LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

KODE PUSKESMAS :
PUSKESMAS : GUALI
KECAMATAN : KUSAMBI BULAN : Maret
KABUPATEN : MUNA BARAT TAHUN : 2022
PROPINSI : SULAWESI TENGGARA

STOK
NO KEMASAN HARGA STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PERMINTAAN PEMBERIAN
NAMA OBAT OPTIMUM
DAK APBD/DAU ASKES LAIN JML
BUFFER - -
1 Albendazol Syr Botol 4800 - -
2 Albendazol Tab Tablet 367 - -
3 Albendazol Tab Tablet 380 700 700 700
4 Ampicilin inj Vial 9884 8 8 8
5 Artesunate inj Ampul 62,500 - -
6 Ca. Glukonas Inj Vial 10351 - -
7 DHP Tablet 1900 - -
8 Diazepam injeksi 5 mg/ml - 2 ml Ampul 2010 - -
9 Fenobarbital inj Ampul 2380 - -
10 Fenobarbital inj Ampul 1700 - -
11 Fitomenadion (Vit.K1) inj 2 mg/ml Ampul 4420 - -
12 MB Dewasa Blister 40128 - -
13 MB Dewasa Blister 40526 - -
14 Methilergometrin Inj Botol 1287 - -
15 MgSO4 40% Ampul 3796 - -
16 OAT Kategori 1 Paket 498,866 3 3 6 6
17 OAT Kombipak Kat 1 Paket 317018 - -
18 OAT Kategori Anak Paket 248710 - -
19 Oralit Sachet 280 145 100 245 245
20 Obat Anti Malaria (OAM) Tablet 1900 - -
21 PB Dewasa Blister 16206 - -
22 Primaquin 5 mg Tablet 242 - - 50
23 Retinol 200.000 UI Kapsul 664 500 500 500
24 Retinol 200.000 UI Kapsul 663 - -
25 Retinol 100.000 UI Kapsul 367 - -
26 Tablet Tambah Darah Tablet 260 - - 1,000
27 Zink tab 20 mg Tablet 631 - -
0 - -
DAU 0 - -
28 Abate Kg 140250 - -
29 Dextral Tablet Kotak 150 kaplet 590 - -
30 Kaporit Kg 41250 - -
DAK 0 - -
31 Acyclovir 200 mg Tablet 505 300 300 300 300
32 Acyclovir 400 mg Tablet 743 - -
33 Antibakteri salep kombinasi : Bacitracin Polymyxin B Salep Tube 3642 - -
34 Aqua Pro 50 ml Inj Botol 11550 72 72 4 68
35 Guafenesin Tablet 139 1,000 1,000 1,000
36 Loperamid 2 mg Tablet 253 - -
37 Nacl 0,9%/Sodium Chlorida 0,9% Botol 500 ml 6410 59 60 119 4 115
38 Ringer Laktat Botol 500 ml 7150 - -
39 Acyclovir 400 mg Tab Tablet 470 - -
40 Antifungi salep Pot 5757 - -
41 Antiparkinson komb: benzerasid 25 mg + levodopa 100mg Tablet 1090 - -
42 Chloramfenicol 1% salep Mata Tube 2148 - -
43 Diazepam injeksi 5 mg/ml Vial 2010 - -
44 Diltiazem Kaps lepas lambat 100 mg Tablet 4460 100 100 100
45 Dulcolax 10 mg sup 50 ' Suppositoria 5900 40 40 40
46 Dulcolax 5 mg Sup 6' Suppositoria 6000 12 12 12
47 Eritromisin Kaps 250 mg Tablet 711 400 400 400
48 Hidroclortiazid 25 mg Tablet 186 - -
49 Hydrocortizone 2,5 % CR Tube 2648 - -
50 Miconazole 2% cream Tube 4097 - -
51 Oxytetracyclin 1% SM Tube 2774 - -
52 Pyrantel 125 mg Tablet Tablet 369 - -
53 Sefadroxil syrup kering 125mg/5ml Botol 4360 220 220 220
54 Tetracycline 500 mg Kapsul 346 - - 1,000
55 Valproat Syr 250mg/5ml Botol 19987 - -
56 Vitamin B1 50 mg Tablet 98 - -
57 Zinc tab disp 20 mg Tablet 631 1,200 1,200 1,200
58 Aminofilin Tablet 200 mg Tablet 134 - -
59 Amlodipin Besilate 10 mg tab Tablet 106 2,100 2,100 2,100 -
60 Amoksisilin syr kering 250mg/5ml Botol 3991 6 120 126 2 124
61 Amoxicillin Drop Botol 13500 - -
62 Antasida Suspensi Botol 2290 - 100 100 100
63 Antifungi salep Tube 5757 - 30 - 30
64 Asam Folat 1 mg Tablet 90 - -
65 Asiklovir tab 200mg Tablet 764 - -
66 Bisakodil Suppo 10 mg 50' Suppositoria 5,900 - -
