LAPORAN PERPETUAL BULAN DESEMBER S.D.

DESEMBER TAHUN 2018

PUSKESMAS GALUR I
LOKASI : GABUNGAN

Pengurangan ED/
Sumb Harga/ Saldo Awal Penambahan Pengurangan Saldo Akhir
Nama Asal Rusak
No. Unit er ED Unit
Obat Obat Tanggal Jml Jml Harga Jml Harga Jml Harga Jml Jml Harga Jml Harga
Dana (Rp) Tanggal Jml Unit Jml Unit Jml Unit
Perolehan Unit (Rp) (Rp) (Rp) Unit (Rp) (Rp)
(#2019
jangan
dipakai) Dina
Povidon s 31-10- 02-04-
1 Botol APBD 27000 9 243000 - 0 0 0 0 0 0 9 243000
iodin Kese 2020 2018
10% hatan
Botol
300 ml
Albendaz Dina
ol susp APBN- s 31-08- 04-10-
2 Botol 3849 70 269430 - 0 0 0 0 0 0 70 269430
200 mg/5 PRO Kese 2019 2018
ml hatan
Dina
Albendaz
Tabl s 30-06- 08-11-
3 ol tab APBN 296 25 7400 - 0 0 0 0 0 0 25 7400
et Kese 2019 2017
400 mg
hatan
Dina
Albendaz 403.999
Tabl APBN- s 30-04- 04-10- 537319.889 5655.9988333 531663.8903
4 ol tab 916666 1330 - 0 0 14 0 0 1316
et PRO Kese 2021 2018 16667 333 3333
400 mg 667
hatan
Alopurin Tidak
Tabl 28-02- 10-06-
5 ol tab APBD diket 86 40 3440 - 0 0 0 0 0 0 40 3440
et 2019 2017
100 mg ahui
PT
Mens
Alopurin
Tabl a 28-02- 01-03-
6 ol tab APBD 86 823 70778 - 0 0 0 0 0 0 823 70778
et Bina 2019 2018
100 mg
Suks
es
Dina
Alopurin
Tabl s 28-02- 18-07-
7 ol tab APBD 86 1000 86000 - 0 0 0 0 0 0 1000 86000
et Kese 2019 2018
100 mg
hatan
PT
Mens
Alopurin
Tabl a 28-02- 08-11-
8 ol tab APBD 86 115 9890 - 0 0 105 9030 0 0 10 860
et Bina 2019 2017
100 mg
Suks
es
Dina
Aminofili 3344.98
Amp s 30-04- 11-09- 16724.9166 16724.91666
9 n inj 24 APBD 333333 5 - 0 0 0 0 0 0 5
ul Kese 2019 2017 66667 6667
mg/ml 333
hatan
10 Aminofili Tabl APBD PT 31-05- 109.395 19-09- 180 19691.1 - 0 0 0 0 0 0 180 19691.1
n Tab et CINT 2019 2017
200 mg A
 SEL
ARA
S
Dina
Aminofili
Tabl s 31-08- 18-07-
11 n Tab APBD 91 200 18200 - 0 0 0 0 0 0 200 18200
et Kese 2020 2018
200 mg
hatan
Dina
Amitriptili Tabl
s 30-06- 02-04-
12 n tab sal et APBD 143 45 6435 - 0 0 0 0 0 0 45 6435
Kese 2020 2018
25 mg Salut
hatan
PT
RAJ
Amitriptili Tabl
AWA 30-06- 11-12-
13 n tab sal et APBD 143 500 71500 - 0 0 55 7865 0 0 445 63635
LI 2020 2017
25 mg Salut
NUSI
NDO
Dina
Amitriptili Tabl
s 30-04- 18-07-
14 n tab sal et APBD 167 500 83500 - 0 0 0 0 0 0 500 83500
Kese 2021 2018
25 mg Salut
hatan
Dina
Amlodipi 103.999
Tabl s 31-10- 18-05- 250223.676 10503.986427 239719.6902
15 n tab 10 APBD 865621 2406 - 0 0 101 0 0 2305
et Kese 2020 2018 68533 772 5756
mg 501
hatan
Dina
Amlodipi 84.9999
Tabl s 31-10- 02-04- 1699.99882 849.99941486 849.9994148
16 n tab 5 APBD 414862 20 - 0 0 10 0 0 10
et Kese 2020 2018 9725 249 6249
mg 493
hatan
Dina
Amlodipi
Tabl s 31-08- 20-12- 20-12-
17 n tab 5 APBD 70 0 0 3000 210000 0 0 0 0 3000 210000
et Kese 2020 2018 2018
mg
hatan
Dina
Amlodipi 84.9999
Tabl s 31-10- 18-05- 238254.835 58649.959625 179604.8763
18 n tab 5 APBD 414862 2803 - 0 0 690 0 0 2113
et Kese 2020 2018 98596 512 6044
mg 493
hatan
Amoksisi Dina
lin sir s 31-07- 20-12- 20-12-
19 Botol APBD 3399.99 0 0 40 135999.6 0 0 0 0 40 135999.6
forte 250 Kese 2020 2018 2018
mg/5 ml hatan
Amoksisi
Tidak
lin sir 31-08- 30-06-
20 Botol APBD diket 3984 55 219120 - 0 0 0 0 0 0 55 219120
forte 250 2019 2017
ahui
mg/5 ml
Amoksisi
Dina
lin sir
s 31-07- 18-07-
21 kering Botol APBD 1881 27 50787 - 0 0 2 3762 0 0 25 47025
Kese 2019 2018
125 mg/5
hatan
ml
Dina
Amoksisi 190.000
Tabl s 30-11- 18-07- 37620.0055 11590.001723 26030.00387
22 lin tab APBD 028248 198 - 0 0 61 0 0 137
et Kese 2021 2018 9322 164 0057
500 mg 588
hatan
23 Amoksisi Tabl APBD Dina 30-11- 190.000 18-05- 637 121030.017 - 0 0 37 7030.0010451 0 0 600 114000.0169
lin tab et s 2021 028248 2018 99435 978 4915
500 mg Kese 588
 hatan
Dina
Amoksisi
Tabl s 31-07- 11-10-
24 lin tab APBD 233 4800 1118400 - 0 0 1100 256300 0 0 3700 862100
et Kese 2020 2018
500 mg
hatan
Anestetik
lokal gigi
kombina
si : Dina
lidokain Amp s 30-04- 18-07-
25 APBD 1152 67 77184 - 0 0 47 54144 0 0 20 23040
hcl 2% + ul Kese 2021 2018
epinefrin hatan
1:
80.000
inj 2 ml
Anestetik
PT
lokal gigi
Kimia
kombina
Farm
si :
a TD
lidokain Amp 30-06- 18-01-
26 APBD Caba 1845 3 5535 - 0 0 3 5535 0 0 0 0
hcl 2% + ul 2020 2018
ng
epinefrin
Yogy
1:
akart
80.000
a
inj 2 ml
Anestetik
PT
lokal gigi
Kimia
kombina
Farm
si :
a TD
lidokain Amp 30-06- 08-11-
27 APBD Caba 1845 2 3690 - 0 0 2 3690 0 0 0 0
hcl 2% + ul 2020 2017
ng
epinefrin
Yogy
1:
akart
80.000
a
inj 2 ml
Antasida,
kombina
si :
aluminiu
m
hidroksid Tidak
31-08- 2024.99 30-06- 2024.99959
28 a 200 mg Botol APBD diket 1 - 0 0 0 0 0 0 1 2024.999598
2019 9598 2017 8
+ ahui
magnesi
um
hidroksid
a 200 mg
botol
29 Antasida, Botol APBD Dina 30-09- 1923 18-05- 85 163455 - 0 0 4 7692 0 0 81 155763
kombina s 2019 2018
si : Kese
aluminiu hatan
m
hidroksid
a 200 mg
+
magnesi
um
 hidroksid
a 200 mg
botol
Antasida,
kombina
si :
aluminiu
m
Dina
hidroksid 2024.99
s 31-08- 30-11- 8099.99839 8099.998393
30 a 200 mg Botol APBD 959847 4 - 0 0 0 0 0 0 4
Kese 2019 2017 38968 8968
+ 42
hatan
magnesi
um
hidroksid
a 200 mg
botol
Antasida,
kombina
si :
aluminiu
m
Dina
hidroksid
Tabl s 31-08- 18-05-
