ALUR OBAT BULAN 01-01-2023 s/d 31-03-2023

Awal PUSKESMAS TUGU

No Kode Nama Satuan Kode Tanggal_Beli Sumber Harga Awal Masuk Jml Rp Akhir
2 1600 Abacavir ( ABC ) 300 MG TAB
3 2573 Alat Suntik 0,05 ml PCS 6812 1/16/2023 BANTUAN 1.465 0 4100 180 263700 495
7 369 Alat Suntik Sekali pakai 3 ml PCS 5177 6/27/2022 BELANJA BAHAN LAINNYA 878 13300 0 1400 1229200 0
6480 11/30/2022 BANTUAN 569 395 0 15 8535 0
6894 2/3/2023 BANTUAN 569 0 200 18 10242 0
6937 2/16/2023 BANTUAN 569 0 400 15 8535 133
8 370 Alat Suntik Sekali pakai 5 ml PCS 5184 6/27/2022 BELANJA BAHAN LAINNYA 974 31100 0 500 487000 27088
9 647 Albendazol Suspensi 200 mg/5 ml BTL
11 1595 Alinamin F TAB
12 478 Alkohol 70% 1000ml BOTOL
13 371 Alkohol Swab PCS 2904 9/9/2021 BELANJA BAHAN LAINNYA 155 219359 0 9900 1534500 19200
3030 10/19/2021 BANTUAN 79 49700 0 100 7900 46900
6939 2/16/2023 BANTUAN 79 0 4800 150 11850 3850
16 305 Ambroksol 30 mg TABLET 6348 11/10/2022 BELANJA OBAT OBATAN 210 12600 0 1200 252001.08 0
21 109 Amlodipin 10 mg TABLET 5218 7/4/2022 BELANJA OBAT OBATAN 71 107900 0 8000 565120 0
22 550 Amlodipin 5 mg TABLET 6754 1/10/2023 BANTUAN 53 0 69600 6000 318000 0
23 3428 Amoksisilin 250 mg KAPSUL
24 685 Amoksisilin Sirup Kering 125mg/5ml BOTOL 5907 9/14/2022 BELANJA OBAT OBATAN 3.874 5200 0 180 697,371,426,666 4260
25 113 Amoksisillin 500 mg TABLET 5406 7/22/2022 BELANJA OBAT OBATAN 201 30600 0 2900 582900 0
7105 3/13/2023 BANTUAN 201 0 4000 200 40200 1100

26 658 Amoksisillin Forte sirup kering 250mg/5ml BOTOL

27 114 Ampisilin serbuk injeksi 1000mg (i.v.) VIAL 4293 5/18/2022 BELANJA OBAT OBATAN 8.539 17410 0 100 853900 6790
28 115 Antasida kombinasi suspensi BOTOL
29 116 Antasida kombinasi tablet kunyah TABLET 5368 7/20/2022 BELANJA OBAT OBATAN 54 158900 0 10000 544899 15000

7104 3/13/2023 BANTUAN 54 0 20800 1500 81000 300

Anti Bakteri komb. Polymixin+Bacitracin
30 309 salep TUBE
31 310 Anti Flu / DEMACOLIN TABLET 6328 11/10/2022 BELANJA OBAT OBATAN 840 16500 0 1200 1008000 2100
33 117 Anti Fungi kombinasi salep POT
34 118 Anti Hemoroid kombinasi suppositoria SUPPO 5474 7/26/2022 BELANJA OBAT OBATAN 3.279 1000 0 70 229564.65 660

