RUMAH SAKIT ISLA

Jl.A.Pangerang Pe
Telepon No. 0411 – 853364 - 8719
MAKASSAR 90222 Su
Email : faisalislamichospit
Website :www.rsislam
AKREDITASI KARS KEMENKES RI. NOMO

RENCANA KEBUTUHAN OBAT/CAIRAN GUDANG FARMASA RS.

PERIODE MARET 2023

BUFFER STOCK
NO. NAMA OBAT SISA STOK PEMAKAIAN KEBUTUHAN
20% PT. MERAPI PT. RAJAWALI PT. PPG PT. ENSEVAL

1 RINGER LACTAT 283 2165 433 2700 Rp 8,498.16 Rp 7,773.00

2 NACL 0,9 % 500 ML 311 1538 308 1800 Rp 8,500.00 Rp 7,673.00 Rp 6,985.00
3 NACL 0,9 % 100 ML (PB) 0 0 40 250 Rp 7,125.00 Rp 7,125.00
4 DEXTROSE 5 % 0 28 6 40 Rp 8,528.00 Rp 7,686.00 Rp 6,688.00
5 DEXTROSE 10 % 27 37 7 20 Rp 10,999.00 Rp 8,351.00 Rp 7,265.00
6 OTSU SALIN 3 % 50 74 15 20 Rp 36,101.00 Rp 36,100.00
7 ASERING (RING AS) 13 102 20 120 Rp 8,750.13 Rp 9,591.51
8 MANITOL 45 65 13 0 Rp 41,580.00 Rp 39,650.00 Rp 39,650.00
9 KAEN 3B 34 0 0 Rp 12,771.00 Rp 12,770.00
10 KAEN MG3 3 0 0 Rp 14,100.00 Rp 9,685.00
11 AQUADEST 1 L 29 60 12 30 Rp 15,900.00 Rp 15,900.00
12 OTSU DEX 40 % 48 119 24 120 Rp 7,770.00 Rp 7,770.00
13 OTSU KCL 55 0 40 Rp 2,817.00
14 OTSU MGSO4 40 % 12 0 10 Rp 5,661.00 Rp 4,234.00
15 MEYLON 8,4 % 0 0 0 Rp 7,550.00 Rp 7,550.00
16 AQUADEST 25 ML 73 201 40 140 Rp 2,955.00 Rp 2,648.00
17 ISOFLURANE 250 ML 0 5 1 6 Rp 827,673.00 Rp 824,175.00
18 IOHEXOL INJECTION 2 0 0
19 GELAFUSAL 0 7 1 20 Rp 317,900.00 Rp 97,900.00
20 BFLUID 0 10 2 30 Rp 97,900.00 Rp 187,500.00
21 PARACETAMOL INFUS 2 173 35 500 Rp 20,900.00 Rp 44,400.00 Rp 15,860.00 Rp 38,850.00 Rp 21,367.50
22 METRONIDAZOLE INFUS 80 108 22 250 Rp 22,533.00 Rp 33,300.00 Rp 22,200.00 Rp 15,318.00
23 CIPROFLOXACIN INFUS 14 30 6 20 Rp 49,950.00 Rp 28,860.00 Rp 18,759.00
24 LEVOFLOXACIN INF 500 0 30 6 20 Rp 26,640.00 Rp 35,520.00 Rp 99,900.00 Rp 39,960.00
25 LEVOFLOXACIN INF 750 8 31 6 50 Rp 86,580.00 Rp 194,250.00 Rp 106,837.50
26 PIRACETAM INFUS 0 0 5
27 FLUCONAZOLE INFUS 1 5 1 10 Rp 111,000.00
28 NEFROSTERIL 0 28 6 200
29 RESFAR INFUS 0 8 2 10
30 ALBUNORM 25 % 100 ML 0 2 0 20 Rp 1,604,455.00
31 WIDAHES 7 0 0
32 AMBROXOL SYRUP 0 9 2 40
33 AMOXICILLIN SYRUP 26 13 3 5 Rp 3,863.00 Rp 4,198.00 Rp 4,373.00 Rp 7,770.00 Rp 7,381.50
34 ANTASIDA SYRUP 0 0 20 Rp 3,330.00 Rp 3,533.00 Rp 1,596.00
35 CEFADROXIL SYRUP 10 8 2 5 Rp 5,252.00 Rp 11,100.00 Rp 11,100.00
36 CEFIXIME SYRUP 1 4 1 10 Rp 19,980.00 Rp 16,983.00
37 CETERIZINE SYRUP 57 0 0 Rp 2,795.00 Rp 4,237.00 Rp 9,990.00
38 COTRIMOXAZOLE SYRUP 0 2 0 15 Rp 3,078.00 Rp 3,823.00 Rp 1.00
39 DOMPERIDONE SYRUP 2 17 3 15 Rp 1.00 Rp 12,765.00 Rp 12,650.00
40 ELKANA 60 0 0
41 IBUPROFEN SYRUP 0 5 1 10 Rp 2,598.00
42 LACTULOSA SYRUP 30 12 2 10
43 NYSTATIN DROP 0 11 2 15
44 ONDANSENTRON SYRUP 2 1 0 0
45 PARACETAMOL SYRUP 3 38 8 50 Rp 2,664.00 Rp 3,000.00 Rp 4,329.00
46 PARACETAMOL DROP 0 0 5
47 SUCRALFATE SYRUP 0 70 14 150 Rp 6,186.00 Rp 30,303.00
48 ZINK SYRUP 0 0 30 Rp 4,832.00
49 AMINOPILLIN 64 0 0
50 AMIODARONE 0 0 40 Rp 14,430.00
51 AMPICILLIN INJ 0 84 17 150 Rp 13,320.00
52 APIDRA 0 0 0
53 ANTI HEMOROID 80 0 0
54 ANTRAIN INJEKSI 0 343 69 450 Rp 4,627.00
55 ARIXTRA INJEKSI 0 10 5 15
56 ASAM TRANEXAMAT INJ 250 28 0 0
57 ASAM TRANEXAMAT INJ 500 106 195 39 130 Rp 4,666.80 Rp 5,827.50 Rp 4,662.00
58 ASCORBIC ACID INJ (VIT. C) 0 0 50 Rp 16,650.00 Rp 6,660.00
59 ATRACURIUM INJEKSI 0 45 9 50
60 ATROPIN SULFATE INJ 61 20 4 24
61 BUNASCAN EPIDURAL 0 4 1 5 Rp 59,496.00
62 BUPIVACAIN SPINAL 50 45 10 20 Rp 58,608.00
63 BUSCOPAN INJEKSI 0 0 0
64 CALCII GLUCONAT 38 0 0
65 CARBAZOCROME INJ 0 56 25 80
66 CATAPRES INJEKSI 0 5 5 45
67 CEDOCARD 33 10 2 10
68 CEFOTAXIME 8 74 20 100 Rp 5,745.90 Rp 11,100.00 Rp 6,105.00
69 CEFTAZIDIME 0 0 6 Rp 33,300.00 Rp 24,750.00
70 CEFTRIAXONE 35 2278 456 4000 Rp 16,650.00 Rp 5,614.80 Rp 12,210.00 Rp 6,600.00
71 CITICOLIN INJ 500 20 102 20 200 Rp 29,748.00 Rp 16,650.00 Rp 24,218.00 Rp 12,109.10
72 COMBIVENT 0 242 48 300
73 DEXAMETHASONE INJ 5 366 73 500 Rp 1,440.28
74 DIPENHIDRAMIN 0 0 10
75 DOBUTAMIN (DOPAMIN) 6 10 2 30 Rp 25,308.00
76 DULCOLAX SUPPO 0 60 12 200
77 MELOXICAM SUPPO 0 12 2 20
78 DUMIN RECTAL 125MG/2,5ML 0 0 10
79 DUMIN RECTAL 250MG 0 0 10
80 DUROGESIC 12,5 0 0 10
81 DUROGESIC 25 0 0 10
82 EFEDRIN INJEKSI 0 25 5 50 Rp 27,750.00
83 EPINEFRIN INJEKSI 314 15 3 0 Rp 2,640.00
84 FARGOXIN 10 5 10 Rp 42,180.00
85 FENTANYL 0 185 37 250
86 FLIXOTIDE 10 2 10
87 FLEET ENEMA 0 11 5 25
88 FLEET PHOSPOSODA 0 1 1 2
89 FUROSEMIDE INJ 406 300 60 0 Rp 1,776.00 Rp 4,440.00
90 GENTAMICIN INJEKSI 320 165 33 0
91 HALOPERIDOL INJEKSI 0 5 20 Rp 5,550.00
92 INVICLOT (HEPARIN) 12 40 15 60 Rp 53,280.00
93 KETAMINE 0 0 2
94 KETOROLAC 460 632 126 350 Rp 2,546.83 Rp 6,660.00 Rp 2,071.40 Rp 5,920.00 Rp 5,000.05
95 KUTOIN INJEKSI 0 20 4 30 Rp 88,800.00
96 LANTUS 0 7 5 20
97 LEVEMIR 1 12 5 40
98 LIDOCAIN INJEKSI 83 300 60 200 Rp 1,273.24
 99 MECOBALAMIN INJEKSI 0 190 38 200 Rp 7,770.00
100 MEROPENEM 0 6 5 20 Rp 83,250.00 Rp 61,050.00 Rp 72,150.00 Rp 166,500.00 Rp 110,000.00
101 METAMIZOLE INJ 0 0 0
102 METILERGOMETRIN INJ 27 19 4 23
103 METILPREDNISOLON INJEKSI 0 58 12 100 Rp 23,976.00 Rp 11,106.00
104 METOCLOPRAMIDE INJEKSI 60 160 32 120 Rp 1,712.00 Rp 4,262.40
105 MILOZ INJEKSI (MIDAZOLAM) 89 25 5 0
106 N-ACE INJEKSI 0 0 10 Rp 23,310.00
107 NEUROSANBE 0 250 50 350
108 NICARDIPIN INJ 0 63 13 120 Rp 33,300.00 Rp 108,225.00
109 NOREPINEFRIN INJEKSI 11 80 16 100 Rp 39,960.00 Rp 16,650.00
110 NOVOMIX 0 5 10
111 NOVORAPID 2 1 10 50
112 ONDANSENTRON INJEKSI 4 MG 35] 991 198 1200 Rp 5,550.00 Rp 4,162.50
113 OMEPRAZOLE INJEKSI 0 81 20 200 Rp 9,990.00 Rp 12,014.00
114 OMNIPAQUE 0 0 0
115 OSTELOX SUPPO 12 0 0
116 OXITOCIN INJEKSI 50 65 6 10
117 PETHIDINE 2 ML 0 10 5 15
118 PHYTOMENADION INJ 217 20 4 0 Rp 1,308.10 Rp 7,770.00 Rp 5,050.50
119 PIRACETAM INJ 3 GR 20 20 4 20 Rp 17,760.00 Rp 11,100.00 Rp 11,000.10
120 PULMICORT 5 60 12 80
121 RANITIDINE INJEKSI 150 2376 500 4000 Rp 1,748.30 Rp 2,207.25 Rp 2,553.00 Rp 2,570.04
122 RECOFOL INJEKSI 19 30 6 15
123 ROCURONIUM 12 0 0
124 RYZODEG FLEXPEN 0 3 1 5
125 SIBITAL INJEKSI 20 10 2 10 Rp 5,994.00
126 STESOLID RECTAL 10 MG 0 1 0 10
127 STESOLID RECTAL 5 MG 0 0 10
128 STREPTOMYCIN INJ 22 0 0
129 SYMBICORT 160 0 0 5
130 SYMBICORT 80 0 0 5
131 TETAGAM 0 1 2
132 TRAMADOL INJEKSI 0 0 20 Rp 14,985.00 Rp 5,550.00
133 VAKSIN TT (TOXOID) 30 0 0 Rp 152,625.00
134 VALISANBE INJEKSI 0 23 5 50 Rp 13,320.00
135 VENTOLIN 0 50 10 80
136 ACYCLOVIR CR 3 0 5
137 BETAMETASONE CR 0 0 10 Rp 2,970.00
138 BIOPLACENTON 15 GR 1 11 2 10
139 DESOXIMETASONE CR 0,25 % 10 GR 0 0 30
140 DESOXIMETASONE CR 2,5 MG/G 15 GR 6 9 2 0
141 FUSON CR 0 0 5
142 GENTAMICIN CR 22 50 10 40
143 HYDROCORTISONE CR 8 5 1 5 Rp 3,996.00
144 KENALOG IN ORABASE 0 2 0 0
145 KETOCONAZOLE CR 24 10 2 0 Rp 7,770.00 Rp 9,435.00
146 MICONAZOLE CR 53 5 1 0 Rp 5,328.00
147 OXITETRACYCLIN SALEP MATA 0 0 5
148 OXITETRACYCLIN SALEP KULIT 2 2 0 10
149 SCABIMITE 15 5 1 0
150 ACARBOSE 100 MG 200 150 30 0 Rp 2,066.83
151 ACETYLCYSTEINE KAPSUL 0 2105 500 5000 Rp 2,031.30 Rp 1,110.00 Rp 832.50 Rp 666.00
152 ACYCLOVIR TABLET 400 MG 700 0 0 Rp 990.12 Rp 428.99 Rp 959.04 Rp 754.80
153 ADALAT OROS 0 45 9 150
154 ALLOPURINOL 100 MG 200 110 22 0 Rp 166.50 Rp 239.99 Rp 222.00 Rp 191.48
155 ALLOPURINOL 300 MG 270 0 0 Rp 495.00 Rp 818.18 Rp 466.20 Rp 416.25
156 ALPRAZOLAM 0,5 MG 0 50 100 Rp 769.23
157 ALPRAZOLAM 1 MG 0 0 0 Rp 1,250.58
158 AMBROXOL TABLET 0 500 100 600 Rp 270.27 Rp 169.83
159 AMITRIPTILINE 500 300 60 0 Rp 188.70
160 AMLODIPINE 5 MG 0 500 1000 Rp 166.50 Rp 481.00 Rp 600.60 Rp 721.50 Rp 252.53
161 AMLODIPINE 10 MG 100 2610 522 3000 Rp 222.00 Rp 825.10 Rp 123.00 Rp 1,332.00 Rp 519.48
162 AMOXICILLIN TABLET 600 300 60 0 Rp 549.45 Rp 538.35 Rp 1,036.04 Rp 373.36 Rp 488.40
163 ANALSIK 0 0 0
164 ANTASIDA TABLET 80 300 60 300 Rp 111.00 Rp 195.00
165 ASAM FOLAT 400 MCG 500 0 0 Rp 58.00
166 ASAM FOLAT 1 MG 0 0 100 Rp 74.00
167 ASAM MEFENAMAT 0 1700 340 1000 Rp 199.80 Rp 486.49 Rp 305.25 Rp 241.43
168 ASAM TRANEXAMAT TAB 300 100 20 0 Rp 1,704.17 Rp 1,698.30
169 ASPILET CHEWABLE 0 924 185 3000
170 ATARAX 1 MG (ALPRAZOLAM) 300 200 40 0 Rp 3,235.65
171 ATORVASTATIN 20 MG 0 300 100 1000 Rp 3,607.50 Rp 1,443.00
172 ATORVASTATIN 40 MG 200 500 Rp 3,663.00 Rp 6,660.00
173 AZITROMYCIN 180 180 36 0 Rp 10,823.00 Rp 5,550.00 Rp 4,662.00
174 BAMGETOL 200 MG 200 0 0 Rp 2,286.60
