NO NAMA OBAT BENTUK SET A N G G A L

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JKBS BPJS UM JKBS BPJS UM JKBS BPJS UM
JUMLAH RESEP 4 14 6 1 8 12 5 4 10 34 1
1 ABU/ Anti Bisa Ular botol 0 0 0 0 0 0 0 0 0 0 0
2 Acetylcysteine 200 kap ampul 0 0 0 0 0 0 0 0 10 0 0
3 Air untuk irigasi lar infus 1000 ml / WI kapsul 0 0 0 0 1 0 0 0 0 0 0
4 Albendazol 400 mg tablet 0 0 0 0 0 0 0 0 0 0 0
5 Albumin vial 0 0 0 0 0 0 0 0 0 0 0
6 Alkohol 70% botol 0 0 0 0 0 0 0 0 0 0 0
7 Allopurinol tablet 100 mg tablet 0 10 0 0 0 0 0 0 0 0 0
8 Allopurinol tablet 300 mg tablet 0 0 0 0 0 0 0 0 0 0 0
9 Alprazolam tablet 0,25 mg tablet 0 0 0 0 0 0 0 0 0 0 0
10 Alprazolam tablet 0,5 mg botol 0 0 0 0 0 0 0 0 0 0 0
11 Ambroxol sirup 15mg/ml tablet 0 0 0 0 1 0 0 0 1 0 0
12 Ambroxol tablet 30 mg ampul 0 10 0 0 0 0 0 0 0 0 0
13 Amikacin inj tablet 0 0 0 0 0 0 0 0 0 0 0
14 Aminofilin injeksi 24 mg/ml pcs 0 0 0 0 0 0 0 0 0 0 0
15 Aminofilin tablet 200 mg pak 0 0 0 0 0 0 0 0 0 0 0
16 Aminofluid botol 0 0 0 0 0 0 0 0 1 0 0
17 Aminofusin FAED tablet 0 0 0 0 0 0 0 0 0 0 0
18 Aminoleban tablet 0 0 0 0 0 0 0 0 0 0 0
19 Amitriptilin tablet 25 mg tablet 0 0 0 0 0 0 0 0 0 0 0
20 Amlodipin tablet 10 mg tablet 0 0 0 0 0 0 0 0 0 0 0
21 Amlodipin tablet 5 mg tablet 0 0 0 0 0 0 0 0 0 0 0
22 Amoksisilin 250 mg vial 0 0 0 0 0 0 0 0 0 0 0
23 Amoksisilin 500 mg kaplet 0 0 0 0 0 0 0 0 0 20 0
24 Amoksisilin serbuk injeksi 1000 mg sirup 0 0 0 0 0 0 0 0 0 0 0
25 Amoksisilin sirup 250mg/mg forte sirup 0 0 0 0 0 0 0 0 0 0 0
26 Amoksisilin sirup kering 125 mg/ 5 ml kaplet 0 0 0 0 0 0 0 0 0 1 0
27 Amoksisilin+ As. Klavuanat 625 mg vial 0 0 0 0 0 0 0 0 0 0 0
28 Ampisilin injeksi flexpen 0 0 0 0 0 0 0 0 0 0 0
29 Ampisilin kaplet 500 mg flexpen 0 0 0 0 0 0 0 0 0 0 0
30 Analog insulin long acting inj 100 UI/ml (La flexpen 0 0 0 0 0 0 0 0 0 0 0
31 Analog insulin rapid acting inj 100 UI/ml ( tablet 0 0 0 0 0 0 0 0 0 0 0
32 Analog insulin short acting inj 100 UI/ml ( suspensi 0 0 0 0 0 0 0 0 0 0 0
33 Antasida DOEN I tablet kunyah, kombinasi tablet 0 0 0 0 0 0 0 0 0 0 0
34 Antasida DOEN II suspensi, kombinasi : A suppo 0 0 0 0 0 0 0 0 0 0 0
35 Antibakteri: Basitrasin +Polimiksin tablet 0 0 0 0 0 0 0 0 0 0 0
36 Antihemoroid suppo Botol 0 0 0 0 0 0 0 0 0 0 0
37 Antimigren : Ergotamin Tartrat 1 mg + Kofeampul 0 0 0 0 0 0 0 0 0 0 0
38 Aqua pro injeksi nasal spray 0 3 2 0 4 8 0 0 2 4 0
39 Artem Injeksi tablet 0 0 0 0 0 0 0 0 0 0 0
40 Asam Asetilsalisilat tablet 500 mg (Asetosaltablet 0 0 0 0 0 0 0 0 0 0 0
41 Asam Asetilsalisilat tablet 80 mg (Miniaspi)tablet 0 0 0 0 0 0 5 0 0 0 0
42 Asam Folat tablet 0 0 0 0 0 0 0 0 0 0 0
43 Asam Mefenamat kap 500 mg kaplet 0 0 0 0 0 15 0 30 10 40 0
44 Asam traneksamat ampul 0 0 0 0 0 0 0 0 0 0 0
45 Asam traneksamat injeksi tablet 0 0 0 0 0 0 1 0 3 0 0
46 Ascorbic Acid (Vit C) 50 mg tablet 0 0 0 0 0 0 0 0 0 0 0
47 Asedas sirup Botol 0 0 0 0 0 0 0 0 0 0 0
48 Asering tube 0 0 0 0 0 3 0 0 0 2 0
49 Asetosal/Asam Asetilsalisilat 100 mg tablet 0 0 0 0 0 0 0 0 0 0 0
50 Asiklovir krim 5 % tablet 0 0 0 0 0 0 0 0 0 0 0
51 Asiklovir tablet 200 mg tablet 0 0 0 0 0 0 0 0 0 0 0
52 Asiklovir tablet/kapsul/kaplet 400 mg ampul 0 0 0 0 0 0 0 0 0 0 0
53 Atapulgit tablet botol 0 0 0 0 0 0 0 0 0 0 0
54 Atorvastatin tablet 20 mg ampul 0 0 0 0 0 0 0 0 0 0 0
55 Atropin injeksi i.m/i.v./s.k. 0,25 mg/ml (sulftablet 0 0 0 0 0 0 0 0 0 0 0
56 Atropin tablet 0,5 mg tablet 0 0 0 0 0 0 0 0 0 0 0
57 ATS kapsul 0 0 0 0 0 0 0 0 0 0 0
58 Avamys Nasal Spray /flutikason furoat tube 0 0 0 0 0 0 0 0 0 0 0
59 Azitomisin + sefiksim vial 0 0 0 0 0 0 0 0 0 0 0
60 Azitromisin Sirup tablet 0 0 0 0 0 0 0 0 0 0 0
61 Azitromisin tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0
62 Basitrasin salp kulit tube 0 0 0 0 0 0 0 0 0 0 0
63 Benzatin Benzil Penisilin 2.4 jt IU suppo 0 0 0 0 0 0 0 0 0 0 0
64 Berotec Inhalation tablet 0 0 0 0 0 0 0 0 0 0 0
65 Besi II sulfat 200 mg+Asam Folat 0,25 mg tatablet 0 0 0 0 0 0 0 0 0 0 0
66 Betahistin tablet inhalation 0 0 0 0 0 0 0 0 10 0 0
67 Betametason krim 0,1% (sebagai Valerat) ampul 0 0 0 0 0 0 0 0 0 0 0
68 Bisakodil 5 mg supp infant (Dulcolax supp) ampul 0 0 0 0 0 0 0 0 0 0 0
69 Bisoprolol tablet 2,5 mg (Concor) vial 0 0 0 0 0 0 0 0 0 0 0
70 Bisoprolol tablet 5 mg vial 0 0 0 0 0 0 0 0 0 0 0
71 Bupivacaine spinal heavy injeksi sirup 0 0 0 0 0 0 0 0 0 0 0
72 Calsii Glukonas injeksi tablet 0 0 0 0 0 0 0 0 0 0 0
73 Ceftazidim inj 1 gr tablet 0 0 0 0 0 0 0 0 0 0 0
74 Ceftriaxon inj 1 gr Botol 0 0 0 0 0 3 0 0 0 0 0
75 Cetirizin sirup 5 mg/5 ml tablet 0 0 0 0 0 0 0 0 0 1 0
76 Cetirizine tablet 10 mg ampul 0 10 0 0 0 0 0 0 0 0 0
77 Cimetidine tablet 0 0 0 0 0 0 0 0 0 0 0
78 Ciprofloxacin infus 2% kapsul 0 0 0 0 0 0 0 0 0 0 0
79 Ciprofloxacin tablet 500 mg kapsul 0 0 10 0 0 0 0 0 0 0 0
80 Citicholine inj 250mg/2 ml tube 0 0 0 0 0 0 0 0 0 0 0
81 Citicholine tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0
82 Clindamisin 150 mg ampul 0 0 0 0 0 0 0 0 0 0 0
83 Clindamisin 300 mg tablet 0 0 0 0 0 0 0 0 0 0 0
84 Cloramfecort cream : Cloramphenicol, Hydrampul 0 0 0 0 0 0 0 0 0 0 0
85 Codein tablet tablet 0 0 0 0 0 0 0 0 0 0 0
86 Combivent ampul 0 1 3 0 0 0 3 0 2 0 0
 87 D5% 1/2 NS suppo 0 0 0 0 0 0 0 0 0 0 0
88 D5% 1/4 NS suppo 0 0 0 0 0 0 0 0 0 0 0
89 Deksametason tablet 0,5 mg ampul 0 0 0 0 0 0 0 0 0 0 0
90 Deksametasone inj i.v 5 mg/ml tablet 3 4 0 0 3 2 0 0 0 0 0
91 Diazepam injeksi 5 mg/ ml tablet 0 0 0 0 0 0 0 0 0 0 0
92 Diazepam larutan rektal 10 mg/2,5 ml (Stestablet 0 0 0 0 0 0 0 0 0 0 0
93 Diazepam larutan rektal 5 mg/2,5 ml (Stesolampul 0 0 0 0 0 0 0 0 0 0 0
94 Diazepam tablet 2 mg kapsul 0 0 0 0 7 0 0 0 0 3 0
95 Difenhidramin injeksi i.v/i.m 10 mg/ml suspensi 0 0 0 0 0 0 0 0 0 0 0
96 Digoxin tablet 0,25 mg tablet 0 0 0 0 0 0 0 0 0 0 0
97 Diltiazem HCl 30 mg tablet ampul 0 0 0 0 0 0 0 0 0 0 0
98 Dimenhidrinat tablet 50 mg tablet 0 0 0 0 0 0 0 0 0 0 0
99 Dobutamin inj 50 mg/ml (Doburan) ampul 0 0 0 0 0 0 0 0 0 0 0
100 Doksisiklin kapsul 100 mg infus 0 0 0 0 0 0 0 0 0 0 0
101 Domperidon suspensi 5mg/ml infus 0 0 0 0 0 0 0 0 0 0 0
102 Domperidon tablet 10 mg ampul 0 0 0 0 0 0 0 0 0 0 0
103 Dopamin injeksi 40 mg/ml tablet 0 0 0 0 0 0 0 0 0 0 0
104 Dulkolax tablet 5 mg ampul 0 0 0 0 0 0 0 0 0 0 0
105 Duvadilan tablet 0 0 0 0 0 0 0 0 0 0 0
106 Duvadilan injeksi kapsul 0 0 0 0 0 0 0 0 0 0 0
107 Efedrin HCl injeksi kapsul 0 0 0 0 0 0 0 0 0 0 0
108 Efedrin HCl tablet sirup 0 0 0 0 0 0 5 0 0 0 0
