RENCANA PELAKSANAAN KEGIATAN FARMASI

UPT PUSKESMAS PELINDUNG HEWAN

TAHUN ANGGARAN 2024

NO UPAYA KESEHATAN KEGIATAN TUJUAN SASARAN TARGET PENANGGUNG VOLUME JADWAL RINCIAN LOKASI BIAYA
SASARAN JAWAB KEGIATAN PELAKSANAAN
JENIS PERHITUNGAN VOLUME SATUAN HARGA SATUAN JUMLAH

1 Farmasi Pengadaan Tersedianya Gudang Obat 100% PJ Farmasi 2024 PJ Aset, PJ Thermohygrometer 1 Buah Rp 172,900.00 Rp 172,900.00
kebutuhan gudang tempat Keuangan, Pihak Formulir pencatatan suhu,folio 1 Rim Rp 58,400.00 Rp 58,400.00
obat penyimpanan Ketiga Lemari Obat 2 Set Rp 7,500,000.00 Rp 15,000,000.00
obat yang Kartu Stok merah,kuning,biru,u 1/3
memadai 500 Lembar Rp 290.00 Rp 145,000.00
folio/karton
Kulkas obat 1 Set Rp 16,000,000.00 Rp 16,000,000.00
Pengadaan Tersedianya Ruang 100% PJ Farmasi 2024 PJ Aset, PJ Lemari Obat 1 Set Rp 7,500,000.00 Rp 7,500,000.00
kebutuhan ruangan ruang pelayanan obat Keuangan, Pihak Meja kerja 1 Buah Rp 9,754,800.00 Rp 9,754,800.00
pelayanan pelayanan obat Ketiga Kursi putar Tipe FTR 353 NF 2 Buah Rp 528,000.00 Rp 1,056,000.00
yang memadai Thermohygrometer 1 Buah Rp 172,900.00 Rp 172,900.00
Formulir pencatatan suhu,folio 1 Rim Rp 58,400.00 Rp 58,400.00
Tissue Facial 1 kg 6 Pack Rp 46,000.00 Rp 276,000.00
Timbangan Teknis 1200 g x 0,1 g 1 Buah Rp 8,845,000.00 Rp 8,845,000.00
Batang pengaduk 2 Buah Rp 11,600.00 Rp 23,200.00
Corong kaca 1 Per set Rp 76,300.00 Rp 76,300.00
Cawan Penguap Porselen (d.5-15cm) 1 Buah Rp 200,000.00 Rp 200,000.00
Gelas ukur 3 Buah Rp 425,100.00 Rp 1,275,300.00
Gelas Piala 100mL, 500mL dan 1L 3 Buah Rp 110,000.00 Rp 330,000.00
Pipet berskala 1 Buah Rp 83,500.00 Rp 83,500.00
Spatel logam 1 Buah Rp 38,000.00 Rp 38,000.00
Shaker 1 Buah Rp 6,600,000.00 Rp 6,600,000.00
Termometer skala 100 1 Buah Rp 25,000.00 Rp 25,000.00
Hot Plat / Kompor listrik 2000 w 1 Set Rp 2,024,100.00 Rp 2,024,100.00
Rak pengering alat 1 Buah Rp 263,100.00 Rp 263,100.00
Pengadaan alat tulis Tersedianya 100% PJ Farmasi 2024 PJ Aset, PJ Kertas HVS F4 70 Gsm 10 Rim Rp 66,000.00 Rp 660,000.00