31 a 200 mg APBD 62 129 7998 - 0 0 51 3162 0 0 78 4836
et Kese 2019 2018
+
hatan
magnesi
um
hidroksid
a 200 mg
tablet
Antasida,
kombina
si :
aluminiu
m
Dina
hidroksid
Tabl s 31-08- 13-09-
32 a 200 mg APBD 62 740 45880 - 0 0 700 43400 0 0 40 2480
et Kese 2019 2018
+
hatan
magnesi
um
hidroksid
a 200 mg
tablet
Antasida,
kombina
si :
aluminiu
m
Dina
hidroksid
Tabl s 31-08- 03-12- 03-12-
33 a 200 mg APBD 62 0 0 3000 186000 0 0 0 0 3000 186000
et Kese 2019 2018 2018
+
hatan
magnesi
um
hidroksid
a 200 mg
tablet
34 Antasida, Tabl APBD Dina 31-08- 62 11-10- 1700 105400 - 0 0 745 46190 0 0 955 59210
kombina et s 2019 2018
si : Kese
 aluminiu
m
hidroksid
a 200 mg
+
hatan
magnesi
um
hidroksid
a 200 mg
tablet
Antibakte
ri,
kombina
si :
Dina
basitrasi
s 31-07- 11-10-
35 n 500 Tube APBD 2924 100 292400 - 0 0 0 0 0 0 100 292400
Kese 2021 2018
UI/g+
hatan
Polimiski
nB
10.000
UI/g
Antibakte
ri,
kombina
si :
Dina
basitrasi
s 31-07- 18-07-
36 n 500 Tube APBD 2924 50 146200 - 0 0 0 0 0 0 50 146200
Kese 2021 2018
UI/g+
hatan
Polimiski
nB
10.000
UI/g
Antibakte
ri,
kombina
si :
Dina
basitrasi
s 31-07- 04-07-
37 n 500 Tube APBD 2924 43 125732 - 0 0 14 40936 0 0 29 84796
Kese 2021 2018
UI/g+
hatan
Polimiski
nB
10.000
UI/g
Antifungi
salep,
kombina
Dina
si : asam
s 31-07- 02-04-
38 benzoat Tube APBD 4158 37 153846 - 0 0 5 20790 0 0 32 133056
Kese 2020 2018
6%+
hatan
asam
salisilat
3%
39 Antihem Supp APBD Dina 30-09- 3771.42 11-10- 30 113142.851 - 0 0 0 0 0 0 30 113142.8513
oroid, s 2021 837837 2018 35135 5135
kombina Kese 838
si: hatan
bismut
subgalat
 150 mg +
heksaklo
rofen 2,5
mg +
lidokain
lidokain
10 mg+
seng
oksida
120 mg +
sup ad 2
g
Antihem
oroid,
kombina
si:
bismut
subgalat
150 mg +
heksaklo Dina
3771.42
rofen 2,5 s 30-09- 02-04- 64114.2824 64114.28243
40 Supp APBD 837837 17 - 0 0 0 0 0 0 17
mg + Kese 2021 2018 32432 2432
838
lidokain hatan
lidokain
10 mg+
seng
oksida
120 mg +
sup ad 2
g
Aqua Pro
Injeksi Tidak
30-11- 30-06-
41 Steril, APBD diket 3700 11 40700 - 0 0 0 0 0 0 11 40700
2019 2017
bebas ahui
pirogen
Asam
asetilsali Dina
silat Tabl s 30-04- 23-11-
42 APBD 92.004 1000 92004 - 0 0 308 28337.232 0 0 692 63666.768
(asetosal et Kese 2021 2018
) tab 80 hatan
mg
Asam
asetilsali Dina
silat Tabl s 30-04- 20-12- 20-12-
43 APBD 92.004 0 0 1000 92004 0 0 0 0 1000 92004
(asetosal et Kese 2021 2018 2018
) tab 80 hatan
mg
Asam
asetilsali Dina
silat Tabl s 30-04- 25-09-
44 APBD 92.004 212 19504.848 - 0 0 72 6624.288 0 0 140 12880.56
(asetosal et Kese 2021 2018
) tab 80 hatan
mg
Asam
Dina
askorbat
Tabl s 30-09- 25-09-
45 (vitamin APBD 104 1926 200304 - 0 0 564 58656 0 0 1362 141648
et Kese 2020 2018
C) tab 50
hatan
mg
 Asam
Dina
askorbat
Tabl s 30-09- 18-07-
46 (vitamin APBD 104 1200 124800 - 0 0 0 0 0 0 1200 124800
et Kese 2020 2018
C) tab 50
hatan
mg
Asam
Dina
askorbat
Tabl s 30-09- 11-10-
47 (vitamin APBD 104 3000 312000 - 0 0 1000 104000 0 0 2000 208000
et Kese 2020 2018
C) tab 50
hatan
mg
Dina
Asam
Tabl s 31-08- 18-04-
48 folat tab APBD 67 80 5360 - 0 0 0 0 0 0 80 5360
et Kese 2020 2018
1 mg
hatan
Dina
Asam
Tabl s 31-05- 31-10-
49 folat tab APBD 70 2000 140000 - 0 0 295 20650 0 0 1705 119350
et Kese 2020 2018
1 mg
hatan
Dina
Asam
Tabl s 31-05- 18-07-
50 folat tab APBD 70 825 57750 - 0 0 0 0 0 0 825 57750
et Kese 2020 2018
1 mg
hatan
Dina
Asam
Tabl s 31-05- 23-11-
51 folat tab APBD 70 2000 140000 - 0 0 0 0 0 0 2000 140000
et Kese 2020 2018
1 mg
hatan
Asam Dina
mefenam Kaps s 31-05- 18-05-
52 APBD 100.001 801 80100.801 - 0 0 30 3000.03 0 0 771 77100.771
at kaps ul Kese 2019 2018
500 mg hatan
Asam Dina
103.003
mefenam Kaps s 30-11- 03-12- 03-12- 206007.9870 206007.9870
53 APBD 993506 0 0 2000 0 0 0 0 2000
at kaps ul Kese 2019 2018 2018 1299 1299
494
500 mg hatan
Asam Dina
103.003
mefenam Kaps s 30-11- 11-10- 309011.980 92703.594155 216308.3863
54 APBD 993506 3000 - 0 0 900 0 0 2100
at kaps ul Kese 2019 2018 51948 845 6364
494
500 mg hatan
Asiklovir Tidak
07-09- 2472.93 30-06-
55 krim 5%- Tube APBD diket 1 2472.9375 - 0 0 0 0 0 0 1 2472.9375
2020 75 2017
5g ahui
PT
Kimia
Farm
Asiklovir a TD
29-08- 01-11-
56 krim 5%- Tube BLUD Caba 3438.05 98 336928.9 - 0 0 4 13752.2 0 0 94 323176.7
2023 2018
5g ng
Yogy
akart
a
57 Asiklovir Tabl APBD PT 30-07- 349 11-09- 93 32457 - 0 0 0 0 0 0 93 32457
tab 400 et Indof 2020 2017
mg arma
Glob
al
Medi
ka
 Yogy
akart
a
PT
RAJ
Asiklovir
Tabl AWA 31-05- 380.000 13-09-
58 tab 400 APBD 450 171000.027 - 0 0 0 0 0 0 450 171000.027
et LI 2022 06 2018
mg
NUSI
NDO
Atropin
inj 0,25 Tidak
Amp 31-12- 30-06-
59 mg/ml APBD diket 1672 1 1672 - 0 0 0 0 0 0 1 1672
ul 2019 2017
(i.m./i.v./ ahui
s.k)
PT
Kimia
Farm
Azitromic a TD
Tabl 06-06- 01-11-
60 yn 500 BLUD Caba 7700 200 1540000 - 0 0 0 0 0 0 200 1540000
et 2022 2018
mg ng
Yogy
akart
a
PT
Kimia
Farm
Azitromic a TD
Tabl 31-03- 08-03-
61 yn 500 BLUD Caba 8800 16 140800 - 0 0 0 0 0 0 16 140800
et 2022 2018
mg ng
Yogy
akart
a
Dina
Bedak
Kota s 31-10- 23-11-
62 salisil APBD 1020 30 30600 - 0 0 0 0 0 0 30 30600
k Kese 2020 2018
serb 2%
hatan
Bedak Tidak 1024.99