175 BRAXIDIN 200 0 0
176 BETAHISTIN TABLET 0 682 136 1000 Rp 1,820.40
177 BISOPROLOL 5 MG 600 230 46 0 Rp 2,331.00 Rp 1,332.00 Rp 399.60
178 BUSCOPAN TABLET 0 70 30 200
179 CALCIUM LACTATE 0 0 0 Rp 88.51 Rp 306.31
180 CANDESARTAN 8 MG 0 267 53 600 Rp 1,943.00 Rp 2,035.00 Rp 1,748.26
181 CANDESARTAN 16 MG 0 630 126 600 Rp 3,108.00 Rp 3,145.00 Rp 2,525.26 Rp 1,082.25
182 CAPTOPRIL 12,5 MG 1008 0 0 Rp 61.26 Rp 90.00
183 CARBOPLATIN 150 MG 0 1 0 0 Rp 132,000.00
184 CARBOPLATIN 450 MG 0 3 1 0 Rp 308,000.00
185 CEFADROXIL KAPSUL 0 900 180 1200 Rp 830.00 Rp 847.64 Rp 656.48 Rp 999.00 Rp 840.00
186 CEFIXIME 200 MG 200 1252 250 1200 Rp 2,359.00 Rp 4,717.50 Rp 2,761.90 Rp 3,052.50 Rp 1,587.30
187 CELECOXIB 100 MG 0 20 50 Rp 2,590.00 Rp 2,997.00
188 CELECOXIB 200 MG 0 0 0 Rp 3,885.00 Rp 4,995.00
189 CETERIZINE TABLET 0 541 108 500 Rp 88.80 Rp 77.00 Rp 333.00 Rp 330.00
190 CHERAL (RADIOTERAPI) 600 0 0
191 CIPROFLOXACIN TABLET 950 310 62 0 Rp 466.00 Rp 666.00 Rp 1,081.08 Rp 521.70 Rp 479.96
192 CILOSTAZOL 100 MG 0 100 20 100
193 CITICOLINE TABLET 400 360 72 0 Rp 4,690.00 Rp 4,995.00 Rp 1,665.00 Rp 5,550.00 Rp 3,330.00
194 CLINDAMYCIN 300 MG 0 0 100 Rp 1,110.00
195 CLOFRITIS (CLOBAZAM) 100 200 40 200 Rp 1,665.00
196 CLONIDINE 0,15 MG 700 200 40 0
197 CLOPIDOGREL 75 MG 70 304 200 1000 Rp 4,995.00 Rp 4,070.00 Rp 3,049.73 Rp 1,395.83
198 CORTIDEX 0 0 0
199 CODEIN 10 MG 0 100 500
200 CODEIN 20 MG 0 200 40 50
201 CODIPRONT KAPSUL 0 0 0
202 COLCHICINE 0,5 MG 0 150 50 300
203 COTRIMOXAZOLE TABLET 0 300 60 500 Rp 220.00 Rp 276.84
204 CPZ 100 MG 0 20 100 Rp 524.88
205 CTM 1900 100 20 0 Rp 46.00
206 CURCUMA 0 300 200 1000
207 DEPAKOTE ER 250 400 0 0
208 DEPAKOTE ER 500 0 200 100 500
209 DEXAMETHASONE TABLET 800 200 40 0 Rp 180.18
210 DIAMICRON 60 MG 0 30 30 60
211 DICLOFENAC SODIUM 50 MG 0 300 60 500 Rp 594.98 Rp 132.00 Rp 432.90
212 DIGOXIN TAB 200 100 20 0 Rp 108.23
213 DILTIAZEM 0 100 20 100
214 DIMENHYDRINAT 50 MG 0 101 50 500 Rp 215.34
215 DOMPERIDONE TABLET 150 1223 245 1500 Rp 266.00 Rp 150.96 Rp 317.00 Rp 333.00 Rp 286.00
216 DOXYCYCLINE 100 MG TABLET 0 10 20 100 Rp 549.45
217 DULCOLAX TABELT 0 0 0
218 EPERISON TABLET 50 MG 0 43 50 150 Rp 1,653.90
219 ERYTHROMYCIN 500 MG 0 0 0 Rp 1,339.77
220 ERYSANBE CHEWABLE 200 0 50 100
221 EUTHYROX 50 MG 0 300 60 600
222 EUTHYROX 100 MG 200 0 0
223 FARSORBID 10 MG 0 0 200 Rp 378.79
224 FLUNARIZIN 5 MG 640 150 30 0 Rp 3,264.30
225 FLUOXETIN 20 MG 0 0
226 FONCOPAC 300 MG 0 2 0 0 Rp 1,815,000.00
227 FUROSEMIDE TABLET 0 204 50 1000 Rp 199.80
228 GABAPENTIN 100 MG 0 65 13 600 Rp 1,487.40
229 GABAPENTIN 300 MG 200 1470 294 1500 Rp 2,619.60 Rp 4,662.00 Rp 3,052.50 Rp 1,554.00
230 GALVUS (VILDAGLIPTIN) 0 28 6 24
231 GLAUSETA 200 100 20 0
232 GLIBENCLAMIDE 5 MG 200 0 0 Rp 79.09 Rp 187.59
233 GLIMEPIRIDE 1 MG 800 100 20 0 Rp 611.00 Rp 555.00 Rp 222.00
234 GLIMEPIRIDE 2 MG 460 300 60 0 Rp 794.00 Rp 415.14 Rp 1,054.50 Rp 337.44
235 GLUCODEX 80 MG 0 520 104 3000
236 GG TABLET 0 0 0
237 GLUCOPAGE XR 1000 21 0 0
238 GRISEOFULVIN 0 0 0
239 HALOPERIDOL 0,5 MG 0 0 500 Rp 87.27
240 HALOPERIDOL 1,5 MG 0 0 0 Rp 99.07
241 HALOPERIDOL 2 MG 0 0 0 Rp 1,212.12
242 HALOPERIDOL 5 MG 0 0 0 Rp 1,987.18 Rp 132.09
243 HARNAL 0,2 MG 0 300
244 HARNAL OCAS 0,4 0 150 30 600
245 HISTAPAN TABLET 0 0 0
246 HEXYMER TABLET 400 300 60 0 Rp 423.50
247 HYDROCLOTYAZID 0 0 100
248 IBUPROFEN 200 MG 0 0 0 Rp 159.00 Rp 199.80
249 IBUPROFEN 400 MG 0 500 100 500 Rp 197.00 Rp 390.17
250 IFALMIN CAPSUL 330 0 0 Rp 6,290.00
251 IRBESARTAN 300 MG 0 0 100 Rp 5,180.00 Rp 2,072.00
252 ISOSORBID DINITRATE 0 100 20 200 Rp 252.53
253 KETOCONAZOLE 200 MG 0 0 100 Rp 427.00 Rp 555.00 Rp 388.50
254 KOLKATRIOL 120 0 0 Rp 1,776.00
255 KSR 450 200 40 0
256 KUTOIN KAPSUL 440 20 4 0 Rp 1,465.20
257 LACTO B 420 120 24 0
258 LANSOPRAZOLE KAPSUL 0 500 100 500 Rp 1,248.75 Rp 866.30 Rp 1,332.00 Rp 639.36
259 LEVACIDE 9 0 0
260 LEVOFLOXACIN TABLET 50 100 20 200 Rp 999.00 Rp 1,387.50 Rp 832.50
261 LISINOPRIL 10 MG 0 0 0
262 LISINOPRIL 5 MG 0 0 0
263 LODIA 130 20 200 Rp 77.00 Rp 248.20
264 LODOMER 5 MG (HALOPERIDOL) 0 0 0 Rp 1,969.00
265 LONGATIN 0 10 2 100
266 LORATADINE 100 0 0 Rp 127.00 Rp 366.30 Rp 219.78
267 MECOBALAMIN KAPSUL 0 1100 220 1500
268 MELOXICAM 7,5 MG 0 500 100 1000 Rp 583.00 Rp 397.38 Rp 512.82 Rp 274.73
269 MELOXICAM 15 MG 0 300 60 300 Rp 855.00 Rp 517.26 Rp 630.63 Rp 777.00 Rp 488.40
270 MERLOPAM 2 MG 50 50 10 0 Rp 4,312.35
271 METFORMIN 500 MG 3400 1080 216 0 Rp 277.50 Rp 194.25
272 METFORMIN 850 MG 0 74 15 0
273 METILERGOMETRIN TABLET 680 0 0 Rp 204.55
274 METILPREDNISOLON 4 MG 0 300 60 0 Rp 272.00 Rp 184.26 Rp 648.65 Rp 499.50 Rp 249.75
275 METILPREDNISOLON 8 MG 1180 800 160 0 Rp 416.00 Rp 352.98 Rp 331.00
276 METOCLOPRAMIDE TABLET 0 157 31 300 Rp 305.25
277 METRONIDAZOLE TAB 700 207 41 0 Rp 258.85
278 MICARDIS 80 MG 400 0 0
279 MISOPROSTOL 0 10 2 20 Rp 5,550.00 Rp 4,440.00
280 MST CONTINUS 10 MG 0 10 20 60
281 NEUGAIN 0 0 0
282 NEUROAID 0 0 0 Rp 53,520.50
283 NEURODEX TABLET 2600 529 106 0
284 NEW DIATAB 0 734 200 2000
285 NIFEDIPINE TAB 150 0 0 Rp 754.80 Rp 209.00
286 NITROKAF RETARD 400 600 120 500
287 OMEPRAZOLE KAPSUL 210 600 120 1200 Rp 188.00 Rp 479.53 Rp 408.32
288 ONDANSENTRON 4 MG 650 120 24 0 Rp 1,249.00 Rp 740.00 Rp 252.00 Rp 932.40
289 ORALIT 80 12 2 0
290 PARACETAMOL TABLET 0 4078 816 6000 Rp 153.18 Rp 195.88
291 PIOGLITAZONE 30 MG 0 30 6 60 Rp 5,550.00
292 PIRACETAM 800 MG 0 400 80 400 Rp 8,832.53 Rp 810.30 Rp 685.43
293 PIRACETAM 1200 MG 100 0 0 Rp 1,043.40 Rp 1,305.00 Rp 1,054.50
294 PIROXICAM 10 MG 350 0 0 Rp 270.27 Rp 154.00
295 PREGABALIN 75 MG 146 0 100 Rp 7,770.00 Rp 6,937.50 Rp 5,550.00 Rp 4,714.00
296 PROPANOLOL 10 MG 2900 100 20 0
297 PROPANOLOL 40 MG 2500 200 40 0
298 PROPYLTHIOURACIL 100 100 20 200
299 PRORENAL 88 200 40 0
300 PREDNISON TABLET 0 200 40 300 Rp 123.00
301 RAMIPRIL 5 MG 100 100 200 1000
302 RANITIDINE TABLET 900 2845 569 3000 Rp 220.00 Rp 171.05
303 REBAMIPID 100 MG 0 0 100
304 RETAPHYL 0 0 0
305 RHODIUM 0 92 18 100
306 RISPERIDONE 2 MG 0 10 2 100 Rp 2,588.00
307 SALBUTAMOL 2 MG 0 100 20 100 Rp 94.35
308 SALBUTAMOL 4 MG 0 0 0 Rp 113.22
309 SALOFALK 500 MG 400 0 0
310 SANTAGESIC (METAMIZOLE) 20 0 0
311 SANTIBI 100 0 0
312 SIBITAL 50 200 30 6 0 Rp 566.10
313 SIFROL 0,375 0 60 12 300
314 SIMARC 2 MG 20 50 10 100 Rp 1,273.73
315 SIMVASTATIN 10 MG 300 0 0 Rp 166.50 Rp 111.00 Rp 116.00 Rp 388.50 Rp 135.98
316 SIMVASTATIN 20 MG 30 200 40 0 Rp 416.00 Rp 173.16 Rp 788.29 Rp 1,036.00 Rp 393.68
317 SPIRONOLACTONE 100 MG 0 100 50 200 Rp 2,442.00
318 SPIRONOLACTONE 25 MG 0 100 500 Rp 999.00
319 SULFITIS 500 MG 240 0 0 Rp 3,108.00
320 TABLET TAMBAH DARAH 300 300 60 0 Rp 429.00 Rp 276.39
321 TETRACYCLIN TABLET 0 100 20 100 Rp 510.00
322 TETRASANBE TABLET 500 MG 0 0 0
323 THROMBO ASPILET 0 30 6 0
324 THYROZOL 5 MG 0 30 6 100
325 THYROZOL 10 MG 0 410 82 1000
326 TIARYT TABLET 0 30 6 100 Rp 2,997.00
327 TOPAMAX 25 480 0 0
328 TOPAMAX 50 0 0 0
329 TRAMADOL 50 MG TABLET 0 0 0 Rp 466.20 Rp 301.92
330 TREMENZA 220 50 10 0
331 TRIHEXYPENIDIL 0 0 0
332 URSODEOXICHOLIC ACID 0 270 54 600
333 VALISANBE 2 MG 0 50 200 Rp 88.80
334 VALISANBE 5 MG 0 80 50 200 Rp 277.50
335 VALSARTAN 80 MG 0 0 0 Rp 4,440.00 Rp 1,776.00
336 VALSARTAN 160 MG 480 180 36 0 Rp 6,475.00 Rp 2,590.00
337 VIP ALBUMIN KAPSUL 0 172 34 300 Rp 653,790.00
338 VITAMIN B COMPLEX 600 1600 320 1500 Rp 81.03
339 VITAMIN B12 0 700 140 500 Rp 55.50
340 VITAMIN B1 0 700 140 500 Rp 89.00
341 VITAMIN B6 0 420 84 500 Rp 83.25
342 VITAMIN C 50 MG 0 0 0 Rp 79.92
343 VITAMIN C 100 MG 100 300 60 0 Rp 222.00
344 VITAMIN C 500 MG 270 245 49 200 Rp 495.00
345 VITAMIN D 60 0 0
346 VITAMIN E 540 60 12 0
347 WARFARIN TABLET 0 0 0 Rp 865.80
348 ZINK TABLET 1350 405 81 0 Rp 193.00
349 SISTENOL TABLET 0 30 6 0
350 KALITAKE 0 0 30
351 CENDO LYTEERS 1 9 2 11 Rp 4,235.00
352 CENDO XITROL ED 5 ML 6 3 1 4 Rp 5,362.60
353 CENDO TIMOL 0,5 % 5 0 0 Rp 5,665.00
354 CENDO TOBROSON 3 2 0 2 Rp 6,380.00
355 CENDO GENTA 8 0 0 Rp 3,492.60
356 CENDO CENFRESH 3 2 0 2 Rp 5,060.00
357 CENDO LFX 4 3 1 4 Rp 15,180.00
358 CENDO P-PRED MD 0 0 5 Rp 8,415.00
359 CENDO POLYNEL 0 0 5 Rp 3,932.60
360 CENDO PANTOCAIN 2 % 0 0 1 Rp 14,575.00
361 CENDO MYDRIATIL 1 % 0 0 1 Rp 42,075.00
362 CENDO HYALUB 0 0 5

