PEMERINTAH KABUPATEN

KEPULAUAN SIAU TAGULANDANG BIARO

PUSKESMAS LIA KEC. SIAU TIMUR
Alamat : Kampung Lia, Lindongan III, Kec. Siau Timur, Kab.Kepl. Siau Tagulandang Biaro

LAPORAN PERSEDIAAN OBAT & BMHP BULAN JAN - DES

TAHUN 2023
PUSKESMAS LIA

STOK AWAL PENERIMAAN PEMAKAIAAN STOK AKHIR

NO NAMA OBAT SATUAN

HARGA SATUAN HARGA SATUAN HARGA SATUAN
UNIT JUMLAH UNIT SATUAN JUMLAH UNIT JUMLAH UNIT JUMLAH
(Rp) (Rp) (Rp)

1 Abbocath No. 18 PCS 0 5,980.00 - 15 5,980.00 89,700 15 5,980.00 89,700 0 5,980.00 -

0 5,980.00 - 60 5,980.00 358,800 40 5,980.00 239,200 20 5,980.00 119,600
2 Abbocath No. 20 PCS
0 5,298.00 - 50 5,298.00 264,900 0 5,298.00 - 50 5,298.00 264,900
3 Abbocath No. 22 PCS 0 5,980.00 - 20 5,980.00 119,600 20 5,980.00 119,600 0 5,980.00 -
0 5,980.00 - 10 5,980.00 59,800 10 5,980.00 59,800 0 5,980.00 -
4 Abbocath No. 24 PCS
0 5,298.00 - 5 5,298.00 26,490 5 5,298.00 26,490 0 5,298.00 -
5 Abbocath No. 24 PCS 0 - - 5 - 0 5 - - 0 - -
0 611.00 - 300 611.00 183,300 200 611.00 122,200 100 611.00 61,100
6 Acyclovir 200 mg TABLET
0 617.00 - 0 617.00 0 0 617.00 - 0 617.00 -
7 Acyclovir 400 mg TABLET 0 429.00 - 0 429.00 0 0 429.00 - 0 429.00 -
0 3,850.00 - 30 3,850.00 115,500 8 3,850.00 30,800 22 3,850.00 84,700
8 Acyclovir Krim TUBE
0 8,658.00 - 0 8,658.00 0 0 8,658.00 - 0 8,658.00 -
9 Alat Suntik 1 mL PCS 0 880.00 - 50 880.00 44,000 50 880.00 44,000 0 880.00 -
10 Alat Suntik 1 mL PCS 0 - - 20 - 0 0 - - 20 - -
11 Alat Suntik 10 mL PCS 0 1,336.50 - 0 1,336.50 0 0 1,336.50 - 0 1,336.50 -
12 Alat Suntik 10 mL PCS 0 - - 20 - 0 0 - - 20 - -
13 Alat Suntik 3 mL PCS 0 880.00 - 200 880.00 176,000 100 880.00 88,000 100 880.00 88,000
14 Alat Suntik 5 mL PCS 0 915.50 - 0 915.50 0 0 915.50 - 0 915.50 -
15 Alat Suntik 5 mL PCS 0 - - 50 - 0 0 - - 50 - -

16 Alat Suntik Sekali Pakai 0,05 ml PCS 0 1,100.00 - 0 1,100.00 0 0 1,100.00 - 0 1,100.00 -

17 Albendazole TABLET 0 - 400 0 400 - 0 -

0 49,500.00 - 5 49,500.00 247,500 5 49,500.00 247,500 0 49,500.00 -
18 Alkohol 70% 1000 mL BOTOL
0 55,500.00 - 6 55,500.00 333,000 0 55,500.00 - 6 55,500.00 333,000
19 Allopurinol 100 mg TABLET 0 444.00 - 1300 444.00 577,200 1,200 444.00 532,800 100 444.00 44,400
20 Allopurinol 100 mg TABLET 0 - - 1000 - 0 0 - - 1000 - -
21 Ambroksol 30 mg TABLET 0 444.00 - 7000 444.00 3,108,000 4,500 444.00 1,998,000 2500 444.00 1,110,000
0 4,455.00 - 0 4,455.00 0 0 4,455.00 - 0 4,455.00 -
22 Ambroxol Sirup 60 ml BOTOL
0 11,100.00 - 0 11,100.00 0 0 11,100.00 - 0 11,100.00 -
23 Aminofiline Injeksi 24mg/ml AMPUL 0 2,836.00 - 0 2,836.00 0 0 2,836.00 - 0 2,836.00 -
0 231.00 - 0 231.00 0 0 231.00 - 0 231.00 -
24 Aminophilin 200 mg TABLET
0 253.00 - 0 253.00 0 0 253.00 - 0 253.00 -
25 Amlodipin 10 mg 0 743.00 - 7950 743.00 5,906,850 4,560 743.00 3,388,080 3390 743.00 2,518,770
0 55.00 - 1500 55.00 82,500 1,500 55.00 82,500 0 55.00 -
26 Amlodipin 5 mg TABLET
0 277.50 - 6000 277.50 1,665,000 3,500 277.50 971,250 2500 277.50 693,750
0 231.00 - 0 231.00 0 0 231.00 - 0 231.00 -
27 Amoxicillin 500 mg TABLET
0 888.00 - 6900 888.00 6,127,200 4,200 888.00 3,729,600 2700 888.00 2,397,600
28 Amoxicillin sirup BOTOL 0 - - 10 - 0 0 - - 10 - -
29 Ampisillin Injeksi Vial 0 - - 10 - 0 0 - - 10 - -
30 Antasida + Simetikon TABLET 0 721.50 - 2000 721.50 1,443,000 2,000 721.50 1,443,000 0 721.50 -
31 Antasida + Simetikon TABLET 0 - - 4600 - 0 1,900 - - 2700 - -
 Antasida + Simetikon Suspensi
32 BOTOL 0 27,750.00 - 0 27,750.00 0 0 27,750.00 - 0 27,750.00 -
120mL
0 2,650.00 - 10 2,650.00 26,500 10 2,650.00 26,500 0 2,650.00 -
33 Aqua Pro Injeksi BOTOL
0 7,017.00 - 10 7,017.00 70,170 0 7,017.00 - 10 7,017.00 70,170
34 Asam Folat 0,4 mg TABLET 0 45.00 - 0 45.00 0 0 45.00 - 0 45.00 -
35 Asam Folat 1 mg TABLET 0 - - 300 - 0 200 - - 100 - -
0 61.00 - 0 61.00 0 0 61.00 - 0 61.00 -
36 Asam Folat 1 mg TABLET
0 200.00 - 0 200.00 0 0 200.00 - 0 200.00 -
0 117.00 - 0 117.00 0 0 117.00 - 0 117.00 -
37 Asam Mefenamat 500 mg TABLET
0 499.50 - 3000 499.50 1,498,500 1,300 499.50 649,350 1700 499.50 849,150
38 Aseptan/Antiseptik 500 mL BOTOL 0 34,650.00 - 13 34,650.00 450,450 11 34,650.00 381,150 2 34,650.00 69,300
39 Bedak Salicyl POT 0 4,180.00 - 10 4,180.00 41,800 10 4,180.00 41,800 0 4,180.00 -
40 Betahistin TABLET 0 - - 300 - 0 180 - - 120 - -
41 Betametason krim 0,1% TUBE 0 5,200.00 - 25 5,200.00 130,000 25 5,200.00 130,000 0 5,200.00 -
42 BioSilk 3/0 -29,7mm PCS 0 24,942.50 - 0 24,942.50 0 0 24,942.50 - 0 24,942.50 -
43 Bisturi KOTAK 0 121,000.00 - 0 121,000.00 0 0 121,000.00 - 0 121,000.00 -
44 Blood Set PCS 0 8,054.00 - 0 8,054.00 0 0 8,054.00 - 0 8,054.00 -
0 440.00 - 200 440.00 88,000 200 440.00 88,000 0 440.00 -
45 Bromhexin 8 mg TABLET
0 444.00 - 1200 444.00 532,800 600 444.00 266,400 600 444.00 266,400
46 Calcium Lactat TABLET 0 - - 300 - 0 200 - - 100 - -
0 75.00 - 0 75.00 0 0 75.00 - 0 75.00 -
47 Captopril 25 mg TABLET
0 124.12 - 1500 124.12 186,180 1,000 124.12 124,120 500 124.12 62,060
48 Carbamazepin 200 mg TABLET 0 216.00 - 0 216.00 0 0 216.00 - 0 216.00 -
0 216,480.00 - 0 216,480.00 0 0 216,480.00 - 0 216,480.00 -
49 Catgut Chromic 2/0 BOX
0 92,963.00 - 0 92,963.00 0 0 92,963.00 - 0 92,963.00 -
50 Catgut Chromic 3/0 KOTAK 0 202,950.00 - 0 202,950.00 0 0 202,950.00 - 0 202,950.00 -
51 Catgut Chromic 3/0 KOTAK 0 210,000.00 - 0 210,000.00 0 0 210,000.00 - 0 210,000.00 -
52 Catgut Plain 2/0 KOTAK 0 210,000.00 - 0 210,000.00 0 0 210,000.00 - 0 210,000.00 -
0 200,000.00 - 0 200,000.00 0 0 200,000.00 - 0 200,000.00 -
53 Catgut Plain 3/0 KOTAK
0 210,000.00 - 0 210,000.00 0 0 210,000.00 - 0 210,000.00 -
54 Cefadroksil 500 mg KAPSUL 0 7,398.12 - 500 7,398.12 3,699,058 0 7,398.12 - 500 7,398.12 3,699,058
55 Cefadroksil Sirup Kering BOTOL 0 3,890.00 - 0 3,890.00 0 0 3,890.00 - 0 3,890.00 -
56 Cefiksim 200 mg TABLET 0 3,456.00 - 0 3,456.00 0 0 3,456.00 - 0 3,456.00 -
57 Cefiksim 200 mg TABLET 0 - - 1500 - 0 900 - - 600 - -
58 Cetirizine Hydrochloride CPT TABLET 0 222.00 - 500 222.00 111,000 500 222.00 111,000 0 222.00 -
59 Cetirizine Hydrochloride CPT TABLET 0 - - 700 - 0 0 - - 700 - -
60 Chateter No 16 PCS 0 13,200.00 - 0 13,200.00 0 0 13,200.00 - 0 13,200.00 -
61 Chateter No 18 PCS 0 13,200.00 - 0 13,200.00 0 0 13,200.00 - 0 13,200.00 -

