LPLPO

LAPORAN MUTASI DAN PERSEDIAAN OBAT APBD
INSTALASI FARMASI KABUPATEN (IFK) SEKADAU

PER 31 DESEMBER 2017
No Nama Barang satuan Jumlah persediaan Terpakai Sisa stock Harga satuan Jumlah Total Keterangan
Pengadaan Total barang Penggunaan Total 31 Desember (Sisa Stock)

Stock awal Penggantian Rusak/ED/Ret
2018 tahun Produk/ Retur persediaan ur Pemakaian 2018
2018
1 2 3 4 5 6 7=(4+5+6) 8 9 10=(8+9) 11=(7-10) 12 13=(11X12) 14
1 Albendazol 400 mg kotak/30 tab - - - - - Rp 9,690 Rp - APBD 2016
2 Albendazol tab 400 mg ktk/30 tablet Rp 13,500
2,440 2,440 1,275 1,275 1,165 Rp 15,727,500 APBD 2017
3 Air untuk injeksi 25 mL ampul 1,680 1,680 1,680 1,680 - Rp 2,750 Rp - APBD 2016
4 Air untuk injeksi amp 25 ml/OTSU-WI Ampul @ 25 ml Rp 2,750
2,520 2,520 160 160 2,360 Rp 6,490,000 APBD 2017
5 Alopurinol tablet 100 mg kotak/100 tablet - - - - - Rp 9,000 Rp - APBD 2014
6 Alprazolam 0,5 mg kotak / 100 tab 293 293 106 187 293 - Rp 14,400 Rp - APBD 2016
7 Aluporinol 300 mg Kotak / 100 tab - - - - - Rp 24,400 Rp - APBD 2016
8 Alopurinol tab 300 mg Ktk/100 tablet Rp 22,500
245 245 245 245 - Rp - APBD 2017
9 Amitriptillin 25 mg kotak/100 tablet - - - - - Rp 12,300 Rp - APBD 2015
10 Amitriptiline 25 mg Kotak/100 tab 173 173 173 173 - Rp 16,500 Rp - APBD 2016
11 Aminofilin Tab 200 mg Botol/100 tab Rp 9,700
255 255 181 181 74 Rp 717,800 APBD 2017
12 kotak/100 tab
Amoksisiklin 250 mg - - - - - Rp 20,700 Rp - APBD 2016
13 Amoksisilin tab 250 mg Ktk/100 tablet Rp 19,100
477 477 477 477 - Rp - APBD 2017
14 Amoksisilin sir forte 250 mg/5 ml botol - - - - - Rp 4,147 Rp - APBD 2016
15 Amoksisilin sir forte 250 mg/5 ml Botol @ 60 ml Rp 3,797
8,720 8,720 8,720 8,720 - Rp -
16 kotak / 100 tab
Antasid doen 476 476 476 476 - Rp 6,400 Rp - APBD 2016
Antasida, kombinasi : aluminium ktk/100 tablet Rp 5,900
17 hidroksida 200 mg + magnesium
hidroksida 200 mg
2,169 2,169 1,581 1,581 588 Rp 3,469,200 APBD 2017
18 Antifungi DOEN salep unit - - - - - Rp 4,782 Rp - APBD 2016
Antifungi salep, kombinasi : asam Pot Rp 4,972
19 benzoat 6%+ asam salisilat 3%
1,106 1,106 1,106 1,106 - Rp - APBD 2017
20 Anestetik lokal gigi kombinasi : kotak/30 vial Rp 66,810
lidokain hcl 2% + epinefrin 1 : 80.000
inj 2 ml
79 79 68 68 11 Rp 734,910 APBD 2017
21 Amlodipin tab 5 mg Ktk/30 tablet Rp 2,730
766 766 766 766 - Rp - APBD 2017
22 kotak / 100 tab
Asam mefenamat 500 mg 476 476 476 476 - Rp 11,300 Rp - APBD 2016
23 Asam mefenamat kaps 500 mg Ktk/100 tablet Rp 10,200
3,323 3,323 1,793 1,793 1,530 Rp 15,606,000 APBD 2017
24 Asam asetilsalisilat (asetosal) kotak/100 tab 75 75 75 75 - Rp 15,300 Rp - APBD 2016
Asam asetilsalisilat (asetosal) tab 100 ktk/100 tablet Rp 15,400
25 mg
198 198 30 30 168 Rp 2,587,200 APBD 2017
26 Asam asetilsalisilat (asetosal) tab 80
mg/ Miniaspi kotak / 100 tab Rp 12,300
192 192 160 160 32 Rp 393,600 APBD 2016
Asam asetilsalisilat (asetosal) tab 80 ktk/100 tablet Rp 9,400
27 mg
520 520 - - 520 Rp 4,888,000 APBD 2017
28 Asam askorbat (vitamin C) tab 50 mg Ktk/100 tablet Rp 12,000
470 470 470 470 - Rp - APBD 2017
29 Asiklovir salep Tube -
- - - - Rp 2,997 Rp - APBD 2015
30
Asiklovir 200 mg kotak/100 tablet - - - - - Rp 24,500 Rp - APBD 2014
31 Asiklovir 200 mg Kotak/100 tab - - - - - Rp 27,200 Rp - APBD 2016
32 Asiklovir tab 200 mg Ktk/50 tablet Rp 12,950
210 210 210 210 - Rp - APBD 2017
33 Atapulgit 600 mg Ktk/100 tablet Rp 16,600
377 377 377 377 - Rp - APBD 2017
34 Bisakodil sup 10 mg/dulcolax supp supos Rp 5,800
adult
1,460 1,460 860 860 600 Rp 3,480,000 APBD 2017
35 Bedak salisil serb 2% dus 50 gr Rp 1,071
5,520 5,520 2,650 2,650 2,870 Rp 3,073,770 APBD 2017
36 kotak / 100 tab
Captopril 25 mg - - - - - Rp 7,200 Rp - APBD 2016
37 Cetrizin sirup botol 60 mL - - - - - Rp 8,799 Rp - APBD 2015
38 Dietilkarbamazin 100 mg kotak/100 tab - 440 440 440 440 - Rp 13,500 Rp - APBD 2016
39 Dietilkarbamazin tab 100 mg ktk/100 tablet Rp 18,100
2,230 2,230 2,180 2,180 50 Rp 905,000 APBD 2017
40 Dexamethason inj iv 5 mg/5ml Ktk / 100 vial - - - - - Rp 154,400 Rp - APBD 2015
41 Deksametason injeksi kotak / 100 amp 30 30 23 23 7 Rp 174,500 Rp 1,221,500 APBD 2016
42 Deksametason inj 5 mg/ml (i.v./i.m.) ktk/100 vial Rp 182,200
28 28 2 2 26 Rp 4,737,200 APBD 2017
43 Deksametason tab 0,5 mg Ktk/100 tablet Rp 4,500
1,066 1,066 1,066 1,066 - Rp - APBD 2017
44 Diazepam lar rektal 10 mg/2,5 ml kotak/5 tube - - - - - Rp 92,290 Rp - APBD 2016
45 Diazepam lar rektal 10 mg/2,5 ml ktk/5 tube Rp 96,890
34 34 34 34 - Rp - APBD 2017
46 Digoxin 0,25 mg kotak/100 tablet - - - - - Rp 10,300 Rp - APBD 2014
47 Digoxin 0,25 mg kotak/100 tablet - - - - - Rp 10,300 Rp - APBD 2015
48 Domperidon tab 10 mg Ktk/100 tablet Rp 11,000
194 194 194 194 - Rp - APBD 2017
49 Domperidon suspennsi 5 mg/5 ml botol 1,150 1,150 1,150 1,150 - Rp 3,180 Rp - APBD 2016
50 kotak / 10 btl
Domperidon tetes 5 mg/mL 28 28 28 28 - Rp 179,390 Rp - APBD 2016
51 Doksisiklin kaps 100 mg ktk/100 tablet Rp 29,900
258 258 205 205 53 Rp 1,584,700 APBD 2017
52 kotak / 100 amp
Epinefrin (adrenalin) inj 1 mg/ml - - - - - Rp 235,400 Rp - APBD 2016
Epinefrin (adrenalin) inj ktk/100 ampul Rp 184,800
53 (i.v./s.k./i.m.) 1 mg/ml (0,1%)
8 8 8 8 - Rp - APBD 2017
54 Eugenol cair botol/10 ml - - - - - Rp 18,333 Rp - APBD 2014
55 Eritromisin tab 500 mg ktk/100 tablet Rp 76,600
150 150 107 107 43 Rp 3,293,800 APBD 2017
56 Eritromisin sir 200 mg/5 ml Botol @ 60 ml Rp 6,461
2,090 2,090 1,020 1,020 1,070 Rp 6,913,270 APBD 2017
57 Fenitoin injeksi 50 mg/mL kotak / 10 ampul 30 30 4 4 26 Rp 208,570 Rp 5,422,820 APBD 2016
58 Fenitoin inj 50 mg/ml Ktk/10 ampul Rp 62,310
13 13 2 2 11 Rp 685,410 APBD 2017
59 Fenitoin Na kaps 100 mg ktk/100 tablet Rp 15,200
20 20 20 20 - Rp - APBD 2017
60 Fitomenadion ( vit k 100 mg ) kotak/100 tablet - - - - - Rp 69,000 Rp - APBD 2014
61 Fitomenadion 10 mg kotak / 100 tab - - - - - Rp 79,600 Rp - APBD 2016
62 Fitomenadion (vitamin K 1) tab sal 10 Ktk/100 tablet Rp 79,000
mg
171 171 171 171 - Rp - APBD 2017
Fitomenadion (vitamin K 1) inj 2 kotak/30 vial Rp 122,490
63 mg/ml (i.m.)
50 50 50 50 - Rp - APBD 2017
64 Flufenazin inj 25 mg/mL/ Sikzonoate in kotak / 5 ampul - - - - - Rp 287,500 Rp - APBD 2016
65 Flufenazin inj 25 mg/ml (i.m.) vial/5 ampul Rp 287,500
46 46 - - 46 Rp 13,225,000 APBD 2017
66 Flukonazol 50 mg kotak/10 tablet - - - - - Rp 242,000 Rp - APBD 2014
67 Fluoksetin kaps 20 mg ktk/30 kapsul Rp 6,750
200 200 50 50 150 Rp 1,012,500 APBD 2017
68 Garam oralit kombinasi kotak / 100 sach - - - - - Rp 27,400 Rp - APBD 2016
Garam oralit kombinasi : natrium Ktk/100 sachet Rp 27,300
klorida 0,52 g + kalium klorida 0,30 g
69 + trinatrium sitrat 0,58 g + glukosa
anhidrat 2,7 g
130 130 130 130 - Rp - APBD 2017
70
Gemfibrozil 300 mg Kotak / 120 tablet - - - - - Rp 38,160 Rp - APBD 2015
71 Gemfibrozil 300 mg kotak / 100 tab - - - - - Rp 43,600 Rp - APBD 2016
72 Gemfibrozil kaps 300 mg Ktk/100 tablet Rp 42,700
204 204 204 204 - Rp - APBD 2017
73 Gentamisin tts mata 0,3% Botol 5 ml Rp 4,800
1,463 1,463 1,208 1,208 255 Rp 1,224,000 APBD 2017
74 botol
Glukosa larutan infus 10 % 1,080 1,080 500 200 700 380 Rp 7,500 Rp 2,850,000 APBD 2016
Glukosa Larutan Infus 10% steril 500 Botol Rp 7,500
75 ml
1,900 1,900 - - 1,900 Rp 14,250,000 APBD 2017
76 Griseofulvin (micronized) tab 125 mg ktk/100 tablet Rp 26,600
165 165 165 165 - Rp - APBD 2017
77 Haloperidol 0,5 mg Kotak/100 tablet - - - - - Rp 6,000 Rp - APBD 2015
78 Haloperidol tab 0,5 mg kotak/100 tab 200 200 160 160 40 Rp 6,400 Rp 256,000 APBD 2016
79 Haloperidol tab 0,5 mg ktk/100 tablet Rp 6,000
266 266 - - 266 Rp 1,596,000 APBD 2017
80
Haloperidol 1,5 mg Kotak/100 tablet - - - - - Rp 7,600 Rp - APBD 2015
81 Haloperidol tab 1,5 mg kotak/100 tab - - - - - Rp 7,400 Rp - APBD 2016
82 Haloperidol tab 1,5 mg Ktk/100 tablet Rp 6,500
227 227 227 227 - Rp - APBD 2017
83 Haloperidol tab 2 mg / Lodomer 2 mg kotak / 100 tab 278 278 80 80 198 Rp 11,500 Rp 2,277,000 APBD 2016
84 Haloperidol tab 2 mg Ktk/100 tablet Rp 9,400
427 427 10 10 417 Rp 3,919,800 APBD 2017
85 Haloperidol Tab 5 mg Kotak / 100 - - - - - Rp 10,500 Rp - APBD 2015
86 Haloperidol tab 5 mg kotak / 100 tab 298 298 140 158 298 - Rp 9,800 Rp - APBD 2016
87 Haloperidol tab 5 mg Ktk/100 tablet Rp 7,400
425 425 310 310 115 Rp 851,000 APBD 2017
88 Haloperidol inj 5 mg/mL / Lodomer inj kotak /12 ampul 553 553 41 512 553 - Rp 64,056 Rp - APBD 2016
89 Haloperidol inj 50 mg/ml (decanoat) ktk/5 ampul Rp 487,500
36 36 9 9 27 Rp 13,162,500 APBD 2017
90 Hidrokortison krim 1 % tube - - - - - Rp 3,514 Rp - APBD 2016
91 Hidrokortison krim 1 % tube Rp 3,294
3,057 3,057 3,057 3,057 - Rp - APBD 2017
92 Ibuprofen tablet 200 mg kotak/100 tab - - - - - Rp 11,100 Rp - APBD 2016
93 Ibuprofen tab 200 mg Ktk/100 tablet Rp 10,800
175 175 175 175 - Rp - APBD 2017
94 Ibuprofen sir 200 mg/5 ml Botol @ 60 ml Rp 5,687
2,510 2,510 2,400 2,400 110 Rp 625,570 APBD 2017
95 Isosorbid dinitrat 5 mg Kotak/100 tab 280 280 280 280 - Rp 9,300 Rp - APBD 2016
96 Isosorbid dinitrat tab 5 mg ktk/100 tablet Rp 9,500
97 97 20 20 77 Rp 731,500 APBD 2017
97 Kalsium laktat (kalk) tab kotak/100 tablet - - - - - Rp 7,600 Rp - APBD 2015
98 Kalsium Laktat 500 mg , 225 225 225 225 - Rp 6,900 Rp - APBD 2016
99 Kalsium laktat (kalk) tab 500 mg Ktk/100 tablet Rp 5,700
968 968 968 968 - Rp - APBD 2017
100 Karbamazepin 200 mg , - - - - - Rp 30,600 Rp - APBD 2016
101 Karbamazepin 200 mg Ktk/100 tablet Rp 23,000
467 467 215 215 252 Rp 5,796,000 APBD 2017
102 Karbogliserin tetes telinga 10 % botol 1,752 1,752 1,752 1,752 - Rp 2,500 Rp - APBD 2016
103 Karbogliserin tts telinga 10 % Botol Rp 2,500
3,000 3,000 576 576 2,424 Rp 6,060,000 APBD 2017
104
Ketrolac injeksi 30 mg/ml Kotak/6 amp - - - - - Rp 15,990 Rp - APBD 2015
105 Ketorolak inj 30 mg/mL ampul - - - - - Rp 1,383 Rp - APBD 2016
106 Ketrolac inj Ktk/10 vial Rp 13,200
200 200 187 187 13 Rp 171,600 APBD 2017
107 Ketokonazol tab 200 mg Ktk/50 tablet Rp 14,850
636 636 636 636 - Rp - APBD 2017
108 Ketokonazol krim 2% tube 10 gr Rp 2,790
1,830 1,830 1,830 1,830 - Rp - APBD 2017
109 Katopril 25 mg kotak/100 tablet - - - - - Rp 9,700 Rp - APBD 2014
110 Kaptopril tab 25 mg Ktk/100 tablet Rp 8,600