Menyetujui,

dr. Salwa Mochtar, MARS

AKIT ISLAM FAISAL
ngerang Pettarani
3364 - 871942, Fax. 0411 – 857010
90222 Sulawesi Selatan
amichospital@yahoo.co.id
www.rsislamfaisal.com
RI. NOMOR : KARS – SERT / 310 / II / 2019

ASA RS. ISLAM FAISAL MAKASSAR

3

DAFTAR HARGA DISTRIBUTOR

PT. MJB PT. INDOFARMA (IGM) PT. AAM PT. SAPTA SARI TAMA PT. NOVEL (AMS) PT. KEBAYORAN PT. APL PT. BSP PT. KALLISTA

Rp 8,498.00 Rp 7,703.00
Rp 7,673.00 Rp 6,900.00

Rp 7,686.00 Rp 6,627.00
Rp 7,200.00

Rp 1,831,500.00 Rp 832,500.00

Rp 199,800.00

Rp 16,100.00
Rp 29,768.00
Rp 57,518.00
Rp 88,800.00
Rp 166,500.00

Rp 47,260.00
Rp 220,890.00

Rp 3,419.00
Rp 4,700.00
Rp 3,400.00 Rp 3,885.00 Rp 4,766.00
Rp 6,750.00
Rp 11,000.00 Rp 30,525.00
Rp 5,350.00 Rp 10,545.00
Rp 4,300.00
Rp 4,329.00
Rp 26,307.00
Rp 3,900.00
Rp 30,525.00 Rp 31,524.00
Rp 18,000.00

Rp 3,525.00 Rp 4,247.00
Rp 8,500.00
Rp 14,100.00 Rp 10,332.00 Rp 22,200.00
Rp 5,500.00

Rp 199,800.00
Rp 4,440.00
Rp 5,827.50

Rp 92,130.00 Rp 29,970.00

Rp 77,700.00
Rp 26,640.00 Rp 77,700.00 Rp 26,085.00

Rp 14,504.00
Rp 11,145.00

Rp 6,993.00
Rp 34,165.80
Rp 8,672.10

Rp 2,187.00
Rp 2,775.00
Rp 57,692.20 Rp 41,181.00

Rp 19,884.80
Rp 27,024.60

Rp 66,600.00

Rp 39,370.00

Rp 2,529.00 Rp 3,574.20
Rp 4,645.00 Rp 5,106.00
Rp 7,215.00
Rp 73,260.00
Rp 155,400.00
Rp 1,791.00 Rp 13,486.50
Rp 13,320.00
Rp 89,360.00
Rp 89,809.00
Rp 1,443.00
 Rp 8,880.00
Rp 222,000.00

Rp 4,440.00
Rp 35,798.00

Rp 6,937.50
Rp 144,300.00 Rp 186,480.00
Rp 55,500.00
Rp 565,090.00
Rp 90,314.00
Rp 5,550.00
Rp 75,480.00

Rp 6,660.00
Rp 17,260.50

Rp 1,667.50 Rp 2,593.36

Rp 77,700.00

Rp 45,732.00 Rp 45,732.00
Rp 30,480.60 Rp 30,841.00

Rp 150,704.00
Rp 135,577.00
Rp 199,800.00

Rp 11,549.20
Rp 3,900.00 Rp 5,772.00
Rp 2,775.00
Rp 23,170.00

Rp 4,015.00 Rp 4,440.00
Rp 4,850.00 Rp 3,666.00

Rp 5,450.00 Rp 7,063.66 Rp 6,105.00

Rp 4,218.00

Rp 2,800.00

Rp 1,929.18 Rp 2,220.00
Rp 1,954.00 Rp 686.00 Rp 555.00
Rp 636.23

Rp 185.00 Rp 192.01 Rp 288.60

Rp 472.00 Rp 510.60
Rp 677.10 Rp 1,923.00
 Rp 1,043.40 Rp 2,990.00
Rp 112.50
Rp 200.00 Rp 233.10
Rp 94.35 Rp 122.00 Rp 968.72 Rp 1,036.00
Rp 122.00 Rp 144.00 Rp 1,706.40 Rp 1,739.00
Rp 460.65 Rp 373.36 Rp 555.00

Rp 120.00 Rp 142.99

Rp 278.02

Rp 4,440.00 Rp 4,440.00

Rp 11,100.00

Rp 194.25 Rp 931.47
Rp 2,342.77

Rp 4,995.00
Rp 7,215.00
Rp 104.00 Rp 90.82
Rp 227,550.00
Rp 493,950.00
Rp 771.45 Rp 847.63
Rp 4,070.37

Rp 305.00 Rp 407.00

Rp 473.00 Rp 538.35

Rp 6,660.00
Rp 1,098.00 Rp 1,308.69

Rp 234.00
Rp 9,990.00

Rp 252.00

Rp 47.00
Rp 999.00

Rp 77.70

Rp 222.00
Rp 155.40
Rp 145.00 Rp 407.29
Rp 507.79

Rp 3,108.00

Rp 728.56
Rp 1,081.75
Rp 610.50

Rp 4,662.00

Rp 219.00
Rp 2,775.00
Rp 5,550.00 Rp 6,915.00

Rp 146.00 Rp 135.00
Rp 766.99
Rp 328.00 Rp 1,446.31
Rp 588.30
Rp 100.00

Rp 5,550.00

Rp 207.00
Rp 289.00 Rp 421.80

Rp 1,464.00 Rp 3,774.00
Rp 123.00
Rp 247.75 Rp 455.10

Rp 1,858.75
Rp 653.79

Rp 837.50 Rp 446.00

Rp 1,164.15
Rp 754.80
Rp 488.40
Rp 1,165.50

Rp 4,329.00
Rp 255.00

Rp 698.19
Rp 1,209.90 Rp 1,086.70

Rp 201.47
Rp 432.90
 Rp 444.56
Rp 590.32

Rp 219.00

Rp 9,065.00

Rp 610.50 Rp 610.50

Rp 149.69

Rp 556.00 Rp 535.13 Rp 666.00

Rp 1,554.00

Rp 4,440.00 Rp 6,105.00
Rp 810.30
Rp 1,305.36
Rp 195.00
Rp 7,215.00
Rp 89.36
Rp 140.42
Rp 638.50 Rp 477.00 Rp 500.90

