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FARMASI KOMUNITAS 2

KELOMPOK 8
W I J AYA K A R TA N E G A R A
(1110097)
H A N A L I S T I YA N A V I N T H E A
(1110127)
N I L U H P U T U R I YA N D I N I ( 1 1 1 0 1 3 5 )
N I K A D E K AY U D E W I N TA P
(1110173)
N I N E N G A H M U S W I TA W
(1110265)

Durogesic Patch
TANGGAL
1 1 2011
11 4 2011
11 4 2011
8 3 2012
8 3 2012
25 1 2013
25 1 - 2013
5 10 2013
5 11 2013
9 11 2013
4 1 2014
28 2 2014
7 3 2014

NO.R/HV/PB M
F
KF
5
Ce maya
KR
5
Bigga
KF
5
KF
5
1257A
KF
5
SO
451 A
681A
-

5
5
5
5
5
3

4
9
4
9
4
9
4
9
4
9
9
4
1

Durogesic Patch (Narkotika) = Kimia Farma

1 1 2011 sampai 7 3 2014 = 1164 hari


CA= CT : {Rm (DOZ : 30,5)}

= 28 : {39 (6 : 30,5)

= 0,72 patch/ bulan

Batugin Elixir
Tanggal
16 11- 2012
6 12 2012
2 1 2013
10 5 - 2013
17 5 3013
24 6 2013
25 6 2013
31 8 2013
7/ 9
14/9
16/9
14/10
23/10
4 1 2014
6 2 2014

No. R/HV/PBF
SB
8202C
Stok
GHL
FN 3398
FN 3451
S.O
12144
FA 12860
GhL
14387
6279 d
S.O
Mla

M
2
2
2
2
1

K
1
2
1
1
1
1
1
-

S
2
1
1
3
5
3
2
2
1
2
1
0
1

Batugin Elixir (B) = Kimia Farma

16 11- 2012 sampai 6 2 2014 = 83 hari


CA= CT : {Rm (DOZ : 30,5)}
= 8 : [4 - (37 30,5)
= 2,87 botol / bulan

CLANEKSI Forte DRY SIRUP


Tanggal
18/9/11
15/10
17/10
18/11
29/11
26/12
30/6/12
11/7
24/7
25/8
28/8
2/1/13
27/7/13
31/8/13
6/9/13
4/1/14

NO. R/HV/PBF
-11
5900
Bsp
Bsp
Stock
Stock
4163
Bsp

Bsp
Stok
6111
S.O
BSP
S.O

M
1
1
1
1
1
-

K
1
1
1
-

S
1
1
1
1
1
1
1
--

Claneksi Forte Dry Syrup (K) = Bina San Prima

18/9/11 sampai 4/1/14 = 109 hari


CA= CT : {Rm (DOZ : 30,5)}

= 5 : [5- (41 : 30,5 )]

= 1,37 syrup/ bulan

EXFORGE 5/160
TANGGAL

NO.R/HV/PBF M

31-8-13

APL

31-8-13

STOCK

2-9-13

EN4774

2-9-13

APL

6-9-13

12910

17-9-13

APL

2-10-13

FN5453

3-10-13

APL

28

28

12-12-13

APL

28

56

16-12-13

7289

4-1-14

STOCK

18-3-14

4156

28

S
30
30

30
28

28

28

28

28
28

30

26
26

25

Exforge 5/160 mg tablet (K) = Pharmindo Lestari

31-8-13 sampai 18-3-14= 210 hari


CA= CT : {Rm (DOZ : 30,5)}
= 141 : [ 8 ( 30 30,5)]
= 20,10 tablet/ bulan

EUPHYLLIN MITE
TANGGAL
9/1/14
9/1/14
9/1/14
9/1/14
9/1/14
17/1/14
17/1/14
28/1/14
7/2/14
11/2/14
12/2/14
21/2/14
21/2/14
28/2/14
2/3/14
2/3/14
2/3/14
16/3/14

