Laporan Bulanan Baru Pustu

LAPORAN PERSEDIAAN DAN BEBAN PERSEDIAAN OBAT DAN BAHAN MEDIS HABIS PAKAI
PUSTU KARANGSARI UPTD PUSKESMAS AIR NANINGAN DINAS KESEHATAN KABUPATEN TANGGAMUS
TAHUN 2020
Bulan : : FEBRUARI 2020
HARGA STOCK HARGA BEBAN

NO. NAMA OBAT SATUAN NILAI (Rp.) PENERIM PERSEDI PEMAKA SISA STOCK NILAI Ket
SATUAN (Rp.) AWAL SATUAN (Rp.) PERSEDIAAN
AAN AAN IAN
1 2 3 4 5 5b=(4x5) 6 7=(5+6) 8 9 10=(7-8) 11 =(10X 9) 12=(10X11) 14
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 2,750.00 - - - - 2,750.00 - - - -
2 Albendazol tab 400 mg Tab 392.00 38 14,896.00 38 392.00 38 14,896.00 566,048.00 -
3 Albendazole susp 200mg/5ml Botol@60ml 3,849.00 - - - 3,849.00 - - - -
4 Alopurinol tab 100 mg Tab 110.00 90 9,900.00 90 90 110.00 - - - -
5 Ambroksol Tab 30 mg Tab 123.00 410 50,430.00 410 40 123.00 370 45,510.00 16,838,700.00 -
6 Ambroksol Tab 30 mg Tab 202.84 - - - 202.84 - - - -
7 Ambroksol Syr 30mg/5 ml Btl 3,750.00 - - - 3,750.00 - - - -
8 Aminofilin injeksi 24 mg/ml Ampul 3,823.00 - - - 3,823.00 - - - -
9 Aminofilin injeksi 24 mg/ml Ampul 2,998.00 - - - 2,998.00 - - - -
10 Aminofilin tablet scored 200 mg Tab 91.00 293 26,663.00 293 91.00 293 26,663.00 7,812,259.00 -
11 Amlodipin tablet 10 mg Tab 148.00 - - - 148.00 - - - -
12 Amlodipin tablet 5 mg Tab 187.00 - - - 187.00 - - - -
13 Amoksisilin kap 250 mg Kaps 180.00 - - - 180.00 - - - -
14 Amoksisilin kap scored 500 mg Kaptab 232.00 440 102,080.00 440 240 232.00 200 46,400.00 9,280,000.00 -
15 Amoksisilin sirup kering forte 250 mg/5 ml Btl@ 60 ml 3,519.00 - - - 3,519.00 - - - -
16 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 1,881.00 - - - 1,881.00 - - - -
17 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 4,200.00 - - - 4,200.00 - - - ED 330
18 Ampisilin Tab 500 mg Tab 477.00 - - - 477.00 - - - -
19 Ampisillin syr kering 125 mg / 5 ml 8,155.00 - - - 8,155.00 - - - -
20 Antalgin Tab 500mg Tab 191.00 - - - 191.00 - - - -
21 Antalgin Inj 250mg/2ml Ampul 2,900.00 - - - 2,900.00 - - - -
22 Antasida DOEN I tablet kunyah, komb Tab 72.00 306 22,032.00 306 180 72.00 126 9,072.00 1,143,072.00 -
23 Antasida DOEN I tablet kunyah, komb Tab 62.00 - - - 62.00 - - - -
24 Antasida DOEN II suspensi, komb Btl @ 60 ml 2,160.00 6 12,960.00 10 16 9 2,160.00 7 15,120.00 105,840.00 -
25 Anti Bakteri DOEN salep kombi Tube @ 5g 2,924.00 - - - 2,924.00 - - - -
26 Anti Diare/ Diapecta tab Tab 145.00 - - - 145.00 - - - -
27 Anti Konstipasi / Laxadin Emulsion Btl 7,700.00 - - - 7,700.00 - - - -
28 Antihemoroid komb Supp 3,045.00 - - - 3,045.00 - - - -
29 Antifungi Doen Kombinasi Pot @ 30 g 4,323.00 12 51,876.00 12 4,323.00 12 51,876.00 622,512.00 -
30 Antimigren tab Komb Tab 135.00 - - - 135.00 - - - -
31 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 116.00 - - - 116.00 - - - -
32 As. Asetilsalisilat (asetosal) 80 mg/Miniaspi 80 Tab 92.00 - - - 92.00 - - - -
33 As. Asetilsalisilat (asetosal) tab 500 mg Tab 162.00 - - - 162.00 - - - -
34 Asam Askorbat (Vitamin C) tablet 250 mg Tab 125.00 - - - 125.00 - - - -
35 Asam Askorbat (Vitamin C) tablet 50 mg Tab 104.00 335 34,840.00 335 258 104.00 77 8,008.00 616,616.00 -
36 Asam Folat/Profolat 0,4 mg Tab 55.00 - - - 55.00 - - - -
37 Asam Mefenamat kaps 250 mg Kap 158.00 - - - 158.00 - - - -
38 Asam Mefenamat kaps 500 mg Kaptab 100.00 372 37,200.00 372 120 100.00 252 25,200.00 6,350,400.00 -
39 Asam pipemidat kap 400 mg/Urotractin tab Tab 1,815.00 - - - 1,815.00 - - - -
40 Asam traneksamat injeksi 50 mg/ml Ampul 1,956.00 - - - 1,956.00 - - - -
41 Asifit Tab Tab 1,818.00 - - - 1,818.00 - - - -
42 Asiklovir Krim Tube @ 5g 2,861.00 - - - 2,861.00 - - - ED 1325
43 Asiklovir Krim Tube @ 5g 3,138.00 - - - 3,138.00 - - - -
44 Asiklovir salep mata 3%/Temiral Eye Oint Tube 3,5 g 24,750.00 - - - 24,750.00 - - - -
45 Asiklovir tab 200 mg Tab 240.00 - - - 240.00 - - - -
46 Asiklovir tab 200 mg Tab 249.00 224 55,776.00 224 249.00 224 55,776.00 12,493,824.00 -
47 Asiklovir tab 400 mg Tab 226.08 - - - 226.08 - - - ED 300
48 Atapulgit tab 600 mg/Pularex Tab 140.00 943 132,020.00 943 20 140.00 923 129,220.00 119,270,060.00 -
49 Atropin Sulfat Inj 0,25mg/1ml Ampul 1,540.00 - - - 1,540.00 - - - -
50 Bedak salisil serbuk 2% Ktk @ 50 g 1,020.00 - - - 1,020.00 - - - -
51 Betahistine Maleat 6 mg Tablet 149.00 - - - 149.00 - - - -
52 Betametason krim 0,1% Tube 5 gr 1,349.00 2 2,698.00 2 1,349.00 2 2,698.00 5,396.00 -
53 Betason N Krim Tube 5 gr 9,182.00 - - - 9,182.00 - - - -
54 Bioneuron Inj Ampul 4,341.00 - - - 4,341.00 - - - -
55 Bisakodil suppositoria 10 mg/Stolax Supp Supp 6,045.00 - - - 6,045.00 - - - ED 6
56 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tab 650.00 - - - 650.00 - - - -
57 Chloramfecort H Cream Tube @ 5g 9,085.00 - - - 9,085.00 - - - -
58 Deksametason inj 5 mg/ml Ampul 1,540.00 - - - 1,540.00 - - - -
59 Deksametason tablet 0,5 mg Tab 41.00 - - - 41.00 - - - -
60 Dekstran 70-larutan infus 6% steril Botol 40,100.00 - - - 40,100.00 - - - -
61 Diazepam larutan rektal 5 mg/2,5 mL/StesolidTube @ 2,5 ml 12,090.00 - - - 12,090.00 - - - ED 58
62 Diazepam injeksi i.v./i.m 5 mg/ml Ampul 2,344.00 - - - 2,344.00 - - - ED 530
63 Diazepam tablet 2 mg Tab 27.00 - - - 27.00 - - - ED 58
64 Diazepam tablet 5 mg Tab 117.00 - - - 117.00 - - - -
65 Dietilkarbamazin tablet scored 100 mg Tab 119.00 - - - 119.00 - - - -
66 Difenhidramin inj 10 mg/ml (HCl) Ampul 1,062.00 143 151,866.00 143 11 1,062.00 132 140,184.00 18,504,288.00 Pecah 5
67 Difenhidramin inj 10 mg/ml (HCl) Ampul 1,176.00 - - - 1,176.00 - - - -
68 Digoksin tablet 0,25 mg Tab 91.00 - - - 91.00 - - - -
69 Digoksin tablet 0,25 mg Tab 105.00 - - - 105.00 - - - -
70 Diltiazem HCl tablet 30 mg Tab 134.00 - - - 134.00 - - - -
71 Doksisiklin Kap 100 mg Kapsul 268.00 - - - 268.00 - - - -
72 Domperidon susp/sirup 5 mg/5 ml btl @ 60 ml 3,000.00 - - - 3,000.00 - - - -
73 Domperidon tablet 10 mg Tab 95.00 200 19,000.00 200 6 95.00 194 18,430.00 3,575,420.00 -
74 Efedrin tab 25 mg Tab 176.00 - - - 176.00 - - - -
75 Ekstrak Beladona tab 10 mg Tab 38.00 - - - 38.00 - - - -
76 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 8,100.00 - - - 8,100.00 - - - ED 210
77 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 2,204.00 - - - 2,204.00 - - - -
78 Eritromisin kaps 250 mg Kapsul 557.00 - - - 557.00 - - - -
79 Eritromisin kaplet 500 mg Kaplet 730.00 - - - 730.00 - - - -
80 Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml 6,150.00 - - - 6,150.00 - - - -
81 Etakridina (Rivanol) Lar 0,1 % 300 ml Botol 3,289.00 1 3,289.00 1 3,289.00 1 3,289.00 3,289.00 -
82 Etanol 70% cairan btl @ 100 ml 2,500.00 - - - 2,500.00 - - - -
83 Etanol 70% cairan Btl @ 1000 ml 18,600.00 - - - 18,600.00 - - - -
84 Etanol 96% Btl @ 300 ml 25,000.00 - - - 25,000.00 - - - -
85 Febrinex Syr Btl @ 60 ml 15,830.00 - - - 15,830.00 - - - -
86 Fenoterol HBr aerosol 100mcg/dosis/Berotec
Vial
MDI 80,000.00 - - - 80,000.00 - - - -
87 Fenol gliserol TT 10 % Btl @ 5ml 2,500.00 7 17,500.00 7 1 2,500.00 6 15,000.00 90,000.00 -
88 Finasterid tab 5 mg/Prostacom Tab Tab 2,950.00 - - - 2,950.00 - - - -
89 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 634.00 2 1,268.00 2 2 634.00 - - - -
90 Fituno Tab Tab 3,014.00 - - - 3,014.00 - - - -
91 Flusinolon asetonid krim 0,025%/Synarcus Tube 5 g 2,400.00 - - - 2,400.00 - - - -
92 Furosemid inj 10 mg/ml Ampul 1,829.00 - - - 1,829.00 - - - -
93 Furosemid tablet 40 mg Tab 80.00 200 16,000.00 200 400 145 80.00 255 20,400.00 5,202,000.00 -
94 Gentamisin injeksi 40 mg/ ml Ampul 3,386.00 - - - 3,386.00 - - - -
95 Gentamisin salep Kulit Tube @ 5 g 1,350.00 - - - 1,350.00 - - - ED 634
96 Gentamisin salep mata 0,3%/Genoint SM Tube @ 3,5 gr 2,960.00 10 29,600.00 10 20 4 2,960.00 16 47,360.00 757,760.00 -
97 Gentamisin tetes mata 0,3% Btl @ 5 ml 4,170.00 - - - 4,170.00 - - - -
98 Gentian Violet 1% Btl 900.00 - - - 900.00 - - - -
99 Glibenklamid tablet 5 mg Tab 56.00 - - 200 200 56.00 200 11,200.00 2,240,000.00 -
100 Gliklazid tab 80 mg/Glicab Tab Tab 248.00 - - - 248.00 - - - -
101 Glimepiride tablet 2 mg Tab 231.00 - - - 231.00 - - - -
102 Glimepiride tablet 3 mg Tab 289.00 - - - 289.00 - - - -
103 Gliseril Guayakolat tab 100mg Tab 114.00 - - - 114.00 - - - -
104 Glukosa larutan infus 10 % steril Btl @ 500 ml 7,500.00 - - - 7,500.00 - - - -
105 Glukosa larutan infus 5 % steril Btl @ 500 ml 6,900.00 - - - 6,900.00 - - - -
106 Glukosa Larutan Infus 40 % btl @ 100 ml 1,960.00 - - - 1,960.00 - - - -
107 Griseofulvin tablet 125 mg Tab 249.00 - - - 249.00 - - - ED 4700
108 Hidroklorotiazid (HCt ) Tab 25 mg Tab 149.00 208 30,992.00 208 5 149.00 203 30,247.00 6,140,141.00 -
109 Hidrokortison krim 2,5 % Tube 5 gr 2,640.00 - - - 2,640.00 - - - -
110 Ibuprofen sirup 100 mg/5 ml btl @ 60 ml 2,475.00 22 54,450.00 20 42 7 2,475.00 35 86,625.00 3,031,875.00 -
111 Ibuprofen tablet 200 mg Tab 102.00 - - - 102.00 - - - -
112 Ibuprofen tablet 400 mg Tab 111.00 - - - 111.00 - - - -
113 Ichtyol Salep Pot @ 30 gram 4,420.00 - - - 4,420.00 - - - -
114 Isosorbid Dinitrat tablet sublingual 5 mg Tab 88.00 - - - 88.00 - - - ED 900
115 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 198.00 - - - 198.00 - - - -
116 Kalium Diklofenak tab 25 mg Tab 332.00 - - - 332.00 - - - -
117 Kalium Diklofenak tab 50 mg Tab 425.00 - - - 425.00 - - - -
118 Kalsium Laktat (Kalk) tab 500 mg Tab 56.00 - - 200 200 56.00 200 11,200.00 2,240,000.00 BPOM 9200
119 Kaptopril tablet scored 25 mg Tab 80.00 - - - 80.00 - - - -
120 Kaptopril tablet scored12,5 mg Tab 62.00 - - - 62.00 - - - -
121 Ketokonazol krim 2% Tube @ 15 g 2,599.00 - - - 2,599.00 - - - -
122 Ketokonazol tablet 200 mg Tab 280.00 30 8,400.00 30 10 280.00 20 5,600.00 112,000.00 -
123 Ketorolac injeksi 30 mg/ml Ampul 1,240.00 - - - 1,240.00 - - - -
124 Klindamisin kapsul/kaplet 150 mg Kapsul 382.00 - - - 382.00 - - - ED 150
125 Klindamisin kapsul/kaplet 300 mg Kapsul 553.00 - - - 553.00 - - - -
126 Klonidin tablet 0,15 mg Tab 170.00 - - - 170.00 - - - -
127 Kloramfenikol kap 250 mg Kapsul 500.00 - - - 500.00 - - - -
128 Kloramfenikol salep kulit 2%/Bufacetin Tube @ 15g 3,008.00 - - - 3,008.00 - - - -
129 Kloramfenikol salep mata 1 % Tube 5 gr 1,810.00 26 47,060.00 26 3 1,810.00 23 41,630.00 957,490.00 -
130 Kloramfenikol inj 1000 mg/Chloramex inj vial 7,954.00 - - - 7,954.00 - - - ED 595
131 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 60 ml 4,700.00 - - - 4,700.00 - - - -
132 Kloramfenikol Tetes Mata/Decacetin OTM Btl @ 5 ml 3,250.00 - - - 3,250.00 - - - -
133 Kloramfenikol Tetes Telinga Btl @ 5 ml 5,940.00 - - - 5,940.00 - - - -
134 Klorfeniramina Maleat (CTM) tab 4 mg Tab 42.00 - - 500 500 282 42.00 218 9,156.00 1,996,008.00 -
135 Kodein tablet 10 mg Tab 500.00 - - - 500.00 - - - -
136 Komb Amoks + As. Klavulanat/Co-Amoxiclav Tab 4,550.00 - - - 4,550.00 - - - -
137 Kombinasi tablet salut : Besi (II) sulfat Tab -
tab+as.folat/Tab. Tambah Darah 352.00 1,060 373,120.00 1,060 110 352.00 950 334,400.00 317,680,000.00
138 Kombinasi tetes mata /Cendo Lyteers Btl @ 15 ml 19,125.00 - - - 19,125.00 - - - -
139 Kotrimoksazol DOEN I (dewasa) komb Tab 129.00 4,310 555,990.00 4,310 50 129.00 4,260 549,540.00 2,341,040,400.00 -
140 Kotrimoksazol Pediatrik Tab Tab 75.00 - - - 75.00 - - - -
141 Kotrimoksazol Suspensi komb Btl @ 60 ml 2,286.00 10 22,860.00 10 8 2,286.00 2 4,572.00 9,144.00 -
142 Lanzoprazol kapsul/kaplet 30 mg Kapsul 473.00 - - - 473.00 - - - -
143 Levertan Pot 4,780.00 - - - 4,780.00 - - - -
144 Lidokain injeksi 2% (HCl) Ampul 1,295.00 5 6,475.00 5 - 1,295.00 5 6,475.00 32,375.00 -
145 Lidokain injeksi 2% (HCl) Ampul 1,937.00 - - - 1,937.00 - - - ED 90
146 Lidokain jeli 2%/Xylocaine Jelly 2% syringe @ 10 g 40,000.00 3 120,000.00 3 3 40,000.00 - - - ex
147 Lisol Btl @ 300 ml 21,700.00 1 21,700.00 1 21,700.00 1 21,700.00 21,700.00 -
148 Lisol Btl @ 300 ml 45,096.70 - - - 45,096.70 - - - -
149 Loperamid tablet 2 mg Tab 85.00 - - - 85.00 - - - -
150 Loratadin tablet 10 mg Tab 125.00 - - - 125.00 - - - -
151 Mebendazol tablet 500 mg/Vermox tab Tab 7,140.00 - - - 7,140.00 - - - -
152 Mebendazol Sirup 50 mg/ml btl 3,534.00 - - - 3,534.00 - - - -
153 Meloxicam 7,5 mg tab 297.00 - - - 297.00 - - - -
154 Meloxicam 15 mg tab 1,199.00 - - - 1,199.00 - - - -
155 Metformin HCl tablet 500 mg Tab 94.00 - - - 94.00 - - - -
156 Metilergometrin Maleat tab salut 0,125 mg Tab 153.00 - - - 153.00 - - - ED 700
157 Metilergometrin Maleat inj 0,200 mg-1 ml Ampul 2,849.00 - - - 2,849.00 - - - -
158 Metilprednisolon tablet 16 mg Tab 1,076.00 - - - 1,076.00 - - - ED 150
159 Metilprednisolon tablet 4 mg Tab 194.00 - - - 194.00 - - - -
160 Metilprednisolon tablet 8 mg Tab 295.00 - - - 295.00 - - - -
161 Metoklopramide injeksi 5 mg/ ml Ampul 3,395.00 - - - 3,395.00 - - - -
162 Metoklopramide sirup 5 mg/ 5 ml/Lexapram Btl @ 60 ML 2,600.00 - - - 2,600.00 - - - -
163 Metoklopramide tablet 10 mg Tab 87.00 - - - 87.00 - - - -
164 Metronidazol infus 500 mg/100 ml Btl @ 100 ml 9,950.00 - - - 9,950.00 - - - -
165 Metronidazol ovula 500 mg/Vagizol Tab Vag 3,850.00 - - - 3,850.00 - - - -
166 Metronidazol sirup 125 mg/5 Ml Btl @ 60ml 3,800.00 - - - 3,800.00 - - - -
167 Metronidazol supositoria 500 mg/Flagyl Supp 3,220.00 - - - 3,220.00 - - - -
168 Metronidazol tablet 250 mg 90.00 - - - 90.00 - - - -
169 Metronidazol tablet 500 mg Tab 133.00 - - - 133.00 - - - -
170 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,000.00 7 21,000.00 7 3,000.00 7 21,000.00 147,000.00 -
171 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,250.00 - - - 3,250.00 - - - -
172 Miraclav tab Tab 13,200.00 - - - 13,200.00 - - - -
173 Miraneuron kap Kap 598.00 - - - 598.00 - - - -
174 Multivitamin Kom Dewasa/Ramaton Tab Tab 698.00 - - - 698.00 - - - -
175 Multivitamin Anak+DHA Syr/Bionick DHA MiBtl @ 60 ml 16,000.00 - - - 16,000.00 - - - -
176 Multivitamin Anak Syr/Bionick Syr Btl @ 60 ml 18,700.00 - - - 18,700.00 - - - -
177 Multivitamin Bayi Drop/Bionick Drop Btl @ 30 ml 22,500.00 - - - 22,500.00 - - - -