Kota 31-07- 30-06- 24599.9797 1024.9991549 23574.98056
63 salisil APBD diket 915492 24 - 0 0 1 0 0 23
k 2019 2017 1831 296 338
serb 2% ahui 958
Betahisti Dina
n mesilat Tabl s 30-09- 03-12- 03-12-
64 APBD 110 0 0 1000 110000 0 0 0 0 1000 110000
tablet 6 et Kese 2020 2018 2018
mg hatan
Betahisti Dina
n mesilat Tabl s 30-09- 23-11-
65 APBD 110 200 22000 - 0 0 0 0 0 0 200 22000
tablet 6 et Kese 2020 2018
mg hatan
Betamet Dina
ason s 31-08- 18-07-
66 Tube APBD 1349 63 84987 - 0 0 13 17537 0 0 50 67450
krim Kese 2020 2018
0.1% hatan
Betamet Dina
ason s 28-02- 23-11-
67 Tube APBD 1340 100 134000 - 0 0 0 0 0 0 100 134000
krim Kese 2021 2018
0.1% hatan
Betamet Tidak 30-11- 30-06-
68 Tube BLUD 1226 12 14712 - 0 0 0 0 0 0 12 14712
ason diket 2019 2017
 krim
ahui
0.1%
Dina
Bisakodil Tabl
s 30-04- 11-09-
69 tab sal 5 et APBD 300 32 9600 - 0 0 0 0 0 0 32 9600
Kese 2019 2017
mg Salut
hatan
Dina
Bisakodil Tabl
s 30-04- 14-09-
70 tab sal 5 et APBD 300 150 45000 - 0 0 0 0 0 0 150 45000
Kese 2019 2017
mg Salut
hatan
Tiara
Cefixime Kaps 30-10- 01-10-
71 BLUD Kenc 2475 1470 3638250 - 0 0 30 74250 0 0 1440 3564000
100 mg ul 2021 2018
ana
Dina
Cetirizin
Tabl s 30-06- 01-03-
72 tablet 10 APBD 96 55 5280 - 0 0 5 480 0 0 50 4800
et Kese 2019 2018
mg
hatan
Dina
Cetirizin
Tabl s 31-08- 18-04-
73 tablet 10 APBD 143 393 56199 - 0 0 20 2860 0 0 373 53339
et Kese 2020 2018
mg
hatan
PT
Anug
erah
Cetirizin
Tabl Phar 01-06- 11-10-
74 tablet 10 APBD 89.98 2000 179960 - 0 0 0 0 0 0 2000 179960
et mind 2020 2018
mg
o
Lesta
ri
Cetirizin Tidak
Tabl 31-07- 30-06-
75 tablet 10 APBD diket 143 154 22022 - 0 0 130 18590 0 0 24 3432
et 2020 2017
mg ahui
PT
Deksam
RAJ
etason
AWA 31-03- 2196.50 30-08-
76 inj 5 Vial BLUD 72 158148.144 - 0 0 0 0 0 0 72 158148.144
LI 2020 2 2017
mg/ml
NUSI
(i.v./i.m.)
NDO
Deksam
etason Tidak
30-09- 30-06-
77 inj 5 Vial APBD diket 3160 2 6320 - 0 0 0 0 0 0 2 6320
2006 2017
mg/ml ahui
(i.v./i.m.)
Deksam Dina
etason Tabl s 30-11- 18-07-
78 APBD 44 1437 63228 - 0 0 424 18656 0 0 1013 44572
tab 0,5 et Kese 2019 2018
mg hatan
Deksam Dina
etason Tabl s 30-11- 18-05-
79 APBD 44 124 5456 - 0 0 0 0 0 0 124 5456
tab 0,5 et Kese 2019 2018
mg hatan
Dina
Diazepa
Tabl s 31-10- 18-07-
80 m tab 2 APBD 86 103 8858 - 0 0 0 0 0 0 103 8858
et Kese 2019 2018
mg
hatan
Diazepa Tabl Dina 30-11- 23-11-
81 APBD 37 500 18500 - 0 0 0 0 0 0 500 18500
m tab 2 et s 2020 2018
 Kese
mg
hatan
Dina
Diazepa
Tabl s 31-10- 04-07-
82 m tab 2 APBD 86 190 16340 - 0 0 140 12040 0 0 50 4300
et Kese 2019 2018
mg
hatan
Dina
Diazepa
Tabl s 30-11- 09-11-
83 m tab 2 APBD 37 1000 37000 - 0 0 0 0 0 0 1000 37000
et Kese 2020 2018
mg
hatan
Difenhidr
Tidak
amin inj Amp 31-12- 1049.99 30-06-
84 APBD diket 5 5249.99165 - 0 0 0 0 0 0 5 5249.99165
10 mg/ml ul 2012 833 2017
ahui
(i.v./i.m.)
Dina
Digoksin
Tabl s 30-04- 02-04-
85 tab 0,25 APBD 105 200 21000 - 0 0 0 0 0 0 200 21000
et Kese 2020 2018
mg
hatan
Digoksin Tidak
Tabl 30-06- 96.9999 30-06- 484.999609
86 tab 0,25 APBD diket 5 - 0 0 0 0 0 0 5 484.9996094
et 2019 2188 2017 4
mg ahui
Dina
Digoksin
Tabl s 30-06- 96.9999 18-01- 9699.99218 9699.992187
87 tab 0,25 APBD 100 - 0 0 0 0 0 0 100
et Kese 2019 21875 2018 75 5
mg
hatan
Dina
Dimenhi
Tabl s 30-04- 18-04-
88 drinat tab APBD 99 597 59103 - 0 0 150 14850 0 0 447 44253
et Kese 2022 2018
50 mg
hatan
Dina
Dimenhi
Tabl s 30-04- 02-04-
89 drinat tab APBD 99 50 4950 - 0 0 0 0 0 0 50 4950
et Kese 2022 2018
50 mg
hatan
Dina
Dimenhi
Tabl s 31-07- 20-12- 20-12-
90 drinat tab APBD 99 0 0 100 9900 0 0 0 0 100 9900
et Kese 2023 2018 2018
50 mg
hatan
Dina
Doksisikli
Kaps s 29-02- 09-05-
91 n kaps APBD 264 95 25080 - 0 0 0 0 0 0 95 25080
ul Kese 2020 2018
100 mg
hatan
PT
Indof
arma
Glob
Doksisikli
Kaps al 31-07- 19-09-
92 n kaps APBD 269 40 10760 - 0 0 10 2690 0 0 30 8070
ul Medi 2020 2017
100 mg
ka
Yogy
akart
a
Dina
Doksisikli
Kaps s 29-02- 18-05-
93 n kaps APBD 264 76 20064 - 0 0 10 2640 0 0 66 17424
ul Kese 2020 2018
100 mg
hatan
Doksisikli Kaps Dina 29-02- 11-10-
94 APBD 264 500 132000 - 0 0 100 26400 0 0 400 105600
n kaps ul s 2020 2018
 Kese
100 mg
hatan
Domperi Dina
don susp s 30-09- 3950.58 02-04-
95 Botol APBD 20 79011.77 - 0 0 3 11851.7655 0 0 17 67160.0045
5 mg/5 Kese 2020 85 2018
ml hatan
Domperi Dina
don susp s 30-09- 3950.58 18-01-
96 Botol APBD 8 31604.708 - 0 0 8 31604.708 0 0 0 0
5 mg/5 Kese 2020 85 2018
ml hatan
Domperi Dina
don susp s 30-09- 3950.58 18-05-
97 Botol APBD 30 118517.655 - 0 0 0 0 0 0 30 118517.655
5 mg/5 Kese 2020 85 2018
ml hatan
Domperi Tidak
Tabl 31-05- 30-06-
98 don tab APBD diket 118 76 8968 - 0 0 6 708 0 0 70 8260
et 2020 2017
10 mg ahui
Dina
Domperi
Tabl s 31-10- 18-07-
99 don tab APBD 95 500 47500 - 0 0 8 760 0 0 492 46740
et Kese 2020 2018
10 mg
hatan
Epinefrin
(adrenali Dina
n) inj Amp s 31-03- 23-02-
100 APBD 1749 10 17490 - 0 0 0 0 0 0 10 17490
0,1% ul Kese 2020 2018
(i.v./s.k./i hatan
.m.)
Epinefrin
(adrenali Dina
n) inj Amp s 30-06- 20-07-
101 APBN 8100 2 16200 - 0 0 0 0 0 0 2 16200
0,1% ul Kese 2019 2017
(i.v./s.k./i hatan
.m.)
