TABEL 69

KETERSEDIAAN OBAT MENURUT JENIS OBA

PROVINSI NUSA TENGGARA TIMUR
TAHUN 2012

NO NAMA OBAT SATUAN SISA STOCK

1 2 3
100 4
1 Alopurinol tablet 100 mg tablet/strip/blister , 999,253
2 Aminofilin tablet 200 mg kotak/ botol
100 tablet 2,265,113
3 Aminofilina injeksi 24 mg/ml - 10 ml 30 ampul
100/ kotak 39,218
4 Amitriptilin HCl tablet salut 25 mg tablet/strip/blister
120 , 90,993
5 Amoksisilin kapsul 250 mg kotak
kapsul/strip/blister, 7,271,813
100 kaplet/botol/strip,
kotak
6 Amoksisilin kaplet 500 mg 13,582,244
kotak
7 Amoksisilin sirup kering 125 mg/5ml Botol 60 ml 327,834
8 Metampiron tablet 500 mg 1000 tablet / botol 26,185,846
9 Metampiron
Antasida injeksi
DOEN 250 mg
tab,kombinasi: Mg- 30 ampul/kotak 92,651
Anti Bakteri DOEN salep kombinasi:
10 Hidroksida 200mg+Al.
Basitrasin 500 Hidroksida. 200
IU/g + Polimiksin 1000 tablet / botol 23,378,990
11 mg
10.000 IU/g 25 tube @ 5 g / kotak 184,641
12 Anti Hemoroid DOEN Kombinasi 10 supp / kotak 44,185
Antifungi DOEN Kombinasi:Asam
13 24 pot @ 30 g / kotak 85,098
Benzoat 6%Ergotamin
Antimigren: + Asam Salisilat
Tartrat 3%
1 mg +
14 100 tablet
100 / botol 257,930
Kofein 50 mg DOEN tablet kombinasi:
Antiparkinson
15 tablet/strip/blister , 464
Karbidopa 25 mg + Levodopa 250 mg 10 vialkotak
@20 ml /
16 Aqua pro Injeksi steril, bebas pirogen 87,785
kotak
17 Asam Askorbat (Vit C) tablet 50 mg 1000 tablet
100 / botol 29,724,661
18 Asetosal tablet 100 mg tablet/strip/blister
100 , 550,100
19 Asetosal tablet 500 mg kotak
tablet/strip/blister , 378,681
20 Atropin Sulfat tablet 0,5 mg kotak
500 tablet / botol 95,641
21 Atropin Sulfat tetes mata 0,5% 24 btl @ 5 ml / kotak 194
22 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml 30 ampul / kotak 11,510
23 Betametason krim 0.1% 25 tube @ 5 g / kotak 243,607
24 Deksametason injeksi 5 mg/ml - 1 ml 100 ampul /kotak 503,250
25 Deksametason tablet 0,5 mg 1000 tablet / botol 24,978,933
26 Dekstran 70 - larutan infus 6% steril Botol 500 ml 3,667
27 Dekstrometorfan sirup 10 mg/5 ml Botol 60 ml 170,280
28 Dekstrometorfan tablet 15 mg 1000 tablet / botol 9,573,734
29 Diazepam injeksi 5 mg/ml - 2 ml 30 ampul / kotak 67,244
30 Diazepam tablet 2 mg 1000 tablet / botol 2,116,603
31 Diazepam tablet 5 mg 250 tablet / botol 642,982
32 Difenhidramin HCl inj 10 mg/ml-1 ml 30 ampul / kotak 171,991
33 Digoksin tablet 0,25 mg 100 tablet / kotak 296,071
34 Efedrin HCl tablet 25 mg 1000 tablet / botol 4,945,083
35 Ekstrak Belladon tablet 10 mg 1000 tablet / botol 962,116
Epinefrina HCl/Bitartrat
36 30 ampul /kotak 59,453
(Epinefrina/Adrenalina)inj 0,1%-1ml
37 Etakridin ( Rivanol ) larutan 0,1% Botol 300 ml 51,010
38 Fenitoin Natrium kapsul 30 mg 250 kapsul / botol 925
39 Fenobarbital injeksi 50 mg/ml - 2 ml 30 ampul / kotak 34,555
40 Fenobarbital tablet 30 mg 1000 tablet / botol 1,724,098
41 Fenoksimetil Penisilina tablet 250 mg 100 tablet / botol 31,077
42 Fenoksimetil Penisilina tablet 500 mg 100 tablet / botol 25,885
43 Fenol Gliserol tetes telinga 10% 24 btl @ 5 ml / kotak 56,994
Fitomenadion (Vit.K1) injeksi 10 mg/ml
44 30 ampul / kotak 371,722
-Fitomenadion
1 ml (Vit.K1) tablet salut gula
45 100 tablet / botol 513,334
