RENCANA KEBUTUHAN OBAT & BMHP PADA FASILITAS KESEHATAN TINGKAT PERTAMA

DINAS KESEHATAN KABUPATEN LAMPUNG SELATAN TAHUN 2022

REKAP PUSKESMAS

SISA PEMAKAIA
JUMLAH
STOK PER N RATA-
SATUA KEBUTUHA HARGA JUMLAH
NO NAMA OBAT 31 RATA PER
N N TAHUN (Rp) TOTAL (Rp)
DESEMBE BULAN
2022
R 2021 SELAMA
2021
a b c d e f=(e*18)-d
Air untuk injeksi amp 25 ampul/ 0 2,860
1 vial
ml
Artesunat tab 50mg+ 0 1,375
2 Amodiauine Anhydrida tablet
tab 200mg (ACT)
3 Alkohol 70% 1L botol 0 25,000
4 Alopurinol tab 100 mg Tab 0 105
5 Alprazolam 1mg tab 0 814
6 Ambroxol tab 30mg Tab 0 110
ampul/ 0 3,823
7 Aminofilin inj 24 mg/ml Vial
8 Aminofilin tab 150 mg tab 0 148
0 167
9 Amitriptilin tab sal 25 mg tab

10 Amlodipin tab 10 mg tab 0 70

11 Amlodipin tab 5 mg tab 0 53
Amoksisilin sir kering 125 Botol 0 2,050
12
mg/5 ml
13 Amoksisilin tab 250 mg kaps 0
14 Amoksisilin tab 500 mg kaplet 0 201
Ampisilin serb inj 1000 0 5,100
15 vial
mg/vial
Anestetik lokal gigi 0 803
kombinasi : lidokain hcl ampul
16
2% + epinefrin 1 : 80.000
inj 2 ml
Antasida, kombinasi : 0 1,679
aluminium hidroksida 200 botol 60
17 ml
mg + magnesium
hidroksida 200 mg
Antasida, kombinasi : 0 54
aluminium hidroksida 200 tab
18 kunyah
mg + magnesium
hidroksida 200 mg
Anti Bakteri Doen 0 3,035
19 tube
(Bacitracin Salep Kulit)
 Antifungi salep, 0 3,477
kombinasi : asam pot 30 g
20
benzoat 6%+ asam
salisilat 3%
0 3,250
Antihemoroid, kombinasi:
21 bismut subgalat 150 mg SUPP
+ heksaklorofen 2,5 mg

Anti Migren tab : 0 173

22 Ergotamin 1mg+ Cafein tab
50mg
Artesunat serb inj 60 ampul/ 0 38,999
23 vial
mg/ml (i.v./i.m.)
Asam askorbat (vitamin 0 125
24 Tab
C) tab 250 mg
Asam askorbat (vitamin 0 42
25 Tab
C) tab 50 mg
26 Asam folat tab 0,4 mg tab 0 63
Asam mefenamat kaps 0 242
27 tab
500 mg
28 Asiklovir tab 400 mg tab 0 407
29 Asiklovir Cream tube 0 4,400
tablet/ 0 135
30 Atapulgit 600 mg kapsul/
kaplet
Atropin inj 0,25 mg/ml 0 1,350
31 Ampul
(i.m./i.v./s.k)
32 Atropin tab 0,5 mg Tab 0 74
33 Azitromicyn tab 500mg tab 0 1,181
Bahan tumpatan 0 197,730
34 Botol
sementara lar, serb
35 Bedak salisil serb 2% Sachet 0 5,720
Benzatin Benzil Penicilin 0 9,800
36 vial
1,2IU
37 Betahistin tab 6mg tablet 0 88
tube 5 0 1,540
38 Betametason krim 0,1% gram
39 Bisakodil tab sal 5 mg tab 0 300
40 Bromheksin tab 8mg tab 0 39
41 Cimetidine 200mg tab 0 193
42 Ceterizine syr 5mg/ml Botol 0 2,090
43 Ceterizine tab 10 mg tablet 0 49
Deksametason inj 5 0 924
44 ampul
mg/ml (i.v./i.m.)
Deksametason tab 0,5 0 77
45 tablet
mg
Diazepam inj 5 mg/ml ampul/ 0 1,735
46 vial
(i.v./i.m.)
47 Diazepam tab 2 mg tab 0 86
48 Diazepam tab 5 mg tab 0 86
Diazepam Enema 0 12,573
49 tube
(stesolid 5mg/2,5ml
Difenhidramin inj 10 ampul/ 0 781
50 vial
mg/ml (i.v./i.m.)
51 Digoksin tab 0,25 mg tab 0 105
0 104
52 Dimenhidrinat tab 50 mg tablet