kantor alat tulis Keuangan, Pihak HVS Warna F4 2 Rim Rp 62,000.00 Rp 124,000.00
kantor Ketiga Box file bindex 5 Buah Rp 26,000.00 Rp 130,000.00
Map Business F4 12 Pcs Rp 5,800.00 Rp 69,600.00
Pulpen Standard R3 10 Lusin Rp 28,100.00 Rp 281,000.00
EPSON Black Ink Cartridge [T6641] 6 Buah Rp 81,400.00 Rp 488,400.00
Tinta Printer Epson - Black Ink
Cartridge For Epson L100 - L200 - L300
Series
EPSON Cyan Ink Cartridge [T6642] 3 Buah Rp 81,400.00 Rp 244,200.00
Tinta Printer Epson - Cyan Ink
Cartridge For Epson L100 - L200 - L300
Series
EPSON Magenta Ink Cartridge [T6643] 3 Buah Rp 81,400.00 Rp 244,200.00
Tinta Printer Epson - Magenta Ink
Cartridge For Epson L100 - L200 - L300
Series
EPSON Yellow Ink Cartridge [T6644] 3 Buah Rp 81,400.00 Rp 244,200.00
Tinta Printer Epson - Yellow Ink
Cartridge For Epson L100 - L200 - L300
Series
Isi hekter 50 Box Rp 3,300.00 Rp 165,000.00
Isolasi 12 Buah Rp 9,000.00 Rp 108,000.00
Post it page marker 5 Pad Rp 12,600.00 Rp 63,000.00
Buku Folio 100 Lembar 3 Buah Rp 24,500.00 Rp 73,500.00
Buku Folio 200 Lembar 3 Buah Rp 34,700.00 Rp 104,100.00
Pengadaan Obat Tersedianya Obat 100% PJ Farmasi 2024 PJ Aset, PJ Albendazol susp 200 mg/5 ml 1086 Botol Rp 4,400.00 Rp 4,778,400.00
obat Keuangan, PBF Albendazol tab 400 mg 4950 Tablet Rp 390.00 Rp 1,930,500.00
Alopurinol tab 100 mg 1582 Tablet Rp 230.00 Rp 363,860.00
Amitriptilin tab sal 25 mg 451 Tablet Rp 170.00 Rp 76,670.00
Amlodipin tab 10 mg 15000 Tablet Rp 330.00 Rp 4,950,000.00
Amlodipin tab 5 mg 26341 Tablet Rp 220.00 Rp 5,795,020.00
Amoksisilin drops 100 mg/ml 3 Botol Rp 29,400.00 Rp 88,200.00
Amoksisilin sir forte 250 mg/5 ml 694 Botol Rp 4,600.00 Rp 3,192,400.00
Amoksisilin sir kering 125 mg/5 ml 620 Botol Rp 3,700.00 Rp 2,294,000.00
Amoksisilin tab 250 mg 6799 Tablet Rp 240.00 Rp 1,631,760.00
Amoksisilin tab 500 mg 25344 Tablet Rp 340.00 Rp 8,616,960.00
Anestetik lokal gigi kombinasi : lidokain 1110 Ampul Rp 1,200.00 Rp 1,332,000.00
hcl 2% + epinefrin 1 : 80.000 inj 2 ml

