BULAN JANUARI

NO NAMA OBAT/ BARANG PERSEDIAAN SAT STOK AWAL PENERIMAAN

OBAT GENERIK
1 Alopurinol tablet 100 mg tablet 4922
2 Alopurinol tablet 300 mg tablet 0
3 Alprazolam 1 mg Tablet tablet 0
4 Alprazolam tablet 0,5 mg tablet 0
5 Ambroxol sirup 15 mg/ml botol 188
6 Ambroxol tablet 30 mg tablet 6788
7 Aminofilin injeksi 24 mg / ml - 10 ml ampul 79
8 Aminofilin tablet 200 mg tablet 395
9 Amitriptilin tablet salut 25 mg tablet 310
10 Amlodipin tablet 10 mg tablet 5097 3600
11 Amlodipin tablet 5 mg tablet 4989 1500
12 Amoksisilin kaplet 500 mg kaplet 4900 3000
13 Amoksisilin kapsul 250 mg kapsul 565
14 Amoksisilin sirup kering 125 mg/5 ml botol 0
15 Antasida DOEN I tablet kunyah , kombinasi tablet 9401
16 Antasida DOEN II suspensi, kombinasi: Alu botol 217
17 Anti Bakteri DOEN salep kombinasi : Bacitras pot 0
18 Anti Fungi DOEN kombinasi : Asam Benzoatpot 71
19 Anti Haemoroid DOEN Kombinasi : Karbido supp 49
20 Anti migren : Ergotamin tartrat 1 mg + Kofei tablet 0
21 Aqua Pro injeksi steril, bebas pirogen ampul 254
22 Asam Asetil Salisilat 80 mg tablet tablet 0
23 Asam Askorbat (Vitamin C) tablet 50 mg tablet 6746
24 Asam Mefenamat kaplet 500 mg kaplet 0 2000
25 Asam Tranexamat Injeksi 50 mg/ml Ampul 123
26 Asiklovir Krim 5% tube 72
27 Asiklovir tablet 200 mg tablet 0
28 Asiklovir tablet 400 mg tablet 1312 1000
29 Atenolol tablet 50 mg tablet 649
30 Attapulgit tablet 600 mg tablet 40
31 Betahistin Mesilat tablet 60 mg tablet 1540
32 Betametason krim 0,1 %(Sebagai valerat) tube 164
33 Bisoprolol tablet 2,5 mg tablet 400
34 Bromheksin tablet 8 mg tablet 0
35 Citicolin Injeksi 250 mg ampul 46
36 D5-1/2 NS Botol 500 31
37 D5-1/4 NS Botol 500 40
38 Deksametason injeksi i.v 5 mg/ml ampul 638
39 Deksametason tablet 0,5 mg tablet 6940
40 Diazepam injeksi 5mg/ ml ampul 17
41 Diazepam larutan rektal 5 mg/2,5 ml (STE Tube 22
42 Diazepam tablet 2 mg tablet 532
43 Diazepam tablet 5 mg tablet 0
44 Difenhidramin injeksi i.m 10 mg/ml (HCl) ampul 30
45 Digoksin tablet 0,25 mg tablet 615
46 Diltiazem HCl tablet 30 mg tablet 0
47 Dimenhidrinat tablet 50 mg tablet 2892
48 Domperidon Suspensi 5mg/ 5 ml botol 0
49 Domperidon tablet 10 mg tablet 2920
50 Efedrin tablet 25 mg (HCl) tablet 0
51 Epinefrin (Adrenalin) injeksi 0,1% (sebagai ampul 3 3
52 Eritromisin kapsul 250 mg kapsul 330
53 Etakridin Larutan 0,1 % (Rivanol) botol 1
54 Fenitoin kapsul 100 mg kapsul 0
55 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul 0
56 Fenobarbital tablet 100 mg tablet 0
57 Fenobarbital tablet 30 mg tablet 270 1000
58 Fenol Gliserol Tetes Telinga 10 % botol 114
59 Ferro Fumarat 60 mg + Asam Folat 0,4 mg tablet 13995 11200
60 Fitomenadion (Vit K) tablet salut gula 10 mgtablet 310
61 Fitomenadion (vit K1) injeksi 10 mg/ml - 1 mlampul 87
62 Furosemid injeksi i.v/i.m 10 mg/ml ampul 25
63 Furosemid tablet 40 mg tablet 1144
64 Garam Oralit I serbuk, kombinasi : Natrium 0,bungkus 1021
65 Gemfibrozil kapsul 300 mg kapsul 0
66 Gentamisin Injeksi 40 mg/ml Ampul 0
67 Gentamisin salep kulit 0,1 % tube 55
68 Gentamisin Sulfat Tetes Mata 0,3 % botol 90
69 Gentian violet larutan 1 % botol 35
70 Glibenklamida tablet 5 mg tablet 3033
71 Glimepiride tablet 1 mg tablet 3325
72 Glimepiride tablet 2 mg tablet 4160
73 Gliseril Guaiakolat tablet 100 mg (GG) tablet 7216
74 Glukosa larutan infus 5% steril botol 109
75 Griseofulvin tablet 125 mg micronized tablet 360
76 Haloperidol tablet 1,5 mg (Psikotropika) tablet 0
77 Haloperidol Injeksi Ampul 0
78 Haloperidol Injeksi i.m 5 mg/ml (LODOMER)Ampul 0
79 Haloperidol tablet 0,5 mg (Psikotropika) tablet 0
80 Haloperidol tablet 5 mg (Psikotropika) tablet 126
81 Hidroklortiazida tablet 25 mg (HCT) tablet 1782
82 Hidrokortison krim 2,5 % tube 133
 83 Ibuprofen Suspensi Botol 127
84 Ibuprofen tablet 200 mg tablet 3258 2500
85 Ibuprofen tablet 400 mg tablet 3000 2500
86 Isosorbid dinitrat tablet sublingual 5 mg tablet 776
87 Kalium Diklofenak tablet 50 mg tablet 874 700
88 Kalsium laktat (kalk) tablet 500 mg tablet 5170 3000
89 Kaptopril tablet 25 mg tablet 30
90 Kaptopril tablet 12,5 mg tablet 5160
91 Kaptopril tablet 50 mg tablet 0
92 Karbamazepin tablet 200 mg tablet 1100
93 Ketokonazol krim 2 % tube 91
94 Ketokonazol tablet 200 mg tablet 205
95 Ketorolac Injeksi 30 mg ampul 452
96 Klobazam tablet 10 mg tablet 263
97 Kloramfenikol kapsul 250 mg kapsul 770 1000
98 Kloramfenikol salep mata 1 % tube 62
99 Kloramfenikol suspensi 125mg/5ml botol 44
100 Kloramfenikol tetes mata 0,5 % botol 39
101 Kloramfenikol tetes telinga 3 % botol 65
102 Klorfeniramina maleat (CTM) tablet 4 mg tablet 7820
103 Klorpromazin injeksi i.m 25 mg/ml (HCl) (CPampul 0
104 Klorpromazin tablet salut 100 mg (HCl) (CPZtablet 357
105 Klorpromazin tablet salut 25 mg (HCl) (CPZ)tablet 0
106 Kotrimoksazol Suspensi komb : Sullfametokbotol 88
107 Kotrimoksazol DOEN I (dewasa) kombinasi :tablet 1478
108 Levofloksasin tablet 500 mg tablet 0
109 Lidokain Gel 2 % (XYLOCAIN GEL) Tube 0
110 Lidokain injeksi 2% (HCl) + Efineprin 1:80.00ampul 247
111 Lisinopril tablet 20 mg tablet 0
112 Loperamid tablet 2 mg tablet 0
113 Loratadin tablet 10 mg tablet 5507
114 Meloksikam tablet 15 mg tablet 0
115 Meloksikam tablet 7,5 mg tablet 0
116 Metformin HCl tablet 500 mg tablet 4915 4000
117 Metformin HCLl tablet 850 tablet 100
118 Metilergometrin maleat injeksi 0,200 mg - 1 ampul 0
119 Metilergometrin maleat tabet salut 0,125 mgtablet 200
120 Metilprednisolon tablet 4 mg tablet 2539
121 Metoklopramid injeksi 5 mg/ml ampul 221
122 Metoklorpramid sirup 5 mg/5ml botol 24
123 Metoklorpramid tablet 5 mg tablet 2767
124 Metronidazol syrup botol 46
125 Metronidazol tablet 500 mg tablet 2005
126 Mikonazol krim/ salep 2 % (Nitrat) tube 134
127 Natrium Diklofenak tablet 25 mg tablet 4750
128 Natrium Diklofenak tablet 50 mg tablet 4310 2800
129 Natrium klorida Larutan infus 0,9 % botol 40
130 Nifedipin tablet 10 mg tablet 1858
131 Nistain vaginal tablet 100.000 IU/g tablet 13
132 Obat batuk hitam (O.B.H) botol 203
133 Ofloxacin tablet 400 mg tablet 140
134 Oksitetrasiklin HCl salep kulit 3 % tube 72 100
135 Oksitetrasiklin HCl salep mata 1 % tube 112
136 Oksitosin injeksi 10 iu / ml - 1 ml ampul 55
137 Omeprazol kapsul 20 mg kapsul 981
138 Ondansetron 4 mg/ 2 ml Ampul 0
139 Papaverin tablet 40 mg tablet 20
140 Parasetamol tablet 500 mg tablet 10003
141 Parasetamol Drops botol 193 168
142 Parasetamol sirup 120 mg / 5 ml botol 5
143 Perak Sulfadiazin Tube 3
144 Piracetam Injeksi 1 g/5 ml. ampul 0
145 Piracetam injeksi 3 g/15 ml ampul 0
146 Piracetam tablet 400 mg tablet 375 1000
147 Piracetam tablet 800 mg tablet 800
148 Pirantel Pamoat Suspensi 125 mg/5ml botol 0
149 Pirantel tablet score (base) 125 mg tablet 0
150 Piridoksin (Vit B6) tablet 10 mg tablet 1677 2000
151 Piroksikam tablet 10 mg tablet 0
152 Piroksikam tablet 20 mg tablet 2625
153 Povidon iodida larutan 10 % 30 ml botol 37
154 Povidon iodida larutan 10 % 300 ml botol 12
155 Povidon Iodida larutan 10% 60 ml botol 14
156 Prednison tablet 5 mg tablet 1157 2000
157 Propanolol tablet 10 mg (HCl) tablet 735 1000
158 Propanolol tablet 40 mg (HCl) tablet 917
159 Propiltiourasil tablet 100 mg (PTU) tablet 1030
160 Ranitidin 150 mg tablet tablet 0
161 Ranitidin injeksi 25 mg/2ml ampul 713
162 Reserpin tablet 0,25 mg tablet 0
163 Ringer Laktat Larutan infus botol 479 300
164 Risperidon tablet 2 mg (Psikotropika) tablet 100
165 Salbutamol Cair + Ipatropium (COMBIVENTVIAL 0
166 Salbutamol Cairan ih 0,1% ( VENTOLIN) Vial 0
167 Salbutamol tablet 2 mg (sebagai sulfat) tablet 767
168 Salbutamol tablet 4 mg (sebagai sulfat) tablet 1106
169 Salep 2-4 kombinasi : Asam Salisilat 2% + pot 115
170 Salisil bedak 2 % bungkus 93
171 Sefadroksil kapsul 500mg kapsul 0
172 Sefadroksil sirup kering 125 mg/5ml botol 124
173 Sefiksim kapsul 100 mg kapsul 230
174 Sefiksim Sirup Kering 100 mg/ 5 ml botol 53
175 Sefotaksim injeksi 1 gram ampul 210
176 Sefotaxime 0,5 gr ijeksi vial 0
177 Seftriakson injeksi 1 gram ampul 154 100
178 Setrizine tablet 10 mg tablet 30
179 Sianokobalamin ( Vitamin B12) injeksi 500 ampul 0
180 Sianokobalamin (Vitamin B12) tablet 50 mcgtablet 3194
181 Simetidin tablet 200 mg tablet 30
182 Simvastatin tablet 10 mg tablet 3341
183 Siprofloksasin tablet 500 mg ( sebagai HCl) tablet 2400
184 Spiramisin tablet 500 mg tablet 0
185 Spironolakton tablet 100 mg tablet 0
186 Sulfasetamida Natrium tetes mata 15 % botol 0
187 Tetrasiklin kapsul 250 mg kapsul 0
188 Tetrasiklin kapsul 500 mg kapsul 0
189 Thiamfenikol kapsul 500 mg kapsul 1780
190 Tiamin ( Vitamin B1) injeksi 100 mg/ml - 1mlampul 0
191 Tiamin (Vitamin B1) tablet 50 mg (HCl/Nitrat)tablet 8029
192 Timolal Maleat Tetes Mata tube 0
