PERENCANAAN PENGADAAN OBAT DAN BAHP

RSUD.DR.R.SOEPRAPTO CEPU TAHUN 2017

BULAN : MARET 2017

PERENCANAAN
NO NAMA BARANG SATUAN JUMLAH YG
DIBUTUHKAN
A TABLET GENERIK

1 AMINOPHYLIN TAB 2,000

2 AMITRIPTILIN TAB 3,000

3 AMLODIPIN 5 MG TAB 5,000

4 AMLODIPIN 10 MG TAB 10,000

5 ASAM MEFENAMAT 500 TAB 5,000

6 BISACODYL TAB 400

7 CANDESARTAN 16 MG TAB 1,500

8 CARBAMAZEPIN 200 TAB 1,000

9 CEFADROXIL 250 TAB 2,000

10 CO AMOXICLAVE 625 TAB 3,000

11 COTRIMOXAZOLE 480 TAB 2,000

12 CTM TAB 1,000

13 CYANOCOBALAMIN 50 mcg ( VIT B12 ) TAB 10,000

14 CLOPIDOGREL 75 TAB 2,000

15 DIAZEPAM 2 MG TAB 1,000

16 DIGOXIN 0,25 TAB 10,000

17 FENITOIN 100 MG TAB 5,000

18 FUROSEMID 40 TAB 5,000

19 GABAPENTIN TAB 5,000

20 GLIMEPIRIDE 4 TAB 2,000

21 GLUCOSAMIN 500 TAB 5,000

22 HALOPERIDOL 1,5 TAB 2,000

23 HALOPERIDOL 5 TAB 2,000

24 KA.DICLOFENAK 50 TAB 5,000

25 LANSOPRAZOLE 30 TAB 1,000

26 LEVOFLOXACINE 500 TAB 500

27 MELOXICAM 15 TAB 1,000

28 MELOXICAM 7,5 TAB 2,000

29 METFORMIN 500 TAB 5,000

30 METFORMIN 850 TAB 5,000

31 METHYL PREDNISOLON 4 TAB 1,000

32 OMEPRAZOLE 20 TAB 1,500

33 PARACETAMOL STRIP TAB 6,000

34 PROPANOLOL 10 TAB 1,000

35 PROPANOLOL 40 TAB 1,000

36 PTU TAB 10,000

37 PYRIDOXIN 10 ( VIT B6 ) TAB 1,000

38 SIMVASTATIN 10 TAB 1,500

39 SULFAS FEROSUS TAB 3,000

40 TRAMADOL 50 TAB 500

41 TRIFLUOPERAZINE TAB 10,000

42 TRIHEXYPHENIDIL 2 TAB 10,000

43 VITAMIN B COMPLEX TAB 3,000

B INJEKSI GENERIK

44 AMINOPHYLLIN AMP 900

45 AMOXYCILLIN 1 GR VIAL 200

46 CEFOTAXIM 1 GR VIAL 1,000

47 CEFTRIAXON 1 GR VIAL 1,000

48 CEFOPERAZONE+SULBAKTAM 1 GR VIAL 100

49 CITICOLIN 250 AMP 500

50 DEXAMETHASONE AMP 500

51 DIAZEPAM AMP 100

52 DOPAMINE AMP 20

53 KETOROLAC 30 AMP 500

54 METHYL PREDNISOLON 125 AMP 100

55 MORFIN AMP 10

56 ONDANSETRON 4 MG AMP 200

57 ONDANSETRON 8 MG AMP 500

58 RANITIDIN AMP 500

59 TRAMADOL 100 MG AMP 250

C SYRUP GENERIK

60 ANTASIDA DOEN FLS 120

61 CO AMOXICLAV FLS 48

62 PARACETAMOL FLS 120

63 PIRACETAM FLS 200

64 THIAMPHENICOL FLS 100

D TOPIKAL GENERIK

65 GENTAMYCIN 0,1% SK 5 G TUBE 50

66 HIDROCORTISON 2,5% SK TUBE 48

E TABLET PATENT

67 ALGANAX 0,25 TAB 1,200

68 CLINMAS TAB 600

69 CRAVOX 500 TAB 1,000

70 EUTHYROX TAB 1,000

71 HERBESSER CD 100 TAB 1,000

72 HERBESSER CD 200 TAB 1,000

73 HEXIMER 2 MG TAB 5,000

74 KUTOIN TAB 5,000

75 LAPIBAL TAB 1,000

76 LEVAZIDE TAB 1,200

77 LYNORAL TAB 500

78 NUCRAL TAB 1,000

79 SANMOL TAB 5,000

80 STELOSI TAB 3,000

81 VALISANBE 2 TAB 5,000

F INJEKSI PATENT

82 CERNEVIT AMP 20

83 DOBUJECT AMP 20

84 ELPICEF 1 G VIAL 400

85 FENDEX 50 MG AMP 1,500

86 GETIDIN AMP 500

87 HERBESSER 50 MG AMP 100

