RAB PER TAHUN

ORAL UMUM
NO. NAMA OBAT /BLN /THN BUFFER SATUAN HNA HNA + 10%
2 Amoxan drop 16 192 211 fls Rp 21,300 Rp 23,430
3 Amoxan syr 8 96 106 fls Rp 27,010 Rp 29,711
4 Analsik tab 20 240 264 tab Rp 1,310 Rp 1,441
5 Apialys drop 40 480 528 fls Rp 37,500 Rp 41,250
6 Ataroc syr 4 48 53 fls Rp 44,550 Rp 49,500
8 Becom-C 40 480 528 tab Rp 1,230 Rp 1,353
10 Biolincom syr 4 48 53 fls Rp 50,000 Rp 55,000
11 Biothicol DS 24 288 317 fls Rp 19,900 Rp 21,890
12 Biothicol F syr 40 480 528 fls Rp 55,000 Rp 60,500
13 Bledstop tab 20 240 264 tab Rp 525 Rp 578
14 Bufect 200 mg tab 120 1440 1584 tab Rp 630 Rp 693
16 Calvit D 40 480 528 tab Rp 1,375 Rp 1,513
17 Canicol tab/Genicol tab 200 2400 2640 tab Rp 3,145 Rp 3,460
18 Capritazin drop/tiriz drop 24 288 317 fls Rp 46,150 Rp 50,765
19 Capritazin syr 16 192 211 fls Rp 42,050 Rp 46,255
20 Capritazin tab 40 480 528 tab Rp 2,600 Rp 2,860
21 Cefacef 200 mg caps 40 480 528 caps Rp 22,900 Rp 25,190
23 Codein 10 mg 600 7200 7920 tab Rp 623 Rp 685
24 Codipront Cum Exp syr 4 48 53 fls Rp 67,215 Rp 73,937
25 Codipront syr 4 48 53 fls Rp 61,891 Rp 68,080
26 Curcuma tab 20 240 264 tab Rp 856 Rp 952
28 Darya Zinc syr 24 288 317 fls Rp 30,000 Rp 33,000
29 Dehaf sachet 24 288 317 sach Rp 9,441 Rp 10,386
30 Dextafen tab 600 7200 7920 tab Rp 1,500 Rp 1,650
31 Dhavit syr 80 960 1056 fls Rp 30,000 Rp 33,000
33 Edorisan drop 12 144 158 fls Rp 42,650 Rp 46,915
34 Erysanbe DS 12 144 158 fls Rp 20,400 Rp 22,440
35 Extropect syr 12 144 158 fls Rp 27,720 Rp 30,800
36 Extropect tab 400 4800 5280 tab Rp 1,188 Rp 1,210
37 Femisic tab 120 1440 1584 tab Rp 1,100 Rp 1,210
38 Ferlin drop 4 48 53 fls Rp 30,100 Rp 33,110
39 Ferlin syr 8 96 106 fls Rp 30,500 Rp 33,550
40 Folas tab 40 480 528 tab Rp 644 Rp 716
41 Forasma syr 12 144 158 fls Rp 23,760 Rp 26,400
42 Forifek DS 12 144 158 fls Rp 77,300 Rp 85,000
43 Forifek Forte syr 12 144 158 fls Rp 99,400 Rp 109,340
44 Gerdilium drop 4 48 53 fls Rp 37,000 Rp 40,700
45 Gerdilium syr 4 48 53 fls Rp 38,000 Rp 41,800
47 Govazol 150 mg caps 10 120 132 caps Rp 67,320 Rp 74,800
49 Hepatin tab 80 960 1056 tab Rp 5,000 Rp 5,500
50 Imunped drop 20 240 264 fls Rp 40,000 Rp 44,000
51 Imunped syr 20 240 264 fls Rp 38,500 Rp 42,350
53 Isoprinosin syr 40 480 528 fls Rp 98,438 Rp 108,282
55 KSR tab 10 120 132 tab Rp 2,534 Rp 2,816
56 Lasal Exp syr 20 240 264 fls Rp 36,500 Rp 40,150
57 Lasal syr 20 240 264 fls Rp 25,000 Rp 27,500