62 Chlorampeniramini Maleat (CTM) TABLET 0 180.00 - 3600 180.00 648,000 3,600 180.00 648,000 0 180.00 -

63 Chlorampeniramini Maleat (CTM) TABLET 0 - - 600 - 0 200 - - 400 - -

0 594.00 - 0 594.00 0 0 594.00 - 0 594.00 -

64 Chlorampenicol kapsul KAPSUL
0 777.00 - 0 777.00 0 0 777.00 - 0 777.00 -
0 12,100.00 - 0 12,100.00 0 0 12,100.00 - 0 12,100.00 -
65 Chloramphenicol Tetes Telinga BOTOL
0 16,100.00 - 0 16,100.00 0 0 16,100.00 - 0 16,100.00 -
66 Ciprofloksasin 500 mg TABLET 0 888.00 - 900 888.00 799,200 600 888.00 532,800 300 888.00 266,400
67 Clonidin 0.15 mg TABLET 0 146.00 - 0 146.00 0 0 146.00 - 0 146.00 -
68 Cotrimoksasol 480mg TABLET 0 416.25 - 0 416.25 0 0 416.25 - 0 416.25 -
69 Coverall Microporus PCS 0 287,976.00 - 0 287,976.00 0 0 287,976.00 - 0 287,976.00 -
70 Dexametason 0,5 mg TABLET 0 222.00 - 4900 222.00 1,087,800 3,100 222.00 688,200 1800 222.00 399,600
0 968.00 - 0 968.00 0 0 968.00 - 0 968.00 -
71 Dexamethasone Injeksi 5 mg/mL AMPUL
0 3,365.52 - 0 3,365.52 0 0 3,365.52 - 0 3,365.52 -
72 Dexamethasone Injeksi 5 mg/mL AMPUL 0 - 10 0 0 - 10 -
73 Diazepam 2 mg TABLET 0 108.00 - 0 108.00 0 0 108.00 - 0 108.00 -
74 Diazepam 5 mg TABLET 0 352.00 - 0 352.00 0 0 352.00 - 0 352.00 -
75 Diazepam Injeksi AMPUL 0 - - 10 - 0 0 - - 10 - -
0 1,545.00 - 0 1,545.00 0 0 1,545.00 - 0 1,545.00 -
76 Diazepam injeksi AMPUL
0 8,841.15 - 0 8,841.15 0 0 8,841.15 - 0 8,841.15 -
 0 198.00 - 0 198.00 0 0 198.00 - 0 198.00 -
77 Digoxin 0.25 mg TABLET
0 224.00 - 0 224.00 0 0 224.00 - 0 224.00 -
78 Dihidroartemsin + Piperkuin (DHP) TABLET 0 - - 0 - 0 0 - - 0 - -
0 140.00 - 0 140.00 0 0 140.00 - 0 140.00 -
79 Diltiasem 30 mg TABLET
0 215.00 - 0 215.00 0 0 215.00 - 0 215.00 -
80 Diphenhydramine Injeksi AMPUL 0 825.00 - 0 825.00 0 0 825.00 - 0 825.00 -
81 Diphenhydramine Injeksi AMPUL 0 - - 30 - 0 2 - - 28 - -
0 75.00 - 2200 75.00 165,000 1,400 75.00 105,000 800 75.00 60,000
82 Domperidon 10 mg TABLET
0 333.00 - 0 333.00 0 0 333.00 - 0 333.00 -
83 Domperidon sirup BOTOL 0 6,761.00 - 0 6,761.00 0 0 6,761.00 - 0 6,761.00 -
84 Doxycycline 100 mg KAPSUL 0 484.00 - 0 484.00 0 0 484.00 - 0 484.00 -
85 Dulcolac TABLET 0 - - 20 - 0 10 - - 10 - -
0 8,910.00 - 0 8,910.00 0 0 8,910.00 - 0 8,910.00 -
86 Efinefrin Injeksi 1 mg/mL AMPUL
0 3,663.00 - 35 3,663.00 128,205 0 3,663.00 - 35 3,663.00 128,205
87 Eritromicin 500mg KAPLET 0 1,540.00 - 0 1,540.00 0 0 1,540.00 - 0 1,540.00 -
88 Eritromicin sirup BOTOL 0 1,540.00 - 0 1,540.00 0 0 1,540.00 - 0 1,540.00 -
89 Etil Klorid Semprot CAN 0 113,300.00 - 1 113,300.00 113,300 0 113,300.00 - 1 113,300.00 113,300
90 Filasilk 2-0'75-33 mm HCRB PCS 0 - - 12 - 0 6 - - 6 - -
0 321.00 - 0 321.00 0 0 321.00 - 0 321.00 -
91 Furosemid 40 mg TABLET
0 1,000.00 - 0 1,000.00 0 0 1,000.00 - 0 1,000.00 -
92 Furosemid injeksi Ampul 0 969.00 - 5 965.00 4,825 0 969.00 - 5 969.00 4,845
93 Garam Oralit Serbuk SACET 0 - - 300 - 0 190 - - 110 - -
94 Gentamicin Tetes Mata 0,3% BOTOL 0 14,500.00 - 0 14,500.00 0 0 14,500.00 - 0 14,500.00 -
95 Gentamicin Injeksi AMPUL 0 - 5 0 0 - 5 -
96 Glibenklamide 5 mg TABLET 0 300.00 - 500 300.00 150,000 500 300.00 150,000 0 300.00 -
97 Glimepirid 3 mg TABLET 0 143.00 - 500 143.00 71,500 200 143.00 28,600 300 143.00 42,900
98 Glimepirid 4mg TABLET 0 1,700.00 - 0 1,700.00 0 0 1,700.00 - 0 1,700.00 -
99 Glimepirid 2mg TABLET 0 3,330.00 - 300 3,330.00 999,000 0 3,330.00 - 300 3,330.00 999,000
0 6,024.00 - 30 6,024.00 180,720 30 6,024.00 180,720 0 6,024.00 -
100 Glukosa Larutan infus 5 % BOTOL
0 9,500.00 - 0 9,500.00 0 0 9,500.00 - 0 9,500.00 -
101 Griseofulvin 125mg TABLET 0 500.00 - 0 500.00 0 0 500.00 - 0 500.00 -
102 Handscoen Obsgyn PAIRS 0 60,500.00 - 0 60,500.00 0 0 60,500.00 - 0 60,500.00 -
103 Handscoen NON Steril PAIRS 0 - - 12 - 0 3 - - 3 - -
104 Handscoen Steril PAIRS 0 12,465.00 - 47 12,465.00 585,855 47 12,465.00 585,855 0 12,465.00 -
105 Handscoen Steril PAIRS 0 - - 10 - 0 0 - - 10 - -
0 148.00 - 0 148.00 0 0 148.00 - 0 148.00 -
106 Hidroklortiazid 25 mg TABLET
0 186.69 - 0 186.69 0 0 186.69 - 0 186.69 -
107 Hidrokortison Krim TUBE 0 6,105.00 - 12 6,105.00 73,260 12 6,105.00 73,260 0 6,105.00 -
108 Hidrokortison Krim TUBE 0 - - 40 - 0 22 - - 18 - -
109 Ibuprofen 400mg TABLET 0 424.83 - 3400 424.83 1,444,422 2,300 424.83 977,109 1100 424.83 467,313
110 Infus Set Anak PCS 0 6,000.00 - 10 6,000.00 60,000 0 6,000.00 - 10 6,000.00 60,000
111 Infus Set Dewasa PCS 0 - - 135 - 0 25 - - 15 - -
112 Isosorbit Dinitrat 5 mg TABLET 0 184.00 - 0 184.00 0 0 184.00 - 0 184.00 -
113 Kapas Pembalut 500 Gr PCS 0 29,678.00 - 0 29,678.00 0 29,678.00 0 29,678.00 -
114 Kasa Hydrofil 40 yard X 80 cm ROLL 0 190,564.00 - 1 190,564.00 190,564 0 190,564.00 - 1 190,564.00 190,564
115 Kassa Steril 16/16 cm KOTAK 0 6,820.00 - 35 6,820.00 238,700 27 6,820.00 184,140 8 6,820.00 54,560
116 Ketokonasole Salep TUBE 0 2,694.00 - 0 2,694.00 0 0 2,694.00 - 0 2,694.00 -
117 Ketokonazol TABLET 0 797.18 - 0 797.18 0 0 797.18 - 0 797.18 -
118 Lanzoprasole KAPSUL 0 278.00 - 0 278.00 0 0 278.00 - 0 278.00 -
119 Lanzoprasole KAPSUL 0 - - 600 - 0 300 - - 300 - -
120 Lidocaine HCL AMPUL 0 1,598.00 - 0 1,598.00 0 0 1,598.00 - 0 1,598.00 -
121 Lidocaine HCL AMPUL 0 - - 28 - 0 14 - - 14 - -
122 Loperamid tablet 2 mg TABLET 0 - - 700 - 0 500 - - 200 - -
123 Loperamid tablet 2 mg TABLET 0 - - 200 - 0 0 - - 200 - -
0 55,000.00 - 80 55,000.00 4,400,000 0 55,000.00 - 80 55,000.00 4,400,000
124 Masker KOTAK
0 28,599.71 - 40 28,599.71 1,143,989 0 28,599.71 - 40 28,599.71 1,143,989
125 Masker N95 Ply KOTAK 0 551,031.00 - 0 551,031.00 0 0 551,031.00 - 0 551,031.00 -
126 Meloxicam 7,5 mg TABLET 0 397.00 - 300 397.00 119,100 100 397.00 39,700 200 397.00 79,400
127 Meloxicam 7,5 mg TABLET 0 - 300 0 300 - 0 -
 0 77.00 - 0 77.00 0 0 77.00 - 0 77.00 -
128 Metformin TABLET
0 1,332.00 - 1500 1,332.00 1,998,000 900 1,332.00 1,198,800 600 1,332.00 799,200
129 Methilergometrin Injeksi AMPUL 0 2,684.00 - 0 2,684.00 0 0 2,684.00 - 0 2,684.00 -
130 Methilergometrin Injeksi AMPUL 0 - - 10 - 0 1 - - 9 - -
131 Methylergometrin 0,125 mg TABLET 0 1,069.00 - 0 1,069.00 0 0 1,069.00 - 0 1,069.00 -
132 Methylprednisolone 8 mg TABLET 0 - - 700 - 0 400 - - 300 - -
0 330.00 - 0 330.00 0 0 330.00 - 0 330.00 -
133 Metronidazole 500 mg TABLET
0 444.00 - 100 444.00 44,400 100 444.00 44,400 0 444.00 -
134 Metronidazole 500 MG TABLET 0 - - 400 - 0 100 - - 200 - -
135 Metronidazole Infus BOTOL 0 30,000.00 - 0 30,000.00 0 0 30,000.00 - 0 30,000.00 -
136 Metronidazole sirup BOTOL 0 3,765.00 - 0 3,765.00 0 0 3,765.00 - 0 3,765.00 -
137 MGSO4 20 % VIAL 0 - 1 - 0 0 - - 1 - -
138 MGSO4 40 % VIAL 0 - 1 - 0 0 - - 1 - -
139 Mikonazol Krim TUBE 0 7,548.00 - 45 7,548.00 339,660 40 7,548.00 301,920 5 7,548.00 37,740
140 Mikonazol Krim TUBE 0 - - 12 - 0 0 - - 12 - -
141 Multivitamin (PRITAVIT) TABLET 0 - - 3100 - 0 1,600 - - 1500 - -
142 Multivitamin Anak (VIT GO) BOTOL 0 - - 10 - 0 5 - - 5 - -
143 Molexdine (Povidone iodida) BOTOL 0 - 1 0 0 - 1 -
144 NaCl BOTOL 0 22,200.00 - 90 22,200.00 1,998,000 30 22,200.00 666,000 60 22,200.00 1,332,000
145 Nassal Canula Anak PCS 0 4,530.00 - 10 4,530.00 45,300 10 4,530.00 45,300 0 4,530.00 -
146 Nassal Canula Anak PCS 0 - - 50 - 0 20 - - 30 - -
147 Nassal Canula Dewasa PCS 0 4,530.00 - 1 4,530.00 4,530 1 4,530.00 4,530 0 4,530.00 -
148 Nassal Canula Dewasa PCS 0 - 60 0 5 - 5 -
149 Natrium Diclofenak 50mg TABLET 0 294.00 - 1700 294.00 499,800 1,700 294.00 499,800 0 294.00 -
150 Nifedipin 10 mg TABLET 0 220.00 - 700 220.00 154,000 300 220.00 66,000 400 220.00 88,000
151 Nurse Cup PCS 0 335.00 - 55 335.00 18,425 55 335.00 18,425 0 335.00 -
152 Oksitoksin AMPUL 0 7,992.00 - 10 7,992.00 79,920 10 7,992.00 79,920 0 7,992.00 -
153 Oksitoksin AMPUL 0 - - 10 - 0 0 - - 10 - -
154 Oxytetracycline Salep Mata TUBE 0 - - 10 - 0 4 - - 6 - -
155 Omeprazle cpsl TABLET 0 423.83 - 600 423.83 254,300 600 423.83 254,300 0 423.83 -
156 Omeprazle cpsl TABLET 0 - - 1900 - 0 1,480 - - 420 - -
157 Omeprazole injeksi AMPUL 0 74,800.00 - 0 74,800.00 0 0 74,800.00 - 0 74,800.00 -
158 Paracetamol 600mg TABLET 0 321.90 - 1800 321.90 579,420 1,800 321.90 579,420 0 321.90 -
159 Paracetamol 600mg TABLET 0 - - 6300 - 0 3,300 - - 3000 - -
160 Paracetamol Sirup BOTOL 0 8,103.00 - 0 8,103.00 0 8,103.00 0 8,103.00 -
161 Pharmafix/AXMED KOTAK 0 38,940.00 - 0 38,940.00 0 0 38,940.00 - 0 38,940.00 -
162 Pharmafix/Plasterin Roll KOTAK 0 - - 5 - 0 0 - - 5 - -
163 Phenobarbital TABLET 0 182.00 - 0 182.00 0 0 182.00 - 0 182.00 -
164 Phenobarbital Injeksi VIAL 0 - - 10 - 0 0 - - 10 - -
0 781.00 - 0 781.00 0 0 781.00 - 0 781.00 -
165 Phitomenadion 10 MG TABLET
0 1,332.00 - 0 1,332.00 0 0 1,332.00 - 0 1,332.00 -
0 1,452.00 - 3 1,452.00 4,356 3 1,452.00 4,356 0 1,452.00 -
166 Phytomenadion Injeksi AMPUL
0 3,996.00 - 37 3,996.00 147,852 0 3,996.00 - 37 3,996.00 147,852
167 Prednison TABLET 0 217.56 - 0 217.56 0 0 217.56 - 0 217.56 -
168 Propanolol 10 MG TABLET 0 63.00 - 0 63.00 0 0 63.00 - 0 63.00 -
169 Propilthiuracil 100 mg TABLET 0 440.00 - 0 440.00 0 0 440.00 - 0 440.00 -
0 85.00 - 200 85.00 17,000 200 85.00 17,000 0 85.00 -
170 Ranitidin tablet TABLET
0 4,995.00 - 700 4,995.00 3,496,500 700 4,995.00 3,496,500 0 4,995.00 -
0 858.00 - 0 858.00 0 0 858.00 - 0 858.00 -
171 Ranitidin injeksi AMPUL
0 1,520.00 - 60 1,520.00 91,200 27 1,520.00 41,040 33 1,520.00 50,160
172 Ringer Laktat BOTOL 0 7,150.00 - 30 7,150.00 214,500 30 7,150.00 214,500 0 7,150.00 -
173 Ringer Laktat BOTOL 0 - - 90 - 0 50 - - 40 - -
174 Salbutamol 2 mg TABLET 0 153.89 - 200 153.89 30,778 0 153.89 - 200 153.89 30,778
175 Salbutamol 4 mg TABLET 0 190.00 - 300 190.00 57,000 100 190.00 19,000 200 190.00 38,000
176 Salep 2-4 POT 0 2,653.00 - 0 2,653.00 0 0 2,653.00 - 0 2,653.00 -
0 73.00 - 0 73.00 0 0 73.00 - 0 73.00 -
177 Simvastatin 10 mg TABLET
0 299.70 - 0 299.70 0 0 299.70 - 0 299.70 -
0 150.00 - 0 150.00 0 0 150.00 - 0 150.00 -
178 Simvastatin 20 mg TABLET
0 1,035.64 - 1500 1,035.64 1,553,460 1,400 1,035.64 1,449,896 100 1,035.64 103,564
179 Slim Seher PCS 0 8,448.00 - 0 8,448.00 0 0 8,448.00 - 0 8,448.00 -
180 Stomach Tube PCS 0 7,590.00 - 0 7,590.00 0 0 7,590.00 - 0 7,590.00 -
181 Tablet Tambah Darah TABLET 0 255.00 - 3200 255.00 816,000 2,200 255.00 561,000 1000 255.00 255,000
Tablet Tambah Darah (FARMABION
182 TABLET 0 2,220.00 - 90 2,220.00 199,800 90 2,220.00 199,800 0 2,220.00 -
GOLD)
183 Trihexyphenidyl Hcl TABLET 0 63.00 - 700 63.00 44,100 488 63.00 30,744 212 63.00 13,356
184 Urine bag PCS 0 5,511.00 - 5 5,511.00 27,555 0 5,511.00 - 5 5,511.00 27,555
185 Vitamin A Biru BOTOL 0 - - 1 - 0 0 - - 1 - -
186 Vitamin A Merah BOTOL 0 - - 1 - 0 0 - - 1 - -
187 Vitamin B1 TABLET 0 300.00 - 0 300.00 0 0 300.00 - 0 300.00 -
188 Vitamin B12 TABLET 0 150.00 - 0 150.00 0 0 150.00 - 0 150.00 -
189 Vitamin B6 TABLET 0 201.83 - 3400 201.83 686,222 2,900 201.83 585,307 500 201.83 100,915
190 Vitamin C 50 mg TABLET 0 46.00 - 2000 46.00 92,000 900 46.00 41,400 1100 46.00 50,600
191 Vitamin B Kompleks TABLET 0 - 300 0 40 - 260 -
192 Zink TABLET 0 1,665.00 - 0 1,665.00 0 0 1,665.00 - 0 1,665.00 -
193 Zink TABLET 0 - - 500 - 0 100 - - 400 - -
0
0
194 Abbocath No. 18 PCS - 7,000.00 Rp - 0 7,000.00 - 0 7,000.00 - - 7,000.00 -
195 Abbocath No. 20 PCS 50 7,000.00 Rp 350,000.00 0 7,000.00 - 50 7,000.00 350,000 - 7,000.00 -
196 Abbocath No. 22 PCS 50 7,000.00 Rp 350,000.00 0 7,000.00 - 50 7,000.00 350,000 - 7,000.00 -
197 Abbocath No. 24 PCS 80 8,566.00 Rp 685,280.00 0 8,566.00 - 80 8,566.00 685,280 - 8,566.00 -
198 Acyclovir cream 5% TUBE 21 3,839.00 Rp 80,619.00 0 3,839.00 - 21 3,839.00 80,619 - 3,839.00 -
199 Acyclovir tablet 400 mg TABLET 150 362.00 Rp 54,300.00 0 362.00 - 150 362.00 54,300 - 362.00 -
200 Alat suntik sekali pakai 0,05 ml PCS - 3,058.00 Rp - 0 3,058.00 - 0 3,058.00 - - 3,058.00 -
201 Alat suntik sekali pakai 0,5 ml PCS - 3,058.00 Rp - 0 3,058.00 - 0 3,058.00 - - 3,058.00 -
202 Alat suntik sekali pakai 1 ml PCS 32 1,202.00 Rp 38,464.00 0 1,202.00 - 32 1,202.00 38,464 - 1,202.00 -
203 Alat suntik sekali pakai 2,5 – 3 ml PCS 150 1,142.00 Rp 171,300.00 0 1,142.00 - 150 1,142.00 171,300 - 1,142.00 -
204 Alat suntik sekali pakai 5 ml PCS - 1,142.00 Rp - 94 1,142.00 107,348 89 1,142.00 101,638 5 1,142.00 5,710
205 Albendazole TABLET 390 Rp - 400 - 790 - - -
206 Alkohol Swab PCS 100 Rp - 1000 - 1,000 - 100 -
207 Allopurinol tablet 100 mg TABLET 950 95.00 Rp 90,250.00 500 95.00 47,500 1,450 95.00 137,750 - 95.00 -
208 Ambroksol syrup 15 mg/5 ml BOTOL - 3,630.00 Rp - 0 3,630.00 - 0 3,630.00 - - 3,630.00 -
209 Ambroksol tablet 30 mg TABLET 1,100 198.00 Rp 217,800.00 3000 198.00 594,000 4,100 198.00 811,800 - 198.00 -
210 Ambroxol 30 mg TABLET - 165.00 Rp - 0 165.00 - 0 165.00 - - 165.00 -
211 Aminophillin 200 mg tablet TABLET 100 115.00 Rp 11,500.00 0 115.00 - 100 115.00 11,500 - 115.00 -

