,727.27
2,260.00 - 2,260.00 5,000 11,300,000.00
6,000.00 - 6,000.00 10,000 60,000,000.00
6,780.00 - 6,780.00 7,300 49,494,000.00
900.00 - 900.00 25,000 22,500,000.00
1,200.00 - 1,200.00 10,000 12,000,000.00
1,705.00 - 1,705.00 7,500 12,787,500.00
1,463.00 - 1,463.00 7,500 10,972,500.00
13 Masker N 95 110,000.00 - 110,000.00 100 11,000,000.00
180,800.00 - 180,800.00 260 47,008,000.00
9,110.00 - 9,110.00 3,000 27,330,000.00
45,000.00 - 45,000.00 1,000 45,000,000.00
30,000.00 - 30,000.00 1,300 39,000,000.00
72,500.00 - 72,500.00 120 8,700,000.00
50,000.00 - 50,000.00 500 25,000,000.00
75,000.00 - 75,000.00 190 14,250,000.00
14 Sarung Tangan Non Steril Uk.S 1,000.00 - 1,000.00 18,000 18,000,000.00
1,260.00 - 1,260.00 1,000 1,259,995.00
15 Sarung Tangan Non Steril Uk.M 1,260.00 - 1,260.00 1,000 1,259,995.00
1,260.00 - 1,260.00 2,600 3,276,000.00
16 Sarung Tangan Non Steril Uk.L 1,260.00 - 1,260.00 1,000 1,259,995.00
1,260.00 - 1,260.00 7,400 9,324,000.00
17 Sarung Tangan Steril No.7 9,000.00 - 9,000.00 2,000 18,000,000.00
NO NAMA OBAT SATUAN
KEMASAN HARGA HARGA
SATUAN SATUAN
1 2 3 4 5 6 7 8 9
8,080.00 - 8,080.00 1,000 8,080,000.00
8,060.00 - 8,060.00 3,000 24,179,991.00
10,000.10 - 10,000.10 500 5,000,050.00
18 Coverall Dispo 214,500.00 - 214,500.00 1,000 214,500,000.00
90,000.00 90,000.00 3 270,000.00
100,000.00 100,000.00 5,000 500,000,000.00
19 Nurse Cap 780.00 - 780.00 4,000 3,120,000.00
20 Sarung tangan 33,900.00 - 33,900.00 100 3,390,000.00
21 Cover Shoes 3,390.00 - 3,390.00 5,000 16,950,000.00
22 Safety Glass 12,000.00 - 12,000.00 3 36,000.00
75,835.56 - 75,835.56 36 2,730,080.00
45,200.00 - 45,200.00 100 4,520,000.00
67,800.00 - 67,800.00 500 33,900,000.00
23 Sarung Tangan Obgyn 38,500.00 - 38,500.00 300 11,550,000.00
24 Sepatu Boots 90,000.00 - 90,000.00 103 9,270,000.00
101,700.00 - 101,700.00 100 10,170,000.00
129,950.00 - 129,950.00 500 64,975,000.00
25 Alat Semprot 308,000.00 - 308,000.00 5 1,540,000.00
26 Masker disposible sponsbon 9,492.00 - 9,492.00 1,056 10,023,552.00
6,780.00 - 6,780.00 1,050 7,119,000.00
27 Thermometer Scanner 1,650,000.00 - 1,650,000.00 24 39,600,000.00
1,625,000.00 - 1,625,000.00 76 123,500,000.00
28 Hand Sanitizer 500 ml 55,000.00 - 55,000.00 500 27,500,000.00
45,000.00 - 45,000.00 300 13,500,000.00
29 Strerizid 5 L 752,400.00 - 752,400.00 5 3,762,000.00
30 Rapid Tes Corona 122,727.27 - 122,727.27 1,520 186,545,450.00
231,818.18 - 231,818.18 990 229,500,000.00
200,000.00 - 200,000.00 2,000 400,000,000.00
31 VTM with 2 Flachet 150,000.00 - 150,000.00 200 30,000,000.00
110000 - 110,000.00 400 44,000,000.00
32 Sabun Cair Cuci Tangan 30510 - 30,510.00 80 2,440,800.00
33 Desinfektan Ruangan 23730 - 23,730.00 1,400 33,222,000.00
34 Cover all level 1 73450 - 73,450.00 1,460 107,237,000.00
83737.5 - 83,737.50 1,740 145,703,250.00
101700 - 101,700.00 250 25,425,000.00
86021.25 - 86,021.25 100 8,602,125.00
35 Cover all level 2 190000 - 190,000.00 400 76,000,000.00
135600 - 135,600.00 600 81,360,000.00
141750 - 141,750.00 1,600 226,800,000.00
141818 - 141,818.00 50 7,090,900.00
155999.8 - 155,999.80 100 15,599,980.00
36 Apron 4545.454545 - 4,545.45 1,000 4,545,454.55
2931.0065 - 2,931.01 1,500 4,396,509.75
2456.3 - 2,456.30 500 1,228,150.00
37 Face Shield 67800 - 67,800.00 100 6,780,000.00
71190 - 71,190.00 500 35,595,000.00
105000 - 105,000.00 100 10,500,000.00
38 Hazmat Gown 129950 - 129,950.00 250 32,487,500.00
39 Pen Lancet 22727.27273 - 22,727.27 20 454,545.45
40 Seragam 296625 - 296,625.00 20 5,932,500.00
41 Bantal 38420 - 38,420.00 50 1,921,000.00
42 Rompi 196168 - 196,168.00 212 41,587,616.00
43 Sarung tangan panjang 26818.18182 - 26,818.18 1,000 26,818,181.82
27727.27273 - 27,727.27 300 8,318,181.82
24999.98 - 24,999.98 34 849,999.32
44 Sprei + Sarung Bantal 181818.18 - 181,818.18 150 27,272,727.00
200000 - 200,000.00 100 20,000,000.00
45 Selimut 90909.09333 - 90,909.09 150 13,636,364.00
100000 - 100,000.00 100 10,000,000.00
46 Regulator Oxygen 363636.4 - 363,636.40 10 3,636,364.00
47 Blood Lancet 136.3636364 - 136.36 5,000 681,818.18
48 Lidi Swab 25000 - 25,000.00 300 7,500,000.00
49 Zybio Nucleic Acid Detective Kit 14400000 - ### 15 216,000,000.00
NO NAMA OBAT SATUAN
KEMASAN HARGA HARGA
SATUAN SATUAN
1 2 3 4 5 6 7 8 9
50 Zybio Nucleic Acid Extraction Kit 9600000 - 9,600,000.00 15 144,000,000.00
51 Nassal oksigen DWS 5500 - 5,500.00 500 2,750,000.00
52 Rapid Test Antigen 80000 - 80,000.00 1,500 120,000,000.00
81818.182 - 81,818.18 500 40,909,091.00
Jumlah Bahan Habis Pakai - 4,164,720,166.26
JUMLAH TOTAL 56,206,750.00 - - 4,435,009,240.51

AIN (BTT)
PATEN GARUT
PENYALURAN SALDO AKHIR
HARGA HARGA
SATUAN SATUAN
10 11 12 13 14 15
730.00 17,600 12,848,000.00 730.00 57,500 41,975,000.00 -

6,150.00 225 1,383,750.00 6,150.00 - - -
1,777.99 300 533,395.50 1,777.99 - - -
1,050.00 4,000 4,200,000.00 1,050.00 16,000 16,800,000.00 -
1,407.66 5,000 7,038,300.00 1,407.66 - - -
1,188.00 1,200 1,425,600.00 1,188.00 - - -
17,226.00 200 3,445,200.00 17,226.00 - - -
7,019.03 200 1,403,805.24 7,019.03 300 2,105,707.86 -
109,184.83 6 655,108.97 109,184.83 144 15,722,615.30 -
14,421.00 6 86,526.00 14,421.00 94 1,355,574.00 -
172.41 982,500 169,396,551.72 172.41 267,500 46,120,689.66 -
202,416,237.43 124,079,586.82 -
-
-
12,272.73 25 306,818.25 12,272.73 75 920,454.75 -
12,272.73 25 306,818.25 12,272.73 25 306,818.25 -
6,363.64 50 318,182.00 6,363.64 50 318,182.00 -
9,545.45 50 477,272.50 9,545.45 - - -
12,272.73 3 36,818.19 12,272.73 - - -
1,050.00 100 105,000.00 1,050.00 - - -
5,000.00 10 50,000.00 5,000.00 - - -
5,000.00 10 50,000.00 5,000.00 - - -
3,636.36 20 72,727.20 3,636.36 30 109,090.80 -
5,500.00 - - 5,500.00 50 275,000.00 -
454.55 5,000 2,272,727.27 454.55 - - -
200,000.00 - 200,000.00 100 20,000,000.00 -
1,100.00 4,000 4,400,000.00 1,100.00 - - -
3,300.00 2,500 8,250,000.00 3,300.00 - - -
2,000.00 5,000 10,000,000.00 2,000.00 - - -
3,000.00 25,000 75,000,000.00 3,000.00 - - -
5,454.55 8,000 43,636,363.64 5,454.55 - - -
4,545.45 500 2,272,727.27 4,545.45 - - -
2,260.00 5,000 11,300,000.00 2,260.00 - - -
6,000.00 10,000 60,000,000.00 6,000.00 - - -
6,780.00 7,300 49,494,000.00 6,780.00 - - -
900.00 12,253 11,027,700.00 900.00 12,747 11,472,300.00 -
1,200.00 10,000 12,000,000.00 1,200.00 - - -
1,705.00 7,500 12,787,500.00 1,705.00 - - -
1,463.00 7,500 10,972,500.00 1,463.00 - - -
110,000.00 100 11,000,000.00 110,000.00 - - -
180,800.00 260 47,008,000.00 180,800.00 - - -
9,110.00 704 6,413,440.00 9,110.00 2,296 20,916,560.00 -
45,000.00 1,000 45,000,000.00 45,000.00 - - -
30,000.00 1,300 39,000,000.00 30,000.00 - - -
72,500.00 120 8,700,000.00 72,500.00 - - -
50,000.00 500 25,000,000.00 50,000.00 - - -
75,000.00 190 14,250,000.00 75,000.00 - - -
1,000.00 18,000 18,000,000.00 1,000.00 - - -
1,260.00 920 1,159,195.40 1,260.00 80 100,799.60 -
1,260.00 1,000 1,259,995.00 1,260.00 - - -
1,260.00 2,600 3,276,000.00 1,260.00 - - -
1,260.00 1,000 1,259,995.00 1,260.00 - - -
1,260.00 7,400 9,324,000.00 1,260.00 - - -
9,000.00 562 5,058,000.00 9,000.00 1,438 12,942,000.00 -
HARGA VOLUME JUMLAH HARGA HARGA VOLUME JUMLAH HARGA

SATUAN SATUAN
10 11 12 13 14 15
8,080.00 1,000 8,080,000.00 8,080.00 - - -
8,060.00 1,065 8,583,896.81 8,060.00 1,935 15,596,094.20 -
10,000.10 500 5,000,050.00 10,000.10 - - -
214,500.00 1,000 214,500,000.00 214,500.00 - - -
90,000.00 3 270,000.00 90,000.00 - - -
100,000.00 3,905 390,500,000.00 100,000.00 1,095 109,500,000.00 -
780.00 2,276 1,775,280.00 780.00 1,724 1,344,720.00 -
33,900.00 100 3,390,000.00 33,900.00 - - -
3,390.00 4,936 16,733,040.00 3,390.00 64 216,960.00 -
12,000.00 3 36,000.00 12,000.00 - - -
75,835.56 36 2,730,080.00 75,835.56 - - -
45,200.00 100 4,520,000.00 45,200.00 - - -
67,800.00 500 33,900,000.00 67,800.00 - - -
38,500.00 300 11,550,000.00 38,500.00 - - -
90,000.00 53 4,770,000.00 90,000.00 50 4,500,000.00 -
101,700.00 100 10,170,000.00 101,700.00 - - -
129,950.00 500 64,975,000.00 129,950.00 - - -
308,000.00 5 1,540,000.00 308,000.00 - - -
9,492.00 1,056 10,023,552.00 9,492.00 - - -
6,780.00 1,050 7,119,000.00 6,780.00 - - -
1,650,000.00 24 39,600,000.00 1,650,000.00 - - -
1,625,000.00 76 123,500,000.00 1,625,000.00 - - -
55,000.00 500 27,500,000.00 55,000.00 - - -
45,000.00 82 3,690,000.00 45,000.00 218 9,810,000.00 -
752,400.00 5 3,762,000.00 752,400.00 - - -
122,727.27 1,520 186,545,450.00 122,727.27 - - -
231,818.18 990 229,500,000.00 231,818.18 - - -
200,000.00 2,000 400,000,000.00 200,000.00 - - -
150,000.00 200 30,000,000.00 150,000.00 - - -
110,000.00 400 44,000,000.00 110,000.00 - - -
30,510.00 80 2,440,800.00 30,510.00 - - -
23,730.00 1,400 33,222,000.00 23,730.00 - - -
73,450.00 1,460 107,237,000.00 73,450.00 - - -
83,737.50 1,740 145,703,250.00 83,737.50 - - -
101,700.00 250 25,425,000.00 101,700.00 - - -
86,021.25 100 8,602,125.00 86,021.25 - - -
190,000.00 400 76,000,000.00 190,000.00 - - -
135,600.00 600 81,360,000.00 135,600.00 - - -
141,750.00 1,600 226,800,000.00 141,750.00 - - -
141,818.00 50 7,090,900.00 141,818.00 - - -
155,999.80 100 15,599,980.00 155,999.80 - - -
4,545.45 1,000 4,545,454.55 4,545.45 - - -
2,931.01 36 105,516.23 2,931.01 1,464 4,290,993.52 -
2,456.30 500 1,228,150.00 2,456.30 - - -
67,800.00 100 6,780,000.00 67,800.00 - - -
71,190.00 500 35,595,000.00 71,190.00 - - -
105,000.00 100 10,500,000.00 105,000.00 - - -
129,950.00 250 32,487,500.00 129,950.00 - - -
22,727.27 20 454,545.45 22,727.27 - - -
296,625.00 20 5,932,500.00 296,625.00 - - -
38,420.00 50 1,921,000.00 38,420.00 - - -
196,168.00 212 41,587,616.00 196,168.00 - - -
26,818.18 1,000 26,818,181.82 26,818.18 - - -
27,727.27 300 8,318,181.82 27,727.27 - - -
24,999.98 18 449,999.64 24,999.98 16 399,999.68 -
181,818.18 150 27,272,727.00 181,818.18 - - -
200,000.00 - - 200,000.00 100 20,000,000.00 -
90,909.09 150 13,636,364.00 90,909.09 - - -
100,000.00 - 100,000.00 100 10,000,000.00 -
363,636.40 10 3,636,364.00 363,636.40 - - -
136.36 5,000 681,818.18 136.36 - - -
25,000.00 300 7,500,000.00 25,000.00 - - -
### 15 216,000,000.00 ### - - -
HARGA VOLUME JUMLAH HARGA HARGA VOLUME JUMLAH HARGA

SATUAN SATUAN
10 11 12 13 14 15
9,600,000.00 15 144,000,000.00 9,600,000.00 - - -
5,500.00 - 5,500.00 500 2,750,000.00 -
80,000.00 425 34,000,000.00 80,000.00 1,075 86,000,000.00 -
81,818.18 100 8,181,818.20 81,818.18 400 32,727,272.80 -
3,800,222,920.67 364,497,245.59 -
-
- - 4,002,639,158.10 - - 488,576,832.41 -
Garut, 30 Desember 2020

Kepala Dinas Kesehatan
Kabupaten Garut
dr. H. Maskut Farid, MM

NIP 19670625 199803 1 004
LAPORAN TAHUNAN PENGELOLAAN OBAT DAN PERBEKALAN KESEHATAN
SUMBER DANA PROVINSI
TAHUN 2020
PERSEDIAAN AWAL PENERIMAAN PENYALURAN SALDO AKHIR