109 Epinefrin (Adrenalin) injeksi i.v/s.k/i.m 1 m botol 0 0 0 0 0 0 0 0 0 0 0
110 Ergotamin tablet tablet 0 0 0 0 0 0 0 0 0 0 0
111 Eritromisin kapsul 250 mg Botol 0 0 0 0 0 0 0 0 0 0 0
112 Eritromisin kapsul 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0
113 Eritromisin sirup ampul 0 0 0 0 0 0 0 0 0 0 0
114 Etakridin / Rivanol 300 ml kapsul 0 0 0 0 0 0 0 0 0 0 0
115 Etambutol ampul 0 0 0 0 0 0 0 0 0 0 0
116 Eugenol cairan Botol 0 0 0 0 0 0 0 0 0 0 0
117 Famotidin tablet 40 mg ampul 0 0 0 0 0 0 0 0 0 0 0
118 Fenitoin injeksi 50 mg/ml kapsul 0 0 0 0 0 0 0 0 0 0 0
119 Fenitoin kapsul 100 mg tablet 0 0 0 0 0 0 0 0 0 0 0
120 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul 0 0 0 0 0 0 0 0 0 0 0
121 Fenofibrat 100mg kapsul 0 0 0 0 0 0 0 0 0 0 0
122 Fenol Gliserol tetes telinga 10 % kapsul 0 0 0 0 0 0 0 0 0 0 0
123 Fentanil injeksi i.m/i.v 0,05 mg/ml ampul 1 ampul 0 0 0 0 0 0 0 2 0 0 0
124 Ferriprox kapsul tablet 0 0 0 0 0 0 0 0 0 0 0
125 Fitomenadion (Vit. K1) Injeksi dewasa botol 0 0 0 0 0 0 0 0 0 0 0
126 Fitomenadion (Vit. K1) tablet salut gula 10 sachet 0 0 0 0 0 0 0 0 0 0 0
127 Fluconazole kap 150 kapsul 0 0 0 0 0 0 0 0 0 0 0
128 Furosemid injeksi i.v./i.m. 10 mg/ml kapsul 0 3 0 0 0 0 0 0 1 2 0
129 Furosemid tablet 40 mg ampul 0 0 0 0 0 0 5 0 0 5 0
130 Futrolit tube 0 0 0 0 0 0 0 0 0 0 0
131 Garam oralit I serbuk, Kombinasi tube 0 0 0 0 0 0 0 0 0 3 0
132 Gemfibrozil kapsul 300 mg botol 0 0 0 0 0 0 0 0 0 0 0
133 Gemfibrozil kapsul 600 mg tablet 0 0 0 0 0 0 0 0 0 0 0
134 Gentamisin Injeksi 40 mg/ ml tablet 4 3 0 0 0 0 0 0 0 0 0
135 Gentamisin salep kulit 0.1 % tablet 0 0 0 0 0 0 0 0 0 0 0
136 Gentamisin salep mata 0,3 % (Genoint) tablet 0 0 0 0 0 0 0 1 0 3 0
137 Gentamisin tetes mata botol 0 0 0 0 0 0 0 0 0 0 0
138 Glibenklamida tablet 5 mg tablet 0 0 0 0 0 0 0 0 0 0 0
139 Gliklazid tablet 80 mg (Glicab) botol 0 0 0 0 0 0 0 0 0 0 0
140 Glimepiride tablet 2 mg infus 0 0 0 0 0 0 0 0 0 0 0
141 Gliquidone tablet 30 mg infus 0 0 0 0 0 0 0 0 0 0 0
142 Gliserin Guayakolat infus 0 0 0 0 0 0 0 0 0 0 0
143 Gliserin lar 50% tablet 0 0 0 0 0 0 0 0 0 0 0
144 Gliserol 100 ml tablet 0 0 0 0 0 0 0 0 0 0 0
145 Glukosa Larutan infus 10 % steril 500 ml tablet 0 0 0 0 0 0 0 0 0 0 0
146 Glukosa Larutan infus 40 % steril tablet 0 0 0 0 0 0 0 0 0 0 0
147 Glukosa Larutan infus 5 % steril 500 ml botol 0 0 0 0 0 0 0 0 0 2 0
148 Griseofulfin tube 0 0 0 0 0 0 0 0 0 0 0
149 Haloperidol tablet 0.5 mg ampul 0 0 0 0 0 0 0 0 0 0 0
150 Haloperidol tablet 2 mg suspensi 0 0 0 0 0 0 0 0 0 0 0
151 Heparin injeksi i.v/s.k 5000 UI/ml (Inviclot) tablet 0 0 0 0 0 0 0 0 0 0 0
152 Hidrocortiazide (HCT) tablet 0 0 0 0 0 0 0 0 0 0 0
153 Hidrokortison krim 2,5% tetes hidu 0 0 0 0 0 0 0 0 0 0 0
154 Human Insulin short acting inj 100 UI/ml ( botol 0 0 0 0 0 0 0 0 0 0 0
155 ibuprofen 200 mg botol 0 0 0 0 0 0 0 0 0 0 0
156 Ibuprofen 400 mg tablet 0 10 0 0 0 10 10 0 0 0 0
157 Ibuprofen suspensi 100 mg/5 ml tablet 0 0 0 0 0 0 0 0 0 1 0
158 Iliadin Spray /oksimetazolin 0.025% tetes botol 0 0 0 0 0 0 0 0 0 0 0
159 Intralipid botol 0 0 0 0 0 0 0 0 0 0 0
160 Isofluran inh (Terrell) Botol 0 0 0 0 0 0 0 0 0 0 0
161 Isoniazid tablet 100 mg kaplet 0 0 0 0 0 0 0 0 0 0 0
162 Isosorbid Dinitrat tablet sublingual 5 mg/I tablet 0 0 0 0 0 0 0 0 0 0 0
163 KA EN 1B kaplet 0 0 0 0 2 0 0 0 0 0 0
164 KA EN 3A tablet 0 0 0 0 0 0 0 0 0 0 0
165 KA EN 3B tablet 0 0 0 0 0 0 0 0 0 0 0
166 Kalium aspartat tablet 300 mg /Kalipar tablet 0 0 0 0 0 0 0 0 0 0 0
167 Kalium dikofenak tablet 50 mg tablet 0 0 0 0 0 0 0 0 0 0 0
168 Kalium Klorida tablet 600 mg/ KSR tablet 0 0 0 0 0 0 0 0 0 0 0
169 Kalsium Laktat (Kalk) tablet 500 mg botol 0 0 0 0 0 0 0 0 0 0 0
170 Kaptopril tablet 50 mg ampul 0 0 0 0 0 0 0 0 0 0 0
171 Kaptopril tablet scored 12,5 mg tube 0 0 0 0 0 0 0 0 0 0 0
172 Kaptopril tablet scored 25 mg tablet 0 0 0 0 0 0 0 0 0 0 0
173 Karbamazepin tablet 200 mg ampul 0 0 0 0 0 0 0 0 0 0 0
174 KCl/ kalium klorida tablet 0 0 0 0 0 0 0 0 0 0 0
175 Ketamin injeksi i.v. 100 mg/ml suppo 0 0 0 0 0 0 0 0 0 0 0
176 Ketokonazol Krim 2 % ampul 0 0 0 0 0 0 0 0 0 0 0
177 Ketokonazol tablet 200 mg pak 0 0 0 0 0 0 0 0 0 0 0
178 Ketoprofen injeksi 100 mg tablet 0 0 0 0 0 0 0 0 0 0 0
179 Ketoprofen suppositoria ampul 0 0 0 0 0 0 0 0 0 0 0
180 Ketoprofen tablet 100mg tablet 0 0 0 0 0 0 0 0 0 0 0
181 Ketorolac inj 30 mg tablet 0 9 2 0 7 5 0 1 5 5 0
182 Kidmin kapsul 0 0 0 0 0 0 0 0 0 0 0
183 Klobazam tablet 10 mg tube 0 0 0 0 0 0 0 0 0 0 0
184 Klonidin injeksi i.v 0,15 mg/ml HCl (Catapresbotol 0 0 0 0 0 0 0 0 0 0 0
185 Klonidin tablet 0,15 mg botol 0 0 0 0 0 0 0 0 0 0 0
186 Klopidogrel tablet 75 mg tablet 0 0 0 0 0 0 0 0 0 0 0
187 Kloramfenikol kapsul 250 mg ampul 0 0 0 0 0 0 0 0 0 0 0
188 Kloramfenikol Salep Kulit ampul 0 0 0 0 0 0 0 0 0 0 0
189 Kloramfenikol salep mata 1 % tablet 0 0 0 0 0 0 0 0 0 0 0
190 Kloramfenikol Sirup tablet 1 0 0 0 0 0 0 0 0 0 0
191 Kloramfenikoltetes mata tablet 0 0 0 0 0 0 0 0 0 0 0
192 Kloramfenikoltetes Tetes Telinga tablet 0 0 0 0 0 0 0 0 0 0 0
193 Kloroquin 150mg botol 0 0 0 0 0 0 0 0 0 0 0
194 Kloroquin 250mg tablet 0 0 0 0 0 0 0 0 0 0 0
195 Klorpheniramin Maleat (CTM) tab 4mg tablet 0 0 0 0 0 0 0 10 0 0 0
196 Klorpromazin injeksi i.m 25mg/ml-2 ml (HClsuspensi 0 0 0 0 0 0 0 0 0 0 0
197 Klorpromazin injeksi i.m 5mg/ml-2 ml (HCl)ampul 0 0 0 0 0 0 0 0 0 0 0
198 Klorpromazin tablet salut 100 mg (HCl) tablet 0 0 0 0 0 0 0 0 0 0 0
199 Klorpromazin tablet salut 25 mg (HCl) sirup 0 0 0 0 0 0 0 0 0 0 0
200 Koloid HES BM 130000 lar inf 6 % (Voluven)ampul 0 0 0 0 0 0 0 0 0 0 0
201 Kotrimoksazol DOEN I (Dewasa) Kombinasi:kapsul 0 0 0 0 0 0 0 0 0 0 0
202 Kotrimoksazol DOEN I (Dewasa) Kombinasi:tablet 0 0 0 0 0 0 0 0 0 0 0
203 Kotrimoksazol suspensi komp: botol 0 0 0 0 0 0 0 0 0 0 0
204 Kuinin injeksi i.v. 25 % tablet 0 0 0 0 0 0 0 0 0 0 0
205 Kuinin tablet botol 0 0 0 0 0 0 0 0 0 0 0
206 lacbon ampul 0 0 0 0 2 0 0 0 0 0 0
207 Laktulosa sirup ampul 0 0 0 0 0 0 0 0 0 0 0
208 Lanzoprazol injeksi 30 mg/ml (Prosogan inj)botol 0 0 0 0 0 0 0 0 0 0 0
209 Lanzoprazol kapsul 30 mg kapsul 0 0 0 0 0 0 0 0 0 0 0
210 Laxadin sirup tablet 0 0 0 0 0 0 0 0 0 0 0
211 Levofloksasin cairan infus 5 mg/ml tablet 0 0 0 0 0 0 0 0 0 0 0
212 Levofloksasin tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0
213 Levofloxacin (Optiflox) TM tablet 0 0 0 0 0 0 0 0 0 0 0
214 Lidokain injeksi botol 0 0 0 0 0 1 0 2 0 12 0