67 Cetirizin HCL 5mg/5ml Botol 3104 116 116 3 113
68 Chloramphenicol 250 mg Tablet 660 700 700 700 -
69 Cotrimoxazole Suspensi Botol 2257 27 27 27
70 Deksamethasone inj 5mg/ml Vial 1278 - -
71 Diazepam 2 mg Tab Tablet 86 - -
72 Diazepam inj 5mg/ml Ampul 2010 - -
73 Dimenhidrinat 50 mg Tablet 134 190 190 90 100
74 Domperidon 10 mg Tablet 96 600 500 1,100 1,100
75 Domperidon syrup Botol 2,970 40 40 40
76 Doxycyclin 100 mg Kapsul 280 - -
77 Eritromisin Kaps 500 mg Kapsul 781 - -
78 Eritromisin Syr 200mg/ml Botol 16875 20 20 20
79 Erytromycin 250 mg Tablet 711 - -
80 Fenitoin Sodium kaps 30mg Kapsul 183 - -
81 Furosemid tab 40 mg Tablet 88 - -
82 Gentamicin Sulfate salep mata 0,3% Tube 3210 - -
83 Glukosa infus 5% 500 ml Botol 7363 - -
84 Hidroklorotiazid tab 25 mg Tablet 166 300 300 300
85 Hydrocortizone 2,5 % CR Tube 2648 100 100 100 50
86 Ibuprofen suspensi 100mg/5 ml Botol 2898 - -
87 Ibuprofen suspensi 200mg/5 ml Botol 5,709 - -
88 Ibuprofen tab 200 mg Tablet 270 - -
89 Ibuprofen tab 400 mg Tablet 399 - -
90 Kalsium glukonat inj 100 mg/ml Ampul 3358 - -
91 Kaptopril tab 12,5 mg Tablet 190 500 500 100 400
92 Kaptopril tab 25 mg Tablet 235 1,280 1,280 1,280
93 Ketokonazole 200 mg tab Tablet 317 - -
94 Kloramfenikol Salep mata 1% Tube 2,148 - -
95 Loratadin 10 mg Tablet 160 - -
96 Magnesium Sulfat inj 20% (i.v) Vial 3328 - -
97 Magnesium Sulfat inj 40% (i.v) Vial 3796 - -
98 Mefenamic Acid 500mg Tablet 297 - -
99 Metformin 500 mg Tablet 117 900 900 - 900
100 Methyl Ergometrin Inj 0,2mg Ampul 3553 580 580 580
101 Metilergometrin Salut Selaput 0,125 mg Tablet 271 400 400 400
102 Metoclopramid 10 mg Tab Tablet 93 - -
103 Metoclopramid 5 mg Tab Tablet 129 200 200 200
104 Metronidazol Suspensi 125mg/5 ml Botol 3950 1,300 1,300 1,300
105 Metronidazol tab 500 mg Tablet 264 900 900 900
106 Mikonazol Krim 2% Tube 4097 111 111 15 96
107 Mineral Mix Sachet 3116 - -
108 N-asetil sistein kaps 200 mg Kaps 858 - -
109 Nistatin tab salut 500.000 UI Tablet 1014 - -
110 Nistatin Vaginal Tab 100.000 IU Tablet 720 - -
111 OAT FDC KATEGORI II Paket 1661981 - -
112 Oksitetrasiklin 1% salep mata Tube 2774 - -
113 Oksitosin Inj 10 IU/ml Ampul 1287 200 200 5 195
114 Paracetamol Drop 10mg/ml Botol 7979 87 87 87
115 Phenobarbital 30 mg Kaplet 205 - -
116 Phenobarbital Inj 50mg/ml Ampul 2380 - -
117 Phytomenadion Inj 2 mg/ml Ampul 4420 97 97 1 96
118 Phytomenadion tablet 10 mg Tablet 912 - -
119 Pyrantel Pamoat Kapl 125mg Tablet 369 - -
120 Ranitidin tab 150 mg Tablet 944 - -
121 Salbutamol tab 2mg Tablet 109 600 600 600
122 Salbutamol Tab 4 mg Tablet 130 - -
123 Salep 2-4 Kombinasi Tube 5200 3 3 3
124 Salicyl Bedak 2% Kotak 4719 9 9 9
125 Sianokobalamin (Vitamin B12) 50 mcg Tablet 53 - -
126 Simvastatin Tab 20mg Tablet 247 - -
127 Tetracycline 500 mg Kapsul 346 - -
128 Tiamin (Vitamin B1) 50 mg Tablet 98 100 1,000 1,100 1,100
129 Vitamin B12 inj 500mcg/ml Ampul 1267 400 400 100 300
130 Vitamin C 50 mg Tablet Tablet 126 - -
131 Zink Sulfat Tablet 631 - -
132 Zink syr 20mg/5ml Botol 3449 - -
133 zink syr Drop 15 ml Botol 6369 - -
134 Allopurinol 100 mg Tablet 95 500 500 200 300
135 Allopurinol 300 mg Tablet 210 900 900 900
