TAHAPAN PTP 2016

1 isi forman 1 -12

2 siapkan hasil PKP tahun 2014
3 siapkan hasil spm 2012, 2013, 2014
4 bikin tabel identifikasi masalah
5 prioritas masalah (USG)
6 bikin tulangg ikan (FISH BONE)
7 prioritas penyebab masalah (NGT)
8 prioritas pemecahan masalah (CARL)
9 Tabel pemecahan masalah
10 menyusun RUK
program upaya pokok/wajib
1 PROMOSI KESEHATAN
2 KESEHATAN LINGKUNGAN
3 UPAYA KESEHATAN GIZI
4 KESEHATAN IBU DAN ANAK TERMASUK KELUARGA BERENCANA
5 UPAYA PENCEGAHAN DAN PEMBERANTASAN PENYAKIT MENULAR
6 PENGOBATAN
program upaya pengembangan
1 PUSKESMAS DENGAN RAWAT INAP
2 UPAYA KESEHATAN USILA
3 KESEHATAN JIWA
4 PENCEGAHAN PENANGGULANGAN PENYAKIT GIGI
5 PERAWATAN KESEHATAN MASYARAKAT
6 BINA KESEHATAN TRADISIONAL
7 UPAYA PEMBERDAYAAN MASYARAKAT DALAM PHBS
8 UPAYA PENGEMBANGAN UKBM
9 UPAYA PERBAIKAN GIZI
10 KESEHATAN KERJA
11 menyusun RPK
1 menyusun POA (BOK)
2 menyusun RKA (kapitasi)
3 menyusun RAB (operasional)
4 DPA sumber dana DAU program
12 Pembuatan Dokumen Perencanaan Tingkat Puskesmas
13 setiap kegiatan harus ada TOR dan SK pelaksana jika diperlukan
 IDENTIFIKASI MASALAH PELAYANAN KEFARMASIAN 2018
1.       Pasien tidak mendapatkan konseling obat secara lengkap
2.       Ketersediaan obat tidak mencukupi kebutuhan pengobatan di puskesmas
3.       Kurang sarana / media penyuluhan
4.       Pencatatan dan pelaporan yang kurang lengkap

MENETAPKAN URUTAN PRIORITAS MASALAH DENGAN USG

PUSKESMAS OMBEN
KURANG
KONSELING KETERSEDIAAN
NO KRITERIA MEDIA
TIDAK LENGKAP OBAT PENYULUHAN
1 U ( URGENCY ) 2 4 1
2 S ( SERIOUSNESS ) 2 4 1
3 G ( GROWTH ) 1 4 3
TOTAL ( UxSxG ) 4 64 3

MENENTUKAN PENYEBAB MASALAH

1.       Tidak semua pasien mendapatkan konseling obat
·         Petugas lupa memberikan konseling obat dengan lengkap
·         Petugas lupa mencatat pasien yang mendapatkan konseling obat
·         Pengetahuan petugas tentang informasi obat masih kurang
2.       Ketersediaan obat tidak mencukupi kebutuhan pengobatan di puskesmas
·         Peningkatan jumlah pasien yang berobat
·         RKO obat yang tidak terpenuhi oleh GFK Kab Sampang
3.       Kurangnya sarana / media penyuluhan
·         Belum tersedia leaflet tentang informasi obat
·         Belum tersedia lembar balik informasi obat
4.       Pencatatan dan Pelaporan
·         Kelalaian dalam pencatatan
·         Kurangnya petugas pencatatan dan pelaporan obat
018

PENCATATAN
DAN
PELAPORAN
3
3
2
18
 MATRIK RENCANA USULAN KEGIATAN UPAYA KESEHATAN WAJIB / POKOK
TAHUN 2019
PROGRAM/PELAYANAN : KEFARMASIAN
KEBUTUHAN SUMBER DAYA INDIKATOR SUMBER
NO UPAYA KESEHATAN KEGIATAN TUJUAN SASARAN TARGET
DANA ALAT TENAGA KEBERHASILAN PEMBIAYAAN

1 pelayanan kefarmasian penyediaan obat memenuhi pasien % ketersediaan pembelian obat dan terlampir Rp900,779,884 ketersediaan obat PKD/JKN
kebutuhan obat obat ≥ 90% BHP terpenuhi

pelatihan / workshop memberikan

2 pelayanan kefarmasian pelayanan informasi penjelasan KIE obat petugas konseling PIO ≥ 90% pelatihan PIO Rp. 3.000.000 target konseling
PIO 90%
obat pada pasien
 RENCANA KEBUTUHAN OBAT 2019 PUSKESMAS OMBEN
DINAS KESEHATAN KABUPATEN SAMPANG
KETERAN
HARGA GAN
NOMER NAMA OBAT DAN PERBEKALAN KESEHATAN SATUAN RKO HARGA TOTAL
PERKEMASAN

1 2 3 5 6 7 8
A. NAMA OBAT
1 Albendazol suspensi 200 mg/5 ml Botol - 3,849 -
2 Albendazol tablet/kapsul/kaplet 400 mg Tablet - 288 -
3 Alopurinol tablet/kapsul/kaplet 100 mg Tablet 22,560 97 2,188,320
4 Alopurinol tablet/kapsul/kaplet 300 mg Tablet 9,750 210 2,047,500
5 Ambroxol tablet 30 mg Tablet 3,000 203 609,000
6 Aminofilin injeksi 24 mg/ml Ampul 30 3,345 100,350
7 Aminofilin tablet 200 mg Tablet 250 91 22,750
8 Amitriptilin tablet salut 25 mg (HCl) TSS - 143 -
9 Amlodipin tablet 10 mg Tablet 14,145 93 1,315,485
10 Amlodipin tablet 5 mg Tablet 10,905 70 763,350
11 Amoksisilin kapsul/kaplet 250 mg Kaplet 15,725 184 2,893,400
12 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet 61,625 233 14,358,625
13 Amoksisilin sirup kering 125 mg/ 5 ml Botol 1,020 2,000 2,040,000
14 Amoksisilin sirup kering forte 250 mg/5 ml Botol 1,805 3,400 6,137,000
15 Amoksisilin+Asam Klavulanat 625mg Tablet 675 6,825 4,606,875
16 Ampisilin kaplet 500 mg Kaplet 1,950 625 1,218,750
17 Ampisilin serbuk injeksi im/iv 500 mg/vial Vial 180 9,269 1,668,420
Analgesik Dismenorhea :Hiosine butilbromida 10 mg, Metampiron 250 mg ( Dormi
18 Compositum) Kaplet - 2,798 -

