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TANGGAL : 1 MARET 2019

NAMA PASIEN

2 Alat Kesehatan

`
Total : -
Tahun 2011

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011

Tahun 2012

Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017


- - - - - - - - - - - - - - - -
Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017

Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017


- - - - - - - - - - - - - - - -
Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017

Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018

Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018


- - - - - - - - - - - - - - - -
Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018

Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019

Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019


- - - - - - - - - - - - - - - -
Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019

Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019


- - - - - - - - - - - - - - - -
Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019

Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016


- - - - - - - - - - - - - - - -
Pisau Operasi APBD II 2016

Tahun 2017

Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017

Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017


- - - - - - - - - - - - - - - -
Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019

Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019


- - - - - - - - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019

Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik

Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012


- - - - - - - - - - - - - - - -
Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200


mg Magnesium Hidroksida 200 mg DAK 2016
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200
mg/5 ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016


- - - - - - - - - - - - - - - -
Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016

Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016

Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016


- - - - - - - - - - - - - - - -
Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200


mg Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017

Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017


- - - - - - - - - - - - - - - -
Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017

Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017

Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol


200 mg + Trimetoprim 40 mg DAK 2017
- - - - - - - - - - - - - - - -
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+
trimetoprim 80 mg DAK 2017
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160
mg DAK 2017
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017

Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017


- - - - - - - - - - - - - - - -
Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017

Parasetamol tablet 500 mg DAK 2017

Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK


2017
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017


PENGELUARAN HARIAN OBAT DAN PERBEKES
- - - - - - - - - - - - - - - -
BEKES
Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017

Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200


mg Magnesium Hidroksida 200 mg DAK 2018
- - - - - - - - - - - - - - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200
mg/5 ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2018
Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018


- - - - - - - - - - - - - - - -
Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018

Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018


- - - - - - - - - - - - - - - -
Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018

Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018


- - - - - - - - - - - - - - - -
Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018

Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018

Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018


- - - - - - - - - - - - - - - -
Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160


mg DAK 2018
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


- - - - - - - - - - - - - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018

Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018


- - - - - - - - - - - - - - - -
Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018

Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018

Ranitidin tablet 150 mg DAK 2018

Retinol (Vitamin A) 100.000 iu Prov. 2018


- - - - - - - - - - - - - - - -
Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK


2018
Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018

Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018


- - - - - - - - - - - - - - - -
Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018

Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019


- - - - - - - - - - - - - - - -
Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019

Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019

Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019


- - - - - - - - - - - - - - - -
Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019

Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019

Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019


PENGE
- - - - - - - - - - - - - - - -
Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019

Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019


ENGELUARAN

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019


- - - - - - - - - - - - - - - -
Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019

Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019

Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019


- - - - - - - - - - - - - - - -
Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019

Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019
Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160


mg DAK 2019
Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019

Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019


- - - - - - - - - - - - - - - -
Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019

Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019

Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019


- - - - - - - - - - - - - - - -
Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019

Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019


- - - - - - - - - - - - - - - -
Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019

Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019


- - - - - - - - - - - - - - - -
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019

Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015


- - - - - - - - - - - - - - - -
5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017


- - - - - - - - - - - - - - - -
Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018


- - - - - - - - - - - - - - - -
TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015
- - - - - - - - - - - - - - - -
Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018
- - - - - - - - - - - - - - - -
Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg


- - - - - - - - - - - - - - - -
Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019


- - - - - - - - - - - - - - - -
Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019


- - - - - - - - - - - - - - - -
Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019


- - - - - - - - - - - - - - - -
Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016

Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016


- - - - - - - - - - - - - - - -
Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017


- - - - - - - - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019


- - - - - - - - - - - - - - - -
Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015

Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016


- - - - - - - - - - - - - - - -
Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017


- - - - - - - - - - - - - - - -
Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018


- - - - - - - - - - - - - - - -
Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018


- - - - - - - - - - - - - - - -
Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019


- - - - - - - - - - - - - - - -
Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016

Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016


- - - - - - - - - - - - - - - -
Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018

Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019
- - - - - - - - - - - - - - - -
Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - - - -
1
No
TANGGAL : 1 MARET 2019

2
NAMA
PASIEN
Alat Kesehatan

Tahun 2011

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011

Tahun 2012

Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017
1 GST KT SATRIA SUARDANA
2 NI MD SUMARTI
3 DW MD DANA WIGUNA
4 NI MD DASTRI
5 I WYN SINDU
6 MOH HASAN
7 ROJIAH
8 NURANI
9 NI LUH KARMI `
10 WYN CATUR
11 NYM TAWI
12 NGH SAMAYASTIKA
13 NI KT RANTEN
14 GST KD AGUS DWI CAHYANI
15 KT ARJANA
16 NI NYM WATI
17 NYM WERTI
18 KM AYU DEA NATASIA
19 NI KT BUDI ARIANI
20 NI MD WINDRI
21 ERLIANA
22 PANDE KM SAKTI DARMA
23 GST AG PT SEMADI
24 ELIS HAMZAH
25 NI LUH SUDARMI
26 NI MD DETRI
27 NI NGH KANTRI
28 LUH WIDIANTARI
29 NI LUH SINTA DEWI
30 G A PT SANTIKA M
31 KT WIRATA
32 PT BUDIANA
33 MD MISIA
34 NI PT ULAN PURNAMI
35 NI LUH FRISKA
36 KT SUTARINI
37 DW KM SATRIA
38 I B KONTIANA
39 MD WARMA
40 NUR SABHILA
41 KT PURNAWAN
42 KM KRISNA
43 WYN BUDIASA
44 DSK NYM SUPAYONI
45 I WYN SUTEJA
46 I WYN SUDA
47 NI KT DINDA REVAYANTI
48 MD SUARTIKA
49 KM VIRA AYU A
50 A A PURNAMAWATI
51 JAINIL GONI ROMADON
52 I KD OKTAVIANUS
53 G A KD SUITRI
54 NI KT MIRTI
55 KT KAMIADA
56 PT AGUS PUTRA PRADITA
57 KD DODI ARYADI
58 KD BENI SASTRA
59 GST PT BAGUS DARMA
60 NI MD SUWIYANTI
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - - - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017

Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017


- - - - - - - - - - - - - - - - - - - -
Wing Needle 25 G DAK 2017

Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018

Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018


- - - - - - - - - - - - - - - - - - - -
IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018

Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018

Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019


- - - - - - - - - - - - - - - - - - - -
Abocath / IV Catheter no 24 G DAK 2019

Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019

Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019


- - - - - - - - - - - - - - - - - - - -
Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019

Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016


- - - - - - - - - - - - - - - - - - - -
Tahun 2017

Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017

Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018


- - - - - - - - - - - - - - - - - - - -
Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018

Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019


1
- - - - - - - - - - - - - 1 - - - - - -
Dumin 125 mg rectal APBD II 2019

Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019

Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019


- - - - - - - - - - - - - - - - - - - -
Obat Generik

Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium


Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml, Magnesium
Hidroksida 200 mg/ 5 ml. DAK 2016

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lidokain 10 mg


seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016


- - - - - - - - - - - - - - - - - - - -
Fenitoin kapsul 100 mg JIWA APBD II 2016

Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016

Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016


- - - - - - - - - - - - - - - - - - - -
Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium


Hidroksida 200 mg DAK 2017

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017


- - - - - - - - - - - - - - - - - - - -
Deksametason tablet 0,5 mg DAK 2017

Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017

Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017


1
- - - - - - - - - 1 - - - - - - - - - -
Kloramfenikol kapsul 500 mg DAK 2017

Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200 mg +


Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80 mg DAK


2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017

Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017


10

10
1
- - 1 - - - - - - - - - 20 - - - - - - -
Oksitosin inj 10 IU/ml DAK 2017

Parasetamol tablet 500 mg DAK 2017

Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017

Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017


5
10

10

10
10
10

10

10

10
- 85 - - - - - - - 13 - - - - - - - - - -
Vitamin B kompleks tablet DAK 2017

Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium


Hidroksida 200 mg DAK 2018

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml, Magnesium
Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lidokain 10 mg


seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018


2

5
10
3 3

1
1
5

10
3 1

3
10
- - - - - - 1 62 - - - - - 2 - - - - 3 -
Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018

Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018


3

1
- - - - - - - - 3 - - - - - - - - - - 1
Domperidon tablet/kapsul/kaplet 10 mg DAK 2018

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018

Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018


10

10

10

10

10
10

10
- - - - - - - - - 11 - - - - 70 - - - - -
Hidroklortiazid tablet 25 mg DAK 2018

Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018

Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018


2
5

10

5
5

10

10

10
10
5

10

10

10
5
10

3
10
5
- - - - 40 - - - - - - - - - - - - - - 117
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg DAK 2018

Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018

Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018


30 30

10 10

30 10

20

20 10

10 10
20

10
20

10

20
10 10
- - - - - - 180 - - - - - - - - - 30 - 80 -
Obat Kusta Dewasa MB PROV 2018

Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018

Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018


10
10

10

5
- - - - - - - - 35 - - - - - - - - - - -
Ranitidin injeksi 25 mg/2 ml DAK 2018

Ranitidin tablet 150 mg DAK 2018

Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018

Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018


5

10
10
10

5
1

5
1
1

10
- 45 - - - - - - - 14 10 - - - - - - - - -
Siprofloksasin tab scored 500 mg DAK 2018

Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019


10
10

10

30

10

30

5 10
5

30

5
5

10

10
10
5

5
30 - - 90 - - - 75 15 - - - - - - - - - - -
Ampisislin injeksi 1000 mg DAK 2019

Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019


- - - - - - - - - - - - - - - - - - - -
Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019

Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019

Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019


- - - - - - - - - - - - - - - - - - - -
Fenilbutason tablet 200 mg DAK 2019

Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN

Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019


- - - - - - - - - - - - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2019

Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019

Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019


- - - - - - - - - - - - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2019

Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg (Combivent Nebulle)


DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019

Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019


- - - - - - - - - - - - - - - - - - - -
Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019

Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019

Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019


- - - - - - - - - - - - - - - - - - - -
Obat Batuk Hitam (OBH) cairan DAK 2019

Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019

Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019


- - - - - - - - - - - - - - - - - - - -
Povidon Iodin larutan 10% 60 DAK 2019

Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019


- - - - - - - - - - - - - - - - - - - -
Sefixime sirup 100 mg/5 ml DAK 2019

Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019

Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019


- - - - - - - - - - - - - - - - - - - -
Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017


- - - - - - - - - - - - - - - - - - - -
Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018


- - - - - - - - - - - - - - - - - - - -
Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015


- - - - - - - - - - - - - - - - - - - -
Risperidon tablet 2 mg DAK 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - - - - - - - - - - - -
Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - - - - - - - - - - - -
Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019


20 40
- 20 - - 40 - - - - - - - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019


- - - - - - - - - - - - - - - - - - - -
Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019


- - - - - - - - - - - - - - - - - - - -
Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - - - - - - - - - - - -
Tahun 2016

Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017


- - - - - - - - - - - - - - - - - - - -
TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019


- - - - - - - - - - - - - - - - - - - -
Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - - - - - - - - - - - -
Sertralin tab 50 mg DAK 2015

Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017
- - - - - - - - - - - - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018


- - - - - - - - - - - - - - - - - - - -
Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019


- - - - - - - - - - - - - - - - - - - -
Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019


- - - - - - - - - - - - - - - - - - - -
Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016


- - - - - - - - - - - - - - - - - - - -
Reagen Gol Darah LAB APBD II 2016

Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018

Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019


- - - - - - - - - - - - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - - -
TANGGAL : 2 MARET 2019

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011


No
NAMA
PASIEN

Alat Kesehatan

Tahun 2011
1 2
1 NYM YASA
2 ERNA DEWI JAYANTI
3 GST PT WINDU ADNYANA
4 NI KD ASIH ARINI
5 KM ARYA WIJAYA
6 NI WYN RUMEN
7 DW KT WIDANA
8 KD PANJI P
9 NYM BADRI `
10 DW MD SUTAMA
11 WYN SUWARNI
12 NYM SUDAMA
13 LUH PT DARMANITI
14 MD HITO HARTA
15 G A KD JUNI A
16 NI NYM KARNI
17 RAHMAN HAFIZ
18 MD MIKKI SANTANA
19 LUH PARIANI
20 WYN RADEA
21 DW KT MURDANA
22 PT RAMA AGUS M
23 KD SUGIARSANA
24 KD LIANI
25 NI MD LIANI
26 NYM DANING
27 KT WIYASA
28 KD ARMAWATI
29 WYN NOSTER
30 MUHAMAD ATIN
31 MASTURAH
32 I KOMANG SUKA
33 KD ASTIKA SARI
34 WYN ERNAYANTI
35 NI KT MITRI
36 MD SUMADA
37 GST PT DARMA
38 WYN KANTEN
39 KT SUECA
40 KT WENA
41 MD SUDAMA
42 PUTRI RAFAILA
43 NI NYM PETI
44 NI WYN TIARNI
45 SAYU KM WAHYU
46 NI WYN PASNI
47 NI KM WARNI
48 KM OKTAVIANI
49 NGH LATRA
50 NI NYM TARMI
51 GST KD MULIARDIKA
52 G A MD ARINI
53 MUHAMAD NURUL
54 PT OGY KRESNA WIBAWA
55 KM AYU NURATINI
56 NI LUH AYU LESTARI
57 MISTINI
58 AYU KURNIA
59 G A KD SUARNITI
60 DW KD SUBAGIA
61 KT SUKADANA
62 MD SETIARI
63 JUDIKA
64 AKRIADI
65 MUHAMAD ABU
66 PT GD ARTAGUNA
67 MD RATIH P
68 MD SEDANA
69 ELIS BARIROH
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - -
Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011

Tahun 2012

Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm


DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm


DAK 2016
- - - - - - - - - -
Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm


DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre


Powder) DAK 2017
- - - - - - - - - -
Handscoen Safeglove PP no 8 (Sterile / Pre
Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017

Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV


Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV


Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV


Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017


- - - - - - - - - -
Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017

Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm


DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm


DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018


- - - - - - - - - -
Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK


2018

Handscoen Safeglove PP Steril no 7,5 DAK


2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV


Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV


Cateter No 20) DAK 2018
- - - - - - - - - -
IV Catheter (TERUMO) SR+OX2225C3 (IV
Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV


Cateter No 24) DAK 2018

Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018


- - - - - - - - - -
Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK


2018

Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019


- - - - - - - - - -
Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019

Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump)


DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019


- - - - - - - - - -
Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019

Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019


- - - - - - - - - -
Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm


DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019


- - - - - - - - - -
Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019

Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g)


APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016


- - - - - - - - - -
Pisau Operasi APBD II 2016

Tahun 2017

Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g)


APBD II 2017
- - - - - - - - - -
Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017

Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018


- - - - - - - - - -
Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm)


APBD II 2018

Heparin komb. Gel (Thrombopob gel 20 g)


APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD


II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018


- - - - - - - - - -
Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018

Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019


- - - - - - - - - -
Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019

Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g)


APBD II 2019

Komb B complek + vit c 500mg (Selcom C)


APBD II 2019
- - - - - - - - - -
Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019

Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019


- - - - - - - - - -
Voltaren gel 10 g APBD II 2019

Obat Generik

Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016
- - - - - - - - - -
Antasida DOEN I tablet kunyah, kombinasi :
Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi :


Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK
2016
Antihemoroid, kombinasi: bismut subgalat 150
mg heksaklorofen 2,5 mg lidokain 10 mg seng
oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK


2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet


250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK


2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK


2016
- - - - - - - - - -
Domperidon tablet/kapsul/kaplet 10 mg DAK
2016

Fenitoin kapsul 100 mg JIWA APBD II 2016

Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK


2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000


- 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016


- - - - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II


2016

Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10


mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016


- - - - - - - - - -
Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK


2016

Sianokobalamin (vitamin B12) injeksi 500 mcg


DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK


2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK


2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg


DAK 2017
- - - - - - - - - -
Amoksisilin sirup kering 125 mg/5 ml DAK
2017

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg DAK 2017

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK


2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK


2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet


250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg


DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017


10
- - - - - - - - 10 -
Deksametason injeksi i.v./i.m. 5 mg/ml DAK
2017

Deksametason tablet 0,5 mg DAK 2017

Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)


DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK


2017

Domperidon tablet/kapsul/kaplet 10 mg DAK


2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1


mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10


mg DAK 2017

Garam Oralit I PROV 2017


- - - - - - - - - -
Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017

Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II


2017
1

1
2 - - - - - - - - -
Karbamazepin tablet/kapsul/kaplet 200 mg DAK
2017

Kloramfenikol kapsul 500 mg DAK 2017

Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml


Suspensi :Sulfametoksazol 200 mg +
Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi :


sulfametoksazol 400 mg+ trimetoprim 80 mg
DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol


800 mg trimetoprim 160 mg DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000


- 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017


- - - - - - - - - -
Metilergometrin Maleat injeksi 0,2 mg/ml DAK
2017

Metilprednisolon tablet 4 mg DAK 2017

Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II


2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017


- - - - - - - - - -
Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017

Parasetamol tablet 500 mg DAK 2017

10

10
2
10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK


2017
10

10

10

5
10

10
10
10

10
10

10
10

10
10

10

10
10
- - 222 - - - - - - -
Salbutamol tablet 4 mg (sebagai Sulfat) DAK
2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% +


Belerang endap 4% DAK 2017

Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg


DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK


2017
- - - - - - - - - -
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg
(HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017

Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK


2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

10
5
10
3
4
10
10
4

Amoksisilin kapsul/kaplet/tablet scored 500 mg


DAK 2018
10
10

10

10

10
1

10
1

10
1
- - - - - - - 4 129 -
Amoksisilin sirup kering 125 mg/5 ml DAK
2018

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg DAK 2018

Antasida DOEN II suspensi, kombinasi :


Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK
2018
Antihemoroid, kombinasi: bismut subgalat 150
mg heksaklorofen 2,5 mg lidokain 10 mg seng
oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein


50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK


2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK


2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet


50 mg DAK 2018
- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet/kapsul/kaplet
250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK


2018

Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg


DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018


- - - - - - - - - -
Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK


2018

Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK


2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl)


DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK


2018

Doksisiklin 100 mg DAK 2018


10
- - - - - - - 10 - -
Domperidon suspensi/sirup 5 mg/5 ml DAK
2018

Domperidon tablet/kapsul/kaplet 10 mg DAK


2018

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1


mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK


2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018


10
- - - - - - - - - 10
Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018

Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018


5
5 - - - - 10 - - - -
Griseofulvin tablet 125 ml DAK 2018

10
Hidroklortiazid tablet 25 mg DAK 2018

Hidrokortison krim 2,5 % DAK 2018

1
Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

10
10
5
5
Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500


mg DAK 2018
10

1
20 - 2 - - 30 - - - -
Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II


2018

Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK


2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018


40
- 40 - - - - - - - -
Klorfeniramin Maleat (CTM) tablet 4 mg DAK
2018

3
10
5
10
10
3
4
10
10
10
4
Kotrimoksazol forte kombinasi: sulfametoksazol
800 mg trimetoprim 160 mg DAK 2018

Lidokain Injeksi 2% + Epineprin 1:80.000


(HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

20
20

Metilergometrin Maleat Injeksi 0,2 mg/ml DAK


2018

Metilergometrin Maleat tablet 0,125 mg DAK


2018
10

10

10

3
10

10

10

10

10
10
162 - - - 10 - - 40 - -
Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018

Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

1
N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
Natrium Klorida larutan infus 0,9% APBD II
2018

Nifedipin tablet 10 mg DAK 2018


10

10
10

1
10

10

20

20

10 10
20
20
- - - - 2 - - 50 - 110
Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018

Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

10
- - - - - - - - - 10
Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018

Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10


mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018


- - - - - - - - - -
Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018

Ranitidin tablet 150 mg DAK 2018

Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle)


DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK


2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK


2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% +


Belerang endap 4% DAK 2018
5

10

5
- - 45 - - - - - - -
Salisil Bedak 2% DAK 2018

1
Sefadroksil tablet 500 mg DAK 2018

Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018


10
1 10 - - - - - - - -
Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018

10
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

30
Tetrasiklin tablet/kapsul/kaplet 500 mg DAK
2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)


DAK 2018

Vitamin B kompleks tablet DAK 2018


5

10
5
10

Zink tablet 20 mg tablet PROV 2018


5
20
10
10

5
- 10 - - 60 - - - 45 10
Sianokobalamin (vitamin B12) injeksi 500 mcg
DAK 2018

Tahun 2019

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK


2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019


- - - - - - - - - -
Amoksisilin sirup kering 125 mg/ 5 ml DAK
2019

Ampisislin injeksi 1000 mg DAK 2019

Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019


- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tablet 100 mg
DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg


DAK 2019

Asam Askorbat (Vitamin C) tablet 250 mg


DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK


2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg


DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019


- - - - - - - - - -
Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019

Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK


2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK


2019
- - - - - - - - - -
Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019

Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK


2019

Domperidon tablet/kapsul/kaplet 10 mg DAK


2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019


- - - - - - - - - -
Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019

Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019


PENGELUARAN
- - - - - - - - - -
Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019

Gentian Violet larutan 1 % DAK 2019


ARAN
Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019


- - - - - - - - - -
Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019

Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK


2019
- - - - - - - - - -
Kalsium Laktat (Kalk) tablet 500 mg DAK
2019

Kaptopril tablet 12,5 mg DAK 2019

Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019


- - - - - - - - - -
Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019

Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK


2019

Kombinasi : Ipratropium bromida inhalasi 0,5


mg Salbutamol 2,5 mg (Combivent Nebulle)
DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol


800 mg trimetoprim 160 mg DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml


- - - - - - - - - -
Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 :


80.000 - 2ml DAK 2019

Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019


- - - - - - - - - -
Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019

Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019


- - - - - - - - - -
Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019

Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019


- - - - - - - - - -
Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019

Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019


- - - - - - - - - -
Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019

Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10


mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019


- - - - - - - - - -
Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019

Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019


- - - - - - - - - -
Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019

Salbutamol cairan ih 0,1% (Ventolin nebulle)


DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat)


DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK


2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% +


Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019


- - - - - - - - - -
Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019

Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg


DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019


- - - - - - - - - -
Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019

Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK


2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)


DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019


- - - - - - - - - -
Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi
- - - - - - - - - -
Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD


II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II


2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017


- - - - - - - - - -
Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II


2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II


2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018
- - - - - - - - - -
Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II


2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD


II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II


2018

Spongostan APBD II 2018


- - - - - - - - - -
TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD


II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD


II 2019

Mummifying Pasta APBD II 2019


- - - - - - - - - -
Semen Zeng Fosfat serbuk & cairan APBD II
2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK


2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015


- - - - - - - - - -
Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA


APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA


APBD II 2016

Diazepam tablet 2 mg APBD 2016


- - - - - - - - - -
Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017
5
5 - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA
APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK


2017

Klorpromazin tablet 100 mg JIWA APBD II


2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA


APBD II 2018
- - - - - - - - - -
Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA


APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA


APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II


2018

Haloperidol Injeksi 50mg / ml JIWA APBD II


2018
60
- - - - - - - 60 - -
Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II


2018

Klorpromazin tablet 100 mg JIWA APBD II


2018

Kodein tablet 10 mg JIWA APBD II 2018


- - - - - - - - - -
Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II


2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD


II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II


2019
- - - - - - - - - -
Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II


2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II


2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019


- - - - - - - - - -
Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl)


APBD II 2019
- - - - - - - - - -
Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD


II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019


- - - - - - - - - -
Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019


- - - - - - - - - -
Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)


DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019


- - - - - - - - - -
Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012
- - - - - - - - - -
Temporary Stoping Fletcher DAK 2012

Tahun 2016

Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II


2016

Monoklorkamfer Mentol cairan (CHKM) APBD


II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II


2016

Spongostan APBD II 2016


- - - - - - - - - -
TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II


2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II


2017

Spongostan APBD II 2017


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II


2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD


II 2018
- - - - - - - - - -
Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II


2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD


II 2019
- - - - - - - - - -
Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD


II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II


2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012


- - - - - - - - - -
Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK


2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015


- - - - - - - - - -
Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015

Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA


APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA


APBD II 2016
- - - - - - - - - -
Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II


2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016


- - - - - - - - - -
Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA


APBD II 2017

Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK


2017

Klorpromazin tablet 100 mg JIWA APBD II


2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017


- - - - - - - - - -
Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA


APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA


APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA


APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018


- - - - - - - - - -
Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II


2018

Haloperidol Injeksi 50mg / ml JIWA APBD II


2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml


- - - - - - - - - -
Klorpromazin tablet 25 mg JIWA APBD II
2018

Klorpromazin tablet 100 mg JIWA APBD II


2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019
- - - - - - - - - -
Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II
2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD


II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II


2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II


2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II


2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019


- - - - - - - - - -
Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019


- - - - - - - - - -
Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl)


APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD


II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019


- - - - - - - - - -
Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016


- - - - - - - - - -
Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016

Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017


- - - - - - - - - -
Tahun 2018

Cell Pack LAB APBD II 2018

Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019
- - - - - - - - - -
Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - - - -
TANGGAL : 4 MARET 2019

NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011


No

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN
Alat Kesehatan

Tahun 2011

1 2
1 NI GST KT PURNAWATI
2 NGH REKIN
3 NI KD NANDA DWI PRATIWI
4 KD SURIATMINI
5 MD AGUS MAHARDIKA
6 G A PT KARSIH
7 KT YULIARTINI
8 NI LUH PUSPA DEWI
9 NI NYM NATRI `
10 MAS IRFAN
11 KD ERNA SARASWATI
12 LUH SUARMI
13 JAINUR MARANI
14 GST PT MERTA
15 SUSRIANI
16 PT NUNIK EKA
17 MD JULIO
18 GST KT WIDIANA
19 MISADI
20 PT RAHAYU
21 MISTUNI
22 WYN LANUS
23 MD SUTAMA
24 DW KM SINTA ARWIYATI
25 LUH KD SEPTA DIANTINI
26 MD NABILA DIAH
27 KM BUDIADI
28 NYM LANDRI
29 I A PT NUARNI
30 GST KT KARTAWA
31 KD WIDYA
32 KD AYU SRIASIH
33 BY KT PUTRIANI
34 GST NGR ARDANA
35 PT AYU TISYA
36 D A MD SUDIARTINI
37 DW GD NARENDRA ADI
38 NI KD PUTRI CAHAYA
39 KD DANIA
40 NI NYM KANIS
41 NI MD SUARTINI
42 MUHAMAD YUSUF
43 NI KT RAI
44 WYN YOGA NEGARA
45 KT NIKA YASA
46 I A PT WIDIARTINI
47 NI KT WINIS
48 G A MD RAI
49 G A KD ARINI
50 G A PT MURTINI
51 WYN SUMANTRA
52 PT WIRAMA
53 KD ARDIKA
54 KT TIRTA YASA
55 NI KM AYU RENI
56 NYM NISTRI
57 ALDI ANDIKA
58 PT NGURAH ARYA
59 MD RAKA MERTA
60 NYM SATRI
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - -
Tahun 2012

Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017
- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017


- - - - - - - - - -
Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017

Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017


- - - - - - - - - -
Wing Needle 25 G DAK 2017

Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,0 DAK 2018

Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018


- - - - - - - - - -
IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018

Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018


- - - - - - - - - -
Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018

Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019


- - - - - - - - - -
Abocath / IV Catheter no 24 G DAK 2019

Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7 DAK 2019

Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019


- - - - - - - - - -
Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019


- - - - - - - - - -
Wing Needle no 27 G DAK 2019

Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016


- - - - - - - - - -
Tahun 2017

Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017


- - - - - - - - - -
Minyak kayu putih 60 ml APBD II 2017

Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018


- - - - - - - - - -
Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018


- - - - - - - - - -
Pisau Operasi APBD II 2018

Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019


- - - - - - - - - -
Dumin 125 mg rectal APBD II 2019

Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2019

Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019


- - - - - - - - - -
Obat Generik

Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016
- - - - - - - - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5
ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016


- - - - - - - - - -
Fenitoin kapsul 100 mg JIWA APBD II 2016

Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016


- - - - - - - - - -
Natrium Klorida larutan infus 0,9% APBD II 2016

Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016


- - - - - - - - - -
Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017


- - - - - - - - - -
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg DAK 2017

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017


- - - - - - - - - -
Deksametason tablet 0,5 mg DAK 2017

Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017


1
1
- - - - - - - - - 2
Glukosa larutan infus 10% DAK 2017

Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017


- - - - - - - - - -
Kloramfenikol kapsul 500 mg DAK 2017

Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim


80 mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017


1
- - 1 - - - - - - -
Metilprednisolon tablet 4 mg DAK 2017

Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017


- - - - - - - - - -
Oksitosin inj 10 IU/ml DAK 2017

Parasetamol tablet 500 mg DAK 2017

10
10
10
10
10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017


10

10

10
10
10

10

10
10

10
10

5
10
10
10
10
10
10

10

10
10
- 255 - - - - - - - 10
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017

Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017


- - - - - - - - - -
Vitamin B kompleks tablet DAK 2017

Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

1
Ambroksol tablet 30 mg DAK 2018

3
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018


3

10
4

10

10

10

10
10
10

10

2
3
- - - - - - 1 102 - -
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg DAK 2018

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5


ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018


1
- - - 1 - - - - - -
Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018


10

10

5
- - - - - - - - 25 -
Betametason krim 0,1 % (sebagai valerat) DAK 2018

Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018


- - - - - - - - - -
Domperidon tablet/kapsul/kaplet 10 mg DAK 2018

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

10
Garam Oralit I PROV 2018
5

5
- - - - - - - - 10 15
Gentamisin salep kulit 0,1% DAK 2018

Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018


10
- - - - 10 - - - - -
Hidroklortiazid tablet 25 mg DAK 2018

Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018


1

1
- 2 - - - - - - - -
Karbamazepin tablet 200 mg JIWA APBD II 2018

Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

3
10
3

10

10
1

10
10

10
10

10
3

2
3
- - - - 1 - - - 1 102
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018

Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018


20
- - - - - - 20 - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2018

Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

10
Nistati vaginal tablet 100.000 UI DAK 2018
5
10 10

20
10

20
1
10
20
10
- - 1 - - - 45 - 90 -
Obat Kusta Dewasa MB PROV 2018

Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018


- - - - - - - - - -
Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018

Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018


- - - - - - - - - -
Ranitidin injeksi 25 mg/2 ml DAK 2018

Ranitidin tablet 150 mg DAK 2018

10
5
5
Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018


5

10

5
- 50 - - - - - - - -
Sefadroksil tablet 500 mg DAK 2018

10
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018


10

10
30 - - - - - - - - -
Siprofloksasin tab scored 500 mg DAK 2018

Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

30
Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

5
Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018


20

10

10

10
10
10

10
10

10
5
30 - - 50 - - - 40 35 -
Tahun 2019

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019


- - - - - - - - - -
Ampisislin injeksi 1000 mg DAK 2019

Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019


- - - - - - - - - -
Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019

Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019


- - - - - - - - - -
Diltiazem HCl tablet 30 mg DAK 2019

Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019


- - - - - - - - - -
Fenilbutason tablet 200 mg DAK 2019

Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019

Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019


RAN
Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2019

Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 12,5 mg DAK 2019

Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2019

Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019


- - - - - - - - - -
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019

Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019


- - - - - - - - - -
Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019

Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019


- - - - - - - - - -
Metronidazol Syr 125 mg / 5ml DAK 2019

Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019


- - - - - - - - - -
Obat Batuk Hitam (OBH) cairan DAK 2019

Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019


- - - - - - - - - -
Parasetamol tablet 100 mg DAK 2019

Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019


- - - - - - - - - -
Povidon Iodin larutan 10% 60 DAK 2019

Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019


- - - - - - - - - -
Ringer Laktat larutan infus steril DAK 2019

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019


- - - - - - - - - -
Sefixime sirup 100 mg/5 ml DAK 2019

Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019


- - - - - - - - - -
Spironolakton tablet 25 mg DAK 2019

Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019


- - - - - - - - - -
Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012
- - - - - - - - - -
Temporary Stoping Fletcher DAK 2012

Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017


- - - - - - - - - -
Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018


- - - - - - - - - -
Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018


- - - - - - - - - -
Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019


- - - - - - - - - -
Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015


- - - - - - - - - -
Risperidon tablet 2 mg DAK 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016


- - - - - - - - - -
Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019


- - - - - - - - - -
Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019


- - - - - - - - - -
Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019


- - - - - - - - - -
Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019


- - - - - - - - - -
Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016


- - - - - - - - - -
Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017


- - - - - - - - - -
TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018


- - - - - - - - - -
Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019


- - - - - - - - - -
Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014
- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) DAK 2014

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Sertralin tab 50 mg DAK 2015

Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016


- - - - - - - - - -
Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017
- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018
- - - - - - - - - -
Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018


- - - - - - - - - -
Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018


- - - - - - - - - -
Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019


- - - - - - - - - -
Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019


- - - - - - - - - -
Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019


- - - - - - - - - -
Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2016

Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018
- - - - - - - - - -
Cell Pack LAB APBD II 2018

Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - - -
TANGGAL : 5 FEBRUARI 2019

No
NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN
Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 NYM SINGGIH
2 ALIF HAFIZ
3 SUWATI
4 NYM DANGIN
5 RIZKI ADITYA
6 WYN WIDIA
7 LUH SUARTI
8 KT SUTASANA
9 KT SADIA `
10 MD MANDRA
11 RENA SUKMA
12 PANDE KDK MIKA
13 NI PT MAHAYANI PUTRI
14 SAYU PT SEKARINI
15 MD TANGKAS
16 GST KT SUPARSA
17 I A PT SUARNI
18 GST BGS ANGLURAH
19 NI MD ARTINI
20 SULASIYAH
21 PT ANDIKA
22 KT RENTEN
23 D A KT PENTRI
24 GST PT SUARTA
25 GST KT SUJENDRA
26 NI KT WANGI
27 DW PT RUGIG
28 DSK PT DARMAWATI
29 AQILA SAKDIAH
30 DWI RAMADANI
31 NI KT NADRI
32 KD DWI ADNYANI
33 KT GD ADITYA RESTU
34 DSK PT CAHYA
35 IDRUS SYUKRON
36 SOFI THORIMA
37 NI MD SUARTINI
38 HARPIDS HIDAYATUR
39 NI KD RADIA
40 GST KD SUDARSANA
41 KT SUMANTRA
42 GST KT WAHYU BUDI
43 PT ADITYA PRATAMA
44 GST KT SIRYA
45 GST KM TULIA
46 DIMAS FAHRIL HASAN
47 MD WIRPA
48 MD SENTANA
49 MD WINTRA
50 NI MD DEWI
51 KT CINTRA
52 KD KRISNA DWIPAYANA
53 NI MD ANDRIASIH
54 MD GINA WINANGUN
55 GST KT NARKA
56 NGH WEDRA
57 DW KM PARTAMA
58 MD SUARDIKA
59 KT ARDANI
60 GST PT MERTA
61 HJ SARIANAH
62 MARA RIZKY
63 SY KD LOKA
64 KT NASTRI
65 WIBAWA
66 PT WINTARI
67 KD DWI PUTRI
68 KD ARYA
69 G A PT DENDRI
70 KT SIMPEN
71 KT SUARTINI
72 G A KM CIPTA
73 RIZALDI
74 KD YOGI MAHARDIKA
75 MD DASTRI
76 MD SARMI
77 KDK NGURAH YUDIASTIKA
78 PT WAHYU KIRAINA
79 I B KT MURDIKA
80 SY KD SAYUN
81 KM PARWATI
82 GST KT TULIA
83 G A SINTYA OVI
84 MD AYU YENI
85 MD ADI ANANDITA
86 NYM ADIYANA
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


- - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


- - - - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

24
Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,


Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
20
- - - - 44 - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80


mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


- - - - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


10
10
- 20 - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10
10
10
5
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017


10
10
10
10
10

10

10

10

10
2
3
5

10

10
10

10

10

10

10

10
5
10
10

10
10

10

10
10

10

10
10
10
330 - - - - - - - 10 -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

5
10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
1

10

10
3
2
10

5
10
4

10
4

10
10
10

10

3
10
3

10
10

10
- - - - - 4 171 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

1
Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


1
- - 2 - - - - - - -
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


12
- - - - - - - 12 - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


1

1
1

1
- - - - - - - - 5 -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

6
Gentamisin salep kulit 0,1% DAK 2018
5

5
- - - - - - - - 16 -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


10

30

10
- - - 70 - - - - - -
Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


1
1 - - - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

1
Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

5
10
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
10

10
3
2
10

10
4

10

10
10

10
10

3
10
3

10
10

10
- - - 1 - - - - 168 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

20
20
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


20

30

30

10
10
20
- - 10 - - 150 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

20
10
10
Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10

20

10 20

10

10

10

10

10

10
10 10
10 10
10 10

10

10
- - 1 - - 100 - 150 - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


- - - - - - - - - -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


- - - - - - - - - -
Ranitidin tablet 150 mg DAK 2018

Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018

10
10
10

5
5
5

5 10
20 - - - - - - - - 40
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018


10

10

10
- - - - - - - - - 30
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

30
Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

5
Zink tablet 20 mg tablet PROV 2018

10
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
5
10

10

5
5

5
10

5
10
5

10

10

10

5
- - 30 - - - 85 60 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


- - - - - - - - - -
Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


- - - - - - - - - -
Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


- - - - - - - - - -
Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


- - - - - - - - - -
Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


- - - - - - - - - -
Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


- - - - - - - - - -
Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


- - - - - - - - - -
Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017


- - - - - - - - - -
Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018


- - - - - - - - - -
Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019
- - - - - - - - - -
Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017


- - - - - - - - - -
Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019


- - - - - - - - - -
Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019


- - - - - - - - - -
Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015


- - - - - - - - - -
5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016
- - - - - - - - - -
Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017
- - - - - - - - - -
Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017


- - - - - - - - - -
Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018


- - - - - - - - - -
Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019


- - - - - - - - - -
Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018


- - - - - - - - - -
Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018


- - - - - - - - - -
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019


- - - - - - - - - -
Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016


- - - - - - - - - -
Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019


- - - - - - - - - -
Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - -
TANGGAL : 9 MARET 2019

No
NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN
Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 I B KT PUTRA
2 NYM DANGIN
3 MISNAH
4 HERLINA SUKENZI
5 D A KT NENDRI
6 NYM KANTEN
7 KD PUTRI HANDAYANI
8 PUTU INDAH PURNAMA
9 NYM SUIRTA `
10 NYM SUMERTA
11 PT AGUS MAHENDRA
12 KT NESTRA
13 NI KD TRISNA
14 NYM YADNYA
15 DW MD OKA
16 I A GD SULASMINI
17 WYN TARMI
18 PT AGUS PUTRA
19 NI KT SULASIH
20 DW PT ADI SAPUTRA
21 NURHAYATI
22 NI MD WARDANI
23 KD AGUS DWI ANTONI
24 ABDUL ROZAK
25 KT WIKARYA
26 SRI SUMARNI
27 KM WIDIA PUTRA
28 MD SUNARI
29 PT SATRIA MAHA JANGGU
30 KT SUKADANA
31 MD ANDRIYASA
32 KT MARYASA
33 KM NGR ARYA WAHYU P
34 GST KT SUARTA
35 JERO KT PUSPASARI
36 NYM NIRAYANI
37 KT YULIARTINI
38 NI NGH SENDI
39 G A KD WARNI
40 NYM SUYASA
41 WYN MUDIANA
42 KD DEKA PERMANA
43 PT AYU SRININGSIH
44 NI KD ASIH ARINI
45 NI KT GERIYA
46 DW KT WIRA SEMARA
47 GST PT MUSTIKA
48 GST MD PURBA
49 NI PT EKA WAHYUNI
50 NI KT MURTINI
51 WYN GUNAWAN
52 I B GD MASTIKA
53 G A PT BUDIASTRI
54 DSK PT EKA DARMAYANTI
55 WYN CATUR
56 NYM SANTI
57 KT AYU NOVI
58 NYM WESA
59 LILIK DAHLIA
60 AINIA FAIDA ASMI
61 NI LUH PT MAGITA
62 HILDA
63 A A SUTIANI
64 DW PT SUPARTA M
65 PT OKA RIPOT
66 NI KT WASTINI
67 KT LERNI
68 GST PT MERTA
69 TASYA AMELIA
70 NI KT SUMIASIH
71 NI KT RANTEN
72 NI KT VINA ADI
73 GST NGR KM PANJI
74 G A MURTINI
75 GST WYN NGURAH
76 KM ARI ANDIKA
77 PT ADI MAHAYANA
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


4
- - 4 - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


- - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


1
1 - - - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,


Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
- - - - - - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80


mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


1

1
- 2 - - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10
10

10
10
10
5
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017


10

10
10

10
10

10

10
10

10

10

10

10
10

10

10

10
235 - - - - - - - - -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

1
Ambroksol tablet 30 mg DAK 2018

10

10
10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
2

10

10
10

2
10

10

10
1
3

4
3

10
- - - - - 3 120 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


1

1
- - 3 - - - - - - -
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


- - - - - - - - - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


- - - - - - - - - -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018


10

6
5

10

10
10
- - - - - - - 45 11 -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

20
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


10

10

10

10

10

10
- - - 80 - - - - - -
Hidrokortison krim 2,5 % DAK 2018

1
Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


1

1
1
4 - - - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

10

10
10
10
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
2

4
10

10

10
10

10

10

10
10
3

10
4
3

10
- - - - - - - 1 165 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

20
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


20

10

20

10
20

20

30

10
20
- - - - - 180 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
10
10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10 10

10

10

10

10

10

10 10

10 10

10
1
10
10

10

10
10

10
- - 1 - - 120 - 90 - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


- - - - - - - - - -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


- - - - - - - - - -
Ranitidin tablet 150 mg DAK 2018

5
5
5
Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018

10
5

5
10

10

5
5

10
75 - - - - - - - - 20
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018

10
- - - - - - - - - 10
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

10
Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
5

10

20

10
10
10

5
5

10

10

10

20
- - 70 - - - 45 35 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


- - - - - - - - - -
Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


- - - - - - - - - -
Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


- - - - - - - - - -
Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


- - - - - - - - - -
Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


- - - - - - - - - -
Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


- - - - - - - - - -
Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


- - - - - - - - - -
Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017


- - - - - - - - - -
Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018


- - - - - - - - - -
Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019
- - - - - - - - - -
Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


3
- - - - - - - - 3 -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017


- - - - - - - - - -
Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019


- - - - - - - - - -
Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019


- - - - - - - - - -
Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015


- - - - - - - - - -
5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016
- - - - - - - - - -
Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017
- - - - - - - - - -
Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017


- - - - - - - - - -
Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018


- - - - - - - - - -
Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019


- - - - - - - - - -
Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018


- - - - - - - - - -
Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018


- - - - - - - - - -
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019


- - - - - - - - - -
Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016


- - - - - - - - - -
Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019


- - - - - - - - - -
Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - -
TANGGAL 11 MARET 2019

No
NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN
Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 MD WIRAWAN
2 G A KARSIH
3 FURI ANGGRENI
4 PT DIVA SURYA
5 MD ARIATA
6 G A KD DWITA
7 MD WIRADANA
8 G A KT SUENDRI
9 NI WYN LARNI `
10 I KT MUDIANA
11 NYM SUMERTA
12 PT PURNAMI
13 KT WENDA
14 WYN NARMI
15 APT JUNIASIH
16 KM RANGGA ADITYA
17 NUR RODIAH
18 NYM PASMIARI
19 SUMIYEM
20 JAENUDIN
21 INDAYANI
22 MD SUDANA
23 NI PT SUARMI
24 NI PT DANDI
25 NI NYM BADRI
26 SITI NURYATI
27 NURJANAH
28 WYN SINDU
29 YUYU SUCIATI
30 D A PT TISYA
31 NI MD TOYO
32 G A KT GATI
33 I A KT MURTINI
34 MISADI
35 GD SWIHARTA
36 NI MD SARNI
37 KM ARDITA
38 KT ARTANA
39 NI KT MARIANI
40 MD SUDIATI
41 NI PT AYU NOPITA
42 MD PERAYA
43 G A KM NARIAWATI
44 PT QUINDA
45 NYM NENDRA
46 KM EKSA
47 NI KT PURNAMIASIH
48 MD NARBA
49 MD WENGI
50 DW A PT NARI
51 KT SANA
52 KM DARNA
53 DW KT ARI PARANDRA
54 NI KD WAHYUNI
55 KD DENI
56 I A KD LATRI
57 NI KM YANTI
58 I B MD ANOM PARWATA
59 KT ASTAWA
60 NI MD AYU YENI
61 NI NGH WENDRI
62 MD UDAYANA
63 PT VAERL
64 KM SUARSANA
65 PT ARTA UTAMA
66 KT PUTRA
67 MD DUNIADI
68 KT NERKEN
69 WYN WIDASTRA
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


- - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


- - - - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,


Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
- - - - - - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

1
Glukosa larutan infus 10% DAK 2017
1

1
- - - - - - - - 3 -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80


mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


- - - - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


10
- 10 - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10
10

10
10
10
10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017


5
10

10
10

10

10
10
10

10

10

5
10

10

10

10
10

5
225 - - - - - - 10 - -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

1
1
Ambroksol tablet 30 mg DAK 2018

10

10
5
4
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
1

1
1

4
3

10

10

4
10
1
10

10
- - - - - 6 104 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


1

1
- - 3 - - - - - - -
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


10

4
- - - - - - - 14 - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


1
- - - - - - - - 1 -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018


6
5
- - - - - - - - 11 -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


10

10
- - - 30 - - - - - -
Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


- - - - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

10

10
5
4
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
4
10

4
3

5
10
3

10

10

4
10

10
4

10
- - - - - - - - 133 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

20
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


20

10
10
- - - - - 60 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

10
Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10

10

10

10
10 10
10
10

10

10
10

10

10

10
10

10
- - - - - 90 - 90 - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


- - - - - - - - - -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


- - - - - - - - - -
Ranitidin tablet 150 mg DAK 2018

Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018


5
10

10
1

10
40 - - - - - - - 1 10
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018

10
10
- - - - - - - - - 20
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

5
10
Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
5

10
5

5
10

10

10
10

10
10
5

10
- - - - - - 120 15 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


- - - - - - - - - -
Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


- - - - - - - - - -
Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


- - - - - - - - - -
Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


- - - - - - - - - -
Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


- - - - - - - - - -
Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


- - - - - - - - - -
Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


- - - - - - - - - -
Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017


- - - - - - - - - -
Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018


- - - - - - - - - -
Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019
- - - - - - - - - -
Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


30
- 30 - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017


- - - - - - - - - -
Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018


30 20

30
- - - - - 60 - - - 20
Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019


- - - - - - - - - -
Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019


- - - - - - - - - -
Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015


- - - - - - - - - -
5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016
- - - - - - - - - -
Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017
- - - - - - - - - -
Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017


- - - - - - - - - -
Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018


- - - - - - - - - -
Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019


- - - - - - - - - -
Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018


- - - - - - - - - -
Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018


- - - - - - - - - -
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019


- - - - - - - - - -
Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016


- - - - - - - - - -
Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019


- - - - - - - - - -
Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - -
TANGGAL : 12 MARET 2019