193 Tramadol injeksi 50 mg/ml ampul 0
194 Tramadol kapsul 50 mg kapsul 34
195 Triheksifenidil tablet 2 mg (THP) tablet 1045
196 Vitamin B Kompleks tablet tablet 8268
197 Xitrol Tetes Mata botol 0
198 Zinc Sirup 20 mg/5 ml botol 76
199 Zinc tablet 20 mg tablet 495 1000
OBAT PENUNJANG 0
200 Albothyl (Polikresolin) botol 3
201 Antrain Injeksi (NORAGES INJEKSI) ampul 0
202 Asifit kaplet kaplet 0
203 Bioplacenton Cream / Bismecon tube 0
204 Dextrofen Syrup botol 0
205 Efrizel Tetes Mata botol 0
206 Fitkom tablet tablet 0
207 Glaucon tablet tablet 0
208 Hemafort tablet tablet 0
209 Mydriatil Tetes Mata botol 0
210 Pahavral tablet 0
211 Pantocain tetes mata 2 % botol 0
212 Scabicid krim 10 g/Scabimite tablet 19
213 Tablet Tambah Darah (FONDAZEN) tablet 0
214 Trombophop gel tube 0
215 Vitka Infant (Fitomenadion injeksi 2 mg) ampul 0
216 Voltadex gel tube 0
 BAKHP I 0
217 Alat suntik sekali pakai 1 ml set 386 500
218 Alat suntik sekali pakai 2,5 ml set 1103 1000
219 Alat suntik sekali pakai 5 ml set 683 200
220 Alat suntik sekali pakai 10 ml PCS 267
221 Blood Transfusion Set set 103
222 Cat gut/ benang bedah No 2/0 - 3/0 dengan set 82
223 Folley Catheter No.16 set 57
224 Folley Catheter No.18 set 27
225 Infusion set anak set 142
226 Infusion set dewasa set 270 100
227 IV Cathether No. 18 G set 272
228 IV Cathether No. 20 G set 253
229 IV Cathether No. 22 G set 194 100
230 IV Cathether No. 24 G set 283
231 Kantong Urine Dewasa (Urinal Bag) set 77
232 Kapas berlemak 500 mg buah 0
233 Kapas pembalut/ absorben 250 mg buah 26
234 Kasa pembalut Hidrofil 4m x 15 cm elastik buah 204
235 Kasa pembalut Hidrofil 4m x 3 cm elastik buah 163
236 Kasa 16 x 16 kotak 16 82
237 Kasa kompres 40/40 steril buah 148
238 Kasa pembalut 2 m x 80 buah 42 15
239 Masker buah 1420 2000
240 Mucus Extractor Set 68
241 Nasal Oksigen Anak Set 44
242 Nasal Oksigen Dewasa Set 111
243 Plester 5 yard x 2 inch buah 82
244 Sarung Tangan Non Steril Kotak 13 40
245 Sarung tangan steril pasang 326 150
246 Silk (benang bedah sutera) no 3/0 dengan j set 60
247 Wing Needle 23 G set 0
248 Wing Needle 25 G set 0
BAKHP II 0
249 Alkohol 70 % 1000 ml botol 13
250 Alkohol 70 % 300 ml. botol 3
251 Alkohol 70% 100 ml botol 14
252 Aseptic Gel 500 cc Botol 0
253 Bisturi (Pisau Bedah) buah 1
254 Hidrogen Peroksida (H202) botol 3 12
255 Jarum Jahit Penampang bulat(no10,12,14,16set (6) 3
256 Jarum Jahit Penampang segitiga (no.10,12,1set (6) 3
257 Kertas EKG 50 x 30 rol 4
258 Lisol Larutan botol 1
259 OneClean 1 Liter Botol 0
260 Oxycan botol 8
261 Safety Box Buah 20
262 Sarung Tangan Panjang pasang 24 10
263 Umbilical Cord buah 140
264 Under Pad buah 173 100
265 USG Jelly 250 gr botol 11
266 USG Paper UPP 110 HG Sony rol 2
BAKHP GIGI 0
267 Air raksa dental use botol 0
268 Bur High/Low Speed ` 1
269 Devitalisasi pasta ( Non Arsen) botol 3
270 Etil klorida spray botol 8
271 Eugenol cairan botol 2
272 Fuji II 21 set 0
273 Glass ionomer cemen (Ketok Molar)/Fuji IX set 5
274 Kalsium Hidroksida Pasta tube 4
275 Krorfenol Kamfer Menthol (CHKM) botol 3
276 Mummifiying Pasta botol 0
277 Semen Seng Fosfat serbuk dan cairan set 0
278 Silver Amalgam serbuk 65 - 75 % set 0
279 Spongostan set (10) 0
280 Tambal Sementara CAVITON set 4
281 Temporary Stoping Fletsher serbuk & cairanset 0
282 TKF botol 1
BAHAN LABORATORIUM 0
283 Alkohol swab steril kotak @ 1 21 15
284 Aquabidest botol 0
285 Aquadest botol 0
286 Asam Asetat 5% Botol 0
287 Bayclin botol 0
288 Blue tip buah 1500
289 Golongan darah A botol 0
290 Golongan darah B botol 0
291 Kertas Hematology Rol 0
292 Lancet set 28
293 Larutan asam asetat 1 % botol 0
294 Larutan asam asetat 6% botol 0
295 Larutan Benidict botol 0
296 larutan EDTA 10 % botol 0
297 Larutan eosin 2% botol 0
298 Larutan etanol asam botol 0
299 Larutan Hayem botol 0
300 Larutan HCl 0,1 N botol 0
301 Larutan karbol fuchsin botol 0
302 Larutan methanol botol 0
303 Larutan methelin blue botol 0
304 Larutan rees ecker botol 0
305 Larutan Truk botol 0
306 Reagen Widal (AO,BO,O,H) set 0
307 Rapid tes HIV tes 0
308 Rapid tes HIV 1/2 3.0 tes 0
309 Spiritus botol 0
310 Strip pemeriksa asam urat nessco botol 0
311 Tes kehamilan (HCG DIP) buah 0
312 Test strip urin box 2
313 Yellow tip buah 0
VAKSIN RUTIN 0
314 HB PID SACHET 12 36
315 BCG VIAL 20 15
316 IPV VIAL 7 10
317 POLIO TRIVALENT 10 DOSE VIAL 15 54
318 PENTABIO VIAL 10 40
319 CAMPAK 10 DOSE/MR VIAL 18 10
320 DT VIAL 0
321 TD VIAL 23 10
322 ADS 0.5 ML BUAH 47 200
323 ADS 0.05 ML BUAH 165
324 ADS 5ML BUAH 0
325 SAFETY BOX BUAH 8
VAKSIN & SERUM 0
326 ABU I ( 5 ml ) vial 0
327 A.T.S 1500 ( 1 ml ) ampul 0
328 Vaksin Rabies Vero set 0
OBAT PROGRAM 0
329 Albendazole tablet 0
330 DEC (Dietil Karbamazin) tablet 0
331 Artemeter (Artem Inj) ampul 0
332 Artesunate Injeksi ampul 0
333 DHP / DARPLEX / ANTI MALARIA blister 0
334 Doksisiklin 100 mg tablet 0
335 Kinina 222 mg tablet 0
336 Kinina Injeksi ampul 0
337 Primaquin tablet 0
338 FDC Katagori Anak paket 0
339 FDC Katagori I paket 0
340 OAT Katagori I paket 0
341 OAT Katagori II paket 0
342 FDC Katagori Sisipan paket 0
343 Kaca Slide kotak 0
344 Pot Sputum buah 0
345 Reagen kotak 0
346 INH 100 mg ampul 0
347 MB Anak blister 0
348 MB Dewasa blister 0
349 PB Dewasa blister 0
350 Glukonas Kalsikus 10% Injeksi ampul 0
351 Prokain Penesilllin 3 Juta Unit ampul 0
352 Mineral Mix bungkus 0
353 Retinol (Vitamin A) 100.000 IU kapsul 0 250
354 Retinol (Vitamin A) 200.000 IU kapsul 250 2150
355 Magnesium Sulfat Injeksi (IV) 20% - 25 ml ampul 4
356 Magnesium Sulfat Injeksi (IV) 40% - 25 ml ampul 0
BMHP Tambahan 0
363 Asetosal 80 mg (Miniaspi 80 mg) tablet 795
364 Hypafix roll 19
365 Plester Infus (Leukopmed) lbr 2
366 Amoksisilin Sirup 100 mg (drop) botol 8
367 Metronidazol 500 mg infus botol 100 0
368 Ichtiol salep pot 29
369 D40% 25 ml ampul 9
370 D5% 100 ml botol 9
JUMLAH
OBAT JKN
1 Norages Injeksi ampul 1606
2 Biocombin 5000 Injeksi Ampul 326
3 NEURODEX Tablet Tablet 0
4 Voltadex Gel Tube 0
5 Glucodex Tablet 0
6 Clonex Tablet 9
7 ANATON tablet 0
8 MolexFlu Kaplet 0
9 DEXTRAL Botol 0
10 Glibenklamid Tablet 0
11 Alpara Tablet 0
12 Amoksisilin syrup botol 139
13 Asam Mefenamat Tablet 5865
14 Ranitidin 150 mg Tablet 17109
15 Kamolas(Parasetamol Syrup) botol 532
16 Dextrofen syrup botol 351
17 Zentra (Tripolidin + Pseudoefedrin) Tablet 10603
18 Anemolat (Folic Acid) Tablet 43320
19 Cartylo (Asam Asetil Salisilat 80 mg) Tablet 34605
20 Combivent (Salbutamol+Ipatropium) ampul 282
21 Droxefa (Cefadroxil) Tablet 0
22 Hemafort Tablet 2575
23 Pehavral (Multivitamin) Tablet 0
24 Truvit syrup (Multivitamin) botol 98
25 Metformin 500 mg Tablet 1070
26 Sefadroksil 500 mg Kapsul 1970
BMHP JKN paket 0
27 Strip Glucose Nesco N01 tube 25 0
28 Strip Cholesterol Nesco tube 10 0
29 Strip Asam Urat Nesco tube 25 0
30 Strip Cholesterol Easytouch tube 10 0
31 Strip Asam Urat Easytouch tube 25 0
32 Strip Glucose easytouch tube 25 0
33 Tes Narkoba 6 parameter (AMP+THC+OP kit 20 0
34 Kacamata Laboratorium Buah 0
35 Hidrogen Peroksida (H2O2) botol 800c 0
36 Sarung tangan panjang utk manual plasentapasang 0
37 Bayclin 1 liter botol 0
38 Lar. Asam Asetat 6% botol 100 0
39 Lar. HCl 0,1N botol 100 0
40 Lar. Metanol botol 100 0
41 Lar. Truk botol 100 0
42 Lar. Hayem botol 100 0
43 Lar. Giemsa botol 100 0
44 Lar. Oil Emersi botol 100 0
45 Reagen Widal (AO.BO.O.H) set 0
46 Spiritus botol 0
47 Tes Kehamilan (HCG DIP) kit 50 0
48 Test Strip Urin ( 3 Paramaeter) Verify ( 50 0
49 Strip Glucose gluco dr ss tube 50 0
50 Strip Glucose Autocheck tube 25 4
51 Strip Asam Urat Autocheck tube 25 4
52 Strip Cholesterol Autocheck tube 10 2
53 Lidi oles (cotton swab) box 100 0
54 Sarung tangan non steril box 0
55 Aquadest botol 1 lite 0
56 Tissue lensa box 0
57 Hand Sanitizer 500 ml (Aseptan) botol 0
58 Hypafix rol 0
59 Nasal Kanula buah 0
60 Safety Box Buah 0
61 Oceo (Liq. Pembersih karang gigi) botol 0
62 Topical anasthesi pakai rasa box 0
63 Artikulating paper buah 0
64 Arkansas (Polishing gigi) bentuk flame buah 0
65 Speculum disposible buah 0
66 Jarum hecting perinerum besar (jarum hecti sachet 0
67 Masker with visor box 10 0
68 Kaca mulut no.4 buah 0
69 handle kaca mulut buah 0
70 pinset gigi buah 0
71 Excavator buah 0
72 Sonde halfmoon buah 0
73 Bur High Speed set 6 0
74 Fixomul 5 cm rol 0
75 Tabung EDTA paket 0 1
76 Diluent gallon 0 1
77 Lyse btl 0 1
78 Cleanser btl 0 1
79 Benecheck Alat paket 0
80 Benecheck Asam Urat botol 0
81 Benecheck Kolesterol botol 0
82 Benecheck Glucose botol 0
OBAT JKN TAMBAHAN 0
83 Stimuno Tablet 120
84 Molagit Tablet 1955
85 Becefort Tablet 4902
JUMLAH
 REKAP BULANAN LPLPO
TAHUN 2021
SISA STOK EXP TOTAL HARGA TOTAL HARGA GUDANG APOTEK

