RENCANA KEBUTUHAN OBAT 2018

INSTALASI FARMASI RUMAH SAKIT UMUM LIRBOYO

2
100 18

Sisa stok per Pemakaian rata-rata

Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
# a b c = b*18 d=c-a
1 Acyclovir 400 mg Tablet 631 589 5400 4769
2 Acyclovir 200 mg Tablet 1196 263 4734 3538
3 Acyclovir cream Cream 28 128 2304 2276
4 Acarbose 50mg Tablet 200 68 1224 1024
5 Alletrol TM Botol 15 15 270 255
6 Alganax Tablet 90 10 180 90
7 Alkohol 70 % 1L Botol 5 #VALUE! #VALUE!
8 Alkohol 95 % 1L Botol 5 3 54 49
9 Alkohol 70 % 5L Botol 8 1 18 10
10 Alkohol 95% 5L Botol 5 1 18 13
11 Alinamin-F Tab Ampul 10 20 360 350
12 Albhotyl concetrat 10ml Botol 10 3 54 44
13 Allupurinol 300mg Tablet 89 178 3204 3115
14 Alinamin-f Inj Ampul 2.5 5 90 87.5
15 Alkohol swap Sachet 75 150 2700 2625
16 Allupurinol 100mg Tablet 435 207 3726 3291
17 Alpara Tab Tablet 2111 566 10188 8077
18 Ambeven caps Kapsul 25 50 900 875
19 Aminopillin 200mg Tablet 46 92 1656 1610
20 Amytriptillin 25 mg Tablet 58 60 1080 1022
21 Aminophillin inj Ampul 30 5 90 60
22 Amlodipin 5mg Tablet 542 60 1080 538
27 Amoxillin 500mg Kaplet 1617 625 11250 9633
28 Amlodipin 10mg Tablet 40 80 1440 1400
29 Aminofluid infs Infus 5 1 18 13
30 Ambroxol Tablet 2920 355 6390 3470
31 Amoxan 500 mg Kaplet 200 15 270 70
32 Aminofusin Infus 500 ml Infus 5 1 18 13
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
33 Ambroxol Syr Botol 10 9 162 152
34 Amoxan dry syrup Botol 15 3 54 39
35 Antalgin 500mg Tablet 49 98 1764 1715
36 Antasida doen Tablet 300 335 6030 5730
37 Antasida doen syr Syrup 15 30 540 525
38 Antrain inj Ampul 300 40 720 420
39 Angioten Tablet 17 9 162 145
40 Anvomer B6 Tablet 147 90 1620 1473
41 Analtram Tablet 50 10 180 130
42 Apialys drop drop 24 48 864 840
43 Apialys syr syrup 14 27 486 472
44 Aqua 1000ml cairan 71 142 2556 2485
45 Aqua 25ml cairan 45 90 1620 1575
46 Armsling 6 1 18 12
47 Aspilet Tablet 45 90 1620 1575
48 Aspar-k Tablet 100 200 3600 3500
49 Asering Inf Infus 21.5 43 774 752.5
50 Aseptik gel 500ml Infus 15 1 18 3
51 Asam Tranexamat Inj Injeksi 118 80 1440 1322
52 Asam Folat Tablet 15 25 450 435
53 Aseptik gel 5 L Cairan 3 1 18 15
54 ATS Serum Bio 1500 IU Injekai 20 3 54 34
55 Atropin Sulfat Inj Injeksi 80 11 198 118
56 Ataroc Syr Botol 5 6 108 103
57 Aviter serbuk 30 12 216 186
58 Azithromycin 500 mg Kaplet 20 40 720 700
59 Baquinor Inf Infus 5 2 36 31
60 Bacnidazole 500 mg Tablet 190 380 6840 6650
61 Benoson-N/Nisagon salep 25 23 414 389
62 Benoson/Skizon salep 30 22 396 366
63 Betadine Salep salep 6 5 90 84
64 Betadine kumur 190 ml cairan 10 20 360 350
65 Benodon inj injeksi 20 5 90 70
66 Betadine 15ml cairan 7 7 126 119
67 Bevalex Krim cream 3 6 108 105
68 Becom C tablet 1123 169 3042 1919
69 Bioplacenton cream salep 6 12 216 210
70 Bisolvon solution solution 20 2 36 16
71 Biodiar Tablet 62 66 1188 1126
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
72 Bisoprolol 10 mg Tablet 300 30 540 240
73 Biocombin 5000 Inj injeksi 50 100 1800 1750
74 Biothicol forte syr Syrup 40 9 162 122
75 Bisolvon elixir Elixir 10 5 90 80
76 Bisoprolol 5 Mg Tablet 80 85 1530 1450
77 Bio ATP Tablet 100 30 540 440
78 Biolincom 500 Mg Tablet 100 20 360 260
79 Bisacodyl 5mg tab Tablet 200 70 1260 1060
80 Bisolvon Inj Injeksi 20 6 108 88
81 Biolincom Syr 60ml Syrup 15 3 54 39
82 Biotichol Caps 500 mg Kapsul 500 50 900 400
83 Biothicol syr kering Syrup 30 8 144 114
84 Bronex tab Tablet 241 482 8676 8435
85 Brainact inj Injeksi 2 4 72 70
86 Braxidin tablet Tablet 300 15 270 300
87 Bronchitin syr Syrup 20 9 162 142
88 Bufacort-N cream Cream 30 10 180 150
89 Buscopan inj Injeksi 25 3 54 29
90 Bufantacyd forte syr Syrup 173 30 540 367
91 Bucain inj/spica spinal inj Injeksi 10 20 360 350