Antasida, kombinasi : aluminium 44240 Tablet Rp 90.00 Rp 3,981,600.00

hidroksida 200 mg + magnesium
hidroksida 200 mg
Antasida, kombinasi : aluminium 934 Tablet Rp 90.00 Rp 84,060.00
hidroksida 200 mg + magnesium
hidroksida 200 mg
Antifungi salep, kombinasi : asam 420 Pot Rp 1,900.00 Rp 798,000.00
benzoat 6%+ asam salisilat 3%
Antihemoroid, kombinasi: bismut 316 Suppo Rp 30,000.00 Rp 9,480,000.00
subgalat 150 mg + heksaklorofen 2,5
mg + lidokain lidokain 10 mg+ seng
oksida 120 mg + sup ad 2 g
Articulating paper kertas warna 2 Buah Rp 132,000.00 Rp 264,000.00
penanda oklusi
Asam asetilsalisilat (asetosal) tab 80 mg 540 Tablet Rp - Rp -

Asam askorbat (vitamin C) tab 250 mg 11319 Tablet Rp 190.00 Rp 2,150,610.00

Asam askorbat (vitamin C) tab 50 mg 11684 Tablet Rp 110.00 Rp 1,285,240.00
Asam folat tab 1 mg 18740 Tablet Rp 50.00 Rp 937,000.00
Asam mefenamat kaps 500 mg 29456 Tablet Rp 170.00 Rp 5,007,520.00
Asiklovir tab 200 mg 5000 Tablet Rp 240.00 Rp 1,200,000.00
Asiklovir tab 400 mg 11376 Tablet Rp - Rp -
Atapulgit 600 mg 6374 Tablet Rp 1,300.00 Rp 8,286,200.00
Atropin inj 0,25 mg/ml (i.m./i.v./s.k) 5 Ampul Rp - Rp -
Bahan tumpatan sementara lar, serb 1.8 Buah Rp 13,500.00 Rp 24,300.00
Bedak salisil serb 2% 216 Buah Rp 1,500.00 Rp 324,000.00
Betametason krim 0,1% 713 Tube Rp 1,600.00 Rp 1,140,800.00
Bisakodil sup 5 mg 103 Suppo Rp 5,700.00 Rp 587,100.00
Bisakodil tab sal 5 mg 6750 Tablet Rp 1,900.00 Rp 12,825,000.00
Deksametason inj 5 mg/ml (i.v./i.m.) 8 Ampul Rp 1,800.00 Rp 14,400.00
Deksametason tab 0,5 mg 22101 Tablet Rp 50.00 Rp 1,105,050.00
Diazepam enema 10 mg/2,5 ml 16 Suppo Rp 19,000.00 Rp 304,000.00
Diazepam enema 5 mg/2,5 ml 18 Suppo Rp 12,100.00 Rp 217,800.00
Diazepam inj 5 mg/ml (i.v./i.m.) 9 Ampul Rp 10,500.00 Rp 94,500.00
Diazepam tab 2 mg 0 Tablet Rp 50.00 Rp -
Diazepam tab 5 mg 100 Tablet Rp 190.00 Rp 19,000.00
Difenhidramin inj 10 mg/ml (i.v./i.m.) 18 Ampul Rp 1,200.00 Rp 21,600.00
Dimenhidrinat tab 50 mg 540 Tablet Rp - Rp -
Doksisiklin kaps 100 mg 360 Kapsul Rp 300.00 Rp 108,000.00
Domperidon susp 5 mg/5 ml 122 Botol Rp 16,500.00 Rp 2,013,000.00
Domperidon tab 10 mg 994 Tablet Rp 450.00 Rp 447,300.00
Epinefrin (adrenalin) inj 1 mg/ml 13 Ampul Rp 8,100.00 Rp 105,300.00
Etanol 70% cairan 70% 49 Botol Rp 33,600.00 Rp 1,646,400.00
Etil klorida semprot 100 ml 2 Buah Rp - Rp -
Eugenol 2 Buah Rp 130,300.00 Rp 260,600.00
Fitomenadion (vitamin K 1) inj 2 mg/ml 8 Ampul Rp 3,700.00 Rp 29,600.00
(i.m.)
Fitomenadion (vitamin K 1) tab sal 10 488 Tablet Rp 720.00 Rp 351,360.00
mg
Formokresol 2 Buah Rp 96,400.00 Rp 192,800.00
Framisetin Sulfat Tulle 1% 18 Buah Rp 17,600.00 Rp 316,800.00
Furosemid tab 40 mg 540 Tablet Rp 80.00 Rp 43,200.00
Garam oralit kombinasi : natrium 3630 Sachet Rp 640.00 Rp 2,323,200.00
klorida 0,52 g + kalium klorida 0,30 g +
trinatrium sitrat 0,58 g + glukosa
anhidrat 2,7 g
Gentamisin salep mata 0,3% 900 Tube Rp 31,200.00 Rp 28,080,000.00
Gentamisin tts mata 0,3% 900 Botol Rp 4,200.00 Rp 3,780,000.00
Glass ionomer ART (Atraumatic 2 Buah Rp - Rp -
Restorative Treatment) cocoa butter 5 g

