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LAPORAN PENGGUNAAN OBAT APOTEK RSU KELAS D KOTA PALANGKA RAYA

JANUARI 2018

TOTAL TANGGAL PENGAMBILAN OBAT


TANGGAL STOK DARI PEMBELIAN
NO OBAT STOK
KADALUARSA AWAL GF APT AWAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

1 Acarbose tab 100 mg FEBRUARI 2019 200 200


2 Acarbose tab 50 mg MARET 2019 170 170
Acetosal (Asam Salisilat 100
3 OKTOBER 2018 232 232
mg)
4 Acyclovir krim 5 g 0 0
5 Acyclovir Tablet 200 mg DESEMBER 2019 108 500 608 10 15

6 Acyclovir Tablet 400 mg NOVEMBER 2019 2 2

Albendazole Tablet Kunyah


7 OKTOBER 2018 124 124
400 mg

8 Albothyl (Policresulen) 5 ml JULI 2021 0 0

Aldisa SR kapsul (Loratadine, 29 JUNI 2018


9 173 173 35 10
Pseudoephedrine SO4)

Alegi tablet
10 (Dexamethasone 0,5 mg, DESEMBER 2019 154 154 20 10 20 55 49
Dex-CTM 2 mg)

11 Alkohol 70% 0 0

12 Allopurinol Tablet 100 mg NOVEMBER 2017 80 80

13 Allopurinol Tablet 300 mg JUNI 2021 0 0


BERNOFARM
Allopurinol Tablet 300 mg
14 HEXPHARM JANUARI 2020 265 265

15 Aloclair Plus Gel JANUARI 2019 0 0

16 Alpentin (Gabapentin 100 500 500


mg) Jul-19

17 112 112
Alprazolam Tablet 0,25 mg Jun-18
18 Ambroxol sirup 60 ml 0 0
19 Ambroxol Tablet 30 mg 0 0

20 Amikacin 500 mg / 2 ml JULI 2018 10 10


injeksi

21 Aminophylline injeksi 24 OKTOBER 2018 27 27 1 1


mg/ml

22 Aminophylline Tablet 200 MEI 2018 207 207 5


mg

23 Amitriptylline Tablet 25 mg JULI 2020 1045 1045

24 SEPTEMBER 2019 0 0
Amlodipin 5 mg PHAPROS
Amlodipine Tablet 5 mg
25 PROMEDRAHARDJO SEPTEMBER 2018 380 380 12 10 10 20 10 10

26 AmlodipineTablet 10 mg AGUSTUS 2018 122 300 422 2 10 10 10 10 10

27 Amoxicillin Kapsul 250 mg OKTOBER 2020 322 322

28 Amoxicillin sirup kering 125 MEI 2020 13 50 63 1 1 1 1 1 1


mg/5 ml
Amoxicillin sirup kering 250
29 mg/5 ml AGUSTUS 2018 52 52 1 1
(Amox Forte)
30 Amoxicillin Sodium Serbuk JUNI 2019 15 15
Injeksi 1 gram

31 Amoxicillin Tablet 500 mg FEBRUARI 2019 438 500 938 10 10 10 20 20 20 10 10

32 Amoxsan (Amoxicillin 100 18 MARET 2019 12 12


mg) pediatric drops

33 Ampicillin Sodium Serbuk OKTOBER 2019 20 20


Injeksi 1 gram

34 Antalgin 1000 mg/2 ml 113 113 1 3 5 5


injeksi FEBRUARI 2018

35 Antasida doen sirup 60 ml 0 0

36 Antasida Doen Tablet 200 JUNI 2019 430 430 10 10 10 15 10


mg

37 Apialys sirup 100 ml AGUSTUS 2018 0 0


(suplemen makanan)

38 Asam Folat 1 mg AGUSTUS 2019 0 0

39 Asam Mefenamat 500 mg 981 981 20 25 10 25 20 10 20 30 10 20 10 10 30


HEXPHARM Aug-21
40 Asam Mefenamat Tablet 500 AGUSTUS 2019 0 0
mg MERSI

41 Asam Traneksamat 100 FEBRUARI 2020 0 0


mg/ml HEXPHARM

42 Asam Traneksamat injeksi JANUARI 2020 10 10


250 mg/5 ml

43 Asam Traneksamat Injeksi SEPTEMBER 2020 12 12


500 mg/5 ml BERNOFARM

44 Asam Traneksamat Tablet 0 0


500 mg

45 Asam Valproat 250 mg/5 ml MARET 2019 5 5

46 Asering 500 cc 23 JULI 2019 26 26

47 Aspilets (Asam Asetilsalisilat) MEI 2018 0 0


Tablet 80 mg

48 Astharol tablet (Salbutamol 26 JULI 2018 471 471 10 20


4 mg)
Astinox Kaplet (Astaxanthin
49 5 mg, Zinc 2,5 mg, Selenium JUNI 2017 0 0
0,075 mg)
50 220 220 10
Atorvastatin calcium 20 mg Aug-19

51 Atropine injeksi 0,25 mg/ml JUNI 2020 94 94


s.c./i.m./i.v.

52 Bacitracin Polymyxin B Salep MEI 2019 0 0


Kulit 5 g
Becom – C kaplet (Vitamin B
53 complex, Vitamin C,
Nicotinamide, Pantothenic 24 AGUSTUS 2019 0 0
acid)

54 17 17 1 1 1
Bedak Salicyl (Ac.
Salicylicum 2%) 60 GRAM 28-Dec-18

55 Bedak Salicyl 50 GRAM (Ac. 13 13


Salicylicum 2%) Sep-20

56 Benocetam 800 kaplet OKTOBER 2020 160 160


(Piracetam 800 mg)
Benodon injeksi 5 ml
57 (Methampyrone 250 mg/ml, MEI 2017 (ED) 0 0
Aminopyrine 50 mg/ml,
Lidocaine HCl 15 mg/ml)
58 194 194 14
Betahistine mesylate 6 mg May-20
59 Betametason Krim 0,1 % OKTOBER 2019 30 25 55 7 3 2

Biocombin 5000 injeksi i.m.


60 (Thiamine HCl, Pyridoxine JULI 2018 28 28
HCl, Cyanocobalamin)

Bioplacenton (Placenta
61 extract, neomycin sulfate, 17 17 2
jelly) Mar-19

62 Biosat Anti Tetanus Serum JANUARI 2019 38 38


(ATS) 1500 IU

63 Apr-19 114 114


Bisakodil tablet 5 mg

64 Bisoprolol Fumarate Tablet 5 MARET 2019 258 258 10


mg

65 Bralin kaplet (Citicoline 1000 JUNI 2017 0 0


mg)

Bricasma respules
66 (Terbutaline sulphate cairan Apr-18 10 10
ih 2,5 mg/ml)
Bricasma turbuhaler
67 (Terbutaline sulphate serb ih Apr-18 10 10
0,5 mg/dose)
68 Burnazin (Silver MEI 2020 8 8
sulphadiazine 10 mg)

69 Buscopan 20 mg/ml injeksi MEI 2020 22 22 1 2 1


(Hyoscine N Butylbromide)

70 Buscopan Plus AGUSTUS 2018 0 0


Buscopan tablet (Hyoscine N
71 butylbromide MARET 2019 0 0
10 mg)

72 Calcium Lactate Tablet 500 MARET 2019 948 948


mg Botol

73 Calcium Lactate Tablet 500 AGUSTUS 2018 1408 1408


mg Bungkus

74 Candesartan cilexetil 16 mg MARET 2019 62 62 10

75 Captopril Tablet 12,5 mg OKTOBER 2017 1009 1009 10

76 Captopril Tablet 25 mg FEBRUARI 2020 661 661 10 10 15 46 37


77 Captopril Tablet 50 mg DESEMBER 2018 95 95 1

78 Carbamazepine 200 mg Aug-19 100 100

79 Cefadroxil Kapsul 500 mg JULI 2020 239 500 739 10 10 10 10 40 20 20 10 20 10 10 20 10 10

80 Cefadroxil sirup kering 125 28 28 1 1


mg/5 ml Jul-19

81 Cefadroxil sirup kering 250 26 26


mg/5 ml Aug-19

82 Cefazolin injeksi 1 gram JUNI 2018 22 22


IM/IV

83 SEPTEMBER 2018 10 10
Cefepime injeksi 1 gram
84 Cefixime Kapsul 100 mg AGUSTUS 2019 281 250 531 20 20 50 10 40 10 10

85 MEI 2020 2 2
Cefixime kapsul 200 mg

86 Cefixime sirup kering 100 SEPTEMBER 2018 21 21 1 1 1 1 2 1 1


mg/5 ml

87 Cefotaxime serbuk injeksi SEPTEMBER 2018 120 120


i.m/i.v 0,5 gram

88 Cefotaxime serbuk injeksi AGUSTUS 2018 7 20 27 2


i.m/i.v 1 gram

89 20 20
Ceftazidime 1 gram injeksi MARET 2019

90 Ceftriaxone serbuk injeksi 1 JUNI 2020 26 30 56 5


gram i.m/i.v

91 Cetadop injeksi (Dopamine MEI 2020 10 10


HCl 200 mg / 5 ml)

92 Cetirizine 5 mg / 5 ml sirup SEPTEMBER 2018 19 10 29 1 1 10 1 1


(Botol 60 ml) Indofarma

93 Cetirizine sirup 5 mg / 5 ml JUNI 2019 0 0


Erela
94 Cetirizine tablet 10 mg AGUSTUS 2018 159 500 659 10 10 10 50 10 12 1

95 Chloramphenicol 0,5% NOVEMBER 2017 0 0


(Erlamycetin) tetes mata
96 Chloramphenicol 1% MARET 2018 11 11 1 1
(Erlamycetin) tetes telinga

97 Chloramphenicol sirup 60 ml JULI 2019 18 18 1


(Hufamycetin)

Chlorpheniramine Maleate
98 Tablet 4 mg (Botol 1.000 DESEMBER 2018 0 0
tablet)

99 Chlorpheniramine Maleate OKTOBER 2020 940 940 10 13 2 12 13 27 10 25 20 10 20


Tablet 4 mg (Box strip)

100 Cholvastin (Lovastatin 20 300 300


mg) 28-Aug-19

101 Chondro PA Kaplet NOVEMBER 2018 45 45 10

102 Cimetidin Tablet 200 mg JUNI 2019 115 115

103 Ciprofloxacin infus 200 MARET 2019 10 10


mg/100 ml

104 Ciprofloxacin Tablet 500 mg SEPTEMBER 2020 146 146 10

105 Citicoline Sodium Injeksi 250 OKTOBER 2019 20 20


mg / 2 ml

106 Citicoline Tablet 500 mg OKTOBER 2021 127 127

107 Clindamycin Tablet 300 mg JUNI 2019 587 587 12

108 Clobazam Tablet 10 mg Feb-21 100 100

109 Clomifene sitrat 50 mg JUNI 2018 150 150

110 Clopidogrel Bisulfate Tablet JULI 2018 103 103 12 12


75 mg

Combivent UDV
111 (Ipratropium bromide, FEBRUARI 2018 63 63 1 7 1
Salbutamol sulphate)

112 Cormega Kapsul (1 g Omega NOVEMBER 2017 0 0


3 acid ethyl esters 90%)
113 Cotrimoksazole 480 mg 0 0
MERSI May-19

114 Cotrimoksazole forte 960 476 476


mg MEI 2022
Cotrimoxazole Sirup
115 Suspensi 60 ml JUNI 2019 32 32 1 1
(Sulfametoksazol 200 mg,
Trimetoprim 40 mg)

Cotrimoxazole Tablet 480


mg (Sulfametoksazol 400
116 mg, SEPTEMBER 2018 585 585
Trimetoprim 80 mg) HOLI
PHARMA

117 Cyanocobalamin (Vit B12) FEBRUARI 2018 62 62


injeksi 500 mcg/ml

118 Decacetine tetes mata MEI 2020 29 29 1 1


(Chloramphenicol)

119 Decatona (Fenitoin Na 30 MEI 2019 1000 1000


mg Kapsul)

Denomix cream 10
120 gram/tube MEI 2018 18 18 1 1
(Desoxymethasone,
Neomycin sulfate)

121 Depakene sirup 120 ml 11 APRIL 2019 4 4

122 Depakote tablet 250 mg 13 AGUSTUS 2017 0 0

11 DESEMBER
123 Depakote tablet 500 mg 200 400 600 600
2017

124 Dexamethasone injeksi 5 120 120 6 6 1


mg/ml MEI 2020

125 Dexamethasone Tablet 0,5 SEPTEMBER 2019 1088 1088 30 10 30 10 1 12 22 27 10 20 20 10 10 30


mg

Dexocort 0,25%
126 (Desoximetasone 2,5 mg) Sep-19 27 27 1
Krim

127 Dextral sirup 9 5 14 1 1 1


(Dextromorphan HBr, GG,
CTM, Phenylpropanolamine
HCl) Februari 2021
128 Dextrose Monohydrate 400 JANUARI 2018 95 95 2
mg (D40)
DHP FRIMAL Anti Malaria
(Dihydroartemisinin 40 mg,
129 Piperaquine phosphate 320 45 45
mg) May-19

130 Diclofenak Potassium tablet FEBRUARI 2020 0 0


25 mg

131 Diethylcarbamazine Tablet JUNI 2019 300 300


100 mg

132 Diltiazem 30 mg FEBRUARI 2020 100 100

133 Diphenhydramine HCl 10 SEPTEMBER 2019 32 32


mg/ml injeksi

Dipsamol Inhaler
134 (Salbutamol sulphate 100 MARET 2020 5 5
mcg)

135 Dobutamine HCl DESEMBER 2018 2 2

136 Domperidone sirup 60 ml OKTOBER 2020 54 54 1 1 2


(Hufadon)

137 Domperidone tablet 10 mg SEPTEMBER 2019 361 361 10 10 10

138 Dopamet (Methyldopa 250 JUNI 2019 296 296


mg)

139 Dopamin giulini AGUSTUS 2019 2 2

140 Dulcolax supp adult 10 mg FEBRUARI 2019 83 83


(Bisacodyl 10 mg)
141 Dulcolax supp infant 5 mg JANUARI 2019 47 47
(Bisacodyl 5 mg)
142 Dumin 125 mg/2,5 ml APRIL 2019 0 0
(Paracetamol)

143 Dumin 250 mg/4 ml MEI 2017 1 1


(Paracetamol)

144 Durogesic 12 (Fentanyl 12 MEI 2018 10 10


µg / h)

145 Durogesic 25 (Fentanyl 25 JUNI 2018 10 10


µg / h)

146 Durogesic 50 (Fentanyl 50 JANUARI 2018 10 10


µg / h)
147 Elanos kaplet (Suplemen MEI 2019 190 190 10 20 10 20
makanan)

148 Elanos KIDS sirup (Suplemen SEPTEMBER 2019 30 30 1 1 2 2 2 1 3 2 1


makanan)

149 Enzyplex (Amilase, Protease, 598 598 10 2 18 10


Lipase, As. Desoksikholat,
Dimetilpolisiloksan, Vitamin
B Komplek) 20 Mei 2019

150 Epexol drops (Ambroxol HCl 16 JULI 2018 17 17 1


15 mg) @ 20 ml

151 Epexol sirup 120 ml 21 SEPTEMBER 14 14 1 1 1


(Ambroxol HCl 15 mg) 2018

152 Epexol tablet ( Ambroxol HCl 18 JULI 2018 686 686 20 10 20 13 10 7 10 10


30 mg)

153 Ephedrine HCL injeksi 50 JANUARI 2020 100 100


mg/ml

154 Epinephrine 1 mg/ml MARET 2020 595 595

155 Ergotamine 1 mg - Caffeine OKTOBER 2018 596 596


50 mg

156 Erythromycin Kapsul 250 mg JULI 2019 461 461

157 Erythromycin sirup kering 13 13 1


200 mg/5 ml Nov-20
158 Erythromycin Tablet 500 mg FEBRUARI 2020 503 503

159 Ethylchloride spray 100 ml 0 0

160 Fenitoin Natrium injeksi 50 MEI 2020 20 20


mg/ml

161 Fenofibrate kapsul 100 mg SEPTEMBER 2018 571 571

162 Fenofibrate kapsul 300 mg JUNI 2018 56 56 10 10 20 11


Fentanyl 0,05 mg / ml injeksi
163 (Fentanyl dihydrogenum OKTOBER 2019 20 20
citrate)

164 Fibramed (Fenofibrate 300 300 300


mg) Feb-20
30 NOVEMBER
165 Flamar (Diclofenac sodium 2018 DAN 18 26 26 1
10 mg) @20 gram JANUARI 2020

166 Fluconazole 150 mg kapsul AGUSTUS 2020 50 50

167 Flunarizine tablet 10 mg AGUSTUS 2018 1023 1023 10

168 Flunarizine tablet 5 mg JULI 2018 459 459 11

169 Folavit tablet (Asam Folat 22 AGUSTUS 2019 304 300 604 60 10 10 30
1.000 mcg)

170 Folavit tablet (Asam Folat 19 AGUSTUS 2019 4 4 4


400 mcg)
Furosemide injeksi 10
171 mg/ml JANUARI 2019 50 50

172 Furosemide Tablet 40 mg MEI 2019 657 657 10

173 60 60
Gabapentin 300 mg JULI 2019

174 Gastrinal suspensi 120 ml FEBRUARI 2019 0 0

175 Gastrinal tablet MEI 2018 497 497

176 Gastrul (Misoprostol 200 JUNI 2019 300 300


mcg)
177 Gavistal (Metoclopramide JUNI 2019 94 94 1 3
HCl 5 mg) injeksi i.m./i.v.

178 Gavistal drops JULI 2019 9 9


(Metoclopramide HCl) 10 ml

179 Gemfibrozil Tablet 300 mg APRIL 2020 599 599 12

180 Gentamicin 3 mg (salep APRIL 2019 107 107 1


mata) Genoint

181 JUNI 2020 16 16 1 2


Gentamisin tetes mata 0,3 %
182 Gentian violet 10 ml OKTOBER 2018 5 5

183 Glibenclamide Tablet 5 mg JULI 2017 10 10 10


184 Glimepiride tablet 2 mg SEPTEMBER 2019 327 327 10

185 Glyceryl Guaiacolate Tablet MEI 2019 508 508 30 33 2 20 3 1 7 20 10


100 mg

186 Glyceryl Trinitrate 500 mcg 3 3

187 Griseofulvin Tablet 125 mg MEI 2021 479 479

188 Haloperidol 5 mg Apr-19 100 100

189 Haloperidol Tablet 1,5 mg OKTOBER 2019 2970 2970

190 Hepachol Kapsul (Suplemen JANUARI 2019 201 201


Makanan)

Hexalgin (Methampyrone,
191 Vitamin B1, Vitamin B12, APRIL 2018 536 536 10
Vitamin B6)

192 Hydrocortisone 2,5% krim 5 47 47


g

193 Hidrocortisone krim 1 % JULI 2020 27 27

194 500 500


Hypofil (Gemfibrozil 300 mg) 3-Jul-19

195 Ibuprofen sirup 60 ml MEI 2018 11 11 1 1 1

196 Ibuprofen Tablet 200 mg JULI 2020 277 277 20 10 15

197 Ibuprofen Tablet 400 mg JANUARI 2020 2 2

Iliadin Nasal Drop Tetes


198 Hidung Anak
(Oxymetazoline HCl 0,025%) JULI 2018 12 12 1

Iliadin Nasal Spray Obat


199 Semprot Hidung Dewasa OKTOBER 2018 15 15
(Oxymetazoline HCl 0,05%)
200 Isosorbide Dinitrate (ISDN) MEI 2019 463 463 10
Tablet 5 mg

201 431 431 10


Kalium diklofenak 50 mg Mar-19
202 Kalmeco injeksi 30 30 1
(Mecobalamin 500) Mar-19

203 Ketamin injeksi 10 ml 100 0 0


mg

204 Ketamin injeksi 10 ml 500 10 10


mg

205 Ketokonazol krim 2% AGUSTUS 2020 28 28 4

206 240 240


Ketokonazole tab 200 mg Sep-21

207 Ketorolac 30 mg/ml injeksi 0 0


BERNOFARM NOVEMBER 2020

208 Ketorolac injeksi 30 mg/ml AGUSTUS 2019 68 68 1 3 3 10


PHAPROS
Ketricin (Triamcinolone
209 acetonide) salep 1 mg/g MEI 2018 35 35 1

210 Kitavit sirup (Kurkuminoid, 6 30 36 1 1 2 1 2 2 1 1 2 1


Lysine HCl, Vit B1, B2, B6,
B12, Niacinamid, Asam
pantotenat) Jul-19

211 Kodein tablet 10 mg NOVEMBER 2019 5986 5986 5

212 Kodein tablet 15 mg Nov-19 198 198

213 JUNI 2020 200 200


Kodein tablet 20 mg
214 L. Bio sachet JUNI 2018 112 90 202 5 3 5 5

215 Lanaginkola Kapsul NOVEMBER 2019 220 220

216 Lancolin 500 (Citicoline 125 DESEMBER 2017 22 22 22


mg injeksi i.m. / i.v.)

217 Lansoprazole kapsul 30 mg SEPTEMBER 2018 120 120

Lantipain 30 injeksi
218 (Ketorolac tromethamine 30 OKTOBER 2018 30 30
mg)

219 Lanturol 400 Kapsul (d-alpha NOVEMBER 2019 480 480


Tocopherol 400 IU)
220 Lapibal (Mecobalamin) DESEMBER 2018 0 0
i.v./i.m. injeksi 500 µg/ml

221 5 5
Larutan D5 + 1/2 NS SANBE 19-Mar-20

222 Larutan D5 + 1/2 NS 8 8


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,45 %) Apr-19
223 5 5
Larutan D5 + 1/4 NS SANBE 29-Dec-19

224 Larutan D5 + 1/4 NS 19 19


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,225 %) Apr-22
225 Larutan D5-NS (Glukosa 5% 8 8
+ NaCl 0,9%) Dec-18
226 Larutan glukosa 10% MEI 2018 104 104

227 Larutan glukosa 5% NOVEMBER 2020 25 25 3 2 1 2

228 Larutan infus Ringer Laktat MEI 2021 33 75 108 7 1 1 3 2 6 1 7 3 6 9


500 ml

229 Larutan KN - 2 (KCl 0,3 % in 19 19


0,9 % NaCl) May-21
Lasal sirup 100 ml
230 (Salbutamol sulfate, AGUSTUS 2019 4 4 1 1 1
Guaifenesin)

231 Levofloxacin infus 5 mg/ml JANUARI 2019 12 12

232 Levofloxacin tab 500 mg MARET 2020 221 221 10

233 Levopar tablet (Levodopa JULI 2019 150 150


Benserazide)

234 Levosol injeksi MARET 2018 2 2


(Norepinephrine)

235 Lexatrans (Asam MARET 2020 0 0


Traneksamat 500 mg)
236 Lexavit (Vitamin A, D, C, B1, Nov-19 584 584 20 20 30 30 10 20 20 10
B2, B6, B12, Nikotinamida,
Kalsium pantotenat, Asam
folat, Besi II fumarat,
kalsium laktat, Tembaga,
Iodium, Dimetilpolisiloksan,
Fluorida)

237 Lidocain Injeksi 2% AGUSTUS 2020 640 640 1

Lidocaine Compositum
238 injeksi 2% OKTOBER 2020 23 23
(Lidocaine HCl 20 mg,
Epinephrine 0,0125 mg)

Liproqy (Coenzyme Q-10,


239 Lycopene, Natural Vit E, 294 294 6
Grape seed ext, EGCG
(Green Tea Ext)) 4-Apr-19
240 Lisinopril Tablet 10 mg JULI 2018 890 890

241 Lodia tablet (Loperamide 10 AGUSTUS 2020 322 322 10


HCl 2 mg)

242 Loperamide HCl Tablet 2 mg OKTOBER 2019 437 437

243 Loratadine Tablet 10 mg 524 524 20


MEI 2019

244 Magnesium sulfate injeksi JULI 2019 10 10


20%

245 Magnesium sulfate injeksi 09 OKTOBER 2018 11 11


40%

246 Magnidicon Tablet OKTOBER 2020 45 45

247 Makro B Multivitamin 0 0

248 Medigrel (Clopidogrel 300 300


Bisulfate 75 mg) Aug-19

249 Mefinal kaplet (Asam 4 AGUSTUS 2021 0 0


Mefenamat 500 mg)

250 Megabal (Mecobalamin 500 19 NOVEMBER 229 229 10


µg) 2018
251 Melavita krim (Retinoic acid AGUSTUS 2018 93 93
0,1 %)
252 Meloxicam tablet 15 mg AGUSTUS 2018 228 228 10 5 10 15 10

253 Metamizole Na for IM/IV 0 0


injeksi (Antrain)

254 Metformin Tablet 500 mg MARET 2019 162 500 662 15 10 10

255 Metformin Tablet 850 mg AGUSTUS 2018 180 180

256 Methyl ergometrine injeksi FEBRUARI 2020 195 195 4


0,2 mg/ml

257 Methylergometrine Tablet SEPTEMBER 2018 646 646 10


0,125 mg

258 Methylprednisolone 125 mg APRIL 2018 15 15


serbuk injeksi

259 Methylprednisolone Kaplet OKTOBER 2018 170 170


16 mg

260 Methylprednisolone Tablet 4 SEPTEMBER 2018 205 500 705 10 10 10


mg

261 Methylprednisolone Tablet 8 FEBRUARI 2018 385 385


mg

Metiagin 0,2 mg/ml injeksi


262 (Methylergometrine MARET 2017 0 0
maleate 0,2 mg)

263 Metoclopramide HCl Tablet SEPTEMBER 2021 401 401 10


10 mg

264 0 0
Metoclopramide injeksi 10
mg/2 ml MARET 2021

265 Metoklopramide HCl sirup 5 JUNI 2019 10 10


mg/5 ml (Lexapram)

266 Metronidazol Tablet 250 mg JULI 2021 540 540 10

267 Metronidazol Tablet 500 mg AGUSTUS 2020 0 0

268 Metronidazole 500 mg/100 11 11 1


ml infus MEI 2021
269 Metronidazole Benzoate AGUSTUS 2019 18 18 1
suspensi 60 ml

270 Meylon 8,4 % 25 ml SEPTEMBER 2018 120 120


(Natrium Bicarbonat)

271 Miconazole krim 2% @10 DESEMBER 2019 28 28 1


gram

272 260 260 30


Miniaspi 80 (Acetylsalicylic
acid 80 mg) Mar-21

273 Miozidine (Trimetazidine 2 MEI 2019 150 150


HCl 35 mg)

274 Misoprostol tablet 200 mcg JULI 2018 66 66 3 1

275 Molaneuron (Vitamin B1, Nov-19 456 456 10 12 40 10 10 10 1 20 40 20 20


B6, B12)

276 Molasma (Terbutalin sulfat 500 500


2,5 mg)

277 Apr-21 21 21 1 2
Molavir (Acyclovir krim 5 %)

278 Mometasone Furoate 0,1 % MARET 2019 0 0


ETERCON PHARMA

279 Mometasone Furoate 0,1 % JUNI 2018 11 11


NULAB

280 Mucohexin sirup 120 ml 10 JUNI 2018 13 13 1 1


(Bromhexine HCl elixir)

281 Mucohexin tablet 17 JUNI 2021 117 117


( Bromhexine HCl 8 mg)

282 Natrium chlorida 0,9% JULI 2021 17 20 37 1 5 2 5 3


(Larutan Sodium chlorida)

283 Natrium Diklofenak Tablet OKTOBER 2021 110 500 610 22 1 20 10 10 10


25 mg

284 Natrium Diklofenak Tablet SEPTEMBER 2019 0 0


50 mg

285 Natrium fusidat salep 20 APRIL 2020 85 85 1


mg/g (Fucilex Ointment)
286 Nebacetin ointment 0
(Neomycin sulphate,
Bacitracin)
Nebacetin powder
287 (Neomycin sulphate, 0
Bacitracin)

288 Neo K Phytonadione injeksi MARET 2018 0 0

289 Neo Kaolana suspensi 120 25 MEI 2019 9 9


ml (Kaolin, Pectin)

Neulin PS (Cytidine 5-
290 monophosphate, Choline L- MEI 2018 48 48
bitartrate,
Phosphatidylserine) kapsul

Neurobion injeksi (Thiamine


291 HCl + Pyridoxol HCl + Desember 2018 0 0
Cyanocobalamin)

292 Neurosanbe 5000 tablet 30 JULI 2019 0 0


(Vit.B1, Vit.B6, Vit.B12)

293 New Antides (Activated OKTOBER 2020 368 368


attapulgite)

294 Nicardipine HCl injeksi 1 Apr-19 10 10


mg/ml

295 Nifedipine Tablet 10 mg AGUSTUS 2018 310 310 10

296 Nifudiar suspensi 60 ml


Nonemi (tablet penambah FEBRUARI 2020
(Nifuroxazide) 11 11 1
darah)
(Ferrous fumarate, Copper
297 sulfate, Manganese sulfate, MEI 2019 354 500 854 80 30 1 20 50
Calcium hydrogen,
Phosphate, Cobalt sulfate,
Folic acid, Vitamin B6,
Norages (Metamizole
Vitamin B12, Vitamin C)
298 sodium 500 mg) injeksi AGUSTUS 2019 0 0
i.m./i.v.
299 Norestil (Norethisterone 5 110 110 30
mg) MARET 2019

300 Notrotam 1200 (Piracetam AGUSTUS 2018 119 119 20


Kaplet 1200 mg)
Notrotam 3000 (Piracetam
301 injeksi i.m./i.v. JULI 2017 0 0
200 mg)

Novabion tablet
302 (vitamin&mineral JANUARI 2021 0
penambah darah)

303 Novalgin (Metamizole APRIL 2019 0


Sodium 500 mg/ml)

304 Nymiko suspensi 12 ml drop 25 JANUARI 2019 14 14


(Nystatin)

305 Nystatin Tablet 500.000 IU JUNI 2019 500 500

306 Nystatin Tablet Vaginal SEPTEMBER 2020 197 197


100.000 IU

307 Ofloxacin 3 mg (Tarivid) 5 ml OKTOBER 2018 10 10

308 Oftiflox (Levofloksasin tetes Apr-19 22 22


mata 0,5%)