19 Antasida DOEN I tablet kunyah kombinasi: Al. Hidroksida 200 mg + Mag.

Hidroksida 200 mg Tablet 44,305 54 2,392,470

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

Magnesium Hidroksida 200 mg/5 ml Botol 1,642 1,995 3,274,793

21 Anti Bakteri DOEN salep kombinasi ( Basitrasin 500 IU/g + Polimiksin 10.0000
IU/g ) Tube 806 2,516 2,026,638
 Antibakteri tetes mata kandungan Dexamethasone sodium phosphate 1 mg;
22 neomycin sulfate setara dengan neomycin base 3,5 mg; polymixin b sulfate 6000
IU (Alletrol) Botol - 14,450 -
23 Antifungi Doen kombinasi : asam bensoat 6% dan asam salisilat 3% Salep - 4,323 -

24 Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lidokain Suup @ 2

10 mg seng oksida 120 mg gr - 3,045 -
25 Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet - 205 -

26 Antineuritis, kandungan : Metampiron 500 mg, Vit B1 50 mg, Vit B6 100 mg, Vit
B12 100 mcg (Pritagesic) Kaplet - 570 -
27 Aqua Pro injeksi steril bebas pirogen Vial 336 2,032 682,752
28 Asam Asetilsalisilat tablet mg (Asetosal) 80 mg (Miniaspi) Tablet 1,750 99 173,250
29 Asam Asetilsalisilat tablet mg (Asetosal) 100 mg Tablet - 92 -
30 Asam Askorbat (VIT C) tablet 250 mg Tablet - 114 -
31 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 27,535 105 2,891,175
32 Asam Folat tablet 0,4 mg (Profolat) Tablet 3,750 55 206,250
33 Asam Folat tablet 1 mg Tablet 6,750 70 472,500

34
Asam Mefenamat kapsul/kaplet 500 mg Kaptab ss 60,332 103 6,214,196
35 Asam Traneksamat 500 mg Tablet - 1,771 -
36 Asam Traneksamat injeksi 50 mg/ml Ampul 105 2,445 256,725
37 Asiklovir krim 5% Tube 300 3,150 945,000
38 Asiklovir salep mata 3% Tube (12) 19,900 (238,800)
39 Asiklovir tablet/kapsul/kaplet 200 mg Tablet 5,725 249 1,425,525
40 Asiklovir tablet/kapsul/kaplet 400 mg Tablet - 349 -
41 Atenolol Tab 50 mg Tablet - 330 -
42 Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml Ampul 240 1,350 324,000
43 Attapulgit 600 mg + Pektin 50 mg (Atagip) Tablet 3,600 -
44 Attapulgit tablet 600 mg (Pularex, New Antides) Tablet 1,965 136 267,240
45 Bedak salisil serbuk 2% Dus - 1,250 -
46 Benzatin Benzil Penisilin 1,2 juta IU/ vial Vial - 10,700 -
47 Benzatin Benzil Penisilin 2,4 juta UI/ vial Vial - 14,500 -
48 Betahistin Mesilat tablet 6 mg Tablet 6,013 110 661,375
49 Betametason krim 0,1% (sebagai Valerat) Tube 1,630 1,349 2,198,870
50
Bioplacenton kandungan : neomycin sulphate 0.5 % dan placenta extract 10 % Tube - 18,350 -
51 Bisakodil suppositoria 10 mg (Dulcolax supp) Supp 300 5,800 1,740,000
52 Bisakodil suppositoria 10 mg (Stolax supp) Supp - 5,800 -
53 Bisoprolol Tablet 5 mg Tablet - 236 -
54 Bromheksin tablet 8 mg Tablet 900 180 162,000
55 Citicolin 125 mg/mL (Cetivar inj) Ampul - 35,600 -
56 Clozapine tab 25 mg ( Sizoril) Tablet - 8,250 -
57 Clozapine tab 100 mg (Sizoril) Tablet - 17,600 -

Curcuminoid 6 mg, vitamin A 2000 IU, vitamin D 100 IU, vitamin B1 3 mg, vitamin
58 B2 2 mg, vitamin B6 5 mg, vitamin B12 5 mcg, beta karoten 4 mg, lysin 200 mg,
DHA 16 mg/5 ml (Procurma Plus Sirup) Botol - 11,500 -
59 Deksametason injeksi i.v./i.m. 5 mg/ml Ampul 3,903 1,097 4,281,043
60 Deksametason tablet 0,5 mg Tablet 32,460 32 1,038,720
61 Diazepam injeksi 5 mg/ml Ampul 180 1,735 312,300
62 Diazepam larutan rektal 5 mg/2,5 ml (Stesolid) Tube 77 11,517 881,051
63 Diazepam tablet 2 mg Tablet 750 86 64,500
64 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul 5,475 1,095 5,995,125
65 Digoksin tablet 0,25 mg Tablet 1,550 105 162,750
66 Diltiazem HCl tablet 30 mg Tablet 1,350 127 171,450
67 Dimenhidrinat tablet 50 mg Tablet 1,200 140 168,000
68 Doksisiklin tablet/kapsul/kaplet 100 mg Kapsul 1,000 264 264,000
69 Domperidon suspensi/sirup 5 mg/5 ml Botol 225 2,700 607,500
70 Domperidon tablet 10 mg Tablet 2,630 85 223,550
71 Domperidon tetes 5 mg/mL Botol - 15,599 -
72 Dopamin injeksi 40 mg/ml (UDOPA) Ampul - 7,480 -
73 Efedrin tablet 25 mg (HCl) Tablet - 142 -
74 Ekstraks Belladona tablet 10 mg Tablet - -
75 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) Ampul 815 1,408 1,146,816
76 Eritromisin kapsul 250 mg Tablet 1,500 557 835,500
77 Eritromisin kapsul/kaplet 500 mg Kaplet - 750 -
78 Eritromisin sirup 200 mg/5 ml Botol - 6,090 -
79 Etakridin larutan 0,1% Botol 113 7,700 866,250
80 Fenobarbital tablet 30 mg Tablet - 171 -
81 Fitomenadion (Vit. K1) injeksi i.m. 2 mg/ml Ampul 1,652 3,682 6,082,664
82 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablets 12,940 710 9,187,400
83 Fluphenazine Decanoate 25mg/ml inj (Sikzonoate inj) Ampul 405 57,500 23,287,500
84 Furosemid injeksi iv/im 10 mg/ml Amp 500 1,333 666,500
85 Furosemid tablet 40 mg Tablet 7,980 80 638,400
86 Fursultamin 2,5 mg/mL (Furamin inj) Ampul - 10,450 -
87 Gameksan10 mg dan Asam Usnat (Usnic Acid) 10 mg (Scabicid) - 13,425 -