212 Aminophollin Injeksi 24mg/ml AMPUL 3 3,349.00 Rp 10,047.00 0 3,349.00 - 3 3,349.00 10,047 - 3,349.00 -
213 Amitriptillin 25 mg tablet TABLET - 123.00 Rp - 0 123.00 - 0 123.00 - - 123.00 -
214 Amlodipin 10mg TABLET 1,020 163.00 Rp 166,260.00 1800 163.00 293,400 2,820 163.00 459,660 - 163.00 -
215 Amlodipin 5mg TABLET 800 - Rp - 2000 - - 2,800 - - - - -
216 Amoksisilin Kaplet 500 mg KAPLET 300 233.00 Rp 69,900.00 2600 233.00 605,800 2,900 233.00 675,700 - 233.00 -
217 Amoksisilin kapsul 250mg KAPSUL - 207.00 Rp - 0 207.00 - 0 207.00 - - 207.00 -
218 Amoksisilin syrup kering 125 mg/5 ml BOTOL 12 2,560.00 Rp 30,720.00 0 2,560.00 - 12 2,560.00 30,720 - 2,560.00 -
219 Antasida doen tablet kombinasi TABLET 1,200 64.00 Rp 76,800.00 1000 64.00 64,000 2,200 64.00 140,800 - 64.00 -
220 Antasida supensi 60 ml BOTOL - 2,213.00 Rp - 0 2,213.00 - 0 2,213.00 - - 2,213.00 -
221 Antihemoroid Suppositoria SUPP - 3,502.00 Rp - 0 3,502.00 - 0 3,502.00 - - 3,502.00 -
222 Aqua pro injeksi steril bebas pirogen BOTOL - 6,050.00 Rp - 20 6,050.00 121,000 20 6,050.00 121,000 - 6,050.00 -
223 Asam askorbat 500 mg TABLET - 891.00 Rp - 0 891.00 - 0 891.00 - - 891.00 -
224 Asam Askrobat tablet 250 mg TABLET - 139.00 Rp - 0 139.00 - 0 139.00 - - 139.00 -
225 Asam Askrobat tablet 50 mg TABLET 3,400 120.00 Rp 408,000.00 0 120.00 - 3,400 120.00 408,000 - 120.00 -
226 Asam Folat tablet 1 mg TABLET 300 52.00 Rp 15,600.00 300 52.00 15,600 600 52.00 31,200 - 52.00 -

227 Asam Mefenamat Kaplet 500 mg KAPLET 700 113.00 Rp 79,100.00 0 113.00 - 700 113.00 79,100 - 113.00 -
228 Asam Traneksamat Injeksi 50 mg/ml AMPUL - 2,659.00 Rp - 0 2,659.00 - 0 2,659.00 - - 2,659.00 -
229 Atorvastatin TABLET - 615.00 Rp - 0 615.00 - 0 615.00 - - 615.00 -
Atropin injeksi i.m/i.v/s.k 0,25mg/ml
230 AMPUL - 1,672.00 Rp - 0 1,672.00 - 0 1,672.00 - - 1,672.00 -
( sulfat )
231 Attapulgite 600 mg (New Antides) TABLET - 173.00 Rp - 0 173.00 - 0 173.00 - - 173.00 -
Besi II sulfat tab 200mg + As.Folat
232 TABLET - 2,200.00 Rp - 0 2,200.00 - 0 2,200.00 - - 2,200.00 -
0,25mg
233 Betahistin Mesileat tablet 6 mg TABLET - 609.84 Rp - 0 609.84 - 0 609.84 - - 609.84 -
234 Betametason krim 0,1% TUBE 11 1,420.00 Rp 15,620.00 0 1,420.00 - 11 1,420.00 15,620 - 1,420.00 -
235 Bioneuron Injeksi AMPUL - 5,645.00 Rp - 0 5,645.00 - 0 5,645.00 - - 5,645.00 -
236 Bisoprorol tablet 5 mg TABLET - 695.00 Rp - 0 695.00 - 0 695.00 - - 695.00 -
237 Bromhexin 8 mg TABLET 900 286.00 Rp 257,400.00 0 286.00 - 900 286.00 257,400 - 286.00 -
238 Captopril tablet 12,5 mg TABLET - 99.00 Rp - 0 99.00 - 0 99.00 - - 99.00 -
239 Captopril tablet 25 mg TABLET 700 138.00 Rp 96,600.00 0 138.00 - 700 138.00 96,600 - 138.00 -
240 Carbamezepin tab 200mg TABLET - 271.10 Rp - 0 271.10 - 0 271.10 - - 271.10 -

241 Catgut/Benang Bedah 2/0 PCS - 29,333.00 Rp - 12 29,333.00 351,996 0 29,333.00 - 12 29,333.00 351,996

242 Catgut/Benang Bedah 3/0 PCS - 27,041.00 Rp - 12 27,041.00 385,292 0 27,041.00 - 12 27,041.00 324,492
243 Cefadroksil kapsul 500 mg KAPSUL 220 557.00 Rp 122,540.00 1200 557.00 668,400 1,420 556.98 790,917 - 557.00 -

244 Cefadroksil sirup kering 250 mg/ml BOTOL - 5,286.00 Rp - 0 5,286.00 - 0 5,286.00 - - 5,286.00 -

245 Cefiksim kapsul 100 mg KAPSUL 150 649.00 Rp 97,350.00 300 649.00 194,700 450 649.00 292,050 - 649.00 -
246 Cefiksim sirup kering 30 mg BOTOL - 7,688.00 Rp - 0 7,688.00 - 0 7,688.00 - - 7,688.00 -
247 Ceftriakson injeksi 1 gram AMPUL - 10,000.38 Rp - 0 10,000.38 - 0 10,000.38 - - 10,000.38 -
248 Cetirizine Syrup 5mg/5ml BOTOL - 8,799.00 Rp - 0 8,799.00 - 0 8,799.00 - - 8,799.00 -
249 Cetirizine tablet 10 mg TABLET 950 3,630.00 Rp 3,448,500.00 1100 3,630.00 3,993,000 2,050 3,630.00 7,441,500 - 3,630.00 -
250 Chatether No. 14 PCS - 8,000.00 Rp - 0 8,000.00 - 0 8,000.00 - - 8,000.00 -
251 Chatether No. 16 PCS - 8,000.00 Rp - 0 8,000.00 - 0 8,000.00 - - 8,000.00 -
252 Chatether No. 18 PCS 15 9,345.00 Rp 140,175.00 0 9,345.00 - 5 9,345.00 46,725 10 9,345.00 93,450
253 Chatether No. 20 PCS - 8,000.00 Rp - 0 8,000.00 - 0 8,000.00 - - 8,000.00 -
Chloramfenikol salep kulit 2%
254 TUBE - 3,409.00 Rp - 0 3,409.00 - 0 3,409.00 - - 3,409.00 -
(Bufacetin)
255 Chloramfenikol salep mata 1% TUBE - 1,680.00 Rp - 0 1,680.00 - 0 1,680.00 - - 1,680.00 -
256 Chloramfenikol tetes telinga 3% BOTOL 6 2,800.00 Rp 16,800.00 0 2,800.00 - 5 2,800.00 14,000 1 2,800.00 2,800

257 Chloramphenicol tetes mata 0,5 % BOTOL - 2,700.00 Rp - 0 2,700.00 - 0 2,700.00 - - 2,700.00 -

Chlorfeniramin meleat tablet 4 mg

258 TABLET 800 60.00 Rp 48,000.00 3000 60.00 180,000 3,800 60.00 228,000 - 60.00 -
(CTM)
Chlorpromazine 100 mg tablet
259 TABLET - 156.00 Rp - 0 156.00 - 0 156.00 - - 156.00 -
(Cepezet)
260 Cimetidin tablet 200 mg TABLET - 145.97 Rp - 0 145.97 - 0 145.97 - - 145.97 -
261 Ciprofloxacin Infus 2% BOTOL - 62,700.00 Rp - 0 62,700.00 - 0 62,700.00 - - 62,700.00 -

262 Ciprofloxacin tablet 500 mg TABLET 300 312.40 Rp 93,720.00 0 312.40 - 300 312.40 93,720 - 312.40 -

263 Citicolin injeksi AMPUL - 9,075.00 Rp - 0 9,075.00 - 0 9,075.00 - - 9,075.00 -

264 Clobazam Tablet 10mg TABLET - 1,045.00 Rp - 0 1,045.00 - 0 1,045.00 - - 1,045.00 -
265 Clonidin Tablet 0.15 mg TABLET - 224.00 Rp - 0 224.00 - 0 224.00 - - 224.00 -
266 Clyndamicin KAPSUL - 2,000.00 Rp - 0 2,000.00 - 0 2,000.00 - - 2,000.00 -
267 Cotrimoksasol 120 mg pediatrik TABLET - 77.00 Rp - 0 77.00 - 0 77.00 - - 77.00 -
268 Cotrimoksasol adult 480 mg dewasa TABLET - 121.00 Rp - 200 121.00 24,200 100 121.00 12,100 100 121.00 12,100
269 Curbion BOTOL - 31,800.00 Rp - 0 31,800.00 - 0 31,800.00 - - 31,800.00 -

270 Deksametason injeksi 5 mg/ml AMPUL 55 1,745.00 Rp 95,975.00 0 1,745.00 - 15 1,745.00 26,175 40 1,745.00 69,800

271 Deksametasone Tablet 0,5 mg TABLET 1,300 48.00 Rp 62,400.00 2000 48.00 96,000 3,300 48.00 158,400 - 48.00 -
272 Dektran 70 larutan infus 6% steril BOTOL - 39,079.00 Rp - 0 39,079.00 - 0 39,079.00 - - 39,079.00 -
273 Dexamethasone 0.5 mg TABLET - 34.00 Rp - 0 34.00 - 0 34.00 - - 34.00 -
274 Diasepam injeksi i.v 5 mg/ml AMPUL 10 2,604.00 Rp 26,040.00 0 2,604.00 - 10 2,604.00 26,040 - 2,604.00 -
275 Diasepam tablet 2 mg TABLET 254 35.00 Rp 8,890.00 0 35.00 - 25 35.00 875 229 35.00 8,015
276 Diasepam tablet 5 mg TABLET - 52.00 Rp - 0 52.00 - 0 52.00 - - 52.00 -

277 Difenhidramin HCl injeksi 10 mg/ml AMPUL 30 1,156.00 Rp 34,680.00 0 1,156.00 - 30 1,156.00 34,680 - 1,156.00 -

278 Digoksin tablet 0,25 mg TABLET - 103.00 Rp - 0 103.00 - 0 103.00 - - 103.00 -

279 Diltiasem HCL tablet 30 mg TABLET - 135.00 Rp - 0 135.00 - 0 135.00 - - 135.00 -
280 Doksisiklin kapsul 100 mg KAPSUL - 298.00 Rp - 0 298.00 - 0 298.00 - - 298.00 -
281 Domperidom syrup 60 ml BOTOL - 3,490.00 Rp - 0 3,490.00 - 0 3,490.00 - - 3,490.00 -
282 Domperidon tablet 10 mg TABLET 500 174.00 Rp 87,000.00 0 174.00 - 500 174.00 87,000 - 174.00 -
283 Dumin - 19,840.00 Rp - 0 19,840.00 - 0 19,840.00 - - 19,840.00 -