136 Ambroxol Drops (Mucus Drops) Botol 20 ml 45540 43 43 43
137 Ambroxol Syrup Botol 5500 12 12 12 - 50
138 Ambroxol Tablet Tablet 143 200 500 700 - 700
139 Amitriptilin tab sal 25 mg Tab sal 369 - -
140 Amlodipin besilate tablet 5 mg Tablet 59 - -
141 Amoksisilin sirup kering 250 mg/5 ml Botol 3510 - -
142 Amoksisilin Sirup kering, botol 15 Ml Botol 12250 - -
143 Ampisilin injeksi 1000 mg (i.v) Vial 10340 50 50 50
144 Antasida susp Botol 1767 - -
145 Antasida tab kunyah Tablet Kunyah 54 400 1,000 1,400 200 1,200
146 Asam folat tablet 0,4 mg Tablet 46 - -
147 Asam folat tablet 1 mg Tablet 63 - -
148 Asam mefenamat 500 mg Kaptab 297 700 500 1,200 100 1,100
149 Asam traneksamat 50 mg/ml Ampul 1820 20 20 20
150 Asetosal Tab 80 mg Tablet Salut 89 - -
151 Atapulgit 630 mg Tab 3300 - -
152 Atropin Inj 0,25 mg/mL (i.v./s.k.) (G) Ampul 1718 - -
153 Bedak Salicyl 2% Pot 11900 - -
154 Betahistin 6 mg Tablet 92 300 500 800 200 600
155 Betametason krim 0,05% (0,5mg/g) tube 1540 71 71 21 50
156 Cefadroxyl 500 mg tab Tablet 1937 100 100 100 - 2,000
157 Cetirizin HCl 5 mg Tablet 203 1,400 1,400 200 1,200
158 Cetirizin sirup 5 mg/ 5 ml Botol 2278 - -
159 Chloramphenicol/ kloramfenikol salep 2% Tube 3925 - -
160 Ciproflolaxin hydrochloride 500 mg Tablet Salut 270 - -
161 Cotrimoxazole 480 mg Tablet 126 1,600 1,600 1,600
162 Cotrimoxazole susp 240 mg Botol 2100 - -
Diclofenac sodium 50 mg Tablet Salut
163 Enterik 118 600 500 1,100
1,100
163 DHP (Dihiropiridin) 50
164 Diltiazem 30 mg Tablet 140 - -
165 Dektran 70 % Larutan Infus 6% Steril 35526 50
165 Domperidon sirup 5 mg/5 ml Botol 2465 50 50 50
166 Epinefrin injeksi 1 mg/mL Ampul 1813 82 82 82 - 50
167 Etil Klorida semprot 100 ml Botol 100 ml 192984 8 8 8
168 Eugenol cairan Botol Kaca 20175 - -
169 Gentamisin Salep Mata 0,3% (Genoint) Tube 3,5 gr 10725 - -
170 Gentamisin Tetes Mata 0,3% (Genoint) Botol ml 12777 72 72 72
171 Glimepiride 1 mg Tablet 96 500 500 500
172 Glimepiride 2 mg Tablet 123 - -
173 Glyceryl Gualacolat Tablet Tablet 154 1,500 1,500 300 1,200
174 Haloperidol tab 0,5 mg Tab 220 - -
175 Haloperidol tab 1,5 mg Tab 633 - -
176 Ibuprofen 200 mg Tablet 379 3,700 3,700 100 3,600
177 Ibuprofen 400 mg tab Tablet 490 600 600 300 300
178 Ichtyol ointment 15 gr Pot 15400 - -
179 Isoniazid 300 mg tab Tablet 499 - -
180 Kalsium laktat (Kalk) tab 500 mg Tablet 60 500 500 500
181 Karbamazepin tab 200 mg Tablet 225 - -
182 Ketokonazol 200 mg Tablet 270 1,700 1,700 1,700
183 Ketorolac inj 30 mg/ml (3%) Ampul 923 - -
184 Kloramfenikol tetes telinga 1% Botol 13875 20 20 20
185 Klorheksidin lar 0,2% (Minosep 60 ml) Botol 54450 - -
186 Komb: lidocain 2% + epinefrin 1:80.000, inj 2 mL Ampul 924 60 60 60
187 Kombinasi: ipratropium bromida 0,5 mg + salbutamol 2,5 mg cairan ih Ampul 4063 - -
188 Lidokain injeksi 2% Ampul 979 46 46 26 20 100
189 Loratadine tablet 10 mg Tablet 121 600 600 100 500
190 Methylergometrine Maleate inj 0,2 mg/ ml Ampul 1069 - -
191 Metilprednisolone 4 mg Tablet 115 400 1,500 1,900 100 1,800
192 Metoclopramide injeksi Ampul 8,800 - -
193 Nacl 0,9% 500 ml Botol 6900 - -
194 N-asetil sistein tab 200 mg Kapsul 337 - -