Anti Parkinson DOEN tablet kombinasi

Benserazid 25mg+Levodopa 100mg /
35 904 LEVOPAR 100MG TABLET
37 1584 APD BA BUN SET
38 1577 APD SET PCS
41 676 Aqua Dest 1 Liter BOTOL 2696 7/29/2021 BELANJA OBAT OBATAN 50.6 23 0 3 151800 4
42 119 Aqua Pro Injeksi VIAL 5139 6/20/2022 BELANJA OBAT OBATAN 2.651 5142 0 240 63,616,319,565,217 1850
43 120 Artemeter injeksi 80mg/ml AMPUL
45 1550 Asam Ascorbat 500mg TAB SALUT 2705 8/3/2021 BELANJA OBAT OBATAN 225 24700 0 1500 337500 5000
46 312 Asam Asetilsalisilat 100 mg (ASETOSAL) TABLET
47 121 Asam Asetilsalisilat 80mg/MINIASPI TABLET 5312 7/11/2022 BELANJA OBAT OBATAN 90 32400 0 3300 296373.33 18700
48 3429 Asam Askorbat (Vitamin C) 250 mg TAB
49 123 Asam Askorbat 50 mg (Vitamin C) TABLET 5289 7/8/2022 BELANJA OBAT OBATAN 42 357400 0 4000 16,800,000,072 294200
50 124 Asam Folat 1 mg TABLET
51 125 Asam Mefenamat 500 mg TABLET 5407 7/22/2022 BELANJA OBAT OBATAN 111 417100 0 11000 1221000 307400
52 313 Asam Traneksamat injeksi 50mg/ml AMPUL
55 126 Asiklovir 200 mg TABLET
56 127 Asiklovir 400 mg TABLET 1736 12/30/2020 BELANJA OBAT OBATAN 405 8000 0 200 81000 3200
57 314 Asiklovir krim TUBE 6008 9/27/2022 BELANJA OBAT OBATAN 3.543 480 0 60 212,571,428,598 109
59 129 Atropin injeksi 0,25mg/ml (i.v./i.m./s.k.) AMPUL 5215 7/1/2022 BELANJA OBAT OBATAN 1.718 90 0 5 85,900,125 70

60 1238 ATTAPULGITE 650MG/ NEO DIAGON TABLET

61 2531 Auto Destruct Syringe 0,3 ml PCS 6533 12/6/2022 BANTUAN 1.255 4110 0 350 439250 1341
6938 2/16/2023 BANTUAN 1.255 0 2400 110 138050 0
62 1583 Auto Distruck Spuit 0,5 ml PCS 3039 10/21/2021 BELANJA BAHAN LAINNYA 1.195 153301 0 300 358500 149901
64 1586 Bayclin 1 liter BTL
65 131 Bedak Salicyl Serbuk 2% KOTAK 5485 7/27/2022 BELANJA OBAT OBATAN 6.67 1134 0 12 80,036,571,462,857 712
67 612 Betahistine 6 mg TABLET 7023 3/9/2023 BELANJA OBAT OBATAN 190 0 26200 500 95000 14600
68 3430 Betametason salep 0,1% TUBE
69 316 Betamethasone krim 0,1% TUBE 6161 10/13/2022 BELANJA OBAT OBATAN 2.621 4405 0 144 377,362,285,776 3026
71 132 Bisakodil suppo 10 mg / STOLAX/DULCOLAX SUPPO 2578 6/10/2021 BELANJA OBAT OBATAN 4.325 34 0 4 17300 0
5850 9/1/2022 BELANJA OBAT OBATAN 4.325 800 0 26 1,124,500,975 654
72 317 Bisoprolol 5 mg (salut selaput) TABLET
75 373 CatGut Cromic 2/0+jarum 1/2 GT PCS
76 374 CatGut Cromic 3/0+jarum 1/2 GT PCS
77 375 CatGut Plain 2/0+jarum 1/2 GT PCS
78 376 CatGut Plain 3/0+jarum 1/2 GT PCS
79 3468 Caviplex tab TAB
82 3503 Cholesterol stik BeneCheck 10s BOX
83 318 Cimetidin 200 mg TABLET
84 645 clindamycin 300 mg BOX
85 650 Clozapin 25 mg TABLET 5782 8/23/2022 BELANJA OBAT OBATAN 477 43050 0 800 381600 26350
86 1248 Comvit D 1000 IU KAPLET
87 2823 Counterpain krim TUBE
89 3423 Daklatavir 30 mg TAB
90 3424 Daklatavir 60 mg TAB
92 135 Deksamethasone 0,5 mg TABLET 5542 8/8/2022 BELANJA OBAT OBATAN 63 134300 0 9000 5,657,142,859,332 17300
93 134 Deksamethasone injeksi 5mg/ml (i.v./i.m.) AMPUL 5360 7/15/2022 BELANJA OBAT OBATAN 924 1500 0 30 2,772,000,225 445
 94 1662 Depoprogestin VIAL
100 139 Difenhidramin injeksi 10mg/ml (i.v./i.m.) AMPUL 6755 1/10/2023 BANTUAN 781 0 90 20 15620 0
101 140 Digoksin 0,25 mg TABLET
102 141 Diltiazem 30 mg TABLET
103 142 Dimenhidrinat 50 mg TABLET 5923 9/9/2022 BELANJA OBAT OBATAN 109 22400 0 1000 108,979,793 8500
104 502 Doksisiklin 100 mg KAPSUL
105 1601 Dolutegrafir TAB
106 144 Domperidon 10 mg TABLET 5225 7/4/2022 BELANJA OBAT OBATAN 72 2200 0 100 7164 0
107 535 Domperidon suspensi 5mg/5ml BOTOL
111 3426 Elbasvir 50 mg + Grazoprevir 100 mg TAB
112 145 Epinefrin (adrenalin) injeksi 0,1% AMPUL 5216 7/1/2022 BELANJA OBAT OBATAN 1.515 600 0 35 53,024,811 412
(i.v./s.k./i.m.)

