Kebutuhan Obat Triwulan

PERENCANAAN OBAT-OBATAN
INSTALASI FARMASI RSUD dr.FAUZIAH BIREUEN
KEBUTUHAN STOK AKHIR STOK AKHIR JLH YG HRS HARGA PER

NO. NAMA OBAT SATUAN NOVEMBER DESEMBER 2015 DIADAKAN SATUAN (Rp.)
1 BLN 3 BLN 2015
1 2 3 4 5 6 7(=1/2 x 6) 8 (=5-7) 9
1 A.B.U (Polivalen) ampul 2 6 5 2.5 4 461,175.0
2 A.T.S 1.500 UI ampul 200 600 500 250.0 350 123,337.0
3 A.T.S 20.000 UI ampul 2 6 - 6
4 Acyclovir 200 mg tablet 2,000 6,000 5,400 2,700.0 3,300 245.0
6 Acyclovir cream tube 300 900 - 900 24,750.0
7 Adalat oros 20 mg tablet 1,800 5,400 2,220 1,110.0 4,290 2,999.0
8 Adalat oros 30 mg tablet 450 1,350 - 1,350 3,500.0
9 Albendazole 200 mg tablet 600 1,800 - 1,800
10 Albendazole 400 mg tablet 500 1,500 700 350.0 1,150 359.0
11 Alinamin F inj. ampul 600 1,800 310 155.0 1,645 9,950.0
12 Allopurinol 100 mg tablet 6,000 18,000 16,400 8,200.0 9,800 90.0
13 Allopurinol 300 mg tablet 2,000 6,000 - 6,000 232.5
14 Alpentin 100 mg tablet 10,000 30,000 - 30,000 2,650.0
15 Alprazolam 0,5 mg tablet 10,000 30,000 - 30,000 185.0
16 Alprazolam 1 mg tablet 10,000 30,000 6,800 3,400.0 26,600 239.0
17 Ambroxol 15 mg/5 ml botol 500 1,500 - 1,500 3,049.0
18 Ambroxol 30 mg tablet 30,000 90,000 40,100 20,050.0 69,950 313.0
19 Ambroxol 30 mg/5 ml botol 300 900 890 445.0 455 9,075.3
20 Aminofillin 200 mg tablet 3,000 9,000 1,100 550.0 8,450 86.0
21 Aminofillin 24 mg/ml amp 200 600 576 288.0 312 4,204.0
22 Aminofluid-L 500 ml botol 200 600 250 125.0 475 67,760.0
23 Aminofusin Hepar botol 100 300 100 50.0 250 75,350.0
24 Aminofusin L-600 bag 100 300 - 300 42,000.0
25 Aminoleban botol 200 600 45 22.5 578 65,000.0
26 Aminovel L 600 botol 200 600 18 9.0 591 71,280.0
27 Amitriptilin 25 mg tablet 30,000 90,000 4,200 2,100.0 87,900 123.0
28 Amlodipin 10 mg tablet 30,000 90,000 8,310 4,155.0 85,845 352.0
30 Amoxicillin 125 mg/5 ml botol 200 600 25 12.5 588 2,560.0
31 Amoxicillin 500 mg tablet 20,000 60,000 16,300 8,150.0 51,850 279.0
32 Ampicillin 1 gr vial 200 600 - 600 5,610.0
33 Antalgin 500 mg tablet 10,000 30,000 6,600 3,300.0 26,700 148.9
34 Antalgin amp amp 500 1,500 18,100 9,050.0 (7,550) 2,970.0
35 Antasid susp. 60 ml botol 800 2,400 - 2,400 2,300.0
36 Antasida DOEN (box) tablet 35,000 105,000 17,000 8,500.0 96,500 78.0
37 Antihemorrhoid supp supp 300 900 1,900 950.0 (50) 3,350.0
38 Antrain 1 g (Antalgin inj. Paed.) ampul 300 900 - 900 7,103.0
39 Apidra 100 UI/ml pen 40 120 - 120 87,080.0
40 Asabium / Clobazam 10 mg tablet 30,000 90,000 9,500 4,750.0 85,250 950.0
41 Asam mefenamat 500 mg tablet 20,000 60,000 55,000 27,500.0 32,500 127.0
42 Asam tranex. 250 mg tablet 10,000 30,000 - 30,000
43 Asam tranex. 250 mg/5 ml amp 400 1,200 - 1,200 2,986.0
44 Asam tranex. 500 mg tablet 10,000 30,000 500 250.0 29,750 825.0
45 Asam tranex. 500 mg/5 ml amp 300 900 50 25.0 875 6,600.0
46 Asering 500 cc botol 1,000 3,000 1,800 900.0 2,100 9,000.0
47 Aspar K tablet 500 1,500 - 1,500 729.0
48 Aspilet tablet 1,000 3,000 11,100 5,550.0 (2,550) 163.0
1 BLN 3 BLN 2015
49 Atropin sulfat 0,25 mg/ml amp 1,000 3,000 3,000 1,500.0 1,500 1,400.0
50 Avamys (Flutikason) can 5 15 - 15 102,662.0
51 Avodart (Dutasteride) 0,5 mg tablet 300 900 90 45.0 855 7,810.0
52 Azithromycin syr 200 mg botol 200 600 - 600 37,500.0
53 Azitromicin 500 mg inf vial 300 900 - 900 126,500.0
54 Azitromisin 250 mg tablet 1,000 3,000 - 3,000 3,667.0
55 Azitromisin 500 mg tablet 1,000 3,000 880 440.0 2,560 4,613.0
56 Banadoz (Cefpodoxime) tablet 1,000 3,000 3,480 1,740.0 1,260 3,700.0
57 Berotec (Fenoterol) 0,1 mg MDI can 30 90 57 28.5 62 72,900.0
58 Betahistin 6 mg tablet 5,000 15,000 24,800 12,400.0 2,600 812.0
59 Betametason cream 0,1% 5 g tube 1,500 4,500 625 312.5 4,188 1,558.0
60 Bicnat Tablet 10,000 30,000 500 250.0 29,750 16.4
61 Bisoprolol 5 mg tablet 3,000 9,000 1,890 945.0 8,055 695.0
62 Blopress 8 (Candesartan) tablet 10,000 30,000 840 420.0 29,580 3,410.0
63 Blopress 16 (candesartan) tablet 10,000 30,000 - 30,000 5,390.0
64 Borax gliserin botol 20 60 - 60
65 Bunascan spinal 0,5% (Bupivacain) amp 300 900 300 150.0 750 32,000.0
66 Burnazin cream 35 g tube 150 450 41 20.5 430 25,350.0
68 Buscopan (Hioscin n-butil Br.) tablet 600 1,800 - 1,800 2,859.8
69 Buscopan / Scopamin 20 mg/ml ampul 200 600 - 600 4,950.0
70 Calcii gluconas inj. 10% amp 200 600 168 84.0 516 7,800.0
71 Calcium lactas 500 mg tablet 10,000 30,000 10,900 5,450.0 24,550 76.0
72 Candesartan 16 mg tablet 5,000 15,000 210 105.0 14,895 5,390.0
73 Candesartan 8 mg tablet 10,000 30,000 2,910 1,455.0 28,545 3,410.0
74 Captopril 12,5 mg tablet 30,000 90,000 - 90,000 69.0
75 Captopril 25 mg tablet 30,000 90,000 - 90,000 97.0
76 Carbamazepin 200 mg tablet 30,000 90,000 10,500 5,250.0 84,750 269.0
77 Cefadroxil 125 mg/5 ml botol 800 2,400 - 2,400 5,286.0
78 Cefadroxil 250 mg kaps kaps 5,000 15,000 - 15,000 566.0
80 Cefadroxil 500 mg kaps kaps 10,000 30,000 16,200 8,100.0 21,900 548.0
81 Cefepime 1 g vial 100 300 48 24.0 276 52,749.0
82 Cefixime 100 mg tablet 5,000 15,000 20,700 10,350.0 4,650 1,000.0
83 Cefixime 200 mg tablet 5,000 15,000 - 15,000 3,549.0
84 Cefixime syr 100 mg/5 ml botol 500 1,500 - 1,500 10,799.0
85 Cefoperazone sulbaktam vial 300 900 561 280.5 620 136,507.0
86 Cefotaxim 1 g vial 1,500 4,500 - 4,500 3,500.0
87 Ceftazidime 1 g vial 50 150 40 20.0 130 18,766.0
88 Ceftriaxon 1 g vial 1,500 4,500 - 4,500 3,900.0
89 Cendo Carpin ED botol 200 600 - 600
90 Cendo fenikol OTM botol 300 900 55 27.5 873 24,062.0
91 Cendo fenikol EO 3,5 gr tube 200 600 - 600
92 Cendo mydriatil ED 0,5% botol 200 600 - 600
93 Cendo mydriatil (Tropikamid) ED 1% botol 200 600 15 7.5 593 36,500.0
94 Cendo Tropin 0,5% botol 200 600 85 42.5 558 13,500.0
95 Cendo Lyters / Sanbe tears botol 2,000 6,000 650 325.0 5,675 15,750.0
96 Cetirizine 10 mg tablet 30,000 90,000 14,500 7,250.0 82,750 190.0
97 Cetirizine syr. 5 mg/ 5 ml botol 500 1,500 - 1,500 8,799.0
98 Cetirizine drops botol 200 600 - 600 27,500.0
99 Chloramphenicol 250 mg kaps 5,000 15,000 5,000 2,500.0 12,500 240.0
100 Chloramphenicol 500 mg kaps 1,000 3,000 - 3,000 935.0
101 Chloramphenicol 60 ml syr botol 10 30 - 30 5,500.0
102 Chloramphenicol SM 1% tube 300 900 702 351.0 549 1,760.0
103 Chloramphenicol SK 2% tube 200 600 - 600 4,134.0
104 Chloramphenicol OTM botol 300 900 - 900
105 Chlorpromazine 100 mg tablet 5,000 15,000 - 15,000 162.0
106 Chlorpromazine 25 mg tablet 5,000 15,000 100 50.0 14,950 75.0
107 Chlorpromazine 5 mg inj. (Cepezet) amp 100 300 210 105.0 195 1,155.0
108 Chloroquin 150 tablet 600 1,800 - 1,800
109 Cilostazole 100 tablet 1,000 3,000 690 345.0 2,655 8,000.0
1 BLN 3 BLN 2015
110 Ciprofloksasin 500 mg tablet 30,000 90,000 - 90,000 290.0

111 Ciprofloxacin infus botol 500 1,500 164 82.0 1,418 15,000.0
112 Citicholine 125 mg/1 ml ampul 1,600 4,800 4,640 2,320.0 2,480 15,675.0
113 Citicholine 250 mg/2 ml ampul 200 600 - 600
114 Citicholine 500 mg tablet 10,000 30,000 - 30,000 7,333.0
115 Citicholine 1000 mg tablet 5,500 16,500 15,660 7,830.0 8,670 13,200.0
116 Clindamycin 150 mg tablet 5,000 15,000 8,910 4,455.0 10,545 405.0
117 Clindamycin 300 mg tablet 5,000 15,000 - 15,000 619.0
118 Clinimix 1 L bag 300 900 - 900 199,000.0
119 Clonidine 0,15 mg tablet 500 1,500 - 1,500 189.0
120 Clonidine (inj. 0,15 mg/mlCatapres) amp 50 150 - 150 30,600.0
121 Clopidogrel 75 mg (Platogrix) tablet 2,000 6,000 3,380 1,690.0 4,310 3,588.0
122 Clozapin 100 tablet 30,000 90,000 4,150 2,075.0 87,925 5,000.0
123 Clozapin 25 tablet 20,000 60,000 11,450 5,725.0 54,275 1,550.0
124 Codein 10 mg tablet 20,000 60,000 - 60,000 550.0
125 Codein 20 mg tablet 10,000 30,000 1,200 600.0 29,400 1,210.0
126 Colsancetin (Chloramphenicol inj. 1 g) vial 50 150 300 150.0 - 7,260.0
127 Comafusin hepar botol 100 300 48 24.0 276 64,900.0
128 Combiven nebule amp 650 1,950 1,820 910.0 1,040 5,990.0
129 Concor (Bisoprolol 2,5 mg) tablet 500 1,500 4,700 2,350.0 (850) 746.0
130 Constantia suspensi drops botol 600 1,800 - 1,800 22,688.0
131 Cordarone inj. (Amiodaron) amp 30 90 78 39.0 51 14,160.0
132 Cotrimoxazole syr. botol 100 300 74 37.0 263 2,298.0
133 Cotrimoxazole 480 mg tablet 5,000 15,000 3,400 1,700.0 13,300 152.0
134 Cotrimoxazole pediatri tablet 2,000 6,000 150 75.0 5,925 279.0
135 CTM 4 mg tablet 5,000 15,000 300 150.0 14,850 54.0
136 Curcuma tablet 20,000 60,000 12,900 6,450.0 53,550 653.0
137 Cycozam 25 mg tablet 10,000 30,000 - 30,000 1,542.0
138 Cycozam 100 mg tablet 10,000 30,000 - 30,000 4,997.0
139 Cystone tablet 5,000 15,000 3,400 1,700.0 13,300 1,848.0
140 Daryant tulle lbr 1,000 3,000 - 3,000 10,175.0
141 Depakene syr. 250 mg botol 300 900 350 175.0 725 41,800.0
142 Depakote 250 mg tablet 1,000 3,000 26,700 13,350.0 (10,350) 1,680.0
143 Depakote ER 250 mg tablet 1,000 3,000 14,000 7,000.0 (4,000) 2,793.0
144 Depakote ER 500 mg tablet 2,000 6,000 22,700 11,350.0 (5,350) 5,450.0
145 Desferal 0,5 g vial 10 30 50 25.0 5 112,000.0
146 Dexametason 5 mg/ml amp 1,000 3,000 2,600 1,300.0 1,700 1,738.0
147 Dexametason 0,5 mg tablet 1,200 3,600 - 3,600 68.0
148 Dexocort/Pyderma (Desoksimetason) 0,25% tube 450 1,350 - 1,350 10,800.0
149 Dextrose 10% botol 300 900 400 200.0 700 6,270.0
150 Dextrose 40% 25 ml ampul 200 600 172 86.0 514 1,940.0
151 Dextrose 5% botol 500 1,500 800 400.0 1,100 5,720.0
152 Dextrose 5% + NaCL 0,225 botol 300 900 200 100.0 800 8,470.0
154 Dextrose 5%+ NaCL 0,9 botol 500 1,500 80 40.0 1,460 6,800.0
155 Diazepam 2 mg tablet 20,000 60,000 - 60,000 46.0
156 Diazepam 5 mg/2 ml (Stesolid) amp 1,000 3,000 360 180.0 2,820 4,598.0
157 Digoxin 0,25 mg tablet 2,000 6,000 2,000 1,000.0 5,000 103.0
158 Diltiazem 30 tablet 2,000 6,000 200 100.0 5,900 137.0
159 Diphenhidramin inj. amp 250 750 - 750 1,160.0
160 Dipsamol inh. can 150 450 19 9.5 441 70,004.0
161 Doburan/Inodex (Dobutamin) inj. amp 20 60 - 60 29,000.0
162 Domperidon drops drops 100 300 - 300
163 Domperidone 10 mg tablet 10,000 30,000 3,500 1,750.0 28,250 174.0
164 Domperidone syr. botol 200 600 6 3.0 597 3,490.0
165 Dopamet 250 mg (metil dopa) tablet 1,000 3,000 400 200.0 2,800 880.0
166 Dopamin HCL (Udopa) ampul 30 90 - 90
167 Doxycycline 100 mg tablet 5,000 15,000 500 250.0 14,750 298.0
168 Dulcolac/Stolax (Bisakodil) 5 mg supp supp 300 900 750 375.0 525 4,990.0
169 Dulcolax 10 mg tablet 2,000 6,000 400 200.0 5,800 6,045.0
170 Dulcolax 10 mg supp supp 150 450 - 450 6,045.0
1 BLN 3 BLN 2015
171 Dulcolax 5 mg tablet 2,000 6,000 - 6,000

172 Eas Primer botol 200 600 20 10.0 590 51,260.0
173 Eclid 100 mg (Acarbose) tablet 3,000 9,000 - 9,000 990.0
174 Eclid 50 mg (Acarbose) tab 3,000 9,000 - 9,000 780.0
175 Efedrin inj. 50 mg/ml amp 700 2,100 1,700 850.0 1,250 14,640.0
176 Epinefrin inj. 1 mg/ml amp 500 1,500 200 100.0 1,400 8,910.0
177 Episan (Sukralfat) botol 200 600 1,028 514.0 86 22,500.0
178 Ericaf tablet 500 1,500 - 1,500 2,500.0
179 Eritromisin 250 mg tablet 5,000 15,000 - 15,000 509.0
180 Eritromisin 500 mg tablet 5,000 15,000 13,100 6,550.0 8,450 1,023.0
181 Erytromisin syr 200 mg/5 ml botol 300 900 218 109.0 791 8,090.0
182 Etambutol 250 mg tablet 5,000 15,000 800 400.0 14,600 322.0
183 Etambutol 500 mg tablet 10,000 30,000 11,100 5,550.0 24,450 495.6
184 Euthyrox (Levotiroksin) 100 mg tablet 4,000 12,000 4,000 2,000.0 10,000 850.0
185 Exjade (Deferasiroks) 250 mg tablet 100 300 1,400 700.0 (400) 80,000.0
186 Exjade 500 tablet 100 300 1,428 714.0 (414) 155,000.0
187 Eyevit tablet 20,000 60,000 14,460 7,230.0 52,770 3,520.0
188 Farbivent nebule amp 1,500 4,500 475 237.5 4,263 5,984.0
189 Fargoxin/Cedocard (Digoxin) inj. 0,25 mg/ml amp 50 150 - 150 24,300.0
190 Farmabes (Diltiazem) inj. 25 mg/ml vial 500 1,500 30 15.0 1,485 51,333.0
191 Farsorbit (ISDN) inj. 10 mg/10 ml vial 30 90 - 90 36,960.0
192 Fartolin inhalasi botol 2,000 6,000 160 80.0 5,920 15,664.0
193 Fatral (Sertralin) 50 mg tablet 5,000 15,000 600 300.0 14,700 3,740.0
194 Fenil butazon tablet 500 1,500 - 1,500
195 Fenitoin inj. 50 mg/ml amp 500 1,500 - 1,500 20,857.0
196 Fenobarbital inj. 50 mg/ml ampul 500 1,500 - 1,500 1,980.0
197 Fenobarbital 30 mg tablet 20,000 60,000 1,700 850.0 59,150 65.0
198 Fenofibrate 100 mg kapsul 1,000 3,000 - 3,000 1,075.0
200 Fentanyl 0,05 mg/ml (2 ml) amp 100 300 - 300 37,306.0
201 Fimahes 200 Bag 200 600 - 600 52,000.0
202 Fitbon tablet 20,000 60,000 6,600 3,300.0 56,700 1,440.0
203 Flixotide nebule 0,5 mg (Fluticasone) Nebul 2,000 6,000 458 229.0 5,771 14,208.0
204 Fluconazole inf botol 500 1,500 57 28.5 1,472 121,000.0
205 Fluconazole inj. 2 mg/ml botol 100 300 - 300 41,619.0
206 Flunarizin 5 mg tablet 10,000 30,000 3,700 1,850.0 28,150 2,200.0
207 Flutias can 700 2,100 - 2,100 104,500.0
208 Fluxum 4250 amp 30 90 138 69.0 21 125,400.0
209 Fluxum 6400 amp 30 90 108 54.0 36 182,875.0
210 Folid acid 0,4 mg tablet 10,000 30,000 2,200 1,100.0 28,900 104.0
211 Fosen enema/Fleet enema botol 10 30 26 13.0 17 40,500.0
212 Fosmicin vial 400 1,200 760 380.0 820 86,452.0
213 Furosemide 10 mg/ml amp 600 1,800 - 1,800 2,012.0
214 Furosemide 40 mg tablet 4,000 12,000 11,600 5,800.0 6,200 84.0
215 Fuson (Asam fusidat) cream tube 300 900 - 900 7,590.0
216 Gabapentin 300 tablet 5,000 15,000 5,820 2,910.0 12,090 2,904.0
217 Gavistal inj. (Metoklopramid) amp 1,000 3,000 205 102.5 2,898 12,205.0
218 Genoint (Gentamisin) SM 0,3% 3,5 g tube 700 2,100 310 155.0 1,945 2,786.0
219 Genoint (Gentamisin) TM 0,3% 5 ml botol 500 1,500 - 1,500 3,513.0
220 Gentamisin 40 mg/ml amp 1,200 3,600 900 450.0 3,150 3,739.0
221 Gentamisin SK 0,1% tube 1,500 4,500 - 4,500 1,572.0
222 Gentian violet botol 10 30 - 30
223 Gimfibrozil 300 tablet 5,000 15,000 3,800 1,900.0 13,100 318.0
224 Glaucon (Asetazolamid) tablet 7,000 21,000 - 21,000 1,980.0
225 Glibenclamide 5 mg tablet 3,000 9,000 1,300 650.0 8,350 61.0
226 Glimepiride 1 mg tablet 6,000 18,000 - 18,000 272.0
227 Glimepiride 2 mg tablet 5,000 15,000 - 15,000 1,024.0
229 Gliseril guaiakolat tablet 10,000 30,000 48,100 24,050.0 5,950 90.0
230 Glucodex (Gliclazid) 80 mg tablet 20,000 60,000 54,700 27,350.0 32,650 310.0
231 Griseofulvin 125 mg tablet 5,000 15,000 1,300 650.0 14,350 241.0
1 BLN 3 BLN 2015
232 H2O2 3% botol 800 2,400 - 2,400

