DAFTAR OBAT JKN PUSKESMAS TAHUN 2017

NO NAMA OBAT SATUAN JUMLAH

1 Allopurinol tab 100 mg Tablet 15000
2 Asiklovir tab 200 mg Tablet 1000
3 Allopurinol tab 300 mg Tablet 10000
4 Ambroxol Tablet 10 mg Box/100 tablet 40000
5 Ambroxol Hcl sirup 15 mg/ 5 ml Botol 60 ml 300
6 Amoksisilin Tablet 500 mg Box/100 tablet 11200
7 Antalgin (Metamizol) inj 500 mg/ml Box/100 Ampul 600
8 Asam Traneksamat 500 mg Box/100 tablet 5800
9 Antalgin tablet 500 mg Box/ 100 tablet 15000
10 Amlodipin 5 mg Tablet 21000
11 Albendazol 400 mg Tablet 3000
12 Amlodipin 10 mg Tablet 10000
13 Atapulgit 650 mg Tablet 3000
Antasida, kombinasi : aluminium hidroksida
14 200 mg+ Magnesium hidroksida 200 mg
Ktk/100 tab
17900
15 Atropin Sulfat Injeksi Ampul 500
Antasida DOEN Suspensi kombinasi :
16 aluminium hidroksida 200 mg/5 ml + Botol
Magnesium hidroksida 200 mg/5 ml 171
17 Asam Folat tab 1 mg Tablet 15000
Anestetik lokal gigi kombinasi : lidokain hcl
18 2% + epinefrin 1 : 80.000 inj 2 ml
Ampul 2250
Antifungi DOEN Salep, Kombinasi : Asam
19 Benzoat 6% Asam Salisilat 3%
Pot 200
20 Amoksisilin SK 125 mg/5 ml Botol 1000
21 Asam Mefenamat 500 mg Tablet 20000
22 Air untuk injeksi amp 25 ml Ampul 400
23 Anti Migren : ergotamin + cafein Botol/100 tab 5000
Antihemoroid, kombinasi : bismut
subgalat150 mg + heksaklorofen 2,5 mg +
24 lidokain 10 mg + seng oksida 120 mg + sup
Box/ 10 sup
ad 2 g 750
25 Asiklovir krim 0,5 Tube 500
26 Asam askorbat (Vit.C) tab 50 mg Botol/100 tab 33600
27 Betafort Syrup Botol 350
28 Betametason krim 0,1% tube 5 gram 85
29 Cendo Lyteers 15 ml Botol 25
30 Diazepam tab 2 mg Botol/100 tab 8500
31 Diazepam inj. 5 mg/ml Box/5 ampul 50
Dihydroartemisin 40 mg + Piperaquin
32 Phosphate 320 mg
Tablet 450
33 Deksametason tab 0,5 mg Tablet 40000
34 Dulcolax supp 5 mg bisacodyl Suppo 300
35 Dulcolax supp 10 mg bisacodyl suppo 100
36 Deksametason inj. 5 mg/ml (i.v/i.m) Box/100 Ampul 400
37 Domperidon susp/sirup 5 mg/5 ml Botol 100
38 Domperidon Tablet 10 mg Tablet 8000
39 Epinefrin(adrenalin) inj 0,1% (i.v/s.k/i.m.) Ampul 300
40 Farbion injeksi Box/5 ampul 1500
41 Febrinex syrup Botol 60 ml 450
42 Gliseril guaiakolat 100 mg Box/100 tablet 13500
43 Gentamisin salep mata 0,3% Tube 500
44 Gentamisin tetes mata 0,3% Botol 510
45 Glimepirid 1 mg Tablet 3000
46 Gentamisin 1 mg krim Tube 15 gram 704
47 Glibenklamid 5 mg Box/100 tablet 7500
48 Griseofulvin Tablet 1000
49 Glimepirid 2 mg Tablet 5000
50 Hidrokortison krim 2,5% Tube 800
51 Ibu profen tab 400 mg Tablet 1000
Kombinasi : Hyosine N-buthyl Bromide 10 mg
52 + Dipyrone 250 mg tablet
Box/100 tablet 4000
53 ketorolac injeksi 10 mg Box/10 ampul 300
54 Kloramfenikol tts telinga 1% Botol 5 ml 400
55 Kloramfenikol susp 125 mg/5 ml Botol 500
56 Klorfeniramin Maleat tab 4 mg Tablet 40100
57 Kalsium laktat (Kalk) tab 500 mg Tablet 25000
Kotrimiksazol (dewasa) kombinasi:
58 Sulfametoksazol 400 mg + trimetoprim 80 mg
Tablet
10000
59 Livron B Plex Box/100 tablet 15000
60 Lidocain spray 10% Botol 30
61 Lansoprazol kapsul 30 mg Kapsul 1000
62 Loperamid tab 2 mg Tablet 500
63 Meloxicam tab 7,5 mg Box/100 tablet 3000
64 Metilprednisolon tab 4 mg Tablet 1000
65 Metronidazol tab 500 mg Tablet 5000
66 Metformin tab 500 mg Tablet 15000
67 Mikonazol krim 2% Tube 100
68 Furosemid injeksi Box/25 ampul 75
69 Novabion Box/100 kapsul 15000
70 Novadiar Syrup Botol 60 ml 500
71 Noza Tablet Box/100 tablet 3200
72 Novapyron Box/100 tablet 10000
73 Omeprazol kaps 20 mg Kapsul 12000
74 Oksitosin inj 10 UI/ml Ampul 1000
75 Nistatin tab/kapl 500.000 IU/g Tablet 3000
76 Omeprazol inj 40 mg Vial 150
77 OBH syrup botol 100 ml 100
78 Oksitetrasilin salep kulit 3% tube 5 gram 1000
79 Propiltiurasil 10 mg tablet Box/100 tablet 1500
80 Parasetamol 100 mg/ml drops Botol 10 ml 100
81 Parasetamol infuss 1.000 mg/100 ml botol 100 ml 200
82 Piroxicam tablet 20 mg Box/100 tablet 15000
83 Pirantel pamoat tab scored 125 mg Tablet 1000
84 Piridoksin (Vit.B6) tab 10 mg Tablet 16000
85 Prednison tab 5 mg Tablet 30000
86 Parasetamol sir 120 mg/5 ml Botol 500
87 Parasetamol tab 500 mg Tablet 40000
88 Ranitidin inj 25 mg/ml Ampul 1000
89 Ranitidin Tab 150 mg Tablet 10000
90 Sefadroksil kapsul 500 mg Box/100 kapsul 4500
91 Sefadroksil sirup kering 125 mg/5 ml Botol 60 ml 255
92 Salbutamol 4 mg Tablet 10000
93 Sukralfat suspensi 500 mg/5 ml Botol 200
94 Salbutamol Inhalasi 100 mcg Dus 50
95 Simvastatin tab salut 10 mg Tablet 18000
salep 2-4 kombinasi : asam salisilat 2% +
96 belerang endap 4%
Tube 200
97 Sianokobalamin (Vit.B12) inj 500 mcg/ml Vial 500
98 Sianokobalamin (Vit.B12) tab 50 mcg Tablet 20000
99 Simvastatin tab salut 20 mg Tablet 3750
100 Siprofloksasin tab scored 500 mg Tablet 8000
101 Tiamin (Vitamin B1) tab 50 mg Tablet 30000
102 Tetrasiklin Kapsul 500 mg Box/100 kapsul 2000
103 Tablet tambah darah SF Tablet 1000
104 Vitamin B kompleks Tablet 50000