241 241 241 241 - Rp - APBD 2017
111 Klobazam 10 mg kotak / 100 tab 80 80 20 20 60 Rp 112,000 Rp 6,720,000 APBD 2016
112 kotak/100 tab
Kloramfenikol 500 mg/chloramex - - - - - Rp 115,500 Rp - APBD 2016
113 Kloramfenikol kaps 500 mg ktk/100 tablet Rp 120,500
236 236 236 236 - Rp - APBD 2017
114 botol
Kloramfenikol suspensi 125 mg/mL 1,200 1,200 1,200 1,200 - Rp 4,000 Rp - APBD 2016
115 Kloramfenikol susp 125 mg/5 ml Botol @ 60 ml Rp 4,982
1,605 1,605 1,200 1,200 405 Rp 2,017,710 APBD 2017
116 Kloramfenikol salep kulit 2 % Tube 15 gr Rp 3,327
1,865 1,865 1,865 1,865 - Rp - APBD 2017
Kloramfenikol tts mata 0,5%/ botol 1,064 Rp 3,850
117 Decacetin
5,118 6,182 3,192 2990 6,182 - Rp - APBD 2017
118 Klorfeniramin Maleat 4 mg kotak/100 tab - - - - - Rp 4,500 Rp - APBD 2016
119 Klorfeniramin tab 4 mg Ktk/200 tablet Rp 7,800
576 576 576 576 - Rp - APBD 2017
120 Klorpromazon inj 25 mg/mL ampul 320 320 320 320 - Rp 1,425 Rp - APBD 2016
121 Klorpromazin inj 25 mg/ml (i.m.) ktk/30 ampul Rp 40,470
17 17 9 9 8 Rp 323,760 APBD 2017
122 Klorpromazin 25 mg Kotak/100 tablet - - - - - Rp 7,500 Rp - APBD 2015
123 Klorpromazin 100 mg kotak /100 tab 521 521 10 511 521 - Rp 17,900 Rp - APBD 2016
124 Klozapin 25 mg kotak / 50 tab 840 840 140 140 700 Rp 77,500 Rp 54,250,000 APBD 2016
125 Klozapin tab 25 mg ktk/50 tablet Rp 77,500
200 200 10 10 190 Rp 14,725,000 APBD 2017
126 Klozapin tab 100 mg ktk/50 tablet Rp 250,000
100 100 100 100 - Rp - APBD 2017
Kotrimoksazol (dewasa) kombinasi Botol @ 60 ml Rp 2,462
127 tiap 5 ml suspensi : sulfametoksazol
200 mg + trimetoprim 40 mg
2,109 2,109 2,109 2,109 - Rp - APBD 2017
128 Kotrimoksazol (dewasa) kombinasi : Ktk/100 tablet Rp 13,100
sulfametoksazol 400 mg+
trimetoprim 80 mg
301 301 301 301 - Rp - APBD 2017
129 Kuiinin dihidroksida injeksi 25 %
Kotak / 100 Amp - - - - - Rp 682,000 Rp - APBD 2014
130 kotak / 100 tab
Loratadin 10 mg - - - - - Rp 14,900 Rp - APBD 2016
131 Loratadin tab 10 mg ktk/100 tablet Rp 13,400
293 293 293 293 - Rp - APBD 2017
132 Loperamid tab 2 mg ktk/100 tablet Rp 8,500
114 114 114 114 - Rp - APBD 2017
133 Lidokain Injeksi 2 % Ktk / 100 - - - - - Rp 100,000 Rp - APBD 2013
134 Lidokain injeksi 2 % (HCl) kotak / 100 amp - - - - - Rp 87,500 Rp - APBD 2016
135 Lidokain inj 2% (infiltr/p.v.) Ktk/100 ampul Rp 128,000
45 45 40 40 5 Rp 640,000 APBD 2017
136 Lidokain inj 2 % (HCl) + Epinefrin kotak/30 amp 12 12 12 12 - Rp 63,660 Rp - APBD 2016
137 Lidokain spray/xylocaine Botol Rp 170,400
137 137 87 87 50 Rp 8,520,000 APBD 2017
138 kotak / 100 tab
Lisinopril 10 mg 88 88 88 88 - Rp 48,500 Rp - APBD 2016
139 Magnesium sulfat inj 20 % ampul 270 270 270 270 - Rp 3,200 Rp - APBD 2016
140 Magnesium sulfat inj 20% vial Rp 3,200
437 437 380 380 57 Rp 182,400 APBD 2017
141 Magnesium sulfat inj 40% vial Rp 3,650
279 279 257 257 22 Rp 80,300 APBD 2017
142 kotak / 100 tab
Metformin HCl 500 mg - - - - - Rp 10,800 Rp - APBD 2016
143 Metformin tab 500 mg Ktk/100 tablet Rp 10,300
504 504 465 465 39 Rp 401,700 APBD 2017
144 kotak / 50 tab
Metilprednisolon kaplet 8 mg 20 20 20 20 - Rp 16,350 Rp - APBD 2016
145 Metilprednisolon 8 mg ktk/100 tablet Rp 31,900
482 482 482 482 - Rp - APBD 2017
146 Metoklopramid drop botol 10 mL botol 1,450 1,450 1,080 1,080 370 Rp 5,200 Rp 1,924,000 APBD 2016
147 Metoklorpramide drop Botol/10 ml Rp 5,300
980 980 - - 980 Rp 5,194,000 APBD 2017
148 Metokpramide sirup 5 mg/ 5 mL botol 60 mL - - - - - Rp 2,900 Rp - APBD 2015
Metoklopramid sir 5 mg/5 Botol @ 60 ml Rp 2,950
149 ml/lexapram syrup
1,966 1,966 1,060 1,060 906 Rp 2,672,700 APBD 2017
150 Metoklopramid tab 10 mg Ktk/100 tablet Rp 9,300
292 292 270 270 22 Rp 204,600 APBD 2017
151 Nacl 0,9% botol - - - - - Rp 6,410 Rp - APBD 2016
152 NaCl 0,9% Larutan Botol Rp 6,410
1,600 1,600 1,380 1,380 220 Rp 1,410,200 APBD 2017
153 Natrium bikarbonat injeksi ampul 114 114 74 40 114 - Rp 6,200 Rp - APBD 2016
154 Natrium bikarbonat inj 8,4% (i.v.)/ vial Rp 6,200
MEYLON 84
270 270 40 40 230 Rp 1,426,000 APBD 2017
155 Natrium diklofenak tab 25 mg Ktk/50 tablet Rp 7,500
379 379 379 379 - Rp - APBD 2017
156 kotak / 50 tab
Natrium diklofenak 50 mg - - - - - Rp 8,050 Rp - APBD 2016
157 Natrium diklofenak tab 50 mg Ktk/50 tablet Rp 6,750
715 715 715 715 - Rp - APBD 2017
158 kotak / 100 tab
Nifedipin tab 10 mg - - - - - Rp 12,300 Rp - APBD 2016
159 Nifedipin kaps 10 mg ktk/100 tablet Rp 11,000
329 329 329 329 - Rp - APBD 2017
160 kotak / 100 tab
Nistatin vaginal 100.000 IU/g - - - - - Rp 60,200 Rp - APBD 2016
161 Nistatin tab vaginal 100.000 UI Ktk/100 tablet Rp 62,700
33 33 33 33 - Rp - APBD 2017
162 kotak / 100 amp
Oksitosin inj 10 ul/mL - - - - - Rp 190,000 Rp - APBD 2016
163 Oksitosin inj 10 UI/ml ktk/100 ampul Rp 190,000
39 39 19 19 20 Rp 3,800,000 APBD 2017
164 Omeprazole 20 mg kotak/30 kapsul - - - - - Rp 6,630 Rp - APBD 2015
165 Omeprazol 20 mg kotak / 30 tab - - - - - Rp 4,920 Rp - APBD 2016
166 Omeprazol 20 mg ktk/30 tablet Rp 4,440
440 440 440 440 - Rp - APBD 2017
167 Ofloxacin Tab 400 mg Ktk / 50 - - - - - Rp 36,000 Rp - APBD 2013
168 Paracetamol tab 500 mg Kotak/100 tablet - - - - - Rp 13,035 Rp - APBD 2015
169 Parasetamol 500 mg kotak / 100 tab 1,962 1,962 1,962 1,962 - Rp 5,800 Rp - APBD 2016
170 Parasetamol tab 500 mg Ktk/100 tablet Rp 5,100
3,447 3,447 2,394 2,394 1,053 Rp 5,370,300 APBD 2017
171 parasetamol sirup 120 mg/5 mL botol 650 650 650 650 - Rp 1,119 Rp - APBD 2016
172 Parasetamol sir 120 mg/5 ml Botol @ 60 ml Rp 1,013
8,800 8,800 8,800 8,800 - Rp - APBD 2017
Parasetamol drips (infus) 1000 Botol Rp 14,440
173 mg/100 ml
1,610 1,610 967 967 643 Rp 9,284,920 APBD 2017
174 Pirazinamid 500 mg kotak/100 tab 150 150 110 110 40 Rp 24,800 Rp 992,000 APBD 2016
175 Pirazinamid tab 500 mg ktk/100 tablet Rp 23,800
208 208 - - 208 Rp 4,950,400 APBD 2017
176 Propitiorasil 100 mg Btl / 100 tablet - - - - - Rp 35,100 Rp - APBD 2015
177 Propitiourasil 100 mg Botol/100 tab 115 115 115 115 - Rp 32,000 Rp - APBD 2016
178 Propanolol tab 10 mg kotak/100 tab 310 310 230 80 310 - Rp 6,900 Rp - APBD 2016
179 Propranolol tab 10 mg ktk/100 tablet Rp 5,900
584 584 140 140 444 Rp 2,619,600 APBD 2017
180 Pirantel 125 mg kotak/100 tab 61 61 61 61 - Rp 31,800 Rp - APBD 2016
181 Pirantel pamoat tab scored 125 mg Ktk/100 tablet Rp 30,300
314 314 274 274 40 Rp 1,212,000 APBD 2017
182 Pirantel pamoat susp 125 mg/5 ml Botol Rp 10,835
1,675 1,675 1,050 1,050 625 Rp 6,771,875 APBD 2017
183 Primakuin Tab 15 mg kotak / 100 tab 108 108 90 90 18 Rp 25,800 Rp 464,400 APBD 2016
184 Primakuin tab 15 mg ktk/100 tablet Rp 25,800
300 300 - - 300 Rp 7,740,000 APBD 2017
185 Ranitidin tab 150 mg kotak / 100 tab - - - - - Rp 11,900 Rp - APBD 2016
186 Ranitidin tab 150 mg Ktk/100 tablet Rp 11,000
480 480 480 480 - Rp - APBD 2017
187 Ranitidin inj 25 mg/ml ktk/10 vial Rp 16,770
131 131 131 131 - Rp - APBD 2017
188 botol
Ringer laktat - - - - - Rp 7,150 Rp - APBD 2016
189 Ringer Laktat Larutan Botol Rp 7,150
7,300 7,300 6,620 6,620 680 Rp 4,862,000 APBD 2017
190
Risperidon tab 2 mg kotak/50 tablet - - - - - Rp 53,450 Rp - APBD 2015
191 Risperidon tab sal 2 mg ktk/100 tablet Rp 34,700
478 478 335 335 143 Rp 4,962,100 APBD 2017
192 Retinol (vitamin A) kaps lunak botol/50 kapsul Rp 16,350
100.000 UI
600 600 351 351 249 Rp 4,071,150 APBD 2017
Retinol (vitamin A) kaps lunak botol/50 kapsul Rp 29,250
193 200.000 UI
172 172 172 172 - Rp - APBD 2017
194 Salep 2-4 kombinasi pot - - - - - Rp 2,797 Rp - APBD 2016
Salep 2-4, kombinasi : asam salisilat 2 pot Rp 2,907
195 %+ belerang endap 4 %
1,154 1,154 1,154 1,154 - Rp - APBD 2017
196 Salbutamol tab 2 mg Ktk/100 tablet Rp 8,200
161 161 161 161 - Rp - APBD 2017
197 Salbutamol sir 2 mg/5 ml Botol @ 100 ml Rp 4,916
1,111 1,111 918 918 193 Rp 948,788 APBD 2017
198 Sefadroksil sirup kering 125 mg/mL botol 120 120 120 120 - Rp 4,746 Rp - APBD 2016
199 Sefotaksim serb inj 1.000 mg/vial ktk/2 vial Rp 11,000
484 484 484 484 - Rp - APBD 2017
200
Sefiksim sirup kering 100 mg/5 ml Botol/30 ml - - - - - Rp 9,400 Rp - APBD 2015
201 Setrizin sirup 5 mg/5 mL botol 70 70 70 70 - Rp 2,950 Rp - APBD 2016
202 Setirizin sir 5 mg/5 ml. Rp 3,300
Botol/100 ml 3,575 3,575 3,420 3,420 155 Rp 511,500 APBD 2017
203 Setrizin 10 mg kotak/100 tab - - - - - Rp 15,400 Rp - APBD 2016
204 Setirizin tab 10 mg Ktk/50 tablet Rp 5,750
1,740 1,740 1,740 1,740 - Rp - APBD 2017
Sianokobalamin (vitamin B12) inj 500
205 mcg/ml ktk/100 ampul
62 62 62 62 - Rp 111,700 Rp - APBD 2017
206 kotak/100 tab
Siprofloksasin tab 500 mg - - - - - Rp 29,800 Rp - APBD 2016
207 Siprofloksasin tab scored 500 mg Ktk/100 tablet Rp 25,400
351 351 351 351 - Rp - APBD 2017
208 kotak/30 tab
Simvastatin 10 mg - - - - - Rp 4,050 Rp - APBD 2016
209 Simvastatin tab sal 10 mg ktk/ 30 tablet Rp 3,390
1,194 1,194 1,090 1,090 104 Rp 352,560 APBD 2017
210 Simvastatin tab sal 20 mg Ktk/50 tablet Rp 12,500
604 604 604 604 - Rp - APBD 2017
211 Salbutamol 2 mg Kotak/100 tab - - - - - Rp 6,800 Rp - APBD 2016
212 Sukralfat 500 mg/Ulsidex 500 mg kotak / 100 tab - - - - - Rp 36,800 Rp - APBD 2016
213 Sukralfat susp 500 mg/5 ml Botol @ 100 ml Rp 9,192
4,310 4,310 4,125 4,125 185 Rp 1,700,520 APBD 2017
214 Tetrasiklin kaps 250 mg kotak/100 tablet Rp 18,100
89 89 89 89 - Rp - APBD 2017
215 Tetrasiklin kapsul 500 mg kotak/100 tab - - - - - Rp 32,900 Rp - APBD 2016
216 Teofilin tab 150 mg ktk/100 tablet Rp 32,800
107 107 107 107 - Rp - APBD 2017
217 Tiamin (Vitamin B1) 50 mg kotak/100 tab - - - - - Rp 9,100 Rp - APBD 2016
218 Tiamin (vitamin B1) tab 50 mg Ktk/100 tablet Rp 8,700
42 42 42 42 - Rp - APBD 2017
219 Tramadol Capsul 50 mg Ktk / 50 - - - - - Rp 9,818 Rp - APBD 2013
220 Trifluoperazin tab sal 5 mg ktk/100 Rp 29,400
302 302 160 160 142 Rp 4,174,800 APBD 2017
221 Triheksifenidil tab 2 mg Ktk/100 tablet Rp 8,000
373 373 373 373 - Rp - APBD 2017
222 Valporat syrup 250 mg/5 ml botol @ 100 ml
385 385 100 100 285 Rp 26,987 Rp 7,691,295 APBD 2017
223 Vitamin B12 tab 50 mg ( cyanocobalam ktk/100 tablet - - - - - Rp 1,400 Rp - APBD 2012
224 Vitamin B kompleks Ktk/100 tablet Rp 13,200
254 254 254 254 - Rp - APBD 2017
