Format Stok Opname Apbd 2 Tahun 2019

DAFTAR STOK OBAT DAN BAHAN MEDIS HABIS PAKAI DI GUDANG OBAT PER 30 JUNI 2019
SUMBER APBD II ( DAK DAN DAU)

PUSKESMAS: SEBAWI
STOK AWAL PER TOTAL STOK

NO NAMA OBAT SATUAN SUMBER HARGA PEROLEHAN 01 JAN 2019 AWAL PER 01 JAN
(Satuan) 2019 (Rupiah)
1 2 3 4 5 6 7
I OBAT GENERIK
1 Akarbose tablet/kaplet 50 mg Tablet DAK 2016 657.00 -
2 Alopurinol tablet 100 mg Tablet DAK 2019 105.00 -
5 Alprazolam 0,5 mg Tablet DAK 2015 185.00 -
6 Alprazolam 0,5 mg Tablet DAK 2016 144.00 -
7 Alprazolam 0,5 mg Tablet DAK 2018 88.00 117 10,296.00
8 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2019 3,627.00 -
9 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2018 3,619.00 85 307,615.00
10 Ambroxol tablet 30 mg Tablet DAK 2017 985.00 -
11 Ambroxol tablet 30 mg Tablet DAK 2019 155.33 -
12 Ambroxol tablet 30 mg Tablet DAK 2018 121.00 400 48,400.00
13 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2017 17,375.00 -
Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

14 DAK 2017 3,080.00 -

15 DAK 2018 2,878.00 -

16 DAK 2019 3,071.00 -
17 Aminofilina tablet 200 mg DAK 2016 124.94 -
Tablet
Aminofilina tablet 200 mg
18 Tablet salut selaput DAK 2017 97.00 500 48,500.00
19 Aminofilina tablet 200 mg DAK 2019 101.00 -
Tablet
20 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2018 168.00 -
21 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2019 168.00 -
22 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2017 171.00 369 63,099.00
23 Amlodipin 5 mg Tablet DAK 2017 91.00 2,400 218,400.00
24 Amlodipin 5 mg Tablet DAK 2019 80.00 -
25 Amlodipin 5 mg Tablet DAK 2018 75.00 -
Amoksisilin kapsul/kaplet/tablet scored
Kaptab 2,000
26 500 mg DAK 2017 191.00 382,000.00
Kaplet
27 500 mg DAK 2019 365.00 -
Kaplet
28 500 mg DAK 2018 248.00 -
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml 233
29 DAK 2017 1,920.00 447,360.00
Botol 60 ml
30 DAK 2019 2,783.00 -
Botol 60 ml
31 DAK 2018 1,919.00 -
Amoksisilin sirup kering forte 250 mg/5
Botol 60 ml 82
32 ml DAK 2017 3,797.00 311,354.00
Botol 60 ml
33 ml DAK 2018 3,604.00 -
Botol 60 ml
34 ml DAK 2019 3,846.00 -
35 Antasida DOEN suspensi Botol 60 ml DAK 2016 2,106.00 -
37 Antasida DOEN suspensi Botol 60 ml DAK 2018 2,098.00 56 117,488.00
Antasida DOEN tablet
kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. Tablet
39 200 mg DAK 2018 56.00 -
kunyah,kombinasi:
40 200 mg DAK 2017 59.00 -
kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. Tablet kunyah
41 200 mg DAK 2019 60.00 -
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000
IU/g Tube 5 gram
42 DAK 2015 2,767.00 -
IU/g Tube 5 gram
43 DAK 2017 3,365.00 -
IU/g Tube 5 gram
44 DAK 2018 3,490.00 45 157,050.00
Anti Diare Kombinasi Kaolin 986
Botol 60 ml
45 mg+Pektin 40 mg DAK 2016 8,000.00 -
1 2 3 4 5 6 7
Botol 60 ml 44
46 mg+Pektin 40 mg DAK 2017 6,190.00 272,360.00
Antifungi DOEN kombinasi :
Asam Benzoat 6 % pot plastik 30 gram
47 + Asam Salisilat 3 % DAK 2017 4,972.00 28 139,216.00
48 + Asam Salisilat 3 % DAK 2016 4,782.00 -
49 + Asam Salisilat 3 % DAK 2018 5,170.00 -
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat supp
50 150 mg + Heksaklorofen 2,5 mg DAK 2019 3,642.00 -
51 150 mg + Heksaklorofen 2,5 mg DAK 2016 3,502.00 9 31,518.00
52 150 mg + Heksaklorofen 2,5 mg DAK 2017 3,300.00 -
Antimigren DOEN tablet kombinasi :

Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg
53 DAK 2017 204.00 600 122,400.00
Antimigren + Paracetamol 400 mg,
Tablet
54 Acetosal 250 mg, Caffeine 65 mg DAK 2016 605.00 -
Tablet
55 Acetosal 250 mg, Caffeine 65 mg DAK 2018 199.00 -
Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

56 DAK 2019 2,860.00 -
57 Air untuk Injeksi 25 ml Ampul 25 ml DAK 2017 2,750.00 25 68,750.00
OTSU SWI 25 ML - Air untuk Injeksi 25
Ampul 25 ml
58 ml DAK 2016 2,750.00 -
ACT (Artesunate tablet 50 mg +

Tablet
Amodiaquine anhydrida tablet 200 mg)
59 DAK 2015 1,409.00 -
60 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2016 120.00 -
Asam askorbat (vitamin C)
Tablet 300
61 tablet/kapsul/kaplet 250 mg DAK 2017 118.00 35,400.00
62 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2017 120.00 2,500 300,000.00
Asam Folat tablet/kapsul/kaplet 0,4
Tablet
65 mg(Afolat) DAK 2015 140.00 -
Tablet 1,600
66 mg(Afolat) DAK 2016 68.00 108,800.00
67 Asam Mefenamat 500 mg Kaptap Salut Selaput DAK 2017 102.00 600 61,200.00
68 Asam Mefenamat 500 mg Tablet DAK 2018 103.00 -
69 Asam Mefenamat 500 mg Kaptap Salut Selaput DAK 2019 103.00 -
70 Asam Traneksamat 500 mg Tablet DAK 2017 1,540.00 100 154,000.00
71 Asam Traneksamat 500 mg Tablet DAK 2016 1,540.00 -
72 Asam Traneksamat 500 mg Tablet DAK 2019 1,784.00 -
Asam traneksamat injeksi 100 mg/ml Ampul 5 ml 10

73 DAK 2016 2,789.00 27,890.00
Asam traneksamat injeksi 100 mg/ml Ampul 5 ml 10

74 DAK 2017 2,530.00 25,300.00
Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

75 DAK 2018 2,225.00 -
76 Asetosal 100 mg Tablet DAK 2018 213.79 -
77 Asetosal 100 mg Tablet DAK 2016 153.00 -
Asam asetilsalisilat (asetosal)
Tablet 300
Tablet
79 tablet/kapsul/kaplet 100 mg DAK 2019 105.00 -
80 Asiklovir krim 5 % Tube 5 gram DAK 2019 3,461.00 -
81 Asiklovir krim 5 % Tube 5 gram DAK 2017 9,550.00 15 143,250.00
82 Asiklovir krim 5 % Tube 5 gram DAK 2018 2,997.00 50 149,850.00
83 Asiklovir tablet 400 mg Tablet DAK 2018 425.00 -
84 Asiklovir tablet 400 mg Tablet DAK 2019 454.00 -
Asiklovir tablet/kapsul/kaplet 400 mg Tablet

85 DAK 2017 415.00 -
NEW ANTIDES - Attapulgite 600 mg
Tablet 900
86 tablet DAK 2016 173.00 155,700.00
Tablet
87 tablet DAK 2019 159.00 -
88 Atapulgit tablet 600 mg (Pularex) Tablet DAK 2018 149.00 -
89 Atropin inj 0,25 mg / ml Ampul 1 ml DAK 2019 1,859.00 -
90 Azitromisin tablet 500 mg Tablet DAK 2016 1,900.00 -
91 Azitromisin tablet 500 mg Tablet DAK 2018 1,778.00 -
kombinasi: ferro fumarat 60 mg + as.
Folat 0,4 mg tablet salut gula (tablet Tablet Salut Gula
92 tambah darah) DAK 2017 410.00 -
1 2 3 4 5 6 7
(Tablet Tambah Darah Kombinasi) :
Ferrous Fumarate 250 mg, Manganese
Sulfate 0,2 mg, Cupric Sulfate 0,2 mg, Tablet
Folic Acid 4 mg, Cyanocobalamin 7,5
93 mg DAK 2016 660.00 -
94 mg DAK 2018 409.00 12,960 5,300,640.00
Plastik-Dus-serbuk 50
Bedak salisil serbuk 2% 60
95 gram DAK 2017 1,071.00 64,260.00
Bedak salisil serbuk 2%
96 gram DAK 2018 1,232.00 -
97 gram DAK 2019 6,006.00 -
BEROTEC SOLUTION - Fenoterol HBr
Botol
98 solution 0,1% DAK 2019 83,190.00 -
BEROTEC - Fenoterol HBr aerosol
Botol 4
99 100 mcg/puff DAK 2018 83,190.00 332,760.00
100 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2017 151.00 900 135,900.00
101 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2019 119.00 -
Bisoprolol tablet/kapsul/kaplet 5 mg Tablet salut selaput

102 DAK 2017 298.00 -
103 Bisoprolol tablet 5 mg Tablet DAK 2019 626.00 -
104 Bisoprolol tablet 5 mg Tablet DAK 2018 248.00 -
Betametason krim0,1% (Sebagai
Tube 5 gram
105 Valerat) DAK 2019 1,465.00 -
106 Betametason krim 0,1 o/o Tube 5 gram DAK 2018 1,373.00 -
Tube 5 gram 40
107 Valerat) DAK 2017 1,450.00 58,000.00
108 Bisakodil suppositoria 10mg Supp DAK 2017 5,800.00 14 81,200.00
Bisakodil suppositoria 10 mg(Stolax
Supp
109 supp) DAK 2019 5,900.00 -
110 Bisakodil suppositoria 10 mg Supp DAK 2018 5,900.00 20 118,000.00
DULCOLAX SUPP ADULT 10MG
Supp
111 Bisakodil suppositoria 10mg DAK 2016 5,800.00 -
DULCOLAX SUPP INFANT - Bisakodil
Supp
112 suppositoria 5 mg DAK 2016 5,670.00 -
Supp
113 supp) DAK 2019 6,000.00 -
116 Bisakodil tablet/kapsul/kaplet 5 mg Tablet salut enterik DAK 2017 317.00 240 76,080.00
117 Cetirizine tablet 10 mg Tablet DAK 2018 97.00 -
118 Cetirizine tablet 10 mg Tablet salut selaput DAK 2017 115.00 650 74,750.00
119 Cetirizine tablet 10 mg Tablet DAK 2019 104.00 -
120 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2019 3,061.00 -
121 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2018 2,993.00 -
122 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2017 3,300.00 191 630,300.00
Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

123 DAK 2016 1,745.00 -
Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml 88

124 DAK 2017 1,822.00 160,336.00

125 DAK 2018 1,210.00 -

126 DAK 2019 1,210.00 -
127 Deksametason tablet 0,5 mg Tablet DAK 2019 34.00 -
128 Deksametason tablet 0,5 mg Tablet DAK 2017 149.07 -
129 Deksametason tablet 0,5 mg Tablet DAK 2018 34.00 600 20,400.00
DEPAKENE - Valproat sirup 250 mg/5
Botol
130 ml DAK 2016 41,800.00 -
DEPAKOTE TAB 250 MG - Valproat
Tablet
131 tablet salut 250 mg DAK 2016 1,750.00 -
Tablet
132 tablet salut 250 mg DAK 2018 1,200.00 -
133 Diazepam tablet 2 mg Tablet DAK 2019 86.00 -
134 Diazepam tablet 2 mg Tablet DAK 2018 86.00 100 8,600.00
135 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2017 15,600.00 13 202,800.00
136 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2018 1,913.00 -
137 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2019 1,913.00 -
Diazepam larutan rectal 10 mg/ 2,5 ml
Tube
138 (STESOLID) DAK 2018 21,021.00 -
Tube
139 (STESOLID) DAK 2019 21,021.00 -
140 Diazepam enema 10 mg/2,5 mL Allubag DAK 2017 19,378.00 -
Diazepam larutan rectal 5 mg/ 2,5
Tube
141 ml(STESOLID) DAK 2018 14,459.00 -
Tube
142 ml(STESOLID) DAK 2019 14,459.00 -
143 Diazepam enema 5 mg/2,5 mL Allubag DAK 2017 13,384.00 -
1 2 3 4 5 6 7
Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml 30
144 DAK 2017 1,222.00 36,660.00
Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

145 DAK 2019 1,347.00 -

146 DAK 2016 1,354.00 -
Digoksin tablet/kapsul/kaplet 0,25 mg Tablet 100

147 DAK 2017 109.00 10,900.00
148 Digoksin tablet 0,25 mg Tablet DAK 2016 108.00 -
Doksisiklin tablet/kapsul/kaplet 100 mg kapsul 200

149 DAK 2017 299.00 59,800.00
150 Doksisiklin tab 100 mg Tablet DAK 2019 280.00 -
151 Doksisiklin tab 100 mg Tablet DAK 2018 264.00 -
152 Domperidon 10 mg Tablet DAK 2018 90.00 -
Domperidon tablet/kapsul/kaplet 10 mg Tablet 900

153 DAK 2017 110.00 99,000.00
154 Domperidon 10 mg Tablet DAK 2019 96.00 -
Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

155 DAK 2018 2,862.00 -
156 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2017 17,000.00 37 629,000.00
157 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2019 2,862.00 -
DOPAMET - Metildopa tablet salut 250
Tablet
158 mg DAK 2016 1,001.00 -
Tablet
159 mg DAK 2017 1,050.00 -
Tablet
160 mg DAK 2018 1,088.00 -
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m
Ampul 10
161 1 mg/ml DAK 2018 1,518.00 15,180.00
Ampul
162 1 mg/ml DAK 2019 1,518.00 -
Ampul
163 1 mg/ml DAK 2016 2,354.00 -
164 Eritromisin kaplet 500mg Kaplet DAK 2016 766.00 -
Eritromisin tablet/kapsul/kaplet 500 mg Kaptab 300

165 DAK 2017 766.00 229,800.00
Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

166 DAK 2018 781.00 -
Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml

167 DAK 2017 6,461.00 -
Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml 15

168 DAK 2016 7,039.00 105,585.00
169 Ethambutol 500 mg Tab Tablet DAK 2016 688.00 100 68,800.00
170 Ethambutol 250 mg Tab Tablet DAK 2019 400.00 -
171 Etakridin ( Rivanol ) larutan 0,1 o/o Botol DAK 2015 3,327.00 -
172 Etil Klorida semprot Botol DAK 2017 110,000.00 -
175 Eugenol cairan Botol DAK 2018 21,648.00 -
176 FARNORMIN - Atenolol 50 mg Tablet DAK 2016 330.00 -
177 Fenitoin Kapsul/Kaplet 100 mg Kaplet DAK 2016 154.00 -
Fenitoin injeksi 50 mg/ml (100 mg/2 ml)

178 DAK 2017 6,231.00 -
179 Fenobarbital tablet 30 mg Tablet DAK 2018 197.00 -
182 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2017 2,500.00 11 27,500.00
183 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2019 2,764.00 -
184 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2018 2,590.00 -
Fitomenadion (Vitamin K1) injeksi i.m. 2
Ampul 1 ml
185 mg/ml DAK 2018 1,914.23 -
Ampul 1 ml
186 mg/ml DAK 2019 4,236.00 -
Ampul 1 ml
187 mg/ml DAK 2016 4,083.00 -
Fitomenodion (Vit.K1) tablet salut gula
Tablet Salut Gula 900
188 10 mg DAK 2017 790.00 711,000.00
Tablet
189 10 mg DAK 2019 873.00 -
FLIXOTIDE NBULES - Flutikason
Nebules 2 ml
190 Propionat nebules 0,5 mg DAK 2016 14,500.00 -
Flutikason propionat (micronized) 0,5
mg/dosis (Flutikason propionat nebules Nebules 2 ml
191 0,5 mg) DAK 2017 14,500.00 10 145,000.00
192 0,5 mg) DAK 2018 14,929.00 -
193 0,5 mg) DAK 2019 15,675.00 -
194 Furosemid tablet 40 mg Tablet DAK 2017 111.00 200 22,200.00
195 Furosemid tablet 40 mg Tablet DAK 2016 181.73 -
196 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2017 2,058.00 -
197 Furosemid injeksi Ampul DAK 2019 1,555.00 -
1 2 3 4 5 6 7
198 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2016 - -
199 Gabapentin 300 mg Kaplet DAK 2019 1,122.00 -
Gabapentin tablet/kapsul/kaplet 300 mg kapsul 180

200 DAK 2017 1,254.00 225,720.00
Gabapentin tablet/kapsul/kaplet 300 mg kapsul

201 DAK 2018 1,055.00 -
Garam oralit kombinasi : natrium klorida
0,52 g + kalium klorida 0,30 g +
Sachet 4,26 gram
trinatrium sitrat 0,58 g + glukosa
202 anhidrat 2,7 g DAK 2019 281.00 -
Garam Oralit I serbuk, kombinasi:

Natrium klorida 0,52 g + kalium klorida
Sachet
0,30 g + Trinatrium sitrat dihidrat 0,58 g
+ Glukosa Anhidrat 2,70 g
203 DAK 2017 273.00 200 54,600.00

Sachet
204 DAK 2018 263.00 -
Gemfibrozil tablet/kapsul/kaplet 300 mg Tablet 600

205 DAK 2016 436.00 261,600.00
206 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2019 2,385.00 -
209 Gentamicin TM 0,3 % Botol 5 ml DAK 2019 4,885.00 -
210 Gentamicin TM 0,3 % Botol 5 ml DAK 2018 4,885.00 -
211 Gentamisin tetes mata 0,3% Botol 5 ml DAK 2017 4,800.00 9 43,200.00
212 Gentian violet 1 o/o Botol 10 ml DAK 2018 4,384.00 -
215 Glass Ionomer Cement (Fuji IX) Set DAK 2016 919,300.00 -
216 Glass Ionomer Cement (Fuji VII) Set DAK 2016 1,225,700.00 -
217 Glass Ionomer Cement (Fuji VII) Set DAK 2017 617,798.00 -
218 Glass Ionomer Cement (Fuji VII) Set DAK 2018 617,800.00 -
219 Glass Ionomer Cement (GC IX) Set DAK 2018 469,100.00 -
220 Glibenklamid tablet 5 mg Tablet DAK 2019 137.00 -
221 Glibenklamid tablet 5 mg Tablet DAK 2017 90.00 -
222 Glibenklamid tablet 5 mg Tablet DAK 2018 137.00 1,200 164,400.00
223 GLICAB - Gliklazid tab 80 mg Tablet DAK 2016 245.00 -
224 Gliklazid tablet/kapsul/kaplet 80 mg Tablet DAK 2017 218.00 200 43,600.00
Glimepiride tablet/kapsul/kaplet 2 mg Tablet 600

225 DAK 2017 231.00 138,600.00
226 Glimepiride tablet 2 mg Tablet DAK 2016 296.00 -
229 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2016 36.52 -
230 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2017 108.00 1,300 140,400.00
233 Glukosa larutan infus 10% Botol plastik 500 ml DAK 2016 7,500.00 1 7,500.00
234 Glukosa larutan infus 10% Botol plastik 500 ml DAK 2019 8,003.00 -
235 Glukosa larutan infus 5 % steril Botol plastik 500 ml DAK 2016 6,900.00 42 289,800.00
236 Glukosa larutan infus 5 o/o Botol plastik 500 ml DAK 2017 6,900.00 -
Griseofulvin tablet 125 mg, micronized Tablet

239 DAK 2016 264.00 -
Griseofulvin tablet 125 mg, micronized Tablet 400

240 DAK 2017 266.00 106,400.00
241 Haloperidol 1.5 mg Tablet DAK 2019 59.00 -
242 Haloperidol 1.5 mg Tablet DAK 2016 74.00 1,160 85,840.00
HALDOL DECANOAS - Haloperidol inj
Ampul 1 ml
243 50 mg/ml DAK 2016 97,500.00 -
244 Haloperidol inj 50 mg/mL Ampul 1 ml DAK 2017 97,500.00 -
LODOMER DROPS - Haloperidol tts 2
Botol 15 ml 2
247 mg/mL DAK 2016 18,499.00 36,998.00
248 Haloperidol tts 2 mg/mL Botol 15 ml DAK 2017 18,100.00 -
Dus, 1 syringe @ 0,5
Hepatitis B imunoglobullin
249 ml DAK 2017 1,300,000.00 -
250 ml DAK 2019 1,325,000.00 -
251 Hidroklorotiazid tab 25 mg Tablet DAK 2017 171.00 800 136,800.00
252 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2016 2,712.00 -
253 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2017 2,838.00 65 184,470.00
256 Hyosine N-Butilbromide tab 10 mg Tablet DAK 2017 1,760.00 700 1,232,000.00
257 Hyosine N-Butilbromide tab 10 mg Tablet DAK 2016 2,745.00 -
258 Ibuprofen tablet 200 mg Tablet DAK 2017 108.00 1,300 140,400.00
1 2 3 4 5 6 7
Ibuprofen tablet/kapsul/kaplet 200 mg Tablet
259 DAK 2019 112.00 -

260 DAK 2018 112.00 -
261 Ibuprofen tablet 400 mg Tablet DAK 2019 127.00 -
264 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2017 2,560.00 37 94,720.00
265 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2019 2,520.00 -
266 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2018 2,520.00 100 252,000.00
Isoniazid tablet/kapsul/kaplet 100 mg Tablet

267 DAK 2017 85.00 -

268 DAK 2019 142.56 -

269 DAK 2019 190.30 -
Isoniazid tablet/kapsul/kaplet 300 mg Tablet 100

270 DAK 2017 182.00 18,200.00
Isosorbit Dinitrat tablet sublingual 5 mg Tablet

271 DAK 2018 89.00 -

272 DAK 2019 165.00 -

273 DAK 2017 95.00 -
KALIPAR - Kalium aspartat tab 300 mg Tablet

274 DAK 2016 690.00 -
Kalium aspartat tablet/kapsul/kaplet
Kaptab salut selaput
275 300 mg DAK 2017 682.00 -
Kalsium Laktat (Kalk)
Tablet
Tablet 600
Tablet
279 Kaptopril 25 mg Tablet DAK 2019 80.00 -
Kaptopril tablet/kaplet scored 25 mg Tablet 4,000

280 DAK 2017 86.00 344,000.00
281 Kaptopril 25 mg Tablet DAK 2018 80.00 -
282 Kandesartan tab 8 mg Tablet DAK 2019 661.00 -
Kandesartan tablet/kapsul/kaplet 8 mg Tablet

283 DAK 2017 770.00 -

284 DAK 2018 629.00 -
Karbamazepin tablet/kapsul/kaplet 200
Tablet
285 mg DAK 2019 250.00 -
286 Karbamazepin tablet 200 mg Tablet DAK 2018 234.00 444 103,896.00
287 Ketoprofen supositoria 100 mg Supp DAK 2017 2,640.00 40 105,600.00
288 Ketokonazol krim 2% Tube 10 gram DAK 2016 2,605.00 -
289 Ketokonazol krim 2% Tube 10 gram DAK 2017 2,790.00 23 64,170.00
290 Ketokonazol krim 2% Tube 10 gram DAK 2018 2,577.00 -
291 Ketokonazol tablet 200 mg Tablet DAK 2016 292.00 -
Ketokonazol tablet/kapsul/kaplet 200
Tablet
292 mg DAK 2017 297.00 -
293 Ketokonazol tablet 200 mg Tablet DAK 2018 286.00 500 143,000.00
294 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2017 1,320.00 6 7,920.00
295 Ketorolac injeksi 30 mg Ampul 1 ml DAK 2019 1,089.00 -
296 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2016 1,383.00 -
Klindamisin tablet/kapsul/kaplet 300 mg kapsul

297 DAK 2019 812.96 -

298 DAK 2017 589.00 -

299 DAK 2018 583.00 -
300 Klopidogrel tablet 75 mg Tablet DAK 2019 1,568.00 -
Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput

301 DAK 2017 1,799.00 -
Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput 120

302 DAK 2018 1,469.00 176,280.00
CHLORAMEX - Kloramfenikol kapsul
Kapsul
303 500 mg DAK 2016 1,155.00 -
Kloramfenikol tablet/kapsul/kaplet 250
Kapsul 720
304 mg DAK 2017 502.29 361,648.80
305 Kloramfenikol kapsul 250 mg Kapsul DAK 2010 198.92 -
306 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2017 1,850.00 -
307 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2016 1,850.00 47 86,950.00
310 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2017 4,982.00 90 448,380.00
311 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2016 4,000.00 -
314 Kloramfenikol tetes mata 0,5 % Botol plastik 10 ml DAK 2017 3,850.00 40 154,000.00
1 2 3 4 5 6 7
Kloramfenikol tetes mata 0,5 % (Reco
Botol plastik 10 ml
315 TM) DAK 2016 7,125.00 -
Botol plastik 10 ml
316 TM) DAK 2018 6,600.00 -
Botol plastik 10 ml
317 TM) DAK 2019 9,900.00 -
Kloramfenikol tetes telinga 3 % (Reco
Botol plastik 10 ml
318 TT) DAK 2016 7,125.00 -
Botol plastik 10 ml 30
319 TT) DAK 2017 7,370.00 221,100.00
Botol plastik 10 ml
320 TT) DAK 2019 9,900.00 -
321 Kloramfenikol tetes telinga 3 % Botol plastik 10 ml DAK 2018 6,600.00 -
Klorfeniramina Maleat (CTM)
Tablet 1,300
Tablet
Klorfeniramina Maleat (CTM) tablet 4
Tablet
324 mg DAK 2018 24.00 -
Klorpromazin injeksi i.m. 25 mg/ml
Ampul 1 ml
325 (HCl) DAK 2016 1,425.00 -
Ampul 1 ml
326 (HCl) DAK 2017 1,349.00 -
Ampul 1 ml
327 (HCl) DAK 2019 1,531.00 -
Ampul 1 ml
328 (HCl) DAK 2018 1,435.00 -
Tablet 2,295
329 Klorpromazin tablet salut 25 mg (HCl) DAK 2016 170.00 390,150.00
Tablet
330 Klorpromazin tablet salut 25 mg (HCl) DAK 2018 234.03 -
Klorpromazin tablet salut 100 mg (HCl) Tablet

331 DAK 2019 181.00 -
332 Klozapin 25 mg Tablet DAK 2016 1,550.00 3,783 5,863,650.00
333 Klozapin 25 mg Tablet DAK 2019 1,121.00 -
Kodein tablet/kapsul/kaplet 10
Tablet
334 mg DAK 2017 632.00 -
Kotrimoksazol Suspensi , kombinasi :

Sulfametoksazol Botol 60 ml
200 mg + Trimetoprim 40 mg/ 5 Ml
335 DAK 2016 2,225.00 -
kotrimoksazol (anak) kombinasi tiap 5

ml suspensi: sulfametoksazol 200 mg + Botol 60 ml
trimetoprim 40 mg
336 DAK 2017 2,462.00 123 302,826.00

trimetoprim 40 mg
337 DAK 2018 2,052.00 -

trimetoprim 40 mg
338 DAK 2019 2,190.00 -
Kotrimoksazol forte kombinasi:
sulfametoksazol 800 mg + trimetoprim Kaptab
339 160 mg DAK 2017 327.00 1,900 621,300.00
kotrimoksazol forte
kombinasi:sulfametoksazol 800 mg + Tablet
340 trimetoprim 160 mg DAK 2018 299.00 -
sulfametoksazol 800 mg trimetoprim Tablet
341 160 mg DAK 2019 319.00 -
342 Laktulosa sir 3,335 g/5 mL Botol DAK 2016 14,500.00 -
Larutan mengandung Elektrolit (KA-EN
Plabott, 500 ml
343 3A injection) DAK 2017 10,285.00 -
Plabott, 500 ml
344 3B injection) DAK 2017 10,285.00 -
Lidokain jelli 2%(Xylocaine Jelly 2%) syringe

345 DAK 2016 40,000.00 -
346 Lidokain jelli 2% syringe 10 gram DAK 2017 40,000.00 -
Lidokain Komp.injeksi, Kombinasi :
Lidokain HCL 12 % Ampul 2 ml
347 + Epinefrin 1 : 80.000 - 2 ml DAK 2018 1,317.00 -
348 Lidokain injeksi 2% (HCL) Ampul DAK 2016 875.00 7 6,125.00
349 Lidokain injeksi 2% (HCL) Ampul DAK 2018 1,315.00 -
350 Lidokain injeksi 2% (HCL) Ampul DAK 2019 1,403.00 -
Lidokain injeksi 2% (HCl) + Epinefrin 1:
Ampul 2 ml
351 80.000 - 2 mL DAK 2016 2,122.00 -
Ampul 2 ml
352 80.000 - 2 mL DAK 2017 2,227.00 -
Ampul 2 ml
353 80.000 - 2 mL DAK 2019 1,405.00 -
354 Lisinopril tablet/kapsul/kaplet 5 mg Tablet DAK 2016 410.00 -
355 Loperamid Tablet DAK 2017 85.00 800 68,000.00
1 2 3 4 5 6 7
356 Loperamid tablet 2 mg Tablet DAK 2019 161.29 -
357 Loperamid tablet 2 mg Tablet DAK 2018 271.70 -
358 Loratadin tablet/kapsul/kaplet 10 mg Tablet DAK 2019 136.00 -
359 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2017 134.00 -
360 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2018 127.00 900 114,300.00
OTSU-MGSO4 40 - Magnesium sulfat
Ampul 25 ml
361 injeksi 40% DAK 2016 3,650.00 -
362 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2017 3,650.00 16 58,400.00
363 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2018 3,796.00 -
364 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2019 3,796.00 -
365 Metamizol injeksi 500 mg/ml Ampul 2 ml DAK 2017 3,050.00 -
Metilprednisolon tablet/kapsul/kaplet 4
Tablet
366 mg DAK 2019 148.00 -
Tablet 2,500
367 mg DAK 2017 165.00 412,500.00
Tablet
368 mg DAK 2018 139.00 -
369 Metilprednisolon inj 125 mg/2 mL Dus DAK 2018 11,449.00 -
370 Metilprednisolon inj 125 mg/2 mL Dus DAK 2019 12,217.00 -
Metilergametrin (Maleat) tablet salut
Tablet
371 0,125 mg DAK 2016 222.20 -
Tablet Salut
372 0,125 mg DAK 2017 270.60 -
Tablet Salut 190
373 0,125 mg DAK 2018 243.00 46,170.00
Metilergametrin Maleat inj 0,200 mg - 1
Ampul
374 ml DAK 2019 3,399.00 -
375 ml Ampul DAK 2018 3,399.00 98 333,102.00
376 ml Ampul DAK 2016 2,684.00 -
377 Metoclopramide tablet 10 mg Tablet DAK 2019 89.00 -
Metoklopramide tablet/kapsul/kaplet 10
378 mg Tablet DAK 2017 93.00 500 46,500.00
379 mg Tablet DAK 2018 83.00 -
380 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2017 3,904.00 -
381 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2019 4,554.00 -
LEXAPRAM SIRUP - Metoklopramide
382 sirup 5 mg/ 5 ml Botol 60 ml DAK 2016 2,750.00 -
383 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2017 2,950.00 -
384 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2018 2,700.00 -
Metformin HCl tablet/kapsul/kaplet 500
Tablet
385 mg DAK 2019 109.00 -
Kaptap ss 500
386 mg DAK 2017 103.00 51,500.00
Kaptap ss
387 mg DAK 2018 102.00 -
388 Metronidazol infus 5 mg/ ml Botol @100 mL DAK 2017 9,680.00 -
Metronidazol tablet/kapsul/kaplet 500
Tablet 600
391 mg DAK 2017 115.00 69,000.00
392 Metronidazol tablet 500 mg Tablet DAK 2016 750.00 -
393 Metronidazol tablet 500 mg Tablet DAK 2018 127.00 -
Tablet
394 mg DAK 2019 277.20 -
395 Metronidazole sirup 125mg/ 5ml Botol 60 ml DAK 2019 3,950.00 -
396 Metronidazol sirup 125 mg/5 ml Botol 60 ml DAK 2017 3,800.00 -
397 Metronidazol sirup 125 mg/5 ml Botol 60 ml DAK 2018 3,950.00 -
398 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2016 3,737.00 -
399 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2017 5,500.00 25 137,500.00
400 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2019 3,926.00 -
401 Natrium Bikarbonat tablet 500 mg Tablet DAK 2016 22.00 200 4,400.00
Natrium diklofenak tablet/kapsul/kaplet
Tablet
402 50 mg DAK 2019 145.00 -
Tablet salut enterik 1,750
403 50 mg DAK 2017 135.00 236,250.00
404 Natrim Diklofenak 50 mg tab Tablet DAK 2018 136.00 -
Natrium Klorida larutan infus 0,9 %
Botol plastik 500 ml
405 Steril DAK 2017 6,410.00 -
406 Steril DAK 2018 6,410.00 -
407 Steril DAK 2019 6,840.00 -
Nifedipin tablet/kapsul/kaplet 10 mg Tablet salut selaput 300

408 DAK 2017 110.00 33,000.00
409 Nifedipin tablet 10 mg Tablet DAK 2018 107.00 -
410 Nifedipin tablet 10 mg Tablet DAK 2019 114.00 -
411 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2017 627.00 100 62,700.00
412 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2018 645.00 -
413 Nistatin vaginal tablet 100.000 IU/ g Supp DAK 2016 602.00 -
Tablet Salut Gula

414 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2017 881.00 -
1 2 3 4 5 6 7
415 Nistatin tablet salut 500.000 UI/g Tablet DAK 2019 971.00 -
Tablet
416 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2016 857.00 -
417 Nystatin drop Botol 12 ml DAK 2016 38,425.00 -
418 Nystatin drop Botol 12 ml DAK 2017 24,198.00 13 314,574.00
Obat Anti Tuberculosis FDC Kategori I Paket 2

419 DAK 2017 430,538.00 861,076.00
420 OAT FDC Kategori 2 Dewasa Paket DAK 2016 1,379,984.00 -
Obat Anti Tuberculosis FDC Kategori II Paket

421 DAK 2017 1,435,178.00 -

422 DAK 2018 1,492,579.00 -
Obat Anti Tuberculosis FDC Kategori
Paket
423 Sisipan DAK 2016 183,984.00 -
"Dus, 12 blister @ 28
Obat Anti Tuberculosis FDC Kategori tablet dispersibel Dus, 6
Anak blister @ 28 tablet
424 dispersibel" DAK 2017 257,125.00 -
Paket
425 Anak DAK 2016 247,234.00 -
Paket
426 Anak DAK 2018 267,397.00 -
427 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2016 7,149.00 -
428 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2017 6,000.00 55 330,000.00
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
431 Dextromethorphan HBr DAK 2019 13,915.00 -
Obat batuk Antitusif tablet Kombinasi
Tablet
432 Dextromethorphan HBr DAK 2019 357.87 -
Obat batuk sirup Kombinasi
Botol 60 ml 194
433 Dextromethorphan HBr DAK 2017 11,800.00 2,289,200.00
Obat batuk tablet Kombinasi
Tablet
434 Dextromethorphan HBr DAK 2017 704.00 -
Botol 60 ml
435 Dextromethorphan HBr DAK 2018 12,000.00 -
Tablet 500
436 Dextromethorphan HBr DAK 2018 660.00 330,000.00
437 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2016 1,649.36 -
438 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2017 1,640.00 35 57,400.00
441 Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram DAK 2017 2,772.00 -
442 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2018 2,600.00 -
445 Oksitosin injeksi 10 IU / ml - ml Ampul DAK 2018 1,232.00 -
OXYTOCIN INJLQ 10 IU Oksitosin inj
Ampul 54
446 10 UI/ml DAK 2016 1,900.00 102,600.00
447 Omeprazole Injeksi 40mg / 10ml Vial DAK 2019 11,868.00 -
448 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2017 14,924.00 -
449 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2018 11,868.00 -
450 Omeprazole kapsul Kapsul DAK 2019 147.00 -
451 Omeprazole kapsul Kapsul DAK 2018 138.00 -
Omeprazol tablet/kapsul/kaplet 20 mg Kapsul 510

452 DAK 2017 148.00 75,480.00
Ondansetron tablet/kapsul/kaplet 4 mg Tablet

453 DAK 2019 429.00 -
Ondansetron tablet/kapsul/kaplet 4 mg Tablet salut selaput 180

454 DAK 2017 523.00 94,140.00
Ondansetron tablet/kapsul/kaplet 4 mg Tablet salut selaput

455 DAK 2018 406.00 -
Ondansetron inj 2 mg/ml (4 mg/ 2 mL) Ampul 2 ml 5

456 DAK 2017 1,254.00 6,270.00
Ondansetron Injeksi 2 mg/ ml (4 mg/ 2
Ampul 2 ml
457 ml) DAK 2016 1,650.00 -
Ampul 2 ml
458 ml) DAK 2019 1,258.00 -
459 PANTOCAIN 0.5% Botol DAK 2016 11,500.00 9 103,500.00
Parasetamol drips (infus) 1000 mg/100
Dus, Botol @ 1000 mg
460 mL DAK 2019 11,610.00 -
461 mL DAK 2017 12,939.00 -
462 mL DAK 2018 11,610.00 -
463 Parasetamol sirup 120 mg / 5 ml Botol Plastik @ 60 Ml DAK 2017 1,013.00 127 128,651.00
464 Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml DAK 2019 1,238.00 -
465 Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml DAK 2018 1,160.00 -
Parasetamol drop 100 mg/ml btl @15ml
Botol Plastik @ 60 Ml
466 (60mg/0,6ml) (G) DAK 2018 7,646.00 -
Botol 15 ml 379
467 (60mg/0,6ml) (G) DAK 2017 6,850.00 2,596,150.00
Botol 15 ml
468 (60mg/0,6ml) (G) DAK 2019 7,646.00 -
1 2 3 4 5 6 7
469 Parasetamol tablet 100 mg Tablet DAK 2016 106.59 -
Parasetamol tablet/kapsul/kaplet 500
Tablet
470 mg DAK 2019 60.00 -
Tablet
471 mg DAK 2017 51.00 -
472 Parasetamol tablet 500 mg Tablet DAK 2018 60.00 4,000 240,000.00
473 Perak sulfadiazin krim 1% tube 35 g DAK 2017 20,700.00 12 248,400.00
Petidin injeksi i.m/s.k/i.v lambat 50
Ampul
474 mg/ml (HCl) DAK 2015 15,950.00 -
475 Piracetam 400 mg Tablet DAK 2016 541.24 -
476 Piracetam 400 mg Tablet DAK 2018 374.00 -
477 Piracetam 400 mg Tablet DAK 2019 1,452.00 -
478 Piracetam Inj 1 g/5 ml Ampul DAK 2016 15,840.00 -
479 Piracetam Inj 1 g/5 ml Ampul DAK 2017 6,600.00 -
480 Pirantel tablet score (base) 125 mg Tablet DAK 2016 318.00 -
481 Pirazinamid 500 mg Tablet DAK 2017 238.00 200 47,600.00
482 Pirazinamid 500 mg Tablet DAK 2019 249.00 -
Piridoksin HCI (Vit. B6 ) tablet 10 mg Tablet

483 DAK 2018 141.00 -
Piridoksin (Vitamin B6) tab/kap/kapl 10
Tablet 1,500
484 mg (HCl) DAK 2017 136.00 204,000.00

485 DAK 2016 136.00 -
Tablet
486 mg (HCl) DAK 2019 150.00 -
487 Piroksikam 20 mg Tablet DAK 2016 213.95 -
488 Piroksikam 20 mg Tablet DAK 2017 130.00 1,500 195,000.00
Prednison tablet/kapsul/kaplet 5 mg Tablet

491 DAK 2016 102.00 -

492 DAK 2017 85.00 -

493 DAK 2018 74.00 -

494 DAK 2019 79.00 -
495 Primakuin tablet 15 mg Tablet DAK 2019 354.20 -
496 Primakuin tablet 15 mg Tablet DAK 2018 354.00 -
497 Propranolol HCI tablet 10 mg Tablet DAK 2016 69.00 -
Propranolol tablet/kapsul/kaplet 10 mg Tablet 100

498 DAK 2017 59.00 5,900.00
499 Propranolol HCI tablet 10 mg Tablet DAK 2018 59.00 -
Propranolol tablet/kapsul/kaplet 10 mg Tablet

500 DAK 2019 63.00 -
501 Proiltiourasil tablet 100 mg Tablet DAK 2015 351.00 -
Propiltiourasil tablet/kapsul/kaplet 100
Tablet
502 mg DAK 2019 586.00 -
Tablet 500
503 mg DAK 2016 320.00 160,000.00
504 Vaksin rabies Vial DAK 2017 174,500.00 -
505 Vaksin rabies Vial DAK 2018 190,000.00 -
506 Ranitidin tablet 150 mg Tablet DAK 2018 235.95 -
Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput 2,300

507 DAK 2017 110.00 253,000.00
Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput

508 DAK 2019 235.95 -
509 Ranitidin tablet 150 mg Tablet DAK 2016 119.00 -
510 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2016 1,595.18 -
511 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2017 1,677.00 10 16,770.00
512 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2019 1,188.00 -
513 Ranitidin Injeksi 25 mg/ml Ampul 2 ml DAK 2018 1,155.00 -
Retinol ( Vitamin A ) 100.000 IU kapsul
Kapsul
514 lunak DAK 2016 327.00 -
Kapsul
515 lunak DAK 2018 331.00 -
Kapsul lunak
516 lunak DAK 2017 585.00 -
Kapsul
517 lunak DAK 2018 596.00 -
Kapsul
518 lunak DAK 2016 536.00 -
Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

519 DAK 2019 985.00 -

520 DAK 2017 1,274.00 -

521 DAK 2018 1,134.00 -
522 Ringer laktat larutan infus Botol plastik 500 ml DAK 2018 7,150.00 -
523 Ringer laktat larutan infus Botol plastik 500 ml DAK 2017 7,150.00 41 293,150.00
524 Ringer laktat larutan infus Botol plastik 500 ml DAK 2019 7,630.00 -
525 Risperidon 2 mg Tablet DAK 2016 495.00 -
526 Risperidon 2 mg Tablet DAK 2019 287.00 -
1 2 3 4 5 6 7
Salbutamol tablet/kapsul/kaplet 4 mg
Tablet 500
527 (sebagai Sulfat) DAK 2017 86.00 43,000.00
Tablet
528 (sebagai Sulfat) DAK 2018 77.00 -
Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

529 DAK 2019 77.00 -
530 Salbutamol sirup Dus, botol @ 100 ml DAK 2016 5,463.00 -
531 Salbutamol sirup Dus, botol @ 100 ml DAK 2017 4,916.00 100 491,600.00
532 Salbutamol sirup Dus, botol @ 100 ml DAK 2019 4,446.00 -
Salbutamol cairan ih 0,1%(Ventolin
Nebules 20
533 Nebules) DAK 2017 14,124.00 282,480.00
VENTOLIN NEBULES - Salbutamol
Nebules
534 cairan ih 0,1% DAK 2019 4,000.00 -
Nebules
535 cairan ih 0,1% DAK 2018 4,000.00 -
Salep 2 - 4, Kombinasi :
Asam Salisilat 2 % + Pot 30 gram
536 Belerang Endap 4 % DAK 2017 2,907.00 18 52,326.00
537 Belerang Endap 4 % DAK 2016 2,797.00 -
538 Belerang Endap 4 % DAK 2018 3,017.00 -
539 Salisil Bedak 2 % Kotak DAK 2016 1,066.00 -
SCABIMITE CREAM 10 - Permetrin
Tube @ 10 g
540 krim 5% DAK 2016 12,155.00 -
541 Permetrin Krim 5% Tube @ 10 g DAK 2017 12,155.00 11 133,705.00
542 Sefiksim sirup kering 100 mg/ 5 ml Botol DAK 2018 5,710.00 -
543 Sefiksim sirup kering 100 mg/5 ml Botol DAK 2016 7,690.00 -
544 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2016 649.00 -
545 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2018 923.00 -
Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml

546 DAK 2016 9,840.00 -
Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml 180

547 DAK 2017 4,133.00 743,940.00

548 DAK 2019 4,360.00 -

549 DAK 2018 4,086.00 -
550 Sefadroksil kapsul/kaplet 500 mg Kapsul DAK 2016 557.00 -
Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul 1,800

551 DAK 2017 455.00 819,000.00
Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

552 DAK 2019 492.00 -
553 Sefadroksil kapsul 500 mg Kapsul DAK 2018 492.00 -
554 Seftriaksone Injeksi 1 g Vial DAK 2019 5,146.00 -
557 Sefotaksim Injeksi 1 g Vial DAK 2016 5,884.00 -
Sianocobalamin (Vit.B12) tablet 50 mg Tablet

560 DAK 2016 126.50 -
Sianokobalamin (vitamin B12)
Tablet 500
561 tablet/kapsul/kaplet 50 mcg DAK 2017 55.00 27,500.00
Tablet
562 tablet/kapsul/kaplet 50 mcg DAK 2018 49.00 -
Sianokobalamin (vitamin B12) injeksi
Tablet
563 500 mcg DAK 2019 1,160.00 -
Ampul 1 ml
564 500 mcg DAK 2017 1,117.00 -
Sianokobalamin (Vit.B12) injeksi 500
Ampul 1 ml 228
565 mcg/ml - 1ml DAK 2016 1,226.00 279,528.00
Ampul 1 ml
566 mcg/ml - 1ml DAK 2015 1,050.00 -
567 Simvastatin scored tablet 10 mg Tablet DAK 2016 135.00 -
Simvastatin tablet/kaplet/salut 10 mg Tablet salut selaput 1,600

568 DAK 2017 113.00 180,800.00
Simvastatin tablet/kaplet/salut 10 mg Tablet salut selaput

569 DAK 2019 117.00 -
570 Simvastatin 10 mg Tablet DAK 2018 110.00 -
571 Siprofloksasin tab scored 500 mg Tablet salut selaput DAK 2017 254.00 500 127,000.00
572 Siprofloksasin tab scored 500 mg Tablet DAK 2016 298.00 -
575 Spironolactone 25 mg Tablet DAK 2016 314.00 -
Spironolakton tablet/kapsul/kaplet 25
Tablet
576 mg DAK 2017 277.00 -
Serum anti bisa ular (A.B.U) I cairan inj
Dus, 1 Vial @ 5 ml
577 (i.m./i.v) DAK 2019 512,204.00 -
Dus, 1 Vial @ 5 ml
578 (i.m./i.v) DAK 2017 462,000.00 -
1 2 3 4 5 6 7
Serum Anti Bisa Ular Polivalen injeksi 5
Dus, 1 Vial @ 5 ml 1
579 ml ( ABU I ) DAK 2018 479,996.00 479,996.00
Serum antitetanus (A.T.S) cairan inj
Ampul 1 ml
580 1500 IU/amp (i.m) DAK 2019 130,999.00 -
Ampul 1 ml
581 1500 IU/amp (i.m) DAK 2017 126,500.00 -
Serum Anti Tetanus injeksi 1.500
Ampul 1 ml 2
582 IU/ampul ( A.T.S ) DAK 2018 130,999.00 261,998.00
STREPTOMISIN SERBUK INJ IV 1000
Vial
583 mg/ml DAK 2016 5,750.00 -
Vial
584 mg/ml DAK 2019 5,980.00 -
Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

585 DAK 2016 10,100.00 -
Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml 100

586 DAK 2017 9,192.00 919,200.00

587 DAK 2019 7,338.00 -
Sukralfat tablet/kapsul/kaplet 500 mg Tablet 700

588 DAK 2017 296.00 207,200.00
589 ULSIDEX - Sukralfat tab 500 mg Tablet DAK 2016 368.00 -
SUPRAFENID Ketoprofen supositoria
Supp
590 100 mg DAK 2016 2,789.00 -
591 Teofilin tablet/kapsul/kaplet 150 mg Tablet DAK 2017 328.00 200 65,600.00
592 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2019 330.00 -
593 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2018 330.00 -
Tetrasiklin tablet/kapsul/kaplet 500 mg 200

594 Tablet DAK 2016 329.00 65,800.00
Tetrasiklin tablet/kapsul/kaplet 500 mg

595 Tablet DAK 2018 310.00 -

596 Tablet DAK 2019 331.00 -
597 Thiamphenicol 500 mg kaps Kapsul DAK 2016 984.51 -
598 Thiamphenicol 500 mg kaps Kapsul DAK 2017 865.00 100 86,500.00
599 Thiamphenicol 500 mg kaps Kapsul DAK 2019 1,031.21 -
600 Thiamphenicol 500 mg kaps Kapsul DAK 2018 832.50 -
601 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2019 8,976.00 -
Tiamin (Vitamin B1) tablet/kapsul/kaplet

Tablet
50 mg (HCl/ Nitrat)
604 DAK 2019 94.00 -
Tiamin HCI/Mononitrat (Vit.B1) tablet
Tablet
605 50 mg DAK 2018 88.00 -

Tablet
50 mg (HCl/ Nitrat)
606 DAK 2017 87.00 2,000 174,000.00
Tablet
607 100 mg DAK 2016 91.00 -
608 Tramadol tablet 50 mg Tablet DAK 2019 330.00 -
609 Tramadol tablet 50 mg Tablet DAK 2018 329.68 -
610 Tramadol tablet/ Kapsul 50 mg Tablet DAK 2017 325.00 -
611 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2016 1,984.00 4 7,936.00
612 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2017 1,720.00 -
613 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2018 1,764.00 -
614 Trifluoperazine 5mg Tablet DAK 2019 330.00 -
615 Trifluoperazine 5mg Tablet DAK 2016 786.00 2,993 2,352,498.00
616 Trifluoperazine 5mg Tablet DAK 2018 309.00 -
Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet 905

617 DAK 2017 80.00 72,400.00
618 Triheksifenidil tablet 2 mg Tablet DAK 2018 95.00 -
Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

619 DAK 2019 101.00 -
620 Triheksifenidil tablet 2 mg Tablet DAK 2016 498.30 -
Valproat sirup 250 mg/5 ml Dus, Botol @ 100 mL

621 DAK 2017 26,987.00 -

622 DAK 2018 17,789.00 -
623 Valsartan tab 80 mg Tablet DAK 2016 1,800.00 -
624 Vitamin B Kompleks tablet Tablet DAK 2016 132.00 -
625 Vitamin B Kompleks tablet Tablet DAK 2017 132.00 1,800 237,600.00
628 Zinc sir 20 mg/5 ml Dus, Botol @ 60 ml DAK 2017 4,959.00 -
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup) Dus, Botol @ 60 ml