233 Haloperidol 0,5 mg tablet 5,000 15,000 10,300 5,150.0 9,850 60.0
235 Haloperidol 5 mg tablet 4,000 12,000 - 12,000 122.0
236 Harnal D (Tamsulosin) 0,2 mg tablet 10,000 30,000 5,040 2,520.0 27,480 5,800.0
237 Harnal Ocas (Tamsulosin) tablet 3,000 9,000 600 300.0 8,700 6,800.0
238 Herbesser (Diltiazem) inf. 50 mg amp 400 1,200 160 80.0 1,120 140,433.0
239 Hexymer (Triheksil fenidil) 2 mg tablet 20,000 60,000 - 60,000 316.0
240 Hidroclorotiazide 25 tablet 10,000 30,000 1,500 750.0 29,250 163.0
241 Hidroclorotiazide 100 tablet 5,000 15,000 2,900 1,450.0 13,550 200.0
242 Hidrocortison 1% tube 1,500 4,500 - 4,500 2,827.0
243 Hidrokortison 2,5% tube 1,500 4,500 168 84.0 4,416 2,868.0
244 Humalog cart.100 UI ampul 300 900 40 20.0 880 87,083.0
245 Humalog kwikpen amp 200 600 - 600 87,083.0
246 Humalog mix 25 3 ml amp 300 900 140 70.0 830 107,250.0
247 Humalog mix kwinpen amp 200 600 - 600 107,250.0
248 Hystolan tablet 500 1,500 - 1,500 3,000.0
249 Hytroz 1/Hytrin (Terazosin) tablet 500 1,500 - 1,500 1,900.0
250 Hytroz 3 tablet 500 1,500 - 1,500 3,659.0
251 Ibuprofen 200 mg tablet 20,000 60,000 15,000 7,500.0 52,500 121.0
252 Ibuprofen 400 mg tablet 30,000 90,000 - 90,000 157.0
253 Ibuprofen syr 100 mg/5 ml botol 500 1,500 - 1,500 3,496.0
254 Ibuprofen syr 200 mg/5 ml botol 100 300 - 300 4,949.0
255 Illiadin (Oxymethazoline) 0,025% botol 300 900 58 29.0 871 30,305.0
256 Illiadin 0,05% botol 300 900 - 900 32,000.0
257 Imipenem Cilastatin 1 g infus Botol 300 900 284 142.0 758 220,000.0
258 Immatrol tts mata botol 300 900 - 900
259 INH CIBA 300 mg tablet 2,383 7,149 14,300 7,150.0 (1) 466.0
260 Interhistin tablet 5,000 15,000 7,900 3,950.0 11,050 601.0
261 Invitec tablet 2,000 6,000 990 495.0 5,505 9,288.0
262 Irbesartan 150 mg tablet 5,000 15,000 2,000 1,000.0 14,000 1,567.0
263 Irbesartan 300 mg tablet 5,000 15,000 - 15,000 2,717.0
264 Isoniazid 100 tablet 10,000 30,000 7,000 3,500.0 26,500 72.0
265 Isoniazid 300 mg tablet 5,000 15,000 4,000 2,000.0 13,000 174.0
266 Isosorbid dinitrat 5 tablet 5,000 15,000 12,000 6,000.0 9,000 98.0
267 Itraconazole tablet 5,000 15,000 8,500 4,250.0 10,750 4,400.0
268 Ixor (Roxythromycin)150 mg tablet 2,000 6,000 - 6,000 1,900.0
269 KA-EN 3 A botol 200 600 300 150.0 450 10,000.0
270 KA-EN 3 B botol 550 1,650 20 10.0 1,640 10,000.0
271 KA-EN 4 B botol 7 21 - 21
272 Kalbamin botol 10 30 - 30 56,300.0
273 Kalipar (K. Aspartat 300 mg) tablet 1,000 3,000 1,100 550.0 2,450 729.0
274 Kalium diklofenak 50 mg tablet 3,000 9,000 2,000 1,000.0 8,000 708.0
275 Kalxetin / Foransi (Fluoxetin) 10 mg tablet 5,000 15,000 - 15,000 462.0
276 Kanamycin tablet 300 900 - 900
277 Kanamycin inj. 1 g vial 30 90 - 90 5,500.0
278 KCL 7,46% ampul 60 180 208 104.0 76 2,255.0
279 Ketoconazole 200 mg tablet 5,000 15,000 5,000 2,500.0 12,500 320.0
280 Ketoconazole cream 2% 5 g tube 600 1,800 796 398.0 1,402 3,135.0
281 Ketoprofen 100 mg tablet 5,000 15,000 4,300 2,150.0 12,850 650.0
282 Ketoprofen 50 mg tablet 5,000 15,000 - 15,000 275.0
283 Ketoprofen supp 100 (Pronalges) supp 300 900 - 900 2,790.0
284 Ketorolac 1 % ampul 3,000 9,000 - 9,000 4,545.0
285 Ketorolac 10 tablet 2,000 6,000 510 255.0 5,745 2,000.0
286 Ketorolac 3% ampul 2,000 6,000 4,574 2,287.0 3,713 2,665.0
287 Kidmin bag 34 102 203 101.5 1 46,000.0
288 KSR (KCl) 600 mg tablet 5,000 15,000 - 15,000 1,580.0
289 KTM 100 10 ml vial 50 150 77 38.5 112 110,000.0
290 Kuinin 200 mg tablet 500 1,500 - 1,500 737.0
291 Kutoin (Fenitoin) 100 mg tablet 20,000 60,000 - 60,000 146.0
292 Lacto-B sachet 1,000 3,000 360 180.0 2,820 4,492.0
1 BLN 3 BLN 2015
293 Lansoprazol 30 mg tablet 50,000 150,000 - 150,000 521.0

294 Lantus insulin 100 UI pen 300 900 50 25.0 875 85,000.0
295 Lapibion tablet 30,000 90,000 9,300 4,650.0 85,350 1,072.5
296 Lapifed tablet 2,000 6,000 - 6,000 1,402.5
297 Laxadine syr botol 200 600 230 115.0 485 12,450.0
298 Levopar / Leparson / Levazide tablet 10,000 30,000 - 30,000 1,650.0
299 Levemir flexpen pen 300 900 140 70.0 830 85,000.0
300 Levocin tts mata botol 300 900 548 274.0 626 55,022.0
301 Levofloxacin 500 mg kap tablet 20,000 60,000 23,400 11,700.0 48,300 581.0
302 Levofloxacin infus 100 ml infus 600 1,800 202 101.0 1,699 43,809.0
303 Lidokain 2% amp 800 2,400 - 2,400 929.0
304 Lidokain compositium 2% amp 200 600 780 390.0 210 1,499.0
305 Lisinopril 5 tablet 300 900 - 900 385.0
306 Lodomer (Haloperidol) inj. 5 mg/ml amp 120 360 648 324.0 36 6,875.0
307 Loratadine 10 mg tablet 15,000 45,000 - 45,000 170.0
308 Lovenox 6000 anti XA syringe 20 60 - 60 110,000.0
309 Lovenox 0,4 syringe 20 60 10 5.0 55 79,059.0
310 Lovenox 0,2 syringe 20 60 10 5.0 55 44,800.0
311 Ludios (Maprotilin) 25 mg tablet 3,000 9,000 - 9,000 1,350.0
312 Lynoral (Etinil estradiol) tablet 3,000 9,000 - 9,000 1,360.0
313 M.S.T 10 mg tablet 180 540 720 360.0 180 15,620.0
314 Mannitol botol 20 60 - 60 62,000.0
315 Mecobalamin kapsul 20,000 60,000 - 60,000 847.0
316 Meloxicam 15 mg tablet 20,000 60,000 14,100 7,050.0 52,950 786.0
317 Meloxicam 7,5 mg tablet 20,000 60,000 3,600 1,800.0 58,200 577.5
318 Merlopam (Lorazepam) 2 mg tablet 5,000 15,000 8,700 4,350.0 10,650 1,423.0
319 Meropenem 0,5 g vial 900 2,700 216 108.0 2,592 51,990.0
320 Meropenem 1 g vial 700 2,100 631 315.5 1,785 72,507.0
321 Mestinon (Pyridostigmin) tablet 450 1,350 2,500 1,250.0 100 6,952.0
322 Metformin 500 mg tablet 30,000 90,000 - 90,000 124.5
323 Metil ergometrin 0,125 mg tablet 2,000 6,000 - 6,000 169.0
324 Metil pred. 4 mg tab. tablet 30,000 90,000 66,600 33,300.0 56,700 230.0
326 Metil prednisolon inj. 125 (Phadilon) vial 800 2,400 139 69.5 2,331 23,990.0
327 Metil prednisolon inj. 500 vial 20 60 55 27.5 33 99,990.0
328 Metoclopramide 10 mg tablet 5,000 15,000 7,500 3,750.0 11,250 111.0
329 Metronidazol 100 cc infus botol 1,000 3,000 460 230.0 2,770 12,980.0
330 Metronidazol 250 tablet 3,000 9,000 - 9,000 116.0
331 Metronidazol 500 tablet 5,000 15,000 16,300 8,150.0 6,850 169.0
332 Meylon (Na bicarbonat 8,4%) amp 800 2,400 130 65.0 2,335 6,820.0
333 MgSO4 20% amp 600 1,800 157 78.5 1,722 2,800.0
334 MgSO4 40% amp 600 1,800 19 9.5 1,791 3,500.0
335 Micardis (Telmisartan) 80 mg tablet 1,000 3,000 1,140 570.0 2,430 6,500.0
336 Micardis 40 mg tablet 1,000 3,000 810 405.0 2,595 3,900.0
337 Miconazole 2% 10 g tube 1,000 3,000 288 144.0 2,856 3,075.0
338 Mitomicin C vial 3 9 - 9 697,000.0
339 Morphin 10 mg/ml amp 5 15 10 5.0 10 9,240.0
340 Myomergin (Metil Ergometrin) inj. amp 150 450 540 270.0 180 2,750.0
341 Na bicarbonat tablet 5,000 15,000 - 15,000 26.0
342 Na diklofenak 25 mg tablet 5,000 15,000 - 15,000 167.0
343 Na diklofenak 50 mg tablet 20,000 60,000 5,400 2,700.0 57,300 216.0
344 N-ace tablet 30,000 90,000 - 90,000 1,980.0
345 NaCl 0,9% 500 ml botol 6,000 18,000 2,900 1,450.0 16,550 5,170.0
346 NaCl 1 Liter botol 40 120 - 120 7,500.0
347 Na Fusidat (Fucilex) cream tube 1,000 3,000 - 3,000 6,750.0
348 Nairet (Terbutalin) inj Ampul 150 450 320 160.0 290 15,262.5
349 Nasacort (Triamsinolon) box 100 300 - 300 90,000.0
350 Neo diaform tablet 5,000 15,000 3,000 1,500.0 13,500 99.0
351 Neostigmin (Prostigmin) 0,5 mg/ml box 200 600 1,155 577.5 23 9,900.0
352 Neo mercazole (Carbimazole) 5 mg tablet 2,000 6,000 - 6,000 875.0
353 Nerilon tube 10 30 40 20.0 10 14,000.0
1 BLN 3 BLN 2015
354 Nifedipin 10 mg tablet 3,000 9,000 15,600 7,800.0 1,200 110.0

355 Nikardipin inj. amp 50 150 - 150
356 Nitral (Gliseryl trinitrat) tablet 2,000 6,000 240 120.0 5,880 1,650.0
357 Nitrokaf retard 2,5 mg tablet 2,000 6,000 2,600 1,300.0 4,700 1,493.0
358 Nokoba (Naloxon) inj 2 ml Ampul 10 30 55 27.5 3 67,760.0
359 Nopres 20 (Fluoxetin) tablet 10,000 30,000 2,550 1,275.0 28,725 475.0
360 Norelut (Noretisteron) 5 mg tablet 5,000 15,000 - 15,000 2,618.0
361 Norepinefrin inj. 1 mg/ml amp 200 600 20 10.0 590 55,248.0
362 Novomix 30 pen 500 1,500 540 270.0 1,230 106,000.0
363 Novorapid flexpen pen 500 1,500 365 182.5 1,318 83,345.0
364 Nystatin 100.000 UI tablet 1,000 3,000 - 3,000 528.0
365 OBH syr botol 200 600 - 600 1,412.0
366 Obucort swinghaler (Budesonid) can 50 150 150 75.0 75 106,000.0
367 Octalbin 20% 100 ml botol 50 150 - 150 824,217.0
368 Octalbin 25% 100 ml botol 30 90 30 15.0 75 1,675,000.0
369 Ofloxacin 200 mg tablet 5,000 15,000 - 15,000 440.0
370 Ofloxacin 400 mg tablet 5,000 15,000 1,600 800.0 14,200 700.0
371 Oksitetrasiklin SK tube 400 1,200 2,200 1,100.0 100 2,200.0
372 Oksitetrasiklin SM tube 200 600 125 62.5 538 2,800.0
373 Oksitocin inj. amp 500 1,500 400 200.0 1,300 2,420.0
374 Olandoz 10 mg tab. tablet 5,000 15,000 - 15,000 12,320.0
375 Olandoz 5 mg tablet 10,000 30,000 - 30,000 7,095.0
376 Omeprazol 20 mg tablet 30,000 90,000 - 90,000 221.0
377 Omeprazol 40 inj. (Ozid) vial 300 900 950 475.0 425 42,000.0
378 Ondansetron 4 mg/2 ml amp 1,000 3,000 - 3,000 2,400.0
379 Ondansetron 8 mg tablet 2,000 6,000 - 6,000 1,343.0
380 Ondansetron 4 mg tablet 500 1,500 - 1,500 808.0
381 Onzapin 10 mg tablet - 1,820 910.0 (910) 16,749.0
382 Onzapin 5 mg tablet - 2,600 1,300.0 (1,300) 7,095.0
383 Oralit 200 ml sachet 1,000 3,000 1,200 600.0 2,400 317.0
384 Osteocal tablet 3,000 9,000 - 9,000 550.0
385 Otopain Ear Drops botol 200 600 60 30.0 570 38,500.0
386 Pantocain 0,5% botol 200 600 12 6.0 594 11,500.0
387 Pantocain 2% botol 200 600 43 21.5 579 13,846.0
388 Pantoprazole 20 tablet 10,000 30,000 - 30,000 8,360.0
389 Pantoprazole 40 tablet 3,000 9,000 370 185.0 8,815 10,450.0
390 Pantoprazole 40 inj vial 200 600 570 285.0 315 42,900.0
391 Paracetamol 500 mg tablet 26,500 79,500 157,100 78,550.0 950 88.0
392 Paracetamol drops Botol 100 300 - 300 5,720.0
393 Paracetamol inf botol 400 1,200 300 150.0 1,050 22,000.0
394 Paracetamol syr botol 1,000 3,000 - 3,000 1,535.0
395 Perdipine inj ampul 50 150 - 150
396 Petidin amp 500 1,500 420 210.0 1,290 15,950.0
397 Pioglitazone TI 15 tablet 1,000 3,000 14 7.0 2,993 4,000.0
398 Piracetam 12 g inf botol 300 900 300 150.0 750 77,000.0
399 Piracetam 400 mg tablet 10,000 30,000 7,500 3,750.0 26,250 397.0
401 Piracetam inj 1 g (5 mg/5 ml) amp 600 1,800 740 370.0 1,430 5,940.0
402 Piracetam inj 3 g (15 mg/5 ml) amp 300 900 132 66.0 834 8,200.0
403 Pirantel pamoat 125 mg tablet 3,000 9,000 - 9,000 318.0
404 Piroxicam 10 mg tablet 3,000 9,000 9,500 4,750.0 4,250 75.0
405 Piroxicam 20 mg tablet 3,000 9,000 - 9,000 90.0
406 Plasbumin 100 ml 25% botol 100 300 43 21.5 279 1,675,000.0
407 Plasbumin 50 ml 25% botol 100 300 115 57.5 243 800,000.0
408 Plasmanate 250 ml botol 50 150 26 13.0 137 972,000.0
409 Prednison 5 mg tablet 2,000 6,000 11,000 5,500.0 500 125.0
410 Prohem (Fitomenadion) inj. 2 mg/ml amp 500 1,500 80 40.0 1,460 3,754.0
411 Pro infark (Dopamin HCl) inj. amp 50 150 90 45.0 105 11,880.0
412 Procain penicillin inj. vial 100 300 110 55.0 245 7,910.0
413 Propil tiourasil 100 mg tablet 3,000 9,000 3,600 1,800.0 7,200 351.0
414 Propranolol 10 mg tablet 3,000 9,000 2,300 1,150.0 7,850 80.0
1 BLN 3 BLN 2015
415 Propranolol 40 mg tablet 500 1,500 - 1,500 114.0

416 Pyrazinamid 500 mg tablet 10,000 30,000 - 30,000 225.0
417 Ramipril 5 mg tablet 5,000 15,000 - 15,000 635.0
418 Ramixal / Vivace 2,5 mg tablet 5,000 15,000 - 15,000 1,247.0
419 Ranitidin 150 mg tablet 30,000 90,000 33,000 16,500.0 73,500 132.0
420 Ranitidin inj. 25 mg/ml ampul 2,000 6,000 5,680 2,840.0 3,160 1,340.0
421 Recofol (Propofol) inj.10 mg/ml ampul 100 300 4 2.0 298 16,236.0
422 Recolfar (Cholcisin) 500 mcg tablet 2,000 6,000 3,780 1,890.0 4,110 4,345.0
423 Retaphyl SR 300 tablet 5,000 15,000 7,600 3,800.0 11,200 1,155.0
424 Rifampisin 300 mg tablet 5,000 15,000 - 15,000 671.0
425 Rifampisin 450 mg tablet 5,000 15,000 13,800 6,900.0 8,100 868.0
426 Rifampisin 600 mg tablet 3,000 9,000 - 9,000 1,210.0
427 Rimactazid paed tablet 1,000 3,000 150 75.0 2,925 2,192.0
428 Rimactazid tab.450/300 tablet 5,000 15,000 16,500 8,250.0 6,750 6,470.0
429 Rimcure paed 75/50 tablet 2,000 6,000 3,150 1,575.0 4,425 2,192.0
430 Rimstar tablet 10,000 30,000 1,860 930.0 29,070 4,696.0
431 Risperidon 2 mg tablet 20,000 60,000 52,100 26,050.0 33,950 1,069.0
432 Risperidone 1 mg tablet 10,000 30,000 6,800 3,400.0 26,600 1,500.0
433 RL botol 6,000 18,000 7,100 3,550.0 14,450 5,720.0
434 Sagestam SM tube 300 900 - 900 19,074.0
435 Salbutamol 2 mg tablet 5,000 15,000 - 15,000 65.0
436 Salbutamol 4 mg tablet 3,000 9,000 7,900 3,950.0 5,050 91.0
437 Salicyl talc 75 gr box 600 1,800 - 1,800 1,350.0
438 Salin 3% botol 20 60 30 15.0 45 15,400.0
439 Sandepril (Maprotilin) 50 mg tablet 10,000 30,000 - 30,000 3,476.0
440 Sedacum/Dormicum (Midazolam) inj.0,1% amp 200 600 - 600 6,119.0
442 Seretide inhaler can 30 90 - 90 99,733.0
443 Seretide diskus 100 box 80 240 72 36.0 204 110,917.0
445 Seroquel (Quetiapin) 200 mg tablet 10,000 30,000 1,900 950.0 29,050 17,391.0
446 Sharox (Sefuroxime) inj. 750 vial 500 1,500 354 177.0 1,323 60,500.0
447 Sibital (Fenobarbital) inj.200 amp 50 150 90 45.0 105 6,100.0
448 Sifrol ER (Pramipexol) 0,375 mg tablet 500 1,500 210 105.0 1,395 7,200.0
449 Sikzonoate (Flufenazin) inj. 25 mg amp 100 300 15 7.5 293 55,000.0
450 Simvastatin 10 tablet 5,000 15,000 22,600 11,300.0 3,700 177.0
451 sohobion inj. 5000 amp 60 180 410 205.0 (25) 3,500.0
452 Sopra tulle sachet 500 1,500 2,290 1,145.0 355 10,000.0
453 Soujourn (Sevofluran) inj. 250 ml botol 2 6 1 0.5 6 1,320,000.0
454 Spiriva combo box 50 150 - 150 152,543.0
455 Spiriva refill kapsul 350 1,050 2,100 1,050.0 - 13,867.0
456 Spironolakton 100 mg tablet 5,000 15,000 2,200 1,100.0 13,900 1,000.0
457 Spironolakton 25 mg tablet 5,000 15,000 - 15,000 350.0
458 Starfolat (Asam folat) 1 mg tablet 1,000 3,000 18,100 9,050.0 (6,050) 52.0
459 Stelosi (Trifluorofenazin) 5 mg tablet 5,000 15,000 - 15,000 445.0
460 Stesolid rect. 10 mg tube tube 100 300 40 20.0 280 18,461.0
461 Stesolid rect. 5 mg tube tube 50 150 - 150 12,751.0
462 Streptomicin 1 g vial - 35 17.5 (18) 4,015.0
463 Sulfas ferosus tablet 20,000 60,000 10,000 5,000.0 55,000 21.0
464 Sulfa atropin inj. ampul 600 1,800 - 1,800
465 Suprasma inh. can 30 90 10 5.0 85 70,125.0
466 Tamofen 10 mg tablet 1,000 3,000 840 420.0 2,580 2,933.3
467 Tamofen (Tamoxifen) 20 mg tablet 1,000 3,000 - 3,000 2,895.0
468 Tapros 3,75 mg vial 20 60 60 30.0 30 550,000.0
469 Tarivid otic/Akilen (Ofloxacin) Tts Telinga 3 botol 200 600 140 70.0 530 50,000.0
470 Tensilo inj vial 100 300 - 300 15,840.0
471 Terrel (Isofluran) 100 ml botol 5 15 18 9.0 6 270,000.0
472 Terrel 250 ml botol 2 6 - 6
473 Tetagam 250 IU ampul 300 900 - 900 170,000.0
474 Tetrasiklin 500 tablet 2,000 6,000 - 6,000 325.0
475 Thiopental sod. Inj. amp 100 300 50 25.0 275 7,700.0
1 BLN 3 BLN 2015
476 Thyrozol (Thiamazol) 10 mg tablet 3,000 9,000 4,300 2,150.0 6,850 1,135.0
477 Thyrozol (Thiamazol) 5 mg tablet 3,000 9,000 2,200 1,100.0 7,900 563.0
478 Tiamphenikol 500 tablet 5,000 15,000 1,100 550.0 14,450 599.0
479 Tilsan (Maprotilin) 25 mg tablet 10,000 30,000 - 30,000 2,750.0
480 Tramadol 100 mg/2 ml amp 200 600 - 600 2,680.0
481 Tramadol 50 mg kapsul 5,000 15,000 1,700 850.0 14,150 354.0
482 Tramus/Notrixum (Atracurium) 25 ampul 50 150 - 150 14,457.0
483 Tramus 50 amp 50 150 - 150
484 Triacarpine 2% botol 100 300 85 42.5 258 18,800.0
485 Triamsinolon 4 mg tablet 3,000 9,000 2,900 1,450.0 7,550 717.0
486 Triatimolol (Isotic adretor) OTM 0,5% botol 200 600 30 15.0 585 10,289.0
487 Triaxitrol ED 5 ml botol 500 1,500 350 175.0 1,325 10,500.0
488 Trihexylphenidyl 2 mg tablet 5,000 15,000 - 15,000 41.0
489 Triofusin 500 botol 100 300 - 300 42,350.0
490 Tyarit (Amiodaron) 200 mg tablet 2,000 6,000 - 6,000 1,430.0
491 Tutofusin botol 50 150 - 150 37,500.0
492 Udopa amp 30 90 180 90.0 - 12,320.0
493 Ulsafate botol 300 900 - 900 14,500.0
494 Urinter (Asam pipemidat) 400 mg kapsul 5,000 15,000 800 400.0 14,600 1,815.0
495 Valacyclovir 500 mg tablet 5,000 15,000 - 15,000 4,950.0
496 Valsartan 160 mg (Diovan/Varten) tablet 5,000 15,000 5,000 2,500.0 12,500 5,850.0
497 Valsartan 80 mg (Diovan/Varten) tablet 5,000 15,000 930 465.0 14,535 3,510.0
498 Ventolin inhaler can 50 150 48 24.0 126 70,125.0
499 Ventolin nebule nebul 200 600 10,900 5,450.0 (4,850) 7,260.0
500 Verorab (Anti rabies) vial 1 3 - 3 78,000.0
501 Viccilin 1500 mg vial 500 1,500 20 10.0 1,490 85,690.0
502 Viopor N tablet 3,000 9,000 - 9,000
503 Vitamin A 100.000 UI tablet 2,000 6,000 - 6,000 286.0
505 Vitamin B komplek tablet 5,000 15,000 64,000 32,000.0 (17,000) 112.0
506 Vitamin B1 50 mg tablet 20,000 60,000 26,800 13,400.0 46,600 87.0
507 Vitamin B12 50 mcg tablet 5,000 15,000 - 15,000 63.0
509 Vitamin C 50 mg tablet 20,000 60,000 89,000 44,500.0 15,500 105.0
510 Vitamin K 10 mg tablet 2,000 6,000 2,300 1,150.0 4,850 698.0
511 Vitamin K inj. amp 100 300 390 195.0 105 3,754.0
512 Xanvit botol 300 900 - 900 7,480.0
513 Zink syr. (Zinkid) botol 300 900 - 900 16,478.0
514 Zink 20 mg tablet 2,000 6,000 2,400 1,200.0 4,800 521.0
TOTAL :
Mengetahui Bireuen, 14 Desember 2015

Kabid. Penunjang Medis Kepala Instalasi Farmasi RSUD dr. Fauziah
(dr. Agusnaidi) (Sastri Delila, S. Farm, Apt.)