92 Burnazin cream Cream 30 8 144 114
93 Bufacom in oral base Salep 13 15 270 257
94 Buscopan plus tablet Tablet 45 85 1530 1485
95 Bye bye fever anak Alkes 12 2 36 24
96 Bye bye fever baby Alkes 9 2 36 27
97 Caviplex Tablet 947 581 10458 9511
98 Captopril 12,5 mg Tablet 191 382 6876 6685
99 Captopril 25mg Tablet 255 279 5022 4767
100 Captopril 50 mg Tablet 90 180 3240 3150
101 Caladin lotion Lotion 9 13 234 225
102 Calcii glukonas Inj Injeksi 15 6 108 93
103 Catheter 16 Rush Alkes 56 111 1998 1942
104 Capsul o - 1080 2159 38862 37782
105 Capsul OO - 562 1123 20214 19652
106 Catheter 8 0 0 0 0
107 Catheter 10 0 1 18 18
108 Cat gut cromic USP 3 RC14 50CM 3 1 18 15
109 Cat gut cromic USP 3 BRAUN 8 1 18 10
110 Cat gut plain USP 2.0 0 0 0 0
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
111 Catheter 12 - 3 6 108 105
112 Catheter 14 rush - 7 14 252 245
113 Cat Gut Chromic 0 BRAUN - 0 0 0 0

114 - 0 0
CAT GUT PLAIN USP 2/0 BRAUN 0 0
115 CAL- 95 TABLET 0 0 0 0

116 - 0 0
CAT GUT CHROM USP 1 BRAUN 0 0
117 Cat Gut Chrom USP 1 biodinamic - 0 0 0 0
118 Cat Gut Chromic 3 biodi (BPJS) - 0 0 0 0
119 Catheter 18 rush - 0 0 0 0
120 Catheter 16 polymed (BPJS) - 0 0 0 0
121 Catgut Chromic 3/0 biodi(BPJS) - 0 0 0 0
122 Catgut Plain 2/0 biodi (BPJS) - 0 0 0 0
123 Cefadroxil 500mg Kapsul 628 1256 22608 21980
124 Cefixime 100mg tab Kapsul 340 680 12240 11900
Cefoperazone Vial
125 Ceftriaxone Inj Vial 68 93 1674 1606
126 Cefotaxime Inj Vial 545 80 1440 895
127 Ceftazidime vial Vial
128 Cendo xytrol TM Botol 13 26 468 455
129 Cefadroxil syrp Syrup 24 48 864 840
130 Cendo tobroson minidos Minidose 115 40 720 605
131 Cendo eyefress minidos Minidose 55 50 900 845
132 Cefixime syrp Syrup 9 18 324 315
133 CENDO MYDRIATIL EYE DROP Minidose 25 5 90 65
134 Cernevit inj Injeksi 15 1 18 3

135 CENDO POLYGRAN SALEP 0

MATA 0 0
136 CETIRIZIN TAB Tablet 183 365 6570 6387
137 Cendo vasacon strip 27 53 954 927
138 CENDO TIMOL 13 9 162 149
139 CENDO SILOXAN 21 13 234 213
140 CENDO XITROL SALEP MATA 23 2 36 13
141 CENDO LFX MINIDOSE 25 2 36 11
142 CEFAT SYR Syrup 8 1 18 10
143 Cefspan DS Syrup 8 1 18 10
144 CEFAT FORTE SIRKER Syrup 8 1 18 10
145 CEFAT 500 MG CAPS Kapsul 100 30 540 440
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
146 Cendo Giflox minidose tm Minidose 0 0 0 0
147 Cendo Lyteers TM Minidose 0 0 0 0
148 CENDO POLYGRAN MINIDOSE Botol 0 0 0 0
149 Ciprofloxacin Infs Cairan 178 70 1260 1082
150 Citicoline 125/4ml Inj 10 20 360 350
151 CITICHOLINE125/2ml INJ 15 15 270 255
152 CITICOLIN 500MG/4ML INJ Injeksi 0 0 0 0
153 CIFLON KAPLET Kaplet 0 0 0 0
154 CITICOLIN 500 MG TABLET Tablet 0 0 0 0
155 Clindamicin 150mg Kapsul 935 1026 18468 17533
156 Clindamicin 300mg Kapsul 492 473 8514 8022
157 Claneksi caps 500 mg Kapsul 220 20 360 140
158 Claneksi forte sirker Syrup kering 8 1 18 10
159 Colcancetin Inj Injeksi 2 4 72 70
160 Codein 20mg 760 1520 27360 26600
161 Co-amoxiclav tab Tablet 50 89 1602 1552
162 Cobazim 3000mcg Tablet 65 130 2340 2275
163 Combantrin 250mg@2s Tablet 9 15 270 261
164 Colistin 1.500.000 IU Tablet 52 103 1854 1802
165 Combivent Inj Injeksi 27 54 972 945
166 Corovit tab tablet 104 208 3744 3640
167 Comtusi syrp Syrup 56 5 90 34
168 Combantrin Syr Syrup 0 0 0 0
169 COROCYD TAB Tablet 25 6 108 83
170 CODITAM Tablet 200 50 900 700
171 CPZ Tablet 620 25 450 -170
203 CPG 75mg tab Tablet 45 90 1620 1575
204 Cravox inf Ciran 2 1 18 16
205 CRAVOX INFUS 750/150 ML Cairan 5 1 18 13
206 Crofed Tab Tablet 47 93 1674 1627
207 CROFED SYR Syrup 1 2 36 35
208 CRAVOX TAB 500 MG Tablet 0 0 0 0
209 CTM Tablet 572 1144 20592 20020
210 Cut gut plain USP 2.0 9 1 18 9
211 Cut gut cromic USP 3.0 0 0 0