NO NAMA OBAT SATUAN
HARGA SATUAN VOLUME JUMLAH HARGA HARGA SATUAN VOLUME JUMLAH HARGA HARGA SATUAN VOLUME JUMLAH HARGA HARGA SATUAN VOLUME JUMLAH HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
BAHAN OBAT-OBATAN
1 Albendazol Tablet 400 mg Tablet 403.00 - - 403.00 294,000 118,482,000.00 403.00 146,610 59,083,830.00 403.00 147,390 59,398,170.00
430.00 357,780 153,845,400.00 430.00 99,000 42,570,000.00 430.00 456,780 196,415,400.00 430.00 - -
2 Albendazol Susp 200 Mg/5 Ml 4,000.00 4,000.00 130,000 520,000,000.00 4,000.00 25,170 100,680,000.00 4,000.00 104,830 419,320,000.00
3 Alopurinol Tablet 100 mg Tablet - - - - - - - - - - - -
4 Aminofilin Inj 24 mg/ml-10 ml Ampul - - - - - - - - - - - -
5 Aminofilin Tablet 200 mg Tablet - - - - - - - - - - - -
6 Amitriptilina HCl Tablet salut 25 mg Tablet 167.00 - - 167.00 50,000 8,350,000.00 167.00 20,000 3,340,000.00 167.00 30,000 5,010,000.00
7 Amlodipin Tablet 5 mg Tablet - - - - - - - - - - - -
8 Amoksisilin Kaplet 500 mg Kaplet - - - - - - - - - - - -
9 Amoksisilin Sirup Kering 125 mg/5 ml Botol - - - - - - - - - - - -
10 Antasida DOEN I Tablet Kunyah Tablet - - - - - - - - - - - -
11 Antasida II Suspensi 60 ml Botol - - - - - - - - - - - -
12 Anti Hemmoroid DOEN Supp - - - - - - - - - - - -
13 Antibakteri DOEN Tube - - - - - - - - - - - -
14 Antifungi DOEN kombinasi Pot - - - - - - - - - - - -
15 Antimigren DOEN Tablet - - - - - - - - - - - -
16 Aqua Pro Inj steril bebas pirogen- 20 ml Vial - - - - - - - - - - - -
17 ARV : Abacavir 300 mg Tablet 2,219.00 180 399,420.00 2,219.00 6,360 14,112,840.00 2,219.00 6,180 13,713,420.00 2,219.00 360 798,840.00
18 ARV: Edurant ( Rivilpirine 25 mg ) Tablet 3,127.00 - - 3,127.00 1,740 5,440,980.00 3,127.00 1,620 5,065,740.00 3,127.00 120 375,240.00
19 ARV: Efavirenz 600 mg Tablet 6,630.00 - - 6,630.00 49,320 326,991,600.00 6,630.00 49,320 326,991,600.00 6,630.00 - -
20 ARV: Lamivudine 150 mg Tablet 1,500.00 - - 1,500.00 108,060 162,090,000.00 1,500.00 102,600 153,900,000.00 1,500.00 5,460 8,190,000.00
21 ARV: Lovinapir 200 mg Ronavir Tablet 6,600.00 600 3,960,000.00 6,600.00 9,120 60,192,000.00 6,600.00 5,880 38,808,000.00 6,600.00 3,840 25,344,000.00
22 ARV: Nevirapine 200 mg Tablet 3,058.00 - - 3,058.00 15,600 47,704,800.00 3,058.00 14,760 45,136,080.00 3,058.00 840 2,568,720.00
23 ARV: TDF(300) + 3TC(300) + EFV(600) 2,989.00 17,400 52,008,600.00 2,989.00 56,820 169,834,980.00 2,989.00 71,430 213,504,270.00 2,989.00 2,790 8,339,310.00
24 ARV: Tenofovir 300 mg Tablet 8,100.00 - - 8,100.00 13,440 108,864,000.00 8,100.00 13,440 108,864,000.00 8,100.00 - -
8,424.00 - - 8,424.00 33,690 283,804,560.00 8,424.00 33,690 283,804,560.00 8,424.00 - -
25 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) 741.00 1,440 1,067,040.00 741.00 10,380 7,691,580.00 741.00 11,280 8,358,480.00 741.00 540 400,140.00
26 ARV: Zidovudine(300) + Lamivudine(150) Tablet 3,700.00 - - 3,700.00 - - 3,700.00 - - 3,700.00 - -
3,848.00 1,200 4,617,600.00 3,848.00 22,200 85,425,600.00 3,848.00 17,700 68,109,600.00 3,848.00 5,700 21,933,600.00
27 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet - - - - - - - - - - - -
28 Asam Askorbat (VIT C) Tablet 50 mg Tablet - - - - - - - - - - - -
29 Asam Askorbat (VIT C) Tablet 500 mg Tablet 198.00 198.00 167,500 33,165,000.00 198.00 22,350 4,425,300.00 198.00 145,150 28,739,700.00
30 Asam Folat Tablet 0,4 mg Tablet - - - - - - - - - - - -
31 Asam Mefenamat kaplet 500 mg Tablet - - - - - - - - - - - -
32 Asiklovir Krim 5%/5g Tube - - - - - - - - - - - -
33 Asiklovir Tablet 400 mg Tablet - - - - - - - - - - - -
34 Atapulgit Tablet 600 mg Tablet - - - - - - - - - - - -
35 Atropin Sulfat Inj 0,25 mg/ml Ampul - - - - - - - - - - - -
36 Azithromisin Tablet 500 mg Tablet 1,888.00 - - 1,888.00 2,000 3,776,000.00 1,888.00 1,700 3,209,600.00 1,888.00 300 566,400.00
37 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial 14,500.00 170 2,465,000.00 14,500.00 - - 14,500.00 170 2,465,000.00 14,500.00 - -
38 Betahistin Tablet 6 mg Tablet - - - - - - - - - - - -
39 Betametason Krim 0.1 % Tube - - - - - - - - - - - -
40 Bisoprolol Tablet 5 mg Tablet - - - - - - - - - - - -
41 Bromheksin Tablet 8 mg Tablet - - - - - - - - - - - -
42 Clobazam Tablet 10 mg Tablet 776.00 - - 776.00 10,000 7,760,000.00 776.00 5,500 4,268,000.00 776.00 4,500 3,492,000.00
43 Clozapine Tablet 25 mg Tablet 1,121.00 - - 1,121.00 6,000 6,726,000.00 1,121.00 6,000 6,726,000.00 1,121.00 - -
44 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket 19,440.00 - - 19,440.00 - - 19,440.00 - - 19,440.00 - -
18,000.00 - - 18,000.00 - - 18,000.00 - - 18,000.00 - -
45 Deksametason Inj 5 mg/ml-1 ml Ampul - - - - - - - - - - - -
46 Deksametason Tablet 0,5 mg Tablet - - - - - - - - - - - -
47 Dekstrometorfan Tablet kombinasi Tablet - - - - - - - - - - - -
48 Dektrometorfan Sirup kombinasi Botol - - - - - - - - - - - -
49 Devitalisasi Pasta Botol - - - - - - - - - - - -
50 Dextrose Inj 40% Vial - - - - - - - - - - - -
51 Diazepam Inj 5 mg/ml-2 ml Ampul 1,735.00 - - 1,735.00 - - 1,735.00 - - 1,735.00 - -
52 Diazepam Rectal 5 mg/2,5 ml tube - - - - - - - - - - - -
53 Diazepam Tablet 2 mg Tablet - - - - - - - - - - - -
54 Diazepam Tablet 5 mg Tablet 114.00 114.00 700 79,800.00 114.00 200 22,800.00 114.00 500 57,000.00
55 Difenhidramin Inj 10 mg/ml Ampul - - - - - - - - - - - -
56 Digoksin Tablet 0,25 mg Tablet - - - - - - - - - - - -
57 Dimenhidrinat Tablet 50 mg Tablet - - - - - - - - - - - -
58 Doksisilin Tablet 100 mg Tablet 264.00 6,700 1,768,800.00 264.00 - - 264.00 6,700 1,768,800.00 264.00 - -
59 Domperidon Suspensi 5mg/5ml Botol - - - - - - - - - - - -
60 Domperidon Tablet 10 mg Tablet - - - - - - - - - - - -
61 Endometason Botol - - - - - - - - - - - -
62 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul - - - - - - - - - - - -
63 Eritromisin Kapsul 250 mg Kapsul - - - - - - - - - - - -
64 Eritromisin Kapsul 500 mg Kapsul - - - - - - - - - - - -
65 Eritromisin Sirup 200 mg/5 ml Botol - - - - - - - - - - - -
66 Etakridin Larutan 0,1 % Botol - - - - - - - - - - - -
67 Etanol 70 %- 1000 ml Botol - - - - - - - - - - - -
68 Etil Klorida Spray Botol - - - - - - - - - - - -
69 Eugenol Cairan Botol - - - - - - - - - - - -
70 Fenitoin Natrium Kapsul 100 mg Kapsul - - - - - - - - - - - -
71 Fenobarbital Tablet 30 mg Tablet - - - - - - - - - - - -
72 Fenoksimetil Penisilin Tablet 500 mg Tablet - - - - - - - - - - - -
73 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet - - - - - - - - - - - -
74 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul 3,682.00 - - 3,682.00 - - 3,682.00 - - 3,682.00 - -
75 Fluconazol Tablet 150 mg Tablet 18,720.00 - - 18,720.00 1,000 18,720,000.00 18,720.00 710 13,291,200.00 18,720.00 290 5,428,800.00
76 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul 59,800.00 - - 59,800.00 - - 59,800.00 - - 59,800.00 - -
55,000.00 - - 55,000.00 1,000 55,000,000.00 55,000.00 120 6,600,000.00 55,000.00 880 48,400,000.00
77 Formokresol Cair Botol - - - - - - - - - - - -
78 Furosemid Tablet 40 mg Tablet - - - - - - - - - - - -
79 Garam Oralit I Serbuk Sachet 257.00 - - 257.00 234,800 60,343,600.00 257.00 - - 257.00 234,800 60,343,600.00
80 Gentamisin Inj 40 mg/ml (Sulfat) Vial 3,399.00 - - 3,399.00 - - 3,399.00 - - 3,399.00 - -
5,900.00 1,980 11,682,000.00 5,900.00 - - 5,900.00 1,980 11,682,000.00 5,900.00 - -
81 Gentamisin Salep Kulit 0,1% Tube - - - - - - - - - - - -
82 Glass Ionomer Cement Botol - - - - - - - - - - - -
83 Glibenklamid Tablet 5 mg Tablet - - - - - - - - - - - -
84 Gliseril Guaiakolat Tablet 100 mg Tablet - - - - - - - - - - - -
85 Glukosa Larutan Infus 5% steril Fls - - - - - - - - - - - -
86 Glukosa Larutan Infus 10% steril 8,003.00 8,003.00 100 800,300.00 8,003.00 100 800,300.00 8,003.00 - -
87 Griseofulvin Tablet 125 mg Micronized Tablet - - - - - - - - - - - -
88 Haloperidol 5 mg Tablet 60.00 - - 60.00 30,000 1,800,000.00 60.00 - - 60.00 30,000 1,800,000.00
89 Haloperidol Dekanoat Inj 50 mg/ml Ampul 97,500.00 - - 97,500.00 - - 97,500.00 - - 97,500.00 - -
101,300.00 4 405,200.00 101,300.00 500 50,650,000.00 101,300.00 419 42,444,700.00 101,300.00 85 8,610,500.00
90 Haloperidol Inj 5 mg/ml Ampul 6,250.00 313 1,956,250.00 6,250.00 - - 6,250.00 313 1,956,250.00 6,250.00 - -
91 Haloperidol Tablet 1,5 mg Tablet - - - - - - - - - - - -
92 Hidrokortison Krim 2,5 % Tube - - - - - - - - - - - -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
93 Hidroxikloroquin Sulfat 200 mg Tablet 3,000.00 3,000.00 2,000 6,000,000.00 3,000.00 3,000.00 2,000 6,000,000.00
94 Hiosina butilbromida tab 10 mg Tablet - - - - - - - - - - - -
95 Human Tetanus Imunoglobulin Im 250UI (Tetagam)Set - - - - - - - - - - - -
96 Ibuprofen Tablet 400 mg Tablet - - - - - - - - - - - -
97 Isoniazid Tablet 100 mg Tablet 137.00 - - 137.00 - - 137.00 - - 137.00 - -
145.00 200 29,000.00 145.00 - - 145.00 200 29,000.00 145.00 - -
98 Isoniazid Tablet 300 mg tablet 173.00 1,400 242,200.00 173.00 300 51,900.00 173.00 1,000 173,000.00 173.00 700 121,100.00
99 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - - - - - - - - - - - -
100 Kalsium glukonat inj 100 mg/ml Ampul 7,800.00 222 1,731,600.00 7,800.00 - - 7,800.00 222 1,731,600.00 7,800.00 - -
101 Kalsium hidroksida pasta Botol - - - - - - - - - - - -
102 Kalsium Laktat (Kalk) Tablet 500 mg Tablet - - - - - - - - - - - -
103 Kaptropil Tablet 25 mg Tablet - - - - - - - - - - - -
104 Karbamazepin Tablet 200 mg Tablet - - - - - - - - - - - -
105 Karbogliserin Tetes Telinga 10 % Botol - - - - - - - - - - - -
106 Karbon aktif tab 0,5 mg Tablet - - - - - - - - - - - -
107 Ketokonazol Tablet 200 mg Tablet - - - - - - - - - - - -
108 Ketoprofen Supp 100 mg Supp - - - - - - - - - - - -
109 Kina Inj 26 % 2 ml Ampul - - - - - - - - - - - -
110 Kina Tablet 222 mg Tablet - - - - - - - - - - - -
111 Klindanmisin Tablet 300 mg Tablet - - - - - - - - - - - -
112 Kloramfenikol Kapsul 250 mg Kapsul - - - - - - - - - - - -
113 Kloramfenikol Kapsul 500 mg Kapsul - - - - - - - - - - - -
114 Kloramfenikol Salep Kulit 2% Tube - - - - - - - - - - - -
115 Kloramfenikol Salep Mata 1 % Tube - - - - - - - - - - - -
116 Kloramfenikol Sirup 125 mg/5 ml Botol - - - - - - - - - - - -
117 Kloramfenikol Tetes Mata 0.5% Botol - - - - - - - - - - - -
118 Kloramfenikol Tetes telinga 3 % Tube - - - - - - - - - - - -
119 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet - - - - - - - - - - - -
120 Klorpropmazin HCl Tablet salut 100 mg Tablet 157.00 - - 157.00 20,000 3,140,000.00 157.00 20,000 3,140,000.00 157.00 - -
121 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol - - - - - - - - - - - -
122 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet - - - - - - - - - - - -
123 Kotrimoksazol Tab Dws:Sulf 800+Trim 160 mg Tablet 325.00 325.00 1,500 487,500.00 325.00 1,500 487,500.00 325.00 - -
124 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000Ampul - - - - - - - - - - - -
125 Lidokain Jelly 2 % Tube - - - - - - - - - - - -
126 Lidokain Spray 10 % Botol - - - - - - - - - - - -
127 Lisol Botol - - - - - - - - - - - -
128 Loratadin Tablet 10 mg Tablet - - - - - - - - - - - -
129 Magnesium sulfat Inj (IV) 20 % Ampul - - - - - - - - - - - -
130 Magnesium sulfat Inj (IV) 40 % Ampul 3,796.00 - - 3,796.00 - - 3,796.00 - - 3,796.00 - -
131 MB Anak Blister 20,554.00 1 20,554.00 20,554.00 - - 20,554.00 1 20,554.00 20,554.00 - -
28,354.00 2 56,708.00 28,354.00 7 198,478.00 28,354.00 5 141,770.00 28,354.00 4 113,416.00
132 MB Dewasa Blister 31,760.00 - - 31,760.00 - - 31,760.00 - - 31,760.00 - -
20,554.00 - - 20,554.00 - - 20,554.00 - - 20,554.00 - -
41,784.00 2 83,568.00 41,784.00 168 7,019,712.00 41,784.00 133 5,557,272.00 41,784.00 37 1,546,008.00
133 Metformin HCl Tablet 500 mg Tablet - - - - - - - - - - - -
134 Metildopa Tablet 250 mg Tablet - - - - - - - - - - - -
135 Metilergomatrin Maleat Inj 0,200 mg Ampul 2,959.00 2,880 8,521,920.00 2,959.00 - - 2,959.00 2,880 8,521,920.00 2,959.00 - -
136 Metilergometrin Maleat (Metilergometrin) Tablet STablet - - - - - - - - - - - -
137 Metilprednisolon Tablet 4 mg Tablet - - - - - - - - - - - -