NO.R/HV/PBF
APL
6516D
6517D
6519D
6520D
6615D
6617D
6715D
6819D
FN5416
APL
6895D
FN6517
FN7156
6899D
6912D
6913D
FN7851

M
100

10
10
10
10
10
10
10
10
15
100
10
5
20
10
20
10
25

S
100
90
80
70
60
50
40
30
20
5
105
95
90
70
60
40
30
5

Euphyllin Mite (Generik) = Multi Husada Farma

9/1/14 sampai 16/3/14 = 66 hari


CA= CT : {Rm (DOZ : 30,5)}
= 195 : [3- (24 : 30,5 )]
= 88,11 tablet / bulan

TGL
27/7/13
30/7/13
20/8/13
27/8/13
28/8/13
29
31
27/9
28/9
29/10
6/11
28/11
4/12
11/12
4/1/14
8/1/14
9/1/14
28/1/14
29/1
10/2
12/2
25/2
26/2
27/2
3/3
3/3
12/3
13/3

ADALAT OROS 30

NO. R/HV/PBF
DNRR
FN 4257
FN 4532
FN 4693
FN 4727
DNR
STOCK OP
FN 5384
FN 5424
FN 6107
DNR
FN 6844
DNR
FN 4244
STOCK
FN 6820
DNR
FN 7100
DNR
FN 7152
DNR
FN 1337
FN 1382
DNR
FN 1400
DNR
FN 1489
DNR

M
60

10
10
20
20
60
30
20
10
30
30
30
15

20
30
30
30
30
30
20
10
30
30
30
30
60

S
70
60
50
30
10
70
70
40
20
10
40
10
40
25
25
5
35
5
35
5
35
15
5
35
5
35
5
65

Adalat Oros 30mg (K) = Multi Husada

27/7/13 sampai 13/3/14 = 229 hari


CA= CT : {Rm (DOZ : 30,5)}

= 395 : [9 - (41 : 30,5 )]

= 51,60 tablet/ bulan

PULMICORT Repules 0,25


Tanggal

No. R/HV/PBF M

18 12 13

APL

20

20

19 2 2013

FN 1411

20

13 8 2013

SO

2 9 2013

APL

40

40

3 9 2013

FN T651

40

4 1 2014

Stok

14 1 2014

APL

60

60

11 1 2014

FN 8029

60

14 3 2014

APL

20

20

14 3 2014

FN 8099

20

Pulmicort respules 0,25 (K)= Parit Padang

18 12 13 sampai 14 3 2014 = 116 hari


CA= CT : {Rm (DOZ : 30,5)}
= 140 : [8 124 30,5 )]
= 35,5 tablet / bulan

De Fecta
Tgl

Nama Brg

Jumlah
dipesan

PBF

SP dibuat
tgl

7 Maret
2014

5 patch

Kimia
Farma

15 Maret
2014

2 botol

Kimia
Farma
Bina San
Prima

8 Maret
2014
5 Februari
2014

28 tablet

Pharmindo
Lestari

19 April
2014

16 maret
2014

Durogesic
patch 25
mcg
Batugin
elixir
Claneksi
forte dry
syrup
Exforge
5/160 mg
tablet
Euphyllin
mite

1 box @
100 tablet

17 April
2014

13 Maret
2014

Adalat oros
30 mg

60 tablet

Multi
Husada
Farma
Multi
Husada

14 Maret
2014

Pulmicort
respules

60 tablet

Parit
Padang

15 April
2014

7 Februari
2014
4 Januari
2014
18 Maret
2014

1 botol

14 April
2014

Brg
diterima tgl

Keterangan

untuk per
tahun

PUSTAKA
ISO vol 46

Modul Praktikum Farmasi Komunitas II


Buku Pedoman Pengelolaan Narkotika dan

Psikotropika di Apotek