Nip. Nip. 19820416 200904 2 006
ISI PER JLH DLM
TOTAL HARGA (Rp.) BOX BOX
10 (=8 x 9) 11 12
1,614,112.50 1 3.5
43,167,950.00 1 350
- 1 6
808,500.00 100 33
1,168,200.00 100 33
22,275,000.00 1 900
12,865,710.00 #DIV/0!
4,725,000.00 #DIV/0!
- #DIV/0!
412,850.00 30 38
16,367,750.00 #DIV/0!
882,000.00 100 98
1,395,000.00 100 60
79,500,000.00 #DIV/0!
5,550,000.00 100 300
6,357,400.00 100 266
4,573,500.00 1 1,500
21,894,350.00 #DIV/0!
4,129,275.15 1 455
726,700.00 100 85
1,311,648.00 30 10
32,186,000.00 #DIV/0!
18,837,500.00 #DIV/0!
12,600,000.00 #DIV/0!
37,537,500.00 #DIV/0!
42,126,480.00 #DIV/0!
10,811,700.00 100 879
30,217,440.00 30 2,862
27,709,035.00 30 4,689
1,504,000.00 1 588
14,466,150.00 #DIV/0!
3,366,000.00 #DIV/0!
3,974,295.00 #DIV/0!
(22,423,500.00) #DIV/0!
5,520,000.00 1 2,400
7,527,000.00 100 965
(167,500.00) #DIV/0!
6,392,700.00 #DIV/0!
10,449,600.00
80,987,500.00 100 853
4,127,500.00 100 325
- #DIV/0!
3,583,200.00 #DIV/0!
24,543,750.00 #DIV/0!
5,775,000.00 #DIV/0!
18,900,000.00 #DIV/0!
1,093,500.00 #DIV/0!
(415,650.00) 100 (26)
ISI PER JLH DLM
2,100,000.00 #DIV/0!
1,539,930.00 1
6,677,550.00 30 29
22,500,000.00 1 600
113,850,000.00 #DIV/0!
11,001,000.00 #DIV/0!
11,809,280.00 20 128
4,662,000.00 #DIV/0!
4,483,350.00 1 62
2,111,200.00 #DIV/0!
6,524,125.00 #DIV/0!
487,900.00 #DIV/0!
5,598,225.00 30 269
100,867,800.00 30 986
161,700,000.00 30 1,000
- #DIV/0!
24,000,000.00 5 150
10,887,825.00 1 430
25,270,555.50 1 89
5,147,640.00 #DIV/0!
2,970,000.00 5 120
4,024,800.00 #DIV/0!
1,865,800.00 100 246
80,284,050.00 #DIV/0!
97,338,450.00 #DIV/0!
6,210,000.00 100 900
8,730,000.00 100 900
22,797,750.00 100 848
12,686,400.00 1 2,400
8,490,000.00 #DIV/0!
9,427,500.00 1 1,500
12,001,200.00 100 219
14,558,724.00 2 138
4,650,000.00 50 93
53,235,000.00 #DIV/0!
16,198,500.00 1 1,500
84,566,086.50 #DIV/0!
15,750,000.00 10 450
2,439,580.00 2 65
17,550,000.00 10 450
- #DIV/0!
20,994,095.00 #DIV/0!
- #DIV/0!
- #DIV/0!
21,626,250.00 #DIV/0!
7,526,250.00 #DIV/0!
89,381,250.00 #DIV/0!
15,722,500.00 100 828
13,198,500.00 1 1,500
16,500,000.00 #DIV/0!
3,000,000.00 #DIV/0!
2,805,000.00 100 30
165,000.00 1 30
966,240.00 #DIV/0!
2,480,400.00 24 25
- #DIV/0!
2,430,000.00 100 150
1,121,250.00 100 150
225,225.00 30 7
- #DIV/0!
21,240,000.00 #DIV/0!
ISI PER JLH DLM
26,100,000.00 100 900

21,270,000.00 #DIV/0!
38,874,000.00 #DIV/0!
- #DIV/0!
219,990,000.00 #DIV/0!
114,444,000.00 #DIV/0!
4,270,725.00 50 211
9,285,000.00 50 300
179,100,000.00 #DIV/0!
283,500.00 100 15
4,590,000.00 10 15
15,464,280.00 30 144
439,625,000.00 50 1,759
84,126,250.00 50 1,086
33,000,000.00 100 600
35,574,000.00 100 294
- #DIV/0!
17,912,400.00 #DIV/0!
6,229,600.00 #DIV/0!
(634,100.00) #DIV/0!
40,838,400.00 #DIV/0!
722,160.00 #DIV/0!
604,374.00 1 263
2,021,600.00 #DIV/0!
1,653,075.00 #DIV/0!
801,900.00 #DIV/0!
34,968,150.00 #DIV/0!
46,260,000.00 #DIV/0!
149,910,000.00 #DIV/0!
24,578,400.00 #DIV/0!
30,525,000.00 #DIV/0!
30,305,000.00 1 725
(17,388,000.00) #DIV/0!
(11,172,000.00) #DIV/0!
(29,157,500.00) #DIV/0!
560,000.00 10 1
2,954,600.00 100 17
244,800.00 100 36
14,580,000.00 1 1,350
4,389,000.00 20 35
997,160.00 #DIV/0!
6,292,000.00 20 55
6,776,000.00 20 40
6,140,750.00 20 36
9,928,000.00 20 73
2,760,000.00 100 600
12,966,360.00 30 94
515,000.00 100 50
808,300.00 100 59
870,000.00 #DIV/0!
30,836,762.00 1 441
1,740,000.00 #DIV/0!
- 1 300
4,915,500.00 100 283
2,083,530.00 1 597
2,464,000.00 100 28
- #DIV/0!
4,395,500.00 100 148
2,619,750.00 #DIV/0!
35,061,000.00 #DIV/0!
2,720,250.00 #DIV/0!
ISI PER JLH DLM
- #DIV/0!
30,243,400.00 #DIV/0!
8,910,000.00 100 90
7,020,000.00 100 90
18,300,000.00 #DIV/0!
12,474,000.00 #DIV/0!
1,935,000.00 1 86
3,750,000.00 #DIV/0!
7,635,000.00 #DIV/0!
8,644,350.00 100 85
6,399,190.00 1 791
4,701,200.00 200 73
12,117,420.00 100 245
8,500,000.00 100 100
(32,000,000.00) 28 (14)
(64,170,000.00) 28 (15)
185,750,400.00 #DIV/0!
25,506,800.00 #DIV/0!
5
76,229,505.00 #DIV/0!
3,326,400.00
92,730,880.00 #DIV/0!
54,978,000.00 #DIV/0!
- #DIV/0!
31,285,500.00 10 150
2,970,000.00 30 50
3,844,750.00 #DIV/0!
3,225,000.00 #DIV/0!
4,125,000.00 #DIV/0!
11,191,800.00 5 60
31,200,000.00 #DIV/0!
81,648,000.00 #DIV/0!
81,994,368.00 10 577
178,051,500.00 #DIV/0!
12,485,700.00 1
61,930,000.00 #DIV/0!
219,450,000.00 1 2,100
2,633,400.00 #DIV/0!
6,583,500.00 #DIV/0!
3,005,600.00 100 289
688,500.00 1 17
70,890,640.00 #DIV/0!
3,621,600.00 25 72
520,800.00 100 62
6,831,000.00 #DIV/0!
35,109,360.00 #DIV/0!
35,363,987.50 #DIV/0!
5,418,770.00 #DIV/0!
5,269,500.00 #DIV/0!
11,777,850.00 5 630
7,074,000.00 #DIV/0!
- #DIV/0!
4,165,800.00 120 109
41,580,000.00 #DIV/0!
509,350.00 100 84
4,896,000.00 50 360
15,360,000.00 50 300
18,048,000.00 50 240
535,500.00 #DIV/0!
10,121,500.00 100 327
3,458,350.00 #DIV/0!
ISI PER JLH DLM
- #DIV/0!
591,000.00 #DIV/0!
1,090,600.00 #DIV/0!
1,464,000.00 #DIV/0!
159,384,000.00 28 981
59,160,000.00 30 290
157,284,960.00 10 112
18,960,000.00 #DIV/0!
4,767,750.00 100 293
2,710,000.00 #DIV/0!
12,721,500.00 #DIV/0!
12,665,088.00 #DIV/0!
76,633,040.00 #DIV/0!
52,249,800.00 #DIV/0!
89,017,500.00 #DIV/0!
64,350,000.00 #DIV/0!
4,500,000.00 #DIV/0!
2,850,000.00 #DIV/0!
5,488,500.00 100 15
6,352,500.00 100 525
14,130,000.00 100 900
5,244,000.00 1 1,500
1,484,700.00 1 300
26,395,655.00 1 871
28,800,000.00 1 900
166,760,000.00 #DIV/0!
- #DIV/0!
(466.00) #DIV/0!
6,641,050.00 #DIV/0!
51,130,440.00 #DIV/0!
21,938,000.00 50 280
40,755,000.00 50 300
1,908,000.00 100 265
2,262,000.00 100 130
882,000.00 100 90
47,300,000.00 #DIV/0!
11,400,000.00 #DIV/0!
4,500,000.00 #DIV/0!
16,400,000.00 #DIV/0!
- #DIV/0!
1,689,000.00 #DIV/0!
1,786,050.00 #DIV/0!
5,664,000.00 #DIV/0!
6,930,000.00 #DIV/0!
- #DIV/0!
495,000.00 #DIV/0!
171,380.00 #DIV/0!
4,000,000.00 50 250
4,395,270.00 #DIV/0!
8,352,500.00 #DIV/0!
4,125,000.00 #DIV/0!
2,511,000.00 20 45
40,905,000.00 #DIV/0!
11,490,000.00 #DIV/0!
9,895,145.00 6 619
23,000.00 #DIV/0!
23,700,000.00 100 150
12,265,000.00 #DIV/0!
1,105,500.00 60
8,760,000.00 100 600
12,667,440.00 #DIV/0!
ISI PER JLH DLM
78,150,000.00 20 7,500
74,375,000.00 5 175
91,537,875.00 #DIV/0!
8,415,000.00 #DIV/0!
6,038,250.00 #DIV/0!
49,500,000.00 50 600
70,550,000.00 #DIV/0!
34,443,772.00 #DIV/0!
28,062,300.00 50 966
74,431,491.00 #DIV/0!
2,229,600.00 100 24
314,790.00 30 7
346,500.00 #DIV/0!
247,500.00 12 3
7,650,000.00 50 900
6,600,000.00 2 30
4,348,245.00 2 28
2,464,000.00 2 28
12,150,000.00
12,240,000.00 100 90
2,811,600.00 60 3
3,720,000.00 #DIV/0!
50,820,000.00 #DIV/0!
41,618,700.00 #DIV/0!
33,610,500.00 #DIV/0!
15,154,950.00 100 107
134,758,080.00 1 2,592
129,388,741.50 1 1,785
695,200.00 #DIV/0!
11,205,000.00 100 900
1,014,000.00 100 60
13,041,000.00 100 567
4,807,000.00 100 105
55,908,695.00 1 2,331
3,249,675.00 1 33
1,248,750.00 100 113
35,954,600.00 #DIV/0!
1,044,000.00 100 90
1,157,650.00 100 69
15,924,700.00 #DIV/0!
4,820,200.00 #DIV/0!
6,266,750.00 #DIV/0!
15,795,000.00 20 122
10,120,500.00 20 130
8,782,200.00 #DIV/0!
6,273,000.00 #DIV/0!
92,400.00 10 1
495,000.00 #DIV/0!
390,000.00 #DIV/0!
2,505,000.00 #DIV/0!
12,376,800.00 #DIV/0!
178,200,000.00 #DIV/0!
85,563,500.00 #DIV/0!
900,000.00 #DIV/0!
20,250,000.00 1
4,426,125.00 5 58
27,000,000.00 1 300
1,336,500.00 1000 14
222,750.00 5 5
5,250,000.00 100 60
140,000.00 #DIV/0!
ISI PER JLH DLM
132,000.00 100 12
- #DIV/0!
9,702,000.00 #DIV/0!
7,017,100.00 100 47
169,400.00 5 1
13,644,375.00 30 958
39,270,000.00 #DIV/0!
32,596,320.00 5 118
130,380,000.00 5 246
109,807,037.50 5 264
1,584,000.00 100 30
847,200.00 1 600
7,950,000.00 1 75
123,632,550.00 1 150
125,625,000.00 1 75
6,600,000.00 50 300
9,940,000.00 50 284
220,000.00 #DIV/0!
1,505,000.00 #DIV/0!
3,146,000.00 #DIV/0!
184,800,000.00 30 500
212,850,000.00 30 1,000
19,890,000.00 30 3,000
17,850,000.00 #DIV/0!
7,200,000.00 5 600
8,058,000.00 #DIV/0!
1,212,000.00 30 50
(15,241,590.00) #DIV/0!
(9,223,500.00) #DIV/0!
760,800.00 100 24
4,950,000.00 #DIV/0!
21,945,000.00 #DIV/0!
6,831,000.00 #DIV/0!
8,009,911.00 #DIV/0!
250,800,000.00 #DIV/0!
92,116,750.00 #DIV/0!
13,513,500.00 1 315
83,600.00 100 10
1,716,000.00 1 300
23,100,000.00 1 1,050
4,605,000.00 1 3,000
- #DIV/0!
20,575,500.00 #DIV/0!
11,972,000.00 14 214
57,750,000.00 #DIV/0!
10,421,250.00 #DIV/0!
9,800,000.00 #DIV/0!
8,494,200.00 #DIV/0!
6,838,800.00 #DIV/0!
2,862,000.00 100 90
318,750.00 #DIV/0!
810,000.00 #DIV/0!
466,487,500.00 #DIV/0!
194,000,000.00 #DIV/0!
133,164,000.00 #DIV/0!
62,500.00 100 5
5,480,840.00 30 49
1,247,400.00 #DIV/0!
1,937,950.00 #DIV/0!
2,527,200.00 100 72
628,000.00 100 79
ISI PER JLH DLM
171,000.00 100 15
6,750,000.00 100 300
9,525,000.00 100 150
18,705,000.00 100 150
9,702,000.00 100 735
4,234,400.00 10 316
4,838,328.00 #DIV/0!
17,857,950.00 30 137
12,936,000.00 100 112
10,065,000.00 100 150
7,030,800.00 100 81
10,890,000.00 100 90
6,411,600.00 #DIV/0!
43,672,500.00 #DIV/0!
9,699,600.00 #DIV/0!
136,512,720.00 #DIV/0!
36,292,550.00 50 679
39,900,000.00 50 532
82,654,000.00 20 723
17,166,600.00 1 900
975,000.00 #DIV/0!
459,550.00 #DIV/0!
2,430,000.00 #DIV/0!
693,000.00 #DIV/0!
104,280,000.00 50 600
3,671,400.00 10 60
7,236,000.00 5 120
8,975,970.00 1
22,627,068.00 #DIV/0!
9,163,024.50 #DIV/0!
505,208,550.00 10 2,905
80,041,500.00 2 662
640,500.00 #DIV/0!
10,044,000.00 30 47
16,087,500.00 5 59
654,900.00 30 123
(87,500.00) #DIV/0!
3,550,000.00 #DIV/0!
7,260,000.00 1 6
22,881,450.00 #DIV/0!
- 30 -
13,900,000.00 100 139
5,250,000.00 100 150
(314,600.00) 100 (61)
6,675,000.00 #DIV/0!
5,169,080.00 5 56
1,912,650.00 5 30
(70,262.50) #DIV/0!
1,155,000.00 #DIV/0!
- #DIV/0!
5,960,625.00 #DIV/0!
7,567,991.40 #DIV/0!
8,685,000.00 30 100
16,500,000.00 #DIV/0!
26,500,000.00 1 530
4,752,000.00 #DIV/0!
1,620,000.00 #DIV/0!
- #DIV/0!
153,000,000.00 #DIV/0!
1,950,000.00 #DIV/0!
2,117,500.00 #DIV/0!
ISI PER JLH DLM
7,774,750.00 100 69
4,447,700.00 100 79
8,655,550.00 #DIV/0!
82,500,000.00 #DIV/0!
1,608,000.00 10 60
5,009,100.00 #DIV/0!
2,168,550.00 #DIV/0!
- #DIV/0!
4,841,000.00 #DIV/0!
5,413,350.00 #DIV/0!
6,019,065.00 #DIV/0!
13,912,500.00 #DIV/0!
615,000.00 #DIV/0!
12,705,000.00 #DIV/0!
8,580,000.00 30 200
5,625,000.00 #DIV/0!
- #DIV/0!
13,050,000.00 #DIV/0!
26,499,000.00 #DIV/0!
74,250,000.00 50 300
73,125,000.00 30 417
51,017,850.00 30 485
8,835,750.00 1 126
(35,211,000.00) 20 (243)
234,000.00 1 3
127,678,100.00 10 149
- #DIV/0!
1,716,000.00 50 120
1,515,000.00 50
(1,904,000.00) #DIV/0!
4,054,200.00 #DIV/0!
945,000.00 100 150
3,133,900.00 100 259
1,627,500.00 100 155
3,385,300.00 100 49
394,170.00 #DIV/0!
6,732,000.00 #DIV/0!
14,830,200.00 1 900
2,500,800.00 #DIV/0!
Rp 12,400,694,388
mber 2015
RSUD dr. Fauziah
arm, Apt.)
0904 2 006
PERENCANAAN OBAT-OBATAN E KATALOG TRIWULAN KE-1 TAHUN 2016

1 BLN 3 BLN 2015
1 2 3 4 5 6 7(=1/2 x 6) 8 (=5-7) 9
2 Acyclovir 400 mg tablet 1,500 4,500 2,400 600.0 3,900 354.0
3 Adalat oros 20 mg tablet 1,800 5,400 2,220 555.0 4,845 2,999.0
4 Adalat oros 30 mg tablet 450 1,350 - 1,350 3,500.0
5 Albendazole 400 mg tablet 500 1,500 700 175.0 1,325 359.0
6 Allopurinol 100 mg tablet 6,000 18,000 16,400 4,100.0 13,900 90.0
7 Allopurinol 300 mg tablet 2,000 6,000 - 6,000 232.5
8 Alprazolam 0,5 mg tablet 10,000 30,000 - 30,000 185.0
9 Alprazolam 1 mg tablet 10,000 30,000 6,800 1,700.0 28,300 239.0
10 Aminofillin 200 mg tablet 3,000 9,000 1,100 275.0 8,725 86.0
11 Aminofillin 24 mg/ml amp 200 600 576 144.0 456 4,204.0
12 Aminofluid-L 500 ml botol 200 600 250 62.5 538 67,760.0
13 Aminofusin Hepar botol 100 300 100 25.0 275 75,350.0
14 Aminofusin L-600 bag 100 300 - 300 42,000.0
15 Aminoleban botol 200 600 45 11.3 589 65,000.0
16 Amitriptilin 25 mg tablet 30,000 90,000 4,200 1,050.0 88,950 123.0
19 Amoxicillin 125 mg/5 ml botol 200 600 25 6.3 594 2,560.0
20 Amoxicillin 500 mg tablet 20,000 60,000 16,300 4,075.0 55,925 279.0
21 Ampicillin 1 gr vial 200 600 - 600 5,610.0
22 Antasid susp. 60 ml botol 800 2,400 - 2,400 2,300.0
23 Antasida DOEN (box) tablet 35,000 105,000 17,000 4,250.0 100,750 78.0
24 Antihemorrhoid supp supp 300 900 1,900 475.0 425 3,350.0
25 Apidra 100 UI/ml pen 40 120 - 120 87,080.0
26 Asabium / Clobazam 10 mg tablet 30,000 90,000 9,500 2,375.0 87,625 950.0
27 Asam mefenamat 500 mg tablet 20,000 60,000 55,000 13,750.0 46,250 127.0
28 Asering 500 cc botol 1,000 3,000 1,800 450.0 2,550 9,000.0
29 Aspilet tablet 1,000 3,000 11,100 2,775.0 225 163.0
30 Atropin sulfat 0,25 mg/ml amp 1,000 3,000 3,000 750.0 2,250 1,400.0
31 Avamys (Flutikason) can 5 15 - 15 102,662.0
32 Avodart (Dutasteride) 0,5 mg tablet 300 900 90 22.5 878 7,810.0
33 Azithromycin syr 200 mg botol 200 600 - 600 37,500.0
34 Azitromisin 250 mg tablet 1,000 3,000 - 3,000 3,667.0
35 Azitromisin 500 mg tablet 1,000 3,000 880 220.0 2,780 4,613.0
36 Banadoz (Cefpodoxime) tablet 1,000 3,000 3,480 870.0 2,130 3,700.0
37 Berotec (Fenoterol) 0,1 mg MDI can 30 90 57 14.3 76 72,900.0
38 Betametason cream 0,1% 5 g tube 1,500 4,500 625 156.3 4,344 1,558.0
39 Bisoprolol 5 mg tablet 3,000 9,000 1,890 472.5 8,528 695.0
40 Blopress 8 (Candesartan) tablet 10,000 30,000 840 210.0 29,790 3,410.0
41 Blopress 16 (candesartan) tablet 10,000 30,000 - 30,000 5,390.0
42 Bunascan spinal 0,5% (Bupivacain) amp 300 900 300 75.0 825 32,000.0
44 Buscopan / Scopamin 20 mg/ml ampul 200 600 - 600 4,950.0
45 Calcii gluconas inj. 10% amp 200 600 168 42.0 558 7,800.0
46 Calcium lactas 500 mg tablet 10,000 30,000 10,900 2,725.0 27,275 76.0
47 Candesartan 16 mg tablet 5,000 15,000 210 52.5 14,948 5,390.0
48 Candesartan 8 mg tablet 10,000 30,000 2,910 727.5 29,273 3,410.0
1 BLN 3 BLN 2015
49 Captopril 12,5 mg tablet 30,000 90,000 - 90,000 69.0