Ergotamin+Kafein komb. 1mg+50mg (ANTI

113 146 MIGRAIN) TABLET
114 147 Eritromisin 250 mg KAPSUL
115 148 Eritromisin 500 mg TABLET
116 991 Eritromisin Sirup Kering 125mg/5ml BOTOL
117 149 Eritromisin sirup kering 200mg/5ml BOTOL
118 377 Etanol 70% 1000 ml BOTOL 4676 6/14/2022 BELANJA BAHAN LAINNYA 26.18 1208 0 20 523600 1050
119 3042 ETHAMBUTOL TABLET 400 MG TAB
120 150 Etil Klorida spray 100 ml BOTOL 5481 7/27/2022 BELANJA OBAT OBATAN 159.84 166 0 15 2397600 64
121 289 Eugenol cairan KOTAK
122 1571 FACE SHIELD PCS 3210 11/15/2021 BELANJA BAHAN LAINNYA 24.75 234 0 10 247500 54
124 152 Fenitoin 50 mg KAPSUL
125 154 Fenobarbital 30 mg TABLET

127 155 Fenoksimetil Penisilin (Penisilin V) 500mg TABLET

129 157 Fitomenadion 10 mg (Vitamin K) TABLET
130 158 Fitomenadion injeksi 10mg/ml (i.m.) AMPUL
131 159 Fitomenadion injeksi 2mg/ml (i.m.) / INFANT AMPUL 7110 3/13/2023 BANTUAN 1.399 0 150 30 41970 0
Flufenazin injeksi 25mg/ml
134 160 (i.m.)/SIKZONOATE AMPUL
136 1604 Fluoksetin 20 mg CAPSUL
137 379 Folley Catether No. 16 PCS 4685 6/14/2022 BELANJA BAHAN LAINNYA 10.989 750 0 10 109890 520
138 380 Folley Catether No. 18 PCS 4693 6/14/2022 BELANJA BAHAN LAINNYA 10.989 680 0 10 109890 500
139 162 Furosemid 40 mg TABLET 5482 7/27/2022 BELANJA OBAT OBATAN 175 31900 0 1800 31,474,285,704 19300
141 163 Garam Oralit Kombinasi Serbuk (200 ml air) SACHET 5236 12/30/2020 BANTUAN 274 17200 0 1700 465800 0
143 323 Gentamisin salep kulit 0,1% TUBE 5483 7/27/2022 BELANJA OBAT OBATAN 2.893 1771 0 74 21,405,028,582 444
145 102 Giemsa Malaria BOTOL
146 3431 Glibenklamid 2,5 mg TAB
147 697 Glibenklamid 5 mg TABLET 6138 10/14/2022 BANTUAN 82 39900 0 2000 164000 0
6753 1/10/2023 BANTUAN 82 0 33500 1500 123000 10400
148 166 Glimepiride 1 mg TABLET
149 167 Glimepiride 2 mg TABLET 4681 6/14/2022 BELANJA OBAT OBATAN 123 93400 0 5000 614999.94 36000
150 327 Gliseril Guaiyakolat 100 mg / Guainifesin TABLET 6350 11/10/2022 BELANJA OBAT OBATAN 190 9800 0 500 94,999,543,604,651 0