88 Garam Oralit kombinasi : Natrium 0,52 g, Kalium Klorida 0,30 g, Trinatrium Sitrat
dihidrat 0,58 g, Glukosa Anhidrat 2,7 g Sachet 8,229 110 905,190
89 Gemfibrozil kapsul/kaplet 300 mg Kapsul 4,075 380 1,548,500
90 Gentamisin salep kulit 0.1% Tube 429 1,900 815,100
91 Gentamisin salep mata 0,3% (Genoint Salep Mata) Tube 640 2,675 1,712,000
92 Gentamisin tetes mata 0,3% Botol 182 4,232 768,108
93 Gentian violet larutan 1% Botol - 1,600 -
94 Glibenklamid tablet 5 mg Kaptab 16,075 119 1,912,925
95 Glimepiride tablet 1 mg Tablet - 174 -
96 Glimepiride tablet 2 mg Tablet 420 207 86,940
97 Glimepiride tablet 4 mg Tablet 900 270 243,000
98 Gliseril guaiakolat tablet 100 mg Tablet 10,500 44 462,000
99 Gliseril trinitrat tab sublingual 0,5 mg Botol - 1,400 -
100 Glukosa larutan infus 10 % steril Botol (90) 1,500 (135,000)
101 Glukosa larutan infus 40 % steril Botol 126 3,199 403,074
102 Glukosa larutan infus 5 % steril Botol 20 44 880
103 Griseofulvin tablet 125 mg Tablet 12,630 210 2,652,300
104 Haloperidol tablet 5 mg Tablet 72 56 4,032
105 Haloperidol inj 5mg/ml (Lodomer Inj) Ampul - 4,974 -
106 Haloperodol inj 50mg/ml (Haldol Decanoas) Vial - 101,300 -
107 Hidrogen peroksida 3% mg Botol 50 149 7,376
108 Hidroklorotiazida tablet 25 mg (HCT) Tablet 1,500 155 232,500
109 Hidrokortison krim 2,5% Tube 1,709 2,640 4,510,440
110 Hyoscine butylbromide tab 10 mg Tablet - 1,932 -
111 Hyoscine butylbromide (Buscopan Inj) Ampul - 18,090 -
112 Prefilled
Human tetanus imunoglobulinn injeksi i.m. 250 UI (Tetagam) syringe 30 176,800 5,304,000
113 Ibuprofen sirup 100 mg/5 ml Botol 1,001 105 105,053
114 Ibuprofen suspensi 200 mg/5 ml Botol - 4,465 -
115 Ibuprofen tablet 200 mg Tablet 4,500 105 472,500
116 Ibuprofen tablet 400 mg Tablet - 122 -
117 Isosorbit Dinitrat tablet sublingual 5 mg Tablet 900 3,499 3,149,100
118 Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Ampul 245 9,955 2,433,998
119 Kalsium hidrogen pospate 500 mg, kolekalsiferol 133 IU (Cavit D3) Tablet - -
120 Kalsium karbonat tab 500 mg (Calos) Tablet - 4,499 -
121 Kalsium Laktat (Kalk) tablet 500 mg (Novakal tab) Tablet 10,625 59 626,875
122 Kaptopril tablet 12,5 mg Tablet - 62 -
123 Kaptopril tablet 25 mg Tablet 8,825 75 661,875
124 Kaptopril tablet 50 mg Tablet - 124 -
125 Karbamazepin tablet 200 mg Tablet - -
126 Karbogliserin tetes telinga 10% (Fenol) Botol - 2,499 -
127 Ketamin injeksi i.v. 100 mg/ml Vial - 1,100 -
128 Ketokonazol krim 2% Tube 972 2,518 2,447,496
129 Ketokonazol tablet 200 mg Tablet 4,625 270 1,248,750
130 Ketoprofen injeksi 100 mg Ampul - 6,440 -
131 Ketorolac injeksi 10 mg/ml Ampul - 300 -
132 Ketorolac injeksi 30 mg/ml Ampul 2,462 1,045 2,572,790
133 Klindamisin kapsul/kaplet 300 mg Kapsul 6,125 578 3,540,250
134 Kloramfenikol kapsul/kaplet 250 mg Kaplet 10,000 310 3,100,000
135 Kloramfenikol salep mata 1% Tube 1,038 1,881 1,952,478
136 Kloramfenikol suspensi 125 mg/ 5 ml Botol 575 4,700 2,702,500
137 Kloramfenikol tetes telinga 3% Botol - 8,250 -
138 Kloramfenikol tetes telinga 3% (RECO) Botol - 2,200 -
139 Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet 49,100 36 1,767,600
140 Klorpomazin tab sal 100 mg Tablet - 147 -
141 Klorpromazin injeksi im 5 mg/ml - 2 ml (HCL) Ampul 300 1,456 436,800
142 Klorpromazin tablet salut 25 mg (HCL) Tablet - 213 -
143 Kodein tablet 10 mg Tablet 120 550 66,000
144
Kombinasi : Ipratropium bromida inhalasi 0,5 mg ; Salbutamol 2,5 mg (Combivent) Vial - 4,995 -
145 Kombinasi Obat Diare : Kaolin + Pektin (Omegdiar) Tablet - 250 -
146 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg Tablet - 42 -

147 Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32
mg (Cendo Lyteers) Botol - 19,125 -

148 Kotrimoksazole DOEN 1 (dewasa) kombinasi: sulfametaksazol 400 mg,

Trimetoprim 80 mg Tablet 17,080 129 2,203,320

149 Kotrimoksazole DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg

Trimetoprim 20 mg Tablet - 70 -

150 Kotrimoksazole forte tab 960 mg : Sulfamethoxazole 800 mg dan trimethoprim

160 mg Tablet - 299 -

151 Kotrimoksazole suspensi kombinasi : Sulfametoksazole 200 mg + Trimetoprim 40

mg/5 ml 1,476 2,286 3,372,993

152 Kotrimoksazole suspensi kombinasi : Sulfametoksazole 200 mg + Trimetoprim 40

mg/5 ml (Bactrisid Susp) - 7,500 -

153 Kotrimoksazole suspensi kombinasi : Sulfametoksazole 200 mg + Trimetoprim 40

mg/5 ml (Gitri Susp) Botol - 7,500 -

Lacto B : (Lactobacillus acidophilus, Bifidobacterium longun, Streptococcus

154 thermophillus), vit C 10 mg, vit B1 0.5 mg, vit B2 0.5 mg, vit B6 0.5 mg, niacin 2
mg, protein 0.02 g, fat 0.1 g. - 4,780 -
155 Lanzoprazol kapsul/kaplet 30 mg Kapsul 5,040 303 1,527,120

Double
156 Chamber
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan Softbag
elektrolit) 500 ml (Aminofluid) 500 ML - 67,590 -

Plastic
157 Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 Bottle
mEq) / (Asering) 500 ML 584 9,275 5,411,963