284 Epinefrin ( adrenalin ) injeksi 0,1 % AMPUL 6 8,910.00 Rp 53,460.00 0 8,910.00 - 6 8,910.00 53,460 - 8,910.00 -

285 Eritromicin 500 mg TABLET - 781.00 Rp - 500 781.00 390,500 500 781.00 390,500 - 781.00 -
286 Eritromisin kapsul 500mg KAPSUL - 1,023.00 Rp - 0 1,023.00 - 0 1,023.00 - - 1,023.00 -
287 Eritromisin sirup 200mg/ml BOTOL - 8,910.00 Rp - 0 8,910.00 - 0 8,910.00 - - 8,910.00 -

288 Etakridin Laktat Cairan 0,1% 300ml BOTOL - 4,400.00 Rp - 0 4,400.00 - 0 4,400.00 - - 4,400.00 -

289 Etanol 70 % 100 ml BOTOL - 2,625.00 Rp - 0 2,625.00 - 0 2,625.00 - - 2,625.00 -

290 Etanol 70 % 1000 ml BOTOL 4 22,816.00 Rp 91,264.00 0 22,816.00 - 4 22,816.00 91,264 - 22,816.00 -
291 Etanol 95% 1000 ml BOTOL - Rp - 0 - 0 - - -
292 Etil Klorida semprot BOTOL 1 220,000.00 Rp 220,000.00 1 220,000.00 220,000 2 220,000.00 440,000 - 220,000.00 -
293 Famotidine 20 mg TABLET - 12,442.00 Rp - 0 12,442.00 - 0 12,442.00 - - 12,442.00 -
294 Fitomenadion injeksi 2 mg/ml AMPUL 10 3,754.00 Rp 37,540.00 0 3,754.00 - 10 3,754.00 37,540 - 3,754.00 -
295 Fitomenadion tablet 10 mg TABLET - 690.00 Rp - 0 690.00 - 0 690.00 - - 690.00 -
296 Flukonasol 150mg TABLET - 20,700.00 Rp - 0 20,700.00 - 0 20,700.00 - - 20,700.00 -
297 Furosemid injeksi i.v/i.m 10 mg/ml AMPUL 25 2,179.00 Rp 54,475.00 0 2,179.00 - 25 2,179.00 54,475 - 2,179.00 -
298 Furosemid tablet 40 mg TABLET 150 182.00 Rp 27,300.00 0 182.00 - 150 182.00 27,300 - 182.00 -
299 Garam Oralit Serbuk SACH 131 317.00 Rp 41,527.00 200 317.00 63,400 331 317.00 104,927 - 317.00 -
300 Gentamisin injeksi 40 mg/ml AMPUL - 3,739.00 Rp - 0 3,739.00 - 0 3,739.00 - - 3,739.00 -
301 Gentamisin krim TUBE - 2,021.00 Rp - 0 2,021.00 - 0 2,021.00 - - 2,021.00 -
302 Gentian Violet Larutan 1% BOTOL - 495.00 Rp - 0 495.00 - 0 495.00 - - 495.00 -
303 Glibenklamid tablet 5 mg TABLET 200 7,920.00 Rp 1,584,000.00 0 7,920.00 - 100 7,920.00 792,000 100 7,920.00 792,000
304 Glimepirid 2 mg TABLET - 458.00 Rp - 720 458.00 329,760 630 458.00 288,540 90 458.00 41,220
305 Glimepirid 3 mg TABLET 300 452.00 Rp 135,600.00 200 452.00 90,400 500 452.00 226,000 - 452.00 -
306 Glukosa 40% BOTOL - 1,598.00 Rp - 0 1,598.00 - 0 1,598.00 - - 1,598.00 -
307 Glukosa Larutan Infus 10% BOTOL - 6,270.00 Rp - 0 6,270.00 - 0 6,270.00 - - 6,270.00 -
308 Glukosa larutan infus 5% BOTOL 5 6,900.00 Rp 34,500.00 0 6,900.00 - 5 6,900.00 34,500 - 6,900.00 -
309 Gluquidon Tablet 30mg TABLET - 1,100.00 Rp - 0 1,100.00 - 0 1,100.00 - - 1,100.00 -
310 Griseofulvin tablet 125 mg TABLET 70 230.00 Rp 16,100.00 0 230.00 - 70 230.00 16,100 - 230.00 -
311 Guafenisin TABLET - Rp - 0 - 0 - - -
312 Haloperidol 2 mg tablet TABLET - 134.00 Rp - 0 134.00 - 0 134.00 - - 134.00 -
313 Haloperidol tablet 5 mg TABLET - 134.52 Rp - 0 134.52 - 0 134.52 - - 134.52 -
314 Handscoen Non Steril (S,M,L) PCS - 1,320.00 Rp - 3 1,320.00 3,960 3 1,320.00 3,960 - 1,320.00 -
315 Handscoen Steril No. (6,5 /7,5 /8 ) PCS 60 330.00 Rp 19,800.00 30 330.00 9,900 90 330.00 29,700 - 330.00 -
316 Hidroklortiazid tablet 25 mg TABLET - 39.93 Rp - 0 39.93 - 0 39.93 - - 39.93 -
317 Hidrokortison krim 2,5% TUBE 17 2,938.00 Rp 49,946.00 0 2,938.00 - 17 2,938.00 49,946 - 2,938.00 -
318 Ibuprofen 400 mg TABLET 900 660.00 Rp 594,000.00 0 660.00 - 900 660.00 594,000 - 660.00 -
319 Ibuprofen suspensi 200mg/ml BOTOL - 4,949.00 Rp - 0 4,949.00 - 0 4,949.00 - - 4,949.00 -
320 Infus set anak PCS 30 3,500.00 Rp 105,000.00 0 3,500.00 - 23 3,500.00 80,500 7 3,500.00 24,500
321 Infus set dewasa PCS 20 3,200.00 Rp 64,000.00 70 3,200.00 224,000 90 3,200.00 288,000 - 3,200.00 -
Isosorbid Dinitrat tablet Sublingual 5
322 TABLET - 98.00 Rp - 0 98.00 - 0 98.00 - - 98.00 -
mg
323 Kalium Diklofenak 50 mg TABLET - 864.38 Rp - 0 864.38 - 0 864.38 - - 864.38 -
Kalium Klorida tablet SR 600 mg
324 TABLET - 1,700.00 Rp - 0 1,700.00 - 0 1,700.00 - - 1,700.00 -
(KSR)
325 Kalsium Laktat tablet 500 mg TABLET 400 76.00 -Rp 30,400.00 0 76.00 - 400 76.00 30,400 - 76.00 -
326 Kalsium Laktat tablet 500 mg TABLET - 63.00 Rp - 0 63.00 - 0 63.00 - - 63.00 -
327 Kanul Anak PCS 12 Rp - 0 - 12 - - -
328 Kanul Dewasa PCS 20 Rp - 0 - 20 - - -
329 Kapas berlemak PCS - 16,500.00 Rp - 0 16,500.00 - 0 16,500.00 - - 16,500.00 -
330 Kapas pembalut 250 gram PCS 2 12,500.00 Rp 25,000.00 0 12,500.00 - 1 12,500.00 12,500 1 12,500.00 12,500
331 Kasa Hydrofil 40 yard x 80 cm ROLL 6 105,000.00 Rp 630,000.00 0 105,000.00 - 5 105,000.00 525,000 1 105,000.00 105,000
332 Kasa Pembalut 4 x 10 cm KOTAK - 668.00 Rp - 0 668.00 - 0 668.00 - - 668.00 -
333 Kasa Pembalut Hydrofil 16 x 16 KOTAK 15 9,350.00 Rp 140,250.00 10 9,350.00 93,500 25 9,350.00 233,750 - 9,350.00 -
334 Kasa Pembalut Hydrofil 4 x 5 cm KOTAK - 750.00 Rp - 0 750.00 - 0 750.00 - - 750.00 -
335 Ketokonasol tablet 200 mg TABLET - 320.00 Rp - 0 320.00 - 0 320.00 - - 320.00 -
336 Ketokonasol salep TUBE 19 0 - 19 - - -

337 Ketoprofen (Protofen) Suppositoria SUPP - 2,858.02 Rp - 0 2,858.02 - 0 2,858.02 - - 2,858.02 -

338 Ketorolac injeksi 30 mg AMPUL - 1,383.00 Rp - 0 1,383.00 - 0 1,383.00 - - 1,383.00 -

339 Kuinin (Kina) Tablet 200mg TABLET - 737.00 Rp - 0 737.00 - 0 737.00 - - 737.00 -
340 Lanzoprazole 30 mg KAPSUL 600 297.30 Rp 178,380.00 0 297.30 - 600 297.30 178,380 - 297.30 -
341 Levofloxacin 500mg TABLET - 525.00 Rp - 0 525.00 - 0 525.00 - - 525.00 -
342 Lidokain comp injeksi 2% 2 ml AMPUL 84 1,111.00 Rp 93,324.00 0 1,111.00 - 84 1,111.00 93,324 - 1,111.00 -
Lidokain injeksi2%+Epinefrin 2%
343 AMPUL - 2,122.00 Rp - 0 2,122.00 - 0 2,122.00 - - 2,122.00 -
80.000-2ml
344 Linkomosin kapsul 500mg KAPSUL - 596.00 Rp - 0 596.00 - 0 596.00 - - 596.00 -
345 Loperamid tablet 2 mg TABLET - 97.00 Rp - 0 97.00 - 0 97.00 - - 97.00 -
346 Loratadin tablet 10 mg TABLET 200 149.00 Rp 29,800.00 0 149.00 - 200 149.00 29,800 - 149.00 -
347 Loratadin tablet 10 mg TABLET - 127.00 Rp - 0 127.00 - 0 127.00 - - 127.00 -
348 Magnesium sulfat 20% injeksi AMPUL - 1,694.00 Rp - 0 1,694.00 - 0 1,694.00 - - 1,694.00 -
349 Magnesium sulfat 40% injeksi AMPUL - 2,143.00 Rp - 0 2,143.00 - 0 2,143.00 - - 2,143.00 -
350 Masker KOTAK - Rp - 40 - 14 - 26 -
351 Meloxicam 15 mg TABLET 200 1,463.00 Rp 292,600.00 0 1,463.00 - 200 1,463.00 292,600 - 1,463.00 -
352 Meloxicam 7,5 mg TABLET 550 844.80 Rp 464,640.00 0 844.80 - 550 844.80 464,640 - 844.80 -
353 Metampiron Injeksi 250mg AMPUL - 1,466.00 Rp - 0 1,466.00 - 0 1,466.00 - - 1,466.00 -
354 Metampiron tab 500mg TABLET - 242.00 Rp - 0 242.00 - 0 242.00 - - 242.00 -
355 Metformin HCL tablet 500 mg TABLET 1,300 119.00 Rp 154,700.00 1000 119.00 119,000 2,300 119.00 273,700 - 119.00 -
Metilergometrin Maleat injeksi 0,2
356 AMPUL - 2,684.00 Rp - 0 2,684.00 - 0 2,684.00 - - 2,684.00 -
mg/ml
Metillergometrin Maleat tablet salut
357 AMPUL 80 360.00 Rp 28,800.00 0 360.00 - 80 360.00 28,800 - 360.00 -
0,125 m
358 Metilprenidsolon tablet 4 mg TABLET - 211.00 Rp - 0 211.00 - 0 211.00 - - 211.00 -
359 Metilprenidsolon tablet 8 mg TABLET - 990.00 Rp - 0 990.00 - 0 990.00 - - 990.00 -
360 Metoclopramide TABLET - 93.00 Rp - 0 93.00 - 0 93.00 - - 93.00 -
361 Metokloperamid injeksi 5 mg/ml AMPUL - 5,500.00 Rp - 0 5,500.00 - 0 5,500.00 - - 5,500.00 -
362 Metokloperamid tabet 10 mg TABLET - 100.00 Rp - 0 100.00 - 0 100.00 - - 100.00 -
363 Metoklopramide sirup 5 mg/ml BOTOL - 2,310.00 Rp - 0 2,310.00 - 0 2,310.00 - - 2,310.00 -
364 Metronidasol infus 500 mg/100 ml BOTOL - 32,450.00 Rp - 0 32,450.00 - 0 32,450.00 - - 32,450.00 -
365 Metronidasol tablet 500 mg TABLET 100 140.00 Rp 14,000.00 200 140.00 28,000 300 140.00 42,000 - 140.00 -
366 Mikonasol krim 2% TUBE 17 3,737.00 Rp 63,529.00 0 3,737.00 - 17 3,737.00 63,529 - 3,737.00 -
367 NaCL Larutan infus 0,9% BOTOL 38 6,410.00 Rp 243,580.00 23 6,410.00 147,430 61 6,410.00 391,010 - 6,410.00 -
368 Natrium Diklofenac 50 mg TABLET - 193.00 Rp - 0 193.00 - 0 193.00 - - 193.00 -
369 Nifedipin tablet 10 mg TABLET 200 123.00 Rp 24,600.00 0 123.00 - 200 123.00 24,600 - 123.00 -
Obat Antituberkulosis Kat.Anak
370 KOTAK - 236,500.00 Rp - 0 236,500.00 - 0 236,500.00 - - 236,500.00 -
( OAT )
Obat Antituberkulosis Kat.I dewasa
371 KOTAK - 396,000.00 Rp - 0 396,000.00 - 0 396,000.00 - - 396,000.00 -
FDC ( OAT )
Obat Antituberkulosis Kat.II dewasa
372 KOTAK - 1,320,000.00 Rp - 0 1,320,000.00 - 0 1,320,000.00 - - 1,320,000.00 -
FDC ( OAT )
373 Obat batuk hitam 100 ml BOTOL - 2,277.00 Rp - 0 2,277.00 - 0 2,277.00 - - 2,277.00 -