629 DAK 2019 3,285.00 -

630 DAK 2018 3,285.00 -
631 Zinc tablet dispersible20 mg Tablet DAK 2019 604.00 -
632 Zink Tablet DAK 2018 604.00 -
633 Zinc tablet dispersible 20 mg Tablet dispersible DAK 2017 586.00 1,100 644,600.00
634 Truvit sirup Dus, Botol @ 60 ml DAU 2016 10,890.00 -
635 Anti Difteri 10.000 IU Vial DAK 2018 2,200,000.00 -
II ALAT KESEHATAN -
1 2 3 4 5 6 7
A BAHAN MEDIS HABIS PAKAI -
1 Alat suntik sekali pakai 1 ml Piece DAK 2016 1,012.60 -
3 Alat suntik sekali pakai 1 ml Piece DAK 2018 1,291.95 135 174,413.25
4 Alat suntik sekali pakai 1 ml 23x1/4 Piece DAK 2019 1,023.00 -
8 Alat suntik sekali pakai 3 ml 23x1/4 Piece DAK 2019 924.00 -
10 Alat suntik sekali pakai 5 ml Piece DAK 2017 1,132.16 112 126,801.92
Auto Disable Syringe / Alat Suntik
Sekali Pakai Otomatis Rusak 0.5 ml Piece
18 24GX1" DAK 2017 1,240.00 -
19 26 GX3/8" DAK 2017 1,650.00 -
20 23GX1" DAK 2016 1,240.00 -
21 27GX3/8" DAK 2016 1,650.00 -
22 23GX1" DAK 2018 1,240.00 -
23 27GX3/8" DAK 2018 1,650.00 -
24 27GX3/8" DAK 2019 1,557.00 -
25 Alkohol Swab 4-ply Piece DAK 2016 244.00 -
26 Alkohol Swab 2-ply Piece DAK 2018 134.20 500 67,100.00
27 Alkohol Swab 2-ply Piece DAK 2019 15,730.00 -
Bioplasenton Tulle 10 x 10 (CBPCD) Sachet

28 DAK 2016 10,950.00 -
29 Blood Lancet (21,26,28 G) Piece DAK 2016 160.23 500 80,115.00
30 Blood Lancet (21,26,28 G) Piece DAK 2018 155.91 -
31 Blood Transfusion Set Piece DAK 2017 17,513.10 4 70,052.40
32 Blood Transfusion Set Piece DAK 2018 17,513.10 -
33 Blood Transfusion Set Piece DAK 2019 13,761.00 -
Benang Bedah SMI
Sachet
34 CATGUT PLAIN SMI 2/0 HR 26 MM DAK 2015 26,583.00 -
CATGUT CHROMIC SMI 2/0 HR 26
Sachet
35 MM DAK 2019 32,800.00 -
36 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2019 34,300.00 -
Sachet
37 MM DAK 2017 33,785.00 -
38 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2017 35,285.00 24 846,840.00
Sachet
39 MM DAK 2018 33,785.00 -
Sachet 10
41 MM DAK 2017 33,785.00 337,850.00
Sachet
43 MM DAK 2018 33,785.00 -
Sachet
45 MM DAK 2019 32,800.00 -
47 Folley Catheter 2 Way no. 22 Piece DAK 2016 10,000.00 -
FOLEYCATH, 2 way latex foley cath,
Piece
50 no. 16 DAK 2019 11,565.00 -
Piece 10
51 no. 16 DAK 2016 13,420.00 134,200.00
Piece
52 no. 16 DAK 2018 13,420.00 -
Piece 3
53 no. 18 DAK 2016 13,420.00 40,260.00
Piece
54 no. 18 DAK 2019 11,565.00 -
Piece
55 no. 18 DAK 2018 13,420.00 -
1 2 3 4 5 6 7
56 FEMALE CATHETER, no. 18 Piece DAK 2016 6,978.40 -
57 EXAMINATION GLOVES, size M Piece DAK 2017 563.64 -
58 EXAMINATION GLOVES, size S Piece DAK 2017 563.64 -
60 EXAMINATION GLOVES, size S Piece DAK 2018 563.64 100 56,364.00
61 EXAMINATION GLOVES, size M Piece DAK 2019 48,400.00 -
62 EXAMINATION GLOVES, size S Piece DAK 2019 48,400.00 -
64 CHIRURGIC GLOVES, size 7.5 Piece DAK 2016 9,272.00 176 1,631,872.00
Sarung Tangan Obgyn Steril ( Obgyn
pasang 73
65 glove ) DAK 2017 24,200.00 1,766,600.00
pasang
66 glove ) DAK 2018 24,200.00 -
Infus Set Anak PEDIATRIC SET (60
Piece 11
67 drops/ml) DAK 2017 6,222.00 68,442.00
Infusion Set Pediatric (60 drops/ml)
Bbraun Intrafix Primeline with Piece
68 Microdropper DAK 2015 20,320.50 -
Piece
69 drops/ml) DAK 2016 6,222.00 -
Piece
70 drops/ml) DAK 2018 6,222.00 -
Infus Set Dewasa INFUSET (20
drops/ml) Piece
71 DAK 2016 5,856.00 -
drops/ml) Piece
72 DAK 2017 5,856.00 7 40,992.00
drops/ml) Piece
73 DAK 2018 5,856.00 -
drops/ml) Piece
74 DAK 2019 5,096.00 -
75 IV Catheter 16 G x 2" Piece DAK 2017 9,158.00 -
76 IV-Cath NP, pen type, no. 16 Piece DAK 2018 7,320.00 -
IV-CATH WP, with wings & port, no. 18 Piece

77 DAK 2016 8,540.00 -
I.V Catheter (with port) VASOFIX IV
Piece
78 G18 X 45 MM Green DAK 2019 5,500.00 -
79 IV-Cath NP, pen type, no. 18 Piece DAK 2017 7,320.00 3 21,960.00

81 DAK 2016 8,540.00 -
Piece
82 G20 X 33 MM Pink DAK 2019 5,500.00 -
Piece
84 G22 X 25 MM Blue DAK 2019 5,500.00 -

85 DAK 2016 8,540.00 -
Piece
88 G24 X 0.75 " DAK 2019 5,500.00 -

89 DAK 2016 8,540.00 -
Kapas Pembalut Hidrofil DRC 250gr Roll

95 DAK 2017 28,745.25 -

96 DAK 2017 (2) 28,750.00 -

97 DAK 2018 28,750.00 -
Kapas pembalut / Absorben 250 gram Roll

98 DAK 2019 20,600.00 -

99 DAK 2016 28,750.00 -
100 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2019 136,500.00 -
101 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2016 141,400.00 4 565,600.00
102 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2018 141,400.00 -
Kasa Steril DRC 16cm x 16cm (16
Box
103 pads) DAK 2016 8,650.50 -
Box 4
104 pads) DAK 2017 8,650.36 34,601.44
Box
105 pads) DAK 2017(2) 8,652.70 -
Box
106 pads) DAK 2019 7,370.00 -
107 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2016 7,375.00 -
1 2 3 4 5 6 7
108 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2017 9,000.00 -
109 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2018 8,903.23 17 151,354.91
Kasa Pembalut Hidrofil DRC 4m x
Roll 100
110 10cm DAK 2017 2,475.75 247,575.00
Roll
111 10cm DAK 2017(2) 2,488.87 -
Roll
112 10cm DAK 2018 2,475.75 -
Kasa Pembalut Hidrofil DRC 3.6m x
Roll
113 10cm DAK 2019 2,415.00 -
Roll
114 10cm DAK 2016 2,475.43 -
115 Surgical Mask Tie On Piece DAK 2017 412.50 -
116 Surgical Mask Tie On Piece DAK 2018 412.50 -
117 Surgical Mask Tie On Piece DAK 2019 27,532.00 -
Surgical Mask Plus 3 Ply Plus Earloop Piece

118 DAK 2016 550.00 -
Surgical Mask Plus 3 Ply Plus Earloop Piece 1,000

119 DAK 2017 550.00 550,000.00
NGT
Terumo SAFEED Feeding Tube 3.5 (35 Piece
120 cm) DAK 2015 8,841.00 -
NGT
Terumo SAFEED Feeding Tube 5 fr (40 Piece
121 cm) DAK 2015 8,841.00 -
NGT
Terumo SAFEED Stomach Tube 14 fr Piece
122 (125 cm) DAK 2015 10,010.00 -
NGT
123 (125 cm) DAK 2015 10,010.00 -
NGT
124 (125 cm) DAK 2015 10,010.00 -
125 Oxyflow nasal oxygen bayi Piece DAK 2015 6,050.00 -
126 Oxyflow nasal oxygen anak Piece DAK 2015 6,050.00 -
127 NASAL OXYGEN, O2 cannula, size S Piece DAK 2016 8,052.00 -
131 NASAL OXYGEN, O2 cannula, size M Piece DAK 2016 8,052.00 1 8,052.00
132 NASAL OXYGEN, O2 cannula, size M Piece DAK 2017 8,052.00 -
135 NASAL OXYGEN, O2 cannula, size L Piece DAK 2016 8,052.00 -
136 NASAL OXYGEN, O2 cannula, size L Piece DAK 2017 8,052.00 4 32,208.00
139 Nebulizer Masker Anak Piece DAK 2018 16,704.00 -
140 Nebulizer Masker Dewasa Piece DAK 2018 16,704.00 -
141 Nebulizer Masker Anak Piece DAK 2019 16,700.00 -
142 Nebulizer Masker Dewasa Piece DAK 2019 16,700.00 -
143 Nasogastric Tube No 3.5 Piece DAK 2019 5,940.00 -
144 Nasogastric Tube No 5 Piece DAK 2019 14,080.00 -
145 Nasogastric Tube No 16 Piece DAK 2019 12,430.00 -
Plester Leukoplast Hospital 7.50 cm x
Roll
146 4.5 m DAK 2016 35,532.00 -
Roll
147 4.5 m DAK 2018 12,076.00 -
Roll
148 4.5 m DAK 2019 12,675.00 -
149 Plester Polifix 10 cm x 5 m Roll DAK 2017 76,314.14 -
152 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2017 45,507.00 1 45,507.00
153 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2018 34,300.00 -
154 Scalpel Blades Nomor 10 Piece DAK 2017 3,300.00 -
155 Scalpel Blades Nomor 10 Piece DAK 2018 3,300.00 -
156 SILK BLACK 3/0 HR 26 MM Sachet DAK 2016 20,685.00 -
Benang Bedah SMI
Sachet
157 SILK BLACK 3/0 DS 24 MM DAK 2019 19,700.00 -
Benang Bedah SMI
Sachet
158 SILK BLACK 3/0 DS 24 MM DAK 2018 20,685.00 -
159 Onemed U Pad Steril 60 x 90 cm Blister DAK 2016 9,533.15 -
Onemed Umbilical Cord Klem Steril
Piece
163 Nylon DAK 2016 1,250.00 80 100,000.00
URINE DRAINAGE BAG, T valve, with
Piece
164 hanger DAK 2019 4,800.00 -
Piece
165 hanger DAK 2016 6,710.00 -
1 2 3 4 5 6 7
Piece
166 hanger DAK 2018 6,710.00 -
167 Alkohol 70% Botol 1 L DAK 2016 27,950.00 -
168 Alkohol 70% Botol 100 ml DAK 2017 8,300.00 -
171 My Jelly 82 gram Tube @ 82 gr DAK 2016 36,936.83 9 332,431.47
172 Lysol 1 liter Botol 1 L DAK 2016 53,300.00 -
173 Lysol 1 liter Botol 1 L DAK 2019 41,000.00 -
174 Povidone Iodine 300 ml Botol @ 300 ml DAK 2016 23,400.00 -
178 Rivanol 300 cc Botol @ 300 ml DAK 2017 3,750.00 3 11,250.00
179 Rivanol 300 cc Botol @ 300 ml DAK 2016 3,315.00 -
Cairan Antiseptika pencuci alat
Botol 1 Liter
182 instrumen DAK 2017 141,406.33 13 1,838,282.29
Cairan Antiseptika pencuci tangan
Botol 500 ml
183 tanpa dibilas DAK 2017 83,027.33 -
Cairan Antispetika pencuci tangan
Botol 500 ml
184 dengan dibilas DAK 2017 64,769.00 -
Botol 1 Liter
185 instrumen DAK 2017(2) 142,568.00 -
Botol 500 ml
186 tanpa dibilas DAK 2017(2) 83,560.67 8 668,485.36
Botol 500 ml
187 dengan dibilas DAK 2017(2) 65,344.00 9 588,096.00
Botol 1 Liter
188 instrumen DAK 2018 141,417.00 -
Botol 500 ml
Botol 500 ml
Botol 500 ml
Botol 500 ml
B REAGENSIA -
1 Total Cholesterol Test Strip 10's Strip DAK 2016 23,354.00 -
2 Uric Test Strip 25's Strip DAK 2016 5,154.00 -
3 Glucose Test Strip 50's Strip DAK 2016 3,093.34 -
5 Uric Test Strip 25's Strip DAK 2017 5,238.80 50 261,940.00
6 Glucose Test Strip 50's Strip DAK 2017 3,188.24 100 318,824.00
7 Total Cholesterol Test Strip 10's Strip DAK 2018 23,566.00 100 2,356,600.00
8 Uric Test Strip 25's Strip DAK 2018 5,238.80 50 261,940.00
11 Uric Test Strip 25's Strip DAK 2019 150,000.00 -
13 Alkazym Sachet DAK 2019 801,000.00 -
14 Alkacide Botol 1 liter DAK 2019 2,702,700.00 -
Anti-A Monoclonal Golongan Darah
Vial 10 ml
15 (Vial 10 ml) DAK 2016 80,825.00 -
Anti-A,B Monoclonal Golongan Darah
Vial 10 ml
16 (Vial 10 ml) DAK 2016 105,135.00 -
Anti-B Monoclonal Golongan Darah
Vial 10 ml
17 (Vial 10 ml) DAK 2016 80,825.00 -
Anti-D Duoclone Golongan Darah (Vial
Vial 10 ml
18 10 ml) DAK 2016 126,695.00 -
Vial 10 ml
19 (Vial 10 ml) DAK 2017 74,512.50 3 223,537.50
Vial 10 ml
20 (Vial 10 ml) DAK 2017 98,822.50 3 296,467.50
Vial 10 ml
21 (Vial 10 ml) DAK 2017 74,512.50 3 223,537.50
Vial 10 ml
22 10 ml) DAK 2017 120,382.50 3 361,147.50
Vial 10 ml
23 (Vial 10 ml) DAK 2019 62,000.00 -
Vial 10 ml
24 (Vial 10 ml) DAK 2019 84,000.00 -
Vial 10 ml
25 (Vial 10 ml) DAK 2019 62,000.00 -
Vial 10 ml
26 10 ml) DAK 2019 104,000.00 -
27 Rapid test Vikia HIV 1/2 Kit DAK 2016 519,750.00 -
28 Anti HIV 1/2 Cassette each DAK 2017 15,297.00 -
29 Anti HIV 1/2 Cassette each DAK 2018 15,297.00 325 4,971,525.00
30 Anti HIV 1/2 Cassette each DAK 2019 13,232.00 -
31 Gluco Protein tes Piece DAK 2017 1,150.00 -
32 Gluco Protein Piece DAK 2016 1,150.00 150 172,500.00
33 Gluco Protein tes Piece DAK 2019 1,045.00 -
1 2 3 4 5 6 7
34 Ultra One Test Hamil Piece DAK 2016 2,133.00 -
35 HCG Strip each DAK 2017 7,181.00 -
36 HCG Strip each DAK 2019 4,300.00 -
37 HCG Strip each DAK 2018 7,181.00 50 359,050.00
38 Malaria Pf & Pv Cassette each DAK 2017 53,180.00 -
39 Malaria Pf & Pv Cassette each DAK 2018 53,180.00 125 6,647,500.00
40 Malaria Pf & Pv Cassette each DAK 2019 21,300.00 -
41 Hb strip Dr Family test Tes DAK 2017 24,200.00 -
42 Hb strip Dr Family test Tes DAK 2018 24,200.00 125 3,025,000.00
43 Hb strip Dr Family test Tes DAK 2019 220,000.00 -
44 HBsAg Strip each DAK 2017 10,967.00 -
45 HBsAg Strip each DAK 2018 10,967.00 325 3,564,275.00
46 HBsAg Strip each DAK 2019 10,547.00 -
47 Hexagon Syphilis KIT DAK 2019 527,670.00 -
48 R.Detergent urit (urit 3000 plus) Gallon 5 L DAK 2017 278,300.00 -
49 R.Dilluen urit (urit 3000 plus) Gallon 20 L DAK 2017 1,012,000.00 -
50 R.Lytic urit (urit 3000 plus) Botol 1 L DAK 2017 1,113,200.00 -
57 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2017 124,100.00 -
58 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2019 19,175.00 -
59 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2018 40,848.33 20 816,966.60
60 Hayem 1x100mL Botol 100 ml DAK 2017 29,450.00 -
61 Aquadest Botol 1 Liter DAK 2017 19,448.00 -
62 Aquadest Botol 1 Liter DAK 2018 19,448.00 -
63 Asam Asetat 6 % Botol 100 ml DAK 2017 29,000.00 -
64 Asam Sulfosalisilat 20% 1x100mL Botol 100 ml DAK 2017 328,700.00 -
65 EDTA 10% 1x100mL Botol 100 ml DAK 2017 74,100.00 -
66 Eosin 2% 1x100mL Botol 100 ml DAK 2017 176,225.00 -
67 HCl 0,1N 1x100mL Botol 100 ml DAK 2017 19,950.00 -
68 Immersion Oil 1x100mL Botol 50 ml DAK 2017 367,650.00 -
69 KOH 10% 1x100mL Botol 100 ml DAK 2017 20,900.00 -
70 Methanol PA Botol 100 ml DAK 2017 94,000.00 -
71 Na Citrate 3,13% 1x100mL Botol 100 ml DAK 2017 19,475.00 -
72 Rees Ecker 1x100mL Botol 100 ml DAK 2017 46,550.00 -
73 Turk 1x100mL Botol 100 ml DAK 2017 23,750.00 -
74 Salmonella Typhi H Widal Test Vial 5 ml DAK 2017 72,972.50 -
75 Salmonella Typhi O Widal Test Vial 5 ml DAK 2017 72,972.50 -
76 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2017 72,972.50 -
77 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2017 72,972.50 -
78 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2017 72,972.50 -
79 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2017 72,972.50 -
80 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2017 72,972.50 -
81 Salmonella Paratyphi CO Widal Test Vial 5 ml DAK 2017 72,972.50 -
82 Salmonella Typhi H Widal Test Vial 5 ml DAK 2019 61,000.00 -
83 Salmonella Typhi O Widal Test Vial 5 ml DAK 2019 61,000.00 -
84 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2019 61,000.00 -
85 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2019 61,000.00 -
86 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2019 61,000.00 -
87 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2019 61,000.00 -
88 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2019 61,000.00 -
89 Salmonella Paratyphi CO Widal Test Vial 5 ml DAK 2019 61,000.00 -
III OBAT DAN BMHP LAINNYA -

1 DAK 2016 3,349.00 6 20,094.00
Kaplet
2 500 mg DAK 2016 233.00 2,200 512,600.00
Tablet kunyah
3 kunyah,kombinasi: DAK 2016 64.00 200 12,800.00
Mg-Hidroksida 200 mg + Al. Hidroksida.
200 mg inj 0,25 mg / ml
Atropin Ampul 1 ml
4 DAK 2016 1,672.00 4 6,688.00
Botol
5 solution 0,1% DAK 2016 125,750.00 1 125,750.00

6 DAK 2015 1,156.00 19 21,964.00
Gentian violet 1 o/o Botol 10 ml

7 DAK 2016 2,925.00 29 84,825.00

8 DAK 2016 93.00 1,700 158,100.00
Metronidazole sirup 125mg/ 5ml Botol 60 ml

9 DAK 2016 3,800.00 57 216,600.00
Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

10 DAK 2016 21,950.00 31 680,450.00
CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

11 DAK 2016 35,285.00 1 35,285.00
1 2 3 4 5 6 7

12 DAK 2016 35,285.00 6 211,710.00
Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml

13 DAK 2015 1,108.79 -
Propanolol HCl tablet 10 mg tablet

14 DAK 2015 80.00 -
Dus, 1 Vial @ 5 ml
15 ml ( ABU I ) DAK 2015 472,000.00 -
Kaplet
16 500 mg DAK 2016 233.00 -

kunyah,kombinasi:
Tablet kunyah
200 mg
17 DAK 2016 64.00 -

18 DAK 2016 93.00 -
Loratadin tablet/kapsul/kaplet 10 mg Tablet

19 DAK 2016 149.00 -
Omeprazole kapsul Kapsul

20 DAK 2016 164.00 -
-
82,800,603.44
HARGA LAMA OK
PERUBAHAN HARGA 2018
HARGA 2018 OK
LELANG/PL
PERUBAHAN HARGA PL 2018
DAFTAR STOK OBAT DAN BAHAN MEDIS HABIS PAKAI DI APOTEK OBAT PER 30 JUNI 2019
SUMBER APBD II ( DAK DAN DAU)
PUSKESMAS: …………………………
NO NAMA OBAT SATUAN SUMBER HARGA PEROLEHAN
1 2 3 4 5
I OBAT GENERIK
1 Akarbose tablet/kaplet 50 mg Tablet DAK 2016 657.00
2 Alopurinol tablet 100 mg Tablet DAK 2019 105.00
5 Alprazolam 0,5 mg Tablet DAK 2015 185.00
8 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2019 3,627.00
10 Ambroxol tablet 30 mg Tablet DAK 2017 985.00

14 DAK 2017 3,080.00

15 DAK 2018 2,878.00

16 DAK 2019 3,071.00
17 Aminofilina tablet 200 mg DAK 2016 124.94
Tablet
18 Aminofilina tablet 200 mg Tablet salut selaput DAK 2017 97.00
Tablet
20 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2018 168.00
23 Amlodipin 5 mg Tablet DAK 2017 91.00
Kaptab
26 500 mg DAK 2017 191.00
Kaplet
27 500 mg DAK 2019 365.00
Kaplet
28 500 mg DAK 2018 248.00
Botol 60 ml
29 DAK 2017 1,920.00
Botol 60 ml
30 DAK 2019 2,783.00
Botol 60 ml
31 DAK 2018 1,919.00
Botol 60 ml
32 ml DAK 2017 3,797.00
Botol 60 ml
33 ml DAK 2018 3,604.00
Botol 60 ml
34 ml DAK 2019 3,846.00
35 Antasida DOEN suspensi Botol 60 ml DAK 2016 2,106.00
kunyah,kombinasi:
39 200 mg DAK 2018 56.00
kunyah,kombinasi:
40 200 mg DAK 2017 59.00
kunyah,kombinasi:
41 200 mg DAK 2019 60.00
IU/g Tube 5 gram
42 DAK 2015 2,767.00
IU/g Tube 5 gram
43 DAK 2017 3,365.00
IU/g Tube 5 gram
44 DAK 2018 3,490.00
Botol 60 ml
45 mg+Pektin 40 mg DAK 2016 8,000.00
Botol 60 ml
46 mg+Pektin 40 mg DAK 2017 6,190.00
47 + Asam Salisilat 3 % DAK 2017 4,972.00
50 150 mg + Heksaklorofen 2,5 mg DAK 2019 3,642.00

Tablet
53 DAK 2017 204.00
Tablet
54 Acetosal 250 mg, Caffeine 65 mg DAK 2016 605.00
Tablet

56 DAK 2019 2,860.00
57 Air untuk Injeksi 25 ml Ampul 25 ml DAK 2017 2,750.00
Ampul 25 ml
58 ml DAK 2016 2,750.00

Tablet
59 DAK 2015 1,409.00
60 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2016 120.00
Tablet
61 tablet/kapsul/kaplet 250 mg DAK 2017 118.00
Tablet
65 mg(Afolat) DAK 2015 140.00
Tablet
66 mg(Afolat) DAK 2016 68.00
67 Asam Mefenamat 500 mg Kaptap Salut Selaput DAK 2017 102.00
68 Asam Mefenamat 500 mg Tablet DAK 2018 103.00
70 Asam Traneksamat 500 mg Tablet DAK 2017 1,540.00

73 DAK 2016 2,789.00

74 DAK 2017 2,530.00

75 DAK 2018 2,225.00
76 Asetosal 100 mg Tablet DAK 2018 213.79
Tablet
Tablet
80 Asiklovir krim 5 % Tube 5 gram DAK 2019 3,461.00
83 Asiklovir tablet 400 mg Tablet DAK 2018 425.00

85 DAK 2017 415.00
Tablet
86 tablet DAK 2016 173.00
Tablet
87 tablet DAK 2019 159.00
88 Atapulgit tablet 600 mg (Pularex) Tablet DAK 2018 149.00
89 Atropin inj 0,25 mg / ml Ampul 1 ml DAK 2019 1,859.00
90 Azitromisin tablet 500 mg Tablet DAK 2016 1,900.00
92 tambah darah) DAK 2017 410.00
93 mg DAK 2016 660.00
94 mg DAK 2018 409.00
95 gram DAK 2017 1,071.00
96 gram DAK 2018 1,232.00
97 gram DAK 2019 6,006.00
Botol
98 solution 0,1% DAK 2019 83,190.00
Botol
99 100 mcg/puff DAK 2018 83,190.00
100 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2017 151.00

102 DAK 2017 298.00
103 Bisoprolol tablet 5 mg Tablet DAK 2019 626.00
Tube 5 gram
105 Valerat) DAK 2019 1,465.00
106 Betametason krim 0,1 o/o Tube 5 gram DAK 2018 1,373.00
Tube 5 gram
107 Valerat) DAK 2017 1,450.00
108 Bisakodil suppositoria 10mg Supp DAK 2017 5,800.00
Supp
109 supp) DAK 2019 5,900.00
110 Bisakodil suppositoria 10 mg Supp DAK 2018 5,900.00
Supp
111 Bisakodil suppositoria 10mg DAK 2016 5,800.00
Supp
112 suppositoria 5 mg DAK 2016 5,670.00
Supp
113 supp) DAK 2019 6,000.00
116 Bisakodil tablet/kapsul/kaplet 5 mg Tablet salut enterik DAK 2017 317.00
117 Cetirizine tablet 10 mg Tablet DAK 2018 97.00
118 Cetirizine tablet 10 mg Tablet salut selaput DAK 2017 115.00
120 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2019 3,061.00

123 DAK 2016 1,745.00

124 DAK 2017 1,822.00

125 DAK 2018 1,210.00
126 DAK 2019 1,210.00
127 Deksametason tablet 0,5 mg Tablet DAK 2019 34.00
Botol
130 ml DAK 2016 41,800.00
Tablet
131 tablet salut 250 mg DAK 2016 1,750.00
Tablet
133 Diazepam tablet 2 mg Tablet DAK 2019 86.00
135 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2017 15,600.00
Tube
138 (STESOLID) DAK 2018 21,021.00
Tube
139 (STESOLID) DAK 2019 21,021.00
140 Diazepam enema 10 mg/2,5 mL Allubag DAK 2017 19,378.00
Tube
141 ml(STESOLID) DAK 2018 14,459.00
Tube
142 ml(STESOLID) DAK 2019 14,459.00

144 DAK 2017 1,222.00

145 DAK 2019 1,347.00

146 DAK 2016 1,354.00
Digoksin tablet/kapsul/kaplet 0,25 mg Tablet

147 DAK 2017 109.00
148 Digoksin tablet 0,25 mg Tablet DAK 2016 108.00
Doksisiklin tablet/kapsul/kaplet 100 mg kapsul

149 DAK 2017 299.00
150 Doksisiklin tab 100 mg Tablet DAK 2019 280.00
152 Domperidon 10 mg Tablet DAK 2018 90.00
Domperidon tablet/kapsul/kaplet 10 mg Tablet

153 DAK 2017 110.00

155 DAK 2018 2,862.00
156 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2017 17,000.00
Tablet
158 mg DAK 2016 1,001.00
Tablet
159 mg DAK 2017 1,050.00
Tablet
160 mg DAK 2018 1,088.00
Ampul
161 1 mg/ml DAK 2018 1,518.00
Ampul
162 1 mg/ml DAK 2019 1,518.00
Ampul
163 1 mg/ml DAK 2016 2,354.00
164 Eritromisin kaplet 500mg Kaplet DAK 2016 766.00

165 DAK 2017 766.00

166 DAK 2018 781.00

167 DAK 2017 6,461.00

168 DAK 2016 7,039.00
169 Ethambutol 500 mg Tab Tablet DAK 2016 688.00
171 Etakridin ( Rivanol ) larutan 0,1 o/o Botol DAK 2015 3,327.00
172 Etil Klorida semprot Botol DAK 2017 110,000.00
175 Eugenol cairan Botol DAK 2018 21,648.00
176 FARNORMIN - Atenolol 50 mg Tablet DAK 2016 330.00
177 Fenitoin Kapsul/Kaplet 100 mg Kaplet DAK 2016 154.00

178 DAK 2017 6,231.00
179 Fenobarbital tablet 30 mg Tablet DAK 2018 197.00
182 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2017 2,500.00
Ampul 1 ml
185 mg/ml DAK 2018 1,914.23
Ampul 1 ml
186 mg/ml DAK 2019 4,236.00
Ampul 1 ml
187 mg/ml DAK 2016 4,083.00
Tablet Salut Gula
188 10 mg DAK 2017 790.00
Tablet
189 10 mg DAK 2019 873.00
Nebules 2 ml
190 Propionat nebules 0,5 mg DAK 2016 14,500.00
191 0,5 mg) DAK 2017 14,500.00
192 0,5 mg) DAK 2018 14,929.00
193 0,5 mg) DAK 2019 15,675.00
194 Furosemid tablet 40 mg Tablet DAK 2017 111.00
196 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2017 2,058.00
197 Furosemid injeksi Ampul DAK 2019 1,555.00
198 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2016 -
199 Gabapentin 300 mg Kaplet DAK 2019 1,122.00

200 DAK 2017 1,254.00
201 DAK 2018 1,055.00
Sachet 4,26 gram
202 anhidrat 2,7 g DAK 2019 281.00

Sachet
203 DAK 2017 273.00

Sachet
204 DAK 2018 263.00
Gemfibrozil tablet/kapsul/kaplet 300 mg Tablet

205 DAK 2016 436.00
206 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2019 2,385.00
209 Gentamicin TM 0,3 % Botol 5 ml DAK 2019 4,885.00
211 Gentamisin tetes mata 0,3% Botol 5 ml DAK 2017 4,800.00
212 Gentian violet 1 o/o Botol 10 ml DAK 2018 4,384.00
215 Glass Ionomer Cement (Fuji IX) Set DAK 2016 919,300.00
216 Glass Ionomer Cement (Fuji VII) Set DAK 2016 1,225,700.00
217 Glass Ionomer Cement (Fuji VII) Set DAK 2017 617,798.00
219 Glass Ionomer Cement (GC IX) Set DAK 2018 469,100.00
220 Glibenklamid tablet 5 mg Tablet DAK 2019 137.00
223 GLICAB - Gliklazid tab 80 mg Tablet DAK 2016 245.00
224 Gliklazid tablet/kapsul/kaplet 80 mg Tablet DAK 2017 218.00
Glimepiride tablet/kapsul/kaplet 2 mg Tablet

225 DAK 2017 231.00
226 Glimepiride tablet 2 mg Tablet DAK 2016 296.00
229 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2016 36.52
233 Glukosa larutan infus 10% Botol plastik 500 ml DAK 2016 7,500.00
235 Glukosa larutan infus 5 % steril Botol plastik 500 ml DAK 2016 6,900.00
236 Glukosa larutan infus 5 o/o Botol plastik 500 ml DAK 2017 6,900.00

239 DAK 2016 264.00

240 DAK 2017 266.00
241 Haloperidol 1.5 mg Tablet DAK 2019 59.00
Ampul 1 ml
243 50 mg/ml DAK 2016 97,500.00
244 Haloperidol inj 50 mg/mL Ampul 1 ml DAK 2017 97,500.00
Botol 15 ml
247 mg/mL DAK 2016 18,499.00
248 Haloperidol tts 2 mg/mL Botol 15 ml DAK 2017 18,100.00
249 ml DAK 2017 1,300,000.00
250 ml DAK 2019 1,325,000.00
251 Hidroklorotiazid tab 25 mg Tablet DAK 2017 171.00
252 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2016 2,712.00
256 Hyosine N-Butilbromide tab 10 mg Tablet DAK 2017 1,760.00
258 Ibuprofen tablet 200 mg Tablet DAK 2017 108.00

259 DAK 2019 112.00

260 DAK 2018 112.00
264 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2017 2,560.00

267 DAK 2017 85.00

268 DAK 2019 142.56

269 DAK 2019 190.30

270 DAK 2017 182.00

271 DAK 2018 89.00

272 DAK 2019 165.00

273 DAK 2017 95.00

274 DAK 2016 690.00
275 300 mg DAK 2017 682.00
Tablet
Tablet
Tablet
279 Kaptopril 25 mg Tablet DAK 2019 80.00
Kaptopril tablet/kaplet scored 25 mg Tablet
280 DAK 2017 86.00
282 Kandesartan tab 8 mg Tablet DAK 2019 661.00

283 DAK 2017 770.00

284 DAK 2018 629.00
Tablet
285 mg DAK 2019 250.00
286 Karbamazepin tablet 200 mg Tablet DAK 2018 234.00
287 Ketoprofen supositoria 100 mg Supp DAK 2017 2,640.00
288 Ketokonazol krim 2% Tube 10 gram DAK 2016 2,605.00
291 Ketokonazol tablet 200 mg Tablet DAK 2016 292.00
Tablet
292 mg DAK 2017 297.00
294 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2017 1,320.00
295 Ketorolac injeksi 30 mg Ampul 1 ml DAK 2019 1,089.00

297 DAK 2019 812.96

298 DAK 2017 589.00

299 DAK 2018 583.00
300 Klopidogrel tablet 75 mg Tablet DAK 2019 1,568.00

301 DAK 2017 1,799.00

302 DAK 2018 1,469.00
Kapsul
303 500 mg DAK 2016 1,155.00
Kapsul
304 mg DAK 2017 502.29
305 Kloramfenikol kapsul 250 mg Kapsul DAK 2010 198.92
306 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2017 1,850.00
310 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2017 4,982.00
314 Kloramfenikol tetes mata 0,5 % Botol plastik 10 ml DAK 2017 3,850.00
Botol plastik 10 ml
315 TM) DAK 2016 7,125.00
Botol plastik 10 ml
316 TM) DAK 2018 6,600.00
Botol plastik 10 ml
317 TM) DAK 2019 9,900.00
Botol plastik 10 ml
318 TT) DAK 2016 7,125.00
Botol plastik 10 ml
319 TT) DAK 2017 7,370.00
Botol plastik 10 ml
320 TT) DAK 2019 9,900.00
321 Kloramfenikol tetes telinga 3 % Botol plastik 10 ml DAK 2018 6,600.00
Tablet
Tablet
Tablet
324 mg DAK 2018 24.00
Ampul 1 ml
325 (HCl) DAK 2016 1,425.00
Ampul 1 ml
326 (HCl) DAK 2017 1,349.00
Ampul 1 ml
327 (HCl) DAK 2019 1,531.00
Ampul 1 ml
328 (HCl) DAK 2018 1,435.00
Tablet
329 Klorpromazin tablet salut 25 mg (HCl) DAK 2016 170.00
Tablet

331 DAK 2019 181.00
332 Klozapin 25 mg Tablet DAK 2016 1,550.00
Tablet
334 mg DAK 2017 632.00

335 DAK 2016 2,225.00

trimetoprim 40 mg
336 DAK 2017 2,462.00

trimetoprim 40 mg
337 DAK 2018 2,052.00

trimetoprim 40 mg
338 DAK 2019 2,190.00
339 160 mg DAK 2017 327.00
kotrimoksazol forte
340 trimetoprim 160 mg DAK 2018 299.00
341 160 mg DAK 2019 319.00
342 Laktulosa sir 3,335 g/5 mL Botol DAK 2016 14,500.00
Plabott, 500 ml
343 3A injection) DAK 2017 10,285.00
Plabott, 500 ml
344 3B injection) DAK 2017 10,285.00

345 DAK 2016 40,000.00
346 Lidokain jelli 2% syringe 10 gram DAK 2017 40,000.00
347 + Epinefrin 1 : 80.000 - 2 ml DAK 2018 1,317.00
348 Lidokain injeksi 2% (HCL) Ampul DAK 2016 875.00
349 Lidokain injeksi 2% (HCL) Ampul DAK 2018 1,315.00
Ampul 2 ml
351 80.000 - 2 mL DAK 2016 2,122.00
Ampul 2 ml
352 80.000 - 2 mL DAK 2017 2,227.00
Ampul 2 ml
353 80.000 - 2 mL DAK 2019 1,405.00
354 Lisinopril tablet/kapsul/kaplet 5 mg Tablet DAK 2016 410.00
355 Loperamid Tablet DAK 2017 85.00
356 Loperamid tablet 2 mg Tablet DAK 2019 161.29
358 Loratadin tablet/kapsul/kaplet 10 mg Tablet DAK 2019 136.00
359 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2017 134.00
Ampul 25 ml
361 injeksi 40% DAK 2016 3,650.00
362 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2017 3,650.00
365 Metamizol injeksi 500 mg/ml Ampul 2 ml DAK 2017 3,050.00
Tablet
366 mg DAK 2019 148.00
Tablet
367 mg DAK 2017 165.00
Tablet
368 mg DAK 2018 139.00
369 Metilprednisolon inj 125 mg/2 mL Dus DAK 2018 11,449.00
Tablet
371 0,125 mg DAK 2016 222.20
Tablet Salut
372 0,125 mg DAK 2017 270.60
Tablet Salut
373 0,125 mg DAK 2018 243.00
Ampul
374 ml DAK 2019 3,399.00
375 ml Ampul DAK 2018 3,399.00
376 ml Ampul DAK 2016 2,684.00
377 Metoclopramide tablet 10 mg Tablet DAK 2019 89.00
378 mg Tablet DAK 2017 93.00
379 mg Tablet DAK 2018 83.00
380 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2017 3,904.00
382 sirup 5 mg/ 5 ml Botol 60 ml DAK 2016 2,750.00
383 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2017 2,950.00
Tablet
385 mg DAK 2019 109.00
Kaptap ss
386 mg DAK 2017 103.00
Kaptap ss
387 mg DAK 2018 102.00
388 Metronidazol infus 5 mg/ ml Botol @100 mL DAK 2017 9,680.00
Tablet
391 mg DAK 2017 115.00
392 Metronidazol tablet 500 mg Tablet DAK 2016 750.00
Tablet
394 mg DAK 2019 277.20
395 Metronidazole sirup 125mg/ 5ml Botol 60 ml DAK 2019 3,950.00
396 Metronidazol sirup 125 mg/5 ml Botol 60 ml DAK 2017 3,800.00
398 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2016 3,737.00
401 Natrium Bikarbonat tablet 500 mg Tablet DAK 2016 22.00
Tablet
402 50 mg DAK 2019 145.00
Tablet salut enterik
403 50 mg DAK 2017 135.00
404 Natrim Diklofenak 50 mg tab Tablet DAK 2018 136.00
405 Steril DAK 2017 6,410.00
406 Steril DAK 2018 6,410.00
407 Steril DAK 2019 6,840.00
Nifedipin tablet/kapsul/kaplet 10 mg Tablet salut selaput

408 DAK 2017 110.00
409 Nifedipin tablet 10 mg Tablet DAK 2018 107.00
411 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2017 627.00
413 Nistatin vaginal tablet 100.000 IU/ g Supp DAK 2016 602.00
Tablet Salut Gula

414 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2017 881.00
415 Nistatin tablet salut 500.000 UI/g Tablet DAK 2019 971.00
Tablet
417 Nystatin drop Botol 12 ml DAK 2016 38,425.00
Obat Anti Tuberculosis FDC Kategori I Paket

419 DAK 2017 430,538.00
420 OAT FDC Kategori 2 Dewasa Paket DAK 2016 1,379,984.00

421 DAK 2017 1,435,178.00
422 DAK 2018 1,492,579.00
Paket
423 Sisipan DAK 2016 183,984.00
424 dispersibel" DAK 2017 257,125.00
Paket
425 Anak DAK 2016 247,234.00
Paket
426 Anak DAK 2018 267,397.00
427 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2016 7,149.00
Botol 60 ml
431 Dextromethorphan HBr DAK 2019 13,915.00
Tablet
432 Dextromethorphan HBr DAK 2019 357.87
Botol 60 ml
Tablet
Botol 60 ml
Tablet
437 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2016 1,649.36
441 Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram DAK 2017 2,772.00
442 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2018 2,600.00
445 Oksitosin injeksi 10 IU / ml - ml Ampul DAK 2018 1,232.00
Ampul
446 10 UI/ml DAK 2016 1,900.00
447 Omeprazole Injeksi 40mg / 10ml Vial DAK 2019 11,868.00
448 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2017 14,924.00
450 Omeprazole kapsul Kapsul DAK 2019 147.00
Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

452 DAK 2017 148.00

453 DAK 2019 429.00

454 DAK 2017 523.00

455 DAK 2018 406.00
Ondansetron inj 2 mg/ml (4 mg/ 2 mL) Ampul 2 ml

456 DAK 2017 1,254.00
Ampul 2 ml
457 ml) DAK 2016 1,650.00
Ampul 2 ml
458 ml) DAK 2019 1,258.00
459 PANTOCAIN 0.5% Botol DAK 2016 11,500.00
460 mL DAK 2019 11,610.00
461 mL DAK 2017 12,939.00
462 mL DAK 2018 11,610.00
463 Parasetamol sirup 120 mg / 5 ml Botol Plastik @ 60 Ml DAK 2017 1,013.00
464 Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml DAK 2019 1,238.00
466 (60mg/0,6ml) (G) DAK 2018 7,646.00
Botol 15 ml
467 (60mg/0,6ml) (G) DAK 2017 6,850.00
Botol 15 ml
468 (60mg/0,6ml) (G) DAK 2019 7,646.00
469 Parasetamol tablet 100 mg Tablet DAK 2016 106.59
Tablet
470 mg DAK 2019 60.00
Tablet
471 mg DAK 2017 51.00
473 Perak sulfadiazin krim 1% tube 35 g DAK 2017 20,700.00
Ampul
474 mg/ml (HCl) DAK 2015 15,950.00
475 Piracetam 400 mg Tablet DAK 2016 541.24
477 Piracetam 400 mg Tablet DAK 2019 1,452.00
478 Piracetam Inj 1 g/5 ml Ampul DAK 2016 15,840.00
480 Pirantel tablet score (base) 125 mg Tablet DAK 2016 318.00
481 Pirazinamid 500 mg Tablet DAK 2017 238.00

483 DAK 2018 141.00
Tablet
484 mg (HCl) DAK 2017 136.00

485 DAK 2016 136.00
Tablet
486 mg (HCl) DAK 2019 150.00
487 Piroksikam 20 mg Tablet DAK 2016 213.95

491 DAK 2016 102.00

492 DAK 2017 85.00

493 DAK 2018 74.00

494 DAK 2019 79.00
495 Primakuin tablet 15 mg Tablet DAK 2019 354.20
497 Propranolol HCI tablet 10 mg Tablet DAK 2016 69.00

498 DAK 2017 59.00

500 DAK 2019 63.00
501 Proiltiourasil tablet 100 mg Tablet DAK 2015 351.00
Tablet
502 mg DAK 2019 586.00
Tablet
503 mg DAK 2016 320.00
504 Vaksin rabies Vial DAK 2017 174,500.00
506 Ranitidin tablet 150 mg Tablet DAK 2018 235.95

507 DAK 2017 110.00

508 DAK 2019 235.95
510 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2016 1,595.18
513 Ranitidin Injeksi 25 mg/ml Ampul 2 ml DAK 2018 1,155.00
Kapsul
514 lunak DAK 2016 327.00
Kapsul
515 lunak DAK 2018 331.00
Kapsul lunak
516 lunak DAK 2017 585.00
Kapsul
517 lunak DAK 2018 596.00
Kapsul
518 lunak DAK 2016 536.00

519 DAK 2019 985.00

520 DAK 2017 1,274.00

521 DAK 2018 1,134.00
522 Ringer laktat larutan infus Botol plastik 500 ml DAK 2018 7,150.00
525 Risperidon 2 mg Tablet DAK 2016 495.00
Tablet
527 (sebagai Sulfat) DAK 2017 86.00
Tablet

529 DAK 2019 77.00
530 Salbutamol sirup Dus, botol @ 100 ml DAK 2016 5,463.00
Nebules
533 Nebules) DAK 2017 14,124.00
Nebules
534 cairan ih 0,1% DAK 2019 4,000.00
Nebules
535 cairan ih 0,1% DAK 2018 4,000.00
536 Belerang Endap 4 % DAK 2017 2,907.00
539 Salisil Bedak 2 % Kotak DAK 2016 1,066.00
Tube @ 10 g
540 krim 5% DAK 2016 12,155.00
541 Permetrin Krim 5% Tube @ 10 g DAK 2017 12,155.00
542 Sefiksim sirup kering 100 mg/ 5 ml Botol DAK 2018 5,710.00
543 Sefiksim sirup kering 100 mg/5 ml Botol DAK 2016 7,690.00
544 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2016 649.00

546 DAK 2016 9,840.00

547 DAK 2017 4,133.00

548 DAK 2019 4,360.00

549 DAK 2018 4,086.00
550 Sefadroksil kapsul/kaplet 500 mg Kapsul DAK 2016 557.00

551 DAK 2017 455.00

552 DAK 2019 492.00
553 Sefadroksil kapsul 500 mg Kapsul DAK 2018 492.00
554 Seftriaksone Injeksi 1 g Vial DAK 2019 5,146.00
557 Sefotaksim Injeksi 1 g Vial DAK 2016 5,884.00

560 DAK 2016 126.50
Tablet
561 tablet/kapsul/kaplet 50 mcg DAK 2017 55.00
Tablet
Tablet
563 500 mcg DAK 2019 1,160.00
Ampul 1 ml
564 500 mcg DAK 2017 1,117.00
Ampul 1 ml
565 mcg/ml - 1ml DAK 2016 1,226.00
Ampul 1 ml
566 mcg/ml - 1ml DAK 2015 1,050.00
567 Simvastatin scored tablet 10 mg Tablet DAK 2016 135.00

568 DAK 2017 113.00
569 DAK 2019 117.00
570 Simvastatin 10 mg Tablet DAK 2018 110.00
571 Siprofloksasin tab scored 500 mg Tablet salut selaput DAK 2017 254.00
572 Siprofloksasin tab scored 500 mg Tablet DAK 2016 298.00
575 Spironolactone 25 mg Tablet DAK 2016 314.00
Tablet
576 mg DAK 2017 277.00
Dus, 1 Vial @ 5 ml
577 (i.m./i.v) DAK 2019 512,204.00
Dus, 1 Vial @ 5 ml
578 (i.m./i.v) DAK 2017 462,000.00
Dus, 1 Vial @ 5 ml
579 ml ( ABU I ) DAK 2018 479,996.00
Ampul 1 ml
580 1500 IU/amp (i.m) DAK 2019 130,999.00
Ampul 1 ml
581 1500 IU/amp (i.m) DAK 2017 126,500.00
Ampul 1 ml
582 IU/ampul ( A.T.S ) DAK 2018 130,999.00
Vial
583 mg/ml DAK 2016 5,750.00
Vial
584 mg/ml DAK 2019 5,980.00

585 DAK 2016 10,100.00
Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

586 DAK 2017 9,192.00

587 DAK 2019 7,338.00
Sukralfat tablet/kapsul/kaplet 500 mg Tablet

588 DAK 2017 296.00
589 ULSIDEX - Sukralfat tab 500 mg Tablet DAK 2016 368.00
Supp
590 100 mg DAK 2016 2,789.00
591 Teofilin tablet/kapsul/kaplet 150 mg Tablet DAK 2017 328.00
592 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2019 330.00

594 Tablet DAK 2016 329.00

595 Tablet DAK 2018 310.00

596 Tablet DAK 2019 331.00
597 Thiamphenicol 500 mg kaps Kapsul DAK 2016 984.51
599 Thiamphenicol 500 mg kaps Kapsul DAK 2019 1,031.21
601 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2019 8,976.00

Tablet
50 mg (HCl/ Nitrat)
604 DAK 2019 94.00
Tablet
605 50 mg DAK 2018 88.00

Tablet
50 mg (HCl/ Nitrat)
606 DAK 2017 87.00
Tablet
607 100 mg DAK 2016 91.00
608 Tramadol tablet 50 mg Tablet DAK 2019 330.00
610 Tramadol tablet/ Kapsul 50 mg Tablet DAK 2017 325.00
611 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2016 1,984.00
614 Trifluoperazine 5mg Tablet DAK 2019 330.00

617 DAK 2017 80.00
618 Triheksifenidil tablet 2 mg Tablet DAK 2018 95.00

619 DAK 2019 101.00

621 DAK 2017 26,987.00

622 DAK 2018 17,789.00
623 Valsartan tab 80 mg Tablet DAK 2016 1,800.00
624 Vitamin B Kompleks tablet Tablet DAK 2016 132.00
628 Zinc sir 20 mg/5 ml Dus, Botol @ 60 ml DAK 2017 4,959.00

629 DAK 2019 3,285.00

630 DAK 2018 3,285.00
631 Zinc tablet dispersible20 mg Tablet DAK 2019 604.00
632 Zink Tablet DAK 2018 604.00
633 Zinc tablet dispersible 20 mg Tablet dispersible DAK 2017 586.00
634 Truvit sirup Dus, Botol @ 60 ml DAU 2016 10,890.00
635 Anti Difteri 10.000 IU Vial DAK 2018 2,200,000.00
ALAT KESEHATAN
BAHAN MEDIS HABIS PAKAI
1 Alat suntik sekali pakai 1 ml Piece DAK 2016 1,012.60
4 Alat suntik sekali pakai 1 ml 23x1/4 Piece DAK 2019 1,023.00
8 Alat suntik sekali pakai 3 ml 23x1/4 Piece DAK 2019 924.00
18 24GX1" DAK 2017 1,240.00
19 26 GX3/8" DAK 2017 1,650.00
20 23GX1" DAK 2016 1,240.00
21 27GX3/8" DAK 2016 1,650.00
22 23GX1" DAK 2018 1,240.00
23 27GX3/8" DAK 2018 1,650.00
24 27GX3/8" DAK 2019 1,557.00
25 Alkohol Swab 4-ply Piece DAK 2016 244.00
27 Alkohol Swab 2-ply Piece DAK 2019 15,730.00