58 Latropyl syr 20 240 264 fls Rp 46,500 Rp 50,600
59 Laxoberon drop 12 144 158.4 fls Rp 80,200 Rp 88,220
60 Maganol tab 400 4800 5280 tab Rp 450 Rp 495
61 Mercotin drop 12 144 158 fls Rp 71,205 Rp 78,326
62 Mucera drop 20 240 264 fls Rp 36,000 Rp 39,600
63 Mucosta tab 10 120 132 tab Rp 4,950 Rp 5,445
65 Nairet tab 400 4800 5280 tab Rp 1,200 Rp 1,320
66 Naprex syr 60 720 792 fls Rp 36,015 Rp 39,617
67 Neurohax tab 200 2400 2640 tab Rp 1,287 Rp 1,430
68 Nifural syr/Niral syr 40 480 528 fls Rp 54,600 Rp 60,060
69 Norages drop 24 288 317 fls Rp 37,125 Rp 41,250
70 Norages syr 24 288 317 fls Rp 34,100 Rp 37,510
71 Norestil tab 10 120 132 tab Rp 3,960 Rp 4,400
72 Nucef DS 125 1500 1650 fls Rp 77,220 Rp 85,800
73 Nucral syr 24 288 317 fls Rp 48,015 Rp 53,350
74 Nutricol sach 3 36 40 sach Rp 8,000 Rp 8,800
75 Ondane syr 8 96 106 fls Rp 85,140 Rp 94,600
76 Opicort tab 100 1200 1320 tab Rp 2,500 Rp 2,750
78 Opilax syr 60 ml 12 144 158 fls Rp 47,000 Rp 51,700
79 Opinacea tab 40 480 528 tab Rp 6,500 Rp 7,150
80 Ostarin Forte syr 40 480 528 fls Rp 23,000 Rp 25,300
 TOTAL
Rp 4,948,416
Rp 3,137,482
Rp 380,424
Rp 21,780,000
Rp 2,613,600
Rp 714,384
Rp 2,904,000
Rp 6,934,752
Rp 31,944,000
Rp 152,460
Rp 1,097,712
Rp 798,600
Rp 9,133,080
Rp 16,082,352
Rp 9,769,056
Rp 1,510,080
Rp 13,300,320
Rp 5,427,576
Rp 3,903,847
Rp 3,594,629
Rp 251,196
Rp 10,454,400
Rp 3,290,285
Rp 13,068,000
Rp 34,848,000
Rp 7,431,336
Rp 3,554,496
Rp 4,878,720
Rp 6,388,800
Rp 1,916,640
Rp 1,748,208
Rp 3,542,880
Rp 378,048
Rp 4,181,760
Rp 13,464,000
Rp 17,319,456
Rp 2,148,960
Rp 2,207,040
Rp 9,873,600
Rp 5,808,000
Rp 11,616,000
Rp 11,180,400
Rp 57,172,790
Rp 371,712
Rp 10,599,600
Rp 7,260,000
Rp 13,358,400
Rp 13,974,048
Rp 2,613,600
Rp 12,406,759
Rp 10,454,400
Rp 718,740
Rp 6,969,600
Rp 31,376,664
Rp 3,775,200
Rp 31,711,680
Rp 13,068,000
Rp 11,883,168
Rp 580,800
Rp 141,570,000
Rp 16,901,280
Rp 348,480
Rp 9,989,760
Rp 3,630,000
Rp 8,189,280
Rp 3,775,200
Rp 13,358,400
 STOK OBAT BPJS 1 MINGGU
OBAT BPJS
NO. NAMA OBAT /BLN /THN BUFFER SATUAN HNA HNA + 10%
1 Acyclovir 400 mg tab 20 240 264 tab Rp 631 Rp 694
2 Afolat tab 40 480 528 tab Rp 125 Rp 138
3 Allupurinol 100 mg 10 120 132 tab Rp 173 Rp 192
4 Ambroxol tab 400 4800 5280 tab Rp 131 Rp 144
5 Ambroxol syr 6 72 79 fls Rp 2,997 Rp 3,297
6 Amlodipin 10 mg 30 360 396 tab Rp 850 Rp 935
7 Amlodipin 5 mg 30 360 396 tab Rp 433 Rp 476