154 173 Haloperidol 0,5 mg TABLET 6026 9/30/2022 BELANJA OBAT OBATAN 145 6000 0 400 58,057,143 1000
156 176 Haloperidol 5 mg TABLET 5358 7/18/2022 BELANJA OBAT OBATAN 54 102000 0 500 27,244,945,825 66000
160 3452 Hand Sanitizer 38 ml BTL
163 905 Hand Schoen non Steril Free Powder ukuran PCS 3167 11/11/2021 BELANJA BAHAN LAINNYA 1.25 124600 0 4000 5000000 47000
M/L
165 382 Hand Schoen steril ukuran 7,5 PASANG
166 381 Hand Schoen ukuran S/M/L PCS
167 1588 Handsanitizer 100 ml BTL
168 1579 Handsanitizer 5 L GALON 5 L
169 1590 Handsaplast jumbo PCS
170 3469 HANSAPLAST STANDART BOX
173 177 Hidroklortiazid 25 mg (HCT) TABLET 5287 7/8/2022 BELANJA OBAT OBATAN 148 8600 0 200 29,599,996,636,364 3400
174 178 Hidrokortison Krim 2,5% TUBE 6077 10/4/2022 BELANJA OBAT OBATAN 1.272 51 0 6 76,340,752,427,185 0
6842 9/16/2022 BELANJA OBAT OBATAN 1.272 976 0 66 83,974,800,430,328 207
175 1594 Hiosin butilbromida inj AMP
176 179 Hiosina Butilbromid 10 mg / SPASMECO TABLET
178 1672 I.V Catether No. 26 PCS
179 384 I.V Catether No.18 PCS 4674 6/12/2022 BELANJA BAHAN LAINNYA 5.995 5100 0 100 599500 4450
180 385 I.V Catether No.20 PCS 5240 7/7/2022 BELANJA BAHAN LAINNYA 5.995 8550 0 100 599500 6100
181 386 I.V Catether No.22 PCS 3239 11/23/2021 BELANJA BAHAN LAINNYA 3.8 900 0 100 380000 0
4671 6/12/2022 BELANJA BAHAN LAINNYA 5.995 5000 0 200 1199000 2750
182 387 I.V Catether No.24 PCS 3240 11/23/2021 BELANJA BAHAN LAINNYA 3.8 2000 0 150 570000 600
184 1026 ibuprofen 200 mg/5 ml suspensi BOTOL
185 183 Ibuprofen 400 mg TABLET 4355 6/2/2022 BELANJA OBAT OBATAN 190 398500 0 5000 950000 326800
186 181 Ibuprofen suspensi 100mg/5ml BOTOL
189 1034 Immersion oli malaria BTL
192 333 Infus Ringer Asetat / ASERING 500 ML
193 487 Infusion Set Anak (PKD-2) SET
Infusion Set Dewasa (NIPRO /
194 418 OTSUKA/ONEMED) SET
195 185 Isoniazid 100 mg TABLET
196 2378 Isoniazid 30 mg TAB
202 336 Kalsium Laktat 500 mg (KALK) TABLET 5365 7/18/2022 BELANJA OBAT OBATAN 61 359100 0 4000 242202 234800

203 1591 Kaolin pektin syr BTL

204 682 Kaolin+Pektin Komb. / MOLAGIT TABLET 6163 10/13/2022 BELANJA OBAT OBATAN 199 17200 0 600 1,193,142,858 9700
206 3450 KAPORIT 90 % Kg
208 191 Kaptopril 25 mg TABLET 5293 7/8/2022 BELANJA OBAT OBATAN 75 170200 0 2000 15,000,000,416,667 123300
210 193 Karbogliserin tetes telinga 10% / FENOL BOTOL 5409 7/21/2022 BELANJA OBAT OBATAN 3.3 1661 0 40 132001.2 1216
GLISEROL
211 3470 KASA GULUNG 40X80 MG ROLL
214 394 Kasa Kompres 40x40 Steril PACK
215 395 Kasa Pembalut Hidrofil 2mx80cm PACK
216 397 Kasa Pembalut Hidrofil 4mx15cm ROLL 5286 7/4/2022 BELANJA BAHAN LAINNYA 2.838 8950 0 250 709500 6870
217 398 Kasa Pembalut Hidrofil 4mx3cm ROLL
219 506 KDT/FDC KATEGORI II KIT
220 507 KDT/FDC KOMBIPAK KATEGORI I KIT
223 195 Ketokonazole 200 mg TABLET 4682 6/14/2022 BELANJA OBAT OBATAN 252 5000 0 200 50,399,994 400
224 194 Ketokonazole Krim 2% TUBE
225 613 Ketoprofen 100 mg Suppo / SUPRAFENID SUPPO 2554 6/30/2021 BELANJA OBAT OBATAN 1.998 285 0 20 39960 170

226 804 Ketoprofen 100 mg tab. TABLET

227 337 Ketoprofen injeksi AMPUL
228 3410 Kina injeksi 25% AMP
230 196 Kloramfenikol 250 mg KAPSUL 6010 9/27/2022 BELANJA OBAT OBATAN 563 31800 0 500 281,714,285,714 17100
231 197 Kloramfenikol salep mata 1% TUBE