215 Lidokain injeksi 2% + Epinefrin 1 :80.000/P botol 0 0 0 0 0 0 0 0 0 0 0
216 Lidokain jelly 2 %/ Xylocaine jelly 2 % tablet 0 0 0 0 0 0 0 0 0 0 0
217 Linkomisin kapsul 500 mg sirup 0 0 0 0 0 0 0 0 0 0 0
218 Lisinopril tablet 10 mg tablet 0 0 0 0 0 0 0 0 0 0 0
219 Lisinopril tablet 5 mg tablet 0 0 0 0 0 0 0 0 0 0 0
220 Loperamid tablet 2 mg (Novadium) ampul 0 0 0 0 0 0 0 0 0 0 0
221 Loratadin tablet 10 mg tablet 0 0 0 0 0 0 0 0 0 0 0
222 Magnesium Sulfat inj (i.v) 40%-25 ml tablet 0 0 0 0 0 0 0 0 0 0 0
223 Manitol 20 % tablet 0 0 0 0 0 0 0 0 0 0 0
224 Mebendazol sirup 100 mg / 5 ml tablet 0 0 0 0 0 0 0 0 0 0 0
225 Mebendazol tablet 100 mg ampul 0 0 0 0 0 0 0 0 0 0 0
226 Meloksikam tablet 15 mg tablet 0 0 0 0 0 0 0 0 0 0 0
227 Metampiron/antalgin injeksi tablet 0 0 0 0 0 0 0 0 0 0 0
228 Metampiron/antalgin tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0
229 Metformin HCl tablet 500 mg ampul 0 0 0 0 0 0 0 0 0 0 10
230 Metformin HCl tablet 850 mg tablet 0 0 0 0 0 0 0 0 0 0 0
231 Methyldopa (Dopamet) ampul 0 0 0 0 0 0 0 0 0 0 0
232 Metilergometrin Maleat injeksi botol 0 0 0 0 0 0 0 0 0 0 0
233 Metilergometrin Maleat salut 0,125 suppo 0 0 0 0 0 0 0 0 0 0 0
234 Metilprednisolon Injeksi ovula 0 0 0 0 0 2 0 0 0 0 0
235 Metilprednisolon tablet 16 mg tablet 0 0 0 0 0 0 0 0 0 0 0
236 Metilprednisolon tablet 4 mg tablet 0 0 0 0 0 0 10 0 0 0 0
237 Metilprednisolon tablet 8 mg botol 0 0 0 0 0 0 0 0 0 0 0
238 Metoklopramide ampul 0 0 0 0 0 0 0 0 0 0 0
239 Metoklopramide injeksi tube 0 0 0 0 0 0 0 0 0 0 0
240 metrodinazole ovula/Vagizol ampul 0 0 0 0 0 0 0 0 0 0 0
241 Metronidazol 100 cc infus tablet 0 7 0 0 6 5 0 0 0 4 0
242 Metronidazol supositoria 500 mg flagyl botol 0 0 0 0 0 0 0 0 0 0 0
243 Metronidazol tablet 250 mg ampul 0 0 0 0 0 0 0 0 0 0 0
244 Metronidazol tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0
245 Meylon 8,4%/ natrium bikarbonat 8,4% ampul 0 0 0 0 0 0 0 0 0 0 0
246 Midazolam injeksi 5 mg/ml (Miloz) tablet 0 0 0 0 0 0 0 0 0 0 0
247 Mikonazol krim/salep 2% (nitrat) tablet 0 0 0 0 0 0 0 0 0 0 0
248 Morfin injeksi 10 mg/ml vaginal tab 0 0 0 0 0 0 0 0 0 0 0
249 Morfin tablet 10 mg tablet 0 0 0 0 0 0 0 0 0 0 0
250 Nacl 0,9% kaplet 0 16 4 0 1 0 0 0 0 1 0
251 Nalokson injeksi 0,4 mg/ml (Nokoba) sirup 0 0 0 0 0 0 0 0 0 0 0
252 Natrium Diklofenak Tablet 50 mg botol 0 0 0 0 0 0 0 0 0 0 0
253 Neostigmin injeksi 0,5 mg/ml (Neostigmin tablet 0 0 0 0 0 0 0 0 0 0 0
254 Nifedipin tablet 10 mg botol 0 0 0 0 0 0 0 0 0 0 0
255 Nistatin tablet salut 100.000 IU/g Vaginal tube 0 0 0 0 0 0 0 0 0 0 0
256 Nistatin tablet salut 500.000 IU/g tube 0 0 0 0 0 0 0 0 0 0 0
257 Noretisteron tablet 5 mg (Primolut N) ampul 0 0 0 0 0 0 0 0 0 0 0
258 Obat Anti Malaria kapsul 0 0 0 0 0 0 0 0 0 0 0
259 Obat Batuk Hitam ampul 0 0 0 0 0 0 1 0 0 0 0
260 Obucort tablet 0 0 0 0 0 0 0 0 0 0 0
261 Ofloxacin (Tarivid Otic Solution) TT ampul 0 0 0 0 0 0 0 0 0 0 0
262 Ofloxacin tablet 400 mg ampul 0 0 0 0 0 0 0 0 0 0 0
263 Oksitetrasiklin Salep Kulit 3% tablet 0 0 0 0 0 0 0 0 0 0 0
264 Oksitetrasiklin Salep Mata 1 % botol 0 0 0 0 0 0 0 0 0 0 0
265 Omeprazol injeksi infus 0 1 3 0 3 11 0 0 4 12 0
266 Omeprazol Kapsul/kaplet 20 mg sirup 0 0 0 0 0 0 10 0 0 0 0
267 Ondansenton tablet tablet 0 0 0 0 0 0 0 0 0 0 0
268 Ondansetron injeksi 4 mg / 2ml tube 3 8 3 0 2 14 0 2 5 12 0
269 Oxytosin/Pitogin injeksi ampul 0 0 0 0 0 4 0 0 0 7 0
270 Pantocain tablet 0 0 0 0 0 0 0 0 0 0 0
271 Papaverin Injeksi ampul 0 0 0 0 0 0 0 0 0 0 0
272 Papaverin Tablet botol 0 0 0 0 0 0 0 0 0 0 0
273 Paracetamol Drop 100 mg/ml ampul 0 0 0 0 0 0 0 0 0 0 0
274 Parasetamol infus (Sanmol infus) tablet 0 0 0 0 0 0 0 0 0 0 0
275 Parasetamol sirup 120 mg / 5 ml tablet 0 0 0 0 0 1 0 0 0 0 0
276 Parasetamol tablet 500 mg tablet 0 10 10 0 0 10 10 0 0 20 20
277 Perak sulfadiazin krim 1% (Burnazin 35 gr) tablet 0 0 0 0 0 0 0 0 0 0 0
278 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml sirup 0 0 0 0 0 0 0 0 0 0 0
279 Phenobarbital injeksi 50mg/ml/luminal tablet 0 0 0 0 0 0 0 0 0 0 0
280 Phenobarbital tablet 30mg/luminal tablet 0 0 0 0 0 0 0 0 0 0 0
281 Phenofibrat tablet 300 mg ampul 0 0 0 0 0 0 0 0 0 0 0
282 Phenol gliserol tetes telinga kapsul 0 0 0 0 0 0 0 0 0 0 0
283 Piracetam injeksi botol 0 0 0 0 0 0 0 0 0 0 0
284 Piracetam tablet 1200 mg botol 0 0 0 0 0 0 0 0 0 0 0
285 Piracetam tablet 400 mg botol 0 0 0 0 0 0 0 0 0 0 0
286 Piracetam tablet 800 mg botol 0 0 0 0 0 0 0 0 0 0 0
287 Pirantel sirup tablet 0 0 0 0 0 0 0 0 0 0 0
288 Pirantel tablet tablet 0 0 0 0 0 0 0 0 0 0 0
289 Pirazinamid tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0
290 Piridoksin (Vitamin B6) tablet 0 0 0 0 0 0 0 0 0 0 0
291 Piridoksin (Vitamin B6) injeksi ampul 0 0 0 0 0 0 0 0 0 0 0
292 Piroksikam tablet 20 mg ampul 0 0 0 0 0 0 0 0 0 0 0
293 Povidon Iodida Larutan 10 % 60 ml ampul 0 0 0 0 0 0 0 2 0 1 0
294 Povidon Iodida Larutan 10 % 1000 ml tablet 0 0 0 0 0 0 0 0 0 0 0
295 Povidon Iodida Larutan 10 % 30 ml kapsul 0 0 0 0 0 0 0 0 0 0 0
296 Povidon Iodida Larutan 10 % 300 ml infus 0 0 0 0 0 0 0 0 0 0 0
297 Prednison tablet 5 mg tablet 0 0 0 0 0 0 0 0 0 0 0
298 Primakuin tablet 15 mg tablet 0 0 0 0 0 0 0 0 0 0 0
299 Propanolol tablet 10 mg ampul 0 0 0 0 0 0 0 0 0 0 0
300 Propiltiourasil tablet 100 mg/ PTU tablet 0 0 0 0 0 0 0 0 0 0 0
301 Propofol injeksi i.v bolus 1% (Fresofol 1% sirup 0 0 0 0 0 0 0 0 0 0 0
302 Pulmicort Respule serbuk 0 0 0 0 0 0 0 0 0 0 0
303 Ramipril tablet 2,5 mg kapsul 0 0 0 0 0 0 0 0 0 0 0
304 Ranitidin injeksi 25 mg/2ml sirup 3 2 3 0 2 7 2 0 4 3 0
305 Ranitidin tablet 150 mg sirup 0 0 10 0 0 0 1 0 0 18 0
306 Retinol Vitamin A kapsul 0 0 0 0 0 0 0 0 0 0 0
307 Rhinos SR sirup 0 0 0 0 0 0 0 0 0 0 0
308 Ringer Laktat/RL larutan infus vial 9 17 4 5 10 17 5 7 23 44 0
309 Risperidone tablet 2 mg vial 0 0 0 0 0 0 0 0 0 0 0
310 Risperidone tablet 1 mg ampul 0 0 0 0 0 0 0 0 0 0 0
311 Salbutamol cairan ih 0,1% (Ventolin nebulebotol 0 0 0 0 0 0 0 0 0 0 0
312 Salbutamol syr tablet 0 0 0 0 1 0 0 0 0 0 0
313 Salbutamol tablet 4 mg (Sebagai Sulfat) tablet 0 0 0 0 0 0 0 0 0 4 0
314 Salisil Bedak 2 % tablet 0 0 0 0 0 0 0 0 0 0 0
315 Scabimite cream/permethrin 5% tablet 0 0 0 0 0 0 0 0 0 0 0
316 Sefadroksil kapsul 500 mg tablet 0 0 0 0 0 10 0 20 10 30 0
317 sefadroksil sirup 250mg/ml forte inhalasi 0 0 0 0 0 0 0 0 0 0 0
318 Sefadroksil sirup kering 125 mg/5ml tube 0 0 0 0 0 1 0 0 0 0 0
319 Sefiksim kapsul 100 mg suspensi 0 0 0 0 0 0 0 0 0 0 0