50 Captopril 25 mg tablet 30,000 90,000 - 90,000 97.0
51 Carbamazepin 200 mg tablet 30,000 90,000 10,500 2,625.0 87,375 269.0
53 Cefadroxil 250 mg kaps kaps 5,000 15,000 - 15,000 566.0
55 Cefadroxil 500 mg kaps kaps 10,000 30,000 16,200 4,050.0 25,950 548.0
56 Cefepime 1 g vial 100 300 48 12.0 288 52,749.0
57 Cefixime 100 mg tablet 5,000 15,000 20,700 5,175.0 9,825 1,000.0
58 Cefixime syr 100 mg/5 ml botol 500 1,500 - 1,500 10,799.0
59 Cefotaxim 1 g vial 1,500 4,500 - 4,500 3,500.0
60 Ceftazidime 1 g vial 50 150 40 10.0 140 18,766.0
61 Ceftriaxon 1 g vial 1,500 4,500 - 4,500 3,900.0
62 Cendo mydriatil (Tropikamid) ED 1% botol 200 600 15 3.8 596 36,500.0
63 Cendo Tropin 0,5% botol 200 600 85 21.3 579 13,500.0
64 Cendo Lyters / Sanbe tears botol 2,000 6,000 650 162.5 5,838 15,750.0
65 Cetirizine 10 mg tablet 30,000 90,000 14,500 3,625.0 86,375 190.0
66 Cetirizine syr. 5 mg/ 5 ml botol 500 1,500 - 1,500 8,799.0
68 Chloramphenicol 60 ml syr botol 10 30 - 30 5,500.0
69 Chloramphenicol SM 1% tube 300 900 702 175.5 725 1,760.0
71 Chlorpromazine 100 mg tablet 5,000 15,000 - 15,000 162.0
72 Chlorpromazine 25 mg tablet 5,000 15,000 100 25.0 14,975 75.0
73 Chlorpromazine 5 mg inj. (Cepezet) amp 100 300 210 52.5 248 1,155.0
74 Cilostazole 100 tablet 1,000 3,000 690 172.5 2,828 8,000.0
75 Ciprofloksasin 500 mg tablet 30,000 90,000 - 90,000 290.0
76 Ciprofloxacin infus botol 500 1,500 164 41.0 1,459 15,000.0
77 Clindamycin 150 mg tablet 5,000 15,000 8,910 2,227.5 12,773 405.0
78 Clindamycin 300 mg tablet 5,000 15,000 - 15,000 619.0
79 Clinimix 1 L bag 300 900 - 900 199,000.0
80 Clonidine 0,15 mg tablet 500 1,500 - 1,500 189.0
81 Clonidine (inj. 0,15 mg/mlCatapres) amp 50 150 - 150 30,600.0
82 Clopidogrel 75 mg (Platogrix) tablet 2,000 6,000 3,380 845.0 5,155 3,588.0
83 Clozapin 100 tablet 30,000 90,000 4,150 1,037.5 88,963 5,000.0
84 Clozapin 25 tablet 20,000 60,000 11,450 2,862.5 57,138 1,550.0
85 Codein 10 mg tablet 20,000 60,000 - 60,000 550.0
86 Codein 20 mg tablet 10,000 30,000 1,200 300.0 29,700 1,210.0
87 Colsancetin (Chloramphenicol inj. 1 g) vial 50 150 300 75.0 75 7,260.0
88 Comafusin hepar botol 100 300 48 12.0 288 64,900.0
89 Combiven nebule amp 650 1,950 1,820 455.0 1,495 5,990.0
90 Concor (Bisoprolol 2,5 mg) tablet 500 1,500 4,700 1,175.0 325 746.0
91 Cordarone inj. (Amiodaron) amp 30 90 78 19.5 71 14,160.0
92 Cotrimoxazole syr. botol 100 300 74 18.5 282 2,298.0
93 Cotrimoxazole 480 mg tablet 5,000 15,000 3,400 850.0 14,150 152.0
94 CTM 4 mg tablet 5,000 15,000 300 75.0 14,925 54.0
95 Daryant tulle lbr 1,000 3,000 - 3,000 10,175.0
96 Depakene syr. 250 mg botol 300 900 350 87.5 813 41,800.0
97 Depakote 250 mg tablet 1,000 3,000 26,700 6,675.0 (3,675) 1,680.0
98 Depakote ER 250 mg tablet 1,000 3,000 14,000 3,500.0 (500) 2,793.0
99 Depakote ER 500 mg tablet 2,000 6,000 22,700 5,675.0 325 5,450.0
100 Desferal 0,5 g vial 10 30 50 12.5 18 112,000.0
101 Dexametason 5 mg/ml amp 1,000 3,000 2,600 650.0 2,350 1,738.0
102 Dexametason 0,5 mg tablet 1,200 3,600 - 3,600 68.0
103 Dexocort/Pyderma (Desoksimetason) 0,25% tube 450 1,350 - 1,350 10,800.0
104 Dextrose 10% botol 300 900 400 100.0 800 6,270.0
106 Dextrose 5% botol 500 1,500 800 200.0 1,300 5,720.0
109 Dextrose 5%+ NaCL 0,9 botol 500 1,500 80 20.0 1,480 6,800.0
1 BLN 3 BLN 2015
110 Diazepam 2 mg tablet 20,000 60,000 - 60,000 46.0

111 Diazepam 5 mg/2 ml (Stesolid) amp 1,000 3,000 360 90.0 2,910 4,598.0
112 Digoxin 0,25 mg tablet 2,000 6,000 2,000 500.0 5,500 103.0
113 Diltiazem 30 tablet 2,000 6,000 200 50.0 5,950 137.0
114 Diphenhidramin inj. amp 250 750 - 750 1,160.0
115 Dipsamol inh. can 150 450 19 4.8 445 70,004.0
116 Doburan/Inodex (Dobutamin) inj. amp 20 60 - 60 29,000.0
117 Domperidone 10 mg tablet 10,000 30,000 3,500 875.0 29,125 174.0
118 Domperidone syr. botol 200 600 6 1.5 599 3,490.0
119 Dopamet 250 mg (metil dopa) tablet 1,000 3,000 400 100.0 2,900 880.0
120 Doxycycline 100 mg tablet 5,000 15,000 500 125.0 14,875 298.0
121 Dulcolac/Stolax (Bisakodil) 5 mg supp supp 300 900 750 187.5 713 4,990.0
122 Dulcolax 10 mg supp supp 150 450 - 450 6,045.0
123 Eas Primer botol 200 600 20 5.0 595 51,260.0
124 Eclid 100 mg (Acarbose) tablet 3,000 9,000 - 9,000 990.0
125 Eclid 50 mg (Acarbose) tab 3,000 9,000 - 9,000 780.0
126 Efedrin inj. 50 mg/ml amp 700 2,100 1,700 425.0 1,675 14,640.0
127 Epinefrin inj. 1 mg/ml amp 500 1,500 200 50.0 1,450 8,910.0
128 Episan (Sukralfat) botol 200 600 1,028 257.0 343 22,500.0
129 Ericaf tablet 500 1,500 - 1,500 2,500.0
130 Eritromisin 250 mg tablet 5,000 15,000 - 15,000 509.0
131 Eritromisin 500 mg tablet 5,000 15,000 13,100 3,275.0 11,725 1,023.0
132 Erytromisin syr 200 mg/5 ml botol 300 900 218 54.5 846 8,090.0
133 Etambutol 250 mg tablet 5,000 15,000 800 200.0 14,800 322.0
134 Etambutol 500 mg tablet 10,000 30,000 11,100 2,775.0 27,225 495.6
135 Euthyrox (Levotiroksin) 100 mg tablet 4,000 12,000 4,000 1,000.0 11,000 850.0
136 Exjade (Deferasiroks) 250 mg tablet 100 300 1,400 350.0 (50) 80,000.0
137 Exjade 500 tablet 100 300 1,428 357.0 (57) 155,000.0
138 Farbivent nebule amp 1,500 4,500 475 118.8 4,381 5,984.0
139 Fargoxin/Cedocard (Digoxin) inj. 0,25 mg/ml amp 50 150 - 150 24,300.0
140 Farmabes (Diltiazem) inj. 25 mg/ml vial 500 1,500 30 7.5 1,493 51,333.0
142 Fatral (Sertralin) 50 mg tablet 5,000 15,000 600 150.0 14,850 3,740.0
143 Fenitoin inj. 50 mg/ml amp 500 1,500 - 1,500 20,857.0
144 Fenobarbital inj. 50 mg/ml ampul 500 1,500 - 1,500 1,980.0
145 Fentanyl 0,05 mg/ml (2 ml) amp 100 300 - 300 37,306.0
146 Flixotide nebule 0,5 mg (Fluticasone) Nebul 2,000 6,000 458 114.5 5,886 14,208.0
148 Folid acid 0,4 mg tablet 10,000 30,000 2,200 550.0 29,450 104.0
149 Fosen enema/Fleet enema botol 10 30 26 6.5 24 40,500.0
150 Furosemide 10 mg/ml amp 600 1,800 - 1,800 2,012.0
151 Furosemide 40 mg tablet 4,000 12,000 11,600 2,900.0 9,100 84.0
152 Fuson (Asam fusidat) cream tube 300 900 - 900 7,590.0
154 Genoint (Gentamisin) SM 0,3% 3,5 g tube 700 2,100 310 77.5 2,023 2,786.0
155 Gentamisin 40 mg/ml amp 1,200 3,600 900 225.0 3,375 3,739.0
156 Gimfibrozil 300 tablet 5,000 15,000 3,800 950.0 14,050 318.0
157 Glibenclamide 5 mg tablet 3,000 9,000 1,300 325.0 8,675 61.0
158 Glimepiride 1 mg tablet 6,000 18,000 - 18,000 272.0
161 Glucodex (Gliclazid) 80 mg tablet 20,000 60,000 54,700 13,675.0 46,325 310.0
162 Griseofulvin 125 mg tablet 5,000 15,000 1,300 325.0 14,675 241.0
164 Haloperidol 1,5 mg tablet 5,000 15,000 3,400 850.0 14,150 82.0
165 Haloperidol 5 mg tablet 4,000 12,000 - 12,000 122.0
166 Harnal D (Tamsulosin) 0,2 mg tablet 10,000 30,000 5,040 1,260.0 28,740 5,800.0
167 Harnal Ocas (Tamsulosin) tablet 3,000 9,000 600 150.0 8,850 6,800.0
168 Herbesser (Diltiazem) inf. 50 mg amp 400 1,200 160 40.0 1,160 140,433.0
169 Hidroclorotiazide 25 tablet 10,000 30,000 1,500 375.0 29,625 163.0
170 Hidrocortison 1% tube 1,500 4,500 - 4,500 2,827.0
1 BLN 3 BLN 2015
171 Hidrokortison 2,5% tube 1,500 4,500 168 42.0 4,458 2,868.0
172 Humalog cart.100 UI ampul 300 900 40 10.0 890 87,083.0
173 Humalog kwikpen amp 200 600 - 600 87,083.0
174 Humalog mix 25 3 ml amp 300 900 140 35.0 865 107,250.0
175 Humalog mix kwinpen amp 200 600 - 600 107,250.0
176 Hytroz 1/Hytrin (Terazosin) tablet 500 1,500 - 1,500 1,900.0
177 Hytroz 3 tablet 500 1,500 - 1,500 3,659.0
178 Ibuprofen 200 mg tablet 20,000 60,000 15,000 3,750.0 56,250 121.0
179 Ibuprofen 400 mg tablet 30,000 90,000 - 90,000 157.0
180 Ibuprofen syr 100 mg/5 ml botol 500 1,500 - 1,500 3,496.0
181 Ibuprofen syr 200 mg/5 ml botol 100 300 - 300 4,949.0
182 Illiadin (Oxymethazoline) 0,025% botol 300 900 58 14.5 886 30,305.0
183 Illiadin 0,05% botol 300 900 - 900 32,000.0
184 Irbesartan 150 mg tablet 5,000 15,000 2,000 500.0 14,500 1,567.0
185 Irbesartan 300 mg tablet 5,000 15,000 - 15,000 2,717.0
186 Isoniazid 100 tablet 10,000 30,000 7,000 1,750.0 28,250 72.0
187 Isoniazid 300 mg tablet 5,000 15,000 4,000 1,000.0 14,000 174.0
188 Isosorbid dinitrat 5 tablet 5,000 15,000 12,000 3,000.0 12,000 98.0
189 KA-EN 3 A botol 200 600 300 75.0 525 10,000.0
190 KA-EN 3 B botol 550 1,650 20 5.0 1,645 10,000.0
191 Kalbamin botol 10 30 - 30 56,300.0
192 Kalipar (K. Aspartat 300 mg) tablet 1,000 3,000 1,100 275.0 2,725 729.0
193 Kalxetin / Foransi (Fluoxetin) 10 mg tablet 5,000 15,000 - 15,000 462.0
194 Kanamycin inj. 1 g vial 30 90 - 90 5,500.0
195 KCL 7,46% ampul 60 180 208 52.0 128 2,255.0
196 Ketoconazole 200 mg tablet 5,000 15,000 5,000 1,250.0 13,750 320.0
197 Ketoconazole cream 2% 5 g tube 600 1,800 796 199.0 1,601 3,135.0
198 Ketoprofen supp 100 (Pronalges) supp 300 900 - 900 2,790.0
199 Ketorolac 3% ampul 2,000 6,000 4,574 1,143.5 4,857 2,665.0
200 Kidmin bag 34 102 203 50.8 51 46,000.0
201 KSR (KCl) 600 mg tablet 5,000 15,000 - 15,000 1,580.0
202 KTM 100 10 ml vial 50 150 77 19.3 131 110,000.0
203 Kuinin 200 mg tablet 500 1,500 - 1,500 737.0
204 Kutoin (Fenitoin) 100 mg tablet 20,000 60,000 - 60,000 146.0
205 Lansoprazol 30 mg tablet 50,000 150,000 - 150,000 521.0
206 Lantus insulin 100 UI pen 300 900 50 12.5 888 85,000.0
207 Laxadine syr botol 200 600 230 57.5 543 12,450.0
208 Levopar / Leparson / Levazide tablet 10,000 30,000 - 30,000 1,650.0
209 Levocin tts mata botol 300 900 548 137.0 763 55,022.0
210 Levofloxacin 500 mg kap tablet 20,000 60,000 23,400 5,850.0 54,150 581.0
211 Levofloxacin infus 100 ml infus 600 1,800 202 50.5 1,750 43,809.0
212 Lidokain 2% amp 800 2,400 - 2,400 929.0
213 Lidokain compositium 2% amp 200 600 780 195.0 405 1,499.0
214 Lodomer (Haloperidol) inj. 5 mg/ml amp 120 360 648 162.0 198 6,875.0
215 Loratadine 10 mg tablet 15,000 45,000 - 45,000 170.0
216 Lovenox 6000 anti XA syringe 20 60 - 60 110,000.0
217 Lovenox 0,4 syringe 20 60 10 2.5 58 79,059.0
218 Lovenox 0,2 syringe 20 60 10 2.5 58 44,800.0
219 Ludios (Maprotilin) 25 mg tablet 3,000 9,000 - 9,000 1,350.0
220 Lynoral (Etinil estradiol) tablet 3,000 9,000 - 9,000 1,360.0
221 M.S.T 10 mg tablet 180 540 720 180.0 360 15,620.0
222 Mannitol botol 20 60 - 60 62,000.0
223 Merlopam (Lorazepam) 2 mg tablet 5,000 15,000 8,700 2,175.0 12,825 1,423.0
224 Meropenem 0,5 g vial 900 2,700 216 54.0 2,646 51,990.0
225 Meropenem 1 g vial 700 2,100 631 157.8 1,942 72,507.0
226 Metformin 500 mg tablet 30,000 90,000 - 90,000 124.5
227 Metil ergometrin 0,125 mg tablet 2,000 6,000 - 6,000 169.0
230 Metil prednisolon inj. 125 (Phadilon) vial 800 2,400 139 34.8 2,365 23,990.0
231 Metil prednisolon inj. 500 vial 20 60 55 13.8 46 99,990.0
1 BLN 3 BLN 2015
232 Metoclopramide 10 mg tablet 5,000 15,000 7,500 1,875.0 13,125 111.0

233 Metronidazol 100 cc infus botol 1,000 3,000 460 115.0 2,885 12,980.0
234 Metronidazol 250 tablet 3,000 9,000 - 9,000 116.0
235 Metronidazol 500 tablet 5,000 15,000 16,300 4,075.0 10,925 169.0
236 Meylon (Na bicarbonat 8,4%) amp 800 2,400 130 32.5 2,368 6,820.0
237 MgSO4 20% amp 600 1,800 157 39.3 1,761 2,800.0
238 MgSO4 40% amp 600 1,800 19 4.8 1,795 3,500.0
239 Micardis (Telmisartan) 80 mg tablet 1,000 3,000 1,140 285.0 2,715 6,500.0
240 Micardis 40 mg tablet 1,000 3,000 810 202.5 2,798 3,900.0
241 Miconazole 2% 10 g tube 1,000 3,000 288 72.0 2,928 3,075.0
242 Morphin 10 mg/ml amp 5 15 10 2.5 13 9,240.0
243 Myomergin (Metil Ergometrin) inj. amp 150 450 540 135.0 315 2,750.0
244 NaCl 0,9% 500 ml botol 6,000 18,000 2,900 725.0 17,275 5,170.0
246 Nasacort (Triamsinolon) box 100 300 - 300 90,000.0
247 Neostigmin (Prostigmin) 0,5 mg/ml box 200 600 1,155 288.8 311 9,900.0
248 Neo mercazole (Carbimazole) 5 mg tablet 2,000 6,000 - 6,000 875.0
249 Nifedipin 10 mg tablet 3,000 9,000 15,600 3,900.0 5,100 110.0
250 Nitral (Gliseryl trinitrat) tablet 2,000 6,000 240 60.0 5,940 1,650.0
251 Nitrokaf retard 2,5 mg tablet 2,000 6,000 2,600 650.0 5,350 1,493.0
252 Nokoba (Naloxon) inj 2 ml Ampul 10 30 55 13.8 16 67,760.0
253 Nopres 20 (Fluoxetin) tablet 10,000 30,000 2,550 637.5 29,363 475.0
254 Norelut (Noretisteron) 5 mg tablet 5,000 15,000 - 15,000 2,618.0
255 Norepinefrin inj. 1 mg/ml amp 200 600 20 5.0 595 55,248.0
256 Novomix 30 pen 500 1,500 540 135.0 1,365 106,000.0
257 Novorapid flexpen pen 500 1,500 365 91.3 1,409 83,345.0
258 Nystatin 100.000 UI tablet 1,000 3,000 - 3,000 528.0
259 Obucort swinghaler (Budesonid) can 50 150 150 37.5 113 106,000.0
260 Octalbin 20% 100 ml botol 50 150 - 150 824,217.0
261 Octalbin 25% 100 ml botol 30 90 30 7.5 83 1,675,000.0
262 Ofloxacin 200 mg tablet 5,000 15,000 - 15,000 440.0
263 Ofloxacin 400 mg tablet 5,000 15,000 1,600 400.0 14,600 700.0
264 Oksitocin inj. amp 500 1,500 400 100.0 1,400 2,420.0
265 Olandoz 10 mg tab. tablet 5,000 15,000 - 15,000 12,320.0
266 Olandoz 5 mg tablet 10,000 30,000 - 30,000 7,095.0
267 Omeprazol 20 mg tablet 30,000 90,000 - 90,000 221.0
268 Omeprazol 40 inj. (Ozid) vial 300 900 950 237.5 663 42,000.0
269 Ondansetron 4 mg/2 ml amp 1,000 3,000 - 3,000 2,400.0
270 Ondansetron 8 mg tablet 2,000 6,000 - 6,000 1,343.0
271 Ondansetron 4 mg tablet 500 1,500 - 1,500 808.0
272 Oralit 200 ml sachet 1,000 3,000 1,200 300.0 2,700 317.0
274 Pantocain 0,5% botol 200 600 12 3.0 597 11,500.0
275 Paracetamol 500 mg tablet 26,500 79,500 157,100 39,275.0 40,225 88.0
276 Paracetamol drops Botol 100 300 - 300 5,720.0
277 Paracetamol syr botol 1,000 3,000 - 3,000 1,535.0
278 Petidin amp 500 1,500 420 105.0 1,395 15,950.0
279 Pioglitazone TI 15 tablet 1,000 3,000 14 3.5 2,997 4,000.0
280 Pirantel pamoat 125 mg tablet 3,000 9,000 - 9,000 318.0
281 Plasbumin 100 ml 25% botol 100 300 43 10.8 289 1,675,000.0
282 Plasbumin 50 ml 25% botol 100 300 115 28.8 271 800,000.0
283 Plasmanate 250 ml botol 50 150 26 6.5 144 972,000.0
284 Prednison 5 mg tablet 2,000 6,000 11,000 2,750.0 3,250 125.0
285 Prohem (Fitomenadion) inj. 2 mg/ml amp 500 1,500 80 20.0 1,480 3,754.0
286 Procain penicillin inj. vial 100 300 110 27.5 273 7,910.0
287 Propil tiourasil 100 mg tablet 3,000 9,000 3,600 900.0 8,100 351.0
288 Propranolol 10 mg tablet 3,000 9,000 2,300 575.0 8,425 80.0
289 Propranolol 40 mg tablet 500 1,500 - 1,500 114.0
290 Pyrazinamid 500 mg tablet 10,000 30,000 - 30,000 225.0
291 Ramipril 5 mg tablet 5,000 15,000 - 15,000 635.0
292 Ramixal / Vivace 2,5 mg tablet 5,000 15,000 - 15,000 1,247.0
1 BLN 3 BLN 2015
293 Ranitidin 150 mg tablet 30,000 90,000 33,000 8,250.0 81,750 132.0
294 Ranitidin inj. 25 mg/ml ampul 2,000 6,000 5,680 1,420.0 4,580 1,340.0
295 Recofol (Propofol) inj.10 mg/ml ampul 100 300 4 1.0 299 16,236.0
296 Recolfar (Cholcisin) 500 mcg tablet 2,000 6,000 3,780 945.0 5,055 4,345.0
297 Retaphyl SR 300 tablet 5,000 15,000 7,600 1,900.0 13,100 1,155.0
298 Rifampisin 300 mg tablet 5,000 15,000 - 15,000 671.0
299 Rifampisin 450 mg tablet 5,000 15,000 13,800 3,450.0 11,550 868.0
300 Rifampisin 600 mg tablet 3,000 9,000 - 9,000 1,210.0
301 Risperidon 2 mg tablet 20,000 60,000 52,100 13,025.0 46,975 1,069.0
302 Risperidone 1 mg tablet 10,000 30,000 6,800 1,700.0 28,300 1,500.0
303 RL botol 6,000 18,000 7,100 1,775.0 16,225 5,720.0
304 Salbutamol 2 mg tablet 5,000 15,000 - 15,000 65.0
305 Salbutamol 4 mg tablet 3,000 9,000 7,900 1,975.0 7,025 91.0
306 Salicyl talc 75 gr box 600 1,800 - 1,800 1,350.0
307 Sandepril (Maprotilin) 50 mg tablet 10,000 30,000 - 30,000 3,476.0
310 Seretide inhaler can 30 90 - 90 99,733.0
313 Seroquel (Quetiapin) 200 mg tablet 10,000 30,000 1,900 475.0 29,525 17,391.0
314 Sharox (Sefuroxime) inj. 750 vial 500 1,500 354 88.5 1,412 60,500.0
315 Sibital (Fenobarbital) inj.200 amp 50 150 90 22.5 128 6,100.0
316 Sifrol ER (Pramipexol) 0,375 mg tablet 500 1,500 210 52.5 1,448 7,200.0
317 Sikzonoate (Flufenazin) inj. 25 mg amp 100 300 15 3.8 296 55,000.0
318 Simvastatin 10 tablet 5,000 15,000 22,600 5,650.0 9,350 177.0
319 Soujourn (Sevofluran) inj. 250 ml botol 2 6 1 0.3 6 1,320,000.0
320 Spiriva combo box 50 150 - 150 152,543.0
321 Spiriva refill kapsul 350 1,050 2,100 525.0 525 13,867.0
322 Spironolakton 100 mg tablet 5,000 15,000 2,200 550.0 14,450 1,000.0
323 Spironolakton 25 mg tablet 5,000 15,000 - 15,000 350.0
324 Starfolat (Asam folat) 1 mg tablet 1,000 3,000 18,100 4,525.0 (1,525) 52.0
325 Stelosi (Trifluorofenazin) 5 mg tablet 5,000 15,000 - 15,000 445.0
326 Stesolid rect. 10 mg tube tube 100 300 40 10.0 290 18,461.0
327 Stesolid rect. 5 mg tube tube 50 150 - 150 12,751.0
328 Tamofen (Tamoxifen) 20 mg tablet 1,000 3,000 - 3,000 2,895.0
329 Tapros 3,75 mg vial 20 60 60 15.0 45 550,000.0
330 Tarivid otic/Akilen (Ofloxacin) Tts Telinga 3 botol 200 600 140 35.0 565 50,000.0
331 Tensilo inj vial 100 300 - 300 15,840.0
332 Terrel (Isofluran) 100 ml botol 5 15 18 4.5 11 270,000.0
333 Tetagam 250 IU ampul 300 900 - 900 170,000.0
334 Tetrasiklin 500 tablet 2,000 6,000 - 6,000 325.0
335 Thyrozol (Thiamazol) 10 mg tablet 3,000 9,000 4,300 1,075.0 7,925 1,135.0
336 Thyrozol (Thiamazol) 5 mg tablet 3,000 9,000 2,200 550.0 8,450 563.0
337 Tilsan (Maprotilin) 25 mg tablet 10,000 30,000 - 30,000 2,750.0
338 Tramadol 100 mg/2 ml amp 200 600 - 600 2,680.0
339 Tramus/Notrixum (Atracurium) 25 ampul 50 150 - 150 14,457.0
340 Triacarpine 2% botol 100 300 85 21.3 279 18,800.0
341 Triamsinolon 4 mg tablet 3,000 9,000 2,900 725.0 8,275 717.0
342 Triatimolol (Isotic adretor) OTM 0,5% botol 200 600 30 7.5 593 10,289.0
343 Triaxitrol ED 5 ml botol 500 1,500 350 87.5 1,413 10,500.0
344 Triofusin 500 botol 100 300 - 300 42,350.0
345 Tyarit (Amiodaron) 200 mg tablet 2,000 6,000 - 6,000 1,430.0
346 Tutofusin botol 50 150 - 150 37,500.0
347 Ulsafate botol 300 900 - 900 14,500.0
348 Urinter (Asam pipemidat) 400 mg kapsul 5,000 15,000 800 200.0 14,800 1,815.0
349 Valacyclovir 500 mg tablet 5,000 15,000 - 15,000 4,950.0
350 Valsartan 160 mg (Diovan/Varten) tablet 5,000 15,000 5,000 1,250.0 13,750 5,850.0
351 Valsartan 80 mg (Diovan/Varten) tablet 5,000 15,000 930 232.5 14,768 3,510.0
352 Ventolin inhaler can 50 150 48 12.0 138 70,125.0
353 Ventolin nebule nebul 200 600 10,900 2,725.0 (2,125) 7,260.0
1 BLN 3 BLN 2015