10 mg
46 Furosemid tablet 40 mg 250 tablet / botol 637,063
47 Gameksan krim 1 % Botol 30 ml 6,204
48 Garam Oralit untuk 200 ml air 100 kantong / kotak 2,571,289
49 Gentian Violet larutan 1 % Botol 10 ml 73,824
50 Glibenklamid tablet 5 mg 100 tablet / botol 1,492,496
51 Gliseril Guayakolat tablet 100 mg 1000 tablet / botol 27,564,038
52 Gliserin Botol 100 ml 143,558
Glukosa larutan infus 5 % steril
53 Botol / plastik 500 ml 200,949
(Produk
Glukosa lokal)
larutan infus 10 % steril
54 Botol / plastik 500 ml 42,238
(Produk
Glukosa lokal)
larutan infus 40 % steril 10 amp @ 25 ml,
55 28,857
(Produk lokal) kotak
56 Griseofulvin tablet 125 mg, micronized 100 tablet
100 / botol 2,504,712
57 Haloperidol tablet 0,5 mg tablet/strip/blister
100 , 81,426
58 Haloperidol tablet 1,5 mg kotak
tablet/strip/blister , 21,979
59 Hidroklorotiazid (HCT) tablet 25 mg kotak
1000 tablet / botol 249,062
60 Hidrokortison krim 2,5 % 24 tube @ 5 g / kotak 4,380,338
61 Ibuprofen tablet 200 mg 100 tablet / botol 360,533
62 Ibuprofen tablet 400 mg 100 tablet / botol 2,482,436
63 Isosorbid Dinitrat tablet sublingual 5 mg 100 tablet / kotak 2,920,400
64 Kalsium Laktat (Kalk) tablet 500 mg 1000 tablet / botol 5,459,885
65 Kaptopril 12,5 mg Ktk 10x10 tablet 12,644,696
66 Kaptopril 25 mg Ktk 10x10 tablet 3,897,491
100 tablet/strip/blister,
67 Karbamazepin tablet 200 mg 2,655,824
kotak
68 Ketamin injeksi 10 mg/ml 10 vial @ 20 ml, kotak 129,717
69 Klofazimin kapsul 100 mg micronize 100 kapsul / botol 1,330
70 Kloramfenikol kapsul 250 mg 250 kapsul / botol 608,134
24 botol @ 5 ml /
71 Kloramfenikol tetes telinga 3 % 1,946,906
kotak
72 Klorfeniramin Maleat (CTM) tablet 4 mg 1000 tablet / botol 7,788,794
73 Klorpromazin HCl injeksi 5 mg/ml - 2 ml 30 ampul / kotak 25,873,713
74 Klorpromazin HCl injeksi 25 mg/ml - 1 m 30 ampul / kotak 725
75 Klorpromazin HCl tablet salut 25 mg 1000 tablet / botol 459
76 Klorpromazin HCl tablet salut 100 mg
Anti malaria DOENKombinasi 250 tablet / botol 386,132
77 Pirimetamin 25 mg + Sulfadoxin 500 100 tablet / botol 482,200
Kotrimoksazol
mg Suspensi komb:
78 botol 60 ml 922,646
Sulfametoksazol 200 mg
79 Kotrimoksazol tablet kombinasi: 480 mg 100 tablet / botol 2,002,572
80 Kotrimoksazol tablet pediatrik, 120 mg: 100 tablet / botol 7,666,678
60 tablet/strip/blister,
81 Kuinin (Kina) tablet 200 mg 1,836,285
kotak
82 Kuinin Dihidroklorida injeksi 25%
Lidokain komp. injeksi, Kombinasi: - 2 ml 30 ampul / kotak 542,270
83 Lidokain HCl 2% + Epinefrin 1:80.000 - 30 ampul / kotak 177,811
84 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml 10 vial / kotak 216,144
85 Magnesium Sulfat inj (IV) 40% - 25 ml 10 vial / kotak 8,020
10 sase @ 30 gr /
86 Magnesium Sulfat serbuk 30 gram 15,426
kotak
87 Mebendazol sirup 100 mg / 5 ml Botol 30 ml 17,383
30 tablet/strip/blister,
88 Mebendazol tablet 100 mg 28,064
Metilergometrin Maleat kotak
100 tablet/strip/blister,
89 102,346
(Metilergometrin) Tab Salut 0,125 mg kotak
90 Metilergometrin Maleat inj 0,200 mg-1 30 ampul / kotak 1,503,476
91 Metronidazol tablet 250 mg 100 tablet / botol 128,156
92 Natrium Bikarbonat tablet 500 mg 1000 tablet / botol 2,814,428