233 901 Kloramfenikol Tetes Mata 0,5% / DECACETIN BOTOL

234 198 Kloramfenikol tetes mata 1% / RECO BOTOL 6012 9/27/2022 BELANJA OBAT OBATAN 8.563 2405 0 94 80,496,228,564,745 1711
236 200 Klorfeniramin Maleat 4 mg (CTM) TABLET 5957 9/21/2022 BELANJA OBAT OBATAN 47 125700 0 8000 37,485,714,288 11000
238 202 Klorpromazin 25 mg TABLET
239 201 Klorpromazin injeksi 25mg/ml (i.m.) AMPUL
243 1603 Kontrasepsi Kondom Gross 3476 12/31/2021 BANTUAN 114 28 0 3 342000 5
Kotrimoksazol (dewasa) kombinasi tablet
245 3433 800/160 mg TAB
246 206 Kotrimoksazol Kombinasi 480 mg (dewasa) TABLET 6169 10/18/2022 BANTUAN 126 10600 0 600 75600 2300
248 466 Kuinina (KINA) 200 mg TABLET
249 1551 KY/MY JELLY TUBE 5283 7/4/2022 BELANJA BAHAN LAINNYA 29.55 332 0 25 738750 216
250 1572 Laborat obyek Glass frosted PCS 1914 12/31/2020 BELANJA BAHAN LAINNYA 313 11736 0 144 45000 10224
251 1573 Laborat pot dahak Bh 2671 7/22/2021 BANTUAN 2.275 3000 0 100 227500 1880
254 2609 Larvasida Malaria BTL
255 3421 Levo Tiroksin tab 50 mcg TAB
256 295 Lidokain 2%+Epinefrin 1:80.000 injeksi 2ml AMPUL 5716 8/15/2022 BELANJA OBAT OBATAN 803 1320 0 60 48180.66 0
(COMP.)
257 3434 Lidokain inj 2% AMP
258 1592 Litrol tetes mata BTL
259 340 Loperamid 2 mg (salut selaput) TABLET 6142 10/14/2022 BANTUAN 77 2000 0 100 7700 200
260 3413 Lopinavir 100 mg + Ritonavir 25 mg CAPSUL
261 3412 Lopinavir 200 mg + Ritonavir 50 mg KAPSUL
263 341 Lorazepam 2 mg / MERLOPAM TABLET
265 3449 LYSOL fls
266 210 Magnesium Sulfat 20% injeksi (i.v.) FLACON 7108 3/13/2023 BANTUAN 3.58 0 51 10 35800 41
268 1567 MASKER FFV2NR
269 2550 Masker Kain non Medis 3 lapis PCS
270 2551 Masker KF 4 Ply PCS
271 1562 Masker KN95 PCS
272 1011 Masker Medis 3 Ply PCS 3213 11/12/2021 BELANJA BAHAN LAINNYA 790 168200 0 1000 790000 140050
4406 6/6/2022 BELANJA BAHAN LAINNYA 660 6000 0 500 330000 0
6579 12/12/2022 BANTUAN 706 2950 0 250 176605 300
273 2576 Masker Medis 4 Ply PCS
274 1566 MASKER N95 PCS 3467 1/14/2022 BANTUAN 20 1560 0 300 6000000 231
276 3059 Maxter Exam Glove M PCS 4354 6/3/2022 BELANJA BAHAN LAINNYA 486 92500 0 1000 486180 86200
277 950 MDT MB ANAK BLISTER
283 627 Metamizol inj./Antalgin inj. AMPUL
284 214 Metformin 500 mg TABLET 5408 7/22/2022 BELANJA OBAT OBATAN 77 203900 0 9000 693000 98500
285 3432 Metformin 850 mg TAB
286 216 Metil Ergometrin 0,125 mg TABLET 5288 7/8/2022 BELANJA OBAT OBATAN 214 22400 0 200 428,000,016 18600
288 217 Metil Prednisolon 4 mg TABLET
291 1553 Metoklopramid injeksi 10mg/ml ampul
292 3085 Metoklopramide HCl inj. 5 mg / ml AMP 4678 6/14/2022 BELANJA OBAT OBATAN 1.698 840 0 20 33966 0