178 Nacl 0,9% Btl 500 ml 6,410.00 4 25,640.00 4 1 6,410.00 3 19,230.00 57,690.00 -
179 Natrium Bikarbonat Tab 500mg Tab 24.00 - - - 24.00 - - - Rusak 5000
180 Natrium Diklofenak tablet 50 mg Tab 122.00 150 18,300.00 200 350 198 122.00 152 18,544.00 2,818,688.00 -
181 Natrium Diklofenak tablet 25 mg Tab 132.00 32 4,224.00 32 32 132.00 - - - -
182 Natrium Tiosulfat Inj 25%-10 ml Ampul 3,000.00 - - - 3,000.00 - - - ED 12
183 Neurovit E tab Tab 818.00 - - - 818.00 - - - -
184 Nifedipin tab 10 mg Tab 110.00 - - - 110.00 - - - -
185 Nifedipin tab 10 mg Tab 108.00 - - - 108.00 - - - -
186 Nistatin tablet salut 500.000 IU/ g Tab 640.00 - - - 640.00 - - - -
187 Nistatin tablet salut 500.000 IU/ g Tab 765.00 - - - 765.00 - - - -
188 Nistatin vaginal tablet 100.000 IU/ g Tab Vag 523.00 - - - 523.00 - - - -
189 Noza tab Tab 399.00 - - - 399.00 - - - -
190 Obat Batuk Hitam (OBH) Syrup Btl @ 100 ml 6,600.00 - - - 6,600.00 - - - -
191 Obat Batuk pilek Komb (Hustab tab) Tab 284.00 - - - 284.00 - - - -
192 Obat Flu Anak komb (Flutamol Syr) Btl @ 100 ml 13,500.00 - - - 13,500.00 - - - -
193 Ofloxacin tablet 200 mg Tab 400.00 - - - 400.00 - - - -
194 Ofloxacin tablet 400 mg Tab 650.00 - - - 650.00 - - - -
195 Ofloksasin tetes telinga 3%/Tarivid Otic Solut Botol 45,089.00 - - - 45,089.00 - - - -
196 Oksimetazolin tts hidung 0,025%/Ilaidin Drop botol @ 10 ml 27,550.00 1 27,550.00 1 27,550.00 1 27,550.00 27,550.00 -
197 Oksimetazolin tts hidung 0,025%/Ilaidin Drop botol @ 10 ml 30,000.00 - - - 30,000.00 - - - -
198 Oksitetrasiklin HCl inj 50 mg/ ml Vial 3,100.00 - - - 3,100.00 - - - ED 280
199 Oksitetrasiklin HCl Salep 3 % Tube 2,514.00 - - - 2,514.00 - - - -
200 Oksitetrasiklin HCl Salep 1 % Tube 1,824.00 - - - 1,824.00 - - - ED 1204
201 Omeprazol injeksi 40 mg/ 10 ml Vial 16,997.00 - - - 16,997.00 - - - -
202 Omeprazol kaps 20 mg Kaps 211.00 - - - 211.00 - - - -
203 Omeprazol kaps 20 mg Kaps 140.00 - - - 140.00 - - - -
204 ondansetron inj 4 mg/ 2 mL Ampul 2,400.00 - - - 2,400.00 - - - -
206 Ondansetron tab 4 mg Tab 716.00 - - - 716.00 - - - -
207 Ondansetron tablet 8 mg Tab 1,189.00 - - - 1,189.00 - - - -
208 Papaverin Tab Tab 112.00 - - - 112.00 - - - -
209 Papaverin Inj Ampul 1,150.00 - - - 1,150.00 - - - -
210 Parasetamol drop ( Generik) Botol @ 15 Ml 5,200.00 - - - 5,200.00 - - - -
211 Parasetamol sirup 120 mg / 5 ml Btl @ 60 ml 1,438.00 - - - - - 1,438.00 - - - -
212 Parasetamol tablet 500 mg Tab 79.00 - - 500 500 480 79.00 20 1,580.00 31,600.00 ED 280
213 Parasetamol Drop /Fasidol Drop Btl @ 15 ml 6,450.00 - - - 6,450.00 - - - ED 199
214 Perak sulfadiazin krim 1%/Burnazine cr tube @ 35 gram 20,700.00 - - - 20,700.00 - - - -
215 Permetrin krim 5%/Scabimite Cream Tube @ 10 g 10,430.00 - - - 10,430.00 - - - -
217 Petidin inj 50 mg/ml (HCl) Ampul 14,500.00 - - - 14,500.00 - - - -
218 Pirantel suspensi 125 mg/5 ml Btl @ 60 ml 8,360.00 - - - 8,360.00 - - - -
219 Pirantel tablet score (base) 125 mg Tab 277.00 196 54,292.00 196 277.00 196 54,292.00 10,641,232.00 ED 2800
220 Piridoksin (vitamin B6) 10 mg Tab 27.00 459 12,393.00 - 459 459 27.00 - - - ex Feb 20
221 Piridoksin (vitamin B6) 10 mg Tab 118.00 - - - 118.00 - - - -
222 Piroxicam tab 10mg Tab 86.00 - - - - 86.00 - - - -
223 Piroxicam tab 20mg Tab 105.00 150 15,750.00 150 150 105.00 - - - -
224 Povidon Iodida larutan 10% 1000 ml Btl @ 1000 ml 87,604.00 1 87,604.00 1 87,604.00 1 87,604.00 87,604.00 -
225 Povidon Iodida larutan 10% 30 ml Bt l@ 30 ml 3,182.30 - - - 3,182.30 - - - -
226 Povidon Iodida larutan 10% 300 ml Btl @ 300 ml 14,203.00 - - - 14,203.00 - - - -
227 Povidon Iodida larutan 10% 60 ml btl 60 ml 3,500.00 - - - 3,500.00 - - - -
228 Prednison tablet 5 mg Tab 76.00 - - - 76.00 - - - -
229 Progastric tab Tab 303.00 - - - 303.00 - - - -
230 Propanolol tablet 10 mg ( HCl ) Tab 65.00 - - - 65.00 - - - -
231 Propanolol tablet 10 mg ( HCl ) Tab 52.00 - - - 52.00 - - - -
232 Propranolol tablet 40 mg (HCl) Tab 107.00 - - - 107.00 - - - -
233 Propiltiourasil tab 100 mg Tab 264.00 - - - 264.00 - - - -
234 Ranitidin injeksi 25 mg/ml Ampul 1,140.00 - - - 1,140.00 - - - -
235 Ranitidin tablet 150 mg Tab 98.00 - - - 98.00 - - - -
236 Ringer Laktat larutan infus Btl @ 500 ml 7,150.00 - - - 7,150.00 - - - -
237 Risperidon tablet 2 mg Tab 347.00 - - - 347.00 - - - -
238 Salbutamol tab 2mg Tab 66.00 - - - 66.00 - - - -
239 Salbutamol Tab 4 mg Tab 83.00 70 5,810.00 70 58 83.00 12 996.00 11,952.00 -
240 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl 16,445.00 - - - 16,445.00 - - - ED 1285
241 Salbutamol inh 100 mcg/dosis/Ventolin Inhale Btl 63,750.00 - - - 63,750.00 - - - -
242 Salbutamol Syr Btl 4,750.00 - - - 4,750.00 - - - -
243 Salep 2-4 , Komb Pot @ 30 gram 2,000.00 15 30,000.00 15 2 2,000.00 13 26,000.00 338,000.00 -
244 Salep 2-4 , Komb Pot @ 30 gram 2,527.00 - - - 2,527.00 - - - -
245 Sefadroksil sirup kering 125 mg/5ml Btl @ 60 ml 3,984.00 - - - 3,984.00 - - - -
246 Sefadroksil kapsul 500 mg Kapsl 516.00 - - - 516.00 - - - -
247 Sefaleksin kapsul 500 mg Kapsul 1,000.00 - - - 1,000.00 - - - -
248 Sefiksim kapsul 100 mg Kapsul 859.00 - - - 859.00 - - - -
249 Sefiksim sirup kering 100 mg/ 5 ml Btl @ 30 ml 7,490.00 - - - 7,490.00 - - - -
250 Sefotaksim injeksi 1 g Vial 6,325.00 - - - 6,325.00 - - - -
251 Seftriakson serbuk injeksi 1 g/vial Vial 3,300.00 - - - 3,300.00 - - - -
252 Serum ABU Polivalen inj 5 ml Vial 589,900.00 - - - 589,900.00 - - - -
253 Serum ABU Polivalen inj 5 ml Vial 473,000.00 - - - 473,000.00 - - - -
254 Serum ATS 1500 IU/ml Ampul 157,000.00 - - - 157,000.00 - - - -
255 Serum ATS 1500 IU/ml Ampul 126,500.00 - - - 126,500.00 - - - -
256 Serum ATS 20.000 mcg.ml Vial 523,300.00 - - - 523,300.00 - - - -
257 Setirizin sirup 5 mg/5 ml Btl @ 60 ml 7,999.00 2 15,998.00 2 1 7,999.00 1 7,999.00 7,999.00 -
258 Setirizin tablet 10 mg Kapsul 96.00 - - - 96.00 - - - -
259 Sianokobalamin (vitamin B12) inj 500 mcg Ampul 1,077.00 - - - 1,077.00 - - - -
260 Sianokobalamin (vitamin B12) inj 500 mcg Ampul 1,087.00 - - - - 1,087.00 - - - -
261 Sianokobalamin (vitamin B12) tab 50 mcg Tab 57.00 500 28,500.00 200 700 100 57.00 600 34,200.00 20,520,000.00 -
262 Simetidine Tab 10 mg Tab 160.00 - - - 160.00 - - - -
263 Simvastatin scored tablet 10 mg Kap 131.00 265 34,715.00 265 131.00 265 34,715.00 9,199,475.00 -
264 Simvastatin tab 20 mg Tab 229.00 100 22,900.00 100 100 229.00 - - - ex Feb 20
265 Siprofloksasin tablet 500 mg (sebagai HCl) Tab 240.00 1,505 361,200.00 300 1,805 40 240.00 1,765 423,600.00 747,654,000.00 -
266 Spiramisin tablet 500 mg Tab 1,499.00 - - - 1,499.00 - - - ED 400
267 Spironolakton tablet 100 mg Tab 900.00 - - - 900.00 - - - -
268 Spironolakton tablet 25 mg Tab 294.00 - - - 294.00 - - - -
269 Stimuno Syr Btl @ 60 ml 25,420.00 - - - 25,420.00 - - - ED 148
270 Stimuno Tab Tab 2,430.00 - - - 2,430.00 - - - -
271 Sukralfat susp 500 mg/5 mL/Ulsafate Btl @ 100 ml 13,425.00 - - - 13,425.00 - - - -
272 Sukralfat tab 500 mg/Ulsidex Tab 296.00 - - - 296.00 - - - -
273 Tab Tambah darah/Hemafort Tab 834.90 - - - 834.90 - - - -
274 Terbutalin tablet 2,5 mg/Molasma Tab 99.00 - - - 99.00 - - - -
275 Tetrasiklin kapsul 250 mg Kapsul 149.00 - - - 149.00 - - - -
276 Tetrasiklin kapsul 250 mg Kapsul 168.00 - - - 168.00 - - - -
277 Tetrasiklin Kapsul 500 mg Kapsul 300.00 - - - 300.00 - - - -
278 Tetrasiklin Kapsul 500 mg Kapsul 310.00 - - - 310.00 - - - -
279 Thiamin HCl inj 100mg/ml Ampul 690.00 - - - 690.00 - - - -
280 Thiamin Mononitrat Tab 50 mg Tab 82.00 440 36,080.00 300 740 410 82.00 330 27,060.00 8,929,800.00 -
281 Thiamfenikol Kap 500 mg Kapsul 900.00 - - - 900.00 - - - -
282 Tramadol injeksi 50 mg/ml Ampul 1,800.00 - - - 1,800.00 - - - -
283 Tramadol Tab 50 mg Tab 387.00 - - - 387.00 - - - -
284 Urea krim 10%/Soft U Derm tube 6,809.00 - - - 6,809.00 - - - -
285 Videne Povidone Iodine 500 ml Btl 27,500.00 - - - 27,500.00 - - - -
286 Vitamin Tab/Becefort Tab Tab 1,545.43 - - - 1,545.43 - - - -
287 Vitamin Syr/Becefort Syr Btl 17,365.00 - - - 17,365.00 - - - -
288 Vitamin B Kompleks tablet Tab 115.00 - - 300 300 115.00 300 34,500.00 10,350,000.00 -
OBAT ASKES - - - - - -
289 Broadamox 500 mg Tab 1,100.00 - - - 1,100.00 - - - -
290 Cargesik tab 500 mg Tab 448.00 - - - 448.00 - - - ED 1700
291 Farmoten tab 12,5 mg Tab 270.00 - - - 270.00 - - - -
292 Hufadin tab Tab 565.00 - - - 565.00 - - - -
293 Icthyol Zalf Pot 5,455.00 - - - 5,455.00 - - - -
294 Levertraan Zalf Pot 4,091.00 - - - 4,091.00 - - - -
295 Mirasic tab 500 mg Tab 248.00 - - - 248.00 - - - -
296 Miraneuro Tab tab 891.00 - - - 891.00 - - - -
OBAT PROGRAM GIGI -
297 Air Raksa DentalUse Botol 103,536.00 - - - 103,536.00 - - - -
298 Devitalisasi Pasta (Non Arsen) Pot 382,000.00 - - - 382,000.00 - - - -
299 Etil Klorida Semprot Botol 107,000.00 - - - 107,000.00 - - - -
300 Eugenol cairan Botol 18,100.00 - - - 18,100.00 - - - -
301 Glass Ionomer Cement (gc IX) Btl 858,000.00 - - - 858,000.00 - - - -
302 Kalsium hidroksida Pasta Set 23,000.00 - - - 23,000.00 - - - -
303 Monoklor Mentol Cairan/CHKM Btl 55,000.00 - - - 55,000.00 - - - -
304 Mummfying Pasta Btl 172,000.00 - - - 172,000.00 - - - -
305 Semen Seng Fosfat Serbuk Btl 93,000.00 - - - 93,000.00 - - - -
306 Silver Amalgam Btl 227,311.00 - - - 227,311.00 - - - -
307 Spon Gelatin Cubicles 1x1x1 cm Buah 9,471.00 - - - 9,471.00 - - - -
308 Temporary Stopp. F. srb & Cair Btl 34,000.00 - - - 34,000.00 - - - -
309 Trikresol Formalin Btl 40,330.00 - - - 40,330.00 - - - -
310 GC Fuji Varnish (Butter Coconut/Varnish) Btl 230,000.00 - - - 230,000.00 - - - -
311 Articulation Paper Red GC Kotak 145,000.00 - - - 145,000.00 - - - -
OBAT PROGRAM JIWA -
312 Amitriptilin tablet salut 25 mg (HCl) Tab 112.00 - - - 112.00 - - - -
313 Amitriptilin tablet salut 25 mg (HCl) Tab 143.00 - - - 143.00 - - - -
314 Fenitoin injeksi 50 mg/ml Ampul 20,250.00 - - - 20,250.00 - - - -
315 Fenitoin kap 100 mg Kaplet 152.00 - - - 152.00 - - -
316 Fenobarbital tab 100 mg Tab 220.00 - - - 220.00 - - - -
317 Fenobarbital tab 30 mg Tab 64.00 - - - 64.00 - - - -
318 Haloperidol tablet 0,5 mg Tab 56.00 - - - 56.00 - - - -
319 Haloperidol tablet 1,5 mg Tab 61.00 - - - 61.00 - - - -
320 Haloperidol tablet 5 mg Tab 96.00 - - - 96.00 - - - -
321 Haloperidol tablet 5 mg Tab 75.00 - - - 75.00 - - - ED 1.700
322 Karbamazepin sir 100 mg/5 ml/Tegretol Syr Btl @ 120 ml 44,770.00 - - - 44,770.00 - - - -
323 Karbamazepin tablet 200 mg Tab 228.00 - - - 228.00 - - - -
324 Klorpromazin tablet salut 100 mg (HCl) Tab 149.00 - - - 149.00 - - - -
325 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1,021.00 - - - 1,021.00 - - - ED 30
326 Klorpromazin tablet salut 25 mg (HCl) Tab 68.00 - - - 68.00 - - - -
327 Trifluoferazin tab 5 mg Tab 274.00 - - - 274.00 - - - -
328 Triheksifenidil HCl tab 2 mg Tab 80.00 - - - 80.00 - - - -
329 neo mercazole/ carbamazole Tab - - - - - - - - 1
OBAT PROGRAM FARMASI -
329 Alu +Mortir 10 Cm Buah 65,738.00 - - - 65,738.00 - - - -
330 Boraks Test Set 1,642,000.00 - - - 1,642,000.00 - - - ED 1
331 Boraks Test Set 1,182,000.00 - - - 1,182,000.00 - - - ED 1
332 Formalin Test Set 1,641,500.00 - - - 1,641,500.00 - - - ED 3
333 Formalin Test Set 1,264,850.00 - - - 1,264,850.00 - - - -
334 Rhodamin Test Set 1,642,000.00 - - - 1,642,000.00 - - - -
335 Rhodamin Test Set 1,402,250.00 - - - 1,402,250.00 - - - ED 2
336 Methanyl Yellow Test Unit 1,248,400.00 - - - 1,248,400.00 - - - -
OBAT PROGRAM MALARIA -
337 ACT Tab Blister 1,375.00 - - - 1,375.00 - - - ED 302
338 Antimalaria DOEN kombinasi /suldox tab Tab 478.00 - - - 478.00 - - - ED 400
339 Artemether injeksi 80 mg/ml/Artem Ampul 25,490.00 - - - 25,490.00 - - - ED 302
340 Arterakin/Darplex/DHP Tab Tab 3,567.00 - - - 3,567.00 - - - ED 666
341 Artesunate inj 60 mg/ml/Artesunate Vial 39,000.00 - - - 39,000.00 - - - ED 192
342 Fokus Malaria PF&PV Casette Unit 53,110.00 - - - 53,110.00 - - - -
343 Kuinin (Kina) tablet 200 mg Tab 670.00 - - - 670.00 - - - -
344 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Ampul 6,200.00 - - - 6,200.00 - - - -
345 Kuinin tablet 222 mg (H2SO4.7H2O) Tab 400.00 - - - 400.00 - - - ED 360
346 Larvasida Malaria Galon 11,200,000.00 - - - 11,200,000.00 - - - -
347 Primakuin tablet 15 mg Tab 224.00 - - - 224.00 - - - -
348 RDT Malaria Test 5,271.00 - - - 5,271.00 - - - ED 40
349 RDT Malaria Piece 12,950.30 - - - 12,950.30 - - - -
OBAT PROGRAM DIARE -
350 Garam Oralit I serbuk, kombi Sacchet 264.00 94 24,816.00 94 12 264.00 82 21,648.00 1,775,136.00 -
351 Zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml 12,840.00 - - - 12,840.00 - - - ED 32
352 Zinc sir 10 mg/mL/Zinc Kid Btl @ 100 ml 14,980.00 50 749,000.00 50 - 14,980.00 50 749,000.00 37,450,000.00 - Ex
353 Zinc sir 20 mg/5 ml Btl @ 60 ml 4,789.00 - - - 4,789.00 - - - -
354 Zinc tablet dispersible20 mg Tab 474.00 - - - 474.00 - - - ED 1100
OBAT PROGRAM TB - - - - - -
355 Isoniazid 100 mg Tab 71.00 - - - 71.00 - - - -
356 Obat Antituberkulosis FDC Kategori 1 Paket 374,384.00 - - - 374,384.00 - - - ED 16
357 Obat Antituberkulosis FDC Kategori 2 Paket 1,247,980.00 - - - 1,247,980.00 - - - -
358 Obat Antituberkulosis Kategori 3 Paket 154,000.00 - - - 154,000.00 - - - -
359 Obat Antituberkulosis FDC Kategori Anak Paket 223,585.00 - - - 223,585.00 - - - ED 1
360 Obat Antituberkulosis FDC Sisipan Paket 160,000.00 - - - 160,000.00 - - - -
361 Obat Antituberkulosis Kategori 1 dewasa com Paket 288,199.00 - - - 288,199.00 - - - -
362 Obat Antituberkulosis Kategori anak combipac Paket 171,195.00 - - - 171,195.00 - - - -
363 Pyrazinamid Tab 500 mg Tab 234.00 - - - 234.00 - - - ED 300
364 Rifampisin tab 300 mg Kapsul 376.00 - - - 376.00 - - - ED 200
365 Rifampisin tab 600 mg Kaplet 830.00 - - - 830.00 - - - ED300
OBAT PROGRAM P2 -
366 Insektisida Cynof Botol@1ltr 198,000.00 - - - 198,000.00 - - - -
367 Insektisida Zetta 15 UL Liter 74,470.00 - - - 74,470.00 - - - -
368 Insektisida DBD/Mustang TC 95% Fogging Galon @ 5 Liter 968,000.00 - - - 968,000.00 - - - -
369 Larvasida DBD Jentika Botol @ 1 Kg Botol@1kg 115,500.00 - - - 115,500.00 - - - -