320 Sefiksim sirup kering 100 mg/5ml tablet 0 0 0 0 0 0 0 0 0 0 0
321 Sefoperazon inj 1 gr tablet 0 0 0 0 0 0 0 0 0 0 0
322 Sefotaksim injeksi 0,5 gr tablet 8 15 4 0 8 10 4 0 20 20 0
323 Serum Anti Rabies tablet 0 0 0 0 0 0 0 0 0 0 0
324 Sevofluran inh (Sojourn) tablet 0 0 0 0 0 0 0 0 0 0 0
325 Sianokobalamin (Vitamin B 12) tablet 50 m kapsul 0 0 0 0 0 0 0 0 0 0 10
326 Simvastatin tablet 10 mg tablet 0 0 0 0 0 0 0 0 0 0 0
327 Simvastatin tablet 20 mg kapsul 0 0 0 0 0 0 0 0 0 5 0
328 Sistenol kapsul tablet 0 0 0 0 0 0 0 0 0 0 0
329 Spiramisin tablet 500 mg ampul 0 0 0 0 0 0 0 0 0 0 0
330 Spironolakton tablet 100 mg ampul 0 0 0 0 0 0 0 0 0 0 0
331 Spironolakton tablet 25 mg tablet 0 0 0 0 0 0 0 0 0 0 0
332 Sukralfat suspensi 500mg/5ml sirup 0 0 0 0 0 0 0 0 0 0 0
333 Sukralfat tablet 500 mg tablet 0 0 0 0 0 30 0 0 0 0 0
334 Symbicort (inhalasi Powder) tablet 0 1 0 0 0 0 0 0 0 0 0
335 Tamsulosin tablet 0,2 mg (Harnal D) ampul 0 0 0 0 0 0 0 0 0 0 0
336 Teofilin tablet 150 mg ( Bronsolvan ) ampul 0 0 0 0 0 0 0 0 0 0 0
337 Terazosin HCl tablet 2 mg (Hytroz 3MG) inhlasi 0 0 0 0 0 0 0 0 0 0 0
338 Terbutalin tablet 2,5 mg (Molasma) botol 0 0 0 0 0 0 15 0 0 0 0
339 Tetrasiklin kapsul 500 mg sirup 0 0 0 0 0 0 0 0 0 0 0
340 Thiamazole tablet 10 mg (Thyrozol) tablet 0 0 0 0 0 0 0 0 0 0 0
341 Tiamfenikol Kapsul 500 mg 0 0 0 0 0 0 0 0 0 0 0
342 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrpcs 0 5 0 0 0 0 0 0 0 0 0
343 Tramadol injeksi pcs 10 23 2 2 0 0 0 0 0 0 0
344 Tramadol tablet 50 mg pcs 0 0 0 0 0 0 0 0 0 0 0
345 Triheksilfenidil tablet 2 mg pcs 12 28 10 3 0 0 0 0 0 0 0
346 Ulsidex tablet 500 mg pcs 5 10 5 0 0 0 0 0 0 0 0
347 Valproat sirup 250 mg/5 ml (Depakene) pcs 0 1 0 0 0 0 0 0 0 0 0
348 Valproat tablet SR 500 mg (Depakote ER 5 pcs 0 1 1 0 0 0 0 0 0 0 0
349 Ventolin Inhaler/salbutamol inhalasi 100m pcs 0 0 0 0 0 0 0 0 0 0 0
350 vitamin B 12 /Sianokobalamin injeksi pcs 0 0 0 0 0 0 0 0 0 0 0
351 Vitamin B Kompleks tablet pcs 0 0 0 0 0 0 10 0 0 0 0
352 Vitamin K Inflant Inj (Phytomenadion) pcs 0 0 0 0 0 1 0 1 0 5 0
353 Vitamin K Injeksi 10 mg pcs 0 0 0 0 0 0 0 0 0 0 0
354 Vitamin K Tablet 10 mg pcs 0 0 0 0 0 0 0 0 0 0 0
355 Zinc pro drop pcs 0 0 0 0 0 0 0 0 0 0 0
356 Zinc sirup (Zircum Kid sirup) 0 0 0 0 0 0 0 0 0 0 0
357 Zinc tablet 20 mg 0 0 0 0 0 0 0 0 0 0 0
358 OBH Sirup Anak 0 0 0 0 0 0 0 0 0 0 0
359 Candesartan 0 0 0 0 0 0 0 0 0 0 0
360 Ramipril tablet 5 mg 0 0 0 0 0 0 0 0 0 0 0
361 Meropenem Ampul 0 0 0 0 0 0 0 0 0 0 0
362 Atracurium Injeksi 0 0 0 0 0 0 0 0 0 0 0
363 0 0 0 0 0 0 0 0 0 0 0
364 0 0 0 0 0 0 0 0 0 0 0
365 0 0 0 0 0 0 0 0 0 0 0
366 0 0 0 0 0 0 0 0 0 0 0
0 BAHAN MEDIS HABIS PAKAI pcs 0 0 0 0 0 0 0 0 0 0 0
1 Alat Suntik sekali pakai 1 cc pcs 0 0 0 0 4 1 0 4 2 7 0
2 Alat Suntik sekali pakai 10 cc pcs 0 0 0 0 15 36 2 2 9 30 0
3 Alat Suntik sekali pakai 2,5 cc pcs 0 0 0 0 0 0 0 0 0 0 0
4 Alat Suntik sekali pakai 3 cc pcs 0 0 0 0 30 49 6 8 29 40 0
5 Alat Suntik sekali pakai 5 cc pcs 0 1 0 0 8 12 0 8 6 20 0
6 Alat Suntik sekali pakai 50 cc pcs 0 0 0 0 0 0 0 0 0 0 0
7 Alat suntik sekali pakai 20cc pcs 0 0 0 0 0 0 0 0 0 0 0
8 Alkohol Swab pcs 0 0 0 0 0 0 0 0 0 1 0
9 Arm Sling Comport L pcs 0 0 0 0 0 0 0 0 0 0 0
10 Arm Sling Comport M roll 0 0 0 0 0 0 0 0 0 0 0
11 Arm Sling Comport S roll 0 0 0 0 0 0 0 0 0 0 0
12 Benang Dermalon 2.0 cutting C 14 roll 0 0 0 0 0 0 0 0 0 0 0
13 Benang Dermalon 2.0 cutting C 17 pcs 0 0 0 0 0 0 0 0 0 0 0
14 Benang Dermalon 3.0 pcs 0 0 0 0 0 0 0 0 0 0 0
15 Benang Dermalon 4.0 pcs 0 0 0 0 0 0 0 0 0 0 0
16 Benang Dermalon 6.0 pcs 0 0 0 0 0 0 0 0 0 0 0
17 Benang Prolene 2.0 pcs 0 0 0 0 0 0 0 0 0 0 0
18 Benang Prolene 3.0 pcs 0 0 0 0 0 0 0 0 0 0 0
19 Benang Prolene 4.0 pcs 0 0 0 0 0 0 0 0 0 0 0
20 Benang Prolene 5.0 pcs 0 1 0 0 0 0 0 0 0 0 0
21 Benang Promilene 5/0 pcs 0 0 0 0 0 0 0 0 0 0 0
22 Benang Vicril 1(Round Bodied) pcs 0 0 0 0 0 0 0 0 0 0 0
23 Benang Vicril 2.0 (Round Bodied) pcs 0 0 0 0 0 0 0 0 0 0 0
24 Benang Vicril 3.0 (Round Bodied) pcs 0 0 0 0 0 0 0 0 0 0 0
25 Benang Vicril 4.0 pcs 0 0 0 0 0 0 0 0 0 0 0
26 Benang Vicryl 3/0 (Cutting) pcs 0 0 0 0 0 0 0 0 0 0 0
27 Blood Transfusion Set pcs 0 0 0 0 0 0 0 0 0 0 0
28 Cat Gut Chromic 0/0 HR 40 pcs 0 0 0 0 0 1 0 0 4 8 0
29 Cat Gut Chromic 1/0 HR 37 pcs 0 0 0 0 0 0 0 0 0 0 0
30 Cat Gut Chromic 1/0 HR 48 pcs 0 0 0 0 0 0 0 0 0 0 0
31 Cat Gut Chromic 2/0 HR 37 pcs 0 0 0 0 0 0 0 0 0 0 0
32 Cat Gut Chromic 2/0 HR 50 pcs 0 0 0 0 0 0 0 0 0 0 0
33 Cat Gut Chromic 2/0 Onemed roll 0 0 0 0 0 0 0 0 0 0 0
34 Cat Gut Chromic 3/0 HR 26 roll 0 0 0 0 0 0 0 0 0 0 0
35 Cat Gut Chromic 3/0 Onemed roll 0 0 0 0 0 0 0 0 0 5 0
36 Cat Gut Plain 0 pasang 0 0 0 0 0 0 0 0 0 0 0
37 Cat Gut Plain 1/0 pasang 0 0 0 0 0 0 0 0 0 0 0
38 Cat Gut Plain 2/0 26 pasang 0 0 0 0 0 0 0 0 0 0 0
39 Cat Gut Plain 2/0 HR 37 pasang 0 0 0 0 0 0 0 0 0 0 0
40 Cat Gut Plain 2/0 Onemed pasang 0 0 0 0 0 0 0 0 0 0 0
41 Cat Gut Plain 3/0 HR 26 pasang 0 0 0 0 0 0 0 0 0 0 0
42 Cathejell pasang 0 0 0 0 0 3 0 1 0 0 0
43 Cervical colar pcs 0 0 0 0 0 0 0 0 1 0 0
44 Elastis Perban 10 cm x 455 cm pcs 0 0 0 0 0 0 0 0 0 0 0
45 Elastis Perban 15 cm x 455 cm pcs 0 0 0 0 0 0 0 0 0 0 0
46 Elastis Perban7,5cm x 455 cm pcs 0 0 0 0 0 0 0 0 0 0 0
47 Endotracheal tube rush id 2,5 pcs 0 0 0 0 0 0 0 0 0 0 0
48 Endotracheal tube rush id 2,5 uncuffed pcs 0 0 0 0 0 0 0 0 0 0 0
49 Endotracheal tube rush id 3 pcs 0 0 0 0 0 0 0 0 0 0 0
50 Endotracheal tube rush id 3 uncuffed pcs 0 0 0 0 0 0 0 0 0 0 0
51 Endotracheal tube rush id 3,5 airflow Cuffegulung 0 0 0 0 0 0 0 0 0 0 0
52 Endotracheal tube rush id 3,5uncuffed box 0 0 0 0 0 0 0 0 0 0 0
53 Endotracheal tube rush id 4 airflow Cuffed pcs 0 0 0 0 0 0 0 0 0 0 0
54 Endotracheal tube rush id 4 uncuffed 0 0 0 0 0 0 0 0 0 0 0
55 Endotracheal tube rush id 4,5 pcs 0 0 0 0 0 0 0 0 0 0 0
56 Endotracheal tube rush id 5 pcs 0 0 0 0 0 0 0 0 0 0 0
57 Endotracheal tube rush id 5,5 pcs 0 0 0 0 0 0 0 0 0 0 0
58 Endotracheal tube rush id 6 pcs 0 2 2 2 0 0 0 0 0 0 0
59 Endotracheal tube rush id 7 cuffed pcs 0 0 3 0 0 0 0 0 0 0 0
60 Endotracheal tube rush id 7 uncuffed pcs 0 3 2 0 0 0 0 0 0 0 0
61 Endotracheal tube rush id 7,5 cuffed pcs 0 0 0 0 0 0 0 0 0 0 0
62 Endotracheal tube rush id 7,5 uncuffed pcs 2 2 0 0 0 0 0 0 0 0 0
63 Gudel 40 MM pcs 0 0 0 0 0 0 0 0 0 0 0
64 Gudel 50 MM pcs 0 2 2 1 0 0 0 0 0 0 0
65 Gudel 60 MM pcs 0 0 0 0 0 0 0 0 0 0 0
66 Gudel 70 MM pcs 0 0 0 0 0 0 0 0 0 0 0