KELUAR

4612 310 105.00 484,260.00 160

0 0 216.00 0.00
0 0 239.00 0.00
0 0 94.00 0.00
177 11 4,400.00 778,800.00 6
5918 870 197.00 1,165,846.00 160
75 4 3,071.00 230,325.00 4
393 2 95.00 37,335.00 2
300 10 168.00 50,400.00 10
5919 2778 94.00 556,386.00 1115
3674 170 2645 81.00 297,594.00 490
5343 190 2367 265.00 1,415,895.00 1362
490 75 209.00 102,410.00 75
0 0 6,600.00 0.00
7066 2335 60.00 423,960.00 265
142 75 2,239.00 317,938.00 49
0 0 5,100.00 0.00
69 2 5,170.00 356,730.00 1
38 11 3,642.00 138,396.00 11
0 0 212.00 0.00
221 33 2,860.00 632,060.00 33
0 0 105.00 0.00
4303 2443 120.00 516,360.00 1663
2000 0 274.80 549,600.00
117 6 1,813.00 212,121.00 6
61 11 3,625.00 221,125.00 6
0 0 272.00 0.00
2017 295 454.00 915,718.00 255
609 40 297.00 180,873.00
0 40 149.00 0.00 40
1330 210 119.00 158,270.00 20
138 26 1,465.00 202,170.00 12
235 165 626.00 147,110.00 135
0 0 300.00 0.00
26 20 27,500.00 715,000.00 20
29 2 10,680.00 309,720.00 2
40 0 10,624.00 424,960.00
 602 36 1,210.00 728,420.00 36
5113 50 1777 154.00 787,402.00 362
17 0 1,913.00 32,521.00
22 0 14,459.00 318,098.00
409 123 86.00 35,174.00 123
0 0 114.00 0.00
30 0 1,347.00 40,410.00
575 40 104.00 59,800.00 10
0 0 145.00 0.00
1937 955 129.00 249,873.00 545
0 0 2,862.00 0.00
2665 255 96.00 255,840.00 175
0 0 172.00 0.00
0 6 1,518.00 0.00 6
330 0 636.00 209,880.00
1 0 3,050.00 3,050.00
0 0 158.00 0.00
0 0 2,135.00 0.00
0 0 161.00 0.00
940 330 197.00 185,180.00 330
99 15 1,590.00 157,410.00 8
20122 5073 409.00 8,229,898.00 4893
300 10 873.00 261,900.00
47 40 7,236.00 340,092.00 40
25 0 1,555.00 38,875.00
1079 65 84.00 90,636.00 25
961 60 281.00 270,041.00 29
0 0 428.00 0.00
0 0 3,896.00 0.00
38 17 2,390.00 90,820.00 8
82 8 4,885.00 400,570.00 4
34 1 3,325.00 113,050.00 1
2348 685 137.00 321,676.00 65
2905 420 207.00 601,335.00 170
3320 840 207.00 687,240.00 780
6470 746 220.00 1,423,400.00 176
90 19 7,363.00 662,670.00 19
330 30 416.00 137,280.00
0 0 65.00 0.00
0 0 101,300.00 0.00
0 0 4,050.00 0.00
0 0 55.00 0.00
117 9 60.00 7,020.00 9
1372 410 178.00 244,216.00 190
109 24 2,533.00 276,097.00 3
 123 4 2,858.00 351,534.00 3
4933 825 440.00 2,170,520.00 140
4715 785 425.00 2,003,875.00 225
701 75 165.00 115,665.00 65
1174 400 390.00 457,860.00 90
5950 2220 63.00 374,850.00 1660
0 30 226.00 0.00
3795 1365 69.00 261,855.00 885
0 0 143.00 0.00
740 360 250.00 185,000.00 360
85 6 2,577.00 219,045.00 6
185 20 305.00 56,425.00
366 86 1,089.00 398,574.00 86
248 15 872.00 216,256.00 15
1770 0 625.00 1,106,250.00
59 3 5,170.00 305,030.00
41 3 5,319.00 218,079.00 2
35 4 10,300.00 360,500.00 1
55 10 9,460.00 520,300.00 6
6182 1638 180.00 1,112,760.00 381
0 0 1,961.00 0.00
207 150 269.00 55,683.00 150
0 0 1,531.00 0.00
81 7 2,190.00 177,390.00 1
1370 108 133.00 182,210.00
0 0 1,051.00 0.00
0 0 40,000.00 0.00
222 25 1,405.00 311,910.00 25
0 0 341.00 0.00
0 0 90.00 0.00
4676 831 127.00 593,852.00 371
0 0 1,180.00 0.00
0 0 690.00 0.00
6810 100 2005 109.00 742,290.00 1835
100 0 178.00 17,800.00
0 0 3,399.00 0.00
200 0 259.00 51,800.00
1299 1240 148.00 192,252.00 560
117 104 4,554.00 532,818.00 104
22 2 20,625.00 453,750.00 2
2707 60 124.00 335,668.00 20
46 0 3,950.00 181,700.00
1485 520 355.00 527,175.00 490
110 24 3,926.00 431,860.00 7
3755 995 152.00 570,760.00 165
5370 50 1690 145.00 778,650.00 585
39 1 6,840.00 266,760.00
1418 440 193.49 274,368.82 170
13 0 688.00 8,944.00
193 10 3,300.00 636,900.00 4
140 0 464.00 64,960.00
148 24 2,070.00 306,360.00 5
94 18 2,774.00 260,756.00 14
14 41 1,232.00 17,248.00 41
761 220 147.00 111,867.00 220
0 0 1,198.00 0.00
20 0 660.00 13,200.00
5648 280 4075 184.00 1,039,232.00 1419
231 6 124 7,646.00 1,766,226.00 112 4
0 5 1,160.00 0.00 5
3 0 20,700.00 62,100.00
0 0 13,200.00 0.00
0 0 11,000.00 0.00
1115 260 587.40 654,951.00 160
770 30 3,520.00 2,710,400.00 30
0 0 11,050.00 0.00
0 0 352.00 0.00
2797 880 150.00 419,550.00 480
0 0 75.00 0.00
2123 502 156.00 331,188.00 255
30 7 5,000.00 150,000.00 6
12 0 15,636.00 187,632.00
14 0 5,700.00 79,800.00
2592 565 79.00 204,768.00 38
1625 110 63.00 102,375.00 60
797 120 90.00 71,730.00 50
1000 30 590.00 590,000.00 30
0 0 122.00 0.00
403 310 1,188.00 478,764.00 310
0 0 97.00 0.00
470 309 7,630.00 3,586,100.00 309
100 0 287.00 28,700.00
0 0 5,700.00 0.00
0 0 7,260.00 0.00
682 85 115.00 78,430.00 75
1046 60 120.00 125,520.00 10
73 42 3,219.00 234,987.00 16
76 17 6,426.00 488,376.00 9
0 0 500.31 0.00
117 7 4,360.00 510,120.00
 190 40 398.11 75,640.90 40
52 1 12,126.00 630,552.00 1
210 0 4,706.00 988,260.00
0 0 6,485.00 0.00
196 58 5,146.00 1,008,616.00 58
30 0 97.00 2,910.00
0 0 2,000.00 0.00
1984 1210 52.00 103,168.00 150
30 0 165.00 4,950.00
2571 770 110.00 282,810.00 360
1850 550 400.00 740,000.00 500
0 0 1,474.00 0.00
0 0 1,450.00 0.00
0 0 8,470.00 0.00
0 0 174.00 0.00
0 0 186.00 0.00
1730 50 1,210.00 2,093,300.00 40
0 0 1,353.00 0.00
4904 3125 94.00 460,976.00 705
0 0 10,400.00 0.00
0 0 2,680.00 0.00
4 30 435.48 1,741.92 30
865 180 101.00 87,365.00 180
5826 2442 135.00 786,510.00 1352
0 0 29,975.00 0.00
71 5 3,285.00 233,235.00 5
1385 90 20 604.00 836,540.00
0 0 0.00
3 0 30,950.00 92,850.00
0 0 10,560.00 0.00
0 0 2,567.00 0.00
0 0 11,000.00 0.00
0 0 11,500.00 0.00
0 0 16,775.00 0.00
0 0 480.00 0.00
0 0 348.00 0.00
0 0 834.90 0.00
0 0 31,762.00 0.00
0 0 708.00 0.00
0 0 13,337.00 0.00
19 0 11,825.00 224,675.00
0 0 195.00 0.00
0 0 52,800.00 0.00
0 0 4,236.00 0.00
0 0 18,150.00 0.00
 0 0 0.00
664 222 968.40 643,017.60 100 116
1537 566 976.56 1,500,972.72 554
697 186 1,082.64 754,600.08 182