8 Amoxicilin DS 6 72 79 fls Rp 4,669 Rp 5,188
9 Amoxicillin 500 tab 100 1200 1320 tab Rp 347 Rp 385
10 Antasid tab 10 120 132 tab Rp 229 Rp 254
11 Aptor tab 20 240 264 tab Rp 246 Rp 273
12 Asam Mefenamat tab 200 2400 2640 tab Rp 160 Rp 176
13 Astherin tab 100 1200 1320 tab Rp 198 Rp 220
14 Azithromycin tab 10 120 132 tab Rp 9,000 Rp 9,900
15 Bisoprolol tab 5 mg 10 120 132 tab Rp 1,100 Rp 1,210
16 Calcifar tab 20 240 264 tab Rp 2,340 Rp 2,600
17 Candesartan 8 mg tab 20 240 264 tab Rp 4,500 Rp 4,950
18 Captopril 25 mg 20 240 264 tab Rp 125 Rp 138
19 Cavicur tab 30 360 396 tab Rp 375 Rp 413
20 Cefadroxil 500 mg tab 600 7200 7920 tab Rp 764 Rp 840
21 Cefadroxil DS 12 144 158 fls Rp 7,455 Rp 8,201
22 Cefixicim DS 40 480 528 fls Rp 13,000 Rp 14,300
23 Cefixime 200 mg caps 30 360 396 caps Rp 3,629 Rp 4,033
24 Cefixime 100 mg caps 30 360 396 caps Rp 1,300 Rp 1,430
25 Cetirizin tab 30 360 396 tab Rp 246 Rp 273
26 Ciprofloxacin 500 mg tab 100 1200 1320 tab Rp 351 Rp 390
27 Clopidogrel 75 mg tab 20 240 264 tab Rp 3,314 Rp 3,682
28 Cotrimoxazole tab 40 480 528 tab Rp 213 Rp 237
29 CTM 4 mg tab 100 1200 1320 tab Rp 50 Rp 55
30 Digoxin 2,5 mg tab 20 240 264 tab Rp 562 Rp 624
31 Diltiazem tab 20 240 264 tab Rp 222 Rp 247
32 Dionicol 500 mg caps 400 4800 5280 caps Rp 700 Rp 770
33 Domperidon tab 20 240 264 tab Rp 183 Rp 203
34 Erdostein caps 50 600 660 caps Rp 2,700 Rp 2,970
35 Ermetason tab 40 480 528 tab Rp 75 Rp 83
36 Farizol syr 16 192 211 fls Rp 5,792 Rp 6,435
37 Fasorbid 5 mg tab 40 480 528 tab Rp 113 Rp 125
38 FE-Bion 80 960 1056 caps Rp 383 Rp 421
39 Floxigra tab 20 240 264 tab Rp 585 Rp 650
40 Furosemid 40 mg tab 20 240 264 tab Rp 90 Rp 100
41 Glibenclamid 5 mg tab 40 480 528 tab Rp 190 Rp 211
42 Glimepirid 4 mg tab 20 240 264 tab Rp 721 Rp 801
43 Grafazole tab 200 2400 2640 tab Rp 388 Rp 417
44 HCT tab 10 120 132 tab Rp 44 Rp 49
45 Histigo tab 20 240 264 tab Rp 212 Rp 235
46 Hufagesic drop 4 48 53 fls Rp 8,255 Rp 9,081
47 Ibuprofen 400 mg tab 400 4800 5280 tab Rp 186 Rp 205
48 Kompolax syr 20 240 264 fls Rp 5,400 Rp 6,000
49 Lansoprazol 30 mg caps 30 360 396 caps Rp 909 Rp 1,000
50 Laxana tab 20 240 264 tab Rp 340 Rp 378
51 Lerzin syr 32 384 422 fls Rp 5,500 Rp 6,050
52 Levofloxacin 500 mg tab 20 240 264 tab Rp 1,142 Rp 1,269
53 Lexapram syr 6 72 79 fls Rp 5,174 Rp 5,749
54 Loratadine tab 40 480 528 tab Rp 464 Rp 515
55 Meloxicam 15 mg HX 200 2400 2640 tab Rp 700 Rp 770