Epinefrin
Tidak
(adrenali Amp 30-06- 30-06-
102 APBD diket 8100 3 24300 - 0 0 0 0 0 0 3 24300
n) inj 1 ul 2019 2017
ahui
mg/ml
Dina
Eritromisi
Tabl s 30-04- 18-01-
103 n tab 500 APBD 730 200 146000 - 0 0 0 0 0 0 200 146000
et Kese 2021 2018
mg
hatan
Eritromisi Tidak
Tabl 31-01- 30-06-
104 n tab 500 APBD diket 730 40 29200 - 0 0 0 0 0 0 40 29200
et 2020 2017
mg ahui
Etil Dina
klorida s 28-02- 02-04-
105 Botol APBD 126500 3 379500 - 0 0 3 379500 0 0 0 0
semprot Kese 2019 2018
100 ml hatan
PT
Etil RAJ
klorida APBD- AWA 31-10- 09-11-
106 Botol 165000 10 1650000 - 0 0 2 330000 0 0 8 1320000
semprot DAU LI 2020 2018
100 ml NUSI
NDO
107 Fenitoin Kaps APBD Dina 29-02- 686.4 31-10- 900 617760 - 0 0 80 54912 0 0 820 562848
Na kaps ul s 2020 2018
100 mg Kese
 hatan
Dina
Fenitoin
Kaps s 29-02- 11-10-
108 Na kaps APBD 686.4 237 162676.8 - 0 0 200 137280 0 0 37 25396.8
ul Kese 2020 2018
100 mg
hatan
Dina
Fenitoin
Kaps s 29-02- 13-09-
109 Na kaps APBD 686.4 10 6864 - 0 0 0 0 0 0 10 6864
ul Kese 2020 2018
100 mg
hatan
Dina
Fenobar
Tabl s 30-04- 18-07-
110 bital tab APBD 215.6 10 2156 - 0 0 10 2156 0 0 0 0
et Kese 2020 2018
30 mg
hatan
Dina
Fenobar
Tabl s 31-08- 11-10-
111 bital tab APBD 170.995 500 85497.5 - 0 0 130 22229.35 0 0 370 63268.15
et Kese 2022 2018
30 mg
hatan
Fenol
Dina
Gliserol
s 31-08- 14-08-
112 tetes APBD 2500 144 360000 - 0 0 12 30000 0 0 132 330000
Kese 2019 2018
telinga
hatan
10%
Fitomena
dion Dina
Tabl
(vitamin s 31-01- 18-07-
113 et APBD 686 160 109760 - 0 0 0 0 0 0 160 109760
K 1) tab Kese 2020 2018
Salut
sal 10 hatan
mg
Fitomena
dion
Tidak
(vitamin Amp 31-08- 30-06-
114 APBD diket 1740.2 5 8701 - 0 0 0 0 0 0 5 8701
K1) inj ul 2019 2017
ahui
10 mg/ml
(i.m)
Flutikaso
n Dina
Propiona Amp s 31-10- 14928.9 04-07-
115 APBD 25 373224.5 - 0 0 0 0 0 0 25 373224.5
t ul Kese 2020 8 2018
Nebules hatan
0.5 mg
Flutikaso
n Dina
Propiona Amp s 31-10- 14928.9 25-09-
116 APBD 30 447869.4 - 0 0 4 59715.92 0 0 26 388153.48
t ul Kese 2020 8 2018
Nebules hatan
0.5 mg
PT
Kimia
Farm
Furosemi a TD
Tabl 31-01- 18-07-
117 d tab 40 APBD Caba 77 75 5775 - 0 0 45 3465 0 0 30 2310
et 2021 2018
mg ng
Yogy
akart
a
Garam Sach Dina 31-03- 30-11-
118 APBD 264 49 12936 - 0 0 19 5016 0 0 30 7920
oralit et s 2019 2017
 kombina
si :
natrium
klorida
0,52 g +
kalium
klorida Kese
0,30 g + hatan
trinatrium
sitrat
0,58 g +
glukosa
anhidrat
2,7 g
Garam
oralit
kombina
si :
natrium
klorida
0,52 g +
Tidak
kalium Sach 31-03- 30-06-
119 APBD diket 264 979 258456 - 0 0 429 113256 0 0 550 145200
klorida et 2019 2017
ahui
0,30 g +
trinatrium
sitrat
0,58 g +
glukosa
anhidrat
2,7 g
Dina
Gemfibro
Kaps s 28-02- 18-05-
120 zil kapsul APBD 362 172 62264 - 0 0 172 62264 0 0 0 0
ul Kese 2021 2018
300 mg
hatan
Dina
Gemfibro 370.999
Kaps s 31-05- 23-11- 185499.982 185499.9823
121 zil kapsul APBD 964601 500 - 0 0 0 0 0 0 500
ul Kese 2022 2018 30088 0088
300 mg 77
hatan
Glibenkla Tidak
Tabl 30-06- 30-06-
122 mid tab 5 APBD diket 56 200 11200 - 0 0 0 0 0 0 200 11200
et 2019 2017
mg ahui
PT
Kimia
Farm
Glimepiri a TD
Tabl 02-02- 28-08-
123 d tab 1 BLUD Caba 193.996 1500 290994 - 0 0 0 0 0 0 1500 290994
et 2021 2017
mg ng
Yogy
akart
a
Glimepiri Tidak
Tabl 31-10- 30-06-
124 d tab 1 APBD diket 217.998 100 21799.8 - 0 0 0 0 0 0 100 21799.8
et 2019 2017
mg ahui
Dina
Glimepiri
Tabl s 30-06- 20-07-
125 d tab 1 APBN 265 100 26500 - 0 0 0 0 0 0 100 26500
et Kese 2019 2017
mg
hatan
 Dina
Glimepiri
Tabl s 31-03- 206.999 11-10-
126 d tab 2 APBD 900 186299.964 - 0 0 700 144899.972 0 0 200 41399.992
et Kese 2021 96 2018
mg
hatan
Dina
Glimepiri
Tabl s 31-03- 206.999 25-09-
127 d tab 2 APBD 105 21734.9958 - 0 0 25 5174.999 0 0 80 16559.9968
et Kese 2021 96 2018
mg
hatan
Dina
Glimepiri
Tabl s 31-03- 206.999 25-09-
128 d tab 2 APBD 400 82799.984 - 0 0 0 0 0 0 400 82799.984
et Kese 2021 96 2018
mg
hatan
Dina
Glimepiri
Tabl s 31-08- 18-05-
129 d tab 2 APBD 231 25 5775 - 0 0 0 0 0 0 25 5775
et Kese 2019 2018
mg
hatan
PT
Kimia
Farm
Gliseril
a TD
Guayako Tabl 30-04- 15-11-
130 BLUD Caba 156.585 20000 3131700 - 0 0 0 0 0 0 20000 3131700
lat tablet et 2023 2018
ng
100 mg
Yogy
akart
a
PT
Kimia
Farm
Gliseril
a TD
Guayako Tabl 31-01- 22-05-
131 BLUD Caba 156.585 7342 1149647.07 - 0 0 1721 269482.785 0 0 5621 880164.285
lat tablet et 2023 2018
ng
100 mg
Yogy
akart
a
Glukosa
Dina
Larutan 5199.91
Flab s 31-07- 25-09- 51999.1228 10399.824571 41599.29828
132 Infus 5% APBD 228571 10 - 0 0 2 0 0 8
ot Kese 2020 2018 57143 429 5714
steril 500 429
hatan
ml
Glukosa
Larutan Tidak
Flab 28-02- 30-06-
133 Infus 5% APBD diket 7920 3 23760 - 0 0 0 0 0 0 3 23760
ot 2020 2017
steril 500 ahui
ml
Glukosa
Larutan Tidak
Flab 07-12- 30-06-
134 Infus 5% APBD diket 5200 7 36400 - 0 0 0 0 7 36400 0 0
ot 2018 2017
steril 500 ahui
ml
Griseoful
Dina
vin
Tabl s 30-06- 18-05-
135 (microniz APBD 209 300 62700 - 0 0 15 3135 0 0 285 59565
et Kese 2020 2018
ed) tab
hatan
125 mg
136 Griseoful Tabl APBD Dina 30-04- 210 04-07- 1500 315000 - 0 0 0 0 0 0 1500 315000
vin et s 2020 2018
(microniz Kese
 ed) tab
hatan
125 mg
Griseoful
Dina
vin
Tabl s 30-06- 23-11-
137 (microniz APBD 209 1000 209000 - 0 0 0 0 0 0 1000 209000
et Kese 2020 2018