28 DAK 2016 10,950.00
29 Blood Lancet (21,26,28 G) Piece DAK 2016 160.23
31 Blood Transfusion Set Piece DAK 2017 17,513.10
Benang Bedah SMI
Sachet
34 CATGUT PLAIN SMI 2/0 HR 26 MM DAK 2015 26,583.00
Sachet
35 MM DAK 2019 32,800.00
36 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2019 34,300.00
Sachet
37 MM DAK 2017 33,785.00
Sachet
39 MM DAK 2018 33,785.00
Sachet
41 MM DAK 2017 33,785.00
Sachet
43 MM DAK 2018 33,785.00
Sachet
45 MM DAK 2019 32,800.00
47 Folley Catheter 2 Way no. 22 Piece DAK 2016 10,000.00
Piece
50 no. 16 DAK 2019 11,565.00
Piece
51 no. 16 DAK 2016 13,420.00
Piece
52 no. 16 DAK 2018 13,420.00
Piece
53 no. 18 DAK 2016 13,420.00
Piece
54 no. 18 DAK 2019 11,565.00
Piece
55 no. 18 DAK 2018 13,420.00
56 FEMALE CATHETER, no. 18 Piece DAK 2016 6,978.40
57 EXAMINATION GLOVES, size M Piece DAK 2017 563.64
58 EXAMINATION GLOVES, size S Piece DAK 2017 563.64
61 EXAMINATION GLOVES, size M Piece DAK 2019 48,400.00
62 EXAMINATION GLOVES, size S Piece DAK 2019 48,400.00
64 CHIRURGIC GLOVES, size 7.5 Piece DAK 2016 9,272.00
pasang
65 glove ) DAK 2017 24,200.00
pasang
66 glove ) DAK 2018 24,200.00
Piece
67 drops/ml) DAK 2017 6,222.00
68 Microdropper DAK 2015 20,320.50
Piece
69 drops/ml) DAK 2016 6,222.00
Piece
70 drops/ml) DAK 2018 6,222.00
drops/ml) Piece
71 DAK 2016 5,856.00
drops/ml) Piece
72 DAK 2017 5,856.00
drops/ml) Piece
73 DAK 2018 5,856.00
drops/ml) Piece
74 DAK 2019 5,096.00
75 IV Catheter 16 G x 2" Piece DAK 2017 9,158.00
76 IV-Cath NP, pen type, no. 16 Piece DAK 2018 7,320.00

77 DAK 2016 8,540.00
Piece
78 G18 X 45 MM Green DAK 2019 5,500.00

81 DAK 2016 8,540.00
Piece
82 G20 X 33 MM Pink DAK 2019 5,500.00
Piece
84 G22 X 25 MM Blue DAK 2019 5,500.00

85 DAK 2016 8,540.00
Piece
88 G24 X 0.75 " DAK 2019 5,500.00

89 DAK 2016 8,540.00

95 DAK 2017 28,745.25

96 DAK 2017 (2) 28,750.00

97 DAK 2018 28,750.00

98 DAK 2019 20,600.00

99 DAK 2016 28,750.00
100 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2019 136,500.00
Box
103 pads) DAK 2016 8,650.50
Box
104 pads) DAK 2017 8,650.36
Box
105 pads) DAK 2017(2) 8,652.70
Box
106 pads) DAK 2019 7,370.00
107 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2016 7,375.00
Roll
110 10cm DAK 2017 2,475.75
Roll
111 10cm DAK 2017(2) 2,488.87
Roll
112 10cm DAK 2018 2,475.75
Roll
113 10cm DAK 2019 2,415.00
Roll
114 10cm DAK 2016 2,475.43
115 Surgical Mask Tie On Piece DAK 2017 412.50
117 Surgical Mask Tie On Piece DAK 2019 27,532.00
118 DAK 2016 550.00
119 DAK 2017 550.00
NGT
120 cm) DAK 2015 8,841.00
NGT
121 cm) DAK 2015 8,841.00
NGT
122 (125 cm) DAK 2015 10,010.00
NGT
123 (125 cm) DAK 2015 10,010.00
NGT
124 (125 cm) DAK 2015 10,010.00
125 Oxyflow nasal oxygen bayi Piece DAK 2015 6,050.00
126 Oxyflow nasal oxygen anak Piece DAK 2015 6,050.00
127 NASAL OXYGEN, O2 cannula, size S Piece DAK 2016 8,052.00
131 NASAL OXYGEN, O2 cannula, size M Piece DAK 2016 8,052.00
135 NASAL OXYGEN, O2 cannula, size L Piece DAK 2016 8,052.00
139 Nebulizer Masker Anak Piece DAK 2018 16,704.00
140 Nebulizer Masker Dewasa Piece DAK 2018 16,704.00
143 Nasogastric Tube No 3.5 Piece DAK 2019 5,940.00
144 Nasogastric Tube No 5 Piece DAK 2019 14,080.00
Roll
146 4.5 m DAK 2016 35,532.00
Roll
147 4.5 m DAK 2018 12,076.00
Roll
148 4.5 m DAK 2019 12,675.00
149 Plester Polifix 10 cm x 5 m Roll DAK 2017 76,314.14
152 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2017 45,507.00
154 Scalpel Blades Nomor 10 Piece DAK 2017 3,300.00
156 SILK BLACK 3/0 HR 26 MM Sachet DAK 2016 20,685.00
Benang Bedah SMI
Sachet
157 SILK BLACK 3/0 DS 24 MM DAK 2019 19,700.00
Benang Bedah SMI
Sachet
159 Onemed U Pad Steril 60 x 90 cm Blister DAK 2016 9,533.15
Piece
163 Nylon DAK 2016 1,250.00
Piece
164 hanger DAK 2019 4,800.00
Piece
165 hanger DAK 2016 6,710.00
Piece
166 hanger DAK 2018 6,710.00
167 Alkohol 70% Botol 1 L DAK 2016 27,950.00
168 Alkohol 70% Botol 100 ml DAK 2017 8,300.00
171 My Jelly 82 gram Tube @ 82 gr DAK 2016 36,936.83
172 Lysol 1 liter Botol 1 L DAK 2016 53,300.00
174 Povidone Iodine 300 ml Botol @ 300 ml DAK 2016 23,400.00
178 Rivanol 300 cc Botol @ 300 ml DAK 2017 3,750.00
Botol 1 Liter
182 instrumen DAK 2017 141,406.33
Botol 500 ml
183 tanpa dibilas DAK 2017 83,027.33
Botol 500 ml
184 dengan dibilas DAK 2017 64,769.00
Botol 1 Liter
185 instrumen DAK 2017(2) 142,568.00
Botol 500 ml
186 tanpa dibilas DAK 2017(2) 83,560.67
Botol 500 ml
187 dengan dibilas DAK 2017(2) 65,344.00
Botol 1 Liter
188 instrumen DAK 2018 141,417.00
Botol 500 ml
Botol 500 ml
Botol 500 ml
Botol 500 ml
REAGENSIA
1 Total Cholesterol Test Strip 10's Strip DAK 2016 23,354.00
2 Uric Test Strip 25's Strip DAK 2016 5,154.00
3 Glucose Test Strip 50's Strip DAK 2016 3,093.34
13 Alkazym Sachet DAK 2019 801,000.00
14 Alkacide Botol 1 liter DAK 2019 2,702,700.00
Vial 10 ml
15 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
16 (Vial 10 ml) DAK 2016 105,135.00
Vial 10 ml
17 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
18 10 ml) DAK 2016 126,695.00
Vial 10 ml
19 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
20 (Vial 10 ml) DAK 2017 98,822.50
Vial 10 ml
21 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
22 10 ml) DAK 2017 120,382.50
Vial 10 ml
23 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
24 (Vial 10 ml) DAK 2019 84,000.00
Vial 10 ml
25 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
26 10 ml) DAK 2019 104,000.00
27 Rapid test Vikia HIV 1/2 Kit DAK 2016 519,750.00
28 Anti HIV 1/2 Cassette each DAK 2017 15,297.00
31 Gluco Protein tes Piece DAK 2017 1,150.00
32 Gluco Protein Piece DAK 2016 1,150.00
34 Ultra One Test Hamil Piece DAK 2016 2,133.00
35 HCG Strip each DAK 2017 7,181.00
38 Malaria Pf & Pv Cassette each DAK 2017 53,180.00
41 Hb strip Dr Family test Tes DAK 2017 24,200.00
44 HBsAg Strip each DAK 2017 10,967.00
47 Hexagon Syphilis KIT DAK 2019 527,670.00
48 R.Detergent urit (urit 3000 plus) Gallon 5 L DAK 2017 278,300.00
49 R.Dilluen urit (urit 3000 plus) Gallon 20 L DAK 2017 1,012,000.00
50 R.Lytic urit (urit 3000 plus) Botol 1 L DAK 2017 1,113,200.00
57 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2017 124,100.00
60 Hayem 1x100mL Botol 100 ml DAK 2017 29,450.00
61 Aquadest Botol 1 Liter DAK 2017 19,448.00
63 Asam Asetat 6 % Botol 100 ml DAK 2017 29,000.00
64 Asam Sulfosalisilat 20% 1x100mL Botol 100 ml DAK 2017 328,700.00
65 EDTA 10% 1x100mL Botol 100 ml DAK 2017 74,100.00
66 Eosin 2% 1x100mL Botol 100 ml DAK 2017 176,225.00
67 HCl 0,1N 1x100mL Botol 100 ml DAK 2017 19,950.00
68 Immersion Oil 1x100mL Botol 50 ml DAK 2017 367,650.00
69 KOH 10% 1x100mL Botol 100 ml DAK 2017 20,900.00
70 Methanol PA Botol 100 ml DAK 2017 94,000.00
71 Na Citrate 3,13% 1x100mL Botol 100 ml DAK 2017 19,475.00
72 Rees Ecker 1x100mL Botol 100 ml DAK 2017 46,550.00
73 Turk 1x100mL Botol 100 ml DAK 2017 23,750.00
74 Salmonella Typhi H Widal Test Vial 5 ml DAK 2017 72,972.50
75 Salmonella Typhi O Widal Test Vial 5 ml DAK 2017 72,972.50
76 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2017 72,972.50
77 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2017 72,972.50
78 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2017 72,972.50
79 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2017 72,972.50
80 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2017 72,972.50
81 Salmonella Paratyphi CO Widal Test Vial 5 ml DAK 2017 72,972.50
III OBAT DAN BMHP LAINNYA

1 DAK 2016 3,349.00
Kaplet
2 500 mg DAK 2016 233.00
kunyah,kombinasi: Tablet kunyah
3 DAK 2016 64.00
200 mg inj 0,25 mg / ml
Atropin Ampul 1 ml
4 DAK 2016 1,672.00
Botol
5 solution 0,1% DAK 2016 125,750.00

6 DAK 2015 1,156.00
Gentian violet 1 o/o Botol 10 ml

7 DAK 2016 2,925.00

8 DAK 2016 93.00
Metronidazole sirup 125mg/ 5ml Botol 60 ml

9 DAK 2016 3,800.00
Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

10 DAK 2016 21,950.00

11 DAK 2016 35,285.00

12 DAK 2016 35,285.00
14 Propanolol HCl tablet 10 mg tablet DAK 2015 80.00
Dus, 1 Vial @ 5 ml
15 ml ( ABU I ) DAK 2015 472,000.00
Kaplet
16 500 mg DAK 2016 233.00
kunyah,kombinasi:
Tablet kunyah
17 200 mg DAK 2016 64.00

18 DAK 2016 93.00
21
22
TOTAL
30 JUNI 2019
HARGA LAMA OK
PERUBAHAN HARGA 2018
HARGA 2018 OK
LELANG/PL
PERUBAHAN HARGA PL 2018
TOTAL STOK
STOK AWAL PER
AWAL PER 01
01 JAN 2019
JAN 2019
(Satuan)
(Rupiah)
6 7
-
-
-
-
-
-
-
-
-
-
-
83 10,043
-
-
-
28 2,716
-
-
-
-
90 8,190
-
-
7 13,440
5 18,985
-
-
-
-
10 20,980
-
25 87,250
8 49,520
6 29,832
73 14,892
-
-
-
-
-
-
16 1,888
140 16,800
-
-
261 17,748
97 9,894
-
-
20 30,800
-
-
-
-
70 10,710
-
-
2 19,100
-
-
-
74 30,710
9 1,557
-
-
-
-
-
90 36,900
-
-
75 11,325
-
-
-
-
-
-
-
-
-
-
-
-
-
10 3,170
-
20 2,300
-
-
-
7 23,100
-
-
-
27 4,025
-
-
-
-
-
-
-
-
-
-
-
45 4,905
-
75 22,425
-
-
-
111 12,210
-
-
11 187,000
-
-
-
85 65,110
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 15,800
-
20 2,220
-
-
-
-
-
-
-
46 12,558
186 81,096
-
-
-
-
-
1 4,800
-
-
-
-
-
-
-
-
-
-
-
-
5 1,090
57 13,167
-
-
-
-
48 5,184
-
-
-
-
-
-
-
-
83 22,078
-
-
-
-
-
-
-
-
-
-
-
22 62,436
-
-
25 44,000
-
217 23,436
-
-
-
-
5 12,800
-
-
83 7,055
69 12,558
58 3,306
-
-
209 17,974
-
-
-
-
-
-
4 11,160
-
-
-
90 25,740
-
-
-
-
-
-
-
-
1 1,850
-
-
-
-
-
-
8 30,800
3 22,110
-
-
56 2,520
-
-
-
7 17,234
55 17,985
-
-
-
-
-
-
-
-
-
-
-
-
88 7,480
-
-
-
-
-
-
-
-
-
-
85 14,025
-
-
-
-
-
50 4,650
-
-
-
-
-
-
130 13,390
-
-
-
-
76 8,740
-
-
-
-
9 34,200
-
-
4 22,000
-
39 858
58 7,830
-
73 8,030
-
-
32 20,064
-
-
-
-
-
-
-
-
-
-
-
-
-
3 18,000
-
-
4 47,200
11 7,744
-
-
20 32,800
-
-
-
-
-
-
-
-
-
-
-
-
-
10 5,230
-
-
-
-
6 6,078
-
-
4 27,400
-
-
-
156 9,360
-
-
-
-
-
-
-
-
85 20,230
-
86 11,696
-
-
20 2,600
-
-
5 425
-
-
-
-
20 1,180
-
-
22 7,722
-
-
-
-
180 19,800
-
-
-
-
-
-
-
-
-
-
-
-
106 9,116
-
-
-
-
-
-
6 17,442
-
-
-
3 36,465
-
-
-
-
7 28,931
-
-
50 22,750
-
-
-
-
-
-
-
-
65 3,575
-
-
370 41,810
-
-
36 9,144
-
-
-
-
17 156,264
111 32,856
-
-
-
-
-
-
-
101 87,365
-
-
-
5 32,500
-
-
-
97 8,439
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
199 26,268
-
-
-
4 19,836
-
-
-
70 41,020
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
21 23,285
20 1,600
0 -
50 11,650
4 256
90 8,370
63 9,387
44 7,216
-
-
2,232,758.48
3,349.00
233.00
64.00
1,672.00
###
1,156.00
2,925.00
93.00
3,800.00
21,950.00
35,285.00
35,285.00
DAFTAR PENERIMAAN OBAT DAN BAHAN ME
APBD II TAHUN
PUSKESMAS S
1 2 3 4 5
I OBAT GENERIK

14 DAK 2017 3,080.00

15 DAK 2018 2,878.00

16 DAK 2019 3,071.00
Tablet
Aminofilina tablet 200 mg
18 Tablet salut selaput DAK 2017 97.00
Tablet
Kaptab
26 500 mg DAK 2017 191.00
Kaplet
27 500 mg DAK 2019 365.00
Kaplet
28 500 mg DAK 2018 248.00
Botol 60 ml
29 DAK 2017 1,920.00
Botol 60 ml
30 DAK 2019 2,783.00
Botol 60 ml
31 DAK 2018 1,919.00
Botol 60 ml
32 ml DAK 2017 3,797.00
Botol 60 ml
33 ml DAK 2018 3,604.00
Botol 60 ml
34 ml DAK 2019 3,846.00
kunyah,kombinasi:
39 200 mg DAK 2018 56.00
kunyah,kombinasi:
40 200 mg DAK 2017 59.00
kunyah,kombinasi:
41 200 mg DAK 2019 60.00
IU/g Tube 5 gram
42 DAK 2015 2,767.00
IU/g Tube 5 gram
43 DAK 2017 3,365.00
IU/g Tube 5 gram
44 DAK 2018 3,490.00
Botol 60 ml
45 mg+Pektin 40 mg DAK 2016 8,000.00
Botol 60 ml
46 mg+Pektin 40 mg DAK 2017 6,190.00
Tablet
53 DAK 2017 204.00
Tablet
Tablet

56 DAK 2019 2,860.00
Ampul 25 ml
58 ml DAK 2016 2,750.00

Tablet
59 DAK 2015 1,409.00
Tablet
Tablet
65 mg(Afolat) DAK 2015 140.00
Tablet
66 mg(Afolat) DAK 2016 68.00

73 DAK 2016 2,789.00

74 DAK 2017 2,530.00

75 DAK 2018 2,225.00
Tablet
Tablet

85 DAK 2017 415.00
Tablet
86 tablet DAK 2016 173.00
Tablet
87 tablet DAK 2019 159.00
93 mg DAK 2016 660.00
94 mg DAK 2018 409.00
95 gram DAK 2017 1,071.00
96 gram DAK 2018 1,232.00
97 gram DAK 2019 6,006.00
Botol
98 solution 0,1% DAK 2019 83,190.00
Botol
99 100 mcg/puff DAK 2018 83,190.00

102 DAK 2017 298.00
Tube 5 gram
105 Valerat) DAK 2019 1,465.00
Tube 5 gram
107 Valerat) DAK 2017 1,450.00
Supp
109 supp) DAK 2019 5,900.00
Supp
Supp
Supp
113 supp) DAK 2019 6,000.00

123 DAK 2016 1,745.00

124 DAK 2017 1,822.00

125 DAK 2018 1,210.00

126 DAK 2019 1,210.00
Botol
130 ml DAK 2016 41,800.00
Tablet
Tablet
Tube
138 (STESOLID) DAK 2018 21,021.00
Tube
139 (STESOLID) DAK 2019 21,021.00
Tube
141 ml(STESOLID) DAK 2018 14,459.00
Tube
142 ml(STESOLID) DAK 2019 14,459.00

144 DAK 2017 1,222.00

145 DAK 2019 1,347.00

146 DAK 2016 1,354.00

147 DAK 2017 109.00

149 DAK 2017 299.00

153 DAK 2017 110.00

155 DAK 2018 2,862.00
Tablet
158 mg DAK 2016 1,001.00
Tablet
159 mg DAK 2017 1,050.00
Tablet
160 mg DAK 2018 1,088.00
Ampul
161 1 mg/ml DAK 2018 1,518.00
Ampul
162 1 mg/ml DAK 2019 1,518.00
Ampul
163 1 mg/ml DAK 2016 2,354.00

165 DAK 2017 766.00

166 DAK 2018 781.00

167 DAK 2017 6,461.00

168 DAK 2016 7,039.00

178 DAK 2017 6,231.00
Ampul 1 ml
185 mg/ml DAK 2018 1,914.23
Ampul 1 ml
186 mg/ml DAK 2019 4,236.00
Ampul 1 ml
187 mg/ml DAK 2016 4,083.00
Tablet Salut Gula
188 10 mg DAK 2017 790.00
Tablet
189 10 mg DAK 2019 873.00
Nebules 2 ml
191 0,5 mg) DAK 2017 14,500.00
192 0,5 mg) DAK 2018 14,929.00
193 0,5 mg) DAK 2019 15,675.00

200 DAK 2017 1,254.00

201 DAK 2018 1,055.00
Sachet 4,26 gram
202 anhidrat 2,7 g DAK 2019 281.00

Sachet
203 DAK 2017 273.00

Sachet
204 DAK 2018 263.00

205 DAK 2016 436.00

225 DAK 2017 231.00

239 DAK 2016 264.00

240 DAK 2017 266.00
Ampul 1 ml
243 50 mg/ml DAK 2016 97,500.00
Botol 15 ml
247 mg/mL DAK 2016 18,499.00
249 ml DAK 2017 1,300,000.00
250 ml DAK 2019 1,325,000.00

259 DAK 2019 112.00

260 DAK 2018 112.00

267 DAK 2017 85.00

268 DAK 2019 142.56

269 DAK 2019 190.30
270 DAK 2017 182.00

271 DAK 2018 89.00

272 DAK 2019 165.00

273 DAK 2017 95.00

274 DAK 2016 690.00
275 300 mg DAK 2017 682.00
Tablet
Tablet
Tablet

280 DAK 2017 86.00

283 DAK 2017 770.00

284 DAK 2018 629.00
Tablet
285 mg DAK 2019 250.00
Tablet
292 mg DAK 2017 297.00

297 DAK 2019 812.96

298 DAK 2017 589.00

299 DAK 2018 583.00

301 DAK 2017 1,799.00

302 DAK 2018 1,469.00
Kapsul
303 500 mg DAK 2016 1,155.00
Kapsul
304 mg DAK 2017 502.29
Botol plastik 10 ml
315 TM) DAK 2016 7,125.00
Botol plastik 10 ml
316 TM) DAK 2018 6,600.00
Botol plastik 10 ml
317 TM) DAK 2019 9,900.00
Botol plastik 10 ml
318 TT) DAK 2016 7,125.00
Botol plastik 10 ml
319 TT) DAK 2017 7,370.00
Botol plastik 10 ml
320 TT) DAK 2019 9,900.00
Tablet
Tablet
Tablet
324 mg DAK 2018 24.00
Ampul 1 ml
325 (HCl) DAK 2016 1,425.00
Ampul 1 ml
326 (HCl) DAK 2017 1,349.00
Ampul 1 ml
327 (HCl) DAK 2019 1,531.00
Ampul 1 ml
328 (HCl) DAK 2018 1,435.00
Tablet
Tablet

331 DAK 2019 181.00
Tablet
334 mg DAK 2017 632.00

335 DAK 2016 2,225.00
trimetoprim 40 mg
336 DAK 2017 2,462.00

trimetoprim 40 mg
337 DAK 2018 2,052.00

trimetoprim 40 mg
338 DAK 2019 2,190.00
339 160 mg DAK 2017 327.00
kotrimoksazol forte
341 160 mg DAK 2019 319.00
Plabott, 500 ml
343 3A injection) DAK 2017 10,285.00
Plabott, 500 ml
344 3B injection) DAK 2017 10,285.00

345 DAK 2016 40,000.00
347 + Epinefrin 1 : 80.000 - 2 ml DAK 2018 1,317.00
Ampul 2 ml
351 80.000 - 2 mL DAK 2016 2,122.00
Ampul 2 ml
352 80.000 - 2 mL DAK 2017 2,227.00
Ampul 2 ml
353 80.000 - 2 mL DAK 2019 1,405.00
Ampul 25 ml
361 injeksi 40% DAK 2016 3,650.00
Tablet
366 mg DAK 2019 148.00
Tablet
367 mg DAK 2017 165.00
Tablet
368 mg DAK 2018 139.00
Tablet
371 0,125 mg DAK 2016 222.20
Tablet Salut
372 0,125 mg DAK 2017 270.60
Tablet Salut
373 0,125 mg DAK 2018 243.00
Ampul
374 ml DAK 2019 3,399.00
375 ml Ampul DAK 2018 3,399.00
376 ml Ampul DAK 2016 2,684.00
378 mg Tablet DAK 2017 93.00
379 mg Tablet DAK 2018 83.00
Tablet
385 mg DAK 2019 109.00
Kaptap ss
386 mg DAK 2017 103.00
Kaptap ss
387 mg DAK 2018 102.00
Tablet
391 mg DAK 2017 115.00
Tablet
394 mg DAK 2019 277.20
Tablet
402 50 mg DAK 2019 145.00
403 50 mg DAK 2017 135.00
405 Steril DAK 2017 6,410.00
406 Steril DAK 2018 6,410.00
407 Steril DAK 2019 6,840.00

408 DAK 2017 110.00
Tablet Salut Gula

Tablet

419 DAK 2017 430,538.00

421 DAK 2017 1,435,178.00

422 DAK 2018 1,492,579.00
Paket
423 Sisipan DAK 2016 183,984.00
424 dispersibel" DAK 2017 257,125.00
Paket
425 Anak DAK 2016 247,234.00
Paket
426 Anak DAK 2018 267,397.00
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Ampul
446 10 UI/ml DAK 2016 1,900.00

452 DAK 2017 148.00

453 DAK 2019 429.00

454 DAK 2017 523.00

455 DAK 2018 406.00

456 DAK 2017 1,254.00
Ampul 2 ml
457 ml) DAK 2016 1,650.00
Ampul 2 ml
458 ml) DAK 2019 1,258.00
460 mL DAK 2019 11,610.00
461 mL DAK 2017 12,939.00
462 mL DAK 2018 11,610.00
466 (60mg/0,6ml) (G) DAK 2018 7,646.00
Botol 15 ml
467 (60mg/0,6ml) (G) DAK 2017 6,850.00
Botol 15 ml
468 (60mg/0,6ml) (G) DAK 2019 7,646.00
Tablet
470 mg DAK 2019 60.00
Tablet
471 mg DAK 2017 51.00
Ampul
474 mg/ml (HCl) DAK 2015 15,950.00

483 DAK 2018 141.00
Tablet
484 mg (HCl) DAK 2017 136.00

485 DAK 2016 136.00
Tablet
486 mg (HCl) DAK 2019 150.00

491 DAK 2016 102.00

492 DAK 2017 85.00

493 DAK 2018 74.00

494 DAK 2019 79.00

498 DAK 2017 59.00

500 DAK 2019 63.00
Tablet
502 mg DAK 2019 586.00
Tablet
503 mg DAK 2016 320.00

507 DAK 2017 110.00

508 DAK 2019 235.95
Kapsul
514 lunak DAK 2016 327.00
Kapsul
515 lunak DAK 2018 331.00
Kapsul lunak
516 lunak DAK 2017 585.00
Kapsul
517 lunak DAK 2018 596.00
Kapsul
518 lunak DAK 2016 536.00

519 DAK 2019 985.00

520 DAK 2017 1,274.00

521 DAK 2018 1,134.00
Tablet
Tablet

529 DAK 2019 77.00
Nebules
533 Nebules) DAK 2017 14,124.00
Nebules
534 cairan ih 0,1% DAK 2019 4,000.00
Nebules
535 cairan ih 0,1% DAK 2018 4,000.00
Tube @ 10 g
540 krim 5% DAK 2016 12,155.00
546 DAK 2016 9,840.00

547 DAK 2017 4,133.00

548 DAK 2019 4,360.00

549 DAK 2018 4,086.00

551 DAK 2017 455.00

552 DAK 2019 492.00

560 DAK 2016 126.50
Tablet
Tablet
Tablet
563 500 mcg DAK 2019 1,160.00
Ampul 1 ml
564 500 mcg DAK 2017 1,117.00
Ampul 1 ml
565 mcg/ml - 1ml DAK 2016 1,226.00
Ampul 1 ml
566 mcg/ml - 1ml DAK 2015 1,050.00

568 DAK 2017 113.00

569 DAK 2019 117.00
Tablet
576 mg DAK 2017 277.00
Dus, 1 Vial @ 5 ml
577 (i.m./i.v) DAK 2019 512,204.00
Dus, 1 Vial @ 5 ml
578 (i.m./i.v) DAK 2017 462,000.00
Dus, 1 Vial @ 5 ml
579 ml ( ABU I ) DAK 2018 479,996.00
Ampul 1 ml
580 1500 IU/amp (i.m) DAK 2019 130,999.00
Ampul 1 ml
581 1500 IU/amp (i.m) DAK 2017 126,500.00
Ampul 1 ml
582 IU/ampul ( A.T.S ) DAK 2018 130,999.00
Vial
583 mg/ml DAK 2016 5,750.00
Vial
584 mg/ml DAK 2019 5,980.00

585 DAK 2016 10,100.00

586 DAK 2017 9,192.00

587 DAK 2019 7,338.00

588 DAK 2017 296.00
Supp
590 100 mg DAK 2016 2,789.00

594 Tablet DAK 2016 329.00

595 Tablet DAK 2018 310.00

596 Tablet DAK 2019 331.00

Tablet
50 mg (HCl/ Nitrat)
604 DAK 2019 94.00
Tablet
605 50 mg DAK 2018 88.00

Tablet
50 mg (HCl/ Nitrat)
606 DAK 2017 87.00
Tablet
607 100 mg DAK 2016 91.00
617 DAK 2017 80.00

619 DAK 2019 101.00

621 DAK 2017 26,987.00

622 DAK 2018 17,789.00

629 DAK 2019 3,285.00

630 DAK 2018 3,285.00
ALAT KESEHATAN
18 24GX1" DAK 2017 1,240.00
19 26 GX3/8" DAK 2017 1,650.00
20 23GX1" DAK 2016 1,240.00
21 27GX3/8" DAK 2016 1,650.00
22 23GX1" DAK 2018 1,240.00
23 27GX3/8" DAK 2018 1,650.00
24 27GX3/8" DAK 2019 1,557.00

28 DAK 2016 10,950.00
Benang Bedah SMI
Sachet
Sachet
35 MM DAK 2019 32,800.00
Sachet
37 MM DAK 2017 33,785.00
Sachet
39 MM DAK 2018 33,785.00
Sachet
41 MM DAK 2017 33,785.00
Sachet
43 MM DAK 2018 33,785.00
Sachet
45 MM DAK 2019 32,800.00
Piece
50 no. 16 DAK 2019 11,565.00
Piece
51 no. 16 DAK 2016 13,420.00
Piece
52 no. 16 DAK 2018 13,420.00
Piece
53 no. 18 DAK 2016 13,420.00
Piece
54 no. 18 DAK 2019 11,565.00
Piece
55 no. 18 DAK 2018 13,420.00
pasang
65 glove ) DAK 2017 24,200.00
pasang
66 glove ) DAK 2018 24,200.00
Piece
67 drops/ml) DAK 2017 6,222.00
Piece
69 drops/ml) DAK 2016 6,222.00
Piece
70 drops/ml) DAK 2018 6,222.00
drops/ml) Piece
71 DAK 2016 5,856.00
drops/ml) Piece
72 DAK 2017 5,856.00
drops/ml) Piece
73 DAK 2018 5,856.00
drops/ml) Piece
74 DAK 2019 5,096.00

77 DAK 2016 8,540.00
Piece
78 G18 X 45 MM Green DAK 2019 5,500.00

81 DAK 2016 8,540.00
Piece
82 G20 X 33 MM Pink DAK 2019 5,500.00
Piece
84 G22 X 25 MM Blue DAK 2019 5,500.00

85 DAK 2016 8,540.00
Piece
88 G24 X 0.75 " DAK 2019 5,500.00

89 DAK 2016 8,540.00

95 DAK 2017 28,745.25

96 DAK 2017 (2) 28,750.00

97 DAK 2018 28,750.00

98 DAK 2019 20,600.00

99 DAK 2016 28,750.00
Box
103 pads) DAK 2016 8,650.50
Box
104 pads) DAK 2017 8,650.36
Box
105 pads) DAK 2017(2) 8,652.70
Box
106 pads) DAK 2019 7,370.00
Roll
110 10cm DAK 2017 2,475.75
Roll
111 10cm DAK 2017(2) 2,488.87
Roll
112 10cm DAK 2018 2,475.75
Roll
113 10cm DAK 2019 2,415.00
Roll
114 10cm DAK 2016 2,475.43
118 DAK 2016 550.00
119 DAK 2017 550.00
NGT
120 cm) DAK 2015 8,841.00
NGT
121 cm) DAK 2015 8,841.00
NGT
122 (125 cm) DAK 2015 10,010.00
NGT
123 (125 cm) DAK 2015 10,010.00
NGT
124 (125 cm) DAK 2015 10,010.00
Roll
146 4.5 m DAK 2016 35,532.00
Roll
147 4.5 m DAK 2018 12,076.00
Roll
148 4.5 m DAK 2019 12,675.00
Benang Bedah SMI
Sachet
Benang Bedah SMI
Sachet
Piece
163 Nylon DAK 2016 1,250.00
Piece
164 hanger DAK 2019 4,800.00
Piece
165 hanger DAK 2016 6,710.00
Piece
166 hanger DAK 2018 6,710.00
Botol 1 Liter
182 instrumen DAK 2017 141,406.33
Botol 500 ml
Botol 500 ml
Botol 1 Liter
185 instrumen DAK 2017(2) 142,568.00
Botol 500 ml
Botol 500 ml
Botol 1 Liter
188 instrumen DAK 2018 141,417.00
Botol 500 ml
Botol 500 ml
Botol 500 ml
Botol 500 ml
REAGENSIA
Vial 10 ml
15 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
16 (Vial 10 ml) DAK 2016 105,135.00
Vial 10 ml
17 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
18 10 ml) DAK 2016 126,695.00
Vial 10 ml
19 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
20 (Vial 10 ml) DAK 2017 98,822.50
Vial 10 ml
21 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
22 10 ml) DAK 2017 120,382.50
Vial 10 ml
23 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
24 (Vial 10 ml) DAK 2019 84,000.00
Vial 10 ml
25 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
26 10 ml) DAK 2019 104,000.00
Salmonella Paratyphi AH Widal Test Vial 5 ml

76 DAK 2017 72,972.50
Salmonella Paratyphi AO Widal Test Vial 5 ml

77 DAK 2017 72,972.50
Salmonella Paratyphi BH Widal Test Vial 5 ml

78 DAK 2017 72,972.50
Salmonella Paratyphi BO Widal Test Vial 5 ml

79 DAK 2017 72,972.50
Salmonella Paratyphi CH Widal Test Vial 5 ml

80 DAK 2017 72,972.50
Salmonella Paratyphi CO Widal Test Vial 5 ml

81 DAK 2017 72,972.50
Salmonella Paratyphi AH Widal Test Vial 5 ml

84 DAK 2019 61,000.00
Salmonella Paratyphi AO Widal Test Vial 5 ml

85 DAK 2019 61,000.00
Salmonella Paratyphi BH Widal Test Vial 5 ml

86 DAK 2019 61,000.00
Salmonella Paratyphi BO Widal Test Vial 5 ml

87 DAK 2019 61,000.00
Salmonella Paratyphi CH Widal Test Vial 5 ml

88 DAK 2019 61,000.00
Salmonella Paratyphi CO Widal Test Vial 5 ml
89 DAK 2019 61,000.00

1 DAK 2016 3,349.00
Kaplet
2 500 mg DAK 2016 233.00
kunyah,kombinasi:
3 200 mg DAK 2016 64.00
Botol
5 solution 0,1% DAK 2016 125,750.00

6 DAK 2015 1,156.00

8 DAK 2016 93.00
Dus, 1 Vial @ 5 ml
15 ml ( ABU I ) DAK 2015 472,000.00
Kaplet
16 500 mg DAK 2016 233.00
kunyah,kombinasi:
Tablet kunyah
17 200 mg DAK 2016 64.00

18 DAK 2016 93.00
Loratadin tablet/kapsul/kaplet 10 mg Tablet

19 DAK 2016 149.00
TOTAL
AN OBAT DAN BAHAN MEDIS HABIS PAKAI DI GUDANG OBAT
APBD II TAHUN 2019
PUSKESMAS SEBAWI
PENERIMAAN TAHUN 2019 (Satuan)

JAN FEB MAR APR MEI
6 7 8 9 10
1,000.00 2,000.00 2,000.00
300.00
100.00
1,500.00 1,000.00 2,000.00 1,200.00
300.00 300.00
3,000.00 6,000.00 3,000.00 6,000.00
1,000.00 5,000.00 5,000.00
150.00 300.00
100.00
50.00
2,000.00 5,000.00
25.00
30.00 20.00 30.00

600.00
300.00 400.00
60.00
1,000.00 1,000.00
2,000.00 3,000.00 3,000.00
2,000.00
3,000.00 1,000.00 2,000.00 1,000.00 1,000.00
300.00 300.00
300.00 1,700.00 500.00
50.00
300.00
500.00 400.00 500.00

1,500.00
300.00 100.00 300.00
50.00 100.00
20.00 20.00
12.00 12.00
990.00
2,000.00 1,000.00
1,000.00 1,200.00
3,000.00 5,000.00
20.00
5.00
1,000.00
500.00
1,000.00
50.00 100.00
100.00
24.00 48.00
40.00
500.00 300.00
300.00
1,000.00
50.00
48.00
32.00
1,500.00
1,500.00 1,000.00 1,000.00

3,000.00
1,000.00
500.00
1,000.00
2,000.00 2,000.00 2,000.00

5,000.00
2,000.00
1,000.00
150.00 150.00 150.00
600.00 300.00
30.00
20.00 30.00 30.00 20.00
200.00
30.00
500.00 500.00
90.00 150.00
40.00 50.00
50.00
5,000.00
300.00
20.00
20.00
150.00 30.00
13.00
10.00
2,000.00 2,000.00
3,600.00
1,000.00 2,000.00 2,500.00 1,000.00 1,000.00
2,000.00
50.00
30.00 20.00
2,800.00 2,800.00
2,800.00
20.00 20.00 40.00
1,000.00 400.00
50.00
1.00
2.00
120.00 120.00 120.00
240.00 120.00
2,000.00 3,000.00 3,000.00
50.00
2,910.00 600.00 2,910.00 2,910.00
240.00
10.00 10.00
100.00 200.00 200.00
560.00
2,000.00 16,800.00
300.00
1,500.00 3,000.00
3,000.00
500.00 5,000.00
500.00
200.00
3,000.00 1,500.00
3,000.00
50.00
40.00 100.00
1,000.00 3,000.00
147.00
10.00 60.00
240.00
3,000.00 1,000.00
2,000.00
1,500.00 9,000.00
1,000.00 300.00
2.00 1.00 1.00

2.00
100.00 300.00
1,000.00
500.00 300.00 300.00
100.00 100.00
1,000.00 1,000.00 500.00
20.00
3,000.00 3,000.00 2,000.00 3,000.00 5,000.00
50.00
500.00
2,000.00
100.00
300.00
200.00 200.00 200.00
100.00
1,200.00 500.00 500.00 400.00
10.00 20.00
24.00
24.00 48.00
24.00
24.00
12.00 24.00
10.00
10.00
10.00 10.00
1,000.00 1,000.00
1,000.00 1,000.00
50.00
20.00 20.00
20.00 20.00 20.00
20.00 20.00
20.00
20.00
5.00
100.00
50.00
5,000.00
5.00
5.00
10.00
10.00
10.00
5.00
10.00
5.00
24.00
100.00
100.00 70.00
300.00
20.00 20.00
5.00 12.00 24.00
3.00
6.00 3.00
3.00 2.00
15.00
12.00
12.00 12.00
500.00 500.00
200.00 100.00 200.00 200.00
100.00 100.00 100.00 200.00 200.00
500.00 500.00 300.00
2.00
2.00
2.00
2.00
100.00
200.00
2.00
24.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
TOTAL PENERIMAAN TAHUN 2019 (Rupiah)
JUN (Satuan) JAN FEB MAR
11 12 13 14 15
- - - -
- - - -
- - - -
5,000.00 117,000 234,000 234,000
- - - -
- - - -
300.00 - 26,400 -
- - - -
100.00 - - 361,900
- - - -
- - - -
1,000.00 6,700.00 181,500 121,000 242,000
- - - -
- - - -
- - - -
- - - -
- - - -
600.00 - - -
- - - -
- - - -
- - - -
- - - -
18,000.00 273,000 546,000 273,000
- - - -
- - - -
11,000.00 - 191,000 955,000
- - - -
- - - -
450.00 288,000 - 576,000
- - - -
- - - -
100.00 - - 379,700
- - - -
- - - -
- - - -
- - - -
50.00 104,900 - -
- - - -
7,000.00 112,000 - 280,000
- - - -
- - - -
- - - -
- - - -
25.00 87,250 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
80.00 99,000 - -
600.00 122,400 - -
- - - -
700.00 - 59,700 -
- - - -
60.00 - - -
- - - -
- - - -
- - - -
2,000.00 118,000 118,000 -

8,000.00 240,000 - 360,000
- - - -
- - - -
- - - -
2,000.00 136,000 - -
1,000.00 9,000.00 306,000 102,000 204,000
- - - -
- - - -
600.00 462,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,500.00 46,200 261,800 77,000
- - - -
- - - -
- - - -
50.00 - - 149,850
300.00 - - -
- - - -
1,400.00 207,500 166,000 207,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,500.00 - - 226,500
- - - -
- - - -
- - - -
700.00 74,400 24,800 74,400
- - - -
- - - -
150.00 72,500 - -
- - - -
- - - -
40.00 118,000 - 118,000
- - - -
- - - -
- - - -
- - - -
24.00 72,000 - 72,000
990.00 313,830 - -
1,000.00 4,000.00 - - 194,000
2,200.00 115,000 138,000 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
8,000.00 102,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
20.00 - - 312,000
- - - -
- - - -
- - - -
- - - -
- - - -
5.00 - 72,295 -
- - - -
- - - -
- - - -
- - - -
- - - -
1,000.00 - - 109,000
- - - -
- - - -
- - - -
- - - -
500.00 - - -
1,000.00 - - 110,000
- - - -
150.00 143,100 - 286,200

- - - -
- - - -
- - - -
- - - -
100.00 108,800 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
72.00 60,000 - 120,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
40.00 580,000 - -
- - - -
- - - -
800.00 55,500 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 - - -
- - - -
1,000.00 273,000 - -
- - - -
- - - -
- - - -
- - - -
50.00 - 91,758 -
- - - -
48.00 - - 234,480
32.00 - 153,600 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,500.00 - 205,500 -
- - - -
- - - -
3,500.00 346,500 231,000 231,000

- - - -
3,000.00 - - -
- - - -
- - - -
1,000.00 108,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
500.00 - 133,000 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,000.00 - - 1,760,000
- - - -
6,000.00 216,000 - 216,000
- - - -
2,000.00 2,000.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5,000.00 - - 285,000
- - - -
- - - -
2,000.00 172,000 - -
2,000.00 3,000.00 - - -
- - - -
- - - -
450.00 94,350 94,350 94,350
- - - -
500.00 1,400.00 140,400 - -
30.00 - - 79,200
- - - -
100.00 55,800 83,700 83,700
- - - -
- - - -
- - - -
200.00 - - -
30.00 39,600 - -
- - - -
- - - -
- - - -
1,000.00 294,500 - 294,500
- - - -
- - - -
- - - -
240.00 132,210 220,350 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
90.00 154,000 - -
- - - -
- - - -
- - - -
- - - -
50.00 - - 368,500
- - - -
- - - -
5,000.00 225,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 - - 738,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
20.00 205,700 - -
20.00 205,700 - -
- - - -
- - - -
120.00 300.00 197,550 - -

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
13.00 - - 47,450
10.00 - - 37,960
- - - -
- - - -
- - - -
- - - -
4,000.00 278,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
3,600.00 370,800 - -
1,000.00 8,500.00 102,000 204,000 255,000

- - - -
- - - -
- - - -
2,000.00 - - 230,000
- - - -
- - - -
- - - -
- - - -
50.00 190,000 - -
- - - -
- - - -
50.00 - - 165,000
- - - -
- - - -
- - - -
5,600.00 378,000 - 378,000
2,800.00 - - -
- - - -
80.00 128,200 - 128,200
- - - -
1,400.00 - 110,000 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
50.00 1,209,900 - -
- - - -
- - - -
1.00 1,435,178 - -
- - - -
- - - -
2.00 514,250 - -
- - - -
- - - -
- - - -
360.00 - 720,000 -
- - - -
- - - -
- - - -
- - - -
360.00 2,832,000 - 1,416,000
- - - -
- - - -
8,000.00 1,320,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
50.00 130,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
9,330.00 430,680 88,800 430,680
- - - -
- - - -
240.00 - 97,440 -
20.00 12,540 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
500.00 116,000 - -
- - - -
560.00 - - 3,836,000
- - - -
- - - -
- - - -
- - - -
18,800.00 120,000 - 1,008,000
- - - -
- - - -
- - - -
300.00 112,200 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
4,500.00 - 204,000 -
- - - -
- - - -
- - - -
1,000.00 4,000.00 - 390,000 -
- - - -
- - - -
- - - -
5,500.00 42,500 - 425,000
- - - -
- - - -
- - - -
- - - -
- - - -
500.00 29,500 - -
- - - -
- - - -
- - - -
- - - -
200.00 - - -
- - - -
- - - -
3,000.00 7,500.00 - - 707,850
3,000.00 330,000 - -
- - - -
- - - -
- - - -
50.00 83,850 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
140.00 - - 286,000
- - - -
- - - -
- - - -
- - - -
4,000.00 86,000 - 258,000
- - - -
- - - -
- - - -
147.00 - - 722,652
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
70.00 121,550 - 729,300
- - - -
- - - -
- - - -
- - - -
- - - -
240.00 - - 991,920
- - - -
- - - -
- - - -
4,000.00 1,365,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,000.00 3,000.00 110,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
10,500.00 169,500 1,017,000 -
- - - -
- - - -
1,300.00 254,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
4.00 959,992 479,996 479,996
- - - -
- - - -
2.00 - 261,998 -
- - - -
- - - -
- - - -
400.00 919,200 2,757,600 -
- - - -
500.00 1,500.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,100.00 416,250 249,750 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
200.00 32,968 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,000.00 3,500.00 80,000 80,000 -
- - - -
- - - -
- - - -
20.00 539,740 - -
- - - -
- - - -
- - - -
16,000.00 396,000 396,000 264,000
- - - -
- - - -
- - - -
- - - -
50.00 164,250 - -
- - - -
500.00 - - -
2,000.00 - - 1,172,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 - - 129,195
- - - -
- - - -
300.00 301,950 - -
600.00 - - 206,712
- - - -
- - - -
100.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,600.00 - 192,276 80,115
- - - -
- - - -
30.00 175,131 - 350,262
- - - -
- - - -
- - - -
- - - -
- - - -
24.00 846,840 - -
72.00 810,840 - -
- - - -
24.00 810,840 - -
24.00 846,840 - -
36.00 - - -
- - - -
- - - -
- - - -
10.00 100,000 - -
- - - -
- - - -
- - - -
- - - -
10.00 - - 134,200
20.00 134,200 - 134,200
- - - -
- - - -
- - - -
- - - -
- - - -
2,000.00 563,640 - 563,640
2,000.00 563,640 - 563,640
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
50.00 292,800 - -
- - - -
- - - -
- - - -
- - - -
- - - -
40.00 - 146,400 146,400
- - - -
- - - -
- - - -
60.00 146,400 - 146,400
- - - -
- - - -
- - - -
40.00 146,400 - -
- - - -
- - - -
- - - -
20.00 146,400 - -
- - - -
- - - -
20.00 187,880 - -
5.00 143,726 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 200.00 865,036 - -
- - - -
- - - -
- - - -
- - - -
50.00 445,162 - -
- - - -
- - - -
50.00 50.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5,000.00 - - 2,750,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5.00 40,260 - -
- - - -
- - - -
- - - -
5.00 40,260 - -
- - - -
- - - -
- - - -
- - - -
10.00 - - -
- - - -
- - - -
10.00 167,040 - -
10.00 167,040 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5.00 60,380 - -
- - - -
- - - -
10.00 755,370 - -
- - - -
- - - -
5.00 171,500 - -
- - - -
- - - -
- - - -
- - - -
24.00 - 496,440 -
- - - -
100.00 953,315 - -
170.00 - - 953,315
- - - -
300.00 - - 375,000
- - - -
- - - -
40.00 134,200 - 134,200

- - - -
- - - -
41.00 - 30,973 74,334
- - - -
- - - -
3.00 - - 159,900
- - - -
- - - -
9.00 140,400 - 70,200
- - - -
- - - -
5.00 - 11,250 7,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
15.00 2,138,520 - -
12.00 1,002,728 - -
24.00 784,128 - 784,128
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,000.00 1,594,120 1,594,120 -
700.00 4,713,200 2,356,600 4,713,200
700.00 523,880 523,880 523,880
1,300.00 - - 1,594,120
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2.00 149,025 - -
2.00 197,645 - -
2.00 149,025 - -
2.00 240,765 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 718,100 - -
- - - -
- - - -
- - - -
- - - -
200.00 - - 4,840,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2.00 58,900 - -
24.00 466,752 - -
- - - -
2.00 58,000 - -
2.00 657,400 - -
2.00 148,200 - -
2.00 352,450 - -
- - - -
2.00 735,300 - -
2.00 41,800 - -
2.00 188,000 - -
2.00 38,950 - -
2.00 93,100 - -
2.00 47,500 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
48,611,215.79 15,682,775.65 43,710,929.36
142,288,815.52
RIMAAN TAHUN 2019 (Rupiah) TOTAL
APR MEI JUN (Rupiah)
16 17 18 19
- - - -
- - - -
- - - -
- - - 585,000
- - - -
- - - -
- - - 26,400
- - - -
- - - 361,900
- - - -
- - - -
145,200 - 121,000 810,700
- - - -
- - - -
- - - -
- - - -
- - - -
29,100 29,100 - 58,200
- - - -
- - - -
- - - -
- - - -
546,000 - - 1,638,000
- - - -
- - - -
955,000 - - 2,101,000
- - - -
- - - -
- - - 864,000
- - - -
- - - -
- - - 379,700
- - - -
- - - -
- - - -
- - - -
- - - 104,900
- - - -
- - - 392,000
- - - -
- - - -
- - - -
- - - -
- - - 87,250
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
66,000 99,000 - 264,000

- - - 122,400
- - - -
79,600 - - 139,300
- - - -
165,000 - - 165,000
- - - -
- - - -
- - - -
- - - 236,000
- 360,000 - 960,000
- - - -
- - - -
- - - -
- - - 136,000
102,000 102,000 102,000 918,000
- - - -
- - - -
462,000 - - 924,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 385,000
- - - -
- - - -
- - - -
- - - 149,850
127,500 - - 127,500
- - - -
- - - 581,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 226,500
- - - -
- - - -
- - - -
- - - 173,600
- - - -
- - - -
145,000 - - 217,500
- - - -
- - - -
- - - 236,000
- - - -
- - - -
- - - -
- - - -
- - - 144,000
- - - 313,830
- 97,000 97,000 388,000
- - - 253,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 170,000 - 272,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 312,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 72,295
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 109,000
- - - -
- - - -
- - - -
- - - -
45,000 - - 45,000
- - - 110,000
- - - -
- - - 429,300
- - - -
- - - -
- - - -
- - - -
- - - 108,800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 180,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 580,000
- - - -
- - - -
33,300 - - 88,800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
316,500 - - 316,500
- - - -
- - - 273,000
- - - -
- - - -
- - - -
- - - -
- - - 91,758
- - - -
- - - 234,480
- - - 153,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 205,500
- - - -
- - - -
- - - 808,500
- - - -
- 621,000 - 621,000
- - - -
- - - -
- - - 108,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 133,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,760,000
- - - -
216,000 - - 648,000
- - - -
- - 224,000 224,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 285,000
- - - -
- - - -
- - - 172,000
80,000 - 160,000 240,000
- - - -
- - - -
- - - 283,050
- - - -
70,200 - 117,000 327,600
- - - 79,200
- - - -
55,800 - - 279,000
- - - -
- - - -
- - - -
57,200 - - 57,200
- - - 39,600
- - - -
- - - -
- - - -
- - - 589,000
- - - -
- - - -
- - - -
- - - 352,560
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
192,500 - - 346,500
- - - -
- - - -
- - - -
- - - -
- - - 368,500
- - - -
- - - -
- - - 225,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 738,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 205,700
- - - 205,700
- - - -
- - - -
39,510 - 158,040 395,100

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 47,450
- - - 37,960
- - - -
- - - -
- - - -
- - - -
278,000 - - 556,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 370,800
102,000 102,000 102,000 867,000