Rp 132.00 Rp 189.35
Rp 644.69
Rp 253.00 Rp 222.00 Rp 236.43
Rp 3,885.00

Rp 7,770.00
Rp 2,396.60 Rp 5,284.00
Rp 111.00 Rp 144.30
Rp 152.00 Rp 166.50

Rp 1,720.50
Rp 138.75 Rp 517.66
Rp 233.50
Rp 1,064.55
Rp 349.52
Rp 5,365.00
Rp 255.00 Rp 499.50

Rp 685.17
Rp 1,337.05
Rp 4,995.00

Rp 1,720.50
 Rp 133.00
Rp 6,216.00 Rp 4,662.00
Rp 284.44
Rp 455.10
Rp 4,440.00
Rp 7,215.00

Rp 77.70
Rp 315.08
Rp 111.00 Rp 160.00
Rp 100.00 Rp 152.63

Rp 1,850.00

Rp 255.30 Rp 208.00
Rp 2,775.00 Rp 3,252.00

Rp 4,273.60
Rp 33,100.00 Rp 5,411.20
Rp 5,716.60
Rp 6,438.00
Rp 3,524.20

Rp 8,492.00
Rp 3,968.00
Rp 14,708.00
Rp 14,708.00
Rp 12,654.00

MAKASSAR, 01 MARET 2023

Mengetahui,

Apt. Hasbullah, S.Farm

 PT. DMA

Rp 33,300.00

Rp 35,520.00
Rp 33,300.00
Rp 16,650.00

Rp 26,363.00

Rp 29,500.00

Rp 6,000.00
Rp 61,050.00

Rp 23,976.00

Rp 7,992.00

Rp 4,995.00

Rp 1,110.00
Rp 361.00
Rp 660.00

Rp 1,933.00
Rp 2,988.00

Rp 3,053.00
Rp 282.00
Rp 466.00

Rp 555.00

Rp 4,440.00

Rp 5,550.00
 RUMAH SAKIT ISLAM FAISAL
Jl.A.Pangerang Pettarani
Telepon No. 0411 – 853364 - 871942, Fax. 0411 – 857010
MAKASSAR 90222 Sulawesi Selatan
Email : faisalislamichospital@yahoo.co.id
Website :www.rsislamfaisal.com
AKREDITASI KARS KEMENKES RI. NOMOR : KARS – SERT / 310 / II / 2019

RENCANA KEBUTUHAN OBAT/CAIRAN GUDANG FARMASA RS. ISLAM FAISAL MAKASSAR

PERIODE MARET 2023

BUFFER STOCK HARGA DISTRIBUTOR

KEBUTUHAN
NO. NAMA OBAT SISA STOK PEMAKAIAN
20% PT. MERAPI PT. RAJAWALI PT. PPG PT. ENSEVAL PT. MJB PT. INDOFARMA (IGM)