138 Metronidazol Tablet 500 mg Tablet - - - - - - - - - - - -
139 Mikonazol Krim/Salep 2% Tube - - - - - - - - - - - -
140 Mineral Mix Sachet 3,116.00 - - 3,116.00 2,000 6,232,000.00 3,116.00 2,000 6,232,000.00 3,116.00 - -
2,920.00 1,390 4,058,800.00 2,920.00 - - 2,920.00 1,390 4,058,800.00 2,920.00 - -
141 Monoklorkamfer mentol cairan Botol - - - - - - - - - - - -
142 Multivitamin + DHA + Lysin Sirup Botol - - - - - - - - - - - -
143 Multivitamin + Mineral Kaplet Kaplet - - - - - - - - - - - -
144 N-asetil sistein kaps 200 mg Kapsul - - - - - - - - - - - -
145 Natrium Bikarbonat Tablet 500 mg Tablet - - - - - - - - - - - -
146 Natrium Diklofenak Tablet 50 mg Tablet - - - - - - - - - - - -
147 Natrium Hipoklorit 3% Botol - - - - - - - - - - - -
148 Natrium Klorida Larutan Infus 0,9% Fls - - - - - - - - - - - -
149 Natrium Tiroksin Tablet 100 µg Tablet 735.00 61,400 45,129,000.00 735.00 - - 735.00 4,400 3,234,000.00 735.00 57,000 41,895,000.00
150 Nipedipin Tablet 10 mg Tablet - - - - - - - - - - - -
151 Nistatin Tablet Salut Gula 500.000 IU/g Tablet - - - - - - - - - - - -
152 Nistatin Tablet Vaginal 100.000 IU/g Tablet - - - - - - - - - - - -
153 OAT FDC Katagori 1 Paket 389,344.00 1,849 719,897,056.00 389,344.00 - - 389,344.00 1,849 719,897,056.00 389,344.00 - -
317,018.00 1,056 334,771,008.00 317,018.00 - - 317,018.00 1,056 334,771,008.00 317,018.00 - -
415,469.00 415,469.00 6,991 2,904,543,779.00 415,469.00 2,204 915,693,676.00 415,469.00 4,787 1,988,850,103.00
154 OAT FDC Katagori 2 Paket 1,199,985.00 9 10,799,865.00 1,199,985.00 - - 1,199,985.00 9 10,799,865.00 1,199,985.00 - -
1,297,889.00 50 64,894,450.00 1,297,889.00 - - 1,297,889.00 50 64,894,450.00 1,297,889.00 - -
1,384,977.00 1,384,977.00 185 256,220,745.00 1,384,977.00 121 167,582,217.00 1,384,977.00 64 88,638,528.00
155 OAT FDC Kategori Anak paket 214,985.00 - - 214,985.00 - - 214,985.00 - - 214,985.00 - -
232,518.00 - - 232,518.00 - - 232,518.00 - - 232,518.00 - -
248,120.00 58 14,390,960.00 248,120.00 670 166,240,400.00 248,120.00 537 133,240,440.00 248,120.00 191 47,390,920.00
156 OAT FDC Kategori Sisipan Paket - - - - - - - - - - - -
157 OAT Kombipak Kat I paket - - - - - - - - - - - -
158 Obat Batuk Hitam (OBH) Cairan Botol - - - - - - - - - - - -
159 Oksitosin Inj 10 IU/ml- 1 ml Ampul 1,785.00 - - 1,785.00 - - 1,785.00 - - 1,785.00 - -
160 Omeprazol Kapsul 20 mg Kapsul - - - - - - - - - - - -
161 Ondansetron Inj 4 mg/2 ml Ampul - - - - - - - - - - - -
162 Parasetamol Sirup 120 mg / 5ml Botol - - - - - - - - - - - -
163 Parasetamol Tablet 500 mg Tablet - - - - - - - - - - - -
164 PB Anak Blister 20,554.00 - - 20,554.00 - - 20,554.00 - - 20,554.00 - -
165 PB Dewasa Blister 12,569.00 - - 12,569.00 - - 12,569.00 - - 12,569.00 - -
20,554.00 - - 20,554.00 - - 20,554.00 - - 20,554.00 - -
166 Permetrin 5% Krim (Scabimite) Tube - - - - - - - - - - - -
167 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Lbotol - - - - - - - - - - - -
168 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet - - - - - - - - - - - -
169 Pirimetamin Tablet 25 mg Tablet - - - - - - - - - - - -
170 Polikresulen (Albotyl) Botol 5 ml botol - - - - - - - - - - - -
171 Povidon Iodida 10 %-30 ml Botol - - - - - - - - - - - -
172 Povidon Iodida 10 %-300 ml Botol - - - - - - - - - - - -
173 Prednison Tablet 5 mg Tablet - - - - - - - - - - - -
174 Primakuin Tablet 15 mg Tablet 253.00 300 75,900.00 253.00 - - 253.00 130 32,890.00 253.00 170 43,010.00
175 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial - - - - - - - - - - - -
176 Propanolol HCl Tablet 40 mg Tablet - - - - - - - - - - - -
177 Propiltiourasil Tablet 100 mg Tablet - - - - - - - - - - - -
178 Ranitidin Inj 25 mg/ml Ampul - - - - - - - - - - - -
179 Ranitidin Tablet 150 mg Tablet - - - - - - - - - - - -
180 Retinol (Vit A) Kapsul 100.000 IU Kapsul 288.00 115,300 33,206,400.00 288.00 - - 288.00 115,300 33,206,400.00 288.00 - -
181 Retinol (VIT A) Kapsul 200.000 IU Kapsul 517.00 430,900 222,775,300.00 517.00 81,500 42,135,500.00 517.00 512,400 264,910,800.00 517.00 - -
182 Ringer Laktat Larutan Infus Steril Fls - - - - - - - - - - - -
183 Risperidon Tablet 2 mg Tablet 287.00 - - 287.00 49,000 14,063,000.00 287.00 19,000 5,453,000.00 287.00 30,000 8,610,000.00
184 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul - - - - - - - - - - - -
185 Salbutamol Tablet 2 mg 67.00 67.00 10,000 670,000.00 67.00 10,000 670,000.00 67.00 - -
186 Salbutamol Tablet 4 mg Tablet - - - - - - - - - - - -
187 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot - - - - - - - - - - - -
188 Salisil Bedak 2 % Kotak - - - - - - - - - - - -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
189 Sefadroksil Sirup 125 mg/5 ml Botol - - - - - - - - - - - -
190 Sefadroxil Kapsul 500 mg Kapsul - - - - - - - - - - - -
191 Sefiksime 200 mg + Azitromisin 500 mg Paket 30,000.00 205 6,150,000.00 300,030.00 - - 30,000.00 205 6,150,000.00 30,000.00 - -
30,030.00 30,030.00 1,750 52,552,500.00 30,030.00 330 9,909,900.00 30,030.00 1,420 42,642,600.00
192 Sefotaksim Inj 1 g Vial - - - - - - - - - - - -
193 Seftriaxon Inj 1 g Vial - - - - - - - - - - - -
194 Semen seng fosfat serbuk cairan Botol - - - - - - - - - - - -
195 Serum Anti Difteri (ADS) Vial - - - - - - - - - - - -
196 Serum Anti Rabies ( SAR ) Vial 3,999,000.00 3,999,000.00 7 27,993,000.00 3,999,000.00 - - 3,999,000.00 7 27,993,000.00
197 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul - - - - - - - - - - - -
198 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial - - - - - - - - - - - -
199 Setirizin Sirup 5 mg/5 ml Botol - - - - - - - - - - - -
200 Setirizin Tablet 90.00 90.00 600 54,000.00 90.00 600 54,000.00 90.00 - -
201 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul - - - - - - - - - - - -
202 Simvastatin Tablet 10 mg Tablet - - - - - - - - - - - -
203 Siprofloksasin (HCl) Tablet 500 mg Kaplet - - - - - - - - - - - -
204 Tablet Tambah Darah (Camabion) Buah - - - - - - - - - - - -
205 Tablet Tambah Darah Kombinasi Tablet 350.00 - - 350.00 - - 350.00 - - 350.00 - -
353.00 1,590,690 561,513,570.00 353.00 2,967,840 1,047,647,520.00 353.00 3,967,740 1,400,612,220.00 353.00 590,790 208,548,870.00
206 Temporary Restorative Material Botol - - - - - - - - - - - -
207 Tetrasiklin Kapsul 500 mg Kapsul - - - - - - - - - - - -
208 Tiamin HCL (Vit B1) Tablet 50 mg Tablet - - - - - - - - - - - -
209 Triheksifenidil HCl Tablet 2 mg Tablet 91.00 - - 91.00 73,500 6,688,500.00 91.00 - - 91.00 73,500 6,688,500.00
210 Vaksin BCG + Pelarut Set 61,996.00 - - 61,996.00 - - 61,996.00 - - 61,996.00 - -
66,154.00 3,276 216,720,504.00 66,154.00 22,500 1,488,465,000.00 66,154.00 24,815 1,641,611,510.00 66,154.00 961 63,573,994.00
211 Vaksin DPT-Hb-Hib Vial 78,991.00 - - 78,991.00 - - 78,991.00 - - 78,991.00 - -
149,820.00 - - 149,820.00 - - 149,820.00 - - 149,820.00 - -
84,282.00 300 25,284,600.00 84,282.00 46,142 3,888,940,044.00 84,282.00 43,373 3,655,563,186.00 84,282.00 3,069 258,661,458.00
212 Vaksin DT Vial 17,996.00 - - 17,996.00 - - 17,996.00 - - 17,996.00 - -
19,195.00 139 2,668,105.00 19,195.00 6,200 119,009,000.00 19,195.00 4,590 88,105,050.00 19,195.00 1,749 33,572,055.00
213 Vaksin Hb-0 Set 23,991.00 - - 23,991.00 - - 23,991.00 - - 23,991.00 - -
25,597.00 1,689 43,233,333.00 25,597.00 49,500 1,267,051,500.00 25,597.00 46,916 1,200,908,852.00 25,597.00 4,273 109,375,981.00
214 Vaksin IPV 10 ds Vial - - - - - - - - - - - -
215 Vaksin IPV 5 ds Vial 144,540.00 - - 144,540.00 9,400 1,358,676,000.00 144,540.00 4,825 697,405,500.00 144,540.00 4,575 661,270,500.00
169,653.00 - - 169,653.00 - - 169,653.00 - - 169,653.00 - -
216 Vaksin Measles Rubella (MR) Vial 155,813.00 - - 155,813.00 - - 155,813.00 - - 155,813.00 - -
166,265.00 1,386 230,443,290.00 166,265.00 22,500 3,740,962,500.00 166,265.00 23,244 3,864,663,660.00 166,265.00 642 106,742,130.00
217 Vaksin Meningitis Paket 135,000.00 - - 135,000.00 1,882 254,070,000.00 135,000.00 1,743 235,305,000.00 135,000.00 139 18,765,000.00
218 Vaksin Papillomavirus (HPV) Vial - - - - - - - - - - - -
219 Vaksin Pneumococcus Vial - - - - - - - - - - - -
220 Vaksin Polio 10 ds bopv + Penetes Set 19,954.00 1,708 34,081,432.00 19,954.00 2,000 39,908,000.00 19,954.00 3,708 73,989,432.00 19,954.00 - -
21,285.00 21,285.00 33,500 713,047,500.00 21,285.00 31,897 678,927,645.00 21,285.00 1,603 34,119,855.00
221 Vaksin Rabies Vero Set 165,000.00 - - 165,000.00 320 52,800,000.00 165,000.00 320 52,800,000.00 165,000.00 - -
222 Vaksin Td Vial 16,995.00 1,774 30,149,130.00 16,995.00 - - 16,995.00 1,774 30,149,130.00 16,995.00 - -
18,128.00 18,128.00 28,100 509,396,800.00 18,128.00 21,405 388,029,840.00 18,128.00 6,695 121,366,960.00
223 Vitamin B Kompleks Tablet Tablet - - - - - - - - - - - -
224 Zinc Tablet 20 mg Tablet 508.00 45,800 23,266,400.00 508.00 - - 508.00 45,800 23,266,400.00 508.00 - -
524.00 524.00 117,300 61,465,200.00 524.00 - 524.00 117,300 61,465,200.00
225 Kaca Slide Buah 273.61 - - 273.61 - - 273.61 - - 273.61 - -
226 Kantung mayat Buah 170,000.00 4 680,000.00 170,000.00 - - 170,000.00 4 680,000.00 170,000.00 - -
227 Fenobarbital inj 50mg/ml Ampul 1,800.00 - - 1,800.00 - - 1,800.00 - - 1,800.00 - -
1,857.00 439 815,223.00 1,857.00 - - 1,857.00 210 389,970.00 1,857.00 229 425,253.00
228 Vaksin Campak Vial 28,204.00 - - 28,204.00 - - 28,204.00 - - 28,204.00 - -
229 Piridoksin HCl (Vit B6) Tablet 25 mg tablet 60.00 - - 60.00 - - 60.00 - - 60.00 - -
230 Diethyk karbamazin 100 mg Tablet 119.00 3,900 464,100.00 119.00 - - 119.00 100 11,900.00 119.00 3,800 452,200.00
231 Hepatitis B Imunoglobulin vial 1,300,000.00 - - 1,300,000.00 - - 1,300,000.00 - - 1,300,000.00 - -
1,325,000.00 - - 1,325,000.00 280 371,000,000.00 1,325,000.00 270 357,750,000.00 1,325,000.00 10 13,250,000.00
232 Lovinavir/ ritonavir( 100/25mg)/Aluvia Anak Tablet 2,255.00 240 541,200.00 2,255.00 1,800 4,059,000.00 2,255.00 1,800 4,059,000.00 2,255.00 240 541,200.00
233 Ampicillin Serbuk Inj 100 mg/ml Vial 8,237.00 - - 8,237.00 - - 8,237.00 - - 8,237.00 - -
234 Metronidazol Inf Botol 8,110.00 - - 8,110.00 - - 8,110.00 - - 8,110.00 - -
235 Oxitetracyclin Hcl Sm 1% Tube 2,500.00 - - 2,500.00 - - 2,500.00 - - 2,500.00 - -
236 zidovudin 100 Tablet 1,768.00 600 1,060,800.00 1,768.00 - - 1,768.00 300 530,400.00 1,768.00 300 530,400.00
237 Efaviren 200 Tablet 3,202.00 - - 3,202.00 - - 3,202.00 - - 3,202.00 - -
238 Amoxcicillin Forte Syr Botol - - - - - - - - - - - -
239 Arte Sunat Inj 60 mg ampul 312,000.00 7 2,184,000.00 312,000.00 - - 312,000.00 7 2,184,000.00 312,000.00 - -
240 Tamiflu Cap ( Osel Tamivir ) kapsul 11,790.00 400 4,716,000.00 11,790.00 - - 11,790.00 400 4,716,000.00 11,790.00 - -
12,969.00 12,969.00 700 9,078,300.00 12,969.00 700 9,078,300.00 12,969.00 - -
9,500.00 9,500.00 1,000 9,500,000.00 9,500.00 1,000 9,500,000.00 9,500.00 - -
8,943.00 8,943.00 3,500 31,300,500.00 8,943.00 2,400 21,463,200.00 8,943.00 1,100 9,837,300.00
241 Trifluoperazine HCL 5 MG ampul 287.00 - - 287.00 12,000 3,444,000.00 287.00 7,100 2,037,700.00 287.00 4,900 1,406,300.00
Jumlah Bahan Obat-obatan - - 2,878,831,286.00 - - 20,664,487,518.00 - - 18,869,765,943.00 - - 4,673,552,861.00
- - - - - - - -
BAHAN KIMIA - - - - - - - -
1 Cybow 10 Reagent Strip Set - - - - - - - - - - - -
2 Golongan darah anti A - 10 ml Botol - - - - - - - - - - - -
3 Golongan darah anti A-B - 10 ml Botol - - - - - - - - - - - -
4 Golongan darah anti B - 10 ml Botol - - - - - - - - - - - -
5 Humasens Plus Set - - - - - - - - - - - -
6 Humasens Plus Strip Uric Acid Kotak - - - - - - - - - - - -
7 Humasens Strip Glucose Kotak - - - - - - - - - - - -
8 Humasens Strip Kolesterol Kotak - - - - - - - - - - - -
9 Iodin test Botol - - - - - - - - - - - -
10 Larutan Asam Asetat 6% 100 ml Botol - - - - - - - - - - - -
11 Larutan Benedict 100 ml Botol - - - - - - - - - - - -
12 Larutan EDTA 10 % 100 ml Botol - - - - - - - - - - - -
13 Larutan HCl 0,1 N 100 ml Botol - - - - - - - - - - - -
14 Larutan Natrium Citrat 3,13 % Botol - - - - - - - - - - - -
15 Larutan Rees Ecker 100 ml Botol - - - - - - - - - - - -
16 Larutan Turk 100 ml Botol - - - - - - - - - - - -