357 Vitamin B komplek tablet 5,000 15,000 64,000 16,000.0 (1,000) 112.0
358 Vitamin B12 50 mcg tablet 5,000 15,000 - 15,000 63.0
360 Vitamin C 50 mg tablet 20,000 60,000 89,000 22,250.0 37,750 105.0
361 Vitamin K 10 mg tablet 2,000 6,000 2,300 575.0 5,425 698.0
362 Vitamin K inj. amp 100 300 390 97.5 203 3,754.0
363 Zink syr. (Zinkid) botol 300 900 - 900 16,478.0
364 Zink 20 mg tablet 2,000 6,000 2,400 600.0 5,400 521.0
TOTAL :


Nip. Nip. 19820416 200904 2 006
ISI JLH DLM
TOTAL HARGA (Rp.) PER BOX
BOX
10 (=8 x 9) 11 12
1,139,250.00 100 47
1,380,600.00 100 39
14,530,155.00 #DIV/0!
4,725,000.00 #DIV/0!
475,675.00 30 44
1,251,000.00 100 139
1,395,000.00 100 60
5,550,000.00 100 300
6,763,700.00 100 283
750,350.00 100 87
1,917,024.00 30 15
36,421,000.00 #DIV/0!
20,721,250.00 #DIV/0!
12,600,000.00 #DIV/0!
38,268,750.00 #DIV/0!
10,940,850.00 100 890
30,948,720.00 30 2,931
28,629,517.50 30 4,844
1,520,000.00 1 594
15,603,075.00 #DIV/0!
3,366,000.00 #DIV/0!
5,520,000.00 1 2,400
7,858,500.00 100 1,008
1,423,750.00 #DIV/0!
10,449,600.00
83,243,750.00 100 876
5,873,750.00 100 463
22,950,000.00 #DIV/0!
36,675.00 100 2
3,150,000.00 #DIV/0!
1,539,930.00 1
6,853,275.00 30 29
22,500,000.00 1 600
11,001,000.00 #DIV/0!
12,824,140.00 20 139
7,881,000.00 #DIV/0!
5,522,175.00 1 76
6,767,562.50 #DIV/0!
5,926,612.50 30 284
101,583,900.00 30 993
161,700,000.00 30 1,000
26,400,000.00 5 165
11,147,662.50 1 440
2,970,000.00 5 120
4,352,400.00 #DIV/0!
2,072,900.00 100 273
80,567,025.00 #DIV/0!
99,819,225.00 #DIV/0!
ISI JLH DLM
BOX
6,210,000.00 100 900

8,730,000.00 100 900
23,503,875.00 100 874
12,686,400.00 1 2,400
8,490,000.00 #DIV/0!
9,427,500.00 1 1,500
14,220,600.00 100 260
15,191,712.00 2 144
9,825,000.00 50 197
16,198,500.00 1 1,500
15,750,000.00 10 450
2,627,240.00 2 70
17,550,000.00 10 450
21,763,125.00 #DIV/0!
7,813,125.00 #DIV/0!
91,940,625.00 #DIV/0!
16,411,250.00 100 864
13,198,500.00 1 1,500
2,805,000.00 100 30
165,000.00 1 30
1,275,120.00 #DIV/0!
2,480,400.00 24 25
2,430,000.00 100 150
1,123,125.00 100 150
285,862.50 30 8
22,620,000.00 #DIV/0!
26,100,000.00 100 900
21,885,000.00 #DIV/0!
5,172,862.50 50 255
9,285,000.00 50 300
179,100,000.00 #DIV/0!
283,500.00 100 15
4,590,000.00 10 15
18,496,140.00 30 172
444,812,500.00 50 1,779
88,563,125.00 50 1,143
33,000,000.00 100 600
35,937,000.00 100 297
544,500.00 #DIV/0!
18,691,200.00 #DIV/0!
8,955,050.00 #DIV/0!
242,450.00 #DIV/0!
998,280.00 #DIV/0!
646,887.00 1 282
2,150,800.00 #DIV/0!
805,950.00 #DIV/0!
30,525,000.00 #DIV/0!
33,962,500.00 1 813
(6,174,000.00) #DIV/0!
(1,396,500.00) #DIV/0!
1,771,250.00 #DIV/0!
1,960,000.00 10 2
4,084,300.00 100 24
244,800.00 100 36
14,580,000.00 1 1,350
5,016,000.00 20 40
1,080,580.00 #DIV/0!
7,436,000.00 20 65
7,199,500.00 20 43
6,881,875.00 20 41
10,064,000.00 20 74
ISI JLH DLM
BOX
2,760,000.00 100 600

13,380,180.00 30 97
566,500.00 100 55
815,150.00 100 60
870,000.00 #DIV/0!
31,169,281.00 1 445
1,740,000.00 #DIV/0!
5,067,750.00 100 291
2,088,765.00 1 599
2,552,000.00 100 29
4,432,750.00 100 149
3,555,375.00 #DIV/0!
2,720,250.00 #DIV/0!
30,499,700.00 #DIV/0!
8,910,000.00 100 90
7,020,000.00 100 90
24,522,000.00 #DIV/0!
12,919,500.00 #DIV/0!
7,717,500.00 1 343
3,750,000.00 #DIV/0!
7,635,000.00 #DIV/0!
11,994,675.00 100 117
6,840,095.00 1 846
4,765,600.00 200 74
13,492,710.00 100 272
9,350,000.00 100 110
(4,000,000.00) 28 (2)
(8,835,000.00) 28 (2)
26,217,400.00 #DIV/0!
5
76,614,502.50 #DIV/0!
3,326,400.00
55,539,000.00 #DIV/0!
31,285,500.00 10 150
2,970,000.00 30 50
11,191,800.00 5 60
83,621,184.00 10 589
179,775,750.00 #DIV/0!
3,062,800.00 100 295
951,750.00 1 24
3,621,600.00 25 72
764,400.00 100 91
6,831,000.00 #DIV/0!
39,334,680.00 #DIV/0!
5,634,685.00 #DIV/0!
12,619,125.00 5 675
4,467,900.00 120 117
529,175.00 100 87
4,896,000.00 50 360
15,360,000.00 50 300
18,048,000.00 50 240
14,360,750.00 100 463
3,536,675.00 #DIV/0!
745,500.00 #DIV/0!
1,160,300.00 #DIV/0!
1,464,000.00 #DIV/0!
166,692,000.00 28 1,026
60,180,000.00 30 295
162,902,280.00 10 116
4,828,875.00 100 296
12,721,500.00 #DIV/0!
ISI JLH DLM
BOX
12,785,544.00 #DIV/0!
77,503,870.00 #DIV/0!
52,249,800.00 #DIV/0!
92,771,250.00 #DIV/0!
64,350,000.00 #DIV/0!
2,850,000.00 #DIV/0!
5,488,500.00 100 15
6,806,250.00 100 563
14,130,000.00 100 900
5,244,000.00 1 1,500
1,484,700.00 1 300
26,835,077.50 1 886
28,800,000.00 1 900
22,721,500.00 50 290
40,755,000.00 50 300
2,034,000.00 100 283
2,436,000.00 100 140
1,176,000.00 100 120
5,250,000.00 #DIV/0!
16,450,000.00 #DIV/0!
1,689,000.00 #DIV/0!
1,986,525.00 #DIV/0!
6,930,000.00 #DIV/0!
495,000.00 #DIV/0!
288,640.00 #DIV/0!
4,400,000.00 50 275
5,019,135.00 #DIV/0!
2,511,000.00 20 45
12,942,572.50 6 809
2,357,500.00 #DIV/0!
23,700,000.00 100 150
14,382,500.00 #DIV/0!
1,105,500.00 60
8,760,000.00 100 600
78,150,000.00 20 7,500
75,437,500.00 5 178
6,754,125.00 #DIV/0!
49,500,000.00 50 600
41,981,786.00 #DIV/0!
31,461,150.00 50 1,083
76,643,845.50 #DIV/0!
2,229,600.00 100 24
607,095.00 30 14
1,361,250.00 12 17
7,650,000.00 50 900
6,600,000.00 2 30
4,545,892.50 2 29
2,576,000.00 2 29
12,150,000.00
12,240,000.00 100 90
5,623,200.00 60 6
3,720,000.00 #DIV/0!
18,249,975.00 100 128
137,565,540.00 1 2,646
140,826,720.75 1 1,942
11,205,000.00 100 900
1,014,000.00 100 60
16,870,500.00 100 734
5,853,500.00 100 127
56,742,347.50 1 2,365
4,624,537.50 1 46
ISI JLH DLM
BOX
1,456,875.00 100 131

37,447,300.00 #DIV/0!
1,044,000.00 100 90
1,846,325.00 100 109
16,146,350.00 #DIV/0!
4,930,100.00 #DIV/0!
6,283,375.00 #DIV/0!
17,647,500.00 20 136
10,910,250.00 20 140
9,003,600.00 #DIV/0!
115,500.00 10 1
866,250.00 #DIV/0!
89,311,750.00 #DIV/0!
20,250,000.00 1
27,000,000.00 1 300
3,081,375.00 5 62
5,250,000.00 100 60
561,000.00 100 51
9,801,000.00 #DIV/0!
7,987,550.00 100 54
1,101,100.00 5 3
13,947,187.50 30 979
39,270,000.00 #DIV/0!
32,872,560.00 5 119
144,690,000.00 5 273
117,412,268.75 5 282
1,584,000.00 100 30
11,925,000.00 1 113
123,632,550.00 1 150
138,187,500.00 1 83
6,600,000.00 50 300
10,220,000.00 50 292
3,388,000.00 #DIV/0!
184,800,000.00 30 500
212,850,000.00 30 1,000
19,890,000.00 30 3,000
27,825,000.00 #DIV/0!
7,200,000.00 5 600
8,058,000.00 #DIV/0!
1,212,000.00 30 50
855,900.00 100 27
22,522,500.00 #DIV/0!
6,865,500.00 #DIV/0!
3,539,800.00 100 402
1,716,000.00 1 300
4,605,000.00 1 3,000
22,250,250.00 #DIV/0!
11,986,000.00 14 214
2,862,000.00 100 90
484,493,750.00 #DIV/0!
217,000,000.00 #DIV/0!
139,482,000.00 #DIV/0!
406,250.00 100 33
5,555,920.00 30 49
2,155,475.00 #DIV/0!
2,843,100.00 100 81
674,000.00 100 84
171,000.00 100 15
6,750,000.00 100 300
9,525,000.00 100 150
18,705,000.00 100 150
ISI JLH DLM
BOX
10,791,000.00 100 818

6,137,200.00 10 458
4,854,564.00 #DIV/0!
21,963,975.00 30 169
15,130,500.00 100 131
10,065,000.00 100 150
10,025,400.00 100 116
10,890,000.00 100 90
50,216,275.00 50 940
42,450,000.00 50 566
92,807,000.00 20 811
975,000.00 #DIV/0!
639,275.00 #DIV/0!
2,430,000.00 1 1,800
104,280,000.00 50 600
3,671,400.00 10 60
7,236,000.00 5 120
8,975,970.00 1
24,623,574.00 #DIV/0!
10,191,527.25 #DIV/0!
513,469,275.00 10 2,953
85,395,750.00 2 706
777,750.00 #DIV/0!
10,422,000.00 30 48
16,293,750.00 5 59
1,654,950.00 30 312
7,590,000.00 1 6
22,881,450.00 #DIV/0!
7,280,175.00 30 18
14,450,000.00 100 145
5,250,000.00 100 150
(79,300.00) 100 (15)
6,675,000.00 #DIV/0!
5,353,690.00 5 58
1,912,650.00 5 30
8,685,000.00 30 100
24,750,000.00 #DIV/0!
28,250,000.00 1 565
4,752,000.00 #DIV/0!
2,835,000.00 #DIV/0!
153,000,000.00 #DIV/0!
1,950,000.00 #DIV/0!
8,994,875.00 100 79
4,757,350.00 100 85
82,500,000.00 #DIV/0!
1,608,000.00 10 60
2,168,550.00 #DIV/0!
5,240,500.00 #DIV/0!
5,933,175.00 #DIV/0!
6,096,232.50 #DIV/0!
14,831,250.00 #DIV/0!
12,705,000.00 #DIV/0!
8,580,000.00 30 200
5,625,000.00 #DIV/0!
13,050,000.00 #DIV/0!
26,862,000.00 #DIV/0!
74,250,000.00 50 300
80,437,500.00 30 458
51,833,925.00 30 492
9,677,250.00 1 138
(15,427,500.00) 20 (106)
ISI JLH DLM
BOX
234,000.00 1 3
1,716,000.00 50 120
1,515,000.00 50
(112,000.00) #DIV/0!
945,000.00 100 150
3,381,950.00 100 280
3,963,750.00 100 378
3,786,650.00 100 54
760,185.00 #DIV/0!
14,830,200.00 1 900
2,813,400.00 #DIV/0!
Rp 9,055,505,753
mber 2015
RSUD dr. Fauziah
arm, Apt.)
0904 2 006
PERENCANAAN OBAT-OBATAN E KATALOG TRIWULAN KE-1 TAHUN 2016
KEBUTUHAN STOK 16 ISI