370 Larvasida DBD Bentuk Cair/ Bactivec SL @ 30 ml 537.13 - - - 537.13 - - - -
371 Larvasida Malaria/Bactivel SL @ 20 Liter Galon 14,464,450.00 - - - 14,464,450.00 - - - -
372 MDT Combi Adult Paket 30,595.00 - - - 30,595.00 - - - -
373 Oseltamivir tab Tab 13,000.00 - - - 13,000.00 - - - ED 700
374 Obat Fogging/Alfa Cypermetrin 30 EC @ 5 lite Liter 480,150.00 - - - 480,150.00 - - - -
375 Vaksin rabies/Rabipur Vial 78,500.00 - - - 78,500.00 - - - -
OBAT PROGRAM KESLING -
376 Abate Kg 68,500.00 - - - 68,500.00 - - - -
377 Abate Galon @ 25 Kg 2,499,250.00 - - - 2,499,250.00 - - - -
378 Kaporit Bubuk 60% Galon @ 15Kg 493,050.00 - - - 493,050.00 - - - -
OBAT PROGRAM GIZI -
379 Iodin Test Btl 19,250.00 - - - 19,250.00 - - - -
380 Mineral Mix Sacchet 2,805.00 - - - 2,805.00 - - - ED 858
381 Retinol (Vitamin A) 100.000 IU Kapsul 260.00 - - - 260.00 - - - -
382 Retinol (Vitamin A) 100.000 IU Kapsul 284.00 - - - 284.00 - - - ED 2880
383 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 460.00 - - - 460.00 - - - -
384 Taburia Sacchet 457.00 - - - 457.00 - - - ED 2880
OBAT PROGRAM KESEHATAN IBU DAN ANAK - - - - - -
385 Alat HB Hemoglobin Starter Kit Mission Unit 762,000.00 - - - 762,000.00 - - - -
386 Benzatin Benzil Penisilin 1,2 juta IU/ vial Vial 8,935.00 - - - 8,935.00 - - - ED 140
387 Benzatin Benzil Penisilin 2,4 juta IU/vial Vial 12,185.00 - - - 12,185.00 - - - -
388 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul 1,566.00 2 3,132.00 2 2 1,566.00 - - - ED 3870
389 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul 3,550.00 - - - 3,550.00 - - - -
390 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 1,800.00 - - - 1,800.00 - - - -
391 HB Sahli Buah 221,968.00 - - - 221,968.00 - - - -
392 Hb Hemoglobin Strip Test Kotak 416,666.67 - - F #VALUE! 416,666.67 #VALUE! #VALUE! #VALUE! ED 65
393 Implant Paket - - - - - - - - -
394 IUD Pcs - - - - - - - - -
395 Kaporit Tablet Kg 35,990.16 - - - 35,990.16 - - - -
396 Kalsium Glukonat inj i.v 10% (100 mg/ml) Ampul 7,800.00 - - - 7,800.00 - - - -
397 Kondom Kotak - - - - - - - - -
398 Levotiroksin tab 100 mcg/Euthyrox 100 Tab 1,694.00 - - - 1,694.00 - - - ED 100
399 Magnesium sulfat injeksi 20% Vial 5,500.00 - - - 5,500.00 - - - ED 241
400 Magnesium sulfat injeksi 20% Vial 3,200.00 - - - 3,200.00 - - - ED 60
401 Magnesium sulfat injeksi 40% Vial 2,629.00 - - - 2,629.00 - - - ED 635+647
402 Magnesium sulfat injeksi 40% Vial 3,650.00 - - - 3,650.00 - - - Rusak 128
403 Oksitosin injeksi 10 IU/ml Ampul 1,900.00 - - - 1,900.00 - - - -
404 Paket KIA Paket - - - - - - - - -
405 Pita Lila Buah 2,145.00 - - - 2,145.00 - - - -
406 Prokain Benzilpenisilin serbuk inj 3 juta IU/via Vial 10,780.00 - - - 10,780.00 - - - ED 360+400
407 Suntik KB 3 Bln @ 1 ml Vial - - - - - - - - -
408 Suntik KB 3 Bln @ 3 ml Vial - - - - - - - - -
409 Test Kehamilan Strip 2,093.29 - - - 2,093.29 - - - -
410 Urin strip(tes protein &gula) Strip 1,122.00 - - - 1,122.00 - - - -
411 Underpad Pcs 8,086.00 - - - 8,086.00 - - - -
BAHAN MEDIS HABIS PAKAI - - - - - -
412 Alat Suntik 0,05 ml Buah 2,134.00 - - - 2,134.00 - - - -
416 Alat Suntik 1 ml. Buah 787.00 - - - 787.00 - - - -
417 Alat Suntik 2,5 ml. Buah 650.00 194 126,100.00 194 18 650.00 176 114,400.00 20,134,400.00 ED 6150
418 Alat Suntik 2,5 ml. Buah 1,253.00 - - - 1,253.00 - - - ED 5670
419 Alat Suntik 5 ml. Buah 1,000.00 200 200,000.00 200 1,000.00 200 200,000.00 40,000,000.00 ed 2494
420 Alat Suntik 5 ml. Buah 1,624.00 - - - 1,624.00 - - - -
421 Alat Suntik 10 ml Buah 1,406.00 - - - 1,406.00 - - - -
422 Blood Lancet Kotak 15,653.00 2 31,306.00 2 15,653.00 2 31,306.00 62,612.00 -
423 Bisturi No. 11 Buah 3,000.00 - - - 3,000.00 - - - -
424 Cat Gut/ Benang Bedah no. 2/0 Set 5,583.00 6 33,498.00 6 5,583.00 6 33,498.00 200,988.00 -
425 Cat Gut/ Benang Bedah no. 2/0 Set 35,015.00 - - - 35,015.00 - - - -
428 Folley Cathether No. 14 Buah 8,475.00 - - - 8,475.00 - - - -
433 Hanscond 6,5 Paket 325.00 - - - 325.00 - - - -
434 Hanscond 7 / M Paket 8,436.00 - - - 8,436.00 - - - -
435 Hanscond 7,5/L Paket 8,436.00 - - - 8,436.00 - - - -
436 Hanscond 8 Paket 325.00 - - - 325.00 - - - -
437 Infusion Set anak Set 5,661.00 - - - 5,661.00 - - - -
438 Infusion Set dewasa/NIPRO Set 5,373.00 - - - 5,373.00 - - - -
439 Infusion Set dewasa Set 5,184.00 - - - 5,184.00 - - - -
440 IV catheter no 18 Buah 7,560.00 - - - 7,560.00 - - - -
441 IV catheter no 20 Buah 7,579.44 - - - 7,579.44 - - -
444 Kasa Pembalut Hidrofil 4m x 10cm Roll 1,083.00 - - - 1,083.00 - - - -
445 Kapas Berlemak 500 mg. Roll 16,500.00 1 16,500.00 1 16,500.00 1 16,500.00 16,500.00 -
446 Kapas Pembalut/Adsorben 250 mg. Roll 27,349.28 - - - 27,349.28 - - - -
447 Kasa Elastis Roll 23,200.00 - - - 23,200.00 - - - -
448 Kasa Meteran 36m x 80cm Roll 150,300.00 1 150,300.00 1 150,300.00 1 150,300.00 150,300.00 -
449 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 1,928.00 3 5,784.00 3 1 1,928.00 2 3,856.00 7,712.00 -
450 Kasa Pembalut 2m x 80cm. Roll 9,900.00 - - - 9,900.00 - - - -
451 Kasa Pembalut Hidrofil 4m x 15cm. Roll 3,986.00 3 11,958.00 3 3,986.00 3 11,958.00 35,874.00 ED 100
452 Kasa Pembalut Hidrofil 4m x 3cm. Roll 607.00 2 1,214.00 2 607.00 2 1,214.00 2,428.00 -
453 Kasa Pembalut Hidrofil 4m x 5cm. Roll 750.00 - - - 750.00 - - - -
454 Kasa Steril Kotak 4,300.13 4 17,200.53 4 4,300.13 4 17,200.53 68,802.11 ED 297
455 Kasa Steril Kotak 8,243.00 - - - 8,243.00 - - - ED 338
456 Leucoplast 7,50cm x 4,5m Roll 35,532.00 - - - 35,532.00 - - - -
457 Masker Buah 532.80 - - - 532.80 - - - -
458 Pembalut Gips Roll 32,200.00 - - - 32,200.00 - - - -
459 Plastik Besar Pak 10,000.00 - - - 10,000.00 - - - -
460 Plastik Kecil Pak 7,000.00 - - - 7,000.00 - - - -
461 Plester 5 Yard x 2 Inc. Roll 23,510.24 - - - 23,510.24 - - - -
462 Silk (benang bedah sutra) no 3/0 Set 21,975.00 4 87,900.00 4 21,975.00 4 87,900.00 351,600.00 -
463 Sofratull Buah 21,310.00 - - - 21,310.00 - - - -
464 Transfussion set Set - - - - - - - - -
465 Kantong Urin Dewasa Buah 3,000.00 - - - 3,000.00 - - - -
466 Kantong Urin Dewasa Buah 5,940.00 - - - 5,940.00 - - - -
BAHAN LABORATORIUM - - - - - -
467 Autocliclik Lancing Device Piece 17,938.00 - - - 17,938.00 - - - -
468 Alat Hitung bakteri Buah 2,910,000.00 - - - 2,910,000.00 - - - -
469 Alat Test Easy Touch Buah 695,000.00 - - - 695,000.00 - - - -
470 Alat Benecheck Plus Monitoring Unit 199,855.00 - - - 199,855.00 - - - -
471 Alkohol Swab Buah 12,210.00 - - - 12,210.00 - - - -
472 Asam Klorida 0,1 N Botol 23,863.04 - - - 23,863.04 - - - -
473 Asam Sulfosalisilat 20% Botol 31,300.00 - - - 31,300.00 - - - ED 2
474 Bennecheck Urid Acid Test Strip Kotak 130,269.13 - - - 130,269.13 - - - ED 622
475 Bennecheck Total Cholesterol Test Strip Kotak 234,958.14 - - - 234,958.14 - - - ED 421
476 Bennecheck Blood Glukosa Test Strip Kotak 157,821.58 - - - 157,821.58 - - - -
477 Botol 100 ml Buah 1,650.00 - - - 1,650.00 - - - -
478 Batang Pengaduk 25 cm Buah 6,120.00 - - - 6,120.00 - - - -
479 Centrifuse Buah 4,900,000.00 - - - 4,900,000.00 - - - -
480 Erlenmeyer 50 ml Buah 21,500.00 - - - 21,500.00 - - - -
481 Golongan Darah Anti-A Monoclonal Reagnt Btl@ 10 ml 69,450.00 - - - 69,450.00 - - - -
482 Golongan Darah Anti-B Monoclonal Reagent Btl@ 10 ml 69,450.00 - - - 69,450.00 - - - -
483 Golongan Darah Anti-A,B Monoclonal Reagent Btl@ 10 ml 93,760.00 - - - 93,760.00 - - - -
484 Golongan Darah Anti-D Duoclone Reagent Btl@ 10 ml 115,320.00 - - - 115,320.00 - - - -
485 Kawat Ose Buah 13,001.00 - - - 13,001.00 - - - -
486 Kertas Lakmus Buah 49,435.00 - - - 49,435.00 - - - -
487 Kertas Golongan darah Lembar 230.00 - - - 230.00 - - - -
488 Lampu Spiritus Buah 69,000.00 - - - 69,000.00 - - - -
489 Larutan Anisol Btl 1,415,994.00 - - - 1,415,994.00 - - - -
490 Larutan Asam Asetat Btl 58,400.00 - - - 58,400.00 - - - ED 6
491 Larutan Bennedict Btl 68,000.00 - - - 68,000.00 - - - ED 5
492 Larutan Emersi Btl@50ml 203,413.04 - - - 203,413.04 - - - -
493 Larutan Eosin 2 % Btl 143,750.00 - - - 143,750.00 - - - -
494 Larutan Etanol Asam Btl 28,000.00 - - - 28,000.00 - - - -
495 Larutan Gebbet Btl 424,000.00 - - - 424,000.00 - - - -
496 Larutan Giemsa Stain Btl@100ml 360,150.00 - - - 360,150.00 - - - -
497 Larutan H2O2 50 % Btl 14,804.00 - - - 14,804.00 - - - -
498 Larutan Karbol Fuksin Btl 74,000.00 - - - 74,000.00 - - - -
499 Larutan Kinyoun Btl 785,000.00 - - - 785,000.00 - - - ED 8
500 Larutan Metilen Blue Btl 32,600.00 - - - 32,600.00 - - - -
501 Larutan Ress Eccer Btl 97,000.00 - - - 97,000.00 - - - ED 4
502 Larutan Turk Btl 27,500.00 - - - 27,500.00 - - - -
503 Larutan Xylol Btl 31,000.00 - - - 31,000.00 - - - ED 6
504 Larutan Ziehl Nielson Paket - - - - - - - - -
505 Malaria test Buah 35,035.00 - - - 35,035.00 - - - -
506 Pipet Eritrosit Buah 1,716.00 - - - 1,716.00 - - - -
507 Pot Dahak Buah 2,932.60 - - - 2,932.60 - - - -
508 Respirator Buah 410,000.00 - - - 410,000.00 - - - -
509 Slide Buah 2,608.33 - - - 2,608.33 - - - -
510 Slide Boks Buah 190,000.00 - - - 190,000.00 - - - -
511 Test Golongan Darah Paket 603,300.00 - - - 603,300.00 - - - -
512 Tissu Lensa Buah 54,000.00 - - - 54,000.00 - - - -
ALKES - - - - - -
513 ABN Calibra Aneroid Sphygmomanometer Unit 158,701.00 - - - 158,701.00 - - - -
514 ABN Classic Stethoscope Black Adult Unit 223,710.00 - - - 223,710.00 - - - -
515 ABN Digital Spygmomanometer With Inflamat Unit 1,247,035.00 - - - 1,247,035.00 - - - -
VAKSIN - - - - - -
516 BCG Vial 59,590.00 - - - 59,590.00 - - - -
517 DPT-HB.HIB/pentabio Buah 69,350.00 - - - 69,350.00 - - - -
518 POLIO Vial 18,140.00 - - - 18,140.00 - - - -
519 CAMPAK Vial 28,204.00 - - - 28,204.00 - - - -
520 Hepatitis B/uniject Vial 20,900.00 - - - 20,900.00 - - - -
521 TT Vial 14,201.00 - - - 14,201.00 - - - -
522 DT Vial 16,180.00 - - - 16,180.00 - - - -
523 TD Vial 16,500.00 - - - 16,500.00 - - - -
524 ADS 0,05 ml Ampul 1,650.00 - - - 1,650.00 - - - -
525 ADS 0,5 ml Buah 1,240.00 - - - 1,240.00 - - - -
526 ADS 5 ml Buah 1,705.00 - - - 1,705.00 - - - -
527 Safety Box Buah 16,886.10 -- -- -- 16,886.10 -- -- -- -
ITEM BARU - - - - - -
528 RDT HBSAG Test 9,875.00 - - - 9,875.00 - - - -
529 Polio IPV inj 0,5 ml Vial 139,760.00 - - - 139,760.00 - - - -
530 Miconazol Serbuk 2%/Mycorin Powder Btl@25gr 26,950.00 - - - 26,950.00 - - -
531 Bisakodil 10 mg supp/Dulcolax supp adult 10 Supp 5,800.00 - - - 5,800.00 - - -
532 Bisakodil 5 mg supp/Dulcolax supp infant 5 m Supp 5,800.00 - - - 5,800.00 - - -
533 Bisakodil tab salut 5 mg Tablet 300.00 - - - 300.00 - - -
534 Allopurinol tab 300 mg Tab 222.00 - - - 222.00 - - -
535 Metoklopramide drop 2mg/ml / Mepramide Botol@10 ml 4,800.00 - - - 4,800.00 - - -
536 Framisetin sulfat 1 % / Daryant Tulle Pcs 8,990.00 - - - 8,990.00 - - -
537 Klobazam 10 mg Tab 967.00 - - - 967.00 - - -
538 RDT HIV AIDS Test 21,815.00 - - - 21,815.00 - - -
539 Hansaplast Plaster Roll 2,5 cm x 4,5 cm Roll 11,964.00 - - - 11,964.00 - - -
540 Kalsium Karbonat 500 mg ( Vit. D / Calporosis Tab 430.00 - - - 430.00 - - -
541 Fenitoin 30 mg / Decatona 30 mg Kap 142.00 - - - 142.00 - - -
542 Hb Ig Vial 1,300,000.00 - - - 1,300,000.00 - - -
543 Vaksin Meales Rubella ( MR ) Ampul 141,648.00 - - - 141,648.00 - - -
544 Emmersion oil 500 mg Botol 836,595.00 - - - 836,595.00 - - -
545 Alat Deteksi Resti Buah - - - - - -
546 RDT Hepatitis C Strip 13,329.00 - - - 13,329.00 - - -
547 Asetil Systein Tablet 104.00 - - - 104.00 - - -
548 Microlit Tips For Micro Pipet Pack 1000p 181,469.00 - - - 181,469.00 - - -
549 Albendazole tab Tablet 3,849.00 - - - 3,849.00 - - -
550 Infuset Dewasa Set 8,610.00 - - - 8,610.00 - - -
551 Metformin 850 mg tab Tablet 94.00 - - - 94.00 - - -
552 Vaksin HBSAG vial - - - - - -
553 Tabung Edta Buah - - - - - -
554 Preparat atau Kaca Slide Paket - - - - - -
555 bricasma respules inh 2,5 mg/ml nebule 7,124.00 - - - 7,124.00 - - -
556 kasa pembalut hidrofil 3m x 15cm roll 3,986.00 - - - - - -
557 RDT sifilis - - - - - -
558 Paper Tape/2,5 cm x 9,14 m roll 13,667,94 - 410,038.20 - 13,667,94 - 287,026.74 -
559 Umbilical cord klem steril nylon box 69,875.00 - - - 69,875.00 - - -
560 Aprazolam 1 mg Tablet 120.00 - - - 120.00 - - -
561 Nasal Oxygen,O2 Cannula size L Pcs 9,425.00 - - - 9,425.00 - - -
562 Sensosurge surgical glove steril 7 buah 6,595.00 - - - 6,595.00 - - -
563 Sensosurge surgical glove steril 6,5 buah 6,595.00 - - - 6,595.00 - - -
564 TRO-VENOCATH, SINE 24G I.V Cannula buah 12,631.00 - - - 12,631.00 - - -
567 TROGE TRO-SOLUSET G (INFUSION SET) buah 5,445.00 - - - 5,445.00 - - -
568 TRO-SENSOSURGE, SURGICAL GLOVE STERIL buah 6,595.00 - - - 6,595.00 - - -
569 Silk (benang bedah sutra) no 3/0 box - - - - - -
570 SKIFA-Steril latex surgical glove no.7 box - - - - - -
571 Autocheck glucose box 137,500.00 - - - 137,500.00 - - -
572 Autocheck Urin box 178,750.00 - - - 178,750.00 - - -
573 Autocheck colestrol box 368,500.00 - - - 368,500.00 - - -
574 AMBROXOL 30/230 MG Tab 155.33 - - - - 155.33 - - -
575 AMBROXOL SIRUP Botol 5,012.00 - - - 5,012.00 - - -
576 AMLODIPINE 10/120 MG TABLET Tab 92.00 - - - 92.00 - - -
577 BETAMETASON 0,1% KRIM Tube 1,430.00 - - - 1,430.00 - - -
578 Cefadroxil 500 mg Kapsul Tab 787.36 - - - 787.36 - - -
579 DEXAMETHASONE 0.5 MG Tab 117.45 440 51,678.00 300 740 286 117.45 454 53,322.30 24,208,324.20
580 GLYCERIL GUAIKOLAT Tab 234.88 527 123,781.76 500 1,027 348 234.88 679 159,483.52 108,289,310.08
581 IBUPROFEN SUSPENSI 100MG/5Ml Botol 2,721.00 - - - - - 2,721.00 - - -
582 METHYLPREDNISOLONE 4MG MOLEX Tab 143.00 - - - 143.00 - - -
583 METRONIDAZOLE 500 MG. Tab 286.00 - - - 286.00 - - -
584 PARACETAMOL SYRUP Botol 5,066.00 15 75,990.00 10 25 1 5,066.00 24 121,584.00 2,918,016.00
585 PIROXICAM 20 MG Tab 156.49 - - - - 156.49 - - -
586 FITUNO Box 124,893.00 - - - - 124,893.00 - - -
JUMLAH 71,985,241.38 15,154 4,955,093.49 3,750.00 #VALUE! 4,303.00 71,981,255.38 #VALUE! #VALUE! #VALUE! 1.00
UMUM BPJS JUMLAH
JUMLAH KUNJUNGAN RESEP
Air Naningan, 29 Februari 2020

