RENCANA KEBUTUHAN OBAT PADA FASILITAS KESEHATAN TINGKAT PERTAM

SATUAN KERJA : PUSKESMAS XXXXXXXXX

SISA STOK PEMAKAIAN
PER RATA-RATA PER
NO NAMA OBAT SATUAN DESEMBER BULAN SELAMA
2020 TAHUN 2020
(a) (b)
1 Mefinal capsul 250 mg Kapsul 100 105
2 Farsifen caplet 200 mg Kaplet 150 80
3 Arcoxia tab 60 mg Tablet 40 27
4 Nazovel suppo100 mg Suppositoria 6 11
5 Alergine tab 0 mg Tablet 5 14
6 Cortidex inj 5 mg/mL Vial 2 8
7 Alloris tab 10 mg Tablet 50 22
8 Capritazin oral drops 10 mg/mL Drops 2 6
9 Bamgetol tab 200 mg Tablet 50 30
10 Lamiros tab 50 mg Tablet 40 35
11 Antilep tab 500 mg Tablet 30 25
12 Dilantin SR cap 100 mg Kapsul 20 17
13 Viccillin inj 250 mg Vial 5 17
14 Amoxsan cap 250 mg Kapsul 10 17
15 Amoxsan Paed oral drops 100 mg/mL Drops 5 9
16 Cefat cap 250 mg Kapsul 20 17
17 Capribose tab 50 mg Tablet 10 17
18 Renabetic tab 5 mg Tablet 5 28
19 Glucodex tab 80 mg Tablet 10 33
20 Amadiab caplet 1 mg Kaplet 10 25
21 Santibi tab 500 mg Tablet 10 28
22 Sanazet tab 500 mg Tablet 30 23
23 Rifamtibi FC caplet 450 mg Kaplet 20 28
24 Streptomycin Sulphate Meiji powd for inj 1 g Powder 2 19
25 Tiaryt tab 200 mg Tablet 5 20
26 Fargoxin tab 0.25 mg Tablet 50 30
27 Farmadral film-coated tab 10 mg Tablet 10 28
28 Amcor tab 10 mg Tablet 5 14
29 Farnormin tab 50 mg Tablet 10 28
30 Farmoten tab 12.5 mg Tablet 5 39
31 Pronalges inj 50 mg/mL Vial 5 10
32 Farpain tab 10 mg Tablet 5 11
33 Amtocort Tablet tab 4 mg Tablet 50 16
34 Bestalin tab 25 mg Tablet 20 17
35 Aprion cap 75 mg Kapsul 2 8
36 Cefim powd for inj 1 g Powder 3 8
37 Meixam cap 500 mg Kapsul 10 22
38 Meixam powd for inj 1 g Powder 3 14
 39 Galvus tab 50 mg Tablet 3 7
40 Trajenta tab 5 mg Tablet 2 5

1 Masker Pcs 55 150

2 Sarung tangan (Hand gloves) Pcs 60 170
3 Kapas Gulung 15 250
4 Alkohol 70% Botol 100 ml 12 34
5 Kasa Steril 16 x 16 Box 24 140

Catatan :
Jumlah kebutuhan tahun 2021 tidak selalu dikalikan 18.
Perhatikan pemakaian rata-rata per bulan (riil atau tidak; jumlah obat ED)
HATAN TINGKAT PERTAMA (FKTP) TAHUN 2021

JUMLAH RENCANA RENCANA

KEBUTUHAN KEBUTUHAN PENGADAAN KETERANGAN (KEMASAN)
TAHUN 2021 TAHUN 2021 TAHUN 2021

(c) = (b) x 18 (d) = (c) - (a) (e) (f)

1890 1790 1800 Box (10 Strip @ 10 Kapsul)
1440 1290 1300 Box (10 Strip @ 10 Kaplet)
486 446 450 pack ( 3 Strip @ 30 Tablet)
198 192 200 Box (5 suppo)
252 247 250 box ( 5 strips @ 10 tablet)
144 142 150 box ( 10 @ 1 mL ampul)
396 346 350 box ( 10 strips @ 10 tablet)
108 106 110 box ( 1 botol 20 mL)
540 490 500 box ( 10 strips @ 10 tablet)
630 590 600 box ( 3 strip @ 10 tablet)
450 420 450 box (3 strip @ 10 tablet)
306 286 300 Box (10 Strip @ 10 Kapsul)
306 301 310 Box ( 10 vial )
306 296 300 Box ( 10 strips @ 10 kapsul)
162 157 160 Box ( 1 botol 15 mL)
306 286 300 Box ( 10 strip @ 10 kapsul)
306 296 300 Box ( 5 strip @ 10 tablet)
504 499 500 Box (10 strip @ 10 tablet)
594 584 600 Box (10 strip @ 10 tablet)
450 440 450 Box ( 5 strip @ 10 kaplet)
504 494 500 Box (10 strip @ 10 tablet)
414 384 400 Box (10 strip @ 10 tablet)
504 484 500 Box ( 10 strip @ 10 kaplet)
342 340 350 Box ( 100 vial)
360 355 360 Box (5 strip @ 6 tablet )
540 490 500 Box (10 strip @ 10 tablet)
504 494 400 Box (10 strip @ 10 tablet)
252 247 250 Box (5 strip @ 10 tablet)
504 494 500 Box (10 strip @ 10 tablet)
702 697 700 Box (10 strip @ 10 tablet)
180 175 180 box ( 10 @ 1 mL ampul)
198 193 200 box (2 strips @ 10 tablet)
288 238 250 box ( 5 strips x 10 tablet)
306 286 300 box ( 10 strips @ 10 tablet)
144 142 150 Box ( 1 strip @ 10 kapsul)
144 141 150 Box ( 1 vial )
396 386 400 Box ( 10 strips @ 10 kapsul)
252 249 250 Box ( 10 vial )
126 123 140 Box ( 2 strip @ 14 tablet)
90 88 90 box (3 strip @ 10 tablet)

2,700 2,645 2,800 box (50 pcs)

3,060 3,000 3,100 box (100 pcs)
4,500 4,485 4,600 Gulung/ 250 gr
612 600 700 Botol ( 100 mL)
2,520 2,496 2,600 Box (120 lembar)