56 Meloxicam 7.5 mg HX 200 2400 2640 tab Rp 380 Rp 418
57 Metformin tab 100 1200 1320 tab Rp 257 Rp 286
58 Methylprednisolon 4 mg tab 40 480 528 tab Rp 400 Rp 440
59 Novaxifen syr 20 240 264 fls Rp 3,240 Rp 3,600
60 Omeprazole caps 200 2400 2640 caps Rp 371 Rp 408
61 Ondansetrone tab 40 480 528 tab Rp 1,400 Rp 1,540
62 Paracetamol tab 600 7200 7920 tab Rp 115 Rp 127
63 Piracetam 800 mg tab 20 240 264 tab Rp 3,676 Rp 4,084
64 Prednison 5 mg tab 20 240 264 tab Rp 578 Rp 642
65 Pyrazinamide tab 200 2400 2640 tab Rp 384 Rp 427
66 Ranitidin tab 600 7200 7920 tab Rp 200 Rp 220
67 Recovit drop 20 240 264 fls Rp 6,210 Rp 6,831
68 Recovit syr 20 240 264 fls Rp 7,655 Rp 8,421
69 Renalyte 10 120 132 fls Rp 14,000 Rp 15,400
70 Rifampycin tab 200 2400 2640 tab Rp 1,310 Rp 1,439
71 Salbutamol 4 mg 40 480 528 tab Rp 207 Rp 230
72 Simvastatin tab 10 mg 40 480 528 tab Rp 171 Rp 190
73 Spasmal tab 40 480 528 tab Rp 1,146 Rp 1,273
74 Sucralfat syr 100 ml 30 360 396 fls Rp 18,000 Rp 19,800
75 Thiamfilex syr 40 480 528 fls Rp 6,500 Rp 7,150
76 Ursodeoxycholic caps 20 240 264 caps Rp 4,200 Rp 4,620
77 Valporic Acid syr 40 480 528 fls Rp 15,000 Rp 16,500
78 Valsaltran 80 mg tab 10 120 132 tab Rp 3,960 Rp 4,400
79 Zinc tab 40 480 528 tab Rp 613 Rp 674
80 Zinc syr 3 36 40 fls Rp 8,000 Rp 8,800
81 Paracetamol Syr 15 180 198 fls Rp 7,500 Rp 8,250
 TOTAL
Rp 183,242
Rp 72,600
Rp 25,344
Rp 760,848
Rp 261,099
Rp 370,260
Rp 188,615
Rp 410,890
Rp 508,200
Rp 33,528
Rp 72,072
Rp 464,640
Rp 290,400
Rp 1,306,800
Rp 159,720
Rp 686,400
Rp 1,306,800
Rp 36,300
Rp 163,350
Rp 6,655,968
Rp 1,298,959
Rp 7,550,400
Rp 1,596,910
Rp 566,280
Rp 108,029
Rp 514,800
Rp 972,048
Rp 125,136
Rp 72,600
Rp 164,736
Rp 65,208
Rp 4,065,600
Rp 53,666
Rp 1,960,200
Rp 43,560
Rp 1,359,072
Rp 66,000
Rp 444,893
Rp 171,600
Rp 26,400
Rp 111,408
Rp 211,464
Rp 1,100,616
Rp 6,468
Rp 62,040
Rp 479,450
Rp 1,080,288
Rp 1,584,000
Rp 395,960
Rp 99,792
Rp 2,555,520
Rp 335,122
Rp 455,321
Rp 271,920
Rp 2,032,800
Rp 1,103,520
Rp 377,520
Rp 232,320
Rp 950,400
Rp 1,077,384
Rp 813,120
Rp 1,001,880
Rp 1,078,176
Rp 169,488
Rp 1,127,280
Rp 1,742,400
Rp 1,803,384
Rp 2,223,144
Rp 2,032,800
Rp 3,799,171
Rp 121,440
Rp 100,320
Rp 672,144
Rp 7,840,800
Rp 3,775,200
Rp 1,219,680
Rp 8,712,000
Rp 580,800
Rp 356,030
Rp 348,480
Rp 1,633,500
Rp 90,857,723
 RAB ALKES PER MINGGU
ALKES

NO NAMA BARANG QTY SATUAN NO NAMA BARANG