No
NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN Alat Kesehatan

Tahun 2011

1 2
1 PT MEGI CAHYA
2 GST PT SUDIASA
3 PT RAJENDRA A
4 DINNY RAHMAWATI
5 DW MD YASA
6 WYN KERTI
7 ALOSIUS RATULILEK
8 KT HANUN PUSPA
9 MD SULASTRI `
10 DEWI WAHYU
11 KM WIDIA
12 MD SULASTRI
13 NGH WIARNI
14 KD AGUS ADI GUNA
15 D A MD ADINDA
16 NYM WARSI
17 AKM SETIASIH
18 KM ALIT GANDIRA
19 MD TONI
20 I KT TAMBA
21 NADHIR F
22 PT BUDIASIH
23 GST MD SUITRA
24 G A KD DWI PUSPITA
25 I A KM JINA MURTI
26 MUNAWAROH
27 SUWADI
28 I B KT RENDRA
29 KAYLA RAMADANI
30 MASIFAH
31 KT DARMIKA
32 GST NGH PT SARJANA
33 DW PT WIADNYANI
34 DW KM KARUNIA
35 MD WANGI
36 DW PT SAYA SAPUTRA
37 AMELIA AGUSTINI
38 KT WULANDARI
39 MASHADI
40 GST NGR KM SENTANA
41 MD PANJI ATTA
42 WYN NERKA
43 NYM SUKERTI
44 SUAENAN
45 G A GD DITA
46 GST PT SATRA
47 GD ARI ASTAWA
48 NI KT TAMAN
49 G A KM RAISYA
50 G A PT JUNILIA
51 GST PT SUACA
52 NI WYN SUNARTI
53 GST PT SUKARTAYA
54 LUH DANDRI
55 NI PT SUITRI
56 NYM RINIS
57 KT ANDIKA
58 PT NANDA RAMA
59 PT PANDE CESY
60 NYM DURYA
61 PT DEDI PRATAMA
62 SANG AYU KT WIDIASIH
63 LUH PT PUSPITA DEWI
64 KD EDI MAHARDIKA
65 GD ANOM SUADI
66 MD KENAK
67 MD ADI ARDIKA
68 GST KM ARIWANGSA
69 G A KT DARMAYANTI
70 KT ENDRAWATI
71 NGH ARNI
72 NI KD ARIANI DIANTARI
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - -
Tahun 2012

Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017
- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017


- - - - - - - - - -
Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017

Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017


- - - - - - - - - -
Wing Needle 25 G DAK 2017

Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,0 DAK 2018

Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018


- - - - - - - - - -
IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018

Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018


- - - - - - - - - -
Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018

Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019


- - - - - - - - - -
Abocath / IV Catheter no 24 G DAK 2019

Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7 DAK 2019

Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019


- - - - - - - - - -
Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019


- - - - - - - - - -
Wing Needle no 27 G DAK 2019

Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016


- - - - - - - - - -
Tahun 2017

Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017


- - - - - - - - - -
Minyak kayu putih 60 ml APBD II 2017

Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018


- - - - - - - - - -
Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018


- - - - - - - - - -
Pisau Operasi APBD II 2018

Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019


- - - - - - - - - -
Dumin 125 mg rectal APBD II 2019

Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2019

Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019


- - - - - - - - - -
Obat Generik

Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016
- - - - - - - - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016


- - - - - - - - - -
Fenitoin kapsul 100 mg JIWA APBD II 2016

Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016


- - - - - - - - - -
Natrium Klorida larutan infus 0,9% APBD II 2016

Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016


- - - - - - - - - -
Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017


- - - - - - - - - -
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg DAK 2017

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017


- - - - - - - - - -
Deksametason tablet 0,5 mg DAK 2017

Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017


1
- - - - - - - - - 1
Glukosa larutan infus 10% DAK 2017

Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017


- - - - - - - - - -
Kloramfenikol kapsul 500 mg DAK 2017

Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80


mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017


- - - - - - - - - -
Metilprednisolon tablet 4 mg DAK 2017

Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017


5
- - 5 - - - - - - -
Oksitosin inj 10 IU/ml DAK 2017

Parasetamol tablet 500 mg DAK 2017

5
10

10
10
10
5
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017


10

10

10
10

10

10
10
10

10

10
10
10

10
10

10

10
10
10

10
10
10

10
10
10
10
10

10
- 310 - - - - - - - 20
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017

Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017


- - - - - - - - - -
Vitamin B kompleks tablet DAK 2017

Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

1
1
Ambroksol tablet 30 mg DAK 2018

4
10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018


1

10
10
3

10
1

10
10
1
10

10
- - - - - - 6 99 - -
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg DAK 2018

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,


Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018


1
- - - 1 - - - - - -
Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018


5
5
- - - - - - - - 10 -
Betametason krim 0,1 % (sebagai valerat) DAK 2018

Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018


1

1
- - - - - - - - - 2
Domperidon tablet/kapsul/kaplet 10 mg DAK 2018

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10% 2018

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

5
1
5
- - - - 1 - - - - 10
Gentamisin salep kulit 0,1% DAK 2018

Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018


10

10

10

10
- - - - 50 - - - - -
Hidroklortiazid tablet 25 mg DAK 2018

Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018


- - - - - - - - - -
Karbamazepin tablet 200 mg JIWA APBD II 2018

Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

4
10
10
10
10
3

10
10
10

10

10
- - - - - - - - - 109
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018

Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

10
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018


20

20

20

30

20
- - - - - - 120 - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2018

Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018


10

10

10

10
10
- - - - - - 50 - - -
Obat Kusta Dewasa MB PROV 2018

Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018


- - - - - - - - - -
Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018

Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018


- - - - - - - - - -
Ranitidin injeksi 25 mg/2 ml DAK 2018

Ranitidin tablet 150 mg DAK 2018

5
10
Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018


10

5
5

5
5

5
- 50 - - - - - - - -
Sefadroksil tablet 500 mg DAK 2018

10
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018


10

10
10

10
50 - - - - - - - - -
Siprofloksasin tab scored 500 mg DAK 2018

Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

10
5
5
10
Zink tablet 20 mg tablet PROV 2018

10
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018
5

30
5

30

5
5
5

10

5
- - - 60 - - - 80 20 -
Tahun 2019

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019


- - - - - - - - - -
Ampisislin injeksi 1000 mg DAK 2019

Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019


- - - - - - - - - -
Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019

Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019


- - - - - - - - - -
Diltiazem HCl tablet 30 mg DAK 2019

Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019


- - - - - - - - - -
Fenilbutason tablet 200 mg DAK 2019

Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019

Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019


RAN
Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2019

Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 12,5 mg DAK 2019

Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2019

Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019


- - - - - - - - - -
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019

Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019


- - - - - - - - - -
Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019

Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019


- - - - - - - - - -
Metronidazol Syr 125 mg / 5ml DAK 2019

Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019


- - - - - - - - - -
Obat Batuk Hitam (OBH) cairan DAK 2019

Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019


- - - - - - - - - -
Parasetamol tablet 100 mg DAK 2019

Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019


- - - - - - - - - -
Povidon Iodin larutan 10% 60 DAK 2019

Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019


- - - - - - - - - -
Ringer Laktat larutan infus steril DAK 2019

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019


- - - - - - - - - -
Sefixime sirup 100 mg/5 ml DAK 2019

Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019


- - - - - - - - - -
Spironolakton tablet 25 mg DAK 2019

Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019


- - - - - - - - - -
Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012
- - - - - - - - - -
Temporary Stoping Fletcher DAK 2012

Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017


- - - - - - - - - -
Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018


- - - - - - - - - -
Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018


- - - - - - - - - -
Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019


- - - - - - - - - -
Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015


4
- - - - - 4 - - - -
Risperidon tablet 2 mg DAK 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

2
- - - - - - - - - 2
Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019


- - - - - - - - - -
Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019


- - - - - - - - - -
Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019


- - - - - - - - - -
Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019


- - - - - - - - - -
Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016


- - - - - - - - - -
Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017


- - - - - - - - - -
TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018


- - - - - - - - - -
Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019


- - - - - - - - - -
Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014
- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) DAK 2014

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Sertralin tab 50 mg DAK 2015

Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016


- - - - - - - - - -
Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017
- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018
- - - - - - - - - -
Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018


- - - - - - - - - -
Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018


- - - - - - - - - -
Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019


- - - - - - - - - -
Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019


- - - - - - - - - -
Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019


- - - - - - - - - -
Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2016

Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018
- - - - - - - - - -
Cell Pack LAB APBD II 2018

Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - - -
TANGGAL : 13 MARET 2019

No
NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN
Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 I B KT DARMA
2 I A KD SENTANA
3 NYM WIRAWAN
4 KMG ANNGA P
5 KM ARNI
6 PT NOVIA
7 NYM NATRI
8 KT DINA
9 KM PUTRA YASA `
10 SAYU MD SARI
11 PT ADITYA
12 WYN SANIASIH
13 DW PT MAHENDRA
14 MD WIRADI
15 NYM TARNI
16 KD KRISNA
17 KT SUERDI
18 NYM SUDANA
19 G A PT CIPTA
20 MAS VALENT
21 MUNIKA
22 ANIK BUDI N
23 DW KD SUANA
24 PT AYU MESYA
25 KT RUNTEN
26 MD SUDANA
27 SAYU KD SUWERNI
28 MASTINAH
29 LUH MUTRI
30 KD NOVI DWI PRADNYANI
31 KT SADIA
32 KT DENDRI
33 KM KRISNA P
34 PT AGUS ROBY
35 NYM SANDI
36 KT SANTRA
37 EDY IRAWATI
38 KT YULIARTINI
39 KD NANDA DWI PRATIWI
40 NYM TAWI
41 PT ASTRIANI
42 KD ROY PRANATA
43 UMIYATI
44 KT SUPARWA
45 PT WENDI
46 PT EDY GUNAWAN
47 WYN TUNAS
48 KM SUASTINI
49 MD MERTA
50 WYN ARI AGUS
51 NURIJATUL UMAN
52 KT AYU NOVI DIASTUTI
53 NYM MORJI
54 RIA ALFIN
55 PT SATYA NARENDRA
56 DW MD SUTAMA
57 KT DARMAWAN
58 NGH NENDRI
59 NYM PETI
60 PT TASTER
61 WYN SRI UTAMI
62 PANDE KT AGUS PUTRA
63 GST MD WIRBA
64 NYM WITRA
65 MD MUDARINI
66 DW KD SUBAGIA
67 DW KD WIBAWA
68 DW AYU KM KONTEN
69 GST PT YASA
70 KT SERNIASIH
71 JAMHURI
72 G A KM SIWI
73 DW PT PUSPITA
74 KT DARTA
75 KT NADRI
76 NI MD SUKARDI
77 NYM LATRI
78 KD BENI SASTRA
79 KT WIRADA
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


- - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


1
- - 1 - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,


Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
- - - - - - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80


mg DAK 2017

10
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


- - 10 - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10

10
10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017


10
10

10

10

10
10

10

10

10
10
10

10
10

10
10

10
10
10

10

10

10
250 - - - - - - - 10 -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

10
10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
3

10
4

10

5
4
1
1

10
1

4
- - - - - 7 68 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

1
Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


1
- - 2 - - - - - - -
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

10
Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


10
- - - - - - - 20 - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


1
- - - - - - - - 1 -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

5
Gentamisin salep kulit 0,1% DAK 2018
5
- - - - - - - - 10 -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

15
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


10

10
- - - 25 - - - - 10 -
Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


1

1
3 - - - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

10
10
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
3

10

10
4

10

10

10

10
10

10

5
10

4
10
10

10

4
- - - - - - - - 162 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

30
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


20

10
- - - - - 60 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10

10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10
10

10

10

10

10

10

10

1
10

10

10

10
- - 1 - - 140 - - - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


10

10
- - - - - 10 - 10 - -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


10

10

10
- - 30 - - - - - - -
Ranitidin tablet 150 mg DAK 2018

5
Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

1
Sefadroksil tablet 500 mg DAK 2018
5

5
5
5

10

5
50 - - - - - - - 1 -
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018


10
- - - - - - - - - 10
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

10
30
10
30
Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

5
5
Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
5

10
5

5
5
- - 80 - - - 40 10 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


- - - - - - - - - -
Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


- - - - - - - - - -
Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


- - - - - - - - - -
Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


- - - - - - - - - -
Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


- - - - - - - - - -
Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


- - - - - - - - - -
Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


- - - - - - - - - -
Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017


- - - - - - - - - -
Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018


- - - - - - - - - -
Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019
- - - - - - - - - -
Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017


- - - - - - - - - -
Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018


1
- - - - - - - - 1 -
Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019


- - - - - - - - - -
Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019


- - - - - - - - - -
Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015


- - - - - - - - - -
5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016
- - - - - - - - - -
Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017
- - - - - - - - - -
Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017


- - - - - - - - - -
Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018


- - - - - - - - - -
Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019


- - - - - - - - - -
Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018


- - - - - - - - - -
Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018


- - - - - - - - - -
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019


- - - - - - - - - -
Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016


- - - - - - - - - -
Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019


- - - - - - - - - -
Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - -
TANGGAL : 14 MARET 2019

NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011


No

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 PT ASTRIANI
2 KAPTI
3 G A KT SUARNI
4 I B KD BAGIANA
5 NYM SUNATRI
6 KT WENDA
7 NI KT MIDEH
8 MD KARTIKA
9 BGS SUECA `
10 PT AYU RISNAWATI
11 NGR PT YOGA ARYA
12 MD WELA
13 DW PT RUGIG
14 KT SUANDRI
15 KD KAMANTA
16 SUSYANAF
17 NI KM WIDIARTINI
18 GST PT KM RAISYA
19 GST PT JUNITA
20 GST MD JUNUARTA
21 GST NYM OKA
22 PT DIARSA
23 NYM SENTI
24 ADI PUTRA
25 WAHYU SADRI
26 KT SUKADANA
27 MD SERUNI
28 DW KT ARNIKA
29 KT LONDEN
30 D A NYM SAYATI
31 ULA NATUN
32 KM ASTITI U
33 MD SUARDIKA
34 NYM SURTA
35 GD SUHARTA
36 KD SEKAR WATI
37 NYM PUSPAWATI
38 MD SUMADA
39 G A KT NERAYATI
40 NI KD AYU SUKARTINI
41 WYN SUDIARTA
42 YULIA WARISTA
43 MD WIARTA
44 NGH TARI
45 NYM NOVI
46 D A PT SANISYA
47 GST PT SUDIASA
48 WYN LAGI
49 PT SUARTAMA
50 MD AYU HENDRAWATI
51 NYM TARMI
52 DW MD RATIH
53 KT BUDIARTINI
54 PT AYU MESYA
55 ENRY KHALIF
56 RINA RAHMAWATI
57 KM SINTA
58 NURHAYATI
59 PT ARINI
60 PT SURYA
61 PT AYU DESI SRI W
62 NYM LENDRI
63 PT ANGGA ADI
64 KT NASTRI
65 YULIANA KHOLISA
66 PT ARNI
67 KT AYU SINTA
68 MD WINTRA
69 MD MERTA
70 KT WIWIK W
71 KM GITA ISWARA
72 SY KD LOKA
73 GST KM TRI WIJAYANTI
74 RAHMANIA
75 PT KRISNA ADITYA
76 I A MD JELITA
77 I B PT SUDIARTAYASA
78 KM GAMA
79 DW KT BAGUS RISTI
80 SY PT SUNARTINI
81 KT AYU NINGSIH
82 NYM KARINI
83 KT DARTI
84 NYM EKA INDRAYUDI
85 MD ANDRIASIH
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


- - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

1
Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


1 - - - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5


ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
- - - - - - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim


80 mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


10
- - 10 - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10
10
10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017


10

10
10

30
30

10

10

10

10

10

10
10

10

5
10
10
10

10
255 - - - - - - - 10 -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

10

10
10
10
10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
10

10

10

10
4
7

1
4

10
- - - - - 1 125 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5
ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


15

1
1
1
- - 3 - - - - - - 15
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


10
- - - - - - - 10 - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


1

1
- - - - - - - - 2 -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

1
Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018


5
5

6
- - - 1 - - - - 16 -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


10

10
- - - 30 - - - - - -
Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


1
1
1

1
3 - 1 - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

10
10
10
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
10

10
4
10

10
4
10

10
10

10
10
- - - - - - - - 139 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

20
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


20

20

10
- - 10 - - 60 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10

10

10

10
10

10

10
- - 2 - - 80 - - - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


1
- - - - - - - - 1 -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


- - - - - - - - - -
Ranitidin tablet 150 mg DAK 2018

5
5
5
5
Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018


5

5
5

5
55 - - - - - - - 1 5
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018

10
10
10
- - - - - - - - - 30
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