Glass ionomer ART (Atraumatic 2 Buah Rp - Rp -

Restorative Treatment) lar
Glass ionomer ART (Atraumatic 2 Buah Rp - Rp -
Restorative Treatment) serb
Glibenklamid tab 5 mg 540 Tablet Rp 120.00 Rp 64,800.00
Glimepirid tab 1 mg 10800 Tablet Rp 310.00 Rp 3,348,000.00
Glimepirid tab 2 mg 10800 Tablet Rp 500.00 Rp 5,400,000.00
Griseofulvin (micronized) tab 125 mg 1700 Tablet Rp 210.00 Rp 357,000.00
Griseofulvin (micronized) tab scored 250 5400 Tablet Rp - Rp -
mg
Haloperidol inj 5 mg/ml (i.m.) 13 Ampul Rp 7,100.00 Rp 92,300.00
Haloperidol tab 5 mg 126 Tablet Rp - Rp -
Hidrogen peroksida cairan 3% 1080 Buah Rp 24,300.00 Rp 26,244,000.00
Hidrokortison krim 2,5% 650 Tube Rp 2,800.00 Rp 1,820,000.00
Hiosina butilbromida tab 10 mg 9000 Tablet Rp - Rp -
Ibuprofen sir 100 mg/5 ml 500 Botol Rp - Rp -
Ibuprofen sir 200 mg/5 ml 21 Botol Rp 5,100.00 Rp 107,100.00
Ibuprofen tab 200 mg 2000 Tablet Rp 130.00 Rp 260,000.00
Ibuprofen tab 400 mg 4500 Tablet Rp 130.00 Rp 585,000.00
NO UPAYA KESEHATAN KEGIATAN TUJUAN SASARAN TARGET PENANGGUNG VOLUME JADWAL RINCIAN LOKASI BIAYA
SASARAN JAWAB KEGIATAN PELAKSANAAN
JENIS PERHITUNGAN VOLUME SATUAN HARGA SATUAN JUMLAH
Isoniazid tab 100 mg 5400 Tablet Rp 65.00 Rp 351,000.00
Isosorbid dinitrat tab 5 mg 240 Tablet Rp 550.00 Rp 132,000.00
Kalamin 540 Botol Rp - Rp -
Kalsium glukonat inj 100 mg/ml 5 Ampul Rp 8,600.00 Rp 43,000.00
Kalsium hidroksida bubuk, pasta 2 Buah Rp 170,665.00 Rp 341,330.00
Kalsium laktat (kalk) tab 500 mg 13121 Tablet Rp 70.00 Rp 918,470.00
Kaptopril tab 12,5 mg 2730 Tablet Rp 70.00 Rp 191,100.00
Kaptopril tab 25 mg 13500 Tablet Rp 73.00 Rp 985,500.00
Karbogliserin tts telinga 10 % 144 Botol Rp 2,400.00 Rp 345,600.00
Ketokonazol tab 200 mg 2592 Tablet Rp 270.00 Rp 699,840.00
Klindamisin kaps 150 mg 1052 Kapsul Rp 720.00 Rp 757,440.00
Klindamisin kaps 300 mg 1080 Kapsul Rp 730.00 Rp 788,400.00
Kloramfenikol kaps 250 mg 9000 Kapsul Rp - Rp -
Kloramfenikol salep kulit 2% 508 Tube Rp 8,700.00 Rp 4,419,600.00
Kloramfenikol salep mata 1% 657 Tube Rp 1,900.00 Rp 1,248,300.00
Kloramfenikol susp 125 mg/5 ml 450 Botol Rp 8,600.00 Rp 3,870,000.00