93 Natrium Fluoresein tetes mata 2% 24 btl @ 5 ml / kotak 1,323,289
Natrium Klorida larutan infus 0,9 %
94 Botol / plastik 500 ml 49,991
steril (Produk lokal)
95 Natrium Tiosulfat injeksi 25% - 10 ml 10 ampul / kotak 73,899
100 tablet/strip/blister,
96 Nistatin tablet salut 500.000 IU 38,272
kotak
100 tablet/strip/blister,
97 Nistatin tablet vaginal 100.000 IU/g 141,088
kotak
98 Obat Batuk Hitam ( O.B.H. ) cairan Botol 100 ml 365,480
25 tube @ 3,5 g /
99 Oksitetrasiklin HCl salep mata 1 % 414,963
kotak
100 Oksitetrasiklin HCl salep kulit 3 % tube 367,550
Oksitetrasiklin HCl injeksi i.m. 50
101 10 vial / kotak 26,395
mg/ml-10 ml
102 Oksitosin injeksi 10 IU/ml - 1 ml 30 ampul / kotak 587,128
103 Parasetamol sirup 120 mg/5 ml Botol Plastik 60 ml 286,978
104 Parasetamol tablet 100 mg 100 tablet / botol 2,111,423
105 Parasetamol tablet 500 mg 1000 tablet / botol 45,192,043
106 Pilokarpin HCl / Nitrat tetes mata 2% 24 btl @ 5 ml / kotak 384
60 tablet/strip/blister,
107 Pirantel tablet 125 mg 935,744
kotak
108 Piridoksin HCl (Vit.B6) tablet 10 mg 1000 tablet / botol 25,006,783
109 Povidon Iodida 10 % Botol 30 ml 85,847
110 Povidon Iodida 10 % Botol 300 ml 42,546
111 Prednison tablet 5 mg 1000 tablet / botol 20,246,561
112 Primakuin tablet 15 mg 1000 tablet / botol 1,207,426
 113 Propiltiourasil tablet 100 mg 100 tablet / botol 97,169
114 Propranolol HCl tablet 40 mg 100 tablet / botol 267,885
115 Reserpin tablet 0,10 mg 250 tablet / botol 141,626
116 Reserpin tablet 0,25 mg 1000 tablet /botol 1,735,430
Ringer Laktat larutan infus steril
117 Botol / plastik 500 ml 373,665
(Produk lokal)
118 Salep 2-4, kombinasi : 208,270
119 Salisil Bedak 2 % 50 gram / kotak 217,790
Serum Anti Bisa Ular Polivalen injeksi
120 10 vial / kotak 1,387
5 ml (ABU
Serum AntiI)Bisa Ular Polivalen injeksi
121 1 vial / kotak 87
50 ml (ABU
Serum II)
Anti Difteri Injeksi 20.000 IU/vial
122 10 vial / kotak 10
(A.D.S.)
Serum Anti Tetanus Injeksi 1.500
123 10 ampul / kotak 1,568
IU/ampul
Serum Anti (A.T.S.)
Tetanus Injeksi 20.000
124 10 vial / kotak 150
IU/vial (A.T.S.)
Sianokobalamin (Vit.B12) injeksi 500
125 100 ampul / kotak 783,026
mcg-ml
126 Sulfasetamida Natrium tetes mata 15 % 24 btl @ 5 ml / kotak 40,473
127 Tetrakain HCl tetes mata 0,5% 24 btl @ 5 ml / kotak 185
128 Tetrasiklin HCl kapsul 250 mg 1000 kapsul
100 / botol 15,229,163
129 Tetrasiklin HCl kapsul 500 mg kapsul/strip/blister, 1,849,636
130 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 kotak/ kotak
30 ampul 81,495
Tiamin HCl / Mononitrat (Vit.B1) tablet
131 1000 tablet / botol 15,888,724
50 mg
Tiopental Natrium serbuk injeksi 1000
132 Ampul100@ 10 ml -
mg/amp
133 Triheksifenidil Hidroklorida tablet 2 mg tablet/strip/blister , 196,446
134 Vaksin Rabies Vero kotak
1 kuur / set 2,046
135 Vitamin B Kompleks tablet 1000 tablet / botol 35,677,388
VAKSIN
136 Vaksin BCG Ampul 60,187
137 Vaksin TT Vial 108,431
138 Vaksin DT Vial 52,299
139 Vaksin Campak 10 Dosis Vial 115,697
140 Vaksin Polio 10 Dosis Vial 133,019
141 Vaksin DTP-HB Vial 123,817
142 Vaksin Hepatitis 0,5 ml ADS Vial 134,576
143 Polio 20 dosis Vial 19,526
144 Campak 20 dosis Vial 14539