ed) tab
hatan
125 mg
Haloperi Dina
dol inj 50 s 31-10- 28-11-
138 Vial APBD 97500 3 292500 - 0 0 0 0 0 0 3 292500
mg/ml Kese 2019 2017
(i.m.) hatan
Dina
Haloperi
Tabl s 30-06- 04-07-
139 dol tab APBD 69 147 10143 - 0 0 0 0 0 0 147 10143
et Kese 2020 2018
0,5 mg
hatan
Dina
Haloperi
Tabl s 30-06- 23-11-
140 dol tab APBD 69 500 34500 - 0 0 0 0 0 0 500 34500
et Kese 2020 2018
0,5 mg
hatan
Dina
Haloperi
Tabl s 30-06- 11-10-
141 dol tab APBD 69 1000 69000 - 0 0 0 0 0 0 1000 69000
et Kese 2020 2018
0,5 mg
hatan
Dina
Haloperi
Tabl s 30-06- 18-07-
142 dol tab APBD 69 325 22425 - 0 0 0 0 0 0 325 22425
et Kese 2020 2018
0,5 mg
hatan
Dina
Haloperi
Tabl s 31-10- 03-12- 03-12-
143 dol tab APBD 60.995 0 0 2000 121990 0 0 0 0 2000 121990
et Kese 2020 2018 2018
1,5 mg
hatan
Dina
Haloperi
Tabl s 31-10- 18-07-
144 dol tab APBD 60.995 770 46966.15 - 0 0 420 25617.9 0 0 350 21348.25
et Kese 2020 2018
1,5 mg
hatan
Dina
Haloperi
Tabl s 29-02- 23-11-
145 dol tab 5 APBD 56.001 1000 56001 - 0 0 0 0 0 0 1000 56001
et Kese 2020 2018
mg
hatan
Dina
Haloperi
Tabl s 29-02- 13-09-
146 dol tab 5 APBD 56.001 730 40880.73 - 0 0 240 13440.24 0 0 490 27440.49
et Kese 2020 2018
mg
hatan
Hidroklor
Tidak
otiazid Tabl 31-03- 30-06-
147 APBD diket 38 300 11400 - 0 0 0 0 0 0 300 11400
tab 25 et 2020 2017
ahui
mg
Dina
Hidrokort
s 31-08- 11-09-
148 ison krim Tube APBD 2650 16 42400 - 0 0 0 0 0 0 16 42400
Kese 2020 2017
2,5%
hatan
Dina
Hidrokort
s 31-08- 11-12-
149 ison krim Tube APBD 2650 43 113950 - 0 0 0 0 0 0 43 113950
Kese 2020 2017
2,5%
hatan
Hidrokort Tidak 31-08- 30-06-
150 Tube APBD 2650 1 2650 - 0 0 0 0 0 0 1 2650
ison krim diket 2020 2017
 2,5% ahui
Dina
Hidrokort
s 31-07- 18-05-
151 ison krim Tube APBD 2640 34 89760 - 0 0 0 0 0 0 34 89760
Kese 2021 2018
2,5%
hatan
Ibuprofe Tidak
Tabl 31-08- 30-06-
152 n tab 200 APBD diket 110 2366 260260 - 0 0 11 1210 0 0 2355 259050
et 2020 2017
mg ahui
Dina
Ibuprofe
Tabl s 30-09- 19-09-
153 n tab 400 APBD 127 1200 152400 - 0 0 0 0 0 0 1200 152400
et Kese 2020 2017
mg
hatan
Dina
Isosorbid
Tabl s 31-07- 01-03-
154 dinitrat APBD 88 250 22000 - 0 0 0 0 0 0 250 22000
et Kese 2019 2018
tab 5 mg
hatan
Kalsium Dina
laktat Tabl s 31-07- 02-04-
155 APBD 56.001 50 2800.05 - 0 0 0 0 0 0 50 2800.05
(kalk) tab et Kese 2019 2018
500 mg hatan
Kalsium Dina
laktat Tabl s 31-07- 18-04-
156 APBD 56.001 56 3136.056 - 0 0 45 2520.045 0 0 11 616.011
(kalk) tab et Kese 2019 2018
500 mg hatan
Kalsium Dina
laktat Tabl s 30-11- 18-07-
157 APBD 95 1500 142500 - 0 0 789 74955 0 0 711 67545
(kalk) tab et Kese 2020 2018
500 mg hatan
Kalsium Dina
laktat Tabl s 31-07- 18-05-
158 APBD 56.001 4000 224004 - 0 0 0 0 0 0 4000 224004
(kalk) tab et Kese 2019 2018
500 mg hatan
Dina
Kaptopril 58.9999
Tabl s 30-09- 18-07- 50149.9408 2949.9965217 47199.94434
159 tab 12,5 APBD 304347 850 - 0 0 50 0 0 800
et Kese 2021 2018 69565 391 7826
mg 826
hatan
Dina
Kaptopril 58.9999
Tabl s 30-09- 18-05- 29499.9652 29499.96521
160 tab 12,5 APBD 304347 500 - 0 0 0 0 0 0 500
et Kese 2021 2018 17391 7391
mg 826
hatan
Dina
Kaptopril
Tabl s 31-03- 74.9999 11-10-
161 tab 25 APBD 500 37499.99 - 0 0 0 0 0 0 500 37499.99
et Kese 2020 8 2018
mg
hatan
Karbama Dina
zepin Tabl s 31-08- 09-11-
162 APBD 245 200 49000 - 0 0 0 0 0 0 200 49000
Tab 200 et Kese 2019 2018
mg hatan
Dina
Ketokon
Tabl s 31-08- 279.999 23-11-
163 azol tab APBD 1000 279999.5 - 0 0 0 0 0 0 1000 279999.5
et Kese 2021 5 2018
200 mg
hatan
Dina
Ketokon
Tabl s 31-08- 279.999 04-07- 308279.449
164 azol tab APBD 1101 - 0 0 355 99399.8225 0 0 746 208879.627
et Kese 2021 5 2018 5
200 mg
hatan
165 Ketokon Tabl APBD Dina 31-08- 279.999 08-11- 35 9799.9825 - 0 0 0 0 0 0 35 9799.9825
 s
azol tab
et Kese 2021 5 2017
200 mg
hatan
Dina
Ketokon
s 31-01- 20-12- 20-12-
166 azole Tube APBD 2517.9 0 0 100 251790 0 0 0 0 100 251790
Kese 2022 2018 2018
cream
hatan
Kloramfe Dina
nikol Kaps s 30-06- 23-11-
167 APBD 287.1 960 275616 - 0 0 47 13493.7 0 0 913 262122.3
kaps 250 ul Kese 2021 2018
mg hatan
Kloramfe
Tidak
nikol Kaps 30-06- 30-06-
168 APBD diket 210 2299 482790 - 0 0 0 0 0 0 2299 482790
kaps 250 ul 2020 2017
ahui
mg
PT
Kimia
Farm
Kloramfe
a TD
nikol 28-02- 22-05-
169 Tube BLUD Caba 3465 44 152460 - 0 0 3 10395 0 0 41 142065
salep 2021 2018
ng
mata 1%
Yogy
akart
a
Kloramfe Dina
nikol s 31-03- 18-07-
170 Tube APBD 1881 46 86526 - 0 0 0 0 0 0 46 86526
salep Kese 2021 2018
mata 1% hatan
Kloramfe Dina
5249.97
nikol s 30-11- 11-12- 26249.8872 10499.954887 15749.93233
171 Botol APBD 744360 5 - 0 0 2 0 0 3
susp 125 Kese 2019 2017 18045 218 0827
902
mg/5 ml hatan
Kloramfe Dina
nikol s 31-07- 20-12- 20-12-
172 Botol APBD 4700 0 0 15 70500 0 0 0 0 15 70500
susp 125 Kese 2020 2018 2018
mg/5 ml hatan
Kloramfe
Dina
nikol
s 31-07- 18-01-
173 tetes fls APBD 6050 5 30250 - 0 0 5 30250 0 0 0 0
Kese 2019 2018
telinga
hatan
3%
Kloramfe
Dina
nikol
s 31-07- 02-04-
174 tetes fls APBD 6050 24 145200 - 0 0 0 0 0 0 24 145200
Kese 2019 2018
telinga
hatan
3%
PT
Osad
Kloramfe
ha
nikol tts 31-05- 18-07-
175 fls APBD Grah 3250 30 97500 - 0 0 0 0 0 0 30 97500
mata 2020 2018
a
0,5%
Seja
htera
176 Kloramfe fls APBD PT 31-05- 3250 18-05- 25 81250 - 0 0 0 0 0 0 25 81250