Kloramfenikol tts mata 0,5% 703 Botol Rp 8,600.00 Rp 6,045,800.00
Klorfeniramin tab 4 mg 43407 Tablet Rp 30.00 Rp 1,302,210.00
Klorfenol kamfer mentol (CHKM) 2 Buah Rp 59,000.00 Rp 118,000.00
Klorheksidin lar 0,2% 2 Botol Rp - Rp -
Klorheksidin lar 15% 2 Botol Rp - Rp -
Klorpromazin tab sal 100 mg 126 Tablet Rp - Rp -
Kodein tab 10 mg 3600 Tablet Rp 462.00 Rp 1,663,200.00
Kombinasi : ergotamin 1 mg+ kafein 50 18000 Tablet Rp 160.00 Rp 2,880,000.00
mg
Kombinasi : Ferro fumarat 60 mg + 53802 Tablet Rp - Rp -
asam folat 0,4 mg tab salut
Kombinasi: ipratropium Br 0,5 mg+ 535 Vial Rp 4,600.00 Rp 2,461,000.00
salbutamol 2,5 mg nebules
Kombinasi: kaolin 550 mg + pektin 20 2700 Tablet Rp 100.00 Rp 270,000.00
mg
Kotrimoksazol (dewasa) kombinasi : 9010 Tablet Rp 210.00 Rp 1,892,100.00
sulfametoksazol 400 mg+ trimetoprim
80 mg
Kotrimoksazol kombinasi tiap 5 ml 236 Botol Rp 5,000.00 Rp 1,180,000.00
suspensi : sulfametoksazol 200 mg +
trimetoprim 40 mg
Lidokain gel 2% 2 Buah Rp 41,600.00 Rp 83,200.00
Lidokain inj 2% (infiltr/p.v.) 90 Ampul Rp 17,900.00 Rp 1,611,000.00
Lidokain spray oral 10% 2 Buah Rp 160,900.00 Rp 321,800.00
Loratadin tab 10 mg 8443 Tablet Rp 440.00 Rp 3,714,920.00
Magnesium sulfat inj 40% 5 Ampul Rp 3,800.00 Rp 19,000.00
Metformin tab 500 mg 8498 Tablet Rp 100.00 Rp 849,800.00
Metilergometrin inj 0,2 mg/ml 8 Ampul Rp 3,000.00 Rp 24,000.00
Metilergometrin tab salut 0,125 mg 108 Tablet Rp - Rp -
Metronidazol susp 125 mg/5 ml 450 Botol Rp 5,400.00 Rp 2,430,000.00
Metronidazol tab 500 mg 9450 Tablet Rp 190.00 Rp 1,795,500.00
Mikonazol krim 2% 759 Tube Rp 3,400.00 Rp 2,580,600.00
N-asetil sistein kaps 200 mg 23472 Kapsul Rp 388.33 Rp 9,114,881.76
NaCl 0,9% Larutan 10 Buah Rp 6,400.00 Rp 64,000.00
Natrium diklofenak tab 50 mg 14376 Tablet Rp 260.00 Rp 3,737,760.00
Nistatin susp 100.000 UI/ml 54 Botol Rp 13,500.00 Rp 729,000.00
Nistatin tab vaginal 100.000 UI 100 Tablet Rp 530.00 Rp 53,000.00
Obat Anti Tuberculosis FDC Kategori 90 Paket Rp - Rp -
Anak
Obat Anti Tuberculosis FDC Kategori I 180 Paket Rp - Rp -
Obat Anti Tuberculosis FDC Kategori II 9 Paket Rp - Rp -