1 RINGER LACTAT 393 2165 433 2700 Rp 8,498.16 Rp 7,773.00 Rp 8,498.00 Rp 7,703.00
2 NACL 0,9 % 500 ML 339 1538 308 1800 Rp 7,673.00 Rp 6,985.00 Rp 7,673.00 Rp 6,900.00
3 NACL 0,9 % 100 ML (PB) 0 0 100 Rp 7,125.00 Rp 7,125.00
4 DEXTROSE 5 % 0 28 6 40 Rp 7,686.00 Rp 6,688.00 Rp 7,686.00 Rp 6,627.00
5 DEXTROSE 10 % 29 37 7 40 Rp 8,351.00 Rp 7,265.00 Rp 7,200.00
6 OTSU SALIN 3 % 50 74 15 50 Rp 36,101.00 Rp 36,100.00
7 ASERING (RING AS) 16 102 20 120 Rp 8,750.13 Rp 9,591.51
8 MANITOL 49 65 13 0 Rp 39,650.00 Rp 39,650.00
9 KAEN 3B 34 0 0 Rp 12,771.00 Rp 12,770.00
10 KAEN MG3 3 0 0 Rp 14,100.00 Rp 9,685.00
11 AQUADEST 1 L 30 60 12 40 Rp 15,900.00 Rp 15,900.00
12 OTSU DEX 40 % 48 119 24 120 Rp 7,770.00 Rp 7,770.00
13 OTSU KCL 59 0 0 Rp 2,817.00
14 OTSU MGSO4 40 % 12 0 0 Rp 5,661.00 Rp 4,234.00
15 MEYLON 8,4 % 0 0 0 Rp 7,550.00 Rp 7,550.00
16 AQUADEST 25 ML 85 201 40 140 Rp 2,955.00 Rp 2,648.00
17 ISOFLURANE 250 ML 0 5 1 6 Rp 827,673.00 Rp 824,175.00
18 IOHEXOL INJECTION 2 0 0
19 GELAFUSAL 0 7 1 10 Rp 317,900.00 Rp 97,900.00
20 BFLUID 0 10 2 20 Rp 97,900.00 Rp 187,500.00
21 PARACETAMOL INFUS 0 173 35 300 Rp 20,900.00 Rp 15,860.00 Rp 38,850.00 Rp 21,367.50 Rp 16,100.00
22 METRONIDAZOLE INFUS 80 108 22 120 Rp 22,533.00 Rp 22,200.00 Rp 15,318.00
23 CIPROFLOXACIN INFUS 14 30 6 20 Rp 49,950.00 Rp 28,860.00 Rp 18,759.00
24 LEVOFLOXACIN INF 500 0 30 6 30 Rp 26,640.00 Rp 99,900.00 Rp 39,960.00
25 LEVOFLOXACIN INF 750 11 31 6 35 Rp 86,580.00 Rp 194,250.00 Rp 106,837.50
26 PIRACETAM INFUS 0 0 3
27 FLUCONAZOLE INFUS 1 5 1 6 Rp 111,000.00
28 NEFROSTERIL 0 28 6 50
29 RESFAR INFUS 0 8 2 10
30 ALBUNORM 25 % 100 ML 0 2 0 5 Rp 1,604,455.00
31 WIDAHES 7 0 0
32 AMBROXOL SYRUP 0 9 2 20 Rp 3,419.00
33 AMOXICILLIN SYRUP 26 13 3 0 Rp 3,863.00 Rp 4,373.00 Rp 7,770.00 Rp 7,381.50 Rp 4,700.00
34 ANTASIDA SYRUP 0 0 20 Rp 3,330.00 Rp 1,596.00 Rp 3,400.00
35 CEFADROXIL SYRUP 10 8 2 5 Rp 5,252.00 Rp 11,100.00 Rp 11,100.00 Rp 6,750.00
36 CEFIXIME SYRUP 1 4 1 10 Rp 19,980.00 Rp 16,983.00 Rp 11,000.00
37 CETERIZINE SYRUP 57 0 0 Rp 2,795.00 Rp 4,237.00 Rp 9,990.00 Rp 5,350.00
38 COTRIMOXAZOLE SYRUP 0 2 0 20 Rp 3,078.00 Rp 1.00 Rp 4,300.00
39 DOMPERIDONE SYRUP 2 17 3 20 Rp 1.00 Rp 12,765.00 Rp 12,650.00
40 ELKANA 60 0 0
41 IBUPROFEN SYRUP 0 5 1 5 Rp 2,598.00 Rp 3,900.00
42 LACTULOSA SYRUP 30 12 2 10
43 NYSTATIN DROP 0 11 2 15 Rp 18,000.00
44 ONDANSENTRON SYRUP 2 1 0 0
45 PARACETAMOL SYRUP 3 38 8 50 Rp 2,664.00 Rp 4,329.00 Rp 3,525.00
46 PARACETAMOL DROP 0 0 5 Rp 8,500.00
47 SUCRALFATE SYRUP 0 70 14 120 Rp 6,186.00 Rp 30,303.00 Rp 14,100.00 Rp 10,332.00
48 ZINK SYRUP 0 0 30 Rp 4,832.00 Rp 5,500.00
49 AMINOPILLIN 64 0 0
50 AMIODARONE 0 0 40 Rp 14,430.00
51 AMPICILLIN INJ 0 84 17 150 Rp 13,320.00
52 APIDRA 0 0 0
53 ANTI HEMOROID 80 0 0
54 ANTRAIN INJEKSI 0 343 69 420 Rp 4,627.00
55 ARIXTRA INJEKSI 0 10 2 15
56 ASAM TRANEXAMAT INJ 250 28 0 0
57 ASAM TRANEXAMAT INJ 500 106 195 39 130 Rp 4,666.80 Rp 5,827.50 Rp 4,662.00
58 ASCORBIC ACID INJ (VIT. C) 0 0 30 Rp 6,660.00
59 ATRACURIUM INJEKSI 0 45 9 50
60 ATROPIN SULFATE INJ 61 20 4 24
61 BUNASCAN EPIDURAL 0 4 1 5 Rp 59,496.00
62 BUPIVACAIN SPINAL 51 45 9 0 Rp 58,608.00
63 BUSCOPAN INJEKSI 0 0 0
64 CALCII GLUCONAT 38 0 0
65 CARBAZOCROME INJ 0 56 11 100
66 CATAPRES INJEKSI 0 5 1 30
67 CEDOCARD 33 10 2 10
68 CEFOTAXIME 8 74 15 150 Rp 5,745.90 Rp 11,100.00 Rp 6,105.00
69 CEFTAZIDIME 0 0 6 Rp 33,300.00 Rp 24,750.00
70 CEFTRIAXONE 14 2278 456 4000 Rp 16,650.00 Rp 5,614.80 Rp 12,210.00 Rp 6,600.00
71 CITICOLIN INJ 500 20 102 20 120 Rp 16,650.00 Rp 24,218.00 Rp 12,109.10
72 COMBIVENT 0 242 48 300
73 DEXAMETHASONE INJ 10 366 73 400 Rp 1,440.28 Rp 2,187.00
74 DIPENHIDRAMIN 0 0 10
75 DOBUTAMIN (DOPAMIN) 6 10 2 20 Rp 25,308.00
76 DULCOLAX SUPPO 0 60 12 100
77 MELOXICAM SUPPO 0 12 2 20
78 DUMIN RECTAL 125MG/2,5ML 0 0 5 Rp 19,884.80
79 DUMIN RECTAL 250MG 0 0 5 Rp 27,024.60
80 DUROGESIC 12,5 0 0 5
81 DUROGESIC 25 0 0 5
82 EFEDRIN INJEKSI 0 25 5 50 Rp 27,750.00
83 EPINEFRIN INJEKSI 314 15 3 18 Rp 2,640.00
84 FARGOXIN 10 0 10 Rp 42,180.00
85 FENTANYL 0 185 37 250
86 FLIXOTIDE 10 0 0
87 FLEET ENEMA 0 11 2 15
88 FLEET PHOSPOSODA 0 1 0 2
89 FUROSEMIDE INJ 416 300 60 0 Rp 1,776.00 Rp 4,440.00 Rp 2,529.00
90 GENTAMICIN INJEKSI 320 165 33 0 Rp 4,645.00
91 HALOPERIDOL INJEKSI 0 0 20 Rp 5,550.00
92 INVICLOT (HEPARIN) 13 40 8 50 Rp 53,280.00
93 KETAMINE 0 0 2
94 KETOROLAC 390 632 126 350 Rp 2,546.83 Rp 2,071.40 Rp 5,920.00 Rp 5,000.05 Rp 1,791.00
95 KUTOIN INJEKSI 0 20 4 30 Rp 88,800.00
96 LANTUS 0 7 1 15
97 LEVEMIR 4 12 2 40
98 LIDOCAIN INJEKSI 83 300 60 200 Rp 1,273.24 Rp 1,443.00
99 MECOBALAMIN INJEKSI 0 190 38 200 Rp 7,770.00
100 MEROPENEM 0 6 1 20 Rp 61,050.00 Rp 72,150.00 Rp 166,500.00 Rp 110,000.00
101 METAMIZOLE INJ 0 0 0
102 METILERGOMETRIN INJ 27 19 4 23
103 METILPREDNISOLON INJEKSI 0 58 12 100 Rp 23,976.00 Rp 11,106.00
104 METOCLOPRAMIDE INJEKSI 70 160 32 120 Rp 1,712.00 Rp 4,262.40
105 MILOZ INJEKSI (MIDAZOLAM) 89 25 5 0
106 N-ACE INJEKSI 0 0 10 Rp 23,310.00
107 NEUROSANBE 0 250 50 350
108 NICARDIPIN INJ 0 63 13 120 Rp 33,300.00 Rp 108,225.00
109 NOREPINEFRIN INJEKSI 11 80 16 100 Rp 39,960.00 Rp 16,650.00
110 NOVOMIX 0 0 5
111 NOVORAPID 5 1 0 50
112 ONDANSENTRON INJEKSI 4 MG 0 991 198 1200 Rp 5,550.00 Rp 4,162.50
113 OMEPRAZOLE INJEKSI 0 81 16 150 Rp 9,990.00 Rp 12,014.00
114 OMNIPAQUE 0 0 0
115 OSTELOX SUPPO 12 0 0
116 OXITOCIN INJEKSI 50 65 13 20
117 PETHIDINE 2 ML 0 10 2 10
118 PHYTOMENADION INJ 217 20 4 0 Rp 1,308.10 Rp 7,770.00 Rp 5,050.50
119 PIRACETAM INJ 3 GR 20 20 4 0 Rp 17,760.00 Rp 11,100.00 Rp 11,000.10
120 PULMICORT 10 60 12 80
121 RANITIDINE INJEKSI 0 2376 475 3200 Rp 1,748.30 Rp 2,207.25 Rp 2,553.00 Rp 2,570.04 Rp 1,667.50
122 RECOFOL INJEKSI 19 30 6 15
123 ROCURONIUM 12 0 0
124 RYZODEG FLEXPEN 0 3 1 5
125 SIBITAL INJEKSI 20 10 2 10 Rp 5,994.00
126 STESOLID RECTAL 10 MG 0 1 0 10 Rp 45,732.00
127 STESOLID RECTAL 5 MG 0 0 10 Rp 30,480.60
128 STREPTOMYCIN INJ 22 0 0
129 SYMBICORT 160 0 0 3
130 SYMBICORT 80 0 0 3
131 TETAGAM 0 0 0
132 TRAMADOL INJEKSI 0 0 20 Rp 5,550.00
133 VAKSIN TT (TOXOID) 30 0 0 Rp 152,625.00
134 VALISANBE INJEKSI 0 23 5 50 Rp 13,320.00
135 VENTOLIN 0 50 10 80
136 ACYCLOVIR CR 3 0 5 Rp 3,900.00
137 BETAMETASONE CR 0 0 10 Rp 2,970.00 Rp 2,775.00
138 BIOPLACENTON 15 GR 1 11 2 10 Rp 23,170.00
139 DESOXIMETASONE CR 0,25 % 10 GR 0 0 30
140 DESOXIMETASONE CR 2,5 MG/G 15 6 9 2 0
141 FUSON CR 0 0 5
142 GENTAMICIN CR 22 50 10 40 Rp 4,015.00
143 HYDROCORTISONE CR 8 5 1 5 Rp 3,996.00 Rp 4,850.00 Rp 3,666.00
144 KENALOG IN ORABASE 0 2 0 0
145 KETOCONAZOLE CR 24 10 2 0 Rp 7,770.00 Rp 9,435.00 Rp 5,450.00
146 MICONAZOLE CR 53 5 1 0 Rp 5,328.00 Rp 4,218.00
147 OXITETRACYCLIN SALEP MATA 0 0 5
148 OXITETRACYCLIN SALEP KULIT 2 2 0 10 Rp 2,800.00
149 SCABIMITE 15 5 1 0
150 ACARBOSE 100 MG 200 150 30 0 Rp 2,066.83
151 ACETYLCYSTEINE KAPSUL 0 2105 421 3000 Rp 1,110.00 Rp 832.50 Rp 666.00 Rp 1,954.00 Rp 686.00
152 ACYCLOVIR TABLET 400 MG 700 0 0 Rp 990.12 Rp 428.99 Rp 959.04 Rp 754.80
153 ADALAT OROS 0 45 9 150
154 ALLOPURINOL 100 MG 200 110 22 0 Rp 166.50 Rp 239.99 Rp 222.00 Rp 191.48 Rp 185.00
155 ALLOPURINOL 300 MG 270 0 0 Rp 495.00 Rp 818.18 Rp 466.20 Rp 416.25 Rp 472.00
156 ALPRAZOLAM 0,5 MG 0 0 200 Rp 769.23
157 ALPRAZOLAM 1 MG 0 0 0 Rp 1,250.58
158 AMBROXOL TABLET 0 500 100 600 Rp 270.27 Rp 169.83 Rp 112.50
159 AMITRIPTILINE 500 300 60 0 Rp 188.70 Rp 200.00
160 AMLODIPINE 5 MG 0 0 0 Rp 166.50 Rp 600.60 Rp 721.50 Rp 252.53 Rp 94.35 Rp 122.00
161 AMLODIPINE 10 MG 100 2610 522 3200 Rp 222.00 Rp 123.00 Rp 1,332.00 Rp 519.48 Rp 122.00 Rp 144.00
162 AMOXICILLIN TABLET 600 300 60 0 Rp 538.35 Rp 1,036.04 Rp 373.36 Rp 488.40 Rp 460.65
163 ANALSIK 0 0 0
164 ANTASIDA TABLET 100 300 60 300 Rp 111.00 Rp 195.00 Rp 120.00
165 ASAM FOLAT 400 MCG 500 0 0 Rp 58.00
166 ASAM FOLAT 1 MG 0 0 200 Rp 74.00
167 ASAM MEFENAMAT 0 1700 340 2500 Rp 199.80 Rp 486.49 Rp 305.25 Rp 241.43
168 ASAM TRANEXAMAT TAB 300 100 20 0 Rp 1,704.17 Rp 1,698.30
169 ASPILET CHEWABLE 0 924 185 1500
170 ATARAX 1 MG (ALPRAZOLAM) 300 200 40 0 Rp 3,235.65
171 ATORVASTATIN 20 MG 0 300 60 500 Rp 3,607.50 Rp 1,443.00
172 ATORVASTATIN 40 MG 0 150 Rp 3,663.00
173 AZITROMYCIN 180 180 36 0 Rp 10,823.00 Rp 5,550.00 Rp 4,662.00
174 BAMGETOL 200 MG 200 0 0 Rp 2,286.60
175 BRAXIDIN 200 0 0
176 BETAHISTIN TABLET 0 682 136 1000 Rp 1,820.40 Rp 194.25