SATU JLH YG HRS HARGA PER JLH DLM
NO. NAMA OBAT DESEMBER TOTAL HARGA (Rp.) PER
AN 2015 DIADAKAN SATUAN (Rp.) BOX
1 BLN 3 BLN BOX
1 2 3 4 5 7(=1/2 x 6) 8 (=5-7) 9 10 (=8 x 9) 11 12
1 Acyclovir 200 mg tablet 2,000 6,000 1,350.0 4,650 245.0 1,139,250.00 100 47
2 Acyclovir 400 mg tablet 1,000 3,000 600.0 2,400 354.0 849,600.00 100 24
3 Adalat oros 20 mg tablet 1,000 3,000 555.0 2,445 2,999.0 7,332,555.00 30 82
4 Adalat oros 30 mg tablet 450 1,350 - 1,350 3,500.0 4,725,000.00 30 45
5 Albendazole 400 mg tablet 500 1,500 175.0 1,325 359.0 475,675.00 30 44
6 Allopurinol 100 mg tablet 6,000 18,000 4,100.0 13,900 90.0 1,251,000.00 100 139
7 Allopurinol 300 mg tablet 2,000 6,000 - 6,000 232.5 1,395,000.00 100 60
8 Alprazolam 0,5 mg tablet 15,000 45,000 - 45,000 185.0 8,325,000.00 100 450
9 Alprazolam 1 mg tablet 5,000 15,000 1,700.0 13,300 239.0 3,178,700.00 100 133
10 Aminofillin 200 mg tablet 2,000 6,000 275.0 5,725 86.0 492,350.00 100 57
11 Aminofillin 24 mg/ml amp 200 600 144.0 456 4,204.0 1,917,024.00 30 15
12 Aminofluid-L 500 ml botol 200 600 62.5 538 67,760.0 36,421,000.00 1 538
13 Aminofusin Hepar botol 100 300 25.0 275 75,350.0 20,721,250.00 1 275
14 Aminofusin L-600 bag 100 300 - 300 42,000.0 12,600,000.00 1 300
15 Aminoleban botol 200 600 11.3 589 65,000.0 38,268,750.00 1 589
16 Amitriptilin 25 mg tablet 30,000 90,000 1,050.0 88,950 123.0 10,940,850.00 100 890
17 Amlodipin 10 mg tablet 30,000 90,000 2,077.5 87,923 352.0 30,948,720.00 30 2,931
18 Amlodipin 5 mg tablet 50,000 150,000 4,672.5 145,328 197.0 28,629,517.50 30 4,844
19 Amoxicillin 125 mg/5 ml botol 200 600 6.3 594 2,560.0 1,520,000.00 1 594
20 Amoxicillin 500 mg tablet 20,000 60,000 4,075.0 55,925 279.0 15,603,075.00 100 559
21 Ampicillin 1 gr vial 200 600 - 600 5,610.0 3,366,000.00 10 60
22 Antasid susp. 60 ml botol 800 2,400 - 2,400 2,300.0 5,520,000.00 1 2,400
23 Antasida DOEN (box) tablet 35,000 105,000 4,250.0 100,750 78.0 7,858,500.00 100 1,008
24 Antihemorrhoid supp supp 300 900 475.0 425 3,350.0 1,423,750.00 10 43
25 Apidra 100 UI/ml pen 40 120 - 120 87,080.0 10,449,600.00 5 24
26 Asabium / Clobazam 10 mg tablet 30,000 90,000 2,375.0 87,625 950.0 83,243,750.00 100 876
27 Asam mefenamat 500 mg tablet 15,000 45,000 13,750.0 31,250 127.0 3,968,750.00 100 313
28 Asering 500 cc botol 1,000 3,000 450.0 2,550 9,000.0 22,950,000.00 20 128
29 Aspilet tablet 1,000 3,000 2,775.0 225 163.0 36,675.00 100 2
30 Atropin sulfat 0,25 mg/ml amp 1,000 3,000 750.0 2,250 1,400.0 3,150,000.00 1 2,250
31 Avamys (Flutikason) can 5 15 - 15 102,662.0 1,539,930.00 1 15
32 Avodart (Dutasteride) 0,5 mg tablet 300 900 22.5 878 7,810.0 6,853,275.00 30 29
33 Azithromycin syr 200 mg botol 200 600 - 600 37,500.0 22,500,000.00 1 600
34 Azitromisin 250 mg tablet 1,000 3,000 - 3,000 3,667.0 11,001,000.00 1 3,000
35 Azitromisin 500 mg tablet 1,000 3,000 220.0 2,780 4,613.0 12,824,140.00 20 139
36 Banadoz (Cefpodoxime) tablet 500 1,500 870.0 630 3,700.0 2,331,000.00 1 630
37 Berotec (Fenoterol) 0,1 mg MDI can 30 90 14.3 76 72,900.0 5,522,175.00 1 76
38 Betametason cream 0,1% 5 g tube 1,500 4,500 156.3 4,344 1,558.0 6,767,562.50 1 4,344
39 Bisoprolol 5 mg tablet 3,000 9,000 472.5 8,528 695.0 5,926,612.50 30 284
40 Blopress 8 (Candesartan) tablet 10,000 30,000 210.0 29,790 3,410.0 101,583,900.00 30 993
41 Blopress 16 (candesartan) tablet 10,000 30,000 - 30,000 5,390.0 161,700,000.00 30 1,000
42 Bunascan spinal 0,5% (Bupivacain) amp 300 900 75.0 825 32,000.0 26,400,000.00 5 165
43 Burnazin cream 35 g tube 150 450 10.3 440 25,350.0 11,147,662.50 1 440
44 Buscopan/Scopamin (Hioscin n-) 20 mg/ml ampul 200 600 - 600 4,950.0 2,970,000.00 5 120
45 Calcii gluconas inj. 10% amp 200 600 42.0 558 7,800.0 4,352,400.00 1 558
46 Calcium lactas 500 mg tablet 10,000 30,000 2,725.0 27,275 76.0 2,072,900.00 100 273
49 Captopril 12,5 mg tablet 30,000 90,000 - 90,000 69.0 6,210,000.00 100 900
50 Captopril 25 mg tablet 30,000 90,000 - 90,000 97.0 8,730,000.00 100 900
1 BLN 3 BLN BOX
51 Carbamazepin 200 mg tablet 30,000 90,000 2,625.0 87,375 269.0 23,503,875.00 100 874
52 Cefadroxil 125 mg/5 ml botol 800 2,400 - 2,400 5,286.0 12,686,400.00 1 2,400
53 Cefadroxil 250 mg kaps kaps 5,000 15,000 - 15,000 566.0 8,490,000.00 100 150
54 Cefadroxil 250 mg/5 ml botol 500 1,500 - 1,500 6,285.0 9,427,500.00 1 1,500
55 Cefadroxil 500 mg kaps kaps 10,000 30,000 4,050.0 25,950 548.0 14,220,600.00 100 260
56 Cefepime 1 g vial 100 300 12.0 288 52,749.0 15,191,712.00 2 144
57 Cefixime 100 mg tablet 5,000 15,000 5,175.0 9,825 1,000.0 9,825,000.00 50 197
58 Cefixime syr 100 mg/5 ml botol 500 1,500 - 1,500 10,799.0 16,198,500.00 1 1,500
59 Cefotaxim 1 g vial 1,500 4,500 - 4,500 3,500.0 15,750,000.00 10 450
60 Ceftazidime 1 g vial 50 150 10.0 140 18,766.0 2,627,240.00 2 70
61 Ceftriaxon 1 g vial 1,500 4,500 - 4,500 3,900.0 17,550,000.00 10 450
62 Cendo mydriatil (Tropikamid) ED 1% botol 200 600 3.8 596 36,500.0 21,763,125.00 1 596
63 Cendo Tropin 0,5% botol 200 600 21.3 579 13,500.0 7,813,125.00 1 579
64 Cendo Lyters / Sanbe tears botol 2,000 6,000 162.5 5,838 15,750.0 91,940,625.00 1 5,838
65 Cetirizine 10 mg tablet 30,000 90,000 3,625.0 86,375 190.0 16,411,250.00 100 864
66 Cetirizine syr. 5 mg/ 5 ml botol 500 1,500 - 1,500 8,799.0 13,198,500.00 1 1,500
67 Chloramphenicol 500 mg kaps 1,000 3,000 - 3,000 935.0 2,805,000.00 100 30
68 Chloramphenicol 60 ml syr botol 10 30 - 30 5,500.0 165,000.00 1 30
69 Chloramphenicol SM 1% tube 300 900 175.5 725 1,760.0 1,275,120.00 1 725
70 Chloramphenicol SK 2% tube 200 600 - 600 4,134.0 2,480,400.00 24 25
71 Chlorpromazine 100 mg tablet 5,000 15,000 - 15,000 162.0 2,430,000.00 100 150
72 Chlorpromazine 25 mg tablet 5,000 15,000 25.0 14,975 75.0 1,123,125.00 100 150
73 Chlorpromazine 5 mg inj. (Cepezet) amp 100 300 52.5 248 1,155.0 285,862.50 30 8
74 Cilostazole 100 tablet 1,000 3,000 172.5 2,828 8,000.0 22,620,000.00 30 94
75 Ciprofloksasin 500 mg tablet 30,000 90,000 - 90,000 290.0 26,100,000.00 100 900
76 Ciprofloxacin infus botol 500 1,500 41.0 1,459 15,000.0 21,885,000.00 1 1,459
77 Clindamycin 150 mg tablet 5,000 15,000 2,227.5 12,773 405.0 5,172,862.50 50 255
78 Clindamycin 300 mg tablet 5,000 15,000 - 15,000 619.0 9,285,000.00 50 300
79 Clinimix 1 L bag 300 900 - 900 199,000.0 179,100,000.00 1 900
80 Clonidine 0,15 mg tablet 500 1,500 - 1,500 189.0 283,500.00 100 15
81 Clonidine (inj. 0,15 mg/mlCatapres) amp 50 150 - 150 30,600.0 4,590,000.00 10 15
82 Clopidogrel 75 mg (Platogrix) tablet 2,000 6,000 845.0 5,155 3,588.0 18,496,140.00 30 172
83 Clozapin 100 tablet 30,000 90,000 1,037.5 88,963 5,000.0 444,812,500.00 50 1,779
84 Clozapin 25 tablet 20,000 60,000 2,862.5 57,138 1,550.0 88,563,125.00 50 1,143
85 Codein 10 mg tablet 20,000 60,000 - 60,000 550.0 33,000,000.00 100 600
86 Codein 20 mg tablet 10,000 30,000 300.0 29,700 1,210.0 35,937,000.00 100 297
87 Colsancetin (Chloramphenicol inj. 1 g) vial 50 150 75.0 75 7,260.0 544,500.00 10 8
88 Comafusin hepar botol 100 300 12.0 288 64,900.0 18,691,200.00 1 288
89 Combiven nebule amp 650 1,950 455.0 1,495 5,990.0 8,955,050.00 10 150
90 Concor (Bisoprolol 2,5 mg) tablet 500 1,500 1,175.0 325 746.0 242,450.00 50 7
91 Cordarone inj. (Amiodaron) amp 30 90 19.5 71 14,160.0 998,280.00 5 14
92 Cotrimoxazole syr. botol 100 300 18.5 282 2,298.0 646,887.00 1 282
93 Cotrimoxazole 480 mg tablet 5,000 15,000 850.0 14,150 152.0 2,150,800.00 100 142
94 CTM 4 mg tablet 5,000 15,000 75.0 14,925 54.0 805,950.00 100 149
95 Daryant tulle lbr 1,000 3,000 - 3,000 10,175.0 30,525,000.00 1 3,000
96 Depakene syr. 250 mg botol 300 900 87.5 813 41,800.0 33,962,500.00 1 813
97 Depakote 250 mg tablet 3,000 9,000 6,675.0 2,325 1,680.0 3,906,000.00 100 23
98 Depakote ER 250 mg tablet 3,000 9,000 3,500.0 5,500 2,793.0 15,361,500.00 100 55
99 Depakote ER 500 mg tablet 2,000 6,000 5,675.0 325 5,450.0 1,771,250.00 100 3
100 Desferal 0,5 g vial 10 30 12.5 18 112,000.0 1,960,000.00 10 2
101 Dexametason 5 mg/ml amp 1,000 3,000 650.0 2,350 1,738.0 4,084,300.00 100 24
102 Dexametason 0,5 mg tablet 1,200 3,600 - 3,600 68.0 244,800.00 100 36
103 Dexocort/Pyderma (Desoksimetason) 0,25% tube 450 1,350 - 1,350 10,800.0 14,580,000.00 1 1,350
104 Dextrose 10% botol 300 900 100.0 800 6,270.0 5,016,000.00 20 40
105 Dextrose 40% 25 ml ampul 200 600 43.0 557 1,940.0 1,080,580.00 1 557
106 Dextrose 5% botol 500 1,500 200.0 1,300 5,720.0 7,436,000.00 20 65
107 Dextrose 5% + NaCL 0,225 botol 300 900 50.0 850 8,470.0 7,199,500.00 20 43
108 Dextrose 5% + NaCL 0,45 botol 300 900 87.5 813 8,470.0 6,881,875.00 20 41
109 Dextrose 5%+ NaCL 0,9 botol 500 1,500 20.0 1,480 6,800.0 10,064,000.00 20 74
110 Diazepam 2 mg tablet 20,000 60,000 - 60,000 46.0 2,760,000.00 100 600
111 Diazepam 5 mg/2 ml (Stesolid) amp 1,000 3,000 90.0 2,910 4,598.0 13,380,180.00 30 97
1 BLN 3 BLN BOX
112 Digoxin 0,25 mg tablet 2,000 6,000 500.0 5,500 103.0 566,500.00 100 55
113 Diltiazem 30 tablet 2,000 6,000 50.0 5,950 137.0 815,150.00 100 60
114 Diphenhidramin inj. amp 250 750 - 750 1,160.0 870,000.00 25 30
115 Dipsamol inh. can 150 450 4.8 445 70,004.0 31,169,281.00 1 445
116 Doburan/Inodex (Dobutamin) inj. amp 20 60 - 60 29,000.0 1,740,000.00 5 12
117 Domperidone 10 mg tablet 10,000 30,000 875.0 29,125 174.0 5,067,750.00 100 291
118 Domperidone syr. botol 200 600 1.5 599 3,490.0 2,088,765.00 1 599
119 Dopamet 250 mg (metil dopa) tablet 1,000 3,000 100.0 2,900 880.0 2,552,000.00 100 29
120 Doxycycline 100 mg tablet 5,000 15,000 125.0 14,875 298.0 4,432,750.00 100 149
121 Dulcolac/Stolax (Bisakodil) 5 mg supp supp 300 900 187.5 713 4,990.0 3,555,375.00 10 71
122 Dulcolax 10 mg supp supp 150 450 - 450 6,045.0 2,720,250.00 10 45
123 Eas Primer botol 200 600 5.0 595 51,260.0 30,499,700.00 1 595
124 Eclid 100 mg (Acarbose) tablet 3,000 9,000 - 9,000 990.0 8,910,000.00 100 90
125 Eclid 50 mg (Acarbose) tab 3,000 9,000 - 9,000 780.0 7,020,000.00 100 90
126 Efedrin inj. 50 mg/ml amp 700 2,100 425.0 1,675 14,640.0 24,522,000.00 10 168
127 Epinefrin inj. 1 mg/ml amp 500 1,500 50.0 1,450 8,910.0 12,919,500.00 100 15
128 Episan (Sukralfat) botol 200 600 257.0 343 22,500.0 7,717,500.00 1 343
129 Ericaf tablet 500 1,500 - 1,500 2,500.0 3,750,000.00 100 15
130 Eritromisin 250 mg tablet 5,000 15,000 - 15,000 509.0 7,635,000.00 100 150
131 Eritromisin 500 mg tablet 5,000 15,000 3,275.0 11,725 1,023.0 11,994,675.00 100 117
132 Erytromisin syr 200 mg/5 ml botol 300 900 54.5 846 8,090.0 6,840,095.00 1 846
133 Etambutol 250 mg tablet 5,000 15,000 200.0 14,800 322.0 4,765,600.00 200 74
134 Etambutol 500 mg tablet 10,000 30,000 2,775.0 27,225 495.6 13,492,710.00 100 272
135 Euthyrox (Levotiroksin) 100 mg tablet 4,000 12,000 1,000.0 11,000 850.0 9,350,000.00 100 110
136 Farbivent nebule amp 1,500 4,500 118.8 4,381 5,984.0 26,217,400.00 20 219
137 Fargoxin/Cedocard (Digoxin) inj. 0,25 mg/ml amp 50 150 - 150 24,300.0 3,645,000.00 5 30
138 Farmabes (Diltiazem) inj. 25 mg/ml vial 500 1,500 7.5 1,493 51,333.0 76,614,502.50 10 149
139 Farsorbit (ISDN) inj. 10 mg/10 ml vial 30 90 - 90 36,960.0 3,326,400.00 10 9
140 Fatral (Sertralin) 50 mg tablet 5,000 15,000 150.0 14,850 3,740.0 55,539,000.00 100 149
141 Fenitoin inj. 50 mg/ml amp 500 1,500 - 1,500 20,857.0 31,285,500.00 10 150
142 Fenobarbital inj. 50 mg/ml ampul 500 1,500 - 1,500 1,980.0 2,970,000.00 30 50
143 Fentanyl 0,05 mg/ml (2 ml) amp 100 300 - 300 37,306.0 11,191,800.00 5 60
144 Flamicort (Triamsinolon) inj. 10 mg/ml amp 30 90 - 90 73,100.0 6,579,000.00 1 90
145 Flixotide nebule 0,5 mg (Fluticasone) Nebul 2,000 6,000 114.5 5,886 14,208.0 83,621,184.00 10 589
146 Fluconazole inf botol 500 1,500 14.3 1,486 121,000.0 179,775,750.00 1 1,486
147 Folid acid 0,4 mg tablet 10,000 30,000 550.0 29,450 104.0 3,062,800.00 100 295
148 Fosen enema/Fleet enema botol 10 30 6.5 24 40,500.0 951,750.00 1 24
149 Furosemide 10 mg/ml amp 600 1,800 - 1,800 2,012.0 3,621,600.00 25 72
150 Furosemide 40 mg tablet 4,000 12,000 2,900.0 9,100 84.0 764,400.00 100 91
151 Gabapentin 300 tablet 5,000 15,000 1,455.0 13,545 2,904.0 39,334,680.00 100 135
152 Genoint (Gentamisin) SM 0,3% 3,5 g tube 700 2,100 77.5 2,023 2,786.0 5,634,685.00 1 2,023
153 Gentamisin 40 mg/ml amp 1,200 3,600 225.0 3,375 3,739.0 12,619,125.00 5 675
154 Gimfibrozil 300 tablet 5,000 15,000 950.0 14,050 318.0 4,467,900.00 120 117
155 Glibenclamide 5 mg tablet 3,000 9,000 325.0 8,675 61.0 529,175.00 100 87
156 Glimepiride 1 mg tablet 6,000 18,000 - 18,000 272.0 4,896,000.00 50 360
157 Glimepiride 2 mg tablet 5,000 15,000 - 15,000 1,024.0 15,360,000.00 50 300
158 Glimepiride 3 mg tablet 4,000 12,000 - 12,000 1,504.0 18,048,000.00 50 240
159 Glucodex (Gliclazid) 80 mg tablet 20,000 60,000 13,675.0 46,325 310.0 14,360,750.00 100 463
160 Griseofulvin 125 mg tablet 5,000 15,000 325.0 14,675 241.0 3,536,675.00 100 147
161 Haloperidol 0,5 mg tablet 5,000 15,000 2,575.0 12,425 60.0 745,500.00 100 124
162 Haloperidol 1,5 mg tablet 5,000 15,000 850.0 14,150 82.0 1,160,300.00 100 142
163 Haloperidol 5 mg tablet 4,000 12,000 - 12,000 122.0 1,464,000.00 100 120
164 Harnal D (Tamsulosin) 0,2 mg tablet 10,000 30,000 1,260.0 28,740 5,800.0 166,692,000.00 28 1,026
165 Harnal Ocas (Tamsulosin) tablet 3,000 9,000 150.0 8,850 6,800.0 60,180,000.00 30 295
166 Herbesser (Diltiazem) inf. 50 mg amp 400 1,200 40.0 1,160 140,433.0 162,902,280.00 10 116
167 Hidroclorotiazide 25 tablet 10,000 30,000 375.0 29,625 163.0 4,828,875.00 100 296
168 Hidrocortison 1% tube 1,500 4,500 - 4,500 2,827.0 12,721,500.00 1 4,500
169 Hidrokortison 2,5% tube 1,500 4,500 42.0 4,458 2,868.0 12,785,544.00 1 4,458
170 Humalog cart.100 UI ampul 300 900 10.0 890 87,083.0 77,503,870.00 5 178
171 Humalog kwikpen amp 200 600 - 600 87,083.0 52,249,800.00 5 120
172 Humalog mix 25 3 ml amp 300 900 35.0 865 107,250.0 92,771,250.00 5 173
1 BLN 3 BLN BOX
173 Humalog mix kwinpen amp 200 600 - 600 107,250.0 64,350,000.00 5 120
174 Hytroz 1/Hytrin (Terazosin) tablet 500 1,500 - 1,500 1,900.0 2,850,000.00 30 50
175 Hytroz 3 tablet 500 1,500 - 1,500 3,659.0 5,488,500.00 100 15
176 Ibuprofen 200 mg tablet 20,000 60,000 3,750.0 56,250 121.0 6,806,250.00 100 563
177 Ibuprofen 400 mg tablet 30,000 90,000 - 90,000 157.0 14,130,000.00 100 900
178 Ibuprofen syr 100 mg/5 ml botol 500 1,500 - 1,500 3,496.0 5,244,000.00 1 1,500
179 Ibuprofen syr 200 mg/5 ml botol 100 300 - 300 4,949.0 1,484,700.00 1 300
180 Illiadin (Oxymethazoline) 0,025% botol 300 900 14.5 886 30,305.0 26,835,077.50 1 886
181 Illiadin 0,05% botol 300 900 - 900 32,000.0 28,800,000.00 1 900
182 Irbesartan 150 mg tablet 5,000 15,000 500.0 14,500 1,567.0 22,721,500.00 50 290
183 Irbesartan 300 mg tablet 5,000 15,000 - 15,000 2,717.0 40,755,000.00 50 300
184 Isoniazid 100 tablet 10,000 30,000 1,750.0 28,250 72.0 2,034,000.00 100 283
185 Isoniazid 300 mg tablet 5,000 15,000 1,000.0 14,000 174.0 2,436,000.00 100 140
186 Isosorbid dinitrat 5 tablet 5,000 15,000 3,000.0 12,000 98.0 1,176,000.00 100 120
187 KA-EN 3 A botol 200 600 75.0 525 10,000.0 5,250,000.00 20 26
188 KA-EN 3 B botol 550 1,650 5.0 1,645 10,000.0 16,450,000.00 20 82
189 Kalbamin botol 10 30 - 30 56,300.0 1,689,000.00 1 30
190 Kalipar (K. Aspartat 300 mg) tablet 1,000 3,000 275.0 2,725 729.0 1,986,525.00 100 27
191 Kalxetin / Foransi (Fluoxetin) 10 mg tablet 5,000 15,000 - 15,000 462.0 6,930,000.00 100 150
192 Kanamycin inj. 1 g vial 30 90 - 90 5,500.0 495,000.00 10 9
193 KCL 7,46% ampul 60 180 52.0 128 2,255.0 288,640.00 1 128
194 Ketoconazole 200 mg tablet 5,000 15,000 1,250.0 13,750 320.0 4,400,000.00 50 275
195 Ketoconazole cream 2% 5 g tube 600 1,800 199.0 1,601 3,135.0 5,019,135.00 1 1,601
196 Ketoprofen supp 100 (Pronalges) supp 300 900 - 900 2,790.0 2,511,000.00 20 45
197 Ketorolac 3% ampul 2,000 6,000 1,143.5 4,857 2,665.0 12,942,572.50 6 809
198 Kidmin bag 34 102 50.8 51 46,000.0 2,357,500.00 1 51
199 KSR (KCl) 600 mg tablet 5,000 15,000 - 15,000 1,580.0 23,700,000.00 100 150
200 KTM 100 10 ml vial 50 150 19.3 131 110,000.0 14,382,500.00 1 131
201 Kuinin 200 mg tablet 500 1,500 - 1,500 737.0 1,105,500.00 60 25
202 Kutoin (Fenitoin) 100 mg tablet 20,000 60,000 - 60,000 146.0 8,760,000.00 100 600
203 Lansoprazol 30 mg tablet 50,000 150,000 - 150,000 521.0 78,150,000.00 20 7,500
204 Lantus insulin 100 UI pen 300 900 12.5 888 85,000.0 75,437,500.00 5 178
205 Laxadine syr botol 200 600 57.5 543 12,450.0 6,754,125.00 1 543
206 Levopar / Leparson / Levazide tablet 10,000 30,000 - 30,000 1,650.0 49,500,000.00 50 600
207 Levocin tts mata botol 300 900 137.0 763 55,022.0 41,981,786.00 1 763
208 Levofloxacin 500 mg kap tablet 20,000 60,000 5,850.0 54,150 581.0 31,461,150.00 50 1,083
209 Levofloxacin infus 100 ml infus 600 1,800 50.5 1,750 43,809.0 76,643,845.50 1 1,750
210 Lidokain 2% amp 800 2,400 - 2,400 929.0 2,229,600.00 100 24
211 Lidokain compositium 2% amp 200 600 195.0 405 1,499.0 607,095.00 30 14
212 Lodomer (Haloperidol) inj. 5 mg/ml amp 120 360 162.0 198 6,875.0 1,361,250.00 12 17
213 Loratadine 10 mg tablet 15,000 45,000 - 45,000 170.0 7,650,000.00 50 900
214 Lovenox 6000 anti XA syringe 20 60 - 60 110,000.0 6,600,000.00 2 30
215 Lovenox 0,4 syringe 20 60 2.5 58 79,059.0 4,545,892.50 2 29
216 Lovenox 0,2 syringe 20 60 2.5 58 44,800.0 2,576,000.00 2 29
217 Ludios (Maprotilin) 25 mg tablet 3,000 9,000 - 9,000 1,350.0 12,150,000.00 30 300
218 Lynoral (Etinil estradiol) tablet 3,000 9,000 - 9,000 1,360.0 12,240,000.00 100 90
219 M.S.T 10 mg tablet 180 540 180.0 360 15,620.0 5,623,200.00 60 6
220 Mannitol botol 20 60 - 60 62,000.0 3,720,000.00 1 60
221 Merlopam (Lorazepam) 2 mg tablet 5,000 15,000 2,175.0 12,825 1,423.0 18,249,975.00 100 128
222 Meropenem 0,5 g vial 900 2,700 54.0 2,646 51,990.0 137,565,540.00 1 2,646
223 Meropenem 1 g vial 700 2,100 157.8 1,942 72,507.0 140,826,720.75 1 1,942
224 Metformin 500 mg tablet 30,000 90,000 - 90,000 124.5 11,205,000.00 100 900
225 Metil ergometrin 0,125 mg tablet 2,000 6,000 - 6,000 169.0 1,014,000.00 100 60
226 Metil pred. 4 mg tab. tablet 30,000 90,000 16,650.0 73,350 230.0 16,870,500.00 100 734
227 Metil pred. 8 mg tab. tablet 5,000 15,000 2,275.0 12,725 460.0 5,853,500.00 100 127
228 Metil prednisolon inj. 125 (Phadilon) vial 800 2,400 34.8 2,365 23,990.0 56,742,347.50 1 2,365
229 Metil prednisolon inj. 500 vial 20 60 13.8 46 99,990.0 4,624,537.50 1 46
230 Metoclopramide 10 mg tablet 5,000 15,000 1,875.0 13,125 111.0 1,456,875.00 100 131
231 Metronidazol 100 cc infus botol 1,000 3,000 115.0 2,885 12,980.0 37,447,300.00 1 2,885
232 Metronidazol 250 tablet 3,000 9,000 - 9,000 116.0 1,044,000.00 100 90
233 Metronidazol 500 tablet 5,000 15,000 4,075.0 10,925 169.0 1,846,325.00 100 109
1 BLN 3 BLN BOX
234 Meylon (Na bicarbonat 8,4%) amp 800 2,400 32.5 2,368 6,820.0 16,146,350.00 1 2,368
235 MgSO4 20% amp 600 1,800 39.3 1,761 2,800.0 4,930,100.00 1 1,761
236 MgSO4 40% amp 600 1,800 4.8 1,795 3,500.0 6,283,375.00 1 1,795
237 Micardis (Telmisartan) 80 mg tablet 1,000 3,000 285.0 2,715 6,500.0 17,647,500.00 20 136
238 Micardis 40 mg tablet 1,000 3,000 202.5 2,798 3,900.0 10,910,250.00 20 140
239 Miconazole 2% 10 g tube 1,000 3,000 72.0 2,928 3,075.0 9,003,600.00 1 2,928
240 Morphin 10 mg/ml amp 5 15 2.5 13 9,240.0 115,500.00 10 1
241 Myomergin (Metil Ergometrin) inj. amp 150 450 135.0 315 2,750.0 866,250.00 1 315
242 NaCl 0,9% 500 ml botol 6,000 18,000 725.0 17,275 5,170.0 89,311,750.00 20 864
243 Na Fusidat (Fucilex) cream tube 1,000 3,000 - 3,000 6,750.0 20,250,000.00 1 3,000
244 Nasacort (Triamsinolon) box 100 300 - 300 90,000.0 27,000,000.00 1 300
245 Neostigmin (Prostigmin) 0,5 mg/ml box 200 600 288.8 311 9,900.0 3,081,375.00 5 62
246 Neo mercazole (Carbimazole) 5 mg tablet 2,000 6,000 - 6,000 875.0 5,250,000.00 100 60
247 Nifedipin 10 mg tablet 3,000 9,000 3,900.0 5,100 110.0 561,000.00 100 51
248 Nitral (Gliseryl trinitrat) tablet 2,000 6,000 60.0 5,940 1,650.0 9,801,000.00 30 198
249 Nitrokaf retard 2,5 mg tablet 2,000 6,000 650.0 5,350 1,493.0 7,987,550.00 100 54
250 Nokoba (Naloxon) inj 2 ml Ampul 10 30 13.8 16 67,760.0 1,101,100.00 5 3
251 Nopres 20 (Fluoxetin) tablet 10,000 30,000 637.5 29,363 475.0 13,947,187.50 30 979
252 Norelut /Primolut (Noretisteron) 5 mg tablet 5,000 15,000 - 15,000 2,618.0 39,270,000.00 30 500
253 Norepinefrin inj. 1 mg/ml amp 200 600 5.0 595 55,248.0 32,872,560.00 5 119
254 Novomix 30 pen 500 1,500 135.0 1,365 106,000.0 144,690,000.00 5 273
255 Novorapid flexpen pen 500 1,500 91.3 1,409 83,345.0 117,412,268.75 5 282
256 Nystatin 100.000 UI tablet 1,000 3,000 - 3,000 528.0 1,584,000.00 100 30
257 Obucort swinghaler (Budesonid) can 50 150 37.5 113 106,000.0 11,925,000.00 1 113
258 Octalbin 20% 100 ml botol 50 150 - 150 824,217.0 123,632,550.00 1 150
259 Octalbin 25% 100 ml botol 30 90 7.5 83 1,675,000.0 138,187,500.00 1 83
260 Ofloxacin 200 mg tablet 5,000 15,000 - 15,000 440.0 6,600,000.00 50 300
261 Ofloxacin 400 mg tablet 5,000 15,000 400.0 14,600 700.0 10,220,000.00 50 292
262 Oksitocin inj. amp 500 1,500 100.0 1,400 2,420.0 3,388,000.00 100 14
263 Olandoz 10 mg tab. tablet 5,000 15,000 - 15,000 12,320.0 184,800,000.00 30 500
264 Olandoz 5 mg tablet 10,000 30,000 - 30,000 7,095.0 212,850,000.00 30 1,000
265 Omeprazol 20 mg tablet 30,000 90,000 - 90,000 221.0 19,890,000.00 30 3,000
266 Omeprazol 40 inj. (Ozid) vial 300 900 237.5 663 42,000.0 27,825,000.00 1 663
267 Ondansetron 4 mg/2 ml amp 1,000 3,000 - 3,000 2,400.0 7,200,000.00 5 600
268 Ondansetron 8 mg tablet 500 1,500 - 1,500 1,343.0 2,014,500.00 50 30
269 Ondansetron 4 mg tablet 2,000 6,000 - 6,000 808.0 4,848,000.00 30 200
270 Oralit 200 ml sachet 1,000 3,000 300.0 2,700 317.0 855,900.00 100 27
271 Otopain Ear Drops botol 200 600 15.0 585 38,500.0 22,522,500.00 1 585
272 Pantocain 0,5% botol 200 600 3.0 597 11,500.0 6,865,500.00 1 597
273 Paracetamol 500 mg tablet 26,500 79,500 39,275.0 40,225 88.0 3,539,800.00 100 402
274 Paracetamol drops Botol 100 300 - 300 5,720.0 1,716,000.00 1 300
275 Paracetamol syr botol 1,000 3,000 - 3,000 1,535.0 4,605,000.00 1 3,000
276 Petidin amp 500 1,500 105.0 1,395 15,950.0 22,250,250.00 10 140
277 Pioglitazone TI 15 tablet 1,000 3,000 3.5 2,997 4,000.0 11,986,000.00 14 214
278 Pirantel pamoat 125 mg tablet 2,000 6,000 - 6,000 318.0 1,908,000.00 100 60
279 Plasbumin 100 ml 25% botol 70 210 10.8 199 1,675,000.0 333,743,750.00 1 199
280 Plasbumin 50 ml 25% botol 100 300 28.8 271 800,000.0 217,000,000.00 1 271
281 Plasmanate 250 ml botol 30 90 6.5 84 972,000.0 81,162,000.00 1 84
282 Prednison 5 mg tablet 1,000 3,000 2,750.0 250 125.0 31,250.00 100 3
283 Prohem (Fitomenadion) inj. 2 mg/ml amp 500 1,500 20.0 1,480 3,754.0 5,555,920.00 30 49
284 Procain penicillin inj. vial 100 300 27.5 273 7,910.0 2,155,475.00 1 273
285 Propil tiourasil 100 mg tablet 3,000 9,000 900.0 8,100 351.0 2,843,100.00 100 81
286 Propranolol 10 mg tablet 3,000 9,000 575.0 8,425 80.0 674,000.00 100 84
287 Propranolol 40 mg tablet 500 1,500 - 1,500 114.0 171,000.00 100 15
288 Pyrazinamid 500 mg tablet 10,000 30,000 - 30,000 225.0 6,750,000.00 100 300
289 Ramipril 5 mg tablet 5,000 15,000 - 15,000 635.0 9,525,000.00 100 150
290 Ramixal / Vivace 2,5 mg tablet 5,000 15,000 - 15,000 1,247.0 18,705,000.00 100 150
291 Ranitidin 150 mg tablet 30,000 90,000 8,250.0 81,750 132.0 10,791,000.00 100 818
292 Ranitidin inj. 25 mg/ml ampul 2,000 6,000 1,420.0 4,580 1,340.0 6,137,200.00 10 458
293 Recofol (Propofol) inj.10 mg/ml ampul 100 300 1.0 299 16,236.0 4,854,564.00 10 30
294 Recolfar (Cholcisin) 500 mcg tablet 2,000 6,000 945.0 5,055 4,345.0 21,963,975.00 30 169
1 BLN 3 BLN BOX
295 Retaphyl SR 300 tablet 5,000 15,000 1,900.0 13,100 1,155.0 15,130,500.00 100 131
296 Rifampisin 300 mg tablet 5,000 15,000 - 15,000 671.0 10,065,000.00 100 150
297 Rifampisin 450 mg tablet 5,000 15,000 3,450.0 11,550 868.0 10,025,400.00 100 116
298 Rifampisin 600 mg tablet 3,000 9,000 - 9,000 1,210.0 10,890,000.00 100 90
299 Risperidon 2 mg tablet 20,000 60,000 13,025.0 46,975 1,069.0 50,216,275.00 50 940
300 Risperidone 1 mg tablet 10,000 30,000 1,700.0 28,300 1,500.0 42,450,000.00 50 566
301 RL botol 8,000 24,000 1,775.0 22,225 5,720.0 127,127,000.00 20 1,111
302 Salbutamol 2 mg tablet 5,000 15,000 - 15,000 65.0 975,000.00 100 150
303 Salbutamol 4 mg tablet 3,000 9,000 1,975.0 7,025 91.0 639,275.00 100 70
304 Salicyl talc 75 gr box 600 1,800 - 1,800 1,350.0 2,430,000.00 1 1,800
305 Sandepril (Maprotilin) 50 mg tablet 10,000 30,000 - 30,000 3,476.0 104,280,000.00 50 600
306 Sedacum/Dormicum (Midazolam) inj.0,1% amp 200 600 - 600 6,119.0 3,671,400.00 10 60
307 Sedacum/Dormicum (Midazolam) inj.0,5% amp 200 600 - 600 12,060.0 7,236,000.00 5 120
308 Seretide inhaler can 30 90 - 90 99,733.0 8,975,970.00 1 1
309 Seretide diskus 100 box 80 240 18.0 222 110,917.0 24,623,574.00 1 222
310 Seretide diskus 250 box 30 90 8.3 82 124,667.0 10,191,527.25 1 82
311 Seroquel (Quetiapin) 200 mg tablet 10,000 30,000 475.0 29,525 17,391.0 513,469,275.00 10 2,953
312 Sharox (Sefuroxime) inj. 750 vial 500 1,500 88.5 1,412 60,500.0 85,395,750.00 2 706
313 Sibital (Fenobarbital) inj.200 amp 50 150 22.5 128 6,100.0 777,750.00 10 13
314 Sifrol ER (Pramipexol) 0,375 mg tablet 500 1,500 52.5 1,448 7,200.0 10,422,000.00 30 48
315 Sikzonoate (Flufenazin) inj. 25 mg amp 100 300 3.8 296 55,000.0 16,293,750.00 5 59
316 Simvastatin 10 tablet 5,000 15,000 5,650.0 9,350 177.0 1,654,950.00 30 312
317 Soujourn (Sevofluran) inj. 250 ml botol 2 6 0.3 6 1,320,000.0 7,590,000.00 1 6
318 Spiriva combo box 50 150 - 150 152,543.0 22,881,450.00 1 150
319 Spiriva refill kapsul 350 1,050 525.0 525 13,867.0 7,280,175.00 30 18
320 Spironolakton 100 mg tablet 3,000 9,000 550.0 8,450 1,000.0 8,450,000.00 100 85
321 Spironolakton 25 mg tablet 5,000 15,000 - 15,000 350.0 5,250,000.00 100 150
322 Starfolat (Asam folat) 1 mg tablet 1,600 4,800 4,525.0 275 52.0 14,300.00 100 3
323 Stelosi (Trifluorofenazin) 5 mg tablet 5,000 15,000 - 15,000 445.0 6,675,000.00 30 500
324 Stesolid rect. 10 mg tube tube 50 150 10.0 140 18,461.0 2,584,540.00 5 28
325 Stesolid rect. 5 mg tube tube 50 150 - 150 12,751.0 1,912,650.00 5 30
326 Tamofen (Tamoxifen) 20 mg tablet 1,000 3,000 - 3,000 2,895.0 8,685,000.00 30 100
327 Tapros 3,75 mg vial 20 60 15.0 45 550,000.0 24,750,000.00 1 45
328 Tarivid otic/Akilen (Ofloxacin) Tts Telinga 3 botol 200 600 35.0 565 50,000.0 28,250,000.00 1 565
329 Tensilo inj vial 100 300 - 300 15,840.0 4,752,000.00 10 30
330 Terrel (Isofluran) 100 ml botol 5 15 4.5 11 270,000.0 2,835,000.00 1 11
331 Tetagam 250 IU ampul 200 600 - 600 170,000.0 102,000,000.00 1 600
332 Tetrasiklin 500 tablet 2,000 6,000 - 6,000 325.0 1,950,000.00 100 60
333 Thyrozol (Thiamazol) 10 mg tablet 2,000 6,000 1,075.0 4,925 1,135.0 5,589,875.00 100 49
334 Thyrozol (Thiamazol) 5 mg tablet 3,000 9,000 550.0 8,450 563.0 4,757,350.00 100 85
335 Tilsan (Maprotilin) 25 mg tablet 10,000 30,000 - 30,000 2,750.0 82,500,000.00 50 600
336 Tramadol 100 mg/2 ml amp 200 600 - 600 2,680.0 1,608,000.00 10 60
337 Tramus/Notrixum (Atracurium) 25 ampul 100 300 - 300 14,457.0 4,337,100.00 5 60
338 Triacarpine 2% botol 50 150 21.3 129 18,800.0 2,420,500.00 1 129
339 Triamsinolon 4 mg tablet 1,500 4,500 725.0 3,775 717.0 2,706,675.00 30 126
340 Triatimolol (Isotic adretor) OTM 0,5% botol 200 600 7.5 593 10,289.0 6,096,232.50 1 593
341 Triaxitrol ED 5 ml botol 500 1,500 87.5 1,413 10,500.0 14,831,250.00 1 1,413
342 Triofusin 500 botol 50 150 - 150 42,350.0 6,352,500.00 1 150
343 Tyarit (Amiodaron) 200 mg tablet 1,000 3,000 - 3,000 1,430.0 4,290,000.00 30 100
344 Tutofusin botol 50 150 - 150 37,500.0 5,625,000.00 1 150
345 Ulsafate botol 300 900 - 900 14,500.0 13,050,000.00 1 900
346 Urinter (Asam pipemidat) 400 mg kapsul 5,000 15,000 200.0 14,800 1,815.0 26,862,000.00 100 148
347 Valacyclovir 500 mg tablet 5,000 15,000 - 15,000 4,950.0 74,250,000.00 50 300
348 Valsartan 160 mg (Diovan/Varten) tablet 5,000 15,000 1,250.0 13,750 5,850.0 80,437,500.00 30 458
349 Valsartan 80 mg (Diovan/Varten) tablet 5,000 15,000 232.5 14,768 3,510.0 51,833,925.00 30 492
350 Ventolin inhaler can 50 150 12.0 138 70,125.0 9,677,250.00 1 138
351 Ventolin nebule nebul 1,000 3,000 2,725.0 275 7,260.0 1,996,500.00 20 14
352 Verorab (Anti rabies) vial 1 3 - 3 78,000.0 234,000.00 1 3
353 Vitamin A 100.000 UI tablet 2,000 6,000 - 6,000 286.0 1,716,000.00 50 120
354 Vitamin A 200.000 UI tablet 1,000 3,000 - 3,000 505.0 1,515,000.00 50 60
355 Vitamin B12 50 mcg tablet 5,000 15,000 - 15,000 63.0 945,000.00 100 150
1 BLN 3 BLN BOX
356 Vitamin B6 10 mg tablet 10,000 30,000 2,050.0 27,950 121.0 3,381,950.00 100 280
357 Vitamin C 50 mg tablet 20,000 60,000 22,250.0 37,750 105.0 3,963,750.00 100 378
358 Vitamin K 10 mg tablet 2,000 6,000 575.0 5,425 698.0 3,786,650.00 100 54
359 Vitamin K inj. amp 100 300 97.5 203 3,754.0 760,185.00 10 20
360 Zink syr. (Zinkid) botol 150 450 - 450 16,478.0 7,415,100.00 1 450
361 Zink 20 mg tablet 2,000 6,000 600.0 5,400 521.0 2,813,400.00 100 54
TOTAL : Rp 8,655,967,303