17 Larutan Ziehl Neelsen Botol 276,500.00 - - 276,500.00 - - 276,500.00 - - 276,500.00 - -
256,735.00 610 156,608,350.00 256,735.00 - - 256,735.00 317 81,384,995.00 256,735.00 293 75,223,355.00
18 Rapid HIV 1/2 Device test - - - - - - - - - - - -
19 Rapid HIV 2 Fokus test 12,500.00 - - 12,500.00 1,000 12,500,000.00 12,500.00 1,000 12,500,000.00 12,500.00 - -
13,235.00 175 2,316,125.00 13,235.00 1,500 19,852,500.00 13,235.00 1,425 18,859,875.00 13,235.00 250 3,308,750.00
20 Rapid HIV Biomedika Sachet - - - - - - - - - - - -
21 Rapid HIV Biomeriux Sachet 12,948.00 - - 12,948.00 1,500 19,422,000.00 12,948.00 1,500 19,422,000.00 12,948.00 - -
19,480.00 150 2,922,000.00 19,480.00 1,500 29,220,000.00 19,480.00 1,650 32,142,000.00 19,480.00 - -
22 Rapid HIV Intec Sachet - - - - - - - - - - - -
23 Rapid HIV Oncoprobe Sachet 22,385.00 - - 22,385.00 - - 22,385.00 - - 22,385.00 - -
24 Rapid HIV SD Sachet 14,340.00 - - 14,340.00 - - 14,340.00 - - 14,340.00 - -
11,975.00 10,600 126,935,000.00 11,975.00 62,125 743,946,875.00 11,975.00 48,100 575,997,500.00 11,975.00 24,625 294,884,375.00
25 Rapid Malaria Sachet - - - - - - - - - - - -
26 Rapid Syphilis SD Sachet 26,527.00 - - 26,527.00 - - 26,527.00 - - 26,527.00 - -
20,400.00 4,850 98,940,000.00 20,400.00 20,600 420,240,000.00 20,400.00 25,450 519,180,000.00 20,400.00 - -
27 Reagen CD4 kontrol test 660,000.00 - - 660,000.00 1 660,000.00 660,000.00 1 660,000.00 660,000.00 - -
823,000.00 - - 823,000.00 - - 823,000.00 - - 823,000.00 - -
28 Reagen CD4 tipe 1 (Alere Pima CD4) test 158,400.00 100 15,840,000.00 158,400.00 - - 158,400.00 100 15,840,000.00 158,400.00 - -
29 RPR Syphilis Sachet 4,120.00 - - 4,120.00 32,000 131,840,000.00 4,120.00 5,800 23,896,000.00 4,120.00 26,200 107,944,000.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
30 Salmonella Thyphi H - 5 ml Botol - - - - - - - - - - - -
31 Salmonella Thyphi O - 5 ml Botol - - - - - - - - - - - -
32 Test Kehamilan Buah - - - - - - - - - - - -
33 Rapid HbSag test 9,870.00 - - 9,870.00 - - 9,870.00 - - 9,870.00 - -
7,913.00 - - 7,913.00 30,000 237,390,000.00 7,913.00 30,000 237,390,000.00 7,913.00 - -
9,878.00 2,100 20,743,800.00 9,878.00 10,000 98,780,000.00 9,878.00 11,200 110,633,600.00 9,878.00 900 8,890,200.00
34 Tuberculin test Pcs 625,900.00 45 28,165,500.00 625,900.00 - - 625,900.00 45 28,165,500.00 625,900.00 - -
35 DBS Collecsion Kit set 393,001.00 - - 393,001.00 1 393,001.00 393,001.00 - - 393,001.00 1 393,001.00
36 SD HCV test 13,252.00 - - 13,252.00 - - 13,252.00 - - 13,252.00 - -
37 RDT LEPTOSPIRA 22,295.00 22,295.00 20 445,900.00 22,295.00 - - 22,295.00 20 445,900.00
Jumlah Bahan Kimia - - 452,470,775.00 - - 1,714,690,276.00 - - 1,676,071,470.00 - - 491,089,581.00
- - - - -
BAHAN ALAT HABIS PAKAI PUSKESMAS - - - - -
1 ADS 0.05 ml Buah 1,518.00 - - 1,518.00 25,300 38,405,400.00 1,518.00 25,300 38,405,400.00 1,518.00 - -
2 ADS 0.5 ml Buah 1,185.00 550,350 652,164,750.00 1,185.00 - - 1,185.00 292,650 346,790,250.00 1,185.00 257,700 305,374,500.00
1,050.00 1,050.00 521,660 547,743,000.00 1,050.00 - - 1,050.00 521,660 547,743,000.00
3 ADS 5 ml Buah 1,439.00 32,300 46,479,700.00 1,439.00 - - 1,439.00 32,300 46,479,700.00 1,439.00 - -
1,583.00 1,583.00 6,700 10,606,100.00 1,583.00 4,500 7,123,500.00 1,583.00 2,200 3,482,600.00
4 Alat Suntik Sekali Pakai 1ml Set - - - - - - - - - - - -
5 Alat Suntik Sekali Pakai 3 ml Set - - - - - - - - - - - -
6 Alat Suntik Sekali Pakai 5 ml Set - - - - - - - - - - - -
7 Alkohol Swab Buah 200.00 - - 200.00 4,200 840,000.00 200.00 4,200 840,000.00 200.00 - -
95.00 95.00 19,900 1,890,500.00 95.00 2,100 199,500.00 95.00 17,800 1,691,000.00
8 Bisturi Buah - - - - - - - - - - - -
9 Blood set Buah - - - - - - - - - - - -
10 Catgut/Benang Bedah No.2/0 dengan jarum bedahSet - - - - - - - - - - - -
11 Catgut/Benang Bedah No.3/0 dengan jarum bedahSet - - - - - - - - - - - -
12 Folley Catheter No.18 Buah - - - - - - - - - - - -
13 Infusion set anak Kantong - - - - - - - - - - - -
14 Infusion set dewasa Kantong - - - - - - - - - - - -
15 IV Catheter No.18 Set - - - - - - - - - - - -
19 Jarum kulit Buah - - - - - - - - - - - -
20 Jarum otot Buah - - - - - - - - - - - -
21 Kaca Slide Buah 296.49 40,464 11,997,014.00 296.49 - - 296.49 13,320 3,949,195.00 296.49 27,144 8,047,819.00
435.38 42,336 18,432,036.00 435.38 - - 435.38 - - 435.38 42,336 18,432,036.00
22 Kantung mayat Buah - - - - - - - - - - - -
23 Kapas Pembalut/absorben 250 mg Roll - - - - - - - - - - - -
24 Kasa Hidrofil 2x80 Roll - - - - - - - - - - - -
25 Kasa Hidrofil Steril 16 X 16 Lembar - - - - - - - - - - - -
26 Kasa Pembalut Hidrofil 4 X 10 cm Roll - - - - - - - - - - - -
27 Kasa Pembalut hidrofil 4 x 5 cm Roll - - - - - - - - - - - -
28 Kassa Pembalut elastic 4 inchi Roll - - - - - - - - - - - -
29 Masker Tie on Buah 314.00 - - 314.00 67,400 21,163,600.00 314.00 67,400 21,163,600.00 314.00 - -
386.00 386.00 4,250 1,640,500.00 386.00 - - 386.00 4,250 1,640,500.00
2,290.00 2,290.00 8,800 20,152,000.00 2,290.00 4,400 10,076,000.00 2,290.00 4,400 10,076,000.00
30 Masker N-95 Buah 19,066.05 - - 19,066.05 11,160 212,777,118.00 19,066.05 3,070 58,532,773.50 19,066.05 8,090 154,244,344.50
31 Plester 5 yard x 2 inch Roll - - - - - - - - - - - -
32 Polybag Medis Lembar 2,340.00 - - 2,340.00 63 147,420.00 2,340.00 63 147,420.00 2,340.00 - -
33 Polybag Nonmedis Lembar - - - - - - - - - - - -
34 Polybag Ramah Lingkungan Lembar - - - - - - - - - - - -
35 Pot Dahak Buah 2,139.00 - - 2,139.00 28,000 59,892,000.00 2,139.00 28,000 59,892,000.00 2,139.00 - -
4,905.00 9,660 47,382,300.00 4,905.00 - - 4,905.00 1,660 8,142,300.00 4,905.00 8,000 39,240,000.00
36 Safety box Buah 22,433.00 921 20,660,793.00 22,433.00 3,200 71,785,600.00 22,433.00 1,416 31,765,128.00 22,433.00 2,705 60,681,265.00
14,000.00 14,000.00 190 2,660,000.00 14,000.00 72 1,008,000.00 14,000.00 118 1,652,000.00
14,545.00 14,545.00 760 11,054,200.00 14,545.00 760 11,054,200.00 14,545.00 - -
37 Sarung Tangan Non Steril Uk.S Buah - - - - - - - - - - - -
38 Sarung Tangan Non Steril Uk.M Buah - - - - - - - - - - - -
39 Sarung Tangan Non Steril Uk.L Buah - - - - - - - - - - - -
40 Sarung Tangan Steril No.6 Set - - - - - - - - - - - -
41 Sarung Tangan Steril No.6,5 Set - - - - - - - - - - - -
42 Sarung Tangan Steril No.7 Set - - - - - - - - - - - -
43 Sendok Obat Buah - - - - - - - - - - - -
44 Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Set - - - - - - - - - - - -
45 Urin Bag Buah - - - - - - - - - - - -
46 Coverall Dispo 156,200.00 - 156,200.00 10,814 1,689,146,800.00 156,200.00 10,814 1,689,146,800.00 156,200.00 - -
47 Nurse Cap 1,265.00 - 1,265.00 600 759,000.00 1,265.00 600 759,000.00 1,265.00 - -
48 Sarung tangan 1,144.00 - 1,144.00 3,044 3,482,336.00 1,144.00 3,044 3,482,336.00 1,144.00 - -
49 Cover Shoes 4,200.00 - 4,200.00 3,062 12,860,400.00 4,200.00 3,062 12,860,400.00 4,200.00 - -
50 Sarung Tangan Kain 40,000.00 - 40,000.00 194 7,760,000.00 40,000.00 194 7,760,000.00 40,000.00 - -
51 Safety Glass 12,000.00 - 12,000.00 13 156,000.00 12,000.00 13 156,000.00 12,000.00 - -
52 Masker Tali / Kain 2,090.00 - 2,090.00 9,702 20,277,180.00 2,090.00 9,702 20,277,180.00 2,090.00 - -
5,500.00 - 5,500.00 148,728 818,004,000.00 5,500.00 133,959 736,774,500.00 5,500.00 14,769 81,229,500.00
53 Alat Pelindung Diri 7 Item 200,000.00 - 200,000.00 10 2,000,000.00 200,000.00 10 2,000,000.00 200,000.00 - -
54 Alat Pelindung Diri 5 Item 1,500,000.00 - 1,500,000.00 10 15,000,000.00 1,500,000.00 10 15,000,000.00 1,500,000.00 - -
55 Googles 93,500.00 - 93,500.00 804 75,174,000.00 93,500.00 112 10,472,000.00 93,500.00 692 64,702,000.00
67,800.00 - 67,800.00 680 46,104,000.00 67,800.00 680 46,104,000.00 67,800.00 - -
56 Baju APD 100,000.00 - 100,000.00 16,314 1,631,400,000.00 100,000.00 4,555 455,500,000.00 100,000.00 11,759 1,175,900,000.00
57 Sepatu Boot 89,293.00 - 89,293.00 100 8,929,300.00 89,293.00 100 8,929,300.00 89,293.00 - -
101,700.00 - 101,700.00 5 508,500.00 101,700.00 5 508,500.00 101,700.00 - -
58 Thermometer Scanner 1,350,000.00 - 1,350,000.00 1 1,350,000.00 1,350,000.00 1 1,350,000.00 1,350,000.00 - -
1,625,000.00 - 1,625,000.00 2 3,250,000.00 1,625,000.00 2 3,250,000.00 1,625,000.00 - -
59 Hand Sanitizer 500 ml 55,000.00 - 55,000.00 32 1,760,000.00 55,000.00 32 1,760,000.00 55,000.00 - -
60 Rapid Tes Corona 108,160.00 - 108,160.00 15,720 1,700,275,200.00 108,160.00 12,361 1,336,965,760.00 108,160.00 3,359 363,309,440.00
108,160.00 - 108,160.00 1,300 140,608,000.00 108,160.00 1,300 140,608,000.00 108,160.00 - -
61 VTM with 2 Flachet 150,000.00 - 150,000.00 26,250 3,937,500,000.00 150,000.00 5,300 795,000,000.00 150,000.00 20,950 3,142,500,000.00
62 Face Shield 115,500.00 - 115,500.00 1,819 210,094,500.00 115,500.00 1,515 174,982,500.00 115,500.00 304 35,112,000.00
63 MASKER FFP2 7,200.00 - 7,200.00 5,213 37,533,600.00 7,200.00 - 7,200.00 5,213 37,533,600.00
64 ALAT Suntik Tuberkulin steril 1,668.00 - 1,668.00 2,000 3,336,000.00 1,668.00 - 1,668.00 2,000 3,336,000.00
65 Sarung Tangan Karet Sero hijau 18,700.00 - 18,700.00 100 1,870,000.00 18,700.00 100 1,870,000.00 18,700.00 - -
66 Patien Monitor 229,000,000.00 - 229,000,000.00 1 229,000,000.00 229,000,000.00 1 229,000,000.00 229,000,000.00 - -
67 Qloroquin 150 1,506.00 - 1,506.00 1,000 1,506,000.00 1,506.00 300 451,800.00 1,506.00 700 1,054,200.00
68 Masker KN 95 7,200.00 - 7,200.00 14,977 107,834,400.00 7,200.00 13,357 96,170,400.00 7,200.00 1,620 11,664,000.00
69 Hair Cap 1,265.00 - 1,265.00 889 1,124,585.00 1,265.00 889 1,124,585.00 1,265.00 - -
70 Hand Sanitizer 110,000.00 - 110,000.00 39 4,290,000.00 110,000.00 39 4,290,000.00 110,000.00 - -
71 Hand Sanitizer 50 Ml deaderma 10,000.00 - 10,000.00 7 70,000.00 10,000.00 7 70,000.00 10,000.00 - -
72 Glove medical premier flex 2,978.25 - 2,978.25 4,600 13,699,950.00 2,978.25 4,600 13,699,950.00 2,978.25 - -
73 MASKER ( hiv) - - - - 75,000.00 - 75,000.00 - -
74 Hand Sanitizer 1 Lt 110,000.00 - 110,000.00 10 1,100,000.00 110,000.00 10 1,100,000.00 110,000.00 - -
75 Hazmat Gown 129,950.00 - 129,950.00 91 11,825,450.00 129,950.00 91 11,825,450.00 129,950.00 - -
76 Ventilator 10,000,000.00 - 10,000,000.00 1 10,000,000.00 10,000,000.00 1 10,000,000.00 10,000,000.00 - -
77 Rompi 148,000.00 - 148,000.00 150 22,200,000.00 148,000.00 - 148,000.00 150 22,200,000.00
78 Blood Lancet 144.00 - 144.00 12,300 1,771,200.00 144.00 4,800 691,200.00 144.00 7,500 1,080,000.00
79 Antibacterial Fi;ter 75,000.00 - 75,000.00 20 1,500,000.00 75,000.00 20 1,500,000.00 75,000.00 - -
80 Astral 150 35,000.00 - 35,000.00 1 35,000.00 35,000.00 1 35,000.00 35,000.00 - -
81 ACU Care F1 - ONV FFM-S 45,000.00 - 45,000.00 1 45,000.00 45,000.00 1 45,000.00 45,000.00 - -
82 ACU Care F1 - ONV FFM-M 45,000.00 - 45,000.00 3 135,000.00 45,000.00 3 135,000.00 45,000.00 - -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
83 ACU Care F1 - ONV FFM-L 45,000.00 - 45,000.00 1 45,000.00 45,000.00 1 45,000.00 45,000.00 - -
84 HME 34,000.00 - 34,000.00 20 680,000.00 34,000.00 20 680,000.00 34,000.00 - -
85 Astral Inflet Filter 35,000.00 - 35,000.00 5 175,000.00 35,000.00 5 175,000.00 35,000.00 - -
86 O2 Cpling Insert 30,000.00 - 30,000.00 5 150,000.00 30,000.00 5 150,000.00 30,000.00 - -
87 Doble Lim Adaptor 138,000.00 - 138,000.00 5 690,000.00 138,000.00 5 690,000.00 138,000.00 - -
88 Doble LIMB Circuit Semoth Bore 22 Mm 140,000.00 - 140,000.00 5 700,000.00 140,000.00 5 700,000.00 140,000.00 - -
89 Centrifuse (HIV) Rotator 8,370,000.00 - 8,370,000.00 1 8,370,000.00 8,370,000.00 1 8,370,000.00 8,370,000.00 - -
90 Oksigen Consentrator 9F 5AW Yuwell 9,480,000.00 - 9,480,000.00 1 9,480,000.00 9,480,000.00 1 9,480,000.00 9,480,000.00 - -
91 APD Vaksin Covid 98,450.00 - 98,450.00 4,662 458,973,900.00 98,450.00 - 98,450.00 4,662 458,973,900.00
92 Envide Protector Sweet Merah 130,000.00 - 130,000.00 16 2,080,000.00 130,000.00 16 2,080,000.00
93 Envide Protector Sweet Hitam 130,000.00 - 130,000.00 10 1,300,000.00 130,000.00 10 1,300,000.00
BAHAN ALAT HABIS PAKAI PUSKESMAS 797,116,593.00 12,258,676,739.00 6,501,513,627.50 6,554,279,704.50