261 6 1,520.61 396,879.21 6
103 0 9,048.00 931,944.00
53 29 5,750.00 304,750.00 29
48 9 16,008.00 768,384.00 9
22 5 16,008.00 352,176.00 5
140 2 5,916.00 828,240.00 2
278 92 5,568.00 1,547,904.00 92
255 17 9,190.00 2,343,450.00 17
203 50 9,190.00 1,865,570.00 50
235 59 9,190.00 2,159,650.00 59
276 7 9,190.00 2,536,440.00 7
63 14 5,568.00 350,784.00 14
0 0 13,800.00 0.00
26 0 14,375.00 373,750.00
204 0 3,710.00 756,840.00
163 0 800.00 130,400.00
54 28 9,200.00 496,800.00 28
148 0 1,530.00 226,440.00
13 44 9,600.00 124,800.00 44
1644 1776 426.47 701,123.26 1700
65 3 8,096.00 526,240.00 3
44 0 6,325.00 278,300.00
85 26 6,325.00 537,625.00 26
82 0 8,540.00 700,280.00
24 29 63,916.00 1,533,984.00 27
132 344 5,336.00 704,352.00 50 293
46 14 3,194.44 146,944.44 14
0 0 1,800.00 0.00
0 0 1,800.00 0.00
0 0 0.00
13 0 30,000.00 390,000.00
3 0 9,800.00 29,400.00
14 0 6,429.00 90,006.00
0 0 26,400.00 0.00
1 0 25,960.00 25,960.00
12 3 4,032.00 48,384.00 3
3 0 22,000.00 66,000.00
3 0 22,000.00 66,000.00
4 0 30,000.00 120,000.00
1 0 49,200.00 49,200.00
0 0 17,424.00 0.00
 8 0 60,000.00 480,000.00
20 0 16,675.00 333,500.00
31 3 21,850.00 677,350.00 3
105 35 747.50 78,487.50 35
180 93 3,905.00 702,900.00 93
11 0 19,200.00 211,200.00
2 0 291,500.00 583,000.00
0 0 0.00
0 0 108,195.00 0.00
1 0 187,660.00 187,660.00
3 0 445,500.00 1,336,500.00
6 2 177,100.00 1,062,600.00 1
2 0 23,101.00 46,202.00
0 0 850,000.00 0.00
5 0 726,000.00 3,630,000.00
4 0 104,363.00 417,452.00
3 0 85,415.00 256,245.00
0 0 330,000.00 0.00
0 0 213,500.00 0.00
0 0 237,540.00 0.00
0 0 12,705.00 0.00
4 0 345,400.00 1,381,600.00
0 0 235,400.00 0.00
1 0 181,500.00 181,500.00
0 0 0.00
30 6 17,825.00 534,750.00 6
0 0 27,500.00 0.00
0 0 17,424.00 0.00
0 0 11,500.00 0.00
0 0 30,000.00 0.00
1500 0 165.00 247,500.00
0 0 242,500.00 0.00
0 0 148,000.00 0.00
0 0 31,900.00 0.00
26 2 16,100.00 418,600.00 2
0 0 16,500.00 0.00
0 0 25,960.00 0.00
0 0 66,000.00 0.00
0 0 122,980.00 0.00
0 0 291,170.00 0.00
0 0 76,450.00 0.00
0 0 19,400.00 0.00
0 0 12,672.00 0.00
0 0 89,320.00 0.00
0 0 90,585.00 0.00
 0 0 76,450.00 0.00
0 0 77,660.00 0.00
0 0 38,830.00 0.00
0 0 435,000.00 0.00
0 0 551,500.00 0.00
0 0 14,344.00 0.00
0 0 30,250.00 0.00
0 0 198,000.00 0.00
0 0 2,185.00 0.00
2 0 228,000.00 456,000.00
0 0 39,557.70 0.00
0 0 0.00
0 48 23,270.00 0.00
20 15 66,154.00 1,323,080.00
13 4 154,230.00 2,004,990.00
39 30 21,285.00 830,115.00
18 32 84,282.00 1,517,076.00
14 14 0.00 0.00
0 0 17,450.00 0.00
27 6 18,128.00 489,456.00
151 96 1,518.00 229,218.00
115 50 1,818.00 209,070.00
0 0 1,950.00 0.00
7 1 16,501.00 115,507.00
0 0 0.00
0 0 512,204.00 0.00
0 0 130,999.00 0.00
0 0 174,500.00 0.00
0 0 0.00
0 0 463.00 0.00
0 0 182.00 0.00
0 0 25,490.00 0.00
0 0 42,900.00 0.00
0 0 18,000.00 0.00
0 0 278.00 0.00
0 0 670.00 0.00
0 0 4,854.00 0.00
0 0 253.00 0.00
0 0 285,343.00 0.00
0 0 447,747.00 0.00
0 0 0.00
0 0 1,592,726.00 0.00
0 0 176,000.00 0.00
0 0 22,097.00 0.00
0 0 5,890.00 0.00
 0 0 250,333.00 0.00
0 0 173.00 0.00
0 0 1.00 0.00
0 0 41,240.00 0.00
0 0 605.00 0.00
0 0 9,955.00 0.00
0 0 7,910.00 0.00
0 0 2,920.00 0.00
0 250 286.00 0.00 250
198 2202 505.00 99,990.00 2150 52
1 3 1,694.00 1,694.00 3
0 0 3,328.00 0.00
0 0 0.00
615 180 105.00 64,575.00 180
10 9 42,800.00 428,000.00 9
2 0 138,000.00 276,000.00
8 0 13,500.00 108,000.00
0 0 8,250.00 0.00
29 0 6,000.00 174,000.00
6 3 10,012.00 60,072.00 3
9 0 15,181.00 136,629.00
116,587,703.45
0 0
1497 109 8,725.80 13,062,522.60 109
297 29 6,050.00 1,796,850.00 29
0 0 396.82 0.00
0 0 20,377.50 0.00
0 0 362.85 0.00
0 9 2,612.50 0.00 9
0 0 330.00 0.00
0 0 297.55 0.00
0 0 7,177.50 0.00
0 0 92.40 0.00
0 0 513.00 0.00
106 33 5,200.00 551,200.00 27
3135 2730 302.50 948,337.50 1795
14114 2995 220.00 3,105,080.00 1035
505 27 5,500.00 2,777,500.00 21
329 22 11,550.00 3,799,950.00 21
10328 275 990.00 10,224,720.00 155
42260 1060 215.00 9,085,900.00 1020
34605 0 616.00 21,316,680.00
276 6 4,550.00 1,255,800.00 6
0 0 1,870.00 0.00
2455 120 834.90 2,049,679.50 120
0 0 935.00 0.00
98 0 12,540.00 1,228,920.00
0 1070 109.00 0.00
1620 350 840.00 1,360,800.00 160
0 0 0.00
0 0 106,700.00 0.00
0 0 200,000.00 0.00
0 0 121,000.00 0.00
0 0 180,400.00 0.00
0 0 90,750.00 0.00
0 0 88,000.00 0.00
0 0 2,882,000.00 0.00
0 0 44,000.00 0.00
0 0 22,000.00 0.00
0 0 22,000.00 0.00
0 0 22,000.00 0.00
0 0 44,000.00 0.00
0 0 11,000.00 0.00
0 0 44,000.00 0.00
0 0 33,000.00 0.00
0 0 22,000.00 0.00
0 0 198,000.00 0.00
0 0 379,500.00 0.00
0 0 352,000.00 0.00
0 0 55,000.00 0.00
0 0 66,000.00 0.00
0 0 90,000.00 0.00
0 0 124,634.00 0.00
2 2 157,706.00 315,412.00 2
4 0 205,560.00 822,240.00
2 0 423,775.00 847,550.00
0 0 132,000.00 0.00
0 0 66,000.00 0.00
0 0 16,500.00 0.00
0 0 38,500.00 0.00
0 0 41,000.00 0.00
0 0 22,000.00 0.00
0 0 7,500.00 0.00
0 0 20,000.00 0.00
0 0 198,000.00 0.00
0 0 85,000.00 0.00
0 0 220,000.00 0.00
0 0 55,000.00 0.00
0 0 11,000.00 0.00
 0 0 16,500.00 0.00
0 0 63,000.00 0.00
0 0 55,000.00 0.00
0 0 33,000.00 0.00
0 0 27,500.00 0.00
0 0 44,000.00 0.00
0 0 27,500.00 0.00
0 0 330,000.00 0.00
0 0 42,800.00 0.00
0 1 165,000.00 0.00 1
0 1 1,996,500.00 0.00 1
0 1 3,127,850.00 0.00 1
0 1 2,662,000.00 0.00 1
0 0 0.00
0 0 159,500.00 0.00
0 0 236,500.00 0.00
0 0 121,000.00 0.00
0 0 0.00
120 0 2,478.00 297,360.00
1925 30 407.00 783,475.00 20
4638 264 1,265.00 5,867,070.00 264
81,497,046.60
IMUNI Pustu Pustu Pustu Pustu Pustu JALAN USILA Prog Posk Posk BT POD
HAMB BT RK BT PADANG TAMB
SASI PASAR HILIR HILIR DALAM LURUS PUSLING BANGKAL HULU KECIL