195 Natrium Bikarbonat 500 mg Tablet 550 - -
196 Nifedipin kaps 10 mg Kaps 440 - -
197 Norepinephrine inj 1 mg/ml Ampul 6613 20 20 20
198 Nystatin susp 10.000 IU/mL Botol 14250 - -
199 Obat Paracetamol 500 mg Tablet 282 - -
200 Oksimetazolin tts hidung 0,025% (Iliadin anak) Botol 129140 - -
201 Oksimetazolin tts hidung 0,050% (Iliadin dewasa) Botol 132000 - -
202 Omeprazol 20 mg Kapsul 132 100 100 100 - 200
203 Omeprazole injeksi 40 mg Vial 5397 - -
204 Ondansentron 4 mg Tablet 1948 - -
205 Ondansentron Injeksi 4 mg/2ml Ampul 6050 - -
206 Oksitetrasiklin 1% salep kulit Tube 2009,72 50
206 Oxytocin inj 10 IU/ml Ampul 1448 - -
207 Paracetamol infus 10 mg/mL Botol 10000 - -
208 Perak sulfadiazin krim 1% (Burnazin) Tube 134915 - -
209 Permethrin krim 5% Tube Plastik 11466 - -
210 Phenol glycerol tetes telinga 10% Botol Plastik 3300 22 22 5 17
211 Pirantel Pamoat Susp 125 mg/5ml (Combantrin) Botol 22794 27 27 27
212 Piroxicam 10 mg Tablet 218 700 700 700
213 Piroxicam 20 mg Tablet 292 1,900 1,900 200 1,700
214 Prednison tab 5 mg Tablet 78 300 300 300 - 500
215 Propranolol tablet10 mg Tablet 66 - -
216 Propylthiouracil 100 mg Tablet 462 1,000 1,000 1,000
217 Ranitidin 150 mg tab Tablet 1056 1,000 1,000 100 900
218 Ranitidine (HCl)inj 25 mg/ml Ampul 891 20 20 3 17
219 Rifampisin kaps 300 mg Tab 132 - -
220 Salbutamol 2 mg Tablet 208 - -
221 Salbutamol 4 mg Tablet 226 - -
222 Salbutamol sirup 2 mg/5 ml Botol 7425 10 10 10 50
223 Simvastatin 10 mg Tablet Salut 73 700 700 700
224 Simvastatin tablet 20 mg Tablet 165 - -
225 Sodium bicarbonat inj 8,4% (i.v.) Ampul Plastik 6750 - -
226 Diazepam 10 mg/2,5 ml Pcs 44000 - -
227 Stesolid 5 mg/2,5 ml Pcs 52250 - -
DAU - -
228 Asta Plus Tablet 14167 - -
229 Cotrimoxazole 480 mg Tablet 176 - -
230 CTM 4 mg (Kofiren) Tablet 127 - -
231 Dexamethasone 0,5 mg Tablet 200 300 300 100 200 500
232 Natrium Diklofenak 25 mg Tablet 341 - - 1,000
233 Paracetamol 500 mg Tablet 282 - -
234 Vitamin B Kompleks tablet Tablet 123 - - 1,000
DAK 2022 - -
235 Acetyl cysteine/ N-asetil sistein tablet/kapsul/kaplet 200 mg Kapsul 337 - -
236 Alopurinol/Allopurinol tablet/kapsul/kaplet 100 mg Tablet 95 - -
237 Alopurinol/Allopurinol tablet/kapsul/kaplet 300 mg Tablet 210 - -
238 Aminofilin/Aminophylline inj 24 mg/ml Ampul 2868 - -
239 Amlodipin tab 5 mg Tablet 260 - -
240 Amlodipin/ Amlodipine/ Amlodipine besilate tablet/kapsul/kaplet 10 mg Kaplet 76 - -
Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate Kaplet
241 tablet/kapsul/kaplet/kaptab 500 mg, kemasan strip/blister (G) 241 -
- 2000
Amoksisilin/Amoxicillin sirup kering 250 mg/5 ml Botol
242 2600 -
-
Anestetik lokal gigi, kombinasi KDT/FDC mengandung: lidokain 2% + Ampul
243 epinefrin 1:80.000, inj 2 mL 924 -
-
Antasida, kombinasi: alumunium hidroksida 200 mg + magnesium Botol Plastik
244 hidroksida 200 mg, susp 1767 -
-
Antasida, kombinasi: alumunium hidroksida 200 mg + magnesium Tablet
245 hidroksida 200 mg, tab kunyah 54 -
-
Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg
246
+ lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g Suppositoria 3265 -
-
247 Asam askorbat (vitamin C) tab 50 mg Tablet 137,5 - - 2,000