225 Zinc sir 20 mg/5 mL botol 300 300 300 300 - Rp 6,500 Rp - APBD 2016
226 Zinc sir 20 mg/5 ml Botol @ 60 ml Rp 4,959
10,483 10,483 3,600 3,600 6,883 Rp 34,132,797 APBD 2017
227 Zinc 20 mg kotak/100 tab - - - - - Rp 59,200 Rp - APBD 2016
228 Zinc tab disp 20 mg Ktk/100 tablet Rp 58,600
90 90 90 90 - Rp - APBD 2017
OBAT BRANDED NON EKATALOG - - - - - Rp -
229 Duramycin 500 mg (eritromisin kaplet kotak/100 tab - - - - - Rp 140,300 Rp - APBD 2016
230 Genvask 10 mg (Amlodipine tab 10 mg kotak/30 tab - - - - - Rp 21,900 Rp - APBD 2016
231 Grafadon drop (parasetamol drop 100 botol - - - - - Rp 9,395 Rp - APBD 2016
232 Grameta tab (domperidone tab 10 mg kotak/50 tab - - - - - Rp 13,250 Rp - APBD 2016
233 Helixim kap (Sefiksim kap 100 mg) kotak/30 tab - - - - - Rp 42,300 Rp - APBD 2016
234 Lambucid 60 mL (Antasida doen II Susp botol 1,500 1,500 1,500 1,500 - Rp 6,950 Rp - APBD 2016
235 Lostacef kap (cefadroxil 500 mg) kotak/50 tab - - - - - Rp 48,400 Rp - APBD 2016
236 Litaxim inj (Sefotaxim inj 1000 mg) kotak/2 vial - - - - - Rp 41,852 Rp - APBD 2016
237 Omegtrim sy 60 mL (kotrimoksazol ko botol - - - - - Rp 4,210 Rp - APBD 2016
238 Omegtrim tab (kotrimoksazol doen) kotak/100 tab - - - - - Rp 26,400 Rp - APBD 2016
239 Reco salep mata (kloramfenikol salep tube - - - - - Rp 6,000 Rp - APBD 2016
240 Sefixim sy (Helixim sy) botol 88 88 88 88 - Rp 13,335 Rp - APBD 2016
241 OBAT ANTI TUBERKOLOSIS (OAT) - - - - - Rp -
242 Obat antituberkolosis Kategori 1 Dewa Paket - - - - - Rp 316,920 Rp - APBD 2013
243 paket
Obat Anti Tuberculosis FDC Kat I - - - - - Rp 413,984 Rp - APBD 2016
244 Obat Anti Tuberculosis FDC Kat II paket - - - - - Rp 1,379,984 Rp - APBD 2016
245 PERBEKALAN KESEHATAN - - - - - Rp - APBD 2016
AHMADARIS KAPAS PEMBALUT
246 HIDROFIL 250 GR
ROLL 1,000 1,000 247 247 753 Rp 26,880 Rp 20,240,640 APBD 2017
247 AHMADARIS KAPAS PEMBALUT
HIDROFIL DRC 4X5 CM
roll 1,400 1,400 1,400 1,400 - Rp 1,166 Rp - APBD 2017
AHMADARIS KAPAS PEMBALUT
248 HIDROFIL DRC 4X10CM
roll 1,500 1,500 1,500 1,500 - Rp 2,415 Rp - APBD 2017
249 AHMADARIS KAPAS PEMBALUT
HIDROFIL DRC 36x80 cm
roll 130 130 103 103 27 Rp 137,800 Rp 3,720,600 APBD 2017
250 ABINUSA ABINUSA Combiscreen 11 Sys botol - - - - - Rp 237,825 Rp - APBD 2016
251
ABINUSA ABINUSA urilyzer 100 Pro unit - - - - - Rp 16,095,922 Rp - APBD 2016
252 ABINUSA ABINUSA Urine bag botol 810 810 370 370 440 Rp 7,470 Rp 3,286,700 APBD 2016
253
ABINUSA ABINUSA Hand scrub 500 ml botol - - - - - Rp 108,000 Rp - APBD 2016
254 MEDIKA Policlean Handrub 500 ml botol/500 ml 250 250 234 234 16 Rp 81,943 Rp 1,311,094 APBD 2017
255
ABINUSA ABINUSA Hand scrub 5000 m gl 5 5 2 2 3 Rp 969,600 Rp 2,908,800 APBD 2016
256 Alat suntik sekali pakai 0,05 ml kotak/100 set - - - - - Rp 175,710 Rp - APBD 2014
257 Gabler Medical ( Inggris) cromic 2/0
75 cm,1/2 Taper, 30 mmTaper piece Rp 71,696
- - - - - Rp - APBD 2016
Gabler Medical ( Inggris) cromic 3/0
258 75 cm,1/2 Taper, 30 mmTaper piece Rp 63,668
- - - - - Rp - APBD 2016
259 Gabler Medical ( Inggris) plain 2/0 75
cm,1/2 Taper, 30 mmTaper piece Rp 67,666
- - - - - Rp - APBD 2016
Gabler Medical ( Inggris) plain 3/0 75
- - - - - Rp - APBD 2016
261 Gabler Medical ( Inggris) silk 2/0 75
cm,1/2 Taper, 30 mmTaper piece Rp 49,906
- - - - - Rp - APBD 2016
Gabler Medical ( Inggris) silk 3/0 75
- - - - - Rp - APBD 2016
263 Cut Gut / Benang Bedah No 2/0 pcs - - - - - Rp 13,200 Rp - APBD 2015
264 ECOLAB AQUAGEL STERIL JELLY 82 GR
276 276 175 175 101 Rp 44,088 Rp 4,452,888 APBD 2017
265 FOKUS Anti HIV 1/2 Cassete ea - - - - - Rp 15,297 Rp - APBD 2016
266 FOKUS HBsAg Strip ea - - - - - Rp 10,967 Rp - APBD 2016
267 FOKUS HCG Strip ea - - - - - Rp 7,181 Rp - APBD 2016
268 FOKUS Malaria Pf & Pv Cassette ea - - - - - Rp 53,180 Rp - APBD 2016
269 IV catheter No. 22 G pcs - - - - - Rp 8,550 Rp - APBD 2015
270 IV Catheter No. 24 G pcs - - - - - Rp 8,550 Rp - APBD 2015
271 Kasa Hidrofil steril uk 16x16 (isi 16 le Kotak - - - - - Rp 9,000 Rp - APBD 2015
AHMADARIS KASA STERIL DRC 16 X
272 16 CM
BOX 2,782 2,782 2,320 2,320 462 Rp 8,374 Rp 3,868,788 APBD 2017
273 Kasa Pembalut Elastik 4 Inchi Roll - - - - - Rp 11,000 Rp - APBD 2013
LORNE LABORATORIES Anti-A
274 Monoclonal Golongan Darah Rp 75,020
vial/10 ml - - - - - Rp - APBD 2016
275 LORNE LABORATORIES Anti-A , B
Monoclonal Golongan Darah Rp 101,761
vial/10 ml - - - - - Rp - APBD 2016
LORNE LABORATORIES Anti-B
276 Monoclonal Golongan Darah Rp 75,020
vial/10 ml - - - - - Rp - APBD 2016
277 LORNE LABORATORIES Anti-D
Ducclonal Golongan Darah Rp 125,477
vial/10 ml - - - - - Rp - APBD 2016
LORNE LABORATORIES Salmonella
278 Paratyphi AH Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
279 LORNE LABORATORIES Salmonella
Paratyphi OA Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
280 Paratyphi BH Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
Paratyphi AO Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
282 Paratyphi BO Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
Paratyphi CH Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
284 Paratyphi CO Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
Paratyphi H Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
286 Paratyphi O Widal Tes Rp 73,326
vial/ 5 ml - - - - - Rp - APBD 2016
287 MEDIKA Polifix 5 cm x 1 m roll
764 764 754 754 10 Rp 7,812 Rp 78,122 APBD 2017
MITRA RAJAWALI BANJARAN SKIFA
288 STERIL LATEX SURGICAL GLOVE NO. 7
pasang 6,500 6,500 5,500 5,500 1,000 Rp 4,545 Rp 4,545,000 APBD 2017
289 NIPRO syringe 5 cc Luer Lock With
Needle 22 GX1-1/2" Elektrin Beam Rp 1,278
Sterilization
piece 1,000 1,000 1,000 1,000 - Rp - APBD 2016
MITRA RAJAWALI BANJARAN SKIFA
290 auto disable/ distruct with nedle 5 ml
piace 20,000 20,000 4,900 4,900 15,100 Rp 1,630 Rp 24,620,399 APBD 2017
291 NIPRO syringe 1 cc Tuberculin With
Sterilization
piece 3,000 3,000 3,000 3,000 - Rp - APBD 2016
MITRA RAJAWALI BANJARAN RD alat
292 suntik sekali pakai with nedle 1 ml
piace 20,000 20,000 6,900 6,900 13,100 Rp 785 Rp 10,281,666 APBD 2017
293 NIPRO syringe 10 cc Luer Lock With
Sterilization
piece 3,000 3,000 1,700 1,700 1,300 Rp 2,202,057 APBD 2016
NIPRO syringe 3 cc Luer Lock With
294 Needle 24 GX1-1/2" Elektrin Beam Rp 1,034
Sterilization
piece - - - - - Rp - APBD 2016
295 MITRA RAJAWALI BANJARAN SKIFA
auto disable/ distruct with nedle 3 ml
piace 1,900 1,900 1,900 1,900 - Rp 1,312 Rp - APBD 2017
296 NIPRO IV Catheter 18 G X 1-1/4" piece 100 100 100 100 - Rp 9,158 Rp - APBD 2016
297 NIPRO IV Catheter 20 G X 1-1/4" piece 1,000 1,000 1,000 1,000 - Rp 9,158 Rp - APBD 2016
298 SMITH MEDICAL JELCO N0. 20 piace 1,000 1,000 1,000 1,000 - Rp 8,950 Rp - APBD 2017
299 NIPRO IV Catheter 22 G X 1-1" piece 850 850 850 850 - Rp 9,158 Rp - APBD 2016
300 SMITH MEDICAL JELCO N0. 22 piace 3,000 3,000 2,200 2,200 800 Rp 8,950 Rp 7,160,000 APBD 2017
301 NIPRO IV Catheter 24 G X 1-1" piece - - - - - Rp 9,158 Rp - APBD 2016
302 SMITH MEDICAL JELCO N0. 24 piace 2,700 2,700 1,900 1,900 800 Rp 8,950 Rp 7,160,000 APBD 2017
303 NIPRO Infuset "y" Type with Injection Port
Rp 6,492
piece 350 350 350 350 - Rp - APBD 2016
304 SERENITY Infusion set dewasa piece Rp 3,888
8,000 8,000 4,250 4,250 3,750 Rp 14,580,000 APBD 2017
305
JMS Infusionset Pediatric Tipe 200 piace 4,000 4,000 2,300 2,300 1,700 Rp 10,098 Rp 17,166,600 APBD 2017
306 Policatheter no 18 set - - - - - Rp 10,500 Rp - APBD 2015
307 Urine Bag pcs - - - - - Rp 2,000 Rp - APBD 2015
308 Wing needle No. 23 G ( 100 Buah / Kot kotak 13 13 11 11 2 Rp 634,700 Rp 1,269,400 APBD 2013
309 Wing needle No. 22 G ( 100 Buah / Kot Kotak 100 Buah 16 16 11 11 5 Rp 634,700 Rp 3,173,500 APBD 2013
310 Work Endotracheal Tube with cuff. ETT piece 40 40 40 40 - Rp 27,000 Rp - APBD 2016
313 Bahan Tumpatan Sementara / Cimpat botol 13 13 2 2 11 Rp 271,975 Rp 2,991,725 APBD 2016
314 Bonding / G-aenial Bond botol - - - - - Rp 1,207,445 Rp - APBD 2016
315 Dentin Conditioner botol 7 7 - - 7 Rp 340,000 Rp 2,380,000 APBD 2016
316 Devitalisasi Paste Non Arsen botol 2 2 - - 2 Rp 871,600 Rp 1,743,200 APBD 2016
317 Tooth Mouse tube - - - - - Rp 243,500 Rp - APBD 2016
318 Fuji Vii 1-1 (White / Pink) set 8 8 2 2 6 Rp 868,300 Rp 5,209,800 APBD 2016
319 Fuji IX ART 1-1 set - - - - - Rp 659,300 Rp - APBD 2016
320 Kalsium Hydroxide /Urbical box - - - - - Rp 611,000 Rp - APBD 2016
321 Komposite A2 / Solare syringe 6 6 - - 6 Rp 389,620 Rp 2,337,720 APBD 2016
322 Komposite A3 / Solare syringe 6 6 - - 6 Rp 389,620 Rp 2,337,720 APBD 2016
323 Micro Applicator tabung 4 4 - - 4 Rp 74,625 Rp 298,500 APBD 2016
324 Septoject box - - - - - Rp 246,675 Rp - APBD 2016
325 Occo / Detatrol Ultra botol - - - - - Rp 320,000 Rp - APBD 2016
326 Selluloid Strip / Transparant Strip pack 2 2 - - 2 Rp 241,600 Rp 483,200 APBD 2016
327 Varnish botol - - - - - Rp 153,000 Rp - APBD 2016
328 Dental bib pack 5 5 - - 5 Rp 66,000 Rp 330,000 APBD 2016
Brendet - - - - - Rp -
329 Anemolat tab kotak / 100 tab 382 382 382 382 - Rp 20,400 Rp - APBD 2016
330 kotak
Bamgetol 200 200 200 145 145 55 Rp 198,000 Rp 10,890,000 APBD 2016
331 Becefort tab kotak / 100 tab - - - - - Rp 154,300 Rp - APBD 2016
332 botol
Becefort syr - - - - - Rp 17,366 Rp - APBD 2016
333 Betafort syr botol - - - - - Rp 26,230 Rp - APBD 2016
334 kotak / 100 tab
Bioron tab - - - - - Rp 97,900 Rp - APBD 2016
335 Clorilex 100 mg kotak - - - - - Rp 759,000 Rp - APBD 2016
336 Hemafort tab kotak / 100 tab - - - - - Rp 83,500 Rp - APBD 2016
Klopromazin 100 mg/Cepezet 100 mg
337 Botol/250 tablet Rp 121,000
- - - - - Rp - APBD 2014
338 Livron B-plek Kotak/100 tablet - - - - - Rp 22,000 Rp - APBD 2014
339 Mersibion 5000 kotak - - - - - Rp 90,750 Rp - APBD 2016
340 kotak
Mersitropil 1200 36 36 36 36 - Rp 106,920 Rp - APBD 2016
341 Palentin tab kotak / 30 tab - - - - - Rp 318,780 Rp - APBD 2016
342 kotak / 100 tab
Pehavral tab - - - - - Rp 81,400 Rp - APBD 2016
343 Sipentin 300 kotak - - - - - Rp 306,900 Rp - APBD 2016
344 kotak/100 tab
Stelosi 5 mg 50 50 10 10 40 Rp 55,000 Rp 2,200,000 APBD 2016
345 Visoprine tablet - - - - - Rp - Rp - APBD 2016
Sisa Stock Per 31 Desember 2018 Rp 520,473,644
Terbilang :
Mengetahui, Sekadau, 2 Januari 2019