- - - -
- - - -
- - - -
- - - 230,000
- - - -
- - - -
- - - -
- - - -
- - - 190,000
- - - -
- - - -
110,000 - - 275,000
- - - -
- - - -
- - - -
- - - 756,000
- 380,800 - 380,800
- - - -
- 256,400 - 512,800
- - - -
44,000 - - 154,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,209,900
- - - -
- - - -
- - - 1,435,178
- - - -
- - - -
- - - 514,250
- - - -
- - - -
- - - -
720,000 720,000 - 2,160,000
- - - -
- - - -
- - - -
- - - -
- - - 4,248,000
- - - -
- - - -
1,980,000 1,980,000 - 5,280,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 130,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 430,680 - 1,380,840
- - - -
- - - -
- - - 97,440
12,540 - - 25,080
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
232,000 232,000 - 580,000
- - - -
- - - 3,836,000
- - - -
- - - -
- - - -
- - - -
- - - 1,128,000
- - - -
- - - -
- - - -
- - - 112,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 408,000 - 612,000
- - - -
- - - -
- - - -
- - 130,000 520,000
- - - -
- - - -
- - - -
- - - 467,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 29,500
- - - -
- - - -
- - - -
- - - -
64,000 - - 64,000
- - - -
- - - -
353,925 - 707,850 1,769,625
- - - 330,000
- - - -
- - - -
- - - -
- - - 83,850
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
715,000 - - 1,001,000
- - - -
- - - -
- - - -
- - - -
- - - 344,000
- - - -
- - - -
- - - -
- - - 722,652
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 850,850
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 991,920
- - - -
- - - -
- - - -
455,000 - - 1,820,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 55,000 165,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,186,500
- - - -
- - - -
76,200 - - 330,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,919,984
- - - -
- - - -
- - - 261,998
- - - -
- - - -
- - - -
- - - 3,676,800
- - - -
- 296,000 148,000 444,000

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
249,750 - - 915,750
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
32,968 - - 65,936
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
40,000 - 80,000 280,000
- - - -
- - - -
- - - -
- - - 539,740
- - - -
- - - -
- - - -
396,000 660,000 - 2,112,000
- - - -
- - - -
- - - -
- - - -
- - - 164,250
- - - -
302,000 - - 302,000
- - - 1,172,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 129,195
- - - -
- - - -
- - - 301,950
206,712 206,712 - 620,136
- - - -
- - - -
113,216 - - 113,216
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
80,115 64,092 - 416,598
- - - -
- - - -
- - - 525,393
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 846,840
1,621,680 - - 2,432,520
- - - -
- - - 810,840
- - - 846,840
405,420 810,840 - 1,216,260

- - - -
- - - -
- - - -
- - - 100,000
- - - -
- - - -
- - - -
- - - -
- - - 134,200
- - - 268,400
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,127,280
- - - 1,127,280
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 292,800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 292,800
- - - -
- - - -
- - - -
146,400 - - 439,200
- - - -
- - - -
- - - -
146,400 - - 292,800
- - - -
- - - -
- - - -
- - - 146,400
- - - -
- - - -
- - - 187,880
- - - 143,726
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 865,036 1,730,072
- - - -
- - - -
- - - -
- - - -
- - - 445,162
- - - -
- - - -
- - 123,788 123,788
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 2,750,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 40,260
- - - -
- - - -
- - - -
- - - 40,260
- - - -
- - - -
- - - -
- - - -
80,520 - - 80,520
- - - -
- - - -
- - - 167,040
- - - 167,040
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 60,380
- - - -
- - - -
- - - 755,370
- - - -
- - - -
- - - 171,500
- - - -
- - - -
- - - -
- - - -
- - - 496,440
- - - -
- - - 953,315
667,321 - - 1,620,636
- - - -
- - - 375,000
- - - -
- - - -
- - - 268,400
- - - -
- - - -
- 148,669 - 253,976
- - - -
- - - -
- - - 159,900
- - - -
- - - -
- - - 210,600
- - - -
- - - -
- - - 18,750
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 2,138,520
- - - 1,002,728
- - - 1,568,256
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 3,188,240
4,713,200 - - 16,496,200
1,047,760 1,047,760 - 3,667,160
1,594,120 956,472 - 4,144,712
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 149,025
- - - 197,645
- - - 149,025
- - - 240,765
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 718,100
- - - -
- - - -
- - - -
- - - -
- - - 4,840,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 58,900
- - - 466,752
- - - -
- - - 58,000
- - - 657,400
- - - 148,200
- - - 352,450
- - - -
- - - 735,300
- - - 41,800
- - - 188,000
- - - 38,950
- - - 93,100
- - - 47,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
20,914,656.50 10,178,524.72 3,190,713.50 142,288,815.52

DAFTAR PENERIMAAN OBAT DAN BAHAN
APBD II TAHUN
PUSKESMAS S
1 2 3 4 5
I OBAT GENERIK

14 DAK 2017 3,080.00

15 DAK 2018 2,878.00

16 DAK 2019 3,071.00
Tablet
Tablet
Kaptab
26 500 mg DAK 2017 191.00
Kaplet
27 500 mg DAK 2019 365.00
Kaplet
28 500 mg DAK 2018 248.00
Botol 60 ml
29 DAK 2017 1,920.00
Botol 60 ml
30 DAK 2019 2,783.00
Botol 60 ml
31 DAK 2018 1,919.00
Botol 60 ml
32 ml DAK 2017 3,797.00
Botol 60 ml
33 ml DAK 2018 3,604.00
Botol 60 ml
34 ml DAK 2019 3,846.00
kunyah,kombinasi:
39 200 mg DAK 2018 56.00
kunyah,kombinasi:
40 200 mg DAK 2017 59.00
kunyah,kombinasi:
41 200 mg DAK 2019 60.00
IU/g Tube 5 gram
42 DAK 2015 2,767.00
IU/g Tube 5 gram
43 DAK 2017 3,365.00
IU/g Tube 5 gram
44 DAK 2018 3,490.00
Botol 60 ml
45 mg+Pektin 40 mg DAK 2016 8,000.00
Botol 60 ml
46 mg+Pektin 40 mg DAK 2017 6,190.00
Tablet
53 DAK 2017 204.00
Tablet
Tablet

56 DAK 2019 2,860.00
Ampul 25 ml
58 ml DAK 2016 2,750.00

Tablet
59 DAK 2015 1,409.00
Tablet
Tablet
65 mg(Afolat) DAK 2015 140.00
Tablet
66 mg(Afolat) DAK 2016 68.00

73 DAK 2016 2,789.00

74 DAK 2017 2,530.00

75 DAK 2018 2,225.00
Tablet
Tablet

85 DAK 2017 415.00
Tablet
86 tablet DAK 2016 173.00
Tablet
87 tablet DAK 2019 159.00
93 mg DAK 2016 660.00
94 mg DAK 2018 409.00
95 gram DAK 2017 1,071.00
96 gram DAK 2018 1,232.00
97 gram DAK 2019 6,006.00
Botol
98 solution 0,1% DAK 2019 83,190.00
Botol
99 100 mcg/puff DAK 2018 83,190.00

102 DAK 2017 298.00
Tube 5 gram
105 Valerat) DAK 2019 1,465.00
Tube 5 gram
107 Valerat) DAK 2017 1,450.00
Supp
109 supp) DAK 2019 5,900.00
Supp
Supp
Supp
113 supp) DAK 2019 6,000.00

123 DAK 2016 1,745.00

124 DAK 2017 1,822.00

125 DAK 2018 1,210.00

126 DAK 2019 1,210.00
Botol
130 ml DAK 2016 41,800.00
Tablet
Tablet
Tube
138 (STESOLID) DAK 2018 21,021.00
Tube
139 (STESOLID) DAK 2019 21,021.00
Tube
141 ml(STESOLID) DAK 2018 14,459.00
Tube
142 ml(STESOLID) DAK 2019 14,459.00

144 DAK 2017 1,222.00

145 DAK 2019 1,347.00

146 DAK 2016 1,354.00

147 DAK 2017 109.00

149 DAK 2017 299.00

153 DAK 2017 110.00

155 DAK 2018 2,862.00
Tablet
158 mg DAK 2016 1,001.00
Tablet
159 mg DAK 2017 1,050.00
Tablet
160 mg DAK 2018 1,088.00
Ampul
161 1 mg/ml DAK 2018 1,518.00
Ampul
162 1 mg/ml DAK 2019 1,518.00
Ampul
163 1 mg/ml DAK 2016 2,354.00

165 DAK 2017 766.00

166 DAK 2018 781.00

167 DAK 2017 6,461.00

168 DAK 2016 7,039.00

178 DAK 2017 6,231.00
Ampul 1 ml
185 mg/ml DAK 2018 1,914.23
Ampul 1 ml
186 mg/ml DAK 2019 4,236.00
Ampul 1 ml
187 mg/ml DAK 2016 4,083.00
Tablet Salut Gula
188 10 mg DAK 2017 790.00
Tablet
189 10 mg DAK 2019 873.00
Nebules 2 ml
191 0,5 mg) DAK 2017 14,500.00
192 0,5 mg) DAK 2018 14,929.00
193 0,5 mg) DAK 2019 15,675.00

200 DAK 2017 1,254.00

201 DAK 2018 1,055.00
Sachet 4,26 gram
202 anhidrat 2,7 g DAK 2019 281.00

Sachet
203 DAK 2017 273.00

Sachet
204 DAK 2018 263.00

205 DAK 2016 436.00

225 DAK 2017 231.00

239 DAK 2016 264.00

240 DAK 2017 266.00
Ampul 1 ml
243 50 mg/ml DAK 2016 97,500.00
Botol 15 ml
247 mg/mL DAK 2016 18,499.00
249 ml DAK 2017 1,300,000.00
250 ml DAK 2019 1,325,000.00

259 DAK 2019 112.00

260 DAK 2018 112.00

267 DAK 2017 85.00

268 DAK 2019 142.56

269 DAK 2019 190.30

270 DAK 2017 182.00

271 DAK 2018 89.00
272 DAK 2019 165.00

273 DAK 2017 95.00

274 DAK 2016 690.00
275 300 mg DAK 2017 682.00
Tablet
Tablet
Tablet

280 DAK 2017 86.00

283 DAK 2017 770.00

284 DAK 2018 629.00
Tablet
285 mg DAK 2019 250.00
Tablet
292 mg DAK 2017 297.00

297 DAK 2019 812.96

298 DAK 2017 589.00

299 DAK 2018 583.00

301 DAK 2017 1,799.00

302 DAK 2018 1,469.00
Kapsul
303 500 mg DAK 2016 1,155.00
Kapsul
304 mg DAK 2017 502.29
Botol plastik 10 ml
315 TM) DAK 2016 7,125.00
Botol plastik 10 ml
316 TM) DAK 2018 6,600.00
Botol plastik 10 ml
317 TM) DAK 2019 9,900.00
Botol plastik 10 ml
318 TT) DAK 2016 7,125.00
Botol plastik 10 ml
319 TT) DAK 2017 7,370.00
Botol plastik 10 ml
320 TT) DAK 2019 9,900.00
Tablet
Tablet
Tablet
324 mg DAK 2018 24.00
Ampul 1 ml
325 (HCl) DAK 2016 1,425.00
Ampul 1 ml
326 (HCl) DAK 2017 1,349.00
Ampul 1 ml
327 (HCl) DAK 2019 1,531.00
Ampul 1 ml
328 (HCl) DAK 2018 1,435.00
Tablet
Tablet

331 DAK 2019 181.00
Tablet
334 mg DAK 2017 632.00

335 DAK 2016 2,225.00

trimetoprim 40 mg
336 DAK 2017 2,462.00
trimetoprim 40 mg
337 DAK 2018 2,052.00

trimetoprim 40 mg
338 DAK 2019 2,190.00
339 160 mg DAK 2017 327.00
kotrimoksazol forte
341 160 mg DAK 2019 319.00
Plabott, 500 ml
343 3A injection) DAK 2017 10,285.00
Plabott, 500 ml
344 3B injection) DAK 2017 10,285.00

345 DAK 2016 40,000.00
347 + Epinefrin 1 : 80.000 - 2 ml DAK 2018 1,317.00
Ampul 2 ml
351 80.000 - 2 mL DAK 2016 2,122.00
Ampul 2 ml
352 80.000 - 2 mL DAK 2017 2,227.00
Ampul 2 ml
353 80.000 - 2 mL DAK 2019 1,405.00
Ampul 25 ml
361 injeksi 40% DAK 2016 3,650.00
Tablet
366 mg DAK 2019 148.00
Tablet
367 mg DAK 2017 165.00
Tablet
368 mg DAK 2018 139.00
Tablet
371 0,125 mg DAK 2016 222.20
Tablet Salut
372 0,125 mg DAK 2017 270.60
Tablet Salut
373 0,125 mg DAK 2018 243.00
Ampul
374 ml DAK 2019 3,399.00
375 ml Ampul DAK 2018 3,399.00
376 ml Ampul DAK 2016 2,684.00
378 mg Tablet DAK 2017 93.00
379 mg Tablet DAK 2018 83.00
Tablet
385 mg DAK 2019 109.00
Kaptap ss
386 mg DAK 2017 103.00
Kaptap ss
387 mg DAK 2018 102.00
Tablet
391 mg DAK 2017 115.00
Tablet
394 mg DAK 2019 277.20
Tablet
402 50 mg DAK 2019 145.00
403 50 mg DAK 2017 135.00
405 Steril DAK 2017 6,410.00
406 Steril DAK 2018 6,410.00
407 Steril DAK 2019 6,840.00

408 DAK 2017 110.00
Tablet Salut Gula

Tablet

419 DAK 2017 430,538.00

421 DAK 2017 1,435,178.00

422 DAK 2018 1,492,579.00
Paket
423 Sisipan DAK 2016 183,984.00
424 dispersibel" DAK 2017 257,125.00
Paket
425 Anak DAK 2016 247,234.00
Paket
426 Anak DAK 2018 267,397.00
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Ampul
446 10 UI/ml DAK 2016 1,900.00

452 DAK 2017 148.00

453 DAK 2019 429.00

454 DAK 2017 523.00

455 DAK 2018 406.00

456 DAK 2017 1,254.00
Ampul 2 ml
457 ml) DAK 2016 1,650.00
Ampul 2 ml
458 ml) DAK 2019 1,258.00
460 mL DAK 2019 11,610.00
461 mL DAK 2017 12,939.00
462 mL DAK 2018 11,610.00
466 (60mg/0,6ml) (G) DAK 2018 7,646.00
Botol 15 ml
467 (60mg/0,6ml) (G) DAK 2017 6,850.00
Botol 15 ml
468 (60mg/0,6ml) (G) DAK 2019 7,646.00
Tablet
470 mg DAK 2019 60.00
Tablet
471 mg DAK 2017 51.00
Ampul
474 mg/ml (HCl) DAK 2015 15,950.00

483 DAK 2018 141.00
Tablet
484 mg (HCl) DAK 2017 136.00

485 DAK 2016 136.00
Tablet
486 mg (HCl) DAK 2019 150.00

491 DAK 2016 102.00

492 DAK 2017 85.00

493 DAK 2018 74.00

494 DAK 2019 79.00

498 DAK 2017 59.00

500 DAK 2019 63.00
Tablet
502 mg DAK 2019 586.00
Tablet
503 mg DAK 2016 320.00

507 DAK 2017 110.00

508 DAK 2019 235.95
Kapsul
514 lunak DAK 2016 327.00
Kapsul
515 lunak DAK 2018 331.00
Kapsul lunak
516 lunak DAK 2017 585.00
Kapsul
517 lunak DAK 2018 596.00
Kapsul
518 lunak DAK 2016 536.00

519 DAK 2019 985.00

520 DAK 2017 1,274.00

521 DAK 2018 1,134.00
Tablet
Tablet

529 DAK 2019 77.00
Nebules
533 Nebules) DAK 2017 14,124.00
Nebules
534 cairan ih 0,1% DAK 2019 4,000.00
Nebules
535 cairan ih 0,1% DAK 2018 4,000.00
Tube @ 10 g
540 krim 5% DAK 2016 12,155.00

546 DAK 2016 9,840.00

547 DAK 2017 4,133.00

548 DAK 2019 4,360.00

549 DAK 2018 4,086.00
551 DAK 2017 455.00

552 DAK 2019 492.00

560 DAK 2016 126.50
Tablet
Tablet
Tablet
563 500 mcg DAK 2019 1,160.00
Ampul 1 ml
564 500 mcg DAK 2017 1,117.00
Ampul 1 ml
565 mcg/ml - 1ml DAK 2016 1,226.00
Ampul 1 ml
566 mcg/ml - 1ml DAK 2015 1,050.00

568 DAK 2017 113.00

569 DAK 2019 117.00
Tablet
576 mg DAK 2017 277.00
Dus, 1 Vial @ 5 ml
577 (i.m./i.v) DAK 2019 512,204.00
Dus, 1 Vial @ 5 ml
578 (i.m./i.v) DAK 2017 462,000.00
Dus, 1 Vial @ 5 ml
579 ml ( ABU I ) DAK 2018 479,996.00
Ampul 1 ml
580 1500 IU/amp (i.m) DAK 2019 130,999.00
Ampul 1 ml
581 1500 IU/amp (i.m) DAK 2017 126,500.00
Ampul 1 ml
582 IU/ampul ( A.T.S ) DAK 2018 130,999.00
Vial
583 mg/ml DAK 2016 5,750.00
Vial
584 mg/ml DAK 2019 5,980.00

585 DAK 2016 10,100.00
586 DAK 2017 9,192.00

587 DAK 2019 7,338.00

588 DAK 2017 296.00
Supp
590 100 mg DAK 2016 2,789.00

594 Tablet DAK 2016 329.00

595 Tablet DAK 2018 310.00

596 Tablet DAK 2019 331.00

Tablet
50 mg (HCl/ Nitrat)
604 DAK 2019 94.00
Tablet
605 50 mg DAK 2018 88.00

Tablet
50 mg (HCl/ Nitrat)
606 DAK 2017 87.00
Tablet
607 100 mg DAK 2016 91.00

617 DAK 2017 80.00

619 DAK 2019 101.00

621 DAK 2017 26,987.00

622 DAK 2018 17,789.00

629 DAK 2019 3,285.00

630 DAK 2018 3,285.00
ALAT KESEHATAN
18 24GX1" DAK 2017 1,240.00
19 26 GX3/8" DAK 2017 1,650.00
20 23GX1" DAK 2016 1,240.00
21 27GX3/8" DAK 2016 1,650.00
22 23GX1" DAK 2018 1,240.00
23 27GX3/8" DAK 2018 1,650.00
24 27GX3/8" DAK 2019 1,557.00

28 DAK 2016 10,950.00
Benang Bedah SMI
Sachet
Sachet
35 MM DAK 2019 32,800.00
Sachet
37 MM DAK 2017 33,785.00
Sachet
39 MM DAK 2018 33,785.00
Sachet
41 MM DAK 2017 33,785.00
Sachet
43 MM DAK 2018 33,785.00
Sachet
45 MM DAK 2019 32,800.00
Piece
50 no. 16 DAK 2019 11,565.00
Piece
51 no. 16 DAK 2016 13,420.00
Piece
52 no. 16 DAK 2018 13,420.00
Piece
53 no. 18 DAK 2016 13,420.00
Piece
54 no. 18 DAK 2019 11,565.00
Piece
55 no. 18 DAK 2018 13,420.00
pasang
65 glove ) DAK 2017 24,200.00
pasang
66 glove ) DAK 2018 24,200.00
Piece
67 drops/ml) DAK 2017 6,222.00
Piece
69 drops/ml) DAK 2016 6,222.00
Piece
70 drops/ml) DAK 2018 6,222.00
drops/ml) Piece
71 DAK 2016 5,856.00
drops/ml) Piece
72 DAK 2017 5,856.00
drops/ml) Piece
73 DAK 2018 5,856.00
drops/ml) Piece
74 DAK 2019 5,096.00

77 DAK 2016 8,540.00
Piece
78 G18 X 45 MM Green DAK 2019 5,500.00

81 DAK 2016 8,540.00
Piece
82 G20 X 33 MM Pink DAK 2019 5,500.00
Piece
84 G22 X 25 MM Blue DAK 2019 5,500.00

85 DAK 2016 8,540.00
Piece
88 G24 X 0.75 " DAK 2019 5,500.00

89 DAK 2016 8,540.00

95 DAK 2017 28,745.25

96 DAK 2017 (2) 28,750.00
97 DAK 2018 28,750.00

98 DAK 2019 20,600.00

99 DAK 2016 28,750.00
Box
103 pads) DAK 2016 8,650.50
Box
104 pads) DAK 2017 8,650.36
Box
105 pads) DAK 2017(2) 8,652.70
Box
106 pads) DAK 2019 7,370.00
Roll
110 10cm DAK 2017 2,475.75
Roll
111 10cm DAK 2017(2) 2,488.87
Roll
112 10cm DAK 2018 2,475.75
Roll
113 10cm DAK 2019 2,415.00
Roll
114 10cm DAK 2016 2,475.43
118 DAK 2016 550.00
119 DAK 2017 550.00
NGT
120 cm) DAK 2015 8,841.00
NGT
121 cm) DAK 2015 8,841.00
NGT
122 (125 cm) DAK 2015 10,010.00
NGT
123 (125 cm) DAK 2015 10,010.00
NGT
124 (125 cm) DAK 2015 10,010.00
Roll
146 4.5 m DAK 2016 35,532.00
Roll
147 4.5 m DAK 2018 12,076.00
Roll
148 4.5 m DAK 2019 12,675.00
Benang Bedah SMI
Sachet
Benang Bedah SMI
Sachet
Piece
163 Nylon DAK 2016 1,250.00
Piece
164 hanger DAK 2019 4,800.00
Piece
165 hanger DAK 2016 6,710.00
Piece
166 hanger DAK 2018 6,710.00
Botol 1 Liter
182 instrumen DAK 2017 141,406.33
Botol 500 ml
Botol 500 ml
Botol 1 Liter
185 instrumen DAK 2017(2) 142,568.00
Botol 500 ml
Botol 500 ml
Botol 1 Liter
188 instrumen DAK 2018 141,417.00
Botol 500 ml
Botol 500 ml
Botol 500 ml
Botol 500 ml
REAGENSIA

Vial 10 ml
15 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
16 (Vial 10 ml) DAK 2016 105,135.00
Vial 10 ml
17 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
18 10 ml) DAK 2016 126,695.00
Vial 10 ml
19 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
20 (Vial 10 ml) DAK 2017 98,822.50
Vial 10 ml
21 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
22 10 ml) DAK 2017 120,382.50
Vial 10 ml
23 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
24 (Vial 10 ml) DAK 2019 84,000.00
Vial 10 ml
25 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
26 10 ml) DAK 2019 104,000.00


1 Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml DAK 2016 3,349.00

Kaplet
2 500 mg DAK 2016 233.00
kunyah,kombinasi:
Tablet kunyah
3 200 mg DAK 2016 64.00

Botol
5 solution 0,1% DAK 2016 125,750.00

6 DAK 2015 1,156.00
8 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2016 93.00

Dus, 1 Vial @ 5 ml
15 ml ( ABU I ) DAK 2015 472,000.00
Kaplet
16 500 mg DAK 2016 233.00
kunyah,kombinasi:
Tablet kunyah
17 200 mg DAK 2016 64.00
18 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2016 93.00

TOTAL
MAAN OBAT DAN BAHAN MEDIS HABIS PAKAI DI APOTEK
APBD II TAHUN 2019
PUSKESMAS SEBAWI

JAN FEB MAR APR MEI
6 7 8 9 10
600.00 1,000.00 1,100.00 200.00 800.00
20.00 21.00 30.00 10.00 39.00
700.00 900.00 1,400.00 600.00 1,500.00
100.00 100.00 200.00 100.00 200.00
3,780.00 3,300.00 3,900.00 3,180.00 2,100.00
1,900.00 2,700.00 400.00 1,800.00
59.00 94.00 41.00 30.00 94.00
12.00 30.00 22.00 23.00 18.00

6.00 20.00 10.00 24.00 31.00
400.00 500.00 300.00 800.00 1,000.00
45.00
6.00 5.00 15.00
4.00
7.00 2.00
9.00 10.00 14.00 35.00

1,200.00
100.00 200.00 100.00
500.00 300.00 400.00 100.00 500.00

900.00 1,200.00 1,000.00 1,700.00 1,900.00
300.00 200.00 100.00 400.00 500.00

2,200.00 1,200.00 1,700.00 1,300.00 1,900.00
100.00 200.00 100.00
600.00 500.00 200.00 600.00
6.00 9.00
25.00 20.00 7.00
50.00
300.00 400.00 350.00 150.00 200.00
100.00 100.00 100.00

600.00 12,000.00
7.00 5.00 5.00
270.00 270.00 60.00 120.00 450.00
100.00 300.00 100.00 200.00
15.00 25.00 50.00 25.00 75.00
30.00 1,200.00
100.00 900.00 2,000.00
950.00 1,000.00 800.00
30.00 51.00 25.00 45.00
300.00 600.00 400.00 700.00 1,000.00
100.00 100.00 100.00
100.00 200.00
100.00 300.00 1,300.00
36.00 10.00 10.00

12.00 25.00
100.00
3.00 6.00
11.00 5.00 19.00
100.00 200.00
200.00 200.00 100.00
30.00 60.00 60.00 30.00
100.00 200.00 100.00
25.00 25.00
14.00 24.00
800.00 300.00 300.00 400.00 300.00
100.00
700.00 1,000.00 700.00 800.00 900.00
600.00
300.00 200.00 400.00 200.00 300.00

300.00 100.00 200.00 200.00
17.00 29.00
200.00 300.00 200.00 100.00
1,000.00 1,200.00 1,300.00 1,600.00 1,000.00
7.00 17.00 11.00 2.00
8.00 12.00
200.00 200.00 100.00 100.00
1,500.00 900.00 1,400.00 900.00 1,300.00

1,000.00
60.00 90.00 60.00 30.00
25.00 23.00 26.00 14.00 24.00
200.00 100.00 150.00 100.00 150.00
100.00 300.00 100.00 200.00
30.00 60.00 60.00 30.00
120.00 120.00 240.00
7.00
5.00
10.00 50.00 10.00 10.00 10.00
10.00 16.00 12.00 20.00
600.00 400.00 1,000.00 1,200.00
2.00 15.00 25.00 5.00 20.00

300.00 100.00 400.00 100.00
200.00 400.00
50.00
1,100.00 900.00 400.00
1,100.00 1,000.00 1,700.00

300.00
2,600.00 1,500.00
800.00 1,900.00 2,600.00 2,000.00
100.00 300.00 600.00 200.00
5.00 16.00 10.00 4.00 20.00
700.00 1,450.00 1,250.00 1,300.00 2,300.00

50.00
300.00 200.00 400.00 400.00
2.00 31.00 20.00 1.00 9.00
50.00 15.00 50.00 22.00 80.00
44.00 100.00 72.00 50.00 60.00
700.00 700.00 800.00 800.00 1,300.00
35.00
2.00 8.00
1,320.00 1,290.00 1,350.00 1,440.00 1,380.00
90.00 6.00
67.00 35.00 5.00
71.00 49.00 70.00
10.00 15.00 10.00 10.00
1,500.00 2,200.00 1,600.00 1,800.00 2,000.00

900.00 200.00 500.00 700.00 900.00
1,400.00 500.00 800.00 700.00 800.00
200.00 200.00 100.00 200.00 300.00
200.00 200.00
100.00 200.00 200.00
200.00 1,200.00 1,900.00
1,500.00 1,200.00 2,000.00

300.00 500.00 200.00 400.00 600.00
2.00 6.00 5.00
15.00 17.00 13.00 33.00
16.00 22.00 50.00 40.00

1,300.00 700.00 900.00 400.00 500.00
700.00 600.00 300.00 200.00 700.00
3,100.00 2,040.00 2,250.00 2,160.00 1,080.00
400.00 400.00 300.00 100.00 400.00

155.00 95.00 175.00 75.00
100.00 100.00 200.00 300.00 1,000.00
100.00
100.00 100.00 200.00 100.00
200.00 600.00 200.00 700.00
5.00 4.00
1,500.00 2,200.00 2,400.00 2,000.00 1,900.00
10.00
200.00 300.00
100.00
11 12 13 14 15
- - - -
- - - -
- - - -
100.00 3,800.00 70,200 117,000 128,700
- - - -
- - - -
- - - -
- - - -
2.00 122.00 72,380 75,999 108,570
- - - -
- - - -
500.00 5,600.00 84,700 108,900 169,400
- - - -
- - - -
- - - -
- - - -
- - - -
700.00 9,700 9,700 19,400
- - - -
- - - -
- - - -
- - - -
1,920.00 18,180.00 343,980 300,300 354,900
- - - -
- - - -
900.00 7,700.00 - 362,900 515,700
- - - -
- - - -
318.00 113,280 180,480 78,720
- - - -
- - - -
23.00 128.00 45,564 113,910 83,534

- - - -
- - - -
- - - -
- - - -
10.00 101.00 12,588 41,960 20,980
- - - -
900.00 3,900.00 22,400 28,000 16,800
- - - -
- - - -
- - - -
- - - -
25.00 70.00 - - -
- - - -
10.00 36.00 - - 37,140
4.00 - 19,888 -
- - - -
- - - -
- - - -
9.00 24,514 - 7,004
8.00 76.00 - 29,700 33,000

1,200.00 244,800 - -
- - - -
400.00 - 19,900 39,800
- - - -
- - - -
- - - -
- - - -
- - - -
1,800.00 59,000 35,400 47,200

1,600.00 8,300.00 108,000 144,000 120,000
- - - -
- - - -
- - - -
300.00 1,800.00 20,400 13,600 6,800

1,000.00 9,300.00 224,400 122,400 173,400
- - - -
- - - -
400.00 154,000 - 308,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,900.00 92,400 77,000 -
- - - -
- - - -
15.00 57,300 85,950 -
5.00 57.00 - 74,925 59,940
50.00 100.00 - - -
- - - -
1,400.00 124,500 166,000 145,250
100.00 400.00 17,300 - 17,300
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
12,600.00 - 245,400 4,908,000
17.00 - - 7,497
- - - -
- - - -
- - - -
- - - -
150.00 1,320.00 40,770 40,770 9,060
- - - -
- - - -
- - - -
700.00 24,800 74,400 -
- - - -
- - - -
190.00 21,750 36,250 72,500

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,230.00 9,510 - 380,400
1,000.00 4,000.00 - - 9,700
2,750.00 109,250 115,000 92,000
- - - -
- - - -
- - - -
26.00 177.00 - 99,000 168,300
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,500.00 4,500.00 10,200 20,400 13,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 - - 10,900
- - - -
- - - -
- - - -
- - - -
300.00 - - -
1,700.00 11,000 33,000 143,000

- - - -
75.00 131.00 - - 103,032

37.00 204,000 425,000 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 - - -
- - - -
- - - -
9.00 - - 21,117
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
35.00 27,500 12,500 -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 400.00 79,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
200.00 700.00 22,200 22,200 11,100
- - - -
- - - -
- - - -
- - - -
- - - -
180.00 37,620 75,240 75,240
- - - -
- - - -
100.00 500.00 - 27,300 54,600
- - - -
- - - -
- - - -
- - - -
50.00 - 45,879 45,879
- - - -
- - - -
38.00 - 67,200 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
400.00 2,500.00 109,600 41,100 41,100
- - - -
100.00 21,800 - -
4,100.00 161,700 231,000 161,700

- - - -
300.00 900.00 - - -
- - - -
- - - -
200.00 1,600.00 32,400 21,600 43,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 900.00 79,800 26,600 53,200

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
6.00 52.00 - - 48,246
- - - -
- - - -
800.00 352,000 528,000 352,000
- - - -
400.00 6,500.00 108,000 129,600 140,400
- - - -
600.00 600.00 - - -
- - - -
- - - -
- - - -
37.00 17,920 43,520 28,160
- - - -
7.00 27.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
200.00 800.00 11,400 11,400 5,700
- - - -
- - - -
6,000.00 129,000 77,400 120,400

800.00 1,800.00 - - -
- - - -
- - - -
240.00 37,740 56,610 37,740
- - - -
- - - -
- - - -
- - - -
6.00 118.00 69,750 64,170 72,540
- - - -
- - - -
- - - -
700.00 57,200 28,600 42,900
- - - -
- - - -
- - - -
- - - -
100.00 800.00 58,900 - 176,700
- - - -
- - - -
- - - -
180.00 44,070 88,140 88,140
- - - -
480.00 - 60,275 60,275

- - - -
- - - -
6.00 13.00 - - 12,950
- - - -
- - - -
10.00 15.00 - - -
- - - -
- - - -
- - - -
20.00 110.00 38,500 192,500 38,500
- - - -
- - - -
- - - -
- - - -
7.00 65.00 73,700 117,920 88,440
- - - -
- - - -
1,600.00 4,800.00 - 27,000 18,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
21.00 88.00 4,924 36,930 61,550

- - - -
- - - -
300.00 1,200.00 98,100 32,700 130,800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 700.00 - 17,000 -
- - - -
- - - -
- - - -
- - - -
100.00 150.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,400.00 181,500 148,500 66,000
3,800.00 - - 152,900
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
4,100.00 267,800 154,500 -
700.00 8,000.00 - 81,600 193,800

- - - -
- - - -
- - - -
1,200.00 11,500 34,500 69,000

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
20.00 75.00 27,500 88,000 55,000
- - - -
- - - -
- - - -
7,000.00 94,500 195,750 168,750

1,450.00 1,500.00 - - -
- - - -
- - - -
- - - -
200.00 1,500.00 33,000 22,000 44,000

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
63.00 48,396 750,138 483,960
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
72.00 289.00 300,000 90,000 300,000
- - - -
- - - -
- - - -
- - - -
69.00 395.00 519,200 1,180,000 849,600
- - - -
- - - -
1,500.00 5,800.00 462,000 462,000 528,000

- - - -
35.00 57,400 - -
- - - -
- - - -
- - - -
27.00 37.00 - - 5,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
810.00 7,590.00 195,360 190,920 199,800
- - - -
96.00 47,070 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
107.00 67,871 35,455 5,065
- - - -
70.00 260.00 - - 82,360
- - - -
45.00 68,500 102,750 68,500
- - - -
- - - -
- - - -
- - - -
3,200.00 12,300.00 90,000 132,000 96,000
- - - -
- - - -
- - - -
100.00 100.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
700.00 3,900.00 122,400 27,200 68,000
- - - -
- - - -
- - - -
200.00 4,400.00 182,000 65,000 104,000
- - - -
- - - -
- - - -
400.00 1,400.00 17,000 17,000 8,500
- - - -
- - - -
- - - -
- - - -
- - - -
400.00 - - 11,800
- - - -
- - - -
- - - -
- - - -
100.00 600.00 32,000 - 64,000

- - - -
- - - -
1,700.00 5,000.00 - - 47,190
4,700.00 165,000 132,000 220,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
200.00 2,200.00 25,800 43,000 17,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
13.00 - - 5,814
- - - -
- - - -
- - - -
- - - -
3.00 81.00 - 182,325 206,635
- - - -
- - - -
- - - -
- - - -
- - - -
10.00 138.00 66,128 90,926 206,650
- - - -
- - - -
- - - -
800.00 4,600.00 591,500 318,500 409,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 2,800.00 38,500 33,000 16,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
660.00 11,290.00 350,300 230,520 254,250
- - - -
- - - -
100.00 1,700.00 101,600 101,600 76,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
500.00 1,424,760 873,240 1,608,600
- - - -
200.00 1,900.00 29,600 29,600 59,200

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 86,500 - -
- - - -
100.00 600.00 83,250 83,250 166,500
- - - -
- - - -
- - - -
- - - -
- - - -
200.00 1,900.00 17,400 52,200 17,400
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
9.00 - - 134,935
- - - -
- - - -
- - - -
2,100.00 12,100.00 198,000 290,400 316,800
- - - -
- - - -
- - - -
- - - -
19.00 29.00 - - -
- - - -
500.00 - - -
100.00 - 58,600 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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- - - -
- - - -
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- - - -
- - - -
- - - -
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- - - -
- - - -
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- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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- - - -
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- - - -
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- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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- - - -
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- - - -
- - - -
- - - -
- - - -
- - - -
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- - - -
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- - - -
- - - -
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- - - -
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- - - -
- - - -
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- - - -
- - - -
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- - - -
- - - -
-
-
-
-
-
-
-
-
-
-
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
-
254,107.00 10,008,845.00 11,595,989.80 17,827,712.80
66,349,724.20
16 17 18 19
- - - -
- - - -
- - - -
23,400 93,600 11,700 444,600
- - - -
- - - -
- - - -
- - - -
36,190 141,141 7,238 441,518
- - - -
- - - -
72,600 181,500 60,500 677,600
- - - -
- - - -
- - - -
- - - -
- - - -
9,700 19,400 - 67,900
- - - -
- - - -
- - - -
- - - -
289,380 191,100 174,720 1,654,380
- - - -
- - - -
76,400 343,800 171,900 1,470,700
- - - -
- - - -
57,600 180,480 - 610,560
- - - -
- - - -
87,331 68,346 87,331 486,016

- - - -
- - - -
- - - -
- - - -
50,352 65,038 20,980 211,898
- - - -
44,800 56,000 50,400 218,400
- - - -
- - - -
- - - -
- - - -
- 157,050 87,250 244,300
- - - -
30,950 92,850 61,900 222,840
- - - 19,888
- - - -
- - - -
- - - -
- - - 31,518
46,200 115,500 26,400 250,800

- - - 244,800
- - - -
- 19,900 - 79,600
- - - -
- - - -
- - - -
- - - -
- - - -
11,800 59,000 - 212,400

204,000 228,000 192,000 996,000
- - - -
- - - -
- - - -
27,200 34,000 20,400 122,400

132,600 193,800 102,000 948,600
- - - -
- - - -
154,000 - - 616,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
30,800 92,400 - 292,600
- - - -
- - - -
- - - 143,250
- 20,979 14,985 170,829
- 21,250 21,250 42,500
- - - -
62,250 83,000 - 581,000
- 17,300 17,300 69,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 5,153,400
5,355 5,355 - 18,207
- - - -
- - - -
- - - -
- - - -
18,120 67,950 22,650 199,320
- - - -
- - - -
- - - -
24,800 49,600 - 173,600
- - - -
- - - -
36,250 108,750 - 275,500

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 389,910
87,300 194,000 97,000 388,000
- - - 316,250
- - - -
- - - -
- - - -
82,500 148,500 85,800 584,100
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
23,800 34,000 51,000 153,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
10,900 10,900 - 32,700

- - - -
- - - -
- - - -
- - - -
9,000 18,000 - 27,000
- - - 187,000
- - - -
28,620 28,620 214,650 374,922

- - - 629,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 76,600 - 76,600
- - - -
- - - -
- 42,234 - 63,351
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 47,500 - 87,500
- - - -
- - - -
- - - -
- - - -
- - - -
- 158,000 79,000 316,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - 22,200 77,700
- - - -
- - - -
- - - -
- - - -
- - - -
- 37,620 - 225,720
- - - -
- - - -
- 27,300 27,300 136,500
- - - -
- - - -
- - - -
- - - -
- - - 91,758
- - - -
- - - -
- 115,200 - 182,400
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
54,800 41,100 54,800 342,500
- - - -
- - - 21,800
184,800 207,900 - 947,100

- - - -
- 124,200 62,100 186,300
- - - -
- - - -
21,600 32,400 21,600 172,800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 53,200 26,600 239,400

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 82,302 17,028 147,576
- - - -
- - - -
- 176,000 - 1,408,000
- - - -
172,800 108,000 43,200 702,000
- - - -
- - 67,200 67,200
- - - -
- - - -
- - - -
5,120 - - 94,720
- - - -
20,160 30,240 17,640 68,040
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5,700 - 11,400 45,600
- - - -
- - - -
77,400 111,800 - 516,000

- 80,000 64,000 144,000
- - - -
- - - -
- 18,870 - 150,960
- - - -
- - - -
- - - -
- - - -
39,060 66,960 16,740 329,220
- - - -
- - - -
- - - -
28,600 42,900 - 200,200
- - - -
- - - -
- - - -
- - - -
58,900 117,800 58,900 471,200
- - - -
- - - -
- - - -
44,070 - - 264,420
- - - -
- 120,550 - 241,099
- - - -
- - - -
- - 11,100 24,050
- - - -
- - - -
- 24,910 49,820 74,730
- - - -
- - - -
- - - -
38,500 38,500 77,000 423,500
- - - -
- - - -
- - - -
- - - -
- 147,400 51,590 479,050
- - - -
- - - -
45,000 54,000 72,000 216,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
12,310 49,240 51,702 216,656

- - - -
- - - -
- 32,700 98,100 392,400
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 34,000 8,500 59,500
- - - -
- - - -
- - - -
- - - -
- 6,350 12,700 19,050
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 396,000
139,000 236,300 - 528,200

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 27,900 - 27,900
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 422,300
265,200 204,000 71,400 816,000

- - - -
- - - -
- - - -
23,000 - - 138,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
22,000 110,000 110,000 412,500
- - - -
- - - -
- - - -
175,500 310,500 - 945,000

- 6,800 197,200 204,000
- - - -
- - - -
- - - -
- 44,000 22,000 165,000

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
24,198 217,782 - 1,524,474
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
132,000 480,000 432,000 1,734,000
- - - -
- - - -
- - - -
- - - -
590,000 708,000 814,200 4,661,000
- - - -
- - - -
528,000 858,000 990,000 3,828,000

- - - -
- - - 57,400
- - - -
- - - -
- - - -
- 20,800 70,200 96,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
213,120 204,240 119,880 1,123,320
- - - -
- 3,138 - 50,208
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 108,391
- - - -
56,840 81,200 81,200 301,600
- - - -
68,500 - - 308,250
- - - -
- - - -
- - - -
- - - -
108,000 120,000 192,000 738,000
- - - -
- - - -
- - - -
- - 37,400 37,400
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
95,200 122,400 95,200 530,400
- - - -
- - - -
- - - -
91,000 104,000 26,000 572,000
- - - -
- - - -
- - - -
17,000 25,500 34,000 119,000
- - - -
- - - -
- - - -
- - - -
- - - -
- 11,800 - 23,600
- - - -
- - - -
- - - -
- - - -
- 64,000 32,000 192,000

- - - -
- - - -
283,140 448,305 401,115 1,179,750
- - - 517,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
34,400 51,600 17,200 189,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
17,442 14,535 - 37,791
- - - -
- - - -
- - - -
- - - -
158,015 401,115 36,465 984,555
- - - -
- - - -
- - - -
- - - -
- - - -
- 165,320 41,330 570,354
- - - -
- - - -
- - - -
182,000 227,500 364,000 2,093,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
11,000 38,500 16,500 154,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
244,080 122,040 74,580 1,275,770
- - - -
- - - -
25,400 101,600 25,400 431,800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
689,400 - - 4,596,000
- - - -
88,800 296,000 59,200 562,400

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 86,500
- - - -
- 83,250 83,250 499,500
- - - -
- - - -
- - - -
- - - -
- - - -
- 60,900 17,400 165,300
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
107,948 - - 242,883
- - - -
- - - -
- - - -
264,000 250,800 277,200 1,597,200
- - - -
- - - -
- - - -
- - - -
- 32,850 62,415 95,265

- - - -
120,800 181,200 - 302,000
- - - 58,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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- - - -
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7,358,001.00 11,882,759.60 7,422,309.00 66,095,617.20
DAFTAR PENGELUARAN OBAT DAN BAHAN M
APBD II TAHUN
PUSKESMAS S
1 2 3 4 5
I OBAT GENERIK

14 DAK 2017 3,080.00

15 DAK 2018 2,878.00

16 DAK 2019 3,071.00
Tablet
Tablet
Kaptab
26 500 mg DAK 2017 191.00
Kaplet
27 500 mg DAK 2019 365.00
Kaplet
28 500 mg DAK 2018 248.00
Botol 60 ml
29 DAK 2017 1,920.00
Botol 60 ml
30 DAK 2019 2,783.00
Botol 60 ml
31 DAK 2018 1,919.00
Botol 60 ml
32 ml DAK 2017 3,797.00
Botol 60 ml
33 ml DAK 2018 3,604.00
Botol 60 ml
34 ml DAK 2019 3,846.00
kunyah,kombinasi:
39 200 mg DAK 2018 56.00
kunyah,kombinasi:
40 200 mg DAK 2017 59.00
kunyah,kombinasi:
41 200 mg DAK 2019 60.00
IU/g Tube 5 gram
42 DAK 2015 2,767.00
IU/g Tube 5 gram
43 DAK 2017 3,365.00
IU/g Tube 5 gram
44 DAK 2018 3,490.00
Botol 60 ml
45 mg+Pektin 40 mg DAK 2016 8,000.00
Botol 60 ml
46 mg+Pektin 40 mg DAK 2017 6,190.00
Tablet
53 DAK 2017 204.00
Tablet
Tablet

56 DAK 2019 2,860.00
Ampul 25 ml
58 ml DAK 2016 2,750.00

Tablet
59 DAK 2015 1,409.00
Tablet
Tablet
65 mg(Afolat) DAK 2015 140.00
Tablet
66 mg(Afolat) DAK 2016 68.00

73 DAK 2016 2,789.00

74 DAK 2017 2,530.00

75 DAK 2018 2,225.00
Tablet
Tablet

85 DAK 2017 415.00
Tablet
86 tablet DAK 2016 173.00
Tablet
87 tablet DAK 2019 159.00
93 mg DAK 2016 660.00
94 mg DAK 2018 409.00
95 gram DAK 2017 1,071.00
96 gram DAK 2018 1,232.00
97 gram DAK 2019 6,006.00
Botol
98 solution 0,1% DAK 2019 83,190.00
Botol
99 100 mcg/puff DAK 2018 83,190.00

102 DAK 2017 298.00
Tube 5 gram
105 Valerat) DAK 2019 1,465.00
Tube 5 gram
107 Valerat) DAK 2017 1,450.00
Supp
109 supp) DAK 2019 5,900.00
Supp
Supp
Supp
113 supp) DAK 2019 6,000.00

123 DAK 2016 1,745.00

124 DAK 2017 1,822.00

125 DAK 2018 1,210.00

126 DAK 2019 1,210.00
Botol
130 ml DAK 2016 41,800.00
Tablet
Tablet
Tube
138 (STESOLID) DAK 2018 21,021.00
Tube
139 (STESOLID) DAK 2019 21,021.00
Tube
141 ml(STESOLID) DAK 2018 14,459.00
Tube
142 ml(STESOLID) DAK 2019 14,459.00

144 DAK 2017 1,222.00

145 DAK 2019 1,347.00

146 DAK 2016 1,354.00

147 DAK 2017 109.00

149 DAK 2017 299.00

153 DAK 2017 110.00

155 DAK 2018 2,862.00
Tablet
158 mg DAK 2016 1,001.00
Tablet
159 mg DAK 2017 1,050.00
Tablet
160 mg DAK 2018 1,088.00
Ampul
161 1 mg/ml DAK 2018 1,518.00
Ampul
162 1 mg/ml DAK 2019 1,518.00
Ampul
163 1 mg/ml DAK 2016 2,354.00

165 DAK 2017 766.00

166 DAK 2018 781.00

167 DAK 2017 6,461.00

168 DAK 2016 7,039.00

178 DAK 2017 6,231.00
Ampul 1 ml
185 mg/ml DAK 2018 1,914.23
Ampul 1 ml
186 mg/ml DAK 2019 4,236.00
Ampul 1 ml
187 mg/ml DAK 2016 4,083.00
Tablet Salut Gula
188 10 mg DAK 2017 790.00
Tablet
189 10 mg DAK 2019 873.00
Nebules 2 ml
191 0,5 mg) DAK 2017 14,500.00
192 0,5 mg) DAK 2018 14,929.00
193 0,5 mg) DAK 2019 15,675.00

200 DAK 2017 1,254.00

201 DAK 2018 1,055.00
Sachet 4,26 gram
202 anhidrat 2,7 g DAK 2019 281.00

Sachet
203 DAK 2017 273.00

Sachet
204 DAK 2018 263.00

205 DAK 2016 436.00

225 DAK 2017 231.00

239 DAK 2016 264.00

240 DAK 2017 266.00
Ampul 1 ml
243 50 mg/ml DAK 2016 97,500.00
Botol 15 ml
247 mg/mL DAK 2016 18,499.00
249 ml DAK 2017 1,300,000.00
250 ml DAK 2019 1,325,000.00

259 DAK 2019 112.00

260 DAK 2018 112.00

267 DAK 2017 85.00

268 DAK 2019 142.56

269 DAK 2019 190.30

270 DAK 2017 182.00

271 DAK 2018 89.00
272 DAK 2019 165.00

273 DAK 2017 95.00

274 DAK 2016 690.00
275 300 mg DAK 2017 682.00
Tablet
Tablet
Tablet

280 DAK 2017 86.00

283 DAK 2017 770.00

284 DAK 2018 629.00
Tablet
285 mg DAK 2019 250.00
Tablet
292 mg DAK 2017 297.00

297 DAK 2019 812.96

298 DAK 2017 589.00

299 DAK 2018 583.00

301 DAK 2017 1,799.00

302 DAK 2018 1,469.00
Kapsul
303 500 mg DAK 2016 1,155.00
Kapsul
304 mg DAK 2017 502.29
Botol plastik 10 ml
315 TM) DAK 2016 7,125.00
Botol plastik 10 ml
316 TM) DAK 2018 6,600.00
Botol plastik 10 ml
317 TM) DAK 2019 9,900.00
Botol plastik 10 ml
318 TT) DAK 2016 7,125.00
Botol plastik 10 ml
319 TT) DAK 2017 7,370.00
Botol plastik 10 ml
320 TT) DAK 2019 9,900.00
Tablet
Tablet
Tablet
324 mg DAK 2018 24.00
Ampul 1 ml
325 (HCl) DAK 2016 1,425.00
Ampul 1 ml
326 (HCl) DAK 2017 1,349.00
Ampul 1 ml
327 (HCl) DAK 2019 1,531.00
Ampul 1 ml
328 (HCl) DAK 2018 1,435.00
Tablet
Tablet

331 DAK 2019 181.00
Tablet
334 mg DAK 2017 632.00

335 DAK 2016 2,225.00

trimetoprim 40 mg
336 DAK 2017 2,462.00
trimetoprim 40 mg
337 DAK 2018 2,052.00

trimetoprim 40 mg
338 DAK 2019 2,190.00
339 160 mg DAK 2017 327.00
kotrimoksazol forte
341 160 mg DAK 2019 319.00
Plabott, 500 ml
343 3A injection) DAK 2017 10,285.00
Plabott, 500 ml
344 3B injection) DAK 2017 10,285.00

345 DAK 2016 40,000.00
347 + Epinefrin 1 : 80.000 - 2 ml DAK 2018 1,317.00
Ampul 2 ml
351 80.000 - 2 mL DAK 2016 2,122.00
Ampul 2 ml
352 80.000 - 2 mL DAK 2017 2,227.00
Ampul 2 ml
353 80.000 - 2 mL DAK 2019 1,405.00
Ampul 25 ml
361 injeksi 40% DAK 2016 3,650.00
Tablet
366 mg DAK 2019 148.00
Tablet
367 mg DAK 2017 165.00
Tablet
368 mg DAK 2018 139.00
Tablet
371 0,125 mg DAK 2016 222.20
Tablet Salut
372 0,125 mg DAK 2017 270.60
Tablet Salut
373 0,125 mg DAK 2018 243.00
Ampul
374 ml DAK 2019 3,399.00
375 ml Ampul DAK 2018 3,399.00
376 ml Ampul DAK 2016 2,684.00
378 mg Tablet DAK 2017 93.00
379 mg Tablet DAK 2018 83.00
Tablet
385 mg DAK 2019 109.00
Kaptap ss
386 mg DAK 2017 103.00
Kaptap ss
387 mg DAK 2018 102.00
Tablet
391 mg DAK 2017 115.00
Tablet
394 mg DAK 2019 277.20
Tablet
402 50 mg DAK 2019 145.00
403 50 mg DAK 2017 135.00
405 Steril DAK 2017 6,410.00
406 Steril DAK 2018 6,410.00
407 Steril DAK 2019 6,840.00