309 Omeprazole Kapsul 20 mg SEPTEMBER 2020 426 426

310 Omeprazole serbuk injeksi MEI 2019 14 30 44 5 2 1 3 3


40 mg

311 0 0
Ondansentron 8 mg NOVELL Apr-19

312 Ondansentron tablet 8 mg AGUSTUS 2018 9 9


MEPRO (@ 30 tablet)
Ondansetron injeksi 4 mg/2
313 ml AGUSTUS 2019 49 49 1 1 5

314 Ondansetron tablet 8 mg 389 389 10 10


SOHO (@ 10 tablet)

315 Oxoril sirup (Oxomemazine , JUNI 2019 19 10 29 1 2 1 1


Glyceryl guaiacolate)

Oxytocin injeksi 10 IU/ ml


316 AGUSTUS 2019 1102 1102 1 1
i.m./i.v.
317 Papaverine HCl Tablet 40 mg SEPTEMBER 2018 493 493 10 10

318 Paracetamol sirup 120 mg/5 NOVEMBER 2019 82 82 2 1 1 1 2 1 2 3


ml AFIFARMA

319 Parasetamol sirup 120 mg / 0 0


5 ml MERSI Jun-19

320 Parasetamol Tablet 500 mg AGUSTUS 2019 373 500 873 10 10 10 13 12 10 25 10 10 13 11 9 10 3 20 30 10

321 Parolit (Oralit) NOVEMBER 2019 153 100 253 5 6

322 Pavidone Iodine 10% 1000 4 4


ml

323 Pavidone Iodine 10% 300 ml 0 0

324 Phenobarbital injeksi 2 mg ED JULI 2016 0 0

325 Phenol Glycerol 10% tetes SEPTEMBER 2018 22 22 1


telinga

326 Phenoxymethyl penicillin Apr-20 600 600


500 mg

327 Phytomenadione injeksi (Vit. 578 578 1 1 1


K) Jun-19

328 Phytomenadione Tablet 10 AGUSTUS 2018 1087 1087 10


mg (vitamin K)
329 Piracetam Tablet 1.200 mg JUNI 2017 0 0
330 Piroxicam Tablet 10 mg 0 0

331 Piroxicam Tablet 20 mg OKTOBER 2020 187 187 5

332 Plantacid sirup (Aluminium 42 42 1 1 2 2 1 2 2


Hydroxide, Magnesium
Hydroxide, Simethicone) May-20

Plasminex injeksi 09 DESEMBER


333 (Tranexamic acid 100 mg 15 15 1
2018
injeksi i.v.)
334 Plasminex tablet 6 DESEMBER 2019 327 327 10 15
(Tranexamic acid 500 mg)

335 JUNI 2019 990 990

Prednison tablet 5 mg

336 Premaston 5 mg May-20 300 300


(Allylestrenol)
Pritavit (Vitamin B1, B2, B6,
337 B12, Nikotinamida, Kalsium MARET 2020 705 705 10 10 11 21 10 10 10
pantotenat, Vitamin C)

338 Proceles sirup 60 ml JUNI 2018 17 17 6 1


(Betamethasone, Dex-CTM)

339 Progeston Tablet MARET 2019 6 6


(Allylestrenol 5 mg)

340 Pronovir sirup 60 ml MEI 2018 0 0


(Methisoprinol)

341 JUNI 2019 200 200


Propanolol tablet 10 mg
342 Propanolol tablet 40 mg MEI 2019 200 200

343 Pularex Tablet (Activated JULI 2017 0 0


Attapulgite) 630 mg

344 Pyrantel Tablet 125 mg SEPTEMBER 2018 182 182 1

Pyrexin 160 (Paracetamol


345 suppositoria 160 mg) JUNI 2019 140 140 1 1

346 Pyrexin 80 (Paracetamol JUNI 2018 121 121 1 1


suppositoria 80 mg)

347 Quinine Sulphate Tablet 222 MARET 2019 300 300


mg

348 Ranitidin injeksi 25 mg/ml AGUSTUS 2018 7 7 7


HEXPHARM

349 Ranitidin injeksi Quantum 1000 1000 3 9 4 4 3 5 2 1 6 3 5 16


Lab Jul-20
350 Ranitidin Tablet 150 mg MEI 2019 343 343 10 10 10 10 10 10 10 10 20

351 Sagestam krim @10 gram 23 JANUARI 2019 4 4 1


(Gentamicin)
352 Salbutamol Tablet 2 mg OKTOBER 2019 555 555 10 10 10 10 10

353 Salbutamol Tablet 4 mg SEPTEMBER 2020 0 0

354 Salep 2-4 (As. salisilat, AGUSTUS 2020 24 24


sulfur)
Salep ADK (Antifungi DOEN
355 Kombinasi) (Ac. salicylicum, JULI 2020 24 24
Ac. benzoicum)

356 San B plex drop (Vitamin A, 23 23 1


D, B, B2, B6, Nicotinamide,
Dexphanthenol, Vit C) Dec-18

Sanadryl DMP sirup 60 ml


(Dextromethorphan HBr,
357 Diphenhydramine HCl, 18 JUNI 2019 12 10 22 1 1 1 1
Ammonium Cl, Na citrate,
Menthol)

Sanadryl Expectorant 60 ml
(Diphenhydramine HCl,
358 Ammonium Cl, K 20 JUNI 2018 12 12 3 1 1 1 1 1 4
Guaiacolsulphonate, Na
citrate)

359 Sanmol drop (PCT 60 mg) 8 AGUSTUS 2019 21 21


@15 ml

360 Sanmol forte tablet (PCT 650 23 MEI 2018 400 400 10 10 130
mg)

361 Sanmol infus (PCT 1.000 mg) MEI 2018 12 12

362 Sanmol sirup 60 ml (PCT 120 25 JANUARI 2021 0 0


mg)

363 Sanmol tablet (PCT 500 mg) 21 MEI 2021 0 0

364 Scabimite krim (Permethrin JULI 2021 20 20 1


5%)

365 Scopma plus (Hyoscine 0


butylbromide, PCT)
366 Serum Bio SAVE (ABU) AGUSTUS 2018 10 10

367 Sidiadryl (Diphenhydramine OKTOBER 2019 5 5


HCl 150 mg/15 ml)
368 Simvastatin Tablet 10 mg JUNI 2021 271 300 571 20 14 31 20 5 5 60

369 Simvastatin Tablet 20 mg OKTOBER 2019 1 1

370 Sinral 10 tablet (Flunarizine FEBRUARI 2020 16 16


10 mg)

371 Sinral 5 tablet (Flunarizine 5 0 0


mg)
372 Sohobion injeksi 0 0

373 Spasmacine tablet (PCT, 210 210 10 20 20


Hyoscine N butylbromide) Mar-19

374 Spironolactone tablet 100 SEPTEMBER 2018 280 280


mg

375 Spironolactone tablet 25 mg Nov-18 238 238

376 Sterilised water for 12 AGUSTUS 2019 179 179 1 2 5 2 2 1 4 3 3 4


injections B.P. 25 ml

377 Stesolid 10 mg / 2,5 ml 250 250


(Diazepam) Jun-19

378 Stesolid 5 mg / 2,5 ml 247 247


(Diazepam) MARET 2019

379 Streptomycin sulfate injeksi 11 11

380 Sucralfate suspensi 100 ml SEPTEMBER 2018 20 60 80 1 1 1 1 6 1 5 2 1 3


COMBIPHAR

381 Sucralfate suspensi 100 ml MEI 2019 0 0


MEPROFARM

382 Sucralfate tablet 500 mg AGUSTUS 2021 1098 1098


(Ulsafate)

383 AGUSTUS 2018 10 10


Sufenta injeksi (Sufentanil
citrate 0,005 mg/ml)

384 Suppository ketoprofen 100 SEPTEMBER 2019 20 20


mg (Pronalges)

385 Suprafenid suppositoria AGUSTUS 2019 20 20


(Ketoprofen) 100 mg

Symbicort turbuhaler 160


386 (Budesonid 160 mcg- JANUARI 2019 3 3
formoterol 4,5 mcg)
Symbicort turbuhaler 80
387 (Budesonid 80 mcg- DESEMBER 2018 3 3 1
formoterol 4,5 mcg)

388 Synarcus (Fluocinolone OKTOBER 2019 10 10


acetonide 0,025%)

389 Tabas sirup 100 ml NOVEMBER 2019 10 10


(Terbutaline sulphate)

390 Tetagam ( Human Tetanus DESEMBER 2019 1 1 1


Immunoglobulin) 1 ml

391 Tetrasiklin Kaplet 250 mg MEI 2019 200 200

392 Tetrasiklin Kapsul 500 mg SEPTEMBER 2020 100 100

393 Theophylline (Bronsolvan) AGUSTUS 2021 1180 1180


tablet 150 mg

394 Thiamphenicol Kapsul 500 FEBRUARI 2021 0 0


mg

395 Thrombogel (Heparin JULI 2020 0 0


sodium)

396 Tramadol HCl injeksi 100 100 100


mg / 2 ml Apr-20

Tremenza sirup 60 ml
397 (mg,
Pseudoephedrine HCl 30 07 JUNI 2018 11 10 21 2 1
Triprolidine HCl 1,25
mg)

Tremenza tablet 60 mg
398 (Pseudoephedrine HCl 60 04 AGUSTUS 2020 480 480 10
mg, Triprolidine HCl 2,5 mg)

399 Trichodazol infus softbag 26 NOVEMBER 0 0


(Metronidazole) 2017

400 Trichodazol plus ovula 11 JULI 2018 58 58 6


(Metronidazole, Nystatin)

401 100 100


Trihexyphenidyl HCl 2 mg Jun-19
402 5 5
Trilac injeksi (Triamcinolone
acetonide 10 mg / ml) Aug-19

403 Trolac tablet (Ketorolac JANUARI 2020 0 0


Tromethamine 10 mg)

404 FEBRUARI 2021 100 100


Ulsidex (Sucralfate 500 mg)

405 Uresix (Furosemide Injeksi 12 OKTOBER 2018 25 25


10 mg/ml)

Vagizole ovula
406 (Metronidazole ovula 500 Apr-19 25 25
mg)

407 Valisanbe injeksi (Diazepam 50 50


5 mg) 19-Apr-19

408 Valisanbe tablet (Diazepam 27 APRIL 2021 875 875 2 3


5 mg)

409 Ventolin Nebules 2,5 mg JANUARI 2019 73 73 1 8 1 2


(Salbutamol)

Veridin film coated tablet


410 (Micronized Diosmin / MEI 2018 14 14
Hesperidine)

Vermox Tablet Kunyah


411 (Mebendazole 500 mg) APRIL 2020 61 61 1

412 Vical sirup (Multivitamin, JULI 2019 19 19


Kalsium, Fosfor)

413 Vitacur sirup 100 ml SEPTEMBER 2019 0 0


(suplemen makanan)

414 Vitamin A 200.000 UI MEI 2019 144 144


(Retinol)

415 Vitamin B compleks injeksi JUNI 2017 0 0


20 ml

416 Vitamin B complex Tablet JUNI 2018 617 617 8 6

417 Vitamin B-1 Tablet 50 mg Juni 2021 444 444 10

418 Vitamin B12 Tablet 50 mg AGUSTUS 2019 1984 1984 10


419 Vitamin B-6 Tablet 10 mg SEPTEMBER 2019 377 377

420 Vitamin C Tablet 50 mg AGUSTUS 2019 458 500 958 10 15 10 2 10 23 10 10

421 Vossecal Kaplet (Suplemen OKTOBER 2017 0 0


Makanan u/ Tulang)

422 Warfarin Kalium Tablet 1 mg 11 JANUARI 2019 1000 1000

423 Xylocaine 2% Jelly (Lidocain DESEMBER 2018 10 10


HCL)

424 DESEMBER 2019 20 20


Xylocaine Pump Spray
(Lidocain HCl 10 mg / dose)

425 Zinc kid sirup 10 mg / 5 ml OKTOBER 2020 10 10 1

426 Zinc Tablet 20 mg AGUSTUS 2018 187 187


TOTAL STOK AKHIR
PENGGUNAAN
22 23 24 25 26 27 28 29 30 31

0 200
0 170

1 1 231

0 0
60 85 523

2 2 0

0 124

0 0

10 93 148 25

154 0

0 0

0 80

0 0

5 5 260

0 0

0 500

30 30 82

0 0
0 0

0 10

2 25

10 10 25 182

0 1045

0 0

10 10 10 102 278

20 5 10 27 114 308

2 2 320

1 2 1 4 14 49

1 3 49

0 15

15 10 10 25 10 50 5 235 703

1 1 11

0 20

2 1 9 2 28 85

0 0

10 65 365

0 0

0 0

20 10 20 40 20 10 20 70 46 496 485
0 0

0 0

0 10

0 12

0 0

0 5

4 4 22

0 0

30 441

0 0

10 20 200

0 94

0 0

0 0

1 4 13

0 13

0 160

0 0

10 2 26 168
1 4 17 38

0 28

1 1 1 5 12

0 38

0 114

1 11 247

0 0

0 10

0 10

0 8

1 1 16 22 0

0 0

0 0

0 948

0 1408

10 20 42

9 19 990

10 5 133 528
1 2 93

0 100

20 10 10 10 30 14 304 435

2 4 24

1 1 2 24

2 2 20

0 10

20 10 10 42 30 272 259

0 2

1 3 12 9

5 5 10 110

2 25

0 20

11 16 40

0 10

1 1 1 3 20 9

0 0

10 10 10 2 11 146 513

0 0
2 4 7

1 17

0 0

2 17 14 29 224 716

0 300

10 35

0 115

0 10

20 30 116

0 20

0 127

12 29 53 534

0 100

0 150

24 79

2 3 1 12 27 36

0 0
0 0

10 10 466

3 2 7 25

0 585

0 62

1 3 26

0 1000

2 16

0 4

0 0

600 0

2 2 9 2 28 92

2 11 10 29 10 10 2 23 339 749

7 8 19

1 4 10
2 4 91

0 45

0 0

0 300

0 100

0 32

0 5

0 2

1 1 1 7 47

10 15 55 306

0 296

0 2

1 1 82

0 47

0 0

1 1 0

0 10

0 10

0 10
10 70 120

1 1 2 19 11

25 10 10 10 95 503

1 16

1 2 1 7 7

10 15 10 8 4 147 539

0 100

0 595

0 596

0 461

1 12

73 73 430

0 0

0 20

10 10 20 551

2 53 3

0 20

10 10 20 280
1 4 6 20

0 50

4 14 1009

10 21 438

110 494

4 0

0 50

10 647

0 60

0 0

7 7 490

0 300

1 2 7 87

0 9

12 587

1 106

3 13

0 5

10 0
10 317

33 2 25 10 10 2 208 300

0 3

10 10 469

0 100

0 2970

0 201

10 20 516

0 47

0 27

0 500

1 4 7

10 10 7 72 205

2 2 0

1 11

0 15

10 10 30 433

3 13 418
1 2 28

0 0

0 10

1 5 23

0 240

0 0

1 1 5 2 26 42

3 4 31

4 1 19 17

10 15 5971

0 198

6 6 194

21 3 42 160

10 10 210

22 0

1 1 119

0 30

0 480
0 0

0 5

0 8

0 5

0 19

0 8

0 104

1 1 9 19 6

5 3 3 7 7 13 84 24

0 19

1 4 0

0 12

10 211

0 150

0 2

0 0
10 10 10 20 15 225 359

1 1 4 3 10 630

0 23

10 16 278

0 890

22 32 290

0 437

10 60 90 434

0 10

0 11

0 45

0 0

0 300

0 0

10 20 209
0 93

10 43 103 125

0 0

10 27 72 590

50 50 130

1 5 190

10 20 626

2 1 3 12

0 170

30 10 10 20 10 110 595

1 1 384

0 0

10 391

0 0

0 10

20 20 20 16 86 454

0 0

1 10
1 1 3 15

0 120

1 2 26

30 230

0 150

1 30 35 31

10 10 20 10 10 29 282 174

0 500

3 18

0 0

0 11

1 3 10

0 117

1 2 3 22 15

10 86 169 441

0 0

1 84
0 0

0 0

0 0

0 9

0 48

0 0

0 0

10 10 358

0 10

10 300

1 2 9

10 10 10 27 238 616

0 0
20 50 60

44 64 55

0 0

0 0

0 0

1 1 13

0 500

0 197

0 10

0 22

10 10 8 28 398

14 30

0 0

9 9 0

4 2 13 36

5 10 10 20 65 324

1 6 23

1 1 4 1098
10 6 36 457

3 2 1 1 1 1 3 25 57

0 0

10 22 10 30 10 10 20 20 45 393 480

6 9 26 227

0 4

0 0

0 0

1 21

0 600

1 4 574

2 12 1075

0 0
0 0

5 182

1 2 1 1 16 26

1 2 13
20 45 282

10 10 980

0 300

10 10 10 10 10 132 573

1 1 1 2 12 5

0 6

0 0

0 200

0 200

0 0

1 181

1 1 4 136

2 1 5 10 111

0 300

7 0

1 4 4 1 5 24 12 12 124 876

10 10 20 30 10 30 210 133

1 2 4 0
10 60 495

0 0

0 24

0 24

1 1 3 20

2 6 16

12 0

1 2 1 1 5 16

20 10 35 215 185

0 12

0 0

0 0

3 4 16

0 0

0 10

0 5
155 416

1 1 0

0 16

0 0

0 0

20 10 10 90 120

0 280

0 238

1 3 1 1 5 38 141

1 1 249

1 1 246

11 11 0

1 1 1 1 2 2 3 33 47

0 0

0 1098

0 10

1 1 19

0 20

1 1 2
1 2 1

0 10

0 10

1 0

0 200

0 100

0 1180

0 0

0 0

0 100

2 2 7 14

13 23 457

0 0

6 12 46

0 100
0 5

0 0

0 100

0 25

0 25

0 50

7 12 863

2 2 16 57

0 14

4 1 6 55

1 1 18

0 0

0 144

0 0

8 22 595

10 434

10 1974
0 377

10 15 2 13 130 828

0 0

0 1000

0 10

0 20

1 9

10 10 177
LAPORAN PENGGUNAAN OBAT APOTEK RSU KELAS D KOTA PALANGKA RAYA
FEBRUARI 2018

TOTAL TANGGAL PENGAMBILAN OBAT


TANGGAL STOK DARI PEMBELIAN
NO OBAT STOK
KADALUARSA AWAL GF APT AWAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

1 Acarbose tab 100 mg FEBRUARI 2019 200 200


2 Acarbose tab 50 mg MARET 2019 170 170
Acetosal (Asam Salisilat 100
3 OKTOBER 2018 231 231
mg)
4 Acyclovir krim 5 g 0 0
5 Acyclovir Tablet 200 mg DESEMBER 2019 523 523 20

6 Acyclovir Tablet 400 mg NOVEMBER 2019 0 0

Albendazole Tablet Kunyah


7 OKTOBER 2018 124 124
400 mg

8 Albothyl (Policresulen) 5 ml JULI 2021 0 0

Aldisa SR kapsul (Loratadine, 29 JUNI 2018


9 25 25 10
Pseudoephedrine SO4)

Alegi tablet
10 (Dexamethasone 0,5 mg, DESEMBER 2019 0 0
Dex-CTM 2 mg)

11 Alkohol 70% 0 0

12 Allopurinol Tablet 100 mg NOVEMBER 2017 80 80 10

13 Allopurinol Tablet 300 mg JUNI 2021 0 0


BERNOFARM
Allopurinol Tablet 300 mg
14 HEXPHARM JANUARI 2020 260 260 10

15 Aloclair Plus Gel JANUARI 2019 0 0

16 Alpentin (Gabapentin 100 500 500


mg) Jul-19

17 82 82 10
Alprazolam Tablet 0,25 mg Jun-18
18 Ambroxol sirup 60 ml 0 0
19 Ambroxol Tablet 30 mg 0 0

20 Amikacin 500 mg / 2 ml JULI 2018 10 10


injeksi

21 Aminophylline injeksi 24 OKTOBER 2018 25 25 2


mg/ml

22 Aminophylline Tablet 200 MEI 2018 182 182


mg

23 Amitriptylline Tablet 25 mg JULI 2020 1045 1045

24 SEPTEMBER 2019 0 0
Amlodipin 5 mg PHAPROS
Amlodipine Tablet 5 mg
25 PROMEDRAHARDJO SEPTEMBER 2018 278 278 10 10 20

26 AmlodipineTablet 10 mg AGUSTUS 2018 308 308 1 1 5 30 1 10

27 Amoxicillin Kapsul 250 mg OKTOBER 2020 320 320 15

28 Amoxicillin sirup kering 125 MEI 2020 49 49 1 1 1 1


mg/5 ml
Amoxicillin sirup kering 250
29 mg/5 ml AGUSTUS 2018 49 49 1
(Amox Forte)
30 Amoxicillin Sodium Serbuk JUNI 2019 15 15
Injeksi 1 gram

31 Amoxicillin Tablet 500 mg FEBRUARI 2019 703 703 10 10 12 10 10 10 20 10 10 10 10 10

32 Amoxsan (Amoxicillin 100 18 MARET 2019 11 11


mg) pediatric drops

33 Ampicillin Sodium Serbuk OKTOBER 2019 20 20


Injeksi 1 gram

34 Antalgin 1000 mg/2 ml 85 200 285 4 6


injeksi FEBRUARI 2018

35 Antasida doen sirup 60 ml 0 0

36 Antasida Doen Tablet 200 JUNI 2019 365 365


mg

37 Apialys sirup 100 ml AGUSTUS 2018 0 0


(suplemen makanan)

38 Asam Folat 1 mg AGUSTUS 2019 0 0

39 Asam Mefenamat 500 mg 485 1000 1485 20 10 60 10 30 20 10 10 30 20 20 21 20 10 20 30 20


HEXPHARM Aug-21
40 Asam Mefenamat Tablet 500 AGUSTUS 2019 0 0
mg MERSI

41 Asam Traneksamat 100 FEBRUARI 2020 0 0


mg/ml HEXPHARM

42 Asam Traneksamat injeksi JANUARI 2020 10 10


250 mg/5 ml

43 Asam Traneksamat Injeksi SEPTEMBER 2020 12 12


500 mg/5 ml BERNOFARM

44 Asam Traneksamat Tablet 0 0


500 mg

45 Asam Valproat 250 mg/5 ml MARET 2019 5 5

46 Asering 500 cc 23 JULI 2019 22 22

47 Aspilets (Asam Asetilsalisilat) MEI 2018 0 0


Tablet 80 mg

48 Astharol tablet (Salbutamol 26 JULI 2018 441 441 10 10 10 10 10 10


4 mg)
Astinox Kaplet (Astaxanthin
49 5 mg, Zinc 2,5 mg, Selenium JUNI 2017 0 0
0,075 mg)
50 200 200
Atorvastatin calcium 20 mg Aug-19

51 Atropine injeksi 0,25 mg/ml JUNI 2020 94 94


s.c./i.m./i.v.

52 Bacitracin Polymyxin B Salep MEI 2019 0 0


Kulit 5 g
Becom – C kaplet (Vitamin B
53 complex, Vitamin C,
Nicotinamide, Pantothenic 24 AGUSTUS 2019 0 0
acid)

54 13 13
Bedak Salicyl (Ac.
Salicylicum 2%) 60 GRAM 28-Dec-18

55 Bedak Salicyl 50 GRAM (Ac. 13 13


Salicylicum 2%) Sep-20

56 Benocetam 800 kaplet OKTOBER 2020 160 160


(Piracetam 800 mg)
Benodon injeksi 5 ml
57 (Methampyrone 250 mg/ml, MEI 2017 (ED) 0 0
Aminopyrine 50 mg/ml,
Lidocaine HCl 15 mg/ml)
58 168 168 10
Betahistine mesylate 6 mg May-20
59 Betametason Krim 0,1 % OKTOBER 2019 38 38 1

Biocombin 5000 injeksi i.m.


60 (Thiamine HCl, Pyridoxine JULI 2018 28 28 5
HCl, Cyanocobalamin)

61 Bioplacenton (Placenta 12 20 32 1 1 1 1
extract, neomycin sulfate,
jelly) Mar-19

62 Biosat Anti Tetanus Serum JANUARI 2019 38 38


(ATS) 1500 IU

63 Apr-19 114 114


Bisakodil tablet 5 mg

64 Bisoprolol Fumarate Tablet 5 MARET 2019 247 247


mg

65 Bralin kaplet (Citicoline 1000 JUNI 2017 0 0


mg)

Bricasma respules
66 (Terbutaline sulphate cairan Apr-18 10 10
ih 2,5 mg/ml)
Bricasma turbuhaler
67 (Terbutaline sulphate serb ih Apr-18 10 10
0,5 mg/dose)
68 Burnazin (Silver MEI 2020 8 8
sulphadiazine 10 mg)

69 Buscopan 20 mg/ml injeksi MEI 2020 0 20 20


(Hyoscine N Butylbromide)

70 Buscopan Plus AGUSTUS 2018 0 100 100

Buscopan tablet (Hyoscine N


71 butylbromide MARET 2019 0 0
10 mg)

72 Calcium Lactate Tablet 500 MARET 2019 948 948


mg Botol

73 Calcium Lactate Tablet 500 AGUSTUS 2018 1408 1408 20 90 30 10 60 30 30 20


mg Bungkus

74 Candesartan cilexetil 16 mg MARET 2019 42 42


75 Captopril Tablet 12,5 mg OKTOBER 2017 990 990 5 10 10

76 Captopril Tablet 25 mg FEBRUARI 2020 528 528 10 10 16

77 Captopril Tablet 50 mg DESEMBER 2018 93 93 10

78 Carbamazepine 200 mg Aug-19 100 100

79 Cefadroxil Kapsul 500 mg JULI 2020 435 435 10 30 30 10 10 20 10 20 10 10 10

80 Cefadroxil sirup kering 125 24 24 1


mg/5 ml Jul-19

81 Cefadroxil sirup kering 250 24 24 1 1


mg/5 ml Aug-19

82 Cefazolin injeksi 1 gram JUNI 2018 20 20


IM/IV

83 SEPTEMBER 2018 10 10
Cefepime injeksi 1 gram
84 Cefixime Kapsul 100 mg AGUSTUS 2019 259 750 1009 10 10 20 30 10 10 60 20 30 10 60 20

85 MEI 2020 2 2
Cefixime kapsul 200 mg

86 Cefixime sirup kering 100 SEPTEMBER 2018 9 20 29 3 1 1 1 2 1 1


mg/5 ml

87 Cefotaxime serbuk injeksi SEPTEMBER 2018 110 110 4


i.m/i.v 0,5 gram

88 Cefotaxime serbuk injeksi AGUSTUS 2018 25 20 45 1 4 1


i.m/i.v 1 gram

89 20 20
Ceftazidime 1 gram injeksi MARET 2019

90 Ceftriaxone serbuk injeksi 1 JUNI 2020 40 40 4 2


gram i.m/i.v

91 Cetadop injeksi (Dopamine MEI 2020 10 10


HCl 200 mg / 5 ml)

92 Cetirizine 5 mg / 5 ml sirup SEPTEMBER 2018 9 15 24 1 1 1 1 1


(Botol 60 ml) Indofarma

93 Cetirizine sirup 5 mg / 5 ml JUNI 2019 0 0


Erela
94 Cetirizine tablet 10 mg AGUSTUS 2018 513 513 10 10 10 10 10 10 10
95 Chloramphenicol 0,5% NOVEMBER 2017 0 0
(Erlamycetin) tetes mata

96 Chloramphenicol 1% MARET 2018 7 7 1


(Erlamycetin) tetes telinga

97 Chloramphenicol sirup 60 ml JULI 2019 17 17


(Hufamycetin)

Chlorpheniramine Maleate
98 Tablet 4 mg (Botol 1.000 DESEMBER 2018 0 0
tablet)

99 Chlorpheniramine Maleate OKTOBER 2020 716 716 15 44 13 24 2 5 10 10 5 10


Tablet 4 mg (Box strip)

100 Cholvastin (Lovastatin 20 300 300


mg) 28-Aug-19

101 Chondro PA Kaplet NOVEMBER 2018 35 35 10 8 17

102 Cimetidin Tablet 200 mg JUNI 2019 115 115

103 Ciprofloxacin infus 200 MARET 2019 10 10


mg/100 ml

104 Ciprofloxacin Tablet 500 mg SEPTEMBER 2020 116 500 616 20

105 Citicoline Sodium Injeksi 250 OKTOBER 2019 20 20


mg / 2 ml

106 Citicoline Tablet 500 mg OKTOBER 2021 127 127

107 Clindamycin Tablet 300 mg JUNI 2019 534 534 10 15 15 10 10 15 10 10

108 Clobazam Tablet 10 mg Feb-21 100 100

109 Clomifene sitrat 50 mg JUNI 2018 150 150

110 Clopidogrel Bisulfate Tablet JULI 2018 79 79


75 mg

Combivent UDV
111 (Ipratropium bromide, FEBRUARI 2018 36 100 136 5 2 1 1 1 1 2 23
Salbutamol sulphate)
112 Cormega Kapsul (1 g Omega NOVEMBER 2017 0 0
3 acid ethyl esters 90%)

113 Cotrimoksazole 480 mg 0 0


MERSI May-19

114 Cotrimoksazole forte 960 466 466


mg MEI 2022
Cotrimoxazole Sirup
115 Suspensi 60 ml JUNI 2019 25 25
(Sulfametoksazol 200 mg,
Trimetoprim 40 mg)

Cotrimoxazole Tablet 480


mg (Sulfametoksazol 400
116 mg, SEPTEMBER 2018 585 585 10 10 10
Trimetoprim 80 mg) HOLI
PHARMA

117 Cyanocobalamin (Vit B12) FEBRUARI 2018 62 100 162


injeksi 500 mcg/ml

118 Decacetine tetes mata MEI 2020 26 26 1 1


(Chloramphenicol)