-
JUMLAH TOTAL 4,128,418,654.00 - - 34,637,854,533.00 - - 27,047,351,040.50 11,718,922,146.50

Kabupaten Garut

NIP 19670625 199803 1 004
LAPORAN TAHUNAN PENGELOLAAN OBAT DAN PERBEKALAN KESEHATAN
SUMBER DANA APBD KAB.GARUT
TAHUN 2020

NO NAMA OBAT SATUAN VOLUME VOLUME VOLUME VOLUME
HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA
DAK DBHCHT JUMLAH DAK DBHCHT JUMLAH DAK DBHCHT JUMLAH DAK DBHCHT JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
BAHAN OBAT-OBATAN
1 Albendazol Tablet 400 mg Tablet 403.00 - - - - 403.00 - - - - 403.00 - - - - 403.00 - - - -
2 Alopurinol Tablet 100 mg Tablet 99.00 136,400 - 136,400 13,503,600.00 99.00 - - - - 99.00 136,400 - 136,400 13,503,600.00 99.00 - - - -
105.00 105.00 43,000 - 43,000 4,515,000 105.00 10,100 - 10,100 1,060,500.00 105.00 32,900 - 32,900 3,454,500.00
3 Aminofilin Inj 24 mg/ml-10 ml Ampul 2,789.00 136 - 136 379,304.00 2,789.00 - - - - 2,789.00 136 - 136 379,304.00 2,789.00 - - - -
2,976.00 2,976.00 420 - 420 1,249,920 2,976.00 204 - 204 607,104.00 2,976.00 216 - 216 642,816.00
4 Aminofilin Tablet 200 mg Tablet 95.00 12,500 - 12,500 1,187,500.00 95.00 - - - - 95.00 11,700 - 11,700 1,111,500.00 95.00 800 - 800 76,000.00
5 Amitriptilina HCl Tablet salut 25 mg Tablet 167.00 29,000 - 29,000 4,843,000.00 167.00 40,000 - 40,000 6,680,000 167.00 43,600 - 43,600 7,281,200.00 167.00 25,400 - 25,400 4,241,800.00
6 Amlodipin Tablet 5 mg 70.00 267,000 - 267,000 18,690,000.00 70.00 - - - - 70.00 267,000 - 267,000 18,690,000.00 70.00 - - - -
75.00 75.00 379,800 379,800 28,485,000 75.00 231,220 - 231,220 17,341,500.00 75.00 148,580 - 148,580 11,143,500.00
7 Amoksisilin Kaplet 500 mg 249.00 2,455,000 - 2,455,000 611,295,000.00 249.00 1,065,000 1,000,000 2,065,000 514,185,000 249.00 2,582,600 - 2,582,600 643,067,400.00 249.00 937,400 1,000,000 1,937,400 482,412,600.00
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol 1,881.00 - - - - 1,881.00 - - - - 1,881.00 - - - - 1,881.00 - - - -
9 Antasida DOEN I Tablet Kunyah Tablet 54.00 1,906,900 - 1,906,900 102,972,600.00 54.00 - - - - 54.00 1,906,900 - 1,906,900 102,972,600.00 54.00 - - - -
58.00 58.00 854,000 1,000,000 1,854,000 107,532,000 58.00 854,000 164,600 1,018,600 59,078,800.00 58.00 - 835,400 835,400 48,453,200.00
10 Antasida II Suspensi 60 ml 2,129.00 28,623 - 28,623 60,938,367.00 2,129.00 36,000 - 36,000 76,644,000 2,129.00 47,495 - 47,495 101,116,855.00 2,129.00 17,128 - 17,128 36,465,512.00
11 Anti Hemmoroid DOEN Supp 3,167.00 5,480 - 5,480 17,355,160.00 3,167.00 4,500 - 4,500 14,251,500 3,167.00 8,070 - 8,070 25,557,690.00 3,167.00 1,910 - 1,910 6,048,970.00
12 Antibakteri DOEN Tube 2,924.00 20,693 - 20,693 60,506,332.00 2,924.00 - - - - 2,924.00 18,999 - 18,999 55,553,076.00 2,924.00 1,694 - 1,694 4,953,256.00
13 Antifungi DOEN kombinasi Pot 4,158.00 - - - - 4,158.00 - - - - 4,158.00 - - - - 4,158.00 - - - -
4,496.00 2,385 - 2,385 10,722,960.00 4,496.00 - - - - 4,496.00 2,385 - 2,385 10,722,960.00 4,496.00 - - - -
4,798.00 3,000 - 3,000 14,394,000.00 4,798.00 - - - - 4,798.00 2,151 - 2,151 10,320,498.00 4,798.00 849 - 849 4,073,502.00
14 Antimigren DOEN Tablet 173.00 15,300 - 15,300 2,646,900.00 173.00 - - - - 173.00 14,300 - 14,300 2,473,900.00 173.00 1,000 - 1,000 173,000.00
15 Aqua Pro Inj steril bebas pirogen- 20 ml 2,449.00 10,105 - 10,105 24,747,145.00 2,449.00 9,700 - 9,700 23,755,300 2,449.00 19,805 - 19,805 48,502,445.00 2,449.00 - - - -
16 ARV: Efavirenz 600 mg Tablet - - - - - - - - - - - - - - - - - - - -
17 ARV: Lamivudine 150 mg Tablet - - - - - - - - - - - - - - - - - - - -
18 ARV: Lovinapir 200 mg Ronavir Tablet - - - - - - - - - - - - - - - - - - - -
19 ARV: Nevirapine 200 mg Tablet - - - - - - - - - - - - - - - - - - - -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet - - - - - - - - - - - - - - - - - - - -
21 ARV: Tenofovir 300 mg Tablet - - - - - - - - - - - - - - - - - - - -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet - - - - - - - - - - - - - - - - - - - -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet - - - - - - - - - - - - - - - - - - - -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet 99.00 14,500 - 14,500 1,435,500.00 99.00 - - - - 99.00 14,500 - 14,500 1,435,500.00 99.00 - - - -
105.00 105.00 13,000 20,000 33,000 3,465,000 105.00 13,000 5,600 18,600 1,953,000.00 105.00 - 14,400 14,400 1,512,000.00
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet 105.00 458,100 - 458,100 48,100,500.00 105.00 170,000 - 170,000 17,850,000 105.00 628,100 - 628,100 65,950,500.00 105.00 - - - -
26 Asam Folat Tablet 0,4 mg Tablet 55.00 - - - - 55.00 8,000 - 8,000 440,000 55.00 8,000 - 8,000 440,000.00 55.00 - - - -
27 Asam Mefenamat kaplet 500 mg 170.50 284,500 - 284,500 48,507,250.00 170.50 - - - - 170.50 284,500 - 284,500 48,507,250.00 170.50 - - - -
220.00 220.00 185,000 185,000 40,700,000 220.00 185,000 - 185,000 40,700,000.00 220.00 - - - -
212.30 212.30 345,000 345,000 73,243,500 212.30 - 68,500 68,500 14,542,550.00 212.30 - 276,500 276,500 58,700,950.00
28 Asiklovir Krim 5%/5g Tube 3,599.20 - - - - 3,599.20 - - - - 3,599.20 - - - - 3,599.20 - - - -
29 Asiklovir Tablet 400 mg Tablet 380.00 49,600 - 49,600 18,848,000.00 380.00 - - - - 380.00 49,600 - 49,600 18,848,000.00 380.00 - - - -
405.00 405.00 25,000 25,000 10,125,000 405.00 7,250 - 7,250 2,936,250.00 405.00 17,750 - 17,750 7,188,750.00
30 Atapulgit Tablet 600 mg Tablet 145.00 - - - - 145.00 131,000 - 131,000 18,995,000 145.00 131,000 - 131,000 18,995,000.00 145.00 - - - -
136.00 73,700 - 73,700 10,023,200.00 136.00 - - - - 136.00 73,700 - 73,700 10,023,200.00 136.00 - - - -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul 1,639.00 - - - - 1,639.00 400 - 400 655,600 1,639.00 242 - 242 396,638.00 1,639.00 158 - 158 258,962.00
1,595.00 10 - 10 15,950.00 1,595.00 - - - - 1,595.00 10 - 10 15,950.00 1,595.00 - - - -
32 Azithromisin Tablet 500 mg Tablet - - - - - - - - - - - - - - - - - - - -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial - - - - - - - - - - - - - - - - - - - -
34 Betahistin Tablet 6 mg Tablet 149.00 - - - - 149.00 - - - - 149.00 - - - - 149.00 - - - -
110.00 - - - - 110.00 - 90,000 90,000 9,900,000 110.00 - 90,000 90,000 9,900,000.00 110.00 - - - -
35 Betametason Krim 0.1 % Tube 1,340.00 27,795 - 27,795 37,245,300.00 1,340.00 - - - - 1,340.00 27,795 - 27,795 37,245,300.00 1,340.00 - - - -
1,430.00 1,430.00 14,000 14,000 20,020,000 1,430.00 5,850 - 5,850 8,365,500.00 1,430.00 8,150 - 8,150 11,654,500.00
36 Bisoprolol Tablet 5 mg Tablet 260.00 56,500 - 56,500 14,690,000.00 260.00 - - - - 260.00 56,500 - 56,500 14,690,000.00 260.00 - - - -
37 Bromheksin Tablet 8 mg Tablet 99.00 - - - - 99.00 - - - - 99.00 - - - - 99.00 - - - -
199.10 - 161,000 161,000 32,055,100.00 199.10 - - - - 199.10 - 161,000 161,000 32,055,100.00 199.10 - - - -
38 Clobazam Tablet 10 mg Tablet - - - - - - - - - - - - - - - - - - - -
39 Clozapine Tablet 25 mg Tablet 1,121.00 - - - - 1,121.00 5,000 10,000 15,000 16,815,000 1,121.00 5,000 8,900 13,900 15,581,900.00 1,121.00 - 1,100 1,100 1,233,100.00
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket 19,206.00 - - - - 19,206.00 - 12 12 230,472 19,206.00 - 1 1 19,206.00 19,206.00 - 11 11 211,266.00
41 Deksametason Inj 5 mg/ml-1 ml Ampul 1,097.00 10,730 - 10,730 11,770,810.00 1,097.00 12,300 - 12,300 13,493,100 1,097.00 17,580 - 17,580 19,285,260.00 1,097.00 5,450 - 5,450 5,978,650.00
42 Deksametason Tablet 0,5 mg Tablet 32.00 - - - - 32.00 - - - - 32.00 - - - - 32.00 - - - -
66.00 561,200 - 561,200 37,039,200.00 66.00 - - - - 66.00 561,200 - 561,200 37,039,200.00 66.00 - - - -
43 Dekstrometorfan Tablet kombinasi Tablet 682.00 - - - - 682.00 - - - - 682.00 - - - - 682.00 - - - -
44 Dektrometorfan Sirup kombinasi Botol 11,999.90 - - - - 11,999.90 - - - - 11,999.90 - - - - 11,999.90 - - - -
45 Devitalisasi Pasta Botol 217,000.00 - - - - 217,000.00 35 - 35 7,595,000 217,000.00 28 - 28 6,076,000.00 217,000.00 7 - 7 1,519,000.00
217,428.57 3 - 3 652,285.71 217,428.57 - - - - 217,428.57 3 - 3 652,285.71 217,428.57 - - - -
46 Dextrose Inj 40% Vial - - - - - - - - - - - - - - - - - - - -
47 Diazepam Inj 5 mg/ml-2 ml Ampul 1,735.00 320 - 320 555,200.00 1,735.00 1,000 - 1,000 1,735,000 1,735.00 355 - 355 615,925.00 1,735.00 965 - 965 1,674,275.00
48 Diazepam Rectal 5 mg/2,5 ml tube 12,573.00 1,190 - 1,190 14,961,870.00 12,573.00 - 1,500 1,500 18,859,500 12,573.00 1,190 285 1,475 18,545,175.00 12,573.00 - 1,215 1,215 15,276,195.00
49 Diazepam Tablet 2 mg Tablet 86.00 45,100 - 45,100 3,878,600.00 86.00 - 15,000 15,000 1,290,000 86.00 42,500 - 42,500 3,655,000.00 86.00 2,600 15,000 17,600 1,513,600.00
50 Difenhidramin Inj 10 mg/ml Ampul 1,095.00 12,300 - 12,300 13,468,500.00 1,095.00 - - - - 1,095.00 5,840 - 5,840 6,394,800.00 1,095.00 6,460 - 6,460 7,073,700.00
51 Digoksin Tablet 0,25 mg Tablet 104.00 29,100 - 29,100 3,026,400.00 104.00 - 12,000 12,000 1,248,000 104.00 29,100 1,900 31,000 3,224,000.00 104.00 - 10,100 10,100 1,050,400.00
52 Dimenhidrinat Tablet 50 mg Tablet 99.00 15,700 - 15,700 1,554,300.00 99.00 8,500 - 8,500 841,500 99.00 24,200 - 24,200 2,395,800.00 99.00 - - - -
53 Doksisilin Tablet 100 mg Tablet - - - - - - - - - - - - - - - - - - - -
54 Domperidon Suspensi 5mg/5ml 2,700.00 7,007 - 7,007 18,918,900.00 2,700.00 8,000 - 8,000 21,600,000 2,700.00 15,007 - 15,007 40,518,900.00 2,700.00 - - - -
55 Domperidon Tablet 10 mg 91.00 47,300 - 47,300 4,304,300.00 91.00 76,000 - 76,000 6,916,000 91.00 123,300 - 123,300 11,220,300.00 91.00 - - - -
56 Endometason Botol 203,500.00 - - - - 203,500.00 - - - - 203,500.00 - - - - 203,500.00 - - - -
167,666.67 44 - 44 7,377,333.33 167,666.67 - - - - 167,666.67 11 - 11 1,844,333.33 167,666.67 33 - 33 5,533,000.00
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul 1,408.00 1,728 - 1,728 2,433,024.00 1,408.00 1,500 - 1,500 2,112,000 1,408.00 2,453 - 2,453 3,453,824.00 1,408.00 775 - 775 1,091,200.00
58 Eritromisin Kapsul 250 mg Kapsul 546.00 30,200 - 30,200 16,489,200.00 546.00 - - - - 546.00 13,600 - 13,600 7,425,600.00 546.00 16,600 - 16,600 9,063,600.00
59 Eritromisin Kapsul 500 mg Kapsul - - - - - - - - - - - - - - - - - - - -
60 Eritromisin Sirup 200 mg/5 ml Botol - - - - - - - - - - - - - - - - - - - -
61 Etakridin Larutan 0,1 % Botol 3,150.00 393 - 393 1,237,950.00 3,150.00 - - - - 3,150.00 393 - 393 1,237,950.00 3,150.00 - - - -
62 Etanol 70 %- 1000 ml Botol 26,250.00 1,294 - 1,294 33,967,500.00 26,250.00 - - - - 26,250.00 1,294 - 1,294 33,967,500.00 26,250.00 - - - -
28,875.00 28,875.00 600 600 17,325,000 28,875.00 - 71 71 2,050,125.00 28,875.00 - 529 529 15,274,875.00
63 Etil Klorida Spray Botol - - - - - - - - - -
119 Loratadin Tablet 10 mg Tablet 123.00 145,200 - 145,200 17,859,600.00 123.00 - - - - 123.00 145,200 - 145,200 17,859,600.00 123.00 - - - -
120 Magnesium sulfat Inj (IV) 20 % Ampul - - - - - - - - - - - - - - - - - - - -
121 Magnesium sulfat Inj (IV) 40 % Ampul 3,796.00 - - - - 3,796.00 1,500 - 1,500 5,694,000 3,796.00 1,500 - 1,500 5,694,000.00 3,796.00 - - - -
122 MB Anak Blister - - - - - - - - - - - - - - - - - - - -
123 MB Dewasa Blister - - - - - - - - - - - - - - - - - - - -
124 Metformin HCl Tablet 500 mg Tablet 96.00 126,500 - 126,500 12,144,000.00 96.00 - - - - 96.00 126,500 - 126,500 12,144,000.00 96.00 - - - -
102.00 102.00 90,000 90,000 9,180,000 102.00 90,000 - 90,000 9,180,000.00 102.00 - - - -
125 Metildopa Tablet 250 mg Tablet 911.00 - - - - 911.00 - - - - 911.00 - - - - 911.00 - - - -
946.00 17,900 - 17,900 16,933,400.00 946.00 - 50,000 50,000 47,300,000 946.00 17,900 21,800 39,700 37,556,200.00 946.00 - 28,200 28,200 26,677,200.00
126 Metilergomatrin Maleat Inj 0,200 mg Ampul 2,959.00 - - - - 2,959.00 13,200 - 13,200 39,058,800 2,959.00 8,365 - 8,365 24,752,035.00 2,959.00 4,835 - 4,835 14,306,765.00
127
Tablet 210.00 46,700 - 46,700 9,807,000.00 210.00 - - - - 210.00 46,700 - 46,700 9,807,000.00 210.00 - - - -
224.00 224.00 18,000 18,000 4,032,000 224.00 5,200 - 5,200 1,164,800.00 224.00 12,800 - 12,800 2,867,200.00
128 Metilprednisolon Tablet 4 mg Tablet 134.00 78,000 - 78,000 10,452,000.00 134.00 - - - - 134.00 78,000 - 78,000 10,452,000.00 134.00 - - - -
143.00 143.00 611,000 611,000 87,373,000 143.00 456,100 - 456,100 65,222,300.00 143.00 154,900 - 154,900 22,150,700.00
129 Metronidazol Tablet 500 mg Tablet 252.00 - - - - 252.00 - - - - 252.00 - - - - 252.00 - - - -
220.00 103,800 - 103,800 22,836,000.00 220.00 - - - - 220.00 103,800 - 103,800 22,836,000.00 220.00 - - - -
130 Mikonazol Krim/Salep 2% Tube 3,414.00 13,541 - 13,541 46,228,974.00 3,414.00 5,600 - 5,600 19,118,400 3,414.00 17,364 - 17,364 59,280,696.00 3,414.00 1,777 - 1,777 6,066,678.00
131 Mineral Mix Sachet - - - - - - - - - - - - - - - - - - - -
132 Monoklorkamfer mentol cairan Botol 63,800.00 - - - - 63,800.00 - - - - 63,800.00 - - - - 63,800.00 - - - -
65,428.57 20 - 20 1,308,571.43 65,428.57 - - - - 65,428.57 10 - 10 654,285.71 65,428.57 10 - 10 654,285.71
133 Multivitamin + DHA + Lysin Sirup Botol 9,999.00 - 1,717 1,717 17,168,283.00 9,999.00 - - - - 9,999.00 - 1,717 1,717 17,168,283.00 9,999.00 - - - -
134 Multivitamin + Mineral Kaplet Kaplet 605.00 - 11,400 11,400 6,897,000.00 605.00 - - - - 605.00 - 11,400 11,400 6,897,000.00 605.00 - - - -
135 N-asetil sistein kaps 200 mg Kapsul 382.00 131,930 - 131,930 50,397,260.00 382.00 1,175,760 - 1,175,760 449,140,320 382.00 622,070 - 622,070 237,630,740.00 382.00 685,620 - 685,620 261,906,840.00
136 Natrium Bikarbonat Tablet 500 mg Tablet 38.50 - 125,900 125,900 4,847,150.00 38.50 - - - - 38.50 - 125,900 125,900 4,847,150.00 38.50 - - - -
137 Natrium Diklofenak Tablet 50 mg Tablet 115.00 598,100 - 598,100 68,781,500.00 115.00 - - - - 115.00 598,100 - 598,100 68,781,500.00 115.00 - - - -
123.00 123.00 247,000 247,000 30,381,000 123.00 174,950 - 174,950 21,518,850.00 123.00 72,050 - 72,050 8,862,150.00
138 Natrium Hipoklorit 3% Botol 78,100.00 - - - - 78,100.00 - - - - 78,100.00 - - - - 78,100.00 - - - -
64,800.00 43 - 43 2,786,400.00 64,800.00 - - - - 64,800.00 25 - 25 1,620,000.00 64,800.00 18 - 18 1,166,400.00
139 Natrium Klorida Larutan Infus 0,9% Fls 6,410.00 3,355 - 3,355 21,505,550.00 6,410.00 - - - - 6,410.00 3,355 - 3,355 21,505,550.00 6,410.00 - - - -
6,840.00 6,840.00 11,000 2,000 13,000 88,920,000 6,840.00 10,012 - 10,012 68,482,080.00 6,840.00 988 2,000 2,988 20,437,920.00
140 Natrium Tiroksin Tablet 100 µg Tablet - - - - - - - - - - - - - - - - - - - -
141 Nipedipin Tablet 10 mg Tablet 99.00 425,000 - 425,000 42,075,000.00 99.00 - - - - 99.00 33,000 - 33,000 3,267,000.00 99.00 392,000 - 392,000 38,808,000.00