212 Cut gut cromic USP 3 0 0 0
213 Curcuma tab/Cavicur tab Tablet 419 838 15084 14665
214 Cuticell 1 2 36 35
215 Curasportransparant (I dn VIP) 5 1 18 13
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
216 Cygest 400mg Injeksi 10 20 360 350
217 Cyclofem inj Injeksi 14 28 504 490
218 Cyclo Progynova Suppositoria 3 6 108 105
219 D40% 25ml Cairan 67 133 2394 2327
220 D5% 500ml (OTSU) Cairan 542 89 1602 1060
221 D10% Cairan 62 124 2232 2170
222 D5%+0,225%NS Cairan 13 26 468 455
223 D5%+1/2 NS Cairan 26 52 936 910
224 D10%+0,18 sodium chloride Cairan 17 34 612 595
226 Daktarin oral gel Gel 15 2 36 21
227 Daktarin diapers 10 gram Cream 8 3 54 46
228 DHAVIT SIRUP Syrup 25 8 144 119
229 Delli suction kecil 6 5 90 84
230 Dexamethasone 0,75mg Tablet 102 197 3546 3444
231 Dexamethasone 0,5mg Tablet 4684 518 9324 4640
232 Demacolin tab Tablet 349 698 12564 12215
233 Dextral tab Tablet 886 1772 31896 31010
234 Dexamethasone Inj Injeksi 200 50 900 700
235 Dexycol 500mg Tablet 3665 698 12564 8899
236 Dexteem plus tab Tablet 166 332 5976 5810
237 Dettol 50 ml Cairan 19 37 666 647
238 Deponeo inj Injeksi 10 20 360 350
239 Dexanta tab Tablet 619 1237 22266 21647
240 DETTOL CAIR 250 ML Botol 20 5 90 70
241 Digoxin tab Tablet 25 39 702 677
242 Diazepam 5mg Tablet 194 388 6984 6790
243 Dimenhidrinat tab Tablet 395 789 14202 13807
244 Dionicol syrp Syrup 30 60 1080 1050
245 Diltiazem tab Tablet 90 60 1080 990
246 Diabion tab Tablet 550 60 1080 530
247 Diazepam 2mg Tablet 220 439 7902 7682
248 Dobutamin inj Ampul 17 1 18 1
249 Dot huki 50ml Botol 11 21 378 367
250 Dopac inj Injeksi 15 10 180 165
251 Doxixilin caps Kapsul 10 20 360 350
252 Dulcolac tab Tablet 188 87 1566 1378
253 Dulcolac supp Suppositoria 13 26 468 455
254 Duradryl inj Injeksi 10 19 342 332
255 Dulcolaxtrol Syr/Lactulose Syr Syrup 3 6 108 105
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
256 Durogesig 12ug/h pcs 8 15 270 262
257 Dymenhydramin inj Injeksi 44 88 1584 1540
258 Electrode alkes 42 84 1512 1470
259 ELOK CREAM Cream 2 4 72 70
260 ENEMA SYIRINGE OM alkes 15 6 108 93
261 Epinephrine inj Injeksi 70 30 540 470
262 Ephedrine HCL inj Injeksi 13 25 450 437
263 Erlamicetin TM Botol 116 15 270 154
264 Erlamicetin SM Botol 4 8 144 140
265 Erlamicetin TT Botol 38 75 1350 1312
266 Erlamol tab Tablet 840 1680 30240 29400
267 Erythromycin 500mg Tablet 471 942 16956 16485
268 Erythromycin SirKer 60 ml Sirker 30 6 108 78

269 ESKAMED 3WAY DGN EXTRA alkes 3 54

TUBE 50 4

270 ESKAMED 3 WAY TANPA EXTRA alkes 3 54

TUBE 50 4
271 Etaflucin syrp Syrup 2 4 72 70
272 Ethiferan inj Injeksi 34 15 270 236
273 Etamoxul 500mg tab Tablet 691 1381 24858 24167
274 Etamox 500mg Tablet 5325 1649 29682 24357
275 Etafen Syr Syrup 3 5 90 87
276 ETT no 6.5 alkes 2 4 72 70
277 Extention tube alkes 1 2 36 35
278 Eyevit syr Syrup 0 0 0 0
279 Farelax Inj Injeksi 3 6 108 105
280 Farizol syrp Syrup 47 93 1674 1627
281 FARSIFEN Tablet 681 1362 24516 23835
282 FARSIFEN SYRUP Syrup 5 10 180 175
283 Fasidol syrup Syrup 46 21 378 332
284 Fasidol drop Drop 3 6 108 105
285 Fenamin 500mg tab Tablet 491 982 17676 17185
286 Ferro sulfas tab Tablet 87 174 3132 3045
287 Fentanyl inj Injeksi 2 3 54 52
288 FG Troches Tablet 182 364 6552 6370
289 FIXATIC TAB 100MG Tablet 5 10 180 175
290 Flurin syrp Syrup 23 21 378 355
291 Flurin DMP syrp Syrup 7 15 270 263
292 Flagyl supp Suppositoria 10 20 360 350
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
293 Flutrop tab Tablet 35 70 1260 1225
294 Flukonazole tab Tablet 15 30 540 525
295 Flagyl 1g supp Suppositoria 1 2 36 35
296 Flukonazole infus Cairan 20 15 270 250
297 Formalin 3% 1L Cairan 5 2 36 31
298 Folavit 400 ui tab Tablet 9 18 324 315