50 50 20 20

2 3
10 70 20 600

180 80 260 40 20 740 20 110 3

120 280 130 1270 100 5
100 160 195 20 280 130 70

0
30 410 160 1100 160 40 120
6 2 14 2 2

30 60 0 500 130 20

1 0 2 1

10 0 0 30
40 0

10 20 120 20 20
1 1 1 9 2
30
 10 170 105 20 850 180 40

30

10 10 100 250 40

20 0 0 30 30

4 3 0
150
10 0

30 10
0 15 0 16

0 4
2 1 1
0
20 0 320 40
0 170 80
0 60
60 50 70 10 300 40 0 10

20

30 190 0
1 0 1 14 2 2
 1
25 30 10 10 450 80
10 70 50 10 300 30 70
10
80 200 30
50 10 300 110 50
30
40 30 350 0 20 40

0
10 10 0 0

0 3
1
0 1
1 1 0 1
80 200 170 550 90 27 30

0 2 1 0 3
80 0 28

30 50 0 20 270 40 30

170

20 60 100 360 80 60

0 0
10 30 0

0 20 0
2 1 0 1 6 2 2
20 40 50 20 480 200 20
160 200 85 450 100 60 20 10
1
40 50 0 150 0 30

1 5

4 2 1
2 1 1

0
320 660 120 60 1200 120 16 100
4 2 0 2

100

20 10 0 300 50

10 7 200 30

210 7 220 50 40
50
40 30
0

0 10
20 30
3 5 13 2 3
2 1 3 0

0 1 3 3
 0

110 20 30 10 800 10
0
40 80 100 30 10
50

10 0

130 240 130 20 20 1600 180 30 40

80 190 0 20 700 30 50

0
10 0 0 10
 6
12
4

0
0

26 50

1 1
1
1
48
15
4
30
32
14

6
96
50

1
 3 2
250 175 10 280 120 50 30
130 530 50 10 20 860 120 40
5 1
1
10 20 80
60 10 700 120
20 100 10
10
Posk POSKE POD
PONDOK PUTAT
BABARIS STREN ATAS

10 1 Ferro Fuma 5073

2 Parasetamo 4075
3 Tiamin (Vit 3125
4 Amlodipin 2778
5 Amlodipin 2645
10 6 Asam Askor 2443
7 Vitamin B 2442
8 Amoksisili 2367
9 Antasida D 2335
210 10 Kalsium lak 2220
240 10 11 Retinol (Vi 2202
50 12 Metformin 2005
13 Deksametas 1777
14 Masker 1776
50 15 Natrium Di 1690
16 Klorfeniram 1638
17 Kaptopril t 1365
18 Metilpredn 1240
19 Sianokobal 1210
20 Natrium Di 995
21 Dimenhidri 955
22 Piridoksin 880
30 10 23 Ambroxol t 870
24 Glimepiride 840
25 Loratadin 831
1 26 Ibuprofen 825
27 Ibuprofen 785
28 Simvastati 770
29 Gliseril Gu 746
30 Glibenklam 685
31 Alat suntik 566
32 Prednison 565
33 Siprofloksa 550
34 Metronidaz 520
35 Piroksikam 502
36 Nifedipin t 440
37 Glimepiride 420
 38 Hidroklorti 410
40 39 Kalium Dik 400
40 Karbamazep 360
41 Sarung tang 344
42 Fenobarbit 330
43 Alopurinol 310
44 Ranitidin i 310
45 Ringer Lakt 309
46 Asiklovir t 295
47 Piracetam 260
48 Domperidon 255
49 Retinol (Vi 250
50 Alat suntik 222
51 Omeprazol 220
52 Betahistin 210
53 Alat suntik 186
54 Triheksifen 180
55 Asetosal 8 180
56 Bisoprolol 165
57 Klorpromazi 150
58 Parasetamo 124
30 59 Diazepam t 123
60 Propanolol 120
61 Propanolol 110
62 Kotrimoksa 108
63 Metoklopra 104
64 ADS 0.5 ML 96
65 Under Pad 93
66 Infusion s 92
5 67 Ketorolac I 86
68 Salbutamol 85
69 Amoksisili 75
240 70 Antasida D 75
71 Isosorbid d 75
72 Furosemid 65
20 10 73 Garam Orali 60
74 Metoklorpr 60
10 75 Salbutamol 60
76 IV Catheth 59
77 Seftriakson 58
78 Thiamfenik 50
79 IV Catheth 50
80 ADS 0.05 50
81 HB PID 48
1 82 Kasa pemba 44
 83 Salep 2-4 k 42
80 84 Oksitosin in 41
20 85 Atenolol t 40
86 Attapulgit 40
87 Digoksin ta 40
30 10 88 Fitomenadio 40
89 Sefiksim k 40
90 Deksametaso 36
91 Umbilical 35
92 Aqua Pro in 33
93 PENTABIO 32
94 Griseofulvi 30
95 Kaptopril 30
96 Piracetam 30
97 Propiltiour 30
98 Tramadol k 30
99 POLIO TRI 30
2 100 Cat gut/ b 29
1 101 Sarung Tan 29
110 102 Kasa 16 x 1 28
103 Betametaso 26
104 Nasal Oksi 26
105 Lidokain in 25
106 Hidrokortis 24
107 Mikonazol k 24
108 Oksitetrasi 24
109 Citicolin I 20
110 Ketokonazo 20
111 Zinc tablet 20
112 Glukosa lar 19
20 113 Oksitetrasi 18
114 Gentamisin 17
115 Salisil bed 17
116 IV Catheth 17
117 Fenol Glise 15
118 Klobazam t 15
119 BCG 15
120 Kantong Ur 14
121 Silk (bena 14
122 CAMPAK 1 14
123 Ambroxol s 11
124 Anti Haemo 11
10 125 Asiklovir K 11
3 126 Amitriptili 10
127 Fitomenadio 10
20 128 Kloramfenik 10
129 Obat batuk 10
130 Haloperidol 9
131 Folley Cat 9
132 Hypafix 9
133 Gentamisin 8
12 134 Kotrimoksa 7
135 Povidon iod 7
136 Sefadroksil 7
137 IV Catheth 7
138 Asam Trane 6
139 Epinefrin ( 6
50 10 140 Ketokonazo 6
141 Alat suntik 6
142 Alkohol swa 6
143 TD 6
144 Parasetamo 5
145 Zinc Sirup 5
146 Folley Cat 5
147 Aminofilin 4
148 Ibuprofen 4
149 Kloramfeni 4
20 150 IPV 4
151 Kloramfeni 3
152 Kloramfeni 3
1 153 Mucus Extr 3
154 Hidrogen P 3
155 Sarung Tan 3
156 Magnesium S 3
157 D40% 25 m 3
158 Aminofilin 2
159 Anti Fungi 2
160 D5-1/2 NS 2
161 Metoklorpr 2
162 Infusion se 2
163 Etil klorida 2
164 Lancet 2
165 Gentian vio 1
166 Natrium klo 1
167 Sefiksim Si 1
168 SAFETY BO 1
169 Alopurinol 0
2 170 Alprazolam 0
171 Alprazolam 0
172 Amoksisilin 0
 173 Anti Bakter 0
174 Anti migren 0
175 Asam Asetil 0
176 Asam Mefe 0
177 Asiklovir t 0
178 Bromheksin 0
179 D5-1/4 NS 0
80 180 Diazepam 0
181 Diazepam l 0
150 182 Diazepam t 0
183 Difenhidram 0
184 Diltiazem H 0
185 Domperidon 0
186 Efedrin tab 0
187 Eritromisi 0
188 Etakridin L 0
189 Fenitoin k 0
190 Fenobarbita 0
30 191 Fenobarbit 0
192 Furosemid i 0
193 Gemfibrozi 0
194 Gentamisin 0
195 Haloperidol 0
20 196 Haloperidol 0
197 Haloperido 0
198 Haloperidol 0
199 Kaptopril t 0
Kloramfeni 0
200 Klorpromazi 0
201 Klorpromazi 0
202 Levofloksas 0
203 Lidokain G 0
204 Lisinopril 0
205 Loperamid 0
206 Meloksikam 0
207 Meloksikam 0
208 Metformin 0
209 Metilergome 0
210 Metilergom 0
211 Metronidaz 0
212 Nistain vag 0
213 Ofloxacin 0
214 Ondansetro 0
215 Papaverin 0
216 Perak Sulfa 0
 Piracetam I 0
217 Piracetam i 0
218 Pirantel P 0
219 Pirantel ta 0
220 Piroksikam 0
221 Povidon iod 0
222 Povidon Io 0
223 Ranitidin 1 0
224 Reserpin t 0
225 Risperidon 0
226 Salbutamol 0
227 Salbutamol 0
228 Sefadroksi 0
229 Sefotaksim 0
230 Sefotaxime 0
231 Setrizine t 0
232 Sianokobal 0
233 Simetidin 0
234 Spiramisin 0
235 Spironolak 0
236 Sulfasetam 0
237 Tetrasiklin 0
238 Tetrasiklin 0
239 Tiamin ( Vi 0
240 Timolal Ma 0
241 Tramadol i 0
242 Xitrol Tete 0
243 OBAT PEN 0
244 Albothyl (P 0
245 Antrain In 0
246 Asifit kaple 0
247 Bioplacent 0
248 Dextrofen 0
Efrizel Tet 0
249 Fitkom tabl 0
250 Glaucon ta 0
251 Hemafort t 0
252 Mydriatil 0
253 Pahavral 0
254 Pantocain 0
255 Scabicid kr 0
256 Tablet Ta 0
257 Trombopho 0
258 Vitka Infan 0
259 Voltadex ge 0
260 BAKHP I 0
261 Blood Tran 0
262 Kapas berl 0
263 Kapas pemb 0
264 Kasa pemba 0
265 Kasa pemba 0
266 Kasa kompr 0
Nasal Oksi 0
267 Plester 5 y 0
268 Wing Needl 0
269 Wing Needl 0
270 BAKHP II 0
271 Alkohol 7 0
272 Alkohol 70 0
273 Alkohol 70 0
274 Aseptic Gel 0
275 Bisturi (Pi 0
276 Jarum Jahi 0
277 Jarum Jahi 0
278 Kertas EKG 0
279 Lisol Larut 0
280 OneClean 1 0
281 Oxycan 0
282 Safety Box 0
USG Jelly 2 0
283 USG Paper 0
284 BAKHP GIG 0
285 Air raksa d 0
286 Bur High/L 0
287 Devitalisas 0
288 Eugenol cai 0
289 Fuji II 21 0
290 Glass iono 0
291 Kalsium Hi 0
292 Krorfenol 0
293 Mummifiyin 0
294 Semen Seng 0
295 Silver Ama 0
296 Spongosta 0
297 Tambal Se 0
298 Temporary 0
299 TKF 0
300 BAHAN LA 0
301 Aquabidest 0
302 Aquadest 0
303 Asam Aset 0
304 Bayclin 0
305 Blue tip 0
306 Golongan d 0
307 Golongan d 0
308 Kertas Hem 0
309 Larutan as 0
310 Larutan as 0
311 Larutan Ben 0
312 larutan ED 0
313 Larutan eo 0
Larutan et 0
314 Larutan H 0
315 Larutan HCl 0
316 Larutan kar 0
317 Larutan me 0
318 Larutan me 0
319 Larutan ree 0
320 Larutan Tr 0
321 Reagen Wid 0
322 Rapid tes H 0
323 Rapid tes H 0
324 Spiritus 0
325 Strip peme 0
Tes kehami 0
326 Test strip u 0
327 Yellow tip 0
328 VAKSIN RU 0
DT 0
329 ADS 5ML 0
330 VAKSIN & 0
331 ABU I ( 5 ml 0
332 A.T.S 1500 0
333 Vaksin Rab 0
334 OBAT PRO 0
335 Albendazol 0
336 DEC (Dietil 0
337 Artemeter 0
338 Artesunate 0
339 DHP / DAR 0
340 Doksisiklin 0
341 Kinina 222 0
342 Kinina Injek 0
343 Primaquin 0
344 FDC Katago 0
 345 FDC Katagor 0
346 OAT Katagor 0
347 OAT Katagor 0
348 FDC Katagor 0
349 Kaca Slide 0
350 Pot Sputu 0
351 Reagen 0
352 INH 100 mg 0
353 MB Anak 0
354 MB Dewas 0
355 PB Dewasa 0
356 Glukonas Ka 0
Prokain Pen 0
363 Mineral Mi 0
364 Magnesium S 0
365 BMHP Tam 0
366 Plester In 0
367 Amoksisilin 0
368 Metronidaz 0
369 Ichtiol sale 0
370 D5% 100 m 0
JUMLAH