408 DAK 2017 110.00
Tablet Salut Gula

Tablet

419 DAK 2017 430,538.00

421 DAK 2017 1,435,178.00

422 DAK 2018 1,492,579.00
Paket
423 Sisipan DAK 2016 183,984.00
424 dispersibel" DAK 2017 257,125.00
Paket
425 Anak DAK 2016 247,234.00
Paket
426 Anak DAK 2018 267,397.00
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Ampul
446 10 UI/ml DAK 2016 1,900.00

452 DAK 2017 148.00

453 DAK 2019 429.00

454 DAK 2017 523.00

455 DAK 2018 406.00

456 DAK 2017 1,254.00
Ampul 2 ml
457 ml) DAK 2016 1,650.00
Ampul 2 ml
458 ml) DAK 2019 1,258.00
460 mL DAK 2019 11,610.00
461 mL DAK 2017 12,939.00
462 mL DAK 2018 11,610.00
466 (60mg/0,6ml) (G) DAK 2018 7,646.00
Botol 15 ml
467 (60mg/0,6ml) (G) DAK 2017 6,850.00
Botol 15 ml
468 (60mg/0,6ml) (G) DAK 2019 7,646.00
Tablet
470 mg DAK 2019 60.00
Tablet
471 mg DAK 2017 51.00
Ampul
474 mg/ml (HCl) DAK 2015 15,950.00

483 DAK 2018 141.00
Tablet
484 mg (HCl) DAK 2017 136.00

485 DAK 2016 136.00
Tablet
486 mg (HCl) DAK 2019 150.00

491 DAK 2016 102.00

492 DAK 2017 85.00

493 DAK 2018 74.00

494 DAK 2019 79.00

498 DAK 2017 59.00

500 DAK 2019 63.00
Tablet
502 mg DAK 2019 586.00
Tablet
503 mg DAK 2016 320.00

507 DAK 2017 110.00

508 DAK 2019 235.95
Kapsul
514 lunak DAK 2016 327.00
Kapsul
515 lunak DAK 2018 331.00
Kapsul lunak
516 lunak DAK 2017 585.00
Kapsul
517 lunak DAK 2018 596.00
Kapsul
518 lunak DAK 2016 536.00

519 DAK 2019 985.00

520 DAK 2017 1,274.00

521 DAK 2018 1,134.00
Tablet
Tablet

529 DAK 2019 77.00
Nebules
533 Nebules) DAK 2017 14,124.00
Nebules
534 cairan ih 0,1% DAK 2019 4,000.00
Nebules
535 cairan ih 0,1% DAK 2018 4,000.00
Tube @ 10 g
540 krim 5% DAK 2016 12,155.00

546 DAK 2016 9,840.00

547 DAK 2017 4,133.00

548 DAK 2019 4,360.00

549 DAK 2018 4,086.00
551 DAK 2017 455.00

552 DAK 2019 492.00

560 DAK 2016 126.50
Tablet
Tablet
Tablet
563 500 mcg DAK 2019 1,160.00
Ampul 1 ml
564 500 mcg DAK 2017 1,117.00
Ampul 1 ml
565 mcg/ml - 1ml DAK 2016 1,226.00
Ampul 1 ml
566 mcg/ml - 1ml DAK 2015 1,050.00

568 DAK 2017 113.00

569 DAK 2019 117.00
Tablet
576 mg DAK 2017 277.00
Dus, 1 Vial @ 5 ml
577 (i.m./i.v) DAK 2019 512,204.00
Dus, 1 Vial @ 5 ml
578 (i.m./i.v) DAK 2017 462,000.00
Dus, 1 Vial @ 5 ml
579 ml ( ABU I ) DAK 2018 479,996.00
Ampul 1 ml
580 1500 IU/amp (i.m) DAK 2019 130,999.00
Ampul 1 ml
581 1500 IU/amp (i.m) DAK 2017 126,500.00
Ampul 1 ml
582 IU/ampul ( A.T.S ) DAK 2018 130,999.00
Vial
583 mg/ml DAK 2016 5,750.00
Vial
584 mg/ml DAK 2019 5,980.00

585 DAK 2016 10,100.00
586 DAK 2017 9,192.00

587 DAK 2019 7,338.00

588 DAK 2017 296.00
Supp
590 100 mg DAK 2016 2,789.00

594 Tablet DAK 2016 329.00

595 Tablet DAK 2018 310.00

596 Tablet DAK 2019 331.00

Tablet
50 mg (HCl/ Nitrat)
604 DAK 2019 94.00
Tablet
605 50 mg DAK 2018 88.00

Tablet
50 mg (HCl/ Nitrat)
606 DAK 2017 87.00
Tablet
607 100 mg DAK 2016 91.00

617 DAK 2017 80.00

619 DAK 2019 101.00

621 DAK 2017 26,987.00

622 DAK 2018 17,789.00

629 DAK 2019 3,285.00

630 DAK 2018 3,285.00
ALAT KESEHATAN
18 24GX1" DAK 2017 1,240.00
19 26 GX3/8" DAK 2017 1,650.00
20 23GX1" DAK 2016 1,240.00
21 27GX3/8" DAK 2016 1,650.00
22 23GX1" DAK 2018 1,240.00
23 27GX3/8" DAK 2018 1,650.00
24 27GX3/8" DAK 2019 1,557.00

28 DAK 2016 10,950.00
Benang Bedah SMI
Sachet
Sachet
35 MM DAK 2019 32,800.00
Sachet
37 MM DAK 2017 33,785.00
Sachet
39 MM DAK 2018 33,785.00
Sachet
41 MM DAK 2017 33,785.00
Sachet
43 MM DAK 2018 33,785.00
Sachet
45 MM DAK 2019 32,800.00
Piece
50 no. 16 DAK 2019 11,565.00
Piece
51 no. 16 DAK 2016 13,420.00
Piece
52 no. 16 DAK 2018 13,420.00
Piece
53 no. 18 DAK 2016 13,420.00
Piece
54 no. 18 DAK 2019 11,565.00
Piece
55 no. 18 DAK 2018 13,420.00
pasang
65 glove ) DAK 2017 24,200.00
pasang
66 glove ) DAK 2018 24,200.00
Piece
67 drops/ml) DAK 2017 6,222.00
Piece
69 drops/ml) DAK 2016 6,222.00
Piece
70 drops/ml) DAK 2018 6,222.00
drops/ml) Piece
71 DAK 2016 5,856.00
drops/ml) Piece
72 DAK 2017 5,856.00
drops/ml) Piece
73 DAK 2018 5,856.00
drops/ml) Piece
74 DAK 2019 5,096.00

77 DAK 2016 8,540.00
Piece
78 G18 X 45 MM Green DAK 2019 5,500.00

81 DAK 2016 8,540.00
Piece
82 G20 X 33 MM Pink DAK 2019 5,500.00
Piece
84 G22 X 25 MM Blue DAK 2019 5,500.00

85 DAK 2016 8,540.00
Piece
88 G24 X 0.75 " DAK 2019 5,500.00

89 DAK 2016 8,540.00

95 DAK 2017 28,745.25

96 DAK 2017 (2) 28,750.00
97 DAK 2018 28,750.00

98 DAK 2019 20,600.00

99 DAK 2016 28,750.00
Box
103 pads) DAK 2016 8,650.50
Box
104 pads) DAK 2017 8,650.36
Box
105 pads) DAK 2017(2) 8,652.70
Box
106 pads) DAK 2019 7,370.00
Roll
110 10cm DAK 2017 2,475.75
Roll
111 10cm DAK 2017(2) 2,488.87
Roll
112 10cm DAK 2018 2,475.75
Roll
113 10cm DAK 2019 2,415.00
Roll
114 10cm DAK 2016 2,475.43
118 DAK 2016 550.00
119 DAK 2017 550.00
NGT
120 cm) DAK 2015 8,841.00
NGT
121 cm) DAK 2015 8,841.00
NGT
122 (125 cm) DAK 2015 10,010.00
NGT
123 (125 cm) DAK 2015 10,010.00
NGT
124 (125 cm) DAK 2015 10,010.00
Roll
146 4.5 m DAK 2016 35,532.00
Roll
147 4.5 m DAK 2018 12,076.00
Roll
148 4.5 m DAK 2019 12,675.00
Benang Bedah SMI
Sachet
Benang Bedah SMI
Sachet
Piece
163 Nylon DAK 2016 1,250.00
Piece
164 hanger DAK 2019 4,800.00
Piece
165 hanger DAK 2016 6,710.00
Piece
166 hanger DAK 2018 6,710.00
Botol 1 Liter
182 instrumen DAK 2017 141,406.33
Botol 500 ml
Botol 500 ml
Botol 1 Liter
185 instrumen DAK 2017(2) 142,568.00
Botol 500 ml
Botol 500 ml
Botol 1 Liter
188 instrumen DAK 2018 141,417.00
Botol 500 ml
Botol 500 ml
Botol 500 ml
Botol 500 ml
REAGENSIA

Vial 10 ml
15 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
16 (Vial 10 ml) DAK 2016 105,135.00
Vial 10 ml
17 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
18 10 ml) DAK 2016 126,695.00
Vial 10 ml
19 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
20 (Vial 10 ml) DAK 2017 98,822.50
Vial 10 ml
21 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
22 10 ml) DAK 2017 120,382.50
Vial 10 ml
23 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
24 (Vial 10 ml) DAK 2019 84,000.00
Vial 10 ml
25 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
26 10 ml) DAK 2019 104,000.00



Amoksisilin kapsul/kaplet/tablet
Kaplet
2 scored 500 mg DAK 2016 233.00
kunyah,kombinasi:
Tablet kunyah
Mg-Hidroksida 200 mg + Al.
3 Hidroksida. 200 mg DAK 2016 64.00

BEROTEC SOLUTION - Fenoterol
Botol
5 HBr solution 0,1% DAK 2016 125,750.00

6 DAK 2015 1,156.00

Isosorbit Dinitrat tablet sublingual 5
8 Tablet DAK 2016 93.00
mg
Dus, 1 Vial @ 5 ml
15 ml ( ABU I ) DAK 2015 472,000.00
Kaplet
16 500 mg DAK 2016 233.00
kunyah,kombinasi:
Tablet kunyah
17 200 mg DAK 2016 64.00

18 DAK 2016 93.00

TOTAL
RAN OBAT DAN BAHAN MEDIS HABIS PAKAI DI GUDANG OBAT
APBD II TAHUN 2019
PUSKESMAS SEBAWI
PENGELUARAN TAHUN 2019 (Satuan)

JAN FEB MAR APR MEI
6 7 8 9 10
700.00 1,000.00 1,100.00 200.00 1,000.00
38.00 86.00 117.00 12.00 53.00
20.00 26.00 30.00 10.00 44.00
800.00 1,100.00 1,400.00 700.00 1,700.00
100.00 100.00 200.00 100.00 200.00
129.00 9.00 10.00 10.00 20.00

3,780.00 3,390.00 4,140.00 3,240.00 2,160.00
2,100.00 3,000.00 400.00 2,100.00
69.00 104.00 46.00 30.00 104.00
12.00 30.00 22.00 23.00 18.00

6.00 20.00 10.00 24.00 36.00
400.00 500.00 300.00 900.00 1,300.00
45.00
6.00 5.00 15.00
4.00
7.00 2.00
9.00 10.00 14.00 35.00

1,200.00
100.00 200.00 100.00
3.00 10.00 3.00 1.00 11.00
500.00 400.00 500.00 100.00 500.00

1,100.00 1,400.00 1,100.00 1,900.00 2,100.00
300.00 200.00 100.00 400.00 500.00

2,200.00 1,300.00 1,900.00 1,300.00 1,900.00
100.00 200.00 100.00
1.00
600.00 500.00 200.00 600.00
6.00 9.00
30.00 25.00 7.00
50.00
300.00 400.00 350.00 150.00 200.00
200.00 100.00 200.00

810.00 12,150.00
7.00 10.00 10.00
1.00 2.00 1.00

270.00 270.00 60.00 120.00 450.00
100.00 300.00 100.00 200.00
15.00 25.00 50.00 25.00 75.00

1.00 10.00 3.00
5.00 26.00 17.00
30.00 1,200.00
100.00 900.00 2,000.00
950.00 1,100.00 800.00
30.00 51.00 25.00 45.00
300.00 800.00 500.00 700.00 1,000.00
40.00
1.00 4.00
30.00
100.00 100.00 100.00
100.00 300.00
100.00 300.00 1,500.00
36.00 10.00 10.00

12.00 25.00
6.00
100.00
3.00 6.00
11.00 5.00 19.00
100.00 200.00
1.00
200.00 200.00 200.00
30.00 60.00 60.00 30.00
100.00 200.00 200.00
25.00 25.00
14.00 24.00
900.00 300.00 300.00 400.00 300.00
100.00
700.00 1,000.00 700.00 800.00 900.00
600.00
300.00 300.00 500.00 400.00 300.00

1.00
5.00 2.00 11.00
300.00 100.00 200.00 200.00
284.00 120.00 300.00 210.00 246.00
22.00 34.00
200.00 300.00 200.00 100.00
1,100.00 1,400.00 1,300.00 1,800.00 1,300.00
7.00 17.00 11.00 2.00
8.00 12.00
200.00 300.00 200.00 100.00 1,100.00
1,500.00 900.00 1,400.00 900.00 1,300.00

1,000.00
60.00 90.00 60.00 30.00
334.00 220.00 180.00 300.00 300.00

70.00
25.00 23.00 26.00 14.00 24.00
200.00 100.00 150.00 100.00 150.00

2.00 1.00 5.00 1.00
100.00 300.00 100.00 200.00
30.00 60.00 60.00 30.00
120.00 120.00 240.00
7.00
11.00
10.00 60.00 10.00 10.00 20.00
10.00 16.00 12.00 5.00 20.00
600.00 400.00 1,300.00 1,300.00
2,295.00
285.00 80.00 185.00 135.00 205.00
2.00 15.00 91.00 5.00 20.00

300.00 100.00 500.00 100.00
30.00 19.00 41.00 34.00 12.00
200.00 400.00
50.00
29.00
3.00
1,200.00 900.00 400.00
1,200.00 1,000.00 1,800.00

1.00 3.00 7.00 2.00 8.00
300.00
2,600.00 1,500.00
800.00 1,900.00 2,600.00 2,000.00
100.00 300.00 600.00 200.00
5.00 16.00 10.00 4.00 20.00
800.00 1,500.00 1,350.00 1,300.00 2,400.00

50.00
2.00 8.00 9.00 7.00 11.00
300.00 200.00 400.00 400.00
10.00
2.00 31.00 20.00 1.00 9.00
2.00
1.00
55.00 15.00 65.00 22.00 96.00
44.00 150.00 72.00 68.00 98.00
700.00 700.00 1,000.00 900.00 1,500.00
35.00
2.00 8.00
7.00 17.00 30.00
1,320.00 1,290.00 1,350.00 1,440.00 1,380.00
90.00 6.00
5.00
77.00 45.00 5.00
81.00 49.00 80.00
67.00 77.00 115.00 124.00 278.00
1,700.00 2,500.00 1,800.00 2,000.00 2,400.00

2.00 4.00 1.00
1,000.00 200.00 500.00 800.00 900.00
1,500.00 600.00 800.00 800.00 800.00
200.00 200.00 100.00 200.00 300.00
200.00 200.00
100.00 200.00 200.00
200.00 1,400.00 2,000.00
1,700.00 1,400.00 2,200.00
8.00 3.00
24.00 23.00 31.00
1.00 40.00
300.00 500.00 200.00 400.00 700.00
84.00 54.00
2.00 6.00 5.00
15.00 17.00 13.00 33.00
16.00 22.00 50.00 40.00

1,400.00 900.00 1,100.00 400.00 600.00
700.00 600.00 300.00 200.00 700.00
2.00 10.00 8.00
3,100.00 2,040.00 2,250.00 2,160.00 1,080.00
400.00 500.00 300.00 100.00 400.00
1.00 2.00
2.00
155.00 95.00 175.00 75.00
100.00 100.00 200.00 300.00 1,000.00
100.00
200.00 200.00 200.00 300.00
200.00 600.00 200.00 700.00
50.00 70.00
60.00
890.00 535.00 540.00 450.00 870.00
5.00 4.00
1,800.00 2,500.00 2,600.00 2,200.00 3,200.00
10.00
200.00 300.00
100.00 3,000.00
70.00 29.00 27.00
100.00 156.00 44.00

93.00 166.00 178.00
12.00 58.00 42.00 40.00

400.00 100.00
400.00 800.00 1,000.00 200.00
4.00
5.00 1.00
11.00 1.00 12.00
24.00 3.00 9.00
10.00 12.00
5.00
1.00
3.00 3.00 2.00 2.00
3.00
3.00 5.00 1.00 1.00
100.00 500.00 300.00 200.00 600.00

200.00 400.00 500.00 400.00 200.00
22.00 4.00 62.00
4.00
1.00 2.00 2.00
2.00 5.00
5.00 17.00 1.00 18.00
3.00 11.00 8.00 5.00
13.00 14.00 1.00 17.00
5.00 4.00 6.00

5.00 14.00
2.00 3.00 2.00 1.00 4.00
3.00 1.00
1.00 1.00 1.00 1.00

2.00
4.00 17.00 30.00 28.00 25.00
22.00 7.00 4.00 9.00 17.00
50.00 5.00 20.00 10.00
200.00 700.00 650.00 450.00
2.00
3.00 1.00
2.00 2.00 1.00 2.00
1.00 1.00 2.00
1.00 2.00 2.00 2.00
1.00
1.00
20.00 10.00 70.00

10.00 50.00 60.00
30.00 28.00 60.00 5.00
8.00 1.00 1.00 3.00
6.00 4.00 8.00 7.00
4.00 2.00 1.00

3.00 2.00 2.00
2.00 2.00 2.00 2.00
4.00 1.00 5.00 1.00 1.00
2.00 6.00 3.00 4.00
3.00 3.00 4.00 1.00 6.00
50
400.00 600.00 100.00
120 210 270 110 90
25 75 150 100 50
450 400 150

125.00
10.00 10.00 10.00
150.00
25.00
25.00 25.00 75.00 25.00
25.00 50.00 25.00

10.00
2.00
1.00 4.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
11 12 13 14 15
- - - -
- - - -
- - - -
100.00 4,100.00 81,900 117,000 128,700
- - - -
- - - -
306.00 3,344 7,568 10,296
- - - -
2.00 132.00 72,380 94,094 108,570
- - - -
- - - -
600.00 6,300.00 96,800 133,100 169,400
- - - -
- - - -
- - - -
- - - -
- - - -
700.00 9,700 9,700 19,400
- - - -
- - - -
- - - -
178.00 22,059 1,539 1,710
2,070.00 18,780.00 343,980 308,490 376,740
- - - -
- - - -
1,200.00 8,800.00 - 401,100 573,000
- - - -
- - - -
353.00 132,480 199,680 88,320
- - - -
- - - -
23.00 128.00 45,564 113,910 83,534

- - - -
- - - -
- - - -
- - - -
10.00 106.00 12,588 41,960 20,980
- - - -
1,100.00 4,500.00 22,400 28,000 16,800
- - - -
- - - -
- - - -
- - - -
25.00 70.00 - - -
- - - -
10.00 36.00 - - 37,140
4.00 - 19,888 -
- - - -
- - - -
- - - -
9.00 24,514 - 7,004
8.00 76.00 - 29,700 33,000

1,200.00 244,800 - -
- - - -
400.00 - 19,900 39,800
- - - -
9.00 37.00 8,250 27,500 8,250
- - - -
- - - -
- - - -
2,000.00 59,000 47,200 59,000

1,900.00 9,500.00 132,000 168,000 132,000
- - - -
- - - -
- - - -
300.00 1,800.00 20,400 13,600 6,800

1,000.00 9,600.00 224,400 132,600 193,800
- - - -
- - - -
400.00 154,000 - 308,000
- - - -
- - - -
1.00 2,789 - -
- - - -
- - - -
- - - -
- - - -
1,900.00 92,400 77,000 -
- - - -
- - - -
15.00 57,300 85,950 -
5.00 67.00 - 89,910 74,925
50.00 100.00 - - -
- - - -
1,400.00 124,500 166,000 145,250
200.00 700.00 34,600 - 17,300
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
12,960.00 - 331,290 4,969,350
27.00 - - 7,497
- - - -
- - - -
- - - -
4.00 83,190 166,380 83,190

150.00 1,320.00 40,770 40,770 9,060
- - - -
- - - -
- - - -
700.00 24,800 74,400 -
- - - -
- - - -
190.00 21,750 36,250 72,500

14.00 5,800 58,000 17,400
- - - -
48.00 - - 29,500
- - - -
- - - -
- - - -
6.00 6.00 - - -
- - - -
1,230.00 9,510 - 380,400
1,000.00 4,000.00 - - 9,700
2,850.00 109,250 126,500 92,000
- - - -
- - - -
- - - -
26.00 177.00 - 99,000 168,300
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,600.00 4,900.00 10,200 27,200 17,000
- - - -
- - - -
- - - -
- - - -
40.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5.00 - - 14,459
- - - -
- - - -
30.00 - 36,660 -
- - - -
- - - -
300.00 - - 10,900
- - - -
- - - -
- - - -
- - - -
400.00 - - -
1,900.00 11,000 33,000 165,000

- - - -
75.00 131.00 - - 103,032

37.00 204,000 425,000 -
- - - -
- - - -
- - - -
- - - -
6.00 - 9,108 -
- - - -
- - - -
- - - -
100.00 - - -
- - - -
- - - -
9.00 - - 21,117
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
35.00 27,500 12,500 -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 400.00 79,000 - -
- - - -
- - - -
1.00 14,500 - -
- - - -
- - - -
200.00 800.00 22,200 22,200 22,200
- - - -
- - - -
- - - -
- - - -
- - - -
180.00 37,620 75,240 75,240
- - - -
- - - -
100.00 600.00 - 27,300 54,600
- - - -
- - - -
- - - -
- - - -
50.00 - 45,879 45,879
- - - -
- - - -
38.00 - 67,200 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
400.00 2,600.00 123,300 41,100 41,100
- - - -
100.00 21,800 - -
4,100.00 161,700 231,000 161,700

- - - -
300.00 900.00 - - -
- - - -
- - - -
200.00 2,000.00 32,400 32,400 54,000
- - - -
- - - -
1.00 - - 7,500
- - - -
1.00 19.00 - 34,500 13,800
- - - -
- - - -
- - - -
- - - -
100.00 900.00 79,800 26,600 53,200

- - - -
1,160.00 21,016 8,880 22,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
6.00 62.00 - - 62,436
- - - -
- - - -
800.00 352,000 528,000 352,000
- - - -
400.00 7,300.00 118,800 151,200 140,400
- - - -
600.00 600.00 - - -
- - - -
- - - -
- - - -
37.00 17,920 43,520 28,160
- - - -
7.00 27.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 2,200.00 11,400 17,100 11,400
- - - -
- - - -
6,000.00 129,000 77,400 120,400

800.00 1,800.00 - - -
- - - -
- - - -
240.00 37,740 56,610 37,740
- - - -
60.00 1,394.00 78,156 51,480 42,120
70.00 - - -
- - - -
6.00 118.00 69,750 64,170 72,540
- - - -
- - - -
- - - -
700.00 57,200 28,600 42,900
9.00 2,640 1,320 6,600
- - - -
- - - -
- - - -
100.00 800.00 58,900 - 176,700
- - - -
- - - -
- - - -
180.00 44,070 88,140 88,140
- - - -
480.00 - 60,275 60,275

- - - -
- - - -
6.00 13.00 - - 12,950
- - - -
- - - -
18.00 29.00 - - -
- - - -
- - - -
- - - -
20.00 130.00 38,500 231,000 38,500
- - - -
- - - -
- - - -
- - - -
7.00 70.00 73,700 117,920 88,440
- - - -
- - - -
1,800.00 5,400.00 - 27,000 18,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,295.00 - 390,150 -
- - - -
- - - -
105.00 995.00 441,750 124,000 286,750
- - - -
- - - -
- - - -
21.00 154.00 4,924 36,930 224,042

- - - -
- - - -
300.00 1,300.00 98,100 32,700 163,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
82.00 218.00 39,510 25,023 53,997

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 700.00 - 17,000 -
- - - -
- - - -
- - - -
- - - -
100.00 150.00 - - -
- - - -
29.00 - - 105,850
3.00 - - -
- - - -
- - - -
- - - -
2,500.00 198,000 148,500 66,000
4,000.00 - - 166,800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1.00 22.00 3,399 10,197 23,793
- - - -
- - - -
300.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
4,100.00 267,800 154,500 -
700.00 8,000.00 - 81,600 193,800

- - - -
- - - -
- - - -
1,200.00 11,500 34,500 69,000

- - - -
- - - -
- - - -
- - - -
50.00 50.00 - - -
- - - -
- - - -
20.00 75.00 27,500 88,000 55,000
- - - -
- - - -
- - - -
7,350.00 108,000 202,500 182,250

1,550.00 1,600.00 - - -
- - - -
5.00 42.00 12,820 51,280 57,690
- - - -
200.00 1,500.00 33,000 22,000 44,000

- - - -
- - - -
10.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
63.00 48,396 750,138 483,960
2.00 861,076 - -
- - - -
1.00 1,435,178 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
77.00 330.00 330,000 90,000 390,000
- - - -
- - - -
- - - -
- - - -
96.00 528.00 519,200 1,770,000 849,600
- - - -
- - - -
1,600.00 6,400.00 462,000 462,000 660,000

- - - -
35.00 57,400 - -
- - - -
- - - -
- - - -
27.00 37.00 - - 5,200
- - - -
- - - -
- - - -
54.00 13,300 32,300 57,000

- - - -
- - - -
- - - -
- - - -
- - - -
810.00 7,590.00 195,360 190,920 199,800
- - - -
96.00 47,070 - -
- - - -
6.00 11.00 - - 6,270
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
127.00 78,001 45,585 5,065
- - - -
80.00 290.00 - - 93,960
- - - -
278.00 939.00 458,950 527,450 787,750
- - - -
- - - -
- - - -
- - - -
3,800.00 14,200.00 102,000 150,000 108,000
7.00 - 41,400 82,800
- - - -
- - - -
100.00 100.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
900.00 4,300.00 136,000 27,200 68,000
- - - -
- - - -
- - - -
200.00 4,700.00 195,000 78,000 104,000
- - - -
- - - -
- - - -
400.00 1,400.00 17,000 17,000 8,500
- - - -
- - - -
- - - -
- - - -
- - - -
400.00 - - 11,800
- - - -
- - - -
- - - -
- - - -
100.00 600.00 32,000 - 64,000

- - - -
- - - -
1,900.00 5,500.00 - - 47,190
5,300.00 187,000 154,000 242,000
- - - -
- - - -
- - - -
11.00 - - 13,416
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
78.00 - - 171,600
41.00 7,150 286,000 -
- - - -
- - - -
- - - -
200.00 2,300.00 25,800 43,000 17,200
- - - -
- - - -
- - - -
138.00 - - 412,944
- - - -
- - - -
- - - -
- - - -
13.00 - - 5,814
- - - -
- - - -
- - - -
- - - -
3.00 81.00 - 182,325 206,635
- - - -
- - - -
- - - -
- - - -
- - - -
10.00 138.00 66,128 90,926 206,650
- - - -
- - - -
- - - -
1,000.00 5,400.00 637,000 409,500 500,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 2,800.00 38,500 33,000 16,500
- - - -
- - - -
- - - -
20.00 2,452 12,260 9,808
- - - -
- - - -
660.00 11,290.00 350,300 230,520 254,250
- - - -
- - - -
100.00 1,800.00 101,600 127,000 76,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
3.00 - 479,996 959,992
- - - -
- - - -
2.00 261,998 - -
- - - -
- - - -
- - - -
500.00 1,424,760 873,240 1,608,600
- - - -
200.00 1,900.00 29,600 29,600 59,200

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 86,500 - -
- - - -
100.00 1,000.00 166,500 166,500 166,500
- - - -
- - - -
- - - -
- - - -
- - - -
200.00 1,900.00 17,400 52,200 17,400
- - - -
- - - -
120.00 - - 16,484
- - - -
4.00 4.00 - - -
- - - -
- - - -
- - - -
60.00 120.00 - 47,160 -
- - - -
330.00 3,615.00 71,200 42,800 43,200

- - - -
- - - -
- - - -
11.00 20.00 - - 134,935
- - - -
- - - -
- - - -
2,400.00 14,700.00 237,600 330,000 343,200
- - - -
- - - -
- - - -
- - - -
19.00 29.00 - - -
- - - -
500.00 - - -
3,100.00 - 58,600 1,758,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
9.00 135.00 - 90,437 -
- - - -
- - - -
300.00 100,650 157,014 44,286
103.00 540.00 - - 96,121
- - - -
- - - -
50.00 202.00 - 13,586 65,665
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
500.00 53,680 13,420 -
- - - -
- - - -
200.00 2,600.00 64,092 128,184 160,230
- - - -
4.00 - 70,052 -
15.00 21.00 - 87,566 17,513
- - - -
- - - -
- - - -
- - - -
- - - -
12.00 36.00 - - 388,135
36.00 - - 810,840
- - - -
12.00 34.00 337,850 - 405,420

5.00 - - -
25.00 25.00 - - -
- - - -
- - - -
- - - -
1.00 - - -
- - - -
- - - -
- - - -
10.00 40,260 40,260 26,840
1.00 4.00 - - -
2.00 12.00 40,260 67,100 13,420
- - - -
- - - -
- - - -
- - - -
- - - -
300.00 2,000.00 56,364 281,820 169,092
300.00 2,000.00 112,728 225,456 281,820
- - - -
- - - -
- - - -
88.00 203,984 37,088 574,864
4.00 - - 96,800
- - - -
1.00 6.00 6,222 - 12,444
- - - -
- - - -
- - - -
- - - -
7.00 11,712 29,280 -
6.00 47.00 - 29,280 99,552
- - - -
- - - -
- - - -
- - - -
- - - -
1.00 28.00 21,960 80,520 58,560
- - - -
- - - -
- - - -
2.00 47.00 - 95,160 102,480
- - - -
- - - -
15.00 36,600 29,280 43,920
5.00 24.00 - - 36,600
- - - -
- - - -
12.00 14,640 21,960 14,640
- - - -
- - - -
- - - -
4.00 - - 28,182
4.00 28,745 28,745 -
- - - -
- - - -
- - - -
- - - -
- - - -
1.00 3.00 282,800 - -
- - - -
- - - -
56.00 160.00 34,601 147,056 259,511
- - - -
- - - -
- - - -
- - - -
8.00 67.00 195,871 62,323 35,613
10.00 95.00 123,788 - 12,379
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,500.00 3,500.00 110,000 385,000 357,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2.00 - - 16,104
- - - -
- - - -
- - - -
4.00 - 24,156 8,052
- - - -
- - - -
- - - -
- - - -
7.00 - 16,104 16,104
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1.00 5.00 - 12,076 12,076
- - - -
- - - -
3.00 10.00 75,537 151,074 -
- - - -
1.00 - 45,507 -
1.00 1.00 - - -
- - - -
- - - -
- - - -
- - - -
1.00 - - -
- - - -
100.00 190,663 95,332 667,321
20.00 140.00 - - 95,332
- - - -
123.00 - 37,500 35,000
- - - -
- - - -
2.00 15.00 - 53,680 6,710

- - - -
- - - -
16.00 41.00 - 37,167 24,778
- - - -
2.00 9.00 - - 147,747
- - - -
- - - -
- - - -
2.00 9.00 - 70,200 -
- - - -
- - - -
8.00 7,500 7,500 -
- - - -
- - - -
- - - -
1.00 13.00 565,625 141,406 707,032
- - - -
- - - -
3.00 3.00 - - -
15.00 167,121 501,364 250,682
17.00 196,032 196,032 261,376
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
50.00 261,940 - -
1,100.00 1,275,296 1,912,944 318,824
800.00 2,827,920 4,948,860 6,362,820
100 500.00 130,970 392,910 785,820

250 1,250.00 - - 1,434,708
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
125.00 - - -
- - - -
- - - -
120.00 150.00 11,500 11,500 -

- - - -
- - - -
- - - -
- - - -
150.00 - - 1,077,150
- - - -
50.00 75.00 - - -
- - - -
- - - -
150.00 605,000 605,000 1,815,000
- - - -
- - - -
100.00 274,175 548,350 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
10.00 - 408,483 -
2.00 58,900 - -
19.00 24.00 - - -
- - - -
2.00 58,000 - -
2.00 657,400 - -
2.00 148,200 - -
2.00 352,450 - -
- - - -
2.00 735,300 - -
2.00 41,800 - -
2.00 188,000 - -
2.00 38,950 - -
2.00 93,100 - -
2.00 47,500 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
25,084,439 27,552,712 42,002,701
160,529,728
16 17 18 19
- - - -
- - - -
- - - -
23,400 117,000 11,700 479,700.00
- - - -
- - - -
1,056 4,664 - 26,928.00
- - - -
36,190 159,236 7,238 477,708.00
- - - -
- - - -
84,700 205,700 72,600 762,300.00
- - - -
- - - -
- - - -
- - - -
- - - -
9,700 19,400 - 67,900.00
- - - -
- - - -
- - - -
1,710 3,420 - 30,438.00
294,840 196,560 188,370 1,708,980.00
- - - -
- - - -
76,400 401,100 229,200 1,680,800.00
- - - -
- - - -
57,600 199,680 - 677,760.00
- - - -
- - - -
87,331 68,346 87,331 486,016.00

- - - -
- - - -
- - - -
- - - -
50,352 75,528 20,980 222,388.00
- - - -
50,400 72,800 61,600 252,000.00
- - - -
- - - -
- - - -
- - - -
- 157,050 87,250 244,300.00
- - - -
30,950 92,850 61,900 222,840.00
- - - 19,888.00
- - - -
- - - -
- - - -
- - - 31,518.00
46,200 115,500 26,400 250,800.00

- - - 244,800.00
- - - -
- 19,900 - 79,600.00
- - - -
2,750 30,250 24,750 101,750.00
- - - -
- - - -
- - - -
11,800 59,000 - 236,000.00

228,000 252,000 228,000 1,140,000.00
- - - -
- - - -
- - - -
27,200 34,000 20,400 122,400.00

132,600 193,800 102,000 979,200.00
- - - -
- - - -
154,000 - - 616,000.00
- - - -
- - - -
- - - 2,789.00
- - - -
- - - -
- - - -
- - - -
30,800 92,400 - 292,600.00
- - - -
- - - -
- - - 143,250.00
- 20,979 14,985 200,799.00
- 21,250 21,250 42,500.00
- - - -
62,250 83,000 - 581,000.00
- 34,600 34,600 121,100.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 5,300,640.00
10,710 10,710 - 28,917.00
- - - -
- - - -
- - - -
- - - 332,760.00
18,120 67,950 22,650 199,320.00
- - - -
- - - -
- - - -
24,800 49,600 - 173,600.00
- - - -
- - - -
36,250 108,750 - 275,500.00

- - - 81,200.00
- - - -
153,400 100,300 - 283,200.00
- - - -
- - - -
- - - -
- - 34,800 34,800.00
- - - -
- - - 389,910.00
87,300 194,000 97,000 388,000.00
- - - 327,750.00
- - - -
- - - -
- - - -
82,500 148,500 85,800 584,100.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
23,800 34,000 54,400 166,600.00
- - - -
- - - -
- - - -
- - - -
- 3,440 - 3,440.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
57,836 - - 72,295.00
- - - -
- - - -
- - - 36,660.00
- - - -
- - - -
10,900 10,900 - 32,700.00

- - - -
- - - -
- - - -
- - - -
9,000 27,000 - 36,000.00
- - - 209,000.00
- - - -
28,620 28,620 214,650 374,922.00

- - - 629,000.00
- - - -
- - - -
- - - -
- - - -
- - - 9,108.00
- - - -
- - - -
- - - -
- 76,600 - 76,600.00
- - - -
- - - -
- 42,234 - 63,351.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 47,500 - 87,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 158,000 79,000 316,000.00
- - - -
- - - -
- - - 14,500.00
- - - -
- - - -
- - 22,200 88,800.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 37,620 - 225,720.00
- - - -
- - - -
- 54,600 27,300 163,800.00
- - - -
- - - -
- - - -
- - - -
- - - 91,758.00
- - - -
- - - -
- 115,200 - 182,400.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
54,800 41,100 54,800 356,200.00
- - - -
- - - 21,800.00
184,800 207,900 - 947,100.00

- - - -
- 124,200 62,100 186,300.00
- - - -
- - - -
43,200 32,400 21,600 216,000.00
- - - -
- - - -
- - - 7,500.00
- - - -
- 75,900 6,900 131,100.00
- - - -
- - - -
- - - -
- - - -
- 53,200 26,600 239,400.00

- - - -
15,540 18,204 - 85,840.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 96,492 17,028 175,956.00
- - - -
- - - -
- 176,000 - 1,408,000.00
- - - -
194,400 140,400 43,200 788,400.00
- - - -
- - 67,200 67,200.00
- - - -
- - - -
- - - -
5,120 - - 94,720.00
- - - -
20,160 30,240 17,640 68,040.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5,700 62,700 17,100 125,400.00
- - - -
- - - -
77,400 111,800 - 516,000.00

- 80,000 64,000 144,000.00
- - - -
- - - -
- 18,870 - 150,960.00
- - - -
70,200 70,200 14,040 326,196.00
184,800 - - 184,800.00
- - - -
39,060 66,960 16,740 329,220.00
- - - -
- - - -
- - - -
28,600 42,900 - 200,200.00
1,320 - - 11,880.00
- - - -
- - - -
- - - -
58,900 117,800 58,900 471,200.00
- - - -
- - - -
- - - -
44,070 - - 264,420.00
- - - -
- 120,550 - 241,099.20
- - - -
- - - -
- - 11,100 24,050.00
- - - -
- - - -
- 54,802 89,676 144,478.00
- - - -
- - - -
- - - -
38,500 77,000 77,000 500,500.00
- - - -
- - - -
- - - -
- - - -
36,850 147,400 51,590 515,900.00
- - - -
- - - -
58,500 58,500 81,000 243,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 390,150.00
- - - -
- - - -
209,250 317,750 162,750 1,542,250.00
- - - -
- - - -
- - - -
12,310 49,240 51,702 379,148.00

- - - -
- - - -
- 32,700 98,100 425,100.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
44,778 15,804 107,994 287,106.00

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 34,000 8,500 59,500.00
- - - -
- - - -
- - - -
- - - -
- 6,350 12,700 19,050.00
- - - -
- - - 105,850.00
11,388 - - 11,388.00
- - - -
- - - -
- - - -
- - - 412,500.00
139,000 250,200 - 556,000.00

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
6,798 27,192 3,399 74,778.00
- - - -
- - - -
- 27,900 - 27,900.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 422,300.00
265,200 204,000 71,400 816,000.00

- - - -
- - - -
- - - -
23,000 - - 138,000.00
- - - -
- - - -
- - - -
- - - -
- - 190,000 190,000.00
- - - -
- - - -
22,000 110,000 110,000 412,500.00
- - - -
- - - -
- - - -
175,500 324,000 - 992,250.00

- 6,800 210,800 217,600.00
- - - -
44,870 70,510 32,050 269,220.00
- - - -
- 44,000 22,000 165,000.00

- - - -
- - - -
- 6,270 - 6,270.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
24,198 217,782 - 1,524,474.00
- - - 861,076.00
- - - -
- - - 1,435,178.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
132,000 576,000 462,000 1,980,000.00
- - - -
- - - -
- - - -
- - - -
802,400 1,156,400 1,132,800 6,230,400.00
- - - -
- - - -
594,000 990,000 1,056,000 4,224,000.00

- - - -
- - - 57,400.00
- - - -
- - - -
- - - -
- 20,800 70,200 96,200.00
- - - -
- - - -
- - - -
- - - 102,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
213,120 204,240 119,880 1,123,320.00
- - - -
- 3,138 - 50,208.00
- - - -
- - 7,524 13,794.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 128,651.00
- - - -
56,840 92,800 92,800 336,400.00
- - - -
849,400 1,904,300 1,904,300 6,432,150.00
- - - -
- - - -
- - - -
- - - -
120,000 144,000 228,000 852,000.00
20,700 - - 144,900.00
- - - -
- - - -
- - 37,400 37,400.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
108,800 122,400 122,400 584,800.00
- - - -
- - - -
- - - -
104,000 104,000 26,000 611,000.00
- - - -
- - - -
- - - -
17,000 25,500 34,000 119,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 11,800 - 23,600.00
- - - -
- - - -
- - - -
- - - -
- 64,000 32,000 192,000.00

- - - -
- - - -
330,330 471,900 448,305 1,297,725.00
- - - 583,000.00
- - - -
- - - -
- - - -
5,031 - - 18,447.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
164,450 221,650 - 557,700.00
- - - 293,150.00
- - - -
- - - -
- - - -
34,400 60,200 17,200 197,800.00
- - - -
- - - -
- - - -
265,464 - - 678,408.00
- - - -
- - - -
- - - -
- - - -
17,442 14,535 - 37,791.00
- - - -
- - - -
- - - -
- - - -
158,015 401,115 36,465 984,555.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 165,320 41,330 570,354.00
- - - -
- - - -
- - - -
182,000 273,000 455,000 2,457,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
11,000 38,500 16,500 154,000.00
- - - -
- - - -
- - - -
- - - 24,520.00
- - - -
- - - -
244,080 122,040 74,580 1,275,770.00
- - - -
- - - -
25,400 101,600 25,400 457,200.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,439,988.00
- - - -
- - - -
- - - 261,998.00
- - - -
- - - -
- - - -
689,400 - - 4,596,000.00
- - - -
88,800 296,000 59,200 562,400.00

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 86,500.00
- - - -
- 249,750 83,250 832,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 60,900 17,400 165,300.00
- - - -
- - - -
- 23,078 - 39,561.60
- - - -
- - 7,936 7,936.00
- - - -
- - - -
- - - -
- - 47,160 94,320.00
- - - -
36,000 69,600 26,400 289,200.00

- - - -
- - - -
- - - -
107,948 - 296,857 539,740.00
- - - -
- - - -
- - - -
290,400 422,400 316,800 1,940,400.00
- - - -
- - - -
- - - -
- - - -
- 32,850 62,415 95,265.00

- - - -
120,800 181,200 - 302,000.00
- - - 1,816,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
37,467 34,883 11,628 174,413.25
- - - -
- - - -
- - - 301,950.00
171,571 183,974 106,457 558,122.40
- - - -
- - - -
47,551 45,286 56,608 228,696.32
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 67,100.00
- - - -
- - - -
- 32,046 32,046 416,598.00
- - - -
- - - 70,052.40
- - 262,697 367,775.10
- - - -
- - - -
- - - -
- - - -
- - - -
35,285 423,420 423,420 1,270,260.00
101,355 304,065 - 1,216,260.00

- - - -
- - 405,420 1,148,690.00
176,425 - - 176,425.00
- - 844,625 844,625.00
- - - -
- - - -
- - - -
- 10,000 - 10,000.00
- - - -
- - - -
- - - -
- 26,840 - 134,200.00
- 40,260 13,420 53,680.00
13,420 - 26,840 161,040.00
- - - -
- - - -
- - - -
- - - -
- - - -
112,728 338,184 169,092 1,127,280.00
225,456 112,728 169,092 1,127,280.00
- - - -
- - - -
- - - -
- - - 815,936.00
- - - 96,800.00
- - - -
- 12,444 6,222 37,332.00
- - - -
- - - -
- - - -
- - - -
- - - 40,992.00
5,856 105,408 35,136 275,232.00
- - - -
- - - -
- - - -
- - - -
- - - -
36,600 - 7,320 204,960.00
- - - -
- - - -
- - - -
7,320 124,440 14,640 344,040.00
- - - -
- - - -
- - - 109,800.00
- 102,480 36,600 175,680.00
- - - -
- - - -
7,320 29,280 - 87,840.00
- - - -
- - - -
- - - -
- 9,394 - 37,576.00
28,745 28,745 - 114,981.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 141,400 424,200.00
- - - -
- - - -
242,210 216,259 484,420 1,384,057.60
- - - -
- - - -
- - - -
- - - -
80,129 151,355 71,226 596,516.41
49,515 24,758 24,758 235,196.25
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
247,500 - 825,000 1,925,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 16,104.00
- - - -
- - - -
- - - -
- - - 32,208.00
- - - -
- - - -
- - - -
- - - -
8,052 16,104 - 56,364.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 24,152 12,076 60,380.00
- - - -
- - - -
151,074 151,074 226,611 755,370.00
- - - -
- - - 45,507.00
- - 34,300 34,300.00
- - - -
- - - -
- - - -
- - - -
20,685 - - 20,685.00
- - - -
- - - 953,315.00
476,658 571,989 190,663 1,334,641.00
- - - -
75,000 6,250 - 153,750.00
- - - -
- - - -
6,710 20,130 13,420 100,650.00

- - - -
- - - -
49,556 43,362 99,112 253,975.73
- - - -
73,874 36,937 73,874 332,431.47
- - - -
- - - -
- - - -
46,800 46,800 46,800 210,600.00
- - - -
- - - -
7,500 7,500 - 30,000.00
- - - -
- - - -
- - - -
141,406 141,406 141,406 1,838,282.29
- - - -
- - - -
- - 427,704 427,704.00
- 334,243 - 1,253,410.05
65,344 392,064 - 1,110,848.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 261,940.00
- - - 3,507,064.00
2,592,260 2,120,940 - 18,852,800.00
523,880 261,940 523,880 2,619,400.00
1,275,296 478,236 797,060 3,985,300.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,912,125 - - 1,912,125.00
- - - -
- - - -
11,500 - 138,000 172,500.00
- - - -
- - - -
- - - -
- - - -
- - - 1,077,150.00
- - - -
- 1,329,500 2,659,000 3,988,500.00
- - - -
- - - -
- 605,000 - 3,630,000.00
- - - -
- - - -
- 274,175 - 1,096,700.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 408,483.30
- - - 58,900.00
19,448 77,792 369,512 466,752.00
- - - -
- - - 58,000.00
- - - 657,400.00
- - - 148,200.00
- - - 352,450.00
- - - -
- - - 735,300.00
- - - 41,800.00
- - - 188,000.00
- - - 38,950.00
- - - 93,100.00
- - - 47,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
-
19,056,517 25,736,410 21,096,949 160,529,728.37
160,529,728
DAFTAR PENERIMAAN OBAT DAN BAHAN
APBD II TAHUN
PUSKESMAS S
1 2 3 4 5
I OBAT GENERIK

14 DAK 2017 3,080.00

15 DAK 2018 2,878.00

16 DAK 2019 3,071.00
Tablet
Tablet
Kaptab
26 500 mg DAK 2017 191.00
Kaplet
27 500 mg DAK 2019 365.00
Kaplet
28 500 mg DAK 2018 248.00
Botol 60 ml
29 DAK 2017 1,920.00
Botol 60 ml
30 DAK 2019 2,783.00
Botol 60 ml
31 DAK 2018 1,919.00
Botol 60 ml
32 ml DAK 2017 3,797.00
Botol 60 ml
33 ml DAK 2018 3,604.00
Botol 60 ml
34 ml DAK 2019 3,846.00
kunyah,kombinasi:
39 200 mg DAK 2018 56.00
kunyah,kombinasi:
40 200 mg DAK 2017 59.00
kunyah,kombinasi:
41 200 mg DAK 2019 60.00
IU/g Tube 5 gram
42 DAK 2015 2,767.00
IU/g Tube 5 gram
43 DAK 2017 3,365.00
IU/g Tube 5 gram
44 DAK 2018 3,490.00
Botol 60 ml
45 mg+Pektin 40 mg DAK 2016 8,000.00
Botol 60 ml
46 mg+Pektin 40 mg DAK 2017 6,190.00
Tablet
53 DAK 2017 204.00
Tablet
Tablet

56 DAK 2019 2,860.00
Ampul 25 ml
58 ml DAK 2016 2,750.00

Tablet
59 DAK 2015 1,409.00
Tablet
Tablet
65 mg(Afolat) DAK 2015 140.00
Tablet
66 mg(Afolat) DAK 2016 68.00

73 DAK 2016 2,789.00

74 DAK 2017 2,530.00

75 DAK 2018 2,225.00
Tablet
Tablet

85 DAK 2017 415.00
Tablet
86 tablet DAK 2016 173.00
Tablet
87 tablet DAK 2019 159.00
93 mg DAK 2016 660.00
94 mg DAK 2018 409.00
95 gram DAK 2017 1,071.00
96 gram DAK 2018 1,232.00
97 gram DAK 2019 6,006.00
Botol
98 solution 0,1% DAK 2019 83,190.00
Botol
99 100 mcg/puff DAK 2018 83,190.00

102 DAK 2017 298.00
Tube 5 gram
105 Valerat) DAK 2019 1,465.00
Tube 5 gram
107 Valerat) DAK 2017 1,450.00
Supp
109 supp) DAK 2019 5,900.00
Supp
Supp
Supp
113 supp) DAK 2019 6,000.00

123 DAK 2016 1,745.00

124 DAK 2017 1,822.00

125 DAK 2018 1,210.00

126 DAK 2019 1,210.00
Botol
130 ml DAK 2016 41,800.00
Tablet
Tablet
Tube
138 (STESOLID) DAK 2018 21,021.00
Tube
139 (STESOLID) DAK 2019 21,021.00
Tube
141 ml(STESOLID) DAK 2018 14,459.00
Tube
142 ml(STESOLID) DAK 2019 14,459.00

144 DAK 2017 1,222.00

145 DAK 2019 1,347.00

146 DAK 2016 1,354.00

147 DAK 2017 109.00

149 DAK 2017 299.00

153 DAK 2017 110.00

155 DAK 2018 2,862.00
Tablet
158 mg DAK 2016 1,001.00
Tablet
159 mg DAK 2017 1,050.00
Tablet
160 mg DAK 2018 1,088.00
Ampul
161 1 mg/ml DAK 2018 1,518.00
Ampul
162 1 mg/ml DAK 2019 1,518.00
Ampul
163 1 mg/ml DAK 2016 2,354.00

165 DAK 2017 766.00

166 DAK 2018 781.00

167 DAK 2017 6,461.00

168 DAK 2016 7,039.00

178 DAK 2017 6,231.00
Ampul 1 ml
185 mg/ml DAK 2018 1,914.23
Ampul 1 ml
186 mg/ml DAK 2019 4,236.00
Ampul 1 ml
187 mg/ml DAK 2016 4,083.00
Tablet Salut Gula
188 10 mg DAK 2017 790.00
Tablet
189 10 mg DAK 2019 873.00
Nebules 2 ml
191 0,5 mg) DAK 2017 14,500.00
192 0,5 mg) DAK 2018 14,929.00
193 0,5 mg) DAK 2019 15,675.00