119 Decatona (Fenitoin Na 30 MEI 2019 1000 1000


mg Kapsul)

Denomix cream 10
120 gram/tube MEI 2018 16 16 1 1 1
(Desoxymethasone,
Neomycin sulfate)

121 Depakene sirup 120 ml 11 APRIL 2019 4 4

122 Depakote tablet 250 mg 13 AGUSTUS 2017 0 0

11 DESEMBER
123 Depakote tablet 500 mg 0 0
2017

124 Dexamethasone injeksi 5 92 92 15 2 5


mg/ml MEI 2020

125 Dexamethasone Tablet 0,5 SEPTEMBER 2019 749 749 10 14 20 2 3 18 10 8 14 10 40 14 40 20 16 10


mg

Dexocort 0,25%
126 (Desoximetasone 2,5 mg) Sep-19 19 19 1
Krim
127 Dextral sirup 10 10
(Dextromorphan HBr, GG,
CTM, Phenylpropanolamine
HCl) Februari 2021

128 Dextrose Monohydrate 400 JANUARI 2018 91 91


mg (D40)
DHP FRIMAL Anti Malaria
(Dihydroartemisinin 40 mg,
129 Piperaquine phosphate 320 45 45
mg) May-19

130 Diclofenak Potassium tablet FEBRUARI 2020 0 0


25 mg

131 Diethylcarbamazine Tablet JUNI 2019 300 300


100 mg

132 Diltiazem 30 mg FEBRUARI 2020 100 100

133 Diphenhydramine HCl 10 SEPTEMBER 2019 32 32 3 1


mg/ml injeksi

Dipsamol Inhaler
134 (Salbutamol sulphate 100 MARET 2020 5 5
mcg)

135 Dobutamine HCl DESEMBER 2018 2 2

136 Domperidone sirup 60 ml OKTOBER 2020 47 47 1 1


(Hufadon)

137 Domperidone tablet 10 mg SEPTEMBER 2019 306 306

138 Dopamet (Methyldopa 250 JUNI 2019 296 296 10


mg)

139 Dopamin giulini AGUSTUS 2019 2 2

140 Dulcolax supp adult 10 mg FEBRUARI 2019 82 82


(Bisacodyl 10 mg)
141 Dulcolax supp infant 5 mg JANUARI 2019 47 47
(Bisacodyl 5 mg)
142 Dumin 125 mg/2,5 ml APRIL 2019 0 0
(Paracetamol)

143 Dumin 250 mg/4 ml MEI 2017 0 0


(Paracetamol)

144 Durogesic 12 (Fentanyl 12 MEI 2018 10 10


µg / h)
145 Durogesic 25 (Fentanyl 25 JUNI 2018 10 10
µg / h)

146 Durogesic 50 (Fentanyl 50 JANUARI 2018 10 10


µg / h)
Elanos kaplet (Suplemen
147 makanan) MEI 2019 120 150 270 20 10 10 10 20 10

148 Elanos KIDS sirup (Suplemen SEPTEMBER 2019 11 11 2 2 1 1


makanan)

149 Enzyplex (Amilase, Protease, 503 503 20 8 20 20 6 26


Lipase, As. Desoksikholat,
Dimetilpolisiloksan, Vitamin
B Komplek) 20 Mei 2019

150 Epexol drops (Ambroxol HCl 16 JULI 2018 16 16


15 mg) @ 20 ml

151 Epexol sirup 120 ml 21 SEPTEMBER 7 5 12 1 1


(Ambroxol HCl 15 mg) 2018

152 Epexol tablet ( Ambroxol HCl 18 JULI 2018 539 539 10 10 10 10 30 10


30 mg)

153 Ephedrine HCL injeksi 50 JANUARI 2020 100 100


mg/ml

154 Epinephrine 1 mg/ml MARET 2020 595 595 2 3

155 Ergotamine 1 mg - Caffeine OKTOBER 2018 596 596 2


50 mg

156 Erythromycin Kapsul 250 mg JULI 2019 461 461

157 Erythromycin sirup kering 12 12


200 mg/5 ml Nov-20
158 Erythromycin Tablet 500 mg FEBRUARI 2020 430 430

159 Ethylchloride spray 100 ml 0 0

160 Fenitoin Natrium injeksi 50 MEI 2020 20 20


mg/ml

161 Fenofibrate kapsul 100 mg SEPTEMBER 2018 551 551 10

162 Fenofibrate kapsul 300 mg JUNI 2018 3 3


Fentanyl 0,05 mg / ml injeksi
163 (Fentanyl dihydrogenum OKTOBER 2019 20 20
citrate)
164 Fibramed (Fenofibrate 300 280 280 10 10
mg) Feb-20
30 NOVEMBER
165 Flamar (Diclofenac sodium 2018 DAN 18 20 20 2
10 mg) @20 gram JANUARI 2020

166 Fluconazole 150 mg kapsul AGUSTUS 2020 50 50

167 Flunarizine tablet 10 mg AGUSTUS 2018 1009 1009

168 Flunarizine tablet 5 mg JULI 2018 438 438 5

169 Folavit tablet (Asam Folat 22 AGUSTUS 2019 494 494 20 10


1.000 mcg)

170 Folavit tablet (Asam Folat 19 AGUSTUS 2019 0 0


400 mcg)

171 Furosemide injeksi 10 JANUARI 2019 50 50


mg/ml

172 Furosemide Tablet 40 mg MEI 2019 647 647 10

173 60 60 10 10
Gabapentin 300 mg JULI 2019

174 Gastrinal suspensi 120 ml FEBRUARI 2019 0 0

175 Gastrinal tablet MEI 2018 490 490

176 Gastrul (Misoprostol 200 JUNI 2019 300 300


mcg)
177 Gavistal (Metoclopramide JUNI 2019 87 87
HCl 5 mg) injeksi i.m./i.v.

178 Gavistal drops


(Metoclopramide HCl) 10 ml JULI 2019 9 9

179 Gemfibrozil Tablet 300 mg APRIL 2020 587 587 12

180 Gentamicin 3 mg (salep APRIL 2019 106 106


mata) Genoint

181 JUNI 2020 13 13


Gentamisin tetes mata 0,3 %
182 Gentian violet 10 ml OKTOBER 2018 5 5
183 Glibenclamide Tablet 5 mg JULI 2017 0 0

184 Glimepiride tablet 2 mg SEPTEMBER 2019 317 317 10 20

185 Glyceryl Guaiacolate Tablet MEI 2019 300 300 15 3 16 22 17 10


100 mg

186 Glyceryl Trinitrate 500 mcg 3 3

187 Griseofulvin Tablet 125 mg MEI 2021 469 469

188 Haloperidol 5 mg Apr-19 100 100

189 Haloperidol Tablet 1,5 mg OKTOBER 2019 2970 2970

190 Hepachol Kapsul (Suplemen JANUARI 2019 201 201 1


Makanan)
Hexalgin (Methampyrone,
191 Vitamin B1, Vitamin B12, APRIL 2018 516 516 10
Vitamin B6)
192 Hydrocortisone 2,5% krim 5 47 47
g
193 Hidrocortisone krim 1 % JULI 2020 27 27

194 500 500


Hypofil (Gemfibrozil 300 mg) 3-Jul-19

195 Ibuprofen sirup 60 ml MEI 2018 7 10 17 1 1

196 Ibuprofen Tablet 200 mg JULI 2020 205 500 705 15 10

197 Ibuprofen Tablet 400 mg JANUARI 2020 0 0

Iliadin Nasal Drop Tetes


198 Hidung Anak
(Oxymetazoline HCl 0,025%) JULI 2018 11 11

Iliadin Nasal Spray Obat


199 Semprot Hidung Dewasa OKTOBER 2018 15 15
(Oxymetazoline HCl 0,05%)
200 Isosorbide Dinitrate (ISDN) MEI 2019 433 433
Tablet 5 mg

201 418 418 10


Kalium diklofenak 50 mg Mar-19

202 Kalmeco injeksi 28 28 6 1 1


(Mecobalamin 500) Mar-19
203 Ketamin injeksi 10 ml 100 0 0
mg

204 Ketamin injeksi 10 ml 500 10 10


mg

205 Ketokonazol krim 2% AGUSTUS 2020 23 25 48 3 1 1 2

206 240 240


Ketokonazole tab 200 mg Sep-21

207 Ketorolac 30 mg/ml injeksi 0 0


BERNOFARM NOVEMBER 2020

208 Ketorolac injeksi 30 mg/ml AGUSTUS 2019 42 42 1 1 1


PHAPROS

209 Ketricin (Triamcinolone MEI 2018 31 31 1


acetonide) salep 1 mg/g

210 Kitavit sirup (Kurkuminoid, 17 40 57 1 1 1 1 2 1 2 1 2 2 1


Lysine HCl, Vit B1, B2, B6,
B12, Niacinamid, Asam
pantotenat) Jul-19

211 Kodein tablet 10 mg NOVEMBER 2019 5971 5971 10

212 Kodein tablet 15 mg Nov-19 198 198 6

213 JUNI 2020 194 194


Kodein tablet 20 mg
214 L. Bio sachet JUNI 2018 160 160 5

215 Lanaginkola Kapsul NOVEMBER 2019 210 210 10

216 Lancolin 500 (Citicoline 125 DESEMBER 2017 0 0


mg injeksi i.m. / i.v.)

217 Lansoprazole kapsul 30 mg SEPTEMBER 2018 119 119

Lantipain 30 injeksi
218 (Ketorolac tromethamine 30 OKTOBER 2018 30 30
mg)

Lanturol 400 Kapsul (d-alpha


219 Tocopherol 400 IU) NOVEMBER 2019 480 480
220 Lapibal (Mecobalamin) DESEMBER 2018 0 0
i.v./i.m. injeksi 500 µg/ml

221 5 5
Larutan D5 + 1/2 NS SANBE 19-Mar-20

222 Larutan D5 + 1/2 NS 8 8


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,45 %) Apr-19
223 5 5
Larutan D5 + 1/4 NS SANBE 29-Dec-19

224 Larutan D5 + 1/4 NS 19 19


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,225 %) Apr-22
225 Larutan D5-NS (Glukosa 5% 8 8
+ NaCl 0,9%) Dec-18
226 Larutan glukosa 10% MEI 2018 104 104 1 2

227 Larutan glukosa 5% NOVEMBER 2020 6 20 26 2 1 2

228 Larutan infus Ringer Laktat MEI 2021 24 70 94 2 3 1 2 3 4 8 3


500 ml

229 Larutan KN - 2 (KCl 0,3 % in 19 19


0,9 % NaCl) May-21
Lasal sirup 100 ml
230 (Salbutamol sulfate, AGUSTUS 2019 0 0
Guaifenesin)

231 Levofloxacin infus 5 mg/ml JANUARI 2019 12 12

232 Levofloxacin tab 500 mg MARET 2020 211 211

233 Levopar tablet (Levodopa JULI 2019 150 150


Benserazide)

234 Levosol injeksi MARET 2018 2 2


(Norepinephrine)

235 Lexatrans (Asam MARET 2020 0 0


Traneksamat 500 mg)
236 Lexavit (Vitamin A, D, C, B1, Nov-19 359 500 859 10 15 30 20 10
B2, B6, B12, Nikotinamida,
Kalsium pantotenat, Asam
folat, Besi II fumarat,
kalsium laktat, Tembaga,
Iodium, Dimetilpolisiloksan,
Fluorida)

237 Lidocain Injeksi 2% AGUSTUS 2020 630 630 3 5 1 100 2 1

Lidocaine Compositum
238 injeksi 2% OKTOBER 2020 23 23
(Lidocaine HCl 20 mg,
Epinephrine 0,0125 mg)

Liproqy (Coenzyme Q-10,


239 Lycopene, Natural Vit E, 278 278 12
Grape seed ext, EGCG
(Green Tea Ext)) 4-Apr-19
240 Lisinopril Tablet 10 mg JULI 2018 890 890

241 Lodia tablet (Loperamide 10 AGUSTUS 2020 290 290 10 10


HCl 2 mg)

242 Loperamide HCl Tablet 2 mg OKTOBER 2019 437 437

243 Loratadine Tablet 10 mg 434 434 10 10 10


MEI 2019

244 Magnesium sulfate injeksi JULI 2019 10 10 1


20%

245 Magnesium sulfate injeksi 09 OKTOBER 2018 11 11


40%

246 Magnidicon Tablet OKTOBER 2020 45 45

247 Makro B Multivitamin 0 0

248 Medigrel (Clopidogrel 300 300


Bisulfate 75 mg) Aug-19

249 Mefinal kaplet (Asam 4 AGUSTUS 2021 0 0


Mefenamat 500 mg)

250 Megabal (Mecobalamin 500 19 NOVEMBER 209 209 10 10


µg) 2018
251 Melavita krim (Retinoic acid AGUSTUS 2018 93 93
0,1 %)
252 Meloxicam tablet 15 mg AGUSTUS 2018 125 250 375 10 5 10 5

253 Metamizole Na for IM/IV 0 0


injeksi (Antrain)

254 Metformin Tablet 500 mg MARET 2019 590 590 20 10

255 Metformin Tablet 850 mg AGUSTUS 2018 130 130

256 Methyl ergometrine injeksi FEBRUARI 2020 190 190


0,2 mg/ml

257 Methylergometrine Tablet SEPTEMBER 2018 626 626


0,125 mg

258 Methylprednisolone 125 mg APRIL 2018 12 10 22 3 1 1


serbuk injeksi

259 Methylprednisolone Kaplet OKTOBER 2018 170 170


16 mg

260 Methylprednisolone Tablet 4 SEPTEMBER 2018 595 595 10 10 10 10 20 12 20 10


mg

261 Methylprednisolone Tablet 8 FEBRUARI 2018 384 384


mg

Metiagin 0,2 mg/ml injeksi


262 (Methylergometrine MARET 2017 0 0
maleate 0,2 mg)

263 Metoclopramide HCl Tablet SEPTEMBER 2021 391 391


10 mg

264 0 0
Metoclopramide injeksi 10
mg/2 ml MARET 2021

265 Metoklopramide HCl sirup 5 JUNI 2019 10 10


mg/5 ml (Lexapram)

266 Metronidazol Tablet 250 mg JULI 2021 454 454 10 20

267 Metronidazol Tablet 500 mg AGUSTUS 2020 0 0

268 Metronidazole 500 mg/100 10 10


ml infus MEI 2021
269 Metronidazole Benzoate AGUSTUS 2019 15 15
suspensi 60 ml

270 Meylon 8,4 % 25 ml SEPTEMBER 2018 120 120


(Natrium Bicarbonat)

271 Miconazole krim 2% @10 DESEMBER 2019 26 24 50 1 1


gram

272 230 230 30 20 2


Miniaspi 80 (Acetylsalicylic
acid 80 mg) Mar-21

273 Miozidine (Trimetazidine 2 MEI 2019 150 150


HCl 35 mg)

274 Misoprostol tablet 200 mcg JULI 2018 31 31

275 Molaneuron (Vitamin B1, Nov-19 174 174 20 20 10 10 2 10 20


B6, B12)

276 Molasma (Terbutalin sulfat 500 500


2,5 mg)

277 Apr-21 18 18 2
Molavir (Acyclovir krim 5 %)

278 Mometasone Furoate 0,1 % MARET 2019 0 0


ETERCON PHARMA

279 Mometasone Furoate 0,1 % JUNI 2018 11 11 1 1


NULAB

280 Mucohexin sirup 120 ml 10 JUNI 2018 10 10 1


(Bromhexine HCl elixir)

281 Mucohexin tablet 17 JUNI 2021 117 117


( Bromhexine HCl 8 mg)

282 Natrium chlorida 0,9% JULI 2021 15 40 55 8 2 3 1 9 1 2 1 1 1


(Larutan Sodium chlorida)

283 Natrium Diklofenak Tablet OKTOBER 2021 441 441 20 20 20 10 20 20


25 mg

284 Natrium Diklofenak Tablet SEPTEMBER 2019 0 0


50 mg

285 Natrium fusidat salep 20 APRIL 2020 84 84 1


mg/g (Fucilex Ointment)
286 Nebacetin ointment 10
(Neomycin sulphate,
Bacitracin) Oct-20 10 1 1 1 1
Nebacetin powder
287 (Neomycin sulphate, 10
Bacitracin) Sep-21 10

288 Neo K Phytonadione injeksi MARET 2018 0 0

289 Neo Kaolana suspensi 120 25 MEI 2019 9 5 14 4


ml (Kaolin, Pectin)

Neulin PS (Cytidine 5-
290 monophosphate, Choline L- MEI 2018 48 48
bitartrate,
Phosphatidylserine) kapsul

Neurobion injeksi (Thiamine


291 HCl + Pyridoxol HCl + Desember 2018 0 0
Cyanocobalamin)

292 Neurosanbe 5000 tablet 30 JULI 2019 0 0


(Vit.B1, Vit.B6, Vit.B12)

293 New Antides (Activated OKTOBER 2020 358 358 10


attapulgite)

294 Nicardipine HCl injeksi 1 Apr-19 10 10


mg/ml

295 Nifedipine Tablet 10 mg AGUSTUS 2018 300 300 20

296 Nifudiar suspensi 60 ml


Nonemi (tablet penambah FEBRUARI 2020
(Nifuroxazide) 9 10 19 1 1 1
darah)
(Ferrous fumarate, Copper
297 sulfate, Manganese sulfate, MEI 2019 616 616 40 30 90 30 20 60 30 20 20
Calcium hydrogen,
Phosphate, Cobalt sulfate,
Folic acid, Vitamin B6,
Norages (Metamizole
Vitamin B12, Vitamin C)
298 sodium 500 mg) injeksi AGUSTUS 2019 0 0
i.m./i.v.
299 Norestil (Norethisterone 5 60 150 210 20
mg) MARET 2019

300 Notrotam 1200 (Piracetam AGUSTUS 2018 55 55


Kaplet 1200 mg)
Notrotam 3000 (Piracetam
301 injeksi i.m./i.v. JULI 2017 0 0
200 mg)

Novabion tablet
302 (vitamin&mineral JANUARI 2021 0
penambah darah)

303 Novalgin (Metamizole APRIL 2019 0


Sodium 500 mg/ml)

304 Nymiko suspensi 12 ml drop 25 JANUARI 2019 13 13


(Nystatin)

305 Nystatin Tablet 500.000 IU JUNI 2019 500 500

306 Nystatin Tablet Vaginal SEPTEMBER 2020 197 197 7 5


100.000 IU

307 Ofloxacin 3 mg (Tarivid) 5 ml OKTOBER 2018 10 10

308 Oftiflox (Levofloksasin tetes Apr-19 22 22


mata 0,5%)

309 Omeprazole Kapsul 20 mg SEPTEMBER 2020 398 398 10 10 10 10 20

310 Omeprazole serbuk injeksi MEI 2019 30 30 2 5


40 mg

311 0 0
Ondansentron 8 mg NOVELL Apr-19

312 Ondansentron tablet 8 mg AGUSTUS 2018 0 0


MEPRO (@ 30 tablet)
Ondansetron injeksi 4 mg/2
313 ml AGUSTUS 2019 36 36 2 3 1 1 6 1 1 1

314 Ondansetron tablet 8 mg 324 324 5 10 15


SOHO (@ 10 tablet)

315 Oxoril sirup (Oxomemazine , JUNI 2019 23 23 1 2 1 2 1 3


Glyceryl guaiacolate)

Oxytocin injeksi 10 IU/ ml


316 AGUSTUS 2019 1098 1098
i.m./i.v.
317 Papaverine HCl Tablet 40 mg SEPTEMBER 2018 457 457 10 10

318 Paracetamol sirup 120 mg/5 NOVEMBER 2019 57 57 1 2 2 2 2 2 2 1 1


ml AFIFARMA

319 Parasetamol sirup 120 mg / 0 0


5 ml MERSI Jun-19

320 Parasetamol Tablet 500 mg AGUSTUS 2019 480 1000 1480 30 20 10 10 30 20 10 21 10 20 20 15 30 30 40 20 10

321 Parolit (Oralit) NOVEMBER 2019 227 227

322 Pavidone Iodine 10% 1000 4 4


ml

323 Pavidone Iodine 10% 300 ml 0 0

324 Phenobarbital injeksi 2 mg ED JULI 2016 0 0

325 Phenol Glycerol 10% tetes SEPTEMBER 2018 21 21 1 1


telinga

326 Phenoxymethyl penicillin Apr-20 600 600


500 mg

327 Phytomenadione injeksi (Vit. 574 574 4


K) Jun-19

328 Phytomenadione Tablet 10 AGUSTUS 2018 1075 1075


mg (vitamin K)
329 Piracetam Tablet 1.200 mg JUNI 2017 0 0
330 Piroxicam Tablet 10 mg 0 0

331 Piroxicam Tablet 20 mg OKTOBER 2020 182 182 10

332 Plantacid sirup (Aluminium 26 20 46 2 2 1 1 1 3 1 1 3 1 1


Hydroxide, Magnesium
Hydroxide, Simethicone) May-20

Plasminex injeksi 09 DESEMBER


333 (Tranexamic acid 100 mg 13 13 1 3
2018
injeksi i.v.)
334 Plasminex tablet 6 DESEMBER 2019 282 282 15 6
(Tranexamic acid 500 mg)

335 JUNI 2019 980 980

Prednison tablet 5 mg

336 Premaston 5 mg May-20 300 300


(Allylestrenol)
Pritavit (Vitamin B1, B2, B6,
337 B12, Nikotinamida, Kalsium MARET 2020 573 573 20 10 2 20 20
pantotenat, Vitamin C)

338 Proceles sirup 60 ml JUNI 2018 5 10 15 1 1 1


(Betamethasone, Dex-CTM)

339 Progeston Tablet MARET 2019 6 6


(Allylestrenol 5 mg)

340 Pronovir sirup 60 ml MEI 2018 0 0


(Methisoprinol)

341 JUNI 2019 200 200


Propanolol tablet 10 mg
342 Propanolol tablet 40 mg MEI 2019 200 200

343 Pularex Tablet (Activated JULI 2017 0 0


Attapulgite) 630 mg

344 Pyrantel Tablet 125 mg SEPTEMBER 2018 181 181 1

345 Pyrexin 160 (Paracetamol JUNI 2019 136 136 1 1


suppositoria 160 mg)

346 Pyrexin 80 (Paracetamol JUNI 2018 111 111 1


suppositoria 80 mg)

347 Quinine Sulphate Tablet 222 MARET 2019 300 300


mg

348 Ranitidin injeksi 25 mg/ml AGUSTUS 2018 0 0


HEXPHARM

349 Ranitidin injeksi Quantum 876 876 2 3 1 2 7 1 4 8 2 3 2 1 2 3 1


Lab Jul-20
350 Ranitidin Tablet 150 mg MEI 2019 133 500 633 20 43 10 10 30 10 30 20 20 20

351 Sagestam krim @10 gram 23 JANUARI 2019 0 0


(Gentamicin)
352 Salbutamol Tablet 2 mg OKTOBER 2019 495 495 20 6

353 Salbutamol Tablet 4 mg SEPTEMBER 2020 0 0

354 Salep 2-4 (As. salisilat, AGUSTUS 2020 24 24


sulfur)
Salep ADK (Antifungi DOEN
355 Kombinasi) (Ac. salicylicum, JULI 2020 24 24
Ac. benzoicum)

356 San B plex drop (Vitamin A, 20 20


D, B, B2, B6, Nicotinamide,
Dexphanthenol, Vit C) Dec-18

Sanadryl DMP sirup 60 ml


(Dextromethorphan HBr,
357 Diphenhydramine HCl, 18 JUNI 2019 16 16 1
Ammonium Cl, Na citrate,
Menthol)

Sanadryl Expectorant 60 ml
(Diphenhydramine HCl,
358 Ammonium Cl, K 20 JUNI 2018 0 0
Guaiacolsulphonate, Na
citrate)

359 Sanmol drop (PCT 60 mg) 8 AGUSTUS 2019 16 16 1 2 1 1 1


@15 ml

360 Sanmol forte tablet (PCT 650 23 MEI 2018 185 300 485 20 10 16 10 10
mg)

361 Sanmol infus (PCT 1.000 mg) MEI 2018 12 12 1

362 Sanmol sirup 60 ml (PCT 120 25 JANUARI 2021 0 0


mg)

363 Sanmol tablet (PCT 500 mg) 21 MEI 2021 0 0

364 Scabimite krim (Permethrin JULI 2021 16 16 1


5%)

365 Scopma plus (Hyoscine 400


butylbromide, PCT) Feb-21 400
366 Serum Bio SAVE (ABU) AGUSTUS 2018 10 10

367 Sidiadryl (Diphenhydramine OKTOBER 2019 5 5


HCl 150 mg/15 ml)
368 Simvastatin Tablet 10 mg JUNI 2021 416 416 20 20 10

369 Simvastatin Tablet 20 mg OKTOBER 2019 0 0

370 Sinral 10 tablet (Flunarizine FEBRUARI 2020 16 16


10 mg)

Sinral 5 tablet (Flunarizine 5


371 mg) 0 0

372 Sohobion injeksi 0 0`

373 Spasmacine tablet (PCT, 120 120 10 10 10 15 10


Hyoscine N butylbromide) Mar-19

374 Spironolactone tablet 100 SEPTEMBER 2018 280 280


mg

375 Spironolactone tablet 25 mg Nov-18 238 238

376 Sterilised water for 12 AGUSTUS 2019 141 120 261 3 4 1 4 2 11 1 1


injections B.P. 25 ml

377 Stesolid 10 mg / 2,5 ml 249 249


(Diazepam) Jun-19

378 Stesolid 5 mg / 2,5 ml 246 246


(Diazepam) MARET 2019

379 Streptomycin sulfate injeksi 0 0

380 Sucralfate suspensi 100 ml SEPTEMBER 2018 47 47 1 2 1 2 1 1 2 2 1 4 1


COMBIPHAR

381 Sucralfate suspensi 100 ml MEI 2019 0 0


MEPROFARM

382 Sucralfate tablet 500 mg AGUSTUS 2021 1098 1098


(Ulsafate)

383 AGUSTUS 2018 10 10


Sufenta injeksi (Sufentanil
citrate 0,005 mg/ml)

384 Suppository ketoprofen 100 SEPTEMBER 2019 19 19


mg (Pronalges)

385 Suprafenid suppositoria AGUSTUS 2019 20 20


(Ketoprofen) 100 mg
Symbicort turbuhaler 160
386 (Budesonid 160 mcg- JANUARI 2019 2 2 1
formoterol 4,5 mcg)

Symbicort turbuhaler 80
387 (Budesonid 80 mcg- DESEMBER 2018 1 1 1
formoterol 4,5 mcg)

388 Synarcus (Fluocinolone OKTOBER 2019 10 10


acetonide 0,025%)

389 Tabas sirup 100 ml NOVEMBER 2019 10 10 20 1 1 1 1


(Terbutaline sulphate)

390 Tetagam ( Human Tetanus DESEMBER 2019 0 0


Immunoglobulin) 1 ml

391 Tetrasiklin Kaplet 250 mg MEI 2019 200 200

392 Tetrasiklin Kapsul 500 mg SEPTEMBER 2020 100 100

393 Theophylline (Bronsolvan) AGUSTUS 2021 1180 1180


tablet 150 mg

394 Thiamphenicol Kapsul 500 FEBRUARI 2021 0 0


mg

395 Thrombogel (Heparin JULI 2020 0 0


sodium)

396 Tramadol HCl injeksi 100 100 100


mg / 2 ml Apr-20

Tremenza sirup 60 ml
397 (mg,
Pseudoephedrine HCl 30 07 JUNI 2018 14 14 1 1
Triprolidine HCl 1,25
mg)

Tremenza tablet 60 mg
398 (Pseudoephedrine HCl 60 04 AGUSTUS 2020 457 457 10 30 10
mg, Triprolidine HCl 2,5 mg)

399 Trichodazol infus softbag 26 NOVEMBER 0 0


(Metronidazole) 2017

400 Trichodazol plus ovula 11 JULI 2018 46 46 2


(Metronidazole, Nystatin)
401 100 100
Trihexyphenidyl HCl 2 mg Jun-19

402 5 5
Trilac injeksi (Triamcinolone
acetonide 10 mg / ml) Aug-19

403 Trolac tablet (Ketorolac JANUARI 2020 0 0


Tromethamine 10 mg)

404 FEBRUARI 2021 100 100


Ulsidex (Sucralfate 500 mg)

405 Uresix (Furosemide Injeksi 12 OKTOBER 2018 25 25


10 mg/ml)

Vagizole ovula
406 (Metronidazole ovula 500 Apr-19 25 25
mg)

407 Valisanbe injeksi (Diazepam 50 50


5 mg) 19-Apr-19

408 Valisanbe tablet (Diazepam 27 APRIL 2021 863 863


5 mg)

409 Ventolin Nebules 2,5 mg JANUARI 2019 57 57 2 1 6 1 2 1 1 1


(Salbutamol)

Veridin film coated tablet


410 (Micronized Diosmin / MEI 2018 14 14
Hesperidine)

Vermox Tablet Kunyah


411 (Mebendazole 500 mg) APRIL 2020 55 55 2

412 Vical sirup (Multivitamin, JULI 2019 18 18


Kalsium, Fosfor)

413 Vitacur sirup 100 ml SEPTEMBER 2019 0 0


(suplemen makanan)

414 Vitamin A 200.000 UI MEI 2019 144 144 2


(Retinol)

415 Vitamin B compleks injeksi JUNI 2017 0 0


20 ml

416 Vitamin B complex Tablet JUNI 2018 595 595 10

417 Vitamin B-1 Tablet 50 mg Juni 2021 434 434


418 Vitamin B12 Tablet 50 mg AGUSTUS 2019 1974 1974

419 Vitamin B-6 Tablet 10 mg SEPTEMBER 2019 377 377 4

420 Vitamin C Tablet 50 mg AGUSTUS 2019 828 828 10 3 10 10 20 26

421 Vossecal Kaplet (Suplemen OKTOBER 2017 0 0


Makanan u/ Tulang)

422 Warfarin Kalium Tablet 1 mg 11 JANUARI 2019 1000 1000

423 Xylocaine 2% Jelly (Lidocain DESEMBER 2018 10 10


HCL)