PENAMBAHAN
- Stok awal
- Penerimaan
- Persediaan
- Pemakaian
- Sisa Stok
 NURUT JENIS OBAT
NGGARA TIMUR
012

PERSENTASE TINGKAT
PEMAKAIAN KETERSEDIAAN
KECUKUPAN
5 6 7
130,493 7.66 42.54
595,258 3.81 21.14
9,668 4.06 22.54
30,291 3.00 16.69
1,785,668 4.07 22.62
3,915,477 3.47 19.27
88,645 3.70 20.55
3,696,933 7.08 39.35
30,006 3.09 17.15
3,582,086 6.53 36.26
38,352 4.81 26.75
8,541 5.17 28.74
8,066 10.55 58.61
8,963 28.78 159.87
2 232.00 1288.89
11,457 7.66 42.57
6,922,194 4.29 23.86
24,831 22.15 123.08
29,042 13.04 72.44
40,518 2.36 13.11
- 0 0
1,221 9.43 52.37
35,729 6.82 37.88
179,042 2.81 15.62
4,912,132 5.09 28.25
105 34.92 194.02
85,220 2.00 11.10
2,898,311 3.30 18.35
11,231 5.99 33.26
116,258 18.21 101.14
27,078 23.75 131.92
44,030 3.91 21.70
 34,041 8.70 48.32
1,580,788 3.13 17.38
3,600 267.25 1484.75
42,684 1.39 7.74
22,335 2.28 12.69
35 26.43 146.83
10,204 3.39 18.81
46,399 37.16 206.43
5,356 5.80 32.24
4,479 5.78 32.11
9,935 5.74 31.87
157,455 2.36 13.12
291,936 1.76 9.77
74,201 8.59 47.70
918 6.76 37.55
1,049,718 2.45 13.61
24,568 3.00 16.69
49,418 30.20 167.78
7,244,517 3.80 21.14
355 404.39 2246.60
53,325 3.77 20.94
7,159 5.90 32.78
356 81.06 450.33
640,922 3.91 21.71
21,656 3.76 20.89
443 49.66 275.88
10,567 23.57 130.94
704,612 6.22 34.54
62,473 5.77 32.06
576,427 4.31 23.93
921,447 3.17 17.61
248,902 21.94 121.87
3,236,476 3.91 21.71
300,328 12.98 72.10
616,749 4.31 23.92
65,262 1.99 11.04
585 2.27 12.63
66,903 9.09 50.50
426,795 4.56 25.34
197,155 39.51 219.48
8,129,157 3.18 17.68
326 2.22 12.36
6 73.44 408.00
2,001 192.97 1072.05
10,961 43.99 244.41
44,794 20.60 114.43
86,666 23.11 128.37
2,196,476 3.49 19.39
1,135,259 1.62 8.99
168,160 3.22 17.92
7,349 24.20 134.42
96,514 2.24 12.44
2,179 3.68 20.45
3,149 4.90 27.21
960 18.11 100.60
10,374 2.71 15.03
16,137 6.34 35.23
294,317 5.11 28.38
51,478 2.49 13.83
1,101,943 2.55 14.19
126,443 10.47 58.14
6,538 7.65 42.48
34,297 2.15 11.97
17,237 2.22 12.34
119,385 1.18 6.57
165,589 2.21 12.26
82,828 5.01 27.83
104,655 3.51 19.51
6,897 3.83 21.26
99,792 5.88 32.69
95,984 2.99 16.61
461,982 4.57 25.39
5,835,453 7.74 43.02
- - -
291,397 3.21 17.84
8,308,259 3.01 16.72
15,929 5.39 29.94
4,605 9.24 51.33
7,604,104 2.66 14.79
1,056,013 1.14 6.35
 54,267 1.79 9.95
74,437 3.60 19.99
21,794 6.50 36.10
95,090 18.25 101.39
54,464 6.86 38.12
28,966 7.19 39.95
43,064 5.06 28.10
57 24.16 134.20
7 12.43 69.05
0 0,0 0,0
135 11.65 64.72
12 0,0 0,0
207,497 3.77 20.96
2,259 17.92 99.53
31 6.07 33.71
4,622,201 3.29 18.30
122,709 15.07 83.74
11,076 7.36 40.88
3,508,365 4.53 25.16
- 0,0 0,0
44,271 4.44 24.65
1,521 1.35 7.47
12,125,180 2.94 16.35