177 BISOPROLOL 5 MG 600 230 46 0 Rp 2,331.00 Rp 1,332.00 Rp 399.60
178 BUSCOPAN TABLET 0 70 14 100
179 CALCIUM LACTATE 0 0 0 Rp 88.51 Rp 306.31
180 CANDESARTAN 8 MG 0 267 53 600 Rp 1,943.00 Rp 1,748.26
181 CANDESARTAN 16 MG 0 630 126 600 Rp 3,108.00 Rp 2,525.26 Rp 1,082.25
182 CAPTOPRIL 12,5 MG 1008 0 0 Rp 61.26 Rp 90.00 Rp 104.00
183 CARBOPLATIN 150 MG 0 1 0 0 Rp 132,000.00
184 CARBOPLATIN 450 MG 0 3 1 0 Rp 308,000.00
185 CEFADROXIL KAPSUL 0 900 180 1200 Rp 847.64 Rp 656.48 Rp 999.00 Rp 840.00 Rp 771.45
186 CEFIXIME 200 MG 300 1252 250 1200 Rp 2,359.00 Rp 2,761.90 Rp 3,052.50 Rp 1,587.30
187 CELECOXIB 100 MG 0 0 0 Rp 2,590.00 Rp 2,997.00
188 CELECOXIB 200 MG 0 0 0 Rp 3,885.00 Rp 4,995.00
189 CETERIZINE TABLET 0 541 108 500 Rp 88.80 Rp 77.00 Rp 333.00 Rp 330.00
190 CHERAL (RADIOTERAPI) 600 0 0
191 CIPROFLOXACIN TABLET 950 310 62 0 Rp 466.00 Rp 1,081.08 Rp 521.70 Rp 479.96 Rp 473.00
192 CILOSTAZOL 100 MG 0 100 20 100
193 CITICOLINE TABLET 400 360 72 0 Rp 4,995.00 Rp 1,665.00 Rp 5,550.00 Rp 3,330.00
194 CLINDAMYCIN 300 MG 0 0 100 Rp 1,110.00 Rp 1,098.00
195 CLOFRITIS (CLOBAZAM) 100 200 40 200 Rp 1,665.00
196 CLONIDINE 0,15 MG 700 200 40 0 Rp 234.00
197 CLOPIDOGREL 75 MG 0 304 61 600 Rp 4,070.00 Rp 3,049.73 Rp 1,395.83
198 CORTIDEX 0 0 0
199 CODEIN 10 MG 0 0 300
200 CODEIN 20 MG 0 200 40 100
201 CODIPRONT KAPSUL 0 0 0
202 COLCHICINE 0,5 MG 0 150 30 200
203 COTRIMOXAZOLE TABLET 0 300 60 500 Rp 220.00 Rp 276.84 Rp 252.00
204 CPZ 100 MG 0 0 0 Rp 524.88
205 CTM 1900 100 20 0 Rp 46.00 Rp 47.00
206 CURCUMA 0 300 60 500
207 DEPAKOTE ER 250 400 0 0
208 DEPAKOTE ER 500 0 200 40 300
209 DEXAMETHASONE TABLET 800 200 40 0 Rp 180.18
210 DIAMICRON 60 MG 0 30 6 0
211 DICLOFENAC SODIUM 50 MG 0 300 60 500 Rp 594.98 Rp 132.00 Rp 432.90
212 DIGOXIN TAB 200 100 20 0 Rp 108.23
213 DILTIAZEM 0 100 20 100
214 DIMENHYDRINAT 50 MG 0 101 20 300 Rp 215.34
215 DOMPERIDONE TABLET 150 1223 245 1500 Rp 150.96 Rp 317.00 Rp 333.00 Rp 286.00 Rp 145.00
216 DOXYCYCLINE 100 MG TABLET 0 10 2 100 Rp 549.45
217 DULCOLAX TABELT 0 0 0
218 EPERISON TABLET 50 MG 0 43 9 300 Rp 1,653.90
219 ERYTHROMYCIN 500 MG 0 0 0 Rp 1,339.77
220 ERYSANBE CHEWABLE 200 0 0 0
221 EUTHYROX 50 MG 0 300 60 600
222 EUTHYROX 100 MG 200 0 0
223 FARSORBID 10 MG 0 0 200 Rp 378.79
224 FLUNARIZIN 5 MG 640 150 30 0 Rp 3,264.30
225 FLUOXETIN 20 MG 0 0
226 FONCOPAC 300 MG 0 2 0 0 Rp 1,815,000.00
227 FUROSEMIDE TABLET 0 204 41 500 Rp 199.80 Rp 219.00
228 GABAPENTIN 100 MG 0 65 13 600 Rp 1,487.40
229 GABAPENTIN 300 MG 200 1470 294 1500 Rp 2,619.60 Rp 3,052.50 Rp 1,554.00
230 GALVUS (VILDAGLIPTIN) 0 28 6 0
231 GLAUSETA 200 100 20 0
232 GLIBENCLAMIDE 5 MG 200 0 0 Rp 79.09 Rp 187.59 Rp 146.00 Rp 135.00
233 GLIMEPIRIDE 1 MG 800 100 20 0 Rp 611.00 Rp 555.00 Rp 222.00
234 GLIMEPIRIDE 2 MG 460 300 60 0 Rp 794.00 Rp 415.14 Rp 1,054.50 Rp 337.44 Rp 328.00
235 GLUCODEX 80 MG 0 520 104 1000
236 GG TABLET 0 0 0 Rp 100.00
237 GLUCOPAGE XR 1000 21 0 0
238 GRISEOFULVIN 0 0 0
239 HALOPERIDOL 0,5 MG 0 0 500 Rp 87.27
240 HALOPERIDOL 1,5 MG 0 0 0 Rp 99.07
241 HALOPERIDOL 2 MG 0 0 0 Rp 1,212.12
242 HALOPERIDOL 5 MG 0 0 0 Rp 1,987.18 Rp 132.09
243 HARNAL 0,2 MG 0 300
244 HARNAL OCAS 0,4 0 150 30 600
245 HISTAPAN TABLET 0 0 0
246 HEXYMER TABLET 400 300 60 0 Rp 423.50
247 HYDROCLOTYAZID 0 0 100
248 IBUPROFEN 200 MG 0 0 0 Rp 159.00 Rp 199.80 Rp 207.00
249 IBUPROFEN 400 MG 0 500 100 600 Rp 197.00 Rp 390.17 Rp 289.00
250 IFALMIN CAPSUL 330 0 0 Rp 6,290.00
251 IRBESARTAN 300 MG 0 0 100 Rp 5,180.00 Rp 2,072.00 Rp 1,464.00
252 ISOSORBID DINITRATE 0 100 20 500 Rp 252.53 Rp 123.00
253 KETOCONAZOLE 200 MG 0 0 100 Rp 427.00 Rp 555.00 Rp 388.50 Rp 247.75
254 KOLKATRIOL 120 0 0 Rp 1,776.00
255 KSR 450 200 40 0
256 KUTOIN KAPSUL 440 20 4 0 Rp 1,465.20
257 LACTO B 420 120 24 0
258 LANSOPRAZOLE KAPSUL 0 500 100 600 Rp 1,248.75 Rp 866.30 Rp 1,332.00 Rp 639.36 Rp 837.50 Rp 446.00
259 LEVACIDE 9 0 0
260 LEVOFLOXACIN TABLET 50 100 20 300 Rp 999.00 Rp 1,387.50 Rp 832.50
261 LISINOPRIL 10 MG 0 0 0
262 LISINOPRIL 5 MG 0 0 0
263 LODIA 150 0 500 Rp 77.00 Rp 248.20
264 LODOMER 5 MG (HALOPERIDOL) 0 0 0 Rp 1,969.00
265 LONGATIN 0 10 2 100
266 LORATADINE 100 0 0 Rp 127.00 Rp 366.30 Rp 219.78 Rp 255.00
267 MECOBALAMIN KAPSUL 0 1100 220 1500
268 MELOXICAM 7,5 MG 0 500 100 1000 Rp 397.38 Rp 512.82 Rp 274.73
269 MELOXICAM 15 MG 0 300 60 300 Rp 517.26 Rp 630.63 Rp 777.00 Rp 488.40
270 MERLOPAM 2 MG 50 50 10 0 Rp 4,312.35
271 METFORMIN 500 MG 3400 1080 216 0 Rp 277.50 Rp 194.25
272 METFORMIN 850 MG 0 74 15 0
273 METILERGOMETRIN TABLET 680 0 0 Rp 204.55
274 METILPREDNISOLON 4 MG 0 300 60 0 Rp 184.26 Rp 648.65 Rp 499.50 Rp 249.75
275 METILPREDNISOLON 8 MG 1180 800 160 0 Rp 352.98 Rp 331.00
276 METOCLOPRAMIDE TABLET 0 157 31 300 Rp 305.25
277 METRONIDAZOLE TAB 700 207 41 0 Rp 258.85 Rp 219.00
278 MICARDIS 80 MG 400 0 0
279 MISOPROSTOL 0 10 2 20 Rp 5,550.00 Rp 4,440.00
280 MST CONTINUS 10 MG 0 10 2 20
281 NEUGAIN 0 0 0
282 NEUROAID 0 0 0 Rp 53,520.50
283 NEURODEX TABLET 2600 529 106 0 Rp 610.50
284 NEW DIATAB 0 734 147 1000
285 NIFEDIPINE TAB 150 0 0 Rp 754.80 Rp 209.00
286 NITROKAF RETARD 400 600 120 500
287 OMEPRAZOLE KAPSUL 0 600 120 1000 Rp 188.00 Rp 479.53 Rp 408.32 Rp 556.00
288 ONDANSENTRON 4 MG 650 120 24 0 Rp 740.00 Rp 252.00 Rp 932.40
289 ORALIT 80 12 2 0
290 PARACETAMOL TABLET 0 4078 816 6000 Rp 153.18 Rp 195.88
291 PIOGLITAZONE 30 MG 0 30 6 60 Rp 5,550.00
292 PIRACETAM 800 MG 0 400 80 400 Rp 8,832.53 Rp 810.30 Rp 685.43
293 PIRACETAM 1200 MG 100 0 0 Rp 1,043.40 Rp 1,305.00 Rp 1,054.50
294 PIROXICAM 10 MG 350 0 0 Rp 270.27 Rp 154.00 Rp 195.00
295 PREGABALIN 75 MG 146 0 100 Rp 6,937.50 Rp 5,550.00 Rp 4,714.00
296 PROPANOLOL 10 MG 2900 100 20 0
297 PROPANOLOL 40 MG 2500 200 40 0
298 PROPYLTHIOURACIL 100 100 20 200 Rp 638.50 Rp 477.00
299 PRORENAL 88 200 40 0
300 PREDNISON TABLET 0 200 40 300 Rp 123.00 Rp 132.00
301 RAMIPRIL 5 MG 100 100 20 100
302 RANITIDINE TABLET 1000 2845 569 3000 Rp 220.00 Rp 171.05 Rp 253.00
303 REBAMIPID 100 MG 0 0 100
304 RETAPHYL 0 0 0
305 RHODIUM 0 92 18 100
306 RISPERIDONE 2 MG 0 10 2 100 Rp 2,588.00
307 SALBUTAMOL 2 MG 0 100 20 100 Rp 94.35 Rp 111.00
308 SALBUTAMOL 4 MG 0 0 0 Rp 113.22 Rp 152.00
309 SALOFALK 500 MG 400 0 0
310 SANTAGESIC (METAMIZOLE) 20 0 0
311 SANTIBI 100 0 0
312 SIBITAL 50 200 30 6 0 Rp 566.10
313 SIFROL 0,375 0 60 12 300
314 SIMARC 2 MG 20 50 10 100 Rp 1,273.73
315 SIMVASTATIN 10 MG 300 0 0 Rp 111.00 Rp 116.00 Rp 388.50 Rp 135.98 Rp 138.75
316 SIMVASTATIN 20 MG 30 200 40 0 Rp 173.16 Rp 788.29 Rp 1,036.00 Rp 393.68 Rp 233.50
317 SPIRONOLACTONE 100 MG 0 100 20 200 Rp 2,442.00
318 SPIRONOLACTONE 25 MG 0 0 300 Rp 999.00
319 SULFITIS 500 MG 240 0 0 Rp 3,108.00
320 TABLET TAMBAH DARAH 300 300 60 0 Rp 429.00 Rp 276.39 Rp 255.00
321 TETRACYCLIN TABLET 0 100 20 100 Rp 510.00
322 TETRASANBE TABLET 500 MG 0 0 0
323 THROMBO ASPILET 0 30 6 0
324 THYROZOL 5 MG 0 30 6 100
325 THYROZOL 10 MG 0 410 82 1000
326 TIARYT TABLET 0 30 6 100 Rp 2,997.00
327 TOPAMAX 25 480 0 0
328 TOPAMAX 50 0 0 0
329 TRAMADOL 50 MG TABLET 0 0 0 Rp 466.20 Rp 301.92
330 TREMENZA 220 50 10 0
331 TRIHEXYPENIDIL 0 0 0 Rp 133.00
332 URSODEOXICHOLIC ACID 0 270 54 600
333 VALISANBE 2 MG 0 0 200 Rp 88.80
334 VALISANBE 5 MG 0 80 16 200 Rp 277.50
335 VALSARTAN 80 MG 0 0 0 Rp 4,440.00 Rp 1,776.00
336 VALSARTAN 160 MG 480 180 36 0 Rp 6,475.00 Rp 2,590.00
337 VIP ALBUMIN KAPSUL 0 172 34 300 Rp 653,790.00
338 VITAMIN B COMPLEX 700 1600 320 1200 Rp 81.03
339 VITAMIN B12 0 700 140 500 Rp 55.50 Rp 77.70
340 VITAMIN B1 0 700 140 500 Rp 89.00
341 VITAMIN B6 0 420 84 500 Rp 83.25 Rp 111.00
342 VITAMIN C 50 MG 0 0 0 Rp 79.92 Rp 100.00
343 VITAMIN C 100 MG 100 300 60 0 Rp 222.00
344 VITAMIN C 500 MG 270 245 49 200 Rp 495.00
345 VITAMIN D 60 0 200
346 VITAMIN E 540 60 12 0
347 WARFARIN TABLET 0 0 0 Rp 865.80
348 ZINK TABLET 1350 405 81 0 Rp 193.00 Rp 255.30 Rp 208.00
349 SISTENOL TABLET 0 30 6 0
350 KALITAKE 0 0 30
351 CENDO LYTEERS 1 9 2 11 Rp 4,235.00
352 CENDO XITROL ED 5 ML 6 3 1 4 Rp 5,362.60 Rp 33,100.00
353 CENDO TIMOL 0,5 % 5 0 0 Rp 5,665.00
354 CENDO TOBROSON 3 2 0 2 Rp 6,380.00
355 CENDO GENTA 8 0 0 Rp 3,492.60
356 CENDO CENFRESH 3 2 0 2 Rp 5,060.00
357 CENDO LFX 4 3 1 4 Rp 15,180.00
358 CENDO P-PRED MD 0 0 5 Rp 8,415.00
359 CENDO POLYNEL 0 0 5 Rp 3,932.60
360 CENDO PANTOCAIN 2 % 0 0 1 Rp 14,575.00
361 CENDO MYDRIATIL 1 % 0 0 1 Rp 42,075.00
362 CENDO HYALUB 0 0 5

