RENCANA KEBUTUHAN OBAT TAHUN 2022

KABUPATEN BATANGHARI

PUSKESMAS :
SISA STOK 31 PEMAKAIAN JUMLAH RENCANA KEBUTUHAN

No. NAMA OBAT SATUAN RATA2 /BULAN KEBUTUHAN

DESEMBER 2020 2020 TAHUN 2022 TAHUN 2022

a b c = (b)x18 d= (c) - (a)
I OBAT SESUAI FORMULARIUM NASIONAL (FORNAS)
1 Air untuk injeksi Botol - -
2 Albendazol 400mg Tablet - -
3 Albendazol susp 200 mg/5ml Botol - -
4 Alopurinol tablet 100 mg Tablet - -
5 Alupurinol Tab 300mg Tablet - -
6 Aminofilin injeksi 24 mg/ml Amp - -
7 Aminofilin tablet 200 mg Tablet - -
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet - -
9 Amlodipin tablet 10 mg Tablet - -
10 Amlodipin tablet 5 mg Tablet - -
11 Amoksisilin 250 mg Tablet - -
12 Amoksisilin sir forte 250mg Botol - -
13 Amoksisilin sir 125mg/5 ml Botol - -
14 Amoksisilin Tablet 500 mg Tablet - - -
15 Ampisilin serb inj 1000 mg/vial Vial - -
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet - -
17 Antasida DOEN II Suspensi Kombinasi Botol - -
18 Antifungi DOEN Kombinasi Tube - -
19 Antihemoroid Kombinasi sup Sup - -
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoksin) Tablet - -
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet - -
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet - -
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet - -
24 Asam Folat 1 mg Tablet - -
25 Asam Mefenamat tablet 500 mg Tablet - -
26 Asiklovir Tablet 200 mg Tablet - -
27 Asiklovir Tablet 400 mg Tablet - -
28 Atapulgit Tablet Tablet - -
29 Atenolol 50 mg Tablet - -
30 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp - -
31 Atropin Sulfat Tablet 0,5 mg Tab Tablet - -
32 Bedak Salisil serbuk 2% Bks - -
33 Betametason Krim 0,05 % Tube - -
34 Bisakodil sup 5 mg Botol - -
35 Bisaprolol 5mg Tablet - -
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp - -
37 Deksametason Tablet 0,5 mg Tablet - -
38 Devitalisasi Pasta (Non Arsen) Botol - -
39 Diazepam Injeksi 5 mg/ml ( i.v/i.m) Amp - -
40 Diazepam rektal 10mg/2 ,5ml Amp - -
41 Diazepam rektal 5mg/2 ml Amp - -
42 Diazepam Tablet 2 mg Tablet - -
43 Diazepam Tablet 5 mg Tablet - -
44 Dietilkarbamazin tab 100mg Tablet - -
45 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp - -
46 Digoksin Tablet 0,25 mg tablet - -
47 Diltiazem hcl tab 30mg Tablet - -
48 Doksisiklin Kapsul 100 mg Tablet - -
49 Domperidon 10 mg Tablet Tablet - -
50 Domperidon 5mg/5ml Sirup Botol - -
51 Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) Amp - -
52 Ergotamin tab 1mg Tablet - -
53 Eritromisin kapsul 250 mg Tablet - -
54 Eritromisin Kapsul 500 mg Tablet - -
55 Eritromisin Sirup 200 mg / 5 ml Botol - -
56 Etanol cairan 70 % Botol - -
57 Etil Klorida Semprot 100 ml Botol - -
58 Eugenol cairan Botol - -
59 Fenitoin Na kaps Tablet - -
60 Fenobarbital tablet 30 mg Tablet - -
61 Fenoksimetil penisilin ( Penisilin V ) 250mg Tablet - -
62 Fenoksimetil penisilin ( Penisilin V ) 500mg Tablet - -
63 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp - -
64 Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet - -
65 Flufenazin inj 25 mg/ml (i.m) Amp - -
66 Fluor kaps 1 mg Kapsul - -
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp - -
68 Furosemid Tablet 40 mg Tablet - -
69 Garam Oralit I Serbuk Kombinasi Bks - -
70 Glass Ionomer Cement Art Lar. Botol - -
71 Glibenklamida Tablet 5 mg Tablet - -
72 Glimepirid 2 mg Tablet - -
73 Griseofulvin Tablet 125 mg Tablet - -
74 Griseril trinitrat tab sublingual 0,5 mg Tablet - -
75 Haloperidol Tablet 0,5 mg Tablet - -
76 Haloperidol Tablet 1,5 mg Tablet - -
77 Hidroklorotiazida Tablet 25 mg Tablet - -
78 Hidrokortison Krim 2,5 % Tube - -
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet - -
80 Ibuprofen Sirup 100 mg/5 ml Botol - -
81 Ibuprofen Tablet 200 mg Amp - -
82 Ibuprofen Tablet 400 mg Tablet - -
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
84 Kalsium glukonat inj 10% Botol - -
85 Kalsium Hidroksida bubuk,Pasta Botol - -
86 Kaptopril Tablet 12,5 mg Tablet - -
87 Kaptopril Tablet 25 mg Tablet - -
88 Karbamazepin tab 100 mg Tablet - -
89 karbo Gliserin tetestelinga 10 % Botol - -
90 Ketokonazol tab 200 mg Tablet - -
91 Klindamisin 300 mg Tablet - -
92 Klindamisin kap 150mg Tablet - -
93 Kloramfenikol kapsul 250 mg Tablet - -
94 Kloramfenikol Salep Mata 1 % Tube - -
95 Kloramfenikol susp 125mg/5ml Botol - -
96 Kloramfenikol Tablet 500mg Tablet - -
97 Kloramfenikol Tetes Mata 1 % Botol - -
98 Kloramfenikol tetes telinga 1% Botol - -
99 Klorfeniramin Tablet 4 mg Tablet - -
100 Klorfenol Kamfer Menthol (CHKM) Botol - -
101 Klorpromazin Tablet Salut 100 mg (HCl) Tablet - -
102 Klorpromazin Tablet Salut 25 mg (HCl) Tablet - -
103 Kodein tablet 10 mg Tablet - -
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 mg Tablet - -
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol - -
106 Kuinin Tab Tablet - -
107 Lidokain 2% + Epineprin 1 : 80.000 injeksi 2 ml Amp - -
108 Loratadin 10 mg tablet Tablet - -
109 Magnesium Sulfat Injeksi 20% Botol - -
110 Magnesium Sulfat Injeksi 40% Botol - -
111 Mebendazol sir 50mg/ml Botol - -
112 Mebendazol tab 100 mg Tablet - -
113 Mebendazol tab 500 mg Tablet - -
114 Metformin 500 mg Kapsul - -
115 Metformin 850 mg Kapsul - -
116 Metilergometrin Maleat Injeksi 0.2 mg - 1ml Amp - -
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet - -
118 Metilprednisolon tab 4 mg Tablet - -
119 Metoklopramid Tablet 10 mg Tablet - -
120 Metrodinazol lar inf 5mg/ml Botol - -
121 Metrodinazol sir 125mg/ml Botol - -
122 Metronidazol Tablet 250 mg Tablet - -
123 Metronidazol tablet 500 mg Tablet - -
124 Mikonazol Krim 2% (Nitrat) Tube - -
125 Natrium Bikarbonat Tablet 500 mg ( Meylon ) Tablet - -
126 Natrium Diklofenak Tablet 25 mg Tablet - -
127 Natrium Diklofenak Tablet 50 mg Tablet - -
128 Natrium tiosulfat inj 25% (i.v) Amp - -
129 Nifedipin Tablet 10 mg Tablet - -
130 Nistatin Suspensi 100.000UI/ml Botol - -
131 Nistatin Vagina 500.000 Tablet Tablet - -