293 3420 Metronidazol infus 5 mg/ml BTL

294 221 Metronidazole 250 mg TABLET
295 222 Metronidazole 500 mg TABLET 6025 9/30/2022 BELANJA OBAT OBATAN 197 30900 0 100 1,965,714,286 20000
298 223 Mikonazole Krim 2% (Nitrat) TUBE 5476 7/26/2022 BELANJA OBAT OBATAN 1.917 1529 0 72 138021.84 526
299 514 MINERAL MIX SACHET 6844 1/26/2023 BANTUAN 2.981 0 500 20 59620 30
301 1049 Moderna vaksin @ 14 dosis VIAL
302 1085 Multivitamin drop 10 ml BTL
303 1589 Multivitamin drop 15 ml BTL
304 1243 Multivitamin tab ( Bexicom Z ) TAB
305 2530 NaCl 0,9 % / Sodium Chlorida 0,9 % 10 ml AMP 6891 2/3/2023 BANTUAN 3.28 0 195 8 26240 48
6936 2/16/2023 BANTUAN 3.28 0 390 15 49200 16
306 224 Natrium Diklofenak 25 mg TABLET
307 225 Natrium Diklofenak 50 mg TABLET 4347 5/30/2022 BELANJA OBAT OBATAN 100 255200 0 17000 1700000 84900
308 346 Natrium Klorida infus 0,9% (NaCl) 500 ML 4349 5/31/2022 BELANJA OBAT OBATAN 6.8 3238 0 55 374000 2540
309 1076 Nevirapine (NVP) 200mg TABLET 6858 1/26/2023 BANTUAN 2.415 0 9000 180 434700 1440
312 228 Nistatin 100.000 IU (tablet vaginal) TABLET 5359 7/15/2022 BELANJA OBAT OBATAN 550 480 0 10 54,999,945 240
314 3439 OAT KDT Harian PKT 6564 12/12/2022 BANTUAN 511.609 88 0 5 2558045 17
315 954 Obat Anti Malaria (OAM) DHP frimal TABLET 6866 1/26/2023 BANTUAN 1.9 0 207 9 17100 0
Oksimetazolin tetes hidung 0,025% /
317 230 ILLIADIN BOTOL
318 1581 Oksitetrasiklin salp mata 1 % TUBE
320 632 Olopatadin HCl/PATANOL Tetes Mata BOTOL
321 232 Omeprazole 20 mg KAPSUL 2748 8/16/2021 BELANJA OBAT OBATAN 129 34200 0 2000 258000 0
5523 8/3/2022 BELANJA OBAT OBATAN 129 144000 0 2000 25,799,995,862,069 138400
322 233 Omeprazole serbuk injeksi 40mg/10ml VIAL 5363 7/15/2022 BELANJA OBAT OBATAN 5.093 150 0 10 5,092,999,955 0
323 2360 Oseltamivir tab TAB
327 237 Parasetamol 500 mg TABLET 2879 9/10/2021 BELANJA OBAT OBATAN 274 10000 0 10000 2739000 0
6017 9/27/2022 BELANJA OBAT OBATAN 158 583500 0 14000 22,079,999,999,569 417000
328 687 Parasetamol Drop 100mg/ml BOTOL
331 238 Perak Sulfadiazin Krim 1% / BURNAZIN TUBE
Perhidrol 3% 100ml/Hidrogen Peroksida
332 539 (H2O2) BOTOL
333 239 Permetrin Krim 5% / SCABIMITE TUBE
334 2529 PFIZER Vaksin 6 dosis VIAL 6217 10/31/2022 BANTUAN 0 0 0 2 0 0
6528 12/6/2022 BANTUAN 0 180 0 25 0 0
6892 2/3/2023 BANTUAN 0 0 195 18 0 0
6935 2/16/2023 BANTUAN 0 0 390 15 0 3
336 619 Piracetam 800 mg TABLET
337 1596 Piracetam inj AMP
338 3427 Pirantel Pamoat 250 mg TAB
339 2333 Piridoksin ( Vit.B6 ) tab 25 mg TAB
340 243 Piridoksin 10 mg (Vitamin B6) TABLET 5824 8/30/2022 BELANJA OBAT OBATAN 68 111440 0 2000 135218.2 88200