13,289 4.53 25.16

22,590 4.80 26.67
7,810 6.70 37.20
21,108 5.48 30.45
27,921 4.76 26.47
29,987 4.13 22.94
24,082 5.59 31.05
1,887 10.35 57.49
1522 9.55 53.07
 SIKDA NTT/UKP/C-11

> Kertas F4
1
No

2
al
Tangg

KETERANGAN :
Unit Pelayanan

3
Nama Puskesmas

No.
Indeks
Kode Puskes P 5 3

Kol 1 : Tulis nomor urut kunjungan

4
Nama pasien

9
p
Asal
Rese

10
R/
Jmh

Alopurinol tab 100 mg

2

Aminofilin tab 200 mg

REGISTER APOTIK

Aminofilina injeksi 24
3

mg/ml - 10 ml
Desa

Amitriptilin HCl tablet

4

salut 25 mg

Kol 7 : Tulis alamat lengkap tempat tinggal pasien

Amoksisilin kapsul 250
5
Kecamatan

mg

Amoksisilin kaplet 500

6

mg
7

Amoksisilin sirup kering

125 mg/5ml
Periode(Bulan/Tahun)

Metampiron tablet 500

Kol 8: Tulis diagnosa penyakit yang tertera di resep (Pastikan sesuai ICD X)

mg
9

Metampiron injeksi 250

mg
10

Antasida DOEN
tab,kombinasi: Mg-
Hidroksida 200mg+Al.
11

Anti Bakteri DOEN

Hidroksida. salep
200 mg
kombinasi: Basitrasin
500 IU/g + Polimiksin
12

Anti Hemoroid DOEN

10.000 IU/g
Kombinasi
13

Antifungi DOEN
Kombinasi:Asam
Benzoat 6% + Asam
14

Antimigren:
SalisilatErgotamin
3%
Tartrat 1 mg + Kofein 50
mg
15

Antiparkinson DOEN
tablet kombinasi:
Karbidopa 25 mg +
16

Aqua pro Injeksi

Levodopa 250 steril,
mg
bebas pirogen
17

Asam Askorbat (Vit C)