Mengetahui Yang Membuat Laporan
Kepala UPTD Puskesmas Air Naningan
Bambang Nurwanto, SKM. M. Kes SURATMINAH S.ST
NIP. 19680418 199101 1 001 NIP : 19870902 198912 2 001
LAPORAN PERSEDIAAN DAN BEBAN PERSEDIAAN OBAT DAN BAHAN MEDIS HABIS PAKAI
PUSTU KARANGSARI UPTD PUSKESMAS AIR NANINGAN DINAS KESEHATAN KABUPATEN TANGGAMUS
TAHUN 2020
Bulan : Januari 2020
HARGA STOCK HARGA SISA BEBAN

NO. NAMA OBAT SATUAN NILAI (Rp.) PENERIM PERSEDI PEMAKA NILAI Ket
SATUAN (Rp.) AWAL SATUAN (Rp.) STOCK PERSEDIAAN
AAN AAN IAN
1 2 3 4 5 5b=(4x5) 6 7=(5+6) 8 9 10=(7-8) 11 =(10X 9) 12=(10X11) 14
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 2,750.00 - - - 2,750.00 - - - -
2 Albendazol tab 400 mg Tab 392.00 38 14,896.00 38 392.00 38 14,896.00 566,048.00 -
3 Albendazole susp 200mg/5ml Botol@60ml 3,849.00 - - 3,849.00 - - - -
4 Alopurinol tab 100 mg Tab 110.00 50 5,500.00 100 150 60 110.00 90 9,900.00 891,000.00 ex mei 20
5 Ambroksol Tab 30 mg Tab 123.00 500 61,500.00 500 90 123.00 410 50,430.00 20,676,300.00 -
6 Ambroksol Tab 30 mg Tab 202.84 - - 202.84 - - - -
7 Ambroksol Syr 30mg/5 ml Btl 3,750.00 - - 3,750.00 - - - -
8 Aminofilin injeksi 24 mg/ml Ampul 3,823.00 10 38,230.00 10 10 3,823.00 - - - expayer
9 Aminofilin injeksi 24 mg/ml Ampul 2,998.00 - - 2,998.00 - - - -
10 Aminofilin tablet scored 200 mg Tab 91.00 343 31,213.00 343 50 91.00 293 26,663.00 7,812,259.00 -
11 Amlodipin tablet 10 mg Tab 148.00 - - 148.00 - - - -
12 Amlodipin tablet 5 mg Tab 187.00 - - 187.00 - - - -
13 Amoksisilin kap 250 mg Kaps 180.00 - - 180.00 - - - -
14 Amoksisilin kap scored 500 mg Kaptab 232.00 544 126,208.00 400 944 504 232.00 440 102,080.00 44,915,200.00 -
15 Amoksisilin sirup kering forte 250 mg/5 mBtl@ 60 ml 3,519.00 - - 3,519.00 - - - -
16 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 1,881.00 - - 1,881.00 - - - -
17 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 4,200.00 - - 4,200.00 - - - ED 330
18 Ampisilin Tab 500 mg Tab 477.00 - - 477.00 - - - -
19 Ampisillin syr kering 125 mg / 5 ml 8,155.00 - - 8,155.00 - - - -
20 Antalgin Tab 500mg Tab 191.00 - - 191.00 - - - -
21 Antalgin Inj 250mg/2ml Ampul 2,900.00 - - 2,900.00 - - - -
22 Antasida DOEN I tablet kunyah, komb Tab 72.00 56 4,032.00 500 556 250 72.00 306 22,032.00 6,741,792.00 -
23 Antasida DOEN I tablet kunyah, komb Tab 62.00 - - 62.00 - - - -
24 Antasida DOEN II suspensi, komb Btl @ 60 ml 2,160.00 10 21,600.00 10 4 2,160.00 6 12,960.00 77,760.00 -
25 Anti Bakteri DOEN salep kombi Tube @ 5g 2,924.00 - - 2,924.00 - - - -
26 Anti Diare/ Diapecta tab Tab 145.00 - - 145.00 - - - -
27 Anti Konstipasi / Laxadin Emulsion Btl 7,700.00 - - 7,700.00 - - - -
28 Antihemoroid komb Supp 3,045.00 - - 3,045.00 - - - -
29 Antifungi Doen Kombinasi Pot @ 30 g 4,323.00 12 51,876.00 12 4,323.00 12 51,876.00 622,512.00 -
30 Antimigren tab Komb Tab 135.00 - - 135.00 - - - -
31 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 116.00 - - 116.00 - - - -
32 As. Asetilsalisilat (asetosal) 80 mg/Minias Tab 92.00 - - 92.00 - - - -
33 As. Asetilsalisilat (asetosal) tab 500 mg Tab 162.00 - - 162.00 - - - -
34 Asam Askorbat (Vitamin C) tablet 250 mg Tab 125.00 - - 125.00 - - - -
35 Asam Askorbat (Vitamin C) tablet 50 mg Tab 104.00 300 31,200.00 500 800 465 104.00 335 34,840.00 11,671,400.00 -
36 Asam Folat/Profolat 0,4 mg Tab 55.00 - - 55.00 - - - -
37 Asam Mefenamat kaps 250 mg Kap 158.00 - - 158.00 - - - -
38 Asam Mefenamat kaps 500 mg Kaptab 100.00 412 41,200.00 200 612 240 100.00 372 37,200.00 13,838,400.00 -
39 Asam pipemidat kap 400 mg/Urotractin ta Tab 1,815.00 - - 1,815.00 - - - -
40 Asam traneksamat injeksi 50 mg/ml Ampul 1,956.00 - - 1,956.00 - - - -
41 Asifit Tab Tab 1,818.00 - - 1,818.00 - - - -
42 Asiklovir Krim Tube @ 5g 2,861.00 - - 2,861.00 - - - ED 1325
43 Asiklovir Krim Tube @ 5g 3,138.00 - - 3,138.00 - - - -
44 Asiklovir salep mata 3%/Temiral Eye Oint Tube 3,5 g 24,750.00 - - 24,750.00 - - - -
45 Asiklovir tab 200 mg Tab 240.00 - - 240.00 - - - -
46 Asiklovir tab 200 mg Tab 249.00 244 60,756.00 244 20 249.00 224 55,776.00 12,493,824.00 -
47 Asiklovir tab 400 mg Tab 226.08 - - 226.08 - - - ED 300
48 Atapulgit tab 600 mg/Pularex Tab 140.00 953 133,420.00 953 10 140.00 943 132,020.00 124,494,860.00 -
49 Atropin Sulfat Inj 0,25mg/1ml Ampul 1,540.00 - - 1,540.00 - - - -
50 Bedak salisil serbuk 2% Ktk @ 50 g 1,020.00 - - 1,020.00 - - - -
51 Betahistine Maleat 6 mg Tablet 149.00 - - 149.00 - - - -
52 Betametason krim 0,1% Tube 5 gr 1,349.00 3 4,047.00 3 1 1,349.00 2 2,698.00 5,396.00 -
53 Betason N Krim Tube 5 gr 9,182.00 - - 9,182.00 - - - -
54 Bioneuron Inj Ampul 4,341.00 - - 4,341.00 - - - -
55 Bisakodil suppositoria 10 mg/Stolax Supp Supp 6,045.00 - - 6,045.00 - - - ED 6
56 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tab 650.00 - - 650.00 - - - -
57 Chloramfecort H Cream Tube @ 5g 9,085.00 - - 9,085.00 - - - -
58 Deksametason inj 5 mg/ml Ampul 1,540.00 - - 1,540.00 - - - -
59 Deksametason tablet 0,5 mg Tab 41.00 - - - - 41.00 - - - -
60 Dekstran 70-larutan infus 6% steril Botol 40,100.00 - - 40,100.00 - - - -
61 Diazepam larutan rektal 5 mg/2,5 mL/Stes
Tube @ 2,5 ml 12,090.00 - - 12,090.00 - - - ED 58
62 Diazepam injeksi i.v./i.m 5 mg/ml Ampul 2,344.00 - - 2,344.00 - - -
63 Diazepam tablet 2 mg Tab 27.00 - - 27.00 - - - ED 530
64 Diazepam tablet 5 mg Tab 117.00 - - 117.00 - - - -
65 Dietilkarbamazin tablet scored 100 mg Tab 119.00 - - 119.00 - - - -
66 Difenhidramin inj 10 mg/ml (HCl) Ampul 1,062.00 152 161,424.00 152 9 1,062.00 143 151,866.00 21,716,838.00 Pecah 5
67 Difenhidramin inj 10 mg/ml (HCl) Ampul 1,176.00 - - 1,176.00 - - - -
68 Digoksin tablet 0,25 mg Tab 91.00 - - 91.00 - - - -
69 Digoksin tablet 0,25 mg Tab 105.00 - - 105.00 - - - -
70 Diltiazem HCl tablet 30 mg Tab 134.00 - - 134.00 - - - -
71 Doksisiklin Kap 100 mg Kapsul 268.00 - - 268.00 - - - -
72 Domperidon susp/sirup 5 mg/5 ml btl @ 60 ml 3,000.00 - - 3,000.00 - - - -
73 Domperidon tablet 10 mg Tab 95.00 - 200 200 95.00 200 19,000.00 3,800,000.00 -
74 Efedrin tab 25 mg Tab 176.00 - - 176.00 - - - -
75 Ekstrak Beladona tab 10 mg Tab 38.00 - - 38.00 - - - -
76 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 8,100.00 - - 8,100.00 - - - ED 210
77 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 2,204.00 - - 2,204.00 - - - -
78 Eritromisin kaps 250 mg Kapsul 557.00 - - 557.00 - - - -
79 Eritromisin kaplet 500 mg Kaplet 730.00 - - 730.00 - - - -
80 Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml 6,150.00 - - 6,150.00 - - - -
81 Etakridina (Rivanol) Lar 0,1 % 300 ml Botol 3,289.00 1 3,289.00 1 3,289.00 1 3,289.00 3,289.00 -
82 Etanol 70% cairan btl @ 100 ml 2,500.00 - - 2,500.00 - - - -
83 Etanol 70% cairan Btl @ 1000 ml 18,600.00 - - 18,600.00 - - - -
84 Etanol 96% Btl @ 300 ml 25,000.00 - - 25,000.00 - - - -
85 Febrinex Syr Btl @ 60 ml 15,830.00 - - 15,830.00 - - - -
86 Fenoterol HBr aerosol
Vial
100mcg/dosis/Berotec MDI 80,000.00 - - 80,000.00 - - - -
87 Fenol gliserol TT 10 % Btl @ 5ml 2,500.00 7 17,500.00 7 2,500.00 7 17,500.00 122,500.00 ED 29160
88 Finasterid tab 5 mg/Prostacom Tab Tab 2,950.00 - - 2,950.00 - - - -
89 Fitomenadion (Vit.K1) tab salut gula 10 m Tab 634.00 3 1,902.00 3 1 634.00 2 1,268.00 2,536.00 -
90 Fituno Tab Tab 3,014.00 - - 3,014.00 - - - -
91 Flusinolon asetonid krim 0,025%/Synarcus Tube 5 g 2,400.00 - - 2,400.00 - - - -
92 Furosemid inj 10 mg/ml Ampul 1,829.00 - - 1,829.00 - - - -
93 Furosemid tablet 40 mg Tab 80.00 - 200 200 80.00 200 16,000.00 3,200,000.00 ex okt 20
94 Gentamisin injeksi 40 mg/ ml Ampul 3,386.00 - - 3,386.00 - - - -
95 Gentamisin salep Kulit Tube @ 5 g 1,350.00 - - 1,350.00 - - - ED 634
96 Gentamisin salep mata 0,3%/Genoint SMTube @ 3,5 gr 2,960.00 - 10 10 2,960.00 10 29,600.00 296,000.00 -
97 Gentamisin tetes mata 0,3% Btl @ 5 ml 4,170.00 - - 4,170.00 - - - -
98 Gentian Violet 1% Btl 900.00 - - 900.00 - - - -
99 Glibenklamid tablet 5 mg Tab 56.00 - - 56.00 - - - -
100 Gliklazid tab 80 mg/Glicab Tab Tab 248.00 - - 248.00 - - - -
101 Glimepiride tablet 2 mg Tab 231.00 - - 231.00 - - - -
102 Glimepiride tablet 3 mg Tab 289.00 - - 289.00 - - - -
103 Gliseril Guayakolat tab 100mg Tab 114.00 - 114.00 - - - -
104 Glukosa larutan infus 10 % steril Btl @ 500 ml 7,500.00 - - 7,500.00 - - - -
105 Glukosa larutan infus 5 % steril Btl @ 500 ml 6,900.00 - - 6,900.00 - - - -
106 Glukosa Larutan Infus 40 % btl @ 100 ml 1,960.00 - - 1,960.00 - - - -
107 Griseofulvin tablet 125 mg Tab 249.00 - - 249.00 - - - ED 4700
108 Hidroklorotiazid (HCt ) Tab 25 mg Tab 149.00 288 42,912.00 288 80 149.00 208 30,992.00 6,446,336.00 -
109 Hidrokortison krim 2,5 % Tube 5 gr 2,640.00 - - 2,640.00 - - - -
110 Ibuprofen sirup 100 mg/5 ml btl @ 60 ml 2,475.00 - - 2,475.00 - - - -
111 Ibuprofen tablet 200 mg Tab 102.00 - - 102.00 - - - -
112 Ibuprofen tablet 400 mg Tab 111.00 - - 111.00 - - - -
113 Ichtyol Salep Pot @ 30 gram 4,420.00 - - 4,420.00 - - - -
114 Isosorbid Dinitrat tablet sublingual 5 mg Tab 88.00 - - 88.00 - - - ED 900
115 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 198.00 - - 198.00 - - - -
116 Kalium Diklofenak tab 25 mg Tab 332.00 - - 332.00 - - - -
117 Kalium Diklofenak tab 50 mg Tab 425.00 - - 425.00 - - - -
118 Kalsium Laktat (Kalk) tab 500 mg Tab 56.00 - - 56.00 - - - BPOM 9200
119 Kaptopril tablet scored 25 mg Tab 80.00 - - 80.00 - - - -
120 Kaptopril tablet scored12,5 mg Tab 62.00 60 3,720.00 200 260 260 62.00 - - - -
121 Ketokonazol krim 2% Tube @ 15 g 2,599.00 - - 2,599.00 - - - -
122 Ketokonazol tablet 200 mg Tab 280.00 30 8,400.00 30 280.00 30 8,400.00 252,000.00 -
123 Ketorolac injeksi 30 mg/ml Ampul 1,240.00 - - 1,240.00 - - - -
124 Klindamisin kapsul/kaplet 150 mg Kapsul 382.00 - - 382.00 - - - ED 150
125 Klindamisin kapsul/kaplet 300 mg Kapsul 553.00 - - 553.00 - - - -
126 Klonidin tablet 0,15 mg Tab 170.00 - - 170.00 - - - -
127 Kloramfenikol kap 250 mg Kapsul 500.00 - - 500.00 - - - -
128 Kloramfenikol salep kulit 2%/Bufacetin Tube @ 15g 3,008.00 3 9,024.00 3 3 3,008.00 - - - -
129 Kloramfenikol salep mata 1 % Tube 5 gr 1,810.00 31 56,110.00 31 5 1,810.00 26 47,060.00 1,223,560.00 -
130 Kloramfenikol inj 1000 mg/Chloramex inj vial 7,954.00 - - 7,954.00 - - - ED 595
131 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 60 ml 4,700.00 - - 4,700.00 - - - -
132 Kloramfenikol Tetes Mata/Decacetin OTM Btl @ 5 ml 3,250.00 - - 3,250.00 - - - -
133 Kloramfenikol Tetes Telinga Btl @ 5 ml 5,940.00 - - 5,940.00 - - - -
134 Klorfeniramina Maleat (CTM) tab 4 mg Tab 42.00 378 15,876.00 378 378 42.00 - - - -
135 Kodein tablet 10 mg Tab 500.00 - - 500.00 - - - -
136 Komb Amoks + As. Klavulanat/Co-Amoxi Tab 4,550.00 - - 4,550.00 - - - -
137 Kombinasi tablet salut : Besi (II) sulfat Tab -
tab+as.folat/Tab. Tambah Darah 352.00 1,270 447,040.00 1,270 210 352.00 1,060 373,120.00 395,507,200.00
138 Kombinasi tetes mata /Cendo Lyteers Btl @ 15 ml 19,125.00 - - 19,125.00 - - - -
139 Kotrimoksazol DOEN I (dewasa) komb Tab 129.00 4,406 568,374.00 4,406 96 129.00 4,310 555,990.00 2,396,316,900.00 -
140 Kotrimoksazol Pediatrik Tab Tab 75.00 - - 75.00 - - - -
141 Kotrimoksazol Suspensi komb Btl @ 60 ml 2,286.00 7 16,002.00 10 17 7 2,286.00 10 22,860.00 228,600.00 -
142 Lanzoprazol kapsul/kaplet 30 mg Kapsul 473.00 - - 473.00 - - - -
143 Levertan Pot 4,780.00 - - 4,780.00 - - - -
144 Lidokain injeksi 2% (HCl) Ampul 1,295.00 8 10,360.00 8 3 1,295.00 5 6,475.00 32,375.00 ED 10630
145 Lidokain injeksi 2% (HCl) Ampul 1,937.00 - - 1,937.00 - - - ED 90
146 Lidokain jeli 2%/Xylocaine Jelly 2% syringe @ 10 g 40,000.00 3 120,000.00 3 40,000.00 3 120,000.00 360,000.00 -
147 Lisol Btl @ 300 ml 21,700.00 1 21,700.00 1 21,700.00 1 21,700.00 21,700.00 -
148 Lisol Btl @ 300 ml 45,096.70 - - 45,096.70 - - - -
149 Loperamid tablet 2 mg Tab 85.00 - - 85.00 - - - -
150 Loratadin tablet 10 mg Tab 125.00 - - 125.00 - - - -
151 Mebendazol tablet 500 mg/Vermox tab Tab 7,140.00 - - 7,140.00 - - - -
152 Mebendazol Sirup 50 mg/ml btl 3,534.00 - - 3,534.00 - - - -
153 Meloxicam 7,5 mg tab 297.00 - - 297.00 - - - -
154 Meloxicam 15 mg tab 1,199.00 - - 1,199.00 - - - -
155 Metformin HCl tablet 500 mg Tab 94.00 - - 94.00 - - - -
156 Metilergometrin Maleat tab salut 0,125 mg Tab 153.00 - - 153.00 - - - ED 700
157 Metilergometrin Maleat inj 0,200 mg-1 ml Ampul 2,849.00 - - 2,849.00 - - - -
158 Metilprednisolon tablet 16 mg Tab 1,076.00 - - 1,076.00 - - - ED 150
159 Metilprednisolon tablet 4 mg Tab 194.00 - - 194.00 - - - -
160 Metilprednisolon tablet 8 mg Tab 295.00 - - 295.00 - - - -
161 Metoklopramide injeksi 5 mg/ ml Ampul 3,395.00 - - 3,395.00 - - - -
162 Metoklopramide sirup 5 mg/ 5 ml/LexaprBtl @ 60 ML 2,600.00 - - 2,600.00 - - - -
163 Metoklopramide tablet 10 mg Tab 87.00 - - 87.00 - - - -
164 Metronidazol infus 500 mg/100 ml Btl @ 100 ml 9,950.00 - - 9,950.00 - - - -
165 Metronidazol ovula 500 mg/Vagizol Tab Vag 3,850.00 - - 3,850.00 - - - -
166 Metronidazol sirup 125 mg/5 Ml Btl @ 60ml 3,800.00 - - 3,800.00 - - - -
167 Metronidazol supositoria 500 mg/Flagyl Supp 3,220.00 - - 3,220.00 - - - -
168 Metronidazol tablet 250 mg 90.00 - - 90.00 - - - -
169 Metronidazol tablet 500 mg Tab 133.00 - - 133.00 - - - -
170 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,000.00 - 10 10 3 3,000.00 7 21,000.00 147,000.00 -
171 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,250.00 - - 3,250.00 - - - -
172 Miraclav tab Tab 13,200.00 - - 13,200.00 - - - -
173 Miraneuron kap Kap 598.00 - - 598.00 - - - -
174 Multivitamin Kom Dewasa/Ramaton Tab Tab 698.00 - - 698.00 - - - -
175 Multivitamin Anak+DHA Syr/Bionick DHBtl @ 60 ml 16,000.00 - - 16,000.00 - - - -
176 Multivitamin Anak Syr/Bionick Syr Btl @ 60 ml 18,700.00 - - 18,700.00 - - - -
177 Multivitamin Bayi Drop/Bionick Drop Btl @ 30 ml 22,500.00 - - 22,500.00 - - - -
178 Nacl 0,9% Btl 500 ml 6,410.00 5 32,050.00 5 1 6,410.00 4 25,640.00 102,560.00 -
179 Natrium Bikarbonat Tab 500mg Tab 24.00 - - 24.00 - - - -
180 Natrium Diklofenak tablet 50 mg Tab 122.00 - 200 200 50 122.00 150 18,300.00 2,745,000.00 ex agus 20
181 Natrium Diklofenak tablet 25 mg Tab 132.00 232 30,624.00 232 200 132.00 32 4,224.00 135,168.00 -
182 Natrium Tiosulfat Inj 25%-10 ml Ampul 3,000.00 - - 3,000.00 - - - ED 12
183 Neurovit E tab Tab 818.00 - - 818.00 - - - -
184 Nifedipin tab 10 mg Tab 110.00 - - 110.00 - - - -
185 Nifedipin tab 10 mg Tab 108.00 - - 108.00 - - - -
186 Nistatin tablet salut 500.000 IU/ g Tab 640.00 - - 640.00 - - - -
187 Nistatin tablet salut 500.000 IU/ g Tab 765.00 - - 765.00 - - - -
188 Nistatin vaginal tablet 100.000 IU/ g Tab Vag 523.00 - - 523.00 - - - -
189 Noza tab Tab 399.00 - - 399.00 - - - -
190 Obat Batuk Hitam (OBH) Syrup Btl @ 100 ml 6,600.00 - - 6,600.00 - - - -
191 Obat Batuk pilek Komb (Hustab tab) Tab 284.00 - - 284.00 - - - -
192 Obat Flu Anak komb (Flutamol Syr) Btl @ 100 ml 13,500.00 - - 13,500.00 - - - -
193 Ofloxacin tablet 200 mg Tab 400.00 - - 400.00 - - - -
194 Ofloxacin tablet 400 mg Tab 650.00 - - 650.00 - - - -
195 Ofloksasin tetes telinga 3%/Tarivid Otic S Botol 45,089.00 - - 45,089.00 - - - -
196 Oksimetazolin tts hidung 0,025%/Ilaidin botol @ 10 ml 27,550.00 4 110,200.00 4 3 27,550.00 1 27,550.00 27,550.00 -
197 Oksimetazolin tts hidung 0,025%/Ilaidin botol @ 10 ml 30,000.00 - - 30,000.00 - - - -
198 Oksitetrasiklin HCl inj 50 mg/ ml Vial 3,100.00 - - 3,100.00 - - - ED 280
199 Oksitetrasiklin HCl Salep 3 % Tube 2,514.00 - - 2,514.00 - - - -
200 Oksitetrasiklin HCl Salep 1 % Tube 1,824.00 - - 1,824.00 - - - ED 1204
201 Omeprazol injeksi 40 mg/ 10 ml Vial 16,997.00 4 67,988.00 4 4 16,997.00 - - - ex payer
202 Omeprazol kaps 20 mg Kaps 211.00 - - 211.00 - - - -
203 Omeprazol kaps 20 mg Kaps 140.00 - - 140.00 - - - -
205 ondansetron inj 4 mg/ 2 mL Ampul 1,254.00 - - 1,254.00 - - - -
206 Ondansetron tab 4 mg Tab 716.00 - - 716.00 - - - -
207 Ondansetron tablet 8 mg Tab 1,189.00 - - 1,189.00 - - - -
208 Papaverin Tab Tab 112.00 - - 112.00 - - - -
209 Papaverin Inj Ampul 1,150.00 - - 1,150.00 - - - -
210 Parasetamol drop ( Generik) Botol @ 15 Ml 5,200.00 - - 5,200.00 - - - -
211 Parasetamol sirup 120 mg / 5 ml Btl @ 60 ml 1,438.00 - - - - 1,438.00 - - - -
212 Parasetamol tablet 500 mg Tab 79.00 121 9,559.00 600 721 721 79.00 - - - ex agus 20
213 Parasetamol Drop /Fasidol Drop Btl @ 15 ml 6,450.00 - - 6,450.00 - - - ED 199
214 Perak sulfadiazin krim 1%/Burnazine crtube @ 35 gram 20,700.00 - - 20,700.00 - - - -
215 Permetrin krim 5%/Scabimite Cream Tube @ 10 g 10,430.00 - - 10,430.00 - - - -
217 Petidin inj 50 mg/ml (HCl) Ampul 14,500.00 - - 14,500.00 - - - -
218 Pirantel suspensi 125 mg/5 ml Btl @ 60 ml 8,360.00 - - 8,360.00 - - - -
219 Pirantel tablet score (base) 125 mg Tab 277.00 196 54,292.00 196 277.00 196 54,292.00 10,641,232.00 ED 2800
220 Piridoksin (vitamin B6) 10 mg Tab 27.00 - 600 141 27.00 459 12,393.00 5,688,387.00 ex feb 20
221 Piridoksin (vitamin B6) 10 mg Tab 118.00 - - 118.00 - - - -
222 Piroxicam tab 10mg Tab 86.00 - - - 86.00 - - - -
223 Piroxicam tab 20mg Tab 105.00 - - - - 105.00 - - - -
224 Povidon Iodida larutan 10% 1000 ml Btl @ 1000 ml 87,604.00 1 87,604.00 1 87,604.00 1 87,604.00 87,604.00 -
225 Povidon Iodida larutan 10% 30 ml Bt l@ 30 ml 3,182.30 - - - 3,182.30 - - - -
226 Povidon Iodida larutan 10% 300 ml Btl @ 300 ml 14,203.00 - - 14,203.00 - - - -
227 Povidon Iodida larutan 10% 60 ml btl 60 ml 3,500.00 - - 3,500.00 - - - -
228 Prednison tablet 5 mg Tab 76.00 - - 76.00 - - - -
229 Progastric tab Tab 303.00 - - 303.00 - - - -
230 Propanolol tablet 10 mg ( HCl ) Tab 65.00 - - 65.00 - - - -
231 Propanolol tablet 10 mg ( HCl ) Tab 52.00 - - 52.00 - - - -
232 Propranolol tablet 40 mg (HCl) Tab 107.00 - - 107.00 - - - -
233 Propiltiourasil tab 100 mg Tab 264.00 - - 264.00 - - - -
234 Ranitidin injeksi 25 mg/ml Ampul 1,140.00 - - 1,140.00 - - - -
235 Ranitidin tablet 150 mg Tab 98.00 - - 98.00 - - - -
236 Ringer Laktat larutan infus Btl @ 500 ml 7,150.00 - - 7,150.00 - - - -
237 Risperidon tablet 2 mg Tab 347.00 - - 347.00 - - - -
238 Salbutamol tab 2mg Tab 66.00 - - - 66.00 - - - -
239 Salbutamol Tab 4 mg Tab 83.00 80 6,640.00 80 10 83.00 70 5,810.00 406,700.00 -
240 Salbutamol cairan ih 0,1%/Ventolin Nebul Btl 16,445.00 - - 16,445.00 - - - ED 1285
241 Salbutamol inh 100 mcg/dosis/Ventolin In Btl 63,750.00 - - 63,750.00 - - - -
242 Salbutamol Syr Btl 4,750.00 - - 4,750.00 - - - -
243 Salep 2-4 , Komb Pot @ 30 gram 2,000.00 15 30,000.00 15 2,000.00 15 30,000.00 450,000.00 -
244 Salep 2-4 , Komb Pot @ 30 gram 2,527.00 - - 2,527.00 - - - -
245 Sefadroksil sirup kering 125 mg/5ml Btl @ 60 ml 3,984.00 - - 3,984.00 - - - -
246 Sefadroksil kapsul 500 mg Kapsl 516.00 - - 516.00 - - - -
247 Sefaleksin kapsul 500 mg Kapsul 1,000.00 - - 1,000.00 - - - -
248 Sefiksim kapsul 100 mg Kapsul 859.00 - - 859.00 - - - -
249 Sefiksim sirup kering 100 mg/ 5 ml Btl @ 30 ml 7,490.00 - - 7,490.00 - - - -
250 Sefotaksim injeksi 1 g Vial 6,325.00 - - 6,325.00 - - - -
251 Seftriakson serbuk injeksi 1 g/vial Vial 3,300.00 - - 3,300.00 - - - -
252 Serum ABU Polivalen inj 5 ml Vial 589,900.00 - - 589,900.00 - - - -
253 Serum ABU Polivalen inj 5 ml Vial 473,000.00 - - 473,000.00 - - - -
254 Serum ATS 1500 IU/ml Ampul 157,000.00 - - 157,000.00 - - - -
255 Serum ATS 1500 IU/ml Ampul 126,500.00 - - 126,500.00 - - - -
256 Serum ATS 20.000 mcg.ml Vial 523,300.00 - - 523,300.00 - - - -
257 Setirizin sirup 5 mg/5 ml Btl @ 60 ml 7,999.00 5 39,995.00 5 3 7,999.00 2 15,998.00 31,996.00 -
258 Setirizin tablet 10 mg Kapsul 96.00 - - 96.00 - - - -
259 Sianokobalamin (vitamin B12) inj 500 mcg Ampul 1,077.00 - - 1,077.00 - - - -
260 Sianokobalamin (vitamin B12) inj 500 mcg Ampul 1,087.00 - - 1,087.00 - - - -
261 Sianokobalamin (vitamin B12) tab 50 mcg Tab 57.00 380 21,660.00 300 680 180 57.00 500 28,500.00 14,250,000.00 -
262 Simetidine Tab 10 mg Tab 160.00 - - 160.00 - - - -
263 Simvastatin scored tablet 10 mg Kap 131.00 265 34,715.00 265 131.00 265 34,715.00 9,199,475.00 -
264 Simvastatin tab 20 mg Tab 229.00 100 22,900.00 100 229.00 100 22,900.00 2,290,000.00 -
265 Siprofloksasin tablet 500 mg (sebagai HCl) Tab 240.00 1,665 399,600.00 1,665 160 240.00 1,505 361,200.00 543,606,000.00 -
266 Spiramisin tablet 500 mg Tab 1,499.00 - - - 1,499.00 - - - ED 400
267 Spironolakton tablet 100 mg Tab 900.00 - - 900.00 - - - -
268 Spironolakton tablet 25 mg Tab 294.00 - - 294.00 - - - -
269 Stimuno Syr Btl @ 60 ml 25,420.00 - - 25,420.00 - - - ED 148
270 Stimuno Tab Tab 2,430.00 - - 2,430.00 - - - -
271 Sukralfat susp 500 mg/5 mL/Ulsafate Btl @ 100 ml 13,425.00 - - 13,425.00 - - - -
272 Sukralfat tab 500 mg/Ulsidex Tab 296.00 - - 296.00 - - - -
273 Tab Tambah darah/Hemafort Tab 834.90 - - 834.90 - - - -
274 Terbutalin tablet 2,5 mg/Molasma Tab 99.00 - - 99.00 - - - -
275 Tetrasiklin kapsul 250 mg Kapsul 149.00 - - 149.00 - - - -
276 Tetrasiklin kapsul 250 mg Kapsul 168.00 - - 168.00 - - - -
277 Tetrasiklin Kapsul 500 mg Kapsul 300.00 - - 300.00 - - - -
278 Tetrasiklin Kapsul 500 mg Kapsul 310.00 - - 310.00 - - - -
279 Thiamin HCl inj 100mg/ml Ampul 690.00 - - 690.00 - - - -
280 Thiamin Mononitrat Tab 50 mg Tab 82.00 190 15,580.00 600 790 350 82.00 440 36,080.00 15,875,200.00 ex nov 20
281 Thiamfenikol Kap 500 mg Kapsul 900.00 - - 900.00 - - - -
282 Tramadol injeksi 50 mg/ml Ampul 1,800.00 - - 1,800.00 - - - -
283 Tramadol Tab 50 mg Tab 387.00 - - 387.00 - - - -
284 Urea krim 10%/Soft U Derm tube 6,809.00 - - 6,809.00 - - - -
285 Videne Povidone Iodine 500 ml Btl 27,500.00 - - 27,500.00 - - - -
286 Vitamin Tab/Becefort Tab Tab 1,545.43 - - 1,545.43 - - - -
287 Vitamin Syr/Becefort Syr Btl 17,365.00 - - 17,365.00 - - - -
288 Vitamin B Kompleks tablet Tab 115.00 - - 115.00 - - - -
OBAT ASKES - - - - -
289 Broadamox 500 mg Tab 1,100.00 - - 1,100.00 - - - -
290 Cargesik tab 500 mg Tab 448.00 - - 448.00 - - - ED 1700
291 Farmoten tab 12,5 mg Tab 270.00 - - 270.00 - - - -
292 Hufadin tab Tab 565.00 - - 565.00 - - - -
293 Icthyol Zalf Pot 5,455.00 - - 5,455.00 - - - -
294 Levertraan Zalf Pot 4,091.00 - - 4,091.00 - - - -
295 Mirasic tab 500 mg Tab 248.00 - - 248.00 - - - -
296 Miraneuro Tab tab 891.00 - - 891.00 - - - -
OBAT PROGRAM GIGI
297 Air Raksa DentalUse Botol 103,536.00 - - 103,536.00 - - - -