341 352 Piroksikam 20 mg TABLET

344 416 Plester 5 Yard x 1 inch (4,5m x 2,5cm) ROLL
345 405 Plester 5 Yard x 2 inch ROLL
346 417 Plester 5 Yard x 3 inch (4,5m x 7,5cm) ROLL
347 941 Plester Non Woven 10x5cm roll ROLL 3244 11/23/2021 BELANJA BAHAN LAINNYA 41.36 204 0 20 827200 114
(AXIMED/ONEMED)
349 3190 Plester steril Dermafix BIJI
350 1597 Plesterin bulat PCS
352 1554 Polifix 5cm x 1m ROLL
Povidon Iodine larutan 100mg/ml kemasan
353 408 300ml BOTOL
355 244 Prednison 5 mg TABLET 4356 6/2/2022 BELANJA OBAT OBATAN 68 28100 0 2000 136000 11100
356 953 Primaquin 15mg tablet TABLET 6865 1/26/2023 BANTUAN 235 0 200 10 2350 0
357 3422 Prokain Benzil Penisilin G 3 jt IU/vial VIAL
358 1555 Propanolol 40mg TABLET
361 247 Ranitidin 150 mg TABLET 4684 6/14/2022 BELANJA OBAT OBATAN 85 73400 0 4000 340,000,104 37200
362 353 Ranitidin injeksi 25mg/ml AMPUL 6075 10/3/2022 BELANJA OBAT OBATAN 814 6225 0 600 488391.12 150

363 662 Rapid Syphillis 3.0 (Multi) @100 KOTAK

365 1568 RDT Covid 19 Antigen PCS 2791 8/26/2021 BANTUAN 82.577 0 0 50 4128838 0
3334 12/2/2021 BELANJA BAHAN KIMIA 55 800 0 260 14300000 0
366 427 RDT Combo Malaria Test
367 1563 RDT COVID 19 PCS
371 1217 reagen HIV III RIGN SIGN PCS
373 1556 Reagen HIV SD pcs
375 1557 Reagen R2KHB PCS
376 2855 Reagen Rapid HIV 3 Test
379 1552 REAGEN VTM PCS
380 933 Reagent (I) TEST HIV1/2 3.0_SD BIOLINE PCS
381 979 Reagent (II) Test HIV_INTEC PCS
382 939 Reagent (III) Test HIV 1/2_VIKIA PCS
383 1053 Reagent HIV II PCS
385 660 Reagent Ziehl Nielson / ZN KIT 2233 4/29/2021 BANTUAN 176.76 71 0 3 530280 0
386 248 Retinol kapsul lunak 100.000 IU (Vitamin A KAPSUL 5486 7/28/2022 BANTUAN 6 6100 0 300 1848 700
Biru)
387 249 Retinol kapsul lunak 200.000 IU (Vitamin A KAPSUL 5522 8/5/2022 BANTUAN 553 79150 0 3700 2046100 40900
Merah)
391 2331 Rifampisin kapsul 450 mg KAPSUL
393 3411 Rifampisin tab 300 mg KAPSUL
394 3416 Rilpivirine tab 25 mg CAPSUL
395 354 Ringer Laktat larutan infus (RL) 500 ML 5410 7/22/2022 BELANJA OBAT OBATAN 7.63 77480 0 640 4,883,197,248 52360

397 511 RPR TEST KIT SYPHILLIS @100 AMPUL

398 1587 Sabun cuci tangan BTL
399 3436 Safety Box 2,5 lt PCS
400 1050 SAFETY BOX 5 LITER PCS 6420 11/25/2022 BANTUAN 16.5 447 0 2 33000 214
401 2567 Safety Google ( APD-TB ) PCS
402 252 Salbutamol 2 mg TABLET 2758 8/18/2021 BELANJA OBAT OBATAN 48 8700 0 1000 48000 0
2759 8/18/2021 BELANJA OBAT OBATAN 48 14800 0 1000 48000 4800
404 254 Salep 2 - 4 Kombinasi POT 6172 10/18/2022 BANTUAN 1.41 392 0 50 70500 0
406 2646 Scalpel Blades PCS
SD Bioline Dengue Duo ( Dengue NSI Ag + Ab
407 2666 Combo ) PCS
409 355 Sefadroksil 500 mg KAPSUL
410 621 Sefadroksil sirup kering 125mg/5ml BOTOL
411 2561 Sepatu boot PSG
Serum Anti Difteri injeksi 20.000 IU/ml
413 256 (A.D.S.)(i.m.) VIAL
414 3417 Serum Anti Rabies VIAL
415 257 Serum Anti Tetanus injeksi 1.500 IU (A.T.S.) AMPUL 5291 7/8/2022 BELANJA OBAT OBATAN 140.187 400 0 100 14018745 137
416 686 Setirizin 10 mg TABLET
418 260 Sianokobalamin injeksi 500mcg/ml AMPUL
419 412 Silk 3/0+jarum 1/2 GT PCS
422 3435 Simvastatin 40 mg TAB
424 2480 Sinopharm Vaksin @ 1 dosis VIAL
425 263 Siprofloksasin 500 mg (salut selaput) TABLET 4680 6/14/2022 BELANJA OBAT OBATAN 248 138000 0 6000 1,487,999,844 83400
426 3425 Sofosbufir tab 400 mg TAB
427 264 Spironolakton 25 mg TABLET
431 2642 Susuk KB II Plus Inserter SET
435 1104 TDF(300)+3TC(300)+EFV(600) triple FDC TABLET 5577 8/9/2022 BANTUAN 6.8 2130 0 90 612000 0