Kepala Dinas Kesehatan, PP Dan KB Ka. Instalasi Farmasi Kabupaten
Kabupaten Sekadau Sekadau
ST.Emanuel, SKM V. Sulistyo Retno W, S.Si

Nip. 19661001 199203 1 008 Nip. 19791215 200803 2 001
* KETERANGAN :
No. Urut merupakan penggantian produk ( tukar dengan yang Exp.Date nya lebih panjang ) dari PT.Sapta Sari Tama
No. Urut merupakan penarikan produk dari puskesmas, untuk dikembalikan pada PBF krn Produk Tidak Memenuhi Syarat/TMS ke PT. Penta Valent
LAPORAN MUTASI DAN PERSEDIAAN OBAT APBD
INSTALASI FARMASI KABUPATEN (IFK) SEKADAU
PER 31 DESEMBER 2018
No Nama Barang satuan Jumlah persediaan Terpakai Sisa stock Harga satuan Jumlah Total
Stock awal 31 Desember (Sisa Stock)
2018 Pengadaan Penggantian Total Total
Penggunaan Rusak/ED/Retur
tahun 2018 produk/retur Persediaan Pemakaian
1 2 3 4 6 8 10=( 4+6+8) 12 14 16=(12+14) 18= (10-17) 19 20=(18x19)