200 DAK 2017 1,254.00

201 DAK 2018 1,055.00
Sachet 4,26 gram
202 anhidrat 2,7 g DAK 2019 281.00

Sachet
203 DAK 2017 273.00

Sachet
204 DAK 2018 263.00

205 DAK 2016 436.00

225 DAK 2017 231.00

239 DAK 2016 264.00

240 DAK 2017 266.00
Ampul 1 ml
243 50 mg/ml DAK 2016 97,500.00
Botol 15 ml
247 mg/mL DAK 2016 18,499.00
249 ml DAK 2017 1,300,000.00
250 ml DAK 2019 1,325,000.00

259 DAK 2019 112.00

260 DAK 2018 112.00

267 DAK 2017 85.00

268 DAK 2019 142.56

269 DAK 2019 190.30

270 DAK 2017 182.00

271 DAK 2018 89.00
272 DAK 2019 165.00

273 DAK 2017 95.00

274 DAK 2016 690.00
275 300 mg DAK 2017 682.00
Tablet
Tablet
Tablet

280 DAK 2017 86.00

283 DAK 2017 770.00

284 DAK 2018 629.00
Tablet
285 mg DAK 2019 250.00
Tablet
292 mg DAK 2017 297.00

297 DAK 2019 812.96

298 DAK 2017 589.00

299 DAK 2018 583.00

301 DAK 2017 1,799.00

302 DAK 2018 1,469.00
Kapsul
303 500 mg DAK 2016 1,155.00
Kapsul
304 mg DAK 2017 502.29
Botol plastik 10 ml
315 TM) DAK 2016 7,125.00
Botol plastik 10 ml
316 TM) DAK 2018 6,600.00
Botol plastik 10 ml
317 TM) DAK 2019 9,900.00
Botol plastik 10 ml
318 TT) DAK 2016 7,125.00
Botol plastik 10 ml
319 TT) DAK 2017 7,370.00
Botol plastik 10 ml
320 TT) DAK 2019 9,900.00
Tablet
Tablet
Tablet
324 mg DAK 2018 24.00
Ampul 1 ml
325 (HCl) DAK 2016 1,425.00
Ampul 1 ml
326 (HCl) DAK 2017 1,349.00
Ampul 1 ml
327 (HCl) DAK 2019 1,531.00
Ampul 1 ml
328 (HCl) DAK 2018 1,435.00
Tablet
Tablet

331 DAK 2019 181.00
Tablet
334 mg DAK 2017 632.00

335 DAK 2016 2,225.00

trimetoprim 40 mg
336 DAK 2017 2,462.00
trimetoprim 40 mg
337 DAK 2018 2,052.00

trimetoprim 40 mg
338 DAK 2019 2,190.00
339 160 mg DAK 2017 327.00
kotrimoksazol forte
341 160 mg DAK 2019 319.00
Plabott, 500 ml
343 3A injection) DAK 2017 10,285.00
Plabott, 500 ml
344 3B injection) DAK 2017 10,285.00

345 DAK 2016 40,000.00
347 + Epinefrin 1 : 80.000 - 2 ml DAK 2018 1,317.00
Ampul 2 ml
351 80.000 - 2 mL DAK 2016 2,122.00
Ampul 2 ml
352 80.000 - 2 mL DAK 2017 2,227.00
Ampul 2 ml
353 80.000 - 2 mL DAK 2019 1,405.00
Ampul 25 ml
361 injeksi 40% DAK 2016 3,650.00
Tablet
366 mg DAK 2019 148.00
Tablet
367 mg DAK 2017 165.00
Tablet
368 mg DAK 2018 139.00
Tablet
371 0,125 mg DAK 2016 222.20
Tablet Salut
372 0,125 mg DAK 2017 270.60
Tablet Salut
373 0,125 mg DAK 2018 243.00
Ampul
374 ml DAK 2019 3,399.00
375 ml Ampul DAK 2018 3,399.00
376 ml Ampul DAK 2016 2,684.00
378 mg Tablet DAK 2017 93.00
379 mg Tablet DAK 2018 83.00
Tablet
385 mg DAK 2019 109.00
Kaptap ss
386 mg DAK 2017 103.00
Kaptap ss
387 mg DAK 2018 102.00
Tablet
391 mg DAK 2017 115.00
Tablet
394 mg DAK 2019 277.20
Tablet
402 50 mg DAK 2019 145.00
403 50 mg DAK 2017 135.00
405 Steril DAK 2017 6,410.00
406 Steril DAK 2018 6,410.00
407 Steril DAK 2019 6,840.00

408 DAK 2017 110.00
Tablet Salut Gula

Tablet

419 DAK 2017 430,538.00

421 DAK 2017 1,435,178.00

422 DAK 2018 1,492,579.00
Paket
423 Sisipan DAK 2016 183,984.00
424 dispersibel" DAK 2017 257,125.00
Paket
425 Anak DAK 2016 247,234.00
Paket
426 Anak DAK 2018 267,397.00
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Botol 60 ml
Tablet
Ampul
446 10 UI/ml DAK 2016 1,900.00

452 DAK 2017 148.00

453 DAK 2019 429.00

454 DAK 2017 523.00

455 DAK 2018 406.00

456 DAK 2017 1,254.00
Ampul 2 ml
457 ml) DAK 2016 1,650.00
Ampul 2 ml
458 ml) DAK 2019 1,258.00
460 mL DAK 2019 11,610.00
461 mL DAK 2017 12,939.00
462 mL DAK 2018 11,610.00
466 (60mg/0,6ml) (G) DAK 2018 7,646.00
Botol 15 ml
467 (60mg/0,6ml) (G) DAK 2017 6,850.00
Botol 15 ml
468 (60mg/0,6ml) (G) DAK 2019 7,646.00
Tablet
470 mg DAK 2019 60.00
Tablet
471 mg DAK 2017 51.00
Ampul
474 mg/ml (HCl) DAK 2015 15,950.00

483 DAK 2018 141.00
Tablet
484 mg (HCl) DAK 2017 136.00

485 DAK 2016 136.00
Tablet
486 mg (HCl) DAK 2019 150.00

491 DAK 2016 102.00

492 DAK 2017 85.00

493 DAK 2018 74.00

494 DAK 2019 79.00

498 DAK 2017 59.00

500 DAK 2019 63.00
Tablet
502 mg DAK 2019 586.00
Tablet
503 mg DAK 2016 320.00

507 DAK 2017 110.00

508 DAK 2019 235.95
Kapsul
514 lunak DAK 2016 327.00
Kapsul
515 lunak DAK 2018 331.00
Kapsul lunak
516 lunak DAK 2017 585.00
Kapsul
517 lunak DAK 2018 596.00
Kapsul
518 lunak DAK 2016 536.00

519 DAK 2019 985.00

520 DAK 2017 1,274.00

521 DAK 2018 1,134.00
Tablet
Tablet

529 DAK 2019 77.00
Nebules
533 Nebules) DAK 2017 14,124.00
Nebules
534 cairan ih 0,1% DAK 2019 4,000.00
Nebules
535 cairan ih 0,1% DAK 2018 4,000.00
Tube @ 10 g
540 krim 5% DAK 2016 12,155.00

546 DAK 2016 9,840.00

547 DAK 2017 4,133.00

548 DAK 2019 4,360.00

549 DAK 2018 4,086.00
551 DAK 2017 455.00

552 DAK 2019 492.00

560 DAK 2016 126.50
Tablet
Tablet
Tablet
563 500 mcg DAK 2019 1,160.00
Ampul 1 ml
564 500 mcg DAK 2017 1,117.00
Ampul 1 ml
565 mcg/ml - 1ml DAK 2016 1,226.00
Ampul 1 ml
566 mcg/ml - 1ml DAK 2015 1,050.00

568 DAK 2017 113.00

569 DAK 2019 117.00
Tablet
576 mg DAK 2017 277.00
Dus, 1 Vial @ 5 ml
577 (i.m./i.v) DAK 2019 512,204.00
Dus, 1 Vial @ 5 ml
578 (i.m./i.v) DAK 2017 462,000.00
Dus, 1 Vial @ 5 ml
579 ml ( ABU I ) DAK 2018 479,996.00
Ampul 1 ml
580 1500 IU/amp (i.m) DAK 2019 130,999.00
Ampul 1 ml
581 1500 IU/amp (i.m) DAK 2017 126,500.00
Ampul 1 ml
582 IU/ampul ( A.T.S ) DAK 2018 130,999.00
Vial
583 mg/ml DAK 2016 5,750.00
Vial
584 mg/ml DAK 2019 5,980.00

585 DAK 2016 10,100.00
586 DAK 2017 9,192.00

587 DAK 2019 7,338.00

588 DAK 2017 296.00
Supp
590 100 mg DAK 2016 2,789.00

594 Tablet DAK 2016 329.00

595 Tablet DAK 2018 310.00

596 Tablet DAK 2019 331.00

Tablet
50 mg (HCl/ Nitrat)
604 DAK 2019 94.00
Tablet
605 50 mg DAK 2018 88.00

Tablet
50 mg (HCl/ Nitrat)
606 DAK 2017 87.00
Tablet
607 100 mg DAK 2016 91.00

617 DAK 2017 80.00

619 DAK 2019 101.00

621 DAK 2017 26,987.00

622 DAK 2018 17,789.00

629 DAK 2019 3,285.00

630 DAK 2018 3,285.00
ALAT KESEHATAN
18 24GX1" DAK 2017 1,240.00
19 26 GX3/8" DAK 2017 1,650.00
20 23GX1" DAK 2016 1,240.00
21 27GX3/8" DAK 2016 1,650.00
22 23GX1" DAK 2018 1,240.00
23 27GX3/8" DAK 2018 1,650.00
24 27GX3/8" DAK 2019 1,557.00

28 DAK 2016 10,950.00
Benang Bedah SMI
Sachet
Sachet
35 MM DAK 2019 32,800.00
Sachet
37 MM DAK 2017 33,785.00
Sachet
39 MM DAK 2018 33,785.00
Sachet
41 MM DAK 2017 33,785.00
Sachet
43 MM DAK 2018 33,785.00
Sachet
45 MM DAK 2019 32,800.00
Piece
50 no. 16 DAK 2019 11,565.00
Piece
51 no. 16 DAK 2016 13,420.00
Piece
52 no. 16 DAK 2018 13,420.00
Piece
53 no. 18 DAK 2016 13,420.00
Piece
54 no. 18 DAK 2019 11,565.00
Piece
55 no. 18 DAK 2018 13,420.00
pasang
65 glove ) DAK 2017 24,200.00
pasang
66 glove ) DAK 2018 24,200.00
Piece
67 drops/ml) DAK 2017 6,222.00
Piece
69 drops/ml) DAK 2016 6,222.00
Piece
70 drops/ml) DAK 2018 6,222.00
drops/ml) Piece
71 DAK 2016 5,856.00
drops/ml) Piece
72 DAK 2017 5,856.00
drops/ml) Piece
73 DAK 2018 5,856.00
drops/ml) Piece
74 DAK 2019 5,096.00

77 DAK 2016 8,540.00
Piece
78 G18 X 45 MM Green DAK 2019 5,500.00

81 DAK 2016 8,540.00
Piece
82 G20 X 33 MM Pink DAK 2019 5,500.00
Piece
84 G22 X 25 MM Blue DAK 2019 5,500.00

85 DAK 2016 8,540.00
Piece
88 G24 X 0.75 " DAK 2019 5,500.00

89 DAK 2016 8,540.00

95 DAK 2017 28,745.25

96 DAK 2017 (2) 28,750.00
97 DAK 2018 28,750.00

98 DAK 2019 20,600.00

99 DAK 2016 28,750.00
Box
103 pads) DAK 2016 8,650.50
Box
104 pads) DAK 2017 8,650.36
Box
105 pads) DAK 2017(2) 8,652.70
Box
106 pads) DAK 2019 7,370.00
Roll
110 10cm DAK 2017 2,475.75
Roll
111 10cm DAK 2017(2) 2,488.87
Roll
112 10cm DAK 2018 2,475.75
Roll
113 10cm DAK 2019 2,415.00
Roll
114 10cm DAK 2016 2,475.43
118 DAK 2016 550.00
119 DAK 2017 550.00
NGT
120 cm) DAK 2015 8,841.00
NGT
121 cm) DAK 2015 8,841.00
NGT
122 (125 cm) DAK 2015 10,010.00
NGT
123 (125 cm) DAK 2015 10,010.00
NGT
124 (125 cm) DAK 2015 10,010.00
Roll
146 4.5 m DAK 2016 35,532.00
Roll
147 4.5 m DAK 2018 12,076.00
Roll
148 4.5 m DAK 2019 12,675.00
Benang Bedah SMI
Sachet
Benang Bedah SMI
Sachet
Piece
163 Nylon DAK 2016 1,250.00
Piece
164 hanger DAK 2019 4,800.00
Piece
165 hanger DAK 2016 6,710.00
Piece
166 hanger DAK 2018 6,710.00
Botol 1 Liter
182 instrumen DAK 2017 141,406.33
Botol 500 ml
Botol 500 ml
Botol 1 Liter
185 instrumen DAK 2017(2) 142,568.00
Botol 500 ml
Botol 500 ml
Botol 1 Liter
188 instrumen DAK 2018 141,417.00
Botol 500 ml
Botol 500 ml
Botol 500 ml
Botol 500 ml
REAGENSIA

Vial 10 ml
15 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
16 (Vial 10 ml) DAK 2016 105,135.00
Vial 10 ml
17 (Vial 10 ml) DAK 2016 80,825.00
Vial 10 ml
18 10 ml) DAK 2016 126,695.00
Vial 10 ml
19 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
20 (Vial 10 ml) DAK 2017 98,822.50
Vial 10 ml
21 (Vial 10 ml) DAK 2017 74,512.50
Vial 10 ml
22 10 ml) DAK 2017 120,382.50
Vial 10 ml
23 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
24 (Vial 10 ml) DAK 2019 84,000.00
Vial 10 ml
25 (Vial 10 ml) DAK 2019 62,000.00
Vial 10 ml
26 10 ml) DAK 2019 104,000.00



2 Antasida DOEN tablet Kaplet DAK 2016 233.00
scored 500 mg
kunyah,kombinasi:
3 Tablet kunyah DAK 2016 64.00
Mg-Hidroksida 200 mg + Al.
4 Atropin inj 0,25
Hidroksida. 200 mg
mg / ml Ampul 1 ml DAK 2016 1,672.00
BEROTEC SOLUTION - Fenoterol
5 Botol DAK 2016 125,750.00
HBr solution 0,1%
6 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2015 1,156.00

Isosorbit Dinitrat tablet sublingual 5
8 Tablet DAK 2016 93.00
mg

Serum Anti Bisa Ular Polivalen
Dus, 1 Vial @ 5 ml
15 injeksi 5 ml ( ABU I ) DAK 2015 472,000.00
Kaplet
16 scored 500 mg DAK 2016 233.00
kunyah,kombinasi:
Tablet kunyah
17 200 mg DAK 2016 64.00

18 DAK 2016 93.00
Loratadin tablet/kapsul/kaplet 10 mg
Tablet
19 DAK 2016 149.00
TOTAL
MAAN OBAT DAN BAHAN MEDIS HABIS PAKAI DI APOTEK
APBD II TAHUN 2019
PUSKESMAS SEBAWI

JAN FEB MAR APR MEI
6 7 8 9 10
83
28
90
5
10
25
6
73
16
140
261
97
20
70
74
9
90
75
10
20
7
27
45
75
111
11
85
20
20
46
186
57
48
83
22
25
217
83
69
58
209
90
1
8
56
7
55
88
85
50
130
76
39
58
73
32
11
20
10
156
85
86
20
20
22
180
106
7
50
65
370
36
17
111
101
97
199
70
21.00
20.00
50.00
4.00
90.00
63.00
44.00
-
11 12 13 14 15
- - - -
- - - -
- - - -
3,720.00 3,720.00 - - -
- - - -
- - - -
- - - -
- - - -
113.00 113.00 - - -
- - - -
- - - -
5,570.00 5,653.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
680.00 708.00 - - -
- - - -
- - - -
- - - -
- - - -
18,150.00 18,240.00 - - -
- - - -
- - - -
7,650.00 7,650.00 - - -
- - - -
- - - -
312.00 319.00 - - -
- - - -
- - - -
122.00 127.00 - - -
- - - -
- - - -
- - - -
- - - -
100.00 110.00 - - -
- - - -
3,790.00 3,790.00 - - -
- - - -
- - - -
- - - -
- - - -
61.00 86.00 - - -
- - - -
32.00 40.00 - - -
4.00 10.00 - - -
- - - -
- - - -
- - - -
9.00 9.00 - - -
64.00 64.00 - - -
1,110.00 1,183.00 - - -
- - - -
355.00 355.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,800.00 1,816.00 - - -
8,210.00 8,350.00 - - -
- - - - -
- - - - -
- - - - -
1,690.00 1,951.00 - - -
9,300.00 9,397.00 - - -
- - - - -
- - - - -
320.00 340.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 70.00 - - -
1,840.00 1,840.00 - - -
- - - - -
- - - - -
15.00 17.00 - - -
51.00 51.00 - - -
100.00 100.00 - - -
- - - - -
1,400.00 1,474.00 - - -
310.00 319.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 90.00 - - -
- - - - -
12,600.00 12,600.00 - - -
15.00 15.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,320.00 1,395.00 - - -
- - - - -
- - - - -
- - - - -
700.00 700.00 - - -
- - - - -
- - - - -
182.00 182.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,230.00 1,240.00 - - -
3,920.00 3,920.00 - - -
2,750.00 2,770.00 - - -
- - - - -
- - - - -
- - - - -
175.00 182.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 27.00 - - -
4,430.00 4,430.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
210.00 255.00 - - -
- - - - -
- 75.00 - - -
- - - - -
- - - - -
250.00 250.00 - - -
1,700.00 1,811.00 - - -
- - - - -
127.00 127.00 - - -
37.00 48.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 85.00 - - -
40.00 40.00 - - -
- - - - -
- - - - -
7.00 7.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
29.00 29.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
320.00 340.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
640.00 660.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
180.00 180.00 - - -
- - - - -
- - - - -
439.00 485.00 - - -
- - - - -
- 186.00 - - -
- - - - -
- - - - -
50.00 50.00 - - -
- - - - -
- - - - -
38.00 39.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,470.00 2,470.00 - - -
- - - - -
100.00 105.00 - - -
4,100.00 4,157.00 - - -
- - - - -
830.00 830.00 - - -
- - - - -
- - - - -
1,520.00 1,568.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
850.00 933.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
38.00 60.00 - - -
- - - - -
- - - - -
710.00 735.00 - - -
- - - - -
6,500.00 6,717.00 - - -
- - - - -
570.00 570.00 - - -
- - - - -
- - - - -
- - - - -
37.00 42.00 - - -
- - - - -
25.00 25.00 - - -
- 83.00 - - -
- - - - -
- - - - -
- 69.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
800.00 858.00 - - -
- - - - -
- - - - -
6,000.00 6,209.00 - - -
1,710.00 1,710.00 - - -
- - - - -
- - - - -
240.00 240.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
116.00 120.00 - - -
- - - - -
- - - - -
- - - - -
670.00 760.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
680.00 680.00 - - -
- - - - -
- - - - -
- - - - -
180.00 180.00 - - -
- - - - -
380.00 380.00 - - -
- - - - -
- - - - -
13.00 14.00 - - -
- - - - -
- - - - -
7.00 7.00 - - -
- - - - -
- - - - -
- - - - -
110.00 118.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
53.00 56.00 - - -
- - - - -
- - - - -
4,710.00 4,766.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
83.00 90.00 - - -
- - - - -
- - - - -
1,180.00 1,235.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
600.00 688.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
100.00 100.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,400.00 2,485.00 - - -
3,710.00 3,710.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
190.00 240.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
4,100.00 4,230.00 - - -
7,950.00 7,950.00 - - -
- - - - -
- - - - -
- - - - -
1,100.00 1,176.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 9.00 - - -
- - - - -
- - - - -
75.00 79.00 - - -
- - - - -
- 39.00 - - -
- - - - -
7,000.00 7,058.00 - - -
1,420.00 1,420.00 - - -
- - - - -
- - - - -
- - - - -
1,500.00 1,573.00 - - -
- - - - -
- - - - -
- 32.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
63.00 63.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
289.00 292.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
390.00 394.00 - - -
- 11.00 - - -
- - - - -
5,760.00 5,760.00 - - -
- - - - -
35.00 55.00 - - -
- - - - -
- - - - -
- - - - -
37.00 37.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
7,500.00 7,500.00 - - -
- - - - -
96.00 106.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
107.00 113.00 - - -
- - - - -
254.00 254.00 - - -
- - - - -
45.00 49.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
12,250.00 12,406.00 - - -
- - - - -
- - - - -
- - - - -
60.00 60.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 85.00 - - -
- - - - -
- - - - -
3,900.00 3,986.00 - - -
- - - - -
- - - - -
- - - - -
4,350.00 4,370.00 - - -
- - - - -
- - - - -
- - - - -
1,320.00 1,325.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
300.00 320.00 - - -
- - - - -
- - - - -
- 22.00 - - -
- - - - -
500.00 500.00 - - -
- - - - -
- - - - -
5,000.00 5,000.00 - - -
4,700.00 4,880.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,130.00 2,236.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
13.00 19.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
81.00 84.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
138.00 145.00 - - -
- - - - -
- - - - -
- - - - -
4,600.00 4,650.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,800.00 2,865.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
11,260.00 11,630.00 - - -
- - - - -
- - - - -
1,630.00 1,666.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500.00 517.00 - - -
- - - - -
1,900.00 2,011.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
100.00 201.00 - - -
- - - - -
510.00 510.00 - - -
- - - - -
- 5.00 - - -
- - - - -
- - - - -
- - - - -
1,870.00 1,967.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
9.00 9.00 - - -
- - - - -
- - - - -
- 199.00 - - -
12,020.00 12,020.00 - - -
- - - - -
- - - - -
- 4.00 - - -
- - - - -
29.00 29.00 - - -
- - - - -
470.00 470.00 - - -
100.00 170.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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- - - - -
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- - - - -
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- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
21.00 23,285 - -
20.00 1,600 - -
- - - -
50.00 11,650 - -
4.00 256 - -
90.00 8,370 - -
- 63.00 9,387 - -
- 44.00 7,216 - -
61,764 - -
16 17 18 19
- - - -
- - - -
- - - -
- - 435,240 435,240.00
- - - -
- - - -
- - - -
- - - -
- - 408,947 408,947.00
- - - -
- - - -
- 10,043 673,970 684,013.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 2,716 65,960 68,676.00
- - - -
- - - -
- - - -
- - - -
- 8,190 1,651,650 1,659,840.00
- - - -
- - - -
- - 1,461,150 1,461,150.00
- - - -
- - - -
- 13,440 599,040 612,480.00
- - - -
- - - -
- 18,985 463,234 482,219.00

- - - -
- - - -
- - - -
- - - -
- 20,980 209,800 230,780.00
- - - -
- - 212,240 212,240.00
- - - -
- - - -
- - - -
- - - -
- 87,250 212,890 300,140.00
- - - -
- 49,520 198,080 247,600.00
- 29,832 19,888 49,720.00
- - - -
- - - -
- - - -
- - 31,518 31,518.00
- - 211,200 211,200.00
- 14,892 226,440 241,332.00
- - - -
- - 70,645 70,645.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 1,888 212,400 214,288.00

- 16,800 985,200 1,002,000.00
- - - -
- - - -
- - - -
- 17,748 114,920 132,668.00

- 9,894 948,600 958,494.00
- - - -
- - - -
- 30,800 492,800 523,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 10,710 - 10,710.00
- - 283,360 283,360.00
- - - -
- - - -
- 19,100 143,250 162,350.00
- - 152,847 152,847.00
- - 42,500 42,500.00
- - - -
- 30,710 581,000 611,710.00
- 1,557 53,630 55,187.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 36,900 - 36,900.00
- - - -
- - 5,153,400 5,153,400.00
- - 16,065 16,065.00
- - - -
- - - -
- - - -
- - - -
- 11,325 199,320 210,645.00
- - - -
- - - -
- - - -
- - 173,600 173,600.00
- - - -
- - - -
- - 263,900 263,900.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 3,170 389,910 393,080.00
- - 380,240 380,240.00
- 2,300 316,250 318,550.00
- - - -
- - - -
- - - -
- 23,100 577,500 600,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 4,025 - 4,024.89
- - 150,620 150,620.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 4,905 22,890 27,795.00

- - - -
- 22,425 - 22,425.00
- - - -
- - - -
- - 22,500 22,500.00
- 12,210 187,000 199,210.00

- - - -
- - 363,474 363,474.00
- 187,000 629,000 816,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 65,110 - 65,110.00
- - 30,640 30,640.00
- - - -
- - - -
- - 49,273 49,273.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 72,500 72,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 15,800 252,800 268,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 2,220 71,040 73,260.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 225,720 225,720.00
- - - -
- - - -
- 12,558 119,847 132,405.00
- - - -
- 81,096 - 81,096.00
- - - -
- - - -
- - 91,758 91,758.00
- - - -
- - - -
- 4,800 182,400 187,200.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 338,390 338,390.00
- - - -
- 1,090 21,800 22,890.00
- 13,167 947,100 960,267.00

- - - -
- - 171,810 171,810.00
- - - -
- - - -
- 5,184 164,160 169,344.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 22,078 226,100 248,178.00

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 62,436 107,844 170,280.00
- - - -
- - - -
- 44,000 1,249,600 1,293,600.00
- - - -
- 23,436 702,000 725,436.00
- - - -
- - 63,840 63,840.00
- - - -
- - - -
- - - -
- 12,800 94,720 107,520.00
- - - -
- - 63,000 63,000.00
- 7,055 - 7,055.00
- - - -
- - - -
- 12,558 - 12,558.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 3,306 45,600 48,906.00
- - - -
- - - -
- 17,974 516,000 533,974.00

- - 136,800 136,800.00
- - - -
- - - -
- - 150,960 150,960.00
- - - -
- - - -
- - - -
- - - -
- 11,160 323,640 334,800.00
- - - -
- - - -
- - - -
- 25,740 191,620 217,360.00
- - - -
- - - -
- - - -
- - - -
- - 400,520 400,520.00
- - - -
- - - -
- - - -
- - 264,420 264,420.00
- - - -
- - 190,870 190,870.20
- - - -
- - - -
- 1,850 24,050 25,900.00
- - - -
- - - -
- - 34,874 34,874.00
- - - -
- - - -
- - - -
- 30,800 423,500 454,300.00
- - - -
- - - -
- - - -
- - - -
- 22,110 390,610 412,720.00
- - - -
- - - -
- 2,520 211,950 214,470.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 17,234 204,346 221,580.00

- - - -
- - - -
- 17,985 385,860 403,845.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 7,480 51,000 58,480.00
- - - -
- - - -
- - - -
- - - -
- - 12,700 12,700.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 14,025 396,000 410,025.00
- - 515,690 515,690.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 4,650 17,670 22,320.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 13,390 422,300 435,690.00
- - 810,900 810,900.00
- - - -
- - - -
- - - -
- 8,740 126,500 135,240.00

- - - -
- - - -
- - - -
- - - -
- 34,200 - 34,200.00
- - - -
- - - -
- 22,000 412,500 434,500.00
- - - -
- 858 - 858.00
- - - -
- 7,830 945,000 952,830.00

- - 193,120 193,120.00
- - - -
- - - -
- - - -
- 8,030 165,000 173,030.00

- - - -
- - - -
- 20,064 - 20,064.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,524,474 1,524,474.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 18,000 1,734,000 1,752,000.00
- - - -
- - - -
- - - -
- - - -
- 47,200 4,602,000 4,649,200.00
- 7,744 - 7,744.00
- - - -
- - 3,801,600 3,801,600.00
- - - -
- 32,800 57,400 90,200.00
- - - -
- - - -
- - - -
- - 96,200 96,200.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,110,000 1,110,000.00
- - - -
- 5,230 50,208 55,438.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6,078 108,391 114,469.00
- - - -
- - 294,640 294,640.00
- - - -
- 27,400 308,250 335,650.00
- - - -
- - - -
- - - -
- - - -
- 9,360 735,000 744,360.00
- - - -
- - - -
- - - -
- - 22,440 22,440.00
- - - -
- - - -
- - - -
- - - -
- 20,230 - 20,230.00
- - - -
- - - -
- 11,696 530,400 542,096.00
- - - -
- - - -
- - - -
- 2,600 565,500 568,100.00
- - - -
- - - -
- - - -
- 425 112,200 112,625.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 1,180 17,700 18,880.00

- - - -
- - - -
- 7,722 - 7,722.00
- - - -
- - 160,000 160,000.00
- - - -
- - - -
- - 1,179,750 1,179,750.00
- 19,800 517,000 536,800.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 9,116 183,180 192,296.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 17,442 37,791 55,233.00
- - - -
- - - -
- - - -
- - - -
- 36,465 984,555 1,021,020.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 28,931 570,354 599,285.00
- - - -
- - - -
- - - -
- 22,750 2,093,000 2,115,750.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 3,575 154,000 157,575.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 41,810 1,272,380 1,314,190.00
- - - -
- - - -
- 9,144 414,020 423,164.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 156,264 4,596,000 4,752,264.00
- - - -
- 32,856 562,400 595,256.00

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 87,365 86,500 173,865.00
- - - -
- - 424,575 424,575.00
- - - -
- 32,500 - 32,500.00
- - - -
- - - -
- - - -
- 8,439 162,690 171,129.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 242,883 242,883.00
- - - -
- - - -
- 26,268 - 26,268.00
- - 1,586,640 1,586,640.00
- - - -
- - - -
- 19,836 - 19,836.00
- - - -
- - 95,265 95,265.00
- - - -
- - 283,880 283,880.00
- 41,020 58,600 99,620.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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- - - 256.00
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- - - 9,387.00
- - - 7,216.00
- 2,170,995 64,554,276 66,787,034.68

LAPORAN STOK OPNAME OBAT DAN BAHAN MEDIS HABIS PAKAI
PER 30 JUNI TAHUN 2019
SUMBER APBD II
PUSKESMAS: SEBAWI
STOK AWAL PER 1 JANUARI 2019 PENERIMAAN JANUARI S/D JUNI 2019 PENGELUARAN JANUARI S/D JUNI 2019 SISA STOK
TOTAL SISA STOK
NO NAMA OBAT SATUAN SUMBER HARGA PEROLEHAN GUDANG APOTEK GUDANG APOTEK GUDANG APOTEK GUDANG APOTEK
(Satuan) (Rupiah) (Satuan) (Rupiah) (Satuan) (Rupiah) (Satuan) (Rupiah) (Satuan) (Rupiah) (Satuan) (Rupiah) (Satuan) (Rupiah) (Satuan) (Rupiah) (Rupiah)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
1 Akarbose tablet/kaplet 50 mg Tablet DAK 2016 657.00 - - - - - - - - - - - - - - - - -
2 Alopurinol tablet 100 mg Tablet DAK 2019 105.00 - - - - - - - - - - - - - - - - -
3 Alopurinol tablet 100 mg Tablet DAK 2018 99.00 - - - - - - - - - - - - - - - - -
4 Alopurinol tablet 100 mg Tablet DAK 2017 117.00 - - - - 5,000 585,000.00 3,800 444,600.00 4,100 479,700.00 3,720 435,240.00 900 105,300.00 80 9,360.00 114,660.00
5 Alprazolam 0,5 mg Tablet DAK 2015 185.00 - - - - - - - - - - - - - - - - -
6 Alprazolam 0,5 mg Tablet DAK 2016 144.00 - - - - - - - - - - - - - - - - -
7 Alprazolam 0,5 mg Tablet DAK 2018 88.00 117 10,296.00 - - 300 26,400.00 - - 306 26,928.00 - - 111 9,768.00 - - 9,768.00
8 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2019 3,627.00 - - - - - - - - - - - - - - - - -
9 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2018 3,619.00 85 307,615.00 - - 100 361,900.00 122 441,518.00 132 477,708.00 113 408,947.00 53 191,807.00 9 32,571.00 224,378.00
10 Ambroxol tablet 30 mg Tablet DAK 2017 985.00 - - - - - - - - - - - - - - - - -
11 Ambroxol tablet 30 mg Tablet DAK 2019 155.33 - - - - - - - - - - - - - - - - -
12 Ambroxol tablet 30 mg Tablet DAK 2018 121.00 400 48,400.00 83 10,043.00 6,700 810,700.00 5,600 677,600.00 6,300 762,300.00 5,653 684,013.00 800 96,800.00 30 3,630.00 100,430.00
13 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2017 17,375.00 - - - - - - - - - - - - - - - - -
14 Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml DAK 2017 3,080.00 - - - - - - - - - - - - - - - - -
17 Aminofilina tablet 200 mg Tablet DAK 2016 124.94 - - - - - - - - - - - - - - - - -
18 Aminofilina tablet 200 mg Tablet salut selaput DAK 2017 97.00 500 48,500.00 28 2,716.00 600 58,200.00 700 67,900.00 700 67,900.00 708 68,676.00 400 38,800.00 20 1,940.00 40,740.00
19 Aminofilina tablet 200 mg Tablet DAK 2019 101.00 - - - - - - - - - - - - - - - - -
20 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2018 168.00 - - - - - - - - - - - - - - - - -
21 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2019 168.00 - - - - - - - - - - - - - - - - -
22 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2017 171.00 369 63,099.00 - - - - - - 178 30,438.00 - - 191 32,661.00 - - 32,661.00
23 Amlodipin 5 mg Tablet DAK 2017 91.00 2,400 218,400.00 90 8,190.00 18,000 1,638,000.00 18,180 1,654,380.00 18,780 1,708,980.00 18,240 1,659,840.00 1,620 147,420.00 30 2,730.00 150,150.00
24 Amlodipin 5 mg Tablet DAK 2019 80.00 - - - - - - - - - - - - - - - - -
25 Amlodipin 5 mg Tablet DAK 2018 75.00 - - - - - - - - - - - - - - - - -
26 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab DAK 2017 191.00 2,000 382,000.00 - - 11,000 2,101,000.00 7,700 1,470,700.00 8,800 1,680,800.00 7,650 1,461,150.00 4,200 802,200.00 50 9,550.00 811,750.00
27 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet DAK 2019 365.00 - - - - - - - - - - - - - - - - -
28 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet DAK 2018 248.00 - - - - - - - - - - - - - - - - -
29 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2017 1,920.00 233 447,360.00 7 13,440.00 450 864,000.00 318 610,560.00 353 677,760.00 319 612,480.00 330 633,600.00 6 11,520.00 645,120.00
30 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2019 2,783.00 - - - - - - - - - - - - - - - - -
31 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2018 1,919.00 - - - - - - - - - - - - - - - - -
32 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml DAK 2017 3,797.00 82 311,354.00 5 18,985.00 100 379,700.00 128 486,016.00 128 486,016.00 127 482,219.00 54 205,038.00 6 22,782.00 227,820.00
33 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml DAK 2018 3,604.00 - - - - - - - - - - - - - - - - -
34 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml DAK 2019 3,846.00 - - - - - - - - - - - - - - - - -
35 Antasida DOEN suspensi Botol 60 ml DAK 2016 2,106.00 - - - - - - - - - - - - - - - - -
37 Antasida DOEN suspensi Botol 60 ml DAK 2018 2,098.00 56 117,488.00 10 20,980.00 50 104,900.00 101 211,898.00 106 222,388.00 110 230,780.00 - - 1 2,098.00 2,098.00
Antasida DOEN tablet kunyah,kombinasi:
Tablet 3,900 218,400.00 4,500 252,000.00 3,790 212,240.00 2,500 140,000.00 110 6,160.00 146,160.00
39 DAK 2018 56.00 - - - - 7,000 392,000.00
Mg-Hidroksida
Antasida DOEN200 mgkunyah,kombinasi:
tablet + Al. Hidroksida. 200 mg
Tablet - - - - - - - - - - - - - - - - -
40 DAK 2017 59.00
Mg-Hidroksida
Antasida DOEN200 mgkunyah,kombinasi:
tablet + Al. Hidroksida. 200 mg
Tablet kunyah - - - - - - - - - - - - - - - - -
41 DAK 2019 60.00
Mg-Hidroksida 200 salep
Anti Bakteri DOEN mg + Al. Hidroksida. 200 mg
kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
42 DAK 2015 2,767.00 - - - - - - - - - - - - - - - - -
43 DAK 2017 3,365.00 - - - - - - - - - - - - - - - - -
44 DAK 2018 3,490.00 45 157,050.00 25 87,250.00 25 87,250.00 70 244,300.00 70 244,300.00 86 300,140.00 - - 9 31,410.00 31,410.00
45 Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg Botol 60 ml DAK 2016 8,000.00 - - - - - - - - - - - - - - - - -
46 Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg Botol 60 ml DAK 2017 6,190.00 44 272,360.00 8 49,520.00 - - 36 222,840.00 36 222,840.00 40 247,600.00 8 49,520.00 4 24,760.00 74,280.00
pot plastik 30 gram 4 19,888.00 4 19,888.00 10 49,720.00 24 119,328.00 - - 119,328.00
47 Asam Benzoat 6 % + Asam Salisilat 3 % DAK 2017 4,972.00 28 139,216.00 6 29,832.00 - -
pot plastik 30 gram - - - - - - - - - - - - - - - - -
48 Asam Benzoat 6 % + Asam Salisilat 3 % DAK 2016 4,782.00
pot plastik 30 gram - - - - - - - - - - -
49 Asam Benzoat 6 % + Asam Salisilat 3 % DAK 2018 5,170.00 - - - - - -
supp - - - - - - - - - - - - - - - - -
50 Bismuth subgalat 150 mg + Heksaklorofen 2,5 mg DAK 2019 3,642.00
supp 9 31,518.00 9 31,518.00 9 31,518.00 - - - - -
51 Bismuth subgalat 150 mg + Heksaklorofen 2,5 mg DAK 2016 3,502.00 9 31,518.00 - - - -
supp - - - - 80 264,000.00 76 250,800.00 76 250,800.00 64 211,200.00 4 13,200.00 12 39,600.00 52,800.00
52 Bismuth subgalat 150 mg + Heksaklorofen 2,5 mg DAK 2017 3,300.00
Antimigren DOEN tablet kombinasi : Ergotamin Tartrat 1
Tablet 1,200 244,800.00 1,200 244,800.00 1,183 241,332.00 - - 90 18,360.00 18,360.00
53 mg + Kofein 50 mg DAK 2017 204.00 600 122,400.00 73 14,892.00 600 122,400.00
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet - - - - - - - - - - - - - - - - -
54 Caffeine 65 mg DAK 2016 605.00
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet 400 79,600.00 400 79,600.00 355 70,645.00 300 59,700.00 45 8,955.00 68,655.00
55 Caffeine 65 mg DAK 2018 199.00 - - - - 700 139,300.00
56 Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml DAK 2019 2,860.00 - - - - - - - - - - - - - - - - -
57 Air untuk Injeksi 25 ml Ampul 25 ml DAK 2017 2,750.00 25 68,750.00 - - 60 165,000.00 - - 37 101,750.00 - - 48 132,000.00 - - 132,000.00
58 OTSU SWI 25 ML - Air untuk Injeksi 25 ml Ampul 25 ml DAK 2016 2,750.00 - - - - - - - - - - - - - - - - -
ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida
Tablet - - - - - - - - - - -
59 tablet 200 mg) DAK 2015 1,409.00 - - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
60 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2016 120.00 - - - - - - - - - - - - - - - - -
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250 mg Tablet 1,800 212,400.00 2,000 236,000.00 1,816 214,288.00 300 35,400.00 - - 35,400.00
61 DAK 2017 118.00 300 35,400.00 16 1,888.00 2,000 236,000.00
62 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2017 120.00 2,500 300,000.00 140 16,800.00 8,000 960,000.00 8,300 996,000.00 9,500 1,140,000.00 8,350 1,002,000.00 1,000 120,000.00 90 10,800.00 130,800.00
65 Asam Folat tablet/kapsul/kaplet 0,4 mg(Afolat) Tablet DAK 2015 140.00 - - - - - - - - - - - - - - - - -
66 Asam Folat tablet/kapsul/kaplet 0,4 mg(Afolat) Tablet DAK 2016 68.00 1,600 108,800.00 261 17,748.00 2,000 136,000.00 1,800 122,400.00 1,800 122,400.00 1,951 132,668.00 1,800 122,400.00 110 7,480.00 129,880.00
67 Asam Mefenamat 500 mg Kaptap Salut Selaput DAK 2017 102.00 600 61,200.00 97 9,894.00 9,000 918,000.00 9,300 948,600.00 9,600 979,200.00 9,397 958,494.00 - - - - -
68 Asam Mefenamat 500 mg Tablet DAK 2018 103.00 - - - - - - - - - - - - - - - - -
69 Asam Mefenamat 500 mg Kaptap Salut Selaput DAK 2019 103.00 - - - - - - - - - - - - - - - - -
70 Asam Traneksamat 500 mg Tablet DAK 2017 1,540.00 100 154,000.00 20 30,800.00 600 924,000.00 400 616,000.00 400 616,000.00 340 523,600.00 300 462,000.00 80 123,200.00 585,200.00
71 Asam Traneksamat 500 mg Tablet DAK 2016 1,540.00 - - - - - - - - - - - - - - - - -
72 Asam Traneksamat 500 mg Tablet DAK 2019 1,784.00 - - - - - - - - - - - - - - - - -
73 Asam traneksamat injeksi 100 mg/ml Ampul 5 ml DAK 2016 2,789.00 10 27,890.00 - - - - - - 1 2,789.00 - - 9 25,101.00 - - 25,101.00
74 Asam traneksamat injeksi 100 mg/ml Ampul 5 ml DAK 2017 2,530.00 10 25,300.00 - - - - - - - - - - 10 25,300.00 - - 25,300.00
75 Asam traneksamat injeksi 100 mg/ml Ampul 5 ml DAK 2018 2,225.00 - - - - - - - - - - - - - - - - -
76 Asetosal 100 mg Tablet DAK 2018 213.79 - - - - - - - - - - - - - - - - -
77 Asetosal 100 mg Tablet DAK 2016 153.00 - - 70 10,710.00 - - - - - - 70 10,710.00 - - - - -
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet 100 mg Tablet 1,900 292,600.00 1,900 292,600.00 1,840 283,360.00 900 138,600.00 60 9,240.00 147,840.00
78 DAK 2017 154.00 300 46,200.00 - - 2,500 385,000.00
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet 100 mg Tablet - - - - - - - - - - -
79 DAK 2019 105.00 - - - - - -
80 Asiklovir krim 5 % Tube 5 gram DAK 2019 3,461.00 - - - - - - - - - - - - - - - - -
81 Asiklovir krim 5 % Tube 5 gram DAK 2017 9,550.00 15 143,250.00 2 19,100.00 - - 15 143,250.00 15 143,250.00 17 162,350.00 - - - - -
82 Asiklovir krim 5 % Tube 5 gram DAK 2018 2,997.00 50 149,850.00 - - 50 149,850.00 57 170,829.00 67 200,799.00 51 152,847.00 33 98,901.00 6 17,982.00 116,883.00
83 Asiklovir tablet 400 mg Tablet DAK 2018 425.00 - - - - 300 127,500.00 100 42,500.00 100 42,500.00 100 42,500.00 200 85,000.00 - - 85,000.00
84 Asiklovir tablet 400 mg Tablet DAK 2019 454.00 - - - - - - - - - - - - - - - - -
85 Asiklovir tablet/kapsul/kaplet 400 mg Tablet DAK 2017 415.00 - - 74 30,710.00 1,400 581,000.00 1,400 581,000.00 1,400 581,000.00 1,474 611,710.00 - - - - -
86 NEW ANTIDES - Attapulgite 600 mg tablet Tablet DAK 2016 173.00 900 155,700.00 9 1,557.00 - - 400 69,200.00 700 121,100.00 319 55,187.00 200 34,600.00 90 15,570.00 50,170.00
87 NEW ANTIDES - Attapulgite 600 mg tablet Tablet DAK 2019 159.00 - - - - - - - - - - - - - - - - -
88 Atapulgit tablet 600 mg (Pularex) Tablet DAK 2018 149.00 - - - - - - - - - - - - - - - - -
89 Atropin inj 0,25 mg / ml Ampul 1 ml DAK 2019 1,859.00 - - - - - - - - - - - - - - - - -
90 Azitromisin tablet 500 mg Tablet DAK 2016 1,900.00 - - - - - - - - - - - - - - - - -
91 Azitromisin tablet 500 mg Tablet DAK 2018 1,778.00 - - - - - - - - - - - - - - - - -
kombinasi: ferro fumarat 60 mg + as. Folat 0,4 mg tablet
Tablet Salut Gula - - - - 90 36,900.00 - - - - -
92 salut gula (tablet tambah darah) DAK 2017 410.00 - - 90 36,900.00 - -
(Tablet Tambah Darah Kombinasi) : Ferrous Fumarate 250
mg, Manganese Sulfate 0,2 mg, Cupric Sulfate 0,2 mg, Tablet
Folic Acid 4 mg, Cyanocobalamin 7,5 mg
93 DAK 2016 660.00 - - - - - - - - - - - - - - - - -
(Tablet Tambah Darah Kombinasi) : Ferrous Fumarate 250