Nip. Nip. 19820416 200904 2 006
DAFTAR OBAT-OBATAN NON E KATALOG KEBUTUHAN TRIWULAN KE-1 TAHUN 2016
KEBUTUHAN STOK AKHIR

SATU STOK AKHIR JLH YG HRS HARGA PER
NO. NAMA OBAT AN NOVEMBER DESEMBER 2015 DIADAKAN SATUAN (Rp.)
1 BLN 3 BLN 2015
1 2 3 4 5 6 7(=1/2 x 6) 8 (=5-7) 9
1 A.B.U (Polivalen) ampul 2 6 5 2.5 4 461,175.0
2 A.T.S 1.500 UI ampul 200 600 500 250.0 350 123,337.0
3 A.T.S 20.000 UI ampul 2 6 - 6
4 Acyclovir cream tube 300 900 - 900 24,750.0
6 Alinamin F inj. ampul 600 1,800 310 155.0 1,645 9,950.0
7 Alpentin 100 mg tablet 10,000 30,000 - 30,000 2,650.0
8 Ambroxol 15 mg/5 ml botol 500 1,500 - 1,500 3,049.0
9 Ambroxol 30 mg tablet 30,000 90,000 40,100 20,050.0 69,950 313.0
10 Ambroxol 30 mg/5 ml botol 300 900 890 445.0 455 9,075.3
11 Aminovel L 600 botol 200 600 18 9.0 591 71,280.0
12 Antalgin 500 mg tablet 10,000 30,000 6,600 3,300.0 26,700 148.9
13 Antalgin amp amp 500 1,500 18,100 9,050.0 (7,550) 2,970.0
14 Antrain 1 g (Antalgin inj. Paed.) ampul 300 900 - 900 7,103.0
15 Apidra 100 UI/ml pen 40 120 - 120 87,080.0
17 Asam tranex. 250 mg/5 ml amp 400 1,200 - 1,200 2,986.0
18 Asam tranex. 500 mg tablet 10,000 30,000 500 250.0 29,750 825.0
19 Asam tranex. 500 mg/5 ml amp 300 900 50 25.0 875 6,600.0
20 Aspar K tablet 500 1,500 - 1,500 729.0
21 Azitromicin 500 mg inf vial 300 900 - 900 126,500.0
22 Banadoz (Cefpodoxime) tablet 1,000 3,000 3,480 1,740.0 1,260 3,700.0
23 Betahistin 6 mg tablet 5,000 15,000 24,800 12,400.0 2,600 812.0
24 Bicnat Tablet 10,000 30,000 500 250.0 29,750 16.4
27 Buscopan (Hioscin n-butil Br.) tablet 600 1,800 - 1,800 2,859.8
28 Cefixime 200 mg tablet 5,000 15,000 - 15,000 3,549.0
29 Cefoperazone sulbaktam vial 300 900 561 280.5 620 136,507.0
31 Cendo fenikol OTM botol 300 900 55 27.5 873 24,062.0
34 Cetirizine drops botol 200 600 - 600 27,500.0
35 Chloramphenicol 250 mg kaps 5,000 15,000 5,000 2,500.0 12,500 240.0
40 Citicholine 125 mg/1 ml ampul 1,600 4,800 4,640 2,320.0 2,480 15,675.0
42 Citicholine 500 mg tablet 10,000 30,000 - 30,000 7,333.0
43 Citicholine 1000 mg tablet 5,500 16,500 15,660 7,830.0 8,670 13,200.0
44 Constantia suspensi drops botol 600 1,800 - 1,800 22,688.0
45 Cotrimoxazole pediatri tablet 2,000 6,000 150 75.0 5,925 279.0
46 Curcuma tablet 20,000 60,000 12,900 6,450.0 53,550 653.0
47 Cystone tablet 5,000 15,000 3,400 1,700.0 13,300 1,848.0
1 BLN 3 BLN 2015
49 Dipsamol inh. can 150 450 19 9.5 441 70,004.0

52 Dulcolax 10 mg tablet 2,000 6,000 400 200.0 5,800 6,045.0
54 Eyevit tablet 20,000 60,000 14,460 7,230.0 52,770 3,520.0
56 Fartolin inhalasi botol 2,000 6,000 160 80.0 5,920 15,664.0
58 Fenobarbital 30 mg tablet 20,000 60,000 1,700 850.0 59,150 65.0
61 Fimahes 200 Bag 200 600 - 600 52,000.0
62 Fitbon tablet 20,000 60,000 6,600 3,300.0 56,700 1,440.0
64 Fluconazole inj. 2 mg/ml botol 100 300 - 300 41,619.0
65 Flunarizin 5 mg tablet 10,000 30,000 3,700 1,850.0 28,150 2,200.0
66 Flutias can 700 2,100 - 2,100 104,500.0
67 Fluxum 4250 amp 30 90 138 69.0 21 125,400.0
68 Fluxum 6400 amp 30 90 108 54.0 36 182,875.0
69 Fosmicin vial 400 1,200 760 380.0 820 86,452.0
71 Gavistal inj. (Metoklopramid) amp 1,000 3,000 205 102.5 2,898 12,205.0
72 Genoint (Gentamisin) TM 0,3% 5 ml botol 500 1,500 - 1,500 3,513.0
73 Gentamisin SK 0,1% tube 1,500 4,500 - 4,500 1,572.0
75 Glaucon (Asetazolamid) tablet 7,000 21,000 - 21,000 1,980.0
76 Gliseril guaiakolat tablet 10,000 30,000 48,100 24,050.0 5,950 90.0
77 H2O2 3% botol 800 2,400 - 2,400
78 Hexymer (Triheksil fenidil) 2 mg tablet 20,000 60,000 - 60,000 316.0
79 Hidroclorotiazide 100 tablet 5,000 15,000 2,900 1,450.0 13,550 200.0
80 Hystolan tablet 500 1,500 - 1,500 3,000.0
81 Imipenem Cilastatin 1 g infus Botol 300 900 284 142.0 758 220,000.0
83 INH CIBA 300 mg tablet 2,383 7,149 14,300 7,150.0 (1) 466.0
84 Interhistin tablet 5,000 15,000 7,900 3,950.0 11,050 601.0
85 Invitec tablet 2,000 6,000 990 495.0 5,505 9,288.0
86 Itraconazole tablet 5,000 15,000 8,500 4,250.0 10,750 4,400.0
87 Ixor (Roxythromycin)150 mg tablet 2,000 6,000 - 6,000 1,900.0
88 KA-EN 4 B botol 7 21 - 21
89 Kalium diklofenak 50 mg tablet 3,000 9,000 2,000 1,000.0 8,000 708.0
91 Ketoprofen 100 mg tablet 5,000 15,000 4,300 2,150.0 12,850 650.0
92 Ketoprofen 50 mg tablet 5,000 15,000 - 15,000 275.0
93 Ketorolac 1 % ampul 3,000 9,000 - 9,000 4,545.0
94 Ketorolac 10 tablet 2,000 6,000 510 255.0 5,745 2,000.0
95 Lacto-B sachet 1,000 3,000 360 180.0 2,820 4,492.0
96 Lapibion tablet 30,000 90,000 9,300 4,650.0 85,350 1,072.5
97 Lapifed tablet 2,000 6,000 - 6,000 1,402.5
98 Levemir flexpen pen 300 900 140 70.0 830 85,000.0
99 Lisinopril 5 tablet 300 900 - 900 385.0
100 Mecobalamin kapsul 20,000 60,000 - 60,000 847.0
101 Meloxicam 15 mg tablet 20,000 60,000 14,100 7,050.0 52,950 786.0
102 Meloxicam 7,5 mg tablet 20,000 60,000 3,600 1,800.0 58,200 577.5
103 Mestinon (Pyridostigmin) tablet 450 1,350 2,500 1,250.0 100 6,952.0
104 Mitomicin C vial 3 9 - 9 697,000.0
105 Na bicarbonat tablet 5,000 15,000 - 15,000 26.0
106 Na diklofenak 25 mg tablet 5,000 15,000 - 15,000 167.0
107 Na diklofenak 50 mg tablet 20,000 60,000 5,400 2,700.0 57,300 216.0
108 N-ace tablet 30,000 90,000 - 90,000 1,980.0
109 NaCl 1 Liter botol 40 120 - 120 7,500.0
1 BLN 3 BLN 2015