67 Gudel 80 MM pcs 0 0 0 0 0 0 0 0 0 0 0
68 Gudel 90 MM pcs 0 0 0 0 0 0 0 0 0 0 0
69 Gypsona 10 cm x 2,9 cm no.4 pcs 0 0 0 0 0 0 0 0 0 0 0
70 Gypsona 15 cm x 2,9 cm no.6 pcs 0 0 0 0 0 0 0 0 0 0 0
71 Gypsona 7,5 cm x 2,9 cm no.3 pcs 0 0 0 0 0 0 0 0 0 0 0
72 Handscoon Manual Plasenta United pcs 0 0 0 0 0 0 0 0 0 0 0
73 Handscoon Non Steril (L) pcs 0 0 0 0 0 0 0 0 0 0 0
74 Handscoon Non Steril (M) pcs 0 0 0 0 0 0 0 0 0 0 0
75 Handscoon Steril No. 6,5 pcs 0 0 0 0 0 0 0 0 0 0 0
76 Handscoon Steril No. 7 pcs 0 0 0 0 0 0 0 0 0 0 0
77 Handscoon Steril No. 8 pcs 0 0 0 0 0 4 0 2 0 12 0
78 Handscoon steril No.7,5 pcs 0 0 0 0 0 0 0 0 0 0 0
79 I.V Catheter No. 16 G pcs 0 0 0 0 0 0 0 0 0 0 0
 80 I.V Catheter No. 18 G pcs 0 0 0 0 0 0 0 0 1 1 0
81 I.V Catheter No. 20 G pcs 0 0 0 0 0 3 0 2 1 14 0
82 I.V Catheter No. 22 G pcs 0 0 0 0 2 0 1 0 4 1 0
83 I.V Catheter No. 24 G pcs 0 0 0 0 1 3 0 0 2 3 0
84 I.V Catheter No. 26 pcs 0 0 0 0 6 2 0 0 2 2 0
85 Infusion set anak pcs 0 0 0 0 0 0 0 0 0 0 0
86 Infusion set Dewasa pcs 0 0 0 0 0 0 0 0 0 0 0
87 Injeksi Plug pcs 0 0 0 0 2 3 1 1 3 4 0
88 kassa gulung 5x10 pcs 0 1 0 0 0 0 0 0 0 0 0
89 Kassa steril pcs 0 0 0 0 0 0 0 0 0 0 0
90 Kertas perkamen pcs 0 0 0 0 0 0 0 0 1 0 0
91 Lomatulle / cuticell 10 x 10 pcs 0 0 0 0 0 0 0 0 0 0 0
92 Masker pcs 0 0 0 0 0 0 0 0 0 2 0
93 Masker /sungkup Oksigen Dewasa pcs 0 0 0 0 0 0 0 0 0 0 0
94 Masker N95 pcs 0 0 0 0 0 0 0 0 0 0 0
95 Masker Nebu Anak pcs 0 0 0 0 0 0 0 0 0 0 0
96 Masker Nebu dewasa pcs 0 0 0 0 0 0 0 0 0 0 0
97 Masker NRM anak pcs 0 0 0 0 0 0 1 0 0 0 0
98 Masker NRM dewasa pcs 0 0 0 0 0 0 0 0 0 0 0
99 Masker/sungkup Oksigen Anak pcs 0 0 0 0 0 0 0 0 0 0 0
100 Masker/sungkup Oksigen bayi pcs 0 0 0 0 0 0 0 0 0 0 0
101 Mess Hernia pcs 0 0 0 0 0 0 0 0 0 0 0
102 Mess No. 10 pcs 0 0 0 0 0 0 0 0 0 0 0
103 Mess No. 11 pcs 0 0 0 0 0 0 0 0 0 2 0
104 Mess No. 15 pcs 0 0 0 0 0 0 0 0 0 0 0
105 Nasal Kanula O2 (L) dewasa pcs 0 0 0 0 0 0 0 0 0 0 0
106 Nasal Kanula O2 (M) anak 0 0 0 0 0 0 0 0 0 3 0
107 Nasal Kanula O2 (S) infant 0 0 0 0 0 0 0 0 0 0 0
108 Nasal Kanula O2 (X.S) dibawah infant 0 0 0 0 0 0 0 0 0 0 0
109 NGT /feeding tube No. 18 0 0 0 0 0 0 0 0 0 0 0
110 NGT/feeding tube No. 16 0 0 4 0 0 0 0 0 1 0 0
111 NGT/feeding tube No. 5 100 cm 0 0 0 0 0 0 0 0 0 0 0
112 NGT/feeding tube No. 8 40 cm 0 0 4 0 0 0 0 0 0 0 0
113 NGT/feeding tube no.10 100 cm 0 0 0 0 0 0 0 0 0 0 0
114 NGT/feeding tube No.12 cm 0 0 0 0 0 0 0 0 0 0 0
115 NGT/feeding tube .no 8 100 cm 0 0 0 0 0 0 0 0 0 0 0
116 NGT/feeding tube No. 5 40 cm 0 0 0 0 0 0 0 0 0 0 0
117 NGT/feeding tube No.3.5 35 cm 0 0 0 0 0 0 0 0 0 0 0
118 Opsite Besar 0 0 0 0 0 0 0 0 0 0 0
119 Opsite Postofix-pu 10x10 cm 0 0 0 0 0 0 0 0 0 0 0
120 Opsite Postofix-pu 6x7 cm 0 0 0 0 0 0 0 0 0 0 0
121 Pen needles/jarum insulin pen 0 0 0 0 0 0 0 0 0 0 0
122 Perban elastis 15x4,55 cm 0 0 0 0 0 0 0 0 0 0 0
123 Perban elastis 7,5x4,55 cm 0 0 0 0 0 0 0 0 0 0 0
124 policrepe (perban elastis) 10x4,55 cm 0 0 0 0 0 0 0 0 0 0 0
125 Polyprolene 2/0 DS 24 M 0 0 0 0 0 0 0 0 0 0 0
126 Polyprolene 3/0 DS 24 M 0 0 0 0 0 0 0 0 0 0 0
127 Polyprolene 4/0 DS 24 M 0 0 0 0 0 0 0 0 0 0 0
128 Polyprolene 5/0 DS 24 M 0 0 0 0 0 0 0 0 0 0 0
129 Polyprolene 6/0 DS 24 M 0 0 0 0 0 0 0 0 0 0 0
130 Silk 0 0 0 0 0 0 0 0 0 0 0 0
131 Silk 2/0 GT 75 0 0 0 0 0 0 0 0 0 0 0
132 Silk 2/0 HR 26 0 0 0 0 0 0 0 0 0 0 0
133 Silk 3/0 GT 75 0 0 0 0 0 0 0 0 0 0 0
134 Silk 3/0 HR 26 0 0 0 0 0 0 0 0 0 0 0
135 Silk 4/0 HR 20 0 0 0 0 0 0 0 0 0 0 0
136 Silk Black 1 HR 30 0 0 0 0 0 0 0 0 0 0 0
137 Soft ban no. 4 0 0 0 0 0 0 0 0 0 0 0
138 Soft Ban No. 6 0 0 0 0 0 0 0 0 0 0 0
139 Soft ban no.3 0 0 0 0 0 0 0 0 0 0 0
140 Spinocan no. 25 0 0 0 0 0 0 0 0 0 0 0
141 Spinocan no. 26 0 0 0 0 0 0 0 0 0 0 0
142 Spinocan no. 27 0 0 0 0 0 0 0 0 0 0 0
143 Stomach Tube No. 16 0 0 0 0 0 0 0 0 0 0 0
144 Stomach Tube No. 18 0 0 0 0 0 0 0 0 0 0 0
145 Suction Catheter no 8 0 0 0 0 0 0 0 0 0 0 0
146 Suction Catheter with control 12 G 0 0 0 0 0 0 0 0 0 0 0
147 Suction no.14 0 0 0 0 0 0 0 0 0 0 0
148 Surgicril 2/0 D5 26 mm 0 0 0 0 0 0 0 0 0 0 0
149 Surgicril 910 no.1 HR 48 mm 0 0 0 0 0 0 0 0 0 0 0
150 Surgicril 910 no.3 HR 24 mm 0 0 0 0 0 0 0 0 0 0 0
151 Three Way no.20 0 0 0 0 0 0 0 0 0 0 0
152 Underpad 60 cm x 90 cm 0 0 0 0 0 0 0 0 0 0 0
153 Urine /Foley Catheter No. 12 0 0 0 0 0 3 0 4 0 8 0
154 Urine /Foley Catheter No. 14 0 0 0 0 0 0 0 0 0 0 0
155 Urine /Foley Catheter No. 16 0 0 0 0 0 0 0 0 0 0 0
156 Urine /Foley Catheter No. 18 0 0 0 0 2 1 0 0 0 0 0
157 Urine /Foley Catheter No. 20 0 0 0 0 2 0 0 0 0 0 0
158 Urine Bag 0 0 0 0 0 0 0 0 0 0 0
159 Urine/Foley Catheter No. 10 0 0 0 0 0 0 0 0 0 0 0
160 Urine/Foley Catheter No. 8 0 0 0 0 0 0 0 0 0 0 0
 4 5 6 7 8 9
JKBS BPJS UM JKBS BPJS UM JKBS BPJS UM JKBS BPJS UM JKBS BPJS UM JKBS BPJS UM
3 13 19 3 7 7 13 2 6 6 11 12 2 4 8 10 1 11 8 9 1 12 16 3
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0 0
0 0
0 20
3 39
0 0
3 53
0 20
0 1
0 2
0 1
0 0
0 273
14 30
1 1
1 3
0 0
0 12
 0 72
0 6
0 27
0 13
3 7
0 2
0 0
0 0
0 0
0 0
0 0
53 222
78 746
0 0
117 1179
94 463
0 6
0 0
21 41
12 20
0 0
0 0
0 0
0 0
0 0
0 14
0 0
0 0
0 0
0 1
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 107
0 1
0 0
0 0
0 3
0 0
0 0
 8 45
0 0
0 1
0 3
0 0
1 5
0 0
9 16
0 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 1
0 0
0 0
2 6
0 3
2 7
0 0
0 5
0 0
1 5
0 0
0 0
0 0
0 1
0 0
0 0
0 3
0 0
2 10
0 0
0 0
0 1
70 176
0 0
4 4
 2 9
31 103
16 107
1 104
0 55
16 30
0 21
10 148
0 1
0 0
2 9
0 0
9 29
0 0
0 1
0 0
0 2
0 15
0 1
0 6
0 1
0 0
0 2
7 23
0 0
0 1
1 43
0 6
1 3
0 2
0 11
0 6
4 11
0 0
0 1
0 0
0 1
0 0
0 0
13 24
1 1
0 0
0 5
0 0
0 0
 0 0
1 5
0 0
0 8
0 0
0 0
1 2
0 0
1 7
0 4
0 3
0 5
1 1
0 0
0 1
0 0
0 0
2 8
7 10
0 0
0 0
2 7
0 0
1 4
5 25
20 29
0 1
1 8
52 144
4 6
0 1
9 43
3 10
0 0
0 0
0 0
 REKAPAN PENGELUARAN OBAT HARIAN BULAN JANUARI 2018

NO NAMA OBAT BENTUK SEDIAAN TOTAL

JUMLAH RESEP 1070
1 ABU/ Anti Bisa Ular botol 0
2 Acetylcysteine 200 kap ampul 56
3 Air untuk irigasi lar infus 1000 ml / WI kapsul 28
4 Albendazol 400 mg tablet 6
5 Albumin vial 0
6 Alkohol 70% botol 2
7 Allopurinol tablet 100 mg tablet 30
8 Allopurinol tablet 300 mg tablet 3
9 Alprazolam tablet 0,25 mg tablet 9
10 Alprazolam tablet 0,5 mg botol 27
11 Ambroxol sirup 15mg/ml tablet 43
12 Ambroxol tablet 30 mg ampul 295
13 Amikacin inj tablet 4
14 Aminofilin injeksi 24 mg/ml pcs 0
15 Aminofilin tablet 200 mg pak 0
16 Aminofluid botol 2
17 Aminofusin FAED tablet 0