299 Forneuro tab Tablet 30 60 1080 1050
300 FoSICOL F DS Sirker 5 10 180 175
301 Folacite 400mcg Tablet 45 90 1620 1575
302 FOLAS TABLET Tablet 125 250 4500 4375
303 FORMOM KAPLET Kaplet 433 300 5400 4967
304 Folamil Genio Tablet 8 16 288 280
305 FORUMEN TT Tetes 30 5 90 60
306 Furosemide tab Tablet 106 212 3816 3710
307 Furosemide Inj Injeksi 30 60 1080 1050
308 Fuladic acid cream Cream 7 15 270 263
309 Gabbryl tab Tablet 150 50 900 750
310 GABBRYL SYR Syrup 20 3 54 34
311 Gestamag tab Tablet 300 50 900 600
312 Gelang bayi pink pcs 8 15 270 262
313 Gelang bayi biru pcs 10 20 360 350
314 Gentamicin inj Injeksi 25 50 900 875
315 Genalten cream Cream 133 30 540 407
316 Gelang dewasa biru 38 75 1350 1312
317 Gelang dewasa pink 23 46 828 805
318 Genoint TM Tetes 15 15 270 255
319 Genoint SM Salep 4 8 144 140
320 Gemfibrozil 300mg Tablet 10 20 360 350
321 GG Tablet 30 60 1080 1050
322 Ginkona tab Tablet 32 20 360 328
323 Glibenklamide tab Tablet 33 65 1170 1137
324 Glimepirid 2 mg tab Tablet 95 190 3420 3325
325 Glimepirid 4 mg tab Tablet 230 45 810 580
326 GLAUCON TABLET Tablet 210 90 1620 1410
327 GLUCOSAMINE 250 TAB Tablet 500 200 3600 3100
328 Glimepirid 1 mg tab Tablet 778 150 2700 1922
329 Glimepirid 3 mg tab Tablet 618 120 2160 1542
330 GOM Cairan 30 5 90 60
331 Griseofulvin tab Tablet 35 70 1260 1225
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
332 Grantusif tab Tablet 399 312 5616 5217
333 Guanisterp syrp Syrup 3 5 90 87
334 H2O2 3% 800ML Cairan 2 1 18 16
335 Hansaplast pcs 108 215 3870 3762
336 Hansaplast roll kecil pcs 32 64 1152 1120
337 Haees-steril 6% Cairan 7 5 90 83
338 Halothane Cairan 1 1 18 17
339 Hansaplast roll besar pcs 3 5 90 87
340 HCT 25mg tab Tablet 14 28 504 490
341 Histigo tab Tablet 309 618 11124 10815
342 Hipavix 5cmx5m 10 7 126 116
343 Hipavix 15cmx5m 10 19 342 332
344 Hibicet 500ml Cairan 5 1 18 13
345 Hibicet 5L Cairan 15 1 18 3
346 Hipavix 5cmX1m Shacet 30 18 324 294
347 Histrine FT Tablet 79 60 1080 1001
348 HIPAFIX 20 X 5 CM 5 1 18 13
349 Hipafix 3M (opsite BPJS) 25 15 270 245
350 HP-pro tab Tablet 35 30 540 505
351 HS non steril 800 140 2520 1720
352 HS maxter no 7 15 30 540 525
353 HS maxter 7,5 20 40 720 700
354 HS maxter 6,5 48 20 360 312
355 HS maxter 8 4 7 126 122
356 Humulin-N inj Injeksi 6 1 18 12
357 Humulin-R inj Injeksi 8 1 18 10
358 Hydrocortison cream Cream 6 12 216 210
359 Hystolan tab Tablet 53 20 360 307
360 Ifarsyl syrp 60ml Syrup 18 36 648 630
361 Imunos tab Tablet 75 40 720 645
362 Imunos syrup Syrup 4 8 144 140
363 Imunos plus caps Kapsul 16 31 558 542
364 Inerson cream Cream 13 2 36 23
365 INH 300mg Tablet 27 54 972 945
366 Inflesco tab Tablet 114 227 4086 3972
367 Induxin inj Injeksi 80 53 954 874
368 Interhistin tab Tablet 999 1998 35964 34965
369 IRBESARTAN 150 mg Tablet 90 30 540 450
370 ISDN 5mg Tablet 59 50 900 841
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
371 Jarum insulin 50 10 180 130
372 Jarum mani SE-ME 24 pcs 50 5 90 40
373 Jarum Mani SE-TE 55 pcs 50 5 90 40
374 Jarum Mani SE-TH 40F pcs 50 3 54 4
375 KA-EN 3B Cairan 191 68 1224 1033
376 Kasa gulung 15cm Pcs 25 23 414 389
377 Kasa gulung 5cm Pcs 15 12 216 201
378 Kasa gulung 1m Pcs 6 1 18 12
379 Kasa box Pcs 429 40 720 291
380 Kapas gulung 100gr Pcs 1 1 18 17
381 Kapas gulung 50gr Pcs 1 2 36 35
382 Kapas gulung 1000gr Pcs 1 2 36 35
383 Kaditic/Natrium Diclofenak tab Tablet 613 250 4500 3887
384 Kaltrofen supp Suppositoria 10 20 360 350
385 Kaltrofen tab Tablet 165 330 5940 5775
386 Kalnex Inj Injeksi 65 70 1260 1195
387 Kapas 250 gram 5 2 36 31
388 KALNEX 500 MG Tablet 97 50 900 803
389 KCL746 25ml Cairan 33 16 288 255
390 Ketokenazole tab Tablet 109 218 3924 3815