111 Nairet (Terbutalin) inj Ampul 150 450 320 160.0 290 15,262.5
112 Neo diaform tablet 5,000 15,000 3,000 1,500.0 13,500 99.0
113 Nerilon tube 10 30 40 20.0 10 14,000.0
115 OBH syr botol 200 600 - 600 1,412.0
116 Oksitetrasiklin SK tube 400 1,200 2,200 1,100.0 100 2,200.0
117 Oksitetrasiklin SM tube 200 600 125 62.5 538 2,800.0
118 Osteocal tablet 3,000 9,000 - 9,000 550.0
120 Pantocain 2% botol 200 600 43 21.5 579 13,846.0
121 Pantoprazole 20 tablet 10,000 30,000 - 30,000 8,360.0
122 Pantoprazole 40 tablet 3,000 9,000 370 185.0 8,815 10,450.0
123 Pantoprazole 40 inj vial 200 600 570 285.0 315 42,900.0
124 Paracetamol inf botol 400 1,200 300 150.0 1,050 22,000.0
126 Piracetam 12 g inf botol 300 900 300 150.0 750 77,000.0
129 Piracetam inj 1 g (5 mg/5 ml) amp 600 1,800 740 370.0 1,430 5,940.0
130 Piracetam inj 3 g (15 mg/5 ml) amp 300 900 132 66.0 834 8,200.0
131 Piroxicam 10 mg tablet 3,000 9,000 9,500 4,750.0 4,250 75.0
132 Piroxicam 20 mg tablet 3,000 9,000 - 9,000 90.0
133 Pro infark (Dopamin HCl) inj. amp 50 150 90 45.0 105 11,880.0
134 Rimactazid paed tablet 1,000 3,000 150 75.0 2,925 2,192.0
135 Rimactazid tab.450/300 tablet 5,000 15,000 16,500 8,250.0 6,750 6,470.0
136 Rimcure paed 75/50 tablet 2,000 6,000 3,150 1,575.0 4,425 2,192.0
137 Rimstar tablet 10,000 30,000 1,860 930.0 29,070 4,696.0
138 Sagestam SM tube 300 900 - 900 19,074.0
139 Salin 3% botol 20 60 30 15.0 45 15,400.0
140 sohobion inj. 5000 amp 60 180 410 205.0 (25) 3,500.0
141 Sopra tulle sachet 500 1,500 2,290 1,145.0 355 10,000.0
142 Streptomicin 1 g vial - 35 17.5 (18) 4,015.0
143 Sulfas ferosus tablet 20,000 60,000 10,000 5,000.0 55,000 21.0
144 Sulfa atropin inj. ampul 600 1,800 - 1,800
145 Suprasma inh. can 30 90 10 5.0 85 70,125.0
146 Tamofen 10 mg tablet 1,000 3,000 840 420.0 2,580 2,933.3
147 Terrel 250 ml botol 2 6 - 6
148 Thiopental sod. Inj. amp 100 300 50 25.0 275 7,700.0
149 Tiamphenikol 500 tablet 5,000 15,000 1,100 550.0 14,450 599.0
150 Tramadol 50 mg kapsul 5,000 15,000 1,700 850.0 14,150 354.0
151 Tramus 50 amp 50 150 - 150
152 Trihexylphenidyl 2 mg tablet 5,000 15,000 - 15,000 41.0
153 Udopa amp 30 90 180 90.0 - 12,320.0
155 Viccilin 1500 mg vial 500 1,500 20 10.0 1,490 85,690.0
156 Viopor N tablet 3,000 9,000 - 9,000
158 Xanvit botol 300 900 - 900 7,480.0
TOTAL :


Nip. Nip. 19820416 200904 2 006
2016
ISI PER JLH DLM

10 (=8 x 9) 11 12
1,614,112.50 1 3.5
43,167,950.00 1 350
- 1 6
22,275,000.00 1 900
- #DIV/0!
16,367,750.00 #DIV/0!
79,500,000.00 #DIV/0!
4,573,500.00 1 1,500
21,894,350.00 #DIV/0!
4,129,275.15 1 455
42,126,480.00 #DIV/0!
3,974,295.00 #DIV/0!
(22,423,500.00) #DIV/0!
6,392,700.00 #DIV/0!
10,449,600.00
- #DIV/0!
3,583,200.00 #DIV/0!
24,543,750.00 #DIV/0!
5,775,000.00 #DIV/0!
1,093,500.00 #DIV/0!
113,850,000.00 #DIV/0!
4,662,000.00 #DIV/0!
2,111,200.00 #DIV/0!
487,900.00 #DIV/0!
- #DIV/0!
25,270,555.50 1 89
5,147,640.00 #DIV/0!
53,235,000.00 #DIV/0!
84,566,086.50 #DIV/0!
- #DIV/0!
20,994,095.00 #DIV/0!
- #DIV/0!
- #DIV/0!
16,500,000.00 #DIV/0!
3,000,000.00 #DIV/0!
2,805,000.00 100 30
2,480,400.00 24 25
- #DIV/0!
- #DIV/0!
38,874,000.00 #DIV/0!
- #DIV/0!
219,990,000.00 #DIV/0!
114,444,000.00 #DIV/0!
40,838,400.00 #DIV/0!
1,653,075.00 #DIV/0!
34,968,150.00 #DIV/0!
24,578,400.00 #DIV/0!
997,160.00 #DIV/0!
ISI PER JLH DLM
30,836,762.00 1 441
- 1 300
- #DIV/0!
35,061,000.00 #DIV/0!
- #DIV/0!
185,750,400.00 #DIV/0!
3,326,400.00
92,730,880.00 #DIV/0!
- #DIV/0!
3,844,750.00 #DIV/0!
3,225,000.00 #DIV/0!
4,125,000.00 #DIV/0!
31,200,000.00 #DIV/0!
81,648,000.00 #DIV/0!
178,051,500.00 #DIV/0!
12,485,700.00 1
61,930,000.00 #DIV/0!
219,450,000.00 1 2,100
2,633,400.00 #DIV/0!
6,583,500.00 #DIV/0!
70,890,640.00 #DIV/0!
35,109,360.00 #DIV/0!
35,363,987.50 #DIV/0!
5,269,500.00 #DIV/0!
7,074,000.00 #DIV/0!
- #DIV/0!
41,580,000.00 #DIV/0!
535,500.00 #DIV/0!
- #DIV/0!
18,960,000.00 #DIV/0!
2,710,000.00 #DIV/0!
4,500,000.00 #DIV/0!
166,760,000.00 #DIV/0!
- #DIV/0!
(466.00) #DIV/0!
6,641,050.00 #DIV/0!
51,130,440.00 #DIV/0!
47,300,000.00 #DIV/0!
11,400,000.00 #DIV/0!
- #DIV/0!
5,664,000.00 #DIV/0!
- #DIV/0!
8,352,500.00 #DIV/0!
4,125,000.00 #DIV/0!
40,905,000.00 #DIV/0!
11,490,000.00 #DIV/0!
12,667,440.00 #DIV/0!
91,537,875.00 #DIV/0!
8,415,000.00 #DIV/0!
70,550,000.00 #DIV/0!
346,500.00 #DIV/0!
50,820,000.00 #DIV/0!
41,618,700.00 #DIV/0!
33,610,500.00 #DIV/0!
695,200.00 #DIV/0!
6,273,000.00 #DIV/0!
390,000.00 #DIV/0!
2,505,000.00 #DIV/0!
12,376,800.00 #DIV/0!
178,200,000.00 #DIV/0!
900,000.00 #DIV/0!
ISI PER JLH DLM
20,250,000.00 1
4,426,125.00 5 58
1,336,500.00 1000 14
140,000.00 #DIV/0!
- #DIV/0!
847,200.00 1 600
220,000.00 #DIV/0!
1,505,000.00 #DIV/0!
4,950,000.00 #DIV/0!
21,945,000.00 #DIV/0!
8,009,911.00 #DIV/0!
250,800,000.00 #DIV/0!
92,116,750.00 #DIV/0!
13,513,500.00 1 315
23,100,000.00 1 1,050
- #DIV/0!
57,750,000.00 #DIV/0!
10,421,250.00 #DIV/0!
9,800,000.00 #DIV/0!
8,494,200.00 #DIV/0!
6,838,800.00 #DIV/0!
318,750.00 #DIV/0!
810,000.00 #DIV/0!
1,247,400.00 #DIV/0!
6,411,600.00 #DIV/0!
43,672,500.00 #DIV/0!
9,699,600.00 #DIV/0!
136,512,720.00 #DIV/0!
17,166,600.00 1 900
693,000.00 #DIV/0!
(87,500.00) #DIV/0!
3,550,000.00 #DIV/0!
(70,262.50) #DIV/0!
1,155,000.00 #DIV/0!
- #DIV/0!
5,960,625.00 #DIV/0!
7,567,991.40 #DIV/0!
- #DIV/0!
2,117,500.00 #DIV/0!
8,655,550.00 #DIV/0!
5,009,100.00 #DIV/0!
- #DIV/0!
615,000.00 #DIV/0!
- #DIV/0!
234,000.00 1 3
127,678,100.00 10 149
- #DIV/0!
4,054,200.00 #DIV/0!
6,732,000.00 #DIV/0!
Rp 4,046,206,553
mber 2015
RSUD dr. Fauziah
arm, Apt.)
0904 2 006
DAFTAR OBAT-OBATAN NON E KATALOG KEBUTUHAN TRIWULAN KE-1 TAHUN 2016
KEBUTUHAN
STOK AKHIR STOK AKHIR
NO. NAMA OBAT SATUAN NOVEMBER 2015 DESEMBER 2015 JLH YG HRS DIADAKAN
1 BLN 3 BLN
1 2 3 4 5 6 7(=1/2 x 6) 8 (=5-7)
1 A.B.U (Polivalen) ampul 2 6 5 1.3 5
2 A.T.S 1.500 UI ampul 200 600 500 125.0 475
3 A.T.S 20.000 UI ampul 2 6 - 6
4 Acyclovir cream tube 300 900 - 900
6 Alinamin F inj. ampul 600 1,800 310 77.5 1,723
7 Alpentin (Gabapentin) 100 mg tablet 10,000 30,000 - 30,000
8 Ambroxol 15 mg/5 ml botol 500 1,500 - 1,500
9 Ambroxol 30 mg tablet 30,000 90,000 40,100 10,025.0 79,975
10 Ambroxol 30 mg/5 ml botol 300 900 890 222.5 678
11 Aminovel L 600 botol 200 600 18 4.5 596
12 Antalgin 500 mg tablet 10,000 30,000 6,600 1,650.0 28,350
13 Antrain 1 g (Antalgin inj. Paed.) ampul 300 900 - 900
15 Asam tranex. 250 mg/5 ml amp 400 1,200 - 1,200
16 Asam tranex. 500 mg tablet 10,000 30,000 500 125.0 29,875
17 Asam tranex. 500 mg/5 ml amp 300 900 50 12.5 888
18 Aspar K tablet 500 1,500 - 1,500
19 Azitromicin 500 mg inf vial 300 900 - 900
20 Betahistin 6 mg tablet 5,000 15,000 24,800 6,200.0 8,800
21 Bicnat Tablet 10,000 30,000 500 125.0 29,875
23 Burnazin cream 500 g tube 30 90 3 0.8 89
24 Buscopan (Hioscin n-butil Br.) tablet 600 1,800 - 1,800
25 Cefixime 200 mg tablet 5,000 15,000 - 15,000
26 Cefoperazone sulbaktam vial 300 900 561 140.3 760
28 Cendo fenikol OTM botol 300 900 55 13.8 886
31 Cetirizine drops botol 200 600 - 600
32 Chloramphenicol 250 mg kaps 5,000 15,000 5,000 1,250.0 13,750
33 Chloramphenicol 500 mg kaps 1,000 3,000 - 3,000
34 Chloramphenicol SK 2% tube 200 600 - 600
37 Citicholine 125 mg/1 ml ampul 1,600 4,800 4,640 1,160.0 3,640
39 Citicholine 500 mg tablet 10,000 30,000 - 30,000
40 Citicholine 1000 mg tablet 5,500 16,500 15,660 3,915.0 12,585
41 Constantia suspensi drops botol 600 1,800 - 1,800
42 Cotrimoxazole pediatri tablet 2,000 6,000 150 37.5 5,963
43 Curcuma tablet 20,000 60,000 12,900 3,225.0 56,775
44 Cystone tablet 5,000 15,000 3,400 850.0 14,150
45 Dextrose 40% 25 ml ampul 200 600 172 43.0 557
46 Dipsamol inh. can 150 450 19 4.8 445
KEBUTUHAN
1 BLN 3 BLN
49 Dulcolax 10 mg tablet 2,000 6,000 400 100.0 5,900

51 Eyevit tablet 20,000 60,000 14,460 3,615.0 56,385
52 Farsorbit (ISDN) inj. 10 mg/10 ml vial 30 90 - 90
53 Fartolin inhalasi botol 2,000 6,000 160 40.0 5,960
55 Fenobarbital 30 mg tablet 20,000 60,000 1,700 425.0 59,575
56 Fenofibrate 100 mg kapsul 500 1,500 - 1,500
57 Fenofibrate 300 mg kapsul 500 1,500 - 1,500
58 Fimahes 200 Bag 100 300 - 300
59 Fitbon tablet 20,000 60,000 6,600 1,650.0 58,350
60 Fluconazole inf botol 500 1,500 57 14.3 1,486
61 Fluconazole inj. 2 mg/ml botol 100 300 - 300
62 Flunarizin 5 mg tablet 10,000 30,000 3,700 925.0 29,075
63 Flutias can 500 1,500 - 1,500
64 Fluxum 4250 amp 30 90 138 34.5 56
65 Fluxum 6400 amp 30 90 108 27.0 63
66 Fosmicin vial 400 1,200 760 190.0 1,010
67 Gabapentin 300 tablet 5,000 15,000 5,820 1,455.0 13,545
68 Gavistal inj. (Metoklopramid) amp 1,000 3,000 205 51.3 2,949
69 Genoint (Gentamisin) TM 0,3% 5 ml botol 500 1,500 - 1,500
70 Gentamisin SK 0,1% tube 1,500 4,500 - 4,500
72 Glaucon (Asetazolamid) tablet 7,000 21,000 - 21,000
73 Gliseril guaiakolat tablet 10,000 30,000 48,100 12,025.0 17,975
74 H2O2 3% botol 800 2,400 - 2,400
75 Hexymer (Triheksil fenidil) 2 mg tablet 20,000 60,000 - 60,000
76 Hidroclorotiazide 100 tablet 5,000 15,000 2,900 725.0 14,275
77 Imipenem Cilastatin 1 g infus Botol 300 900 284 71.0 829
79 Interhistin tablet 5,000 15,000 7,900 1,975.0 13,025
80 Invitec tablet 1,000 3,000 990 247.5 2,753
81 Itraconazole tablet 5,000 15,000 8,500 2,125.0 12,875
82 Ixor (Roxythromycin)150 mg tablet 500 1,500 - 1,500
83 Kalium diklofenak 50 mg tablet 3,000 9,000 2,000 500.0 8,500
85 Ketoprofen 100 mg tablet 5,000 15,000 4,300 1,075.0 13,925
86 Ketoprofen 50 mg tablet 5,000 15,000 - 15,000
87 Ketorolac 1 % ampul 3,000 9,000 - 9,000
88 Ketorolac 10 tablet 2,000 6,000 510 127.5 5,873
89 Lacto-B sachet 1,000 3,000 360 90.0 2,910
90 Lapibion tablet 30,000 90,000 9,300 2,325.0 87,675
91 Lapifed tablet 2,000 6,000 - 6,000
92 Levemir flexpen pen 300 900 140 35.0 865
93 Lisinopril 5 tablet 300 900 - 900
94 Mecobalamin kapsul 20,000 60,000 - 60,000
95 Meloxicam 15 mg tablet 20,000 60,000 14,100 3,525.0 56,475
96 Meloxicam 7,5 mg tablet 20,000 60,000 3,600 900.0 59,100
97 Mestinon (Pyridostigmin) tablet 450 1,350 2,500 625.0 725
98 Mitomicin C vial 5 15 - 15
99 Na diklofenak 25 mg tablet 5,000 15,000 - 15,000
100 Na diklofenak 50 mg tablet 20,000 60,000 5,400 1,350.0 58,650
101 N-asetil sistein (N-ace) tablet 30,000 90,000 - 90,000
102 NaCl 1 Liter botol 40 120 - 120
103 Nairet (Terbutalin) inj Ampul 150 450 320 80.0 370
104 Neo diaform tablet 5,000 15,000 3,000 750.0 14,250
106 OBH syr botol 200 600 - 600
107 Oksitetrasiklin SK tube 400 1,200 2,200 550.0 650
108 Oksitetrasiklin SM tube 200 600 125 31.3 569
109 Osteocal tablet 3,000 9,000 - 9,000
KEBUTUHAN
1 BLN 3 BLN
110 Otopain Ear Drops botol 200 600 60 15.0 585

111 Pantocain 2% botol 200 600 43 10.8 589
112 Pantoprazole 20 tablet 10,000 30,000 - 30,000
113 Pantoprazole 40 tablet 2,000 6,000 370 92.5 5,908
114 Pantoprazole 40 inj vial 200 600 570 142.5 458
115 Paracetamol inf botol 400 1,200 300 75.0 1,125
117 Piracetam 12 g inf botol 300 900 300 75.0 825
118 Piracetam 400 mg tablet 10,000 30,000 7,500 1,875.0 28,125
119 Piracetam 800 mg tablet 5,000 15,000 2,000 500.0 14,500
120 Piracetam inj 1 g (5 mg/5 ml) amp 600 1,800 740 185.0 1,615
121 Piracetam inj 3 g (15 mg/5 ml) amp 300 900 132 33.0 867
122 Piroxicam 10 mg tablet 3,000 9,000 9,500 2,375.0 6,625
123 Piroxicam 20 mg tablet 3,000 9,000 - 9,000
124 Pro infark / Udopa (Dopamin HCl) inj. amp 50 150 90 22.5 128
125 Rimactazid paed tablet 1,000 3,000 150 37.5 2,963
126 Rimactazid tab.450/300 tablet 5,000 15,000 16,500 4,125.0 10,875
127 Rimcure paed 75/50 tablet 2,000 6,000 3,150 787.5 5,213
128 Rimstar tablet 10,000 30,000 1,860 465.0 29,535
129 Salin 3% botol 20 60 30 7.5 53
130 sohobion inj. 5000 amp 60 180 410 102.5 78
131 Sopra tulle sachet 500 1,500 2,290 572.5 928
132 Streptomicin 1 g vial - 35 8.8 (9)
133 Sulfas ferosus tablet 20,000 60,000 10,000 2,500.0 57,500
134 Suprasma inh. can 30 90 10 2.5 88
135 Thiopental sod. Inj. amp 50 150 50 12.5 138
136 Tiamphenikol 500 tablet 5,000 15,000 1,100 275.0 14,725
137 Tramadol 50 mg kapsul 5,000 15,000 1,700 425.0 14,575
138 Verorab (Anti rabies) vial 1 3 - 3
139 Viccilin 1500 mg vial 500 1,500 20 5.0 1,495
140 Viopor N tablet 3,000 9,000 - 9,000
141 Vitamin B1 50 mg tablet 20,000 60,000 26,800 6,700.0 53,300
142 Xanvit botol 300 900 - 900

Kabid. Penunjang Medis Kepala Instalasi Farmasi

Nip. Nip. 19820416 200904 2 006

Kebutuhan Obat Triwulan

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Kebutuhan Obat Triwulan

Diunggah oleh

Hak Cipta:

Format Tersedia

PERENCANAAN OBAT-OBATAN

INSTALASI FARMASI RSUD dr.FAUZIAH BIREUEN

KEBUTUHAN STOK AKHIR STOK AKHIR JLH YG HRS HARGA PER

110 Ciprofloksasin 500 mg tablet 30,000 90,000 - 90,000 290.0

171 Dulcolax 5 mg tablet 2,000 6,000 - 6,000

232 H2O2 3% botol 800 2,400 - 2,400

293 Lansoprazol 30 mg tablet 50,000 150,000 - 150,000 521.0

354 Nifedipin 10 mg tablet 3,000 9,000 15,600 7,800.0 1,200 110.0

415 Propranolol 40 mg tablet 500 1,500 - 1,500 114.0

Mengetahui Bireuen, 14 Desember 2015

(dr. Agusnaidi) (Sastri Delila, S. Farm, Apt.)

26,100,000.00 100 900

KEBUTUHAN STOK AKHIR STOK AKHIR JLH YG HRS HARGA PER

49 Captopril 12,5 mg tablet 30,000 90,000 - 90,000 69.0

110 Diazepam 2 mg tablet 20,000 60,000 - 60,000 46.0

232 Metoclopramide 10 mg tablet 5,000 15,000 7,500 1,875.0 13,125 111.0

354 Verorab (Anti rabies) vial 1 3 - 3 78,000.0

Mengetahui Bireuen, 14 Desember 2015

(dr. Agusnaidi) (Sastri Delila, S. Farm, Apt.)

6,210,000.00 100 900

2,760,000.00 100 600

1,456,875.00 100 131

10,791,000.00 100 818

KEBUTUHAN STOK 16 ISI

Mengetahui Bireuen, 17 Desember 2015

(dr. Agusnaidi) (Sastri Delila, S. Farm, Apt.)

KEBUTUHAN STOK AKHIR

49 Dipsamol inh. can 150 450 19 9.5 441 70,004.0

110 Na Fusidat (Fucilex) cream tube 1,000 3,000 - 3,000 6,750.0

Mengetahui Bireuen, 14 Desember 2015

(dr. Agusnaidi) (Sastri Delila, S. Farm, Apt.)

ISI PER JLH DLM

49 Dulcolax 10 mg tablet 2,000 6,000 400 100.0 5,900

110 Otopain Ear Drops botol 200 600 60 15.0 585

Mengetahui Bireuen, 17 Desember 2015

(dr. Agusnaidi) (Sastri Delila, S. Farm, Apt.)

Anda mungkin juga menyukai