0 275
53 Doksisiklin kaps 100 mg kapsul

Domperidon susp 5 mg/5 botol 0 2,296

54 @60 ml
ml
55 Domperidon tab 10 mg tablet 0 91
Epinefrin (adrenalin) inj 0 1,515
56 ampul
0,1% (i.v./s.k./i.m.)
0 6,462
Eritromisin sir 200 mg/5 Botol @
57 60 ml
ml

tablet/ 0 566
58 Eritromisin tab 500 mg kapsul/
kaplet
Etil klorida semprot 100 0 115,000
59 Botol
ml
60 Eugenol Botol 0 18,100
61 Fenobarbital tab 30 mg tab 0 171
0 550
Fenoksimetil penisilin Tab
62
(penisilin V) tab 500 mg

Fitomenadion (vitamin K 0 1,386

63 ampul
1) inj 2 mg/ml (i.m.)
Fitomenadion (vitamin K 0 758
64 Tab sal
1) tab sal 10 mg
65 Furosemid tab 40 mg tab 0 77
0 257
Garam oralit kombinasi :
natrium klorida 0,52 g +
66 kalium klorida 0,30 g + sachet
trinatrium sitrat 0,58 g +
glukosa anhidrat 2,7 g

Gentamisin salep mata 0 2,675

67 Tube
0,3%
Gentamisin tts mata 0 4,520
68 Botol
0,3%
0 3,509
69 Gentamisin Injeksi 40mg vial

70 Gentian Violet 1% lar botol 0 3,344

0 658,845
Glass ionomer ART
71 (Atraumatic Restorative Botol
Treatment) lar
 0 761,390
Glass ionomer ART
72 (Atraumatic Restorative Vial
Treatment) serb

73 Glibenklamid tab 5 mg tab 0 119

74 Gliserin tts 100 mg/ml Botol 0 5,333
Glisery Guaiyakolat 0 99
75 100mg (Guaifenisin tab
100mg)
Glukosa Larutan Infus 0 6,627
76 Botol
5% steril 500 ml
0 210
Griseofulvin (micronized) tab
77
tab 125 mg

Haloperidol inj 5 mg/ml 0 4,000

78 Vial
(i.m.)
79 Haloperidol tab 0,5 mg tab 0 90
80 Haloperidol tab 1,5 mg tab 0 90
81 Haloperidol tab 2 mg tab 0 90
82 Haloperidol tab 5 mg tab 0 54
Hidrogen peroksida 0 4,700
83 Botol
(H202) cairan 3%
Hidroklorotiazid tab 25 0 155
84 tab
mg
tube @ 0 2,325
85 Hidrokortison krim 2,5% 5g
Hiosina butilbromida tab 0 1,050
86 tab
10 mg
0 2,236
botol @
87 Ibuprofen sir 100 mg/5 ml 60 ml

88 Ibuprofen tab 200 mg tablet 0 198

89 Ichtiyol salp tube 0 5,399
90 Isoniazid tab 300 mg Tab 0 55
Isosorbid dinitrat tab 5 0 275
91 tab
mg
Kalsium glukonat inj 100 ampul/ 0 19,750
92 vial
mg/ml
Kalsium hidroksida 0 330,491
93 Tube
bubuk, pasta
Kalsium laktat (kalk) tab 0 63
94 kaplet
500 mg
95 Kaptopril tab 12,5 mg tablet 0 65
96 Kaptopril tab 25 mg tablet 0 75
97 Kaptopril tab 50 mg tablet 0 75
Karbamazepin Tab 200 0 189
98 Tablet
mg
0 252
99 Ketokonazol tab 200 mg Tablet
100 Ketokonazol Krim 2% tube 0 2,518
0 522
101 Klindamisin kaps 150 mg Kaps