tablet 50 mg
18

Asetosal tablet 100 mg

19

Asetosal tablet 500 mg

20

Atropin Sulfat tablet 0,5

mg
21

Atropin Sulfat tetes mata

0,5%
22

Atropin Sulfat injeksi 0,25

mg/ml - 1 ml
(215 X 330 mmKol 2 : Tulis Tgl/Bln/Thn kunjungan pasien
> 80 gram Kol 3 :Tulis nomor indeks pasien
> Jilid Staples Kol 4 : Tulis nama lengkap pasien
> Cover Kol 5 : Tulis Tgl Lhr/umur pasien dalam tahun
Karton Kol 6 : Tulis L jika Laki-laki dan P jika perempuan
Kol 9: Tulis sumber atau asal resep :
1 = Poli Umum; 2 = Poli Gigi; 3 = KIA; 4 = KB
Kol 10: Tulis R/ (obat) yang diresepkan dokter
Kol 11 : Tulis jenis dan jlh obat yang diresepkan

Cat : Jenis Obat/Perbekalan Kesehatan masih dapat ditambahkan ke samping bila perlu
23
Betametason krim 0.1%

24
Deksametason injeksi 5
mg/ml - 1 ml

25
Deksametason tablet 0,5
mg

26
Dekstran 70 - larutan
infus 6% steril

27
Dekstrometorfan sirup
10 mg/5 ml

28
Dekstrometorfan tablet
15 mg
29 Diazepam injeksi 5
mg/ml - 2 ml
30

Diazepam tablet 2 mg
31

Diazepam tablet 5 mg
32

Difenhidramin HCl inj 10

mg/ml-1 ml
33

Digoksin tablet 0,25 mg

34

Efedrin HCl tablet 25 mg

35

Ekstrak Belladon tablet

10 mg
36

Epinefrina HCl/Bitartrat
(Epinefrina/Adrenalina)inj
0,1%-1ml
37

Etakridin ( Rivanol )
larutan 0,1%
38

Fenitoin Natrium kapsul

30 mg
39

Fenobarbital injeksi 50
mg/ml - 2 ml
40

Fenobarbital tablet 30
mg
41

Fenoksimetil Penisilina
tablet 250 mg
42

Fenoksimetil Penisilina
tablet 500 mg
43

Fenol Gliserol tetes

telinga 10%
44

Fitomenadion (Vit.K1)
injeksi 10 mg/ml - 1 ml
45

Fitomenadion (Vit.K1)
tablet salut gula 10 mg
46

Furosemid tablet 40 mg
47

Gameksan krim 1 %
48

Garam Oralit untuk 200

ml air
49

Gentian Violet larutan 1

%
50

Glibenklamid tablet 5 mg
51

Gliseril Guayakolat tablet

100 mg
52

Gliserin
53

Glukosa larutan infus 5

% steril (Produk lokal)
54

Glukosa larutan infus 10

% steril (Produk lokal)
55

Glukosa larutan infus 40

% steril (Produk lokal)
56

Isosorbid Dinitrat tablet

sublingual 5 mg
57

Haloperidol tablet 0,5 mg

58

Haloperidol tablet 1,5 mg

 59
Hidroklorotiazid (HCT)
tablet 25 mg

60
Hidrokortison krim 2,5 %

61
Ibuprofen tablet 200 mg

62
Ibuprofen tablet 400 mg

63
Isosorbid Dinitrat tablet
sublingual 5 mg

64
Kalsium Laktat (Kalk)
tablet 500 mg
65
66 Kaptopril 12,5 mg

Kaptopril 25 mg
67

Karbamazepin tablet 200

mg
68

Ketamin injeksi 10 mg/ml

69

Klofazimin kapsul 100

mg micronize
70

Kloramfenikol kapsul 250

mg
71

Kloramfenikol tetes
telinga 3 %
72

Klorfeniramin Maleat
(CTM) tablet 4 mg
11
73

Klorpromazin HCl injeksi

5 mg/ml - 2 ml
74

Klorpromazin HCl injeksi

25 mg/ml - 1 ml
75

Klorpromazin HCl tablet

salut 25 mg
76

Klorpromazin HCl tablet

salut 100 mg
77

Anti malaria
Nama Obat/Vaksin dan Jumlahnya

DOENKombinasi
Pirimetamin 25 mg +
78

Kotrimoksazol Suspensi
Sulfadoxin 500 mg
komb: Sulfametoksazol
200 mg
79

Kotrimoksazol tablet
kombinasi: 480 mg
80

Kotrimoksazol tablet
pediatrik, 120 mg:
81

Kuinin (Kina) tablet 200

mg
82

Kuinin Dihidroklorida
injeksi 25% - 2 ml
83

Lidokain komp. injeksi,

Kombinasi: Lidokain HCl
2% + Epinefrin 1:80.000 -
84

Magnesium 2 Sulfat
ml inj (IV)
20% - 25 ml
85

Magnesium Sulfat inj (IV)