298 Devitalisasi Pasta (Non Arsen) Pot 382,000.00 - - 382,000.00 - - - -
299 Etil Klorida Semprot Botol 107,000.00 - - 107,000.00 - - - -
300 Eugenol cairan Botol 18,100.00 - - 18,100.00 - - - -
301 Glass Ionomer Cement (gc IX) Btl 858,000.00 - - 858,000.00 - - - -
302 Kalsium hidroksida Pasta Set 23,000.00 - - 23,000.00 - - - -
303 Monoklor Mentol Cairan/CHKM Btl 55,000.00 - - 55,000.00 - - - -
304 Mummfying Pasta Btl 172,000.00 - - 172,000.00 - - - -
305 Semen Seng Fosfat Serbuk Btl 93,000.00 - - 93,000.00 - - - -
306 Silver Amalgam Btl 227,311.00 - - 227,311.00 - - - -
307 Spon Gelatin Cubicles 1x1x1 cm Buah 9,471.00 - - 9,471.00 - - - -
308 Temporary Stopp. F. srb & Cair Btl 34,000.00 - - 34,000.00 - - - -
309 Trikresol Formalin Btl 40,330.00 - - 40,330.00 - - - -
310 GC Fuji Varnish (Butter Coconut/Varnish) Btl 230,000.00 - - 230,000.00 - - - -
311 Articulation Paper Red GC Kotak 145,000.00 - - 145,000.00 - - - -
OBAT PROGRAM JIWA
312 Amitriptilin tablet salut 25 mg (HCl) Tab 112.00 - - 112.00 - - - -

313 Amitriptilin tablet salut 25 mg (HCl) Tab 143.00 - - 143.00 - - - -
314 Fenitoin injeksi 50 mg/ml Ampul 20,250.00 - - 20,250.00 - - - -
315 Fenitoin kap 100 mg Kaplet 152.00 - - 152.00 - - -
316 Fenobarbital tab 100 mg Tab 220.00 - - 220.00 - - - -
317 Fenobarbital tab 30 mg Tab 64.00 - - 64.00 - - - -
318 Haloperidol tablet 0,5 mg Tab 56.00 - - 56.00 - - - -
319 Haloperidol tablet 1,5 mg Tab 61.00 - - 61.00 - - - -
320 Haloperidol tablet 5 mg Tab 96.00 - - 96.00 - - - -
321 Haloperidol tablet 5 mg Tab 75.00 - - 75.00 - - - ED 1.700
322 Karbamazepin sir 100 mg/5 ml/Tegretol SBtl @ 120 ml 44,770.00 - - 44,770.00 - - - -
323 Karbamazepin tablet 200 mg Tab 228.00 - - 228.00 - - - -
324 Klorpromazin tablet salut 100 mg (HCl) Tab 149.00 - - 149.00 - - - -
325 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1,021.00 - - 1,021.00 - - - ED 30
326 Klorpromazin tablet salut 25 mg (HCl) Tab 68.00 - - 68.00 - - - -
327 Trifluoferazin tab 5 mg Tab 274.00 - - 274.00 - - - -
328 Triheksifenidil HCl tab 2 mg Tab 80.00 - - 80.00 - - - -
329 neo mercazole/ carbamazole Tab - - - - - - - 1
OBAT PROGRAM FARMASI
329 Alu +Mortir 10 Cm Buah 65,738.00 - - 65,738.00 - - - -

330 Boraks Test Set 1,642,000.00 - - 1,642,000.00 - - - ED 1
331 Boraks Test Set 1,182,000.00 - - 1,182,000.00 - - - ED 1
332 Formalin Test Set 1,641,500.00 - - 1,641,500.00 - - - ED 3
333 Formalin Test Set 1,264,850.00 - - 1,264,850.00 - - - -
334 Rhodamin Test Set 1,642,000.00 - - 1,642,000.00 - - - -
335 Rhodamin Test Set 1,402,250.00 - - 1,402,250.00 - - - ED 2
336 Methanyl Yellow Test Unit 1,248,400.00 - - 1,248,400.00 - - - -
OBAT PROGRAM MALARIA
337 ACT Tab Blister 1,375.00 - - 1,375.00 - - - ED 302

338 Antimalaria DOEN kombinasi /suldox tab Tab 478.00 - - 478.00 - - - ED 400
339 Artemether injeksi 80 mg/ml/Artem Ampul 25,490.00 - - 25,490.00 - - - ED 400
340 Arterakin/Darplex/DHP Tab Tab 3,567.00 - - 3,567.00 - - - ED 666
341 Artesunate inj 60 mg/ml/Artesunate Vial 39,000.00 - - 39,000.00 - - - ED 192
342 Fokus Malaria PF&PV Casette Unit 53,110.00 - - 53,110.00 - - - -
343 Kuinin (Kina) tablet 200 mg Tab 670.00 - - 670.00 - - - -
344 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Ampul 6,200.00 - - 6,200.00 - - - -
345 Kuinin tablet 222 mg (H2SO4.7H2O) Tab 400.00 - - 400.00 - - - ED 360
346 Larvasida Malaria Galon 11,200,000.00 - - 11,200,000.00 - - - -
347 Primakuin tablet 15 mg Tab 224.00 - - 224.00 - - - -
348 RDT Malaria Test 5,271.00 - - 5,271.00 - - - ED 40
349 RDT Malaria Piece 12,950.30 - - 12,950.30 - - - -
OBAT PROGRAM DIARE
350 Garam Oralit I serbuk, kombi Sacchet 264.00 100 26,400.00 100 6 264.00 94 24,816.00 2,332,704.00 ED 51100
351 Zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml 12,840.00 - - 12,840.00 - - - ED 32
352 Zinc sir 10 mg/mL/Zinc Kid Btl @ 100 ml 14,980.00 60 898,800.00 60 10 14,980.00 50 749,000.00 37,450,000.00 -
353 Zinc sir 20 mg/5 ml Btl @ 60 ml 4,789.00 - - 4,789.00 - - - -
354 Zinc tablet dispersible20 mg Tab 474.00 - - 474.00 - - - ED 1100
OBAT PROGRAM TB
355 Isoniazid 100 mg Tab 71.00 - - 71.00 - - - -

356 Obat Antituberkulosis FDC Kategori 1 Paket 374,384.00 - - 374,384.00 - - - ED 16
357 Obat Antituberkulosis FDC Kategori 2 Paket 1,247,980.00 - - 1,247,980.00 - - - -
358 Obat Antituberkulosis Kategori 3 Paket 154,000.00 - - 154,000.00 - - - -
359 Obat Antituberkulosis FDC Kategori Anak Paket 223,585.00 - - 223,585.00 - - - ED 1
360 Obat Antituberkulosis FDC Sisipan Paket 160,000.00 - - 160,000.00 - - - -
361 Obat Antituberkulosis Kategori 1 dewasa Paket 288,199.00 - - 288,199.00 - - - -
362 Obat Antituberkulosis Kategori anak comb Paket 171,195.00 - - 171,195.00 - - - -
363 Pyrazinamid Tab 500 mg Tab 234.00 - - 234.00 - - - ED 300
364 Rifampisin tab 300 mg Kapsul 376.00 - - 376.00 - - - ED 200
365 Rifampisin tab 600 mg Kaplet 830.00 - - 830.00 - - - ED300
OBAT PROGRAM P2
366 Insektisida Cynof Botol@1ltr 198,000.00 - - 198,000.00 - - - -

367 Insektisida Zetta 15 UL Liter 74,470.00 - - 74,470.00 - - - -
368 Insektisida DBD/Mustang TC 95% Foggin Galon @ 5 Liter 968,000.00 - - 968,000.00 - - - -
369 Larvasida DBD Jentika Botol @ 1 Kg Botol@1kg 115,500.00 - - 115,500.00 - - - -
370 Larvasida DBD Bentuk Cair/ Bactivec SL ml 537.13 - - 537.13 - - - -
371 Larvasida Malaria/Bactivel SL @ 20 Liter Galon 14,464,450.00 - - 14,464,450.00 - - - -
372 MDT Combi Adult Paket 30,595.00 - - 30,595.00 - - - -
373 Oseltamivir tab Tab 13,000.00 - - 13,000.00 - - - ED 700
374 Obat Fogging/Alfa Cypermetrin 30 EC @ 5 Liter 480,150.00 - - 480,150.00 - - - -
375 Vaksin rabies/Rabipur Vial 78,500.00 - - 78,500.00 - - - -
- - - - -
OBAT PROGRAM KESLING
- - - - -
376 Abate Kg 68,500.00 - - 68,500.00 - - - -
377 Abate Galon @ 25 Kg 2,499,250.00 - - 2,499,250.00 - - - -
378 Kaporit Bubuk 60% Galon @ 15Kg 493,050.00 - - 493,050.00 - - - -
OBAT PROGRAM GIZI
379 Iodin Test Btl 19,250.00 - - 19,250.00 - - - -

380 Mineral Mix Sacchet 2,805.00 - - 2,805.00 - - - ED 858
381 Retinol (Vitamin A) 100.000 IU Kapsul 260.00 - - 260.00 - - - -
382 Retinol (Vitamin A) 100.000 IU Kapsul 284.00 - - 284.00 - - - ED 14450
383 Retinol (Vitamin A) 200.000 IU kapsul lun Kapsul 460.00 - - 460.00 - - - -
384 Taburia Sacchet 457.00 - - 457.00 - - - ED 2880
OBAT PROGRAM KESEHATAN IBU DAN ANAK
385 Alat HB Hemoglobin Starter Kit Mission Unit 762,000.00 - - 762,000.00 - - - -

386 Benzatin Benzil Penisilin 1,2 juta IU/ vial Vial 8,935.00 - - 8,935.00 - - - ED 140
387 Benzatin Benzil Penisilin 2,4 juta IU/vial Vial 12,185.00 - - 12,185.00 - - - ED 29+50
388 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul 1,566.00 3 4,698.00 3 1 1,566.00 2 3,132.00 6,264.00 ED 3870
389 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul 3,550.00 - - 3,550.00 - - - -
390 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 1,800.00 - - 1,800.00 - - - -
391 HB Sahli Buah 221,968.00 - - 221,968.00 - - - -
392 Hb Hemoglobin Strip Test Kotak 416,666.67 - - 416,666.67 - - - ED 65
393 Implant Paket - - - - - - - -
394 IUD Pcs - - - - - - - -
395 Kaporit Tablet Kg 35,990.16 - - 35,990.16 - - - -
396 Kalsium Glukonat inj i.v 10% (100 mg/ml) Ampul 7,800.00 - - 7,800.00 - - - -
397 Kondom Kotak - - - - - - - -
398 Levotiroksin tab 100 mcg/Euthyrox 100 Tab 1,694.00 - - 1,694.00 - - - -
399 Magnesium sulfat injeksi 20% Vial 5,500.00 - - 5,500.00 - - - ED 241
400 Magnesium sulfat injeksi 20% Vial 3,200.00 - - 3,200.00 - - - ED 60
401 Magnesium sulfat injeksi 40% Vial 2,629.00 - - 2,629.00 - - - -
402 Magnesium sulfat injeksi 40% Vial 3,650.00 - - 3,650.00 - - - Rusak 128
403 Oksitosin injeksi 10 IU/ml Ampul 1,900.00 - - 1,900.00 - - - -
404 Paket KIA Paket - - - - - - - -
405 Pita Lila Buah 2,145.00 - - 2,145.00 - - - -
406 Prokain Benzilpenisilin serbuk inj 3 juta I Vial 10,780.00 - - 10,780.00 - - - -
407 Suntik KB 3 Bln @ 1 ml Vial - - - - - - - -
408 Suntik KB 3 Bln @ 3 ml Vial - - - - - - - -
409 Test Kehamilan Strip 2,093.29 - - 2,093.29 - - - -
410 Urin strip(tes protein &gula) Strip 1,122.00 - - 1,122.00 - - - -
411 Underpad Pcs 8,086.00 - - 8,086.00 - - - -
BAHAN MEDIS HABIS PAKAI
412 Alat Suntik 0,05 ml Buah 2,134.00 - - 2,134.00 - - - -

416 Alat Suntik 1 ml. Buah 787.00 - - 787.00 - - - -
417 Alat Suntik 2,5 ml. Buah 650.00 218 141,700.00 218 24 650.00 194 126,100.00 24,463,400.00 ED 6150
418 Alat Suntik 2,5 ml. Buah 1,253.00 - - 1,253.00 - - - ED 5670
419 Alat Suntik 5 ml. Buah 1,000.00 - 200 200 1,000.00 200 200,000.00 40,000,000.00 ed 2494
420 Alat Suntik 5 ml. Buah 1,624.00 - - 1,624.00 - - - -
421 Alat Suntik 10 ml Buah 1,406.00 - - 1,406.00 - - - -
422 Blood Lancet Kotak 15,653.00 2 31,306.00 2 15,653.00 2 31,306.00 62,612.00 -
423 Bisturi No. 11 Buah 3,000.00 - - 3,000.00 - - - -
424 Cat Gut/ Benang Bedah no. 2/0 Set 5,583.00 8 44,664.00 8 2 5,583.00 6 33,498.00 200,988.00 -
425 Cat Gut/ Benang Bedah no. 2/0 Set 35,015.00 - - 35,015.00 - - - -
428 Folley Cathether No. 14 Buah 8,475.00 - - 8,475.00 - - - -
433 Hanscond 6,5 Paket 325.00 - - 325.00 - - - -
434 Hanscond 7 / M Paket 8,436.00 - - 8,436.00 - - - -
435 Hanscond 7,5/L Paket 8,436.00 - - 8,436.00 - - - -
436 Hanscond 8 Paket 325.00 - - 325.00 - - - -
437 Infusion Set anak Set 5,661.00 - - 5,661.00 - - - -
438 Infusion Set dewasa/NIPRO Set 5,373.00 - - 5,373.00 - - - -
439 Infusion Set dewasa Set 5,184.00 - - 5,184.00 - - - -
440 IV catheter no 18 Buah 7,560.00 - - 7,560.00 - - - -
441 IV catheter no 20 Buah 7,579.44 - - 7,579.44 - - -
444 Kasa Pembalut Hidrofil 4m x 10cm Roll 1,083.00 - - 1,083.00 - - - -
445 Kapas Berlemak 500 mg. Roll 16,500.00 1 16,500.00 1 16,500.00 1 16,500.00 16,500.00 -
446 Kapas Pembalut/Adsorben 250 mg. Roll 27,349.28 - - 27,349.28 - - - -
447 Kasa Elastis Roll 23,200.00 - - 23,200.00 - - - -
448 Kasa Meteran 36m x 80cm Roll 150,300.00 1 150,300.00 1 150,300.00 1 150,300.00 150,300.00 -
449 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 1,928.00 3 5,784.00 3 1,928.00 3 5,784.00 17,352.00 -
450 Kasa Pembalut 2m x 80cm. Roll 9,900.00 - - 9,900.00 - - - -
451 Kasa Pembalut Hidrofil 4m x 15cm. Roll 3,986.00 3 11,958.00 3 3,986.00 3 11,958.00 35,874.00 ED 100
452 Kasa Pembalut Hidrofil 4m x 3cm. Roll 607.00 2 1,214.00 2 607.00 2 1,214.00 2,428.00 -
453 Kasa Pembalut Hidrofil 4m x 5cm. Roll 750.00 - - 750.00 - - - -
454 Kasa Steril Kotak 4,300.13 4 17,200.53 4 4,300.13 4 17,200.53 68,802.11 ED 297
455 Kasa Steril Kotak 8,243.00 - - 8,243.00 - - - ED 338
456 Leucoplast 7,50cm x 4,5m Roll 35,532.00 - - 35,532.00 - - - -
457 Masker Buah 532.80 - - 532.80 - - - -
458 Pembalut Gips Roll 32,200.00 - - 32,200.00 - - - -
459 Plastik Besar Pak 10,000.00 - - 10,000.00 - - - -
460 Plastik Kecil Pak 7,000.00 - - 7,000.00 - - - -
461 Plester 5 Yard x 2 Inc. Roll 23,510.24 - - 23,510.24 - - - -
462 Silk (benang bedah sutra) no 3/0 Set 21,975.00 5 109,875.00 5 1 21,975.00 4 87,900.00 351,600.00 -
463 Sofratull Buah 21,310.00 - - 21,310.00 - - - -
464 Transfussion set Set - - - - - - - -
465 Kantong Urin Dewasa Buah 3,000.00 - - 3,000.00 - - - -
466 Kantong Urin Dewasa Buah 5,940.00 - - 5,940.00 - - - -
BAHAN LABORATORIUM
467 Autocliclik Lancing Device Piece 17,938.00 - - 17,938.00 - - - -

468 Alat Hitung bakteri Buah 2,910,000.00 - - 2,910,000.00 - - - -
469 Alat Test Easy Touch Buah 695,000.00 - - 695,000.00 - - - -
470 Alat Benecheck Plus Monitoring Unit 199,855.00 - - 199,855.00 - - - -
471 Alkohol Swab Buah 12,210.00 1 12,210.00 1 1 12,210.00 - - - -
472 Asam Klorida 0,1 N Botol 23,863.04 - - 23,863.04 - - - -
473 Asam Sulfosalisilat 20% Botol 31,300.00 - - 31,300.00 - - - ED 2
474 Bennecheck Urid Acid Test Strip Kotak 130,269.13 - - 130,269.13 - - - ED 622
475 Bennecheck Total Cholesterol Test Strip Kotak 234,958.14 - - 234,958.14 - - - ED 421
476 Bennecheck Blood Glukosa Test Strip Kotak 157,821.58 - - 157,821.58 - - - -
477 Botol 100 ml Buah 1,650.00 - - 1,650.00 - - - -
478 Batang Pengaduk 25 cm Buah 6,120.00 - - 6,120.00 - - - -
479 Centrifuse Buah 4,900,000.00 - - 4,900,000.00 - - - -
480 Erlenmeyer 50 ml Buah 21,500.00 - - 21,500.00 - - - -
481 Golongan Darah Anti-A Monoclonal ReagnBtl@ 10 ml 69,450.00 - - 69,450.00 - - - -
482 Golongan Darah Anti-B Monoclonal ReageBtl@ 10 ml 69,450.00 - - 69,450.00 - - - -
483 Golongan Darah Anti-A,B Monoclonal ReaBtl@ 10 ml 93,760.00 - - 93,760.00 - - - -
484 Golongan Darah Anti-D Duoclone ReagentBtl@ 10 ml 115,320.00 - - 115,320.00 - - - -
485 Kawat Ose Buah 13,001.00 - - 13,001.00 - - - -
486 Kertas Lakmus Buah 49,435.00 - - 49,435.00 - - - -
487 Kertas Golongan darah Lembar 230.00 - - 230.00 - - - -
488 Lampu Spiritus Buah 69,000.00 - - 69,000.00 - - - -
489 Larutan Anisol Btl 1,415,994.00 - - 1,415,994.00 - - - -
490 Larutan Asam Asetat Btl 58,400.00 - - 58,400.00 - - - ED 6
491 Larutan Bennedict Btl 68,000.00 - - 68,000.00 - - - ED 5
492 Larutan Emersi Btl@50ml 203,413.04 - - 203,413.04 - - - -
493 Larutan Eosin 2 % Btl 143,750.00 - - 143,750.00 - - - -
494 Larutan Etanol Asam Btl 28,000.00 - - 28,000.00 - - - -
495 Larutan Gebbet Btl 424,000.00 - - 424,000.00 - - - -
496 Larutan Giemsa Stain Btl@100ml 360,150.00 - - 360,150.00 - - - -
497 Larutan H2O2 50 % Btl 14,804.00 - - 14,804.00 - - - -
498 Larutan Karbol Fuksin Btl 74,000.00 - - 74,000.00 - - - -
499 Larutan Kinyoun Btl 785,000.00 - - 785,000.00 - - - ED 8
500 Larutan Metilen Blue Btl 32,600.00 - - 32,600.00 - - - -
501 Larutan Ress Eccer Btl 97,000.00 - - 97,000.00 - - - ED 4
502 Larutan Turk Btl 27,500.00 - - 27,500.00 - - - -
503 Larutan Xylol Btl 31,000.00 - - 31,000.00 - - - ED 6
504 Larutan Ziehl Nielson Paket - - - - - - - -
505 Malaria test Buah 35,035.00 - - 35,035.00 - - - -
506 Pipet Eritrosit Buah 1,716.00 - - 1,716.00 - - - -
507 Pot Dahak Buah 2,932.60 - - 2,932.60 - - - -
508 Respirator Buah 410,000.00 - - 410,000.00 - - - -
509 Slide Buah 2,608.33 - - 2,608.33 - - - -
510 Slide Boks Buah 190,000.00 - - 190,000.00 - - - -
511 Test Golongan Darah Paket 603,300.00 - - 603,300.00 - - - -
512 Tissu Lensa Buah 54,000.00 - - 54,000.00 - - - -
ALKES
513 ABN Calibra Aneroid Sphygmomanometer Unit 158,701.00 - - 158,701.00 - - - -

514 ABN Classic Stethoscope Black Adult Unit 223,710.00 - - 223,710.00 - - - -
515 ABN Digital Spygmomanometer With Infl Unit 1,247,035.00 - - 1,247,035.00 - - - -
VAKSIN
516 BCG Vial 59,590.00 - - 59,590.00 - - - -

517 DPT-HB.HIB/pentabio Buah 69,350.00 - - 69,350.00 - - - -
518 POLIO Vial 18,140.00 - - 18,140.00 - - - -
519 CAMPAK Vial 28,204.00 - - 28,204.00 - - - -
520 Hepatitis B/uniject Vial 20,900.00 - - 20,900.00 - - - -
521 TT Vial 14,201.00 - - 14,201.00 - - - -
522 DT Vial 16,180.00 - - 16,180.00 - - - -
523 TD Vial 16,500.00 - - 16,500.00 - - - -
524 ADS 0,05 ml Ampul 1,650.00 - - 1,650.00 - - - -
525 ADS 0,5 ml Buah 1,240.00 - - 1,240.00 - - - -
526 ADS 5 ml Buah 1,705.00 - - 1,705.00 - - - -
527 Safety Box Buah 16,886.10 - - 16,886.10 - - - -
ITEM BARU
528 RDT HBSAG Test 9,875.00 - - 9,875.00 - - - -