mg, Manganese Sulfate 0,2 mg, Cupric Sulfate 0,2 mg, Tablet
Folic Acid 4 mg, Cyanocobalamin 7,5 mg
94 DAK 2018 409.00 12,960 5,300,640.00 - - - - 12,600 5,153,400.00 12,960 5,300,640.00 12,600 5,153,400.00 - - - - -
Bedak salisil serbuk 2% 60 64,260.00 - - - - 17 18,207.00 27 28,917.00 15 16,065.00 33 35,343.00 2 2,142.00 37,485.00
95 gram DAK 2017 1,071.00
Bedak salisil serbuk 2% - - - - - - - - - - - - - - - - -
96 gram DAK 2018 1,232.00
Bedak salisil serbuk 2% - - - - - - - - - - -
97 gram DAK 2019 6,006.00 - - - - - -
98 BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol DAK 2019 83,190.00 - - - - - - - - - - - - - - - - -
99 BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol DAK 2018 83,190.00 4 332,760.00 - - - - - - 4 332,760.00 - - - - - - -
100 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2017 151.00 900 135,900.00 75 11,325.00 1,500 226,500.00 1,320 199,320.00 1,320 199,320.00 1,395 210,645.00 1,080 163,080.00 - - 163,080.00
101 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2019 119.00 - - - - - - - - - - - - - - - - -
102 Bisoprolol tablet/kapsul/kaplet 5 mg Tablet salut selaput DAK 2017 298.00 - - - - - - - - - - - - - - - - -
103 Bisoprolol tablet 5 mg Tablet DAK 2019 626.00 - - - - - - - - - - - - - - - - -
104 Bisoprolol tablet 5 mg Tablet DAK 2018 248.00 - - - - 700 173,600.00 700 173,600.00 700 173,600.00 700 173,600.00 - - - - -
105 Betametason krim0,1% (Sebagai Valerat) Tube 5 gram DAK 2019 1,465.00 - - - - - - - - - - - - - - - - -
106 Betametason krim 0,1 o/o Tube 5 gram DAK 2018 1,373.00 - - - - - - - - - - - - - - - - -
107 Betametason krim0,1% (Sebagai Valerat) Tube 5 gram DAK 2017 1,450.00 40 58,000.00 - - 150 217,500.00 190 275,500.00 190 275,500.00 182 263,900.00 - - 8 11,600.00 11,600.00
108 Bisakodil suppositoria 10mg Supp DAK 2017 5,800.00 14 81,200.00 - - - - - - 14 81,200.00 - - - - - - -
109 Bisakodil suppositoria 10 mg(Stolax supp) Supp DAK 2019 5,900.00 - - - - - - - - - - - - - - - - -
110 Bisakodil suppositoria 10 mg Supp DAK 2018 5,900.00 20 118,000.00 - - 40 236,000.00 - - 48 283,200.00 - - 12 70,800.00 - - 70,800.00
DULCOLAX SUPP ADULT 10MG Bisakodil suppositoria
Supp - - - - - - - - - - -
111 10mg DAK 2016 5,800.00 - - - - - -
DULCOLAX SUPP INFANT - Bisakodil suppositoria 5 mg Supp - - - - - - - - - - - - - - - - -
112 DAK 2016 5,670.00
113 Bisakodil suppositoria 5 mg(Stolax supp) Supp DAK 2019 6,000.00 - - - - - - - - - - - - - - - - -
114 Bisakodil suppositoria 5 mg Supp DAK 2017 5,800.00 6 34,800.00 - - - - - - 6 34,800.00 - - - - - - -
115 Bisakodil suppositoria 5 mg Supp DAK 2018 6,000.00 12 72,000.00 - - 24 144,000.00 - - - - - - 36 216,000.00 - - 216,000.00
116 Bisakodil tablet/kapsul/kaplet 5 mg Tablet salut enterik DAK 2017 317.00 240 76,080.00 10 3,170.00 990 313,830.00 1,230 389,910.00 1,230 389,910.00 1,240 393,080.00 - - - - -
117 Cetirizine tablet 10 mg Tablet DAK 2018 97.00 - - - - 4,000 388,000.00 4,000 388,000.00 4,000 388,000.00 3,920 380,240.00 - - 80 7,760.00 7,760.00
118 Cetirizine tablet 10 mg Tablet salut selaput DAK 2017 115.00 650 74,750.00 20 2,300.00 2,200 253,000.00 2,750 316,250.00 2,850 327,750.00 2,770 318,550.00 - - - - -
119 Cetirizine tablet 10 mg Tablet DAK 2019 104.00 - - - - - - - - - - - - - - - - -
120 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2019 3,061.00 - - - - - - - - - - - - - - - - -
121 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2018 2,993.00 - - - - - - - - - - - - - - - - -
122 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2017 3,300.00 191 630,300.00 7 23,100.00 - - 177 584,100.00 177 584,100.00 182 600,600.00 14 46,200.00 2 6,600.00 52,800.00
123 Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml DAK 2016 1,745.00 - - - - - - - - - - - - - - - - -
124 Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml DAK 2017 1,822.00 88 160,336.00 - - - - - - - - - - 88 160,336.00 - - 160,336.00
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
127 Deksametason tablet 0,5 mg Tablet DAK 2019 34.00 - - - - - - - - - - - - - - - - -
128 Deksametason tablet 0,5 mg Tablet DAK 2017 149.07 - - 27 4,024.89 - - - - - - 27 4,024.89 - - - - -
129 Deksametason tablet 0,5 mg Tablet DAK 2018 34.00 600 20,400.00 - - 8,000 272,000.00 4,500 153,000.00 4,900 166,600.00 4,430 150,620.00 3,700 125,800.00 70 2,380.00 128,180.00
130 DEPAKENE - Valproat sirup 250 mg/5 ml Botol DAK 2016 41,800.00 - - - - - - - - - - - - - - - - -
DEPAKOTE TAB 250 MG - Valproat tablet salut 250 mg Tablet - - - - - - - - - - -
131 DAK 2016 1,750.00 - - - - - -
DEPAKOTE TAB 250 MG - Valproat tablet salut 250 mg Tablet - - - - - - - - - - -
132 DAK 2018 1,200.00 - - - - - -
133 Diazepam tablet 2 mg Tablet DAK 2019 86.00 - - - - - - - - - - - - - - - - -
134 Diazepam tablet 2 mg Tablet DAK 2018 86.00 100 8,600.00 - - - - - - 40 3,440.00 - - 60 5,160.00 - - 5,160.00
135 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2017 15,600.00 13 202,800.00 - - 20 312,000.00 - - - - - - 33 514,800.00 - - 514,800.00
136 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2018 1,913.00 - - - - - - - - - - - - - - - - -
137 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2019 1,913.00 - - - - - - - - - - - - - - - - -
138 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube DAK 2018 21,021.00 - - - - - - - - - - - - - - - - -
139 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube DAK 2019 21,021.00 - - - - - - - - - - - - - - - - -
140 Diazepam enema 10 mg/2,5 mL Allubag DAK 2017 19,378.00 - - - - - - - - - - - - - - - - -
141 Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube DAK 2018 14,459.00 - - - - 5 72,295.00 - - 5 72,295.00 - - - - - - -
142 Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube DAK 2019 14,459.00 - - - - - - - - - - - - - - - - -
143 Diazepam enema 5 mg/2,5 mL Allubag DAK 2017 13,384.00 - - - - - - - - - - - - - - - - -
144 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2017 1,222.00 30 36,660.00 - - - - - - 30 36,660.00 - - - - - - -
145 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2019 1,347.00 - - - - - - - - - - - - - - - - -
146 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2016 1,354.00 - - - - - - - - - - - - - - - - -
147 Digoksin tablet/kapsul/kaplet 0,25 mg Tablet DAK 2017 109.00 100 10,900.00 45 4,905.00 1,000 109,000.00 300 32,700.00 300 32,700.00 255 27,795.00 800 87,200.00 90 9,810.00 97,010.00
148 Digoksin tablet 0,25 mg Tablet DAK 2016 108.00 - - - - - - - - - - - - - - - - -
149 Doksisiklin tablet/kapsul/kaplet 100 mg kapsul DAK 2017 299.00 200 59,800.00 75 22,425.00 - - - - - - 75 22,425.00 200 59,800.00 - - 59,800.00
150 Doksisiklin tab 100 mg Tablet DAK 2019 280.00 - - - - - - - - - - - - - - - - -
151 Doksisiklin tab 100 mg Tablet DAK 2018 264.00 - - - - - - - - - - - - - - - - -
152 Domperidon 10 mg Tablet DAK 2018 90.00 - - - - 500 45,000.00 300 27,000.00 400 36,000.00 250 22,500.00 100 9,000.00 50 4,500.00 13,500.00
153 Domperidon tablet/kapsul/kaplet 10 mg Tablet DAK 2017 110.00 900 99,000.00 111 12,210.00 1,000 110,000.00 1,700 187,000.00 1,900 209,000.00 1,811 199,210.00 - - - - -
154 Domperidon 10 mg Tablet DAK 2019 96.00 - - - - - - - - - - - - - - - - -
155 Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml DAK 2018 2,862.00 - - - - 150 429,300.00 131 374,922.00 131 374,922.00 127 363,474.00 19 54,378.00 4 11,448.00 65,826.00
156 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2017 17,000.00 37 629,000.00 11 187,000.00 - - 37 629,000.00 37 629,000.00 48 816,000.00 - - - - -
157 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2019 2,862.00 - - - - - - - - - - - - - - - - -
158 DOPAMET - Metildopa tablet salut 250 mg Tablet DAK 2016 1,001.00 - - - - - - - - - - - - - - - - -
159 DOPAMET - Metildopa tablet salut 250 mg Tablet DAK 2017 1,050.00 - - - - - - - - - - - - - - - - -
160 DOPAMET - Metildopa tablet salut 250 mg Tablet DAK 2018 1,088.00 - - - - 100 108,800.00 - - - - - - 100 108,800.00 - - 108,800.00
161 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul DAK 2018 1,518.00 10 15,180.00 - - - - - - 6 9,108.00 - - 4 6,072.00 - - 6,072.00
162 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul DAK 2019 1,518.00 - - - - - - - - - - - - - - - - -
163 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul DAK 2016 2,354.00 - - - - - - - - - - - - - - - - -
164 Eritromisin kaplet 500mg Kaplet DAK 2016 766.00 - - 85 65,110.00 - - - - - - 85 65,110.00 - - - - -
165 Eritromisin tablet/kapsul/kaplet 500 mg Kaptab DAK 2017 766.00 300 229,800.00 - - - - 100 76,600.00 100 76,600.00 40 30,640.00 200 153,200.00 60 45,960.00 199,160.00
166 Eritromisin tablet/kapsul/kaplet 500 mg Kaptab DAK 2018 781.00 - - - - - - - - - - - - - - - - -
167 Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml DAK 2017 6,461.00 - - - - - - - - - - - - - - - - -
168 Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml DAK 2016 7,039.00 15 105,585.00 - - - - 9 63,351.00 9 63,351.00 7 49,273.00 6 42,234.00 2 14,078.00 56,312.00
169 Ethambutol 500 mg Tab Tablet DAK 2016 688.00 100 68,800.00 - - - - - - - - - - 100 68,800.00 - - 68,800.00
170 Ethambutol 250 mg Tab Tablet DAK 2019 400.00 - - - - - - - - - - - - - - - - -
171 Etakridin ( Rivanol ) larutan 0,1 o/o Botol DAK 2015 3,327.00 - - - - - - - - - - - - - - - - -
172 Etil Klorida semprot Botol DAK 2017 110,000.00 - - - - - - - - - - - - - - - - -
175 Eugenol cairan Botol DAK 2018 21,648.00 - - - - - - - - - - - - - - - - -
176 FARNORMIN - Atenolol 50 mg Tablet DAK 2016 330.00 - - - - - - - - - - - - - - - - -
177 Fenitoin Kapsul/Kaplet 100 mg Kaplet DAK 2016 154.00 - - - - - - - - - - - - - - - - -
178 Fenitoin injeksi 50 mg/ml (100 mg/2 ml) DAK 2017 6,231.00 - - - - - - - - - - - - - - - - -
179 Fenobarbital tablet 30 mg Tablet DAK 2018 197.00 - - - - - - - - - - - - - - - - -
182 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2017 2,500.00 11 27,500.00 - - 72 180,000.00 35 87,500.00 35 87,500.00 29 72,500.00 48 120,000.00 6 15,000.00 135,000.00
183 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2019 2,764.00 - - - - - - - - - - - - - - - - -
184 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2018 2,590.00 - - - - - - - - - - - - - - - - -
185 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml DAK 2018 1,914.23 - - - - - - - - - - - - - - - - -
188 Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet Salut Gula DAK 2017 790.00 900 711,000.00 20 15,800.00 - - 400 316,000.00 400 316,000.00 340 268,600.00 500 395,000.00 80 63,200.00 458,200.00
189 Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet DAK 2019 873.00 - - - - - - - - - - - - - - - - -
FLIXOTIDE NBULES - Flutikason Propionat nebules 0,5
Nebules 2 ml - - - - - - - - - - -
190 mg DAK 2016 14,500.00 - - - - - -
Flutikason propionat (micronized) 0,5 mg/dosis (Flutikason
Nebules 2 ml 10 145,000.00 - - 40 580,000.00 - - 1 14,500.00 - - 49 710,500.00 - - 710,500.00
191 propionat nebules 0,5 mg) DAK 2017 14,500.00
Nebules 2 ml - - - - - - - - - - - - - - - - -
192 propionat nebules 0,5 mg) DAK 2018 14,929.00
Nebules 2 ml - - - - - - - - - - -
193 propionat nebules 0,5 mg) DAK 2019 15,675.00 - - - - - -
194 Furosemid tablet 40 mg Tablet DAK 2017 111.00 200 22,200.00 20 2,220.00 800 88,800.00 700 77,700.00 800 88,800.00 660 73,260.00 200 22,200.00 60 6,660.00 28,860.00
195 Furosemid tablet 40 mg Tablet DAK 2016 181.73 - - - - - - - - - - - - - - - - -
196 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2017 2,058.00 - - - - - - - - - - - - - - - - -
197 Furosemid injeksi Ampul DAK 2019 1,555.00 - - - - - - - - - - - - - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
198 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2016 - - - - - - - - - - - - - - - - - -
199 Gabapentin 300 mg Kaplet DAK 2019 1,122.00 - - - - - - - - - - - - - - - - -
200 Gabapentin tablet/kapsul/kaplet 300 mg kapsul DAK 2017 1,254.00 180 225,720.00 - - - - 180 225,720.00 180 225,720.00 180 225,720.00 - - - - -
201 Gabapentin tablet/kapsul/kaplet 300 mg kapsul DAK 2018 1,055.00 - - - - 300 316,500.00 - - - - - - 300 316,500.00 - - 316,500.00
Garam oralit kombinasi : natrium klorida 0,52 g + kalium
klorida 0,30 g + trinatrium sitrat 0,58 g + glukosa anhidrat Sachet 4,26 gram
202 2,7 g DAK 2019 281.00 - - - - - - - - - - - - - - - - -
Garam Oralit I serbuk, kombinasi: Natrium klorida 0,52 g +
kalium klorida 0,30 g + Trinatrium sitrat dihidrat 0,58 g + Sachet
203 Glukosa Anhidrat 2,70 g DAK 2017 273.00 200 54,600.00 46 12,558.00 1,000 273,000.00 500 136,500.00 600 163,800.00 485 132,405.00 600 163,800.00 61 16,653.00 180,453.00
Garam Oralit I serbuk, kombinasi: Natrium klorida 0,52 g +
kalium klorida 0,30 g + Trinatrium sitrat dihidrat 0,58 g + Sachet
204 Glukosa Anhidrat 2,70 g DAK 2018 263.00 - - - - - - - - - - - - - - - - -
205 Gemfibrozil tablet/kapsul/kaplet 300 mg Tablet DAK 2016 436.00 600 261,600.00 186 81,096.00 - - - - - - 186 81,096.00 600 261,600.00 - - 261,600.00
206 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2019 2,385.00 - - - - - - - - - - - - - - - - -
207 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2017 7,180.00 - - - - - - - - - - - - - - - - -
208 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2018 1,835.16 - - - - 50 91,758.00 50 91,758.00 50 91,758.00 50 91,758.00 - - - - -
209 Gentamicin TM 0,3 % Botol 5 ml DAK 2019 4,885.00 - - - - - - - - - - - - - - - - -
210 Gentamicin TM 0,3 % Botol 5 ml DAK 2018 4,885.00 - - - - 48 234,480.00 - - - - - - 48 234,480.00 - - 234,480.00
211 Gentamisin tetes mata 0,3% Botol 5 ml DAK 2017 4,800.00 9 43,200.00 1 4,800.00 32 153,600.00 38 182,400.00 38 182,400.00 39 187,200.00 3 14,400.00 - - 14,400.00
212 Gentian violet 1 o/o Botol 10 ml DAK 2018 4,384.00 - - - - - - - - - - - - - - - - -
215 Glass Ionomer Cement (Fuji IX) Set DAK 2016 919,300.00 - - - - - - - - - - - - - - - - -
216 Glass Ionomer Cement (Fuji VII) Set DAK 2016 1,225,700.00 - - - - - - - - - - - - - - - - -
217 Glass Ionomer Cement (Fuji VII) Set DAK 2017 617,798.00 - - - - - - - - - - - - - - - - -
218 Glass Ionomer Cement (Fuji VII) Set DAK 2018 617,800.00 - - - - - - - - - - - - - - - - -
219 Glass Ionomer Cement (GC IX) Set DAK 2018 469,100.00 - - - - - - - - - - - - - - - - -
220 Glibenklamid tablet 5 mg Tablet DAK 2019 137.00 - - - - - - - - - - - - - - - - -
221 Glibenklamid tablet 5 mg Tablet DAK 2017 90.00 - - - - - - - - - - - - - - - - -
222 Glibenklamid tablet 5 mg Tablet DAK 2018 137.00 1,200 164,400.00 - - 1,500 205,500.00 2,500 342,500.00 2,600 356,200.00 2,470 338,390.00 100 13,700.00 30 4,110.00 17,810.00
223 GLICAB - Gliklazid tab 80 mg Tablet DAK 2016 245.00 - - - - - - - - - - - - - - - - -
224 Gliklazid tablet/kapsul/kaplet 80 mg Tablet DAK 2017 218.00 200 43,600.00 5 1,090.00 - - 100 21,800.00 100 21,800.00 105 22,890.00 100 21,800.00 - - 21,800.00
225 Glimepiride tablet/kapsul/kaplet 2 mg Tablet DAK 2017 231.00 600 138,600.00 57 13,167.00 3,500 808,500.00 4,100 947,100.00 4,100 947,100.00 4,157 960,267.00 - - - - -
226 Glimepiride tablet 2 mg Tablet DAK 2016 296.00 - - - - - - - - - - - - - - - - -
227 Glimepiride tablet 2 mg Tablet DAK 2018 207.00 - - - - 3,000 621,000.00 900 186,300.00 900 186,300.00 830 171,810.00 2,100 434,700.00 70 14,490.00 449,190.00
228 Glimepiride tablet 2 mg Tablet DAK 2019 207.00 - - - - - - - - - - - - - - - - -
229 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2016 36.52 - - - - - - - - - - - - - - - - -
230 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2017 108.00 1,300 140,400.00 48 5,184.00 1,000 108,000.00 1,600 172,800.00 2,000 216,000.00 1,568 169,344.00 300 32,400.00 80 8,640.00 41,040.00
233 Glukosa larutan infus 10% Botol plastik 500 ml DAK 2016 7,500.00 1 7,500.00 - - - - - - 1 7,500.00 - - - - - - -
234 Glukosa larutan infus 10% Botol plastik 500 ml DAK 2019 8,003.00 - - - - - - - - - - - - - - - - -
235 Glukosa larutan infus 5 % steril Botol plastik 500 ml DAK 2016 6,900.00 42 289,800.00 - - - - - - 19 131,100.00 - - 23 158,700.00 - - 158,700.00
236 Glukosa larutan infus 5 o/o Botol plastik 500 ml DAK 2017 6,900.00 - - - - - - - - - - - - - - - - -
239 Griseofulvin tablet 125 mg, micronized Tablet DAK 2016 264.00 - - - - - - - - - - - - - - - - -
240 Griseofulvin tablet 125 mg, micronized Tablet DAK 2017 266.00 400 106,400.00 83 22,078.00 500 133,000.00 900 239,400.00 900 239,400.00 933 248,178.00 - - 50 13,300.00 13,300.00
241 Haloperidol 1.5 mg Tablet DAK 2019 59.00 - - - - - - - - - - - - - - - - -
242 Haloperidol 1.5 mg Tablet DAK 2016 74.00 1,160 85,840.00 - - - - - - 1,160 85,840.00 - - - - - - -
243 HALDOL DECANOAS - Haloperidol inj 50 mg/ml Ampul 1 ml DAK 2016 97,500.00 - - - - - - - - - - - - - - - - -
244 Haloperidol inj 50 mg/mL Ampul 1 ml DAK 2017 97,500.00 - - - - - - - - - - - - - - - - -
247 LODOMER DROPS - Haloperidol tts 2 mg/mL Botol 15 ml DAK 2016 18,499.00 2 36,998.00 - - - - - - - - - - 2 36,998.00 - - 36,998.00
248 Haloperidol tts 2 mg/mL Botol 15 ml DAK 2017 18,100.00 - - - - - - - - - - - - - - - - -
Hepatitis B imunoglobullin - - - - - - - - - - - - - - - - -
249 ml DAK 2017 1,300,000.00
Hepatitis B imunoglobullin - - - - - - - - - - -
250 ml DAK 2019 1,325,000.00 - - - - - -
251 Hidroklorotiazid tab 25 mg Tablet DAK 2017 171.00 800 136,800.00 - - - - - - - - - - 800 136,800.00 - - 136,800.00
252 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2016 2,712.00 - - - - - - - - - - - - - - - - -
253 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2017 2,838.00 65 184,470.00 22 62,436.00 - - 52 147,576.00 62 175,956.00 60 170,280.00 3 8,514.00 14 39,732.00 48,246.00
256 Hyosine N-Butilbromide tab 10 mg Tablet DAK 2017 1,760.00 700 1,232,000.00 25 44,000.00 1,000 1,760,000.00 800 1,408,000.00 800 1,408,000.00 735 1,293,600.00 900 1,584,000.00 90 158,400.00 1,742,400.00
257 Hyosine N-Butilbromide tab 10 mg Tablet DAK 2016 2,745.00 - - - - - - - - - - - - - - - - -
258 Ibuprofen tablet 200 mg Tablet DAK 2017 108.00 1,300 140,400.00 217 23,436.00 6,000 648,000.00 6,500 702,000.00 7,300 788,400.00 6,717 725,436.00 - - - - -
259 Ibuprofen tablet/kapsul/kaplet 200 mg Tablet DAK 2019 112.00 - - - - - - - - - - - - - - - - -
260 Ibuprofen tablet/kapsul/kaplet 200 mg Tablet DAK 2018 112.00 - - - - 2,000 224,000.00 600 67,200.00 600 67,200.00 570 63,840.00 1,400 156,800.00 30 3,360.00 160,160.00
261 Ibuprofen tablet 400 mg Tablet DAK 2019 127.00 - - - - - - - - - - - - - - - - -
264 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2017 2,560.00 37 94,720.00 5 12,800.00 - - 37 94,720.00 37 94,720.00 42 107,520.00 - - - - -
265 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2019 2,520.00 - - - - - - - - - - - - - - - - -
266 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2018 2,520.00 100 252,000.00 - - - - 27 68,040.00 27 68,040.00 25 63,000.00 73 183,960.00 2 5,040.00 189,000.00
267 Isoniazid tablet/kapsul/kaplet 100 mg Tablet DAK 2017 85.00 - - 83 7,055.00 - - - - - - 83 7,055.00 - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
268 Isoniazid tablet/kapsul/kaplet 100 mg Tablet DAK 2019 142.56 - - - - - - - - - - - - - - - - -
269 Isoniazid tablet/kapsul/kaplet 300 mg Tablet DAK 2019 190.30 - - - - - - - - - - - - - - - - -
270 Isoniazid tablet/kapsul/kaplet 300 mg Tablet DAK 2017 182.00 100 18,200.00 69 12,558.00 - - - - - - 69 12,558.00 100 18,200.00 - - 18,200.00
271 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2018 89.00 - - - - - - - - - - - - - - - - -
274 KALIPAR - Kalium aspartat tab 300 mg Tablet DAK 2016 690.00 - - - - - - - - - - - - - - - - -
275 Kalium aspartat tablet/kapsul/kaplet 300 mg Kaptab salut selaput DAK 2017 682.00 - - - - - - - - - - - - - - - - -
276 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet DAK 2016 69.00 - - - - - - - - - - - - - - - - -
277 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet DAK 2017 57.00 600 34,200.00 58 3,306.00 5,000 285,000.00 800 45,600.00 2,200 125,400.00 858 48,906.00 3,400 193,800.00 - - 193,800.00
278 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet DAK 2018 59.00 - - - - - - - - - - - - - - - - -
279 Kaptopril 25 mg Tablet DAK 2019 80.00 - - - - - - - - - - - - - - - - -
280 Kaptopril tablet/kaplet scored 25 mg Tablet DAK 2017 86.00 4,000 344,000.00 209 17,974.00 2,000 172,000.00 6,000 516,000.00 6,000 516,000.00 6,209 533,974.00 - - - - -
281 Kaptopril 25 mg Tablet DAK 2018 80.00 - - - - 3,000 240,000.00 1,800 144,000.00 1,800 144,000.00 1,710 136,800.00 1,200 96,000.00 90 7,200.00 103,200.00
282 Kandesartan tab 8 mg Tablet DAK 2019 661.00 - - - - - - - - - - - - - - - - -
283 Kandesartan tablet/kapsul/kaplet 8 mg Tablet DAK 2017 770.00 - - - - - - - - - - - - - - - - -
284 Kandesartan tablet/kapsul/kaplet 8 mg Tablet DAK 2018 629.00 - - - - 450 283,050.00 240 150,960.00 240 150,960.00 240 150,960.00 210 132,090.00 - - 132,090.00
285 Karbamazepin tablet/kapsul/kaplet 200 mg Tablet DAK 2019 250.00 - - - - - - - - - - - - - - - - -
286 Karbamazepin tablet 200 mg Tablet DAK 2018 234.00 444 103,896.00 - - 1,400 327,600.00 - - 1,394 326,196.00 - - 450 105,300.00 - - 105,300.00
287 Ketoprofen supositoria 100 mg Supp DAK 2017 2,640.00 40 105,600.00 - - 30 79,200.00 - - 70 184,800.00 - - - - - - -
288 Ketokonazol krim 2% Tube 10 gram DAK 2016 2,605.00 - - - - - - - - - - - - - - - - -
289 Ketokonazol krim 2% Tube 10 gram DAK 2017 2,790.00 23 64,170.00 4 11,160.00 100 279,000.00 118 329,220.00 118 329,220.00 120 334,800.00 5 13,950.00 2 5,580.00 19,530.00
290 Ketokonazol krim 2% Tube 10 gram DAK 2018 2,577.00 - - - - - - - - - - - - - - - - -
291 Ketokonazol tablet 200 mg Tablet DAK 2016 292.00 - - - - - - - - - - - - - - - - -
292 Ketokonazol tablet/kapsul/kaplet 200 mg Tablet DAK 2017 297.00 - - - - - - - - - - - - - - - - -
293 Ketokonazol tablet 200 mg Tablet DAK 2018 286.00 500 143,000.00 90 25,740.00 200 57,200.00 700 200,200.00 700 200,200.00 760 217,360.00 - - 30 8,580.00 8,580.00
294 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2017 1,320.00 6 7,920.00 - - 30 39,600.00 - - 9 11,880.00 - - 27 35,640.00 - - 35,640.00
295 Ketorolac injeksi 30 mg Ampul 1 ml DAK 2019 1,089.00 - - - - - - - - - - - - - - - - -
296 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2016 1,383.00 - - - - - - - - - - - - - - - - -
297 Klindamisin tablet/kapsul/kaplet 300 mg kapsul DAK 2019 812.96 - - - - - - - - - - - - - - - - -
298 Klindamisin tablet/kapsul/kaplet 300 mg kapsul DAK 2017 589.00 - - - - 1,000 589,000.00 800 471,200.00 800 471,200.00 680 400,520.00 200 117,800.00 120 70,680.00 188,480.00
299 Klindamisin tablet/kapsul/kaplet 300 mg kapsul DAK 2018 583.00 - - - - - - - - - - - - - - - - -
300 Klopidogrel tablet 75 mg Tablet DAK 2019 1,568.00 - - - - - - - - - - - - - - - - -
301 Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput DAK 2017 1,799.00 - - - - - - - - - - - - - - - - -
302 Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput DAK 2018 1,469.00 120 176,280.00 - - 240 352,560.00 180 264,420.00 180 264,420.00 180 264,420.00 180 264,420.00 - - 264,420.00
303 CHLORAMEX - Kloramfenikol kapsul 500 mg Kapsul DAK 2016 1,155.00 - - - - - - - - - - - - - - - - -
304 Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul DAK 2017 502.29 720 361,648.80 - - - - 480 241,099.20 480 241,099.20 380 190,870.20 240 120,549.60 100 50,229.00 170,778.60
305 Kloramfenikol kapsul 250 mg Kapsul DAK 2010 198.92 - - - - - - - - - - - - - - - - -
306 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2017 1,850.00 - - - - - - - - - - - - - - - - -
307 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2016 1,850.00 47 86,950.00 1 1,850.00 - - 13 24,050.00 13 24,050.00 14 25,900.00 34 62,900.00 - - 62,900.00
310 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2017 4,982.00 90 448,380.00 - - - - 15 74,730.00 29 144,478.00 7 34,874.00 61 303,902.00 8 39,856.00 343,758.00
311 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2016 4,000.00 - - - - - - - - - - - - - - - - -
314 Kloramfenikol tetes mata 0,5 % Botol plastik 10 ml DAK 2017 3,850.00 40 154,000.00 8 30,800.00 90 346,500.00 110 423,500.00 130 500,500.00 118 454,300.00 - - - - -
315 Kloramfenikol tetes mata 0,5 % (Reco TM) Botol plastik 10 ml DAK 2016 7,125.00 - - - - - - - - - - - - - - - - -
318 Kloramfenikol tetes telinga 3 % (Reco TT) Botol plastik 10 ml DAK 2016 7,125.00 - - - - - - - - - - - - - - - - -
319 Kloramfenikol tetes telinga 3 % (Reco TT) Botol plastik 10 ml DAK 2017 7,370.00 30 221,100.00 3 22,110.00 50 368,500.00 65 479,050.00 70 515,900.00 56 412,720.00 10 73,700.00 12 88,440.00 162,140.00
320 Kloramfenikol tetes telinga 3 % (Reco TT) Botol plastik 10 ml DAK 2019 9,900.00 - - - - - - - - - - - - - - - - -
321 Kloramfenikol tetes telinga 3 % Botol plastik 10 ml DAK 2018 6,600.00 - - - - - - - - - - - - - - - - -
322 Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet DAK 2016 45.00 1,300 58,500.00 56 2,520.00 5,000 225,000.00 4,800 216,000.00 5,400 243,000.00 4,766 214,470.00 900 40,500.00 90 4,050.00 44,550.00
323 Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet DAK 2015 53.00 - - - - - - - - - - - - - - - - -
324 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet DAK 2018 24.00 - - - - - - - - - - - - - - - - -
325 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1 ml DAK 2016 1,425.00 - - - - - - - - - - - - - - - - -
329 Klorpromazin tablet salut 25 mg (HCl) Tablet DAK 2016 170.00 2,295 390,150.00 - - - - - - 2,295 390,150.00 - - - - - - -
330 Klorpromazin tablet salut 25 mg (HCl) Tablet DAK 2018 234.03 - - - - - - - - - - - - - - - - -
331 Klorpromazin tablet salut 100 mg (HCl) Tablet DAK 2019 181.00 - - - - - - - - - - - - - - - - -
332 Klozapin 25 mg Tablet DAK 2016 1,550.00 3,783 5,863,650.00 - - - - - - 995 1,542,250.00 - - 2,788 4,321,400.00 - - 4,321,400.00
333 Klozapin 25 mg Tablet DAK 2019 1,121.00 - - - - - - - - - - - - - - - - -
334 Kodein tablet/kapsul/kaplet 10 mg Tablet DAK 2017 632.00 - - - - - - - - - - - - - - - - -
Botol 60 ml - - - - - - - - - - - - - - - - -
335 Sulfametoksazol 200 mg + Trimetoprim 40 mg/ 5 Ml DAK 2016 2,225.00
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml 88 216,656.00 154 379,148.00 90 221,580.00 269 662,278.00 5 12,310.00 674,588.00
336 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2017 2,462.00 123 302,826.00 7 17,234.00 300 738,600.00
Botol 60 ml - - - - - - - - - - -
337 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018 2,052.00 - - - - - -
Botol 60 ml - - - - - - - - - - - - - - - - -
338 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019 2,190.00
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg +
Kaptab 1,900 621,300.00 55 17,985.00 - - 1,200 392,400.00 1,300 425,100.00 1,235 403,845.00 600 196,200.00 20 6,540.00 202,740.00
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
kotrimoksazol forte kombinasi:sulfametoksazol 800 mg +
Tablet - - - - - - - - - - -
340 trimetoprim 160 mg DAK 2018 299.00 - - - - - -
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg
Tablet - - - - - - - - - - -
341 trimetoprim 160 mg DAK 2019 319.00 - - - - - -
342 Laktulosa sir 3,335 g/5 mL Botol DAK 2016 14,500.00 - - - - - - - - - - - - - - - - -
343 Larutan mengandung Elektrolit (KA-EN 3A injection) Plabott, 500 ml DAK 2017 10,285.00 - - - - 20 205,700.00 - - - - - - 20 205,700.00 - - 205,700.00
344 Larutan mengandung Elektrolit (KA-EN 3B injection) Plabott, 500 ml DAK 2017 10,285.00 - - - - 20 205,700.00 - - - - - - 20 205,700.00 - - 205,700.00
345 Lidokain jelli 2%(Xylocaine Jelly 2%) syringe DAK 2016 40,000.00 - - - - - - - - - - - - - - - - -
346 Lidokain jelli 2% syringe 10 gram DAK 2017 40,000.00 - - - - - - - - - - - - - - - - -
Ampul 2 ml - - 218 287,106.00 - - 82 107,994.00 - - 107,994.00
347 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2018 1,317.00 - - - - 300 395,100.00
348 Lidokain injeksi 2% (HCL) Ampul DAK 2016 875.00 7 6,125.00 - - - - - - - - - - 7 6,125.00 - - 6,125.00
349 Lidokain injeksi 2% (HCL) Ampul DAK 2018 1,315.00 - - - - - - - - - - - - - - - - -
350 Lidokain injeksi 2% (HCL) Ampul DAK 2019 1,403.00 - - - - - - - - - - - - - - - - -
351 Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml DAK 2016 2,122.00 - - - - - - - - - - - - - - - - -
354 Lisinopril tablet/kapsul/kaplet 5 mg Tablet DAK 2016 410.00 - - - - - - - - - - - - - - - - -
355 Loperamid Tablet DAK 2017 85.00 800 68,000.00 88 7,480.00 - - 700 59,500.00 700 59,500.00 688 58,480.00 100 8,500.00 100 8,500.00 17,000.00
356 Loperamid tablet 2 mg Tablet DAK 2019 161.29 - - - - - - - - - - - - - - - - -
357 Loperamid tablet 2 mg Tablet DAK 2018 271.70 - - - - - - - - - - - - - - - - -
358 Loratadin tablet/kapsul/kaplet 10 mg Tablet DAK 2019 136.00 - - - - - - - - - - - - - - - - -
359 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2017 134.00 - - - - - - - - - - - - - - - - -
360 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2018 127.00 900 114,300.00 - - - - 150 19,050.00 150 19,050.00 100 12,700.00 750 95,250.00 50 6,350.00 101,600.00
361 OTSU-MGSO4 40 - Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2016 3,650.00 - - - - - - - - - - - - - - - - -
362 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2017 3,650.00 16 58,400.00 - - 13 47,450.00 - - 29 105,850.00 - - - - - - -
363 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2018 3,796.00 - - - - 10 37,960.00 - - 3 11,388.00 - - 7 26,572.00 - - 26,572.00
364 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2019 3,796.00 - - - - - - - - - - - - - - - - -
365 Metamizol injeksi 500 mg/ml Ampul 2 ml DAK 2017 3,050.00 - - - - - - - - - - - - - - - - -
366 Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet DAK 2019 148.00 - - - - - - - - - - - - - - - - -
367 Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet DAK 2017 165.00 2,500 412,500.00 85 14,025.00 - - 2,400 396,000.00 2,500 412,500.00 2,485 410,025.00 - - - - -
368 Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet DAK 2018 139.00 - - - - 4,000 556,000.00 3,800 528,200.00 4,000 556,000.00 3,710 515,690.00 - - 90 12,510.00 12,510.00
369 Metilprednisolon inj 125 mg/2 mL Dus DAK 2018 11,449.00 - - - - - - - - - - - - - - - - -
370 Metilprednisolon inj 125 mg/2 mL Dus DAK 2019 12,217.00 - - - - - - - - - - - - - - - - -
371 Metilergametrin (Maleat) tablet salut 0,125 mg Tablet DAK 2016 222.20 - - - - - - - - - - - - - - - - -
372 Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut DAK 2017 270.60 - - - - - - - - - - - - - - - - -
373 Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut DAK 2018 243.00 190 46,170.00 - - - - - - - - - - 190 46,170.00 - - 46,170.00
374 Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul DAK 2019 3,399.00 - - - - - - - - - - - - - - - - -
375 Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul DAK 2018 3,399.00 98 333,102.00 - - - - - - 22 74,778.00 - - 76 258,324.00 - - 258,324.00
376 Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul DAK 2016 2,684.00 - - - - - - - - - - - - - - - - -
377 Metoclopramide tablet 10 mg Tablet DAK 2019 89.00 - - - - - - - - - - - - - - - - -
378 Metoklopramide tablet/kapsul/kaplet 10 mg Tablet DAK 2017 93.00 500 46,500.00 50 4,650.00 - - 300 27,900.00 300 27,900.00 240 22,320.00 200 18,600.00 110 10,230.00 28,830.00
379 Metoklopramide tablet/kapsul/kaplet 10 mg Tablet DAK 2018 83.00 - - - - - - - - - - - - - - - - -
380 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2017 3,904.00 - - - - - - - - - - - - - - - - -
381 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2019 4,554.00 - - - - - - - - - - - - - - - - -
382 LEXAPRAM SIRUP - Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2016 2,750.00 - - - - - - - - - - - - - - - - -
383 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2017 2,950.00 - - - - - - - - - - - - - - - - -
384 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2018 2,700.00 - - - - - - - - - - - - - - - - -
385 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet DAK 2019 109.00 - - - - - - - - - - - - - - - - -
386 Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss DAK 2017 103.00 500 51,500.00 130 13,390.00 3,600 370,800.00 4,100 422,300.00 4,100 422,300.00 4,230 435,690.00 - - - - -
387 Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss DAK 2018 102.00 - - - - 8,500 867,000.00 8,000 816,000.00 8,000 816,000.00 7,950 810,900.00 500 51,000.00 50 5,100.00 56,100.00
388 Metronidazol infus 5 mg/ ml Botol @100 mL DAK 2017 9,680.00 - - - - - - - - - - - - - - - - -
391 Metronidazol tablet/kapsul/kaplet 500 mg Tablet DAK 2017 115.00 600 69,000.00 76 8,740.00 2,000 230,000.00 1,200 138,000.00 1,200 138,000.00 1,176 135,240.00 1,400 161,000.00 100 11,500.00 172,500.00
392 Metronidazol tablet 500 mg Tablet DAK 2016 750.00 - - - - - - - - - - - - - - - - -
393 Metronidazol tablet 500 mg Tablet DAK 2018 127.00 - - - - - - - - - - - - - - - - -
394 Metronidazol tablet/kapsul/kaplet 500 mg Tablet DAK 2019 277.20 - - - - - - - - - - - - - - - - -
395 Metronidazole sirup 125mg/ 5ml Botol 60 ml DAK 2019 3,950.00 - - - - - - - - - - - - - - - - -
396 Metronidazol sirup 125 mg/5 ml Botol 60 ml DAK 2017 3,800.00 - - 9 34,200.00 50 190,000.00 - - 50 190,000.00 9 34,200.00 - - - - -
397 Metronidazol sirup 125 mg/5 ml Botol 60 ml DAK 2018 3,950.00 - - - - - - - - - - - - - - - - -
398 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2016 3,737.00 - - - - - - - - - - - - - - - - -
399 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2017 5,500.00 25 137,500.00 4 22,000.00 50 275,000.00 75 412,500.00 75 412,500.00 79 434,500.00 - - - - -
400 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2019 3,926.00 - - - - - - - - - - - - - - - - -
401 Natrium Bikarbonat tablet 500 mg Tablet DAK 2016 22.00 200 4,400.00 39 858.00 - - - - - - 39 858.00 200 4,400.00 - - 4,400.00
402 Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet DAK 2019 145.00 - - - - - - - - - - - - - - - - -
403 Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet salut enterik DAK 2017 135.00 1,750 236,250.00 58 7,830.00 5,600 756,000.00 7,000 945,000.00 7,350 992,250.00 7,058 952,830.00 - - - - -
404 Natrim Diklofenak 50 mg tab Tablet DAK 2018 136.00 - - - - 2,800 380,800.00 1,500 204,000.00 1,600 217,600.00 1,420 193,120.00 1,200 163,200.00 80 10,880.00 174,080.00
405 Natrium Klorida larutan infus 0,9 % Steril Botol plastik 500 ml DAK 2017 6,410.00 - - - - - - - - - - - - - - - - -
406 Natrium Klorida larutan infus 0,9 % Steril Botol plastik 500 ml DAK 2018 6,410.00 - - - - 80 512,800.00 - - 42 269,220.00 - - 38 243,580.00 - - 243,580.00
407 Natrium Klorida larutan infus 0,9 % Steril Botol plastik 500 ml DAK 2019 6,840.00 - - - - - - - - - - - - - - - - -
408 Nifedipin tablet/kapsul/kaplet 10 mg Tablet salut selaput DAK 2017 110.00 300 33,000.00 73 8,030.00 1,400 154,000.00 1,500 165,000.00 1,500 165,000.00 1,573 173,030.00 200 22,000.00 - - 22,000.00
409 Nifedipin tablet 10 mg Tablet DAK 2018 107.00 - - - - - - - - - - - - - - - - -
410 Nifedipin tablet 10 mg Tablet DAK 2019 114.00 - - - - - - - - - - - - - - - - -
411 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2017 627.00 100 62,700.00 32 20,064.00 - - - - 10 6,270.00 32 20,064.00 90 56,430.00 - - 56,430.00
412 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2018 645.00 - - - - - - - - - - - - - - - - -
413 Nistatin vaginal tablet 100.000 IU/ g Supp DAK 2016 602.00 - - - - - - - - - - - - - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
414 Nistatin tablet/kaplet salut 500.000 IU/ g Tablet Salut Gula DAK 2017 881.00 - - - - - - - - - - - - - - - - -
415 Nistatin tablet salut 500.000 UI/g Tablet DAK 2019 971.00 - - - - - - - - - - - - - - - - -
416 Nistatin tablet/kaplet salut 500.000 IU/ g Tablet DAK 2016 857.00 - - - - - - - - - - - - - - - - -
417 Nystatin drop Botol 12 ml DAK 2016 38,425.00 - - - - - - - - - - - - - - - - -
418 Nystatin drop Botol 12 ml DAK 2017 24,198.00 13 314,574.00 - - 50 1,209,900.00 63 1,524,474.00 63 1,524,474.00 63 1,524,474.00 - - - - -
419 Obat Anti Tuberculosis FDC Kategori I Paket DAK 2017 430,538.00 2 861,076.00 - - - - - - 2 861,076.00 - - - - - - -
420 OAT FDC Kategori 2 Dewasa Paket DAK 2016 1,379,984.00 - - - - - - - - - - - - - - - - -
421 Obat Anti Tuberculosis FDC Kategori II Paket DAK 2017 1,435,178.00 - - - - 1 1,435,178.00 - - 1 1,435,178.00 - - - - - - -
422 Obat Anti Tuberculosis FDC Kategori II Paket DAK 2018 1,492,579.00 - - - - - - - - - - - - - - - - -
423 Obat Anti Tuberculosis FDC Kategori Sisipan Paket DAK 2016 183,984.00 - - - - - - - - - - - - - - - - -
tablet dispersibel Dus, 6
Obat Anti Tuberculosis FDC Kategori Anak
blister @ 28 tablet
424 dispersibel" DAK 2017 257,125.00 - - - - 2 514,250.00 - - - - - - 2 514,250.00 - - 514,250.00
425 Obat Anti Tuberculosis FDC Kategori Anak Paket DAK 2016 247,234.00 - - - - - - - - - - - - - - - - -
426 Obat Anti Tuberculosis FDC Kategori Anak Paket DAK 2018 267,397.00 - - - - - - - - - - - - - - - - -
427 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2016 7,149.00 - - - - - - - - - - - - - - - - -
428 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2017 6,000.00 55 330,000.00 3 18,000.00 360 2,160,000.00 289 1,734,000.00 330 1,980,000.00 292 1,752,000.00 85 510,000.00 - - 510,000.00
Obat batuk Antitusif sirup Kombinasi Dextromethorphan
Botol 60 ml - - - - - - - - - - -
431 HBr DAK 2019 13,915.00 - - - - - -
Obat batuk Antitusif tablet Kombinasi Dextromethorphan
Tablet - - - - - - - - - - -
432 HBr DAK 2019 357.87 - - - - - -
433 Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml DAK 2017 11,800.00 194 2,289,200.00 4 47,200.00 360 4,248,000.00 395 4,661,000.00 528 6,230,400.00 394 4,649,200.00 26 306,800.00 5 59,000.00 365,800.00
434 Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet DAK 2017 704.00 - - 11 7,744.00 - - - - - - 11 7,744.00 - - - - -
435 Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml DAK 2018 12,000.00 - - - - - - - - - - - - - - - - -
436 Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet DAK 2018 660.00 500 330,000.00 - - 8,000 5,280,000.00 5,800 3,828,000.00 6,400 4,224,000.00 5,760 3,801,600.00 2,100 1,386,000.00 40 26,400.00 1,412,400.00
437 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2016 1,649.36 - - - - - - - - - - - - - - - - -
438 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2017 1,640.00 35 57,400.00 20 32,800.00 - - 35 57,400.00 35 57,400.00 55 90,200.00 - - - - -
441 Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram DAK 2017 2,772.00 - - - - - - - - - - - - - - - - -
442 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2018 2,600.00 - - - - 50 130,000.00 37 96,200.00 37 96,200.00 37 96,200.00 13 33,800.00 - - 33,800.00
443 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2016 2,772.00 - - - - - - - - - - - - - - - - -
444 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2019 2,774.00 - - - - - - - - - - - - - - - - -
445 Oksitosin injeksi 10 IU / ml - ml Ampul DAK 2018 1,232.00 - - - - - - - - - - - - - - - - -
446 OXYTOCIN INJLQ 10 IU Oksitosin inj 10 UI/ml Ampul DAK 2016 1,900.00 54 102,600.00 - - - - - - 54 102,600.00 - - - - - - -
447 Omeprazole Injeksi 40mg / 10ml Vial DAK 2019 11,868.00 - - - - - - - - - - - - - - - - -
448 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2017 14,924.00 - - - - - - - - - - - - - - - - -
449 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2018 11,868.00 - - - - - - - - - - - - - - - - -
450 Omeprazole kapsul Kapsul DAK 2019 147.00 - - - - - - - - - - - - - - - - -
451 Omeprazole kapsul Kapsul DAK 2018 138.00 - - - - - - - - - - - - - - - - -
452 Omeprazol tablet/kapsul/kaplet 20 mg Kapsul DAK 2017 148.00 510 75,480.00 - - 9,330 1,380,840.00 7,590 1,123,320.00 7,590 1,123,320.00 7,500 1,110,000.00 2,250 333,000.00 90 13,320.00 346,320.00
453 Ondansetron tablet/kapsul/kaplet 4 mg Tablet DAK 2019 429.00 - - - - - - - - - - - - - - - - -
454 Ondansetron tablet/kapsul/kaplet 4 mg Tablet salut selaput DAK 2017 523.00 180 94,140.00 10 5,230.00 - - 96 50,208.00 96 50,208.00 106 55,438.00 84 43,932.00 - - 43,932.00
455 Ondansetron tablet/kapsul/kaplet 4 mg Tablet salut selaput DAK 2018 406.00 - - - - 240 97,440.00 - - - - - - 240 97,440.00 - - 97,440.00
456 Ondansetron inj 2 mg/ml (4 mg/ 2 mL) Ampul 2 ml DAK 2017 1,254.00 5 6,270.00 - - 20 25,080.00 - - 11 13,794.00 - - 14 17,556.00 - - 17,556.00
457 Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml DAK 2016 1,650.00 - - - - - - - - - - - - - - - - -
458 Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml DAK 2019 1,258.00 - - - - - - - - - - - - - - - - -
459 PANTOCAIN 0.5% Botol DAK 2016 11,500.00 9 103,500.00 - - - - - - - - - - 9 103,500.00 - - 103,500.00
460 Parasetamol drips (infus) 1000 mg/100 mL Dus, Botol @ 1000 mg DAK 2019 11,610.00 - - - - - - - - - - - - - - - - -
463 Parasetamol sirup 120 mg / 5 ml Botol Plastik @ 60 Ml DAK 2017 1,013.00 127 128,651.00 6 6,078.00 - - 107 108,391.00 127 128,651.00 113 114,469.00 - - - - -
464 Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml DAK 2019 1,238.00 - - - - - - - - - - - - - - - - -
465 Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml DAK 2018 1,160.00 - - - - 500 580,000.00 260 301,600.00 290 336,400.00 254 294,640.00 210 243,600.00 6 6,960.00 250,560.00
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Botol Plastik @ 60 Ml - - - - - - - - - - - - - - - - -
466 DAK 2018 7,646.00
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Botol 15 ml 379 2,596,150.00 4 27,400.00 560 3,836,000.00 45 308,250.00 939 6,432,150.00 49 335,650.00 - - - - -
467 DAK 2017 6,850.00
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Botol 15 ml - - - - - - - - - - -

468 DAK 2019 7,646.00 - - - - - -
469 Parasetamol tablet 100 mg Tablet DAK 2016 106.59 - - - - - - - - - - - - - - - - -
470 Parasetamol tablet/kapsul/kaplet 500 mg Tablet DAK 2019 60.00 - - - - - - - - - - - - - - - - -
471 Parasetamol tablet/kapsul/kaplet 500 mg Tablet DAK 2017 51.00 - - - - - - - - - - - - - - - - -
472 Parasetamol tablet 500 mg Tablet DAK 2018 60.00 4,000 240,000.00 156 9,360.00 18,800 1,128,000.00 12,300 738,000.00 14,200 852,000.00 12,406 744,360.00 8,600 516,000.00 50 3,000.00 519,000.00
473 Perak sulfadiazin krim 1% tube 35 g DAK 2017 20,700.00 12 248,400.00 - - - - - - 7 144,900.00 - - 5 103,500.00 - - 103,500.00
474 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) Ampul DAK 2015 15,950.00 - - - - - - - - - - - - - - - - -
475 Piracetam 400 mg Tablet DAK 2016 541.24 - - - - - - - - - - - - - - - - -
476 Piracetam 400 mg Tablet DAK 2018 374.00 - - - - 300 112,200.00 100 37,400.00 100 37,400.00 60 22,440.00 200 74,800.00 40 14,960.00 89,760.00
477 Piracetam 400 mg Tablet DAK 2019 1,452.00 - - - - - - - - - - - - - - - - -
478 Piracetam Inj 1 g/5 ml Ampul DAK 2016 15,840.00 - - - - - - - - - - - - - - - - -
479 Piracetam Inj 1 g/5 ml Ampul DAK 2017 6,600.00 - - - - - - - - - - - - - - - - -
480 Pirantel tablet score (base) 125 mg Tablet DAK 2016 318.00 - - - - - - - - - - - - - - - - -
481 Pirazinamid 500 mg Tablet DAK 2017 238.00 200 47,600.00 85 20,230.00 - - - - - - 85 20,230.00 200 47,600.00 - - 47,600.00
482 Pirazinamid 500 mg Tablet DAK 2019 249.00 - - - - - - - - - - - - - - - - -
483 Piridoksin HCI (Vit. B6 ) tablet 10 mg Tablet DAK 2018 141.00 - - - - - - - - - - - - - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
484 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet DAK 2017 136.00 1,500 204,000.00 86 11,696.00 4,500 612,000.00 3,900 530,400.00 4,300 584,800.00 3,986 542,096.00 1,700 231,200.00 - - 231,200.00
485 Piridoksin HCI (Vit. B6 ) tablet 10 mg Tablet DAK 2016 136.00 - - - - - - - - - - - - - - - - -
486 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet DAK 2019 150.00 - - - - - - - - - - - - - - - - -
487 Piroksikam 20 mg Tablet DAK 2016 213.95 - - - - - - - - - - - - - - - - -
488 Piroksikam 20 mg Tablet DAK 2017 130.00 1,500 195,000.00 20 2,600.00 4,000 520,000.00 4,400 572,000.00 4,700 611,000.00 4,370 568,100.00 800 104,000.00 50 6,500.00 110,500.00
491 Prednison tablet/kapsul/kaplet 5 mg Tablet DAK 2016 102.00 - - - - - - - - - - - - - - - - -
492 Prednison tablet/kapsul/kaplet 5 mg Tablet DAK 2017 85.00 - - 5 425.00 5,500 467,500.00 1,400 119,000.00 1,400 119,000.00 1,325 112,625.00 4,100 348,500.00 80 6,800.00 355,300.00
495 Primakuin tablet 15 mg Tablet DAK 2019 354.20 - - - - - - - - - - - - - - - - -
496 Primakuin tablet 15 mg Tablet DAK 2018 354.00 - - - - - - - - - - - - - - - - -
497 Propranolol HCI tablet 10 mg Tablet DAK 2016 69.00 - - - - - - - - - - - - - - - - -
498 Propranolol tablet/kapsul/kaplet 10 mg Tablet DAK 2017 59.00 100 5,900.00 20 1,180.00 500 29,500.00 400 23,600.00 400 23,600.00 320 18,880.00 200 11,800.00 100 5,900.00 17,700.00
499 Propranolol HCI tablet 10 mg Tablet DAK 2018 59.00 - - - - - - - - - - - - - - - - -
500 Propranolol tablet/kapsul/kaplet 10 mg Tablet DAK 2019 63.00 - - - - - - - - - - - - - - - - -
501 Proiltiourasil tablet 100 mg Tablet DAK 2015 351.00 - - 22 7,722.00 - - - - - - 22 7,722.00 - - - - -
502 Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet DAK 2019 586.00 - - - - - - - - - - - - - - - - -
503 Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet DAK 2016 320.00 500 160,000.00 - - 200 64,000.00 600 192,000.00 600 192,000.00 500 160,000.00 100 32,000.00 100 32,000.00 64,000.00
504 Vaksin rabies Vial DAK 2017 174,500.00 - - - - - - - - - - - - - - - - -
505 Vaksin rabies Vial DAK 2018 190,000.00 - - - - - - - - - - - - - - - - -
506 Ranitidin tablet 150 mg Tablet DAK 2018 235.95 - - - - 7,500 1,769,625.00 5,000 1,179,750.00 5,500 1,297,725.00 5,000 1,179,750.00 2,000 471,900.00 - - 471,900.00
507 Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput DAK 2017 110.00 2,300 253,000.00 180 19,800.00 3,000 330,000.00 4,700 517,000.00 5,300 583,000.00 4,880 536,800.00 - - - - -
508 Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput DAK 2019 235.95 - - - - - - - - - - - - - - - - -
509 Ranitidin tablet 150 mg Tablet DAK 2016 119.00 - - - - - - - - - - - - - - - - -
510 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2016 1,595.18 - - - - - - - - - - - - - - - - -
511 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2017 1,677.00 10 16,770.00 - - 50 83,850.00 - - 11 18,447.00 - - 49 82,173.00 - - 82,173.00
512 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2019 1,188.00 - - - - - - - - - - - - - - - - -
513 Ranitidin Injeksi 25 mg/ml Ampul 2 ml DAK 2018 1,155.00 - - - - - - - - - - - - - - - - -
514 Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul DAK 2016 327.00 - - - - - - - - - - - - - - - - -
516 Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul lunak DAK 2017 585.00 - - - - - - - - - - - - - - - - -
519 Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss DAK 2019 985.00 - - - - - - - - - - - - - - - - -
520 Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss DAK 2017 1,274.00 - - - - - - - - - - - - - - - - -
521 Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss DAK 2018 1,134.00 - - - - - - - - - - - - - - - - -
522 Ringer laktat larutan infus Botol plastik 500 ml DAK 2018 7,150.00 - - - - 140 1,001,000.00 - - 78 557,700.00 - - 62 443,300.00 - - 443,300.00
523 Ringer laktat larutan infus Botol plastik 500 ml DAK 2017 7,150.00 41 293,150.00 - - - - - - 41 293,150.00 - - - - - - -
524 Ringer laktat larutan infus Botol plastik 500 ml DAK 2019 7,630.00 - - - - - - - - - - - - - - - - -
525 Risperidon 2 mg Tablet DAK 2016 495.00 - - - - - - - - - - - - - - - - -
526 Risperidon 2 mg Tablet DAK 2019 287.00 - - - - - - - - - - - - - - - - -
527 Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet DAK 2017 86.00 500 43,000.00 106 9,116.00 4,000 344,000.00 2,200 189,200.00 2,300 197,800.00 2,236 192,296.00 2,200 189,200.00 70 6,020.00 195,220.00
528 Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet DAK 2018 77.00 - - - - - - - - - - - - - - - - -
529 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet DAK 2019 77.00 - - - - - - - - - - - - - - - - -
530 Salbutamol sirup Dus, botol @ 100 ml DAK 2016 5,463.00 - - - - - - - - - - - - - - - - -
531 Salbutamol sirup Dus, botol @ 100 ml DAK 2017 4,916.00 100 491,600.00 - - 147 722,652.00 - - 138 678,408.00 - - 109 535,844.00 - - 535,844.00
532 Salbutamol sirup Dus, botol @ 100 ml DAK 2019 4,446.00 - - - - - - - - - - - - - - - - -
533 Salbutamol cairan ih 0,1%(Ventolin Nebules) Nebules DAK 2017 14,124.00 20 282,480.00 - - - - - - - - - - 20 282,480.00 - - 282,480.00
534 VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules DAK 2019 4,000.00 - - - - - - - - - - - - - - - - -
535 VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules DAK 2018 4,000.00 - - - - - - - - - - - - - - - - -
Pot 30 gram 13 37,791.00 13 37,791.00 19 55,233.00 5 14,535.00 - - 14,535.00
536 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2017 2,907.00 18 52,326.00 6 17,442.00 - -
Pot 30 gram - - - - - - - - - - -
537 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2016 2,797.00 - - - - - -
Pot 30 gram - - - - - - - - - - - - - - - - -
538 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018 3,017.00
539 Salisil Bedak 2 % Kotak DAK 2016 1,066.00 - - - - - - - - - - - - - - - - -
540 SCABIMITE CREAM 10 - Permetrin krim 5% Tube @ 10 g DAK 2016 12,155.00 - - - - - - - - - - - - - - - - -
541 Permetrin Krim 5% Tube @ 10 g DAK 2017 12,155.00 11 133,705.00 3 36,465.00 70 850,850.00 81 984,555.00 81 984,555.00 84 1,021,020.00 - - - - -
542 Sefiksim sirup kering 100 mg/ 5 ml Botol DAK 2018 5,710.00 - - - - - - - - - - - - - - - - -
543 Sefiksim sirup kering 100 mg/5 ml Botol DAK 2016 7,690.00 - - - - - - - - - - - - - - - - -
544 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2016 649.00 - - - - - - - - - - - - - - - - -
545 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2018 923.00 - - - - - - - - - - - - - - - - -
546 Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml DAK 2016 9,840.00 - - - - - - - - - - - - - - - - -
547 Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml DAK 2017 4,133.00 180 743,940.00 7 28,931.00 240 991,920.00 138 570,354.00 138 570,354.00 145 599,285.00 282 1,165,506.00 - - 1,165,506.00
550 Sefadroksil kapsul/kaplet 500 mg Kapsul DAK 2016 557.00 - - - - - - - - - - - - - - - - -
551 Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul DAK 2017 455.00 1,800 819,000.00 50 22,750.00 4,000 1,820,000.00 4,600 2,093,000.00 5,400 2,457,000.00 4,650 2,115,750.00 400 182,000.00 - - 182,000.00
552 Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul DAK 2019 492.00 - - - - - - - - - - - - - - - - -
553 Sefadroksil kapsul 500 mg Kapsul DAK 2018 492.00 - - - - - - - - - - - - - - - - -
554 Seftriaksone Injeksi 1 g Vial DAK 2019 5,146.00 - - - - - - - - - - - - - - - - -
557 Sefotaksim Injeksi 1 g Vial DAK 2016 5,884.00 - - - - - - - - - - - - - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
560 Sianocobalamin (Vit.B12) tablet 50 mg Tablet DAK 2016 126.50 - - - - - - - - - - - - - - - - -
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg Tablet 500 27,500.00 65 3,575.00 3,000 165,000.00 2,800 154,000.00 2,800 154,000.00 2,865 157,575.00 700 38,500.00 - - 38,500.00
561 DAK 2017 55.00
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg Tablet - - - - - - - - - - - - - - - - -