Kloramfenikol kaps 250 0 310

102 Kaps
mg
Kloramfenikol salep kulit tube 15g 0 3,266
103
2%
Kloramfenikol salep mata tube @ 0 8,250
104 5 gram
1%
Kloramfenikol susp 125 botol 60 0 5,047
105 ml
mg/5 ml
Kloramfenikol tetes 0 7,480
106 Botol
telinga 3%
Kloramfenikol tts mata 0 7,410
107 botol
0,5%
Klorfeniraminmaleat 0 51
108 tablet
(CTM) tab 4 mg
Klorfenol kamfer mentol 0 77,030
109 Botol
(CHKM)
Klorpromazin inj 5 mg/ml 0 1,240
110 ampul
(i.m.)
Klorpromazin tab sal 100 0 162
111 tab sal
mg
Klorpromazin tab sal 25 0 209
112 Tab sal
mg
113 Kodein tab 10 mg tablet 0 571
Kombinasi (DHP) : 0 2,756
dihidroartemisin 40 mg + tablet
114 salut
Piperakuin 320 mg tab
sal selaput
0 367
Kombinasi : Ferro
tablet
fumarat 60 mg + asam salut
115
folat 0,4 mg tab salut gula
(Tablet Tambah Darah)

0 133
Kotrimoksazol (dewasa)
kombinasi : tablet
116
sulfametoksazol 400 mg+
trimetoprim 80 mg

0 2,100
Kotrimoksazol kombinasi
tiap 5 ml suspensi : botol 60
117 mL
sulfametoksazol 200 mg
+ trimetoprim 40 mg

118 Kuinin inj 25% (i.v.) Vial 0 6,200

119 Kuinin tab 200 mg tablet 0 570
120 Levertran salp 0 4,950
 Lidokain inj 2% 0 847
121 ampul
(infiltr/p.v.)
122 Lisol larutan botol 0 41,000
123 Loperamid tab 2 mg Tab 0 187
ampul/ 0 3,200
124 Magnesium sulfat inj 20% vial
ampul/ 0 3,796
125 Magnesium sulfat inj 40% vial
126 Meloxicam 15mg tab 0 54
127 Metformin tab 500 mg tablet 0 102
Metilergometrin inj 0,2 ampul/ 0 1,023
128 vial
mg/ml
Metilergometrin tab salut 0 224
129 tab sal
0,125 mg
Metilprednisolon tab 4 0 143
130 tablet
mg
0 209
131 Metronidazol tab 500 mg tablet

132 Mikonazol krim 2% tube 0 3,414

Mineral Mix (Bismuth 0 2,920
Subcitrate Tripotasium,
Copper sulfate, Sachet
133
Magnesium Chloride
Anhydrous, Potassium
Chloride, Zinc Acetate)
N-asetil sistein kaps 200 0 426
134 kaps
mg
135 NaCl 0,9% Larutan Botol 0 6,800
tablet 0 145
Natrium diklofenak tab 25 salut
136
mg enterik

tablet 0 145
Natrium diklofenak tab 50 salut
137
mg enterik
138 Nifedipin kaps 10 mg kaps 0 275
Nistatin tab salut 500.000 tablet 0 825
139 salut
UI
Nistatin tab vaginal tablet 0 550
140 salut
100.000 UI
Obat Anti Tuberculosis 0 232,518
141 paket
FDC Kategori Anak
Obat Anti Tuberculosis 0 389,344
142 paket
FDC Kategori I
Obat Anti Tuberculosis 0 1,297,894
143 paket
FDC Kategori II
Obat Anti Tuberculosis 0 160,000
144 paket
FDC Kategori Sisipan
Obat Anti Tuberculosis 0 160,000
145 Paket
Kombipak Anak
 Obat Anti Tuberculosis 0 288,199
146 paket
Kombipak Dewasa
Obat Batuk Hitam(OBH 0 4,400
147 botol
syr)
Obat Batuk Kombinasi 0 12,000
148 botol
Syr
Obat Batuk Kombinasi 0 528
149 tablet
Tab
Oksitetrasiklin 1% Salep 0 3,500
150 tube
Mata
151 Oksitosin inj 10 UI/ml ampul 0 1,199
0 129
152 Omeprazol kaps 20 mg kaps