 Asam Mefenamat/Mefenamic acid tablet/kapsul/kaplet/kaptab 500 mg, Kaplet
248 kemasan strip/blister (G) 128 -
-
249 Atropin inj 0,25 mg/mL (i.v./s.k.) Ampul 1718 - -
250 Budesonid cairan IH 0,25 mg/mL (G) Ampul 10400 - -
251 Cetirizine hydrochloride(HCl)/ Cetirizine/ Setirizin sirup 5 mg/5 ml Botol 2278 - -
252 Chloramphenicol/ Kloramfenikol salep 2% Tube 3925 - -
253 Chlorphenamine Maleate tablet Tablet 86 - -
Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Tablet Salut
254 Siprofloksasin tablet/kapsul/kaplet 500 mg Selaput 270 -
-
Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol (anak) kombinasi tiap 5 ml Botol
255 suspensi: sulfametoksazol 200 mg + trimetoprim 40 mg (susp 240 mg) 2100 -
-
Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol (dewasa) kombinasi: Tablet
256 sulfametoksazol 400 mg + trimetoprim 80 mg (tab/kaptab 480 mg) 126 -
-
Cyanocobalamin/Cyanocobalamine/Sianokobalamin (vitamin B12) injeksi Ampul
257 500 mcg/mL 1125 -
-
258 Deksametason tab 0,5 mg Tablet 106 - -
Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi Ampul
259 5 mg/mL 1012 -
-
260 DIAZEPAM Injeksi 5 mg/ml Ampul 1545 - -
261 Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) Ampul 902 - -
262 Dimenhidrinat tab 50 mg Tablet 117 - -
263 Domperidon/Domperidone maleate/ Domperidone drops 5 mg/mL Dus (1 Botol) 10157 - -
264 Epinefrin/Epinephrine (Adrenalin) injeksi 1 mg/ml Ampul 1813 - -
Fitomenadion/ Phytomenadion (Vitamin K1) tablet/kapsul/kaplet 10 mg Tablet Salut
265 Selaput 847 -
-
Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 2 Ampul
266 mg/ml (i.m.) 1595 -
-
267 Furosemid tab 40 mg Tablet 118 - -
268 Glukosa larutan infus 10% 500 mL Botol 7200 - -
269 Glukosa larutan infus 5% 500 mL Botol 6627 - -
270 Griseofulvin (micronized) tab 125 mg Tablet 220 - -
271 Hidrokortison krim 2,5% tube @ 5 g 2556 - -
272 Ibuprofen suspensi 100 mg/5 ml Botol Plastik 2400 - -
273 Ibuprofen suspensi 200 mg/ 5ml Botol 3520 - -
274 Ibuprofen tablet/kapsul/kaplet Tablet 160 - -
275 Ibuprofen tablet/kapsul/kaplet 400 mg Tablet 220 - -
276 Ipratropium bromida cairan IH 0,025% (G) Tube 11550 - -
277 Isosorbid dinitrat tab 5 mg Tablet 244 - -
278 Kalsium Laktat/ Calcium lactate (Kalk) tablet/kapsul/kaplet 500 mg Tablet 60 - -
279 Kaptopril/ Captopril tablet/kapsul/kaplet 12,5 mg Tablet 75 - -
280 Kaptopril/ Captopril tablet/kapsul/kaplet 12,5 mg Tablet 75 - -
281 Karbogliserin (Phenol Glycerol) tetes telinga 10% Botol Plastik 3300 - -
282 Ketokonazol/ Ketoconazole tablet/kapsul/kaplet 200 mg Tablet 270 - -
283 Lidocaine Hydrochloride/ Lidocaine/ Lidocain/ Lidokain injeksi 2% 979 - -
284 Loperamid tablet/kapsul/kaplet Tablet 253 1,100 500 1,600 100 1,500
285 Loratadin tab 10 mg Tablet 244 - -
286 Magnesium sulfate/ MgSO4 20 Ampul 4900 - -
287 Magnesium sulfate/ MgSO4 20 Ampul 4300 - -
288 Metformin Hydrochloride/ Metformin tablet/kapsul/kaplet 500 mg Tablet 86 - -
289 Metilprednisolon/Methylprednisolone tablet/kapsul/kaplet 4 mg Tablet 115 - -
290 Metronidazol tab 500 mg Tablet 317 - -
291 NaCl 0.9% / Sodium Chloride Botol 6900 - -
292 Omeprazol/Omeprazole tablet/kapsul/kaplet 20 mg Kapsul 132 200 200 100 100