424 DESEMBER 2019 20 20


Xylocaine Pump Spray
(Lidocain HCl 10 mg / dose)

425 Zinc kid sirup 10 mg / 5 ml OKTOBER 2020 9 5 14 1

426 Zinc Tablet 20 mg AGUSTUS 2018 177 177


TOTAL STOK AKHIR
PENGGUNAAN
22 23 24 25 26 27 28 29 30 31

0 200
0 170

0 231

0 0
20 503

0 0

3 3 121

0 0

10 5 25 0

0 0

0 0

10 70

0 0

10 20 240

0 0

0 500

10 72

0 0
0 0

0 10

2 23

0 182

0 1045

0 0

20 10 10 80 198

5 10 63 245

15 305

1 2 7 42

1 48

0 15

10 10 152 551

0 11

0 20

7 268 285 0

0 0

30 10 1 41 324

0 0

0 0

20 30 70 30 30 30 571 914
0 0

0 0

0 10

0 12

0 0

0 5

0 22

0 0

10 10 80 361

0 0

0 200

0 94

0 0

0 0

1 1 12

0 13

0 160

0 0

10 158
1 37

5 23

4 28

0 38

0 114

0 247

0 0

0 10

0 10

0 8

2 3 5 15

0 100

0 0

0 948

290 1118

0 42
25 965

20 56 472

10 83

0 100

20 50 10 10 10 10 280 155

1 23

1 3 21

0 20

0 10

10 20 20 20 20 20 400 609

0 2

1 1 1 13 16

2 6 104

6 2 14 31

0 20

3 1 1 11 29

0 10

1 1 7 17

0 0

10 80 433
0 0

1 6

0 17

0 0

20 8 10 14 30 220 496

0 300

35 0

0 115

0 10

10 30 586

10 10 10

0 127

35 130 404

0 100

0 150

0 79

5 2 1 44 92
0 0

0 0

0 466

0 25

30 555

62 62 100

2 24

0 1000

3 13

0 4

0 0

0 0

1 1 20 44 48

10 17 10 10 3 10 20 329 420

1 18
0 10

0 91

0 45

0 0

0 300

0 100

4 28

0 5

0 2

1 3 44

10 10 20 286

10 286

0 2

0 82

0 47

0 0

0 0

0 10
0 10

0 10

10 1 10 101 169

6 5

100 403

0 16

1 3 9

20 10 19 129 410

0 100

1 3 9 586

2 594

0 461

0 12

0 430

0 0

0 20

10 541

0 3

0 20
6 26 254

2 4 16

0 50

0 1009

5 433

30 464

0 0

1 1 49

10 637

20 40

0 0

0 490

0 300

7 6 2 15 72

0 9

12 575

1 1 105

1 1 12

0 5
0 0

30 287

10 7 100 200

3 3 0

0 469

0 100

0 2970

1 200

20 30 486
0 47
0 27

0 500

1 3 14

10 35 670

0 0

0 11

0 15

0 433

10 20 398

5 13 15
0 0

0 10

1 8 40

10 10 230

0 0

3 3 9 33

1 2 29

1 1 1 1 19 38

10 5961

6 192

0 194

5 155

10 200

0 0

0 119

0 30

0 480
0 0

0 5

0 8

0 5

0 19

0 8

3 101

5 21

3 7 8 2 3 8 57 37

0 19

0 0

0 12

0 211

0 150

0 2

0 0
10 10 20 125 734

2 1 1 3 119 511

0 23

12 266

0 890

20 270

0 437

30 404

1 9

1 1 10

0 45

0 0

0 300

0 0

20 189
0 93

30 345

0 0

81 111 479

0 130

0 190

20 20 606

5 17

0 170

10 10 10 132 463

84 84 300

0 0

0 391

0 0

0 10

30 424

0 0

0 10
0 15

0 120

1 3 47

52 178

0 150

0 31

10 20 10 132 42

0 500

2 16

0 0

2 9

1 2 8

0 117

1 7 1 38 17

20 130 311

0 0

1 83
4 6

0 10

0 0

4 10

0 48

0 0

0 0

10 348

0 10

20 280

1 4 15

20 40 400 216

0 0
20 190

10 10 20 35

0 0

0 0

0 0

0 13

0 500

12 185

0 10

0 22

20 80 318

4 11 19

0 0

0 0

16 20

10 4 44 280

10 13

3 3 1095
20 437

2 1 1 2 21 36

0 0

20 28 14 20 40 468 1012

0 227

0 4

0 0

0 0

2 19

0 600

3 7 567

0 1075

0 0
0 0

10 20 162

1 18 28

5 3 12 1
21 261

0 980

0 300

10 20 10 10 122 451

3 12

0 6

0 0

0 200

0 200

0 0

1 180

2 134

1 2 109

0 300

0 0

8 7 1 1 7 66 810

10 10 17 10 10 270 363

0 0
10 10 46 449

0 0

0 24

0 24

1 1 19

1 15

0 0

1 7 9

1 67 418

1 11

0 0

0 0

1 15

0 400

0 10

0 5
20 70 346

0 0

0 16

0 0

0 0

10 10 75 45

0 280

0 238

2 2 31 230

0 249

0 246

0 0

1 3 1 1 2 5 31 16

0 0

0 1098

0 10

0 19

0 20
1 1

1 0

0 10

4 16

0 0

0 200

0 100

0 1180

0 0

0 0

0 100

2 12

50 407

0 0

2 44
0 100

0 5

0 0

0 100

0 25

0 25

0 50

0 863

1 1 1 18 39

0 14

2 2 6 49

0 18

0 0

2 4 140

0 0

10 20 40 555

0 434
0 1974

4 373

10 8 10 10 29 146 682

0 0

0 1000

0 10

0 20

1 13

0 177
LAPORAN PENGGUNAAN OBAT APOTEK RSU KELAS D KOTA PALANGKA RAYA
MARET 2018

TOTAL TANGGAL PENGAMBILAN OBAT


TANGGAL STOK DARI PEMBELIAN
NO OBAT STOK
KADALUARSA AWAL GF APT AWAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1 Acarbose tab 100 mg FEBRUARI 2019 200 200


2 Acarbose tab 50 mg MARET 2019 170 170
Acetosal (Asam Salisilat 100
3 OKTOBER 2018 231 231
mg)
4 Acyclovir krim 5 g 0 0
5 Acyclovir Tablet 200 mg DESEMBER 2019 503 503

6 Acyclovir Tablet 400 mg NOVEMBER 2019 0 0

Albendazole Tablet Kunyah


7 OKTOBER 2018 121 121
400 mg

8 Albothyl (Policresulen) 5 ml JULI 2021 0 0

Aldisa SR kapsul (Loratadine, 29 JUNI 2018


9 0 0
Pseudoephedrine SO4)

Alegi tablet
10 (Dexamethasone 0,5 mg, DESEMBER 2019 0 0
Dex-CTM 2 mg)

11 Alkohol 70% 0 0

12 Allopurinol Tablet 100 mg NOVEMBER 2017 70 500 570 10 10

13 Allopurinol Tablet 300 mg JUNI 2021 0 0


BERNOFARM
Allopurinol Tablet 300 mg
14 HEXPHARM JANUARI 2020 240 240 15 10 25

15 Aloclair Plus Gel JANUARI 2019 0 0

16 Alpentin (Gabapentin 100 500 500


mg) Jul-19

17 72 72 10 10 30
Alprazolam Tablet 0,25 mg Jun-18
18 Ambroxol sirup 60 ml 0 0
19 Ambroxol Tablet 30 mg 0 0

20 Amikacin 500 mg / 2 ml JULI 2018 10 10


injeksi

21 Aminophylline injeksi 24 OKTOBER 2018 23 23


mg/ml

22 Aminophylline Tablet 200 MEI 2018 182 182


mg

23 Amitriptylline Tablet 25 mg JULI 2020 1045 1045

24 SEPTEMBER 2019 0 0
Amlodipin 5 mg PHAPROS
Amlodipine Tablet 5 mg
25 PROMEDRAHARDJO SEPTEMBER 2018 198 300 498 5 10

26 AmlodipineTablet 10 mg AGUSTUS 2018 245 245 15 10 10 20 10

27 Amoxicillin Kapsul 250 mg OKTOBER 2020 305 305 10 10

28 Amoxicillin sirup kering 125 MEI 2020 42 42 1 1 3 2


mg/5 ml
Amoxicillin sirup kering 250
29 mg/5 ml AGUSTUS 2018 48 48 1 1
(Amox Forte)
30 Amoxicillin Sodium Serbuk JUNI 2019 15 15
Injeksi 1 gram

31 Amoxicillin Tablet 500 mg FEBRUARI 2019 551 551 30 15 70 10 20 20 20 20 10 10 10

32 Amoxsan (Amoxicillin 100 18 MARET 2019 11 11 1 1


mg) pediatric drops

33 Ampicillin Sodium Serbuk OKTOBER 2019 20 20


Injeksi 1 gram

34 Antalgin 1000 mg/2 ml 0 0


injeksi FEBRUARI 2018

35 Antasida doen sirup 60 ml 0 0

36 Antasida Doen Tablet 200 JUNI 2019 324 324 10 10


mg

37 Apialys sirup 100 ml AGUSTUS 2018 0 0


(suplemen makanan)

38 Asam Folat 1 mg AGUSTUS 2019 0 0

39 Asam Mefenamat 500 mg 914 914 65 25 80 10 75 10 70 30 30 20 20 10 30 20 20 10


HEXPHARM Aug-21
40 Asam Mefenamat Tablet 500 AGUSTUS 2019 0 0
mg MERSI

41 Asam Traneksamat 100 FEBRUARI 2020 0 0


mg/ml HEXPHARM

42 Asam Traneksamat injeksi JANUARI 2020 10 10


250 mg/5 ml

43 Asam Traneksamat Injeksi SEPTEMBER 2020 12 12


500 mg/5 ml BERNOFARM

44 Asam Traneksamat Tablet 0 0


500 mg

45 Asam Valproat 250 mg/5 ml MARET 2019 5 5

46 Asering 500 cc 23 JULI 2019 22 22

47 Aspilets (Asam Asetilsalisilat) MEI 2018 0 0


Tablet 80 mg

48 Astharol tablet (Salbutamol 26 JULI 2018 361 361 10 3 25 10 15


4 mg)
Astinox Kaplet (Astaxanthin
49 5 mg, Zinc 2,5 mg, Selenium JUNI 2017 0 0
0,075 mg)
50 200 200 10
Atorvastatin calcium 20 mg Aug-19

51 Atropine injeksi 0,25 mg/ml JUNI 2020 94 94


s.c./i.m./i.v.

52 Bacitracin Polymyxin B Salep MEI 2019 0 0


Kulit 5 g
Becom – C kaplet (Vitamin B
53 complex, Vitamin C,
Nicotinamide, Pantothenic 24 AGUSTUS 2019 0 0
acid)

54 12 12
Bedak Salicyl (Ac.
Salicylicum 2%) 60 GRAM 28-Dec-18

55 Bedak Salicyl 50 GRAM (Ac. 13 13 1


Salicylicum 2%) Sep-20

56 Benocetam 800 kaplet OKTOBER 2020 160 160


(Piracetam 800 mg)
Benodon injeksi 5 ml
57 (Methampyrone 250 mg/ml, MEI 2017 (ED) 0 0
Aminopyrine 50 mg/ml,
Lidocaine HCl 15 mg/ml)
58 158 158 10
Betahistine mesylate 6 mg May-20
59 Betametason Krim 0,1 % OKTOBER 2019 37 37 1

Biocombin 5000 injeksi i.m.


60 (Thiamine HCl, Pyridoxine JULI 2018 23 23
HCl, Cyanocobalamin)

61 Bioplacenton (Placenta 28 28 1
extract, neomycin sulfate,
jelly) Mar-19

62 Biosat Anti Tetanus Serum JANUARI 2019 38 38 1 1


(ATS) 1500 IU

63 Apr-19 114 114


Bisakodil tablet 5 mg

64 Bisoprolol Fumarate Tablet 5 MARET 2019 247 247


mg

65 Bralin kaplet (Citicoline 1000 JUNI 2017 0 0


mg)

Bricasma respules
66 (Terbutaline sulphate cairan Apr-18 10 10
ih 2,5 mg/ml)
Bricasma turbuhaler
67 (Terbutaline sulphate serb ih Apr-18 10 10
0,5 mg/dose)
68 Burnazin (Silver MEI 2020 8 8
sulphadiazine 10 mg)

69 Buscopan 20 mg/ml injeksi MEI 2020 15 15 2


(Hyoscine N Butylbromide)

70 Buscopan Plus AGUSTUS 2018 100 100

Buscopan tablet (Hyoscine N


71 butylbromide MARET 2019 0 0
10 mg)

72 Calcium Lactate Tablet 500 MARET 2019 948 948


mg Botol

73 Calcium Lactate Tablet 500 AGUSTUS 2018 1118 1118 20 10 10


mg Bungkus

74 Candesartan cilexetil 16 mg MARET 2019 42 42


75 Captopril Tablet 12,5 mg OKTOBER 2017 965 965 10 20

76 Captopril Tablet 25 mg FEBRUARI 2020 472 472 10 20 1

77 Captopril Tablet 50 mg DESEMBER 2018 83 83

78 Carbamazepine 200 mg Aug-19 100 100

79 Cefadroxil Kapsul 500 mg JULI 2020 155 500 655 20 10 10 30 10 30 30 10 10 11 30 10 40 20 20

80 Cefadroxil sirup kering 125 23 23 2 1


mg/5 ml Jul-19

81 Cefadroxil sirup kering 250 21 21 1


mg/5 ml Aug-19

82 Cefazolin injeksi 1 gram JUNI 2018 20 20


IM/IV

83 SEPTEMBER 2018 10 10
Cefepime injeksi 1 gram
84 Cefixime Kapsul 100 mg AGUSTUS 2019 609 609 10 50 10 20 10 10 50 60 10 10

85 MEI 2020 2 2
Cefixime kapsul 200 mg

86 Cefixime sirup kering 100 SEPTEMBER 2018 16 16 1 1 1


mg/5 ml

87 Cefotaxime serbuk injeksi SEPTEMBER 2018 104 104 4 2


i.m/i.v 0,5 gram

88 Cefotaxime serbuk injeksi AGUSTUS 2018 31 31 1 1 8 1


i.m/i.v 1 gram

89 20 20
Ceftazidime 1 gram injeksi MARET 2019

90 Ceftriaxone serbuk injeksi 1 JUNI 2020 29 29 1


gram i.m/i.v

91 Cetadop injeksi (Dopamine MEI 2020 10 10


HCl 200 mg / 5 ml)

92 Cetirizine 5 mg / 5 ml sirup SEPTEMBER 2018 17 10 27 1 1 1 1 1


(Botol 60 ml) Indofarma

93 Cetirizine sirup 5 mg / 5 ml JUNI 2019 0 0


Erela
94 Cetirizine tablet 10 mg AGUSTUS 2018 433 433 15 10 10 15 10 1 10
95 Chloramphenicol 0,5% NOVEMBER 2017 0 0
(Erlamycetin) tetes mata

96 Chloramphenicol 1% MARET 2018 6 6 6


(Erlamycetin) tetes telinga

97 Chloramphenicol sirup 60 ml JULI 2019 17 17


(Hufamycetin)

Chlorpheniramine Maleate
98 Tablet 4 mg (Botol 1.000 DESEMBER 2018 0 0
tablet)

99 Chlorpheniramine Maleate OKTOBER 2020 496 496 4 10 17 12 11 10 22 4 13


Tablet 4 mg (Box strip)

100 Cholvastin (Lovastatin 20 300 300


mg) 28-Aug-19

101 Chondro PA Kaplet NOVEMBER 2018 0 0

102 Cimetidin Tablet 200 mg JUNI 2019 115 115

103 Ciprofloxacin infus 200 MARET 2019 10 10


mg/100 ml

104 Ciprofloxacin Tablet 500 mg SEPTEMBER 2020 586 586

105 Citicoline Sodium Injeksi 250 OKTOBER 2019 10 30 40 10


mg / 2 ml

106 Citicoline Tablet 500 mg OKTOBER 2021 127 127

107 Clindamycin Tablet 300 mg JUNI 2019 404 404 10 10 10 15 10 20 10

108 Clobazam Tablet 10 mg Feb-21 100 100

109 Clomifene sitrat 50 mg JUNI 2018 150 150

110 Clopidogrel Bisulfate Tablet JULI 2018 79 79


75 mg

Combivent UDV
111 (Ipratropium bromide, FEBRUARI 2018 92 92 1 1 1 2 1
Salbutamol sulphate)
112 Cormega Kapsul (1 g Omega NOVEMBER 2017 0 0
3 acid ethyl esters 90%)

113 Cotrimoksazole 480 mg 0 0


MERSI May-19

114 Cotrimoksazole forte 960 466 466


mg MEI 2022
Cotrimoxazole Sirup
115 Suspensi 60 ml JUNI 2019 25 25 1 1
(Sulfametoksazol 200 mg,
Trimetoprim 40 mg)

Cotrimoxazole Tablet 480


mg (Sulfametoksazol 400
116 mg, SEPTEMBER 2018 555 555
Trimetoprim 80 mg) HOLI
PHARMA

117 Cyanocobalamin (Vit B12) FEBRUARI 2018 100 100


injeksi 500 mcg/ml

118 Decacetine tetes mata MEI 2020 24 24 1 1


(Chloramphenicol)

119 Decatona (Fenitoin Na 30 MEI 2019 1000 1000


mg Kapsul)

Denomix cream 10
120 gram/tube MEI 2018 13 20 33 1 1 1
(Desoxymethasone,
Neomycin sulfate)

121 Depakene sirup 120 ml 11 APRIL 2019 4 4

122 Depakote tablet 250 mg 13 AGUSTUS 2017 0 0

11 DESEMBER
123 Depakote tablet 500 mg 0 0
2017

124 Dexamethasone injeksi 5 48 100 148 1 2 1 1 1 4 2 1


mg/ml MEI 2020

125 Dexamethasone Tablet 0,5 SEPTEMBER 2019 420 1000 1420 49 10 20 10 27 20 1 21 20 40 13 30 10 22


mg

Dexocort 0,25%
126 (Desoximetasone 2,5 mg) Sep-19 18 18 1
Krim
127 Dextral sirup 10 10 1
(Dextromorphan HBr, GG,
CTM, Phenylpropanolamine
HCl) Februari 2021

128 Dextrose Monohydrate 400 JANUARI 2018 91 91


mg (D40)
DHP FRIMAL Anti Malaria
(Dihydroartemisinin 40 mg,
129 Piperaquine phosphate 320 45 45
mg) May-19

130 Diclofenak Potassium tablet FEBRUARI 2020 0 0


25 mg

131 Diethylcarbamazine Tablet JUNI 2019 300 300


100 mg

132 Diltiazem 30 mg FEBRUARI 2020 100 100

133 Diphenhydramine HCl 10 SEPTEMBER 2019 28 28 1 2


mg/ml injeksi

Dipsamol Inhaler
134 (Salbutamol sulphate 100 MARET 2020 5 5
mcg)

135 Dobutamine HCl DESEMBER 2018 2 2

136 Domperidone sirup 60 ml OKTOBER 2020 44 44 1 1 1 1 1


(Hufadon)

137 Domperidone tablet 10 mg SEPTEMBER 2019 286 286 10

138 Dopamet (Methyldopa 250 JUNI 2019 286 286


mg)

139 Dopamin giulini AGUSTUS 2019 2 2

140 Dulcolax supp adult 10 mg FEBRUARI 2019 82 82 2


(Bisacodyl 10 mg)
141 Dulcolax supp infant 5 mg JANUARI 2019 47 47
(Bisacodyl 5 mg)
142 Dumin 125 mg/2,5 ml APRIL 2019 0 0
(Paracetamol)

143 Dumin 250 mg/4 ml MEI 2017 0 0


(Paracetamol)

144 Durogesic 12 (Fentanyl 12 MEI 2018 10 10


µg / h)
145 Durogesic 25 (Fentanyl 25 JUNI 2018 10 10
µg / h)

146 Durogesic 50 (Fentanyl 50 JANUARI 2018 10 10


µg / h)
Elanos kaplet (Suplemen
147 makanan) MEI 2019 169 120 289 30 10 21 30

148 Elanos KIDS sirup (Suplemen SEPTEMBER 2019 5 5 1 1


makanan)

149 Enzyplex (Amilase, Protease, 403 403 20 30


Lipase, As. Desoksikholat,
Dimetilpolisiloksan, Vitamin
B Komplek) 20 Mei 2019

150 Epexol drops (Ambroxol HCl 16 JULI 2018 16 16


15 mg) @ 20 ml

151 Epexol sirup 120 ml 21 SEPTEMBER 9 24 33 1 1 2


(Ambroxol HCl 15 mg) 2018

152 Epexol tablet ( Ambroxol HCl 18 JULI 2018 410 410 13 40 10 11 10 20


30 mg)

153 Ephedrine HCL injeksi 50 JANUARI 2020 100 100


mg/ml

154 Epinephrine 1 mg/ml MARET 2020 586 586

155 Ergotamine 1 mg - Caffeine OKTOBER 2018 594 594 6


50 mg

156 Erythromycin Kapsul 250 mg JULI 2019 461 461

157 Erythromycin sirup kering 12 12


200 mg/5 ml Nov-20
158 Erythromycin Tablet 500 mg FEBRUARI 2020 430 430

159 Ethylchloride spray 100 ml 0 0

160 Fenitoin Natrium injeksi 50 MEI 2020 20 20


mg/ml

161 Fenofibrate kapsul 100 mg SEPTEMBER 2018 541 541 30 10

162 Fenofibrate kapsul 300 mg JUNI 2018 3 3


Fentanyl 0,05 mg / ml injeksi
163 (Fentanyl dihydrogenum OKTOBER 2019 20 20
citrate)
164 Fibramed (Fenofibrate 300 254 254 10
mg) Feb-20
30 NOVEMBER
165 Flamar (Diclofenac sodium 2018 DAN 18 16 16 1 1 1 1
10 mg) @20 gram JANUARI 2020

166 Fluconazole 150 mg kapsul AGUSTUS 2020 50 50 10

167 Flunarizine tablet 10 mg AGUSTUS 2018 1009 1009

168 Flunarizine tablet 5 mg JULI 2018 433 433 10 10 10 10 10

169 Folavit tablet (Asam Folat 22 AGUSTUS 2019 464 464 20 10


1.000 mcg)

170 Folavit tablet (Asam Folat 19 AGUSTUS 2019 0 0


400 mcg)

171 Furosemide injeksi 10 JANUARI 2019 49 49


mg/ml

172 Furosemide Tablet 40 mg MEI 2019 637 637

173 40 40
Gabapentin 300 mg JULI 2019

174 Gastrinal suspensi 120 ml FEBRUARI 2019 0 0

175 Gastrinal tablet MEI 2018 490 490

176 Gastrul (Misoprostol 200 JUNI 2019 300 300 14 4


mcg)
177 Gavistal (Metoclopramide JUNI 2019 72 72
HCl 5 mg) injeksi i.m./i.v.

178 Gavistal drops


(Metoclopramide HCl) 10 ml JULI 2019 9 9

179 Gemfibrozil Tablet 300 mg APRIL 2020 575 575

180 Gentamicin 3 mg (salep APRIL 2019 105 105 1


mata) Genoint

181 JUNI 2020 12 12 1


Gentamisin tetes mata 0,3 %
182 Gentian violet 10 ml OKTOBER 2018 5 5
183 Glibenclamide Tablet 5 mg JULI 2017 0 3000 3000

184 Glimepiride tablet 2 mg SEPTEMBER 2019 287 287 10

185 Glyceryl Guaiacolate Tablet MEI 2019 200 1000 1200 4 2 2 10 25 30 10 10 13


100 mg

186 Glyceryl Trinitrate 500 mcg 0 0

187 Griseofulvin Tablet 125 mg MEI 2021 469 469

188 Haloperidol 5 mg Apr-19 100 100

189 Haloperidol Tablet 1,5 mg OKTOBER 2019 2970 2970

190 Hepachol Kapsul (Suplemen JANUARI 2019 200 200


Makanan)
Hexalgin (Methampyrone,
191 Vitamin B1, Vitamin B12, APRIL 2018 486 486 15 10 45 10
Vitamin B6)
192 Hydrocortisone 2,5% krim 5 47 47
g
193 Hidrocortisone krim 1 % JULI 2020 27 27

194 500 500


Hypofil (Gemfibrozil 300 mg) 3-Jul-19

195 Ibuprofen sirup 60 ml MEI 2018 14 14 1

196 Ibuprofen Tablet 200 mg JULI 2020 670 670 20 10

197 Ibuprofen Tablet 400 mg JANUARI 2020 0 0

Iliadin Nasal Drop Tetes


198 Hidung Anak
(Oxymetazoline HCl 0,025%) JULI 2018 11 11

Iliadin Nasal Spray Obat


199 Semprot Hidung Dewasa OKTOBER 2018 15 15
(Oxymetazoline HCl 0,05%)
200 Isosorbide Dinitrate (ISDN) MEI 2019 433 433 10
Tablet 5 mg

201 398 398


Kalium diklofenak 50 mg Mar-19

202 Kalmeco injeksi 15 25 40 10


(Mecobalamin 500) Mar-19
203 Ketamin injeksi 10 ml 100 0 0
mg

204 Ketamin injeksi 10 ml 500 10 10


mg

205 Ketokonazol krim 2% AGUSTUS 2020 40 40 2 1 1

206 230 230 10


Ketokonazole tab 200 mg Sep-21

207 Ketorolac 30 mg/ml injeksi 0 0


BERNOFARM NOVEMBER 2020

208 Ketorolac injeksi 30 mg/ml AGUSTUS 2019 33 60 93 2 1 15 6 1


PHAPROS

209 Ketricin (Triamcinolone MEI 2018 29 29 1


acetonide) salep 1 mg/g

210 Kitavit sirup (Kurkuminoid, 38 38 1 1 1 1 1 1


Lysine HCl, Vit B1, B2, B6,
B12, Niacinamid, Asam
pantotenat) Jul-19

211 Kodein tablet 10 mg NOVEMBER 2019 5961 5961

212 Kodein tablet 15 mg Nov-19 192 192

213 JUNI 2020 194 194


Kodein tablet 20 mg
214 L. Bio sachet JUNI 2018 155 155 3 5 5 5 4

215 Lanaginkola Kapsul NOVEMBER 2019 200 200

216 Lancolin 500 (Citicoline 125 DESEMBER 2017 0 0


mg injeksi i.m. / i.v.)