Makassar, 01 Maret 2023

Menyetujui, Mengetahui,

dr. Salwa Mochtar, MARS Apt. Hasbullah, S.Farm

 RUMAH SAKIT ISLAM FAISAL
Jl.A.Pangerang Pettarani
Telepon No. 0411 – 853364 - 871942, Fax. 0411 – 857010
MAKASSAR 90222 Sulawesi Selatan
Email : faisalislamichospital@yahoo.co.id
Website :www.rsislamfaisal.com
AKREDITASI KARS KEMENKES RI. NOMOR : KARS – SERT / 310 / II / 2019

RENCANA KEBUTUHAN OBAT/CAIRAN GUDANG FARMASA RS. ISLAM FAISAL MAKASSAR

PERIODE MARET 2023

BUFFER STOCK HARGA DISTRIBUTOR

KEBUTUHAN
NO. NAMA OBAT SISA STOK PEMAKAIAN
20% PT. AAM PT. SAPTA SARI PT. AMS PT. KEBAYORAN PT. APL PT. BSP PT. KALLISTA PT. DMA

1 RINGER LACTAT 393 2165 433 2700

2 NACL 0,9 % 500 ML 339 1538 308 1800
3 NACL 0,9 % 100 ML (PB) 0 0 100
4 DEXTROSE 5 % 0 28 6 40
5 DEXTROSE 10 % 29 37 7 40
6 OTSU SALIN 3 % 50 74 15 50
7 ASERING (RING AS) 16 102 20 120
8 MANITOL 49 65 13 0
9 KAEN 3B 34 0 0
10 KAEN MG3 3 0 0
11 AQUADEST 1 L 30 60 12 40
12 OTSU DEX 40 % 48 119 24 120
13 OTSU KCL 59 0 0
14 OTSU MGSO4 40 % 12 0 0
15 MEYLON 8,4 % 0 0 0
16 AQUADEST 25 ML 85 201 40 140
17 ISOFLURANE 250 ML 0 5 1 6 Rp 1,831,500.00 Rp 832,500.00
18 IOHEXOL INJECTION 2 0 0
19 GELAFUSAL 0 7 1 10 Rp 199,800.00
20 BFLUID 0 10 2 20
21 PARACETAMOL INFUS 0 173 35 300
22 METRONIDAZOLE INFUS 80 108 22 120 Rp 29,768.00 Rp 33,300.00
23 CIPROFLOXACIN INFUS 14 30 6 20 Rp 57,518.00
24 LEVOFLOXACIN INF 500 0 30 6 30 Rp 88,800.00 Rp 35,520.00
25 LEVOFLOXACIN INF 750 11 31 6 35 Rp 166,500.00
26 PIRACETAM INFUS 0 0 3
27 FLUCONAZOLE INFUS 1 5 1 6
28 NEFROSTERIL 0 28 6 50 Rp 47,260.00
29 RESFAR INFUS 0 8 2 10 Rp 220,890.00
30 ALBUNORM 25 % 100 ML 0 2 0 5
31 WIDAHES 7 0 0
32 AMBROXOL SYRUP 0 9 2 20
33 AMOXICILLIN SYRUP 26 13 3 0
34 ANTASIDA SYRUP 0 0 20 Rp 3,885.00 Rp 4,766.00
35 CEFADROXIL SYRUP 10 8 2 5
36 CEFIXIME SYRUP 1 4 1 10 Rp 30,525.00
37 CETERIZINE SYRUP 57 0 0 Rp 10,545.00
38 COTRIMOXAZOLE SYRUP 0 2 0 20
39 DOMPERIDONE SYRUP 2 17 3 20 Rp 4,329.00
40 ELKANA 60 0 0 Rp 26,307.00
41 IBUPROFEN SYRUP 0 5 1 5
42 LACTULOSA SYRUP 30 12 2 10 Rp 30,525.00 Rp 31,524.00
43 NYSTATIN DROP 0 11 2 15
44 ONDANSENTRON SYRUP 2 1 0 0
45 PARACETAMOL SYRUP 3 38 8 50 Rp 4,247.00
46 PARACETAMOL DROP 0 0 5
47 SUCRALFATE SYRUP 0 70 14 120 Rp 22,200.00
48 ZINK SYRUP 0 0 30
49 AMINOPILLIN 64 0 0
50 AMIODARONE 0 0 40
51 AMPICILLIN INJ 0 84 17 150
52 APIDRA 0 0 0
53 ANTI HEMOROID 80 0 0
54 ANTRAIN INJEKSI 0 343 69 420
55 ARIXTRA INJEKSI 0 10 2 15 Rp 199,800.00
56 ASAM TRANEXAMAT INJ 250 28 0 0 Rp 4,440.00
57 ASAM TRANEXAMAT INJ 500 106 195 39 130 Rp 5,827.50
58 ASCORBIC ACID INJ (VIT. C) 0 0 30
59 ATRACURIUM INJEKSI 0 45 9 50 Rp 92,130.00 Rp 29,970.00
60 ATROPIN SULFATE INJ 61 20 4 24
61 BUNASCAN EPIDURAL 0 4 1 5 Rp 77,700.00
62 BUPIVACAIN SPINAL 51 45 9 0 Rp 26,640.00 Rp 77,700.00 Rp 26,085.00
63 BUSCOPAN INJEKSI 0 0 0
64 CALCII GLUCONAT 38 0 0 Rp 14,504.00
65 CARBAZOCROME INJ 0 56 11 100 Rp 11,145.00
66 CATAPRES INJEKSI 0 5 1 30
67 CEDOCARD 33 10 2 10
68 CEFOTAXIME 8 74 15 150 Rp 6,993.00
69 CEFTAZIDIME 0 0 6 Rp 34,165.80 Rp 33,300.00
70 CEFTRIAXONE 14 2278 456 4000 Rp 8,672.10 Rp 16,650.00
71 CITICOLIN INJ 500 20 102 20 120
72 COMBIVENT 0 242 48 300
73 DEXAMETHASONE INJ 10 366 73 400
74 DIPENHIDRAMIN 0 0 10 Rp 2,775.00
75 DOBUTAMIN (DOPAMIN) 6 10 2 20 Rp 57,692.20 Rp 41,181.00
76 DULCOLAX SUPPO 0 60 12 100
77 MELOXICAM SUPPO 0 12 2 20
78 DUMIN RECTAL 125MG/2,5ML 0 0 5
79 DUMIN RECTAL 250MG 0 0 5
80 DUROGESIC 12,5 0 0 5
81 DUROGESIC 25 0 0 5
82 EFEDRIN INJEKSI 0 25 5 50
83 EPINEFRIN INJEKSI 314 15 3 18 Rp 26,363.00
84 FARGOXIN 10 0 10 Rp 66,600.00
85 FENTANYL 0 185 37 250 Rp 29,500.00
86 FLIXOTIDE 10 0 0
87 FLEET ENEMA 0 11 2 15 Rp 39,370.00
88 FLEET PHOSPOSODA 0 1 0 2
89 FUROSEMIDE INJ 416 300 60 0 Rp 3,574.20
90 GENTAMICIN INJEKSI 320 165 33 0 Rp 5,106.00
91 HALOPERIDOL INJEKSI 0 0 20 Rp 7,215.00
92 INVICLOT (HEPARIN) 13 40 8 50 Rp 73,260.00
93 KETAMINE 0 0 2 Rp 155,400.00
94 KETOROLAC 390 632 126 350 Rp 13,486.50 Rp 6,000.00
 95 KUTOIN INJEKSI 0 20 4 30 Rp 13,320.00
96 LANTUS 0 7 1 15 Rp 89,360.00
97 LEVEMIR 4 12 2 40 Rp 89,809.00
98 LIDOCAIN INJEKSI 83 300 60 200
99 MECOBALAMIN INJEKSI 0 190 38 200 Rp 8,880.00
100 MEROPENEM 0 6 1 20 Rp 222,000.00 Rp 61,050.00
101 METAMIZOLE INJ 0 0 0
102 METILERGOMETRIN INJ 27 19 4 23 Rp 4,440.00
103 METILPREDNISOLON INJEKSI 0 58 12 100 Rp 35,798.00 Rp 23,976.00
104 METOCLOPRAMIDE INJEKSI 70 160 32 120
105 MILOZ INJEKSI (MIDAZOLAM) 89 25 5 0
106 N-ACE INJEKSI 0 0 10
107 NEUROSANBE 0 250 50 350 Rp 6,937.50
108 NICARDIPIN INJ 0 63 13 120 Rp 144,300.00 Rp 186,480.00
109 NOREPINEFRIN INJEKSI 11 80 16 100 Rp 55,500.00
110 NOVOMIX 0 0 5 Rp 565,090.00
111 NOVORAPID 5 1 0 50 Rp 90,314.00
112 ONDANSENTRON INJEKSI 4 MG 0 991 198 1200 Rp 5,550.00
113 OMEPRAZOLE INJEKSI 0 81 16 150 Rp 75,480.00 Rp 7,992.00
114 OMNIPAQUE 0 0 0
115 OSTELOX SUPPO 12 0 0
116 OXITOCIN INJEKSI 50 65 13 20
117 PETHIDINE 2 ML 0 10 2 10
118 PHYTOMENADION INJ 217 20 4 0 Rp 6,660.00
119 PIRACETAM INJ 3 GR 20 20 4 0 Rp 17,260.50
120 PULMICORT 10 60 12 80
121 RANITIDINE INJEKSI 0 2376 475 3200 Rp 2,593.36
122 RECOFOL INJEKSI 19 30 6 15
123 ROCURONIUM 12 0 0 Rp 77,700.00
124 RYZODEG FLEXPEN 0 3 1 5
125 SIBITAL INJEKSI 20 10 2 10
126 STESOLID RECTAL 10 MG 0 1 0 10 Rp 45,732.00
127 STESOLID RECTAL 5 MG 0 0 10 Rp 30,841.00
128 STREPTOMYCIN INJ 22 0 0
129 SYMBICORT 160 0 0 3 Rp 150,704.00
130 SYMBICORT 80 0 0 3 Rp 135,577.00
131 TETAGAM 0 0 0 Rp 199,800.00
132 TRAMADOL INJEKSI 0 0 20 Rp 4,995.00
133 VAKSIN TT (TOXOID) 30 0 0
134 VALISANBE INJEKSI 0 23 5 50
135 VENTOLIN 0 50 10 80 Rp 11,549.20
136 ACYCLOVIR CR 3 0 5 Rp 5,772.00
137 BETAMETASONE CR 0 0 10
138 BIOPLACENTON 15 GR 1 11 2 10
139 DESOXIMETASONE CR 0,25 % 10 GR 0 0 30
140 DESOXIMETASONE CR 2,5 MG/G 15 GR 6 9 2 0
141 FUSON CR 0 0 5
142 GENTAMICIN CR 22 50 10 40 Rp 4,440.00
143 HYDROCORTISONE CR 8 5 1 5
144 KENALOG IN ORABASE 0 2 0 0
145 KETOCONAZOLE CR 24 10 2 0 Rp 7,063.66 Rp 6,105.00
146 MICONAZOLE CR 53 5 1 0
147 OXITETRACYCLIN SALEP MATA 0 0 5
148 OXITETRACYCLIN SALEP KULIT 2 2 0 10
149 SCABIMITE 15 5 1 0
150 ACARBOSE 100 MG 200 150 30 0 Rp 1,929.18 Rp 2,220.00
151 ACETYLCYSTEINE KAPSUL 0 2105 421 3000 Rp 555.00 Rp 1,110.00
152 ACYCLOVIR TABLET 400 MG 700 0 0 Rp 636.23
153 ADALAT OROS 0 45 9 150
154 ALLOPURINOL 100 MG 200 110 22 0 Rp 192.01 Rp 288.60
155 ALLOPURINOL 300 MG 270 0 0 Rp 510.60
156 ALPRAZOLAM 0,5 MG 0 0 200 Rp 677.10 Rp 1,923.00
157 ALPRAZOLAM 1 MG 0 0 0 Rp 1,043.40 Rp 2,990.00
158 AMBROXOL TABLET 0 500 100 600
159 AMITRIPTILINE 500 300 60 0 Rp 233.10
160 AMLODIPINE 5 MG 0 0 0 Rp 968.72 Rp 1,036.00 Rp 361.00
161 AMLODIPINE 10 MG 100 2610 522 3200 Rp 1,706.40 Rp 1,739.00 Rp 660.00
162 AMOXICILLIN TABLET 600 300 60 0 Rp 373.36 Rp 555.00
163 ANALSIK 0 0 0
164 ANTASIDA TABLET 100 300 60 300 Rp 142.99
165 ASAM FOLAT 400 MCG 500 0 0
166 ASAM FOLAT 1 MG 0 0 200
167 ASAM MEFENAMAT 0 1700 340 2500 Rp 278.02
168 ASAM TRANEXAMAT TAB 300 100 20 0
169 ASPILET CHEWABLE 0 924 185 1500
170 ATARAX 1 MG (ALPRAZOLAM) 300 200 40 0
171 ATORVASTATIN 20 MG 0 300 60 500 Rp 4,440.00 Rp 4,440.00
172 ATORVASTATIN 40 MG 0 150
173 AZITROMYCIN 180 180 36 0 Rp 11,100.00
174 BAMGETOL 200 MG 200 0 0