293 Oxymetazoline/ Oksimetazolin tetes hidung 0,025% Botol 42075 - -
294 Oxymetazoline/ Oksimetazolin tetes hidung 0,05% Botol 44363 - -
294 Paracetamol Drops 10mg/ml Botol 7979 60 60
294 Paracetamol/ Parasetamol sirup 120 mg / 5 ml 1160 6 6 2 4 50
296 Parasetamol tab 500 mg Tablet 282 1,000 1,000 200 800
297 Pirantel pamoat susp 125 mg/5 ml Botol 22794 26 26 26
298 Prednison/Prednisone tablet/kapsul/kaplet 5 mg Tablet 78 - -
299 Propranolol hydrochloride (HCl) / Propranolol tablet/kapsul/kaplet 10 mg Tablet 66 -
-
300 Pyridoxine/ Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg Tablet 76 1,400 1,400 1,400
301 Ringer Laktat/Ringer Laktate Botol 7703 51 51 51
302 Simvastatin tab sal 20 mg Tablet Salut 165 -
Selaput -
Simvastatin tablet/kapsul/kaplet/tablet salut selaput/kaplet salut selaput Tablet Salut
303 10 mg Selaput 73 -
-
304 Tetrasiklin kaps 500 mg Kapsul 902 - -
305 Tiamin (vitamin B1) tab 50 mg Tablet 246 1,100 1,100 200 900
306 Zinc sulfate/ Zinc sulfate monohydrate/ Zinc/ Zink sir 20 mg/5 ml. Botol 2700 26 26 2 24
BAHAN MEDIS HABIS PAKAI (BMHP) - -
BUFER - -
1 ADS 0,05 ml Pcs 1518 - -
2 ADS 5 ml Pcs 1583 - -
3 ADS 5 ml Pcs 1500 - -
4 Alkohol Swab 2 Ply Pcs 79 - - 1,000
5 Ari Sound Timer pcs 298500 - -
6 Blood Lancet BOX 35135 - -
7 Blood Lancet Pcs 320 - -
8 Giemsa 100 ml Botol 358500 - -
9 Immersion Oil Botol 1123065 - -
10 Immersion Oil 100 ml Botol 203500 5 5 5
11 Immersion Oil 50 ml Botol 203500 - -
12 Kaca Slide Pcs 257 2 2 2
13 KDT Dosis Harian Kit 409461 - -
14 Lab Kit Kit 1016565 - -
15 Masker Bedah Pcs 706 - -
16 Masker Bedah (TB MDR) Pcs 386 - -
17 Masker N95 1860 Pcs 14323 - -
18 Pot Dahak Pcs 2675 76 76 76
19 Rapid I (Virochek) Test 7879 - - - 25
20 Rapid II (Diagnostar) Test 11500 - -
21 Rapid 3 HIV (Standart Q HIV1/2 Ab 3 Line) Test 10500 - -
22 Rapid IIII Test 13500 - -
23 RDT Malaria (SD Bioline)) Test 10101 - - 50
24 Reagen - ZN Kit 196971 - -
25 Safety Box Pcs 14000 1 1 1
26 Slide Box Kotak 66065 - -
DAU 0 - -
27 Blood Lancet Kotak/100 407 6 6 6
DAK 0 - -
28 Blood Transfusion Set Pcs 14495 - -
29 Catgut Chromic 3/0 HR 30 pcs 35555 - - 50
30 Catgut Chromic 2/0 HR 30 pcs 35555 - - 50
31 Catgut Chromic 3/0 35555 - -
32 Dispo 10 cc pcs 1650 72 72 72
33 Kasa Hidrofil 2m x 80 cm Pads 10570 - -
34 Kasa Hidrofil 36m X 80 cm Roll 144560 - -
35 Spuit/Jarum 3 cc pcs 1010 - -
36 Oxygen Nasal Canula Adult Pcs 13963 35 35 35
37 Oxygen Nasal Canula Child Pcs 13500 38 38 38
38 Oxygen Nasal Canula Neonate Pcs 14960 - -
38 Alat Suntik 1 ml Pcd 1261,7 200
39 Alat suntik 3 ml Pcs 914 5 200 205 19 186
40 Alat suntik 5 ml Pcs 963 200 200 200
41 Catgut Chromic 3/0 HR-27 Pcs 36053 - -
42 Foley Catheter no 18 Pcs 16008 13 13 13
43 Foley Catheter no 20 Pcs 16008 9 9 9
44 Infusion set Anak set/kantong 8026 35 35 35
45 Kasa hidrofil 2 m x 80 cm Roll 11400 - -
46 Kasa Hidrofil 40M x 80 Roll 162000 - -
47 Urin Bag Pcs 37534 - -
48 2 way Foley catheter silicon 18 FR Sach 20700 - -
49 Catgut Plain 2/0 HR 20MM Pcs 36192 - -
50 Catgut Plain 3/0 HR 20MM Pcs 35129 - -
51 Chirurgic Gloves size 7 Pcs 9446 - -
52 Chirurgic Gloves size 7,5 Pcs 9446 - -
53 Chirurgic Gloves size 8 Pcs 9446 - -