562 DAK 2018 49.00
563 Sianokobalamin (vitamin B12) injeksi 500 mcg Tablet DAK 2019 1,160.00 - - - - - - - - - - - - - - - - -
564 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml DAK 2017 1,117.00 - - - - - - - - - - - - - - - - -
565 Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml Ampul 1 ml DAK 2016 1,226.00 228 279,528.00 - - - - - - 20 24,520.00 - - 208 255,008.00 - - 255,008.00
566 Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml Ampul 1 ml DAK 2015 1,050.00 - - - - - - - - - - - - - - - - -
567 Simvastatin scored tablet 10 mg Tablet DAK 2016 135.00 - - - - - - - - - - - - - - - - -
568 Simvastatin tablet/kaplet/salut 10 mg Tablet salut selaput DAK 2017 113.00 1,600 180,800.00 370 41,810.00 10,500 1,186,500.00 11,290 1,275,770.00 11,290 1,275,770.00 11,630 1,314,190.00 810 91,530.00 30 3,390.00 94,920.00
569 Simvastatin tablet/kaplet/salut 10 mg Tablet salut selaput DAK 2019 117.00 - - - - - - - - - - - - - - - - -
570 Simvastatin 10 mg Tablet DAK 2018 110.00 - - - - - - - - - - - - - - - - -
571 Siprofloksasin tab scored 500 mg Tablet salut selaput DAK 2017 254.00 500 127,000.00 36 9,144.00 1,300 330,200.00 1,700 431,800.00 1,800 457,200.00 1,666 423,164.00 - - 70 17,780.00 17,780.00
572 Siprofloksasin tab scored 500 mg Tablet DAK 2016 298.00 - - - - - - - - - - - - - - - - -
575 Spironolactone 25 mg Tablet DAK 2016 314.00 - - - - - - - - - - - - - - - - -
576 Spironolakton tablet/kapsul/kaplet 25 mg Tablet DAK 2017 277.00 - - - - - - - - - - - - - - - - -
577 Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v) Dus, 1 Vial @ 5 ml DAK 2019 512,204.00 - - - - - - - - - - - - - - - - -
578 Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v) Dus, 1 Vial @ 5 ml DAK 2017 462,000.00 - - - - - - - - - - - - - - - - -
579 Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I ) Dus, 1 Vial @ 5 ml DAK 2018 479,996.00 1 479,996.00 - - 4 1,919,984.00 - - 3 1,439,988.00 - - 2 959,992.00 - - 959,992.00
580 Serum antitetanus (A.T.S) cairan inj 1500 IU/amp (i.m) Ampul 1 ml DAK 2019 130,999.00 - - - - - - - - - - - - - - - - -
581 Serum antitetanus (A.T.S) cairan inj 1500 IU/amp (i.m) Ampul 1 ml DAK 2017 126,500.00 - - - - - - - - - - - - - - - - -
582 Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml DAK 2018 130,999.00 2 261,998.00 - - 2 261,998.00 - - 2 261,998.00 - - 2 261,998.00 - - 261,998.00
583 STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial DAK 2016 5,750.00 - - - - - - - - - - - - - - - - -
584 STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial DAK 2019 5,980.00 - - - - - - - - - - - - - - - - -
585 Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml DAK 2016 10,100.00 - - - - - - - - - - - - - - - - -
586 Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml DAK 2017 9,192.00 100 919,200.00 17 156,264.00 400 3,676,800.00 500 4,596,000.00 500 4,596,000.00 517 4,752,264.00 - - - - -
587 Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml DAK 2019 7,338.00 - - - - - - - - - - - - - - - - -
588 Sukralfat tablet/kapsul/kaplet 500 mg Tablet DAK 2017 296.00 700 207,200.00 111 32,856.00 1,500 444,000.00 1,900 562,400.00 1,900 562,400.00 2,011 595,256.00 300 88,800.00 - - 88,800.00
589 ULSIDEX - Sukralfat tab 500 mg Tablet DAK 2016 368.00 - - - - - - - - - - - - - - - - -
590 SUPRAFENID Ketoprofen supositoria 100 mg Supp DAK 2016 2,789.00 - - - - - - - - - - - - - - - - -
591 Teofilin tablet/kapsul/kaplet 150 mg Tablet DAK 2017 328.00 200 65,600.00 - - - - - - - - - - 200 65,600.00 - - 65,600.00
592 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2019 330.00 - - - - - - - - - - - - - - - - -
593 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2018 330.00 - - - - - - - - - - - - - - - - -
594 Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet DAK 2016 329.00 200 65,800.00 - - - - - - - - - - 200 65,800.00 - - 65,800.00
595 Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet DAK 2018 310.00 - - - - - - - - - - - - - - - - -
596 Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet DAK 2019 331.00 - - - - - - - - - - - - - - - - -
597 Thiamphenicol 500 mg kaps Kapsul DAK 2016 984.51 - - - - - - - - - - - - - - - - -
598 Thiamphenicol 500 mg kaps Kapsul DAK 2017 865.00 100 86,500.00 101 87,365.00 - - 100 86,500.00 100 86,500.00 201 173,865.00 - - - - -
599 Thiamphenicol 500 mg kaps Kapsul DAK 2019 1,031.21 - - - - - - - - - - - - - - - - -
600 Thiamphenicol 500 mg kaps Kapsul DAK 2018 832.50 - - - - 1,100 915,750.00 600 499,500.00 1,000 832,500.00 510 424,575.00 100 83,250.00 90 74,925.00 158,175.00
601 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2019 8,976.00 - - - - - - - - - - - - - - - - -
602 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2017 6,500.00 - - 5 32,500.00 - - - - - - 5 32,500.00 - - - - -
603 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2018 11,000.00 - - - - - - - - - - - - - - - - -
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) Tablet - - - - - - - - - - -
604 DAK 2019 94.00 - - - - - -
605 Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet DAK 2018 88.00 - - - - - - - - - - - - - - - - -
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) Tablet 2,000 174,000.00 97 8,439.00 - - 1,900 165,300.00 1,900 165,300.00 1,967 171,129.00 100 8,700.00 30 2,610.00 11,310.00
606 DAK 2017 87.00
607 Tiamin HCI/Mononitrat (Vit.B1) tablet 100 mg Tablet DAK 2016 91.00 - - - - - - - - - - - - - - - - -
608 Tramadol tablet 50 mg Tablet DAK 2019 330.00 - - - - - - - - - - - - - - - - -
609 Tramadol tablet 50 mg Tablet DAK 2018 329.68 - - - - 200 65,936.00 - - 120 39,561.60 - - 80 26,374.40 - - 26,374.40
610 Tramadol tablet/ Kapsul 50 mg Tablet DAK 2017 325.00 - - - - - - - - - - - - - - - - -
611 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2016 1,984.00 4 7,936.00 - - - - - - 4 7,936.00 - - - - - - -
612 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2017 1,720.00 - - - - - - - - - - - - - - - - -
613 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2018 1,764.00 - - - - - - - - - - - - - - - - -
614 Trifluoperazine 5mg Tablet DAK 2019 330.00 - - - - - - - - - - - - - - - - -
615 Trifluoperazine 5mg Tablet DAK 2016 786.00 2,993 2,352,498.00 - - - - - - 120 94,320.00 - - 2,873 2,258,178.00 - - 2,258,178.00
616 Trifluoperazine 5mg Tablet DAK 2018 309.00 - - - - - - - - - - - - - - - - -
617 Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet DAK 2017 80.00 905 72,400.00 - - 3,500 280,000.00 - - 3,615 289,200.00 - - 790 63,200.00 - - 63,200.00
618 Triheksifenidil tablet 2 mg Tablet DAK 2018 95.00 - - - - - - - - - - - - - - - - -
619 Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet DAK 2019 101.00 - - - - - - - - - - - - - - - - -
620 Triheksifenidil tablet 2 mg Tablet DAK 2016 498.30 - - - - - - - - - - - - - - - - -
621 Valproat sirup 250 mg/5 ml Dus, Botol @ 100 mL DAK 2017 26,987.00 - - - - 20 539,740.00 9 242,883.00 20 539,740.00 9 242,883.00 - - - - -
622 Valproat sirup 250 mg/5 ml Dus, Botol @ 100 mL DAK 2018 17,789.00 - - - - - - - - - - - - - - - - -
623 Valsartan tab 80 mg Tablet DAK 2016 1,800.00 - - - - - - - - - - - - - - - - -
624 Vitamin B Kompleks tablet Tablet DAK 2016 132.00 - - 199 26,268.00 - - - - - - 199 26,268.00 - - - - -
625 Vitamin B Kompleks tablet Tablet DAK 2017 132.00 1,800 237,600.00 - - 16,000 2,112,000.00 12,100 1,597,200.00 14,700 1,940,400.00 12,020 1,586,640.00 3,100 409,200.00 80 10,560.00 419,760.00
626 Vitamin B Kompleks tablet Tablet DAK 2018 135.00 - - - - - - - - - - - - - - - - -
627 Vitamin B Kompleks tablet Tablet DAK 2019 135.00 - - - - - - - - - - - - - - - - -
628 Zinc sir 20 mg/5 ml Dus, Botol @ 60 ml DAK 2017 4,959.00 - - 4 19,836.00 - - - - - - 4 19,836.00 - - - - -
629 Zinc sir 20 mg/5 Ml( Zircum Kid Sirup) Dus, Botol @ 60 ml DAK 2019 3,285.00 - - - - - - - - - - - - - - - - -
630 Zinc sir 20 mg/5 Ml( Zircum Kid Sirup) Dus, Botol @ 60 ml DAK 2018 3,285.00 - - - - 50 164,250.00 29 95,265.00 29 95,265.00 29 95,265.00 21 68,985.00 - - 68,985.00
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
631 Zinc tablet dispersible20 mg Tablet DAK 2019 604.00 - - - - - - - - - - - - - - - - -
632 Zink Tablet DAK 2018 604.00 - - - - 500 302,000.00 500 302,000.00 500 302,000.00 470 283,880.00 - - 30 18,120.00 18,120.00
633 Zinc tablet dispersible 20 mg Tablet dispersible DAK 2017 586.00 1,100 644,600.00 70 41,020.00 2,000 1,172,000.00 100 58,600.00 3,100 1,816,600.00 170 99,620.00 - - - - -
634 Truvit sirup Dus, Botol @ 60 ml DAU 2016 10,890.00 - - - - - - - - - - - - - - - - -
635 Anti Difteri 10.000 IU Vial DAK 2018 2,200,000.00 - - - - - - - - - - - - - - - - -
II ALAT KESEHATAN - - - - - - - - - - - - - - - - -
A BAHAN MEDIS HABIS PAKAI - - - - - - - - - - - - - - - - -
1 Alat suntik sekali pakai 1 ml Piece DAK 2016 1,012.60 - - - - - - - - - - - - - - - - -
3 Alat suntik sekali pakai 1 ml Piece DAK 2018 1,291.95 135 174,413.25 - - 100 129,195.00 - - 135 174,413.25 - - 100 129,195.00 - - 129,195.00
4 Alat suntik sekali pakai 1 ml 23x1/4 Piece DAK 2019 1,023.00 - - - - - - - - - - - - - - - - -
6 Alat suntik sekali pakai 3 ml Piece DAK 2017 1,006.50 - - - - 300 301,950.00 - - 300 301,950.00 - - - - - - -
7 Alat suntik sekali pakai 3 ml Piece DAK 2018 1,033.56 - - - - 600 620,136.00 - - 540 558,122.40 - - 60 62,013.60 - - 62,013.60
8 Alat suntik sekali pakai 3 ml 23x1/4 Piece DAK 2019 924.00 - - - - - - - - - - - - - - - - -
10 Alat suntik sekali pakai 5 ml Piece DAK 2017 1,132.16 112 126,801.92 - - 100 113,216.00 - - 202 228,696.32 - - 10 11,321.60 - - 11,321.60
Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis
Piece - - - - - - - - - - - - - - - - -
18 Rusak 0.5 ml 24GX1" DAK 2017 1,240.00
Piece - - - - - - - - - - -
19 Rusak 0.05 ml 26 GX3/8" DAK 2017 1,650.00 - - - - - -
Piece - - - - - - - - - - -
20 Rusak 0.5 ml 23GX1" DAK 2016 1,240.00 - - - - - -
Piece - - - - - - - - - - -
21 Rusak 0.05 ml 27GX3/8" DAK 2016 1,650.00 - - - - - -
Piece - - - - - - - - - - - - - - - - -
22 Rusak 0.5 ml 23GX1" DAK 2018 1,240.00
Piece - - - - - - - - - - -
23 Rusak 0.05 ml 27GX3/8" DAK 2018 1,650.00 - - - - - -
Piece - - - - - - - - - - -
24 Rusak 0.05 ml 27GX3/8" DAK 2019 1,557.00 - - - - - -
25 Alkohol Swab 4-ply Piece DAK 2016 244.00 - - - - - - - - - - - - - - - - -
26 Alkohol Swab 2-ply Piece DAK 2018 134.20 500 67,100.00 - - - - - - 500 67,100.00 - - - - - - -
27 Alkohol Swab 2-ply Piece DAK 2019 15,730.00 - - - - - - - - - - - - - - - - -
28 Bioplasenton Tulle 10 x 10 (CBPCD) Sachet DAK 2016 10,950.00 - - - - - - - - - - - - - - - - -
29 Blood Lancet (21,26,28 G) Piece DAK 2016 160.23 500 80,115.00 - - 2,600 416,598.00 - - 2,600 416,598.00 - - 500 80,115.00 - - 80,115.00
30 Blood Lancet (21,26,28 G) Piece DAK 2018 155.91 - - - - - - - - - - - - - - - - -
31 Blood Transfusion Set Piece DAK 2017 17,513.10 4 70,052.40 - - - - - - 4 70,052.40 - - - - - - -
32 Blood Transfusion Set Piece DAK 2018 17,513.10 - - - - 30 525,393.00 - - 21 367,775.10 - - 9 157,617.90 - - 157,617.90
33 Blood Transfusion Set Piece DAK 2019 13,761.00 - - - - - - - - - - - - - - - - -
Benang Bedah SMI
Sachet - - - - - - - - - - - - - - - - -
35 CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet DAK 2019 32,800.00 - - - - - - - - - - - - - - - - -
36 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2019 34,300.00 - - - - - - - - - - - - - - - - -
38 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2017 35,285.00 24 846,840.00 - - 24 846,840.00 - - 36 1,270,260.00 - - 12 423,420.00 - - 423,420.00
39 CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet DAK 2018 33,785.00 - - - - 72 2,432,520.00 - - 36 1,216,260.00 - - 36 1,216,260.00 - - 1,216,260.00
41 CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet DAK 2017 33,785.00 10 337,850.00 - - 24 810,840.00 - - 34 1,148,690.00 - - - - - - -
42 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet DAK 2017 35,285.00 - - - - 24 846,840.00 - - 5 176,425.00 - - 19 670,415.00 - - 670,415.00
43 CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet DAK 2018 33,785.00 - - - - 36 1,216,260.00 - - 25 844,625.00 - - 11 371,635.00 - - 371,635.00
47 Folley Catheter 2 Way no. 22 Piece DAK 2016 10,000.00 - - - - 10 100,000.00 - - 1 10,000.00 - - 9 90,000.00 - - 90,000.00
48 Folley Catheter 2 Way no. 22 Piece DAK 2018 10,000.00 - - - - - - - - - - - - - - - - -
49 Folley Catheter 2 Way no. 22 Piece DAK 2019 13,800.00 - - - - - - - - - - - - - - - - -
50 FOLEYCATH, 2 way latex foley cath, no. 16 Piece DAK 2019 11,565.00 - - - - - - - - - - - - - - - - -
51 FOLEYCATH, 2 way latex foley cath, no. 16 Piece DAK 2016 13,420.00 10 134,200.00 - - - - - - 10 134,200.00 - - - - - - -
52 FOLEYCATH, 2 way latex foley cath, no. 16 Piece DAK 2018 13,420.00 - - - - 10 134,200.00 - - 4 53,680.00 - - 6 80,520.00 - - 80,520.00
53 FOLEYCATH, 2 way latex foley cath, no. 18 Piece DAK 2016 13,420.00 3 40,260.00 - - 20 268,400.00 - - 12 161,040.00 - - 11 147,620.00 - - 147,620.00
56 FEMALE CATHETER, no. 18 Piece DAK 2016 6,978.40 - - - - - - - - - - - - - - - - -
57 EXAMINATION GLOVES, size M Piece DAK 2017 563.64 - - - - - - - - - - - - - - - - -
58 EXAMINATION GLOVES, size S Piece DAK 2017 563.64 - - - - - - - - - - - - - - - - -
59 EXAMINATION GLOVES, size M Piece DAK 2018 563.64 - - - - 2,000 1,127,280.00 - - 2,000 1,127,280.00 - - - - - - -
60 EXAMINATION GLOVES, size S Piece DAK 2018 563.64 100 56,364.00 - - 2,000 1,127,280.00 - - 2,000 1,127,280.00 - - 100 56,364.00 - - 56,364.00
61 EXAMINATION GLOVES, size M Piece DAK 2019 48,400.00 - - - - - - - - - - - - - - - - -
62 EXAMINATION GLOVES, size S Piece DAK 2019 48,400.00 - - - - - - - - - - - - - - - - -
63 EXAMINATION GLOVES, size M Piece DAK 2016 563.64 - - - - - - - - - - - - - - - - -
64 CHIRURGIC GLOVES, size 7.5 Piece DAK 2016 9,272.00 176 1,631,872.00 - - - - - - 88 815,936.00 - - 88 815,936.00 - - 815,936.00
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
65 Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang DAK 2017 24,200.00 73 1,766,600.00 - - - - - - 4 96,800.00 - - 69 1,669,800.00 - - 1,669,800.00
66 Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang DAK 2018 24,200.00 - - - - - - - - - - - - - - - - -
67 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece DAK 2017 6,222.00 11 68,442.00 - - - - - - 6 37,332.00 - - 5 31,110.00 - - 31,110.00
Piece - - - - - - - - - - - - - - - - -
68 Bbraun Intrafix Primeline with Microdropper DAK 2015 20,320.50
69 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece DAK 2016 6,222.00 - - - - - - - - - - - - - - - - -
70 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece DAK 2018 6,222.00 - - - - - - - - - - - - - - - - -
Infus Set Dewasa INFUSET (20 drops/ml)
71 Piece DAK 2016 5,856.00 - - - - - - - - - - - - - - - - -
72 Piece DAK 2017 5,856.00 7 40,992.00 - - - - - - 7 40,992.00 - - - - - - -
73 Piece DAK 2018 5,856.00 - - - - 50 292,800.00 - - 47 275,232.00 - - 3 17,568.00 - - 17,568.00
74 Piece DAK 2019 5,096.00 - - - - - - - - - - - - - - - - -
75 IV Catheter 16 G x 2" Piece DAK 2017 9,158.00 - - - - - - - - - - - - - - - - -
76 IV-Cath NP, pen type, no. 16 Piece DAK 2018 7,320.00 - - - - - - - - - - - - - - - - -
77 IV-CATH WP, with wings & port, no. 18 Piece DAK 2016 8,540.00 - - - - - - - - - - - - - - - - -
I.V Catheter (with port) VASOFIX IV G18 X 45 MM Green Piece - - - - - - - - - - -
78 DAK 2019 5,500.00 - - - - - -
79 IV-Cath NP, pen type, no. 18 Piece DAK 2017 7,320.00 3 21,960.00 - - 40 292,800.00 - - 28 204,960.00 - - 15 109,800.00 - - 109,800.00
82 I.V Catheter (with port) VASOFIX IV G20 X 33 MM Pink Piece DAK 2019 5,500.00 - - - - - - - - - - - - - - - - -
83 IV-Cath NP, pen type, no. 20 Piece DAK 2018 7,320.00 - - - - 60 439,200.00 - - 47 344,040.00 - - 13 95,160.00 - - 95,160.00
84 I.V Catheter (with port) VASOFIX IV G22 X 25 MM Blue Piece DAK 2019 5,500.00 - - - - - - - - - - - - - - - - -
86 IV-Cath NP, pen type, no. 22 Piece DAK 2017 7,320.00 15 109,800.00 - - - - - - 15 109,800.00 - - - - - - -
88 I.V Catheter (with port) VASOFIX IV G24 X 0.75 " Piece DAK 2019 5,500.00 - - - - - - - - - - - - - - - - -
90 IV-Cath NP, pen type, no. 24 Piece DAK 2017 7,320.00 12 87,840.00 - - - - - - 12 87,840.00 - - - - - - -
91 IV-Cath NP, pen type, no. 24 Piece DAK 2018 7,320.00 - - - - 20 146,400.00 - - - - - - 20 146,400.00 - - 146,400.00
95 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2017 28,745.25 - - - - 5 143,726.25 - - 4 114,981.00 - - 1 28,745.25 - - 28,745.25
96 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2017 (2) 28,750.00 - - - - - - - - - - - - - - - - -
97 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2018 28,750.00 - - - - - - - - - - - - - - - - -
98 Kapas pembalut / Absorben 250 gram Roll DAK 2019 20,600.00 - - - - - - - - - - - - - - - - -
99 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2016 28,750.00 - - - - - - - - - - - - - - - - -
100 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2019 136,500.00 - - - - - - - - - - - - - - - - -
101 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2016 141,400.00 4 565,600.00 - - - - - - 3 424,200.00 - - 1 141,400.00 - - 141,400.00
102 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2018 141,400.00 - - - - - - - - - - - - - - - - -
103 Kasa Steril DRC 16cm x 16cm (16 pads) Box DAK 2016 8,650.50 - - - - - - - - - - - - - - - - -
104 Kasa Steril DRC 16cm x 16cm (16 pads) Box DAK 2017 8,650.36 4 34,601.44 - - 200 1,730,072.00 - - 160 1,384,057.60 - - 44 380,615.84 - - 380,615.84
105 Kasa Steril DRC 16cm x 16cm (16 pads) Box DAK 2017(2) 8,652.70 - - - - - - - - - - - - - - - - -
106 Kasa Steril DRC 16cm x 16cm (16 pads) Box DAK 2019 7,370.00 - - - - - - - - - - - - - - - - -
107 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2016 7,375.00 - - - - - - - - - - - - - - - - -
108 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2017 9,000.00 - - - - - - - - - - - - - - - - -
109 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2018 8,903.23 17 151,354.91 - - 50 445,161.50 - - 67 596,516.41 - - - - - - -
110 Kasa Pembalut Hidrofil DRC 4m x 10cm Roll DAK 2017 2,475.75 100 247,575.00 - - - - - - 95 235,196.25 - - 5 12,378.75 - - 12,378.75
111 Kasa Pembalut Hidrofil DRC 4m x 10cm Roll DAK 2017(2) 2,488.87 - - - - - - - - - - - - - - - - -
112 Kasa Pembalut Hidrofil DRC 4m x 10cm Roll DAK 2018 2,475.75 - - - - 50 123,787.50 - - - - - - 50 123,787.50 - - 123,787.50
113 Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll DAK 2019 2,415.00 - - - - - - - - - - - - - - - - -
114 Kasa Pembalut Hidrofil DRC 4m x 10cm Roll DAK 2016 2,475.43 - - - - - - - - - - - - - - - - -
115 Surgical Mask Tie On Piece DAK 2017 412.50 - - - - - - - - - - - - - - - - -
116 Surgical Mask Tie On Piece DAK 2018 412.50 - - - - - - - - - - - - - - - - -
117 Surgical Mask Tie On Piece DAK 2019 27,532.00 - - - - - - - - - - - - - - - - -
118 Surgical Mask Plus 3 Ply Plus Earloop Piece DAK 2016 550.00 - - - - - - - - - - - - - - - - -
119 Surgical Mask Plus 3 Ply Plus Earloop Piece DAK 2017 550.00 1,000 550,000.00 - - 5,000 2,750,000.00 - - 3,500 1,925,000.00 - - 2,500 1,375,000.00 - - 1,375,000.00
NGT
Piece - - - - - - - - - - -
120 Terumo SAFEED Feeding Tube 3.5 (35 cm) DAK 2015 8,841.00 - - - - - -
NGT
Piece - - - - - - - - - - -
121 Terumo SAFEED Feeding Tube 5 fr (40 cm) DAK 2015 8,841.00 - - - - - -
NGT
Piece - - - - - - - - - - - - - - - - -
122 Terumo SAFEED Stomach Tube 14 fr (125 cm) DAK 2015 10,010.00
NGT
Piece - - - - - - - - - - - - - - - - -
NGT
Piece - - - - - - - - - - - - - - - - -
125 Oxyflow nasal oxygen bayi Piece DAK 2015 6,050.00 - - - - - - - - - - - - - - - - -
126 Oxyflow nasal oxygen anak Piece DAK 2015 6,050.00 - - - - - - - - - - - - - - - - -
127 NASAL OXYGEN, O2 cannula, size S Piece DAK 2016 8,052.00 - - - - 5 40,260.00 - - 2 16,104.00 - - 3 24,156.00 - - 24,156.00
128 NASAL OXYGEN, O2 cannula, size S Piece DAK 2017 8,052.00 - - - - - - - - - - - - - - - - -
131 NASAL OXYGEN, O2 cannula, size M Piece DAK 2016 8,052.00 1 8,052.00 - - 5 40,260.00 - - 4 32,208.00 - - 2 16,104.00 - - 16,104.00
132 NASAL OXYGEN, O2 cannula, size M Piece DAK 2017 8,052.00 - - - - - - - - - - - - - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
135 NASAL OXYGEN, O2 cannula, size L Piece DAK 2016 8,052.00 - - - - - - - - - - - - - - - - -
136 NASAL OXYGEN, O2 cannula, size L Piece DAK 2017 8,052.00 4 32,208.00 - - 10 80,520.00 - - 7 56,364.00 - - 7 56,364.00 - - 56,364.00
139 Nebulizer Masker Anak Piece DAK 2018 16,704.00 - - - - 10 167,040.00 - - - - - - 10 167,040.00 - - 167,040.00
140 Nebulizer Masker Dewasa Piece DAK 2018 16,704.00 - - - - 10 167,040.00 - - - - - - 10 167,040.00 - - 167,040.00
141 Nebulizer Masker Anak Piece DAK 2019 16,700.00 - - - - - - - - - - - - - - - - -
142 Nebulizer Masker Dewasa Piece DAK 2019 16,700.00 - - - - - - - - - - - - - - - - -
143 Nasogastric Tube No 3.5 Piece DAK 2019 5,940.00 - - - - - - - - - - - - - - - - -
144 Nasogastric Tube No 5 Piece DAK 2019 14,080.00 - - - - - - - - - - - - - - - - -
145 Nasogastric Tube No 16 Piece DAK 2019 12,430.00 - - - - - - - - - - - - - - - - -
146 Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll DAK 2016 35,532.00 - - - - - - - - - - - - - - - - -
147 Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll DAK 2018 12,076.00 - - - - 5 60,380.00 - - 5 60,380.00 - - - - - - -
148 Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll DAK 2019 12,675.00 - - - - - - - - - - - - - - - - -
149 Plester Polifix 10 cm x 5 m Roll DAK 2017 76,314.14 - - - - - - - - - - - - - - - - -
150 Plester Polifix 10 cm x 5 m Roll DAK 2018 75,537.00 - - - - 10 755,370.00 - - 10 755,370.00 - - - - - - -
151 Plester Polifix 10 cm x 5 m Roll DAK 2019 77,600.00 - - - - - - - - - - - - - - - - -
152 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2017 45,507.00 1 45,507.00 - - - - - - 1 45,507.00 - - - - - - -
153 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2018 34,300.00 - - - - 5 171,500.00 - - 1 34,300.00 - - 4 137,200.00 - - 137,200.00
154 Scalpel Blades Nomor 10 Piece DAK 2017 3,300.00 - - - - - - - - - - - - - - - - -
155 Scalpel Blades Nomor 10 Piece DAK 2018 3,300.00 - - - - - - - - - - - - - - - - -
156 SILK BLACK 3/0 HR 26 MM Sachet DAK 2016 20,685.00 - - - - - - - - - - - - - - - - -
Benang Bedah SMI
Sachet - - - - - - - - - - -
157 SILK BLACK 3/0 DS 24 MM DAK 2019 19,700.00 - - - - - -
Benang Bedah SMI
Sachet - - - - 24 496,440.00 - - 1 20,685.00 - - 23 475,755.00 - - 475,755.00
159 Onemed U Pad Steril 60 x 90 cm Blister DAK 2016 9,533.15 - - - - - - - - - - - - - - - - -
160 Onemed U Pad Steril 60 x 90 cm Blister DAK 2017 9,533.15 - - - - 100 953,315.00 - - 100 953,315.00 - - - - - - -
161 Onemed U Pad Steril 60 x 90 cm Blister DAK 2018 9,533.15 - - - - 170 1,620,635.50 - - 140 1,334,641.00 - - 30 285,994.50 - - 285,994.50
162 Onemed U Pad Steril 60 x 90 cm Blister DAK 2019 7,900.00 - - - - - - - - - - - - - - - - -
163 Onemed Umbilical Cord Klem Steril Nylon Piece DAK 2016 1,250.00 80 100,000.00 - - 300 375,000.00 - - 123 153,750.00 - - 257 321,250.00 - - 321,250.00
164 URINE DRAINAGE BAG, T valve, with hanger Piece DAK 2019 4,800.00 - - - - - - - - - - - - - - - - -
165 URINE DRAINAGE BAG, T valve, with hanger Piece DAK 2016 6,710.00 - - - - - - - - - - - - - - - - -
166 URINE DRAINAGE BAG, T valve, with hanger Piece DAK 2018 6,710.00 - - - - 40 268,400.00 - - 15 100,650.00 - - 25 167,750.00 - - 167,750.00
167 Alkohol 70% Botol 1 L DAK 2016 27,950.00 - - - - - - - - - - - - - - - - -
168 Alkohol 70% Botol 100 ml DAK 2017 8,300.00 - - - - - - - - - - - - - - - - -
169 Alkohol 70% Botol 100 ml DAK 2018 6,194.53 - - - - 41 253,975.73 - - 41 253,975.73 - - - - - - -
170 Alkohol 70% Botol 100 ml DAK 2019 4,000.00 - - - - - - - - - - - - - - - - -
171 My Jelly 82 gram Tube @ 82 gr DAK 2016 36,936.83 9 332,431.47 - - - - - - 9 332,431.47 - - - - - - -
172 Lysol 1 liter Botol 1 L DAK 2016 53,300.00 - - - - 3 159,900.00 - - - - - - 3 159,900.00 - - 159,900.00
173 Lysol 1 liter Botol 1 L DAK 2019 41,000.00 - - - - - - - - - - - - - - - - -
174 Povidone Iodine 300 ml Botol @ 300 ml DAK 2016 23,400.00 - - - - - - - - - - - - - - - - -
175 Povidone Iodine 300 ml Botol @ 300 ml DAK 2017 23,400.00 - - - - 9 210,600.00 - - 9 210,600.00 - - - - - - -
178 Rivanol 300 cc Botol @ 300 ml DAK 2017 3,750.00 3 11,250.00 - - 5 18,750.00 - - 8 30,000.00 - - - - - - -
179 Rivanol 300 cc Botol @ 300 ml DAK 2016 3,315.00 - - - - - - - - - - - - - - - - -
182 Cairan Antiseptika pencuci alat instrumen Botol 1 Liter DAK 2017 141,406.33 13 1,838,282.29 - - - - - - 13 1,838,282.29 - - - - - - -
183 Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml DAK 2017 83,027.33 - - - - - - - - - - - - - - - - -
184 Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml DAK 2017 64,769.00 - - - - - - - - - - - - - - - - -
185 Cairan Antiseptika pencuci alat instrumen Botol 1 Liter DAK 2017(2) 142,568.00 - - - - 15 2,138,520.00 - - 3 427,704.00 - - 12 1,710,816.00 - - 1,710,816.00
186 Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml DAK 2017(2) 83,560.67 8 668,485.36 - - 12 1,002,728.04 - - 15 1,253,410.05 - - 5 417,803.35 - - 417,803.35
187 Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml DAK 2017(2) 65,344.00 9 588,096.00 - - 24 1,568,256.00 - - 17 1,110,848.00 - - 16 1,045,504.00 - - 1,045,504.00
188 Cairan Antiseptika pencuci alat instrumen Botol 1 Liter DAK 2018 141,417.00 - - - - - - - - - - - - - - - - -
B REAGENSIA - - - - - - - - - - - - - - - - -
1 Total Cholesterol Test Strip 10's Strip DAK 2016 23,354.00 - - - - - - - - - - - - - - - - -
2 Uric Test Strip 25's Strip DAK 2016 5,154.00 - - - - - - - - - - - - - - - - -
3 Glucose Test Strip 50's Strip DAK 2016 3,093.34 - - - - - - - - - - - - - - - - -
5 Uric Test Strip 25's Strip DAK 2017 5,238.80 50 261,940.00 - - - - - - 50 261,940.00 - - - - - - -
6 Glucose Test Strip 50's Strip DAK 2017 3,188.24 100 318,824.00 - - 1,000 3,188,240.00 - - 1,100 3,507,064.00 - - - - - - -
7 Total Cholesterol Test Strip 10's Strip DAK 2018 23,566.00 100 2,356,600.00 - - 700 16,496,200.00 - - 800 18,852,800.00 - - - - - - -
8 Uric Test Strip 25's Strip DAK 2018 5,238.80 50 261,940.00 - - 700 3,667,160.00 - - 500 2,619,400.00 - - 250 1,309,700.00 - - 1,309,700.00
9 Glucose Test Strip 50's Strip DAK 2018 3,188.24 - - - - 1,300 4,144,712.00 - - 1,250 3,985,300.00 - - 50 159,412.00 - - 159,412.00
11 Uric Test Strip 25's Strip DAK 2019 150,000.00 - - - - - - - - - - - - - - - - -
12 Glucose Test Strip 50's Strip DAK 2019 160,000.00 - - - - - - - - - - - - - - - - -
13 Alkazym Sachet DAK 2019 801,000.00 - - - - - - - - - - - - - - - - -
14 Alkacide Botol 1 liter DAK 2019 2,702,700.00 - - - - - - - - - - - - - - - - -
15 Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2016 80,825.00 - - - - - - - - - - - - - - - - -
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
16 Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2016 105,135.00 - - - - - - - - - - - - - - - - -
17 Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2016 80,825.00 - - - - - - - - - - - - - - - - -
18 Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2016 126,695.00 - - - - - - - - - - - - - - - - -
19 Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2017 74,512.50 3 223,537.50 - - 2 149,025.00 - - - - - - 5 372,562.50 - - 372,562.50
20 Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2017 98,822.50 3 296,467.50 - - 2 197,645.00 - - - - - - 5 494,112.50 - - 494,112.50
21 Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2017 74,512.50 3 223,537.50 - - 2 149,025.00 - - - - - - 5 372,562.50 - - 372,562.50
22 Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2017 120,382.50 3 361,147.50 - - 2 240,765.00 - - - - - - 5 601,912.50 - - 601,912.50
23 Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019 62,000.00 - - - - - - - - - - - - - - - - -
24 Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019 84,000.00 - - - - - - - - - - - - - - - - -
25 Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019 62,000.00 - - - - - - - - - - - - - - - - -
26 Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019 104,000.00 - - - - - - - - - - - - - - - - -
27 Rapid test Vikia HIV 1/2 Kit DAK 2016 519,750.00 - - - - - - - - - - - - - - - - -
28 Anti HIV 1/2 Cassette each DAK 2017 15,297.00 - - - - - - - - - - - - - - - - -
29 Anti HIV 1/2 Cassette each DAK 2018 15,297.00 325 4,971,525.00 - - - - - - 125 1,912,125.00 - - 200 3,059,400.00 - - 3,059,400.00
30 Anti HIV 1/2 Cassette each DAK 2019 13,232.00 - - - - - - - - - - - - - - - - -
31 Gluco Protein tes Piece DAK 2017 1,150.00 - - - - - - - - - - - - - - - - -
32 Gluco Protein Piece DAK 2016 1,150.00 150 172,500.00 - - - - - - 150 172,500.00 - - - - - - -
33 Gluco Protein tes Piece DAK 2019 1,045.00 - - - - - - - - - - - - - - - - -
34 Ultra One Test Hamil Piece DAK 2016 2,133.00 - - - - - - - - - - - - - - - - -
35 HCG Strip each DAK 2017 7,181.00 - - - - - - - - - - - - - - - - -
36 HCG Strip each DAK 2019 4,300.00 - - - - - - - - - - - - - - - - -
37 HCG Strip each DAK 2018 7,181.00 50 359,050.00 - - 100 718,100.00 - - 150 1,077,150.00 - - - - - - -
38 Malaria Pf & Pv Cassette each DAK 2017 53,180.00 - - - - - - - - - - - - - - - - -
39 Malaria Pf & Pv Cassette each DAK 2018 53,180.00 125 6,647,500.00 - - - - - - 75 3,988,500.00 - - 50 2,659,000.00 - - 2,659,000.00
40 Malaria Pf & Pv Cassette each DAK 2019 21,300.00 - - - - - - - - - - - - - - - - -
41 Hb strip Dr Family test Tes DAK 2017 24,200.00 - - - - - - - - - - - - - - - - -
42 Hb strip Dr Family test Tes DAK 2018 24,200.00 125 3,025,000.00 - - 200 4,840,000.00 - - 150 3,630,000.00 - - 175 4,235,000.00 - - 4,235,000.00
43 Hb strip Dr Family test Tes DAK 2019 220,000.00 - - - - - - - - - - - - - - - - -
44 HBsAg Strip each DAK 2017 10,967.00 - - - - - - - - - - - - - - - - -
45 HBsAg Strip each DAK 2018 10,967.00 325 3,564,275.00 - - - - - - 100 1,096,700.00 - - 225 2,467,575.00 - - 2,467,575.00
46 HBsAg Strip each DAK 2019 10,547.00 - - - - - - - - - - - - - - - - -
47 Hexagon Syphilis KIT DAK 2019 527,670.00 - - - - - - - - - - - - - - - - -
48 R.Detergent urit (urit 3000 plus) Gallon 5 L DAK 2017 278,300.00 - - - - - - - - - - - - - - - - -
49 R.Dilluen urit (urit 3000 plus) Gallon 20 L DAK 2017 1,012,000.00 - - - - - - - - - - - - - - - - -
50 R.Lytic urit (urit 3000 plus) Botol 1 L DAK 2017 1,113,200.00 - - - - - - - - - - - - - - - - -
57 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2017 124,100.00 - - - - - - - - - - - - - - - - -
58 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2019 19,175.00 - - - - - - - - - - - - - - - - -
59 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2018 40,848.33 20 816,966.60 - - - - - - 10 408,483.30 - - 10 408,483.30 - - 408,483.30
60 Hayem 1x100mL Botol 100 ml DAK 2017 29,450.00 - - - - 2 58,900.00 - - 2 58,900.00 - - - - - - -
61 Aquadest Botol 1 Liter DAK 2017 19,448.00 - - - - 24 466,752.00 - - 24 466,752.00 - - - - - - -
62 Aquadest Botol 1 Liter DAK 2018 19,448.00 - - - - - - - - - - - - - - - - -
63 Asam Asetat 6 % Botol 100 ml DAK 2017 29,000.00 - - - - 2 58,000.00 - - 2 58,000.00 - - - - - - -
64 Asam Sulfosalisilat 20% 1x100mL Botol 100 ml DAK 2017 328,700.00 - - - - 2 657,400.00 - - 2 657,400.00 - - - - - - -
65 EDTA 10% 1x100mL Botol 100 ml DAK 2017 74,100.00 - - - - 2 148,200.00 - - 2 148,200.00 - - - - - - -
66 Eosin 2% 1x100mL Botol 100 ml DAK 2017 176,225.00 - - - - 2 352,450.00 - - 2 352,450.00 - - - - - - -
67 HCl 0,1N 1x100mL Botol 100 ml DAK 2017 19,950.00 - - - - - - - - - - - - - - - - -
68 Immersion Oil 1x100mL Botol 50 ml DAK 2017 367,650.00 - - - - 2 735,300.00 - - 2 735,300.00 - - - - - - -
69 KOH 10% 1x100mL Botol 100 ml DAK 2017 20,900.00 - - - - 2 41,800.00 - - 2 41,800.00 - - - - - - -
70 Methanol PA Botol 100 ml DAK 2017 94,000.00 - - - - 2 188,000.00 - - 2 188,000.00 - - - - - - -
71 Na Citrate 3,13% 1x100mL Botol 100 ml DAK 2017 19,475.00 - - - - 2 38,950.00 - - 2 38,950.00 - - - - - - -
72 Rees Ecker 1x100mL Botol 100 ml DAK 2017 46,550.00 - - - - 2 93,100.00 - - 2 93,100.00 - - - - - - -
73 Turk 1x100mL Botol 100 ml DAK 2017 23,750.00 - - - - 2 47,500.00 - - 2 47,500.00 - - - - - - -
74 Salmonella Typhi H Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
75 Salmonella Typhi O Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
76 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
77 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
78 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
79 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
80 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
81 Salmonella Paratyphi CO Widal Test Vial 5 ml DAK 2017 72,972.50 - - - - - - - - - - - - - - - - -
82 Salmonella Typhi H Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
83 Salmonella Typhi O Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
84 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
85 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
86 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
87 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
88 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
89 Salmonella Paratyphi CO Widal Test Vial 5 ml DAK 2019 61,000.00 - - - - - - - - - - - - - - - - -
III OBAT DAN BMHP LAINNYA - - - - - - - - - - - - - - - - -
1 Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml DAK 2016 3349.00 6 20,094.00 - - - - - - - - - - 6 20,094.00 - 20,094.00
TOTAL SISA STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 = 6+10-14 19 = 7+11-15 20 = 8+12-16 21 = 9+13-17 22 = 19+21
I OBAT GENERIK
2 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet DAK 2016 233.00 2,200 512,600.00 - - - - - - - - - - 2,200 512,600.00 - 512,600.00
3 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg Tablet kunyah DAK 2016 64.00 200 12,800.00 - - - - - - - - - - 200 12,800.00 - 12,800.00
4 Atropin inj 0,25 mg / ml Ampul 1 ml DAK 2016 1672.00 4 6,688.00 - - - - - - - - - - 4 6,688.00 - 6,688.00
5 BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol DAK 2016 125750.00 1 125,750.00 - - - - - - - - - - 1 125,750.00 - 125,750.00
6 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2015 1156.00 19 21,964.00 - - - - - - - - - - 19 21,964.00 - 21,964.00
7 Gentian violet 1 o/o Botol 10 ml DAK 2016 2925.00 29 84,825.00 - - - - - - - - - - 29 84,825.00 - 84,825.00
8 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2016 93.00 1,700 158,100.00 - - - - - - - - - - 1,700 158,100.00 - 158,100.00
9 Metronidazole sirup 125mg/ 5ml Botol 60 ml DAK 2016 3800.00 57 216,600.00 - - - - - - - - - - 57 216,600.00 - 216,600.00
10 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2016 21950 31 680,450.00 - - - - - - - - - - 31 680,450.00 - 680,450.00
11 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2016 35285 1 35,285.00 - - - - - - - - - - 1 35,285.00 - 35,285.00
12 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet DAK 2016 35285 6 211,710.00 - - - - - - - - - - 6 211,710.00 - 211,710.00
13 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2015 1,108.79 - - 21 23,284.59 - - - - - - 21 23,284.59 - - - - -
14 Propanolol HCl tablet 10 mg tablet DAK 2015 80.00 - - 20 1,600.00 - - - - - - 20 1,600.00 - - - - -
15 Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I ) Dus, 1 Vial @ 5 ml DAK 2015 472,000.00 - - - - - - - - - - - - - - - - -
16 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet DAK 2016 233.00 - - 50 11,650.00 - - - - - - 50 11,650.00 - - - - -
Tablet kunyah - - - - 4 256.00 - - - - -
17
Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg
DAK 2016 64.00 - - 4 256.00 - -
18 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2016 93.00 - - 90 8,370.00 - - - - - - 90 8,370.00 - - - - -
19 Loratadin tablet/kapsul/kaplet 10 mg Tablet DAK 2016 149.00 - - 63 9,387.00 - - - - - - 63 9,387.00 - - - - -
20 Omeprazole kapsul Kapsul DAK 2016 164.00 - - 44 7,216.00 - - - - - - 44 7,216.00 - - - - -
TOTAL 82,800,603.44 2,232,758.48 142,288,815.52 66,095,617.20 160,529,728.37 66,787,034.68 64,559,690.59 1,541,341.00 66,101,031.59
Sebawi, 30 Juni 2019

Mengetahui Petugas Pengelola Obat
Kepala Puskesmas Sebawi Puskesmas
HARDIN,SKM ARNIZA,A.Md,Far
19731121 199303 1 005 NIP 19820601 200502 2007

Format Stok Opname Apbd 2 Tahun 2019

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DAFTAR STOK OBAT DAN BAHAN MEDIS HABIS PAKAI DI GUDANG OBAT PER 30 JUNI 2019

SUMBER APBD II ( DAK DAN DAU)

STOK AWAL PER TOTAL STOK

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

Antimigren DOEN tablet kombinasi :

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

ACT (Artesunate tablet 50 mg +

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml 10

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml 10

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

Bisoprolol tablet/kapsul/kaplet 5 mg Tablet salut selaput

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml 88

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

Digoksin tablet/kapsul/kaplet 0,25 mg Tablet 100

Doksisiklin tablet/kapsul/kaplet 100 mg kapsul 200

Domperidon tablet/kapsul/kaplet 10 mg Tablet 900

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab 300

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml

Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml 15

Fenitoin injeksi 50 mg/ml (100 mg/2 ml)

Gabapentin tablet/kapsul/kaplet 300 mg kapsul 180

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

Garam Oralit I serbuk, kombinasi:

Garam Oralit I serbuk, kombinasi:

Gemfibrozil tablet/kapsul/kaplet 300 mg Tablet 600

Glimepiride tablet/kapsul/kaplet 2 mg Tablet 600

Griseofulvin tablet 125 mg, micronized Tablet

Griseofulvin tablet 125 mg, micronized Tablet 400

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

Isoniazid tablet/kapsul/kaplet 300 mg Tablet 100

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

KALIPAR - Kalium aspartat tab 300 mg Tablet

Kaptopril tablet/kaplet scored 25 mg Tablet 4,000

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput

Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput 120

Klorpromazin tablet salut 100 mg (HCl) Tablet

Kotrimoksazol Suspensi , kombinasi :

kotrimoksazol (anak) kombinasi tiap 5

kotrimoksazol (anak) kombinasi tiap 5

kotrimoksazol (anak) kombinasi tiap 5

Lidokain jelli 2%(Xylocaine Jelly 2%) syringe

Nifedipin tablet/kapsul/kaplet 10 mg Tablet salut selaput 300

Tablet Salut Gula