374 Ofloxacin Tablet 400mg TABLET - 960.30 Rp - 0 960.30 - 0 960.3 - - 960.3 -

375 Oksitoksin salep kulit 3% TUBE - 1,816.00 Rp - 0 1,816.00 - 0 1,816.00 - - 1,816.00 -

376 Oksitoksin salep mata 1 % TUBE - 2,310.00 Rp - 0 2,310.00 - 0 2310 - - 2310 -
377 Omecal - D TABLET - 2,768.00 Rp - 0 2,768.00 - 0 2768 - - 2768 -
378 OMEGAVIT TABLET - Rp - 0 - 0 - - -
379 Omeprasol kapsul 20 mg KAPSUL 570 221.00 Rp 125,970.00 0 221.00 - 570 221 125,970 - 221 -
380 Omeprazole KAPSUL - 138.00 Rp - 0 138.00 - 0 138 - - 138 -
381 Ondansetron inj 2 mg/ml AMPUL - 1,650.00 Rp - 0 1,650.00 - 0 1650 - - 1650 -
382 Papaverin Tablet 40mg TABLET - 109.45 Rp - 0 109.45 - 0 109.45 - - 109.45 -
383 Paracetamol sirup BOTOL 18 2,530.00 Rp 45,540.00 0 2,530.00 - 0 2,530.00 - 18 2,530.00 45,540
384 Parasetamol Sirup BOTOL - 1,160.00 Rp - 0 1,160.00 - 0 1,160.00 - - 1,160.00 -
385 Parasetamol Drops BOTOL - 5,720.00 Rp - 0 5,720.00 - 0 5,720.00 - - 5,720.00 -
386 Parasetamol tablet 500 mg TABLET 750 96.80 Rp 72,600.00 2850 96.80 275,880 3,600 96.80 348,480 - 96.80 -
387 Pharmafix KOTAK 3 - Rp - 3 - - 6 - - - - -
388 Piracetam 1200 mg TABLET - 4,312.00 Rp - 0 4,312.00 - 0 4,312.00 - - 4,312.00 -
389 Piracetam 800 mg TABLET - 980.43 Rp - 0 980.43 - 0 980.43 - - 980.43 -
390 Piracetam injeksi 1 gr/ ampul AMPUL - 6,050.00 Rp - 0 6,050.00 - 0 6,050.00 - - 6,050.00 -
391 Piracetam injeksi 3 gr/ampul AMPUL - 20,883.00 Rp - 0 20,883.00 - 0 20,883.00 - - 20,883.00 -
392 Pirantel pamoat kaplet 125 mg TABLET - 318.00 Rp - 0 318.00 - 0 318.00 - - 318.00 -
393 Piridoksin tablet 10 mg TABLET 1,600 136.00 Rp 217,600.00 0 136.00 - 1,600 136.00 217,600 - 136.00 -
394 Piroksikam tab 10 mg TABLET - 110.00 Rp - 0 110.00 - 0 110.00 - - 110.00 -
395 Piroxicam kapsul 20 mg KAPSUL - 116.49 Rp - 0 116.49 - 0 116.49 - - 116.49 -
396 Plester 5 x 5 KOTAK - Rp - 0 - 0 - - -
397 Plester 5 yard x 2 inch KOTAK - 45,100.00 Rp - 0 45,100.00 - 0 45,100.00 - - 45,100.00 -
398 Pot Sputum PCS 27 5,000.00 Rp 135,000.00 0 5,000.00 - 23 5,000.00 115,000 4 5,000.00 20,000
399 Povidon Iodida Larutan 10%-300ml BOTOL - 22,500.00 Rp - 22,500.00 - 0 22,500.00 - - 22,500.00 -
0
400 Povidon Iodida Larutan 10%-60ml BOTOL - 4,625.00 Rp - 0 4,625.00 - 0 4,625.00 - - 4,625.00 -
401 Prednison tablet 5 mg TABLET - 118.80 Rp - 0 118.80 - 0 118.80 - - 118.80 -
402 Primakuin Tablet 15mg TABLET - 205.00 Rp - 0 205.00 - 0 205.00 - - 205.00 -
403 Prodex TABLET - Rp - 0 - 0 - - -
404 Propanolol HCL tablet 10 mg TABLET 300 69.00 Rp 20,700.00 0 69.00 - 0 69.00 - 300 69.00 20,700
405 Propilithiouracil tablet 100 mg TABLET - 320.00 Rp - 0 320.00 - 0 320.00 - - 320.00 -
406 Ranitidin injeksi 25 mg/ 2 ml AMPUL 100 1,600.00 Rp 160,000.00 0 1,600.00 - 100 1,600.00 160,000 - 1,600.00 -
407 Ranitidin tablet 150 mg TABLET 1,200 119.00 Rp 142,800.00 0 119.00 - 1,200 119.00 142,800 - 119.00 -
Retinol (Vitamin A) 100.000IU Kapsul
408 BOTOL - 331.00 Rp - 331.00 - 0 331.00 - - 331.00 -
Lunak 0
Retinol (Vitamin A) 200.000IU Kapsul
409 TABLET - 596.00 Rp - 596.00 - 0 596.00 - - 596.00 -
Lunak 0
410 Riagen TB TABLET - 450,000.00 Rp - 0 450,000.00 - 0 450,000.00 - - 450,000.00 -
411 Rifampicin tab TABLET - 265.00 Rp - 0 265.00 - 0 265.00 - - 265.00 -
412 Ringer Laktat Larutan Infus BOTOL 44 7,150.00 Rp 314,600.00 60 7,150.00 429,000 104 7,150.00 743,600 - 7,150.00 -
413 Salbutamol tablet 2 mg TABLET 300 65.00 Rp 19,500.00 0 65.00 - 300 65.00 19,500 - 65.00 -
414 Salbutamol tablet 4 mg TABLET 100 93.00 Rp 9,300.00 0 93.00 - 100 93.00 9,300 - 93.00 -
415 Salisil bedak 2% POT 4 2,750.00 Rp 11,000.00 0 2,750.00 - 4 2,750.00 11,000 - 2,750.00 -
416 Sianokobalamin (B12) TABLET - 1,055.00 Rp - 500 1,055.00 527,500 500 1,055.00 527,500 - 1,055.00 -
417 Silk 3/0 benang bedah PCS - 3,055.00 Rp - 0 3,055.00 - 0 3,055.00 - - 3,055.00 -
418 Simvastatin tablet 10 mg TABLET 700 297.00 Rp 207,900.00 0 297.00 - 700 297.00 207,900 - 297.00 -
419 Simvastatin tablet 20 mg TABLET 1,050 Rp - 0 - 1,050 - - -
420 Sodium Diclofenac 25 mg TABLET - Rp - 0 - 0 - - -
421 Sodium Diclofenac 50mg TABLET 1,300 145.00 Rp 188,500.00 1500 145.00 217,500 2,800 145.00 406,000 - 145.00 -
422 Streptomisin injeksi 500 mg AMPUL - 2,090.00 Rp - 0 2,090.00 - 0 2,090.00 - - 2,090.00 -
423 Tablet Tambah Darah TABLET 200 6,188.00 Rp 1,237,600.00 0 6,188.00 - 200 6,188.00 1,237,600 - 6,188.00 -
424 Tetagam inj i.m. 250 IU AMPUL - 170,000.00 Rp - 0 170,000.00 - 0 170,000.00 - - 170,000.00 -
425 Tetrasiklin kapsul 500 mg KAPSUL - 325.00 Rp - 0 325.00 - 0 325.00 - - 325.00 -
426 Thiamin injeksi 100 mg/ml ( VIT B1 ) AMPUL - 1,012.00 Rp - 1,012.00 - 0 1,012.00 - - 1,012.00 -
0
427 Thiamin tablet 50 mg ( VIT.B1 ) TABLET 900 91.00 Rp 81,900.00 0 91.00 - 900 91.00 81,900 - 91.00 -
428 Tramadol injeksi 50 mg/ml AMPUL - 3,521.00 Rp - 0 3,521.00 - 0 3,521.00 - - 3,521.00 -
429 Tramadol tablet 50 mg TABLET - 363.00 Rp - 0 363.00 - 0 363.00 - - 363.00 -
430 Triheksifenidil Tablet 2mg TABLET 343 45.38 Rp 15,565.34 0 45.38 - 343 45.38 15,565 - 45.38 -
431 Urin Bag PCS 3 4,400.00 Rp 13,200.00 0 4,400.00 - 3 4,400.00 13,200 - 4,400.00 -
432 Vitamin B Kompleks TABLET - 132.00 Rp - 300 132.00 39,600 300 132.00 39,600 - 132.00 -
433 Zink Dispersibel tab 20 mg TABLET 300 57.20 Rp 17,160.00 0 57.20 - 300 57.20 17,160 - 57.20 -
434 Farmabion Gold KAPSUL 120 150 Rp - 270 - - -
435 Plain Cat Gut PCS - Rp - Rp - 0 - 0 -
436 Genoint Tetes Mata (Gentamicin) BOTOL - 5 Rp - 5 - - -
437 Handscoen Obsgyn Pcs - 10 Rp - 0 - 10 -
438 Nursecup Kotak - 2 Rp - 2 - - -
439 Handsanitiser BOTOL - Rp - Rp - 0 - 0 -

JUMLAH Rp 16,075,380 64,811,881 54,740,683 26,146,576

MENGETAHUI LIA SIAU, 28 Desember 2023

KEPALA PUSKESMAS LIA PENANGGUNG JAWAB

dr. MIRACHEL DIRK SAMEL INDAH F. SAPUTRI, S.Farm., Apt.

NIP. 19921227 202012 1 002 NIP. 19890214 202012 2 009
 PEMERINTAH KABUPATEN
KEPULAUAN SIAU TAGULANDANG BIARO
PUSKESMAS LIA KEC. SIAU TIMUR
Alamat : Kampung Lia, Lindongan III, Kec. Siau Timur, Kab.Kepl. Siau Tagulandang Biaro

BERITA ACARA STOCK OPNAME BULAN DESEMBER 2023

Pada hari ini, Kamis tanggal Dua Puluh Delapan bulan Desembe Tahun Dua Ribu Dua Puluh Tiga, telah diadakan stock opnam
fisik barang persediaan obat dan BMHP di bagian farmasi Puskesmas Lia , sebagai berikut:

HARGA
NO JENIS BARANG SATUAN STOK AKHIR
SATUAN
Abbocath No. 18 PCS 0 5,980.00
20 5,980.00
Abbocath No. 20 PCS
50 5,298.00
Abbocath No. 22 PCS 0 5,980.00
0 5,980.00
Abbocath No. 24 PCS
0 5,298.00
Abbocath No. 24 PCS 0 -
100 611.00
Acyclovir 200 mg TABLET
0 617.00
Acyclovir 400 mg TABLET 0 429.00
22 3,850.00
Acyclovir Krim TUBE
0 8,658.00
Alat Suntik 1 mL PCS 0 880.00
Alat Suntik 1 mL PCS 20 -
Alat Suntik 10 mL PCS 0 1,336.50
Alat Suntik 10 mL PCS 20 -
Alat Suntik 3 mL PCS 100 880.00
Alat Suntik 5 mL PCS 0 915.50
Alat Suntik 5 mL PCS 50 -
Alat Suntik Sekali Pakai 0,05 ml PCS 0 1,100.00
Albendazole TABLET 0
0 49,500.00
Alkohol 70% 1000 mL BOTOL
6 55,500.00
Allopurinol 100 mg TABLET 100 444.00
Allopurinol 100 mg TABLET 1000 -
Ambroksol 30 mg TABLET 2500 444.00
0 4,455.00
Ambroxol Sirup 60 ml BOTOL
0 11,100.00
Aminofiline Injeksi 24mg/ml AMPUL 0 2,836.00
0 231.00
Aminophilin 200 mg TABLET
0 253.00
Amlodipin 10 mg 3390 743.00
 0 55.00
Amlodipin 5 mg TABLET
2500 277.50
0 231.00
Amoxicillin 500 mg TABLET
2700 888.00
Amoxicillin sirup BOTOL 10 -
Ampisillin Injeksi Vial 10 -
Antasida + Simetikon TABLET 0 721.50
Antasida + Simetikon TABLET 2700 -
Antasida + Simetikon Suspensi
BOTOL 0 27,750.00
120mL
0 2,650.00
Aqua Pro Injeksi BOTOL
10 7,017.00
Asam Folat 0,4 mg TABLET 0 45.00
Asam Folat 1 mg TABLET 100 -
0 61.00
Asam Folat 1 mg TABLET
0 200.00
0 117.00
Asam Mefenamat 500 mg TABLET
1700 499.50
Aseptan/Antiseptik 500 mL BOTOL 2 34,650.00
Bedak Salicyl POT 0 4,180.00
Betahistin TABLET 120 -
Betametason krim 0,1% TUBE 0 5,200.00
BioSilk 3/0 -29,7mm PCS 0 24,942.50
Bisturi KOTAK 0 121,000.00
Blood Set PCS 0 8,054.00
0 440.00
Bromhexin 8 mg TABLET
600 444.00
Calcium Lactat TABLET 100 -
0 75.00
Captopril 25 mg TABLET
500 124.12
Carbamazepin 200 mg TABLET 0 216.00
0 216,480.00
Catgut Chromic 2/0 BOX
0 92,963.00
Catgut Chromic 3/0 KOTAK 0 202,950.00
Catgut Chromic 3/0 KOTAK 0 210,000.00
Catgut Plain 2/0 KOTAK 0 210,000.00
0 200,000.00
Catgut Plain 3/0 KOTAK
0 210,000.00
Cefadroksil 500 mg KAPSUL 500 7,398.12
Cefadroksil Sirup Kering BOTOL 0 3,890.00
Cefiksim 200 mg TABLET 0 3,456.00
Cefiksim 200 mg TABLET 600 -
Cetirizine Hydrochloride CPT TABLET 0 222.00
Cetirizine Hydrochloride CPT TABLET 700 -
Chateter No 16 PCS 0 13,200.00
Chateter No 18 PCS 0 13,200.00
Chlorampeniramini Maleat (CTM) TABLET 0 180.00