54 I.V Catheter no 18 G Pcs 9260 19 19 19
55 I.V Catheter no 20 G Pcs 9260 50 50 4 46
56 I.V Catheter no 22 G Pcs 9260 50 50 1 49
57 I.V Catheter no 24 G Pcs 9260 52 52 52
58 Intravenous set with airvent & y conection Sach 11320 - -
59 Kapas Putih 250 gr Roll 15000 36 36 36
60 Kasa Hidrofil 20 y X 80 cm Roll 83200 - -
61 Kasa Hidrofil 3 y X 15 cm Pack 101400 100 100 100
62 Kasa Hidrofil 40 y X 80 cm Roll 159900 - -
63 Kertas EKG 110 x 30 x 16 mm Roll 220000 - -
64 Leukoplast 2,5 cm X 4,5 m Pcs 55000 - -
65 Maztex Clean Extra Sanitizer 1 liter Botol 550000 - -
66 Medicare Antiseptic Handrub 0,5%500ml Botol 36300 - -
67 Medika Alkohol 70% 1 Liter Botol 22440 - -
68 Nasal Oxygen O2 Cannula size L Pcs 8316 - -
69 Nasal Oxygen O2 Cannula size M Pcs 8316 - -
70 Nasal Oxygen O2 Cannula size S Pcs 8316 - -
71 Nebulizer Mask Pcs 19372 - -
72 Oxygen Mask Pcs 12180 - -
73 Silk black 3/0 HR 30 MM Pcs 21311 28 28 28
74 Softpad (Underpad) 60 x 90 cm Pcs 4995 73 73 73
75 Strip Syphilis '50 Test 17683 - -
76 Suction Catheter no 10 Pcs 3048 - -
77 Suction Catheter no 14 Pcs 3048 - -
78 Suction Catheter no 6 Pcs 9240 - -
79 Suction Catheter no 8 Pcs 3048 - -
DAU 0 - -
80 Helm Plastik pelindung wajah n penutup kepala Pcs 150000 - -
81 Kacamata Googles Pcs 60000 - -
82 TOYOBO Sepatu Bot Pasang 300000 - -
83 Alat Nebulizer Unit 1100000 - -
84 Alkohol 70% 1 L Botol 22440 - 5 5 5
85 Ambubag Unit 544500 - -
86 Antiseptik Hund Rub 5 L Jergeng 1149500 - -
87 APD Boho Pcs 338800 - -
88 Apron Plastik Pcs 5445 - -
89 Handscoen Obgyen Pasang 133100 - -
90 Handscon Steril Pasang 13310 - -
91 Handshoop 500 ml Botol 165000 - -
92 Kacamata Unit 18150 - -
93 Kantong Jenazah Pcs 198000 - -
94 Masker K-N95 Pcs 30250 - -
95 Masker Nebulizer Bayi Pcs 55000 - -
96 Masker Nebulizer Dewasa/Anak Pcs 41800 - -
97 Masker Oxygen NRM pCS 71500 - -
98 N95-Protetife Mask Pcs 36300 - -
99 Plastik Pembungkus Jenazah Pcs 66000 - -
100 Povidon Iodin 100 ml Botol 27500 - -
101 Rapid Antigen Pcs 108900 28 28 28
102 Sepatu Bot Pasang 187000 - -
103 Surgical Gown Pcs 220000 - -
104 Virus Transport Media (VTM) Pcs 88000 - -
105 Peti Jenazah/ Ex Lokal Unit 1782000 - -
DAK - -
106 Antiseptik Handrub 0,5% 500 ml Botol 137500 - -
107 Bisturi 11 Box 165000 - -
107 Bisturi 15 Box 100
108 Bisturi 20 Box 165000 - -
108 Bisturi 21 Box 100
109 Bisturi 23 Box 165000 - -
110 Blood Lancet Box 33000 - -
111 BTI / Bactived SL Botol 30 ml 100000 - -
112 Celemek Sekali Pakai (Apron Plastik) Pcs 5445 - -
113 Cepheid Xpert MTB/RIF Assay Kit Test 262900 - -
114 Chlorheksidin 0,5% Botol 71500 - -
115 Daryant Tulle Pcs 55000 - -
116 Face mask ties on Box 68750 - -
117 Handscoen Non Steril M Box 266200 - -
118 HCl 0,1 N Botol 100 ml 30250 3 3 3
119 Iodine Tes 10 ml Botol 61600 - -
120 Jarum Citojeck Needle 30 G x 16 mm Box Isi 100 Pcs 308000 - -
121 Kertas Golongan Darah Pak 1232 - -
122 Kertas Perkamen Pak 13200 - -
123 Kertas PH Pak 253000 3 3 3
124 Oil Imersi Botol 100 ml 1265000 5 5 5
125 Penjepit Tali Pusat Kotak 100'S 2750 81 81 81
126 Plester Rol Kain 12,5 cm x 4,5 m Pcs 11000 - -
127 Plester Rol Kain 5 cm x 4,5 m Pcs 30250 - -
