RENCANA KEBUTUHAN OBAT PADA FASILITAS KESEHATAN TINGKAT PERTAMA (FKTP) TAHUN 2021

PEMAKAIAN
JUMLAH RENCANA RENCANA HARGA JUMLAH
NO NAMA OBAT SATUAN SISA STOK PER 31 RATA-RATA PER KEBUTUHAN KEBUTUHAN PENGADAAN SATUAN HARGA KETERANGAN
DESEMBER 2019 BULAN SELAMA TAHUN 2021 TAHUN 2021 TAHUN 2021 (Rp) (Rp)
2019
(a) (b) (c) = (b) x 18 (d) = (c) - (a) (e) (f) (g) (h)
1 Air untuk injeksi amp 25 ml Ampul 8,550 625 11,250 2,700 3,000 2295 6,885,000
2 Alopurinol tab 100 mg Tab - - - - 100,000 105 10,500,000
Antasida, kombinasi : aluminium hidroksida 200 Tab 1,158,800 135,000 2,430,000 1,271,200 1,100,000 58 63,800,000
3 mg + magnesium hidroksida 200 mg

Antasida, kombinasi : aluminium hidroksida 200 Botol 42,437 4,000 72,000 29,563 30,000 2129 63,870,000
4 mg + magnesium hidroksida 200 mg

Antifungi salep, kombinasi : asam benzoat 6%+ Tube - 1,200 21,600 21,600 10,000 4798 47,980,000
5 asam salisilat 3%
6 Asam askorbat (vitamin C) tab 50 mg Tab 397,700 26,000 468,000 70,300 80,000 105 8,400,000
7 Asam mefenamat kaps 500 mg Kaps 278,900 80,000 1,440,000 1,161,100 1,000,000 103 103,000,000
8 Asiklovir tab 400 mg Tab - - - - 2,000 405 810,000
9 Bedak salisil serb 2% Botol 3,940 1,200 21,600 17,660 5,000 2415 12,075,000
10 Betametason krim 0,1% Tube 2,801 1,700 30,600 27,799 10,000 1430 14,300,000
11 Bisakodil sup 10 mg Suppo - - - - 2,000 5730 11,460,000
12 Bisakodil sup 5 mg Suppo 624 540 9,720 9,096 3,000 6000 18,000,000
13 Deksametason tab 0,5 mg Tab 500,000 108,500 1,953,000 1,453,000 500,000 135 67,500,000
14 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 9,299 1,150 20,700 11,401 5,000 1097 5,485,000
15 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 1,932 660 11,880 9,948 1,500 1735 2,602,500
16 Diazepam tab 2 mg Tab 3,500 500 9,000 5,500 2,000 86 172,000
17 Diazepam tab 5 mg Tab - - - - 10,000 114 1,140,000
18 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 4,800 780 14,040 9,240 2,000 1095 2,190,000
19 Domperidon susp 5 mg/5 ml Botol 2,100 1,225 22,050 19,950 8,000 2700 21,600,000
20 Domperidon tab 10 mg Tab - 1,300 23,400 23,400 10,000 91 910,000
Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 5,000 908 16,344 11,344 5,000 1408 7,040,000
21

22 Eritromisin kaps 250 mg Kaps 35,100 3,500 63,000 27,900 5,000 583 2,915,000
23 Eritromisin sir 200 mg/5 ml Botol 2,762 410 7,380 4,618 5,000 6090 30,450,000
24 Etanol 70% cairan 70% Botol 671 900 16,200 15,529 10,000 4000 40,000,000
25 Etil klorida semprot 100 ml Botol - - - - 200 137250 27,450,000
26 Eugenol Botol 2,100 22 396 - 1,704 50 20087 1,004,350
Garam oralit kombinasi : natrium klorida 0,52 g + Sachet 102,500 18,300 329,400 226,900 80,000 257 20,560,000
27 kalium klorida 0,30 g + trinatrium sitrat 0,58 g +
glukosa anhidrat 2,7 g

28 Gentamisin tts mata 0,3% Botol 5,457 1,176 21,168 15,711 15,000 4232 63,480,000
29 Glibenklamid tab 5 mg Tab 225,000 4,700 84,600 - 140,400 20,000 119 2,380,000
30 Haloperidol tab 0,5 mg Tab - - - - 20,000 55 1,100,000
31 Haloperidol tab 1,5 mg Tab - - - - 20,000 59 1,180,000
32 Haloperidol tab 5 mg Tab - - - - 25,000 60 1,500,000
33 Hidrokortison krim 2,5% Tube 19,565 1,752 31,536 11,971 10,000 2475 24,750,000
34 Ibuprofen sir 200 mg/5 ml Botol 17,926 512 9,216 - 8,710 3,000 4665 13,995,000
35 Ibuprofen tab 400 mg Tab - - - - 100,000 385 38,500,000
36 Kaptopril tab 12,5 mg Tab 490,400 30,000 540,000 49,600 15,000 66 990,000
37 Kaptopril tab 25 mg Tab - - - - 150,000 163 24,450,000
38 Karbogliserin tts telinga 10 % Botol - - - - 5,000 2590 12,950,000
39 Ketokonazol tab 200 mg Tab - - - - 10,000 288 2,880,000
40 Kloramfenikol salep kulit 2% Tube 2,640 450 8,100 5,460 5,000 3242 16,210,000
41 Kloramfenikol salep mata 1% Tube 3,454 576 10,368 6,914 5,000 2007 10,035,000
42 Klorfeniramin tab 4 mg Tab 280,700 60,000 1,080,000 799,300 500,000 23 11,500,000
43 Klorpromazin tab sal 100 mg Tab sal - - - - 100,000 157 15,700,000
44 Klozapin tab 25 mg Tab - - 10,000 1121 11,210,000
Kotrimoksazol (dewasa) kombinasi : Tab 321,600 45,000 810,000 488,400 100,000 133 13,300,000
45 sulfametoksazol 800 mg+ trimetoprim 160 mg