Plastic
158 Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat Bottle
2.24 gr, Dekstrosa 27 gr)/ (KA EN 3B) 500 ML 299 10,285 3,070,073
159 Larutan Natrium Klorida larutan infus 0,9 % (500 ml) Bottle 1,605 6,410 10,288,050
160 Lidokain HCl 20 mg + Adrenalin 0,0125 mg-ml (Pehacain) Ampul - -
161 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2 ml Ampul 4,512 1,145 5,166,240
162 Lidokain jeli 2% (Xylocaine Jelly 2%) Syringe - 40,000 -
163 Lidokain semprot 10% (Xylocaine Spray 10 mg / dosis) Botol - 142,000 -
164 Lisinopril tablet 10 mg Tablet - 259 -
165 Lisinopril tablet 5 mg Tablet - 375 -
166 Loperamid tablet 2 mg Tablet 6,660 80 532,800
167 Loratadin tablet 10 mg Tablet 975 123 119,925
168 Magnesium Sulfat inj 40% - 25 ml Vial 440 3,796 1,668,342
169 Magnesium sulfat injeksi 20% Ampul - 350 -
170 Mebendazol sirup 100 mg/5 ml Btl - 2,800 -
171 Mebendazol tablet 100 mg Tablet - -
172 Metamizole injeksi 1g/2ml (Novaldo) Ampul - 9,900 -
173 Metamizole injeksi 1g/2ml (Norages) Ampul 3,415 7,348 25,093,420
174 Metampiron injeksi 250 mg Ampul 4,090 1,600 6,544,000
175 Metampiron tablet 500 mg Tablet 12,195 245 2,987,775
176 Metformin HCl tablet 500 mg Tablet 8,850 96 849,600
177 Metformin HCl tablet 850 mg Kaptab - 150 -
178 Methisoprinol Tablet - 205 -
179 Metildopa 250 mg (Dopamet tablet) Tablet - 946 -
180 Metilergometrin Maleat (Metiergometrin) tablet salut 0,125 mg Ts 10,905 270 2,944,350
181 Metilergometrin Maleat injeksi 0,2 mg - 1 ml Ampul 393 2,959 1,161,408
182 Metilprednisolone tablet 8 mg Tablet 1,500 295 442,500
183 Metilprednisolone tablet 4 mg Tablet 5,557 134 744,638
184 Metoklopramid drop botol 10 mL Botol 300 4,800 1,440,000
185 Metoklopramide sirup 5 mg/5 ml (Lexapram Sirup) Botol 119 108 12,798
186 Metoklopramide tablet 10 mg Tablet - 90 -
187 Metoklopramide tablet 5 mg Tablet 6,300 123 774,900
188 Metoklopramide HCl Inj 5 mg/ml ( Gavistal ) Ampul - 6,160 -
189 Metronidazol infus 500 mg/100 ml Vial 80 8,110 648,800
190 Metronidazol sir 125 mg/5 ml Botol 787 3,800 2,990,600
191 Metronidazol sir 125 mg/5 ml (Novagyl) Botol - 3,800 -
192 Metronidazol supositoria 500 mg Supp - 9,950 -
193 Metronidazol tablet 250 mg Tablet 18,795 90 1,691,550
194 Metronidazol tablet 500 mg Tablet - 124 -
195 Mikonazol krim/salep 2 % (Nitrat) Tube - 3,250 -

Mineral Mix, kombinasi : Kalium Klorida 1792 mg Trikalium sitrat (1H2O) 648 mg
196 Magnesium klorida (6H2O) 608 mg Seng asetat (2H2O) 66 MG Tembaga sulfat
(5H2O) 11 mg Sachet - 2,620 -
197 Minyak Kayu Putih Botol - 12,375 -
198 Moksifloksasin tetes mata 0,5% Botol - 81,000 -

199 Multivitamin Anak : Vit B1 1.5 mg, Vit B2 2 mg, Vit B12 5 mcg, Nicotinamide 20
mg, D-Pantothenol 3 mg, Vit A 5.000 IU, Vit D 400 IU, Vit C 60 mg (Supralysin) Botol - 19,360 -

Multivitamin dan mineral : Vit B1 15 mg, vit B2 10 mg, vit B6 5 mg, vit B12 100
200 mcg, vit C 500 mg, vit E 30 mg, Ca pantothenate 20 mg, nicotinamide 50 mg vit B1
(Becefort) Tablet 3,000 1,540 4,620,000
201 Natrium Diklofenak tablet 50 mg Tablet 12,075 186 2,245,950
202 Nifedipin tab 20 mg, slow release; (Adalat Oros) Tablet - 3,255 -
203 Nifedipin tab 30 mg, oros Tablet 300 110 33,000
204 Nifedipin tablet/kapsul 10 mg Tss - 99 -
205 Nistatin susp 100.000 UI/ml Susp - 3,500 -
206 Nistatin tablet salut 500.000 IU/ g Tablet - 745 -
207 Nistatin vaginal tablet 100.000 IU/ g Tablet 150 560 84,000

208 Obat Batuk Flu kandungan : Dekstrometorphan HBr 10 mg, Gliseril Guaiakolat 50
mg, Fenilpropanolamin HCl 12,5 mg Klorfeniramin Maleat 1 mg (Dextral) Kaplet 15,750 531 8,363,250
209 Obat Batuk Hitam ( O.B.H ) cairan Botol 900 6,085 5,476,500
210 Obat FDC Anak Kapsul - 798 -
211 Obat FDC Anak (Pro TB 3 Kids) Tablet - 4,675 -
212 Obat FDC Anak (Pro TB 2 Kids) Tablet - 3,300 -
213 Obat FDC Kategori 1 Paket - 7,000 -
214 Obat FDC Kategori 2 Paket - 1,297,894 -