88 LACTOPAIN AMP 500

89 LEVEMIR FLEXPEN AMP 150

90 MIKAJECT 250 MG AMP 200

91 NOVORAPID FLEX PEN AMP 750

92 RECOFOL AMP 100

93 SEDACUM 5MG/ML AMP 300

94 STABACTAM AMP 400

95 VALISANBE AMP 400

96 VICCILIN 1 GR AMP 500

97 VICCILLIN SX AMP 400

98 VOMETRON 4 MG/2ML AMP 250

99 XOLMETRAS 50 ML VIAL 50

G SUPPOSITORIA
100 STOLAX SUPP 120

H INFUS

101 AMINOFLUID 500 FLS 100

102 AQUABIDEST 25 ML FLS 1,000

103 D 40% FLS 240

104 FARNAT FLS 300

105 FUTROLIT FLS 360

106 GELAFUSAL 500 ML FLS 20

107 METRONIDAZOL FLS 300

108 NACL 100 ML SANBE FLS 300

109 NACL 1000 ML IV FLS 300

110 NACL 500 ML (OTSUKA / SANBE ) FLS 100

111 NULAGYL 100 ML FLS 180

112 PARACETAMOL FLS 200

113 RING AS SP FLS 1,000

114 RL 500 ML ( OTSUKA / SANBE ) FLS 1,500

I SYRUP PATENT

115 DEXANTA FLS 120

116 PRATROPIL FLS 120

J TOPIKAL PATENT

117 BIOPLACENTON TULLE PCS 600

118 DARYANTULLE PCS 300

119 SANORIN BIRU 200 ML FLS 24

L BAHAN ALKES HABIS PAKAI

120 ADHESSIVE TAPES WITH INDICATOR ROLL 10

121 ALKACIDE GLN 5

122 ALKAZYME GLN 5

123 ANIOSPRAY 29 5 L GLN 5

124 ANIOSYME DDI 5 L GLN 5

125 BaSO4 KG 5

126 CANULE O2 DEWASA ( nasal Oxygen) PCS 500

127 CANULE O2 SUNGKUP ( masker oksigen /maxiflow) PCS 150

128 CLORIN 0,5 % 500 ML FLS 20

129 COLTER PEN PCS 30

130 E CARE ALCOHOL + CHG 0,5% BOX 100

131 ELASTOMUL 10CM X 4M PCS 20

132 ELASTOMUL 8CM X 4M PCS 20

133 EMP CONNECTION SUCTION 300 PCS 200

134 FILM UK 10 X 12 CR AGFA BOX 7

135 FILM UK 14 X 17 CR AGFA BOX 5

136 GARAM INGGRIS / MGSO4 / EPSOM SALT KG 2

137 E CARE HANDSCHON SURGIGLOVE 8,5 PCS 200

138 E CARE HANDSCHON SURGIGLOVE FREE POWDER 6,5 PCS 500

139 E CARE HANDSCHON SURGIGLOVE FREE POWDER 7 PCS 500

140 E CARE HANDSCHON SURGIGLOVE FREE POWDER 7,5 PCS 1,000

141 E CARE HANDSCHON SURGIGLOVE FREE POWDER 8 PCS 100

142 E CARE HANDSCHON SURGIGLOVE FREE POWDER 8,5 PCS 200

143 H2O2 35 % 5 L GLN 20

144 IV TROVENOCATH SINE TROGE 18 PCS 100

145 JARUM 23 TERUMO PCS 2,000

146 KAPAS 250 GR PCS 50

147 KY JELLY 50 GRAM TUBE 50

148 LEUCOMED PCS 200

 149 MASKER KARET BOX 100

150 MASKER TALI BOX 75

151 PERFUSOR TUBING WHITE 150 CM PCS 50

152 POLYCREPE 4 INCHI PCS 240

153 POLISORB 2-0 PCS 180

154 SKINTACT PAPER ESITAB (RT34S) PCS 1,000

155 THERMOMETER PCS 60

156 TREE WAY STOP COCK PCS 100

157 T PLAIN 2/0 PCS 72

158 ULTRASONIC (JELLI GLN) GLN 5

ONE MED CLEAN L 1

MENGETAHUI
KA. INSTALASI FARMASI PENANGGUNGJAWAB PERENCANAAN IFRS

RSUD. DR.R. SOEPRAPTO RSUD. DR.R. SOEPRAPTO

DRA. FIFIEN FINANSIANI, APT. DADANG KUN SEPTIANTO,S.Farm.,APT.

NIP.19600908 198712 2 002 NIP.19820928 201001 1 019

Tembusan kepada Yth :

- Direktur

- Ketua Komite Medis

- Arsip