Chlorampeniramini Maleat (CTM) TABLET 400 -

0 594.00
Chlorampenicol kapsul KAPSUL
0 777.00
0 12,100.00
Chloramphenicol Tetes Telinga BOTOL
0 16,100.00
Ciprofloksasin 500 mg TABLET 300 888.00
Clonidin 0.15 mg TABLET 0 146.00
Cotrimoksasol 480mg TABLET 0 416.25
Coverall Microporus PCS 0 287,976.00
Dexametason 0,5 mg TABLET 1800 222.00
0 968.00
Dexamethasone Injeksi 5 mg/mL AMPUL
0 3,365.52
Dexamethasone Injeksi 5 mg/mL AMPUL 10
Diazepam 2 mg TABLET 0 108.00
Diazepam 5 mg TABLET 0 352.00
Diazepam Injeksi AMPUL 10 -
0 1,545.00
Diazepam injeksi AMPUL
0 8,841.15
0 198.00
Digoxin 0.25 mg TABLET
0 224.00
Dihidroartemsin + Piperkuin (DHP) TABLET 0 -
0 140.00
Diltiasem 30 mg TABLET
0 215.00
Diphenhydramine Injeksi AMPUL 0 825.00
Diphenhydramine Injeksi AMPUL 28 -
800 75.00
Domperidon 10 mg TABLET
0 333.00
Domperidon sirup BOTOL 0 6,761.00
Doxycycline 100 mg KAPSUL 0 484.00
Dulcolac TABLET 10 -
0 8,910.00
Efinefrin Injeksi 1 mg/mL AMPUL
35 3,663.00
Eritromicin 500mg KAPLET 0 1,540.00
Eritromicin sirup BOTOL 0 1,540.00
Etil Klorid Semprot CAN 1 113,300.00
Filasilk 2-0'75-33 mm HCRB PCS 6 -
0 321.00
Furosemid 40 mg TABLET
0 1,000.00
Furosemid injeksi Ampul 5 969.00
Garam Oralit Serbuk SACET 110 -
Gentamicin Tetes Mata 0,3% BOTOL 0 14,500.00
Gentamicin Injeksi AMPUL 5
Glibenklamide 5 mg TABLET 0 300.00
Glimepirid 3 mg TABLET 300 143.00
Glimepirid 4mg TABLET 0 1,700.00
Glimepirid 2mg TABLET 300 3,330.00
0 6,024.00
Glukosa Larutan infus 5 % BOTOL
0 9,500.00
Griseofulvin 125mg TABLET 0 500.00
Handscoen Obsgyn PAIRS 0 60,500.00
Handscoen NON Steril PAIRS 3 -
Handscoen Steril PAIRS 0 12,465.00
Handscoen Steril PAIRS 10 -
0 148.00
Hidroklortiazid 25 mg TABLET
0 186.69
Hidrokortison Krim TUBE 0 6,105.00
Hidrokortison Krim TUBE 18 -
Ibuprofen 400mg TABLET 1100 424.83
Infus Set Anak PCS 10 6,000.00
Infus Set Dewasa PCS 15 -
Isosorbit Dinitrat 5 mg TABLET 0 184.00
Kapas Pembalut 500 Gr PCS 0 29,678.00
Kasa Hydrofil 40 yard X 80 cm ROLL 1 190,564.00
Kassa Steril 16/16 cm KOTAK 8 6,820.00
Ketokonasole Salep TUBE 0 2,694.00
Ketokonazol TABLET 0 797.18
Lanzoprasole KAPSUL 0 278.00
Lanzoprasole KAPSUL 300 -
Lidocaine HCL AMPUL 0 1,598.00
Lidocaine HCL AMPUL 14 -
Loperamid tablet 2 mg TABLET 200 -
Loperamid tablet 2 mg TABLET 200 -
80 55,000.00
Masker KOTAK
40 28,599.71
Masker N95 Ply KOTAK 0 551,031.00
Meloxicam 7,5 mg TABLET 200 397.00
Meloxicam 7,5 mg TABLET 0
0 77.00
Metformin TABLET
600 1,332.00
Methilergometrin Injeksi AMPUL 0 2,684.00
Methilergometrin Injeksi AMPUL 9 -
Methylergometrin 0,125 mg TABLET 0 1,069.00
Methylprednisolone 8 mg TABLET 300 -
0 330.00
Metronidazole 500 mg TABLET
0 444.00
Metronidazole 500 MG TABLET 200 -
Metronidazole Infus BOTOL 0 30,000.00
Metronidazole sirup BOTOL 0 3,765.00
MGSO4 20 % VIAL 1 -
MGSO4 40 % VIAL 1 -
Mikonazol Krim TUBE 5 7,548.00
Mikonazol Krim TUBE 12 -
Multivitamin (PRITAVIT) TABLET 1500 -
Multivitamin Anak (VIT GO) BOTOL 5 -
Molexdine (Povidone iodida) BOTOL 1
NaCl BOTOL 60 22,200.00
Nassal Canula Anak PCS 0 4,530.00
Nassal Canula Anak PCS 30 -
Nassal Canula Dewasa PCS 0 4,530.00
Nassal Canula Dewasa PCS 5
Natrium Diclofenak 50mg TABLET 0 294.00
Nifedipin 10 mg TABLET 400 220.00
Nurse Cup PCS 0 335.00
Oksitoksin AMPUL 0 7,992.00
Oksitoksin AMPUL 10 -
Oxytetracycline Salep Mata TUBE 6 -
Omeprazle cpsl TABLET 0 423.83
Omeprazle cpsl TABLET 420 -
Omeprazole injeksi AMPUL 0 74,800.00
Paracetamol 600mg TABLET 0 321.90
Paracetamol 600mg TABLET 3000 -
Paracetamol Sirup BOTOL 0 8,103.00
Pharmafix/AXMED KOTAK 0 38,940.00
Pharmafix/Plasterin Roll KOTAK 5 -
Phenobarbital TABLET 0 182.00
Phenobarbital Injeksi VIAL 10 -
0 781.00
Phitomenadion 10 MG TABLET
0 1,332.00
0 1,452.00
Phytomenadion Injeksi AMPUL
37 3,996.00
Prednison TABLET 0 217.56
Propanolol 10 MG TABLET 0 63.00
Propilthiuracil 100 mg TABLET 0 440.00
0 85.00
Ranitidin tablet TABLET
0 4,995.00
0 858.00
Ranitidin injeksi AMPUL
33 1,520.00
Ringer Laktat BOTOL 0 7,150.00
Ringer Laktat BOTOL 40 -
Salbutamol 2 mg TABLET 200 153.89
Salbutamol 4 mg TABLET 200 190.00
Salep 2-4 POT 0 2,653.00
0 73.00
Simvastatin 10 mg TABLET
0 299.70
0 150.00
Simvastatin 20 mg TABLET
100 1,035.64
Slim Seher PCS 0 8,448.00
Stomach Tube PCS 0 7,590.00
Tablet Tambah Darah TABLET 1000 255.00
Tablet Tambah Darah
TABLET 0 2,220.00
(FARMABION GOLD)
Trihexyphenidyl Hcl TABLET 212 63.00
Urine bag PCS 5 5,511.00
Vitamin A Biru BOTOL 1 -
Vitamin A Merah BOTOL 1 -
Vitamin B1 TABLET 0 300.00
Vitamin B12 TABLET 0 150.00
Vitamin B6 TABLET 500 201.83
Vitamin C 50 mg TABLET 1100 46.00
Vitamin B Kompleks TABLET 260
Zink TABLET 0 1,665.00
Zink TABLET 400 -

Abbocath No. 18 PCS - 7,000.00

Abbocath No. 20 PCS - 7,000.00
Abbocath No. 22 PCS - 7,000.00
Abbocath No. 24 PCS - 8,566.00
Acyclovir cream 5% TUBE - 3,839.00
Acyclovir tablet 400 mg TABLET - 362.00
Alat suntik sekali pakai 0,05 ml PCS - 3,058.00
Alat suntik sekali pakai 0,5 ml PCS - 3,058.00
Alat suntik sekali pakai 1 ml PCS - 1,202.00
Alat suntik sekali pakai 2,5 – 3 ml PCS - 1,142.00
Alat suntik sekali pakai 5 ml PCS 5 1,142.00
Albendazole TABLET -
Alkohol Swab PCS 100
Allopurinol tablet 100 mg TABLET - 95.00
Ambroksol syrup 15 mg/5 ml BOTOL - 3,630.00
Ambroksol tablet 30 mg TABLET - 198.00
Ambroxol 30 mg TABLET - 165.00
Aminophillin 200 mg tablet TABLET - 115.00
Aminophollin Injeksi 24mg/ml AMPUL - 3,349.00
Amitriptillin 25 mg tablet TABLET - 123.00
Amlodipin 10mg TABLET - 163.00
Amlodipin 5mg TABLET - -
Amoksisilin Kaplet 500 mg KAPLET - 233.00
Amoksisilin kapsul 250mg KAPSUL - 207.00
Amoksisilin syrup kering 125 mg/5
BOTOL - 2,560.00
ml
Antasida doen tablet kombinasi TABLET - 64.00
Antasida supensi 60 ml BOTOL - 2,213.00
Antihemoroid Suppositoria SUPP - 3,502.00
Aqua pro injeksi steril bebas
BOTOL - 6,050.00
pirogen
Asam askorbat 500 mg TABLET - 891.00
Asam Askrobat tablet 250 mg TABLET - 139.00
Asam Askrobat tablet 50 mg TABLET - 120.00
Asam Folat tablet 1 mg TABLET - 52.00
Asam Mefenamat Kaplet 500 mg KAPLET - 113.00

Asam Traneksamat Injeksi 50

AMPUL - 2,659.00
mg/ml
Atorvastatin TABLET - 615.00
Atropin injeksi i.m/i.v/s.k 0,25mg/ml
AMPUL - 1,672.00
( sulfat )

Attapulgite 600 mg (New Antides) TABLET - 173.00

Besi II sulfat tab 200mg + As.Folat

TABLET - 2,200.00
0,25mg
Betahistin Mesileat tablet 6 mg TABLET - 609.84
Betametason krim 0,1% TUBE - 1,420.00
Bioneuron Injeksi AMPUL - 5,645.00
Bisoprorol tablet 5 mg TABLET - 695.00
Bromhexin 8 mg TABLET - 286.00
Captopril tablet 12,5 mg TABLET - 99.00
Captopril tablet 25 mg TABLET - 138.00
Carbamezepin tab 200mg TABLET - 271.10
Catgut/Benang Bedah 2/0 PCS 12 29,333.00
Catgut/Benang Bedah 3/0 PCS 12 27,041.00
Cefadroksil kapsul 500 mg KAPSUL - 557.00
Cefadroksil sirup kering 250 mg/ml BOTOL - 5,286.00
Cefiksim kapsul 100 mg KAPSUL - 649.00
Cefiksim sirup kering 30 mg BOTOL - 7,688.00
Ceftriakson injeksi 1 gram AMPUL - 10,000.38
Cetirizine Syrup 5mg/5ml BOTOL - 8,799.00
Cetirizine tablet 10 mg TABLET - 3,630.00
Chatether No. 14 PCS - 8,000.00
Chatether No. 16 PCS - 8,000.00
Chatether No. 18 PCS 10 9,345.00
Chatether No. 20 PCS - 8,000.00
Chloramfenikol salep kulit 2%
TUBE - 3,409.00
(Bufacetin)
Chloramfenikol salep mata 1% TUBE - 1,680.00
Chloramfenikol tetes telinga 3% BOTOL 1 2,800.00
Chloramphenicol tetes mata 0,5 % BOTOL - 2,700.00