1 Abbocath 18 Polywin (1 x 100s) 5 pcs 56 Hypafix 5x5
2 Abbocath 20 Hospira (1 x 50s) 3 pcs 57 Infusionset with Buret
3 Abbocath 20 Polywin (1 x 100s) 20 pcs 58 IUD Andalan
4 Abbocath 22 Hospira (1 x 50s) 3 pcs 59 Kapas 250 g
5 Abbocath 22 Polywin (1 x 100s) 20 pcs 60 Kassa 10 cm (1 x 100s)
6 Abbocath 24 Hospira (1 x 50s) 5 pcs 61 Kassa 5 cm (1 x 100s)
7 Abbocath 24 Polywin (1 x 100s) 15 pcs 62 Kassa Gulung Hidrofil 30 x 80 cm
8 Abbocath 26 Hospira (1 x 50s) 5 pcs 63 Kassa Steril (1 x 10s)
9 Abbocath 26 Polywin (1 x 100s) 10 pcs 64 Laminaria #4 Medium (1 x 12s)
12 Arm Sling Uk. L 1 pcs 67 Masker Tali (1 x 50s)
13 Betadine 1L 2 btl 68 Microdrip JMS (1 x 25s)
14 Bisturi No 11 (1 x 100s) 3 pcs 69 Microdrip KIMSMED
15 Bisturi No 15 (1 x 100s) 20 pcs 70 Mucus Extractor Bayi
16 Bisturi No 20 (1 x 100s) 3 pcs 71 Nasal Canul Dewasa
18 Bisturi Kaito No. 20 0 pcs 73 Nasal Canul Pediatric (anak)
19 Blood Set 5 pcs 74 Needle 25 BD (1 x 100s)
20 Celana Sunat L 1 pcs 75 NRM Dewasa
21 Celana Sunat M 1 pcs 76 NRM Neonate
22 Celana Sunat S 1 pcs 77 NRM Pediatric
23 Dermafix 10x25cm (1 x 10s) 10 pcs 78 Oke Plast Spot (Bulat) (1 x 100s)
24 Elektroda Anak (1 x 50s) 5 pcs 79 Oxymask Adult
25 Elektroda Dewasa (1 x 50s) 5 pcs 80 Oxymask Neonate
26 ETT No. 4,5 1 pcs 81 Oxymask Pediatric
27 ETT No. 7,0 1 pcs 82 Perhidrol (H2O2) 1L
28 ETT No. 7,5 1 pcs 83 Pipet Plastik
29 ETT No. 8,0 1 pcs 84 Plester 7.5 cm
30 Feeding Tube No 5 (40 cm) Terumo 3 pcs 85 Pot Salep 10 mL
31 Feeding Tube No 6 (40 cm) 3 pcs 86 Spinocain No 25 (1 x 25s)
32 Feeding Tube No 8 (40 cm) Terumo 3 pcs 87 Spinocain No 26 (1 x 25s)
33 Feeding Tube No 10 3 pcs 88 Spinocain No 27 (1 x 25s)
34 Feeding Tube No 12 1 pcs 89 Spuit 10 cc KIMSMED (1 x 100s)
35 Feeding Tube No 14 1 pcs 90 Spuit 1 cc KIMSMED (1 x 100s)
36 Feeding Tube No 16 1 pcs 91 Spuit 3 cc KIMSMED (1 x 100s)
37 Feeding Tube No 18 1 pcs 92 Spuit 20 cc KMS
38 Folley Catheter No 6 (1 x 10s) 1 pcs 93 Spuit 50 cc KMS
39 Folley Catheter No 8 (1 x 10s) 1 pcs 94 Spuit 50 cc Catheter Tip
40 Folley Catheter No 10 (1 x 10s) 3 pcs 95 Spuit 5 cc KIMSMED (1 x 100s)
41 Folley Catheter No 12 (1 x 10s) 3 pcs 96 Stomach Tube no 6
42 Folley Catheter No 14 (1 x 10s) 1 pcs 97 Stomach Tube no 8
43 Folley Catheter No 16 (1 x 10s) 1 pcs 98 Stomach Tube no 12
44 Folley Catheter No 18 (1 x 10s) Rusch 3 pcs 99 Stomach Tube no 14
45 Folley Catheter No 20 (1 x 10s) 3 pcs 100 Stomach Tube no 16