391 Ketorolac inj Injeksi 80 40 720 640
392 Kertas puyer Pcs 9999 700 12600 2601
393 Kendil batur Pcs 5 10 180 175
394 Ketokenazole cream 10mg Cream 25 15 270 245
395 Ketricin 4mg Tablet 5 10 180 175
396 Ketoprofen 100 mg Tablet 193 385 6930 6737
397 Ketorolak tab Tablet 47 93 1674 1627
398 KOMPOLAC SYR 60 ML Syrup 8 5 90 82
399 KSR 600mg Tablet 172 344 6192 6020
400 KTM inj Injeksi 3 6 108 105
401 Lanzoprazole 30mg Kapsul 123 246 4428 4305
402 Lacbon tab Tablet 25 50 900 875
403 Lachopen syrp Syrup 20 5 90 70
404 Lapiflox tab Tablet 78 50 900 822
405 Lacto-B Serbuk 251 70 1260 1009
406 Lapiball inj Injeksi 8 15 270 262
407 LACTAMOR Kaplet 998 618 11124 10126
408 Lactacyd baby Cairan 2 3 54 52
409 Lapistan Tablet 1070 355 6390 5320
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
410 Lapimox 500 Mg Tablet 139 50 900 761
411 Lapixime inj Injeksi 81 21 378 297
412 LANTUROL 400 MG Kapsul 200 50 900 700
413 LASGAN 30 MG Kapsul 30 60 1080 1050
414 LAPIBAL 500MG KAPS Kapsul 211 30 540 329
415 LACIDOFIL CAPSUL Kapsul 8 20 360 352
416 L- Bio Serbuk 77 154 2772 2695
417 Levofloxacin 500mg Tablet 356 711 12798 12442
418 Lexahist tab Tablet 146 292 5256 5110
419 Leukoplast 4,5mx5cm 8 2 36 28
420 Lerzin tab Kapsul 161 322 5796 5635
421 Leukoplast 4,5mx7cm 8 6 108 100
422 Levofloxacin infs Cairan 166 20 360 194
423 Lerzin syrp Syrup 8 10 180 172
424 Letonal tab Tablet 14 28 504 490
425 Lesipar 300mg caps Kapsul 40 80 1440 1400
426 LEVOFLOXACIN 750MG INFUS Cairan 25 5 90 65
427 Levemir Flexpen Flexpen 20 5 90 70
428 Lidocain HCL 2% inj Injeksi 155 132 2376 2221
429 Lidodex inj Injeksi 19 37 666 647
430 Licokalk tab Tablet 159 200 3600 3441
431 Liprolac scht Serbuk 25 20 360 335
432 Lisinopril 5mg tab Tablet 60 120 2160 2100
433 Lisinopril 10mg tab Tablet 150 113 2034 1884
434 Loperamide tab Tablet 252 504 9072 8820
435 L Zink syrup Syrup 41 15 270 229
436 Masker tali 200 60 1080 880
437 Masker O2 adult 20 130 2340 2320
438 Masker O2 pediatric 16 63 1134 1118
439 Magazing Kaplet 845 115 2070 1225
440 Marcain spinal inj Injeksi 20 12 216 196
441 Maltiron syrp Syrup 20 10 180 160
442 Manitol Infs Cairan 15 2 36 21
443 Mayo no 80mm 2 3 54 52
444 Mayo no 90mm 2 3 54 52
445 Mayo 100mm 5 1 18 13
446 Masker N95 18 4 72 54
447 MASKER KAIN Pcs 100 20 360 260
448 Mess 11 Pcs 103 30 540 437
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
449 Mess 22 Pcs 58 25 450 392
450 Mestamox 500 mg Tablet 43 85 1530 1487
451 Meloxicam 15 mg Tablet 184 367 6606 6422
452 Methyprednisolon Tablet 816 618 11124 10308
453 Metronidazole infs Cairan 80 48 864 784
454 Meixam 500mg Tablet 4 7 126 122
455 Metformin tab Tablet 478 956 17208 16730
456 Meixam inj Ampul 33 7 126 93
457 Meloxicam 7,5 mg Tablet 272 544 9792 9520
458 Mess 20 50 20 360 310
459 Meropenem inj Injeksi 50 24 432 382
460 Mecobalamin tab Tablet 216 88 1584 1368
461 Methylprednisolon Inj Injeksi 6 9 162 156
462 MEFINAL TAB Tablet 0 0 0 0
463 Metocloperamide Inj Ampul 0 0 0
464 MgSo4 20% INJ Cairan 30 10 180 150
465 MgSo4 40% Cairan 12 15 270 258
466 Miconazole cream Cream 25 49 882 857
467 Microburet Pcs 18 36 648 630
468 Microlax supp Suppositoria 10 5 90 80
469 Minoscrub 1L Cairan 4 8 144 140
470 Mikrotina 500MG CAPS Kapsul 258 516 9288 9030
471 MINOSCRUB 500 ML Cairan 8 3 54 46
472 MYCROGYNON TAB Tablet 25 5 90 65
473 Mofen suspensi 60ml 8 15 270 262
474 Mofen drops 15ml Drop 0 0 0 0
475 Molagit tablet Tablet 2162 4324 77832 75670
476 Mucus extractor 1 2 36 35
477 Musin tablet Tablet 405 810 14580 14175
478 Mucos Syr Syrup 0 0 0 0
479 Mylon 84 25ml 12 21 378 366
480 MYONEP Tablet 84 168 3024 2940
481 Nairet inj Injeksi 67 50 900 833
482 Nabic tab Tablet 45 90 1620 1575