18 Aminoleban tablet 0
19 Amitriptilin tablet 25 mg tablet 0
20 Amlodipin tablet 10 mg tablet 0
21 Amlodipin tablet 5 mg tablet 0
22 Amoksisilin 250 mg vial 0
23 Amoksisilin 500 mg kaplet 442
24 Amoksisilin serbuk injeksi 1000 mg sirup 0
25 Amoksisilin sirup 250mg/mg forte sirup 0
26 Amoksisilin sirup kering 125 mg/ 5 ml kaplet 18
27 Amoksisilin+ As. Klavuanat 625 mg vial 0
28 Ampisilin injeksi flexpen 0
29 Ampisilin kaplet 500 mg flexpen 0
30 Analog insulin long acting inj 100 UI/ml (Lantus solostar) flexpen 0
31 Analog insulin rapid acting inj 100 UI/ml (Novorapid Flexphen) tablet 7
32 Analog insulin short acting inj 100 UI/ml (Levemir Flexphen) suspensi 2
33 Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg tablet 0
34 Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg suppo 0
35 Antibakteri: Basitrasin +Polimiksin tablet 0
36 Antihemoroid suppo Botol 3
37 Antimigren : Ergotamin Tartrat 1 mg + Kofein 50 mg ampul 0
38 Aqua pro injeksi nasal spray 182
39 Artem Injeksi tablet 0
40 Asam Asetilsalisilat tablet 500 mg (Asetosal) tablet 0
41 Asam Asetilsalisilat tablet 80 mg (Miniaspi) tablet 46
42 Asam Folat tablet 80
43 Asam Mefenamat kap 500 mg kaplet 1313
44 Asam traneksamat ampul 36
45 Asam traneksamat injeksi tablet 46
46 Ascorbic Acid (Vit C) 50 mg tablet 64
47 Asedas sirup Botol 2
48 Asering tube 27
49 Asetosal/Asam Asetilsalisilat 100 mg tablet 0
50 Asiklovir krim 5 % tablet 0
51 Asiklovir tablet 200 mg tablet 10
52 Asiklovir tablet/kapsul/kaplet 400 mg ampul 0
53 Atapulgit tablet botol 0
54 Atorvastatin tablet 20 mg ampul 47
55 Atropin injeksi i.m/i.v./s.k. 0,25 mg/ml (sulfat) tablet 2
56 Atropin tablet 0,5 mg tablet 0
57 ATS kapsul 8
58 Avamys Nasal Spray /flutikason furoat tube 0
59 Azitomisin + sefiksim vial 0
60 Azitromisin Sirup tablet 0
61 Azitromisin tablet 500 mg tablet 0
62 Basitrasin salp kulit tube 0
63 Benzatin Benzil Penisilin 2.4 jt IU suppo 0
64 Berotec Inhalation tablet 0
65 Besi II sulfat 200 mg+Asam Folat 0,25 mg tablet/ SF tablet 53
66 Betahistin tablet inhalation 63
67 Betametason krim 0,1% (sebagai Valerat) ampul 4
68 Bisakodil 5 mg supp infant (Dulcolax supp) ampul 0
69 Bisoprolol tablet 2,5 mg (Concor) vial 16
70 Bisoprolol tablet 5 mg vial 23
71 Bupivacaine spinal heavy injeksi sirup 10
72 Calsii Glukonas injeksi tablet 2
73 Ceftazidim inj 1 gr tablet 0
74 Ceftriaxon inj 1 gr Botol 37
75 Cetirizin sirup 5 mg/5 ml tablet 6
76 Cetirizine tablet 10 mg ampul 241
77 Cimetidine tablet 0
78 Ciprofloxacin infus 2% kapsul 4
79 Ciprofloxacin tablet 500 mg kapsul 184
80 Citicholine inj 250mg/2 ml tube 0
 81 Citicholine tablet 500 mg tablet 0
82 Clindamisin 150 mg ampul 0
83 Clindamisin 300 mg tablet 0
84 Cloramfecort cream : Cloramphenicol, Hydrocortison ampul 0
85 Codein tablet tablet 15
86 Combivent ampul 95
87 D5% 1/2 NS suppo 23
88 D5% 1/4 NS suppo 0
89 Deksametason tablet 0,5 mg ampul 21
90 Deksametasone inj i.v 5 mg/ml tablet 47
91 Diazepam injeksi 5 mg/ ml tablet 0
92 Diazepam larutan rektal 10 mg/2,5 ml (Stesolid) tablet 5
93 Diazepam larutan rektal 5 mg/2,5 ml (Stesolid) ampul 1
94 Diazepam tablet 2 mg kapsul 41
95 Difenhidramin injeksi i.v/i.m 10 mg/ml suspensi 2
96 Digoxin tablet 0,25 mg tablet 8
97 Diltiazem HCl 30 mg tablet ampul 0
98 Dimenhidrinat tablet 50 mg tablet 10
99 Dobutamin inj 50 mg/ml (Doburan) ampul 0
100 Doksisiklin kapsul 100 mg infus 0
101 Domperidon suspensi 5mg/ml infus 6
102 Domperidon tablet 10 mg ampul 431
103 Dopamin injeksi 40 mg/ml tablet 0
104 Dulkolax tablet 5 mg ampul 0
105 Duvadilan tablet 0
106 Duvadilan injeksi kapsul 0
107 Efedrin HCl injeksi kapsul 6
108 Efedrin HCl tablet sirup 8
109 Epinefrin (Adrenalin) injeksi i.v/s.k/i.m 1 mg/ml botol 15
110 Ergotamin tablet tablet 0
111 Eritromisin kapsul 250 mg Botol 0
112 Eritromisin kapsul 500 mg tablet 50
113 Eritromisin sirup ampul 1
114 Etakridin / Rivanol 300 ml kapsul 0
115 Etambutol ampul 0
116 Eugenol cairan Botol 0
117 Famotidin tablet 40 mg ampul 0
118 Fenitoin injeksi 50 mg/ml kapsul 0
119 Fenitoin kapsul 100 mg tablet 0
120 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul 1
121 Fenofibrat 100mg kapsul 0
122 Fenol Gliserol tetes telinga 10 % kapsul 0
123 Fentanil injeksi i.m/i.v 0,05 mg/ml ampul 10 ml ampul 38
124 Ferriprox kapsul tablet 45
125 Fitomenadion (Vit. K1) Injeksi dewasa botol 0
126 Fitomenadion (Vit. K1) tablet salut gula 10 mg sachet 0
127 Fluconazole kap 150 kapsul 0
128 Furosemid injeksi i.v./i.m. 10 mg/ml kapsul 56
129 Furosemid tablet 40 mg ampul 13
130 Futrolit tube 0
131 Garam oralit I serbuk, Kombinasi tube 127
132 Gemfibrozil kapsul 300 mg botol 0
133 Gemfibrozil kapsul 600 mg tablet 0
134 Gentamisin Injeksi 40 mg/ ml tablet 14
135 Gentamisin salep kulit 0.1 % tablet 0
136 Gentamisin salep mata 0,3 % (Genoint) tablet 21
137 Gentamisin tetes mata botol 0
138 Glibenklamida tablet 5 mg tablet 0
139 Gliklazid tablet 80 mg (Glicab) botol 0
140 Glimepiride tablet 2 mg infus 18
141 Gliquidone tablet 30 mg infus 0
142 Gliserin Guayakolat infus 0
143 Gliserin lar 50% tablet 1
144 Gliserol 100 ml tablet 0
145 Glukosa Larutan infus 10 % steril 500 ml tablet 4
146 Glukosa Larutan infus 40 % steril tablet 3
147 Glukosa Larutan infus 5 % steril 500 ml botol 41
148 Griseofulfin tube 0
149 Haloperidol tablet 0.5 mg ampul 0
150 Haloperidol tablet 2 mg suspensi 0
151 Heparin injeksi i.v/s.k 5000 UI/ml (Inviclot) tablet 0
152 Hidrocortiazide (HCT) tablet 0
153 Hidrokortison krim 2,5% tetes hidung 4
154 Human Insulin short acting inj 100 UI/ml (Actrapid HM) botol 0
155 ibuprofen 200 mg botol 20
156 Ibuprofen 400 mg tablet 180
157 Ibuprofen suspensi 100 mg/5 ml tablet 4
158 Iliadin Spray /oksimetazolin 0.025% tetes hidung botol 0
159 Intralipid botol 0
160 Isofluran inh (Terrell) Botol 0
161 Isoniazid tablet 100 mg kaplet 0
162 Isosorbid Dinitrat tablet sublingual 5 mg/ISDN tablet 2
163 KA EN 1B kaplet 19
164 KA EN 3A tablet 1
165 KA EN 3B tablet 6
166 Kalium aspartat tablet 300 mg /Kalipar tablet 0
167 Kalium dikofenak tablet 50 mg tablet 0
168 Kalium Klorida tablet 600 mg/ KSR tablet 0
169 Kalsium Laktat (Kalk) tablet 500 mg botol 9
170 Kaptopril tablet 50 mg ampul 0
171 Kaptopril tablet scored 12,5 mg tube 92
172 Kaptopril tablet scored 25 mg tablet 0
173 Karbamazepin tablet 200 mg ampul 0
174 KCl/ kalium klorida tablet 2
175 Ketamin injeksi i.v. 100 mg/ml suppo 0
176 Ketokonazol Krim 2 % ampul 0