nikol tts Osad 2020 2018
mata ha
0,5% Grah
 a
Seja
htera
Dina
Kloramfe
s 31-01- 11-10-
177 nikol tts fls APBD 6498.8 73 474412.4 - 0 0 25 162470 0 0 48 311942.4
Kese 2020 2018
mata 1%
hatan
PT
Indof
arma
Glob
Klorfenir
Tabl al 30-09- 18-07-
178 amin tab APBD 37 125 4625 - 0 0 125 4625 0 0 0 0
et Medi 2021 2018
4 mg
ka
Yogy
akart
a
PT
Indof
arma
Glob
Klorfenir
Tabl al 30-09- 18-05-
179 amin tab APBD 37 600 22200 - 0 0 517 19129 0 0 83 3071
et Medi 2021 2018
4 mg
ka
Yogy
akart
a
Dina
Klorfenir
Tabl s 31-07- 23-11-
180 amin tab APBD 22 5000 110000 - 0 0 0 0 0 0 5000 110000
et Kese 2022 2018
4 mg
hatan
Dina
Klorfenir
Tabl s 30-09- 11-10-
181 amin tab APBD 37 5121 189477 - 0 0 2235 82695 0 0 2886 106782
et Kese 2021 2018
4 mg
hatan
Dina
Klorfenir
Tabl s 30-09- 25-09-
182 amin tab APBD 37 80 2960 - 0 0 70 2590 0 0 10 370
et Kese 2021 2018
4 mg
hatan
Klorprom Dina
Tabl
azin tab s 30-11- 18-07-
183 et APBD 147.004 1000 147004 - 0 0 0 0 0 0 1000 147004
sal 100 Kese 2019 2018
Salut
mg hatan
Klorprom Dina
Tabl
azin tab s 30-11- 23-11-
184 et APBD 147.004 500 73502 - 0 0 0 0 0 0 500 73502
sal 100 Kese 2019 2018
Salut
mg hatan
Klorprom Dina
Tabl
azin tab s 30-11- 04-07-
185 et APBD 147.004 435 63946.74 - 0 0 196 28812.784 0 0 239 35133.956
sal 100 Kese 2019 2018
Salut
mg hatan
186 Kombina Tabl APBN- Dina 30-06- 350 13-09- 3000 1050000 - 0 0 3000 1050000 0 0 0 0
si : Ferro et PRO s 2019 2018
fumarat Kese
60 mg + hatan
asam
folat 0,4
 mg tab
salut
Kombina
si : Ferro
fumarat Dina
60 mg + Tabl APBN- s 31-05- 18-05- 1097593.72
187 349.998 3136 - 0 0 3136 1097593.728 0 0 0 0
asam et PRO Kese 2019 2018 8
folat 0,4 hatan
mg tab
salut
Kombina
si : Ferro
fumarat Dina
60 mg + Tabl APBN- s 30-06- 11-10-
188 350 3000 1050000 - 0 0 0 0 0 0 3000 1050000
asam et PRO Kese 2019 2018
folat 0,4 hatan
mg tab
salut
Kombina
si : Ferro
fumarat Dina
60 mg + Tabl APBN- s 30-06- 23-11-
189 350 3000 1050000 - 0 0 0 0 0 0 3000 1050000
asam et PRO Kese 2019 2018
folat 0,4 hatan
mg tab
salut
Kombina
si : Ferro
fumarat Dina
60 mg + Tabl APBN- s 30-06- 15-10-
190 350 15000 5250000 - 0 0 15000 5250000 0 0 0 0
asam et PRO Kese 2019 2018
folat 0,4 hatan
mg tab
salut
Kombina
si : ferro Dina
Tabl
sulfat s 31-01- 09-08-
191 et APBN 45 1200 54000 - 0 0 1200 54000 0 0 0 0
200 mg+ Kese 2019 2017
Salut
as. Folat hatan
0,25 mg
Kombina
Dina
si: kaolin
Tabl s 31-10- 23-11-
192 550 mg + APBD 185.9 500 92950 - 0 0 0 0 0 0 500 92950
et Kese 2022 2018
pektin 20
hatan
mg
Kombina
Dina
si: kaolin
Tabl s 31-10- 13-09-
193 550 mg + APBD 185.9 420 78078 - 0 0 40 7436 0 0 380 70642
et Kese 2022 2018
pektin 20
hatan
mg
194 Kotrimok Tabl APBD Dina 30-06- 128.997 13-09- 480 61918.56 - 0 0 0 0 0 0 480 61918.56
sazol et s 2019 2018
(dewasa) Kese
kombina hatan
si :
sulfamet
oksazol
 400 mg+
trimetopri
m 80 mg
Kotrimok
sazol
(dewasa)
kombina
si tiap 5
Dina
ml
s 31-08- 2139.99 02-04-
195 suspensi Botol APBD 42 89879.958 - 0 0 1 2139.999 0 0 41 87739.959
Kese 2019 9 2018
:
hatan
sulfamet
oksazol
200 mg +
trimetopri
m 40 mg
Dina
Magnesi
s 24-05- 18-07-
196 um sulfat Vial APBD 3649.8 2 7299.6 - 0 0 0 0 0 0 2 7299.6
Kese 2019 2018
inj 40%
hatan
Dina
Magnesi
s 24-05- 18-05-
197 um sulfat Vial APBD 3649.8 2 7299.6 - 0 0 0 0 0 0 2 7299.6
Kese 2019 2018
inj 40%
hatan
Dina
Metformi 93.9999
Tabl s 31-08- 18-07- 37599.9787 37599.97874
198 n tab 500 APBD 468571 400 - 0 0 0 0 0 0 400
et Kese 2019 2018 42857 2857
mg 429
hatan
Dina
Metformi 93.9999
Tabl s 31-08- 11-10- 206799.883 206799.88308
199 n tab 500 APBD 468571 2200 - 0 0 2200 0 0 0 0
et Kese 2019 2018 08571 571
mg 429
hatan
Dina
Metformi
Tabl s 31-07- 11-10-
200 n tab 500 APBD 96 4800 460800 - 0 0 0 0 0 0 4800 460800
et Kese 2020 2018
mg
hatan
Dina
Methyl
Tabl s 31-08- 13-09-
201 Prednisol APBD 149.996 200 29999.2 - 0 0 0 0 0 0 200 29999.2
et Kese 2020 2018
on 4 mg
hatan
Dina
Methyl
Tabl s 31-07- 09-11-
202 Prednisol APBD 134 2990 400660 - 0 0 20 2680 0 0 2970 397980
et Kese 2021 2018
on 4 mg
hatan
Dina
Methyl
Tabl s 31-08- 18-05-
203 Prednisol APBD 149.996 412 61798.352 - 0 0 280 41998.88 0 0 132 19799.472
et Kese 2020 2018
on 4 mg
hatan
Metilergo Dina
Tabl
metrin s 31-03- 18-07-
204 et APBD 211 160 33760 - 0 0 0 0 0 0 160 33760
tab salut Kese 2021 2018
Salut
0,125 mg hatan
Metoklop Tidak
Tabl 31-08- 30-06-
205 ramid tab APBD diket 145 825 119625 - 0 0 96 13920 0 0 729 105705
et 2019 2017
10 mg ahui
Metronid Tabl Dina 30-11- 112.991 11-10- 56495.9980 56495.99808
206 APBD 500 - 0 0 0 0 0 0 500
azol tab et s 2021 996161 2018 80614 0614
 Kese
500 mg 228
hatan
Dina
Metronid 112.991
Tabl s 30-11- 18-07- 26553.1190 3954.7198656 22598.39923
207 azol tab APBD 996161 235 - 0 0 35 0 0 200
et Kese 2021 2018 97889 43 2246
500 mg 228
hatan
Dina
Metronid 112.991
Tabl s 30-11- 25-09- 46326.7184 15818.879462 30507.83896
208 azol tab APBD 996161 410 - 0 0 140 0 0 270
et Kese 2021 2018 26103 572 3532
500 mg 228
hatan
Mikonaz Tidak
31-03- 30-06-
209 ol krim Tube BLUD diket 3120 40 124800 - 0 0 40 124800 0 0 0 0
2021 2017
2% ahui
Dina
Mikonaz 4085.71
s 31-08- 11-10-
210 ol krim Tube APBD 428571 91 371800 - 0 0 14 57200 0 0 77 314600
