RENCANA KEBUTUHAN OBAT-OBATAN DAN ALAT/BAHAN HABIS PAKAI T.

A 2023
POLIKLINIK MAPOLDA SUMSEL

JUMLAH
HARGA PER
KEBUTUHAN TOTAL HARGA
NO NAMA OBAT SATUAN TABLET/ BOTOL
(TABLET/ (Rupiah)
(Rupiah)
BOTOL)
I OBAT KESEHATAN UMUM
A OBAT SUSUNAN SYARAF

1 Analgetik, Antipiretik
a ASAM MEFENAMAT 500 mg TABLET 550 5000 2,750,000
b PARACETAMOL 500 mg TABLET 500 5000 2,500,000
d PARACETAMOL SIRUP 60 ml BOTOL 9,150 200 1,830,000
e IBUPROFEN 200 mg TABLET 650 3000 1,950,000
f IBUPROFEN SIRUP 60 ml BOTOL 14,050 200 2,810,000
-
2 Anti Inflamasi Non Steroid -
a NATRIUM DIKLOFENAK 25 mg TABLET 1,250 1500 1,875,000
b KALIUM DIKLOFENAK 25 mg TABLET 2,010 1000 2,010,000
c NATRIUM DIKLOFENAK 50 mg TABLET 500 1000 500,000
d KALIUM DIKLOFENAK 50 mg TABLET 460 1000 460,000
e MELOXICAM 7,5 mg TABLET 1,250 2000 2,500,000
f PIROKSICAM 20 mg TABLET 520 1000 520,000
g ALLUPURINOL 100 mg TABLET 378 3000 1,134,000
-
3 Obat Flu
flu kombinasi PCT,CTM, -
a Phenylpropanolamine TABLET 772 6000 4,632,000
-
B OBAT CARDIOVASKULER -
1 Anti Angina -
a ASPILET 80 mg TABLET 1,000 200 200,000
b DIGOXIN 0,25 mg TABLET 350 200 70,000
c FUROSEMIDE 40 mg TABLET 815 200 163,000
d ISOSORBIDE DINITRATE 5 mg TABLET 990 100 99,000
e NIFEDIPINE 10 mg TABLET 484 -
f NITROGLISERIN 2,5 mg TABLET 7,000 -
-
2 Anti Hipertensi -
a CAPTOPRIL 12,5 mg TABLET 138 1000 138,000
b CAPTOPRIL 25 mg TABLET 210 1000 210,000
c AMLODIPINE 5 mg TABLET 630 3000 1,890,000
d AMLODIPINE 10 mg TABLET 785 1000 785,000
-
3 Hemostatis -
a ASAM TRANEKSAMAT 500 mg TABLET 2,790 200 558,000
b VITAMIN K TABLET 1,600 -
-
C OBAT SALURAN PERNAFASAN -
1 Anti Asma -
a TEOFILIN 300 mg TABLET 3,400 300 1,020,000
b SALBUTAMOL 2 mg TABLET 700 1000 700,000
c SALBUTAMOL 4 mg TABLET 460 200 92,000
-
2 Antitusif/ expectoran -
a AMBROXOL 30 mg TABLET 420 2000 840,000
b AMBROXOL SIRUP 60 ml BOTOL 12,000 250 3,000,000
c OBH SIRUP BOTOL 8,000 250 2,000,000
d BROMHEXIN TABLET 310 2000 620,000
e N ASETIL SITEIN 200 mg CAPSUL 2,000 2000 4,000,000
-
D OBAT SALURAN CERNA -
1 Antasida -
a ANTASIDA TABLET 610 8000 4,880,000
b ANTASIDA SIRUP 60 ml BOTOL 14,285 500 7,142,500
c RANITIDIN 150 mg TABLET 790 1000 790,000
d OMEPRAZOLE 20 mg CAPSUL 1,300 3000 3,900,000
-
2 Anti Diare -
a LOPERAMIDE HCL 2 mg TABLET 365 2000 730,000
b KAOLIN PEKTIN TABLET 660 -