Chlorfeniramin meleat tablet 4 mg

TABLET - 60.00
(CTM)
Chlorpromazine 100 mg tablet
TABLET - 156.00
(Cepezet)
Cimetidin tablet 200 mg TABLET - 145.97
Ciprofloxacin Infus 2% BOTOL - 62,700.00
Ciprofloxacin tablet 500 mg TABLET - 312.40
Citicolin injeksi AMPUL - 9,075.00
Clobazam Tablet 10mg TABLET - 1,045.00
Clonidin Tablet 0.15 mg TABLET - 224.00
Clyndamicin KAPSUL - 2,000.00
Cotrimoksasol 120 mg pediatrik TABLET - 77.00
Cotrimoksasol adult 480 mg
TABLET 100 121.00
dewasa
Curbion BOTOL - 31,800.00
Deksametason injeksi 5 mg/ml AMPUL 40 1,745.00
Deksametasone Tablet 0,5 mg TABLET - 48.00
Dektran 70 larutan infus 6% steril BOTOL - 39,079.00
Dexamethasone 0.5 mg TABLET - 34.00
Diasepam injeksi i.v 5 mg/ml AMPUL - 2,604.00
Diasepam tablet 2 mg TABLET 229 35.00
Diasepam tablet 5 mg TABLET - 52.00
Difenhidramin HCl injeksi 10 mg/ml AMPUL - 1,156.00
Digoksin tablet 0,25 mg TABLET - 103.00
Diltiasem HCL tablet 30 mg TABLET - 135.00
Doksisiklin kapsul 100 mg KAPSUL - 298.00
Domperidom syrup 60 ml BOTOL - 3,490.00
Domperidon tablet 10 mg TABLET - 174.00
Dumin - 19,840.00
Epinefrin ( adrenalin ) injeksi 0,1 % AMPUL - 8,910.00
Eritromicin 500 mg TABLET - 781.00
Eritromisin kapsul 500mg KAPSUL - 1,023.00
Eritromisin sirup 200mg/ml BOTOL - 8,910.00
Etakridin Laktat Cairan 0,1%
BOTOL - 4,400.00
300ml
Etanol 70 % 100 ml BOTOL - 2,625.00
Etanol 70 % 1000 ml BOTOL - 22,816.00
Etanol 95% 1000 ml BOTOL -
Etil Klorida semprot BOTOL - 220,000.00
Famotidine 20 mg TABLET - 12,442.00
Fitomenadion injeksi 2 mg/ml AMPUL - 3,754.00
Fitomenadion tablet 10 mg TABLET - 690.00
Flukonasol 150mg TABLET - 20,700.00
Furosemid injeksi i.v/i.m 10 mg/ml AMPUL - 2,179.00
Furosemid tablet 40 mg TABLET - 182.00
Garam Oralit Serbuk SACH - 317.00
Gentamisin injeksi 40 mg/ml AMPUL - 3,739.00
Gentamisin krim TUBE - 2,021.00
Gentian Violet Larutan 1% BOTOL - 495.00
Glibenklamid tablet 5 mg TABLET 100 7,920.00
Glimepirid 2 mg TABLET 90 458.00
Glimepirid 3 mg TABLET - 452.00
Glukosa 40% BOTOL - 1,598.00
Glukosa Larutan Infus 10% BOTOL - 6,270.00
Glukosa larutan infus 5% BOTOL - 6,900.00
Gluquidon Tablet 30mg TABLET - 1,100.00
Griseofulvin tablet 125 mg TABLET - 230.00
Guafenisin TABLET -
Haloperidol 2 mg tablet TABLET - 134.00
Haloperidol tablet 5 mg TABLET - 134.52
Handscoen Non Steril (S,M,L) PCS - 1,320.00
Handscoen Steril No. (6,5 /7,5 /8 ) PCS - 330.00
Hidroklortiazid tablet 25 mg TABLET - 39.93
Hidrokortison krim 2,5% TUBE - 2,938.00
Ibuprofen 400 mg TABLET - 660.00
Ibuprofen suspensi 200mg/ml BOTOL - 4,949.00
Infus set anak PCS 7 3,500.00
Infus set dewasa PCS - 3,200.00
Isosorbid Dinitrat tablet Sublingual
TABLET - 98.00
5 mg
Kalium Diklofenak 50 mg TABLET - 864.38
Kalium Klorida tablet SR 600 mg
TABLET - 1,700.00
(KSR)
Kalsium Laktat tablet 500 mg TABLET - 76.00
Kalsium Laktat tablet 500 mg TABLET - 63.00
Kanul Anak PCS -
Kanul Dewasa PCS -
Kapas berlemak PCS - 16,500.00
Kapas pembalut 250 gram PCS 1 12,500.00
Kasa Hydrofil 40 yard x 80 cm ROLL 1 105,000.00
Kasa Pembalut 4 x 10 cm KOTAK - 668.00
Kasa Pembalut Hydrofil 16 x 16 KOTAK - 9,350.00
Kasa Pembalut Hydrofil 4 x 5 cm KOTAK - 750.00
Ketokonasol tablet 200 mg TABLET - 320.00
Ketokonasol salep TUBE -
Ketoprofen (Protofen) Suppositoria SUPP - 2,858.02
Ketorolac injeksi 30 mg AMPUL - 1,383.00
Kuinin (Kina) Tablet 200mg TABLET - 737.00
Lanzoprazole 30 mg KAPSUL - 297.30
Levofloxacin 500mg TABLET - 525.00
Lidokain comp injeksi 2% 2 ml AMPUL - 1,111.00
Lidokain injeksi2%+Epinefrin 2%
AMPUL - 2,122.00
80.000-2ml
Linkomosin kapsul 500mg KAPSUL - 596.00
Loperamid tablet 2 mg TABLET - 97.00
Loratadin tablet 10 mg TABLET - 149.00
Loratadin tablet 10 mg TABLET - 127.00
Magnesium sulfat 20% injeksi AMPUL - 1,694.00
Magnesium sulfat 40% injeksi AMPUL - 2,143.00
Masker KOTAK 26
Meloxicam 15 mg TABLET - 1,463.00
Meloxicam 7,5 mg TABLET - 844.80
Metampiron Injeksi 250mg AMPUL - 1,466.00
Metampiron tab 500mg TABLET - 242.00
Metformin HCL tablet 500 mg TABLET - 119.00
Metilergometrin Maleat injeksi 0,2
AMPUL - 2,684.00
mg/ml
Metillergometrin Maleat tablet salut
AMPUL - 360.00
0,125 m
Metilprenidsolon tablet 4 mg TABLET - 211.00
Metilprenidsolon tablet 8 mg TABLET - 990.00
Metoclopramide TABLET - 93.00
Metokloperamid injeksi 5 mg/ml AMPUL - 5,500.00
Metokloperamid tabet 10 mg TABLET - 100.00
Metoklopramide sirup 5 mg/ml BOTOL - 2,310.00
Metronidasol infus 500 mg/100 ml BOTOL - 32,450.00
Metronidasol tablet 500 mg TABLET - 140.00
Mikonasol krim 2% TUBE - 3,737.00
NaCL Larutan infus 0,9% BOTOL - 6,410.00
Natrium Diklofenac 50 mg TABLET - 193.00
Nifedipin tablet 10 mg TABLET - 123.00
Obat Antituberkulosis Kat.Anak
KOTAK - 236,500.00
( OAT )
Obat Antituberkulosis Kat.I dewasa
KOTAK - 396,000.00
FDC ( OAT )
Obat Antituberkulosis Kat.II
KOTAK - 1,320,000.00
dewasa FDC ( OAT )
Obat batuk hitam 100 ml BOTOL - 2,277.00
Ofloxacin Tablet 400mg TABLET - 960.3
Oksitoksin salep kulit 3% TUBE - 1,816.00
Oksitoksin salep mata 1 % TUBE - 2310
Omecal - D TABLET - 2768
OMEGAVIT TABLET -
Omeprasol kapsul 20 mg KAPSUL - 221
Omeprazole KAPSUL - 138
Ondansetron inj 2 mg/ml AMPUL - 1650
Papaverin Tablet 40mg TABLET - 109.45
Paracetamol sirup BOTOL 18 2,530.00
Parasetamol Sirup BOTOL - 1,160.00
Parasetamol Drops BOTOL - 5,720.00
Parasetamol tablet 500 mg TABLET - 96.80
Pharmafix KOTAK - -
Piracetam 1200 mg TABLET - 4,312.00
Piracetam 800 mg TABLET - 980.43
Piracetam injeksi 1 gr/ ampul AMPUL - 6,050.00
Piracetam injeksi 3 gr/ampul AMPUL - 20,883.00
Pirantel pamoat kaplet 125 mg TABLET - 318.00
Piridoksin tablet 10 mg TABLET - 136.00
Piroksikam tab 10 mg TABLET - 110.00
Piroxicam kapsul 20 mg KAPSUL - 116.49
Plester 5 x 5 KOTAK -
Plester 5 yard x 2 inch KOTAK - 45,100.00
Pot Sputum PCS 4 5,000.00
Povidon Iodida Larutan 10%-300ml BOTOL - 22,500.00

Povidon Iodida Larutan 10%-60ml BOTOL - 4,625.00

Prednison tablet 5 mg TABLET - 118.80
Primakuin Tablet 15mg TABLET - 205.00
Prodex TABLET -
Propanolol HCL tablet 10 mg TABLET 300 69.00
Propilithiouracil tablet 100 mg TABLET - 320.00
Ranitidin injeksi 25 mg/ 2 ml AMPUL - 1,600.00
Ranitidin tablet 150 mg TABLET - 119.00
Retinol (Vitamin A) 100.000IU
BOTOL - 331.00
Kapsul Lunak
Retinol (Vitamin A) 200.000IU
TABLET - 596.00
Kapsul Lunak
Riagen TB TABLET - 450,000.00
Rifampicin tab TABLET - 265.00
Ringer Laktat Larutan Infus BOTOL - 7,150.00
Salbutamol tablet 2 mg TABLET - 65.00
Salbutamol tablet 4 mg TABLET - 93.00
Salisil bedak 2% POT - 2,750.00
Sianokobalamin (B12) TABLET - 1,055.00
Silk 3/0 benang bedah PCS - 3,055.00
Simvastatin tablet 10 mg TABLET - 297.00
Simvastatin tablet 20 mg TABLET -
Sodium Diclofenac 25 mg TABLET -
Sodium Diclofenac 50mg TABLET - 145.00
Streptomisin injeksi 500 mg AMPUL - 2,090.00
Tablet Tambah Darah TABLET - 6,188.00
Tetagam inj i.m. 250 IU AMPUL - 170,000.00
Tetrasiklin kapsul 500 mg KAPSUL - 325.00
Thiamin injeksi 100 mg/ml ( VIT B1
AMPUL - 1,012.00
)
Thiamin tablet 50 mg ( VIT.B1 ) TABLET - 91.00
Tramadol injeksi 50 mg/ml AMPUL - 3,521.00
Tramadol tablet 50 mg TABLET - 363.00
Triheksifenidil Tablet 2mg TABLET - 45.38
Urin Bag PCS - 4,400.00
Vitamin B Kompleks TABLET - 132.00
Zink Dispersibel tab 20 mg TABLET - 57.20
Farmabion Gold KAPSUL -
Plain Cat Gut PCS 0
Genoint Tetes Mata (Gentamicin) BOTOL -
Handscoen Obsgyn Pcs 10
Nursecup Kotak -
Handsanitiser BOTOL 0
JUMLAH

Demikian Berita acara opname Fisik barang ini dibuat dalam rangkap dua (2) untuk dipergunakan sebagaimana mesti

MENGETAHUI LIA SIAU, 28 DESEMBER 202

KEPALA PUSKESMAS LIA PENANGGUNG JAWAB

dr. Mirachel Dirk Samel Indah F Saputri, S,Farm.,Apt

NIP. 19921227 202012 1 009 NIP. 19890214 202012 2 009
RO

andang Biaro

ER 2023

h Tiga, telah diadakan stock opname

TOTAL KET

-
119,600
264,900
-
-
-
-
61,100
-
-
84,700
-
-
-
-
-
88,000
-
-
-
-
-
333,000
44,400
-
1,110,000
-
-
-
-
-
2,518,770
 -
693,750
-
2,397,600
-
-
-
-
-
-
70,170
-
-
-
-
-
849,150
69,300
-
-
-
-
-
-
-
266,400
-
-
62,060
-
-
-
-
-
-
-
-
3,699,058
-
-
-
-
-
-
 -
-

-
-
-
-
-
266,400
-
-
-
399,600
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
60,000
-
-
-
-
-
128,205
-
-
113,300
-
-
-
4,845
-
 -
-
-
42,900
-
999,000
-
-
-
-
-
-
-
-
-
-
-
467,313
60,000
-
-
-
190,564
54,560
-
-
-
-
-
-
-
-
4,400,000
1,143,989
-
79,400
-
-
799,200
-
-
-
-
-
-
 -
-
-
-
-
37,740
-
-
-
-
1,332,000
-
-
-
-
-
88,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
147,852
-
-
-
-
-
-
50,160
-
-
30,778
 38,000
-
-
-
-
103,564
-
-
255,000
-
13,356
27,555
-
-
-
-
100,915
50,600
-
-
-

-
-
-
-
-
-
-
-
-
-
5,710
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-

-
-
-
-
-
-
-
-
-
351,996
324,492
-
-
-
-
-
-
-
-
-
93,450
-
-
-
2,800
-

-
-
-
-
-
-
-
-
-
12,100
-
69,800
-
-
-
-
8,015
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
792,000
41,220
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
24,500
-
-
-
-
-
-
-
-
-
12,500
105,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
-
-
-
-
-
-
-
 -

-
-
-
-
-
-
-
-
-
-
-
45,540
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20,000
-

-
-
-
-
20,700
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
26,146,576

dipergunakan sebagaimana mestinya.

LIA SIAU, 28 DESEMBER 2023

PENANGGUNG JAWAB

Indah F Saputri, S,Farm.,Apt

NIP. 19890214 202012 2 009
Abbocath No. 18 PCS 15 Abbocath No. 18 PCS
40
Abbocath No. 20 PCS Abbocath No. 20 PCS
0
Abbocath No. 22 PCS 20 Abbocath No. 22 PCS
10
Abbocath No. 24 PCS Abbocath No. 24 PCS
5
Abbocath No. 24 PCS 5 Abbocath No. 24 PCS
200
Acyclovir 200 mg TABLET Acyclovir 200 mg TABLET
0
Acyclovir 400 mg TABLET 0 Acyclovir 400 mg TABLET
8
Acyclovir Krim TUBE Acyclovir Krim TUBE
0
Alat Suntik 1 mL PCS 50 Alat Suntik 1 mL PCS
Alat Suntik 1 mL PCS 0 Alat Suntik 1 mL PCS
Alat Suntik 10 mL PCS 0 Alat Suntik 10 mL PCS
Alat Suntik 10 mL PCS 0 Alat Suntik 10 mL PCS
Alat Suntik 3 mL PCS 100 Alat Suntik 3 mL PCS
Alat Suntik 5 mL PCS 0 Alat Suntik 5 mL PCS
Alat Suntik 5 mL PCS 0 Alat Suntik 5 mL PCS
Alat Suntik Sekali Pakai
PCS 0 Alat Suntik Sekali Pakai 0,05 ml PCS
0,05 ml
Albendazole TABLET 400 Albendazole TABLET
5
Alkohol 70% 1000 mL BOTOL Alkohol 70% 1000 mL BOTOL
0
Allopurinol 100 mg TABLET 1,200 Allopurinol 100 mg TABLET
Allopurinol 100 mg TABLET 0 Allopurinol 100 mg TABLET
Ambroksol 30 mg TABLET 4,500 Ambroksol 30 mg TABLET
0
Ambroxol Sirup 60 ml BOTOL Ambroxol Sirup 60 ml BOTOL
0
Aminofiline Injeksi
AMPUL 0 Aminofiline Injeksi 24mg/ml AMPUL
24mg/ml
0
Aminophilin 200 mg TABLET Aminophilin 200 mg TABLET
0
Amlodipin 10 mg 4,560 Amlodipin 10 mg
1,500
Amlodipin 5 mg TABLET Amlodipin 5 mg TABLET
3,500
0
Amoxicillin 500 mg TABLET Amoxicillin 500 mg TABLET
4,200
Amoxicillin sirup BOTOL 0 Amoxicillin sirup BOTOL
Ampisillin Injeksi Vial 0 Ampisillin Injeksi Vial
Antasida + Simetikon TABLET 2,000 Antasida + Simetikon TABLET
Antasida + Simetikon TABLET 1,900 Antasida + Simetikon TABLET
Antasida + Simetikon Antasida + Simetikon Suspensi
BOTOL 0 BOTOL
Suspensi 120mL 120mL
10
Aqua Pro Injeksi BOTOL Aqua Pro Injeksi BOTOL
Aqua Pro Injeksi BOTOL Aqua Pro Injeksi BOTOL
0
Asam Folat 0,4 mg TABLET 0 Asam Folat 0,4 mg TABLET
Asam Folat 1 mg TABLET 200 Asam Folat 1 mg TABLET
0
Asam Folat 1 mg TABLET Asam Folat 1 mg TABLET
0
Asam Mefenamat 500 0
TABLET Asam Mefenamat 500 mg TABLET
mg 1,300
Aseptan/Antiseptik 500
BOTOL 11 Aseptan/Antiseptik 500 mL BOTOL
mL
Bedak Salicyl POT 10 Bedak Salicyl POT
Betahistin TABLET 180 Betahistin TABLET
Betametason krim 0,1% TUBE 25 Betametason krim 0,1% TUBE
BioSilk 3/0 -29,7mm PCS 0 BioSilk 3/0 -29,7mm PCS
Bisturi KOTAK 0 Bisturi KOTAK
Blood Set PCS 0 Blood Set PCS
200
Bromhexin 8 mg TABLET Bromhexin 8 mg TABLET
600
Calcium Lactat TABLET 200 Calcium Lactat TABLET
0
Captopril 25 mg TABLET Captopril 25 mg TABLET
1,000
Carbamazepin 200 mg TABLET 0 Carbamazepin 200 mg TABLET
0
Catgut Chromic 2/0 BOX Catgut Chromic 2/0 BOX
0
Catgut Chromic 3/0 KOTAK 0 Catgut Chromic 3/0 KOTAK
Catgut Chromic 3/0 KOTAK 0 Catgut Chromic 3/0 KOTAK
Catgut Plain 2/0 KOTAK 0 Catgut Plain 2/0 KOTAK
0
Catgut Plain 3/0 KOTAK Catgut Plain 3/0 KOTAK
0
Cefadroksil 500 mg KAPSUL 0 Cefadroksil 500 mg KAPSUL
Cefadroksil Sirup Kering BOTOL 0 Cefadroksil Sirup Kering BOTOL
Cefiksim 200 mg TABLET 0 Cefiksim 200 mg TABLET
Cefiksim 200 mg TABLET 900 Cefiksim 200 mg TABLET
Cetirizine Hydrochloride
TABLET 500 Cetirizine Hydrochloride CPT TABLET
CPT
Cetirizine Hydrochloride
TABLET 0 Cetirizine Hydrochloride CPT TABLET
CPT
Chateter No 16 PCS 0 Chateter No 16 PCS
Chateter No 18 PCS 0 Chateter No 18 PCS
Chlorampeniramini
TABLET 3,600 Chlorampeniramini Maleat (CTM) TABLET
Maleat (CTM)
Chlorampeniramini
TABLET 200 Chlorampeniramini Maleat (CTM) TABLET
Maleat (CTM)
0
Chlorampenicol kapsul KAPSUL Chlorampenicol kapsul KAPSUL
0
Chloramphenicol Tetes 0
BOTOL Chloramphenicol Tetes Telinga BOTOL
Telinga 0
Ciprofloksasin 500 mg TABLET 600 Ciprofloksasin 500 mg TABLET
Clonidin 0.15 mg TABLET 0 Clonidin 0.15 mg TABLET
Cotrimoksasol 480mg TABLET 0 Cotrimoksasol 480mg TABLET
Coverall Microporus PCS 0 Coverall Microporus PCS
Dexametason 0,5 mg TABLET 3,100 Dexametason 0,5 mg TABLET
Dexamethasone Injeksi 5 0
AMPUL Dexamethasone Injeksi 5 mg/mL AMPUL
mg/mL 0
Dexamethasone Injeksi 5
AMPUL 0 Dexamethasone Injeksi 5 mg/mL AMPUL
mg/mL
Diazepam 2 mg TABLET 0 Diazepam 2 mg TABLET
Diazepam 5 mg TABLET 0 Diazepam 5 mg TABLET
Diazepam Injeksi AMPUL 0 Diazepam Injeksi AMPUL
0
Diazepam injeksi AMPUL Diazepam injeksi AMPUL
0
0
Digoxin 0.25 mg TABLET Digoxin 0.25 mg TABLET
0
Dihidroartemsin +
TABLET 0 Dihidroartemsin + Piperkuin (DHP) TABLET
Piperkuin (DHP)
0
Diltiasem 30 mg TABLET Diltiasem 30 mg TABLET
0
Diphenhydramine Injeksi AMPUL 0 Diphenhydramine Injeksi AMPUL