51000000-OBC-000464151 GENERIK
1 CHLORPHENAMINE kotak/100 tablet 1,838
MALEATE/Klorfeniramin
tablet/kapsul/kaplet 4 mg
1,838 198 198 1,640 Rp 2,400 Rp 3,936,000
51000000-OBC-000464259 GENERIK
2 Deksametason/Dexamethasone kotak/100 tablet 3,170
tablet/kapsul/kaplet 0,5 mg 3,170 446 446 2,724 Rp 3,400 Rp 9,261,600
51000000-OBC-000464358 GENERIK
3 Ibuprofen tablet/kapsul/kaplet 200 mg kotak/100 tablet 500
500 104 104 396 Rp 11,200 Rp 4,435,200
51000000-OBC-000464380 GENERIK
4 Omeprazol/Omeprazole kotak/30 tablet 3,766
tablet/kapsul/kaplet 20 mg 3,766 194 194 3,572 Rp 4,140 Rp 14,788,080
51000000-OBC-000463702 GENERIK
5 Amoksisilin/Amoxicillin kotak/100 tablet 57
tablet/kapsul/kaplet 250 mg 57 50 50 7 Rp 19,600 Rp 137,200
51000000-OBC-000463702 GENERIK
Amoksisilin/Amoxicillin 243
tablet/kapsul/kaplet 250 mg 243 - - 243 Rp 19,600 Rp 4,762,800
51000000-OBC-000464342 GENERIK
6 Griseofulvin (micronized) kotak/100 tablet 780
tablet/kapsul/kaplet 125 mg 780 20 20 760 Rp 22,300 Rp 16,948,000
51000000-OBC-000464367 GENERIK
7 Ketokonazol/Ketoconazole kotak/50 tablet 1,650
tablet/kapsul/kaplet 200 mg 1,650 60 60 1,590 Rp 14,300 Rp 22,737,000
51000000-OBC-000463935 GENERIK
8 Chloramphenicol/Kloramfenikol kotak/100 tablet 462
51000000-OBC-000463935 GENERIK
Chloramphenicol/Kloramfenikol kotak/100 tablet 628
51000000-OBC-000463654 GENERIK
9 Amoksisilin/Amoxicillin sirup kering 250 botol 4,200
mg/5 ml 4,200 420 420 3,780 Rp 3,604 Rp 13,623,120
10 51000000-OBC-000464537 GENERIK botol 6,000
Parasetamol sirup 120 mg/5 ml 6,000 500 500 5,500 Rp 1,160 Rp 6,380,000
51000000-OBC-000464058 GENERIK
11 Diclofenac sodium/Natrium diklofenak kotak/50 tablet 1,600
tablet/kapsul/kaplet salut enterik 50 mg 1,600 66 66 1,534 Rp 6,800 Rp 10,431,200
51000000-OBC-000464037 GENERIK
12 Diclofenac sodium/Natrium diklofenak kotak/50 tablet 1,500
tablet/kapsul/kaplet salut enterik 25 mg 1,500 66 66 1,434 Rp 7,100 Rp 10,181,400
51000000-OBC-000463927 GENERIK
13 Asiklovir/Acyclovir tablet/kapsul/kaplet kotak/50 tablet 1,012
400 mg 1,012 48 48 964 Rp 21,250 Rp 20,485,000
14 51000000-OBC-000464311 GENERIK
Nystatin/Nistatin vaginal tablet 100.000 IU kotak/100 tablet 25
25 3 3 22 Rp 64,500 Rp 1,419,000
51000000-OBC-000464311 GENERIK
kotak/100 tablet 5
Nystatin/Nistatin vaginal tablet 100.000 IU
5 - - 5 Rp 64,500 Rp 322,500
51000000-OBC-000464141 GENERIK
15 Fitomenadion/Phytomenadion (Vit.K1) kotak/100 tablet 500
tablet/kaplet salut gula 10 mg 500 28 28 472 Rp 81,800 Rp 38,609,600
51000000-OBC-000464257 GENERIK
16 Lidokain injeksi 2% + Epinefrin 1 : 80.000 – kotak/30 ampul 50
inj 2 ml 50 5 5 45 Rp 39,510 Rp 1,777,950
51000000-OBC-000464383 GENERIK
Methylergometrine
17 kotak/100 tablet 190
Maleate/Methylergometrine/Metilergom
etrin tablet/ kaplet salut selaput 0,125 mg
190 30 30 160 Rp 24,300 Rp 3,888,000
51000000-OBC-000463976 GENERIK
2 Difenhidramin/Diphenhydramine injeksi kotak/30 ampul 30
10 mg/ml (i.v/i.m) 30 5 5 25 Rp 37,860 Rp 946,500
51000000-OBC-000463823 GENERIK
Antasida suspensi, kombinasi: Aluminium
3 Hidroksida 200 mg + Magnesium botol 800
Hidroksida 200 mg
800 300 300 500 Rp 2,098 Rp 1,049,000
51000000-OBC-000463922 GENERIK
4 gentamisin/gentamycin sulfate salep mata tube 83
0,3% (3 mg/g) 83 3 3 80 Rp 73,800 Rp 5,904,000
51000000-OBC-000463900 GENERIK
Amlodipin/Amlodipine/Amlodipine
Besylate/Amlodipine Besilate
406 94 94 312 Rp 22,500 Rp 7,020,000
51000000-OBC-000464070 GENERIK
2 Simvastatin tablet/kaplet/salut selaput 20 kotak/500 tablet 192
mg 192 - - 192 Rp 112,500 Rp 21,600,000
51000000-OBC-000463624
BETAMETHASONE DIPROPIONATE
3 Betamethasone kotak/25 tube 221
Dipropionate/Betametason krim 0,05%
(0,5 mg/g) (G)
221 24 24 197 Rp 83,750 Rp 16,492,050
51000000-OBC-000463624
BETAMETHASONE DIPROPIONATE
Betamethasone 19
Dipropionate/Betametason krim 0,05%
(0,5 mg/g) (G)
19 - - 19 Rp 83,750 Rp 1,597,950
51000000-OBC-000463953 GENERIK
4 Ibuprofen suspensi 200 mg/5 ml botol/60 ml 1,000
1,000 104 104 896 Rp 5,211 Rp 4,669,056
51000000-OBC-000464594 GENERIK
1 Haloperidol tablet/kapsul/kaplet 1,5 mg kotak/100 tablet 227
227 - - 227 Rp 5,900 Rp 1,339,300
51000000-OBC-000464594 GENERIK
kotak/100 tablet 13
Haloperidol tablet/kapsul/kaplet 1,5 mg 13 - - 13 Rp 5,900 Rp 76,700
51000000-OBC-000464595 GENERIK
2 Isosorbid Dinitrat/ Isosorbide Dinitrate kotak/100 tablet 292
tablet/kaplet 5mg 292 - - 292 Rp 8,900 Rp 2,598,800
kotak/100 tablet 198 198 - - 198 Rp 8,900 Rp 1,762,200
51000000-OBC-000464447 GENERIK
3 Domperidon/Domperidone kotak/100 tablet 365
51000000-OBC-000464424 GENERIK
4 Digoksin/Digoxin tablet/kapsul/kaplet 0,25 kotak/100 tablet 89
mg 89 5 5 84 Rp 10,400 Rp 873,600
51000000-OBC-000464613 GENERIK
5 Simvastatin tablet/kaplet/salut selaput 10 kotak/30 tablet 1,966
mg 1,966 - - 1,966 Rp 3,299 Rp 6,486,701
51000000-OBC-000464613 GENERIK
Simvastatin tablet/kaplet/salut selaput 10 kotak/30 tablet 1
mg 1 - - 1 Rp 3,299 Rp 3,299
51000000-OBC-000464374 GENERIK
6 Amitritilin/Amitriptyline tablet/kap/salut kotak/100 tablet 260
25 mg 260 - - 260 Rp 16,800 Rp 4,368,000
51000000-OBC-000464408 GENERIK
7 Asiklovir/Acyclovir tablet/kapsul/kaplet kotak/100 tablet 206
200 mg 206 72 72 134 Rp 23,600 Rp 3,162,400
51000000-OBC-000464454 GENERIK
8 Eritromisin/Erytromycin/Erytromycin kotak/100 tablet 79
stearate tablet/kapsul/kaplet 500 mg 79 - - 79 Rp 78,100 Rp 6,169,900
kotak 36 36 - - 36 Rp 78,100 Rp 2,811,600
51000000-OBC-0004643769 GENERIK
9 VERMOX Mebendazole/ Mebendazol strip/1 tablet 1,488
tablet 500 mg 1,488 - - 1,488 Rp 9,150 Rp 13,615,200
1 51000000-OBC-000464398 GENERIK ampul 1,200