217 Lansoprazole kapsul 30 mg SEPTEMBER 2018 119 119 10

Lantipain 30 injeksi
218 (Ketorolac tromethamine 30 OKTOBER 2018 30 30
mg)

Lanturol 400 Kapsul (d-alpha


219 Tocopherol 400 IU) NOVEMBER 2019 480 480
220 Lapibal (Mecobalamin) DESEMBER 2018 0 0
i.v./i.m. injeksi 500 µg/ml

221 5 5
Larutan D5 + 1/2 NS SANBE 19-Mar-20

222 Larutan D5 + 1/2 NS 8 8


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,45 %) Apr-19
223 5 5
Larutan D5 + 1/4 NS SANBE 29-Dec-19

224 Larutan D5 + 1/4 NS 19 19


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,225 %) Apr-22
225 Larutan D5-NS (Glukosa 5% 8 8
+ NaCl 0,9%) Dec-18
226 Larutan glukosa 10% MEI 2018 101 101

227 Larutan glukosa 5% NOVEMBER 2020 21 21 1 1

228 Larutan infus Ringer Laktat MEI 2021 37 40 77 2 1 3 8 1 1 8 3 3 3


500 ml

229 Larutan KN - 2 (KCl 0,3 % in 19 19


0,9 % NaCl) May-21
Lasal sirup 100 ml
230 (Salbutamol sulfate, AGUSTUS 2019 0 0
Guaifenesin)

231 Levofloxacin infus 5 mg/ml JANUARI 2019 12 12

232 Levofloxacin tab 500 mg MARET 2020 211 211

233 Levopar tablet (Levodopa JULI 2019 150 150


Benserazide)

234 Levosol injeksi MARET 2018 2 2 2


(Norepinephrine)

235 Lexatrans (Asam MARET 2020 0 0


Traneksamat 500 mg)
236 Lexavit (Vitamin A, D, C, B1, Nov-19 734 734 10 10 20 20 20 10 30 20
B2, B6, B12, Nikotinamida,
Kalsium pantotenat, Asam
folat, Besi II fumarat,
kalsium laktat, Tembaga,
Iodium, Dimetilpolisiloksan,
Fluorida)

237 Lidocain Injeksi 2% AGUSTUS 2020 511 511 2 4 1 1 5 3 1 1 5 2 5 3 1

Lidocaine Compositum
238 injeksi 2% OKTOBER 2020 23 23
(Lidocaine HCl 20 mg,
Epinephrine 0,0125 mg)

Liproqy (Coenzyme Q-10,


239 Lycopene, Natural Vit E, 266 266
Grape seed ext, EGCG
(Green Tea Ext)) 4-Apr-19
240 Lisinopril Tablet 10 mg JULI 2018 890 890

241 Lodia tablet (Loperamide 10 AGUSTUS 2020 270 270


HCl 2 mg)

242 Loperamide HCl Tablet 2 mg OKTOBER 2019 437 437

243 Loratadine Tablet 10 mg 404 404 20 30


MEI 2019

244 Magnesium sulfate injeksi JULI 2019 9 9


20%

245 Magnesium sulfate injeksi 09 OKTOBER 2018 10 10


40%

246 Magnidicon Tablet OKTOBER 2020 45 45

247 Makro B Multivitamin 0 0

248 Medigrel (Clopidogrel 300 300


Bisulfate 75 mg) Aug-19

249 Mefinal kaplet (Asam 4 AGUSTUS 2021 0 0


Mefenamat 500 mg)

250 Megabal (Mecobalamin 500 19 NOVEMBER 189 189 10


µg) 2018
251 Melavita krim (Retinoic acid AGUSTUS 2018 93 93
0,1 %)
252 Meloxicam tablet 15 mg AGUSTUS 2018 345 345 5 30 6 10

253 Metamizole Na for IM/IV 0 0


injeksi (Antrain)

254 Metformin Tablet 500 mg MARET 2019 479 479 20 10

255 Metformin Tablet 850 mg AGUSTUS 2018 130 130

256 Methyl ergometrine injeksi FEBRUARI 2020 190 190 1


0,2 mg/ml

257 Methylergometrine Tablet SEPTEMBER 2018 606 606 10 10


0,125 mg

258 Methylprednisolone 125 mg APRIL 2018 17 17


serbuk injeksi

259 Methylprednisolone Kaplet OKTOBER 2018 170 170 10


16 mg

260 Methylprednisolone Tablet 4 SEPTEMBER 2018 463 463 10 20 30 10 10 8 10 30


mg

261 Methylprednisolone Tablet 8 FEBRUARI 2018 300 300


mg

Metiagin 0,2 mg/ml injeksi


262 (Methylergometrine MARET 2017 0 0
maleate 0,2 mg)

263 Metoclopramide HCl Tablet SEPTEMBER 2021 391 391


10 mg

264 0 0
Metoclopramide injeksi 10
mg/2 ml MARET 2021

265 Metoklopramide HCl sirup 5 JUNI 2019 10 10


mg/5 ml (Lexapram)

266 Metronidazol Tablet 250 mg JULI 2021 424 424

267 Metronidazol Tablet 500 mg AGUSTUS 2020 0 0

268 Metronidazole 500 mg/100 10 10


ml infus MEI 2021
269 Metronidazole Benzoate AGUSTUS 2019 15 15
suspensi 60 ml

270 Meylon 8,4 % 25 ml SEPTEMBER 2018 120 120


(Natrium Bicarbonat)

271 Miconazole krim 2% @10 DESEMBER 2019 47 47


gram

272 178 178


Miniaspi 80 (Acetylsalicylic
acid 80 mg) Mar-21

273 Miozidine (Trimetazidine 2 MEI 2019 150 150


HCl 35 mg)

274 Misoprostol tablet 200 mcg JULI 2018 31 31 1 4

275 Molaneuron (Vitamin B1, Nov-19 42 42 10 10 10 10


B6, B12)

276 Molasma (Terbutalin sulfat 500 500


2,5 mg)

277 Apr-21 16 16 1
Molavir (Acyclovir krim 5 %)

278 Mometasone Furoate 0,1 % MARET 2019 0 0


ETERCON PHARMA

279 Mometasone Furoate 0,1 % JUNI 2018 9 9


NULAB

280 Mucohexin sirup 120 ml 10 JUNI 2018 8 8 2 1


(Bromhexine HCl elixir)

281 Mucohexin tablet 17 JUNI 2021 117 117


( Bromhexine HCl 8 mg)

282 Natrium chlorida 0,9% JULI 2021 17 20 37 1 3 2 1 1 2 1 1


(Larutan Sodium chlorida)

283 Natrium Diklofenak Tablet OKTOBER 2021 311 311 10 32 45 10 10


25 mg

284 Natrium Diklofenak Tablet SEPTEMBER 2019 0 0


50 mg

285 Natrium fusidat salep 20 APRIL 2020 83 83


mg/g (Fucilex Ointment)
286 Nebacetin ointment 6
(Neomycin sulphate,
Bacitracin) Oct-20 6 1

287 Nebacetin powder 10


(Neomycin sulphate,
Bacitracin) Sep-21 10

288 Neo K Phytonadione injeksi MARET 2018 0 0

Neo Kaolana suspensi 120


289 ml (Kaolin, Pectin) 25 MEI 2019 10 10 1

Neulin PS (Cytidine 5-
290 monophosphate, Choline L- MEI 2018 48 48
bitartrate,
Phosphatidylserine) kapsul

Neurobion injeksi (Thiamine


291 HCl + Pyridoxol HCl + Desember 2018 0 0
Cyanocobalamin)

292 Neurosanbe 5000 tablet 30 JULI 2019 0 0


(Vit.B1, Vit.B6, Vit.B12)

293 New Antides (Activated OKTOBER 2020 348 348 20


attapulgite)

294 Nicardipine HCl injeksi 1 Apr-19 10 10


mg/ml

295 Nifedipine Tablet 10 mg AGUSTUS 2018 280 280

296 Nifudiar suspensi 60 ml


Nonemi (tablet penambah FEBRUARI 2020
(Nifuroxazide) 15 15
darah)
(Ferrous fumarate, Copper
297 sulfate, Manganese sulfate, MEI 2019 216 216 30 10 1 10 5 30 20 10 21
Calcium hydrogen,
Phosphate, Cobalt sulfate,
Folic acid, Vitamin B6,
Vitamin B12, Vitamin C)
Norages (Metamizole
298 sodium 500 mg) injeksi AGUSTUS 2019 0 0
i.m./i.v.

299 Norestil (Norethisterone 5 190 190


mg) MARET 2019

300 Notrotam 1200 (Piracetam AGUSTUS 2018 35 35 15


Kaplet 1200 mg)
Notrotam 3000 (Piracetam
301 injeksi i.m./i.v. JULI 2017 0 0
200 mg)

Novabion tablet
302 (vitamin&mineral JANUARI 2021 1000 1000
penambah darah)

303 Novalgin (Metamizole APRIL 2019 25 25 3 2 1 4


Sodium 500 mg/ml)

304 Nymiko suspensi 12 ml drop 25 JANUARI 2019 13 13 1 1


(Nystatin)

305 Nystatin Tablet 500.000 IU JUNI 2019 500 500

306 Nystatin Tablet Vaginal SEPTEMBER 2020 185 185


100.000 IU

307 Ofloxacin 3 mg (Tarivid) 5 ml OKTOBER 2018 10 10

308 Oftiflox (Levofloksasin tetes Apr-19 22 22


mata 0,5%)

309 Omeprazole Kapsul 20 mg SEPTEMBER 2020 318 318 10 10

310 Omeprazole serbuk injeksi MEI 2019 19 19


40 mg

311 0 0
Ondansentron 8 mg NOVELL Apr-19

312 Ondansentron tablet 8 mg AGUSTUS 2018 0 0


MEPRO (@ 30 tablet)
Ondansetron injeksi 4 mg/2
313 ml AGUSTUS 2019 20 50 70 1 1

314 Ondansetron tablet 8 mg 280 280


SOHO (@ 10 tablet)

315 Oxoril sirup (Oxomemazine , JUNI 2019 13 22 35 1 1 1 1 2 1 1 2


Glyceryl guaiacolate)
316 Oxytocin injeksi 10 IU/ ml AGUSTUS 2019 1095 1095 1 3 3 2
i.m./i.v.

317 Papaverine HCl Tablet 40 mg SEPTEMBER 2018 437 437

318 Paracetamol sirup 120 mg/5 NOVEMBER 2019 36 10 46 1 1 2 2 3 2 1 1


ml AFIFARMA

319 Parasetamol sirup 120 mg / 0 0


5 ml MERSI Jun-19

320 Parasetamol Tablet 500 mg AGUSTUS 2019 1012 1012 10 30 20 20 20 2 10 24 30 4 20 33

321 Parolit (Oralit) NOVEMBER 2019 227 227

322 Pavidone Iodine 10% 1000 4 4


ml

323 Pavidone Iodine 10% 300 ml 0 0

324 Phenobarbital injeksi 2 mg ED JULI 2016 0 0

325 Phenol Glycerol 10% tetes SEPTEMBER 2018 19 19


telinga

326 Phenoxymethyl penicillin Apr-20 600 600


500 mg

327 Phytomenadione injeksi (Vit. 567 567 1 1 1 1


K) Jun-19

328 Phytomenadione Tablet 10 AGUSTUS 2018 1075 1075


mg (vitamin K)
329 Piracetam Tablet 1.200 mg JUNI 2017 0 0
330 Piroxicam Tablet 10 mg 0 0

331 Piroxicam Tablet 20 mg OKTOBER 2020 162 162 10 10 10

332 Plantacid sirup (Aluminium 28 28 1 1 1 1 1 1 2 2


Hydroxide, Magnesium
Hydroxide, Simethicone) May-20
Plasminex injeksi
333 (Tranexamic acid 100 mg 09 DESEMBER 1 30 31
2018
injeksi i.v.)

334 Plasminex tablet 6 DESEMBER 2019 261 261 10 10


(Tranexamic acid 500 mg)

335 JUNI 2019 980 980

Prednison tablet 5 mg

336 Premaston 5 mg May-20 300 300


(Allylestrenol)
Pritavit (Vitamin B1, B2, B6,
337 B12, Nikotinamida, Kalsium MARET 2020 451 451 10 10 20 10 10 30 1 10
pantotenat, Vitamin C)

338 Proceles sirup 60 ml


(Betamethasone, Dex-CTM) JUNI 2018 12 12 1

339 Progeston Tablet MARET 2019 6 6


(Allylestrenol 5 mg)

340 Pronovir sirup 60 ml MEI 2018 0 0


(Methisoprinol)

341 JUNI 2019 200 200


Propanolol tablet 10 mg
342 Propanolol tablet 40 mg MEI 2019 200 200

343 Pularex Tablet (Activated JULI 2017 0 0


Attapulgite) 630 mg

344 Pyrantel Tablet 125 mg SEPTEMBER 2018 180 180

Pyrexin 160 (Paracetamol


345 suppositoria 160 mg) JUNI 2019 134 134 2 1 3

346 Pyrexin 80 (Paracetamol JUNI 2018 109 109 1 1


suppositoria 80 mg)

347 Quinine Sulphate Tablet 222 MARET 2019 300 300


mg

348 Ranitidin injeksi 25 mg/ml AGUSTUS 2018 0 0


HEXPHARM
349 Ranitidin injeksi Quantum 810 810 1 2 9 1 1 2 14 3 1 1
Lab Jul-20
350 Ranitidin Tablet 150 mg MEI 2019 363 363 20 10 10 10 10 10 10 10 10

351 Sagestam krim @10 gram 23 JANUARI 2019 0 0


(Gentamicin)

352 Salbutamol Tablet 2 mg OKTOBER 2019 449 449 3 10

353 Salbutamol Tablet 4 mg SEPTEMBER 2020 0 0

354 Salep 2-4 (As. salisilat, AGUSTUS 2020 24 24


sulfur)
Salep ADK (Antifungi DOEN
355 Kombinasi) (Ac. salicylicum, JULI 2020 24 24
Ac. benzoicum)

356 San B plex drop (Vitamin A, 19 19 1


D, B, B2, B6, Nicotinamide,
Dexphanthenol, Vit C) Dec-18

Sanadryl DMP sirup 60 ml


(Dextromethorphan HBr,
357 Diphenhydramine HCl, 18 JUNI 2019 15 12 27 1 1 1 1 1
Ammonium Cl, Na citrate,
Menthol)

Sanadryl Expectorant 60 ml
(Diphenhydramine HCl,
358 Ammonium Cl, K 20 JUNI 2018 0 0
Guaiacolsulphonate, Na
citrate)

359 Sanmol drop (PCT 60 mg) 8 AGUSTUS 2019 9 9 3 1


@15 ml

360 Sanmol forte tablet (PCT 650 23 MEI 2018 418 418 10 10 10 20 10
mg)

361 Sanmol infus (PCT 1.000 mg) MEI 2018 11 11 1

362 Sanmol sirup 60 ml (PCT 120 25 JANUARI 2021 0 0


mg)

363 Sanmol tablet (PCT 500 mg) 21 MEI 2021 0 0

364 Scabimite krim (Permethrin JULI 2021 15 15 1


5%)
365 Scopma plus (Hyoscine 400
butylbromide, PCT) Feb-21 400
366 Serum Bio SAVE (ABU) AGUSTUS 2018 10 10

367 Sidiadryl (Diphenhydramine OKTOBER 2019 5 5


HCl 150 mg/15 ml)

368 Simvastatin Tablet 10 mg JUNI 2021 346 346 10 30 5 20 5 30

369 Simvastatin Tablet 20 mg OKTOBER 2019 0 0

370 Sinral 10 tablet (Flunarizine FEBRUARI 2020 16 16


10 mg)

371 Sinral 5 tablet (Flunarizine 5 0 0


mg)

372 Sohobion injeksi 0 0

373 Spasmacine tablet (PCT, 45 45 10


Hyoscine N butylbromide) Mar-19

374 Spironolactone tablet 100 SEPTEMBER 2018 280 280


mg

375 Spironolactone tablet 25 mg Nov-18 238 238

376 Sterilised water for 12 AGUSTUS 2019 230 230 1 1 4 1 6 2


injections B.P. 25 ml

377 Stesolid 10 mg / 2,5 ml 249 249


(Diazepam) Jun-19

378 Stesolid 5 mg / 2,5 ml 246 246


(Diazepam) MARET 2019

379 Streptomycin sulfate injeksi 0 0

380 Sucralfate suspensi 100 ml SEPTEMBER 2018 16 10 26 1 1 2 2


COMBIPHAR

381 Sucralfate suspensi 100 ml MEI 2019 0 0


MEPROFARM

382 Sucralfate tablet 500 mg AGUSTUS 2021 1098 1098 1


(Ulsafate)

383 AGUSTUS 2018 10 10


Sufenta injeksi (Sufentanil
citrate 0,005 mg/ml)
384 Suppository ketoprofen 100 SEPTEMBER 2019 19 19
mg (Pronalges)

385 Suprafenid suppositoria AGUSTUS 2019 20 20


(Ketoprofen) 100 mg

Symbicort turbuhaler 160


386 (Budesonid 160 mcg- JANUARI 2019 1 1
formoterol 4,5 mcg)

Symbicort turbuhaler 80
387 (Budesonid 80 mcg- DESEMBER 2018 0 0
formoterol 4,5 mcg)

388 Synarcus (Fluocinolone OKTOBER 2019 10 10


acetonide 0,025%)

389 Tabas sirup 100 ml NOVEMBER 2019 16 16 1


(Terbutaline sulphate)

390 Tetagam ( Human Tetanus DESEMBER 2019 0 0


Immunoglobulin) 1 ml

391 Tetrasiklin Kaplet 250 mg MEI 2019 200 200

392 Tetrasiklin Kapsul 500 mg SEPTEMBER 2020 100 100

393 Theophylline (Bronsolvan) AGUSTUS 2021 1180 1180


tablet 150 mg

394 Thiamphenicol Kapsul 500 FEBRUARI 2021 0 0


mg

395 Thrombogel (Heparin JULI 2020 0 6 6


sodium)

396 Tramadol HCl injeksi 100 100 100


mg / 2 ml Apr-20

Tremenza sirup 60 ml
397 (mg,
Pseudoephedrine HCl 30 07 JUNI 2018 12 13 25 1 1 1 2
Triprolidine HCl 1,25
mg)

Tremenza tablet 60 mg
398 (Pseudoephedrine HCl 60 04 AGUSTUS 2020 407 407 15 20
mg, Triprolidine HCl 2,5 mg)
399 Trichodazol infus softbag 26 NOVEMBER 0 0
(Metronidazole) 2017

400 Trichodazol plus ovula 11 JULI 2018 44 44


(Metronidazole, Nystatin)

401 100 100


Trihexyphenidyl HCl 2 mg Jun-19

402 5 5
Trilac injeksi (Triamcinolone
acetonide 10 mg / ml) Aug-19

403 Trolac tablet (Ketorolac JANUARI 2020 0 0


Tromethamine 10 mg)

404 FEBRUARI 2021 100 100


Ulsidex (Sucralfate 500 mg)

405 Uresix (Furosemide Injeksi 12 OKTOBER 2018 25 25


10 mg/ml)

Vagizole ovula
406 (Metronidazole ovula 500 Apr-19 25 25
mg)

407 Valisanbe injeksi (Diazepam 50 50


5 mg) 19-Apr-19

408 Valisanbe tablet (Diazepam 27 APRIL 2021 863 863 5


5 mg)

409 Ventolin Nebules 2,5 mg JANUARI 2019 39 39


(Salbutamol)

Veridin film coated tablet


410 (Micronized Diosmin / MEI 2018 14 14 14
Hesperidine)

Vermox Tablet Kunyah


411 (Mebendazole 500 mg) APRIL 2020 49 49 3 2 1

412 Vical sirup (Multivitamin, JULI 2019 18 18


Kalsium, Fosfor)

413 Vitacur sirup 100 ml SEPTEMBER 2019 0 0


(suplemen makanan)

414 Vitamin A 200.000 UI MEI 2019 140 140


(Retinol)

415 Vitamin B compleks injeksi JUNI 2017 0 0


20 ml
416 Vitamin B complex Tablet JUNI 2018 555 555

417 Vitamin B-1 Tablet 50 mg Juni 2021 434 434 10

418 Vitamin B12 Tablet 50 mg AGUSTUS 2019 1974 1974

419 Vitamin B-6 Tablet 10 mg SEPTEMBER 2019 373 373 2

420 Vitamin C Tablet 50 mg AGUSTUS 2019 682 682 35 25 31 30 10 25 10 10 11 10 35 3

421 Vossecal Kaplet (Suplemen OKTOBER 2017 0 0


Makanan u/ Tulang)

422 Warfarin Kalium Tablet 1 mg 11 JANUARI 2019 1000 1000

423 Xylocaine 2% Jelly (Lidocain DESEMBER 2018 10 10


HCL)

424 DESEMBER 2019 20 20


Xylocaine Pump Spray
(Lidocain HCl 10 mg / dose)

425 Zinc kid sirup 10 mg / 5 ml OKTOBER 2020 13 13 1 1

426 Zinc Tablet 20 mg AGUSTUS 2018 177 177


T
TOTAL STOK AKHIR
PENGGUNAAN
21 22 23 24 25 26 27 28 29 30 31

0 200
0 170

0 231

0 0
20 60 80 423

0 0

0 121

0 0

0 0

0 0

0 0

20 550

0 0

20 70 170

0 0

0 500

50 22

0 0
0 0

0 10

0 23

2 2 180

0 1045

0 0

10 10 35 463

20 85 160

20 285

1 1 1 1 11 31

2 46

5 5 10

12 10 10 10 20 297 254

2 9

0 20

0 0

0 0

20 304

0 0

0 0

40 20 40 35 20 30 10 10 50 25 805 109
0 0

0 0

0 10

0 12

0 0

0 5

0 22

0 0

4 67 294

0 0

10 190

0 94

0 0

0 0

1 1 11

1 12

0 160

0 0

10 10 30 128
1 36

0 23

1 27

2 36

5 5 109

0 247

0 0

0 10

0 10

0 8

10 3 15 0

10 10 90

0 0

0 948

10 50 1068

0 42
10 10 10 60 905

1 10 42 430

0 83

0 100

10 30 40 10 10 10 40 441 214

1 1 1 1 7 16

1 1 1 1 5 16

0 20

0 10

20 30 90 10 40 70 500 109

0 2

2 2 1 1 9 7

6 98

1 12 19

0 20

10 4 15 14

0 10

1 1 1 2 2 12 15

0 0

2 30 12 10 10 135 298
0 0

6 0

0 17

0 0

12 3 27 4 20 12 24 205 291

0 300

0 0

0 115

0 10

10 10 20 566

10 30

0 127

10 15 10 120 284

0 100

0 150

0 79

1 1 1 9 18 74
0 0

0 0

0 466

1 1 1 5 20

0 555

0 100

2 22

0 1000

2 1 2 8 25

0 4

0 0

0 0

1 14 134

30 22 12 20 10 20 10 14 431 989

1 2 16
1 2 8

0 91

0 45

0 0

0 300

0 100

3 25

0 5

0 2

1 1 1 1 1 10 34

10 276

0 286

0 2

2 80

0 47

0 0

0 0

0 10
0 10

0 10

10 10 10 20 10 10 10 10 181 108

1 1 1 5 0

20 70 333

1 1 15

1 1 1 2 9 24

7 10 18 10 10 159 251

0 100

0 586

6 588

0 461

0 12

0 430

0 0

0 20

40 501

0 3

0 20
10 244

1 1 6 10

10 40

10 1 10 10 31 978

50 383

10 10 50 414

0 0

0 49

0 637

10 10 30

0 0

0 490

18 282

0 72

0 9

0 575

1 1 3 102

1 2 10

0 5
10 10 2990

10 277

13 3 22 10 10 4 168 1032

0 0

0 469

0 100

0 2970

0 200

20 10 110 376
0 47
0 27

0 500

1 1 3 11

10 10 50 620

0 0

0 11

0 15

1 11 422

10 10 20 378

1 11 29
0 0

0 10

1 1 6 34

10 220

0 0

8 2 35 58

1 28

2 1 2 2 3 3 1 20 18

25 25 5936

0 192

5 5 189

6 6 10 4 3 51 104

0 200

0 0

10 109

0 30

0 480
0 0

0 5

0 8

0 5

0 19

0 8

0 101

2 2 1 1 8 13

2 8 1 5 1 1 1 5 5 62 15

0 19

0 0

0 12

0 211

0 150

2 0

0 0
20 10 30 10 10 20 10 250 484

7 1 3 2 3 50 461

0 23

0 266

0 890

10 10 260

0 437

10 60 344

0 9

0 10

0 45

0 0

0 300

0 0

10 179
0 93

20 10 10 91 254

0 0

30 449

0 130

1 189

10 30 576

6 6 11

5 15 155

20 10 10 30 198 265

0 300

0 0

0 391

0 0

0 10

10 10 414

0 0

0 10
0 15

0 120

1 1 46

0 178

0 150

5 26

40 2

0 500

1 2 14

0 0

0 9

3 5

0 117

3 4 1 2 1 2 1 2 28 9

10 10 127 184

0 0

0 83
3 3
2

0 10

0 0

1 1 3 7

0 48

0 0

0 0

20 328

0 10

0 280

1 1 2 13

69 2 208 8
0 0

0 190

15 20

0 0

20 20 980

4 2 1 17 8

2 11

0 500

0 185

0 10

0 22

10 10 40 278

1 1 18

0 0

0 0

14 5 4 8 1 34 36

8 5 5 5 23 257

3 1 1 1 2 3 21 14
1 10 1085

0 437

1 2 1 1 1 2 1 1 2 2 27 19

0 0

50 20 3 18 20 14 10 10 32 10 410 602

0 227

0 4

0 0

0 0

0 19

0 600

1 5 562

0 1075

0 0
0 0

10 10 50 112

1 1 3 15 13
0 31

10 10 10 50 211

10 980

0 300

30 30 10 10 20 201 250

1 1 3 9

0 6

0 0

0 200

0 200

0 0

0 180

1 1 8 126

1 1 4 105

0 300

0 0
9 6 5 9 1 2 2 8 9 86 724

10 10 10 10 10 20 170 193

0 0

2 10 20 45 404

0 0

0 24

0 24

1 2 2 6 13

1 2 2 10 17

0 0

1 4 9 0

20 10 10 10 10 10 10 140 278

1 10

0 0

0 0

1 14
0 400

0 10

0 5

10 5 1 116 230

0 0

0 16

0 0

0 0

10 10 30 15

0 280

0 238

7 4 1 1 28 202

0 249

1 1 245

0 0

1 1 3 1 2 2 2 18 8

0 0

1 1097

0 10
0 19

0 20

1 1 0

0 0

0 10

1 15

0 0

0 200

0 100

0 1180

0 0

0 6

0 100

5 20

10 10 55 352
0 0

0 44

0 100

0 5

0 0

0 100

0 25

0 25

0 50

5 858

0 39

14 0

12 18 31

0 18

0 0

0 140

0 0
10 10 50 70 485

10 424

0 1974

2 2 6 367

17 18 10 40 10 330 352

0 0

0 1000

0 10

0 20

1 3 10

0 177
LAPORAN PENGGUNAAN OBAT APOTEK RSU KELAS D KOTA PALANGKA RAYA
APRIL 2018

TOTAL TANGGAL PENGAMBILAN OBAT


TANGGAL STOK DARI PEMBELIAN
NO OBAT STOK
KADALUARSA AWAL GF APT AWAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1 Acarbose tab 100 mg FEBRUARI 2019 200 200


2 Acarbose tab 50 mg MARET 2019 170 170
Acetosal (Asam Salisilat 100
3 OKTOBER 2018 231 231
mg)
4 Acyclovir krim 5 g 0 0
5 Acyclovir Tablet 200 mg DESEMBER 2019 423 500 923 80 140 56 20

6 Acyclovir Tablet 400 mg NOVEMBER 2019 0 0

Albendazole Tablet Kunyah


7 OKTOBER 2018 121 121
400 mg

8 Albothyl (Policresulen) 5 ml JULI 2021 0 0

Aldisa SR kapsul (Loratadine, 29 JUNI 2018


9 0 0
Pseudoephedrine SO4)

Alegi tablet
10 (Dexamethasone 0,5 mg, DESEMBER 2019 0 0
Dex-CTM 2 mg)

11 Alkohol 70% 0 0

12 Allopurinol Tablet 100 mg NOVEMBER 2017 550 550 10 20 10

13 Allopurinol Tablet 300 mg JUNI 2021 0 0


BERNOFARM
Allopurinol Tablet 300 mg
14 HEXPHARM JANUARI 2020 170 300 470 10 10 10 10

15 Aloclair Plus Gel JANUARI 2019 0 0

16 Alpentin (Gabapentin 100 500 500 10 20


mg) Jul-19

17 22 22 5 5
Alprazolam Tablet 0,25 mg Jun-18
18 Ambroxol sirup 60 ml 0 0
19 Ambroxol Tablet 30 mg 0 0

20 Amikacin 500 mg / 2 ml JULI 2018 10 10


injeksi

21 Aminophylline injeksi 24 OKTOBER 2018 23 23 4


mg/ml

22 Aminophylline Tablet 200 MEI 2018 180 180 8


mg

23 Amitriptylline Tablet 25 mg JULI 2020 1045 1045

24 SEPTEMBER 2019 0 0
Amlodipin 5 mg PHAPROS
Amlodipine Tablet 5 mg
25 PROMEDRAHARDJO SEPTEMBER 2018 463 463 10 20 5

26 AmlodipineTablet 10 mg AGUSTUS 2018 160 300 460 10 10 10 20 11

27 Amoxicillin Kapsul 250 mg OKTOBER 2020 285 285 12

28 Amoxicillin sirup kering 125 MEI 2020 31 31 1 1 1 1


mg/5 ml
Amoxicillin sirup kering 250
29 mg/5 ml AGUSTUS 2018 46 46
(Amox Forte)
30 Amoxicillin Sodium Serbuk JUNI 2019 10 10
Injeksi 1 gram

31 Amoxicillin Tablet 500 mg FEBRUARI 2019 254 800 1054 3 20 10 10 10 10 10 10

32 Amoxsan (Amoxicillin 100 18 MARET 2019 9 5 14 1


mg) pediatric drops

33 Ampicillin Sodium Serbuk OKTOBER 2019 20 20


Injeksi 1 gram

34 Antalgin 1000 mg/2 ml 0 0


injeksi FEBRUARI 2018

35 Antasida doen sirup 60 ml 0 0

36 Antasida Doen Tablet 200 JUNI 2019 304 304 20 10 20 10


mg

37 Apialys sirup 100 ml AGUSTUS 2018 0 0


(suplemen makanan)

38 Asam Folat 1 mg AGUSTUS 2019 0 0

39 Asam Mefenamat 500 mg 109 1000 1109 30 10 10 24 34 22 20 20 20 20 10 35 40 5 20 35 10 5 20


HEXPHARM Aug-21
40 Asam Mefenamat Tablet 500 AGUSTUS 2019 0 0
mg MERSI

41 Asam Traneksamat 100 FEBRUARI 2020 0 0


mg/ml HEXPHARM

42 Asam Traneksamat injeksi JANUARI 2020 10 10


250 mg/5 ml

43 Asam Traneksamat Injeksi SEPTEMBER 2020 12 12


500 mg/5 ml BERNOFARM

44 Asam Traneksamat Tablet 0 0


500 mg

45 Asam Valproat 250 mg/5 ml MARET 2019 5 5

46 Asering 500 cc 23 JULI 2019 22 22

47 Aspilets (Asam Asetilsalisilat) MEI 2018 0 0


Tablet 80 mg

48 Astharol tablet (Salbutamol 26 JULI 2018 294 294


4 mg)
Astinox Kaplet (Astaxanthin
49 5 mg, Zinc 2,5 mg, Selenium JUNI 2017 0 0
0,075 mg)
50 190 190 30 30 20
Atorvastatin calcium 20 mg Aug-19

51 Atropine injeksi 0,25 mg/ml JUNI 2020 94 94


s.c./i.m./i.v.

52 Bacitracin Polymyxin B Salep MEI 2019 0 0


Kulit 5 g
Becom – C kaplet (Vitamin B
53 complex, Vitamin C,
Nicotinamide, Pantothenic 24 AGUSTUS 2019 0 0
acid)

54 11 11 1
Bedak Salicyl (Ac.
Salicylicum 2%) 60 GRAM 28-Dec-18

55 Bedak Salicyl 50 GRAM (Ac. 12 12 1 1


Salicylicum 2%) Sep-20

56 Benocetam 800 kaplet OKTOBER 2020 160 160


(Piracetam 800 mg)
Benodon injeksi 5 ml
57 (Methampyrone 250 mg/ml, MEI 2017 (ED) 0 0
Aminopyrine 50 mg/ml,
Lidocaine HCl 15 mg/ml)
58 128 150 278 10 10 10 30
Betahistine mesylate 6 mg May-20
59 Betametason Krim 0,1 % OKTOBER 2019 36 50 86 1 3 1

Biocombin 5000 injeksi i.m.