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet 790.00 7,130 - 7,130 5,632,700.00 790.00 - - - - 790.00 7,130 - 7,130 5,632,700.00 790.00 - - - -
843.00 843.00 7,700 7,700 6,491,100 843.00 2,850 - 2,850 2,402,550.00 843.00 4,850 - 4,850 4,088,550.00
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet 598.00 - - - - 598.00 9,000 - 9,000 5,382,000 598.00 2,680 - 2,680 1,602,640.00 598.00 6,320 - 6,320 3,779,360.00
560.00 3,300 - 3,300 1,848,000.00 560.00 - - - - 560.00 3,300 - 3,300 1,848,000.00 560.00 - - - -
144 OAT FDC Katagori 1 Paket - - - - - - - - - - - - - - - - - - - -
145 OAT FDC Katagori 2 Paket - - - - - - - - - - - - - - - - - - - -
146 OAT FDC Kategori Anak paket 232,518.00 - - - - 232,518.00 - - - - 232,518.00 - - - - 232,518.00 - - - -
147 OAT FDC Kategori Sisipan Paket - - - - - - - - - - - - - - - - - - - -
148 OAT Kombipak Kat I paket - - - - - - - - - - - - - - - - - - - -
149 Obat Batuk Hitam (OBH) Cairan Botol 3,999.60 - - - - 3,999.60 - - - - 3,999.60 - - - - 3,999.60 - - - -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul 1,199.00 - - - - 1,199.00 23,500 - 23,500 28,176,500 1,199.00 10,650 - 10,650 12,769,350.00 1,199.00 12,850 - 12,850 15,407,150.00
151 Omeprazol Kapsul 20 mg Kapsul 130.00 - - - - 130.00 - - - - 130.00 - - - - 130.00 - - - -
152 Ondansetron Inj 4 mg/2 ml Ampul 1,070.00 - - - - 1,070.00 - - - - 1,070.00 - - - - 1,070.00 - - - -
1,124.00 1,124.00 46,000 46,000 51,704,000 1,124.00 - 42,020 42,020 47,230,480.00 1,124.00 - 3,980 3,980 4,473,520.00
153 Parasetamol Sirup 120 mg / 5ml Botol 1,107.00 - - - - 1,107.00 - - - - 1,107.00 - - - - 1,107.00 - - - -
1,181.00 1,181.00 97,000 168,000 265,000 312,965,000 1,181.00 97,000 41,895 138,895 164,034,995.00 1,181.00 - 126,105 126,105 148,930,005.00
154 Parasetamol Tablet 500 mg Tablet 125.00 - - - - 125.00 1,270,000 - 1,270,000 158,750,000 125.00 1,270,000 - 1,270,000 158,750,000.00 125.00 - - - -
53.00 59,900 - 59,900 3,174,700.00 53.00 - - - - 53.00 59,900 - 59,900 3,174,700.00 53.00 - - - -
106.70 3,076,000 - 3,076,000 328,209,200.00 106.70 - - - - 106.70 3,076,000 - 3,076,000 328,209,200.00 106.70 - - - -
155 PB Anak Blister - - - - - - - - - - - - - - - - - - - -
156 PB Dewasa Blister - - - - - - - - - - - - - - - - - - - -
157 Permetrin 5% Krim (Scabimite) Tube 11,825.00 14,029 - 14,029 165,892,925.00 11,825.00 6,800 - 6,800 80,410,000 11,825.00 17,816 - 17,816 210,674,200.00 11,825.00 3,013 - 3,013 35,628,725.00
158
botol 7,700.00 9,219 - 9,219 70,986,300.00 7,700.00 - - - - 7,700.00 9,219 - 9,219 70,986,300.00 7,700.00 - - - -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet 123.00 92,500 - 92,500 11,377,500.00 123.00 - - - - 123.00 92,500 - 92,500 11,377,500.00 123.00 - - - -
131.00 380,000 - 380,000 49,780,000.00 131.00 229,000 - 229,000 29,999,000 131.00 520,500 - 520,500 68,185,500.00 131.00 88,500 - 88,500 11,593,500.00
160 Pirimetamin Tablet 25 mg Tablet - - - - - - - - - - - - - - - - - - - -
161 Polikresulen (Albotyl) Botol 5 ml botol - - - - - - - - - - - - - - - - - - - -
162 Povidon Iodida 10 %-30 ml Botol 3,045.00 1,716 - 1,716 5,225,220.00 3,045.00 - - - - 3,045.00 1,695 - 1,695 5,161,275.00 3,045.00 21 - 21 63,945.00
3,489.66 3,489.66 290 290 1,012,000 3,489.66 - - - - 3,489.66 290 - 290 1,012,000.00
163 Povidon Iodida 10 %-300 ml Botol 18,900.00 785 - 785 14,836,500.00 18,900.00 - - - - 18,900.00 785 - 785 14,836,500.00 18,900.00 - - - -
17,788.10 17,788.10 420 420 7,471,000 17,788.10 396 - 396 7,044,085.72 17,788.10 24 - 24 426,914.29
164 Prednison Tablet 5 mg Tablet 96.00 - - - - 96.00 - - - - 96.00 - - - - 96.00 - - - -
68.00 - - - - 68.00 - - - - 68.00 - - - - 68.00 - - - -
73.00 388,700 - 388,700 28,375,100.00 73.00 107,000 - 107,000 7,811,000 73.00 315,300 - 315,300 23,016,900.00 73.00 180,400 - 180,400 13,169,200.00
165 Primakuin Tablet 15 mg Tablet - - - - - - - - - - - - - - - - - - - -
166
Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial 8,615.00 498 - 498 4,290,270.00 8,615.00 - - - - 8,615.00 149 - 149 1,283,635.00 8,615.00 349 - 349 3,006,635.00
167 Propanolol HCl Tablet 40 mg Tablet 76.00 - - - - 76.00 - - - - 76.00 - - - - 76.00 - - - -
81.00 20,100 - 20,100 1,628,100.00 81.00 - - - - 81.00 8,700 - 8,700 704,700.00 81.00 11,400 - 11,400 923,400.00
168 Propiltiourasil Tablet 100 mg Tablet 550.00 8,200 - 8,200 4,510,000.00 550.00 - - - - 550.00 8,200 - 8,200 4,510,000.00 550.00 - - - -
169 Ranitidin Inj 25 mg/ml Ampul 1,155.00 31,150 - 31,150 35,978,250.00 1,155.00 - - - - 1,155.00 31,150 - 31,150 35,978,250.00 1,155.00 - - - -
170 Ranitidin Tablet 150 mg Tablet 105.00 43,700 - 43,700 4,588,500.00 105.00 - - - - 105.00 43,700 - 43,700 4,588,500.00 105.00 - - - -
112.00 1,325,000 - 1,325,000 148,400,000.00 112.00 - - - - 112.00 239,800 - 239,800 26,857,600.00 112.00 1,085,200 - 1,085,200 121,542,400.00
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul 288.00 - - - - 288.00 - - - - 288.00 - - - - 288.00 - - - -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul 517.00 - - - - 517.00 - - - - 517.00 - - - - 517.00 - - - -
173 Ringer Laktat Larutan Infus Steril Fls 7,150.00 - - - - 7,150.00 - - - - 7,150.00 - - - - 7,150.00 - - - -
7,630.00 130 - 130 991,900.00 7,630.00 99,000 89,080 188,080 1,435,050,400 7,630.00 99,130 11,600 110,730 844,869,900.00 7,630.00 - 77,480 77,480 591,172,400.00
174 Risperidon Tablet 2 mg Tablet 273.00 1,900 - 1,900 518,700.00 273.00 - - - - 273.00 1,900 - 1,900 518,700.00 273.00 - - - -
287.00 287.00 27,000 50,000 77,000 22,099,000 287.00 27,000 22,000 49,000 14,063,000.00 287.00 - 28,000 28,000 8,036,000.00
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul 4,550.00 4,810 - 4,810 21,885,500.00 4,550.00 4,000 - 4,000 18,200,000 4,550.00 8,810 - 8,810 40,085,500.00 4,550.00 - - - -
176 Salbutamol Tablet 4 mg Tablet 70.00 - - - - 70.00 - - - - 70.00 - - - - 70.00
21 Rapid HIV Biomeriux Sachet - - - - - - - - - - - - - - - - - - - -
22 Rapid HIV Intec Sachet - - - - - - - - - - - - - - - - - - - -
23 Rapid HIV Oncoprobe Sachet - - - - - - - - - - - - - - - - - - - -
24 Rapid HIV SD Sachet - - - - - - - - - - - - - - - - - - - -
25 Rapid Malaria Sachet - - - - - - - - - - - - - - - - - - - -
26 Rapid Syphilis SD Sachet - - - - - - - - - - - - - - - - - - - -
27 Reagen CD4 kontrol test - - - - - - - - - - - - - - - - - - - -
28 Reagen CD4 tipe 1 (Alere Pima CD4) test - - - - - - - - - - - - - - - - - - - -
29 RPR Syphilis Sachet - - - - - - - - - - - - - - - - - - - -
30 Salmonella Thyphi H - 5 ml Botol 66,660.00 - - - - 66,660.00 - - - - 66,660.00 - - - - 66,660.00 - - - -
43,375.00 - 22 22 954,250.00 43,375.00 - - - - 43,375.00 - 22 22 954,250.00 43,375.00 - - - -
31 Salmonella Thyphi O - 5 ml Botol 66,660.00 - - - - 66,660.00 - - - - 66,660.00 - - - - 66,660.00 - - - -
43,375.00 - 22 22 954,250.00 43,375.00 - - - - 43,375.00 - 22 22 954,250.00 43,375.00 - - - -
32 Test Kehamilan Buah 4,425.00 - - - - 4,425.00 - 4,000 4,000 17,700,000 4,425.00 - 2,325 2,325 10,288,125.00 4,425.00 - 1,675 1,675 7,411,875.00
4,450.00 - 1,425 1,425 6,341,250.00 4,450.00 - - - - 4,450.00 - 1,425 1,425 6,341,250.00 4,450.00 - - - -
Jumlah Bahan Kimia - 30,261,244.28 366,870,000.00 371,511,857.45 25,619,386.83
- - - - - - - - - - - - - - - -
BAHAN ALAT HABIS PAKAI PUSKESMAS - - - - - - - - - - - - - - - -
1 ADS 0.05 ml Buah 1,582.00 - - - - 1,582.00 20,000 - 20,000 31,640,000 1,582.00 20,000 - 20,000 31,640,000.00 1,582.00 - - - -
2 ADS 0.5 ml Buah - - - - - - - - - - - - - - - - - - - -
3 Alat Suntik Sekali Pakai 1ml Set 865.00 - 17,900 17,900 15,483,500.00 865.00 58,000 - 58,000 50,170,000 865.00 58,000 17,900 75,900 65,653,500.00 865.00 - - - -
4 Alat Suntik Sekali Pakai 3 ml Set 856.50 - - - - 856.50 220,000 - 220,000 188,430,000 856.50 220,000 - 220,000 188,430,000.00 856.50 - - - -
879.00 - 57,400 57,400 50,454,600.00 879.00 - - - - 879.00 - 57,400 57,400 50,454,600.00 879.00 - - - -
861.00 861.00 80,000 80,000 68,880,000 861.00 29,700 - 29,700 25,571,700.00 861.00 50,300 - 50,300 43,308,300.00
5 Alat Suntik Sekali Pakai 5 ml Set 928.00 - 19,500 19,500 18,096,000.00 928.00 56,000 - 56,000 51,968,000 928.00 56,000 19,500 75,500 70,064,000.00 928.00 - - - -
910.00 910.00 18,000 18,000 16,380,000 910.00 9,900 - 9,900 9,009,000.00 910.00 8,100 - 8,100 7,371,000.00
6 Alkohol Swab Buah - - - - - - - - - - - - - - - - - - - -
7 Bisturi Buah 990 - - - - 990.00 3,000 - 3,000 2,970,000 990.00 245 - 245 242,550.00 990.00 2,755 - 2,755 2,727,450.00
523 1,907 - 1,907 997,608.91 523.13 - - - - 523.13 1,907 - 1,907 997,608.91 523.13 - - - -
8 Blood set Buah 3,740.00 - - - - 3,740.00 - - - - 3,740.00 - - - - 3,740.00 - - - -
4,760.00 - 164 164 780,640.00 4,760.00 400 - 400 1,904,000 4,760.00 288 164 452 2,151,520.00 4,760.00 112 - 112 533,120.00
9
Catgut/Benang Bedah No.2/0 dengan jarum bedah Set 5,150.00 - - - - 5,150.00 5,280 1,560 6,840 35,226,000 5,150.00 5,280 515 5,795 29,844,250.00 5,150.00 - 1,045 1,045 5,381,750.00
7,083.33 459 - 459 3,251,250.00 7,083.33 - - - - 7,083.33 459 - 459 3,251,250.00 7,083.33 - - - -
5,583.33 - 2,160 2,160 12,060,000.00 5,583.33 - - - - 5,583.33 - 2,160 2,160 12,060,000.00 5,583.33 - - - -
10
Catgut/Benang Bedah No.3/0 dengan jarum bedah Set 5,150.00 - - - - 5,150.00 3,600 1,200 4,800 24,720,000 5,150.00 3,600 428 4,028 20,744,200.00 5,150.00 - 772 772 3,975,800.00
7,083.33 - - - - 7,083.33 - - - - 7,083.33 - - - - 7,083.33 - - - -
5,583.33 - 3,096 3,096 17,286,000.00 5,583.33 - - - - 5,583.33 - 3,096 3,096 17,286,000.00 5,583.33 - - - -
11 Folley Catheter No.18 Buah 9,590.00 2,149 - 2,149 20,608,910.00 9,590.00 2,300 - 2,300 22,057,000 9,590.00 4,449 - 4,449 42,665,910.00 9,590.00 - - - -
11,565.00 11,565.00 1,300 1,300 15,034,500 11,565.00 - 503 503 5,817,195.00 11,565.00 - 797 797 9,217,305.00
12 Infusion set anak Kantong 5,415.00 - - - - 5,415.00 - 2,400 2,400 12,996,000 5,415.00 - - - 5,415.00 - 2,400 2,400 12,996,000.00
3,030.00 - 2,380 2,380 7,211,400.00 3,030.00 6,200 - 6,200 18,786,000 3,030.00 6,074 2,380 8,454 25,615,620.00 3,030.00 126 - 126 381,780.00
13 Infusion set dewasa Kantong 5,096.00 - - - - 5,096.00 - 7,600 7,600 38,729,600 5,096.00 - 537 537 2,736,552.00 5,096.00 - 7,063 7,063 35,993,048.00
2,880.00 - 9,100 9,100 26,208,000.00 2,880.00 25,500 - 25,500 73,440,000 2,880.00 25,500 9,100 34,600 99,648,000.00 2,880.00 - - - -
14 IV Catheter No.18 Set 6,000.00 - - - - 6,000.00 - - - - 6,000.00 - - - - 6,000.00 - - - -
6,277.00 - 1,229 1,229 7,714,433.00 6,277.00 3,800 2,300 6,100 38,289,700 6,277.00 3,800 1,673 5,473 34,354,021.00 6,277.00 - 1,856 1,856 11,650,112.00
6,277.00 - 8,516 8,516 53,454,932.00 6,277.00 20,000 8,100 28,100 176,383,700 6,277.00 18,805 8,516 27,321 171,493,917.00 6,277.00 1,195 8,100 9,295 58,344,715.00
6,239.00 - 1,720 1,720 10,731,080.00 6,239.00 7,600 8,000 15,600 97,328,400 6,239.00 7,600 3,024 10,624 66,283,136.00 6,239.00 - 6,696 6,696 41,776,344.00
6,239.00 - 3,884 3,884 24,232,276.00 6,239.00 9,900 3,200 13,100 81,730,900 6,239.00 9,472 3,884 13,356 83,328,084.00 6,239.00 428 3,200 3,628 22,635,092.00
- - - - - - - - - - - -
18 Jarum kulit Buah 2,035.00 188 - 188 382,580.00 2,035.00 - - - - 2,035.00 188 - 188 382,580.00 2,035.00 - - - -
1,604.00 1,604.00 1,200 1,200 1,924,800 1,604.00 - - - - 1,604.00 1,200 - 1,200 1,924,800.00
19 Jarum otot Buah 1,604.00 - - - - 1,604.00 1,200 - 1,200 1,924,800 1,604.00 - - - - 1,604.00 1,200 - 1,200 1,924,800.00
20 Kaca Slide Buah - - - - - - - - - - - - - - - - - - - -
21 Kantung mayat Buah 200,000.00 - - - - 200,000.00 - 100 100 20,000,000 200,000.00 - 84 84 16,800,000.00 200,000.00 - 16 16 3,200,000.00
22 Kapas Pembalut/absorben 250 mg Roll 24,000.00 - - - - 24,000.00 - - - - 24,000.00 - - - - 24,000.00 - - - -
20,600.00 313 - 313 6,447,800.00 20,600.00 1,000 - 1,000 20,600,000 20,600.00 963 - 963 19,837,800.00 20,600.00 350 - 350 7,210,000.00
23 Kasa Hidrofil 2x80 Roll 9,400.00 - - - - 9,400.00 - - - - 9,400.00 - - - - 9,400.00 - - - -
9,870.00 19 1,500 1,519 14,992,530.00 9,870.00 7,270 - 7,270 71,754,900 9,870.00 7,277 1,500 8,777 86,628,990.00 9,870.00 12 - 12 118,440.00
24 Kasa Hidrofil Steril 16 X 16 Lembar 493.75 - - - - 493.75 - - - - 493.75 - - - - 493.75 - - - -
460.63 - 4,016 4,016 1,849,870.00 460.63 41,600 28,000 69,600 32,059,500 460.63 41,600 8,912 50,512 23,267,090.00 460.63 - 23,104 23,104 10,642,280.00
25 Kasa Pembalut Hidrofil 4 X 10 cm Roll 2,300.00 - - - - 2,300.00 - - - - 2,300.00 - - - - 2,300.00 - - - -
2,415.00 - 1,264 1,264 3,052,560.00 2,415.00 11,000 9,200 20,200 48,783,000 2,415.00 11,000 2,530 13,530 32,674,950.00 2,415.00 - 7,934 7,934 19,160,610.00
26 Kasa Pembalut hidrofil 4 x 5 cm Roll 1,100.00 385 - 385 423,500.00 1,100.00 6,600 8,400 15,000 16,500,000 1,100.00 6,985 1,130 8,115 8,926,500.00 1,100.00 - 7,270 7,270 7,997,000.00
27 Kassa Pembalut elastic 4 inchi Roll - - - - - - - - - - - - - - - - - - - -
28 Masker Tie on Buah 379.48 - - - - 379.48 - - - - 379.48 - - - - 379.48 - - - -
326.80 - 18,450 18,450 6,029,460.00 326.80 - - - - 326.80 - 18,450 18,450 6,029,460.00 326.80 - - - -
2,600.00 2,600.00 16,500 16,500 42,900,000 2,600.00 - 16,500 16,500 42,900,000.00 2,600.00 - - - -
2,400.00 2,400.00 2,000 2,000 4,800,000 2,400.00 - 2,000 2,000 4,800,000.00 2,400.00 - - - -
2,250.00 2,250.00 4,000 4,000 9,000,000 2,250.00 - 4,000 4,000 9,000,000.00 2,250.00 - - - -
2,970.00 2,970.00 15,000 15,000 44,550,000 2,970.00 - 15,000 15,000 44,550,000.00 2,970.00 - - - -
3,630.00 3,630.00 15,000 15,000 54,450,000 3,630.00 - 15,000 15,000 54,450,000.00 3,630.00 - - - -
29 Masker N-95 Buah 6,707.00 1,182 - 1,182 7,927,674.00 6,707.00 - - - - 6,707.00 1,182 - 1,182 7,927,674.00 6,707.00 - - - -
118,650.00 118,650.00 840 840 99,666,000 118,650.00 - 840 840 99,666,000.00 118,650.00 - - - -
113,533.33 113,533.33 45 45 5,109,000 113,533.33 - 45 45 5,108,999.67 113,533.33 - - - -
169,500.00 169,500.00 290 290 49,155,000 169,500.00 - 290 290 49,155,000.00 169,500.00 - - - -
30 Plester 5 yard x 2 inch Roll 35,532.00 - - - - 35,532.00 - - - - 35,532.00 - - - - 35,532.00 - - - -
37,371.00 186 500 686 25,636,506.00 37,371.00 1,600 - 1,600 59,793,600 37,371.00 1,434 500 1,934 72,275,514.00 37,371.00 352 - 352 13,154,592.00
31 Polybag Medis Lembar 950.00 - - - - 950.00 - 120 120 114,000 950.00 - 120 120 114,000.00 950.00 - - - -
32 Polybag Nonmedis Lembar - - - - - - - - - - - - - - - - - - - -
33 Polybag Ramah Lingkungan Lembar - - - - - - - - - - - - - - - - - - - -
34 Pot Dahak Buah - - - - - - - - - - - - - - - - - - - -
35 Safety box Buah - - - - - -
LAPORAN TAHUNAN PENGELOLAAN OBAT DAN PERBEKALAN KESEHA
SUMBER DANA DONASI
TAHUN 2020