215 Obat Flu kandungan : Paracetamol 500 mg, phenylpropanolamine HCl 12.5 mg,
chlorpheniramine maleate 2 mg (Molexflu) Tablet 15,750 414 6,520,500
216 Obat Flu kandungan : Triprolidine HCl 2,5 mg Pseudoephedrine HCl 30 mg
Paracetamol 500 mg (Noza) Tablet - -
217 Oksitetrasiklin HCl injeksi im 50 mg/ml - 10 ml Vial - 3,260 -
218 Oksitetrasiklin HCl salep kulit 3% Tube - 2,000 -
219 Oksitetrasiklin HCl salep mata 1% Tube - 2,835 -
220 Oksitosin injeksi 10 IU/ml - 1 ml (Oxytocin "S") Ampul 1,640 1,199 1,966,360
221 Omeprazole injeksi 40 mg/ 10 ml Vial 1,500 9,898 14,847,000
222 Omeprazole kapsul/kaplet 20 mg Kaplet 7,835 140 1,096,900
223 Ondansetron inj 4 mg/ 2 mL Ampul 3,023 1,070 3,234,075
224 Ondansetron tab 4 mg Tablet - 472 -
225 Ondansetron tablet 8 mg Tablet - 299 -
226 Parasetamol Suppositoria 160 mg ( Pyrexin ) - 7,700 -
227 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (Naprex) Botol - 6,649 -
228 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol - 6,649 -
229 Parasetamol sirup 120 mg / 5 ml Botol 2,908 1,107 3,219,156
230 Parasetamol tablet 100 mg Tablet - 56 -
231 Parasetamol tablet 500 mg Tablet 59,420 53 3,149,260
232 Parasetamol tetes 60 mg/0,6 mL Botol - 32 -
233 Pelargonium sidoides ( Kaloba sirup) Botol - 110,000 -
234 Perak sulfadiazin krim 1% (Burnazin 35 g) Tube 132 20,700 2,732,400
235 Permetrin krim 5% (Scabimite) Tube - 48,703 -
236 Piracetam injeksi 1 g/5 ml Ampul 89 6,600 584,100
237 Pirantel suspensi 125 mg/5 ml Botol - 291 -
238 Pirantel tablet score (base) 125 mg Tablet 450 269 121,050
239 Piridoksin (vitamin B6) inj 100 mg/mL Ampul - 14,100 -
240 Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) Tablet 12,050 123 1,482,150
241 Piroksikam kapsul / kaplet/tablet 20 mg Tablet - 247 -
242 Piroksikam kapsul/ kaplet/tablet 10 mg Tablet - 200 -
243 Povidon Iodin Larutan 10% Btl 30 ml 138 70 9,660
244 Povidon Iodin Larutan 10% Btl 60 ml 200 3,700 740,000

245
Povidon Iodin Larutan 10% Btl 300 ml 66 18,000 1,188,000
246 Prednison tablet 5 mg Tablet 21,875 68 1,487,500
247 Prokain Benzil Penisilin G injeksi 3 juta IU/vial Vial - 12,386 -
248 Propanolol tablet 10 mg (HCL) Tablet - -
249 Propanolol tablet 40 mg (HCL) Tablet - 52 -
250 Propiltiourasil tablet 100 mg Tablet - 279 -
251 Ranitidin injeksi 25 mg/ml Ampul 4,470 1,155 5,162,850
252 Ranitidin tablet 150 mg Tablet - 105 -
253 Reserpin tablet 0,25 mg Tablet - 1,140 -
254 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul - 288 -
255 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul - 517 -
256 Rifampisin tablet salut 450 mg Tablet - 897 -
257 Rifampisin tablet salut 600 mg Tablet - 1,108 -
258 Ringer Laktat larutan infus Botol 6,817 7,150 48,741,550
259 Salbutamol sulfat 2,5 mg Solution (Ventolin Nebules) Vial 3 4,000 12,000
260 Salbutamol tablet 2 mg (sebagai sulfat) Tablet - 63 -
261 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet 17,845 70 1,249,150
262 Salep 2 - 4 kombinasi : Asam Salisilat 2 % + Belerang Endap 4 % Pot 564 2,620 1,476,370
263 Sefadroksil kapsul 500 mg Kapsul 22,080 4,485 99,028,800
264 Sefadroksil sirup kering 125 mg/5ml Botol 769 3,922 3,014,057
265 Sefiksim kapsul/kaplet 100 mg Kapsul 375 590 221,250
266 Sefiksim sirup kering 100 mg/ 5 ml Botol 36 5,530 199,080
267 Sefotaksim injeksi 0,5 mg Vial 924 5,830 5,386,920
268 Sefotaksim injeksi 1 g Vial 2,310 4,200 9,702,000
269 Seftriakson serbuk injeksi 1 g/vial Vial - 4,483 -
270 Serum A.T.S (kuda) 1.500 SI (BIOSAT) Ampul 60 126,500 7,590,000
271 Serum Anti Bisa Ular (A.B.U) Polivalen I 5 ml (i.m/i.v) (BIOSAVE) Vial 45 479,996 21,599,820
272 Serum anti difteri (ADS) 20.000 Ampul 15 -
273 Setirizin sirup 5 mg/5 ml Botol 613 2,850 1,745,625
274 Setirizin tablet 10 mg Kapsul 13,245 90 1,192,050
275 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 6,155 1,035 6,369,908
276 Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg Tablet - 51 -

277 Silybum marianum dried extr 100 mg. Cynarae scol extr 50 mg, curcuma longa
dried extr 20 mg (Hepagard Kapsul) Kapsul 4,320 2,975 12,852,000
278 Simetidin tablet 200 mg Tablet - 196 -
279 Simvastatin scored tablet 10 mg Kss 13,365 110 1,470,150
280 Simvastatin tablet 20 mg Kss 10,000 205 2,050,000
281 Siprofloksasin infus 2% Botol - 9,699 -
282 Siprofloksasin tablet 250 mg (sebagai HCl) Tablet - 392 -
283 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 15,125 265 4,008,125
284 Sirplus Anggur sirup Botol - 13,200 -
285 Sirplus Jeruk sirup Botol - 13,200 -
286 Sirplus Melon sirup Botol - 13,200 -
287 Sirplus Strawberry sirup Botol - 13,200 -
288 Sirplus serbuk Strawberry Botol - 38,500 -
289 Sirplus Serbuk Original Botol - 36,500 -

290 Sirup Batuk kandungan : Dekstrometorphan 7,5 mg, Deksklorfeniramin maleat 1

mg, Fenilefrin 5 mg/5 ml (Dekstrofen) Botol - 8,040 -
291 Spironolakton tablet 25 mg Tablet 300 244 73,200
292 Sukralfat susp 500 mg/5 mL (Ulsafat) Botol - 9,578 -
293 Sukralfat tab 500 mg (ULSIDEX Tablet) Tablet 3,135 296 927,960
294 Sulfasetamida Natrium tetes mata 15% - 3,449 -
295 Sulfasetamida Natrium tetes mata 15% (Cendo Albuvit) Botol - 3,449 -

296 Tablet Tambah Darah Neo kandungan : Ferro Fumarat 180 mg (setara 60 mg
elemental besi), Asam Folat 0,4 mg Paste 102,195 354 36,177,030