c KAOLIN PEKTIN SIRUP SUSPENSI BOTOL 12,200 200 2,440,000
f ORALIT SACHET 1,320 500 660,000
-
3 Anti Emetik -
a DOMPERIDONE 10 mg TABLET 593 2500 1,482,500
b DOMPERIDONE SIRUP 60 ml BOTOL 16,700 200 3,340,000
c METOCLORPROPAMIDE 5 mg TABLET 550 -
-
4 Hepatoprotektor -
a CURCUMA TABLET 660 1000 660,000
c CURCUMA SIRUP 60 ml BOTOL 14,000 100 1,400,000
-
5 Laxative -
a LAXADINE SIRUP 60 ml BOTOL 22,600 100 2,260,000
b BISACODYL 5 mg TABLET 777 300 233,100
-
6 Obat Cacing -
a PIRANTEL PAMOAT 10 ml BOTOL 28,500 100 2,850,000
b ALBENDAZOLE 400 mg TABLET 900 200 180,000
-
E ANTI ALERGI -
1 Histamin -
a CTM 4 mg TABLET 200 6000 1,200,000
b LORATADINE 10 mg TABLET 530 3000 1,590,000
c CETIRIZINE 10 mg TABLET 1,200 6000 7,200,000
e SALISIL TALK BOTOL 12,200 200 2,440,000
-
2 Kortikosteroid -
a DEXAMETASONE 0,5 mg TABLET 250 6000 1,500,000
b METIL PREDNISOLON 4 mg TABLET 643 4000 2,572,000
-
F ANTIDIABETIK -
a GLIBENCLAMIDE 5 mg TABLET 530 -
b METFORMIN 500 mg TABLET 380 3000 1,140,000
c GLIMEPIRIDE 2 mg TABLET 2,000 1000 2,000,000
d GLIPIZID 5 mg TABLET 7,700 -
-
G VITAMIN -
a MULTIVITAMIN TABLET 2,100 8000 16,800,000
b VITAMIN SIRUP ANAK BOTOL 21,400 150 3,210,000
c MECOBALAMIN 500 mg TABLET 1,215 -
-
H ANTI INFEKSI -
a AMOKSILILIN 500 mg TABLET 1,445 8000 11,560,000
b AMOKSILILIN SIRUP 125 ml/5 ml BOTOL 12,400 100 1,240,000
c CEFADROXIL 500 mg CAPSUL 1,500 5000 7,500,000
d CEFADROXIL SIRUP BOTOL 18,480 100 1,848,000
e METRONIDAZOL 500 mg TABLET 590 500 295,000
f KLORAMFENIKOL 250 mg KAPSUL 1,000 1000 1,000,000
g ERITROMISIN 250 mg TABLET 2,090 3000 6,270,000
i KOTRIMOKSAZOLE 480 mg TABLET 739 3000 2,217,000
j KOTRIMOKSAZOLE SIRUP BOTOL 13,900 -
k CIPROFLOKSASIN 500 mg TABLET 1,300 2000 2,600,000
 -
I ANTI FUNGAL -
a KETOKONAZOLE 200 mg TABLET 620 1000 620,000
b GRISEOFULVIN 500 mg TABLET 3,550 -
-
J ANTIHEMORHOID -
a HIDROSMIN 200 mg TABLET 15,750 100 1,575,000
-
K ANTIVERTIGO -
a BETAHISTINE MESILATE 6 mg TABLET 487 2000 974,000
-
L ANTILIPID -
a SIMVASTATIN 10 mg TABLET 765 5000 3,825,000
b FENOFIBRATE 300 mg TABLET 6,750 -
c GEMFIBROZIL 300 mg TABLET 3,500 1000 3,500,000
-
M ANTI VIRUS -
a ACYCLOVIR 400 mg TABLET 820 1500 1,230,000
-
N SALEP -
a GENTAMICIN 0,1 % TUBE 10,850 500 5,425,000
b MIKONAZOLE cr 2% TUBE 13,300 500 6,650,000
c KETOKONAZOLE cr 2% TUBE 18,235 -