5
Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
5

10

30

10

10

15
5

10

5
10

10

10
- - - - - - 105 40 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


- - - - - - - - - -
Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


- - - - - - - - - -
Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


- - - - - - - - - -
Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


- - - - - - - - - -
Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


- - - - - - - - - -
Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


- - - - - - - - - -
Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


- - - - - - - - - -
Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017


- - - - - - - - - -
Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018


- - - - - - - - - -
Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019
- - - - - - - - - -
Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


16

15
- - - - - - - 31 - -
Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


30

25

30
30
30

30

30
30
30
- 265 - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017


- - - - - - - - - -
Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018


60

60

90

30

90
- - - - - 90 - - - 240
Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018


60

30 60

60

14
90
90 - 14 210 - - - - - -
Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019


- - - - - - - - - -
Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019


- - - - - - - - - -
Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015


- - - - - - - - - -
5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016
- - - - - - - - - -
Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017
- - - - - - - - - -
Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017


- - - - - - - - - -
Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018


- - - - - - - - - -
Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019


- - - - - - - - - -
Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018


- - - - - - - - - -
Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018


- - - - - - - - - -
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019


- - - - - - - - - -
Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016


- - - - - - - - - -
Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019


- - - - - - - - - -
Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - -
TANGGAL : 15 MARET 2019

No
NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN
Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 GST PT MERTA
2 SRI NURWATI
3 ASMINAH
4 KM PARWATI
5 NI KT ARTINI
6 KM SWINI
7 PT YUNI ASIH PRAMESTI
8 NI KT RONDI
9 KM DARMA SENTANA `
10 KT NIKEN MAHENDRA
11 NYM PASMIARI
12 KM TRI PUSPAYANTI
13 G A MD ARINI
14 GST NGR KD SASTRA
15 WYN BADRA
16 MD SUDANA
17 DSK KT SARTIASIH
18 KT MANDRA
19 KT GD PARIASA
20 NI LUH PT MULIAWATI
21 LUH SELASIH
22 WYN BUDIANA
23 PT PRASETYA
24 DW A MD SUDIARTINI
25 WYN SUARTA
26 KT SUGI ARTAWAN
27 SAYU KM TIRTA
28 WYN ASTAWA
29 NI KD SUPARMI
30 BADRIYAH
31 I B PT MUTRU
32 NI KD DWI PRACINTA
33 KD PRATAMA
34 NYM WIRATA
35 LUH SUMARANIS
36 KT MIRTI
37 DW MD KRISNA
38 WYN PURI
39 PT ANGGI
40 G A KD BUDANIA
41 MD BUDIARTA
42 DW MD ANDI W
43 NURYASIN
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


- - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


- - - - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,


Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
- - - - - - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80


mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


- - - - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10

10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017


10

10
10

10
10

10

10

10
10
10
10

10
10

10
10
170 - - - - - - 10 - -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
1

1
- - - - - 3 10 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

1
Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


1

1
- - 3 - - - - - - -
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

10
Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


- - - - - - - 10 - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


- - - - - - - - - -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018


- - - - - - - - - -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


10

20
- - - 40 - - - - - -
Hidrokortison krim 2,5 % DAK 2018

1
Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


1 - - - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

1
Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

10
10
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
10

10

10

10
- - - - - - - 1 66 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

20
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


20

20
- - - - - 60 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10

10
10
5
10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10
10

10

10

10
- - - - - 95 - - - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


- - - - - - - - - -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


- - - - - - - - - -
Ranitidin tablet 150 mg DAK 2018

Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018

10
10
5

5
30 - - - - - - - - 20
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018


10

10
- - - - - - - - - 20
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

30
Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

5
Zink tablet 20 mg tablet PROV 2018

10
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
10

10
- - 30 - - - 35 20 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


- - - - - - - - - -
Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


- - - - - - - - - -
Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


- - - - - - - - - -
Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


- - - - - - - - - -
Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


- - - - - - - - - -
Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


- - - - - - - - - -
Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


- - - - - - - - - -
Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017


- - - - - - - - - -
Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018


- - - - - - - - - -
Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019
- - - - - - - - - -
Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017


- - - - - - - - - -
Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019


- - - - - - - - - -
Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019


- - - - - - - - - -
Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015


- - - - - - - - - -
5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016
- - - - - - - - - -
Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017
- - - - - - - - - -
Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017


- - - - - - - - - -
Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018


- - - - - - - - - -
Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019


- - - - - - - - - -
Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018


- - - - - - - - - -
Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018


- - - - - - - - - -
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019


- - - - - - - - - -
Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016


- - - - - - - - - -
Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019


- - - - - - - - - -
Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - -
TANGGAL : 16 MARET 2019

NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011


No

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 GD SUARDINATA
2 KT SENTRI
3 HERLINA SUKENSI
4 KIRANA DITAWANGI
5 G A KD SUKARDI
6 KD AGUS SATYA
7 KT SUTA
8 GST NGR PT PRADA
9 JAENAL GENI `
10 ADITYA FATUR
11 KD SUARNI
12 NYM DRINDING
13 SUSIYANAH
14 KM ANANDA
15 GST MD WIRBA
16 GST PT EKA SANTIKA
17 WYN RINGIN
18 DW KD NANTRA
19 I B KT YUDIANA
20 SODIKIN
21 GST KT PADMAWATI
22 NGH SRI KANTA
23 PT NITA OKTAVIA
24 GST MD PUTRA
25 NISA MAS APILDA
26 YUDA SAPUTRA
27 SY PT JULI MAHARTINI
28 AHMAD IMRON
29 MD MULIA ASTITI
30 MD ARMAWAN
31 KD MILA AYU
32 KD DEVA NANDA
33 KT DANA
34 KM MAS RASTRA
35 PT ADITYA KUSUMA
36 NGH MERTAYASA
37 PT AGUS PARTA
38 GST PT SUADNYA
39 DW AYU ALIT ARI
40 I B PT SUAMBA
41 DSK MDRAI
42 NI PT RISKA DELVI
43 NI KM AYU NINGTIYAS
44 I WAYAN SUMANTRA
45 NI KT ARTINI RESTU P.
46 NI KT WERNI
47 DW KT MANDRA
48 GD KT SATRA
49 G A KD SUARNITI
50 MD WINTRA
51 KT WERNI
52 KT BUDIASA
53 GST NGR BGS RAI
54 I B KD ARISKA WIBAWA
55 ABDUL AZIS
56 G A PT YUDIANTARI
57 NYM TARMI
58 SY PT SWAMI
59 GST KT TULUS
60 DW A KM KARTINI
61 PT DIKA PRATAMA
62 G A PT MURTINI
63 SY KT SUCI
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


10
- - - - - - - 10 - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


1
- - 1 - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5


ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
- - - - - - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

1
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim
80 mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


- 1 - - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10

10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

10
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017
10

10

10
10
10

10

10

10
10

10
10

10

10

10

10
10
10
10
10
230 - - - - - - - 10 -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

1
1
1
1
1
1
Ambroksol tablet 30 mg DAK 2018

10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
1

10

10

10
3
10
- - - - - 10 53 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5
ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


1

1
- - 3 - - - - - - -
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

5
Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


10
- - - - - - - 15 - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


1
- - - - - - - - 1 -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018


- - - - - - - - - -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

15
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


10

20
- - - 45 - - - - - -
Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


1
1

1
3 - - - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

10

10
5
10
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
10

10

10

1 10

10
4

10

10
- - - 1 - - - - 119 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

30
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


10

20

30
- - - - - 90 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10

10
10
10

10

10

10

10

10

10
10
10

10
- - - - - 130 - - - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


10

10
- - - - - 10 - 10 - -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


- - - - - - - - - -
Ranitidin tablet 150 mg DAK 2018

5
5
5
Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018


10
5

10

1
36 - - - - - - - - 10
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018


10

10

10
- - - - - - - - - 30
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

Zink tablet 20 mg tablet PROV 2018

5
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
30

30
5

10

10
5
- - 60 - - - 30 15 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


- - - - - - - - - -
Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


- - - - - - - - - -
Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


- - - - - - - - - -
Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


- - - - - - - - - -
Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


- - - - - - - - - -
Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


- - - - - - - - - -
Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


- - - - - - - - - -
Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


- - - - - - - - - -
Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


- - - - - - - - - -
Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017


- - - - - - - - - -
Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018


- - - - - - - - - -
Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019
- - - - - - - - - -
Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019


- - - - - - - - - -
Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017


- - - - - - - - - -
Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018


- - - - - - - - - -
Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019


- - - - - - - - - -
Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019


- - - - - - - - - -
Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019


- - - - - - - - - -
Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015


- - - - - - - - - -
5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012

Tahun 2016
- - - - - - - - - -
Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017
- - - - - - - - - -
Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017


- - - - - - - - - -
Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018


- - - - - - - - - -
Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019


- - - - - - - - - -
Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014

Amitriptilin tablet salut 25 mg (HCl) DAK 2014


- - - - - - - - - -
Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015

Sertralin tab 50 mg DAK 2015


- - - - - - - - - -
Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016

Fenobarbital inj PROV 2016


- - - - - - - - - -
Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - - - - - - - -
Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018


- - - - - - - - - -
Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018


- - - - - - - - - -
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019


- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019


- - - - - - - - - -
Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019


- - - - - - - - - -
Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016

Reagen Gol Darah LAB APBD II 2016


- - - - - - - - - -
Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018

Cell Pack LAB APBD II 2018


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019


- - - - - - - - - -
Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - -
TANGGAL : 18 MARET 2019

NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011


No

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN
Alat Kesehatan

Tahun 2011

1 2
1 AYU PT SWITRI
2 PT RIMA HANISA
3 KT SENDI
4 KD ANGGI TISYA
5 I B KT DAMA
6 FAHMI KHOLIF
7 DW GD ANDIARTA
8 LISA ANJANI
9 MASNIH `
10 MISTURAH
11 PT DEVAN
12 G A KD SRI ADNYANI
13 MASTIAH
14 MASTIAH
15 KT SENDI
16 MD SUDANA
17 PT NURYATINI
18 KT SADIA
19 GST KT WERKA
20 WYN KARMI
21 NI NGH KAMIARTA
22 AYU PUSPITA
23 SAYU KT WASTRI
24 DW PT PUSPITA ADI
25 GST PT SUKARTAYA
26 KMG DARMA RENCANA
27 GST ASTAWAYASA
28 G A KD WIDIASMINI
29 NI PT AYU MESYA
30 KD SUANDI
31 GD WIRA PRATAMA
32 MUHAMAD ALFAH
33 NYM BADRI
34 KD AGUS ARDIKA
35 KM AGUS ANDI
36 DW PT RUGIG
37 NYM SARKA
38 LUH GD MANIK
39 NYM WESA
40 PT SEDANA
41 MULIANAH
42 NYM LATRI
43 GST MD RUSMAWAN
44 KT SINDIA
45 PT KARYASTINI
46 MD DWI ASIH
47 KD SRI MULIANI
48 KT WIDNYANA
49 MD SUMIADA
50 WYN SUNARTI
51 PT ARINI
52 KT PURNAWAN
53 RIZKY
54 LUH SRI PURNAWATI
55 GST PT WIDIASA
56 GST WYN WENDRA
57 GST MD GULMADI
58 KD DHARMA
59 PT AYU VANIA
60 NOVITA DEWI
61 NYM LOTRI
62 GST WYN NGURAH
63 PT DIRA NITA
64 KT MUTRI
65 SANDRINA
66 KD INTAN PRADNYA
67 KD SASTRA
68 ANDIANA
69 KM ARIANI
70 DW KT WIKANANDI
71 CANDRA MAHARDIKA
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - -
Tahun 2012

Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017
- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017


- - - - - - - - - -
Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017

Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017


- - - - - - - - - -
Wing Needle 25 G DAK 2017

Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,0 DAK 2018

Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018


- - - - - - - - - -
IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018

Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018


- - - - - - - - - -
Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018

Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019


- - - - - - - - - -
Abocath / IV Catheter no 24 G DAK 2019

Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7 DAK 2019

Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019


- - - - - - - - - -
Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019


- - - - - - - - - -
Wing Needle no 27 G DAK 2019

Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016


- - - - - - - - - -
Tahun 2017

Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017


- - - - - - - - - -
Minyak kayu putih 60 ml APBD II 2017

Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018


- - - - - - - - - -
Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018


- - - - - - - - - -
Pisau Operasi APBD II 2018

Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019


- - - - - - - - - -
Dumin 125 mg rectal APBD II 2019

Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2019

Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019


- - - - - - - - - -
Obat Generik

Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016
- - - - - - - - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5
ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016


- - - - - - - - - -
Fenitoin kapsul 100 mg JIWA APBD II 2016

Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016


- - - - - - - - - -
Natrium Klorida larutan infus 0,9% APBD II 2016

Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016


- - - - - - - - - -
Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017


- - - - - - - - - -
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg DAK 2017

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017


- - - - - - - - - -
Deksametason tablet 0,5 mg DAK 2017

Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017


- - - - - - - - - -
Glukosa larutan infus 10% DAK 2017

Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017


- - - - - - - - - -
Kloramfenikol kapsul 500 mg DAK 2017

Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim


80 mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017


- - - - - - - - - -
Metilprednisolon tablet 4 mg DAK 2017

Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017


- - - - - - - - - -
Oksitosin inj 10 IU/ml DAK 2017

Parasetamol tablet 500 mg DAK 2017

10
10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017


10

10
10

10
10

10

10

10

10

10
10

10
10
10
10
10
10

10
10
10

5
10

10
10
- 265 - - - - - - - 10
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017

Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017


- - - - - - - - - -
Vitamin B kompleks tablet DAK 2017

Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

1
1
1
1
1
1
Ambroksol tablet 30 mg DAK 2018

10
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018


1

10
10
10

3
5

10
- - - - - - 10 58 - -
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg DAK 2018

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5


ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018


1

1
- - - 2 - - - - - -
Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018


- - - - - - - - - -
Betametason krim 0,1 % (sebagai valerat) DAK 2018

Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018


1
- - - - - - - - - 1
Domperidon tablet/kapsul/kaplet 10 mg DAK 2018

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018


1

10

10

5
10
- - - - 1 - - - 35 -
Gentamisin salep kulit 0,1% DAK 2018

Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018


10
- - - - 30 - - - - -
Hidroklortiazid tablet 25 mg DAK 2018

Hidrokortison krim 2,5 % DAK 2018

1
Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018


1
- 2 - - - - - - - -
Karbamazepin tablet 200 mg JIWA APBD II 2018

Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

5
10
10
5
30

10

10

10

10
3
5

10
- - - - - - - - - 123
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018

Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

30

20
20
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018


10
- - - - - - 80 - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2018

Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018


10

10

10

10
10
10

10

10

10

10
10
10

10
10
10
- - - - - - 160 - - -
Obat Kusta Dewasa MB PROV 2018

Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018


- - - - - - - - - -
Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018

Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018


- - - - - - - - - -
Ranitidin injeksi 25 mg/2 ml DAK 2018

Ranitidin tablet 150 mg DAK 2018

Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018


5

5
5
- 15 - - - - - - - -
Sefadroksil tablet 500 mg DAK 2018

10
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

10
Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018


10

10

10
40 - - - - - - 10 - -
Siprofloksasin tab scored 500 mg DAK 2018

10
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

Zink tablet 20 mg tablet PROV 2018

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018


10

5
10
10

10

5
10

10

10
30 - - - - - - 60 10 -
Tahun 2019

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019


- - - - - - - - - -
Ampisislin injeksi 1000 mg DAK 2019

Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019


- - - - - - - - - -
Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019

Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019


- - - - - - - - - -
Diltiazem HCl tablet 30 mg DAK 2019

Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019


- - - - - - - - - -
Fenilbutason tablet 200 mg DAK 2019

Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019

Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019


RAN
Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2019

Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019


- - - - - - - - - -
Kaptopril tablet 12,5 mg DAK 2019

Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2019

Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019


- - - - - - - - - -
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019

Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019


- - - - - - - - - -
Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019

Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019


- - - - - - - - - -
Metronidazol Syr 125 mg / 5ml DAK 2019

Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019


- - - - - - - - - -
Obat Batuk Hitam (OBH) cairan DAK 2019

Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019


- - - - - - - - - -
Parasetamol tablet 100 mg DAK 2019

Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019


- - - - - - - - - -
Povidon Iodin larutan 10% 60 DAK 2019

Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019


- - - - - - - - - -
Ringer Laktat larutan infus steril DAK 2019

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019


- - - - - - - - - -
Sefixime sirup 100 mg/5 ml DAK 2019

Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019


- - - - - - - - - -
Spironolakton tablet 25 mg DAK 2019

Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019


- - - - - - - - - -
Obat HIV

5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012
- - - - - - - - - -
Temporary Stoping Fletcher DAK 2012

Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016

Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017


- - - - - - - - - -
Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017

TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018


- - - - - - - - - -
Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018

Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018


- - - - - - - - - -
Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019

Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019


- - - - - - - - - -
Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Diazepam injeksi 10 mg/2 ml DAK 2015

Klobazam tab 10 mg DAK 2015

Kodein tablet 10 mg DAK 2015


- - - - - - - - - -
Risperidon tablet 2 mg DAK 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 2 mg APBD 2016

Diazepam tablet 5 mg PROV 2016


- - - - - - - - - -
Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

20
Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017


- - - 20 - - - - - -
Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018

Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018


- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018

Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018


- - - - - - - - - -
Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018

Klorpromazin tablet 100 mg JIWA APBD II 2018

20
Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018


- - - - - - - 20 - -
Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019

Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019


- - - - - - - - - -
Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019

Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019


- - - - - - - - - -
Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019

Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019


- - - - - - - - - -
Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019

Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019


- - - - - - - - - -
Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2018

Reagen Gol Darah LAB APBD II 2018

Tahun 2019

Cell Pack LAB APBD II 2019

Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019


- - - - - - - - - -
Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


- - - - - - - - - -
Tahun 2016

Cavitron APBD II 2016

Etil Klorida semprot APBD II 2016

Eugenol spray DAK 2016

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016

Monoklorkamfer Mentol cairan (CHKM) APBD II 2016

Mummifying pasta APBD II 2016

Semen Zeng Fosfat serbuk & cairan APBD II 2016

Spongostan APBD II 2016

TKF (Tricresol Formaldehid) APBD II 2016


- - - - - - - - - -
Tahun 2017

Cavitron APBD II 2017

Devitalisasi pasta APBD II 2017

Etil Klorida semprot APBD II 2017

Eugenol spray DAK 2017

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2017

Mumifying pasta APBD II 2017

Semen Zeng Fosfat serbuk & cairan APBD II 2017

Spongostan APBD II 2017

Temporary Stopping Fletcher serbuk dan cairan Gigi APBD II 2017


- - - - - - - - - -
TKF (Tricresol Formaldehid) APBD II 2017

Tahun 2018

Cavitron APBD II 2018

Devitalisasi pasta APBD II 2018

Etil Klorida semprot APBD II 2018

Eugenol spray DAK 2018

GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2018

Kalsium Hidroksida Pasta APBD II 2018

Monoklorkamfer Mentol cairan (CHKM) APBD II 2018

Mumifying pasta APBD II 2018


- - - - - - - - - -
Semen Zeng Fosfat serbuk & cairan APBD II 2018

Spongostan APBD II 2018

TKF (Tricresol Formaldehid) APBD II 2018

Tahun 2019

Cavitron APBD II 2019

Devitalisasi pasta (non arsen) APBD II 2019

Etil Klorida semprot APBD II 2019

Eugenol cairan DAK 2019

Glass Ionomer Cement Serbuk dan Cairan APBD II 2019

Kalsium Hidroksida pasta APBD II 2019


- - - - - - - - - -
Monoklorkamfer Mentol cairan (CHKM) APBD II 2019

Mummifying Pasta APBD II 2019

Semen Zeng Fosfat serbuk & cairan APBD II 2019

Spongostan APBD II 2019

Temporary Stopping Fletcher serbuk dan cairan APBD II 2019

TKF (Tricresol Formaldehid) APBD II 2019

Obat Jiwa

Tahun 2012

Diazepam injeksi 5 mg/ml DAK 2012

Tahun 2014
- - - - - - - - - -
Amitriptilin tablet salut 25 mg (HCl) DAK 2014

Tahun 2015

Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015

Diazepam tablet 5 mg PROV 2015

Fenobarbital tablet 30 mg PROV 2015

Flufenazin injeksi i.m. 25 mg/ml DAK 2015

Klobazam tab 10 mg DAK 2015

Klozapin Tablet 25 mg DAK 2015

Kodein tablet 10 mg DAK 2015

Risperidon tablet 2 mg DAK 2015


- - - - - - - - - -
Sertralin tab 50 mg DAK 2015

Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015

Trifluoperazin tablet 5 mg DAK 2015

Trihexpenidil tablet 2 mg (HEXIMER 2 mg) APBD II 2015

Tahun 2016

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016

Clobazam tablet 10 mg JIWA APBD II 2016

Diazepam injeksi 5 mg/ml - 2 ml PROV 2016

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016

Diazepam tablet 5 mg PROV 2016


- - - - - - - - - -
Fenobarbital inj PROV 2016

Fenobarbital injeksi JIWA APBD II 2016

Haloperidol tablet 0,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg JIWA APBD II 2016

Haloperidol tablet 1,5 mg PROV 2016

Haloperidol tablet 5 mg PROV 2016

Klorpromazin tablet 25 mg JIWA APBD II 2016

Lorazepam tablet 2 mg JIWA APBD II 2016

Triheksilfenidil tablet 2 mg JIWA APBD II 2016

Tahun 2017
- - - - - - - - - -
Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2017

Fenobarbital tablet 50 mg Jiwa APBD II 2017

Flufenazin injeksi i.m. 25 mg/ml Jiwa APBD II 2017

Haloperidol Tablet 0,5 mg DAK 2017

Haloperidol tablet 5 mg Jiwa APBD II 2017

Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017

Klorpromazin tablet 100 mg JIWA APBD II 2017

Klozapin Tablet 25 mg Jiwa APBD II 2017

Trifuoperazin tablet 5 mg Jiwa APBD II 2017

Tahun 2018
- - - - - - - - - -
Alprazolam tablet 0,5 mg JIWA APBD II 2018

Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2018

Anti bakteri Salep Kulit DAK 2018

Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2018

Diazepam larutan rektal 10 mg/2,5 mL JIWA APBD II 2018

Diazepam tablet 5 mg JIWA APBD II 2018

Fenitoin Injeksi 50 mg/ ml JIWA APBD II 2018

Fenobarbital inj PROV 2018

Fenobarbital injeksi JIWA APBD II 2018

Fenobarbital tablet 30 mg JIWA APBD II 2018


- - - - - - - - - -
Flufenazin Injeksi 25mg / ml JIWA APBD II 2018

Haloperidol Injeksi 50mg / ml JIWA APBD II 2018

Haloperidol tablet 0,5 mg JIWA APBD II 2018

Haloperidol tablet 1,5 mg JIWA APBD II 2018

Haloperidol tablet 5 mg JIWA APBD II 2018

Karbamazepin tablet 200 mg

Klobazam tablet 10 mg JIWA APBD II 2018

Klozapin tablet 25 mg JIWA APBD II 2018

Klorpromazine Injeksi 25mg / ml

Klorpromazin tablet 25 mg JIWA APBD II 2018


- - - - - - - - - -
Klorpromazin tablet 100 mg JIWA APBD II 2018

Kodein tablet 10 mg JIWA APBD II 2018

Lorazepam tablet 2 mg JIWA APBD II 2018

Risperidon tablet 2 mg JIWA APBD II 2018

Trifluoperazin tablet 5 mg JIWA APBD II 2018

Triheksilfenidil tablet 2 mg JIWA APBD II 2018

Valproat tablet 250 mg JIWA APBD II 2018

Valproat syrup 250 mg/5 ml JIWA APBD II 2018

Tahun 2019

Alprazolam tablet/kapsul/kaplet 0,5 mg APBD II 2019


- - - - - - - - - -
Alprazolam tablet/kapsul/kaplet 1 mg APBD II 2019

Amitriptilin tablet salut 25 mg (HCl) APBD II 2019

Diazepam injeksi 5 mg/ml - 2 ml APBD II 2019

Diazepam larutan rektal 10 mg/2,5 ml APBD II 2019

Diazepam larutan rektal 5 mg/2,5 ml APBD II 2019

Diazepam tablet 2 mg APBD II 2019

Diazepam Tablet 5 mg APBD II 2019

Fenitoin injeksi 50 mg/ml APBD II 2019

Fenitoin kapsul/kaplet 100 mg APBD II 2019

Fenitoin kapsul/kaplet 30 mg APBD II 2019


- - - - - - - - - -
Fenobarbital 30 mg Tablet APBD II 2019

Fenobarbital injeksi APBD II 2019

Fenobarbital tablet 100 mg APBD II 2019

Flufenazin injeksi i.m. 25 mg/ml APBD II 2019

Haloperidol Injeksi APBD II 2019

Haloperidol tablet 0,5 mg APBD II 2019

Haloperidol tablet 1,5 mg APBD II 2019

Haloperidol tablet 5 mg APBD II 2019

Karbamazepin Syr 100 mg/ 5ml APBD II 2019

Karbamazepin tablet 200 mg APBD II 2019


- - - - - - - - - -
Klobazam tab 10 mg APBD II 2019

Klorpromazin injeksi i.m. 25 mg/ml (HCl) APBD II 2019

Klorpromazin tablet 25 mg APBD II 2019

Klorpromazin tablet salut 100 mg (HCl) APBD II 2019

Klozapin Tablet 25 mg APBD II 2019

Kodein 10 mg APBD II 2019

Lorazepam tablet 2 mg APBD II 2019

Olanzapin tab 10 mg APBD II 2019

Risperidon tablet 2 mg APBD II 2019

Sertralin tab 50 mg APBD II 2019


- - - - - - - - - -
Trifluoperazin tablet 2 mg APBD II 2019

Trifluoperazin tablet 5 mg APBD II 2019

Trihexpenidil Tablet 2 mg APBD II 2019

Valproat Syr 250 mg / 5ml APBD II 2019

Valproat tablet selaput enterik 250 mg APBD II 2019

Laboratorium

Tahun 2016

Cell Pack LAB APBD II 2016

Cleaner (Cell Clean) LAB APBD II 2016

Kontrol LAB APBD II 2016


- - - - - - - - - -
Reagen Gol Darah LAB APBD II 2016

Stromatolyser LAB APBD II 2016

Widal Test LAB APBD II 2016

Tahun 2017

Cell Pack LAB APBD II 2017

Cleaner (Cell Clean) LAB APBD II 2017

Kontrol LAB APBD II 2017

Stromatolyser LAB APBD II 2017

Widal Test LAB APBD II 2017

Tahun 2018
- - - - - - - - - -
Cell Pack LAB APBD II 2018

Cleaner (Cell Clean) LAB APBD II 2018

Kontrol LAB APBD II 2018

Stromatolyser LAB APBD II 2018

Widal Test LAB APBD II 2018

Reagen Gol Darah LAB APBD II 2018

Pot faeces LAB APBD II 2108

Pot Urine LAB APBD II 2108

Tahun 2019

Cell Pack LAB APBD II 2019


- - - - - - - - - -
Cleaner (Cell Clean) LAB APBD II 2019

Kontrol LAB APBD II 2019

Stromatolyser LAB APBD II 2019

Widal Test LAB APBD II 2019

Reagen Gol Darah LAB APBD II 2019

Pot faeces LAB APBD II 2109

Pot Urine LAB APBD II 2109


- - - - - - -
TANGGAL : 19 MARET 2019

No
NAMA

Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011


PASIEN Alat Kesehatan

Tahun 2012
Tahun 2011

1 2
1 AA MD RAI
2 GD ADI ULANDANA
3 SUWATI
4 NYM KANTEN
5 ALIF HATRA
6 LUH SUARTI
7 WYN NANDRA
8 KD WAHYU ADI
9 NI KT SUARNI `
10 KT KENDIA
11 DAENG SUPARMIN
12 KT SULASIH
13 KM AGUS FEBRYANANDA
14 G A PT SUARDI
15 NYM YOGIYASA
16 GST KT SUANTA
17 DW KD NILA
18 GD RAKA ADI
19 LUH YUDIANI
20 DW MD YASA
21 GST KM TULIA
22 KT NATRI
23 NGH SUMITA
24 PT SRI ANANDA
25 G A KD WARNI
26 D A KT SENTRI
27 G KD OKA
28 SYAQILA
29 SAMSUL
30 MD WINTRA
31 GST PT ,MERTA
32 MD NARBA
33 AYU KD WANGI
34 KT TIRTAYASA
35 GST KM NENTRA
36 PT LISNA
37 HJ SARIANAH
38 NGH MURDITA
39 DW KD SUMA
40 GST KD RADIT
41 NGH DEGENG
42 DW KM DARMAYASA
43 I A KT KERTI
44 DW KD MERTA
45 DW KD MERTA
46 GD BUDI YASA
47 DARSONO
48 KT DANA MERTA
49 KM ARYA SUARJANA
50 KD GILANG
51 I B KD YUDANA
52 JAENIL GONI
53 G A KD SUITRI
54 G A KT ARINI
55 NI NYM WENDRI
56 KT GERIYA
57 FARID NABIL
58 GST KD DWISKY
59 MD RENTIS
60 NGH KEBIK
61 MD WISNU
62 KT MASTRI
63 KM HENDRAWATI
64 KT MARIANI
65 KD ARYANDIKA
66 NGR PT YOGA
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
Total : - - - - -
Plester 5 yard x 2 inchi DAK 2012

Tahun 2015

IV Catheter no 18 G DAK 2015

Wing Needle no 21 G APBD II 2015

Tahun 2016

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016

Tahun 2017

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2017


- - - - - - - - - -
Alat Suntik Sekali Pakai (TP) 3 cc DAK 2017

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2017

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2017

Folley Catheter 2 way No. 18 DAK 2017

Folley Catheter 2 way No. 20 DAK 2017

Folley Catheter 2 way No. 22 DAK 2017

Handscoen Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017

Handscoen Safeglove PP no 8 (Sterile / Pre Powder) DAK 2017

Infusion Set Anak 60 Drops/Ml With Y Type, Airvent DAK 2017


- - - - - - - - - -
Infusion Set Dewasa 20 Drops/Ml With Y Type, Airvent, DAK 2017

IV Catheter (TERUMO) SR+OX1832C3 (IV Cateter No 18) DAK 2017

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2017

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2017

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2017

Masker Earloop DAK 2017

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017

Wing Needle 21 G DAK 2017

Wing Needle 23 G DAK 2017

Wing Needle 25 G DAK 2017


- - - - - - - - - -
Tahun 2018

Alat Suntik Sekali Pakai (TP) 1 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 3 cc DAK 2018

Alat Suntik Sekali Pakai (TP) 5 cc DAK 2018

Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2018

Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2018

Folley Catheter 2 way No. 18 DAK 2018

Folley Catheter 2 way No. 20 DAK 2018

Folley Catheter 2 way No. 22 DAK 2018

Handscoen Safeglove PP Steril no 7,0 DAK 2018


- - - - - - - - - -
Handscoen Safeglove PP Steril no 7,5 DAK 2018

Handscoen Safeglove PP Steril no 8 DAK 2018

Infusion Set Anak (60 drops/ml) DAK 2018

Infusion Set Dewasa (20 drops/ml) DAK 2018

Povidone Iodine 30 ml DAK 2018

Povidone Iodine 300 ml DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 18) DAK 2018