Kese 2021 2018
2% 429
hatan
Dina
Mikonaz 4085.71
s 31-07- 02-04- 20428.5714 20428.571428
211 ol krim Tube APBD 428571 5 - 0 0 5 0 0 0 0
Kese 2021 2018 28571 571
2% 429
hatan
Dina
Mikonaz 4085.71
s 31-08- 23-11- 392228.571 392228.5714
212 ol krim Tube APBD 428571 96 - 0 0 0 0 0 0 96
Kese 2021 2018 42857 2857
2% 429
hatan
N-asetil Dina
sistein Kaps s 30-04- 349.999 11-10-
213 APBD 5000 1749999.9 - 0 0 0 0 0 0 5000 1749999.9
kaps 200 ul Kese 2020 98 2018
mg hatan
PT
Indof
arma
N-asetil Glob
sistein Kaps al 30-04- 349.999 18-07- 913499.947
214 APBD 2610 - 0 0 20 6999.9996 0 0 2590 906499.9482
kaps 200 ul Medi 2020 98 2018 8
mg ka
Yogy
akart
a
NaCl Dina
0,9% Flab s 31-07- 02-04-
215 APBD 6410 18 115380 - 0 0 0 0 0 0 18 115380
Larutan ot Kese 2022 2018
500 ml hatan
Natrium Dina
114.999
diklofena Tabl s 30-06- 03-12- 03-12- 287499.8478 18399.990260 269099.8575
216 APBD 939130 0 0 2500 160 0 0 2340
k tab 50 et Kese 2021 2018 2018 2609 87 6522
435
mg hatan
PT
Natrium RAJ
114.999
diklofena Tabl AWA 30-06- 11-10- 123624.934 96599.948869 27024.98569
217 APBD 939130 1075 - 0 0 840 0 0 235
k tab 50 et LI 2021 2018 56522 565 5652
435
mg NUSI
NDO
Natrium Dina
114.999
diklofena Tabl s 30-06- 23-11- 220799.883 43814.976808 176984.9063
218 APBD 939130 1920 - 0 0 381 0 0 1539
k tab 50 et Kese 2021 2018 13044 696 2174
435
mg hatan
 Nistatin
Dina
tab
Tabl s 31-03- 13-09-
219 vaginal APBD 560 262 146720 - 0 0 0 0 0 0 262 146720
et Kese 2022 2018
100.000
hatan
UI
Obat Anti
Dina
Tubercul
Pake APBN- s 30-04- 11-10-
220 osis FDC 389344 2 778688 - 0 0 0 0 0 0 2 778688
t PRO Kese 2020 2018
Kategori
hatan
I
Obat Anti
Dina
Tubercul
Pake APBN- s 30-04- 23-11-
221 osis FDC 389344 1 389344 - 0 0 0 0 0 0 1 389344
t PRO Kese 2020 2018
Kategori
hatan
I
Obat Anti
Dina
Tubercul
Pake s 30-04- 18-01-
222 osis FDC APBN 359950 2 719900 - 0 0 0 0 0 0 2 719900
t Kese 2020 2018
Kategori
hatan
I
Obat Anti
Dina
Tubercul
Pake APBN- s 30-04- 08-08-
223 osis FDC 359950 5 1799750 - 0 0 0 0 0 0 5 1799750
t PRO Kese 2020 2018
Kategori
hatan
I
Obat Anti
Dina
Tubercul
Pake APBN- s 30-04- 18-05-
224 osis FDC 359950 1 359950 - 0 0 0 0 0 0 1 359950
t PRO Kese 2020 2018
Kategori
hatan
I
Obat Anti
Dina
Tubercul
Pake APBN- s 30-04- 04-07-
225 osis FDC 359950 1 359950 - 0 0 0 0 0 0 1 359950
t PRO Kese 2020 2018
Kategori
hatan
I
Obat Anti
Dina
Tubercul
Pake APBN- s 30-04- 18-07-
226 osis FDC 359950 1 359950 - 0 0 0 0 0 0 1 359950
t PRO Kese 2020 2018
Kategori
hatan
I
Oksitetra
siklin HCl Tidak
30-04- 30-06-
227 salep Tube APBD diket 6440 3 19320 - 0 0 0 0 0 0 3 19320
2019 2017
mata 1 ahui
%
Oksitetra
Tidak
siklin HCl 30-04- 1607.67 30-06-
228 Tube APBD diket 32 51445.68 - 0 0 4 6430.71 0 0 28 45014.97
salep 2019 75 2017
ahui
kulit 3%
Dina
Oksitosin 1899.99
Amp s 31-12- 18-05- 3799.99333 3799.9933
229 inj 10 APBD 666666 2 - 0 0 0 0 2 0 0
ul Kese 2018 2018 33333 333333
UI/ml 667
hatan
Dina
Omepraz 129.999
Kaps s 31-08- 13-09- 105299.861 105299.8615
230 ol kaps APBD 829059 810 - 0 0 0 0 0 0 810
ul Kese 2020 2018 53846 3846
20 mg 829
hatan
 Orthosip
hon
stamineu
s
18mg,ek Dina
strak Tabl s 31-05- 13-09-
231 APBD 774.4 300 232320 - 0 0 0 0 0 0 300 232320
folium et Kese 2020 2018
Strobilan hatan
thus
crispus
16 mg,
dll
Paraseta Dina
1106.60
mol sir s 31-03- 11-10-
232 Botol APBD 000000 10 11066 - 0 0 8 8852.8 0 0 2 2213.2
120 mg/5 Kese 2020 2018
00001
ml hatan
Paraseta Dina
1106.60
mol sir s 31-03- 23-11-
233 Botol APBD 000000 100 110660 - 0 0 32 35411.2 0 0 68 75248.8
120 mg/5 Kese 2020 2018
00001
ml hatan
Dina
Paraseta
Tabl s 30-09- 18-07-
234 mol tab APBD 49 525 25725 - 0 0 57 2793 0 0 468 22932
et Kese 2019 2018
500 mg
hatan
Dina
Paraseta
Tabl s 30-09- 13-09-
235 mol tab APBD 49 9393 460257 - 0 0 3880 190120 0 0 5513 270137
et Kese 2019 2018
500 mg
hatan
Dina
Paraseta
Tabl s 30-09- 11-10-
236 mol tab APBD 49 4051 198499 - 0 0 1710 83790 0 0 2341 114709
et Kese 2019 2018
500 mg
hatan
Dina
Paraseta
Tabl s 31-05- 23-11-
237 mol tab APBD 52.998 10000 529980 - 0 0 0 0 0 0 10000 529980
et Kese 2020 2018
500 mg
hatan
Dina
Permetri
s 30-04- 31-10-
238 n krim 5 Tube APBD 33550 23 771650 - 0 0 1 33550 0 0 22 738100
Kese 2020 2018
%
hatan
Pirantel
Dina
pamoat
Tabl s 30-04- 18-07-
239 tab APBD 287 100 28700 - 0 0 0 0 0 0 100 28700
et Kese 2020 2018
scored
hatan
125 mg
Piridoksi
Dina
n
Tabl s 31-07- 18-05-
240 (vitamin APBD 45 2400 108000 - 0 0 400 18000 0 0 2000 90000
et Kese 2019 2018
B6) tab
hatan
10 mg
Piridoksi
n Tidak
Tabl 31-03- 30-06-
241 (vitamin APBD diket 15 1150 17250 - 0 0 550 8250 0 0 600 9000
et 2019 2017
B6) tab ahui
10 mg
Polikresu PT 30-07- 03-10-
242 Botol BLUD 35000 4 140000 - 0 0 0 0 0 0 4 140000
len PRIM 2022 2017
 A
Solutio MEDI
360 mg/g TAM
A
Dina
Predniso
Tabl s 30-04- 11-10-
243 n tab 5 APBD 68 663 45084 - 0 0 663 45084 0 0 0 0
et Kese 2020 2018
mg
hatan
Dina
Predniso
Tabl s 30-04- 23-11-
244 n tab 5 APBD 68 1600 108800 - 0 0 561 38148 0 0 1039 70652
et Kese 2020 2018
mg
hatan
Dina
Predniso
Tabl s 30-04- 13-09-
245 n tab 5 APBD 68 190 12920 - 0 0 100 6800 0 0 90 6120
et Kese 2020 2018
mg
hatan
Dina
Ranitidin
Amp s 30-04- 03-08-