40% - 25 ml
86

Magnesium Sulfat serbuk

30 gram
87

Mebendazol sirup 100

mg / 5 ml
88

Mebendazol tablet 100

mg
89

Metilergometrin Maleat
(Metilergometrin) Tab
Salut 0,125 mg
90

Metilergometrin Maleat
inj 0,200 mg-1 ml
91

Metronidazol tablet 250

mg
92

Natrium Bikarbonat tablet

500 mg
93

Natrium Fluoresein tetes

mata 2%
94

Natrium Klorida larutan

infus 0,9 % steril (Produk
lokal)
95
Natrium Tiosulfat injeksi
25% - 10 ml

96
Nistatin tablet salut
500.000 IU

97
Nistatin tablet vaginal
100.000 IU/g

98
Obat Batuk Hitam
( O.B.H. ) cairan

99
Oksitetrasiklin HCl salep
mata 1 %

Oksitetrasiklin HCl salep

100
kulit 3 %
101 Oksitetrasiklin HCl injeksi
i.m. 50 mg/ml-10 ml

Oksitosin injeksi 10 IU/ml

102

- 1 ml

Parasetamol sirup 120

103

mg/5 ml

Parasetamol tablet 100

104

mg

Parasetamol tablet 500

105

mg

Pilokarpin HCl / Nitrat

106

tetes mata 2%

Pirantel tablet 125 mg

107

Piridoksin HCl (Vit.B6)

108

tablet 10 mg

Povidon Iodida 10 %
109

Povidon Iodida 10 %
110

Prednison tablet 5 mg
111

Primakuin tablet 15 mg
112

Propiltiourasil tablet 100

113

mg

Propranolol HCl tablet

114

40 mg

Reserpin tablet 0,10 mg

115

Reserpin tablet 0,25 mg

116

Ringer Laktat larutan

117

infus steril (Produk lokal)

Salep 2-4, kombinasi :

118

Salisil Bedak 2 %
119

Serum Anti Bisa Ular

120

Polivalen injeksi 5 ml
(ABU I)
Serum Anti Bisa Ular
121

Polivalen injeksi 50 ml
(ABU II)
Serum Anti Difteri Injeksi
122

20.000 IU/vial (A.D.S.)

Serum Anti Tetanus

123

Injeksi 1.500 IU/ampul

(A.T.S.)
Serum Anti Tetanus
124

Injeksi 20.000 IU/vial

(A.T.S.)
Sianokobalamin (Vit.B12)
125

injeksi 500 mcg-ml

Sulfasetamida Natrium
126

tetes mata 15 %

Tetrakain HCl tetes mata

127

0,5%

Tetrasiklin HCl kapsul

128

250 mg

Tetrasiklin HCl kapsul

129

500 mg

Tiamin HCl (Vit.B1)

130

injeksi 100 mg/ml-1 ml

 Tiamin HCl / Mononitrat

131
(Vit.B1) tablet 50 mg

Tiopental Natrium serbuk

132
injeksi 1000 mg/amp

Triheksifenidil

133
Hidroklorida tablet 2 mg

Vaksin Rabies Vero

134
Vitamin B Kompleks

135
tablet

Vaksin BCG

136
137 Vaksin TT

Vaksin DT
138

Vaksin Campak 10 Dosis

139

Vaksin Polio 10 Dosis

140

Vaksin DTP-HB
141

Vaksin Hepatitis 0,5 ml

142

ADS

Polio 20 dosis
143

Campak 20 dosis
144

Vit A 1000 IU (Biru)

Vit A 2000 IU (Merah)