NO NAMA OBAT SATUAN
KEMASAN HARGA HARGA
SATUAN SATUAN
1 2 3 4 5 6 7 8 9
BAHAN OBAT-OBATAN
Jumlah Bahan Obat - Obatan - - - -
BAHAN ALAT HABIS PAKAI

1 Masker Tie On 1,100.00 - 1,100.00 100 110,000.00
2 Baju Hazmat 100,000.00 - 100,000.00 519 51,900,000.00
3 Desinfektan Ruangan 23,730.00 - 23,730.00 155 3,678,150.00
4 Hand Sanitizer 1L 176,000.00 - 176,000.00 10 1,760,000.00
Jumlah Bahan Habis Pakai - 57,448,150.00
JUMLAH TOTAL - - - 57,448,150.00

DAN PERBEKALAN KESEHATAN
ONASI
PATEN GARUT
HARGA HARGA
SATUAN SATUAN
10 11 12 13 14 15
- - -
-
-
1,100.00 100 110,000.00 1,100.00 - - -
100,000.00 519 51,900,000.00 100,000.00 - - -
23,730.00 155 3,678,150.00 23,730.00 - - -
176,000.00 10 1,760,000.00 176,000.00 - - -
57,448,150.00 - -
-
- - 57,448,150.00 - - - -

Kabupaten Garut

NIP 19670625 199803 1 004
PEMERINTAH KABUPATEN GARUT -
DINAS KESEHATAN KABUPATEN GARUT -
SALDO PERSEDIAAN PER 30 DESEMBER 2020 -
BERITA ACARA
STOCK OPNAME PERSEDIAAN BARANG
Pada hari ini Rabu, tanggal tiga puluh bulan Desember tahun dua ribu dua puluh, kami yang bertanda tangan
di bawah ini :
Nama : dr. H. Maskut Farid, MM
Jabatan : Kepala Dinas Kesehatan selaku Pengguna Barang
Telah melaksanakan stok opname terhadap barang persediaan sumber dana lain-lain pada Instalasi Farmasi
Dinas Kesehatan Kabupaten Garut, ditemukan saldo sebesar Rp. 488,576,832.41 ,dengan rincian sebagai berkut:
1 . Bahan alat habis pakai puskesmas Rp 364,497,245.59
2 . Bahan obat-obatan Rp 124,079,586.82
3 . Bahan kimia Rp
Mulai tahun 2020

No Jenis Persediaan Saldo Per 1 Jan 2020 Saldo Per 30 Des 2020
Penambahan Pengurangan
1 2 3 4 5 6= 3+4-5
1 Obat dan BMHP 56,206,750.00 4,435,009,240.51 4,002,639,158.10 488,576,832.41 488,576,832
Demikian Berita Acara ini kami buat, untuk dipergunakan seperlunya. Rincian persediaan barang terlampir.

Kepala Sub.Bagian Keuangan dan BMD Pengurus Barang
Yudi Ali Hadikusuma Erti Yustia S.Si., Apt

NIP. 19730716 2009 03 1 002 Nip : 19830201 200501 2 004
Mengetahui
Kepala Dinas kesehatan Kabupaten Garut
Selaku Kuasa Pengguna Baramg

NIP. 19670625 199803 1 004
-
PEMERINTAH KABUPATEN GARUT
SALDO PERSEDIAAN PER 30 DESEMBER 2020
BERITA ACARA
di bawah ini :
Telah melaksanakan stok opname terhadap barang persediaan sumber dana Propinsi Jawa Barat pada Instalasi Farmasi
Dinas Kesehatan Kabupaten Garut, ditemukan saldo sebesar Rp. 11,718,922,146.50 ,dengan rincian sebagai berkut:
1 . Bahan alat habis pakai puskesmas Rp 6,554,279,704.50
2 . Bahan obat-obatan Rp 4,673,552,861.00
3 . Bahan kimia Rp 491,089,581.00
Mulai tahun 2020

1 2 3 4 5 6= 3+4-5
1 Obat dan BMHP 4,128,418,654.00 34,637,854,533.00 27,047,351,040.50 11,718,922,146.50


NIP. 19730716 2009 03 1 002 Nip : 19830201 200501 2 004
Mengetahui
BERITA ACARA
di bawah ini :
Telah melaksanakan stok opname terhadap barang persediaan sumber dana APBD Kabupaten Garut pada Instalasi Farmasi
Dinas Kesehatan Kabupaten Garut, ditemukan saldo sebesar Rp. 3,323,272,444.16 ,dengan rincian sebagai berkut:
1 . Bahan alat habis pakai puskesmas Rp 365,764,162.00
2 . Bahan obat-obatan Rp 2,931,888,895.34
3 . Bahan kimia Rp 25,619,386.83
Mulai tahun 2020

1 2 3 4 5 6= 3+4-5
1 Obat dan BMHP 5,180,021,959.57 7,727,372,059.68 9,584,121,575.08 3,323,272,444.16


NIP. 19730716 2009 03 1 002 Nip : 19830201 200501 2 004
Mengetahui
BERITA ACARA
di bawah ini :
Telah melaksanakan stok opname terhadap barang persediaan sumber dana Donasi pada Instalasi Farmasi
Dinas Kesehatan Kabupaten Garut, ditemukan saldo sebesar Rp. - ,dengan rincian sebagai berkut:
1 . Bahan alat habis pakai puskesmas Rp -
2 . Bahan obat-obatan Rp -
3 . Bahan kimia Rp -
Mulai tahun 2020