OBAT JKN
1 Norages Injeksi
2 Biocombin 5000 Injeksi
3 NEURODEX Tablet
4 Voltadex Gel
5 Glucodex
6 Clonex
7 ANATON
8 MolexFlu
9 DEXTRAL
10 Glibenklamid
11 Alpara
1 12 Amoksisilin syrup
20 13 Asam Mefenamat
200 14 Ranitidin 150 mg
15 Kamolas(Parasetamol Syrup)
16 Dextrofen syrup
10 17 Zentra (Tripolidin + Pseudoefedrin)
40 18 Anemolat (Folic Acid)
19 Cartylo (Asam Asetil Salisilat 80 mg)
20 Combivent (Salbutamol+Ipatropium)
21 Droxefa (Cefadroxil)
 22 Hemafort
23 Pehavral (Multivitamin)
24 Truvit syrup (Multivitamin)
180 25 Metformin 500 mg
60 26 Sefadroksil 500 mg
BMHP JKN
27 Strip Glucose Nesco N01
28 Strip Cholesterol Nesco
29 Strip Asam Urat Nesco
30 Strip Cholesterol Easytouch
31 Strip Asam Urat Easytouch
32 Strip Glucose easytouch
33 Tes Narkoba 6 parameter (AMP+THC+OPI+MET+BZO+COC)
34 Kacamata Laboratorium
35 Hidrogen Peroksida (H2O2)
36 Sarung tangan panjang utk manual plasenta
37 Bayclin 1 liter
38 Lar. Asam Asetat 6%
39 Lar. HCl 0,1N
40 Lar. Metanol
41 Lar. Truk
42 Lar. Hayem
43 Lar. Giemsa
44 Lar. Oil Emersi
45 Reagen Widal (AO.BO.O.H)
46 Spiritus
47 Tes Kehamilan (HCG DIP)
48 Test Strip Urin ( 3 Paramaeter)
49 Strip Glucose gluco dr ss
50 Strip Glucose Autocheck
51 Strip Asam Urat Autocheck
52 Strip Cholesterol Autocheck
53 Lidi oles (cotton swab)
54 Sarung tangan non steril
55 Aquadest
56 Tissue lensa
57 Hand Sanitizer 500 ml (Aseptan)
58 Hypafix
59 Nasal Kanula
60 Safety Box
61 Oceo (Liq. Pembersih karang gigi)
62 Topical anasthesi pakai rasa
63 Artikulating paper
64 Arkansas (Polishing gigi) bentuk flame
65 Speculum disposible
66 Jarum hecting perinerum besar (jarum hecting+Jarum)
67 Masker with visor
68 Kaca mulut no.4
69 handle kaca mulut
70 pinset gigi
71 Excavator
72 Sonde halfmoon
73 Bur High Speed
74 Fixomul 5 cm
75 Tabung EDTA
76 Diluent
77 Lyse
78 Cleanser
79 Benecheck Alat
80 Benecheck Asam Urat
81 Benecheck Kolesterol
82 Benecheck Glucose
OBAT JKN TAMBAHAN
83 Stimuno
84 Molagit
85 Becefort
 DAFTAR KETERSEDIAAN OBAT
UNIT FARMASI
TAHUN 2021
JIKA CONTENG ARTINYA TERSEDIA
PERSEDIAAN SEWAKTU-WAKTU BISA BERUBAH
NO NAMA OBAT/ BARANG PERSEDIAAN SAT TERSEDIA