153 Oseltamivir 75mg kaps 0 26,000

154 Papaverin tab 40mg tab 0 298
0 1,160
Parasetamol sir 120 mg/5 botol @
155 60 mL
ml

0 209
156 Parasetamol tab 500 mg tablet

0 4,976
Parasetamol tts 60 botol @
157 15 mL
mg/0,6 ml (drop)

Pasta devitalisasi (non 0 259,996

158 Tube
arsen)
Pirantel pamoat susp 125 0 8,360
159 Botol
mg/5 ml
Pirantel pamoat tab 0 298
160 tablet
scored 125 mg
Piridoksin (vitamin B6) inj 0 980
161 Ampul
100 mg/ml
Piridoksin (vitamin B6) 0 123
162 tablet
tab 10 mg
163 Piroxicam tab 10 mg tablet 0 130
Povidon iodin lar 100 botol 30 0 2,336
164 mL
mg/ml
0 4,620
Povidon iodin lar 100 botol @
165 60 mL
mg/ml

Povidon iodin lar 100 Botol 0 16,500

166 300 ml
mg/ml
167 Prednison tab 5 mg tablet 0 114
168 Primakuin tab 15 mg Tab 0 224
0 385
169 Propiltiourasil tab 100 mg tablet

Tyamazol tab 30mg/ 0 385

170 tablet
Methimazol
171 Propranolol tab 10 mg tablet 0 56
172 Ranitidin tab 150 mg tablet 0 85
 Retinol (vitamin A) kaps kaps 0 284
173 lunak
lunak 100.000 UI
Retinol (vitamin A) kaps kaps 0 520
174 lunak
lunak 200.000 UI
175 Ringer Laktat Larutan Botol 0 7,630
0 123
176 Risperidon tab sal 2 mg tablet

177 Rivanol 0,1% 300ml botol 0 3,400

0 12,650
Salbutamol 2,5mg/10ml ampul
178
(ventolin nebules)

179 Salbutamol tab 2 mg tablet 0 67

180 Salbutamol tab 4 mg tablet 0 67
Salep 2-4, kombinasi : 0 2,797
pot 15
181 asam salisilat 2 %+ gram
belerang endap 4 %
Serum anti bisa 0 479,996
ular :A.B.U.II (khusus Vial
182
ular dari Papua) inj
(i.m./i.v.)
Serum antitetanus 0 130,999
183 (A.T.S) inj 1500 UI/amp Ampul
(i.m.)
Serum antitetanus 0 130,999
184 (A.T.S) inj 20.000 UI/vial Vial
(i.m /i.v.)
0 1,104
Sianokobalamin (vitamin ampul
185
B12) inj 500 mcg/ml

0 49
Sianokobalamin (vitamin tablet
186
B12) tab 50 mcg

Simvastatin tab sal 10 0 68

187 tablet
mg
Simvastatin tab sal 20 0 68
188 tablet
mg
Siprofloksasin tab scored 0 1,188
189 tablet
500 mg
Tiamin (vitamin B1) tab 0 86
190 tablet
50 mg
191 Tramadol Inj 50mg/ml ampul 0 2,395
192 Tramadol tab 100mg tablet 0 322
193 Triheksifenidil tab 2 mg tablet 0 63
194 Vitamin B kompleks tablet 0 57
tablet 0 216
195 Zinc tab disp 20 mg dispersib
le
196 Zinc Syrup 20mg/ 5ml botol 0 2,489
197 Multivitamin Anak botol 0 17,550
198 Multivitamin Dewasa Tablet 0 1,150
199 Multivitamin Injeksi injeksi 0 7,500
JUMLAH