177 Ketokonazol tablet 200 mg pak 0
178 Ketoprofen injeksi 100 mg tablet 0
179 Ketoprofen suppositoria ampul 0
180 Ketoprofen tablet 100mg tablet 0
181 Ketorolac inj 30 mg tablet 127
182 Kidmin kapsul 0
183 Klobazam tablet 10 mg tube 0
184 Klonidin injeksi i.v 0,15 mg/ml HCl (Catapres inj) botol 0
185 Klonidin tablet 0,15 mg botol 0
186 Klopidogrel tablet 75 mg tablet 63
187 Kloramfenikol kapsul 250 mg ampul 0
188 Kloramfenikol Salep Kulit ampul 2
189 Kloramfenikol salep mata 1 % tablet 2
190 Kloramfenikol Sirup tablet 2
191 Kloramfenikoltetes mata tablet 0
192 Kloramfenikoltetes Tetes Telinga tablet 0
193 Kloroquin 150mg botol 0
194 Kloroquin 250mg tablet 0
195 Klorpheniramin Maleat (CTM) tab 4mg tablet 89
196 Klorpromazin injeksi i.m 25mg/ml-2 ml (HCl) suspensi 0
197 Klorpromazin injeksi i.m 5mg/ml-2 ml (HCl) ampul 0
198 Klorpromazin tablet salut 100 mg (HCl) tablet 0
199 Klorpromazin tablet salut 25 mg (HCl) sirup 0
200 Koloid HES BM 130000 lar inf 6 % (Voluven) ampul 2
201 Kotrimoksazol DOEN I (Dewasa) Kombinasi: kapsul 0
202 Kotrimoksazol DOEN I (Dewasa) Kombinasi: Forte 960 tablet 13
203 Kotrimoksazol suspensi komp: botol 0
204 Kuinin injeksi i.v. 25 % tablet 0
205 Kuinin tablet botol 0
206 lacbon ampul 120
207 Laktulosa sirup ampul 1
208 Lanzoprazol injeksi 30 mg/ml (Prosogan inj) botol 0
209 Lanzoprazol kapsul 30 mg kapsul 75
210 Laxadin sirup tablet 2
211 Levofloksasin cairan infus 5 mg/ml tablet 0
212 Levofloksasin tablet 500 mg tablet 28
213 Levofloxacin (Optiflox) TM tablet 0
214 Lidokain injeksi botol 112
215 Lidokain injeksi 2% + Epinefrin 1 :80.000/Pehacain botol 0
216 Lidokain jelly 2 %/ Xylocaine jelly 2 % tablet 0
217 Linkomisin kapsul 500 mg sirup 0
218 Lisinopril tablet 10 mg tablet 10
219 Lisinopril tablet 5 mg tablet 5
220 Loperamid tablet 2 mg (Novadium) ampul 0
221 Loratadin tablet 10 mg tablet 36
222 Magnesium Sulfat inj (i.v) 40%-25 ml tablet 7
223 Manitol 20 % tablet 0
224 Mebendazol sirup 100 mg / 5 ml tablet 0
225 Mebendazol tablet 100 mg ampul 0
226 Meloksikam tablet 15 mg tablet 55
227 Metampiron/antalgin injeksi tablet 0
228 Metampiron/antalgin tablet 500 mg tablet 0
229 Metformin HCl tablet 500 mg ampul 158
230 Metformin HCl tablet 850 mg tablet 0
231 Methyldopa (Dopamet) ampul 0
232 Metilergometrin Maleat injeksi botol 11
233 Metilergometrin Maleat salut 0,125 suppo 68
234 Metilprednisolon Injeksi ovula 8
235 Metilprednisolon tablet 16 mg tablet 0
236 Metilprednisolon tablet 4 mg tablet 147
237 Metilprednisolon tablet 8 mg botol 10
238 Metoklopramide ampul 10
239 Metoklopramide injeksi tube 114
240 metrodinazole ovula/Vagizol ampul 0
241 Metronidazol 100 cc infus tablet 93
242 Metronidazol supositoria 500 mg flagyl botol 0
243 Metronidazol tablet 250 mg ampul 0
244 Metronidazol tablet 500 mg tablet 0
245 Meylon 8,4%/ natrium bikarbonat 8,4% ampul 1
246 Midazolam injeksi 5 mg/ml (Miloz) tablet 3
247 Mikonazol krim/salep 2% (nitrat) tablet 5
248 Morfin injeksi 10 mg/ml vaginal tab 0
249 Morfin tablet 10 mg tablet 0
250 Nacl 0,9% kaplet 238
251 Nalokson injeksi 0,4 mg/ml (Nokoba) sirup 0
252 Natrium Diklofenak Tablet 50 mg botol 0
253 Neostigmin injeksi 0,5 mg/ml (Neostigmin Hameln inj) tablet 0
254 Nifedipin tablet 10 mg botol 76
255 Nistatin tablet salut 100.000 IU/g Vaginal tube 0
256 Nistatin tablet salut 500.000 IU/g tube 13
257 Noretisteron tablet 5 mg (Primolut N) ampul 0
258 Obat Anti Malaria kapsul 0
259 Obat Batuk Hitam ampul 1
260 Obucort tablet 0
261 Ofloxacin (Tarivid Otic Solution) TT ampul 0
262 Ofloxacin tablet 400 mg ampul 0
263 Oksitetrasiklin Salep Kulit 3% tablet 0
264 Oksitetrasiklin Salep Mata 1 % botol 0
265 Omeprazol injeksi infus 199
266 Omeprazol Kapsul/kaplet 20 mg sirup 400
267 Ondansenton tablet tablet 103
268 Ondansetron injeksi 4 mg / 2ml tube 352
269 Oxytosin/Pitogin injeksi ampul 129
270 Pantocain tablet 0
271 Papaverin Injeksi ampul 0
272 Papaverin Tablet botol 0
273 Paracetamol Drop 100 mg/ml ampul 3
274 Parasetamol infus (Sanmol infus) tablet 0
275 Parasetamol sirup 120 mg / 5 ml tablet 50
276 Parasetamol tablet 500 mg tablet 1098
277 Perak sulfadiazin krim 1% (Burnazin 35 gr) tablet 0
278 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml sirup 1
279 Phenobarbital injeksi 50mg/ml/luminal tablet 0
280 Phenobarbital tablet 30mg/luminal tablet 17
281 Phenofibrat tablet 300 mg ampul 10
282 Phenol gliserol tetes telinga kapsul 0
283 Piracetam injeksi botol 1
284 Piracetam tablet 1200 mg botol 0
285 Piracetam tablet 400 mg botol 0
286 Piracetam tablet 800 mg botol 0
287 Pirantel sirup tablet 0
288 Pirantel tablet tablet 0
289 Pirazinamid tablet 500 mg tablet 39
290 Piridoksin (Vitamin B6) tablet 6
291 Piridoksin (Vitamin B6) injeksi ampul 0
292 Piroksikam tablet 20 mg ampul 0
293 Povidon Iodida Larutan 10 % 60 ml ampul 23
294 Povidon Iodida Larutan 10 % 1000 ml tablet 0
295 Povidon Iodida Larutan 10 % 30 ml kapsul 0
296 Povidon Iodida Larutan 10 % 300 ml infus 0
297 Prednison tablet 5 mg tablet 0
298 Primakuin tablet 15 mg tablet 0
299 Propanolol tablet 10 mg ampul 15
300 Propiltiourasil tablet 100 mg/ PTU tablet 25
301 Propofol injeksi i.v bolus 1% (Fresofol 1% MCT/LCT) sirup 9
302 Pulmicort Respule serbuk 0
303 Ramipril tablet 2,5 mg kapsul 27
304 Ranitidin injeksi 25 mg/2ml sirup 269
305 Ranitidin tablet 150 mg sirup 745
306 Retinol Vitamin A kapsul 12
307 Rhinos SR sirup 28
308 Ringer Laktat/RL larutan infus vial 853
309 Risperidone tablet 2 mg vial 0
310 Risperidone tablet 1 mg ampul 0
311 Salbutamol cairan ih 0,1% (Ventolin nebules) botol 3
312 Salbutamol syr tablet 21
313 Salbutamol tablet 4 mg (Sebagai Sulfat) tablet 184
314 Salisil Bedak 2 % tablet 0
315 Scabimite cream/permethrin 5% tablet 0
316 Sefadroksil kapsul 500 mg tablet 666
317 sefadroksil sirup 250mg/ml forte inhalasi 10
318 Sefadroksil sirup kering 125 mg/5ml tube 9
319 Sefiksim kapsul 100 mg suspensi 4
320 Sefiksim sirup kering 100 mg/5ml tablet 6
321 Sefoperazon inj 1 gr tablet 0
322 Sefotaksim injeksi 0,5 gr tablet 534
323 Serum Anti Rabies tablet 0
324 Sevofluran inh (Sojourn) tablet 1
325 Sianokobalamin (Vitamin B 12) tablet 50 mcg kapsul 46
326 Simvastatin tablet 10 mg tablet 15
327 Simvastatin tablet 20 mg kapsul 65
328 Sistenol kapsul tablet 20
329 Spiramisin tablet 500 mg ampul 0
330 Spironolakton tablet 100 mg ampul 0
331 Spironolakton tablet 25 mg tablet 5
332 Sukralfat suspensi 500mg/5ml sirup 35