IV Catheter (TERUMO) SR+OX2032C3 (IV Cateter No 20) DAK 2018

IV Catheter (TERUMO) SR+OX2225C3 (IV Cateter No 22) DAK 2018

IV Catheter (TERUMO) SR+OX2419C3 (IV Cateter No 24) DAK 2018


- - - - - - - - - -
Kapas Adsorben 250g DAK 2018

Kasa Hidrofil 36m/ 40 yard x 80 cm DAK 2018

Kasa hydrophil Steril 16 x 16 DAK 2018

Masker Earloop DAK 2018

Pembalut Elastis 7,5 cm x 4,55 m DAK 2018

Pharmafix 5cm x 500cm DAK 2018

Plester 5 cm x 5 m DAK 2018

Rivanol 300 ml DAK 2018

Silk 2/0 + jarum 1/2 GT 35 mm DAK 2018

Urine Bag Standard Steril 2 Lt (T Valve) DAK 2018


- - - - - - - - - -
Verban 4 Yard x 10 cm DAK 2018

Verban 4 Yard x 5 cm DAK 2018

Wing needle No.23 DAK 2018

Wing needle No.25 DAK 2018

Wing needle No.27 DAK 2018

Tahun 2019

Abocath / IV Catheter no 18 G DAK 2019

Abocath / IV Catheter no 20 G DAK 2019

Abocath / IV Catheter no 22 G DAK 2019

Abocath / IV Catheter no 24 G DAK 2019


- - - - - - - - - -
Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 3 ml (syringe pump) DAK 2019

Alat Suntik sekali pakai 5 ml (syringe pump) DAK 2019

Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2019

Catgut/Benang Bedah No. 3/0 dengan jarum DAK 2019

Elastis bandage 7,4cm x 4,5m DAK 2019

Foley Catheter no 18 DAK 2019

Foley Catheter no 20 DAK 2019

Foley Catheter no 22 DAK 2019

Handschoon (Sarung tangan) no. 7 DAK 2019


- - - - - - - - - -
Handschoon (Sarung tangan) no. 7,5 DAK 2019

Handschoon (Sarung tangan) no. 8 DAK 2019

Hypafix 10cm x 5 m DAK 2019

Infusion set anak DAK 2019

Infusion set dewasa DAK 2019

Jarum Kulit DAK 2019

Jarum Otot DAK 2019

Kapas Pembalut Adsorben 250 gram DAK 2019

Kasa Hidrofil 36 m x 80 cm DAK 2019

Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2019


- - - - - - - - - -
Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2019

Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2019

Masker Bedah DAK 2019

Plester 5 yard x 2 inchi DAK 2019

Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm DAK 2019

Urine Bag Standard Steril DAK 2019

Wing Needle no 21 G DAK 2019

Wing Needle no 23 G DAK 2019

Wing Needle no 25 G DAK 2019

Wing Needle no 27 G DAK 2019


- - - - - - - - - -
Obat Emergency

Tahun 2016

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016

Jarum Kulit APBD II 2016

Jarum Otot APBD II 2016

Minyak Telon 60 ml APBD II 2016

Obat Flu kombinasi (Demacolin) APBD II 2016

Oksigen tabung (Oxycan) APBD II 2016

Pisau Operasi APBD II 2016

Tahun 2017
- - - - - - - - - -
Alkohol 70% 300 ml APBD II 2017

Asam Traneksamat injeksi 250 mg APBD II 2017

Asam Traneksamat tablet 500 mg APBD II 2017

Dulcolax strip @4 tablet APBD II 2017

Elastis bandage 7,4cm x 4,5m APBD II 2017

Hand sanitizer 50 ml APBD II 2017

Hansaplast sachet @100 sachet APBD II 2017

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2017

Perhidrol (Larutan H2O2 3%) APBD II 2017

Minyak kayu putih 60 ml APBD II 2017


- - - - - - - - - -
Minyak Telon 60 ml APBD II 2017

Oksigen tabung (Oxycan) APBD II 2017

Scabimite cream 10g APBD II 2017

Serum anti bisa ular injeksi 5ml APBD II 2017

Serum anti tetanus 1.500 iu/amp APBD II 2017

Tahun 2018

Alkohol 70% 300 ml APBD II 2018

Asam Traneksamat tablet 500 mg APBD II 2018

Counterpain crm 15 g APBD II 2018

Diklofenak dietilammon Crm (Voltaren crm) APBD II 2018


- - - - - - - - - -
Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2018

Jarum Kulit APBD II 2018

Jarum Otot APBD II 2018

Komb B complek + vit c 500mg (selcom) APBD II 2018

Minyak kayu putih 60 ml APBD II 2018

Minyak Telon 60 ml APBD II 2018

Obat Flu kombinasi (Demacolin) APBD II 2018

Oksigen tabung (Oxycan) APBD II 2018

Plester rol kain 1.25cm x 5m APBD II 2018

Pisau Operasi APBD II 2018


- - - - - - - - - -
Scabimite cream 10 gr APBD 2018

Serum anti bisa ular injeksi 5ml APBD II 2018

Serum anti tetanus 1.500 iu/amp APBD II 2018

Tahun 2019

Alkohol 70% 300 ml APBD II 2019

Asam Tranexamat inj 250 mg APBD II 2019

Asam Tranexamat tablet 500 mg APBD II 2019

Counterpain crm 15 g APBD II 2019

Dulcolax strip @4 tablet APBD II 2019

Dumin 125 mg rectal APBD II 2019


- - - - - - - - - -
Elastis bandage 7,4cm x 4,5m APBD II 2019

Etil Klorida Spray APBD II 2019

H2O2 3% 100ml APBD II 2019

Hand sanitizer 100 ml APBD II 2019

Hand sanitizer 50 ml APBD II 2019

Hansaplast sachet @100 sachet APBD II 2019

Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2019

Komb B complek + vit c 500mg (Selcom C) APBD II 2019

Minyak kayu putih 60 ml APBD II 2019

Minyak Telon 60 ml APBD II 2019


- - - - - - - - - -
Multivitamin (Prenatin-plus) APBD II 2019

Obat Flu kombinasi (Demacolin) APBD II 2019

Oksigen tabung (Oxycan) APBD II 2019

Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2019

Plester rol kain 1.25cm x 5m APBD II 2019

Scabimite cream 10g APBD II 2019

Serum Anti Bisa Ular inj 5 ml APBD II 2019

Serum Anti Tetanus 1.500 iu/ampul APBD II 2019

Voltaren gel 10 g APBD II 2019

Obat Generik
- - - - - - - - - -
Tahun 2012

Magnesium Sulfat inj (IV) 20% DAK 2012

Tahun 2013

Asiklovir tablet 200 mg SILVA 2013

Isoniazid tablet 100 mg SILVA 2013

15
Tahun 2014

Diltiazem HCl tablet 30 mg DAK 2014

Tahun 2016

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2016

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,


Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016
- - - - 15 - - - - -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg DAK 2016

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016

Asiklovir tablet 200 mg DAK 2016

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016

Deksametason tablet 0,5 mg DAK 2016

Digoksin 0,25 mg DAK 2016

Domperidon suspensi/sirup 5 mg/5 ml DAK 2016

Domperidon tablet/kapsul/kaplet 10 mg DAK 2016

Fenitoin kapsul 100 mg JIWA APBD II 2016


- - - - - - - - - -
Glukosa larutan infus 5% steril DAK 2016

Isoniazid tablet 100 mg PROV 2016

Kalsium Hidroksida pasta APBD II 2016

Kloramfenikol salep mata 1% DAK 2016

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016

Magnesium Sulfat inj (IV) 20% PROV 2016

Magnesium Sulfat inj (IV) 40% PROV 2016

Metoklopramide sirup 5 mg/ 5 ml DAK 2016

Natrium Klorida larutan infus 0,9% APBD II 2016


- - - - - - - - - -
Nifedipin tablet 10 mg DAK 2016

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016

Povidone Iodine 60 ml DAK 2016

Povidone Iodine larutan 10% 300 ml DAK 2016

Propanolol tablet 10 mg (HCL) DAK 2016

Ranitidin injeksi 25 mg/2 ml DAK 2016

Retinol (Vitamin A) 100.000 iu Prov. 2016

Retinol (Vitamin A) 200.000 iu Prov. 2016

Ringer Laktat DAK 2016

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016


- - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016

Siprofloksasin tab scored 500 mg DAK 2016

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016

Tahun 2017

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017

Albendazol tablet 400 mg PROV 2017

Alopurinol 100 mg DAK 2017

Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017

Amoksisilin sirup kering 125 mg/5 ml DAK 2017

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2017
- - - - - - - - - -
Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2017

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2017

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017

Asiklovir tablet 200 mg DAK 2017

Asiklovir tablet 400 mg DAK 2017

Attapulgit tablet 600 mg DAK 2017

Bedak Salisil serbuk 2% DAK 2017

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017

Deksametason tablet 0,5 mg DAK 2017


- - - - - - - - - -
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017

Digoksin 0,25 mg DAK 2017

Doksisiklin 100 mg DAK 2017

Domperidon suspensi/sirup 5 mg/5 ml DAK 2017

Domperidon tablet/kapsul/kaplet 10 mg DAK 2017

Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017

Garam Oralit I PROV 2017

Gentamisin tetes mata 0,3% DAK 2017

Glukosa larutan infus 10% DAK 2017


- - - - - - - - - -
Hidroklortiazid tablet 25 mg DAK 2017

Hidrokortison krim 2,5 % DAK 2017

Ibuprofen 400 mg Tablet DAK 2017

Isoniazid tablet 100 mg PROV 2017

Kalsium Hidroksida pasta APBD II 2017

Kalsium glukonas injeksi PROV 2017

Kaptopril tablet 25 mg DAK 2017

Karbamazepin tablet 200 mg JIWA APBD II 2017

Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017

Kloramfenikol kapsul 500 mg DAK 2017


- - - - - - - - - -
Kloramfenikol salep mata 1% DAK 2017

Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200


mg + Trimetoprim 40 mg DAK 2017

Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80


mg DAK 2017

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2017

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017

Lidokain Injeksi 2% (HCL) DAK 2017

Magnesium sulfat injeksi 40% DAK 2017

Metformin HCl tablet 500 mg DAK 2017

Metilergometrin Maleat injeksi 0,2 mg/ml DAK 2017

Metilprednisolon tablet 4 mg DAK 2017


1
- 1 - - - - - - - -
Metoklopramide sirup 5 mg/ 5 ml DAK 2017

Metoklopramide tablet 10 mg DAK 2017

10
Metronidazol kaptab 500 mg DAK 2017

Natrium diklofenak tablet 50 mg DAK 2017

Natrium Klorida larutan infus 0,9% APBD II 2017

Nifedipin tablet 10 mg DAK 2017

Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Obat Kusta Dewasa MB PROV 2017

Obat TB FDC Katagori I PROV 2017

Oksitosin inj 10 IU/ml DAK 2017


- 10 - - - - - - - -
Parasetamol tablet 500 mg DAK 2017

10
10
10
10
Povidone Iodine 60 ml DAK 2017

Ranitidin injeksi 25 mg/2 ml DAK 2017

Ranitidin tablet 150 mg DAK 2017

Retinol (Vitamin A) 100.000 iu Prov. 2017

Retinol (Vitamin A) 200.000 iu Prov. 2017

Ringer Laktat DAK 2017

Salbutamol tablet 2 mg (sebagai Sulfat) DAK 2017

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017


10

10

10
10
10

10

10
10

10
10

10

10

10

10
10
10
10

10
10
230 - - - - - - - - -
Sefadroksil kapsul 500 mg DAK 2017

Sefadroksil Sirup Kering 125 mg/5ml DAK 2017

Sefotaksim serb inj 1.000 mg DAK 2017

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017

Simvastatin scored tablet 10 mg DAK 2017

Siprofloksasin tab scored 500 mg DAK 2017

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2017

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017

Vitamin B kompleks tablet DAK 2017


- - - - - - - - - -
Tahun 2018

Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2018

Albendazol tablet 400 mg PROV 2018

Alopurinol tablet 100 mg DAK 2018

Alopurinol tablet 300 mg DAK 2018

Ambroksol sirup 15 mg/5 ml DAK 2018

Ambroksol tablet 30 mg DAK 2018

10
4
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2018

Amoksisilin sirup kering 125 mg/5 ml DAK 2018

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg


Magnesium Hidroksida 200 mg DAK 2018
1

1
1

1
- - - - - 8 16 - - -
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml,
Magnesium Hidroksida 200 mg/ 5 ml. DAK 2018

Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg


lidokain 10 mg seng oksida 120 mg DAK 2018

Anti Bakteri DOEN salep kombinasi DAK 2018

1
Antifungi DOEN DAK 2018

Antimigren: kombinasi ergotamin 1 mg + kofein 50 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 80 mg DAK 2018

Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 50 mg DAK 2018

Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2018

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2018


1

1
- - 3 - - - - - - -
Asam Folat tablet/kapsul/kaplet 1 mg DAK 2018

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2018

Asiklovir tkrim 5% DAK 2018

Asiklovir tablet 200 mg DAK 2018

Asiklovir tablet 400 mg DAK 2018

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2018

Atropin (Sulfat) tetes mata 0,5% DAK 2018

Attapulgit tablet 600 mg DAK 2018

Betahistin tablet 6mg DAK 2018

Betametason krim 0,1 % (sebagai valerat) DAK 2018


- - - - - - - - - -
Bisoprolol Fumarate tablet 5 mg DAK 2018

Combivent nebules DAK II 2018

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2018

Deksametason tablet 0,5 mg DAK 2018

Difenhidramin Injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2018

Digoksin 0,25 mg DAK 2018

Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2018

Doksisiklin 100 mg DAK 2018

Domperidon suspensi/sirup 5 mg/5 ml DAK 2018

Domperidon tablet/kapsul/kaplet 10 mg DAK 2018


1
- - - - - - - - 1 -
Ephinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2018