60 (Thiamine HCl, Pyridoxine JULI 2018 23 23 2
HCl, Cyanocobalamin)

61 Bioplacenton (Placenta 27 27 1 1
extract, neomycin sulfate,
jelly) Mar-19

62 Biosat Anti Tetanus Serum JANUARI 2019 36 36


(ATS) 1500 IU

63 Apr-19 109 109


Bisakodil tablet 5 mg

64 Bisoprolol Fumarate Tablet 5 MARET 2019 247 247 15


mg

65 Bralin kaplet (Citicoline 1000 JUNI 2017 0 0


mg)

Bricasma respules
66 (Terbutaline sulphate cairan Apr-18 10 10
ih 2,5 mg/ml)
Bricasma turbuhaler
67 (Terbutaline sulphate serb ih Apr-18 10 10
0,5 mg/dose)
68 Burnazin (Silver MEI 2020 8 8
sulphadiazine 10 mg)

69 Buscopan 20 mg/ml injeksi MEI 2020 0 0


(Hyoscine N Butylbromide)

70 Buscopan Plus AGUSTUS 2018 90 90 6

Buscopan tablet (Hyoscine N


71 butylbromide MARET 2019 0 0
10 mg)

72 Calcium Lactate Tablet 500 MARET 2019 948 948 30


mg Botol

73 Calcium Lactate Tablet 500 AGUSTUS 2018 1068 1068 20 35 10


mg Bungkus
74 Candesartan cilexetil 16 mg MARET 2019 42 42 15 27

75 Captopril Tablet 12,5 mg OKTOBER 2017 905 905 10 10 5

76 Captopril Tablet 25 mg FEBRUARI 2020 430 500 930 20 20 10 10 10

77 Captopril Tablet 50 mg DESEMBER 2018 83 83

78 Carbamazepine 200 mg Aug-19 100 100

79 Cefadroxil Kapsul 500 mg JULI 2020 214 800 1014 20 20 10 10 20 10 30 3 1 10 10 20 10 20

80 Cefadroxil sirup kering 125 16 16 2 1


mg/5 ml Jul-19

81 Cefadroxil sirup kering 250 16 16 1 1


mg/5 ml Aug-19

82 Cefazolin injeksi 1 gram JUNI 2018 20 20


IM/IV

83 SEPTEMBER 2018 10 10
Cefepime injeksi 1 gram
84 Cefixime Kapsul 100 mg AGUSTUS 2019 109 500 609 20 41 40 10 20 30 20 40 20

85 MEI 2020 2 2
Cefixime kapsul 200 mg

86 Cefixime sirup kering 100 SEPTEMBER 2018 7 29 36 1 1 1 1 1 1


mg/5 ml

87 Cefotaxime serbuk injeksi SEPTEMBER 2018 98 98


i.m/i.v 0,5 gram

88 Cefotaxime serbuk injeksi AGUSTUS 2018 19 40 59 1 2 7 7 5 13 1 1


i.m/i.v 1 gram

89 20 20
Ceftazidime 1 gram injeksi MARET 2019

90 Ceftriaxone serbuk injeksi 1 JUNI 2020 14 20 34 8


gram i.m/i.v

91 Cetadop injeksi (Dopamine MEI 2020 10 10


HCl 200 mg / 5 ml)

92 Cetirizine 5 mg / 5 ml sirup SEPTEMBER 2018 15 10 25 1 1 1 1 1 1 3 1


(Botol 60 ml) Indofarma

93 Cetirizine sirup 5 mg / 5 ml JUNI 2019 0 0


Erela
94 Cetirizine tablet 10 mg AGUSTUS 2018 298 298 10 13 8 20 10 36 15 12 9 15

95 Chloramphenicol 0,5% NOVEMBER 2017 0 0


(Erlamycetin) tetes mata

96 Chloramphenicol 1% MARET 2018 0 0


(Erlamycetin) tetes telinga

97 Chloramphenicol sirup 60 ml JULI 2019 17 17


(Hufamycetin)

Chlorpheniramine Maleate
98 Tablet 4 mg (Botol 1.000 DESEMBER 2018 0 0
tablet)

99 Chlorpheniramine Maleate OKTOBER 2020 291 500 791 2 6 22 10 14 14 4 20 15 12 2


Tablet 4 mg (Box strip)

100 Cholvastin (Lovastatin 20 300 300


mg) 28-Aug-19

101 Chondro PA Kaplet NOVEMBER 2018 0 0

102 Cimetidin Tablet 200 mg JUNI 2019 115 115

103 Ciprofloxacin infus 200 MARET 2019 10 10


mg/100 ml

104 Ciprofloxacin Tablet 500 mg SEPTEMBER 2020 566 566 10

105 Citicoline Sodium Injeksi 250 OKTOBER 2019 30 30 10


mg / 2 ml

106 Citicoline Tablet 500 mg OKTOBER 2021 127 127

107 Clindamycin Tablet 300 mg JUNI 2019 284 284 15 15

108 Clobazam Tablet 10 mg Feb-21 100 100

109 Clomifene sitrat 50 mg JUNI 2018 150 150

110 Clopidogrel Bisulfate Tablet JULI 2018 79 150 229 30


75 mg
Combivent UDV
111 (Ipratropium bromide, FEBRUARI 2018 74 74 1 1 1 1 1
Salbutamol sulphate)

112 Cormega Kapsul (1 g Omega NOVEMBER 2017 0 0


3 acid ethyl esters 90%)

113 Cotrimoksazole 480 mg 0 0


MERSI May-19

114 Cotrimoksazole forte 960 466 466 10 10


mg MEI 2022
Cotrimoxazole Sirup
115 Suspensi 60 ml JUNI 2019 20 10 30 1 2 1 4
(Sulfametoksazol 200 mg,
Trimetoprim 40 mg)

Cotrimoxazole Tablet 480


mg (Sulfametoksazol 400
116 mg, SEPTEMBER 2018 555 555
Trimetoprim 80 mg) HOLI
PHARMA

117 Cyanocobalamin (Vit B12) FEBRUARI 2018 100 100


injeksi 500 mcg/ml

118 Decacetine tetes mata MEI 2020 22 22 1


(Chloramphenicol)

119 Decatona (Fenitoin Na 30 MEI 2019 1000 1000


mg Kapsul)

Denomix cream 10
120 gram/tube MEI 2018 25 25 9 2 1
(Desoxymethasone,
Neomycin sulfate)

121 Depakene sirup 120 ml 11 APRIL 2019 4 4

122 Depakote tablet 250 mg 13 AGUSTUS 2017 0 0

11 DESEMBER
123 Depakote tablet 500 mg 0 0
2017

124 Dexamethasone injeksi 5 134 134 6 3 6 20


mg/ml MEI 2020

125 Dexamethasone Tablet 0,5 SEPTEMBER 2019 989 989 20 1 4 25 25 10 12 10 14 33 15 17 30 3 20 25 2 29


mg
Dexocort 0,25%
126 (Desoximetasone 2,5 mg) Sep-19 16 16 2
Krim

127 Dextral sirup 8 8 1


(Dextromorphan HBr, GG,
CTM, Phenylpropanolamine
HCl) Februari 2021

128 Dextrose Monohydrate 400 JANUARI 2018 91 91


mg (D40)
DHP FRIMAL Anti Malaria
(Dihydroartemisinin 40 mg,
129 Piperaquine phosphate 320 45 45
mg) May-19

130 Diclofenak Potassium tablet FEBRUARI 2020 0 0


25 mg

131 Diethylcarbamazine Tablet JUNI 2019 300 300


100 mg

132 Diltiazem 30 mg FEBRUARI 2020 100 100

133 Diphenhydramine HCl 10 SEPTEMBER 2019 25 25 2 1 1


mg/ml injeksi

Dipsamol Inhaler
134 (Salbutamol sulphate 100 MARET 2020 5 5
mcg)

135 Dobutamine HCl DESEMBER 2018 2 2

136 Domperidone sirup 60 ml OKTOBER 2020 34 34 1 1 2 1


(Hufadon)

137 Domperidone tablet 10 mg SEPTEMBER 2019 276 276 10

138 Dopamet (Methyldopa 250 JUNI 2019 286 286


mg)

139 Dopamin giulini AGUSTUS 2019 2 2

140 Dulcolax supp adult 10 mg FEBRUARI 2019 80 80 1


(Bisacodyl 10 mg)
141 Dulcolax supp infant 5 mg JANUARI 2019 47 47
(Bisacodyl 5 mg)
142 Dumin 125 mg/2,5 ml APRIL 2019 0 0
(Paracetamol)
143 Dumin 250 mg/4 ml MEI 2017 0 0
(Paracetamol)

144 Durogesic 12 (Fentanyl 12 MEI 2018 10 10


µg / h)

145 Durogesic 25 (Fentanyl 25 JUNI 2018 10 10


µg / h)

146 Durogesic 50 (Fentanyl 50 JANUARI 2018 10 10


µg / h)

147 Elanos kaplet (Suplemen MEI 2019 108 108 8 20 1 20 30 29


makanan)

148 Elanos KIDS sirup (Suplemen SEPTEMBER 2019 0 0


makanan)

149 Enzyplex (Amilase, Protease, 333 333 20


Lipase, As. Desoksikholat,
Dimetilpolisiloksan, Vitamin
B Komplek) 20 Mei 2019

150 Epexol drops (Ambroxol HCl 16 JULI 2018 15 15 1 1


15 mg) @ 20 ml

151 Epexol sirup 120 ml 21 SEPTEMBER 24 24 1 2 2 1 2 2 2


(Ambroxol HCl 15 mg) 2018

152 Epexol tablet ( Ambroxol HCl 18 JULI 2018 251 500 751 10 10 10 10 20 10 2 10 25 30 8
30 mg)

153 Ephedrine HCL injeksi 50 JANUARI 2020 100 100


mg/ml

154 Epinephrine 1 mg/ml MARET 2020 586 586

155 Ergotamine 1 mg - Caffeine OKTOBER 2018 588 588 4


50 mg

156 Erythromycin Kapsul 250 mg JULI 2019 461 461

157 Erythromycin sirup kering 12 12


200 mg/5 ml Nov-20
158 Erythromycin Tablet 500 mg FEBRUARI 2020 430 430

159 Ethylchloride spray 100 ml 0 0

160 Fenitoin Natrium injeksi 50 MEI 2020 20 20


mg/ml

161 Fenofibrate kapsul 100 mg SEPTEMBER 2018 501 501


162 Fenofibrate kapsul 300 mg JUNI 2018 3 3
Fentanyl 0,05 mg / ml injeksi
163 (Fentanyl dihydrogenum OKTOBER 2019 20 20
citrate)

164 Fibramed (Fenofibrate 300 244 244


mg) Feb-20
30 NOVEMBER
165 Flamar (Diclofenac sodium 2018 DAN 18 10 10 20 1 1 1 1
10 mg) @20 gram JANUARI 2020

166 Fluconazole 150 mg kapsul AGUSTUS 2020 40 40

167 Flunarizine tablet 10 mg AGUSTUS 2018 978 978 10 10 10

168 Flunarizine tablet 5 mg JULI 2018 383 383 20

169 Folavit tablet (Asam Folat 22 AGUSTUS 2019 414 414 32 5 30 10 4


1.000 mcg)

170 Folavit tablet (Asam Folat 19 AGUSTUS 2019 0 0


400 mcg)
Furosemide injeksi 10
171 mg/ml JANUARI 2019 49 49

172 Furosemide Tablet 40 mg MEI 2019 637 637 5 30

173 30 150 180 20


Gabapentin 300 mg JULI 2019

174 Gastrinal suspensi 120 ml FEBRUARI 2019 0 0

175 Gastrinal tablet MEI 2018 490 490 10 20

176 Gastrul (Misoprostol 200 JUNI 2019 282 282 6


mcg)
177 Gavistal (Metoclopramide JUNI 2019 72 72
HCl 5 mg) injeksi i.m./i.v.

178 Gavistal drops JULI 2019 9 9


(Metoclopramide HCl) 10 ml

179 Gemfibrozil Tablet 300 mg APRIL 2020 575 575

Gentamicin 3 mg (salep
180 mata) Genoint APRIL 2019 102 102
181 JUNI 2020 10 10
Gentamisin tetes mata 0,3 %
182 Gentian violet 10 ml OKTOBER 2018 5 5

183 Glibenclamide Tablet 5 mg JULI 2017 2990 2990

184 Glimepiride tablet 2 mg SEPTEMBER 2019 277 277 10

185 Glyceryl Guaiacolate Tablet MEI 2019 1032 1032 2 16 100 10 10 6 10 2


100 mg

186 Glyceryl Trinitrate 500 mcg 0 0

187 Griseofulvin Tablet 125 mg MEI 2021 469 469 10

188 Haloperidol 5 mg Apr-19 100 100

189 Haloperidol Tablet 1,5 mg OKTOBER 2019 2970 2970

190 Hepachol Kapsul (Suplemen JANUARI 2019 200 200


Makanan)

Hexalgin (Methampyrone,
191 Vitamin B1, Vitamin B12, APRIL 2018 376 376 10 20 21 10 10
Vitamin B6)

192 Hydrocortisone 2,5% krim 5 47 47


g
193 Hidrocortisone krim 1 % JULI 2020 27 27 1

194 500 500


Hypofil (Gemfibrozil 300 mg) 3-Jul-19

195 Ibuprofen sirup 60 ml MEI 2018 11 11 1

196 Ibuprofen Tablet 200 mg JULI 2020 620 620 10 10 20 10

197 Ibuprofen Tablet 400 mg JANUARI 2020 0 0

Iliadin Nasal Drop Tetes


198 Hidung Anak JULI 2018 11 11 1
(Oxymetazoline HCl 0,025%)

Iliadin Nasal Spray Obat


199 Semprot Hidung Dewasa OKTOBER 2018 15 15
(Oxymetazoline HCl 0,05%)
200 Isosorbide Dinitrate (ISDN) MEI 2019 422 422
Tablet 5 mg

201 378 378 10


Kalium diklofenak 50 mg Mar-19

202 Kalmeco injeksi 29 29 5 5


(Mecobalamin 500) Mar-19

203 Ketamin injeksi 10 ml 100 0 0


mg

204 Ketamin injeksi 10 ml 500 10 10


mg

205 Ketokonazol krim 2% AGUSTUS 2020 34 34 1

206 220 220 50


Ketokonazole tab 200 mg Sep-21

207 Ketorolac 30 mg/ml injeksi 0 0


BERNOFARM NOVEMBER 2020

208 Ketorolac injeksi 30 mg/ml AGUSTUS 2019 58 60 118 13 4 5 2 12 1 11 1 12 2


PHAPROS

209 Ketricin (Triamcinolone MEI 2018 28 28 1 1 1 1


acetonide) salep 1 mg/g

210 Kitavit sirup (Kurkuminoid, 18 40 58 1 2 1 2 1 2 2 2 3 1 4 3 1 1


Lysine HCl, Vit B1, B2, B6,
B12, Niacinamid, Asam
pantotenat) Jul-19

211 Kodein tablet 10 mg NOVEMBER 2019 5936 5936

212 Kodein tablet 15 mg Nov-19 192 192

213 JUNI 2020 189 189


Kodein tablet 20 mg
214 L. Bio sachet JUNI 2018 104 104 15 8 11 6 12 6 5 3 6 3 5

215 Lanaginkola Kapsul NOVEMBER 2019 200 200

216 Lancolin 500 (Citicoline 125 DESEMBER 2017 0 0


mg injeksi i.m. / i.v.)

217 Lansoprazole kapsul 30 mg SEPTEMBER 2018 109 109 10 10 10


Lantipain 30 injeksi
218 (Ketorolac tromethamine 30 OKTOBER 2018 30 30
mg)

219 Lanturol 400 Kapsul (d-alpha NOVEMBER 2019 480 480


Tocopherol 400 IU)

220 Lapibal (Mecobalamin) DESEMBER 2018 0 0


i.v./i.m. injeksi 500 µg/ml

221 5 5
Larutan D5 + 1/2 NS SANBE 19-Mar-20

222 Larutan D5 + 1/2 NS 8 8


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,45 %) Apr-19
223 5 5
Larutan D5 + 1/4 NS SANBE 29-Dec-19

224 Larutan D5 + 1/4 NS 19 19 1


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,225 %) Apr-22
225 Larutan D5-NS (Glukosa 5% 8 8
+ NaCl 0,9%) Dec-18
226 Larutan glukosa 10% MEI 2018 101 101

227 Larutan glukosa 5% NOVEMBER 2020 13 20 33 1 1 1 3 1 1 1 2 1

228 Larutan infus Ringer Laktat MEI 2021 15 80 95 1 1 2 2 4 2 7 10 2 12 4 4


500 ml

229 Larutan KN - 2 (KCl 0,3 % in 19 19


0,9 % NaCl) May-21
Lasal sirup 100 ml
230 (Salbutamol sulfate, AGUSTUS 2019 0 0
Guaifenesin)

231 Levofloxacin infus 5 mg/ml JANUARI 2019 12 12

232 Levofloxacin tab 500 mg MARET 2020 211 211


Levopar tablet (Levodopa
233 Benserazide) JULI 2019 150 150

234 Levosol injeksi MARET 2018 0 0


(Norepinephrine)
235 Lexatrans (Asam MARET 2020 0 0
Traneksamat 500 mg)

236 Lexavit (Vitamin A, D, C, B1, Nov-19 484 484 20 10 10 10 10 10 30 20 40 20


B2, B6, B12, Nikotinamida,
Kalsium pantotenat, Asam
folat, Besi II fumarat,
kalsium laktat, Tembaga,
Iodium, Dimetilpolisiloksan,
Fluorida)

237 Lidocain Injeksi 2% AGUSTUS 2020 461 461 1 1 3 1 2 1 1

Lidocaine Compositum
238 injeksi 2% OKTOBER 2020 23 23
(Lidocaine HCl 20 mg,
Epinephrine 0,0125 mg)

Liproqy (Coenzyme Q-10,


239 Lycopene, Natural Vit E, 266 266 10
Grape seed ext, EGCG
(Green Tea Ext)) 4-Apr-19
240 Lisinopril Tablet 10 mg JULI 2018 890 890

241 Lodia tablet (Loperamide 10 AGUSTUS 2020 260 260 2 60 10


HCl 2 mg)

242 Loperamide HCl Tablet 2 mg OKTOBER 2019 437 437

243 Loratadine Tablet 10 mg 344 344 10 10 10 3


MEI 2019

244 Magnesium sulfate injeksi JULI 2019 9 9


20%

245 Magnesium sulfate injeksi 09 OKTOBER 2018 10 10 5


40%

246 Magnidicon Tablet OKTOBER 2020 45 45

247 Makro B Multivitamin 0 0

248 Medigrel (Clopidogrel 300 300


Bisulfate 75 mg) Aug-19

249 Mefinal kaplet (Asam 4 AGUSTUS 2021 0 0


Mefenamat 500 mg)
250 Megabal (Mecobalamin 500 19 NOVEMBER 179 179 10 10
µg) 2018

251 Melavita krim (Retinoic acid AGUSTUS 2018 93 93 1 4 1


0,1 %)
252 Meloxicam tablet 15 mg AGUSTUS 2018 254 254 10 10 10 30 10 10
Metamizole Na for IM/IV
253 injeksi (Antrain) 0 0

254 Metformin Tablet 500 mg MARET 2019 449 449 30 50 10 30

255 Metformin Tablet 850 mg AGUSTUS 2018 130 130

256 Methyl ergometrine injeksi FEBRUARI 2020 189 189


0,2 mg/ml

257 Methylergometrine Tablet SEPTEMBER 2018 576 576 10 10


0,125 mg

258 Methylprednisolone 125 mg APRIL 2018 11 11 1


serbuk injeksi

259 Methylprednisolone Kaplet OKTOBER 2018 155 155 3 10


16 mg

260 Methylprednisolone Tablet 4 SEPTEMBER 2018 265 265 20 2 20 20 30 29


mg

261 Methylprednisolone Tablet 8 FEBRUARI 2018 300 300


mg

Metiagin 0,2 mg/ml injeksi


262 (Methylergometrine MARET 2017 0 0
maleate 0,2 mg)

263 Metoclopramide HCl Tablet SEPTEMBER 2021 391 391


10 mg

264 0 0
Metoclopramide injeksi 10
mg/2 ml MARET 2021

265 Metoklopramide HCl sirup 5 JUNI 2019 10 10


mg/5 ml (Lexapram)

266 Metronidazol Tablet 250 mg JULI 2021 414 414 20

267 Metronidazol Tablet 500 mg AGUSTUS 2020 0 0

268 Metronidazole 500 mg/100 10 10


ml infus MEI 2021
269 Metronidazole Benzoate AGUSTUS 2019 15 15 1
suspensi 60 ml

270 Meylon 8,4 % 25 ml SEPTEMBER 2018 120 120


(Natrium Bicarbonat)

271 Miconazole krim 2% @10 DESEMBER 2019 46 46 4 1


gram

272 178 300 478 30 30 20


Miniaspi 80 (Acetylsalicylic
acid 80 mg) Mar-21

273 Miozidine (Trimetazidine 2 MEI 2019 150 150


HCl 35 mg)

274 Misoprostol tablet 200 mcg JULI 2018 26 26 10 1 3

275 Molaneuron (Vitamin B1, Nov-19 2 2


B6, B12)

276 Molasma (Terbutalin sulfat 500 500


2,5 mg)

277 Apr-21 14 12 26 2 1 2 2
Molavir (Acyclovir krim 5 %)

278 Mometasone Furoate 0,1 % MARET 2019 0 0


ETERCON PHARMA

279 Mometasone Furoate 0,1 % JUNI 2018 9 9 2


NULAB

280 Mucohexin sirup 120 ml 10 JUNI 2018 5 10 15


(Bromhexine HCl elixir)

281 Mucohexin tablet 17 JUNI 2021 117 117


( Bromhexine HCl 8 mg)

282 Natrium chlorida 0,9% JULI 2021 9 40 49 2 3 7 1 1 3 1 2 1


(Larutan Sodium chlorida)

283 Natrium Diklofenak Tablet OKTOBER 2021 184 500 684 10 5 10 20 40 10


25 mg

284 Natrium Diklofenak Tablet SEPTEMBER 2019 0 0


50 mg

285 Natrium fusidat salep 20 APRIL 2020 83 83


mg/g (Fucilex Ointment)
286 Nebacetin ointment 3
(Neomycin sulphate,
Bacitracin) Oct-20 3 1 1

287 Nebacetin powder 10


(Neomycin sulphate,
Bacitracin) Sep-21 10

288 Neo K Phytonadione injeksi MARET 2018 0 0

Neo Kaolana suspensi 120


289 ml (Kaolin, Pectin) 25 MEI 2019 7 10 17 1 1 2 2

Neulin PS (Cytidine 5-
290 monophosphate, Choline L- MEI 2018 48 48
bitartrate,
Phosphatidylserine) kapsul

Neurobion injeksi (Thiamine


291 HCl + Pyridoxol HCl + Desember 2018 0 0
Cyanocobalamin)

292 Neurosanbe 5000 tablet 30 JULI 2019 0 0


(Vit.B1, Vit.B6, Vit.B12)

293 New Antides (Activated OKTOBER 2020 328 328 10 10 2 10 5


attapulgite)

294 Nicardipine HCl injeksi 1 Apr-19 10 10


mg/ml

295 Nifedipine Tablet 10 mg AGUSTUS 2018 280 280

296 Nifudiar suspensi 60 ml


Nonemi (tablet penambah FEBRUARI 2020
(Nifuroxazide) 13 5 18 1 2 2 1 1
darah)
(Ferrous fumarate, Copper
297 sulfate, Manganese sulfate, MEI 2019 8 8 8
Calcium hydrogen,
Phosphate, Cobalt sulfate,
Folic acid, Vitamin B6,
Vitamin B12, Vitamin C)
Norages (Metamizole
298 sodium 500 mg) injeksi AGUSTUS 2019 0 0
i.m./i.v.

299 Norestil (Norethisterone 5 190 190 10


mg) MARET 2019

300 Notrotam 1200 (Piracetam AGUSTUS 2018 20 20


Kaplet 1200 mg)
Notrotam 3000 (Piracetam
301 injeksi i.m./i.v. JULI 2017 0 0
200 mg)

Novabion tablet
302 (vitamin&mineral JANUARI 2021 980 980 10 10 10 30 10 10 10 10 10 80 30 10
penambah darah)

303 Novalgin (Metamizole APRIL 2019 8 8 4 4


Sodium 500 mg/ml)

304 Nymiko suspensi 12 ml drop 25 JANUARI 2019 11 11 1 1


(Nystatin)

305 Nystatin Tablet 500.000 IU JUNI 2019 500 500

306 Nystatin Tablet Vaginal SEPTEMBER 2020 185 185


100.000 IU

307 Ofloxacin 3 mg (Tarivid) 5 ml OKTOBER 2018 10 10 1

308 Oftiflox (Levofloksasin tetes Apr-19 22 22


mata 0,5%)

309 Omeprazole Kapsul 20 mg SEPTEMBER 2020 278 278 1 10 12 10 10

310 Omeprazole serbuk injeksi MEI 2019 18 18 1 1


40 mg

311 0 0
Ondansentron 8 mg NOVELL Apr-19

312 Ondansentron tablet 8 mg AGUSTUS 2018 0 0


MEPRO (@ 30 tablet)
Ondansetron injeksi 4 mg/2
313 ml AGUSTUS 2019 36 50 86 7 6 2 5 1 6 3 2 2 2

314 Ondansetron tablet 8 mg 257 257 9 10 5 5


SOHO (@ 10 tablet)

315 Oxoril sirup (Oxomemazine , JUNI 2019 14 10 24 1 3 1 3


Glyceryl guaiacolate)
316 Oxytocin injeksi 10 IU/ ml AGUSTUS 2019 1085 1085 1 2 1 1 1 1
i.m./i.v.

317 Papaverine HCl Tablet 40 mg SEPTEMBER 2018 437 437 10

318 Paracetamol sirup 120 mg/5 NOVEMBER 2019 19 113 132 2 1 2 3 1 2 2 7 2 1 1


ml AFIFARMA

319 Parasetamol sirup 120 mg / 0 0


5 ml MERSI Jun-19

320 Parasetamol Tablet 500 mg AGUSTUS 2019 602 500 1102 10 42 10 65 36 10 20 10 14 20 4 35 10 10 15 25 30 2

321 Parolit (Oralit) NOVEMBER 2019 227 227

322 Pavidone Iodine 10% 1000 4 4


ml

323 Pavidone Iodine 10% 300 ml 0 0

324 Phenobarbital injeksi 2 mg ED JULI 2016 0 0

325 Phenol Glycerol 10% tetes SEPTEMBER 2018 19 19 1


telinga

326 Phenoxymethyl penicillin Apr-20 600 600


500 mg

327 Phytomenadione injeksi (Vit. 562 562 1 1 2 1 1


K) Jun-19

328 Phytomenadione Tablet 10 AGUSTUS 2018 1075 1075


mg (vitamin K)
329 Piracetam Tablet 1.200 mg JUNI 2017 0 0
330 Piroxicam Tablet 10 mg 0 0

331 Piroxicam Tablet 20 mg OKTOBER 2020 112 112 1 10

332 Plantacid sirup (Aluminium 13 13 2 1 1 1 2 2 1


Hydroxide, Magnesium
Hydroxide, Simethicone) May-20
Plasminex injeksi
333 (Tranexamic acid 100 mg 09 DESEMBER 31 31
2018
injeksi i.v.)