47 Gel USG Kecil 1 btl 102 Suction Catheter No 5
52 Handscoon Non Steril No M (1 x 100s) 300 pcs 107 Suction Catheter No 14
53 Handscoon Steril No 7 (1 x 50s) 45 pcs 108 Suction Catheter No 16
54 Handscoon Steril No 7.5 (1 x 50s) 20 pcs 109 Threeway
55 Hanscoon Obgyn (HS Panjang) 5 pair 110 Umbilical Clamb Lotus (1 x 50s)
QTY SATUAN
2 pcs
2 pcs
3 pcs
1 pcs
10 pack
10 pack
2 roll
10 pack
2 pcs
100 box
10 pcs
15 pcs
3 pcs
3 pcs
3 pcs
50 pcs
1 pcs
1 pcs
1 pcs
100 box
1 pcs
1 pcs
1 pcs
1 btl
30 pcs
3 pcs
30 pcs
3 pcs
10 pcs
3 pcs
100 pcs
100 pcs
150 pcs
3 pcs
3 pcs
3 pcs
150 pcs
1 pcs
1 pcs
1 pcs
1 pcs
1 pcs
1 pcs
1 pcs
1 pcs
1 pcs
5 pcs
 INJEKSI & INFUS UMUM PER MINGGU

NO. NAMA OBAT /BLN /THN SATUAN HARGA BELI HB + PPN

1 Amikasin inj 24 vial Rp 36,000 Rp 39,600
2 Aminosteril inf 3 softbag Rp 81,675 Rp 90,750
3 Asam Tranexamat inj (1 x 10s) 40 amp Rp 6,300 Rp 6,930
4 Asering Otsu 40 plabot Rp 20,000 Rp 22,000
5 Atropin inj (1 x 100s) 12 amp Rp 1,697 Rp 1,885
6 Cefotaxime inj 400 vial Rp 5,500 Rp 6,050
7 Ceftriaxone inj 120 vial Rp 7,031 Rp 7,734
8 Ciprofloxacin inf (1 x 8s) 3 fls Rp 51,300 Rp 57,000
9 Colsancetin inj (1 x 10s) 10 amp Rp 9,720 Rp 10,692
10 Citicoline inj (1 x 5s) 10 amp Rp 12,870 Rp 14,300
11 Combivent UDV (1 x 20s) 60 amp Rp 4,550 Rp 5,005
12 Dexametashone inj (1 x 100s) 80 amp Rp 2,184 Rp 2,402
13 Ephedrin inj (1 x 10s) 20 amp Rp 25,000
14 Ephineprin inj (1 x 100s) 20 amp Rp 7,773 Rp 8,637
15 Gentamicin inj (1 x 5s) 80 amp Rp 4,208 Rp 4,675
16 Futrolit inf 3 softbag Rp 51,134 Rp 56,815
17 Keterolac 30 mg inj (1 x 6s) 240 amp Rp 12,150 Rp 13,365
18 Gelafusal inf 3 softbag Rp 175,000 Rp 192,500
19 Lidocain inj (1 x 100s) 50 amp Rp 1,584 Rp 1,760
20 Methylprednisolone inj 5 amp Rp 47,000 Rp 51,700
21 Oksitocin inj 20 amp Rp 2,500 Rp 2,750
22 Omeprazol inj 40 vial Rp 50,000 Rp 55,000
23 Ondancetron inj (1 x 5s) 30 amp Rp 7,000 Rp 7,700
24 Pantoprazol 40 mg inj 12 vial Rp 59,000 Rp 64,900
25 Parasetamol inf 24 fls Rp 42,500 Rp 46,750
26 Pehacain inj (1 x 20s) 40 amp Rp 2,477 Rp 2,725
27 Pytomenadion inj (1 x 5s) 20 amp Rp 2,400 Rp 2,640
28 Ranitidin inj (1 x 10s) 240 amp Rp 3,150 Rp 3,465
29 Norages inj (1 x 5s) 6 amp Rp 10,940 Rp 12,155
30 Streptomicyn inj 6 vial Rp 9,000 Rp 10,000
33 Zyfort inj (1 x 20s) 3 amp Rp 5,750 Rp 6,325
34 Uresix inj (1 x 5s) 5 amp Rp 7,940 Rp 8,734
35 Valisanbe 5 mg inj (1 x 10s) 10 amp Rp 16,710 Rp 18,381