Tablet Tambah Darah Kombinasi : Fe fumarate 300 mg, manganese sulfate 400
297 mcg, copper sulfate 400 mcg, vit C 100 mg, folic acid 2 mg, vit B12 15 mcg,
intrinsic factor 25 mg (Hemafort) Tablet - 835 -
298 Tetrakain HCl tetes mata 0,5% (Pantocain 0.5%) Botol - 11,500 -
299 Tetrasiklin kapsul 250 mg Kapsul 13,350 424 5,660,400
300 Tetrasiklin kapsul 500 mg Kapsul 7,300 303 2,211,900
301 Tiamfenikol kapsul 500 mg Kapsul 2,100 920 1,932,000
302 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 225 1,140 256,500
303 Tiamin (Vitamin B1) tablet 50 mg (HCl/Nitrat) Tablet 19,350 85 1,644,750
304 Triamcinolone Acetonide 1 mg (Bufacomb Cream) Tube - 15,950 -
305 Triheksifenidil tablet 2 mg Tablet 250 85 21,250
306 Verapamil tablet 80 mg (HCl) Tablet - 1,290 -
307 Vitamin A 4000 iu, vitamin C 50 mg, vitamin D 400 iu, vitamin E 10 mg, vitamin B1
3 mg, vitamin B2 3 mg, vitamin B6 2 mg, vitamin B12 2 mcg, nicotinamide 20 mg,
Ca pantothenate 5 mg, folic acid 1 mg, biotin 0.1 mg, Fe fumarate 20 mg, Ca 100
mg, copper 0.5 mg, manganese 0.5 mg, Mg 1 mg, Zn 0.25 mg (Pehavral) Tablet 8,580 935 8,022,300
308 Vitamin B Kompleks tablet Tablet 30,805 115 3,542,575
309 Vitamin C Inj Ampul - 6,413 -

310
Vitamin B1 100 mg, Vitamin B6 100 mg, Vitamin B12 500 mcg (Biocombin injeksi) Ampul - -
311 Zinc drop 10 mg/mL Botol - 10,799 -
312 Zinc sir 20 mg/5 Ml (Zircum Kid Sirup) Botol 164 2,972 485,922
313 Zinc tablet dispersible 20 mg Tablet 11,923 524 6,247,390
B. NAMA PERBEKALAN KESEHATAN
314 Alat Suntik Sekali Pakai 0,05 ml Pcs - 1,379 -
315 Alat Suntik Sekali Pakai 0,5 ml Pcs - 827 -
316 Alat Suntik Sekali Pakai 1 ml Pcs 8,275 830 6,868,250
317 Alat Suntik Sekali Pakai 2,5 ml Pcs - 649 -
318 Alat Suntik Sekali Pakai 3 ml Pcs 32,346 825 26,685,450
319 Alat Suntik Sekali Pakai 5 ml Pcs 9,400 928 8,723,200
320 Alat Suntik Sekali Pakai 10 ml Pcs 150 924 138,600
321 Alat Suntik Sekali Pakai 20 ml Pcs - 977 -
322 Alat Suntik Sekali Pakai 50 ml Pcs - 3,399 -
323 Stera Syringe 2,5 cc Pcs - 649 -
324 Stera Syringe 50 cc Pcs - 3,399 -
325 Aximed Syringe 3 cc Pcs - 825 -
326 Aximed Syringe 5 cc Pcs - 928 -
327 Aximed Syringe 10 cc Pcs - 924 -
328 Aximed Syringe 20 cc Pcs - 977 -
329 Alkacide Chemical high level disinfectan Botol 1 L 8 2,702,700 21,621,600
330 Alkazyme 25 mg Sch 8 80,100 640,800