Kotrimoksazol kombinasi tiap 5 ml suspensi : Botol 49,570 9,000 162,000 112,430 20,000 2190 43,800,000
46 sulfametoksazol 200 mg + trimetoprim 40 mg

47 Ringer Laktat Larutan Botol 775 34,000 612,000 611,225 280,000 7630 2,136,400,000
48 Glukosa Larutan Infus 5% steril 500 ml Botol 5,799 500 9,000 3,201 3,500 7363 25,770,500
49 Glukosa Larutan Infus 10% steril 500 ml Botol 1,570 167 3,006 1,436 1,500 8003 12,004,500
50 NaCl 0,9% Larutan Botol - - - - 5,000 6840 34,200,000
51 Lidokain inj 2% (infiltr/p.v.) Ampul 2,743 1,620 29,160 26,417 10,000 1221 12,210,000
52 Loratadin tab 10 mg Tab - - - - 10,000 131 1,310,000
53 Magnesium sulfat inj 20% Vial 1,887 450 8,100 6,213 1,000 3328 3,328,000
54 Magnesium sulfat inj 40% Vial 2,706 350 6,300 3,594 1,000 3796 3,796,000
55 Metformin tab 500 mg Tab - - - - 50,000 102 5,100,000
56 Metilergometrin inj 0,2 mg/ml Ampul 13,000 1,400 25,200 12,200 2,000 2959 5,918,000
57 Metilergometrin tab salut 0,125 mg Tab sal 47,000 5,000 90,000 43,000 20,000 224 4,480,000
58 Metilprednisolon tab 4 mg Tab 29,800 14,200 255,600 225,800 100,000 143 14,300,000
59 Metoklopramid tab 10 mg Tab 25,000 5,000 90,000 65,000 10,000 121 1,210,000
60 Mikonazol krim 2% Tube 3,518 1,200 21,600 18,082 5,000 3414 17,070,000
61 N-asetil sistein kaps 200 mg Kaps - - - - 50,000 382 19,100,000
62 Natrium diklofenak tab 50 mg Tab - - - - 20,000 115 2,300,000
63 Oksitosin inj 10 UI/ml Ampul - - - - 5,000 1199 5,995,000
64 Omeprazol kaps 20 mg Kaps 81,000 18,330 329,940 248,940 100,000 139 13,900,000
65 Parasetamol sir 120 mg/5 ml Botol 305,600 22,500 405,000 99,400 50,000 1181 59,050,000
66 Parasetamol tab 500 mg Tab 8,449,800 830,300 14,945,400 6,495,600 3,000,000 53 159,000,000
67 Parasetamol tts 60 mg/0,6 ml Botol 30,000 2,128 38,304 8,304 4,000 6649 26,596,000
68 Permetrin krim 5 % Tube - - - - 1,000 11825 11,825,000
69 Piridoksin (vitamin B6) tab 10 mg Tab - - - - 10,000 131 1,310,000
70 Povidon iodin lar 100 mg/ml Botol 30 ml 3,379 450 8,100 4,721 2,000 3000 6,000,000
71 Povidon iodin lar 100 mg/ml Botol 300 ml - - - - 200 18225 3,645,000
72 Ranitidin tab 150 mg Tab 500,000 63,200 1,137,600 637,600 50,000 112 5,600,000
73 Salbutamol cairan ih 0,1% Botol 980 260 4,680 3,700 1,000 4550 4,550,000
74 Salbutamol tab 2 mg Tab - - - - 5,000 63 315,000
75 Salbutamol tab 4 mg Tab 18,100 7,200 129,600 111,500 10,000 70 700,000
Salep 2-4, kombinasi : asam salisilat 2 %+ Tube 5,664 792 14,256 8,592 1,000 2621 2,621,000
76 belerang endap 4 %
Serum anti bisa ular : A.B.U. I (khusus ular dari Vial - - - - 190 512204 97,318,760
77 luar ) inj (i.m./i.v.) Papua
Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.) Ampul - - - - 150 130999 19,649,850
78
Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 1,400 1,000 18,000 16,600 5,003 1104 5,523,312
79

80 Sianokobalamin (vitamin B12) tab 50 mcg Tab - - - - 51,700 49 2,533,300

81 Simvastatin tab sal 20 mg Tab sal 117,000 10,000 180,000 63,000 10,000 117 1,170,000
82 Urea krim 10 % Tube 1,081 400 7,200 6,119 1,000 6809 6,809,000
83 Zinc tab disp 20 mg Tab 293,700 31,200 561,600 267,900 50,000 524 26,200,000
84 Oksitetrasiklin 1% Salep Mata Tube 6,349 775 13,950 7,601 4,000 2668 10,672,000

TOTAL 3,671,489,072