175 BRAXIDIN 200 0 0
176 BETAHISTIN TABLET 0 682 136 1000 Rp 931.47
177 BISOPROLOL 5 MG 600 230 46 0 Rp 2,342.77
178 BUSCOPAN TABLET 0 70 14 100
179 CALCIUM LACTATE 0 0 0
180 CANDESARTAN 8 MG 0 267 53 600 Rp 4,995.00 Rp 1,933.00
181 CANDESARTAN 16 MG 0 630 126 600 Rp 7,215.00 Rp 2,988.00
182 CAPTOPRIL 12,5 MG 1008 0 0 Rp 90.82
183 CARBOPLATIN 150 MG 0 1 0 0 Rp 227,550.00
184 CARBOPLATIN 450 MG 0 3 1 0 Rp 493,950.00
185 CEFADROXIL KAPSUL 0 900 180 1200 Rp 847.63
186 CEFIXIME 200 MG 300 1252 250 1200 Rp 4,070.37
187 CELECOXIB 100 MG 0 0 0
188 CELECOXIB 200 MG 0 0 0
189 CETERIZINE TABLET 0 541 108 500 Rp 305.00 Rp 407.00
190 CHERAL (RADIOTERAPI) 600 0 0
191 CIPROFLOXACIN TABLET 950 310 62 0 Rp 538.35
192 CILOSTAZOL 100 MG 0 100 20 100
193 CITICOLINE TABLET 400 360 72 0 Rp 6,660.00
194 CLINDAMYCIN 300 MG 0 0 100 Rp 1,308.69
195 CLOFRITIS (CLOBAZAM) 100 200 40 200
196 CLONIDINE 0,15 MG 700 200 40 0
197 CLOPIDOGREL 75 MG 0 304 61 600 Rp 9,990.00 Rp 3,053.00
198 CORTIDEX 0 0 0
199 CODEIN 10 MG 0 0 300
200 CODEIN 20 MG 0 200 40 100
201 CODIPRONT KAPSUL 0 0 0
202 COLCHICINE 0,5 MG 0 150 30 200
203 COTRIMOXAZOLE TABLET 0 300 60 500
204 CPZ 100 MG 0 0 0
205 CTM 1900 100 20 0
206 CURCUMA 0 300 60 500 Rp 999.00
207 DEPAKOTE ER 250 400 0 0
208 DEPAKOTE ER 500 0 200 40 300
209 DEXAMETHASONE TABLET 800 200 40 0 Rp 77.70
210 DIAMICRON 60 MG 0 30 6 0
211 DICLOFENAC SODIUM 50 MG 0 300 60 500 Rp 222.00
212 DIGOXIN TAB 200 100 20 0 Rp 155.40
213 DILTIAZEM 0 100 20 100
214 DIMENHYDRINAT 50 MG 0 101 20 300
215 DOMPERIDONE TABLET 150 1223 245 1500 Rp 407.29
216 DOXYCYCLINE 100 MG TABLET 0 10 2 100 Rp 507.79
217 DULCOLAX TABELT 0 0 0
218 EPERISON TABLET 50 MG 0 43 9 300 Rp 3,108.00
219 ERYTHROMYCIN 500 MG 0 0 0
220 ERYSANBE CHEWABLE 200 0 0 0
221 EUTHYROX 50 MG 0 300 60 600 Rp 728.56
222 EUTHYROX 100 MG 200 0 0 Rp 1,081.75
223 FARSORBID 10 MG 0 0 200 Rp 610.50
224 FLUNARIZIN 5 MG 640 150 30 0
225 FLUOXETIN 20 MG 0 0 Rp 4,662.00
226 FONCOPAC 300 MG 0 2 0 0
227 FUROSEMIDE TABLET 0 204 41 500
228 GABAPENTIN 100 MG 0 65 13 600 Rp 2,775.00
229 GABAPENTIN 300 MG 200 1470 294 1500 Rp 5,550.00 Rp 6,915.00
230 GALVUS (VILDAGLIPTIN) 0 28 6 0
231 GLAUSETA 200 100 20 0
232 GLIBENCLAMIDE 5 MG 200 0 0
233 GLIMEPIRIDE 1 MG 800 100 20 0 Rp 766.99
234 GLIMEPIRIDE 2 MG 460 300 60 0 Rp 1,446.31
235 GLUCODEX 80 MG 0 520 104 1000 Rp 588.30
236 GG TABLET 0 0 0
237 GLUCOPAGE XR 1000 21 0 0
238 GRISEOFULVIN 0 0 0
239 HALOPERIDOL 0,5 MG 0 0 500
240 HALOPERIDOL 1,5 MG 0 0 0
241 HALOPERIDOL 2 MG 0 0 0
242 HALOPERIDOL 5 MG 0 0 0
243 HARNAL 0,2 MG 0 300
244 HARNAL OCAS 0,4 0 150 30 600 Rp 5,550.00
245 HISTAPAN TABLET 0 0 0
246 HEXYMER TABLET 400 300 60 0
247 HYDROCLOTYAZID 0 0 100
248 IBUPROFEN 200 MG 0 0 0
249 IBUPROFEN 400 MG 0 500 100 600 Rp 421.80
250 IFALMIN CAPSUL 330 0 0
251 IRBESARTAN 300 MG 0 0 100 Rp 3,774.00
252 ISOSORBID DINITRATE 0 100 20 500
253 KETOCONAZOLE 200 MG 0 0 100 Rp 455.10
254 KOLKATRIOL 120 0 0
255 KSR 450 200 40 0 Rp 1,858.75
256 KUTOIN KAPSUL 440 20 4 0 Rp 653.79
257 LACTO B 420 120 24 0
258 LANSOPRAZOLE KAPSUL 0 500 100 600
259 LEVACIDE 9 0 0
260 LEVOFLOXACIN TABLET 50 100 20 300 Rp 1,164.15
261 LISINOPRIL 10 MG 0 0 0 Rp 754.80
262 LISINOPRIL 5 MG 0 0 0 Rp 488.40
263 LODIA 150 0 500 Rp 1,165.50
264 LODOMER 5 MG (HALOPERIDOL) 0 0 0
265 LONGATIN 0 10 2 100 Rp 4,329.00
266 LORATADINE 100 0 0
267 MECOBALAMIN KAPSUL 0 1100 220 1500
268 MELOXICAM 7,5 MG 0 500 100 1000 Rp 698.19
269 MELOXICAM 15 MG 0 300 60 300 Rp 1,209.90 Rp 1,086.70
270 MERLOPAM 2 MG 50 50 10 0
271 METFORMIN 500 MG 3400 1080 216 0 Rp 201.47
272 METFORMIN 850 MG 0 74 15 0 Rp 432.90
273 METILERGOMETRIN TABLET 680 0 0
274 METILPREDNISOLON 4 MG 0 300 60 0 Rp 444.56 Rp 282.00
275 METILPREDNISOLON 8 MG 1180 800 160 0 Rp 590.32 Rp 466.00
276 METOCLOPRAMIDE TABLET 0 157 31 300
277 METRONIDAZOLE TAB 700 207 41 0
278 MICARDIS 80 MG 400 0 0
279 MISOPROSTOL 0 10 2 20
280 MST CONTINUS 10 MG 0 10 2 20
281 NEUGAIN 0 0 0 Rp 9,065.00
282 NEUROAID 0 0 0
283 NEURODEX TABLET 2600 529 106 0 Rp 610.50
284 NEW DIATAB 0 734 147 1000
285 NIFEDIPINE TAB 150 0 0 Rp 149.69
286 NITROKAF RETARD 400 600 120 500
287 OMEPRAZOLE KAPSUL 0 600 120 1000 Rp 535.13 Rp 666.00
288 ONDANSENTRON 4 MG 650 120 24 0 Rp 1,554.00 Rp 555.00
289 ORALIT 80 12 2 0
290 PARACETAMOL TABLET 0 4078 816 6000
291 PIOGLITAZONE 30 MG 0 30 6 60 Rp 4,440.00 Rp 6,105.00 Rp 4,440.00
292 PIRACETAM 800 MG 0 400 80 400 Rp 810.30
293 PIRACETAM 1200 MG 100 0 0 Rp 1,305.36
294 PIROXICAM 10 MG 350 0 0
295 PREGABALIN 75 MG 146 0 100 Rp 7,215.00 Rp 5,550.00
296 PROPANOLOL 10 MG 2900 100 20 0 Rp 89.36
297 PROPANOLOL 40 MG 2500 200 40 0 Rp 140.42
298 PROPYLTHIOURACIL 100 100 20 200 Rp 500.90
299 PRORENAL 88 200 40 0
300 PREDNISON TABLET 0 200 40 300 Rp 189.35
301 RAMIPRIL 5 MG 100 100 20 100 Rp 644.69
302 RANITIDINE TABLET 1000 2845 569 3000 Rp 222.00 Rp 236.43
303 REBAMIPID 100 MG 0 0 100 Rp 3,885.00
304 RETAPHYL 0 0 0
305 RHODIUM 0 92 18 100 Rp 7,770.00
306 RISPERIDONE 2 MG 0 10 2 100 Rp 2,396.60 Rp 5,284.00
307 SALBUTAMOL 2 MG 0 100 20 100 Rp 144.30
308 SALBUTAMOL 4 MG 0 0 0 Rp 166.50
309 SALOFALK 500 MG 400 0 0
310 SANTAGESIC (METAMIZOLE) 20 0 0
311 SANTIBI 100 0 0
312 SIBITAL 50 200 30 6 0
313 SIFROL 0,375 0 60 12 300
314 SIMARC 2 MG 20 50 10 100 Rp 1,720.50
315 SIMVASTATIN 10 MG 300 0 0 Rp 517.66
316 SIMVASTATIN 20 MG 30 200 40 0
317 SPIRONOLACTONE 100 MG 0 100 20 200 Rp 1,064.55
318 SPIRONOLACTONE 25 MG 0 0 300 Rp 349.52
319 SULFITIS 500 MG 240 0 0 Rp 5,365.00
320 TABLET TAMBAH DARAH 300 300 60 0 Rp 499.50
321 TETRACYCLIN TABLET 0 100 20 100
322 TETRASANBE TABLET 500 MG 0 0 0
323 THROMBO ASPILET 0 30 6 0
324 THYROZOL 5 MG 0 30 6 100 Rp 685.17
325 THYROZOL 10 MG 0 410 82 1000 Rp 1,337.05
326 TIARYT TABLET 0 30 6 100 Rp 4,995.00
327 TOPAMAX 25 480 0 0
328 TOPAMAX 50 0 0 0
329 TRAMADOL 50 MG TABLET 0 0 0
330 TREMENZA 220 50 10 0 Rp 1,720.50
331 TRIHEXYPENIDIL 0 0 0
332 URSODEOXICHOLIC ACID 0 270 54 600 Rp 6,216.00 Rp 4,662.00
333 VALISANBE 2 MG 0 0 200 Rp 284.44
334 VALISANBE 5 MG 0 80 16 200 Rp 455.10
335 VALSARTAN 80 MG 0 0 0 Rp 4,440.00
336 VALSARTAN 160 MG 480 180 36 0 Rp 7,215.00
337 VIP ALBUMIN KAPSUL 0 172 34 300
338 VITAMIN B COMPLEX 700 1600 320 1200
339 VITAMIN B12 0 700 140 500
340 VITAMIN B1 0 700 140 500 Rp 315.08
341 VITAMIN B6 0 420 84 500 Rp 160.00
342 VITAMIN C 50 MG 0 0 0 Rp 152.63
343 VITAMIN C 100 MG 100 300 60 0
344 VITAMIN C 500 MG 270 245 49 200 Rp 1,850.00
345 VITAMIN D 60 0 200
346 VITAMIN E 540 60 12 0
347 WARFARIN TABLET 0 0 0
348 ZINK TABLET 1350 405 81 0
349 SISTENOL TABLET 0 30 6 0 Rp 2,775.00 Rp 3,252.00
350 KALITAKE 0 0 30
351 CENDO LYTEERS 1 9 2 11 Rp 4,273.60
352 CENDO XITROL ED 5 ML 6 3 1 4 Rp 5,411.20
353 CENDO TIMOL 0,5 % 5 0 0 Rp 5,716.60
354 CENDO TOBROSON 3 2 0 2 Rp 6,438.00
355 CENDO GENTA 8 0 0 Rp 3,524.20
356 CENDO CENFRESH 3 2 0 2
357 CENDO LFX 4 3 1 4
358 CENDO P-PRED MD 0 0 5 Rp 8,492.00
359 CENDO POLYNEL 0 0 5 Rp 3,968.00
360 CENDO PANTOCAIN 2 % 0 0 1 Rp 14,708.00
361 CENDO MYDRIATIL 1 % 0 0 1 Rp 14,708.00
362 CENDO HYALUB 0 0 5 Rp 12,654.00

Makassar, 01 MARET 2023

Menyetujui, Mengetahui,
dr. Salwa Mochtar, MARS Apt. Hasbullah, S.Farm