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet - -
133 Oksitosin Injeksi 10 iu/ml -1 ml Amp - -
134 Omeprazol tablet 20 mg Tablet - -
135 Parasetamol Sirup 120 mg / 5 ml Botol - -
136 Parasetamol Tablet 500 mg Tablet - -
137 Parasetamol drops 100 mg / 1 ml Botol - -
138 Perak sulfadiazin krim1% Tube - -
139 Pirantel pamoat sus 125mg/5ml Botol - -
140 Pirantel pamoat tab 125 mg Tablet - -
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet - -
142 Povidon Iodida 100 mg/ml 30 ml Botol - -
143 Povidon Iodida 100 mg/ml 300 ml Botol - -
144 Prednison Tablet 5 mg Tablet - -
145 Primakuin Tablet 15 mg Tablet - -
146 Probenesid tab 500mg Tablet - -
147 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Vial - -
148 Propanolol Tablet 10 mg (HCl) Tablet - -
149 Propilitiourasil Tablet 100 mg Tablet - -
150 Ranitidin Tablet 150 mg Tablet - -
151 Risperidon 2 mg Tablet - -
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet - -
153 Salbutamol Tablet 4 mg (Sebagai Sulfat) Tablet - -
154 Salep 2 - 4 Kombinasi Tube - -
155 Sefadroksil Kapsul 500 mg Tablet - -
156 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) Vial - -
157 Serum Anti Tetanus Injeksi. 1.500 iu / 1 ml (ATS) Vial - -
158 Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp - -
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet - -
160 Simvastatin Tablet 10 mg Tablet - -
161 Simvastatin Tablet 20 mg Tablet - -
162 Siprofloksasin Tablet scored 500 mg Tablet - -
163 Spironolakton 25 mg tablet Tablet - -
164 Tetrakain HCl Tetes Mata 0,5 % Botol - -
165 Tetrasiklin Kapsul 500 mg Tablet - -
166 Tetrasiksin 250 mg Tablet - -
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet - -
168 Valproat sir 250 mg/ml Botol - -
169 Valproat tab sal 250mg Tablet - -
170 Valproat tab sal 500 mg Tablet - -
171 Verapamil 80mg Tablet - -
172 Vitamin B Kompleks Tablet Tablet - -
173 Zink sir 10 mg/ml Botol - -
174 Zink tablet dispersi 20 mg Tablet - -
II OBAT SESUAI FORMULARIUM NON NASIONAL (FORNAS) - -
1 Ambroxol Sirup 15 mg/ml Botol - -
2 Ambroxol Tablet 30 mg Tablet - -
3 Antalgin Injeksi 250 mg Amp - -
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube - -
5 Asam asetil salisilat (asetosal) tablet500 mg Tablet - -
6 Asetosal Tablet 100mg Tablet - -
7 Asiklovir Krim 5% Tube - -
8 Counterpain 15 mg Tube - -
9 Duvadilan Tablet - -
10 Efedrin Tablet 25mg ( HCL ) Tablet - -
11 Ekstraks Belladona Tablet 10 mg Tablet - -
12 Etakridin Larutan 0,1 Botol - -
13 Famotidine Tablet 40 mg Tablet - -
14 Fenobarbital inj Tablet - -
15 Fenol Gliserol Tetes Telinga 10 % Botol - -
16 Gentamisin Injeksi 40 mg/ml Amp - -
17 Gentamisin Salep Kulit 0,1 % Botol - -
18 Gliseril Guaiakolat Tablet 100 mg Tablet - -
19 Glukosa Larutan Infus 10 % Steril Botol - -
20 Glukosa Larutan Infus 5 % Steril Botol - -
21 Imersi Oil Botol - -
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet - -
23 Ketorolac inj 30mg/ml Amp - -
