5 Alopurinol tab 100 mg Tab 2,837 1,241 22,338 19,501 19,501 1 Box ( Isi 100 tablet).
6 Alopurinol tab 300 mg tablet/kapsul/kaplet -
7 Aminofilin inj 24 mg/ml ampul/vial 10 ml - 1 18 18 30 ED. Oktober 2021.Obat Emergensi Harus
selalu tersedia. 1 Box isi 30 ampul
8 Aminofilin tab 150 mg tablet/kapsul/kaplet - - - - -
9 Aminofilin Tab 200 mg tablet/kapsul/kaplet - 5 90 90 90 1 Box ( Isi 100 tablet).
10 Amitriptilin tab sal 25 mg tablet/kapsul/kaplet - - - - -
11 Amlodipin tab 10 mg tablet/kapsul/kaplet 27,538 1,503 27,054 - 484 9,018 Stok masih mencukupi. Perencannan
hanya untuk 6 bulan. ED Januari 2022. Box
isi @30 tablet
12 Amlodipin tab 5 mg tablet/kapsul/kaplet 1,192 2,340 42,120 40,928 40,928 1 Box isi @30 tablet
13 Amoksisilin drops 100 mg/ml Botol - - - - -
14 Amoksisilin sir forte 250 mg/5 ml botol 60 ml - 56 1,008 1,008 1,008 1 Box isi @50 botol
15 Amoksisilin sir kering 125 mg/5 ml Botol 264 114 2,052 1,788 1,788 1 Box isi @48 botol
16 Amoksisilin tab 250 mg tablet/kapsul/kaplet - - - - -
17 Amoksisilin tab 500 mg tablet/kapsul/kaplet 6,656 1,950 35,100 28,444 28,444 1 Box ( Isi 100 tablet).
18 Ampisilin serb inj 1000 mg/vial ampul/vial - - - - -
19 Ampisilin serb inj 250 mg/vial Vial - - - - -
20 Anestetik lokal gigi kombinasi : lidokain hcl ampul/vial 20 20 360 340 340 1 Box isi @30 ampul
2% + epinefrin 1 : 80.000 inj 2 ml
21 Antasida, kombinasi : aluminium hidroksida botol 60 ml 93 17 306 213 213 1 Box ( Isi 50 botol).
200 mg + magnesium hidroksida 200 mg
22 Antasida, kombinasi : aluminium hidroksida tablet/kapsul/kaplet 9,041 1,516 27,288 18,247 18,247 1 Box ( Isi 100 tablet).
200 mg + magnesium hidroksida 200 mg
109 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 190 24 432 242 242 ED Maret 2021
110 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) tablet salut gula/kaplet - - - - -
salut gula
111 Fluoksetin kaps 10 mg tablet/kapsul/kaplet - - - - -
112 Fluor kapl 1 mg Kaplet - - - - -
113 Fluor sediaan topikal Tube - - - - -
114 Fluoresein tts mata 2,5 mg/ml Botol - - - - -
115 Formokresol Botol - - - - -
116 Framisetin Sulfat Tulle 1% Patch - 20 360 360 360 1 box (@10 lembar)
117 Furosemid inj 10 mg/ml (i.v./i.m.) ampul/vial - 1 18 18 18 1 box (@25 ampul)
118 Furosemid tab 40 mg tablet/kapsul/kaplet 600 25 450 - 150 - 150 1 Box ( Isi 100 tablet).
119 Galactose microparticle 200-400 mg Vial - - - - -
micropart/ml
120 Garam oralit kombinasi : natrium klorida 0,52 sachet 35 418 7,524 7,489 7,489 1 Box ( Isi 100 sacc).
g + kalium klorida 0,30 g + trinatrium sitrat
0,58 g + glukosa anhidrat 2,7 g
121 Gentamisin salep mata 0,3% Tube 31 21 378 347 347 1 Box ( Isi 25 tube).
122 Gentamisin tts mata 0,3% Botol - 24 432 432 432
123 Glass ionomer ART (Atraumatic Restorative Sachet - - - - -
Treatment) cocoa butter 5 g
124 Glass ionomer ART (Atraumatic Restorative Botol - - - - -
Treatment) lar
125 Glass ionomer ART (Atraumatic Restorative Vial - - - - -
Treatment) serb
126 Glibenklamid tab 2,5 mg tablet/kapsul/kaplet 307 60 1,080 773 773 1 Box ( Isi 100 tablet).
127 Glibenklamid tab 5 mg tablet/kapsul/kaplet 307 60 1,080 773 773 1 Box ( Isi 100 tablet).
128 Glikuidon tab 30 mg tablet/kapsul/kaplet - - - - -
129 Glimepirid tab 1 mg tablet/kapsul/kaplet - - - - -
130 Glimepirid tab 2 mg tablet/kapsul/kaplet 1,259 20 360 - 899 - 899 1 Box ( Isi 100 tablet).
131 Glipizid tab 5 mg tablet/kapsul/kaplet - - - - -
132 Gliseril trinitrat tab 0,5 mg tablet/kapsul/kaplet - - - - -
133 Gliserin tts 100 mg/ml Botol - - - - -
134 Glukosa Larutan Infus 10% steril 100 ml Botol - - - - -
135 Glukosa Larutan Infus 10% steril 250 ml Botol - - - - -
136 Glukosa Larutan Infus 10% steril 500 ml Botol - 1 18 18 18 1 Box ( Isi 12 botol).
137 Glukosa Larutan Infus 40% Ampul @25 ml - - - - -
PEMAKAIAN
SISA STOK PER JUMLAH RENCANA RENCANA REALISASI
RATA-RATA
NO NAMA OBAT SATUAN 31 DESEMBER PER BULAN KEBUTUHAN KEBUTUHAN PENGADAAN PENGADAAN KETERANGAN
2019 TAHUN 2021 TAHUN 2021 2021 2020
SELAMA 2019
138 Glukosa Larutan Infus 5% steril 100 ml Botol - - - - -
139 Glukosa Larutan Infus 5% steril 250 ml Botol - - - - -
140 Glukosa Larutan Infus 5% steril 500 ml Botol - 1 18 18 18 1 Box ( Isi 12 botol).
141 Griseofulvin (micronized) tab 125 mg tablet/kapsul/kaplet 300 80 1,440 1,140 1,140 ED April 2021
142 Griseofulvin (micronized) tab scored 250 mg tablet/kapsul/kaplet - - - - -
223 Kotrimoksazol (dewasa) kombinasi : tab/kaptab 990 190 3,420 2,430 2,430 1 Box ( Isi 100 tablet).
sulfametoksazol 800 mg+ trimetoprim 160
mg
224 Kotrimoksazol kombinasi tiap 5 ml suspensi : botol 60 mL 88 98 1,764 1,676 1,676 1 Box ( Isi 48 botol).
sulfametoksazol 200 mg + trimetoprim 40 mg
374 Sianokobalamin (vitamin B12) tab 50 mcg tablet/kapsul/kaplet 20,000 3,343 60,174 40,174 40,174 1 Box ( Isi 10 strip @100 tablet).
375 Simvastatin tab sal 10 mg tablet/kapsul/kaplet/tabl 1,130 1,618 29,124 27,994 27,994 1 Box ( Isi 10 strip @30 tablet).
et salut selaput/kaplet
salut selaput
376 Simvastatin tab sal 20 mg tablet/kapsul/kaplet/tabl - 330 5,940 5,940 5,940 1 Box ( Isi 10 strip @50 tablet).
et salut selaput/kaplet
salut selaput