Oxytocin/Oksitosin inj 10 IU/ml 1,200 - - 1,200 Rp 1,232 Rp 1,478,400
51000000-OBC-000464284 GENERIK
2 Epinefrin/Epinephrine (Adrenalin) injeksi ampul 1,200
0,1 % (i.v/s.k/i.m) 1,200 - - 1,200 Rp 1,518 Rp 1,821,600
51000000-OBC-000464338 GENERIK
Methylergometrine Maleate/
3 kotak/100 ampul 16
Methylergometrine/Metilergometrin inj
0,2 mg/ml
16 - - 16 Rp 339,900 Rp 5,438,400
51000000-OBC-000464401 GENERIK
XYLOCAINE SPRAY Lidocain Hydrochloride/
4 kotak 50
Lidocaine/ Lidocain/ Lidocain Spray oral
10%
50 - - 50 Rp 177,216 Rp 8,860,800
5 51000000-OBC-000463814 GENERIK PAK/50 supp 9

DULCOLAX Bisakodil suppositoria 10 mg
9 2 2 7 Rp 295,000 Rp 2,065,000
PAK/50 supp 15 15 - - 15 Rp 295,000 Rp 4,425,000
51000000-OBC-000464324 GENERIK
6 ZINCPRO Zinc sulfate/ Zinc sulfate Botol 3,100
monohydrate/Zink/Zinc sirup 10 mg/Ml
3,100 - - 3,100 Rp 6,281 Rp 19,471,100
51000000-OBC-000463738 GENERIK
7 ILIADIN Oxymetazoline / Oksimetazolin Botol 131
tetes hidung 0,25% 131 - - 131 Rp 37,433 Rp 4,903,723
19 19 - - 19 Rp 37,433 Rp 711,227
51000000-OBC-000463869 GENERIK
8 ILIADIN Oxymetazoline/ Oksimetazolin Botol 150
tetes hidung 0,050% 150 - - 150 Rp 39,468 Rp 5,920,200
51000000-OBC-000464296 GENERIK
9 SULFADIAZINE SILVER/PERAK TUBE 95
SULFADIAZIN KRIM 1 % (tube 35g) 95 - - 95 Rp 20,700 Rp 1,966,500
51000000-OBC-000464112 GENERIK
1 Glukosa larutan infus 5% 500 ml Botol 2,000
2,000 - - 2,000 Rp 6,900 Rp 13,800,000
2 51000000-OBC-000464044 GENERIK Nacl Botol 3,000

0,9% / Sodium Chloride infus 0,9% 500 ml
3,000 - - 3,000 Rp 6,410 Rp 19,230,000
3 51000000-OBC-000464086 GENERIK Botol 8,000

Ringer Laktat/Ringer Lactate @500 ml
8,000 - - 8,000 Rp 7,150 Rp 57,200,000
51000000-OBC-000464616 GENERIK
1 Spironolactone/Spironolakton kotak/100 tablet 100
51000000-OBC-000464609 GENERIK
2 Risperidone/Risperidon tablet 45,300
tablet/kapsul/kaplet 2 mg 45,300 - - 45,300 Rp 273 Rp 12,366,900
51000000-OBC-000464572 GENERIK
3 Furosemid/Furosemide inj 10 mg/ml ampul 625
(i.v/i.m) 625 - - 625 Rp 1,555 Rp 971,875
1 51000000-OBC-000463754 DECAFIL tablet 65,000

Aminofilin tablet/kapsul/kaplet 150 mg
65,000 - - 65,000 Rp 145 Rp 9,425,000
51000000-OBC-000463730 GENERIK
Amlodipin/Amlodipine/Amlodipine
2 Besylate/Amlodipine Besilate kotak/30 tablet 1,333
1,333 230 230 1,103 Rp 2,850 Rp 3,143,550
42000000-AKS-000045897 MITRA
1 RAJAWALI BANJARAN RD Alat Suntik Sekali piece 19,000
Pakai With Needle 1 ml 19,000 - - 19,000 Rp 780 Rp 14,828,000
42000000-AKS-000047012 SMITHS
2 MEDICAL JELCO 18G piece 1,500
1,500 - - 1,500 Rp 8,900 Rp 13,350,000
42000000-AKS-000047013 SMITHS
3 MEDICAL JELCO 20 piece 1,300
1,300 - - 1,300 Rp 8,900 Rp 11,570,000
42000000-AKS-000047014SMITHS
4 MEDICAL JELCO 22G piece 1,200
1,200 - - 1,200 Rp 8,900 Rp 10,680,000
42000000-AKS-000047014SMITHS piece 1,800
MEDICAL JELCO 22G 1,800 - - 1,800 Rp 8,900 Rp 16,020,000
42000000-AKS-000047014SMITHS
MEDICAL JELCO 22G piece 2,400
2,400 - - 2,400 Rp 8,900 Rp 21,360,000
42000000-AKS-000047014SMITHS
piece 600
MEDICAL JELCO 22G 600 - - 600 Rp 8,900 Rp 5,340,000
42000000-AKS-000063307SMITHS
5 piece 1,300
MEDICAL JELCO 24G 1,300 - - 1,300 Rp 8,900 Rp 11,570,000
42000000-AKS-000044912 SMI SILK
6 BLACK 3/0 DS 24 MM kotak/12 sachet 137
137 10 10 127 Rp 274,200 Rp 34,823,400
42000000-AKS-000044661 SMI CATGUT
7 kotak/12 sachet 285
CHROMIC SMI 2/0 HR 26 MM 285 10 10 275 Rp 399,000 Rp 109,725,000
42000000-AKS-000044667 SMI CATGUT
8 CHROMIC SMI 3/0 HR 26 MM kotak/12 sachet 273
273 - - 273 Rp 399,000 Rp 108,927,000
42000000-AKS-000044686 SMI
9 CATGUT PLAIN SMI 2/0 HR 26 MM kotak/12 sachet 40
40 - - 40 Rp 417,000 Rp 16,680,000
10 42000000-AKS-000044693 SMI CATGUT kotak/12 sachet 96

PLAIN SMI 3/0 HR 26 MM 96 - - 96 Rp 417,000 Rp 40,032,000
42000000-AKS-000044952 ECOLAB
11 Tube 200
AQUAGEL STERILE JELY 82 gr 200 - - 200 Rp 44,478 Rp 8,895,600
12 51102707-AKS-000044941 ECOLAB botol 102

HYDREX SURGICAL SCRUB 500 ml 102 - - 102 Rp 90,216 Rp 9,202,032
42000000-AKS-000053212 IDEALCARE
13 2Way Standard Foley Catheter Silicone piece 400
Coated, sterile 16 fr
400 - - 400 Rp 18,950 Rp 7,580,000
42000000-AKS-000053213 IDEALCARE
380 - - 380 Rp 18,950 Rp 7,201,000
42000000-AKS-000053217 IDEALCARE
180 - - 180 Rp 18,950 Rp 3,411,000
16 42000000-AKS-000048271 AHMADARIS rol 9,000

Kasa Pembalut Hidrofil DRC 4 m x 5 cm
9,000 - - 9,000 Rp 1,178 Rp 10,600,000
17 42000000-AKS-000048272 AHMADARIS rol 6,000

Kasa Pembalut Hidrofil DRC 4 m x 10 cm
6,000 - - 6,000 Rp 2,433 Rp 14,600,000
18 42000000-AKS-000048252 AHMADARIS kotak 2,900

Kasa Steril DRC 16 cm x 16 cm (16 pads)
2,900 - - 2,900 Rp 8,417 Rp 24,410,000
12161503-AKS-000043354 FOKUS HCG
19 kotak/25 strip 50
Strip 50 - - 50 Rp 173,025 Rp 8,651,250
20 42000000-AKS-000461269 M-I Masker kotak 140

Ear Loop 140 17 17 123 Rp 19,629 Rp 2,414,314
42000000-AKS-000044407 JMS Infusion
21 Set Adult Type-200 piece 6,050
6,050 - - 6,050 Rp 7,618 Rp 46,088,500
42000000-AKS-000044408 JMS Infusion
22 piece 6,050
Set Pediatric Type-200 6,050 - - 6,050 Rp 10,148 Rp 61,395,000
42000000-AKS-000044372 ANSELL Medi-
23 Grip Plus Sterile Powdered Surgical Gloves piece 4,400
Size 7,5 4,400 - - 4,400 Rp 8,556 Rp 37,645,200
42000000-AKS-000044352 ANSELL Medi-
24 Grip Plus Sterile Powdered Surgical Gloves piece 3,400
Size 7 3,400 - - 3,400 Rp 8,577 Rp 29,162,200
42000000-AKS-000044383 ANSELL Micro-

25 Touch DermaClean Examination Powder kotak 75
Free Latex Size S
75 10 10 65 Rp 149,599 Rp 9,723,935
42000000-AKS-000044384 ANSELL Micro-

26 Touch DermaClean Examination Powder kotak 30
Free Latex Size M
30 10 10 20 Rp 157,599 Rp 3,151,980
41116002-AKS-000069689 LORNE
1 LABORATORIES Anti-A Monoclonal Vial 36
Golongan Darah (Vial 10 ml) 36 - - 36 Rp 71,610 Rp 2,577,960
41116002-AKS-000069698 LORNE
2 LABORATORIES Anti-A,B Monoclonal Vial 36
41116002-AKS-000069694 LORNE
3 LABORATORIES Anti-B Monoclonal Vial 36
41116002-AKS-000069699 LORNE
4 LABORATORIES Anti-D Duoclone Golongan Vial 36
Darah (Vial 10 ml) 36 - - 36 Rp 119,764 Rp 4,311,520
41116002-AKS-000069752 LORNE
5 LABORATORIES Salmonella Paratyphi AH Vial 36
Widal Test (Vial 5 ml) 36 - - 36 Rp 72,188 Rp 2,598,760
41116002-AKS-000069758 LORNE
6 LABORATORIES Salmonella Paratyphi BH Vial 36
41116002-AKS-000069706 LORNE
7 LABORATORIES Salmonella Paratyphi AO Vial 36
41116002-AKS-000069745 LORNE
8 LABORATORIES Salmonella Paratyphi BO Vial 36
41116002-AKS-000069759 LORNE
9 LABORATORIES Salmonella Paratyphi CH Vial 36
41116002-AKS-000069748 LORNE
10 LABORATORIES Salmonella Paratyphi CO Vial 36
42000000-AKS-000408480 JAYAMAS
1 Onemed Mucus Extractor buah 950
950 25 25 925 Rp 7,740 Rp 7,159,500
50 50 - - 50 Rp 7,740 Rp 387,000
42000000-AKS-000054189 JAYAMAS
2 kotak 17
Onemed Alcohol Swab 17 12 12 5 Rp 11,500 Rp 57,500
42000000-AKS-000054191 JAYAMAS
3 box 40
Onemed Umbilical Cord Klem Steril Nylon
40 2 2 38 Rp 74,750 Rp 2,840,500
42000000-AKS-000408480 JAYAMAS
4 Onemed Softpad (Underpad) 60 x 90 cm pack 300
Non Steril 300 3 3 297 Rp 45,624 Rp 13,550,328
111 kotak/100 tablet 4,920
51000000-OBC-000540161 GENERIK
Amoksisilin/Amoxicillin
tablet/kapsul/kaplet/kaptab 500 mg,
kemasan strip/blister (G)
4,920 120 120 4,800 Rp 24,800 Rp 119,040,000
kotak/100 tablet 508
51000000-OBC-000464060 GENERIK
Antasida tab kunyah, Kombinasi :
112 Aluminium Hidroksida 200 mg +
Magnesium Hidroksida 200 mg
508 - - 508 Rp 5,600 Rp 2,844,800
51000000-OBC-000464303 GENERIK
haloperidol tablet/kapsul/kaplet 5 mg
500 - - 500 Rp 5,600 Rp 2,800,000
51000000-OBC-000464303 GENERIK
114 Trihexyphenidyl hydrochloride (HCL) kotak/100 tablet 360
115 170
51000000-OBC-000463733 GENERIK kotak/100 tablet
Alopurinol tablet/kapsul/kaplet 100 mg
170 30 30 140 Rp 9,900 Rp 1,386,000
116 51000000-OBC-000464283 GENERIK kotak/100 tablet 40