483 Neurodex tab Tablet 220 440 7920 7700
484 Neuromec/ Novapyron tab Tablet 1444 458 8244 6800
485 Neo-k inj Injeksi 10 20 360 350
486 Needle 23G TE 95 150 2700 2605
487 Needle 26G TE 106 212 3816 3710
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
488 Nebulizer masker pediatric 30 10 180 150
489 Nebulizer masker adult 25 12 216 191
490 Nebacetin powder Serbuk 4 7 126 122
491 Neurobion 5000mg Tablet 250 30 540 290
492 Neurobion tab Tablet 30 60 1080 1050
493 Neo kaolana syr Syrup 8 3 54 46
494 NGT Fr 5.40cm Pcs 45 18 324 279
495 NGT Fr 8. 40cm Pcs 65 5 90 25
496 NGT Fr 5. 100cm Pcs 35 8 144 109
497 NGT Fr 16 125cm Pcs 65 6 108 43
498 NGT Fr 14. 125cm Pcs 40 5 90 50
499 NGT Fr 12. 125cm Pcs 55 6 108 53
500 NGT 18 125 cm Pcs 70 4 72 2
501 Nipedipine tab Tablet 257 330 5940 5683
502 Novaldo inj Injeksi 4 8 144 140
503 Nobor tab Tablet 150 300 5400 5250
504 Norestil tab Tablet 84 168 3024 2940
505 Norages syrp Syrup 10 20 360 350
506 Nonemi tab Tablet 652 265 4770 4118
507 Norages inj Injeksi 262 165 2970 2708
508 Novastan Syr Syrup 22 15 270 248
509 NOVABION/HUFABION TAB Tablet 216 333 5994 5778
510 Non flamin tab Tablet 153 205 3690 3537
511 Novatusin Syr Syrup 12 23 414 402
512 Novorapid Flexpen 25 5 90 65
513 Novomix Flexpen 25 5 90 65
514 NRBM Masker adult Pcs 20 2 36 16
515 NRBM Masker pediatric Pcs 20 1 18 24
516 NS 25ml Cairan 146 292 5256 5110
517 NS 500ml (OTSU) Cairan 297 368 6624 6327
518 NS 100 ml Cairan 109 218 3924 3815
519 NS 1000ml Cairan 21 42 756 735
520 Nutrilon premature 400g 2 5 90 88
521 Nutribaby1 400g 6 6 108 102
522 Nucef capsul Kapsul 513 30 540 27
523 Nucef SirKer Sirker 20 11 198 178
524 NUTRY BABY PEPTI JUNIOR 15 5 90 75
525 NUTRI BABY ROYAL 400 G 15 6 108 93
526 NUTRIBABY 200 MG 15 12 216 201
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018

527 NUTRI BABY ANTIREGURGITASI 1 18

400 15 3
528 Nurse Cup Kepala 200 20 360 160
529 NUTRIBABY ALLERPRE 400 MG 15 5 90 75
530 NUTRIBABY MAMA 400 MG 15 3 54 39
531 Nyndia drop Drop 5 10 180 175
532 Nystin drop Drop 6 12 216 210
533 OBH itrasal 100ml Syrup 29 26 468 439
534 OBP itrasal 100ml Syrup 6 12 216 210
535 Omeprazole Capsul Kapsul 310 620 11160 10850
536 Omeprazole inj Injeksi 13 26 468 455
537 Onemed test hamil Pcs 50 10 180 130
538 Ondancetron 4 mg/ 2 ml inj Injeksi 468 112 2016 1548
539 Ondancetron tab Tablet 30 60 1080 1050
540 Ondancetron 8mg/ml inj Injeksi 30 5 90 60
541 Opsite (CURAPOR) 50 22 396 346
542 OPINEURON TAB Tablet 35 70 1260 1225
543 Oralit Serbuk 16 32 576 560
544 Osteocal Tablet 25 50 900 875
545 OSTEOKOM TAB Tablet 15 30 540 525
546 Oxytetracylin SM Salep 5 10 180 175
547 Oxytetracyline SK Salep 25 12 216 191
548 Paper EKG 8 1 18 10
549 Pantoprazole inj Injeksi 10 19 342 332
550 Paracetamol infs Cairan 15 30 540 525
551 Pampers Dewasa 71 25 450 379
552 PD Cath IV Canula NO 18 36 6 108 72
553 PD Cath IV Canula NO 20 35 69 1242 1207
554 PD Spuit 3 CC 52 16 288 236
555 PD Spuit 5 CC 45 21 378 333
556 PD Spuit 10 CC 60 32 576 516
557 PD Cath IV Canula NO 22 54 201 3618 3564
558 PD Infusion Set Dewasa 211 312 5616 5405
559 PD Folley Cath No.16 38 20 360 322
560 PD Cath IV Canula NO 24 15 9 162 147
561 INFUS SET MAKRO TERUMO 50 14 252 202
562 Petidin inj Injeksi 30 18 324 294
563 Pehacain inj Injeksi 55 32 576 521
564 Pehidrol 800ml Cairan 8 1 18 10
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
565 Perfusor 2 1 18 16
566 Phenytoin caps Kapsul 50 18 324 274
567 Phenythoin inj Injeksi 32 11 198 166
568 Piracetam 400mg Tablet 165 30 540 375
569 Picyn 1500mg 5 2 36 31
570 Piroxicam 20mg Tablet 255 155 2790 2535
571 Piracetam 1g inj Injeksi 28 8 144 116
572 Piracetam 3g inj Injeksi 22 7 126 104