334 Plasminex tablet 6 DESEMBER 2019 211 211 10 10


(Tranexamic acid 500 mg)

335 JUNI 2019 980 980 3 10

Prednison tablet 5 mg

336 Premaston 5 mg May-20 300 300


(Allylestrenol)

337 Pritavit (Vitamin B1, B2, B6, MARET 2020 250 1000 1250 8 50 20 40 12 10 20 10
B12, Nikotinamida, Kalsium
pantotenat, Vitamin C)

338 Proceles sirup 60 ml


(Betamethasone, Dex-CTM) JUNI 2018 9 10 19 1 1

339 Progeston Tablet MARET 2019 6 6


(Allylestrenol 5 mg)

340 Pronovir sirup 60 ml MEI 2018 0 0


(Methisoprinol)

341 JUNI 2019 200 200


Propanolol tablet 10 mg
342 Propanolol tablet 40 mg MEI 2019 200 200

343 Pularex Tablet (Activated JULI 2017 0 0


Attapulgite) 630 mg

344 Pyrantel Tablet 125 mg SEPTEMBER 2018 180 180 1 2

345 Pyrexin 160 (Paracetamol JUNI 2019 126 126 1 1 1 1


suppositoria 160 mg)

346 Pyrexin 80 (Paracetamol JUNI 2018 105 105 2 5 1


suppositoria 80 mg)

347 Quinine Sulphate Tablet 222 MARET 2019 300 300


mg
348 Ranitidin injeksi 25 mg/ml AGUSTUS 2018 0 0
HEXPHARM

349 Ranitidin injeksi Quantum 724 724 1 10 6 9 6 4 10 2 4 8 9 9 15 8 5


Lab Jul-20
350 Ranitidin Tablet 150 mg MEI 2019 193 500 693 25 10 30 30 20 10 20 20

351 Sagestam krim @10 gram 23 JANUARI 2019 0 0


(Gentamicin)

352 Salbutamol Tablet 2 mg OKTOBER 2019 404 404 10

353 Salbutamol Tablet 4 mg SEPTEMBER 2020 0 600 600 10 5

354 Salep 2-4 (As. salisilat, AGUSTUS 2020 24 24


sulfur)
Salep ADK (Antifungi DOEN
355 Kombinasi) (Ac. salicylicum, JULI 2020 24 24
Ac. benzoicum)

356 San B plex drop (Vitamin A, 13 10 23 1 1 1 1


D, B, B2, B6, Nicotinamide,
Dexphanthenol, Vit C) Dec-18

Sanadryl DMP sirup 60 ml


(Dextromethorphan HBr,
357 Diphenhydramine HCl, 18 JUNI 2019 17 17 1 1
Ammonium Cl, Na citrate,
Menthol)

Sanadryl Expectorant 60 ml
(Diphenhydramine HCl,
358 Ammonium Cl, K 20 JUNI 2018 0 1 1 1
Guaiacolsulphonate, Na
citrate)

359 Sanmol drop (PCT 60 mg) 8 AGUSTUS 2019 0 0


@15 ml

360 Sanmol forte tablet (PCT 650 23 MEI 2018 278 278 4 10 20
mg)

361 Sanmol infus (PCT 1.000 mg) MEI 2018 10 10 1 2

362 Sanmol sirup 60 ml (PCT 120 25 JANUARI 2021 0 0


mg)

363 Sanmol tablet (PCT 500 mg) 21 MEI 2021 0 0


364 Scabimite krim (Permethrin JULI 2021 14 14 2
5%)

365 Scopma plus (Hyoscine 400


butylbromide, PCT) Feb-21 400
366 Serum Bio SAVE (ABU) AGUSTUS 2018 10 10

367 Sidiadryl (Diphenhydramine OKTOBER 2019 5 5


HCl 150 mg/15 ml)

368 Simvastatin Tablet 10 mg JUNI 2021 230 150 380 30 10 5 10 5 5 5

369 Simvastatin Tablet 20 mg OKTOBER 2019 0 0

370 Sinral 10 tablet (Flunarizine FEBRUARI 2020 16 16


10 mg)

371 Sinral 5 tablet (Flunarizine 5 0 0


mg)

372 Sohobion injeksi 0 0

373 Spasmacine tablet (PCT, 15 15


Hyoscine N butylbromide) Mar-19

374 Spironolactone tablet 100 SEPTEMBER 2018 280 280


mg

375 Spironolactone tablet 25 mg Nov-18 238 238 30

376 Sterilised water for 12 AGUSTUS 2019 202 202 3 1 6 2 6 4 4 8 1


injections B.P. 25 ml

377 Stesolid 10 mg / 2,5 ml 249 249


(Diazepam) Jun-19

378 Stesolid 5 mg / 2,5 ml 245 245 1


(Diazepam) MARET 2019

379 Streptomycin sulfate injeksi 0 0

380 Sucralfate suspensi 100 ml SEPTEMBER 2018 8 46 54 3 2 2 2 1 1 7 3 2 3 3 1


COMBIPHAR

381 Sucralfate suspensi 100 ml MEI 2019 0 0


MEPROFARM

382 Sucralfate tablet 500 mg AGUSTUS 2021 1097 1097


(Ulsafate)
383 AGUSTUS 2018 10 10
Sufenta injeksi (Sufentanil
citrate 0,005 mg/ml)

384 Suppository ketoprofen 100 SEPTEMBER 2019 19 19


mg (Pronalges)

385 Suprafenid suppositoria AGUSTUS 2019 20 20


(Ketoprofen) 100 mg

Symbicort turbuhaler 160


386 (Budesonid 160 mcg- JANUARI 2019 0 0
formoterol 4,5 mcg)

Symbicort turbuhaler 80
387 (Budesonid 80 mcg- DESEMBER 2018 0 0
formoterol 4,5 mcg)

388 Synarcus (Fluocinolone OKTOBER 2019 10 10


acetonide 0,025%)

389 Tabas sirup 100 ml NOVEMBER 2019 15 15


(Terbutaline sulphate)

390 Tetagam ( Human Tetanus DESEMBER 2019 0 0


Immunoglobulin) 1 ml

391 Tetrasiklin Kaplet 250 mg MEI 2019 200 200

392 Tetrasiklin Kapsul 500 mg SEPTEMBER 2020 100 100

393 Theophylline (Bronsolvan) AGUSTUS 2021 1180 1180


tablet 150 mg

394 Thiamphenicol Kapsul 500 FEBRUARI 2021 0 0


mg

395 Thrombogel (Heparin JULI 2020 6 6 1


sodium)

396 Tramadol HCl injeksi 100 100 100


mg / 2 ml Apr-20

Tremenza sirup 60 ml
397 (mg,
Pseudoephedrine HCl 30 07 JUNI 2018 20 20 1 1 1 1
Triprolidine HCl 1,25
mg)
Tremenza tablet 60 mg
398 (Pseudoephedrine HCl 60 04 AGUSTUS 2020 352 500 852 10 15 21 10 30 20 20 9
mg, Triprolidine HCl 2,5 mg)

399 Trichodazol infus softbag 26 NOVEMBER 0 0


(Metronidazole) 2017

400 Trichodazol plus ovula 11 JULI 2018 44 44


(Metronidazole, Nystatin)

401 100 100


Trihexyphenidyl HCl 2 mg Jun-19

402 5 5
Trilac injeksi (Triamcinolone
acetonide 10 mg / ml) Aug-19

403 Trolac tablet (Ketorolac JANUARI 2020 0 0


Tromethamine 10 mg)

404 FEBRUARI 2021 100 100


Ulsidex (Sucralfate 500 mg)

405 Uresix (Furosemide Injeksi 12 OKTOBER 2018 25 25


10 mg/ml)

Vagizole ovula
406 (Metronidazole ovula 500 Apr-19 25 25
mg)

407 Valisanbe injeksi (Diazepam 50 50


5 mg) 19-Apr-19

408 Valisanbe tablet (Diazepam 27 APRIL 2021 858 858


5 mg)

409 Ventolin Nebules 2,5 mg JANUARI 2019 39 39 3 1


(Salbutamol)

Veridin film coated tablet


410 (Micronized Diosmin / MEI 2018 0 0
Hesperidine)

Vermox Tablet Kunyah


411 (Mebendazole 500 mg) APRIL 2020 31 31

412 Vical sirup (Multivitamin, JULI 2019 18 18 1


Kalsium, Fosfor)

413 Vitacur sirup 100 ml SEPTEMBER 2019 0 0


(suplemen makanan)
414 Vitamin A 200.000 UI MEI 2019 140 140
(Retinol)

415 Vitamin B compleks injeksi JUNI 2017 0 0


20 ml

416 Vitamin B complex Tablet JUNI 2018 485 485 30 10 10 10 10 30 10

417 Vitamin B-1 Tablet 50 mg Juni 2021 424 424 10 20

418 Vitamin B12 Tablet 50 mg AGUSTUS 2019 1974 1974

419 Vitamin B-6 Tablet 10 mg SEPTEMBER 2019 367 367 5 4 20

420 Vitamin C Tablet 50 mg AGUSTUS 2019 352 500 852 3 15 2 5 9 5 45 8

421 Vossecal Kaplet (Suplemen OKTOBER 2017 0 0


Makanan u/ Tulang)

422 Warfarin Kalium Tablet 1 mg 11 JANUARI 2019 1000 1000

423 Xylocaine 2% Jelly (Lidocain DESEMBER 2018 10 10


HCL)

424 DESEMBER 2019 20 20


Xylocaine Pump Spray
(Lidocain HCl 10 mg / dose)

425 Zinc kid sirup 10 mg / 5 ml OKTOBER 2020 10 10

426 Zinc Tablet 20 mg AGUSTUS 2018 177 177 5 10


AT
TOTAL STOK AKHIR
PENGGUNAAN
21 22 23 24 25 26 27 28 29 30 31

0 200
0 170

0 231

0 0
296 627

0 0

0 121

0 0

0 0

0 0

0 0

10 10 60 490

0 0

100 140 330

0 0

30 470

10 20 2

0 0
0 0

0 10

4 19

8 172

0 1045

0 0

10 10 5 60 403

5 66 394

12 273

1 1 6 25

1 1 45

0 10

10 15 20 10 122 260 794

1 1 3 11

0 20

0 0

0 0

60 244

0 0

0 0

10 35 45 20 16 220 736 373


0 0

0 0

0 10

0 12

0 0

0 5

0 22

0 0

0 294

0 0

10 10 90 190 0

0 94

0 0

0 0

1 2 9

2 10

0 160

0 0

1 20 10 10 101 177
10 10 6 5 36 50

1 3 20

1 3 24

1 1 2 34

0 109

15 232

0 0

0 10

0 10

0 8

0 0

10 8 24 66

0 0

30 918

20 85 983
42 0

10 10 45 860

10 80 850

0 83

0 100

10 10 10 90 314 700

1 1 5 10 6

5 7 9

3 3 17

0 10

10 70 10 331 278

0 2

2 2 1 5 1 17 19

0 98

1 38 21

0 20

1 9 25

0 10

1 1 1 5 2 20 5

0 0
148 150

0 0

0 0

0 17

0 0

17 12 13 2 2 100 267 524

0 300

0 0

0 115

0 10

10 20 546

10 20

0 127

25 12 67 217

0 100

0 150

30 199
1 1 7 67

0 0

0 0

20 446

1 6 15 15

103 103 452

0 100

1 2 4 18

0 1000

3 1 1 1 18 7

0 4

0 0

0 0

10 2 1 48 86

40 42 67 12 1 3 105 565 424


3 1 1 7 9

1 2 4 4

0 91

0 45

0 0

0 300

0 100

1 5 20

0 5

0 2

1 6 28

10 266

0 286

0 2

1 79

0 47

0 0
0 0

0 10

0 10

0 10

108 0

0 0

13 20 30 83 250

1 1 4 11

2 14 10

36 181 570

0 100

0 586

4 584

0 461

0 12

20 20 40 390

0 0

0 20

0 501
0 3

0 20

0 244

1 5 15

0 40

30 948

20 363

10 91 323

0 0

0 49

35 602

10 30 150

0 0

10 10 200 250 240

6 276

0 72

1 1 8

10 10 565

0 102
0 10

0 5

10 10 20 2970

10 267

2 3 5 10 176 856

0 0

10 459

0 100

0 2970

0 200

71 305

0 47
1 26

0 500

1 10

20 70 550

0 0

1 10

0 15
100 100 322

50 60 318

10 19

0 0

0 10

3 1 3 2 10 24

50 170

0 0

2 12 77 41

4 24

3 4 3 1 5 42 16

10 10 5926

0 192

0 189

3 83 21

0 200

0 0

30 79
0 30

0 480

0 0

0 5

0 8

0 5

1 18

0 8

0 101

5 17 16

7 1 1 1 4 65 30

0 19

0 0

0 12

0 211

0 150

0 0
0 0

10 25 10 225 259

1 100 5 116 345

0 23

15 25 241

0 890

72 188

30 30 407

50 30 10 20 10 153 191

0 9

5 5

0 45

0 0

0 300

0 0
20 159

6 87

10 10 10 110 144

0 0

30 50 100 30 330 119

0 130

0 189

20 556

1 10

13 142

10 10 6 147 118

0 300

0 0

0 391

0 0

0 10

100 120 294

0 0

0 10
1 14

0 120

5 41

80 398

0 150

14 12

0 2

0 500

7 19

0 0

2 7

1 1 2 13

0 117

2 3 26 23

30 125 559

0 0

0 83
2 1

0 10

0 0

6 11

0 48

0 0

0 0

37 291

0 10

1 1 279

1 8 10

8 0
0 0

20 30 160

0 20

0 0

20 120 10 30 20 40 470 510

8 0

1 1 4 7

0 500

0 185

1 9

0 22

19 10 72 206

2 16

0 0

0 0

1 37 49

10 15 54 203

1 1 1 11 13
1 8 1077

10 427

1 1 1 2 1 8 38 94

0 0

20 20 12 13 30 10 220 693 409

0 227

0 4

0 0

0 0

1 18

0 600

1 7 555

0 1075

0 0
0 0

5 16 96

1 2 13 0
0 31

20 191

13 967

20 20 280

5 10 20 10 20 10 40 285 965

1 1 4 15

0 6

0 0

0 200

0 200

0 0

3 177

1 5 121

1 9 96

0 300
0 0

1 1 8 1 1 118 606

10 10 185 508

0 0

10 394

10 100 125 475

0 24

0 24

2 1 7 16

1 2 5 12

1 0

0 0

100 134 144

1 4 6

0 0

0 0
2 12

0 400

0 10

0 5

1 30 101 279

0 0

0 16

0 0

0 0

0 15

0 280

30 208

3 1 39 163

0 249

1 244

0 0

1 5 1 37 17

0 0

0 1097
0 10

0 19

0 20

0 0

0 0

0 10

1 2 3 12

0 0

0 200

0 100

0 1180

0 0

1 5

0 100

1 5 15
135 717

0 0

0 44

0 100

0 5

0 0

0 100

0 25

0 25

0 50

30 5 35 823

2 1 7 32

0 0

0 31

5 5 11 7

0 0
0 140

0 0

10 130 250 235

30 394

0 1974

2 8 39 328

36 20 2 10 3 163 689

0 0

0 1000

0 10

0 20

1 2 3 7

15 162
LAPORAN PENGGUNAAN OBAT APOTEK RSU KELAS D KOTA PALANGKA RAYA
MEI 2018

TOTAL TANGGAL PENGAMBILAN OBAT


TANGGAL STOK DARI PEMBELIAN
NO OBAT STOK
KADALUARSA AWAL GF APT AWAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1 Acarbose tab 100 mg FEBRUARI 2019 200 200


2 Acarbose tab 50 mg MARET 2019 170 170
Acetosal (Asam Salisilat 100
3 OKTOBER 2018 231 231
mg)
4 Acyclovir krim 5 g 0 0
5 Acyclovir Tablet 200 mg DESEMBER 2019 627 627

6 Acyclovir Tablet 400 mg NOVEMBER 2019 0 0

Albendazole Tablet Kunyah


7 OKTOBER 2018 121 121
400 mg

8 Albothyl (Policresulen) 5 ml JULI 2021 0 0

Aldisa SR kapsul (Loratadine, 29 JUNI 2018


9 0 0
Pseudoephedrine SO4)

Alegi tablet
10 (Dexamethasone 0,5 mg, DESEMBER 2019 0 0
Dex-CTM 2 mg)

11 Alkohol 70% 0 0

12 Allopurinol Tablet 100 mg NOVEMBER 2017 490 490 10

13 Allopurinol Tablet 300 mg JUNI 2021 0 0


BERNOFARM
Allopurinol Tablet 300 mg
14 HEXPHARM JANUARI 2020 330 330 10 15 10 10 10

15 Aloclair Plus Gel JANUARI 2019 0 0

16 Alpentin (Gabapentin 100 470 470


mg) Jul-19

17 2 2 2
Alprazolam Tablet 0,25 mg Jun-18
18 Ambroxol sirup 60 ml 0 0
19 Ambroxol Tablet 30 mg 0 0

20 Amikacin 500 mg / 2 ml JULI 2018 10 10


injeksi

21 Aminophylline injeksi 24 OKTOBER 2018 19 19 1 2


mg/ml

22 Aminophylline Tablet 200 APRIL 2020 172 172 20


mg

23 Amitriptylline Tablet 25 mg JULI 2020 1045 1045

24 SEPTEMBER 2019 0 0
Amlodipin 5 mg PHAPROS
Amlodipine Tablet 5 mg
25 PROMEDRAHARDJO SEPTEMBER 2018 403 403 20 20 10

26 AmlodipineTablet 10 mg AGUSTUS 2018 394 394 20 10 10 10

27 Amoxicillin Kapsul 250 mg OKTOBER 2020 273 273

28 Amoxicillin sirup kering 125 MEI 2020 25 25 2 1 5


mg/5 ml
Amoxicillin sirup kering 250
29 mg/5 ml AGUSTUS 2018 45 45 1 1 1
(Amox Forte)
30 Amoxicillin Sodium Serbuk JUNI 2019 10 10
Injeksi 1 gram

31 Amoxicillin Tablet 500 mg FEBRUARI 2019 794 794 12 10 10 20 10 10 4 12 120 10 10 30

32 Amoxsan (Amoxicillin 100 18 MARET 2019 11 5 16 1 1 1


mg) pediatric drops

33 Ampicillin Sodium Serbuk OKTOBER 2019 20 20


Injeksi 1 gram

34 Antalgin 1000 mg/2 ml 0 0


injeksi FEBRUARI 2018

35 Antasida doen sirup 60 ml 0 0

36 Antasida Doen Tablet 200 JUNI 2019 244 244 10 10 10 15


mg

37 Apialys sirup 100 ml AGUSTUS 2018 0 0


(suplemen makanan)

38 Asam Folat 1 mg AGUSTUS 2019 0 0

39 Asam Mefenamat 500 mg 373 1500 1873 31 10 10 25 30 15 10 10 25 20 30 50 20 25 30


HEXPHARM Aug-21
40 Asam Mefenamat Tablet 500 AGUSTUS 2019 0 0
mg MERSI

41 Asam Traneksamat 100 FEBRUARI 2020 0 0


mg/ml HEXPHARM

42 Asam Traneksamat injeksi JANUARI 2020 10 10


250 mg/5 ml

43 Asam Traneksamat Injeksi SEPTEMBER 2020 12 12


500 mg/5 ml BERNOFARM

44 Asam Traneksamat Tablet 0 0


500 mg

45 Asam Valproat 250 mg/5 ml MARET 2019 5 5

46 Asering 500 cc 23 JULI 2019 22 22

47 Aspilets (Asam Asetilsalisilat) MEI 2018 0 0


Tablet 80 mg

48 Astharol tablet (Salbutamol 26 JULI 2018 294 300 594 594


4 mg)
Astinox Kaplet (Astaxanthin
49 5 mg, Zinc 2,5 mg, Selenium JUNI 2017 0 0
0,075 mg)
50 0 0
Atorvastatin calcium 20 mg Aug-19

51 Atropine injeksi 0,25 mg/ml JUNI 2020 94 94


s.c./i.m./i.v.

52 Bacitracin Polymyxin B Salep MEI 2019 0 0


Kulit 5 g
Becom – C kaplet (Vitamin B
53 complex, Vitamin C,
Nicotinamide, Pantothenic 24 AGUSTUS 2019 0 0
acid)

54 9 9 1 1
Bedak Salicyl (Ac.
Salicylicum 2%) 60 GRAM 28-Dec-18

55 Bedak Salicyl 50 GRAM (Ac. 10 10


Salicylicum 2%) Sep-20

56 Benocetam 800 kaplet OKTOBER 2020 160 160 30 30


(Piracetam 800 mg)
Benodon injeksi 5 ml
57 (Methampyrone 250 mg/ml, MEI 2017 (ED) 0 0
Aminopyrine 50 mg/ml,
Lidocaine HCl 15 mg/ml)
58 177 177 30 10
Betahistine mesylate 6 mg May-20
59 Betametason Krim 0,1 % OKTOBER 2019 50 50 10 1

Biocombin 5000 injeksi i.m.


60 (Thiamine HCl, Pyridoxine JULI 2018 20 20 1 1 10
HCl, Cyanocobalamin)

61 Bioplacenton (Placenta 24 24 1 1
extract, neomycin sulfate,
jelly) Mar-19

62 Biosat Anti Tetanus Serum JANUARI 2019 34 34 1


(ATS) 1500 IU

63 Apr-19 109 109


Bisakodil tablet 5 mg

64 Bisoprolol Fumarate Tablet 5 MARET 2019 232 232


mg

65 Bralin kaplet (Citicoline 1000 JUNI 2017 0 0


mg)

Bricasma respules
66 (Terbutaline sulphate cairan Apr-18 10 10 10
ih 2,5 mg/ml)
Bricasma turbuhaler
67 (Terbutaline sulphate serb ih Apr-18 10 10 10
0,5 mg/dose)
68 Burnazin (Silver MEI 2020 8 8
sulphadiazine 10 mg)

69 Buscopan 20 mg/ml injeksi MEI 2020 0 0


(Hyoscine N Butylbromide)

70 Buscopan Plus AGUSTUS 2018 66 66 10

Buscopan tablet (Hyoscine N


71 butylbromide MARET 2019 0 0
10 mg)

72 Calcium Lactate Tablet 500 MARET 2019 918 918


mg Botol

73 Calcium Lactate Tablet 500 AGUSTUS 2018 983 983 20


mg Bungkus
74 Candesartan cilexetil 16 mg MARET 2019 0 0

75 Captopril Tablet 12,5 mg OKTOBER 2017 860 860 20 11

76 Captopril Tablet 25 mg FEBRUARI 2020 850 850 10 20 10

77 Captopril Tablet 50 mg DESEMBER 2018 83 83

78 Carbamazepine 200 mg Aug-19 100 100

79 Cefadroxil Kapsul 500 mg JULI 2020 700 700 10 10 10 10 20 10

80 Cefadroxil sirup kering 125 6 10 16 1 1 2


mg/5 ml Jul-19

81 Cefadroxil sirup kering 250 9 10 19 1 1 1


mg/5 ml Aug-19

82 Cefazolin injeksi 1 gram JUNI 2018 17 17


IM/IV

83 SEPTEMBER 2018 10 10
Cefepime injeksi 1 gram
84 Cefixime Kapsul 100 mg AGUSTUS 2019 278 500 778 10 15 20 10 20 20 20 10 80 20

85 MEI 2020 2 2
Cefixime kapsul 200 mg

86 Cefixime sirup kering 100 SEPTEMBER 2018 19 10 29 1 2 1 1 3 1 5 1


mg/5 ml

87 Cefotaxime serbuk injeksi SEPTEMBER 2018 98 98


i.m/i.v 0,5 gram

88 Cefotaxime serbuk injeksi AGUSTUS 2018 21 20 41 6 3 8


i.m/i.v 1 gram

89 20 20
Ceftazidime 1 gram injeksi MARET 2019

90 Ceftriaxone serbuk injeksi 1 JUNI 2020 25 25 1


gram i.m/i.v

91 Cetadop injeksi (Dopamine MEI 2020 10 10


HCl 200 mg / 5 ml)

92 Cetirizine 5 mg / 5 ml sirup SEPTEMBER 2018 5 25 30 2 1 1 1 4 1 5


(Botol 60 ml) Indofarma

93 Cetirizine sirup 5 mg / 5 ml JUNI 2019 0 0


Erela
94 Cetirizine tablet 10 mg AGUSTUS 2018 150 150

95 Chloramphenicol 0,5% NOVEMBER 2017 0 0


(Erlamycetin) tetes mata

96 Chloramphenicol 1% MARET 2018 0 0


(Erlamycetin) tetes telinga

97 Chloramphenicol sirup 60 ml JULI 2019 17 17


(Hufamycetin)

Chlorpheniramine Maleate
98 Tablet 4 mg (Botol 1.000 DESEMBER 2018 0 0
tablet)

99 Chlorpheniramine Maleate OKTOBER 2020 524 500 1024 5 8 10 3 15 2 14 3 11 14 3 10


Tablet 4 mg (Box strip)

100 Cholvastin (Lovastatin 20 300 300 20 20 10


mg) 28-Aug-19

101 Chondro PA Kaplet NOVEMBER 2018 0 0

102 Cimetidin Tablet 200 mg JUNI 2019 115 115

103 Ciprofloxacin infus 200 MARET 2019 10 10


mg/100 ml

104 Ciprofloxacin Tablet 500 mg SEPTEMBER 2020 546 546 2

105 Citicoline Sodium Injeksi 250 OKTOBER 2019 20 20 10 10


mg / 2 ml

106 Citicoline Tablet 500 mg OKTOBER 2021 127 127

107 Clindamycin Tablet 300 mg JUNI 2019 217 250 467 30 10 15

108 Clobazam Tablet 10 mg Feb-21 100 100

109 Clomifene sitrat 50 mg JUNI 2018 150 150

110 Clopidogrel Bisulfate Tablet JULI 2018 199 199


75 mg
Combivent UDV
111 (Ipratropium bromide, FEBRUARI 2018 67 67 5 1 1 7 3 2 3 1 5
Salbutamol sulphate)

112 Cormega Kapsul (1 g Omega NOVEMBER 2017 0 0


3 acid ethyl esters 90%)

113 Cotrimoksazole 480 mg 0 0


MERSI May-19

114 Cotrimoksazole forte 960 446 446


mg MEI 2022
Cotrimoxazole Sirup
115 Suspensi 60 ml JUNI 2019 15 15 1
(Sulfametoksazol 200 mg,
Trimetoprim 40 mg)

Cotrimoxazole Tablet 480


mg (Sulfametoksazol 400
116 mg, SEPTEMBER 2018 452 452 10
Trimetoprim 80 mg) HOLI
PHARMA

117 Cyanocobalamin (Vit B12) FEBRUARI 2018 100 100


injeksi 500 mcg/ml

118 Decacetine tetes mata MEI 2020 18 18 1 1 1


(Chloramphenicol)

119 Decatona (Fenitoin Na 30 MEI 2019 1000 1000


mg Kapsul)

Denomix cream 10
120 gram/tube MEI 2018 7 135 142 1 141
(Desoxymethasone,
Neomycin sulfate)

121 Depakene sirup 120 ml 11 APRIL 2019 4 4

122 Depakote tablet 250 mg 13 AGUSTUS 2017 0 0

11 DESEMBER
123 Depakote tablet 500 mg 0 0
2017

124 Dexamethasone injeksi 5 86 86 1 1


mg/ml MEI 2020

125 Dexamethasone Tablet 0,5 SEPTEMBER 2019 424 500 924 26 33 30 2 36 10 4 16 20 4 6 10 13 20 30


mg
Dexocort 0,25%
126 (Desoximetasone 2,5 mg) Sep-19 9 18 27 2 1
Krim

127 Dextral sirup 4 15 19 1 5


(Dextromorphan HBr, GG,
CTM, Phenylpropanolamine
HCl) Februari 2021

128 Dextrose Monohydrate 400 JANUARI 2018 91 91 1 1


mg (D40)
DHP FRIMAL Anti Malaria
(Dihydroartemisinin 40 mg,
129 Piperaquine phosphate 320 45 45
mg) May-19

130 Diclofenak Potassium tablet FEBRUARI 2020 0 0


25 mg

131 Diethylcarbamazine Tablet JUNI 2019 300 300


100 mg

132 Diltiazem 30 mg FEBRUARI 2020 100 100

133 Diphenhydramine HCl 10 SEPTEMBER 2019 20 30 50 5 1


mg/ml injeksi

Dipsamol Inhaler
134 (Salbutamol sulphate 100 MARET 2020 5 5
mcg)

135 Dobutamine HCl DESEMBER 2018 2 2

136 Domperidone sirup 60 ml OKTOBER 2020 28 28 1 1 1 1


(Hufadon)

137 Domperidone tablet 10 mg SEPTEMBER 2019 266 266 20 10 10

138 Dopamet (Methyldopa 250 JUNI 2019 286 286


mg)

139 Dopamin giulini AGUSTUS 2019 2 2

140 Dulcolax supp adult 10 mg FEBRUARI 2019 79 79


(Bisacodyl 10 mg)
141 Dulcolax supp infant 5 mg JANUARI 2019 47 47
(Bisacodyl 5 mg)
142 Dumin 125 mg/2,5 ml APRIL 2019 0 0
(Paracetamol)
143 Dumin 250 mg/4 ml MEI 2017 0 0
(Paracetamol)

144 Durogesic 12 (Fentanyl 12 MEI 2018 10 10


µg / h)

145 Durogesic 25 (Fentanyl 25 JUNI 2018 10 10


µg / h)

146 Durogesic 50 (Fentanyl 50 JANUARI 2018 10 10


µg / h)

147 Elanos kaplet (Suplemen MEI 2019 0 0


makanan)

148 Elanos KIDS sirup (Suplemen SEPTEMBER 2019 0 0


makanan)

149 Enzyplex (Amilase, Protease, 250 250 20 20 20 22


Lipase, As. Desoksikholat,
Dimetilpolisiloksan, Vitamin
B Komplek) 20 Mei 2019

150 Epexol drops (Ambroxol HCl 16 JULI 2018 11 6 17 1 1


15 mg) @ 20 ml

151 Epexol sirup 120 ml 21 SEPTEMBER 10 2 12 1 1 3


(Ambroxol HCl 15 mg) 2018

152 Epexol tablet ( Ambroxol HCl 18 JULI 2018 570 500 1070 25 3 3 10 6 25 25 10
30 mg)

153 Ephedrine HCL injeksi 50 JANUARI 2020 100 100


mg/ml

154 Epinephrine 1 mg/ml MARET 2020 586 586

155 Ergotamine 1 mg - Caffeine OKTOBER 2018 584 584


50 mg

156 Erythromycin Kapsul 250 mg JULI 2019 461 461

157 Erythromycin sirup kering 12 12


200 mg/5 ml Nov-20
158 Erythromycin Tablet 500 mg FEBRUARI 2020 390 390

159 Ethylchloride spray 100 ml 0 0

160 Fenitoin Natrium injeksi 50 MEI 2020 20 20


mg/ml

161 Fenofibrate kapsul 100 mg SEPTEMBER 2018 501 501 10


162 Fenofibrate kapsul 300 mg JUNI 2018 3 3
Fentanyl 0,05 mg / ml injeksi
163 (Fentanyl dihydrogenum OKTOBER 2019 20 20
citrate)

164 Fibramed (Fenofibrate 300 244 244


mg) Feb-20
30 NOVEMBER
165 Flamar (Diclofenac sodium 2018 DAN 18 15 20 35 2
10 mg) @20 gram JANUARI 2020

166 Fluconazole 150 mg kapsul AGUSTUS 2020 40 40

167 Flunarizine tablet 10 mg AGUSTUS 2018 948 948 15

168 Flunarizine tablet 5 mg JULI 2018 363 363

169 Folavit tablet (Asam Folat 22 AGUSTUS 2019 323 300 623 10 30
1.000 mcg)

170 Folavit tablet (Asam Folat 19 AGUSTUS 2019 0 0


400 mcg)
Furosemide injeksi 10
171 mg/ml JANUARI 2019 49 49 2

172 Furosemide Tablet 40 mg MEI 2019 602 602

173 150 150


Gabapentin 300 mg JULI 2019

174 Gastrinal suspensi 120 ml FEBRUARI 2019 0 0

175 Gastrinal tablet MEI 2018 240 19000 19240 19240

176 Gastrul (Misoprostol 200 JUNI 2019 276 276


mcg)
177 Gavistal (Metoclopramide JUNI 2019 72 72
HCl 5 mg) injeksi i.m./i.v.