529 Polio IPV inj 0,5 ml Vial 139,760.00 - - 139,760.00 - - - -
530 Miconazol Serbuk 2%/Mycorin Powder Btl@25gr 26,950.00 - - 26,950.00 - - -
531 Bisakodil 10 mg supp/Dulcolax supp adul Supp 5,800.00 - - 5,800.00 - - -
532 Bisakodil 5 mg supp/Dulcolax supp infant Supp 5,800.00 - - 5,800.00 - - -
533 Bisakodil tab salut 5 mg Tablet 300.00 - - 300.00 - - -
534 Allopurinol tab 300 mg Tab 222.00 - - 222.00 - - -
535 Metoklopramide drop 2mg/ml / MepramBotol@10 ml 4,800.00 - - 4,800.00 - - -
536 Framisetin sulfat 1 % / Daryant Tulle Pcs 8,990.00 - - 8,990.00 - - -
537 Klobazam 10 mg Tab 967.00 - - 967.00 - - -
538 RDT HIV AIDS Test 21,815.00 - - 21,815.00 - - -
539 Hansaplast Plaster Roll 2,5 cm x 4,5 cm Roll 11,964.00 - - 11,964.00 - - -
540 Kalsium Karbonat 500 mg ( Vit. D / Calpor Tab 430.00 - - 430.00 - - -
541 Fenitoin 30 mg / Decatona 30 mg Kap 142.00 - - 142.00 - - -
542 Hb Ig Vial 1,300,000.00 - - 1,300,000.00 - - -
543 Vaksin Meales Rubella ( MR ) Ampul 141,648.00 - - 141,648.00 - - -
544 Emmersion oil 500 mg Botol 836,595.00 - - 836,595.00 - - -
545 Alat Deteksi Resti Buah - - - - -
546 RDT Hepatitis C Strip 13,329.00 - - 13,329.00 - - -
547 Asetil Systein Tablet 104.00 - - 104.00 - - -
548 Microlit Tips For Micro Pipet Pack 1000p 181,469.00 - - 181,469.00 - - -
549 Albendazole tab Tablet 3,849.00 - - 3,849.00 - - -
550 Infuset Dewasa Set 8,610.00 - - 8,610.00 - - -
551 Metformin 850 mg tab Tablet 94.00 - - 94.00 - - -
552 Vaksin HBSAG vial - - - - -
553 Tabung Edta Buah - - - - -
554 Preparat atau Kaca Slide Paket - - - - -
555 bricasma respules inh 2,5 mg/ml nebule 7,124.00 - - 7,124.00 - - -
556 kasa pembalut hidrofil 3m x 15cm roll 3,986.00 - - - - -
557 RDT sifilis - - - - -
558 Paper Tape/2,5 cm x 9,14 m roll 13,667,94 410,038.20 - 13,667,94 - 287,026.74 -
559 Umbilical cord klem steril nylon box 69,875.00 - - 69,875.00 - - -
560 Aprazolam 1 mg Tablet 120.00 - - 120.00 - - -
561 Nasal Oxygen,O2 Cannula size L Pcs 9,425.00 - - 9,425.00 - - -
562 Sensosurge surgical glove steril 7 buah 6,595.00 - - 6,595.00 - - -
563 Sensosurge surgical glove steril 6,5 buah 6,595.00 - - 6,595.00 - - -
564 TRO-VENOCATH, SINE 24G I.V Cannula buah 12,631.00 - - 12,631.00 - - -
567 TROGE TRO-SOLUSET G (INFUSION SET buah 5,445.00 - - 5,445.00 - - -
568 TRO-SENSOSURGE, SURGICAL GLOVE ST buah 6,595.00 - - 6,595.00 - - -
569 Silk (benang bedah sutra) no 3/0 box - - - - -
570 SKIFA-Steril latex surgical glove no.7 box - - - - -
571 Autocheck glucose box 137,500.00 - - 137,500.00 - - -
572 Autocheck Urin box 178,750.00 - - 178,750.00 - - -
573 Autocheck colestrol box 368,500.00 - - 368,500.00 - - -
574 AMBROXOL 30/230 MG Tab 155.33 - 500 500 90 155.33 410 63,685.30 26,110,973.00
575 AMBROXOL SIRUP Botol 5,012.00 - - 5,012.00 - - -
576 AMLODIPINE 10/120 MG TABLET Tab 92.00 - - 92.00 - - -
577 BETAMETASON 0,1% KRIM Tube 1,430.00 - - 1,430.00 - - -
578 Cefadroxil 500 mg Kapsul Tab 787.36 - - 787.36 - - -
579 DEXAMETHASONE 0.5 MG Tab 117.45 - 500 500 60 117.45 440 51,678.00 22,738,320.00
580 GLYCERIL GUAIKOLAT Tab 234.88 500 117,440.00 300 800 273 234.88 527 123,781.76 65,232,987.52
581 IBUPROFEN SUSPENSI 100MG/5Ml Botol 2,721.00 28 76,188.00 28 6 2,721.00 22 59,862.00 1,316,964.00
582 METHYLPREDNISOLONE 4MG MOLEX Tab 143.00 - - 143.00 - - -
583 METRONIDAZOLE 500 MG. Tab 286.00 - - 286.00 - - -
584 PARACETAMOL SYRUP Botol 5,066.00 10 50,660.00 10 20 5 5,066.00 15 75,990.00 1,139,850.00
585 PIROXICAM 20 MG Tab 156.49 200 31,298.00 200 50 156.49 150 23,473.50 3,521,025.00
586 FITUNO Box 124,893.00 - - 124,893.00 - - -
JUMLAH 71,985,241.38 14,535 5,250,951.73 5,540.00 20,675 5,111.00 71,981,255.38 15,564 4,908,902.83 3,905,239,400.63 1.00
UMUM BPJS JUMLAH
Air Naningan, 31 Januari 2020

Mengetahui Yang Membuat Laporan
Bambang Nurwanto, SKM. M. Kes SURATMINAH S.ST

NIP. 19680418 199101 1 001 NIP : 19870902 198912 2 001
LAPORAN PERSEDIAAN DAN BEBAN PERSEDIAAN OBAT DA
PUSTU KARANGSARI UPTD PUSKESMAS AIR NANINGAN DINAS KE
TAHUN 2020
Bulan : : Maret 2020
HARGA STOCK
NO. NAMA OBAT SATUAN NILAI (Rp.)
SATUAN (Rp.) AWAL
1 2 3 4 5 5b=(4x5)
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 2,750.00 - -
2 Albendazol tab 400 mg Tab 392.00 38 14,896.00
3 Albendazole susp 200mg/5ml Botol@60ml 3,849.00 - -
4 Alopurinol tab 100 mg Tab 110.00 - -
5 Ambroksol Tab 30 mg Tab 123.00 370 45,510.00
6 Ambroksol Tab 30 mg Tab 202.84 - -
7 Ambroksol Syr 30mg/5 ml Btl 3,750.00 - -
8 Aminofilin injeksi 24 mg/ml Ampul 3,823.00 - -
9 Aminofilin injeksi 24 mg/ml Ampul 2,998.00 - -
10 Aminofilin tablet scored 200 mg Tab 91.00 293 26,663.00
11 Amlodipin tablet 10 mg Tab 148.00 - -
12 Amlodipin tablet 5 mg Tab 187.00 - -
13 Amoksisilin kap 250 mg Kaps 180.00 - -
14 Amoksisilin kap scored 500 mg Kaptab 232.00 200 46,400.00
15 Amoksisilin sirup kering forte 250 mg/5 ml Btl@ 60 ml 3,519.00 - -
16 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 1,881.00 - -
17 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 4,200.00 - -
18 Ampisilin Tab 500 mg Tab 477.00 - -
19 Ampisillin syr kering 125 mg / 5 ml 8,155.00 - -
20 Antalgin Tab 500mg Tab 191.00 - -
21 Antalgin Inj 250mg/2ml Ampul 2,900.00 - -
22 Antasida DOEN I tablet kunyah, komb Tab 72.00 126 9,072.00
23 Antasida DOEN I tablet kunyah, komb Tab 62.00 - -
24 Antasida DOEN II suspensi, komb Btl @ 60 ml 2,160.00 7 15,120.00
25 Anti Bakteri DOEN salep kombi Tube @ 5g 2,924.00 - -
26 Anti Diare/ Diapecta tab Tab 145.00 - -
27 Anti Konstipasi / Laxadin Emulsion Btl 7,700.00 - -
28 Antihemoroid komb Supp 3,045.00 - -
29 Antifungi Doen Kombinasi Pot @ 30 g 4,323.00 12 51,876.00
30 Antimigren tab Komb Tab 135.00 - -
31 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 116.00 - -
32 As. Asetilsalisilat (asetosal) 80 mg/Miniaspi Tab 92.00 - -
33 As. Asetilsalisilat (asetosal) tab 500 mg Tab 162.00 - -
34 Asam Askorbat (Vitamin C) tablet 250 mg Tab 125.00 - -
35 Asam Askorbat (Vitamin C) tablet 50 mg Tab 104.00 77 8,008.00
36 Asam Folat/Profolat 0,4 mg Tab 55.00 - -
37 Asam Mefenamat kaps 250 mg Kap 158.00 - -
38 Asam Mefenamat kaps 500 mg Kaptab 100.00 252 25,200.00
39 Asam pipemidat kap 400 mg/Urotractin tab Tab 1,815.00 - -
40 Asam traneksamat injeksi 50 mg/ml Ampul 1,956.00 - -
41 Asifit Tab Tab 1,818.00 - -
42 Asiklovir Krim Tube @ 5g 2,861.00 - -
43 Asiklovir Krim Tube @ 5g 3,138.00 - -
44 Asiklovir salep mata 3%/Temiral Eye Oint Tube 3,5 g 24,750.00 - -
45 Asiklovir tab 200 mg Tab 240.00 - -
46 Asiklovir tab 200 mg Tab 249.00 224 55,776.00
47 Asiklovir tab 400 mg Tab 226.08 - -
48 Atapulgit tab 600 mg/Pularex Tab 140.00 923 129,220.00
49 Atropin Sulfat Inj 0,25mg/1ml Ampul 1,540.00 - -
50 Bedak salisil serbuk 2% Ktk @ 50 g 1,020.00 - -
51 Betahistine Maleat 6 mg Tablet 149.00 - -
52 Betametason krim 0,1% Tube 5 gr 1,349.00 2 2,698.00
53 Betason N Krim Tube 5 gr 9,182.00 - -
54 Bioneuron Inj Ampul 4,341.00 - -
55 Bisakodil suppositoria 10 mg/Stolax Supp Supp 6,045.00 - -
56 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tab 650.00 - -
57 Chloramfecort H Cream Tube @ 5g 9,085.00 - -
58 Deksametason inj 5 mg/ml Ampul 1,540.00 - -
59 Deksametason tablet 0,5 mg Tab 41.00 - -
60 Dekstran 70-larutan infus 6% steril Botol 40,100.00 - -
61 Diazepam larutan rektal 5 mg/2,5 mL/Stesol
Tube @ 2,5 ml 12,090.00 - -
62 Diazepam injeksi i.v./i.m 5 mg/ml Ampul 2,344.00 - -
63 Diazepam tablet 2 mg Tab 27.00 - -
64 Diazepam tablet 5 mg Tab 117.00 - -
65 Dietilkarbamazin tablet scored 100 mg Tab 119.00 - -
66 Difenhidramin inj 10 mg/ml (HCl) Ampul 1,062.00 132 140,184.00
67 Difenhidramin inj 10 mg/ml (HCl) Ampul 1,176.00 - -
68 Digoksin tablet 0,25 mg Tab 91.00 - -
69 Digoksin tablet 0,25 mg Tab 105.00 - -
70 Diltiazem HCl tablet 30 mg Tab 134.00 - -
71 Doksisiklin Kap 100 mg Kapsul 268.00 - -
72 Domperidon susp/sirup 5 mg/5 ml btl @ 60 ml 3,000.00 - -
73 Domperidon tablet 10 mg Tab 95.00 194 18,430.00
74 Efedrin tab 25 mg Tab 176.00 - -
75 Ekstrak Beladona tab 10 mg Tab 38.00 - -
76 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 8,100.00 - -
77 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 2,204.00 - -
78 Eritromisin kaps 250 mg Kapsul 557.00 - -
79 Eritromisin kaplet 500 mg Kaplet 730.00 - -
80 Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml 6,150.00 - -
81 Etakridina (Rivanol) Lar 0,1 % 300 ml Botol 3,289.00 1 3,289.00
82 Etanol 70% cairan btl @ 100 ml 2,500.00 - -
83 Etanol 70% cairan Btl @ 1000 ml 18,600.00 - -
84 Etanol 96% Btl @ 300 ml 25,000.00 - -
85 Febrinex Syr Btl @ 60 ml 15,830.00 - -
86
Fenoterol HBr aerosol

Vial
100mcg/dosis/Berotec MDI
80,000.00 - -
87 Fenol gliserol TT 10 % Btl @ 5ml 2,500.00 6 15,000.00
88 Finasterid tab 5 mg/Prostacom Tab Tab 2,950.00 - -
89 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 634.00 - -
90 Fituno Tab Tab 3,014.00 - -
91 Flusinolon asetonid krim 0,025%/Synarcus Tube 5 g 2,400.00 - -
92 Furosemid inj 10 mg/ml Ampul 1,829.00 - -
93 Furosemid tablet 40 mg Tab 80.00 255 20,400.00
94 Gentamisin injeksi 40 mg/ ml Ampul 3,386.00 - -
95 Gentamisin salep Kulit Tube @ 5 g 1,350.00 - -
96 Gentamisin salep mata 0,3%/Genoint SM Tube @ 3,5 gr 2,960.00 16 47,360.00
97 Gentamisin tetes mata 0,3% Btl @ 5 ml 4,170.00 - -
98 Gentian Violet 1% Btl 900.00 - -
99 Glibenklamid tablet 5 mg Tab 56.00 200 11,200.00
100 Gliklazid tab 80 mg/Glicab Tab Tab 248.00 - -
101 Glimepiride tablet 2 mg Tab 231.00 - -
102 Glimepiride tablet 3 mg Tab 289.00 - -
103 Gliseril Guayakolat tab 100mg Tab 114.00 - -
104 Glukosa larutan infus 10 % steril Btl @ 500 ml 7,500.00 - -
105 Glukosa larutan infus 5 % steril Btl @ 500 ml 6,900.00 - -
106 Glukosa Larutan Infus 40 % btl @ 100 ml 1,960.00 - -
107 Griseofulvin tablet 125 mg Tab 249.00 - -
108 Hidroklorotiazid (HCt ) Tab 25 mg Tab 149.00 203 30,247.00
109 Hidrokortison krim 2,5 % Tube 5 gr 2,640.00 - -
110 Ibuprofen sirup 100 mg/5 ml btl @ 60 ml 2,475.00 35 86,625.00
111 Ibuprofen tablet 200 mg Tab 102.00 - -
112 Ibuprofen tablet 400 mg Tab 111.00 - -
113 Ichtyol Salep Pot @ 30 gram 4,420.00 - -
114 Isosorbid Dinitrat tablet sublingual 5 mg Tab 88.00 - -
115 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 198.00 - -
116 Kalium Diklofenak tab 25 mg Tab 332.00 - -
117 Kalium Diklofenak tab 50 mg Tab 425.00 - -
118 Kalsium Laktat (Kalk) tab 500 mg Tab 56.00 - -
119 Kaptopril tablet scored 25 mg Tab 80.00 - -
120 Kaptopril tablet scored12,5 mg Tab 62.00 - -
121 Ketokonazol krim 2% Tube @ 15 g 2,599.00 - -
122 Ketokonazol tablet 200 mg Tab 280.00 30 8,400.00
123 Ketorolac injeksi 30 mg/ml Ampul 1,240.00 - -
124 Klindamisin kapsul/kaplet 150 mg Kapsul 382.00 - -
125 Klindamisin kapsul/kaplet 300 mg Kapsul 553.00 - -
126 Klonidin tablet 0,15 mg Tab 170.00 - -
127 Kloramfenikol kap 250 mg Kapsul 500.00 - -
128 Kloramfenikol salep kulit 2%/Bufacetin Tube @ 15g 3,008.00 - -
129 Kloramfenikol salep mata 1 % Tube 5 gr 1,810.00 26 47,060.00
130 Kloramfenikol inj 1000 mg/Chloramex inj vial 7,954.00 - -
131 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 60 ml 4,700.00 - -
132 Kloramfenikol Tetes Mata/Decacetin OTM Btl @ 5 ml 3,250.00 - -
133 Kloramfenikol Tetes Telinga Btl @ 5 ml 5,940.00 - -
134 Klorfeniramina Maleat (CTM) tab 4 mg Tab 42.00 - -
135 Kodein tablet 10 mg Tab 500.00 - -
136 Komb Amoks + As. Klavulanat/Co-Amoxicl Tab 4,550.00 - -
137 Kombinasi tablet salut : Besi (II) sulfat Tab
tab+as.folat/Tab. Tambah Darah
352.00 1,060 373,120.00

138 Kombinasi tetes mata /Cendo Lyteers Btl @ 15 ml 19,125.00 - -
139 Kotrimoksazol DOEN I (dewasa) komb Tab 129.00 4,310 555,990.00
140 Kotrimoksazol Pediatrik Tab Tab 75.00 - -
141 Kotrimoksazol Suspensi komb Btl @ 60 ml 2,286.00 10 22,860.00
142 Lanzoprazol kapsul/kaplet 30 mg Kapsul 473.00 - -
143 Levertan Pot 4,780.00 - -
144 Lidokain injeksi 2% (HCl) Ampul 1,295.00 5 6,475.00
145 Lidokain injeksi 2% (HCl) Ampul 1,937.00 - -
146 Lidokain jeli 2%/Xylocaine Jelly 2% syringe @ 10 g 40,000.00 3 120,000.00
147 Lisol Btl @ 300 ml 21,700.00 1 21,700.00
148 Lisol Btl @ 300 ml 45,096.70 - -
149 Loperamid tablet 2 mg Tab 85.00 - -
150 Loratadin tablet 10 mg Tab 125.00 - -
151 Mebendazol tablet 500 mg/Vermox tab Tab 7,140.00 - -
152 Mebendazol Sirup 50 mg/ml btl 3,534.00 - -
153 Meloxicam 7,5 mg tab 297.00 - -
154 Meloxicam 15 mg tab 1,199.00 - -
155 Metformin HCl tablet 500 mg Tab 94.00 - -
156 Metilergometrin Maleat tab salut 0,125 mg Tab 153.00 - -
157 Metilergometrin Maleat inj 0,200 mg-1 ml Ampul 2,849.00 - -
158 Metilprednisolon tablet 16 mg Tab 1,076.00 - -
159 Metilprednisolon tablet 4 mg Tab 194.00 - -
160 Metilprednisolon tablet 8 mg Tab 295.00 - -
161 Metoklopramide injeksi 5 mg/ ml Ampul 3,395.00 - -
162 Metoklopramide sirup 5 mg/ 5 ml/Lexapram
Btl @ 60 ML 2,600.00 - -
163 Metoklopramide tablet 10 mg Tab 87.00 - -
164 Metronidazol infus 500 mg/100 ml Btl @ 100 ml 9,950.00 - -
165 Metronidazol ovula 500 mg/Vagizol Tab Vag 3,850.00 - -
166 Metronidazol sirup 125 mg/5 Ml Btl @ 60ml 3,800.00 - -
167 Metronidazol supositoria 500 mg/Flagyl Supp 3,220.00 - -
168 Metronidazol tablet 250 mg 90.00 - -
169 Metronidazol tablet 500 mg Tab 133.00 - -
170 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,000.00 7 21,000.00
171 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,250.00 - -
172 Miraclav tab Tab 13,200.00 - -
173 Miraneuron kap Kap 598.00 - -
174 Multivitamin Kom Dewasa/Ramaton Tab Tab 698.00 - -
175 Multivitamin Anak+DHA Syr/Bionick DHABtl @ 60 ml 16,000.00 - -
176 Multivitamin Anak Syr/Bionick Syr Btl @ 60 ml 18,700.00 - -
177 Multivitamin Bayi Drop/Bionick Drop Btl @ 30 ml 22,500.00 - -
178 Nacl 0,9% Btl 500 ml 6,410.00 4 25,640.00
179 Natrium Bikarbonat Tab 500mg Tab 24.00 - -
180 Natrium Diklofenak tablet 50 mg Tab 122.00 150 18,300.00
181 Natrium Diklofenak tablet 25 mg Tab 132.00 32 4,224.00
182 Natrium Tiosulfat Inj 25%-10 ml Ampul 3,000.00 - -
183 Neurovit E tab Tab 818.00 - -
184 Nifedipin tab 10 mg Tab 110.00 - -
185 Nifedipin tab 10 mg Tab 108.00 - -
186 Nistatin tablet salut 500.000 IU/ g Tab 640.00 - -
187 Nistatin tablet salut 500.000 IU/ g Tab 765.00 - -
188 Nistatin vaginal tablet 100.000 IU/ g Tab Vag 523.00 - -
189 Noza tab Tab 399.00 - -
190 Obat Batuk Hitam (OBH) Syrup Btl @ 100 ml 6,600.00 - -
191 Obat Batuk pilek Komb (Hustab tab) Tab 284.00 - -
192 Obat Flu Anak komb (Flutamol Syr) Btl @ 100 ml 13,500.00 - -
193 Ofloxacin tablet 200 mg Tab 400.00 - -
194 Ofloxacin tablet 400 mg Tab 650.00 - -
195 Ofloksasin tetes telinga 3%/Tarivid Otic Solu Botol 45,089.00 - -
196 Oksimetazolin tts hidung 0,025%/Ilaidin Dr botol @ 10 ml 27,550.00 1 27,550.00
197 Oksimetazolin tts hidung 0,025%/Ilaidin Dr botol @ 10 ml 30,000.00 - -
198 Oksitetrasiklin HCl inj 50 mg/ ml Vial 3,100.00 - -
199 Oksitetrasiklin HCl Salep 3 % Tube 2,514.00 - -
200 Oksitetrasiklin HCl Salep 1 % Tube 1,824.00 - -
201 Omeprazol injeksi 40 mg/ 10 ml Vial 16,997.00 - -
202 Omeprazol kaps 20 mg Kaps 211.00 - -
203 Omeprazol kaps 20 mg Kaps 140.00 - -
204 ondansetron inj 4 mg/ 2 mL Ampul 2,400.00 - -
205 ondansetron inj 4 mg/ 2 mL Ampul 1,254.00 - -
206 Ondansetron tab 4 mg Tab 716.00 - -
207 Ondansetron tablet 8 mg Tab 1,189.00 - -
208 Papaverin Tab Tab 112.00 - -
209 Papaverin Inj Ampul 1,150.00 - -
210 Parasetamol drop ( Generik) Botol @ 15 Ml 5,200.00 - -
211 Parasetamol sirup 120 mg / 5 ml Btl @ 60 ml 1,438.00 - -
212 Parasetamol tablet 500 mg Tab 79.00 - -
213 Parasetamol Drop /Fasidol Drop Btl @ 15 ml 6,450.00 - -
214 Perak sulfadiazin krim 1%/Burnazine cr tube @ 35 gram 20,700.00 - -
215 Permetrin krim 5%/Scabimite Cream Tube @ 10 g 10,430.00 - -
216 Permetrin krim 5%/Scabimite Cream Tube @ 10 g 12,155.00 - -
217 Petidin inj 50 mg/ml (HCl) Ampul 14,500.00 - -
218 Pirantel suspensi 125 mg/5 ml Btl @ 60 ml 8,360.00 - -
219 Pirantel tablet score (base) 125 mg Tab 277.00 196 54,292.00
220 Piridoksin (vitamin B6) 10 mg Tab 27.00 459 12,393.00
221 Piridoksin (vitamin B6) 10 mg Tab 118.00 - -
222 Piroxicam tab 10mg Tab 86.00 - -
223 Piroxicam tab 20mg Tab 105.00 150 15,750.00
224 Povidon Iodida larutan 10% 1000 ml Btl @ 1000 ml 87,604.00 1 87,604.00
225 Povidon Iodida larutan 10% 30 ml Bt l@ 30 ml 3,182.30 - -
226 Povidon Iodida larutan 10% 300 ml Btl @ 300 ml 14,203.00 - -
227 Povidon Iodida larutan 10% 60 ml btl 60 ml 3,500.00 - -
228 Prednison tablet 5 mg Tab 76.00 - -
229 Progastric tab Tab 303.00 - -
230 Propanolol tablet 10 mg ( HCl ) Tab 65.00 - -
231 Propanolol tablet 10 mg ( HCl ) Tab 52.00 - -
232 Propranolol tablet 40 mg (HCl) Tab 107.00 - -
233 Propiltiourasil tab 100 mg Tab 264.00 - -
234 Ranitidin injeksi 25 mg/ml Ampul 1,140.00 - -
235 Ranitidin tablet 150 mg Tab 98.00 - -
236 Ringer Laktat larutan infus Btl @ 500 ml 7,150.00 - -
237 Risperidon tablet 2 mg Tab 347.00 - -
238 Salbutamol tab 2mg Tab 66.00 - -
239 Salbutamol Tab 4 mg Tab 83.00 70 5,810.00
240 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl 16,445.00 - -
241 Salbutamol inh 100 mcg/dosis/Ventolin Inha Btl 63,750.00 - -
242 Salbutamol Syr Btl 4,750.00 - -
243 Salep 2-4 , Komb Pot @ 30 gram 2,000.00 15 30,000.00
244 Salep 2-4 , Komb Pot @ 30 gram 2,527.00 - -
245 Sefadroksil sirup kering 125 mg/5ml Btl @ 60 ml 3,984.00 - -
246 Sefadroksil kapsul 500 mg Kapsl 516.00 - -
247 Sefaleksin kapsul 500 mg Kapsul 1,000.00 - -
248 Sefiksim kapsul 100 mg Kapsul 859.00 - -
249 Sefiksim sirup kering 100 mg/ 5 ml Btl @ 30 ml 7,490.00 - -
250 Sefotaksim injeksi 1 g Vial 6,325.00 - -
251 Seftriakson serbuk injeksi 1 g/vial Vial 3,300.00 - -
252 Serum ABU Polivalen inj 5 ml Vial 589,900.00 - -
253 Serum ABU Polivalen inj 5 ml Vial 473,000.00 - -
254 Serum ATS 1500 IU/ml Ampul 157,000.00 - -
255 Serum ATS 1500 IU/ml Ampul 126,500.00 - -
256 Serum ATS 20.000 mcg.ml Vial 523,300.00 - -
257 Setirizin sirup 5 mg/5 ml Btl @ 60 ml 7,999.00 2 15,998.00
258 Setirizin tablet 10 mg Kapsul 96.00 - -
259 Sianokobalamin (vitamin B12) inj 500 mcg Ampul 1,077.00 - -
260 Sianokobalamin (vitamin B12) inj 500 mcg Ampul 1,087.00 - -
261 Sianokobalamin (vitamin B12) tab 50 mcg Tab 57.00 500 28,500.00
262 Simetidine Tab 10 mg Tab 160.00 - -
263 Simvastatin scored tablet 10 mg Kap 131.00 265 34,715.00
264 Simvastatin tab 20 mg Tab 229.00 100 22,900.00
265 Siprofloksasin tablet 500 mg (sebagai HCl) Tab 240.00 1,505 361,200.00
266 Spiramisin tablet 500 mg Tab 1,499.00 - -
267 Spironolakton tablet 100 mg Tab 900.00 - -
268 Spironolakton tablet 25 mg Tab 294.00 - -
269 Stimuno Syr Btl @ 60 ml 25,420.00 - -
270 Stimuno Tab Tab 2,430.00 - -
271 Sukralfat susp 500 mg/5 mL/Ulsafate Btl @ 100 ml 13,425.00 - -
272 Sukralfat tab 500 mg/Ulsidex Tab 296.00 - -
273 Tab Tambah darah/Hemafort Tab 834.90 - -
274 Terbutalin tablet 2,5 mg/Molasma Tab 99.00 - -
275 Tetrasiklin kapsul 250 mg Kapsul 149.00 - -
276 Tetrasiklin kapsul 250 mg Kapsul 168.00 - -
277 Tetrasiklin Kapsul 500 mg Kapsul 300.00 - -
278 Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
279 Thiamin HCl inj 100mg/ml Ampul 690.00 - -
280 Thiamin Mononitrat Tab 50 mg Tab 82.00 440 36,080.00
281 Thiamfenikol Kap 500 mg Kapsul 900.00 - -
282 Tramadol injeksi 50 mg/ml Ampul 1,800.00 - -
283 Tramadol Tab 50 mg Tab 387.00 - -
284 Urea krim 10%/Soft U Derm tube 6,809.00 - -
285 Videne Povidone Iodine 500 ml Btl 27,500.00 - -
286 Vitamin Tab/Becefort Tab Tab 1,545.43 - -
287 Vitamin Syr/Becefort Syr Btl 17,365.00 - -
288 Vitamin B Kompleks tablet Tab 115.00 - -
OBAT ASKES - -
289 Broadamox 500 mg Tab 1,100.00 - -
290 Cargesik tab 500 mg Tab 448.00 - -
291 Farmoten tab 12,5 mg Tab 270.00 - -
292 Hufadin tab Tab 565.00 - -
293 Icthyol Zalf Pot 5,455.00 - -
294 Levertraan Zalf Pot 4,091.00 - -
295 Mirasic tab 500 mg Tab 248.00 - -
296 Miraneuro Tab tab 891.00 - -
OBAT PROGRAM GIGI
297 Air Raksa DentalUse Botol 103,536.00 - -