573 Pipet 1ml 60 50 900 840
574 Pispot wanita 3 1 18 15
575 Pispot laki-laki 3 1 18 15
576 PIRACETAM 1200mg Tablet 126 51 918 792
577 Piralen inj Injeksi 15 31 558 543
578 Piroxicam 10mg Tablet 331 50 900 569
579 Plesterin 9 17 306 297
580 Plantacid syrp Syrup 60 22 396 336
581 Plantacid F syrp Syrup 15 11 198 183
582 PLASMINEX INJEKSI Injeksi 15 6 108 93
583 Povidone 15ml/30ml Cairan 28 10 180 152
584 POVIDONE 60 ML Cairan 22 15 270 248
585 Povidone 1000ml Cairan 6 1 18 12
586 Pospargin tab/bledstop tab Tablet 136 272 4896 4760
587 Pospargin Inj/BLEDSTOP INJ Injeksi 36 12 216 180
588 Povidone 5L Cairan 7 1 18 11
589 Prednison tab Tablet 11 22 396 385
590 Propanolol tab Tablet 65 15 270 205
591 Primadex forte tab Tablet 455 220 3960 3505
592 Primadex tab Tablet 315 255 4590 4275
593 Primadex syrp Syrup 25 17 306 281
594 Promavit Kapsul 2398 517 9306 6908
595 Propepsa syrp Syrup 25 43 774 749
596 Prosonic 5L Cairan 1 2 36 35
597 Profertil tab Tablet 102 75 1350 1248
598 Propepsa Syr Syrup 50 25 450 400
599 PROVAGIN OVULA Suppositoria 11 6 108 97
600 PROFUT 4 MG Tablet 30 10 180 150
601 PROLIC CAPSUL Kapsul 80 15 270 190
602 PSIDII SYR Syrup 40 5 90 50
603 Pumpitor inj Injeksi 15 10 180 165
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
604 Pulmicort 1mg/2ml Injeksi 39 78 1404 1365
605 Pyrexin 160 supp Suppositoria 20 7 126 106
606 Quantidex tab Tablet 350 216 3888 3538
607 Ranitidin tab Tablet 6452 750 13500 7048
608 Ranitidin inj Injeksi 2200 316 5688 3488
609 RD 5% (otsu) Cairan 73 22 396 323
610 Recadryl inj Injeksi 15 8 144 129
611 Renax 50 Tablet 98 30 540 442
612 RL 500ml (otsu) Cairan 605 568 10224 9619
613 Sanmag syrup Syrup 70 13 234 164
614 Salbutamol 4mg tab Tablet 241 482 8676 8435
615 Salbutamol 2mg tab Tablet 168 336 6048 5880
616 Salycyl bedak Serbuk 6.5 13 234 227.5
617 Sanmol drop Drop 30 10 180 150
618 San-B-plex drops Drop 9 5 90 81
619 SANADRYL SYR Syrup 10 5 90 80
620 SALFENAL 400 MG Tablet 457 914 16452 15995
621 SANADRYL DMP SYR Syrup 8 3 54 46
622 SANBE KIDS Syrup 20 2 36 16
623 SANMOL SYR Injeksi 50 22 396 346
624 Santagesic injeksi Injeksi 50 12 216 166
625 Sanadryl DMP 120ml Syrup 10 5 90 80
626 Scopamin inj / GITAS INJ Injeksi 30 20 360 330
627 Scopamin plus tab Tablet 172 121 2178 2006
628 SCOPMA PLUS Tablet 45 90 1620 1575
629 Scabimite 10g Cream 50 15 270 220
630 Set infus micro Alkes 23 6 108 85
631 Sedacum inj Injeksi 6.5 13 234 227.5
632 Sequest scht Serbuk 50 20 360 310
633 Seremic 10 Mg Tablet 141 70 1260 1119
634 Set Infus set Y askamed Pcs 112 50 900 788
635 Set infus Polymed (BPJS) Pcs 120 60 1080 960
636 SGM1 120 mg Box 8 15 270 262
637 SGM BBLR 200mg Box 8 3 54 46
638 Silet Pcs 150 50 900 750
639 Simvastatin 5mg tab Tablet 15 90 1620 1605
640 Simvastatin 10mg tab Tablet 370 740 13320 12950
641 Sibital inj 10 1 18 8
642 Silkam black USP 1 Pcs 5 1 18 13
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
643 Silk Black 2 Pcs 7 1 18 11
644 Silk Black 2/0 BRAUN Pcs 8 1 18 10
645 Silk 2/0 saccet Pcs 50 20 360 310
646 Silk 3/0 saccet Pcs 50 20 360 310
647 SIMVASTATIN 20 MG Tablet 68 76 1368 1300
648 SILOPECT TABLET Tablet 100 30 540 440
649 SILOPECT SYR Syrup 12 4 72 60
650 Sirplus stw Syrup 15 3 54 39
651 Spuit 100-ui terumo Alkes 60 30 540 480
652 Spuit 1cc terumo Alkes 80 45 810 730
653 Spuit 1cc OM Alkes 70 50 900 830
654 Spuit 3cc OM Alkes 50 180 3240 3190
655 Spuit 3cc terumo Alkes 180 16 288 108
656 Spuit 5cc OM Alkes 130 70 1260 1130
657 Spuit 5cc terumo Alkes 112 30 540 428
658 Spuit 10cc OM Alkes 180 60 1080 900
659 Spuit 10cc terumo Alkes 150 30 540 390
660 Spuit 20cc terumo Alkes 25 10 180 155
661 Spuit 50cc syringe pump terumo Alkes 80 20 360 280