d BETAMETASON 0,1% TUBE 10,225 300 3,067,500
e HIDROKORTISON 2,5% TUBE 16,800 200 3,360,000
f COUNTERPAIN TUBE 55,000 20 1,100,000
g ACYCLOVIR 5% TUBE 15,910 100 1,591,000
-
O OBAT TETES -
a OFLOXACIN 3% TETES TELINGA BOTOL 91,000 30 2,730,000
b KARBOGLYSERIN 10% TTS TELINGA
TETES MATA KOMBINASI BOTOL 22,000 30 660,000
c KLORAMFENIKOL TETES
TETRAHYDROZOLINE DANMATA BOTOL 18,500 50 925,000
d BENZALKONIUM BOTOL 23,400 -
-
P INJEKSI -
a EPINEPRIN AMPUL 8,850 15 132,750
b DEXAMETASONE AMPUL 6,100 15 91,500
c B COMPLEX AMPUL 3,400 200 680,000
d LIDOKAIN AMPUL 3,725 50 186,250
e DIPENHIDRAMIN AMPUL 12,350 15 185,250
f PEHACAIN AMPUL 6,000 15 90,000
-
II ALAT KESEHATAN HABIS PAKAI -
a KASSA STERIL KOTAK 11,600 20 232,000
b SPUIT 1 CC BUAH 2,860 50 143,000
c SPUIT 3 CC BUAH 2,230 50 111,500
d SPUIT 5 CC BUAH 2,400 50 120,000
e SPUIT 10 CC BUAH 10,000 20 200,000
f PLESTER ROL 25,000 10 250,000
g HIPAFIX 5 cm x 1 m KOTAK 96,700 6 580,200
h POVIDON IODIN 60 ml BOTOL 55,000 6 330,000
i ALKOHOL 70% 100 ml BOTOL 15,000 15 225,000
j RIVANOL 100 ml BOTOL 11,000 15 165,000
k TRANSFUSI/INFUS SET SET 45,800 25 1,145,000
l ABOCATH DEWASA (18) BUAH 26,000 20 520,000
m ABOCATH ANAK (22) BUAH 22,000 20 440,000
n MASKER KOTAK 55,000 -
o HANDSCOEN KOTAK 197,000 -
p ALKOHOL SWAB KOTAK 30,000 30 900,000
-
III ALKES GIGI DAN BAHAN BAKU GIGI -
1 ALKES GIGI -
a JARUM CITOJET 30G X 1/2 BOX 232,100 4 928,400
b HANDPIECE UNIT 1,260,000 2 2,520,000
c SELANG SALIVA BUNGKUS 117,000 -
d SATU SET MATA BOR BOX 250,000 4 1,000,000
e MATA BUR TULANG UNIT 960,000 4 3,840,000
f MATA BUR POLES 1 SET BOX 660,000 4 2,640,000
g SELANG AIR DENTAL UNIT METER 11,000 -
h SELANG UDARA DENTAL UNIT METER 15,000 -
-
2 BAHAN BAKU GIGI -
a PULPERYL BOTOL 633,000 3 1,899,000
b ROCKLES BOTOL 696,300 -
c ALVOGYL TUBE 900,000 3 2,700,000
d ARSEN TUBE 1,000,000 2 2,000,000
e KOMPOSIT 3M SYRINGE 569,700 2 1,139,400
f BONDING 3M BOTOL 2,043,000 2 4,086,000
g ETCHING SYRINGE 200,000 2 400,000
h GLASS IONOMER GC FUJI IX BOX 800,000 4 3,200,000
i CHLOR ETHYL BOTOL 310,000 6 1,860,000
j TOPIKAL ANESTESI BOTOL 274,300 6 1,645,800
k CAVITON TUBE 147,700 6 886,200
l EUGENOL BOTOL 165,000 2 330,000
m HEMOSPONGE/ SPONGOSTAN BOX 162,000 5 810,000
n CALSIUM HIDROXIDA TUBE 290,000 3 870,000
TOTAL 225,700,850