Diazepam tablet/kapsul/kaplet 5 mg
40 - - 40 Rp 10,900 Rp 436,000
117 botol 100
51000000-OBC-000464418 LODOMER
Drops Haloperidol drop 2 mg/ml
100 - - 100 Rp 21,100 Rp 2,110,000
51000000-OBC-000464640 GENERIK kotak/100 tablet 470
118 Glibenclamid/Glibenclamide
119 51000000-OBC-000464657 GENERIK
Kaptopril/captopril tablet/kapsul/kaplet kotak/100 tablet 410
50 mg 410 - - 410 Rp 14,300 Rp 5,863,000
kotak/60 tablet 833
51000000-OBC-000464318 GENERIK
120 Acetyl cysteine/N-asetil sistein tablet/
kaplet/kapsul/kaplet 200 mg
833 44 44 789 Rp 24,720 Rp 19,504,080
121 51000000-OBC-000464549 GENERIK Zinc
sulfate/zinc tablet dispersible tablet 20 kotak/100 tablet 2,378
mg 2,378 - - 2,378 Rp 60,400 Rp 143,631,200
51000000-OBC-000464549 GENERIK
122 botol 3,200
Ibuprofen suspensi 100 mg / 5 ml 3,200 200 200 3,000 Rp 2,520 Rp 7,560,000
51000000-OBC-000463787 New Antides
Atapulgit tablet/kapsul/kaplet 600 mg
170 10 10 160 Rp 14,900 Rp 2,384,000
51000000-OBC-000464509 GENERIK
124 Bisakodil/Bisacodyl tablet/kapsul/kaplet kotak/30 tablet 100
salut 5 mg 100 33 33 67 Rp 9,480 Rp 635,160
51000000~OBC~000463844 GENERIK kotak/100 tablet 500
Salbutamol sulfate/salbutamol
51000000~OBC~000463890 GENERIK
Cyanocobalamin/sianokobalamin ( vit
B12 ) tablet/kapsul/kaplet 50 mcg
400 70 70 330 Rp 4,900 Rp 1,617,000
51000000~OBC~000463981 GENERIK 100
furosemid/furosemide Kotak/200 tablet
kotak/100 tablet 80
51000000~OBC~000464231 GENERIK
Metoclopramide hydrochloride ( HCL)
Metoklorpramide tablet/kapsul/kaplet 10
mg 80 - - 80 Rp 8,300 Rp 664,000
51000000~OBC~000464349 GENERIK kotak/100 tablet 104
Thiamin (Vitamin B1) tablet/kapsul/kaplet
50 mg 104 - - 104 Rp 8,800 Rp 915,200
51000000~OBC~000464413 GENERIK
Asam Askorbat (Vitamin C) tab 50 mg
990 - - 990 Rp 12,000 Rp 11,880,000
51000000~OBC~000464355 GENERIK kotak/100 tablet 1,360
128
Vitamin B Kompleks tablet 1,360 198 198 1,162 Rp 13,500 Rp 15,687,000
51000000~OBC~000464518 GENERIK
Pyridoxine/Piridoksin (Vitamin B6)
tab/kap/kapl 10 mg (HCl)
130 25 25 105 Rp 14,100 Rp 1,480,500
51000000~OBC~000464332 GENERIK
130 Tetrasiklin/Tetracycline/Tetracycli ne
Hydrochloride tablet/kapsul/kaplet 500
mg
310 - - 310 Rp 31,000 Rp 9,610,000
131 kotak/100 tablet 33,100
51000000~OBC~000464287 GENERIK
Pirantel Pamoat/Pyrantel Pamoate
33,100 - - 33,100 Rp 110 Rp 3,641,000
51000000~OBC~000464292 GENERIK botol/50 kapsul 240
132 Retinol (Vitamin A) kapsul lunak 100.000
IU 240 - - 240 Rp 16,550 Rp 3,972,000
133 51000000~OBC~000464298 GENERIK botol/50 kapsul 160
Retinol Acetate/Retinol (Vitamin A) kaps
lunak 200.000 IU 160 - - 160 Rp 29,800 Rp 4,768,000
kotak/24 tube 50
51000000~OBC~000463838 GENERIK
134 Chloramphenicol/Kloramfenikol salep
mata 1%
50 5 5 45 Rp 46,200 Rp 2,079,000
135 TUBE 7,992
51000000~OBC~000464178 GENERIK
Hidrokortison/Hydrocortisone krim 2,5%
7,992 - - 7,992 Rp 2,533 Rp 20,243,736
kotak/24 tube 175
51000000~OBC~000464254 GENERIK
136 Miconazole nitrate/Miconazole/Mikonazol
krim 2%
175 5 5 170 Rp 94,224 Rp 16,018,080
137 ampul 600
51000000~OBC~000463975 GENERIK
Diazepam injeksi 5 mg/ml (i.v/i.m)
600 - - 600 Rp 1,913 Rp 1,147,800
51000000~OBC~000464142 GENERIK Zinc

138 sulfate/Zinc sulfate Botol 5,900
monohydrate/Zinc/Zinc sir 20 mg/5 ml
5,900 - - 5,900 Rp 3,285 Rp 19,381,500
139 51000000~OBC~000464049 GENERIK Botol 100
Sodium Valproate/Valproate sirup 250
mg/5 ml 100 - - 100 Rp 17,789 Rp 1,778,900
Sisa stock Rp 1,701,465,436
Rp 1,747,742,148 realisasi keuangan
* Keterangan :
No. Urut merupakan penggantian produk ( tukar dengan yang Exp.Date nya lebih panjang ) dari PT.Sapta Sari Tama
No. Urut merupakan penarikan produk dari puskesmas, untuk dikembalikan pada PBF krn Produk Tidak Memenuhi Syarat/TMS ke PT. Penta Valent
Keterangan
No. Bacth
Exp. Date
21
180840152 Aug-22 rajawali
APBD 2018
180841150 Aug-20 rajawali rajawali

APBD 2018
180744177 Jul-20 rajawali rajawali

APBD 2018
18090853 Sep-20 rajawali rajawali

APBD 2018
18070351 Jun-20 rajawali rajawali

APBD 2018
rajawali rajawali
APBD 2018
180604176 Juni 2020 rajawali rajawali

APBD 2018
60526103 May-20 rajawali rajawali

APBD 2018
180701251 Juli 2022 rajawali rajawali

APBD 2018
rajawali rajawali
APBD 2018
180902193 Sep-20 rajawali rajawali

APBD 2018
619807 Juli 2021 rajawali rajawali
APBD 2018
16365030 Mei 2021 rajawali rajawali

APBD 2018

APBD 2018
16304042 Jul-22 rajawali rajawali

APBD 2018
16372003 Feb-22 rajawali rajawali

APBD 2018
rajawali rajawali
APBD 2018

APBD 2018

APBD 2018
18CH003 Agt 2021 rajawali
APBD 2018 sapta sari tama
181c043 Mar-21
APBD 2018 sapta sari tamasapta sari tama
1856316 Jul-20
061298 Jun-20
APBD 2018 tempo sapta sari tama
APBD 2018 tempo tempo

040458 Mar-20
"
APBD 2018 Parit Padang tempo
APBD 2018 Parit Padang Parit Padang

A5009DV Apr-20
A86066DF Apr-20
A1317HP Aug-22

APL
APBD 2018 Parit Padang
APL APL
APBD 2018
APL APL
APBD 2018
LAR4 Des 2019 APL APL
APBD 2018
17101404 Sep-21 APL APL

APBD 2018
APBD 2018 APL APL
APL APL
APBD 2018
APL APL
APBD 2018
APBD 2018 APL APL
APL APL
APBD 2018
APL APL
APBD 2018
APL
APBD 2018 Merapi
APBD 2018 Merapi Merapi
APBD 2018 AAM Merapi

APBD 2018 AAM AAM
APBD 2018 AAM AAM
APBD 2018 MBS AAM
AE09H015 May-21
APBD 2018 MBS MBS
APBD 2018 rajawali MBS
APBD 2018 rajawali rajawali
170506 Mei 2022

180501 Apr-23

17100130HH Okt 2020
17110310 Nov-20
dwi centra
APBD 2018 rajawali
dwi centra dwi centra

APBD 2018

APBD 2018
APBD 2018

APBD 2018

APBD 2018

APBD 2018

APBD 2018

APBD 2018

APBD 2018
dwi centra
APBD 2018 Kapuas Permat
APBD 2018 Kapuas PermatKapuas Permata
1007188 Jun-23
B80170 Aug-20
APBD 2018 Merapi Kapuas Permata

A81362 Juni 2020
1804036 Mei 2023 Indofarma

APBD 2018 Merapi
Indofarma Indofarma
APBD 2018
18A51069 Aug-21 Indofarma Indofarma
APBD 2018
Indofarma Indofarma
APBD 2018
6F2271 Juni 2020 Indofarma Indofarma

APBD 2018
Indofarma Indofarma
APBD 2018
Eb6060 juli 2020 Indofarma Indofarma

APBD 2018
kimia farma Indofarma

APBD 2018
D80715B Maret 2023 kimia farma kimia farma
APBD 2018
D80701B Maret 2021 kimia farma kimia farma

APBD 2018
kimia farma kimia farma
APBD 2018
APBD 2018

APBD 2018
c804831 Mar-21 kimia farma kimia farma

APBD 2018
APBD 2018
APBD 2018
APBD 2018

APBD 2018

APBD 2018
F81592W Juni 2021 kimia farma kimia farma
APBD 2018
APBD 2018
480148W Februari 2022 kimia farma kimia farma
APBD 2018

APBD 2018
APBD 2018
APBD 2018
kimia farma
LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT (LPLPO)
PUSTU/POLINDES KECAMATAN NANGA TAMAN
PUSTU/POLINDES :
BULAN :
No Nama Barang satuan Jumlah persediaan Terpakai
Stock awal Rusak/ED/Retur
Penerimaan Total Persediaan Penggunaan Total Pemakaian
Sisa stock Permintaan Keterangan
Banyaknya Banyaknya Banyaknya Banyaknya Banyaknya
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol 400 mg Tablet
2 Tablet
Alopurinol tablet 100 mg
3 Alopurinol tab 300 mg Tablet
4 Aminofilin Tab 200 mg Tablet
5 Amoksisilin tab 250 mg Tablet
6 Amoksisilin sir forte 250 mg/5 ml botol
7 Antasid doen botol
8 Antasida, kombinasi : aluminium hidroksida 200 mg +
magnesium hidroksida 200 mg Tablet
9 Antifungi DOEN salep pot

10 Anestetik lokal gigi kombinasi : lidokain hcl 2% + vial
epinefrin 1 : 80.000 inj 2 ml
11 Amlodipin tab 10 mg Tablet

12 Amlodipin tab 5 mg Tablet
13 Asam mefenamat kaps 500 mg Tablet

14 Asam asetilsalisilat (asetosal) tab 80 mg Tablet
15 Asam askorbat (vitamin C) tab 50 mg Tablet

16 Asiklovir salep Tube
17 Asiklovir tab 200 mg

Tablet
18 Atapulgit 600 mg
Tablet
19 Bisakodil sup 10 mg/dulcolax supp adult supos
20 Bedak salisil serb 2% dus 50 gr
21 Captopril 12,5 mg Tablet