1 2 3 4 5 6= 3+4-5
1 Obat dan BMHP - 57,448,150.00 57,448,150.00 -

Kabupaten Garut

NIP 19670625 199803 1 004
Jalan Proklamasi No 7 Telepon & Fax ( 0262 ) 232670 Tarogong 44151
DINAS
Jalan Proklamasi No 7KESEHATAN KABUPATEN
Telepon & Fax ( 0262 ) 232670 Trg 44151
BERITA ACARA
Pada hari ini, selasa tanggal tiga puluh satu bulan desember tahun dua ribu sembilan belas, kami yang bertanda
dibawah ini :
1 Nama : dr. H. Maskut Farid, MM
Jabatan : Kepala Dinas Kesehatan. Selaku Pengguna Anggaran
2 Nama : Yudi Ali Hadikusuma, SE

Jabatan : Kasubag Keuangan dan BMD
3 Nama : Erti Yustia S.Si., Apt

Jabatan : Pengurus Barang
Sesuai dengan ketentuan Pasal 16 dan 17 Peraturan Bupati Garut No. 14 Tahun 2016 tentang Sistem dan P
Pengelolaan Barang Milik Daerah di lingkungan Pemerintah Kabupaten Garut, Kami telah melakukan Stock
Persediaan Alat Habis Pakai Puskesmas, Obat-obatan dan Bahan Kimia pada Instalasi Farmasi, 67 UPT Pus
BLUD dan UPT Labkesda pada Dinas Kesehatan sumber dana APBD Kabupaten Garut, Bantuan Propinsi dan
dana lain-lain dengan rincian sebagai berikut :
SALDO PER 1 MUTASI TAHUN 2020

NO NAMA BARANG/UPT
JANUARI 2020 PENAMBAHAN PENGURANGAN
DINAS
1 IFK Sumber APBD 5,180,021,959.57 7,727,372,059.68 9,584,121,575.08
2 IFK Sumber Provinsi 4,128,418,654.00 34,637,854,533.00 27,047,351,040.50
3 IFK Sumber BTT 56,206,750.00 4,435,009,240.51 4,002,639,158.10
JUMLAH 9,364,647,363.57 46,800,235,833.19 40,634,111,773.68
PENDISTRIBUSIAN OBAT KE PUSKESMAS
1 Guntur 119,260,100.98 335,460,818.37 380,352,860.28
2 Pasundan 67,010,910.03 467,784,812.02 494,217,550.85
3 Karangpawitan 126,583,748.35 711,831,383.46 727,442,063.29
4 Garawangsa 76,311,968.80 439,226,959.66 488,452,752.32
5 Kersamenak 48,536,738.96 308,774,774.23 309,741,063.77
6 Pembangunan 182,717,822.37 602,694,877.06 720,087,559.43
7 Mekarwangi 60,672,964.49 264,416,978.07 284,696,459.64
8 Sukasenang 65,296,914.59 398,959,876.56 393,628,631.36
9 Bagendit 80,008,889.78 453,657,468.54 481,351,893.54

10 Sukaraja 41,815,541.69 277,022,304.39 276,729,654.64
11 Samarang 53,940,515.13 436,018,939.89 453,093,882.02
12 Sukakarya 70,724,860.80 493,679,266.28 403,877,746.24
13 Leles 107,451,821.93 777,393,008.50 773,032,395.47
14 Lembang 156,459,088.63 412,861,639.17 509,708,558.46
15 Kadungora 126,247,780.65 530,071,063.61 561,183,690.18
16 Rancasalak 72,756,023.81 482,233,053.00 509,134,052.13
17 Karangsari 62,925,533.65 277,440,146.72 224,278,473.71
18 Cibatu 204,409,800.74 833,579,002.02 950,935,445.06
19 Sukamerang 136,049,730.05 581,881,476.05 655,799,443.97
20 Maripari 51,853,221.21 318,663,916.39 327,607,480.05
21 Malangbong 129,017,931.90 722,822,180.05 767,094,309.69
22 Cilimus 61,622,619.50 566,131,719.98 555,010,070.80
23 Cisurupan 167,569,403.22 767,631,844.92 877,022,614.98
24 Cilawu 83,115,202.40 660,495,847.30 692,028,022.36
25 Sukamulya 74,605,451.23 458,236,535.20 481,660,718.84
26 Sukawening 56,021,617.53 374,066,873.96 354,592,283.11
27 Cikajang 130,845,793.70 869,099,440.20 952,194,913.92
28 Singajaya 107,541,566.57 593,437,358.48 579,721,167.87
29 Cihurip 73,251,941.11 354,313,867.07 376,956,234.83
30 Banjarwangi 85,095,680.25 532,278,128.42 546,468,618.93
31 Peundeuy 87,147,627.14 414,688,542.29 472,590,570.43
32 Pamulihan 64,171,750.08 173,766,809.48 201,650,627.78
33 Pameungpeuk 118,467,560.35 622,646,848.56 601,855,284.37
34 Cimari 65,617,402.02 226,051,275.95 224,387,479.84
35 Maroko 94,661,407.09 327,932,970.14 339,853,440.90
36 Bungbulang 130,778,841.27 710,372,506.71 748,162,478.84
37 Mekarmukti 75,540,903.56 279,598,127.79 304,562,739.34
38 Sindangratu 71,090,200.75 525,903,383.89 538,800,599.31
39 Cisewu 74,487,151.60 486,092,147.80 505,719,336.74
40 Talegong 44,980,989.66 538,906,908.21 517,700,779.47
41 Limbangan 241,391,885.07 951,265,909.65 1,008,104,652.12

42 Cibiuk 99,519,116.35 480,783,679.03 450,174,329.33
43 Tegalgede 70,072,484.09 331,814,152.91 333,043,084.20
44 Bojongloa 66,081,192.14 437,727,758.45 439,585,130.22
45 Haurpanggung 179,288,141.08 360,485,965.78 470,796,393.98
46 Sukarame 89,767,504.50 559,002,949.19 566,101,339.65
47 Cisandaan 35,852,322.64 183,327,646.63 186,196,542.53
48 Sukamukti 87,060,784.41 196,338,146.35 237,955,798.33
49 Sukahurip 83,062,111.78 475,418,725.79 503,332,638.42
50 Cibalong 79,763,765.04 409,314,810.25 311,078,512.54
51 Citeras 112,983,834.13 565,198,198.25 639,940,762.06
52 Cimaragas 60,619,727.86 430,357,724.87 369,690,129.07
53 Selaawi 117,803,210.55 503,606,188.86 509,175,836.41
54 Siliwangi 75,980,640.14 646,720,653.12 668,138,089.06
55 Karangmulya 43,770,220.20 484,612,002.45 483,730,294.36
56 Wanaraja 70,876,271.40 566,359,522.32 576,579,715.43
57 Tarogong 114,793,220.30 522,707,001.95 608,483,075.25
58 Cipanas 45,132,675.72 548,371,316.26 572,810,694.41
59 Gadog 76,757,800.20 445,935,803.77 437,252,919.00
60 Padaawas 93,651,632.52 392,301,973.67 424,143,003.99
61 Leuwigoong 101,075,301.19 411,443,689.58 462,866,449.38
62 Bayongbong 96,487,049.69 805,250,000.45 831,588,681.34
63 Pakuwon 59,812,062.72 354,975,892.61 336,217,726.14
64 Karangtengah 63,239,829.38 252,245,137.75 226,476,894.26
65 Cisompet 171,168,326.38 564,176,214.41 562,095,838.31
66 Cikelet 88,103,956.44 503,801,405.82 495,451,458.87
67 Cempaka 95,007,532.90 416,461,978.10 422,083,347.42
JUMLAH 6,225,787,616.38 32,408,129,528.70 33,696,477,284.84
PENDISTRIBUSIAN OBAT KE LEMBAGA LAIN
68 RSUD dr.Slamet - 2,243,017,955.34 2,243,017,955.34
69 RSU Guntur - 1,024,293,003.00 1,024,293,003.00
70 RSU Pameungpeuk - 164,057,056.64 164,057,056.64
71 BKPM - 52,523,873.00 52,523,873.00
72 Labkesda - 1,087,429,691.91 1,087,429,691.91

73 Yankes - 273,598,355.17 273,598,355.17
74 Kesmas - 84,046,297.16 84,046,297.16
75 P2 - 1,577,937,905.66 1,577,937,905.66
76 RS Nurhayati - 171,255,886.00 171,255,886.00
77 Mahesa - 5,062,938.30 5,062,938.30
78 DAMKAR - 23,441,295.82 23,441,295.82
79 POM - 4,316,961.40 4,316,961.40
80 RSIH - 76,954,438.00 76,954,438.00
81 PKBI - 68,461,212.60 68,461,212.60
82 RS Annisa - 16,274,912.00 16,274,912.00
83 LH - 21,249,511.96 21,249,511.96
84 PADJAJRN - 77,463,018.00 77,463,018.00
85 LAPAS - 138,494,705.36 138,494,705.36
86 BKD - 59,599,086.91 59,599,086.91
87 MADINA - 454,478,867.63 454,478,867.63
88 BPKAD/Inspektorat - 26,479,040.91 26,479,040.91
89 DIKLAT KB - 86,155,347.35 86,155,347.35
90 KLIK SCI UTAMI - 99,179,545.45 99,179,545.45
91 P JENAZAH - 25,367,690.00 25,367,690.00
92 PENJEMPUTN - 76,681,416.87 76,681,416.87
93 KPA - 4,029,280.00 4,029,280.00
94 WABUP - 18,467,323.00 18,467,323.00
95 SDK - 61,246,905.45 61,246,905.45
96 POLRES - 12,796,057.09 12,796,057.09
97 D KEUANGAN - 137,020.00 137,020.00
98 MASJID ATTAQWA - 857,680.00 857,680.00
99 ISLAMIC CENTER - 38,359,856.55 38,359,856.55
100 RUSUN - 78,100,850.45 78,100,850.45
101 KLINIK BAGENDIT SEHAT - 10,816,000.00 10,816,000.00
102 OBAT EXPIRE - 63,351,260.00 63,351,260.00
JUMLAH - 8,225,982,244.98 8,225,982,244.98
JUMLAH TOTAL 15,590,434,979.95 40,634,111,773.68 41,922,459,529.82
Demikian berita acara ini kami buat, untuk dipergunakan seperlunya

Yudi Ali Hadikusuma, SE Erti Yustia S.Si., Apt
Nip : 19730716 200903 1 002 Nip : 19830201 200501 2 00
Mengetahui :
Kepala Dinas Kesehatan Kabupaten Garut

Nip : 19670625 199803 1 004
ong 44151
44151
belas, kami yang bertanda tangan
16 tentang Sistem dan Prosedur

telah melakukan Stock Opname
asi Farmasi, 67 UPT Puskesmas
ut, Bantuan Propinsi dan Sumber
SALDO
31-Dec-20
3,323,272,444.17
11,718,922,146.50
488,576,832.41
15,530,771,423.08
74,368,059.07
40,578,171.20
110,973,068.52
27,086,176.14
47,570,449.42
65,325,140.00
40,393,482.92
70,628,159.79
52,314,464.78
42,108,191.44
36,865,573.00
160,526,380.84
111,812,434.96
59,612,169.34
95,135,154.08
45,855,024.68
116,087,206.66
87,053,357.70
62,131,762.13 - 0.00
42,909,657.55
84,745,802.26
72,744,268.68
58,178,633.16
51,583,027.34
51,181,267.59
75,496,208.38
47,750,319.98
121,257,757.18
50,609,573.35
70,905,189.74
29,245,599.00
36,287,931.78
139,259,124.54
67,281,198.13
82,740,936.33
92,988,869.15
50,576,292.01
58,192,985.33
54,859,963
66,187,118.40
184,553,142.60
130,128,466.05
68,843,552.80
64,223,820.37
68,977,712.89
82,669,114.04
32,983,426.75
45,443,132.43
55,148,199.15
178,000,062.75
38,241,270.33
121,287,323.66
112,233,563.00
54,563,204.20
44,651,928.29
60,656,078.29
29,017,147.00
20,693,297.57
85,440,684.97
61,810,602.20
49,652,541.39
70,148,368.80
78,570,229.19
89,008,072.87
173,248,702.48
96,453,903.39
89,386,163.58
4,937,439,860.24
-
-
20,468,211,283.32
Pengurus Barang
Erti Yustia S.Si., Apt
19830201 200501 2 004

Berita Acara Persediaan Obat Dinkes 2020

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Berita Acara Persediaan Obat Dinkes 2020

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SUMBER DANA LAIN-LAIN (BTT)

DINAS KESEHATAN KABUPATEN GARUT

PERSEDIAAN AWAL PENERIMAAN

BAHAN ALAT HABIS PAKAI

JUMLAH TOTAL 56,206,750.00 - - 4,435,009,240.51

PENYALURAN SALDO AKHIR

730.00 17,600 12,848,000.00 730.00 57,500 41,975,000.00 -

HARGA VOLUME JUMLAH HARGA HARGA VOLUME JUMLAH HARGA

HARGA VOLUME JUMLAH HARGA HARGA VOLUME JUMLAH HARGA

Garut, 30 Desember 2020

dr. H. Maskut Farid, MM

PERSEDIAAN AWAL PENERIMAAN PENYALURAN SALDO AKHIR

BAHAN ALAT HABIS PAKAI PUSKESMAS 797,116,593.00 12,258,676,739.00 6,501,513,627.50 6,554,279,704.50

Garut, 30 Desember 2020

dr. H. Maskut Farid, MM

PERSEDIAAN AWAL PENERIMAAN PENYALURAN SALDO AKHIR

PERSEDIAAN AWAL PENERIMAAN

BAHAN ALAT HABIS PAKAI

JUMLAH TOTAL - - - 57,448,150.00

PENYALURAN SALDO AKHIR

Garut, 30 Desember 2020

dr. H. Maskut Farid, MM

Mulai tahun 2020

Garut, 31 Desember 2020

Yudi Ali Hadikusuma Erti Yustia S.Si., Apt

dr. H. Maskut Farid, MM

Mulai tahun 2020

1 Obat dan BMHP 4,128,418,654.00 34,637,854,533.00 27,047,351,040.50 11,718,922,146.50

Garut, 31 Desember 2020

Yudi Ali Hadikusuma Erti Yustia S.Si., Apt

Mulai tahun 2020

1 Obat dan BMHP 5,180,021,959.57 7,727,372,059.68 9,584,121,575.08 3,323,272,444.16

Garut, 31 Desember 2020

Yudi Ali Hadikusuma Erti Yustia S.Si., Apt

Mulai tahun 2020

Kepala Dinas Kesehatan

dr. H. Maskut Farid, MM

2 Nama : Yudi Ali Hadikusuma, SE

3 Nama : Erti Yustia S.Si., Apt

SALDO PER 1 MUTASI TAHUN 2020

2 IFK Sumber Provinsi 4,128,418,654.00 34,637,854,533.00 27,047,351,040.50

3 IFK Sumber BTT 56,206,750.00 4,435,009,240.51 4,002,639,158.10

JUMLAH 9,364,647,363.57 46,800,235,833.19 40,634,111,773.68

PENDISTRIBUSIAN OBAT KE PUSKESMAS

1 Guntur 119,260,100.98 335,460,818.37 380,352,860.28

2 Pasundan 67,010,910.03 467,784,812.02 494,217,550.85

3 Karangpawitan 126,583,748.35 711,831,383.46 727,442,063.29

4 Garawangsa 76,311,968.80 439,226,959.66 488,452,752.32

5 Kersamenak 48,536,738.96 308,774,774.23 309,741,063.77

6 Pembangunan 182,717,822.37 602,694,877.06 720,087,559.43

7 Mekarwangi 60,672,964.49 264,416,978.07 284,696,459.64

8 Sukasenang 65,296,914.59 398,959,876.56 393,628,631.36

9 Bagendit 80,008,889.78 453,657,468.54 481,351,893.54

11 Samarang 53,940,515.13 436,018,939.89 453,093,882.02

12 Sukakarya 70,724,860.80 493,679,266.28 403,877,746.24

13 Leles 107,451,821.93 777,393,008.50 773,032,395.47

14 Lembang 156,459,088.63 412,861,639.17 509,708,558.46

15 Kadungora 126,247,780.65 530,071,063.61 561,183,690.18

16 Rancasalak 72,756,023.81 482,233,053.00 509,134,052.13

17 Karangsari 62,925,533.65 277,440,146.72 224,278,473.71

18 Cibatu 204,409,800.74 833,579,002.02 950,935,445.06

19 Sukamerang 136,049,730.05 581,881,476.05 655,799,443.97

20 Maripari 51,853,221.21 318,663,916.39 327,607,480.05