436 3414 Tenofovir 300 mg + Emiricitabine 200 mg KAPSUL

439 472 Terbutalin sulfat 2,5 mg / MOLASMA TABLET
441 268 Tetrasiklin 250 mg KAPSUL
442 269 Tetrasiklin 500 mg KAPSUL
443 1599 Thermal Gun PCS
444 270 Thiamin 50 mg (Vitamin B1) TABLET 6214 10/26/2022 BELANJA OBAT OBATAN 131 104200 0 4000 523920 71200
446 630 Tramadol 50 mg TABLET
447 414 Transfusi Set PACK 5282 7/4/2022 BELANJA BAHAN LAINNYA 4.95 440 0 50 247500 271
448 363 Trifluoperazine 5 mg (salut selaput) TABLET 2231 4/29/2021 BANTUAN 287 7500 0 200 57400 300
449 271 Triheksifenidil 2 mg TABLET 6145 10/14/2022 BANTUAN 63 40900 0 500 31500 4200
450 1779 Tuberculin injeksi VIAL 6846 1/26/2023 BANTUAN 608.28 0 25 1 608280 12
451 1593 Ultrafix ROLL
452 882 UNDERPAD PCS 5279 7/4/2022 BELANJA BAHAN LAINNYA 3.3 5200 0 50 165000 4000
455 2574 Vaccin Carrier PCS 6919 2/13/2023 BANTUAN 518.622 0 30 3 1555866 0
457 301 Vaksin Astrazeneca @ 10 dosis VIAL
458 2523 Vaksin Astrazeneca 8 dosis VIAL
459 2518 Vaksin BCG VIAL 6967 3/1/2023 BANTUAN 97.78 0 163 9 880020.9 0

460 2505 Vaksin Corona Vac @ 2 Dosis VIAL

461 2508 Vaksin Corona Vac @ dosis 10 VIAL
462 2516 Vaksin CoronaVac @ 1 dosis VIAL
463 2839 Vaksin Covovax VIAL
464 267 Vaksin DPT-HB-Hib @ 5 dosis VIAL 6750 1/10/2023 BANTUAN 85.103 0 2100 100 8510299.6 380

467 3398 Vaksin Human Papilloma Virus ( HPV ) VIAL 6811 1/16/2023 BANTUAN 161.036 0 652 91 14654279.64 4
468 2890 VAKSIN IPV 10 DS VIAL
469 2589 Vaksin IPV 5 ds VIAL 6747 1/10/2023 BANTUAN 142.793 0 700 20 2855860 448
470 3418 Vaksin JE VIAL
472 2521 Vaksin Menivax VIAL
473 2887 Vaksin Moderna @ 10 dosis VIAL
474 584 Vaksin MR 10 dosis VIAL 5341 7/14/2022 BANTUAN 167.86 113 0 47 7889420 0
5877 9/6/2022 BANTUAN 152.6 53 0 3 457800 0
475 3399 Vaksin PCV 4 dosis VIAL 6156 10/14/2022 BANTUAN 190.657 713 0 10 1906570 58
476 272 Vaksin Polio BOPV VIAL 6748 1/10/2023 BANTUAN 21.689 0 1200 20 433788 230
477 3419 Vaksin Rotavirus VIAL
481 273 Vitamin B Kompleks TABLET 5513 8/2/2022 BELANJA OBAT OBATAN 57 412300 0 15000 854977.5 231100

483 364 Vitamin Neurotropik / NEURODEX TABLET

484 1585 VTM SITOSWAB Test
487 1077 Zidofudine (ZDV) 300mg + Lamivudine (3TC) TABLET 6213 10/27/2022 BANTUAN 3.848 21600 0 180 692640 3480
150mg
Zidovudin 60 mg +Lamivudine 30 mg +
488 3415 Nevirapine 50 mg Ped Triple FDC KAPSUL
489 1144 zidovudin syr 50mg/5ml BOTOL
490 274 Zinc 20 mg (dispersible) TABLET 5348 7/18/2022 BANTUAN 524 43500 0 3000 1572000 0
491 785 Zinc sirup 10mg/ml BOTOL 6270 11/8/2022 BANTUAN 0 25 0 2 0 0