298 Devitalisasi Pasta (Non Arsen) Pot 382,000.00 - -
299 Etil Klorida Semprot Botol 107,000.00 - -
300 Eugenol cairan Botol 18,100.00 - -
301 Glass Ionomer Cement (gc IX) Btl 858,000.00 - -
302 Kalsium hidroksida Pasta Set 23,000.00 - -
303 Monoklor Mentol Cairan/CHKM Btl 55,000.00 - -
304 Mummfying Pasta Btl 172,000.00 - -
305 Semen Seng Fosfat Serbuk Btl 93,000.00 - -
306 Silver Amalgam Btl 227,311.00 - -
307 Spon Gelatin Cubicles 1x1x1 cm Buah 9,471.00 - -
308 Temporary Stopp. F. srb & Cair Btl 34,000.00 - -
309 Trikresol Formalin Btl 40,330.00 - -
310 GC Fuji Varnish (Butter Coconut/Varnish) Btl 230,000.00 - -
311 Articulation Paper Red GC Kotak 145,000.00 - -
OBAT PROGRAM JIWA
312 Amitriptilin tablet salut 25 mg (HCl) Tab 112.00 - -

313 Amitriptilin tablet salut 25 mg (HCl) Tab 143.00 - -
314 Fenitoin injeksi 50 mg/ml Ampul 20,250.00 - -
315 Fenitoin kap 100 mg Kaplet 152.00 - -
316 Fenobarbital tab 100 mg Tab 220.00 - -
317 Fenobarbital tab 30 mg Tab 64.00 - -
318 Haloperidol tablet 0,5 mg Tab 56.00 - -
319 Haloperidol tablet 1,5 mg Tab 61.00 - -
320 Haloperidol tablet 5 mg Tab 96.00 - -
321 Haloperidol tablet 5 mg Tab 75.00 - -
322 Karbamazepin sir 100 mg/5 ml/Tegretol Syr
Btl @ 120 ml 44,770.00 - -
323 Karbamazepin tablet 200 mg Tab 228.00 - -
324 Klorpromazin tablet salut 100 mg (HCl) Tab 149.00 - -
325 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1,021.00 - -
326 Klorpromazin tablet salut 25 mg (HCl) Tab 68.00 - -
327 Trifluoferazin tab 5 mg Tab 274.00 - -
328 Triheksifenidil HCl tab 2 mg Tab 80.00 - -
329 neo mercazole/ carbamazole Tab - - -
OBAT PROGRAM FARMASI
329 Alu +Mortir 10 Cm Buah 65,738.00 - -

330 Boraks Test Set 1,642,000.00 - -
331 Boraks Test Set 1,182,000.00 - -
332 Formalin Test Set 1,641,500.00 - -
333 Formalin Test Set 1,264,850.00 - -
334 Rhodamin Test Set 1,642,000.00 - -
335 Rhodamin Test Set 1,402,250.00 - -
336 Methanyl Yellow Test Unit 1,248,400.00 - -
OBAT PROGRAM MALARIA
337 ACT Tab Blister 1,375.00 - -

338 Antimalaria DOEN kombinasi /suldox tab Tab 478.00 - -
339 Artemether injeksi 80 mg/ml/Artem Ampul 25,490.00 - -
340 Arterakin/Darplex/DHP Tab Tab 3,567.00 - -
341 Artesunate inj 60 mg/ml/Artesunate Vial 39,000.00 - -
342 Fokus Malaria PF&PV Casette Unit 53,110.00 - -
343 Kuinin (Kina) tablet 200 mg Tab 670.00 - -
344 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Ampul 6,200.00 - -
345 Kuinin tablet 222 mg (H2SO4.7H2O) Tab 400.00 - -
346 Larvasida Malaria Galon 11,200,000.00 - -
347 Primakuin tablet 15 mg Tab 224.00 - -
348 RDT Malaria Test 5,271.00 - -
349 RDT Malaria Piece 12,950.30 - -
OBAT PROGRAM DIARE

350 Garam Oralit I serbuk, kombi Sacchet 264.00 94 24,816.00
351 Zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml 12,840.00 - -
352 Zinc sir 10 mg/mL/Zinc Kid Btl @ 100 ml 14,980.00 50 749,000.00
353 Zinc sir 20 mg/5 ml Btl @ 60 ml 4,789.00 - -
354 Zinc tablet dispersible20 mg Tab 474.00 - -
- -
OBAT PROGRAM TB - -
355 Isoniazid 100 mg Tab 71.00 - -
356 Obat Antituberkulosis FDC Kategori 1 Paket 374,384.00 - -
357 Obat Antituberkulosis FDC Kategori 2 Paket 1,247,980.00 - -
358 Obat Antituberkulosis Kategori 3 Paket 154,000.00 - -
359 Obat Antituberkulosis FDC Kategori Anak Paket 223,585.00 - -
360 Obat Antituberkulosis FDC Sisipan Paket 160,000.00 - -
361 Obat Antituberkulosis Kategori 1 dewasa co Paket 288,199.00 - -
362 Obat Antituberkulosis Kategori anak combip Paket 171,195.00 - -
363 Pyrazinamid Tab 500 mg Tab 234.00 - -
364 Rifampisin tab 300 mg Kapsul 376.00 - -
365 Rifampisin tab 600 mg Kaplet 830.00 - -
OBAT PROGRAM P2
366 Insektisida Cynof Botol@1ltr 198,000.00 - -

367 Insektisida Zetta 15 UL Liter 74,470.00 - -
368 Insektisida DBD/Mustang TC 95% Fogging Galon @ 5 Liter 968,000.00 - -
369 Larvasida DBD Jentika Botol @ 1 Kg Botol@1kg 115,500.00 - -
370 Larvasida DBD Bentuk Cair/ Bactivec SL @ 3 ml 537.13 - -
371 Larvasida Malaria/Bactivel SL @ 20 Liter Galon 14,464,450.00 - -
372 MDT Combi Adult Paket 30,595.00 - -
373 Oseltamivir tab Tab 13,000.00 - -
374 Obat Fogging/Alfa Cypermetrin 30 EC @ 5 li Liter 480,150.00 - -
375 Vaksin rabies/Rabipur Vial 78,500.00 - -
OBAT PROGRAM KESLING
376 Abate Kg 68,500.00 - -

377 Abate Galon @ 25 Kg 2,499,250.00 - -
378 Kaporit Bubuk 60% Galon @ 15Kg 493,050.00 - -
OBAT PROGRAM GIZI
379 Iodin Test Btl 19,250.00 - -

380 Mineral Mix Sacchet 2,805.00 - -
381 Retinol (Vitamin A) 100.000 IU Kapsul 260.00 - -
382 Retinol (Vitamin A) 100.000 IU Kapsul 284.00 - -
383 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 460.00 - -
384 Taburia Sacchet 457.00 - -
- -
OBAT PROGRAM KESEHATAN IBU DAN ANAK
- -
385 Alat HB Hemoglobin Starter Kit Mission Unit 762,000.00 - -
386 Benzatin Benzil Penisilin 1,2 juta IU/ vial Vial 8,935.00 - -
387 Benzatin Benzil Penisilin 2,4 juta IU/vial Vial 12,185.00 - -
388 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul 1,566.00 2 3,132.00
389 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul 3,550.00 - -
390 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 1,800.00 - -
391 HB Sahli Buah 221,968.00 - -
392 Hb Hemoglobin Strip Test Kotak 416,666.67 - -
393 Implant Paket - - -
394 IUD Pcs - - -
395 Kaporit Tablet Kg 35,990.16 - -
396 Kalsium Glukonat inj i.v 10% (100 mg/ml) Ampul 7,800.00 - -
397 Kondom Kotak - - -
398 Levotiroksin tab 100 mcg/Euthyrox 100 Tab 1,694.00 - -
399 Magnesium sulfat injeksi 20% Vial 5,500.00 - -
403 Oksitosin injeksi 10 IU/ml Ampul 1,900.00 - -
404 Paket KIA Paket - - -
405 Pita Lila Buah 2,145.00 - -
406 Prokain Benzilpenisilin serbuk inj 3 juta IU/v Vial 10,780.00 - -
407 Suntik KB 3 Bln @ 1 ml Vial - - -
408 Suntik KB 3 Bln @ 3 ml Vial - - -
409 Test Kehamilan Strip 2,093.29 - -
410 Urin strip(tes protein &gula) Strip 1,122.00 - -
411 Underpad Pcs 8,086.00 - -
- -
BAHAN MEDIS HABIS PAKAI - -
412 Alat Suntik 0,05 ml Buah 2,134.00 - -
416 Alat Suntik 1 ml. Buah 787.00 - -
417 Alat Suntik 2,5 ml. Buah 650.00 194 126,100.00
418 Alat Suntik 2,5 ml. Buah 1,253.00 - -
419 Alat Suntik 5 ml. Buah 1,000.00 200 200,000.00
420 Alat Suntik 5 ml. Buah 1,624.00 - -
421 Alat Suntik 10 ml Buah 1,406.00 - -
422 Blood Lancet Kotak 15,653.00 2 31,306.00
423 Bisturi No. 11 Buah 3,000.00 - -
424 Cat Gut/ Benang Bedah no. 2/0 Set 5,583.00 6 33,498.00
425 Cat Gut/ Benang Bedah no. 2/0 Set 35,015.00 - -
428 Folley Cathether No. 14 Buah 8,475.00 - -
433 Hanscond 6,5 Paket 325.00 - -
434 Hanscond 7 / M Paket 8,436.00 - -
435 Hanscond 7,5/L Paket 8,436.00 - -
436 Hanscond 8 Paket 325.00 - -
437 Infusion Set anak Set 5,661.00 - -
438 Infusion Set dewasa/NIPRO Set 5,373.00 - -
439 Infusion Set dewasa Set 5,184.00 - -
440 IV catheter no 18 Buah 7,560.00 - -
444 Kasa Pembalut Hidrofil 4m x 10cm Roll 1,083.00 - -
445 Kapas Berlemak 500 mg. Roll 16,500.00 1 16,500.00
446 Kapas Pembalut/Adsorben 250 mg. Roll 27,349.28 - -
447 Kasa Elastis Roll 23,200.00 - -
448 Kasa Meteran 36m x 80cm Roll 150,300.00 1 150,300.00
449 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 1,928.00 3 5,784.00
450 Kasa Pembalut 2m x 80cm. Roll 9,900.00 - -
451 Kasa Pembalut Hidrofil 4m x 15cm. Roll 3,986.00 3 11,958.00
452 Kasa Pembalut Hidrofil 4m x 3cm. Roll 607.00 2 1,214.00
453 Kasa Pembalut Hidrofil 4m x 5cm. Roll 750.00 - -
454 Kasa Steril Kotak 4,300.13 4 17,200.53
455 Kasa Steril Kotak 8,243.00 - -
456 Leucoplast 7,50cm x 4,5m Roll 35,532.00 - -
457 Masker Buah 532.80 - -
458 Pembalut Gips Roll 32,200.00 - -
459 Plastik Besar Pak 10,000.00 - -
460 Plastik Kecil Pak 7,000.00 - -
461 Plester 5 Yard x 2 Inc. Roll 23,510.24 - -
462 Silk (benang bedah sutra) no 3/0 Set 21,975.00 4 87,900.00
463 Sofratull Buah 21,310.00 - -
464 Transfussion set Set - - -
465 Kantong Urin Dewasa Buah 3,000.00 - -
466 Kantong Urin Dewasa Buah 5,940.00 - -
- -
BAHAN LABORATORIUM - -
467 Autocliclik Lancing Device Piece 17,938.00 - -
468 Alat Hitung bakteri Buah 2,910,000.00 - -
469 Alat Test Easy Touch Buah 695,000.00 - -
470 Alat Benecheck Plus Monitoring Unit 199,855.00 - -
471 Alkohol Swab Buah 12,210.00 - -
472 Asam Klorida 0,1 N Botol 23,863.04 - -
473 Asam Sulfosalisilat 20% Botol 31,300.00 - -
474 Bennecheck Urid Acid Test Strip Kotak 130,269.13 - -
475 Bennecheck Total Cholesterol Test Strip Kotak 234,958.14 - -
476 Bennecheck Blood Glukosa Test Strip Kotak 157,821.58 - -
477 Botol 100 ml Buah 1,650.00 - -
478 Batang Pengaduk 25 cm Buah 6,120.00 - -
479 Centrifuse Buah 4,900,000.00 - -
480 Erlenmeyer 50 ml Buah 21,500.00 - -
481 Golongan Darah Anti-A Monoclonal ReagntBtl@ 10 ml 69,450.00 - -
482 Golongan Darah Anti-B Monoclonal ReagentBtl@ 10 ml 69,450.00 - -
483 Golongan Darah Anti-A,B Monoclonal Reage
Btl@ 10 ml 93,760.00 - -
484 Golongan Darah Anti-D Duoclone Reagent Btl@ 10 ml 115,320.00 - -
485 Kawat Ose Buah 13,001.00 - -
486 Kertas Lakmus Buah 49,435.00 - -
487 Kertas Golongan darah Lembar 230.00 - -
488 Lampu Spiritus Buah 69,000.00 - -
489 Larutan Anisol Btl 1,415,994.00 - -
490 Larutan Asam Asetat Btl 58,400.00 - -
491 Larutan Bennedict Btl 68,000.00 - -
492 Larutan Emersi Btl@50ml 203,413.04 - -
493 Larutan Eosin 2 % Btl 143,750.00 - -
494 Larutan Etanol Asam Btl 28,000.00 - -
495 Larutan Gebbet Btl 424,000.00 - -
496 Larutan Giemsa Stain Btl@100ml 360,150.00 - -
497 Larutan H2O2 50 % Btl 14,804.00 - -
498 Larutan Karbol Fuksin Btl 74,000.00 - -
499 Larutan Kinyoun Btl 785,000.00 - -
500 Larutan Metilen Blue Btl 32,600.00 - -
501 Larutan Ress Eccer Btl 97,000.00 - -
502 Larutan Turk Btl 27,500.00 - -
503 Larutan Xylol Btl 31,000.00 - -
504 Larutan Ziehl Nielson Paket - - -
505 Malaria test Buah 35,035.00 - -
506 Pipet Eritrosit Buah 1,716.00 - -
507 Pot Dahak Buah 2,932.60 - -
508 Respirator Buah 410,000.00 - -
509 Slide Buah 2,608.33 - -
510 Slide Boks Buah 190,000.00 - -
511 Test Golongan Darah Paket 603,300.00 - -
512 Tissu Lensa Buah 54,000.00 - -
- -
ALKES - -
513 ABN Calibra Aneroid Sphygmomanometer Unit 158,701.00 - -
514 ABN Classic Stethoscope Black Adult Unit 223,710.00 - -
515 ABN Digital Spygmomanometer With Inflam Unit 1,247,035.00 - -
- -
VAKSIN - -
516 BCG Vial 59,590.00 - -
517 DPT-HB.HIB/pentabio Buah 69,350.00 - -
518 POLIO Vial 18,140.00 - -
519 CAMPAK Vial 28,204.00 - -
520 Hepatitis B/uniject Vial 20,900.00 - -
521 TT Vial 14,201.00 - -
522 DT Vial 16,180.00 - -
523 TD Vial 16,500.00 - -
524 ADS 0,05 ml Ampul 1,650.00 - -
525 ADS 0,5 ml Buah 1,240.00 - -
526 ADS 5 ml Buah 1,705.00 - -
527 Safety Box Buah 16,886.10 - -
- -
ITEM BARU - -
528 RDT HBSAG Test 9,875.00 - -
529 Polio IPV inj 0,5 ml Vial 139,760.00 - -
530 Miconazol Serbuk 2%/Mycorin Powder Btl@25gr 26,950.00 - -
531 Bisakodil 10 mg supp/Dulcolax supp adult Supp 5,800.00 - -
532 Bisakodil 5 mg supp/Dulcolax supp infant 5 Supp 5,800.00 - -
533 Bisakodil tab salut 5 mg Tablet 300.00 - -
534 Allopurinol tab 300 mg Tab 222.00 - -
535 Metoklopramide drop 2mg/ml / Mepramid Botol@10 ml 4,800.00 - -
536 Framisetin sulfat 1 % / Daryant Tulle Pcs 8,990.00 - -
537 Klobazam 10 mg Tab 967.00 - -
538 RDT HIV AIDS Test 21,815.00 - -
539 Hansaplast Plaster Roll 2,5 cm x 4,5 cm Roll 11,964.00 - -
540 Kalsium Karbonat 500 mg ( Vit. D / Calporos Tab 430.00 - -
541 Fenitoin 30 mg / Decatona 30 mg Kap 142.00 - -
542 Hb Ig Vial 1,300,000.00 - -
543 Vaksin Meales Rubella ( MR ) Ampul 141,648.00 - -
544 Emmersion oil 500 mg Botol 836,595.00 - -
545 Alat Deteksi Resti Buah - -
546 RDT Hepatitis C Strip 13,329.00 - -
547 Asetil Systein Tablet 104.00 - -
548 Microlit Tips For Micro Pipet Pack 1000p 181,469.00 - -
549 Albendazole tab Tablet 3,849.00 - -
550 Infuset Dewasa Set 8,610.00 - -
551 Metformin 850 mg tab Tablet 94.00 - -
552 Vaksin HBSAG vial - -
553 Tabung Edta Buah - -
554 Preparat atau Kaca Slide Paket - -
555 bricasma respules inh 2,5 mg/ml nebule 7,124.00 - -
556 kasa pembalut hidrofil 3m x 15cm roll 3,986.00 - -
557 RDT sifilis - -
558 Paper Tape/2,5 cm x 9,14 m roll 13,667,94 - 410,038.20
559 Umbilical cord klem steril nylon box 69,875.00 - -
560 Aprazolam 1 mg Tablet 120.00 - -
561 Nasal Oxygen,O2 Cannula size L Pcs 9,425.00 - -
562 Sensosurge surgical glove steril 7 buah 6,595.00 - -
563 Sensosurge surgical glove steril 6,5 buah 6,595.00 - -
564 TRO-VENOCATH, SINE 24G I.V Cannula buah 12,631.00 - -
567 TROGE TRO-SOLUSET G (INFUSION SET) buah 5,445.00 - -
568 TRO-SENSOSURGE, SURGICAL GLOVE STERbuah 6,595.00 - -
569 Silk (benang bedah sutra) no 3/0 box - -
570 SKIFA-Steril latex surgical glove no.7 box - -
571 Autocheck glucose box 137,500.00 - -
572 Autocheck Urin box 178,750.00 - -
573 Autocheck colestrol box 368,500.00 - -
574 AMBROXOL 30/230 MG Tab 155.33 - -
575 AMBROXOL SIRUP Botol 5,012.00 - -
576 AMLODIPINE 10/120 MG TABLET Tab 92.00 - -
577 BETAMETASON 0,1% KRIM Tube 1,430.00 - -
578 Cefadroxil 500 mg Kapsul Tab 787.36 - -
579 DEXAMETHASONE 0.5 MG Tab 117.45 440 51,678.00
580 GLYCERIL GUAIKOLAT Tab 234.88 527 123,781.76
581 IBUPROFEN SUSPENSI 100MG/5Ml Botol 2,721.00 - -
582 METHYLPREDNISOLONE 4MG MOLEX Tab 143.00 - -
583 METRONIDAZOLE 500 MG. Tab 286.00 - -
584 PARACETAMOL SYRUP Botol 5,066.00 15 75,990.00
585 PIROXICAM 20 MG Tab 156.49 - -
586 FITUNO Box 124,893.00 - -
JUMLAH 71,985,241.38 14,456 4,880,931.49

UMUM BPJS JUMLAH
Mengetahui
Bambang Nurwanto, SKM. M. Kes

NIP. 19680418 199101 1 001
ERSEDIAAN OBAT DAN BAHAN MEDIS HABIS PAKAI
NANINGAN DINAS KESEHATAN KABUPATEN TANGGAMUS
TAHUN 2020
HARGA SISA BEBAN