Eritromisin sirup kering 200 mg/ 5 ml DAK 2018

Fenitoin kapsul 100 mg JIWA APBD II 2018

Fenol Glycerol Tetes Telinga 10%

Fitomenadion (Vit K) inj 10 mg/ml PROV 2018

Fitomenadion (Vit K1) tablet 10 mg DAK 2018

Furosemid Injeksi 10 mg / ml DAK 2018

Furosemid Injeksi tablet 40 mg DAK 2018

Garam Oralit I PROV 2018

Gentamisin salep kulit 0,1% DAK 2018


10

10
- - - - - - - 20 - -
Gentamisin salep mata 0,3% DAK 2018

Gentamisin tetes mata 0,3% DAK 2018

Gentian Violet larutan 1 % DAK 2018

Glibenklamide tablet DAK 2018

10
10
Glimepiride tablet 1 mg DAK 2018

Gliquidon tablet 30 mg DAK 2018

Gliseril Guayakolat tablet 100mg DAK 2018

Glukosa larutan infus 5% steril DAK 2018

Griseofulvin tablet 125 ml DAK 2018

Hidroklortiazid tablet 25 mg DAK 2018


20

10

10
- - - 60 - - - - - -
Hidrokortison krim 2,5 % DAK 2018

Hiosin butilbromida Injeksi DAK 2018

Ibuprofen Syrup 100 mg / 5 ml DAK 2018

Ibuprofen 400 mg Tablet DAK 2018

Ibuprofen 200 mg Tablet DAK 2018

Isoniazid tablet 100 mg PROV 2018

Kalsium Hidroksida pasta APBD II 2018

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2018

Kaptopril tablet 25 mg DAK 2018

Karbamazepin tablet 200 mg JIWA APBD II 2018


1
1
2 - - - - - - - - -
Ketokonazol tablet 200 mg DAK 2018

Ketoprofen Supp 100 mg DAK 2018

Ketorolak inj 30 mg/ml DAK 2018

Kloramfenikol salep mata 1% DAK 2018

Kloramfenikol suspensi 125 mg/ 5 ml DAK 2018

Kloramfenikol tablet 500 mg/ 5 ml DAK 2018

Kloramfenikol tablet 250 mg/ 5 ml DAK 2018

Kloramfenikol tetes telinga 3% DAK 2018

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2018

10
2

1
10
4
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
DAK 2018
10

10

10
3
1

10

10

10

10
- - - 1 - - - 1 102 -
Lidokain Injeksi 2% + Epineprin 1:80.000 (HCL) DAK 2018

Lidokain Injeksi 2% (HCL) DAK 2018

Loperamid tablet 2 mg DAK 2018

Loratadin tablet 10 mg DAK 2018

Magnesium Sulfat Injeksi 40% DAK 2018

Metformin HCl tablet 500 mg DAK 2018

20
20
Metilergometrin Maleat Injeksi 0,2 mg/ml DAK 2018

Metilergometrin Maleat tablet 0,125 mg DAK 2018

Metilprednisolon tablet 4 mg DAK 2018

Metoklopramide sirup 5 mg/ 5 ml DAK 2018


10

20

20

20
- - - - - 110 - - - -
Metronidazol kaptab 500 mg DAK 2018

Metronidazol syrup 125 mg / 5ml DAK 2018

Mikonazol krim/salep 2 % (Nitrat ) DAK 2018

N-asetil tablet 200 mg DAK 2018

Natrium diklofenak tablet 25 mg DAK 2018

Natrium diklofenak tablet 50 mg DAK 2018

10
Natrium Klorida larutan infus 0,9% APBD II 2018

Nifedipin tablet 10 mg DAK 2018

Nistati vaginal tablet 100.000 UI DAK 2018

Obat Kusta Dewasa MB PROV 2018


10

10
- - 1 - - 30 - - - -
Obat TB FDC Katagori I PROV 2018

Obat TB FDC Katagori II PROV 2018

Obat TB FDC Kategori Anak PROV 2018

Oksitetrasiklin 1% salep mata DAK 2018

Oksitosin inj 10 IU/ml DAK 2018

Omeprazol kapsul/kaplet 20 mg DAK 2018

Parasetamol syrup 120 mg / 5ml DAK 2018

Parasetamol tablet 500 mg DAK 2018

Parasetamol drop 100 mg / ml DAK 2018

Pirantel Palmoat Syrup 125 mg/ 5 ml DAK 2018


- - - - - - - - - -
Pirantel tablet score (base) 125 mg DAK 2018

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2018

Piroksikam tablet 20 mg DAK 2018

Povidone Iodine 60 ml DAK 2018

Prednison tablet 5 mg DAK 2018

Prokain Benzyl Penisilin inj PROV 2018

Propanolol tablet 10 mg (HCL) DAK 2018

Propanolol tablet 40 mg (HCL) DAK 2018

Propiltiourasil tablet 100 mg DAK 2018

Ranitidin injeksi 25 mg/2 ml DAK 2018


- - - - - - - - - -
Ranitidin tablet 150 mg DAK 2018

5
5
Retinol (Vitamin A) 100.000 iu Prov. 2018

Retinol (Vitamin A) 200.000 iu Prov. 2018

Ringer Laktat DAK 2018

Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2018

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2018

Salbutamol MDI/Aerosol 100 mcg/dosis DAK 2018

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2018

Salisil Bedak 2% DAK 2018

Sefadroksil tablet 500 mg DAK 2018


1

5
5
10

5
35 - - - - - - - 1 10
Sefadroksil syrup 125 mg/ 5ml DAK 2018

Sefiksim Syrup 100 mg / 5ml DAK 2018

Sefiksim tablet 100 mg DAK 2018

Sefotaksim serb inj 1.000 mg DAK 2018

Seftriakson Injeksi 1000 mg DAK 2018

Setirizin sirup 5 mg/5 ml DAK 2018

Setirizine tablet 10 mg DAK 2018

Simetidin tablet 200 mg DAK 2018

Simvastatin scored tablet 10 mg DAK 2018

Siprofloksasin tab scored 500 mg DAK 2018

10
10

10
10
- - - - - - 20 - - 20
Spironolakton tablet 25 mg DAK 2018

Spironolakton tablet 100 mg DAK 2018

Tablet Tambah Darah/Sulfas Ferrosus Prov. 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2018

Tiamfenikol tablet 500 mg DAK 2018

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2018

Vitamin B kompleks tablet DAK 2018

Zink tablet 20 mg tablet PROV 2018

10
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2018

Tahun 2019
5

20

5
10
5

5
5
- - 20 - - - 50 25 - -
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2019

Albendazol Syr 200 mg / 5ml DAK 2019

Albendazol tablet 400 mg DAK 2019

Allopurinol tablet 100 mg DAK 2019

Allopurinol tablet 300 mg DAK 2019

Ambroxol sirup 15 mg/5 ml DAK 2019

Ambroxol tablet 30 mg DAK 2019

Amoksisilin kaplet 500 mg DAK 2019

Amoksisilin sirup kering 125 mg/ 5 ml DAK 2019

Ampisislin injeksi 1000 mg DAK 2019


- - - - - - - - - -
Antalgin (Metampiron) injeksi 250 mg/ml DAK 2019

Antalgin (Metampiron) tablet 500 mg DAK 2019

Antasida DOEN I tablet kunyah kombinasi DAK 2019

Antasida DOEN II suspensi kombinasi DAK 2019

Anti Bakteri DOEN salep kulit kombinasi DAK 2019

Antifungi DOEN salep kulit DAK 2019

Antihemoroid DOEN Kombinasi (supositoria) DAK 2019

Antimigren: Ergotamin Tartrat + Kofein DAK 2019

Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 100 mg DAK 2019


- - - - - - - - - -
Asam Askorbat (Vitamin C) tablet 250 mg DAK 2019

Asam Askorbat (Vitamin C) tablet 50 mg DAK 2019

Asam Folat tablet 1 mg DAK 2019

Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2019

Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2019

Asiklovir krim 5 % DAK 2019

Asiklovir tablet 400 mg DAK 2019

Asiklovir tablet 200 mg DAK 2019

Atapulgit tablet 600 mg DAK 2019

Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2019


- - - - - - - - - -
Atropin sulfat tetes mata 0,5% DAK 2019

Betahistin Mesilat tablet 6 mg DAK 2019

Betametason krim 0,1 % (sebagai valerat) DAK 2019

Bisoprolol tablet 5 mg DAK 2019

Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2019

Deksametason tablet 0,5 mg DAK 2019

Dietilkarbamazin Sitrat 100 mg DAK 2019

Difenhidramin inj. 10 mg/ml - 1 ml DAK 2019

Digoksin tablet 0,25 mg DAK 2019

Diltiazem HCl tablet 30 mg DAK 2019


- - - - - - - - - -
Dimenhidrinat tablet 50 mg DAK 2019

Doksisiklin tablet 100 mg DAK 2019

Domperidon suspensi/sirup 5 mg/5 ml DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg DAK 2019

Efedrin tablet 25 mg DAK 2019

Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) DAK 2019

Eritromisin kapsul / kaplet 500 mg DAK 2019

Eritromisin sirup 200 mg/5 ml DAK 2019

Etakridin (Rivanol) larutan 0,1% DAK 2019

Fenilbutason tablet 200 mg DAK 2019


PE
- - - - - - - - - -
Fenol Gliserol tetes telinga 10% DAK 2019

Fitomenadion (Vit K) inj 10 mg/ml DAK 2019

Fitomenadion (Vit. K1) tablet 10 mg DAK 2019

Furosemid injeksi i.v / im 10 mg/ml DAK 2019

Furosemid tablet 40 mg DAK 2019

Garam Oralit I serbuk DAK 2019

Gentamisin injeksi 40 mg/ ml DAK 2019

Gentamisin Salep Kulit 0,1 % DAK 2019

Gentamisin Sulfat Salep Mata 0,3 % DAK 2019

Gentamisin Sulfat Tetes Mata 0,3 % DAK 2019


PENGELUARAN
- - - - - - - - - -
AN
Gentian Violet larutan 1 % DAK 2019

Glibenklamid tablet 5 mg DAK 2019

Glimepiride tablet 1 mg DAK 2019

Gliquidon tablet 30 mg DAK 2019

Gliseril Guayakolat tablet 100 mg DAK 2019

Glukosa larutan infus 5% steril DAK 2019

Glukosa larutan infus 10% steril DAK 2019

Glukosa larutan infus 40% steril DAK 2019

Griseofulvin tablet 125 mg DAK 2019

Hidroklortiazid tablet 25 mg DAK 2019


- - - - - - - - - -
Hidrokortison krim 2,5 % DAK 2019

Hiosina butilbromida Injeksi DAK 2019

Ibuprofen Syrup 100 mg DAK 2019

Ibuprofen tablet 200 mg DAK 2019

Ibuprofen tablet 400 mg DAK 2019

Isoniasid tablet 100 mg DAK 2019

Isosorbid Dinitrat tablet sublingual 5 mg DAK 2019

Kalsium Glukonat Injeksi 200 mg DAK 2019

Kalsium Laktat (Kalk) tablet 500 mg DAK 2019

Kaptopril tablet 12,5 mg DAK 2019


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Kaptopril tablet 25 mg DAK 2019

Ketokonazol tablet 200 mg DAK 2019

Ketoprofen injeksi 100 mg DAK 2019

Ketoprofen Supp 100 mg DAK 2019

Ketoprofen tablet 100 mg DAK 2019

Ketorolak injeksi 30 mg/ml DAK 2019

Kloramfenikol Injeksi 1000 mg / vial DAK 2019

Kloramfenikol kapsul 250 mg DAK 2019

Kloramfenikol kapsul 500 mg DAK 2019

Kloramfenikol salep mata 1% DAK 2019


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Kloramfenikol suspensi 125 mg / 5 ml DAK 2019

Kloramfenikol tetes telinga 3 % DAK 2019

Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2019

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg


(Combivent Nebulle) DAK 2019

Kotrimoksazol DOEN I komb 480 mg

Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2019

Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg


DAK 2019

Kotrimoksazol Suspensi kombinasi 240 mg/5 ml

Lidokain Injeksi 2% (HCL) DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2019


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Loperamid tablet 2 mg DAK 2019

Loratadin tablet 10 mg DAK 2019

Magnesium Sulfat inj (IV) 20% DAK 2019

Magnesium Sulfat inj (IV) 40% DAK 2019

Magnesium sulfat serbuk 30 gram DAK 2019

Mebendazol Syr 100 mg / 5ml DAK 2019

Mebendazol tablet 500 mg DAK 2019

Meloksikam suppositoria DAK 2019

Meloksikam tablet 15 mg DAK 2019

Menadion (Vit. K3) injeksi 10 mg/ml DAK 2019


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Metformin HCI tablet 500 mg DAK 2019

Metilergometrin Maleat injeksi 0,200 mg DAK 2019

Metilergometrin Maleat tablet 0,125 mg DAK 2019

Metilprednisolon Injeksi 500 mg DAK 2019

Metilprednisolon tablet 4 mg DAK 2019

Metoklopramide sirup 5 mg/ 5 ml DAK 2019

Metoklopramide tablet 10 mg DAK 2019

Metronidazol Infus 500 mg/100ml DAK 2019

Metronidazol kaptab 500 mg DAK 2019

Metronidazol Syr 125 mg / 5ml DAK 2019


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Mikonazol krim/salep 2 % (Nitrat ) DAK 2019

Na. Thiroxin tablet 100 mcg DAK 2019

n-asetil sistein tablet 200 mg DAK 2019

Natrium Bikarbonat tablet 500 mg DAK 2019

Natrium Diklofenak tablet 25 mg DAK 2019

Natrium Diklofenak tablet 50 mg DAK 2019

Natrium Klorida larutan infuse 0.9 % DAK 2019

Nifedipin tablet 10 mg DAK 2019

Nistatin vaginal tablet 100.000IU/g DAK 2019

Obat Batuk Hitam (OBH) cairan DAK 2019


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Oksitetrasiklin HCL salep mata 1 % DAK 2019

Oksitetrasiklin salep kulit 3% DAK 2019

Oksitetrasiklin salep mata 1% DAK 2019

Oksitosin injeksi 10 iu / ml - 1 ml DAK 2019

Omeprazol kapsul/kaplet 20 mg DAK 2019

Papaverin injeksi 40 mg/ml DAK 2019

Papaverin tablet 40 mg DAK 2019

Parasetamol drops DAK 2019

Parasetamol sirup 120 mg/5ml DAK 2019

Parasetamol tablet 100 mg DAK 2019


- - - - - - - - - -
Parasetamol tablet 500 mg DAK 2019

Pirantel suspensi 125 mg/5 ml DAK 2019

Pirantel tablet score (base) 125 mg DAK 2019

Pirantel tablet score (base) 250 mg DAK 2019

Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2019

Piroksikam kapsul/kaplet/tablet 20 mg DAK 2019

Piroksikam tablet 10 mg DAK 2019

Povidon Iodin larutan 10% 15ml DAK 2019

Povidon Iodin larutan 10% 30ml DAK 2019

Povidon Iodin larutan 10% 60 DAK 2019


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Povidon lodida larutan 10 % 300 ml DAK 2019

Prednison tablet 5 mg DAK 2019

Propanolol tablet 10 mg (HCL) DAK 2019

Propanolol tablet 40 mg (HCI) DAK 2019

Propiltiourasil tablet 100 mg DAK 2019

Ranitidin injeksi 25 mg/2 ml DAK 2019

Ranitidin tablet 150 mg DAK 2019

Retinol (Vitamin A ) kapsul lunak 100.000 IU DAK 2019

Retinol (Vitamin A) kapsul lunak 200.000 iu DAK 2019

Ringer Laktat larutan infus steril DAK 2019


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Salbutamol cairan ih 0,1% (Ventolin nebulle) DAK 2019

Salbutamol MDI (Ventolin inhaler) DAK 2019

Salbutamol tablet 2 mg (sebagai sulfat) DAK 2019

Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2019

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap DAK 2019

Salisil Bedak 2% DAK 2019

Sefadroksil kapsul/kaplet 500 mg DAK 2019

Sefadroksil sirup kering 125 mg/5ml DAK 2019

Sefixime capsul 100 mg DAK 2019

Sefixime sirup 100 mg/5 ml DAK 2019


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Sefotaksim injeksi 1 g DAK 2019

Seftriakson injeksi 1 g DAK 2019

Setirizin sirup 5 mg/5 ml DAK 2019

Setirizin tablet DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2019

Simetidin tablet 200 mg DAK 2019

Simvastatin scored tablet 10 mg DAK 2019

Siprofloksasin 500 mg DAK 2019

Spironolakton tablet 100 mg DAK 2019

Spironolakton tablet 25 mg DAK 2019


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Tablet Tambah Darah/Sulfas Ferrosus DAK 2019

Tetrakain HCl tetes mata 0,5% DAK 2019

Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2019

Tiamfenikol kapsul /kaplet 500mg DAK 2019

Tiamin (Vitamin B1) Injeksi 100 mg/ml DAK 2019

Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2019

Tramadol capsul 50 mg DAK 2019

Vitamin B kompleks tablet DAK 2019

Zink tablet 20 mg DAK 2019

Obat HIV
- - - - - - - - - -
5(ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015

5Efavirenz (EFV) 600 mg Hiv. 2015

5Lamivudine (3TC) 150 mg Hiv. 2015

5Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015

5Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015

5Tenofovir (TDF) 300 mg Hiv. 2015

5Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015

Obat Gigi

Tahun 2012

Temporary Stoping Fletcher DAK 2012


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Tahun 2016

Eugenol spray DAK 2016

Monoklorkamfer M