331 Botol 100

Alkohol 70 % ml - 6,709 -
332 Alkohol 70 % Botol 1 L 104 24,992 2,599,168
333 Alkohol Swab , 2 - ply Pcs 292 220 64,130
334 Apron One New Pcs - 25,256 -
335 ARM SLING (S) Set - 15,840 -
336 ARM SLING (M) Set - 15,840 -
337 ARM SLING (L) Set - 15,840 -
338 Aseptan 500 Botol - 34,500 -
339 Aseptic Gel 500 cc + dispenser Botol 69 22,000 1,518,000
340 Aximed Nasal Oxygen Size L Pcs - 6,600 -
341 Aximed Nasal Oxygen Size M Pcs - 6,600 -
342 Aximed Nasal Oxygen Size S Pcs - 6,600 -
343 Bidai (spalk) Bayi Pcs - -
344 Bidai (spalk) Anak Pcs - -
345 Bidai (spalk) Dewasa Pcs - -
346 Bilirubin ( 2 x 100 ml ) Kit - 786,500 -
347 Biss Mess 11 Pcs 1,000 638 638,000
348 Biss Mess 15 Pcs 700 638 446,600
349 Blood Lancet 26G/28G Pcs - -
350 Bracket ABS Pcs - 17,600 -
351 Cardio Gel 80 gr (PCG Gel) Tube - 13,200 -
352 Cat gut 3/0 plain Set 360 7,700 2,772,000
353 Cat gut 3/0 cromic Set 360 7,700 2,772,000
354 Catgut Chromic 2/0 + jarum 1/2 GT 35 mm Set 240 5,583 1,339,920
355 Catgut Plain 2/0 + jarum 1/2 GT 35 mm Set 120 5,583 669,960
356 Catgut Plain SMI 2/0 DS 24 MM Set - 40,200 -
357 Cat gut 3/0 HR 20 MM Set - 34,170 -
358 Cat gut 3/0 HR 37 MM Set - 34,170 -
359 Cervical Collar Pcs - 116,160 -
360 Cover Glass Pcs - -
361 Dental Needle/ CK Ject (Needle Citoject) Pcs - 1,790 -
362 Dermafix S IV 6 x 7 25 Pcs - 2,052 -
363 Dermafix T - 5 x 7 cm Roll - 1,629 -
364 Dermafix T - 10 x 8 cm Roll - 4,212 -
365 Dermafix T 10 x 12 Pcs - 6,309 -
366 Dermafix T 10 x 25 Pcs - 13,770 -
367 Eight Check (L.N.H)/sysmex Set - -
368 Examination Gloves Pcs - 627 -
369 Eye Protector /Google Pcs - -
370 Female Catheter FR 12 Steril Pcs - 4,840 -
371 Fixomull Strech 10 cm x 5 m Rol - 70,903 -
372 Foley Ballon Catheter 2 Way Fr 18 (WRP) Pcs 174 13,090 2,277,660
373 Foley Catheter 12 (BARDIA) Pcs - 8,000 -
374 Foley Catheter 16 (WRP) Pcs 233 8,000 1,860,000
375 Foley Catheter 8 (BARDEX) Pcs - 8,000 -
376 Otsucath I.V Catheter 18 G Pcs - 7,700 -
377 Aximed IV Catheter 20 G Pcs - 6,000 -
378 Aximed IV Catheter 22 G Pcs - 6,000 -
379 I.V Catheter 24 G (Medical Jelco) Pcs - 7,700 -
380 Foley Catheter 8 (WRP) Pcs - 8,000 -
381 Foley Catheter 10 Pcs - 11,275 -
382 Foley Catheter 12(WRP) Pcs - 8,000 -
383 Foley Catheter 14 Pcs - 11,275 -
384 Foley Catheter 16 Pcs - 11,275 -
385 Foley Catheter 18 (WRP) Pcs - 8,000 -
386 Foley Catheter 20 Pcs - 11,275 -
387 Foley Catheter 22 Pcs - 11,275 -
388 Foley Catheter 24 Pcs - 11,275 -
389 Foley Catheter 2-W 24 Pcs - -
390 Gelang anak Pcs - -
391 Gelang dewasa Pcs - -
392 Guedel Airway 40/50/90/110 Pcs - -
393 Handle Scaple No 4 OM Pcs - 13,200 -
394 Hand scoon On Maxter Powder (M) Box - 58,300 -
395 Hand scoon On Maxter Powder (L) Box - 58,300 -
396 I.V Catheter 16 G /polywin Pcs 135 10,494 1,416,690
397 I.V Catheter 18 G Pcs 1,495 7,700 11,511,500
398 I.V Catheter 20 G Pcs 2,048 6,000 12,285,000
399 I.V Catheter 22 G Pcs 1,494 6,000 8,961,000
400 I.V Catheter 24 G (OUTSUCATH) Pcs 650 7,700 5,005,000
401 I.V Catheter 26 G (WIN FLON) Pcs 634 5,753 3,644,526
402 I.V Chat venflon no 22 Pcs - 10,395 -
403 I.V Chat venflon no 24 Pcs - 10,395 -
404 Infusion Set anak Set 685 7,920 5,425,200
405 Infusion Set dewasa Set 3,662 7,920 29,003,040
406 Jarum Bedah Kulit Pcs - -
407 Jarum Bedah Mukosa Pcs 132 -
408 Jarum Jahit Pcs - -
409 Jas Lab Pcs - -
410 Kacamata Google Pcs - -
411 Kapas berlemak 500 mg Pcs - 16,500 -
412 Kapas Pembalut / Absorben 250 mg Rol 126 12,500 1,568,750
413 Kapas Pembalut Hidrofil 4 x 5 cm Rol 960 749 719,040
414 Kapsul Kosong no. 0 Pcs - 44,000 -
415 Kapsul Kosong no. 00 Pcs - 68,400 -
416 Kasa Hidrofil Steril uk. 16 x 16 Rol 1,201 5,500 6,605,500
417 Kasa Hidrofil uk. 40 x 80 Rol - 104,999 -
418 Kasa Kompres 40 / 40 Rol 33 1,600 52,800
419 Kasa Pembalut 2 x 80 Rol 838 7,300 6,117,400
420 Kasa pembalut Elastic 4 m x 10 cm Rol 1,725 1,440 2,484,000
421 Kasa Pembalut Hidrofil 4 x 15 cm Rol 1,750 2,040 3,570,000
422 Kasa Pembalut Hidrofil 4 x 3 cm Rol 900 580 522,000
423 Kertas Lakmus Merah/Biru Pcs - 825 -
424 Kertas ECG Pcs - 39,600 -
425 Komposit Resin A2 Pcs - 550,000 -
426 Komposit Resin A3 Pcs - 550,000 -
427 Larutan Klorin (One Clean) Botol 29 14,520 413,820
428 Leukomed IV Film 6 cm x 8 cm Pcs - 123,056 -
429 Leukoplast 7,5 cm x 5 m Roll - 35,532 -
430 Light Curing/Woodpacker Pcs - 230,000 -
431 Lysol 1 liter Botol 40 40,999 1,639,960
432 Masker Set 12,050 5,500 66,275,000
433 Masker N95 Set 270 6,512 1,758,240
434 Masker Nebuleser Anak Set - 22,000 -
435 Masker Nebuleser Dewasa Set - 22,000 -
436 Maxiflow Bayi/oksigen masker Set - 14,520 -
437 Maxiflow Anak/oksigen masker Set - 13,552 -
438 Maxiflow Dewasa/oksigen masker Set - 13,552 -
439 Mucus Extractor Pcs - 14,300 -
440 My Jelly 82 gr Tube - 8,700 -
441 Nasal Oxygen , O2 cannula, size L/dewasa Pcs - 6,600 -
442 Nasal Oxygen, O2 cannula, size M/anak Pcs - 6,600 -
443 Nasal Oxygen, O2 cannula, size S/bayi Pcs - 6,600 -
444 Nitrile examination gloves-S,M,L(Box/100) Pcs - 627 -
445 Needle 23 (One Med) Pcs - 193 -
446 Needle 25 (One Med) Pcs - 193 -
447 Needle 23 (Terumo) Pcs - 193 -
448 Needle 25 (Terumo) Pcs - 193 -
449 JMS Transfusion Set Pcs - 7,321 -
450 Object Glass Pcs - -