Diphenhydramine Injeksi AMPUL 2 Diphenhydramine Injeksi AMPUL

1,400
Domperidon 10 mg TABLET Domperidon 10 mg TABLET
0
Domperidon sirup BOTOL 0 Domperidon sirup BOTOL
Doxycycline 100 mg KAPSUL 0 Doxycycline 100 mg KAPSUL
Dulcolac TABLET 10 Dulcolac TABLET
0
Efinefrin Injeksi 1 mg/mL AMPUL Efinefrin Injeksi 1 mg/mL AMPUL
0
Eritromicin 500mg KAPLET 0 Eritromicin 500mg KAPLET
Eritromicin sirup BOTOL 0 Eritromicin sirup BOTOL
Etil Klorid Semprot CAN 0 Etil Klorid Semprot CAN
Filasilk 2-0'75-33 mm
PCS 6 Filasilk 2-0'75-33 mm HCRB PCS
HCRB
0
Furosemid 40 mg TABLET Furosemid 40 mg TABLET
0
Furosemid injeksi Ampul 0 Furosemid injeksi Ampul
Garam Oralit Serbuk SACET 190 Garam Oralit Serbuk SACET
Gentamicin Tetes Mata
BOTOL 0 Gentamicin Tetes Mata 0,3% BOTOL
0,3%
Gentamicin Injeksi AMPUL 0 Gentamicin Injeksi AMPUL
Glibenklamide 5 mg TABLET 500 Glibenklamide 5 mg TABLET
Glimepirid 3 mg TABLET 200 Glimepirid 3 mg TABLET
Glimepirid 4mg TABLET 0 Glimepirid 4mg TABLET
Glimepirid 2mg TABLET 0 Glimepirid 2mg TABLET
Glukosa Larutan infus 5 30
BOTOL Glukosa Larutan infus 5 % BOTOL
% 0
Griseofulvin 125mg TABLET 0 Griseofulvin 125mg TABLET
Handscoen Obsgyn PAIRS 0 Handscoen Obsgyn PAIRS
Handscoen NON Steril PAIRS 3 Handscoen NON Steril PAIRS
Handscoen Steril PAIRS 47 Handscoen Steril PAIRS
Handscoen Steril PAIRS 0 Handscoen Steril PAIRS
0
Hidroklortiazid 25 mg TABLET Hidroklortiazid 25 mg TABLET
0
Hidrokortison Krim TUBE 12 Hidrokortison Krim TUBE
Hidrokortison Krim TUBE 22 Hidrokortison Krim TUBE
Ibuprofen 400mg TABLET 2,300 Ibuprofen 400mg TABLET
Infus Set Anak PCS 0 Infus Set Anak PCS
Infus Set Dewasa PCS 25 Infus Set Dewasa PCS
Isosorbit Dinitrat 5 mg TABLET 0 Isosorbit Dinitrat 5 mg TABLET

Kapas Pembalut 500 Gr PCS 0 Kapas Pembalut 500 Gr PCS

Kasa Hydrofil 40 yard X

ROLL 0 Kasa Hydrofil 40 yard X 80 cm ROLL
80 cm
Kassa Steril 16/16 cm KOTAK 27 Kassa Steril 16/16 cm KOTAK
Ketokonasole Salep TUBE 0 Ketokonasole Salep TUBE
Ketokonazol TABLET 0 Ketokonazol TABLET
Lanzoprasole KAPSUL 0 Lanzoprasole KAPSUL
Lanzoprasole KAPSUL 300 Lanzoprasole KAPSUL
Lidocaine HCL AMPUL 0 Lidocaine HCL AMPUL
Lidocaine HCL AMPUL 14 Lidocaine HCL AMPUL
Loperamid tablet 2 mg TABLET 500 Loperamid tablet 2 mg TABLET
Loperamid tablet 2 mg TABLET 0 Loratadine TABLET
0
Masker KOTAK Masker KOTAK
0
Masker N95 Ply KOTAK 0 Masker N95 Ply KOTAK
Meloxicam 7,5 mg TABLET 100 Meloxicam 7,5 mg TABLET
Meloxicam 7,5 mg TABLET 300 Meloxicam 7,5 mg TABLET
0
Metformin TABLET Metformin TABLET
900
Methilergometrin Injeksi AMPUL 0 Methilergometrin Injeksi AMPUL
Methilergometrin Injeksi AMPUL 1 Methilergometrin Injeksi AMPUL
Methylergometrin 0,125
TABLET 0 Methylergometrin 0,125 mg TABLET
mg

Methylprednisolone 8 mg TABLET 400 Methylprednisolone 8 mg TABLET

0
Metronidazole 500 mg TABLET Metronidazole 500 mg TABLET
Metronidazole 500 mg TABLET Metronidazole 500 mg TABLET
100
Metronidazole 500 MG TABLET 100 Metronidazole 500 MG TABLET
Metronidazole Infus BOTOL 0 Metronidazole Infus BOTOL
Metronidazole sirup BOTOL 0 Metronidazole sirup BOTOL
MGSO4 20 % VIAL 0 MGSO4 20 % VIAL
MGSO4 40 % VIAL 0 MGSO4 40 % VIAL
Mikonazol Krim TUBE 40 Mikonazol Krim TUBE
Mikonazol Krim TUBE 0 Mikonazol Krim TUBE
Multivitamin (PRITAVIT) TABLET 1,600 Multivitamin (PRITAVIT) TABLET

Multivitamin Anak (VIT

BOTOL 5 Multivitamin Anak (VIT GO) BOTOL
GO)
Molexdine (Povidone
BOTOL 0 Molexdine (Povidone iodida) BOTOL
iodida)
NaCl BOTOL 30 NaCl BOTOL
Nassal Canula Anak PCS 10 NaCl BOTOL
Nassal Canula Anak PCS 20 Nassal Canula Anak PCS
Nassal Canula Dewasa PCS 1 Nassal Canula Anak PCS

Nassal Canula Dewasa PCS 5 Nassal Canula Dewasa PCS

Natrium Diclofenak 50mg TABLET 1,700 Nassal Canula Dewasa PCS

Nifedipin 10 mg TABLET 300 Natrium Diclofenak 50mg TABLET
Nurse Cup PCS 55 Nifedipin 10 mg TABLET
Oksitoksin AMPUL 10 Nurse Cup PCS
Oksitoksin AMPUL 0 Oksitoksin AMPUL
Oxytetracycline Salep
TUBE 4 Oksitoksin AMPUL
Mata
Omeprazle cpsl TABLET 600 Oxytetracycline Salep Mata TUBE
Omeprazle cpsl TABLET 1,480 Omeprazle cpsl TABLET
Omeprazole injeksi AMPUL 0 Omeprazle cpsl TABLET
Paracetamol 600mg TABLET 1,800 Omeprazole injeksi AMPUL
Paracetamol 600mg TABLET 3,300 Paracetamol 600mg TABLET
Paracetamol Sirup BOTOL 0 Paracetamol 600mg TABLET
Pharmafix/AXMED KOTAK 0 Paracetamol 500mg TABLET
Pharmafix/Plasterin Roll KOTAK 0 Paracetamol Sirup BOTOL
Phenobarbital TABLET 0 Pharmafix/AXMED KOTAK
Phenobarbital Injeksi VIAL 0 Pharmafix/Plasterin Roll KOTAK
0 Phenobarbital TABLET
Phitomenadion 10 MG TABLET
0 Phenobarbital Injeksi VIAL
3
Phytomenadion Injeksi AMPUL Phitomenadion 10 MG TABLET
0
Prednison TABLET 0
Phytomenadion Injeksi AMPUL
Propanolol 10 MG TABLET 0
Propilthiuracil 100 mg TABLET 0 Prednison TABLET
200 Propanolol 10 MG TABLET
Ranitidin tablet TABLET
700 Propilthiuracil 100 mg TABLET
0
Ranitidin injeksi AMPUL Ranitidin tablet TABLET
27
Ringer Laktat BOTOL 30
Ranitidin injeksi AMPUL
Ringer Laktat BOTOL 50
Salbutamol 2 mg TABLET 0 Ringer Laktat BOTOL
Salbutamol 4 mg TABLET 100 Ringer Laktat BOTOL
Salep 2-4 POT 0 Ringer Laktat BOTOL
0 Salbutamol 2 mg TABLET
Simvastatin 10 mg TABLET
0 Salbutamol 4 mg TABLET
0 Salep 2-4 POT
Simvastatin 20 mg TABLET
1,400
Simvastatin 10 mg TABLET
Slim Seher PCS 0
Stomach Tube PCS 0
Simvastatin 20 mg TABLET
Tablet Tambah Darah TABLET 2,200
Tablet Tambah Darah
TABLET 90 Slim Seher PCS
(FARMABION GOLD)
Trihexyphenidyl Hcl TABLET 488 Stomach Tube PCS
Urine bag PCS 0 Tablet Tambah Darah TABLET
Tablet Tambah Darah (FARMABION
Vitamin A Biru BOTOL 0 TABLET
GOLD)
Vitamin A Merah BOTOL 0 Trihexyphenidyl Hcl TABLET
Vitamin B1 TABLET 0 Urine bag PCS
Vitamin B12 TABLET 0 Vitamin A Biru BOTOL
Vitamin B6 TABLET 2,900 Vitamin A Merah BOTOL
Vitamin C 50 mg TABLET 900 Vitamin B1 TABLET
Vitamin B Kompleks TABLET 40 Vitamin B12 TABLET
Zink TABLET 0 Vitamin B6 TABLET
Zink TABLET 100 Vitamin C 50 mg TABLET
Vitamin B Kompleks TABLET
Zink TABLET
Zink TABLET
 15
40
0
20
10
5
5
200
0
0
8
0
50
0
0
0
100
0
0
0
400
5
0
1,200
0
4,500
0
0
0
0
0
4,560
1,500
3,500
0
4,200
0
0
2,000
1,900
0
10
 0
0
200
0
0
0
1,300
11
10
180
25
0
0
0
200
600
200
0
1,000
0
0
0
0
0
0
0
0
0
0
0
900
500

0
0
0
3,600

200
0
0
 0
0
600
0
0
0
3,100
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2
1,400
0
0
0
10
0
0
0
0
0
6
0
0
0
190
0
0
500
 200
0
0
30
0
0
0
6
47
0
0
0
12
22
2,300
0
30
0

0
27
0
0
0
300
0
14
500
0
0
0
0
100
300
0
900
0
1
0

400
0
 100
300
0
0
0
0
40
0
1,600

0
30
0
10
20

10
1,700
300
55
10
0
4
600
1,480
0
1,800
3,300

0
0
0
0
0
0
0
3
0
 0
0
0
200
700
0
27
30
30
20
0
100
0
0
0
0
1,400
0
0
2,200
90
488
0
0
0
0
0
2,900
900
40
0
100