OBAT GENERIK
1 Alopurinol tablet 100 mg tablet √
2 Alopurinol tablet 300 mg tablet
3 Alprazolam 1 mg Tablet tablet
4 Alprazolam tablet 0,5 mg tablet
5 Ambroxol sirup 15 mg/ml botol √
6 Ambroxol tablet 30 mg tablet √
7 Aminofilin injeksi 24 mg / ml - 10 ml ampul √
8 Aminofilin tablet 200 mg tablet √
9 Amitriptilin tablet salut 25 mg tablet √
10 Amlodipin tablet 10 mg tablet √
11 Amlodipin tablet 5 mg tablet √
12 Amoksisilin kaplet 500 mg kaplet √
13 Amoksisilin kapsul 250 mg kapsul √
14 Amoksisilin sirup kering 125 mg/5 ml botol √
15 Antasida DOEN I tablet kunyah , kombinasi: Aluminium Hi tablet √
16 Antasida DOEN II suspensi, kombinasi: Aluminium Hidrok botol √
17 Anti Bakteri DOEN salep kombinasi : Bacitrasin 500 IU/g + pot √
18 Anti Fungi DOEN kombinasi : Asam Benzoat 6% + Asam Sal pot √
19 Anti Haemoroid DOEN Kombinasi : Karbidopa 25 mg + Le supp √
20 Anti migren : Ergotamin tartrat 1 mg + Kofein 50 mg tablet
21 Aqua Pro injeksi steril, bebas pirogen ampul √
22 Asam Asetil Salisilat 80 mg tablet tablet
23 Asam Askorbat (Vitamin C) tablet 50 mg tablet √
24 Asam Mefenamat kaplet 500 mg kaplet √
25 Asam Tranexamat Injeksi 50 mg/ml Ampul √
26 Asiklovir Krim 5% tube √
27 Asiklovir tablet 200 mg tablet
28 Asiklovir tablet 400 mg tablet √
29 Atenolol tablet 50 mg tablet √
30 Attapulgit tablet 600 mg tablet
31 Betahistin Mesilat tablet 60 mg tablet √
32 Betametason krim 0,1 %(Sebagai valerat) tube √
33 Bisoprolol tablet 2,5 mg tablet √
34 Bromheksin tablet 8 mg tablet
35 Citicolin Injeksi 250 mg ampul
36 D5-1/2 NS Botol 500 √
37 D5-1/4 NS Botol 500 √
38 Deksametason injeksi i.v 5 mg/ml ampul √
39 Deksametason tablet 0,5 mg tablet √
40 Diazepam injeksi 5mg/ ml ampul √
41 Diazepam larutan rektal 5 mg/2,5 ml (STESOLID RECTAL)Tube √
42 Diazepam tablet 2 mg tablet √
43 Diazepam tablet 5 mg tablet
44 Difenhidramin injeksi i.m 10 mg/ml (HCl) ampul √
45 Digoksin tablet 0,25 mg tablet √
46 Diltiazem HCl tablet 30 mg tablet
47 Dimenhidrinat tablet 50 mg tablet √
48 Domperidon Suspensi 5mg/ 5 ml botol
49 Domperidon tablet 10 mg tablet √
50 Efedrin tablet 25 mg (HCl) tablet
51 Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCl) ampul √
52 Eritromisin kapsul 250 mg kapsul √
53 Etakridin Larutan 0,1 % (Rivanol) botol
54 Fenitoin kapsul 100 mg kapsul
55 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul
56 Fenobarbital tablet 100 mg tablet
57 Fenobarbital tablet 30 mg tablet √
58 Fenol Gliserol Tetes Telinga 10 % botol √
59 Ferro Fumarat 60 mg + Asam Folat 0,4 mg Tablet Tambah tablet √
60 Fitomenadion (Vit K) tablet salut gula 10 mg tablet √
61 Fitomenadion (vit K1) injeksi 10 mg/ml - 1 ml ampul √
62 Furosemid injeksi i.v/i.m 10 mg/ml ampul √
63 Furosemid tablet 40 mg tablet √
64 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g, Kalium Kl
bungkus √
65 Gemfibrozil kapsul 300 mg kapsul √
66 Gentamisin Injeksi 40 mg/ml Ampul
67 Gentamisin salep kulit 0,1 % tube √
68 Gentamisin Sulfat Tetes Mata 0,3 % botol √
69 Gentian violet larutan 1 % botol √
70 Glibenklamida tablet 5 mg tablet √
71 Glimepiride tablet 1 mg tablet √
72 Glimepiride tablet 2 mg tablet √
73 Gliseril Guaiakolat tablet 100 mg (GG) tablet √
74 Glukosa larutan infus 5% steril botol √
75 Griseofulvin tablet 125 mg micronized tablet √
76 Haloperidol tablet 1,5 mg (Psikotropika) tablet
77 Haloperidol Injeksi Ampul
78 Haloperidol Injeksi i.m 5 mg/ml (LODOMER) Ampul
79 Haloperidol tablet 0,5 mg (Psikotropika) tablet
80 Haloperidol tablet 5 mg (Psikotropika) tablet √
 81 Hidroklortiazida tablet 25 mg (HCT) tablet √
82 Hidrokortison krim 2,5 % tube √
83 Ibuprofen Suspensi Botol √
84 Ibuprofen tablet 200 mg tablet √
85 Ibuprofen tablet 400 mg tablet √
86 Isosorbid dinitrat tablet sublingual 5 mg tablet √
87 Kalium Diklofenak tablet 50 mg tablet √
88 Kalsium laktat (kalk) tablet 500 mg tablet √
89 Kaptopril tablet 25 mg tablet √
90 Kaptopril tablet 12,5 mg tablet √
91 Kaptopril tablet 50 mg tablet
92 Karbamazepin tablet 200 mg tablet √
93 Ketokonazol krim 2 % tube √
94 Ketokonazol tablet 200 mg tablet
95 Ketorolac Injeksi 30 mg ampul √
96 Klobazam tablet 10 mg tablet √
97 Kloramfenikol kapsul 250 mg kapsul √
98 Kloramfenikol salep mata 1 % tube √
99 Kloramfenikol suspensi 125mg/5ml botol √
100 Kloramfenikol tetes mata 0,5 % botol
101 Kloramfenikol tetes telinga 3 % botol √
102 Klorfeniramina maleat (CTM) tablet 4 mg tablet √
103 Klorpromazin injeksi i.m 25 mg/ml (HCl) (CPZ) ampul
104 Klorpromazin tablet salut 100 mg (HCl) (CPZ) tablet √
105 Klorpromazin tablet salut 25 mg (HCl) (CPZ) tablet
106 Kotrimoksazol Suspensi komb : Sullfametoksazol 200 mg +botol √
107 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksatablet √
108 Levofloksasin tablet 500 mg tablet
109 Lidokain Gel 2 % (XYLOCAIN GEL) Tube
110 Lidokain injeksi 2% (HCl) + Efineprin 1:80.000 - 2 ml ampul √
111 Lisinopril tablet 20 mg tablet
112 Loperamid tablet 2 mg tablet
113 Loratadin tablet 10 mg tablet √
114 Meloksikam tablet 15 mg tablet
115 Meloksikam tablet 7,5 mg tablet
116 Metformin HCl tablet 500 mg tablet √
117 Metformin HCLl tablet 850 tablet
118 Metilergometrin maleat injeksi 0,200 mg - 1 ml ampul
119 Metilergometrin maleat tabet salut 0,125 mg tablet √
120 Metilprednisolon tablet 4 mg tablet √
121 Metoklopramid injeksi 5 mg/ml ampul √
122 Metoklorpramid sirup 5 mg/5ml botol √
123 Metoklorpramid tablet 5 mg tablet √
124 Metronidazol syrup botol √
125 Metronidazol tablet 500 mg tablet √
126 Mikonazol krim/ salep 2 % (Nitrat) tube √
127 Natrium Diklofenak tablet 25 mg tablet √
128 Natrium Diklofenak tablet 50 mg tablet √
129 Natrium klorida Larutan infus 0,9 % botol √
130 Nifedipin tablet 10 mg tablet √
131 Nistain vaginal tablet 100.000 IU/g tablet
132 Obat batuk hitam (O.B.H) botol √
133 Ofloxacin tablet 400 mg tablet √
134 Oksitetrasiklin HCl salep kulit 3 % tube √
135 Oksitetrasiklin HCl salep mata 1 % tube √
136 Oksitosin injeksi 10 iu / ml - 1 ml ampul √
137 Omeprazol kapsul 20 mg kapsul √
138 Ampul
139 Papaverin tablet 40 mg tablet
140 Parasetamol tablet 500 mg tablet √
141 Parasetamol Drops botol √
142 Parasetamol sirup 120 mg / 5 ml botol √
143 Perak Sulfadiazin Tube √
144 Piracetam Injeksi 1 g/5 ml. ampul
145 Piracetam injeksi 3 g/15 ml ampul
146 Piracetam tablet 400 mg tablet √
147 Piracetam tablet 800 mg tablet √
148 Pirantel Pamoat Suspensi 125 mg/5ml botol
149 Pirantel tablet score (base) 125 mg tablet
150 Piridoksin (Vit B6) tablet 10 mg tablet √
151 Piroksikam tablet 10 mg tablet
152 Piroksikam tablet 20 mg tablet √
153 Povidon iodida larutan 10 % 30 ml botol √
154 Povidon iodida larutan 10 % 300 ml botol √
155 Povidon Iodida larutan 10% 60 ml botol √
156 Prednison tablet 5 mg tablet √
157 Propanolol tablet 10 mg (HCl) tablet √
158 Propanolol tablet 40 mg (HCl) tablet √
159 Propiltiourasil tablet 100 mg (PTU) tablet √
160 Ranitidin 150 mg tablet tablet √
161 Ranitidin injeksi 25 mg/2ml ampul
162 Reserpin tablet 0,25 mg tablet
163 Ringer Laktat Larutan infus botol √
164 Risperidon tablet 2 mg (Psikotropika) tablet √
165 Salbutamol Cair + Ipatropium (COMBIVENT) VIAL √
166 Salbutamol Cairan ih 0,1% ( VENTOLIN) Vial
167 Salbutamol tablet 2 mg (sebagai sulfat) tablet √
168 Salbutamol tablet 4 mg (sebagai sulfat) tablet √
169 Salep 2-4 kombinasi : Asam Salisilat 2% + Belerang enda pot √
170 Salisil bedak 2 % bungkus √
171 Sefadroksil kapsul 500mg kapsul √
172 Sefadroksil sirup kering 125 mg/5ml botol √
173 Sefiksim kapsul 100 mg kapsul √
174 Sefiksim Sirup Kering 100 mg/ 5 ml botol √
175 Sefotaksim injeksi 1 gram ampul √
176 Sefotaxime 0,5 gr ijeksi vial
177 Seftriakson injeksi 1 gram ampul √
178 Setrizine tablet 10 mg tablet √
179 Sianokobalamin ( Vitamin B12) injeksi 500 mcg ampul
180 Sianokobalamin (Vitamin B12) tablet 50 mcg tablet √
181 Simetidin tablet 200 mg tablet
182 Simvastatin tablet 10 mg tablet √
183 Siprofloksasin tablet 500 mg ( sebagai HCl) tablet √
184 Spiramisin tablet 500 mg tablet
185 Spironolakton tablet 100 mg tablet
186 Sulfasetamida Natrium tetes mata 15 % botol
187 Tetrasiklin kapsul 250 mg kapsul
188 Tetrasiklin kapsul 500 mg kapsul
189 Thiamfenikol kapsul 500 mg kapsul √
190 Tiamin ( Vitamin B1) injeksi 100 mg/ml - 1ml ampul