PERBEKALAN
B
KESEHATAN
Alat Suntik Sekali Pakai pc 0 1,518
1
0,05 ml
Alat Suntik Sekali Pakai pc 0 1,200
2
0,5 ml
Alat Suntik Sekali Pakai 1 pc 0 726
3
ml
Alat Suntik Sekali Pakai 3 pc 0 693
4
ml
Alat Suntik Sekali Pakai 5 pc 0 804
5
ml
6 Aqua Gel jely tube 0 2,566
7 Alkohol Swab pc 0 120
8 bisturi paket 0 215,910
Catgut/ Benang Bedah pc 0 49,619
9
No 2/0
Catgut/ Benang Bedah pc 0 57,750
10
No 3/0
11 Folley Chateter No 18 bh 0 11,565
12 Handscone Steril pasang 0 13,563
13 Handscone Non Steril pasang 0 1,254
14 Infusion Set Anak paket 0 6,400
15 Infusion Set Dewasa paket 0 5,335
16 IV Catheter NO. 20 G bh 0 9,735
17 IV Catheter NO. 22 G bh 0 9,735
18 IV Catheter NO. 24 G bh 0 9,735
bh 0 20,600
19 Kapas absorben 250mg

Kassa Hidrofil Steril Ukr. rol 0 7,370

20
16 X 16
Kassa Hidrofil Steril Ukr. rol 0 4,950
21
18 X 18
Kassa Hidrofil Steril Ukr. rol 0 218,350
22
36x80cm
Kassa Pembalut Hidrofil rol 0 607
23
4m X 10 cm
Kassa Pembalut Hidrofil rol 0 800
24
4m X 3 cm
25 Masker pc 0 1,327
26 Masker N95 pc 0 17,500
27 Plester leukoplast 7,5cm rol 0 43,300
28 Plester pharmaplast (phar rol 0 27,000
29 Paper tape2,5cmx9m rol 0 11,583
30 Paper tape1,25cmx9m rol 0 7,029
 31 Pembalut Gibs 3 inchi rol 0 23,500
32 Pembalut Gibs 4 inchi rol 0 23,500
33 Pembalut Gibs 6 inchi rol 0 42,000
Silk (Benang Bedah pc 0 33,220
34
Sutera) No. 3/0
35 Urine Bag pc 0 8,070
36 Wing Needle No.21G pc 0 1,400
37 Wing Needle No.23G pc 0 1,400
38 Wing Needle No.25G pc 0 1,400
JUMLAH

C OBAT- OBAT LAIN

Gentamicyn Salep Kulit tube 3,450

Mengetahui,
Ka. UPT Puskesmas Pengelola Kefarmasian,

(.....................................) (...............................)

DIKUMPULKAN PALING LAMBAT TANGGAL 14 Februari 2022

beserta SK Tim Perencanaan Obat dan BHP Puskesmas ( Softcopy dan Printout)
1 Candipuro 100,197,176
2 Merbau Mataram 141,672,983
3 Kaliasin 192,049,976
4 Sragi 228,732,785
5 Karang Anyar 266,732,987
6 Sukadamai 272,266,245
7 Banjar Agung 289,678,806
8 Way Panji 292,717,294
9 Palas 360,329,601
10 Way Sulan 393,396,998
11 Way Urang 408,768,268
12 Sidomulyo 417,117,618
13 Bumidaya 461,332,538
14 Rajabasa 478,505,340
15 Hajimena 524,759,793
16 Tanjung Agung 610,116,461
17 Ketapang 648,601,287
18 Tanjung Bintang 653,852,513
19 Kalianda 683,847,155
20 Katibung 826,861,716
21 Branti Raya 856,764,523
22 Tanjung Sari 903,670,848
23 Penengahan 925,654,924
24 Bakauheni 959,841,284
25 Talang Jawa 1,313,830,119
26 Natar 1,555,621,667
27 Tanjung Sari Natar 1,794,376,661
16,561,297,566