Oksigen ih, gas dlm tabung 18 Buah Rp 95,000.00 Rp 1,710,000.00

Oksitetrasiklin 1% Salep Mata 432 Tube Rp - Rp -
Oksitosin inj 10 UI/ml 5 Ampul Rp 2,500.00 Rp 12,500.00
Omeprazol kaps 20 mg 9921 Kapsul Rp 410.00 Rp 4,067,610.00
Parasetamol sir 120 mg/5 ml 2676 Botol Rp 2,300.00 Rp 6,154,800.00
Parasetamol tab 500 mg 100149 Tablet Rp 140.00 Rp 14,020,860.00
Parasetamol tts 60 mg/0,6 ml 403 Botol Rp 5,300.00 Rp 2,135,900.00
Pasta devitalisasi (non arsen) 2 Buah Rp 427,900.00 Rp 855,800.00
Pasta pengisi saluran akar (pasta) 2 Buah Rp - Rp -
Perak sulfadiazin krim 1% 54 Tube Rp 20,700.00 Rp 1,117,800.00
Permetrin krim 5 % 84 Tube Rp 11,900.00 Rp 999,600.00
Pirantel pamoat susp 125 mg/5 ml 432 Botol Rp - Rp -
Pirantel pamoat tab scored 250 mg 864 Tablet Rp - Rp -
Piridoksin (vitamin B6) tab 10 mg 8513 Tablet Rp 130.00 Rp 1,106,690.00
Povidon iodin lar 100 mg/ml 18 Botol Rp 17,500.00 Rp 315,000.00
Prednison tab 5 mg 8640 Tablet Rp - Rp -
Ranitidin tab 150 mg 25410 Tablet Rp 110.00 Rp 2,795,100.00
Ringer Laktat Larutan 3 Buah Rp 6,800.00 Rp 20,400.00
Salbutamol cairan ih 0,1% 20 Buah Rp - Rp -
Salbutamol tab 2 mg 2267 Tablet Rp 70.00 Rp 158,690.00
Salbutamol tab 4 mg 1080 Tablet Rp 100.00 Rp 108,000.00
Salep 2-4, kombinasi : asam salisilat 2 93 Buah Rp 2,300.00 Rp 213,900.00
%+ belerang endap 4 %
Setirizin sir 5 mg/5 ml. 911 Botol Rp 12,400.00 Rp 11,296,400.00
Sianokobalamin (vitamin B12) tab 50 9229 Tablet Rp 130.00 Rp 1,199,770.00
mcg
Simvastatin tab sal 10 mg 4527 Tablet Rp 110.00 Rp 497,970.00
Simvastatin tab sal 20 mg 2700 Tablet Rp 450.00 Rp 1,215,000.00
Siprofloksasin tab scored 500 mg 2572 Tablet Rp 290.00 Rp 745,880.00
Tetrasiklin Salep Mata 1% 100 Tube Rp - Rp -
Tiamin (vitamin B1) tab 50 mg 10202 Tablet Rp 90.00 Rp 918,180.00
Vitamin B kompleks 44755 Tablet Rp 90.00 Rp 4,027,950.00
Zinc drops 10 mg/ml 450 Botol Rp - Rp -
Zinc sir 20 mg/5 ml 900 Botol Rp 4,800.00 Rp 4,320,000.00
Zinc tab disp 20 mg 6144 Tablet Rp 480.00 Rp 2,949,120.00
Masyarakat di Transport Petugas Non PNS (OH) 48 kali Rp 50,000 Rp 2,400,000.00
Mengedukasi
wilayah kerja Petugas Periode Januari Periode Januari Transport Kader 48 kali Rp 50,000 Rp 2,400,000.00
masyarakat 480 Koordinator PIS-PK
Mapay lembur Puskesmas PJ Farmasi Farmasi 2 - Desember - Desember Form Mapay Lembur 480 lbr Rp 200 Rp 96,000.00
mengenai rumah/tahun dan Kader
pelindung orang 2024 2023 Leaflet DAGUSIBU 480 lbr Rp 2,000 Rp 960,000.00
DAGUSIBU
Hewan
Kader di Stiker Mapay Lembur 100 lbr Rp 6,000 Rp 600,000.00
Penyuluhan Gema Mengedukasi Wilayah UPT 2 kali/tahun Petugas Nasi Dus 75 box Rp 35,000 Rp 2,625,000.00
Lurah, Ketua PKK,
Cermat di kader mengenai Puskesmas (Untuk 2 PJ Farmasi Farmasi 2 Apr-24 Apr-23 Snack 75 box Rp 17,000 Rp 1,275,000.00
Kasie Kesos, Kader
Kelurahan Gema Cermat pelindung kelurahan) orang Buku saku cara penggunaan obat 40 buku Rp 25,000 Rp 1,000,000.00
Hewan Rp 370,505,681.76