246 inj 25 APBD 1155 10 11550 - 0 0 2 2310 0 0 8 9240
ul Kese 2021 2018
mg/2 ml
hatan
Dina
Ranitidin
Tabl s 31-07- 97.9999 18-05- 43609.9955
247 tab 150 APBD 445 - 0 0 115 11269.99885 0 0 330 32339.9967
et Kese 2020 9 2018 5
mg
hatan
Dina
Ranitidin 107.999
Tabl s 31-03- 11-10- 268595.941 37259.991882
248 tab 150 APBD 976470 2487 - 0 0 345 0 0 2142 231335.9496
et Kese 2021 2018 48235 353
mg 588
hatan
Dina
Ranitidin 107.999
Tabl s 31-03- 23-11- 215999.952 215999.9529
249 tab 150 APBD 976470 2000 - 0 0 0 0 0 0 2000
et Kese 2021 2018 94118 4118
mg 588
hatan
Retinol
(vitamin Kaps Dina
A) kaps ul APBN- s 31-10- 18-07-
250 287 100 28700 - 0 0 0 0 0 0 100 28700
lunak Luna PRO Kese 2020 2018
100.000 k hatan
UI
Ringer Dina
Laktat Flab s 30-06- 18-05-
251 APBD 7150 10 71500 - 0 0 1 7150 0 0 9 64350
Larutan ot Kese 2022 2018
500 ml hatan
Ringer
Tidak
Laktat Flab 31-05- 30-06-
252 APBD diket 7150 4 28600 - 0 0 2 14300 0 0 2 14300
Larutan ot 2021 2017
ahui
500 ml
Dina
Risperid
Tabl APBN- s 31-07- 18-04-
253 one tab 2 347 2910 1009770 - 0 0 10 3470 0 0 2900 1006300
et PRO Kese 2020 2018
mg
hatan
Salbuta Dina
mol 2,5 s 28-02- 11-10-
254 Botol APBD 12870 40 514800 - 0 0 17 218790 0 0 23 296010
mg Kese 2021 2018
nebules hatan
255 Salbuta Botol APBD Dina 28-02- 12870 03-08- 55 707850 - 0 0 0 0 0 0 55 707850
mol 2,5 s 2021 2018
mg Kese
 nebules hatan
Dina
Salbuta
Tabl s 31-10- 18-05-
256 mol tab 2 APBD 78 890 69420 - 0 0 224 17472 0 0 666 51948
et Kese 2019 2018
mg
hatan
Dina
Salbuta
Tabl s 31-10- 02-04-
257 mol tab 2 APBD 78 500 39000 - 0 0 0 0 0 0 500 39000
et Kese 2019 2018
mg
hatan
Dina
Salbuta
Tabl s 31-01- 11-10-
258 mol tab 2 APBD 63 3000 189000 - 0 0 0 0 0 0 3000 189000
et Kese 2022 2018
mg
hatan
Salep 2-
4,
kombina
Dina
si : asam
s 31-05- 18-01-
259 salisilat 2 Tube APBD 2527 7 17689 - 0 0 0 0 0 0 7 17689
Kese 2021 2018
%+
hatan
belerang
endap 4
%
Salep 2-
4,
kombina
Dina
si : asam
s 31-05- 18-05-
260 salisilat 2 Tube APBD 2527 23 58121 - 0 0 3 7581 0 0 20 50540
Kese 2021 2018
%+
hatan
belerang
endap 4
%
Salep 2-
4,
kombina
Dina
si : asam
s 31-07- 18-07-
261 salisilat 2 Tube APBD 2527 48 121296 - 0 0 0 0 0 0 48 121296
Kese 2021 2018
%+
hatan
belerang
endap 4
%
Serum
antitetan
Dina
us
Amp s 30-04- 02-04-
262 (A.T.S) APBD 126500 10 1265000 - 0 0 0 0 0 0 10 1265000
ul Kese 2019 2018
inj 1500
hatan
UI/amp
(i.m.)
Serum
antitetan
Dina
us
Amp s 30-04- 01-03-
263 (A.T.S) APBD 126500 13 1644500 - 0 0 11 1391500 0 0 2 253000
ul Kese 2019 2018
inj 1500
hatan
UI/amp
(i.m.)
264 Sianokob Tabl APBD Dina 31-05- 46 03-08- 617 28382 - 0 0 0 0 0 0 617 28382
alamin et s 2023 2018
(vitamin Kese
 B12) tab
hatan
50 mcg
Sianokob
Dina
alamin
Tabl s 31-05- 23-11-
265 (vitamin APBD 46 3000 138000 - 0 0 0 0 0 0 3000 138000
et Kese 2023 2018
B12) tab
hatan
50 mcg
Sianokob
Dina
alamin
Tabl s 31-05- 11-10-
266 (vitamin APBD 46 2825 129950 - 0 0 885 40710 0 0 1940 89240
et Kese 2023 2018
B12) tab
hatan
50 mcg
Simvasta Dina
Tabl
tin tab s 31-05- 18-05-
267 et APBD 110.99 720 79912.8 - 0 0 25 2774.75 0 0 695 77138.05
sal 10 Kese 2019 2018
Salut
mg hatan
Siproflok Dina
sasin tab Tabl s 30-04- 18-07-
268 APBD 265 1000 265000 - 0 0 350 92750 0 0 650 172250
scored et Kese 2020 2018
500 mg hatan
Siproflok Dina
sasin tab Tabl s 30-04- 03-12- 03-12-
269 APBD 265 0 0 2000 530000 0 0 0 0 2000 530000
scored et Kese 2020 2018 2018
500 mg hatan
Tiamin Dina
(vitamin Tabl s 30-06- 13-09-
270 APBD 81.994 1164 95441.016 - 0 0 1164 95441.016 0 0 0 0
B1) tab et Kese 2021 2018
50 mg hatan
Tiamin Dina
(vitamin Tabl s 30-06- 18-05-
271 APBD 81.994 400 32797.6 - 0 0 0 0 0 0 400 32797.6
B1) tab et Kese 2021 2018
50 mg hatan
Tiamin Dina
(vitamin Tabl s 31-05- 84.9999 23-11-
272 APBD 5000 424999.85 - 0 0 500 42499.985 0 0 4500 382499.865
B1) tab et Kese 2022 7 2018
50 mg hatan
Tiamin Dina
(vitamin Tabl s 31-05- 84.9999 11-10- 344844.878 153594.9457
273 APBD 4057 - 0 0 2250 191249.9325 0 0 1807
B1) tab et Kese 2022 7 2018 29 9
50 mg hatan
Dina
Triheksif
Tabl s 29-02- 23-11-
274 enidil tab APBD 84.997 1000 84997 - 0 0 0 0 0 0 1000 84997
et Kese 2020 2018
2 mg
hatan
PT
Sapt
Triheksif
Tabl a 31-08- 31-03-
275 enidil tab BLUD 687.5 1229 844937.5 - 0 0 627 431062.5 0 0 602 413875
et Sari 2022 2018
2 mg
Tam
a
Dina
Triheksif
Tabl s 29-02- 03-12- 03-12-
276 enidil tab APBD 84.997 0 0 2000 169994 0 0 0 0 2000 169994
et Kese 2020 2018 2018
2 mg
hatan
277 Vitamin Tabl APBD Dina 31-07- 115 18-10- 592 68080 - 0 0 0 0 0 0 592 68080
B et s 2020 2017
komplek Kese
 s hatan
Vitamin Dina
B Tabl s 31-07- 18-05-
278 APBD 115 3900 448500 - 0 0 364 41860 0 0 3536 406640
komplek et Kese 2020 2018
s hatan
Dina
Zinc tab
Tabl s 30-04- 30-11-
279 disp 20 APBD 508 190 96520 - 0 0 0 0 0 0 190 96520
et Kese 2019 2017
mg
hatan
Zinc tab Tidak
Tabl 31-05- 30-06-
280 disp 20 APBD diket 514 86 44204 - 0 0 40 20560 0 0 46 23644
et 2019 2017
mg ahui
Dina
Zinc tab
Tabl s 30-04- 18-05-
281 disp 20 APBD 508 465 236220 - 0 0 0 0 0 0 465 236220
et Kese 2019 2018
mg
hatan
62121197.8 2381685.434 14641208.517 40199.993 49821474.76
TOTAL
40067 8391 975 333333 3597

Mengetahui, Galur, Desember 2018

Kepala Puskesmas Petugas Farmasi

NIP.