333 Sukralfat tablet 500 mg tablet 104
334 Symbicort (inhalasi Powder) tablet 3
335 Tamsulosin tablet 0,2 mg (Harnal D) ampul 0
336 Teofilin tablet 150 mg ( Bronsolvan ) ampul 0
337 Terazosin HCl tablet 2 mg (Hytroz 3MG) inhlasi 0
338 Terbutalin tablet 2,5 mg (Molasma) botol 63
339 Tetrasiklin kapsul 500 mg sirup 0
340 Thiamazole tablet 10 mg (Thyrozol) tablet 0
341 Tiamfenikol Kapsul 500 mg 0
342 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) pcs 20
343 Tramadol injeksi pcs 39
344 Tramadol tablet 50 mg pcs 0
345 Triheksilfenidil tablet 2 mg pcs 53
346 Ulsidex tablet 500 mg pcs 20
347 Valproat sirup 250 mg/5 ml (Depakene) pcs 1
348 Valproat tablet SR 500 mg (Depakote ER 500 mg) pcs 2
349 Ventolin Inhaler/salbutamol inhalasi 100mcg pcs 1
350 vitamin B 12 /Sianokobalamin injeksi pcs 0
351 Vitamin B Kompleks tablet pcs 273
352 Vitamin K Inflant Inj (Phytomenadion) pcs 30
353 Vitamin K Injeksi 10 mg pcs 1
354 Vitamin K Tablet 10 mg pcs 3
355 Zinc pro drop pcs 0
356 Zinc sirup (Zircum Kid sirup) 12
357 Zinc tablet 20 mg 72
358 OBH Sirup Anak 6
359 Candesartan 27
360 Ramipril tablet 5 mg 13
361 Meropenem Ampul 7
362 Atracurium Injeksi 2
363 0
364 0
365 0
366 0
0 BAHAN MEDIS HABIS PAKAI
1 Alat Suntik sekali pakai 1 cc pcs 222
2 Alat Suntik sekali pakai 10 cc pcs 746
3 Alat Suntik sekali pakai 2,5 cc pcs 0
4 Alat Suntik sekali pakai 3 cc pcs 1179
5 Alat Suntik sekali pakai 5 cc pcs 463
6 Alat Suntik sekali pakai 50 cc pcs 6
7 Alat suntik sekali pakai 20cc pcs 0
8 Alkohol Swab pcs 41
9 Arm Sling Comport L pcs 20
10 Arm Sling Comport M roll 0
11 Arm Sling Comport S roll 0
12 Benang Dermalon 2.0 cutting C 14 roll 0
13 Benang Dermalon 2.0 cutting C 17 pcs 0
14 Benang Dermalon 3.0 pcs 0
15 Benang Dermalon 4.0 pcs 14
16 Benang Dermalon 6.0 pcs 0
17 Benang Prolene 2.0 pcs 0
18 Benang Prolene 3.0 pcs 0
19 Benang Prolene 4.0 pcs 1
20 Benang Prolene 5.0 pcs 1
21 Benang Promilene 5/0 pcs 0
22 Benang Vicril 1(Round Bodied) pcs 0
23 Benang Vicril 2.0 (Round Bodied) pcs 0
24 Benang Vicril 3.0 (Round Bodied) pcs 0
25 Benang Vicril 4.0 pcs 0
26 Benang Vicryl 3/0 (Cutting) pcs 0
27 Blood Transfusion Set pcs 0
28 Cat Gut Chromic 0/0 HR 40 pcs 107
29 Cat Gut Chromic 1/0 HR 37 pcs 1
30 Cat Gut Chromic 1/0 HR 48 pcs 0
31 Cat Gut Chromic 2/0 HR 37 pcs 0
32 Cat Gut Chromic 2/0 HR 50 pcs 3
33 Cat Gut Chromic 2/0 Onemed roll 0
34 Cat Gut Chromic 3/0 HR 26 roll 0
35 Cat Gut Chromic 3/0 Onemed roll 45
36 Cat Gut Plain 0 pasang 0
37 Cat Gut Plain 1/0 pasang 1
38 Cat Gut Plain 2/0 26 pasang 3
39 Cat Gut Plain 2/0 HR 37 pasang 0
40 Cat Gut Plain 2/0 Onemed pasang 5
41 Cat Gut Plain 3/0 HR 26 pasang 0
42 Cathejell pasang 16
43 Cervical colar pcs 4
44 Elastis Perban 10 cm x 455 cm pcs 0
45 Elastis Perban 15 cm x 455 cm pcs 0
46 Elastis Perban7,5cm x 455 cm pcs 0
47 Endotracheal tube rush id 2,5 pcs 0
48 Endotracheal tube rush id 2,5 uncuffed pcs 0
49 Endotracheal tube rush id 3 pcs 0
50 Endotracheal tube rush id 3 uncuffed pcs 0
51 Endotracheal tube rush id 3,5 airflow Cuffed gulung 0
52 Endotracheal tube rush id 3,5uncuffed box 0
53 Endotracheal tube rush id 4 airflow Cuffed pcs 1
54 Endotracheal tube rush id 4 uncuffed 0
55 Endotracheal tube rush id 4,5 pcs 1
56 Endotracheal tube rush id 5 pcs 0
57 Endotracheal tube rush id 5,5 pcs 0
 58 Endotracheal tube rush id 6 pcs 6
59 Endotracheal tube rush id 7 cuffed pcs 3
60 Endotracheal tube rush id 7 uncuffed pcs 7
61 Endotracheal tube rush id 7,5 cuffed pcs 0
62 Endotracheal tube rush id 7,5 uncuffed pcs 5
63 Gudel 40 MM pcs 0
64 Gudel 50 MM pcs 5
65 Gudel 60 MM pcs 0
66 Gudel 70 MM pcs 0
67 Gudel 80 MM pcs 0
68 Gudel 90 MM pcs 1
69 Gypsona 10 cm x 2,9 cm no.4 pcs 0
70 Gypsona 15 cm x 2,9 cm no.6 pcs 0
71 Gypsona 7,5 cm x 2,9 cm no.3 pcs 3
72 Handscoon Manual Plasenta United pcs 0
73 Handscoon Non Steril (L) pcs 10
74 Handscoon Non Steril (M) pcs 0
75 Handscoon Steril No. 6,5 pcs 0
76 Handscoon Steril No. 7 pcs 1
77 Handscoon Steril No. 8 pcs 176
78 Handscoon steril No.7,5 pcs 0
79 I.V Catheter No. 16 G pcs 4
80 I.V Catheter No. 18 G pcs 9
81 I.V Catheter No. 20 G pcs 103
82 I.V Catheter No. 22 G pcs 107
83 I.V Catheter No. 24 G pcs 104
84 I.V Catheter No. 26 pcs 55
85 Infusion set anak pcs 30
86 Infusion set Dewasa pcs 21
87 Injeksi Plug pcs 148
88 kassa gulung 5x10 pcs 1
89 Kassa steril pcs 0
90 Kertas perkamen pcs 9
91 Lomatulle / cuticell 10 x 10 pcs 0
92 Masker pcs 29
93 Masker /sungkup Oksigen Dewasa pcs 0
94 Masker N95 pcs 1
95 Masker Nebu Anak pcs 0
96 Masker Nebu dewasa pcs 2
97 Masker NRM anak pcs 15
98 Masker NRM dewasa pcs 1
99 Masker/sungkup Oksigen Anak pcs 6
100 Masker/sungkup Oksigen bayi pcs 1
101 Mess Hernia pcs 0
102 Mess No. 10 pcs 2
103 Mess No. 11 pcs 23
104 Mess No. 15 pcs 0
105 Nasal Kanula O2 (L) dewasa pcs 1
106 Nasal Kanula O2 (M) anak 43
107 Nasal Kanula O2 (S) infant 6
108 Nasal Kanula O2 (X.S) dibawah infant 3
109 NGT /feeding tube No. 18 2
110 NGT/feeding tube No. 16 11
111 NGT/feeding tube No. 5 100 cm 6
112 NGT/feeding tube No. 8 40 cm 11
113 NGT/feeding tube no.10 100 cm 0
114 NGT/feeding tube No.12 cm 1
115 NGT/feeding tube .no 8 100 cm 0
116 NGT/feeding tube No. 5 40 cm 1
117 NGT/feeding tube No.3.5 35 cm 0
118 Opsite Besar 0
119 Opsite Postofix-pu 10x10 cm 24
120 Opsite Postofix-pu 6x7 cm 1
121 Pen needles/jarum insulin pen 0
122 Perban elastis 15x4,55 cm 5
123 Perban elastis 7,5x4,55 cm 0
124 policrepe (perban elastis) 10x4,55 cm 0
125 Polyprolene 2/0 DS 24 M 0
126 Polyprolene 3/0 DS 24 M 5
127 Polyprolene 4/0 DS 24 M 0
128 Polyprolene 5/0 DS 24 M 8
129 Polyprolene 6/0 DS 24 M 0
130 Silk 0 0
131 Silk 2/0 GT 75 2
132 Silk 2/0 HR 26 0
133 Silk 3/0 GT 75 7
134 Silk 3/0 HR 26 4
135 Silk 4/0 HR 20 3
136 Silk Black 1 HR 30 5
137 Soft ban no. 4 1
138 Soft Ban No. 6 0
139 Soft ban no.3 1
140 Spinocan no. 25 0
141 Spinocan no. 26 0
142 Spinocan no. 27 8
143 Stomach Tube No. 16 10
144 Stomach Tube No. 18 0
145 Suction Catheter no 8 0
146 Suction Catheter with control 12 G 7
147 Suction no.14 0
148 Surgicril 2/0 D5 26 mm 4
149 Surgicril 910 no.1 HR 48 mm 25
150 Surgicril 910 no.3 HR 24 mm 29
151 Three Way no.20 1
152 Underpad 60 cm x 90 cm 8
153 Urine /Foley Catheter No. 12 144
154 Urine /Foley Catheter No. 14 6
155 Urine /Foley Catheter No. 16 1
156 Urine /Foley Catheter No. 18 43
157 Urine /Foley Catheter No. 20 10
158 Urine Bag 0
159 Urine/Foley Catheter No. 10 0
160 Urine/Foley Catheter No. 8 0