178 Gavistal drops JULI 2019 8 8


(Metoclopramide HCl) 10 ml

179 Gemfibrozil Tablet 300 mg APRIL 2020 565 565

Gentamicin 3 mg (salep
180 mata) Genoint APRIL 2019 102 102
181 JUNI 2020 10 10 1 1
Gentamisin tetes mata 0,3 %
182 Gentian violet 10 ml OKTOBER 2018 5 5

183 Glibenclamide Tablet 5 mg JULI 2017 2970 2970

184 Glimepiride tablet 2 mg SEPTEMBER 2019 267 267

185 Glyceryl Guaiacolate Tablet MEI 2019 856 856 8 2 2 17


100 mg

186 Glyceryl Trinitrate 500 mcg 0 0

187 Griseofulvin Tablet 125 mg MEI 2021 459 459

188 Haloperidol 5 mg Apr-19 100 100

189 Haloperidol Tablet 1,5 mg OKTOBER 2019 2970 2970

190 Hepachol Kapsul (Suplemen JANUARI 2019 200 200


Makanan)

Hexalgin (Methampyrone,
191 Vitamin B1, Vitamin B12, APRIL 2018 305 305 305
Vitamin B6)

192 Hydrocortisone 2,5% krim 5 47 47


g
193 Hidrocortisone krim 1 % JULI 2020 26 26 1

194 500 500


Hypofil (Gemfibrozil 300 mg) 3-Jul-19

195 Ibuprofen sirup 60 ml MEI 2018 10 5 15 1 1

196 Ibuprofen Tablet 200 mg JULI 2020 550 550 20 10 10

197 Ibuprofen Tablet 400 mg JANUARI 2020 0 0

Iliadin Nasal Drop Tetes


198 Hidung Anak JULI 2018 10 10 1
(Oxymetazoline HCl 0,025%)

Iliadin Nasal Spray Obat


199 Semprot Hidung Dewasa OKTOBER 2018 15 15
(Oxymetazoline HCl 0,05%)
200 Isosorbide Dinitrate (ISDN) MEI 2019 322 322 11
Tablet 5 mg

201 318 318 20 10


Kalium diklofenak 50 mg Mar-19

202 Kalmeco injeksi 19 19 5 5


(Mecobalamin 500) Mar-19

203 Ketamin injeksi 10 ml 100 0 0


mg

204 Ketamin injeksi 10 ml 500 10 10


mg

205 Ketokonazol krim 2% AGUSTUS 2020 24 24 1 1

206 170 170 10


Ketokonazole tab 200 mg Sep-21

207 Ketorolac 30 mg/ml injeksi 0 0


BERNOFARM NOVEMBER 2020

208 Ketorolac injeksi 30 mg/ml AGUSTUS 2019 41 72 113 11 1 3 3 1 2 1


PHAPROS

209 Ketricin (Triamcinolone MEI 2018 24 24 24


acetonide) salep 1 mg/g

210 Kitavit sirup (Kurkuminoid, 16 40 56 1 2 1 3 1 3 3 2 1 4 1 1


Lysine HCl, Vit B1, B2, B6,
B12, Niacinamid, Asam
pantotenat) Jul-19

211 Kodein tablet 10 mg NOVEMBER 2019 5926 5926 10 10

212 Kodein tablet 15 mg Nov-19 192 192

213 JUNI 2020 189 189


Kodein tablet 20 mg
214 L. Bio sachet JUNI 2018 21 21 3 5 6 6

215 Lanaginkola Kapsul NOVEMBER 2019 200 200

216 Lancolin 500 (Citicoline 125 DESEMBER 2017 0 0


mg injeksi i.m. / i.v.)

217 Lansoprazole kapsul 30 mg SEPTEMBER 2018 79 100 179 20


Lantipain 30 injeksi
218 (Ketorolac tromethamine 30 OKTOBER 2018 30 30
mg)

219 Lanturol 400 Kapsul (d-alpha NOVEMBER 2019 480 480


Tocopherol 400 IU)

220 Lapibal (Mecobalamin) DESEMBER 2018 0 0


i.v./i.m. injeksi 500 µg/ml

221 5 5
Larutan D5 + 1/2 NS SANBE 19-Mar-20

222 Larutan D5 + 1/2 NS 8 8


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,45 %) Apr-19
223 5 5
Larutan D5 + 1/4 NS SANBE 29-Dec-19

224 Larutan D5 + 1/4 NS 18 18


WIDATRA BHAKTI (Glukosa
5% + NaCl 0,225 %) Apr-22
225 Larutan D5-NS (Glukosa 5% 8 8
+ NaCl 0,9%) Dec-18
226 Larutan glukosa 10% MEI 2018 101 101

227 Larutan glukosa 5% NOVEMBER 2020 16 20 36 1 1 5

228 Larutan infus Ringer Laktat MEI 2021 30 80 110 4 1 2 7 1 7 22 4 6 1


500 ml

229 Larutan KN - 2 (KCl 0,3 % in 19 19


0,9 % NaCl) May-21
Lasal sirup 100 ml
230 (Salbutamol sulfate, AGUSTUS 2019 0 0
Guaifenesin)

231 Levofloxacin infus 5 mg/ml JANUARI 2019 12 12

232 Levofloxacin tab 500 mg MARET 2020 211 211


Levopar tablet (Levodopa
233 Benserazide) JULI 2019 150 150

234 Levosol injeksi MARET 2018 0 0


(Norepinephrine)
235 Lexatrans (Asam MARET 2020 0 0
Traneksamat 500 mg)

236 Lexavit (Vitamin A, D, C, B1, Nov-19 259 500 759 10 10 60 10 30 40 10 140 33


B2, B6, B12, Nikotinamida,
Kalsium pantotenat, Asam
folat, Besi II fumarat,
kalsium laktat, Tembaga,
Iodium, Dimetilpolisiloksan,
Fluorida)

237 Lidocain Injeksi 2% AGUSTUS 2020 345 345 1 1 1 1 2 3

Lidocaine Compositum
238 injeksi 2% OKTOBER 2020 23 23
(Lidocaine HCl 20 mg,
Epinephrine 0,0125 mg)

Liproqy (Coenzyme Q-10,


239 Lycopene, Natural Vit E, 241 241 6
Grape seed ext, EGCG
(Green Tea Ext)) 4-Apr-19
240 Lisinopril Tablet 10 mg JULI 2018 890 890

241 Lodia tablet (Loperamide 10 AGUSTUS 2020 188 188 10


HCl 2 mg)

242 Loperamide HCl Tablet 2 mg OKTOBER 2019 407 407

243 Loratadine Tablet 10 mg 191 191 10 20 30 10 20


MEI 2019

244 Magnesium sulfate injeksi JULI 2019 9 9


20%

245 Magnesium sulfate injeksi 09 OKTOBER 2018 5 5 1


40%

246 Magnidicon Tablet OKTOBER 2020 45 45

247 Makro B Multivitamin 0 0

248 Medigrel (Clopidogrel 300 300


Bisulfate 75 mg) Aug-19

249 Mefinal kaplet (Asam 4 AGUSTUS 2021 0 0


Mefenamat 500 mg)
250 Megabal (Mecobalamin 500 19 NOVEMBER 159 159
µg) 2018

251 Melavita krim (Retinoic acid AGUSTUS 2018 87 87


0,1 %)
252 Meloxicam tablet 15 mg AGUSTUS 2018 144 500 644 10 10
Metamizole Na for IM/IV
253 injeksi (Antrain) 0 0

254 Metformin Tablet 500 mg MARET 2019 119 500 619 10 10

255 Metformin Tablet 850 mg AGUSTUS 2018 130 130

256 Methyl ergometrine injeksi FEBRUARI 2020 189 189 1


0,2 mg/ml

257 Methylergometrine Tablet SEPTEMBER 2018 556 556 10 10


0,125 mg

258 Methylprednisolone 125 mg APRIL 2018 10 10 2 2


serbuk injeksi

259 Methylprednisolone Kaplet OKTOBER 2018 142 142 10


16 mg

260 Methylprednisolone Tablet 4 SEPTEMBER 2018 118 118 17 10 5 10 10 30 22


mg

261 Methylprednisolone Tablet 8 FEBRUARI 2018 300 300


mg

Metiagin 0,2 mg/ml injeksi


262 (Methylergometrine MARET 2017 0 0
maleate 0,2 mg)

263 Metoclopramide HCl Tablet SEPTEMBER 2021 391 391


10 mg

264 0 0
Metoclopramide injeksi 10
mg/2 ml MARET 2021

265 Metoklopramide HCl sirup 5 JUNI 2019 10 10


mg/5 ml (Lexapram)

266 Metronidazol Tablet 250 mg JULI 2021 294 294 20

267 Metronidazol Tablet 500 mg AGUSTUS 2020 0 0

268 Metronidazole 500 mg/100 10 10


ml infus MEI 2021
269 Metronidazole Benzoate AGUSTUS 2019 14 14
suspensi 60 ml

270 Meylon 8,4 % 25 ml SEPTEMBER 2018 120 120


(Natrium Bicarbonat)

271 Miconazole krim 2% @10 DESEMBER 2019 41 41 2


gram

272 398 398 11


Miniaspi 80 (Acetylsalicylic
acid 80 mg) Mar-21

273 Miozidine (Trimetazidine 2 MEI 2019 150 150


HCl 35 mg)

274 Misoprostol tablet 200 mcg JULI 2018 12 12

275 Molaneuron (Vitamin B1, Nov-19 2 2


B6, B12)

276 Molasma (Terbutalin sulfat 500 500


2,5 mg)

277 Apr-21 19 19
Molavir (Acyclovir krim 5 %)

278 Mometasone Furoate 0,1 % MARET 2019 0 0


ETERCON PHARMA

279 Mometasone Furoate 0,1 % JUNI 2018 7 7 1


NULAB

280 Mucohexin sirup 120 ml 10 JUNI 2018 13 13 2


(Bromhexine HCl elixir)

281 Mucohexin tablet 17 JUNI 2021 117 117 8


( Bromhexine HCl 8 mg)

282 Natrium chlorida 0,9% JULI 2021 23 40 63 10 1 1 2 4 1


(Larutan Sodium chlorida)

283 Natrium Diklofenak Tablet OKTOBER 2021 559 559 9 10 20 40 10 20 10 20


25 mg

284 Natrium Diklofenak Tablet SEPTEMBER 2019 0 0


50 mg

285 Natrium fusidat salep 20 APRIL 2020 83 83 1


mg/g (Fucilex Ointment)
286 Nebacetin ointment 1
(Neomycin sulphate,
Bacitracin) Oct-20 1 1

287 Nebacetin powder 10


(Neomycin sulphate,
Bacitracin) Sep-21 10 1 1

288 Neo K Phytonadione injeksi MARET 2018 0 0

Neo Kaolana suspensi 120


289 ml (Kaolin, Pectin) 25 MEI 2019 11 11

Neulin PS (Cytidine 5-
290 monophosphate, Choline L- MEI 2018 48 48 48
bitartrate,
Phosphatidylserine) kapsul

Neurobion injeksi (Thiamine


291 HCl + Pyridoxol HCl + Desember 2018 0 0
Cyanocobalamin)

292 Neurosanbe 5000 tablet 30 JULI 2019 0 0


(Vit.B1, Vit.B6, Vit.B12)

293 New Antides (Activated OKTOBER 2020 291 291 10 10 18 4


attapulgite)

294 Nicardipine HCl injeksi 1 Apr-19 10 10


mg/ml

295 Nifedipine Tablet 10 mg AGUSTUS 2018 279 279 1 1

296 Nifudiar suspensi 60 ml


Nonemi (tablet penambah FEBRUARI 2020
(Nifuroxazide) 10 10 1 1 1
darah)
(Ferrous fumarate, Copper
297 sulfate, Manganese sulfate, MEI 2019 0 0
Calcium hydrogen,
Phosphate, Cobalt sulfate,
Folic acid, Vitamin B6,
Vitamin B12, Vitamin C)
Norages (Metamizole
298 sodium 500 mg) injeksi AGUSTUS 2019 0 0
i.m./i.v.

299 Norestil (Norethisterone 5 160 160 20 10


mg) MARET 2019

300 Notrotam 1200 (Piracetam AGUSTUS 2018 20 20 20


Kaplet 1200 mg)
Notrotam 3000 (Piracetam
301 injeksi i.m./i.v. JULI 2017 0 0
200 mg)

Novabion tablet
302 (vitamin&mineral JANUARI 2021 510 510 20 60 20
penambah darah)

303 Novalgin (Metamizole APRIL 2019 0 0


Sodium 500 mg/ml)

304 Nymiko suspensi 12 ml drop 25 JANUARI 2019 7 7


(Nystatin)

305 Nystatin Tablet 500.000 IU JUNI 2019 500 500

306 Nystatin Tablet Vaginal SEPTEMBER 2020 185 185


100.000 IU

307 Ofloxacin 3 mg (Tarivid) 5 ml OKTOBER 2018 9 9 1

308 Oftiflox (Levofloksasin tetes Apr-19 22 22


mata 0,5%)

309 Omeprazole Kapsul 20 mg SEPTEMBER 2020 206 300 506 30 10 11 10 10

310 Omeprazole serbuk injeksi MEI 2019 16 20 36 1 2


40 mg

311 0 0
Ondansentron 8 mg NOVELL Apr-19

312 Ondansentron tablet 8 mg AGUSTUS 2018 0 0


MEPRO (@ 30 tablet)
Ondansetron injeksi 4 mg/2
313 ml AGUSTUS 2019 49 25 74 1 9 1 1 2 1 1

314 Ondansetron tablet 8 mg 203 203 10 5 10


SOHO (@ 10 tablet)

315 Oxoril sirup (Oxomemazine , JUNI 2019 13 20 33 1 2 1 1 1 1 1 6


Glyceryl guaiacolate)
316 Oxytocin injeksi 10 IU/ ml AGUSTUS 2019 1077 1077 6 2 10
i.m./i.v.

317 Papaverine HCl Tablet 40 mg SEPTEMBER 2018 427 427 10

318 Paracetamol sirup 120 mg/5 NOVEMBER 2019 94 94 2 3 2 1 2 1 1 1 2 1 1 1


ml AFIFARMA

319 Parasetamol sirup 120 mg / 0 0


5 ml MERSI Jun-19

320 Parasetamol Tablet 500 mg AGUSTUS 2019 409 500 909 12 6 10 10 10 6 6 4 20 34 21 10 4 1

321 Parolit (Oralit) NOVEMBER 2019 227 227 5

322 Pavidone Iodine 10% 1000 4 4


ml

323 Pavidone Iodine 10% 300 ml 0 0

324 Phenobarbital injeksi 2 mg ED JULI 2016 0 0

325 Phenol Glycerol 10% tetes SEPTEMBER 2018 18 18


telinga

326 Phenoxymethyl penicillin Apr-20 600 600


500 mg

327 Phytomenadione injeksi (Vit. 555 555 2 1


K) Jun-19

328 Phytomenadione Tablet 10 AGUSTUS 2018 1075 1075 10


mg (vitamin K)
329 Piracetam Tablet 1.200 mg JUNI 2017 0 0
330 Piroxicam Tablet 10 mg 0 0

331 Piroxicam Tablet 20 mg OKTOBER 2020 96 96

332 Plantacid sirup (Aluminium 0 0


Hydroxide, Magnesium
Hydroxide, Simethicone) May-20
Plasminex injeksi
333 (Tranexamic acid 100 mg 09 DESEMBER 31 31
2018
injeksi i.v.)

334 Plasminex tablet 6 DESEMBER 2019 191 191


(Tranexamic acid 500 mg)

335 JUNI 2019 967 967

Prednison tablet 5 mg

336 Premaston 5 mg May-20 280 280 10


(Allylestrenol)

337 Pritavit (Vitamin B1, B2, B6, MARET 2020 965 965 30 20 40 20 20 10 50 10 10
B12, Nikotinamida, Kalsium
pantotenat, Vitamin C)

338 Proceles sirup 60 ml


(Betamethasone, Dex-CTM) JUNI 2018 15 15 1 1

339 Progeston Tablet MARET 2019 6 6


(Allylestrenol 5 mg)

340 Pronovir sirup 60 ml MEI 2018 0 0


(Methisoprinol)

341 JUNI 2019 200 200


Propanolol tablet 10 mg
342 Propanolol tablet 40 mg MEI 2019 200 200

343 Pularex Tablet (Activated JULI 2017 0 0


Attapulgite) 630 mg

344 Pyrantel Tablet 125 mg SEPTEMBER 2018 177 177

345 Pyrexin 160 (Paracetamol JUNI 2019 121 121 6 1


suppositoria 160 mg)

346 Pyrexin 80 (Paracetamol JUNI 2018 96 96


suppositoria 80 mg)

347 Quinine Sulphate Tablet 222 MARET 2019 300 300


mg
348 Ranitidin injeksi 25 mg/ml AGUSTUS 2018 0 0
HEXPHARM

349 Ranitidin injeksi Quantum 606 606 1 14 3 2 10 2 5 5 8 2


Lab Jul-20
350 Ranitidin Tablet 150 mg MEI 2019 508 508 10 10 10 10 10 10 10

351 Sagestam krim @10 gram 23 JANUARI 2019 0 0


(Gentamicin)

352 Salbutamol Tablet 2 mg OKTOBER 2019 394 394 10 2 6 10 4 10

353 Salbutamol Tablet 4 mg SEPTEMBER 2020 475 475 2 10 1 20

354 Salep 2-4 (As. salisilat, AGUSTUS 2020 24 24


sulfur)
Salep ADK (Antifungi DOEN
355 Kombinasi) (Ac. salicylicum, JULI 2020 24 24
Ac. benzoicum)

356 San B plex drop (Vitamin A, 16 16 1 1 1


D, B, B2, B6, Nicotinamide,
Dexphanthenol, Vit C) Dec-18

Sanadryl DMP sirup 60 ml


(Dextromethorphan HBr,
357 Diphenhydramine HCl, 18 JUNI 2019 12 12 1 1
Ammonium Cl, Na citrate,
Menthol)

Sanadryl Expectorant 60 ml
(Diphenhydramine HCl,
358 Ammonium Cl, K 20 JUNI 2018 0 0
Guaiacolsulphonate, Na
citrate)

359 Sanmol drop (PCT 60 mg) 8 AGUSTUS 2019 0 0


@15 ml

360 Sanmol forte tablet (PCT 650 23 MEI 2018 144 500 644 644
mg)

361 Sanmol infus (PCT 1.000 mg) MEI 2018 6 5 11

362 Sanmol sirup 60 ml (PCT 120 25 JANUARI 2021 0 0


mg)

363 Sanmol tablet (PCT 500 mg) 21 MEI 2021 0 0


364 Scabimite krim (Permethrin JULI 2021 12 12
5%)

365 Scopma plus (Hyoscine 400


butylbromide, PCT) Feb-21 400
366 Serum Bio SAVE (ABU) AGUSTUS 2018 10 10

367 Sidiadryl (Diphenhydramine OKTOBER 2019 5 5


HCl 150 mg/15 ml)

368 Simvastatin Tablet 10 mg JUNI 2021 279 300 579 10 10 20 10 12 20 40 10

369 Simvastatin Tablet 20 mg OKTOBER 2019 0 0

370 Sinral 10 tablet (Flunarizine FEBRUARI 2020 16 16


10 mg)

371 Sinral 5 tablet (Flunarizine 5 0 0


mg)

372 Sohobion injeksi 0 0

373 Spasmacine tablet (PCT, 15 15 15


Hyoscine N butylbromide) Mar-19

374 Spironolactone tablet 100 SEPTEMBER 2018 280 280


mg

375 Spironolactone tablet 25 mg Nov-18 208 208

376 Sterilised water for 12 AGUSTUS 2019 163 163 1 1 4 3 1 2 5


injections B.P. 25 ml

377 Stesolid 10 mg / 2,5 ml 249 249


(Diazepam) Jun-19

378 Stesolid 5 mg / 2,5 ml 244 244


(Diazepam) MARET 2019

379 Streptomycin sulfate injeksi 0 0

380 Sucralfate suspensi 100 ml SEPTEMBER 2018 17 40 57 2 2 1 1 1 3 2 1 3 1 1 1 4


COMBIPHAR

381 Sucralfate suspensi 100 ml MEI 2019 0 0


MEPROFARM

382 Sucralfate tablet 500 mg AGUSTUS 2021 1097 1097


(Ulsafate)
383 AGUSTUS 2018 10 10
Sufenta injeksi (Sufentanil
citrate 0,005 mg/ml)

384 Suppository ketoprofen 100 SEPTEMBER 2019 19 19


mg (Pronalges)

385 Suprafenid suppositoria AGUSTUS 2019 20 20


(Ketoprofen) 100 mg

Symbicort turbuhaler 160


386 (Budesonid 160 mcg- JANUARI 2019 0 0
formoterol 4,5 mcg)

Symbicort turbuhaler 80
387 (Budesonid 80 mcg- DESEMBER 2018 0 0
formoterol 4,5 mcg)

388 Synarcus (Fluocinolone OKTOBER 2019 10 10


acetonide 0,025%)

389 Tabas sirup 100 ml NOVEMBER 2019 12 12 1


(Terbutaline sulphate)

390 Tetagam ( Human Tetanus DESEMBER 2019 0 0


Immunoglobulin) 1 ml

391 Tetrasiklin Kaplet 250 mg MEI 2019 200 200

392 Tetrasiklin Kapsul 500 mg SEPTEMBER 2020 100 100

393 Theophylline (Bronsolvan) AGUSTUS 2021 1180 1180


tablet 150 mg

394 Thiamphenicol Kapsul 500 FEBRUARI 2021 0 0


mg

395 Thrombogel (Heparin JULI 2020 5 5 1 1


sodium)

396 Tramadol HCl injeksi 100 100 100


mg / 2 ml Apr-20

Tremenza sirup 60 ml
397 (mg,
Pseudoephedrine HCl 30 07 JUNI 2018 15 15 1 1 1 1
Triprolidine HCl 1,25
mg)
Tremenza tablet 60 mg
398 (Pseudoephedrine HCl 60 04 AGUSTUS 2020 717 717 20 10
mg, Triprolidine HCl 2,5 mg)

399 Trichodazol infus softbag 26 NOVEMBER 0 0


(Metronidazole) 2017

400 Trichodazol plus ovula 11 JULI 2018 44 44


(Metronidazole, Nystatin)

401 100 100


Trihexyphenidyl HCl 2 mg Jun-19

402 5 5
Trilac injeksi (Triamcinolone
acetonide 10 mg / ml) Aug-19

403 Trolac tablet (Ketorolac JANUARI 2020 0 0


Tromethamine 10 mg)

404 FEBRUARI 2021 100 100


Ulsidex (Sucralfate 500 mg)

405 Uresix (Furosemide Injeksi 12 OKTOBER 2018 25 25


10 mg/ml)

Vagizole ovula
406 (Metronidazole ovula 500 Apr-19 25 25
mg)

407 Valisanbe injeksi (Diazepam 50 50


5 mg) 19-Apr-19

408 Valisanbe tablet (Diazepam 27 APRIL 2021 823 823 10


5 mg)

409 Ventolin Nebules 2,5 mg JANUARI 2019 32 32 1 1 5 2 1 1


(Salbutamol)

Veridin film coated tablet


410 (Micronized Diosmin / MEI 2018 0 0
Hesperidine)

Vermox Tablet Kunyah


411 (Mebendazole 500 mg) APRIL 2020 31 24 55 2

412 Vical sirup (Multivitamin, JULI 2019 7 10 17


Kalsium, Fosfor)

413 Vitacur sirup 100 ml SEPTEMBER 2019 0 0


(suplemen makanan)
414 Vitamin A 200.000 UI MEI 2019 140 140 2
(Retinol)

415 Vitamin B compleks injeksi JUNI 2017 0 0


20 ml

416 Vitamin B complex Tablet JUNI 2018 235 235 6 10 10 10

417 Vitamin B-1 Tablet 50 mg Juni 2021 394 394

418 Vitamin B12 Tablet 50 mg AGUSTUS 2019 1974 1974 10

419 Vitamin B-6 Tablet 10 mg SEPTEMBER 2019 328 328

420 Vitamin C Tablet 50 mg AGUSTUS 2019 689 689 10 19 10 3 8 10 18 1 4 3 10

421 Vossecal Kaplet (Suplemen OKTOBER 2017 0 0


Makanan u/ Tulang)

422 Warfarin Kalium Tablet 1 mg 11 JANUARI 2019 1000 1000

423 Xylocaine 2% Jelly (Lidocain DESEMBER 2018 10 10


HCL)

424 DESEMBER 2019 20 20


Xylocaine Pump Spray
(Lidocain HCl 10 mg / dose)

425 Zinc kid sirup 10 mg / 5 ml OKTOBER 2020 7 15 22 2 1 1 1

426 Zinc Tablet 20 mg AGUSTUS 2018 162 162


AT
TOTAL STOK AKHIR
PENGGUNAAN
21 22 23 24 25 26 27 28 29 30 31

0 200
0 170

0 231

0 0
0 627

0 0

6 6 115

0 0

0 0

0 0

0 0

10 10 10 40 450

0 0

3 10 68 262

0 0

0 470

2 0

0 0
0 0

0 10

3 16

10 30 142

0 1045

0 0

25 90 10 175 228

21 10 30 111 283

0 273

1 1 1 1 12 13

3 42

0 10

34 15 15 322 472

1 4 12

0 20

0 0

0 0

10 10 10 75 169

0 0

0 0

50 35 35 30 30 20 31 20 10 30 632 1241
0 0

0 0

0 10

0 12

0 0

0 5

0 22

0 0

594 0

0 0

0 0

0 94

0 0

0 0

2 7

0 10

60 100

0 0

20 10 70 107
1 12 38

3 1 1 17 3

2 22

1 33

0 109

15 15 217

0 0

10 0

10 0

0 8

0 0

11 20 4 10 55 11

0 0

0 918

10 20 20 10 80 903
0 0

31 829

10 10 60 790

0 83

0 100

20 10 10 110 590

4 12

1 1 5 14

0 17

0 10

20 10 40 40 30 10 80 40 495 283

0 2

1 4 20 9

0 98

6 23 18

0 20

1 2 4 21

0 10

1 1 1 1 19 11

0 0
0 150

0 0

0 0

0 17

0 0

14 6 23 13 15 169 855

10 30 90 210

0 0

5 5 110

0 10

10 2 14 532

20 0

0 127

15 15 15 10 110 357

0 100

0 150

30 2 32 167
1 2 1 1 1 11 45 22

0 0

0 0

0 446

1 1 3 12

10 442

0 100

3 15

0 1000

142 0

0 4

0 0

0 0

2 2 3 9 77

20 20 5 10 30 43 388 536
2 2 1 1 9 18

3 9 10

2 89

0 45

0 0

0 300

0 100

6 44

0 5

0 2

4 24

40 226

0 286

0 2

0 79

0 47

0 0
0 0

0 10

0 10

0 10

0 0

0 0

82 168

1 1 4 13

5 7

10 30 10 21 178 892

0 100

0 586

0 584

0 461

0 12

0 390

0 0

0 20

10 491
0 3

0 20

0 244

1 2 3 8 27

0 40

10 25 923

0 363

40 583

0 0

2 47

60 60 542

0 150

0 0

19240 0

0 276

0 72

0 8

12 2 14 551

1 1 1 3 99
2 8

0 5

10 10 2960

10 10 20 247

15 15 10 15 84 772

0 0

0 459

0 100

0 2970

0 200

305 0

0 47
1 25

50 50 450

1 3 12

10 20 10 20 100 450

0 0

1 9

0 15
10 1 22 300

30 288

10 9

0 0

0 10

2 2 1 7 17

10 160

0 0

4 11 7 1 45 68

24 0

1 1 2 2 3 2 34 22

20 5906

0 192

10 10 179

1 21 0

0 200

0 0

10 30 149
0 30

0 480

0 0

0 5

3 3 5

0 5

1 1 17

0 8

1 1 100

7 29

5 7 3 3 1 2 4 80 30

0 19

0 0

0 12

0 211

0 150

0 0
0 0

10 40 60 30 10 10 20 59 582 177

1 1 11 334

0 23

6 12 229

60 60 830

1 11 177

0 407

10 20 20 20 10 10 10 190 1

0 9

1 4

0 45

0 0

0 300

0 0
30 10 1 41 118

0 87

20 624

0 0

25 10 55 564

0 130

1 2 187

15 10 45 511

4 6

11 21 121

13 117 1

0 300

0 0

0 391

0 0

0 10

12 32 262

0 0

0 10
0 14

0 120

2 4 37

30 3 44 354

0 150

10 10 2

0 2

0 500

0 19

0 0

1 6

1 3 10

8 109

2 3 3 6 33 30

30 169 390

0 0

1 1 1 1 5 78
1 0

2 8

0 0

0 11

48 0

0 0

0 0

10 52 239

0 10

1 3 276

1 2 6 4

0 0
0 0

30 130

20 0

0 0

10 20 10 20 20 20 200 310

0 0

0 7

0 500

0 185

1 2 7

0 22

60 10 141 365

5 1 9 27

0 0

0 0

5 7 7 35 39

5 10 40 163

1 1 1 17 16
4 4 26 1051

10 417

1 2 2 3 2 28 66

0 0

34 20 14 10 22 10 32 296 613

5 222

0 4

0 0

0 0

0 18

0 600

1 4 551

10 1065

0 0
0 0

10 9 19 77

0 0
3 3 28

5 5 186

0 967

30 40 240

20 10 10 10 10 30 10 310 655

1 1 4 11

0 6

0 0

0 200

0 200

0 0

0 177

12 19 102

1 2 1 4 92

0 300
0 0

9 9 9 6 15 100 506

10 3 83 425

0 0

15 10 4 71 323

10 10 2 10 8 73 402

0 24

0 24

1 1 5 11

2 10

0 0

0 0

644 0

3 3 8

0 0

0 0
0 12

0 400

0 10

0 5

35 30 10 20 10 10 247 332

0 0

0 16

0 0

0 0

15 0

0 280

30 30 178

1 4 6 3 1 32 131

0 249

0 244

0 0

2 3 1 1 5 3 1 39 18

0 0

0 1097
0 10

0 19

0 20

0 0

0 0

0 10

1 1 3 9

0 0

0 200

0 100

10 10 1170

0 0

2 3

0 100

4 11
25 10 15 80 637

0 0

0 44

0 100

0 5

0 0

0 100

0 25

0 25

2 2 48

10 813

1 12 20

0 0

3 1 6 49

3 1 4 13

0 0
2 138

0 0

10 46 189

20 20 374

20 30 1944

0 328

10 10 50 166 523

0 0

0 1000

0 10

0 20

1 1 1 8 14

0 162