128 Plester Roll Kain 7,5 cm x 4,5 m Pcs 59400 24 24 24
129 Pot Dahak Pcs 5500 76 76 76
130 Pot Urin 50 cc Pcs 3300 - -
131 Povidon Iodin 10% 100 ml Botol 100 ml 27500 - -
132 Povidon Iodin 10% 60 ml Botol 60 ml 22000 - -
133 Reagen Golongan Darah Botol 423500 - -
134 Safety Box 5 Liter Box 33000 - -
135 Sak Obat Ukuran 15x10 Bungkus 100 27500 - -
136 Softpad (Underpad) 60 x 90 Pak 77000 73 73 73
137 Strip Asam Urat Box 163350 - -
138 Strip Cholesterol Box 242000 - -
139 Strip Glukosa Box 157300 - -
140 Surgical mask earloop Box 74250 - -
141 Tabung EDTA tutup ungu Pack 297000 - -
142 Tespek Kehamilan Kotak 50'S 2420 - -
143 Turniquet Pcs 52250 3 3 3
144 Verban Elastis 10 cm x 4,5 m Rol 94270 12 12 12
145 Verban Elastis 7,5 cm x 4,5 m Rol 80300 24 24 24
DAU - -
146 Handscoen Non Steril L Pcs 2662 500 500 500
147 Handscoen Non Steril M Pcs 2662 - -
148 Handscoen Non Steril S Pcs 2662 300 300 300
149 Face Shield Unit 27500 - -
150 Masker Bedah/ Medis Pcs 4070 - -
151 Hand Sanitizer 1 Liter Botol 302500 - -
152 Masker Kain Pcs 9750 - -
DAK 2022 0 - -
153 Detecto HBs Ag Pcs 5060 - -
154 Duk Lubang Steril 15cm x 30cm Pcs 8250 - -
155 EXAMINATION GLOVES, size XS Box 76800 - -
156 Glucose Protein Test Strip Pcs 1306 - -
157 Kasa Hidrofile 16cm x 16 cm Box 5980 - -
158 Object Glass 7105 Box 20625 - -
159 Pediatric Set Pcs 7750 - -
160 Plesterin Jumbo Box 13808 - -
161 Polifix 5 cm x 1 m Roll 8522 - -
162 Povidon Iodin 10% 100 ml Botol 100 ml 31913 - -
163 Strip Asam Urat Nesco Unit 149850 3 3 3
164 Strip cholesterol Nesco Unit 233100 1 1 1
165 Strip Glukosa Nesco Unit 144300 3 3 3
166 SWAB 2ply Box 15500 - -
167 Syringes 20 ml Box 113664 - -
168 Syringes 1 0 ml Box 172627 - -
169 Syringes 1 ml Box 113664 - -
170 Syringes 3 ml Box 113664 - -
171 Syringes 5 ml Box 118637 - -
172 TRO-SOLUSET G Pcs 7192 - -
173 Ultra One (Test Kehamilan) Pcs 2914 - -
174 Umbilical Cord Clamp Box 112500 - -
- -
175 Xpert MTB/RIF Assay Kit Pcs 256100 - -
- -
176 CHLODINE 0,5% b/v Hand Rub 5 L Jerigen 395000 - -
177 CHLODINE 4% b/v Scrub 5 L Jerigen 795000 - -
178 Examination Gloves Lightly Powdered, Size L Box 83267 - -
179 Examination Gloves Lightly Powdered, Size M Box 83267 - -
180 Examination Gloves Lightly Powdered, Size S Box 83533 - -
181 Examination Gloves Powder Free, Size L Box 94370 - -
182 Examination Gloves Powder Free, Size M Box 94370 - -
183 Examination Gloves Powder Free, Size S Box 94370 - -
184 SOLIDA 3 Ply Earloop Surgical Face Mask Box 30625 - -
185 SOLIDA 3 Ply Tie On Surgical Face Mask Box 71750 - -
186 SOLIDA Coverall Microporus with Seam Tape (3C) Pcs 190750 - -
187 SOLIDA Kit Gown Periksa Set 40875 - -
188 SOLIDA Mob Cap Box 49250 - -
189 SOLIDA Respirator Mask KN95 Earloop Box 102125 - -
190 SOLIDA Shoes Cover PP Box 66875 - -
191 SOLIDA- Surgical face Mask Earloop IIR - 4Ply Box 70375 - -
192 SOLIDA Surgical Face Mask Head Loop Box 34500 - -
193 SOLIDA- Surgical Face Mask, Tie On IIR - 4Ply Box 64750 - -
194 SOLIDA Surgical Gown Pcs 70750 - -
195 Surgical Gloves Size 7.0 Pcs 13686 - -
196 Surgical Gloves Size 7.5 Pcs 13686 - -

Laworo, 31 Maret 2022

Pengelola Obat Puskesmas

apt. Ade Israwati, S.Farm