662 Spuit 3cc stera Alkes 200 130 2340 2140
663 Spasminal tab Tablet 215 430 7740 7525
664 Spinocam no25 Alkes 80 20 360 280
665 Spinocam no23 Alkes 80 15 270 190
666 Spongestan Alkes 60 6 108 48
667 Spuit 20cc OM Alkes 50 8 144 94
668 Spinocam no 27 Alkes 50 17 306 256
669 Spalk pink 20x5 Alkes 60 15 270 210
670 Spalk green 15x5 Alkes 60 130 2340 2280
671 Spalk green 60x5 Alkes 20 5 90 70
672 Spalk green 90x5 Alkes 20 6 108 88
673 Spalk green 15X90 Alkes 60 6 108 48
674 SPIRAMYCIN 500 MG kf Tablet 3 5 90 87
675 SPUIT 50 CC catheter tip OM Alkes 50 5 90 40
676 spalk putih 8 X 90 Alkes 50 15 270 220
677 SPALK 5 X 30 Alkes 25 30 540 515
678 Spuit 50 cc TM catheter tip Alkes 50 6 108 58
679 Stesolid rectal Suppositoria 9 18 324 315
680 Stesolid Inj Injeksi 87 174 3132 3045
681 Suction catheter no 8 Alkes 70 20 360 290
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
682 Suction catheter no 10 Alkes 60 21 378 318
683 Suction catheter no 12 Alkes 90 23 414 324
684 Suprafenid supp Suppositoria 144 288 5184 5040
685 Surflo no 18 Alkes 70 30 540 470
686 Surflo no 20 Alkes 60 15 270 210
687 Surflo no 22 Alkes 40 60 1080 1040
688 Surflo no 24 Alkes 50 40 720 670
689 Superhoid supp Suppositoria 15 17 306 291
690 Suction catheter Fr 14 Alkes 50 16 288 238
691 Suction catheter Fr 16 Alkes 50 25 450 400
692 Surflo no 16 Alkes 80 30 540 460
693 Surflo no.26 Eskamed Alkes 15 30 540 525
694 SURFLO 24 ESKAMED Alkes 70 5 90 20
695 Surflo 22 Polymed (BPJS) Alkes 30 60 1080 1050
696 Surflo 18 Polymed (BPJS) Alkes 30 60 1080 1050
697 Surflo 20 Polymed (BPJS) Alkes 30 60 1080 1050
698 Surflo 24 Polymed (BPJS) Alkes 100 60 1080 980
699 Synbio Serbuk 15 30 540 525
700 SYNECLAV 500 MG Tablet 45 90 1620 1575
701 SYNECLAV SYR Syrup 15 6 108 93
702 Tera-f Tablet 325.5 651 11718 11392.5
703 Teosal tab Tablet 155 311 5598 5443
704 Thermometer Alkes 20 5 90 70
705 Tensocrape 7,5cm x 4,5m Alkes 8 3 54 46
706 Tensocrape 5.5cm x 4.5m Alkes 8 3 54 46
707 Tegaderm Film Alkes 150 183 3294 3144
708 TGF KAPLET Kaplet 600 113 2034 1434
709 Theobron tab Tablet 239 478 8604 8365
710 Three way Alkes 25 5 90 65
711 Trombophob gel Gel 2.5 5 90 87.5
712 Tissue Alkes 20 10 180 160
713 Tiriz drop Drop 20 8 144 124
714 Tongspatel kayu Alkes 70 5 90 20
715 Tromilin syrp Syrup 8 3 54 46
716 Tremenza tab Tablet 65 130 2340 2275
717 Tree way catheter Alkes 15 5 90 75
718 Tramadol Tablet 3 6 108 105
719 Truvast tablet Tablet 131 30 540 409
720 Tuzaloz tab Tablet 100 80 1440 1340
 Sisa stok per Pemakaian rata-rata
Jumlah kebutuhan Rencana kebutuhan
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018
721 Umbilikal klem Alkes 50 15 270 220
722 Underpad Alkes 180 45 810 630
723 Unalium 5mg tablet Tablet 25 47 846 821
724 Urin Bag PD 50 94 1692 1642
725 Ursodeoxycholic acid 250mg Kapsul 100 50 900 800
726 Urdafalk tab Tablet 40 30 540 500
727 Valsartan 80MG/Valesco 80mg Tablet 600 56 1008 408
728 Vesperum tab/Domperidon tab Tablet 1258 826 14868 13610
729 Vesperum syrp/OMEDON SYR Syrup 12 24 432 420
730 Ventolin inj Injeksi 18 36 648 630
731 Vit Bcom Tablet 383 456 8208 7825
732 Vit C 50mg Tablet 782 436 7848 7066
733 Vit B6 Tablet 30 60 1080 1050
734 Vit A 6000 IU Tablet 50 25 450 400
735 Vitacur syr 60 ml Syrup 18 13 234 216
736 Vitrolenta TM Minidose 25 10 180 155
737 Vosea tab Tablet 785 573 10314 9529
738 Vosea syrp Syrup 9 15 270 261
739 Voltadex tab Tablet 435 870 15660 15225
740 Vomil B6 Tablet 108 216 3888 3780
741 Wing Needle Pcs 6 4 72 66
742 Winatine tab/Loratadin Tablet 106 212 3816 3710
743 Yusimox syrp Syrup 14 28 504 490
744 Yusimox F syrp Syrup 12 24 432 420
745 Zink tab Tablet 67 134 2412 2345
TOTAL 117,289.00 83,520.00 #VALUE! #VALUE!