24 Kotrimoksazol DOEN II (Pediatrik) Kombinasi Tablet - -
25 Larutan Asam Asetat Botol - -
26 Larutan Asam Klorida 0,1 N Botol - -
27 Larutan Benedict Botol - -
28 Larutan Eosin 2% Botol - -
29 Larutan Faucet Botol - -
30 Larutan Giemsa Stalin Botol - -
31 Larutan Natrium Sitrat 3,8% Botol - -
32 Larutan Resserccer Botol - -
33 Larutan Turk Botol - -
34 Lisol Botol - -
35 Natrium Klorida Larutan Infus 0,9% Botol - -
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol - -
37 Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml Amp - -
38 Oksitetrasiklin HCl Salep Mata 1 % Tube - -
39 Oksitetrasiklin Salep Kulit 3 % Tube - -
40 Parasetamol 100 mg Tablet - -
41 Pehacain inj Amp - -
42 Piracetam Injeksi 1 g / 5 mL Amp - -
43 Piroxicam 20mg Tablet - -
44 Propanolol tablet 40 mg Tablet - -
45 Ranitidin Injeksi 25 mg / 2 ml Amp - -
46 Reagen Golongan Darah Botol - -
47 Reagen TB Botol - -
48 Ringer Laktat Larutan Infus Steril Botol - -
49 Semen Seng Fosfat Serbuk dan Cairan Botol - -
50 Setirizin Sirup 5 mg/5ml Botol - -
51 Setirizin Tablet 10mg Tablet - -
52 Simetidin Tablet 200 mg Tablet - -
53 Sulfasetamida Natrium Tetes Mata 15 % Botol - -
54 Tablet Tambah Darah Tablet - -
55 Temporary Stopping Fletcher Serbuk dan Cairan Botol - -
56 Tiamin (Vitamin B1) Injeksi 100 mg/ml Tablet - -
57 Trombophob Jeli 15 g Tube - -
58 Ventolin Botol - -
III BAHAN MEDIS HABIS PAKAI (BMHP) Pcs - -
1 Alat Suntik Sekali Pakai 1 ml Pcs - -
2 Alat Suntik Sekali Pakai 2,5 ml Pcs - -
3 Alat Suntik Sekali Pakai 3 ml Pcs - -
4 Alat Suntik Sekali Pakai 5 ml Pcs - -
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs - -
6 Elastis Verban 4 inci Pcs - -
7 Foley Catheter No. 16 Pcs - -
8 Foley Catheter No. 18 Pcs - -
9 Hanscoond no 6,5 Pcs - -
10 Hanscoond no 7,5 Pcs - -
11 HCG test Pcs - -
12 Infusion Set Anak Pcs - -
13 Infusion Set Dewasa Pcs - -
14 IV Catheter No. 18. G Pcs - -
15 IV Catheter No. 20 G Pcs - -
16 IV Catheter No. 22 G Pcs - -
17 IV Catheter No. 24 G Pcs - -
18 Jarum Jahit Kulit Pcs - -
19 Jarum Jahit Otot Pcs - -
20 Kapas Pembalut / Absorben 250 gr Pcs - -
21 Kasa Pembalut 2 m x 80 cm Rol - -
22 Kasa Hidrofil 4 m x 15 cm Rol - -
23 Kasa Hidrofil 4 m x 3 cm Rol - -
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol - -
25 Kasa Hidrofil Uk. 36 m x 80 cm Rol - -
26 Kasa Kompres 40/40 Steril Rol - -
27 Kasa Pembalut Hidrofil 4 m x 10 cm Rol - -
28 Kasa Pembalut Hidrofil 4 m x 5 cm Rol - -
29 Masker Rol - -
30 Pembalut Gips 4 Inci Rol - -
31 Plester 5 Yards x 2 inci Rol - -
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs - -
33 Urine Bag Pcs - - -
34 Wing Needle No.27 G Pcs - -
35 Handscoond 8 Pcs - -
36 Handscoond 7 Pcs - -
37 Plesterin Non Woven Pcs - -
38 Kasa Hidrofil Uk. 40 m x 80 cm Pcs - -
39 Poligyp 10 cm x 2,7 m Pcs - -
40 Policrepe pembalut elastis 10 cm x 4,5 m Pcs - -
41 Plester 5cm x 5m Pcs - -
IV TAMBAHAN - -
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