PENERI PERSEDI PEMAKA NILAI Ket
SATUAN (Rp.) STOCK PERSEDIAAN
MAAN AAN IAN
6 7=(5+6) 8 9 10=(7-8) 11 =(10X 9) 12=(10X11) 14
- - 2,750.00 - - - -
38 392.00 38 14,896.00 566,048.00 -
- 3,849.00 - - - -
- 90 110.00 (90) (9,900.00) 891,000.00 -
370 40 123.00 330 40,590.00 13,394,700.00 -
- 202.84 - - - -
- 3,750.00 - - - -
- 3,823.00 - - - -
- 2,998.00 - - - -
293 91.00 293 26,663.00 7,812,259.00 -
- 148.00 - - - -
- 187.00 - - - -
- 180.00 - - - -
200 240 232.00 (40) (9,280.00) 371,200.00 -
- 3,519.00 - - - -
- 1,881.00 - - - -
- 4,200.00 - - - ED 330
- 477.00 - - - -
- 8,155.00 - - - -
- 191.00 - - - -
- 2,900.00 - - - -
126 180 72.00 (54) (3,888.00) 209,952.00 -
- 62.00 - - - -
10 17 9 2,160.00 8 17,280.00 138,240.00 -
- 2,924.00 - - - -
- 145.00 - - - -
- 7,700.00 - - - -
- 3,045.00 - - - -
12 4,323.00 12 51,876.00 622,512.00 -
- 135.00 - - - -
- 116.00 - - - -
- 92.00 - - - -
- 162.00 - - - -
- 125.00 - - - -
77 258 104.00 (181) (18,824.00) 3,407,144.00 -
- 55.00 - - - -
- 158.00 - - - -
252 120 100.00 132 13,200.00 1,742,400.00 -
- 1,815.00 - - - -
- 1,956.00 - - - -
- 1,818.00 - - - -
- 2,861.00 - - - ED 1325
- 3,138.00 - - - -
- 24,750.00 - - - -
- 240.00 - - - -
224 249.00 224 55,776.00 12,493,824.00 -
- 226.08 - - - ED 300
923 20 140.00 903 126,420.00 114,157,260.00 -
- 1,540.00 - - - -
- 1,020.00 - - - -
- 149.00 - - - -
2 1,349.00 2 2,698.00 5,396.00 -
- 9,182.00 - - - -
- 4,341.00 - - - -
- 6,045.00 - - - ED 6
- 650.00 - - - -
- 9,085.00 - - - -
- 1,540.00 - - - -
- 41.00 - - - -
- 40,100.00 - - - -
- 12,090.00 - - - ED 58
- 2,344.00 - - - ED 530
- 27.00 - - - ED 58
- 117.00 - - - -
- 119.00 - - - -
132 11 1,062.00 121 128,502.00 15,548,742.00 Pecah 5
- 1,176.00 - - - -
- 91.00 - - - -
- 105.00 - - - -
- 134.00 - - - -
- 268.00 - - - -
- 3,000.00 - - - -
194 6 95.00 188 17,860.00 3,357,680.00 -
- 176.00 - - - -
- 38.00 - - - -
- 8,100.00 - - - ED 210
- 2,204.00 - - - -
- 557.00 - - - -
- 730.00 - - - -
- 6,150.00 - - - -
1 3,289.00 1 3,289.00 3,289.00 -
- 2,500.00 - - - -
- 18,600.00 - - - -
- 25,000.00 - - - -
- 15,830.00 - - - -
- 80,000.00 - - - -
6 1 2,500.00 5 12,500.00 62,500.00 -
- 2,950.00 - - - -
- 2 634.00 (2) (1,268.00) 2,536.00 -
- 3,014.00 - - - -
- 2,400.00 - - - -
- 1,829.00 - - - -
200 455 145 80.00 310 24,800.00 7,688,000.00 -
- 3,386.00 - - - -
- 1,350.00 - - - ED 634
10 26 4 2,960.00 22 65,120.00 1,432,640.00 -
- 4,170.00 - - - -
- 900.00 - - - -
200 400 56.00 400 22,400.00 8,960,000.00 -
- 248.00 - - - -
- 231.00 - - - -
- 289.00 - - - -
- 114.00 - - - -
- 7,500.00 - - - -
- 6,900.00 - - - -
- 1,960.00 - - - -
- 249.00 - - - ED 4700
203 5 149.00 198 29,502.00 5,841,396.00 -
- 2,640.00 - - - -
20 55 7 2,475.00 48 118,800.00 5,702,400.00 -
- 102.00 - - - -
- 111.00 - - - -
- 4,420.00 - - - -
- 88.00 - - - ED 900
- 198.00 - - - -
- 332.00 - - - -
- 425.00 - - - -
200 200 56.00 200 11,200.00 2,240,000.00 BPOM 9200
- 80.00 - - - -
- 62.00 - - - -
- 2,599.00 - - - -
30 10 280.00 20 5,600.00 112,000.00 -
- 1,240.00 - - - -
- 382.00 - - - ED 150
- 553.00 - - - -
- 170.00 - - - -
- 500.00 - - - -
- 3,008.00 - - - -
26 3 1,810.00 23 41,630.00 957,490.00 -
- 7,954.00 - - - ED 595
- 4,700.00 - - - -
- 3,250.00 - - - -
- 5,940.00 - - - -
500 500 282 42.00 218 9,156.00 1,996,008.00 -
- 500.00 - - - -
- 4,550.00 - - - -
-
1,060 110 352.00 950 334,400.00 317,680,000.00

- 19,125.00 - - - -
4,310 50 129.00 4,260 549,540.00 2,341,040,400.00 -
- 75.00 - - - -
10 8 2,286.00 2 4,572.00 9,144.00 -
- 473.00 - - - -
- 4,780.00 - - - -
5 - 1,295.00 5 6,475.00 32,375.00 -
- 1,937.00 - - - ED 90
3 3 40,000.00 - - - ex
1 21,700.00 1 21,700.00 21,700.00 -
- 45,096.70 - - - -
- 85.00 - - - -
- 125.00 - - - -
- 7,140.00 - - - -
- 3,534.00 - - - -
- 297.00 - - - -
- 1,199.00 - - - -
- 94.00 - - - -
- 153.00 - - - ED 700
- 2,849.00 - - - -
- 1,076.00 - - - ED 150
- 194.00 - - - -
- 295.00 - - - -
- 3,395.00 - - - -
- 2,600.00 - - - -
- 87.00 - - - -
- 9,950.00 - - - -
- 3,850.00 - - - -
- 3,800.00 - - - -
- 3,220.00 - - - -
- 90.00 - - - -
- 133.00 - - - -
7 3,000.00 7 21,000.00 147,000.00 -
- 3,250.00 - - - -
- 13,200.00 - - - -
- 598.00 - - - -
- 698.00 - - - -
- 16,000.00 - - - -
- 18,700.00 - - - -
- 22,500.00 - - - -
4 1 6,410.00 3 19,230.00 57,690.00 -
- 24.00 - - - Rusak 5000
200 350 198 122.00 152 18,544.00 2,818,688.00 -
32 32 132.00 - - - -
- 3,000.00 - - - ED 12
- 818.00 - - - -
- 110.00 - - - -
- 108.00 - - - -
- 640.00 - - - -
- 765.00 - - - -
- 523.00 - - - -
- 399.00 - - - -
- 6,600.00 - - - -
- 284.00 - - - -
- 13,500.00 - - - -
- 400.00 - - - -
- 650.00 - - - -
- 45,089.00 - - - -
1 27,550.00 1 27,550.00 27,550.00 -
- 30,000.00 - - - -
- 3,100.00 - - - ED 280
- 2,514.00 - - - -
- 1,824.00 - - - ED 1204
- 16,997.00 - - - -
- 211.00 - - - -
- 140.00 - - - -
- 2,400.00 - - - -
- 1,254.00 - - - -
- 716.00 - - - -
- 1,189.00 - - - -
- 112.00 - - - -
- 1,150.00 - - - -
- 5,200.00 - - - -
- - - 1,438.00 - - - -
500 500 480 79.00 20 1,580.00 31,600.00 ED 280
- 6,450.00 - - - ED 199
- 20,700.00 - - - -
- 10,430.00 - - - -
- 12,155.00 - - - -
- 14,500.00 - - - -
- 8,360.00 - - - -
196 277.00 196 54,292.00 10,641,232.00 ED 2800
- 459 459 27.00 - - - ex Feb 20
- 118.00 - - - -
- - 86.00 - - - -
150 150 105.00 - - - -
1 87,604.00 1 87,604.00 87,604.00 -
- 3,182.30 - - - -
- 14,203.00 - - - -
- 3,500.00 - - - -
- 76.00 - - - -
- 303.00 - - - -
- 65.00 - - - -
- 52.00 - - - -
- 107.00 - - - -
- 264.00 - - - -
- 1,140.00 - - - -
- 98.00 - - - -
- 7,150.00 - - - -
- 347.00 - - - -
- 66.00 - - - -
70 58 83.00 12 996.00 11,952.00 -
- 16,445.00 - - - ED 1285
- 63,750.00 - - - -
- 4,750.00 - - - -
15 2 2,000.00 13 26,000.00 338,000.00 -
- 2,527.00 - - - -
- 3,984.00 - - - -
- 516.00 - - - -
- 1,000.00 - - - -
- 859.00 - - - -
- 7,490.00 - - - -
- 6,325.00 - - - -
- 3,300.00 - - - -
- 589,900.00 - - - -
- 473,000.00 - - - -
- 157,000.00 - - - -
- 126,500.00 - - - -
- 523,300.00 - - - -
2 1 7,999.00 1 7,999.00 7,999.00 -
- 96.00 - - - -
- 1,077.00 - - - -
- - 1,087.00 - - - -
200 700 100 57.00 600 34,200.00 20,520,000.00 -
- 160.00 - - - -
265 131.00 265 34,715.00 9,199,475.00 -
100 100 229.00 - - - ex Feb 20
300 1,805 40 240.00 1,765 423,600.00 747,654,000.00 -
- 1,499.00 - - - ED 400
- 900.00 - - - -
- 294.00 - - - -
- 25,420.00 - - - ED 148
- 2,430.00 - - - -
- 13,425.00 - - - -
- 296.00 - - - -
- 834.90 - - - -
- 99.00 - - - -
- 149.00 - - - -
- 168.00 - - - -
- 300.00 - - - -
- 310.00 - - - -
- 690.00 - - - -
300 740 410 82.00 330 27,060.00 8,929,800.00 -
- 900.00 - - - -
- 1,800.00 - - - -
- 387.00 - - - -
- 6,809.00 - - - -
- 27,500.00 - - - -
- 1,545.43 - - - -
- 17,365.00 - - - -
300 300 115.00 300 34,500.00 10,350,000.00 -
- - - -
- 1,100.00 - - - -
- 448.00 - - - ED 1700
- 270.00 - - - -
- 565.00 - - - -
- 5,455.00 - - - -
- 4,091.00 - - - -
- 248.00 - - - -
- 891.00 - - - -
-
- 103,536.00 - - - -
- 382,000.00 - - - -
- 107,000.00 - - - -
- 18,100.00 - - - -
- 858,000.00 - - - -
- 23,000.00 - - - -
- 55,000.00 - - - -
- 172,000.00 - - - -
- 93,000.00 - - - -
- 227,311.00 - - - -
- 9,471.00 - - - -
- 34,000.00 - - - -
- 40,330.00 - - - -
- 230,000.00 - - - -
- 145,000.00 - - - -
-
- 112.00 - - - -
- 143.00 - - - -
- 20,250.00 - - - -
- 152.00 - - -
- 220.00 - - - -
- 64.00 - - - -
- 56.00 - - - -
- 61.00 - - - -
- 96.00 - - - -
- 75.00 - - - ED 1.700
- 44,770.00 - - - -
- 228.00 - - - -
- 149.00 - - - -
- 1,021.00 - - - ED 30
- 68.00 - - - -
- 274.00 - - - -
- 80.00 - - - -
- - - - - 1
-
- 65,738.00 - - - -
- 1,642,000.00 - - - ED 1
- 1,182,000.00 - - - ED 1
- 1,641,500.00 - - - ED 3
- 1,264,850.00 - - - -
- 1,642,000.00 - - - -
- 1,402,250.00 - - - ED 2
- 1,248,400.00 - - - -
-
- 1,375.00 - - - ED 302
- 478.00 - - - ED 400
- 25,490.00 - - - ED 302
- 3,567.00 - - - ED 666
- 39,000.00 - - - ED 192
- 53,110.00 - - - -
- 670.00 - - - -
- 6,200.00 - - - -
- 400.00 - - - ED 360
- 11,200,000.00 - - - -
- 224.00 - - - -
- 5,271.00 - - - ED 40
- 12,950.30 - - - -
-
94 12 264.00 82 21,648.00 1,775,136.00 -
- 12,840.00 - - - ED 32
50 - 14,980.00 50 749,000.00 37,450,000.00 -
- 4,789.00 - - - -
- 474.00 - - - ED 1100
- - - -
- - - -
- 71.00 - - - -
- 374,384.00 - - - ED 16
- 1,247,980.00 - - - -
- 154,000.00 - - - -
- 223,585.00 - - - ED 1
- 160,000.00 - - - -
- 288,199.00 - - - -
- 171,195.00 - - - -
- 234.00 - - - ED 300
- 376.00 - - - ED 200
- 830.00 - - - ED300
-
- 198,000.00 - - - -
- 74,470.00 - - - -
- 968,000.00 - - - -
- 115,500.00 - - - -
- 537.13 - - - -
- 14,464,450.00 - - - -
- 30,595.00 - - - -
- 13,000.00 - - - ED 700
- 480,150.00 - - - -
- 78,500.00 - - - -
-
- 68,500.00 - - - -
- 2,499,250.00 - - - -
- 493,050.00 - - - -
-
- 19,250.00 - - - -
- 2,805.00 - - - ED 858
- 260.00 - - - -
- 284.00 - - - ED 2880
- 460.00 - - - -
- 457.00 - - - ED 2880
- - - -
- - - -
- 762,000.00 - - - -
- 8,935.00 - - - ED 140
- 12,185.00 - - - -
2 2 1,566.00 - - - ED 3870
- 3,550.00 - - - -
- 1,800.00 - - - -
- 221,968.00 - - - -
F #VALUE! 416,666.67 #VALUE! #VALUE! #VALUE! ED 65
- - - - - -
- - - - - -
- 35,990.16 - - - -
- 7,800.00 - - - -
- - - - - -
- 1,694.00 - - - ED 100
- 5,500.00 - - - ED 241
- 3,200.00 - - - ED 60
- 2,629.00 - - - ED 635+647
- 3,650.00 - - - Rusak 128
- 1,900.00 - - - -
- - - - - -
- 2,145.00 - - - -
- 10,780.00 - - - ED 360+400
- - - - - -
- - - - - -
- 2,093.29 - - - -
- 1,122.00 - - - -
- 8,086.00 - - - -
- - - -
- - - -
- 2,134.00 - - - -
- 1,656.00 - - - -
- 2,125.00 - - - -
- 1,656.00 - - - -
- 787.00 - - - -
194 18 650.00 176 114,400.00 20,134,400.00 ED 6150
- 1,253.00 - - - ED 5670
200 1,000.00 200 200,000.00 40,000,000.00 ed 2494
- 1,624.00 - - - -
- 1,406.00 - - - -
2 15,653.00 2 31,306.00 62,612.00 -
- 3,000.00 - - - -
6 5,583.00 6 33,498.00 200,988.00 -
- 35,015.00 - - - -
- 5,583.33 - - - -
- 35,015.00 - - - -
- 8,475.00 - - - -
- 8,475.00 - - - -
- 11,880.00 - - - -
- 11,880.00 - - - -
- 8,475.00 - - - -
- 325.00 - - - -
- 8,436.00 - - - -
- 8,436.00 - - - -
- 325.00 - - - -
- 5,661.00 - - - -
- 5,373.00 - - - -
- 5,184.00 - - - -
- 7,560.00 - - - -
- 7,579.44 - - -
- 7,579.44 - - - -
- 7,579.44 - - - -
- 1,083.00 - - - -
1 16,500.00 1 16,500.00 16,500.00 -
- 27,349.28 - - - -
- 23,200.00 - - - -
1 150,300.00 1 150,300.00 150,300.00 -
3 1 1,928.00 2 3,856.00 7,712.00 -
- 9,900.00 - - - -
3 3,986.00 3 11,958.00 35,874.00 ED 100
2 607.00 2 1,214.00 2,428.00 -
- 750.00 - - - -
4 4,300.13 4 17,200.53 68,802.11 ED 297
- 8,243.00 - - - ED 338
- 35,532.00 - - - -
- 532.80 - - - -
- 32,200.00 - - - -
- 10,000.00 - - - -
- 7,000.00 - - - -
- 23,510.24 - - - -
4 21,975.00 4 87,900.00 351,600.00 -
- 21,310.00 - - - -
- - - - - -
- 3,000.00 - - - -
- 5,940.00 - - - -
- - - -
- - - -
- 17,938.00 - - - -
- 2,910,000.00 - - - -
- 695,000.00 - - - -
- 199,855.00 - - - -
- 12,210.00 - - - -
- 23,863.04 - - - -
- 31,300.00 - - - ED 2
- 130,269.13 - - - ED 622
- 234,958.14 - - - ED 421
- 157,821.58 - - - -
- 1,650.00 - - - -
- 6,120.00 - - - -
- 4,900,000.00 - - - -
- 21,500.00 - - - -
- 69,450.00 - - - -
- 69,450.00 - - - -
- 93,760.00 - - - -
- 115,320.00 - - - -
- 13,001.00 - - - -
- 49,435.00 - - - -
- 230.00 - - - -
- 69,000.00 - - - -
- 1,415,994.00 - - - -
- 58,400.00 - - - ED 6
- 68,000.00 - - - ED 5
- 203,413.04 - - - -
- 143,750.00 - - - -
- 28,000.00 - - - -
- 424,000.00 - - - -
- 360,150.00 - - - -
- 14,804.00 - - - -
- 74,000.00 - - - -
- 785,000.00 - - - ED 8
- 32,600.00 - - - -
- 97,000.00 - - - ED 4
- 27,500.00 - - - -
- 31,000.00 - - - ED 6
- - - - - -
- 35,035.00 - - - -
- 1,716.00 - - - -
- 2,932.60 - - - -
- 410,000.00 - - - -
- 2,608.33 - - - -
- 190,000.00 - - - -
- 603,300.00 - - - -
- 54,000.00 - - - -
- - - -
- - - -
- 158,701.00 - - - -
- 223,710.00 - - - -
- 1,247,035.00 - - - -
- - - -
- - - -
- 59,590.00 - - - -
- 69,350.00 - - - -
- 18,140.00 - - - -
- 28,204.00 - - - -
- 20,900.00 - - - -
- 14,201.00 - - - -
- 16,180.00 - - - -
- 16,500.00 - - - -
- 1,650.00 - - - -
- 1,240.00 - - - -
- 1,705.00 - - - -
- 16,886.10 - - - -
- - - -
- - - -
- 9,875.00 - - - -
- 139,760.00 - - - -
- 26,950.00 - - -
- 5,800.00 - - -
- 5,800.00 - - -
- 300.00 - - -
- 222.00 - - -
- 4,800.00 - - -
- 8,990.00 - - -
- 967.00 - - -
- 21,815.00 - - -
- 11,964.00 - - -
- 430.00 - - -
- 142.00 - - -
- 1,300,000.00 - - -
- 141,648.00 - - -
- 836,595.00 - - -
- - - -
- 13,329.00 - - -
- 104.00 - - -
- 181,469.00 - - -
- 3,849.00 - - -
- 8,610.00 - - -
- 94.00 - - -
- - - -
- - - -
- - - -
- 7,124.00 - - -
- - - -
- - - -
- 13,667,94 - 287,026.74 -
- 69,875.00 - - -
- 120.00 - - -
- 9,425.00 - - -
- 6,595.00 - - -
- 6,595.00 - - -
- 12,631.00 - - -
- 12,631.00 - - -
- 12,631.00 - - -
- 5,445.00 - - -
- 6,595.00 - - -
- - - -
- - - -
- 137,500.00 - - -
- 178,750.00 - - -
- 368,500.00 - - -
- - 155.33 - - -
- 5,012.00 - - -
- 92.00 - - -
- 1,430.00 - - -
- 787.36 - - -
300 740 286 117.45 454 53,322.30 24,208,324.20
500 1,027 348 234.88 679 159,483.52 108,289,310.08
- - - 2,721.00 - - -
- 143.00 - - -
- 286.00 - - -
10 25 1 5,066.00 24 121,584.00 2,918,016.00
- - 156.49 - - -
- - 124,893.00 - - -
3,750.00 #VALUE! 4,303.00 71,981,255.38 #VALUE! #VALUE! #VALUE! 1.00
Air Naningan, 29 Februari 2020

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SURATMINAH S.ST
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LAPORAN PERSEDIAAN DAN BEBAN PERSEDIAAN OBAT DAN BAHAN MEDIS HABIS PAKAI

HARGA STOCK HARGA BEBAN

Air Naningan, 29 Februari 2020

HARGA STOCK HARGA SISA BEBAN

OBAT PROGRAM GIGI

297 Air Raksa DentalUse Botol 103,536.00 - - 103,536.00 - - - -

OBAT PROGRAM JIWA

312 Amitriptilin tablet salut 25 mg (HCl) Tab 112.00 - - 112.00 - - - -

OBAT PROGRAM FARMASI

329 Alu +Mortir 10 Cm Buah 65,738.00 - - 65,738.00 - - - -

OBAT PROGRAM MALARIA

337 ACT Tab Blister 1,375.00 - - 1,375.00 - - - ED 302

OBAT PROGRAM DIARE

355 Isoniazid 100 mg Tab 71.00 - - 71.00 - - - -

366 Insektisida Cynof Botol@1ltr 198,000.00 - - 198,000.00 - - - -

OBAT PROGRAM GIZI

379 Iodin Test Btl 19,250.00 - - 19,250.00 - - - -

OBAT PROGRAM KESEHATAN IBU DAN ANAK

385 Alat HB Hemoglobin Starter Kit Mission Unit 762,000.00 - - 762,000.00 - - - -

BAHAN MEDIS HABIS PAKAI

412 Alat Suntik 0,05 ml Buah 2,134.00 - - 2,134.00 - - - -

467 Autocliclik Lancing Device Piece 17,938.00 - - 17,938.00 - - - -

513 ABN Calibra Aneroid Sphygmomanometer Unit 158,701.00 - - 158,701.00 - - - -

516 BCG Vial 59,590.00 - - 59,590.00 - - - -

528 RDT HBSAG Test 9,875.00 - - 9,875.00 - - - -

Air Naningan, 31 Januari 2020

Bambang Nurwanto, SKM. M. Kes SURATMINAH S.ST

Fenoterol HBr aerosol

352.00 1,060 373,120.00

OBAT PROGRAM GIGI

297 Air Raksa DentalUse Botol 103,536.00 - -

OBAT PROGRAM JIWA

312 Amitriptilin tablet salut 25 mg (HCl) Tab 112.00 - -

OBAT PROGRAM FARMASI

329 Alu +Mortir 10 Cm Buah 65,738.00 - -

OBAT PROGRAM MALARIA

337 ACT Tab Blister 1,375.00 - -

OBAT PROGRAM DIARE

366 Insektisida Cynof Botol@1ltr 198,000.00 - -

OBAT PROGRAM KESLING

376 Abate Kg 68,500.00 - -

OBAT PROGRAM GIZI

379 Iodin Test Btl 19,250.00 - -

JUMLAH 71,985,241.38 14,456 4,880,931.49

Bambang Nurwanto, SKM. M. Kes

HARGA SISA BEBAN

1,060 110 352.00 950 334,400.00 317,680,000.00

3,750.00 #VALUE! 4,303.00 71,981,255.38 #VALUE! #VALUE! #VALUE! 1.00

Air Naningan, 29 Februari 2020

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