451 One Sept Sol Botol 500

mL - 26,400 -
452 Oxy Flow bayi Set - -
453 Oxy Flow Anak Set - -
454 Oxy Flow Dewasa Set - -
455 Pediatric Foley Catheter 2 way Pcs - 8,543 -
456 Plester Rol 221 9,500 2,094,750
457 Plesterin 5 cm x 5 cm Rol - 23,760 -
458 Plesterin 10 cm x 5 cm Rol - 41,361 -
459 Plester Roll Kain 7,5 cm x 4,5 m(Hansaplast) Rol 25 31,267 781,675
460 Plester Bulat Non Women Pcs - 154 -
461 Pharmafix 5 x 5 Rol 21 2,700 56,700
462 Poli Crepe 10 cm x 4,55 Roll - 29,901 -
463 Poli Crepe 7,5 cm x 4,55 Roll - 27,660 -
464 Polifix 10 cm x 5 m Roll - 73,937 -
465 Polifix 5 cm x 5 m Roll - 39,217 -
466 Sarung Tangan Gynekologi Steril Pcs - 19,360 -
467 Sarung tangan / handscoon /Glove Sterill Pcs 3,070 3,938 12,087,691
468 Sarung tangan/ handscoon/ Glove Sterill No. 7 Pcs - 3,938 -
469 Sarung tangan / handscoon /Glove Non Sterill Pcs 10,600 473 5,013,800
470 Sarung Tangan Gynaecolog Steril/Tangan obgyn Pasang 167 19,360 3,223,440
471 Silk (Benang Bedah Sutera) No. 3/0 DS-24 mm Set 810 2,200 1,782,000
472 Silk (Benang Bedah Sutera) No. 2/0 DS-19 mm Set - 24,260 -
473 Spalk Kayu First AID Pcs - -
474 Steril Pouch 10/200 Pcs - 490,322 -
475 Steril Pouch 15/201 Pcs - 653,769 -
476 Steril Pouch 20/202 Pcs - 817,217 -
477 Stik Gula Darah Botol - 200,000 -
478 Stik Asam Urat Botol - 200,000 -
479 Stik Kolesterol Botol - 300,000 -
480 Surgical Gown Steril Non Woven Pcs - 20,970 -
481 Tes Kehamilan Pcs 3 1,939 5,817
482 Tong Spatel Kayu Pcs - 14,080 -
483 Tranfusion Set Pcs 100 14,190 1,419,000
484 Plester Ultrafix 5 x 5 M Roll - 23,760 -
485 Plester Ultrafix 5 x 10 M Roll - 23,751 -
486 Ultraone Tes Hamil Strip Pcs - 1,939 -
487 Umbilical Cord Klem Pcs 150 2,750 412,500
488 Underpad Pcs 178 4,620 822,360
489 Urine bag Pcs 248 2,999 742,253
490 Pcs - 247,500 -
491 Wing Nedle 21 Pcs - 8,900 -
492 Wing Nedle 23 Pcs - -
493 Wing Nedle 25 Pcs - 8,900 -
494 Wing Nedle 27 Pcs - 8,900 -
495 Abate Kg - -
496 Autoklik Pcs - -
C. NAMA OBAT GIGI
497 Devitalisasi Pasta (Non Arsen) Botol - 1,410,000 -
498 Alginate 500 gr/bag (gigi) Bag - 250,000 -
499 Arsen Box - -
500 Artikulating paper Each - 285,000 -
501 Bahan tumpatan sementara (Cavit G) Botol 3 220,000 660,000
502 Chresotin liquid 2 Box - 472,000 -
503 Citoject Pcs - -
504 Clinpro white varnish Strip - 27,600 -
505 Cotton rool/Prodental Bag - 5,292 -
506 Cover Dental Unit Pcs - -
507 Cuticell Classic uk 10 x 10 cm Pcs 90 5,198 467,820
508 Etyl Chloride Spray Botol 3 228,563 685,689
509 Eugenol cairan Botol 3 45,000 135,000
510 Glass Ionomer Cement ART (Fuji IX ART) Botol 3 687,000 2,061,000
511 Gips Biru Pcs - 100,000 -
512 Gips Kuning Pcs - -
513 Hemospon Strip - 110,880 -
514 Kalsium Hidroksida Pasta (Calcidor) Tube - 338,800 -
515 Klorfenol Kamfer Menthol (CHKM) Botol 3 66,550 199,650
516 Komposit Mikro Hybrid Paket - -
517 Komposit Set Paket - -
518 Mata BOR High Speed Pcs - -
519 Mata BOR Low Speed Pcs - -
520 Mummying Pasta Botol 3 235,950 707,850
521 Paper point Pack - -
522 Phantom Gigi Pcs - -
523 Preven denpro/Pulp X Pcs - -
524 Roclet Pcs - -
525 Sendok Cetak Set Pcs - -
526 Selluloid strip/Swenska Sweden Pcs - 1,950 -
527 Semen Seng Fosfat serbuk dan cairan (Multifix P/L) Botol - 1,019,150 -
528 Temporary Stopping Fletcher serbuk dan cairan Botol - 220,000 -
529 TKF Each - 90,000 -
D. NAMA REAGEN DAN VAKSIN
530 Bil TD CLR Pcs - -
531 Cell Clean (CL - 50 ) / sysmex Botol - -
532 Cell Pack (PK - 30L ) / sysmex Box - -
533 Cholesterol (4 x 100 ml) Kit - 1,936,000 -
534 Cleaner Merck Samsung @ 1 Liter Botol - -
535 Creatinin (1 x 200 ml ) Kit - 733,920 -
536 Diluent Merck Samsung @ 20 Liter Botol - -
537 Disenfectan sol (One Clean @1 liter) Botol - -
538 Eight Check L,N,H Pcs - -
539 Glukosa (4 x 100 ml) kit - -
540 GOT/ASAT Pack - 2,028,400 -
541 GPT/ASAT Pack - 2,028,400 -
542 HDL Cholesterol ( 1 x 80 ml ) Kit - -
543 Hemoglobin ( 10 x 500 ml ) Kit - -
544 Hyperheb B Serum Darah Hepatitis B Imunoglobulin Ampul - 1,325,000 -
545 Hypocleaner Merck Samsung @ 1 Liter Botol - -
546 LDL Cholesterol (1 btl x 80ml) Kit - -
547 Lyse Merk Samsung @ 1 Liter Botol - -
548 SD Bioline Hbs Ag Ampul - -
549 SD Bioline Laptospira Pack - -

550 Botol 500

Stromatolyser ml - -
551 Triglycender Reagen Botol - -
552 Triglycerides Pack - -
553 Urea Pack - 690,690 - -
554 Uric Acid Pack - -
555 Wida KDN 1 11,435 -
556 Wida Base 9,646 -
OBAT PERBEKALAN TAMBAHAN
557 Stardex surgical powder fre gloves 7,5 7,500 -
558 Stardex surgical powder fre 7 7,500 -
559 Pre powderlatex examination gloves (L) 46,200 -
560 Pre powderlatex examination gloves (M) 46,200 -
561 Choroma ballon chateter 2W FR 16 13,090 -
562 BD,Insyte,GN.18,GA 4,200 -
563 BD, Venvlon Pro IV,Canula 20 GA 7,400 -
564 BD, Venvlon Pro IV,Canula 22 GA 7,400 -
565 Disposible Syringe 1cc 647 -
566 Disposible Syringe 3cc 652 -
567 Rifampisin Tablet 300mg 725 -
568 Leukoplast 2,5 x 4,5 12,076 -
569 Braun Helizyme 1000ml 375,000 -
570 Braun Stabimed 1000ml 620,000 -
571 Infus set dewasa ( terumo ) -
572 GOM -
573 Piracetam 400mg -
574 Etsa gel 400,000 -
575 Bonding -
576 micro aplicator -
577 scopma 83,000 -
578 hustab 438 -
579 cutimed siltec 49,645 -
580 ciutimed sorbact 30,503 -
581 santagesik injeksi 48,620 -
582 etabion 35,200 -
583 molagit 72,200 -
584 pulmicort 390,800 -
585 alprazolam 103,400 -
586 risperidone2 118,800 -
587 risperidone3 142,500 -
588 chreosatine pasta 400,000 -
589 slem sakcer 30,000 -
590 kasa steril 15,000 -
591 softex maternity 50,000 -
592 handscoen L 100,000 -
593 handscoenM 100,000 -
594 bayclin 4j 250,000 -
595 dycal hydcal 250,000 -
596 bonding adter single dond -
597 dentorit/cafiton/oraginG 250,000 -
598 T gic fuji 9 1,000,000 -
599 T komposit filtex 700,000 -
900,779,884