191 Tiamin (Vitamin B1) tablet 50 mg (HCl/Nitrat) tablet √
192 Timolal Maleat Tetes Mata tube
193 Tramadol injeksi 50 mg/ml ampul
194 Tramadol kapsul 50 mg kapsul
195 Triheksifenidil tablet 2 mg (THP) tablet √
196 Vitamin B Kompleks tablet tablet √
197 Xitrol Tetes Mata botol
198 Zinc Sirup 20 mg/5 ml botol √
199 Zinc tablet 20 mg tablet √
OBAT PENUNJANG
200 Albothyl (Polikresolin) botol √
201 Antrain Injeksi (NORAGES INJEKSI) ampul
202 Asifit kaplet kaplet
203 Bioplacenton Cream / Bismecon tube
204 Dextrofen Syrup botol
205 Efrizel Tetes Mata botol
206 Fitkom tablet tablet
207 Glaucon tablet tablet
208 Hemafort tablet tablet
209 Mydriatil Tetes Mata botol
210 Pahavral tablet
211 Pantocain tetes mata 2 % botol
212 Scabicid krim 10 g/Scabimite tablet √
213 Tablet Tambah Darah (FONDAZEN) tablet
214 Trombophop gel tube
215 Vitka Infant (Fitomenadion injeksi 2 mg) ampul
216 Voltadex gel tube
BAKHP I
217 Alat suntik sekali pakai 1 ml set √
218 Alat suntik sekali pakai 2,5 ml set √
219 Alat suntik sekali pakai 5 ml set √
220 Alat suntik sekali pakai 10 ml PCS √
221 Blood Transfusion Set set √
222 Cat gut/ benang bedah No 2/0 - 3/0 dengan jarum bedah set √
223 Folley Catheter No.16 set √
224 Folley Catheter No.18 set √
225 Infusion set anak set √
226 Infusion set dewasa set √
227 IV Cathether No. 18 G set √
228 IV Cathether No. 20 G set √
229 IV Cathether No. 22 G set √
230 IV Cathether No. 24 G set √
231 Kantong Urine Dewasa (Urinal Bag) set √
232 Kapas berlemak 500 mg buah
233 Kapas pembalut/ absorben 250 mg buah √
234 Kasa pembalut Hidrofil 4m x 15 cm elastik buah √
235 Kasa pembalut Hidrofil 4m x 3 cm elastik buah √
236 Kasa 16 x 16 kotak 16 √
237 Kasa kompres 40/40 steril buah √
238 Kasa pembalut 2 m x 80 buah √
239 Masker buah √
240 Mucus Extractor Set
241 Nasal Oksigen Anak Set √
242 Nasal Oksigen Dewasa Set √
243 Plester 5 yard x 2 inch buah √
244 Sarung Tangan Non Steril Kotak √
245 Sarung tangan steril pasang √
246 Silk (benang bedah sutera) no 3/0 dengan jarum bedah set √
247 Wing Needle 23 G set √
248 Wing Needle 25 G set √
BAKHP II
249 Alkohol 70 % 1000 ml botol √
250 Alkohol 70 % 300 ml. botol √
251 Alkohol 70% 100 ml botol √
252 Aseptic Gel 500 cc Botol
253 Bisturi (Pisau Bedah) buah √
254 Hidrogen Peroksida (H202) botol √
255 Jarum Jahit Penampang bulat(no10,12,14,16,18,20) set (6) √
256 Jarum Jahit Penampang segitiga (no.10,12,14,18,20) set (6) √
257 Kertas EKG 50 x 30 rol √
258 Lisol Larutan botol √
259 OneClean 1 Liter Botol
260 Oxycan botol √
261 Safety Box Buah √
262 Sarung Tangan Panjang pasang √
263 Umbilical Cord buah √
264 Under Pad buah √
265 USG Jelly 250 gr botol √
266 USG Paper UPP 110 HG Sony rol √
BAKHP GIGI
267 Air raksa dental use botol
268 Bur High/Low Speed `
269 Devitalisasi pasta ( Non Arsen) botol
270 Etil klorida spray botol
271 Eugenol cairan botol
272 Fuji II 21 set
273 Glass ionomer cemen (Ketok Molar)/Fuji IX set
274 Kalsium Hidroksida Pasta tube
275 Krorfenol Kamfer Menthol (CHKM) botol
276 Mummifiying Pasta botol
277 Semen Seng Fosfat serbuk dan cairan set
278 Silver Amalgam serbuk 65 - 75 % set
279 Spongostan set (10)
280 Tambal Sementara CAVITON set
281 Temporary Stoping Fletsher serbuk & cairan set
282 TKF botol
BAHAN LABORATORIUM
283 Alkohol swab steril kotak @ 1 √
284 Aquabidest botol
285 Aquadest botol √
286 Asam Asetat 5% Botol
287 Bayclin botol
288 Blue tip buah
289 Golongan darah A botol
290 Golongan darah B botol
291 Kertas Hematology Rol
292 Lancet set
293 Larutan asam asetat 1 % botol
294 Larutan asam asetat 6% botol
295 Larutan Benidict botol
296 larutan EDTA 10 % botol
297 Larutan eosin 2% botol
298 Larutan etanol asam botol
299 Larutan Hayem botol
300 Larutan HCl 0,1 N botol
301 Larutan karbol fuchsin botol
302 Larutan methanol botol
303 Larutan methelin blue botol
304 Larutan rees ecker botol
305 Larutan Truk botol
306 Reagen Widal (AO,BO,O,H) set
307 Rapid tes HIV tes
308 Rapid tes HIV 1/2 3.0 tes
309 Spiritus botol
310 Strip pemeriksa asam urat nessco botol
311 Tes kehamilan (HCG DIP) buah
312 Test strip urin box
313 Yellow tip buah
VAKSIN RUTIN
314 HB PID SACHET
315 BCG VIAL
316 IPV VIAL
317 POLIO TRIVALENT 10 DOSE VIAL
318 PENTABIO VIAL
319 CAMPAK 10 DOSE/MR VIAL
320 DT VIAL
321 TD VIAL
322 ADS 0.5 ML BUAH
323 ADS 0.05 ML BUAH
324 ADS 5ML BUAH
325 SAFETY BOX BUAH
VAKSIN & SERUM
326 ABU I ( 5 ml ) vial
327 A.T.S 1500 ( 1 ml ) ampul
328 Vaksin Rabies Vero set
OBAT PROGRAM
329 Albendazole tablet
330 DEC (Dietil Karbamazin) tablet
331 Artemeter (Artem Inj) ampul
332 Artesunate Injeksi ampul
333 DHP / DARPLEX / ANTI MALARIA blister
334 Doksisiklin 100 mg tablet
335 Kinina 222 mg tablet
336 Kinina Injeksi ampul
337 Primaquin tablet
338 FDC Katagori Anak paket
339 FDC Katagori I paket
340 OAT Katagori I paket
341 OAT Katagori II paket
342 FDC Katagori Sisipan paket
343 Kaca Slide kotak
344 Pot Sputum buah
345 Reagen kotak
346 INH 100 mg ampul
347 MB Anak blister
348 MB Dewasa blister
349 PB Dewasa blister
350 Glukonas Kalsikus 10% Injeksi ampul
351 Prokain Penesilllin 3 Juta Unit ampul
352 Mineral Mix bungkus
353 Retinol (Vitamin A) 100.000 IU kapsul
354 Retinol (Vitamin A) 200.000 IU kapsul √
355 Magnesium Sulfat Injeksi (IV) 20% - 25 ml ampul √
356 Magnesium Sulfat Injeksi (IV) 40% - 25 ml ampul √
BMHP Tambahan
363 Asetosal 80 mg (Miniaspi 80 mg) tablet √
364 Hypafix roll √
365 Plester Infus (Leukopmed) lbr √
366 Amoksisilin Sirup 100 mg (drop) botol √
367 Metronidazol 500 mg infus botol 100 ml
368 Ichtiol salep pot √
369 D40% 25 ml ampul √
370 D5% 100 ml botol √
JUMLAH
OBAT JKN
1 Norages Injeksi ampul √
2 Biocombin 5000 Injeksi Ampul √
3 NEURODEX Tablet Tablet
4 Voltadex Gel Tube
5 Glucodex Tablet
6 Clonex Tablet
7 ANATON tablet
8 MolexFlu Kaplet
9 DEXTRAL Botol √
10 Glibenklamid Tablet √
11 Alpara Tablet
12 Amoksisilin syrup botol √
13 Asam Mefenamat Tablet √
14 Ranitidin 150 mg Tablet √
15 Kamolas(Parasetamol Syrup) botol √
16 Dextrofen syrup botol √
17 Zentra (Tripolidin + Pseudoefedrin) Tablet √
18 Anemolat (Folic Acid) Tablet √
19 Cartylo (Asam Asetil Salisilat 80 mg) Tablet √
20 Combivent (Salbutamol+Ipatropium) ampul √
21 Droxefa (Cefadroxil) Tablet √
22 Hemafort Tablet √
23 Pehavral (Multivitamin) Tablet
24 Truvit syrup (Multivitamin) botol
25 Metformin 500 mg Tablet √
26 Sefadroksil 500 mg Kapsul √
BMHP JKN paket
27 Strip Glucose Nesco N01 tube 25
28 Strip Cholesterol Nesco tube 10
29 Strip Asam Urat Nesco tube 25
30 Strip Cholesterol Easytouch tube 10
31 Strip Asam Urat Easytouch tube 25
32 Strip Glucose easytouch tube 25
33 Tes Narkoba 6 parameter (AMP+THC+OPI+MET+BZO+COkit 20
34 Kacamata Laboratorium Buah
35 Hidrogen Peroksida (H2O2) botol 800cc
36 Sarung tangan panjang utk manual plasenta pasang
37 Bayclin 1 liter botol
38 Lar. Asam Asetat 6% botol 100 ml
39 Lar. HCl 0,1N botol 100 ml
40 Lar. Metanol botol 100 ml
41 Lar. Truk botol 100 ml
42 Lar. Hayem botol 100 ml
43 Lar. Giemsa botol 100 ml
44 Lar. Oil Emersi botol 100 ml
45 Reagen Widal (AO.BO.O.H) set
46 Spiritus botol
47 Tes Kehamilan (HCG DIP) kit 50
48 Test Strip Urin ( 3 Paramaeter) Verify ( 50 test)
49 Strip Glucose gluco dr ss tube 50
50 Strip Glucose Autocheck tube 25
51 Strip Asam Urat Autocheck tube 25
52 Strip Cholesterol Autocheck tube 10
53 Lidi oles (cotton swab) box 100
54 Sarung tangan non steril box
55 Aquadest botol 1 liter
56 Tissue lensa box
57 Hand Sanitizer 500 ml (Aseptan) botol
58 Hypafix rol
59 Nasal Kanula buah
60 Safety Box Buah
61 Oceo (Liq. Pembersih karang gigi) botol
62 Topical anasthesi pakai rasa box
63 Artikulating paper buah
64 Arkansas (Polishing gigi) bentuk flame buah
65 Speculum disposible buah
66 Jarum hecting perinerum besar (jarum hecting+Jarum) sachet
67 Masker with visor box 10
68 Kaca mulut no.4 buah
69 handle kaca mulut buah
70 pinset gigi buah
71 Excavator buah
72 Sonde halfmoon buah
73 Bur High Speed set 6
74 Fixomul 5 cm rol
75 Tabung EDTA paket
76 Diluent gallon
77 Lyse btl
78 Cleanser btl
79 Benecheck Alat paket
80 Benecheck Asam Urat botol
81 Benecheck Kolesterol botol
82 Benecheck Glucose botol
OBAT JKN TAMBAHAN
83 Stimuno Tablet
84 Molagit Tablet √
85 Becefort Tablet √
JUMLAH
T

KET
MAU HABIS

ED = 3/21