22
Captopril 25 mg Tablet
23 Cetrizin sirup botol 60 mL
24 DHP Primal Box
25 Deksametason inj 5 mg/ml (i.v./i.m.) Vial
26 Deksametason tab 0,5 mg Tablet
27 Domperidon tab 10 mg
Tablet
28 Domperidon suspennsi 5 mg/5 ml botol
29 Doksisiklin kaps 100 mg Tablet
30 Ampul
Epinefrin (adrenalin) inj 1 mg/ml
31 Eugenol cair botol/10 ml
32 Eritromisin tab 500 mg Tablet
33 Eritromisin sir 200 mg/5 ml Botol @ 60 ml

34 Fitomenadion (vitamin K 1) tab sal 10 mg Tablet
35 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial

36 Garam oralit kombinasi Sach
37 Gemfibrozil kaps 300 mg
Tablet
38 Gentamisin tts mata 0,3% Botol 5 ml
39 Glukosa larutan infus 5 % botol

40 Glukosa Larutan Infus 10% steril 500 ml Botol
41 Griseofulvin (micronized) tab 125 mg Tablet

42 Hidrokortison krim 1 % tube
43 Hidrokortison krim 2.5 % tube
44 Ibuprofen tablet 400 mg Tablet
45 Ibuprofen tab 200 mg Tablet
46 Ibuprofen sir 200 mg/5 ml Botol @ 60 ml
47 Isosorbid dinitrat 5 mg Tablet

48 Kalsium Laktat 500 mg Tablet
49 Karbamazepin 200 mg Tablet
50 Karbogliserin tts telinga 10 % Botol
51 Ketokonazol tab 200 mg Tablet

52 Kloramfenikol kaps 500 mg Tablet
53 Kloramfenikol suspensi 125 mg/mL botol

54 Kloramfenikol salep kulit 2 % Tube 15 gr
55 Kloramfenikol tts Telinga botol

56 Kloramfenikol tts mata 0,5%/ Decacetin botol
57 Klorfeniramin Maleat 4 mg Tablet

58 Kotrimoksazol (dewasa) kombinasi tiap 5 ml suspensi : Botol @ 60 ml
sulfametoksazol 200 mg + trimetoprim 40 mg
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol Tablet

59 400 mg+ trimetoprim 80 mg
60 Kuiinin dihidroksida injeksi 25 %
Ampul
61 Loratadin tab 10 mg Tablet
62 Loperamid tab 2 mg Tablet
63 Lidokain inj 2% (infiltr/p.v.) Ampul

64 Lidokain inj 2 % (HCl) + Epinefrin Ampul
65 Lidokain spray/xylocaine Botol
66 Magnesium sulfat inj 20% vial
67 Magnesium sulfat inj 40% vial

68 Metformin tab 500 mg Tablet
69 Metilprednisolon kaplet 8 mg Tablet

70 Metoklorpramide drop Botol/10 ml
71 Metokpramide sirup 5 mg/ 5 mL botol 60 mL

72 Metoklopramid tab 10 mg Tablet
73 Nacl 0,9% botol

74 Natrium diklofenak tab 25 mg Tablet
75 Natrium diklofenak 50 mg Tablet

76 Tablet
Nifedipin tab 10 mg
77 Nistatin tab vaginal 100.000 UI Tablet
78 Ampul
Oksitosin inj 10 ul/mL
79 Omeprazol 20 mg Kapsul
80 Parasetamol tab 500 mg Tablet
81 parasetamol sirup 120 mg/5 mL botol

82 Parasetamol drop 100 mg/100 ml Botol
83 Pirantel pamoat tab scored 125 mg Tablet

84 Pirantel pamoat susp 125 mg/5 ml Botol
85 Primakuin Tab 15 mg Tablet

86 Ranitidin tab 150 mg Tablet
87 Ranitidin inj 25 mg/ml Vial

88 Ringer Laktat Larutan Botol
89 Risperidon tab 2 mg Tablet

90 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang pot
endap 4 %
91 Salbutamol tab 2 mg Tablet

92 Salbutamol Tab 4 mg Tablet
93 Sefadroksil sirup kering 125 mg/mL botol

94 botol
Setrizin sirup 5 mg/5 mL
95 Setirizin tab 10 mg Tablet
96 Sianokobalamin (vitamin B12) inj 500 mcg/ml Ampul
97 Simvastatin tab sal 10 mg Tablet
98 Simvastatin tab sal 20 mg Tablet
99 Sukralfat susp 500 mg/5 ml Botol @ 100 ml

100 Sulfadiazine salep Tube
101 Tetrasiklin kaps 250 mg Tablet

102 Tablet
Tetrasiklin kapsul 500 mg
103 Tiamin (Vitamin B1) 50 mg Tablet
104 Vitamin B12 tab 50 mg ( cyanocobalamin) Tablet
105 Vitamin B kompleks Tablet
106 Zinc sir 20 mg/5 mL botol
107 Zinc 20 mg Tablet
108 PERBEKALAN KESEHATAN
109 KAPAS PEMBALUT HIDROFIL 250 GR
ROLL
110 KAPAS PEMBALUT HIDROFIL DRC 4X5 CM
roll
111 KAPAS PEMBALUT HIDROFIL DRC 4X10CM
roll
112 KAPAS PEMBALUT HIDROFIL DRC 36x80 cm
roll
113 Combiscreen 11 Sys Plus botol
114
urilyzer 100 Pro unit
115 Urine bag botol
116
Hand scrub 500 ml botol
117 Alat suntik sekali pakai 0,05 ml Set
118 cromic 2/0 75 cm,1/2 Taper, 30 mmTaper piece
119 cromic 3/0 75 cm,1/2 Taper, 30 mmTaper piece
120 plain 2/0 75 cm,1/2 Taper, 30 mmTaper piece
121 plain 3/0 75 cm,1/2 Taper, 30 mmTaper piece
122 silk 2/0 75 cm,1/2 Taper, 30 mmTaper piece
123 silk 3/0 75 cm,1/2 Taper, 30 mmTaper piece
124 Cut Gut / Benang Bedah No 2/0 pcs
125 ECOLAB AQUAGEL STERIL JELLY 82 GR
126 IV Catheter 18 G piece
127 IV Catheter 20 G piece
128 IV catheter No. 22 G pcs
129 IV Catheter No. 24 G pcs
130 KASA STERIL DRC 16 X 16 CM
BOX
131 Kasa Pembalut Elastik 4 Inchi Roll
132 Polifix 5 cm x 1 m roll
133 SKIFA STERIL LATEX SURGICAL GLOVE NO. 7

pasang
134 syringe 5 cc Luer Lock With Needle 22 GX1-1/2" Elektrin
Beam Sterilization
piece
135 SKIFA auto disable/ distruct with nedle 5 ml
piace
136 syringe 1 cc Tuberculin With Needle 26 GX1-1/2" Elektrin
Beam Sterilization
piece
137 RD alat suntik sekali pakai with nedle 1 ml
piace
138 syringe 10 cc Luer Lock With Needle 21 GX1-1/2" Elektrin
Beam Sterilization
piece
syringe 3 cc Luer Lock With Needle 24 GX1-1/2" Elektrin
139 Beam Sterilization
piece
140 SKIFA auto disable/ distruct with nedle 3 ml
piace
141 Infuset "y" Type with Injection Port piece
142 Infusion set dewasa piece
143 Infusionset Pediatric Tipe 200 piace

144 Policatheter no 18 set
145 Wing needle No. 23 G ( 100 Buah / Kotak ) kotak
146 Wing needle No. 22 G ( 100 Buah / Kotak ) Kotak 100 Buah
147 Work Endotracheal Tube with cuff. ETT.no.6,0 piece
150 Underpad piece
151
152
153
154
Ka. Puskesmas Nanga Taman Petugas Farmasi Petugas Pustu/Polindes
155
156
157
158
Meri, A.Md.Keb .............................................................. ...........................................................
159 NIP. 19701010 198911 2 001
160
161
162
Catatan :
163 * Laporan diserahkan Paling Lambat tgl 5 tiap bulan
164
* Laporan HARUS di Tanda Tangani Oleh Kepala Puskesmas
165 * Bagi Yang tidak Menyerahkan Laporan Obat dan Retribusi, maka tidak dapat mengambil obat.
166
167
168
169
170
171
172

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LAPORAN MUTASI DAN PERSEDIAAN OBAT APBD

INSTALASI FARMASI KABUPATEN (IFK) SEKADAU

Pengadaan Total barang Penggunaan Total 31 Desember (Sisa Stock)

Mengetahui, Sekadau, 2 Januari 2019

ST.Emanuel, SKM V. Sulistyo Retno W, S.Si

1 2 3 4 6 8 10=( 4+6+8) 12 14 16=(12+14) 18= (10-17) 19 20=(18x19)

1 51000000-OBC-000464398 GENERIK ampul 1,200

5 51000000-OBC-000463814 GENERIK PAK/50 supp 9

2 51000000-OBC-000464044 GENERIK Nacl Botol 3,000

3 51000000-OBC-000464086 GENERIK Botol 8,000

1 51000000-OBC-000463754 DECAFIL tablet 65,000

10 42000000-AKS-000044693 SMI CATGUT kotak/12 sachet 96

12 51102707-AKS-000044941 ECOLAB botol 102

16 42000000-AKS-000048271 AHMADARIS rol 9,000

17 42000000-AKS-000048272 AHMADARIS rol 6,000

18 42000000-AKS-000048252 AHMADARIS kotak 2,900

20 42000000-AKS-000461269 M-I Masker kotak 140

42000000-AKS-000044383 ANSELL Micro-

42000000-AKS-000044384 ANSELL Micro-

116 51000000-OBC-000464283 GENERIK kotak/100 tablet 40

51000000~OBC~000464142 GENERIK Zinc

Rp 1,747,742,148 realisasi keuangan

180840152 Aug-22 rajawali

180841150 Aug-20 rajawali rajawali

180744177 Jul-20 rajawali rajawali

18090853 Sep-20 rajawali rajawali

18070351 Jun-20 rajawali rajawali

180604176 Juni 2020 rajawali rajawali

60526103 May-20 rajawali rajawali

180701251 Juli 2022 rajawali rajawali

180902193 Sep-20 rajawali rajawali

16365030 Mei 2021 rajawali rajawali

16364020 Mei 2023 rajawali rajawali

16304042 Jul-22 rajawali rajawali

16372003 Feb-22 rajawali rajawali

16381010 Mei 2021 rajawali rajawali

16815025 Mei 2021 rajawali rajawali

18CH003 Agt 2021 rajawali

APBD 2018 sapta sari tama

APBD 2018 sapta sari tamasapta sari tama

APBD 2018 sapta sari tamasapta sari tama

APBD 2018 tempo sapta sari tama

APBD 2018 tempo tempo

APBD 2018 tempo tempo

APBD 2018 tempo tempo

APBD 2018 Parit Padang tempo

APBD 2018 Parit Padang Parit Padang

APBD 2018 Parit Padang Parit Padang

APBD 2018 Parit Padang Parit Padang

APBD 2018 Parit Padang Parit Padang

APBD 2018 Parit Padang Parit Padang

APBD 2018 Parit Padang Parit Padang

LAR4 Des 2019 APL APL

17101404 Sep-21 APL APL

APBD 2018 Merapi Merapi

APBD 2018 Merapi Merapi

APBD 2018 AAM Merapi

APBD 2018 AAM AAM

APBD 2018 MBS AAM

APBD 2018 MBS MBS

APBD 2018 rajawali MBS

APBD 2018 rajawali rajawali

APBD 2018 rajawali rajawali